Ilhami Romus
Department Of Pathology Anatomy, Faculty Of Medicine, Universitas Riau, Pekanbaru

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Gambaran Hasil Pemeriksaan Sitologi Cairan Asites di Instalasi Patologi Anatomi RSUD Arifin Achmad Provinsi Riau Periode Januari 2013 – Desember 2017 Ilhami Romus; Ina Farida Rangkuti; Vini Jum’atur Rahmah
Jurnal Ilmu Kedokteran Vol 13, No 1 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.256 KB) | DOI: 10.26891/JIK.v13i1.2019.51-57

Abstract

Ascites is abnormal accumulation fluid in the peritoneal cavity. Many underlying disease can be responsible for causing ascites. Peritoneal fluid cytology remains the gold standard for detection of malignant cells in ascites which is useful in determining staging, treatment and prognosis. This aim of this study is to describe the characteristic of the result ascitic cytology examination at Anatomical Pathology Department of Arifin Achmad Hospital Period January 2013 – December 2018. This study reviewed the anatomy pathology data. A total of 171 cases consisted of 91.8% were females and males were 8.2%. The highest number cases were in the age group of 41-50 years (26.9%). Most ascitic fluid came from Department of Obstetric and Gynecology (81.9%). The more frequent clinical diagnosis were ovarian carcinoma (19.3%) and ovarian cyst (18.7%). Most ascitic cytology examination results was positive cytology (64,9%). Adenocarcinoma was commonest positive cytology (46,2%).
Profil Klinikopatologik Biopsi Massa Kolorektal di Instalasi Patologi Anatomi RSUD Arifin Achmad Provinsi Riau Periode Januari 2015 - Desember 2019 Ilhami Romus; Khairun Nisa'
Jurnal Ilmu Kedokteran Vol 15, No 1 (2021): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v15i1.2021.32-40

Abstract

Colorectal masses can be non-neoplasm, benign neoplasm and malignant neoplasm. Diagnosis of colorectal mass can be done by biopsy or surgery then followed by histopathological examination. The aim of this study was to described the histopathology feature of colorectal mass biopsy in the Anatomic Pathology Laboratory of Arifin Achmad Regional Hospital in Riau Province January 2015 - December 2019. This study found 304 cases consisted of men (55,6%) and women (44,4%). The highest number of cases was in the 50-59 years age group (29,3%). The Malays (17,8%) was the largest ethnic group. The highest occupation was housewives (22%). Rectal tumor (73,1%) was the most common clinical diagnosis. The histopathological examination results of colorectal mass biopsy were non-neoplasm (26,7%), benign neoplasm (1,3%), and malignant neoplasm (72%). Adenocarcinoma was the most common biopsy histopathologic feature of malignant neoplasm (64,8%).
Efek Pemberian Asam Alfa Lipoat pada Histopatologi Aorta Torakalis Tikus Diabetes Melitus Tipe 2 Rijalun Arridho; Ismawati Ismawati; Enikarmila Asni; Ilhami Romus
Jurnal Ilmu Kedokteran Vol 14, No 1 (2020): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v14i1.2020.33-38

Abstract

Atherosclerosis is arterial wall’s disease initiated by lipid retention, oxidation, and modification, provoking chronic inflmmation ultimately causing stenosis and thrombosis. This study investigated the effect of alpha lipoic acid (ALA) on thoracic aorta type 2 diabetic rat. Fifteen adult male rat of Rattus novergicus Wistar strain were separated into three groups (n=5), there were labelled as control, type 2 diabetes (DM), and DM + ALA. Type 2 diabetic rats were induced by streptozotocin (50 mg/kg bodyweight) and nicotinamide (110 mg/kg bodyweight) and categorized as diabetic rat if blood glucose level >250 mg/dl. Alpha lipoic acid was administered via intraperitoneal (60 mg/kg/day) and conducted for 3 weeks. The measured parameter was atherosclerosis lesion score. Results showed that there was no significant difference in atherosclerosis lesion scores between all groups designed (p=0,071). It can be concluded that ALA did not have a significant effect on atherosclerosis lesion of thoracic aorta type 2 diabetic rat.
Hubungan Gangguan Fungsi Kognitif dengan Hipertensi Menggunakan Montreal Cognitive Assessment Versi Indonesia (Moca-Ina) Enny Lestari; Melfi Riqqah; Ilhami Romus
Jurnal Ilmu Kedokteran Vol 11, No 1 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.074 KB) | DOI: 10.26891/JIK.v11i1.2017.12-18

Abstract

High blood pressure associated with a reduction of cognitive function in young adults and older age. One of cognitiveimpairment examination is Montreal Cognitive Assessment (MoCA). The aim of this study is to determine the correlationbetween impaired cognitive function with hypertension by using MoCA–INA in the elderly people at Tresna WerdhaKhusnul Khotimah nursing home Pekanbaru. This research obtained the incidence of impaired cognitive function inelderly people at Tresna Werdha Khusnul Khotimah nursing home Pekanbaru as many as 28 subjects (90.3%).Hypertension in the elderly at Tresna Werdha Khusnul Khotimah nursing home Pekanbaru were 23 subjects consistof 6 subjects (19.35%) with controlled hypertension and 17 subjects (54.84%) with uncontrolled hypertension. Theresults of statistical test by using Fisher test obtained p value as big as 1.000 (p>0.05). This shows there is nosignificant correlation between impaired cognitive function with hypertension in the elderly people at Tresna WerdhaKhusnul Khotimah nursing home Pekanbaru.
Profil Kasus Endometriosis di RSUD Arifin Achmad Provinsi Riau Periode 1 Januari 2012 – 31 Desember 2016 Dini Fatimah; Imelda E.B Hutagaol; Ilhami Romus
Jurnal Ilmu Kedokteran Vol 12, No 1 (2018): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (44.586 KB) | DOI: 10.26891/JIK.v12i1.2018.39-45

Abstract

Endometriosis is endometrial tissue (glands and stroma) that grow outside of the uterus. The goal of this research was to see the profile of endometriosis cases in Arifin Achmad general hospital in Riau province. The research method used is descriptive with cross-sectional approach. Based on patient characteristics, highest education was SMA (47,9%), majority patients cames from Pekanbaru city (58,8 %), the patients were at reproductive age (92.6%), most patients were nullipara (54.8%). Anatomical location were 45.1% located in the ovarium. The most common clinical symptom was dysmenorrhea (36.2%), 49.5% were stage 4, and the most frequently performed was laparotomy (71.8%). The conclusionof this study were endometriosis found primarily in reproductive and nulliparous ages, the most common anatomic location was in the ovarium and classified in stage 4, the most clinical symptom was  dysmenorrhea, and the most common operative action was laparotomy.
Eosinophilic Ascites Due to Eosinophilic Gastroenteritis – Cytological Approach Ilhami Romus
Jurnal Ilmu Kedokteran Vol 11, No 2 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.073 KB) | DOI: 10.26891/JIK.v11i2.2017.47-51

Abstract

Eosinophilic ascites (EA) merupakan kasus yang sangat jarang. EA merupakan gejala yang paling jarang dari penyakitgastroenteritis eosinofilik (EGE). EA terjadi karena adanya edema dan peradangan eosinofilik dari lapisan serosa usushalus dan dapat melibatkan segmen lain pada saluran gastrointestinal. Kami melaporkan kasus seorang wanita berusia19 tahun dengan gambaran mikroskopik sitologi cairan asites tampak eosinofil yang cukup padat dan pemeriksaanhistopatologi dari biopsi lambung menunjukkan infiltrasi eosinofil. Data klinis menunjukkan adanya nyeri abdomendifus, mual, distensi abdomen, ascites sedang, dan diare. Hasil Magnetic Resonance Imaging (MRI) menunjukkanadanya penebalan dinding usus halus difus dan tidak mendeteksi keganasan primer. Hasil tes laboratorium menunjukkaneosinofilia pada pemeriksaan darah tepi, kadar IgE serum meningkat dan negatif untuk infeksi parasit. Pasien mendapatkanterapi SLE selama 1 tahun tanpa perbaikan yang nyata. Pengobatan dengan kortikosteroid menormalkan hasil teslaboratorium dan asites teratasi segera. EGE merupakan kasus yang langka dan harus diingat pada pasien dengangejala ascites yang tidak diketahui penyebabnya.
Eumisetoma pada Toraks dan Abdomen: Suatu Kasus Jarang Jimy Fran; Istiana Fiatiningsih; Ilhami Romus
Jurnal Kesehatan Andalas Vol 10, No 3 (2021): Online November 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i3.1803

Abstract

Mycetoma is a chronic granulomatous infectious disease of the skin, subcutis, fascia and bones caused by bacteria (actinomycetoma) or fungi (eumycetoma) in adults aged 20-40 years old, male to female ratio is 3,7:1 respectively. The clinical finding is a painless, solid and cold subcutaneous node. It has been reported a 43-year-old woman with a painless suppurative lump in her chest, stomach, armpits and legs in the past year. The lump were hypertrophic scars, atrophic scars, nodules and erythematous papules with pustules and sinuses, which excretes exudate greenish-yellow. The patient had a history of working in an oil palm farm. Histopathological examination of hematoxylin-eosin showed suppurative granulomatous inflammation consisting of epitheloid histiocytes, solid lymphocytes and neutrophils, and datia cells. PAS (Periodic acid-Schiff) staining showed positive results. The diagnosis of deep mycosis eumycetoma was confirmed based on physical examination and histopathological examination. Eumycetoma is a rare deep fungal disease. Supporting investigations such as direct microscopy, histopathology with biopsy, and culture are needed to establish the diagnosis. The therapies are antifungal drugs and surgery. Death is possible if the infection occurs in the chest or head cavity.Keywords: deep mycosis, eumycetoma, granules, mycetoma, sinuses
PENGARUH PENYULUHAN TERHADAP PENGETAHUAN DAN SIKAP IBU PKK TENTANG PEMERIKSAAN PAYUDARA SENDIRI (SADARI) Huda Nuri Suraya; Ilhami Romus; Suyanto "
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTBackground: Counseling is one of the approaches attempt to improve the knowledge and attitudes. This study aimed to determine the effect of counseling on knowledge and attitudes Family Welfare Movement about breast self examination (BSE) at Tangkerang Timur District of Pekanbaru. BSE is one of the method for early detection of breast cancer. Materials and Methods: A analitic one group pretest-postest that using questionnaire was conducted amongst 36 person Family Welfare Movement at Tangkerang Timur District, Pekanbaru. Measurement data of knowledge and attitudes took 2 times, before and after counseling. The counseling perform using presentation method and pantom simulation. Results: The result of knowledge and attitudes about BSE before and after counseling is that the knowledge level before counseling on the respondent in high category is about 22 (61,1%) respondent and low category is about 14 (38,9%) respondent. After the counseling, there was incerasing number of respondent whom in high category to be 26 (72,2%) respondents and decreasing number of respondent in low category to be 10 (27,8%) respondent. The attitude level before counseling in categorized positive which 19 (52.8%) of respondents and negative categories is 17 (47.2%) of respondents. After counseling an increase of respondents are positive that 22 (61.1%) of respondents and decrease the negative attitude of the respondents is 14 (38.9%). The changes in knowledge and attitudes group Family Welfare Movement about knowing before and after counseling by using Mc.Nemar test obtained Significancy figures show the number 0.388 to 0.549 for the knowledge and attitudes. The p-value of 0.05, the results indicate a change in knowledge and attitudes about BSE before and after counseling, but not significant. Multivariate analysis was discontinued because the bivariate analysis has a value of p> 0.25. Conclusion: The counseling influence on improving knowledge and attitudes Family Welfare Movement RW IX Tangkerang Timur District.Keywords: knowledge, Attitude, counseling, breast self examination
PENGARUH PENYULUHAN TERHADAP PENGETAHUAN DAN SIKAP IBU PKK TENTANG PEMERIKSAAN PAP SMEAR Shabrina Sari Medina; Ilhami Romus; Suyanto "
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACTBackground: Counseling is one of the approach attempts to improve theknowledge and attitude. This study aimed to know the influence of counselingtoward Family Welfare Movement’s knowledge and attitude about pap smear atTangkerang Timur District of Pekanbaru. Pap smear is one of the method forearly detection of cervical cancer.Materials and Methods: One group pretestpostestanalytic method that using questionnaire was conducted amongst 35persons of Family Welfare Movement at Tangkerang Timur District, Pekanbaru.The measurement of knowledge and attitude conduct 2 times, before and aftercounseling. The counseling perform used presentation method.Results:The resultof knowledge and attitude about Pap Smear when before and after counseling wasthat the knowledge level before counseling on the respondents in high categorywas 20 (57,1%) respondents and low category was 15 (42,9%) respondents. Afterthe counseling, there was incerasing number of respondents whom in highcategory became 26 (72,2%) respondents and decreasing number of respondentsin low category became 9 (25,7%) respondents. Before counseling, respondentswith positive attitude was 22 (62,9%) respondents and negative attitude was 13(37,1%) respondents. After counseling, there was increasing number ofrespondents with positive attitude became 27 (77,1%) respondents anddecreasing number of respondents with negative attitude became 8 (22,9%)respondents. Using Mc.Nemar test, the changes on knowledge and attitude ofFamily Welfare Movement group about pap smear before and after counselingshowed the significancy value was 0,210 for knowledge and for 0,267 attitude.The p-value was 0.05, then the result showed that there was a change inknowledge and attitudes about pap smear before and after counseling, but notsignificant. Multivariate analysis was discontinued because bivariate analysishadp value >0,25.Conclusion: The counseling is influence on improving knowledgeand attitude of Family Welfare Movement RW IX Tangkerang Timur District.Keywords: knowledge, Attitude, counseling, pap smear
Alpha Lipoic Acid Inhibits Expression of Intercellular Adhesion Molecule-1 (ICAM-1) in Type 2 Diabetic Mellitus Rat Models Ismawati Ismawati; Enikarmila Asni; Mukhyarjon Mukhyarjon; Ilhami Romus
The Indonesian Biomedical Journal Vol 12, No 1 (2020)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v12i1.906

Abstract

BACKGROUND: Diabetes mellitus (DM) is associated with an accelerated atherosclerotic macrovascular disease affecting medium-sized arteries. Several evidences support the role of oxidative stress in atherogenesis. However, the role of alpha lipoic acid (ALA) to prevent atherosclerosis is still debatable. This study was conducted to determine the effect of 60 mg/kg/day ALA for 21 days toward the expression of intercellular adhesion molecule-1 (ICAM-1) in rat model.METHODS: Eighteen male rats were divided into three groups labelled as control group, type 2 DM (T2DM) group, and T2DM+ALA group. The T2DM rat models were created by intraperitoneally injecting 50 mg/kg streptozotocin, followed by 110 mg/kg nicotinamide. Immunohistochemistry was used to evaluate the ICAM- 1 expression in rats. Quantitative image analysis of immunohistochemical stains was done on the abdominal aorta using Adobe Photoshop CS3 to find the area percentage and intensity. Kruskal-Wallis and Mann-Whitney tests were used to compare the mean value of area percentage and intensity.RESULTS: There was an increase in area percentage and intensity of ICAM-1 expression. The highest area percentage of ICAM-1 expression was found in the DM group, while the lowest was found in the control group. There were significant differences in the area percentage and intensity between DM+ALA group and DM group, where the area percentage and intensity of ICAM-I in DM group was higher than the DM+ALA group.CONCLUSION: In conclusion, our results demonstrate that ALA inhibits the expression of ICAM-1 in T2DM rat models.KEYWORDS: atherosclerosis, ICAM-1, alpha lipoic acid