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All Journal Sumatera Medical Journal
Arlinda Sari Wahyuni
Department of Community Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
Immunology & microbiology Medicine & Pharmacology

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STOP-Bang Criteria as a Difficult Airway Predictor in Surgical Patients at a Primary Referral Hospital in North Sumatra Ikrar Rananta Simanjuntak; Andriamuri Primaputra Lubis; Ade Winata; Arlinda Sari Wahyuni
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.21787

Abstract

Introduction: Obstructive sleep apnea (OSA) is a sleep disorder associated with snoring, morning drowsiness, and hypoxemia, leading to an increased risk of difficult airway management. Polysomnography (PSG) is the gold standard for diagnosing OSA, but its high cost and limited accessibility necessitate alternative screening methods, such as the STOP-BANG questionnaire. Objective: This study aimed to evaluate the relationship between STOP-BANG scores and difficult airway conditions in surgical patients. Methods: A cross-sectional study was conducted at H. Adam Malik Hospital involving 110 surgical patients. Demographic and clinical data, including body mass index (BMI) and neck circumference, were collected. STOP-Bang scores were assessed preoperatively, and difficult airway conditions were documented. Results: The average BMI of the participants was 25.03 ± 2.62 kg/m², and the mean neck circumference was 27.83 ± 3.91 cm. A total of 81 patients reported a history of hypertension, a comorbidity frequently associated with OSA. Statistical analysis indicated that higher STOP-BANG scores were significantly correlated with a greater incidence of difficult airway conditions (p = 0.015). Conclusions: This study demonstrates that the STOP-BANG questionnaire has potential as a practical and accessible predictive tool for identifying patients at risk of difficult airway management related to OSA.
Gadget Usage and Its Relationship with Mental and Emotional Health in Early Childhood (3–6 Years) at Puskesmas Medan Tuntungan Arlinda Sari Wahyuni; Timotius Pratama; Maranatha Duva Siahaan; Nabila Febrina Salamah; Venessa Wongso; Arridho Anwar Dalimunthe; Muhammad Irzi; Evelyn; Siti Nurkholilah; Ryann Setiawan
Sumatera Medical Journal Vol. 9 No. 1 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i1.22796

Abstract

Introduction: Excessive gadget use in early childhood is increasingly associated with cognitive, behavioral, and emotional problems. Preschool-aged children are particularly vulnerable as this period involves rapid socio-emotional and motor development. Objective: This study aimed to determine the association between gadget use and mental and emotional health among children aged 3–6 years at Puskesmas Medan Tuntungan. Methods: A cross-sectional study was conducted involving 105 children selected through consecutive sampling. Data on gadget use (duration, type, ownership, and age of first exposure) were collected using parent-reported questionnaires. Mental and emotional status was assessed using the KMME instrument. Bivariate analysis was performed using the Chi-square test with a significance level of p < 0.05. Results: Most children (61.90%) used gadgets for more than one hour per day, exceeding recommended limits. A total of 64 children (60.95%) screened positive for mental and emotional problems. Screen time >1 hour was significantly associated with mental–emotional problems (p = 0.001). No significant relationship was found between personal gadget ownership and mental–emotional problems (p = 0.729). Conclusion: Longer screen time, particularly >1 hour per day, was significantly associated with mental and emotional problems in preschool-aged children. Further longitudinal studies with larger samples are needed to strengthen causality and generalizability.
Co-Authors Ade Winata Andriamuri Primaputra Lubis Arridho Anwar Dalimunthe Evelyn Ikrar Rananta Simanjuntak Maranatha Duva Siahaan Muhammad Irzi Nabila Febrina Salamah Ryann Setiawan Siti Nurkholilah Timotius Pratama Venessa Wongso