Medical Scope Journal最新文献

{"title":"Analisis Pengaruh Faktor-faktor Lingkungan Kerja terhadap Kinerja Pegawai di RSUD Kota Manado","authors":"Bezaliel R. Narasiang, Erwin G. Kristanto, H. Wungouw","doi":"10.35790/msj.v5i2.49220","DOIUrl":"https://doi.org/10.35790/msj.v5i2.49220","url":null,"abstract":"Abstract: Work environment consists of physical and non-physical factors that affect employees’ performance. The hospital RSUD Kota Manado is still under construction and completion with an average employee performance score that varies each year. This study aimed to analyze the influence of work environment factors on employee performance at RSUD Kota Manado. This was a quantitative study with a cross-sectional design by distributing questionnaires containing statements that had passed the instrument test. The total population was all employees totaling 108 people as study samples. The results showed that the physical factors (X1) and non-physical factors of the work environment (X2) were included in the good category (X1=77.91%; X2=82.53%). Employee performance (Y) was included in the very good category (Y=84.35%). T-test results proved that X1 and X2 had a partial significant effect on Y. The results of multiple linear regression analysis showed that the regression value was positive (Y=19.066; X1=0.215; X2=0.591). The F test obtained an F count of 53.942 > F table of 3.083 and a Sig value of 0.000 (<0.05) proved that X1 and X2 had a simultaneous significant effect on Y. The result of the coefficient of determination (R2) showed that X1 and X2 had a simultaneous effect of 50.7% on Y. In conclusion, work environment factors simultaneously have a linear and significant influence on the employee performance at RSUD Kota Manado.\u0000Keywords: physical work environment factors; non-physical work environment factors; employee performance\u0000 \u0000Abstrak: Lingkungan kerja baik faktor fisik maupun non-fisik memengaruhi cara karyawan bekerja. RSUD Kota Manado masih dalam tahap pembangunan dan perampungan dengan rerata nilai capaian kinerja yang bervariasi tiap tahunnya. Penelitian ini bertujuan untuk menganalisis pengaruh faktor-faktor lingkungan kerja terhadap kinerja pegawai di rumah sakit ini. Jenis penelitian ialah kuantitatif dengan desain potong lintang, dengan menyebarkan kuisioner yang berisi pernyataan-pernyataan yang sudah lolos uji instrumen. Total populasi ialah seluruh pegawai rumah sakit yang berjumlah 108 orang yang menjadi sampel penelitian. Hasil penelitian mendapatkan faktor fisik lingkungan kerja (X1) dan faktor non-fisik lingkungan kerja (X2) masuk dalam kategori baik (X1=77,91%; X2 =82,53%). Kinerja pegawai (Y) masuk dalam kategori sangat baik (Y=84,35%). Hasil uji T membuktikan X1 dan X2 berpengaruh bermakna parsial terhadap Y. Hasil analisis regresi linier berganda menunjukkan bahwa nilai regresi bernilai positif (Y=19,066; X1=0,215; X2=0,591). Hasil uji F diperoleh nilai F hitung 53,942 > F tabel 3,083 dan nilai Sig sebesar 0,000 (<0,05) membuktikan X1 dan X2 berpengaruh bermakna simultan terhadap Y. Hasil koefisien determinasi (R2) menunjukkan bahwa X1 dan X2 memberikan pengaruh simultan sebesar 50,7% terhadap Y. Simpulan penelitian ini ialah faktor-faktor lingkungan kerja secara simultan memiliki pengaruh linier dan bermakna terhadap ki","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125476442","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":"Billiary Tract Obstruction due to Gallbladder Carcinoma at Prof. Dr. R. D. Kandou General Hospital: Two Case Reports","authors":"M. Tendean, Toar D. B. Mambu, Leonard A. Melatunan","doi":"10.35790/msj.v5i2.46217","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46217","url":null,"abstract":"Abstract: Gallbladder cancer is the fifth most common gastrointestinal malignancy with a high mortality rate. Detection of gallbladder carcinoma in early stages can be difficult, despite improvements in ultrasound and CT-Scan imaging. It is possible to cure gallbladder cancer surgically at an early stage. We reported two cases of gall bladder carcinoma, 65-year-old and 52-year-old females, with the chief complaints of abdominal pain in the right upper quadrant (RUQ) and obstructive jaundice in both cases. The abdominal CT-scans showed circumferentially irregular focal thickening of gallbladder wall, and severe intra and extrahepatic cholestasis. Endoscopic preoperative biliary drainage using biliary stent was performed in one case. Open cholecystectomy with in toto common bile duct resection and portal lymphadenectomy followed by roux en-y hepaticojejunostomy reconstruction were performed for both cases. Both patients are still well with no cancer recurrences over two-year follow-up. The symptoms of gall bladder cancer were non-specific, and commonly included RUQ abdominal pain, weight loss, anorexia, nausea or vomiting, jaundice, and pruritus. Imaging with ultrasound and CT-Scan had improved preoperative diagnosis of gallbladder cancer. Outcomes of patient with incidental finding of gallbladder cancer had better prognosis since it provided the patient to be staged and managed appropriately with resection. In conclusion, early detection of gallbladder cancer results in better surgical outcome and less patient morbidity and mortality which shows its importance.\u0000Keywords: gallbladder carcinoma; early-stage detection; common bile duct resection","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129432363","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":"Fibrocystic Breast Tumor: A Case Report","authors":"Ferry Kalitouw, Christian Manginstar, Melfrits Siwabessy","doi":"10.35790/msj.v5i1.46215","DOIUrl":"https://doi.org/10.35790/msj.v5i1.46215","url":null,"abstract":"Abstract: Fibrocystic breast tumor is the most common benign type of breast diseases that affects millions of women worldwide. Fibrocystic breast changes are classified as non-proliferative, proliferative without atypia, or proliferative with atypia. We reported a 34-year-old woman presented with a right breast evaluation of breast tumors since one year before admission. On examination, a solid and hard breast tumor measuring 15x10 cm was palpable, well-defined, tender, mobile, and no nipple discharge. The patient underwent two times of core biopsy and the results were fibrocystic changes. Although clinically the breast tumor had a malignant appearance, but the results of core biopsy examinations revealed fibrocystic changes. The patient was managed by wide excision of the evaluated breast tumor with preservation of the breast skin and nipple areolar complex to maintain its function and aesthetic. In conclusion, evaluation of breast tumors must go through a triple diagnostic procedure namely clinical, imaging, and histopathological examinations. Fibrocystic breast tumor can be managed with wide excision of the tumor with preservation of the skin structure and nipple areolar complex of the breast to achieve a natural aesthetic.\u0000Keywords: fibrocystic breast tumor; wide excision of tumor; evaluation of breast tumors","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126594421","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 Kasus Kematian akibat Keracunan Karbon Monoksida","authors":"Muhamad R. Jehian, James F. Siwu, Nola T. S. Mallo","doi":"10.35790/msj.v5i1.45290","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45290","url":null,"abstract":"Abstract: Carbon monoxide (CO) is a toxic, odorless and colorless gas produced by incomplete combustion of carbon fuels such as wood, charcoal, and also gasoline products. Sources of carbon monoxide in the home environment include heating systems, cooking utensils, and fireplaces. Many of domestic and occupational poisoning cases were caused by exposure to carbon monoxide due to damaged or defective home appliances. This study aimed to obtain the description of death cases due to CO poisoning. This was a literature review study using three databases namely ClinicalKey, Pubmed, and Google Scholar. The results obtained 11 articles to be reviewed. Postmortem changes were CoHB in the blood, non-specific changes such as cherry red patches or bruises in the skin surface, nails, brain, internal organs and mucous membranes, and changes in the lung namely hypoxia, sub-pleural petechiae, lung edema, and lung stasis. In conclusion, specific postmortem change in CO poisoning is CoHb in the victim blood, meanwhile the non-specific changes are cherry red appearances in the skin and internal organs.\u0000Keywords: carbon monoxide poisoning; COHb; death cases; postmortem changes  \u0000 \u0000Abstrak: Karbon monoksida (CO) adalah gas beracun, tidak berbau, dan tidak berwarna yang dihasilkan melalui pembakaran tidak sempurna bahan bakar karbon seperti kayu, arang, dan juga produk bensin. Sumber-sumber karbon monoksida di lingkungan rumah meliputi sistem pemanas ruangan, alat masak, serta perapian. Banyak kasus keracunan domestik dan pekerjaan diakibatkan paparan karbon monoksida karena alat-alat rumah tersebut yang mengalami kerusakan atau cacat produk. Penelitian ini bertujuan untuk mengetahui gambaran kasus kematian akibat keracunan CO. Metode penelitian yang digunakan ialah literature review dengan pencarian melalui tiga database yaitu ClinicalKey, Pubmed, dan Google Scholar. Hasil penelitian mendapatkan 11 artikel untuk dilakukan analisis. Gambaran postmortem yang dapat muncul ialah kadar CoHB pada kandungan darah korban, dan gambaran nonspesifik berupa bercak atau lebam berwarna merah terang (cherry red) pada permukaan kulit, kuku, otak, organ dalam, dan membran mukus dari korban, serta hipoksia pada paru, petekia sub-pleural, edema paru, dan stasis paru. Simpulan penelitian ini ialah gambaran postmortem spesifik pada keracunan karbonmonoksida meliputi kadar CoHB pada kandungan darah korban sedangkan tanda fisik non spesifik berupa gambaran cherry red pada permukaan kulit dan organ dalam.\u0000Kata kunci: keracunan karbon monoksida; COHb; kasus kematian; perubahan postmortem","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128019613","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":"Patofisiologi dan Faktor Predisposisi yang Berhubungan dengan Omphalocele","authors":"Angel D. Rarung, Harsali F. Lampus, E. Prasetyo","doi":"10.35790/msj.v5i1.45295","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45295","url":null,"abstract":"Abstract: Omphalocele is one of the most common congenital abnormalities of the abdominal wall. In various countries, the incidence of omphalocele ranges from 1-3.8 per 10,000 pregnancies. This study aimed to determine the pathophysiology and predisposing factors associated with omphalocele. This was a literature review study. Literatures were obtained through several databases: Pubmed, ClinicalKey, and Google Scholar. The results showed 22 articles that fulfilled the inclusion criteria. The pathophysiology of omphalocele was when the abdominal organs herniate for an extended period of time, in results failing the intra-abdominal organs from returning to their normal position. Predisposing factors associated with omphalocele were divided into two aspects namely maternal and neonatal. In conclusion, the pathophysiology of omphalocele is still the same from year to year with the existing theory that there has not been a shift or discoveries. In contrast, for predisposing factors, several studies have reported new aspects of maternal and neonates about factors related to omphalocele.\u0000Keywords: omphalocele; pathophysiology; predisposing factors\u0000 \u0000Abstrak: Omphalocele adalah salah satu kelainan kongenital dinding abdomen yang paling umum terjadi, Insiden omphalocele berkisar pada 1-3,8 per 10.000 kehamilan di berbagai negara. Penelitian ini bertujuan untuk mengetahui patofisiologi dan faktor predisposisi yang berhubungan dengan omphalocele. Jenis penelitian ialah suatu literature review. Literatur diperoleh melalui beberapa basis data yaitu Pubmed, ClinicalKey, dan Google Scholar. Hasil penelitian mendapatkan 22 artikel yang sesuai dengan kriteria inklusi. Patofisiologi omphalocele yaitu ketika terjadi herniasi fisiologis berkepanjangan dari organ abdomen sehingga terjadi kegagalan organ intraabdomen untuk kembali ke posisi normalnya. Faktor predisposisi yang berhubungan dengan omphalocele terbagi atas dua aspek yaitu maternal dan neonatus. Simpulan penelitian ini ialah patofisiologi dari omphalocele masih sama dari tahun ke tahun dengan teori yang ada dimana belum terjadi pergeseran atau penemuan baru sedangkan untuk faktor predisposisinya terdapat beberapa penelitian yang melaporkan hal baru terkait aspek maternal dan neonatus yang berhubungan dengan omphalocele.\u0000Kata kunci: omphalocele; patofisiologi; faktor predisposisi","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"396 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123199522","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":"Survei Tingkat Kepadatan Jentik Nyamuk Aedes spp. pada Tempat Penampungan Air (TPA) di Kelurahan Paal Dua Kota Manado","authors":"Tristan G. Karwur, Janno B. B. Bernadus, V. D. Pijoh","doi":"10.35790/msj.v5i1.45252","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45252","url":null,"abstract":"Abstract: As a tropical country with high humidity, Indonesia has the potential to become a breeding ground for Aedes spp. mosquitoes, which is the vector of dengue hemorrhagic fever (DHF). This study aimed to obtain an overview of the density of Aedes spp. larvae in water containers at Paal Dua, Manado. This was a descriptive survey study. The larvae samples found were then taken to be identified microscopically. The results obtained 100 houses to be surveyed; 12 houses were positive for larvae. Containers with the highest percentage of positive larvae were water drums (66.67%), and the lowest ones were pans (7.14%). Based on the identification results, the percentage of Aedes aegypti larvae was 58.33% and of Aedes albopictus was 41.67%. Meanwhile, based on the calculation, the House Index (HI) was 12%, the Container Index (CI) was 10.25%, the Breteau Index (BI) was 12%, and the Larvae Free Rate (LFR) was 88%. In conclusion, the density of Aedes spp. larvae at water reservoirs at Paal Dua, Manado, is in the moderate level.\u0000Keywords: density survey; Aedes spp. larvae; Aedes aegypti; Aedes albopictus\u0000 \u0000Abstrak: Indonesia sebagai salah satu negara beriklim tropis dengan kelembaban udara yang cukup tinggi sangat berpotensi untuk menjadi tempat berkembangbiaknya nyamuk Aedes spp. yang merupakan vektor penyakit demam berdarah dengue (DBD). Penelitian ini bertujuan untuk mendapatkan gambaran tingkat kepadatan jentik nyamuk Aedes spp. pada tempat penampungan air (TPA) di Kelurahan Paal Dua. Metode yang digunakan yaitu survei deskriptif. Sampel jentik yang ditemukan selanjutnya diambil untuk diidentifikasi di bawah mikroskop. Hasil penelitian mendapatkan dari 100 rumah yang diperiksa, 12 rumah positif jentik. Jenis TPA dengan persentase positif jentik paling tinggi yaitu drum sebesar 66,67%, dan paling sedikit pada loyang yakni sebesar 7,14%. Berdasarkan hasil identifikasi, diperoleh persentase jentik Aedes aegypti 58,33% dan Aedes albopictus 41,67%, dan dari perhitungan, diperoleh House Index (HI) sebesar 12%, Container Index (CI) 10,25%, Breteau Index (BI) 12%, dan Angka Bebas Jentik (ABJ) 88%. Simpulan pene;litian ini ialah kepadatan jentik nyamuk Aedes spp. pada TPA di Kelurahan Paal Dua berada pada tingkat sedang.\u0000Kata kunci: survei kepadatan; jentik Aedes spp; Aedes aegypti; Aedes albopictus.","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134363238","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":"Profil Kasus Kekerasan dalam Rumah Tangga di RS Bhayangkara Tingkat III Manado Periode 2021","authors":"Yudani H. Silaban, Erwin G. Kristanto, James F. Siwu","doi":"10.35790/msj.v5i1.45293","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45293","url":null,"abstract":"Abstract: Most cases of domestic violence are perpetrated by husbands, not only happen to wives and children, but this violence can also be experienced by those who live in the house. This study aimed to determine the profile of domestic violence cases at Bhayangkara Hospital Level III Manado in the 2021 period. This was a retrospective and descriptive study using secondary data from visum et repertum. The results obtained 121 cases reported as domestic violence in 2021; most cases occurred in June and September 2021. The victims most often experienced physical violence, followed by sexual violence. Majority of victims were female that worked as housewife. Most perpetrators were husbands. In conclusion, housewives are the most common victims followed by students. Husbands most often commit domestic violence against their wives and children.\u0000Keywords: domestic violence; victims of violence; type of violence; perpetrator\u0000 \u0000Abstrak: Sebagian besar kasus kekeraan dalam rumah tangga (KDRT) dilakukan oleh suami, tidak hanya dapat terjadi kepada istri dan anak saja, namun kekerasan dalam ranah rumah tangga juga dapat dialami oleh mereka yang tinggal menetap di rumah tersebut. Penelitian ini bertujuan untuk mengetahui profil kasus KDRT di Rumah Sakit (RS) Bhayangkara Tingkat III Manado periode 2021. Jenis penelitian ialah deskriptif retrospektif menggunakan data sekunder dari hasil visum et repertum. Hasil penelitian mendapatkan sebanyak 121 kasus yang dilaporkan sebagai KDRT periode 2021. Kasus terbanyak terjadi pada bulan Juni dan September 2021. Korban paling sering mengalami kekerasan secara fisik dan diikuti oleh kekerasan seksual. Kelompok usia korban yang terbanyak ialah 11-21 tahun. Mayoritas korban berjenis kelamin perempuan dengan pekerjaan ibu rumah tangga. Pelaku KDRT yang terbanyak ialah suami. Simpulan penelitian ini ialah ibu rumah tangga (IRT) merupakan korban terbanyak dan diikuti oleh pelajar. Suami yang paling sering melakukan kekerasan dalam rumah tangga terhadap istri dan juga anak.\u0000Kata kunci: kekerasan dalam rumah tangga; korban kekerasan; bentuk kekerasan; pelaku","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127364437","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":"Pola Luka Kekerasan Tajam pada Korban Hidup di Rumah Sakit Bhayangkara Tingkat III Manado Periode Juli 2019-Juni 2022","authors":"Marselina A. Laluyan, Djemi Tomuka, Erwin G. Kristanto","doi":"10.35790/msj.v5i1.45285","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45285","url":null,"abstract":"Abstract: Sharp violence can cause injuries to body surface due to sharp objects. Many victims were injured in sharp violence cases but they could survive. This study aimed to determine the pattern of sharp violent injuries of live victims at Bhayangkara Hospital Level III Manado. This was a retrospective and descriptive study using data of Visum et Repertum. The results obtained 204 cases of live victims in sharp violence cases. The most frequent cases were in the period of July 2021-June 2022 with 88 cases (43.14%%). Most were male with 185 cases (90.69%). The largest age group was late adolescent (17-25 years) with 96 cases (47.06%). The most common type of wound was incised wound with 119 cases (58.33%). The most frequent wound location was the left upper extremity with 57 cases (20.21%). The most common degree of injury was minor degree of injury with 121 cases (59.31%). In conclusion, most live cases of sharp violence were male, late adolescent (17-25 years), with incised wounds on the left upper extremities and minor degree of injury.\u0000Keywords: wound pattern; sharp violence; survived victims\u0000 \u0000Abstrak: Kekerasan tajam adalah kekerasan yang dapat mengakibatkan luka pada permukaan tubuh yang disebabkan oleh benda tajam. Banyak korban hidup yang mengalami perlukaan pada kasus kekerasan tajam tetapi tidak meninggal. Penelitian ini bertujuan untuk mengetahui pola luka kekerasan tajam pada korban hidup di Rumah Sakit Bhayangkara Tingkat III Manado. Jenis penelitian ini ialah deskriptif retrospektif dengan menggunakan data Visum et Repertum. Hasil penelitian mendapatkan 204 kasus korban hidup pada kasus kekerasan tajam. Kasus terbanyak pada periode Juli 2021-Juni 2022 yaitu 88 kasus (43,14%). Sebagian besar berjenis kelamin laki-laki dengan jumlah 185 kasus (90,69%). Kelompok usia terbanyak yaitu remaja akhir (17-25 tahun) dengan jumlah 96 kasus (47,06%). Jenis luka yang sering ditemukan ialah luka iris sebanyak 119 kasus (58,33%). Lokasi perlukaan yang paling sering ialah ekstrimitas atas kiri dengan jumlah 57 kasus (20,21%). Derajat luka terbanyak ialah luka derajat luka ringan 121 kasus (59,31%). Simpulan penelitian ini ialah korban hidup pada kasus kekerasan tajam sebagian besar berjenis kelamin laki-laki, kelompok usia remaja akhir (17-25 tahun), dengan jenis luka iris di ekstrimitas atas kiri, derajat luka ringan.\u0000Kata kunci: pola luka; kekerasan tajam; korban hidup","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134150540","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 Obesitas dengan Tingkat Keparahan COVID-19","authors":"Shally G. C. P. Lahagina, Mayer F. Wowor, Siemona L. E. Berhimpon","doi":"10.35790/msj.v5i1.45130","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45130","url":null,"abstract":"Abstract: Coronavirus disease 2019 (COVID-19) is an acute respiratory disease caused by infection of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus. Obesity is one of the risk factors that might increase the severity of COVID-19 due to anatomical and physiological changes in the body. Previous studies have shown high mortality and morbidity rates in obese patients with COVID-19. This study aimed to evaluate the association between obesity and the severity of COVID-19. This was a literature review study. The results obtained 17 articles concluding that there was an association between obesity and the severity of the disease, however, one article concluded no association between them. The reported severity criteria ranged from severe to critical ill. In conclusion, obese patients with had higher risk to suffer form more severe COVID-19. The outcomes of obese patients with COVID-19 are hospitalization, admission at Intensive Care Unit, intubation, and death.\u0000Keywords: COVID-19; obesity; disease severity\u0000 \u0000Abstrak: Coronavirus Disease 2019 (COVID-19) merupakan penyakit pernapasan akut yang disebabkan oleh infeksi virus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Obesitas merupakan salah satu faktor risiko yang dapat meningkatkan keparahan COVID-19 terkait adanya perubahan anatomi dan fisiologis tubuh. Hasil penelitian sebelumnya menunjukkan angka mortalitas dan morbiditas yang tinggi pada pasien obesitas dengan COVID-19. Penelitian ini bertujuan untuk mengetahui lebih lanjut mengenai hubungan obesitas dengan tingkat keparahan penyakit pada COVID-19. Jenis penelitian ialah suatu literature review. Hasil penelitian mendapatkan 17 artikel yang menyimpulkan adanya hubungan obesitas dengan tingkat keparahan penyakit pada COVID-19 dan satu artikel menyimpulkan tidak terdapat hubungan obesitas dengan tingkat keparahan penyakit pada COVID-19. Kriteria tingkat keparahan yang dilaporkan mulai dari berat sampai kritis. Simpulan penelitian ini ialah pasien obesitas dengan COVID-19 berisiko lebih tinggi untuk mengalami keparahan penyakit. Luaran pasien dengan obesitas yaitu dirawat inap, menerima perawatan di Intensive Care Unit, diintubasi, dan kematian.\u0000Kata kunci: COVID-19; obesitas; tingkat keparahan penyakit","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128829086","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":"Defisiensi Vitamin D dan Benign Paroxysmal Positional Vertigo Rekuren","authors":"Deva J. Karel, Olivia. C. P. Pelealu, Rizki R. Najoan","doi":"10.35790/msj.v5i1.45279","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45279","url":null,"abstract":"Abstract: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disturbance. Recurrency of BPPV is highly reported in females and elderly group. This study aimed to evaluate the association between vitamin D deficiency and recurrent BPPV events. This was a literature review study using PubMed, ClinicalKey, and GoogleScholar databases. The results obtained 13 literatures according to the predetermined inclusion and exclusion criteria. Vitamin D deficiency caused disturbances in calcium metabolism and degradation of otoconia. Release of otoconia debris into the endolymph fluid could trigger the BPPV attack. Based on demography, recurrent BPPV was most frequent among female elderlies with osteoporosis/osteopenia. The level of 25(OH)D of recurrent BPPV group was lower than the non-recurrent BPPV group, and supplementation of vitamin D could reduce the recurrency of BPPV. In conclusion, vitamin D deficiency is one of the causes of recurrent BPPV since it affects the metabolism of calcium which is the constituent component of otoconia. Instability of otoconia will affect the release of otoconia debris into the endolymph fluid triggering the BPPV attacks and increasing the risk of recurrent BPPV. Vitamin D supplementation can reduce the BPPV recurrence level.\u0000Keywords: recurrent benign paroxysmal positional vertigo; vitamin D deficiency; calcium metabolism; female; elderly\u0000 \u0000Abstrak: Benign paroxysmal positional vertigo (BPPV) merupakan penyakit gangguan keseimbangan perifer yang paling sering ditemui. Rekurensi BPPV dilaporkan lebih tinggi pada kelompok wanita dan usia lanjut. Penelitian ini bertujuan untuk mengetahui hubungan antara defisiensi vitamin D dan kejadian BPPV rekuren. Jenis penelitian ialah literature review menggunakan database PubMed, ClinicalKey, dan Google Scholar. Hasil penelitian mendapatkan 13 literatur yang ditelaah berdasarkan kriteria inklusi dan eksklusi yang ditetapkan. Pada defisiensi vitamin D terjadi gangguan metabolisme kalsium dan degradasi otokonia. Debris otokonia yang terlepas ke dalam cairan endolimf dapat memicu terjadinya serangan BPPV. Secara demografi, BPPV rekuren lebih sering dijumpai pada perempuan usia lanjut dan memiliki riwayat osteoporosis/ osteopenia. Kadar 25(OH)D pada kelompok BPPV rekuren lebih rendah dibandingkan dengan kadar 25(OH)D pada kelompok non-BPPV rekuren, dan pemberian suplementasi vitamin D dapat menurunkan tingkat rekurensi pasien BPPV. Simpulan penelitian ini ialah defisiensi vitamin D merupakan salah satu penyebab dari perjalanan penyakit BPPV menjadi rekuren. Defisiensi vitamin ini memengaruhi metabolisme kalsium yang merupakan komponen penyusun otokonia. Instabilitas otokonia akan memengaruhi pelepasan debris ke cairan endolimf sehingga mencetuskan serangan BPPV dan meningkatkan risiko terjadinya BPPV rekuren. Pemberian suplementasi vitamin D dapat menurunkan tingkat rekurensi BPPV.\u0000Kata kunci: benign paroxysmal positional vertigo rekuren, defisiensi vitami","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123655112","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}