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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kedokteran Diponegoro

Zikrina Lanodiyu

Orthopaedic And Traumatology Division, Department Of Surgery, Dr. Sardjito General Hospital, Faculty Of Medicine, Public Health And Nursing, Gadjah Mada University, Yogyakarta, Indonesia

Author-ID : 2410821

Health Professions Medicine & Pharmacology

Published : 3 Documents Claim Missing Document

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Articles

Accuration of Fine Needle Aspiration Biopsy in Musculoskeletal Tumour Rahadyan Magetsari; Hengkie Marseno; Zikrina Lanodiyu; Punto Dewo
International Journal of Public Health Science (IJPHS) Vol 5, No 2: June 2016
Publisher : Intelektual Pustaka Media Utama

Fine needle aspiration biopsy (FNAB) has been reported to be the preferable choice of biopsy for musculoskeletal tumour. While FNAB appears to have advantages to core biopsy in the aspect of simplicity and cost, the diagnostic accuracy should be the most critical parameter in determining the choice of biopsy. This research was designed to evaluate the diagnostic accuracy of fine needle aspiration in musculoskeletal tumour in Sardjito Hospital from 2010 until 2014. This was a descriptive study from medical record in Sardjito Hospital from 2010 until 2014. The inclusion criteria are musculoskeletal tumours in all age level that has been performed FNAB with subsequent operative treatment and confirmation of histopathology examination in Sardjito Hospital. There were 41 elligible subjects in this study. Concordance diagnosis of FNAB and histopathological examination in all musculoskeletal tumor cases was found to be 86%. In addition, the concordance in soft tissue tumor cases was 94% with the detail as follows: giant cell tumor was 86%, synovial sarcoma was 50% and liposarcoma was 50%. In bone tumours, the accuracy was found to be 60% with the detail as follows: distribute osteosarcoma was 60%, osteochondroma was 50% and chondrosarcoma was 50%. Our data showed that accuracy of FNAB for diagnosis of musculoskeletal tumours was 86% with soft tissue tumour 94%, bone tumour 60% and others 93%. Therefore, Fine needle aspiration biopsy is still important diagnosis tool in musculoskeletal tumours.

Trajectory and Determinant of Functional Independence among Patient with Traumatic and Non-Traumatic Spinal Cord Injury Yudha Mathan Sakti; Astri Ferdiana; Dananjaya Putramega; Zikrina A. Lanodiyu; Galih Prasetya Sakadewa; Rahadyan Magetsari
International Journal of Public Health Science (IJPHS) Vol 7, No 2: June 2018
Publisher : Intelektual Pustaka Media Utama

The level of functional independence was directly proportional to life satisfaction and quality of life in patients with spinal cord injury. By knowing the determinants that predict changes in functional independence, medical treatment and rehabilitation can be better planned to improve the patient’s quality of life. We conducted a prospective cohort study on 49 patients with spinal cord injury at Dr. Sardjito general hospital Yogyakarta from April to June 2016. The data were taken before patient underwent surgery, before discharged from the hospital, and 3 months after underwent surgery. We found that most common spinal cord injury was at the level of lumbar vertebra with 28 patients (58%). There was a positive trajectory of the patients with spinal cord injury with ASIA grade B-E classification. However, patients with spinal cord injury with ASIA classification grade A have a neutral trajectory.We conclude there was a positive trajectory between functional independence and traumatic or non-traumatic spinal cord injury except in patients with ASIA grade A classification spinal cord injury. The determinants that affected the trajectory of patients with spinal cord injury were the level of the injured vertebra and severity of the neurological deficit.

Scurvy with Musculoskeletal Pain in Indonesian Pediatric Patient: A Case Report Hilmi Muhammad; Meirizal Meirizal; Yudha Mathan Sakti; Aditya Fuad Robby Triangga; Zikrina Abiyanti Lanodiyu; Ginanjar Reza Putra; Yasser Yasser; Yuni Artha Prabowo Putro
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (2024): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v13i5.44840

Background: Scurvy is a potentially fatal disease caused by a severe deficiency of vitamin C, which can manifest as a musculoskeletal problem. Early diagnosis and treatment of vitamin C deficiency are crucial to prevent severe symptoms. Unfortunately, vitamin C level evaluations in Indonesia are very limited due to the lack of laboratory facilities. As a result, patients with scurvy are often underdiagnosed and do not receive adequate management. Case Presentation: 5-year-old boy with musculoskeletal pain and inability to walk. Radiographic findings showed a pathognomonic line of Fränkel, Trümmerfeld zone, and Wimberger ring sign, with laboratory evaluation showing an anemia and vitamin D deficiency. We did not perform a laboratory examination for vitamin C due to a lack of test facilities but the patient was given oral 250 mg of vitamin C daily instead. The patient showed significant improvement in symptoms and laboratory results after three months of vitamin C supplementation. To summarize, that vitamin C deficiency should be considered among patients with related musculoskeletal manifestations supported by imaging results.

Co-Authors Aditya Fuad Robby Triangga Astri Ferdiana Dananjaya Putramega Galih Prasetya Sakadewa Ginanjar Reza Putra Hengkie Marseno Hilmi Muhammad Meirizal Meirizal Punto Dewo Rahadyan Magetsari Sakti, Yudha Mathan Yasser Yasser Yudha Mathan Sakti Yuni Artha Prabowo Putro

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