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CURRICULUM VITAE

DR. Dr. NYOMAN KERTIA SPPD-KR


LAHIR DI: BALI 16 SEPTEMBER 1960

RIWAYAT PENDIDIKAN
1987 DOKTER UMUM UNIV. UDAYANA
1998 INTERNIST UNIV. GADJAH MADA
1999-2001 PENDIDIKAN RHEUMATO - IMMUNOLOGY &
PHYTOPHARMACY ROYAL PERTH HOSPITAL
UNIVERSITY OF WESTERN AUSTRALIA
2000 KURSUS AKUPUNTUR DI BEIJING - CINA
2002 KONSULTAN REUMATOLOGI
2009 LULUS DOKTOR DI UNIVERSITAS GADJAH MADA

RIWAYAT PEKERJAAN
19998-2000 : PENELITI OBAT TRADISIONAL BADAN LITBANGKES DEPKES RI
2001-2004 : KEPALA BIDANG RISET KLINIK
PUSAT STUDI OBAT TRADISIONAL UNIV. GADJAH MADA
2003 SEKARANG : KEPALA. SUB.BAG. REUMATOLOGI
BAG IPD, FK-UGM / RS. DR. SARDJITO YOGYAKARTA
2004-2006 : PENELITI ETNOMEDICINE DAN OBAT ASLI INDONESIA
BADAN PENGAWAS OBAT DAN MAKANAN RI
2004- SEKARANG: STAF PENGAJAR FITOFARMAKA
FAKULTAS KEDOKTERAN UNIVERSITAS GADJAH MADA
2008-SEKARANG: KETUA TIM KEDOKTERAN HERBAL RSUP DR SARDJITO
2008-SEKARANG: KEPALA SENTRA PENGEMBANGAN DAN PENERAPAN
PENGOBATAN TRADISIONAL PROPINSI DAERAH ISTIMEWA
YOGYAKARTA
2010SEKARANG: KETUA KOMISI II DEWAN RISET DAERAH DIY
2010SEKARANG: ANGGOTA KOMISI NASIONAL SAINTIFIKASI JAMU

ORGANISASI

IDI, PAPDI, IRA, APLAR

IPS (Indonesian Pain Society)

IASP(International Association for the Study of Pain)


NYOMAN KERTIA

Section of Rheumatology, Internal Medicine Department


Faculty of Medicine GMU / Dr. Sardjito General Hospital
OSTEOPOROSIS
Osteoporosis is defined as a skeletal disorder
characterized by compromised bone strength
predisposing a person to an increased risk of fracture.
Bone strength primarily reflects the integration of
bone quantity and bone quality.

Normal Osteoporosis
NIH Consensus Development Panel on Osteoporosis. JAMA 285 (2001): 785-95
Shifting the Osteoporosis Paradigm
Bone Strength
NIH Consensus Statement

Bone Bone Bone


Strength = Quality and Quantity

Architecture Bone size


Turnover rate Bone density
Damage Accumulation
Degree of Mineralization
Properties of the collagen/
mineral matrix
Adapted from NIH Consensus Development Panel on Osteoporosis. JAMA 285:785-95; 2001
The Osteoporosis Continuum

Healthy Kyphoti
spine c spine

50 Menopausal 55+ Postmenopausal 75+ Kyphotic


Experiencing At greater risk for vertebral At risk for
vasomotor fracture than any other hip fracture
symptoms type of fracture
Peak Bone Mass
Bone Remodeling Process
Osteoclasts
Resorption
Cavities
Lining Cells

Bone

Lining Cells Osteoblasts

Mineralized Osteoid
Bone
BONE REMODELLING/BONE TURN OVER
High Bone Turnover Leads to Development of Stress Risers and
Perforations
Osteoclasts

Lining
Cells

Bone

Perforations

Stress Risers
Osteoporosis

Osteoblast

Osteoclast
MANAGEMENT OF OSTEOPOROSIS
High risk population Minimally traumatic
fraktur or osteopenia

Change the life style


Diet, exercise,
avoid the cygarettes
Bone Densitometri

More than +1 SD +1 SD to 1 SD -1 SD to 2.5 SD Less than 2.5 SD

Repeat every 5 Repeat every 1 Estrogen/


years year SERM

Estrogen/ Bifosfonat Calcitriol Calcitonin


SERM
SELAMAT DATANG DALAM SEMINAR NASIONAL
RHEUMATOLOGY, OSTEOPOROSIS &
HERBAL MEDICINE
YOGYAKARTA 14-16 JULI 2011

MATUR SEMBAH NUWUN