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Halim, Freda
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Health Professions Medicine & Pharmacology Public Health

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Journal : Cermin Dunia Kedokteran

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Surgical services during pandemic era in the most remote part in Indonesia Koerniawan, Heru Sutanto; Halim, Freda; Prawira, Prajnaariayi; Waine, Irene
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 (814.519 KB) | DOI: 10.55175/cdk.v48i1.1268

Abstract

The corona virus disease 2019 (COVID-19) pandemic has brought unprecedented adaptations and changes in global healthcare management. The pandemic has created major dilemmas for health care workers in all health care areas including surgical services. To avoid any local transmission, the risk level of all surgical patients are evaluated before, or immediately after admission. Changes have been made based on the availability of the hospital resources, as best as possible, based on the protocol developed by WHO and the Ministry of Health Republic of Indonesia.Pandemi penyakit corona virus 2019 (COVID-19) menyebabkan adaptasi dan perubahan manajemen pelayanan kesehatan di seluruh dunia. Pandemi ini telah menyebabkan dilemma besar bagi pekerja kesehatan di semua bidang termasuk pelayanan bedah. Untuk mencegah transmisi lokal, semua pasien bedah dinilai tingkat risikonya sebelum, atau sesaat setelah di dalam rumah sakit. Beberapa protokol dan manajemen pelayanan kesehatan di Indonesia telah dibuat dan diterapkan berdasarkan tersedianya sumber daya di rumah sakit dan sedapat mungkin mengikuti protokol WHO dan Kementrian Kesehatan Republik Indonesia.
Ascariasis Intestinal Berkomplikasi Obstruksi Usus Halus Parsial: CT Scan vs Foto Polos Abdomen Istiantho, Reza; Sidipratomo, Prijo; Halim, Freda
Cermin Dunia Kedokteran Vol 43, No 9 (2016): Kardiovaskuler
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v43i9.864

Abstract

Ascariasis intestinal harus selalu dipertimbangkan sebagai salah satu diagnosis pada anak-anak di daerah endemis dengan gejala abdomen akut atau obstruksi usus. Pada kebanyakan kasus, diagnosis tidak cukup hanya dengan gejala klinis dan hasil pemeriksaan laboratorium, namun diperlukan juga pemeriksaan radiologis. Dilaporkan sebuah kasus seorang anak perempuan berusia 9 tahun datang ke IGD dengan keluhan utama tidak bisa buang air besar sejak tiga hari. Dari hasil pemeriksaan radiologi didapatkan adanya obstruksi usus halus parsial disebabkan oleh bolus askariasis di ileum proksimal dan peritonitis diduga disebabkan appendisitis perforasi. Setelah hasil CT scan didapat, diputuskan dilakukan laparotomi eksplorasi.Intestinal ascariasis should be considered as a diagnosis in children in endemic areas with symptoms of acute abdominal or intestinal obstruction. In most cases, the diagnosis is not only by clinical symptoms and results of laboratory examination, but also required radiologically. Reported a case of a 9 -year -old girl came to the ED (emergency departments) with symptom of could not defecate since three days. From the results of radiological examinations obtained a partial small bowel obstruction caused by ascariasis bolus in the proximal ileum appendicitis and peritonitis due to perforation is suspected. After the CT scan results obtained, it was decided to do exploratory laparotomy. 
Co-Authors Istiantho, Reza Koerniawan, Heru Sutanto Prawira, Prajnaariayi Prijo Sidipratomo, Prijo Waine, Irene