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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 301 Documents

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Tumor Mimicking in Musculoskeletal System in Surabaya: A Case Series Bayu Antara Hadi; Mouli Edward
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

ABSTRACTMusculoskeletal tumors are potential causes of heavy morbidity and economic burdens for patients. There are often cases suspected as musculoskeletal tumors based on a specific diagnostic modality because of overlapping features upon physical examination or a tumor-like appearance from the radiological examination, the more reason for triple diagnosis to be performed for an exact diagnosis. We report 5 cases of fractures tumor-mimicking lesions. The First patient, a patient with MRI revealing a primary malignant bone tumor, but with plain thorax x-ray and FNAB, the diagnosis was tuberculosis arthritis of the elbow. The second patient shows metastatic proses with plain radiographic, but from open biopsy, the diagnoses fall to chronic osteomyelitis. The third patient had a history of papillary carcinoma thyroid with pathological fracture of proximal of the left femur, but the biopsy shows a hypercalcemic state. The fourth patient, had mass size 20x15 cm at the thigh, but the biopsy shows Non-Specific Chronic Osteomyelitis. The fifth patient with progressive swelling of the left knee for one year, 10x10 cm in size, the biopsy showed no sign of malignancy but tuberculosis of left distal femur. In conclusion, standard comprehensive diagnosis steps consisting of clinical history, imaging, laboratory and histopathological examinations are crucial to differentiate tumor-mimicking lesions from neoplasms, thus ensuring proper treatment.Keywords: Tumour mimicking, osteosarcoma, chondroma, malignancy

Relationship between Smoking and Quality Of Life on Patient’s with Chronic Obstructive Pulmonary Disease In Dr.Reksodiwiryo Padang Hospital Dita Hasni; Jely Safitri; Nadia Purnama Dewi; Nilas Warlem
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i1.3397

Abstract Chronic obstructive pulmonary disease (COPD) is a lung disease with the limitation of the airway, which is not completely reversible and is progressive. One of the risk factors of this disease is exposure to cigarette smoke for a long time. The purpose of this research is to know the relationship of smoking with the quality of life of chronic obstructive pulmonary disease patients at Dr. Reksodiwiryo Padang Hospital. This cross-sectional research has been implemented in February-May 2019 and involving 35 research subjects that meet inclusion and exclusion criteria. In this study, data was obtained that 97.1% of male gender research subjects, aged 60-69 years, 37.1%, 45.7% had moderate smoking status, poor quality of life 54.3% and there was a relationship with quality of life in Dr. Reksodiwiryo Padang Hospital (P-value < 0.05). In this research can be concluded that there is a smoking relationship with the quality of life patients of chronic abortive pulmonary disease patients in Dr. Reksodiwiryo Hospital, Padang.Keywords: Smoking Status, quality of life, COPD.

Zero Maternal Death with KECUBUNG Featured in SATE Krembung Application (Integrated Queue System) in Krembung Community Health Center in 2017 until 2018 Arif Rahman Nurdianto
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

ABSTRACTThere are some special programs in Maternal and Child Health that have not yet been reached and have a bad trend like the number of Low Birth Weight (LBW), cases of stillbirth, and babies died. There was a congenital defect in babies, increased obstetric complications, and there is one case of maternal death. There were neo-complications in infants and babies. The problem that often results in the death of pregnant women is the lack of early detection at first-level facilities in the Krembung Health center. Early detection and treatment or planning in cases of high-risk pregnant women is lacking, and then we created a SATE Krembung application in 2017. Making SATE Krembung application, socializing to the community, socializing the features of KECUBUNG to report mothers at high risk, and bringing services closer to the community and to evaluate reports from residents. Activities are collected, analyzed, and processed into mature data. The number of people activities collected during the collection of data during this research from 500 users of application from 2017 until 2018. There was a decrease in maternal mortality rates to zero patients in 2017 and 2018. The use of SATE Krembung is quite effective in reducing maternal mortality to zero patients in the Krembung health center work area, but this must be improved with the development of applications. The application of SATE Krembung with KECUBUNG feature can reduce maternal mortality by empowering health cadres and the community to be aware of the environmental conditions surrounding them.Keywords : SATE Krembung, KECUBUNG, Maternal Death

Fiber consumption effect on non-communicable disease: how big is the impact? Yuli Indarti
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Abstract Non-communicable diseases have effects on the quality of human resources because, in addition to causes of death and morbidity, they also reduce productivity. Fiber intake was allegedly affecting the incidence of non-communicable diseases. The purpose of this literature review is to look at the link between fiber intake and the incidence of non-communicable diseases and the effect of fiber supplements to treat non-communicable diseases. Several literature indicate that fiber intake is associated with cardiovascular disease, diabetes mellitus, cancer, and obesity. Research also shows fiber supplementation can improve metabolic profiles, blood sugar, insulin resistance in cardiovascular and diabetes mellitus patients. Fiber supplementation also reduces the risk of breast cancer. Fiber intake is related to the incidence of non-communicable diseases and can overcome some non-communicable diseases Keywords : fiber, cardiovascular disease, diabetes mellitus, cancer, supplement

Role Of Inhaled Nitric Oxides In Pregnancy With Eisenmenger Syndrome Muhammad Anas; Nenny Triastuti; Muhammad Perdana Airlangga
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

ABSTRACTEisenmenger Syndrome (ES) is congenital heart disease with pulmonary hypertension and shunting turning from right to left. The resistance of pulmonary vascular more than 7.5 mmHg/L/min. The right ventricle and pulmonary artery always enlarge. During pregnancy, there will be hemodynamic changes that will affect the ES. It can be understood the possible dangers that can occur, like right heart failure; an increase in pulmonary arteries or the aggravation of pulmonary hypertension because there is no decrease in pulmonary resistance; A sudden decrease in venous return in supine hypotension syndrome can cause a relative increase in pulmonary arterial pressure so as to aggravate pulmonary hypertension and reverse shunting.Physiological effects of inhaled nitric oxide (INO) therapy cause selective pulmonary vasodilation: Hypoxia alveoli causes reversible vasoconstriction, thereby increasing pulmonary wedge pressure. INO can lower it. Moderate cardiac output and systematic arterial pressure are not affected; Selective in pulmonary because it is activated by hemoglobin; Selective vasodilation in the ventilated area, local hypoxia alveoli constricts the surrounding vascular tissue and redistributes blood flow to the ventilated lungs better and higher intraalveolar oxygen pressure. INO enhances this mechanism by increasing blood flow through a well-ventilated lung; Bronchodilators; Pulmonary surfactant, The combination of high concentrations of inspired oxygen and high concentrations of INO reduces the minimum surfactant surface tension.Keywords: Inhalation Nitric Oxides, Pregnancy, Eisenmenger Syndrome

Sensitivity and Specificity Comparison Between APFEL, KOIVURANTA, and SINCLAIR Score As PONV Predictor In Post General Anesthesia Patient M Yusuf Gunawan; Arie Utariani; Maulydia Maulydia; Anna Surgean Veterini
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i1.2826

ABSTRACTBackground: Post Operative Nausea Vomiting (PONV) are the two most common and unpleasant side effects after anesthesia and surgery. Without proper prophylactic administration, the PONV incidence is currently around 20% -30% in normal patients and 70% in high-risk patients (Butterworth et al., 2013). Recently, many PONV predictor scores have been used to determine the PONV severity and prophylactic administration. Objective: To compare the scores of Apfel, Koivuranta, and Sinclair as predictors of PONV in adult patients after general anesthesia at RSUD Dr. Soetomo. Methods: A cross-sectional study design conducted in 100 patients who underwent elective surgery under general anesthesia at RSUD Dr. Soetomo Surabaya. Patients who meet the criteria will be recorded in the clinical research form and being followed to evaluate the assessment using Apfel, Koivuranta, and Sinclair scores when the patient is in the recovery room and the ward. A diagnostic test is performed to assess the accuracy between these scores. Results: In this study, the prevalence of PONV after general anesthesia in elective surgery at GBPT RSUD Dr Soetomo Surabaya is 26%. The Apfel score obtained has a sensitivity value of 79.5%, a specificity of 45.9% with an AUC value of 0.701. The Koivuranta score has a sensitivity value of 96.2%, a specificity of 27% with an AUC value of 0.628. The Sinclair score has a sensitivity value of 73.1%, a specificity of 48.6% with an AUC value of 0.619. Conclusion: Apfel's score is more accurate PONV prediction score and has a simpler score determination variable. Keywords : PONV, predictor score, apfel score, koivuranta score, sinclair score, general anesthesia.

Ankle Arthrodesis with Cannulated Screw: Case Series Andre Triadi Desnantyo; Muhammad Zaim Chilmi; Hizbillah Yazid
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

ABSTRACT Ankle osteoarthritis patients are young and lack of available long last treatment. Ankle arthrodesis remains the gold standard and is the procedure of choice for younger patients who are heavy laborers. These case series evaluate and report five patients undergone ankle arthrodesis at RSUD Dr. Soetomo Surabaya on 2012-2016. The data were collected from patient files, radiographs, and a recent physical examination. The outcome has been assessed with SF-36 score and clinical scoring system Ankle-Hind foot American Foot and Ankle Society. Three male patients and two female patients underwent ankle arthrodesis with cannulated screw, caused by neglected severe ankle dislocation. One patient had open dislocation. Based on SF-36 scoring, the five patients had average score 76,7 with highest and lowest score were 95,9 and 56,7. Based on clinical score ankle-hind foot American Ankle and Foot Society, the average score was 68(51 – 88). The scoring result includes general health, physic, emotional, and social. And clinical scoring ankle-hind foot American Foot and Ankle Society evaluation includes pain, function, and alignment. It shows that there was patient that gains an almost perfect result. Patient with the lowest score also had knee osteoarthritis contralateral from the operated ankle. Early weight bearing on ankle arthrodesis with cannulated screw was the major factor caused unsatisfactory result of this patient. Ankle arthrodesis with cannulated screw has satisfactory result eventhough remain complain on one patient. Nevertheless, ankle arthrodesis with cannulated screw still has an important role in the treatment of choice on ankle reconstruction.Keywords : Ankle arthrodesis, cannulated screw, ankle joint fusion

Effectiveness of core stability exercise for knee joint osteoarthritis: A review Muhammad Deyu Wisnubrata; Rahmat Sayyid Zharfan
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Abstract Background: The knee joint is a weight-bearing support joint that often affected by osteoarthritis. Knee joint osteoarthritis is characterized by pain in a movement that disappears when resting, joint stiffness especially after prolonged resting or waking up, crepitations, and can be accompanied by synovitis with or without joint fluid effusion. If the patient was passive, did not do exercises, muscle atrophy can occur, which will worsen the stability and function of the joint. Other consequences that can disrupt daily activities to the most severe feature, such as an inability to walk. Objective: To discuss the role of core stability exercise for pain reduction in osteoarthritis. Method: This type of study is a literature review. Result: The goals of core stability exercise include: increasing muscle strength, improving posture, reducing pain, increasing ability, and functional mobility in patients. The provision of core stability exercise has a relationship between core stability with hip, knee, and ankle. This is because all parts of the body are connected to each other, both directly and indirectly. If the core muscle is strong, the muscles of the hip, knee, and ankle will also be strong. Conclusion: Core stability exercise is potential in the management of knee osteoarthritisKeywords: core stability exercise, joint, knee, osteoarthritis

Wild tembelek plant (Lantana camara) as a potential bioactive natural product againts Streptococcus pyogenes in Indonesia Ricky Indra Alfaray; Rafiqy Sa'adiy Faizun; Lionardy Yodianto; Saruuljavkhlan Batsaikhan; Yudith Annisa Ayu Rezkitha
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Abstract Infectious diseases are common problems in most countries. Streptococcus pyogenes is the infectious agent that causes diseases such as pharyngitis, impetigo, toxic shock syndrome, and necrotizing fasciitis. Tembelek (Lantana camara) is a wild plant that can easily be found in every ecosystem in Indonesia whether in nature or settlements and known as a plant that has an antibacterial effect but the knowledge about its potential against Streptococcus pyogenes in this past five years remain scant. The aim of this study was to determine the potentiality of Lantana camara leaves and flowers extract against Streptococcus pyogenes. In this experimental study, in vitro using Post-test Only Control Group Designed, has been done and confirmed by the Indonesian Institute of Sciences. Lantana camara leaves and flowers extracts were obtained by maceration using ethanol. The extracts were diluted into eight concentrations and their antibacterial activity against Streptococcus pyogenes was tested using the Kirby-Bauer disc then proceeded Minimum Inhibitory Concentration (MIC) test and phytochemical assay. The data processed using SPSS software version 22. The results showed that flowers extract had the most significant inhibition zone (11.85 ± 0.119 mm) compared with the leaves extract (9.54 ± 0.07 mm) at the highest tested concentration was 640 mg/ml. The MIC of both extracts was 250 mg/ml. Flavonoids, phenolic, steroids, and saponins were found in both extracts whereas, alkaloid was found only in flowers extract. In conclusion, the Tembelek plant has an antibacterial effect against Streptococcus pyogenes. Future study is needed related to its mechanism of antibacterial effect. Keywords : Antibacterial potential, Lantana camara; Streptococcus pyogenes

Contamination of water and soil of rice fields with soil transmitted helminths as source of transmission to farmers in Grogol sub-district, Kediri district Siti Munawaroh; Heny Arwati; Puspa Wardhani
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 4, No 1 (2020)
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v4i1.3402

ABSTRACTSoil-transmitted helminths (STH) are the worms which transmitted through the soil. The people of Dusun Semen, Grogol, Kediri have a habit of defecating in the river. Farmers who work in direct contact with water and soil is possible to be infected with STH. The purpose of this study was to determine STH species in water, soils, and farmer's fecal samples. Water samples were collected from three spots of river A and B, soil samples from 43 rice fields, and fecal samples from 50 farmers. Water samples were examined by sedimentation, soil samples by floatation, and fecal samples by Kato-Katz method. The data were then analyzed by Chi square test. Out of 18 water samples, 12 samples (66.7%) were positive, consisted of 4 samples (22.2%) contained of Ascaris lumbricoides and 8 samples (44.4%) contained Trichuris trichiura. Total soil samples were 129, where 8 samples (6.2%) were positive for A. lumbricoides, and 10 samples (7.7%) for T. trichiura. Out of 50 villagers, only 39 gave the fecal samples, where 12 samples (31.0%) were positive consisted of 5 samples (12.8%) for A. lumbricoides, 8 samples (20.5%) for T.trichiura. In conclusion, the STH species found in the media of water, soil, and feces of farmers are the similar namely A. lumbricoides and T. trichiura. Positive farmer samples prove STH transmission from STH contaminated water and soil.Keyword: Water, soil, feces, soil transmitted helminths

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