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All Journal Jurnal Kedokteran Diponegoro Jurnal Komplikasi Anestesi
Ksatriaputra, Alesandro
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Medicine & Pharmacology

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QUALITY OF LIFE AMONG TUBERCULOSIS PATIENTS WITH AND WITHOUT DIABETES MELLITUS BEFORE AND AFTER ANTI-TB DRUGS ADMINISTRATION Ksatriaputra, Alesandro; Kholis, Fathur Nur; Ngestiningsih, Dwi; Hariyana, Bambang
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 9, No 6 (2020): DIPONEGORO MEDICAL JOURNAL (Jurnal Kedokteran Diponegoro)
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v9i6.29334

Abstract

Background : Increased TB prevalence with and without diabetes mellitus affects the quality of life of the patients. Appropriate action on TB patients was needed in health status improvement and quality of life of the patients. SF-36 questionnaire as an instrument to assess the quality of life. Aim : To compare Quality of Life (QoL) between TB with diabetes mellitus patients and TB without diabetes mellitus patients before and after the treatment of tuberculosis. Methods : A cross-sectional design was performed in this study by collecting data from the medical record of patients in Kariadi Hospital Semarang who were diagnosed with tuberculosis. Research subjects were 44 people with 22 TB with diabetes mellitus patients and 22 TB without diabetes mellitus patients. The direct approach was carried out using the SF-36 questionnaire. The SF-36 questionnaire was filled out using telephone interview. All questions were scored on a scale from 0 to 100, with 100 represents the highest level of function with interpretation the higher the score the higher the level of function, and vice versa. Statistical tests use Wilcoxon Test and Independent Samples T test. Results : Wilcoxon test on quality of life of TB patients with and without diabetes mellitus before and after treatment of tuberculosis was significant (p = 0.0040). Mean improvement in quality of life difference before and after treatment of tuberculosis in TB without diabetes mellitus patients (p = 41.72) was more significant than TB with diabetes mellitus patients (p = 26.38). Conclusion : There was a significant difference in quality of life between TB with and without diabetes mellitus patients before and after the treatment of tuberculosis as indicated by the SF-36 questionnaire score. TB without diabetes mellitus patients have more significant changes in quality of life compared to TB with diabetes mellitus patients.
Epidural Anesthesia Management for Unilateral Salpingo-Oophorectomy in Patients with Ovarian Mass : A Case Report Ksatriaputra, Alesandro; Saputra, Taufik; Paramita, Dina
Jurnal Komplikasi Anestesi Vol 11 No 3 (2023)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v11i3.15146

Abstract

with sedation and mainly used in elderly patients or those with medical problems, including those who had ovarian mass. Epidural administration of amide local anesthetics in combination with opioids is widely used for pain relief because of the dose minimizing and side effects reducing benefits. Case: Patient was diagnosed with ovarian mass. The patient also had pleural effusion, ascites, and hypoalbuminemia. Epidural anesthesia used in this patient as a resource for perioperative and postoperative pain management. Discussion: Patient underwent unilateral salpingo-oophorectomy for her ovarian mass. Anesthetic doses were given carefully due to patient conditions with pleural effusion and ascites. Opioid and Neuromuscular Blocking Agents (NMBAs) effects were absolutely decreased due to hypoalbuminemia, but were overcome with Naloxone and Sugammadex. Epidural anesthesia used to stabilize the drugs and pain management for this patient. Conclusion: Epidural anesthesia is an excellent choice for unilateral salpingo-oophorectomy in patients with ovarian mass. It has been proven to provide excellent pain control after major surgeries and may be associated with a lower incidence of postoperative complications.
Co-Authors Djuara P Lubis Fathur Nur Kholis Hariyana, Bambang Paramita, Dina Saputra, Taufik