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All Journal Jurnal Kedokteran Brawijaya Indonesian Journal of Urology Biology, Medicine, & Natural Product Chemistry Indonesian Journal of Cancer Majalah Obstetri dan Ginekologi The Indonesian Biomedical Journal Jurnal Ilmiah Kedokteran Wijaya Kusuma Journal of Health (JoH) Jurnal Ilmiah Universitas Batanghari Jambi Indonesian Journal of Cardiology Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of Maternal and Child Health Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga ANIMA Indonesian Psychological Journal Majalah Biomorfologi (Biomorphology Journal) Indian Journal of Forensic Medicine & Toxicology Jurnal Abdi Masyarakat Indonesia Indonesian Journal of Cancer Jurnal Vokasi Keperawatan (JVK) Folia Medica Indonesiana
Askandar Tjokroprawiro
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Airlangga
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Clinical Symptoms of Patients with Early-Stage and Advanced-Stage Ovarian Cancer Shofwana, Haura Almash Aulia; Hidayati, Hanik Badriyah; Saraswati, Wita; Tjokroprawiro, Brahmana Askandar
Indonesian Journal of Cancer Vol 18, No 3 (2024): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i3.1134

Abstract

Background: Ovarian cancer is a malignant neoplasm originating from ovarian cells with different histological types depending on the subtype. It can affect women of all ages. Ovarian cancer ranks third in terms of incidence among diagnosed female cancer patients, following breast and cervical cancer. Ovarian cancer often doesn’t present specific/clear symptoms. As a result, only a small number of patients are diagnosed at an early stage (20%). The study aimed to analyze the clinical complaints experienced by ovarian cancer patients, both in early and advanced stages before diagnosis. Methods: This descriptive cross-sectional study analyzes clinical complaints before the diagnosis of early and advanced-stage ovarian cancer patients. The study was conducted in the Gynecology-Oncology inpatient ward at Dr. Soetomo Regional General Hospital in 2021, utilizing medical record data. Results: A total of 98 patients (21 patients with early-stage, and 77 patients with advanced-stage) were analyzed. The majority of the patients are aged 45-58 years (49%), work as homemakers (32.7%), and are married (63.3%). The three most common complaints experienced by subjects with early-stage ovarian cancer were abdominal/pelvic pain (23.8%), abdominal/pelvic pressure (28.6%), and abdominal distension (42.9%), while in patients with advanced-stage ovarian cancer were abdominal/ pelvic pain (32.7%), abdominal distension (42.9%), and abdominal discomfort (bloating, early satiety, feeling of fullness, frequent belching, heartburn, nausea and vomiting) (44.2%). Conclusions: The three most common clinical complaints among patients before being diagnosed with early and advanced-stage ovarian cancer in the inpatient ward of Dr. Soetomo Regional General Hospital Surabaya in 2021 were similar. The recognition of these complaints and several risk factors are expected to assist in the earlier diagnosis of ovarian cancer.
Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave Akbar, Muhammad Ilham Aldika; Mulawardhana, Pungky; Wardhana, Manggala Pasca; Gumilar, Khanisyah Erza; Raheestyningtyas, Ecccita; Laksana, Muhammad Ardian Cahya; Anas, Jimmy Yanuar; , Ernawati; Joewono, Hermanto Tri; Bachnas, Muhammad Adrianes; Tjokroprawiro, Brahmana Askandar
Folia Medica Indonesiana Vol. 59, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: • These cases of maternal deaths caused by COVID-19 infections illustrated the significant risk factors for maternal mortality during the early phases of the pandemic, while studies had not extensively reported this. • COVID-19 infections increase the risk of maternal and neonatal mortality, with infants having a lower chance of survival even if they are delivered. • Respiratory support, antiviral medications, antibiotics, anticoagulants, and supportive care are the primary treatments for severe COVID-19 in pregnancy. Abstract This article presents seven cases of maternal deaths attributed to COVID-19 during the first year of the pandemic wave. These cases provide insights into the natural progression of COVID-19 in pregnant women who were not vaccinated. This study showed that COVID-19 significantly increased maternal and neonatal mortality and morbidity. All of the patients exhibited symptoms of fever, cough, and dyspnea upon admission to the hospital. They were admitted with elevated respiratory rates (26–32 times/minute) and low oxygen saturation (<95%). Four patients had obesity, while one patient had pregestational diabetes. The COVID-19 diagnosis was established using a rapid antibody or antigen test and chest X-ray, which indicated pneumonia. Medical interventions administered to the patients included antiviral therapy (5 patients), antibiotics (6 patients), and anticoagulants (4 patients). From a total of five babies delivered, four babies were delivered via cesarean section. Two babies were not delivered due to previability and maternal deaths before delivery. The patients passed away within 3–10 days of hospital admission. In conclusion, adequate and early intervention and management of pregnant women infected with COVID-19 are crucial in preventing maternal and neonatal deaths, especially in unvaccinated women.
Diabetes Mellitus Tergantung Insulin (DM-TI): Aspek Psikologik Penderita dan Keluarga Lestari B. Soeharjono; Askandar Tjokroprawiro; Subagyo Adi
ANIMA Indonesian Psychological Journal Vol 17 No 2 (2002): ANIMA Indonesian Psychological Journal (Vol. 17, No. 2, 2002)
Publisher : Faculty of Psychology, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/aipj.v17i2.8290

Abstract

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Co-Authors , Ernawati A.A. Ketut Agung Cahyawan W Achmad Zam Zam Aghasy Adeodatus Yuda Handaya Agung Pranoto AGUNG PRANOTO Aisyah Shabrina Aldika Akbar, Muhammad Ilham Alim, Kenny Dion Anas, Jimmy Yanuar Andika Adi Saputra Andra Kusuma Putra Bachnas, Muhammad Adrianes Budi Utomo Budiono Budiono Budiono Budiono Cyntia Puspa Pitaloka Devana Nuur Raihan Diana Lyrawati Dina Azmilatun Waliyuna Djanggan Sargowo Djanggan Sargowo Djanggan Sargowo Djanggan Sargowo Djoko W. Soeatmadji Doddy M Soebadi DYAH FAUZIAH, DYAH Ecccita Raheestyningtyas ERI PERDANA USHAN ERI PERDANA USHAN, ERI PERDANA Ernawati Ernawati Erry Gumilar Gilang Adi Firmansyah Gumilar, Erry GUNAWAN RUSULDI Hafiza Amadhin Rusti Harya Narottama Hermanto Tri Joewono Hermawan Udiyanto Hermina Novida, Hermina Hidayat Sujuti I Ketut Suastika INDRA YULIATI, INDRA Jayanti, Ratna Dwi Jimmy Yanuar Anas Jongky H Prajitno, Jongky H Juliati Hood Kadek Dharma Widhiarta, Kadek Dharma Khanisyah Erza Gumilar Khoirunnisa Novitasari Konginan, Agustina KUSUMASTUTI, ETTY HARY Laili Muninggar Laksana, Muhammad Ardian Cahya Lestari B. Soeharjono M Rasjad Indra Mohammad Aris Widodo Mohammad Hasan Machfoed Muhammad Adrianes Bachnas MUHAMMAD RIZKI YAZNIL Muji sulistyowati Muninggar, Laili Nabeel Usama Okbah Nareswari Imanadha Cininta Marcianora Narottama, Harya Natasya Dyah Ayu Purnamasari Nihal Sofyan Nila Kurniasari Ogi Bahaurini Gumilar Okta Margarita Susiana Poedjo Hartono Pradana Soewondo PUNGKY MULAWARDHANA, PUNGKY Purwati Putri, Ilfinur Anissa Raheestyningtyas, Ecccita Rasjad Indra Retno Susilowati Rifa'i, Muhaimin ROY YUSTIN SIMANJUNTAK ROY YUSTIN SIMANJUNTAK, ROY YUSTIN RUSULDI, GUNAWAN S.Pd. M Kes I Ketut Sudiana . Sabrina Kemala Hapsari Samsriyaningsih Handayani Sharvianty Arifuddin SHARVIANTY ARIFUDDIN, SHARVIANTY Shofwana, Haura Almash Aulia Sidartawan Soegondo Sjahjenny Mustokoweni, Sjahjenny SOEHATNO - SOEHATNO -, SOEHATNO Sonia Isnabila Sonny Fadli Sony Wibisono Sri Widyarti Subagyo Adi Sudaryanti, Lestari Suhatno Suhatno Tarmono Djojodimedjo Teguh Prakosa, Teguh Teuku Mirza Iskandar Totowiputro, Dicky Kurniawan Tri Apriliawan TRI APRILIAWAN, TRI Triawanti Triawanti Ulhaq, Renata Alya UPIK ANDERIANI MISKAD, UPIK ANDERIANI Very Great Ekaputra Wardhana, Manggala Pasca Widjiati Widjiati, Widjiati Widodo J Pudjirahardjo WITA SARASWATI, WITA Yasyviena Za’ima Elnabila Yaznil, Muhammad Rizki