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.
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Gambaran Ultrasonografi Hati pada Pasien Non-Alcoholic Fatty Liver Disease dengan Hipertensi
Abstract: Non-alcoholic fatty liver disease (NAFLD) has become a major global health concern with a rising prevalence worldwide. Hypertension and NAFLD have a bidirectional relationship, meaning that each can influence the other. Ultrasonography is the primary radiological method utilized to identify this liver condition. This study aimed to evaluate the liver ultrasonographic characteristics in patients diagnosed with NAFLD and hypertension at Prof. Dr. R. D. Kandou Hospital between September 2023 and August 2024. This was a descriptive and retrospective study with a cross-sectional design. Data were obtained from patient medical records through a total sampling method. The results identified 108 patients with NAFLD and hypertension, predominantly female patients (56.5%), aged 56-65 years (38.9%), and severity grade 1 or mild (64%). The distribution of severity levels based on gender and age groups was mostly found in grade 1 or mild severity in females (37%) and age group 56-65 years (25.9%). In conclusion, NAFLD patients with hypertension are predominantly female, aged 56-65 years, and have grade 1 severity (mild). Keywords: non-alcoholic fatty liver disease; ultrasonography; hypertension Abstrak: Non-alcoholic fatty liver disease (NAFLD) merupakan masalah kesehatan yang terjadi secara global dengan prevalensi yang terus meningkat Hipertensi dan NAFLD memiliki hubungan dua arah yang artinya masing-masing dapat saling memengaruhi. Ultrasonografi merupakan metode pemeriksaan radiologis yang paling sering digunakan untuk mendeteksi penyakit hati. Penelitian ini bertujuan untuk menggambarkan hasil ultrasonografi hati pada pasien dengan NAFLD yang disertai hipertensi di RSUP Prof. Dr. R. D. Kandou selama periode September 2023 hingga Agustus 2024. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Data penelitian diperoleh dari rekam medis pasien menggunakan teknik total sampling. Hasil penelitian menunjukkan terdapat 108 pasien NAFLD dengan hipertensi, mayoritas berjenis kelamin perempuan (56,5%), dengan kelompok usia terbanyak berada pada rentang 56-65 tahun (38,9%), dan derajat keparahan 1 atau ringan (64%). Distribusi derajat keparahan berdasarkan jenin kelamin dan kelompok usia paling banyak pada derajat 1 atau ringan pada pasien perempuan (37%) dan usia 56-65 tahun (25,9%). Simpulan penelitian ini ialah pasien NAFLD dengan hipertensi sebagian besar berjenis kelamin perempuan, berusia 56-65 tahun, dan memiliki derajat keparahan ringan (derajat 1) Kata kunci: non-alcoholic fatty liver disease; ultrasonografi; hipertensi
Copyright (c) 2025 Julio Gamis, Yovana P. M. Mamesah, Joan F. J. Timban https://creativecommons.org/licenses/by-nc/4.0
Pendekatan Diagnostik dan Terapi dengan Esofagoskopi di RSUP Prof. Dr. R. D. Kandou Manado Periode 2020-2024
Abstract: Various abnormalities can be detected through esophagoscopy such as stricture, esophagitis, foreign body evaluation and malignancy. Moreover, the important role of esophagoscopy in treatment such as foreign body extraction, stricture dilatation and follow-up treatment plan based on the esophagoscopy results. This study aimed to determine the diagnostic and therapeutic approaches utilizing esophagoscopy at Prof. Dr. R. D. Kandou Hospital, Manado. This was a descriptive and retrospective study, using electronic medical records of patients who underwent esophagoscopy at Prof. Dr. R. D. Kandou Hospital Manado during the 2020-2024 period. The results showed that from 91 samples, 59% were male patients and 41% were female; most aged ≥51 years (46%). The most common symptoms experienced by patients were dysphagia (36%) and odynophagia (32%). Rigid esophagoscopy was predominantly used as a therapeutic approach, with the most frequent indication was foreign body extraction (78%), particularly coins (30%). Flexible esophagoscopy specifically esophagogastroduodenoscopy (EGD) was commonly used as a diagnostic approach with esophagitis being the most prevalent indication (67%). In conclusion, male patients were more often performed esophagoscopy on them, aged ≥51 years. The most common symptoms were feeling of blockage and pain in the throat. The most common indication for therapy was extraction of coins using rigid esophagoscopy. Esophagitis was the most common diagnostic indication obtained using EGD. Keywords: esophagoscopy; diagnostic approach; therapeutic approach Abstrak: Berbagai kelainan dapat dideteksi melalui esofagoskopi seperti striktur, esofagitis, evaluasi benda asing, dan keganasan. Peranan penting esofagoskopi dalam terapi seperti ekstraksi benda asing, dilatasi striktur dan rencana terapi lanjutan berdasarkan hasil esofagoskopi. Penelitian ini bertujuan untuk mengetahui pendekatan diagnostik dan terapi dengan esofagoskopi di RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian ialah deskriptif retrospektif, menggunakan data rekam medis elektronik pasien yang dilakukan esofagoskopi di RSUP Prof. Dr. R. D. Kandou Manado periode 2020-2024. Hasil penelitian mendapatkan dari total 91 sampel penelitian, 59% diantaranya merupakan pasien laki-laki dan 41% pasien perempuan, terbanyak berusia ≥51 tahun (46%). Gejala tersering yang dikeluhkan ialah disfagia (36%) dan odinofagia (32%). Esofagoskopi kaku paling sering digunakan sebagai pendekatan terapi dengan indikasi tersering ekstraksi benda asing (78%), jenis benda asing tersering yaitu uang logam (30%). Esofagoskopi lentur jenis EGD lebih sering digunakan untuk pendekatan diagnostik dengan indikasi terbanyak yaitu esofagitis (67%). Simpulan penelitian ini ialah mayoritas pasien laki-laki lebih sering dilakukan esofagoskopi, usia ≥51 tahun, gejala tersering ialah rasa mengganjal dan nyeri di tenggorokan, indikasi terapi paling sering dilakukan yaitu ekstraksi benda asing jenis uang logam menggunakan esofagoskopi kaku, dan esofagitis merupakan indikasi diagnostik tersering yang didapatkan menggunakan esofagoskopi lentur jenis EGD. Kata kunci: esofagoskopi; pendekatan diagnostic; pendekatan terapi
Copyright (c) 2025 Nabilla F. Mokoginta, Steward K. Mengko, Moudi M. Mona https://creativecommons.org/licenses/by-nc/4.0
Hubungan antara Frekuensi Bangkitan Pasien Epilepsi dengan Tingkat Stres Psikososial
Abstract: Epilepsy is a chronic neurological disorder of the brain characterized by recurrent seizures due to excessive electrical discharge in a group of brain cells. The frequency of seizure that occurs in patients with epilepsy often causes social stigma that has an impact on the psychosocial aspects of the individual. This study aimed to determine the relationship between the frequency of epileptic seizure and psychosocial stress level in patients with epilepsy at the Neurology Polyclinic of Prof. Dr. R. D. Kandou Hospital Manado. This was an analytical and observational study with a cross-sectional design. This study was conducted at the Neurology Polyclinic of Prof. Dr. R. D. Kandou Hospital Manado from October to November 2024. The sampling technique used consecutive sampling with research instruments using the Perceived Stress Scale (PSS-10) questionnaire and patient medical record data. The results obtained 28 patients with epilepsy as samples. The majority of patients experienced moderate levels of psychosocial stress (75%), with the frequency of awakening <1 time per month (46.42%). The Spearman correlation test obtained a p-value of 0.070 indicating that there was no significant relationship between the frequency of epileptic seizures and the level of psychosocial stress. In conclusion, there is no significant relationship between the frequency of epileptic seizures and the level of psychosocial stress among patients with epilepsy. Keywords: patients with epilepsy; seizure frequency; psychosocial stress level Abstrak: Epilepsi merupakan gangguan neurologis kronis pada otak, ditandai dengan bangkitan berulang akibat pelepasan muatan listrik berlebihan pada sekelompok sel otak. Frekuensi bangkitan yang terjadi pada pasien epilepsi sering menyebabkan munculnya stigma sosial yang berdampak pada aspek psikososial dari individu tersebut. Penelitian ini bertujuan untuk mengetahui hubungan antara frekuensi bangkitan pasien epilepsi dengan tingkat stres psikososial di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Penelitian ini dilakukan di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado pada bulan Oktober sampai November 2024. Teknik pengambilan sampel menggunakan consecutive sampling dengan instrumen penelitian menggunakan kuesioner Perceived Stress Scale (PSS-10) dan data rekam medik pasien. Hasil penelitian mendapatkan 28 pasien epilepsi sebagai sampel penelitian. Mayoritas pasien mengalami stres psikososial tingkat sedang (75%), dengan frekuensi bangkitan <1 kali/bulan (46,42%). Hasil uji korelasi Spearman mendapatkan nilai signifikansi p=0,070, yang menunjukkan tidak terdapat hubungan bermakna antara frekuensi bangkitan epilepsi dengan tingkat stres psikososial. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara frekuensi bangkitan epilepsi dengan tingkat stres psikososial di Poliklinik Saraf RSUP Prof. Dr. R. D. Kandou Manado. Kata kunci: pasien epilepsi; frekuensi bangkitan; tingkat stres psikososial
Copyright (c) 2025 Pandu D. Mangnga, Junita M. Pertiwi, Corry N. Mahama https://creativecommons.org/licenses/by-nc/4.0
Hubungan Berat Badan Lahir Rendah (BBLR) dengan Hiperbilirubinemia di RSUP Prof. Dr. R. D. Kandou Manado
Abstract: Low birth weight (LBW) is baby whose weight at birth is less than 2,500 grams regardless of gestational age. Meanwhile, hyperbilirubinemia is a condition defined as an increase in serum or plasma bilirubin levels above the normal range of laboratory results caused by bilirubin metabolism disorders characterized by yellowing in infants. This study aimed to determine the relationship between LBW and the incidence of hyperbilirubinemia in neonates at Prof. Dr. R.D. Kandou Hospital Manado. This was an analytical and observational study with a cross-sectional design. Data were obtained from medical records using purposive sampling and then were analyzed using the Pearson chi-square test. The statistical test result showed that there was a significant relationship between LBW and the incidence of hyperbilirubinemia (p<0.001). In conclusion, there is a significant relationship between low birth weight (LBW) and the incidence of hyperbilirubinemia in neonates. Keywords: low birth weight; hyperbilirubinemia Abstrak: Berat badan lahir rendah (BBLR) adalah bayi yang berat badan saat lahir kurang dari 2.500 gram tanpa memandang usia kehamilan. Hiperbilirubinemia adalah peningkatan kadar bilirubin serum atau plasma di atas kisaran hasil normal laboratorium, yang disebabkan gangguan metabolism bilirubin, ditandai dengan kekuningan pada bayi. Penelitian ini bertujuan untuk mengetahui hubungan BBLR dengan kejadian hiperbilirubinemia pada neonatus di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini menggunakan metode observasional analitik dengan desain potong lintang. Data diperoleh melalui rekam medis dengan penentuan sampel purposive sampling kemudian dianalisis dengan uji statistik Pearson chi-square yang menunjukkan terdapat hubungan bermakna antara BBLR dengan kejadian hiperbilirubinemia (p<0,001). Simpulan penelitian ini ialah terdapat hubungan bermakna antara berat badan lahir rendah dengan kejadian hiperbilirubinemia pada neonatus. Kata kunci: berat badan lahir rendah; hiperbilirubinemia
Copyright (c) 2025 Serenity Y. E. Gumogar, Johnny L. Rompis, Rocky Wilar https://creativecommons.org/licenses/by-nc/4.0
Hubungan Prokrastinasi Akademik dengan Indeks Prestasi Kumulatif (IPK) Pada Mahasiswa Angkatan 2023 Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi
Abstract: Academic procrastination is the failure to do tasks within the planned time span until the last moment. Academic procrastination has an impact on students in obtaining maximum learning outcomes because it can affect the cumulative grade point average (GPA) that will be obtained. The study aims to determine the relationship between academic procrastination and GPA of medical education students class of 2023 Sam Ratulangi University using questionnaires as primary data instruments with the Cross-sectional study method. The results showed that out of a total of 233 respondents who filled out the academic procrastination questionnaire, very high scores were obtained 18 (7.73%), high 119 (51.07%), moderate 79 (33.91%), low 13 (5.58%), and very low 4 (1.72%). GPA with honors 199 (85.41%), very satisfactory 31 (13.30%), and satisfactory 3 (1.39%). The Spearman rank correlation test obtained a p value> 0.05 and r = .088. The conclusion of this study is that the level of academic procrastination is classified as high category but there is no significant relationship between academic procrastination and cumulative grade point average. Keywords: Academic Procrastination; Cumulative Grade Point Average
Copyright (c) 2025 Rafael Saranga, Damajanty H. C. Pangemanan, Linda M. Tompodung https://creativecommons.org/licenses/by-nc/4.0
Hubungan antara Ketahanan Pangan Keluarga dengan Status Gizi pada Anak SD Negeri 72 Kota Manado
Abstract: Household food security is a crucial factor influencing children's nutritional status. This study aimed to analyze the correlation between household food security and the nutritional status of school-aged children at SD Negeri 72 Kota Manado. This was a cross-sectional study with a quantitative approach. Samples included 107 school-aged children and their parents. Food security status was measured using the US-HFSSM questionnaire, while nutritional status was assessed using BMI-for-age indicators. Data were analyzed using the chi-square test. The results showed that most children had good nutritional status (79.4%), although 60.7% of families were classified as food insecure. Statistical analysis indicated there was a significant correlation between household food security and children's nutritional status (p=0.007). Despite a high prevalence of food insecurity among families, the children maintained good nutritional status, likely due to family prioritization of children's needs and sufficient access to food in the area. In conclusion, there is a significant correlation between household food security and children's nutritional status. Other factors, such as economy status, parenting and parental nutrition knowledge, may play a larger role in determining nutritional outcomes. Keywords: family food security; nutritional status; school-aged children Abstrak: Ketahanan pangan keluarga merupakan faktor penting yang dapat memengaruhi status gizi anak. Penelitian ini bertujuan untuk menganalisis hubungan antara ketahanan pangan keluarga dengan status gizi anak usia sekolah di SD Negeri 72 Kota Manado. Penelitian ini menggunakan desain potong lintang dengan pendekatan kuantitatif. Sampel terdiri dari 107 anak usia sekolah dan orang tua mereka. Ketahanan pangan diukur menggunakan kuesioner US-HFSSM, sedangkan status gizi diukur menggunakan indikator IMT/U. Analisis data dilakukan menggunakan uji chi-square. Hasil penelitian mendapatkan mayoritas anak memiliki status gizi baik (79,4%), meskipun 60,7% keluarga tergolong rawan pangan. Uji statistik menunjukkan terdapat hubungan bermakna antara ketahanan pangan keluarga dan status gizi anak (p=0,007). Meskipun sebagian besar keluarga tergolong rawan pangan, status gizi anak tetap baik. Hal ini dapat disebabkan oleh prioritas keluarga dalam memenuhi kebutuhan anak dan akses pangan yang memadai di lingkungan sekitar. Simpulan penelitian ini ialah terdapat hubungan antara ketahanan pangan keluarga dan status gizi anak. Faktor lain, seperti status ekonomi, pola asuh, dan pengetahuan gizi orang tua menunjukkan kecenderungan turut berperan dalam menentukan status gizi anak. Kata kunci: ketahanan pangan keluarga; status gizi anak; anak usia sekolah
Copyright (c) 2025 Gabriela Christina, Alexander S. L. Bolang, Shirley E. S. Kawengian https://creativecommons.org/licenses/by-nc/4.0
Hubungan Prokrastinasi Akademik dengan Ketidakjujuran Akademik pada Mahasiswa Kedokteran
Abstract: Academic procrastination is commonly exhibited among students, which often leads to academic dishonesty. This issue is a significant concern in the educational world, where academic dishonesty contradicts the goals of education as a means of developing personal potential and building individual character. This study aimed to evaluate the relationship between academic procrastination and academic dishonesty among students of year 2021 of Faculty of Medicine Universitas Sam Ratulangi. This was an observational and analytical study with a cross-sectional design. Primary data collection utilized the Procrastination Assessment Scale-Students and the Academic Practices Survey. There were 186 students as respondents. The majority of respondents exhibited moderate level of academic procrastination (95.2%) and moderate levels of academic dishonesty (57.5%). The Spearman test for the relationship between academic procrastination and academic dishonesty yielded a correlation coefficient of 0.328 and a significance value of p<0.001. In conclusion, there is a positive relationship between academic procrastination and academic dishonesty among the medical students of year 2021 at Faculty of Medicine, Universitas Sam Ratulangi. Keywords: academic procrastination; academic dishonesty; medical education Abstrak: Prokrastinasi akademik merupakan perilaku yang sering dilakukan di kalangan mahasiswa yang sering kali berujung pada perilaku ketidakjujuran akademik. Hal ini menjadi perhatian penting dalam dunia pendidikan, di mana perilaku ketidakjujuran akademik tidak sesuai dengan tujuan pendidikan sebagai wadah pengembangan potensi diri dan membangun karakter individu. Penelitian ini bertujuan untuk mengetahui hubungan antara prokrastinasi akademik dengan ketidakjujuran akademik pada mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi (PSPD FK Unsrat). Jenis penelitian ialah observasional analitik dengan desain potong lintang. Pengambilan data primer menggunakan kuisioner Procrastination Assessement Scale-Students dan Academic Practices Survey. Responden penelitian ialah angkatan 2021 PSPD FK Unsrat. Hasil penelitian mendapatkan 186 mahasiswa sebagai responden penelitian. Sebagian besar responden memiliki tingkat perilaku prokrastinasi akademik sedang (95,2%) dan tingkat ketidakjujuran akademik sedang (57,5%). Hasil uji Spearman terhadap hubungan antara prokrastinasi akademik dengan ketidakjujuran akademik mendapatkan nilai koefisien korelasi sebesar 0,328 dan nilai signifikansi p<0,001. Simpulan penelitian ini ialah terdapat hubungan positif yang bermakna antara prokrastinasi akademik dengan ketidakjujuran akademik pada mahasiswa angkatan 2021 Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi. Kata kunci: prokrastinasi akademik; ketidakjujuran akademik; pendidikan kedokteran
Copyright (c) 2025 Carissa N. Paskila, Siemona L. E. Berhimpon, Florensia B. Tewal https://creativecommons.org/licenses/by-nc/4.0
Hubungan Lingkar Perut dengan Volume Testis pada Mahasiswa Kedokteran
Abstract: Male infertility is a growing global issue, with obesity contributing to decreased fertility by affecting endocrine function and sex hormone regulation, which can reduce testicular volume. Lack of physical activity and excessive fast food consumption lead to obesity among university students. Abdominal circumference is a key parameter of central obesity. This study aimed to obtain the relationship between abdominal circumference and testicular volume in medical students of Universitas Sam Ratulangi, Manado. This was an analytical and observational study with a cross-sectional design. Purposive sampling was employed, and 52 students participated in this study. Data were collected using a measuring tape and a Prader orchidometer. The Spearman correlation test was applied with a significance level of 0.05. The results showed that the average abdominal circumference of the 52 participants was 88.57±14.15 cm. The average left testicular volume was 19.04±3.89 ml, and the right testicular volume was 19.29±3.84 ml. The Spearman correlation test showed a significant negative relationship between abdominal circumference with both left (p=0.018; r=-0.327) and right (p=0.038; r=-0.289) testicular volume. In conclusion, there is a weak negative correlation exists between abdominal circumference and testicular volume, indicating that larger abdominal circumference is associated with smaller testicular volume in these students. Keywords: abdominal circumference; testicular volume; fertility Abstrak: Infertilitas pria telah menjadi masalah global, dengan obesitas berkontribusi terhadap penurunan kesuburan. Obesitas memengaruhi fungsi endokrin dan regulasi hormon seks, yang dapat menurunkan volume testis. Kurangnya aktivitas fisik dan konsumsi makanan siap saji menyebabkan obesitas pada mahasiswa. Lingkar perut merupakan parameter obesitas sentral. Penelitian ini bertujuan mengetahui hubungan lingkar perut dengan volume testis pada mahasiswa kedokteran Universitas Sam Ratulangi Manado. Jenis penelitian ialah observasional analitik dengan desain potong lintang. Pengambilan sampel dilakukan secara purposif, dan didapatkan 52 mahasiswa sebagai partisipan. Data dikumpulkan dengan menggunakan pita pengukur dan Prader Orchidometer. Uji korelasi Spearman diterapkan dengan tingkat signifikansi 0,05. Hasil penelitian mendapatkan rerata lingkar perut 88,57±14,15 cm. Rerata volume testis kiri 19,04±3,89 ml dan rerata volume testis kanan 19,29±3,84 ml. Hasil uji korelasi Spearman mendapatkan hubungan bermakna dengan korelasi negatif antara lingkar perut dengan volume testis kiri (p=0,018; r=-0,327), dan dengan volume testis kanan (p=0,038; r=-0,289). Simpulan penelitian ini ialah terdapat hubungan bermakna antara lingkar perut dengan volume testis, dengan nilai korelasi negatif lemah. Semakin besar lingkar perut maka semakin kecil volume testis. Kata kunci: lingkar perut; volume testis; kesuburan
Copyright (c) 2025 Vivian B. Karema, Sylvia R. Marunduh, Ivonny M. Sapulete https://creativecommons.org/licenses/by-nc/4.0
Pengaruh Musik terhadap Tingkat Kecemasan Mahasiswa Kedokteran dalam Menghadapi Ujian Modul
Abstract: Anxiety is a common emotional response that can negatively affect academic performance. Medical students often face high-pressure academic environments, especially during module exams, which can impact their mental well-being. Music has been shown to have therapeutic effects that may reduce anxiety levels. This study aimed to analyze the effect of music on the anxiety levels of medical students at Sam Ratulangi University during module examinations. This was a mixed-method study with a sequential explanatory design. The quantitative phase involved a cross-sectional observational analysis using the Zung Self-Rating Anxiety Scale (SAS) questionnaire with 202 respondents. The qualitative phase involved in-depth interviews with ten selected students. Data were analyzed using the Mann-Whitney test for non-normal data. The results showed that most respondents listened to music (74.8%), with pop music being the most preferred genre. Mild anxiety levels were more prevalent among students who listened to music (40.6%) compared to those who did not. The Mann-Whitney test showed a significant difference in anxiety levels between students who listened to music and those who did not (p<0.05). In conclusion, listening to music, particularly slow-tempo music, significantly reduces students' anxiety levels during module exams. This strategy can be adopted as a simple and effective anxiety management method. Keywords: music; anxiety; medical students; module exams Abstrak: Kecemasan merupakan respons emosional umum yang dapat berdampak pada kemampuan akademik. Mahasiswa kedokteran sering mengalami tekanan tinggi dalam lingkungan akademik, terutama saat menghadapi ujian modul, yang dapat memengaruhi kesejahteraan mental. Musik diketahui memiliki efek terapeutik yang berpotensi mengurangi tingkat kecemasan. Penelitian ini bertujuan untuk menganalisis pengaruh musik terhadap tingkat kecemasan mahasiswa kedokteran Universitas Sam Ratulangi dalam menghadapi ujian modul. Jenis penelitian ialah mixed method dengan desain penelitian sequentioal explanatory. Tahap kuantitatif dilakukan dengan analisis observasional potong lintang menggunakan kuesioner Zung Self-Rating Anxiety Scale (SAS) pada 202 responden. Tahap kualitatif menggunakan wawancara mendalam pada sepuluh mahasiswa terpilih. Analisis data dilakukan menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan sebagian besar responden mendengarkan musik (74,8%), dengan jenis musik pop sebagai pilihan terbanyak. Tingkat kecemasan ringan lebih banyak dialami oleh mahasiswa yang mendengarkan musik (40,6%) dibandingkan yang tidak mendengarkan musik. Hasil uji Mann-Whitney menunjukkan perbedaan bermakna antara tingkat kecemasan mahasiswa yang mendengarkan musik dan yang tidak (p<0,05). Simpulan penelitian ini ialah mendengarkan musik, terutama dengan tempo lambat, dapat menurunkan tingkat kecemasan mahasiswa secara bermakna saat menghadapi ujian modul. Strategi ini dapat diadopsi sebagai metode manajemen kecemasan yang sederhana dan efektif. Kata kunci: musik; kecemasan; mahasiswa kedokteran; ujian modul
Copyright (c) 2025 Octaviannus N. Perkasa, Herdy Munayang, Theresia M. D. Kaunang https://creativecommons.org/licenses/by-nc/4.0
Perbandingan Luaran Apendektomi Terbuka dan Apendektomi Laparoskopi pada Pasien Apendisitis di Asia
Abstract: Appendectomy is one of the treatments for appendicitis which can be done using either the open or laparoscopic approach. The choice of surgical technique is often determined by several factors such as medical expertise, availability of healthcare facilities, and patient-related factors. In Asia, with its diverse healthcare systems and population characteristics, the comparison of outcomes between these two techniques remains underexplored. This study aimed to compare the outcomes of both methods in appendicitis patients, focusing on studies conducted in Asia. This was a literature review study using articles searched on PubMed and Google Scholar databases. Comparative analysis of outcomes between both methods was performed descriptively. The results obtained a total of 48 articles that met the inclusion and exclusion criteria. Laparoscopic appendectomy had a significantly shorter hospital stay and lower postoperative pain compared to open appendectomy. However, in terms of postoperative complications, inconsistencies were found in the literature due to various factors. In conclusion, laparoscopic appendectomy is superior to open appendectomy in terms of shorter hospital stays and lower levels of postoperative pain. However, regarding postoperative complications, neither method showed a significant advantage over the other. Keywords: open appendectomy; laparoscopic appendectomy; appendicitis Abstrak: Apendektomi adalah salah satu tatalaksana apendisitis yang dapat dilakukan dengan metode terbuka atau laparoskopi. Pemilihan teknik pembedahan sering kali ditentukan oleh faktor seperti keahlian medis, ketersediaan fasilitas kesehatan, dan faktor pasien. Di Asia, dengan sistem kesehatan dan karakteristik populasi yang beragam, perbandingan luaran kedua teknik ini masih kurang dieksplorasi. Penelitian ini bertujuan untuk membandingkan luaran kedua metode pada pasien apendisitis, dengan fokus pada penelitian yang dilakukan di Asia. Penelitian ini merupakan suatu literature review dari artikel-artikel yang ditelusuri pada database PubMed dan Google Scholar. Analisis perbandingan luaran kedua metode dilakukan secara deskriptif. Hasil penelitian mendapatkan sebanyak 48 artikel memenuhi kriteria inklusi dan eksklusi. Apendektomi laparoskopi memiliki durasi rawat inap yang lebih singkat dan nyeri pasca operasi yang lebih ringan secara bermakna dibandingkan apendektomi terbuka. Dalam hal komplikasi pasca operasi, ditemukan adanya inkonsistensi dalam literatur yang disebabkan oleh berbagai macam faktor. Simpulan penelitian ini ialah apendektomi laparoskopi lebih unggul dibandingkan apendektomi terbuka dalam hal durasi rawat inap dan tingkat nyeri pasca operasi. Namun, dalam hal komplikasi pasca operasi, tidak ada metode yang menunjukkan keunggulan bermakna dibandingkan metode lainnya. Kata kunci: apendektomi terbuka; apendektomi laparoskopi; apendisitis
Copyright (c) 2025 Luna M. Soetarman, Angelica M. J. Wagiu, Stephanus J. C. Tangel https://creativecommons.org/licenses/by-nc/4.0
Hubungan Tingkat Stres dengan Kualitas Tidur dan Motivasi Belajar pada Mahasiswa Tahun Pertama Fakultas Kedokteran Universitas Sam Ratulangi
Abstract: The first year of college is a significant period of change that can trigger stress, particularly among medical students. This stress negatively impacts physical and mental health, including sleep quality and learning motivation. This study aims to examine the relationship between stress levels on sleep quality and learning motivation among first-year medical students at Sam Ratulangi University. This quantitative research utilized an observational analytic design with purposive sampling, involving 205 students. Data on stress levels were obtained MSSQ, data on sleep quality were assessed with the PSQI, and data on learning motivation were gathered using the Learning Questionnaire developed by Ariyanti. Data were analyzed using Pearson and Spearman’s correlation test. The majority of respondents experienced high levels of stress, poor sleep quality, and high learning motivation. The correlation test of the relationships between stress level with sleep quality and learning motivation indicated significant relationships (p=0.005; r=0.197 and p=0.002; r=-0.220). In conclusion, there are significant relationships between stress level with sleep quality and learning motivation among first-year medical students at Universitas Sam Ratulangi. The majority of students have high level of stress and poor sleep quality, albeit, they still have high learning motivation. Keywords: stress level; sleep quality; learning motivation Abstrak: Tahun pertama di perguruan tinggi merupakan periode perubahan signifikan yang dapat memicu stres, terutama bagi mahasiswa Fakultas Kedokteran. Stres ini berdampak pada kesehatan fisik dan mental, termasuk kualitas tidur dan motivasi belajar. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat stres dengan kualitas tidur dan motivasi belajar pada mahasiswa tahun pertama Fakultas Kedokteran Universitas Sam Ratulangi. Penelitian ini menggunakan metode kuantitatif dengan desain observasional analitik dan purposive sampling, yang melibatkan 205 mahasiswa. Data tingkat stres diperoleh menggunakan kuesioner MSSQ, data kualitas tidur menggunakan kuesioner PSQI, dan data motivasi belajar menggunakan Kuesioner Belajar Ariyanti. Data dianalisis menggunakan uji korelasi Pearson dan Spearman’s. Hasil penelitian mendapatkan sebagian besar responden mengalami stres berat, kualitas tidur buruk, dan motivasi belajar tinggi. Uji korelasi hubungan antara tingkat stres dengan kualitas tidur dan motivasi belajar menunjukkan hubungan bermakna (p=0,005; r=0,197 dan p=0,002; r=-0,220). Simpulan penelitian ini ialah terdapat hubungan bermakna antara tingkat stres dengan kualitas tidur dan motivasi belajar pada mahasiswa tahun pertama Fakultas Kedokteran Universitas Sam Ratulangi. Walaupun sebagian besar mahasiswa tersebut mengalami tingkat stres berat dan kualitas tidur buruk, mereka masih memiliki motivasi belajar tinggi. Kata kunci: tingkat stres; kualitas tidur; motivasi belajar
Copyright (c) 2025 Wahyu K. Ajhie, Sylvia R. Marunduh, Joice N. A. Engka https://creativecommons.org/licenses/by-nc/4.0
Diseksi Aorta Stanford B Debakey III dengan Pendekatan Thoracic Endovascular Aortic Repair (TEVAR)
Abstract: Aortic dissection is a rare but highly fatal medical condition characterized by a tear in the tunica intima of the aortic wall. Most aortic dissection cases go undetected during the patient’s initial visit to the emergency department, with accurate early diagnosis rates ranging from 15% to 43%. Without immediate intervention, the mortality rate can reach 50% within the first two days. This study presents a case of aortic dissection classified as Stanford type B and DeBakey type III, managed with TEVAR. A 62-year-old male presented to the cardiothoracic surgery outpatient clinic with complaints of tearing chest pain persisting for the past month. The patient had a history of smoking and hypertension. Physical examination was within normal limits, but blood tests showed elevated leukocytes. A chest X-ray and CT angiography, followed by 3D aortic visualization, revealed an aortic dissection classified as Stanford type B and DeBakey type III. Definitive surgery was performed using TEVAR, followed by a chimney technique to seal the primary lesion in zone III of the aorta. Postoperative follow-up showed gradual improvement of chest pain symptoms. TEVAR is indicated for tears in the aortic arch area with a high risk of complications, aimung to restore flow in the true lumen and support aortic remodeling. In conclusion, in this case chronic aortic dissection results from secondary lifestyle-related risk factors and comorbidity. The Stanford and DeBakey classifications aid in aortic zoning, facilitating definitive TEVAR procedures. Keywords: aortic dissection; thoracic endovascular aortic repair Abstrak: Diseksi aorta merupakan kondisi medis langka namun memiliki tingkat mortalitas tinggi, ditandai dengan robekan pada tunika intima dari dinding aorta. Umumnya kasus diseksi aorta tidak terdeteksi saat pertama kali pasien datang ke unit gawat darurat. Tanpa intervensi segera, tingkat kematian bisa mencapai 50% dalam dua hari pertama. Kami melaporkan kasus seorang laki-laki usia 62 tahun datang ke poliklinik BTKV dengan keluhan nyeri dada seperti robekan sejak satu bulan terakhir. Pasien memiliki riwayat merokok dan hipertensi. Hasil pemeriksaan fisik dalam batas normal. Hasil pemeriksaan darah terdapat peningkatan leukosit. Interpretasi foto polos thoraks dan CT Angiografi yang dilanjutkan virtualisasi 3D pada aorta didapatkan diseksi aorta dengan klasifikasi Stanford B dan DeBakey III. Tindakan yang dilakukan ialah pembedahan definitif TEVAR yang dilanjutkan prosedur Chimney untuk menutup lesi primer pada zona III aorta. Pada follow-up pasca tindakan didapatlkan bahwa keluhan nyeri dada yang dirasakan oleh pasien sebelumnya mulai berkurang secara perlahan. Tatalaksana TEVAR merupakan indikasi pada robekan di area arkus aorta dengan komplikasi tinggi dengan tujuan untuk memperbaiki aliran true lumen dan mendukung remodeling aorta. Simpulan kasus ini ialah diseksi aorta kronis terjadi akibat faktor risiko gaya hidup sekunder dan komorbid. Klasifikasi Stanford dan DeBakey membantu proses zonasi aorta untuk prosedur definitif TEVAR. Kata kunci: diseksi aorta; thoracic endovascular aortic repair
Copyright (c) 2025 Adrian Tangkilisan, Wega Sukanto, Rigel Paat, Edward Iskandar https://creativecommons.org/licenses/by-nc/4.0
Gambaran Aktivitas Fisik dan Kadar Hemoglobin pada Remaja Putri di Kelurahan Malalayang 1 Barat Kota Manado
Abstract: Physical activity is an essential part of human life, promoting health and fitness. Hemoglobin functions as an oxygen carrier in the body and serves as an indicator of anemia. Anemia in female adolescent is often caused by menstruation and an imbalanced diet, which can affect academic and physical performance. This study aimed to obtain the physical activity and hemoglobin levels among female adolescents in Kelurahan Malalayang 1 Barat, Manado. This was a descriptive and analytical study with a cross-sectional design. Data were collected using the GPAQ questionnaire and hemoglobin levels were measured using a hematology analyzer. The results obtained 30 female adolescents as subjects. The distribution of physical activity was light (33.33%), moderate (33.33%), and vigorous (33.33%). The majority of subjects (93.33%) had normal hemoglobin level, while 6.66% had low hemoglobin level. No subjects had high hemoglobin level. In conclusion, physical activity among female adolescents was evenly distributed across light, moderate, and vigorous categories, with the majority having normal hemoglobin levels. Keywords: female adolescents; physical activity; hemoglobin level Abstrak: Aktivitas fisik merupakan elemen penting dalam kehidupan manusia yang dapat meningkatkan kesehatan dan kebugaran tubuh. Hemoglobin berfungsi sebagai pengangkut oksigen dalam tubuh, dan kadar hemoglobin dapat digunakan sebagai indikator anemia. Anemia pada remaja putri sering kali disebabkan oleh menstruasi dan pola makan yang tidak seimbang, yang dapat memengaruhi aktivitas akademik dan fisik. Penelitian ini bertujuan untuk mengetahui gambaran aktivitas fisik dan kadar hemoglobin pada remaja putri di Kelurahan Malalayang 1 Barat Kota Manado. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang. Data dikumpulkan melalui pengisian kuesioner GPAQ dan pengukuran kadar hemoglobin menggunakan hematology analyzer. Hasil penelitian mendapatkan 30 remaja putri sebagai subjek penelitian. Distribusi aktivitas fisik subjek ialah kategori ringan, sedang, dan berat; masing-masing sebesar 33,33%. Mayoritas subjek (93,33%) memiliki kadar hemoglobin normal, sedangkan 6,66% memiliki kadar hemoglobin rendah. Tidak ditemukan subjek dengan kadar hemoglobin tinggi. Simpulan penelitian ini ialah aktivitas fisik remaja putri terdistribusi merata dalam kategori ringan, sedang, dan berat, dengan mayoritas memiliki kadar hemoglobin normal. Kata kunci: remaja putri; aktivitas fisik; kadar hemoglobin
Copyright (c) 2025 Christian H. Silalahi, Glady I. Rambert, Mayer F. Wowor https://creativecommons.org/licenses/by-nc/4.0
Hubungan Indeks Massa Tubuh (IMT) dengan Siklus Menstruasi pada Mahasiswi Kedokteran
Abstract: Menstrual cycle disorders are a common health issue experienced by women around the world, including in Indonesia. This condition is one of the important indicators of disturbances in the functioning of the reproductive system. BMI can affect the menstrual cycle through the role of adipose tissue that actively changes the ratio of estrogen and androgen hormones. This study aims to determine the relationship between BMI and menstrual cycle in students of Faculty of Medicine Batch 2023, Sam Ratulangi University Manado. This type of research is descriptive analytic using correlation research design with cross sectional approach. The sampling technique was purposive sampling. The sample in this study were 158 female students. The instruments used were scales, microtoise and questionnaires. Data were analyzed using the Chi-Square correlation test with a significance value of 0.05. A total of 78 respondents had normal BMI. The average respondent has a normal menstrual cycle. The results of the Chi-Square correlation test obtained a value of p = 0.667.The conclusion of this study is that there is no relationship between BMI and Menstrual Cycle in female students of the Faculty of Medicine Class of 2023, Sam Ratulangi University. Keywords: body mass index; menstrual cycle; medical students Abstrak: Gangguan siklus menstruasi merupakan isu kesehatan yang umum dialami oleh wanita di seluruh dunia, termasuk di Indonesia. Kondisi ini menjadi salah satu indikator penting adanya gangguan pada fungsi sistem reproduksi. IMT dapat memengaruhi siklus menstruasi melalui peran jaringan adiposa yang aktif mengubah rasio hormon estrogen dan androgen. Penelitian ini bertujuan untuk mengetahui hubungan IMT dengan siklus menstruasi pada mahasiswa Fakultas Kedokteran Angkatan 2023 Universitas Sam Ratulangi Manado. Jenis penelitian ini adalah deskriptif analitik menggunakan desain penelitian korelasi dengan pendekatan cross sectional. Teknik pengambilan sampel yakni purposive sampling. Sampel dalam penelitian ini adalah 158 orang mahasiswi. Instrumen yang di gunakan yakni timbangan, microtoise dan kuesioner. Data dianalisis menggunakan uji korelasi Chi-Square dengan nilai signifikasi 0.05. Sebanyak 78 orang responden memiliki IMT normal. Rata-rata responden memiliki siklus menstruasi yang normal. Hasil uji korelasi Chi-Square mendapatkan nilai p =0,667.Simpulan penelitian ini ialah tidak terdapat hubungan antara IMT dengan Siklus Menstruasi pada mahasiswi Fakultas Kedokteran Angkatan 2023 Universitas Sam Ratulangi. Kata kunci: indeks massa tubuh; siklus menstruasi; mahasiswi kedokteran
Copyright (c) 2025 Elisabeth A. U. Hasibuan, Erwin Pangkahila, Diana V. Doda https://creativecommons.org/licenses/by-nc/4.0
Gambaran Kecerdasan Emosional Mahasiswa Kedokteran di Sulawesi Utara
Abstract: Medical students are known to undergo rigorous learning methods with heavy academic demands, making them more prone to experience psychological issues. Moreover, as future healthcare professionals, medical students are also required to uphold professionalism and demonstrate a high level of ethics and empathy. Therefore, the ability to manage, regulate, and utilize emotions to facilitate thinking, enhance empathy, and plan actions—skills encompassed in emotional intelligence—is essential. This study aimed to identify the level of emotional intelligence among medical student at a university in North Sulawesi. This was a quantitative and descriptive study using a survey technique with the Schutte Self Emotional Intelligence scale as the instrument. Respondents were 186 students of 7th of the Medical Study Program obtained by using the total sampling method. The results show that the emotional intelligence level of the respondents was high (77.4%) and moderate (22.6%); no students had low emotional intelligence. The highest scores were in the emotional perception aspect. In conclusion, the majority of 7th-semester students in the Medical Education Study Program at a university in North Sulawesi fall into the high and moderate categories, with none falling into the low category. Keywords: emotional intelligence; medical students Abstrak: Mahasiswa kedokteran dikenal memiliki metode pembelajaran yang berat dengan tuntutan akademik yang membuatnya cenderung lebih sering mengalami gangguan psikologis dibanding mahasiswa lainnya. Sebagai calon tenaga medis, mahasiswa kedokteran juga dituntut untuk memiliki profesionalisme serta menjunjung etika dan empati yang tinggi, yang memerlukan kemampuan dalam mengelola, meregulasi, dan memanfaatkan emosi untuk memfasilitasi pemikiran, meningkatkan empati, dan merencanakan tindakan, yang terkandung dalam kecerdasan emosional. Penelitian ini bertujuan untuk mengetahui gambaran kecerdasan emosional mahasiswa Program Studi Pendidikan Dokter (PSPD) di salah satu perguruan tinggi Sulawesi Utara. Metode penelitian ini deskriptif kuantitatif dan memakai teknik survei dengan menggunakan kuesioner Schutte Self Emotional Intelligence. Penelitian ini dilaksanakan pada 186 mahasiwa semester 7 PSPD dengan metode total sampling. Hasil penelitian mendapatkan bahwa tingkat kecerdasan emosional responden berada pada tingkat tinggi (77,4%) dan tingkat sedang (22,6%); tidak ada mahasiswa dengan tingkat kecerdasan rendah. Aspek pengaturan emosi diri mendapat hasil tingkat tinggi yang terbanyak. Simpulan penelitian ini ialah sebagian besar mahasiswa semester 7 Program Studi Pendidikan Dokter di salah satu perguruan tinggi di Sulawesi Utara termasuk dalam kategori kecerdasan emosional tinggi dan sedang, serta tidak ada dalam kategori rendah. Kata kunci: kecerdasan emosional; mahasiswa kedokteran
Copyright (c) 2025 Reynaldi J. Pangalila, Hendri Opod, Jehosua S. V. Sinolungan, Cicilia Pali https://creativecommons.org/licenses/by-nc/4.0
Prevalensi dan Gambaran Klinis Skabies pada Santriwati Pondok Pesantren Darul Istiqamah Manado Tahun 2024
Abstract: Scabies is an environmentally transmitted skin disease that remains a significant health issue in Indonesia, including in Islamic boarding schools. This study aimed to determine the prevalence and clinical features of scabies among female students at Darul Istiqamah Islamic Boarding School, Manado, in 2024. This was a descriptive study with a cross-sectional design. Samples included all female students that met the inclusion criteria. Data were collected through interview, clinical examination, and skin scraping for microscopic identification of Sarcoptes scabiei mites. A scabies diagnosis was established if at least two of the four cardinal signs of scabies were present. The results showed that there were 55 female students as subjects; 27.3% showed clinical features of scabies. The most common cardinal signs were group itching complaints (60%) and nocturnal pruritus (36.4%). In conclusion, the prevalence of scabies among female students at Darul Istiqamah Islamic Boarding School is relatively high compared to the national average. Environmental factors and personal hygiene play crucial roles in the spread of this disease. Preventive measures such as education and improved environmental hygiene are needed to reduce the transmission of scabies in boarding schools. Keywords: prevalence of scabies; cardinal signs; Islamic boarding school; Sarcoptes scabiei Abstrak: Skabies merupakan penyakit kulit menular berbasis lingkungan yang masih menjadi masalah kesehatan di Indonesia, termasuk di pesantren. Penelitian ini bertujuan untuk mengetahui prevalensi dan gambaran klinis skabies pada santriwati Pondok Pesantren Darul Istiqamah Manado tahun 2024. Penelitian ini menggunakan metode deskriptif dengan desain potong lintang. Sampel penelitian terdiri dari seluruh santriwati (n=55) yang memenuhi kriteria inklusi. Data dikumpulkan melalui anamnesis, pemeriksaan klinis, dan pengambilan sampel kerokan kulit untuk identifikasi tungau Sarcoptes scabiei. Diagnosis skabies ditegakkan jika ditemukan dua dari empat tanda kardinal skabies. Hasil penelitian mendapatkan 55 santriwati sebagai subjek penelitian. Terdapat sebanyak 27,3% santriwati memiliki gambaran klinis skabies. Tanda kardinal paling banyak ditemukan ialah keluhan gatal kelompok (60%) dan pruritus nokturna (36,4%). Simpulan penelitian ini ialah prevalensi skabies pada santriwati Pondok Pesantren Darul Istiqamah tergolong tinggi dibandingkan angka nasional. Faktor lingkungan dan kebersihan pribadi berperan penting dalam penyebaran penyakit ini. Upaya preventif seperti edukasi dan peningkatan kebersihan lingkungan diperlukan untuk menekan penyebaran skabies di pesantren. Kata kunci: prevalensi skabies; tanda kardinal; pondok pesantren; Sarcoptes scabiei
Copyright (c) 2025 Rezki A. Ramdani, Greta J. P. Wahongan, Victor D. Pijoh https://creativecommons.org/licenses/by-nc/4.0
Diagnosis dan Penatalaksanaan Benda Asing Trakeobronkial pada Anak
Abstract: Tracheobronchial foreign body aspiration in children is a pediatric emergency that requires prompt and appropriate management. Nonspecific signs and symptoms, even asymptomatic are often misdiagnosed and can lead to various serious complications. This study aimed to determine the diagnosis and management of tracheobronchial foreign body aspiration in children. This was a literature review study using PICOS framework as the selection criteria. The results showed that based on research in 15 literatures, the history of foreign body aspiration, detailed anamnesis, and physical examination had important roles in diagnosis. Auxiliary examinations that could be done were chest X-ray, CT-scan, and/or virtual bronchoscopy with MDCT. Bronchoscopy served as a diagnostic and therapeutic procedure in the management of tracheobronchial foreign body aspiration in children. In conclusion, the proper algorithm of diagnosis and management in tracheobronchial foreign body aspiration can reduce the incidence of complications and even mortality. Keywords: diagnosis; management; tracheobronchial foreign body; children Abstrak: Aspirasi benda asing pada anak merupakan salah satu kasus kegawatdaruratan pediatrik yang memerlukan penanganan cepat dan tepat. Tanda dan gejala yang tidak spesifik bahkan asimtomatis seringkali mengarah ke terjadinya misdiagnosis dan dapat menyebabkan berbagai komplikasi serius lainnya. Penelitian ini bertujuan untuk mengetahui diagnosis dan tatalaksana benda asing trakeobronkial pada anak. Metode yang digunakan pada penelitian ini ialah literature review menggunakan kriteria seleksi PICOS framework. Hasil penelitian memperlihatkan bahwa berdasarkan penelusuran 15 literatur didapatkan riwayat aspirasi benda asing trakeobronkial, anamnesis terperinci, dan pemeriksaan fisik berperan penting dalam diagnosis. Pemeriksaan penunjang yang dapat dilakukan, yaitu rontgen toraks, pemindaian CT, dan/atau bronkoskopi virtual dengan MDCT. Bronkoskopi berperan sebagai prosedur diagnostik dan terapeutik dalam penangaan aspirasi benda asing trakeobronial pada anak. Simpuan penelitian ini ialah alur diagnosis dan tatalaksana yang tepat untuk menangani aspirasi benda asing trakeobronkial pada anak dapat mengurangi insiden komplikasi bahkan mortalitas. Kata kunci: diagnosis; tatalaksana; benda asing trakeobronkial; anak
Copyright (c) 2025 Rifdah A. Rahman, Steward K. Mengko, Rizki R. Najoan https://creativecommons.org/licenses/by-nc/4.0
Coexistence of Alopecia Areata and Seborrheic Dermatitis: A Case Report
Abstract: Alopecia areata is an autoimmune hair disorder that causes bald patches. AA occurs at all ages with a slightly greater tendency in women. Diagnosis is usually clinical but in atypical cases such as ophiasis, supporting examinations such as trichoscopy or skin biopsy can be performed. Seborrheic dermatitis (SD) is an inflammatory skin disease with scales in areas full of sebaceous glands such as the scalp. Factors that play a role in the pathogenesis of SD include decreased immunity and the role of Malassezia. The diagnosis of SD is usually based on clinical. SD and AA can occur alone or together. In this report, a 44-year-old man came with complaints of patchy hair loss on the scalp for four years accompanied by itchy and scaly red patches on the scalp in the last one month. Based on the history and physical examination, the diagnosis of alopecia areata and seborrheic dermatitis was established. Intralesional corticosteroids, a combination cream of clobetasol and ketoconazole, and loratadine is given. After one week, improvement was seen with the disappearance of scales redness, and hair growth within four weeks of treatment. In conclusion, the treatment performed showed good results to overcome both conditions. Keywords: alopecia areata; intralesional corticosteroid; seborrheic dermatitis
Copyright (c) 2025 Louis Valdo, Linda J. Wijayadi https://creativecommons.org/licenses/by-nc/4.0
Hubungan Postur Kerja Ergonomis dan Beban Kerja dengan Upper Limb Pain pada Petugas Cleaning Service
Abstract: Musculoskeletal disorders (MSDs) among workers have become an increasingly urgent health issue worldwide. This study aimed to evaluate the relationship between work posture and workload with upper limb pain (ULP) among cleaning service workers. This was an observational and analytical study with a cross-sectional deesign conducted on 52 cleaning service workers at Universitas Sam Ratulangi using a purposive sampling technique. Data were analyzed using the Spearman correlation test. The instruments were the Rapid Upper Limb Assessment (RULA) worksheet to evaluate work posture, the NASA-TLX questionnaire to assess workload, and the Nordic Body Map questionnaire to measure ULP complaints. The results showed that the majority of posture risk levels assessed by using RULA, were categorized as high risk (88.9%). Similarly, workload risks assessed by using NASA-TLX were predominantly at high risk (86.7%). However, the majority of complaint levels assessed by using NBM were classified as mild risk (77.8%). The Spearman correlation test showed no significant relationship between work posture and ULP (p=0.505), and a correlation coefficient value of 0.102 which meant a weak correlation. Whereas, there was a significant relationship between workload and ULP (p=0.039), and a coefficient value of -0.309* which meant a moderate correlation with an unidirectional relationship. In conclusion, there is no significant relationship between work posture and ULP. However, there is a significant relationship between workload and ULP, characterized by a moderate correlation value and a negative relationship, indicating that as the workload increases, the ULP tends to decrease. Keywords: posture; workload; upper limb pain; cleaning service worker Abstrak: Musculoskeletal disorders (MSDs) pada pekerja menjadi salah satu isu kesehatan yang semakin mendesak di seluruh dunia. Penelitian ini bertujuan untuk mengetahui hubungan antara postur kerja dan beban kerja dengan upper limb pain (ULP) pada petugas cleaning service. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Responden penelitian ialah 52 petugas cleaning service Universitas Sam Ratulangi diperoleh dengan teknik purposive sampling. Instrumen penelitian yang digunakan ialah Rapid Upper Limb Assessment (RULA) untuk menilai postur kerja, NASA-TLX Questioner untuk menilai beban kerja, dan Nordic Body Map Questioner untuk menilai keluhan ULP. Analisis data dilakukan dengan uji korelasi Spearman. Hasil penelitian mendapatkan bahwa mayoritas tingkat risiko postur tubuh menggunakan RULA berisiko tinggi (88,9%), beban kerja menggunakan NASA-TLX berisiko tingi (86,7%), dan tingkat keluhan menggunakan NBM berisiko ringan (77,8%). Uji korelasi Spearman menunjukkan tidak terdapat hubungan bermakna antara postur kerja dengan ULP (p=0,505), dan nilai koefisien korelasi 0,102 yang berarti korelasi lemah. Terdapat hubungan bermakna antara beban kerja dengan ULP (p=0,039) dan nilai koefisien -0,309* yang berarti korelasi cukup dengan arah hubungan tidak searah. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara postur kerja dengan ULP dengan nilai korelasi lemah, namun terdapat hubungan bermakna antara beban kerja dengan ULP dengan nilai korelasi cukup dan arah hubungan negatif yang menunjukkan bahwa jika beban kerja meningkat maka ULP cenderung menurun. Kata kunci: postur tubuh; beban kerja; upper limb pain; petugas cleaning service
Copyright (c) 2025 Irene L.G. Lombok, Diana V. D. Doda, Erwin A. Pangkahila https://creativecommons.org/licenses/by-nc/4.0
Reconstruction of Nasal Defect Caused by Rhinophyma with Excision and Full Thickness Skin Graft: A Case Report
Abstract: Rhinophyma is a benign hypertrophic thickening and edema of the nasal pyramid skin caused by the growth of sebaceous glands, underlying connective tissue, and blood vessels. It is a fairly uncommon nasal disorder, affecting the nasal soft tissues and leading to nasal architecture disturbance, airway obstruction, and nasal aesthetic unit deformity. In cases of severe rhinophyma, surgical management is the first line of treatment, and full thickness skin graft (FTSG) is an additional option. This paper reports a nasal reconstruction with excision of rhinophyma, followed by FTSG as a defect reconstruction in Manado. A 53-year-old man complained about breathing, feeding, and nasal deformity problems for the last three years. About 25 years ago, the patient initially noticed a slowly thickening of the nose skin. Patient works for the army and gets a lot of sun exposure. Its bulk at presentation obstructed the nares (stage IV of rosacea) and insulted the appearance. The patient underwent surgical excision with a knife to shave off the aberrant tissue, with electrocauterization of the bleeding spots, followed by a FTSG from the left retroauricular as a donor site to cover the defect with good result. The diagnosis of rhinophyma was validated by histological analysis of the specimens. In conclusion, rhinophyma representing stage IV of rosacea, gives the nose and the rest of the face an unsightly appearance. It can be effectively treated with surgical excision and FTSG. Postoperative follow-up and supervision are necessary to ensure the optimal healing outcomes and that the patient is more confident with the result in concerns with functionality as well as appearance. Keywords: rhinophyma; nasal defect reconstruction; full-thickness skin graft
Copyright (c) 2025 Mendy Hatibie, Marselus A. Merung, Priscillia Kalitouw, Stevy Suoth, Toby H. Wiranegara https://creativecommons.org/licenses/by-nc/4.0
Karakteristik Fisik dan Kimia Tempat Perindukan Larva Nyamuk Di Kecamatan Ratatotok Kabupaten Minahasa Tenggara
Abstract: Mosquito-borne diseases, such as dengue fever, filariasis, and malaria, remain significant public health challenges in Indonesia. A key factor in their transmission is the presence of mosquito breeding sites. Physical characteristics, such as water temperature and depth, as well as chemical characteristics, including pH and salinity, greatly influence the survival of mosquito larvae. This study aimd to analyze the physical and chemical characteristics of mosquito breeding sites at Ratatotok District. This was a descriptive study with a cross-sectional design, using water samples containing mosquito larvae that met the study's criteria from September to December 2024. The results obtained nine breeding sites with two mosquito genera observed: Culex sp. and Aedes sp. The physical characteristics of the breeding sites showed depths ranging from 13 cm to 36 cm and temperatures between 30°C and 34.3°C. Chemical characteristics included pH values ranging from 7.47 to 8.12 and salinity levels between 0% and 0.88%. In conclusion, the aquatic environments at Ratatotok District provide suitable habitats to support the development of mosquito larvae. Keywords: physical and chemical characteristics; breeding sites; mosquito larvae; Culex sp.; Aedes sp. Abstrak: Penyakit yang ditularkan melalui nyamuk, seperti demam berdarah dengue, filariasis, dan malaria, masih menjadi masalah kesehatan masyarakat di Indonesia. Salah satu faktor kunci penyebarannya ialah tempat perindukan larva nyamuk. Karakteristik fisik, seperti suhu dan kedalaman air, serta karakteristik kimia, seperti pH dan salinitas sangat memengaruhi kelangsungan hidup larva. Penelitian ini bertujuan untuk mengetahui karakteristik fisik dan kimia tempat perindukan larva nyamuk di Kecamatan Ratatotok. Jenis penelitian ialah deskriptif dengan desain potong lintang. Sampel yang digunakan ialah perairan yang terdapat larva nyamuk yang memenuhi kriteria sampel penelitian pada bulan September-Desember 2024. Hasil penelitian mendapatkan sembilan tempat yang menjadi tempat perindukan larva di Kecamatan Ratatotok. Terdapat dua genus yang ditemukan, yaitu Culex sp. dan Aedes sp. Karakteristik fisik tempat perindukan memiliki kedalaman 13cm-36 cm dan suhu 30°C-34,3 °C. Karakteristik kimia tempat perindukan memiliki pH 7,47-8,12 dan salinitas 0-0,88%. Simpulan penelitian ini ialah perairan di Kecamatan Ratatotok memiliki habitat yang cukup ideal untuk perkembangan larva nyamuk. Kata kunci: karakteristik fisik dan kimia; tempat perindukan; larva nyamuk; Culex sp.; Aedes sp.
Copyright (c) 2025 Vicking Lee, Janno B. B. Bernadus, Victor D. Pijoh https://creativecommons.org/licenses/by-nc/4.0
Identifikasi Genus Nyamuk Dewasa di Kelurahan Madidir Unet Kota Bitung
Abstract: Mosquitoes are primary vectors of several serious diseases, such as malaria, dengue fever, and filariasis, particularly in tropical and subtropical regions. Therefore, it is crucial to conduct mosquito genus identification in endemic areas to inform effective disease control and prevention strategies. This study aimed to identify the genus of adult mosquitoes based on the collection time (day and night) and collection location (indoors and outdoors), and to analyze the distribution patterns of adult mosquitoes by genus at Kelurahan Madidir Unet, Kota Bitung (endemic area). This was a descriptive survey study using sweeping technique as the mosquito collection method, with nets and aspirators. Adult mosquitoes were caught at Lingkungan I-IV, both indoors and outdoors, during both daytime and nighttime. The results showed a total of 111 adult mosquitoes, consisting of 55 Aedes spp. and 56 Culex spp., while no Anopheles spp. were found. Female mosquitoes were more dominant than males, with 73 females and 38 males. Aedes spp. were more frequently captured during the day, with 41 individuals, while Culex spp. were more prevalent at night, with 43 individuals. Both genera were predominantly found outdoors, with 41 Aedes spp. and 33 Culex spp. captured in outdoor environments. In conclusion, Culex spp. are the most commonly identified mosquito, followed by Aedes spp., meanwhile no Anopheles spp. is found. Aedes spp. is active during the day, while Culex spp. dominate at night, and both species are mostly found outdoors. Keywords: adult mosquitoes; genus; vector Abstrak: Nyamuk merupakan vektor utama berbagai penyakit, seperti malaria, demam berdarah, dan filariasis, terutama di wilayah tropis dan subtropis. Oleh karena itu, penting untuk melakukan identifikasi genus nyamuk di daerah dengan angka kasus tinggi guna mendukung upaya pengendalian dan pencegahan penyakit. Penelitian ini bertujuan untuk mengidentifikasi genus nyamuk dewasa berdasarkan waktu penangkapan (siang dan malam hari) dan tempat penangkapan (di dalam dan di luar ruangan), serta untuk mengetahui pola penyebaran nyamuk dewasa berdasarkan genus di Kelurahan Madidir Unet, Kota Bitung (dareah endemis). Penelitian ini menggunakan pendekatan survei deskriptif, dengan teknik sweeping sebagai metode penangkapan nyamuk, menggunakan aspirator dan jaring. Nyamuk dewasa ditangkap dari Lingkungan I-VI baik di dalam maupun di luar ruangan, pada siang dan malam hari. Hasil penelitian menunjukkan bahwa dari total 111 nyamuk dewasa yang teridentifikasi, 55 ekor merupakan Aedes spp. dan 56 ekor Culex spp., sedangkan Anopheles spp. tidak ditemukan. Nyamuk betina lebih dominan dibandingkan dengan nyamuk jantan, dengan jumlah 73 ekor betina dan 38 ekor jantan. Aedes spp. lebih banyak ditemukan pada penangkapan siang hari, sebanyak 53 ekor, sedangkan Culex spp. lebih dominan pada malam hari dengan 43 ekor. Kedua genus sebagian besar ditemukan di luar ruangan, dengan 41 ekor Aedes spp. dan 33 ekor Culex spp. Simpulan penelitian ini ialah nyamuk yang paling banyak teridentifikasi ialah Culex spp. dan Aedes spp., sedangkan Anopheles spp. tidak ditemukan. Aedes spp. lebih banyak tertangkap pada siang hari, sedangkan Culex spp. dominan pada malam hari. Keduanya lebih banyak ditemukan di luar ruangan. Kata kunci: nyamuk dewasa; genus; vektor
Copyright (c) 2025 Sitti S. Abd. Wahab, Angle M. H. Sorisi, Greta J. P. Wahongan https://creativecommons.org/licenses/by-nc/4.0
Efek Samping Kortikosteroid Jangka Panjang pada Anak dengan Sindrom Nefrotik
Abstract: Nephrotic syndrome is one of the kidney diseases in children with the majority of patients experiencing disease recurrence. First-line therapy for nephrotic syndrome is oral corticosteroids, which reduce mortality and induce remission in approximately 80%. Side effects of long-term corticosteroid therapy in children with nephrotic syndrome include moon face, impaired growth, hypertension, and substantial weight gain. This study aimed to describe the side effects due to long-term use of corticosteroids in children with nephrotic syndrome treated at Prof. Dr. R. D. Kandou Hospital. This was a descriptive study with a cross-sectional design. This study involved 156 nephrotic syndrome patients, of whom 30 fulfilled the inclusion criteria, while 126 were excluded. The results showed that the majority of patients were male, aged 10-18 years. The side effects of corticosteroid in nephrotic syndrome patients were moon face (76.7%), short stature (36,67%), underweight (50%), hypertension (13,33%), and obesity (3,33%). In conclusion, the most common side effects that occur due to long-term consumption of corticosteroids are moon face, growth disorders, hypertension, and obesity. These findings encourage clinicians to observe and prevent the side effects of long-term corticosteroid use. Keywords: nephrotic syndrome; children; side effects of long-term corticosteroids Abstrak: Sindrom nefrotik ialah salah satu penyakit ginjal pada anak dengan kecenderungan mengalami kekambuhan penyakit. Terapi lini pertama untuk sindrom nefrotik ialah kortikosteroid oral, yang mengurangi angka kematian dan menginduksi remisi sekitar 80%. Efek samping terapi kortikosteroid jangka panjang pada anak dengan sindrom nefrotik antara lain moon face, gangguan pertumbuhan, hipertensi, dan penambahan berat badan yang bermakna. Penelitian ini bertujuan untuk mendeskripsikan efek samping akibat konsumsi kortikosteroid jangka panjang pada anak sindrom nefrotik yang dirawat di RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah deskriptif dengan desain potong lintang. Penelitian ini melibatkan 156 pasien sindrom nefrotik; 30 diantaranya memenuhi kriteria inklusi, sedangkan 126 lainnya dieksklusi. Hasil penelitian mendapatkan mayoritas pasien ialah laki-laki, berusia 10-18 tahun. Sebanyak 76,67% penderita sindrom nefrotik memiliki moon face, 36,67% dengan perawakan pendek, 50% dengan berat badan kurang, 13,33% dengan hipertensi, dan 3,33% dengan obesitas. Simpulan penelitian ini ialah efek samping yang paling sering terjadi akibat konsumsi kortikosteroid jangka panjang ialah moon face, gangguan pertumbuhan, hipertensi dan obesitas. Temuan ini mendorong klinisi untuk tetap melakukan observasi dan pencegahan terhadap efek samping penggunaan kortikosteroid jangka panjang. Kata kunci: sindrom nefrotik; anak; efek samping kortikosteroid jangka panjang
Copyright (c) 2025 Jefferson G. Halim, Adrian Umboh, Praevilia M. Salendu https://creativecommons.org/licenses/by-nc/4.0
Adequate Surgical Planning for Epidural Hematoma from Sinus Transversus Bleeding: A Case Report
Abstract: Epidural hematomas can be caused by bleeding into the dural sinuses. In an epidural hematoma case, suspected sinus transversus involvement requires a specific examination with therapeutic management involving early diagnosis, planning, and adequate surgical technique. We reported a 21-year-old woman admission with a main complaint of decreased consciousness for two hours with Glasgow Coma Scale (GCS) score 12. CT-Scan revealed an epidural hematoma in the right temporoparietooccipital region and midline shift of 5.24 mm to the left with linear fracture of the right temporal bone. Craniotomy was performed, and intraoperatively there was a distasis fracture of lambdoidea sutura, but after bone was elevated and hemmorhage was evacuated, there was still bleeding from the right sinus transversus; therefore, duramater was hang off, packed the sinus with patties and surgicell, and there was no bleeding anymore. This was a rare and difficult case due to the fracture in the lambdoidea area. The main post-operative complication was sinus thrombosis, especially after post-repair stenosis or extrinsic compression of the sinus. The patient’s outcome was a better GCS than of the first admission. In conclusion, the present case and discussion highlight the many details and technical specificities to be taken into account by neurosurgeons when encountering epidural hematoma caused by sinus transversus, which are pivotal in determining the efficacy of the approach and prognosis of the patient. Keywords: epidural hematoma; sinus transversus; Glasgow coma scale
Copyright (c) 2025 Maximillian Ch. Oley, Eko Prasetyo, Ferdinand Tjungkagi, Yovanka N. Manuhutu, Doddy Tora https://creativecommons.org/licenses/by-nc/4.0
Endovascular Repair after End-to-End Anastomosis for Better Outcome: A Case Report
Abstract: Arterial rupture is a surgical emergency that requires immediate treatment. The anterior tibial artery is the main arterial supply of the legs anterior compartment. Tibial artery rupture is a tear or rupture of the tibial artery mostly caused by vascular trauma. We reported a 54-year-old male referred to Prof. Dr. R. D. Kandou hospital with the main complaint of injury and pain in the left lower limb due to being hit by a grass cutter. On physical examination of the lateral side of left cruris region, an open wound with flat edges and muscle base appeared. The hard sign in this case was active hemorrhage and the soft sign was history of hemorrhage at the scene of the injury. During the operation, total anterior tibial artery rupture was identified with a gap less than 2 centimeters. Therefore, end-to-end anastomosis was initially performed for the 2 cm arterial gap, however, Doppler ultrasound revealed inadequate distal blood flow. Endovascular repair with drug-eluting balloon angioplasty restored good distal blood flow. Comprehensive evaluation guides optimal intervention. In conclusion, trauma to the vascular system can be devastating. In this case, there was a total anterior tibial artery rupture due to penetrating trauma. While surgery remains vital, endovascular techniques offer effective alternatives, particularly in cases of distal ischemia and minimal reconstruction needs. Keywords: total anterior tibial artery rupture; penetrating trauma; vascular trauma
Copyright (c) 2025 Adrian Tangkilisan, Wega Sukanto, Christa Tamburian, Rigel Paat, Samuel M. Michael https://creativecommons.org/licenses/by-nc/4.0
Hubungan Kadar Gula Darah Puasa dengan Kadar Low Density Lipoprotein (LDL) pada Pasien Diabetes Melitus Tipe 2
Abstract: Type 2 diabetes mellitus (T2DM) is a chronic and multisystem disease that has reached epidemic proportions and is prone to cardiovascular complications due to dyslipidemia. Lipid profile, especially LDL cholesterol level, plays an important role in evaluating the risk of T2DM. This study aimed to determine the relationship between fasting blood glucose (FBG) level and low-density lipoprotein (LDL) level in patients with T2DM at the ODSK Hospital, North Sulawesi Province. This was an observational and analytical study with a cross-sectional design. This study used secondary data from medical records of T2DM patients at the ODSK Hospital, North Sulawesi Province in the period July 2023 to July 2024. The results obtained 61 patients with T2DM as samples who met the inclusion and exclusion criteria. The Spearman-Rank correlation test analysis obtained a p-value of 0,435 for the relationship between FBG and LDL levels. In conclusion, there is no significant relationship between fasting blood glucose and low-density lipoprotein in type 2 diabetes mellitus patients. Keywords: type 2 diabetes mellitus; fasting blood glucose; low density lipoprotein Abstrak: Diabetes melitus tipe 2 (DMT2) merupakan penyakit kronis dan multisistem yang telah mencapai proporsi epidemik dan rentan terhadap komplikasi kardiovaskular akibat dislipidemia. Profil lipid, khususnya pengukuran kadar kolesterol LDL, berperan penting dalam mengevaluasi risiko DMT2. Penelitian ini bertujuan untuk mengetahui hubungan kadar gula darah puasa (GDP) dengan kadar low density lipoprotein (LDL) pada pasien DMT2 di RSUD ODSK Provinsi Sulawesi Utara. Penelitian ini menggunakan metode observasional analitik dengan desain potong lintang. Jenis penelitian ialah retrospektif dengan memanfaatkan data sekunder catatan rekam medis pasien DMT2 di RSUD ODSK Provinsi Sulawesi Utara pada periode Juli 2023–Juli 2024. Hasil penelitian mendapatkan 61 pasien DMT2 sebagai sampel penelitian yang memenuhi kriteria inklusi dan eksklusi. Hasil analisis uji korelasi Spearman-Rank terhadap hubungan antara kadar GDP dan LDL mendapatkan nilai p=0,435. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara kadar gula darah puasa dengan kadar low density lipoprotein pada pasien diabetes melitus tipe 2. Kata kunci: diabetes melitus tipe 2; gula darah puasa; low density lipoprotein
Copyright (c) 2025 Tesalonika K. Wilar, Youla A. Assa, Murniati Tiho https://creativecommons.org/licenses/by-nc/4.0
Unilateral Scrotal Bladder Hernia: A Rare Case Treated with Laparoscopic Approach
Abstract: Sliding hernia is a type of inguinal hernia in which the overlying organs and peritoneum form the wall of the hernia sac. Sliding hernia of bladder is a rare case and often found incidentally. We reported a 72-year-old man presented with a lump on the right thigh that reached the right scrotum six days before admission. The lump could not be re-entered and was accompanied by intermittent pain. The patient also complained of difficulty in spontaneous micturition and bloody urine. The patient had a history of vesicolithiasis and transurethral resection of the prostate (TURP) for benign prostate hyperplasia. Physical examination revealed a non-displaced right inguinal to right scrotal lump with tenderness. The patient's clinical features and risk factors favoured the diagnosis of sliding hernia of bladder. Haematological examination revealed leucocytosis and anaemia and the CT-Scan showed right scrotal bladder hernia. The patient underwent laparoscopic hernia repair with mesh and omenthopexy. The patient's clinical condition improved and the patient was discharged. Often patients with such condition are asymptomatic or have non-specific symptoms. Some radiological examinations can help make the diagnosis, albeit, few diagnoses are made preoperatively. Management of sliding hernia of bladder is vesical urinary repositioning or resection based on the patient's clinical condition. In conclusion, clinicians should consider sliding hernia of bladder as a differential diagnosis of inguinal hernia. Preoperative diagnosis can help achieve an accurate diagnosis, minimise complications, and safer management. Keywords: hernia; sliding hernia; bladder
Copyright (c) 2025 Eko Arianto, Michael Tendean, Nandy Rumondor https://creativecommons.org/licenses/by-nc/4.0
Hubungan Perilaku Hidup Bersih Sehat (PHBS) dengan Kejadian Skabies di Pesantren Darul Istiqamah Manado
Abstract: Scabies is an infectious disease caused by the infestation of Sarcoptes scabiei var. Hominis, and ranks 3rd among the twelve most common diseases. One of the problem factors that cause the high rate of the spread of scabies, especially in dormitories or boarding schools, is the level of personal hygiene. This study aimed to determine the relationship between personal hygiene and the prevalence of scabies at Pesantren Darul Istiqamah Manado. This was an analytical study with a cross-sectional design. Samples were obtained by using total sampling method. Data were analyzed using the chi-square test. The results showed that there were 134 students at Pesantren Darul Istiqamah included in this study. Students that had good level of personal hygiene were as many as 82 people (61.2%) and those with poor level of personal hygiene were 52 people (38.8%). There were 60 students (44.8%) detected with scabies and 74 students (55.2%) not detected with scabies. The chi-square test obtained a p-value of <0.001 for the relationship between personal hygiene and the occurence of scabies. In conclusion, there is a significant relationship between personal hygiene and the occurence of scabies at Pesantren Darul Istiqamah Manado. Keywords: Islamic Boarding School; scabies; personal hygiene Abstrak: Skabies merupakan penyakit infeksi akibat infestasi Sarcoptes scabiei var. Hominis dan menempati peringkat ke-3 dari 12 penyakit tersering di Indonesia. Salah satu faktor permasalahan yang menyebabkan tingginya angka penyebaran skabies khususnya di asrama atau pondok pesantren ialah tingkat perilaku hidup bersih sehat (PHBS) yang rendah. Penelitian ini bertujuan untuk mengetahui hubungan PHBS dengan kejadian skabies di Pesantren Darul Istiqamah Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Metode sampling menggunakan total sampling. Analisis data menggunakan uji chi-square. Hasil penelitian mendapatkan sebanyak 134 pelajar yang menjadi sampel penelitian. Di Pesantren Darul Istiqamah, pelajar yang memiliki tingkat PHBS baik sebanyak 82 orang (61,2%) dan tingkat PHBS buruk sebanyak 52 orang (38,8%). Terdapat 60 pelajar (44,8%) terdeteksi skabies dan 74 pelajar (55,2%) tidak terdeteksi skabies. Hasil uji chi-square mendapatkan nilai p<0,001 terhadap hubungan antara PHBS dengan kejadian skabies. Simpulan penelitian ini ialah terdapat hubungan bermakna antara perilaku hidup bersih sehat dengan kejadian skabies di Pesantren Darul Istiqamah Manado. Kata kunci: pesantren; kejadian skabies; perilaku hidup bersih sehat
Copyright (c) 2025 Michael Janpri, Nurdjannah J. Niode, Tara S. Kairupan https://creativecommons.org/licenses/by-nc/4.0
Hubungan Kadar Albumin Serum dengan Elektrolit Serum dan Marker Hematologik pada Pasien Kanker Paska Pembedahan
Abstract: Cancer patients tend to experience hypoalbuminemia that can affect body functions inter alia serum electrolyte and serum proteins levels. This study aimed to analyze the relationship between serum albumin levels and several laboratory parameters such as serum electrolytes, leukocyte count, platelets, hemoglobin. This was an analytical and observational study with a cohort design. Data collection was carried out prospectively by tracing the medical records of cancer patients who underwent surgery at Prof. Dr. R. D. Kandou Hospital Manado in the period October-December 2024. Patients who met the inclusion criteria were divided into two groups, namely patients with albumin levels <2.5 g/dl and albumin levels ≥2.5 g/dl. The relationship between serum albumin levels and laboratory parameters was analyzed using the independent t-test. The results of bivariate analysis for leukocyte parameters showed a significant difference between the mean leukocyte values in the two sample groups (p 0.045). The results of the analysis on other parameters such as serum electrolytes (Na, K, and Cl), hemoglobin levels, platelets, MCV, MCH, and MCHC did not show any significant differences (p>0.05). In conclusion, there is a significant relationship between serum albumin level and leukocyte level, namely cancer patients with hypoalbuminemia have higher leukocyte level. Therefore, the leukocyte-albumin ratio can be considered as a predictor of the clinical outcome of cancer patients undergoing surgery. Keywords: hypoalbuminemia; cancer; surgery; electrolyte; leucocyte; hemoglobin Abstrak: Penderita kanker cenderung mengalami hipoalbuminemia yang dapat memengaruhi fungsi tubuh antara lain kadar elektrolit serum dan protein serum. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar albumin serum dengan beberapa parameter laboratorium seperti elektrolit serum, hitung leukosit, trombosit, dan hemoglobin pada pasien kanker yang menjalani pembedahan. Metode penelitian ialah observasional analitik dengan desain kohort. Pengumpulan data dilakukan secara prospektif dengan penelusuran data rekam medis pasien kanker yang menjalani pembedahan di RSUP Prof. Dr. R. D. Kandou Manado periode Oktober- Desember 2024. Pasien yang memenuhi kriteria inklusi dibagi menjadi dua kelompok yaitu pasien dengan kadar albumin <2,5 g/dl dan kadar albumin ≥2,5 g/dl. Hubungan antara kadar albumin serum dengan parameter laboratorium dianalisis menggunakan uji independent t-test. Hasil analisis bivariat untuk parameter leukosit menunjukkan perbedaan bermakna antara rerata nilai leukosit pada kedua kelompok sampel (p 0,045). Hasil analisis pada parameter lainnya seperti elektrolit serum (Na, K, dan Cl), kadar hemoglobin, trombosit, MCV, MCH, dan MCHC tidak menunjukkan adanya perbedaan bermakna (p>0,05). Simpulan penelitian ini ialah terdapat hubungan bermakna antara kadar albumin serum dengan kadar leukosit, yaitu pasien kanker dengan hipoalbuminemia memiliki kadar leukosit yang lebih tinggi. Rasio leukosit-albumin dapat dipertimbangkan menjadi prediktor terhadap luaran klinis pasien kanker yang menjalani tindakan pembedahan. Kata kunci: hipoalbuminemia; kanker; pembedahan; elektrolit; leukosit; hemoglobin
Copyright (c) 2025 Nurliah Arsam, Syamsudin Abdillah, Hesty Utami, Erwin G. Kristanto https://creativecommons.org/licenses/by-nc/4.0
Transcatheter Arterial Embolization (TAE) for Zygoma Malignant Epithelial Tumor: A Case Report
Abstract: Malignant epithelial tumors of the zygoma are rare and difficult to manage. Treatment options include surgery, radiotherapy, and chemotherapy. The primary indication for transarterial embolisation (TAE) involved the selective delivery of embolic agents via a catheter into the blood vessels supplying the tumor, leading to ischemia and subsequent tumor necrosis. This study aimed to evaluate the effectiveness and safety of TAE therapy in managing malignant epithelial tumors of the zygoma. We reported a 64-year-old female presented with an 8-month history of a progressively larger and ulcerated mass on the left zygoma, accompanied by pain. Previous FNAB examination in 2023 confirmed a malignant epithelial tumor. Physical examination revealed a fragile mass measuring 10x8 cm. The patient underwent TAE, resulting in significant tumor reduction. After TAE, the patient showed significant clinical improvement. Pain was reduced, and the tumor size was markedly reduced. Ulceration on the tumor surface also began to improve. A few days after TAE, the patient was discharged in stable condition. At the follow-up evaluation one month later, the tumor size continued to reduce, and there were no signs of recurrence. In conclusion, transcatheter arterial embolization is a promising therapeutic modality for managing malignant epithelial tumors in the cheek, especially in inoperable cases or as palliative therapy. This case report provides additional evidence regarding TAE's effectiveness and safety in managing malignant epithelial tumors. Further studies with a larger number of patients are needed to confirm these findings and determine TAE's role in the comprehensive management algorithm of malignant epithelial tumors. Keywords: malignant epithelial tumor; transcatheter arterial embolization
Copyright (c) 2025 Christian Manginstar, Marselus Merung, Denny Saleh, Samuel Rimporok https://creativecommons.org/licenses/by-nc/4.0
Profile of Patients with Gnatoschizis Post Alveolar Bone Graft: A Serial Case Study
Abstract: Gnatoschizis, or cleft alveolus, is a common congenital anomaly in Indonesia. This condition significantly impacts dental and facial development, and often requires alveolar bone grafting to stabilize the maxillary arch, facilitate tooth eruption, and improve facial aesthetics. This was a serial case study involving 11 patients aged 12–18 years with gnatoschizis who underwent alveolar bone grafting using autologous iliac cancellous bone at Prof. Dr. R. D. Kandou Hospital. The results showed that the majority of patients were female, with labiopalatoschizis being the most common type. Surgical procedures included orthodontic preparation, iliac crest bone harvesting, and peri-alar augmentation. Postoperative outcomes demonstrated successful upper dental arch continuity and alar base reconstruction, with minimal donor site morbidity. In conclusion, this study provides valuable insights into the patient profile and clinical outcomes of gnatoschizis post alveolar bone graft. The predominance of female patients and the high incidence of labiopalatoschizis highlight the need for targeted interventions and comprehensive care strategies. A multidisciplinary approach is essential for optimal outcomes. Future research should focus on optimizing treatment protocols and exploring novel therapeutic modalities to further improve patient outcomes. Additionally, long-term follow-up studies are necessary to assess the stability and durability of the surgical outcomes, as well as the overall quality of life of patients with gnatoschizis. Keywords: gnatoschizis; alveolar bone grafting; cleft alveolus
Copyright (c) 2025 Mendy Hatibie, Max C. Oley, Marturia I. Aruperes https://creativecommons.org/licenses/by-nc/4.0
Transcatheter Arterial Chemo Infusion (TACI) for Buccal Squamous Cell Carcinoma: A Case Report
Abstract: Buccal squamous cell carcinoma (BSCC) is a rare and aggressive malignancy of the oral cavity. Traditional treatment modalities include surgery, radiotherapy, and chemotherapy. Transcatheter arterial chemo infusion (TACI) is a minimally invasive procedure that delivers chemotherapeutic agents directly to the tumor site, potentially improving local control and reducing systemic toxicity. We reported an 84-year-old male presented with one-year history of a progressively enlarging mass and ulceration on the left cheek, accompanied by pain and bleeding. A previous biopsy and excision in 2023 were followed by tumor recurrence three months prior to this admission. Notable history included extensive sun exposure without protection. Physical examination revealed a 12x8 cm friable mass with necrotic tissue. Histopathology confirmed squamous cell carcinoma. The patient underwent TACI with docetaxel, cisplatin, and 5-FU, resulting in significant tumor reduction and symptomatic improvement. Follow-up imaging and histopathological evaluation confirmed a positive response to the treatment. The patient experienced minimal side effects and maintained a good quality of life. In conclusion, TACI presents a promising alternative for the management of BSCC, particularly in patients who are not suitable candidates for surgery. This case highlights the potential of TACI as an effective and minimally invasive treatment option for BSCC, warranting further investigation in larger clinical trials. Keywords: buccal squamous cell carcinoma; transcatheter arterial chemo infusion
Copyright (c) 2025 Diska Astarini, Christian Manginstar, Marselus Merung https://creativecommons.org/licenses/by-nc/4.0
Pedunculated Vulvar Hemangioma in an Adult Woman: A Rare Case Report
Introduction: Vulvar hemangioma in adults constitutes an exceedingly rare benign vascular neoplasm, often mimicking more common vulvar pathologies and thereby complicating clinical diagnosis. Case: A 41-year-old multiparous woman (P3A0) presented with a progressively enlarging pedunculated mass on the left vulva, associated with pain, malodorous discharge, and localized inflammation. Surgical excision was undertaken, and histopathological evaluation revealed numerous dilated capillary vascular channels engorged with erythrocytes and accompanied by inflammatory infiltrates without cytologic atypia, consistent with capillary hemangioma. The postoperative course was uneventful, characterized by optimal hemostasis, satisfactory epithelialization, and complete wound healing. Early postoperative follow-up at 2–3 days revealed satisfactory wound healing without evidence of residual lesion or early recurrence, supporting a successful and definitive surgical result. Discussion: Histopathological confirmation remains the gold standard for definitive diagnosis. Surgical excision provides both diagnostic clarity and therapeutic benefit, with favorable outcomes, although long-term surveillance is recommended to detect recurrence or complications. Conclusion: Hemangioma should be recognized as a rare differential diagnosis of vulvar masses in adults, with surgical excision as the treatment of choice and structured follow-up warranted. Keywords: Vulvar hemangioma, benign vascular neoplasm, surgical excision, local inflammation
Copyright (c) 2025 Inda V. M. Rawung, Charles Kalangi https://creativecommons.org/licenses/by-nc/4.0
Rotational Atherectomy with Drug-eluting Balloon Angioplasty for Femoropopliteal Artery Occlusive Disease: Serial Case
Abstract: Peripheral artery disease (PAD) leads to symptoms ranging from claudication to chronic limb threatening ischemia (CLTI), and is linked to aging, diabetes, hypertension, and smoking. While conventional treatments such as balloon angioplasty and stenting are effective for short lesions, they struggle with complex or calcified lesions. Rotational atherectomy has emerged as a promising solution, particularly for calcified lesions in the superficial femoral and popliteal arteries. This case series highlights the success of rotational atherectomy in treating PAD patients with non-healing ulcers, improving limb perfusion and healing, and offering a minimally invasive alternative to amputation. First case was an 80-year-old male with severe PAD and CTO of the left SFA and CFA, treated successfully with endovascular revascularization using atherectomy and drug-eluting balloon angioplasty. Second case was a 50-year-old diabetic male with gangrene and rest pain in the third toe, caused by a heavily calcified CTO in the mid-SFA. Endovascular revascularization using rotational atherectomy followed by drug-eluting balloon angioplasty were performed. Third case was a 63-year-old female with diabetes, hypertension, and chronic kidney disease, who presented with gangrene and rest pain in her right foot due to complex PAD with CTO. Endovascular revascularization using rotational atherectomy and drug-eluting balloon angioplasty was successfully performed. The outcomes showed successfully restored blood flow, alleviated symptoms, and improved limb perfusion, demonstrating the efficacy of these techniques in high-risk PAD patients. In conclusion, rotational atherectomy followed by drug-eluting balloon angioplasty effectively revascularized complex, calcified lesions in CLTI patients, offering a promising, minimally invasive alternative to surgery, though further studies are needed to confirm long-term benefits. Future studies should compare the long-term patency and major adverse events between this method and traditional balloon angioplasty alone. Keywords: rotational atherectomy; drug-eluting balloon angioplasty; artery occlusive disease
Copyright (c) 2025 Richard Sumangkut, Ira Frayanti https://creativecommons.org/licenses/by-nc/4.0
Clinical Characteristics of Intussusception in Children Admitted to Prof. Dr. R. D. Kandou Hospital
Abstract: Intussusception is a medical condition in which a part of the intestine folds into an adjacent section, causing obstruction, vascular compromise, and potential bowel necrosis if left untreated. This study aimed to analyze the characteristics of intussusception cases at Prof. Dr. R. D. Kandou Hospital, Manado. This was a retrospective and descriptive study using medical records of pediatric intussusception cases treated in the division of pediatric surgery, Prof. Dr. R. D. Kandou Hospital, Manado, from January 2019–December 2024. The information collected included age, gender, onset from obstruction syndrome until the patient was brought to the emergency department, type of surgery, ventilator use, length of stay in PICU, length of nutritional parenteral, and length of hospitalization. All calculations were executed using Microsoft Office Excel 2021 and SPSS 25.0. The results obtained 32 cases; the dominant gender was female (51.5%). Most of the patients were ≤2 years (63.6%), with the highest age being 204 months or 17 years old and the lowest age being 2 months. The most frequent cases had onset of obstructive syndrome of ≤24 hours (51.5%). All patients underwent exploratory laparotomy; 16 patients (50%) required milking, while 16 patients (50%) required resection anastomosis. Follow up after surgery revealed that most patients used ventilator (72.7%), stayed in PICU ≤7 days (69.7%), got ≤7 days of parenteral nutrition (78.8%), and were hospitalized for >7 days (69.7%). In conclusion, intussusception mainly affects children <2 years old, predominantly female, abdominal pain as the prominent chief complaint, and hospitalized for more than seven days after undergoing surgery. Keywords: intussusception; management; laparotomy; outcome
Copyright (c) 2025 Harsali F. Lampus, Rangga B. V. Rawung, Andriessanto C. Lengkong, Edwin Bunu https://creativecommons.org/licenses/by-nc/4.0
Resection of Distal Radius Giant Cell Tumor and Reconstruction with Non-Vascularized Fibular Graft: A Case Report
Abstract: Giant cell tumor (GCT) is a benign and locally aggressive tumor. Cases of GCT found at the distal radius were rare and difficult to control locally. We reported a case of GCT with en bloc resection and reconstruction using non-vascularized fibular autograft. A 57-year-old female patient presented with a lump on the wrist joint of left arm, and was confirmed to have a giant cell tumor by histological study. The tumor was classified as a Campanacci Grade III tumor, therefore, an en bloc resection with non-vascularized fibular autograft was performed. Arthrodesis was added to increase stability. Resection with a clear margin, with no complications, was possible despite not previously receiving downsizing neoadjuvant chemotherapy. Acceptable functional results were achieved postoperatively; however, wrist motion was reduced due to the arthrodesis. Long-term follow-up should consider recurrence and graft-related complications, including fractures, dislocations, or subluxations. In conclusion, while there is no general consensus of how to treat GCT, the Campannaci classification is useful to make a surgical decision. Resection and reconstruction with non-vascularized fibular autograft were satisfactory, having achieved free margin resection. However, there is a decreased range of motion due to arthrodesis of wrist, in order to prevent subluxation and dislocation. Long term follow up is necessary to observe recurrences and complications related to bone autograft utilization. Keywords: giant cell tumor; fibular graft; distal radius; reconstruction
Copyright (c) 2025 Stefan A. G. P. Kambey, Rangga B. V. Rawung, Tooy D. Christorei https://creativecommons.org/licenses/by-nc/4.0
Management of Retrosternal Goiter without Sternotomy: A Case Report
Abstract: Retrosternal goiter (RG) is a thyroid enlargement that extends into the chest, often causing compression of nearby structures such as trachea and esophagus. Thyroidectomy for RG is a complex procedure, with the choice of surgical approach depending on the goiter’s size and position. A cervical approach is typically preferred, though sternotomy may be required in some cases. We reported a 57-year-old female presented with a 20-year history of a progressively enlarging neck lump, which extended from the right to the left side, neck vein enlargement, and radiating pain. Laboratory tests were within normal limit. Pathology biopsy revealed a follicular thyroid nodule with a Bethesda II classification and imaging revealed a multinodular goiter causing compression of the trachea. This case was classified as type A with a pyramidal shape, apex pointing downward, type I with location in the anterior mediastinum, and Grade I with location above the aortic arch (at the level of T4); so, sternotomy was not required, considering the potential complications associated with sternotomy. The patient was then diagnosed with toxic retrosternal goiter in the euthyroid phase and underwent a total thyroidectomy without sternotomy. Postoperative care included fluids, antibiotics, H2 blocker, and analgesics. The patient showed good recovery, with no complications or symptoms of thyrotoxicosis at the two-week follow-up. In conclusion, in this case surgical intervention is focused on releasing decompression, and a total thyroidectomy was performed without sternotomy. An important technique that can be shared is to remove surgically the superior pole first, releasing it from Berry's ligament on one of the lobes and should always free the tissue as close to the goiter tissue as possible to avoid damage to the surrounding structures. The successful outcomes in studies emphasize that with careful assessment, retrosternal goiter can be safely treated with minimal complications. Keywords: retrosternal goiter; non-sternotomy procedure
Copyright (c) 2025 Sherly Tandililing, Edwin Z. Sipayung https://creativecommons.org/licenses/by-nc/4.0
Management of Traumatic Neck Injury with Tracheal Rupture: A Case Report
Abstract: Penetrating neck injuries are uncommon but potentially life-threatening due to the complex anatomy and the risk of airway, vascular, or esophageal compromise. Prompt diagnosis and management are critical to avoid severe complications. We presented a case of a 16-year-old male who sustained a traumatic injury to the neck due to a traffic accident. While the patient was riding a motorcycle, he hit a bridge, and his neck hit the bridge iron. The wound, located in the anterior zone II of the neck, resulted in crepitus and subcutaneous emphysema. Imaging confirmed tracheal rupture at the first and second tracheal rings. Emergency surgical exploration revealed a through-and-through tracheal injury, which was repaired with tracheostomy placement. Postoperative recovery was uneventful. The patient exhibited no signs of airway compromise, hemoptysis, or dysphagia. The emphysema resolved completely. Follow-up demonstrated a full recovery with no residual complications. In conclusion, early diagnosis and surgical management of traumatic neck injuries with tracheal involvement are vital to prevent fatal outcomes. This case highlights the importance of systematic assessment and rapid intervention in traumatic neck injuries. Surgical repair, combined with close postoperative monitoring and multidisciplinary collaboration, is essential to ensure optimal outcomes, particularly in cases involving airway trauma. Keywords: traumatic neck injury; tracheal rupture
Copyright (c) 2025 Nico Lumintang, Stepvani Megawati https://creativecommons.org/licenses/by-nc/4.0
Hubungan antara Tingkat Stres dan Risiko Terjadinya Gastroesophageal Reflux Disease pada Mahasiswa Kedokteran
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
Copyright (c) 2025 Dylan G. H. Kambey, Hardianto S. Ong https://creativecommons.org/licenses/by-nc/4.0
Recurrent Dialysis Access Steal Syndrome in a Non-Mature AVF: A Case of Radial Artery Ligation Following Initial Venoplasty
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
Copyright (c) 2025 Stephanus Tangel, Richard Sumangkut, Sigit Firmansah https://creativecommons.org/licenses/by-nc/4.0