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All Journal Majalah Kedokteran Bandung Nusantara Hasana Journal
Jefri Henky
Universitas Baiturrahmah
Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Education Medicine & Pharmacology Nursing

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Correlation between Head Computed Tomography Scan, Pre-operative Blood Lactate, and Pre-operative Glucose Level in Acute Traumatic Subdural Hematoma Jefri Henky; Ahmad Faried
Majalah Kedokteran Bandung Vol 53, No 2 (2021)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v53n2.2364

Abstract

Acute traumatic subdural hematoma (SDH) is a focal brain injury resulting in alteration of cerebral perfusion and glucose metabolism, which would also results in hyperglicemia-induced-hyperlactatemia. A cross-sectional study was performed to analyze acute traumatic SDH patients by head CT scan and observe the effect on pre-operative blood lactate and blood glucose levels in 40 acute traumatic SDH patients at Dr. Hasan Sadikin Hospital, Bandung, Indonesia during the period of July-September 2013. Somers' D correlation were used in the analysis with a p-value of ≤0.05 considered as significant with 95% confidence interval. The mean values of pre-operative blood lactate and blood glucose levels were 3.16±1.49 mmol/L and 155.85±32.95 mg/dl, respectively with a strong positive correlation between the hematoma thickness and the increase in blood lactate (r= 0.656; p= 0.021) and a moderate positive correlation with increased blood glucose (r= 0.556; p= 0.025). In addition, the compressed cistern also had a very weak positive correlation with increase in blood lactate (r =0.156; p=0.043) and very weak positive correlation with increase in blood glucose (r= 0.139; p=0.056) while the midline shift had a weak positive correlation with increased blood lactate (r=0.353; p= 0.041) and a weak positive correlation with increased blood glucose (r = 0.333; p= 0.046). In conclusion, increased hematoma thickness, compressed cistern, and midline shift seen on head CT scan correlate with increasing blood lactate and glucose levels in acute traumatic SDH. Head CT scan, blood lactate level, and blood glucose level can be considered as one of the routine examinations to determine acute traumatic SDH severity at the macroscopic and cellular level.
Functional Recovery of Rare Case of Sciatic Nerve Schwannoma with Peripheral Nerve Block and without Intraoperative Neurophysiological Monitoring Jefri Henky; Ahmad Faried
Majalah Kedokteran Bandung Vol 52, No 2 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (72.4 KB) | DOI: 10.15395/mkb.v52n2.1996

Abstract

Schwannoma are benign peripheral nerve tumors derived from the Schwann cells in the neural sheath. Sciatic nerve schwannoma in the lower extremity is uncommon, accounting for only 1% of all schwannoma cases. This report aimed to describe the functional recovery after lower limb surgery of sciatic nerve schwannoma with peripheral nerve block and without intraoperative neurophysiological monitoring (IOM) performed in Semen Padang Hospital in 2019. A 78-year-old woman presented with a complaint of pain on her slowly growing mass at the right popliteal region, which had existed for 22 years. Microsurgical resection was performed with local peripheral nerve block and without intraoperative neurophysiological monitoring. Tumor was removed en-bloc by sharp dissection using a microscope without any complication. The patient had significant pain relief without any neurologic deficit three weeks after the surgery. Penyembuhan Secara Fungsi Kasus Langka Schwannoma Saraf Sciatic dengan Blok Saraf Perifer Tanpa Pemantauan Neurofisiologis Intraoperatif Schwannoma adalah tumor saraf tepi jinak yang berasal dari sel Schwann dalam selubung saraf. Pada ekstremitas bawah, schwannoma saraf sciatic jarang terjadi, terhitung 1% dari semua schwannoma. Laporan ini bertujuan menggambarkan pemulihan fungsional dengan blok saraf perifer setelah operasi tungkai bawah schwannoma saraf sciatic tanpa pemantauan neurofisiologis intraoperatif (IOM) di Rumah Sakit Semen Padang, 2019. Seorang wanita 78 tahun datang dengan keluhan nyeri pada massa yang tumbuh perlahan di daerah popliteal kanannya selama 22 tahun. Reseksi bedah mikro dilakukan dengan blok saraf perifer secara lokal dan tanpa pemantauan neurofisiologis intraoperatif. Tumor terangkat secara en-bloc dengan diseksi tajam menggunakan mikroskop tanpa ada komplikasi. Pada minggu ketiga pascaoperasi, pasien mengalami pengurangan rasa sakit yang signifikan tanpa defisit neurologis.
KORELASI KEJADIAN LOW BACK PAIN TERHADAP BERAT BEBAN KERJA PADA PEKERJA PEMETIK TEH DI PTPN VI KAYU ARO Jefri Henky; Eko Perdana Putra; Nabilah Luthfianazla
Nusantara Hasana Journal Vol. 6 No. 1 (2026): Nusantara Hasana Journal, June 2026
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v6i1.2205

Abstract

Low back pain (LBP) is a very common health problem that can limit activity. There are several risk factors can influence the incidence of LBP, including individual characteristics such as age, gender, height, and bodyweight. In addition, occupational factors such as workload weight and work position can increase the risk of LBP. The weight of the load lifted can affect workers' health, such as causing pain or injury to the back. This study aims to determine the correlation between workload weight and the incidence of LBP among tea pickers at PTPN VI Kayu Aro. This type of research is a correlative analytic with a prospective cohort study design, with 62 samples using a consecutive sampling technique. Data collection was carried out by conducting interviews and assessing the work positions of tea pickers with the OWAS assessment form. Univariate data analysis is presented in the form of frequency distributions and percentages, while bivariate data analysis uses a contingency correlation test using the SPSS program version 22.0. Based on the results of the study, the most common age group is 36-45 years old, amounting to 22 people (35.5%), the most common gender is female, amounting to 46 people (74.2%), the average height is 167 cm, the average weight is 54 kg, as many as 46 people (74.2%) lift heavy category loads, the most workers work in category 2 work positions, namely 52 people (83.9%), most tea pickers experience LBP, namely 52 people (83.9%), there is a relationship between the weight of the workload and the incidence of LBP in PTPN Kayu Aro tea pickers with p value = 0.007 (p<0.05).
Co-Authors Ahmad Faried Eko Perdana Putra Nabilah Luthfianazla