Zaini, Jamal
National Medical Team COVID-19, The Indonesian Society Of Respirology, Jakarta, Indonesia Department Of Pulmonology And Respiratory Medicine, Persahabatan General Hospital, Faculty Of Medicine Universitas Indonesia, Jakarta, Indonesia

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Epidemiological and Clinical Features of COVID-19 Patients at National Emergency Hospital Wisma Atlet Kemayoran, Jakarta, Indonesia Susanto, Agus Dwi; Rozaliyani, Anna; Prasetyo, Budi; Agustin, Heidy; Baskoro, Hario; Arifin, Arief Riadi; Pratama, Satria; Zaini, Jamal; Hasto, Bambang Dwi; Ratmono, Tugas; Savitri, Ary Indriana; Samoedro, Erlang; Husain, Bahtiar; Nawas, Arifin; Burhan, Erlina
Kesmas Vol. 16, No. 5
Publisher : UI Scholars Hub

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Abstract

The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study re-viewed data of patients treated at the National Emergency Hospital Wisma Atlet Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/ oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and mod-erate cases. The patient’s overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.
Diagnostic Value of Saliva RT-PCR Test within Suspected SARS-CoV-2 Cases in Indonesia Putra, Andika Chandra; Zaini, Jamal; Ridwanuloh, Asep Muhammad; Nugroho, Herjuno Ari; Setyawan, Ryan Haryo; Idris, Idris; Setiawan, Ruby; Sushadi, Pangda Sopha; Wulandari, Ari Sulistyo; Zannati, Anky; Indriawati, Indriawati; Erdayani, Eva; Wahyuni, Wahyuni; Agustiyanti, Dian Fitria; Wisnuwardhani, Popi Hadi; Saniyyah, Zahrah; Azika, Wira Norman; Haryanto, Budi; Utomo, Ahmad Rusdan Handoyo; Ningrum, Ratih Asmana
Health and Medical Journal Vol 6, No 2 (2024): HEME May 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v6i2.1494

Abstract

Introduction: The ongoing SARS-CoV-2 pandemic has profoundly emphasized the pressing need for accurate and reliable diagnostic procedures. Given the potential health risks associated with nasopharyngeal swabs, there has been growing interest in seeking alternative diagnostic mediums. In this context, our study delved into evaluating saliva as a potential diagnostic tool, simultaneously assessing its efficiency in relation to patient demographics and their exhibited clinical symptoms. Methods: Spanning from May to December 2020, we conducted a comprehensive cross-sectional analysis. We meticulously examined medical records to gather insights on patient characteristics, existing health conditions, onset of symptoms, clinical manifestations, and compared the results obtained from both salivary and nasopharyngeal RT-PCR tests for SARS-CoV-2. Results: Among the individuals suspected of SARS-CoV-2 infection, the mean age stood at 52.4 years, with males representing 60.3% of this group. Interestingly, a significant 76.9% reported underlying health conditions, predominantly hypertension and diabetes. The most commonly reported symptoms encompassed respiratory challenges, notably coughing and shortness of breath, succeeded by symptoms like nausea, fever, and a general sense of fatigue. The performance of saliva tests, in terms of accuracy, appeared to be significantly influenced by the timing of symptom emergence. Conclusion: The RT-PCR tests utilizing saliva samples demonstrated considerable promise, especially during the early stages of symptom manifestation, providing a reliable alternative to traditional nasopharyngeal swabs. The findings suggest a superior diagnostic sensitivity when utilizing saliva during the initial phases of a SARS-CoV-2 infection.
Indonesian Society of Respirology Position Paper on Lung Cancer Control in Indonesia Andarini, Sita; Santoso, Andintia Aisyah; Arfiansyah, Mochammad Aris; Syahruddin, Elisna; Zaini, Jamal; Putra, Andika Chandra; Kurniawan, Ferry Dwi; Ermayanti, Sabrina; Soeroso, Noni Novisari; Munir, Sri Melati; Infianto, Andreas; Setijadi, Ana Rima; Setyawan, Ungky Agus; Wulandari, Laksmi; Haryati, Haryati; Jasminarti, Ida Ayu; Hidayat, Moulid; Santoso, Arif
Jurnal Respirologi Indonesia Vol 44 No 4 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i4.884

Abstract

Lung cancer is a major health concern in Indonesia due to its increasing prevalence, late-stage diagnosis, younger population, and high mortality. Addressing this issue requires nationwide implementation of comprehensive lung cancer control, which includes risk reduction and prevention strategies, focusing on tobacco control and air pollution mitigation. Screening with low-dose computed tomography (LDCT) and early detection in symptomatic patients, along with TB screening programs and all non-communicable diseases, is strongly recommended to enhance early case findings, treatment effectiveness, and overall patient outcomes. A multidisciplinary team (MDT) approach is important to ensure accurate diagnosis and comprehensive care. Moreover, the integration of palliative care at the early stages of advanced lung cancer is vital, focusing on symptom management and enhancing the quality of life for patients. While national guidelines are available for the diagnosis and treatment of lung cancer, significant disparities in healthcare access remain across Indonesia. Thus, it is essential to improve universal health coverage and referral systems to guarantee equal access to lung cancer care for patients at all levels through advocacy and ease of access.
False-positive Serum IgM/IgG to SARS-CoV-2 in a Rare Pulmonary Neuroendocrine Carcinoma with Ocular Metastasis: A Case Report Pratomo, Irandi P; Priyonugroho, Gatut; Ramdhani, Aris; Zamroni, Dian; Salamah, Thariqah; Susanto, Yayi D.B; Zairinal, Ramdinal A; Witjaksono, Annisa N; Aditianingsih, Dita; Zaini, Jamal
The New Ropanasuri Journal of Surgery Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

The Coronavirus disease 2019 (COVID-19) pandemic impacts pulmonary cancer management since it shares similar clinical features and creates fear among patients to visit hospitals due to possible in-hospital disease transmission. We report a patient who presented with a rare case of a pulmonary neuroendocrine tumor with an ocular involvement, which, unfortunately, experienced a delay in diagnostics. The first hospitalization was due to superior vena cava syndrome, pleural and pericardial effusions, and swollen left eye. The patient was diagnosed with pulmonary cancer, released after the symptoms were relieved, and expected to visit a referral hospital for further diagnostics and treatments. The patient returned two weeks later with progressing disease, an ocular metastasis, and a reactive serum IgM/IgG to SARS-CoV-2; serial qPCR tests consistently returned negative. The patient was treated with the best supportive care before succumbing to death. Biopsy showed pulmonary tumor cells consistent with a neuroendocrine tumor. Fear of the pandemic makes patients reluctant to seek help from medical facilities. Pulmonary TBC has similar symptoms to pulmonary cancer, which can pose another challenge in diagnosing pulmonary cancer in TB-endemic countries. Thus, patients often present with advanced-stage pulmonary cancer with rare ocular metastasis, as in this report.
Manifestasi Gastrointestinal dan Peran Swab Anal pada COVID-19: Laporan Kasus dari Rumah Sakit Rujukan Tersier, Jakarta Fadhillah, Muhamad Rizqy; Zaini, Jamal; Putra, Andika Chandra; isbaniah, Fathiyah; Ananta, Muammar Emir; Sabila, Ginindha Izzati
Smart Medical Journal Vol 4, No 3 (2021): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v4i3.54197

Abstract

Introduksi: Coronavirus Disease 2019 (COVID-19) merupakan penyakit infeksius yang masih menjadi permasalahan serius di dunia. Meskipun presentasi klinis utama COVID-19 adalah gejala respirasi, manifestasi gastrointestinal seperti nyeri perut dan diare dapat ditemukan sebagai satu-satunya presentasi dari penyakit ini. Swab anal dapat dilakukan untuk penegakkan diagnosis COVID-19 dengan presentasi gastrointestinal. Namun perananya dalam diagnosis COVID-19 masih belum diketahui secara pasti.Laporan kasus: Laporan kasus ini membahas seorang pasien dewasa yang datang dengan keluhan gastrointestinal tanpa adanya gejala respirasi. Pasien ini kemudian terkonfirmasi COVID-19 melalui pemeriksaan polymerase chain reaction (PCR) pada sampel swab nasofaring dan swab anal.Diskusi: COVID-19 dapat ditandai dengan berbagai gejala dari organ tubuh manapun, salah satunya adalah gejala gastrointestinal. Swab anal menjadi sampel yang cukup representatif dalam membantu penegakkan diagnosis COVID-19 dengan gejala gastrointestinal.  Kesimpulan: Di tengah pandemi ini, presentasi gastrointestinal tanpa gejala respirasi perlu dipertimbangkan sebagai presentasi klinis atipikal dari COVID-19. Hal ini menuntut kehati-hatian tenaga kesehatan untuk menghindari misdiagnosis COVID-19 dengan menggunakan pengambilan sampel dari organ lain seperti swab anal.
Co-Authors Abul A'la Al Maududi Achmad Hudoyo Agus Dwi Susanto Agustin, Heidy Agustiyanti, Dian Fitria Ahmad Hudoyo Ainun Wulandari Ana Rima Ana Rima Setijadi Ananta, Muammar Emir Andarini, Sita Andreas Infianto Anky Zannati Anna Rozaliyani Anwar Jusuf Arfiansyah, Mochammad Aris Arief Riadi Arifin Arif Santoso Arif Santoso Arifin Nawas Arifin Nawas Arifin, Arief Riadi Ary Indriana Savitri Astrid B Rase Azika, Wira Norman Aziza Ghanie Aziziah, Aziziah Bahtiar Husain Baiq Amalia Utami Bambang Dwi Hasto Baskoro, Hario Budhi Antariksa Budi Haryanto Budi Prasetyo Budi Prasetyo Cipuk Muhaswitri Dea Putri Audina Denny Grecius Siregar Dini Rizkie Wijayanti Dita Aditianingsih Drupadi Dillon Elisna Syahruddin Erdayani, Eva Erlina Burhan Ermayanti, Sabrina Ermayanti, Sabrina Erni Mudhiati Fadhillah, Muhamad Rizqy Fairuzia Fiyanti Putri Faisal Yunus Faisal Yunus Faisal, Hana Khairina Putri Fariz, Nurwidya Fathiyah Isbaniyah Ferry Dwi Kurniawan Findra Setianingrum Hana Khairina Putri Faisal Hana Khairina Putri Faisal Hario Baskoro Harris Abdullah Haryati Haryati Haryati Haryati Hasto, Bambang Dwi Hasyim, Ammar Abdurrahman Herawati Hidajat Herjuno Ari Nugroho, Herjuno Ari Hilma Nur Faiza Husain, Bahtiar Ida Ayu Jasminarti Idris Idris INDRA YOVI Indriawati, Indriawati Infianto, Andreas Isbaniah, Fathiyah Jasminarti, Ida Ayu Kemal Akbar Suryoadji Kemalasari Nas Darisan Kezia Alicia Theresia Manik Kurniawan, Ferry Dwi Laksmi Wulandari Lisnawati Rachmadi Mia Elhidsi Moulid Hidayat Muhamad Rizqy Fadhillah Muhamad Rizqy Fadhillah Mulyati Tugiran Nathaniel Aditya Noni Novisari Soeroso Pane, Irene Audrey Davalynn Popi Hadi Wisnuwardhani, Popi Hadi Prasenohadi Prasenohadi Pratomo, Irandi P Priyonugroho, Gatut Putra, Andika Chandra Ramdhani, Aris RATIH ASMANA NINGRUM Ridhawati Sjam Ridwanuloh, Asep Muhammad Ririen Razika Ramdhani Robiatul Adawiyah Romi Baginta Rudi Kurniawan Sabila, Ginindha Izzati Samoedro, Erlang Samuel S Kamalle Saniyyah, Zahrah Santoso, Andintia Aisyah Sarah Fitriani Satria Pratama Satria Pratama Savitri, Ary Indriana Seira Putri Boru Rambe Septiyani Monalisa Setiawan, Ruby Setyawan, Ryan Haryo Setyawan, Ungky Agus Shanty R. Kusumawardani Sita Andarini Sita Andarini Sita Andarini Sita Laksmi Andarini Siti Syahral Ain Sri Melati Munir Sri Melati Munir Susanto, Yayi D.B Sushadi, Pangda Sopha THARIQAH SALAMAH, THARIQAH Tugas Ratmono Tugas Ratmono, Tugas Utomo, Ahmad Rusdan Handoyo wahyuni wahyuni Westi ATW Witjaksono, Annisa N Wulandari, Ari Sulistyo Yayi DB Susanto Yoga Yuniadi Yuwono, Edho Zahrah Annisa Zairinal, Ramdinal A Zamroni, Dian