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High-grade myopia and vaginal delivery: A narrative review Sumual, Vera; Chandra, Angelina Patricia; Sutanto, Reynardi Larope
Science Midwifery Vol 12 No 4 (2024): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i4.1700

Abstract

This narrative review explores the risks and management considerations of vaginal delivery in individuals with high-grade myopia, a condition associated with potential complications like retinal detachment and choroidal neovascularization. Utilizing 24 references, the review follows a modified rapid literature review model as outlined by Tjoa and Sutanto (2024). Eleven core studies out of an initial 234, including case reports and retrospective studies, were analyzed in the final qualitative assessment. The findings suggest that high-grade myopia, by itself, generally does not require cesarean section (C-section), and vaginal delivery is considered safe for most patients, provided there is regular ophthalmological monitoring throughout pregnancy. There is no strong evidence supporting a universal recommendation for C-section solely due to high myopia, except in the presence of severe complications, such as choroidal neovascularization. The review emphasizes individualized care, with delivery mode decisions tailored to each patient's specific ocular risk factors. Routine C-sections without additional complicating factors are not justified, underscoring the need for regular ophthalmological evaluations to ensure optimal maternal and fetal outcomes. Due to the limitations of existing studies, further in-depth research is recommended to confirm these findings and refine clinical guidelines.
Pneumotoraks Katamenial: Patofisiologi, Diagnosis, dan Tata Laksana Chandra, Angelina Patricia; Sutanto, Reynardi Larope; Larope Sutanto, Averiell
Cermin Dunia Kedokteran Vol 51 No 8 (2024): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i8.1125

Abstract

Catamenial pneumothorax is a rare condition in the spectrum of thoracic endometriosis syndrome (TES), women of reproductive age experience spontaneous pneumothorax episodes that occur around the time of menstruation. Although infrequent, cases of recurrent pneumothorax accompanied by a history of pelvic surgery, menstrual pain, and infertility should raise clinical suspicion. Diagnosis involves a comprehensive history, radiological examination, and video laparoscopy as the definitive diagnostic method. Management includes symptomatic management with pleural drainage, followed by minimally invasive operative therapy and hormonal therapy for 6-12 months post-initial management. The recurrence of catamenial pneumothorax remains a problem, and its prognosis and impact are not yet fully understood.
Initiating Entrepreneurship to Improve Health amongst People in Lio Village during The COVID-19 Pandemic: A Qualitative Study Triastari, Stella K; Chandra, Angelina Patricia; Wibisono, Andito M; Friska, Dewi
ASEAN Journal of Community Engagement Vol. 6, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Community development in Lio Village performed by Faculty of Medicine Universitas Indonesia students aimed to improve the health status of villagers. Because economy correlates with health, an economic intervention may increase the health status of the people. Based on this, an entrepreneurship program was initiated as a part of a community development program. This study is qualitative study that was conducted between July 2020 and February 2021. The intervention consisted of asynchronous webinar sessions, workshops, and business competition. Data were gathered from post-test questionnaires through a Google form. The winners were chosen according to the business ideas and given prizes. Then, a follow-up interview was conducted to measure the benefits of the intervention. For the results, more than 50% of the participants understood the theory by answering correct questions in the post-evaluation forms. The participants also reported feeling happier and having better mental health. Of the 88 medical students who volunteered in the event, 78.2% felt a tremendously beneficial experience of community empowerment and 21.8% felt they have experienced community empowerment. In conclusion, remote-online community development intervention may be a solution during the COVID-19 pandemic. By acknowledging the importance of the economic aspect to health and improving aspects that influence health holistically, both economic and health states of the people may be improved.