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Foetal Echocardiography vs. Neonatal Echocardiography for Diagnosis of Congenital Heart Diseases Liora, Kevina; Santoso, Tiffanie Almas; Fahira, Siti Alya; Yuliana, Theresia Aquila; Oriza Malta Damayant
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.674

Congenital heart disease (CHD) is a structural abnormality in the heart or major intrathoracic blood vessels that has been present since birth. The antenatal detection of congenital cardiac disease has been greatly enhanced by the advent of fetal echocardiography as a crucial component of prenatal ultrasound evaluation. Nevertheless, antenatal CHD diagnosis rates are still lower than those for the majority of other significant structural defects. Aim : Assess the effectiveness of fetal in comparison to neonatal echocardiography. This study is conductedin accordance to the PRISMA statement. Studies were identified from several open-access electronic databases (PubMed Central, ScienceDirect, Google Scholar). Risk of bias of each study was evaluated using Cochrane Risk of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Data were descriptively examined and narratively reported. Twelve studies were included in the review. All included studies were considered low-risk. From 12 studies that were included in our study, all recommend fetal echocardiography for prenatal assessment. Lowest reported sensitivity was 64.5%, highest value was 100%. Lowest repoted specificity was 88.9%, highest value was 99.96%. Diagnostic accuracy was reported in 4 studies, with a value of 93 – 99.82% Factors that might be associated with the accuracy of fetal echocardiography are high anatomic complexity, maternal comorbidities, and fellow as initial imager. Fetal echocardiography was found to have a high specificity but limited sensitivity. Low sensitivity suggests that fetal echocardiography results could be inaccurate whereas high specificity means that a negative echocardiography result is often sufficient to predict the absence of CHD. There are some factors that may affect the accuracy of fetal echocardiography, mostly resulting from fetal or maternal factors, such as high complexity of the anomaly, fetal position, late gestation, maternal obesity, and less-esperienced sonographer.

Nebulization Therapy in Pediatric Patients with Bronchiolitis: A Literature Review Kawilarang, Melani; Santoso, Tiffanie Almas; Dharmansyah, Renald Patria; Angela, Angela; Ferdiaananda, Muhammad Rizky
Jurnal Keperawatan Vol 16 No 2 (2024): Jurnal Keperawatan: Juni 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v16i2.1747

Bronchiolitis is one of the most common causes of hospitalization in children under two years old. The main treatment for bronchiolitis is supportive therapy. Nebulization therapy in pediatric bronchiolitis is still being controversial in clinical practice and based on guideline recommendations. The purpose of this study is to determine and review the beneficial effects of saline and nebulized therapy in pediatric patients with bronchiolitis. Literature searches were obtained through reference sources from Google Scholar, PubMed, Proquest, JSTOR, ScienceDirect, and SAGE. Inclusion criteria were original articles, published in Indonesian and English, and assessed nebulization therapy's outcome in pediatric bronchiolitis patients. The treatment of administering nebulized saline NS or HS 3% can provide more effective results than treatment without nebulization. Many studies using nebulized salbutamol have found less clinical effectiveness and resulted in longer hospital stays. Combination therapy of saline and nebulization has more effective clinical results than single therapy of saline or nebulized drugs.

Pengaruh Motivasi, Kemampuan, Dan Beban Kerja Terhadap Kinerja Perawat Selama Pandemi Di Rspi Sulianti Saroso Jakarta Santoso, Tiffanie Almas; Saepudin, Didin; Oetojo, Widjajanti
Jurnal Multidisiplin Indonesia Vol. 2 No. 8 (2023): Jurnal Multidisiplin Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jmi.v2i8.366

Keadaan pandemi akibat suatu penyakit di Indonesia sangat berdampak kepada kelangsungan aktivitas perekonomian, politik hingga kelangsungan dalam pelayanan di Rumah Sakit. Keadaan pandemi yang meningkatkan tuntutan kerja dan berbagai beban pikiran para tenaga medis dapat memengaruhi performa kerja. Faktor internal dan eksternal dapat memengaruhi kinerja perawat. Tujuan penelitian ini untuk mengetahui pengaruh antara motivasi, kinerja, dan beban kerja dengan kinerja perawat ruang rawat inap selama pandemi. Penelitian ini dilakukan dengan metode deskriptif dan verifikatif dengan menggunakan pendekatan kuantitatif menggunakan data berbentuk skala. Instrumen penelitian berupa kuesioner dengan subjek perawat ruang rawat inap selama pandemi COVID 19 di RSPI Prof. Dr. Sulianti Saroso Jakarta. Sampel yang digunakan sebanyak 127 responden dengan hitungan slovin. Analisis data yang dilakukan dengan menggunakan analisis regresi linear dengan uji hipotesis. Pada penelitian ini disimpulkan bahwa responden diikuti mayoritas oleh perawat berjenis kelamin Wanita di rentang usia 31-40 tahun dengan pendidikan mayoritas DIII dan lama bekerja lebih dari 10 tahun. Penelitian ini menunjukkan terdapat pengaruh signifikan secara keseluruhan dan parsial antara motivasi dan kemampuan kerja terhadap kinerja namun beban kerja tidak berhubungan signifikan secara keseluruhan dan parsial terhadap kinerja perawat sehingga dapat disimpulkan bahwa semakin besar beban kerja maka kinerja perawat menurun selama pandemi.

Foetal Echocardiography vs. Neonatal Echocardiography for Diagnosis of Congenital Heart Diseases Liora, Kevina; Santoso, Tiffanie Almas; Fahira, Siti Alya; Yuliana, Theresia Aquila; Oriza Malta Damayant
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.674

Congenital heart disease (CHD) is a structural abnormality in the heart or major intrathoracic blood vessels that has been present since birth. The antenatal detection of congenital cardiac disease has been greatly enhanced by the advent of fetal echocardiography as a crucial component of prenatal ultrasound evaluation. Nevertheless, antenatal CHD diagnosis rates are still lower than those for the majority of other significant structural defects. Aim : Assess the effectiveness of fetal in comparison to neonatal echocardiography. This study is conductedin accordance to the PRISMA statement. Studies were identified from several open-access electronic databases (PubMed Central, ScienceDirect, Google Scholar). Risk of bias of each study was evaluated using Cochrane Risk of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Data were descriptively examined and narratively reported. Twelve studies were included in the review. All included studies were considered low-risk. From 12 studies that were included in our study, all recommend fetal echocardiography for prenatal assessment. Lowest reported sensitivity was 64.5%, highest value was 100%. Lowest repoted specificity was 88.9%, highest value was 99.96%. Diagnostic accuracy was reported in 4 studies, with a value of 93 – 99.82% Factors that might be associated with the accuracy of fetal echocardiography are high anatomic complexity, maternal comorbidities, and fellow as initial imager. Fetal echocardiography was found to have a high specificity but limited sensitivity. Low sensitivity suggests that fetal echocardiography results could be inaccurate whereas high specificity means that a negative echocardiography result is often sufficient to predict the absence of CHD. There are some factors that may affect the accuracy of fetal echocardiography, mostly resulting from fetal or maternal factors, such as high complexity of the anomaly, fetal position, late gestation, maternal obesity, and less-esperienced sonographer.

The Challenge in Differentiating Acute Fatty Liver of Pregnancy from Other Hepatic Disorders in Parturient Women – A Case Report Santoso, Tiffanie Almas; Andrea, Demirel; Setiawan, Dani
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.752

Introduction: Liver disorder during pregnancy can arise from pregnancy-related factors or other underlying causes. One significant example is Acute Fatty Liver of Pregnancy (AFLP), a rare but life-threatening obstetric emergency that typically occurs in the third trimester or early postpartum period. Diagnosis of AFLP is carried out using the Swansea criteria, and its clinical management varies depending on the severity of the condition.Case Illustration: A 23-year-old woman, at 33-34 weeks of gestation in a multifetal pregnancy, presented with abdominal contractions and jaundice. The patient was diagnosed with AFLP using the Swansea criteria, Following the diagnosis, the patient delivered twins and received multidisciplinary care. After seven days of inpatient care, jaundice improved, symptoms resolved, and there were no signs of coagulation disorders.Discussion: AFLP is a rare condition that normally occurs in the third trimester, with risk factors including multiple pregnancies and metabolic disorders. Symptoms can be nonspecific but may lead to acute liver failure, thereby timely diagnosis and management are crucial. Treatment primarily involves prompt delivery and supportive care to manage complications such as hypoglycemia and renal failure.Conclusion: Early identification of AFLP can be challenging due to its similarities with other conditions, but the Swansea criteria can help assess its severity and potential complications for both mothers and fetuses.Tantangan dalam Membedakan Acute Fatty Liver dalam Kehamilan dengan Penyakit Hati Lainnya pada Wanita Parturien – Sebuah Laporan KasusAbstrakPendahuluan: Penyakit hati selama kehamilan dapat berkaitan dengan kehamilan atau memiliki penyebab lain. AFLP, sebuah keadaan darurat obstetri yang langka dan mengancam jiwa yang terjadi pada trimester ketiga atau periode postpartum awal, didiagnosis menggunakan kriteria Swansea dan memerlukan penanganan klinis yang bervariasi karena spektrum keparahannya. Ilustrasi Kasus: Seorang wanita berusia 23 tahun pada usia kehamilan 33 - 34 minggu dengan kehamilan multifetal datang dengan kontraksi abdomen dan jaundice. Pasien terdiagnosis acute fatty liver of pregnancy (AFLP) dengan menggunakan kriteria Swansea. Pasien melahirkan bayi kembar dan menerima perawatan multidisiplin pascasalin. Setelah tujuh hari perawatan rawat inap, jaundicenya membaik, dan gejalanya menghilang, tanpa tanda-tanda gangguan koagulasi. Diskusi: AFLP adalah kondisi langka yang biasanya terjadi pada trimester ketiga, dengan faktor risiko termasuk kehamilan ganda dan gangguan metabolik. Gejalanya tidak spesifik, tetapi dapat menyebabkan gagal hati akut sehingga diagnosis dan penanganan yang tepat waktu sangat penting. Perawatan utamanya melibatkan persalinan yang cepat dan perawatan suportif untuk menangani komplikasi seperti hipoglikemia dan gagal ginjal.Kesimpulan: Identifikasi dini AFLP bisa menjadi tantangan karena kesamaannya dengan kondisi lain, tetapi kriteria Swansea dapat membantu menilai keparahan dan komplikasi potensial bagi ibu dan janin.Kata kunci: Acute Fatty Liver pada Kehamilan; Diagnosis ; Parturien; Penyakit Hati

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