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Journal : Buletin Kedokteran dan Kesehatan Prima

Laporan kasus: Karsinoma sel skuamosa paru dengan temuan sitologi dan histopatologi Lina, Juliana; Fadillah, Qori; Nadapdap, Marshall Jeremia; Mukti, Ade Indra; Novita, Cut Elvira
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 1 (2024): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i1.5564

Abstract

Kanker paru-paru sel skuamosa merupakan tantangan klinis yang signifikan dengan prognosis yang buruk. Laporan kasus ini menyajikan seorang pasien dengan gejala khas kanker paru-paru sel skuamosa. Hasil histopatologi mendukung temuan sitologi yakni tampak sebaran dan kelompokan sel epitel skuamous yang atipik dan pleomorfik, inti sel bentuk bulat dan oval, N/C ratio meningkat, kromatin kasar dengan anak inti menonjol, sitoplasma minimal dan eosinofilik. Untuk diagnosa yang lebih pasti dibutuhkan pemeriksaan imunohistokimia p40, p63, CK7, CK5/6 untuk prognosis dan terapi. Namun, sampel jaringan yang sangat sedikit dan tidak cukup untuk prosesing di laboratorium berikutnya, sehingga membutuhkan waktu yang lebih lama untuk tindakan berikutnya pada pasien. Kasus ini menyoroti pentingnya deteksi dini dan penatalaksanaan yang tepat untuk meningkatkan prognosis pasien. Laporan kasus ini memberikan wawasan berharga tentang karakteristik klinis dan tantangan dalam pengelolaan kanker paru-paru sel skuamosa.
Profile of urinary tract infections in the Urology Polyclinic of Imelda Pekerja Indonesia General Hospital Matondang, Lasma Ani Giot Marito; Ade Indra Mukti; Edlin, Edlin
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5807

Abstract

Urinary tract infection (UTI) is one of the most common infectious diseases in the world, affecting 150 million people every year.The purpose of this study was to determine the profile of urinary tract infection patients in the urology polyclinic at Imelda Pekerja Indonesia General Hospital.The type of research used in this study was observational analytic with a cross sectional study design. In this study, the population and sample included patients who experienced UTI infection at Imelda Pekerja Indonesia General Hospital. Univariate and bivariate analyses were performed. The results showed that sex was a significant risk factor for UTI. High-risk female gender can increase risk of UTI 4.442 times. Age was not a significant risk factor for UTI. Occupation was not a significant risk factor for UTI. A history of DM was not a significant risk factor for UTI. High-risk patients with a history of DM can increase risk of UTI 1.462 times, this risk was not statistically significant. A history of BSK is a significant risk factor for UTI. High-risk patients with a history of UTI can increase risk of UTI 4.929 times, this risk is statistically significant. Sex and a history of BSK were significant risk factors for UTI. Age, occupation, and history of DM were not significant risk factors for UTI.
Common injuries among Brazilian Jiu Jitsu practitioners in Medan City Lazuardi, Maulana Umar; Edlin, Edlin; Mukti, Ade Indra
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5727

Abstract

Brazilian Jiu Jitsu (BJJ) is a martial art that focuses on floor fighting and was first popularized in Brazil. The BJJ originally focused on entertainment, health, and self-development. These goals changed when practitioners began participating in competitions in which there was a significant increase in the number of BJJ injuries. A pre-survey in the field indicated that many jiu jitsu practitioners were affected by common injuries. The type of research in this study is a descriptive survey with a cross-sectional approach conducted at Ryu Dojo Martial Arts Center, Musi Jiu Jitsu, and PBJI Medan City in March 2024. Data were collected in the form of questionnaires, interviews, and medical records of practitioners diagnosed with injuries who were sampled. Univariate analysis was used to obtain the frequency distribution of respondents for each variable, namely age, gender, belt level, weight, training frequency, and competitor status. The results of the study were analyzed using SPSS version 27.0. The results showed that the highest number of practitioners was in the late teenage group (53.8%), the highest gender was male (92.3%), and the highest number of practitioners was white belt (69.2%). Based on body weight, the highest number of practitioners was in the Light Feather category (< 64 kg/141 lbs) with a percentage of 26.9%, and the most training hours were 3-5 hours 16 (30.8%). Lower Back Pain was the most common injury with a total of 25 practitioners. A total of 75% of the practitioners stated that their daily activities were disrupted because of their injuries. It can be concluded that the majority of BJJ participants were in their late teens, male was the most common gender, and white belts were the most common practitioners. The most common injury was lower back pain due to the amateur competitor status. Most respondents stated that their injuries interfered with their daily activities.
Laporan kasus: Karsinoma sel skuamosa paru dengan temuan sitologi dan histopatologi Lina, Juliana; Fadillah, Qori; Nadapdap, Marshall Jeremia; Mukti, Ade Indra; Novita, Cut Elvira
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 1 (2024): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i1.5564

Abstract

Kanker paru-paru sel skuamosa merupakan tantangan klinis yang signifikan dengan prognosis yang buruk. Laporan kasus ini menyajikan seorang pasien dengan gejala khas kanker paru-paru sel skuamosa. Hasil histopatologi mendukung temuan sitologi yakni tampak sebaran dan kelompokan sel epitel skuamous yang atipik dan pleomorfik, inti sel bentuk bulat dan oval, N/C ratio meningkat, kromatin kasar dengan anak inti menonjol, sitoplasma minimal dan eosinofilik. Untuk diagnosa yang lebih pasti dibutuhkan pemeriksaan imunohistokimia p40, p63, CK7, CK5/6 untuk prognosis dan terapi. Namun, sampel jaringan yang sangat sedikit dan tidak cukup untuk prosesing di laboratorium berikutnya, sehingga membutuhkan waktu yang lebih lama untuk tindakan berikutnya pada pasien. Kasus ini menyoroti pentingnya deteksi dini dan penatalaksanaan yang tepat untuk meningkatkan prognosis pasien. Laporan kasus ini memberikan wawasan berharga tentang karakteristik klinis dan tantangan dalam pengelolaan kanker paru-paru sel skuamosa.
Common injuries among Brazilian Jiu Jitsu practitioners in Medan City Lazuardi, Maulana Umar; Edlin, Edlin; Mukti, Ade Indra; Napitu, Sabar Hamonangan Victoranius; Setiawan, Deni
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5727

Abstract

Brazilian Jiu Jitsu (BJJ) is a martial art that focuses on floor fighting and was first popularized in Brazil. The BJJ originally focused on entertainment, health, and self-development. These goals changed when practitioners began participating in competitions in which there was a significant increase in the number of BJJ injuries. A pre-survey in the field indicated that many jiu jitsu practitioners were affected by common injuries. The type of research in this study is a descriptive survey with a cross-sectional approach conducted at Ryu Dojo Martial Arts Center, Musi Jiu Jitsu, and PBJI Medan City in March 2024. Data were collected in the form of questionnaires, interviews, and medical records of practitioners diagnosed with injuries who were sampled. Univariate analysis was used to obtain the frequency distribution of respondents for each variable, namely age, gender, belt level, weight, training frequency, and competitor status. The results of the study were analyzed using SPSS version 27.0. The results showed that the highest number of practitioners was in the late teenage group (53.8%), the highest gender was male (92.3%), and the highest number of practitioners was white belt (69.2%). Based on body weight, the highest number of practitioners was in the Light Feather category (< 64 kg/141 lbs) with a percentage of 26.9%, and the most training hours were 3-5 hours 16 (30.8%). Lower Back Pain was the most common injury with a total of 25 practitioners. A total of 75% of the practitioners stated that their daily activities were disrupted because of their injuries. It can be concluded that the majority of BJJ participants were in their late teens, male was the most common gender, and white belts were the most common practitioners. The most common injury was lower back pain due to the amateur competitor status. Most respondents stated that their injuries interfered with their daily activities.
Profile of urinary tract infections in the Urology Polyclinic of Imelda Pekerja Indonesia General Hospital Matondang, Lasma Ani Giot Marito; Ade Indra Mukti; Edlin, Edlin
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5807

Abstract

Urinary tract infection (UTI) is one of the most common infectious diseases in the world, affecting 150 million people every year.The purpose of this study was to determine the profile of urinary tract infection patients in the urology polyclinic at Imelda Pekerja Indonesia General Hospital.The type of research used in this study was observational analytic with a cross sectional study design. In this study, the population and sample included patients who experienced UTI infection at Imelda Pekerja Indonesia General Hospital. Univariate and bivariate analyses were performed. The results showed that sex was a significant risk factor for UTI. High-risk female gender can increase risk of UTI 4.442 times. Age was not a significant risk factor for UTI. Occupation was not a significant risk factor for UTI. A history of DM was not a significant risk factor for UTI. High-risk patients with a history of DM can increase risk of UTI 1.462 times, this risk was not statistically significant. A history of BSK is a significant risk factor for UTI. High-risk patients with a history of UTI can increase risk of UTI 4.929 times, this risk is statistically significant. Sex and a history of BSK were significant risk factors for UTI. Age, occupation, and history of DM were not significant risk factors for UTI.
Factors associated with dietary adherence among patients with type 2 diabetes mellitus at Royal Prima General Hospital Turnip, Modesto Lam Ulido Putra; Girsang, Ermi; Mukti, Ade Indra
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7691

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a significant health issue in Indonesia, where management relies heavily on patient dietary adherence. However, adherence levels are often suboptimal. This study aimed to identify the factors associated with dietary adherence among T2DM patients at a major hospital in Medan, Indonesia. Methods: This cross-sectional study was conducted in December 2024 at Royal Prima General Hospital, involving 64 T2DM patients selected through total sampling. Data on demographic characteristics, knowledge, family support, and healthcare provider (HCP) support were collected via structured questionnaires. Dietary adherence was the dependent variable. Data were analyzed using chi-square tests and multivariate logistic regression. Results: A slight majority of patients (53.1%) were adherent to their diet. Multivariate analysis identified age as the most dominant predictor, with patients aged ≥45 years being 18.9 times more likely to be adherent than younger patients (AOR = 18.935, p=0.004). Male gender was also a significant predictor of higher adherence (AOR = 7.652, p=0.01). Paradoxically, good knowledge (AOR = 0.161) and HCP support (AOR = 0.109) were significantly associated with lower odds of adherence. Education and employment status showed no significant association. Conclusion: Age is the most critical factor influencing dietary adherence among T2DM patients in this cohort, with older individuals demonstrating significantly better compliance. Interventions should specifically target younger patients and women, who are at higher risk for non-adherence.