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All Journal Finesta CRJIM (Clinical and Research Journal in Internal Medicine) Deka in Medicine
Michelle Gunawan, Michelle
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Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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PENGARUH FAKTOR JENIS KELAMIN DAN PLANNED BEHAVIOR THEORY TERHADAP KEBIASAAN BELANJA DEWASA MUDA SURABAYA Gunawan, Michelle; Astuti, Dewi
Finesta Vol 3, No 2 (2015)
Publisher : Petra Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.005 KB)

Abstract

Abstrak — Dewasa ini, belanja telah menjadi aktivitas gaya hidup, kesenangan, dan pemenuhan kebutuhan psikologis. Di samping itu, perusahaan lokal dan internasional mengincar masyarakat remaja untuk penjualan produk perusahaan. Oleh karena itu masyarakat harus memperhatikan variabel- variabel yang berpengaruh terhadap kebiasaan belanja seseorang, terutama remaja. Penelitian ini dimaksudkan untuk mengetahui apakah terdapat pengaruh antara jenis kelamin dan teori planned behavior terhadap kebiasaan belanja dewasa muda di Surabaya secara parsial.Uji validitas, uji reliabilitas dan uji hipotesa dilakukan dengan menggunakan SEM (Structural Equation Models) berbasis varians dengan pendekatan PLS (Partial Least Square) yang berasal dari data yang dikumpulkan dari kuesioner yang telah diisi dan diolah. Software yang digunakan adalah smartpls. Dari hasil penelitian diketahui bahwa faktor jenis kelamin dan faktor-faktor yang termasuk dalam Planned Theory Behavior (sosialisasi dengan orangtua dan pengaruh teman) tidak berpengaruh secara signifikan terhadap kebiasaan belanja dewasa muda di Surabaya, sedangkan faktor Planned Theory Behavior yang berupa kontrol diri, berpengaruh signifikan terhadap kebiasaan belanja dewasa muda di Surabaya.
Case report: Therapeutic approach to secondary polycythemia vera in an adult with eisenmenger syndrome Lil Alamin, Rahmatan; Raharjo, Fajar; Gunawan, Michelle; Wardhani, Shinta
Deka in Medicine Vol. 1 No. 3 (2024): December 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e433

Abstract

BACKGROUND: Secondary Polycythemia Vera due to Eisenmenger Syndrome remains a big challenge, and the reported cases regarding this condition are still scanty. CASE: This was a case of a 22-year-old girl who, since childhood, had complaints of fatigue most of the time and thus showed more intolerance to heavy physical work. She had a history of a congenital heart defect, with lip and finger cyanosis that increased upon fatigue, and she had undergone Bi-directional Cavo-pulmonary Shunt. Physical examination showed cyanosis with clubbing of fingers with low oxygen saturation. Further diagnosis testing revealed this was a case of Eisenmenger Syndrome due to congenital heart abnormalities, with Polycythemia Vera: Secondary to the diagnosis. The patient also had a hemoglobin level of 21.1g/dL and a hematocrit level of 64.2%. Based on the diagnosis, treatment was given in the form of hydration therapy along with medications. Additionally, phlebotomy was performed. Because the patient improved clinically from the applied treatment, the patient was discharged after 5 days. CONCLUSION: Early diagnosis, a multidisciplinary approach, and proper interventions are important in the management of Eisenmenger Syndrome and associated Polycythemia Vera to avoid complications and hence improve outcomes.
The Outcome of Primary Hyperaldosteronism in Resistant Hypertension with Efficiency Cost in Clinical Practices A Case Report Raharjo, Fajar Maulana; Lil Alamin, Rahmatan; Gunawan, Michelle; Nur Samsu
Clinical and Research Journal in Internal Medicine Vol. 6 No. 1 (2025): Volume 6 No 1, May 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2025.006.01.13

Abstract

Aldosterone as a major mineralocorticoid has an important role in regulating circulating volume and potassium homeostasis, especially in the kidney. Manifestation of hypertension and hypokalemia in the young age population must be considered about the role of Aldosterone. This case report will discuss a patient with uncontrolled hypertension with severe hypokalemia who was treated with 3 kinds of antihypertensive drugs but the blood pressure is still high. After performing several diagnostic tests, the Aldosterone level was significantly high and left an adrenal tumor from an abdominal MRI. The patient treated with mineralocorticoid receptor antagonists or Spironolactone 25mg daily and show controlled blood pressure.
Co-Authors Dewi Astuti Lil Alamin, Rahmatan Nur Samsu Raharjo, Fajar Raharjo, Fajar Maulana Wardhani, Shinta