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All Journal Majalah Ilmiah METHODA Jurnal Pandu Husada
Gunawan, Qibran Aziz
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MDR PATIENT AND DM WITH CAVITARY FUNGUS BALL DUE TO HAEMOPTOE RECURRENT: A CASE REPORT Pakpahan, Edwin Anto; Pratiwi, Annisa Nola; Putri, Frisca Indriani; Harahap, Putri Yana; Gunawan, Qibran Aziz; Siregar, Anandya Annisa Amri
Majalah Ilmiah METHODA Vol. 13 No. 3 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

A 53-year-old man was admitted to Drs. H. Amri Tambunan Hospital with complaints of extreme weakness since today, coughing up blood was found 3 days every time he coughed. Right chest pain like stabbing is found 4 days. Nausea is found 3 days, vomiting is found just today, the contents of what is eaten, decreased appetite and weight are found. The patient is currently taking MDR anti-tuberculosis drugs. Physical examination showed chest wall retraction, weak peristalsis in the abdomen. Thorax examination revealed right Koch Pulmonum or right pulmonary TB with right Aspergillosis/fungus ball of right superior lobe. Lab examination showed that the patient was diabetic. Surgical lobectomy was performed to find a mass of 3 cm in diameter, white-white grey-brown in color, spongy in consistency. The diagnosis of aspergilloma was confirmed by microscopic examination. Tuberculosis and type 2 DM have impaired immunity due to insulin resistance, this is exacerbated by malnutrition which results in ineffective absorption of anti-tuberculosis drugs. This condition makes patients susceptible to fungal infections such as Aspergillus sp. Patients need to maintain blood glucose levels and improve nutritional status to improve their treatment prognosis. Lobectomy surgery on the superior lobe of the right lung also promotes a better prognosis in treatment.
Perbandingan Proses Penyembuhan Luka Pasca Sirkumsisi Dengan Menggunakan Metode Smart Clamps dan Metode Dorsumsisi Gunawan, Qibran Aziz; Batubara, Heppy Jelita Sari
JURNAL PANDU HUSADA Vol 6, No 1 (2025)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v6i1.21486

Abstract

Abstrak: Sirkumsisi merupakan operasi bedah minor yang akan melakukan pemotongan preputium dan bertujuan untuk terhindar dari infeksi juga merupakan praktik keagamaan terutama pada agama Islam. Ada banyak metode sirkumsisi salah satunya adalah metode smart clamp dan dorsumsisi, berbeda metode yang dilakukan, berbeda pula hasilnya. Penelitian ini bertujuan untuk mengetahui proses penyembuhan luka pasca sirkumsisi dengan membandingkan kedua metode tersebut. Penelitian ini menggunakan jenis penelitian analitik observasional dengan desain case control. Penelitian ini dilakukan dengan cara membandingkan dua kelompok yaitu kelompok anak yang menjalani sirkumsisi menggunakan metode smart clamp dan kelompok anak yang menggunakan metode dorsumsisi. Jumlah subjek yang diteliti adalah 60 anak dengan 30 anak pada kelompok smart clamp dan 30 anak lagi pada kelompok dorsumsisi. Analisis data menggunakan uji normalitas Kolmogorov Smirnov dan uji Mann Whitney sebagai uji pembanding. Hasil uji memperlihatkan bahwa terdapat perbedaan proses penyembuhan luka pasca sirkumsisi yang signifikan antara smart clamp dan dorsumsisi, dimana terdapat nilai signifikansi sebesar 0.000 (P0,05) dan terdapat perbedaan mean rank terhadap kedua metode tersebut di mana mean rank pada kelompok dorsumsisi berjumlah 40,85 daripada kelompok smart clamp yang hanya 20,15. Metode smart clamp memiliki proses penyembuhan yang lebih cepat dibandingkan metode dorsumsisi.
MDR PATIENT AND DM WITH CAVITARY FUNGUS BALL DUE TO HAEMOPTOE RECURRENT: A CASE REPORT Pakpahan, Edwin Anto; Pratiwi, Annisa Nola; Putri, Frisca Indriani; Harahap, Putri Yana; Gunawan, Qibran Aziz; Siregar, Anandya Annisa Amri
Majalah Ilmiah METHODA Vol. 13 No. 3 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol13No3.pp234-241

Abstract

A 53-year-old man was admitted to Drs. H. Amri Tambunan Hospital with complaints of extreme weakness since today, coughing up blood was found 3 days every time he coughed. Right chest pain like stabbing is found 4 days. Nausea is found 3 days, vomiting is found just today, the contents of what is eaten, decreased appetite and weight are found. The patient is currently taking MDR anti-tuberculosis drugs. Physical examination showed chest wall retraction, weak peristalsis in the abdomen. Thorax examination revealed right Koch Pulmonum or right pulmonary TB with right Aspergillosis/fungus ball of right superior lobe. Lab examination showed that the patient was diabetic. Surgical lobectomy was performed to find a mass of 3 cm in diameter, white-white grey-brown in color, spongy in consistency. The diagnosis of aspergilloma was confirmed by microscopic examination. Tuberculosis and type 2 DM have impaired immunity due to insulin resistance, this is exacerbated by malnutrition which results in ineffective absorption of anti-tuberculosis drugs. This condition makes patients susceptible to fungal infections such as Aspergillus sp. Patients need to maintain blood glucose levels and improve nutritional status to improve their treatment prognosis. Lobectomy surgery on the superior lobe of the right lung also promotes a better prognosis in treatment.
Co-Authors BATUBARA, HEPPY JELITA SARI Harahap, Putri Yana Pakpahan, Edwin Anto Pratiwi, Annisa Nola Putri, Frisca Indriani Siregar, Anandya Annisa Amri