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Dwi Adhi Nugraha
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Health Professions Medicine & Pharmacology Nursing Public Health

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Diagnosis dan Tatalaksana Perdarahan Saluran Cerna Bagian Atas Non-Variseal Nugraha, Dwi Adhi
Cermin Dunia Kedokteran Vol 44, No 6 (2017): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (686.343 KB) | DOI: 10.55175/cdk.v44i6.796

Abstract

Perdarahan saluran cerna bagian atas non-variseal paling banyak disebabkan oleh perdarahan ulkus peptik. Penilaian status hemodinamik dan resusitasi merupakan langkah awal tatalaksana. Stratifikasi risiko perlu dilakukan. Saat ini endoskopi merupakan tulang punggung diagnosis dan terapi. Proton Pump Inhibitor (PPI) penting untuk mencegah perdarahan ulang dan mengurangi terapi endoskopi. Eradikasi H.pylori direkomendasikan pada setiap perdarahan ulkus peptik.Non-variceal upper gastrointestinal tract bleeding is mostly caused by peptic ulcer. Haemodynamic assessment and rescucitation is a first step of its management. Risk stratification should be done. Recent recommendation use endoscopy as a backbone for diagnosis and treatment. Proton Pump Inhibitor (PPI) can be given to prevent rebleeding and minimize the need for endoscopy therapy. H.pylori eradication is recommended for every ulcer peptic bleeding.
Google Trends data analysis of hepatitis B and their correlation with hepatitis B early detection program for pregnant women in Indonesia Nugraha, Dwi Adhi; Pramana, Triyanta Yuli
BKM Public Health and Community Medicine Vol 38 No 04 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i04.4413

Abstract

Purpose: Hepatitis B is still a problem in Indonesia. National surveillance project [Basic health survey (Riskesdas)] data in 2013 showed the prevalence of hepatitis B surface antigen (HBsAg) was 7.1%. One effort has been made to reduce the transmission of hepatitis B: the hepatitis B early detection program (DDHB) for pregnant women. Early changes in population health may be reflected in shifts in information and communication patterns on the internet. Changes in information and communication patterns on the internet can be an early "symptom" of changes in population health. This study aimed to know the correlation of hepatitis B relative search volume with HBsAg reactive percentage and coverage of the DDHB program for pregnant women in Indonesia. Methods: The value of relative search volume for hepatitis B in various regions in Indonesia in 2020 based on Google trends correlated with reactive HBsAg percentage and coverage of the DDHB program for pregnant women in 2020. Researchers compared the value of relative search volume for hepatitis B with hepatitis, hepatitis A, and hepatitis C. Spearman correlation analysis test was used to find the relationship between variables. Results: East Nusa Tenggara had the highest hepatitis B relative search volume and reactive HBsAg percentage in the DDHB program for pregnant women in 2020. Hepatitis B relative search volume was correlated with reactive HBsAg percentage (r=0.618; p<0.001) but did not correlate with DDHB coverage (r=-0.65; p=0.374). The popularity of hepatitis B (19.81±6.68) was higher than hepatitis A (8.65±5.79) and hepatitis C (3.90±1.75) but lower than hepatitis alone (54.08±19.02). Conclusion: East Nusa Tenggara had the highest hepatitis B relative search volume and reactive HBsAg percentage. Hepatitis B’s relative search volume in Google Trends data analysis significantly correlated with reactive HBsAg percentage in the DDHB program for pregnant women in Indonesia.
Co-Authors Istar Yuliadi Istar Yuliadi Rifai Hartanto Rifai Hartanto Triyanta Yuli Pramana