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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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Recurrent Dialysis Access Steal Syndrome in a Non-Mature AVF: A Case of Radial Artery Ligation Following Initial Venoplasty Tangel, Stephanus; Sumangkut, Richard; Firmansah, Sigit
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.v8i1.63878

Abstract

Abstract: Dialysis access steal syndrome (DASS) is a rare but serious complication of arteriovenous fistula (AVF) used for hemodialysis (HD). While initial interventions such as venoplasty and banding are effective in many cases, recurrent steal syndrome can occur, which may necessitate a surgical intervention such as ligation. We reported a 63-year-old male presented with continuous pain in the left forearm at the AV shunt site for two days. The patient was referred to Kandou Hospital for further management due to suspected stenosis and risk of total occlusion. Vascular ultrasound and venography confirmed the diagnosis, followed by venoplasty, banding repair and central dialysis line insertion. Post-procedure angiography demonstrated restored, though weak, distal blood flow, but after three weeks, the patient returned with an edematous left distal limb and oxygen level of 93-96%.  The gold standard for DASS, ligation, was then performed. Although this patient experienced edema after the first procedure, the outcome after the second intervention was very good, and the patient did not report any recurrence. In conclusion, recurrent DASS, especially in a non-mature AVF, presents unique challenges in management. This case highlights the importance of continuous post-intervention monitoring, patient education on proper AVF care, and the need for escalation to more definitive treatments like radial artery ligation when initial interventions, such as venoplasty failed. After the second intervention, the outcome was very good, and the patient did not report any recurrence. Early recognition of complications, including patient-induced factors like AVF manipulation, is crucial to prevent further morbidity and ensure the preservation of vascular access. Keywords: steal syndrome; chronic kidney disease; hemodialysis; arteriovenous fistula; venoplasty; radial artery ligation
Efektivitas Video Pembelajaran Anatomi terhadap Pemahaman Mahasiswa Kedokteran Mursalin, Adhywira; Enis, Rina N.; Dewi, Hasna; Miftahurrahmah, Miftahurrahmah; Kusdiyah, Erny; Ramadhan, Ghozi F.
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.v8i1.59564

Abstract

Abstract: Understanding human anatomy, including the digestive system, is fundamental for medical students. Educational videos are increasingly recognized as an effective teaching tool to enhance student comprehension and improve their performance in practical examinations. This study aimed to evaluate the effectiveness of using educational videos on the knowledge and performance of medical students at Universitas Jambi through the practical exam scores. This was a quasi-experimental study with a pre-test and post-test design. There were 123 medical students from the 2024 cohort chosen through purposive sampling. The students were divided into two groups: experimental and control groups. The experimental group was given a video on the anatomy of the digestive system as an instructional tool, while the control group received standard teaching. Data were collected from both groups' pre-test and post-test scores. Data were analyzed using the paired and independent t-tests, which compared the scores within and between the groups to identify any significant differences. The average pre-test and post-test scores were 28.85 and 54.75 for the control group, while of the experimental group were 29.91 and 62.74, respectively. The pre-test scores showed no significant difference (p=0.071), but the post-test scores demonstrated a significant improvement in the experimental group (p=0.032). In conclusion, the educational video of anatomy of the digestive system significantly improved student knowledge and performance at Universitas Jambi. Keywords: anatomy practicum; educational video; medical students   Abstrak: Pemahaman tentang anatomi, termasuk sistem pencernaan, merupakan fondasi yang esensial bagi mahasiswa kedokteran. Video edukasi semakin diakui sebagai media ajar yang efektif untuk meningkatkan pemahaman mahasiswa dan menunjang kinerja mereka dalam ujian praktikum. Penelitian ini bertujuan untuk menilai efektivitas penggunaan media ajar terhadap pemahaman dan kinerja mahasiswa melalui nilai ujian praktikum mahasiswa kedokteran di Universitas Jambi. Jenis penelitian ialah kuasi-eksperimental dengan pre-test dan post-test design. Sebanyak 123 mahasiswa kedokteran dari angkatan 2024 di Universitas Jambi dipilih melalui teknik purposive sampling. Subjek penelitian dibagi menjadi dua kelompok: kelompok eksperimen dan kelompok kontrol. Kelompok eksperimen diberikan video tentang anatomi sistem digestif sebagai alat bantu pembelajaran, sementara kelompok kontrol menerima pembelajaran standar. Data dikumpulkan dari skor pre-test dan post-test kedua kelompok. Efektivitas video dievaluasi dengan analisis uji t berpasangan dan uji t independen untuk membandingkan skor di dalam satu kelompok dan antar kelompok. Hasil penelitian menunjukkan skor re rata pre-test dan post-test kelompok kontrol ialah 28,85 dan 54,75, sedangkan skor kelompok eksperimen ialah 29,91 dan 62,74. Secara statistik, skor pre-test tidak menunjukkan perbedaan bermakna (p=0,071), tetapi skor post-test menunjukkan peningkatan bermakna pada kelompok eksperimen (p=0,032). Simpulan penelitian ini ialah video edukasi mengenai anatomi sistem digestif secara bermakna mampu meningkatkan kinerja mahasiswa di Universitas Jambi. Kata kunci: praktikum anatomi; video ajar; mahasiswa kedokteran
Pengaruh Pajanan Sinar Matahari terhadap Penuaan Kulit Wajah Berdasarkan Penilaian Skin Analyzer pada Perempuan Minahasa di Sulawesi Utara Kairupan, Tara S.; Kapantow, Marlyn G.; Niode, Nurdjannah J.; Kapantow, Nova H.
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.v8i1.66243

Abstract

Abstract: Sun exposure is considered the predominant extrinsic contributor to skin aging. This was an observational analytical study with a cross-sectional design involving 177 Minahasan women aged 30-69 years residing in Manado City, Tomohon City, and Minahasa Regency, North Sulawesi Province, Indonesia. Participants were categorized into low sun exposure group (≤2 hours per day; n = 82) and high sun exposure group (≥5 hours per day; n = 95), based on the average daily exposure over the past ten years. Demographic data and sun exposure status were obtained through interviews and structured questionnaires. Facial skin aging was assessed using a skin analyzer, evaluating pores, wrinkles, pigmentation, and facial sebum. The results demonstrated that, overall, participants with high sun exposure had higher scores for pores, wrinkles, pigmentation, and U-area sebum than those with low sun exposure (all p<0.001), whereas no significant difference was observed in the T-area sebum (p=0.075). Age-stratified analysis showed consistent differences for wrinkles and U-area sebum across all age groups, while differences in pores and pigmentation were more pronounced in younger age groups. In conclusion, sun exposure contributes to facial skin aging and underscore the importance of photoprotection as a preventive strategy. Keywords: skin aging; skin analyzer; sun exposure    Abstrak: Pajanan sinar matahari merupakan faktor ekstrinsik utama yang berkontribusi pada penuaan kulit. Penelitian ini merupakan studi analitik observasional dengan desain potong lintang yang melibatkan 177 perempuan suku Minahasa berusia 30-69 tahun yang berdomisili di Kota Manado, Kota Tomohon, dan Kabupaten Minahasa, Sulawesi Utara. Subjek dikelompokkan menjadi kelompok pajanan rendah (≤ 2 jam per hari; n = 82) dan kelompok pajanan tinggi (≥ 5 jam per hari; n = 95), berdasarkan rerata pajanan harian selama 10 tahun terakhir. Data demografik dan status pajanan sinar matahari diperoleh melalui wawancara dan kuesioner terstruktur. Penuaan kulit wajah dinilai menggunakan skin analyzer dengan parameter pori, kerutan, pigmentasi, dan sebum wajah. Hasil penelitian menunjukkan bahwa secara keseluruhan, subjek dengan pajanan tinggi sinar matahari memiliki skor pori, kerutan, pigmentasi, dan sebum area-U yang lebih tinggi dibandingkan dengan subjek dengan pajanan rendah (seluruhnya p<0,001), sedangkan pada sebum area-T tidak ditemukan perbedaan yang bermakna (p=0,075). Analisis berdasarkan kelompok usia memperlihatkan bahwa perbedaan pada komponen kerutan dan sebum area-U konsisten ditemukan di semua kelompok usia, sedangkan perbedaan pada komponen pori dan pigmentasi lebih menonjol pada kelompok usia yang lebih muda. Simpulan penelitian ini ialah pajanan sinar matahari berkontribusi terhadap penuaan kulit wajah dan menegaskan pentingnya fotoproteksi sebagai strategi pencegahan. Kata kunci: penuaan kulit; skin analyzer; pajanan sinar matahari
Delayed Onset of Pseudoaneurysm in Brachial Stab Wound Trauma: A Case Report Tangkilisan, Adrian; Sukanto, Wega; Tamburian, Christha Z.; Paat, Rigel K.; Pontoh, Pramijaya R.
Medical Scope Journal Vol. 8 No. 2 (2026): MEDICAL SCOPE JOURNAL
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v8i2.64553

Abstract

Abstract: Pseudoaneurysms of the extremity are rare and may present acutely or subacutely. Very rarely, the presence of thromboembolism in the aneurysm can result in terminal ischemia, gangrene, and amputation. Only early diagnosis and treatment can prevent progression to significant disability. This case report described a 36-year-old male referred to the hospital with a complaint of a lump in the upper left arm for two months before admission. The patient reported a history of being punctured by a nail, and one week later, an enlarging lump appeared. The patient also complained of a lump on the right chin for one month before hospital admission. The patient was then diagnosed with an impending rupture of the left brachial pseudoaneurysm due to a puncture wound in the left brachial and was scheduled for arterial repair. Although the diagnosis and treatment of the patient were delayed for two months and treated surgically, no immediate or late complications were seen. This case underscores the crucial role of timely diagnosis and surgical treatment, as upper extremity aneurysms can cause severe decreases in function and lead to the loss of an arm or fingers. The successful surgical reconstruction in this case is a motivating example of the preferred treatment for such patients. Keywords:  pseudoaneurysm; brachial artery; repair artery; delayed onset
Correlation between Surgical Procedure, Type of Surgery, Duration of Surgery, and Intraoperative Complications with the Usage of PICU Rangan, Andy A.; Lampus, Harsali; Candy, Candy; Langi, Fima L. F. G.
Medical Scope Journal Vol. 8 No. 2 (2026): MEDICAL SCOPE JOURNAL
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v8i2.64554

Abstract

Abstract: Pediatric postoperative intensive care remains a topic of debate due to the high demand and limited availability of PICU beds. This study aimed to bridge that gap by identifying types of procedure (major or minor), emergency or elective surgery, type of duration and complication contributing to PICU admissions, thereby enhancing perioperative care quality and resource allocation. This was a prospective cohort study conducted at Prof. Dr. R. D. Kandou General Hospital Manado between August 2022 and December 2023 using pediatric patients undergoing surgery. Data were extracted from medical records, analyzed and evaluated using descriptive statistics, chi-square tests, and logistic regression. A p-value of <0.05 was considered statistically significant. The results showed that among 455 pediatric postoperative cases, 14% required PICU care. Emergency surgeries (57%), major procedures (87%), prolonged surgery (67%), intraoperative complications (7%), and preoperative PICU recommendations (42%) were associated with more PICU admissions. The significant key predictors were emergency surgery (p<0.001), intraoperative complications (p=0.005), and preoperative PICU recommendations (p<0.001). In conclusion, emergency surgeries, major procedures, prolonged surgery, and intraoperative complications are key determinants of PICU admissions in pediatric patients. Preoperative PICU recommendations were the strongest predictor of postoperative intensive care needs, followed by intraoperation complication and emergency operation. These highlight the need for improved preoperative assessment, perioperative risk stratification, and structured postoperative care planning to optimize PICU resource allocation and reduce unplanned admissions. Keywords: pediatric surgery; PICU admission; postoperative care; emergency surgery; risk factors; perioperative management
Perbandingan Sensitivitas dan Spesifisitas Pemeriksaan Mikroskopik dengan Rapid Diagnostic Test (RDT) Berbasis Histidine Rich Protein-II pada Sampel Darah Penderita Demam Sitanggang, Benedict C.; Tuda, Josef S. B.; Pijoh, Victor D.
Medical Scope Journal Vol. 8 No. 2 (2026): MEDICAL SCOPE JOURNAL
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v8i2.66774

Abstract

Abstract: Malaria is an infectious disease caused by the Plasmodium parasite, transmitted through the bite of Anopheles mosquitoes, with high incidence in tropical and subtropical regions. Malaria control relies on early diagnosis using methods such as microscopy test or rapid diagnostic test (RDT), which are effective for rapid detection, especially in areas with limited access to healthcare services. This study aimed to compare the sensitivity and specificity of microscopy test with Histidine-Rich Protein II-based RDT in blood samples of fever patients. This was an analytical observational study with a quantitative approach with a cross-sectional design. The data obtained were then processed, organized in a 2x2 table format, and analyzed using the McNemar test. The results showed that the RDT had an effectiveness comparable to the microscopic method as the gold standard in detecting Plasmodium falciparum infection, with high sensitivity and specificity, making RDT a viable diagnostic alternative for malaria patients. In conclusion, the rapid diagnostic test (RDT) method demonstrates good effectiveness and speed in detecting Plasmodium falciparum infection, as well as sufficient accuracy comparable to microscopic examination. Keywords: Plasmodium falciparum; microscopy test; rapid diagnostic test    Abstrak: Malaria ialah penyakit menular yang disebabkan oleh parasit Plasmodium, yang ditularkan melalui gigitan nyamuk Anopheles, dengan kasus tinggi di daerah tropis dan sub tropis. Pengendalian malaria mengandalkan diagnosis dini menggunakan metode seperti mikroskopik atau rapid diagnostic test (RDT), yang efektif untuk deteksi cepat, terutama di wilayah dengan akses layanan kesehatan terbatas. Penelitian ini bertujuan untuk mengetahui perbandingan sensitivitas dan spesifisitas pemeriksaanmikroskopik dengan RDT berbasis Histidine Rich Protein-II pada sampel darah penderita demam. Jenis penelitian ialah analitik observasional menggunakan pendekatan kuantitatif dengan desain potong lintang. Data yang didapat diolah, disusun, dalam bentuk tabel 2x2 dan dilakukan uji Mcnemar. Hasil penelitian menunjukkan bahwa pemeriksaan RDT memiliki efektivitas yang sebanding dengan metode mikroskopik sebagai baku emas dalam mendeteksi infeksi Plasmodium falciparum, dengan sensitivitas dan spesifisitas tinggi, sehingga RDT dapat digunakan sebagai alternatif diagnostik pada penderita malaria. Simpulan penelitian ini ialah metode pemeriksaan rapid diagnostic test (RDT) memiliki efektifitas dan kecepatan yang baik dalam mendeteksi infeksi Plasmodium falciparum serta memiliki keakuratan yang cukup baik seperti pemeriksaan mikroskopik. Kata kunci: Plasmodium falciparum; pemeriksaan mikroskopik; rapid diagnostic test

Page 24 of 24 | Total Record : 236

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