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All Journal MEDIA MEDIKA INDONESIANA Journal of Nutrition and Health Jurnal Kedokteran Diponegoro Indonesian Journal of Tropical and Infectious Disease Indonesian Journal of Rheumatology Proceedings of the International Conference on Applied Science and Health Medica Hospitalia Diponegoro International Medical Journal (DIMJ)
Hermina Sukmaningtyas
Department Of Radiology, Faculty Of Medicine, Diponegoro University, Semarang, Indonesia
Dentistry Earth & Planetary Sciences Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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The Correlation Between Cobb’s Angle and Pedicle Rotation in Adolescent Idiopathic Scoliosis After Surgical Treatment Danu Purnama Aji; Hermina Sukmaningtyas; Agus Priambodo; Christina Hari Nawangsih
Diponegoro International Medical Journal Vol 2, No 1 (2021): July
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v2i1.9531

Abstract

Background: Adolescent Idiopathic Scoliosis (AIS) is a 3-dimensional deformity that involves not only curve in the coronal and sagittal planes but also rotation of vertebrae based on pedicle rotation. The Cobb’s angle is  the gold standard for measuring the lateral curve that could show severity of the spine deformity. The Cobb’s method only evaluate the lateral curve,and the method to determine the pedicle rotation can be used the Nash and Moe’s method.The higher pedicle rotation grade had higher Cobb’s angle. Surgical treatment for scoliosis is indicated for the curve exceeding 40o. Posterior spinal fusion is the most commonly used technique in scoliosis surgery.Objective: To identify the correlation between the Cobb’s Angle and pedicle rotation in AIS after surgical treatment.Methods: The research design used in this study was Cross Sectional. The sample size of this study were 22 subjects using purposive sampling, the independent variable of this study was Cobb’s angle while the dependent variable was pedicle rotation. Spearman’s rank correlation was used to analyze the correlation between variable.Results: The spearman’s rank correlation revealed a significant correlation between the Cobb’s Angle and pedicle rotation in AIS after surgical treatment with the  p 0,005 and r 0,462.Conclusion: This study demonstrates there is a significant correlation between Cobb’s angle and pedicle rotation in AIS after surgical treatment with medium strength. 
Correlations between osteoartritis grading in femorotibial joint (kellgren lawrence) with cartilage defects grading Yuliati Permatasari; Nasirun Zulqarnain; Hermina Sukmaningtyas; Bantar Suntoko
Indonesian Journal of Rheumatology Vol. 8 No. 2 (2016): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.65 KB) | DOI: 10.37275/ijr.v8i2.57

Abstract

Background : Osteoarthritis (OA) is the most common chronic rheumatic diseases that causing pain and disability. The imaging of knee OA were found in 15,5%  men and 12,7% women of Indonesia population. Radiography is still used as a standard modalities in assesing OA progression, and Kellgren-Lawrence scale (KL) is the most common measurement used byclinicians. Superficial cartilage degradation is the first sign of OA, the early detection of the superficial cartilage degradation is very important for diagnosis. Our study was established to assess the correlation between OA grading in femorotibial joint examined by standard Kellgren-Lawrence scale (KL) measurement with cartilage defects examined by ultrasound.Methods : Observational analytic study with cross sectional and consecutive sampling was performed. Rank Spearman test for correlation of OA grading, cartilage defect, BMI and joint malalignment. McNemar test for correspondence between the location of the narrowing of the femorotibial joint and location of cartilage defects.Result : Correlation of OA grading of femorotibial joints (KL) with cartilage defects grading on ultrasound resulted r =0.459, p<0.05; correlation of OA grading of femorotibial joints (KL) with BMI or joint malalignment resulted p>0,05; correlation of cartilage defect grading with BMI or joint malalignment also resulted p>0.05. McNemar test for location of the narrowing of thefemorotibial joint with location of cartilage defects on ultrasound resulted p = 1.00, k = 0.714. There was a significant positive correlation of OA grading of femorotibial joints (KL) with cartilage defects grading on ultrasound. There was no significant correlation between OA grading of femorotibial joints (KL) with BMI and joint malignment, and no significant correlationbetween cartilage defects grading with BMI and joint malalignment. There is a correspondence between the location of the narrowing of the femorotibial joint with location of cartilage defects on ultrasound.Conclusion: For assesing the grade of osteoartritis, cartilage defect grading and assesment by ultrasound can be used as an alternative to X-Ray KellgrenLawrence scale (KL) measurement.Keywords : femorotibial joint, cartilage defects grading, osteoartritis grading examination, BMI, joint malalignment.
Risk Factors Influencing the Degree of Tuberculous Spondylitis Based on MRI Modality Sadewo, Mukti; Sukmaningtyas, Hermina; Priambodo, Agus; Prihharsanti, Christina Hari Nawangsih
Indonesian Journal of Tropical and Infectious Disease Vol. 11 No. 3 (2023)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v11i3.45942

Abstract

The high prevalence and mortality of tuberculosis (TB) is serious threats to the world. Tuberculous spondylitis accounts for 50% of all bone and joint TB cases. The accuracy of diagnosis to detect disease severity using Magnetic Resonance Imaging (MRI) modalities is important when considering potential risk factors. This study aimed to analyze the association of risk factors, including age, sex, spinal lesion location, and abscess location, with the severity of tuberculous spondylitis based on MRI modality using the Gulhane Askari Tip Akademisi (GATA) classification. This study had a cross-sectional design. The study sample consisted of 50 patients who met the inclusion criteria and underwent MRI. The statistical analysis performed in this study was multivariate analysis using multiple linear regression. The results showed that 84% (n = 42) of tuberculous spondylitis affected patients aged 18-65 years, and 70% (n = 35) of cases were found in female patients. In addition, 42% (n = 21) of cases were classified as tuberculous spondylitis grade III according to the GATA classification and were the most common cases in this study. Statistical tests showed no association between age, the location of spinal lesions, and the degree of tuberculous spondylitis. However, there was an association between sex, spinal abscess location, and degree of tuberculous spondylitis. There was no significant association between age and spinal lesion location or degree of tuberculous spondylitis. However, there was a significant association between sex, spinal abscess location, and the degree of tuberculous spondylitis.
Kasus Dua Orang Wanita Umur 36 Tahun Dan 60 Tahun Dengan Akromegali Ismayanti, Fajri; Sukmaningtyas, Hermina
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (575.599 KB) | DOI: 10.36408/mhjcm.v7i2.521

Abstract

Kasus Akromegali di RSUP dr. Kariadi sangat jarang terdeteksi pada fase awal karena minimnya gejala yang ditimbulkan. Pasien ditemukan tanpa sengaja biasanya datang dengan keluhan penyerta yang lain. Pemeriksaan Radiologi membantu menegakkan diagnosis Akromegali. Dilaporkan 2 kasus wanita usia 36 tahun dan 60 tahun dengan Akromegali. Kasus pertama Ny. D usia 36 tahun dengan keluhan benjolan di leher dan sulit menelan datang ke poliklinik Penyakit Dalam RSUP dr. Kariadi. Pada pemeriksaan USG colli didapatkan pembesaran kelenjar tiroid, penebalan isthmus, nodul solid dengan jaringan nekrotik (ukuran terbesar ± 3.64 x 2.16 cm). Kasus kedua, Ny. N usia 60 tahun dengan keluhan nyeri diseluruh sendi. Tulang membesar, mentruasi berhenti pada usia 35 tahun. Pada pemeriksaan radiologi X Foto vertebra lumbosacral tampak gambaran Ankylosing Spondilosis. Pada pemeriksan MRI kepala kedua pasien diatas ditemukan makroadenoma. Kedua pasien berperawakan pendek dengan pembesaran tangan, kaki dan tulang wajah (prognatism) Akromegali adalah suatu penyakit akibat dari peningkatan sekresi hormon pertumbuhan (somatotropin) oleh sel eosinofilik dari lobus anterior kelenjar pituitari, yang disebabkan oleh hiperplasia kelenjar atau tumor yang menyebabkan pertumbuhan tulang yang meningkat. Akromegali umum ditandai dengan pembesaran tangan, kaki dan tulang wajah. Akromegali menyebabkan perubahan bertahap pada bentuk wajah, seperti rahang bawah dan alis yang menonjol, hidung membesar, bibir menebal dan gigi jarang. Akromegali cenderung berkembang perlahan. Pemeriksaan foto cranium, tangan dan kaki menunjukkan kelainan pada tulang. Dilaporkan kasus diatas untuk membantu klinisi menegakkan diagnosa Akromegali dengan menggunakan multi modalitas radiografi, sehingga dapat ditegakkan lebih awal untuk membantu tatalaksana pasien. KATA KUNCI : Akromegali, Prognatism, Makroadenoma
Hubungan Hipertensi dengan Klasifikasi Hernia Nukleus Pulposus Lumbal berdasarkan Magnetic Resonance Imaging Sunjata, Winda Putri; Meutia, Yurida Binta; Sukmaningtyas, Hermina; Pudjonarko, Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.881 KB) | DOI: 10.36408/mhjcm.v8i3.598

Abstract

ABSTRACT BACKGROUND : Hypertension is a disease that is known to affect other diseases. Recent research finds that HT is associated with disc degeneration disease. Herniated nucleus pulposus (HNP) lumbar as a result from disc degeneration disease need to be known to be affected by hypertension or not. OBJECTIVE: To know the relationship between hypertension and the classification of disc degeneration based on Pfirrmann’s criteria and herniated nucleus pulposus lumbar classification based on magnetic resonance imaging. METHOD : This research use descriptive observational with cross sectional design. Subjects were 62 lumbar HNP patients diagnosed at RSUP Dr. Kariadi Semarang from January 2019 - March 2020. The subject data were analyzed using non-parametric Chi Square test and Mantel Haenszel test. RESULT : Based on the analysis, it was found that p>0.05 was found in the relationship between age and sex with the classification of disc degeneration and lumbar HNP. The result of correlation test between hypertension and disc degeneration classification is p<0,05 with odds ratio 14,700 and lumbar HNP classification is p >0.05. In relation to the classification of disc degeneration with lumbar HNP classification, the value of p >0.05 was also obtained. CONCLUSION : There was no association between age, sex, the classification of disc degeneration and lumbar HNP classification. There was a significant association between hypertension and the classification of disc degeneration with the individual risk of hypertension increasing 14,7 times but no association was found with lumbar HNP classification. Keywords: Disc degeneration; Hypertension; Lumbar herniated nucleus pulposus
Significant Relationship Between Brixia Score And The Degree Of Acute Respiratory Distress Syndrome In Covid 19 Patients Ibrahim, Irni Dwi Aprianty; Satoto, Bambang; Handoyono, Thomas; Santoso, Antonius Gunawan; Sukmaningtyas, Hermina; NINGRUM, FARAH HENDARA
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 2 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i2.993

Abstract

BACKGROUND: Chest X-ray has an important role in detecting early features of COVID-19. To improve risk stratification, a scoring system in chest x-ray called Brixia Score was developed. The Brixia score is designed to measure the severity of lung abnormalities in COVID-19, with an 18-point severity scale. Deaths in COVID-19 occur mainly due to Acute Respiratory Distress Syndrome (ARDS). ARDS is classified into mild, moderate, and severe degrees. If the degree can be predicted earlier, patients can receive earlier therapy and death rate can be reduced. AIMS:  to analyze relationship between Brixia Score and degree of ARDS in COVID-19 patients. METHOD: the research used an observational analytic method with a cross-sectional approach to 95 subjects who are positive for COVID-19 and diagnosed with ARDS, in January to December 2021. Brixia Score data was collected based on chest X-ray expertise, ARDS degree was based on medical records and blood gas analysis. Analysis of relationship between Brixia score and degree of ARDS was carried out using the Kruskal-Wallis test. RESULT:  There was a significant difference in Brixia score based on degree of ARDS (p value <0.05). The highest Brixia score was obtained in severe ARDS, while the low Brixia score was obtained in mild ARDS. This proves that there is a relationship between Brixia score and degree of ARDS. CONCLUSION: Brixia score has a significant relationship to the degree of ARDS in COVID-19 patients.
The Relationship between the Duration of Suffering from Diabetes and HbA1c Levels with the Degree of Liver Stiffness in Type 2 Diabetes Mellitus Patients Amna, Faza Khilwan; Widyasari, Maya Nuriya; Purnomo, Hery Djagat; Wahyuni, Frederica Mardiana; Satoto, Bambang; Sukmaningtyas, Hermina
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.1011

Abstract

BACKGROUND : Type 2 diabetes mellitus (DM) is one of the major problems faced by the health system. Diabetes is a multifactorial, chronic and progressive metabolic disorder characterized by chronic hyperglycemia. Persistent hyperglycemia is associated with long-term damage to the  liver. Ultrasound elastography is one of imaging modality that can assess liver stiffness, thus can assist clinicians in determining therapy, evaluating, and predicting disease progression. AIMS :  Aim of this study was to determine the relationship between liver stiffness degree by using ultrasound elastography with the duration of T2DM and HbA1c levels. METHOD : This study was an observational analytic research with a cross-sectional approach which carried out from May to September 2022 at the radiology department of Dr. Kariadi Hospital Semarang. Fifty subjects were included in this study and Rank-Spearman correlation test was used to analyze the relationship between liver stiffness degree with T2DM duration and HbA1c levels. RESULT :  Using ultrasonography elastography, the liver stiffness average was 7.92 + 6.72 kPa. The average of HbA1c levels was 8.55 + 2.63%. T2DM duration average was 9.10 + 6.50 years.   The rank-spearman test showed a significant correlation between HbA1c levels and the degree of liver stiffness (p = 0.000) with a correlation coefficient (r) of 0.68. There was no significant correlation between the T2DM duration and the degree of liver stiffness (p = 0.052). CONCLUSION : There was a significant correlation between liver stiffness and HbA1c levels, but there is no correlation between liver stiffness and T2DM duration
Co-Authors Abubakar Abubakar Agus Priambodo Agus Priambodo Anwar, M. Choerul Ardi Soesilo Wibowo, Ardi Soesilo Arinta Puspita Wati Aris Santjaka Bambang Satoto, Bambang Bantar Suntoko Bantar Suntoko Christina Hari Nawangsih Prihharsanti Danu Purnama Aji Djoko Untung Trihadi Dwi Pudjonarko Farah Hendara Ningrum Farah Hendara Ningrum Faza Khilwan Amna, Faza Khilwan Handoyono, Thomas Hery Djagat Purnomo Ibrahim, Irni Dwi Aprianty Ismayanti, Fajri Leny Latifah Mardiana Wahyuni Mayasari, Ike Meutia, Yurida Binta Nasirun Zulqarnain Niken Puruhita Nurdopo Baskoro Permatasari, Yuliati Pradesta, Rizki Rudwi Prihharsanti, Christina Hari Nawangsih Rini Indrati, Rini Sadewo, Mukti Saifudin Santoso, Antonius Gunawan Shonia Syvafiftyan Rosaline Shonia Syvafiftyan Rosaline Sukma Imawati Sunjata, Winda Putri Wahyuni, Frederica Mardiana Widyasari, Maya Nuriya Yekti Wirawanni Yuliati Permatasari Zulqarnain, Nasirun