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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 245 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
Effectiveness and Complications of Surgical Drainage in Pediatric Surgery: A Literature Review Lampus, Harsali; Candy, Candy; Saumur, Odwin B.
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.v8i2.65819

Abstract

Abstract: The use of surgical drainage is a common adjunctive procedure in various pediatric surgeries. However, its effectiveness and associated risks remain a subject of debate, particularly due to variations in drain types, surgical techniques, and the unique characteristics of pediatric patients. This study aimed to evaluate the effectiveness and complications of surgical drainage in various pediatric surgical procedures based on the most recent literature. This narrative literature review was compiled from articles published in the last 10 years (2015–2025), sourced from reputable databases such as PubMed, Cochrane, EBSCO, and Google Scholar. Inclusion criteria encompassed studies involving pediatric patients aged 0–18 years undergoing thoracic, abdominal, ocular, or spinal surgeries, addressing the use of surgical drainage either as a primary intervention or in comparison to non-drain approaches. A total of 20 studies were analyzed in this review. Overall, drainage proved most effective in thoracic and ocular surgeries. In thoracic surgery, devices such as the Thopaz digital drain shortened hospital stays, accelerated recovery, and reduced the number of postoperative radiographs. In ocular surgery, glaucoma drainage devices (GDD) effectively controlled intraocular pressure (IOP) and reduced the need for re-intervention. Conversely, in abdominal surgeries such as appendectomy and laparoscopic pyeloplasty, as well as spinal surgeries, drainage did not confer significant clinical benefits in reducing complications or accelerating recovery. Complications in thoracic surgery included minimal risks such as prolonged air leaks and empyema; in ocular surgery, hypotony, bleb encapsulation, infection, and tube revision were most common; in abdominal surgery, complications included infection, intra-abdominal abscess, bowel obstruction, iatrogenic leaks, peritonitis, and hernia; while in spinal surgery, complications consisted of superficial infections, wound dehiscence, neurological deficits, and hematoma. In conclusion, surgical drainage is most effective in thoracic and ocular surgeries in terms of success rate, accelerated recovery, and reduced length of hospital stay. However, in abdominal and spinal surgeries, drainage offers no significant clinical benefit and carries potential risks of complications. Keywords: surgical drainage; complications; effectiveness; pediatric surgery
Analisis Faktor yang Memengaruhi Keterlambatan Diagnosis dan Tatalaksana Pasien Kanker Payudara Stadium Lanjut di RSUP Prof. Dr. R. D. Kandou Manado Merung, Marselus A.; Saleh, Denny; Torar, Ridel
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.v8i2.67061

Abstract

Abstract: Most breast cancer cases in Indonesia are diagnosed in advanced stages, and even metastasis, underscoring the urgency of timely intervention. This study aimed to examine the effects of knowledge, attitudes and behaviors, fear, social support, and the Covid-19 pandemic on diagnostic delay and treatment delay, as well as to evaluate the impact of diagnostic delay on subsequent treatment delay at Prof. Dr. R. D. Kandou General Hospital. This was a quantitative analyticalal study with a cross-sectional design, using purposive non-probability sampling. A total of 112 patients with advanced-stage breast cancer were recruited between October and November 2024 and assessed using a structured questionnaire. Data were analyzed using SPSS with multiple linear regression.The results showed that knowledge, attitudes and behaviors, fear, social support, and the Covid-19 pandemic significantly influenced diagnostic delay (R²=0.605), with knowledge (β=0.537) and the Covid-19 pandemic (β=0.320) being the strongest predictors. These factors also significantly contributed to treatment delay (R²=0.948), with attitudes and behaviors (β=0.935) and social support (β=0.876) demonstrating the greatest effects. Furthermore, diagnostic delay exerted a positive and significant influence on treatment delay (R²=0.304, β=0.200). In conclusion, a multidimensional approach encompassing improved public health education, psychosocial support, and streamlined healthcare pathways is essential to mitigate delays in diagnosis and treatment, ultimately enhancing clinical outcomes for breast cancer patients. Keywords: breast cancer; diagnostic delay; treatment delay   Abstrak: Sebagian besar kasus kanker payudara di Indonesia ditemukan pada stadium lanjut, bahkan telah bermetastasis, yang menyoroti pentingnya intervensi tepat waktu. Penelitian ini bertujuan untuk menguji pengaruh pengetahuan, sikap dan perilaku, ketakutan, dukungan sosial, dan pandemi Covid-19 terhadap keterlambatan diagnosis dan keterlambatan pengobatan, serta dampak keterlambatan diagnosis terhadap keterlambatan pengobatan di RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah analitik kuantitatif dengan desain potong lintang, menggunakan non-probability sampling dengan metode purposive sampling. Penelitian dilakukan dengan menggunakan kuesioner yang diberikan kepada 112 pasien kanker payudara stadium lanjut selama bulan Oktober hingga November 2024 dan data dianalisis menggunakan SPSS. Hasil penelitian menunjukkan bahwa pengetahuan, sikap dan perilaku, ketakutan, dukungan sosial, dan pandemi Covid-19 secara bermakna mempengaruhi keterlambatan diagnosis (R²=0,605). Pengetahuan (β=0,537) dan pandemi Covid 19 (β=0,320) merupakan faktor yang paling berpengaruh terhadap keterlambatan diagnosis. Faktor-faktor ini juga secara bermakna memengaruhi keterlambatan pengobatan (R²=0,948), dengan sikap dan perilaku (β=0,935) dan dukungan sosial (β=0,876) menunjukkan pengaruh terbesar. Keterlambatan diagnostik secara positif dan bermakna memengaruhi keterlambatan pengobatan (R²=0,304, β=0,200). Simpulan penelitian ini ialah pendekatan multidimensi, termasuk peningkatan edukasi publik, dukungan psikososial, dan peningkatan alur layanan, sangat penting untuk mengurangi keterlambatan ini dan pada akhirnya meningkatkan hasil pengobatan pasien. Kata kunci: kanker payudara; keterlambatan diagnosis; keterlambatan tatalaksana
Gambaran Pola dan Derajat Luka pada Kasus Kekerasan Mekanik di RSUD Tipe B Provinsi Sulawesi Utara Damayanti, Nadia; Siwu, James F.; Kristanto, Erwin 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.v8i2.67142

Abstract

Abstract: Mechanical violence is a common cause of injuries found in criminal cases in Indonesia. This study aimed to describe the wound patterns and degrees of injury in mechanical violence cases at a Type B Regional General Hospital in North Sulawesi Province during the period of July 2023 to June 2025. This was a retrospective and descriptive study. The results obtained 32 patients with a total of 54 injuries analyzed based on medical records and Visum et Repertum. Blunt-force trauma was the most frequent type (75%), followed by sharp-force injuries (18.8%). The majority of patients sustained single injuries (62.5%) with mild to moderate severity. Lacerations, contusions, and abrasions were the most common wound types, predominantly measuring 1–5 cm, with the head as the most frequent location. In conclusion, mechanical violence is dominated by blunt trauma, producing single injuries of mild to moderate severity. Variations in wound patterns are influenced by impact energy, force direction, and the interaction between perpetrator and victim. Therefore, wound pattern analysis holds significant importance for event reconstruction, legal enforcement, and violence prevention strategies. Keywords: wound pattern; injury severity; mechanical violence    Abstrak: Kekerasan mekanik merupakan penyebab luka yang sering ditemukan pada kasus kriminal di Indonesia. Penelitian ini bertujuan untuk mendapatkan pola dan derajat luka pada kasus kekerasan mekanik di RSUD Tipe B Provinsi Sulawesi Utara periode Juli 2023–Juni 2025. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian mendapatkan 32 pasien dengan 54 luka berdasarkan rekam medis dan Visum et Repertum. Kekerasan tumpul paling banyak ditemukan (75%), disusul kekerasan tajam (18,8%). Mayoritas pasien mengalami luka tunggal (62,5%) dengan derajat ringan hingga sedang. Robek, memar, dan lecet merupakan bentuk luka tersering, terutama berukuran 1–5 cm dengan kepala sebagai lokasi paling sering. Simpulan penelitian ini ialah kekerasan mekanik didominasi trauma tumpul yang menghasilkan luka tunggal berderajat ringan hingga sedang dengan variasi pola luka dipengaruhi energi benturan, arah gaya, serta interaksi pelaku dan korban. Analisis pola luka memiliki nilai penting dalam rekonstruksi kejadian, penegakan hukum, dan strategi pencegahan kekerasan. Kata kunci: pola luka; derajat luka; kekerasan mekanik
Gambaran Korban Kekerasan Seksual di Rumah Sakit Bhayangkara Tingkat III Manado Tahun 2024 Siregar, Mahatop A.; Mallo, Nola T. S.; Tomuka, Djemi
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.v8i2.67151

Abstract

Abstract: Sexual violence carries numerous negative impacts and tends to increase, even though underreporting remains high. This study aimed to describe the characteristics of sexual violence victims at Bhayangkara Hospital Level III Manado in 2024. This was a descriptive retrospective study with a cross-sectional design using secondary data obtained from Visum et Repertum. The results identified 314 cases of sexual violence in year 2024. The majority of cases were female victims (98.4%) and aged 13–17 years (58.6%). Based on victims’ addresses, majority of victims came from North Minahasa Regency (42%), while Tuminting District was the most common origin in Manado (7.6%). The highest percentages were found in students as the occupational group (89.2%), boyfriends as the perpetrators in terms of social relationship with the victims (38.9%), underwent examination more than 72 hours after the incident (64.3%), lacerations as the injury type (77.2%), old hymenal tears (84.7%), and hymen as the most frequent injury site (77%). In conclusion, the majority of victims are students aged 13–17 years. The high number of sexual violence cases needs to be intervened in order to reduce the rate of sexual violence, such as: early age sexual education and outreach for reporting when experiencing sexual violence to reduce the negative impact of the incident. Keywords: sexual violence; fornication; rape   Abstrak: Kekerasan seksual memiliki banyak dampak negatif dan cenderung mengalami peningkatan meskipun under reporting masih tinggi. Penelitian ini bertujuan untuk mengetahui gambaran korban kekerasan seksual di Rumah Sakit Bhayangkara Tk. III Manado tahun 2024. Jenis penelitian ialah deskriptif retrospektif  dengan desain potong lintang menggunakan data sekunder dari hasil Visum et Repertum. Hasil penelitian mendapatkan 314 kasus kekerasan seksual pada tahun 2024. Mayoritas korban kasus kekerasan seksual berjenis kelamin perempuan (98,4%), berada pada rentang usia 13-17 tahun (58,6%). Alamat korban terbanyak berasal dari Kabupaten Minahasa Utara (42%) dan Kecamatan Tuminting di Kota Manado (7,6%). Persentase tertinggi didapatkan pada pekerjaan sebagai pelajar (89,2%), pacar sebagai hubungan sosial antara korban dengan pelaku (38,9%), korban diperiksa setelah >72 jam setelah kekerasan seksual terjadi (64,3%), terdapat luka robek (77,2%), robekan lama pada hymen (84,7%), dan hymen sebagai lokasi luka yang paling banyak ditemukan (77%). Simpulan penelitian ini ialah kasus kekerasan seksual kebanyakan pelajar dan rentang usia 13-17 tahun. Tingginya kasus kekerasan seksual perlu untuk diintervensi agar menekan angka kekerasan seksual, seperti: pendidikan seksual usia dini dan penyuluhan untuk pelaporan ketika mengalami kekerasan seksual untuk mengurangi dampak negatif dari peristiwa itu. Kata kunci: kekerasan seksual; percabulan; pemerkosaan

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