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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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Effect of Propolis Trigona Sp on Expression of TNF-α in Superficial Dermal Burns through In Vivo Test Siwabessy, Melfrits R.; Manginstar, Christian; Merung, Marselus A.; Langi, Fredrik G. L.
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.51816

Abstract

Abstract: Burn is caused by exposure to high-temperature substances such as hot, solid liquids or gases such as smoke, steam, engines, stoves, radiators and objects that emit heat energy. In severe burns, there is an excessive neutrophil inflammatory response that triggers SIRS, where there is an excessive increase in pro-inflammatory mediators such as TNFα and IL-6. Propolis contains a number of compounds, such as flavonoids, CAPE, phenol compounds, arginine, ferulic acid and albumin which play a good role in healing burns. This study aimed to find out the effect of propolis on TNF-α expression through in-vivo testing in cases of superficial dermal burns. This was an experimental and laboratory study to assess the bioactive compounds contained in Trigona Sp propolis. Descriptive analysis was performed on the bioactive composition of Trigona Sp propolis and experimental effectiveness of propolis on TNF-α expression in superficial dermal burns. The study was conducted at the laboratory of experimental animals "Alike Quality System", Manado. The results showed that the group treated with propolis had smaller burn areas compared to the groups treated with 1% silver sulfadiazine or with 0.9% NaCl. Granulation had been formed throughout all wounds, however, macroscopically, burns with propolis treatment showed reddish wound appearance while treated wounds with 1% silver sulfadiazine and 0.9% NaCl were darker in color and had thicker crust formation. The one-way ANOVA test showed no significant difference between propolis and 1% silver sulfadiazine on TNF-α expression in dermal superficial burns (p=0.666) meanwhile the effect of propolis compared with NaCl 0.9% on TNF-α expression in dermal superficial burns, showed significant differences (p=0.006 and p=0.040). In conclusion, administration of propolis can reduce the expression of TNF-α in superficial dermal burn. Keywords: propolis; Trigona sp; burns; in vivo study
Pengaruh Radioterapi Short-course Neoadjuvant terhadap Kadar Carcino-embryonic Antigen pada Adenokarsinoma Rekti Jeffri, Jeffri; Tjandra, Ferdinand; Mambu, Toar D. B.; Napitupulu, Enrico
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.51820

Abstract

Abstract: Neoadjuvant therapy is starting to be used as an alternative treatment in type A medical centers, however, there is still no specific consensus in determining the role and type of neoadjuvant therapy in adenocarcinoma recti patients. As a result, the use of neoadjuvant therapy is still not widely used. This study aimed to compare the outcome in the form of carcinoembryonic antigen (CEA) in patients who continued surgery with short-course neoadjuvant radiotherapy with those who did not. This was a descriptive and retrospective study. Samples were recti cancer patients stage II – IV at Prof. Dr. R. D. Kandou Hospital Manado in the medical record of 2017-2022. Patients were divided into two groups, those who received short-course neoadjuvant radiotherapy and the control group with similar characteristics. The results showed that there was a difference in the decrease of CEA in the two groups. The mean decrease of CEA in the short-course neoadjuvant group was 16.54 5 µg/L which was higher compared to the control group 5.64 5 µg/L. In conclusion, neoadjuvant short-course radiotherapy can decrease the CEA level in adenocarcinoma recti patients. Keywords: adenocarcinoma recti; short-course neoadjuvant radiotherapy; carcinoembryonic antigen    Abstrak: Terapi neoadjuvan mulai digunakan sebagai alternatif penanganan pada pusat kesehatan tipe A, namun belum ada konsensus spesifik dalam penentuan peran dan tipe terapi neoadjuvan pada pasien adenokarsinoma rekti sehingga terapi ini belum dapat digunakan secara bebas. Penelitian ini bertujuan untuk membandingkan luaran berupa kadar carcinoembryonic antigen (CEA) pada pasien yang melanjutkan tindakan operasi dan radioterapi short-course neoadjuvant maupun yang tidak. Jenis penelitian ialah deskriptif retrospektif menggunakan pasien kanker rekti stadium II hingga IV di RSUP Prof. Dr. R. D. Kandou Manado yang terdata di rekam medis periode tahun 2017-2022. Pasien dibagi atas dua kelompok yaitu yang menerima radioterapi short-course neoadjuvant dan kelompok kontrol dengan karakteristik serupa. Hasil penelitian memperlihatkan bahwa terdapat perbedaan penurunan kadar CEA yang bermakna pada pasien adenokarsinoma rekti yang dilakukan radioterapi neoadjuvant short-course dibandingkan dengan kontrol. Rerata penurunan nilai CEA pada kelompok yang menjalani radioterapi short-course neoadjuvant sebanyak 16,54 5 µg/L, lebih tinggi dibandingkan pada kelompok kontrol sebanyak 5,64 5 µg/L. Simpulan penelitian ini ialah pemberian radioterapi neoadjuvant short-course dapat menurunkan kadar CEA pada pasien adenokarsinoma rekti. Kata kunci: adenokarsinoma rekti, terapi short-course neoadjuvant; carcinoembryonic antigen
Fraktur Komunitif Angulus – Korpus Mandibula dengan Pemasangan Titanium Miniplate dan Srew: Laporan Kasus Sitompul, Riston R.; Lumintang, Nico; Tandililing, Sherly
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.51821

Abstract

Abstract: Communitive fracture of the mandible is quite complicated to achieve good results with the use of titanium miniplates and screws. The challenges faced start from tips and tricks for placing non-rigid miniplate and screw fixation. There are two methods in performing mandibular communitive fracture surgery, namely closed reduction and open reduction. We reported a case of a 19-year-old male referred to Prof. Dr. R. Kandou Hospital, Manado, with open right mandible fracture. The patient was diagnosed with mild head injury, cerebral edema, skull base fracture, communitive fracture of mandibular angulus and corpus, non-displaced maxillary zygoma fracture, and palatal dental sagittal fracture. The patient underwent open reduction surgery with internal fixation using titanium miniplates and screws, and was re-evaluated in the first week after surgery up to three weeks after surgery. The patient's functional chewing and mouth opening were within normal limits. There were no complications such as infection or nerve lesions. In conclusion, communitive mandibular fracture using an open reduction technique with titanium miniplate and screw internal fixation gives satisfactory result. Keywords: communitive mandibular fracture; open reduction; dental occlusion   Abstrak: Fraktur komunitif mandibula merupakan kasus yang cukup rumit untuk mencapai hasil yang baik dengan penggunaan titanium miniplate dan screw. Tantangan yang dihadapi mulai dari tips dan trik penempatan fiksasi miniplate dan screw yang tidak rigid. Terdapat dua metode dalam melakukan operasi fraktur komunitif mandibula, yaitu reduksi tertutup dan reduksi terbuka. Kami melaporkan kasus seorang laki-laki 19 tahun dirujuk ke RSUP Prof. Dr. R. Kandou, Manado dengan patah tulang dagu kanan terbuka. Pasien didiagnosis dengan cedera kepala ringan, edema serebri, fraktur basis krani, fraktur angulus - korpus mandibula dekstra komunitif, fraktur zigoma pars maksilaris dekstra non-displaced, dan fraktur sagital dental palatal. Pasien dilakukan operasi reduksi terbuka dengan fiksasi internal. Evaluasi dilakukan pada minggu pertama paska operasi, hingga tiga minggu paska operasi. Didapatkan fungsional mengunyah dan membuka mulut pasien ini dalam batas normal, serta tidak didapatkan komplikasi seperti infeksi maupun lesi saraf. Simpulan kasus ini ialah fraktur mandibula komunitif dengan teknik reduksi terbuka dan fiksasi internal titanium miniplate dan screw memberikan hasil yang memuaskan. Kata kunci: fraktur mandibula komunitif; reduksi terbuka; oklusi dental
Percutaneous Coronary Intervention in a Saphenous Vein Graft Failure: A Case Report Jim, Edmond L.
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.52514

Abstract

Abstract: Recent published data from the Society of Thoracic Surgery (STS) national database displayed that among patients aged >65 years old who survived following an initial coronary artery bypass graft (CABG) operation, rates of repeat revascularization at 1, 5, 10, and 18 years were 2%, 8%, 16%, and 25%, respectively. The most preferred mode of revascularization was percutaneous coronary intervention (PCI). While remain the most frequently used conduits beside left internal mammary artery (LIMA), saphenous vein grafts (SVGs) have high failure rates. Percutaneous coronary intervention in SVGs is associated with an increased risk of distal coronary embolization, commonly resulting in periprocedural MI. We reported a 79-year-old male patient admitted due to progressive symptoms of chronic coronary syndrome. The patient had a history of hypertension and a CABG surgery in 2012. Electrocardiogram showed ischemia and old myocardial infarction (OMI) in inferior leads as well as poor R wave progression in the precordial leads. Transthoracic echocardiogram displayed a normal ejection fraction but impaired left ventricular (LV) diastolic relaxation. Diagnostic coronary angiography revealed a 70% tubular stenosis in proximal part of SVG supplying posterior descending artery, patent LIMA graft to left anterior descending artery, and complex lesion on native vessel (chronic total occlusion in mid right coronary artery). Implantation of drug eluting stent in SVG-posterior descending artery was performed. Direct-stenting PCI technique using undersized-stent was done to prevent any complications. In conclusion, despite the high risk of complications, vein graft intervention was successfully performed without any complications. Since the high rates of in-stent restenosis following PCI in SVGs, long-term dual antiplatelet therapy should be commenced in this patient. Keywords: saphenous vein graft; vein graft intervention; percutaneous coronary intervention
Penerapan Sistem Informasi Manajemen Rumah Sakit di RSUD Dr. Sam Ratulangi Tondano Tangel, Pricillia T.; Manampiring, Aaltje E.; Kapantow, Nova H.
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.52755

Abstract

Abstract: Hospital management information system (HMIS) is an integrated information system prepared to handle the entire process of hospital management and services. This study aimed to analyze the implementation of hospital management information systems at RSUD Dr. Sam Ratulangi Tondano. This was a qualitative case study with in-depth interviews and observation methods. Samples were four informants. Data analysis is a content analysis through the data reduction stage, data presentation in a matrix, and the validity of the research results using source and method triangulation to draw conclusions. The results showed that based on infrastructure indicators, there was a lack of available computers in each section, the internet network quality was inadequate, due to a lack of budget allocation for HMIS. Based on human resource indicators, there was a lack of qualified and competent IT personnel as well as indiscipline on duty, absence of a strict reward and punishment system, that actually disrupted the flow of services in the hospital.  Based on indicators of the operational procedure system, it is in accordance with the existing standards of the hospital to carry out the duties and functions according to their respective duties. In conclusion, the application of HMIS at RSUD Dr. Sam Ratulangi Tondano related to the quality of infrastructure and human resource indicators is still lacking, on the other hand the standard operating procedure indicators are good which are regulated directly by the hospital leadership. Keywords: hospital management information system; infrastructure; human resources; standard operating procedures    Abstrak: Sistem informasi manajemen rumah sakit (SIMRS) merupakan sistem informasi terintegrasi yang disiapkan untuk menangani keseluruhan proses manajemen dan pelayanan rumah sakit. Penelitian ini bertujuan untuk menganalisis penerapan sistem informasi manajemen rumah sakit di RSUD Dr. Sam Ratulangi Tondano. Metode penelitian ialah studi kualitatif kasus melalui wawancara mendalam dan observasi dengan empat informan. Analisis data melalui tahap reduksi data, penyajian data dalam matriks, validitas hasil penelitian menggunakan triangulasi sumber dan metode hingga penarikan simpulan. Hasil penelitian mendapatkan pada indikator infrastruktur ialah kurangnya keter-sediaan komputer di setiap bagian dan kualitas jaringan internet yang belum memadai, disebabkan karena kurangnya anggaran alokasi untuk SIMRS. Pada indikator sumber daya manusia (SDM) didapatkan kurangnya tenaga IT yang sesuai kualifikasi dan kompetensi serta adanya ketidakdisiplinan waktu saat bertugas, dan tidak adanya sistem reward dan punishment yang tegas; hal ini justru mengganggu alur pelayanan di rumah sakit. Indikator sistem operasional prosedur sudah sesuai standar rumah sakit untuk menjalankan tugas tupoksi sesuai tugas masing-masing. Simpulan penelitian ini ialah penerapan SIMRS di RSUD Dr. Sam Ratulangi Tondano dari indikator infrastruktur dan SDM kualitasnya masih kurang, di sisi lain indikator standar operasional prosedur sudah baik yang diatur langsung oleh pimpinan rumah sakit. Kata kunci: sistem informasi manajemen rumah sakit; infrastruktur; sumber daya manusia; standar operasional prosedur
Hubungan Kadar Fibronektin Serum dengan Tingkat Kesadaran Menurut Klasifikasi CT-Marshall pada Cedera Otak Sedang dan Berat Akibat Trauma Mogi, Diornald J.; Prasetyo, Eko; Oley, Maximillian C.; Tjungkagi, Ferdinan; Manuhutu, Yovanka N.
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.52956

Abstract

Abstract: Traumatic brain injury (TBI) is the main cause of brain damage in the adolescent and productive age generations, and its incidence is increasing every year. To date, there is still no accurate biological marker for detection of traumatic brain damage or prognosis related to the brain damage. One of the promising biological markers for detection of brain damage is fibronectin. This study aimed to evaluate the relationship between level of serum fibronectin and level of consciousness based on CT-Marshall in TBI patients. This was an observational and analytical study with a cross-sectional design. Samples that met the study criteria were taken sequentially from the study hospital without differentiating exposure status (serum fibronectin levels) or outcome (CT-Marshall category). The regression test on level of serum fibronectin and level of consciousness based on the CT-Marshall category obtained significant result indicating that the higher the serum fibronectin level, the higher the patient's CT-Marshall category which meant the patient had a higher degree of severity and poor consciousness. In conclusion, there is a significant relationship between level of serum fibronectin and level of consciousness based on the CT-Marshall category in moderate and sever traumatic brain injury patients. Keywords: traumatic brain injury; biological marker; serum fibronectin; CT-Marshall category   Abstrak: Cedera otak akibat trauma (COT) merupakan penyebab utama kerusakan otak pada generasi muda dan usia produktif dengan angka kejadian meningkat setiap tahunnya.  Saat ini, belum terdapat penanda biologis yang akurat untuk mendeteksi kerusakan otak traumatik ataupun menilai prognosis terkait kerusakan otak traumatik. Salah satu penanda biologis yang cukup menarik perhatian ialah fibronektin. Penelitian ini bertujuan untuk mengevaluasi hubungan antara kadar fibronektin serum dengan tingkat kesadaran menurut klasifikasi CT-Marshall pada COT. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Sampel yang memenuhi kriteria penelitian diambil berurutan dari rumah sakit tempat penelitian tanpa membedakan status paparan (kadar fibronektin serum) atau luaran (kategori CT-Marshall). Hasil uji regresi pada variabel utama kadar fibronektin serum dengan kesadaran menggunakan kategori CT-Marshall mendapatkan hasil bermakna yaitu semakin tinggi kadar fibronektin serum, semakin tinggi pula kategori CT-Marshall pasien yang berarti pasien memiliki derajat keparahan dan kondisi kesadaran yang buruk. Simpulan penelitian ini ialah terdapat hubungan bermakna antara kadar fibronektin serum dan tingkat kesadaran menggunakan kategori CT-Marshall pada pasien cedera otak traumatic sedang dan berat. Kata kunci: cedera otak akibat trauma; penanda biologis; fibronektin serum; kategori CT-Marshall
Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Nefrolitiasis di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 hingga Juli 2023 Tombokan, Natalie G. E.; Rondo, Alfa G. E. Y.; Simanjuntak, Martin L.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53393

Abstract

Abstract: Globally, chronic kidney disease (CKD) prevalence and mortality rate has increased in the past 27 years. One of the intrinsic etiologies of CKD is nephrolithiasis, making renal ultrasonography important for diagnosis. This study aimed to investigate the overview of renal ultrasonography in CKD patients with nephrolithiasis at Prof. Dr. R. D. Kandou Hospital. This was a retrospective and descriptive study with a cross-sectional design using secondary data in the form of medical records of CKD patients with nephrolithiasis who were performed renal ultrasonography at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023 with the total sampling method. The results showed that from 76 patients analyzed, the predominance was found in 56-65 years old (36.8%), male (69.7%), 3rd severity grade of CKD (72.4%), and patients who did not undergo routine hemodialysis (61.8%). Most renal ultrasonography characteristics were normal size (61.8%), increased parenchymal echogenicity (84.2%), thinned cortex (52.6%), blurred corticomedullary echogenicity differentiation (77.6%), normal pelviocalyceal system (78.3%), and there were stones (62.5%) <1 cm in size (35.5%) in the medius pole of the right kidney (30.3%) and the inferior pole of the left kidney (40.8%). In conclusion, CKD patients with nephrolithiasis were predominantly aged 56-65 years, male, classified as 3rd severity grade of CKD, and did not undergo routine hemodialysis. Keywords: chronic kidney disease; nephrolithiasis; renal ultrasonography   Abstrak: Secara global, prevalensi penyakit ginjal kronis (PGK) dan angka kematian meningkat dalam kurun waktu 27 tahun terakhir. Salah satu etiologi intrinsik PGK ialah nefrolitiasis. Pemeriksaan ultrasonografi (USG) ginjal penting dilakukan untuk mendiagnosis penyakit ini. Penelitian ini bertujuan untuk mengetahui gambaran USG ginjal pada penderita PGK dengan nefrolitiasis di RSUP Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif retrospektif dengan desain potong lintang menggunakan data sekunder berupa rekam medis pasien PGK dengan nefrolitiasis yang melakukan pemeriksaan USG ginjal di RSUP Prof. Dr. R. D. Kandou pada Juli 2022 hingga Juli 2023 dengan metode total sampling. Hasil penelitian mendapatkan 76 pasien PGK sebagai sampel yang didominasi kelompok usia 56−65 tahun (36,8%), jenis kelamin laki-laki (69,7%), pasien yang tidak menjalani hemodialisis rutin (61,8%), dan derajat keparahan 3 (72,4%). Gambaran USG ginjal didominasi oleh ukuran normal (61,8%), ekogenisitas parenkim meningkat (84,2%), korteks menipis (52,6%), batas ekogenisitas kortikomedular mengabur (77,6%), sistem pelviokalises normal (78,3%), dan terdapat batu (62,5%) berukuran <1 cm (35,5%) di pole medius pada ginjal kanan (30,3%) dan pole inferior pada ginjal kiri (40,8%). Simpulan penelitian ini adalah penderita PGK dengan nefrolitiasis didominasi oleh kelompok usia 56−65 tahun, laki-laki, derajat keparahan 3, dan tidak menjalani hemodialisis rutin. Kata kunci: nefrolitiasis; penyakit ginjal kronis; ultrasonografi ginjal
Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Hipertensi di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 – Juli 2023 Rori, Beatrix A. N.; Mamesah, Yovana P. M.; Timban, Joan F. J.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53469

Abstract

Abstract: Chronic kidney disease (CKD) has become a serious health issue and is one of the leading causes of death worldwide. Hypertension is one of the common underlying causes and comorbidities of CKD. Prolonged hypertension can worsen kidney function and lead to CKD. This study aimed to obtain an overview of renal ultrasonography in CKD patients with hypertension at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023. This was a retrospective and descriptive study with a cross-sectional design using secondary data in the form of patient medical records. The results showed that from 80 CKD patients with hypertension, the highest percentages were in age group over 65 years (37.5%), male (53.8%), and did not undergo hemodialysis (61.3%). The predominant severity level was stage 2 with the most common features found were normal size, increased parenchymal echogenicity, normal cortical thickness, maintained corticomedullary differentiation, normal pelviocalyceal systems, and renal cyst findings. In conclusion, the majority of CKD patients with hypertension were males, aged over 65 years, did not undergo hemodialysis, and in the severity level of grade 2. Keywords: ultrasonography; chronic kidney disease; hypertension   Abstrak: Penyakit ginjal kronis (PGK) menjadi permasalahan kesehatan yang serius dan merupakan salah satu penyebab utama kematian di seluruh dunia. Hipertensi merupakan salah satu penyebab dan juga penyakit penyerta yang paling umum dari PGK. Hipertensi berkelanjutan dapat menyebabkan fungsi ginjal memburuk dan berujung pada PGK. Penelitian ini bertujuan untuk mengetahui gambaran ultrasonografi (USG) ginjal pada penderita PGK dengan hipertensi di RSUP Prof. Dr. R. D. Kandou periode Juli 2022 – Juli 2023. Penelitian ini menggunakan metode deskriptif retrospektif dengan desain potong lintang yang menggunakan data sekunder berupa rekam medik pasien. Hasil penelitian mendapatkan 80 pasien PGK dengan hipertensi di RSUP Prof. Dr. R. D. Kandou, didominasi oleh kelompok usia di atas 65 tahun (37,5%), jenis kelamin laki-laki (53,8%), dan yang tidak menjalani tindakan hemodialisis (61,3%). Derajat keparahan terbanyak yaitu derajat 2 dengan karakteristik gambaran USG yang paling sering yaitu ukuran normal, ekogenisitas parenkim meningkat, ketebalan korteks normal, batas echo korteks medula jelas, sistem pelviokalises normal, dan temuan kista. Simpulan penelitian ini ialah mayoritas pasien PGK dengan hipertensi ialah laki-laki, usia di atas 65 tahun, tidak melakukan hemodialisis. serta keparahan derajat 2. Kata kunci: ultrasonografi; penyakit ginjal kronis; hipertensi
Prevalensi Kelainan Refraksi pada Anak Remaja Kelas X di SMA Rex Mundi Manado Putri, Angeline J.; Umboh, Anne M. S.; Najoan, Imelda H. M.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53529

Abstract

Abstract: Uncorrected refractive errors are a leading cause of vision impairment across all age groups. In Indonesia, adolescents aged 15-18 years face the risk of eye health issues due to excessive use of electronic devices, particularly during the COVID-19 pandemic. This study aimed to obtain the prevalence of refractive errors among adolescents. This was a quantitative and descriptive study using a cross-sectional design. Subjects were tenth-grade students at SMA Rex Mundi Manado. selected through total sampling. The results showed that there were 225 subjects who underwent refractive error screening and met the inclusion criteria. Out of 225 subjects, 176 had emmetropia (normal vision) and 49 had ametropia (refractive errors). The most common type of refractive error was astigmatism, followed by myopia; no subjects had hyperopia. In conclusion, the majority of tenth-grade adolescents have normal vision (emmetropia). Among all subjects, astigmatism is the most prevalent refractive error, followed by myopia. Keywords: refractive errors; myopia; astigmatism; adolescents    Abstrak: Kelainan refraksi yang tidak terkoreksi menjadi penyebab utama gangguan penglihatan pada semua kelompok usia. Di Indonesia, remaja usia 15-18 tahun menghadapi risiko kesehatan mata akibat penggunaan perangkat elektronik berlebihan, terutama selama masa pandemi COVID-19. Penelitian ini bertujuan untuk untuk mengetahui prevalensi kelainan refraksi pada anak remaja. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan desain potong lintang. Subjek penelitian ini diambil dengan total sampling yaitu siswa kelas X di SMA Rex Mundi Manado yang mengikuti skrining kelainan refraksi dan memenuhi kriteria inklusi, yaitu sebesar 225 responden. Hasil penelitian mendapatkan sebanyak 176 siswa dengan emetropia dan 49 siswa ametropia. Jenis kelainan refraksi terbanyak ialah astigmatisme, diikuti dengan miopia ringan; tidak didapatkan siswa yang mengalami hipermetropia. Simpulan penelitian ini ialah mayoritas remaja kelas X memiliki status refraksi emetropia. Di antara seluruh subjek penelitian, prevalensi kelainan refraksi terbanyak ialah astigmatisme, diikuti dengan miopia ringan Kata kunci: kelainan refraksi; miopia; astigmatisme; remaja
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Poli Infeksi dan Imunologi Rumah Sakit Mata Provinsi Sulawesi Utara Matandung, Lewis F.; Rares, Fredine E. S.; Waworuntu, Olivia A.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53539

Abstract

Abstract: Infections that occur in hospitals can be caused by bacteria, viruses, and fungi. Infections that occur in hospitals in less than 48-72 hours after the patient is admitted to the hospital are called Healthcare Associated Infections (HAIs) or commonly known as nosocomial infections. Transmission of nosocomial infections is usually through direct contact, droplets, and through health workers in the hospital, as well as through tools or media in the hospital. This study aimed to determine bacterial patterns and sensitivity tests in the infection and immunology poly of the North Sulawesi Provincial Eye Hospital. This was an observational and descriptive study with a cross-sectional design to identify bacterial patterns and sensitivity tests in the infection and immunology poly of the North Sulawesi Provincial Eye Hospital. The collection of 10 samples was carried out in the poly infection and immunology. The results obtained four types of bacteria, namely: Staphylococcus sp, Staphylococcus aureus, Bacillus sp, and Streptococcus sp. In conclusion, the four types of bacteria are sensitive to meropenem and resistant to erythromycin. Keywords: nosocomial infection; bacterial identification; sensitivity test   Abstrak: Infeksi yang terjadi di rumah sakit dapat disebabkan oleh bakteri, virus, dan jamur. Infeksi yang terjadi di rumah sakit dalam waktu kurang dari 48-72 jam setelah pasien dirawat ke rumah sakit disebut Healthcare Associated Infection (HAIs) atau biasa dikenal dengan sebutan infeksi nosokomial. Penularan infeksi nosokomial biasanya melalui kontak langsung, droplet, dan melalui tenaga Kesehatan yang ada di rumah sakit, serta melalui alat-alat atau media di rumah sakit. Penelitian ini bertujuan untuk mengetahui pola bakteri dan uji sensitivitas di poli infeksi dan imunologi Rumah Sakit Mata Provinsi Sulawesi Utara. Penelitian ini menggunakan metode deskriptif observasional dengan desain potong lintang untuk mengidentifikasi pola bakteri dan uji sensitivitas di poli infeksi dan imunologi Rumah Sakit Mata Provinsi Sulawesi Utara. Pengambilan 10 sampel dilakukan di poli infeksi dan imunologi. Hasil penelitian mendapatkan empat jenis bakteri yaitu: Staphylococcus sp, Staphylococcus aureus, Bacillus sp, dan Streptococcus sp. Simpulan penelitian ini ialah keempat bakteri ini sensitif dengan meropenem dan resisten dengan erythromycin. Kata kunci:  infeksi nosokomial; identifikasi bakteri; uji sensitivitas

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