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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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Diagnosis dan Tatalaksana Terkini Penyakit Jantung Hipertensi Moningka, Brigita L. M.; Rampengan, Starry H.; Jim, Edmond L.
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.9.1.2021.31962

Abstract

Abstract: Hypertensive heart disease is a response to a prolonged increase in blood pressure that causes various changes in the myocardial structure. This study was aimed to obtain the recent diagnosis and management of hypertensive heart disease. This was a literature review study using 4 databases, as follows: Pubmed, Clinical Key, Science Direct, and Google Scholar. The keywords used were Hypertensive Heart Disease diagnosis of Hypertensive heart disease OR Screening of hypertensive heart disease OR imaging of hypertensive heart disease AND therapy OR treatment OR management of hypertensive heart disease. The results showed that there were 10 literatures that fulfilled the criteria, consisting of 6 randomized controlled trials and 4 article reviews. Among patients with hypertensive heart disease, left ventricle hypertrophy, left ventricular dilation, and diastolic and systolic disfunction were the most commonly found in ECG, echocardiography, chest X-ray, and CMR. Therapy of hypertensive heart disease was according to ACC/AHA guidelines with non-pharmacological therapy by adopting the DASH diet and pharmacological therapy of choice was ACE-I or ARB. In conclusion, in hypertensive heart disease, the most common structural changes were left ventricle hypertrophy, left ventricular dilation, diastolic and systolic disfunction found in ECG, echocardiography, chest X-ray, and CMR. Therapy of hypertensive heart disease was according to ACC/AHA guidelines.Keywords: hypertensive heart disease Abstrak: Penyakit jantung hipertensi merupakan respon terhadap peningkatan tekanan darah berkepanjangan yang menyebabkan berbagai perubahan pada struktur miokard. Penelitian ini bertujuan untuk mendapatkan diagnosis dan tatalaksana terkini mengenai penyakit jantung hipertensi. Jenis penelitian ialah literature review menggunakan 4 database, yaitu Pubmed, Clinical Key, Science Direct, dan Google Scholar. Kata kunci yang digunakan ialah Hypertensive Heart Disease diagnosis of Hypertensive heart disease OR Screening of hypertensive heart disease OR imaging of hypertensive heart disease AND therapy OR treatment OR management of hypertensive heart disease. Hasil penelitian mendapatkan 10 literatur yang memenuhi kriteria penelitian, terdiri dari 6 randomized controlled trial dan 4 review article. Pada penyakit jantung hipertensi kelainan struktural yang sering ditemukan ialah hipertrofi ventrikel kiri (konsentrik maupun eksentrik), dilatasi ventrikel kiri, disfungsi diastolik dan sistolik, yang dapat dideteksi lewat pemeriksaan EKG, ekokardiografi, rontgen toraks, dan CMR. Terapi penyakit jantung hipertensi menurut pedoman ACC/AHA yakni nonfarmakologi seperti pola diet DASH dan terapi farmakologi pilihan yaitu ACE-I atau ARB. Simpulan penelitian ini ialah pada penyakit jantung hipertensi terdapat hipertrofi ventrikel kiri, dilatasi ventirkel kiri, disfungsi diastolik maupun sistolik, dideteksi menggunakan EKG, ekokardiografi, rontgen toraks dan CMR. Terapi penyakit jantung hipertensi sesuai dengan pedoman penatalaksanaan ACC/AHA.Kata kunci: penyakit jantung hipertensi
Pengaruh Menstruasi terhadap Akne Vulgaris Hartono, Lusiane M.; Kapantow, Marlyn G.; Kairupan, Tara S.
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.9.2.2021.32734

Abstract

Abstract: Acne vulgaris is a common inflammatory condition of pilosebaceous follicles that affects 85-100% of the human population. Patients usually complain of the appearance of acne vulagaris on the predilection areas such as face and neck (99%), back (60%), chest, shoulders and upper arms (15%). One of the factors that influence or trigger acne vulgaris is hormonal factor. During menstruation there is an increase and hormonal changes that can trigger acne. This study was aimed to determine the effect of menstruation on acne vulgaris. This was a literature review study using three databases named PubMed, ClinicalKey and Google Scholar. Keywords used were “Menstruasi” DAN “Akne Vulgaris” (Indonesia), and “Menstruation” AND “Acne Vulgaris” (English). In this study, there were 12 literatures that match the inclusion and exclusion criteria. The result was dominated by samples stating that there was a connection between menstruation and the appearance of acne vulgaris. The effect of hormonal instability during menstruation was one of the causes of acne vulgaris in women, which showed the effect of menstruation on the emergence of acne vulgaris, mostly during pre-menstruation. In conclusion, menstruation influences the occurrence and the severity of acne vulgaris.Keywords: menstruation, acne vulgaris  Abstrak: Akne vulgaris (AV) atau jerawat merupakan suatu kondisi inflamasi umum pada folikel pilosebasea yang dialami oleh 85-100% populasi manusia. Penderita biasanya mengeluh kemunculan AV pada predileksi wajah dan leher (99%), punggung (60%), dada (15%) bahu, dan lengan bagian atas. Faktor yang memengaruhi atau mencetuskan akne vulgaris salah satunya ialah faktor hormonal. Saat menstruasi terjadi peningkatan dan perubahan hormon yang dapat memicu akne. Penelitian ini bertujuan untuk mengetahui pengaruh menstruasi terhadap akne vulgaris. Penelitian ini berbentuk literature review. Pencarian data menggunakan tiga database yaitu PubMed, ClinicalKey dan Google Scholar. Kata kunci yang digunakan “Menstruasi” DAN “Akne Vulgaris” (Bahasa Indonesia) serta “Menstuation” AND “Acne Vulgaris” (Bahasa Inggris). Pada penelitian ini didapatkan 12 literatur yang sesuai dengan kriteria inklusi dan ekslusi. Hasil penelitian didominasi oleh sampel yang menyatakan adanya pengaruh antara menstruasi dengan munculnya AV. Pengaruh ketidakstabilan hormon (estrogen dan progesteron) saat menstruasi merupakan salah satu penyebab munculnya akne vulgaris pada perempuan yang menunjukan adanya pengaruh dari menstruasi terhadap kemunculan AV, terlebih pada saat pre-menstruasi. Simpulan penelitian ini ialah menstruasi memengaruhi kemunculan dan keparahan akne vulgaris.Kata kunci: menstruasi, akne vulgaris
Penanganan Pasien Perdarahan Intraserebral di Ruang Rawat Intensif Ibrahim, Rian; Lalenoh, Diana Ch.; Laihad, Mordekhai L.
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.9.1.2021.31705

Abstract

Abstract: Intracerebral haemorrhage is a type of intracranial haemorrhage that occurs due to rupture of blood vessels in the brain tissue which is caused by trauma, hypertension, and nonhypertension. The intensive care unit is a separate section within the hospital that treats patients with life-threatening conditions, undergoing resuscitation, requiring intensive care and monitoring, and containing equipment and medicines to maintain normal body functions. All patients who are treated with intracerebral haemorrhage in intensive care unit should receive attention in terms of radiological evaluation, maintaining adequate respiration and circulation, controlling intracranial pressure, controlling blood pressure, preventing hyperglycemia, hypotension, and fever, controlling neurosurgical surgeries as well as preventing seizures. Surgery is performed to evacuate the accessible hematoma, depending on the location of the hematoma in intracerebral. In general, management of the patients aims to minimize nerve damage, prevent and treat systemic complications, speed recovery, and prevent or slow down recurrences and complications. Outcome of patient with intracerebral haemorrhage will be better if the patient is treated specifically in the intensive care unit.Keywords: management, intracerebral haemorrhage, intensive care unit Abstrak: Perdarahan intraserebral terjadi akibat robeknya pembuluh darah dalam jaringan otak yang dapat disebabkan oleh trauma, hipertensi, dan non hipertensi. Ruang rawat intensif merupakan bagian tersendiri di dalam rumah sakit yang merawat pasien dengan kondisi mengancam jiwa, yang sedang menjalani resusitasi, membutuhkan perawatan dan pemantauan secara intensif, serta yang didalamnya terdapat peralatan maupun obat-obatan yang berguna untuk menjaga fungsi tubuh seperti normal. Semua penderita yang dirawat dengan perdarahan intraserebral di ruang rawat intensif harus mendapat perhatian dalam hal evaluasi radiologik, menjaga adekuatnya respirasi dan sirkulasi, pengendalian tekanan intrakranial, pengendalian tekanan darah, pencegahan hiperglikemi, hipotensi dan demam, pengontrolan terhadap operasi pembedahan saraf dan pencegahan kejang. Pembedahan dilakukan untuk evakuasi hematom yang dapat dijangkau, tergantung lokasi hematoma di intraserebral. Penanganan yang dilakukan bertujuan untuk meminimalkan kerusakan saraf, mencegah dan mengobati komplikasi sistemik yang terjadi, mempercepat pemulihan dan mencegah atau memperlambat kekambuhan dan komplikasi. Outcome pasien perdarahan intraserebral akan lebih baik, jika pasien dirawat khusus di ruang rawat intensif.Kata kunci: penanganan, perdarahan intrasereberal, ruang rawat intensif
Standar Fasilitas Pelayanan Forensik dan Kamar Jenazah di Era Pandemi COVID-19 Kristanto, Erwin G; Firmansyah, Ade
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.v9i2.32704

Abstract

Abstract: Mortuary is one of the mandatory parts of a hospital. During the COVID-19 pandemic, the standard of morgue facilities must be a concern to prevent transmission from the corpse. The morgue needs to be designed so that it has the right placement, room design as well as equipment, so as to create a service flow that protects hospital staff and families/communities who come to mourn the corpse. Hospital management must prepare an appropriate standard of facilities, therefore, the funeral services can be carried out properly. This article aims to discuss good standards for forensic and mortuary services, and explores important options to provide mortuaries of type C and D hospitals or mobile hospitals.Keywords: mortuary, forensic service, facility standard  Abstrak: Kamar jenazah merupakan salah satu bagian wajib ada di sebuah rumah sakit. Pada masa pandemi COVID-19, standar fasilitas kamar jenazah harus menjadi perhatian agar tidak terjadi penularan dari jenazah. Kamar jenazah perlu didesain agar memiliki penempatan, serta desain ruangan dan alat yang tepat, agar dapat tercipta alur layanan yang melindungi staf rumah sakit dan keluarga/masyarakat yang datang untuk melayat jenazah. Standar fasilitas yang tepat harus disiapkan oleh manajemen rumah sakit agar pelayanan jenazah dapat terlaksana dengan baik. Artikel ini bertujuan untuk membahas tentang standar pelayanan forensik dan kamar jenazah yang baik, dan mengeksplorasi pilihan penyediaan kamar jenazah bagi rumah sakit tipe C dan D ataupun rumah sakit bergerak.Kata kunci: kamar jenazah, pelayanan forensik, standar fasilitas
Analisis Perilaku Aktivitas Fisik selama Pembatasan Sosial pada Dewasa Muda Rau, Elim P. E.; Kaseke, Martha M.; Kairupan, Bernabas H. R.
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.v9i2.34434

Abstract

Abstract: Social distancing due to the covid-19 outbreak requires everyone to stay at home to reduce the transmission of covid-19. However, staying at home tends to reduce physical activity which is important to improve our health. This study was aimed to analyze the behavior of physical activity during social distancing among young adults based on predisposing factor, enabling factor, and reinforcing factor. This was a qualitative study with a case study using the depth-interview method. There were six informants of youth members of GMIM Elim Kolongan, Tomohon Satu obtained by using a purposive sampling technique based on the principles of suitability and adequacy. The instrument was the researcher himself using interview guides, notebooks, voice recorders, and cameras. Data were obtained from in-depth interview and direct observation and were analysed by using content analysis. The results showed that based on predisposing factor, physical activities were well implemented in terms of knowledge, attitudes, beliefs, values, and perceptions to increase immunity. Based on enabling factors, physical activities were well implemented since the informants had facilities for physical activities. Moreover, based on reinforcing factors, physical activites were well implemented due to supporting people about the importance of physical activity. In conclusion, during social distancing the behavior of physical activity of young adults has been well implemented.Keywords: physical activity; social distancing Abstrak: Pembatasan sosial akibat adanya wabah covid-19 mewajibkan semua orang untuk tinggal di rumah untuk mengurangi penularan covid-19. Tinggal di rumah berpeluang untuk tidak melakukan aktivitas fisik yang dibutuhkan untuk meningkatkan kesehatan. Penelitian ini bertujuan untuk menganalisis perilaku aktivitas fisik selama pembatasan sosial pada dewasa muda berdasarkan peranan faktor predisposisi, faktor pendukung, dan faktor pendorong. Jenis penelitian ialah kualitatif dengan studi kasus menggunakan metode depth-interview. Informan berjumlah enam orang anggota pemuda GMIM Elim Kolongan Wilayah Tomohon Satu. diambil menggunakan teknik purposive sampling yang didasarkan pada prinsip kesesuaian (approppiateness) dan kecukupan (adequacy). Instrumen penelitian ialah peneliti itu sendiri dengan menggunakan pedoman wawancara, buku catatan, perekam suara, dan kamera. Pengumpulan data dilakukan dengan wawancara mendalam dan observasi langsung. Analisis data menggunakan content analysis. Hasil wawancara mendalam dan observasi dokumen menun-jukkan bahwa aktivitas fisik berdasarkan faktor predisposisi berjalan baik dilihat dari penge-tahuan, sikap, kepercayaan, serta nilai dan persepsi yang direspon untuk meningkatkan imunitas tubuh. Aktivitas fisik berdasarkan faktor pemungkin berjalan dengan baik, dilihat dari informan yang memiliki fasilitas untuk melakukan aktivitas fisik. Aktivitas fisik berdasarkan faktor pendorong berjalan baik karena terdapat dukungan dari orang sekitar tentang pentingnya aktivitas fisik. Simpulan penelitian ini ialah perilaku aktivitas fisik selama pembatasan sosial pada dewasa muda telah dilaksanakan dengan baik.Kata kunci: aktivitas fisik; pembatasan sosial
Klasifikasi Patah Tulang Dasar Kepala Ridhoni, Muhammad; Prasetyo, Eko; Lampus, Harsali L.
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.v9i2.34787

Abstract

Abstract: Skull base fracture is a linear fracture that commonly occurs in the temporal cranium. Traumatic brain injury (TBI) often found and handled in the emergency department is head trauma and traffic accident is the main cause of base skull fracture. Approximately 25%-66% of traffic accidents cause fracture of the skull base according to the fracture site. This study was aimed to obtain the classification of skull base fractures and the most common types of classification. This was a literature review study using three databases, namely Google Scholar, ClinicalKey, and PubMed. Based on the inclusion and exclusion criteria, there were 14 literatures reviewed consisting of 1 retrospective study, 2 clinical reviews, 1 literature review, 3 review articles, 2 prospective studies, 3 case reports, 1 descriptive study, and 1 case study. These articles reviewed the classification of skull base fracture. The classification of each section was arranged based on the mechanism and location of skull base fractures. In conclusion, the classification of skull base fracture is divided into anterior, middle and posterior fossa cranii fractures. Fractures of the middle cranii fossa is the most common case and of the posterior cranii fossa is the rarest case.Keywords: traumatic brain injury (TBI); skull base fractures; fracture classification  Abstrak: Patah tulang dasar kepala merupakan jenis fraktur linier yang umum terjadi pada bagian temporal kranium. Kasus trauma yang sering ditemukan dan ditangani di unit gawat darurat ialah trauma kepala. Kecelakaan lalu lintas (KLL) merupakan penyebab utama fraktur basis kranii. Sekitar 25-66% kasus KLL menyebabkan kejadian fraktur basis kranii sesuai lokasi fraktur. Penelitian ini bertujuan untuk mengetahui jenis klasifikasi patah tulang dasar kepala dan jenis klasifikasi yang paling sering terjadi. Jenis penelitian ialah suatu literature review. Literatur diperoleh dengan menggunakan beberapa database, seperti Google Scholar, ClinicalKey, dan PubMed. Berdasarkan kriteria inklusi dan eksklusi didapatkan 14 literatur terdiri atas 1 retrospective study, 2 clinical review, 1 literature review, 3 review article, 2 prospective study, 3 case report, 1 descriptive study, dan 1 case study. Hasil penelitian mendapatkan 14 literatur mengulas tentang klasifikasi patah tulang dasar kepala dan klasifikasi setiap bagian disusun berdasarkan mekanisme fraktur dan lokasi fraktur yang terjadi. Simpulan penelitian ini ialah secara garis besar klasifikasi patah tulang dasar kepala terbagi atas fraktur fossa kranii anterior, media, dan posterior. Kasus fraktur fossa kranii media merupakan kasus yang paling sering terjadi dan kasus fraktur fossa kranii posterior merupakan kasus yang paling jarang terjadi.Kata kunci: trauma kepala; patah tulang dasar kepala; klasifikasi fraktur
Behavioral and Emotional Changes in Early Childhood during the COVID-19 Pandemic Kairupan, Tiffani S.; Rokot, Natasya T.; Lestari, Hesti; Rampengan, Novie H.; Kairupan, Bernabas H. R.
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.v9i2.34014

Abstract

Abstrak: Pandemi Coronavirus Disease 2019 (COVID-19) mengakibatkan perubahan yang besar terhadap gaya hidup sehari-hari, termasuk pada anak usia dini. Penelitian ini bertujuan untuk mengetahui dampak lockdown (karantina wilayah) akibat pandemi Covid-19 pada perilaku dan emosi anak usia dini (usia 0-8 tahun), serta kegiatan rutin sehari-hari seperti aktivitas fisik, screen time, dan pola tidur. Penelitian ini merupakan suatu literature review dengan menggunakan database Google Scholar, ScienceDirect, dan PubMed. Terdapat 15 literatur yang dipublikasi dalam bahasa Ingggris atau Indonesiaselang April 2020 dan Maret 2021. Literatur dalam penelitian ini melaporkan tentang perubahan perilaku dan emosi pada anak usia dini. Peningkatan perilaku eksternalisasi dan internalisasi serta perubahan waktu aktivitas fisik dan pola tidur juga dilaporkan pada banyak studi tersebut. Selain itu, terdapat peningkatan screen time selama lockdown. Simpulan penelitian ini ialah lockdown dapat memengaruhi baik pola tidur dan aktivitas fisik maupun kemampuan mengontrol emosi pada anak usia dini.Kata kunci: COVID-19, lockdown, keterbatasan, anak usia dini, perubahan perilaku  Abstract: The coronavirus disease 2019 (COVID-19) pandemic demanded great changes in the everyday lifestyle of people, including children in their early years.This study was aimed toobtain the impact of COVID-19 confinement in young children’s (age 0-8 years) behavior and emotion, along with their daily routines such as physical activity, screen time, and sleep pattern. This was a literature review study using databases of Google Scholar, ScienceDirect, and PubMed. The results showed that there were 15 studies published in English or Indonesian between April 2020 and March 2021 included in this review. The studies reported behavioral and emotional changes in the early life of children. An increase in externalizing and internalizing behavior along with a shift in physical activity and sleep behavior was reported in many of the studies. There was an increase in screen time during lockdown. In conclusion, lockdown can affect not only children’s normal behavior in their sleep and physical activity but also their capability of controlling their emotion.Keywords: COVID-19, lockdown, confinement, early childhood, behavioral changes 
Sensitivitas dan Spesifisitas Pain, Incentive Spirometry, Cough Score sebagai Prediktor Acute Respiratory Distress Syndrome pada Pasien dengan Patah Tulang Iga akibat Trauma Tumpul Toraks Rustandi, Danny K.; Tangkilisan, Adrian; Sukanto, Wega; Marpaung, Elfrida L.
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.v9i2.34508

Abstract

Abstract: Thoracic trauma is one of the most common causes of death in trauma cases due to acute respiratory distress syndrome (ARDS). Definitive diagnosis and rapid identification are challenges in ARDS due to blunt thoracic trauma. The PIC score (pain, incentive spirometry, cough) is used to evaluate and monitor patients during treatment. This study was aimed to assess the specificity and sensitivity of the PIC Score in predicting the occurrence of ARDS in patients with rib fractures due to blunt thoracic trauma. This study used a prospective cohort design with a correlation analysis using data of dependency modeling via R-line copula, ROC curve analysis, and regression analysis. The results showed a total of 25 patients with an average age of 52 years, male sex was predominant (84% vs 16%). On admission, most patients had fractures of three ribs (40%). The PIC score tended to be lower in patients with higher number of rib fractures. The relationship between the PIC score and the PaO2/FiO2 ratio on day 7th of treatment showed a positive correlation, supporting the possibility of using the PIC score to predict ARDS. The sensitivity and specificity of the PIC score in predicting ARDS in blunt thoracic trauma were quite high (sensitivity 80.2% and specificity 80.9%) with an accuracy of 80.9%. In conclusion, the PIC score can predict accurately the occurrence of ARDS in patients with rib fractures due to blunt thoracic trauma.Keywords: blunt thoracic trauma; ARDS; PIC score  Abstrak: Trauma toraks merupakan salah satu penyebab kematian terbanyak dalam kasus trauma acute respiratory distress syndrome (ARDS). Diagnosis pasti dan identifikasi segera merupakan tantangan dalam penanganan ARDS akibat trauma tumpul toraks. PIC score (pain, incentive spirometry, cough) digunakan untuk mengevaluasi dan memonitor pasien selama perawatan. Penelitian ini bertujuan untuk menilai spesifisitas dan sensitivitas PIC score dalam memrediksi terjadinya ARDS pada pasien patah tulang iga akibat trauma tumpul toraks. Pada penelitian ini digunakan rancangan prospective cohort dengan penilaian korelasi analisis menggunakan data hasil pemodelan dependensi via R-line copula, analisis kurva ROC, dan analisis regresi. Hasil penelitian mendapatkan total 25 pasien dengan rerata usia 52 tahun, didominasi oleh laki-laki (84% vs 16%). Saat masuk kebanyakan pasien mengalami patah tulang pada tiga tulang iga (40%). PIC score cenderung lebih rendah pada pasien dengan jumlah patah tulang iga yang lebih banyak. Hubungan antara PIC score dan rasio PaO2/FiO2 pada hari ke-7 perawatan menunjukkan adanya korelasi positif; hal ini mendukung kemungkinan penggunaan PIC score untuk memrediksi ARDS. Sensitivitas dan spesifisitas PIC score dalam memrediksi ARDS pada trauma tumpul toraks cukup tinggi (sensitivitas 80,2% dan spesifisitas 80,9%) dengan akurasi 80,9%. Simpulan penelitian ini ialah PIC score dapat memrediksi terjadinya ARDS secara akurat pada pasien patah tulang iga akibat trauma tumpul toraks.Kata kunci: trauma tumpul toraks; ARDS; PIC score
Hipertiroid dalam Kehamilan Suparman, Erna
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.v9i2.34907

Abstract

Abstract: Hyperthyroidism in pregnancy could be a hyperthyroid condition that occurred before the pregnancy or acquired during the pregnancy. Hyperthyroidism in pregnancy is associated with adverse conditions for the fetus, mother, and also products of conception. The incidence for hyperthyroidism in pregnancy varies, ranging from 2-17 in 1000 births and accounts for 1-3% for all hyperthyroid cases. Clinical symptoms of hyperthyroidism in pregnancy also varies. Hyperthyroidism in pregnancy sometimes is hard to diagnose because it overlaps with normal pregnancy signs and symptoms. Clinical symptoms that might be found are tachycardia, thyromegaly, exophthalmos, and difficulty to gain weight with adequate food intake. Untreated hyperthyroidism could lead to preeclampsia and congestive heart failure for the mother, and miscarriage, placental abruption, and preterm birth. Therefore, maintaining euthyroidism on a patient is very important. Proper management of hyperthyroidism in pregnancy is very important for both mother and the fetus. Untreated hyperthyroidism could lead to pregnancy-related complications, such as premature birth, growth restriction, and even fetal death.Keywords: hyperthyroidism; pregnancy  Abstrak: Hipertiroid dalam kehamilan dapat merupakan kondisi hipertiroid yang telah ada sebelum terjadi kehamilan, atau kondisi yang didapatkan selama masa kehamilan.Hipertiroid dalam kehamilan dikaitkan dengan kondisi yang merugikan janin, ibu, dan hasil kandungan. Insidensi hipertiroid dalam kehamilan bervariasi, yaitu sekitar 2-17 dalam 1000 kelahiran serta merupakan 1%-3% dari jumlah kasus hipertiroid.Gejala klinis hipertiroid dalam kehamilan bervariasi. Pada kondisi hipertiroid dalam kehamilan, mungkin akan terdapat kesulitan dalam diagnosis, mengingat gejala-gejala dan tanda-tanda yang muncul saat terjadi kehamilan normal.2 Gejala klinis yang mungkin ditemukan ialah takikardia, tiromegali, eksoftalmos, dan tidak bertambahnya berat badan dengan asupan makanan yang memadai. Hipertiroid dalam kehamilan yang tidak ditangani dapat memicu preeklampsia dan gagal jantung kongestif pada ibu, serta meningkatkan risiko keguguran, solusio plasenta dan kelahiran prematur. Oleh karena itu mempertahankan eutiroidisme pada pasien sangatlah penting. Penatalaksanaan hipertiroid yang tepat selama kehamilan sangat penting bagi ibu dan janinnya. Hipertiroid yang tidak diobati dapat menyebabkan komplikasi terkait kehamilan seperti kelahiran prematur, hambatan pertumbuhan, dan bahkan kematian janin.Kata kunci: hipertiroid; kehamilan
Dampak Pandemi Coronavirus Disease-19 terhadap Mutu Pelayanan Kemoterapi di Ruang Delima RSUP Prof. Dr. R. D. Kandou Manado Nurani, Dian; Kaseke, Martha M.; Mongan, Arthur E.
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.v9i2.33490

Abstract

Abstract: Covid-19 pandemic has an impact on health services in hospitals, especially in chemotherapy rooms. This study was aimed to analyze the quality of health services dimensions, as follows: reliability, responsiveness, assurance, empathy, and tangible. This was a quantitative study using a cross sectional design. Subjects were adult cancer patients who received chemotherapy services before and during the Covid-19 pandemic in 2020 at Delima chemotherapy room of Prof. Dr. R. D Kandou Hospital Manado and met the inclusion criteria of 30 people, using a five-dimensional health service quality questionnaire. Data analysis was performed univariately and bivariately using the statistical Wilcoxon test p<α (0.05). The results showed that the reliability average before the pandemic was 89.60% and during the pandemic was 88.27% (p=0.008); the responsiveness average before the pandemic was 84.27% and during the pandemic was  83.47% (p=0.000); the assurance average before the pandemic was 95.47% and during the pandemic was 95.73% (p=0.157); the empathy average before the pandemic was 92.53% and during the pandemic was 92.27% (p=0.157); the tangible average before the pandemic was 78.53% and during the pandemic was 84.40% (p=0.000). In conclusion, there were differences in service qualities of reliability, responsiveness, and tangible dimensions but there were no differences in service qualities of assurance and empathy dimensions before and during the Covid-19 pandemic to patients at Delima room of Prof. Dr. R. D. Kandou Hospital Manado.Keywords: Covid-19; chemotherapy; quality of service Abstrak: Pandemi Covid-19 memberi dampak terhadap pelayanan kesehatan di rumah sakit, terutama di ruang kemoterapi. Penelitian ini bertujuan untuk menganalisis mutu pelayanan kesehatan dimensi reliability, responsiveness, assurance, empathy, dan tangible. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Subjek penelitian ialah pasien kanker dewasa yang mendapatkan pelayanan kemoterapi di ruang Delima RSUP Prof. Dr. R. D Kandou Manado sebelum dan pada masa pandemi Covid-19 tahun 2020 yang memenuhi kriteria inklusi sebanyak 30 orang. Penelitian ini menggunakan kusioner lima dimensi mutu pelayanan kesehatan. Analisis data dilakukan secara univariat dan bivariat dengan menggunakan uji statistik Wilcoxon p<α (0,05). Hasil penelitian mendapatkan dimensi mutu sebagai berikut: reliability, rerata sebelum pandemi (89,60%) dan masa pandemi (88,27%) (p=0,008); responsiveness, rerata sebelum pandemi (84,27%) dan masa pandemi (83,47%) (p=0,000); assurance, rerata sebelum pandemi (95,47%) dan masa pandemi (95,73%) (p=0,157); empathy, rerata sebelum pandemi (92,53%) dan masa pandemi (92,27%) (p=0,157); tangible, rerata sebelum pandemi (78,53%) dan masa pandemi (84,40%) (p=0,000). Simpulan penelitian ini ialah terdapat perbedaan mutu pelayanan dalam dimensi reliability, responsiveness, dan tangible namun tidak terdapat perbedaan mutu dalam dimensi assurance dan empathy antara sebelum dan pada masa pandemi Covid-19 terhadap pasien di ruang Delima RSUP Prof. Dr. R. D. Kandou Manado.Kata kunci: Covid-19; kemoterapi; mutu pelayanan kesehatan

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