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Diagnosis of Acute Pancreatitis as a Compilation of Weil's Disease Rabbinu Rangga Pribadi; Christy Efiyanti; Rio Zakaria; Ari Fahrial Syam; Leonard Nainggolan
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 13, NUMBER 3, Desember 2012
Publisher : The Indonesian Society for Digestive Endoscopy

ABSTRACTWeil’s disease is a severe form of leptospirosis and caused by pathogenic strain of Leptospira. Weil’s disease affects many organs including pancreas. Acute pancreatitis in leptospirosis is quite rare. Diagnosis of acute pancreatitis in Weil’s disease is based on clinical features, biochemical, and radiologic examination. Sometimes histopathological examination is urged to confirm diagnosis. Management of acute pancreatitis in severe leptospirosis comprise of antibiotic for leptospirosis and supportive treatment for the acute pancreatitis. Early and appropriate treatment is mandated as it was studied to significantly decrease mortality riskWe reported a case of 42 year old man suffering Weil’s disease with multi organ complications. Patient complained diffuse abdominal pain. Although the abdominal ultrasonography did not show any abnormalities of the pancreas, the amylase and lipase showed striking results. He recovered uneventfully. This case report demonstrated acute pancreatitis as one of severe leptospirosis complications. Keywords: acute pancreatitis, Weil’s disease, severe leptospirosis

Diagnosis and Treatment of Pneumocystis Carinii Pneumonia (PCP)/Pneumocystis Jirovecii Pneumonia in HIV patient: A Case Report Agustina, Dewi Rizki; Efiyanti, Christy; Yunihastuti, Evy
Jurnal Penyakit Dalam Indonesia Vol. 4, No. 4
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Pneumocystis carinii pneumonia (PCP) or pneumocystis jirovecii pneumonia is an opportunistic infection that can occur in immunocompromised patients. In patients with HIV, PCP is the most common opportunistic infection especially in patients with CD4 cell counts less than 200 cell /ul. To diagnose a PCP is very difficult because symptoms, blood tests, and thoracic radiography are not pathognomonic for PCP. However, untreated PCP is almost always fatal. Trimethroprimsulfamethoxazole (TMX-SMX) orally or intravenously for 21 days is the drug of choice for managing PCP with or without HIV. This article discusses a case with patients with symptoms of dyspneu, unproductive cough, diagnosed with PCP and finally improvement with TMX-SMX therapy

Ekstrak Akar Purwoceng sebagai neuroprotektan Terhadap Model Stroke pada Tikus: Memori Spasial, Jumlah Sel Piramidal, Ekspresi SOD1 dan SOD2 Munawaroh, Fauziyatul; Efiyanti, Christy; Utami, Putri; Dewi, Trisni; Batubara, Irmanida
Jurnal Tumbuhan Obat Indonesia Vol. 17 No. 2 (2024): December 2024
Publisher : Universitas Tidar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31002/jtoi.v17i2.2236

Stroke due to cerebral ischemia is one of the leading causes of disability worldwide. Animal models of cerebral ischemia that is often used is Global Cerebral Ischemia (GCI). In GCI, the hippocampus is the most susceptible to neuronal cell death. Complications that occur after ischemia are due to increased oxidative stress. Some compounds in purwoceng are reported to have antioxidant activity which oxidative stress have not been studied in the GCI model stroke. This study aims to examine the effect of purwoceng extract on a stroke model (GCI) as a neuroprotective agent in the prevention of stroke complications that have not been previously studied. 25 rats with a stroke model were given purwoceng root extract with 3 doses (20, 30, and 40mg/kg BW) orally for three days. The mice were then tested for memory with the Morriz Water Maze (MWM) test; then histopathological analysis of pyramidal cells in the hippocampus and the expression of SOD1 and SOD2 genes was analyzed using RT-PCR. The MWM test showed that the memory results at the dose of 20mg/kg BW were better than that of the GCI group (p=0.0384), and the PCR of SOD2 showed improvement at the dose of 20mg/kg BW (p=0.0171). No significant difference in histopathological analysis and SOD1 mRNA expression across group. The administration of purwoceng root extract at a dose of 20 mg/kg BW had the effect of improving memory and SOD2 expression in GCI model rats

Ekstrak Akar Purwoceng sebagai neuroprotektan Terhadap Model Stroke pada Tikus: Memori Spasial, Jumlah Sel Piramidal, Ekspresi SOD1 dan SOD2 Munawaroh, Fauziyatul; Efiyanti, Christy; Utami, Putri; Dewi, Trisni; Batubara, Irmanida
Jurnal Tumbuhan Obat Indonesia Vol. 17 No. 2 (2024): December 2024
Publisher : Universitas Tidar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31002/jtoi.v17i2.2236

Stroke due to cerebral ischemia is one of the leading causes of disability worldwide. Animal models of cerebral ischemia that is often used is Global Cerebral Ischemia (GCI). In GCI, the hippocampus is the most susceptible to neuronal cell death. Complications that occur after ischemia are due to increased oxidative stress. Some compounds in purwoceng are reported to have antioxidant activity which oxidative stress have not been studied in the GCI model stroke. This study aims to examine the effect of purwoceng extract on a stroke model (GCI) as a neuroprotective agent in the prevention of stroke complications that have not been previously studied. 25 rats with a stroke model were given purwoceng root extract with 3 doses (20, 30, and 40mg/kg BW) orally for three days. The mice were then tested for memory with the Morriz Water Maze (MWM) test; then histopathological analysis of pyramidal cells in the hippocampus and the expression of SOD1 and SOD2 genes was analyzed using RT-PCR. The MWM test showed that the memory results at the dose of 20mg/kg BW were better than that of the GCI group (p=0.0384), and the PCR of SOD2 showed improvement at the dose of 20mg/kg BW (p=0.0171). No significant difference in histopathological analysis and SOD1 mRNA expression across group. The administration of purwoceng root extract at a dose of 20 mg/kg BW had the effect of improving memory and SOD2 expression in GCI model rats

Abses Paru Pada Pasien Tuberkulosis Dengan Diabetes Melitus Yang Tidak Terkontrol Efiyanti, Christy; Prawiro, Asysyukriati; Syahbunan, Khansa Kiasati Chandra; Rusmajati, Jetty; Rukmi, Kartika Widya; Kemuning, Asri Ragil; Desdiani, Desdiani
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1471

The coexistence of tuberculosis (TB) and diabetes mellitus (DM) increases the risk of severe lung complications such as pulmonary abscess. Aim: This study evaluates the outcomes of such cases, emphasizing the effectiveness of combined therapeutic approaches. Methods: This retrospective study reviewed 121 patients diagnosed with TB and DM treated at a hospital in Depok City between January 2023 and April 2024. The study included four patients with confirmed lung abscesses. Diagnosis was established using clinical and supporting examination analyses. We monitored the patients for up to nine months after initiating treatment. All patients received standard TB and DM therapy along with intravenous antibiotics for two weeks and continued with oral antibiotics for six weeks. Results: Radiological findings consistently showed lung cavities with fluid levels and thick walls. Clinical outcomes demonstrated substantial improvement in all cases, with resolution of abscesses and symptom alleviation. Patients with lung abscesses who received early, combination treatment with antibiotics and medication for TB and DM had positive results. Conclusion: In our study, the administration of antibiotics for eight weeks, alongside simultaneous treatment for TB and DM, led to significant clinical improvement. Further research is warranted to management of lung abscesses in patients with TB and DM and intravenous antibiotics as the first-line approach.

Trends in hemodialysis-related search interest in Indonesia: a decade Google Trends analysis Iryawati, Dinda; Efiyanti, Christy; Yurianingsih; Fadlurrahman Zuhair, Chandra; Manggala Putra, Mochamad; Wahyu Aryanto, Nur Jaelani; Nurlaela, Desi
Jurnal Ilmu Kesehatan dan Kesehatan Vol 9 No 1 (2025): FEBRUARY : Fragmentation In Modern Healthcare Approaches Amid Rising Chronic And
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v9i1.7952

Background: Despite the rising burden of end-stage renal disease (ESRD) and the rapid expansion of hemodialysis services, there is limited research exploring how Indonesians seek information about this topic online. Understanding digital health-seeking behavior is crucial for improving public education and access to care. Methods: This study analyzes public interest in hemodialysis in Indonesia over a decade (2014–2024) using Google Trends data. Several hemodialysis-related keywords were examined, including both lay and clinical terms. Search trends were evaluated over time and across provinces, and related search queries were also assessed. Results: The results show a steady increase in search volume for hemodialysis-related terms, with “cuci darah” consistently dominating over clinical terms such as “hemodialisa,” “hemodialisis,” and “hemodialysis.” Regional analysis reveals higher relative search interest in certain provinces, indicating potential geographic disparities in awareness or access to services. Common related search queries, such as “hemodialisa adalah” and “gagal ginjal,” reflect both curiosity about the procedure and broader concerns about kidney health. Conclusion: These findings suggest that online health-seeking behavior in Indonesia is growing, but also highlight gaps in public knowledge. Monitoring digital interest through platforms like Google Trends may serve as a valuable tool to guide targeted public education, optimize kidney health communication strategies, and inform more responsive service planning. Given the persistent public preference for lay terminology, future health campaigns should consider integrating colloquial language such as "cuci darah" to increase resonance and reach. Seasonal spikes in online interest also offer opportunities to strategically time educational initiatives for greater impact.

Ekstrak Akar Purwoceng sebagai neuroprotektan Terhadap Model Stroke pada Tikus: Memori Spasial, Jumlah Sel Piramidal, Ekspresi SOD1 dan SOD2 Munawaroh, Fauziyatul; Efiyanti, Christy; Utami, Putri; Dewi, Trisni; Batubara, Irmanida
Jurnal Tumbuhan Obat Indonesia Vol. 17 No. 2 (2024): December 2024
Publisher : Universitas Tidar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31002/jtoi.v17i2.2236

Stroke due to cerebral ischemia is one of the leading causes of disability worldwide. Animal models of cerebral ischemia that is often used is Global Cerebral Ischemia (GCI). In GCI, the hippocampus is the most susceptible to neuronal cell death. Complications that occur after ischemia are due to increased oxidative stress. Some compounds in purwoceng are reported to have antioxidant activity which oxidative stress have not been studied in the GCI model stroke. This study aims to examine the effect of purwoceng extract on a stroke model (GCI) as a neuroprotective agent in the prevention of stroke complications that have not been previously studied. 25 rats with a stroke model were given purwoceng root extract with 3 doses (20, 30, and 40mg/kg BW) orally for three days. The mice were then tested for memory with the Morriz Water Maze (MWM) test; then histopathological analysis of pyramidal cells in the hippocampus and the expression of SOD1 and SOD2 genes was analyzed using RT-PCR. The MWM test showed that the memory results at the dose of 20mg/kg BW were better than that of the GCI group (p=0.0384), and the PCR of SOD2 showed improvement at the dose of 20mg/kg BW (p=0.0171). No significant difference in histopathological analysis and SOD1 mRNA expression across group. The administration of purwoceng root extract at a dose of 20 mg/kg BW had the effect of improving memory and SOD2 expression in GCI model rats

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