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Medical Scope Journal (MSJ)
Published by Universitas Sam Ratulangi
ISSN : -     EISSN : 27153312     DOI : https://doi.org/10.35790/msj
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health
Medical Scope Journal (MSJ) diterbitkan oleh Perhimpunan Ahli Anatomi Indonesia (PAAI) Komisariat Manado bekerjasama dengan Fakultas Kedokteran Universitas Sam Ratulangi dua kali setahun pada bulan Juni dan Desember. Tulisan yang dimuat dapat berupa artikel telaah (review article), hasil penelitian, dan laporan kasus dalam bidang ilmu kedokteran baik dalam bahasa Indonesia maupun dalam bahasa Inggris.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 236 Documents
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Efficacy and Safety of Drug Elution Bead-Transarterial Chemoembolization in Advanced Soft Tissue Sarcoma Albert, Albert; Manginstar, Christian O.; Saleh, Denny; Merung, Marselus A.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.58794

Abstract

Abstract: Soft-tissue sarcomas (STS) are rare and heterogeneous tumors originating from mesenchymal tissues. While surgical resection remains the primary treatment, not all patients are eligible for surgery, particularly in advanced stages. Drug-eluting bead transarterial chemoemboli zation (DEB-TACE) is a promising therapeutic option for such cases. This retrospective study evaluated the efficacy and safety of DEB-TACE in 30 patients with advanced STS at Prof. Dr. R. D. Kandou Hospital, Manado, from 2020 to 2023. The overall response rate (ORR) was 76.7% (p<0.05), with five patients achieving complete response and 18 showing partial response. The main adverse reactions included post-embolization syndrome (fever, pain, nausea, vomiting) and grade II or higher bone marrow suppression. Despite a morbidity rate of 93.3%, no treatment-related mortality was observed. In conclusion, DEB-TACE is an effective and safe treatment for advanced STS, providing superior short-term efficacy compared to traditional systemic chemotherapy. Keywords: soft tissue sarcoma; drug eluting bead; transarterial chemoembolization
Gambaran Pola Luka dan Prevalensi Kasus Kecelakaan Lalu Lintas di Bagian Ilmu Kedokteran Forensik dan Medikolegal RSUP Prof. Dr. R. D. Kandou Manado Tahun 2022-2023 Tulung, Margaretha A.; Kristanto, Erwin G.; Tomuka, Djemi
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59606

Abstract

Abstract: Traffic accidents have become one of the health problems causing various material and non-material losses. Victims of traffic accidents can suffer from minor injuries to potentially fatal ones. Patient data on traffic accident cases, including injury patterns, plays a significant role for medical institutions, law enforcement, and the community. These injury patterns may vary among different regions due to various factors. This study aimed to determine the pattern of wounds and the prevalence of traffic accident cases in the Department of Forensic Medicine and Medicolegal at Prof. Dr. R. D. Kandou Hospital Manado in the years 2022-2023. This was a descriptive and retrospective study, using secondary data from Visum et Repertum (VeR) reports of deceased victims due to traffic accident. The results showed that the total number of victims was 36 cases, with 28 victims meeting the inclusion-exclusion criteria. Throughout the years 2022-2023, the highest number of cases occurred in March, with a total of six fatalities. The majority of victims were male, and the most common age group was 17-25 years old (28.57%). The most frequently type of injury was abrasion (54.7%), primarily located on the head and face. The majority of victims were drivers (28.5%), with motorcycles being the most commonly involved vehicles. In conclusion, the majority of cases were male, age group 17-25 years, had abrasion primary located on the head and face, and roled as motorcycle drivers. Keywords: traffic accident; pattern of wounds   Abstrak: Kecelakaan lalu lintas (KLL) menjadi salah satu penyebab masalah kesehatan yang menyebabkan berbagai kerugian material dan non material. Korban KLL dapat mengalami cedera ringan hingga berpotensi menyebabkan kematian. Keberadaan data pasien kasus kecelakaan lalu lintas berupa karakteristik dan gambaran pola luka, memiliki peran signifikan bagi instansi medis, aparat hukum, dan masyarakat. Gambaran pola luka dapat mengalami perbedaan antara korban kecelakaan lalu lintas di suatu daerah dengan daerah yang lain karena berbagai faktor. Penelitian ini bertujuan untuk mengetahui gambaran pola luka dan prevalensi kasus KLL di Bagian Ilmu Kedokteran Forensik dan Medikolegal RSUP Prof. Dr. R. D. Kandou Manado pada tahun 2022-2023. Jenis penelitian ialah deskriptif retrospektif, menggunakan data sekunder dari Visum et Repertum (VeR) korban meninggal dari kasus KLL. Hasil penelitian mendapatkan bahwa jumlah keseluruhan korban sebanyak 36 kasus dengan 28 korban memenuhi kriteria inklusi dan eksklusi. Sepanjang tahun 2022-2023 kasus terbanyak terjadi di bulan Maret dengan total enam korban meninggal. Korban terbanyak berjenis kelamin laki-laki, dan usia pada kelompok 17-25 tahun (28,57%). Jenis luka terbanyak berupa luka lecet (54,7%), dengan lokasi tersering pada bagian kepala dan wajah. Jenis peran korban terbanyak sebagai pengemudi (28,5%) dengan kendaraan paling banyak terlibat berupa sepeda motor (32,14%). Kata kunci: kecelakaan lalu lintas; pola luka
Scalp Defect of Cranioplasty with Titanium Mesh: A Case Report Sonbay, Antonius E.; Prasetyo, Eko; Oley, Maximillian C.; Manuhutu, Yovanka; Tjungkagi, Ferdinan
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59703

Abstract

Abstract: Several implant materials for cranioplasty have been studied, including autologous bone, titanium mesh, polyetheretherketone (PEEK), and polymethyl methacrylate (PMMA). Titanium mesh is believed to have excellent biocompatibility, low cost, and satisfactory cosmetic effects, especially in three-dimensional (3D) custom-made meshes. We reported a 54-year-old man complaining of open wound in his left temporoparietal region since a month. Blood tests showed leukocytosis. Patient was diagnosed as scalp infection with previous cranioplasty using bone cement on temporoparietal region. The patient underwent scalp reconstruction with skin flap, removing skin defect, and split thickness skin graft (STSG) from left thigh. Patient was provided with outpatient medication consisting of analgesics and broad-spectrum antibiotics. Follow-up assessment 14 days after surgery did not reveal any secondary infections on titanium mesh implant and skin flap. The main complications of cranioplasty, in addition to the studied aesthetic results, are represented by the risk of infection, postoperative hematoma, impaired wound healing, as well as prolonged failure due to transplant absorption or infection, as a result of which the prosthesis needs to be removed. In conclusion, titanium mesh is still a better choice of material for cranioplasty in many factors such as price, accessibility, infection rate, and biocompatibility Keywords: scalp; cranioplasty; head injury; prosthesis
Gambaran Kasus Nyeri Punggung Bawah di RSUP Prof. Dr. R. D. Kandou Manado Periode Tahun 2020– 2022 Baka, Reinaldi S. F. N.; Gessal, Joudy; Lampah, Christopher
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59519

Abstract

Abstract: Low back pain (LBP) is a common musculoskeletal complaint that often leads to impairment and disability, with a continuously increasing global incidence. This study aimed to obtain the overview of low back pain cases at the Installation of Medical Rehabilitation of Prof. Dr. R. D. Kandou Hospital in Manado during the period from 2020-2022. This was a descriptive and retrospective study with a cross-sectional design, using medical record data. The results obtained 379 medical records of patients with LBP. The majority of patients were ≥ 56 years (79.2%), female (63.1%), housewives (31.7%), body mass index above 25 kg/m2 (49.6%), non-smokers (88.4%), mechanical etiology (50.1%), and had radiating pain (50.1%). In conclusion, the majority of patients with low back pain were ≥56 years old, female, housewives, excess body mass index, non-smokers, and had mechanical etiology and radiating pain. Keywords: low back pain; age; gender; occupation; body mass index; smoking; etiology; radiating pain    Abstrak: Nyeri punggung bawah (NPB) merupakan keluhan muskuloskeletal yang sering menyebabkan gangguan dan disabilitas, dengan insiden global yang terus meningkat. Penelitian ini bertujuan untuk mengetahui gambaran kasus NPB pada pasien di Instalasi Rehabilitasi Medik di RSUP Prof. Dr. R. D. Kandou periode tahun 2020-2022. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data rekam medis. Hasil penelitian mendapatkan 379 rekam medik pasien dengan NPB (n=379). Mayoritas pasien berusia 56 tahun ke atas (79,2%), didominasi oleh perempuan (63,1%), berlatar belakang sebagai ibu rumah tangga (31,7%), indeks massa tubuh di atas 25 kg/m2 (49,6%), tidak merokok(88,4%), terdapat etiologi mekanik (50,1%), dengan nyeri menjalar (50,1%). Simpulan penelitian ini ialah pasien yang datang dengan nyeri punggung bawah mayoritas berusia 56 tahun ke atas, didominasi perempuan, pekerjaan sebagai ibu rumah tangga, memiliki indeks massa tubuh berlebih, tidak merokok, etiologi mekanik, dan nyeri menjalar. Kata kunci: nyeri punggung bawah; usia; jenis kelamin; pekerjaan, indeks massa tubuh, merokok, etiologi, nyeri menjalar
Hubungan Metakognisi dengan Indeks Prestasi Kumulatif (IPK) Pada Mahasiswa Program Studi Pendidikan Dokter Silalahi, Agnes M.; Pangemanan, Damajanty H. C.; Angmalisang , Elvin C.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.60784

Abstract

Abstract: Grade Point Average (GPA) is an evaluation parameter of student learning outcomes at university, and can be influenced by many factors, one of which is metacognition. Metacognition helps a person become lifelong learners who are independent in learning and able to adapt to the development of science. This study aimed to determine the relationship between metacognition and GPA of medical students of batch 2022 in Universitas Sam Ratulangi. This was a quantitative study with an observational and analytical approach, and designed with a cross-sectional model. Samples were medical students batch 2022 of Universitas Sam Ratulangi, as many as 211 students who met the inclusion criteria. Students' metacognition was measured using the Metacognitive Awareness Inventory (MAI) questionnaire, and GPA data obtained through the students’ transcripts. The results showed that respondents with very good metacognition (12.3%), good (34.1%), enough (52.6%), dan low (0,9%). Respondents’ GPA divided into praised (79,1%), very satisfactory (19,9%), satisfactory (0.5%), and unsatisfactory (0.5%). The Fisher’s Exact Test analysis obtained a p-value of 0.388 (p>0.05). In conclusion, there is not significant relationship between metacognition and GPA of medical students batch 2022 in Universitas Sam Ratulangi. Keywords: metacognition; grade point average; metacognitive awareness inventory   Abstrak: Indeks Prestasi Kumulatif (IPK) merupakan suatu parameter evaluasi hasil belajar mahasiswa pada tingkat pendidikan tinggi, yang dapat dipengaruhi oleh banyak faktor, salah satunya ialah metakognisi. Metakognisi membantu seseorang menjadi lifelong learner yang mandiri dalam belajar dan mampu beradaptasi terhadap perkembangan ilmu pengetahuan. Penelitian ini bertujuan untuk mengetahui hubungan antara metakognisi dengan IPK pada mahasiswa angkatan 2022 Fakultas Kedokteran Universitas Sam Ratulangi. Jenis penelitian ialah kuantitatif dengan pendekatan observasional analitik, dan desain potong lintang. Sampel penelitian ialah mahasiswa angkatan 2022 Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi berjumlah 211 orang yang memenuhi kriteria inklusi. Metakognisi mahasiswa diukur dengan menggunakan kuesioner Metacognitive Awareness Inventory (MAI) dan data IPK didapatkan melalui transkrip nilai mahasiswa. Hasil penelitian mendapatkan responden memiliki metakognisi sangat baik (12,3%), baik (34,1%), cukup (52,6%), dan rendah (0,9%). IPK responden terbagi menjadi pujian (79,1%), sangat memuaskan (19,9%), memuaskan (0,5%), dan kurang memuaskan (0,5%). Hasil analisis Fisher’s Exact Test mendapatkan nilai p=0,388 (p> 0,05). Simpulan penelitian ini ialah idak terdapat hubungan antara metakognisi dengan IPK pada mahasiswa angkatan 2022 Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi. Kata kunci: metakognisi; indeks prestasi kumulatif; metacognitive awareness inventory
Pengaruh Rehabilitasi Kardiovaskular terhadap Kapasitas Fisik pada Pasien Gagal Jantung Santoso, Richard L.; Joseph, Victor F. F.; Panda, Agnes L.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.60821

Abstract

Abstract: Cardiovascular rehabilitation is one of the essential management strategies recommended to enhance functional capacity of patients with heart failure. This study aimed to determine the effect of cardiovascular rehabilitation on physical capacity in heart failure patients at Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive and analytical method with a retrospective and cross-sectional design. This study involved 145 heart failure patients undergoing cardiovascular rehabilitation, of whom 48 fulfilled the inclusion criteria, while 97 were excluded. The results showed that majority of participants were male, aged 45–59 years, and had a body mass index (BMI) in the obesity I category. Most patients had hypertension, dyslipidaemia, and were prescribed ACE-I/ARB and statin therapies. Most participants' ejection fractions were classified as reduced (<40%) or mildly reduced (40–49%). Statistical analysis using the paired t-test showed significant improvements in 6-minute walk test distance, VO2 Max, and METs after cardiovascular rehabilitation (p-value <0.05 for each variable). In conclusion, cardiovascular rehabilitation significantly improved physical capacity in heart failure patients, as evidenced by increased 6-minute walk test distance, VO2 Max, and METs. These findings indicate a positive effect of cardiovascular rehabilitation on the physical capacity of heart failure patients at Prof. Dr. R. D. Kandou Hospital Manado. Keywords: cardiovascular rehabilitation; physical capacity; heart failure   Abstrak:Rehabilitasi kardiovaskular merupakan salah satu strategi penatalaksanaan penting yang direkomendasikan untuk meningkatkan kapasitas fungsional pasien gagal jantung. Penelitian ini bertujuan untuk menganalisis pengaruh rehabilitasi kardiovaskular terhadap kapasitas fisik pada pasien gagal jantung di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang retrospektif. Sampel penelitian ialah 145 pasien gagal jantung yang menjalani rehabilitasi kardiovaskular; 48 pasien memenuhi kriteria inklusi dan 97 pasien dieksklusi. Hasil penelitian mendapatkan mayoritas pasien ialah laki-laki, berusia 45–59 tahun, dengan indeks massa tubuh (IMT) kategori obesitas I. Sebagian besar pasien memiliki hipertensi, dislipidemia, dan mendapatkan terapi ACE-I/ARB serta statin. Sebagian besar fraksi ejeksi pasien dikategorikan sebagai reduced ejection fraction (<40%) atau mildly reduced ejection fraction (40–49%). Analisis statistik menggunakan uji paired t-test menunjukkan peningkatan bermakna pada jarak tempuh uji jalan 6 menit, VO2 Max, dan METs setelah rehabilitasi kardiovaskular (nilai p<0,05 untuk setiap variabel). Simpulan penelitian ini ialah rehabilitasi kardiovaskular secara bermakna meningkatkan kapasitas fisik pasien gagal jantung, yang ditunjukkan oleh peningkatan jarak tempuh uji jalan 6 menit, VO2 Max, dan METs. Temuan ini mengindikasikan adanya pengaruh positif rehabilitasi kardiovaskular terhadap kapasitas fisik pasien gagal jantung di RSUP Prof. Dr. R. D. Kandou Manado. Kata kunci: rehabilitasi kardiovaskular; kapasitas fisik; gagal jantung
Perbandingan Range of Movement pada Pasien Post Total Knee Replacement Teknik Cruciate Retaining dengan Teknik Posterior Stabilized Arikalang, Patrick S.; Noersasongko, Albertus D.; Suharso, Tommy
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.61248

Abstract

Abstract: Total knee replacement (TKR) is a common surgical procedure to treat pain and dysfunction in the knee joint due to osteoarthritis. Two techniques that are often used are cruciate retaining (CR) and posterior stabilized (PS). This study aimed to compare the range of movement (ROM) between the two techniques. This was a comparative study with prospective cohort design conducted at Prof. Dr. R. D. Kandou Manado Hospital. A total of 100 patients undergoing TKR were included, consisting of 12 patients with CR technique and 88 patients with knee PS. ROM technique was measured using goniometer. Statistical analysis used the Mann-Whitney test and linear regression. The results showed that the median age of patients was 66 years dominated by women (77%). There were no significant differences in ROM of knee flexion and extension between CR and PS techniques (p>0.05). Regression analysis showed that the PS technique tended to have a lower ROM than CR (6-7° for knee flexion), but statistically meaningless. The patient's age had a meaningful negative relationship with post-TKR ROM. In conclusion, the CR and PS techniques provide equivalent ROM results in post-TKR patients. The selection of techniques can be adjusted to the operator's expertise, the availability of implants, and hospital facilities. Follow-up research with longer duration and multi-flashlights is needed to evaluate long-term outcomes.    Abstrak: Total knee replacement (TKR) merupakan prosedur bedah yang umum dilakukan untuk mengatasi nyeri dan disfungsi pada sendi lutut akibat osteoartritis. Dua teknik yang sering digunakan yaitu cruciate retaining (CR) dan posterior stabilized (PS). Penelitian ini bertujuan membandingkan range of movement (ROM) antara kedua teknik tersebut. Penelitian ini merupakan studi komparatif dengan desain kohort prospektif yang dilakukan di RSUP Prof. Dr. R. D. Kandou Manado. Sebanyak 100 pasien yang menjalani TKR diikutsertakan, terdiri dari 12 pasien dengan teknik CR dan 88 pasien dengan teknik PS. ROM lutut diukur menggunakan goniometer. Analisis statistik menggunakan uji Mann-Whitney dan regresi linear. Hasil penelitian memperlihatkan median usia pasien ialah 66 tahun didominasi perempuan (77%). Tidak terdapat perbedaan bermakna pada ROM fleksi dan ekstensi lutut antara teknik CR dan PS (p>0,05). Analisis regresi menunjukkan teknik PS cenderung memiliki ROM lebih rendah dibandingkan CR (6-7° untuk fleksi lutut), namun secara statistik tidak bermakna. Usia pasien memiliki hubungan negatif yang bermakna dengan ROM pasca TKR. Simpulan penelitian ini ialah teknik CR dan PS memberikan hasil ROM yang ekuivalen pada pasien pasca TKR. Pemilihan teknik dapat disesuaikan dengan keahlian operator, ketersediaan implan, dan fasilitas rumah sakit. Penelitian lanjutan dengan durasi lebih panjang dan multi-senter diperlukan untuk mengevaluasi hasil jangka panjang. Kata kunci: total knee replacement; cruciate retaining; posterior stabilized; range of movement
Korelasi Penggunaan Artificial Intelligence dengan Nilai Modul Keterampilan Belajar, Komunikasi, dan Informasi Teknologi Mahasiswa Kedokteran Pontororing, Aveva V.; Homenta, Heriyannis; Manoppo, Firginia P.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.61267

Abstract

Abstract: Artificial intelligence (AI) utilization is considered to enhance the efficiency and effectiveness of student learning. However, the correlation between AI utilization and academic performance remains underexplored. This study aimed to analyze the correlation between AI utilization and module scores in Learning, Communication, and Information Technology Skills (KBKIT) among 2024 cohort students of the Faculty of Medicine, Universitas Sam Ratulangi. This was an observational and analytical study with a cross-sectional design. The total sample comprised 194 students selected using the total sampling method. Data were collected using Google form-based questionnaires and KBKIT module transcripts, then were analyzed using the Gamma test to determine the correlation between the two variables. The results showed that most students were in the moderate category for AI utilization, both in usefulness (67.5%) and ease of use dimensions (64.9%). KBKIT module scores were mostly in categories A (46.4%) and B+ (26.8%). The Gamma correlation test yielded a coefficient of -0.013 with p = 0.913, indicating no significant correlation between AI utilization and KBKIT module scores, with a very weak correlation strength and a negative direction. In conclusion, there is no significant correlation between AI utilization and KBKIT module scores among students of the Faculty of Medicine, Universitas Sam Ratulangi. Keywords: artificial intelligence; KBKIT module scores   Abstrak: Penggunaan artificial intelligence (AI) dianggap dapat meningkatkan efisiensi dan efektivitas pembelajaran mahasiswa, namun hubungan antara penggunaan AI dengan kinerja akademik masih kurang dieksplorasi. Penelitian ini bertujuan untuk menganalisis korelasi antara penggunaan AI dengan nilai modul Keterampilan Belajar, Komunikasi, dan Informasi Teknologi (KBKIT) mahasiswa angkatan 2024 Fakultas Kedokteran Unsrat. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Total sampel berjumlah 194 mahasiswa yang dipilih melalui metode total sampling. Data dikumpulkan menggunakan kuesioner berbasis google form dan transkrip nilai modul KBKIT, kemudian dianalisis menggunakan uji Gamma untuk melihat ada tidaknya korelasi antara kedua variabel. Hasil penelitian mendapatkan sebagian besar mahasiswa berada pada kategori sedang dalam penggunaan AI, baik dimensi kegunaan (67,5%) maupun kemudahan (64,9%). Nilai modul KBKIT menunjukkan mayoritas berada pada kategori A (46,4%) dan B+ (26,8%). Uji korelasi Gamma menghasilkan koefisien -0,013 dengan p=0,913, menunjukkan tidak terdapat korelasi bermakna antara pengguanaan AI dengan nilai modul KBKIT dengan kekuatan korelasi sangat lemah dan arah korelasi negatif. Simpulan penelitian ini ialah tidak terdapat korelasi bermakna antara penggunaan AI dengan nilai modul KBKIT mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Kata kunci: artificial intelligence; nilai modul KBKIT
Validation of Guy’s Stone Score, RUSS, S-RESC SCORE, and S.T.O.N.E Score for Predicting Stone Free Rate in Percutaneous Nephrolithotomy in a Residency Teaching Hospital Panelewen, Bryan P.; Arianto, Eko; Astram, Ari; Toreh, Christof; Wihono, Frendy
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.61296

Abstract

Abstract: Kidney stones represent a significant health burden globally, with a high risk of recurrence. Percutaneous nephrolithotomy (PCNL) is the primary treatment option for kidney stones larger than 20 mm, offering superior outcomes compared to open surgery. Several scoring systems, including Guy’s Stone Score (GSS), S.T.O.N.E. Nephrolithometry Score, Resorlu Unsal Stone Score (RUSS), and Seoul Renal Stone Complexity (S-ReSC), have been developed to predict the Stone-Free Rate (SFR) following PCNL. However, the comparative effectiveness of these scoring systems remains unclear. This study aimed to evaluate and compare the predictive accuracy of GSS, S.T.O.N.E., RUSS, and S-ReSC scoring systems in determining SFR after PCNL. This was an analytical and retrospective study. Data were collected from 60 patients with kidney stones treated at Prof. Dr. R. D. Kandou Hospital Manado from January to December 2023. Patients underwent PCNL, and preoperative non-contrast CT scans and postoperative plain abdominal X-rays were used for evaluation. Statistical analyses included univariate, bivariate, and multivariate tests, as well as ROC curve analysis. The results showed that all four scoring systems were statistically significant in predicting SFR (p<0.005). The RUSS score demonstrated the highest predictive value, with an odds ratio 20 times higher than without scoring. The ROC analysis showed AUC values of 0.792 for GSS, 0.913 for RUSS, 0.694 for S-ReSC, and 0.945 for S.T.O.N.E. These findings highlight significant relationships between stone complexity scores and SFR, emphasizing their utility in surgical planning. In conclusion, each scoring system has significant predictive value for SFR following PCNL. Among them, RUSS showed the highest reliability, followed by S.T.O.N.E. and GSS. Despite differences in focus, all scores contribute to treatment planning and patient management. Further research is needed to optimize these tools and integrate them with advanced imaging and minimally invasive techniques for personalized patient care. Keywords:  percutaneous nephrolithotomy; kidney stones; Stone-Free Rate; Guy’s Stone Score; S.T.O.N.E Nephrolithometry Score; Resorlu Unsal Stone Score; Seoul Renal Stone Complexity
Hubungan antara Tingkat Stres dan Risiko Terjadinya Gastroesophageal Reflux Disease pada Mahasiswa Kedokteran Kambey, Dylan G. H.; Ong, Hardianto S.
Medical Scope Journal Vol. 8 No. 1 (2026): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v8i1.62426

Abstract

Abstract: Gastroesophageal reflux disease (GERD) is a chronic digestive disorder that can be exacerbated by various factors, one of which is stress. Medical students are considered a group highly susceptible to stress due to demanding academic pressures, which potentially increase their risk of developing GERD. This study aimed to analyze the relationship between the level of stress and the risk of GERD among students of the Medical Study Program at Universitas Tarumanagara. The study employed an analytical quantitative design with a cross-sectional approach. A total of 135 respondents were selected using cluster random sampling. Data were collected using the Perceived Stress Scale (PSS-10) and the GERD Questionnaire (GERD-Q). Bivariate analysis was conducted using the chi-square test with a significance level of p<0.05. The results showed that 80% of respondents experienced mild to moderate stress, and 20% experienced severe stress. Additionally, 19.3% of respondents were at risk of GERD. Statistical analysis revealed a significant relationship between stress and GERD risk (p=0.019), with a prevalence risk ratio (PRR) of 2.5, indicating that students experiencing severe stress were 2.5 times more likely to develop GERD compared to those with mild to moderate stress. In conclusion, high stress levels significantly contribute to an increased risk of GERD among medical students. Therefore, interventions such as stress management and healthy lifestyle education should be implemented to reduce the incidence of GERD in this population. Keywords: stress; GERD; medical students; PSS-10; GERD-Q    Abstrak: Gastroesophageal reflux disease (GERD) merupakan gangguan pencernaan kronis yang dapat diperburuk oleh berbagai faktor, salah satunya stres. Mahasiswa kedokteran tergolong kelompok yang rawan mengalami stres tinggi akibat tuntutan akademik yang berat, yang berpotensi meningkatkan risiko GERD. Penelitian ini bertujuan untuk menganalisis hubungan tingkat stres dengan risiko terjadinya GERD pada mahasiswa Program Studi Kedokteran Universitas Tarumanagara. Jenis penelitian ialah kuantitatif analitik dengan desain potong lintang. Sampel berjumlah 135 responden yang dipilih menggunakan metode cluster random sampling. Data dikumpulkan melalui kuesioner Perceived Stress Scale (PSS-10) dan GERD Questionnaire (GERD-Q). Analisis bivariat menggunakan uji chi-square dengan tingkat signifikansi p<0,05. Hasil penelitian mendapatkan sebanyak 80% responden mengalami stres ringan-sedang dan 20% responden mengalami stres berat. Sebanyak 19,3% responden memiliki risiko mengalami GERD. Hasil uji statistik menunjukkan hubungan bermakna antara stres dan risiko GERD (p=0,019), dengan rasio prevalensi risiko (PRR) sebesar 2,5, yang menunjukkan bahwa mahasiswa dengan stres berat memiliki risiko 2,5 lebih besar mengalami GERD dibandingkan dengan yang mengalami stres ringan-sedang. Simpulan penelitian ini ialah tingkat stres berpengaruh bermakna terhadap peningkatan risiko GERD pada mahasiswa kedokteran. Oleh karena itu, intervensi berupa manajemen stres dan edukasi gaya hidup sehat perlu diterapkan guna menurunkan risiko kejadian GERD di kalangan mahasiswa Kata kunci: stres; GERD; mahasiswa kedokteran; PSS-10; GERD-Q

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