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e-CliniC
Published by Universitas Sam Ratulangi
ISSN : 23375949     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Jurnal e-CliniC (eCl) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia bekerja sama dengan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Jurnal ini diterbitkan 3 (tiga) kali setahun (Maret, Juli, dan November). Sejak tahun 2016 Jurnal e-CliniC diterbitkan 2 (dua) kali setahun (Juni dan Desember). Jurnal e-CliniC memuat artikel penelitian, telaah ilmiah, dan laporan kasus di bidang ilmu kedokteran klinik.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 10 Documents
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Search results for , issue "Vol. 14 No. 2 (2026): e-CliniC" : 10 Documents clear
Hubungan antara Kadar Vitamin D dengan Kejadian Kanker Kolorektal: Studi Kasus dengan Pendekatan Berbasis Bukti Kairupan, Timothy S.; Sukarno, Inka A. T.; Wulandari, Yohannessa; Manikam, Nurul R. M.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.63120

Abstract

Abstract: Colorectal cancer is the third most common malignancy worldwide and the second leading cause of cancer-related death in developing countries. Vitamin D is known to play a role in inhibiting the progression of cancer cells. Vitamin D deficiency is prevalent in both developed and developing countries. Several studies have suggested an association between vitamin D levels and the incidence of colorectal cancer. This study aimed to determine the association between vitamin D levels and the incidence of colorectal cancer. A comprehensive literature search was conducted across PubMed, Cochrane Library, EBSCOhost, and ProQuest databases. Article selection followed predefined eligibility criteria through title and abstract screening, full-text review, and assessment of inclusion and exclusion criteria. Critical assessment tools and levels of evidence of the final articles are based on the Oxford Center for Evidence-Based Medicine. Four studies met the inclusion criteria, consisting of one meta-analysis and three cohort studies. The results showed that all studies reported an association between vitamin D levels and colorectal cancer. All studies indicated that vitamin D deficiency is associated with an increased risk of colorectal cancer. In conclusion, there is an association between vitamin D deficiency and the incidence of colorectal cancer. Keywords: adults; vitamin D; colorectal cancer   Abstrak: Kanker kolorektal merupakan kanker ketiga terbanyak didunia dan penyebab kematian kedua terbanyak yang menyebabkan kematian di negara berkembang. Vitamin D memiliki peran dalam menghambat perkembangan dari sel kanker. Defisiensi vitamin D cukup tinggi di negara maju dan berkembang. Beberapa penelitian menunjukkan hubungan vitamin D dengan kejadian kanker kolorektal. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar vitamin D dengan kejadian kanker kolorektal. Pencarian literatur dilakukan pada Pubmed, Cochrane Library, EBSCOhost, dan ProQuest dengan kriteria eligibiltas yang ditentukan oleh penulis. Penyeleksi artikel dilakukan dengan penapisan judul atau abstrak, telaah teks lengkap, dan menentukan terpenuhinya kriteria inklusi dan eksklusi. Critical assessment tools and levels of evidence dari artikel terpilih mengacu pada Oxford Centre for Evidence-Based Medicine. Pencarian literatur mendapatkan empat studi yang memenuhi kriteria, yaitu satu studi meta-analisis dan tiga studi kohort. Keempatnya menunjukkan adanya hubungan kadar vitamin D dan kanker kolorektal. Hasil telaah keempat studi menunjukkan bahwa kadar vitamin D yang rendah dapat meningkatkan kejadian kanker kolorektal. Simpulan penelitian ini ialah terdapat hubungan antara kadar vitamin D dengan kejadian kanker kolorektal. Kata kunci: dewasa; vitamin D; kanker kolorektal
Successful Visual Rehabilitation After Penetrating Ocular Trauma via Yamane Scleral Fixation: A Case Report Nursalim, Ade J.; Emily, Ardelia
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65520

Abstract

Abstract: Penetrating ocular trauma frequently leads to traumatic cataract with capsular and zonular disruption, complicating standard in-the-bag intraocular lens (IOL) implantation. Sutureless intrascleral fixation (Yamane technique) offers a minimally invasive posterior chamber IOL option that avoids long-term suture-related complications. We reported a 68-year-old woman presented one day after penetrating needle injury to the right eye with uncorrected visual acuity (UCVA) 1/300, full-thickness corneal laceration (positive Seidel), anterior capsule tear, and zonular dialysis from 7 to 1 o’clock with lens fragments in the anterior chamber. Under retrobulbar anesthesia, corneal wound closure was performed with interrupted 10-0 nylon, followed by cataract extraction and anterior vitrectomy. In the same operation, two transconjunctival sclerotomies were created 2.0 mm posterior to the limbus (superonasal and superotemporal) using 27-gauge thin-walled needles at ~20°. A three-piece foldable IOL was implanted by the Yamane flanged-haptic technique; haptics were externalized, cauterized to 0.3–0.5 mm flanges, and tucked into scleral tunnels. The IOL centered well without tilt; no conjunctival peritomy was required. Postoperatively, UCVA improved to 1/60 on day 1, 6/60 at 2 weeks (after suture removal), and 6/15 at 1 month (6/6 with pinhole). In three-month follow-up, the retina remained attached, intraocular pressure was stable, no cystoid macular edema, and the IOL remained well positioned. In conclusion, in complex open-globe injury with inadequate capsular support, single-session repair with immediate Yamane sutureless scleral fixation of a three-piece IOL can achieve rapid, stable visual recovery and anatomic stability in geriatric eyes. Careful wound closure, symmetric needle entry, and precise flange creation are key to IOL centration and complication avoidance; continued follow-up is advised to monitor long-term flange stability. Keywords: penetrating ocular trauma; traumatic cataract; zonular dialysis; scleral fixation; Yamane technique
Otitis Media Supuratif Kronik Tipe Aman dan Tipe Bahaya di RSUP Prof. Dr. R. D. Kandou Manado Tahun 2022-2024 Rustam, Natelly E.; Pontoh, Valentini M.; Mona, Moudi M.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65849

Abstract

Abstract: Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity marked by tympanic membrane perforation and persistent or recurrent otorrhea for more than two months. This study aimed to determine the characteristics of the safe and unsafe types of CSOM at Prof. Dr. R. D. Kandou General Hospital in years 2022-2024. This was a retrospective and descriptive study using the total sampling technique. The results obtained 103 patients of safe type (64.4%) and 57 patients of unsafe type (35.6%). The most frequent age group for both types was 20-59 years, with a predominance of females (53.4%) in safe type and males in unsafe type (54.4%). Most of the patients had a middle level of education. The most common symptom in both types was otorrhea (100%) with central perforation was frequently found in safe type of CSOM (45.6%) and attic perforation was most common in unsafe type of CSOM (22.5%). The most frequent treatment was conservative in safe type (51.5%), while conservative and surgery were more frequent in unsafe type (54.4%). In conclusion, the safe type of CSOM was more commonly found. The majority of patients were adults with a middle level of education. Female predominated in safe type, whereas male predominated in unsafe type. The most frequent symptom was otorrhea. Central perforation was most commonly found in safe type and attic perforation in unsafe type. The safe type was treated conservatively, whereas the unsafe type was commonly treated with a combination of conservative and surgery.   Keywords: chronic suppurative otitis media; safe type; unsafe type   Abstrak: Otitis media supuratif kronik (OMSK) adalah inflamasi kronik telinga tengah dan rongga mastoid yang ditandai dengan temuan perforasi membran timpani dan otore secara menetap atau berulang selama lebih dari dua bulan. Penelitian ini bertujuan untuk mengetahui karakteristik OMSK tipe aman dan tipe bahaya di RSUP Prof. Dr. R. D.  Kandou tahun 2022-2024. Jenis penelitian ialah deskriptif retrospektif dengan teknik total sampling.  Hasil penelitian mendapatkan 103 pasien tipe aman (64,4%) dan 57 pasien tipe bahaya (35,6%). Kelompok usia terbanyak kedua tipe ialah usia 20-59 tahun, dengan dominasi perempuan pada tipe aman (53,4%) dan laki-laki pada tipe bahaya (54,4%). Sebagian besar pasien berpendidikan menengah. Gejala tersering kedua tipe ialah otore (100%) dengan perforasi sentral terbanyak ditemukan pada OMSK tipe aman (45,6%) dan perforasi atik pada OMSK tipe bahaya (22,5%). Penanganan terbanyak ialah konservatif pada tipe aman (51,5%), sedangkan konservatif dan pembedahan pada tipe bahaya (54,4%). Simpulan penelitian ini ialah OMSK tipe aman lebih sering dijumpai. Mayoritas pasien usia dewasa dengan tingkat pendidikan menengah. Perempuan lebih banyak pada tipe aman, sedangkan laki-laki pada tipe bahaya. Gejala tersering ialah otore. Perforasi sentral paling banyak ditemukan pada tipe aman dan perforasi atik pada tipe bahaya. Tipe aman ditangani secara konservatif, sedangkan pada tipe bahaya umumnya kombinasi terapi konservatif dan pembedahan. Kata kunci: otitis media supuratif kronik; tipe aman; tipe bahaya
Korelasi Ketebalan Tunika Intima-Media Arteri Karotis dengan Kadar Kolesterol Total pada Mahasiswa Pendidikan Dokter Paat, Sharen C. J.; Pangkahila, Erwin A.; Wungouw, Herlina I. S.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65850

Abstract

Abstract: High total cholesterol is one of the major risk factors for atherosclerosis, which can cause thickening of the carotid arterial intima-media layer. Non-invasive carotid intima-media thickness/CIMT measurement serves as an early indicator for detecting vascular structural changes. This study aimed to determine the correlation between total cholesterol levels and CIMT among medical students at Universitas Sam Ratulangi, Manado. This was a quantitative and analytical observational study with a cross-sectional design. Total cholesterol levels were measured using the Autocheck device, while CIMT was assessed using the B-Mode Ultrasonography. The correlation between variables was analyzed using the Spearman test. The results obtained 79 students as subjects selected through purposive sampling. The results showed no significant correlation between total cholesterol level and CIMT (p=0.157; r=–0.161). In conclusion, there was no significant relationship between total cholesterol and carotid intima-media thickness among medical students at Universitas Sam Ratulangi. Future studies are recommended to include subjects with a wider age range and to analyze specific lipid fractions such as low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides for a more comprehensive understanding. Keywords: total cholesterol; carotid intima-media thickness; atherosclerosis    Abstrak: Kadar kolesterol total yang tinggi merupakan salah satu faktor risiko utama terjadinya aterosklerosis yang dapat menyebabkan penebalan tunika intima-media arteri karotis (carotid intima-media thickness/CIMT). Pemeriksaan CIMT secara non-invasif dapat digunakan untuk mendeteksi dini perubahan struktur pembuluh darah. Penelitian ini bertujuan untuk mengetahui korelasi antara kadar kolesterol total dengan CIMT pada mahasiswa Pendidikan Dokter Universitas Sam Ratulangi Manado. Jenis penelitian ialah kuantitatif dengan metode observasional analitik menggunakan desain potong lintang. Kadar kolesterol total diukur menggunakan alat Autocheck, sedangkan CIMT diukur menggunakan Ultrasonography B-Mode. Analisis hubungan antara kedua variabel dilakukan menggunakan uji korelasi Spearman. Hasil penelitian mendapatkan 79 mahasiswa sebagai subjek penelitian, dipilih dengan metode purposive sampling. Uji korelasi Spearman menunjukkan tidak terdapat korelasi bermakna antara kadar kolesterol total dengan CIMT (p=0,157; r=–0,161). Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara kadar kolesterol total dan ketebalan tunika intima-media arteri karotis pada mahasiswa Pendidikan Dokter Universitas Sam Ratulangi Manado. Penelitian selanjutnya disarankan untuk melibatkan subjek dengan rentang usia lebih luas serta memasukkan variabel fraksi lipid yang lebih spesifik seperti low-density lippopritein (LDL), high-density lipoprotein (HDL), dan trigliserida untuk mendapatkan hasil yang lebih komprehensif. Kata kunci: kolesterol total; ketebalan tunika intima-media arteri karotis; aterosklerosis
Evaluasi Luaran Klinis Pasien dan Karakteristik Pasien Frozen Shoulder yang Menjalani Prosedur Shoulder Arthroscopy Rawung, Rangga B. V.; Lampus, Harsali; Kambey, Stefan; Bagy, Raynald; Sundah, Antony; Tooy, Christorei D.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65853

Abstract

Abstract: Frozen shoulder is characterized by a gradual increase in pain with spontaneous onset and limited range of motion in the glenohumeral joint. Arthroscopic capsular release is a most well-known technique with favorable outcomes for frozen shoulder. This was a single-center retrospective study examining the clinical outcomes of frozen shoulder cases undergoing arthroscopy at Prof. Dr. R. D. Kandou General Hospital in Manado from February 2025 to October 2025. The results showed that a total of 26 patients were included in this study. At preoperative assessment, pain levels averaged 4.96 ± 0.96 (median 5.00 [5.00–5.75]; range 3–6). Initial range of motion (ROM) showed significant limitations. At follow-up, an improvement in ROM was clearly observed. In conclusion, shoulder arthroscopy in patients with frozen shoulder results in a significant improvement in ROM from the first month and persisted until the third month after surgery indicating that arthroscopic capsular release is an effective surgical treatment option. Keywords: frozen shoulder; shoulder arthroscopy; range of motion    Abstrak: Frozen shoulder ditandai dengan peningkatan nyeri secara bertahap dengan onset spontan dan keterbatasan dalam range of motion (ROM) sendi glenohumeral. Pelepasan kapsul artroskopi merupakan teknik yang paling terkenal dengan hasil yang baik untuk frozen shoulder. Penelitian ini bertujuan untuk melihat luaran klinis dari kasus frozen shoulder yang menjalani prosedur shoulder arthroscopy di RSUP Prof Dr. R. D. Kandou Manado pada periode Februari 2025 – Oktober 2025. Jenis penelitian ialah retrospektif single center studi. Hasil penelitian mendapatkan sebanyak 26 pasien dilibatkan dalam penelitian ini. Pada penilaian pra operasi, kadar nyeri berada pada rerata 4,96±0,96 (median 5,00 [5,00–5,75]; rentang 3–6). Nilai ROM awal menunjukkan keterbatasan bermakna. Pada tindak lanjut, peningkatan nilai ROM terlihat jelas. Simpulan penelitian ini ialah prosedur shoulder arthroscopy pada pasien frozen shoulder memberikan peningkatan bermakna pada ROM yang sudah tampak sejak bulan pertama dan bertahan hingga bulan ketiga pascaoperasi yang menunjukkan bahwa arthroscopic capsular release merupakan pilihan tatalaksana operatif yang efektif. Kata kunci: frozen shoulder; shoulder arthroscopy; range of motion
Karakteristik Pasien Laki-laki dengan Striktur Uretra di RSUP Prof. Dr. R. D. Kandou Manado Loleh, Rafli A.; Arianto, Eko; Kambey, Stefan G.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65854

Abstract

Abstract: Urethral stricture is a narrowing of the urethral lumen due to fibrosis, causing urinary dysfunction and requiring appropriate management according to patient characteristics. This study aimed to describe the characteristics of male patients with urethral stricture based on age, stricture location, stricture grade, etiology, surgical technique, and success rate at Prof. Dr. R. D. Kandou General Hospital in Manado. This was a descriptive retrospective study with total sampling of medical records of male patients with urethral stricture from June 2023 to June 2025. The results obtained 80 patients that met the inclusion criteria, with a median age of 63 years, and most of them were in the elderly age range. The most common location of the stricture was the anterior part of urethra, particularly the bulbous part (82.5%). The most common degree of stricture was partial stricture (67.5%), and the most common etiology was trauma (57.5%). The most frequently used surgical techniques were direct vision internal urethrotomy/DVIU (55.0%) and excision and primary anastomosis/EPA (37.5%). The procedure success rate was very high, with 76 patients (95.8%) experiencing no recurrence. In conclusion, urethral strictures in males most commonly occur in the elderly, with the dominant location in the anterior urethra, the primary etiology being trauma, and a good surgical success rate, especially for short strictures treated with EPA and DVIU. Keywords: urethral stricture; direct vision internal urethrotomy; excision and primary anastomosis; augmented urethroplasty    Abstrak: Striktur uretra merupakan penyempitan lumen uretra akibat fibrosis yang menyebabkan gangguan berkemih dan membutuhkan penatalaksanaan yang tepat sesuai karakteristik pasien. Penelitian ini bertujuan menggambarkan karakteristik pasien laki-laki dengan striktur uretra berdasarkan usia, lokasi striktur, derajat striktur, etiologi, teknik operasi, dan tingkat keberhasilan di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan total sampling pada data rekam medis pasien striktur uretra pria periode Juni 2023–Juni 2025. Hasil penelitian mendapatkan sebanyak 80 pasien yang memenuhi kriteria inklusi, dengan median usia 63 tahun, dan sebagian besar berada pada rentang usia lanjut. Lokasi striktur tersering ialah uretra pars anterior (82,5%), terutama pars bulbosa. Derajat striktur yang paling banyak ditemukan ialah striktur partial (67,5%). Etiologi striktur terbanyak ialah trauma (57,5%). Teknik operasi yang paling sering digunakan ialah direct vision internal urethrotomy/DVIU (55,0%) dan excision and primary anastomosis/EPA (37,5%). Tingkat keberhasilan prosedur sangat tinggi, dengan 76 pasien (95,8%) tidak mengalami rekurensi. Simpulan penelitian ini ialah striktur uretra pada laki-laki paling sering terjadi pada usia lanjut, dengan lokasi dominan di uretra anterior, etiologi utama trauma, serta tingkat keberhasilan operasi yang baik terutama pada striktur pendek yang ditangani dengan EPA dan DVIU. Kata kunci: striktur uretra; direct vision internal urethrotomy; excision and primary anastomosis; augmented urethroplasty
Karakteristik Mortalitas Pasien Geriatri Pascaoperasi di ICU RSUP Prof. Dr. R. D. Kandou Manado Periode Juli 2024-Juli 2025 Laritmas, Sintikhe C. Y.; Kambey, Barry I.; Lalenoh, Diana Ch.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65857

Abstract

Abstract: Increased number of elderly population is accompanied by a decline in physiological function and multiple comorbidities, therefore, increases their vulnerability to postoperative complications and mortality. This study aimed to describe the clinical characteristics of postoperative mortality in geriatric patients in the Intensive Care Unit (ICU) at Prof. Dr. R. D. Kandou General Hospital in Manado from July 2024 to July 2025. This was a descriptive and  retrospective study using medical records of 119 geriatric patients who met the inclusion criteria. The variables examined included age, gender, comorbidities, type of surgery, and length of hospital stay. The results showed that the pre-elderly group (60-69 years) was the largest group (50.42%). The gender proportion was relatively balanced, with 50.42% female and 49.58% male. Hypertension (60.50%) was the most common comorbidity, while digestive surgery was the most common type of surgery (36.13%). In addition, the majority of patients had a length of stay ≥7 days (57.98%). In conclusion, pre-elderly patients with multiple comorbidities, especially hypertension, as well as those who underwent digestive surgery and had a longer length of stay, were the most common group found in the mortality population of this study. Keywords: geriatric patients; Intensive Care Unit; characteristics; retrospective; mortality    Abstrak: Pertambahan populasi lanjut usia, disertai penurunan fungsi fisiologis dan komobiditas multipel, meningkatkan kerentanan mereka terhadap komplikasi pascaoperasi dan mortalitas. Penelitian ini bertujuan menggambarkan karakteristik klinis mortalitas pasien geriatri pascaoperasi di Intensive Care Unit (ICU) RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2024-Juli 2025. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medis 119 pasien geriatri yang memenuhi kriteria inklusi. Variabel yang dikaji meliputi usia, jenis kelamin, komorbiditas, jenis operasi, dan lama rawat inap. Hasil penelitian mendapatkan kelompok pra-lansia (60-69 tahun) merupakan kelompok terbanyak (50,42%). Proporsi jenis kelamin relatif seimbang, yaitu perempuan 50,42% dan laki-laki 49,58%. Hipertensi (60,50%) merupakan komorbiditas tersering, sedangkan bedah digestif menjadi jenis operasi terbanyak (36,13%). Selain itu, mayoritas pasien memiliki lama rawat inap ≥7 hari (57,98%). Simpulan penelitian ini ialah pasien pra-lansia dengan komorbiditas multipel terutama hipertensi, serta yang menjalani operasi digestif dan memiliki lama rawat inap pasien yang lebih panjang merupakan kelompok yang paling banyak ditemukan dalam populasi mortalitas penelitian ini. Kata kunci: pasien geriatri; Intensive Care Unit; karakteristik pasien; mortalitas
Profil Pasien dengan Delirium yang Dirawat di Intensive Care Unit RSUP Prof. Dr. R. D. Kandou Manado Periode Juli 2024 – Juli 2025 Yana, Ruth D.; Laihad, Mordekhai L.; Kambey, Barry I.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65892

Abstract

Abstract: Delirium is a disorder of attention and consciousness. It is a common complication in critically ill patients. Delirium is associated with poor clinical outcomes. Data on the characteristics of delirium patients in Indonesia, particularly in North Sulawesi, are still limited. This study aimed to determine the profile of patients with delirium treated in the Intensive Care Unit (ICU) of Prof. Dr. R. D. Kandou General Hospital, Manado, from July 2024 – July 2025. This was a descriptive observational study with a retrospective design. The results showed that out of the 1,029 ICU patients during the study period, there were 45 patients (4.37%) were included as samples. The majority of patients were aged 18–59 years (66.67%) and male (68.89%). The most common RASS score was -2 (20%), indicating a predominance of low-activity delirium. The most common diagnoses were postoperative (35.56%) and sepsis (22.22%). The ICU mortality rate was 33.33%. The average length of stay was 10.73 days with a median of 9 days. In conclusion, the incidence of delirium in the Intensive Care Unit of Prof. Dr. R. D. Kandou General Hospital was 4.37%. The majority occurred in adults, males, with a tendency toward hypoactive delirium. Post-operative conditions and sepsis were the most common diagnoses. Mortality and length of stay were relatively high. Keywords: delirium; Intensive Care Unit; RASS score    Abstrak: Delirium merupakan gangguan pada perhatian dan kesadaran yang sering menjadi komplikasi pada pasien kritis. Delirium berkaitan dengan luaran klinis yang buruk. Data mengenai karakteristik pasien delirium di Indonesia, khususnya di Sulawesi Utara, masih terbatas. Penelitian ini bertujuan untuk menentukan profil pasien dengan delirium yang dirawat di Intensive Care Unit (ICU) RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2024–Juli 2025. Jenis penelitian ialah deskriptif observasional dengan desain retrospektif. Hasil penelitian mendapatkan bahwa dari 1.029 pasien ICU dalam periode penelitian, terdapat 45 pasien (4,37%) yang termasuk dalam sampel penelitian. Mayoritas pasien berusia 18–59 tahun (66,67%) dan berjenis kelamin laki-laki (68,89%). Skor RASS terbanyak ialah -2 (20%), yang menunjukkan dominasi delirium dengan aktivitas rendah. Diagnosis terbanyak ialah pascaoperasi (35,56%) dan sepsis (22,22%). Tingkat mortalitas di ICU ialah 33,33%. Rerata length of stay (LOS) ialah 10,73 hari dengan median sembilan hari. Simpulan penelitian ini ialah angka kejadian delirium di ICU RSUP Prof. Dr. R. D. Kandou Manado ialah 4,37%. Mayoritas terjadi pada usia dewasa, laki-laki, dengan kecenderungan delirium hipoaktif. Kondisi pascaoperasi dan sepsis merupakan diagnosis yang paling banyak ditemukan. Angka kematian dan lama rawat inap masih relatif tinggi. Kata kunci: delirium; Intensive Care Unit; RASS score
Eight-year-delayed Diaphragmatic Hernia due to a Blunt Trauma: A Case Report Tamburian, Christha Z.; Sukanto, Wega; Pontoh, Pramijaya E.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.65952

Abstract

Abstract: Traumatic diaphragmatic rupture is an uncommon but potentially life-threatening injury, typically caused by blunt or penetrating thoraco-abdominal trauma. While most cases are identified in the acute phase, delayed presentations may occur years after the initial injury, often with nonspecific symptoms. Recognition requires a high index of suspicion to avoid morbidity associated with late diagnosis. We reported a 33-year-old male with a history of blunt chest trauma sustained eight years prior, who presented with incidental findings of a left diaphragmatic hernia. The patient was asymptomatic aside from decreased breath sounds on auscultation. Chest computed tomography revealed herniation of abdominal viscera, including the stomach, colon, omentum, and spleen, into the left thoracic cavity. Surgical management consisted of left posterolateral thoracotomy with reduction of herniated contents, adhesiolysis via laparotomy, and primary repair of a 10 × 5 cm diaphragmatic defect using interrupted non-absorbable sutures. Postoperatively, the patient recovered well with resolution of lung expansion and no evidence of recurrence on follow-up imaging. In conclusion, delayed diaphragmatic hernia following blunt trauma is a rare clinical entity that may remain silent for years before diagnosis. Thorough history-taking, clinical suspicion, and advanced imaging are critical in identifying such cases. Early surgical intervention remains the cornerstone of management, aiming to restore diaphragmatic integrity, prevent visceral complications, and optimize respiratory function. Keywords: delayed diaphragmatic hernia; blunt trauma; thoracotomy; diaphragmatic rupture
Analisis Faktor Risiko dengan Kejadian Berat Badan Lahir Rendah di RSUP Prof. Dr. R. D. Kandou Manado Periode 2023-2024 Meylani, Angeline; Tendean, Hermie M. M.; Setiawan, Gilbert W.
e-CliniC Vol. 14 No. 2 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i2.66056

Abstract

Abstract: Low birth weight (LBW) remains a significant health issue both globally and nationally, including in Manado, which has shown an increase in cases in recent years. This study aimed to analyze the relationship between maternal age, parity, placenta previa, preeclampsia, anemia, premature rupture of membranes (PROM), and urinary tract infection (UTI) with the incidence of LBW at Prof. Dr. R. D. Kandou General Hospital Manado from 2023-2024. This was a quantitative retrospective study with a cross-sectional approach. Samples were taken using total sampling from medical records at the Obstetrics and Gynecology Department, Prof. Dr. R. D. Kandou General Hospital that met the inclusion and exclusion criteria. Data were analyzed with the chi-square test with a significance level of p<0.05. The results obtained 1747 deliveries, with 284 cases of LBW. The analysis showed that only parity had a significant relationship with LBW (p=0.033), while maternal age (p=0.655), placenta previa (p=0.293), preeclampsia (p=0.637), anemia (p=0.657), PROM (p=0.589), and UTI (p=0.963) showed no statistically significant relationships (p>0.05). In conclusion, there is a significant relationship between parity and the incidence of LBW, while other risk factors do not show significant relationships with the incidence of LBW at RSUP Prof. Dr. R.D. Kandou Manado in the year 2023-2024. Keywords: low birth weight; risk factors; parity    Abstrak: Masalah berat badan lahir rendah (BBLR) terus menjadi isu kesehatan baik secara global maupun nasional, termasuk di Kota Manado yang menunjukkan peningkatan dalam beberapa tahun belakangan. Penelitian ini bertujuan untuk menganalisis hubungan usia ibu, paritas, palsenta previa, preeklamsia, anemia, ketuban pecah dini (KPD), dan infeksi saluran kencing (ISK) dengan kejadian BBLR di RSUP Prof. Dr. R. D. Kandou Manado periode 2023-2024. Jenis penelitian ialah kuantitatif retrospektif dengan desain potong lintang. Sampel diambil secara total sampling dari data rekam medik di Bagian Obstetri dan Ginekologi RSUP Prof. Dr. R. D. Kandou Manado yang memenuhi kriteria inklusi dan eksklusi. Analisis statistik menggunakan uji chi-square dengan tingkat signifikansi p<0,05. Hasil penelitian memperlihatkan dari 1747 persalinan didapatkan 284 kasus BBLR. Hasil analisis menunjukkan bahwa hanya paritas yang memiliki hubungan bermakna dengan BBLR (p=0,033). Sementara plasenta previa (p=0,293), KPD (p=0,589), preeklamsia (p=0,637), usia ibu (p=0,655), anemia (p=0,657), dan ISK (p=0,963) tidak menunjukkan hubungan bermakna secara statistik (p>0,05). Simpulan penelitian ini pada persalinan di RSUP Prof. Dr. R. D. Kandou Manado periode 2023-2024 didapatkan hubungan bermakna antara paritas dengan kejadian BBLR, sementara faktor risiko lain tidak menunjukkan hubungan bermakna. Kata kunci: berat badan lahir rendah; faktor risiko; paritas

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