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All Journal e-CliniC JURNAL BIOMEDIK Jurnal Kedokteran Klinik
Lidwina S. Sengkey
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology

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Journal : e-CliniC

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Gambaran pemberian terapi pada pasien stroke dengan hemiparesis dekstra atau sinistra di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado periode Januari-Maret tahun 2016 Halim, Rusdyanto; Gesal, Joudy; Sengkey, Lidwina S.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i2.13734

Abstract

Abstract: Stroke is one of the important problems in public health due to its morbidity, mortality, and high cost. In many countries in the world, stroke is the third leading cause of death after coronary heart disease and cancer. This study aimed to obtain the profile of medical rehabilitation treatment for stroke patients with hemipharesis. This was a retrospective descriptive study. Subjects were medical records of stroke patients with hemiparesis at Installation of Medical Rehabilitation at Prof. Dr. R. D. Kandou Hosipital Manado. The results showed that the medical rehabilitation treatment for stroke patients with hemiparesis in the period January-March 2016 in the Installation of Medical Rehabilitation at RSUP Prof. Dr. R. D. Kandou Manado was as follows: physiotherapy with infrared (31.402%), classis physical exercise (27.744%), active creative exercise (18.293%), daily activity adaptation (13.415%), therapeutic USD (2.449%), breathing exercise (2.134%), language exercise 0.610%), psychology rehabilitation (1.829%), proper body mechanisms (1.829%), and therapeutic medical social (0.305%). Keywords: stroke, hemiparesis, therapy Abstrak: Stroke adalah salah satu masalah penting bagi kesehatan masyarakat karena memiliki angka kesakitan, angka kematian, dan biaya yang tinggi. Di banyak negara di dunia, stroke menduduki peringkat ketiga penyebab kematian sesudah penyakit jantung koroner dan kanker. Penelitian ini bertujuan untuk mendapatkan jenis-jenis penanganan rehabilitasi medik pada pasien stroke dengan hemiparesis. Jenis penelitian ini ialah deskriptif retrospektif. Subjek penelitian ialah data rekam medik pasien stroke dengan hemiparesis di Instalasi Rehabilitasi Medik RSUP. Prof. Dr. R. D. Kandou Manado. Hasail penelitian memperlihatkan pemberian terapi yang paling sering diberikan kepada pasien stroke dengan hemiparesis pada periode Januari-Maret 2016 di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado ialah fisioterapi dengan pemberian infra merah (31,402%), latihan fisik klasik (27,744%), latihan aktif kreatif (18,293%), adaptasi AKS (13,415%), terapi USD (2,449%), latihan pernapasan (2,134%), latihan berbahasa (0,610%), rehabilitasi psikologi (1,829%), proper body mechanism (1,829%), dan terapi sosial medik (0,305%).Kata kunci: stroke, hemiparesis, terapi
GAMBARAN FAKTOR RISIKO PENDERITA OSTEOARTRITIS LUTUT DI INSTALASI REHABILITASI MEDIK RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI –JUNI 2017 Soeryadi, Ayling; Gesal, Joudy; Sengkey, Lidwina S.
e-CliniC Vol 5, No 2 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.5.2.2017.18540

Abstract

Abstract: Osteoarthritis (OA) is a chronically progressive degenerative joint disease associated with joint cartilage damage. It is usually affected the joints of the hands, vertebrae, hips, and knee which is reported as the most common affected location. Risk factors of OA are divided into non-modifiable factors and modifiable factors. The non-modifiable risk factors are age, gender, race, and genetic factors, while the modifiable factors are body mass index, occupation, knee injury, blood pressure, blood sugar level, and cholesterol level. This study was aimed to determine the non-modifiable risk factors and modifiable risk factors in patients with knee OA at the Medical Rehabillitation Unit of Prof. Dr. R. D. Kandou Hospital Manado. This was a quantitative descriptive study using medical record data in the Medical Rehabilitation Unit. There were 36 cases of knee OA during the period of January-June 2017; 27 cases had complete medical record data. The highest distribution of knee OA were patients in the 70-79 age group (33.3%), females (70.4), Minahasa ethnic (59.3%), no family history of OA (70.4%), BMI ?23 (66.7%), retired (51.9%), history of knee injury (77.8%), prehypertension (51.9%), no history of DM (70.4%) and of hypercholesterolemia (66.7%). Conclusion: Based on the non-modifiable risk factors, females were more at risk of developing knee OA and based on modifiable risk factors, knee injury was the most common factor in the occurrence of knee OA.Keywords: knee osteoarthritis, risk factors Abstrak: Osteoartritis (OA) merupakan penyakit sendi degeneratif yang berkaitan dengan kerusakan kartilago sendi dan bersifat kronik-progresif. Lokasi yang biasanya terkena adalah sendi pada tangan, vertebra, panggul dan lutut, dimana lutut dilaporkan sebagai lokasi yang paling sering terkena. Faktor risiko OA terbagi atas faktor yang dapat di modifikasi dan faktor yang tidak dapat di modifikasi. Faktor risiko yang tidak dapat dimodifikasi ialah antara lain umur, jenis kelamin, suku/ras dan genetik. Faktor risiko yang dapat dimodifkasi berupa indeks massa tubuh, pekerjaan, cedera/trauma, tekanan darah, gua darah, dan kadar kolesterol dalam darah. Penelitian ini bertujuan untuk mengetahui faktor risiko yang tidak dapat dimodifikasi maupun dapat dimodifikasi pada penderita OA lutut di Instalasi Rehabilitasi Medik RSUP Prof. Dr.R. D. Kandou Manado. Jenis penelitian ialah deskriptif kuantitatif menggunakan data rekam medik di Instalasi Rehabilitasi Medik. Terdapat 36 kasus OA lutut selama periode Januari-Juni 2017; hanya 27 kasus yang memiliki data rekan medik lengkap. Pada penelitian didapatkan distribusi OA lutut terbanyak pada kelompok usia 70-79 tahun (33,3%), jenis kelaimin perempuan (70,4%), suku Minahasa (59,3%), tidak memiliki riwayat OA dalam keluarga (70,4%), IMT ?23 (66,7%), pensiunan (51,9%), riwayat cedera lutut (77,8%), tekanan darah pre-hipertensi (51,9%), tanpa riwayat DM (70,4%) dan riwayat hiperkolesterolemia (66,7%). Simpulan : Berdasarkan distribusi faktor risiko yang tidak dapat dimodifikasi, jenis kelamin perempuan paling rentan terhadap OA lutut dan berdasarkan faktor risiko yang dapat dimodifikasi, cedera/trauma lutut merupakan faktor yang paling sering.Kata kunci: osteoatritis lutut, faktor risiko
Angka kejadian afasia pada stroke di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado tahun 2015 Purnomo, Andrew M.; Sengkey, Lidwina S.; Damopolii, Christina A.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.2.2016.14346

Abstract

Abstract: Aphasia is a general term used to define a set of language disorder that occurs after brain damage commonly in the left hemisphere. The most underlying etiology of aphasia is cerebrovascular disease, stroke. Aphasia is present in 21-38% of patients with acute stroke and its impact is associated with short-term and long-term morbidity, high mortality rates, and limitations of the patients socialization. So as to raise awareness of disability caused by stroke, especially aphasia, it is necessary to know the incidence of aphasia in stroke patients in the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Manado Hospital in 2015. This was retrospective descriptive study with a cross sectional design using data from medical records. Of the 455 stroke patients, 60 (13,2%) were aphasic. The youngest age of aphasic patients was 30 years old and the oldest one was 85 years old. The incidence of aphasia was more common in the age above 60 years (40%), non hemorrhagic stroke (60%), and in patients with right hemiparesis (78,3%). However, there were 6 (10%) aphasic patients with left hemiparesis. Conclusion: In the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Manado Hospital in 2015, the incidence of aphasia was 13.2%. There was an increasing incidence of aphasia in each decade over the age of 30 years. No significant differences between the genders and types of stroke. Aphasia was also f ound in patients with left hemiparesis which signified the involvement of the right hemisphere.Keywords: aphasia, stroke, medical rehabilitation Abstrak: Afasia adalah istilah umum yang digunakan untuk mendefinisikan sekumpulan gangguan berbahasa yang terjadi setelah adanya kerusakan otak, yang sering mengenai hemisfer sebelah kiri. Etiologi yang paling banyak mendasari afasia ialah penyakit serebrovaskular, yaitu stroke. Afasia terdapat pada 21-38% pasien stroke akut dan dampaknya dikaitkan dengan morbiditas jangka pendek dan jangka panjang, tingginya angka mortalitas, dan keterbatasan pasien dalam sosialisasi. Penelitian ini bertujuan untuk mengetahui angka kejadian afasia pada stroke di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D Kandou Manado tahun 2015. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data dari rekam medik. Hasil penelitian memperlihatkan dari 455 pasien stroke, 60 (13,2%) diantaranya mengalami afasia. Usia paling muda pasien dengan afasia ialah 30 tahun dan usia paling tua ialah 85 tahun. Angka kejadian afasia lebih banyak terjadi pada usia di atas 60 tahun (40%), stroke non hemoragik (60%), dan pasien dengan hemiparesis dekstra (78,3%). Terdapat 6 (10%) pasien afasia dengan hemiparesis sinistra. Simpulan:Angka kejadian afasia pada tahun 2015 ialah 13,2%. Adanya peningkatan angka kejadian afasia pada tiap dekade usia di atas 30 tahun. Tidak ada perbedaan bermakna antara jenis kelamin dan jenis stroke. Pasien dengan hemiparesis sinistra juga mengalami afasia yang menandakan keterlibatan hemisfer dekstra. Kata kunci: afasia, stroke, rehabilitasi medik
Deteksi dini skoliosis menggunakan skoliometer pada siswa kelas VI SD di Kecamatan Mapanget Manado Parera, Amy C.; Sengkey, Lidwina S.; Gessal, Joudy
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i1.10831

Abstract

Abstract: Most of scoliosis has been diagnosed in 10 to 15 year old children. Untreated scoliosis may become worse and may affect the cardiopulmonary function, limited mobilitiy for people and have a negative impact on posture. Early detection of scoliosis plays an important role in preventing deformity and damages. This study aimed to obtain the number of the sixth grader students who were potentially scoliosis in Mapanget Manado. This was an observational descriptive study. Data were collected by measuring the Angle of Trunk Rotation of 81 students of sixth grade who met the inclusion criteria by using scoliometer. The results showed that there were three students (4%) aged 11 years who were highly potential scoliosis. There were 28 of the 37 female students (76%) categorized as intermediate and highly potential scoliosis groups. All students with highly potential scoliosis were from independent school. Conclusion: The percentage of the sixth grader students in Mapanget Manado who were detected as highly potential scoliosis was 4%.Keywords: early detection, scoliosis, scoliometerAbstrak: Sebagian besar skoliosis terdiagnosis pada anak dengan rentang usia 10 hingga 15 tahun. Skoliosis yang tidak ditangani dapat menjadi lebih buruk, berpengaruh pada fungsi kardiopulmoner, keterbatasan mobilitas bagi penderita dan berdampak buruk pada postur tubuh. Deteksi dini skoliosis berperan penting dalam mencegah kelainan dan kerusakan yang bertambah parah. Penelitian ini bertujuan untuk mengetahui jumlah siswa kelas VI SD yang dideteksi berpotensi skoliosis di Kecamatan Mapanget Manado. Metode: Penelitian ini bersifat observasional deskriptif. Data diperoleh melalui pengukuran langsung Angle of Trunk Rotation pada 81 siswa kelas VI SD yang memenuhi kriteria inklusi dengan menggunakan alat skoliometer. Hasil penelitian mendapatkan tiga siswa (4%) berusia 11 tahun yang berpotensi tinggi skoliosis. Terdapat 28 dari 37 orang (76%) siswa perempuan termasuk dalam golongan intermediate dan potensi tinggi skoliosis Semua siswa berpotensi tinggi skoliosis berasal dari sekolah swasta. Simpulan: Persentase jumlah siswa kelas VI SD di Kecamatan Mapanget yang dideteksi berpotensi tinggi skoliosis sebanyak 4%.Kata kunci: deteksi dini, skoliosis, skoliometer.
Co-Authors Amy C. Parera, Amy C. Aron Pirade Damopolii, Christina A. Elina ., Elina Engeline Angliadi Gesal, Joudy Halim, Rusdyanto Ismail, Frans F D Jenny J. C. Pandaleke Joudy Gessal Julius H. Lolombulan, Julius H. Paola Pandeiroth Paulina E. Wowiling, Paulina E. Purnomo, Andrew M. Soeryadi, Ayling Susanto, Bayu D.