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All Journal MEDIA MEDIKA INDONESIANA Jurnal Kedokteran Diponegoro Jurnal Pengabdian Masyarakat Multidisiplin
Farah Hendara Ningrum
Departement Of Radiology, Faculty Of Medicine, Universitas Diponegoro, Semarang
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Derajat Sindroma Distres Respirasi pada Foto Thorax dan Derajat Asfiksia pada Neonatus Prematur Farah Hendara Ningrum; Hermina Sukmaningtyas; Mardiana Wahyuni
MEDIA MEDIKA INDONESIANA 2010:MMI VOLUME 44 ISSUE 1 YEAR 2010
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (162.767 KB)

Abstract

The degrees of respiratory distress syndrome from thorax X-ray and degrees of asphyxia in preterm neonatesBackground: Respiration Distress Syndrome (RDS) is a complication of prematurity lung disorder and common causes of premature neonatal morbidity. Clinically RDS provides signs of asphyxia that can be assessed with APGAR score. Chest X-ray can also diagnose and determine the degree of RDS radiologically. This study aims to find the relationship degree of RDS clinically with radiologically.Methods: Analytic observational study with cross-sectional design. The subjects were premature neonates with asphyxia in Kariadi General Hospital Semarang who had APGAR score and RDS on the standard Chest x-ray examination and selected using consecutive sampling method. The relationship between the RDS clinical degree based on APGAR score with radiological degrees tested with the Chi square test (X2) and Kendall tau-b. There were four grading for RDS. Chest x-ray images were interpretated by 2 expert radiologists independently and then Kappa value was evaluated.Results: There were 23 RDS cases consisted 12 severe, 8 moderate and 3 mild asphyxia cases. Radiologically showed grade I (9), grade II (5), grade III (5) and grade IV (4) neonates. Kappa value=1 (p<0.001). Chi square test (X2) showed clinical asphyxia degree was not significantly different with the degree of RDS on chest x-ray. Kendall tau-b correlation test showed a significant and moderate degree correlation (r=0.5; p=0.01).Conclusions: The degree of asphyxia in premature infants are in line with radiological images.ABSTRAKLatar belakang: Sindroma distres respirasi (SDR) yang bermanifestasi dalam bentuk asfiksia merupakan kelainan paru komplikasi prematuritas penyebab tersering morbiditas neonatus prematur. X-foto thorax membantu diagnosis SDR sekaligus menentukan derajat SDR. Penelitian ini bertujuan menilai hubungan derajat klinis SDR dengan derajat radiologi.Metode: Studi observasional analitik dengan rancangan cross-sectional. Subjek penelitian adalah neonatus prematur dengan asfiksia di RSUP Dr. Kariadi Semarang yang mempunyai skor APGAR serta mendapatkan pemeriksaan X-foto thoraks standar. Pemilihan subjek menggunakan metode consecutive sampling. Terdapat empat derajat SDR secara radiologis Hubungan antara derajat klinis SDR berdasarkan skor APGAR dengan derajat radiologis diuji dengan Chi square(X2) dan derajat korelasi dengan uji Kendall tau-b. Hasil X-foto thorax diinterpretasi terpisah oleh 2 ahli radiologi dan diuji Kappa. Hasil: Dijumpai 23 asfiksia neonatus prematur dengan SDR terdiri dari 12 kasus asfiksia berat, 8 kasus asfiksia sedang dan 3 kasus asfiksia ringan. Secara radiologis ditemukan SDR derajat I sebanyak 9, 5 derajat II, 5 derajat III dan derajat IV pada 4 neonatus. Nilai Kappa=1 (p<0,001). Derajat asfiksia secara klinis tidak berbeda bermakna dengan derajat radiologi SDR (Chi square(X2) p=0,007). Uji korelasi Kendall tau-b menunjukkan korelasi bermakna tingkat sedang (r=0,5; p=0,01) antara derajat asfiksia secara klinis dengan derajat radiologi SDR. Simpulan: Derajat asfiksia pada bayi prematur sejalan dengan derajat radiologik foto thorax pada SDR.
PELAYANAN PEMERIKSAAN KESEHATAN TELINGA HIDUNG TENGGOROKAN PADA ANAK SEKOLAH DASAR DI PEDESAAN Edward Kurnia Setiawan Limijadi; Farah Hendara Ningrum; Lydia Purnama WSK; Sigid Kirana Lintang; Anna Mailasari KD
Jurnal Pengabdian Masyarakat Multidisiplin Vol 4 No 1 (2020): Oktober
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jpm.v4i1.1436

Abstract

Kesehatan merupakan milik setiap manusia tak terkecuali anak-anak. Keadan sehat bagi anak-anak harus mendapatkan perhatian penuh untuk menunjang perkembangan individu. Keadaan sehat pada organ telinga, hidung, dan tenggorokan perlu diwujudkan sebagai salah satu upaya menuju Indonesia Sehat. Siswa SDN Gulon 2 merupakan siswa sekolah di pedesaan yang belum pernah memeriksakan kesehatannya, oleh karena itu diperlukan pemeriksaan telinga, hidung, dan tenggorokan. Pemeriksaan telinga, hidung dan tenggorokan dilakukan dengan bantuan senter dan spatula lidah untuk menilai bagian-bagian pada ketiga organ tersebut. Ditemukan kondisi telinga normal sebanyak 48,5% sedangkan sisanya terdapat serumen; kondisi hidung normal sebanyak 78,7%, sedangkan sisanya rhinitis akut; dan kondisi tenggorokan normal 66,7%, sedangkan sisanya tonsilitis kronis. Tatalaksana dilakukan terhadap telinga yang terdapat serumen apabila memungkinkan. Guru dan siswa sekolah dasar diberikan pendidikan kesehatan tentang kondisi telinga, hidung, dan tenggorokan berkaitan dengan pencegahan maupun tatalaksana selanjutnya apabila keadaan memberat. Kegiatan pengabdian masyarakat perlu dilakukan kepada siswa-siswa di sekolah dasar maupun tingkat lainnya terutama di pedesaan agar mereka memperoleh kesehatan yang optimal.
THE INCIDENCE OF RADIATION PNEUMONITIS IN BREAST CANCER PATIENTS WHO RECEIVED RADIOTHERAPY USING 3-DIMENSIONAL TECHNIQUES Salsabila Lutfiarahma; Yan Wisnu Prajoko; Farah Hendara Ningrum; Christina Hari Nawangsih Prihharsanti
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 4 (2022): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v11i4.31778

Abstract

Background: According to the 2018 Global Cancer Observatory from the World Health Organization (WHO), breast cancer is the most common cancer in Indonesia. 3-dimensional conformal radiotherapy (3D-CRT) is one of the breast cancer treatment planning. Effect of radiation on the lungs can cause radiation pneumonitis. The incidence rate of pneumonitis in breast cancer patients who received radiotherapy using 3D-CRT techniques from several researchers is still varied and there is no accurate data yet at RSUP Dr. Kariadi.Objective: To determine the incidence of pneumonitis in breast cancer patients undergoing breast cancer 3D-CRT.Methods: The research design used in this study was cross sectional. The subject is chosen by consecutive sampling methods. The independent variables of this study was 3D breast cancer radiation therapy, while the dependent variable was radiation pneumonitis. This hypothesis test on this study is analyzed with chi-square test.Results: Forty one subjects were included in this study, two subjects were found with a picture of pneumonitis on chest radiographs. The incidence of radiation pneumonitis in breast cancer patients who received radiotherapy using 3-dimensional techniques was 4.9%. There is no significant relationship between breast cancer radiation therapy 3-dimensional techniques on the incidence of pneumonitis. And there was no significant difference in the proportion of pneumonitis in patients with breast cancer locations on the right and left sides.Conclusion: The incidence of radiation pneumonitis in breast cancer patients who received radiotherapy using a 3-dimensional technique is 4.9%.   Keywords: 3 Dimensional Technique Radiotherapy, Breast Cancer, Radiation Pneumonitis
Co-Authors Anna Mailasari KD Christina Hari Nawangsih Prihharsanti Edward Kurnia Setiawan Limijadi Hermina Sukmaningtyas Lydia Purnama WSK Mardiana Wahyuni Salsabila Lutfiarahma Sigid Kirana Lintang Yan Wisnu Prajoko