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All Journal Jurnal Kesehatan Andalas Journal Orthopaedi and Traumatology Surabaya (JOINTS) Cermin Dunia Kedokteran Cermin Dunia Kedokteran
Albar, Husnul Fuad
Fakultas Kedokteran, Universitas Sumatera Utara
Health Professions Medicine & Pharmacology Public Health

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Hubungan Kecemasan pada Visit Pre-Anestesi dengan Tekanan Darah sebelum Tindakan Anestesi di Rumah Sakit Universitas Sumatera Utara Christine Christine; Cut Meliza Zainumi; Tasrif Hamdi; Husnul Fuad Albar
Jurnal Kesehatan Andalas Vol 10, No 3 (2021): Online November 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i3.1860

Abstract

Preoperative anxiety is frequently correlated with anesthesia procedures, resulting in the anesthesiologist being the most suitable person to decrease the patient's anxiety through effective doctor–patient communication during pre–anesthesia visits. During anxiety, one of the body responses is the release of epinephrine to the blood vessel resulting in increased blood pressure. Objectives: To knew the correlation between pre-anesthesia visit anxiety and blood pressure before anesthesia procedure. Methods: This study used a cross-sectional design that was conducted at Universitas Sumatera Utara General Hospital from September until October 2019. The sample was collected by consecutive sampling techniques, which meet inclusion and exclusion criteria. This study used primary data then was analyzed using Fisher’s Exact Test. Results: From 67 patients going through elective surgery, there are 41 patients (61,2%) with mild anxiety, 17 patients (25,4%) with moderate anxiety, and nine people (13,4%) with severe anxiety. There is no significant correlation (p>0,05) between anxiety with sex, types of anesthesia, PS ASA and heart rate. There is a significant correlation (p<0,05) between anxiety with blood pressure and types of surgery. Conclusion: There is a correlation between anxiety during the pre-anesthesia visit with blood pressure before anesthesia procedures.Keywords:  anesthesia, anxiety, blood pressure, pre-anesthesia visit
Soft Tissue Release for Neglected Clubfoot : One-year Clinical Outcome Husnul Fuad Albar
Cermin Dunia Kedokteran Vol 49, No 7 (2022): Vitamin D
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v49i7.1931

Abstract

Background. Neglected clubfoot is the most common congenital problem leading to locomotor disability. Eighty percent children with clubfoot deformity are born in developing world and the majority do not have access to appropriate medical care. The severity of clubfoot may be assessed with a variety of methods; i.e Pirani scoring system. This study use Pirani scoring system to evaluate the clinical outcome of neglected clubfoot patients one year after soft tissue release. Method. A study of 17 patients who underwent soft tissue release in Harapan Hospital a year before. We compare Pirani score before and one year after soft tissue release. Other data submitted are age, reason of delayed treatment, term of prosthesis, and complication after surgery. Result. The 17 patients were 10 females and 7 males; the average age was 69,06 ± 49.15 months old. Deformity in left foot was in 13 feet (59.1%) and right foot was in 9 feet (40.9%). The average total Pirani Score before soft tissue release is 5,43 ± 1,03 and one year after soft tissue release is 0,30 ± 0,40. p<0,0001 (p<0,05). This result shows significant improvement one year after soft tissue release. Conclusion. Soft tissue release for neglected clubfoot resulted in significant Pirani score improvement after one year.Latar Belakang. Neglected clubfoot merupakan masalah kongenital yang paling sering menyebabkan disabilitas lokomotor. Tingkat keparahan clubfoot dapat ditentukan dengan beberapa metode, antara lain sistem skoring Pirani. Salah satu tatalaksana neglected clubfoot adalah soft tissue release. Studi ini mengevaluasi keluaran klinis pasien neglected clubfoot menggunakan sistem skoring Pirani satu tahun setelah soft tissue release. Metode. Studi pada 17 pasien yang telah menjalani soft tissue release satu tahun yang lalu. Skor Pirani sebelum dan satu tahun setelah soft tissue release dibandingkan. Data lain meliputi usia, alasan terlambatnya tatalaksana, prosthesis yang digunakan, serta komplikasi pasca operasi. Hasil. Rata-rata pasien berusia 69.06 ± 49.15 bulan, 10 perempuan dan 10 laki-laki. Sejumlah 13 deformitas didapatkan pada kaki kiri (59.1%), 9 deformitas pada kaki kanan (40.9%). Rata-rata skor Pirani sebelum soft tissue release adalah 5.43 ± 1.03, sedangkan rata-rata skor Pirani satu tahun setelah soft tissue release adalah 0,30 ± 0,40. Hasil ini menggambarkan peningkatan signifikan skor Pirani (p < 0.0001). Simpulan. Keluaran klinis pasien neglected clubfoot dinilai menggunakan skor Pirani meningkat signifikan satu tahun setelah soft tissue release.
Correlation Between Shoulder Pain Severity, Acromion Morphology, and Acromiohumeral Distance Using MRI: A Study at Haji Adam Malik Hospital Medan in 2022 Albar, Husnul Fuad; Rendy, Geon; Nanto, Iman Dwi
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 13 No. 2 (2024): October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v13i2.2024.69-74

Abstract

Background: Studies have shown that rotator cuff tears (RCTs) are the most common cause of shoulder pain and restricted movement. The acromion is a posterior shoulder landmark. Specific acromion morphologies may predispose individuals to rotator cuff tears. Furthermore, studies have found a correlation between supraspinatus tendon tears and acromiohumeral distance. This study examines how shoulder pain assessed with American Shoulder and Elbow Surgeons (ASES) score relates to acromion morphology and acromiohumeral distance on MRI at Haji Adam Malik Hospital in 2022.Methods: This descriptive analytical study employed a cross-sectional approach. A total of 38 patients with a confirmed diagnosis of shoulder pain underwent shoulder MRI examinations and were assessed using the ASES score. Statistical analysis included assessing data normality and performing Spearman correlation analysis. Data were processed and analyzed using SPSS version 25.0.Results: In this study of 38 patients, most participants were women with an average age of 54.66 years. The most common acromion type was type 1 (flat), and the most frequent acromiohumeral distance category was normal. There was no correlation between acromion type and ASES scores, but a moderate correlation was found between the scores and acromiohumeral distance (p=0.016). A positive correlation was observed between type III acromion and ASES score. Conclusion: Shoulder pain based on ASES score has a moderate correlation with acromiohumeral distance and acromion type III variation has a positive correlation although there is no significant correlation was found between shoulder pain and acromion type.
Hubungan Kecemasan pada Visit Pre-Anestesi dengan Tekanan Darah sebelum Tindakan Anestesi di Rumah Sakit Universitas Sumatera Utara Christine, Christine; Zainumi, Cut Meliza; Hamdi, Tasrif; Albar, Husnul Fuad
Jurnal Kesehatan Andalas Vol. 10 No. 3 (2021): Online November 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i3.1860

Abstract

Preoperative anxiety is frequently correlated with anesthesia procedures, resulting in the anesthesiologist being the most suitable person to decrease the patient's anxiety through effective doctor–patient communication during pre–anesthesia visits. During anxiety, one of the body responses is the release of epinephrine to the blood vessel resulting in increased blood pressure. Objectives: To knew the correlation between pre-anesthesia visit anxiety and blood pressure before anesthesia procedure. Methods: This study used a cross-sectional design that was conducted at Universitas Sumatera Utara General Hospital from September until October 2019. The sample was collected by consecutive sampling techniques, which meet inclusion and exclusion criteria. This study used primary data then was analyzed using Fisher’s Exact Test. Results: From 67 patients going through elective surgery, there are 41 patients (61,2%) with mild anxiety, 17 patients (25,4%) with moderate anxiety, and nine people (13,4%) with severe anxiety. There is no significant correlation (p>0,05) between anxiety with sex, types of anesthesia, PS ASA and heart rate. There is a significant correlation (p<0,05) between anxiety with blood pressure and types of surgery. Conclusion: There is a correlation between anxiety during the pre-anesthesia visit with blood pressure before anesthesia procedures.Keywords:  anesthesia, anxiety, blood pressure, pre-anesthesia visit
Soft Tissue Release for Neglected Clubfoot: One-year Clinical Outcome Husnul Fuad Albar
Cermin Dunia Kedokteran Vol 49 No 7 (2022): Nutrisi - Vitamin D
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v49i7.249

Abstract

Background. Neglected clubfoot is the most common congenital problem leading to locomotor disability. Eighty percent children with clubfoot deformity are born in developing world and the majority do not have access to appropriate medical care. The severity of clubfoot may be assessed with a variety of methods; i.e Pirani scoring system. This study use Pirani scoring system to evaluate the clinical outcome of neglected clubfoot patients one year after soft tissue release. Method. A study of 17 patients who underwent soft tissue release in Harapan Hospital a year before. We compare Pirani score before and one year after soft tissue release. Other data submitted are age, reason of delayed treatment, term of prosthesis, and complication after surgery. Result. The 17 patients were 10 females and 7 males; the average age was 69.06 ± 49.15 months old. Deformity in left foot was in 13 feet (59.1%) and right foot was in 9 feet (40.9%). The average total Pirani Score before soft tissue release is 5.43 ± 1.03 and one year after soft tissue release is 0.30 ± 0.40, p<0.0001 (p<0.05). This result shows significant improvement one year after soft tissue release. Conclusion. Soft tissue release for neglected clubfoot resulted in significant Pirani score improvement after one year. Latar Belakang. Neglected clubfoot merupakan masalah kongenital yang paling sering menyebabkan disabilitas lokomotor. Tingkat keparahan clubfoot dapat ditentukan dengan beberapa metode, antara lain sistem skor Pirani. Salah satu tata laksana neglected clubfoot adalah soft tissue release. Studi ini mengevaluasi keluaran klinis pasien neglected clubfoot menggunakan sistem skor Pirani satu tahun setelah soft tissue release. Metode. Studi pada 17 pasien yang telah menjalani soft tissue release satu tahun yang lalu. Skor Pirani sebelum dan satu tahun setelah soft tissue release dibandingkan. Data lain meliputi usia, alasan terlambatnya tata laksana, prosthesis yang digunakan, serta komplikasi pasca-operasi. Hasil. Rata-rata pasien berusia 69,06 ± 49,15 bulan, 10 perempuan dan 7 laki-laki. Sejumlah 13 deformitas didapatkan pada kaki kiri (59,1%), 9 deformitas pada kaki kanan (40,9%). Rata-rata skor Pirani sebelum soft tissue release adalah 5,43 ± 1,03, sedangkan rata-rata skor Pirani satu tahun setelah soft tissue release adalah 0,30 ± 0,40. Hasil ini menggambarkan peningkatan signifikan skor Pirani (p < 0,0001). Simpulan. Keluaran klinis pasien neglected clubfoot dinilai menggunakan skor Pirani meningkat signifikan satu tahun setelah soft tissue release.
Co-Authors Christine Christine Christine Christine Hamdi, Tasrif Nanto, Iman Dwi Rendy, Geon Tasrif Hamdi Zainumi, Cut Meliza