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All Journal Cermin Dunia Kedokteran Journal of General Procedural Dermatology and Venereology Indonesia Cermin Dunia Kedokteran
Triana, Agung
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Health Professions Medicine & Pharmacology Public Health

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Bedah Sedot Lemak Area Wajah dan Leher Zulfikar, Dendy; Triana, Agung; Fiqri, Ahmad; Mochtar, Moerbono
Cermin Dunia Kedokteran Vol 48, No 1 (2021): Penyakit Dalam
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1024.011 KB) | DOI: 10.55175/cdk.v48i1.1271

Abstract

Bedah sedot lemak pada area wajah metode tumescent local anesthesia (TLA) merupakan salah satu metode pilihan untuk menghilangkan lemak yang berlebih terutama pada area submental (double chin) dan lemak di daerah pipi bagian bawah atau yang menggantung di rahang. Bedah sedot lemak melalui TLA saat ini adalah metode pilihan utama karena memiliki standar keamanan tinggi, penyembuhan luka yang cepat, dan pasien tidak perlu rawat inap.Liposuction surgery on the face area with the tumescent local anesthesia (TLA) method is one of the methods of choice to remove excess fat, especially in the submental area (double chin) and fat in the lower cheek area or hanging from the jaw. Liposuction surgery via TLA is currently the method of choice because it has high safety standards, fast wound healing, and does not require hospitalization.
Tatalaksana Herpes Genitalis pada Kehamilan Triana, Agung; Dyah Ayu, Ardelia; Zulfikar, Dendy; Yustin, Endra
Cermin Dunia Kedokteran Vol 47, No 12 (2020): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (113.818 KB) | DOI: 10.55175/cdk.v47i12.1236

Abstract

Herpes simplex virus (HSV) adalah penyebab herpes genitalis (HG). Perubahan imunologi saat kehamilan akan meningkatkan kerentanan terhadap infeksi HSV yang merupakan penyebab morbiditas dan mortalitas ibu dan janin. Pengaruh infeksi ini pada ibu dan janin/neonatus tergantung apakah infeksi primer (inisial) atau rekuren. Penentuan episode infeksi HG penting baik untuk tatalaksana maupun edukasi pasien.Genital herpes is caused by Herpes simplex virus (HSV). Immunologic changes in pregnancy may increase susceptibility to HSV infection as one of the major cause of morbidity and mortality for both mother and fetus. The effect to the mother and fetus/ neonate depends on whether a primary infection (initial) or a recurrent infection. Determination of an episode of genital herpes is important to provide best management and education. 
Prevalence and risk factors of bacterial vaginosis among female sex workers in Surakarta Hastuti, Rini; Yuliarto, Danu; Triana, Agung; Damayanti, Willa; Irfanti, Rakhma Tri; Mardiana, Mardiana; Dewi, Putti Fatiharani; Aliwardani, Ambar; Abas, Ervianti; Sulistyo, Sulistyo; Mawardi, Prasetyadi; Ellistasari, Endra Yustin
Journal of General - Procedural Dermatology and Venereology Indonesia Vol. 4, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Bacterial vaginosis (BV) is the most common vaginal infection in women of reproductive age and increases the risk of acquiring human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs). Data regarding the association between sexual activity and BV acquisition is contradictory. Thus, tracking the prevalence and associated risk factors of BV among female sex workers (FSWs) is necessary to improve our understanding and control of STDs and the HIV epidemic. Methods: The subjects of this study were FSWs in Surakarta. This study adopted a cross-sectional design, and diagnosis was established using Amsel criteria. Interviews were conducted using questionnaires to collect data of risk factors, including demographic factors (age, education level, daily income, marital status, location of sex), sociologic factors (age of first intercourse; age of first FSW encounter; duration of work as an FSW; number of clients/day; condom, contraceptive, and vaginal douching use; violence experienced as an FSW; smoking habits; alcohol consumption; and drug use), and knowledge factors (knowledge of STDs and HIV). Statistical analysis was performed by using bivariate analysis. Results: We interviewed 175 FSWs with an average age of 40.66 years. BV was detected in 28 subjects (16%). Risk factors associated with BV include alcohol (p = 0.022) and drug use (p = 0.022). Conclusion: Other than routine screening for STDs and HIV, FSWs should be encouraged to participate in prevention programs aiming to regulate alcohol and drug use to decrease the incidence of BV infection.
A comparison of single-dose versus divided-dose of metronidazole on bacterial vaginosis among female sex workers in Surakarta Damayanti, Willa; Hastuti, Rini; Triana, Agung; Yuliarto, Danu; Ayu, Ardelia Dyah; Ellistasari, Endra Yustin
Journal of General - Procedural Dermatology and Venereology Indonesia Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Bacterial vaginosis (BV) is the most common vaginal infection in sexually active women. Metronidazole (MTZ) is still one of the recommended regimens for BV either as a single-dose or divided-dose. In addition to its affordability and availability, oral metronidazole also produces fewer adverse effects. This study aimedto determine the efficacy of single-dose versus divided-dose metronidazole for BV among female sex workers (FSWs) in Surakarta. Methods: A single-blind randomized clinical trial was conducted in Surakarta. FSWswith BV (⩾3 Amsel criteria) were enrolled. The subjects were grouped into two, and treated with MTZ either as a single-dose of 2 gr (single-dose group) or 500 mg twice daily for one week (divided-dose group). After two weeks, we performed second vaginal swabs and reassessed the Amsel criteria, complaints and adverse events. Results: Out of 75 FSWs, 30 (42%) were diagnosed with BV. The efficacy between two groups was not significantly different. However, patients in the single-dose group were 2 times more likely to develop recurrent BV (OR = 2.000; 95% CI 0.146 – 27.447), and 1.5 times more likely to have vaginal discharge complaints (OR = 1,500; 95% CI 0,181-12,459) than divided-dose group. Conclusion: Single-dose and divided-dose metronidazole produce similar efficacy for treating BV in sexually active women. Single-dose metronidazole has a higher risk of BV recurrence and vaginal discharge complaint. Divided-dose metronidazole is recommended for treating BV.
Bedah Sedot Lemak Area Wajah dan Leher Zulfikar, Dendy; Triana, Agung; Fiqri, Ahmad; Mochtar, Moerbono
Cermin Dunia Kedokteran Vol 48 No 1 (2021): Infeksi COVID-19
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v48i1.38

Abstract

Bedah sedot lemak pada area wajah metode tumescent local anesthesia (TLA) merupakan salah satu metode pilihan untuk menghilangkan lemak yang berlebih terutama pada area submental (double chin) dan lemak di daerah pipi bagian bawah atau yang menggantung di rahang. Bedah sedot lemak melalui TLA saat ini adalah metode pilihan utama karena memiliki standar keamanan tinggi, penyembuhan luka yang cepat, dan pasien tidak perlu rawat inap. Liposuction surgery on the face area with the tumescent local anesthesia (TLA) method is one of the methods of choice to remove excess fat, especially in the submental area (double chin) and fat in the lower cheek area or hanging from the jaw. Liposuction surgery via TLA is currently the method of choice because it has high safety standards, fast wound healing, and does not require hospitalization.
Tatalaksana Herpes Genitalis pada Kehamilan Triana, Agung; Ayu, Ardelia Dyah; Zulfikar, Dendy; Yustin, Endra
Cermin Dunia Kedokteran Vol 47 No 10 (2020): Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i10.544

Abstract

Herpes simplex virus (HSV) adalah penyebab herpes genitalis (HG). Perubahan imunologi saat kehamilan akan meningkatkan kerentanan terhadap infeksi HSV yang merupakan penyebab morbiditas dan mortalitas ibu dan janin. Pengaruh infeksi ini pada ibu dan janin/neonatus tergantung apakah infeksi primer (inisial) atau rekuren. Penentuan episode infeksi HG penting baik untuk tatalaksana maupun edukasi pasien. Genital herpes is caused by Herpes simplex virus (HSV). Immunologic changes in pregnancy may increase susceptibility to HSV infection as one of the major cause of morbidity and mortality for both mother and fetus. The effect to the mother and fetus/ neonate depends on whether a primary infection (initial) or a recurrent infection. Determination of an episode of genital herpes is important to provide best management and education
Prosedur Kombinasi Liposuction dan Kuretase pada Bromhidrosis Aksilaris Rekuren Ayu, Ardelia Dyah; Arrochman, Ferry; Triana, Agung; Damayanti, Willa; Yulianto, Indah
Cermin Dunia Kedokteran Vol 47 No 7 (2020): Neurologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i7.606

Abstract

Pendahuluan. Bau badan yang disebut juga bromhidrosis/ osmidrosis/ ozochrotia merupakan keadaan kronis yang ditandai dengan bau tidak enak secara berlebihan, lebih sering karena hasil sekresi kelenjar apokrin daripada kelenjar ekrin. Salah satu prosedur untuk bromhidrosis adalah intervensi kombinasi liposuction dan kuretase; diharapkan dapat memberikan angka kepuasan tinggi, angka rekurensi rendah, dan komplikasi minimal. Kasus. Laki-laki 36 tahun, dengan keluhan bau badan dan keluar keringat berlebih, terutama di daerah ketiak. Pasien pernah menjalani liposuction dan kuretase bromhidrosis aksilaris 9 bulan yang lalu, tetapi kambuh dalam 2 bulan terakhir. Dilakukan prosedur liposuction dan kuretase dengan anestesi tumescent. Hasil hitung CFU 2 minggu pasca-prosedur adalah 151-300 CFU. Kultur media agar darah dan agar McConkey mendapatkan Staphylococcus sp, Streptococcus sp, dan batang gram positif. Pengamatan dan penilaian hasil tindakan kombinasi liposuction dan kuretase sebaiknya berkala secara subjektif dan objektif pada bulan ke-3, 6, dan 12 pasca-operasi. Introduction. Body odor, also known as bromhydrosis/ osmidrosis/ ozochrotia, is a chronic condition characterized by excessive unpleasant odors; more common due to apocrine gland secretion than to the eccrine gland. Interventions for bromhydrosis are liposuction and curettage; it is expected to provide high satisfaction rates, low recurrence rates, and minimal complications. Case. A 36-year-old male with body odor and excessive sweating, especially in the armpit area. The patient underwent liposuction and curettage of axillary bromhydrosis 9 months ago, but recurrent in the past 2 months. Liposuction and curettage procedures were performed with tumescent anesthesia. Colony Forming Unit (CFU) 2 weeks after the procedures are 151-300 CFU. Culture using blood agar and Mc Conkey agar obtained Staphylococcus sp, Streptococcus sp, and gram-positive rods. Observation and evaluation of the results should be done at the 3rd, 6th, and 12th month after procedure.
Co-Authors Abas, Ervianti Ahmad Fiqri, Ahmad Aliwardani, Ambar Arrochman, Ferry Ayu, Ardelia Dyah Damayanti, Willa Dewi, Putti Fatiharani Dyah Ayu, Ardelia Ellistasari, Endra Yustin Indah Yulianto Irfanti, Rakhma Tri Mardiana Mardiana Mochtar, Moerbono Prasetyadi Mawardi Rini Hastuti Sulistyo Sulistyo Yuliarto, Danu yustin, endra Zulfikar, Dendy