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All Journal e-CliniC JURNAL BIOMEDIK Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Medical Scope Journal (MSJ) Jurnal Impresi Indonesia International Journal of Health and Pharmaceutical (IJHP) Jurnal Sehat Indonesia (JUSINDO)
Adrian Tangkilisan, Adrian
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Religion Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Analisis Rasio Neutrofil Limfosit pada Pasien Carcinoma Mammae dengan Risiko Kejadian Efusi Pleura Lolongan, Gerald Randy; Tangkilisan, Adrian; Sukanto, Wega; Langi, Fima Lanra Fredrik G.
Syifa'Medika Vol 16, No 1 (2025): Syifa Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v16i1.9839

Abstract

Kanker payudara merupakan salah satu jenis kanker yang paling sering ditemukan, dengan komplikasi seperti efusi pleura yang dapat memperburuk prognosis pasien. Penelitian ini bertujuan untuk menganalisis hubungan antara rasio neutrofil-limfosit (RNL) dan kejadian efusi pleura pada pasien karsinoma mammae di RSUP Prof Dr. R.D. Kandou Manado. Penelitian ini menggunakan desain potong lintang dengan pendekatan retrospektif, melibatkan 196 pasien kanker payudara, yang terbagi menjadi dua kelompok: pasien dengan dan tanpa efusi pleura. Hasil penelitian menunjukkan bahwa meskipun ada kecenderungan peningkatan RNL pada pasien dengan efusi pleura, faktor-faktor lain seperti stadium kanker dan pembesaran kelenjar getah bening supraklavikula lebih dominan dalam memprediksi efusi pleura. RNL tidak terbukti menjadi biomarker yang kuat untuk memprediksi efusi pleura secara independen. Penelitian ini memberikan wawasan mengenai potensi NLR dalam memprediksi komplikasi pada pasien kanker payudara, namun penelitian lebih lanjut diperlukan untuk mengidentifikasi biomarker yang lebih sensitif dalam memprediksi efusi pleura.
Partial Sternotomy Due To Intrathoracic Foreign Body Suspected Implant Migration: A Case Report Tangkilisan, Adrian; Riahna, Else; Sukanto, Wega; Zenithy Tamburian, Christha; Kent Paat, Rigel
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 2 (2025): May 2025 ( Indonesia - Iraq - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i2.410

Abstract

Intrathoracic foreign bodies pose notable surgical challenges, particularly with concerns of implant migration. This case report details a 55-year-old male admitted to the ICU, exhibiting symptoms of coughing and hematemesis following partial sternotomy due to presumed implant migration. Comprehensive clinical assessment revealed stable vital signs and leukocytosis, but no signs of infection. The management strategy included a multidisciplinary approach encompassing infection control, wound care, and pharmacologic support. Partial sternotomy was performed, allowing for effective retrieval with minimized postoperative complications. Postoperative care emphasized respiratory support and regular monitoring of laboratory parameters to detect potential complications. The case underscores the importance of integrating traditional and innovative surgical techniques while prioritizing patient safety and health outcomes. Close monitoring and a tailored care plan were essential in managing the escalating symptoms and potential complications arising from the intrathoracic foreign body.
Faktor Prediktor Terjadinya Delayed Hemothorax pada Pasien dengan Riwayat Trauma Tumpul Toraks di RSUP Prof Dr. R.D. Kandou Manado Stefanus, Gufi George; Sukanto, Wega; Tangkilisan, Adrian; Langi, F. L. Fredrik G.; Prasetyo, Eko; Tamburian, Christha; Saleh, Denny
Jurnal Sehat Indonesia (JUSINDO) Vol. 6 No. 02 (2024): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v6i02.133

Abstract

Trauma toraks merupakan penyebab signifikan dari morbiditas dan mortalitas, terutama dalam konteks multitrauma, dengan dampak kematian berkisar antara 20% hingga 25%. Penelitian ini bertujuan untuk mengetahui faktor prediktor terjadinya delayed hemothorax pada pasien dengan riwayat trauma tumpul toraks di RSUP Prof. Dr. R.D. Kandou Manado. Metode yang di guanakan metode penelitian dengan pendekatan kohort retrospektif, dengan cara consecutive sampling, analisis data dengan analisis deskriptif. Adapun hasil penelitian, ditemukan bahwa faktor prediktor yang signifikan adalah adanya fraktur tulang iga, jumlah fraktur iga 3 atau lebih, dan lokasi fraktur tulang iga. Usia dan kejadian kontusio paru tidak ditemukan sebagai faktor prediktor yang signifikan. Hasil penelitian juga menunjukkan bahwa pasien yang memiliki fraktur pada tulang iga ke 10-12, 6-9, dan 3-5 memiliki risiko lebih tinggi untuk mengalami delayed hemothorax.
EFFUSIVE CONSTRICTIVE PERICARDITIS: HOW TO DIFFERENTIATE WITH CARDIAC TAMPONADE Sukanto, Wega; Tangkilisan, Adrian; Tamburian, Christa; Stefanus, Gufi George
Jurnal Impresi Indonesia Vol. 2 No. 10 (2023): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v2i10.3766

Abstract

Constrictive-effusive pericarditis (ECP) is a rare syndrome but is gaining increasing attention in the classification of pericardial diseases. The aim of this research is to identify the differences in clinical symptoms between constrictive pericardial effusion and cardiac tamponade, such as chest pain, shortness of breath, blood pressure, heart rate, and other symptoms. We report the case of a 67-year-old man who had exertional dyspnea, lack of energy, fatigue, and pleuritic chest pain for the past 6 months. X-rays showed pericardial effusion and pericardial thickening with calcification indicating constrictive pericarditis. Echocardiographic examination also revealed similar findings. The patient then underwent pericardiectomy, during which the pericardial effusion was evacuated. However, after this procedure, cardiac contractions were still limited, underlying the constrictive process. This case illustrates the complexity in differentiating constrictive pericarditis from cardiac tamponade and the importance of accurate diagnosis in the management of this pericardial disease. In this case report, we discuss the clinical findings, diagnostic measures, and management implications in a patient with overt constrictive pericarditis.
Co-Authors Alwin Monoarfa Eko Prasetyo Gloria A. Thomas, Gloria A. Gufi George Stefanus, Gufi George Heber B. Sapan, Heber B. Ishak Lahunduitan, Ishak Iskandar, Edward Kent Paat, Rigel Kissra, Christianto Korompips, Grace E. C. Lolongan, Gerald R. Lolongan, Gerald Randy Marpaung, Elfrida L. Paat, Rigel Pitojo, Kevin G. Riahna, Else Rustandi, Danny K. Saleh, Denny Satriadi, Wayan Soesanto, Hendry Sukanto, Wega Tamburian, Christa Tamburian, Christha Tampubolon, Harris J. Tjiptadi, Vincent D. Zenithy Tamburian, Christha