Medical Scope Journal最新文献

{"title":"Reconstruction of Lower Eyelid in Basal Cell Carcinoma Case with Adjunctive Hyperbaric Oxygen Therapy: A Case Report","authors":"Yulius A. M. Chietra, Mendy J. Hatibie, Ramli Dali","doi":"10.35790/msj.v7i1.54895","DOIUrl":"https://doi.org/10.35790/msj.v7i1.54895","url":null,"abstract":"Abstract: Basal cell carcinomas (BCCs) are the most common cancers in humans, caused by exposure to ultraviolet light and are associated with PTCH1 gene mutation. Its incidence rate significantly increases per year especially in elderly people. Several modalities are available for BCC treatment but surgery is still considered as the gold standard. Oxygen is mandatory for almost all wound healing processes, and oxygen substitution can be delivered in the form of hyperbaric oxygen (HBO) therapy. We presented a 70 years old woman with a major complaint of a tumor located in the left infrapalpebral region, below the left lower lash line with 5 years of evolution. Patient had clinical presentation of solid nodular basal cell carcinoma which was the most common clinical subtype. Patient was diagnosed as having BCC based on history taking, clinical findings, and histopathological examination. Surgical wide excision, skin flap, and HBO as the adjunctive therapy were performed on this patient. With these techniques, healing time was reduced, complications rates were low, and cosmetic outcome was much better. In conclusion, closing defects of BCC case with surgical wide excision and flap yields a remarkable outcome and an adjunctive HBO therapy after surgery optimizes the oxygenation, thus, the healing potential of tissue prior to surgery, and accelerates wound healing post operatively. A good result with short healing duration was observed.\u0000Keywords: basal cell carcinoma; hyperbaric oxygen therapy; flap; wound healing","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"17 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281343","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":"Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Diabetes Melitus di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 hingga Juli 2023","authors":"Wiwi Bolong, Joan F. J. Timban, Alfa G. E. Y. Rondo","doi":"10.35790/msj.v7i1.53483","DOIUrl":"https://doi.org/10.35790/msj.v7i1.53483","url":null,"abstract":"Abstract: Chronic kidney disease (CKD) occurs due to a long-lasting and irreversible decline in kidney function. This disease has a close relationship with diabetes mellitus (DM). Diabetic patients tend to experience microvascular complications, namely diabetic nephropathy which is the main cause of CKD. This study aimed to obtain the description of renal ultrasound in CKD patients with DM at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023. This was a descriptive and retrospective study with a cross sectional design using proportional random sampling. The results obtained 68 samples of CKD patients with DM, dominated by females (57.4%), age group >65 years (32.4%), and had hemodialysis treatment (54.4%). The majority of CKD patients with DM were at level 2 severity based on the results of kidney ultrasound examination, where many had normal kidney size, increased parenchymal echogenicity, normal cortex thickness, clear echo cortex and medulla boundaries, normal pelvicalyceal system, and cysts as well as stones. In conclusion, the majority of chronic kidney disease patients with diabetes mellitus are females, aged over 65 years, have hemodialysis treatment, and are at level 2 severity.\u0000Keywords: renal ultrasound; chronic kidney disease; diabetes mellitus \u0000 \u0000Abstrak: Penyakit ginjal kronis (PGK) terjadi karena penurunan fungsi ginjal yang berlangsung lama dan bersifat ireversibel. Penyakit ginjal kronis memiliki hubungan erat dengan diabetes melitus (DM). Penyandang DM akan mengalami komplikasi mikrovaskular yaitu nefropati diabetik yang menjadi penyebab utama terjadinya PGK. Penelitian ini bertujuan untuk mengetahui gambaran ultrasonografi ginjal pada penderita PGK dengan DM di RSUP Prof. Dr. R. D. Kandou periode Juli 2022 hingga Juli 2023. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang dengan menggunakan teknik proportional random sampling. Hasil penelitian mendapatkan 68 sampel penderita PGK dengan DM, didominasi oleh jenis kelamin perempuan (57,4%), usia >65 tahun (32,4%), dan melakukan perawatan hemodialisis (54,4%). Mayoritas penderita PGK dengan DM berada pada derajat keparahan tingkat 2 berdasarkan hasil pemeriksaan USG ginjal, dimana banyak ditemukan ukuran ginjal normal, ekogenisitas parenkim meningkat, ketebalan korteks normal, batas echo korteks dan medula jelas, sistem pelvicalyceal normal, terdapat kista dan batu. Simpulan penelitian ini ialah mayoritas penderita penyakit ginjal kronis dengan diabetes melitus mayoritas ialah perempuan, kelompok usia >65 tahun, melakukan perawatan hemodialisis, dan berada pada derajat keparahan tingkat 2.\u0000Kata kunci: ultrasonografi ginjal; penyakit ginjal kronis; diabetes melitus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"36 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280467","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":"Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Kamar Bedah RSU GMIM Pancaran Kasih Manado","authors":"Alexander A. Waleleng, O. Waworuntu, Fredine E. S. Rares","doi":"10.35790/msj.v6i2.53545","DOIUrl":"https://doi.org/10.35790/msj.v6i2.53545","url":null,"abstract":"Abstract: Healthcare associated infections/Hospital acquired infections (HAIs) or nosocomial infections can cause mild to severe complications to patients. Types of nosocomial infections that often occur are primary bloodstream infections (BSI), catheter-associated urinary tract infections (UTI), surgical site infections (SSI), ventilator-associated pneumonia, etc. This study aimed to determine the bacterial pattern and antibiotic sensitivity in the surgical room of GMIM Pancaran Kasih Hospital Manado. This was an observational and descriptive study with a cross-sectional design. This study aimed to identify the bacterial pattern and sensitivity test in surgical room of GMIM Pancaran Kasih Hospital. The results obtained three types of Gram-positive bacteria in the surgical room, namely Staphylococcus sp. (62.5%), Bacillus sp. (25%), and Streptococcus sp. (12.5%); all bacteria had high sensitivity to meropenem (100%) and not sensitive (resistant) to erythromycin (0%). In conclusion, since there are bacteria found in the surgical room, personal sterility and sanitation must be improved by medical personnel.\u0000Keywords: bacterial pattern; antibiotic sensitivity test; surgical room\u0000  \u0000Abstrak: Healthcare-associated infections/hospital-acquired infections (HAIs) atau infeksi nosokomial dapat menyebabkan komplikasi ringan hingga berat pada pasien. Jenis infeksi nosokomial yang sering terjadi ialah infeksi aliran darah primer (IADP), infeksi saluran kemih (ISK) terkait kateter, infeksi daerah operasi (IDO), pneumonia terkait ventilator, dll. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri dan sensitivitas antibiotik di kamar bedah RSU GMIM Pancaran Kasih Manado. Jenis penelitian ialah deskriptif observational dengan desain potonng lintang. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri dan uji sensitivitas terhadap bakteri di kamar bedah RSU GMIM Pancaran Kasih Manado. Hasil penelitian mendapatkan tiga jenis bakteri Gram positif di kamar bedah, yaitu Staphylococcus sp. (62,5%), Bacillus sp. (25%), dan Streptococcus sp. (12,5%). Ketiga jenis bakteri memiliki sensitivitas tinggi terhadap antibiotik meropenem (100%) dan tidak sensitif (resisten) terhadap antibiotik erythromycin (0%). Simpulan penelitian ini ialah dengan didapatkannya bakteri di kamar bedah maka sterilitas ruangan dan sanitasi pribadi tenaga medis perlu ditingkatkan.\u0000Kata kunci: identifikasi pola bakteri; uji sensitivitas antibiotik; kamar bedah","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"10 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140710712","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":"Gambaran Fungsi Ginjal pada Anak Penderita Diare dengan Dehidrasi di RSUP Prof. Dr. R. D. Kandou Manado","authors":"Putri F. Ibrahim, Valentine Umboh, J. I. C. Manoppo","doi":"10.35790/msj.v6i2.53577","DOIUrl":"https://doi.org/10.35790/msj.v6i2.53577","url":null,"abstract":"Abstract: Diarrhea associated with dehydration can cause decreased tissue perfusion and circulating volume, thus inhibiting kidney function characterized by a decrease in glomerular filtration rate (GFR) and an increase in metabolic waste. This study aimed to determine the description of kidney function in children with diarrhea and dehydration at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective and descriptive study with a cross-sectional design. Samples were children with diarrhea and dehydration hospitalized at Prof. Dr. R. D. Kandou Hospital from July 1, 2020 to June 30, 2023. The results obtained 120 patients predominantly between the ages of 1 month -<1 year (50.0%), male (59.2%), and had mild to moderate dehydration (78.3%). Kidney function features showed normal serum ureum and serum creatinine in most samples by 89% and 91%, respectively, while GFR decreased in less than half of the samples by 49.2%. Increased serum ureum, serum creatinine, and decreased GFR were most common in severely dehydrated children by 69.2%, 73.1%, and 84.6%, respectively. In conclusion, diarrheal children with dehydration had normal serum ureum and serum creatinine levels, and decreased GFR. Increased serum ureum, serum creatinine, and decreased GFR were most common in diarrheal children with severe dehydration.\u0000Keywords: diarrhea; dehydration; children; serum ureum; serum creatinine; glomerular filtration rate\u0000  \u0000Abstrak: Diare yang disertai dehidrasi dapat menyebabkan penurunan perfusi jaringan dan volume sirkulasi sehingga menghambat fungsi ginjal yang ditandai dengan penurunan laju filtrasi glomerulus (LFG) dan peningkatan limbah metabolisme di dalam tubuh. Penelitian ini bertujuan untuk mengetahui gambaran fungsi ginjal pada pasien anak penderita diare dengan dehidrasi di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Sampel penelitian yaitu pasien anak diare dengan dehidrasi yang dirawat inap di RSUP Prof. Dr. R. D. Kandou Manado selama periode 1 Juli 2020–30 Juni 2023. Hasil penelitian mendapatkan 120 pasien anak diare dehidrasi didominasi usia 1 bulan -<1 tahun (50,0%), jenis kelamin laki-laki (59,2%), dan dehidrasi ringan-sedang (78,3%). Gambaran fungsi ginjal pada anak diare dengan dehidrasi memperlihatkan ureum serum dan kreatinin serum normal pada sebagian besar sampel (89% dan 91%), sedangkan LFG menurun pada kurang dari setengah sampel (49,2%). Peningkatan ureum serum, kreatinin serum, serta penurunan LFG paling sering pada anak dengan dehidrasi berat (69,2%, 73,1%, dan 84,6%). Simpulan penelitian ini ialah pada anak diare dengan dehidrasi, kadar ureum serum dan kreatinin serum didapatkan normal, sedangkan LFG menurun. Peningkatan ureum serum, kreatinin serum, dan penurunan LFG pada anak diare dengan dehidrasi paling sering pada derajat dehidrasi berat.\u0000Kata kunci: diare; dehidrasi; anak; ureum serum; kreatinin serum; laju filtrasi glomerulus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140711269","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":"Gambaran Kadar Glukosa Darah Puasa pada Pasien Stroke Iskemik di RSUP Prof. Dr. R. D. Kandou Manado tahun 2022","authors":"Teofaniblesstin Mangontan, Siemona L. E. Berhimpon, Mayer F. Wowor","doi":"10.35790/msj.v6i2.53651","DOIUrl":"https://doi.org/10.35790/msj.v6i2.53651","url":null,"abstract":"Abstract: Ischemic stroke is the most common type of strokes, especially in patients with history of diabetes—a non-modifiable risk factor. Hyperglycemia is common in acute ischemic stroke patients, whether with or without history of diabetes. This study aimed to obtain the overview of fasting blood glucose (FBG) levels in ischemic stroke patients at Prof. Dr. R. D. Kandou Hospital in 2022. This was a retrospective and descriptive study using secondary data from medical records of ischemic stroke patients at Prof. Dr. R. D. Kandou in 2022 using total sampling method. The results showed that of 40 samples, the predominance were female patients (55.0%) with FBG levels of ≥126 mg/dL (27.5%), aged 56–65 (35.0%) with FBG levels of ≥126 mg/dL (12.5%), without history of diabetes (70.0%) with FBG levels of 70–99 mg/dL (30.0%), and stroke in the acute phase (90.0%) with FBG levels of 70–99 mg/dL (32.5%). In conclusion, ischemic stroke patients were predominantly female and aged 56–65 with hyperglycemic FBG levels. Additionally, most patients had no history of diabetes and were in the acute phase with normal FBG levels.\u0000Keywords: fasting blood glucose; ischemic stroke; diabetes mellitus\u0000  \u0000Abstrak: Stroke iskemik merupakan jenis stroke yang paling sering ditemukan, terutama pada pasien dengan riwayat diabetes. Diabetes merupakan faktor risiko stroke yang tidak dapat diubah. Keadaan hiperglikemia umum ditemukan pada pasien stroke iskemik akut, baik dengan atau tanpa riwayat diabetes. Penelitian ini bertujuan untuk mengetahui gambaran kadar glukosa darah puasa (GDP) pada pasien stroke iskemik di RSUP Prof. Dr. R. D. Kandou Manado tahun 2022. Penelitian ini bersifat deskriptif retrospektif menggunakan data sekunder rekam medis pasien stroke iskemik di RSUP Prof. Dr. R.D. Kandou tahun 2022 diperoleh dengan metode total sampling. Hasil penelitian mendapatkan 40 sampel pasien dengan stroke iskemik yang didominasi oleh jenis kelamin perempuan (55,0%) dengan kadar GDP ≥126 mg/dL (27,5%), usia 56–65 (35,0%) dengan kadar GDP ≥126 mg/dL (12,5%), tanpa riwayat diabetes melitus (70,0%) dengan kadar GDP 70–99 mg/dL (30,0%), dan stroke fase akut (90,0%) dengan kadar GDP 70–99 mg/dL (32,5%). Simpulan penelitian ini ialah pasien stroke iskemik di RSUP Prof. Dr. R. D. Kandou Manado tahun 2022 didominasi oleh perempuan dan kelompok usia 56–65 dengan kadar GDP hiperglikemia, serta tanpa riwayat diabetes melitus dan fase akut dengan kadar GDP normal.\u0000Kata kunci: glukosa darah puasa; stroke iskemik; diabetes melitus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140724495","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":"Korelasi antara Rasio Limfosit Neutrofil dan Nilai Ambang Batas Siklus RT-PCR pada Bayi Terinfeksi Covid-19","authors":"Suryadi N. N. Tatura, Rifrita F. Halim","doi":"10.35790/msj.v6i2.51694","DOIUrl":"https://doi.org/10.35790/msj.v6i2.51694","url":null,"abstract":"Abstract: Covid-19 pandemic has been a new illness since the start of 2019 which was caused by SARS-CoV-2 coronavirus. In children, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection has been linked to a multisystem inflammatory syndrome and coronavirus disease 2019 (Covid-19). This study aimed to obtain the correlation between the neutrophil-lymphocyte ratio (NLR) and the cycling threshold (CT) value (viral load) of RT-PCR for Covid-19 in infant patients. This was a descriptive and analytical study with a cross-sectional design. Secondary data were obtained from medical records of March 2020 to February 2022 at Prof. Dr. R. D. Kandou Hospital, Manado. Subjects were all infants admitted or born during the recording period, with suspected or confirmed Covid 19, including infants with mothers whose Covid-19 antigen tests were reactive. Data of age, gender, diagnosis, outcome CT value of RT-PCR test, and NLR were retrieved, and analyzed with Pearson correlation, meanwhile comparison based on gender and outcome of care using the independent T-test. All analyses were conducted with IBM SPSS 26.0. The results showed that the correlation between CT value and NLR was -0.361 with a p-value of 0.067. In conclusion, there is no significant correlation between CT value and NLR level with weak correlation. However, CT and NLR values appeared to be inversely associated; the higher the NLR value, the lower the CT value.\u0000Keywords: infants; Covid-19; cycle threshold of RT-PCR; neutrophil-lymphocyte ratio\u0000 \u0000Abstrak: Pandemi Covid-19 menjadi penyakit baru sejak awal tahun 2019 sebagai akibat dari virus corona SARS-CoV-2. Pada anak, infeksi sindrom pernapasan akut parah coronavirus-2 (SARS-CoV-2) telah dikaitkan dengan sindrom inflamasi multisistem dan penyakit virus corona 2019 (Covid-19). Penelitian ini bertujuan untuk mengetahui hubungan antara rasio neutrofil-limfosit (NLR) dan nilai ambang batas siklus (CT) RT-PCR Covid-19 pada bayi. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang. Data sekunder diperoleh dari rekam medis sejak Maret 2020 hingga Februari 2022 di RSUP Prof. Dr. R. D. Kandou Manado. Semua bayi yang dirawat atau lahir selama periode pencatatan, dengan suspek atau konfirmasi Covid-19, termasuk bayi dengan ibu yang tes antigen Covid-19-nya reaktif. Data yang dianalisis pada penelitian ini antara lain usia, jenis kelamin, diagnosis, nilai CT hasil tes RT-PCR, dan NLR. Analisis data yang dilakukan yaitu analisis deskriptif, korelasi Pearson, dan perbandingan berdasarkan jenis kelamin dan hasil perawatan dengan analisis uji t independen. Semua analisis dilakukan dengan software IBM SPSS 26.0. Hasil analisis menunjukkan nilai korelasi antara nilai CT dan NLR sebesar -0,361 (p=0,067). Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara nilai CT dan nilai NLR dengan korelasi yang lemah. Nilai CT dan NLR tampaknya berkorelasi terbalik dengan NLR yang lebih tinggi dikaitkan dengan nilai CT yang l","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"31 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371767","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":"Hubungan Preeklamsia Berat dengan Kejadian Persalinan Preterm di RSUP Prof. Dr. R. D. Kandou Manado Periode 2021–2022","authors":"Cresensia R. N. Widjaja, E. Suparman, J. Wantania","doi":"10.35790/msj.v6i2.53554","DOIUrl":"https://doi.org/10.35790/msj.v6i2.53554","url":null,"abstract":"Abstract: Preeclampsia/eclampsia may lead to additional pregnancy complications, including the occurrence of preterm labor either spontaneously or be induced. Severe preeclampsia is a frequent reason for iatrogenic preterm labor. This study aimed to determine the relationship between severe preeclampsia and the incidence of preterm labor at Prof. Dr. R. D. Kandou Hospital, Manado, period 2021–2022. This was a case-control study design. The population in this study were mothers who gave birth at Prof. Dr. R. D. Kandou Hospital, Manado, from January 1st, 2021– December 31st, 2022. The case samples were mothers with preterm labor, meanwhile the control samples were mothers with term labor. Data were obtained from medical records of mothers who gave birth at the Obstetrics and Gynaecologist Department of Prof. Dr. R. D. Kandou Hospital. The chi square test showed that the most common preterm birth in severe preeclampsia was iatrogenic preterm labor (73.7%) and the most frequent indication was severe preeclampsia without impending eclampsia (43.9%). The chi-square test obtained a significant relationship between severe preeclampsia and the incidence of preterm labor (p=0.000, OR=2.359, 95% CI 1.709–3.773). In conclusion, there is a significant relationship between severe preeclampsia and the incidence of preterm labor at Prof. Dr. R. D. Kandou Hospital, Manado, period 2021–2022.\u0000Keywords: severe preeclampsia; preterm labor; term labor\u0000 \u0000Abstrak: Preeklamsia/eklamsia dapat mengakibatkan masalah kehamilan lainnya, seperti persalinan preterm yang dapat terjadi secara spontan atau melalui tindakan iatrogenik (terminasi). Preeklamsia berat merupakan salah satu indikasi paling sering pada persalinan preterm yang dilakukan secara iatrogenik. Penelitian ini bertujuan untuk mengetahui hubungan preeklamsia berat dengan kejadian persalinan preterm di RSUP Prof. Dr. R. D. Kandou Manado periode 2021–2022. Jenis penelitian ialah deskriptif analitik dengan desain studi kasus-kontrol. Sampel kasus ialah ibu dengan persalinan preterm dan sampel kontrol ialah ibu dengan persalinan aterm yang didapatkan dari data rekam medik ibu bersalin di Bagian Obstetri Ginekologi RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan bahwa persalinan preterm terbanyak pada preeklamsia berat ialah persalinan preterm iatrogenik (terminasi) (73,7%) dan indikasi terbanyak ialah preeklamsia berat tanpa impending eklamsia (43,9%). Hasil uji chi square mendapatkan hubungan bermakna antara preeklamsia berat dan persalinan preterm (p=0,000; OR=2,539, 95% CI 1,709-3,773). Simpulan penelitian ini ialah terdapat hubungan bermakna antara preeklamsia berat dengan kejadian persalinan preterm di RSUP Prof Dr. R. D. Kandou Manado periode 2021–2022.\u0000Kata kunci: preeklamsia berat; persalinan preterm; persalinan aterm","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"24 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140232895","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":"Faktor-faktor yang Berperan terhadap Kecemasan pada Mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi","authors":"Sthevanus N. Moe, Herdy Munayang, Theresia M. D. Kaunang","doi":"10.35790/msj.v6i2.53509","DOIUrl":"https://doi.org/10.35790/msj.v6i2.53509","url":null,"abstract":"Abstract: Anxiety is a prevalent issue among medical students due to the demanding schedule, frequent module exams, OSCE, and tutorial activities. This study aimed to determine the relationships between factors contributing to anxiety among students at the medical faculty. This was an analytical observational study with a cross-sectional design, using primary data from questionnaires administered to the students. Respondents were students of third semester Faculty of Medicine of Universitas Sam Ratulangi. The results showed that majority of respondents experienced expected parenting model, first-born, come from outside the region, with severe academic stress, moderate stress in the learning process, moderate interpersonal stress, moderate social stressors, mild pressure from lacking motivation, and moderate stress in group activities. Respondents without anxiety were 41.8% of students, followed by mild anxiety in 28.2%, moderate anxiety in 17.3%, severe anxiety in 9.1%, and very severe anxiety in 3.6%. Factors related to anxiety were academic stressors (p=0.001), learning process stressors (p=0.001), interpersonal stressors (p=0.000), and group activity stressors (p=0.000). In conclusion, academic stressors, learning process stressors, interpersonal stressors, and group activity stressors are related to anxiety among the third-semester medical education students at Unioversitas Sam Ratulangi.\u0000Keywords: anxiety; stressor; medical students; academic demands\u0000  \u0000Abstrak: Kecemasan merupakan permasalahan pada mahasiswa fakultas kedokteran akibat jadwal pembelajaran yang padat, ujian modul yang sering, OSCE serta kegiatan tutorial. Penelitian ini bertujuan untuk mengetahui hubungan faktor-faktor yang berperan terhadap kecemasan pada mahasiswa fakultas kedokteran. Jenis penelitian ialah analitik observasional dengan desain potong lintang menggunakan data primer dari kuesioner kepada mahasiswa. Responden penelitian ialah mahasiswa semester III Fakultas Kedokteran Universitas Sam Ratulangi (FK Unsrat). Hasil penelitian mendapatkan mayoritas responden mendapatkan model pengasuhan yang diharapkan, anak non sulung, perantau, dengan stres akademik berat, stres proses pembelajaran sedang, stres interpersonal sedang, stresor sosial sedang, tekanan dari motivasi yang kurang secara ringan, dan stres aktivitas kelompok sedang. Responden tidak mengalami kecemasan sebanyak 41,8%, disusul oleh  kecemasan ringan sebanyak 28,2%, kecemasan sedang 17,3%, kecemasan berat 9,1%, dan kecemasan sangat berat 3,6%. Faktor-faktor yang memiliki hubungan korelasi dengan kecemasan ialah stresor akademik (p=0,001), stresor pembelajaran (p=0,001), stresor interpersonal ((p=0,000), dan stresor aktivitas berkelompok (p=0,000). Simpulan penelitian ini ialah terdapat hubungan bermakna stresor akademik, stresor pembelajaran, stresor interpersonal, dan stresor aktivitas berkelompok dengan ansietas pada mahasiswa Semester III Fakultas Kedokteran Universitas Sam Ratulangi.\u0000Kata kunci: kecema","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"17 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140242302","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":"Tingkat Pengetahuan Penggunaan Kosmetik pada Akne Vulgaris serta Sikap dan Perilaku Penggunaan Kosmetik pada Mahasiswa Fakultas Kedokteran","authors":"Sabrinna R. N. Hanumningtyas, Ferra O. Mawu, Nurdjannah J. Niode","doi":"10.35790/msj.v6i2.53657","DOIUrl":"https://doi.org/10.35790/msj.v6i2.53657","url":null,"abstract":"Abstract: Some cosmetics contain risky ingredients for the skin, especially for those with sensitive skin or acne. This study aimed to obtain the level of knowledge, attitude, and behavior towards cosmetics use in acne vulgaris (AV) among medical students. This was a descriptive categorial with a cross sectional design using primary data in the form of questionnaires. Respondents were students of Medical Faculty, Universitas Sam Ratulangi, Manado. The results showed that the level of knowledge of the cosmetics use in AV was in the moderate category (53.6%). The attitude of cosmetic use in the poor category was 100%. The behaviors of cosmetic use were, as follows: face cleaning twice a day (71.5%), using one type of facial cleanser (43.6%), using one facial cleansing device (71.5%), always using facial cream (36.9%), always using sunscreen (46.9%), and female respondents who used solid powder (41.8%). In conclusion, the level of knowledge of medical students at Universitas Sam Ratulangi was in moderate category, meanwhile the attitude was in poor category. Furthermore, the majority of students exhibited the behavior of cleansing their faces twice daily, using a singular type of facial cleanser and cleansing device. Additionally, most students consistently applied facial cream and sunscreen, while a significant portion of female respondents using compact powder.\u0000Keywords: level of knowledge; attitude; behavior; cosmetics; medical students\u0000  \u0000Abstrak: Beberapa jenis kosmetik mengandung bahan berisiko bagi kulit, terutama untuk yang berkulit sensitif atau berjerawat. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan penggunaan kosmetik pada acne vulgaris (AV) serta sikap dan perilaku penggunaan kosmetik pada mahasiswa Fakultas Kedokteran (FK). Jenis penelitian ialah deskriptif kategorik dengan desain potong lintang menggunakan kuesioner. Responden penelitian ialah mahasiswa FK Universitas Sam Ratulangi (Unsrat). Hasil penelitian memperlihatkan tingkat pengetahuan penggunaan kosmetik pada AV berada dalam kategori cukup sebesar 53,6%. Sikap penggunaan kosmetik responden berada dalam kategori kurang sebesar 100%. Perilaku penggunaan kosmetik responden dalam membersihkan wajah 2x/hari (71,5%), menggunakan satu jenis pembersih wajah (43,6%), menggunakan satu perangkat pembersih wajah (71,5%), selalu menggunakan krim wajah (36,9%), selalu menggunakan tabir surya (46,9%), dan responden perempuan yang menggunakan bedak padat (41,8%). Simpulan penelitian ini ialah tingkat pengetahuan mahasiswa FK Unsrat ialah cukup, sikap mahasiswa dalam penggunaan kosmetik ialah kurang, dan perilaku mahasiswa mayoritas membersihkan wajah dua kali sehari, menggunakan satu jenis pembersih dan perangkat pembersih wajah. Sebagian besar mahasiswa selalu menggunakan krim wajah dan tabir surya, serta sebagian besar responden perempuan menggunakan bedak padat.  \u0000Kata kunci:  tingkat pengetahuan; sikap; perilaku; kosmetik; mahasiswa fakultas kedokteran","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"89 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140251773","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":"Pendekatan Diagnostik Disfagia Orofaring dengan Pemeriksaan Flexible Endoscopic Evaluation of Swallowing pada Anak dan Dewasa di RSUP Prof. Dr. R. D. Kandou Manado","authors":"Marsella P. Castendo, Steward K. Mengko, M. M. Mona","doi":"10.35790/msj.v6i2.53477","DOIUrl":"https://doi.org/10.35790/msj.v6i2.53477","url":null,"abstract":"Abstract: Dysphagia is a swallowing disorder that requires effort and time to digest food. It can occur in all age groups, due to damage of organ structures or certain medical conditions. The most common method of examining oropharyngeal dysphagia is Flexible Endoscopic Evaluation of Swallowing (FEES). This study aimed to obtain the clinical diagnosis and further management in dysphagia cases. This was a retrospective descriptive study with a cross sectional design. Samples were medical records of dysphagia patients at Prof. Dr. R. D. Kandou Hospital from 2020 to 2023. The results obtained 32 cases out of 315 patients with dysphagia. Orophatyngeal dysphagia was more common in males (68.8%) and age 20-59 years (53.1%). Based on preswallowing and swallowing assessment, the characteristics that appear tend to be impaired in pharyngeal phase. The most common clinical diagnoses were aspiration pneumonia and laryngopharyngeal reflux (LPR) (each of 18.6%). Further management was diet modification and swallowing rehabilitation (78.7%). In conclusion, oropharyngeal dysphagia is common in male patients and occurs at the age of 20-59 years. The most common causes of oropharyngeal dysphagia are aspiration pneumonia and LPR. The FEES measures can determine further management, namely diet modification and swallowing rehabilitation.\u0000Keywords: oropharyngeal dysphagia; swallowing disorders; swallowing rehabilitation\u0000  \u0000Abstrak: Disfagia adalah gangguan proses menelan sehingga butuh usaha dan waktu untuk mencerna makanan yang dapat terjadi pada semua kelompok usia, akibat kerusakan struktur organ atau kondisi medis tertentu. Metode pemeriksaan disfagia orofaring yang sering dilakukan ialah Flexible Endoscopic Evaluation of Swallowing (FEES). Penelitian ini bertujuan untuk mengetahui diagnosis klinis dan manajemen lanjutan pada kasus disfagia. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Sampel penelitian ialah rekam medik pasien disfagia di RSUP Prof. Dr. R. D. Kandou sejak 2020-2023. Hasil penelitian mendapatkan 32 pasien yang memenuhi kriteria dari 315 pasien disfagia. Disfagia orofaring lebih sering dialami oleh laki-laki (68,8%) dan usia 20-59 tahun (53,1%). Berdasarkan hasil preswallowing dan swallowing assessment karakteristik yang muncul cenderung mengalami gangguan fase faring. Diagnosis klinis terbanyak ialah pneumonia aspirasi dan RLF (masing-masing 18,6%). Manajemen lanjutan yang dilakukan ialah modifikasi diet dan rehabilitasi menelan (78,7%). Simpulan penelitian ini ialah disfagia orofaring sering dialami oleh laki-laki, usia 20-59 tahun, dengan penyebab tersering yaitu pneumonia aspirasi dan RLF. Dengan tindakan FEES dapat ditentukan manajemen lanjutan yaitu dengan modifikasi diet dan rehabilitasi menelan.\u0000Kata kunci: disfagia orofaring; gangguan menelan; rehabilitasi menelan","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411172","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}