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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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Pengetahuan, Sikap dan Perilaku Dokter Spesialis Obstetri Ginekologi dan Dokter Layanan Primer Perempuan terhadap Pencegahan Kanker Serviks di Sulawesi Utara Intan Safitri; Suzanna P. Mongan; John J. E. Wantania
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45266

Abstract

Abstract: Cervical cancer is a health problem in women worldwide with a high prevalence, however, the coverage rate for prevention and screening or early detection of cervical cancer in Sulawesi is still low. This study aimed to obtained the description of knowledge, attitude, and behavior of obstetrics and gynecology specialists and female primary care doctors towards cervical cancer prevention in North Sulawesi. This was a descriptive stufy with a cross-sectional design through a survey with a Google form questionnaire as the research instrument. The results showed that questionnaires from 33 obstetrics and gynecology specialists and 71 primary care doctors were obtained. The measurement of variables towards prevention of cervical cancer in obstetrics and gynecology specialists resulted in good knowledge (100%), supportive attitude (100%), and following behavior (78.8%). In the primary care doctors, the results were good knowledge (91.5%), supportive attitude (98.6%), and following behavior (63.4%) towards cervical cancer prevention. However, there were seven obstetrics and gynecology specialists who did not have following behavior because they were very busy or did not have time to do vaccination or screening; one (1.4%) primary care doctor whose attitude was not supportive due to environmental and perception differences; and 26 (36.6%) whose did not have following behavior because they were very busy or did not have time to do screening or vaccinations. In conclusion, the majority of respondents in this study have good knowledge, supportive attitudes, and following behaviors to cervical cancer prevention in North Sulawesi. Keywords: obstetrics gynecology specialists; primary care doctors; cervical cancer; prevention.   Abstrak: Kanker serviks merupakan salah satu masalah kesehatan pada perempuan di seluruh dunia dengan prevalensi yang masih tinggi, namun angka cakupan pencegahan dan skrining atau deteksi dini kanker serviks di Sulawesi tergolong rendah. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan, sikap dan perilaku dokter spesialis obstetri ginekologi (SpOG) dan dokter layanan primer (DLP) perempuan terhadap pencegahan kanker serviks di Sulawesi Utara. Jenis penelitian ialah deskriptif dengan desain potong lintang melalui survei dengan kuesioner google form sebagai instrumen penelitian. Hasil penelitian mendapatkan kuesioner dari 33 responden dokter SpOG dan 71 responden DLP. Hasil pengukuran variabel terhadap pencegahan kanker serviks pada dokter SpOG, ialah pengetahuan baik (100%), sikap mendukung (100%), dan perilaku mengikuti (78,8%). Pada DLP didapatkan pengetahuan baik (91,5%), sikap mendukung (98,6%), dan perilaku mengikuti (63,4%) terhadap pencegahan kanker serviks. Terdapat tujuh dokter SpOG berperilaku tidak mengikuti karena didominasi faktor kesibukan atau belum sempat melakukan vaksin atau skrining, satu (1,4%) DLP yang sikapnya tidak mendukung karena faktor perbedaan lingkungan dan persepsi serta 26 (36,6%) yang perilakunya tidak mengikuti karena didominasi faktor kesibukan atau belum sempat melakukan skrining atau vaksin. Simpulan penelitian ini ialah mayoritas responden penelitian ini memiliki pengetahuan baik, sikap mendukung. dan perilaku mengikuti pencegahan kanker serviks di Sulawesi Utara, Kata kunci: dokter spesialis obstetri ginekologi; dokter layanan primer; kanker serviks; pencegahan
Pengaruh Penggunaan Proton Pump Inhibitors (PPIs) Jangka Panjang terhadap Kanker Lambung Christi D. Mambo; Anglina S. R. Masengi; Fellery W. R. Onibala
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45428

Abstract

Abstract: Proton pump inhibitors (PPIs) are the most commonly used group of drugs for the treatment of acid-related disorders, such as gastro-esophageal reflux disease (GERD), peptic ulcer disease (PUD), and dyspepsia. In Indonesia overall, in recent years there has been a reported increase in the use of PPIs and the associated side effects of long-term use including gastric cancer. This study aimed to determine the effect the long-term use of PPIs on the occurrence of gastric cancer. This was a literature review study. Journal searching was conducted through two online journal databases, namely, PubMed and ScienceDirect. The results obtained 11 research articles about the duration of PPIs’s use as a cause of gastric cancer. Long-term use of PPIs was associated with an increased risk of gastric cancer, which was also associated with the duration of use. Gastric cancer due to long-term use of PPIs could also occur in patients after H. pylori eradication, patients with GERD, and patients after percutaneous coronary interventions (PCI). In conclusion, long-term use of PPIs can affect the occurrence of gastric cancer. Keywords: proton pump inhibitors; gastric cancer; long-term use of drug    Abstrak: Proton pump inhibitors (PPIs) merupakan golongan obat yang paling umum digunakan untuk pengobatan terkait gangguan yang berhubungan dengan asam lambung seperti gastro-esophageal reflux disease (GERD), peptic ulcer disease (PUD), dan dyspepsia. Di Indonesia secara keseluruhan beberapa tahun terakhir dilaporkan terjadi peningkatan penggunaan PPIs yang memunculkan efek samping terkait penggunaan jangka panjang termasuk kanker lambung. Penelitian ini bertujuan untuk mengetahui pengaruh jangka waktu penggunaan PPIs pada kejadian kanker lambung. Jenis penelitian ialah suatu literature review dengan pencarian jurnal melalui dua database journal online, yaitu PubMed dan ScienceDirect. Hasil penelitian mendapatkan 11 artikel penelitian yang memiliki informasi terkait jangka waktu penggunaan PPIs sebagai penyebab kanker lambung. Penggunaan PPIs jangka panjang berhubungan dengan peningkatan risiko kanker lambung, yang juga berhubungan dengan durasi penggunaan. Kanker lambung akibat penggunaan PPIs jangka panjang juga dapat terjadi pada pasien setelah eradikasi H. pylori, pasien dengan GERD, dan pasien setelah percutaneous coronary interventions (PCI). Simpulan penelitian ini ialah terdapat pengaruh penggunaan PPIs jangka panjang terhadap terjadinya kanker lambung. Kata kunci: proton pump inhibitors; kanker lambung; penggunaan obat jangka panjang
Analisis Mutu Pelayanan Asuhan Gizi di Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado Nora Poluan; Nova H. Kapantow; Aaltje E. Manampiring
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.46147

Abstract

Abstract: The success of standardized nutrition care process (PAGT) is determined by the effectiveness of nutrition interventions through effective education and counseling, providing appropriate dietetics for patients in hospitals, and collaboration with other professions greatly influences the success of PAGT. This study aimed to analyze the quality of nutrition care services in the inpatient care of Prof. Dr. R. D. Kandou Hospital Manado. This was a qualitative descriptive study using in-depth interview techniques and document review with seven informants. The data analysis process used an interactive analysis model of Miles and Huberman. The results showed that the services at Prof. Dr. R. D. Kandou Hospital Manado had already a policy referring to rules, Permenkes, and highest policies. Standardized Nutrition Care Process Guidelines by the Ministry of Health of the Republic of Indonesia 2014, and Hospital Nutrition Services (PGRS) of the Republic of Indonesia Ministry of Health 2013 were references for nutrition care services which must be updated continuously. Nutrition services to patients was good but not yet in accordance with the expected dietary requirements. Nutrition care services related to nutrition education to patients were good and were in line with patient expectations. The quality of nutritionists at Prof. Dr. R.D. Kandou Hospital Manado was good in knowledge and skills. In conclusion, the quality of service is an important thing that has to be up-dated continuously. Most of the nutritionists as nutrition care providers, are working in discipline and on time in service. However, in carrying out the standardized nutrition care process, errors were still found in filling out the integrated patient progress notes. Keywords: quality of service at the hospital; nutrition care; standardized nutrition care process   Abstrak: Keberhasilan proses asuhan gizi terstandar (PAGT) ditentukan oleh efektivitas intervensi gizi melalui edukasi dan konseling yang efektif, pemberian dietetik sesuai untuk pasien di rumah sakit, dan kolaborasi dengan profesi lain. Penelitian ini bertujuan untuk menganalisis mutu pelayanan asuhan gizi di rawat inap  RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif kualitatif dengan menggunakan tehnik wawancara mendalam dan telaah dokumen dengan jumlah tujuh informan. Proses analisis data dalam penelitian ini menggunakan model analisis interaktif Miles dan Huberman. Hasil penelitian mendapatkan bahwa pelayanan di RSUP Prof. Dr. R. D. Kandou Manado telah memiliki kebijakan yang mengacu pada aturan–aturan, permenkes, dan kebijakan-kebijakan tertinggi. Pelayanan Pedoman Proses Asuhan Gizi terstandar oleh Kemenkes RI 2014 dan Pelayanan Gizi Rumah Sakit (PGRS) Kemenkes RI 2013 menjadi acuan untuk Pelayanan Asuhan Gizi yang harus setiap waktu dikembangkan. Pelayanan gizi kepada pasien sudah baik tetapi belum sesuai dengan syarat diet yang diharapkan. Pelayanan asuhan gizi terkait edukasi gizi kepada pasien sudah baik dan sudah sesuai dengan harapan pasien. Kualitas ahli gizi di RSUP Prof. Dr. R. D. Kandou Manado sudah baik dalam pengetahuan dan keterampilan. Simpulan penelitian ini ialah mutu pelayanan asuhan gizi ialah hal penting yang harus terus diperbaharui. Sebagian besar ahli gizi sebagai pemberi asuhan gizi sudah baik dalam bekerja baik dalam disiplin, dan tepat waktu dalam pelayanan. Dalam pelakasanaan proses asuhan gizi terstandar masih ditemukan kesalahan  dalam pengisian catatan perkembangan pasien terintegrasi Kata kunci: mutu pelayanan gizi di rumah sakit; asuhan gizi; proses asuhan gizi terstandar
Karakteristik Pasien Operasi Rekonstruksi Hipospadia yang Menjalani Terapi Oksigen Hiperbarik di RSUP Prof. Dr. R. D. Kandou dan RS Siloam Manado Irawan Sukarno; Ari Astram; Mendy J. Hatibie; Fredrik G. Langi
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.46457

Abstract

Abstract: Hypospadias is a congenital abnormality of urethral meatus in male. Hypospadias can be corrected by urethroplasty. Hyperbaric oxygen therapy (HBOT) can accelerate wound healing after surgery by increasing oxygenation, angiogenesis, and collagen synthesis. This study aimed to describe the characteristics of hypospadias reconstructive surgery patients who underwent hyperbaric oxygen therapy. This was a quantitative and descriptive study. Data were analyzed with SPSS ver 22.0. The results showed that from 20 patients who underwent reconstructive hypospadias surgery, 10 patients received HBOT as adjuvant therapy and 10 patients received conservative therapy post-surgery. The mean age of patients who underwent HBOT was 17.4±7.1 years old. The most frequent type of hypospadias found was subcoronal (35%), followed by the other types: glandular (20%), distal penile (10%), midshaft penile (10%), proximal penile (10%), penoscrotal (10%), and the least was scrotal (5%). All of the patients underwent urethroplasty with Sidik-Chaula and Manset Flap method. In conclusion, the mean age of patients who underwent HBOT was 17.4±7.1 years old, and the most frequent type of hypospadias found was subcoronal. Keywords: hypospadias; hyperbaric oxygen therapy; characteristics of hypospadias patients   Abstrak: Hipospadia merupakan kelainan kongenital meatus uretra pada laki-laki. Hipospadia dapat dikoreksi dengan uretroplasti. Terapi oksigen hiperbarik (TOHB) dapat mempercepat penyembuhan luka pascaoperasi melalui peningkatan oksigenasi, angiogenesis, dan sintesis kolagen. Penelitian ini bertujuan untuk mengetahui karakteristik pasien rekonstruksi hipospadia yang menjalani TOHB. Jenis penelitian ialah deskriptif kuantitatif dengan alat analisis SPSS ver. 22.0. Hasil penelitian mendapatkan 20 pasien yang dilakukan operasi rekonstruksi hipospadia; 10 pasien menjalani TOHB dan 10 pasien menjalani terapi konservatif pasca pembedahan. Rerata usia pasien yang menjalani TOHB yaitu 17,4±7,1 tahun. Tipe hipospadia yang paling sering ialah subcoronal (35%), diikuti tipe glandular (20%), dan sisanya ialah tipe distal penile (10%), midshaft penile (10%), proximal penile (10%), penoscrotal (10%), dan yang paling sedikit ialah tipe scrotal (5%). Semua pasien menjalani operasi dengan metode Sidik-Chaula dan Manset Flap. Simpulan penelitian ini ialah rerata usia pasien yang menjalani TOHB ialah 17,4±7,1 tahun dengan tipe hipospadia yang paling sering ialah subcoronal. Kata kunci: hipospadia; terapi oksigen hiperbarik; karakteristik pasien hipospadia
Faktor-faktor yang Memengaruhi Luaran Penanganan Gastroschisis Michael Raktion; Harsali F. Lampus; Candy Candy; Fredrik G. Langi
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.46617

Abstract

Abstract: Gastroschisis is a congenital disorder in which the internal abdominal viscera protrudes through a defect in the anterior abdominal wall. Survival rates exceed 96% in high-income countries, but in low-income countries, mortality rates can reach >90%. This study aimed to determine the factors that influenced the outcome of gastroschisis treatment. This was an analytical study using SPSS ver. 22.0. The results obtained 18 infants with gastroschisis who met the criteria. All of the babies later developed sepsis and died. Characteristics of the sample were as follows: most gastroschisis diagnosis was confirmed after birth (83%), most cases recieved antenatal care from the midwife only (83%), delivery at the primary health facility (78%), baby was referred to the hospital without nasogastric tube and plastic wrap (50%)  and most babies had low risk (GPS≤1) (61%). Influencing significant factors found were the medical procedures performed before reffering to the length of hospital stay (p=0.007), length of parenteral nutrition (p=0.009), and duration to enteral feeding (p=0.005). In conlusion, medical procedures performed before reffering influence the outcome of gastroschisis treatment. Keywords: gastroschisis; factors inflluencing the outcome of gastroschisis; Gastroschisis Prognostic Score   Abstrak: Gastroschisis adalah kelainan kongenital berupa protrusi visera internal abdominal melalui defek dinding abdomen anterior. Angka survival melebihi 96% di negara dengan pendapatan tinggi, namun di negara berpendapatan rendah, angka mortalitas dapat mencapai >90%. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi luaran penanganan gastroschisis. Penelitian ini menggunakan metode analitik dengan alat analisis SPSS ver. 22.0. Hasil penelitian mendapatkan 18 bayi dengan gastroschisis yang memenuhi kriteria. Setelah dilakukan operasi, seluruh bayi dirawat kemudian mengalami sepsis dan meninggal. Karakteristik sampel ialah diagnosis gastroschisis baru ditegakkan saat lahir (83%), ibu bayi memeriksakan kehamilannya pada bidan (83%), ibu melahirkan di faskes primer (78%), bayi dirujuk ke rumah sakit tanpa pemasangan NGT dan penutupan usus (50%), dan sebagian besar beresiko rendah (skor GPS ≤1) (61%). Faktor yang bermakna memengaruhi luaran penanganan gastroschisis ialah tindakan medis yang belum dilakukan sebelum merujuk terhadap lama rawatan rumah sakit (p=0,007), lama nutrisi parenteral (p=0,009), dan durasi hingga enteral feeding (p=0,005). Sinpulan penelitian ini ialah tindakan medis yang belum dilakukan sebelum merujuk merupakan faktor yang berpengaruh pada luaran penanganan bayi dengan gastroschisis. Kata kunci: gastroschisis; faktor yang berperan terhadap luaran penanganan; Gastroschisis Prognostic Score
Giant Cell Tumor pada Ulna Distal: Laporan Kasus Djarot Noersasongko; Rangga Rawung; Andriessanto C. Lengkong; Haryanto Sunaryo; Maurits R. Saleh
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.46632

Abstract

Abstract: Giant cell tumor (GCT) in the distal end of ulna is extremely uncommon. We report a woman aged 53 tahun with a lump in the left wrist for three years that grew gradually and slowly. Physical examination of the left forearm revealed a tumor sized 8x9x10 cm, distinct border, hard in palpable without pain. X-ray of the left forearm showed a mass with distinct margin, regular edge, expansively invaded the epiphysis associated with thinning of cortex of distal ulna indicating a GCT in distal ulna. The aim of treatment in this case was to prevent recurrency and to keep the function of left forearm and hand. Patient was treated with tumor excision and fibular bone graft. Excision was performed after ulnar osteotomy until its clear margin. Fibular osteotomy 10 cm length was carried out followed by fibular bone graft to replace the excised ulna. Histopathological examination confirmed the diagnosis of a GCT. Patient was admitted for five days. Follow up after three months did not show any recurrency. Range of motion was within normal limit, and patient could do her daily activities. In conclusion, CGT in distal ulna treated with tumor excision until its clear margin followed by fibular bone graft showed satisfying result. Kata kunci: giant cell tumor; fibular bone graft; tumor excision; primary bone tumor   Abstrak: Giant cell tumor (GCT) pada bagian distal ulna merupakan kasus langka. Kami melaporkan seorang perempuan berusia 53 tahun dengan benjolan di tangan kiri sejak tiga tahun yang membesar perlahan. Pada pemeriksaan fisik regio antebraki sinistra, didapatkan benjolan ukuran 8x9x10 cm, berbatas tegas, konsistensi keras, terfiksasi, tanpa disertai nyeri tekan. Rontgen manus sinistra memperlihatkan massa berbatas tegas, tepi reguler, mengenai epifisis ekspansif dengan penipisan korteks distal os ulna sinistra, kesan GCT distal os ulna sinistra. Tujuan terapi pada GCT untuk mencegah kekambuhan lokal dan menjaga fungsi anggota tubuh. Pasien diterapi dengan eksisi tumor dan fibular bone graft. Eksisi tumor dilakukan setelah osteotomi ulna hingga batas tulang yang sehat selanjutnya dilakukan osteotomi fibula sepanjang 10 cm dan dilakukan fibular bone graft menggantikan bagian ulna yang diangkat. Konfirmasi histopatologik sampel tumor menunjukkan interpretasi kesan giant cell tumor grade III.  Pasien dirawat selama lima hari. Hasil follow-up selama tiga bulan tidak menunjukan tanda-tanda rekurensi. Range of motion pasien saat kontrol dalam batas normal, dan pasien dapat mengerjakan aktivitas sehari-hari. Simpulan kasus ini ialah GCT pada tulang ulna dengan pilihan terapi eksisi tumor hingga batas tulang yang sehat, dilanjutkan dengan fibular bone graft berhasil memuaskan. Kata kunci: giant cell tumor; fibular bone graft; eksisi tumor; tumor primer tulang
Hubungan Neutrophil Lymphocyte Ratio, Platelet Lymphocyte Ratio, dan Ferritin dengan Pemberian Remdesivir pada Pasien Covid-19 dengan Peningkatan Transaminase Linda W. A. Rotty; Decky Andrea; Fujiyanto Fujiyanto; Harlinda Haroen; Pearla Lasut; Cecilia Hendratta; Agung Nugroho; Efata Polii
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.46845

Abstract

Abstract: Remdesivir is used as the treatment for coronavirus disease 2019 (Covid-19). Moreover, its pharmacological effect has an impact on the improvement of inflammatory biomarkers. Neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), and ferritin are simple inflammation parameters that are widely available and can describe inflammation in Covid-19 patients. This cross-sectional study involved 52 Covid-19 patients at Prof. Dr. R. D. Kandou Hospital from March 2020 to March 2021. Blood tests were performed on the day before remdesivir administration and one week after administration. The results obtained a significant correlation between NLR and PLR with a value of r=0.641-0.670 (p<0.001) before and after administration of remdesivir. In all patients there was a decrease in ferritin with remdesivir administration (∆= -111.41). In conclusion, there are decreases in NLR, PLR and ferritin values ​​in Covid-19 patients with increased transaminase after being treated with remdesivir, especially living patients. Keywords: remdesivir; coronavirus disease 2019 (Covid-19); platelet lymphocyte ratio; neutrophil lymphocyte ratio; ferritin   Abstrak: Remdesivir termasuk dalam tatalaksana coronavirus disease 2019 (Covid-19). Efek farmakologik remdesivir juga berdampak terhadap perbaikan biomarker inflamasi. Neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR), dan feritin merupakan parameter inflamasi sederhana yang banyak tersedia dan dapat menggambarkan inflamasi pada pasien Covid-19. Studi potong lintang ini menelaah 52 pasien Covid-19 di RSUP Prof. Dr. R. D. Kandou sejak Maret 2020 hingga Maret 2021. Pemeriksaan darah diambil pada hari sebelum pemberian remdesivir dan satu minggu setelah pemberian. Hasil penelitian mendapatkan korelasi bermakna antara NLR dan PLR dengan nilai r=0,641-0,670 (p<0,001) baik sebelum dan setelah pemberian remdesivir. Pada keseluruhan pasien terdapat penurunan ferritin dengan pemberian remdesivir (∆=-111,41). Simpulan penelitian ini ialah terdapat penurunan nilai NLR, PLR dan ferritin pada pasien Covid-19 setelah diberikan remdesivir terutama pasien hidup. Kata kunci: remdesivir; coronavirus disease 2019 (Covid-19); platelet lymphocyte ratio; neutrophil lymphocyte ratio; feritin
Nd:YAG Laser Hialoidotomi sebagai Tatalaksana Perdarahan Premakular Subhialoid pada Pasien Leukemia Anak: Laporan Kasus Ade J. Nursalim; Vera Sumual; Andrew Citra; Elbetty Simanjuntak; Christian Komaling; Stevanus Loho
e-CliniC Vol. 11 No. 3 (2023): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v11i3.51336

Abstract

Abstract: Premacular subhyaloid is a condition that results in a severe decrease in visual acuity, especially if it occurs in the area around the macula. This subhyaloid premacular hemorrages often occurs in acute lymphoblastic leukemia. Nd:YAG laser hyaloidotomy is a non-invasive therapy option to treat this condition. We reported a case of a 15-year-old boy who came with a complaint of blurred right eye. The patient had a history of acute lymphoblastic leukemia. Visual acuity was 1/60 in the right eye and 6/9 in the left eye. A dome-shaped subhyaloid hemorrhage was found in the right eye and then was treated with Nd:YAG laser hyaloidotomy. The results of therapy were seen in improvement of vision after one week of therapy. In conclusion, Nd:YAG laser hyaloidotomy is a non-invasive procedure that is relatively safe, and improvement of vision can be observed in a short time, in this case, within one week. Keywords: Nd:YAG laser; hyaloidotomy; subhyaloid premacular hemorrages; acute lymphoblastic leukemia   Abstrak: Perdarahan premakular subhialoid merupakan kondisi yang mengakibatkan turunnya tajam penglihatan yang hebat terutama jika terjadi di daerah sekitar makula. Perdarahan premakular subhialoid ini sering terjadi pada leukemia limfoblastik akut. Nd:YAG laser hialoidotomi merupakan salah satu terapi non invasif untuk mengatasi keadaan perdarahan ini. Kami melaporkan kasus seorang anak laki-laki berusia 15 tahun dengan keluhan mata kanan kabur mendadak. Pasien dengan riwayat leukemia limfoblastik akut. Tajam penglihatan 1/60 pada mata kanan dan 6/9 pada mata kiri. Ditemukan perdarahan subhialoid berbentuk kubah pada mata kanan dan dilakukan terapi Nd:YAG laser hialoidotomi. Hasil terapi memperlihatkan perbaikan tajam penglihatan setelah satu minggu terapi. Simpulan kasus ini ialah terapi Nd:YAG laser hialoidotomi merupakan prosedur non- invasif yang relatif aman dan perbaikan tajam penglihatan dapat terlihat dalam waktu singkat yaitu dalam kurun waktu satu minggu Kata kunci: Nd:YAG laser hialoidotomi; perdarahan premakular subhialoid; leukemia limfoblastik akut
Analisis Kasus Kecelakaan Lalu Lintas di RSUP Prof. Dr. R. D. Kandou Manado Tahun 2021 Amelia N. Sambominanga; Djemi Tomuka; Erwin G. Kristanto
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45230

Abstract

Abstract: To date, traffic accidents rank number three as the cause of death in Indonesia. Traffic accident cases result in material loss, disability, and even death. This study aimed to analyze traffic accident cases at Prof. Dr. R. D. Kandou Hospital Manado in 2021. This was a descriptive and retrospective study using patients’ medical records. The results obtainedd 85 cases of traffic accidents. Most accident cases occurred in July 2021 with a total of 13 cases (15%). The accident victims were predominated by men, namely 66 cases (77.6%). The most frequent age range was 12-25 years with a total of 37 cases (43.5%). The most common wound pattern was abrasion with a total of 48 cases (37%). Most of the injuries occurred on the head with a total of 89 cases (68%). In conclusion, the highest percentage of traffic accident cases in 2021 was in July 2021. The majority of cases were men, age range 12-25 years, with abrasion as the wound pattern located on the head.   Keywords: traffic accidents; accident victims; sexes, ages; wound pattern; wound location   Abstrak: Kecelakaan lalu lintas menempati urutan nomor tiga penyebab kematian di Indonesia. Kasus kecelakaan lalu lintas mengakibatkan kerugian material, kecacatan, bahkan kematian. Penelitian ini bertujuan untuk menganalisis kasus kecelakaan lalu lintas di RSUP Prof. Dr. R. D. Kandou Manado tahun 2021. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data rekam medik pasien. Hasil penelitian mendapatkan 85 kasus kecelakaan lalu lintas. Kasus kecelakaan terbanyak terjadi pada bulan Juli 2021 dengan total 13 kasus (15%). Jenis kelamin didominasi oleh laki-laki yaitu sebanyak 66 kasus (77,6%). Rentang usia terbanyak yaitu 12-25 tahun dengan total 37 kasus (43,5%). Pola luka terbanyak yaitu luka lecet dengan total 48 kasus (37%) dan lokasi perlukaan terbanyak terjadi di bagian kepala dengan total 89 kasus (68%). Simpulan penelitian ini ialah kasus kecelakaan lalu lintas pada tahun 2021 terbanyak terjadi pada bulan Juli, didominasi oleh jenis kelamin laki-laki, rentang usia 12-25 tahun, pola luka lecet dengan lokasi perlukaan di bagian kepala. Kata kunci: kecelakaan lalu lintas; korban kecelakaan; jenis kelamin; usia, pola luka; lokasi perlukaan
Pengaruh Masker terhadap Akne Vulgaris (Maskne) Khoirunnisa A. Mokoagow; Marlyn. G. Kapantow; Herry E. J. Pandaleke
e-CliniC Vol. 12 No. 1 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i1.45242

Abstract

Abstract: During the Covid-19 pandemic, Indonesian people were required to wear masks during their daily activities that caused increased duration of wearing masks associated with increased incidence of acne vulgaris. This study aimed to determine the relationship between the use of masks and acne vulgaris (maskne). This was a literature review study. Sources of information were obtained from journals and research articles in Pubmed, Google Scholar, and the British Journal of Dermatology which discussed the relationship between mask use and maskne. The results obtained 10 literatures with a cross sectional design that fulfilled the inclusion and exclusion criteria. Review of the 10 literatures resulted in a relationship between the use of masks and the occurrence of mask-induced acne (maskne). The distribution of respondents based on the incidence of maskne was most common in women and the type of mask most often used was the surgical mask. The majority of respondents replaced their masks twice daily with duration of use for 4-8 hours. In conclusion, there is a relationship between the use of masks and the occurrence of maskne. Keywords: mask; acne vulgaris; maskne   Abstrak: Selama pandemi Covid-19 masyarakat Indonesia diwajibkan menggunakan masker selama melakukan kegiatan sehari-hari sehingga durasi penggunaan masker meningkat dan meningkatnya kejadian akne vulgaris. Penelitian ini bertujuan untuk mengetahui hubungan penggunaan masker dengan akne vulgaris melalui suatu literature review. Sumber informasi didapatkan melalui jurnal maupun artikel penelitian pada Pubmed, Google Scholar, dan British Journal of Dermatology yang membahas mengenai hubungan penggunaan masker dengan mask-induced acne (maskne). Hasil penelitian mendapatkan 10 literatur yang sesuai kriteria inklusi dan eksklusi dengan desain potong lintang. Kajian 10 literatur ini mendapatkan adanya hubungan penggunaan masker dengan kejadian maskne. Sebaran jumlah responden berdasarkan kejadian maskne paling banyak pada perempuan dan jenis masker yang paling sering digunakan ialah masker bedah. Didapatkan paling banyak mengganti masker dua kali sehari dengan penggunaan selama 4-8 jam. Simpulan penelitian ini ialah terdapat hubungan penggunaan masker dengan kejadian maskne. Kata kunci: penggunaan masker; akne vulgaris; maskne

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