Haltersebut disampaikan oleh Ketua Umum Perhitungan Osteoporosis Indonesia (PEROSI), dr Bagus Putu Putra Suryana, SpPD-KR, pada acara webinar dalam rangka memperingati Hari Aktivitas Fisik dan Hari Kesehatan Sedunia. "Osteoporosis itu tidak hanya menyerang usia lansia.
Main Article Content Abstract Introduction Rheumatoid arthritis RA is an autoimmune rheumatic disease which often found in daily practice and requires certain considerations in recognizing clinical appearance also managing the disease as it often causes permanent joint damage, disability, even premature death. This recommendation is expected to become the latest reference for diagnosis and management of RA in Indonesia. Methods The steering committee was formed by the Indonesian Rheumatology Association IRA to formulate key questions; conduct literature search, selection, and review; then formulate recommendation statements for diagnosis, therapy, and monitoring of RA. Furthermore, the steering committee determined the level of evidence and grades of the recommendations. After that, the level of agreement LOA was determined for each item by panelists including rheumatology consultants who have been appointed by IRA to represent Indonesia regions. Results The steering committee established 30 recommendations including diagnosis, the role of laboratory and radiology tests, general treatment, the use of glucocorticoids, sDMARD, bDMARD, and tsDMARD. This recommendation also discusses guidelines on monotherapy, combination therapy, treatment strategies treat-to-target, tapering, and continuous clinical remission. Treatment on co-morbidities and complications are also included in brief. Conclusion IRA recommendations regarding the diagnosis and management of RA was made by considering various aspects such as the availability of drugs and supporting facilities, socioeconomic and cultural conditions in Indonesia, as well as the latest research that can be applied to Indonesian population. Article Details How to Cite Hidayat, R., Bagus Putu Putra Suryana, Linda Kurniaty Wijaya, Anna Ariane, Rakhma Yanti Hellmi, Endy Adnan, & Sumariyono. 2021. Indonesian Rheumatology Association IRA Recommendations for Diagnosis and Management of Rheumatoid Arthritis. Indonesian Journal of Rheumatology, 131, 322-443.
SriAndarini* , Bagus Putu Putra Suryana**, Dewangga Wahyu Praja*** Abstrak Clinic of Public Hospital Dr. Saiful Anwar Malang in 2012 as many as 154 patients. The results showed the relationship of age with osteoporosis at the lumbar spine (L1-L4) (p = 0.018), but BMI had a relationship
Jakarta ANTARA - Ketua Umum Perhimpunan Osteoporosis Indonesia PEROSI dr. Bagus Putu Putra Suryana, SpPD-KR mengatakan perubahan gaya hidup saat pandemi COVID-19 turut mempengaruhi risiko osteoporosis. "Pandemi ini, jelas dilaporkan bahwa kita mengalami keterbatasan aktivitas, lalu pola makan juga berubah, dan perhatian banyak fokus kepada pandemi. Itu menyebabkan risiko osteoporosis karena adanya perubahan tersebut," kata dr. Bagus dalam jumpa pers daring, dikutip pada Rabu. Saat disinggung mengenai apakah kurang aktif bergerak, terutama di masa pandemi di mana mobilitas dibatasi, menjadi faktor utama dalam kenaikan risiko tersebut, dr. Bagus mengatakan, memang penting bagi manusia terlepas dari usianya untuk aktif menggerakkan tubuh demi meminimalisir kemungkinan tersebut. "Mobilitas terhambat, tapi usahakan kita untuk bergerak di rumah atau di dalam ruangan. Olahraga teratur tidak hanya memperkuat tulang, mencegah kemungkinan osteoporosis, tapi juga memperbaiki keseimbangan tubuh," ujar dokter yang menamatkan pendidikannya di Universitas Brawijaya, Malang tersebut. Baca juga Kemenkes sebut pentingnya pencegahan osteoporosis dimulai sejak dini Lebih lanjut, dr. Bagus mengingatkan bahwa osteoporosis tidak hanya berisiko bagi mereka yang sudah lanjut usia. Penting bagi masyarakat terutama generasi muda untuk memahami bahwa osteoporosis dan penyakit tulang lainnya bisa dicegah sedari dini dengan gaya hidup sehat. "Osteoporosis bisa dicegah jika kita memulai gaya hidup sehat sejak dini. Mulai dari masa kanak-kanak, dimana kita harus mencapai massa tulang puncak yang tinggi. Kalau nutrisi tidak bagus, dan kita jarang bergerak, kebiasaan itu perlu diubah. Biasakan untuk hidup sehat dan asup diri dengan nutrisi yang baik," papar dia. dr. Bagus melanjutkan, semua orang memiliki takaran dan cara olahraga yang tepat dan teratur. "Rutin latihan fisik dengan intensitas sedang sampai berat selama 30-60 menit dalam 3-5 kali dalam seminggu, untuk mengurangi risiko osteoporosis terutama di bagian yang paling mudah keropos yaitu pergelangan tangan, pangkal paha, dan yang di tulang belakang bagian bawah," jelasnya. "Selain olahraga, osteoporosis dapat dicegah dengan mengonsumsi kalsium yang cukup yaitu mg per hari mg/hari untuk lansia, Vitamin D 600 IU, protein, kalium, kolagen dan mineral," ujarnya menambahkan. Baca juga Tiingkatkan kesehatan tulang dengan senam dan jaga asupan nutrisi Baca juga Proses osteoporosis bisa terjadi di usia 30 tahun Baca juga Hari Osteoporosis Nasional, Anlene adakan rangkaian program virtualPewarta Arnidhya Nur ZhafiraEditor Alviansyah Pasaribu COPYRIGHT © ANTARA 2021

Osteoporosis ini berbeda dengan penyakit pada umum yang memiliki gejala. Tak menimbulkan tanda-tanda yang terlihat. Tidak ada gejala sama sekali, ya," tutur dr. Bagus Putu Putra Suryana, Sp.PD-KR selaku Ketua Umum Perhimpunan Osteoporosis Indonesia (PEROSI) dalam webinar 'Membangun Hari yang Lebih Baik dan Sehat dengan Rutin Aktivitas Fisik' pada Rabu (7/4/2021) yang dilaksanakan sebagai

What is this page?This page lists the scientific contributions of an author, who either does not have a ResearchGate profile, or has not yet added these contributions to their was automatically created by ResearchGate to create a record of this author's body of work. We create such pages to advance our goal of creating and maintaining the most comprehensive scientific repository possible. In doing so, we process publicly available personal data relating to the author as a member of the scientific you're a ResearchGate member, you can follow this page to keep up with this author's you are this author, and you don't want us to display this page anymore, please let us study aims to elaborate on the policies regarding the protection of TCEs related to creative economy businesses in the tourism sector, and the implementation of these policies in Bali. The study uses a socio-legal research method by using statutes, conceptual, economic, and technological approaches. The study indicated that TCEs are transforme...Introduction This article is to examine the arrangement of the Inventory of Communal Intellectual Property ICP in the perspective of the Culture Advancement or IPR and to locate the ideal future concept regarding the Inventory of Communal Intellectual Property ICP.Purposes of the Research The purpose of this research is to analyze the Communa...New Zealand relies heavily on its agricultural industry. There are over 4,150 cultivators in the horticultural sector. They require the cooperation of foreign workers. Some of them were recruited from Indonesia, where most of the labour force is poor and unskilled. This research is conducted to analyse the compatibility of legislation and policy in...Penelitian ini bertujuan untuk mengetahui serta menganalisa bagaimana pengakuan dari financial technology FinTech di Indonesia serta tujuan lainnya untuk mengenalisis bentuk transaksi serta pinjaman online yang dimana penyaluran dan penerimaan pembayaran pinjamannya melalui perbankan. Metode penelitian yang digunakan yakni penelitian yuridis norm...This study aimed to examine the effect of the disputes classification in the industrial settlement system, comparing arrangements according to the perspective of the International Labor Organization, China, Japan, and Kazakhstan, and trying to find the ideal concept of the type of industrial dispute to apply in Indonesia. This research is normative...The purpose of this study is to analyze the form of settlement of violations of International Humanitarian Law, as well as to analyze the Legal Politics of Human Rights in view of gross international human rights violations. The normative legal method used in this research. The results of recitations or trials in international humanitarian law and...Accountability is one of the main elements of the realization of good governance which is currently being pursued in Indonesia. The government is asked to report the results of the programs that have been implemented so that the public can assess whether the government has worked economically, efficiently and effectively. Accountability can be seen...ABSTRAK Tujuan penulisan ini yaitu untuk memahami dan mengetahui Penyelesaian Konflik Norma Terkait Pengaturan Modal Dasar Minimal Pendirian Perseroan Terbatas di Indonesia. Penelitian ini menggunakan penelitian hukum normatif. Pengaturan mengenai pendirian Perseroan Terbatas di Indonesia diatur pada UU PT dengantahapan sebagai berikut yaitu 1 Par...Aviation safety is an important part of the aviation industry around the world. In international and national law in many countries, the unlawful acts that endanger the safety of aviation and air transportation are regulated in a legal instrument. One form of unlawful actions that endangers the safety of aviation and air transportation is the sprea...This research aims to identify the regulation and dispute resolution regarding constructive termination of employment by a company in the perspective of Indonesian Labor Law. This research also compares the constructive termination of employment by companies based on International Law and Japan Labor Law. This is normative legal research with a sta...Negara diakui sebagai salah satu subjek hukum dalam Hukum Perdagangan Internasional. Negara memiliki kedaulatan untuk mengatur barang atau jasa yang keluar dan memasuki wilayahnya. Kewenangan mengatur tersebut termasuk dalam kedudukannya pada posisi Negara sebagai pedagang. Dalam perkembangannya kedudukan Negara juga menjadi pihak pembeli. Tulisan...The protection of traditional knowledge TK and traditional cultural expression TCE of underprivileged indigenous communities is threatened due to frequent exploitation attempts by commercial actors for economic benefits. The literature highlighting the legal gaps and necessities to support such legal reforms to protect those communities are sca...This study aims to determine the regulations regarding standard contracts in the banking sector after the existence of the authority of the Otoritas Jasa keuangan, to find out the legal consequences of violations of the provisions of standard contracts carried out by banking financial services and to determine efforts to prevent violations of stand...This study aims to analyze the policy underwriting organization arrangements in insurance companies in Indonesia and the absence of a policy guarantor institution at insurance companies in Indonesia. The method used in research related to the regulation of policy insurance institutions in insurance companies in Indonesia uses normative juridical le...Penelitian ini bertujuan untuk menganalisis tentang perkembangan hukum mengenai build operat and transfer BOT terkait tahapan dalam proses pembuatan perjanjiannya dan peranan Notaris dalam pembuatan Akta BOT. Jenis penelitian ini adalah penelitian yuridis normatif dengan menggunakan pendekatan perundang-undangan. Sumber bahan hukum yang digunakan...Tujuan penulisan jurnal ini untuk mengetahui konsekuensi yuridis terkait kredit bank yang diperoleh dari tindakan pemalsuan tanda tangan dan mengetahui perlindungan hukum terhadap kreditur atas pelepasan kredit dengan pemalsuan dokumen. Metode penelitian hukum normatif dengan pendekatan perundang-undangan dan konseptual digunakan dalam penulisan ar...The users of electronic service provider often suffered losses caused by internet services did not work properly including losses due to leakage of personal data protection stored in cloud computing. The study aims to examine electronic service provider liability upon their failure performing internet services properly and security attacks on cloud...Bonds are long-term debt securities issued by companies or governments with a nominal value and a certain maturity period and are a type of long-term investment for investors, but for the government as the issuer of bonds is a debt that must be returned. The obligation to return the said debt creates uncertainty for investors if it considers the pr...As a global principal, corporations have the obligation to comply with national and international hard law of human rights, respect soft laws and global standards. The United Nations Guiding Principles on Business and Human Rights GPs of 2011 were unanimously endorsed by the Human Rights Council and are respected as a global standard that stipula...Kondotel merupakan apartemen non hunian yang dikelola dengan managemen hotel lahirnya konsep kondotel sebagai sarana penunjang pariwisata disebabkan kareana keterbatasan lahan-lahan strategis/lokasi yang strategis sedangkan kebutuhan akan sarana penunjang pariwisata semakin meningkat. Keterbatasan lahan ini juga menyebabkan meningkatnya harga tanah...Perjanjian kredit bank dalam bentuk tertulis di bawah tangan, dewasa ini, sering dilakukan dalam praktek pemberian kredit oleh pihak bank khususnya Bank Perkreditan Rakyat BPR selaku kreditur kepada nasabah peminjam debitur. Kekuatan hukum surat perjanjian di bawah tangan dalam pembuktian di persidangan lemah karena debitor atau penerima kredit...Citations... Tujuan dari perdagangan antar negara bukan hanya untuk memenuhi kebutuhan tetapi juga untuk mendorong terjadinya pertumbuhan ekonomi menyerap tenaga kerja hingga meningkatkan keterampilan teknologi manusia sebagai hasil dari perluasan pasar dan peningkatan produksi Putu et al., 2021. Akan tetapi hampir seluruhnya sumber daya nikel Indonesia baik dalam bentuk bijih nikel, feronikel maupun nikel kasar digunakan untuk memenuhi kebutuhan ekspor Satriawan, 2015. ...... Observing the scenarios considered in the works analyzed in this systematic review, traditional ISP networks were the most frequent distributed scenario evaluated in the literature. It is justifiable because ISP infrastructures are suitable for software-based solutions, since ISP providers are already familiar with the cloud computing paradigm [118]. Currently, the Internet Service Provider Partners ISPP infrastructure is already composed of distributed data centers supported by SDN switches and commodity servers [119]. ...... Alternatively "a corporation should be held accountable for any of its actions that affect people, their communities, and their environment" Lawrence & Weber, 2020, p. 51. A code of ethics represents the application of concrete principles, values, and ethical behaviors by organizations Dharmawan et al., 2018;Walsh, 2015, these codes being "formal documents accessible to those inside and outside the organization that outlines ideal behavior" Andrade et al., 2017, p. 2. Hamilton 2017 argues that an organization's code of ethics should guide shareholders and multiple stakeholders employees, customers, regulators, suppliers, the media, and competitors. ...... Kebijakan mengenai pengawasan dan pengaturan terhadap BPR yang di pegang oleh OJK diharapkan mampu menciptakan operasional BPR yang sehat dan aman. Diperlukan perlindungan hukum yang jelas dan akurat dalam melindungi nasabah penyimpan dana di BPR khususnya Wastu, Wairocana & Kasih, 2017. Perlindungan hukum ini akan membuat masyarakat tidak enggan untuk menyimpan uangnya di BPR. ... dr Bagus Putu Putra Suryana, Sp.PD-KR Penyakit Dalam Reumatologi dr. Budi Satrijo, Sp.JP (K), FIHA Jantung dan Pembuluh Darah Konsultan dr. Catur Ari Setianto, Sp.N (K) Neurologi Konsultan Previous 1 2 3 4 5 Next Last KOMPLEKS ARAYA BUSSINESS CENTER JL. PANJI SUROSO KAV.II-IV, Kel. Purwodadi, Kec. Blimbing, Kota Malang, Provinsi Jawa Timur

PapersJournal of Public Health in AfricaBackground The sodium may aggravate synovial inflammation and cartilage thinning. This incidence... more Background The sodium may aggravate synovial inflammation and cartilage thinning. This incidence can cause joint pain and reduce functional activity. Not many people know the effect of sodium on the incidence of OA. Objective This study aims to determine the relationship between sodium in the body and knee joint pain which results in functional activity. Methods The quantitative descriptive study used accidental sampling. The study was conducted at three outpatient polyclinic orthopedics of hospitals and was approved by the Health Ethics Committee. All data were collected during the interview. The Semi-Quantitative Food Frequency Questionnaire SQ-FFQ and the Nutrisurvey Indonesia 2007 application were used as a tool to collect daily sodium intake mg. Knee joint pain score was measured using the Visual Analog Scale VAS while functional body activity was measured using the Western Ontario McMaster Osteoarthritis Index WOMAC. The Pearson and Spearman test p< were us... Clinical and Research Journal in Internal MedicineBackground Osteoporosis is an increasing health problem in Indonesia. Fractures that occur in th... more Background Osteoporosis is an increasing health problem in Indonesia. Fractures that occur in the spine and pelvis are considered to be the most common fracture sites for osteoporosis. Aim to determine the differences in bone mineral density values in postmenopausal women with fracture and non-fracture. Methods Survey was carried out in postmenopausal female patients with fractures and without fractures who were included in the inclusion criteria with a case-control study approach and had bone mass density data. For the group of cases with fracture, the amount of vertebral compression was measured using Gennant&39;s measurement criteria. Interviews were conducted regarding the characteristics of patients with and without fracture. The differences in BMD values ​​were analyzed in postmenpausal female patients with fracture and without fracture by using unpaired T test on normal data distribution and Mann-Whitney test on abnormal data distribution. The measured BMD value is the T-... OAINS adalah obat yang digunakan secara luas sebagai antipiretik, antiinflamasi, dan analgesik. N... more OAINS adalah obat yang digunakan secara luas sebagai antipiretik, antiinflamasi, dan analgesik. Namun demikian, OAINS dapat menyebabkan gastropati dan bahkan tukak lambung jika digunakan dalam jangka waktu yang lama. Quercetin, kaempferol, dan luteolin telah diketahui memiliki efek gastroprotektif. Zat tersebut terkandung di dalam bawang prei Allium fistulosum. Penelitian ini bertujuan untuk mengetahui efek gastroprotektif bawang prei. Tikus dikelompokkan menjadi lima kelompok yaitu kelompok kontrol negatif K1, kontrol positif K2, dan kelompok perlakuan K3, K4, K5. K1 dan K2 diberi normal salin, sedangkan K3, K4, dan K5 diberi ekstrak bawang prei dengan dosis 6 mg/kgBB, 12 mg/kgBB, dan 24 mg/kgBB. Tiga puluh menit kemudian K2, K3, K4, dan K5 diberi indometasin 30 mg/kgBB. Tikus kemudian dianestesi menggunakan eter dan dibedah. Gastropati dinilai berdasarkan skor makroskopik dan skor mikroskopik. Hasil uji one way ANOVA menunjukkan bahwa terdapat perbedaan bermakna pada ... NSAIDs are a group of analgesic and antiinflammatory drugs that the most widely used and prescrib... more NSAIDs are a group of analgesic and antiinflammatory drugs that the most widely used and prescribed around the world. NSAIDs, particularly non-selective NSAIDs ex. diclofenac sodium, can cause an increased risk of serious, even fatal, stomach and intestinal adverse reactions such as bleeding, ulcers, and perforation of the stomach or intestines. These events can occur at any time during treatment and without warning symptoms. Elderly patients are at greater risk for these types of reaction. The aim of this study to evaluate gastrointestinal tolerability of diclofenac sodium twice daily dose of 50 mg compared to meloxicam once daily dose of 15 mg on an outpatients with knee OA. The method of this study was cohort prospective observation on August to November 2014. SODA severity of dyspepsia assessment scale through interview using a questionnaire was applied to evaluate adverse effect of abdominal pain and others associated gastrointestinal disturbances at before and after 14 and... Folia Medica Indonesiana, 2016Cyclosporine and methylprednisolone combination are second line therapy for moderate to severe sy... more Cyclosporine and methylprednisolone combination are second line therapy for moderate to severe systemic lupus erythemathosus. Some study suggest that the combination were effective to decrease of systemic lupus erythematosus disease activity. But record from the study, cyclosporine cause nephrotoxicity side effect. Therefore, this study should be considered to monitore therapy effect on disease activity and renal side effect. The aim of this study is to analyze the effect of cyclosporine and methylprednisolone combination therapy on disease activity in systemic lupus erythematosus SLE assessed by MEX-SLEDAI and renal side effect assessed by creatinine, ureum and proteinuria. A cohort, observational prospective study was conducted to determine the effect of cyclosporine and methylprednisolone combination therapy on disease activity of SLE and renal side effect of this combination. Patients who met criteria were given cyclosporine and methylprednisolone combination that normally ren... Megadose methylprednisolone, called pulse therapy, is the administration of very high doses of me... more Megadose methylprednisolone, called pulse therapy, is the administration of very high doses of methylprednisolone givenintravenously for three days. Although many studies have demonstrated the efficacy and safety of pulse therapy in SLE, there is stillno clearly parameter which is shown the outcome of pulse methylprednisolone therapy. Some studies suggest that lymphopenia itselfis associated with disease activity in lupus. Therefore, the alteration of total lymphocyte count due to pulse methylprednisolonetherapy should be considered as an index of residual disease activity of SLE, and a potential parameter of treatment efficacy of pulsemethylprednisolone therapy. The aim of this study is to determine the effect of pulse methylprednisolone therapy on total lymphocytecount and disease activity in systemic lupus erythematosus SLE assessed by MEX SLEDAI method. A cross-sectional, observationalprospective study was conducted to determine the effect of pulse methylprednisolone therapy i... Clinical and Research Journal in Internal Medicine, 2021Background Many factors can cause changes in bone mass density BMD in women with postmenopausa... more Background Many factors can cause changes in bone mass density BMD in women with postmenopausal osteopenia. Aim Determine factors associated with changes in BMD in postmenopausal women with osteopenia with the most influential risk factors within 1 year. Methods Survey was conducted on 38 patients who were included in the inclusion criteria with a cross-sectional study analysis and had BMD data for the last 2 years, body mass index, and conducted interviews for physical activity, age of menopause, and duration of menopause. Blood samples were also taken to check total calcium levels, vitamin D levels and estrogen levels. Finally, patients are followed for up to 1 week for daily nutrition records. The relationship between these factors and changes in BMD was analyzed using Pearson&39;s or Spearman&39;s test. The analysis result was considered significant if p< Results There was no significant relationship between body mass index, menopause duration, physical activity,... International Journal of Rheumatic Diseases, 2015Rheumatoid arthritis is a chronic inflammatory condition that affects approximately 1% of the wor... more Rheumatoid arthritis is a chronic inflammatory condition that affects approximately 1% of the world&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;39;s population. There are a wide number of guidelines and recommendations available to support the treatment of rheumatoid arthritis; however, the evidence used for these guidelines is predominantly based on studies in Caucasian subjects and may not be relevant for rheumatoid arthritis patients in the Asia-Pacific region. Therefore, the Asia Pacific League of Associations for Rheumatology established a Steering Committee in 2013 to address this issue. The AGREE II instrument and the ADAPTE Collaboration framework were applied to systematically identify, appraise, synthesize, and adapt international rheumatoid arthritis guidelines for use in the Asia-Pacific region. Forty rheumatoid arthritis treatment recommendations, based on evidence and expert opinion, were drafted and are presented in this report. The Asia Pacific of Associations for Rheumatology rheumatoid arthritis treatment recommendations are intended to serve as a reference for best practice management of rheumatoid arthritis in Asia-Pacific, focusing on local issues to ensure the delivery of basic care for these patients, and to improve their outcomes. In addition, the document will serve as a reference for national rheumatology associations in… Osteoporosis is an important health problem, and the number of patients who suffered from it is i... more Osteoporosis is an important health problem, and the number of patients who suffered from it is increasing. Breast cancer is a condition that has a high risk of osteoporosis. Cancer induced bone disease results from the primary disease, metastatic process, or from therapies against the prime condition, causing bone fragility. Therefore, there are still different opinions regarding the therapeutic effect of breast cancer on bone mineral density. Aim to determine the effect of chemotherapy and hormonal therapy on bone mineral density in patients with breast cancer in Saiful Anwar Hospital Malang. Method this is a case-control study conducted in 30 patients with breast cancer who had undergone chemotherapy and hormonal therapy are compared to 30 patients without breast cancer as controls. Bone Mineral Density BMD was measured by DEXA. Result there are 53% of breast carcinoma patients having osteopenia and 13% having osteoporosis, with one patient has osteoporosis located in the ... Currently leprosy is now still a global threat in the world even after the introduction of multid... more Currently leprosy is now still a global threat in the world even after the introduction of multidrug therapy MDT, including in World Health Organization WHO data revealed that in 2002 there were 597,000 cases worldwide and the prevalence is only less than 1 every 10,000 Nevertheless, the latest data showedthat 83% of leprosy cases concentrated in only 6 countries Indonesia, India, Brazil, Madagascar, Myanmar, and The most common manifestations of leprosyare cutaneous and neuritic manifestation. Rheumatologic manifestation is another common manifestation of Prevalence of rheumatologic manifestation of leprosy is range from 1% to 77% of all leprosy Study conducted by Mandal et al in India revealed that the prevalence of rheumatologic manifestation was in Brazil,6 another study by Pereira revealed the prevalence of Hadi, in Indonesia,showed the prevalence of arthritic manifestation was Rheumatologic m... Indonesian Journal of Rheumatology, 2021Introduction Rheumatoid arthritis RA is an autoimmune rheumatic disease which often found in d... more Introduction Rheumatoid arthritis RA is an autoimmune rheumatic disease which often found in daily practice and requires certain considerations in recognizing clinical appearance also managing the disease as it often causes permanent joint damage, disability, even premature death. This recommendation is expected to become the latest reference for diagnosis and management of RA in Indonesia. Methods The steering committee was formed by the Indonesian Rheumatology Association IRA to formulate key questions; conduct literature search, selection, and review; then formulate recommendation statements for diagnosis, therapy, and monitoring of RA. Furthermore, the steering committee determined the level of evidence and grades of the recommendations. After that, the level of agreement LOA was determined for each item by panelists including rheumatology consultants who have been appointed by IRA to represent Indonesia regions. Results The steering committee established 30 recommendat... Clinical and Research Journal in Internal Medicine, 2021Background Arthritis rheumatoid AR is a chronic inflammatory disease that mainly affects the j... more Background Arthritis rheumatoid AR is a chronic inflammatory disease that mainly affects the joints. Decreased bone mass and osteoporosis are its complications. Several factors such as dietary calcium, disease activity, physical activity, vitamin D levels, steroids can affect bone mineral density values. Aim The purpose of this study was to determine the relationship between disease activity, calcium levels and bone mineral densitometry in patients with arthritis rheumatoid. Methods 23 AR patients based on the 2010 ACR criteria including the inclusion criteria with a cross sectional study approach that had bone mineral densitometry BMD data for the last 1 year. Blood samples were also taken to check the total calcium level, the characteristics of the baseline data were collected, and the disease activity was examined using the DAS 28 LED. The relationship between these factors and the bone mass density was analyzed using the Spearman test. The analysis result was considered s... Background. The second generation anti-cyclic citrullinated peptide test CCP2 displays sensitiv... more Background. The second generation anti-cyclic citrullinated peptide test CCP2 displays sensitivity comparable to that of rheumatoid factor RF approximately 80% but with superior specificity 98% . Several observations have indicated that early rheumatoid arthritis RA patients with positive anti-CCP may develop a more erosive disease than those without The purpose of this cross-sectional study was to investigate the correlation between anti-CCP antibodies and clinical and laboratory parameters and radiological joint destruction in RA We studied 31 patients with RA fulfilling the 1987 revised criteria of American College of Rheumatology in Rheumatology Clinic of Saiful Anwar General Hospital, Malang, Indonesia. Clinical parameters were collected such as age, sex, visual analog scale,disease duration and diseases activity score DAS28-3CRP. Laboratory parameters were WBC, hemoglobin, platelet count, erythrocyte sedimentation rate, and C... Munculnya Systemic Lupus Erythematosus SLE dan Human Immuno Deficiency Virus HIV yang terjadi... more Munculnya Systemic Lupus Erythematosus SLE dan Human Immuno Deficiency Virus HIV yang terjadi secara bersamaan merupakan hal yang eksklusif. Tulisan ini melaporkan kasus HIV dan SLE yang terjadi bersamaan pada seorang wanita usia 50 tahun. Pasien mengalami keluhan yang mendukung adanya infeksi HIV dengan ditemukannya gejala diare kronis, penurunan berat badan, batuk-batuk, demam-demam, kelelahan badan, sariawan, nyeri sendi, dan allopesia. Pemeriksaan laboratorium yang mendukung diagnosis HIV pada pasien ini adalah peningkatan LED, tes determinan yang reaktif, dan penurunan CD4+. Pasien juga menderita SLE yang ditunjukkan dengan ditemukannya gejala allopesia kerontokan rambut, sariawan yang tidak nyeri, sering menderita sakit sendi-sendi, demam yang hilang timbul tanpa penyebab jelas, riwayat trombositopenia penurunan jumlah trombosit, penurunan berat badan. Hasil pemerikaan laboratorium immunologi yang mendukung diagnosis SLE adalah ANA test yang positif, ds DNA yang positi... Indonesian Journal of Clinical Pharmacy International Journal of Rheumatic Diseases The Relationship between 25-Hydroxyvitamin D and Menopausal Symptoms in Postmenopausal Women Sati... more The Relationship between 25-Hydroxyvitamin D and Menopausal Symptoms in Postmenopausal Women Satiyem*, Retno Hartanti, I Wayan Arsana Wiyasa, Umi Kalsum and Bagus Putu Putra Suryana Master of midwifery students, Faculty of Medicine, Brawijaya University, Malang, East Java, Indonesia Polytechnic of Ministry of Health Surakarta, Central Java, Indonesia Master of midwifery students, Faculty of Medicine, Brawijaya University, Malang, East Java, Indonesia Department of Obstetrics and Gynecology, Saiful Anwar Hospital, Malang, East Java, Indonesia Department of Pharmacology Faculty of Medicine, Brawijaya University, Malang, East Java, Indonesia Department of Internal Medicine Rematology, Saiful Anwar Hospital, Malang, East Java, Indonesia Multicentric reticulohistiocytosis MRH is a very rare multisystemic The first case... more Multicentric reticulohistiocytosis MRH is a very rare multisystemic The first case of MRH was described by Goltz and Layman in 1954 and so far only less than 200 cases have been It is characterized by the insidious onset of polyarthritis that often evolves into a severe erosive deforming arthritis and characteristic skin lesions composed of nodules and plaques containing lipid-laden periodic acidSchiff-positive histiocytes and multinucleated giant It most commonly affects the handsand cervical MRH is also known as lipoid dermatoarthritis, lipoid rheumatism, and giant cell MRH is occured due to infiltration of multinucleated giant cells and histiocytes into various tissues. The typical pictures include skin nodules and destructive This entity is frequently mistaken for rheumatoid arthritis RA.3 MRH is often associated with systemic complication and various types ofmalignancy. Therefore, sometimes ... Journal of Public Health in AfricaBackground The sodium may aggravate synovial inflammation and cartilage thinning. This incidence... more Background The sodium may aggravate synovial inflammation and cartilage thinning. This incidence can cause joint pain and reduce functional activity. Not many people know the effect of sodium on the incidence of OA. Objective This study aims to determine the relationship between sodium in the body and knee joint pain which results in functional activity. Methods The quantitative descriptive study used accidental sampling. The study was conducted at three outpatient polyclinic orthopedics of hospitals and was approved by the Health Ethics Committee. All data were collected during the interview. The Semi-Quantitative Food Frequency Questionnaire SQ-FFQ and the Nutrisurvey Indonesia 2007 application were used as a tool to collect daily sodium intake mg. Knee joint pain score was measured using the Visual Analog Scale VAS while functional body activity was measured using the Western Ontario McMaster Osteoarthritis Index WOMAC. The Pearson and Spearman test p< were us... Clinical and Research Journal in Internal MedicineBackground Osteoporosis is an increasing health problem in Indonesia. Fractures that occur in th... more Background Osteoporosis is an increasing health problem in Indonesia. Fractures that occur in the spine and pelvis are considered to be the most common fracture sites for osteoporosis. Aim to determine the differences in bone mineral density values in postmenopausal women with fracture and non-fracture. Methods Survey was carried out in postmenopausal female patients with fractures and without fractures who were included in the inclusion criteria with a case-control study approach and had bone mass density data. For the group of cases with fracture, the amount of vertebral compression was measured using Gennant&39;s measurement criteria. Interviews were conducted regarding the characteristics of patients with and without fracture. The differences in BMD values ​​were analyzed in postmenpausal female patients with fracture and without fracture by using unpaired T test on normal data distribution and Mann-Whitney test on abnormal data distribution. The measured BMD value is the T-... OAINS adalah obat yang digunakan secara luas sebagai antipiretik, antiinflamasi, dan analgesik. N... more OAINS adalah obat yang digunakan secara luas sebagai antipiretik, antiinflamasi, dan analgesik. Namun demikian, OAINS dapat menyebabkan gastropati dan bahkan tukak lambung jika digunakan dalam jangka waktu yang lama. Quercetin, kaempferol, dan luteolin telah diketahui memiliki efek gastroprotektif. Zat tersebut terkandung di dalam bawang prei Allium fistulosum. Penelitian ini bertujuan untuk mengetahui efek gastroprotektif bawang prei. Tikus dikelompokkan menjadi lima kelompok yaitu kelompok kontrol negatif K1, kontrol positif K2, dan kelompok perlakuan K3, K4, K5. K1 dan K2 diberi normal salin, sedangkan K3, K4, dan K5 diberi ekstrak bawang prei dengan dosis 6 mg/kgBB, 12 mg/kgBB, dan 24 mg/kgBB. Tiga puluh menit kemudian K2, K3, K4, dan K5 diberi indometasin 30 mg/kgBB. Tikus kemudian dianestesi menggunakan eter dan dibedah. Gastropati dinilai berdasarkan skor makroskopik dan skor mikroskopik. Hasil uji one way ANOVA menunjukkan bahwa terdapat perbedaan bermakna pada ... NSAIDs are a group of analgesic and antiinflammatory drugs that the most widely used and prescrib... more NSAIDs are a group of analgesic and antiinflammatory drugs that the most widely used and prescribed around the world. NSAIDs, particularly non-selective NSAIDs ex. diclofenac sodium, can cause an increased risk of serious, even fatal, stomach and intestinal adverse reactions such as bleeding, ulcers, and perforation of the stomach or intestines. These events can occur at any time during treatment and without warning symptoms. Elderly patients are at greater risk for these types of reaction. The aim of this study to evaluate gastrointestinal tolerability of diclofenac sodium twice daily dose of 50 mg compared to meloxicam once daily dose of 15 mg on an outpatients with knee OA. The method of this study was cohort prospective observation on August to November 2014. SODA severity of dyspepsia assessment scale through interview using a questionnaire was applied to evaluate adverse effect of abdominal pain and others associated gastrointestinal disturbances at before and after 14 and... Folia Medica Indonesiana, 2016Cyclosporine and methylprednisolone combination are second line therapy for moderate to severe sy... more Cyclosporine and methylprednisolone combination are second line therapy for moderate to severe systemic lupus erythemathosus. Some study suggest that the combination were effective to decrease of systemic lupus erythematosus disease activity. But record from the study, cyclosporine cause nephrotoxicity side effect. Therefore, this study should be considered to monitore therapy effect on disease activity and renal side effect. The aim of this study is to analyze the effect of cyclosporine and methylprednisolone combination therapy on disease activity in systemic lupus erythematosus SLE assessed by MEX-SLEDAI and renal side effect assessed by creatinine, ureum and proteinuria. A cohort, observational prospective study was conducted to determine the effect of cyclosporine and methylprednisolone combination therapy on disease activity of SLE and renal side effect of this combination. Patients who met criteria were given cyclosporine and methylprednisolone combination that normally ren... Megadose methylprednisolone, called pulse therapy, is the administration of very high doses of me... more Megadose methylprednisolone, called pulse therapy, is the administration of very high doses of methylprednisolone givenintravenously for three days. Although many studies have demonstrated the efficacy and safety of pulse therapy in SLE, there is stillno clearly parameter which is shown the outcome of pulse methylprednisolone therapy. Some studies suggest that lymphopenia itselfis associated with disease activity in lupus. Therefore, the alteration of total lymphocyte count due to pulse methylprednisolonetherapy should be considered as an index of residual disease activity of SLE, and a potential parameter of treatment efficacy of pulsemethylprednisolone therapy. The aim of this study is to determine the effect of pulse methylprednisolone therapy on total lymphocytecount and disease activity in systemic lupus erythematosus SLE assessed by MEX SLEDAI method. A cross-sectional, observationalprospective study was conducted to determine the effect of pulse methylprednisolone therapy i... Clinical and Research Journal in Internal Medicine, 2021Background Many factors can cause changes in bone mass density BMD in women with postmenopausa... more Background Many factors can cause changes in bone mass density BMD in women with postmenopausal osteopenia. Aim Determine factors associated with changes in BMD in postmenopausal women with osteopenia with the most influential risk factors within 1 year. Methods Survey was conducted on 38 patients who were included in the inclusion criteria with a cross-sectional study analysis and had BMD data for the last 2 years, body mass index, and conducted interviews for physical activity, age of menopause, and duration of menopause. Blood samples were also taken to check total calcium levels, vitamin D levels and estrogen levels. Finally, patients are followed for up to 1 week for daily nutrition records. The relationship between these factors and changes in BMD was analyzed using Pearson&39;s or Spearman&39;s test. The analysis result was considered significant if p< Results There was no significant relationship between body mass index, menopause duration, physical activity,... International Journal of Rheumatic Diseases, 2015Rheumatoid arthritis is a chronic inflammatory condition that affects approximately 1% of the wor... more Rheumatoid arthritis is a chronic inflammatory condition that affects approximately 1% of the world&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;39;s population. There are a wide number of guidelines and recommendations available to support the treatment of rheumatoid arthritis; however, the evidence used for these guidelines is predominantly based on studies in Caucasian subjects and may not be relevant for rheumatoid arthritis patients in the Asia-Pacific region. Therefore, the Asia Pacific League of Associations for Rheumatology established a Steering Committee in 2013 to address this issue. The AGREE II instrument and the ADAPTE Collaboration framework were applied to systematically identify, appraise, synthesize, and adapt international rheumatoid arthritis guidelines for use in the Asia-Pacific region. Forty rheumatoid arthritis treatment recommendations, based on evidence and expert opinion, were drafted and are presented in this report. The Asia Pacific of Associations for Rheumatology rheumatoid arthritis treatment recommendations are intended to serve as a reference for best practice management of rheumatoid arthritis in Asia-Pacific, focusing on local issues to ensure the delivery of basic care for these patients, and to improve their outcomes. In addition, the document will serve as a reference for national rheumatology associations in… Osteoporosis is an important health problem, and the number of patients who suffered from it is i... more Osteoporosis is an important health problem, and the number of patients who suffered from it is increasing. Breast cancer is a condition that has a high risk of osteoporosis. Cancer induced bone disease results from the primary disease, metastatic process, or from therapies against the prime condition, causing bone fragility. Therefore, there are still different opinions regarding the therapeutic effect of breast cancer on bone mineral density. Aim to determine the effect of chemotherapy and hormonal therapy on bone mineral density in patients with breast cancer in Saiful Anwar Hospital Malang. Method this is a case-control study conducted in 30 patients with breast cancer who had undergone chemotherapy and hormonal therapy are compared to 30 patients without breast cancer as controls. Bone Mineral Density BMD was measured by DEXA. Result there are 53% of breast carcinoma patients having osteopenia and 13% having osteoporosis, with one patient has osteoporosis located in the ... Currently leprosy is now still a global threat in the world even after the introduction of multid... more Currently leprosy is now still a global threat in the world even after the introduction of multidrug therapy MDT, including in World Health Organization WHO data revealed that in 2002 there were 597,000 cases worldwide and the prevalence is only less than 1 every 10,000 Nevertheless, the latest data showedthat 83% of leprosy cases concentrated in only 6 countries Indonesia, India, Brazil, Madagascar, Myanmar, and The most common manifestations of leprosyare cutaneous and neuritic manifestation. Rheumatologic manifestation is another common manifestation of Prevalence of rheumatologic manifestation of leprosy is range from 1% to 77% of all leprosy Study conducted by Mandal et al in India revealed that the prevalence of rheumatologic manifestation was in Brazil,6 another study by Pereira revealed the prevalence of Hadi, in Indonesia,showed the prevalence of arthritic manifestation was Rheumatologic m... Indonesian Journal of Rheumatology, 2021Introduction Rheumatoid arthritis RA is an autoimmune rheumatic disease which often found in d... more Introduction Rheumatoid arthritis RA is an autoimmune rheumatic disease which often found in daily practice and requires certain considerations in recognizing clinical appearance also managing the disease as it often causes permanent joint damage, disability, even premature death. This recommendation is expected to become the latest reference for diagnosis and management of RA in Indonesia. Methods The steering committee was formed by the Indonesian Rheumatology Association IRA to formulate key questions; conduct literature search, selection, and review; then formulate recommendation statements for diagnosis, therapy, and monitoring of RA. Furthermore, the steering committee determined the level of evidence and grades of the recommendations. After that, the level of agreement LOA was determined for each item by panelists including rheumatology consultants who have been appointed by IRA to represent Indonesia regions. Results The steering committee established 30 recommendat... Clinical and Research Journal in Internal Medicine, 2021Background Arthritis rheumatoid AR is a chronic inflammatory disease that mainly affects the j... more Background Arthritis rheumatoid AR is a chronic inflammatory disease that mainly affects the joints. Decreased bone mass and osteoporosis are its complications. Several factors such as dietary calcium, disease activity, physical activity, vitamin D levels, steroids can affect bone mineral density values. Aim The purpose of this study was to determine the relationship between disease activity, calcium levels and bone mineral densitometry in patients with arthritis rheumatoid. Methods 23 AR patients based on the 2010 ACR criteria including the inclusion criteria with a cross sectional study approach that had bone mineral densitometry BMD data for the last 1 year. Blood samples were also taken to check the total calcium level, the characteristics of the baseline data were collected, and the disease activity was examined using the DAS 28 LED. The relationship between these factors and the bone mass density was analyzed using the Spearman test. The analysis result was considered s... Background. The second generation anti-cyclic citrullinated peptide test CCP2 displays sensitiv... more Background. The second generation anti-cyclic citrullinated peptide test CCP2 displays sensitivity comparable to that of rheumatoid factor RF approximately 80% but with superior specificity 98% . Several observations have indicated that early rheumatoid arthritis RA patients with positive anti-CCP may develop a more erosive disease than those without The purpose of this cross-sectional study was to investigate the correlation between anti-CCP antibodies and clinical and laboratory parameters and radiological joint destruction in RA We studied 31 patients with RA fulfilling the 1987 revised criteria of American College of Rheumatology in Rheumatology Clinic of Saiful Anwar General Hospital, Malang, Indonesia. Clinical parameters were collected such as age, sex, visual analog scale,disease duration and diseases activity score DAS28-3CRP. Laboratory parameters were WBC, hemoglobin, platelet count, erythrocyte sedimentation rate, and C... Munculnya Systemic Lupus Erythematosus SLE dan Human Immuno Deficiency Virus HIV yang terjadi... more Munculnya Systemic Lupus Erythematosus SLE dan Human Immuno Deficiency Virus HIV yang terjadi secara bersamaan merupakan hal yang eksklusif. Tulisan ini melaporkan kasus HIV dan SLE yang terjadi bersamaan pada seorang wanita usia 50 tahun. Pasien mengalami keluhan yang mendukung adanya infeksi HIV dengan ditemukannya gejala diare kronis, penurunan berat badan, batuk-batuk, demam-demam, kelelahan badan, sariawan, nyeri sendi, dan allopesia. Pemeriksaan laboratorium yang mendukung diagnosis HIV pada pasien ini adalah peningkatan LED, tes determinan yang reaktif, dan penurunan CD4+. Pasien juga menderita SLE yang ditunjukkan dengan ditemukannya gejala allopesia kerontokan rambut, sariawan yang tidak nyeri, sering menderita sakit sendi-sendi, demam yang hilang timbul tanpa penyebab jelas, riwayat trombositopenia penurunan jumlah trombosit, penurunan berat badan. Hasil pemerikaan laboratorium immunologi yang mendukung diagnosis SLE adalah ANA test yang positif, ds DNA yang positi... Indonesian Journal of Clinical Pharmacy International Journal of Rheumatic Diseases The Relationship between 25-Hydroxyvitamin D and Menopausal Symptoms in Postmenopausal Women Sati... more The Relationship between 25-Hydroxyvitamin D and Menopausal Symptoms in Postmenopausal Women Satiyem*, Retno Hartanti, I Wayan Arsana Wiyasa, Umi Kalsum and Bagus Putu Putra Suryana Master of midwifery students, Faculty of Medicine, Brawijaya University, Malang, East Java, Indonesia Polytechnic of Ministry of Health Surakarta, Central Java, Indonesia Master of midwifery students, Faculty of Medicine, Brawijaya University, Malang, East Java, Indonesia Department of Obstetrics and Gynecology, Saiful Anwar Hospital, Malang, East Java, Indonesia Department of Pharmacology Faculty of Medicine, Brawijaya University, Malang, East Java, Indonesia Department of Internal Medicine Rematology, Saiful Anwar Hospital, Malang, East Java, Indonesia Multicentric reticulohistiocytosis MRH is a very rare multisystemic The first case... more Multicentric reticulohistiocytosis MRH is a very rare multisystemic The first case of MRH was described by Goltz and Layman in 1954 and so far only less than 200 cases have been It is characterized by the insidious onset of polyarthritis that often evolves into a severe erosive deforming arthritis and characteristic skin lesions composed of nodules and plaques containing lipid-laden periodic acidSchiff-positive histiocytes and multinucleated giant It most commonly affects the handsand cervical MRH is also known as lipoid dermatoarthritis, lipoid rheumatism, and giant cell MRH is occured due to infiltration of multinucleated giant cells and histiocytes into various tissues. The typical pictures include skin nodules and destructive This entity is frequently mistaken for rheumatoid arthritis RA.3 MRH is often associated with systemic complication and various types ofmalignancy. Therefore, sometimes ...

dr Bagus Putu Putra Suryana, SpPD-KR, Chairman of Perosi said: Moderate or heavy-intensity physical exercise for 30-60 minutes, at least 3-5 times a week, can help reduce the risk of osteoporosis, especially in the most porous parts of our bones, such as the wrists, groin, and lower spine.
Indonesian Rheumatology Association IRA Recommendations for Diagnosis and Management of Rheumatoid ArthritisIndonesian Rheumatology Association IRA Recommendations for Diagnosis and Management of Rheumatoid ArthritisIntroduction Rheumatoid arthritis RA is an autoimmune rheumatic disease which often found in daily practice and requires certain considerations in recognizing clinical appearance also managing the disease as it often causes permanent joint damage, disability, even premature death. This recommendation is expected to become the latest reference for diagnosis and management of RA in Indonesia. Methods The steering committee was formed by the Indonesian Rheumatology Association IRA to formulate key questions; conduct literature search, selection, and review; then formulate recommendation statements for diagnosis, therapy, and monitoring of RA. Furthermore, the steering committee determined the level of evidence and grades of the recommendations. After that, the level of agreement LOA was determined for each item by panelists including rheumatology consultants who have been appointed by IRA to represent Indonesia regions. Results The steering committee established 30 recommendat...
Malangdr. Bagus Putu Putra Suryana SpPD-KR Divisi Reumatologi, Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Brawijaya, RS. dr. Saiful Anwar Malang Curriculum Vitae - dr. Bagus Putu Putra Suryana SpPD-KR Bagus Putu Putra Suryana obtained his Medical Doctor from
Jakarta ANTARA - Ketua Umum Perhimpunan Osteoporosis Indonesia PEROSI dr. Bagus Putu Putra Suryana, SpPD-KR mengatakan perubahan gaya hidup saat pandemi COVID-19 turut mempengaruhi risiko osteoporosis. "Pandemi ini, jelas dilaporkan bahwa kita mengalami keterbatasan aktivitas, lalu pola makan juga berubah, dan perhatian banyak fokus kepada pandemi. Itu menyebabkan risiko osteoporosis karena adanya perubahan tersebut," kata dr. Bagus dalam jumpa pers daring, dikutip pada Rabu. Saat disinggung mengenai apakah kurang aktif bergerak, terutama di masa pandemi di mana mobilitas dibatasi, menjadi faktor utama dalam kenaikan risiko tersebut, dr. Bagus mengatakan, memang penting bagi manusia terlepas dari usianya untuk aktif menggerakkan tubuh demi meminimalisir kemungkinan tersebut. "Mobilitas terhambat, tapi usahakan kita untuk bergerak di rumah atau di dalam ruangan. Olahraga teratur tidak hanya memperkuat tulang, mencegah kemungkinan osteoporosis, tapi juga memperbaiki keseimbangan tubuh," ujar dokter yang menamatkan pendidikannya di Universitas Brawijaya, Malang tersebut. Baca juga Kemenkes sebut pentingnya pencegahan osteoporosis dimulai sejak dini Lebih lanjut, dr. Bagus mengingatkan bahwa osteoporosis tidak hanya berisiko bagi mereka yang sudah lanjut usia. Penting bagi masyarakat terutama generasi muda untuk memahami bahwa osteoporosis dan penyakit tulang lainnya bisa dicegah sedari dini dengan gaya hidup sehat. "Osteoporosis bisa dicegah jika kita memulai gaya hidup sehat sejak dini. Mulai dari masa kanak-kanak, dimana kita harus mencapai massa tulang puncak yang tinggi. Kalau nutrisi tidak bagus, dan kita jarang bergerak, kebiasaan itu perlu diubah. Biasakan untuk hidup sehat dan asup diri dengan nutrisi yang baik," papar dia. dr. Bagus melanjutkan, semua orang memiliki takaran dan cara olahraga yang tepat dan teratur. "Rutin latihan fisik dengan intensitas sedang sampai berat selama 30-60 menit dalam 3-5 kali dalam seminggu, untuk mengurangi risiko osteoporosis terutama di bagian yang paling mudah keropos yaitu pergelangan tangan, pangkal paha, dan yang di tulang belakang bagian bawah," jelasnya. "Selain olahraga, osteoporosis dapat dicegah dengan mengonsumsi kalsium yang cukup yaitu mg per hari mg/hari untuk lansia, Vitamin D 600 IU, protein, kalium, kolagen dan mineral," ujarnya menambahkan.
dr Bagus Putu Putra Suryana, Sp.PD-KR Dr. dr. P.W.M. Olly Indrayani, Sp.PD Mengenal Dokter Spesialis Penyakit Dalam, Apa Saja Tugasnya? Dokter Spesialis Gastroenterologi Dan Hepatologi (Sppd-KGEH) Pulmonologi (SpPD-KP) Psikosomatik (Sp-KPsi) Reumatologi (Sp.PD-KR) Hematologi - Onkologi Medik (Sp.PD-KHOM) Kardiovaskular (Sp.PD-KKV)
Layanan online booking belum LavaletteKlojen, MalangHubungi Faskes 0341 470805 Persada HospitalBlimbing, MalangProfiledr. Bagus Putu Putra Suryana, merupakan seorang dokter spesialis penyakit dalam konsultan reumatologi. Saat ini beliau berpraktik di RS Lavalette di Malang, Persada Hospital di MalangDisclaimerInformasi dan foto disadur dari berbagai sumber, termasuk namun tidak terbatas pada informasi langsung dari fasilitas kesehatan dan/atau dokter terkait, situs resmi fasilitas kesehatan terkait, verifikasi melalui surat elektronik dan telepon, dan informasi informasi dan foto hanya untuk tujuan informasi dan direktori. Kami berusaha agar foto dan informasi yang tercantum tetap mutakhir dan akurat, namun kami tidak menjamin mengenai kelengkapan, keakuratan dan keandalan terkait dengan foto dan informasi yang tercantum, yang mana dapat diubah sewaktu-waktu oleh fasilitas kesehatan dan/atau dokter terkait.
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