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All Journal e-CliniC JURNAL BIOMEDIK Medical Scope Journal (MSJ)
Rondo, Alfa G. E. Y.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Profil Magnetic Resonance Imaging Lumbosakral pada Penderita dengan Nyeri Punggung Bawah di Bagian/Instalasi Radiologi FK Unsrat/RSUP Prof. Dr. R. D Kandou Manado Periode April - Oktober 2019 Wilyo, Ryan D.; Rondo, Alfa G. E. Y.; Tubagus, Vonny N.
e-CliniC Vol 8, No 1 (2020): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.8.1.2020.27010

Abstract

Abstract: Low back pain (LBP) is still a common health problem. Magnetic resonance imaging (MRI) examination is the best radiological modality if pain originated from soft tissue is suspected. This study was aimed to determine the profile of MRI in patients with LBP. Tjis was a retrospective and descriptive study. Data were obtained from the PACS computer in the Radiology Department. The results obtained 112 patients with MRI examination. Most patients were female as many as 59 patients (51.75%), and the most frequent age group was > 50 years as many as 69 patients (60.53%). The most common MRI diagnosis was disc herniation of bulging type in 86 patients (76.78%) especially in L4-L5 and L5-S1, followed by spinal canal stenosis in 49 patients (43.75%), ligamentum flavum hypertrophy in 44 patients (39.28%), and nerve root compression in 40 patients (35.71%). In conclusion, the most common profile of MRI diagnosis among patients with LBP was disc herniation of bulging type located in L4-L5 and L5-S1, followed by spinal canal stenosis, ligamentum flavum hypertrophy, dan nerve root compression.Keywords: low back pain, magnetic resonance imaging Abstrak: Nyeri punggung bawah (NPB) masih merupakan masalah kesehatan yang sering terjadi. Pemeriksaan magnetic resonance imaging (MRI) merupakan modalitas radiologis terbaik bila dicurigai nyeri berasal dari jaringan lunak. Penelitian ini bertujuan untuk mengetahui profil MRI pada penderita dengan NPB. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui komputer PACS di Bagian Radiologi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Hasil penelitian mendapatkan 112 pasien dengan diagnosis MRI, yang terbanyak ialah perempuan berjumlah 59 orang (51,75%). Kelompok usia yang paling sering ialah >50 tahun sebanyak 69 pasien (60,53%). Profil MRI yang paling banyak ditemukan berupa herniasi diskus pada 86 pasien (76,78%) dengan tipe terbanyak ialah bulging, dan lokasi tersering pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis 49 pasien (43,75%), hipertrofi ligamentum flavum 44 pasien (39,28%), dan kompresi akar saraf 40 pasien (35,71%). Simpulan penelitian ini ialah profil MRI pada pasien dengan NPB yang terbanyak ialah herniasi diskus dengan tipe bulging pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis, hipertrofi ligamentum flavum, dan kompresi akar saraf.Kata kunci: nyeri punggung bawah, magnetic resonance imaging
Gambaran Hasil CT-Scan Toraks pada Pasien Coronavirus Disease 2019 (COVID-19) Malaru, Claudia R. E.; Rondo, Alfa G. E. Y.; Wagiu, Christilia G.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i1.32416

Abstract

Abstract: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Indonesia reported its first case in March 2, 2020. Cases are increasing and spreading rapidly throughout Indonesia. One of the main imaging modalities for examination of COVID-19 is chest computed tomography scan (CT-scan) which plays an important role in detection, evaluation of severity, and follow-up of disease course. This study was aimed to obtain the description of CT scan results in patients with COVID-19. This was a literature review study using three databases, namely Pubmed, ClinicalKey, and ScienceDirect. The keywords used were COVID-19 AND Chest CT. Based on inclusion and exclusion criteria, there were 10 literatures selected. It was found that chest CT results could accurately evaluate the features and extent of lung lesions. The typical CT-scan results were ground-glass opacities (GGO), GGO with mixed consolidation, adjacent pleural thickening, interlobular septal thickening, and air bronchogram. Based on age, sex, and comorbidities, there was not any significant differences in chest CT findings. In conclusion, GGO, air bronchogram, and consolidation were found in chest CT-scan of COVID-19 patients. Meanwhile, based on age, sex, and comorbidities there were no significant differences in chest CT-scan.Keywords: COVID-19, chest CT-scan Abstrak: Coronavirus disease 2019 (COVID-19) merupakan suatu penyakit menular yang disebabkan oleh severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Indonesia melaporkan kasus pertama pada tanggal 2 Maret 2020. Kasus meningkat dan menyebar dengan cepat di seluruh wilayah Indonesia. Salah satu modalitas pencitraan utama yang menjadi pilihan untuk pemeriksaan COVID-19 ialah Computed Tomography Scan (CT-scan) toraks yang berperan penting dalam deteksi, evaluasi keparahan, dan tindak lanjut perjalanan penyakit. Penelitian ini bertujuan untuk mengetahui gambaran hasil CT-scan pada pasien COVID-19. Jenis penelitian ialah literature review dengan pencarian data menggunakan tiga database yaitu Pubmed, ClinicalKey, ScienceDirect. Kata kunci yang digunakan yaitu COVID-19 AND Chest CT. Hasil seleksi berdasarkan kriteria inklusi dan eksklusi mendapatkan 10 literatur. Didapatkan hasil CT-scan toraks dapat secara akurat mengevaluasi fitur dan luas lesi paru dan CT-scan yang khas ialah ground-glass opacities (GGO), GGO dengan konsolidasi campuran, penebalan pleura yang berdekatan, penebalan septum interlobular, dan bronkogram udara. Pada temuan CT-scan toraks berdasarkan usia, dan jenis kelamin tidak didapatkan perbedaan bermakna. Simpulan penelitian ini ialah terdapat GGO, air bronchogram, dan konsolidasi pada CT-scan toraks pasien COVID-19 sedangkan berdasarkan usia, jenis kelamin, dan komorbid tidak ditemukan perbedaan bermakna.Kata kunci: COVID-19, CT-scan toraks
Hubungan Gambaran CT Scan Toraks Dan Manifestasi Klinis Pada Pasien Coronavirus Disease 2019 (COVID-19) Paat, Lydia; Mamesah, Yovana P. M.; Rondo, Alfa G. E. Y.
Jurnal Biomedik : JBM Vol 13, No 1 (2021): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.13.1.2021.31768

Abstract

Abstract: World Health Organization has assigned COVID-19 as a pandemic. It has been reported that pulmonary abnormalities are found in asymptomatic cases. In addition, several studies have reported normal CT images in symptomatic patients. Currently, research that discusses the relationship of the image of chest CT scan and clinical manifestations of COVID-19 hasn’t been done much. The aim of the study was to know the relationship between the image of chest CT scan and clinical manifestations in COVID-19 patients. This research is a literature review by searching data using three databases namely PubMed, Science Direct and RSNA. The keywords used are COVID-19 AND chest CT AND clinical manifestations. After being selected based on inclusion and exclusion criteria, there were 11 literatures consisting of 10 retrospective studies and 1 retrospective case series report. Bilateral ground glass opacity, distributed peripherally, and distributed in peripheral, appearing in the lower lobe of the lungs are the common abnormalities images in COVID-19 patients. In severe-critical cases of COVID-19, consolidation, distributed centrally and peripherally, and occurred throughout the lung lobes were significantly more common than in moderate cases of COVID-19. In addition, the total severity score and the total lesion volume increased according to the clinical classification of COVID-19. There is a significant relationship between the image of chest CT scan and clinical manifestations based on the number of lobes, distribution, presence of consolidation, total severity score, and lesion volume.Keywords: coronavirus disease 2019, chest, computed tomography  Abstrak: World Health Organization (WHO) telah menetapkan COVID-19 sebagai suatu pandemi. Telah dilaporkan bahwa ditemukan suatu kelainan paru pada kasus asimptomatik. Selain itu, beberapa penelitian juga melaporkan adanya gambaran CT normal pada pasien bergejala. Saat ini, penelitian yang membahas hubungan gambaran CT scan toraks dan manifestasi klinis COVID-19 belum banyak dilakukan. Penelitian ini bertujuan untuk mengetahui hubungan gambaran CT toraks dan manifestasi klinis pada pasien COVID-19. Penelitian ini berbentuk literature review dengan pencarian data menggunakan tiga database yaitu PubMed, Science Direct, dan RSNA. Kata kunci yang digunakan adalah COVID-19 AND chest CT AND clinical manifestations. Setelah diseleksi berdasarkan kriteria inklusi dan eksklusi, didapatkan 11 literatur terdiri dari 10 retrospective study dan 1 retrospective case series report. Ground glass opacity bilateral, multilobus, terdistribusi di perifer, dan terjadi di lobus bawah paru merupakan gambaran abnormal yang umum didapat pada pasien COVID-19. Pada kasus berat-kritis COVID-19, gambaran konsolidasi, lesi yang terdistribusi sentral dan perifer, dan terjadi di seluruh lobus paru secara signifikan lebih sering terjadi daripada kasus moderat COVID-19. Selain itu, total severity score dan total volume lesi meningkat seiring dengan meningkatnya keparahan suatu kasus COVID-19. Terdapat hubungan yang signifikan antara gambaran CT toraks dengan manifestasi klinis berdasarkan jumlah lobus, distribusi, adanya konsolidasi, total severity score, dan volume lesi.Kata Kunci: coronavirus disease 2019, toraks, computed tomography
Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Nefrolitiasis di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 hingga Juli 2023 Tombokan, Natalie G. E.; Rondo, Alfa G. E. Y.; Simanjuntak, Martin L.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53393

Abstract

Abstract: Globally, chronic kidney disease (CKD) prevalence and mortality rate has increased in the past 27 years. One of the intrinsic etiologies of CKD is nephrolithiasis, making renal ultrasonography important for diagnosis. This study aimed to investigate the overview of renal ultrasonography in CKD patients with nephrolithiasis at Prof. Dr. R. D. Kandou Hospital. This was a retrospective and descriptive study with a cross-sectional design using secondary data in the form of medical records of CKD patients with nephrolithiasis who were performed renal ultrasonography at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023 with the total sampling method. The results showed that from 76 patients analyzed, the predominance was found in 56-65 years old (36.8%), male (69.7%), 3rd severity grade of CKD (72.4%), and patients who did not undergo routine hemodialysis (61.8%). Most renal ultrasonography characteristics were normal size (61.8%), increased parenchymal echogenicity (84.2%), thinned cortex (52.6%), blurred corticomedullary echogenicity differentiation (77.6%), normal pelviocalyceal system (78.3%), and there were stones (62.5%) <1 cm in size (35.5%) in the medius pole of the right kidney (30.3%) and the inferior pole of the left kidney (40.8%). In conclusion, CKD patients with nephrolithiasis were predominantly aged 56-65 years, male, classified as 3rd severity grade of CKD, and did not undergo routine hemodialysis. Keywords: chronic kidney disease; nephrolithiasis; renal ultrasonography   Abstrak: Secara global, prevalensi penyakit ginjal kronis (PGK) dan angka kematian meningkat dalam kurun waktu 27 tahun terakhir. Salah satu etiologi intrinsik PGK ialah nefrolitiasis. Pemeriksaan ultrasonografi (USG) ginjal penting dilakukan untuk mendiagnosis penyakit ini. Penelitian ini bertujuan untuk mengetahui gambaran USG ginjal pada penderita PGK dengan nefrolitiasis di RSUP Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif retrospektif dengan desain potong lintang menggunakan data sekunder berupa rekam medis pasien PGK dengan nefrolitiasis yang melakukan pemeriksaan USG ginjal di RSUP Prof. Dr. R. D. Kandou pada Juli 2022 hingga Juli 2023 dengan metode total sampling. Hasil penelitian mendapatkan 76 pasien PGK sebagai sampel yang didominasi kelompok usia 56−65 tahun (36,8%), jenis kelamin laki-laki (69,7%), pasien yang tidak menjalani hemodialisis rutin (61,8%), dan derajat keparahan 3 (72,4%). Gambaran USG ginjal didominasi oleh ukuran normal (61,8%), ekogenisitas parenkim meningkat (84,2%), korteks menipis (52,6%), batas ekogenisitas kortikomedular mengabur (77,6%), sistem pelviokalises normal (78,3%), dan terdapat batu (62,5%) berukuran <1 cm (35,5%) di pole medius pada ginjal kanan (30,3%) dan pole inferior pada ginjal kiri (40,8%). Simpulan penelitian ini adalah penderita PGK dengan nefrolitiasis didominasi oleh kelompok usia 56−65 tahun, laki-laki, derajat keparahan 3, dan tidak menjalani hemodialisis rutin. Kata kunci: nefrolitiasis; penyakit ginjal kronis; ultrasonografi ginjal
Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Diabetes Melitus di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 hingga Juli 2023 Bolong, Wiwi; Timban, Joan F. J.; Rondo, Alfa G. E. Y.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.53483

Abstract

Abstract: Chronic kidney disease (CKD) occurs due to a long-lasting and irreversible decline in kidney function. This disease has a close relationship with diabetes mellitus (DM). Diabetic patients tend to experience microvascular complications, namely diabetic nephropathy which is the main cause of CKD. This study aimed to obtain the description of renal ultrasound in CKD patients with DM at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023. This was a descriptive and retrospective study with a cross sectional design using proportional random sampling. The results obtained 68 samples of CKD patients with DM, dominated by females (57.4%), age group >65 years (32.4%), and had hemodialysis treatment (54.4%). The majority of CKD patients with DM were at level 2 severity based on the results of kidney ultrasound examination, where many had normal kidney size, increased parenchymal echogenicity, normal cortex thickness, clear echo cortex and medulla boundaries, normal pelvicalyceal system, and cysts as well as stones. In conclusion, the majority of chronic kidney disease patients with diabetes mellitus are females, aged over 65 years, have hemodialysis treatment, and are at level 2 severity. Keywords: renal ultrasound; chronic kidney disease; diabetes mellitus    Abstrak: Penyakit ginjal kronis (PGK) terjadi karena penurunan fungsi ginjal yang berlangsung lama dan bersifat ireversibel. Penyakit ginjal kronis memiliki hubungan erat dengan diabetes melitus (DM). Penyandang DM akan mengalami komplikasi mikrovaskular yaitu nefropati diabetik yang menjadi penyebab utama terjadinya PGK. Penelitian ini bertujuan untuk mengetahui gambaran ultrasonografi ginjal pada penderita PGK dengan DM di RSUP Prof. Dr. R. D. Kandou periode Juli 2022 hingga Juli 2023. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang dengan menggunakan teknik proportional random sampling. Hasil penelitian mendapatkan 68 sampel penderita PGK dengan DM, didominasi oleh jenis kelamin perempuan (57,4%), usia >65 tahun (32,4%), dan melakukan perawatan hemodialisis (54,4%). Mayoritas penderita PGK dengan DM berada pada derajat keparahan tingkat 2 berdasarkan hasil pemeriksaan USG ginjal, dimana banyak ditemukan ukuran ginjal normal, ekogenisitas parenkim meningkat, ketebalan korteks normal, batas echo korteks dan medula jelas, sistem pelvicalyceal normal, terdapat kista dan batu. Simpulan penelitian ini ialah mayoritas penderita penyakit ginjal kronis dengan diabetes melitus mayoritas ialah perempuan, kelompok usia >65 tahun, melakukan perawatan hemodialisis, dan berada pada derajat keparahan tingkat 2. Kata kunci: ultrasonografi ginjal; penyakit ginjal kronis; diabetes melitus
Co-Authors Bolong, Wiwi Joan F. J. Timban Malaru, Claudia R. E. Martin L. Simanjuntak, Martin L. Paat, Lydia Tombokan, Natalie G. E. Vonny N. Tubagus Wagiu, Christilia G. Wilyo, Ryan D. Yovana P. M. Mamesah