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All Journal Journal of Midwifery Afiasi : Jurnal Kesehatan Masyarakat Jurnal Midpro Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Kewarganegaraan Muhammadiyah Medical Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Innovative: Journal Of Social Science Research Healthcaring: Jurnal Ilmiah Kesehatan Jurnal Kedokteran Meditek JCRIM (Journal of Current Research In Multidisciplinary)
Henny Tannady Tan
Department Of Internal Medicine, Faculty Of Medicine And Health Sciences, Universitas Kristen Krida Wacana, Jakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Unusual Polymicrobial Wound Infections In Healthy Patient After Cesarean Sectio Tan, Henny Tannady; Elena, Irene Maria; Dharmawan, Ade; Layanto, Nicolas
Jurnal Midpro Vol 12, No 1 (2020): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v12i1.151

Abstract

Cesarean delivery often complicated by surgical site infection, wound infection and endometritis. No study mention Multidrug Resistant Klebsiella pneumonia and Acinetobacter lwofii were isolated.Here we report a rare case of polymicrobial wound infections in healthy patient after Cesarean Sectio caused by Pseudomonas aeruginosa, Multidrug Resistant Klebsiella pneumonia and Acinetobacter iwofii. A 30-year-old woman at 37 weeks gestation (G1P0A0) presented to our hospital for cesarean sectio due to oligohydroamnios and malpresentation. She came to us on the eleventh post-delivery day with discharge from her surgical wound. Intraoperative cultures revealed Pseudomonas aeruginosa, Multidrug Resistant Klebsiella pneumonia and Acinetobacter lwofii.The greatest contribution to risk for surgical site infection was associated with maternal obesity and hypertensive disorder, but she has no risk factor.The polymicrobial combination of our patient’s is unique from previously described studies, in this case all were Gram negative bacteria (Pseudomonas aeruginosa, Multidrug Resistant Klebsiella pneumonia and Acinetobacter lwofii).
A Gyssens Evaluation On Antibiotics Usage On Inpatients With Urinary Tract Infection In Hospital X, Central Jakarta, on January 2017 – June 2019 Tan, Henny Tannady; Dharmawan, Ade; Cahyadi, Agus; Layanto, Nicolas; Harahap, Elisabeth
Afiasi : Jurnal Kesehatan Masyarakat Vol 5 No 3 (2020): Afiasi
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/afiasi.v5i3.113

Abstract

Urinary tract infections are infections from the bladder to the renal parenchyma, and can affect all ages. Empirical therapy can reduce morbidity, but due to the use of antibiotics that are not appropriate will have an impact on resistance that will cause increase morbidity, mortality, and health costs. In the Southeast Asian region, high use of antibiotics were found almost more than 80% in various provinces in Indonesia. This study aims to assess the appropriatness use of antibiotics in hospitalized patients with UTIs in the District Hospital X in the period January 2017 - June 2019 using gyssens criteria. This is retrospective study. Research data sourced from medical records. Data was collected and assessed with Gyssens flow, then processed using Microsoft Excel. The results found 15 cases (46.88%) with the appropriate use (category 0), 3 cases (9.37%) incorrect interval (category IIB), 1 case (3.33%) incorrect dosage (category IIA ), 10 cases (31.25%) too short given (category IIIB), 3 cases (9.37%) too long given (category IIIA). Empirical therapy inpatients with diagnosis urinary tract infections atvDistrict Hospital X, 46.8% of antibiotics were used appropriately.
A Gyssens Evaluation On Antibiotics Usage On Inpatients With Urinary Tract Infection In Hospital X, Central Jakarta, on January 2017 – June 2019: Gyssens Evaluation On Antibiotics Usage On Inpatients With Urinary Tract Infection In Hospital X, Central Jakarta, on January 2017 – June 2019 Henny Tannady Tan; Ade Dharmawan; Agus Cahyadi; Nicolas Layanto; Elisabeth Harahap
Afiasi : Jurnal Kesehatan Masyarakat Vol. 5 No. 3 (2020): Afiasi
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/afiasi.v5i3.113

Abstract

Urinary tract infections are infections from the bladder to the renal parenchyma, and can affect all ages. Empirical therapy can reduce morbidity, but due to the use of antibiotics that are not appropriate will have an impact on resistance that will cause increase morbidity, mortality, and health costs. In the Southeast Asian region, high use of antibiotics were found almost more than 80% in various provinces in Indonesia. This study aims to assess the appropriatness use of antibiotics in hospitalized patients with UTIs in the District Hospital X in the period January 2017 - June 2019 using gyssens criteria. This is retrospective study. Research data sourced from medical records. Data was collected and assessed with Gyssens flow, then processed using Microsoft Excel. The results found 15 cases (46.88%) with the appropriate use (category 0), 3 cases (9.37%) incorrect interval (category IIB), 1 case (3.33%) incorrect dosage (category IIA ), 10 cases (31.25%) too short given (category IIIB), 3 cases (9.37%) too long given (category IIIA). Empirical therapy inpatients with diagnosis urinary tract infections atvDistrict Hospital X, 46.8% of antibiotics were used appropriately.
The Importance of Dietary Fiber on Stress Hormone in Pregnancy: A Literature Review Helena Fabiani; Henny Tannady Tan
Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.5.1.13-19.2020

Abstract

Antepartum depression is a mental health issue that is frequently ignored and often leads to suicidal behaviours. The harmful effects of antepartum depression are not only experienced by mothers, but also by children in the future. Depression due to pregnancy is usually attributed to several causes, including the biological component. Biological shifts that arise during gestation interrupt the maternal stress protection mechanism, one of which is the dysregulation of the hypothalamus-pituitary-adrenal axis (HPA-axis) resulting in hypersecretion of cortisol. Excessive release of cortisol as a stress hormone has been correlated with depressive symptoms, particularly throughout pregnancy. Recently, dietary factors, in particular dietary fiber, have become of concern as component that is recognized to attenuate stress hormones. The dietary fiber that is ingested will be digested by intestinal bacteria and will produce short-chain fatty acids as the essential metabolites. These metabolites are known to play a role in various brain functions, including HPA-axis through various means. The objective of this research is aimed at determining the function of dietary fiber within cortisol as a biomarker of the central stress response system, particularly throughout pregnancy.
The Possible Role of Probiotics in Combating COVID-19 Guntur Darmawan; Marshell Tendean; Ade Dharmawan; William William; Henny Tannady Tan; Tamara Atmogo; Wani Devita Gunardi
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 21, No 3 (2020): VOLUME 21, NUMBER 3, December 2020
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.988 KB) | DOI: 10.24871/2132020226-230

Abstract

Since first reported in Wuhan in the end of 2019, COVID-19 infection has spread globally. However, our battle against COVID-19 is still limited with treatment modalities, yet giving a big challenge for researchers to explore promising treatment candidate. Probiotics, based on previous studies of its role in immune system and respiratory tract infection, seem to be potential candidate. Probiotics work in a distinct way through connectivity between gut and the lung, since both have expression of angiotensin converting enzyme2 (ACE2) of which highly bound by COVID-19. At present, no guidelines formally include probiotics as part of COVID-19 treatment. Hence, this study aimed to review the link of probiotics and immune system and its potential role as part of COVID-19 treatment.
Efek Hidroksiurea Terhadap Thalassemia-Β Bergantung Transfusi: Laporan Kasus Berbasis Bukti Henny Tannady Tan; Eifel Faheri
Innovative: Journal Of Social Science Research Vol. 3 No. 3 (2023): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v3i3.2918

Abstract

Latar Belakang: Akumulasi besi akibat transfusi darah rutin pada thalassemia berbahaya untuk banyak organ, dapat menyebabkan gagal jantung, sirosis dan kanker hati, keterlambatan pertumbuhan dan kelainan sistem endokrin. Beberapa studi memperlihatkan hidroksiurea dapat mengurangi kebutuhan transfusi. Tujuan: Mengetahui efek pemberian hidroksiurea terhadap Thalassemia-β bergantung transfusi dengan menganalisis bukti ilmiah. Metode: Penelusuran literatur dilakukan pada beberapa database yaitu PubMed, Cochrane, dan ProQuest. Penyeleksian artikel dilakukan dengan skrining judul atau abstrak, telaah teks lengkap, dan menentukan terpenuhinya kriteria inklusi dan eksklusi sehingga diperoleh dua studi. Telaah kritis menggunakan Oxford Center for Evidence-based Medicine. Hasil: Terdapat 2 studi RCT yang relevan dengan kriteria inklusi dan pertanyaan klinis. Kedua studi menemukan penurunan kebutuhan transfusi darah, volume transfusi darah, penurunan inefektifitas eritropoiesis dengan penggunaan hidroksiurea. Splenomegali, HbE dan Xmn1 polimorfisme merupakan prediktor keberhasilan terapi dengan hidroksiurea. Kesimpulan: Penggunaan hidroksiurea pada pasien Thalassemia-β bergantung transfusi menurunkan kebutuhan transfusi darah dan volume transfusi darah.
HUBUNGAN ANTARA MARKER INFLAMASI DENGAN MORTALITAS PASIEN COVID-19 DI UNIT PERAWATAN INTENSIF RS UKRIDA PADA TAHUN 2020 – 2021 Henny Tannady Ta; Suparto Suparto; Clara Valentia Josephine; Ade Dharmawan
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 4 (2023): Volume 4 Nomor 4 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i4.20557

Abstract

Pandemi Coronavirus disease 2019 (COVID-19) merupakan suatu masalah kesehatan yang tengah berlangsung di lebih dari 200 negara di dunia. Indonesia sendiri melaporkan Pada tahun 2022 jumlah ini meningkat menjadi 158.000 pasien yang meninggal karena COVID-19 di Indonesia. Pada bulan September 2022, Indonesia sendiri melaporkan total kasus sebanyak 6.430.000 kasus dan 158.000 kematian (CFR 2,5%). Saat ini banyak data penelitian mengenai kondisi kritis dan hasil dari perawatan pasien COVID-19, namun masih sedikit diketahui mengenai penanda potensial untuk kondisi kritis pasien. Penelitian ini merupakan penelitian analitis korelasional dengan disain Retrospektif kohort Study. Jenis kelamin laki-laki mendominasi perawatan dan mortalitas di ruang intensif COVID-19 dengan mayoritas usia yang dirawat rata-rata 57,75 tahun. Analisis univariat marker inflamasi menunjukkan mayoritas jumlah leukosit normal , kadar CRP meningkat, procalcitonin normal, albumin darah menurun dan NLR meningkat. Analisis bivariat menunjukkan variabel procalcitonin (p= 0,021) mempunyai hubungan signifikan dengan mortalitas COVID-19. Sedangkan variabel jumlah leukosit, CRP, Albumin darah, dan NLR tidak berhubungan signifikan dengan mortalitas. Marker inflamasi procalcitonin merupakan variabel yang paling dominan dengan mortalitas COVID-19 (p=0,021; OR=2,97; 95%CI (1,248-7,098). Marker inflamasi Procalsitonin yang meningkat mempunyai peluang 2,97 kali lebih besar untuk terjadi Mortalitas Covid 19 dibanding pasien dengan kadar procalsitonin normal di Unit Perawatan Intensif RS Ukrida pada tahun 2020-2021.Marker inflamasi prokalsitonin dapat dipertimbangkan sebagai faktor prediktor tingkat keparahan gejala COVID-19 serta memprediksi risiko mortalitas pasien. sehingga para klinisi dapat mempersiapkan kemungkinan hal buruk yang dapat terjadi pada pasien.
Status Antropometri pada Pasien Penyakit Kronik di Bangsal Rawat Inap RSUD Koja Suzanna Ndraha; Henny Tannady Tan; Melfrits Rinell Siwabessy; Mardy Santoso
Jurnal Kedokteran Meditek Vol. 16 No. 43B Mei - Agustus 2010
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v16i43B.883

Abstract

Ketoacidosis a Rare Complication of Fibrocalculous Pancreatic Diabetes Henny Tannady Tan; Suzanna Ndrah
Jurnal Kedokteran Meditek Vol. 20 No. 52 Januari-April 2014
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v20i52.1006

Abstract

Abstract In a tropical country a case of ketosis resistant insulin dependent diabetes mellitus occurred in young lean patient who also shows evidence of malnutrition and pancreatic calculi with or without fibrosis and intermittent abdominal pain could be regarded as Fibrocalculous Pancreatic Diabetes (FCPD). We reported of a 24 years old female patient with shortness of breath since one day before she was admitted to the hospital. She also had a fever with sore throat and recurrent abdominal pain. Patient had history of abdominal pain, at that time she also developed white stools. She had a two years history of generalized body weakness associated with progressive weight lost, polydipsia and polyuria.Physical examination revealed a young lady with a low Body Mass Index (BMI) and tonsilopharyngitis. The haematological examination shown hyperglycemia, ketoacidosis, and leukocytosis. The abdominal x ray and ultrasound scan showed pancreatic calcification. The classical clinical picture of FCPD is primarily of a young diabetic patient presenting with recurrent epigastric pain, steatorrhoea, signs of malnutrition and micronutrient deficiencies. Although this case caused by ketoacidosis resistant, under special circumstances particularly after stress for example infection, trauma, etc ketosis could also be occurred.Key word: ketoacidosis, complication, fibrocalculous pancreatic diabetes Abstrak Di negara tropis, kasus resistensi terhadap ketosis yang terjadi pada pasien diabetes mellitus tipe 1 (DMT1) berusia muda, bertubuh kurus, dan disertai penyulit berupa malnutrisi dan batu pankreas dengan atau tanpa fibrosis dan nyeri abdomen intermiten, dapat disebut sebagai Diabetes Melitus Terkait Malnutrisi (DMTM). Dilaporkan kasus seorang perempuan berusia 24 tahun dengan keluhan utama sesak nafas sejak 1 hari sebelum masuk RS. Keluhan juga disertai demam, sakit tenggorokan dan nyeri abdomen berulang disertai steatorroae. Sejak 2 tahun ini ia merasa badan lemas dengan penurunan berat badan progresif, polidipsi dan poliuri. Pemeriksaan fisik didapatkan Indeks Massa Tubuh (IMT) rendah dan tonsilofaringitis. Hasil laboratorium menunjukkan hiperglikemia, ketoasidosis, dan leukositosis. Foto polos dan USG abdomen menunjukan adanya kalsifikasi pankreas. Gambaran klasik dari DMTM adalah pasien DM muda dengan gejala nyeri epigastrium berulang, steatorroea, tanda-tanda malnutrisi dan defisiensi mikronutrien. Walaupun kasus ini disebabkan oleh resistensi terhadap ketoasidosis, namun pada kasus tertentu dengan penyulit seperti infeksi, trauma, dan sebab lainnya, ketosis dapat terjadi. Kata kunci: ketoasidosis, komplikasi, Diabetes terkait Malnutrisi 
Profil Kolelitiasis pada Hasil Ultrasonografi di Rumah Sakit Umum Daerah Koja Suzanna Ndraha; Helena Fabiani; Henny Tannady Tan; Marshell Tendean
Jurnal Kedokteran Meditek Vol. 20 No. 53 Mei-Agustus 2014
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v20i53.1014

Abstract

bstrakLatar Belakang. Kolelitiasis (penyakit batu empedu) menjadi masalah kesehatan utama di seluruh dunia. Namun diagnosisnya sulit ditegakan karena sebagian besar tidak menimbulkan gejala. Teknik pencitraan ultrasonografi (USG) pada pasien berisiko tinggi merupakan metoda yang penting dalam diagnosis awal. Penelitian ini bertujuan untuk mengetahui karakteristik pasien kolelitiasis berdasarkangambaran USG. Metoda.Penelitian potong lintang retrospektif dilakukan pada pasien kolelitiasis yang diagnosis berdasarkan hasil USG pada periode April 2012 sampai dengan September 2012. Di data usia, jenis kelamin, keluhan klinis, dan gambaran USG. Data dianalisis dan disajikan dalam diagram. .Hasil. Sebanyak 87 pasien didiagnosis kolelitiasis dengan usia rerata 45,6. Prevalensi pada pasienperempuan lebih banyak daripada laki-laki (57,47 %), dengan usiarata-rata di atas 40 tahun (80,46 %). Sejumlah 68,97%merupakan pasien yang dikirim dari ruang rawat inap. Keluhan klinis terbanyak yang ditemukan adalah dispepsia (42,53%). Kolelitiasis multipel merupakan gambaran USG terbanyak yang ditemukan (36,78%), dimana 73,56%pasien tidak menunjukkan komplikasi danhanya 22,99 % saja yang menunjukkan komplikasi kolesistitis .Kesimpulan. Penyakit batu empedu di RSUD Koja terjadilebihbanyakpadapasienperempuanberusia lebih dari 40 tahun dengan keluhan klinis dispepsia, dan didapatkan gambaran kolelitiasis multipel tanpa komplikasi pada hasil USG. Kata kunci: kolelitiasis, keluhan, gambaran USGAbstract Background.Cholelithiasis is the main substantial burden on health care systems in worldwide. Diagnosis of cholelithiasis can easily be missed or misinterpreted because most of all cases areasymptomatic. Ultrasound imaging plays important role in the initial diagnosisof cholelithiasis inhigh-risk patients. The study aims to describe analysis of the clinical presentation in whichcholelithiasis was diagnosed on imaging by using ultrasound.Method. A retrospective review was done of all cases of cholelitiasis recorded in reports of the ultrasound results during the period April 2012 to September 2012. Age, gender, clinical complaint, and ultrasound findings were evaluated. Result. Eighty-seven patients were diagnosed with cholelithiasis with the mean age at diagnosis is45.6. The prevalence was higher in women than men (57.47 %), where the highest prevalence aged isabove 40 (80.46 %). Most of patients were sent from inpatient ward (68.97 %). The most clinical complaint was dyspepsia (42.53 %). The ultrasound results showed multiple cholelithiasis (36.78 %).As much as 73.56 % patients did not show any complication from ultrasound result and only 22.99 %patients showed cholecystitis.Conclusion.The most common involved age group for cholelithiasis was above 40 years with a female predominance. Multiple cholelithiasis without any complication was found tobe the most commonpresentation of ultrasound results. Keywords: Cholelithiasis, symptom, ultrasound result
Co-Authors Ade Dharmawan Ade Dharmawan Ade Dharmawan Agus Cahyadi Arief, Ilham Cahyadi, Agus Clara Valentia Josephine Donna Mesina Rosadini Pasaribu Eifel Faheri Elena, Irene Maria Elisabeth D Harahap Elisabeth Harahap Guntur Darmawan Harahap, Elisabeth Helena Fabiani Helena Fabiani Helena Fabiani Helena Fabiani Hendy Tannady Istia, Mieke Joseba Khamaludin, Khamaludin Layanto, Nicolas Layanto, Nicolas Magdalena Magdalena Mardy Santoso Mardy Santoso Marshell Tendean Marshell Tendean Marshell Tendean Melfrits Rinell Siwabessy Melfrits Rinell Siwabessy Monica Cherlady Anastasia Nicolas Layanto Nuryana, Arief Primadi Candra Susanto Rini Latifah Septiana, Yorisye Simanjuntak, Lasma Susi F. SRI RAHAYU Suparto Suparto Suparto Suparto Suzanna Ndrah Suzanna Ndrah Suzanna Ndraha Suzanna Ndraha Tamara Atmogo Theresia Ervina Wani Devita Gunardi Wijaya, Jefri Wijaya, Pande I Gede Indra William William