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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 231 Documents
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Overview of Risk Factors and Clinical Outcomes of Pregnancy with COVID-19 in 2019-2020 in Several Asian Countries Nathanael T. Tarore; Mayer F. Wowor; Glady I. Rambert
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.37840

Abstract

Abstract: Pregnant women are vulnerable to be infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to changes in the anatomy and physiology of the body. Mortality of pregnant women differs by country and can be affected by risk factors. This study aimed to determine the risk factors and outcome of pregnant women with COVID-19 in several Asian countries. This was a literature review study using three databases namely Pubmed, Science Direct, and Google Scholar. The keywords were “Maternal” OR “Pregnancy” OR “Pregnancies” AND “COVID-19” OR “Coronavirus Disease 2019” AND “Outcome” AND “Risk Factor”. Overall, the most common risk factors were hypertension (10.6%), followed by hypothyroidism (8.1%), diabetes (7.7%), obesity (3.8%) and asthma (1.3%). The majority of patients were above 30 years of age and had gestational age at the 3rd trimester. As many as 70.5% of patients were asymptomatic and had only mild symptoms. Qualitatively, the highest mortality rates were found in Iran (4%), followed by Pakistan (2.1%), India (1.74%), Japan (1.3%), and Saudi Arabia (0.5%). Meanwhile, China, Kuwait, Singapore, and South Korea reported no deaths. In conclusion, the most common risk factor was hypertension and the most common clinical outcome was asymptomatic and had mild symptoms.Keywords: COVID-19; pregnant women; risk factor; clinical outcomes Abstrak: Wanita hamil merupakan kelompok rentan terinfeksi severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) dikarenakan terjadinya perubahan anatomi dan fisiologik tubuh. Mortalitas wanita hamil berbeda pada tiap negara dan dapat dipengaruhi oleh fakor risiko. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko dan luaran klinis kehamilan dengan COVID-19 pada beberapa negara Asia. Jenis penelitian ialah suatu literature review dengan menggunakan tiga database yaitu Pubmed, Science Direct, dan Google Scholar. Kata kunci yang digunakan ialah “Maternal” OR “Pregnancy” OR “Pregnancies” AND “COVID-19” OR “Coronavirus Disease 2019” AND “Outcome” AND “Risk Factor” Secara keseleruhan faktor risiko yang terbanyak ialah hipertensi (10,6%), diikuti hipotiroid (8,1%), diabetes (7,7%), obesitas (3,8%), dan asma (1,3%). Mayoritas pasien berusia di atas 30 tahun dan usia kehamilan pada trimester 3. Sebanyak 70,5% pasien bermanifestasi asimtomatis dan bergejala ringan. Secara kualitatif angka mortalitias paling tinggi ditemukan di Iran (4%), diikuti Pakistan (2,1%), India (1,74%), Jepang (1,3%), dan Arab Saudi (0,5%). Cina, Kuwait, Singapura, dan Korea Selatan melaporkan tidak ada kasus kematian. Simpulan penelitian ini ialah faktor risiko yang paling umum ditemukan berupa hipertensi dan luaran klinis yang paling umum ditemukan berupa asimtomatis dan bergejala ringan.Kata kunci: COVID-19; wanita hamil; faktor risiko; luaran klinis
Perilaku Profesional Tenaga Medis terhadap Tanggung Jawab Etik dan Transaksi Terapeutik dalam Menjalankan Kewenangan Klinis Vini H. R. Gosal; Aaltje E. Manampiring; Caecilia Waha
Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i1.41689

Abstract

Abstract: Professional medical personnel must have elements of professionalism, basic principles of medicine and professional ethics in carrying out their profession. Clinical privilege is a doctor's special right obtained through the credential process by the Medical Committee. This study aimed to analyze the medical personnel towards ehical responsibility and therapeutic transactions in doing their clinical privilege. This was a qualitative study using case study method. Subjects were eight people consisting of general practitioners, specialists, the chairman of the Medical Committee, and the sub-committee for credentials of Rumah Sakit Umum Manado Medical Center. Primary data were obtained through in-depth interviews and observation guidelines. Validity of the data was done using the triangulation method. The results showed that the behavior of doctors was in accordance with the element of professionalism, but not all of them applied the professional behavior ethics according to hospital standard operating procedure (SOP). Based on the implementation of therapeutic transactions, not all of them have carried out the doctor's obligation to explain the patient's diagnosis completely and in detail simplly to be understood. The results of implementation of the credential were suitable to the procedure, but for evaluation, it was not optimal due to the re-credential was not carried out. In conclusion, not all medical personnel applied the professional behavior ethics according to hospital (SOP). Monitoring and evaluation through re-credentialing of medical personnel had not been performed at Manado Medical Center.Keywords: professional behavior; ethics; therapeutic transactions; clinical privilege Abstrak: Tenaga medis yang profesional harus memiliki unsur-unsur profesionalisme, prinsip dasar kedokteran dan etika profesi dalam menjalankan profesinya. Kewenangan klinis merupakan hak khusus dokter yang didapatkan melalui proses kredensial oleh Komite Medik. Penelitian ini bertujuan untuk menganalisis perilaku profesional tenaga medis terhadap tanggung jawab etik dan transaksi terapeutik dalam menjalankan kewenangan klinis. Jenis penelitian ialah kualitatif dengan metode studi kasus. Subjek penelitian berjumlah delapan orang terdiri dari dokter umum, dokter spesialis, ketua Komite Medik dan sub komite kredensial Rumah Sakit Umum Manado Medical Center. Data penelitian diperoleh melalui wawancara mendalam dan pedoman observasi. Validitas data menggunakan metode triangulasi. Hasil penelitian menunjukkan perilaku dokter sesuai dengan unsur profesionalisme, tetapi belum semua menerapkan etika perilaku profesional sesuai standar prosedur operasional (SPO) Rumah Sakit. Dalam pelaksanaan transaksi terapeutik, belum semua dokter melaksanakan kewajibannya yaitu menjelaskan diagnosa pasien secara lengkap dan rinci dengan bahasa yang mudah dipahami. Pelaksanaan kredensial sesuai dengan prosedur, tetapi untuk evaluasi belum optimal karena pelaksanaan re-kredensial tidak dilakukan. Simpulan penelitian ini ialah belum semua dokter menunjukkan sikap dan perilaku sesuai SPO Rumah Sakit dan belum dilakukan monitoring dan evaluasi kembali melalui proses re-kredensial dokter umum dan dokter spesialis di Manado Medical Center.Kata kunci: perilaku professional; etik; transaksi terapeutik; kewenangan klinis
Antecedents of Outpatient Satisfaction in Internal Medicine Polyclinic during Covid-19 Pandemic Era (Empirical Study At Hospital X) Meidy C. Elim; Ferdi Antonio
Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i1.44599

Abstract

Abstract: There is high competition among private hospitals in seeking the quality of health services provided that meets consumer needs. The largest service unit in the hospital is the outpatient unit; one of the polyclinics is Internal Medicine unit. Patients coming for treatment in this unit during the COVID-19 pandemic expect the best health services. A variety of factors can affect patient satisfaction but only a few studies are focused on outpatient satisfaction in the COVID-19 pandemic era so far. This research aimed to evaluate the effects of environment and facilities, professional competence, caring attitudes and emotional support, perceived compliance of COVID-19 protocol, communication and information, and waiting time on patient’s satisfaction. There were 164 samples obtained by purposive sampling from respondents that filled out the online questionnaires. Data were analyzed by using the PLS-SEM. The results showed that the independent and mediating variables had significant positive effects on general satisfaction. The strongest effect was from environment and facilities and professional competence, while the direct effect on general satisfaction was found to be the strongest from waiting time. In conclusion, the results confirmed the theory of patient satisfaction with health services. Therefore, this research model has strong predictive accuracy and large predictive relevance to be used and developed in further research. Keywords: satisfaction; outpatient; COVID-19; private hospitals
Gastroschisis: Initial Management according to General Practitioner Competence Tri M. Ibrahim; Harsali Lampus; Jeiny Thomas
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.39122

Abstract

Abstract: Gastroschisis is the most common congenital defect in the abdominal wall in the last 30 years.  This may be related to increased incidence of prematurity and increased survival rate of premature babies. Defects in the abdominal wall usually occur less than 4 cm, located at the junction of umbilicus and normal skin.Relatively young maternal age (<21 years), as well as habits of consuming alcohol and drugs can increase the risk of gastroschisis.Diagnosis can be confirmed at prenatal stage by using USG, and at postnatal stage. Initial treatment consists of fluid resuscitation, oxygenation, decompressed nasograstic tube (NGT), and hypothermia prevention. In conclusion, gastroschisis needs immediate treatment by prevention of hypothermia in infants, administration of fluid and oxygen, and closure of defect. The overall survival rate is quite good and the prognosis depends on the condition of the gut at birth. Keywords: gastroschisis Abstrak: Gastroschisis merupakan defek kongenital pada dinding abdomen yang paling umum ditemukan dalam 30 tahun terakhir. Hal ini mungkin terkait dengan peningkatan kejadian prema-turitas dan peningkatan kelangsungan hidup bayi prematur.Defek pada dinding abdomen terjadi biasanya kurang dari 4 cm dan terletak di antara sambungan umbilikus dan kulit normal. Usia ibu yang relatif muda (<21 tahun), kebiasaan mengonsumsi alkohol serta obat-obatan dapat mening-katkan risiko terjadinya gastroschisis. Diagnosis dapat ditegakkan saat prenatal dengan USG, dan postnatal. Penatalaksanaan awal meliputi resusitasi cairan, pemberian oksigenasi, pemasangan nasogastric tube (NGT) dekompresi, serta mencegah terjadinya hipotemia. Simpulan tulisan ini ialah gastroschisis memerlukan penanganan segera dengan melakukan pencegahan terjadinya hipotermia pada bayi, pemberian cairan, pemberian oksigenasi, dan penutupan defek. Tingkat kelangsungan hidup secara keseluruhan cukup baik dan prognosis tergantung pada kondisi usus saat lahir.Kata kunci: gastroschisis
Analysis of the Need for Number of Nurses Based on Workload at the Inpatient Installation of the Sorong Regency Hospital, West Papua, during the Covid-19 Pandemic Rudiyanto Mirino; Gustaaf A. E. Ratag; John J. Wantania
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.39393

Abstract

Abstract: Provision of health services is closely related to human resources in achievement of good implementation of services especially during the covid-19 pandemic. The need for health workers in accordance with this pandemic situation is very necessary to provide qualified health services. This study aimed to analyze the need for number of nurses in terms of workload on the inpatient installations of RSUD Dr. Jhon Piet Wanane, Sorong, due to the increasing need for health services during the Covid-19 pandemic. This was a quantitative and descriptive study. Informant selection was based on the knowledge and understanding of the nurses on duty in the inpatient rooms. Calculation of the number of health personnel needs was carried out using a calculation formula which was number of cases handled multiplied by the number of treatment times then divided by the effective working time of nurses in one year. The results showed that the highest workload was in the inpatient class I and II, which was 1,065 minutes (24%), however, it was still below standard level. In conclusion, there is no high workload in RSUD Kabupaten Sorong. Hospital management could use a real formula adapted to workload situation to calculate the need for nurses and review the application model of nursing care management. Keywords: needs of human resources; health services; workload Abstrak: Pemberian pelayanan kesehatan berkaitan erat dengan penyediaan sumber daya manusia kesehatan (SDMK) agar penyelenggaraan pelayanan kesehatan dapat berjalan dengan baik terlebih pada masa pandemi Covid-19. Kebutuhan tenaga kesehatan yang memadai pada kondisi pandemi saat ini sangat diperlukan untuk memberikan pelayanan kesehatan yang berkualitas. Penelitian ini bertujuan untuk mengetahui kebutuhan jumlah tenaga perawat ditinjau dari beban kerja pada instalasi rawat inap RSUD Dr. Jhon Piet Wanane Kabupaten Sorong akibat meningkatnya kebutuhan akan pelayanan kesehatan pada masa pandemi Covid-19. Jenis penelitian ialah kuantitatif deskriptif. Informan pene-litian dipilih berdasarkan pengetahuan dan pemahaman perawat yang bertugas pada ruang rawat inap. Perhitungan jumlah kebutuhan tenaga kesehatan menggunakan rumus perhitungan banyaknya kasus yang ditangani dikalikan dengan jumlah waktu tindakan kemudian dibagi dengan waktu kerja efektif perawat dalam satu tahun. Hasil penelitian mendapatkan beban kerja tertinggi di ruang rawat inap kelas I, II yaitu 1.065 menit (24%) yang masih di bawah nilai standar. Simpulan penelitian ini ialah tidak ditemukan beban kerja yang tinggi di RSUD Kabupaten Sorong. Manajemen RSUD dapat menggunakan formula riil situasi di lapangan untuk menghitung kebutuhan tenaga perawatan di ruangan dan meninjau kembali model penerapan manajemen asuhan keperawatanKata kunci: kebutuhan sumber daya manusia kesehatan; pelayanan kesehatan; beban kerja
Determinants of Work Motivation for Manado Adventist Hospital Health Workers during the Covid-19 Pandemic Christa J. Egeten; Jimmy Posangi; Joshua Runtuwene
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.40353

Abstract

Abstract: Work motivation is a set of attitudes and values that influence an individual to achieve more detailed things according to his/her goal. This study aimed to obtain the determinants of work motivation of health workers at Manado Adventist Hospital during the Covid-19 pandemic. This was a quantitative study. Population consisted of all health workers totaling 238 meanwhile samples were 70 people. Data were analyzed using the chi square test and logistic regression test. The results showed that physical working condition was 64.3% good and 35.7% poor; interpersonal relationship was 44.3% good and 55.7% poor; company policy was 30% good and 70% poor; salary was 62.9% good and 37.1% poor; and work motivation was 44.3% good and 55.7% poor. The chi square test showed that there were significant relationships between physical working condition and work motivation (p=0.013); interpersonal relationship and work motivation (p=0.000); company policy and work motivation (p=0.019); salary and work motivation (p=0.028). The logistic regression test confirmed that interpersonal relationship had the closest relationship with work motivation. In conclusion, work motivation determinants in this study are physical working condition, interpersonal relationship, company policy, and salary. Interpersonal relationship has the closest relationship to work motivation.Keywords: physical working conditions; interpersonal relation; policies; salary; work motivation Abstrak: Motivasi kerja yaitu serangkaian sikap dan juga nilai yang memengaruhi individu untuk menggapai hal yang lebih detail sesuai dengan tujuannya. Penelitian ini bertujuan untuk mengetahui determinan motivasi kerja tenaga kesehatan Rumah Sakit Advent Manado di masa pandemi Covid-19. Jenis penelitian ialah kuantitatif. Populasi ialah seluruh tenaga kesehatan berjumlah 238 orang dengan sampel berjumlah 70 orang. Analisis statistik menggunakan uji chi square dan regresi logistik. Hasil penelitian mendapatkan variabel kondisi kerja fisik baik sebesar 64,3% dan kurang baik 35,7%. Hubungan interpersonal didapatkan kategori baik 44,3% dan kurang baik 55,7%. Kebijakan perusahaan didapatkan kategori baik 30% dan kurang baik 70%. Gaji didapatkan kategori baik 62,9% dan kurang baik 37,1%. Motivasi kerja didapatkan kategori baik 44,3% dan kurang baik 55,7%. Hasil uji chi square menegaskan adanya hubungan bermakna antara: kondisi kerja fisik dengan motivasi kerja (p=0,013); hubungan interpersonal dengan motivasi kerja (p=0,000; kebijakan perusahaan dengan motivasi kerja (p=0,019); dan gaji dengan motivasi kerja (p=0,028). Hasil uji regresi logisitik menunjukkan bahwa hubungan interpersonal yang paling berhubungan erat dengan motivasi kerja. Simpulan penelitian ini ialah determinan motivasi kerja yang didapatkan ialah kondisi kerja fisik, hubungan interpersonal, kebijakan perusahaan, dan gaji. Hubungan interpersonal yang paling berhubungan kuat dengan motivasi kerja.Kata kunci: kondisi kerja fisik; hubungan interpersonal; kebijakan; gaji; motivasi kerja
Application of Hospital without Wall Concept at the Dermatovenereology Services of Maria Walanda Maramis Hospital in North Minahasa Lucky V. Waworuntu; Aaltje E. Manampiring; Gustaaf A. E. Ratag
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.40927

Abstract

Abstract: Currently, a concept of health services by the hospital, Hospital without Walls, is intro-duced.  This concept moves health services from the hospital to outside the hospital building.  This study aimed to determine the application of the concept of a hospital without walls in Dermatovene-reology health services. This was a qualitative research design (grounded research) using informants through in-depth interviews, face-to-face and indirect. This study was carried out at Maria Walanda Maramis General Hospital, North Minahasa. Data were collected manually by making a transcript then were compiled in a matrix form and analyzed using the inductive analysis method. The results showed that the Hospital without Walls could be implemented, however, there were obstacles, internally and externally. The internal obstacles were that the hospital did not have a legal basis, SOP, and supporting facilities such as applications for this activity, payment for services of doctors and paramedics, professional human resources in the field of information technology to manage these activities. The external obstacles were the absence of regulation of BPJS for execution and payment of claims. In conclusion, the hospital without walls concept can be applied to the dermato-venereology health services at Maria Walanda Maramis General Hospital, North Minahasa, North Sulawesi Province.Keywords: Hospital without Walls; dermatovenereology services Abstrak: Saat ini berkembang suatu konsep pelayanan kesehatan oleh Rumah Sakit disebut Hospital without Walls yang memindahkan pelayanan dari Rumah Sakit ke luar bangunan Rumah Sakit. Penelitian ini bertujuan untuk mengetahui penerapan konsep Hospital without Walls pada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis Kabupaten Minahasa Utara. Desain penelitian ialah kualitatif (grounded research) dengan menggunakan informan (10 orang) melalui wawancara mendalam, secara langsung dengan tatap muka dan tidak langsung. Data yang terkumpul, diolah secara manual dengan membuat transkrip kemudian disusun dalam bentuk matriks dan selanjutnya dianalisis menggunakan metode analisis secara induktif. Hasil penelitian mendapatkan bahwa penerapan Hospital without Walls dapat dilaksanakan walaupun ditemukan hambatan secara internal dan eksternal. Hambatan internal ialah Rumah Sakit belum mempunyai dasar hukum, SOP, dan fasilitas penunjang seperti aplikasi untuk kegiatan ini, serta pembayaran jasa untuk dokter dan paramedis, SDM profesional di bidang informasi teknologi untuk mengelola kegiatan ini. Hambatan eksternal yaitu belum adanya regulasi BPJS untuk pelaksanaan dan pembayaran klaim. Simpulan penelitian ini ialah konsep Hospital without Walls dapat diterapkan pada pelayanan kesehatan kulit dan kelamin di Rumah Sakit Umum Maria Walanda Maramis, Kabupaten Minahasa Utara, Provinsi Sulawesi Utara.Kata kunci: Hospital without Walls; pelayanan kesehatan kulit dan kelamin
Diagnosis of Scrotal Mass in Children Axel P. Lumi; Harsali Lampus; Nathaniel Pali
Medical Scope Journal Vol. 3 No. 2 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v3i2.41129

Abstract

Abstract: Scrotal mass is one of the diseases in the urology field with a moderately high prevalence. Problems with the contents of scrotum vary, ranging from infections, tumors, to fluid. Diagnosis of scrotal mass is based on detail ananmnesis, systematic physical examination, and other supporting examinations. Scrotal ultrasound can confirm the exact location of a mass and rule out the presence of an inguinal hernia. Scrotal masses in adults require a formal examination with serum tumor markers, scrotal ultrasound as needed, and immediate consultation with a urologist for staging and further intervention. Scrotal masses in children are much less common than in adults and should be evaluated by a urologist.Keywords: scrotal mass; children Abstrak: Massa skrotum merupakan salah satu penyakit di bidang urologi dengan prevalensi yang cukup tinggi. Masalah pada isi skrotum bervariasi, mulai dari infeksi, tumor, hingga cairan.  Diagnosis massa skrotum ditegakkan melalui anamnesis yang cermat, pemeriksaan fisik terarah, dan pemeriksaan penunjang. Ultrasonografi (USG) skrotum dapat mengonfirmasi lokasi yang tepat dari suatu massa sekaligus menyingkirkan adanya hernia inguinalis. Massa testis pada dewasa memerlukan pemeriksaan formal, dengan penanda tumor serum, USG skrotum sesuai kebutuhan, dan konsultasi segera dengan ahli urologi untuk staging dan intervensi lebih lanjut. Massa skrotum pada anak jauh lebih jarang daripada dewasa dan harus dievaluasi oleh seorang ahli urologi.Kata kunci: massa skrotum; anak
Penetrating Neck Injury due to Foreign Body at C5 Level with Plexus Brachialis Nerve Injury: A Case Report Maximillian C. Oley; Eko Prasetyo; Ferdinan Tjungkagi; Yovanka N. Manuhutu; Diornald J. Mogi
Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i1.44239

Abstract

Abstract: Penetrating neck injury caused by screwdriver is a very rare case. Rapid transport to a major trauma center is needed for such patients to prevent neurological dysfunction and post traumatic tissue damage. Early and complete assessment and exact surgical procedure are very important to overcome a good outcome and prognosis. We reported a case of a 28-year-old male transferred to the emergency room after being stabbed using a screwdriver. No history of nausea, vomiting, and loss of consciousness. A screwdriver got stucked on the neck at the level of C5-C6 associated with edema but no active bleeding. The upper extremity examination revealed that the muscle contraction was 5555/4444, thumb test +/, opposition test +/-, abductor adductor test +/-, and sensory within normal limit. Radiology examination showed a metallic density of the foreign body in the cervical region penetrating from soft tissue to the vertebral body of cervical C5. The patient was diagnosed with penetrating neck injury due to foreign body in the posterior neck region at C5 level with plexus brachialis nerve injury. Foreign body removal and laminectomy were done to decompression purpose. This case need early, complete and adequate management to prevent post traumatic tissue damage, other neurological dysfunction, and mortality. On the fourth post-surgical day, the patient was discharged with stable vital signs and no neurological deficit. The regular follow up at the neurosurgical clinic showed that neither motoric nor sensoric deficit was found. In conclusion, penetrating neck injury which can cause severe morbidity and permanent disability need an adequate management to prevent any spinal cord damage and minimize any neurological dysfunction. Keywords: penetrating neck injury; spinal cord injury
Penatalaksanaan Hepatitis B pada Populasi Khusus Filya A Hunou; Bradley J. Waleleng; Linda W. A. Rotty
Medical Scope Journal Vol. 4 No. 1 (2022): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v4i1.44645

Abstract

Abstract: Hepatitis B virus infection is still a big problem in public health worldwide. Hepatitis B contributes 80% to the cause of primary hepatocellular carcinoma and is also the second most common cause of cancer after smoking. In special populations, the management given is different from the management of hepatitis B patients who are not included in special populations. This is because in special populations there have been changes in the natural history of the disease, the risk of complications related to the liver, recommendations for VHB drugs to be used, and the duration of therapy. This study aimed to obtain the managemeny of hepatitis B in special populations. This was a literature review study using 10 literatures searched by using three data bases namely ProQuest, Pubmed, and ClinicalKey. Journals were selected based on inclusion and exclusion criteria. The results showed that the management of hepatitis B in special populations adjusted to the conditions of each population. In conclusion, the management of hepatitis B in special populations has a variety of treatments that are made according to the condition of each population, including the treatment strategy, drug selection, duration of administration, and monitoring needed during the therapy. Keywords: management of hepatitis B; special population   Abstrak: Infeksi virus hepatitis B merupakan masalah besar pada kesehatan masyarakat di dunia. Penyakit hepatitis B menjadi penyumbang sebesar 80% pada penyebab terjadinya karsinoma hepatoseluler primer dan juga menjadi penyebab kanker kedua terbanyak setelah rokok. Pada populasi khusus pentalakasanaan yang diberikan berbeda dari penatalaksanaan pada pasien hepatitis B yang tidak termasuk pada populasi khusus. Hal ini disebabkan pada populasi khusus telah terjadi perubahan riwayat alamiah penyakit, risiko komplikasi terkait hati, rekomendasi obat VHB yang akan digunakan, serta durasi terapi. Penelitian ini bertujuan untuk mengetahui penatalaksanaan hepatitis B pada populasi khusus. Jenis penelitian ialah suatu literature review dengan pencarian literatur menggunakan tiga data base yaitu ProQuest, Pubmed, dan ClinicalKey. Hasil penelitian mendapatkan bahwa kesepuluh literatur menjelaskan penatalaksanaan hepatitis B pada populasi khusus disesuaikan dengan kondisi masing-masing populasi. Simpulan penelitian ini ialah penatalaksanaan hepatitis B pada populasi khusus memiliki beragam penatalaksanaan yang dibuat menyesuaikan dengan kondisi masing-masing populasi, mulai dari strategi pengobatan yang diberikan, pemilihan obat, durasi pemberian, serta pemantauan yang perlu dilakukan dalam terapi. Kata kunci: penatalaksanaan hepatitis B; populasi khusus

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