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SCRIPTA SCORE Scientific Medical Journal
Published by Universitas Sumatera Utara
ISSN : 20888686     EISSN : 26860864     DOI : https://doi.org/10.32734/scripta.v1i2
Core Subject : Health,
Medicine & Pharmacology
SCRIPTA SCORE Scientific Medical Journal is a journal aimed to provide a forum for publishing scientific articles in the field of medical or health science. The main focus of SCRIPTA SCORE Scientific Medical Journal is tropical medicine and oncology medicine also the rest of medical fields as the additional focus. To achieve its aim, SCRIPTA SCORE Scientific Medical Journal publishes research articles, review articles, and case reports especially manuscript with a regional or national data to raise the interest of the reader in tropical medicine or oncology medicine as the main focus and the rest of medical fields as the addition focus.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 148 Documents
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Penerapan Posisi Miring Kanan dan Miring Kiri (Ambulasi) terhadap Pencegahan Dekubitus pada Pasien Stroke Hemoragik Setiawan, Igo; Susyanti, Deni; Pratama, Muchti Yuda
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10511

Abstract

Left and right oblique positions are ambulation that must be done in patients who have hemorrhagic strokes to prevent decubitus. Decubitus is a complication due to pressure on a squeezed area of ​​the body resulting in pressure sores. This research method is a case study research with a medical-surgical nursing care approach. The study was conducted by two hemorrhagic stroke patients who were given left and right oblique ambulation interventions. The results of the study showed that early left and right oblique ambulation is very useful in preventing decubitus so that it must be applied by nurses to hemorrhagic stroke patients. In addition to preventing decubitus, in patients I and II there was an increase in muscle strength so that it would prevent muscle atrophy. The research recommendation is that left and right oblique ambulation can be applied to hemorrhagic stroke patients, so as to prevent complications such as pressure sores.
Profile of Breast Cancer Patients on Estrogen Receptor Expression in RSUD. Dr. Pirngadi Medan 2018-2019 Laras, Naomi Laksita; Pohan, Pimpin Utama
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10520

Abstract

Background: Breast cancer is a type of cancer with the highest incidence and become the leading cause of death in the world. The incidence rate continues to increase due to various risk factors such as endogenous and exogenous. Immunohistochemical examinations is useful to determine therapy and patient's prognosis. Objectives: This study aims to determine how the profile of breast cancer patients on the expression of estrogen receptor in RSUD. Dr. Pirngadi Medan 2018-2019. Methods: This is descriptive cross-sectional research using random-sampling technique. Data were obtained secondary from medical records of breast cancer patients in hospitals. Dr. Pirngadi Medan 2018-2019. Results: From 250 cases, 71 samples were taken in this study. Of the 71 samples, most of the patients were in the 46-55 year old group with negative ER with 18 people (58.1%), 13 people (56.5%) patients had tumor size T4 with positive ER, most of the patients did not have nodular metastases, distant metastases, family history and use of hormones with negative ER with 26 people (63.4%), 39 people (66.1%), 36 people (60%) and 42 people (62.7%), respectively (66.7%) patients had obese with negative ER, invasive ductal histopathology type with negative ER was mostly found in 41 people (63.1%) and the most histopathological grading was in grade 2 with negative ER with 26 people (57.8%). Conclusion:  Almost all patients based on the characteristics of the majority of breast cancer have negative ER, except patients with T4 tumor size have positive ER. Keywords: breast cancer, estrogen receptor, histopathology type, immunohistochemistry, metastases   Latar Belakang: Kanker payudara merupakan jenis kanker dengan angka kejadian tertinggi dan menjadi penyebab utama kematian di dunia. Angka kejadian tersebut terus meningkat disebabkan oleh berbagai faktor risiko seperti faktor endogen maupun eksogen. Pemeriksaan imunohistokimia seperti reseptor estrogen berguna untuk menentukan terapi dan prognosis pasien. Tujuan: Penelitian ini bertujuan untuk mengetahui bagaimana profil pasien kanker payudara terhadap ekspresi protein reseptor estrogen di RSUD. Dr. Pirngadi Medan Tahun 2018-2019. Metode: Penelitian yang dilakukan adalah penelitian deskriptif observasional menggunakan desain cross sectional dengan teknik pengambilan sampel random sampling. Data diperoleh secara sekunder dari rekam medis pasien kanker payudara di RSUD. Dr. Pirngadi Medan Tahun 2018-2019. Hasil: Dari 250 kasus kanker payudara periode 2018-2019, diambil sampel sebanyak 71 buah rekam medis. Dari 71 sampel, sebagian besar pasien terjadi pada kelompok usia 46-55 tahun dengan ER negatif sebanyak 18 orang (58.1%), sebanyak  13 orang (56.5%) pasien  memiliki ukuran tumor T4 dengan ER positif, sebagian besar pasien tidak mengalami metastasis pembuluh limfe, metastasis jauh, tidak memiliki riwayat keluarga dan penggunaan hormon dengan ER negatif dengan masing-masing sebanyak 26 orang (63.4%), 39 orang (66.1%), 36 orang (60%) dan 42 orang (62.7%), sebanyak 20 orang (66.7%)  pasien memiliki IMT obesitas dengan ER negatif, tipe histopatologi duktal invasif dengan ER negatif paling banyak ditemukan sebanyak 41 orang (63.1%) dan derajat histopatologi terbanyak pada derajat 2 dengan ER negatif sebanyak 26 orang (57.8%). Kesimpulan: Hampir keseluruhan pasien berdasarkan karakteristik kanker payudara mayoritas memiliki ER negatif, kecuali pasien ukuran tumor T4 memiliki ER positif. Kata Kunci: derajat keganasan, gambaran histopatologi, imunohistokimia, kanker payudara, reseptor estrogen
Hubungan Durasi Penggunaan Visual Display Terminal Terhadap Computer Vision Syndrome pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara Wijaya, Vincent; Anggraini, Dwi Rita; Lumongga, Fitriani; Syafriani Siregar, Rosmayanti
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10534

Abstract

Pendahuluan. Computer Vision Syndrome merupakan sekumpulan gejala penglihatan yang disebabkan oleh paparan Visual Display Terminal berupa computer, smartphone, dan lain lain dalam jangka waktu yang lama. Mahasiswa selama pembelajaran daring terpapar Visual Display Terminal dalam jangka waktu yang panjang, membuat mereka rentan terkena Computer Vision Syndrome. Tujuan. Penelitian ini bertujuan untuk mengetahui pengaruh durasi penggunaan Visual Display Terminal terhadap Computer Vision Syndrome pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara. Metode. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross-sectional. Penelitian dilakukan di Fakultas Kedokteran Universitas Sumatera Utara pada bulan Agustus 2022. Sampel penelitian yaitu Mahasiswa aktif Fakultas Kedokteran Universitas Sumatera Utara tahun ajaran 2019-2021 diperoleh dengan stratified random sampling. Hasil. Analisis data penelitian menggunakan uji korelasi spearman’s rho rank correlation. Penelitian menunjukkan terdapat adanya hubungan signifikan durasi penggunaan VDT terhadapat CVS (p = 0.03) dengan nilai korelasi yang lemah (d = 0.314). Kesimpulan. Ada hubungan durasi penggunaan lebih dari empat jam secara terus menerus atau pengunaan VDT selama 6 jam terhadap Computer Vision Syndrome, dengan sumber VDT yang paling sering digunakan adalah smartphone.
Karakteristik Kejadian Dermatitis Kontak Iritan pada Karyawan Pencucian Mobil di Kecamatan Medan Selayang Ricardo, Samuel; Zairina, Nova; Ikhsan, Riyadh; Ramadhani, Sumi
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10545

Abstract

ABSTRAK Latar Belakang: Dermatitis kontak akibat kerja merupakan salah satu penyakit kulit akibat kerja yang banyak terjadi. Dermatitis kontak iritan adalah jenis dermatitis kontak yang paling sering terjadi. Dermatitis kontak iritan merupakan peradangan pada kulit akibat efek sitotosik langsung dari bahan kimia atau iritan. Pada pencucian  mobil pekerja akan terpapar dengan bahan iritan pada sabun colek dan detergen. Kondisi ini dapat menurunkan produktivitas karyawan dan memengaruhi kualitas hidup pekerja. Tujuan: Mengetahui karakteristik kejadian dermatitis kontak iritan pada karyawan pencucian mobil di Kecamatan Medan Selayang. Metode: Penelitian dilakukan dengan metode deskriptif dan pendekatan cross sectional study, dengan jumlah sampel 50 orang yang didapatkan dengan teknik purposive sampling. Seluruh sampel kemudian diwawancara dengan menggunakan kuisioner dan hasil dianalisis dengan aplikasi SPSS. Hasil: Didapatkan hasil kejadian tersering pada laki-laki (100%) dengan rentang usia dibawah 30 tahun (88%). Frekuensi tingkat pendidikan responden terbanyak merupakan tamatan Sekolah Menengah Atas (82%). Mayoritas responden memiliki masa kerja dibawah 2 tahun (66%) dan durasi kerja lebih dari 8 jam setiap hari (62%). Tanda dan gejala tersering kulit mengelupas (66%), dengan bagian tubuh dominan terkena adalah bagian telapak tangan (68%). Kesimpulan: Angka kejadian yang tinggi menandakan bahwa kurangnya pemahaman tentang DKI dan kesadaran akan pentingnya penggunaan Alat Pelindung Diri (APD) ketika bekerja. Penelitian selanjutnya juga disarankan menambah variabel penelitian dan juga jumlah sampel yang lebih banyak. Kata kunci: dermatitis kontak iritan, karakteristik, karyawan, pencucian mobil, penyakit akibat kerja   ABSTRACT Background: Occupational contact dermatitis is one of the most common occupational skin diseases. Irritant Contact Dermatitis (ICD) is the most common type of contact dermatitis. Irritant contact dermatitis is inflammation of the skin due to the direct cytotoxic effects of chemicals or irritants. In car washing industry, workers will be exposed to irritants in dab soap and detergent. This condition can reduce employee productivity and affect the quality of life of workers. Objectives: This study aims to determine the characteristics of the incidence of irritant contact dermatitis in car wash employees in Medan Selayang District. Methods: The research was conducted by descriptive method and cross sectional study approach, with a sample of 50 people obtained by purposive sampling technique. All samples were then interviewed using a questionnaire and the results were analyzed using the SPSS application. Results: The results showed that the most common occurrence was in men (100%) with an age range of under 30 years (88%). The frequency of education level of most respondents is high school graduates (82%). The majority of respondents have a working period of less than 2 years (66%) and a work duration of more than 8 hours per day (62%). The most common signs and symptoms were peeling skin (66%), with the dominant body part affected are the palms (68%). Conclusion: The high incidence indicates that there is a lack of understanding of ICD and awareness of the importance of using Personal Protective Equipment (PPE) when working. Further research is also recommended to add research variables and also a larger number of samples. Keywords: car wash, employee, irritant contact dermatitis, occupational disease, profile
Faktor Risiko Usia dan Gejala Klinis terhadap Status Gizi Anak Penyakit Jantung Bawaan di RSUP H. Adam Malik Medan Tahun 2020-2021 Purba, Jefry Junaidi; Tobing, Tina Christina L.
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10563

Abstract

Pendahuluan. Penyakit jantung bawaan (PJB) merupakan kelainan baik pada struktur jantung atau pembuluh darah besar maupun fungsi jantung yang didapat sejak masih berada dalam kandungan. Beberapa faktor risiko diduga dapat mempengaruhi status gizi anak dengan PJB. Tujuan. Menganalisis faktor risiko usia dan gejala klinis terhadap status gizi anak penyakit jantung bawaan. Metode. Penelitian observasional yang bersifat analitik dengan desain cross sectional study. Teknik pengambilan sampel dilakukan dengan cara consecutive sampling. Pengumpulan data dari rekam medis dan dianalisis dengan aplikasi SPSS, baik uji bivariat (Chi-Square test) dan multivariat (Binary logistic regression). Hasil. Terdapat 185 anak dengan PJB. Mayoritas berjenis kelamin laki-laki (94 orang (50,8%)). VSD merupakan jenis PJB terbanyak (80 orang (43,2%)). Mayoritas berusia 0-5 tahun (129 orang (69,7%)). Mayoritas berstatus malnutrisi (98 orang (53%)). Hasil analisis bivariat, tidak ada hubungan usia terhadap status gizi anak dengan PJB (P=0,892) sedangkan gejala klinis berhubungan terhadap status gizi anak dengan PJB (P=0,000). Hasil analisis multivariat, usia tidak dapat dinilai dikarenakan nilai P=0,892 (P>0,25) sedangkan gejala klinis dapat dinilai dikarenakan nilai P=0,000 (P˂0,25) serta berpengaruh signifikan terhadap status gizi anak dengan PJB (P=0,000 dan AOR=3,260 (95% CI=2,128-4,994)). Kesimpulan. Gejala klinis berhubungan serta berpengaruh signifikan terhadap status gizi anak dengan PJB. Kata kunci: Anak, Penyakit Jantung Bawaan, Status Gizi   Background. Congenital Heart Disease (CHD) is an abnormality in the structure of the heart or large blood vessels as well as heart function that is acquired while still in the womb. Several risk factors are suspected to affect the nutritional status of children with CHD. Aim. Analyzing the risk factors of age and clinical symptoms on the nutritional status of children with congenital heart disease. Methods. An analytic observational study with a cross sectional study design. The sampling technique in this study was carried out by consecutive sampling. Data collection from medical records and analyzed by SPSS application, both bivariate test (Chi-Square test) and multivariate (Binary logistic regression). Results. There are 185 children with CHD. The majority were male (94 people (50.8%)). VSD was the most common type of CHD (80 people (43.2%)). The majority were aged 0-5 years (129 people (69.7%)). The majority were malnourished (98 people (53%)). The results of bivariate analysis showed that there was no relationship between age and the nutritional status of children with CHD (P=0.892) while clinical symptoms were related to the nutritional status of children with CHD (P=0.000). The results of multivariate analysis showed that clinical symptoms could be assessed due to the value of P=0.000 (P˂0.25) and had a significant effect on the nutritional status of children with CHD (P=0.000 and AOR=3,260 (95% CI=2,128-4,994)). Conclusion. Clinical symptoms are associated and have a significant effect on the nutritional status of children with CHD.   Keywords: Child, Congenital Heart Disease, Nutritional Status
Pemanfaatan Alkaline Phosphatase sebagai Novel Biomarker Deteksi dalam Diagnosis Osteoporosis selama Pandemi COVID-19 Siregar, Muhammad Abi Ghoffari; Lathifah, Dyne Soraya; Anvi, Nafisya Maharani
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10656

Abstract

Osteoporosis is a bone disorder characterized by reduced bone mass density so that bones become brittle and increase the risk of fractures. It develops slowly over several years and is often only diagnosed when a fall or sudden impact causes a bone to break (fracture). The incidence of osteoporosis always increase every year and it is estimated that patient with osteoporosis in Indonesia will increase to be 300 millions people in 2050. One of several ways to diagnose osteoporosis is through specific biomarkers that marked formation, resorption and reulation during bone remodeling processes. Various biomarkers are now available for specific and sensitive assessment of the rate for bone formation and bone resorption. For example, the bone formation biomarkers are total alkaline phosphatase (ALP), bone-specific alkaline phosphatase (BALP), osteocalcin (OC), procollagen type 1 N-terminal propeptide (P1NP) and procollagen type 1 C-terminal propeptide (P1CP). Moreover, the decrease of total ALP has been demonstrated with the treatment with alendronate from 79.7 U/L to 64.8 U/L. This literature review is aimed to discuss the utilization of alkaline phosphatase as a novel detection biomarker in the diagnosis of osteoporosis during the COVID-19 pandemic. The literature based on journal searching related to the topic such as, PubMed, Science Direct, and Google Scholar. Researcher have obtained the basis of the disease, the underlying mechanism explains and the detection, through the specificity researcher can see how it may be effective as a biomarker, and the comparison may reveal it’s potential and how it compares to other biomarkers.
Penetrating Facial Trauma Resulting in Loss of Sense Petrus, Asan; Zansen, Jakaria
SCRIPTA SCORE Scientific Medical Journal Vol. 4 No. 2 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v4i2.10922

Abstract

Introduction. Clinical forensic medicine interacts between the law, the judiciary and the police involving living and dead people with the issuance of a visum et repertum. A wound is damage to a part of the body in the form of a break in the integrity of the tissue that can occur due to mechanical violence. The eye organ is particularly vulnerable to injury, which can be fatal and lead to blindness. Trauma is the leading cause of unilateral blindness. Approximately 3 million cases of ocular and orbital trauma occur in the United States each year. An estimated 20,000 to 68,000 of these cases are visually impairing and approximately 40,000 have significant vision loss. Objective. To review forensic and medicolegal cases of sharp facial trauma to sensory loss. Case Illustration. Reported a case of stabbing a woman who was riding a motorcycle with the intention of the perpetrator to seize the victim's motorcycle. Discussion. the results of the examination, the victim is a woman, 54 years old, the patient's general condition is good, cooperative compos mentis consciousness, and examination of vital signs within normal limits. On examination, there were stab wounds on the face covering the forehead, nose and right cheek to the right eyeball due to sharp trauma. It was confirmed that the condition of the victim's left eye was categorized as blind, the eye could not see anymore because the eyeball had been cut and bleeding occurred so that the removal of the eyeball organ had to be done to avoid complications from the injury, but in this case the victim refused to take this action. Conclusion. Based on this injury, the victim suffered a loss of vision. This case constitutes serious injury pursuant to Article 90 of the Penal Code and the suspect is charged under Article 355 of the Penal Code. Key Point: Forensic and Medicolegal, Loss of Sense, Penetrating Facial Trauma
Laporan Kasus Tinea Cruris et Corporis Menahun pada Pasien Usia 60 Tahun di RS Martha Friska Multatuli Medan Thanita, Viktoria
SCRIPTA SCORE Scientific Medical Journal Vol. 5 No. 1 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v5i1.9736

Abstract

ABSTRAK Latar Belakang: Dermatofitosis adalah penyakit jamur superfisial, dengan penyebab Microsporusm, Trichopythonm, dan Epidermophyton. Tinea cruris adalah dermatofitosis superfisial pada lipat paha, pubis, daerah perineum, dan sekitar anus. Tinea korporis merupakan dermatofitosis superfisial pada kulit tidak berambut (glabrous skin). Pada tinea korporis yang menahun dapat terjadi bersama dengan tinea cruris yang disebut tinea corporis et cruris atau sebaliknya tinea cruris et corporis. Tujuan: Melaporkan satu kasus Tinea kruris et korporis pada pasien lansia di RS. Martha Friska Multatuli Medan. Ilustrasi Kasus: Seorang laki-laki lansia, usia 60 tahun datang dengan keluhan gatal dan bercak kemerahan. Didapati gambaran klinis berupa bercak kemerahan pada selangkangan kiri dan kanan, paha kiri dan kanan, daerah kelamin, daerah bokong kiri dan kanan, pinggul kanan dan perut. Pembahasan: Diagnosis ditegakkan berdasarkan anamnese dan pemeriksaan fisik dermatologi. Pengobatan diberikan Ketokonazol tablet, Krim Mikonazol 2%, dan cetirizin tablet. Edukasi yang diberikan menjaga higienitas. Kesimpulan: Terdapat perbaikan klinis pasien dengan pengobatan selama 14 hari. Kata Kunci: dermatofitosis, jamur superfisial, tinea corporis, tinea cruris, tinea cruris et corporis   ABSTRACT Background: Dermatofitosis is superficial fungal infection, caused by Microsporusm, Trichopythonm and Epidermophyton. Tinea cruris is superficial dermatofitosis in groin, pubic area, perineum, and perianal. Tinea corporis is superficial dermatofitosis on glaborus skin. Tinea corporis cronic can be coincidence with tinea cruris and called tinea corporis et cruris or tinea cruris et corporis. Objectives: Reported one case of tinea cruris et corporis of old man in Martha Friska Multatuli Medan. Case Illustration: A patience, 60 years old came with ithcy and reddish spot. The clinical featured reddish spot on right groin, left and right femur, pubic area, left and right gluteus, perianal, and stomach and right cruris. Discussion: Diagnose based on anamnese and dermatology phycal examination. Therapetic are Ketoconazol tablet 200mg 2x1, cream mikonazol 2% 2x1, and cetirizin tablet 1x1. Education keep hyginity. Conclusion: In this patience, there is clinical improvement in 14 days therapeutic. Keywords: dermatofitosis, superficial fungal, tinea corporis, tinea cruris, tinea cruris et corporis
Pemanfaatan Daun Sirsak (Annona muricata) sebagai Sampo Anti Kutu Kepala (Pediculus humanus capitis) Samosir, Fauzan Azmi Hasti Habibi; Darlan, Dewi Masyithah; Nasution, Luthfi Umam Hakim; Panggabean, Grestia Angraini
SCRIPTA SCORE Scientific Medical Journal Vol. 5 No. 1 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v5i1.10530

Abstract

ABSTRAK Latar Belakang: Salah satu masalah yang sering timbul pada kulit kepala adalah pedikulosis kapitis yang disebabkan oleh kutu kepala (Pediculus humanus capitis). Kutu kepala ini akan membuat kepala terasa gatal sehingga terus-menerus menggaruk. Lama-kelamaan, garukan tersebut akan membuat kulit kepala terkelupas sehingga memicu timbulnya masalah lainnya yang bersifat lokal maupun sistemik terutama pada anak dan perempuan. Walaupun kecil, kutu kepala sangat berbahaya, karena hidup dengan menghisap darah dari kulit kepala dan menular dengan mudah ke berbagai tempat, seperti ke bantal, guling, hingga ke kepala manusia. Salah satu cara mengatasi kutu kepala adalah dengan menggunakan pedikulosida sintetis yang mudah didapat di apotek. Tujuan: Untuk mengetahui efektifitas penggunaan sampo dari daun sirsak dalam membasmi kutu kepala. Metode: Penelitian ini merupakan penelitian eksperimental dengan menggunakan kutu kepala sebanyak 72 ekor dengan 3 kali replikasi. Kelompok uji terdiri dari kelompok P1 dengan konsentrasi larutan daun sirsak 15% dan kelompok P2 10%. Sampo P1 dan P2 masing-masing dilakukan pengenceran dengan air dengan perbandingan sampo:air, yaitu 1:1 dan 1:2. Hasil: Waktu yang diperlukan untuk mematikan kutu kepala pada kelompok P1 dengan waktu rata-rata 11 detik pada pengujian sampo:air (1:1) dan 11,67 detik pada (1:2). Adapun kelompok P2 pada pengujian sampo:air (1:1) dalam waktu 12 detik dan 12,33 detik pada (1:2). Persentase mortalitas kutu kepala pada keseluruhan kelompok uji adalah 100% dan pada P2 ratarata 12 detik dengan persentase mortalitas 100%. Kesimpulan: Sampo dari daun sirsak efektif dalam membasmi kutu kepala. Kata Kunci: daun sirsak, kutu kepala, pedikulosis kapitis, sampo   ABSTRACT Background: One problem that often arises on the scalp is pediculosis capitis caused by head lice (Pediculus humanus capitis). These head lice will make your head itch and scratching constantly. Over time, the scratching will exfoliate the scalp, triggering other local and systemic problems, especially in children and women. Although small, head lice are very dangerous, because they live by sucking blood from the scalp and spread easily to various places, such as pillows, bolsters, up to the human head. One way to deal with head lice is to use synthetic pediculicides which are easy to get at pharmacies. Objectives: To find out the effectiveness of using soursop leaf shampoo in eradicating hair nails. Methods: This study was an experimental study using 72 head lice with 3 replications. The test group consisted of group P1 with a concentration of 15% soursop leaf solution and group P2 10%. Each of the P1 and P2 shampoos was diluted with water with a shampoo:water ratio, namely 1:1 and 1:2. Results: The time needed to kill head lice in group P1 was 11 seconds on the shampoo:water (1:1) test and 11.67 seconds on (1:2) average. As for the P2 group in the shampoo:water test (1:1) in 12 seconds and 12.33 seconds in (1:2). The percentage of head lice mortality in the entire test group was 100% and at P2 an average of 12 seconds with a mortality rate of 100%. Conclusion: Soursop leaf shampoo is effective in eradicating head lice. Keywords: head lice, pediculosis capitis, shampoo, soursop leaf
Gambaran Faktor Risiko Pasien Stroke Hemoragik di RSUP Haji Adam Medan Periode Januari 2021 s.d Desember 2021 Sibagariang, Deak Bastian
SCRIPTA SCORE Scientific Medical Journal Vol. 5 No. 1 (2023): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v5i1.10587

Abstract

ABSTRAK Latar Belakang. Stroke merupakan penyebab utama kecacatan fisik pada usia produktif dan usia lanjut di dunia. Stroke hemoragik ditandai dengan perdarahan ke dalam jaringan otak yang mengakibatkan hematoma dan pergeseran jaringan otak. Dengan mengidentifikasi faktor risiko stroke dapat membantu penyedia layanan kesehatan untuk menetapkan strategi pencegahan. Tujuan. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko pasien stroke hemoragik di RSUP Haji Adam Malik Medan periode Januari 2021 s.d Desember 2021. Metode. Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross-sectional retrospektif dan menggunakan metode total sampling dengan mengambil seluruh anggota populasi sebagai sampel. Subjek penelitian ini adalah pasien stroke hemoragik RSUP. H. Adam Malik Medan pada periode Januari 2021 s.d Desember 2021. Data yang digunakan adalah data sekunder yang diperoleh dari rekam medis pasien. Analisis yang digunakan adalah analisis univariat. Hasil. Penelitian ini melibatkan 93 pasien stroke hemoragik yang terdiri dari 51 orang (54,8%) laki-laki dan 42 orang (45,2%) perempuan, 10,7% diantaranya berusia ≤ 35 tahun; 14% berusia 36-45 tahun; 28% berusia 46-55 tahun; 24,7% berusia 56-65 tahun; dan 22,6% berusia >65 tahun. Terdapat 17 orang (18,3%) memiliki riwayat diabetes melitus, 74 orang (79,6%) memilki riwayat hipertensi, 27 orang (29%) memiliki riwayat dislipidemia, dan 28 orang (30,1%) memiliki riwayat merokok. Kesimpulan. Mayoritas penderita stroke hemoragik merupakan laki-laki (54,8%) dan kelompok usia di atas 45 tahun (75,3%). Faktor risiko yang paling banyak ditemukan adalah hipertensi (79,6%), diikuti oleh memiliki riwayat merokok (30,1%), lalu memiliki riwayat dislipidemia (29%), dan memiliki riwayat diabetes melitus (18,3%).   Kata Kunci: Faktor risiko, stroke, stroke hemoragik   ABSTRACT Background. Stroke is the main cause of physical disability in the productive age and the elderly in the world. Hemorrhagic stroke is characterized by bleeding into the brain tissue resulting in a hematoma and shift of brain tissue. Identifying stroke risk factors can help health care providers to establish prevention strategies. Objectives. This study aims to describe the risk factors for hemorrhagic stroke patients at Haji Adam Malik Hospital in Medan for the period January 2021 to December 2021. Methods. This research is descriptive study with a cross-sectional retrospective. This study used the total sampling method by taking all members of the population as a sample. Subjects in this study were hemorrhagic stroke patients at RSUP.H. Adam Malik Medan in the period January 2021 to December 2021. The data used is secondary data obtained from the patient's medical record. The analysis used is univariate analysis. Results. This study involved 93 hemorrhagic stroke patients consisting of 51 (54.8%) men and 42 (45.2%) women, 10.7% of whom were aged ≤ 35 years; 14% aged 36-45 years; 28% aged 46-55 years, 24.7% aged 56-65 years, and 22.6% aged >65 years. There were 17 people (18.3%) had a history of diabetes mellitus, 74 people (79.6%) had a history of hypertension, 27 people (29%) had a history of dyslipidemia, and 28 people (30.1%) had a history of smoking. Conclusion. Most of the hemorrhagic stroke patients were male (54.8%) and in the age group above 45 years (75.3%). The most common risk factor found was hypertension (79.6%), followed by  had a history  of  smoking (30.1%), had a history of dyslipidemia (29%), and had a history of diabetes mellitus (18.3%) Keywords: : Hemorrhagic stroke, risk factors, stroke

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