Medical Scope Journal最新文献

{"title":"Gambaran Foto Toraks Pasien Tuberkulosis Paru dengan HIV di RSUP Prof. Dr. R. D. Kandou Periode Januari – Juni 2022","authors":"Karel Y. Wijaya, Martin L. Simanjuntak, Yovana P. M. Mamesah","doi":"10.35790/msj.v4i1.44720","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44720","url":null,"abstract":"Abstract: Pulmonary tuberculosis is a contagious and chronic infectious disease caused by Mycobacterium tuberculosis and can occur in individuals including those with human immunodeficiency virus (HIV). The combination of these diseases can aggravate an individual's health condition. Chest X-ray examination is important for the diagnosis of this disease. This study aimed to review the chest X-ray in patients with pulmonary TB and HIV at Prof. Dr. R. D. Kandou Hospital from January to June 2022. Thus was a retrospective and descriptive study with a cross-sectional design. The data used were medical records of pulmonary TB patients with HIV who underwent chest X-ray examination at the Radiology Department of Prof. Dr. R. D. Kandou Hospital from January to June 2022 using the total sampling method. The results obtained 18 patients with pulmonary tuberculosis and HIV, dominated by males (88.9%) aged 26–35 years (44.4%). The most common characteristic of chest X-ray examination was the presence of infiltrates (88.9%), with far advanced lesion severity (55.6%). In conclusion, the majority of pulmonary tuberculosis patients with HIV were males, aged 26–35 years, and the chest X-ray characteristic was the presence of infiltrates with far advanced degree of severity.\u0000Keywords: chest X-ray; pulmonary tuberculosis; human immunodeficiency virus\u0000 \u0000Abstrak: Tuberkulosis (TB) paru merupakan penyakit infeksi kronik menular disebabkan oleh Mycobacterium tuberculosiss. Penyakit ini dapat terjadi pada individu dengan infeksi Human Immunodeficiency Virus (HIV) yang akan memperparah kondisi kesehatan individu. Pemeriksaan radiologis foto toraks penting dilakukan untuk diagnosis penyakit ini. Penelitian ini bertujuan untuk mengetahui gambaran foto toraks pasien TB paru dengan HIV di RSUP Prof. Dr. R. D. Kandou periode Januari–Juni 2022. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Data yang digunakan ialah rekam medik foto toraks pasien TB paru dengan HIV di Bagian Radiologi RSUP Prof. Dr. R. D. Kandou periode Januari – Juni 2022 dengan metode total sampling. Hasil penelitian mendapatkan pasien TB paru dengan HIV di RSUP Prof. Dr. R. D. Kandou sebanyak 18 sampel. Mayoritas pasien berjenis kelamin laki-laki sebesar 88,9%. Kelompok usia paling dominan ialah 26-35 tahun sebesar 44,4%. Karakteristik foto toraks yang paling banyak ditemukan ialah infiltrat sebesar 88,9%. Derajat keparahan paling banyak ditemukan pada derajat lesi luas yaitu sebesar 55,6%. Simpulan penelitian ini ialah mayoritas pengidap tuberkulosis paru dengan HIV terjadi pada laki-laki, kelompok usia 26-35 tahun serta karakteristik gambaran foto toraks ialah infiltrat dengan derajat keparahan lesi luas\u0000Kata kunci: foto toraks; tuberkulosis paru; human immunodeficiency virus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126279079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asosiasi Kadar Hemoglobin dan Indeks Massa Tubuh terhadap Kualitas Hidup Pasien Penyakit Ginjal Kronik Stadium 5 Hemodialisis","authors":"Alwerino Sitompul, Linda W. A. Rotty, Cerelia E. C. Sugeng","doi":"10.35790/msj.v4i1.44683","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44683","url":null,"abstract":"Abstract: The prevalence of chronic kidney disease (CKD) increases every year, and majority of patients suffer from its complications namely anemia. Chronic inflammation also affects nutritional status, therefore, the patients tend to have a low body mass index (BMI). Low hemoglobin and BMI will cause a decrease in quality of life. This study aimed to determine the association of hemoglobin and BMI to the quality of life of patients with CKD stage 5 hemodialysis (CKD 5 HD). This was a cross-sectional study with 42 subjects with CKD 5 HD more than three months. Retrieval of hemoglobin data obtained through medical records, assessment of nutritional status by BMI calculations, and assessment of quality of life by interviewing the Short Form 36 questionnaire (SF-36). The results found that the analysis of the association between hemoglobin and the SF-36 score, carried out with the Pearson test, obtained a r-value of  0.330 and a p-value of 0.033. Analysis of the association between BMI and the SF-36 score carried out using the Kruskal-Wallis test, obtained a p-value of 0.890. In conclusion, there is an association between hemoglobin and quality of life, albeit, there is no association between BMI and quality of life in CKD 5 HD patients.\u0000Keywords: hemoglobin; body mass index; short form 36; chronic kidney disease; hemodialysis\u0000  \u0000Abstrak: Prevalensi penyakit ginjal kronik (PGK) meningkat setiap tahunnya dan mayoritas pasien mengalami komplikasi PGK yaitu anemia. Inflamasi kronik juga berpengaruh terhadap status nutrisi sehingga pasien tersebut cenderung memiliki indeks massa tubuh (IMT) rendah. Rendahnya hemo-globin dan IMT akan menyebabkan penurunan kualitas hidup. Penelitian ini bertujuan untuk menge-tahui asosiasi hemoglobin dan IMT terhadap kualitas hidup pasien penyakit ginjal kronik stadium 5 hemodialisis (PGK 5 HD). Penelitian ini merupakan studi potong lintang dengan subjek sebanyak 42 pasien PGK 5 HD lebih dari tiga bulan. Pengambilan data hemoglobin diperoleh melalui rekam medik, penilaian status nutrisi dengan perhitungan IMT, dan penilaian kualitas hidup diperoleh dengan wawancara kuesioner Short Form 36 (SF-36). Analisis asosiasi antara hemoglobin dengan skor SF-36. Hasil analisis dengan uji Pearson mendapatkan nilai r=0,330 dan p=0,033. Analisis asosiasi antara IMT dengan skor SF-36, yang dilakukan dengan uji Kruskal-Wallis mendapatkan nilai p=0,890. Simpulan penelitian ialah terdapat asosiasi antara hemoglobin dengan kualitas hidup namun tidak terdapat asosiasi antara IMT dengan kualitas hidup pada pasien PGK 5 HD.\u0000Kata kunci: hemoglobin; indeks massa tubuh; short form 36; penyakit ginjal kronik; hemodialisis","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134573636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh Inflamasi Mikro terhadap Penyakit Ginjal pada Pasien Diabetes Melitus Tipe-2","authors":"Sarah Rumondang, Bisuk P. Sedli, Octavianus R. H. Umboh","doi":"10.35790/msj.v4i1.44682","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44682","url":null,"abstract":"Abstract: Diabetic nephropathy is a microvascular damage as a complication of type 2 diabetes mellitus (T2DM) and becomes one of the most frequent causes of chronic renal failure worldwide. This study aimed to determine the effect of micro-inflammation on renal impairment in T2DM patients. This was a literature review study and data were searched using three database sources, namely ClinicalKey, Pubmed, and Google Scholar. The results obtained 10 articles to be reviewed. All reviewed articles stated various increases in inflammatory mediators namely NGAL, NLR, serum cystatin-C, urinary IgG, transferrin, hs-CRP, IL-8, TSA, TLR-4, TLR-2, monocyte ratio CD14+CD16+, pro-inflammatory cytokines Th1 TNF-α, IFN-γ, IL-6, IL-1β, IL-4, and eotaxin, and decreased levels of uromodulin and TNFR1. This occurred due to some components of the body in a state of hyperglycemia wouldl be able to activate the infiltration of hematopoietic cells, especially macrophages in the kidneys, which would further secrete proinflammatory cytokines and reactive oxygen species (ROS). Inflammatory cells present in the kidney are a response to tissue damage, but can also increase cell injury and the progression of DN in its early stages. In conclusion, there is an influence of immune and inflammatory mechanisms on the development of diabetic nephropathy in patients with type 2 diabetes mellitus.\u0000Keywords: type 2 diabetes mellitus; micro inflammation; diabetic kidney disease\u0000 \u0000Abstrak: Nefropati diabetik (ND) adalah kerusakan mikrovaskuler sebagai komplikasi DMT2 dan menjadi salah satu penyebab  tersering gagal ginjal kronis di seluruh dunia. Penelitian ini bertujuan untuk mengetahui pengaruh inflamasi mikro terhadap penyakit ginjal pada pasien DMT2. Penelitian ini menggunakan metode literature review dengan pencarian data melallui tiga sumber database yaitu ClinicalKey, Pubmed, dan Google Scholar. Hasil penelitian mendapatkan 10 artikel yang di-review yang melaporkan berbagai peningkatan mediator inflamasi, yaitu NGAL, NLR, serum cystatin-C, IgG urin, transferin, hs-CRP, IL-8, TSA, TLR-4, TLR-2, rasio monosit CD14+CD16+, sitokin proinflamasi Th1 TNF-α, IFN-γ, IL-6, IL-1β, IL-4, dan eotaksin, serta penurunan kadar uromodulin dan TNFR1. Hal ini terjadi karena beberapa komponen pada keadaan DMT2 dapat mengaktifkan infiltrasi sel hematopoietik, terutama makrofag pada ginjal, yang akan mengeluarkan sitokin proinflamasi dan reactive oxygen species (ROS). Masuknya sel inflamasi ke dalam ginjal pasien merupakan respon terhadap kerusakan jaringan, tetapi juga dapat meningkatkan cedera sel serta progresifitas ND pada tahap awal. Simpulan penelitian ini ialah terdapat pengaruh mekanisme kekebalan dan inflamasi dalam perkembangan nefropati diabetik pada pasien diabetes mellitus tipe 2.  \u0000Kata kunci: diabetes melitus tipe 2; inflamasi mikro; penyakit ginjal diabetes","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"62 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131048068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penatalaksanaan Hepatitis B pada Populasi Khusus","authors":"Filya A Hunou, Bradley J. Waleleng, Linda W. A. Rotty","doi":"10.35790/msj.v4i1.44645","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44645","url":null,"abstract":"Abstract: Hepatitis B virus infection is still a big problem in public health worldwide. Hepatitis B contributes 80% to the cause of primary hepatocellular carcinoma and is also the second most common cause of cancer after smoking. In special populations, the management given is different from the management of hepatitis B patients who are not included in special populations. This is because in special populations there have been changes in the natural history of the disease, the risk of complications related to the liver, recommendations for VHB drugs to be used, and the duration of therapy. This study aimed to obtain the managemeny of hepatitis B in special populations. This was a literature review study using 10 literatures searched by using three data bases namely ProQuest, Pubmed, and ClinicalKey. Journals were selected based on inclusion and exclusion criteria. The results showed that the management of hepatitis B in special populations adjusted to the conditions of each population. In conclusion, the management of hepatitis B in special populations has a variety of treatments that are made according to the condition of each population, including the treatment strategy, drug selection, duration of administration, and monitoring needed during the therapy.\u0000Keywords: management of hepatitis B; special population\u0000 \u0000Abstrak: Infeksi virus hepatitis B merupakan masalah besar pada kesehatan masyarakat di dunia. Penyakit hepatitis B menjadi penyumbang sebesar 80% pada penyebab terjadinya karsinoma hepatoseluler primer dan juga menjadi penyebab kanker kedua terbanyak setelah rokok. Pada populasi khusus pentalakasanaan yang diberikan berbeda dari penatalaksanaan pada pasien hepatitis B yang tidak termasuk pada populasi khusus. Hal ini disebabkan pada populasi khusus telah terjadi perubahan riwayat alamiah penyakit, risiko komplikasi terkait hati, rekomendasi obat VHB yang akan digunakan, serta durasi terapi. Penelitian ini bertujuan untuk mengetahui penatalaksanaan hepatitis B pada populasi khusus. Jenis penelitian ialah suatu literature review dengan pencarian literatur menggunakan tiga data base yaitu ProQuest, Pubmed, dan ClinicalKey. Hasil penelitian mendapatkan bahwa kesepuluh literatur menjelaskan penatalaksanaan hepatitis B pada populasi khusus disesuaikan dengan kondisi masing-masing populasi. Simpulan penelitian ini ialah penatalaksanaan hepatitis B pada populasi khusus memiliki beragam penatalaksanaan yang dibuat menyesuaikan dengan kondisi masing-masing populasi, mulai dari strategi pengobatan yang diberikan, pemilihan obat, durasi pemberian, serta pemantauan yang perlu dilakukan dalam terapi.\u0000Kata kunci: penatalaksanaan hepatitis B; populasi khusus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129277574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penetrating Neck Injury due to Foreign Body at C5 Level with Plexus Brachialis Nerve Injury: A Case Report","authors":"M. Oley, E. Prasetyo, Ferdinan Tjungkagi, Y. Manuhutu, Diornald J. Mogi","doi":"10.35790/msj.v4i1.44239","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44239","url":null,"abstract":"Abstract: Penetrating neck injury caused by screwdriver is a very rare case. Rapid transport to a major trauma center is needed for such patients to prevent neurological dysfunction and post traumatic tissue damage. Early and complete assessment and exact surgical procedure are very important to overcome a good outcome and prognosis. We reported a case of a 28-year-old male transferred to the emergency room after being stabbed using a screwdriver. No history of nausea, vomiting, and loss of consciousness. A screwdriver got stucked on the neck at the level of C5-C6 associated with edema but no active bleeding. The upper extremity examination revealed that the muscle contraction was 5555/4444, thumb test +/, opposition test +/-, abductor adductor test +/-, and sensory within normal limit. Radiology examination showed a metallic density of the foreign body in the cervical region penetrating from soft tissue to the vertebral body of cervical C5. The patient was diagnosed with penetrating neck injury due to foreign body in the posterior neck region at C5 level with plexus brachialis nerve injury. Foreign body removal and laminectomy were done to decompression purpose. This case need early, complete and adequate management to prevent post traumatic tissue damage, other neurological dysfunction, and mortality. On the fourth post-surgical day, the patient was discharged with stable vital signs and no neurological deficit. The regular follow up at the neurosurgical clinic showed that neither motoric nor sensoric deficit was found. In conclusion, penetrating neck injury which can cause severe morbidity and permanent disability need an adequate management to prevent any spinal cord damage and minimize any neurological dysfunction.\u0000Keywords: penetrating neck injury; spinal cord injury","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114675884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antecedents of Outpatient Satisfaction in Internal Medicine Polyclinic during Covid-19 Pandemic Era (Empirical Study At Hospital X)","authors":"Meidy C. Elim, Ferdi Antonio","doi":"10.35790/msj.v4i1.44599","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44599","url":null,"abstract":"Abstract: There is high competition among private hospitals in seeking the quality of health services provided that meets consumer needs. The largest service unit in the hospital is the outpatient unit; one of the polyclinics is Internal Medicine unit. Patients coming for treatment in this unit during the COVID-19 pandemic expect the best health services. A variety of factors can affect patient satisfaction but only a few studies are focused on outpatient satisfaction in the COVID-19 pandemic era so far. This research aimed to evaluate the effects of environment and facilities, professional competence, caring attitudes and emotional support, perceived compliance of COVID-19 protocol, communication and information, and waiting time on patient’s satisfaction. There were 164 samples obtained by purposive sampling from respondents that filled out the online questionnaires. Data were analyzed by using the PLS-SEM. The results showed that the independent and mediating variables had significant positive effects on general satisfaction. The strongest effect was from environment and facilities and professional competence, while the direct effect on general satisfaction was found to be the strongest from waiting time. In conclusion, the results confirmed the theory of patient satisfaction with health services. Therefore, this research model has strong predictive accuracy and large predictive relevance to be used and developed in further research. \u0000Keywords: satisfaction; outpatient; COVID-19; private hospitals","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115790815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perilaku Profesional Tenaga Medis terhadap Tanggung Jawab Etik dan Transaksi Terapeutik dalam Menjalankan Kewenangan Klinis","authors":"Vini H. R. Gosal, A. Manampiring, Caecilia J. J. Waha","doi":"10.35790/msj.v4i1.41689","DOIUrl":"https://doi.org/10.35790/msj.v4i1.41689","url":null,"abstract":"Abstract: Professional medical personnel must have elements of professionalism, basic principles of medicine and professional ethics in carrying out their profession. Clinical privilege is a doctor's special right obtained through the credential process by the Medical Committee. This study aimed to analyze the medical personnel towards ehical responsibility and therapeutic transactions in doing their clinical privilege. This was a qualitative study using case study method. Subjects were eight people consisting of general practitioners, specialists, the chairman of the Medical Committee, and the sub-committee for credentials of Rumah Sakit Umum Manado Medical Center. Primary data were obtained through in-depth interviews and observation guidelines. Validity of the data was done using the triangulation method. The results showed that the behavior of doctors was in accordance with the element of professionalism, but not all of them applied the professional behavior ethics according to hospital standard operating procedure (SOP). Based on the implementation of therapeutic transactions, not all of them have carried out the doctor's obligation to explain the patient's diagnosis completely and in detail simplly to be understood. The results of implementation of the credential were suitable to the procedure, but for evaluation, it was not optimal due to the re-credential was not carried out. In conclusion, not all medical personnel applied the professional behavior ethics according to hospital (SOP). Monitoring and evaluation through re-credentialing of medical personnel had not been performed at Manado Medical Center.Keywords: professional behavior; ethics; therapeutic transactions; clinical privilege Abstrak: Tenaga medis yang profesional harus memiliki unsur-unsur profesionalisme, prinsip dasar kedokteran dan etika profesi dalam menjalankan profesinya. Kewenangan klinis merupakan hak khusus dokter yang didapatkan melalui proses kredensial oleh Komite Medik. Penelitian ini bertujuan untuk menganalisis perilaku profesional tenaga medis terhadap tanggung jawab etik dan transaksi terapeutik dalam menjalankan kewenangan klinis. Jenis penelitian ialah kualitatif dengan metode studi kasus. Subjek penelitian berjumlah delapan orang terdiri dari dokter umum, dokter spesialis, ketua Komite Medik dan sub komite kredensial Rumah Sakit Umum Manado Medical Center. Data penelitian diperoleh melalui wawancara mendalam dan pedoman observasi. Validitas data menggunakan metode triangulasi. Hasil penelitian menunjukkan perilaku dokter sesuai dengan unsur profesionalisme, tetapi belum semua menerapkan etika perilaku profesional sesuai standar prosedur operasional (SPO) Rumah Sakit. Dalam pelaksanaan transaksi terapeutik, belum semua dokter melaksanakan kewajibannya yaitu menjelaskan diagnosa pasien secara lengkap dan rinci dengan bahasa yang mudah dipahami. Pelaksanaan kredensial sesuai dengan prosedur, tetapi untuk evaluasi belum optimal karena pelaksanaan re-kredensial ","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125079852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of Scrotal Mass in Children","authors":"Axel P. Lumi, H. Lampus, N. Pali","doi":"10.35790/msj.v3i2.41129","DOIUrl":"https://doi.org/10.35790/msj.v3i2.41129","url":null,"abstract":"Abstract: Scrotal mass is one of the diseases in the urology field with a moderately high prevalence. Problems with the contents of scrotum vary, ranging from infections, tumors, to fluid. Diagnosis of scrotal mass is based on detail ananmnesis, systematic physical examination, and other supporting examinations. Scrotal ultrasound can confirm the exact location of a mass and rule out the presence of an inguinal hernia. Scrotal masses in adults require a formal examination with serum tumor markers, scrotal ultrasound as needed, and immediate consultation with a urologist for staging and further intervention. Scrotal masses in children are much less common than in adults and should be evaluated by a urologist.Keywords: scrotal mass; children Abstrak: Massa skrotum merupakan salah satu penyakit di bidang urologi dengan prevalensi yang cukup tinggi. Masalah pada isi skrotum bervariasi, mulai dari infeksi, tumor, hingga cairan.  Diagnosis massa skrotum ditegakkan melalui anamnesis yang cermat, pemeriksaan fisik terarah, dan pemeriksaan penunjang. Ultrasonografi (USG) skrotum dapat mengonfirmasi lokasi yang tepat dari suatu massa sekaligus menyingkirkan adanya hernia inguinalis. Massa testis pada dewasa memerlukan pemeriksaan formal, dengan penanda tumor serum, USG skrotum sesuai kebutuhan, dan konsultasi segera dengan ahli urologi untuk staging dan intervensi lebih lanjut. Massa skrotum pada anak jauh lebih jarang daripada dewasa dan harus dievaluasi oleh seorang ahli urologi.Kata kunci: massa skrotum; anak","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115198578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Hospital without Wall Concept at the Dermatovenereology Services of Maria Walanda Maramis Hospital in North Minahasa","authors":"Lucky V. Waworuntu, A. E. Manampiring, Gustaaf A. E. Ratag","doi":"10.35790/msj.v3i2.40927","DOIUrl":"https://doi.org/10.35790/msj.v3i2.40927","url":null,"abstract":"Abstract: Currently, a concept of health services by the hospital, Hospital without Walls, is intro-duced.  This concept moves health services from the hospital to outside the hospital building.  This study aimed to determine the application of the concept of a hospital without walls in Dermatovene-reology health services. This was a qualitative research design (grounded research) using informants through in-depth interviews, face-to-face and indirect. This study was carried out at Maria Walanda Maramis General Hospital, North Minahasa. Data were collected manually by making a transcript then were compiled in a matrix form and analyzed using the inductive analysis method. The results showed that the Hospital without Walls could be implemented, however, there were obstacles, internally and externally. The internal obstacles were that the hospital did not have a legal basis, SOP, and supporting facilities such as applications for this activity, payment for services of doctors and paramedics, professional human resources in the field of information technology to manage these activities. The external obstacles were the absence of regulation of BPJS for execution and payment of claims. In conclusion, the hospital without walls concept can be applied to the dermato-venereology health services at Maria Walanda Maramis General Hospital, North Minahasa, North Sulawesi Province.Keywords: Hospital without Walls; dermatovenereology services Abstrak: Saat ini berkembang suatu konsep pelayanan kesehatan oleh Rumah Sakit disebut Hospital without Walls yang memindahkan pelayanan dari Rumah Sakit ke luar bangunan Rumah Sakit. Penelitian ini bertujuan untuk mengetahui penerapan konsep Hospital without Walls pada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis Kabupaten Minahasa Utara. Desain penelitian ialah kualitatif (grounded research) dengan menggunakan informan (10 orang) melalui wawancara mendalam, secara langsung dengan tatap muka dan tidak langsung. Data yang terkumpul, diolah secara manual dengan membuat transkrip kemudian disusun dalam bentuk matriks dan selanjutnya dianalisis menggunakan metode analisis secara induktif. Hasil penelitian mendapatkan bahwa penerapan Hospital without Walls dapat dilaksanakan walaupun ditemukan hambatan secara internal dan eksternal. Hambatan internal ialah Rumah Sakit belum mempunyai dasar hukum, SOP, dan fasilitas penunjang seperti aplikasi untuk kegiatan ini, serta pembayaran jasa untuk dokter dan paramedis, SDM profesional di bidang informasi teknologi untuk mengelola kegiatan ini. Hambatan eksternal yaitu belum adanya regulasi BPJS untuk pelaksanaan dan pembayaran klaim. Simpulan penelitian ini ialah konsep Hospital without Walls dapat diterapkan pada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis, Kabupaten Minahasa Utara, Provinsi Sulawesi Utara.Kata kunci: Hospital without Walls; pelayanan kesehatan kulit dan kelamin","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127580087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Work Motivation for Manado Adventist Hospital Health Workers during the Covid-19 Pandemic","authors":"Christa J. Egeten, J. Posangi, J. Runtuwene","doi":"10.35790/msj.v3i2.40353","DOIUrl":"https://doi.org/10.35790/msj.v3i2.40353","url":null,"abstract":"Abstract: Work motivation is a set of attitudes and values that influence an individual to achieve more detailed things according to his/her goal. This study aimed to obtain the determinants of work motivation of health workers at Manado Adventist Hospital during the Covid-19 pandemic. This was a quantitative study. Population consisted of all health workers totaling 238 meanwhile samples were 70 people. Data were analyzed using the chi square test and logistic regression test. The results showed that physical working condition was 64.3% good and 35.7% poor; interpersonal relationship was 44.3% good and 55.7% poor; company policy was 30% good and 70% poor; salary was 62.9% good and 37.1% poor; and work motivation was 44.3% good and 55.7% poor. The chi square test showed that there were significant relationships between physical working condition and work motivation (p=0.013); interpersonal relationship and work motivation (p=0.000); company policy and work motivation (p=0.019); salary and work motivation (p=0.028). The logistic regression test confirmed that interpersonal relationship had the closest relationship with work motivation. In conclusion, work motivation determinants in this study are physical working condition, interpersonal relationship, company policy, and salary. Interpersonal relationship has the closest relationship to work motivation.Keywords: physical working conditions; interpersonal relation; policies; salary; work motivation Abstrak: Motivasi kerja yaitu serangkaian sikap dan juga nilai yang memengaruhi individu untuk menggapai hal yang lebih detail sesuai dengan tujuannya. Penelitian ini bertujuan untuk mengetahui determinan motivasi kerja tenaga kesehatan Rumah Sakit Advent Manado di masa pandemi Covid-19. Jenis penelitian ialah kuantitatif. Populasi ialah seluruh tenaga kesehatan berjumlah 238 orang dengan sampel berjumlah 70 orang. Analisis statistik menggunakan uji chi square dan regresi logistik. Hasil penelitian mendapatkan variabel kondisi kerja fisik baik sebesar 64,3% dan kurang baik 35,7%. Hubungan interpersonal didapatkan kategori baik 44,3% dan kurang baik 55,7%. Kebijakan perusahaan didapatkan kategori baik 30% dan kurang baik 70%. Gaji didapatkan kategori baik 62,9% dan kurang baik 37,1%. Motivasi kerja didapatkan kategori baik 44,3% dan kurang baik 55,7%. Hasil uji chi square menegaskan adanya hubungan bermakna antara: kondisi kerja fisik dengan motivasi kerja (p=0,013); hubungan interpersonal dengan motivasi kerja (p=0,000; kebijakan perusahaan dengan motivasi kerja (p=0,019); dan gaji dengan motivasi kerja (p=0,028). Hasil uji regresi logisitik menunjukkan bahwa hubungan interpersonal yang paling berhubungan erat dengan motivasi kerja. Simpulan penelitian ini ialah determinan motivasi kerja yang didapatkan ialah kondisi kerja fisik, hubungan interpersonal, kebijakan perusahaan, dan gaji. Hubungan interpersonal yang paling berhubungan kuat dengan motivasi kerja.Kata kunci: kondisi kerja fisik; hubungan inter","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131255152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}