Article Per Year (5 Year)
p-Index From 2021 - 2026
0.61
P-Index
This Author published in this journals
All Journal Jurnal Ners Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Alfred Sutrisno Sim
Tarumanagara University
Health Professions Medicine & Pharmacology Nursing Public Health

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Kyphoplasty for Managing Compression, Pain, and Diagnostic Confirmation of Thoracolumbosacral Metastases from Axillary Apocrine Adenocarcinoma: A Case Report Alfred Sutrisno Sim; Herlina Uinarni; Edwin Destra
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53581

Abstract

Spinal metastases are a common complication in advanced malignancies, often leading to significant pain and structural instability. Axillary apocrine adenocarcinoma rarely metastasizes to the spine, making its clinical course poorly understood. Kyphoplasty, a minimally invasive vertebral augmentation technique, offers rapid pain relief, structural stabilization, and diagnostic confirmation of metastatic lesions. A 72-year-old male with a history of left axillary apocrine adenocarcinoma presented with progressive back and lumbar pain. Imaging revealed thoracolumbosacral metastases with canal stenosis, and histopathology confirmed metastatic adenocarcinoma. Kyphoplasty was performed on vertebrae L2-L4 to manage pain and compression. Post-procedure, the patient reported significant pain relief, improved mobility, and no complications. The procedure also facilitated tissue sampling for diagnostic confirmation. Kyphoplasty effectively managed pain, spinal compression, and diagnostic challenges in this rare case of thoracolumbosacral metastases from axillary apocrine adenocarcinoma. This report emphasizes the importance of kyphoplasty as a therapeutic and diagnostic tool for metastatic spinal disease and highlights the need for further studies on its long-term efficacy.
Cervical Myelopathy Due to Multilevel Ossification of the Posterior Longitudinal Ligament: A Case Report of Surgical Management With Laminoplasty Alfred Sutrisno Sim; Herlina Uinarni; Edwin Destra
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53582

Abstract

Ossification of the posterior longitudinal ligament (OPLL) is a degenerative spinal condition characterized by ectopic bone formation along the posterior aspect of the vertebral bodies, most commonly affecting the cervical region. This process leads to gradual spinal canal narrowing and may result in cervical myelopathy due to chronic spinal cord compression. A 52-year-old male presented with severe bilateral arm pain, progressive upper extremity weakness, and paresthesia following minor trauma. Neurological examination revealed upper limb motor deficits and positive pathological reflexes. Cervical MRI showed multilevel OPLL from C3 to C6 with significant spinal cord compression and intramedullary hyperintensity. The patient underwent cervical laminoplasty to decompress the spinal cord while preserving vertebral stability. Postoperative follow-up demonstrated substantial neurological recovery, improvement in motor function, resolution of paresthesia, and stable implant positioning. Laminoplasty is a reliable surgical option for managing cervical myelopathy in multilevel OPLL, offering effective decompression and preservation of spinal alignment and motion.
Associations Between Muscle Strength, Glomerular Filtration Rate, And Fall Risk: Insights From The Morse Fall Scale Alfred Sutrisno Sim; Alexander Halim Santoso; Stanislas Kotska Marvel Mayello Teguh; Catherine Christiana Pranata; Dianova Soeltanong
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 1 (2025): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i1.6054

Abstract

Falls among older adults and individuals with chronic conditions pose a major public health concern, leading to injuries, reduced quality of life, and increased healthcare costs. Identifying modifiable risk factors is crucial for prevention. Muscle strength, particularly in the lower extremities, and renal function, measured by glomerular filtration rate (GFR), are potential predictors of fall risk. Sarcopenia and chronic kidney disease (CKD) exacerbate muscle weakness, impairing balance and mobility. While the Morse Fall Scale (MFS) assesses clinical and environmental risks, it lacks physiological measures like muscle strength and renal function. This study aims to bridge this gap by examining associations between muscle strength, GFR, and fall risk, enhancing fall risk assessments and contributing to a more comprehensive understanding of fall prevention. This cross-sectional study at Bina Bakti Nursing Home was done in 2024 examined muscle strength, GFR, and fall risk in 93 elderly (≥60 years). Participants provided consent; those with incomplete data were excluded. Partial correlation analysis showed strong right-left grip strength correlation (p < 0.001) but no significant associations with Morse Fall Scale scores (p = 0.058, p = 0.093), suggesting grip strength alone poorly predicts fall risk. This study confirms grip strength as a reliable muscle function measure but not a strong fall risk predictor. Age plays a dominant role, necessitating fall prevention strategies integrating balance, mobility, cognition, and environment. Renal function did not directly influence fall risk but may contribute indirectly through frailty, warranting further investigation.
Co-Authors Catherine Christiana Pranata Dianova Soeltanong Edwin Destra Herlina Uinarni Santoso, Alexander Halim Stanislas Kotska Marvel Mayello Teguh