Page 2 (data 31 to 60 of 137) | Displayed ini 30 data/page
<< PREV 1 2 3 4 5 NEXT >>

31	Biomedical Science	ABS-98
The Impact of Humorous Video in Short Term Memory of Batch 2019 Students of Faculty of Medicine, Jenderal Achmad Yani University Daswara Djajasasmita, Dessi Suri Astutie, Andri Anugerah Kusuma, Fahmi Nur Hidayatullah Medical Faculty, Jenderal Achmad Yani University Abstract Human can not be separated from the process of remembering. Process of remembering is closely related to memory, one of which is short-term memory. A first year students at the Faculty of Medicine is required to be able to manage information well. There are some ways that can be used to help someone improve their short-term memory, one of them is by showing them a funny or humorous video. Based on previous research about humor, many research respondents said that they enjoyed learning more when an instructor used humor in the classroom. The purpose of this study was to determine the effect of humorous shows in improving short-term memory in first year students at the Faculty of Medicine, Unjani. This study uses a quasi-experimental method, by comparing short-term memory before and after watching humorous shows using the Digit Span Test. The results of the research with the forward method are 5,37 on average before watching humorous video and 6,17 after watching humorous video. With the backward method, the result are 5,50 on average before watching humorous video and 6,50 after watching humorous video. The results of the p value showed significant results (p <0.05). This is because these humorous video can stimulate the amygdala to send signals of positive emotional experiences that will produce endorphins. These endorphins will cause alpha waves to become dominant and the function of the frontal lobes will be activated, so that a person will feel calm and comfortable, and easy to concentrate. Based on this it can be concluded that watching humor shows can improve short-term memory. Keywords: First year student, Short term memory, Humorous video Share Link | Plain Format | Corresponding Author (Daswara Djajasasmita)

32	Biomedical Science	ABS-102
THE EFFECT OF RAMBUTAN HONEY ON DECREASE BLOOD GLUCOSE STREPTOZOTOCIN-INDUCED RAT COMPARED TO RUTIN Iis Inayati Rakhmat (a), Euis Reni Yuslianti (a), Welly Ratwita (b), Nurul Sofiana Mutiadewi (c*) a) Biochemistry and Biological Molecular Department of Jenderal Achmad Yani University b) Pharmacology Department of Jenderal Achmad Yani University c) Medical Faculty of Jenderal Achmad Yani University Terusan Jend. Sudirman Street No. 40533, Baros, Kec. Cimahi Tengah, Cimahi City, West Java 40525 *nurul.sofiana[at]gmail.com Abstract Diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia due to insulin work disorders, insulin secretion disorders, or both. Rambutan honey as a natural ingredient has been studied to reduce oxidative stress, to protect pancreatic beta cells from damage, and to increase insulin secretion by pancreatic beta cells. Rutin as secondary antioxidants increase insulin secretion and reduce free radical formation. This study aims to determine the effect of rambutan honey on blood glucose levels in rats induced by streptozotocin compared to rutin. This research is a laboratory experimental study with a total sample of 24 experimental animals consisting of 4 groups, namely negative control (NC), positive control (PC), and 2 treatment groups (T1-T2). Glucose levels were measured using the GOD-PAP method and were analyzed statistically (T-dependent, Anova, Duncan p <0.05). The results showed that rambutan honey and rutin could significantly reduce blood glucose levels (p=0.008 and p=0.010). This study concludes that both rambutan honey and rutin can reduce blood glucose level because they are antioxidant agents which have antihyperglycemic effects and rambutan honey can decrease blood glucose better than rutin because of more diverse mechanisms. Keywords: Keywords: diabetes, blood glucose, insulin, rambutan honey, rutin Share Link | Plain Format | Corresponding Author (Nurul Sofiana Mutiadewi)

33	Biomedical Science	ABS-104
ACUTE TOXICITY TEST OF ETHANOL EXTRACT RED CURLY CHILI FRUIT (Capsicum annum L) IN MICE (Mus musculus) STRAIN DDY H. Maman Djamaludin* , Iis Inayati Rakhmat** and Sinta Dhea Utami*** * Departemen of Pharmacology **Departemen of Biochemistry and Molecular Biology * Faculity of Medical, Jenderal Achmad Yani University Abstract Curly red chilies(C annum L) are used for cooking and herbal medicine ingredients.The efficacy has been scientifically proven to have antiinflammatory,anticancer,anticoagulant and antibacterial effects.Needs further testing to find out the safety of its use namely acute toxicity test.The purpose of the study was to assess the degree of toxicity of LD50,changes body weight,organ weight,organ index and macroscopic appearance.This research is an experimental study with Posttest Only Control Group Design method.Total of 24 female and male DDY mice were divided into 4 groups,namely 1control group and 3 test groups.The control group was given feed,drinking water,and CMC while the treatment group was added with EEBCKM at dose of 500 mg/kgbb,1000 mg/kgbb,and 2000 mg/kgbb for 14 days.At 24 hours,counting the number of deaths followed by weighing for 14 days and on the 15th day necropsy was performed to see the macroscopic appearance of the organs weighing organs and organ indexes were obtained from the ratio of body weight to organ weight.The result is we found that there were no deaths in all groups so that the LD50 was above 2000 mgg/kgbb.Statistical analysis showed significant changes in bodyweight with p=0.002and0.003,significant changes in liver and kidney organ weights,significant changes in the index of the liver,kidneys of female and male mice with a value p<0.05,and changes in liver and kidney color at dose of 2000 mg/kgbb and organ enlargement.Administration of it to mice was categorized as relatively non-toxic and showed a delayed toxic effect on the weight loss of female mice and organ index. Keywords: Capsicum annuum longum, mice DYY strain, toxicity test Share Link | Plain Format | Corresponding Author (Sinta Dhea Utami)

34	Biomedical Science	ABS-105
THE EFFECT OF FAT COMPOSITION TO LIVER ENZYMES, CHOLESTEROL TRIGICERIDE AND LIVER MDA LEVELS IN WISTAR STRAIN RATS WHICH IS INDUCED BY HIGH FAT DIET Fransiska Ambarukmi1, Hendri Priyadi2, Evi Soviai3, Lia Siti Halima4, Endry Septiadi5 Fakultas Kedokteran Universitas Jenderal Achmad Yani Abstract Research to assess liver damage has been widely studied, but intervention models of liver damage still use hepatotoxic substances. The important thing in research on Non Alcoholic Fatty Liver Disease, is that it is difficult to compare the results of the studies, because the variety of studies is very diverse. The description of diet composition that uses fat content as the main source of calories is neglected. The target of this study is to obtain scientific information regarding the composition of fat diet which can be used to induce dyslipidemia and liver damage. The study used 15 rats with the number of replications for each group was 3 rats in 5 groups consisting of negative controls, groups that were given a diet of 50%, 60%, 70% and 80% fat for 2 weeks. The indicators assessed were lipid profiles including triglyceride levels, total cholesterol, SGPT enzyme levels and liver MDA. The data obtained were analyzed using One Way Anova and Duncan^s test, with a confidence degree of 95%. The results showed that giving a high-fat diet with a composition of up to 80% fat did not result in a significant increase in triglyceride levels, but resulted in a significant increase in liver cholesterol, SGPT and MDA levels. The diet with a composition of 50% fat for 2 weeks increased cholesterol and liver MDA levels which was significantly different from the control group, whereas a significant increase in SGPT levels was seen in the group given a 70% high-fat diet. Giving a high-fat diet for 2 weeks can increase cholesterol, SGPT enzymes and liver MDA levels, but is not able to increase triglyceride levels significantly. Keywords: High fat diet- Cholesterol- Liver MDA- SGPT- Triglyceride Share Link | Plain Format | Corresponding Author (Fransiska Ambarukmi Pontjosudargo)

35	Biomedical Science	ABS-108
Effect of Sweet Orange and Pomegranate Peel Extract Combination on in Vivo Antidiabetic and Wound Healing Activity Evi Soviaa*, Rini Sundari Harjonob, R.J Nurjatinc, Wisna Dirgahasari Asmarad, Aktiva Syifaaur Rohmahd aLaboratory of Pharmacology, Faculty of Medicine, Universitas Jenderal Achmad Yani, Cimahi, Indonesia bLaboratory of Clinical Pathology, Faculty of Medicine, Universitas Jenderal Achmad Yani, Cimahi, Indonesia cLaboratory of Physiology, Faculty of Medicine, Universitas Jenderal Achmad Yani, Cimahi, Indonesia dFaculty of Medicine, Universitas Jenderal Achmad Yani, Cimahi, Indonesia Abstract Sweet orange (Citrus sinensis) and pomegranate (Punica granatum) peel known have an antihyperglycemic effect. This study investigated the effect of the combination of both plants on blood glucose level and wound healing in alloxan induced diabetes rats. Rats were divided into 4 groups. One normal group and 3 treatments groups that induced by intraperitoneal injection of a single dose of alloxan 125 mg/kg and given a combination of sweet orange and pomegranate extracts. The treatment was given for 12 days. Blood glucose levels and the rate of wound closure were measured on the 13th day. The combination of sweet orange and pomegranate peel extracts showed significant (p &#8804- 0.05) reduction in blood glucose and wound closure time compared with diabetes control. Based on these results, a combination of sweet orange and pomegranate have a potential effect as an antidiabetic agent and treatment of chronic wounds in diabetes. Keywords: Keywords: antidiabetic, pomegranate, sweet orange, wound healing Share Link | Plain Format | Corresponding Author (Evi Sovia)

36	Biomedical Science	ABS-109
Emerging Pharmacotherapies for COVID-19 Evi Sovia Department of Pharmacology, Faculty of Medicine, Universitas Jenderal Achmad Yani Abstract Corona-virus Disease 2019 (COVID-19) pandemic conditions have presented challenges for health professionals to determine the appropriate pharmacological therapy in a limited time. Currently, no specific treatment is available against the new virus SARS-CoV-2. Hence, the search for effective therapeutic agents to tackle COVID-19 is vital and urgent. It is cost-effective to study the current antiviral and other drugs against SARS-CoV-2 in view of the time and cost needed to come up with new therapies. The repurposing of available drugs for the management of many disease conditions has become an increasingly common technique in recent times. Based on the pathogenesis of COVID-19, pharmacological treatments for COVID-19 can be divided into two step. Early in the process of infection, SARS-CoV-2 replication is the main driver of the disease. Later in the process of infection, an exaggerated immune/inflammatory response to the virus that leads to damage to tissues is driven by the disease. Based on this understanding, it is expected that antiviral therapies will have the greatest effect early in the course of illness, whereas in the later phases of COVID-19, immunosuppressive treatments are likely to be more effective. The present review will focus on the repurposing efficacy of the currently used drugs against COVID-19. Number of antiviral drugs such as remdesivir, favipiravir, chloroquine, hydroxychloroquine, ivermectin, lopinavir, ritonavir have shown inhibitory effects against the SARS-CoV2 in-vitro as well as in clinical conditions. The immune based therapy like corticosteroids, tocilizumab, baricitinib, casirivimab, and bamlanvimab have shown some promise in more severe cases. Keywords: COVID-19, SARS-CoV-2, antiviral, immune based therapy Share Link | Plain Format | Corresponding Author (Evi Sovia)

37	Biomedical Science	ABS-113
ORGANOLEPTIC TEST AND PHYSICCHEMICAL CHARACTERISTIC OF FRUITGURT RED GUAVA Ania Kurniawati Purwa Dewi, Siska Telly Pratiwi, Yulistio Hanif, Desi Veronica Medical Faculty, Universitas Jenderal Achmad Yani Abstract Red guava fruitghurt is a fermented product of red guava using lactic acid bacteria (LAB), namely Lactobacillus acidophilus which also acts as a reliable probiotic bacterium which is very beneficial for the body. Previous research found that with tapioca with a concentration of 0.5% in red guava juice medium added with 10% sucrose showed the best growth of Lactobacillus acidophilus. The purpose of this study was to find out the most preferred red guava fruitghurt by panelists in terms of color, aroma, taste, and texture and physicochemical characteristics of red guava fruitghurt fermented by Lactobacillus acidophilus with the addition of sucrose and tapioca as an emusifier. This research method uses an experimental method using a questionnaire on 30 untrained panelists who are employees of the Faculty of Medicine, General Achmad Yani University who meet the inclusion and exclusion criteria for organoleptic and experimental laboratory tests for physicochemical tests which include physical tests: pH, water content and chemical test: protein content, fat content, acid content. The object of this study was fruitghurt, red guava juice, fermented by the bacteria Lactobacillus acidophilus ATCC 4356 with the addition of 0% and 0.5% tapioca concentrations. The organoleptic test results showed that the panelists preferred red guava fruit, fermented Lactobacillus acidophilus with the addition of 0.5% tapioca in terms of color, aroma, taste and texture. The physicochemical test results of fruitghurt with the addition of 0.5% tapioca, which include pH, water content, protein content, fat content, and acid content all meet the SNI Youghurt requirements, while the physicochemical test results for fruitghurt without tapioca additions do not meet the SNI requirements. on the fat content. Keywords: red guava, fruitghurt, physicochemical, organoleptic Share Link | Plain Format | Corresponding Author (Ania KPD)

38	Biomedical Science	ABS-122
THE INFLUENCE OF Cissus quadrangula Salisb EXTRACT TO BONE LENGTH AND THE NUMBER OF OSTEOBLAST IN FEMUR OF DDY MICE Hendri Priyadi, Fransiska Ambarukmi Pontjosudargo, Irmadella, Alif Pascal Fakultas Kedokteran Universitas Jenderal Achmad Yani Abstract Cissus quadrangularis have been proven to have an influence on bone growth and the healing process in fractures and prevention of osteoporosis. Cissus quadrangularis has been widely used as traditional medicine and has proven to increase osteoblast activity, and could accelerate the recovery of bone fractures. The aim of this study was to assess the effect of the stem of Sipatah-patah (Cissus quadrangularis) on the growth of bone length and the number of osteoblast cells in mice femur. This study used a comparative method with a completely randomized design of 24 mice which were divided into 4 groups. P0 is a control group that is only given standard food, while P1 to P3 are the treatment groups given Cissus quadrangularis extracts at doses of 500 mg/KgBW, 700 mg/KgBW and 900 mg/KgBW. The extract was given for 30 days, then measured the length of the bone and the number of osteoblasts on the metaphyseal plate of mice femur. Data were analyzed using One Way ANOVA and Post Hoc Duncan^s test with a 95% degree of confidence. The results showed that Cissus quadrangularis extract at a dose of 700 mg/KgBW and 900 mg/KgBW had an effect on femur length and the number of osteoblasts was significantly higher (p <0.005) than the control group. It can be concluded that Cissus quadrangularis extract has the effect of increasing the length growth and number of osteoblasts Os. Femur in DDY strain mice. Keywords: Cissus quadrangular Salibs, bone length, osteoblast, femur Share Link | Plain Format | Corresponding Author (Hendri Priyadi)

39	Biomedical Science	ABS-133
THE EFFECTIVE DOSE OF POMEGRANATE PEEL EXCTRACT TO IMPROVE SGPT ENZYME AND PLASMA MDA LEVELS IN RATS WHICH INDUCED BY CCL4 Fransiska Ambarukmi Pontjosudargo FK Unjani Abstract The study was conducted to determine the effective dose of pomegranate peel extract against liver damage by measuring SGPT and MDA plasma levels in male rats induced by CCl4. The target of this study is to prove the inhibitory effect of pomegranate peel extract on rat liver damage due to CCl4 induction and to obtain the optimal dose. This was a laboratory study with a completely randomized design, using a sample of 36 rats with the number of replications per group was 4 rats. The objects are grouped into 9 groups which will compare the effects of pomegranate peel extract in various doses ranging from 100 mg/KgBW to 600 mg/KgBB. Indicators of inhibition of liver damage in terms of plasma SGPT and MDA levels. Data analysis used the Kruskal Wallis test followed by the Mann-Whitney test. The results showed that the treatment group with a dose of 300 mg/KgBW to 600 mg/KgBW had significantly lower plasma levels of SGPT and MDA (P <0.05) compared to the positive control who was given CCl4. Pomegranate peel extract at a dose of 500 mg/KbBW was the most effective at inhibiting the increase in SGPT levels, while the doses of 400 mg/KgBW and 500 mg/KgBW were able to inhibit the increase in plasma MDA levels with the same effectiveness (p>0.05). The ethanol extract of pomegranate peel was able to inhibit the increase in SGPT levels with the most effective dose of 500 mg/KbBW and inhibit plasma MDA levels with the most effective dose of 400 mg/KgBW. Keywords: Pomegranate Peel, SGPT, MDA, CCL4 Share Link | Plain Format | Corresponding Author (Fransiska Ambarukmi Pontjosudargo)

40	Biomedical Science	ABS-137
Suitability of Head Examination Image with CT Scan and Electrical Capacitance Volume Tomography (ECVT) in normal patients Hindun Saadah, Ilma Fidiyanti, Omat Rachmat H University Of jenderal Achmad Yani Abstract CT scan (Computerized Tomography) is a diagnostic tool using radiographic techniques with absorption of x-rays. The results of the picture are in the form of hypodensity or hyperdensity. CT scan is one of the gold standard supporting examination tools for diagnosing stroke in the presence of hypodense (stroke infarction) and the presence of hyperdensity (hemorrhagic stroke). ECVT (Electrical capacitance volume tomography) is a static electric field-based scanning system capable of scanning from inside the wall to the outside of the wall. ECVT can describe the electrical conditions of the brain. Early detection of the incidence of stroke is needed, especially in Puskesmas facilities as the leading health service in Indonesia. This study aims to see the suitability of the CT scan and ECVT results in normal patients. This study is a cross-sectional prospective diagnostic test with analytic data analysis to assess sensitivity and specificity. This study was conducted on 20 normal patients by performing a CT scan. and ECVT. CT scan results in 20 normal patients showed no hypodense lesions and abnormal positions. In the ECVT results, there is a difference in the distribution of brain electrical activity between normal patients. In normal patients, the value of the quantification range of the brain electrical activity index between normal patients relatively was not different. Keywords: Keywords: CT Scan, ECVT, Stroke Share Link | Plain Format | Corresponding Author (Hindun Saadah)

41	Biomedical Science	ABS-143
EFFECT OF ETHANOL EXTRACT OF ROBUSTA LAMPUNG COFFEE ON THE FUNCTION OF THE LIVER AND KIDNEY OF WISTAR RAT Dewi Ratih Handayani1, Aditya Gilang Nur Pratama2, I Wayan Agus Putra2 1Department of Biochemestry, Faculty of Medicine,Universitas Jenderal Achmad Yani, Faculty of Medicine, Universitas Jenderal Achmad Yani Abstract Phytochemical tests of coffee show that coffee contains antioxidant compounds such as caffeine and chlorogenic acid, which play a role in the healing process of disease. However, it is necessary to know the safe dosage of coffee extract use in treating diseases. The purpose of this study was to determine the effect of ethanol extract of Robusta Lampung coffee beans on plasma of AST,ALT, urea, and creatinine of Wistar rats. This study used white male Wistar rats which were divided into Group K (control), Group P1 was given ethanol extract of Robusta coffee beans (EECB) with a dose of 625 mg/Kg BW, Group P2 with a dose of 1250 mg/Kg BW. Group P3 dose 2500 mg/Kg BW, Group P4 dose 5000 mg/Kg BW. Observations were made from the 1st to the 14th day, on the 15th day ALT, AST, urea, and creatinine were examined. The results showed an increase in the mean levels of ALT, AST, and urea in the P1-P4 group, and there was a significant difference using the ANOVA test with p-value <0.05. Creatinine levels did not show any difference. Tukey^s PostHoc Test, AST levels were significantly increased in the P3 and P4 groups, while ALT and urea increased in the P4 group. The conclusion of this study is that ethanol extract of Robusta Lampung coffee beans, a dose of 2500 mg/Kg BW increases plasma AST levels, while a dose of 5000 mg/Kg BW increases levels of ALT, AST, and urea. Keywords: ALT, AST, coffee, creatinine, urea Share Link | Plain Format | Corresponding Author (M Helmi)

42	Clinical Practice in Pandemic Era	ABS-1
Mechanical Ventilation Therapy on Covid-19 Arief Kurniawan Medical Faculty Universitas Jenderal Achmad Yani, Dustira St. 1, Cimahi, Indonesia Abstract Introduction: Covid 19 patient in critical condition characterized by Acute Respiratory Distress Syndrome (ARDS) for which the mainstay of treatment is represented by mechanical ventilation, sepsis and septic shock that require immediate treatment to save his life. Method: a literature review of mechanical ventilation therapy on Covid 19 through the search of textbook and accredited journal sites. Result: Currently the pulmonary manifestations of Covid-19 are described as a spectrum with 2 points. The starting point is infection Covid-19 type L which responds to oxygen therapy conventional and requiring Covid-19 type H infection oxygen therapy with higher pressure. As initial therapy, give oxygen with a nasal cannula or face mask, if it is not respond use High Flow Nasal Canule (HFNC). Non Invasive Ventilation (NIV) is considered if there are no signs of immediate need for intubation but must be accompanied by close monitoring with a target SpO2 of not more than 96%. Immediately intubate and give mechanical ventilation if this occurs deterioration during use of HFNC or NIV or not improving within 1 hour. Ventilation mode may use volume or pressure based with the recommended Tidal Volume range is 4-8 ml / kgbw. Use end-expiratory positive pressure (PEEP) limit height in type H while in type L limit with a maximum PEEP of 8-10 cmH2O. The breathing rate is regulated by calculation adequate minute ventilation with a plateau pressure (Pplat) <30 cmH2O. If refractory hypoxemia occurs, have pulmonary recruitment and consider extracorporeal membrane oxygenation (ECMO) therapy. Conclusion: Mechanical ventilation therapy requires initiation, steps and appropriate ventilator settings according to the severity of Covid-19. Keywords: Covid-19, HFNC, mechanical ventilation, NIV, PEEP, Pplat. Share Link | Plain Format | Corresponding Author (Arief Krniawan)

43	Clinical Practice in Pandemic Era	ABS-13
CHARACTERISTICS OF INPATIENTS SUSPECTED COVID-19 BASED ON SWAB RESULTS RT-PCR IN DUSTIRA ARMY HOSPITAL (PERIOD ON AUGUST, 15 th - NOVEMBER, 15th 2020) Sigit Sasongko S 1, Yanti Nurrokhmawati Y 2, DF Rahayu 3 Dep THT RSPAD Gatot Soebroto, 2. Dep, THT-KL FK UNJANI. 3. Komite Medik Rumkit Tk. II 03.05.01 Dustira Abstract Coronavirus Disease 2019 (Covid-19) is an infectious viral disease of a new type of betacoronavirus and is named 2019 novel Coronavirus (2019-nCoV). WHO recommends diagnostic tests for patients with suspected Covid-19, with molecular detection / NAAT (Nucleic Acid Amplification Test) such as RT-PCR using the naso-oropharyngeal swab method. This research discuss about the characteristic of inpatients suspected Covid-19 based on the result of the RT-PCR swab at the Dustira Army Hospital so that is useful for epidemiological data. This research is a descriptive study with a cross sectional design. The study sample was a total sampling of inpatients with suspected Covid-19 who were tested by RT-PCR. The results of RT-PCR were positive if the CT value was <41. The results of the data were analyzed using statistical tests that were in accordance with the significance if p <0.001 with the odds ratio (OR) based on the Confidential interval (CI) 95%. The results showed that the mean CT value of positive RT-PCR was 30,345 (20.17-40.52). The characteristics of the most inpatients suspected Covid-19 with positive RT-PCR were male (65.01%), aged 25-50 years (40.35%), TNI / Polri occupation (45.17%) with the rank of non-commissioned officers / group II (51.02%) and units outside Kodam III / Slw (86.22%). Male patients confirmed of Covid-19 with positive PCR results were significantly at risk 2.3 times greater, while those aged 25-50 years had a 1.39 times greater risk and occupation of the TNI / Polri had a 4.78 times greater risk. Inpatients suspected Covid-19 were significantly dominant at the age of 25-50 years. with the main symptoms of the airway system. Inpatients suspected Covid-19 with positive RT-PCR results had an average CT value of 30,345, with the most significant characteristics being male, aged 25-50 years, occupation of the TNI / Polri, as well as the main symptoms of the respiratory system. Keywords: Characteristics, Covid-19, , RT-PCR. Share Link | Plain Format | Corresponding Author (Sigit Sasongko)

44	Clinical Practice in Pandemic Era	ABS-27
INTUBATION OUTSIDE OPERATING THEATRE DURING PANDEMIC COVID 19 Ridha Surya Nugraha, Erwin Pradian, Iwan Fuadi, Suwarman, Reza W. Sudjud Anesthesiology Departement & Intensive Therapy, Medical Faculty of Univercity Padjajaran, General Hospital Dr. Hasan Sadikin, Bandung, Indonesia Abstract Airway management in patients outside the operating room in COVID 19 Pandemic is associated with increased difficulties and risks since the virus is highly contagious via aerosol, droplets, or direct contact. Around 10% of positive COVID-19 cases requiring urgent tracheal intubation for profound and sudden hypoxia. A 55 years old man has suspected for COVID 19 cases had impending respiratory failure. He had a history of hypertension and DM. Physical examination revealed he was alert, GCS 15, the airway is patent, with respiration rate 35x/m, SpO2 was 88% with 10L/m NRM with pulse rate 120x/m, BP 135/80mmHg, the temperature was 38.5 C. He was intubated with a rapid sequence intubation technique facilitated with a video laryngoscope (Mc Grath) using fentanyl (200mcg), propofol (150 mg), and rocuronium (60 mg). Intubating suspected or confirm COVID 19 patients need awareness about the aerosol potential source in airway management, especially in an emergency condition outside the operating room. Thorough preparation and PPE should be done. Rapid sequence intubation and disposable tools are preferable. The two-person technique was done to minimize the risk of aerosolization of airway secretions, vice (V-E) grip is recommended to maximize the face mask seal. The procedure should be done by the most experienced physician. Video laryngoscope with disposable blades can help better visualization, successful first attempt, and reduce risk of aerosolization. Managing the airway in this situation should combine principles from guidelines, and some modifications as a strategy. Keywords: Aiway management, COVID 19, Intubation, Rapid Sequence intubation, videolaryngoscope, Share Link | Plain Format | Corresponding Author (Ridha Surya Nugraha)

45	Clinical Practice in Pandemic Era	ABS-48
The Correlation Between D-Dimer Level and Chest X-Ray Score in COVID-19 Patients Tersia Viradanti, Yudith Yunia Kusmala 1.Bachelor Degree of Medical Faculty of Universitas Jenderal Achmad Yani, Cimahi Indonesia 2.Internal Medicine Dept. Medical Faculty of Universitas Jenderal Achmad Yani,Cimahi Indonesia,Correspondency: yudith.yunia[at]lecture.unjani.ac.id Abstract ABSTRACT Introduction: Coronavirus disease-2019 (COVID-19) is pneumonia caused by SARS-CoV-2. In severe cases, COVID-19 patients can get excessive inflammatory response resulting in cytokines storm that induce dysregulation on the coagulation cascade and make lung pathology worse. D-dimer levels in COVID-19 patients may rise due to pro-inflammatory cytokines produced by lung parenchymal involvement in infection. The degree of lung parenchymal involvement on COVID-19 infection can be measured semi-quantitatively with chest X-ray scoring. This study is held to investigating the relationship between D-dimer level and thoracic photo scoring in hospitalized COVID-19 patients at the isolation room of the Dustira Hospital and Kebon Jati. Methods: It is a cross-sectional analytic design study with secondary data taken from the medical record of forty patients confirmed by COVID-19 that is hospitalized in Dustira and Kebon Jati Hospital during March - December 2020. Results: The subject consisted of 23 females (57,5%) and 17 males (42,5%) with mostly aged between 40 - 59 years old. There is a significant relationship between D-dimer level and thoracic photo scoring value of COVID-19 patients hospitalized in Dustira Hospital and Kebon Jati Hospital marked by positive correlation from spearman test on both (p=0.023- r = 0.358). The correlation between elevating of D-dimer level and chest X-ray score is thought to be due to cytokine storm that causes increasing of the alveolar lesion and also microthrombus formation. Conclusion: there is a correlation between D-dimer level and chest X-ray score in hospitalized COVID-19 patients at the isolation room of the Dustira Hospital and Kebon Jati. Keywords: Keywords: D-dimer, CRX SCORE, COVID-19 Share Link | Plain Format | Corresponding Author (Tersia Viradanti)

46	Clinical Practice in Pandemic Era	ABS-59
Adjustment Disorder in the COVID-19 Pandemic Era Dr. Arlisa Wulandari, dr., SpKJ., MKes. Department of Psychiatri, Faculty of Medecine Universitas Jenderal Achmad Yani, Cimahi, Indonesia Abstract Adjustment disorder is recognized as a stress-related conditions caused by significant changes or stressors in life, which is defined as a maladaptive reaction to an identifiable stressor. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition and the 11th edition of the International Classification of Disease classify adjustment disorder along with other stress-related disorders. Prevalence in primary care ranges from 3-10%, and frequently is under diagnosed by general practitioners, in outpatient mental health treatment ranges from 5-20% and in a hospital psychiatric consultation setting frequently reaches 50% or higher. Adjustment disorder is diagnosed frequently as major depression or generalized anxiety disorder in clinical practices. The COVID-19 pandemic has become a great source of stress. According to the world health organization epidemiological update of the COVID-19 on 23 February 2021, the global cumulative numbers are 110.7 million cases and over 2.4 million deaths since the start of the pandemic. The COVID-19 has left many unemployed, uncertainty condition, and everything affected by it has become a great source of stress. Those who have been able to work from home had an increased workload. Adjustment disorder is temporary, but that doesn^t make it any less painful than other mental illnesses. There is a need of knowledge relevant for clinicians and researchers about adjustment disorder diagnosis, prevalence, risk factors, and treatment. Keywords: adjustment disorder, pandemic, the COVID-19 Share Link | Plain Format | Corresponding Author (Arlisa Wulandari)

47	Clinical Practice in Pandemic Era	ABS-60
The Prevalence of Complications After Spinal Anesthesia in Post-surgical Patients Alex Siagian, Khansa Dea, Wendra, Pradiba Amadita Medical Faculty, Jenderal Achmad Yani University Abstract Spinal anesthesia is a procedure that is currently being used a lot because of its benefit to relieve temporary pain sensation in patients without affecting patient consciousness. However, this action can cause several complications. This study uses a descriptive method to determine the complications of spinal anesthesia based on sex, age, hyperbaric bupivacaine 0.5% drug dose being used, type of surgery, and needle size. The sampling method is total sampling and the subjects were 57 patients, with 30 women and 27 men who met the inclusion criteria. The data was taken from the medical records of patients who underwent surgery with spinal anesthesia. The study showed the complications are headache, nausea and vomiting, back pain, shivering, and urinary retention. The most common complication is headache which is felt mostly by female (22.58%), age 26-45 (37,61%), the drug dose given was 11-12.5mg (23.65%), and based on 25-gauge needle size (24,73%). The high prevalence of complications experienced by post-surgical patients can be considered an alarm and also highlights the importance of benefiting from skilled personnel and monitoring equipment in this unit. Keywords: Complications, spinal anesthesia Share Link | Plain Format | Corresponding Author (Alex Siagian)

48	Clinical Practice in Pandemic Era	ABS-61
Hypertension with Left Ventricular Hypertrophy: Does It Induce Atrial Fibrillation? Prihati Pujo Waskito, Nia Melinda Pardede, Evi Sofia, Pradiba Amadita Medical Faculty, Jenderal Achmad Yani University Abstract Atrial fibrillation (AF) is an abnormal cardiac rhythm with rapid and irregular electrical activity. Atrial fibrillation can be caused by anatomical and by non-anatomical abnormalities of the cardiac. One of the non-anatomical causes of atrial fibrillation is hypertension. Prolonged and uncontrolled hypertension can alter myocardial and blood vessel structure and cardiac conduction system which also can affect the cardiac structure. One of the structural alterations that can cause AF is left ventricular hypertrophy (LVH). This study is an observational analytic study with cross-sectional observations. The sample was taken from 60 medical records of patients with AF. The data were analyzed by the descriptive method followed by the chi-square test. Most patients^ age is over 50 years of age (88%). Patients that had hypertension were 42 patients (70%). Eighteen (30%) had LVH with 17 patients (94,4%) had hypertension with LVH. The chi-square test obtained in this study is P = 0.007 value (P <0.05). There is a significant relationship between hypertension and left ventricular hypertrophy in atrial fibrillation patients. Keywords: Atrial fibrillation, hypertension, left ventricular hypertrophy Share Link | Plain Format | Corresponding Author (Prihati Pujowaskito)

49	Clinical Practice in Pandemic Era	ABS-62
Correlation of Chronic Kidney Disease with Cardiomegaly Imaging in Posteroanterior Chest X-ray Pradiba Amadita, Priatna, Hendri Priyadi Medical Faculty. Jenderal Achmad Yani University Abstract Chronic kidney disease (CKD) is a health problem which prevalence is still high and one of the causes of cardiovascular complications. One of those cardiovascular complications is cardiomegaly. One way to identify cardiomegaly is by measuring the cardiothoracic ratio (CTR) in chest x-ray (CXR). The aim of this study is to see correlation, if any, of CKD and the cardiomegaly imaging in posteroanterior (PA) CXR. This was an observational analytic study with comparative cross-sectional design. The total sample was 60 people which was divided into 2 groups, 30 people with CKD and 30 people without CKD who were taken by consecutive sampling technic. The data were analyzed descriptively then followed by Chi-Square Test with 95% confidence interval. The results showed that 30 people (100%) were classified into stage 5 of CKD. Cardiomegaly was detected in 22 people (73,3%), the mean CTR was 60%, 22 people (73,3%) showed left ventricle enlargement, 20 people (66,7%) showed left atrium enlargement, and 7 people (23,3%) showed all chambers enlargement. There was a significant correlation between CKD and cardiomegaly (p=0,001 and PR=2,57). Keywords: cardiomegaly, chest x-ray, chronic kidney disease Share Link | Plain Format | Corresponding Author (Pradiba Amadita)

50	Clinical Practice in Pandemic Era	ABS-65
Correlation Severity Of OA Genu Based On Lequesne Index And Radiological Description According To Kellegren And Lawrence Siti Endah Virajati Buana, Priatna, Yudith Yunia Kusmala Medical Faculty, Universitas Jenderal Achmad Yani Abstract Osteoarthritis (OA) was a degenerative, chronic, and progressive joint disease. The health problem that most often occurs in elderly was OA. Based on data, in Indonesia there was 50-60% disease as known as rheumatic was OA. This disease can occur in weight-bearing joints, especially the knee joint (genu). Symptoms include pain, stiffness, swelling, and also incompatibility to do activity. Severity of OA genu be assessed clinically by pain when walking, starting up and downing stairs also standing from sitting. Radiographic imaging can confirm the diagnosis and degree of OA. The aim of the research was to find the correlation between severity and radiologic imaging. The method of this research was analytic method by using cross sectional design involved 46 subject compatible the inclusion criteria on Orthopedic surgery and Radiology at Dustira hospital. The sampling method was consecutive sampling. First, subjects were interviewed using a questionnaire based on Lequesne Index. Next, x-ray genu expertise based on criteria of Kellegren and Lawrence. The result of this study was very significant correlation = 0,750 (p<0,001) according to the Spearman rank correlation. It can be concluded that clinical symptoms correlate with radiographic imaging. This research should be continued with other factors related to severity of OA genu, such as the effects of analgesics and NSAID, exercise, and the duration from OA genu. Keywords: Kellegren and Lawrence, Lequesne index, Osteoarthritis genu Share Link | Plain Format | Corresponding Author (Siti Endah Virajati Buana)

51	Clinical Practice in Pandemic Era	ABS-67
Aphalia Penis Reconstruction With Tubing Radial Forearm Free Flap : A Case Report Muhammad Irzal Wahab1, Sitti Rizaliyana2 Department of Plastic Reconstructive and Aesthetic Surgery, Airlangga University School of Medicine / Dr. Soetomo General Hospital Surabaya Abstract Background: Aphallia Penis or penile agenesis is a condition where no penis is found in a man. This is caused by the failure of the development of the genital tubercle. This disorder is very rare, with an estimated incidence of 1 in 10 million to 30 million births. Treatment for aphallia must begin as early as possible, based on careful evaluation and rapid sex determination by the clinical team, including plastic surgeons, psychologists, endocrinologists and urologists. Case: A man, 22 years-old-patient, from Bali came to the Reconstructive and Aesthetic Plastic Surgery Polyclinic Dr. Soetomo, Surabaya with the main complaint of not having male genitals from birth. The patient has been urinating through a hole under the clear yellow scrotum. Three operations have been carried out to reconstruct the penis. Discussion: In this case, the patient had reconstruction for aphalia penis. Three operations were performed. The first is a uretroplasty surgery in which the operation of the removal of the external urethra meatus from the perineal to the penoscrotal area The second stage of surgery was performed neorethra exploration in the antebrachial region, external genital reconstruction with radial forearm free flap sinister tubes, silicone implant insertions, Neophalus insertions, and split thickness skin grafts to close the defects in the antebrachia. In third stage surgery, uretroplasty surgery is performed again to move the external urethra meatus in the penoscrotal distal to the penis. Conclusions: Treatment for aphallia must begin as early as possible, based on careful evaluation and rapid sex determination by the clinical team, including plastic surgeons, psychologists, endocrinologists and urologists. After sex determination and consultation with a psychologist, after adulthood can be carried out a total phallic reconstruction using radial artery-based free forearm flaps or with pedicled anterolateral thigh flaps, where this method is known as a simple, fast, and Keywords: Aphalia Penis, Tubing Radial Forearm Free Flap, Phallus Reconstruction. Share Link | Plain Format | Corresponding Author (Muhammad Irzal Wahab)

52	Clinical Practice in Pandemic Era	ABS-90
Comparison of Prostate Volume in Patient Diagnosed with BPH with and without Type 2 Diabetes Mellitus assessed with Transabdominal Ultrasonography in Dustira Military Hospital Lukmana Lokarjana, Elva Denengsih, Priatna, Laila Azra Pratesya Medical Faculty, Universitas Jenderal Achmad Yani Abstract Benign Prostatic Hyperplasia (BPH) is the second most common urological disorder encountered in a urology clinic in Indonesia. This disease is commonly found in men over 50 years. one of the risk factors that are thought to influence the occurrence of BPH is diabetes mellitus (DM). The purpose of this study was to determine the relationship of BPH with DM type 2 in Rumah Sakit Dustira. An observational analytic study with cross sectional design conducted at Rumah Sakit Dustira in the 2018-2019. This study involved 19 people with DM and 19 people without DM by consecutive sampling. The research data was obtained from medical records. The results are majority of subjects were > 75 years (33.33%), the mean prostate volume of BPH patients who also had DM was 55 grams and those who did not have DM was 42.67 grams. The analysis showed that there was a significant difference between the prostate volume of BPH patients with type 2 diabetes mellitus and without type 2 diabetes mellitus (p<0.05). It is concluded that there is a significant difference between the prostate volume of BPH patients with type 2 diabetes mellitus and without type 2 diabetes mellitus. Keywords: Benign Prostate Hyperplasia, Diabetes Mellitus, Prostate Volume Share Link | Plain Format | Corresponding Author (Lukmana Lokarjana)

53	Clinical Practice in Pandemic Era	ABS-100
Overview of Nutritional Status of Children Between 6-24 Months Who Have Feeding Difficulties in Working Area of North Cimahi Primary Health Care Center Elly Noer Rochmah, Dini Ismayanti Permana, Sutedja, Nadhilah Lailani Medical Faculty, Universitas Jendral Achmad Yani Abstract Feeding difficulties in children is the lack of appetite or inability to eat and refuse certain foods. Feeding difficulties can be caused by several factors, specifically organic and non organic factors. Feeding difficulties will be at high-risk of causing nutritional problems if not treated as they get older. The objective of this study is to determine the nutritional status of children age 6 to 24 months who have feeding difficulties in the working area of the North Cimahi Primary Health Care Center. This study was cross sectional and conducted in January 2018. The sample consisted of 48 children who had feeding difficulties. This study used questionnaires data and also measures children^s height and weight. The data was analyzed descriptively. The results showed that the average age of children who have feeding difficulties in the working area of the North Cimahi Primary Health Care Center was 15,40 months. The majority of children who have feeding difficulties were males (54,2%). The types of nutritional status in children who have feeding difficulties ranged from normal (70,8%) to malnutrition (27,1%) and severe malnutrition (2,1%). The types of feeding difficulties were inappropriate feeding practice (81,3%), parental misperception (16,7%), and sensory food aversions (2,1%). The types of nutritional status in children with inappropriate feeding practice ranged from normal (64,1%) to malnutrition (33,3%) and severe malnutrition (2,6%), while in parental misperception the nutritional status was all normal (100,0%) and sensory food aversions misperception the nutritional status was all normal (100,0%). Keywords: Age 6-24 months, children feeding difficulties, nutritional status Share Link | Plain Format | Corresponding Author (Elly Noer Rochmah)

54	Clinical Practice in Pandemic Era	ABS-106
READINESS SURGERY DEPARTMENT IN MANAGING EMERGENCY CASES DUE TO DISASTER IN COVID-19 PANDEMIC ERA Iwan Darmawan Ma^mur1, Nurbaiti Nazarudin2 1Departemen Bedah Fakultas Kedokteran Universitas Jenderal Achmad Yani-Rumah Sakit Dustira, 2Departemen Telinga Hidung Tenggorok-Bedah Kepala Leher Fakultas Kedokteran Universitas Jenderal Achmad Yani-Rumah Sakit Dustira Abstract Indonesia, which is located at the confluence of the Eurasia plate and the IndoAustralian plate, is an area with a large potential for earthquakes, besides that, with a large number of volcanoes plus high rainfall, the potential threat of disaster is also very large. Disaster is an event or series of events that threatens and disrupts the life and livelihood of the community which is caused either by natural factors and / or non-natural factors as well as human factors, resulting in human casualties, environmental damage, property loss, and psychological impact. This literature review reviews the literature on the readiness of the surgical department in handling emergency cases due to disasters in the era of the COVID-19 pandemic. This is to provide an overview of the General Surgeons Association (PABI) as the parent organization of general surgeons in Indonesia in dealing with disasters, especially during a pandemic. Surgeons as part of the community with special expertise are responsible for responding to every disaster event, especially with the problem of handling victims. Based on the 10 principles of disaster management and mass casualties, it is hoped that it will reduce the worse impact on disaster victims. In the era of the COVID-19 pandemic, several handling modifications must be carried out without reducing the ability and speed of handling victims and not increasing the risk to health workers, especially surgeons involved in handling victims. Internal surgery training, internal hospital training and integrated training between agencies, both small and large scale, are the keys to the success of handling disaster victims. Keywords: surgeon, disaster, emergency case, covid-19 pandemic Share Link | Plain Format | Corresponding Author (Iwan Darmawan)

55	Clinical Practice in Pandemic Era	ABS-107
CAUSES AND MANAGEMENT OF EPISTAXIS IN THE PANDEMIC TIME OF COVID-19 Nurbaiti Nazarudin1, Iwan Darmawan Ma^mur2 1Departemen Telinga Hidung Tenggorok-Bedah Kepala Leher Fakultas Kedokteran Universitas Jenderal Achmad Yani-Rumah Sakit Dustira, 2Departemen Bedah Fakultas Kedokteran Universitas Jenderal Achmad Yani-Rumah Sakit Dustira Abstract Epistaxis is one of the most common emergencies in the ear, nose and throat (ENT) around the world, which often requires hospitalization. About 60% of the population has had epistaxis, and 6% requires serious and life-threatening treatment. During the COVID-19 pandemic, procedures for dealing with airway problems pose particular risks to health workers due to the high virulence of the virus, transmission via aerosols, and the risk of infection from asymptomatic patients. The purpose of writing this article is to determine the causes and treatment of epistaxis during the COVID-19 pandemic. The cause of epistaxis mostly comes from local factors, such as trauma, manipulation of the fingers, use of chronic nasal prongs, vascular disorders in combination with anticoagulant drugs or systemic diseases such as hypertension. Management of epistaxis is usually carried out in an Emergency Room (IGD). The principle of epistaxis management is to improve the general condition, find the source of bleeding, stop bleeding, and look for causative factors to prevent recurrence of bleeding. The way to stop bleeding gradually is with compressive therapy, use of vasoconstrictor drugs, cautery with silver nitrate, anterior nasal tampons, posterior nasal tampons, and arterial ligation. Epistaxis management is a procedure that is often performed in the ER and puts health workers at risk for infection. Specific recommendations must be followed before, during and after the epistaxis management procedure to ensure the safety of health professionals. Keywords: Epistaxis, COVID-19 pandemic, causes, management Share Link | Plain Format | Corresponding Author (Nurbaiti Nazarudin)

56	Clinical Practice in Pandemic Era	ABS-110
NEUROCOGNITIVE COMPLICATIONS IN COVID 19 Yustiani Dikot Department of Neurology, Medical Faculty, Universitas Jenderal Achmad Yani Abstract Corona virus Disease 2019 (COVID-19) has emerged in Wuhan, China the outbreak of this infection was declared as pandemic a global public health emergency by WHO in March 2020. Respiratory viruses that infect the upper respiratory tract in humans and cause highly acute lethal pneumonia with clinical similarities to those reported in SARS-Co V and MERS-Co V including neurological manifestation. Some viruses have neuro invasive properties and activate the immune response in the brain. These immune events may be neuroprotective or they may cause long-term damage similar to what is seen in some neurodegenerative diseases. WHO declared epidemiological and clinical features of COVID-19 patients are currently well characterized also for neurological sign and symptoms, most of SARS patients had the common complaints, such as anosmia, dysgeusia, headache, poor concentration, declined memory, and insomnia, as well as , anxiety and depression symptoms, indicating cognitive impairments after SARS infection. Other neurological manifestation caused by COVID-19 patients including encephalopathy, encephalitis and cerebrovascular pathologies, acute myelitis, and Guillain-Barre syndrome, this neurological impairment cause by neurological involvement or as a complication of other organ impairment Keywords: COVID-19, Respiratory viral infection, Neuroinvasion, Acute and chronic neurocognitive complication Share Link | Plain Format | Corresponding Author (Yustiani Dikot)

57	Clinical Practice in Pandemic Era	ABS-112
ANESTHESTIC MANAGEMENT OF POSTPARTUM HEMORRHAGE Djoni Kusumah Himsani Pohan Medical Faculty, Universitas Jenderal Achmad Yani Abstract Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality in the world. It requires a higher level of standard care. Peripartum hemorrhage is bleeding that occurs during pregnancy (antepartum), at birth (intrapartum) and after birth (postpartum). Management of postpartum hemorrhage should be done with multidisciplinary approach including determining the cause of PPH, close observation of vital signs, and intravenous access with a minimum of one large bore. Hemodynamic condition should be stabilized first. In 2020, WHO officially stated COVID-19 as a pandemic which requires the use of suitable Personal Protective Equipment (PPE) depending on the condition. When the diagnosis of PPH is made, prompt resuscitation with administration of crystalloid, colloid, oxygen therapy, and protection against hypothermia, obtaining initial blood sample. Pharmacological therapy includes oxytocin IV or IM, sulproston and carboprost as the effective and recommended drugs. Blood transfusion is required. Keywords: anesthetic managements, covid-19, obstetric anesthesia, postpartum hemorrhage Share Link | Plain Format | Corresponding Author (Djoni Kusuma)

58	Clinical Practice in Pandemic Era	ABS-114
The Correlation between thrombocyte count and type of Plasmodium sp with degree of malaria infection and thrombocyte count with type of Plasmodium sp in malaria patient Susanti Ratunanda1, Eddy Harjadi S3, Eka Ulfah R2 1)Clinical Pathology Department 2)Internal Medicine Department 3)Faculty of Medicine Faculty of Medicine - Universitas Jenderal Achmad Yani Abstract Malaria is one of life-threatening infectious diseases in Indonesia especially in high risks group that caused by Plasmodium sp. Malaria is classified into uncomplicated malaria and severe malaria degrees. Thrombocytopenia is one of common result from thrombocyte count examination that can be related to hemorrhagic risks in malaria patients. The purpose of this study was to determine the correlation between thrombocyte count and type of Plasmodium sp. with degree of malaria, and thrombocyte count with type of Plasmodium sp. in malaria inpatient at Dustira Hospital Cimahi. Analytical method was used in this study with cross sectional design. This study was conducted in patient who has diagnosed with malaria with or without complication, has result of thrombocyte count examination and type of Plasmodium sp. with no co-infection in the same period of illness. Data were taken from medical record and clinical laboratory department of Dustira Hospital in the period of 2014-2017. There were 59 malaria patients who met the inclusion criteria. This study showed that most malaria patient were in age groups 26-45 years old (62.7%) and mostly male (96.6%). A total of 46 malaria patients (78%) had thrombocytopenia with an average thrombocyte count of 110,000 mm/m3. The majority of Plasmodium sp. that caused malaria infection was P. vivax (72.9%) followed by P. falciparum (25.4%) and mixed malaria (1.7%). There is no significant correlation between thrombocyte count with degree of malaria patient (p=0,537, R=0,082), significant correlation between type of Plasmodium sp. with degree of malaria patients (p=0.03, R=0,375) and no significant correlation between thrombocyte count with the type of Plasmodium sp. (p=0.133, R=0.198). The correlation between thrombocyte count with degree of malaria and type of Plasmodium sp. results in this study can be caused due to the unknown data of thrombocyte count baseline and history of previous malaria treatment of the patient. Keywords: degree of malaria, thrombocyte count, type of Plasmodium sp Share Link | Plain Format | Corresponding Author (Susanti Ratunanda)

59	Clinical Practice in Pandemic Era	ABS-123
CASE REPORT: PANIC ATTACK ON A PATIENT WHOSE FAMILY COVID-19 CONFIRMED Raden Dewi Rahmi Kusumawardhani Kusumo,dr., SpKJ, Irwanto Ichlas, dr., SpKJ(K) Department of Psychiatry, Faculty of Medicine Universitas Jenderal Achmad Yani, Cimahi, Indonesia Abstract Background: The Covid-19 case was first discovered around December 2019 and became a pandemic. Since the start of the COVID-19 pandemic, the psychological and emotional impact is also evident. New rules of health protocols, activity restrictions, health crisis, economic crisis, educational crisis, and the many information about this new virus caused public concern. Case: Mr. AA, 37 years old, married, have two children, entrepreneur, live in Jakarta. In mid-November 2020, his wife, two children, and babysitter were Covid-19 confirmed. He was the only person in the house with a negative PCR swab. Since then, he moved to an apartment in Jakarta. He often feels restless, worried, insomnia and overthinking. About two time in the first week, he had panic attack. He feels worried about his health condition, afraid that something bad might happen. He went to a psychiatrist in Jakarta and explained that he had a panic attack. He decided to move to his parent house in Bandung while the family was in self-quarantine. He continued his treatment in Bandung. Previously in 2010 he has experienced a similar thing when there was a problem with his business, he went to a psychiatrist but after feeling comfortable he stopped his treatment. Discussion: In a panic attack, the intense spike in fear or discomfort reaches a peak within a few minutes. This can happen in either a calm or anxious state. Treatment aims to reduce the intensity and frequency of attacks in order to improve the quality of life. Can be done either by psychotherapy or pharmacotherapy or both of it. Keywords: panic attack, pandemic, Covid-19 Share Link | Plain Format | Corresponding Author (Raden Dewi Rahmi Kusumawardhani Kusumo)

60	Clinical Practice in Pandemic Era	ABS-125
The Relation Between Chest X-Ray (CXR) and RT-PCR in COVID-19 Patients Hospitalized at Dustira Hospital Ilma Fiddiyanti, Siska Telly Pratiwi, Syifa Ainun Rahman Medical Faculty, Jenderal Achmad Yani University Abstract Corona virus disease 2019 (COVID-19)-caused by infection of RNA virus from Coronaviridae family- can be manifest as mild to severe disease. Nowadays, CXR and rRT-PCR are mostly used additional examination to establish the diagnosis of COVID-19. The objective of this study is to determine relation between CXR and rRT-PCR on COVID-19 patients. This is an analytic observational study with cross sectional approach using secondary data from medical record of COVID-19 patients hospitalized at Dustira Hospital during March - December 2020. There are 47 patients whose match inclusion and exclusion criteria from 51 sample that successfully gathered. Statistical analysis is performed using chi-square test. Basic characterized of this population study showed male predomination (76,60%) with more than half patient aged between 20 - 39 years old (51,10%). CXR result of forty-one patients (87.33%) reflect COVID-19 specific feature. Most patients have rRT-PCR with positive result (89,36%). Chi-square test showed no significant relation between CXR and rRT-PCR result. This condition can be happened because the patient truly doesn^t get infected with SARS-Cov-2 or may be their test giving false negative result. Keywords: COVID-19- CXR- rRT-PCR Share Link | Plain Format | Corresponding Author (Syifa Ainun Rahman)

Page 2 (data 31 to 60 of 137) | Displayed ini 30 data/page
<< PREV 1 2 3 4 5 NEXT >>

Powered By Konfrenzi Ultimate 1.832L-Build9m © 2007-2025 All Rights Reserved