Elfikri Asril - Academia.edu (original) (raw)
Papers by Elfikri Asril
Abstrak Kehamilan merupakan masa yang rentan terjadi stres. American college of Obstetrician an... more Abstrak Kehamilan merupakan masa yang rentan terjadi stres. American college of Obstetrician and Gynecologist (ACOG) mengeluarkan rekomendasi terkait skrining stres psikososial selama kehamilan. Tujuan studi ini untuk mengetahui hubungan antara usia gestasi dan tingkat stres pada ibu hamil. Studi ini menggunakan desain potong lintang dengan total sampel sebesar 100 subjek penelitian yang dipilih dengan teknik consecutive sampling. Data diambil dengan menggunakan metode kuesioner untuk menilai data demografik, riwayat obstetri, dan tingkat stres yang mengacu pada The Prenatal Psychosocial Profile Hassles Scale. Hasil studi menunjukkan terdapat korelasi bermakna antara usia gestasi dengan skor stres (p=0,022), Korelasi bersifat negatif yang berarti semakin bertambah usia gestasi maka skor stres akan berkurang, tetapi kekuatan korelasi yang dimiliki masih lemah (R=-0,230). Berdasarkan analisis regresi linier, setiap pertambahan usia gestasi sebesar satu minggu akan menurunkan skor s...
International Journal of Surgery Case Reports, 2019
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Formosan Journal of Surgery, 2019
Radial nerve palsy commonly associated with humeral shaft fracture, at the time of injury (primar... more Radial nerve palsy commonly associated with humeral shaft fracture, at the time of injury (primary), after manipulation (secondary), or late onset (not related to injury or manipulation). For the latter, there are still few documented cases regarding late-onset radial nerve palsy. In this case report, we present a case of late-onset radial nerve palsy associated with humeral shaft fracture treated with coaptation splint, which became evident 5 weeks after treatment. Surgical exploration revealed that the radial nerve had become stretched and encapsulated in callus and fibrous tissue. Neurolysis was performed with subsequent recovery of the radial nerve 12 weeks after the surgery.
International Journal of Surgery Case Reports, 2019
INTRODUCTION: Mycobacterium tuberculosis causes infection in approximately one-third of the world... more INTRODUCTION: Mycobacterium tuberculosis causes infection in approximately one-third of the world's population. Arthritis due to Mycobacteriurn tuberculosis usually presents as a chronic, slowly progressive, monoarticular infection that predominantly involves the weight-bearing joints and the spine. The hand and wrist are rare sites for tuberculosis (TB) and comprises of < 1% of all skeletal TB. Even though it is rare, TB of the wrist is a cause of great morbidity. We presented a case of wrist TB treated with debridement and synovectomy. PRESENTATION OF CASE: A 35 years old woman came with the chief complaint of pain and swelling on the right wrist since 1 year ago and was diagnosed with rheumatoid arthritis of the wrist. Patient then was given methylprednisolone 4 mg twice a day and methotrexate 175 mg once a week. However, the pain and swelling of her right wrist became worse. Subsequently patient was admitted to hospital and laboratory findings suggested a tuberculous arthritis of the wrist. Debridement, synovectomy, and biopsy, in addition to antituberculosis therapy, were then performed. DISCUSSION: Tuberculous arthritis is generally a monoarticular disease that typically involves the spine or large and medium-sized joints. Rheumatoid arthritis (RA) and tuberculous arthritis may have similar clinical characteristics, which consists of a chronic course with periarticular soft-tissue swelling. CONCLUSION: Tuberculous arthritis and RA can have similar characteristic but laboratory examination can help in establishing diagnosis.
Abstrak Kehamilan merupakan masa yang rentan terjadi stres. American college of Obstetrician an... more Abstrak Kehamilan merupakan masa yang rentan terjadi stres. American college of Obstetrician and Gynecologist (ACOG) mengeluarkan rekomendasi terkait skrining stres psikososial selama kehamilan. Tujuan studi ini untuk mengetahui hubungan antara usia gestasi dan tingkat stres pada ibu hamil. Studi ini menggunakan desain potong lintang dengan total sampel sebesar 100 subjek penelitian yang dipilih dengan teknik consecutive sampling. Data diambil dengan menggunakan metode kuesioner untuk menilai data demografik, riwayat obstetri, dan tingkat stres yang mengacu pada The Prenatal Psychosocial Profile Hassles Scale. Hasil studi menunjukkan terdapat korelasi bermakna antara usia gestasi dengan skor stres (p=0,022), Korelasi bersifat negatif yang berarti semakin bertambah usia gestasi maka skor stres akan berkurang, tetapi kekuatan korelasi yang dimiliki masih lemah (R=-0,230). Berdasarkan analisis regresi linier, setiap pertambahan usia gestasi sebesar satu minggu akan menurunkan skor s...
International Journal of Surgery Case Reports, 2019
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Formosan Journal of Surgery, 2019
Radial nerve palsy commonly associated with humeral shaft fracture, at the time of injury (primar... more Radial nerve palsy commonly associated with humeral shaft fracture, at the time of injury (primary), after manipulation (secondary), or late onset (not related to injury or manipulation). For the latter, there are still few documented cases regarding late-onset radial nerve palsy. In this case report, we present a case of late-onset radial nerve palsy associated with humeral shaft fracture treated with coaptation splint, which became evident 5 weeks after treatment. Surgical exploration revealed that the radial nerve had become stretched and encapsulated in callus and fibrous tissue. Neurolysis was performed with subsequent recovery of the radial nerve 12 weeks after the surgery.
International Journal of Surgery Case Reports, 2019
INTRODUCTION: Mycobacterium tuberculosis causes infection in approximately one-third of the world... more INTRODUCTION: Mycobacterium tuberculosis causes infection in approximately one-third of the world's population. Arthritis due to Mycobacteriurn tuberculosis usually presents as a chronic, slowly progressive, monoarticular infection that predominantly involves the weight-bearing joints and the spine. The hand and wrist are rare sites for tuberculosis (TB) and comprises of < 1% of all skeletal TB. Even though it is rare, TB of the wrist is a cause of great morbidity. We presented a case of wrist TB treated with debridement and synovectomy. PRESENTATION OF CASE: A 35 years old woman came with the chief complaint of pain and swelling on the right wrist since 1 year ago and was diagnosed with rheumatoid arthritis of the wrist. Patient then was given methylprednisolone 4 mg twice a day and methotrexate 175 mg once a week. However, the pain and swelling of her right wrist became worse. Subsequently patient was admitted to hospital and laboratory findings suggested a tuberculous arthritis of the wrist. Debridement, synovectomy, and biopsy, in addition to antituberculosis therapy, were then performed. DISCUSSION: Tuberculous arthritis is generally a monoarticular disease that typically involves the spine or large and medium-sized joints. Rheumatoid arthritis (RA) and tuberculous arthritis may have similar clinical characteristics, which consists of a chronic course with periarticular soft-tissue swelling. CONCLUSION: Tuberculous arthritis and RA can have similar characteristic but laboratory examination can help in establishing diagnosis.