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All Journal HAYATI Journal of Biosciences Jurnal Ilmu Kedokteran (Journal of Medical Science) Medical Journal of Indonesia Majalah Kedokteran Molecular and Cellular Biomedical Sciences (MCBS) Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Eksakta : Berkala Ilmiah Bidang MIPA Jurnal Respirologi Indonesia Jurnal Respirasi (JR) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JURNAL ETIKA KEDOKTERAN INDONESIA Respiratory Science Pharmaceutical Sciences and Research (PSR) MEDICINUS Eduvest - Journal of Universal Studies Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Anna Rozaliyani
Department Of Parasitology, Faculty Of Medicine, Universitas Indonesia The Indonesian Society Of Respirology Indonesia Pulmonary Mycoses Centre
Aerospace Engineering Agriculture, Biological Sciences & Forestry Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Earth & Planetary Sciences Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Tinjauan Etik Penentuan dan Pola Koordinasi Dokter Penanggungjawab Pelayanan (DPJP) pada Layanan Medis Multidisiplin Pukovisa Prawiroharjo; Anna Rozaliyani; Ghina Faradisa Hatta; Mohammad Baharuddin
Jurnal Etika Kedokteran Indonesia Vol 4, No 1 (2020)
Publisher : Majelis Kehormatan Etik Indonesia PBIDI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.483 KB) | DOI: 10.26880/jeki.v4i1.42

Abstract

Perawatan pasien yang melibatkan banyak disiplin ilmu dan perjumpaan dokter-pasien yang terpisah-pisah berpotensi menimbulkan perbedaan pendekatan dan rekomendasi antardokter. Kondisi ini dapat menyebabkan kebingungan pasien dan tumpang tindih dalam tatalaksana pasien. Prinsip layanan medis mencakup patient-centered care dan layanan berkesinambungan (continuity of care). Ketimpangan prinsip etik dapat dijumpai dalam layanan medis multidisiplin meliputi prinsip etik beneficence, non-maleficence, autonomy, dan justice. Tulisan ini bertujuan untuk mengingatkan kembali tujuan dasar pelayanan medis multidisiplin, serta potensi ketimpangan dalam praktiknya.
Prinsip Penetapan Sanksi bagi Pelanggaran Etik Kedokteran Anna Rozaliyani; Putri Dianita Ika Meilia; Nurfanida Librianty
Jurnal Etika Kedokteran Indonesia Vol 2, No 1 (2018)
Publisher : Majelis Kehormatan Etik Indonesia PBIDI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.641 KB) | DOI: 10.26880/jeki.v2i1.11

Abstract

Sebagai profesi yang menjunjung tinggi hubungan luhur dengan pasien, dokter wajib menjunjung tinggi nilai-nilai etik yang terkandung dalam Kode Etik Kedokteran Indonesia (KODEKI) tahun 2012. Pelanggaran etik kedokteran perlu disikapi dengan pemberian sanksi yang sesuai, yang bertujuan sebagai pembinaan terhadap teman sejawat. Prinsip, tujuan, dan ketentuan pemberian sanksi tersebut diatur oleh Majelis Kehormatan Etik Kedokteran PB IDI.
Kajian Etik Pendidikan Jarak Jauh dalam Pendidikan Kedokteran di Indonesia Anna Rozaliyani; Hansel Tengara Widjaja; Pukovisa Prawiroharjo; Wawang Sukarya
Jurnal Etika Kedokteran Indonesia Vol 4, No 2 (2020)
Publisher : Majelis Kehormatan Etik Indonesia PBIDI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26880/jeki.v4i2.49

Abstract

Sejak awal tahun 2020, dunia telah dikejutkan dengan pandemi COVID-19. COVID-19 telah menyebabkan perubahan yang fundamental terhadap segala segi kehidupan, termasuk dalam pendidikan kedokteran. Apabila kita menilik sejarah pendidikan kedokteran di Indonesia, peristiwa wabah juga menjadi tonggak dimulainya pendidikan kedokteran di Indonesia. Di dunia, pandemi flu Spanyol juga telah mengubah pendidikan kedokteran di kala itu. Dengan kemajuan teknologi, pendidikan kedokteran di masa pandemi ini dilaksanakan dalam bentuk pendidikan jarak jauh (PJJ). Meskipun demikian, tidak dipungkiri dampaknya terhadap pemenuhan kompetensi yang semakin sulit. Memperpanjang durasi pendidikan kedokteran tampaknya menjadi solusi yang ideal, namun juga menambahkan beban staf pendidik dan peserta didik. Dalam menentukan pilihan yang akan diambil oleh pembuat kebijakan pendidikan kedokteran perlu dipertimbangkan risk-versus-benefit serta konsekuensinya masing-masing.
Menjaga Etika Kedokteran pada Masa Tahun Politik Pukovisa Prawiroharjo; Anna Rozaliyani; Agus Purwadianto
Jurnal Etika Kedokteran Indonesia Vol 2, No 1 (2018)
Publisher : Majelis Kehormatan Etik Indonesia PBIDI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (164.866 KB) | DOI: 10.26880/jeki.v2i1.12

Abstract

Di tahun politik ini, dokter sebagai warga negara tidak mungkin dilepaskan dari hasrat dan haknya untuk berpolitik. Namun, dalam ekspresi politiknya seorang dokter harus selalu berhati-hati dan mengingat tradisi luhur profesi kedokteran. Tulisan ini akan membahas bagaimana sikap dokter dalam memelihara etika kedokteran dan profesionalisme di tahun politik khususnya dalam konteks hubungan dokter-pasien, serta bagaimana pihak rumah sakit/klinik dan organisasi profesi kedokteran membuat regulasi terkait ekspresi politik tersebut, ditinjau dari Sumpah Dokter dan peraturan-peraturan lain yang berlaku.
Pulmonary Mycoses in Indonesia: Current Situations and Future Challenges Anna Rozaliyani; Anwar Jusuf; Priyanti ZS; Erlina Burhan; Diah Handayani; Henie Widowati; Satria Pratama; Findra Setianingrum
Jurnal Respirologi Indonesia Vol 39, No 3 (2019)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (900.239 KB) | DOI: 10.36497/jri.v39i3.69

Abstract

Cases of pulmonary mycosis or pulmonary fungal diseases continues to increase in frequency along with the expanding population with impaired immune systems, including patients with pre-existing pulmonary diseases. Changing profile of underlying diseases might cause altering diseases profile as well. In previous decades, Pneumocystis pneumonia was the most common pulmonary mycosis in HIV-infected patients. As the increasing number of TB cases, pulmonary malignancy, chronic obstructive pulmonary disease (COPD) and certain chronic diseases, other pulmonary mycoses also increase such as chronic pulmonary aspergillosis, cryptococcosis, histoplasmosis, and other filamentous fungal infection. Furthermore, the airborne fungal particles of Aspergillus and other fungi could seriously worsen asthma or allergic respiratory diseases. In low- and middle-income countries, including Indonesia, lack of diagnostic facilities may lead to inadequate treatment. It will contribute to poor clinical outcomes with high mortality rates. The awareness among clinicians and other health workers of this epidemiology changes is the important step in early diagnosis and better managemenet of pulmonary mycosis in the future. (J Respir Indo. 2019; 39(3): 210-4)
Safety of Favipiravir for Treatment of COVID-19: Latest Systematic Review Rizki Oktarini; Anna Rozaliyani; Ratika Rahmasari; Muhammad Alkaff; Rani Sauriasari
Jurnal Respirologi Indonesia Vol 42, No 1 (2022)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v42i1.243

Abstract

Background: Adverse event studies of favipiravir use in treating COVID-19 have been ongoing since it was established as a treatment option. A better understanding of the side effects of favipiravir from recent studies is important in developing and assessing the recognition of effective treatments for COVID-19. Method: This was a systematic review based on studies and case reports on favipiravir monotherapy in COVID-19. Access to the included studies was gained via PubMed, SCOPUS, Science Direct, SpringerLink, and MedRxiv. Results: Twelve studies consisting of eight studies and four case reports were reviewed. The most common side effects were diarrhea, elevated liver enzyme levels, and hyperuricemia. None of which were significantly different from the comparison. Currently, various adverse event were reported in case reports such as drug fever,acute generalized exanthematous pustulosis (AGEP), and transient increase in viral load. The side effects would mostly be subsided after the treatment was discontinued.Conclusion: The use of favipiravir to treat COVID-19 caused dose-related side effects such as diarrhea, changes in liver enzymes, and increased level of uric acid. There were no serious side effectscompared to other antiviral drugs. To improve the efficacy and safety of COVID-19 therapy, it is important to prepare an incidence report of antiviral adverse events in special populations such as children, pregnant women, and  patients with organ dysfunction.
Density of Dermatophagoides spp. and Its Relationship with House-dust Mite Specific Serum IgE in Persistent Asthma Annisa Mulia Anasis; Anna Rozaliyani; Heri Wibowo
Molecular and Cellular Biomedical Sciences Vol 4, No 2 (2020)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3146.909 KB) | DOI: 10.21705/mcbs.v4i2.92

Abstract

Background: Asthma is a chronic inflammation of the bronchial tree that emerges as a response to exogenous factors, such as allergens, irritants, and infections. Some asthmatic patients had been reported having symptoms of asthma due to house-dust mites (HDM) allergen exposure. It is associated with immune responses which were increased in the form of specific Immunoglobulin E (IgE) production against HDM allergens. This case-control study aimed to determine the HDM profiles in persistent asthmatic patients, including density of mites, as well as its relationship with specific IgE anti-HDM serum levels.Materials and Methods: A total of 13 patients with persistent asthma and 12 control patients had their specific anti-HDM IgE levels examined using Immulite 2000 xpi. The house dust samples were taken and analyzed with the Fain method.Results: The results have shown that 69% of patients in the persistent asthma group and 25% of normal patients were positive for IgE anti-HDM. Dermatophagoides pteronyssinus is a predominant species with a total of 120 mites (83.9%) of 143 mites. Correlation analysis indicated a positive relationship between IgE anti-HDM levels within the serums of patients and the density of mites in the dust obtained from bedroom spaces (Spearmen Rho, R=0.35, p=0.04).Conclusion: Positive IgE anti-HDM patients in the persistent asthma group were higher (69%) than those in the clinically normal group (25%). The density of mites were dominated by D. Pteronyssinus. The bedroom-dust mites density revealed a positive correlation with serum IgE anti-HDM levels in persistent asthma patients.Keywords: asthma, density, Dermatophagoides spp.,IgE
Seroprevalence of Galactomannan Aspergillus in COVID-19 patients in Jakarta: A challenge in the pandemic commotion Anna Rozaliyani
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 7 No 2 (2023): Journal Qanun Medika Vol 07 No 02
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v7i2.19153

Abstract

COVID-19-associated pulmonary aspergillosis (CAPA) is a severe complication of COVID-19 due to Aspergillus infection. However, the clinical manifestation and radiology findings are not typical and require measurement of Aspergillus galactomannan (GM) level to assist in the diagnosis of CAPA. We evaluated the positivity rate of Aspergillus GM level among COVID-19 patients and investigated the correlation between the GM level and the age of patients. This retrospective observational study compiled the GM results from COVID-19 patients’ sera during the early period of the COVID-19 pandemic from March 2020 to December 2021. All samples underwent an ELISA test to measure Aspergillus GM level. There were 96 patients enrolled in this study. The positivity rate was 33%, with the highest (56%) percentage of positivity observed in the age group 40-59 in the positive Aspergillus GM group. The measurement of Aspergillus GM level among COVID-19 patients with risk factors of CAPA is critical to establish CAPA diagnosis. The availability of Aspergillus GM test in Indonesia is still limited and this issue needs to be addressed by all healthcare experts and stakeholders.
Diversity of Fungal Colonization in Respiratory Tract of Naïve Lung Cancer and The Emergence of Voriconazole Resistant Aspergillus Jamal Zaini; Abul A'la Al Maududi; Zahrah Annisa; Denny Grecius Siregar; Findra Setianingrum; Mulyati Tugiran; Ridhawati Sjam; Robiatul Adawiyah; Anna Rozaliyani; Sita Andarini; Elisna Syahruddin
HAYATI Journal of Biosciences Vol. 30 No. 6 (2023): November 2023
Publisher : Bogor Agricultural University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4308/hjb.30.6.1139-1148

Abstract

Fungal spores in the air can be inhaled and enter the human respiratory tract. The entry of fungi into the respiratory tract can cause colonization or infection depending on the host immune response. Fungal colonization is the first step into debilitating fungal disease in humans, especially in immunocompromised groups. The increased rate of drug-resistant fungi has been reported in human disease and the environment. This study aims to examine the diversity of fungal colonization in humans and the rate of fungal resistance to voriconazole. This cross-sectional study was done in patients with naïve lung cancer who had not been previously treated with any cancer therapy nor given antifungal agent. Induced sputum from 70 subjects was collected and inoculated in the Sabouraud Dextrose Agar medium. Macroscopic and microscopic examinations were performed to identify fungal species. Voriconazole susceptibility tests were done using the disc diffusion method. This study found Candida albicans, Aspergillus niger, Aspergillus fumigatus, and Penicillium sp. among the most common lower respiratory tract colonies. This study also found the colonization of up to 5 species in a single subject. A high rate of voriconazole-resistant Aspergillus sp. was found (42.4%) among 59 isolates tested. Given that these subjects had never taken antifungal agents previously, the high rate of voriconazole resistance might be attributed to the environment, such as community and agriculture. Mitigation of antifungal use in the agricultural sector, fungal diversity in the environment, and clinical study of fungal colonization/ infection in other high-risk groups are needed.
Accuracy of Inhaler Use in COPD Patients and Factors Affecting It Indah Kusumawati Susanti; Rani Sauriasari; Anna Rozaliyani; Dodi Sudiana
Jurnal Respirologi Indonesia Vol 43, No 4 (2023)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v43i4.508

Abstract

Background: An inhaler is a type of dosage form used in the treatment of chronic obstructive pulmonary disease (COPD). The inhaler has a unique technique for use; however, the percentage of accuracy in inhaler use is still low. Proper inhaler use is expected to improve quality of life and decrease the occurrence of exacerbations. This study aimed to observe the percentage of accuracy in using inhalers and the factors that influence it.Method: This study was conducted with a cross-sectional design on COPD patients in two different hospitals. Primary data were collected using a questionnaire. The accuracy of inhaler use was assessed using a checklist.Results: The total number of patients in this study was 110, with an average age of 62 years. Patients were given single inhaler therapy, which included Dry Powder Inhalers (DPI) for 34 patients with 70.7% accuracy, Pressurized Metered-Dose Inhalers (pMDI) for 9 persons with 45.74% accuracy, and Soft Mist Inhalers (SMI) for one person with 66.67% accuracy. Furthermore, patients who used a combination of pMDI and DPI inhalers had an accuracy value of 68.53%, while a combination of pMDI and SMI had an accuracy value of 72.72%. The stage with the lowest level of accuracy in the pMDI-type inhaler used alone was exhaling before the inhaler was supplied.Conclusion:  According to the findings, the accuracy of inhaler use in COPD patients is still relatively low. Furthermore, gender is a factor that has a statistically significant relationship with inhaler accuracy.
Co-Authors Abul A'la Al Maududi Adrir, Mutia Syarifah Agus Dwi Susanto Agus Purwadianto Agustin, Heidy Ali Sulaiman Alvin Kosasih Ammar Abdurrahman Hasyim Anna Ujainah Anna Ujainah, Anna Annisa Mulia Anasis Anwar Jusuf Arief Riadi Arifin Arifin Nawas Arifin Nawas Arifin, Arief Riadi Ary Indriana Savitri Asiyah Taqiyya Fakhrur Razi Azharul Yusri Aziziah, Aziziah Bahtiar Husain Bambang Dwi Hasto Baskoro, Hario Boedi Swidharmoko Broto Wasisto Budi Prasetyo Budi Prasetyo C. Martin Rumende, C. Martin Christy Efiyanti Damayanti, Triya Denny Grecius Siregar Dewi Rizki Agustina Dewi Rizki Agustina, Dewi Rizki Diah Handayani Djatikusumo, Ari Dodi Sudiana Elisna Syahruddin Elqowiyya, Aqidatul Islamiyyati Erlang Samudro Erlina Burhan Evy Yunihastuti Fadlika Harinda Faisal, Hana Khairina Putri Fariz, Nurwidya Febriani Endiyarti Findra Setianingrum Findra Setianingrum Findra Setianingrum Frans Santosa Ghina Faradisa Hatta Hansel Tengara Widjaja Hario Baskoro Hasto, Bambang Dwi Hasyim, Ammar Abdurrahman Henie Widowati Heri Wibowo Heri Wibowo Husain, Bahtiar Ikhwan Rinaldi Indah Kusumawati Susanti Julian Julitasari Sundoro Kartika, Emiliana Kusumowidagdo, Gladys Librianty, Nurfanida Lisnawati Rachmadi Lukman Edwar Malik, Andi Sri Suryani Mardianto, Umar Marissa, Melani Mohammad Baharuddin Muh Ronike Yunus Muhammad Alkaff Muhammad Baharudin Muhammad Yadi Permana Mulyati Mulyati Mulyati Tugiran Oktarina, Caroline Pane, Irene Audrey Davalynn Prijo Sidipratomo Priyanti ZS Pukovisa Prawiroharjo Putri Dianita Ika Meilia Putri Dianita Ika Meilia R Sjamsuhidajat Rani Sauriasari Rani Sauriasari Ratika Rahmasari Retno Wahyuningsih Rianto Setiabudi Rianto Setiabudy Rianto Setiabudy Ridhawati Sjam Ridhawati, Ridhawati Rizki Oktarini Robiatul Adawiyah Robiatul Adawiyah Robiatul Adawiyah Rulliana Agustin Rulliana Agustin Samoedro, Erlang Sandra Widaty Sarah Almira Satria Pratama Satria Pratama Satria Pratama Savitri, Ary Indriana Setianingrum, Findra Sita Andarini Sresta Azahra Theola, Jason Tugas Ratmono Tugas Ratmono, Tugas Tugiran, Mulyati Vincent Pratama Wawang Sukarya Wawang Sukarya Yudantha, Anggun R. Yuli Budiningsih Yunita, Fenny Yuwono, Edho Zahrah Annisa Zaini, Jamal Zubairi Djoerban