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All Journal Mutiara Medika: Jurnal Kedokteran dan Kesehatan Majalah Kesehatan FKUB Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Restuti Hidayani Saragih
Department Of Internal Medicine, Faculty Of Medicine, Universitas Sumatera Utara
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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FSSG Scale System in Comparison with GERD Questionnaires in Predicting Endoscopic Findings with Reflux Esophagitis Restuti Hidayani Saragih; Imelda Rey
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 13, NUMBER 3, Desember 2012
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.203 KB) | DOI: 10.24871/1332012136-140

Abstract

ABSTRACTBackground:Gastroesophageal reflux diseases(GERD) frequently manifests in varied symptoms other than its classics (heartburn and regurgitation), this variation might hinder its diagnostic effort. Several questionnaires based on symptoms filled by the patients themselves may help in diagnosing GERD without previous endoscopic examination. This study objects to compare endoscopic findings in patients which previously asked to fill the questionnaires (frequency scale for the symptoms of GERD (FSSG)) and GERD questionnaire (GerdQ) in pursuit of reliable and valid instrument to detect GERD before endoscopic approaches. Methods: This study was conducted in cross-sectional design involving 72 patients in Adam Malik Hospital, Medan with symptomps of upper abdominal pain or discomfort with or without heartburn/regurgitation. Subjects were asked to fill both FSSG and GerdQ and underwent endoscopy. Diagnoses made were classified as reflux esophagitis, functional dyspepsia, or other diagnoses. Subsequently we conduct a comparison analysis of both questionnaires’ specificity and accuracy using receiver operator curve (ROC) by analyzing the area below the curve. Results: According to endoscopic findings from 72 subjects, we ascertained the following results: 52.8% gastritis, antral ulcer, and esophageal hiatal hernia, 37.5% functional dyspepsia, and reflux esophagitis in 9.7% cases. GerdQ is concluded to be superior in terms of specificity and accuracy compared with FSSG with the following percentages in terms of sensitivity, specificity, accuracy, and p value, respectively: 100%, 23.1%, 61.5%, 0.318 vs. 100%, 73.8%, 86.9%, 0.001. Conclusion: GerdQ is superior compared to FSSG in diagnosing GERD based on clinical symptoms in daily practice.Keywords: reflux esophagitis, GERD, FSSG, GerdQ, endoscopy, Los Angeles classification, heartburn. 
Bacterial Contamination on The First-Year Internal Medicine Residents’ Scrubs at H. Adam Malik Medan General Hospital Lubis, Muhammad Allif Syafrin; Armon Rahimi; Restuti Hidayani Saragih; Putri Chairani Eyanoer
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 3 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i3.12490

Abstract

Background: The doctor’s white coat was known to be a source of nosocomial infection. Despite many studies’ results have shown the presence of bacterial contamination on the doctor's white coat, there was little research about bacterial contamination on the doctor's scrub. This study aims to investigate bacterial contamination on the scrubs of first-year residents of the Internal Medicine Department worn for one shift (17 hours). Method: This is a descriptive study on the first-year residents' scrubs which was conducted in January - February 2021 at H. Adam Malik Medan General Hospital. Samples were taken from the sleeves and pockets of the scrubs and programmed software was used to identify the amount, percentage of bacterial contamination, and bacterial species. Data were analyzed using the SPPS version 21. Result: Of the 31 first-year residents' scrubs that met the inclusion criteria, 79 colonies (50,6%) of bacterial contamination was found on the sleeves and 77 colonies (49,4%) in the pockets of the scrubs. Bacteria found on the scrubs are coagulase-negative Staphylococcus, Bacillus sp., Staphylococcus aureus, Acinetobacter Iwoffli, Pantoea sp., Acinetobacter baumanii, Klebsiella pneumaniae, Oligella ureolytica, and Pseudomonas stutzeri with the most common bacterial colonies found both in sleeves and pockets were coagulase- negative Staphylococcus (220.935 ± 180.56 and 289.09 ± 181.57). Conclusion: Bacterial contamination was found mainly on the sleeves of the scrubs with coagulase-negative Staphylococcus as the most contaminating bacteria and this should be taken into consideration as this strain could cause severe infection, especially in immunocompromised patients.
Relationship between Transaminase Enzyme Levels and Severity of Dengue Fever Sidabutar, Wita Lestari; Saragih, Restuti Hidayani; Rohmawati, Lili; Sinaga, Bintang Yinke Magdalena
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol. 25 No. 1 (2025): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v25i1.22076

Abstract

Since dengue hemorrhagic fever (DHF) can cause liver damage, aminotransferase levels as liver function test may be useful in predicting the severity of dengue hemorrhagic fever. The purpose of this study was to determine the relationship between transaminase enzyme levels and the severity of dengue hemorrhagic fever. This study used analytic observational approach with cross-sectional design. The data used was secondary data, namely medical records of H. Adam Malik Hospital and Hospital of Prof. Dr. Chairuddin P. Lubis University of North Sumatera. From a total of 65 patients included, there were 63.1% (41 patients) with DHF grade 1, 29.2% (19 patients) were DHF grade 2, 6.2% (4 patients) were DHF grade 3 and 1.5% (1 medical record) were DHF grade 4. For aminotransferase level 56.9% (37 records) had elevated SGPT levels and 92.3% (60 records) had elevated SGOT levels, it was found that there was no relationship between increased levels of SGPT and SGOT with the severity of DHF (SGPT p = 0.628 and SGOT p = 1.00). There is no association between the elevations of transaminase enzyme levels and the severity of DHF.
TINGKAT PENGETAHUAN ORANG TUA DI PUSKESMAS SENTOSA BARU TENTANG PENGOBATAN DERMATITIS ATOPIK PADA ANAK Sinaga, Adinda Alleyda; Paramita, Deryne Anggia; Saragih, Restuti Hidayani; Wijaya, Hendri
Majalah Kesehatan Vol. 12 No. 2 (2025): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2025.012.02.6

Abstract

Dermatitis atopik atau atopik eczema adalah penyakit kulit inflamasi kronis dapat menyebabkan perubahan warna dan ruam gatal. Biasanya dimulai pada usia kanak-kanak hingga dewasa dengan suatu kondisi yang menyebabkan kulit kering, lesi eksim, dan likenifikasi. Peran orang tua sangat berperan penting untuk pengobatan dermatitis atopik pada anak. Keberhasilan pengobatan dermatitis atopik pada anak tergantung pada orang tua dalam pengetahuan dan sikap mereka terhadap anak yang menderita dermatitis atopik. Tujuan penelitian ini adalah untuk mengetahui tingkat pengetahuan orang tua tentang pengobatan dan efek samping obat, dan juga untuk mengetahui umur dan jenis kelamin serta prevalensi penyakit dermatitis atopik pada anak di Puskesmas Sentosa Baru. Jenis penelitian ini menggunakan desain cross-sectional deskriptif dengan sampel sebanyak 60 responden menggunakan rumus Slovin dan dilakukan di Puskesmas Sentosa Baru. Data dikumpulkan menggunakan kuesioner yang terstruktur. Hasil penelitian di Puskesmas Sentosa Baru mayoritas berjenis kelamin perempuan sebanyak 31 orang (51,7%), Sedangkan untuk usia anak mayoritas pada usia anak balita yaitu dari 12 bulan sampai dengan 59 bulan sebanyak 49 orang (81,7%), Tingkat pengetahuan orangtua tentang obat-obatan yang digunakan pada anak yang terkena dermatitis atopik di Puskesmas Sentosa Baru berkategori baik yaitu sebesar (70,0%), kemudian Tingkat pengetahuan orangtua tentang efek samping dari obat-obatan yang digunakan pada anak yang terkena dermatitis atopik di Puskesmas Sentosa Baru berkategori baik yaitu sebanyak 31 orang (51,7%), dan tingkat pengetahuan orang tua mengenai obat-obatan pada anak yang terkena penyakit dermatitis atopik di Puskesmas Sentosa Baru ialah baik sebanyak (55,0%). Dapat disimpulkan bahwa pengetahuan orang tua mengenai pengobatan dermatitis atopik pada anak adalah berkategori baik.
Co-Authors Armon Rahimi Hendri Wijaya, Hendri Imelda Rey Imelda Rey Lubis, Muhammad Allif Syafrin Paramita, Deryne Anggia Putri Chairani Eyanoer, Putri Chairani Rohmawati, Lili Sidabutar, Wita Lestari Sinaga, Adinda Alleyda Sinaga, Bintang Yinke Magdalena