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Medicinus : Jurnal Kedokteran
  • Medicinus : Jurnal Kedokteran
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Published by Universitas Pelita Harapan
ISSN : 19783094     EISSN : 26226995     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Medicinus: Jurnal Kedokteran is an official journal of the Faculty of Medicine, Universitas Pelita Harapan launched in the year 2007. Medicinus is a peer-reviewed and open-access journal that covers basic, translational, or clinical aspects of health and medical science. Medicinus accepts original research articles, review articles, and also interesting case reports. Medicinus: Jurnal Kedokteran is published three times a year in February, June, and October.
Arjuna Subject : -
Articles 429 Documents
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Scientific Programme UPH, FK
Medicinus Vol. 8 No. 1 (2018): oktober 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i0.1300

Abstract

Scientific Programme of the Dies Natalis Faculty of Medicine Universitas Pelita Harapan XVII 2018
In Vitro Susceptibility Of Tigecycline Among Acinetobacter Baumanii Clinical Isolates From a Hospital in Indonesia Wiwing, Veronica; Cucunawangsih, Cucunawangsih
Medicinus Vol. 7 No. 1 (2017): October 2017 - January 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i1.1436

Abstract

Acinetobacter baumanii (A. baumanii) has arisen as the most important cause of nosocomial infection, typically in severely ill patients with many comorbidities and medical supportive devices. Tigecycline is a therapeutic option for treating this infection because of its potential ability against wide spectrum of bacterias, including multi-drug resistance A. baumannii (MDRAB). Our study determine the in vitro susceptibility of tigecycline against A. baumanii isolates and the emergence of MDRAB. The frequency of isolates that were not inhibited at MIC ‰¤ 0.5 µg/ml was 50.46%, at MIC = 1µg/ml was 2.38%, and at MIC = 2 µg/ml was 19.07%. The susceptibility rate of tigecycline against A. baumanii was 68.27% in 2015, 79.58% in 2016, and 67.87% in 2017. In vitro result demonstrated that tigecycline had good value of MIC against A. baumanii at the range of 0.5 to 2 µg/ml.
A Planned Cesarean Section-Hysterectomy for Placenta Previa Totalis Percreta in Patient with History of Two Cesarean Sections Nainggolan, Julita
Medicinus Vol. 7 No. 1 (2017): October 2017 - January 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i1.1442

Abstract

The presence of placenta previa may be associated with placenta accreta[1].  Maternal and fetal morbidity and mortality from placenta previa accreta are considerable and are associated with high demands on health resources. With the rising incidence of caesarean sections combined with increasing maternal age, the number of cases of placenta praevia and its complications, including placenta accreta, will continue to increase[2]. Here, we present a case of  placenta previa totalis percreta in previous cesarean section twice. In this case, patient with placenta previa totalis-percreta we diagnosed and prepared  proper management with the involvement of multidisciplinary team. We reduced blood loss by performing total abdominal hysterectomy immediately after delivered the baby and the postoperative course was uneventful.
Anesthetic Challenges for Modified Bentall Procedure in a Pregnant Marfan Patient with Acute Stanford Type A Dissection Tantri, Irma; Menor, Theresa; Laborte, Nelia
Medicinus Vol. 7 No. 1 (2017): October 2017 - January 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i1.1443

Abstract

Aortic dissection is a life-threatening condition which requires immediate surgical intervention. It has been estimated that half of aortic dissection and/or ruptures in women younger than 40 years of age have been associated with pregnancy.19 The limited data on the coincidence of Marfan syndrome, pregnancy and aortic dissection makes its anesthetic management a formidable challenge to any anesthesiologist.This is a case of a 33-year-old G1P0, 28 weeks age of gestation with Marfan syndrome, who had Aortic Dissection Stanford type A and underwent an emergency Modified Bentall’s surgery with cardiopulmonary bypass and deep hypothermic circulatory arrest.This case illustrates the dilemma of managing this case since there are two patients involved, mother and fetus. Wrong decision could result in demise of both. Although the aim is life for both, survival of one without neurologic sequelae is already considered a success.
Prolaps Organ Panggul Wibisono, Jacobus; Hermawan, Gezta
Medicinus Vol. 7 No. 1 (2017): October 2017 - January 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i1.1444

Abstract

Pelvic organ prolapse is a condition of descent or herniation of woman’s pelvic organs through the birth canal or onto birth canal space. As someone gets older, the incidence of pelvic organ prolapse increases, due to weakening of ligaments and muscles as suspensor for the pelvic organs. Prolapse may or may not show symptoms. Symptoms that occur are associated due to pressure of the pelvic area, difficulty urinating and defecation. The staging of pelvic organ prolapse utilized the Baden-Walker System and Pelvic Organ Prolapse Quantification (POP-Q). Management for pelvic organ prolapse can be done conservatively and operatively, and the decision of which approach should be taken based on the patient’s condition and choice.
Sensitivitas Dan Spesifitas Tes Provokatif Dan Pengukuran Latensi H Refleks Pada Sindrom Piriformis Siahaan, Yusak; Gunawan, Vonny; Suryawijaya, Evelyn; Tiffani, Pamela
Medicinus Vol. 7 No. 1 (2017): October 2017 - January 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i1.1445

Abstract

Background Piriformis syndrome (PS) is one causes of buttock and hip pain which is caused by pressure of sciatic nerves on piriformis muscle. PS is sometime misdiagnosed because of similar clinical signs and symptoms with other lower back pain diagnosis such as Hernia Nucleus Pulposus (HNP), Sacroiliac joint pain, facet joint pain. Gold standard diagnosis of PS is diagnostic block injection. However, provocative test and prolonged H reflex on EMG might be also standard diagnostic of PS.Aim Understand the sensitivity and specificity of provocative test and prolonged H reflex to diagnose PS.Method 72 patients with suspected PS who came to Neurology OPD in period of August- December 2017 were testing with physical examination (provocative test) and Electromyography test of H reflex. PS is diagnosed by positive diagnostic block injection. Data was proceeded with SPSS 20 version.Result 72 patients with buttock pain which diagnosed with PS were dominated by female gender than male with ratio 1:3 with housewives as majority of work. Most age groups were 48.6% elderly (age more than 60 years old). Provocative tests result of Freiberg, FAIR, Beatty, Pace Sign, Hip Abduction sensitivity were 52.30; 66.15; 53.84; 46.15; 55.32 and specificity were 100; 42.85; 71.42; 71.42; 57.14. While sensitivity and specificity of prolonged H reflex more than 1.86 msec were 69.23 and 28.59. Combination of 3 provocative tests (FAIR, Freiberg and Beatty) resulted highest sensitivity and specificity in this study as 71.42 and 100.Conclusion Provocative test and prolong H reflex can be supported diagnosis of PS. However both tests might not be comparable yet than diagnostic block injection as gold standard of PS. Combination of provocative test increased the sensitivity and specificity of provocative test than single test only.
Randomized Trial Comparing Adjuvant Intravitreal Triamcinolone Acetonide 2mg and Bevacizumab 12,5mg for Diabetic Macular Edema Larasati, maria; Setiawati, Arini; Djatikusumo, Ari
Medicinus Vol. 7 No. 2 (2018): February 2018 - May 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i2.1792

Abstract

ObjectivesTo evaluate the efficacy and safety of Intravitreal Triamcinolone Acetonide (IVTA) 2 mg and Bevacizumab (IVB) 12,5 mg for adjuvant therapy of Diabetic Macular Edema (DME)DesignThis was a prospective, randomized clinical trial. Each participants with DME was randomized to received single intravitreal injection of IVTA or IVB  and then being followed until fourth week after injection. The efficacy parameters were the improvement in Best Corrected Visual Acuity (BCVA) in logMAR and Standardized Central Macular Thickness (SCMT) by Optical Coherence Tomography. The safety parameters were the Intra Ocular Pressure (IOP) and Posterior Capsular cataract progression using LOCSIII criteria.ResultsTwenty five eyes of 20 participants were randomly assigned to receive IVTA 2 mg (n=12) and IVB (n=13). At 4 weeks, mean BCVA was better in IVTA group than in IVB group -0,39 logMAR (p<0,05). CMT reduction were significant in all visits of both groups. The SCMT showed 78,37%  at final follow-up for IVTA group. There were no statistic significant difference in the mean IOP and posterior capsular cataract changes among two groups. (p>0,05)ConclusionAdjuvant IVTA injections were more effective than IVB injections in patients with DME. However, it was associated with higher increment in IOP, despite not reaching statistical significance.
Comparison Of Progesterone-Induced Blocking Factor Serum Levels In Preterm Labor And Preterm Pregnancy Bayu, Patrick; Mose, Johanes C; Alamsyah, Muhammad
Medicinus Vol. 7 No. 2 (2018): February 2018 - May 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i2.1793

Abstract

Preterm labor is a multifactorial phenomenon involving inflammatory processes that will affect the balance of Th1 to Th2 by increasing dominance of pro-inflammatory Th1 cytokines and also lead to functional progesterone withdrawal.Progesterone maintains pregnancy mainly by promoting myometrial quiescence and labor is initiated by progesterone withdrawal. Progesterone also has antiinflammatory properties and as an immunomodulator. While it has been postulated that the effect of progesterone on preterm birth is related to its anti-inflammatory properties, the spesific mechanism of action remains unclear.The biological effects of progesterone are mediated by a 34-kDa protein named the progesterone-induced blocking factor (PIBF). PIBF is synthesized by lymphocytes of healthy pregnant women in the presence of progesterone. PIBF inhibits arachidonic acid production, reduced NK cell activity, and modifies the cytokine balance.The objective of this study was to compare serum concentrations of PIBF of women with preterm labor with those women with normal pregnancy. A comparative analytical study with cross-sectional design was conducted. This study consisted of 16 women in each group. All the subjects met the inclusion criteria and were admitted to the Dr . Hasan Sadikin hospital and it’s district hospital. This study conducted from July until November 2013. Serum PIBF concentrations were measured by enzyme-linked immunosorbent assay ( ELISA) .Mean PIBF concentrations in serum of patients with preterm labor were significantly lower (391.4051 ± 1021.162 ng/mL ) than in those of normal pregnancy (174.2165 ± 1297.675 ng/mL) with p = 0.029 . It was concluded that the levels of serum PIBF preterm labor is lower than in normal pregnancy.
Epilepsi Dalam Kehamilan Fidelia, Fidelia; Nainggolan, Julita D L
Medicinus Vol. 7 No. 2 (2018): February 2018 - May 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i2.1796

Abstract

Epilepsi merupakan salah satu kondisi neurologis yang paling sering ditemukan pada ibu hamil, dengan prevalensi 0,5-1%. Telah dilaporkan bahwa sebanyak 12 dari 14 kasus kematian ibu yang terjadi sejak tahun 2009 hingga 2012, diklasifikasikan sebagai sudden unexpected death in epilepsy atau SUDEP dengan kondisi kejang yang tidak terkontrol dengan baik yang merupakan faktor penyebab utama. Perubahan fisiologis selama kehamilan dapat berpengaruh terhadap farmakokinetik dari obat antiepileptik sehingga dapat menimbulkan bangkitan kejang pada wanita dengan epilepsi yang sedang hamil. Angka kejadian fetal loss akibat pengaruh epilepsi atau obat antiepileptik cenderung rendah. Pengaruh obat antiepileptik terhadap kehamilan dapat berakibat pada malformasi kongenital mayor, perkembangan neurokognitif yang terganggu, risiko obstetrik, dan komplikasi perinatal.
Pseudokista Pankreas pada Pasien Pediatrik yang Diterapi dengan Drainase Eksternal Halim, Freda S
Medicinus Vol. 7 No. 2 (2018): February 2018 - May 2018
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v7i2.1839

Abstract

Background : Pseudocyst of pancreas in pediatric patient is a rare case. Therapy usually conservative, while we wait the wall of the pseudocyst become thick and mature, then followed by internal drainage of jejunum and the pseudocyst. The controversy arise in this case where the external drainage is performed due to feeding trouble with significant decrease of the patient’s body weight after trauma. The purpose of this case report is to give insight that external drainage is possible and should be considered in pediatric patient with pseudocyst of pancreas,  primarily  where the exploratory by laparoscopy is possible and feeding problem becomes the main problem.Case : A 4 year old boy come to ER with chief complain pain at the gastric region after blunt abdominal trauma 12 hours before admission. Primary survey was normal with stabile hemodynamic. At first admission, the physician found abdominal distention with tenderness and rebound tenderness without muscular rigidity. In bed-site abdominal USG free fluid was found without abnormality at the solid nor hollow organs.  Abdominal CT showed no active bleeding nor abnormality. After 1 week of inpatient care, feeding (even fluid by oral feeding)becomes a constant problem and abdominal distention is increasing.Therapy : Exploratory by laparoscopic of the abdomen cannot be conducted due to inadequate instruments, then exploratory laparotomy was chosen. Pseudocyst of pancreas was found, 5x4 cm in size with hematoma at the tail of pancreas. External drainage was performed. After the operation the patient dramatically improved, he could tolerate both fluid and solid diet. The patient discharged 4 days after the operation. 3 months after the 1st operation, the patient come with good condition and minimal fluid come from the drain, so the drain was pulled out. Internal drainage was not needed in this case.Conclusion : External drainage could be considered in pediatric patient with pseudocyst of the pancreas if the feeding problem becomes prominent and the laparoscopic instrument is available.

Page 28 of 43 | Total Record : 429

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