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Rachmat Hidayat
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Surgery Department,Faculty of Medicine, Universitas Sriwijaya Palembang, South Sumatera, Indonesia
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INDONESIA
Sriwijaya Journal of Surgery
Published by Universitas Sriwijaya
ISSN : -     EISSN : 27223558     DOI : https://doi.org/10.37275/sjs.v2i2
Core Subject : Health,
Medicine & Pharmacology
SRIWIJAYA JOURNAL OF SURGERY Sriwijaya Journal of Surgery (SJS) is a peer-reviewed journal published twice a year (June and December) by Department of Surgery, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia. SJS is intended to be the journal for publishing articles reporting the results of research on surgery. SJS invites manuscripts in the various topics include: General Surgery, Gastrointestinal Surgery, Neurosurgery, Orthopedics, Oncology Surgery, Thoracovascular Surgery, Reconstruction Surgery, Children Surgery, Urology, all aspect related surgery and medicine.
Arjuna Subject : Kedokteran - Pembedahan
Articles 132 Documents
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Mortality Predictors in Spontaneous Intracerebral Hemorrhage: External Validation of the ICH Score in the Indonesian Surgical Population Grady Christian; Trijoso Permono; Ziske Maritska
Sriwijaya Journal of Surgery Vol. 9 No. 1 (2026): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v9i1.143

Abstract

Introduction: Spontaneous intracerebral hemorrhage (ICH) is a major contributor to stroke-related mortality and long-term disability, particularly in Indonesia, which faces the highest age-standardized stroke mortality rate in Southeast Asia. This study evaluates the predictive accuracy of the ICH Score for 30-day mortality among patients undergoing surgical intervention at a primary referral center in South Sumatra. Methods: This analytical observational study utilized a retrospective cohort design, analyzing 81 patients with spontaneous ICH who underwent surgical evacuation at Dr. Mohammad Hoesin Central General Hospital Palembang between July 2024 and June 2025. Demographic, clinical, and radiological parameters were evaluated. Accuracy was determined using Receiver Operating Characteristic (ROC) curve analysis to establish the Area Under the Curve (AUC), sensitivity, and specificity. Results: The cohort was predominantly male (56.8 percent) and aged under 80 years (86.4 percent). Significant predictors of 30-day mortality included age 80 years or older (p < 0.001, OR 26.84), lower Glasgow Coma Scale (GCS) scores (p = 0.012), and the presence of intraventricular hemorrhage (IVH) (p < 0.001, OR 15.24). ROC analysis demonstrated an AUC of 0.958 (95 percent CI 0.910–1.000). An optimal ICH Score cut-off of 3 or higher yielded a sensitivity of 86.2 percent and a specificity of 100 percent. Conclusion: The ICH Score serves as an exceptionally accurate prognostic tool in the Indonesian surgical population. An admission score of 3 or higher is a definitive predictor of mortality, facilitating risk stratification and informed clinical decision-making.
Inverse Association between Occupational Ultraviolet Radiation and Renal Cell Carcinoma Incidence: A Systematic Review and Meta-Analysis Rezza Dwi Haryanto
Sriwijaya Journal of Surgery Vol. 9 No. 1 (2026): Sriwijaya Journal of Surgery
Publisher : Surgery Department, Faculty of Medicine Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjs.v9i1.144

Abstract

Introduction: Renal cell carcinoma (RCC) incidence is rising globally. While lifestyle risk factors like obesity and smoking are established, environmental modifiers remain contested. Ultraviolet (UV) radiation induces endogenous vitamin D synthesis, which exhibits potent antineoplastic properties in renal tissues. This systematic review and meta-analysis investigated the association between occupational UV radiation exposure and RCC incidence, addressing confounding variables and geographic variations. Methods: Following PRISMA guidelines, a comprehensive search of PubMed, EMBASE, Cochrane Library, and Web of Science was conducted for observational studies published up to August 2024. Data extraction focused on occupational UV exposure and RCC incidence. Methodological quality was assessed using the Newcastle-Ottawa Scale. Meta-analysis utilized RevMan software to calculate pooled odds ratios (OR) and Standardized Mean Differences (SMD) with 95% confidence intervals (CI). Publication bias was evaluated via funnel plots and Egger’s test. Results: Ten high-quality studies encompassing 364,959 participants were included. The pooled meta-analysis demonstrated a statistically significant inverse association between occupational UV radiation and RCC incidence (OR 0.89; 95% CI 0.87–0.91; p < 0.00001) using a fixed-effects model. SMD analysis of cumulative exposure supported these findings. Subgroup analyses by gender indicated protective trends for both males (OR 0.80) and females (OR 0.75). Funnel plot symmetry indicated no significant publication bias. Conclusion: Long-term occupational UV radiation exposure is significantly associated with a reduced risk of RCC. This protective effect is likely mediated by sustained vitamin D synthesis modulating the renal tumor microenvironment. Future research must utilize personal dosimeters and account for latitudinal gradients to refine occupational health guidelines.

Page 14 of 14 | Total Record : 132

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