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Journal : Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia

Manajemen Disfungsi Otonom Terbaru pada Penyakit Parkinson Nugraha, Priya; Puspamaniar, Vania Ayu
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): 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.75.4-2025-1526

Abstract

Since James Parkinson's 1817 initial description of Parkinson's disease (PD), autonomic dysfunction has been identified in PD patients. Parkinson disease (PD) is clinically heterogeneous due to motor and nonmotor symptoms, disease progression, and treatment responses. Autonomic dysfunction can cause a variety of symptoms, such as gastrointestinal, cardiovascular, urogenital, thermoregulatory, irregular pupillary movements, respiratory, and sleep symptoms. The idea that autonomic dysfunction may have a major role in PD patients' mobility, cognition, and health-related quality of life (HRQoL) is supported by several studies. Current management, as determined by the most recent guidelines, is crucial for updating physician expertise. Appropriate care is contingent upon a correct and timely diagnosis which will enhance the quality of life for PD patients. A thorough discussion of the clinical symptoms and current therapy will be provided in this article.
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.