Dyana Sarvasti
Department Of Internal Medicine, Faculty Of Medicine Widya Mandala Catholic University, Surabaya, Indonesia.

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Correlation Between Depression And Blood Pressure In Eldery At St. Yosef Nursing Home Surabaya Gozali, Ferry S; Sarvasti, Dyana; Isbandiati, Endang
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 1, No 2 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354.192 KB)

Abstract

Introduction: Population of elderly in Indonesia is increasing every year, it’s caused by success of development in many sectors, especially health sector. Elderly will undergo process of degeneration which affect their health. Many factors can affect their health, one is mental health. Depression is the most common mental health problem faced by the elderly. Elderly have a greater risk of depression than younger adults. In depressed patients there are changes in the levels of hormones and neurotransmitters in the body. It can cause changes in organ function one of which is the change in blood pressure. Aim: The purpose of this study is to find the correlation between depression and blood pressure in the elderly in St. Yosef nursing home. Methods: This study uses an analytic study with the cross-sectional design and then analyzed using the Spearman test. This research was conducted in St. Yosef nursing home Surabaya on June 16, 2016 until June 19, 2016. The population of this study is 140 people. 46 of the 140 respondents are respondents who comply the criteria. Result: Thirty seven (37%) were diagnosed as mild depression, eigth point seven (8,7%) were diagnosed as severe depression, and twenty three point nine (23,9%) were diagnosed as hypotension. Respondent with depression (mild and severe) and hypotension is seventeen point four (17,4%). Statistical test using Spearmen corellation test shows a significant result with p=0,048 Conclusion: The result showed significant, so it can be concluded there is a correlation between depression and blood pressure in the elderly.
Spontaneous Pneumothorax Following Bronchopleural Fistula In Geriatric Patient: A Case Report And Emergency Management Erwin, Ferdinand; Laksono, Gerardo AK; Sarvasti, Dyana; Tahalele, Paul L
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 3, No 1 (2021): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v3i1.3009

Abstract

Introduction: Bronchopleural fistula (BPF) is a pathological connection between thebronchial tree and the pleural space. Clinical manifestation of BPF may be classified as acute,subacute, and delayed or chronic forms. Acute BPF can be a life-threatening condition due totension pneumothorax or asphyxiation from pulmonary flooding. Purpose: To report the patient survival from the upper lobe of the right lung bronchopleuralfistula wedge resection and to use staplers as upper lobe pulmonary wound closure. Case Report: 72-year-old male referred from pulmonologist with a chief complaint ofprogressive shortness of breath and nonproductive cough for four days. The patient had ahistory of tuberculosis and COPD and a heavy smoker for the last 50 years. Chestradiography showed a decreased opacity of the right hemithorax, with 40% collapsed of the lung parenchyma. Chest tube insertion performed on the right hemithorax, then the patient got immediate relief. On the seventh day, the patient complained of worsening dyspnea. Achest x-ray showed lung collapsed on the right hemithorax. Multislice CT-scan (MSCT) ofthe chest showed right-sided pneumothorax with bronchopleural fistula. Wedge resection forthe 3 cm in diameter fistula was performed. On the seventh day postoperative, the patient wasfully recovered then discharged from the hospital.Conclusion: Seven days postoperatively of wedge resection, the patient discharge from thehospital without any complication and stable hemodynamic. The patient went to theoutpatient department for follow up one week after.
Uric Acid Concentration With Risk Factors For Hypertensionwith Coronary Heart Disease Patients Who Do Moderaty Intensity Physical Exercise Amalia, Nindya; Dewi, Sianty; Sarvasti, Dyana
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 2, No 3 (2020): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v2i3.2664

Abstract

Introduction: Complication of hypertension causes 45% of deaths from heart disease. Programs for improving quality of life in heart disease patients such as Cardiovascular Prevention and Rehabilitation program, usually includes one component, which is to do moderate-intensity physical exercise. previous study suggested that moderate-to-high intensity physical exercise could increase uric acid. Aim: To examine the correlation between uric acid concentration and risk factors for hypertension in patients with coronary heart disease who do moderate intensity physical exercise. Method: This was a retrospective study using data from medical records with cross-sectional design. The sampling method used purposive sampling based on subjective consideration and the availability of certain criteria. Analysis used chi-square analysis Results: The data were taken from medical records from 2012 until July 2019. Sampling, which appropriates for inclusion and exclusion criteria in Husada Utama Hospital, was 30 samples, 25 male, and 5 female. The majority of subjects in this research was 56-65 years old. The youngest was 40 years old while the oldest was 77 years old. Data analysis results showed that patients who had hypertension risk factors and increased uric acid were 17 patients (85%) and who did not have hypertension risk factors1. They did not experience an increase were seven people (70%) from the chi-square test. significant with p = 0.003 (p
HEMOTHORAX FOLLOWING PENETRATING THORACIC INJURY (GUNSHOT WOUND) IN GERIATRIC PATIENT: A CASE REPORT AND EMERGENCY MANAGEMENT Laksono, Gerardo AK; Erwin, Ferdinand; Sarvasti, Dyana; Tahalele, Paul L
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 3, No 2 (2021): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v3i2.3180

Abstract

Introduction: Penetrating chest trauma is highly lethal. Studies have reported up to 60% mortality depending on the mechanism of injury. While penetrating chest trauma is lesscommon than blunt trauma, it can be more deadly. High-velocity gunshot injury resulting inpenetrating thoracic trauma in geriatric patients poses a significant challenge for the traumaticsurgeon. Hemothorax is usually a consequence of penetrating chest trauma. It can be caused byintercostal arterial bleeding, especially the posterior part. Initial treatment, including chest tubedrainage insertion, is needed to avoid lung compression and to assess future treatment needed. Purpose: To report the patient survival from massive hemothorax caused by penetratingThoracic injury caused by an air rifle, treated by chest tube insertion and posterolateralthoracotomy to take out the bullet several days after.Case Report: 70-year male patient came to the Emergency Room (ER) Adihusada HospitalSurabaya with a penetrating chest injury caused by an air rifle on the right side of the chest. The patient had chest pain, shortness of breath, and hypoxia. By inserting a chest tube,emergency management was done by a general surgeon due to the massive right hemothorax.An immediate chest tube insertion was needed to overcome the patient’s breathing problem toassess the future treatment needed. Chest X-ray and CT-Scan was done immediately after thepatient’s hemodynamic were stable. Three days after hospitalizing, the Cardiothoracic andvascular surgeon performed posterolateral thoracotomy to take the bullet out of the chest.Conclusion: Seven days postoperatively, the patient was discharged from the hospital withoutany complications and stable hemodynamic. The patient went to the outpatient department forfollow-up one week after.
Pengaruh Latihan Fisik Dan Respon Molekuler Pembuluh Darah Arteri Dyana Sarvasti; Basuni Radi; Budhi Setianto; Andang H Joesoef
Jurnal Kardiologi Indonesia Vol. 32, No. 4 Oktober - Desember 2011
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v32i4.87

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Regular physical activity (exercise training, ET) has a strong positive link with cardiovascular health. The beneficial effects of ET on the endothelium arteries are believed to result from increased vascular shear stress during ET bouts. A number of mechanosensory mechanisms have been elucidated that may contribute to the effects of ET on vascular function. Exercise training also consistently improves the nitric oxide bioavailability, and the number of endothelial progenitor cells, and diminishes the level of inflammatory markers, namely pro inflammatory cytokines and C-reactive protein. This review summarizes current understanding of control of vascular adaptation by exercise and how these processes lead to improved cardiovascular health.
Perubahan metabolisme dan peran radikal bebas pada iskemia miokard Dyana Sarvasti
Jurnal Kardiologi Indonesia Vol. 36, No. 3 Juli - September 2015
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v36i3.480

Abstract

Myocardial ischemic results from severe impairment of coronary blood supply and produces a spectrum of clinical syndromes. It results in a characteristic pattern of metabolic and structural changes that leads to extremely complex situations, which have been extensively studied in recent years. A detailed understanding is now available of the complexity of the response of the myocardium to an ischemic insult. Reperfusion is the most effective way to treat the ischaemic myocardial. But, restoration of flow, however, might result in numerous other negative consequences, thus directly influencing the degree of recovery. Much evidence shows that during the period of myocardial ischemia and reperfusion can occur various changes both in terms of metabolic, electrical, histology, structural, and physiological. Pathological changes in the form of metabolic changes and the role of free radicals on the condition of ischemia and reperfusion injury will be discussed. There are several potential manifestations and outcomes associated with myocardial ischemia and reperfusion.
Pengaruh Gender Dan Manifestasi Kardiovaskular Pada COVID-19 Dyana Sarvasti
Jurnal Kardiologi Indonesia Vol 41 No 2 (2020): Indonesian Journal of Cardiology: April - June 2020
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1004

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Cardiovascular manifestations, in the form of myocardial injury, can occur in patients infected with COVID-19. Data collected from various COVID-19 pandemic case reports indicated that male patients experience myocardial injury more frequently than females. However, not any definitive mechanism has been found yet that underlies susceptibility to myocardial injury due to infection with SARS-CoV-2 attributable to gender differences. Some theories propose are differences in the number of X chromosomes, the influence of sex hormones, and differences in immune reactions between males and females. A further comprehensive research needs to be done on the mechanism of cardiovascular manifestations and the effect of gender on COVID-19 disease. Keywords: Gender, cardiovascular manifestation, myocardial injury, COVID-19.
Perbandingan Performansi Algoritma Pengklasifikasian Terpandu Untuk Kasus Penyakit Kardiovaskular Adi Nugroho; Agustinus Bimo Gumelar; Adri Gabriel Sooai; Dyana Sarvasti; Paul L Tahalele
Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) Vol 4 No 5 (2020): Oktober 2020
Publisher : Ikatan Ahli Informatika Indonesia (IAII)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (477.038 KB) | DOI: 10.29207/resti.v4i5.2316

Abstract

One of the health problems that occur in Indonesia is the increasing number of NCD (Non-Communicable Disease) such as heart attack and cardiovascular disease. There are two factors that cause cardiovascular disease, i.e. factor that can be changed and cannot be changed. This study aim to analyze the best performance of several classification algorithms such as k-nearest neighbors algorithm (k-NN), stochastic gradient descent (SGD), random forest (RF), neural network (NN) and logistic regression (LR) in classifying cardiovascular based on factors that caused those diseases. There are two aspects that need to be examined, the performance of each algorithm which is evaluated using the Confusion matrix method with the parameters of accuracy, precision, recall and AUC (Area Under the Curve). The dataset uses 425.195 samples from result data of cardiovascular disease diagnosed. The testing mode uses percentage split and cross-validation technique. The experimental results show that the performance of NN algorithms produces the best prediction accuracy compared to other algorithms, which is accuracy of 89.60%, AUC of 0.873, precision of 0.877, and recall of 0.896 using percentage split and cross-validation testing mode using Orange. For the accuracy of 89.46%, AUC of 0.865, precision of 0.875, and recall of 0.895 using cross-validation testing mode using Weka. By KNIME, the result of accuracy value is 88.55%, AUC value is 0.768, precision value is 0.854, and recall value is 0.886 using cross-validation testing mode.
CORRELATION OF PHYSICAL ACTIVITY WITH TOTAL CHOLESTEROL RATIO TO HIGH-DENSITY LIPOPROTEIN IN HYPERTENSION ELDERLY AT PUSKESMAS GEDANGAN SIDOARJO Vincentia Chrestella Amadea W; Mulya Dinata; Dyana Sarvasti
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 4, No 3 (2022): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v4i3.4091

Abstract

Background: The elderly have a higher risk of developing hypertension. The elderly will experience a decrease in physical activity due to a decrease in stamina and body strength due to aging. This situation can increase the risk of non-communicable diseases such as coronary heart disease (CHD) and affect blood cholesterol levels in the body. Objective: This study aimed to understand the correlation of physical activity intensity with the ratio of total cholesterol to HDL in hypertension elderly at Puskesmas Gedangan Sidoarjo.Methods: This study is an analytic study with the research subjects elderly with hypertension at the Puskesmas Gedangan Sidoarjo with a cross-sectional study design. Using Spearman's correlative test with the Statistical Product and Service Solution (SPSS) program, data analysis was carried out. Results: There is a negative correlation between physical activity and the ratio of total cholesterol to HDL in the elderly with hypertension with p = 0.004 (<0.05) and the correlation value (τ) = -0.424, which indicates a sufficient correlation value. Of 45 respondents, 11 people (24.4%) had low physical activity intensity, 21 people (46.7%) had moderate physical activity intensity, 13 people had (28.9%) heavy physical activity intensity, 29 people (64.4%) had a total cholesterol/HDL ratio ≤ 5, and 16 people (35.6%) had a total cholesterol/HDL ratio >5. Conclusion: There is a negative correlation between physical activity intensity and the ratio of total cholesterol to HDL in the elderly with hypertension at Puskesmas Gedangan Sidoarjo, which means the higher the intensity of physical activity carried out by the hypertensive elderly, the lower the total cholesterol/HDL ratio.
CORRELATION BETWEEN DEGREES OF HYPERTENSION AND COGNITIVE FUNCTION IN ELDERLY PEOPLE IN BANYUATES VILLAGE SAMPANG MADURA Intan Maryana Salzabillah; Dyana Sarvasti; Inge Wattimena
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 5, No 1 (2023): January
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v5i1.4422

Abstract

Background: Hypertension was the first of the ten most common diseases in the elderly in 2013. Data from the World Health Organization (WHO) in 2015 showed that around 1.13 billion people had hypertension, meaning that 1 in 3 people worldwide was diagnosed with hypertension. Objective: To examine the correlation between the degree of hypertension and cognitive function in the elderly in Banyuates Village, Sampang Madura.Methods: This research is an observational analytic study with a cross-sectional approach. The sampling technique is purposive sampling. The correlation test for the two variables was carried out using the Spearman test. The correlation between variables is considered significant if the p-value <0.05 is obtained.Results: The correlation between the degree of hypertension and cognitive function in the elderly was statistically significant (p= 0.000). The correlation value of -0.732 indicates a significant negative correlation between the degree of hypertension and cognitive function.Conclusion: The results of this study indicate that most of the older people studied suffer from grade 1 hypertension and abnormal cognitive function. There is a significant negative correlation between the degree of hypertension and cognitive function. The discourse of this research can be socialized in health promotion/education for older people to control their blood pressure, which tends to be high, to have reasoning power and good quality of life.