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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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Karakteristik Pasien Operasi Tonsilektomi di RSUP Prof Dr. R. D. Kandou Manado Periode Januari 2020 – Oktober 2023 Kelly, Grace; Najoan, Rizki R.; Mengko, Steward K.
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.v12i3.53540

Abstract

Abstract: Chronic tonsillitis is a recurrent inflammation of the tonsils that can affect the patient’s quality of life. Tonsillectomy is the surgical removal of the palatine tonsil and its capsule, which is performed according to indications and the Paradise criteria. This study aimed to obtain the characteristics of patients who underwent tonsillectomy at Prof. Dr. R. D. Kandou Hospital Manado from January 2020 to October 2023. This was a descriptive and retrospective study with a cross-sectional design. The results obtained a total population of 66 patients who underwent tonsillectomy surgery from January 2020 – October 2023, however, only 57 patients who met the inclusion and exclusion criteria. Patients undergoing tonsillectomy were dominated by the teenager age group, 12-25 years (70.2%), male gender (50.9%), students (33.3%), the main complaint was recurrent painful swallowing (45.6%), tonsil size T3-T3 (29.8%), treated for 3-5 days (73.7%), and complication of painful swallowing (91.2%). In conclusion, the characteristics of patients who underwent tonsillectomy surgery were in age range of 12-25 years, male gender, occupation as student, main complaint as history of recurrent painful swallowing, had tonsil size T3-T3, length of hospitalization of 3-5 days, and complication of painful swallowing. Keywords: tonsilitis; tonsillectomy; characteristics of patients   Abstrak: Tonsilitis kronis merupakan radang pada tonsil yang terjadi berulang sehingga dapat berdampak pada kualitas hidup pasien. Tonsilektomi merupakan tindakan pembedahan dengan mengangkat tonsil palatina secara menyeluruh beserta kapsulnya sesuai indikasi dan kriteria Paradise. Penelitian ini bertujuan untuk mendapatkan karakteristik pasien yang menjalani tonsilektomi di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2020 hingga Oktober 2023. Jenis penelitian ialah retrospektif deskriptif dengan desain potong lintang. Hasil penelitian mendapatkan sebanyak 66 pasien yang menjalani tonsilektomi periode Januari 2020 – Oktober 2023; 57 pasien yang memenuhi kriteria inklusi dan eksklusi. Distribusi pasien yang menjalani operasi tonsilektomi didominasi oleh golongan usia remaja yaitu 12-25 (70,2%), jenis kelamin (50,9%), pekerjaan pelajar/mahasiswa (33,3%), keluhan utama riwayat nyeri menelan berulang (45,6%), ukuran tonsil T3-T3 (29,8%), dirawat inap 3-5 hari (73,7%), dan komplikasi nyeri menelan (91,2%). Simpulan penelitian ini ialah karakteristik pasien yang menjalani operasi tonsilektomi ialah rentang usia 12-25 tahun, jenis kelamin laki-laki, pekerjaan sebagai pelajar/mahasiswa, dengan keluhan utama berupa riwayat nyeri menelan berulang, ukuran tonsil T3-T3, lama hari dirawat di rentang 3-5 hari, dan memiliki komplikasi nyeri menelan. Kata kunci: tonsilitis; tonsilektomi; karakteristik pasien
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Ruang Intensive Care Unit RSU GMIM Pancaran Kasih Manado Togas, Bellanty C.; Homenta, Heriyannis; Rares, Fredine E. S.
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.v12i3.53546

Abstract

Abstract: Nosocomial infections or Healthcare Associated Infections (HAIs) are infections acquired during the process of receiving health care in hospitals, which appear within >48 hours. Patients in the Intensive Care Unit (ICU) are twice as likely to contract nosocomial infections compared to the general hospital population, with a fairly high and increasing burden of antimicrobial resistance. This study aimed to identify bacterial patterns and antibiotic sensitivity tests of bacteria in the ICU of RSU GMIM Pancaran Kasih Manado. This was a descriptive study with a cross sectional design. Bacterial pattern identification was performed on 10 samples, then samples were cultured in nutrient agar and Mac Conkey at the Laboratorium Mikrobiologi Fakultas Kedokteran Universitas Sam Ratulangi. Identification of bacteria was conducted using the Gram stain. The results obtained Bacillus sp. (42%); Staphylococcus sp. (33%); Neisseria sp. (17%); and Staphylococcus aureus (8%). All bacteria were sensitive to amikacin, and nearly all of them were resistant to ceftriazone except Bacillus sp and Staphylococcus sp. In conclusion, the most common bacteria at the Intensive Care Unit of RSU GMIM Pancaran Kasih Manado is Bacillus sp. which is sensitive to amikacin and meropenem, but it is resistant to ampicilin. Keywords: bacterial pattern; nosocomial infection; antibiotic sensitivity test   Abstrak: Infeksi nosokomial (Healtcare Associated Infections - HAIs) adalah infeksi yang diperoleh selama proses menerima perawatan kesehatan di rumah sakit, yang muncul dalam waktu >48 jam. Pasien di Intensive Care Unit (ICU) dua kali lebih berisiko tertular infeksi nosokomial dibandingkan dengan populasi rumah sakit umumnya dengan beban resistensi antimikroba di ICU yang cukup tinggi dan terus meningkat. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri yang ditemukan dan uji sensitivitas antibiotik pada bakteri di ruang ICU RSU GMIM Pancaran Kasih Manado. Penelitian ini menggunakan metode deskriptif dan desain potong lintang. Identifikasi pola bakteri dilakukan pada 10 sampel, kemudian dikultur menggunakan nutrient agar dan Mac Conkey di Laboratorium Mikrobiologi Fakultas Kedokteran Universitas Sam Ratulangi, dan identifikasi bakteri dengan pewarnaan Gram. Hasil penelitian mendapatkan bakteri Bacillus sp. (42%); Staphylococcus sp. (33%); Neisseria sp. (17%); serta Staphylococcus aureus (8%). Semua bakteri sensitif terhadap antibiotik amikacin dan hampir semua bakteri resisten terhadap antibiotik ceftriazone kecuali Bacillus sp dan Staphylococcus sp. Simpulan penelitian ini yaitu bakteri terbanyak yang ditemukan di Ruang ICU ialah Bacillus sp. yang sensitif terhadap amikacin dan meropenem, namun resisten terhadap ampicilin. Kata kunci: pola bakteril infeksi nosokomiall; uji kepekaan antibiotik
Profil Pasien Cedera Anterior Cruciate Ligament (ACL) yang Menjalani Rekonstruksi ACL di RSUP Prof. Dr. R. D. Kandou Manado Rawung, Rangga B. V.; Meylia, Indah; Wagiu, Angelica M. 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.v12i3.53583

Abstract

Abstract: Knee injuries are among the most common sports-related injuries experienced by athletes. One of the frequently encountered knee injury is anterior cruciate ligament (ACL) tear. This study aimed to obtain the profile of patients with ACL injuries whor underwent ACL reconstruction at Prof. Dr. R. D. Kandou Hospital, Manado. This was a descriptive study with a retrospective-prospective method, using secondary data. The results obtained 16 patients who met the inclusion criteria. The incidence of ACL injuries was the highest in males (81.25%) aged 17-25 years (68.75%). The most common cause of ACL injuries was sports activities (81.25%), and many patients were classified as having first-degree obesity (37.5%). ACL injuries often occurred with meniscal injuries (56.25%). The most commonly used graft was the Hamstring (semi T) graft (43.75%). Patients typically presented within 1-6 months of the injury onset (68.75%), and the majority of knee functional outcomes were categorized as moderate (43.75%). In conclusion,  anterior cruciate ligament injuries most often occur in men, aged 17-25 years. Sports activities and obesity are more at risk of ACL injury. Most ACL injuries are associated with meniscus injuries, and onsets of 1-6 months. The operative management graft that is often used is the Hamstring graft, with functional results in the middle category. Keywords: anterior cruciate ligament injury; reconstruction; graft operative management    Abstrak: Cedera lutut merupakan salah satu cedera olahraga yang paling banyak dialami oleh atlet; salah satunya yang sering dijumpai ialah robekan anterior cruciate ligament (ACL). Penelitian ini bertujuan untuk mengetahui profil pasien cedera ACL yang menjalani rekonstruksi ACL di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif dengan pendekatan retrospektif prospektif menggunakan data sekunder. Hasil penelitian mendapatkan 16 pasien yang memenuhi kriteria inklusi. Insiden cedera ACL paling banyak terjadi pada laki-laki (81,25%), kelompok usia 17-25 tahun (68,75%), penyebab cedera karena aktivitas olahraga (81,25%), dan pasien kategori obesitas derajat 1 (37,5%). ACL sering terjadi dengan adanya cedera meniskus (56,25%), graft yang paling sering digunakan yaitu graft Hamstring (semi T) (43,75%). Sebagian besar pasien datang dengan onset kejadian 1-6 bulan (68,75%) dengan hasil fungsional lutut kategori menengah (43,75%). Simpulan penelitian ini ialah cedera ACL sering terjadi pada laki-laki berusia 17-25 tahun. Aktivitas olahraga dan obesitas berisiko terjadinya cedera ACL. Mayoritas cedera ACL berhubungan dengan cedera meniskus, onset sebagian besar pasien cedera ACL ialah 1-6 bulan, penatalaksanaan operatif dengan graft Hamstring, dengan luaran hasil fungsional kategori sedang. Kata kunci: cedera anterior cruciate ligament; rekonstruksi; graft penatalaksanaan operatif
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Kamar Bedah Mata Rumah Sakit Mata Provinsi Sulawesi Utara Benjamin, Estelina I.; Homenta, Heriyannis; 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.v12i3.53622

Abstract

Abstract: Healthcare-associated infections (HAIs) are infections of pathogenic microorganisms into the human body within 48-72 hours after a patient's hospital admission. These infections are commonly attributed to ventilator-associated pneumonia (VAP), surgical site infections (SSI), central line-associated bloodstream infections (CLABSI), and catheter-associated urinary tract infections (CAUTI). Increased HAI cases is also associated with an increase in Multiple Drug-Resistant (MDR) strains due to inappropriate antibiotic selection for treating diseases resulting from HAIs. This study aimed to identify bacterial patterns and sensitivity tests at the ophthalmic surgical room of Rumah Sakit Mata Provinsi Sulawesi Utara. Thus was an observational and descriptive study with a cross-sectional design. The results showed seven Bacillus sp., four Staphylococcus sp., and one Staphylococcus aureus. Sensitivity tests using 18 types of antibiotics revealed antibiotic resistance patterns of the identified bacteria: seven strains of XDR in Bacillus sp., four strains of MDR in Staphylococcus sp., and the presence of Methicillin-Resistant Staphylococcus aureus (MRSA). In conclusion, Bacillus sp. is the most abundant bacteria found. Bacillus sp. is sensitive to the antibiotic meropenem, while it is resistant to ceftriaxone and sulfamethoxazole/trimethoprim. Keywords: healthcare-associated infections; identification of bacteria; antibiotic sensitivity test    Abstrak: Healthcare-associated infections (HAIs) adalah infeksi mikroorganisme patogen ke dalam tubuh manusia yang terjadi 48-72 jam setelah pasien masuk rumah sakit, umumnya disebabkan oleh ventilator-related pneumonia (VAP), surgical site infections (SSI), central line associated blood stream infections (CLABSI), dan catheter-associated urinary tract infections (CAUTI). Peningkatan kasus HAIs sejalan dengan peningkatan multiple drug-resistant (MDR) karena ketidaktepatan pemilihan antibiotik dalam mengobati HAIs. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri dan uji sensitivitas antibiotik di kamar bedah mata Rumah Sakit Mata Provinsi Sulawesi Utara. Jenis penelitian ialah observasional deskriptif dengan desain potong lintang. Hasil penelitian mendapatkan Bacillus sp. tujuh bakteri, Staphylococcus sp. empat bakteri, dan Staphylococcus aureus satu bakteri. Uji sensitivitas terhadap 18 antibiotik menunjukkan gambaran resistensi, yaitu: Bacillus sp. terdapat tujuh bakteri Extensively Drug-Resistant (XDR), Staphylococcus sp. terdapat empat bakteri MDR, dan Methicillin-Resistant Staphylococcus aureus (MRSA). Simpulan penelitian ini, yaitu: Bacillus sp., merupakan bakteri terbanyak yang ditemukan. Bacillus sp. sensitif terhadap antibiotik meropenem namun resisten terhadap antibiotik ceftriaxone, dan sulfamethoxazole/trimethoprim. Kata kunci: healthcare-associated infections; identifikasi bakteri; uji sensitivitas antibiotik
Profil pasien refluks laringofaring di RSUP Prof. Dr. R. D. Kandou Manado Runtung, Maureen; Pelealu , Olivia C. P.; Pontoh, Valentini 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.v12i3.53653

Abstract

Abstract: Diagnosis of laryngopharyngeal reflux (LPR) requires a clinical history based on clinical symptoms (Reflux Symptom Index - RSI) and laryngeal examination (Reflux Finding Score - RFS) due to its nonspecific symptoms and laryngoscopic signs do not always correlate with the severity of symptoms. This study aimed to obtain the profile of patients with LPR at Prof. Dr. R. D. Kandou Hospital. This was a retrospective and descriptive study using medical records of LPR patients at Prof. Dr. R. D. Kandou Hospital during the period 2020-2022. The results showed that the majority of LPR patients were females (57.6%), aged 41-65 years and occupation as housewife. The most commonly experienced complaints were difficulty in swallowing (36.3%) and feeling of throat tightness (25,0%). The most frequent endoscopic finding was erythema/hyperemia of the arytenoids (36.8%). In conclusion, laryngo-pharyngeal reflux is often experienced by females aged 41-65 years, occupation as housewife. The most common complaints are difficulty in swallowing and feeling of throat tightness. Erythema/hyperemia of the arytenoid has the highest percentage in endoscopic finding. Keywords: laryngopharyngeal reflux; patient profile   Abstrak: Dalam mendiagnosis refluks laring faring (RLF), diperlukan anamnesis berdasarkan gejala klinis (Reflux Symptom Index - RSI) dan pemeriksaan laring (Reflux Finding Score - RFS) karena gejalanya tidak spesifik dan tanda laringoskopi tidak selalu sesuai dengan tingkat keparahan gejala. Penelitian ini bertujuan untuk mendapatkan profil pasien RLF di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif menggunakan data pasien yang tercatat di Instalasi Rekam Medis RSUP Prof. Dr. R.D. Kandou Manado periode 2020 hingga 2022. Hasil penelitian mendapatkan bahwa mayoritas pasien RLF ialah perempuan (57,6%) dengan usia 41-65 tahun. Distribusi pekerjaan menunjukkan jumlah pasien tertinggi ialah ibu rumah tangga. Keluhan yang paling sering dialami ialah sulit menelan (36,3%) dan rasa mengganjal pada leher (25,0%). Temuan endoskopi paling sering ialah eritema/hiperemis aritenoid (36,8%). Simpulan penelitian ini ialah refluks laring faring sering dialami oleh perempuan pada usia 41-65 tahun, dengan pekerjaan sebagai ibu rumah tangga. Keluhan paling sering ialah sulit menelan dan rasa mengganjal di tenggorokan. Distribusi tertinggi pasien refluks laring faring berdasarkan kondisi laring ialah eritema/hiperemis aritenoid. Kata kunci: refluks laringofaring; profil pasien
Pola Bakteri dan Resistensi Antimikroba pada Infeksi Terkait Fraktur Terbuka di RSUP Prof. Dr. R. D. Kandou Manado Senduk, Ryan A.; Lengkong, Andriessanto; Sunaryo, Haryanto
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.v12i2.54339

Abstract

Abstract: Fracture-related infection is a serious complication in orthopedic trauma, both in terms of infection and surgery. The use of antibiotics is a crucial component in the management of fracture-related infection, however, it can also lead to antibiotic resistance. This study aimed to evaluate the patterns of bacteria and antimicrobial resistance in open fracture-related infections at Prof. Dr. R. D. Kandou Hospital in Manado. This was a descriptive study with a cross-sectional design. Samples consisted of patients with open fracture-related infections and had microbiological culture and drug sensitivity data. Secondary data were collected and analyzed using categorical and numerical data. The results obtained 20 subjects with the average age of 42.8±19.0 years, dominated by males (80%), and the most common location of fracture was tibia/fibula (65%). The highest multidrug resistance rates by bacterial type were found in Klebsiella and Enterobacter (medians of 9 and 7, respectively). Based on bacterial type and antimicrobial resistance, the most common bacteria were Staphylococcus aureus and Enterobacter (30%), followed by MRSA and Klebsiella (15%), Acinetobacter baumanni and Pseudomonas (1%). The highest percentage of antibiotic resistance was found in ampicillin-sulbactam, ciprofloxacin, and gentamicin. Meanwhile, the highest distribution of antibiotic sensitivity was found in trimethoprim sulfamethoxazole, amikacin, clindamycin, and meropenem. In conclusion, open fracture cases are most commonly associated with Staphylococcus aureus and Enterobacter. Antibiotic resistance is predominantly observed in ampicillin sulbactam, ciprofloxacin, and gentamicin. Keywords: infection; open fracture; antibiotics; bacterial resistance   Abstrak: Infeksi terkait fraktur merupakan komplikasi serius dalam trauma ortopedi, baik dari segi infeksi maupun pembedahan. Penggunaan antibiotik menjadi salah satu bagian dalam penatalaksanaan infeksi, namun hal ini dapat mengakibatkan resistensi antibiotik. Penelitian ini bertujuan untuk mengevaluasi pola bakteri dan resistensi antimikroba pada infeksi terkait fraktur terbuka di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang. Sampel penelitian ialah pasien dengan infeksi terkait fraktur terbuka yang memiliki data hasil pemeriksaan kultur mikroba dan sensitivitas obat. Pengumpulan data melalui data sekunder dan dianalisis melalui data kategorik dan numerik. Hasil penelitian mendapatkan 20 subjek, dengan rerata usia 42,8±19,0 tahun. Majoritas subjek ialah laki-laki (80%), dan jenis fraktur terbanyak di tibia/fibula (65%). Hasil multidrug resistance tertinggi menurut jenis bakteri ialah pada Klebsiella dan Enterobacter dengan median masing-masing 9 dan 7. Berdasarkan jenis bakteri dan resistensi antimikroba, yang terbanyak yaitu Staphylo-coccus aureus dan Enterobacter (30%), diikuti MRSA dan Klebsiella (15%), Acinetobacter baumanni dan Pseudomonas (1%). Distribusi resistensi antibiotik tertinggi pada ampicilin-sulbactam, ciprofloxacin, dan gentamisin, sedangkan distribusi sensitivitas antibiotik tertinggi pada trimethoprim sulfomethoxa-zole, amikasin, clindamycin, dan meropenem. Simpulan penelitian ini ialah pada kasus patah tulang terbuka jenis bakteri terbanyak ialah Staphylococcus aureus dan Enterobacter. Resistensi antibiotik didominasi oleh ampicillin sulbactam, ciproflocacin, dan gentamicin. Kata kunci: infeksi; fraktur terbuka; antibiotik; resistensi bakteri
Gambaran Kasus Penganiayaan di Wilayah Kerja Polsek Langowan Periode 2021-2022 Tumiwa, Josua S.; Siwu, James F.; Tomuka, Djemi
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.v12i2.54472

Abstract

Abstract: Illness and death can occur not only as a result of abnormalities or disease, but also through accidents or criminal acts. One form of crimes that is often encountered is persecution. Langowan is one of the areas in North Sulawesi where acts of abuse are often found. This study aimed to describe cases of persecution in the working area of Polsek Langowan in years 2021-2022. This was a descriptive and retrospective study with a cross-sectional design using reports of cases of persecution in the working area of Polsek Langowan in years 2021-2022. The results obtained a total of 55 cases of persecution occurred in 2021-2022, and the highest percentages of cases were in July 2021 and January 2022, each of six cases (10.91%). Gender was dominated by men, namely 52 cases (94.55%). The largest age range is 17-25 years which was late adolescence with a total of 24 cases (43.64%). The most common form of maltreatment was moderate maltreatment in 50 cases (90.91%). The most common type of violence was blunt violence with a total of 34 cases (58,62%). Most of the injuries occurred on the head with a total of 38 cases (50%). In conclusion, the most persecution occurred in July 2021 and January 2022, dominated by male victims, aged 17-25 years, moderate form of persecution, blunt violence, and the location of injury on the head. Keywords: persecution; blunt trauma; victim   Abstrak: Kesakitan dan kematian bisa terjadi bukan hanya akibat adanya kelainan atau penyakit, tetapi juga melalui kecelakaan maupun tindakan kejahatan. Salah satu bentuk kejahatan yang sering ditemui yaitu penganiayaan. Langowan merupakan salah satu daerah di Sulawesi Utara yang sering didapatkan adanya tindak penganiayaan. Penelitian ini bertujuan untuk mengetahui gambaran kasus penganiayaan di Wilayah Kerja Polsek Langowan Periode 2021-2022. Jenis penelitian ialah potong lintang dengan mengumpulkan data sekunder yaitu laporan kasus penganiayaan di wilayah kerja Polsek Langowan Periode 2021-2022. Hasil penelitian mendapatkan sebanyak 55 kasus penganiayaan di wilayah kerja Polsek Langowan periode 2021-2022, dengan kasus penganiayaan terbanyak terjadi pada bulan Juli 2021 dan Januari 2022 dengan total masing-masing enam kasus (10,91%). Jenis kelamin didominasi oleh laki-laki yaitu sebanyak 52 kasus (94,55%). Rentang usia terbanyak yaitu 17-25 tahun yang merupakan masa remaja akhir dengan total 24 kasus (43,64%). Bentuk penganiayaan terbanyak yaitu penganiayaan sedang sebanyak 50 kasus (90,91%). Jenis kekerasan terbanyak yaitu kekerasan tumpul dengan total 34 kasus (58,62%). Lokasi perlukaan terbanyak terjadi di bagian kepala dengan total 38 kasus (50%). Simpulan penelitian ini ialah penganiayaan paling banyak terjadi di bulan Juli 2021 dan Januari 2022, didominasi oleh korban laki-laki, usia 17-25 tahun, bentuk penganiayaan sedang, jenis kekerasan tumpul, dan lokasi perlukaan di bagian kepala. Kata kunci: penganiayaan; trauma tumpul; korban
Rehabilitation for Marfan Syndrome Hartanto, Christi E.; Rondonuwu, Gloria E .; Gessal, Joudy
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.v12i2.54474

Abstract

Abstract: Marfan syndrome is a spectrum of disorders caused by a heritable genetic defect of connective tissue that has an autosomal dominant mode of transmission. The defect itself has been isolated to the FBN1 gene on chromosome 15, which codes for the connective tissue protein fibrillin. Abnormalities in this protein cause a myriad of distinct clinical problems, of which the musculoskeletal, cardiac, and ocular system problems predominate. The skeleton of patients with Marfan syndrome typically displays multiple deformities. Mitral valve prolapses that requires valve replacement can occur as well. Given the variable expressivity of Marfan Syndrome, no single sign is pathognomonic; the diagnosis is made on clinical grounds on the basis of typical abnormalities. We reported a boy, 12 years old, referred from surgeon with diagnosis pectus carinatum pro brace. Chest protusion appeared since age 6, getting bigger without any complaint but cosmetic. Other complaints on feet which looked flat, sometimes ankle sore after long distance running or futsal. He was the first child and no family history had a condition like him. His hobby was playing futsal, and daily activities were independent without assistive devices. General appearance and vital signs were normal, cardiorespiratory assessment was normal, BMI on percentile 10-25, arm span to height ratio 1.09, lens subluxation of left eye, lens dislocation of right eye, poor standing balance, inadequate toe off, thoracic hyperkyphotic, positive wrist sign, true leg length discrepancy of 1 cm (left>right), bilateral ankle ROM limitation, rigid flat feet suspected bilateral vertical talus, left hallux valgus, Marfan syndrome score 9, and normal echocardiography. In this patient, we gave semi rigid thoraco-lumbo-sacral orthosis (TLSO) with 3 points pressure system and rigid bar on protution area (custom molded).  resistance exercise (F: 3x/week, I: moderate fatigue, Borg scale 13-15/20, T: 8-15 reps/ set, 2-3 set/ session, T: major muscle group upper and lower extremities aerobic exercise (F: 3x/week, I: moderate to vigorous, borg scale 13-15/20, T: ≥60 min/session, @5-10 min warming up and cooling down (stretching), T: sport (swimming, running, cycling). The patient was referred to a surgeon for a brace. In conclusion, this case report highlights the multidisciplinary management of patients with Marfan syndrome. Keywords: Marfan syndrome; typical abnormalities; multiple deformities
Profil Pasien Trauma di RSUP Prof Dr. R. D. Kandou Manado Periode Januari - Desember 2021 Kalampung, Jendry; Lampus, Harsali F.; Wagiu, Angelica M. J.
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.v12i2.55047

Abstract

Abstract:  Trauma is a holistic condition that can cause loss of productivity even to death. This study aimed to obtain an overview of trauma patients at Prof. Dr. R. D. Kandou Hospital Manado from January to December 2021. This was a retrospective and descriptive study using patient medical record data. The results showed that out of 223 patients, the highest percentages were found in the adult group (43.1%), male sex (81.6%), and private employees (25.5%). The causes of trauma were sharp trauma (59.2%) and blunt trauma (40,8%). The most common location for injuries due to blunt trauma was the head (60.6%) meanwhile for injuries due to sharp trauma was the chest (51.6%). Based on the GCS of trauma patients, the most common type of head injury was mild head injury (45 of 223 patients). In conclusion, most trauma patients were adult, male, worked as private employee, had sharp trauma, wound site on the chest, and mild head injury Keywords: sharp trauma; blunt trauma; cause of trauma   Abstrak: Trauma adalah kejadian yang bersifat holistik dan menyebabkan hilangnya produktivitas seseorang bahkan sampai kematian. Penelitian ini bertujuan untuk mendapatkan gambaran pasien trauma di RSUP Prof. Dr. R. D. Kandou Manado pada periode Januari sampai Desember tahun 2021. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medik pasien. Hasil penelitian mendapatkan bahwa dari 223 pasien trauma, yang terbanyak ialah usia dewasa (43,1%), jenis kelamin laki–laki (81,6%), dan pekerjaan sebagai pegawai swasta (25,5%). Penyebab trauma yaitu trauma tajam (59,2%) dan trauma tumpul (40,8%). Lokasi luka akibat trauma tumpul terbanyak yaitu kepala (60,6%) sedangkan akibat trauma tajam yaitu dada (51,6%). Berdasarkan perolehan GCS yang terbanyak pada pasien trauma ialah cedera kepala ringan (45 dari 223 pasien). Simpulan penelitian ini ialah pasien trauma yang terbanyak ialah golongan dewasa, laki–laki,  pegawai swasta, trauma tajam, lokasi luka pada dada, dan cedera kepala ringan. Kata kunci: trauma tajam; trauma tumpul; penyebab trauma
Profil Penyakit Jantung Bawaan di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado Periode September 2022 – Agustus 2023 Baksh, Aida K.; Waworuntu, David S.; Umboh, Adrian
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.v12i3.55352

Abstract

Abstract: Congenital heart disease (CHD) is a congenital heart defect that occurs during the heart development period of 3-8 weeks gestational age. This disease is divided into two categories, non-cyanotic CHD and cyanotic CHD. This study aimed to determine the profile of CHD in the Pediatric Department of Prof. Dr. R. D. Kandou Hospital Manado from September 2022 to August 2023. This was a retrospective and descriptive study using patients’ medical records during the period September 2022 - August 2023. The results obtained 94 patients with a mean age of 3.6 years, most of them were >5 years old (35.1%), consisting of males (53.2%) and females (46.8%). Asianotic CHD (78.7%) was the most common CHD found, and the majority of patients had good nutritional status (59.6%). In conclusion, congenital heart disease in children is most common in males, with asianotic type, and good nutritional status. Keywords: congenital heart disease; pediatric patients    Abstrak: Penyakit jantung bawaan (PJB) merupakan kelainan sejak lahir pada jantung yang terjadi saat masa perkembangan jantung usia gestasi 3-8 minggu. Penyakit ini terbagi atas dua kategori yaitu PJB non sianotik dan PJB sianotik. Penelitian ini bertujuan untuk mengetahui profil PJB di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado periode September 2022 – Agustus 2023. Penelitian ini menggunakan metode deskriptif retrospektif dengan menggunakan rekam medik pasien selama periode September 2022 – Agustus 2023. Hasil penelitian mendapatkan 94 pasien PJB dengan rerata usia 3,6 tahun, terbanyak pada sebaran usia >5 tahun (35,1%), jenis kelamin laki-laki (53,2%) dan perempuan (46,8%), Penyakit jantung bawaan asianotik (78,7%) merupakan kategori PJB terbanyak, dan mayoritas pasien memiliki status gizi baik (59,6%). Simpulan penelitian ini ialah penyakit jantung bawaan pada anak terbanyak berjenis kelamin laki-laki, jenis asianotik, dan memiliki status gizi baik. Kata kunci: penyakit jantung bawaan; pasien anak

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