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CT Scan Finding Characteristics of Confirmed Covid-19 Patients Based on Clinical Symptom Onset Patterns Dewi Roziqo; Anita Widyoningroem; Prijambodo; Rosy Setiawati
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): 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.v16i1.17478

Chest computed tomography (CT) scan is one of the main modalities to detect COVID-19 infection.Several CT scan findings are the hallmark to rapidly detect suspected COVID-19 infection, thereforetimely treatment could be administered. This study aims to describe chest CT scan findings of confirmedCOVID-19 patients based on clinical symptom onset patterns.This study is a descriptive study with a retrospective design in confirmed COVID-19 patients. Dataregarding characteristics of chest CT scan findings and the patient’s history including clinical symptomsonset were collected.There were 123 subjects in this study. The study data were categorized into modified clinical symptomonset patterns which were early, progressive, peak, absorption, and advanced phases. Most of male(57%) and female (43%) patients that were admitted to the hospital were in absorption phase of thedisease with fever, cough, and dyspnea as the most prevalent symptoms. Chest CT scan findings ofabsorption phase included GGO (ground glass opacity) in 28 patients (76%), crazy paving pattern in18 patients (49%), consolidation in 22 patients (59%), and fibrosis in 31 patients (84%). Chest CT scanfindings of confirmed COVID-19 patients vary depending on the phase of the disease. Risk factors andsecondary bacterial infection may contribute to long-term persistence of symptoms.

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

Comparison of Dynamic Balance between East Java Puslatda Athletes with Plantar Fasciitis and without Plantar Fasciitis Wicaksono Alim Budihartanto; Hening Laswati Putra; Indrayuni Lukitra Wardhani; Yudith Dian Prawitri; Rosy Setiawati
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.v15i3.16017

Lower extremity injuries are the most common cases of athlete’s injury. Sports athletes often experience perturbations that disturb their balance. Poor balance is associated with an increased risk of injury in athletes. Plantar fasciitis affects the biomechanics of the foot and impairs pressure distribution and balance during walking and running. To compare the dynamic balance between athletes with plantar fasciitis and without plantar fasciitis. This analytic observational with a cross sectional retrospective study design was performed on 101 athletes, aged 16-32 years. There were 49 male athletes and 52 female athletes have undergone dynamic balance checked with the star excursion balance test (SEBT) and plantar fasciitis examinations based on ultrasonography (USG) examination. There was no difference in the normalized SEBT value between the athlete’s group with plantar fasciitis and the athletes without plantar fasciitis, with p value for the anterior direction = 0.317, anterolateral = 0.215, lateral = 0.062, posterolateral = 0.180, posterior = 0.246, posteromedial = 0.354, medial = 0.409, and anteromedial = 0.245. In summary, there is no difference in the dynamic balance between athletes with plantar fasciitis and without plantar fasciitis. Further research is needed to determine the compensation mechanism in athletes with plantar fasciitis and specific exercises for different sport.

Clinical Features in Metastatic Bone Disease with and without Pathological Fractures: A Comparative Study Putu Garry; Mouli Edward; Rosy Setiawati; Sjahjenny Mustokoweni; Ferdiansyah Mahyudin
Health Notions Vol 3, No 10 (2019): October
Publisher : Humanistic Network for Science and Technology (HNST)

Background: Pathological fracture complications such as impaired clinical features is suspected to increase the mortality in MBD. In Indonesia, the habit of delayed seeking of medical treatment was common and potentially led to pathological fracture. Aim: This study compared the clinical features between MBD with and without pathological fracture. Methods: This was a retrospective study of MBD at Dr. Soetomo General Hospital in 2011-2015. We compared the clinical features by pain in Visual Analog Scale (VAS); general health presentation represented by laboratory findings; and the history of non-medical treatments. Results: 64 patients had MBD were included in this study. 37 (57.8%) of them presented with pathological fractures, and 27 (42.2%) without. Pain was the most common chief complaint (76.5%). No significant difference found between the MBD with and without pathological fracture in all variables (p=0.122; p=0.64; p=0.823; p=0.417, p=1.000 for VAS, hemoglobin, albumin, calcium, and history of non-medical treatment respectively). This probably associated with the therapy and a variety of primary tumors underlying the MBD. However, 6 out of 10 patients with history non-medical treatment presented with fractures. Conclusion: There's no significant difference in clinical features of MBD from both groups, while those with fractures had worse conditions. Keywords: Metastatic bone disease, Pathological fracture, Clinical features

Waktu Penutupan Epifisis Tulang Radius dan Ulna Bagian Distal Tiara Mayang Pratiwi Lio; Toetik Koesbardiati; Ahmad Yudianto; Rosy Setiawati
Jurnal Biosains Pascasarjana Vol. 19 No. 1 (2017): JURNAL BIOSAINS PASCASARJANA
Publisher : Universitas Airlangga

AbstrakIdentifikasi usia forensik bertujuan untuk menentukan dengan cara yang paling akurat usia kronologis seseorang yang tidak diketahui atau diragukan keasliannya terlibat dalam proses hokum. Salah satu metode yang digunakan adalah untuk menilai penutupan epifisis pada tulang melalui pemeriksaan radiologi. Masalah utama penggunaan metode ini berhubungan dengan relevansi dan representatif populasi referensi yang tersedia karna dipengaruhi oleh genetik dan gizi maka di perlukan data yang dapat mewakili setiap populasi. Pemeriksaan radiologi tulang pergelangan tangan dari 68 pasien laki-laki usia 11-30 tahun dan 22 pasien perempuan usia 13-28 tahun di RSUD.Dr.Soetomo, Surabaya selama periode januari-april 2016 , dilakukan untuk menentukan waktu penutupan epifisis dari tulang radius dan ulna bagian distal. Penelitian ini menggunakan rancangan penelitian deskriptif cross-sectional. Kesimpulan dari penelitian ini pada laki-laki pada usia ≥17 sebagian besar tulang radius dan ulna bagian distal mengalami penutupan epifisis yang telah lengkap dan pada perempuan usia ≥16 sebagian besar tulang radius dan ulna bagian distal mengalami penutupan epifisis yang telah lengkap.Kata kunci—Usia ; Penutupan epifisis ; Radius dan Ulna distal ; Laki-laki ; Perempuan

Comparison of Chest X-Ray Findings Between Primary and Secondary Multidrug Resistant Pulmonary Tuberculosis Ricky Septafianty; Anita Widyoningroem; M. Yamin S. S; Rosy Setiawati; Soedarsono
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 10 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i10.356

Introduction: Radiological imaging has a key role in multidrug-resistant (MDR) pulmonary tuberculosis (TB) screening and diagnosis. However, new cases of MDR pulmonary TB are often overlooked; therefore, its transmission might continue before its diagnosis. The most widely used and affordable radiological modality is a chest radiograph. This study aims to describe the characteristics of primary and secondary MDR pulmonary TB chest x-ray findings for differential diagnosis. Methods: This study was an analytic observational study with a retrospective design. Researchers evaluated medical record data of primary and secondary MDR pulmonary TB patients who underwent chest x-ray examinations. The patient's chest x-rays were then evaluated. Evaluated variables were lung, pleural, and mediastinal abnormalities and severity category. Results: The most common chest x-ray finding in primary MDR pulmonary TB was consolidation (96.2%), which was mostly unilateral (52.0%), accompanied by cavities (71.2%), most of which were multiple (83.8%) with a moderate category of severity. The most common chest x-ray finding in secondary MDR pulmonary TB was consolidation (100%), which was mostly bilateral (60.4%), accompanied by cavities (80.2%), most of which were multiple (90.1%) with severe category of severity. Pleural thickening (47.5%) was also found. Conclusion: There was a significant difference between primary and secondary MDR pulmonary TB in terms of mild severity category, and pleural thickening. Mild severity category is mostly found in primary MDR-TB and pleural thickening is mostly found in secondary TB.

Comparison of Chest X-Ray Findings Between Primary and Secondary Multidrug Resistant Pulmonary Tuberculosis Ricky Septafianty; Anita Widyoningroem; M. Yamin S. S; Rosy Setiawati; Soedarsono
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 10 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i10.356

Introduction: Radiological imaging has a key role in multidrug-resistant (MDR) pulmonary tuberculosis (TB) screening and diagnosis. However, new cases of MDR pulmonary TB are often overlooked; therefore, its transmission might continue before its diagnosis. The most widely used and affordable radiological modality is a chest radiograph. This study aims to describe the characteristics of primary and secondary MDR pulmonary TB chest x-ray findings for differential diagnosis. Methods: This study was an analytic observational study with a retrospective design. Researchers evaluated medical record data of primary and secondary MDR pulmonary TB patients who underwent chest x-ray examinations. The patient's chest x-rays were then evaluated. Evaluated variables were lung, pleural, and mediastinal abnormalities and severity category. Results: The most common chest x-ray finding in primary MDR pulmonary TB was consolidation (96.2%), which was mostly unilateral (52.0%), accompanied by cavities (71.2%), most of which were multiple (83.8%) with a moderate category of severity. The most common chest x-ray finding in secondary MDR pulmonary TB was consolidation (100%), which was mostly bilateral (60.4%), accompanied by cavities (80.2%), most of which were multiple (90.1%) with severe category of severity. Pleural thickening (47.5%) was also found. Conclusion: There was a significant difference between primary and secondary MDR pulmonary TB in terms of mild severity category, and pleural thickening. Mild severity category is mostly found in primary MDR-TB and pleural thickening is mostly found in secondary TB.

Profile of Patients of Hepatocellular Carcinoma in The Internal Medicine Inpatient Room at Dr. Soetomo General Academic Hospital Shahnaz Azzahra; Ulfa Kholili; Rosy Setiawati; Ummi Maimunah
Current Internal Medicine Research and Practice Surabaya Journal Vol. 4 No. 1 (2023): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v4i1.42287

Introduction: Primary liver cancer is the sixth most frequently diagnosed cancer and the third leading cause of cancer death worldwide in 2020, with approximately 906,000 new cases and 830,000 deaths. Primary liver cancer includes hepatocellular carcinoma (HCC), with a percentage of 75%-85% of cases. The poor prognosis of HCC is mainly related to late diagnosis.Methods: This research is a descriptive study with a cross-sectional study. Data retrieval is taken from secondary data in the form of medical record data. The sampling technique used was the total sampling technique.Results: The number of HCC patients in the Internal Medicine Inpatient Room at Dr. Soetomo General Academic Hospital for 1 January 2017–31 December 2019 who met the inclusion and exclusion criteria was 60. The male sex had the highest number of 43 patients (71.7%), with the highest age group being 50-59 years old.Conclusion: Profile of HCC patients in the Internal Medicine Inpatient Room at Dr. Soetomo General Academic Hospital for the 2017-2019 period, the largest age group was 50-59 years, dominated by male sex, the most risk factors were HBsAg positive, high liver function tests, high tumor markers, and had BCLC stage C. The patient had a live clinical outcome.

Perbandingan Gambaran Histologis Ginjal Mencit (Mus Musculus) yang Dipapar Radiasi Gelombang Elektromagnetik Telepon Seluler 3G dan 4G Arya Fadlilah Pradana; Almas Nada Salsabila; Dewi Ratna Sari; Rosy Setiawati; Joni Susanto
Jurnal Penelitian Perawat Profesional Vol 5 No 2 (2023): Mei 2023, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v5i2.1575

Paparan radiasi gelombang elektromagnetik telepon seluler dapat menyebabkan stres oksidatif pada ginjal. Radiasi yang dipancarkan mungkin lebih banyak diabsorbsi oleh ginjal karena telepon seluler sering dibawa di sabuk / saku celana. Penelitian ini bertujuan untuk mengetahui perbandingan gambaran histologis ginjal mencit (Mus musculus) yang diinduksi radiasi gelombang elektromagnetik telepon seluler 3G dan 4G. Penelitian ini menggunakan sampel 29 ekor mencit yang dibagi ke dalam 3 kelompok, yaitu kelompok tanpa paparan, kelompok dengan paparan radiasi elektromagnetik 3G, dan kelompok dengan paparan radiasi elektromagnetik 4G. Paparan diberikan dengan durasi 1 jam/hari selama 30 hari. Ciri histologis yang diukur adalah luas glomerulus dan luas ruang kapsula bowman. Kami mengamati bahwa tidak ada perbedaan antara kelompok 3G dan 4G pada luas glomerulus (p> 0,05) dan luas ruang kapsula bowman (p> 0,05). Dapat disimpulkan bahwa tidak ada perbedaan gambaran histologis ginjal mencit (Mus musculus) yang diinduksi radiasi gelombang elektromagnetik telepon seluler 3G dan 4G.

Brown Tumor in Parathyroid Adenoma Mimicking Malignant Bone Tumor: A Case Report Asri Dhea Pratiwi; Setiawati, Rosy
Jember Medical Journal Vol. 3 No. 1 (2024)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jembermedicaljournal.v3i1.879

Brown tumors, also recognized as osteitis fibrosa cystica or osteoclastoma, represent a unique pathological entity intricately linked to hyperparathyroidism. Although benign in nature, brown tumor can manifest as focal bone abnormalities, presenting diagnostic challenges due to their striking resemblance to malignant bone tumors, particularly bone metastases. A 24-year-old woman presented with a lump on her left knee and right lower leg pain. Imaging unveiled multiple osteolytic lesions resembling aggressive bone tumors. Subsequent investigations, including abdominal USG, thyroid USG, bloodwork, and parathyroid hormone assessment, confirmed hyperparathyroidism with elevated PTH levels and nephrocalcinosis. HistoPA examination shows a brown tumor diagnosis, prompting parathyroidectomy. Brown tumor can mimic aggressive bone tumors both in clinical and radiological findings. Besides PTH level, thyroid and abdominal USG should be performed to find both parathyroid mass and nephrocalcinosis as the result of hypercalcemia. A HistoPA examination shoud be performed to diagnose the main cause of hyperparathyroidism, that is mostly parathyroid adenoma. As for the treatment, medical and surgical intervention can be done to treat hyperparathyroidism and brown tumor itself. Brown tumors pose a diagnostic challenge due to their association with hyperparathyroidism and their resemblance to aggressive bone tumors. Further research is needed to enhance diagnostic and therapeutic strategies for brown tumors associated with hyperparathyroidism.

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