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Characteristics of Nonunion Fractures in Patients with Antebrachial Fractures at dr. Mohamad Soewandhie General Hospital Surabaya 2021-2022: A Retrospective Study Monica, Tasya; Sasono, Bimo; Sekarputri, Cempaka Harsa
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v13i1.2024.17-23

Abstract

Background: Nonunion, a complication of fracture healing, can lead to patient morbidity. Contributing factors include age, gender, fracture type, multiple fractures, infection, prolonged nonsteroidal anti-inflammatory drug (NSAID) use, smoking, nutritional status, and history of chronic disease. This study aims to determine the prevalence and characteristics of nonunion antebrachial fractures at dr. Mohamad Soewandhie General Hospital Surabaya. Methods: This retrospective descriptive study involved 111 patients. Data was gathered from medical records treated at dr. Mohamad Soewandhie General Hospital Surabaya for antebrachial fracture during 2021-2022. The study protocol obtained approvals from two local ethical committees. Data included demographics, fracture characteristics, fracture type, multiple fractures, infection, NSAID use, hypertension and diabetes history, smoking habits, and nutritional status by BMI calculation. Results: This study found a 24.3% prevalence of antebrachial nonunion fractures at dr. Mohamad Soewandhie General Hospital Surabaya in 2021-2022, mostly in males (66.7%) aged 17-25 years (22.2%). Nonunion in antebrachial fractures is marked by high rates in closed (92.6%) and single fractures (92.6%). Notably, infections (22.2%), smoking (7.4%), and hypertension history (7.4%) are common contributors. Despite ideal BMI in many cases (44.4%), nonunion still occurred. Conclusions: The study conducted at Dr. Mohamad Soewandhie General Hospital in Surabaya revealed a high prevalence of antebrachial nonunion fractures at 24.3%, particularly among young males. It was found that closed, single fractures were the most common type, with infections, smoking, and a history of hypertension being significant contributing factors. Interestingly, even individuals with an ideal BMI were still at risk for nonunion.
Gambaran Status Nutrisi pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di Kota Surabaya: Description of Nutritional Status in Patients with Chronic Kidney Diseasepatients Undergoing Hemodialysis in the City of Surabaya Laurensia Budi, Stephanie; Setyawan, Yuswanto; Harsa Sekarputri, Cempaka
Jurnal Surya Medika (JSM) Vol. 10 No. 3 (2024): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v10i3.6113

Abstract

Penyakit ginjal kronik adalah penurunan bertahap fungsi ginjal, dimana terjadi kerusakan atau laju filtrasi glomerulus (LFG) di bawah 60 mL/menit selama minimal 3 bulan, menyebabkan ketidakmampuan tubuh untuk menjaga keseimbangan elektrolit dan cairan. Kasus gagal ginjal yang telah mencapai kategori stadium akhir serta ginjal yang tidak berfungsi, memerlukan hemodialisis untuk mengeluarkan zat racun yang ada di dalam tubuh. Akan tetapi, selain bisa membuang zat berbahaya dan cairan yang berlebih, hemodialisis juga bisa menghilangkan nutrisi yang sangat masih dibutuhkan oleh tubuh, layaknya glukosa, protein, serta juga vitamin larut air, dan mineral. Tujuan: Mengetahui gambaran dari status nutrisi yang ada pada pasien penyakit ginjal kronik yang sudah menjalani terapi hemodialisis di kota Surabaya. Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan menggunakan metode cross sectional. Penelitian ini dilakukan melalui wawancara menggunakan kuisioner Dialysis Malnutrition Score serta dilakukan pengukuran antropometri pada pasien penyakit ginjal kronik yang menjalani hemodialisis di kota Surabaya. Hasil: pasien penyakit ginjal kronik yang menjalani hemodialisis di kota Surabaya mengalami malnutrisi tahap ringansedang sebanyak 65 orang (68%), sebagian besar memiliki indeks massa tubuh yang normal sebanyak 54 orang (56%), sebagian besar memiliki lingkar lengan atas yang normal sebanyak 60 orang (62%), dan Sebagian besar memiliki lingkar perut yang berlebihan sebanyak 45 orang (47%). Kesimpulan: Jumlah pasien gagal ginjal kronik yang menjalani hemodialisa di kota Surabaya sebagian besar mengalami penurunan status nutrisi pada tahap ringan-sedang dengan jumlah 65 orang atau sebesar 68% dari 96 total responden.
PENCEGAHAN KANKER SERVIKS MELALUI IMPLEMENTASI PROGRAM CIPUTRA PLUS : PAP SMEAR, PELATIHAN KADER DAN SOSIALISASI KANKER SERVIKS UNTUK AWAM BAGI 50 WANITA DI KELURAHAN MADE, KECAMATAN SAMBIKEREP, PROVINSI JAWA TIMUR Siahaan, Salmon; Harsa, Cempaka; Henderi, Hendera; Tjiptohardjo, Andianto; Priscilla, Patricia
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 4 (2024): Volume 5 No. 4 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i4.29820

Abstract

Data epidemiologi menunjukkan bahwa kanker leher rahim (serviks) adalah salah satu jenis kanker paling umum yang menyerang wanita, serta menjadi penyebab utama kematian kedua setelah kanker payudara. Di Indonesia, terdapat sekitar 180.000 kasus baru kanker serviks setiap tahun, menandai betapa seriusnya masalah ini. Deteksi dini melalui metode Pap smear telah terbukti menjadi cara efektif untuk menangani kanker serviks lebih awal, namun penerapannya masih menghadapi berbagai kendala, terutama di negara berkembang seperti Indonesia. Rendahnya tingkat kesadaran dan pengetahuan wanita tentang pentingnya pemeriksaan Pap smear, serta faktor sosial, ekonomi, dan pendidikan yang rendah, menjadi penghalang utama dalam upaya deteksi dini. Melalui penelitian ini, kami menyoroti pentingnya edukasi dan sosialisasi terkait kesehatan reproduksi dan deteksi dini kanker serviks menggunakan Pap smear. Upaya ini dilakukan dengan metode kolaboratif antara Pemerintah Kota Surabaya, Puskesmas Made, kader posyandu, peneliti, dan masyarakat, untuk meningkatkan kesadaran dan pengetahuan wanita tentang pentingnya deteksi dini kanker serviks. Diharapkan temuan dari penelitian ini dapat memberikan landasan yang kuat bagi program preventif yang lebih efektif dalam mengurangi angka kematian akibat kanker serviks di Indonesia, serta memperkuat peran Pap smear sebagai alat deteksi dini yang vital dalam penanganan kanker serviks.
The Impact of Conventional Cigarettes, Nicotine-containing, and Nicotine-free Electronic Cigarettes on Testicular Weight of Male Wistar Rats Silitonga, Hanna Tabita Hasianna; Rambung, Etha; Sekarputri, Cempaka Harsa; Nugraheni, Elizabeth Sulastri; Mellyanawati, Mellyanawati
Poltanesa Vol 25 No 1 (2024): June 2024
Publisher : P3KM Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v25i1.3042

Abstract

E-cigarettes are gaining increasing popularity worldwide. The World Health Organization (WHO) estimates that there are nearly one billion (984 million) smokers globally, accounting for approximately one-fifth of the adult population. The use of e-cigarettes in Southeast Asian countries has also seen a rise since 2015, although at a slower pace compared to high-income countries. Presently, Indonesia has the highest prevalence of e-cigarette use in Southeast Asia at 11.8%, while Thailand has the lowest prevalence at 3.3%. Testes play a crucial role in male reproductive function. Decreased testicular size can lead to disruptions in testicular function, resulting in infertility. Testicular size is significantly correlated with sperm density in both fertile and infertile men. The objective of this study is to investigate changes in testicular weight due to exposure to conventional cigarettes, nicotine-containing, and nicotine-free e-cigarettes. This experimental research utilizes a post-test control only design. The sample comprises 24 male Wistar rats divided into four groups: Group A (control), Group B (exposed to conventional cigarettes), Group C (exposed to nicotine e-cigarettes), and Group D (exposed to non-nicotine e-cigarettes). Exposure to cigarettes lasts for 30 days, after which the rats undergo surgery to remove their testes. The research findings indicate a decrease in testicular size due to exposure to conventional cigarettes, nicotine e-cigarettes, and non-nicotine e-cigarettes. There is no significant difference observed among the three types of exposure. In conclusion, conventional cigarettes, nicotine-containing, and nicotine-free e-cigarettes elicit similar effects in reducing testicular weight in male Wistar rats.
Kasus Toksoplasmosis Serebri Tak Terduga dengan Gambaran Radiologi yang Menyerupai Keganasan Sekarputri, Cempaka Harsa; Indiralia, Anisia; Roebijanti
Majalah Patologi Indonesia Vol. 31 No. 2, Mei 2022
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v31i2.503

Abstract

ABSTRACTToxoplasmosis was Toxoplasma Gondii infection. In HIV-infected patients, the prevalence of toxoplasma infectionranges was 3-97%. Diagnosis cerebral toxoplasmosis almost failed to recognized varians clinical and radiologicalfeatures on organism identifiied from brain biopsy which difficult to extract from alive patient. This case reportdiscussed cerebral toxoplasmosis of brain biopsy HIV positive patient which unknown status HIV patient, previously.A 52-year-old male patient came complained not only loss of apatit and dizzy two months ago, but also fainted.MSCT Scan with and without contrast showed right temporooccipital glioblastoma. Brain MRI showed a lesion on theright temporoparietal area with perifocal edema pressing on the right lateral ventricle. Microscopical feature showedglial tissue containing large areas of necrosis with karyorrhexis debris, PMN and mononuclear leucocyte infiltration,scaterred of tachyzoites and bradyzoites, no signs of malignancy. HIV serological examination was confirmed and thepatient's results were found to be anti-HIV reactive. Conclusion diagnosis as cerebral toxoplasmosis.
Hubungan Dukungan Sosial dengan Perilaku Pemberantasan Sarang Nyamuk (PSN) di Wilayah Kerja Puskesmas Sememi Rizkha, Yulia Nurlaela; Silitonga, Hanna Tabita Hasianna; Sekarputri, Cempaka Harsa; Adrianto, Hebert; Suryadarma, Antonius Yansen
Scientific Journal Vol. 5 No. 1 (2026): SCIENA Volume V No 1, January 2026
Publisher : CV. AKBAR PUTRA MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56260/sciena.v5i1.303

Abstract

- Latar Belakang: Demam Berdarah Dengue (DBD) masih menjadi masalah kesehatan masyarakat utama di Indonesia. Keberhasilan pengendalian vektor, khususnya melalui program Pemberantasan Sarang Nyamuk (PSN), sangat bergantung pada perilaku masyarakat yang dilakukan secara konsisten. Salah satu faktor eksternal yang berperan dalam membentuk dan mempertahankan perilaku PSN adalah dukungan sosial, yang dapat meningkatkan motivasi serta partisipasi kolektif masyarakat dalam upaya pencegahan DBD. Tujuan penelitian: Penelitian ini bertujuan untuk menganalisis hubungan antara dukungan sosial dengan perilaku PSN pada masyarakat di wilayah kerja Puskesmas Sememi, Surabaya. Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel penelitian berjumlah 60 responden yang dipilih menggunakan teknik simple random sampling. Data dikumpulkan menggunakan kuesioner terstandar dan tervalidasi untuk mengukur tingkat dukungan sosial dan perilaku PSN dan dihitung menggunakan. Analisis data dilakukan menggunakan uji chi-square dengan tingkat signifikansi p < 0,05. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki dukungan sosial yang baik (73,3%) dan perilaku PSN yang baik (81,7%). Uji statistik menunjukkan terdapat hubungan yang signifikan antara dukungan sosial dan perilaku PSN (p < 0,05). Kesimpulan: Dukungan sosial memiliki peran penting dalam meningkatkan dan mempertahankan perilaku PSN di masyarakat. Keterlibatan berkelanjutan dari keluarga, tokoh masyarakat, dan tenaga kesehatan diperlukan untuk memperkuat motivasi sosial dan mendorong tindakan kolektif dalam program pencegahan DBD.
Analisis Ekspresi BRAF dan TERT pada Kasus Papillary Thyroid Carcinoma Berdasarkan Stratifikasi Risiko ATA Cempaka Harsa Sekarputri,; Etty Hary Kusumastuti,; Gondo Mastutik
Majalah Patologi Indonesia Vol. 29 No. 3, September 2020
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v29i3.444

Abstract

BackgroundPapillary thyroid carcinoma (PTC) is the most common malignancy in thyroid, accounting for more than 80% of all thyroid cancer.Rrecurrences of the disease reach 30% cases. It has been widely observed that BRAF and TERT is associated with aggressivenessbehaviors in human cancer. Both are involved in the pathogenesis of PTC that may be used as targets for new therapies. AmericanThyroid Association (ATA) risk stratification can define the risk of recurrence in PTC. No marker has been found to determine therisk of PTC recurrence. The purpose of this study is to analyzed BRAF and TERT expression in ATA risk stratification system inPTC classic variant samples.MethodsThe methods of this study is an analytical observational study with cross sectional approach, conducted on 56 samples of PTCclassic variant selected from Department of Anatomical Pathology Dr. Soetomo General Hospital between January 2015-December2017 by determined criteria in ATA risk stratification groups of low risk, intermediate risk and high risk. The expression BRAF andTERT observed using immunohistochemical staining of Santa Cruz monoclonal antibody.ResultsThe result for each group based on ATA risk stratification groups of low risk were 13 samples (23.20%), intermediate risk were 25samples (44.62%) and high risk were 18 samples (32.12%).The correlation was assessed with Spearman’s rho correlation test. There is significant correlation BRAF (p=0.004) with a value ofr=0.374 and TERT(p=0.032) with a value of r=0.287 for ATA risk stratification.ConclusionBRAF and TERT expression showed significant correlation to ATA risk stratification in classic variant PTC.
Comparison of Oxford Knee Score in Knee Osteoarthritis Patients Before and After Total Knee Replacement at Dr. Mohamad Soewandhie Hospital Sharlene Joy Santosa; Bimo Sasono; Cempaka Harsa Sekarputri; Etha Rambung
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 2 (2025): October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i2.2025.64-71

Abstract

Background: One of the most common degenerative joint diseases is knee osteoarthritis. This condition leads to pain and reduces functionality of the knee joints, which can negatively impact a patient’s quality of life. Total knee replacement (TKR) has become the standard procedure to treat end-stage osteoarthritis. Evaluating the success of TKR procedures is very important. One instrument that can be used for this purpose is the Oxford Knee Score (OKS). Methods: This observational analytic comparative study involved 40 patients. The data were collected by interviewing patients who had undergone TKR at Dr. Mohamad Soewandhie General Hospital between 2019 and 2024. The data were analyzed using Wilcoxon signed-ranks test, independent samples t-test, and Kruskal-Wallis test.  Results: The majority of the sample in this study was aged over 60 years (62.5%), female (87.5%), and had an overweight BMI (47.5%). The analysis showed a significant increase in the OKS after surgery, with a p-value of <0.05. The independent samples t-test showed a significant difference in the improvement of the OKS between males and females. Meanwhile, the Kruskal-Wallis test showed no significant difference in OKS improvement across BMI categories. Conclusions: There is a significant difference in the OKS before and after TKR surgery, which indicates an improvement in knee functionality and quality of life after surgery. Differences in patient gender may affect the outcome of the surgery, including post-surgery recovery rate and knee functionality. Meanwhile, BMI showed no significant difference in the outcome of TKR surgery.
Eksplorasi Faktor Risiko Penyakit Kardiovaskular dan Hubungannya dengan Kejadian Hipertensi pada Guru Biologi di Gorontalo Antonius Yansen Suryadarma; Nathania Disa Ariesta Andriani; Minarni Wartiningsih; Cempaka Harsa Sekarputri; Edwin Hadinata
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 3 (2026): Agustus 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i3.8487

Abstract

Background: Cardiovascular disease (CVD) remains the foremost cause of mortality worldwide, with hypertension being the most important modifiable risk factor. Although teachers play an important role in health education, evidence on CVD risk factors among teachers, particularly biology teachers, remains limited. This study aimed to describe CVD risk factors and explore their association with hypertension among biology teachers in Gorontalo. Methods: A cross-sectional study was conducted among 39 members of the Musyawarah Guru Mata Pelajaran (MGMP) biology teacher in Gorontalo City. Data were collected through questionnaires and physical examinations. Association between categorical variables were analyzed using the Chi-square / Fisher's exact test, along with odds ratios (OR) and 95% confidence intervals (CI). Results: Most participants were female (87.2%) and aged ≥40 years (66.7%). The prevalence of hypertension, overweight/obesity, and central obesity was 59.0%, 61.5%, and 71.8%, respectively. Insufficient physical activity was identified in 43.6% of participants, while daily consumption of sweet foods, sugar-sweetened beverages, and monosodium glutamate (MSG) seasonings remained common. Bivariate analyses showed no significant association between investigated risk factors and hypertension. However, a higher risk of hypertension was observed among those aged ≥40 years (OR = 3.60; 95% CI: 0.73–18.41) and those with mental health problems, although the associations were not statistically significant. Conclusion: Biology teachers in Gorontalo had a high burden of CVD risk factors, particularly hypertension, overweight/obesity, central obesity, and unhealthy dietary habits. These findings support strengthening health promotion, routine screening, and implementing the GERMAS and CERDIK programs in schools to prevent CVD.
Enterocutaneous fistula et cause abdominal tuberculosis in community: An emergency diagnosis challenge Siusanto Hadi; Pieter David Adriaan Ferdinandus; Minarni Wartiningsih; Billy Daniel Messakh; Purwakaning Purnomo Agung; Cempaka Harsa Sekarputri; Vincent Aurelius Gonaldy
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.627

Abstract

Background: A fistula is defined as an abnormal connection that connects two hollow spaces of the body. Fistula are divided into two categories, internal and external. Abdominal TB can mimicks other diseases including Enterocutaneous fistula that occur due to chron’s disease, malignancy, typhoid or radiation exposure. Tuberculosis is a rare cause of enterocutaneous fistula increasing the needs of clinicians to diagnose TB in an emergency manner. Purpose: To assess clinical manifestation of enterocutaneous fistula in patient with abdominal tuberculosis, and to determine the best emergency diagnosis tools in the progress of diagnosing abdominal tuberculosis. Method: This literature review is guided by the PICOS framework, encompassing materials published from 2000 to 2024. Data were obtained from diverse sources such as PubMed Central, Google Scholar, Science Direct, Elsevier (SCOPUS), scientific journals, articles, and books. The analysis proceeded through three stages: data reduction, presentation, and formulation of conclusions. Studies fulfilling the inclusions criteria were selected. Results: Patient with TB could have enterocutaenous fistula as one of its clinical manifestations, therefore. This study concludes that multiplex PCR shows an outstanding result for its specificity making it highly effective in ruling out non-tubercular diseases with minimum false positive. Conclusion: Enterocutaneous fistula in intestinal tuberculosis often presents without clear thoracic imaging of pulmonary TB, complicating diagnosis. Abdominal TB's non-specific symptoms can mimic other diseases, making CT scans and ultrasonography useful, though not definitive. Laparoscopy, combined with histological examination, remains the most reliable diagnostic tool. Laboratory tests like ADA levels, PCR, and culture are essential in confirming the diagnosis. A diagnostic algorithm and early anti-tubercular therapy can help when test results are inconclusive.