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All Journal Medikora: Jurnal Ilmiah Kesehatan Olahraga Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of Community Empowerment for Health Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Rukmono Siswishanto
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan (FKKMK) UGM
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Leiomyoma Ablation with Transvaginal Ultrasonography-Guided Radiofrequency: A Report of Four Cases : Ablasi Mioma dengan Radiofrekuensi Terpandu Ultrasonografi Transvaginal: Laporan Empat Kasus Doddy Sutanto; Ery Surya Sevriana; Rukmono Siswishanto; Lydia Olivia; Rahmalina
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1834

Abstract

Abstract Objective : To perform transvaginal ultrasound-guided radiofrequency ablation (RFA) to four women with symptomatic subserous and intramural leiomyomas using standard protocols. Methods : A report of four cases. Case : This article reports three of four women with leiomyomas had heavy menstruation bleeding. The first case was a premenopausal woman with pelvic discomfort. In the second case, the patient underwent curettage after being diagnosed with a blighted ovum, the third case with non-cyclic pain and irregular cycles, and the fourth case with 14-year-old infertility and repeated IVF failure. No significant side effects or complications occurred after treatment and during observation. Monitoring uterine leiomyoma size for one week and three months showed an average reduction of 56.9%, indicating a significant reduction in myoma volume. The reported symptoms also improved. Conclusion : Transvaginal ultrasound-guided radiofrequency ablation is an effective, non-invasive therapy with minimal side effects, so it may be the primary choice for leiomyoma therapy. Keywords : Leiomyoma, RFA, transvaginal ultrasonography Abstrak Objektif : Untuk melakukan radiofrekuensi ablasi (RFA) terpandu ultrasonografi transvaginal pada empat wanita dengan mioma intramural dan suberosa bergejala dengan menggunakan protokol yang standar. Metode : Laporan empat kasus. Kasus : Melaporkan tigas dari empat wanita dengan mioma uteri mengalami perdarahan menstruasi yang banyak. Kasus pertama adalah seorang wanita premenopause dengan keluhan rasa tidak nyaman pada panggul. Pada kasus kedua, pasien menjalani kuretase setelah didiagnosis dengan blighted ovum, kasus ketiga dengan nyeri non-siklus dan siklus tidak teratur, dan kasus keempat adalah infertilitas 14 tahun dan kegagalan IVF berulang. Tidak ada efek samping yang berarti atau komplikasi yang terjadi setelah tindakan dan selama pemantauan. Pemantauan ukuran mioma uteri selama satu minggu dan tiga bulan menunjukkan penurunan rata-rata sebesar 56,9%, menunjukkan penurunan volume mioma yang signifikan. Gejala-gejala yang dilaporkan juga mengalami perbaikan. Kesimpulan : Radiofrekuensi ablasi terpandu ultrasonografi transvaginal merupakan terapi non-invasif yang efektif dengan efek samping minimal, sehingga dapat menjadi pilihan utama untuk terapi mioma uteri. Kata kunci : Mioma, RFA, ultrasonografi transvaginal
PREVALENCE OF GESTATIONAL DIABETES MELLITUS IN THE SPECIAL REGION OF YOGYAKARTA Windarwati Windarwati; Rukmono Siswishanto; Wirimena Hurimah; Primalia Sulistiowati; Dian Riski Ariesta; Valentin Widri Enggal; Himawan Sartono; Mutiara Nugraheni
MEDIKORA Vol 22, No 2 (2023): Oktober
Publisher : Faculty of Sports Sciences, Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/medikora.v22i2.64266

Abstract

Gestational Diabetes Mellitus (GDM) is glucose intolerance when first detected during pregnancy. The prevalence of DMG in the last 20 years has significantly increased. The high prevalence of GDM has implications for maternal and child health. Mother has gestational hypertension and preeclampsia. Babies born are at risk for macrosomia, shoulder dystocia, and neonatal hypoglycemia. This study aims to see the prevalence of DMG in the Special Region of Yogyakarta. This study is an analytic observational study with a cross-sectional design. The study population was pregnant women with a gestational age of 24-28 weeks who checked themselves at the puskesmas in Yogyakarta. The research time is September 2018 to March 2019. The data analysis used is the Chi Square test. This prevalence study was conducted using the criteria of the World Health Organization (WHO), IADPSG/American Diabetes Association (ADA), NICE and Diabetes in Preganancy in India (DIPSI). The highest prevalence of DMG in the study was found in the NICE diagnostic criteria with a value of 14.9% then the DIPSI criteria 12.6%, IADPSG 12.1% and WHO 11.7%.
Hubungan Seksio Sesarea Crash dengan Luaran Maternal di RSUP Dr.Sardjito Satriagraha, Oky Ardian; Prawitasari, Shinta; Siswishanto, Rukmono
JURNAL KESEHATAN REPRODUKSI Vol 11, No 1 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.94728

Abstract

Background: Crash caesarean section is performed because there is a life-threatening condition to the mother or fetus. The duration between a decision is made to perform a caesarean section until delivery the baby is termed decisions to delivery interval (DDI) or response time. Response time of 30 minutes from the decision to baby delivered is considered to prevent complications and worsen maternal conditions.Objective: To assess the relationship between response time in crash caesarean section with maternal outcome at Dr. Sardjito Hospital.Method: This study was cross sectional method using secondary data from the medical record. The subjects were all pregnant women who underwent crash caesarean section and met the inclusion criteria from January 2021 to December 2022 at Dr. Sardjito Hospital.Results and Discussion: There were 38 cases that met the criteria from 114 cases of crash caesarean section during the period January 2021 to December 2022. From the data obtained, response time of £ 30 minutes was 4 (10,5%) cases and response time > 30 minutes was 34 (89,5%) %) cases. There was no significant relationship between the duration of response time and the maternal outcomes of ICU care, blood transfusion, length of hospital stay, or surgical wound infection (p>0,05). From bivariate analysis, maternal outcomes ICU care was statistically significant relationship of preoperative Hb level <8 g/dL (p=0,003; RR 2,500; 95% CI 1,613-3,875) and severe antepartum hemorrhage (p=0,000; RR 9,880; 95% CI 1,484-65,787). From bivariate analysis, severe antepartum hemorrhage was statistically significant against maternal outcomes blood transfusion (p=0,000; RR 2,600; 95% CI 1,307-5,171).Conclusion: There was no relationship between the duration of response time for crash caesarean section based on maternal indications with maternal outcomes (ICU care, blood transfusion, length of hospital stay, and surgical wound infections) at Dr. Sardjito Hospital. There is a significant relationship between severe antepartum hemorrhage with maternal outcomes of ICU care and blood transfusion. Keywords: crash caesarean section, response time, DDI, maternal outcome
The drive-through COVID-19 vaccination in Yogyakarta Chandra, Lukman Ade; Nirwati, Hera; Puspitasari, Ika; Dibtyanusa, Ajib; Sutono, Sutono; Achmad, Bayu Fandi; Kumara, Intan Fatah; Siswishanto, Rukmono
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.82335

Abstract

Introduction: COVID-19 vaccination is the government's priority to control viral transmission. Drive-through system provides quick means of product or service delivery; however, it has not been extensively adopted as a vaccination method. This study aims to describe the implementation of the drive-through COVID-19 vaccination conducted by the Faculty of Medicine, Public Health, and Nursing at Universitas Gadjah Mada in collaboration with several national and regional, governmental and non-governmental institutions. Methods: The drive-through vaccination involved online registration, data collecting, reporting, on-site dose preparation, injection, and post-vaccination monitoring while participants remained in their vehicles. The events were scheduled between July and September 2021 in either FK-KMK UGM Campus or Grha Sabha Pramana, UGM. These venues are on the inner property side of UGM, therefore is no disruption of public traffic. Participants who are eligible and receive an invitation may attend the immunization venue according to the schedule. Results: In ten vaccination events, 20,870 doses of the COVID-19 vaccine were administered. Most participants were young people, with slightly more women than men. The drive-through vaccination went relatively well and offered many benefits such as improving vaccine coverage, time efficiency, social distancing, and herd immunity. Yet, issues like mild Adverse events following immunization and an accumulation of vehicles occurred. Therefore, careful planning and risk anticipation are necessary. Conclusion: The drive-through vaccination generally provides rapid and safe vaccine delivery to large communities. This method could be an alternative to delivering mass vaccinations requiring rapid and extensive coverage.
Co-Authors . Aida . Windarwati Achmad, Bayu Fandi Ahsanudin Attamimi Anna Ismiana Anna Ismiana Ardian Rahmansyah Carla Marchira Chandra, Lukman Ade Dameria, Netty Katrina Dewi, Suryani Puspa Dhestiana, Mega Dian Riski Ariesta Dibtyanusa, Ajib Djaswadi Dasuki Djaswadi Dasuki Djaswadi Dasuki Doddy Sutanto Erna Kristin Ery Surya Sevriana Fauzan Achmad Maliki Hera Nirwati Herlina Pradjatmo Himawan Sartono I Made Pariartha Ika Puspitasari Irwan Endrayanto Aluicius Irwan Taufiqurrahman Irwan Taufiqurrahman Izwin Ramadona Kumara, Intan Fatah Lili Ratnawati Lydia Olivia Marchira, Carla Mega Dhestiana Mohammad Hakimi Mohammad Hakimi Mutiara Nugraheni Netty Katrina Dameria Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti, Nuring Ova Emilia Pradjatmo, Herlina Primalia Sulistiowati Rahmalina Rahmansyah, Ardian Ramadona, Izwin Rathi Manjari Fauziah Rathi Manjari Fauziah Ratnawati, Lili Satriagraha, Oky Ardian Shinta Prawitasari Shofwal Widad Sulistianto Sulistianto Suryani Puspa Dewi Sutono Sutono Teguh Triyono Usi Sukorini Valentin Widri Enggal Wirimena Hurimah Yasmina Ema Yasmina Ema