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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 1,092 Documents
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Perubahan Kadar Asam Urat dan Estimasi Laju Filtrasi Glomerulus pada Pasien Penyakit Ginjal Kronis yang Menggunakan Terapi Alopurinol Angelica, Christina; Umboh, Octavianus R. H.; Wantania, Frans E. N.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65797

Abstract

Abstract: Chronic kidney disease (CKD) is closely associated with hyperuricemia. Allopurinol is recommended for patients with CKD stages 2–5 to reduce serum uric acid levels, although its renoprotective effects may vary depending on patient characteristics. This study aimed to obtain changes in serum uric acid and estimated glomerular filtration rate (eGFR) in CKD patients receiving allopurinol therapy at Prof. Dr. R. D. Kandou Hospital Manado during 2021–2024. A retrospective longitudinal descriptive design was employed. As an exploratory purpose, pre–post therapeutic analyses and subgroup comparisons were conducted. The results showed that the greatest reduction in serum uric acid was observed among patients aged 30–65 years, males, those with type 1 diabetes mellitus, and individuals with stage G5 CKD. Increases in eGFR were noted in patients aged <30 years, females, and those with rheumatic heart disease as a comorbidity. Conversely, decreases in eGFR were found in patients aged ≥30 years, males, those with liver cirrhosis, and individuals in CKD stages G2–G3. In conclusion, changes in serum uric acid and eGFR among CKD patients receiving allopurinol vary according to age, sex, comorbidities, and stage of CKD. Keywords: chronic kidney disease; hyperuricemia; allopurinol    Abstrak: Penyakit ginjal kronis (PGK) berhubungan erat dengan hiperurisemia. Alopurinol direkomendasikan pada pasien PGK stadium 2-5 untuk menurunkan kadar asam urat, meskipun efek renoprotektifnya dapat bervariasi menurut karakteristik pasien. Penelitian ini bertujuan mendeskripsikan perubahan kadar asam urat dan estimasi laju filtrasi glomerulus (eLFG) pada pasien PGK pengguna alopurinol di RSUP Prof. Dr. R. D. Kandou Manado periode 2021–2024. Jenis penelitian ialah deskriptif longitudinal retrospektif. Sebagai tujuan eksploratif, dilakukan analisis pre–post terapi serta komparatif antar-subkelompok. Hasil penelitian mendapatkan penurunan kadar asam urat terbesar pada kelompok usia 30–65 tahun, laki-laki, komorbid diabetes melitus tipe 1, dan stadium G5. Peningkatan eLFG terjadi pada kelompok usia <30 tahun, perempuan, dan komorbid penyakit jantung rematik. Sebaliknya, penurunan eLFG terlihat pada kelompok usia ≥30 tahun, laki-laki, kelompok komorbid sirosis, serta stadium G2–G3. Simpulan penelitian ini ialah perubahan kadar asam urat dan eLFG pada pasien PGK yang menggunakan alopurinol bervariasi menurut usia, jenis kelamin, komorbid, dan stadium PGK. Kata kunci: penyakit ginjal kronis; hiperurisemia; alopurinol
Faktor-Faktor yang Berhubungan dengan Tingkat Stres Mahasiswa Profesi Dokter (Co-Assistant) di RSUP Prof. Dr. R. D. Kandou Manado Talumedun, Alida P.; Doda, Diana V. D.; Wungouw, Herlina I. S.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65798

Abstract

Abstract: Mental health remains an important issue among medical students, particularly clinical clerkship students (co-assistants) who must simultaneously manage academic and clinical demands. This study aimed to examine factors associated with stress levels among clinical clerkship students (co-assistants) at Prof. Dr. R. D. Kandou Hospital Manado. This was an observational quantitative study with a cross-sectional design. Respondents were selected using the Slovin formula through purposive sampling. Data were collected online using the PSS-10 to measure stress levels and the NASA-TLX to assess workload. Data analysis was performed using the Spearman Rank test and the Mann–Whitney U test. The results obtained 108 students as respondents with a mean age of 23 years (SD=0.85);  majority of them were females. Most respondents experienced moderate stress (78.7%), followed by high and low stress levels (19.4% and 1.9%). The mean total workload score was 68.16%, with the highest dimension being effort at 21.29%. Bivariate analysis revealed a significant positive relationship between age and workload with stress levels, while gender and clinical rotation stage were not significantly associated. In conclusion, age and workload are factors associated with stress levels among clinical clerkship students (co-assistants). Therefore, psychosocial support programs, routine counseling, and evaluation of clinical workload are required to help students manage stress adaptively. Keywords: workload; stress level; clinical clerkship students (co-assistants)   Abstrak: Kesehatan mental masih menjadi isu penting di kalangan mahasiswa kedokteran, terutama pada mahasiswa profesi dokter (co-assistant) yang menjalani beban akademik dan klinik secara bersamaan. Penelitian ini bertujuan untuk mengkaji faktor-faktor yang berhubungan dengan tingkat stres pada mahasiswa profesi dokter (co-assistant) di RS R.D Kandou Manado. Jenis penelitian ialah observasional kuantitatif dengan desain potong lintang. Responden dipilih menggunakan rumus Slovin melalui teknik purposive sampling. Pengumpulan data dilakukan secara daring menggunakan kuesioner PSS-10 untuk mengukur tingkat stres dan NASA-TLX untuk menilai beban kerja. Analisis data dilakukan menggunakan uji Spearman Rank dan uji Mann-Whitney U. Hasil penelitian mendapatkan sebanyak 108 mahasiswa sebagai responden, mayoritas dengan rerata usia 23 tahun (SD=0,85), didominasi oleh perempuan. Responden terbanyak mengalami stres sedang (78,7%), diikuti stres tinggi (19,4%) dan stres rendah (1,9%). Rerata total skor beban kerja 68,16% dengan dimensi tertinggi yaitu tingkat usaha 21,29%. Analisis bivariat menunjukkan adanya hubungan positif bermakna antara usia dan beban kerja dengan tingkat stres, sedangkan jenis kelamin dan stase profesi pendidikan dokter tidak bermakna. Simpulan penelitian ini ialah usia dan beban kerja merupakan faktor-faktor yang berhubungan dengan tingkat stres pada mahasiswa profesi dokter (co-assistant). Oleh karena itu, diperlukan dukungan psikososial, konseling rutin, dan evaluasi beban kerja klinik untuk membantu mahasiswa mengelola stres secara adaptif. Kata kunci: beban kerja; tingkat stres; mahasiswa profesi dokter (co-assistant)
Clinical Characteristics and Outcomes of Pancreaticoduodenectomy (Whipple Procedure) in the Last Five Years at Prof. Dr. R. D. Kandou Hospital Tendean, Michael; Tjandra, Ferdinand; Mambu, Toar; Ayawaila, Marven; Sihaloho, Eric
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65822

Abstract

Abstract: Pancreatoduodenectomy (Whipple) is the standard procedure for resectable pancreatic and periampullary neoplasms. Although techniques and postoperative care continue to evolve, this procedure is still associated with high morbidity and significant complications, such as pancreatic fistula and delayed gastric emptying. It is most commonly performed on elderly patients with pancreatic adenocarcinoma and requires ongoing evaluation to improve outcomes. A five-year review is necessary to assess trends, complications, and postoperative outcomes as a basis for improving the quality of surgical management. This was a retrospective descriptive analysis of adult patients who underwent pancreatoduodenectomy at Prof. Dr. R. D. Kandou Hospital between 2020 and 2025. The inclusion criteria were patients with complete medical records, including demographic data, surgical indications, surgical outcomes, and postoperative complications. Cases with incomplete data, surgeries performed outside the study period, or patients who died before postoperative evaluation were excluded. Univariate analysis was performed using SPSS version 30 to describe clinical characteristics and patient outcomes. Of the 35 patients, the distribution of gender and diagnosis (icteric vs. non-icteric obstruction) was relatively balanced. Most underwent a single Whipple procedure (65.7%) using the duct-to-mucosa anastomosis technique (80%). Postoperative complications occurred in 57.1% of patients, and 30-day mortality was 34.3%. The mean age of patients was 55.6 years, the duration of surgery was 370 minutes, the blood loss was 568 cc, and the length of hospital stay was 9.8 days. In conclusion, the Whipple procedure demonstrates variable outcomes with high morbidity and a 30-day mortality rate of 34.3%. End-to-side anastomosis is the most commonly used technique. Age, case complexity, and operative variability influence patient recovery and prognosis. Keywords: pancreatoduodenectomy; pancreatic neoplasm
Profil Kasus Luka Bakar di Rumah Sakit Bhayangkara Tingkat III Manado Tahun 2023 – 2024 Rusly, Evan Y.; Tomuka, Djemi; Mallo, Nola T. S.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65823

Abstract

Abstract: Burn injury represents a major health problem with both clinical and medicolegal implications, particularly when related to accidents or criminal incidents. This study aimed to describe the profile of burn injury cases at Rumah Sakit Bhayangkara Tingkat III Manado in 2023–2024. This was a descriptive and retrospective study based on secondary data obtained from medical records of burn cases treated during the study period. The results showed a total of 16 burn cases, with 12 patients (75%) survived and four patients (25%) died. The highest number of cases occurred in 2024 (62.5%). The most common cause of burns was fire (62.5%), followed by electricity and hot liquids (12.5% each), and explosion (6.3%). Based on total body surface area, the most frequent category was 10–29% (31.3%), and the most common burn degree was second-degree burns (31.3%). Most patients were adults aged 18–59 years (62.5%), and males constituted the majority (75%). All patients were Indonesian citizens residing in Manado. In conclusion, burn injuries in Manado most commonly affect adult males and are primarily caused by fire. These findings highlight the need for enhanced safety education in both workplace and domestic settings, as well as improved medicolegal documentation to support forensic analysis and inform public health policies. Keywords: burn injury; case profile; forensic aspect    Abstrak: Luka bakar menjadi masalah kesehatan yang memiliki implikasi klinis maupun medikolegal, terutama ketika berkaitan dengan kecelakaan atau tindak pidana. Penelitian ini bertujuan untuk mengetahui profil kasus luka bakar di Rumah Sakit Bhayangkara Tingkat III Manado pada tahun 2023–2024. Jenis penelitian ialah deskriptif retrospektif dengan memanfaatkan data sekunder dari rekam medis pasien luka bakar yang dirawat selama periode penelitian. Hasil penelitian menunjukkan bahwa terdapat 16 kasus luka bakar yang tercatat, dengan 12 pasien (75%) hidup dan empat pasien (25%) meninggal dunia. Kasus terbanyak ditemukan pada tahun 2024 (62,5%). Penyebab luka bakar yang paling seringa ialah api (62,5%), diikuti oleh listrik dan cairan panas (masing-masing 12,5%), serta ledakan 6,3%. Berdasarkan luas luka, kategori 10–29% merupakan yang terbanyak (31,3%), sedangkan derajat luka yang paling sering ditemukan ialah derajat II (31,3%). Kelompok usia terbanyak ialah dewasa (18–59 tahun) (62,5%), dengan jenis kelamin terbanyak laki-laki (75%). Seluruh korban merupakan warga negara Indonesia yang berdomisili di Manado. Simpulan penelitian ini ialah luka bakar di wilayah Manado paling sering terjadi pada laki-laki usia produktif akibat paparan api, sehingga diperlukan upaya pencegahan melalui peningkatan edukasi keselamatan kerja, kewaspadaan domestik, serta penguatan dokumentasi medikolegal untuk mendukung analisis forensik dan perencanaan kebijakan kesehatan Kata kunci: luka bakar; profil kasus; aspek forensik
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
Gambaran Enuresis pada Anak Sekolah Dasar Tumbal, Anastasya G.; Umboh, Adrian; Rompis, Johnny L.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65843

Abstract

Abstract:  Enuresis is defined as involuntary voiding in children aged ≥5 years, occurring at least twice per week for three consecutive months, and not attributable to underlying medical conditions. Enuresis is influenced by biological, psychological, and environmental factors and remains commonly observed among primary school children. This study aimed to describe the occurrence of enuresis and its associated risk factors among elementary school children at Paal Dua District. A quantitative descriptive design with a cross-sectional approach was used. Samples were obtained through proportionate stratified random sampling from 250 respondents enrolled in SD Advent 3 Paal Dua, SD GMIM 22 Manado, and SD Advent 6 Kairagi Weru. Data were collected using the Clinical Management Tools (CMT) questionnaire from the Indonesian Urological Association and a previously validated and reliable research instrument. The findings showed that among the 15 children with enuresis, most were six years old (66.7%) and male (60%). The highest percentages were found in enuresis occurred predominantly at night (93.3%), the onset began since birth (66.7%), and voided 4–7 times per day (93.3%). The most frequently identified risk factors included toilet training at 3–4 years of age (73.3%), difficulty being awakened from sleep (53.3%), urinary tract infection complaints (33.3%), psychological stress (20%), and a history of constipation (26.7%). A family history of enuresis was present in 60% of cases, and the most common household composition was four family members (33.3%). In conclusion, enuresis remains present among primary school children in Paal Dua District, indicating the need for early detection and continuous parental education. Keywords: enuresis; elementary school children; nocturnal enuresis; risk factors    Abstract: Enuresis merupakan pengeluaran urin secara involunter pada anak usia ≥5 tahun dengan frekuensi minimal dua kali per minggu selama tiga bulan berturut-turut tanpa disebabkan oleh kondisi medis tertentu. Enuresis dipengaruhi oleh faktor biologis, psikologis, dan lingkungan, serta masih sering ditemukan pada anak sekolah dasar. Penelitian ini bertujuan untuk menggambarkan kejadian enuresis dan faktor risikonya pada anak sekolah dasar di Kecamatan Paal Dua. Jenis penelitian ialah deskriptif kuantitatif dengan desain potong lintang. Sampel diperoleh melalui teknik proportionate stratified random sampling dari 250 responden yang berasal dari SD Advent 3 Paal Dua, SD GMIM 22 Manado, dan SD Advent 6 Kairagi Weru. Instrumen penelitian menggunakan kuesioner Clinical Management Tools (CMT) dari Ikatan Ahli Urologi Indonesia serta instrumen penelitian sebelumnya yang telah diuji validitas dan reliabilitasnya. Hasil penelitian menunjukkan dari 15 anak dengan enuresis, sebagian besar berusia 6 tahun (66,7%) dan berjenis kelamin laki-laki (60%). Persentase tertinggi didapatkan pada kejadian enuresis terutama terjadi pada malam hari (93,3%), onset enuresis sejak lahir (66,7%), dan frekuensi berkemih 4–7 kali per hari (93,3%). Faktor risiko yang paling banyak ditemukan meliputi toilet training pada usia 3–4 tahun (73,3%), sulit dibangunkan saat tidur (53,3%), keluhan infeksi saluran kemih (33,3%), riwayat stres (20%), serta riwayat sembelit (26,7%). Riwayat enuresis dalam keluarga ditemukan pada 60% anak, dan komposisi keluarga terbanyak adalah empat anggota dalam satu rumah tangga (33,3%). Simpulan penelitian ini ialah enuresis pada anak sekolah dasar di Kecamatan Paal Dua masih cukup sering ditemukan sehingga diperlukan upaya deteksi dini dan edukasi berkelanjutan kepada orang tua. Kata kunci: enuresis; anak sekolah dasar; enuresis nokturnal; faktor risiko
Profil Kasus Benda Asing Saluran Cerna di Bagian Bedah Anak RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2021 – Juli 2025 Anggraeni, Avanti H.; Lampus, Harsali F.; Tangel, Stephanus J. C.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65844

Abstract

Abstract: Pediatric foreign body ingestion is not an uncommon case, approximately 10%–20% require endoscopy, and 1% require surgery. This study aimed to describe the profile of gastrointestinal foreign body cases in the Pediatric Surgery Department of Prof. Dr. R. D. Kandou General Hospital, Manado. This was a descriptive cross-sectional retrospective study using electronic medical records of pediatric gastrointestinal foreign bodies. The results showed that among 42 included data, most cases were found in the school-age group (57.2%) and among males (54.8%). Most cases were symptomatic (64.3%) and had no comorbidities or complicating diseases (81.0%). All patients received X-ray examinations (100.0%). Most foreign bodies had a duration of ≤1 day (73.8%) in the gastrointestinal tract, blunt characteristic (42.9%), and 2-5 cm in size (78.6%). Foreign bodies were initially identified most often in the colon (35.7%). The majority of cases had no complications (76.2%). The most common management was endoscopy (61.9%), with the majority of foreign bodies found and successfully extracted (69.2%). Keywords: foreign body; location in gastrointestinal tract; pediatric surgery   Abstrak: Tertelannya benda asing pada anak merupakan kasus yang tidak jarang dijumpai, yaitu sekitar 10%–20% kasus memerlukan tindakan endoskopi, dan 1% memerlukan operasi. Penelitian ini bertujuan untuk mengetahui profil kasus benda asing saluran cerna di Bagian Bedah Anak RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data rekam medis pasien anak dengan diagnosis benda asing saluran cerna. Hasil penelitian menunjukkan dari 42 pasien yang memenuhi kriteria inklusi berdasarkan total sampling, mayoritas berusia sekolah (57,2%) dan berjenis kelamin laki-laki (54,8%). Sebagian besar pasien simtomatik (64,3%) dan seluruhnya menjalani pemeriksaan X-ray (100%). Tidak ditemukan penyakit penyerta pada 81% kasus. Benda asing umumnya berdurasi ≤1 hari (73,8%), bersifat tumpul (42,9%), berukuran 2–5 cm (78,6%), dan paling sering ditemukan di kolon (35,7%). Sebagian besar kasus tidak mengalami komplikasi (76,2%). Tatalaksana terbanyak berupa endoskopi (61,9%) dengan keberhasilan ekstraksi yang tinggi (69,2%). Kata kunci: benda asing; lokasi di saluran cerna; bedah anak
Gambaran Kejadian Bullying dan Aspek Mental Siswa Sekolah Dasar Kelas 5 dan 6 George, Omega K. M.; Kaunang, Theresia M. D.; Dundu, Anita E.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65847

Abstract

Abstract: Bullying among elementary school students is a frequent issue and has a significant impact on children’s emotional condition, behavior, and mental health. This phenomenon needs to be examined comprehensively to understand its types and implications among fifth- and sixth-grade students. This study employed a mixed-methods approach, specifically an explanatory sequential design. Quantitative samples were obtained through stratified random sampling using the Olweus Bully/Victim Questionnaire-Revised (OBVQ-R), and interviews were conducted with selected victims and perpetrators to explore their mental aspects and subjective experiences. The results obtained 437 students of fifth- and sixth- grade at Malalayang as respondents. Bullying occurred quite frequently, predominantly in the form of verbal bullying, followed by emotional and physical bullying, with students involved as perpetrators, victims, or both. The mental impacts identified included anxiety, fear of attending school, decreased concentration, low self-esteem, and emotional distress, with several cases showing more severe symptoms. In conclusion, bullying among fifth- and sixth-grade students at Malalayang area still occurs and has a significant impact on students’ mental well-being.  Keywords: bullying; mental aspect; elementary school students    Abstrak: Bullying pada siswa sekolah dasar merupakan masalah yang sering terjadi dan berdampak signifikan terhadap kondisi emosional, perilaku, dan kesehatan mental anak. Fenomena ini perlu ditinjau secara komprehensif untuk memahami bentuk kejadian serta implikasinya pada siswa kelas 5 dan 6 di wilayah Malalayang. Penelitian ini menggunakan metode penelitian campuran, khususnya desain sekuensial eksplanatori. Sampel kuantitatif diperoleh melalui stratified random sampling dengan menggunakan kuesioner Olweus Bully/Victim Questionnaire-Revised (OBVQ-R), serta dilakukan wawancara pada korban dan pelaku terpilih untuk menggali aspek mental dan pengalaman subjektif mereka. Hasil penelitian mendapatkan 437 siswa kelas 5 dan 6 di wilayah Malalayang sebagai responden. Bullying cukup banyak terjadi dengan bentuk yang dominan berupa bullying verbal, diikuti emosional dan fisik, dan siswa terlibat sebagai pelaku, korban, maupun pelaku sekaligus korban. Dampak mental yang muncul meliputi kecemasan, ketakutan bersekolah, penurunan konsentrasi, rendah diri, dan distress emosional, dengan beberapa kasus menunjukkan gejala yang lebih berat. Simpulan penelitian ini menunjukkan bahwa bullying pada siswa Sekolah Dasar kelas 5 dan 6 di wilayah Malalayang masih terjadi dan memberikan dampak signifikan terhadap aspek mental siswa. Kata kunci: bullying; aspek mental; siswa sekolah dasar
Hubungan Riwayat Merokok Aktif terhadap Fraksi Ejeksi Ventrikel Kiri pada Pasien Gagal Jantung Simanjuntak, Pataria M. C.; Joseph, Victor F. F.; Rooroh, Victor G. X.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65848

Abstract

Abstract: Heart failure is the final manifestation of various cardiovascular diseases and still has a high prevalence, including in Indonesia. Left ventricular ejection fraction (LVEF) is one of the main parameters for evaluating heart function. Smoking, a modifiable risk factor for cardiovascular diseases, is known to contribute to structural and functional myocardial impairment, including reduced LVEF. However, evidence on the relationship between active smoking history and LVEF in heart failure patients is still limited. This study aimed to determine the relationship between history of active smoking and LVEF in heart failure patients at Prof. Dr. R. D. Kandou General Hospital from January to December 2024. This was an observationaland analytical study with a retrospective cross-sectional design. Data were analyzed using the chi-square and Fisher’s exact tests. The reults obtained 197 patients that met the inclusion-exclusion criteria, consisting of 138 active smokers and 59 non-smokers. Bivariate analysis using the chi-square test showed a p-value of 0.025, indicating a significant relationship between active smoking history and LVEF. In conclusion, there is a significant relationship between active smoking history and LVEF in heart failure patients at Prof. Dr. R. D. Kandou General Hospital. The high proportion of active smokers highlights smoking as an important risk factor in this population. Keywords: heart failure; left ventricular ejection fraction; smoking   Abstrak: Gagal jantung merupakan manifestasi akhir dari berbagai penyakit kardiovaskular dan masih memiliki prevalensi tinggi, termasuk di Indonesia. Salah satu parameter utama untuk mengevaluasi fungsi jantung ialah fraksi ejeksi ventrikel kiri (LVEF). Merokok merupakan faktor risiko penyakit kardiovaskular yang dapat dimodifikasi dan berkontribusi terhadap kerusakan struktural serta fungsional miokard, termasuk penurunan LVEF, namun penelitian mengenai hubungan riwayat merokok aktif dengan nilai LVEF pada pasien gagal jantung masih terbatas. Penelitian ini bertujuan untuk mengetahui hubungan antara riwayat merokok aktif terhadap nilai LVEF pada pasien gagal jantung di RSUP Prof. Dr. R. D. Kandou periode Januari–Desember 2024. Jenis penelitian ialah analitik observasional dengan desain potong lintang retrospektif, serta menggunakan analisis univariat dan bivariat dengan uji chi-square dan uji Fisher’s exact. Hasil penelitiannmendapatkan 197 pasien yang memenuhi kriteria inklusi-eksklusi, terdiri atas 138 perokok aktif dan 59 bukan perokok. Uji chi-square menunjukkan nilai p=0,025, yang berarti terdapat hubungan bermakna antara riwayat merokok aktif dan nilai LVEF. Simpulan penelitian ini ialah terdapat hubungan bermakna antara riwayat merokok aktif dengan nilai LVEF pada pasien gagal jantung di RSUP Prof. Dr. R. D. Kandou. Temuan ini menunjukkan proporsi perokok aktif yang tinggi masih menjadi faktor risiko penting pada populasi penelitian ini. Kata kunci: gagal jantung; fraksi ejeksi ventrikel kiri; merokok

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