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Efektivitas Penggunaan Empagliflozin terhadap Nilai HbA1c pada Pasien Diabetes Melitus Tipe 2 Tesalonika Rawung; Jimmy Posangi; Edward Nangoy
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.45424

Abstract: Type 2 diabetes mellitus (T2DM) is the most common type of diabetes today. Lifestyle changes are one of the causes of DM problems. Patients with T2DM are usually treated with oral hypoglycemic drugs. The sodium glucose cotransporter 2 (SGLT-2) group is a type of oral hypoglycemic drug groups that plays a role in reducing HbA1c level. Empagliflozin is a drug included in the SGLT-2 group. Previous clinical trials showed that empagliflozin could lead to a reduction in HbA1c level. This study aimed to determine the effectiveness of using empagliflozin on HbA1C values in T2DM patients. This was a literature review study with data searching using three databases namely, Pubmed, Google Scholar, and Science Direct. The results obtained 10 literatures to be reviewed. All literatures showed that there was a significant effect of empagliflozin on HbA1c value of T2DM patients. In conclusion, type 2 diabetes mellitus patients using empagliflozin show significant decreases in HbA1c values. Keywords: type 2 diabetes mellitus; empagliflozin; HbA1c; sodium glucose cotransporter 2 Abstrak: Diabetes melitus tipe 2 (DMT2) merupakan jenis diabetes yang paling umum ditemukan saat ini. Perubahan gaya hidup menjadi salah satu penyebab timbulnya masalah DM. Penyandang DMT2 biasanya diterapi dengan obat hipoglikemik oral (OHO). Golongan obat sodium glucose cotransporter 2 (SGLT-2) merupakan salah satu jenis golongan obat OHO yang berperan dalam menurunkan kadar HbA1c, salah satunya ialah empagliflozin. Penelitian sebelumnya menunjukkan peran empaglifozin dalam uji klinis dapat menyebabkan penurunan kadar HbA1c. Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan empagliflozin terhadap nilai HbA1C pada pasien DMT2. Jenis penelitian ini ialah suatu literature review dengan pencarian data menggunakan tida sumber basis data yaitu, Pubmed, Google Scholar dan Science Direct. Hasil penelitian mendapatkan sebanyak 10 literatur yang dilakukan review. Kesepuluh artikel memperlihatkan adanya pengaruh bermakna dari penggunaan empagliflozin terhadap nilai HbA1c dari pasien DMT2. Simpulan penelitian ini ialah penggunaan empagliflozin pada pasien diabetes melitus tipe 2 menunjukkan terjadinya penurunan nilai HbA1c yang bermakna. Kata kunci: diabetes melitus tipe 2; empagliflozin; HbA1c; sodium glucose cotransporter 2

Faktor-faktor Prediktor Luaran Malaria Berat pada Anak Mohammad F. D. Sineke; Suryadi N. N. Tatura; Novie H. Rampengan
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.45486

Abstract: Symptoms and severity of malaria infection differ between adults and children. Severe malaria is more common in children than in adults. Severe malaria cases in children can give clinical manifestations that are more fatal, severe and even death. This study aimed to determine the predictor factors of severe malaria outcomes in children. This was a literature review study using Google Scholar database. The results obtained 11 articles that met the inclusion and exclusion criteria. It was found that the clinical form and/or complications of severe malaria, co-infection and severe acute malnutrition could be negative predictors. Conversely, the administration of artemisinin and its derivates can be positive predictors. The intensity of transmission, levels of heme, free hemoglobin, hemopexin, haptoglobin, and sociodemographic factors can also be predictors of severe malaria outcomes in children. In conclusion, there are predictor factors of the outcome of severe malaria in children. Understanding the predictor factors can guide the immediate intervention to avoid poor outcomes and strive for good outcomes or prognosis. Keywords: predictor factors; severe malaria; signs and symptoms; outcome of malaria in children Abstrak: Gejala dan keparahan infeksi malaria berbeda pada dewasa dan anak. Infeksi malaria berat lebih sering terjadi pada anak dibandingkan dengan dewasa. Kasus malaria berat pada anak dapat memberikan manifestasi klinis yang lebih fatal, parah bahkan kematian. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang dapat menjadi prediktor terhadap luaran malaria berat pada anak. Jenis penelitian ialah studi literatur yang diambil dari database Google Scholar. Hasil penelitian mendapatkan bahwa bentuk klinis dan/atau komplikasi dari malaria berat, koinfeksi dan malnutrisi akut yang berat dapat menjadi prediktor yang negatif. Sebaliknya, pemberian artemisinin dan derivatnya dapat menjadi prediktor yang positif. Intensitas penularan, kadar heme, hemoglobin bebas, hemopexin, haptoglobin dan faktor sosiodemografi juga dapat menjadi faktor prediktor luaran malaria berat pada anak. Simpulan penelitian ini ialah terdapat faktor-faktor yang dapat menjadi prediktor terhadap luaran malaria berat pada anak. Permahaman terhadap faktor-faktor prediktor dapat menjadi pedoman pada intervensi segera untuk menghindari luaran yang buruk dan mengupayakan luaran atau prognosis yang baik. Kata kunci: faktor prediktor; malaria berat; gejala dan keparahan infeksi; luaran malaria pada anak

Analisis Hubungan Indikator Mutu Pelayanan Gizi dengan Kepuasan Pasien Rawat Inap di RSUP Prof. Dr. R. D. Kandou, Manado Sumiati Sumiati; Aaltje E. Manampiring; Herlina I. S. Wungouw
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46149

Abstract: Patient satisfaction is one of the benchmarks in evaluation of the success of a hospital in providing services. Nutrition is one of the determinants in supporting patient health; therefore, nutrition services for patients must be well considered to improve patient satisfaction in receiving all services at the hospital. This study aimed to determine inpatient satisfaction using indicators of the quality of nutrition services at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional design. A questionnaire was used as the instrument. Data were analyzed using the SPSS program with univariate, bivariate, and multivariate analyses. The results obtained 43 inpatients as respondents. The chi-square test showed significant p-values for timeliness (p=0.000), diet prescription accuracy (p=0.000), and food waste (p=0.000). Moreover, the multivariate analysis indicated that the highest Exp(B) value was 38,000 for the timeliness of feeding. In conclusion, there are significant relationships between the service indicators namely timeliness of feeding, accuracy of diet prescriptions, and food waste with the satisfaction of inpatients at Prof. Dr. R. D. Kandou Hospital, Manado. Timeliness is the most relevant factor. Keywords: patients’ satisfaction; timeliness; diet prescription accuracy; food waste Abstrak: Kepuasan pasien menjadi salah satu tolok ukur pada penilaian keberhasilan rumah sakit dalam memberikan pelayanan. Gizi menjadi salah satu penentu dalam menunjang kesehatan pasien dan pelayanan gizi pada pasien harus diperhatikan agar pasien tetap merasa puas dalam menerima semua pelayanan di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan indikator mutu pelayanan gizi dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang menggunakan kuesioner. Sampel penelitian ialah pasien rawat inap di RSUP Prof. Dr. R. D. Kandou. Data perolehan dianalisis menggunakan program SPSS dengan analisis univariat, bivariat dan multivariat. Hasil penelitian mendapatkan 43 pasien rawat inap sebagai responden. Hasil uji chi-square mendapat-kan nilai signifikansi untuk ketepatan waktu p=0,000, ketepatan preskripsi diet p=0,000 dan sisa makanan p=0,000. Hasil analisis multivariat menunjukkan nilai Exp(B) tertinggi sebesar 38,000 pada ketepatan waktu pemberian makanan. Simpulan penelitian ini ialah indikator pelayanan ketepatan waktu pemberian makanan, ketepatan preskripsi diet, dan sisa makanan berhubungan bermakna dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou, Manado. Ketepatan waktu merupakan faktor yang paling berhubungan dengan kepuasan pasien. Kata kunci: kepuasan pasien; ketepatan waktu; ketepatan preskripsi diet; sisa makanan

Faktor-faktor yang Berhubungan dengan Kepuasan Pasien di Instalasi Rawat Jalan RSUP Prof. Dr. R. D. Kandou, Manado Pontoh J. Ch. Putera; Jimmy Posangi; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46227

Abstract: Measuring the level of patient satisfaction in hospitals must be carried out periodically, accurately, and continuously. Patient satisfaction can be achieved if the patient receives services according to what is needed and expected. The level of patient satisfaction describes the quality of services provided by the hospital. This study aimed to analyze factors related to outpatient satisfaction at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional approach. This study was conducted at Prof. Dr. R. D. Kandou Hospital with a total sample of 390 patients taken by simple random sampling. Data were obtained from questionnaires and were analyzed univariately, bivariately using the chi-square test, and multivariately using the logistic regression test. Statistical calculation using the SPSS program. The results of the chi-square test showed the p-values of relationships between patient satisfaction and the variable aspects, as follows: tangibles p=0.000; responsiveness p=0.000; reliability p=0.000; assurance p=0.000; and empathy p=0.000. The results of multivariate analysis using the logistic regression test obtained that the highest Exp (B) value of 586.267 on the tangibles aspect. In conclusion, tangibles, responsiveness, reliability, assurance and empathy have significant relationships with patient satisfaction to the services at Prof. Dr. R. D. Kandou Manado. The most related factor with patient satisfaction is tangibles. Keywords: patient satisfaction; service quality; tangibles; responsiveness; reliability; assurance; empathy Abstrak: Pengukuran tingkat kepuasan pasien di rumah sakit wajib dilakukan seara berkala, akurat dan berkesinambungan. Kepuasan pasien dapat tercapai apabila pasien menerima pelayanan sesuai dengan yang dibutuhkan dan diharapkan. Tingkat kepuasan pasien menggambarkan kualitas pelayanan yang diberikan oleh rumah sakit. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan kepuasan pasien rawat jalan di RSUP Prof. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Penelitian ini dilaksanakan di RSUP Prof. R. D. Kandou Manado dengan jumlah sampel 390 pasien yang diambil secara simple random sampling. Data diperoleh melalui kuesioner, kemudian dianalisis secara univariat, bivariat dengan menggunakan uji chi square, dan multivariat menggnakan uji regresi logistik. Penghitungan statistik menggunakan program SPSS. Hasil uji chi-square terhadap hubungan dengan kepuasan pasien mendapatkan untuk aspek tangibles p=0,000; responsiveness p=0,000; reliability p=0,000; assurance p=0,000; dan empathy p=0,000. Hasil analisis multivariat menggunakan uji regresi logistik mendapatkan nilai Exp (B) tertinggi yaitu 586,267 pada aspek tangibles. Simpulan penelitian ini ialah tangibles, responsiveness, reliability, assurance, dan empathy berhubungan bermakna dengan kepuasan pasien terhadap pelayanan di RSUP Prof. R. D. Kandou Manado. Faktor yang paling berhubungan dengan kepuasan pasien yaitu tangibles. Kata kunci: kepuasan pasien; kualitas layanan; tangibles; responsiveness; reliability; assurance; empathy

Faktor-faktor yang Memengaruhi Stigma Anti Vaksin Covid-19 di Wilayah Kerja UPTD Puskesmas Lirung Beatris Matei; Billy J. Kepel; Dina V. Rombot; Aaltje E. Manampiring
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46240

Abstract: Covid-19 pandemic has a major impact on health and economy. Every individual is required to carry out the Covid-19 vaccination to prevent transmission of the Covid-19 virus. Various stigmas arise among the public regarding the Covid-19 vaccination. This study aimed to determine the factors that influenced the anti-Covid-19 vaccine stigma in the working area of the Unit Pelaksana Teknis Daerah (UPTD) Lirung Health Center. This was a quantitative study with a cross sectional design conducted from August 2022 to January 2023. Variables in this study were: age, sex, education, economic status, and disease history. The chi-square test showed total sample was 200 patients taken by probability sampling. Data were obtained from the questionnaire and analyzed univariately and bivariately using the chi-square test with the SPSS program. Based on the Chi-square test analysis, the relationships between five variables and the stigma showed p-values of >0.05, namely age (p=0.732), sex (p=0.921), education (p=0.564), economic status (p=0.086), dan disease history (p=0.688). In conclusion, age, sex, education, economic status, and disease history have not significant relationships with the anti-vaccine-Covid-19 stigma at the working area of UPTD Puskesmas Lirung. Keywords: Covid-19; stigma in the community; Covid-19 vaccination Abstrak: Pandemi Covid-19 memberikan dampak besar baik dalam dunia kesehatan maupun perekonomian. Setiap anggota masyarakat diwajibkan untuk menerima vaksinasi Covid-19 untuk mencegah penularan virus Covid-19. Berbagai stigma muncul di kalangan masyarakat tertang vaksin Covid-19. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi stigma anti vaksin Covid-19 di wilayah kerja Unit Pelaksana Teknis Daerah (UPTD) Puskesmas Lirung. Penelitian ini menggunakan metode kuantitatif dengan desain potong lintang, dan dilaksanakan pada bulan Agustus-Januari 2023. Variabel penelitian ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit. Jumlah sampel 200 pasien yang diambil secara probability sampling. Data penelitian diperoleh melalui kuesioner kemudian dianalisis secara univariat dan bivariat dengan uji chi square menggunakan program SPSS. Hasil analisis uji chi-square terhadap hubungan kelima variabel dengan stigma menunjukkan nilai p>0,05, yaitu usia (p=0,732), jenis kelamin (p=0,921), pendidikan (p=0,564), status ekonomi (p=0,086), dan riwayat penyakit (p=0,688). Simpulan penelitian ini ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit tidak memengaruhi stigma anti vaksin Covid-19 di wilayah kerja UPTD Puskesmas Lirung. Kata kunci: Covid-19; stigma di masyarakat; vaksinasi Covid-19

Implementasi Perlindungan Hukum Profesi Dokter Terhadap Layanan Telemedicine di RSUP Prof. Dr. R. D. Kandou Manado Andre M. Watulingas; Erwin G. Kristanto; Caecilia J. J. Waha
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46257

Astract: Reviews of telemedicine concept in various places reported that there were many internal and external problems in each healthcare provider giving telemedicine services. Through interviews, there were several problems found in the concept of telemedicine at Prof. Dr. R. D. Kandou Hospital, Manado, especially problems with law protection. This study aimed to analyze the legal protection of the medical profession at Prof. Dr. R. D. Kandou Hospital. This was a qualitative and descriptive study with grounded research method using interviews. There were five informants in this study. This study used primary data sources obtained by conducting interviews containing open statements. Data were analyzed accordance to the Miles and Huberman method. Based on interviews, legal basis for telemedicine services was still not concrete in the scale of national regulations since only reference regulations were used. The responsibilities of medical profession were in accordance with existing regulations, including ethical, law, and administrative responsibilities. The legal protection for medical profession at Prof. Dr. R. D. Kandou Hospital was very promising, especially the law society organization unit that played an important role in reviewing legal problems experienced by the health workers, especially problems in telemedicine services. The legal principles regarding telemedicine services in Indonesia was not yet concrete and comprehensive, but regarding legal protection they were in accordance with the existing reference rules. In conclusion, at Prof. Dr. R. D. Kandou Hospital the legal protection for medical profession is very promising, however, a fixed law is needed, so that the services provider can work optimally. Keywords: telemedicine; medical law; law path; doctors; patients Abstrak: Tinjauan konsep telemedicine di berbagai tempat melaporkan permasalahan internal maupun eksternal pada setiap provider layanan kesehatan. Melalui wawancara, terdapat beberapa permasalahan yang ditemukan dalam konsep telemedicine di RSUP Prof. Dr. R. D. Kandou Manado terutama mengenai permasalahan perlindungan hukum. Penelitian ini bertujuan untuk menganalisis perlindungan hukum profesi dokter di RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah deskriptif kualitatif menggunakan metode grounded research dengan metode pengumpulan data menggunakan wawancara. Jumlah informan berjumlah lima orang. Penelitian ini menggunakan sumber data primer yang diperoleh dengan dilakukan wawancara yang berisi pertanyaan-pertanyaan terbuka. Analisis data sesuai dengan metode Miles dan Huberman. Berdasarkan hasil wawancara, didapatkan bahwa landasan hukum layanan telemedicine masih belum konkrit dalam skala peraturan nasional yaitu hanya memakai peraturan acuan. Tanggung jawab profesi dokter sudah sesuai dengan peraturan yang ada, meliputi tanggung jawab etik, hukum, administratif. Perlindungan hukum profesi dokter sudah sangat baik, yaitu pihak rumah sakit khususnya unit HUKORMAS berperan penting dalam meninjau permasalahan hukum yang dialami oleh tenaga kesehatan terlebih permasalahan dalam layanan telemedicine. Asas hukum mengenai layanan telemedicine di Indonesua masih belum bisa dijadikan peraturan yang konkrit dan menyeluruh, tetapi mengenai perlindungan hukumnya sudah sesuai dengan aturan-aturan acuan yang ada. Simpulan penelitian ini ialah perlindungan hukum terhadap profesi dokter sudah sangat baik di RSUP Prof. Dr. R. D. Kandou, Manado, tetapi dibutuhkan landasan hukum yang lebih jelas, agar pemberi layanan dapat bekerja dengan lebih maksimal. Kata kunci: telemedicine; hukum kesehatan; jalur hukum; tenaga kesehatan; pasien

Transurethral Vaporization of Bladder Neck Using Holmium Laser: First Experience in Manado Mahesa Krishna; Eko Arianto; Ari Astram; Frendy Wihono; Christof Toreh
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.46491

Abstract: Bladder neck contracture (BNC) is a potential complication after radical prostatectomy (RP). This may be a result of inadequate approximation at the time of surgery, urinary extravasation, or distraction of the bladder neck from a hematoma. Patients commonly complains of a poor urinary stream or prolonged unexplained incontinence. Treatment of BNC requires a tailored approach and can range from simple, office-based procedures to complex surgical reconstruction. We reported a case of 81-year-old male complaining urine retention for one month. The patient had previous open prostate procedure a year prior. On examination, neurogenic causes were excluded. Retrograde ureterocystography revealed bladder neck contracture. Patient was diagnosed as bladder neck contracture post open prostatectomy surgery. Transurethral holmium laser vaporization with 800 micrometre, 20 Hz frequency and 4,5 Joule of power. through a ureteroscope was performed. Two-way Folley catheter 18Fr was inserted without irrigation. Patient was discharged post-surgery two days after catheter removal and spontaneous micturition. Endoscopic balloon dilatation with incision appears to offers promising result in the management of BNC. The consideration of using transurethral vaporization with holmium laser modality was the first procedure ever done in Manado. In conclusion, TUVP is one of the alternatives, minimally invasive procedures to treat BNC. The use of holmium laser for the incision of bladder neck is another alternative to treat BNC with great outome proven by the length of stay (LOS) of two days after the procedure was done. Keywords: bladder neck contracture; transurethral vaporization; holmium laser; post prostatectomy

Efektivitas Terapi Oksigen Hiperbarik pada Nyeri Kronik Osteoartritis Lutut Benny G. Siahaan; Rangga Rawung; Mendy Hatibie
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46565

Abstract: Osteoarthritis (OA) is a degenerative joint disease characterized by progressive cartilage degeneration, subchondral bone changes, osteophyte formation, sinovitis or arthritis. The aim of osteoarthritis management is to reduce pain, increase joint function, and decrease disability. Hyperbaric oxygen therapy (HBOT) can inhibit astrocyte activation and inflammatory factor production, and maintain transmission and intergration of sensoric information through dorsal neurons, therefore, resulting in pain reduction. This study aimed to evaluate the effectiveness of HBOT in chronic pain of knee osteoarthritis. This was a parallel, two-arm, placebo-controlled, randomized clinical trial in adults with knee osteoarthritis at two hospitals in Manado, namely Badan Layanan Umum Rumah Sakit Umum Pusat Prof. Dr. R. D. Kandou and Rumah Sakit Siloam. The results obtained 44 patients suffered from knee osteoarthritis grade 1 dan 2 associated with chronic pain as subjects, divided into two groups namely intervention with HBOT and control groups. Determination of normality of numeric variables was performed with Shapiro-Wilk test. The statistic test confirmed that the distribution of VAS scores was relatively not different between before and after HBOT, and the control group (p=0.421 and p=0.634). In conclusion, hyperbaric oxygen therapy can be used to reduce chronic pain in knee osteoarthritis. Keywords: knee osteoarthritis; hyperbaric oxygen therapy; chronic pain Abstrak: Osteoartritis (OA) merupakan suatu penyakit sendi degeneratif yang dikarakteristikkan dengan degenerasi kartilago progresif, perubahan tulang subkondral, pembentukan osteofit, dan sinovitis atau inflamasi sendi. Tujuan penatalaksanaan OA ialah untuk meredakan nyeri, meningkatkan fungsi, dan membatasi disabilitas Terapi oksigen hiperbarik (TOHB) dapat menginhibisi aktivasi astrosit dan produksi faktor inflamatorik serta mempertahankan transmisi dan integrasi informasi sensori melalui neuron dorsal sehingga nyeri menurun. Penelitian ini bertujuan untuk menilai efektifitas TOHB dalam penatalaksanaan nyeri kronik pada OA lutut. Penelitian ini didesain sebagai suatu parallel, two-arm, placebo-controlled, randomized clinical trial pada dewasa dengan OA lutut di dua rumah sakit di Manado, Badan Layanan Umum Rumah Sakit Umum Pusat Prof. Dr. R. D. Kandou dan Rumah Sakit Siloam. Sebanyak 44 pasien OA lutut grade 1 dan 2 dengan nyeri kronik menjadi subjek penelitian, yang dibagi secara acak atas dua kelompok: intervensi TOHB dan kontrol. Penentuan normalitas variabel numerik dilakukan menggunakan uji Shapiro-Wilk. Hasil statistik mengonfirmasi distribusi penurunan skor VAS relatif tidak berbeda bermakna sebelum dan setelah TOHB dan kelompok kontrol (p=0,421 dan p=0,634). Simpulan penelitian ini terapi oksigen hiperbarik kemungkinan dapat menurunkan nyeri kronik pada penderita osteoartristis lutut. Kata kunci: osteoartritis lutut; terapi oksigen hiperbarik; nyeri kronik

Penilaian Parut Hipertrofi Luka Bakar Berdasarkan Patient and Observer Scar Assessment Scales (POSAS) Eko S. Sinaga; Mendy Hatibie; Maximillian C. Oley; Fredrik G. Langi
Medical Scope Journal Vol. 6 No. 1 (2024): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v6i1.46566

Abstract: Hypertrophic scar of burn can occur due to the imbalances in the wound healing process that can affect the quality of life. Patient and Observer Scar assessment Scales (POSAS) is an assessment instrument both from the patient and the observer. This study aimed to assess hypertrophic scars with POSAS. This was an observational and analytical study with a cross sectional design. Samples were patient with burns admitted to Prof. Dr. R. D. Kandou Hospital, Manado, and its network hospitals. The assessment was carried out directly when the patients being admitted to the hospital. Each patient who met the requirements had demographic and clinical data taken. Subsequent assessments were carried out at one month and six months after the initial treatment procedure. The results obtained 30 patients with burn dominated by females (63%). The most common degree of burns was superficial-middermal (67%). The assessment of POSAS by doctors and patients tended to be the same and both decreased in the first month and the sixth month after initial treatment procedure with a mean value of the total pre- initial treatment procedure score of 51.3±12.1; 1st month 44.2±9.5; 6th month 30.3±5.9. In conclusion, the evaluation of burns that produce acceptable hypertrophic scars using the POSAS score shows similarities in the assessment of observers and patients. Moreover, precautions at the beginning of the observation will affect the POSAS score Keywords: burn; hypertrophic scar; Patient and Observer Scar Assessment Scales Abstrak: Parut hipertrofi paska luka bakar dapat terjadi karena ketidakseimbangan pada proses penyembuhan luka yang dapat memengaruhi kualitas hidup. Patient and Observer Scar Assessment Scales (POSAS) merupakan instrumen penilaian parut baik dari pasien maupun observer. Penelitian ini bertujuan untuk menilai parut hipertrofi dengan menggunakan POSAS. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Sampel penelitian ialah pasien dengan luka bakar yang dirawat di RSUP Prof. Dr. R. D. Kandou dan rumah sakit jejaring. Penilaian dilakukan langsung saat pasien masuk rumah sakit. Setiap pasien yang memenuhi persyaratan diambil data demografik dan kliniknya. Penilaian selanjutnya dilakukan pada satu bulan dan enam bulan paska tindakan perawatan awal. Hasil penelitian mendapatkan 30 pasien dengan luka bakar yang didominasi oleh pasien perempuan (63%). Derajat luka bakar terbanyak ialah superficial-middermal (67%). Penilaian POSAS oleh dokter dan pasien cenderung sama dan mengalami penurunan baik pada bulan pertama dan bulan keenam setelah tindakan dengan nilai mean skor total pra tindakan 51,3±12,1; bulan pertama 44,2±9,5; dan bulan keenam 30,3±5,9. Simpulan penelitian ini ialah evaluasi luka bakar yang menghasilkan jaringan parut akseptabel menggunakan skor POSAS menunjukkan kesamaan penilaian menurut observer dan pasien. Tindakan pencegahan pada awal pengamatan akan memengaruhi skor POSAS. Kata kunci: luka bakar; parut hipertrofi; Patient and Observer Scar Assessment Scales

Faktor Prognostik pada Efusi Pleura Ganas Berdasarkan Skor LENT di RSUP Prof. Dr. R. D. Kandou Manado Enika Tilaar; Adrian Tangkilisan; Christha Tamburian; Grace Korompis
Medical Scope Journal Vol. 5 No. 2 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i2.46618

Abstract: As a complication of cancer, malignant pleural effusion (MPE) is related to varied life expectancy. LENT score is the first validated score in malignant pleural effusion. This study aimed to obtain factors affecting the MPE based on LENT score at Prof. Dr. R. D. Kandou Hospiptal, Manado. This was a prospective study with a cross sectional design Subjects were patients with MPE admitted to Prof Dr. R. D. Kandou from January to November 2022. The results obtained 30 MPE patients consisting of 50% males and 50% females with a mean age of 52 years. There were 22 patients with LDH level <1,500 IU/L dan eight patients with LDH level >1,500 IU/L. Based on ECOG score, there were three patients with score 1, seven patients with score 2, and 20 patients with score 3-4. There were 13 patients with NLR <9 and 17 patients with NLR >9. Lung cancer was the most common cancer causing MPE, followed by gynaecological cancer and breast cancer. Based on LENT score, there were 20 patients with high risk, 10 patients with moderate risk; no patients with low risk. In conclusion, LENT score can be used as prognostic score in patients with malignant pleural effusion. Keywords: malignant pleural effusion; LENT score; complication of cancer Abstrak: Efusi pleura ganas (EPG) merupakan komplikasi dari kanker dan dihubungkan dengan dengan angka harapan hidup yang bervariasi. Skor LENT merupakan skor tervalidasi pertama yang digunakan pada efusi pleura ganas. Penelitian ini bertujuan untuk menggambarkan faktor-faktor yang berperan pada EPG berdasarkan skor LENT di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian prospektif cross sectional dari pasien dengan EPG di RSUP Prof Dr. R. D. Kandou Manado (Januari hingga November 2022). Pada penelitian ini didapatkan 30 pasien EPG (50% laki-laki; 50% perempuan) dengan rerata usia 52 tahun. Terdapat 22 pasien dengan kadar LDH di bawah 1.500 IU/L dan delapan pasien dengan kadar LDH di atas 1.500 IU/L. Berdasarkan skor ECOG, terdapat 3 pasien dengan skor 1, 7 pasien dengan skor 2, dan 20 pasien dengan skor 3-4. Terdapat 13 pasien dengan nilai NLR di bawah 9 dan 17 pasien dengan nilai NLR di atas 9. Kanker paru merupakan tipe tumor paling sering menyebabkan efusi pleura ganas, diikuti kanker ginekologi dan kanker payudara. Berdasarkan skor LENT terdapat 20 pasien dengan resiko tinggi, 10 pasien dengan resiko sedang, dan tidak ada pasien dengan resiko rendah. Skor LENT berperan sebagai skor prognostik pada pasien dengan EPG. Kata kunci: efusi pleura ganas; skor LENT; komplikasi kanker

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Contact Name
Sunny Wangko

Contact Email
sunnypatriciawangko@gmail.com

Phone
+628124455733

Journal Mail Official
sunnypatriciawangko@gmail.com

Editorial Address
medscopej@gmail.com

Location
Kota manado,

Sulawesi utara

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Sunny Wangko

Contact Email sunnypatriciawangko@gmail.com

Phone +628124455733

Journal Mail Official sunnypatriciawangko@gmail.com

Editorial Address medscopej@gmail.com

Location Kota manado, Sulawesi utara INDONESIA

Abstract

Abstract

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Abstract

Abstract

Abstract

Abstract

Abstract

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Abstract

Contact Name
Sunny Wangko

Contact Email
sunnypatriciawangko@gmail.com

Phone
+628124455733

Journal Mail Official
sunnypatriciawangko@gmail.com

Editorial Address
medscopej@gmail.com

Location
Kota manado,

Sulawesi utara

INDONESIA