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COMPARISON OF PERITUBAL INFILTRATION OF ROPIVACAIN AND PLACEBO IN PERCUTANEOUS NEPHROLITHOLAPAXY FOR POST OPERATIVE ANALGESIA AT SOETOMO HOSPITAL SURABAYA Telussa, Arley Sadra; Hakim, Lukman; Soebadi, Doddy M
Indonesian Journal of Urology Vol 25 No 2 (2018)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v25i2.467

Abstract

Objective: To observe the effects of ropivacain peritubal infiltration in reducing postoperative pain and analgesic requirements postoperatively in patients underwent percutaneous nephrolithotomy (PNL). Material & method: Double blind randomized controlled trial on 32 patients with renal stone who underwent PNL at Soetomo General Hospital Surabaya from February until August 2017, divided into 2 groups. Experimental group (A) who received peritubal infiltration of ropivacain pre-operative, and control (placebo) group (B) Evaluation using Wong Baker pain score 2 hour post operation, time from operation until first rescue analgesia, and total analgesia given in first 24 hours. Result: Mean age was 51.81 ± 9.13 and 49.31 ± 10.53 years in group A and B respectively. Mean operation time 49.31 ± 10.53 and 89.69 ± 17.74 hours in group A and B respectively. There was no significant difference in stone complexity, nephrostomy placement and stenting between two groups. There was no significant difference of Wong Baker pain score 2 hours post operation between group A and B (p 0.72). There was no significant difference in total analgesia in the first 24 hours between group A and B (p 0.48). The time of first rescue analgesia demand was significantly longer in the experimental group (p 0.00). Conclusion: Peritubal infiltration of ropivacain in percutaneous nephrolitholapaxy is safe and effective to prolong the need of first rescue analgesia in post operative pain management which result in patients convenience.
FRESH GRADUATE UROLOGIST IN EASTERN INDONESIA: FIRST YEAR SURGERY EXPERIENCE Goller, Ardito Ario Willy; Telussa, Arley Sadra
Indonesian Journal of Urology Vol 28 No 1 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i1.677

Abstract

Objective: In present days, endourology is the hallmark of urology, including in developing countries. This study reviews the surgical experiences of a urology practitioner in the first year of his practice in the underdeveloped province in Indonesia. Material & Methods: This research is a descriptive study that retrieval patients data from the medical record during June 2018 - May 2019. Results: Total of 401 operations were obtained. There were 328 male (81.8%) and 73 female (18.2%) with the average of patients age were 52+17.77 years old. The most common diagnoses were BPH 113 cases (28.2%). bladder stone 83 cases (20.7%), and ureteral stone 52 cases (13%). The most common surgical procedures performed were TURP 120 operations (29.9%), Ureterorenoscopy (URS) 64 operations (16%), and Vesicolithotripsy 58 operations (14.5%). The upper tract procedures were 84 operations (20.9%), mainly URS 64 operations (16%). Whereas the lower procedures were 317 operations (79.1%) mainly TURP 120 operations (29.9%). The complications were bleeding post-TURP 5 cases which require blood clot evacuation (1.2%), bleeding post open nephrolithotomy 1 case which requires blood transfusion (0.2%), and TURP syndrome 1 case (0.2%) with mortality 2 patient (0.4%). All kidney stones were handled by open surgery due to lack of PCNL and ESWL set devices. Conclusion: First year urologist who are interested in serving in such areas may benefit from prioritizing the availability of upper and lower set to performed basic standard care for surgical urology without leaving the hallmark of urology.
Correlation Between Online Gaming Duration and Dry Eyes Complaints and Quality of Life Using DEQS Questionnaire I Putu Fandy Artha Gunawan; Arley Sadra Telussa; Kartini Lidia; Hyasinta Arlette Nikita
Vision Science and Eye Health Journal Vol. 2 No. 1 (2022): Vision Science and Eye Health Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/vsehj.v2i1.2022.29-33

Abstract

Introduction: Dry eye is a component of computer vision syndrome (CVS) which is affected by the duration of using a visual display terminal (VDT), such as playing online games. Purpose: To analyze the correlation between the duration spent playing online games and the degree of dry eye complaints and quality of life. Methods: This research is cross-sectional research conducted on students of the General Practitioner Study Program, Faculty of Medicine, Universitas Nusa Cendana, Kupang, Indonesia, who play online games through Zoom meetings and Whatsapp with a total sampling method on 47 respondents. Data was acquired through online game playing duration questionnaire and dry eye related quality of life score (DEQS) questionnaire. The inclusion criteria in this research was an active medical student of the Universitas Nusa Cendana, Kupang, Indonesia, who had a habit of playing online games and had good literacy skills. This research used eta square statistical analysis. Results: From the 47 acquired samples, the most prominent acquired sample was male (70.2%). DEQS score that was acquired was vary. The lowest score 0-10 is was present on 25.53% of samples, score 11-74 was present on 72.34% of samples and the highest score (75) is present on 2.1% of samples. Impaired quality of life score was found on dry eye range (31-75). There was no significant correlation between the duration spent online playing games and the degree of dry eye complaints (p = 0.693). There was significant correlation between degree of dry eye complaint and quality of life (p = 0.000). Conclusions: The duration of spent online playing games has no effect on the degree of dry eye complaints. The degree of dry eye complaints can affect the quality of life.
Nephrolithiasis on The Right Kidney: A Case Report Cindy Marie Agnes Lorenza Aurelia Edon; Ephram Sanders Alfian Siadary; Arley Sadra Telussa
Brawijaya Journal of Urology Vol. 1 No. 02 (2021): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Nephrolithiasis or kidney or renal stone, is a common disease in the World. In industrialized countries, the prevalence of upper urinary tract stones has persistently increased in the twentieth century, yet there are significant contrasts among countries and furthermore inside a similar countries. The case of this Nephrolithiasis on right Kidney was reported at W.Z Johannes Hospital, Kupang, East Nusa Tenggara, Indonesia. The patient is a 64 year old female with right renal stone. The patient came to the ER with complaints of right flank pain and patient complains of hematuria first. Percutaneous Nephrolithotomy (PCNL) surgical procedure was performed to release the stone. Conclusion : The cause of the right renal stone should be considered to treatment as eliminating the cause and the underlying factor will reduce the complications and recurrence rates.
Nephrolithiasis treated with RIRS on single kidney patient: A Case Report Fransiska Roslinda Dua Neang; Ephram Sanders Alfian Siadary; Arley Sadra Telussa
Brawijaya Journal of Urology Vol. 3 No. 02 (2023): Brawijaya Journal of Urology
Publisher : Department of Urology, Faculty of Medicine, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/bjurology.2023.003.02.2

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Abstract. Urinary stones is a common disorder and affects a considerable number of people worldwide. Nephrolithiasis (kidney stones) is one of the kidney diseases, where the discovery of stones containing crystal components and organic matrix is the biggest cause of urinary tract disorders.Case. The case of this left kidney stone was reported at WZ Johannes General Hospital, Kupang, East Nusa Tenggara, Indonesia. The patient is a 31 year old female with a single kidney, renal stone with the size measured -+ 1.2 cm (HU = 1078) at the lower calyx pole. The patient came to the ER with complaints of left flank pain and patient complaints of left lower back pain, lower left abdomen and radiating to the groin. The patient also complains of the most pain at night and often wakes up to urinate and can't hold urine so that the patient sometimes starts urinating before arriving at the bathroom, the patient's urine output is also small. The patient often complains of gritty urine and foam at the end of the urine and has time to urinate blood. RIRS surgical procedure was performed to release the stone.Conclusion. The cause of the Renal stone should be considered prior to treatment as eliminating the cause and the underlying factor will reduce the complications and recurrence rates.
Penetapan Kadar Senyawa Epikatekin dalam Ekstrak Air Kulit Batang Faloak (Sterculia quadrifida R.Br.) Berbagai Varian sebagai Antihepatitis C Dean, Muhajirin; Telussa, Arley Sadra; Malelak, Elric Brahm
Journal of Islamic Medicine Vol 8, No 2 (2024): JOURNAL OF ISLAMIC MEDICINE EDISI SEPTEMBER 2024
Publisher : Faculty of Medicine and Health Science, Universitas Islam Negeri Maulana Malik Ibrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18860/jim.v8i2.28895

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Background: East Nusa Tenggara Province, Indonesia, is a common location for the faloak plant. Due to its epicatechin compounds, the faloak plant (Sterculia quadrifida R.Br) has potential for use as an anti-hepatitis C treatment. Objective: This study aims to identify the highest epicatechin content of faloak obtained from various places, to optimize the cultivation and processing of faloak plants into herbal antihepatitis C medicines. General therapy for hepatitis C causes side effects such as hemolytic anemia, pruritus, asthenia, neutropenia, myalgia, respiratory problems, cardiovascular disorders, and even teratogenic. Methods: Faloak plants obtained from 3 locations (Rote, Timor, and Semau Islands) were extracted with water solvent. The extracts were then analyzed by HPLC to measure epicatechin levels using standard. Results: All three samples from different islands demonstrated the presence of epicatechin, as indicated by their retention times matching the standard compound. The retention times for the Faloak water extracts from Rote, Timor, and Semau Islands were 12.420, 12.427, and 12.353, respectively. The assay results revealed that the sample from Rote Island had the highest concentration, measuring 24.810%. Conclusion: All faloak water extracts contain epicatechin, with the highest concentration found in faloak from Rote Island.
Antibacterial potential of celery (Apium graveolens L.) extract gel against Staphylococcus aureus Sunarno, Martinus Ezra; Amat, Anita Lidesna Shinta; Telussa, Arley Sadra; Prisca Deviani Pakan
Acta Biochimica Indonesiana Vol. 7 No. 2 (2024): Acta Biochimica Indonesiana
Publisher : Indonesian Society for Biochemistry and Molecular Biology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32889/actabioina.154

Abstract

Background: Staphylococcus aureus can cause furuncles or boils, painful nodules on the skin. Conventional topical therapies often lead to side effects such as contact dermatitis and pruritus, compounded by the increasing problem of antibiotic resistance. Natural ingredients like celery (Apium graveolens L.) offer promising alternatives due to their antibacterial properties and gentler effects. Objective: This study aimed to formulate a celery extract gel with ideal physical characteristics and evaluate its antibacterial potency against Staphylococcus aureus. Methods: Celery extract gel was prepared using HPMC, celery extract, methylparaben, propylparaben, and propylene glycol. Formulations with various celery extract concentrations were tested alongside mupirocin ointment (positive control) and gel base (negative control) against Staphylococcus aureus using the well-diffusion method. The results were analyzed using the One-Way ANOVA statistical test. Results: Celery extract gel demonstrated strong antibacterial potency at 25% (F1), 50% (F2), and 75% (F3) concentrations and very strong potency at 100% (F4). The One-Way ANOVA analysis showed a significant difference in the mean inhibitory zone diameter between treatment groups (p < 0.05). Conclusion: Celery extract gel exhibits significant antibacterial activity against Staphylococcus aureus, suggesting its potential as a natural alternative for topical therapy in managing skin infections.
HUBUNGAN KUALITAS TIDUR DENGAN TINGKAT KEPARAHAN ACNE VULGARIS PADA MAHASISWA PREKLINIK FAKULTAS KEDOKTERAN UNDANA Bria Seran, Maria Jozilyn; Lidia, Kartini; Telussa, Arley Sadra
Cendana Medical Journal Vol 8 No 2 (2020): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.157 KB) | DOI: 10.35508/cmj.v8i2.3348

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Acne vulgaris mempengaruhi sekitar 9,4% populasi di seluruh dunia dan penyakit yang paling sering terjadi dan berada di urutan delapan di dunia dan ketiga terbanyak di Indonesia. Acne vulgaris sering terjadi pada remaja dan dapat bertahan sampai dewasa. Acne Vulgaris dapat dipengaruhi oleh berbagai faktor, penelitian di Korea menunjukkan faktor pemicu utama atau yang memberatkan salah satunya adalah kurang tidur. Durasi tidur yang kurang menyebabkan kualitas tidur yang buruk, penyebab dari kualitas tidur yang buruk pada usia remaja dapat bermacam-macam seperti konsumsi kafein dan alkohol, olahraga, mengerjakan tugas, dan juga karena stres. Berdasarkan uraian diatas penulis tertarik untuk melakukan penelitian tentang hubungan kualitas tidur dengan tingkat keparahan acne vulgaris pada mahasiswa preklinik Fakultas Kedokteran Undana Kupang. Tujuan penelitian ini untuk mengetahui Hubungan Kualitas Tidur dengan Tingkat Keparahan Acne Vulgaris Pada Mahasiwa Preklinik Fakultas Kedokteran Undana. Metode penelitian ini merupakan penelitian analitikal observasional dengan rancangan cross sectional yang dilakukan pada mahasiswa preklinik Fakultas Kedokteran Universitas Nusa Cendana dengan cara pengisian kuesioner pengisian kuisoner Pittsburgh Sleep Quality Index (PSQI) dan Gradasi acne menurut Lehmann dengan bantuan kamera canon EOS M10 dan penilaian oleh dokter spesialis.Teknik pengambilan sampel menggunakan simple random sampling dengan jumlah responden 70 orang yang memenuhi kriteria inklusi dan eksklusi. Penelitian dianalisis secara univariat, bivariat menggunakan uji chi-square. Hasil dari 70 responden, didapatkan hasil 61responden (87,1%) memiliki tingkat keparahan acne vulgaris ringan dan 9 responden (12,9%) memiliki tingkat keparahan acne vulgaris sedang. Dari 70 responden juga didapatkan 12 responden (17,1%) memiliki kualitas tidur baik dan 58 responden (82,9%) memiliki kualitas tidur baik. Hasil uji analisis bivariat pada penelitiaan ini diperoleh hasil p=0,341 (p>0,05). Kesimpulan dari penelitian ini tidak terdapat hubungan antara kualitas tidur dengan tingkat keparahan acne vulgaris pada mahasiwa preklinik Fakultas Kedokteran Undana.
PENGARUH TARIAN JA’I DARI NUSA TENGGARA TIMUR TERHADAP KADAR GLUKOSA DARAH PUASA PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS NUSA CENDANA Wora Wora, Marguerita Merpati Octaviani; Setianingrum, Elisabeth Levina Sari; Telussa, Arley Sadra
Cendana Medical Journal Vol 8 No 2 (2020): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.908 KB) | DOI: 10.35508/cmj.v8i2.3351

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Mahasiswa kedokteran adalah kelompok yang cenderung memilih konsumsi makanan siap saji serta memiliki aktivitas fisikyang rendah. Hal ini dapat menyebabkan peningkatan kadar glukosa dalam darah. Bila berlangsung lama dapat menyebabkan penyakit serius seperti Diabetes Melitus. Tarian Ja’i yang dikategorikan sebagai dance movement therapy merupakan salah satu pilihan terapi non farmakologis. Tarian Ja’i memiliki gerakan yang sedehana dengan melibatkan otot-otot besar.Tujuan penelitian ini untuk mengetahui pengaruh tarian Ja’idari Nusa Tenggara Timur terhadap Kadar Glukosa Darah Puasa pada mahasiswa Fakultas Kedokteran Universitas Nusa Cendana. Metode Penelitian ini merupakan penelitian quasy experimental dengan rancangan penelitian pre and post test with control group yang dilakukan pada mahasiswa preklinik Fakultas Kedokteran Universitas Nusa Cendana. Teknik pengambilan sampel menggunakan simple random samplingsebanyak 42 orang. Analisis data menggunakan uji ppaired t-test untuk melihat perubahan kadar glukosa darah tiap kelompok dan uji independent t-test untuk mengetahui pengaruh tarian ja’i terhadap kadar glukosa darah puasa. Hasil analisis pengaruh tarian ja’i terhadap kadar glukosa darah puasa pada mahasiswa kelompok intervensi dan kelompok kontrol berturut-turut menunjukkan nilai p=0,210 dan p= 0,205. Analisis pengaruh tarian ja’i terhadap kadar glukosa darah puasa pada mahasiswa menunjukkan nilai p=0,073(p>0,05). Kesimpulan penelitian ini tidak terdapat pengaruh Tarian Ja’iyangsignifikanterhadap kadar glukosa darah puasa pada mahasiswa Fakultas Kedokteran Universitas Nusa Cendana
HUBUNGAN KEBIASAAN MENCUCI TANGAN DAN MENGGUNTING KUKU TERHADAP INFEKSI CACING USUS PADA ANAK SEKOLAH DASAR DI DESA LIFULEO Kause, Eureka Y.; Setiono, Kresnawati Wahyu; Telussa, Arley Sadra
Cendana Medical Journal Vol 8 No 2 (2020): Cendana Medical Journal
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.826 KB) | DOI: 10.35508/cmj.v8i2.3357

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Infeksi cacing adalah penyakit infeksi yang paling umum diseluruh dunia dan terjadi di negara berkembang dan miskin. Indonesia sebagai salah satu negara berkembang yang masih menghadapi masalah tinggi prevalensi penyakit infeksi terutama yang berkaitan dengan kondisi higiene dan sanitasi lingkungan yang belum baik. Mencuci tangan dan menggunting kuku merupakan bagian dari higiene personal yang turut menyumbang dalam infeksi cacing usus. Angka kejadian infeksi cacing 2,5-62% masih tergolong tinggi. Tingginya prevalensi infeksi cacing ini tergantung pada keberadaan telur cacing ditanah. Kesadaran yang rendah untuk mencuci tangan dengan air bersih dan sabun serta malasmenggunting kuku dapat menjadi faktor pendukung terjadinya infeksi cacing usus. Tujuan penelitian ini untuk mengetahui hubungan kebiasaan mencuci tangan dan menggunting kuku yang mempengaruhi terjadinya infeksi cacing usus pada anak Sekolah Dasar di Desa Lifuleo. Metode penelitian ini merupakan penelitian analitikal observasional dengan rancangan cross sectional yang dilakukan pada seluruh siswa Sekolah Dasar di Desa Lifuleo dengan data diperoleh melaluiwawancara dan pemeriksaan telur cacing pada tinja. Sampel penelitiandiambil dari dua sekolah dasar yang berada di Desa Lifuleo menggunakan teknik sampling Probability sampling yaitu simple random sampling sejumlah 61 sampel. Analisisdata menggunakan uji Chi-Square. Hasil dari 61responden, didapatkan hasil 2 responden (3,3%) ditemukan terinfeksi telur cacing dan 59 responden (96,6%) tidak ditemukan terinfeksi telur cacing. Kemudian tidak terdapat hubungan signifikan dari kebiasaan mencuci tangan dan menggunting kuku yangmempengaruhi infeksi cacing pada siswa sekolah dasardi Desa Lifuleo dengan nilai p yaitu mencuci tangan (p=0,753),kebersihan kuku (p=0,483), Kesimpulan dari penelitian ini tidak terdapat hubungan signifikan dari kebiasaan mencuci tangan dan menggunting kuku yang mempengaruhi infeksi cacing pada siswa sekolah dasar di Desa Lifuleo yang diteliti.