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"Pada tindakan kardiologi intervensional, dosis yang diterima pasien relatif lebih tinggi, sedangkan pekerja radiasi akan menerima dosis hambur yang kualitasnya relatif lebih rendah. Namun, pekerja menerima dosis kumulatif dari seluruh tindakan kardiovaskuler yang dilakukannya selama bertahun-tahun. Oleh karenanya, tujuan penulisan ini akan difokuskan untuk mengestimasi distribusi radiasi hambur pada pekerja radiasi tanpa perisai pelindung di Cath Lab. Laju dosis hambur diukur menggunakan detektor survey unfors Xi. Detektor diletakkan pada 6 posisi berbeda di sekitar fantom. Setiap posisi memiliki sebelas titik pengukuran dari 25 sampai 175 cm di atas lantai dengan interval 15 cm, sebagai ilustrasi ketinggian parsial organ pekerja. Secara eksperimen, fantom rando diradiasi dengan fluoroskopi pada kondisi 88-93 kV dan 5.7-9.4 mA berdasarkan variasi kemiringan gantry dan ukuran lapangan. Phillips C-arm divariasikan pada Kemiringan gantri 0o PA projection, 20o dan 30o Caudal, 20o dan 30o Cranial, dan 40o dan 50o Left Anterior Oblique dan Flat Panel Detector (FPD) pada 20x20 dan 25x25 cm2. Secara umum, laju dosis tertinggi terdapat pada daerah pinggang pekerja (100 cm) dan terendah pada daerah kepala pekerja (175 cm) yaitu berturut-turut sebesar 2.49 mGv/jam dan 0.02 mGy/jam. Data pengamatan menunjukan bahwa fraksi hambur berada pada rentang 0.001–0.060% dari dosis primer di isocenter. Laju dosis hambur cenderung meningkat pada setiap peningkatan sudut kemiringan gantri di semua posisi. Semakin besar luas FPD maka akan menurunkan nilai fraksi dosis hambur yang juga akan meminimalkan laju dosis hamburnya.

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In Interventional Cardiology, dose received by the patient is relatively higher, while the occupational would receive scattered radiation dose whose quality is relatively lower. However, the occupational received accumulative doses of all cardiovascular procedures were done over the years. Therefore, the purpose of this paper will focus to estimate the distribution of scattered dose to occupational without any protective shielding in the Cath Lab. The scattered dose rate was measured by using survey detector of Unfors Xi. The detector was placed at 6 different positions around the phantom. Each measurement position has eleven points from 25 to 175 cm above the floor with increment of 15 cm as the illustration of partial height of occupational organ.

Experimentally a Rando phantom was irradiated by automatic pulsed fluoroscopy with condition varies in the range of 88-93 kV and 5.7-9.4 mA depend on gantry tilt and field size. The Phillips C-arm gantry tilt was varied at 0o PA projection, 20o and 30o Caudal, 20o and 30o Cranial, and 40o and 50o Left Anterior Oblique, and also Flat Panel Detector (FPD) was varied at 20x20 and 25x25 cm2. Generally, the greatest dose rate was known at level corresponding to Waist (100 cm) of occupational and the lowest at Head areas (175 cm) of occupational which is 2.49 mGv/h and 0.02 mGy/h, respectively. The given data showed that the scattered fractions are in the range of 0.001-0.060% from its primary dose at isocenter. The scattered doses tend to increase with gantry tilt for all positions. Increasing field size of FPD will decreased the scattered fraction from its dose at isocenter, and also it affects the scattered dose rate."

"Effectively manage the chronic problems of your hypertensive patients with the practical clinical tools inside Hypertension, 2nd Edition: A Companion to Braunwald's Heart Disease. This respected cardiology reference covers everything you need to know - from epidemiology and pathophysiology through diagnosis, risk stratification, treatment, outcome studies, concomitant diseases, special populations and special situations, and future treatments. Confidently meet the needs of special populations with chronic hypertensive disease, as well as hypertension and concomitant disease. Learn new methods of aggressive patient management and disease prevention to help ensure minimal risk of further cardiovascular problems. Benefit from the authors' Clinical Pearls to reduce complications of hypertension"

"Synopsis2015 BMA Medical Book Awards: First Prize in Cardiology "This is an expansive reference covering every aspect of cardiovascular disease from the global burden of disease to genetics, advanced imaging, vascular disease, heart failure, and therapeutic modalities. This edition offers online content that is updated weekly to supplement the text and provides an extensive library of tables and figures. The new edition has updated every chapter and added nine new chapters. This comprehensive, interactive update continues this book's tradition of excellence as a comprehensive educational resource for the diagnosis and treatment of cardiovascular disease. - Patrick T Campbell, MD(Ochsner Clinic Foundation), Excerpts from Doody's review service, Rating - 4 Stars! "Now in its 10th edition, this is truly a superb resource for all things cardiovascular and seems to be breathtaking in its coverage. A lot of books can claim to be a one stop shop and though it does not claim to be-I guess this book should answer most queries from the basic to the sophisticated when dealing with a patient and their problems. There is a lot of good science within the text though undeniably, it is a clinical book; the basic science is relevant to a clinician and makes reading around a topic much more interesting and educational." Reviewed by: Dr Harry Brown Date: Nov 2014"

"This book provides an up-to-date introduction to the role circadian rhythms, cardiac plasticity, and mechanotransduction play in the heart, while at the same time introducing new developments in cellular, viral, and non-biologic therapies that are in the process of being developed. Importantly, the focus of this book is on topics that, due to their novelty, are largely not covered in the other major textbooks. A special emphasis is placed on the molecular basis of cardiac metabolism, new concepts in cardiac remodeling, and translational therapies and imaging techniques currently under development for clinical use. The chapters are written by experts from diverse clinical and biomedical research backgrounds. Translational cardiology : molecular basis of cardiac metabolism, cardiac remodeling, translational therapies and imaging techniques simplifies the complexity of the molecular basis of disease by focusing on patient-oriented disease mechanisms and therapies and is of great value to a broad audience including physicians (e.g. cardiologists, cardiovascular surgeons, pathologists) as well as translational biomedical researchers in a wide range of disciplines."

"Park's Pediatric Cardiology for Practitioners is the essential medical reference book for the ever-changing field of pediatric cardiology. Comprehensive in its content, it provides the practical guidance you need to diagnose and manage children with congenital and acquired heart disease. From history and physical examination through preventative treatment and the management of special problems, the fully revised 6th edition incorporates all of the latest concepts in cardiology, distilled in a way that is understandable to pediatricians, family practitioners, NPs, and PAs alike. Apply the latest knowledge and methods with coverage of surgical techniques in pediatric cardiology, the application of interventional non-surgical techniques, blood pressure standards, and cardiac arrhythmia treatments. Easily grasp the latest techniques with helpful line drawings throughout. Select the best approaches for your patients with extensive coverage of special problems, including congestive heart failure and syncope.Clinical reference on the diagnosis and management of congenital and acquired heart disease in children."

"This volume presents a comprehensive and detailed of the problem and help you understand how the couple's relationship can become a factor that increases the risk of heart disease or worsens the prognosis after an acute event, such as a heart attack. Are then provided the tools to interpret and act on those aspects of a couple's relationship that can reduce risk and strengthen protective factors. "

"ABSTRAK Latar belakang: Deteksi dini aterogenesis diperlukan untuk mencari faktor risiko gangguan kardiovaskular pada neonatus.Tujuan: 1 mengetahui sebaran nilai ketebalan tunika-intima aorta abdominalis aIMT pada bayi baru lahir; 2 mengetahui hubungan antara status nutrisi maternal dan berat lahir bayi terhadap aIMT bayi baru lahir.Metode: Penelitian potong lintang pada 86 bayi usi 2-3 kali nilai aIMT menggunakan ultrasonografi vaskular bertransduser linear 13 MHz dengan piranti lunak automatis, kemudian diambil nilai reratanya. Rerata aIMT kemudian dihubungkan dengan indeks massa tubuh ibu trimester pertama kehamilan dan berat lahir.Hasil: Rerata aIMT bayi baru lahir di Unit Perinatologi RSCM adalah 0,621 mm 0,110 mm. Tidak ditemukan korelasi antara indeks massa tubuh ibu trimester pertama kehamilan dengan aIMT bayi r = 0,137, p = 0,207 . Tidak ditemukan korelasi antara berat lahir bayi dengan aIMT bayi r = 0,036, p = 0,742 .Simpulan: Rerata aIMT bayi baru lahir di Unit Perinatologi RSCM adalah 0,621 mm 0,110 mm. Tidak didapatkan korelasi antara indeks massa tubuh ibu maupun berat lahir bayi terhadap aIMT bayi baru lahir. Deteksi dini risiko kardiovaskular pada neonatus melalui aIMT belum perlu dilakukan dalam praktik sehari-hari.Kata kunci: nutrisi maternal, risiko kardiovaskular, ketebalan tunika intima-media aorta

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ABSTRACTBackground Early detection of atherogenesis is needed to evaluate cardiovascular risk factors in newborns.Aim 1 knowing aortic intima media thickness aIMT distribution value in newborns 2 evaluate correlation between maternal nutritional status and birth weight to newborn aIMT.Method A cross sectional study was performed in 86 newborns, aged 0 7 days, with median gestational age of 35 weeks. All aIMT subjects were measured using a 13 MHz linear transducer vascular ultrasound with automatic software. Mean aIMT then correlated with first trimester maternal body mass index and birth weight.Results Newborn mean aIMT in Perinatology division Cipto Mangunkusumo Hospital was 0,621 mm SD 0,110 mm . There was no significant correlation between first trimester maternal body mass index and newborns aIMT r 0,137, p 0,207 . There was no significant correlation between birth weight and newborns aIMT r 0,036, p 0,742 .Conclusions Newborn mean aIMT in Perinatology division Cipto Mangunkusumo Hospital was 0,621 mm SD 0,110 mm . There were no correlations between first trimester maternal body mass index and birth weight to newborns aIMT. Early detection of atherogenesis in newborns through aIMT measurement were not recommended for daily practice yet.Keywords Maternal nutrition, newborns cardiovascular risks, aortic intima media thickness"