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HUBUNGAN KARAKTERISTIK KLINIS DAN ETIOLOGI PADA PASIEN EFUSI PLEURA DI RSUP DR. MOHAMMAD HOESIN TAHUN 2019 Natasha Hutagalung; Susilawati - Susilawati; Rara Inggarsih
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 3 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I3.17558

Abstract

Efusi pleura adalah akumulasi yang berlebihan di dalam rongga pleura yang dapat disebabkan oleh perubahan tekanan hidrostatik dan onkotik di kapiler paru-paru, peningkatan permeabilitas kapiler membran pleura, dan obstruksi limfatik. Karakteristik klinis dari pasien sangat penting diketahui untuk membantu menegakkan etiologi dari efusi pleura.1 Jenis penelitian adalah analitik observasional dengan rancangan cross sectional menggunakan data sekunder yaitu rekam medik di bagian Patologi Anatomi RSUP Dr. Mohammad Hoesin Palembang. Sebanyak 96 sampel penelitian, karakteristik pasien efusi pleura paling banyak ditemukan berdasarkan usia yaitu 40–59 tahun sebanyak 56 orang (58,3%), jenis kelamin laki-laki sebanyak 60 orang (62,5%), lokasi efusi pleura pada paru bagian dekstra sebanyak 59 orang (61,5%), warna efusi pleura bewarna kemerahan sebanyak 58 orang (60,4%). Etiologi pada pemeriksaan sitologi non keganasan Lymphocytic effusion sebanyak 27 orang (28,1%) dan keganasan Adenocarcinoma sebanyak 17 orang (17,7%). Terdapat hubungan yang signifikan antara  usia dengan nilai P sebesar 0,042 (p<0,05) dan warna cairan pleura dengan nilai P sebesar 0,001 (p<0,05) terhadap etiologi pada pemeriksaan sitologi efusi pleura. Kesimpulannya terdapat hubungan yang signifikan antara  usia dan warna cairan pleura terhadap etiologi pada pemeriksaan sitologi efusi pleura. Karakteristik pasien efusi pleura paling banyak  ditemukan berdasarkan usia yaitu 40–59 tahun, jenis kelamin laki-laki, lokasi cairan pleura pada paru bagian dekstra, warna cairan pleura bewarna kemerahan. Etiologi pada pemeriksaan sitologi non keganasan Lymphocytic effusion dan keganasan Adenocarcinoma.Kata Kunci : Efusi Pleura, Karakteristik Klinis, Etiologi, Sitologi Kata kunci: Efusi Pleura, Karakteristik Klinis, Etiologi, Sitologi
HUBUNGAN ANTARA GEJALA KLINIS DAN LOKASI PERLENGKETAN LESI PADA PENDERITA ENDOMETRIOSIS Qherine Bhelqis; Hartati Hartati; Fatmawati Fatmawati; Firmansyah Seta Basyir; Rara Inggarsih
JURNAL KEDOKTERAN DAN KESEHATAN Vol 10, No 2 (2023)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V10I2.19953

Abstract

Endometriosis merupakan kondisi kronik dimana terjadi implantasi jaringan fungsional endometrium di luar kavum uterus.Diagnosis endometriosis cukup sulit dan sering tidak terdeteksi dalam waktu lama sehingga penelitian ini bertujuan untuk membantu penegakkan diagnosis lebih cepat karena dapat memperkirakan lokasi lesi lebih awal. Penelitian ini berjenis observasional analitik dengan pendekatan cross sectional dengan jumlah sampel berjumlah 102 pasien. Lokasi perlengketan terbanyak berada di uterus sebanyak 54 pasien (52,9%) dan gejala klinis yang paling banyak adalah dismenore yaitu sebanyak 71 pasien (69,6%).  Hubungan gejala dismenore dengan lokasi perlengketan di uterus didapatkan nilai p sebesar 0,732 dan hubungan gejala dispareunia dengan lokasi perlengketan di cul de sac didapatkan nilai p sebesar 0,525. Sedangkan penelitian tentang hubungan antara gejala klinis diskezia dengan lokasi di rektum menghasilkan nilai p value 0,031 dan nilai PR 10,90 (95% CI 1,19 – 99,78). Tidak ada hubungan yang bermakna antara gejala klinis dismenore dengan letak perlengketan di uterus dan hubungan antara gejala klinis dispareunia dengan letak perlengketan di cul de sac. Namun, terdapat hubungan antara gejala klinis diskezia dan lokasi perlengketan di rektum.
Characteristics Of Stress Urinary Incontinence (SUI) Patients In Dr. Mohammad Hoesin General Hospital On 2019 To 2021 Raisa Sabila; Hadrians Kesuma Putra; Rara Inggarsih
Biomedical Journal of Indonesia Vol. 8 No. 2 (2022): Vol 8, No 2, 2022
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/BJI.v8i2.150

Abstract

Introduction. Stress urinary incontinence (SUI) is a condition where urine comes out accidentally due to intraabdominal pressure increase when sneezing, coughing, laughing, or weightlifting. SUI often occurs in women and has a negative impact on quality of life. However, not many patients visit the hospital for treatment. This research aims to describe the characteristics of SUI patients in Dr. Mohammad Hoesin General Hospital 2019-2021. Methods. This research is a descriptive observational study with a cross-sectional approach using patient’s medical records in Dr. Mohammad Hoesin General Hospital 2019-2021. The sample in this study are 15 samples taken by total sampling. Results. This study found that SUI was common in patients aged 41-60 years (66,7%). The majority of patients were multiparous (93,3%) and had experienced menopause (86,7%). Most of the patients gave birth spontaneously (80,0%), were obese (53,3%), had a duration of the second stage labor >1 hour (60,0%), had given birth to a baby with birth weight ≥3.000 g (80,0%), and has had an episiotomy (73,3%). The majority of SUI patients had no history of neurological disorders (93,3%). Every SUI patients were treated with anterior colporrhaphy (100,0%). Conclusion. SUI often occurs in patients aged 41-60 years, multiparous, menopausal, obese in BMI, has a history of  >1 hour second stage labor, has given birth to a baby with a birth weight ≥3.000 g, and has had an episiotomy. SUI patients at Dr. Mohammad Hoesin General Hospital were treated with anterior colporrhaphy.
General Knowledge or The Use of Menstrual Cycle Tracking App among Medical Students at Sriwijaya University Zafira Alysha; Eka Handayani Oktharina; Liniyanti D. Oswari; Hadrians Kesuma Putra; Rara Inggarsih
Biomedical Journal of Indonesia Vol. 10 No. 2 (2024): Vol 10, No 2, 2024
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v10i2.186

Abstract

Introduction. As technology and science develop, the menstrual cycle can be known practically by using menstrual cycle tracking applications on gadgets. The many features in the application are an added value, so many women choose to use menstrual cycle tracking applications compared to other platforms. This research aims to identify the general level of knowledge or use of the menstrual cycle tracking app among medical students at the Faculty of Medicine Sriwijaya University. Methods. This type of research is descriptive using a survey. The sample in this study was female medical students at the Faculty of Medicine Sriwijaya University class 2018—2023 who fulfilled the inclusion and exclusion criteria. Sampling was collected by total sampling. Results.  In this study, 868 respondents participated, it was found that 467 (53.8%) had the highest level of knowledge, namely with “good” category. 685 (78.9%) controlled their menstrual cycles. 450 (65%) used a menstrual cycle tracking application with the most duration of use being ≥ 1 year 311 (49.8%). The most widely used application name is Flo My Health & Period Tracker 308 (66.5%). 294 (63.9%) chose the quite satisfied category for the level of satisfaction with using the application. In addition, 396 (86.1%) chose the sufficient category for the level of accuracy in using the application. Conclusion. Female medical education students at the Faculty of Medicine, Sriwijaya University have a general level of knowledge with the dominance of the category “good” and a usage rate of 467 (53.8%) in the menstrual cycle monitoring application.
Risk Factor Analysis of the Incidence of Placenta Previa at RSUP Dr. Mohammad Hoesin Palembang in 2020–2021 Dian Widia Lestari; Firmansyah Basir; Ziske Maritska; Hartati Hartati; Rara Inggarsih
Sriwijaya Journal of Medicine Vol. 5 No. 3 (2022): Vol 5, No. 3, 2022
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v5i3.156

Abstract

Placenta previa is a placenta that lies at the bottom of the uterus, above or very close to the internal cervical ostium. The exact cause of placenta previa is still unknown, but several factors have been associated with an increased risk of placenta previa. This study aims to determine the relationship between maternal age, parity, distance between pregnancies, history of placenta previa, history of cesarean delivery, history of curettage, assisted reproductive technology, multiple pregnancies, and fetal gender on the incidence of placenta previa at RSUP Dr. Mohammad Hoesin Palembang in 2020-2021. This study is an observational analytic study with a case control design. This study used secondary data from medical records of obstetric patients at RSUP Dr. Mohammad Hoesin Palembang in 2020-2021 that met the inclusion criteria and exclusion criteria. The study sample amounted to 100 people consisting of 50 cases and 50 controls. The results of bivariate analysis using the chi-square test and the fisher exact alternative test showed that maternal age (p=0.010), parity (p=0.038), history of cesarean delivery (p=0.000), and history of curettage (p=0.001) had a significant relationship with the incidence of placenta previa. Distance between pregnancies (p=0.204), history of placenta previa (p=0.242), and fetal sex (p=0.162) did not have a significant relationship with the incidence of placenta previa. The results of multivariate analysis using binary logistic regression test showed that the most influential risk factors for the incidence of placenta previa were history of cesarean delivery (OR=54.751) and history of curettage (OR=20.204). It can be concluded that a history of cesarean delivery and a history of curettage are the most influential risk factors for the incidence of placenta previa.