Medical Scope Journal最新文献

{"title":"ANALISIS KONSEP HOSPITAL WITHOUT WALLS PADA PELAYANAN KELAINAN REFRAKSI DI UPTD RUMAH SAKIT MATA PROVINSI SULAWESI UTARA","authors":"Gabriella O. Mokolensang, A. Manampiring, J. Posangi","doi":"10.35790/msj.v6i1.49221","DOIUrl":"https://doi.org/10.35790/msj.v6i1.49221","url":null,"abstract":"A hospital without walls or known as a hospital without walls is very useful for patients who come to the hospital for treatment with referrals from the public health center as the entry point for referral diagnosis, this is to minimize the risk of infection transmission and other disease problems. The purpose of this study is to analyze the concept of a hospital without walls and the obstacles and challenges in providing refractive errors. The research was conducted at the UPTD Eye Hospital in North Sulawesi Province, from January to December 2022 using in-depth interviews with five research informants, namely the director, head of medical services, ophthalmologist, family doctor and patient. Instruments in the form of in-depth interview guidelines and a list of questions that have been provided. The stages of data processing are narrating, inferring, reducing, recording, sampling, unitizing. Data analysis is content analysis. The validity of the research results using triangulation of data sources and methods. The results of this study were obtained from the summary of the answers of the research informants that the concept of a hospital without walls all understand and know this concept to mitigate the accumulation of services in hospitals, but this concept has not been implemented because there are several factors such as standard operating procedures, human resources and infrastructure which is not yet possible for some FKTPs to be able to complete services at the community health center or family doctor, the obstacle presented by the informant is that there are still many patients who want to carry out direct services to the hospital without going to the health center or family doctor, another obstacle is the lack of tools for examining refractive errors and competence general practitioners to be able to make referrals in the diagnosis of disease. Hospital income will also increase if implementing this concept, if there is collaboration with related stakeholders such as BPJS Health, the Health Service, and other private parties, so that this will also have a good impact on the quality of service when hospital accreditation is carried out. The sophistication of information technology needs to be implemented as much as possible from the hospital so that it is easier so that patients do not pile up during services by registering online. The conclusion of this study is that the concept of a hospital without walls has not been implemented in the Eye Hospital of North Sulawesi Province because it has not followed standard operating procedures, quality competent resources and adequate infrastructure. FKTP Puskesmas in providing refractive error services have not provided complete supporting tools and the skills of FKTP doctors are still lacking, this will have an impact on assessing hospital accreditation in the quality of health services. Keywords: hospitals without walls, eye refractive error, family doctors","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207053","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":"Topical Lidocaine Gel Versus Tetracaine Eye Drops for Panretinal Photo-coagulation in Proliferative Diabetic Retinopathy","authors":"A. Nursalim, Vera Sumual, Andrew Chietra, C. Komaling, S. Loho, Ardelia E. Wulur","doi":"10.35790/msj.v6i1.51380","DOIUrl":"https://doi.org/10.35790/msj.v6i1.51380","url":null,"abstract":"Panretinal photocoagulation (PRP) is a treatment for proliferative diabetic retinopathy (PDR). The procedure needs anesthetic agent to overcome the pain. Two widely used anesthetic agents are used in this study which are tetracaine 0.5% eyedrops and lidocaine 2% gel. This study aimed to compare the effectivity and efficacy of both anesthetic agents. A prospective randomized controlled trial was done to 40 eyes divided into two groups, group A was treated with tetracaine 0.5% eyedrop and group B with lidocaine 2% gel. Pain score was obtained subjectively from the patient and recorded during four stages of procedure. The results showed that the mean age was 56.5 years in Group A and 53.20 years in group B. Average procedure duration was 8.7 minutes in group A and 9.35 minutes in group B. Average 5 minutes pain level was 3.05 and 2.10 in group A and B consecutively. Average 10 minutes pain level was 2.65 and 2.45 in group A and B consecutively. Average during procedure pain level was 2.70 and 3.40 in group A and Group B, and average post procedure pain level was 1.20 in Group A and 1.55 in Group B. There was no significant difference between both groups’ parameters. In conclusion, the use of both agents is interchangeable and shows no differences in efficacy and effectivity. Keywords: panretinal photocoagulation; proliferative diabetic retinopathy; anesthetic agent; tetracaine; lidocaine","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139235399","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 Pola Patah Tulang dengan Gejala Klinis pada Patah Tulang Dasar Kepala (PTDK) Anterior","authors":"Hardianto Musu, Eko Prasetyo, Maximilian C. Oley, F. G. Langi","doi":"10.35790/msj.v6i1.48479","DOIUrl":"https://doi.org/10.35790/msj.v6i1.48479","url":null,"abstract":"Abstract: Traumatic brain injury can occur due to skull base fracture at the anterior, middle, and posterior parts with life-threatening complications. This study aimed to obtain the relationship between anterior skull base fracture pattern and its clinical signs and symptoms. This was a retrospective chart review with a cross-sectional design. Subjects were 50 patients with anterior skull base fracture based on 3D CT scan, and then their clinical signs and symptoms were evaluated. Data were analyzed bivariately using the Pearson Chi-Square test and the Fisher Exact alternative. The results showed that the most common clinical signs and symptoms in type I was anosmia; in type II, related to eyes; in type III, rhinorrhea; and in type IV, signs and symptoms of all entities. The most common fracture pattern in the subjects was frontolateral type (type III). There was a significant relationship between the pattern of fracture based on the 3D CT scan with the clinical signs and symptoms of  patients including cerebrospinal fluid rhinorrhea, anosmia, racoon eyes, and visual deficit (p<0.001). In conclusion, there is a signifinat relationship between pattern of anterior skull base fracture with clinical signs and symptoms. Keywords: traumatic brain injury; anterior skull base fracture; 3D CT scan; clinical signs and symptoms   Abstrak: Cedera otak akibat trauma (COT) dapat terjadi akibat patah tulang dasar kepala (PTDK) baik pada basis tengkorak anterior, tengah, dan posterior, dengan komplikasi mengancam jiwa. Penelitian ini bertujuan untuk mendapatkan hubungan pola patah tulang dengan gejala klinis pada PTDK anterior. Jenis penelitian ialah retrospektif menggunakan rekam medis dengan desain potong lintang. Subjek penelitian ialah 50 pasien PTDK anterior dengan pola patah tulang sesuai 3D CT scan dan dievaluasi kondisi klinisnya. Uji bivariat menggunakan uji Pearson chi-square dengan alternatif Fisher exact. Hasil penelitian mendapatkan gejala klinis yang paling umum: tipe I yaitu anosmia; tipe II yaitu gejala berhubungan dengan mata; tipe III yaitu rinorea; dan tipe IV memberikan gejala yang mencakup semua entitas. Pola patah tulang terbanyak ialah patah tulang frontolateral (tipe III). Pola patah tulang yang dinilai melalui 3D CT-scan berhubungan bermakna dengan derajat gejala klinis pasien PTDK anterior meliputi rinorea cairan serebrospinal, anosmia, racoon eyes, dan defisit visual (p<0,001). Simpulan penelitian ini ialah terdapat hubungan bermakna antara pola PTDK anterior dengan gejala klinis. Kata kunci: cedera otak akibat trauma; patah tulang dasar kepala anterior; 3D CT scan; gejala klinis","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139244991","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":"Correlation of Plasma Iron Profile and Intradialytic Hypotension in Hemodialysis Patients","authors":"Tisa Rombot, Stella Palar, P. Lasut","doi":"10.35790/msj.v5i2.49567","DOIUrl":"https://doi.org/10.35790/msj.v5i2.49567","url":null,"abstract":"Abstract: Intradialytic hypotension (IDH) has been a common complication which should be aware of, in hemodialysis procedure. Its pathogenesis is multifactorial, and severe anemia is considered as one of the most notable risk factors on IDH. This study aimed to evaluate the correlation between plasma iron profile and intradialytic hypotension in hemodialysis patients. This was an analytical and retrospective study using medical records of hemodialysis patients at Prof. Dr. R. D. Kandou Hospital, Manado from January to May 2022. Sampling was conducted through consecutive sampling method, on available records.  Patients with CKD grade 5 which undergoes routine HD twice a week for >3 weeks, aged 18-60 years old were included, while subjects with sepsis, malignancy, autoimmune disease, crisis hypertension, and unstable congestive heart failure were excluded for further studies. The details on iron profile and blood pressure measurement were then extracted, which then analyzed with descriptive analysis and Pearson correlation using IBM SPSS Statistics 26.0. The results obtained a total of 35 patients; 57.1% were male. The Pearson correlation analysis on all variables reported several notable significant results, with a correlation between iron profile and blood pressure measurement were seen in TIBC and systole pre- and post-procedure (-.496 and -.611 respectively) with strong negative relationship; and serum ferritin value with systole post-procedure (.373) implying moderate positive relationship. The results suggested that the increase of ferritin value and decrease of TIBC value were correlated with the increase of systole blood pressure. Meanwhile, the TIBC had a strong positive correlation with systolic changes (.473) meanwhile serum iron had a moderate negative correlation with diastolic changes (-.365). In conclusion, there is a significant correlation between iron profile and changes in blood pressure, with higher iron profile value (lower TIBC) is positively correlated with the increase of both systole and diastole measurement; also negatively correlated with the reduction of blood pressure in hemodialysis patients\u0000Keywords: iron; ferritin; intradialytic hypotension; hemodialysis; transferrin; total iron binding capacity","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"281 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132844583","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":"Physical Medicine and Rehabilitation Management in Pediatric Patient with Postural (Positional) Clubfoot: A Case Report","authors":"Gloria Rondonuwu, Joudy Gessal, Patricia Kalangi","doi":"10.35790/msj.v5i2.46886","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46886","url":null,"abstract":"Abstract: Clubfoot, talipes equinovarus, is a common term used to describe several kinds of ankle or foot deformities present at birth. This condition is one of the most treatable birth defects, often leading to normal or near-normal athletic activities later in life. We reported a patient with positional clubfoot treated with serial casting, passive manipulation, and stimulation. Male, 6 days old, lived in Sonder, with a chief complaint of right foot that bent inward since birth. Patient was consulted by pediatrician to physiatrist since the birth day. The bent inward foot was not accompanied by swelling and redness, and patient was seen calm when the foot being moved. Patient was treated by physiatrist with passive manipulation, four times weekly with serial casting, and everyday stimulation for feet. During treatment session, patient’s deformity was getting improved. After treatment, the deformity was corrected and patient’s foot was in normal position without any complication. The aim of medical rehabilitation of clubfoot was to reduce the deformity with the success criteria that foot could be functional, free of pain, good mobility, and did not require correction shoes, therefore, the patient could carry out normal activities after growing up. In conclusion, to produce the maximum correction results, good cooperation is required with the patient’s parents. Even though correction is optimal and done as soon as possible, if bone growth has not stopped, the clubfoot problem can reappear. The first element of management is correction of the cavus deformity by positioning the forefoot in proper alignment with the hindfoot.  \u0000Keywords: postural clubfoot; physical medicine and rehabilitation; children; passive manipulation; serial casting; everyday stimulation for feet","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116741677","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 Neutrophil-to-Lymphocyte Ratio dan Kadar Carcinoembryonic Antigen Pra-Pasca Operasi pada Kanker Kolorektal","authors":"Michael Iskandar, M. Tendean, Billy Salem, Fredrik G. Langi","doi":"10.35790/msj.v5i2.46621","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46621","url":null,"abstract":"Abstract: Colorectal cancer is the third most common cancer in Indonesia with a mortality rate at fourth rank. A balance between systemic inflammation and immunity is necessary in the stratification of risk, treatment, and prognosis of various cancers. This study aimed to determine the relationship between neutrophil-to lymphocyte ratio (NLR) and carcinoembryonic antigen (CEA) in the survival of post-operative colorectal cancer patients. This was a retrospective hospital-based cohort study using the R statistical analysis tool version 4.2.2. The results obtained 88 colorectal cancer patients with histopathologically confirmed. Most were nearly 60 years old, with a relatively balanced proportion of men and women. The median of resected mass size was around 6 cm, 80% of tumors located in the rectum and rectosigmoid, a balanced proportion of stage II and III (44%), moderate differentiation (86%), with decreased NLR post-operation (median of 3,8 to 2,6), and decrased CEA post-operation (median 8,6 to 6,3). In conclusion, there is a positive correlation between NLR and CEA level, however, it is limited until three months post operation. After three months, the correlation is undetected anymore.\u0000Keywords: neutrophil-to-lymphocyte ratio; carcinoembryonic antigen; colorectal cancer; pre and post operation\u0000 \u0000Abstrak: Kanker kolorektal merupakan keganasan ketiga terbanyak di dunia dengan angka mortalitas urutan ke-empat. Keseimbangan antara peradangan sistemik dan imunitas diperlukan dalam stratifikasi risiko, pengobatan, dan prognosis berbagai jenis keganasan. Penelitian ini bertujuan untuk mengetahui hubungan antara neutrophil-to lymphocyte ratio (NLR) dan kadar carcinoembryonic antigen (CEA) pada kesintasan pasien kanker kolorektal pasca operasi. Jenis penelitian ialah kohort retrospektif berbasis rumah sakit dengan alat analisis statistik R versi 4.2.2. Hasil penelitian mendapatkan 88 pasien terkonfirmasi histopatologik kanker kolon rektal, berusia hampir 60 tahun, proporsi laki-laki dan perempuan relatif berimbang, median ukuran masa yang direseksi sekitar 6 cm, 80% tumor terletak di daerah rektum dan rektosigmoid, stadium II dan III presentasi berimbang (44%), diferensiasi sedang (86%), NLR menurun pada pasca operasi (median 3,8 menjadi 2,6), dan CEA menurun pada pasca operasi (median 8,6 menjadi 6,3). Simpulan penelitian ini ialah terdapat hubungan positif antara neutrophil-to-lymphocyte ratio (NLR) dan kadar carcinoembryonic antigen (CEA), tetapi hanya terbatas sampai tiga bulan pasca operasi. Korelasi keduanya tidak terdeteksi lagi setelah tiga bulan pasca operasi.\u0000Kata kunci: neutrophil-to-lymphocyte ratio; carcinoembryonic antigen: kanker kolon rektal; pre dan pasca operasi","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122523303","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":"Mycetoma of the Breast: A Case Report","authors":"M. Durry, L. Loho","doi":"10.35790/msj.v5i2.44625","DOIUrl":"https://doi.org/10.35790/msj.v5i2.44625","url":null,"abstract":"Abstract: Mycetoma is a chronic suppurative infection affecting skin, subcutaneous tissue, and bones which is common in tropical and subtropical regions. The manifestations of mycetoma are painless subcutaneous mass, multiple sinuses and purulent or seropurulent discharge that may contain grains. We reported a case of a 39-year-old female with a complaint of skin mass with discharge in her left breast for about a year. The clinical diagnosis was a breast tumour with suspicion of malignancy. A histopathological examination of the breast biopsy was performed which showed foci of granulomas consisting of chronic inflammatory cells, foamy macrophages, and many multinucleated cells. In several granulomas, there were eosinophilic masses with hypha in the peripheral and arranged radially. In conclusion, based on clinical and histopahological examinations the diagnosis of this case was a mycetoma of the breast.\u0000Keywords: mycetoma; breast; deep mycosis; mammary infection; pathological diagnosis","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124359841","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":"Efektivitas Terapi Oksigen Hiperbarik pada Nyeri Kronik Osteoartritis Lutut","authors":"Benny G. Siahaan, Rangga B. V. Rawung, M. Hatibie","doi":"10.35790/msj.v5i2.46565","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46565","url":null,"abstract":"Abstract: Osteoarthritis (OA) is a degenerative joint disease characterized by progressive cartilage degeneration, subchondral bone changes, osteophyte formation, sinovitis or arthritis. The aim of osteoarthritis management is to reduce pain, increase joint function, and decrease disability. Hyperbaric oxygen therapy (HBOT) can inhibit astrocyte activation and inflammatory factor production, and maintain transmission and intergration of sensoric information through dorsal neurons, therefore, resulting in pain reduction. This study aimed to evaluate the effectiveness of HBOT in chronic pain of knee osteoarthritis. This was a parallel, two-arm, placebo-controlled, randomized clinical trial in adults with knee osteoarthritis at two hospitals in Manado, namely Badan Layanan Umum Rumah Sakit Umum Pusat Prof. Dr. R. D. Kandou and Rumah Sakit Siloam. The results obtained 44 patients suffered from knee osteoarthritis grade 1 dan 2 associated with chronic pain as subjects, divided into two groups namely intervention with HBOT and control groups. Determination of normality of numeric variables was performed with Shapiro-Wilk test. The statistic test confirmed that the distribution of VAS scores was relatively not different between before and after HBOT, and the control group (p=0.421 and p=0.634). In conclusion, hyperbaric oxygen therapy can be used to reduce chronic pain in knee osteoarthritis.\u0000Keywords: knee osteoarthritis; hyperbaric oxygen therapy; chronic pain\u0000 \u0000Abstrak: Osteoartritis (OA) merupakan suatu penyakit sendi degeneratif yang dikarakteristikkan dengan degenerasi kartilago progresif, perubahan tulang subkondral, pembentukan osteofit, dan sinovitis atau inflamasi sendi. Tujuan penatalaksanaan OA ialah untuk meredakan nyeri, meningkatkan fungsi, dan membatasi disabilitas Terapi oksigen hiperbarik (TOHB) dapat menginhibisi aktivasi astrosit dan produksi faktor inflamatorik serta mempertahankan transmisi dan integrasi informasi sensori melalui neuron dorsal sehingga nyeri menurun. Penelitian ini bertujuan untuk menilai efektifitas TOHB dalam penatalaksanaan nyeri kronik pada OA lutut. Penelitian ini didesain sebagai suatu parallel, two-arm, placebo-controlled, randomized clinical trial pada dewasa dengan OA lutut di dua rumah sakit di Manado, Badan Layanan Umum Rumah Sakit Umum Pusat Prof. Dr. R. D. Kandou dan Rumah Sakit Siloam. Sebanyak 44 pasien OA lutut grade 1 dan 2 dengan nyeri kronik menjadi subjek penelitian, yang dibagi secara acak atas dua kelompok: intervensi TOHB dan kontrol. Penentuan normalitas variabel numerik dilakukan menggunakan uji Shapiro-Wilk. Hasil statistik mengonfirmasi distribusi penurunan skor VAS relatif tidak berbeda bermakna sebelum dan setelah TOHB dan kelompok kontrol (p=0,421 dan p=0,634). Simpulan penelitian ini terapi oksigen hiperbarik kemungkinan dapat menurunkan nyeri kronik pada penderita osteoartristis lutut.\u0000Kata kunci: osteoartritis lutut; terapi oksigen hiperbarik; nyeri kronik","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133011792","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 Prognostik pada Efusi Pleura Ganas Berdasarkan Skor LENT di RSUP Prof. Dr. R. D. Kandou Manado","authors":"Enika Tilaar, Adrian Tangkilisan, Christha Tamburian, G. Korompis","doi":"10.35790/msj.v5i2.46618","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46618","url":null,"abstract":"Abstract: As a complication of cancer, malignant pleural effusion (MPE) is related to varied life expectancy. LENT score is the first validated score in malignant pleural effusion. This study aimed to obtain factors affecting the MPE based on LENT score at Prof. Dr. R. D. Kandou Hospiptal, Manado. This was a prospective study with a cross sectional design Subjects were patients with MPE admitted to Prof Dr. R. D. Kandou from January to November 2022. The results obtained 30 MPE patients consisting of 50% males and 50% females with a mean age of 52 years. There were 22 patients with LDH level <1,500 IU/L dan eight patients with LDH level >1,500 IU/L. Based on ECOG score, there were three patients with score 1, seven patients with score 2, and 20 patients with score 3-4. There were 13 patients with NLR <9 and 17 patients with NLR >9. Lung cancer was the most common cancer causing MPE, followed by gynaecological cancer and breast cancer. Based on LENT score, there were 20 patients with high risk, 10 patients with moderate risk; no patients with low risk. In conclusion, LENT score can be used as prognostic score in patients with malignant pleural effusion.\u0000Keywords: malignant pleural effusion; LENT score; complication of cancer\u0000 \u0000Abstrak: Efusi pleura ganas (EPG) merupakan komplikasi dari kanker dan dihubungkan dengan dengan angka harapan hidup yang bervariasi. Skor LENT merupakan skor tervalidasi pertama yang digunakan pada efusi pleura ganas. Penelitian ini bertujuan untuk menggambarkan faktor-faktor yang berperan pada EPG berdasarkan skor LENT di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian prospektif cross sectional dari pasien dengan EPG di RSUP Prof Dr. R. D. Kandou Manado (Januari hingga November 2022). Pada penelitian ini didapatkan 30 pasien EPG (50% laki-laki; 50% perempuan) dengan rerata usia 52 tahun. Terdapat 22 pasien dengan kadar LDH di bawah 1.500 IU/L dan delapan pasien dengan kadar LDH di atas 1.500 IU/L. Berdasarkan skor ECOG, terdapat 3 pasien dengan skor 1, 7 pasien dengan skor 2, dan 20 pasien dengan skor 3-4. Terdapat 13 pasien dengan nilai NLR di bawah 9 dan 17 pasien dengan nilai NLR di atas 9. Kanker paru merupakan tipe tumor paling sering menyebabkan efusi pleura ganas, diikuti kanker ginekologi dan kanker payudara. Berdasarkan skor LENT terdapat 20 pasien dengan resiko tinggi, 10 pasien dengan resiko sedang, dan tidak ada pasien dengan resiko rendah. Skor LENT berperan sebagai skor prognostik pada pasien dengan EPG.\u0000Kata kunci: efusi pleura ganas; skor LENT; komplikasi kanker","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123180790","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":"Implementasi Perlindungan Hukum Profesi Dokter Terhadap Layanan Telemedicine di RSUP Prof. Dr. R. D. Kandou Manado","authors":"Andre M. Watulingas, Erwin G. Kristanto, Caecilia J. J. Waha","doi":"10.35790/msj.v5i2.46257","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46257","url":null,"abstract":"Astract: Reviews of telemedicine concept in various places reported that there were many internal and external problems in each healthcare provider giving telemedicine services. Through interviews, there were several problems found in the concept of telemedicine at Prof. Dr. R. D. Kandou Hospital, Manado, especially problems with law protection. This study aimed to analyze the legal protection of the medical profession at Prof. Dr. R. D. Kandou Hospital. This was a qualitative and descriptive study with grounded research method using interviews. There were five informants in this study. This study used primary data sources obtained by conducting interviews containing open statements. Data were analyzed accordance to the Miles and Huberman method. Based on interviews, legal basis for telemedicine services was still not concrete in the scale of national regulations since only reference regulations were used. The responsibilities of medical profession were in accordance with existing regulations, including ethical, law, and administrative responsibilities. The legal protection for medical profession at Prof. Dr. R. D. Kandou Hospital was very promising, especially the law society organization unit that played an important role in reviewing legal problems experienced by the health workers, especially problems in telemedicine services. The legal principles regarding telemedicine services in Indonesia was not yet concrete and comprehensive, but regarding legal protection they were in accordance with the existing reference rules. In conclusion, at Prof. Dr. R. D. Kandou Hospital the legal protection for medical profession is very promising, however, a fixed law is needed, so that the services provider can work optimally.\u0000Keywords: telemedicine; medical law; law path; doctors; patients\u0000 \u0000Abstrak: Tinjauan konsep telemedicine di berbagai tempat melaporkan permasalahan internal maupun eksternal pada setiap provider layanan kesehatan. Melalui wawancara, terdapat beberapa permasalahan yang ditemukan dalam konsep telemedicine di RSUP Prof. Dr. R. D. Kandou Manado terutama mengenai permasalahan perlindungan hukum. Penelitian ini bertujuan untuk menganalisis perlindungan hukum profesi dokter di RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah deskriptif kualitatif menggunakan metode grounded research dengan metode pengumpulan data menggunakan wawancara. Jumlah informan berjumlah lima orang. Penelitian ini menggunakan sumber data primer yang diperoleh dengan dilakukan wawancara yang berisi pertanyaan-pertanyaan terbuka. Analisis data sesuai dengan metode Miles dan Huberman. Berdasarkan hasil wawancara, didapatkan bahwa landasan hukum layanan telemedicine masih belum konkrit dalam skala peraturan nasional yaitu hanya memakai peraturan acuan. Tanggung jawab profesi dokter sudah sesuai dengan peraturan yang ada, meliputi tanggung jawab etik, hukum, administratif. Perlindungan hukum profesi dokter sudah sangat baik, yaitu pihak rumah sakit khususnya unit HUKORMAS","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115889510","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}