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All Journal ACI (Acta Cardiologia Indonesiana) Jurnal Ilmiah Kesehatan Mandira Cendikia
Erika Maharani
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Dentistry Health Professions Medicine & Pharmacology Neuroscience Public Health

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Diagnostic Performance Addition of Abnormal P Wave Dispersion on Moderate Risk Duke Treadmill Score Criteria in Detecting Severe Stenosis of Coronary Arteries in Stable Angina Pectoris Patients Widodo Darmo Sentono; Erika Maharani; Irsad Andi Arso
ACI (Acta Cardiologia Indonesiana) Vol 1, No 2 (2015)
Publisher : Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/aci.17810

Abstract

Background: Moderate risk Duke treadmill score (DTS) in threadmill test (TMT), needs additional diagnostic tool to increase its sensitivity of detecting severe coronary artery stenosis in patients with stable angina pectoris. A P wave dispersion (PWD) during TMT currently has a significant relationship with DTS value and can increase the sensitivity in identifying an ischemia. This studyaimed to investigate whether the addition of PWD in moderate risk DTS can improve the prediction of the severity of coronary artery stenosis in patients with stable angina pectoris. Methods: This study is a diagnostic test with cross-sectional design. The subjects were patients who had undergone TMT and coronary angiography at the Dr. Sardjito General Hospital Yogyakarta. The outcomes were sensitivity and specifi city of abnormal PWD in moderate risk DTS patients for predicting the severe stenosis in those with stable angina pectoris as compared with moderate risk DTS and normal PWD.Results: The additional of PWD at moderate risk DTS on 64 subjects had a sensitivity of 86.7%, a specifi city of 44.1%, a positive predictive value of 57.8%, a negative predictive value of 79.0%, a positive likelihood ratio of 1.6, a negative likelihood ratio of 0.3 and a prevalence of 46.9%, witha prediction accuracy of 64.1%. Conclusion: The additional of abnormal PWD in moderate risk DTS had a sensitivity of 86.7% and a specificity of 44.1% for severe coronary artery stenosis in patients with angina pectoris.Keywords: P wave dispersion, moderate risk Duke treadmill score, severe coronary stenosis.
Coronary Circulation and Hemodynamics Hendry Purnasidha Bagaswoto; Erika Maharani; Budi Yuli Setianto
ACI (Acta Cardiologia Indonesiana) Vol 2, No 1 (2016)
Publisher : Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/aci.17819

Abstract

Coronary circulation is the circulation of blood in the blood vessels of the heart muscle (myocardium). The vessels that deliver oxygenrich blood to the myocardium are known as coronary arteries. The vessels that remove thedeoxygenated blood from the heart muscle are known as cardiac veins.
Chronic Venous Insuffi ciency in a Woman with Standing Profession Mustika Mahbubi; Muhamad Taufik Ismail; Erika Maharani; Hariadi Hariawan
ACI (Acta Cardiologia Indonesiana) Vol 2, No 1 (2016)
Publisher : Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/aci.17821

Abstract

The prevalence of Chronic Venous Insufficiency (CVI) give a high social impact. InEurope, approximately 40% of the adult population affected by venous disorders. In general, the prevalence of CVI is about 5% - 15%. The prevalence is increasing by age.
Isolated Persistent Left Superior Vena Cava, Role of Echocardiography Screening and CT angiography Putrika Prastutu Ratna Gharini; Erika Maharani; Lucia Kris Dinarti
ACI (Acta Cardiologia Indonesiana) Vol 2, No 2 (2016)
Publisher : Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/aci.22607

Abstract

Background: An isolated persistent left SVC with concomittant agenesis of right SVC in adult patients is a very rare abnormality. Physician should consider it particularly in patients, in which venous acces will be performed. Our rare case deals with the importance of detailed echocardiographic examination with screening of coronary sinus dilatation before the electrophysiology study.Case: A 65-year-old woman came to outpatient clinic for a chief complaint of palpitations. Her ECG showed paroxysmal SVT with WPW syndrome. She underwent echocardiography examination before electrophysiology study and it was found that she had a dilated coronary sinus. Therefore we performed cardiac CT. It was found that she had a persistent left superior vena cava (SVC) and an absence of a right SVC with no other congenital anomaly.Conclusion: A comprehensive echocardiography examination to look for a dilation of coronary sinus is a first suggestion to screen this anomaly, eventually followed by echocardiography with agitated saline injection and/or computed tomography can help physician to anticipate the anomaly before the invasive procedure involving the thoracic vein.Keywords: echocardiography, cardiac CT angiography, vascular malformation, superiorvena cava
Efektivitas Pemberian Terapi Psikoedukasi Pada Pasien Gangguan Proses Pikir : Waham Erika Maharani; Ayu Pratiwi; Tati Suryati
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 2 No. 8 (2023)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

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Abstract

Waham merupakan suatu keyakinan yang salah dan dipertahankan dengan kuat oleh klien tanpa disertai bukti-bukti yang jelas dan nyata. Salah satu strategi yang dilakukan untuk membantu penyembuhan pada waham adalah Terapi Psikoedukasi. Terapi psikoedukasi membahas masalah pribadi dan masalah dalam merawat anggota keluarga. Dengan melakukan psikoedukasi maka seorang perawat akan dapat langsung memberikan pelayanan yang efektif dan efisien untuk menyelesaikan masalah. Tujuan : Dilakukannya penyusunan karya tulis ilmiah ini adalah untuk mengetahui efektivitas Asuhan Keperawatan Jiwa Pada Waham dengan pemberian Terapi Psikoedukasi di Panti Rehabilitasi Mental Griya Bhakti. Metode : Asuhan keperawatan dengan pemberian terapi psikoedukasi pada pasien selama 3 hari dilakukan 1 hari 1x terapi selama 10-15 menit. Hasil : Terapi psikoedukasi pada pasien dapat menurunkan frekuensi dan tanda-gejala waham. Kesimpulan : dimana klien dapat melakukan terapi nonfarmakologis yaitu terapi psikoedukasi untuk menurunkan tanda-gejala pada waham yang dideritanya.
Co-Authors Ayu Pratiwi Budi Yuli Setianto Hariadi Hariawan Hendry Purnasidha Bagaswoto Irsad Andi Arso Lucia Kris Dinarti Muhamad Taufik Ismail Mustika Mahbubi Putrika Prastutu Ratna Gharini Tati Suryati Widodo Darmo Sentono