SCRIPTA SCORE Scientific Medical Journal最新文献

{"title":"Perbandingan antara Penggunaan Tas Ransel dan Tas Sandang dengan Kejadian Nyeri Leher pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara Angkatan 2016-2018","authors":"Rahel Imelda Panggabean, Raden Ajeng Dwi Pujiastuti","doi":"10.32734/scripta.v3i1.5564","DOIUrl":"https://doi.org/10.32734/scripta.v3i1.5564","url":null,"abstract":"Background: Neck pain is a musculoskeletal pain that often occurs in the community. The prevalence of neck pain in the community for 1 year is 40% and higher in women. Neck pain can reduce neck joint movement and functional activity of the neck so that it can disturb one's activities. Neck pain also often occurs in medical students, usually caused by how to use a bag, bag weight, duration of carrying bag, gender and body weight.\u0000Objectives: To determine the prevalence of neck pain and to determine whether there was a comparison between the use of backpacks and messenger bags with  the occurrence of  neck pain in the students of the Faculty of Medicine University of Sumatera Utara, 2016-2018.\u0000Methods: This study is an analytic study with cross sectional design. The sampling technique used was simple random sampling. The research subjects were 170 people.\u0000Results: Based on comparison of backpack users who experienced neck pain as many as 74 people and messenger bag users who experienced neck pain as many as 65 people with a chi-square analysis (p = 0.112) means it does not have a significant relationship.\u0000Conclusion: the use of backpacks is more likely to cause neck pain than messenger bags, but it is not significant among students of the Faculty of Medicine, University of Sumatera Utara 2016-2018.\u0000Keywords: backpacks, messenger bags, neck pain, risk factors for neck pain\u0000 \u0000Latar Belakang: Nyeri leher adalah salah satu nyeri muskuloskeletal yang kerap terjadi di masyarakat. Prevalensi nyeri leher yang terjadi di masyarakat selama 1 tahun besarnya 40% dan lebih tinggi pada wanita. Nyeri leher dapat mengurangi gerakan sendi leher dan aktivitas fungsional leher sehingga dapat mengganggu kegiatan seseorang. Nyeri leher juga sering terjadi pada mahasiswa kedokteran, biasanya disebabkan oleh cara  penggunaan tas, berat beban tas, durasi membawa tas, jenis kelamin dan berat badan. \u0000Tujuan: Untuk mengetahui apakah terdapat perbandingan  antara penggunaan tas ransel dan tas sandang dengan kejadian nyeri leher pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2016-2018. \u0000Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional. Teknik pengambilan sampel yang digunakan adalah teknik simple random sampling. Subjek penelitian adalah 170 orang. \u0000Hasil: Berdasarkan perbandingan pengguna tas ransel yang mengalami nyeri leher sebanyak 74 orang dan pengguna tas sandang yang mengalami nyeri leher sebanyak 65 orang dengan analisa chi-square (p=0,112) yang maksudnya tidak memiliki hubungan yang signifikan. \u0000Kesimpulan: penggunaan tas ransel lebih banyak menimbulkan kejadian nyeri leher dibanding tas sandang namun tidak signifikan pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2016-2018.\u0000Kata Kunci: faktor risiko nyeri leher, nyeri leher, tas ransel, tas sandang","PeriodicalId":365874,"journal":{"name":"SCRIPTA SCORE Scientific Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116537997","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":"Newly Diagnosed Primary Immune Thrombocytopenia in Children: Which Guideline to Adhere?","authors":"Cipta Mahendra","doi":"10.32734/scripta.v3i1.4561","DOIUrl":"https://doi.org/10.32734/scripta.v3i1.4561","url":null,"abstract":"Background: Immune thrombocytopenia purpura (ITP) is an autoimmune disorder of bleeding which is defined as having thrombocytopenia (platelet count below 100.000/µL). Most ITP cases in children are acute and recent various guidelines have established a wait-and-see protocol as management for children with ITP since it is assumed to be temporary and will most likely to resolve spontaneously.\u0000Objectives: For this case report, a case of primary ITP in a child will be discussed. In the following discussion section, several ITP consensus guidelines will be discerned and compared to see which is the more appropriate guideline to adhere in managing a newly diagnosed ITP case in children. The case report is used as a ‘trigger’ to dissect the core treatment suggestions described in the inspected consensus guidelines.\u0000Case Illustration: A 6-years-old female child presents to a hospital with a chief complaint of having red spots in her arms and legs since a day ago. The red spots she complained was the first time to be experienced. She had no prior fever, (bloody) diarrhea, nausea, and vomiting. Physical examination showed no remarkable abnormalities other than numerous petechiae in the upper and lower extremities.\u0000Discussion: The patient in this case was finally admitted and treated in the hospital as an inpatient with corticosteroid, antibiotics, and platelet concentrates despite the current guidelines that generally advocate against these treatments. This case report may give an insight regarding the factors needed to be considered before treating a child with newly diagnosed ITP.\u0000Conclusion: The Joint Working Group (JWG) consensus seems to be the most comprehensive guideline in treatment of newly diagnosed ITP in children, compared to the American Society of Hematology (ASH) and International Consensus Report guideline.\u0000Keywords: hematology, ITP, newly diagnosed, primary, thrombocytopenia\u0000 \u0000Latar Belakang: Immune trombositopenia purpura (ITP) merupakan sebuah penyakit perdarahan otoimun yang didefinisikan sebagai adanya trombositopenia (trombosit dibawah 100.000/µL). Mayoritas kasus ITP pada anak bersifat akut dan konsensus terkini menyarankan protokol “wait and see” sebagai tatalaksana untuk anak dengan ITP karena dianggap hanya sementara dan cenderung akan membaik secara spontan. \u0000Tujuan: Untuk laporan kasus ini, sebuah kasus ITP primer pada anak akan dibahas. Pada bagian diskusi, beberapa panduan terkait ITP akan diulas dan diperbandingkan untuk melihat panduan mana yang paling sesuai untuk mengatasi kasus baru (newly diagnosed) ITP pada anak. Laporan kasus ini digunakan sebagai pengantar untuk membahas intisari tatalaksana ITP dalam konsensus-konsensus yang dipakai. \u0000Ilustrasi Kasus: Anak perempuan berusia 6 tahun datang ke rumah sakit dengan keluhan utama adanya bintik-bintik merah pada kedua lengan dan tungkainya sejak sehari lalu. Bintik-bintik merah tersebut baru pertama kali dialami. Dia tidak menderita demam, diare (berdarah), nausea, dan vomi","PeriodicalId":365874,"journal":{"name":"SCRIPTA SCORE Scientific Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126075851","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":"Paradoks Konsumsi Kopi Terhadap Risiko Kejadian Stroke: Sebuah Kajian Sistematis","authors":"A. Gunawan, Indah Khairunnisa, Muthia Kintan Fais","doi":"10.32734/scripta.v3i1.4409","DOIUrl":"https://doi.org/10.32734/scripta.v3i1.4409","url":null,"abstract":"Background: Coffee is one of the drinks most often consumed throughout the world and is the second most popular beverage in the world after water. At present, the effect of coffee consumption on the human body is increasingly being studied, especially on the cardiovascular system. Many studies say that coffee consumption can prevent stroke, either directly or indirectly against stroke risk factors by a variety of mechanisms caused by the compounds contained in coffee. However, to date various prospective studies looking at the relationship between coffee consumption and stroke risk are still inconsistent.\u0000Objectives: To determine the relationship of coffee consumption with the risk of stroke. \u0000Methods: We searched on MEDLINE and PubMed, using the keywords “coffee” or “caffeine” and \"stroke or cardiovascular events\" which follows the flow and search rules of the Reporting Item Options for Systematic Review and Meta Analysis (PRISMA) to find studies with cohort design in the last 10 years starting in 2009-2019.\u0000Discussion: Among 226 citations identified in this systematic review, only 10 studies met the inclusion criteria. Four studies provided evidence that coffee consumption habits were not associated with an increased risk of stroke, while 6 other studies explaining that more coffee consumption has protective benefits against the risk of stroke.\u0000Conclusion: Coffee consumption shows a preventive effect on stroke risk.\u0000Keywords: caffeine, coffee, relative risk, stroke risk\u0000 \u0000Latar Belakang: Kopi merupakan salah satu minuman yang paling sering dikonsumsi di seluruh dunia dan menjadi minuman populer kedua di dunia setelah air. Saat ini, pengaruh konsumsi kopi untuk tubuh manusia semakin banyak diteliti, khususnya terhadap sistem kardiovaskular. Banyak penelitian mengatakan bahwa konsumsi kopi dapat mencegah timbulnya penyakit stroke, baik secara langsung atau tidak langsung terhadap faktor risiko stroke dengan beragam mekanisme yang ditimbulkan oleh senyawa yang terkandung dalam kopi. Namun, hingga saat ini beragam studi prospektif yang mengamati hubungan antara konsumsi kopi dan risiko stroke masih belum konsisten.\u0000Tujuan: Untuk mengetahui hubungan konsumsi kopi dengan risiko terjadinya stroke. \u0000Metode: Pencarian dilakukan pada MEDLINE dan PubMed dengan menggunakan kata kunci “coffee or caffeine” and “stroke or cardiovascular events”. yang mengikuti alur dan kaidah pencarian Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) untuk mencari studi dengan desain cohort dalam rentang waktu 10 tahun terakhir mulai tahun 2009-2019. \u0000Pembahasan: Dari 226 sitasi yang teridentifikasi pada systematic review, hanya 10 studi yang sesuai dengan kriteria inklusi. Empat penelitian memberikan bukti bahwa kebiasaan mengonsumsi kopi tidak dikaitkan dengan peningkatan risiko stroke, sedangkan 6 penelitian lainnya, menjelaskan bahwa konsumsi kopi yang lebih banyak memiliki manfaat perlindungan terhadap risiko kejadian stroke. \u0000Kesimpulan: Konsu","PeriodicalId":365874,"journal":{"name":"SCRIPTA SCORE Scientific Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131902188","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}