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Cermin Dunia Kedokteran
Published by PT. Kalbe Farma Tbk.
ISSN : 0125913X     EISSN : 25032720     DOI : 10.55175
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
Cermin Dunia Kedokteran (e-ISSN: 2503-2720, p-ISSN: 0125-913X), merupakan jurnal kedokteran dengan akses terbuka dan review sejawat yang menerbitkan artikel penelitian maupun tinjauan pustaka dari bidang kedokteran dan kesehatan masyarakat baik ilmu dasar, klinis serta epidemiologis yang menyangkut pencegahan, pengobatan maupun rehabilitasi. Jurnal ini ditujukan untuk membantu mewadahi publikasi ilmiah, penyegaran, serta membantu meningkatan dan penyebaran pengetahuan terkait dengan perkembangan ilmu kedokteran dan kesehatan masyarakat. Terbit setiap bulan sekali dan disertai dengan artikel yang digunakan untuk CME - Continuing Medical Education yang bekerjasama dengan PB IDI (Pengurus Besar Ikatan Dokter Indonesia)
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 2,961 Documents
 293   294   295   296   297 
Terapi Kanker Payudara Stadium Lanjut HER2 (+) Hastarita Lawrenti
Cermin Dunia Kedokteran Vol 50 No 10 (2023): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i10.915

Abstract

Approximately 15-20% of breast cancers harbor human epidermal growth factor receptor 2 (HER2) overexpression and/or amplification. This subtype of breast cancer is associated with aggressive behavior, high recurrence rates, and worse prognosis. However, with the introduction of HER2-targeted therapy, trastuzumab, the survival rates have greatly improved. In patients with HER2 positive advanced disease, taxane in combination with trastuzumab and pertuzumab is given in the first-line setting. In the second-line setting and beyond, several emerging anti-HER2 therapies are becoming available including trastuzumab deruxtecan, tucatinib, T-DM1, neratinib, lapatinib, pyrotinib, margetuximab.
Dampak Kebiasaan Merokok terhadap Risiko Anestesi dan Pembedahan Sinta Maharani Fawwaz; Dimas Kusnugroho Bonardo Pardede
Cermin Dunia Kedokteran Vol 50 No 10 (2023): Kedokteran Umum
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i10.928

Abstract

Smoking has negative impact not only to general health but also to surgical outcome by increasing risks of perioperative complications. Perioperative complications due to smoking are cardiopulmonary and neurologic adverse events, altered metabolism of anesthetic drugs, difficult to control postoperative pain, delayed wound healing, and surgical site infection. Stopping smoking before surgery has been shown to decrease the risk of perioperative complications. Perioperative period may provide a teachable momentum for smoking cessation programme and eventually quit smoking.
Studi Pasien Stroke Iskemik dengan Terapi Antiplatelet di Poliklinik Saraf Rumah Sakit Tingkat III Brawijaya Surabaya, Indonesia, Agustus–November 2022 Sri Agustina; Johanes Singoreto Widjaja; Riska Puspasari; Dika Chandra
Cermin Dunia Kedokteran Vol 50 No 8 (2023): Dermatiologi
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i8.998

Abstract

Latar Belakang. Acetosal dan clopidogrel merupakan agen antiplatelet yang sering digunakan dalam pencegahan stroke iskemik. Tujuan. Mengetahui kejadian rekurensi stroke iskemik dengan terapi antiplatelet di poliklinik saraf Rumah Sakit Tingkat III Brawijaya Surabaya. Metode. Penelitian cross-sectional deskriptif non-eksperimental. Data rekam medis pasien stroke iskemik dengan terapi antiplatelet periode Agustus – November tahun 2022 di Rumah Sakit Tingkat III Brawijaya Surabaya. Hasil. Didapatkan 245 pasien stroke iskemik, di mana 146 pasien (59,59%) adalah laki-laki, 140 pasien (57%) dalam rentang usia 19-64 tahun, 158 pasien (64,49%) dengan hipertensi, 80 pasien (32,65%) dengan diabetes melitus, dan 39 pasien (15,92%) dengan jantung. Politerapi kombinasi acetosal dan clopidogrel pada 5 pasien (1,6%), monoterapi antiplatelet pada 240 pasien, 123 pasien (50,2%) menggunakan acetosal. Pasien stroke pertama sebanyak 96,3%. Simpulan. Penderita stroke iskemik terutama pada laki-laki usia 19-64 tahun dengan penyakit komorbid terbanyak adalah hipertensi. Jenis obat terbanyak adalah monoterapi acetosal. Kejadian rekurensi jarang.   Introduction. Acetosal and clopidogrel are antiplatelet agents often used for ischemic stroke prevention. Objective. To observe stroke recurrence among ischemic stroke patients with antiplatelet therapy at Neurology Clinic in Brawijaya level III Hospital Surabaya, Indonesia. Methods. A cross-sectional descriptive non-experimental research on data from medical records of ischemic stroke patients with antiplatelet therapy during August-November 2022 in Tingkat III Brawijaya Hospital, Surabaya, Indonesia. Result. During the survey period, 245 ischemic stroke patients were recorded, 146 patients (59,59%) were male, and 140 patients (57%) aged between 19-64 year-old. Hypertension was found in 158 patients (64.49%), 80 patients (32.65%) with diabetes mellitus, and 39 patients (15.92%) with heart disease. Acetosal and clopidogrel combination was used by 5 patients (1.6%). The majority of 240 patients (98,3%) used monotherapy, whereas 123 patients used acetosal (51,2%). A proportion of 96.3% were first stroke patients. Conclusion. Most ischemic stroke patients are male, aged 19-64 year-old with hypertension as the most common comorbidity. The majority used acetosal monotherapy. Recurrent strokes are rare.
Diagnosis dan Tata Laksana Tinitus Gabriela Widjaja; Vanessa Limdy Gunawan
Cermin Dunia Kedokteran Vol 50 No 8 (2023): Dermatiologi
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i8.999

Abstract

Tinitus merupakan persepsi suara tanpa adanya sumber suara eksternal. Walaupun tidak berbahaya, tinitus sangat memengaruhi kualitas hidup. Sampai saat ini belum ada pengobatan untuk tinitus, namun konseling dan edukasi yang tepat dapat membantu pasien menangani stres yang berhubungan dengan tinitus.   Tinnitus is the perception of sound without external source. Although not considered serious, tinnitus greatly affects quality of life. There is no established cure for tinnitus, but appropriate counseling and education could help patients dealing with stress associated with tinnitus.
Herpes Zoster pada Lansia Diabetes Melitus Olivia Christy Kaihatu
Cermin Dunia Kedokteran Vol 50 No 8 (2023): Dermatiologi
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i8.1001

Abstract

Herpes zoster adalah penyakit neurokutan yang disebabkan oleh virus varicella zoster laten. Lansia dengan diabetes melitus lebih rentan terkena infeksi ini. Kasus: Pria, usia 65 tahun, dengan keluhan lenting disertai nyeri seperti ditusuk di punggung dan dada kiri sekitar 5 hari lalu. Pasien mengidap diabetes melitus tipe 2 (DM tipe 2), rutin mengonsumsi obat hipoglikemik oral (OHO). Diagnosis berdasarkan anamnesis dan temuan klinis yang khas; terapi dengan antivirus, analgetik, dan tetap mengonsumsi OHO.   Herpes zoster is a neurocutaneous disease caused by latent varicella zoster virus. Elderlies with diabetic melitus are more susceptible to this infection. Case: A 65-year old male patient with grouped vesicle and stabbing pain in left side of his back and chest since 5 days. The patient had type 2 diabetes mellitus (type 2 DM) treated with oral hypoglycemic agent. Diagnosis was based on anamnesis and typical clinical findings, and treated with antiviral, analgetic, and continued OAD.
Diseksi Kelenjar Inguinal pada Keganasan: Kasus Serial Ari Oktavenra; Daan Khambri; Yopiq Triputra
Cermin Dunia Kedokteran Vol 50 No 8 (2023): Dermatiologi
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i8.1002

Abstract

Latar Belakang: Keganasan pada ekstremitas bawah, kulit penis, vulva/vagina, dan anus berisiko mengalami metastasis KGB inguinal. Diseksi KGB inguinal dapat memberikan hasil disease-free and overall survival yang baik. Tujuan: Melihat hasil pasca-operasi diseksi KGB inguinal pada kasus serial. Cara: Diseksi KGB inguinal dilakukan pada kasus melanoma maligna TxN2bM0, melanoma maligna TxN1M0, dan cutaneous apocrine carcinoma et phenoscrotal T3N1M0. Diskusi: Diseksi KGB inguinal pada kasus keganasan bermetastasis dari ekstremitas bawah, kulit penis, vulva/vagina, dan anus, memberikan hasil disease-free and overall survival yang baik, namun dengan komplikasi pasca-operasi berkurangnya kualitas hidup.   Introduction: Malignancy in lower extremities, penis skin, vulva/vagina, and anus may spread to inguinal lymph node. Inguinal lymph node dissection can provide good disease-free and overall survival results. Objective: To review postoperative results of inguinal lymph node dissection (ILND) in case series. Method: Inguinal lymph node dissection was done in cases of malignant melanoma TxN2bM0, malignant melanoma TxN1M0, and cutaneous apocrine carcinoma er phenoscrotal T3N1M0. Discussion: ILND can improve disease-free and overall survival results in malignancies cases from lower extremities, skin of the penis, vulva/vagina, and anus with metastases, albeit with postoperative complications that can decrease the quality of life.
Hubungan antara Kecerdasan Emosional dan Perilaku Profesional Mahasiswa Fakultas Kedokteran Universitas Tanjungpura Angkatan 2019 Tama Roma Ida Simangunsong; Ita Armyanti; Iit Fitrianingrum
Cermin Dunia Kedokteran Vol 50 No 9 (2023): Penyakit Dalam
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i9.1033

Abstract

Latar Belakang: Mahasiswa Fakultas Kedokteran dengan kecerdasan emosional dan perilaku perfesional yang baik akan dapat memberikan kualitas pelayanan terbaik, sehingga memaksimalkan pelayanan kesehatan. Kecerdasan emosional juga diperlukan untuk pengembangan perilaku profesional. Tujuan: Mengetahui hubungan kecerdasan emosional dengan perilaku profesional mahasiswa Fakultas Kedokteran Universitas Tanjungpura angkatan 2019. Metode: Studi analitik observasional jenis cross-sectional. Populasi penelitian merupakan mahasiswa Fakultas Kedokteran angkatan 2019. Teknik pengumpulan sampel, yaitu total sampling dengan subjek penelitian 171 orang. Analisis bivariat menggunakan uji korelasi Spearman. Hasil: Mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Tanjungpura angkatan 2019 sebagian besar memiliki tingkat kecerdasan emosional sedang dan memiliki perilaku profesional di bawah rata-rata. Terdapat hubungan positif bermakna antara variabel pengendalian diri, empati, dan keterampilan sosial pada kecerdasan emosional terhadap perilaku profesional mahasiswa Fakultas Kedokteran Universitas Tanjungpura angkatan 2019. Background: Faculty of medicine students with high emotional control will manage their feelings and emotions well to provide the best quality of service. Students need to develop their professional behavior from the beginning of educational process. Purpose: To determine the relationship between emotional intelligence and professional behavior among Faculty of Medicine students, Tanjungpura University batch 2019. Method: A cross-sectional observational analytical study. The respondents were Faculty of Medicine students, Tanjungpura University batch 2019 with a total sampling of 171 respondents. Bivariate analysis used the Spearman correlation test. Result: Students of the Medical Study Program, Faculty of Medicine, Tanjungpura University batch 2019 mostly have a moderate level of emotional intelligence and below-average professional behavior. There is a significant positive relationship between emotional intelligence and professional behavior on the variables of self-control, empathy, and social skills.
Diagnosis dan Tata Laksana Sindrom Tolosa Hunt Amelia Puspita Suhendro
Cermin Dunia Kedokteran Vol 50 No 9 (2023): Penyakit Dalam
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i9.1034

Abstract

Sindrom Tolosa Hunt adalah nyeri periorbital atau orbital unilateral serta paresis satu atau lebih saraf kranial III, IV, dan/atau VI, yang disebabkan oleh peradangan sinus kavernosus, fisura orbital superior, dan rongga orbital. Gejala berkurang dalam 72 jam setelah terapi corticosteroid yang adekuat. Diagnosis yang tepat memungkinkan intervensi segera, dengan demikian dapat mencegah keparahan termasuk kehilangan penglihatan. Tolosa Hunt syndrome is unilateral periorbital or orbital pain and paresis of one or more cranial nerves III, IV, and/or VI caused by inflammation of the cavernous sinus, superior orbital fissure, and orbital cavity. Symptoms will relieve within 72 hours after adequate corticosteroid therapy. Appropriate diagnosis of the disease can allow for immediate intervention and thus prevent severity including loss of vision.
Efek Neurologis Hiponatremia Priscillia Carmenita; Budi Riyanto Wreksoatmodjo
Cermin Dunia Kedokteran Vol 50 No 9 (2023): Penyakit Dalam
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i9.1035

Abstract

Otak beroperasi dalam lingkungan yang sangat rumit dan membutuhkan pengaturan elektrolit secara tepat. Salah satu elektrolit utama dalam tubuh yang juga penting untuk aktivitas otak adalah natrium. Hiponatremia dapat menyebabkan pembengkakan otak yang berbahaya bagi fungsi otak yang dapat dikaitkan dengan keluaran pasien yang lebih buruk. Hiponatremia dapat mengancam jiwa, sehingga membutuhkan tata laksana segera dan tepat. The brain operates in a very complicated environment and requires precise regulation of electrolytes. One of the main electrolytes in the body that is also essential for brain activity is sodium. Hyponatremia can cause brain swelling which is harmful to brain function and can be associated with poorer patient outcomes. Hyponatremia can be life-threatening, thus requiring immediate and appropriate management.
Hubungan Kecerdasan Emosional dengan Tingkat Empati dan Kecemasan pada Mahasiswa Fakultas Kedokteran Universitas Tanjungpura Angkatan 2020 Jessica Juniarta Sihombing; Ita Armyanti; Agustina Arundina Triharja T
Cermin Dunia Kedokteran Vol 50 No 10 (2023): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i10.1075

Abstract

Background. Medical students as a future medical personnel needs empathy to understand patients. However, anxiety due to assignments and lectures can be a barrier in expressing empathy. Emotional intelligence can affect the application of empathy and in overcoming anxie`ty. Purpose. To search the relationship between emotional intelligence and the level of empathy and anxiety among students of Faculty of Medicine, Tanjungpura University, year 2020. Methods. A cross-sectional analytic study on Faculty of Medicine, Tanjungpura University students, year 2020 with total sampling technique. Data from 203 samples was obtained from filling in personal data, L-MMPI questionnaire, stressor sheet, emotional intelligence, JSE S-Version, JSE HPS-Version, and BAI. Spearman correlation test was used for analysis. Results. Hypothesis test results in relation with empathy: self-awareness (p = 0.050; r = 0.138), self-control (p = 0.109; r = 0.113), self- motivation (p = 0.000; r = 0.305), social awareness (p = 0.039; r = 0.14, and social skills (p = 0.025; r = 0.157). Hypothesis test results in relation with anxiety: self-awareness (p = 0,000; r = -0.250), self-control (p = 0.013; r = -0.174), self-motivation (p = 0.013; r = -0.174), social awareness (p = 0.006; r = -0.192), and social skills (p = 0.000; r = -0.243). Conclusion. There are significant positive relationships between self-awareness, self-motivation, social awareness, and social skills on levels of empathy; and significant negative relationship between self-awareness, self-control, self-motivation, social awareness, and social skills on levels of anxiety.

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