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Pengobatan Gratis Pasca Banjir Sebagai Upaya Pencegahan Penyakit dan Peningkatan Kesehatan Masyarakat Terdampak Novrina Situmorang; Alexander P. Marpaung; Maestro B. U. Simanjuntak; Ivonne R. V. O. Situmeang; Paul S. M. L. Tobing; Inda M. H. Sinaga; Julenda Sebayang; Sanggam B. Hutagalung; Doharjo Manullang; Harry Butar-butar; Adrian Khu; Wijaya Taufik Tiji; Eka Samuel P. Hutasoit; Irene R. T. Damanik; Menang Bastanta Tarigan; Jerry Tobing; Riana Pangaribuan; Lylys Surjani; Evirosa Simanjuntak; Salomo G. U. Simanjuntak; Suryati Sinurat; Surjadi Rimbun; Budi Dermanta Sembiring; Nasib M. Situmorang; Hanjaya Hanjaya
Jurnal Pengabdian Pada Masyarakat METHABDI Vol 5 No 2 (2025): Jurnal Pengabdian Pada Masyarakat METHABDI
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methabdi.Vol5No2.pp354-356

Abstract

Flood disasters often cause various health problems such as skin diseases, diarrhea, acute respiratory infections, and leptospirosis due to environmental contamination and limited access to health services. This community service activity aimed to provide free medical treatment for flood-affected communities as an effort to prevent disease transmission and improve public health status. The activity was carried out through health examinations, medication distribution, health education, and environmental sanitation counseling. The target participants were residents affected by flooding in the designated area. The results showed that most patients experienced skin infections, diarrhea, fever, and respiratory tract infections. Health education increased community awareness regarding clean and healthy living behavior after floods. Free medical services were proven to be effective in reducing complaints and preventing more serious complications among the affected population.
Chronic Lumbar Radiculopathy Treated With Autologous Peripheral Blood Stem Cells: A Case Report Hadyanto Lim; AlexanderP.Marpaung; IndaM.Sinaga; Julenda Sebayang; Surjadi Rimbun; Adrian Khu
Jurnal Kedokteran Methodist Vol. 18 No. 2 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v18i2.5477

Abstract

Background : Lumbar radiculopathy may arise from the compression oflumbosacral nerve roots, leading to pain and disability. We report a caseof chronic lumbar radiculopathy that was successfully treated withperipheral blood stem cells over 24 weeks.Case Presentation : A 62-year-old woman with sharp pain in the back,radiating to both lower legs. Her pain became intense when she waswalking about 200 meters, and has been happening for 2 years. She felland hit her back 7 years ago, and refused to undergo spine surgery in ahospital. Magnetic resonance imaging revealed facet joint hypertrophyand thickening of the ligamentum flavum at L3/L4, L4/L5, and narrowingof the spinal canal. The pretreatment numerical pain rating (NPR) scorewas 7 (out of 10), and the Oswestry Disability Index (ODI) for low backpain was 19 or 38% (19/50 x100%). She was administered a 5-day courseof granulocyte colony-stimulating factor (G-CSF, 5mg/kg/day)subcutaneously, followed by leukapheresis on the fifth day. Circulatingand intravenous infusion of autologous peripheral blood stem cells wereanalyzed using flow cytometry. She also received transforaminal injectionsof 3 ml of peripheral blood stem cells (PBSCs) at each affected lumbarlevel. Peripheral blood CD34+ cells increased fro-treatment, the percentage reductions in pain and ODI were 100% and79.0%, respectively. There were no serious adverse effects from theprocedure.Conclusion: Autologous peripheral blood stem cells are an effectivetreatment for chronic lumbar radiculopathy.Keywords : lumbar radiculopathy, peripheral blood stem cells, spinalstenosis, granulocyte colony-stimulating factor, leukapheresis