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All Journal Global Medical and Health Communication Journal Of Vocational Health Studies Jurnal Vokasi Indonesia Care : Jurnal Ilmiah Ilmu Kesehatan JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Majalah Biomorfologi (Biomorphology Journal) Indian Journal of Forensic Medicine & Toxicology Jurnal Vokasi Indonesia
Paulus Rahardjo, Paulus
Department Of Radiology, Faculty Of Medicine, Universitas Airlangga, Surabaya - Indonesia
Arts Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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EVALUASI SUDUT TIBIOFEMORAL DAN JARAK INTERMALLEOLAR ATAU INTERKONDILAR PADA POPULASI DEWASA MUDA: SEBUAH STUDI PENDAHULUAN Julius Albert Sugianto; Tri Wahyu Martanto; Paulus Rahardjo
Majalah Kedokteran Indonesia Vol 68 No 10 (2018): Journal of The Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v68i10.213

Abstract

Latar Belakang: Pengukuran sudut Tibiofemoral (TF) dan jarak Intermaleolar/Interkondilar (IM/IC) secara klinis merupakan cara yang cepat, murah, simpel, reliabel, dan bebas radiasi untuk melakukan skrining genu varum atau valgum patologis. Sudut TF dan jarak IM/IC normal berbeda antar negara. Sedangkan penelitian mengenai sudut TF dan jarak IM/IC normal di Indonesia belum pernah dilaporkan sebelumnya. Tujuan: Mengetahui rata-rata sudut TF dan jarak IM/IC pada mahasiswa pendidikan dokter di Fakultas Kedokteran Universitas Airlangga angkatan 2013.Metode: Penelitian ini menggunakan metode deskriptif epidemiologis. Data yang digunakan diambil langsung dari sampel.Hasil: Peneliti mengukur 168 mahasiswa yang memenuhi kriteria inklusi. 65% dari sampel berumur 20 tahun dan 61% dari sampel adalah wanita. Diantara seluruh sampel, 64% memiliki BMI yang normal. Underweight sebanyak 11% dan total overweight dan obese adalah 26%. Rata-rata BMI adalah 22,9 ± 4,1. Rata-rata sudut TF adalah -7,50o ± 3,350o valgum sedangkan rata-rata jarak IM/IC adalah -4,4 ± 33,09 mm intermaleolar. Sudut TF lebih valgus dan jarak IM/IC lebih varus dengan sedikit perbedaan dibandingkan studi sebelumnya.Kesimpulan: Dari studi ini, peneliti menyimpulkan bahwa diantara pendidikan dokter di Fakultas Kedokteran Universitas Airlangga angkatan 2013, sudut TF dan jarak IM/IC memiliki perbedaan yang sedikit dibanding studi sebelumnya dengan dominasi memiliki genu valgus.  
Comparison of Stability And Sternum Healing Rate in Clinical and Ultrasonography (USG) between Stainless Steel Wire and Polydioxanone Yarn in Children Heart Surgery Operation Prima Kharisma Hayuningrat1, Heroe Soebroto1, Paulus Rahardjo2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i2.3207

Abstract

Background: The closing of the sternum bone is often used today by using stainless steel wire material and Polydioxanone yarn continuous suture. To objectives to be achieved for sternal healing after heart surgery without complications resulting from the failure of sternal healing. The bone healing process itself is influenced by mechanical stress and movement. Objectives: To compare the effects of sternum closure techniques on surgical patients The heart of the child uses Polydioxanone and Stainless Steel Wire threads against clinical stability and rate of healing which are evaluated clinically and Ultrasonography. Methods: Performed sternal closure of pediatric patients after cardiac surgery with sternal wire (n = 8) and PDS (n = 8). Performed sternal pain and stability evaluation with the physical examination. Further sternum ultrasonographyund was performed to assess displacement, gap and callus picture. Evaluations were performed at weeks 6, 9 and 12 postoperatively. Results: Week 6 and 9 degrees of pain were higher in sternal wire compared with polydioxanone (p = 0.03 and p = 0.01). The 12th week of sternal wire and polydioxanone did not find any difference in pain (p = 1,000). Week 6, 9 and 12 there was no clinical stability difference between wire and PDS (p = 0.143, p = 0.264, p = 0.063). 9th, 9th and 12th Sternum ultrasonography of examination appears to be displacement in polydioxanone (p = 0.025, p = 0.009, p = 0.009). The gap increased significantly from 6th to 9th weeks in the polydioxanone group, while the addition at week 9 to 12 was statistically insignificant but it appears that polydioxanone had a wider gap addition range than the sternal wire. Week 9 and 12 callus were seen more often in sternal wire patients but not significant (P = 0.602, p = 0.333) Conclusion: Clinically, sternal steal wire stability is proportional to polydioxanone. Radiologically, the stability of sternal wire is better than polydioxanone. The rate of sternal cure in polydioxanone is proportional to the sternal wire.
The Role of Chemical Shift Magnetic Resonance Imaging (SCMRI) to Differentiate Benign and Malignant Vertebral Lesions Yushaniaty Tottong; Rosy Setiawati; Paulus Rahardjo
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.16008

Abstract

Profile of Clinical and Radiological Factors of Intracerebral Hemorrhage Stroke Patients in Dr. Soetomo Hospital Farizal Rizky Muharram; Asra Al Fauzi; Paulus Rahardjo; Pudji Lestari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 1 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (544.936 KB) | DOI: 10.20473/juxta.V10I12019.15-19

Abstract

Introduction: ICH (intracerebral hemorrhage) is a medical emergency with high mortality and morbidity that occurs in 15-20% of stroke cases. However, in the Multicenter Surgical Trial in Lobar ICH (STICH) study no benefit was found from the initial operative handler in Lobar ICH patients. Many clinical and radiological factors that affect outcomes of patients.Methods: The design of this study was a cross-sectional study. Clinical and radiological factors were analyzed by chi-square test and Kruskal-Wallis test. Then significant results were sought Relative RiskResults: This research was conducted from January 2017 to September 2018 starting from sampling to processing data. Sampling was carried out at the medical record center of Dr. Hospital. Soetomo Surabaya. Data collection is done by using secondary data in the form of patient medical records. All of the collected intracerebral hemorrhage patients were 302 and the total patients who met the inclusion and exclusion criteria were included in the study as the study subjects. Patients who met the criteria obtained 247 research subjects.Conclusion: There are several factors that influence the outcome of ICH stroke patients. Radiological factors and clinical factors both have an impact on outcomes. Further research is needed to find out which factors can be a diagnosis for choosing treatments that provide better outcomes. Statistically more than 1 variable is needed to determine an action that results in a more significant outcome of living patients. This shows that the choice of treatment for patients with different characteristics requires different treatments. Further analysis is needed to look for indications of the use of Operative or Conservative actions16.
Erect Position as the Alternative Technique in Achilles Tendon US: Comparison with Prone Position Lailatul Muqmiroh; Safinah Fajarini Yusfadhiyah; Paulus Rahardjo
Jurnal Vokasi Indonesia Vol 6, No 1 (2018): January - June
Publisher : Program Pendidikan Vokasi Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.249 KB) | DOI: 10.7454/jvi.v6i1.111

Abstract

Background : Ultrasonography (US) is the cheaper and non invasive modality to determine Achilles tendon. Prone position is the standart position of Achilles tendon US. However, it is a discomfort for an uncooperative patient and a difficult technique too. The erect position is an alternative technique of Achilles tendon US. The goal of this study is to compare the erection as an alternative position with prone as a standart position.Material and Methode: The patient who had an injury or any inflamation process of Achilles tendon were excluded. The patient underwent two positions of Achilles tendon US, 900 and dorsoflexi. Longitudinal axis measured tendon thickness and a transversal axis which covered a cross-sectional area of the tendon.Result: From all the 21 patients coming, 13 patients were males (61,9%), and eight patients were females (38,1%). The mean of tendon thickness and cross-sectional area in 900 prone positions were 4,24±0,24 mm, 30,08±2,86 mm, respectively. The mean of tendon thickness and cross-sectional area in 900 erect positions were 4,27±0,23 mm, 31,36±2,19 mm, respectively. There was no anisotropy effect during longitudinal axis examination. Conclusion: We found that there were no significant differences between a prone and erect position (p<0.05). The erect postion could be an alternative position, uncooperative patient in particular, without reducing the diagnostic value. Keywords: Achilles tendon the US, erect position, prone position, tendon thickness, cross-sectional area
Evaluasi Sudut Tibiofemoral dan Jarak Intermalleolar atau Interkondilar Pada Populasi Dewasa Muda: Sebuah Studi Pendahuluan Julius Albert Sugianto; Tri Wahyu Martanto; Paulus Rahardjo
Majalah Kedokteran Indonesia Vol 68 No 10 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.10-2018-213

Abstract

Introduction: Clinical measurement of Tibiofemoral (TF) angle and Intermalleolar/Intercondylar (IM/IC) distance are quick, low cost, reliable, and radiation-free way to screen for pathological genu varus/valgum. TF Angle and IM/IC distance varied between countries and races. Meanwhile, research regarding normal TF Angle and IM/IC distance in Indonesia has not been reported before.Aim: To find the average TF angle and IM/IC distance on medical students of Medical Faculty of Airlangga University batch 2013.Methods: Descriptive epidemiologic study were conducted. The data is collected by direct measurement on the sample.Results: We measured 168 students which fulfilled the inclusion criteria. 65% of the samples were 20 years old and 61% of the samples were females. Amongst the samples, 64% had normal BMI, 11% were underweight, and 26% were overweight and obese. Average BMI is 22,9 ± 4,1. The average TF angle were -7,50 ± 3,350 valgum while the average IM/IC distance were -4,4 ± 33,09 mm intermalleolar. Compared to previous studies, there is slight differences in TF angle and IM/IC distance but were comparable.Conclusion: Amongst medical students of Faculty of Medicine Airlangga University, the TF angle and IM/IC distance were comparable to other studies and mostly had valgus angle.
Erect Position as the Alternative Technique in Achilles Tendon US:Comparison with Prone Position Muqmiroh, Lailatul; Yusfadhiyah, Safinah Fajarini; Rahardjo, Paulus
Jurnal Vokasi Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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

Abstract

Ultrasonography (US) is the cheaper and non invasive modality to determine Achilles tendon. Prone position is the standart position of Achilles tendon US. However, it is a discomfort for an uncooperative patient and a difficult technique too. The erect position is an alternative technique of Achilles tendon US. The goal of this study is to compare the erection as an alternative position with prone as a standart position. Material and Methode: The patient who had an injury or any inflamation process of Achilles tendon were excluded. The patient underwent two positions of Achilles tendon US, 900 and dorsoflexi. Longitudinal axis measured tendon thickness and a transversal axis which covered a cross-sectional area of the tendon. Result: From all the 21 patients coming, 13 patients were males (61,9%), and eight patients were females (38,1%). The mean of tendon thickness and cross-sectional area in 900 prone positions were 4,24±0,24 mm, 30,08±2,86 mm, respectively. The mean of tendon thickness and cross-sectional area in 900 erect positions were 4,27±0,23 mm, 31,36±2,19 mm, respectively. There was no anisotropy effect during longitudinal axis examination. Conclusion: We found that there were no significant differences between a prone and erect position (p<0.05). The erect postion could be an alternative position, uncooperative patient in particular, without reducing the diagnostic value.
DIFFERENTIATION OF SPINAL TUBERCULOSIS AND METASTATIC SPINAL TUMOR USING MRI FEATURE: A SYSTEMATIC REVIEW Justicia Izza Tsuroya; Muhammad Faris; Paulus Rahardjo
Majalah Biomorfologi Vol. 33 No. 1 (2023): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v33i1.2023.44-51

Abstract

Highlights1. Lesions that are regularly diagnosed in the spine include TB of the spine and tumors that have spread throughout the body.2. The examined papers included 35 individuals with tuberculous spondylitis and 31 patients with metastatic spinal malignancies.3. A methodology for MRI imaging and an accurate medical history will aid in establishing an accurate diagnosis. AbstractBackground: Spinal tuberculosis and metastatic tumors are commonly diagnosed lesions in the spine. Tuberculosis spondylitis, also known as Pott's Disease, is the most common extrapulmonary tuberculosis disease. MRI is the gold standard for early diagnosis because there is no significant difference in the results of clinical manifestations and histopathological examination. A biopsy will usually be used for a final exam for diagnosis. Objective: To provide information to confirm the diagnosis of TB spondylitis cases and metastatic spinal tumors. Method: A literature search was conducted via PubMed, Science Direct, and Scopus by selecting studies according to inclusion and exclusion criteria. The quality and risk of bias assessments were performed using Joanna Briggs Institute (JBI) tools. Overall, 35 spinal tuberculosis and 31 metastatic spinal tumor patients from 2 studies were reviewed. Result: Of the 35 patients with tuberculous spondylitis and 31 patients with metastatic spinal tumors from the two studies reviewed. It was found that the thorax was the most common region. The following imaging findings were of statistical significance (p<0.05): skip lesion, solitary lesion, intraspinal lesion, concentric collapse, abscess formation (paraspinal, intraosseous, and epidural lesions), and syrinx formation. Conclusion: An MRI imaging protocol and correct medical history will help establish an accurate diagnosis. Skip lesions, abscesses, and modular lesion margins are considered for diagnosis.
COMPARISON OF NUMBER OF DIFFUSION GRADIENT DIRECTION IN BRAIN IMAGING DIFFUSION TENSOR; CASE STUDY OF TUMOR BRAIN Rofiky, Afif; Rahardjo, Paulus; Soeharmanto, Didik
Journal of Vocational Health Studies Vol. 1 No. 1 (2017): July 2017 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V1.I1.2017.15-17

Abstract

Background: Diffusion Tensor Imaging (DTI), namely MRI sequence which is the diffusion of water analysis that shows the complex structure of brain tissue. The weakness of this sequence is scanning time. Number of Diffusion Gradient Direction (NDGD) is one of parameter that effect scanning time. Purpose: This study has aim to compare between NDGD 25 and NDGD 15 in brain tumor. Method: This study used observational analytic study with prospective approach. Five patients were examined using DTI sequence with NDGD 25 and NDGD 15. The parameter for evaluating the quality image is of Fractional Anisotropy (FA) and Fiber Tracking (FT). Result: Image with NDGD 25 was better than NDGD 15, but the difference was not significantly. Conclusion: It can be concluded that NDGD 15 can be solution to get informative image with short scan time when DTI sequence is used to examine brain tumor.
ANALYSIS OF ASIR VARIATION EFFECT TO SNR ON UNENHANCED ABDOMINAL CT SCAN IN UROLITHIASIS Pratama Putra, Rizki Aditiya; Rahardjo, Paulus; Pramono, Pramono
Journal of Vocational Health Studies Vol. 4 No. 2 (2020): November 2020 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V4.I2.2020.78-82

Abstract

Background: Adaptive Statistical Iterative Reconstruction (ASIR) reconstruction in unenhanced abdominal CT scan reduce the radiation dose from 11.6 mSv to 2.07 mSv. However, the decrease in dose is accompanied by a decrease in image quality. Signal to Noise Ratio (SNR) is one of image quality parameters. Purpose: This study aims to determine the effect of the ASIR method on the optimal Signal to Noise Ratio (SNR) value in unenhanced abdominal CT of urolithiasis in clinical data. Method: 27 samples collected and the SNR was measured on the ASIR reconstruction results at the level of 40%, 50%, 60% by placing the ROI  in organ structures with different densities. Result: The results of this study indicate that the ASIR method has a significant effect on the SNR value. Based on the linear regression test, the value was 0.005 ( p< 0.05) and only had an effect of 9.5% on SNR. Conclusion: It can be concluded that the ASIR method affects the optimal SNR value for unenhanced abdominal CT on urolithiasis. The ASIR 60% level was recommended.
Co-Authors Afif Rofiky, Afif Artono Artono, Artono Asra Al Fauzi Atmaja, M Hidayat Surya Didik Soeharmanto, Didik Farizal Rizky Muharram Ferriastuti, Widiana Julius Albert Sugianto Julius Albert Sugianto Justicia Izza Tsuroya Margiana, Ria Martanto, Tri Wahyu Muhammad Faris Muqmiroh, Lailatul Ni'ami, Muhamad Aufa Pramono Pramono Pratama Putra, Rizki Aditiya Pratama, Andi Ahmad Thoriq Pudji Lestari Rifdah, Salsabila Nabilah Safinah Fajarini Yusfadhiyah Setiawati, Rosy Supardi, Petrus Yusfadhiyah, Safinah Fajarini Yushaniaty Tottong