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Conventional Radiological Profile of Metastatic Bone Disease Based on Its Histopathological Results: A 3-Year Experience Armando, Braven; Setiawati, Rosy; Edward, Mouli; Mustokoweni, Sjahjenny
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 14 No. 2 (2023): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V14I22023.76-82

Abstract

Highlights:1. The incidence of MBD tends to be more frequent in older ages and in female patients.2. The radiological appearance of a lesion tends to differ depending on its primary tumor.3. Pathological fracture was present in 55.37% of the cases. AbstractIntroduction: Metastasis commonly occurs in the bone, termed metastatic bone disease (MBD). Early diagnosis and intervention are important to prolong and increase the quality of life. Although conventional radiology is less sensitive for diagnosing this disease, it remains the most cost and time-efficient screening method. This study aimed to describe the radiological profile of patients diagnosed with MBD based on its histopathological result.Methods: This was a descriptive retrospective study using medical records and digital radiological data of patients diagnosed with MBD from 2019-2021 in Dr. Soetomo General Academic Hospital, Surabaya. Variables in this study include gender, age, histopathological result, location of metastases, number of lesions, lesion density, and pathological fracture.Results: 51 patients were diagnosed with MBD during the period of the study and sorted into 121 cases based on metastases location. MBD is more frequent in older female patients, where lesion mostly originates from the breast, thyroid, and lungs, with adenocarcinoma as the most common histology. Vertebrae were the most common location of metastases. Most lesion tends to be multiple and osteolytic. However, certain lesions from different primary tumor had different predilections. Pathological fracture was present in 55.37% of cases.Conclusion: MBD needs to be suspected in patients with cancer from the breast, thyroid, and lungs as its incidence is higher. More studies about MBD profiles on a larger scale should be conducted to better represent this disease in the general population.
SCORING ANALYSIS OF THE RELATIONSHIP BETWEEN MAGNETIC RESONANCE IMAGING- ANXIETY QUESTIONNAIRE (MRI-AQ) WITH HEART RATE TO PATIENTS ANXIETY LEVEL AT LUMBOSACRAL MRI EXAMINATION Amaliya, Mirza Isna; Setiawati, Rosy; Sari, Amillia Kartika; Muqmiroh, Lailatul; Muhaimin, Muhaimin
Journal of Vocational Health Studies Vol. 2 No. 3 (2019): March 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (506.287 KB) | DOI: 10.20473/jvhs.V2.I3.2019.112-117

Abstract

Background: Anxiety during MRI examination becomes a common constraint and can have a negative effect that is the quality of the resulting image due to the existence of motion artifacts until the failure of the examination. Purpose: One of the signs of anxiety can be seen an increase in heart rate, in addition there is one questionnaire specifically aimed to determine the level of anxiety in patients with MRI examination, namely Magnetic Resonance Immunization-Anxiety Quistionnaire (MRI-AQ). Method: This research used correlational method with cross-sectional approach. The sampling technique used is purposive sampling. In this research, there were 30 samples. Each sample will be measured heart rate before, during, and after Lumbosacral MRI examination. A Magnetic Resonance Imaging Anxiety Questionnaire (MRI-AQ) was then completed at the time of examination. Collected data were then tested for differences using paired-t test and pearson correlation test. Result: The result of paired-t test shows that there was difference of heart rate during and after examination with p-value 0,036 <α. The patient's heart rate during Lumbosacral MRI was higher than the patient's heart rate after Lumbosacral MRI at 85.63 bpm ± 14.709. Conclusion: Pearson correlation test results showed a correlation between Magnetic Resonance Imaging- Anxiety Questionnaire (MRI-AQ) with heart rate to patient anxiety level at Lumbosacral MRI Examination, this is reinforced by correlation value r = 0.636.
THE APPLICATION OF USING GEL PAD AS A MEDIUM FOR ULTRASOUND SHOULDER Sisparwati, Lelly Agustina; Setiawati, Rosy; Putri, Berliana Devianti
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.I2.2020.66-71

Abstract

Background: A conductive medium on ultrasound is a medium that is used to obtain sound wave transmission by minimizing air between the transducer and the skin. This study used materials that are easily found such as gel wax and paraffin for making the gel pad. A good oil and mineral based wax gel are used as a basic ingredient for ultrasound gel making. Gel pad can be used to minimize the structure of unauthorized organs. One of which is the shoulder. Purpose: This study aims to determine the quality of the image in the use of standard gel, and the use of gel pad as a medium for ultrasound shoulder. Method: Gel pad is made by mixing gel wax and paraffin ingredients. This gel is used to obtain images from ultrasound investigation. The study used 16 samples with a total of 64 images obtained in which 32 images using standard gel and gel pad in the long axis position and 32 images using standard gel and gel pad in the short axis position. The analysis of image results is done using matlab image processing to assess SNR. The image quality obtained from the results of the questionnaire was assessed by a specialist in radiology. Image quality processing based on SNR was tested using independent T test. Meanwhile, the results of image quality from the questionnaire assessment were tested using Wilcoxon. Result: As many as 64 objects were obtained using standard gel. The gel pad showed that there were significant differences in the results of image quality based on SNR values. In the results of the questionnaire assessment, there are several anatomic organs that have no significant differences. Conclusion: The use of standard gel was still higher compared to the use of gel pad. The gel pad is able to become a standard gel alternative on ultrasound shoulder examination.
ANALYSIS THE EFFECT OF SENSORY INTERVENTION ON PATIENT'S ANXIETY ACCORDING TO MAGNETIC RESONANCE IMAGING-ANXIETY QUESTIONNAIRE (MRI-AQ) AND HEART RATE IN MRI LUMBAL EXAMINATION Andeizi, Tifan Nata; Devianti Putri, Berliana; Muhaimin; Muqmiroh, Lailatul; Setiawati, Rosy
Journal of Vocational Health Studies Vol. 6 No. 1 (2022): July 2022 | 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.V6.I1.2022.1-8

Abstract

Background: The use of MRI as a non-invasive diagnostic radiological examination modality is painless. However, patients may experience claustrophobia and anxiety. Sensory intervention is a method of providing sensory stimulation to an individual, which is expected to reduce the anxiety. Purpose: To determine the effect of the sensory intervention on the anxiety level of patients using an intervention scent by inhalation and intervention sound based on heart rate and MRI-AQ in patients with MRI lumbal examination. Method: 24 samples were divided into three groups: intervention scent, combination intervention scent-sound, and control, with eight samples each. Intervention scent is given using lavender essential oil as aromatherapy, drop three drops on the mask, then put the mask on for 5 minutes before the examination until the examination is completed. Intervention sound is given by playing music (nature-sound) during the examination. Result: Sensory intervention, specifically the use of combination intervention scent-sound, significantly reduces anxiety in patients during MRI lumbal examination significantly p = 0.004 (p<0.05). Conclusion: The use of a combination between lavender and nature-sound as media for sensory intervention has a positive effect on reducing anxiety during MRI lumbal examination based on heart rate. Due to the easy administration of this aromatherapy and the minimal risk for this treatment, it is recommended that it is applied to reduce anxiety during MRI.
Sigmoid Volvulus in An Adolescent Female With Colitis: A Rare Case Report Jaya Putra, Edwin Satya; Setiawati, Rosy
SCRIPTA SCORE Scientific Medical Journal Vol. 6 No. 1 (2024): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v6i1.16466

Abstract

Introduction: Sigmoid volvulus among pediatric patients is a rare occurrence. Case: A 13-year-old pediatric female presented to hospital’s emergency department with abdominal pain, nausea, and inability to defecate for three days. No fever or vomiting was reported. She had a multiple episodes of constipation and was menstruating. Physical examination suggested bowel obstruction. Plain abdominal radiograph showed diffuse colon dilation with minimal small bowel and pelvic gas. Abdominal contrast CT revealed severe large bowel dilatation with redundancy from the cecum to the rectosigmoid area, along with a "whirl sign" as the diagnostic feature. Colon in-loop procedure revealed stenosis at the sigmoid-descending colonic junction due to volvulus with partial obstructive ileus. The diagnosis of sigmoid volvulus was confirmed and subsequently the patient underwent an endoscopic decompression procedure. Colitis was visualized during endoscopy. Symptoms completely resolved the following day and her parents requested discharge two days after the procedure.  Discussion: Sigmoid volvulus is a potential differential diagnosis in children with symptoms of bowel obstruction. Physicians and radiologists should remain vigilant to avoid morbidity and mortality resulting from delayed and untreated cases. Conclusion: Thorough clinical, radiological, and histopathologic investigations play a crucial role in preventing treatment delays. It is important to be aware of uncommon causes of abdominal pain in the pediatric age group. Keywords: decompression, pediatric, radiology, rare case, sigmoid volvulus Latar Belakang: Volvulus sigmoid pada pasien anak merupakan kasus yang jarang. Presentasi Kasus: Remaja perempuan berusia 13 tahun datang ke Instalasi Gawat Darurat rumah sakit dengan keluhan nyeri perut, mual, dan tidak dapat buang air besar sejak tiga hari yang lalu. Keluhan demam dan muntah disangkal. Terdapat riwayat konstipasi berulang serta pasien saat ini sedang menstruasi. Pemeriksaan fisik mengarah adanya obstruksi saluran cerna. Foto polos abdomen menunjukkan adanya dilatasi kolon difus dengan gas minimal di usus kecil dan area pelvis. CT-scan abdomen dengan kontras menunjukkan dilatasi kolon signifikan disertai adanya redundansi dari sekum hingga area rektosigmoid dan tampak “whirl sign” sebagai fitur diagnostik yang sensitif. Hasil colon-in-loop menunjukkan adanya stenosis pada area pertemuan antara kolon sigmoid dan kolon desenden akibat volvulus dengan ileus obstruksi parsial. Diagnosis volvulus sigmoid ditegakkan dan pasien menjalani prosedur dekompresi endoskopi setelahnya. Kolitis tervisualisasi saat prosedur. Keluhan membaik seluruhnya pada keesokan hari dan orang tua pasien meminta pasien dipulangkan dua hari post-prosedur. Diskusi: Volvulus sigmoid merupakan diagnosis diferensial yang potensial pada anak dengan gejala obstruksi saluran cerna. Klinisi dan radiolog harus selalu waspada demi menghindari morbiditas dan mortalitas akibat kasus yang lambat maupun tidak tertangani. Kesimpulan: Pemeriksaan fisik, radiologis, serta histopatologis yang menyeluruh memainkan peranan penting dalam mencegah keterlambatan penanganan. Kasus ini menekankan pentingnya kewaspadaan terhadap suatu penyebab tidak umum kasus nyeri perut pada populasi anak.  
Correlation between Length-to-width Ratio of Gallbladder and Gamma-glutamyl Transferase Value in Biliary Atresia Elmanar, Ryan; Violetta, Lenny; Setiawati, Rosy
Global Medical & Health Communication (GMHC) Vol 12, No 3 (2024)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v12i3.14170

Abstract

Biliary atresia represents one of the most prevalent etiologies for neonatal cholestasis. Unmanaged biliary atresia can be fatal. Ultrasonography is the primary diagnostic test because it's accurate, cost-effective, and available. Various ultrasound findings can assist in diagnosing biliary atresia; the length-to-width ratio of the gallbladder is a particularly advantageous method, offering a short examination time, objectivity, and ease of use, with an accuracy rate of 78.9%. In cases with unconventional ultrasound findings, gamma-glutamyl transferase is believed to be able to complete the diagnostic process with an accuracy rate of up to 80%. The optimal cut-off value differs between studies, making it challenging to use as a benchmark for biliary atresia detection. In this study, researchers aim to further investigate the relationship between length-to-width ratio and gamma-glutamyl transferase in cases of biliary atresia, compared to the liver biopsy results in these patients and the optimal cut-off. This study employed an observational analytic approach with a retrospective design. The sample population consisted of all patients with neonatal cholestasis who underwent laboratory and ultrasonographic examinations at Dr. Soetomo Academic General Hospital Surabaya between 2019 and 2023. The study population comprised 82 patients. A significant relationship (p-value<0.001) was observed between the length-to-width ratio of the gallbladder and biliary atresia, as well as between gamma-glutamyl transferase and biliary atresia (area under the curve: 0.7–0.8). However, the analysis between the length-to-width ratio of the gallbladder and the value of gamma-glutamyl transferase showed p-value=0.066, which means no significant relationship was observed between the length-to-width ratio and gamma-glutamyl transferase.
The Correlation between Family Socioeconomic Status and the Delayed Treatment of Retinoblastoma Patients at Dr. Soetomo General Hospital Surabaya Naimatuningsih, Nanning; Soebagjo, Hendrian; Setiawati, Rosy; Loebis, Rozalina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 2 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (430.411 KB) | DOI: 10.20473/juxta.V10I22019.52-56

Abstract

Introduction: Retinoblastoma is a cancer with the highest incidence in children and the second type of cancer that most often causes death in children in Indonesia. The level of delay in attending treatment for retinoblastoma patients in Dr. Soetomo General Hospital Surabaya is still high, because generally the patients come with an advanced stage, they are already in serious condition or with a poor prognosis. Treatment delay from the patients can be caused by the patients that are not feeling disturbed by the disease, not aware of the dangers of the disease, feel afraid, have no cost, the family does not allow them to see the doctor, and the health facilities are unaccessable. One of the factors that influence decision making whether or not someone comes to seek treatment is their socioeconomic status. The aim of this research is to analyze the correlation between family socioeconomic status with the delayed treatment for retinoblastoma patients at Dr. Soetomo General Hospital Surabaya.Methods: This research used observational analytic cross-sectional study. This research was conducted with the help of 33 retinoblastoma patients and families of retinoblastoma patients in the Outpatient Unit of the Poli Onkologi Satu Atap (POSA) Mata at Dr. Soetomo General Hospital Surabaya, and was taken by total sampling.Results: The results were obtained from 33 samples, 18.2% of patients came with a good prognosis, and 81.8% of patients came with a poor prognosis. The Fisher's Exact Test analysis (α = 0.05) was used to determine the correlation between the father's educational level and the delayed treatment of retinoblastoma patients (p = 0.322), correlation between the mother's educational level and the delayed treatment of retinoblastoma patients (p = 0.129), correlation between the father's level of occupation and the delayed treatment of retinoblastoma patients (p = 0.028), correlation between the mother's occupational level and the delayed treatment of retinoblastoma patients (p = 0.640), correlation between the family income level and the delayed treatment of retinoblastoma patients (p = 0.026).Conclusion: There were significant correlation between father's occupational level and family income level with the delayed treatment of retinoblastoma patients. Meanwhile there were no significant correlation between father's educational level, mother's educational level, and mother's occupational level with the delayed treatment of retinoblastoma patients.
ANALYSIS OF MAXILLARY FRACTURE PATIENTS PROFILE IN A TERTIARY GENERAL HOSPITAL (2018-2020) Suarta, I Dewa Gde Daniswara; Agus Santoso Budi; Rosy Setiawati; Magda Rosalina Hutagalung
Jurnal Rekonstruksi dan Estetik Vol. 8 No. 1 (2023): Jurnal Rekonstruksi dan Estetik, June 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v8i1.37353

Abstract

Highlights: Maxillary fractures predominantly affected adult males aged between 18 and 64, comprising 92.36% of the cases studied. The most common type of maxillary fracture observed was Le Fort 3, followed by other Le Fort classes. The preferred treatment method for maxillary fractures was ORIF mini plating, which resulted in favorable outcomes with minimal complications. Abstract: Introduction: The maxilla is a crucial bone in the midface, playing a significant role both functionally and cosmetically.  Analyzing the medical records of maxillary fractures at Dr. Soetomo General Academic Hospital would offer an overview of the various treatments used and their corresponding outcomes were the aim of this study. This data would provide a general understanding of the patient's conditions during maxillary fracture treatment and could potentially support further research in this field. Methods: In this study, data on the profile, treatment, and management of maxillary fractures were taken from patient medical records at Dr. Soetomo General Academic Hospital between 2018 and 2020. Result: The study examined 144 cases of maxillary fractures at Dr. Soetomo General Academic Hospital, analyzing medical records and surgery reports from 2018 to 2020. Most of the patients (92.36%) were adult males (78.47%) aged between 18 and 64. The most common type of maxillary fracture observed was Le Fort 3 (47.22%), while other Le Fort classes accounted for fewer cases. The preferred treatment method was ORIF mini plating (81.25%), and the average hospital stay was around 12.56 days. Only one patient experienced post-treatment malocclusion in the 144 cases. In terms of complications, there were minimal instances of infections and exposed plates, with a total of four cases reported. Conclusion: The treatment outcomes at Dr. Soetomo General Academic Hospital showed lower incidence rates of post-surgical issues like malocclusion, infections, and exposed plates when compared to other current datasets.
Weight Gain in Type 2 Diabetes Mellitus Patients Receiving Sulfonylurea Medications at a Tertiary Hospital in Surabaya, Indonesia Respati, Ghagat Dresta Putra; Prajitno, Jongky Hendro; Setiawati, Rosy; Wironegoro, Rio
Current Internal Medicine Research and Practice Surabaya Journal Vol. 6 No. 1 (2025): 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.v6i1.52126

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Introduction: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by persistent hyperglycemia. The prevalence of diabetes in Indonesia is 1.5%, although East Java recorded a 2.1% rate in 2013. T2DM medications, such as sulfonylureas, may lead to hypoglycemia and weight gain. This study aimed to investigate the weight gain effects of sulfonylureas in T2DM patients at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Methods: This retrospective cross-sectional study used retrograde anamnesis on 41 T2DM patients receiving sulfonylurea medications for the preceding six months. The data were collected from medical records and interviews with the T2DM patients who received treatment at the Internal Medicine Clinic of Dr. Soetomo General Academic Hospital from January to June 2022. Results: Most patients were 46–65 years old (73.2%), female (51.2%), and had been diabetic for over 15 years (48.8%). The predominant medications administered to the patients were glimepiride (41.4%) and a combination of glibenclamide 5 mg, metformin 500 mg, and acarbose 100 mg (19.5%). Almost all patients took their medications in the morning before meals (92.6%). The average weight gain was 4.6 kg, with the glibenclamide and metformin combination resulting in a 17% incidence. Conclusion: T2DM patients who use sulfonylureas generally gain weight and exhibit specific traits, including being middle-aged, female, and diabetic for multiple years. The most commonly used sulfonylureas are glimepiride for monotherapy and glibenclamide for combination therapy with metformin and acarbose. Future research is required to understand weight gain in T2DM patients treated with sulfonylureas more comprehensively.   Highlights: 1. This study investigated weight changes in type 2 diabetes mellitus (T2DM) patients receiving sulfonylureas, with a special focus on the emergence of weight gain as a new problem in T2DM management. 2. The importance of this study pertains to its findings regarding weight gain in T2DM patients treated with sulfonylureas, offering additional data that aids in preventing adverse effects of the medications.
The Role of Lumbar CT Scan Anthropometric Parameters to Predict the Height of Indonesian Adults Afriliani, Nurmilia; Setiawati, Rosy; Violetta, Lenny
Global Medical & Health Communication (GMHC) Vol 13, No 1 (2025)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v13i1.14225

Abstract

Anthropometry, the study of human body measurements, is crucial in estimating stature, which is valuable in medical research, forensic science, anthropology, and ergonomic design. While various methods exist for estimating stature, lumbar spine measurements make a significant contribution to this estimation. This study aimed to analyze the relationship between lumbar spine dimensions and stature in the Indonesian population using three-dimensional computed tomography (3D CT) scan data. This analytical observational study, employing a cross-sectional approach, was conducted at the Department of Radiology, Dr. Soetomo General Academic Hospital, Surabaya, from August to September 2023. The key measurements included heights of the posterior, anterior, and central vertebral bodies from lumbar 1 to lumbar 5 (L1 to L5), transverse pedicle diameter, pedicle axis length, vertical pedicle diameter, and overall stature. The study included 66 subjects (30 males and 36 females). Males had an average height of 165.86 cm, while females had an average height of 155.85 cm. Significant gender differences were observed in heights of the posterior vertebral body (HPVB), heights of the central vertebral body (HCVB), and pedicle axis length (PAL) measurements. HPVB of L1 can be used as a predictor of height in females (p<0.001), whereas PAL of L5 can be used as a predictor of height in males (p=0.006). Lumbar spine dimensions measured using 3D CT scans provide reliable stature predictions, with specific measurements such as HPVB from L1 in females and PAL from L5 in males showing high accuracy. These findings support the development of population-specific anthropometric tools and enhance understanding of factors influencing stature in Indonesia.