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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 1,074 Documents
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Gambaran Hasil CT-Scan Toraks pada Pasien Coronavirus Disease 2019 (COVID-19) Malaru, Claudia R. E.; Rondo, Alfa G. E. Y.; Wagiu, Christilia G.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i1.32416

Abstract

Abstract: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Indonesia reported its first case in March 2, 2020. Cases are increasing and spreading rapidly throughout Indonesia. One of the main imaging modalities for examination of COVID-19 is chest computed tomography scan (CT-scan) which plays an important role in detection, evaluation of severity, and follow-up of disease course. This study was aimed to obtain the description of CT scan results in patients with COVID-19. This was a literature review study using three databases, namely Pubmed, ClinicalKey, and ScienceDirect. The keywords used were COVID-19 AND Chest CT. Based on inclusion and exclusion criteria, there were 10 literatures selected. It was found that chest CT results could accurately evaluate the features and extent of lung lesions. The typical CT-scan results were ground-glass opacities (GGO), GGO with mixed consolidation, adjacent pleural thickening, interlobular septal thickening, and air bronchogram. Based on age, sex, and comorbidities, there was not any significant differences in chest CT findings. In conclusion, GGO, air bronchogram, and consolidation were found in chest CT-scan of COVID-19 patients. Meanwhile, based on age, sex, and comorbidities there were no significant differences in chest CT-scan.Keywords: COVID-19, chest CT-scan Abstrak: Coronavirus disease 2019 (COVID-19) merupakan suatu penyakit menular yang disebabkan oleh severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Indonesia melaporkan kasus pertama pada tanggal 2 Maret 2020. Kasus meningkat dan menyebar dengan cepat di seluruh wilayah Indonesia. Salah satu modalitas pencitraan utama yang menjadi pilihan untuk pemeriksaan COVID-19 ialah Computed Tomography Scan (CT-scan) toraks yang berperan penting dalam deteksi, evaluasi keparahan, dan tindak lanjut perjalanan penyakit. Penelitian ini bertujuan untuk mengetahui gambaran hasil CT-scan pada pasien COVID-19. Jenis penelitian ialah literature review dengan pencarian data menggunakan tiga database yaitu Pubmed, ClinicalKey, ScienceDirect. Kata kunci yang digunakan yaitu COVID-19 AND Chest CT. Hasil seleksi berdasarkan kriteria inklusi dan eksklusi mendapatkan 10 literatur. Didapatkan hasil CT-scan toraks dapat secara akurat mengevaluasi fitur dan luas lesi paru dan CT-scan yang khas ialah ground-glass opacities (GGO), GGO dengan konsolidasi campuran, penebalan pleura yang berdekatan, penebalan septum interlobular, dan bronkogram udara. Pada temuan CT-scan toraks berdasarkan usia, dan jenis kelamin tidak didapatkan perbedaan bermakna. Simpulan penelitian ini ialah terdapat GGO, air bronchogram, dan konsolidasi pada CT-scan toraks pasien COVID-19 sedangkan berdasarkan usia, jenis kelamin, dan komorbid tidak ditemukan perbedaan bermakna.Kata kunci: COVID-19, CT-scan toraks
Gambaran Penyembuhan Tulang Sekunder pada Fraktur dengan Anatomical Reduction Fixation Tipe Plate and Screw di RSUP Prof. Dr. R. D. Kandou Periode 2019 – 2020 Donsu, Monica B.; Lengkong, Andreissanto C.; Rawung, Rangga B. V.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.32120

Abstract

Abstract: Theoretically, fractures fixed by anatomical reduction fixation will undergo direct bone healing without any callus formation. However, in some cases with anatomical reduction fixation show sceondary bone healing in radiographic examination. This study was aimed to obtain the profile of patients who had secondary bone healing in fractures fixed with anatomical reduction fixation at Prof. Dr. RD Kandou Central General Hospital Manado from  2019 to 2020, distribution of patients based on age, sex, and fracture location, as well as the patient's callus indexes. This was a retrospective and descriptive study using data at the Surgery Section, Radiology Section and the Medical Record Section of Prof. Dr. R. D. Kandou General Hospital Manado. The results showed that the incidence of secondary bone healing in fractures with anatomical reduction fixation was the highest in the 21 - 35 years age group (50%). The number of male patients was greater than of female patients. The location of most fractures was the lower limb. The most frequent callus index was 0.51-0.75, the highest was 0.8, and the lowest was 0.25. In conclusion, secondary bone healing in fractures with anatomical reduction fixation was more common in age group 21-35 years, males, and had callus index of 0.51-0.75.Keywords: fracture, secondary bone healing, callus Abstrak: Secara teori fraktur yang difiksasi secara anatomical reduction fixation akan mengalami penyembuhan tulang secara langsung tanpa pembentukan kalus. Dalam praktik klinis pada beberapa kasus terlihat adanya gambaran kalus pada pemeriskaan radiografi yang menggambarkan adanya penyembuhan tulang sekunder pada fraktur dengan anatomical reduction fixation. Penelitian ini bertujuan untuk mendapatkan profil pasien yang mengalami penyembuhan tulang sekunder pada fraktur dengan anatomical reduction fixation di RSUP Prof. Dr. R. D. Kandou periode 2019 sampai dengan 2020, distribusi pasien berdasarkan usia, jenis kelamin dan lokasi fraktur, serta indeks kalus pasien. Jenis penelitian ialah deskriptif retrospektif menggunakan data di Bagian Bedah, Bagian Radiologi, dan Bagian Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan bahwa angka kejadian penyembuhan tulang sekunder pada fraktur dengan anatomical reduction fixation tertinggi pada kelompok usia 21-35 tahun (50%). Jumlah pasien laki-laki lebih banyak daripada perempuan dan lokasi fraktur tersering ialah ekstremitas bawah. Indeks kalus tertinggi (0,8) dan indeks kalus terendah (0,25), dan yang terbanyak ialah 0,51-0,75. Simpulan penelitian ini ialah penyembuhan tulang sekunder pada fraktur dengan anatomical reduction fixation tertinggi pada kelompok usia 21-35 tahun, jenis kelamin laki-laki, dengan indeks kalus 0,51-075Kata kunci: fraktur, penyembuhan tulang sekunder, kalus
Hubungan Kadar Vitamin D dan Kadar C-Reactive Protein dengan Klinis Pasien Coronavirus Disease 2019 Berhandus, Catrien; Ongkowijaya, Jeffrey A.; Pandelaki, Karel
e-CliniC Vol 9, No 2 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i2.33043

Abstract

Abstract: COVID-19 patients could experience many respiratory symptoms accompanied with increased inflammatory markers, such as C-reactive protein (CRP). Vitamin D is known to have a positive effect on immune system by decreasing inflammatory process. This study was aimed to evaluate the relationship between vitamin D and CRP concentration and clinical severity, and the correlation between vitamin D concentration and CRP concentration in COVID-19 patients. This was an observational and analytical study with a cross-sectional design conducted at Prof. dr. R. D. Kandou hospital. A total of 40 subjects with COVID-19 were included. Clinical severity was classified into moderate and severe. All subjects underwent vitamin D and CRP concentration examination. The results showed that there was a significant relationship between vitamin D level and clinical severity of patients with COVID-19 (p=0.0001). There was a significant relationship between CRP level and clinical severity of patients with COVID-19 (p=0.0001). Moreover, there was a negative correlation between vitamin D concentration and CRP concentration (r=-0.49, p=0.001). In conclusion, vitamin D insufficiency or deficiency is related to CRP increament and clinical severity of patients with COVID-19.Keywords: coronavirus disease 2019, vitamin D, C-reactive protein (CRP), clinical severityAbstrak: Penderita COVID-19 mengalami berbagai gejala pernapasan disertai dengan pening-katan beberapa penanda inflamasi, salah satunya C-reactive protein (CRP). Vitamin D diketahui memiliki efek positif terhadap sistem imun tubuh dengan cara meredam proses inflamasi berlebihan. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara kadar vitamin D dan kadar CRP dengan klinis COVID-19, dan korelasi antara kadar vitamin D dengan kadar CRP. Jenis penelitian ini ialah studi analitik observasional dengan desain potong lintang yang dilakukan di RSUP Prof. dr. R. D. Kandou. Total sampel sebanyak 40 pasien dengan diagnosis COVID-19. Gejala klinis pasien dibagi menjadi sedang dan berat. Pemeriksaan kadar vitamin D dan kadar CRP dilakukan pada seluruh sampel. Hasil penelitian mendapatkan hubungan bermakna antara kadar vitamin D dengan klinis pasien COVID-19 (p=0,0001), dan antara kadar CRP dengan klinis pasien COVID-19 (p=0,0001). Terdapat korelasi negatif antara kadar vitamin D dengan kadar CRP (r=-0,49, p=0,001). Simpulan penelitian ini ialah insufisiensi atau defisiensi vitamin D berhubungan dengan peningkatan CRP dan klinis pasien COVID-19.Kata kunci: coronavirus disease 2019, vitamin D, C-reactive protein (CRP), gejala klinis
Faktor-Faktor yang Berhubungan dengan Terjadinya Preeklampsia Sudarman, .; Tendean, Hermie M. M.; Wagey, Freddy W.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.31960

Abstract

Abstract: Hypertension in pregnancy is still a major cause of maternal death. Preeclampsia affects about 2% to 8% of pregnancies worldwide. This study was aimed to determine the risk factors associated with the occurrence of preeclampsia. This was is a literature review study, using three databases, namely PubMed, ClinicalKey, and Google Scholar. The keywords used were risk factors OR faktor risiko AND preeclampsia OR preeklampsia. After being selected with inclusion and exclusion criteria, a critical appraisal was carried out and obtained 30 literatures consisting of 14 cross-sectional studies, 13 case control studies, and 3 cohort studies. The results found 30 literatures examined the relationship factors or characteristics of age, parity or gravida status, obesity, diabetes mellitus, chronic hypertension, history of kidney disease, history of preeclampsia, multiple pregnancies, family history of preeclampsia, duration between pregnancies, socioeconomic status (education levels and employment), and autoimmune diseases. In conclusion, the factors associated with the occurrence of preeclampsia are age at risk for pregnant women, nulliparity, primigravida, obesity, diabetes mellitus, chronic hypertension, history of kidney disease, history of preeclampsia, multiple pregnancies, family history of preeclampsia, distance between pregnancies, socioeconomic level, and autoimmune disease.Keywords: risk factors, preeclampsia.  Abstrak: Hipertensi dalam kehamilan masih menjadi penyebab kematian ibu yang cukup tinggi. Preeklampsia memengaruhi sekitar 2% hingga 8% kehamilan di seluruh dunia. Penelitian ini bertujuan untuk mengetahui faktor-faktor risiko yang berhubungan dengan terjadinya preeklamp-sia. Jenis penelitian ialah literature review, menggunakan tiga database yaitu PubMed, ClinicalKey, dan Google Scholar. Kata kunci yang digunakan yaitu risk factor OR faktor risiko AND preeclampsia OR preeklampsia. Setelah diseleksi dengan kriteria inklusi dan eksklusi dilakukan critical appraisal, didapatkan 30 literatur yang terdiri dari 14 cross-sectional study, 13 case control study, dan 3 cohort study. Hasil penelitian mendapatkan 30 literatur yang meneliti hubungan faktor atau karakteristik usia, paritas atau status gravida, obesitas, diabetes melitus, hipertensi kronik, riwayat penyakit ginjal, riwayat preeklampsia, kehamilan ganda, riwayat preeklampsia keluarga, jarak antar kehamilan, status sosial ekonomi (tingkat pendidikan dan pekerjaan), dan penyakit autoimun. Simpulan penelitian ini ialah faktor-faktor yang berhubungan dengan terjadinya preeklampsia yaitu usia ibu hamil berisiko, nuliparitas, primigravida, obesitas, diabetes melitus, hipertensi kronik, riwayat penyakit ginjal, riwayat preeklampsia, kehamilan ganda, riwayat preeklampsia keluarga, jarak antar kehamilan, tingkat sosioekonomi, dan penyakit autoimun.Kata kunci: faktor risiko, preeklampsia
Terapi Pemberian Besi pada Penderita Anemia Defisiensi Besi Kapoh, Sabatika R; Rotty, Linda W. A.; Polii, Efata B. I.
e-CliniC Vol 9, No 2 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i2.32863

Abstract

Abstract: Iron deficiency anemia (IDA) is caused by deficiency of iron needed for hemoglobin synthesis. Based on WHO data 2011, of 100% cases of patients with severe anemia, there were 50% of pregnant women, 49% of non-pregnant women, and 42% of children suffered from iron deficiency. Other literatures mentioned about 2-5% of adult men and post menopause women were diagnosed as iron deficiency anemia in developed countries. This study was aimed to determine the relationship between iron therapy in patients and iron deficiency anemia. This was a literature review study, summarizing the results of studies that included iron therapy to iron deficiency anemia patients. The results showed a positive result of iron therapy among iron deficiency anemia patients. In conclusion, there is an increase in hemoglobin among iron deficiency anemia patients after being given iron therapy.Keywords: iron deficiency anemia, iron therapy  Abstrak: Anemia defisiensi besi (ADB) disebabkan oleh kekurangan zat besi yang dibutuhkan untuk sintesis hemoglobin. Berdasarkan data dari WHO (World Health Organization) tahun 2011, dari 100% kasus penderita anemia berat yang dilaporkan, diperkirakan 50% wanita hamil, 49% wanita tidak hamil, dan 42% kasus anak penderita anemia didapatkan berkaitan dengan kekurangan zat besi. Data lain menyebutkan sekitar 2-5% pria dewasa dan wanita pasca menopause mengalami ADB di negara maju. Penelitian ini bertujuan untuk mengetahui hubungan pemberian besi pada pasien anemia defisiensi besi. Jenis penelitian ialah literature review. Hasil penelitian ini menunjukkan hasil positif pemberian terapi besi pada pasien anemia defisiensi besi. Simpulan penelitian ini ialah terdapat peningkatan hemoglobin pada pasien anemia defisiensi besi setelah diberikan terapi besi.Kata kunci: anemia defisiensi besi, terapi besi
Computer Vision Syndrome Dotulong, Dean; Rares, Laya M.; Najoan, Imelda H. M.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.31707

Abstract

Abstract: Computer vision syndrome (CVS) describes a group of eye and vision related problems that result from prolonged computer use or other gadgets. Its clinical manifestations maybe are not very disturbing for most people. Therefore, it tends to cause delayed treatment. If CVS is not well treated, there would be obstacles in daily life such as decreased productivity, increased failure in working or studying, and also low job satisfaction. This study was aimed to obtain a general view of CVS that involved the development of CVS, subjective complaints, and the its risk factors. This was a literature review study using three databases, as follows: Pubmed, ClinicalKey, and Google Scholar. The keywords were "Computer Vision Syndrome". The results showed that the most frequent complaints were eyestrain, neck pain, and headache, meanwhile the others complaints varied among literatures. The risk factors of CVS were usage of eyeglasses and contact lens, eye distance to the monitor, monitor position, duration of usage, break time, lighting intensity, age and gender, anti-glare filter usage, and brightness. In conclusion, the main complaints of CVS involved the eyes, head, and neck (ocular and non-ocular), meanwhile the risk factors were related to the usage of eyeglasses or contact lens, computer, lighting, and individual factors.Keywords: computer vision syndrome Abstrak: Computer vision syndrome (CVS) adalah sekumpulan gejala pada mata yang dise-babkan oleh penggunaan komputer atau alat elektronik lainnya dalam waktu cukup lama. Manifestasi klinis CVS mungkin dirasakan tidak parah dan tidak mengganggu bagi sebagian orang. Hal tersebut memicu keterlambatan dalam pengobatan.. Dampak yang selanjutnya terjadi jika CVS tidak diatasi ialah adanya hambatan dalam aktivitas sehari-hari seperti penurunan produktivitas kerja, peningkatan tingkat kesalahan dalam bekerja atau belajar, dan penurunan kepuasan kerja. Penelitian ini bertujuan untuk mengetahui CVS secara umum yang meliputi proses terjadinya CVS, keluhan subjektif, serta faktor risikonya. Jenis penelitian ialah literature review dengan pencarian data menggunakan tiga database yaitu Pubmed, ClinicalKey, dan Google Scholar. Kata kunci yang digunakan yaitu "Computer Vision Syndrome". Hasil peneli-tian menunjukkan bahwa keluhan-keluhan yang muncul paling sering yaitu mata lelah, nyeri leher, dan nyeri kepala, sedangkan keluhan lainnya bervariasi antar penelitian. Faktor risiko yang berpengaruh yaitu penggunaan kacamata dan lensa kontak, jarak mata dengan layar, posisi layar komputer, durasi penggunaan, pola istirahat, intensitas pencahayaan ruangan, usia, jenis kelamin, penggunaan anti-glare filter, dan kecerahan layar. Simpulan penelitian ini ialah keluhan pada CVS dapat terkait dengan mata dan kepala sampai ke leher (okuler dan non-okuler), dan faktor risikonya berhubungan dengan pemakaian kacamata dan lensa kontak, komputer, pencahayaan, dan faktor individual.Kata kunci: computer vision syndrome
Gambaran Penggunaan Alat Kontrasepsi pada Wanita di Indonesia Rotinsulu, Fioren G. F.; Wagey, Freddy W.; Tendean, Hermie M. M.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.32478

Abstract

Abstract: Population growth rate affects various sectors. Therefore, the National Family Planning (KB) program was established with the aim of reducing Indonesia's population growth rate. This study was aimed to obtain the description of contraception used according to contraception methods in various regions of Indonesia. This was a literature review study. Data were searched by using one database with the specified criteria, which was Google Scholar, and data collection from BKKBN application. The keywords used in literature searching were contraception use AND contraception methods AND Indonesian. After being selected by inclusion and exclusion criteria, there were 12 literatures consisting of 6 descriptive studies, 4 cross sectional studies, 1 purposive sampling study, and 1 secondary data study. The majority of literatures mentioned that contraception method mostly used in various regions of Indonesia was hormonal contraception, in this case injection. It seems that other methods such as vasectomy in males and tubectomy in females were still not preferred. In conclusion, hormonal contraception method namely injection is the mostly used in various regions of Indonesia.Keywords: contraception use, contraception methods Abstrak: Laju pertumbuhan penduduk berpengaruh terhadap berbagai sektor. Program Keluarga Berencana (KB) Nasional dibuat dengan tujuan untuk menekan laju pertumbuhan penduduk Indonesia. Penelitian ini bertujuan untuk mengetahui gambaran penggunaan alat kontrasepsi menurut metode alat kontrasepsi di berbagai daerah di Indonesia. Jenis penelitian ialah suatu literature review. Pencarian data menggunakan satu database dengan kriteria yang ditentukan yaitu Google Scholar dan pengambilan data yang berasal dari integrasi aplikasi BKKBN. Kata kunci yang digunakan dalam pencarian artikel ialah Penggunaan kontrasepsi DAN Metode kontrasepsi DAN Indonesia. Hasil seleksi dengan kriteria inklusi dan eksklusi mendapatkan 12 literatur yang terdiri dari 6 penelitian deskriptif, 4 penelitian cross-sectional, 1 penelitian purposive sampling, dan 1 penelitian data sekunder. Didapatkan penggunaan metode alat kontrasepsi di berbagai daerah di Indonesia yang terbanyak ialah kontrasepsi hormonal suntik. Metode alat kontrasepsi yang masih kurang penggunaannya ialah vasektomi atau Metode Operatif Pria (MOP) dan tubektomi atau Metode Operatif Wanita (MOW). Simpulan penelitian ini ialah mayoritas penggunaan metode alat kontrasepsi di berbagai daerah di Indonesia ialah kontrasepsi hormonal suntik.Kata kunci: penggunaan kontrasepsi, metode kontrasepsi
Adenokarsinoma Kolon: Laporan Kasus Padang, Mersy S.; Rotty, Luciana
e-CliniC Vol 8, No 2 (2020): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v8i2.30539

Abstract

Abstract: Colorectal cancer (CRC) is a malignancy originated from the colon tissue which starts in the large intestine and rectum. In 2018, colorectal cancer was ranked fourth of the total malignancy in Indonesia with the number of cases of 30,017 (8.6% of the total cancer cases in Indonesia). We reported a case of colon cancer (adenocarcinoma) in a female aged 34 years. Diagnosis was based on anamnesis of the presence of liquid bowel movements along with blood, intermittent abdominal pain, and change of defecation pattern. Physical examination obtained tenderness in epigastric and hypochondriac right button regions. Colonoscopy was performed and revealed a colonic tumor suspicious of adenocarcinoma, suspected chronic colitis, and internal hemorrhoid. Pathological examination of the tumor tissue resulted in colonic adenocarcinoma (moderate differentiation). The management of this patient was extensive resection with anastomosis and was planned for adjuvant therapy.Keywords: adenocarcinoma colon cancer, colorectal cancer Abstrak: Kanker kolorektal (KKR) adalah keganasan yang berasal dari jaringan usus besar, yang menyerang usus besar dan rektum. Di Indonesia pada tahun 2018, kanker kolorektal menduduki posisi keempat dari keseluruhan diagnosis kanker dengan jumlah kasus 30.017 (8,6% dari seluruh kasus kanker di Indonesia). Kami melaporkan sebuah kasus kanker kolon (adenokarsinoma) pada seorang perempuan usia 34 tahun. Diagnosis ditegakkan berdasarkan anamnesis adanya buang air besar cair diserta darah, nyeri perut hilang timbul, perubahan pola defekasi. Pada pemeriksaan fisik didapatkan nyeri tekan epigastrium dan nyeri tekan bagian hipocondria kanan. Pada pemeriksaan penunjang dilakukan kolonoskopi dan didapatkan hasil tumor kolon curiga adenocarcinoma, kolitis kronik curiga kolitis ulseratif, dan hemoroid interna. Hasil patologi anatomi dari kolonoskopi yaitu kolitis kronis dengan displasia kolon ascenden dan hasil patologi anatomi jaringan tumor berupa adenokarsinoma kolon (diferensiasi sedang). Tatalaksana yang diberikan untuk pada pasien ini berupa tindakan reseksi luas dengan anastomosis dan direncanakan untuk terapi adjuvan.Kata kunci: adenokarsinoma kolon, kanker kolorektal
Gambaran Luaran Fungsional Tatalaksana Pasien Neglected Fraktur Sub-trokanter Menggunakan Reversed Distal Femur Limited Contact Dynamic Compression Plate di Rumah Sakit Bhayangkara Manado Rifai, Lilik; Rawung, Rangga B. V.; Wagiu, Angelica
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.32305

Abstract

Abstract:  Subtrochanter fracture is still a health problem due to the difficulty of treatment and the high incidence of non-union and malunion after treatment. Limited Contact-Dynamic Compression Plate (LC-DCP), an implant designed to be used in distal femur fractures, is reported as an alternative for the treatment of subtrochanter fractures. This study was aimed to obtain the functional outcome of neglected subtrochanter fractures using reversed distal femur LC-DCP at Bhayangkara Hospital Manado. This was a retrospectoive study using the medical record and by-phone evaluation of patients with neglected subtrochanter that were managed with the reversed distal femur LC-DCP in 2018-2019 at Bhayangkara Hospital, Manado. Patients were evaluated with the Harris Hip Score (HHS). The results showed that there were 6 patients who met the inclusion criteria and could be contacted by phone. The HHS results showed 6 patients of poor category (mean score of 25.6) at 3 months after surgery; 3 patients of poor category and 3 patients of fair category (mean score of 66.4) at 6 months after surgery; and 4 patients of good category and 2 patients of excellent category (mean score of 89.9) at 12 months after surgery. In conclusion, the functional outcomes of the patients were poor category at 3 months after surgery, poor to fair at 6 months after surgery, and good to excellent at 12 months after surgery.Keywords: functional outcome, neglected subtrochanter fracture, reversed distal femur limited contact – dynamic compression plate, Harris hip score Abstrak: Fraktur subtrokanter masih merupakan masalah kesehatan karena sulitnya penanganan dan tingginya angka kejadian non-union dan malunion setelah penanganan. Limited contact-dynamic compression plate (LC-DCP) yaitu implan yang dirancang untuk fraktur femur bagian distal dilaporkan dapat dijadikan alternatif untuk penanganan fraktur subtrokanter. Penelitian ini bertujuan untuk memperoleh gambaran luaran fungsional tatalaksana pasien neglected fraktur subtrokanter menggunakan reversed distal femur LC-DCP di RS Bhayangkara Manado. Jenis penelitian ialah retrospektif menggunakan data rekam medis dan evaluasi melalui telepon pada pasien dengan neglected fraktur subtrokanter yang ditatalaksana menggunakan reversed distal femur LC-DCP pada tahun 2018-2019 di RS Bhayangkara Manado. Pasien dievaluasi dengan Harris Hip Score (HHS). Hasil penelitian mendapatkan 6 pasien yang memenuhi kriteria inklusi. Hasil evaluasi HHS mendapatkan 6 pasien kategori poor (rerata skor 25,6) saat 3 bulan pasca operasi; 3 pasien kategori poor dan 3 pasien fair (rerata skor 66,4) saat 6 bulan pasca operasi dengan; dan 4 pasien kategori good dan 2 pasien dengan kategori excellent (rerata skor 89,9) saat 12 bulan pasca operasi. Simpulan penelitian ini ialah luaran fungsional pasien-pasien tersebut ialah HHS poor pada 3 bulan pasca operasi; HHS poor-fair 6 bulan pasca operasi; dan HHS good-excellent pada 12 bulan pasca operasi.        Kata kunci: luaran fungsional, neglected fraktur subtrokanter, reversed distal femur limited contact – dynamic compression plate, Harris hip score
Hubungan Performa Fisik dengan Prognosis Pasien Gagal Jantung Palilati, Nurfadhilah H.; Wantania, Frans E. N.; Rotty, Linda W. A.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v9i1.32116

Abstract

Abstract: Heart failure is a serious health problem and a leading cause of death, illness, and poor quality of life. Although the diagnosis and treatment of this disease has significant progress, the prognosis is still poor. The physical performance of patients with heart failure, for example, measured by a 6-minute walking test can be used to assess the functional capacity and assess the prognosis of the patient. This study was aimed to determine the relationship between physical performance and prognosis of patients with heart failure. This was a literature review study using literatures obtained from three databases, namely Pubmed, Science Direct, and Google Scholar. The keywords used in searching the literatures were "physical performance OR 6 minutes walking test AND heart failure prognosis" and their variations and translations. After the selection, 10 literatures were reviewed. The results showed that any decreases in distance of the 6-minute walking test and in walking speed would increase the risk of rehospitalization and mortality as reported in nine literatures. In conclusion, there was a significant relationship between physical performance and prognosis of patients with heart failure.Keywords: physical performance, prognosis of heart failure Abstrak: Gagal jantung merupakan masalah kesehatan yang serius dan penyebab utama kematian, kesakitan, serta kualitas hidup yang buruk. Meskipun diagnosis dan pengobatan penyakit ini telah mengalami banyak kemajuan namun prognosisnya masih buruk. Performa fisik pasien gagal jantung contohnya diukur dengan tes jalan 6 menit dapat digunakan untuk menilai kapasitas fungsional dan menilai prognosis dari pasien. Penelitian ini bertujuan untuk mengetahui hubungan performa fisik dengan prognosis pasien gagal jantung. Jenis penelitian ialah literature review menggunakan  literatur yang diperoleh dari tiga database yaitu Pubmed, Science Direct. dan Google Scholar. Kata kunci yang digunakan dalam pencarian artikel yaitu “physical performance OR 6 minutes walking test AND heart failure prognosis” dan berbagai variasi serta terjemahan. Hasil seleksi, mendapatkan 10 literature yang dikaji. Hasil penelitian mendapatkan bahwa setiap penurunan jarak yang ditempuh dalam uji jalan 6 menit dan penurunan waktu kecepatan berjalan dapat meningkatkan risiko rehospitalisasi dan kematian yang dilaporkan pada 9 literatur. Simpulan penelitian ini ialah terdapat hubungan bermakna antara performa fisik dengan prognosis pada pasien gagal jantung.Kata kunci: performa fisik, prognosis gagal jantung 

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