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Difficulty in Diagnosing Secondary Peripheral Chondrosarcoma: Radiology versus Anatomical Pathology Ruhimat, Undang; Hendarin, Arie
Journal of Medicine and Health Vol 1, No 4 (2016)
Publisher : Maranatha Christian University

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Chondrosarcoma is a malignant tumor derived from bone cartilage. This tumor can be either primary or secondary. Secondary chondrosarcoma has some differences compared to the primary type i.e. the incidence is rarer, the younger age group, and many are low grade. The authors report a case of a 26-year-old man came to Hasan Sadikin Hospital with a chief complaint of a lump in the right thigh with mild pain since 5 months before consulation that is increasingly enlarging. After undergoing physical and radiological examinations, the patient was diagnosed with suspect chondrosarcoma in right thigh. Histopathologic examinations were performed 2 times, one of which used ultrasound guidance, giving a diagnosis of chondroma in right thigh. However the lesion was finally treated as chondrosarcoma. We suspected that the patient was more likely to suffer from secondary peripheral chondrosarcoma originating from malignant transformation of multiple osteochondromas. As widely known, it is almost impossible to differentiate between the low grade chondrosarcoma and chondroma with full certainty and this poses a classical problem in diagnostic medicine. Case described here was an example of the difficulty in distinguishing between these two diseases.Â Key words: secondary chondrosarcoma, peripheral chondrosarcoma, chondrosarcoma arising Â in osteochondroma

Complications of Fracture Treatment by Traditional Bonesetters in West Java, Indonesia Warman, Putri Liana; Ismiarto, Yoyos Dias; Ruhimat, Undang
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

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Background: Traditional medicine practices are still occurring especially in developing countries such as Indonesia. One of the traditional practitioners is the traditional bonesetter (TBS). Due to lack of knowledge of human anatomy, physiology, infection prevention and control, the practices of the TBS has a risk to increase the complications in fractured patients. The objectives of this study was to identify the complications of fractured patients treated by the TBS who were admitted to dr. Hasan Sadikin General Hospital in West Java, IndonesiaMethods: This descriptive study involved 86 medical records of fractured patients admitted to the hospital, from January to December 2014. The collected data were gender, age, admission time after occurrence of the fracture, site of the fracture and early or delayed complications. Moreover, those data were analyzed and presented using frequency tabulation. Results: Out of 86 patients; 61 (70.93%) were males; 16 (18.60%) were 21â30 years old; 25 (29.07%) had fractures 1â3 months before admitted to the hospital; 83 (96.51%) had closed fractures. There were 86 patients with 109 fractures location; 66 (76.74%) had fractures in one location; 41 (37.61%) had femoral fractures. Half of the patients had malunion.Conclusions: The most complication is malunion.Â

DAYA HAMBAT INFUSUM DAUN SEMBUNG (Blumea balsamifera) TERHADAP PERTUMBUHAN BAKTERI Escherichia coli DENGAN METODE DIFUSI CAKRAM Ruhimat, Undang
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 13, No 1 (2015)
Publisher : STIKes BTH Tasikmalaya

Daun sembung (Blumea balsamifera) merupakan salah satu tanaman yang bisa dimanfaatkan sebagai obat tradisional. Zat aktif yang terdapat dalam daun sembung (Blumea balsamifera) antara lain tanin dan saponin yang berfungsi sebagai antibakteri. Tujuan dari penelitian ini adalah untuk mengetahui konsentrasi daya hambat infusum daun sembung (Blumea balsamifera) terhadap pertumbuhan bakteri Escherichia coli.Variasi konsentrasi infusum dibuat dengan rentang 10%-100% dengan kepadatan bakteri 3x108 /ml. Metode yang dipakai pada penelitian ini adalah metode Kirby-Bauer.Dari pengamatan diketahui infusum daun sembung (Blumea balsamifera) dapat menghambat pertumbuhan bakteri Escherichia coli pada konsentrasi 90% yaitu 4,2 mm.Kesimpulannya bahan infusum daun sembung (Blumea balsamifera) memiliki daya hambat terhadap pertumbuhan bakteri Escherichia coli.

PENGARUH PUASA TERHADAP KEJADIAN CONTRAST-MEDIA INDUCED NEPHROPATHY (CIN) PADA PEMERIKSAAN CT-SCAN SETELAH PEMBERIAN KONTRAS INTRAVENA Ruhimat, Undang; Kuntara, Atta; Togatorop, Mariana Rosalinda
Majalah Kedokteran Bandung Vol 49, No 1 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Pasien puasa sebelum dilakukan prosedur CT-scan dengan kontras untuk mencegah aspirasi yang mungkin terjadi akibat efek samping kontras. Puasa menyebabkan gangguan hidrasi ditambah dengan risiko nefropati yang diinduksi kontras contrast-media induced nephropathy (CIN). Peningkatan kreatinin setelah pemeriksaan dapat memprediksi timbulnya nefropati akibat kontras. Penelitian ini bertujuan mengetahui pengaruh puasa terhadap kejadian CIN. Penelitian merupakan studi deskriptif analisis dengan rancangan penelitian kasus kontrol. Subjek penelitian diambil melalui teknik consecutive random sampling pasien di Departemen Radiologi Rumah Sakit Dr. Hasan Sadikin Bandung dari bulan April?September 2012. Sebanyak 28 pasien dibagi 2 kelompok, yaitu kelompok yang mengalami peningkatan kreatinin setelah penyutikan kontras dalam 48?72 jam sebagai kelompok kasus dan kelompok yang tidak mengalami peningkatan kreatinin setelah penyuntikan kontras sebagai kelompok kontrol.Hasil penelitian menunjukkan, tidak terdapat perbedaan bermakna pada pasien puasa setelah dilakukan CT-scan dengan media kontras yang mengalami peningkatan kreatinin dan yang tidak mengalami peningkatan kreatinin (p=0,91). Terdapat hubungan usia dengan CIN pada pasien yang menjalani pemeriksaan CT dengan kontras intravena (p=0,008), dan tidak terdapat hubungan antara lama puasa dan CIN (p=0,967). Simpulan, tidak terdapat pengaruh kejadian CIN pada pasien yang menjalani pemeriksaan CT-scan dengan kontras intravena pada usia muda dan terdapat pengaruh pada usia lanjut. [MKB. 2016;49(1):55?60] Kata kunci: CT-scan, CIN, peningkatan kreatinin, puasa Effect of Fasting on the Contrast Media-Induced Nephropathy (CIN) Occurrence in CT Scan Examination after Intravenous Contrast Injection Fasting before contrast enhanced CT-scan procedure is applied to prevent aspiration that may occur as a side effect of intravenous contrast. Fasting causes hydration disruption with the risk of contrast-induced nephropathy (CIN). Increased creatinine immediately after examination using contrast can predict the incidence of contrast nephropathy. The research subject was taken through consecutive random sampling technique at Department of Radiology Dr. Hasan Sadikin General Hospital Bandung from April?September 2012. This descriptive analysis study with case-control study design aimed to determine the effect of fasting on the occurrence of CIN. Subjects were recruited through consecutive random sampling technique. A total of 28 patients were divided into 2 groups: group experienced an increase in creatinine after contrast injection within 48?72 hours as the case group and the group that did not experience an increase in creatinine after intravenous contrast injection as the control group. Results showed no significant differences between fasting patients who experienced increased creatinine and who did not experience increased creatinine (p=0.910) after a CT scan with contrast medium There was a relationship between age and CIN in patients undergoing CT-scan with intravenous contrast (p=0.008) and there was no relationship between long fasting and CIN (p=0.967). It is concluded statistically that fasting in patients undergoing CT-scan with intravenous contrast at a young age does not affect the incidence of CIN; however, effect is seen in elderly patients. [MKB. 2016;49(1):55?60]Key words: CT scan, CIN, fasting, increased creatinine

KADAR ADIPONEKTIN SEBAGAI FAKTOR RISIKO PENEBALAN TUNIKA INTIMA MEDIA ARTERI KAROTIS Juanda, Hadi; MA, Toni; Ruhimat, Undang; Suardi, Ernijati
Majalah Kedokteran Bandung Vol 41, No 2
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Penyakit kardiovaskular masih merupakan masalah kesehatan dan penyebab kematian utama di negara maju danÂ berkembang walaupun telah dilakukan upaya pencegahan dan tata laksana yang baik. Pemeriksaan ultrasonografiÂ (USG) sebagai evaluasi/diagnosis dini adanya aterosklerosis subklinis untuk memprediksi kejadian kardiovaskular diÂ masa mendatang. Pemeriksaan carotid intima media thickness (CIMT) dapat memberikan gambaran adanya kerusakan/disfungsi pembuluh darah secara umum terutama pembuluh koroner jantung. Adiponektin mempunyaiÂ efek antiinflamasi dan antiaterogenik sehingga disimpulkan adiponektin bermanfaat karena mempunyai efekÂ kardioprotektif. Walaupun demikian penelitian peranan adiponektin terhadap penebalan tunika intima media arteri karotis pada manusia masih terbatas dan hasil penelitian menemukan hasil yang berbeda. Untuk mengetahuiÂ peranan adiponektin sebagai faktor risiko terhadap penebalan tunika intima media arteri karotis dilakukan penelitianÂ dengan rancangan kasus kelola. Subjek penelitian adalah penderita obesitas abdominal pria dan wanita denganÂ rentang usia 40-59 tahun yang telah diperiksa ketebalan tunika intima media arteri karotis dengan USG. KriteriaÂ eksklusi adalah gagal jantung kongestif, penyakit jantung koroner, stroke, dan penderita yang menggunakan obatÂ glukokortikoid. Didapatkan 40 subjek dengan penebalan tunika intima media arteri karotis (kasus) dan 40 subjekÂ tanpa penebalan tunika intima media arteri karotis (kontrol). Pada kelompok kasus kadar adiponektin lebih rendah dibanding kelompok kontrol, yaitu yaitu 4,1 Ã¬g/mL (SB 1,7) berbanding 6,0 Ã¬g/mL (SB 3,0). Hasil analisis statistikÂ dengan uji chi square pada derajat kepercayaan 95% (1,05-12,78), OR 3,67 dengan nilai p=0,04 menunjukkanÂ bahwa adiponektin bersama dengan DM, hipertensi dan MetS secara bermakna merupakan faktor risiko untukÂ terjadinya penebalan tunika intima media arteri karotis. Pada penelitian ini didapatkan titik potong (cut-off point) kadarÂ adiponektin sebesar 5,09 ug/dL dengan ROC 0,682, derajat kepercayaan 95% (0,569-0,782), sensitivitas 77,5% danÂ spesifisitas 55,0%. Dari penelitian ini dapat disimpulkan bahwa kadar adiponektin yang rendah (<5,09 ug/dL)Â merupakan faktor risiko untuk terjadinya penebalan tunika intima media arteri karotis.Kata kunci: Adiponektin, penyakit kardiovaskular, CIMTADIPONECTIN LEVEL AS A RISK FACTOR OF CAROTID ARTERY INTIMAMEDIALÂ THICKENINGCardiovascular diseases remain a major health problem and the leading cause of mortality both in industrialized andÂ developing country, despite the improvement in its prevention and management. Ultrasonography (USG) can be usedÂ in the evaluation and early diagnosis of subclinical atherosclerosis to predict cardiovascular events in the future.Â Carotid intima-medial thickness (CIMT) is a surrogate of vascular dysfunction especially coronary vessels. Adiponectin has anti-inflammatory and anti-atherogenic properties, that is thought to be beneficial because of itsÂ cardioprotective effect. However the studies in the role of adiponectin in human is limited and earlier studies foundÂ conflicting results. To evaluate the role of adiponectin as a risk factor of carotid artery intima-medial thickening, weÂ conducted this case-control study. The subjects were obese male and female between 40-59 years of age, who wereÂ evaluated by carotid artery intima-medial ultrasonography. Exclusion criteria were congestive heart failure, coronaryÂ heart disease, stroke and glucocorticoid treatment. Forty subjects with carotid artery intima-medial thickening (cases)Â and 40 subjects without thickening (control). Adiponectin levels in case group were lower than in control group, 4.1Â Ã¬g/mL (SB 1.7) and 6.0 Ã¬g/mL (SB 3.0), respectively. Statistical analysis with chi square test with confidence intervalÂ (CI) 95% (1.05-12.78), OR 3.67 with p=0.04 (p<0.05) showed that adiponectin is a significant risk factor of carotidÂ artery intima-medial thickening together with diabetes mellitus, hypertension, and metabolic syndrome. Â This study found the cut-off point of adiponectin was 5.09 ug/dL with ROC 0.682, CI 95% (0.569-0.782), sensitivity 77.5% and specificity 55,0%. Conclusion: low adiponectin level (<5,09 ug/dL) is a risk factor of developing carotid artery intima-medial thickening.Key words: Adiponectin, cardiovascular disease, CIMTÂ DOI:Â http://dx.doi.org/10.15395/mkb.v41n2.186

KEMATIAN LALAT RUMAH (Musca domestica) PADA EKSTRAK AIR DAUN BANDOTAN (Ageratum conyzoides L.) Hidana, Rudy; Ruhimat, Undang; Nurmulyani, Delis Hana
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 20, No 2 (2020)
Publisher : STIKes Bakti Tunas Husada Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36465/jkbth.v20i2.614

Gambaran Diff Count Pada Perokok Di Kecamatan Cibeureum Ruhimat, Undang
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 12, No 1 (2014)
Publisher : STIKes Bakti Tunas Husada Tasikmalaya

Keberadaan zat-zat beracun dari asap rokok menyebabkan tubuh melakukan perlawanan terhadap terjadinya respon imun dimana leukosit menjalankan sebagian besar fungsinya di luar sistem peredaran darah yaitu memperlihatkan gerakan aktif dan sebagian mempunyai daya fagositosis. Gerakan yang diperlihatkan adalah suatu proses merangkak atau amuboid pada substrat bahan kimia pada asap rokok dapat menyebabkan inflamasi paru.Penelitian ini bertujuan untuk mengetahui gambaran jenis sel leukosit yang terdapat pada perokok. Karena zat-zat yang terkandung dalam rokok merupakan zat-zat yang berbahaya yang dapat mempengaruhi sel leukosit.Metode penelitian bersifat deskriptif, dengan teknik pengambilan sampelÂ random sampling pada perokok di Kecamatan Cibeureum.Hasil penelitian menunjukkan adanya peningkatan distribusi jenis leukosit antara lain adanya peningkatan monosit, neutrofil dan limfosit. Dengan demikian maka dapat disimpulkan gambaran Diff Count pada perokok di kecamatan Cibeureum terjadi peningkatan pada beberapa jenis leukosit.

GAMBARAN TELUR NEMATODA USUS PADA KUKU PETUGAS SAMPAH DI TEMPAT PEMBUANGAN AKHIR (TPA) SAMPAH CIANGIR KELURAHAN KOTA BARU KECAMATAN CIBEUREUM KOTA TASIKMALAYA Ruhimat, Undang
Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi Vol 11, No 1 (2014)
Publisher : STIKes Bakti Tunas Husada Tasikmalaya

Sampah merupakan masalah yang tak pernah terselesaikan hingga saat ini, meskipun beberapa negara maju telah menindak tegas orang-orang yang suka membuang sampah sembarangan, namun belum juga membuat para pembuang sampah sembarangan menjadi jera, apalagi dengan negara berkembang yang bahkan belum memiliki undang-undang yang jelas mengenai permasalahan ini.Metode penelitian bersifat deskriptif, dan dilakukkan terhadap 30 orang petugas sampah, dilaksanakan di laboratorium STIKes BTH Tasikmalaya dengan metode pemeriksaan sedimentasi.Dari hasil penelitian diketahui bahwa dari kotoran kuku petugas sampah di Tempat Pembuangan Akhir Ciangir.Kelurahan Kota Baru Kecamatan Cibeureum Kota Tasikmalaya, terdapat 25 sampel negatif dan 5 sampel positif, dengan presentase 16,67 % yang mengandung telur cacing Nematoda Usus. Jenis telur cacing yang ditemukan adalah Ascaris lumbricoides dan 83,33 % sampel yang negatif.

Difficulty in Diagnosing Secondary Peripheral Chondrosarcoma: Radiology versus Anatomical Pathology Undang Ruhimat; Arie Hendarin
Journal of Medicine and Health Vol. 1 No. 4 (2016)
Publisher : Universitas Kristen Maranatha

Chondrosarcoma is a malignant tumor derived from bone cartilage. This tumor can be either primary or secondary. Secondary chondrosarcoma has some differences compared to the primary type i.e. the incidence is rarer, the younger age group, and many are low grade. The authors report a case of a 26-year-old man came to Hasan Sadikin Hospital with a chief complaint of a lump in the right thigh with mild pain since 5 months before consulation that is increasingly enlarging. After undergoing physical and radiological examinations, the patient was diagnosed with suspect chondrosarcoma in right thigh. Histopathologic examinations were performed 2 times, one of which used ultrasound guidance, giving a diagnosis of chondroma in right thigh. However the lesion was finally treated as chondrosarcoma. We suspected that the patient was more likely to suffer from secondary peripheral chondrosarcoma originating from malignant transformation of multiple osteochondromas. As widely known, it is almost impossible to differentiate between the low grade chondrosarcoma and chondroma with full certainty and this poses a classical problem in diagnostic medicine. Case described here was an example of the difficulty in distinguishing between these two diseases.Â Key words: secondary chondrosarcoma, peripheral chondrosarcoma, chondrosarcoma arising Â in osteochondroma

Inisiasi Pos Pelayanan Terpadu Penyakit Tidak Menular (POSBINDU PTM) di SMA Negeri 2 Ciamis Siti Rohimah; Undang Ruhimat; Yoga Ginanjar; Rivana Ariyadi; Tika Sastraprawira
KOLABORASI JURNAL PENGABDIAN MASYARAKAT Vol 2 No 6 (2022): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Introduction: Evaluation of the Posbindu PTM program has been provided by the government, and various agencies have conducted several studies, literature review evaluation of Posbindu PTM provides an overview of input, process and output evaluations, output indicators show that the average coverage of Posbindu PTM visits is still low, the conclusion is that from each indicator the evaluation still found problems in its implementation. Objective: The purpose of this community service activity is screening, education and initiation of non-communicable disease control programs through POSBINDU PTM activities in the workplace.. Method: The implementation method used in this community service activity is an assessment using the interview method, physical examination and examination of supporting non-communicable disease risk factors. The activities are carried out in 3 stages: preparation, implementation, education and initiation. Result: Most of the participants had risky behavior, namely 91% did not eat enough vegetables and fruit, 89% lacked physical activity and risk factors for non-communicable diseases that had occurred were 78% bad body mass index, and 81% had bad cholesterol levels. Conclusion: there are still many risk factors for infectious diseases that have not been detected, especially in people who are still working, the initiation of PTM in the workplace is important to implement.

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