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All Journal Jurnal Impresi Indonesia Jurnal Locus Penelitian dan Pengabdian Asian Journal of Healthcare Analytics
Maharani, Andi Ratna Kartika
Universitas Airlangga
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Avascular Necrosis of The Hip Joint Due to Fracture Caput Femur: a Case Report Masithah, Safitri Indah; Nabilah, Nabilah; Kusumawindani, Dananti; Maharani, Andi Ratna Kartika
Jurnal Impresi Indonesia Vol. 4 No. 8 (2025): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i8.6955

Abstract

Avascular necrosis can occur for a variety of causes, both traumatic and atraumatic. The blood supply to the head of the femur can be easily disrupted, leading to avascular necrosis in 15% to 50% of cases of caput femoris fractures. A 72-year-old woman with a history of falls 3 months before admission to the hospital. There was pain in the left pelvic joint and difficulty walking since then. The patient was diagnosed with avascular necrosis and treated with heparin. The goal is to relieve pain, prevent further damage, restore blood supply, and improve the function of the affected joint.
Infeksi pada Lanjut Usia: Epidemiologi, Risiko, dan Pendekatan Klinis Safitri Indah Masithah; Muhammad Rifqo Hafidzudin Farid; Tri Pudy Asmarawati; Erika Marfiani; Andi Ratna Kartika Maharani; Nabilah Nabilah; Dananti Kusumawindani
Jurnal Locus Penelitian dan Pengabdian Vol. 5 No. 5 (2026): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v5i5.5811

Abstract

Infeksi merupakan penyebab utama morbiditas, mortalitas, dan rawat inap pada populasi lanjut usia. Peningkatan usia harapan hidup menyebabkan proporsi individu ?65 tahun dengan multimorbiditas dan kerentanan terhadap infeksi semakin tinggi. Penelitian ini bertujuan untuk mengkaji secara komprehensif epidemiologi, faktor risiko, patofisiologi, manifestasi klinis, serta pendekatan diagnosis, tatalaksana, dan pencegahan infeksi pada pasien geriatri. Metode yang digunakan adalah studi literatur dengan menelaah berbagai publikasi ilmiah terkait infeksi pada lanjut usia di berbagai setting pelayanan kesehatan, termasuk komunitas, rumah sakit, dan fasilitas perawatan jangka panjang. Hasil kajian menunjukkan bahwa infeksi yang paling umum pada lanjut usia meliputi pneumonia, infeksi saluran kemih, sepsis, serta infeksi kulit dan jaringan lunak. Faktor risiko utama mencakup imunosenesens, inflamaging, malnutrisi, frailty, komorbiditas kronik, serta paparan lingkungan medis seperti penggunaan alat invasif dan antibiotik spektrum luas. Manifestasi klinis sering bersifat atipikal sehingga berpotensi menyebabkan keterlambatan diagnosis. Tatalaksana memerlukan pendekatan individual dengan mempertimbangkan perubahan farmakokinetik dan farmakodinamik pada lanjut usia, serta pentingnya antimicrobial stewardship. Kesimpulannya, infeksi pada geriatri merupakan kondisi kompleks yang memerlukan pendekatan multidisiplin, deteksi dini, serta strategi pencegahan yang komprehensif guna menurunkan beban penyakit dan meningkatkan kualitas hidup pasien.
Self-Expandable Metallic Stent Placement for Radiation-Induced Esophageal Stricture: A Case Report Annisa Zahra Mufida; Amie Vidyani; Andi Ratna Kartika Maharani; Amal Arifi Hidayat; Titong Sugihartono
Asian Journal of Healthcare Analytics Vol. 5 No. 1 (2026): May 2026
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ajha.v5i1.15847

Abstract

Radiation-induced esophageal stricture (RIES) represents a severe late complication in patients receiving radiotherapy, resulting in progressive dysphagia that can significantly impair quality of life. Several therapeutic options exist, including endoscopic dilation, injection therapy, incision, self-dilatation, surgical correction, and temporary stent placement. Among these, temporary esophageal stenting offers the potential advantage of providing sustained luminal expansion, stimulating tissue remodeling, and achieving long-term symptom relief. A 47-year-old woman with stage IV breast carcinoma and a prior history of radiotherapy presented with progressive difficulty swallowing. Over three months, her dysphagia worsened from solids to liquids. Endoscopic evaluation revealed a 4 cm esophageal stricture. Initial CRE balloon dilation improved her symptoms temporarily, but recurrence occurred, prompting a repeat endoscopy with adjunctive corticosteroid injection. Due to the relapse, a fully covered self-expandable metallic stent (SEMS) was placed to minimize the need for repeated dilations. The procedure was completed without complications. The management of benign esophageal strictures aims to reestablish luminal patency and alleviate dysphagia. SEMS placement represents an effective and reliable therapeutic option, particularly in cases of radiation-induced stricture where balloon dilation alone fails to achieve lasting results.
Co-Authors Amal Arifi Hidayat Amie Vidyani Annisa Zahra Mufida Asmarawati, Tri Pudy Erika Marfiani Kusumawindani, Dananti Masithah, Safitri Indah Muhammad Rifqo Hafidzudin Farid Nabilah Nabilah Nabilah Nabilah Titong Sugihartono