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All Journal JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis dan Inovasi Universitas Sam Ratulangi) Medicinus : Jurnal Kedokteran
Halim, Freda Susana
Surgery Department, Faculty Of Medicine, Universitas Pelita Harapan
Decision Sciences, Operations Research & Management Medicine & Pharmacology Public Health

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Case Report: External Drainage Procedure in Pediatric Pancreas Pseudocyst Halim, Freda Susana
Medicinus Vol 9, No 3 (2021): October 2021-January 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v9i3.4938

Abstract

Introduction: Pediatric pseudocyst of the pancreas is a rare condition. The therapy given in such a case is usually conservative while waiting for the pseudocyst wall to become mature and followed by an internal drainage procedure. The purpose of this report is to prove that external drainage of such cases is safe and will help to enhance patient recovery.Case Illustration: 4 y.o. boy comes to ER with a chief complaint of epigastric pain with minimal nausea and vomiting, after blunt abdominal trauma 12 hours previously. The primary survey was normal and stable. A bit of distension is found in the abdomen with tenderness and rebound tenderness without muscular rigidity. Free fluid was found but no active bleeding from solid and hollow abdominal organs in abdominal USG. A similar finding was found in Abdominal CT with IV Contrast. After 6 days of hospitalization, feeding becomes a serious problem as abdominal distention is progressing and liquid food is intolerable. Method/Therapeutic Intervention: Exploration by laparoscopy cannot be done due to the unavailability of laparoscopic tools, then laparotomy was done. Pancreas pseudocyst was found, and external drainage is done.Result: After an operation, dramatic progression of the patient's condition is observed. Feeding tolerance is improving and on the 4th day after the operation, the patient came. In the follow-up period, 1 month after operation the drain was released and no sign of pancreatic leakage was found within a one-year post-operative period. Conclusion: External drainage could be considered in pediatric pseudocyst pancreas if the feeding problem is prominent.
Antecedents of Intention to Adopt Mobile Health (mHealth) Application for Physicians Lie Rebecca Yen Hwei; Mustika Ngada Lasiga; Ferdi Antonio; Freda Susana Halim
JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis dan Inovasi Universitas Sam Ratulangi). Vol 9 No 2 (2022): JMBI UNSRAT Volume 9 Nomor 2
Publisher : FEB Universitas Sam Ratulangi Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35794/jmbi.v9i2.39016

Abstract

Abstract:  Continuing medical education (CME) is a process of getting accreditation for practicing healthcare, in which there is knowledge being “transferred” during the process. With the ongoing pandemic for the last two years, physical distancing made offline symposiums and workshops is practically impossible to hold; hence, necessitating the shift towards electronic-based CME (e-CME). However, there are certain problems associated with using e-CME. Therefore, this study aims to assess factors that may influence physicians' willingness to use mobile applications that provide e-CME in Indonesia.  There are 248 respondents for our study with the majority of them are general practitioners, age 21 – 30 years old. Our proposed model is able to explain 62.2% of the variance of perceived usefulness and perceived usefulness explains 54.8% of intention to adopt. Job relevance had the strongest total effects on perceived usefulness (β = 0.353, p < 0.001), followed by perceived ease of use (β = 0.299, p < 0.001). mHealth application that offers e-CME in Indonesia can be used to gain knowledge and assist physicians in daily practice extensively while the application developers may improve certain elements in the application to provide better user experience and safety.Abstrak:  Continuing Medical Education (CME) adalah proses mendapatkan akreditasi untuk praktik kesehatan, di mana ada pengetahuan yang “ditransfer” selama proses tersebut. Dengan pandemi yang sedang berlangsung selama dua tahun terakhir, physical distancing membuat simposium dan lokakarya offline praktis tidak mungkin diadakan; Oleh karena itu, diperlukan pergeseran menuju CME berbasis elektronik (e-CME). Namun, ada masalah tertentu yang terkait dengan penggunaan e-CME. Oleh karena itu, penelitian ini bertujuan untuk mengkaji faktor-faktor yang dapat mempengaruhi kesediaan dokter untuk menggunakan aplikasi mobile yang menyediakan e-CME di Indonesia. Ada 248 responden untuk penelitian kami dengan mayoritas dari mereka adalah dokter umum, usia 21 – 30 tahun. Model yang kami usulkan mampu menjelaskan 62,2% varians kegunaan yang dirasakan dan kegunaan yang dirasakan menjelaskan 54,8% niat untuk mengadopsi. Relevansi pekerjaan memiliki total efek terkuat pada kegunaan yang dirasakan (β = 0,353, p <0,001), diikuti oleh persepsi kemudahan penggunaan (β = 0,299, p <0,001). Aplikasi mHealth yang menawarkan e-CME di Indonesia dapat digunakan untuk menambah pengetahuan dan membantu dokter dalam praktik sehari-hari secara luas sementara pengembang aplikasi dapat meningkatkan elemen tertentu dalam aplikasi untuk memberikan pengalaman dan keamanan pengguna yang lebih baik.
Age, Onset, and Tumor Size Differences in Newly Diagnosed Breast Cancer Patients Before and During the SARS-CoV-2 Pandemic at Siloam Hospital Lippo Village (April 2019 – December 2020) Halim, Freda Susana
Medicinus Vol 13, No 3 (2024): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i3.8889

Abstract

Background: The current pandemic condition has caused delays in cancer treatment therefore surveillance should be increased.Methods: By total sampling, this retrospective cross-sectional study enrolled 108 samples, who were newly diagnosed breast cancer patients at the outpatient department of Siloam Hospital Lippo Village (April 2019 - December 2020). Data obtained from medical records and interviews from December 2020 – February 2021.Result: From the total of 108 samples which consisted of 54 samples before the pandemic (April 2019 – February 2020) and 54 samples during the pandemic (March 2020 – December 2020), accompanied by an increasing trend. The age during pandemic was younger than before pandemic (51,167 years old ± 11,255 vs 47,537 years old ± 9,824, p value=0,038), the tumor size during pandemic was bigger than before pandemic (3,403 cm ± 3,024 vs 4,262cm ± 4,212, p value=0,046) but the onset of patient during pandemic was not longer than before pandemic (281,69 days ± 401,387 vs 178,09 days ± 292,563, p value=0,036).Conclusions: Newly diagnosed patients have younger age and larger tumor size during pandemic when we compare to before pandemic period, but no difference in onset term. Surveillance to society is needed to ensure older people with smaller tumor size to seek medical attention.
Age, Onset, and Tumor Size Differences in Newly Diagnosed Breast Cancer Patients Before and During the SARS-CoV-2 Pandemic at Siloam Hospital Lippo Village (April 2019 - December 2020) Halim, Freda Susana
Medicinus Vol. 13 No. 3 (2024): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i3.8889

Abstract

Background: The current pandemic condition has caused delays in cancer treatment therefore surveillance should be increased.Methods: By total sampling, this retrospective cross-sectional study enrolled 108 samples, who were newly diagnosed breast cancer patients at the outpatient department of Siloam Hospital Lippo Village (April 2019 - December 2020). Data obtained from medical records and interviews from December 2020 - February 2021.Result: From the total of 108 samples which consisted of 54 samples before the pandemic (April 2019 - February 2020) and 54 samples during the pandemic (March 2020 - December 2020), accompanied by an increasing trend. The age during pandemic was younger than before pandemic (51,167 years old ± 11,255 vs 47,537 years old ± 9,824, p value=0,038), the tumor size during pandemic was bigger than before pandemic (3,403 cm ± 3,024 vs 4,262cm ± 4,212, p value=0,046) but the onset of patient during pandemic was not longer than before pandemic (281,69 days ± 401,387 vs 178,09 days ± 292,563, p value=0,036).Conclusions: Newly diagnosed patients have younger age and larger tumor size during pandemic when we compare to before pandemic period, but no difference in onset term. Surveillance to society is needed to ensure older people with smaller tumor size to seek medical attention.
Co-Authors Ferdi Antonio Lie Rebecca Yen Hwei Mustika Ngada Lasiga