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Dina Keumala Sari
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sumej@usu.ac.id
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Jl. Dr. T. Mansur No. 9 Padang Bulan, Kecamatan Medan Baru, Kota medan, Sumatera Utara, Indonesia
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Sumatera Medical Journal
Published by Universitas Sumatera Utara
ISSN : 26229234     EISSN : 26221357     DOI : 10.32734
Core Subject : Health, Science,
Immunology & microbiology Medicine & Pharmacology
Sumatera Medical Journal (SUMEJ) provides a forum for publishing the full research articles in the area of Medical Science related to topics from the following subject areas: -Cancer and Related Aspects -Biomoleculer in Basic Sciences -Biomoleculer in Clinical Sciences -Tissue Engineering including Stem Cell -Medical and Health Sciences
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 8 Documents
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Search results for , issue "Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)" : 8 Documents clear
Postoperative Rehabilitation Comparison of Patients After Anterior Cervical Disectomy and Autograft Fusion With or Without Smoothing the Donor Site Defect Naomi Sihite, Caryn Anasthasya; Dharmajaya, Ridha
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.5831

Abstract

Background: Anterior cervical discectomy and autograft fusion (ACDF) is the gold standard of surgical treatment for HNP cervical. However, donor site complication has found in the form of pain that could lead to disability. The edge of the donor site defect can initiate pain may reduce patient’s quality of life. High ambulation can be earned by smoothing the donor site defect. Objective: The purpose of this study is to determine the quality of patient rehabilitation after ACDF with autograft between smoothing group and non-smoothing group. Methods: This cross-sectional study was conducted at the Adenin Adenan Hospital Medan. Patients who had undergone ACDF with autograft in 2015–2020 were assessed for their disability at the first, third, and sixth months postoperatively using Barthel Index. Total sampling method was used with inclusion and exclusion criteria. Results: There were 41 respondents in this study, 20 people in the non-smoothing group and 21 people in the smoothing group. The disability experienced by the smoothing group was less than the non-smoothing group at each month of measurement, but only significant (p<0.05) at the sixth month. Conclusion: Conclusions of this study was disability and rehabilitation outcomes in the smoothing group were better than in non-smoothing group.
Effect of Mean Platelet Volume on Outcome of Stroke Infark in Elderly Patient Dalimunthe, Anita Rosari; Probosuseno; Putu Pramantara, I Dewa
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.8254

Abstract

Background: Hyperreactivity and activation of platelet play a role in the occurrence and severity of ischemic stroke in geriatric patients. Mean Platelet Volume (MPV) describes levels of stimulation as well as platelet production rates that may affect the incidence of ischemic stroke and its clinical outcome. Objective: To determine the effect of MPV on the outcome of stroke infarction in geriatric patients. Methods: This was a cohort study. MPV measured at hospital admission. Statistical analysis carried out by Receiver of Curve (ROC) test to determine the MPV cut off point and Chi-square to determine the relationship between MPV and infarction of stroke patient using SPSS v.22. Results: There were 52 stroke patients with mean age 68.25+6.06 years. Clinical outcomes   deteriorated in 38 (73.08%) patients. The AUC value of MPV was 73.3% (p=0.011) with MPV cut off point 10.85fl. Deterioration occurred in 10 (43.38%) patient with MPV >10.85fl. The Chi-square test result was (p<0.001) showing a difference between the groups (RR 3.125 CI 95% 1.134-8.761). Conclusion: Ischemic stroke patients with MPV levels >10.85fl at hospital admission had 3 times chance of deterioration. MPV can be used as prognostic factor for clinical outcome of acute ischemic stroke in geriatric patients.
Description of Potential PTSD in Students Surviving Covid-19 at the Faculty of Medicine, Andalas University Aulia, Annisa; Widya Murni, Arina; Yulistini; Yaunin, Yaslinda; Noer, Mustafa; Ashal, Taufik
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.11588

Abstract

Background: The Covid-19 pandemic has become a potentially traumatic event that can trigger the development of Post-Traumatic Stress Disorder (PTSD), especially in Covid-19 survivors. The study found that college students (aged 16 to 25 years) are at the most significantly risk for exposure to potentially traumatic events. Objective: To describe the potential for PTSD in students who survived Covid-19 at the Faculty of Medicine, Andalas University. Methods: This research is a descriptive study with a case-control design. A total of 167 student survivors of Covid-19 participate in the study. Data were obtained by the PTSD Checklist for DSM-5 (PCL-5) questionnaire digitally. Results: The study found that 18% of Covid-19 survivor students at the Faculty of Medicine, Andalas University had the potential to experience PTSD. The potential for PTSD is more susceptible to being experienced by male Covid-19 survivor students (30.4%), younger age, and experienced clinical symptoms of moderate illness Covid-19 (29,2%). Alterations in mood and cognition symptoms domain are the most dominant symptoms of PTSD experienced by study subjects with potential PTSD. Conclusion: Most study subjects with potential PTSD don’t experience stressors like life-threatening events, exposure to news about Covid-19, or social isolation.
A Literature Review on Arnold-Chiari Disease in Children (Evaluation of Surgical Approach and Post-Surgical Management) Michael; Hanafi Dahlan, Rully; Estethia Ompusunggu, Sevline
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.16431

Abstract

Background: Arnold-Chiari (AC) disease in children is a complex congenital condition requiring multidisciplinary management. Surgical intervention is often necessary to correct affected anatomy and alleviate symptoms. Objective: To investigate surgical approaches and post-surgical management of AC in children and identify knowledge gaps. Methods: Literature search was systematically conducted through PubMed using relevant keywords. Inclusion criteria encompassed studies within the past 15 years pertaining to pediatric neurosurgery and Chiari. Results: Six relevant studies highlighted the importance of intraoperative electrophysiological monitoring, comparison of outcomes between posterior decompression with and without duraplasty, correlation of CSF flow with surgical outcomes, post-operative pain management, and indications for syringosubarachnoid shunt placement. Knowledge gaps remain regarding long-term effects of monitoring techniques, surgical outcome comparisons, CSF flow relationships, and pain management. Conclusion: Surgical intervention for AC in children is critical, yet meticulous post-surgical management is required. Cross-disciplinary collaboration and a holistic approach are necessary to enhance understanding and care of AC in children.
Heart or Grace Score for Diagnostic and Risk Stratification in Acute Coronary Syndrome Patients Napitupulu, Friendina; Hasan, Harris; Afif Siregar, Abdullah
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.17168

Abstract

Background: Some studies found that HEART score is better than GRACE score either as a rule-in method for myocardial infarction or as a risk stratification. However, GRACE score was also found to have better discriminatory ability as a prognostic model for patients with myocardial infarction. Objective: This study aims to evaluate whether the HEART and GRACE scores have equal capabilities either as a diagnostic method for myocardial infarction or risk stratification to predict in-hospital Major Adverse Cardiovascular Events (MACE) in Acute Coronary Syndrome (ACS) patients at Adam Malik Hospital. Methods: This research is a retrospective and prospective observational study. Retrospective data was collected from all medical records of ACS patients from January to December 2022. Prospective data was collected by consecutive sampling until 46 samples were fulfilled from October 2023 at Adam Malik Hospital. Samples included in the research analysis were those who met the inclusion criteria. To compare each score, we use the area under the receiver-operating characteristics (AUC) method. Results: HEART score is superior to GRACE score as a diagnostic method with an AUC of 0.903, a cutoff of 6.5, sensitivity of 86%, and specificity of 80%. The GRACE score is superior to the HEART score as a risk stratification with an AUC of 0.719, a cutoff of 128.5, sensitivity of 66%, and specificity of 65%. Conclusion: HEART score is superior for diagnosis, and GRACE score is superior for risk stratification.
Case Report: Masson’s Tumor in Maxillary Sinus with Concurrent Inferior Turbinate Hemangioma – a Rare Entity Kaur Kuldep Singh, Manpreet; Govindaraju, Revadi
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.18313

Abstract

Background: Masson's tumour, also known as intravascular papillary endothelial hyperplasia (IPEH), is a relatively uncommon benign vascular lesion that develops in organising thrombus, whereas hemangiomas are benign vascular tumours that can develop anywhere there are blood vessels. Objective: To report a rare case of Masson's tumour in the maxillary sinus with concurrent inferior turbinate hemangioma and to explore the possible association between these two vascular anomalies. Methods: A 31-year-old female patient who is otherwise healthy presented with intermittent epistaxis, facial pain, and numbness. Imaging examinations discovered a mass in the maxillary sinus, which led to a possible malignancy diagnosis. Results: A post-surgery histological report supported the diagnosis of a benign vascular lesion called Masson's tumour in the maxillary sinus with concurrent inferior turbinate hemangioma. Based on our literature review, this is the 12th case of IPEH in the maxillary sinus. Conclusion: The concurrent presentation of Masson's tumour in the maxillary sinus with an inferior turbinate hemangioma suggests a possible association between these two vascular anomalies.
Kanggoroo Mother Care as a Method to Increase the Weight of Premature Babies with Fenton Chart Monitoring: A Health Promotion Program Lubis, Syamsidah; Zakky Abdillah, Hafaz; Triyanthi Lubis, Arvitamuriany; Wahyuni, Fera
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.18407

Abstract

Background: Premature birth is defined as the birth of a baby before 37 weeks gestation. Kangaroo Mother Care (KMC) is a care technique, particularly beneficial for premature infants, that emphasizes skin-to-skin contact between the mother and her baby. Research shows that KMC significantly reduce the number of neonatal deaths, preventing hypothermia, reducing the occurrence of infections, increasing baby growth and development, increasing breastfeeding and bonding between mother and baby. Objective: To emphasize the importance of Kangaroo Mother Care for premature infants and address the barriers that may affect its implementation. Methods: A review of current literature and research findings related to Kangaroo Mother Care was conducted, focusing on health benefits and common challenges to its application in different settings. Results: KMC significantly reduce neonatal deaths, prevent hypothermia, reduce infections, and support baby growth and development. It also increases breastfeeding and bonding between mother and baby. However, some beliefs may restrict physical contact with newborns or dictate other types of care that do not involve close, continuous contact. Conclusion: Kangaroo Mother Care is an effective method for improving outcomes in premature infants. Therefore, it is important to educate healthcare workers and mothers the importance of Kangaroo Mother Care to promote its adoption and overcome cultural barriers.
Risk Factors for Lung Cancer in Non-smoking Women, North Sumatera, Indonesia Buana, Indra; Soeroso, Noni Novisari; Tarigan, Setia Putra; Syahruddin, Elisna
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.18763

Abstract

Background: Basic Health Research Data in 2018 reported that lung cancer in women in Indonesia ranked third after breast cancer. A person's risk of developing lung cancer can be evaluated by looking at age, genetic predisposition, tobacco use, and exposure to toxic agents. Objective: To obtain data on several risk factors associated with the incidence of lung cancer in non-smoking women at Adam Malik General Hospital and Santa Elisabeth General Hospital. Methods: This case-control matching study involved 224 research subjects through medical record data collection from January 2019 to December 2020. All subjects were confirmed by questionnaires related to risk factors: age, exposure to cigarette smoke (passive smokers), genetics, exposure to firewood, and air pollution. Data were analyzed by logistic regression test. Results: The average age in the case group was 57.86 years; in the control group, 47.4 years. Five risk factors influenced lung cancer incidence: age (p = 0.008), passive smokers (p = 0.043), genetic factors (p < 0.001), exposure to firewood (p = 0.007), and air pollution (p = 0.041). Conclusion: Risk factors that significantly influence lung cancer incidence in non-smoking women are age over 40 years, genetic factors, passive smoking, and exposure to firewood.

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