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All Journal Cermin Dunia Kedokteran Deka in Medicine
Christina, Edelyn
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Early Feeding after Digestive Surgery: Is it Safe? Christina, Edelyn
Cermin Dunia Kedokteran Vol 48, No 7 (2021): Infeksi - [Covid - 19]
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.652 KB) | DOI: 10.55175/cdk.v48i7.1464

Abstract

Withholding nutrients following surgery until the resolution of intestinal function is not supported by scientific evidence. Early feeding after surgery consisted of a liquid diet within 24 hours after surgery, followed by the gradual increase of food consistency and amount until patients can tolerate solid feeding. However, the safety and efficacy of the procedure are still unclear.Praktik menghindari asupan nutrisi pasca-operasi hingga terdapat bukti resolusi fungsi pencernaan tidak didukung bukti ilmiah. Nutrisi dini berarti asupan nutrisi berupa diet cair dalam 24 jam pasca-operasi, diikuti peningkatan jumlah dan konsistensi makanan hingga pasien dapat menoleransi makanan padat. Masih terdapat kontroversi terkait keamanan dan efikasi prosedur nutrisi dini tersebut. 
Eccentricity index as an adjunctive indicator of coronary ischemia: Correlation with ischemic burden based on myocardial perfusion imaging Pratama, Prima; Christina, Edelyn; Soeriadi, Rd; Kartamihardja , Achmad
Deka in Medicine Vol. 2 No. 1 (2025): April 2025
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2025.e515

Abstract

BACKGROUND: One of the main challenges in managing CAD is the measurement of ischemic burden experienced by patients, which can influence therapy decisions and prognosis. The Left Ventricular Eccentricity Index (EI) has become a potential additional indicator for assessing the severity of ischemia in CAD patients. OBJECTIVES: This study aims to analyze the correlation between the Left Ventricular EI and ischemic burden measured using myocardial perfusion imaging (MPI) in CAD patients. METHODS: This retrospective cohort study was conducted at Dr. Hasan Sadikin Hospital in Bandung from August 2023 to June 2024. Data were collected using MPI with 99mTc sestamibi gated SPECT. Statistical analysis was performed using the Mann-Whitney U test and Spearman's correlation. RESULTS: A total of 78 patients who met the inclusion and exclusion criteria were included in this study. The analysis showed that EI values in both the stress and rest phases were significantly higher in the group with ischemic burden ≥10%. The median ejection fraction value in the stress phase was also lower in this group (p = 0.013). Correlation analysis revealed a significant relationship between EI and ischemic burden (p < 0.05). CONCLUSION: This study demonstrates that EI can be used as an additional indicator to assess the severity of ischemia in CAD patients. Integrating EI into routine MPI protocols can improve the accuracy of risk stratification and management of CAD patients.
Co-Authors Kartamihardja , Achmad Pratama, Prima Soeriadi, Rd