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All Journal Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Muhammad Azmi Fanany
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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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

Abstract

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

Abstract

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

Abstract

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.
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

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

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
Co-Authors Andi Ipaljri Saputra Fachrul Jamal Ferry Erdani Ismy, Jufriady Khalikul Razi Kiki Zulfikri Malahayati Rusli Bintang Merysia Karmila Muhammad Ridha MUHAMMAD YUSUF Muslim Raju Sabran RR. Ella Evrita Hestiandari Safrizal Rahman Wifa Nur Yasmin