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All Journal e-CliniC JURNAL BIOMEDIK Journal of the Medical Sciences (Berkala Ilmu Kedokteran) PREPOTIF : Jurnal Kesehatan Masyarakat Medical Scope Journal (MSJ)
Harsali F. Lampus
Universitas Sam Ratulangi - RSUP Prof. Dr. R. D. Kandou
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Neuroscience Nursing Public Health

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Pediatric Pleomorphic Adenoma of Parotid Gland: A Case Report Suryoprabowo, Vincent; Lampus, Harsali F.; Candy, Candy; Saleh, Denny
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.56144

Abstract

Abstract: Pleomorphic adenoma is a type of tumor that affects the parotid glands. It is also called a benign mixed tumor (BMT) because it has both epithelial and myoepithelial cells. This type of tumor is the most frequent parotid gland tumor, making up about 66% of all such tumors in parotid glands. We reported a case of 12-year-old male patient with a lump on his parotid gland, measured 7x3x3cm at Prof. Dr. R. D. Kandou Hospital Manado. CT Scan results of neck region of the patient revealed that there was a mass in the right side colli area and right frontal sinusitis A histopathological examination of the tumor tissue showed that it was encapsulated by connective tissue and composed of proliferating epithelial and myoepithelial tumor cells, some with clear nuclei, arranged in solid and microcystic patterns, and interspersed with fibromyxoid stroma. The patient was diagnosed as parotid gland adenoma, therefore, a parotidectomy was performed on him. He was discharged home and advised to return for a check-up one week later to remove the stitches. At the two-month follow-up visit, he was stable and did not require any additional therapy. In conclusion, a parotidectomy shows good result in the patient with parotid gland adenoma. However, due to the recurrence rate of parotid gland malignancies, several oncologists prefer to observe the patient periodically trough follow up at policlinic. Early detection and right management are required to achieve the best prognosis. Keywords: pleomorphic adenoma; pediatric patient; parotid gland
Penggunaan Telemedicine untuk Penilaian Luaran Fungsi pada Pasien Osteoartritis Pinggul yang Telah Dilakukan Total Hip Arthroplasty Kambey, Stefan A. G. P.; Ngabalin, Jastin W.; Lampus, Harsali F.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.58527

Abstract

Abstract: The most common arthritis in the hip joint is due to joint wear and tear, osteoarthritis (OA). One of the most effective types of surgery to perform on hip OA is total hip arthroplasty (THA). This study aimed to determine the functional results of total hip arthroplasty surgery in cases of hip arthritis at Prof. Dr. R. D. Kandou Hospital Manado by using telemedicine. This was a descriptive study interviewing patients who underwent total hip arthroplasty in the period of January-November 2023 via video call. The Harris hip score (HHS) was measured before and after THA. The results showed that from five patients who underwent HHS evaluation before THA, all of them had poor scores (100%). Meanwhile, the HHS after THA showed that one patient had a poor score (20%), one patient had a fairly good score (20%), two patients had good scores (40%), and one patient had a very good score (20%), indicating increased HHS after THA in all patients. In conclusion, total hip arthroplasty is effective in hip arthritis patients. The telemedicine can be an alternative for evaluating patients with hip osteoarthritis after total hip arthroplasy who are difficult to be reached. Keywords: hip osteoarthritis; Harris hip score; total hip arthroplasty; telemedicine    Abstrak: Artritis yang paling umum terjadi pada sendi pinggul diakibatkan oleh keausan sendi atau  disebut osteoartritis (OA). Salah satu jenis operasi yang paling efektif untuk OA pinggul ialah total hip arthroplasty (THA). Penelitian ini bertujuan untuk mengetahui hasil fungsional pembedahan THA pada kasus OA pinggul di RSUP Prof. Dr. R. D. Kandou Manado menggunakan telemedicine. Jenis penelitian ini ialah deskriptif dengan mewawancarai pasien yang dilakukan total hip arthroplasty periode Januari-November 2023 via panggilan video. Nilai Harris hip score (HHS) diukur sebelum dan setelah dilakukan THA. Hasil penelitian memperlihatkan bahwa dari lima pasien yang dilakukan evaluasi HHS sebelum dilakukan THA, didapatkan semuanya memiliki skor kurang baik (100%). Setelah dilakukan THA dan dievaluasi menggunakan HHS didapatkan satu orang memiliki skor kurang baik (20%), satu orang memiliki skor cukup baik (20%), dua orang memiliki skor baik (40%), dan satu orang memiliki skor baik sekali (20%). Dengan kata lain terdapat peningkatan skor HHS setelah dilakukan THA pada semua pasien. Simpulan penelitian ini ialah total hip arthroplasty efektif dilakukan pada pasien dengan osteoartritis pinggul. Penggunaan telemedicine dapat menjadi alternatif untuk mengevaluasi pasien osteoartritis pinggul setelah total hip arthroplasty yang memiliki keterbatasan jarak untuk dijangkau. Kata kunci: osteoartritis pinggul; Harris hip score; total hip arthroplasty; telemedicine
Evaluation of Clinical Outcomes in Sport Participants Undergoing Anterior Cruciate Ligament Reconstruction Rawung, Rangga B. V.; Lengkong, Andriessanto C.; Lampus, Harsali F.; Bagy, Raynald G.; Sundah, Antony B. M.; Tooy, Christorei D.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59451

Abstract

Anterior cruciate ligament (ACL) injury is one of the most common musculoskeletal injuries. Evaluating the clinical outcomes of the ACL reconstruction (ACLR) procedure is essential to provide information regarding the benefits of this procedure. This study aimed to assess the clinical outcomes of patients who underwent ACLR at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective study. Secondary data were collected from all athlete patients who underwent ACLR. The ACLR procedure was performed by a single operator following the standard arthroscopic procedure. All grafts used Hamstring grafts (gracilis and semitendinosus). Suspense fixation was done using a button, while tibial fixation was done with interference fixation (bioabsorbable screw). Patients were evaluated over a short period, specifically at three months, six months, and nine months. Outcome parameters were assessed using the Visual Analog Scale (VAS), Range of Motion (ROM), Lachman test, Anterior Drawer test, and Knee Functional Score (KFS). Any complications that arose were documented. The results showed that among 21 patients at Prof. Dr. R. D. Kandou Hospital Manado, it was found that ACL injuries were more common in physically active men, especially in the age group of 26-30 years. Most patients who underwent ACLR had serious injuries that required immediate treatment. Hamstring graft was the most common choice (85.7%). Knee stiffness was the most common complication and required special attention during the rehabilitation program. Based on KFS, most patients successfully achieved good knee function recovery. There was a decrease in the VAS score reflecting the effectiveness of the procedure in reducing postoperative pain. There was an increase in the KSS reflecting the success of ACLR in restoring knee stability and function to almost normal levels. In conclusion, anterior cruciate ligament reconstruction in sport participants showed significant improvements in knee mobility and pain reduction, with low complications. Keywords: anterior cruciate ligament injury; anterior cruciate ligament reconstruction; graft fixation
Gambaran Hernia Inguinalis pada Anak di RSUP Prof. Dr. R. D. Kandou Manado Lampus, Harsali F.; Lombok, Jaquelin E.; Rawung, Rangga B.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.55438

Abstract

Abstract: Inguinal hernias is one of the most common surgical cases in children, especially in the first year of life. This study aimed to find out the general description related to inguinal hernias in children, such as age, sex, birth history, main complaints, family history, complications, and management. This was a retrospective and descriptive study by analyzing medical record data of inguinal hernia pediatric patients at Prof. Dr. R. D. Kandou Manado Hospital in the period of January 2021-June 2023. The results showed that the incidence of inguinal hernias in children according to medical record data was 40 patients. Variables with the highest percentages were age of 0-4 years (75%), male sex (90%), birth weight <2500 grams and gestation period <37 weeks, main complaint was a lump in the right groin (45%), no family history of inguinal hernia (87.5%), no complications (52.5%), and performed herniotomy (85%). In conclusion, inguinal hernia most often occurs in children of 0-4 years, male sex, birth weight less than 2500 grams, gestation period less than 27 weeks, a lump in the right groin as the main complaint, no family history with similar conditions, presenting without preoperative complications, and are treated with herniotomy. Keywords: inguinal hernia; children; indirect hernia; herniotomy    Abstrak: Hernia Inguinalis pada anak menjadi salah satu kasus bedah anak yang paling banyak dijumpai terlebih pada tahun pertama kehidupan. Penelitian ini bertujuan untuk mengetahui gambaran umum terkait hernia inguinalis pada anak seperti usia, jenis kelamin, riwayat persalinan, keluhan utama, riwayat keluarga, komplikasi dan penatalaksanaan. Jenis penelitian ialah deskriptif retrospektif dengan menganalisis data rekam medis pasien hernia inguinalis pada anak di RSUP Prof Kandou Manado periode Januari 2021-Juni 2023. Hasil penelitian mendapatkan angka kejadian hernia inguinalis pada anak menurut data rekam medis yaitu 40 pasien dengan usia terbanyak yaitu 0-4 tahun (75%), jenis kelamin terbanyak pada laki-laki (90%), lahir dengan berat badan <2500 gram (57,5%) dan masa gestasi <37 minggu (52,5%), dengan keluhan utama benjolan di lipat paha kanan (45%). Sebagian besar pasien tidak memiliki riwayat keluarga dengan hernia inguinalis (87,5%), dirawat belum dengan komplikasi (52,5%), dan sudah dilakukan tindakan operatif herniotomi (85%). Simpuplan penelitian ini ialah hernia inguinalis paling sering terjadi pada kelompok usia anak 0-4 tahun, jenis kelamin laki- laki, berat badan lahir <2500 gram dan masa gestasi <27 minggu, keluhan utama benjolan di lipat paha kanan, tidak memiliki riwayat keluarga dengan keadaan serupa, datang tanpa komplikasi pre operatif, dan penatalaksanaan dengan tindakan operatif herniotomi. Kata kunci: hernia inguinalis; anak; hernia indirek; herniotomi
PENGARUH KONFORMITAS TEMAN SEBAYA DAN KONTROL DIRI TERHADAP PERILAKU MEROKOK PADA SISWA SEKOLAH MENENGAH KEJURUAN Wurangian, Prisilia Karina; Wariki, Windy M. V.; Lampus, Harsali F.; Kairupan, Bernabas H. R.; Sinolungan, Jehosua S. V.; Taroreh, Mercy I. R.
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.41547

Abstract

Konformitas merupakan suatu perilaku yang ditampilkan oleh seseorang karena disebabkan orang lain juga menampilkan perilaku tersebut. Kontrol diri adalah kemampuan untuk mengendalikan dan meregulasi impuls atau dorongan, emosi, keinginan, harapan, dan perilaku lain yang berada di dalam diri. Kesadaran adalah keadaan seseorang di mana ia tahu/mengerti dengan jelas apa yang ada dalam pikirannya. Perilaku merokok adalah sesuatu aktivitas yang dilakukan individu berupa membakar dan menghisapnya serta dapat menimbulkan asap yang dapat terhisa. Tujuan penelitian ini adalah Untuk mengetahui pengaruh konformitas teman sebaya dan kontrol diri terhadap perilaku merokok pada siswa Siswa Menengah Kejuruan. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan studi analitik observasional menggunakan metode survei dan pembagian kuesioner dengan pendekatan cross sectional. variabel dalam penelitian ini variabel bebas Konformitas teman sebaya disekolah dan kontrol diri Variabel terikat Kesdaran dan perilaku merokok. Dalam penelitian ini yang menjadi instrumen penelitian yaitu kuesioner dari 4 peneliti sebelumnya. Hasil penelitian menunjukkan bahwa umur terbanyak yaitu 16 tahun (64,4%) dan yang paling sedikit yaitu 15 tahun (3,4%), jenis kelamin responden terbanyak yaitu laki-laki dengan jumlah 34 (57,6%), hasil pengaruh konformitas teman sebaya dengan kesadaran dan perilaku merokok pada siswa diperoleh nilai P-Value <0,005. Selanjutnya pengaruh kontrol diri dengan kesadaran dan perilaku merokok pada siswa diperoleh nilai P-Value <0,005. Kesimpulan terdapat pengaruh yang signifikan antara konformitas teman sebaya dan kontrol diri dengan kesadaran dan perilaku merokok.
Ovarian Cyst Torsion: A Case Report Lampus, Harsali; Rendy, Leo; Candy, Candy; Rangan, Andy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61259

Abstract

Abstract: Accidents involving ovarian cysts might include cyst rupture, hemorrhage, and torsion. Any girl who has abdominal pain or a pelvic or abdominal mass should be evaluated for ovarian torsion, a rare issue in the juvenile age group. We reported a 10-year-old girl presented with complaints of lower left abdominal pain that began three days prior to her hospital admission. Initially, the pain was intermittent but subsequently became persistent and intensified, with no pain-free intervals. CT-Scan of the abdomen – pelvis without contrast revealed cystic mass with fat components and intralesional calcification, in the suprapubic quadrant. The impression came from the ovary (difficult to determine the right/left ovary), which urged the bladder to the anteroinferior and urged the uterus to the posterior, suspected of mature cystic ovarian teratoma. The patient was managed with intravenous fluids (IVFD), antibiotics, and analgesics for pain control. Due to the high suspicion of ovarian torsion, emergency exploratory laparotomy was performed. Anatomical differences in the paediatric population and their effects on surgery were also be considered. Intraoperative findings confirming a left ovarian cyst measuring approximately 8 x 6 x 4 cm, which had undergone torsion twice. Detorsion was performed, and the ovary was found to be viable. Cystectomy was carried out, preserving healthy ovarian tissue. The right ovary appeared normal. In conclusion, this case underscores the importance of timely surgical intervention, even beyond the traditional "golden period" of 6–12 hours, as collateral blood supply may help maintain ovarian viability. The shift from oophorectomy to ovarian preservation in the management of ovarian torsion reflects evolving clinical practices, emphasizing better reproductive and long-term health outcomes. Early recognition, prompt imaging, and surgical intervention are crucial to preserving ovarian function and improving patient prognosis. This case also highlights the need for increased awareness of ovarian torsion in pediatric and adolescent populations, given its rarity and diagnostic complexity. Keywords: torsion cyst; ovarian cyst; paediatric surgery
Hubungan Tipe Fistula, Waktu Operasi, dan Toilet Training pada Malformasi Anorektal dengan Pola Defekasi Pascaoperasi Berdasarkan Skor Rintala Saputra, Sabrandi P.; Lampus, Harsali F.; Candy, Candy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61271

Abstract

Abstract: Anorectal malformation is a congenital abnormality in which the anus does not open normally into the perineum. In several studies, earlier surgery time has a better impact on patients. Toilet training performed postoperatively is assumed to help improve patient defecation patterns. This study is an observational analytical study with a retrospective cohort design. The population in this study were pediatric patients after surgery for Anorectal Malformation based on the Wingspread classification at Prof. R.D. Kandou General Hospital, Manado. The independent variables were fistula type, surgery time, and toilet training. In this study, the dependent variable was postoperative defecation pattern based on the Rintala Score. Bivariate analysis was used to analyze the relationship between independent variables and dependent variables. The Somers' D test was used to measure the relationship between categorical variables. The results showed that the variables namely fistula type, surgery time, and toilet training in anorectal malformation did not have statistically significant relationships with postoperative defecation pattern based on the Rintala score (p-value >0.05). The Rintala score does not always describe the anatomical or functional conditions of the anus in detail. In conclusion, there is no significant relationship between fistula type, surgery time, and toilet training in anorectal malformation with postoperative defecation pattern based on the Rintala score.   Keywords: anorectal malformation; fistula type; surgery time; toilet training; Rintala score   Abstrak: Malformasi anorektal merupakan sebagai salah satu kelainan bawaan dengan kondisi anus tidak membuka secara normal ke perineum. Toilet training yang dilakukan pascaoperasi diasumsikan membantu memperbaiki pola defekasi pasien. Penelitian ini bertujuan untuk mengevaluasi hubungan antara tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal dengan pola defekasi pascaoperasi berdasarkan skor Rintala. Jenis penelitian ialah analitik observasional dengan desain kohort retrospektif. Populasi penelitian ialah pasien anak pascaoperasi malformasi anorektal berdasarkan klasifikasi Wingspread di RSUP Prof. Dr. R. D. Kandou Manado. Variabel bebas ialah tipe fistula, waktu operasi, dan toilet training sedangkan variabel terikat ialah pola defekasi paska operasi berdasarkan Skor Rintala. Analisis bivariat digunakan untuk menganalisis hubungan kedua variabel, dan uji Somers’D untuk mengukur hubungan variabel kategori. Hasil penelitian ini yaitu variabel tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal tidak berhubungan bermakna secara statistik dengan pola defekasi pascaoperasi berdasarkan skor Rintala (p>0,05). Skor Rintala tidak selalu menggambarkan kondisi anatomis atau fungsional anus secara rinci. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal dengan pola defekasi pascaoperasi berdasarkan skor Rintala. Kata kunci: malformasi anorektal; tipe fistula; waktu operasi; toilet training; skor Rintala
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SEKSUAL PRANIKAH PADA REMAJA DI KELURAHAN BAHU KECAMATAN MALALAYANG KOTA MANADO Rorintulus, Shergina Junika; Doda, Diana V. D.; Lampus, Harsali F.
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.43681

Abstract

Perilaku seksual pranikah merupakan segala tingkah laku yang didorong oleh hasrat seksual tanpa melalui proses pernikahan. Tujuan penelitian untuk mengetahui faktor yang berhubungan dengan perilaku seks pranikah pada remaja di Kelurahan Bahu Kecamatan Malalayang Kota Manado. Penelitian ini merupakan penelitian penelitiam kuantitatif dengan desain studi cross sectional study. Populasi dalam penelitian ini 602 orang, Sampel dalam penelitian ini 235 orang dihitung menggunakan rumus lameshow. Instrument penelitian menggunakan kuesioner. Analisis data, Analisis bivariat menggunakan uji korelasi spearman. Analisis multivariant menggunakan analisis regresi logistik multinomial. Hasil analisis bivariat perilaku seksual pranikah pada remaja Pengetahuan (P=0,008), Sikap (P=0,000), Peran teman sebaya (P=0,000), Peran Orang tua (P=0,000), dan Pemahaman tingkat agama (P=0,338). Hasil analisis multivariat terdapat hubungan yang signifikan antara pengetahuan dengan perilaku seksual pranikah remaja dengan nilai OR=62,696 (95% CI: 4,107 - 957,082). Terdapat hubungan yang signifikan antara pengetahuan, sikap, peran orang tua, peran teman sebaya, usia dengan perilaku seksual pranikah pada remaja di Kelurahan Bahu Kecamatan Malalayang Kota Manado, faktor yang paling dominan terdahap perilaku seksual pranikah remaja adalah pengetahuan.
Co-Authors . Ahmadwirawan . Prihantono . Sulmiati Abd. Rasyid Syamsuri Alwin Monoarfa Andi Alfian Zainuddin Andreas Kurniawan Andy A. Rangan Angelica M. J. Wagiu Angelica M. J. Wagiu, Angelica M. J. Antony B. M. Sundah Axel P. Lumi B H. R. Kairupan Bagy, Raynald G. Candy Candy Candy Candy Candy, Candy David S. Kereh, David S. Doda, Diana V.D. Elfianto D. Corputty Farid Nurmantu Heber B. Sapan, Heber B. Hebert B. Sapan, Hebert B. Hendri . Indah J. Umboh, Indah J. Jehosua S. V. Sinolungan Jeiny Thomas Kalampung, Jendry Kambey, Stefan A. G. P. Karundeng, Billy Lengkong, Andriessanto C. Leo Rendy Leo Rendy Leo Rendy Lily L. Loho Lombok, Jaquelin E. Margali Asalia Matthew A Kumaat Mercy Taroreh Nathaniel Pali Nazzirah Al Ammari Ngabalin, Jastin W. Nico Lumintang Nita Mariana Novia D. Yantika Pali, Nathaniel Rangan, Andy Rawung, Rangga B. Rawung, Rangga B. V. Reinaldo Sunggiardi Richard Monoarfa Ridhoni, Muhammad Rorintulus, Shergina Junika Sabrandi P. Saputra Saleh, Denny Saputra, Sabrandi P. Sorongku, Ronald Suharso, Tommy Sumangkut, Richard Suryoprabowo, Vincent Syaugi M. Assagaf, Syaugi M. Tangel, Stephanus J. Ch. Tommy R. Habar Tooy, Christorei D. Tri M. Ibrahim Tuju, Ester J. Wariki, Windy M. V. Wurangian, Prisilia Karina Yadi Pasinggi, Yadi