DSpace Collection:http://localhost:8080/xmlui/handle/123456789/89112026-04-26T21:56:05Z2026-04-26T21:56:05ZCurrent Diagnostic and Treatment Approach of Clostridioides difficile InfectionYunita, BellaFauzi, Achmadhttp://localhost:8080/xmlui/handle/123456789/89782024-12-14T03:25:07Z2023-04-02T00:00:00ZTitle: Current Diagnostic and Treatment Approach of Clostridioides difficile Infection
Authors: Yunita, Bella; Fauzi, Achmad
Abstract: ABSTRACT
C. difficile infection is related to wide spectrum of disease, from self-limiting diarrhea to fulminant disease
that can cause toxic megacolon or pseudo-membrane colitis. Difficult approach to diagnose this disease is
also problem. C. difficile infection is diagnosed when diarrhea occurred in high risk patient with positive result
of GDH or NAAT test that was confirmed by positive result of toxin test. Nevertheless, there is limited choice
of treatment in Indonesia. Thus, the main priority of C. difficile infection in Indonesia is associated with its
prevention, by implementing standard precaution and use of rational antimicrobial.
Keywords: C. difficile infection, colitis, diagnosis, diarrhea, treatment2023-04-02T00:00:00ZSleep Problem in Post COVID-19 Patient, Its Impact on Quality of Life and Current Management: An Evidence-based of Case ReportShatri, HamzahZainudin, RizkaArdani, YanuarFaisal, EdwardPutranto, Rudihttp://localhost:8080/xmlui/handle/123456789/89772024-12-14T03:21:09Z2023-04-02T00:00:00ZTitle: Sleep Problem in Post COVID-19 Patient, Its Impact on Quality of Life and Current Management: An Evidence-based of Case Report
Authors: Shatri, Hamzah; Zainudin, Rizka; Ardani, Yanuar; Faisal, Edward; Putranto, Rudi
Abstract: ABSTRACT
Background: COVID-19 is a global health problem that affects both physical and psychological aspect
of patients. Sleep problems were experienced by many patients during the acute phase of after COVID-19
recovery. It affects patient’s quality of life and required comprehensive management. This evidence-based case
report aims to study the effect of sleep disturbance on quality of life and what is the appropriate management
in post COVID-19 patients. Methods: searching were conducted in Pubmed, Cohcrane, EBSCO according to
clinical questions. Study was selected based on inclusion and exclusion criteria, then it was critically appraised.
Results: high score on the insomnia severity index and the Pittsburgh sleep quality index were found to be associated
with quality of life. Cognitive Behavioural Therapy is currently the best evidence-based treatment in patient during
and after COVID-19. Conclusion: sleep disturbance is a problem that many post COVID-19 patient face and CBT
can improve their quality of life.
Keywords: sleep problem, post COVID-19, quality of life, cognitive behavioural therapy2023-04-02T00:00:00ZPulmonary Artery Wedge Pressure Formula Using Echocardiography FindingMakmun, Lukman H.Kamelia, TellyAstagiri Yusuf, Prasandhyahttp://localhost:8080/xmlui/handle/123456789/89762024-12-14T03:21:03Z2023-04-02T00:00:00ZTitle: Pulmonary Artery Wedge Pressure Formula Using Echocardiography Finding
Authors: Makmun, Lukman H.; Kamelia, Telly; Astagiri Yusuf, Prasandhya
Abstract: ABSTRACT
This study aims to introduce a new formula for pulmonary artery wedge pressure (PAWP) derived from the
pathophysiology of Velocity A (VA) waves. The current formula is the the Nagueh formula. Left ventricular (LV)
filling is described as a velocity A (Va) wave. The Va wave represents the filling rate of the end-diastolic blood
phase from the left atrium (LA) to the LV which can be determined on echocardiography. Left ventricular end
diastolic pressure (LVEDP) is equivalent to LA pressure and is also equivalent to PAWP. The gold standard
method for obtaining PAWP values is right heart catheterization. By measuring the Va waves in the bloodstream,
a new PAWP formula is obtained, and the PAWP examination can be validated in research and can be compared
with several other PAWP formulas that are currently the world’s standard formula for calculating pulmonary
artery wedge pressure (PAWP).
The new PAWP formula is obtained from the conversion of the Va wave. This formula could be validated
further in research and used in clinical practice.
Keywords: Velocity A wave (Va wave), pulmonary artery wedge pressure (PAWP) formula.2023-04-02T00:00:00ZRare Case: Unilateral Acute Primary Angle-closure Glaucoma After Colonoscopy in Malang, East Java, IndonesiaSupriono, SuprionoNurul Hatinah, AmaliaFachrureza, MochamadMustika, SyifaPratomo Wibowo, Bogihttp://localhost:8080/xmlui/handle/123456789/89742024-12-14T03:17:29Z2023-04-02T00:00:00ZTitle: Rare Case: Unilateral Acute Primary Angle-closure Glaucoma After Colonoscopy in Malang, East Java, Indonesia
Authors: Supriono, Supriono; Nurul Hatinah, Amalia; Fachrureza, Mochamad; Mustika, Syifa; Pratomo Wibowo, Bogi
Abstract: ABSTRACT
Glaucoma is a heterogeneous group of optic neuropathies characterized by a progressive loss of retinal
ganglion cells (RGCs) with corresponding visual field defects, and one of the main risk factors is elevated
intraocular pressure (IOP). Furthermore, colonoscopy procedures require insufflation of the colon lumen with
gases which can increase intraabdominal pressure (IAP) and ends with an elevation of IOP. Glaucoma is an
infrequent complication due to colonoscopy; in this case, a 63 years-old woman was diagnosed with glaucoma
after a colonoscopy procedure. A few hours after the colonoscopy, the patient suffered blurred vision in the left
eye, and the physical examination revealed mixed conjunctival and ciliary injection with visual acuity of 1/300.
There was an increase in IOP with a value of 40,2 mmHg on Schiotz tonometry. This case presented the pitfalls
of the procedure and the importance of taking glaucoma awareness before a colonoscopy.
Keywords: colonoscopy, glaucoma, intraabdominal pressure, intraocular pressure2023-04-02T00:00:00Z