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Traditional massage therapy-induced traumatic rupture of hydronephrosis secondary to ureteral obstruction: a case report Dahril; Jufriady Ismy; Muhammad Puteh Mauny; Yasser Kuddah; Richardo Richard Handoko; Muhammad Azmi Fanany; Bellinda Paterasari; Andreas
Journal of International Surgery and Clinical Medicine Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v1i2.2

Introduction: The vast majority of renal injuries occurred by blunt mechanisms with fall and motor vehicle crashes. Massage therapy is widely used as traditional medicine and has been viewed as a safe treatment tool without major complications or side effects. Renal rupture due to traditional massage therapy is a rare complication. Moreover, it occurs even less commonly considering the anatomical location of the kidneys, where they are well-protected. The purpose of this article is to present a case of a patient with an acute ruptured kidney due to traditional massage therapy four hours before admission to the hospital. Case description: A 52-years-old man came to the emergency department with right upper and lower abdominal pain. The pain began in the flank region and spread to the right lower abdomen. He visited a traditional massage therapist and received massage therapy in the abdominal and back region with no history of other trauma or other activities before admission. The hemodynamic status was unstable. Physical examination revealed tenderness in the right upper and lower abdominal region and bulge area at the right flank region. We performed an emergency laparotomy due to hemodynamic instability. Right retroperitoneal exploration revealed active bleeding from a ruptured right kidney. Thus right nephrectomy was performed. Post-operative non-contrast CT scan showed ureteral obstruction due to the presence of right distal ureteral stone Conclusion: Kidneys with anatomical abnormalities such as hydronephrosis and blunt abdominal trauma may increase pressure in the hydronephrotic renal pelvis and cause a rupture. We suggest that surgeons should be cautious of the possibility of renal rupture in blunt trauma due to the change of normal morphological structure of the kidney and attenuation of the renal parenchyma.

PERBANDINGAN EFEKTIVITAS MADU DAN EKSTRAK ETANOL DAUN KELOR (MORINGA OLEIFERA LAMK) TERHADAP PERCEPATAN PENYEMBUHAN LUKA BAKAR DERAJAT II PADA TIKUS PUTIH JANTAN (RATTUS NORVEGICUS STRAIN WISTAR) SECARA MAKROSKOPIS Muhammad Azmi Fanany; Andi Ipaljri Saputra; Wifa Nur Yasmin
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 14 No 2 (2024): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v14i2.1587

Background: Burns are damage to the skin or other tissues caused by high temperatures, radiation,electricity, or contact with chemicals. Healing by maintaining resistance that has potential to killbacteria at affordable prices is to use the active substances contained in honey and Moringa leaf.Methods: Research with True Experimental design by giving honey and ethanol extract of moringaleaves in gel preparation to affect the acceleration of second degree burn wound healing in ratsmacroscopically. With the design of "Post Test Only Control Group Design". The data were analyzedusing the Mann Whitney nonparametric test.Result: Analysis of data on the average diameter of wound healing and percentage of wound reductionon day 7 between honey and ethanol extract of moringa leaves with a significance value of 0.000, onday 14 a significance value of 0.000 was obtained which means sig.<0.005 It can be concluded thereis a significant difference between the treatment groups.Conclusion: Ethanol extract of moringa leaves has a smaller wound diameter value, which is anaverage of 12.09 mm compared to honey which has a wound diameter of 14.54 mm. Based on thepercent reduction value, moringa leaf ethanol extract has a percent wound reduction of 39.90%compared to honey which has a percent wound reduction value of 27.26%.

GAMBARAN KARAKTERISTIK PASIEN FISTULA PERIANAL DI RS HJ. BUNDA HALIMAH BATAM PERIODE 2022-2023 Muhammad Azmi Fanany; Khalikul Razi; Kiki Zulfikri
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 14 No 3 (2024): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v14i3.1582

Fistula perianal merupakan sebuah saluran yang terbentuk di antara kanalis analis dan rektum dengan kulit di sekitar anus. Kondisi patologis ini paling sering terjadi akibat ulserasi abses atau drainase insisi di sekitar anus dan rectum. Diketahui terdapat 20.000 hingga 25.000 kasus fistula perianal baru di Amerika Serikat setiap tahunnya. Sebagian besar (hingga 90%) kasus fistula ani adalah idiopatik. Beberapa kasus fistula perianal dihubungkan dengan kondisi lainnya seperti penyakit Crohn, tuberkulosis, hidradenitis supuratif, dan riwayat operasi sebelumnya ataupun radioterapi. Fistula ani tidak akan sembuh tanpa intervensi, dan kegagalan pengobatan dapat mendukung progresifitas penyakit. Komplikasi yang mungkin terjadi setelah dilakukan pembedahan pada fistula perianal antara lain yaitu kekambuhan fistula, inkontinensia, luka drainase kronis, dan striktur anus. Mengingat komplikasi yang sangat mungkin terjadi pada pasien dengan fistula perianal, maka peneliti tertarik untuk melakukan penelitian tentang gambaran karakteristik pasien fistula perianal di RS Hj. Bunda Halimah Batam Periode 2022-2023. Didapatkan sampel sebanyak 14 orang, pada penelitian didapatkan bahwa pasien fistula perianal terjadi 3 hingga 4 kali lebih sering pada laki-laki dibanding perempuan di RS Hj. Bunda Halimah periode 2022-2023. Berdasarkan data yang diperoleh dalam penelitian ini, diketahui bahwa jumlah pasien yang berusia antara rentang usia terbanyak adalah 30-39 tahun, diikuti oleh usia 40-49 tahun, kemudian usia >50 tahun. Berdasarkan data yang diperoleh bahwa jenis tindakan terbanyak adalah fistulotomi dibanding dengan fistulectomi. Kata kunci: Fistula Perianal, Karakteristik, Komplikasi

SUCCESSFUL MANAGEMENT OF SHARP ABDOMINAL TRAUMA WITH DIAGNOSTIC LAPAROSCOPY AT DR. ZAINOEL ABIDIN ACEH HOSPITAL Khalikul Razi; Muhammad Azmi Fanany; Muhammad Yusuf; Ferry Erdani; Muslim
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 14 No 3 (2024): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v14i3.1590

Abdominal trauma is injury that occurs to organs in the abdomen, such as the stomach, intestines, liver, spleen, pancreas, bile and kidneys, damage to the structures located between the diaphragm and pelvis. Abdominal trauma is divided into two types, namely blunt abdominal trauma and stab abdominal trauma. Injuries to the intestines and liver are the most common in penetrating trauma to the abdomen. Case report: a 35 year-old man came to the Emergency Room at the Dr. Zainoel Abidin Regional General Hospital in Banda Aceh with the main complaint of a wooden stab wound (foreign body) on the right side of the abdomen which had penetrated to the back. The patient underwent diagnostic laparoscopy, it was found that a piece of wood (foreign body) was stuck in the liver segment V-VI which had penetrated to the right flank and a hematoma was found around the body and about 100 cc of hemorrhagic fluid originating from the liver due to contact with wood friction but the bleeding was not active. Based on the primary and secondary survey evaluations, the hemodynamic condition was stable. In the evaluation, there were no intra-abdominal organ injury. Extraction of the foreign body wood could be performed well after identification of being free from intra-abdominal organ injury. Conclusion: Abdominal trauma is an injury that occurs to organs in the stomach, such as the stomach, intestines, liver, spleen, pancreas, gallbladder, and kidneys. In this case, it was a penetrating stab wound with stable hemodynamics and no small intestine and omental protruding from the stomach, so this patient underwent diagnostic laparoscopic surgery. The operation with diagnostic laparoscopic in this case was successful and minimally invasive.

HUBUNGAN DERAJAT HIPERTENSI DENGAN STADIUM GAGAL GINJAL KRONIK DI UNIT HEMODIALISA RUMAH SAKIT BADAN PENGUSAHAAN BATAM TAHUN 2019-2020 Fanany, Muhammad Azmi; Christina, Yani; Nasution, Tia Helvita Sari
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 13 No 3 (2023): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v13i3.1357

Background: Chronic Kidney Disease (CKD) is a progressive and irreversible kidney function disorder, in which the body is unable to maintain metabolism and fails to maintain fluid and electrolyte balance which results in an increase in urea.The risk factors for chronic kidney failure from hypertension are 3.2 times greater than those who do not have hypertension.The study aims to determine the relationship between the degree of hypertension and the stage of Chronic Kidney Failure in the hemodialysis unit at Badan Pengusahaan Batam Hospital in 2019-2020. Methods: The research design using analytic observational with a cross sectional approach in the Hemodialysis unit at the Badan Pengusahaan Batam Hospital in July 2023. The sample of this study was 95 patients with Chronic Kidney Failure who visited the Hemodialysis unit at Badan Pengusahaan Batam Hospital in 2019-2020selected by random sampling method. Analysis data using the Chi-Square correlation hypothesis test. Results: A total of 38 people (29.5%) respondents were in the age group 46-55 years and 48 people (50.5%) respondents were male, 62 people (65.3%) had grade 2 hypertension, 83 people(87.4%) of respondents had stage V chronic kidney failure. There was a significant relationship between the degree of hypertension and the stage of chronic kidney failure in patients at the Hemodialysis Unit RSBP Batam 2019-2020 (p=0.042). Conclusion: There is a significant relationship between the degree of hypertension and the stage of chronic kidney failure in patients at the RSBP Batam Hemodialysis Unit 2019-2020.

HUBUNGAN USIA, JENIS KELAMIN DAN INDEKS MASSA TUBUH TERHADAP DERAJAT KEPARAHAN HEMOROID INTERNA PADA PASIEN HEMOROIDEKTOMI DI RUMAH SAKIT BADAN PENGUSAHAAN BATAM PERIODE 2019-2023 Fanany, Muhammad Azmi; Susana, Elvita Nora; Nova, Aura Dewi
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 14 No 1 (2024): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v14i1.1385

Background : Internal hemorrhoids or in the community better known as hemorrhoids or hemorrhoid is a condition with symptoms that can interfere with the daily activities of the sufferer, the dilation of the veins in the hemorrhoidal plexus is located in the anal area. Risk factors that contribute to the severity of internal hemorrhoids are age, gender and body mass index. Methods : Analytical research method with quantitative cross sectional research design. Data collection technique total sampling with a sample size of 33 respondents. Research results were analyzed with the fisher exact test. Results : The results of the analysis obtained the relationship between age and internal hemorrhoidal severity P = 0.036 (meaningful), the relationship between gender and internal hemorrhoidal severity P = 0.002 (meaningful), the relationship between body mass index and internal hemorrhoidal severity P = 0.023 (meaningful). Conclusion : It can be concluded that there is a relationship between age, gender and body mass index on the degree of internal hemorrhoidal severity in hemorrhoidectomy patients at the Badan Pengusahaan Batam Hospital for the 2019-2023 period.

FAKTOR - FAKTOR YANG MEMPENGARUHI TINGKAT KELANGSUNGAN HIDUP 5 TAHUN PASIEN DENGAN KANKER KANDUNG KEMIH DI RSUD DR. ZAINOEL ABIDIN BANDA ACEH Merysia Karmila; Jufriady Ismy; Imam Hidayat; Safrizal Rahman; Muhammad Ridha; Muhammad Azmi Fanany
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 2 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i2.1725

ABSTRACT Background: Bladder cancer is the tenth most common cancer worldwide, and its prevalence is gradually increasing globally. In Indonesia, there are 7,828 new cases of bladder cancer each year, which cause 3,885 deaths. The survival of bladder cancer patients highly depends on many factors. Objective: To identify the factors that influence the 5-year survival rate of patients with bladder cancer at zainoel abidin hospital. Method: An analytical one year study using a retrospective cohort design to analize the factors affecting the 5-year survival rate of bladder cancer patients for 5 years, starting from 2015 until 2019 with medical record data. Result: The average age of the 151 patients was 59±11.9 years, and 126 patients (83,4%) were male. The majority 105 patients (69.54%) were under 65 years old. A total of 127 patients (84.11%) were smokers, 65 patients (43%) with high school degree, 50 patients (33,11%) were self-employed, 96 patients (63.58%) is underweight BMI. Based on stadium of bladder cancer, the majority of patients (34.44%) had T3, and the most common treatment (78.81%) was TURBT and refused to radikal cystectomy. Patient survival rates were influenced by age (P value = 0.00), education level (P value = 0.003), occupation (P value =0,01), treatment (P value = 0,005), and T category (P value = 0.00). Conclusion: Age, education level, occupation, treatment and T category have a significant impact on bladder cancer patients survival rate. Keywords: Bladder cancer, 5-years survival, Age, Education level, Occupaton, Smokers, BMI, T Category, Treatment.

COMPARISON OF ALVARADO SCORE AND RIPASA SCORE IN DIAGNOSIS OF ACUTE APPENDICITIS AT HJ. BUNDA HALIMAH HOSPITAL BATAM Muhammad Azmi Fanany; Fachrul Jamal; Malahayati Rusli Bintang; Raju Sabran
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 3 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i3.1957

ABSTRACT Background: Acute appendicitis is the most common abdominal surgical emergency, requiring rapid and accurate diagnosis to prevent serious complications. The Alvarado and RIPASA scores are widely used diagnostic tools, but they differ in characteristics and performance, particularly in Southeast Asian populations. This study sought to compare the Alvarado and RIPASA scores for diagnosing acute appendicitis at Hj. Bunda Halimah Hospital, Batam. Methods: This retrospective cross‑sectional analytic study included 125 patients with suspected acute appendicitis who underwent surgery at Hj. Bunda Halimah Hospital between 1 January 2022 and 31 December 2024. Histopathology served as the gold standard. Diagnostic metrics were calculated for an Alvarado cut‑off  ≥ 7 and a RIPASA cut‑off  ≥ 8 Results: The Alvarado score showed a sensitivity of 87.7%, specificity of 63.6%, PPV of 96.1%, NPV of 33.3%, and accuracy of 85.6% with an AUC of 0.797. The RIPASA score has a higher sensitivity of 91.2% but lower specificity of 54.5%, PPV of 95.4%, NPV of 37.5%, accuracy of 88%, and an AUC of 0.847. The ROC comparison shows that the AUC value of RIPASA reflects better discriminatory ability in establishing the diagnosis of acute appendicitis. Conclusion: The RIPASA score has been shown to be more sensitive and provide better discriminatory performance. Although the Alvarado score is more specific, the higher sensitivity and accuracy of RIPASA make it a superior alternative in the initial evaluation of appendicitis. Keyword : Acute appendicitis, Alvarado score, RIPASA score

THE RELATIONSHIP BETWEEN CLINICAL FACTORS AND OUTCOMES OF GASTROSCHISIS PATIENTS AT DR. ZAINOEL ABIDIN REGIONAL HOSPITAL, BANDA ACEH Darul Ilham; Subhan, Nanda; Azmi Fanany, Muhammad
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 15 No 3 (2025): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v15i3.1961

Background: Gastroschisis is an abdominal wall defect without a covering membrane, leaving intra-abdominal organs, particularly the intestines, exposed. Globally, the incidence varies, ranging from 0.22 to 7.91 per 10,000 live births.Objective: To determine the clinical associations of gastroschisis patients and identify risk factors that could potentially influence clinical outcomes at Dr. Zainoel Abidin Regional General Hospital, Banda Aceh. Methods: This retrospective observational study using medical records of patients with gastroschisis born between January 1, 2015, and December 31, 2018. Univariate and bivariate data analysis using the chi-square test with a P value <0.05. Results: In this study, the majority of patients were male (52.6%) with a birth weight ranging from 1,500 to 2,500 grams (63.2%). The most frequently performed intervention was primary closure (84.2%), predominantly conducted on day 0 of life (36.8%). A mild Apgar score was observed in 68.4% of the patients. There were statistically significant associations between survival duration and birth weight (p=0.016), type of surgical intervention (p=0.007), Apgar score (p=0.022), and timing of the intervention (p=0.000). Conclusion: Gastroschisis patients at this hospital are generally low-birth-weight boys born to young mothers. Factors such as birth weight, type of procedure, Apgar score, and age at procedure are associated with survival.

PENGARUH SENAM PROLANIS TERHADAP PENGENDALIAN TEKANAN DARAH DAN KADAR GULA DARAH PADA PASIEN PENYAKIT KRONIS DI PUSKESMAS LUBUK BAJA KOTA BATAM Andi Ipaljri Saputra; Muhammad Azmi Fanany; Istiqa Syaraya Putri
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 2 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zked.v16i2.2253

ABSTRACT Background: Non-Communicable Diseases (NCDs) such as hypertension and Type 2 Diabetes Mellitus (DM) are major causes of mortality globally and in Indonesia. Batam City, particularly at the Lubuk Baja Public Health Center (UPT Puskesmas Lubuk Baja), has reported a relatively high prevalence of these chronic diseases. The Chronic Disease Management Program (Program Pengelolaan Penyakit Kronis/Prolanis) initiated by BPJS Kesehatan, including Prolanis exercise, represents a non-pharmacological strategy aimed at controlling blood pressure and blood glucose levels. Methods: This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 88 chronic disease patients participating in the Prolanis program at Lubuk Baja Public Health Center, Batam City, in 2025, selected using purposive sampling based on inclusion and exclusion criteria. Blood pressure and blood glucose levels were measured before and after the Prolanis exercise intervention. Data were analyzed using univariate and bivariate analyses with the Paired T-Test. Results: The results of the paired t-test demonstrated a significant effect of Prolanis exercise on blood pressure control with a p-value of 0.000 (p < 0.05), and on blood glucose control with a p- value of 0.000 (p < 0.05). Conclusion: There is a significant effect of Prolanis exercise on controlling blood pressure and blood glucose levels among patients with chronic diseases at Lubuk Baja Public Health Center, Batam City, in 2025. Keywords: Prolanis Exercise, Blood Pressure, Blood Glucose Level, Chronic Disease

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