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Karakteristik Penderita Apendisitis yang Dioperasi di Divisi Bedah Anak RSUP Dr. M. Djamil Padang Periode 2019-2020 Lucy Patmasari; Hendra Herizal; Syamel Muhammad
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 4 (2021): Desember 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v2i4.496

Abstract

Latar Belakang: Apendisitis adalah peradangan yang terjadi pada apendiks vemiformis secara akut maupun kronis yang disebabkan oleh adanya obstruksi pada lumen apendiks. Objektif: Penelitian ini bertujuan untuk mengetahui gambaran penderita apendisitis pada anak di RSUP Dr. M. Djamil Padang pada tahun 2019-2020. Metode: Metode penelitian ini menggunakan desain deskriptif dengan pengambilan sampel menggunakan teknik total sampling. Populasi penelitian ini adalah seluruh pasien anak yang didiagnosa apendisitis di bagian bedah anak RSUP M. Djamil Padang dengan jumlah sampel 78 orang. Data diperoleh dari rekam medis penderita apendisitis periode 2019-2020. Variabel yang diteliti yaitu usia, jenis kelamin, klasifikasi klinis, jenis pembedahan, lama rawatan, dan onset pada pasien apendisitis. Analisis data secara univariat untuk mencari distribusi frekuensi. Hasil: Hasil penelitian ini menunjukan usia terbanyak penderita apendisitis berada pada kelompok usia >5-11 tahun (66,7%). Kasus terbanyak ditemukan pada jenis kelamin perempuan (60,3%) dibanding laki-laki (39,7%). Angka kejadian apendisitis akut no-perforata (50%) lebih tinggi dari pada apendisitis akut perforasi (32,1%) dan apendisitis kronik (17,9%). Tatalaksana yang lebih sering digunakan adalah laparoskopi apendektomi (58,97%). Median onset nyeri perut pada pasien adalah 3 hari. Median lama rawatan pasien adalah 4 hari. Simpulan: Kesimpulan pada penelitian ini adalah mayoritas penderita apendisitis pada kelompok usia >5-11 tahun, jenis kelamin perempuan, klasifikasi klinis apendisitis akut non-perforata, tatalaksana laparoskopi apendektomi, dengan median onset nyeri perut adalah 3 hari dan median lama rawatan adalah 4 hari.
Ovarian goiter with papillary thyroid carcinoma: A very rare case Puja Agung Antonius; Dr. dr. Syamel Muhammad, SpOG(K)-Onkogin; Muhammad Zaldy Rasyid Putra; Santy Saberko
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.179-183.2022

Abstract

Struma ovarii is a rare condition, in which thyroid tissue is the predominant element in an ovarian carcinoma. Thyroid tissue may demonstrate the same spectrum of pathological features as in the normal thyroid including benign and malignant changes. The malignant type is very rare, only 5% from all incidents of goiter ovarii. We present a case of papillary thyroid carcinoma arising in a struma ovarii of the right ovary in a 43-year-old female
Uterine Rupture due to Gestational Trophoblastic Neoplasia on Nulliparous Woman : A Case Report Deo Cerlova Milano; Dr. dr. Syamel Muhammad, SpOG(K)-Onkogin
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.198-202.2022

Abstract

Background : Invasive mole (IM) is a frequent complication of gestational tropoblastic neoplasia (GTN). These tissues invade the myometrium deeply, occasionally affecting the peritoneum or vaginal vault. The prevalence of an invasive mole causing uterine rupture is uncommon.  Case Report : We discuss the case of a 46-year-old nulliparous woman who presented to the emergency room complained severe abdominal pain that had been present for 4 hours. Patient had a history of complete mole evacuation 2 months ago with persistently elevated beta-human chorionic gonadotropin (B-HCG). .  The patient was diagnosed with suspected uterine rupture due to an invasive mole   and advised to undergo hysterectomy. Total abdominal hysterectomy was performed with the preservation of both ovaries. Choriocarcinoma was diagnosed histopathologically, and the patient was prepared for chemotherapy using EMA-CO protocols. Conclusion :  Perforation of the uterus by an invasive mole is a rare but lethal complication. Although hysterectomy followed by chemotherapy is the standard treatment for this condition, several studies demonstrate the benefit of conservative management in terms of fertility preservation in reproductive-aged women.
Hubungan Skor RMI Dengan Stadium Kanker Ovarium Tipe Epitel Di RSUP Dr. M. Djamil Padang Nabilla Mahyenda; Syamel Muhammad; Aswiyanti Asri
Jurnal Ilmu Kesehatan Indonesia Vol 3 No 3 (2022): September 2022
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v3i3.668

Abstract

Latar Belakang: Kanker ovarium menempati peringkat ketiga kejadian tertinggi kanker ginekologi di dunia maupun di Indonesia dengan subtipe epitel sebanyak 90% dari seluruh kasus kanker ovarium. Gejala klinis yang umumnya asimptomatik pada stadium awal dan baru terdeteksi pada stadium lanjut menyebabkan angka mortalitas yang cenderung tinggi pada kanker ovarium. Adanya suatu kombinasi modalitas preoperatif untuk mengevaluasi massa ovarium meliputi komponen ultrasonografi (USG), kadar CA-125, dan status menopause sebagai sebuah skor yang disebut dengan Risk Malignancy Index (RMI). Objektif: Penelitian ini bertujuan untuk mengetahui hubungan antara skor Risk Malignancy Index dengan stadium kanker ovarium tipe epitel di RSUP Dr. M. Djamil Padang. Metode: Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional menggunakan data rekam medis pasien kanker ovarium tipe epitel di RSUP Dr. M. Djamil Padang tahun 2019-Juni 2021. Penelitian ini dilakukan selama bulan Maret sampai Oktober 2021. Analisis data dilakukan menggunakan uji Mann-Whitney. Hasil: Didapatkan hasil skor RMI pada stadium lanjut lebih besar dibandingkan dengan stadium awal, dengan nilai p=0.045 (nilai p<0,05). Kesimpulan : Terdapatnya hubungan yang bermakna antara skor RMI dengan stadium kanker ovarium tipe epitel di RSUP Dr. M. Djamil Padang.
Invasive Mole With Impending Uterine Rupture : A Case Report Syamel Muhammad
Journal of Midwifery Vol 7, No 2 (2022): Published on Desember 2022
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.7.2.14-18.2022

Abstract

Gestational  Trophoblastic  Disease  (GTD)  is an abnormal placenta, composed of a spectrum of premalignant to malignant disorders. In Indonesia, GTD incidence is particularly challenging to estimate, since not all cases will be reported or recognized. It classified into hydatidose mole and gestational trophoblastic neoplasia (GTN). One of those clinicopathological classification of GTN is malignant invasive mole. It is likely to be the cause of increased maternal mortality in Indonesia if the disease is not well diagnosed and treated.We reported the case, a 28 years old woman who had a invasive mole with impending uterine rupture. She had a pervaginam bleeding symptoms since 3 weeks after post curetase due to hydatidose mole indication. She also had multiple abortus history.
Ovarian fibrosarcoma : A Case Report Syamel Muhammad; Reyhan Julio
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.301-311.2023

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This case report aims to report and discuss cases of ovarian fibrosarcoma. Ovarian fibrosarcoma is a rare casethat generally occurs in women who have menopause. In the case of ovarian fibrosarcoma, the patient was 43years old, had two children, and had no complaints during menstruation. The patient has lost weight in the lastsix months. The patient has performed debulking surgery optimally. On the PA results, it looks macroscopic, apiece of brownish-white tissue, densely rubbery, with a size of 15x12x5 cm, a solid white part is visible, and thereis a yellowish-white part and anger, there is a 0.5-1.5 cm cavity filled with a yellowish liquid. On microscopicexamination of the tumor, the tissue section appears to consist of a diffuse proliferation of tumor cells withhypercellular and hypocellular areas. Based on the results of macroscopic and microscopic examination of thetumor tissue, a skewed sarcoma is established in fibrosarcoma. The patient underwent chemotherapy after tumorsurgery. Although there is no clear consensus on the administration of fibrosarcoma chemotherapy, severalpublished case reports have demonstrated a lower probability of recurrence and a better prognosis in patientsundergoing chemotherapy.
Hubungan Jumlah Trombosit dengan Stadium Karsinoma Nasofaring di RSUP Dr. M. Djamil Padang Nadhifa Naura Reyani; Sukri Rahman; Syamel Muhammad
Jurnal Ilmu Kesehatan Indonesia Vol 4 No 1 (2023): Maret 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i1.1071

Abstract

Latar Belakang: Karsinoma nasofaring merupakan keganasan paling umum dan sangat invasif, serta menempati peringkat keempat untuk kanker tersering yang terjadi di Indonesia. Beberapa faktor yang berhubungan dengan pasien diketahui memiliki pengaruh dalam hasil pengobatan, salah satunya jumlah trombosit. Jumlah trombosit yang tinggi sebelum terapi merupakan indikator prognosis buruk dan metastasis jauh pada karsinoma nasofaring. Objektif: Mengetahui hubungan jumlah trombosit dengan stadium karsinoma nasofaring di RSUP Dr. M. Djamil Padang. Metode: Penelitian ini merupakan penelitian analitik dengan metode cross sectional. Penelitian ini menggunakan data rekam medis pasien karsinoma nasofaring tahun 2015-2020 di RSUP Dr. M. Djamil Padang. Data yang didapatkan dari penelitian ini akan dilakukan analisis dengan menggunakan uji pearson chi-square. Kemaknaan statistik ditentukan jika nilai p<0,05 (IK 95%). Hasil: Hasil penelitian ini didapatkan 101 sampel dan sebagian besar penderita karsinoma nasofaring adalah laki-laki (60,4%). Penderita paling banyak memiliki usia di atas 40 tahun (76,2%) dan stadium IV merupakan stadium terbanyak. Sebagian besar sampel memiliki jumlah trombosit >300×109/L (67,3%) dengan rerata 369×109/L. Jumlah trombosit yang tinggi didapatkan paling banyak pada stadium lanjut. Hasil dari analisis bivariat antara jumlah trombosit dengan stadium karsinoma nasofaring yaitu p=0,308 (p>0,05). Kesimpulan: tidak terdapat hubungan yang signifikan antara jumlah trombosit dengan stadium karsinoma nasofaring.
Analysis of Factors Related to the Incidence of Stunting in Fishermen's Children Aged 12-24 Months Delsy Nurrizma; Delmi Sulatri; Syamel Muhammad
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.17683

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Stunting is a condition of growth failure in a child's body length of less than -2 standard deviations based on World Health Organization, standards due to manifestations of long-term malnutrition, recurrent infectious diseases, and inadequate psychosocial stimulation. The research aims to determine the analysis of factors related to the incidence of stunting in children aged 12-24 months in the Air Bangis Health Center working area in 2020. The research is a Mix Method Study with a Sequential Explanatory design carried out in the Air Bangis Health Center Working Area in 2022. This research was conducted in the Air Bangis Health Center Work Area from November to February 2023. The research quantitatively conducted a Cross-Sectional Study on children aged 12-24 months, as many as 148 people and their mothers. Measurement of body length according to age, questionnaires for quantitative data, and in-depth interviews for qualitative data. The logistic regression test determines the most dominant variable that causes stunting. There is a significant relationship between food intake (p-value=0.042), sanitation (p-value=0.013), immunization status (p-value=0.117), and maternal education (p-value=0.095) on the incidence of stunting. There is no relationship between exclusive breastfeeding, infectious diseases, hygiene and family income. The most dominant factor is food intake, with value (POR=2.220). Based on the research results, it was found that the most dominant variable was food intake. It is recommended for mothers of toddlers to pay more attention to nutritional intake during pregnancy and breastfeeding and it is recommended for health workers to provide education in the form of health education about nutritious foods to prospective pregnant mothers to pay more attention to their nutritional intake. Keywords: Intake, Nutrition, Sanitation, Stunting
Relationship Between Risk Factors and The Incidence of Gestational Trophoblastic Neoplasia at RSUP Dr. M. Djamil Padang Year 2019-2021 Aldi Almujahid; Syamel Muhammad; Asterina
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.746-753.2024

Abstract

Background : Gestational Trophoblastic Neoplasia (GTN) is a tumor originating from cytotrophoblast and syncytotrophoblast that invades myometrium, damages surrounding tissue and blood vessels, and causing bleeding. Purpose : This study aims to determine the relationship between age, history of previous pregnancies, β-hCG levels, parity, and interval with last pregnancy on the incidence of GTN. Method : This research is an observational analytic study with a cross sectional research design. Univariate analysis was carried out which described the frequency distribution of variables and bivariate analysis with the chi square statistical test . Result : The results of this study showed that there was a significant relationship between age, history of previous pregnancies, β-hCG levels and parity) and the incidence of GTN, while the interval with the last pregnancy did not have a significant relationship with the incidence of GTN . Conclusion: It was concluded that age, history of previous pregnancy, β-hCG levels, and parity are risk factors for GTN.
Efficacy of EMCO Therapy on Serum β-hCG Levels in Case of Gestational Trophoblastic Neoplasm (GTN) at Dr. M. Djamil Hospital Padang 2019-2021 Attahhal Fikrian Syadiq Siregar; Syamel Muhammad; Elly Usman
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.754-762.2024

Abstract

Backgrounds: Etoposide, Methotrexate, Cyclophosphamide, and Vincristine (EMCO) Chemotherapy is used as an alternative therapy for patients with a diagnosis of Gestational Trophoblastic Neoplasm (GTN) at Dr. M. Djamil Hospital Padang because Actinomycin D has not been included in the National Formulation (FORNAS). Purpose: To determine the efficacy of EMCO therapy with limited Actinomycin D on serum β-hCG levels in Gestational Trophoblastic Neoplasm (GTN) cases at Dr. M. Djamil Padang Hospital in 2019-2021. Methods: The type of research used is numerical comparative analytics with a cross sectional approach. The number of samples was 17 GTN patients who had done EMCO chemotherapy and checked β-hCG levels before and after chemotherapy. The research was conducted from April to October 2022 at Dr. M. Djamil Hospital Padang. Data processing using total sampling technique and tested using Wilcoxon Test. Results: Most GTN patients were found to be <40 years old (64,7%), history of molar hydatidiform pregnancy (47,1%), last pregnancy interval <4 months (58,8%), β-hCG level before chemotherapy ranged from 104-105 mIU/mL (52,9%), tumor size >5 cm (58,8%), metastasis location in the internal genital tract (35,5%), and patients who did not have metastasis (52,9%). Conclusion: There was a significant decrease in β-hCG levels after chemotherapy using EMCO for three cycles in patients with a diagnosis of GTN.
Co-Authors Abrar, Rijalul Afdal Afdal, Afdal Afriyeni Sri Rahmi Aldi Almujahid Almujahid, Aldi Amel Yanis Andani Eka Putra Antonius, Puja Agung Anugrah, Mutia Paramadita Ardian Riza Ariani, Novita Asterina Asterina Aswiyanti Asri Aswiyanti Asri Attahhal Fikrian Syadiq Siregar Ayu Anissa Bahri Ayu Anissa Bahri, Ayu Anissa Basyir, Vaulline Bobby Indra Utama Caesar Muhammad Wijaya Cimi Ilmiawati, Cimi Citra Ayu Fitrisia Daan Khambri Delmi Sulatri Delsy Nurrizma Deni Heryanto Deni Heryanto, Deni Deo Cerlova Milano Dewi, Madona Utami Dewi, Madona Utami Dodi Suardi Eka Fithra Elfi, Eka Fithra Elly Usman Elly Usman Erlina Rustam Fajriman, Fajriman Fathiyyatul Khaira Fedrivia, Rannia Ferdinal Ferry Firdawati Firdawati, Firdawati Gardenia Akhyar Hafni Bachtiar Halida, Erda Mutiara Haris Pemuda Harsby, Carmiyana Puja Hasmiwati Hendra Herizal Hendra Permana Hendra Permana Henny Mulyani henny Mulyani Husna Yetti Husna, Annisa Tamara Ilmiawati Ilmiawati, Ilmiawati Intan, Shinta Ayu Julio, Reyhan Kamelia, Muthia Karmia, Hudila Rifa Khatimah, Gistin Husnul Kiran Nandini Lucy Patmasari Lusi Jelita Sari Madona Utami Dewi MARINGAN DIAPARI LUMBAN TOBING Mayorita, Pamelia Meuthia, Susan Muhammad Zaldy Rasyid Putra Murizal, Thanya Amoret Alya Mustika Sari Muthia Kamelia Nabilla Mahyenda Nadhifa Naura Reyani Najla, Azarine Shidqi Nandini, Kiran Netti Suharti, Netti Nindya Rahmadita Nindya Rahmadita Nisa Ayu Farma Nurhalimah Juneldi Pamelia Mayorita Pemuda, Haris Permata Rachim, Dyan Puja Agung Antonius Puji Anugrah Puti Fajri Lestari Putra, Xavier Novdi Tansyah Rahmadita, Nindya Rahmatini . Restu Susanti Reyhan Julio Ridwan, Laila Hijradesy Rijalul Abrar Rima Semiarty Rosfita Rasyid Rozi Sastra Purna Rudy Setiawan, Muhammad Santy Saberko Sari, Lusi Jelita Savannah, Aisha Selfi Renita Rusjdi Setiawati, Yessy Siregar, Attahhal Fikrian Syadiq Sugeng Santoso Sukri Rahman Timmy Larasati Tofrizal Vaulline Basyir Virgusrudhina, Mitra Wahyuni, Zulfia Wijaya, Caesar Muhammad Yenita . Yenita Afriyeni Yessy Setiawati Yusrawati Yusrawati