Article Per Year (5 Year)
p-Index From 2020 - 2025
0.751
P-Index
This Author published in this journals
All Journal Global Health Management Journal Tunas Medika Jurnal Kedokteran & Kesehatan
Debyanti, Merliana
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

Published : 4 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 4 Documents
Search

 1 
HUBUNGAN KESESUAIAN HASIL GAMBARAN ULTRASONOGRAFI (USG) BERDASARKAN KLASIFIKASI BI-RADS DENGAN GAMBARAN HISTOPATOLOGI TUMOR PAYUDARA DI RSUD WALED Laelasari, Evy; Ambarsari, Asih; Debyanti, Merliana; Nurbaiti; Larasati, Putri Ajeng Ayu; Latif, Muhammad Amar
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 11 No 1 (2025): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v11i1.10295

Abstract

Latar Belakang: Tumor payudara adalah jenis tumor kedua yang paling banyak diderita di dunia. Deteksi dini tumor payudara menggunakan USG payudara. Namun, pemeriksaan USG dianggap tidak memiliki akurasi yang baik. BI-RADS adalah standar untuk interpretasi hasil USG payudara. Keakuratan USG berdasarkan klasifikasi BI-RADS dikonfirmasi melalui hasil pemeriksaan histopatologi tumor payudara. Tujuan: Penelitian ini dilakukan untuk mengetahui kesesuaian hasil USG berdasarkan klasifikasi BI-RADS dengan gambaran histopatologi tumor payudara. Metode: Penelitian ini adalah penelitian observasional analitik dengan desain cross sectional, melibatkan seluruh pasien tumor payudara di RSUD Waled Kabupaten Cirebon sebanyak 128 orang. Analisis data menggunakan uji hipotesis Spearman. Hasil: Semua pasien tumor payudara di RSUD Waled adalah pasien wanita. Jumlah pasien terbanyak adalah pada rentang usia 36-45 tahun dengan jumlah 79 pasien (61,7). Pasien dengan klasifikasi BI-RADS 3 berjumlah 7 pasien (5,5%), BI-RADS 4 berjumlah 98 pasien (76,6%) dan BI-RADS 5 berjumlah 23 pasien (18%). Hasil uji sperman memiliki nilai signifikansi 0,001 dengan koefisien korelasi 0,533 yang berarti terdapat hubungan kesesuaian antara deskripsi hasil USG dengan histopatologi tumor. Pada uji spearman memiliki arah positif sehingga dapat disimpulkan bahwa semakin tinggi hasil BI-RADS maka semakin ganas hasil histopatologinya. Kesimpulan: Terdapat hubungan yang sesuai antara gambaran USG berdasarkan klasifikasi BI-RADS dengan gambaran histopatologi tumor payudara. Kata kunci : BI-RADS, Tumor payudara, Ultasonografi, histopatologi ABSTRACT Background: Breast tumors are the second most common type of tumor globally. Early detections of breast tumors use an ultrasound of the breast. However, the ultrasound examination is considered to have poor accuracy. BI-RADS is the standard for the interpretation of breast ultrasound results. The accuracy of ultrasound based on BI-RADS classification is confirmed by the results of histopathological examination of breast tumors. Objective: This study aimed to determine the compatibility of ultrasound results based on the BI-RADS classification with the histopathological picture of breast tumors. Methods: This study is an observational analytic study with a cross-sectional design, involving all breast tumor patients at RSUD Waled Cirebon Regency as many as 128 people. Data analysis used the Spearman hypothesis test. Results: All breast tumor patients at RSUD Waled were female. The highest number of patients were in the age range 36-45 years with 79 patients (61.7). Patients with BI-RADS 3 classification were 7 patients (5.5%), BI-RADS 4 were 98 patients (76.6%) and BI-RADS 5 were 23 patients (18%). Spearman test results have a significance value of 0.001 with a correlation coefficient of 0.533, which means there is a relationship between the ultrasound description and tumor histopathology. The Spearman test has a positive direction so it can be concluded that the higher the BI-RADS results, the more malignant the histopathology results. Conclusion: There is a correlation between ultrasound images based on BI-RADS classification and histopathological images of breast tumors.
Correlation between Types of Bleeding Brain Lesion with Glasgow Coma Scale in Head Injury Patients at Gunung Jati Regional Hospital, Cirebon, Indonesia Tantowijaya, Bibit; Debyanti, Merliana; Kusnandang, Agus
GHMJ (Global Health Management Journal) Vol. 8 No. 1s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-81s1166

Abstract

Background: Head injuries were a leading cause of morbidity and mortality worldwide, often resulting in bleeding brain lesions such as epidural hematoma, subdural hematoma, subarachnoid hemorrhage, and intracerebral hematoma. The Glasgow Coma Scale (GCS) was a widely used tool to assess the level of consciousness in head injury patients. Understanding this relationship was essential for guiding clinical management and predicting patient outcomes, especially in regions with high incidences of traumatic brain injuries, such as Cirebon, Indonesia. Aims: To analyze the relationship between bleeding brain lesions and the Glasgow Coma Scale in head injuries at Gunung Jati Regional Hospital, Cirebon, Indonesia. Methods: This study used an analytical observational method with a cross-sectional approach. Data collection was conducted using total sampling with a sample size of 28. The inclusion criteria were patients with CT-confirmed brain hemorrhages (epidural, subdural, subarachnoid, or intracerebral hematomas).  Data were obtained from medical records in 2023 at Gunung Jati Regional Hospital. The analysis was performed using the Spearman rank correlation test to evaluate the relationship between the type of brain hemorrhage and GCS scores. Results: The total sample of 28 included 21 patients (75%) with Intracerebral Hematoma, 3 patients (10.7%) with Subdural Hematoma, 2 patients (7.1%) with Epidural Hematoma, and 2 patients (7.1%) with Subarachnoid Hematoma. The level of consciousness in these patients was as follows: 15 patients (53.6%) with mild injuries, 8 patients (28.6%) with moderate injuries, and 5 patients (17.9%) with severe injuries. Spearman correlation analysis showed no significant relationship between Bleeding Brain Lesions and Glasgow Coma Scale in head injuries (p =0.645). The absence of correlation might have been due to unaccounted factors in this study, such as hemorrhage volume, lesion location, midline shift, and injury mechanism. Conclusion: There is no significant relationship between types of bleeding brain lesions and Glasgow Coma Scale in head injury patients. The study's limitations included a small sample size and the exclusion of variables such as hemorrhage volume and location, which could affect the level of consciousness. Future research was recommended to involve larger sample sizes and additional clinical factors to better understand the dynamics between types of brain hemorrhages and patients' levels of consciousness, potentially improving clinical management strategies.
Comparison of Healing Time in Closed Fractures of the Tibial Diaphysis and Tibial-Fibula after ORIF Plate and Screw at Waled Regional Public Hospital, Indonesia Sakinah, Dede Nurlaela; Putro, Widiyatmiko Arifin; Debyanti, Merliana
GHMJ (Global Health Management Journal) Vol. 8 No. 2 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-821200

Abstract

Background: Fractures are projected to become the fourth leading cause of death by 2030. A fracture is a discontinuity in the bone that is often accompanied by damage to the surrounding tissues. The healing process of fractures is influenced by various factors, the greater the damage to the bone and surrounding tissues, the longer the healing time. In cases of tibia and fibula fractures, the most commonly used surgical procedure in Indonesia is Open Reduction and Internal Fixation (ORIF) using Plates and Screw. Aims: To compare of healing time in closed fractures of the tibial diaphysis and tibial-fibula after ORIF Plate and Screw at Waled regional public hospital. Methods: This research uses a cross sectional design. A total of 77 samples were obtained using total sampling. Statistical tests use Mann Whitney. Results: There were 37 patients with closed fractures of the tibia diaphysis and 40 patients with closed fractures of the tibia-fibula diaphysis. The healing time for closed tibial diaphyseal fractures was ≤ 24 weeks in 12 patients (32.4%), while > 24 weeks was 25 patients (67.6%). In patients with closed fractures of the tibia-fibula diaphysis within ≤ 24 weeks and > 24 weeks, the number was the same, namely 20 patients (50.0%). In the Mann-Whitney test, a significance value of 0.032 (p<0.05) was obtained, indicating a significant difference in the healing time between closed fractures of the tibial diaphysis and tibia-fibula after ORIF Plate and Screw at Waled Regional Hospital, with an average healing of 44.69 weeks for closed fractures of the tibial diaphysis, whereas for fractures closed tibia-fibula diaphysis 33.74 weeks.   Conclusion: The average healing time for closed tibial diaphyseal fractures is longer than for tibia-fibula.
KORELASI MANIFESTASI KLINIS RESPIRATORIK DENGAN GAMBARAN LUAS LESI TUBERKULOSIS PARU PADA FOTO POLOS THORAKS DI RSUD GUNUNG JATI TAHUN 2021 Rachmawati, Anisya; Latief, Muhammad Amar; Debyanti, Merliana; Cancerita, Sherly; Komala, Ika
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 3 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i3.9628

Abstract

Latar Belakang : TB paru merupakan penyakit yang menyebabkan kedaruratan global (Global Emergency)merupakan salah satu dari 10 penyakit yang menyebabkan kematian utama karena infeksi. Tuberkulosis paru dapatdikenali dengan manifestasi klinis yang khas dan dapat ditegakan dengan pemeriksaan penunjang berupapemeriksaan sputum BTA (gold standard) dan pemeriksaan foto polos thoraks untuk menemukan gambaran luaslesi dengan klasifikasi American Tuberculosis Association (ATA). Tujuan : Mengetahui korelasi manifestasiklinis respiratorik dengan gambaran luas lesi tuberkulosis paru pada foto polos toraks di RSUD Gunung Jati tahun2021. Metode : Penelitian observasional dengan desain Cross Sectional dari rekam medis pasien tuberkulosis parutahun 2021 di Poliklinik Paru RSUD Gunung Jati Cirebon. Analisis dilakukan dengan uji kolerasi Spearman padaaplikasi SPSS versi 25 for windows. Untuk mengetahui hubungan antara manifestasi klinis respiratorik dengangambaran luas lesi foto polos thoraks pada tuberkulosis paru. Hasil : Hasil analisis didapatkan p=0,019 (p<0,05)dan r=0,236 pada batuk dengan gambaran luas lesi. Pada batuk berdarah dengan gambaran luas lesi didapatkanp=0,000 (p<0,05) dan r=0,523. Pada sesak nafas dengan gambaran luas lesi didapatkan p=0,003 (<0,05) danr=0,293. Kesimpulan : Terdapat hubungan yang bermakna antara manifestasi klinis respiratorik berupa batukberdahak, batuk berdarah, sesak nafas dengan gambaran luas lesi tuberculosis paru pada foto polos thoraks diRSUD Gunung Jati Cirebon.Kata Kunci : Tuberkulosis Paru, Manifestasi Klinis, Foto Thoraks, Luas LesiABSTRACTIntroduction : Pulmonary TB is a disease that causes a global emergency (Global Emergency and one of the 10diseases that cause major deaths due to infection. Pulmonary tuberculosis can be recognized by characteristicclinical manifestations and can be confirmed by sputum smear examination (gold standard) and chest X-rayexamination to find a broad picture of the lesion with the American Tuberculosis Association (ATA) classification.Aim of The Study : To know the correlation of respiratory clinical manifestations with the broad description ofpulmonary tuberculosis lesions on a chest X-ray at Gunung Jati Hospital in 2021. Methods : Observationalresearch with a cross sectional design from medical record data of pulmonary tuberculosis patients in 2021 at thePulmonary Polyclinic of Gunung Jati Hospital, Cirebon. Statistical analysis was performed by Spearmancorrelation test with SPSS version 25 for windows application. This study aims to determine the relationshipbetween respiratory clinical manifestations in the form of coughing, coughing up blood, shortness of breath andthe broad picture of chest radiographic lesions in pulmonary tuberculosis. Results : The results of the analysisobtained p=0.019 (p<0.05) and r=0.236 in cough with a pulmonary tuberculosis lesion. In hemopthysis with apulmonary tuberculosis lesion, p = 0.000 (p <0.05) and r = 0.523. In dyspnea with a pulmonary tuberculosislesion, p = 0.003 (<0.05) and r = 0.293. Conclusion : There is a significant relationship between respiratoryclinical manifestations in the form of stones, coughing up blood, shortness of breath and the broad description ofpulmonary tuberculosis lesions on chest radiographs at Gunung Jati Hospital, Cire
Co-Authors Ambarsari, Asih Cancerita, Sherly Komala, Ika Kusnandang, Agus Laelasari, Evy larasati, putri ajeng ayu Latief, Muhammad Amar Latif, Muhammad Amar Nurbaiti Putro, Widiyatmiko Arifin Rachmawati, Anisya Sakinah, Dede Nurlaela Tantowijaya, Bibit