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INDONESIA
Cermin Dunia Kedokteran
Published by PT. Kalbe Farma Tbk.
ISSN : 0125913X     EISSN : 25032720     DOI : 10.55175
Core Subject : Health,
Health Professions
Cermin Dunia Kedokteran (CDK) is a Medical Journal published since 1974 and affiliated with PT Kalbe Farma Tbk. CDK is intended to help accommodate scientific publications and help increase and disseminate knowledge related to the development of medical science, pharmacy, and public health. CDK covers the disciplines of medicine, pharmacy, and health with several types of articles, namely: 1. Research 2. Literature review 3. Case report 4. Evidence-based case report (EBCR), systematic review 5. Other scientific articles Based on the SK Kemendikbudristek Nomor 152/E/KPT/2023, CDK has obtained Rank 4 (SINTA 4) for Scientific Journals.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 1,276 Documents
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Liken Amiloidosis - Diagnosis dan Terapi Angelia Carolin; Putu Dyah Ayu Saraswati
Cermin Dunia Kedokteran Vol 50 No 6 (2023): Edisi CME
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i6.917

Abstract

Liken amiloidosis adalah bentuk umum amiloidosis kulit primer yang sering didapatkan pada populasi di Amerika Tengah dan Selatan, Timur Tengah, dan Asia. Penyebabnya tidak diketahui, diperkirakan oleh garukan didukung faktor genetik dan faktor virus. Diagnosis dikonfirmasi dengan deteksi deposit amiloid di dermis papiler. Pilihan terapi adalah dengan steroid topikal atau intralesi, antihistamin, agen retinoid, dan terapi terbaru laser dermabrasi. Prognosis umumnya baik, pada beberapa kasus mengakibatkan rasa gatal kronis yang dapat mengganggu kualitas hidup. Lichen amyloidosis is a common form of primary cutaneous amyloidosis, occurs mainly in Central and South America, the Middle East, and Asia. The cause is unknown, it is thought to be caused by scratching supported by genetic factors and viral factors. Diagnosis is confirmed by the detection of amyloid deposits in the papillary dermis. Treatment are with topical or intralesional steroids, antihistamines, retinoid agents, and laser dermabrasion. Prognosis is generally good, but in some cases, caused chronic itching that can interfere with the patient’s quality of life.
Manajemen Komprehensif Sepsis Akibat Infeksi Saluran Kemih pada Kehamilan Muhammad Habiburrahman; Afid Brilliana Putra
Cermin Dunia Kedokteran Vol 50 No 6 (2023): Edisi CME
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i6.919

Abstract

Ibu hamil rentan mengalami infeksi yang berujung sepsis akibat perubahan fisiologis signifikan berbagai sistem organ. Penyebab sepsis dalam kehamilan tersering bersumber dari saluran kemih, yang disebut urosepsis dengan tingkat mortalitas mencapai 20%–42%. Selain mengancam ibu hamil, sepsis juga berpotensi mengancam kesejahteraan janin. Oleh karena itu, diagnosis dan manajemen sepsis secara dini pada kehamilan sangatlah penting untuk mencegah morbiditas dan mortalitas janin dan ibu. Namun, panduan penatalaksanaan komprehensif sepsis pada kehamilan masih terbatas dan terpencar, sehingga membuat sulit dipahami. Tinjauan pustaka ini dibuat melalui penulusuran bukti ilmiah secara holistik untuk memberikan pemahaman mengenai konsep dasar urosepsis. Aspek diagnosis dan manajemen dirangkum secara komprehensif melalui ilustrasi dan algoritma yang mudah dipahami disertai dengan sistem skoring berkaitan dengan diagnosis dan pilihan terapi farmakologi untuk menangani urosepsis. Pregnant women are susceptible to infections that lead to sepsis due to significant physiological changes in various organ systems. The most common cause of infection in sepsis in pregnancy comes from the urinary tract, called urosepsis, with a mortality rate of 20%–42%. Sepsis also has the potential to endanger the fetus. This issue indicates that early diagnosis and management of sepsis in pregnancy is crucial to prevent fetal and maternal morbidity and mortality. Nonetheless, comprehensive guidelines for managing sepsis in pregnancy are still limited and scattered, making them difficult to understand. This literature review was created through a holistic appraisal of scientific evidence to understand the basic concepts of urosepsis. Aspects of diagnosis and management were summarised through illustrations and algorithms accompanied by scoring system related to diagnosis and pharmacological therapy.
Pendekatan Klinis Neonatus dan Bayi Ikterus Stephanie Taneysa Widodo; Theddyon Bhenlie Apry Kusbin
Cermin Dunia Kedokteran Vol 50 No 6 (2023): Edisi CME
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i6.921

Abstract

Ikterus atau jaundice sering dijumpai pada neonatus dan bayi. Ikterus dapat bersifat fisiologis atau patologis. Pada dasarnya, ikterus merupakan manifestasi klinis peningkatan kadar bilirubin dalam darah atau hiperbilirubinemia. Peningkatan bilirubin yang berlebihan berpotensi toksik dan dapat menyebabkan kematian. Pendekatan klinis yang baik dan terarah sangat penting untuk menentukan secara cepat dan tepat perlunya evaluasi dan intervensi medis lanjutan. Icterus or jaundice is a clinical symptom often found in neonates and infants. The condition might arise from physiological or pathological causes. Jaundice is a clinical manifestation signifying an elevated blood level of bilirubin (hyperbilirubinemia). Excessive increase in bilirubin is potentially toxic and might even lead to death. A good and directed clinical approach is very important to evaluate the need for further medical intervention.
Efektivitas Progesteron Oral dan Vagina pada Tata Laksana Abortus Imminens Pika Novriani Lubis
Cermin Dunia Kedokteran Vol 50 No 6 (2023): Edisi CME
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i6.922

Abstract

Abortus imminens adalah perdarahan yang terjadi sebelum usia kehamilan 20 minggu, tanpa keluarnya janin. Selama kehamilan, progesteron berperan dalam proses implantasi janin ke dalam rahim. Beberapa penelitian menunjukkan bahwa progesteron bermanfaat dalam penanganan abortus imminens, baik dalam bentuk oral maupun supositoria. Sediaan oral terbukti lebih efektif dibandingkan progesteron vaginal. Threatened miscarriage or imminent abortion is vaginal bleeding that happened before a 20-week gestation without fetus expulsion. During pregnancy, progesterone plays a role in the process of implanting the fetus into the uterus. Several studies have shown that oral and suppository progesterone are beneficial for imminent abortion treatment, both in oral and suppository form. Oral preparations have proved to be more effective than vaginal progesterone.
Diagnosis dan Tata Laksana Dispepsia Abdul Jafar Sidik
Cermin Dunia Kedokteran Vol 51 No 3 (2024): Neurologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i3.926

Abstract

Dyspepsia is commonly managed by general practitioners. The main symptom is a feeling of discomfort or heartburn and may be accompanied by a feeling of fullness, nausea, and vomiting. Dyspepsia can be divided into organic dyspepsia and functional dyspepsia. Management of dyspepsia starts from education, diet control, stress management, to drug therapy. 
Kardiomiopati Peripartum sebagai Penyebab Stroke pada Usia Muda Leon Abirawa; Viky Victory; Muhammad Firdaus Kamil
Cermin Dunia Kedokteran Vol 51 No 3 (2024): Neurologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i3.927

Abstract

Peripartum cardiomyopathy can be a cause of stroke in the younger population. A case of stroke in a young woman caused by peripartum cardiomyopathy with early presentation mimics pulmonary tuberculosis is presented. This is a cause for concern in countries with a high prevalence of TB infection.
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
Publisher : PT Kalbe Farma Tbk.

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.
Tinea Inkognito – Diagnosis dan Tata Laksana Alvina Rusmayuni; Limyanti Dwi Vicaria
Cermin Dunia Kedokteran Vol 51 No 2 (2024): Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i2.933

Abstract

Misuses of high potency steroids which are easily accessible without doctor’s prescription and without any fungal examination, may cause tinea incognito. The term tinea incognito refers to dermatophytoses that have lost their classic clinical appearance; it may lead to misdiagnosis. Tinea incognito may imitate other dermatological diagnoses with polymorphic manifestations, including well-circumscribed round or oval lesion, vesicles and scales. Treatment requires cessation of all steroid use and effective antifungal treatment. Alvina Ulfah Rusmayuni, Limyanti Dwi
Tata Laksana Sindrom Koroner Akut dengan Elevasi Segmen ST Sadapan aVR di Rumah Sakit dengan Fasilitas Terbatas: Laporan Kasus David Kristianus; Yuliana Rias Mayasari; Leona Friyanti Ngadiah
Cermin Dunia Kedokteran Vol 51 No 6 (2024): Cardiology
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i6.934

Abstract

Analysis of aVR leads on electrocardiography (ECG) is often given less attention, when in fact ST-segment elevation in aVR leads and diffuse ST-segment depression in other leads indicates circumferential subendocardial ischemia, which can be caused by left main coronary artery occlusion (LMCA) or three-vessel coronary artery disease (3VD) and is associated with a poor prognosis. An 83-year-old male came to the emergency room with chest pain for 18 hours. The ECG showed ST-segment elevation in the aVR with diffuse ST-segment depression in the anteroinferolateral leads. He was diagnosed with acute coronary syndrome (ACS), suspected occlusion of the left main coronary artery (LMCA), and a differential diagnosis of three-vessel coronary artery disease (3VD). Examination of cardiac markers and cardiac catheterization facilities were not available. A loading dose of aspirin and clopidogrel was given. During in-hospital treatment, ECG evaluation showed improvement of aVR ST-segment elevation. Early recognition of ACS with aVR ST-segment elevation and prompt early management are important.
Reinfeksi Morbus Hansen (MH) serta Penggunaan Methylprednisolone yang Tidak Tepat wenly susanto
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.v51i8.938

Abstract

Background: Morbus Hansen (MH), or leprosy, is a chronic granulomatous infection caused by Mycobacterium leprae. This disease still has a negative stigma, leading to ostracism. Methylprednisolone use can affect the risk of leprosy re-infection. Case: A 55-year-old female with complaints of abdominal pain, nausea, vomiting, and weakness accompanied by an active leprosy reaction. The patient had a history of leprosy treatment at the Sumenep Health Center in 2000 and at Sumberglagah Leprosy Hospital in 2004, but did not return for an acid-fast bacilli (BTA) check after therapy. She takes methylprednisolone 4 mg once or twice daily to manage an itch or rash. Her dermatological status was a symmetrical leprosy reaction throughout the body, accompanied by erythematous nodules and ulcerated nodules. Smear MH examination results +3 in indirect bacteriology and 25 bacteria in indirect microbiology. Treatment for multibacillary leprosy for 12–18 months and education were planned to increase patient awareness and compliance and appropriate steroid drug use.

Page 80 of 128 | Total Record : 1276

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