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Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya

qanunmedika
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Published by Universitas Muhammadiyah Surabaya

ISSN : 25412272 EISSN : 25489526 DOI : -

Core Subject : Health,

Health Professions Medicine & Pharmacology

Arjuna Subject : -

Articles 10 Documents

Search results for , issue "Vol 1, No 02 (2017)" : 10 Documents clear

The Relationship Between Glucosamine Supplementation and Increased Intraocular Pressure in Patients With Open Angle Glaucoma (at Dr. Wahidin Soediro Husodo Hospital) Rini Kusumawardhany
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

Introduction and Objective Researchers postulate that excessive deposits of GAG in the trabecular meshwork restrict outflow. Another theory suggests that increased release of GAG into the aqueous causes an osmotic effect, drawing more water into the anterior chamber, thus causing swelling, a decrease in pore size, and eventually increased resistance to outflow.Either of these proposed mechanisms could lead to an increased thickness of the pore lining and/or decreased outflow, resulting in increased intraocular pressure (IOP). Methods A total of 13 patients (26 eyes) 6 men, 7 women, with average age 62 years were included in this experimental study. IOP was measured before, on 7th day after they began glucosamine supplementation and after discontinuation. Patients had been selected who established the diagnosis of open-angle glaucoma, willingness to using glucosamine, IOP measurements at least 3 times within 2 years, and no associated changes in glaucoma medications or eye surgery.Result Based on the parametric repeat measure general linear model test, the IOP decreased significantly from during glucosamine supplementation to discontinuation of glucosamine.(P= 0,013, or P< 0,05). The IOP was increased during glucosamine supplementation compared with before glucosamine supplementation, but the difference statistically not significant. (P= 0,527).The IOP decreased after discontinuation compared with before supplementation, but the difference also statistically not significant. (P=1). There was no significant difference between the left and right eyes in each patient.

Diagnosis dan Tatalaksana Tromboemboli pada Kehamilan Muhammad Perdana Airlangga
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

Venous thromboembolism is both more common and more complex to diagnose in patients who are pregnant than in those who are not pregnant. Pulmonary embolism and deep-vein thrombosis are the two components of a single disease called venous thromboembolism. Pulmonary embolism is the leading cause of maternal death in the developed world. Delayed diagnosis, delayed or inadequate treatment, and inadequate thromboprophylaxis account for many of the deaths due to venous thromboembolism. Successful strategies for the management of venous thromboembolism in nonpregnant patients have been established. However, many of the recommendations for the treatment of pregnant patients who have venous thromboembolism are not based on high-quality data; rather, they are derived from observational studies and extrapolation from studies involving nonpregnant patients. The purpose of this review is to provide a practical approach to the diagnosis, management, and prevention of venous thromboembolism in pregnant patients.

Pengaruh Pemberian Alga Coklat (Sargassum sp.) Terhadap Enzim Katalase Kelenjar Submandibularis Tikus Rattus Norvegicus Strain Wistar Akibat Iradiasi Linear Energy Transfer (LET) Rendah sariano ferni
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

Background: Background: Intraoral radiography use some lower LET (Linear Energy Transfer) and could penetrate submandibular salivary gland. Radiography have negative impact which is decrease catalase enzyme of human body. Brown algae (Sargassum sp.) has a flavonoid antioxidant, polysaccharides as Fucoidan and alginat (Na-alginat) can be used for immunomodulator, antioxidative and activation modulation of immune. Purpose: To knowing effectiveness of brown algae (Sargassum sp.) on activity catalase enzyme submandibular salivary gland Rattus Novergicus strain Wistar with irradiation low LET. Material and Methods: 28 samples of Rattus Novergicus strain Wistar, weight 200gr, age 2-3months, gender male, sample divide into 4 groups, K1 (control with brown algae dosage 0,018mg/kgbw) K2 (use brown algae and irradiation 4 times), K3 (use brown algae and irradiation 8 times), K4 (use brown algae and irradiation 14 times). Brown algae been given 7days before apply irradiotion on day 8, then did euthanasia and took submandibular salivary gland. After that did measurement activity of catalase enzyme and counted by spectrophotometer with 240 λ. Result: Data were analyze by Shapiro-wilk, One Way ANOVA and Bonferroni. The activity of catalase enzyme have increased; 0,2586 ± 0,1050 (K1), 0,2595 ± 0,0630 (K2), 0,3252 ± 0,1663 (K3), 0,3668 ± 0,0852 (K4) but theres no significant differences activity of catalase enzyme between one group to other group. Conclusion: Brown algae dosage 0,018mg/kgbw can’t increase activity of catalase enzyme on Rattus Novergicus strain Wistar.

Tinjauan Anatomi Klinik dan Manajemen Bell's Palsy Nur Mujaddidah
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

Bell's Palsy is a peripheral facial nerve weakness (facial nerve) with acute onset on one side of the face. This condition causes the inability of the patient to move half of his face consciously (volunter) on the affected side. The Bell's Palsy incidence is 20-30 cases out of 100.000 people and accounts for 60-70% of all cases of unilateral facial paralysis. The disease is self-limited, but causes great suffering for patients who are not treated properly. Controversy in the management is still debated, and the cause is still unknown. The underlying hypothesis is ischemic, vascular, viral, bacterial, hereditary, and immunologic. Therapy done so far is to improve facial nerve function and healing process. The management of the therapy used will be closely related to the structure of the anatomy and its functions and associated abnormalities. The modalities of Bell's Palsy therapy are with corticosteroids and antivirals, facial exercises, electrostimulation, physiotherapy and decompression operations. Approximately 80-90% of patients with Bell's palsy recover completely within 6 months, even in 50-60% of cases improved within 3 weeks. Approximately 10% experienced persistent facial muscle asymmetry, and 5% experienced severe sequelae, and 8% of cases were recurrent.

Histopathology of Left Ventricular Mice Presented with Electrical Cigarettes (ENDS) and Conventional Yanuarita Tursinawati Tursinawati; Noor Yazid Yazid; Findi Wira Purnawati
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

ABSTRACTElectric Cigarette (ENDS) and conventional contains carbon monoxide (CO) which is a major cause of cardiovascular disease. CO is a dangerous substance since as free radicals it have high affinity for hemoglobin. Thus affinity could lead to tissue hypoxia resulting in cell death (necrosis) started by the cell nucleus pyknosis. In order to further study about the effect, this experiment is conducted to identify the histopathological appearence of the left ventricle rat against exposure to electric cigarette (ENDS) and conventional. This study was conducted with a post test only control group design method. Samples contained 18 Rattus novergicus rat which was divided in 3 groups: control group (K) as a negative control, P1 group were exposed by conventional cigarretes, and P2 group were exposed by ENDS. The treatment had been maintained for 30 days, followed by termination to perform the heart organ dissection and HE staining in order to made preparat. Preparat was observed by 400x lens of microscope to identify the pyknosis of the nuclei in 5 field of view. Data were analyzed with oneway ANOVA test with p<0,05 and CI=95%. This study proved that there was a significant differences of pycnotic nuclei amount among the group (p-value=0,008). There was significant difference between group K with P1 (p=0,004), group K with group P2 (p=0,012). There was no significant difference between group P1 and P2 (p=0,567).It can be conluded that exposure to either electric cigarette (ENDS) or conventional cigarette gives significant effect to cell nucleus pycnosis. Meanwhile, the effect comes from exposure of electric cigarette smoke (ENDS) has no significant difference with conventional cigarette. Keywords: histopathological appearance of left ventricle, electrical cigarette, ENDS, conventional cigarette ABSTRAKRokok elektrik (ENDS) dan konvensional mengandung karbonmonoksida (CO) yang diduga berperan utama menyebabkan penyakit kardiovaskuler.CO merupakan zat yang berbahaya karena sebagai radikal bebas dan sifatnya yang memiliki afinitas yang tinggi terhadap Hemoglobin. Hal ini dapat menyebabkan hipoksia jaringan yang mengakibatkan kematian sel (nekrosis) ditandai dengan inti sel yang piknosis. Tujuan penelitian ini untuk mengidentifikasi gambaran histopatologi ventrikel kiri tikus terhadap paparan rokok elektrik (ENDS) dan konvensional. Penelitian ini merupakan penelitian eksperimental dengan rancangan post test only control group design. Sampel adalah tikus Rattus norvegicus dengan jumlah 18 ekor dibagi dalam 3 kelompok, yakni kelompok K sebagai kontrol negatif, kelompok P1 diberikan paparan Rokok Konvensional dan kelompok P2 diberikan paparan rokok elektrik (ENDS). Sampel diperlakukan selama 30 hari, kemudian diterminasi untuk pengambilan organ jantung dan dibuat preparat dengan pengecatan HE. Pembacaan preparat dengan mikroskop perbesaran 400x untuk melihat inti sel piknotik pada 5 lapang pandang. Data dianalisis menggunakan uji Oneway ANOVA dengan p<0,05 dan CI=95%. Dari hasil penelitian didapatkan perbedaan yang bermakna jumlah inti sel piknotik pada ketiga kelompok (p-value=0,008). Terdapat perbedaan yang signifikan antara kelompok K dan P1 (p=0,004), kelompok K dan P2 (p=0,012). Namun antar kelompok P1 dan P2 tidak terdapat perbedaan bermakna (p=0,567).Paparan rokok elektrik dan konvensional memiliki efek yang signifikan dibanding kontrol terhadap jumlah inti piknotik. Namun, Jumlah inti sel piknotik ventrikel kiri tikus tidak mengalami perbedaan bermakna antara paparan asap rokok elektrik (ENDS) dan konvensional. Kata kunci: Histopatologi ventrikel kiri, rokok elektrik,ENDS, rokok konvensional.

Femur Pathological Fracture Caused by Metastatic Bone Disease Derived from Foot Squamous Cell Carcinoma Ferdiansyah .; Mouli Edward; Muhammad Hardian Basuki; Deny Mory Aryawan
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

Background : Bone is an organ and the most common site that prone to metastatic cancer and cause serious morbidity. Besides, metastatic cancer to bone will limit skeletal function so that decrease quality of life and even death that most of them caused by its complication.Objective : Reporting a rare case about Squamous Cell Carcinoma that cause femur pathological fracture caused by Metastatic Bone Disease.Material and Method : Case report in women patients 55 years old with femur close fracture one-third middle caused by Metastatic Bone Disease in RSUD Soetomo Surabaya, period May 2015-March 2016.Data is taken retrospectively from medical record through interview, physical examination, radiological examination, and laboratory.Result and Discussion : Patients are treated in hospital because of femur close fracture one-third middle caused by Metastatic Bone Disease. Based on physical and radiological examination, it is decided being done by skin traction first. The next plan is surgery. Patients are treated with interlocking nail left femur. Evaluation after surgery is done with medical rehabilitation, that is ROM exercise. Until now, 9 months after surgery, patients still control routinely to be done chemotherapy and there is improvement in patient’s condition.Conclusion : Metastatic process in bone often cause pathological fracture. Bone Metastatic is common from Breast, Lung, Prostate and Kideney Cancer. There was no publication before about Bone Metastatic Disease come from Squamous Cell Cancer. Mirel’s score is used as guiding in fixation prior to the next treatment. Decision of surgery is considered through patient’s objective and subjective appraisal that can be calculated in Abdurrahman score system.

P-selectin levels in women with endometriosis and non-endometriosis Tonny Simarmata
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

The discovery of a decline in the cellular immune system in endometrial tissue of women with endometriosis triggers the idea that immunologic factors may play a role in the process of endometriosis. This study was conducted to determine differences in blood plasma P-selectin levels in women with endometriosis and non endometriosis. This cross-sectional study was conducted at the Department of Obstetrics and Gynecology of the Faculty of Medicine, University of North Sumatra (FK USU) from April to August 2014. P-selectin levels were measured through blood plasma of women with endometriosis (cases) and non-endometriosis (control) ELISA. Diagnosis of endometriosis is confirmed by histopathologic examination with hematoxylin eosin staining. Statistical tests were performed with t-test and anova. Each of 28 cases of endometriosis and control with age 30-39 years (endometriosis 42.9% and control 57.1%). The endometriosis group is entirely with 0 (100%) parity, while the control with parity is ≥3 (92.9%). Most cases of endometriosis in stage 4 (46.4%). P-selectin levels in endometriosis were clinically higher when compared with non endometriosis (30.89 ± 8.27 vs. 28.36 ± 7.78 ng / ml), but no statistically significant difference was found (p> 0.05). There was an average difference of P-selectin levels based on endometriosis stage but statistically no significant difference was found (p> 0.05). P-selectin levels in endometriosis were clinically higher when compared with non-endometriosis but there was no statistically significant difference.

Maternal Mortality Determinants in Refferal Hospital : Three Years Retrospective Study Morel Sembiring
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

Background: Maternal mortality rate is one indicator used to assess overall women health status. According to the WHO, 99% of maternal deaths are delivery related and dominantly occur in developing countries. Objective: To determine the causes of maternal deaths at H. Adam Malik General Hospital Medan based on the following factors: remote determinants, the intermediate determinants, and outcome determinants as a risk factor of maternal deaths. Methods: This retrospective analytical study reviewed medical records of women who underwent delivery at H. Adam Malik General Hospital, Medan from January 1st 2010 until December 31th 2012. Data were statiscally analysed using a descriptive and inferential approach. Univariate, bivariate, and multivariate logistic regression analysis were used. Results: This study obtained as much as 681 complete medical records for 3 years, with 37 maternal deaths. Pre-eclampsia / eclampsia is the most common cause of death by 20 cases (54.1%). Maternal education degree, referral systems, facilities for delivery, history of systemic diseases, pregnancy and postpartum related complications were significantly correlated to the outcome of labor with OR of 1.97; 10.11; 41.36; 5.818; 3.49; and 685.7, respectively and p<0.05. Based on the multiple logistic regression test, maternal history of systemic diseases, pregnancy and postpartum related complications were the three factors that most significantly correlated to maternal mortality with p <0.05. Conclusion: Delivery outcomes were significantly associated with the followingfacrors: formal education, referral status, facilities for delivery, history of systemic diseases, mode of delivery, pregnancy and postpartum related complications. Maternal history of systemic diseases, pregnancy and postpartum related complicationswere the three factors that most significantly correlated to maternal mortality.

Profil PAsien Sindromik Kraniosinostosis selama 5 Tahun di dr.Soetomo Hospital Surabaya Adinda Widita; Magda Hutagalung; Indri Lakhsmi Putri
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

Craniosynostosis is a premature cover of one or more sutures, which may occur as part of syndrome (syndromic) or as a separate defect / isolated defect (nonsyndromic). Cohen and Kreirborg state the incidence of Apert and Crouzon syndromes of 15.5: 1,000,000 and 16.5: 1,000,000 per birth. The incidence of craniosynostosis in Indonesia still not handled properly, as well as low recognition in this disorder. RSUD Dr. Soetomo as an eastern referral hospital, which has one of the centers of plastic surgery education in Indonesia, where craniosynostosis syndromic often occurs, so we have total cases handled in Indonesia. This is a retrospective descriptive study discusses more about the profile of patients syndromic craniosynostosis for 5 years in dr. Soetomo Surabaya, performed on twenty-four first syndromic craniosynostosis patients at Dr. Soetomo Surabaya period 1 January 2008 - 31 December 2013. Out of 24 total patients, 12 cases of apert (29%), 6 crouton cases (54%) and 3 cases of Pfeiffer (17%) were obtained. Based on sex, more commonly found in women (54%). With the most common age, the patient comes first is aged 5-10 years (37%). Each patient has an average of 2 surgeries, with a type of surgical action on cranial vault remodeling patients. Abnormalities of syndromic craniosinostosis found the most common in women and apert syndrome in RSUD dr.Sutomo. Where the most common age when the arrival of 5-10 years, caused by the late diagnosis of the disorder.

Laporan Kasus : Thymik Karsinoma dengan Efusi Perikard Mohammad Subkhan
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 1, No 02 (2017)
Publisher : Universitas Muhammadiyah Surabaya

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