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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Buletin Kedokteran dan Kesehatan Prima JUKEJ: Jurnal Kesehatan Jompa
Nasution, Ikhwanul Hakim
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Diagnosis and imaging of diaphragmatic eventration: A case report Nasution, Ikhwanul Hakim; Soekardi, Adi; Mahatvavirya, Redo Widhio
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5116

Abstract

Background: Diaphragmatic eventration is a rare disorder that is typically found by accident in asymptomatic patients with a raised hemidiaphragm on chest X-rays. Both acquired and developmental defects can cause diaphragmatic eventration. The imaging methods for diaphragmatic eventration are numerous. Chest radiography should be done when there is clinical suspicion; this can be further confirmed with a chest computed tomography (CT). Case presentation: We present a case of a 37 years old woman with a left sided diaphragm eventration presenting as dyspnea and epigastrical discomfort. The diagnosis was made with chest x-ray and then confirmed with a chest CT scans. Discussion: There are several modalities to choose in diaphragmatic imaging. Chest x-ray is the main imaging method for diagnosing diaphragm eventration, in rare cases, a eventration needs to be differentiated using CT or MRI. Other imaging methods such as fluoroscopy and ultrasonography may be used in some instances to assess diaphragm function. Conclusions: There are various methods available in the field of diaphragmatic imaging. Certain methods, like CT and plain chest radiographs, concentrate on the anatomic anomalies of the diaphragm that may indicate dysfunction. Some instruments, including fluoroscopy and ultrasonography, are more appropriate for functional imaging.
GAMBARAN FOTO TORAKS PADA ORANG TUA (45-65) YANG MENGALAMI PENYAKIT DIABETES MELITUS TIPE II (2022-2023 Napitupulu, Tri Krisna Parluhutan; Nasution, Ikhwanul Hakim; Pulungan, Icha Yulianti
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.34608

Abstract

Penelitian ini berjudul gambaran foto toraks pada orang tua (45-65) yang mengalami penyakit diabetes melitus tipe II. Diabetes melitus adalah salah satu gangguan metabolism yang tidak dapat menghasilkan insulin yang banyak, dikarenakan kenaikan kadar glukosa dalam darah. Foto toraks menjadi salah satu pemeriksaan yang sering digunakan dalam dunia medis, dimana gambar tersebut digunakan untuk melihat dan dievaluasi oleh tim medis terhadap kondisi organ pada tubuh pasien tersebut. Pada penelitian ini ditemukan adanya pemeriksaan foto thoraks pada pasien diabetes, yang mana hal ini dilakukan jika pasien mengalami gejala penyakit tambahan atau keinginan dari pasien itu sendiri. Penelitian ini bertujuan untuk mengetahui apakah ada perbedaan intepretasi terhadap foto thorax pada pasien lansia yang terkena diabetes melitus tipe II. Penelitian ini menggunakan pendekatan observasional dan cross sectional yang bersifat deskriptif dengan menggunakan data dari RSU Royal Prima yang berupa rekam medik dan foto thorax pasien sejak bulan Mei tahun 2022 hingga bulan Mei 2023. Pada penelitian ini populasinya adalah pasien yang mengalami penyakit diabetes melitus tipe II. Pengambilan sampel pada penelitian ini menggunakan metode purposive sampling yaitu orang tua yang berusia 45-65 tahun. Pada hasil penelitian di dapati menunjukkan bahwa pasien yang terkena penyakit diabetes dan memiliki Gambaran foto thorax didapati sebanyak 26 orang dan pasien yang hanya terkena diabetes sebanyak 15 orang dengan nilai p-value = 0,989 yang berarti hasil analisis data menunjukan tidak terdapat hubungan signifikan antara gambaran foto thoraks dengan diabetes melitus tipe II.
Anatomical variation findings of the paranasal sinuses based on CT scans in rhinosinusitis Thelim, Adeline; Pulungan, Ica Yulianti; Nasution, Ikhwanul Hakim; Rahmi, Clairine Altin Nur
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5817

Abstract

Rhinosinusitis is an inflammation of the paranasal sinuses and nasal mucosa that occurs due to bacterial, viral, fungal infections, allergens, or autoimmune conditions with signs and symptoms such as nasal congestion, runny nose, facial pain, and decreased olfactory ability, with causes such as host factors that are divided into systemic and local (such as anatomical abnormalities) as well as environmental factors such as viral or bacterial infections and allergen exposure. Anatomical variations in the sinonasal area can cause impaired drainage and ventilation to obstruction of the osteomeatal complex which ultimately causes and even exacerbates inflammation of the sinus mucosa, examples of anatomical variations such as septal deviation, agger nasi cells, concha bullosa, haller cells, onodi cells, and others, with the radiological modality widely used is CT - Scan. This study aimed to identify anatomical variations in rhinosinusitis cases based on CT scan examination results. This study is descriptive and uses a total sampling technique. A total of 53 samples were taken, with rhinosinusitis as the main diagnosis. Subsequently, a frequency distribution test was conducted. It was found that 45 samples had no anatomical variation and eight samples had anatomical variations in the form of septal deviation. The results showed that the anatomical variation found in rhinosinusitis patients at RSUD Dr. Pirngadi had a septal deviation of as many as eight samples (15.1%).
Radiographic evaluation of pulmonary tuberculosis: A comparative study of pre- and post-treatment chest X-rays at Royal Prima Hospital Rahmi, Clairine Altin Nur; Pulungan, Ica Yulianti; Nasution, Ikhwanul Hakim; Thelim, Adeline
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5869

Abstract

Pulmonary tuberculosis (TB) is a significant global health concern. Chest radiography is an essential tool for the diagnosis and monitoring of TB treatment. This retrospective cohort study aimed to analyze changes in chest radiographic findings among TB patients before and after treatment at Royal Prima Hospital. The study included 30 patients with TB who underwent repeated chest radiography between May 2023 and May 2024. Patient data were collected from the medical records. Descriptive analysis and the chi-square test were used to compare changes in radiographic findings between the treatment and non-treatment groups. Of the 30 patients, 15 (50%) showed positive changes on post-treatment radiographs, while the remaining 15 (50%) did not. The Chi-Square test revealed a significant difference (P < 0.05) between the two groups. Patients who received treatment had four-fold higher odds of experiencing radiographic changes than those who did not. These findings align with those of previous research demonstrating the efficacy of TB treatment in the repair of lung damage. Positive changes in post-treatment radiographs indicated that the treatment effectively suppressed Mycobacterium tuberculosis growth and facilitated lung tissue repair. Pulmonary TB treatment exerts a significant impact on changes in chest radiographic findings. This study underscores the importance of adequate TB treatment to achieve cure and prevent complications.
Diaphyseal aneurysmal bone cyst: A case report Reza, Faisal; Nasution, Ikhwanul Hakim
Jurnal Prima Medika Sains Vol. 6 No. 2 (2024): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i2.6255

Abstract

Aneurysmal bone cyst (ABC) is benign lesion of long bone metaphysis, but it can also become locally aggressive lesion. ABC affects mostly medullary region of long bone metaphysis that predominantly affects children and young adults. Meta-diaphysis of the long bones and posterior elements of the vertebrae are the most common sites of involvement. ABCs can involve every skeletal site, but the most common locations are the metaphysis of the long bones, followed by the spine. However, diaphyseal lesions may occur. Patients with ABCs typically present with insidious onset of pain, swelling or a palpable mass. The imaging appearance of ABC is variable; however, a lytic and expansile lesion with fluid-fluid levels is the most common presentation. Although incidence of intracortical variety of ABCs is rare but surgeons might evaluate its severity in view of aggressive benign or malignant lesions of diaphysis. We present the case of a 11-year-old female with left shaft ulna ABC.
The correlation between thoracic radiographic findings in pulmonary tuberculosis and type 2 diabetes mellitus Pinem, Della Terulin; Nasution, Ikhwanul Hakim; Pulungan, Ica Yulianti
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6641

Abstract

Tuberculosis (TB), specifically pulmonary tuberculosis, is a contagious chronic infectious disease caused by Mycobacterium tuberculosis. Type 2 diabetes mellitus (T2DM) is a significant comorbidity that influences the clinical presentation of TB. Patients with pulmonary TB and T2DM exhibit a more severe clinical profile and a broader range of symptoms compared to those with PTB alone. Radiologically, TB-T2DM patients often present with more extensive, multilobular lesions and a higher incidence of cavitation. This study aimed to determine the association between the characteristics of chest X-ray findings in patients with pulmonary TB complicated by T2DM and those without T2DM at Royal Prima General Hospital, Medan. This research employed a quantitative methodology with a cross-sectional design. The sample comprised 50 medical records of pulmonary TB patients with T2DM and 50 medical records of pulmonary TB patients without T2DM. Data analysis involved univariate and bivariate statistical methods. The results indicated that the extent of lesions observed on chest X-rays in patients with pulmonary TB patients with T2DM, as well as those without T2DM, varied from minimal to moderate to extensive. The types of lesions identified included infiltrates, infiltrates with fibrosis, and fibrosis. No significant association was found between the extent of lesions or the type of lesions in pulmonary TB patients with T2DM and those without T2DM. The most prevalent lesion extent was moderate, and the most common lesion type was infiltrates with fibrosis.
Association between cardiothoracic ratio and aortic arch calcification with estimated glomerular filtration rate in hypertensive patients Pratomo, Fransiskus Aryo; Icksan, Aziza Ghanie; Nasution, Ikhwanul Hakim
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6677

Abstract

Hypertension remains a leading cause of global cardiovascular mortality, including in Indonesia. Target organ damage, particularly renal impairment, underscores the need for easily obtainable biomarkers for early detection. Although not explicitly recommended in current guidelines, the cardiothoracic ratio (CTR) and aortic arch calcification (AAC), both assessable via chest radiography, represent readily available and cost-effective screening tools. This study aimed to evaluate the association between these radiographic markers and decreased estimated glomerular filtration rate (eGFR) in hypertensive patients at Royal Prima Hospital, thereby addressing a crucial knowledge gap in resource-limited settings with restricted access to advanced imaging modalities. A cross-sectional analysis was conducted involving 175 hypertensive participants, stratified according to their chronic kidney disease (CKD) stage. Baseline demographics, hypertension status, CTR, AAC, and eGFR were assessed. Bivariate correlation and multivariate regression analyses were performed to determine the relationships between CTR, AAC, and eGFR. The study population exhibited a high prevalence of cardiovascular comorbidities, with 82.3% demonstrating cardiomegaly (mild-to-severe CTR) and 61.7% presenting with AAC. Bivariate analysis revealed a strong inverse correlation between eGFR and both CTR (r = −0.418, p < 0.001) and AAC score (r = −0.457, p < 0.001). Multivariate regression confirmed that both CTR (B = -1.738, p < 0.001) and AAC (B = -16.127, p < 0.001) were significant predictors of eGFR decline. Progressive CKD stages were associated with increased CTR (52.3% in Stage 1 vs. 58.7% in Stage 5) and greater AAC severity (0% advanced calcification in Stage 1 vs. 34% in Stage 5). Age, sex, and blood pressure did not show significant correlations with eGFR (p > 0.05). CTR and AAC are strongly associated with renal dysfunction, reinforcing the evidence of an interaction between cardiovascular pathology and CKD progression. These markers have the potential to serve as accessible biomarkers for identifying high-risk patients, thereby facilitating early intervention in resource-limited settings.
Anatomical variation findings of the paranasal sinuses based on CT scans in rhinosinusitis Thelim, Adeline; Pulungan, Ica Yulianti; Nasution, Ikhwanul Hakim; Rahmi, Clairine Altin Nur
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5817

Abstract

Rhinosinusitis is an inflammation of the paranasal sinuses and nasal mucosa that occurs due to bacterial, viral, fungal infections, allergens, or autoimmune conditions with signs and symptoms such as nasal congestion, runny nose, facial pain, and decreased olfactory ability, with causes such as host factors that are divided into systemic and local (such as anatomical abnormalities) as well as environmental factors such as viral or bacterial infections and allergen exposure. Anatomical variations in the sinonasal area can cause impaired drainage and ventilation to obstruction of the osteomeatal complex which ultimately causes and even exacerbates inflammation of the sinus mucosa, examples of anatomical variations such as septal deviation, agger nasi cells, concha bullosa, haller cells, onodi cells, and others, with the radiological modality widely used is CT - Scan. This study aimed to identify anatomical variations in rhinosinusitis cases based on CT scan examination results. This study is descriptive and uses a total sampling technique. A total of 53 samples were taken, with rhinosinusitis as the main diagnosis. Subsequently, a frequency distribution test was conducted. It was found that 45 samples had no anatomical variation and eight samples had anatomical variations in the form of septal deviation. The results showed that the anatomical variation found in rhinosinusitis patients at RSUD Dr. Pirngadi had a septal deviation of as many as eight samples (15.1%).
Radiographic evaluation of pulmonary tuberculosis: A comparative study of pre- and post-treatment chest X-rays at Royal Prima Hospital Rahmi, Clairine Altin Nur; Pulungan, Ica Yulianti; Nasution, Ikhwanul Hakim; Thelim, Adeline
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5869

Abstract

Pulmonary tuberculosis (TB) is a significant global health concern. Chest radiography is an essential tool for the diagnosis and monitoring of TB treatment. This retrospective cohort study aimed to analyze changes in chest radiographic findings among TB patients before and after treatment at Royal Prima Hospital. The study included 30 patients with TB who underwent repeated chest radiography between May 2023 and May 2024. Patient data were collected from the medical records. Descriptive analysis and the chi-square test were used to compare changes in radiographic findings between the treatment and non-treatment groups. Of the 30 patients, 15 (50%) showed positive changes on post-treatment radiographs, while the remaining 15 (50%) did not. The Chi-Square test revealed a significant difference (P < 0.05) between the two groups. Patients who received treatment had four-fold higher odds of experiencing radiographic changes than those who did not. These findings align with those of previous research demonstrating the efficacy of TB treatment in the repair of lung damage. Positive changes in post-treatment radiographs indicated that the treatment effectively suppressed Mycobacterium tuberculosis growth and facilitated lung tissue repair. Pulmonary TB treatment exerts a significant impact on changes in chest radiographic findings. This study underscores the importance of adequate TB treatment to achieve cure and prevent complications.
The correlation between thoracic radiographic findings in pulmonary tuberculosis and type 2 diabetes mellitus Pinem, Della Terulin; Nasution, Ikhwanul Hakim; Pulungan, Ica Yulianti
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6641

Abstract

Tuberculosis (TB), specifically pulmonary tuberculosis, is a contagious chronic infectious disease caused by Mycobacterium tuberculosis. Type 2 diabetes mellitus (T2DM) is a significant comorbidity that influences the clinical presentation of TB. Patients with pulmonary TB and T2DM exhibit a more severe clinical profile and a broader range of symptoms compared to those with PTB alone. Radiologically, TB-T2DM patients often present with more extensive, multilobular lesions and a higher incidence of cavitation. This study aimed to determine the association between the characteristics of chest X-ray findings in patients with pulmonary TB complicated by T2DM and those without T2DM at Royal Prima General Hospital, Medan. This research employed a quantitative methodology with a cross-sectional design. The sample comprised 50 medical records of pulmonary TB patients with T2DM and 50 medical records of pulmonary TB patients without T2DM. Data analysis involved univariate and bivariate statistical methods. The results indicated that the extent of lesions observed on chest X-rays in patients with pulmonary TB patients with T2DM, as well as those without T2DM, varied from minimal to moderate to extensive. The types of lesions identified included infiltrates, infiltrates with fibrosis, and fibrosis. No significant association was found between the extent of lesions or the type of lesions in pulmonary TB patients with T2DM and those without T2DM. The most prevalent lesion extent was moderate, and the most common lesion type was infiltrates with fibrosis.
Co-Authors faisal Reza Icksan, Aziza Ghanie Mahatvavirya, Redo Widhio Napitupulu, Tri Krisna Parluhutan Pinem, Della Terulin Pratomo, Fransiskus Aryo Pulungan, Ica Yulianti Pulungan, Icha Yulianti Rahmi, Clairine Altin Nur Sihombing, Rony Moses Soekardi, Adi Thelim, Adeline