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All Journal MNJ (Malang Neurology Journal) Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Global Health research
Dewi, Putu Utami
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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CEREBRAL VENOUS SINUS THROMBOSIS WITH GOOD RESPONSE TO HEPARINIZATION THERAPY: TWO CASE REPORT AND DIAGNOSTIC ALGORITHM Indah, Carolin Tiara Lestari; Tini, Kumara; Susilawathi, Ni Made; Wijayanti, Ida Ayu Sri; Mahadewi, Ni Putu Ayu Putri; Pramaswari, Anak Ayu Agung; Mahaalit Aribawa, I Gusti Ngurah; Dewi, Putu Utami; Krisnawardhani Kumbara, Cokorda Istri Yuliandari
MNJ (Malang Neurology Journal) Vol. 10 No. 2 (2024): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.02.17

Abstract

Cerebral venous sinus thrombosis (CVST) is an uncommon condition of cerebral venous sinus thrombosis with a varied clinical presentation that can be diagnostically challenging. Intravenous heparin is the optimal immediate anticoagulant according to the European Academy of Neurology (EAN) guideline 2017. This report aims to describe highly suspicious CVST clinical features and suggest a diagnostic algorithm based on two cases of CVST found in our center. The first case is a 52-year-old man who presented with serial seizures preceded by subacute headache and diparesis. Non-contrast head CT (NCCT) showed multifocal haemorrhages and cord signs. The second case is a 19-year-old woman who presented with slowly decreased consciousness, headache, and a history of upper respiratory infection. Diffuse cerebral edema was revealed in NCCT. Both of these patients had thrombosis in superior sagittal sinus, right transverse, and sigmoid sinus. Heparinization was conducted and continued with rivaroxaban with a good response. CVST is rare case and often unrecognized; since it has serious complications, early diagnosis and treatment improve prognosis and survival.
KELAINAN DUKTUS MULERIAN PADA PEMERIKSAAN HISTEROSALPINGOGRAFI (HSG) DI RS PROF OERAH Dewi, Putu Yuni Asmara; Dewi, Putu Utami; Margiani, Ni Nyoman
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.39314

Abstract

Infertilitas adalah masalah kesehatan yang sering dialami pasangan suami istri, di mana kondisi ini dapat memengaruhi kualitas hidup, terutama pada wanita. Salah satu penyebab utama infertilitas pada wanita adalah kelainan bawaan pada uterus, yang dikenal dengan kelainan duktus mulerian. Kelainan ini terjadi akibat malformasi embriologis yang melibatkan proses formasi, fusi, atau reabsorpsi dari duktus mulerian selama perkembangan janin. Penelitian ini bertujuan untuk menganalisis kelainan duktus mulerian yang dapat mempengaruhi kesuburan wanita, khususnya yang terdeteksi melalui pemeriksaan Histerosalpingografi (HSG). Metode penelitian yang digunakan adalah deskriptif dengan mengambil sampel 130 pasien wanita dengan keluhan infertilitas primer di RS Prof. Ngoerah. Data diperoleh melalui pemeriksaan HSG untuk mengidentifikasi kelainan struktural uterus seperti uterus bikornu, arcuata, septa, dan didelphys. Hasil penelitian menunjukkan bahwa kelainan duktus mulerian ditemukan pada kurang dari 1% dari total kasus infertilitas yang diperiksa, dengan empat jenis kelainan yang teridentifikasi dari tujuh jenis yang ada. Penanganan dini berdasarkan hasil diagnosis HSG dapat meningkatkan peluang keberhasilan reproduksi, baik melalui intervensi bedah maupun pendekatan konservatif, tergantung jenis kelainannya. Temuan ini menggarisbawahi pentingnya pemeriksaan HSG dalam penegakan diagnosis dan pengelolaan infertilitas yang disebabkan oleh kelainan duktus mulerian, serta perlunya penelitian lebih lanjut untuk mengevaluasi efektivitas metode diagnostik alternatif.
Hysterosalpingography (HSG) Findings in Primary Infertility: Serial Cases Lumbangaol, Anugerah Isabela; Dewi, Putu Utami; Sudiatmika, Dewa Gde Mahiswara
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.24661

Abstract

Infertility is a condition in which a couple fails to achieve pregnancy after 12 months of unprotected sex. In Indonesia, the prevalence of infertility is estimated to be around 10-15%. Primary infertility occurs when a woman has never had a pregnancy. Hysterosalpingography (HSG) examination is a radiological modality that is often used to evaluate the condition of the uterus and fallopian tubes in infertile women. The case series features data from five female patients diagnosed with primary infertility, where each patient underwent an HSG examination, and the results of the analysis were based on radiological findings that included structural abnormalities in the uterus and fallopian tubes. The HSG findings showed various abnormalities such as hydrosalpinx, tubal occlusion, uterine arcuatus, uterine bicornuate, and salpingitis isthmica nodosa. Uterus arcuatus was found in two cases, while hydrosalpinx was detected in three cases. In addition, two cases showed the presence of bilateral occlusion of the fallopian tubes, which correlated with primary infertility. HSG examination is an effective modality for detecting various abnormalities in the female reproductive tract that contribute to primary infertility. Findings such as hydrosalpinx, tubal occlusion, and uterine anomalies play an important role in determining the right treatment strategy for patients.
A Case Report: Serial Case of Spontaneous Pneumomediastinum and Subcutaneous Emphysema in COVID-19 Patients Anggreini, Faradilla Novita; Dewi, Putu Utami; Sitanggang, Firman Parulian; Suadiatmika, Dewa Gde Mahiswara
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5924

Abstract

Coronaviruses are pathogens that affect both humans and animals and play a significant role in one of the most persistent disease outbreaks to date, known as Coronavirus Infectious Disease 2019 (COVID-19). The COVID-19 pandemic, declared by the World Health Organization (WHO) in March 2020, was classified as a global public health emergency due to its continued transmission, widespread impact, and the emergence of various viral variants. Before the development of vaccines, at the early stage of the pandemic, there were 5,596,550 confirmed COVID-19 cases worldwide, with a mortality rate of 353,373 cases. This study present Serial Case of Spontaneous Pneumomediastinum and Subcutaneous Emphysema in COVID-19 Patients. This study was a case report that describing detailed account of a patient's diagnosis, treatment, and follow-up a rare case. A critical review of the case report was conducted to assess the validity and reliability of the findings and to identify any limitations of the study. We present a serail case of Spontaneous Pneumomediastinum and Subcutaneous Emphysema in COVID-19. Various case reports and studies have shown that subcutaneous emphysema and pneumomediastinum can occur in COVID-19 patients both with and without mechanical ventilation (spontaneously). Extensive subcutaneous emphysema causing airway compression is an extremely rare manifestation of COVID-19 infection. Subcutaneous emphysema and pneumomediastinum are uncommon conditions associated with COVID-19 and can indicate a poor prognosis, leading to increased morbidity and prolonged hospitalization. Pneumomediastinum, pneumothorax, and subcutaneous emphysema may arise as complications of COVID-19 itself or as consequences of its management, such as mechanical ventilation or other iatrogenic interventions.
Co-Authors Anggreini, Faradilla Novita Dewa Gede Mahiswara Suadiatmika Dewi, Putu Yuni Asmara I Gusti Ngurah Mahaalit Aribawa Ida Ayu Sri Wijayanti Indah, Carolin Tiara Lestari Krisnawardhani Kumbara, Cokorda Istri Yuliandari Lumbangaol, Anugerah Isabela Mahadewi, Ni Putu Ayu Putri Ni Nyoman Margiani Pramaswari, Anak Ayu Agung Sitanggang, Firman Parulian Sudiatmika, Dewa Gde Mahiswara Susilawathi, Ni Made Tini, Kumara