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All Journal Indonesian Journal of Tropical and Infectious Disease Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH International Islamic Medical Journal Jurnal Kedokteran Meditek
Ariobimo, Bonfilio Neltio
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Religion Humanities Biochemistry, Genetics & Molecular Biology Earth & Planetary Sciences Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Acute Acalculous Cholecystitis Associated with Hepatitis A Viral Infection: A Case Report Ariobimo, Bonfilio Neltio; Nujum, Nurun; Saputro, Daniel Ponco Harto
Indonesian Journal of Tropical and Infectious Disease Vol. 11 No. 1 (2023)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v11i1.39532

Abstract

Most hepatitis A infections are acute, self-limiting, and asymptomatic. In rare instances, extra hepatic complication, such as acute cholecystitis, may emerge. Acute cholecystitis is inflammation of the gallbladder wall and is classified into calculus and acalculus. About 90–95% of cases are brought on by bile duct stones. Acute acalculous cholecystitis can be brought on by structural and functional abnormalities in the gallbladder brought on by viral hepatitis infection. Here we present a 20 years old female patient with acute acalculous cholecystitis associated with hepatitis A infection. Gallbladder distention, thickening of the gallbladder wall, absence of acoustic shadow or biliary sludge, perivesical liquid buildup, and absence of dilatation of the intra- and extrahepatic bile ducts are among the ultrasonographic criteria for diagnosing acute acalculous cholecystitis. The viral hepatitis serology revealed acute hepatitis A infection with positive anti-HAV IgM. Hepatitis A testing should be considered in patients suspected with acalculous cholecystitis of undefined etiology in markedly deranged liver function test adult patients.
Case Report: Ischaemic Stroke Presented with Hemichorea-Hemiballism Ariobimo, Bonfilio Neltio; Puspamaniar, Vania Ayu; Nujum, Nurun; Puspitorini, Lisa
Jurnal Medis Islam Internasional Vol 5 No 1 (2023): December
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v5i1.4911

Abstract

Introduction: Movement disorders can be separated into hypokinetic disorders, which cause paucity or slowness (bradykinesia), and hyperkinetic disorders, which cause excessive, aberrant involuntary motions Less than 5% of individuals with cerebrovascular diseases presented with involuntary movement. It might be difficult to identify and diagnose hyperkinetic disorders. Case: We describe a 56-year-old man who arrived at the hospital with 5 hours of abrupt, uncontrollable movement in his right upper and lower limbs. A complete neurological evaluation revealed an uncontrolled, nonrhythmic, non-patterned, aimless, and frequently jerky movement of the right upper and lower limbs with a ballistic component that varies in amplitude and frequency. Higher psychic function and cranial nerves were normal. Chest radiography, electrocardiography were normal. Hemorrhage was ruled out by a brain non-contrast CT scan at admission. The patient was diagnosed with hemichorea-hemiballism caused by an ischemic stroke based on clinical evidence of a sudden neurological deficit of aberrant involuntary movement. After receiving medical treatment for five days, the involuntary motions stopped occurring without causing any more neurological abnormalities or weakening. Discussion: Ischemic stroke diagnosis relied on skilled clinical assessment without explicit neuroimaging. While hemiballismus is characterized by violent irregular flinging movements of the limbs brought on by contractions of the proximal muscles, hemichorea consists of continuous random, anarchic, and jerking movements involving both the distal and proximal muscles (though it is occasionally localized more distally). Conclusion : Hyperkinetic movement disorders are a rare presentation of stroke. The pathophysiology of these abnormal movements remains uncertain. Even though they are uncommon, following a stroke, aberrant motions can occur suddenly or develop gradually. Hemichorea-hemiballismus with abrupt onset should be treated as an acute stroke unless proven other causes
TELEMEDICINE AS AN EFFORT TO IMPROVE PUBLIC KNOWLEDGE TO FIGHT COVID-19 PANDEMIC Thirafi, Sacharissa Zerlina Tsarwah; Paladan, Triadi Putra; Ariobimo, Bonfilio Neltio; Husniyah, Barizatul; Kinanthi, Monica Tiara Arum; Dewi, Gusti Agung Ayu Ira Kencana; Surya, Prima Ardiansah; Yashinta, Yolanda Ayu; Subagyo, Zaufy Verlieza Oktaviano; Wulandari, Laksmi; Dewanti, Linda
Journal of Community Medicine and Public Health Research Vol. 2 No. 1 (2021): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (321.018 KB) | DOI: 10.20473/jcmphr.v2i1.21883

Abstract

The role of the community is an essential part to cut down the COVID-19 chain transmission, a current world pandemic. Knowledge determines a person's healthy behavior that can prevent transmission of COVID-19. This research's goal is to analyze the effect of health promotion via telemedicine on increasing knowledge about COVID-19 prevention in the productive-age population in Indonesia. This study used one group pretest-posttest design and accidental sampling method involving 146 respondents based on the inclusion criteria. The data collection method was carried out by using a questionnaire containing simple and general questions related to COVID-19 that tested subjects before and after telemedicine health promotion. Based on the assessment of the questionnaire through pretest and posttest, there was an increase in the average knowledge after being given health education with telemedicine with p<0.001 (CI 95%). This study shows that telemedicine could significantly increase average knowledge about COVID-19 prevention in the productive-age population in Indonesia.
Kor Pulmonal pada Tuberkulosis Paru: Sebuah Laporan Kasus Ariobimo, Bonfilio Neltio; Nujum, Nurun
Jurnal Kedokteran Meditek Vol 29 No 3 (2023): SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v29i3.2760

Abstract

Tuberkulosis paru merupakan salah satu masalah kesehatan global. Beberapa penelitian sebelumnya melaporkan bahwa ditemukan adanya kemungkinan hubungan antara penyakit TB dan Hipertensi Pulmonal. Hipertensi Pulmonal dapat mengalami perkembangan lebih lanjut yang disebut sebagai kor pulmonal. Kami melaporkan pasien wanita 22 tahun datang ke instalasi gawat darurat dengan keluhan utama sesak nafas sejak 2 hari dirasakan semakin memberat terutama saat berjalan. Pasien juga mengeluhkan bengkak di kedua kakinya sejak 1 minggu ini.  Pasien memiliki riwayat TB paru 8 bulan yang lalu namun hanya menjalani pengobatan selama 4 bulan. Pemeriksaan sinar-x thorak menunjukkan gambaran fibroinfiltrat disertai multipel kavitas di daerah parahilar dan infrahilar paru kanan dan kiri, selain itu juga ditemukan kardiomegali. Ekokardiografi menunjukan regurgitasi trikuspid ringan, dilatasi atrium kanan, dilatasi ventrikel kanan, Tricuspid Annular Plane Systolic Excursion menurun, dan efusi perikardial minimal. Diagnosis klinis mendukung gambaran suatu kor pulmonal akibat TB paru. Kondisi vasokonstriksi, inflamasi kronis, dan hipoksia alveolar kronis ini yang menyebabkan perubahan pembuluh darah paru disertai destruksi pembuluh darah paru yang bersifat ireversibel. Hal ini pada akhirnya dapat menyebabkan disfungsi ventrikel kanan. Penatalaksanaan tuberkulosis paru dapat mencegah perkembangan HP yang berujung kor pulmonal. Deteksi dini sangat penting pada pasien berisiko terkena hipertensi pulmonal.
Tata Laksana Perioperatif Pembedahan Tiroid : Sebuah Tinjauan Pustaka Ariobimo, Bonfilio Neltio; Nujum, Nurun; Puspamaniar, Vania Ayu; Saputro, Daniel Ponco Harto
Majalah Kedokteran Indonesia Vol 73 No 1 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.1-2023-859

Abstract

Thyroidectomy is one of the frequently performed surgery worldwide with indications of malignant or benign tumors, or functional abnormalities in thyroid gland. Surgery on the neck is actually a high-risk procedure because it is performed on structures attached to blood vessels, nerves and airways, so adequate perioperative management is warranted. This literature review aims to summarize the latest perioperative management of thyroid surgery. Preoperative management includes control of signs and symptoms of hyperthyroidism or hypothyroidism, fasting, administration of prophylactic antibiotic, and airway management. During surgery, special attentions are needed related the use of anesthetic drugs, hemodynamic monitoring, and efforts to prevent nerve injury. In addition, several postoperative complications that need to be detected and treated early, including hypocalcemia, hematoma, injury of recurrent laryngeal nerve, postoperative pain, nausea, and vomiting, and tracheomalacia. All those perioperative management requires multidisciplinary collaboration.
Co-Authors Dewi, Gusti Agung Ayu Ira Kencana Husniyah, Barizatul Kinanthi, Monica Tiara Arum Laksmi Wulandari Linda Dewanti Nujum, Nurun Paladan, Triadi Putra Puspamaniar, Vania Ayu Puspitorini, Lisa Saputro, Daniel Ponco Harto Subagyo, Zaufy Verlieza Oktaviano Surya, Prima Ardiansah Thirafi, Sacharissa Zerlina Tsarwah Yashinta, Yolanda Ayu