Perbandingan Pemeriksaan antara Kuesioner BCTQ dengan ENMG terhadap Kecepatan Hantar Saraf Pasien Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is a collection of symptoms such as pain, numbness, tingling, weakness and nocturnal symptoms caused by increased pressure on the carpal tunnel. The examination carried out in determining the severity of CTS is electoneuromyography (ENMG) based on the results of nerve conductivity. BCTQ (boston carpal tunnel questionnare) is also considered capable of assessing the severity based on the symptom severity scale (SSS) and functional status scale (FSS). This study aims to determine the accuracy of the BCTQ questionnaire compared with ENMG on nerve conductivity by using diagnostic test design. The data was collected at Medical Rehabilitation Installation of RSUP dr. Mohammad Hoesin Palembang during October-December 2019 by interviewing the patient’s severity of symptoms and their hand’s function using the BCTQ questionnaire, as well as examining the results of the subject’s ENMG respectively. There were 39 female and 5 male out of 44 study subjects. Bilateral cases 28, right 9 and left 7. The subjects mostly work as housewife. the subjects severity of CTS obtained from SSS, FSS, and ENMG is frequently at the moderate level with the most symptoms of night tingling and the most disrupted function is the function to carry grocery baskets and do household chores. BCTQ which is divided into SSS and FSS has an accuracy value of 70.45% and 72.73% in assessing the severity of CTS. BCTQ is quite accurate as initial screening when compared with the ENMG examination in determining the severity of CTS.Carpal tunnel syndrome (CTS) merupakan sekumpulan gejala yang meliputi nyeri, mati rasa, kesemutan, kelemahan, dan gejala yang timbul pada malam hari akibat peningkatan tekanan terowongan karpal. Pemeriksaan yang dilakukan dalam menentukan tingkat keparahan CTS adalah elektroneuromiografi (ENMG) berdasarkan hasil kecepatan hantar saraf. BCTQ (boston carpal tunnel questionnare) dinilai juga mampu menilai keparahan berdasarkan skala keparahan gejala (SSS) dan skala status fungsional (FSS). Penelitian ini bertujuan untuk mengetahui nilai akurasi dari kuesioner BCTQ dibandingkan dengan ENMG terhadap kecepatan hantar saraf dengan menggunakan desain uji diagnostik. Pengambilan data dilakukan di Instalasi Rehabilitasi Medik RSUP dr. Mohammad Hoesin Palembang selama bulan Oktober-Desember 2019 dengan cara wawancara mengenai keparahan gejala dan fungsi menggunakan kuesioner BCTQ, serta diperiksa hasil ENMG. Sebanyak 44 subjek penelitian, diperoleh 39 wanita dan 5 pria. Kasus bilateral 28, kanan 9 dan kiri 7. Pekerjaan paling banyak sebagai IRT. Tingkat keparahan CTS dari SSS, FSS, dan ENMG paling banyak pada tingkat sedang dengan gejala paling banyak kesemutan malam hari dan fungsi paling terganggu adalah membawa keranjang belanjaan dan pekerjaan rumah tangga. BCTQ yang terbagi menjadi SSS dan FSS mempunyai nilai akurasi yakni 70,45% dan 72,73% dalam menilai tingkat keparahan CTS. BCTQ dinilai cukup akurat sebagai skrining awal jika dibandingkan dengan pemeriksaan ENMG dalam menentukan tingkat keparahan CTS

Dry Needling Can Be an Alternative Treatment for Hemifacial Spasm

Treatment with botulinum toxin injections is preferred to microvascular decompressionsurgery therapy, but this injection is only effective in a few months and quite expensive. This studyis the first study to assess the effectiveness of dry needling on clinical improvement of hemifacialspasm compared to standard therapy of botulinum toxin injection. The study design was quasiexperimental. Total of 24 subjects were divided into two groups. The first group underwent dryneedling intervention while the other had botulinum injection. Clinical severity before and aftertreatment in both groups was assessed using Jankovic and HFS7 scores. In dry needling groupthere were significant differences between Jankovic and HFS7 score at baseline and at week 1, 2,3 and 4. While in botox group significant differences were also Jankovic and HFS7 score atbaseline and at weeks 2 and 4. There were also a significant difference of Jankovic and HFS7 scorewhen we compared dry needling group to botulinum toxin group. Dry needling can be analternative treatment for hemifacial spasm, although clinical improvements based on Jankovic andHFS7 scores in dry needling group were not as effective as those with botulinum toxin injections

Pengaruh Riwayat Bayi Berat Badan Lahir Rendah dan Ibu Anemia dalam Kehamilan terhadap Risiko Stunting pada Balita Usia 0-24 Bulan di Wilayah Kerja Puskesmas Tanjung Bintang Kabupaten Lampung Selatan

Stunting is the condition in children when their height is shorter than a child of his age because of stunted growth due to chronic malnutrition. Stunting can be caused by low birth weight in newborns and maternal anemia. The objective of the study is to know the effect of low birth weight in newborns and maternal anemia on the risk of stunting in the toddler with the age range between 0-24 months in the Tanjung Bintang Primary Health Care. This research is an observational-analytic study with a cross-sectional approach. This research was conducted in the region of Tanjung Bintang Primary Health Care. The sample was 73 toddlers with an age range between 0-24 months. Data were analyzed with a Chi-square test to know the influence of the independent variable with a value of α = 0,05. The results found a 37% risk of stunting, 12.3% history of low birth weight in newborns, and 34.2% history of maternal anemia. The results of the bivariate analysis was no influence of a history of low birth weight in newborns on the risk of stunting (p-value = 0.718) and there was an influence of maternal anemia on the risk of stunting in toddlers (p-value = 0.001). There is no influence history of low birth weight in newborns on the risk of stunting and there is an influence of maternal anemia on the risk of stunting in toddlers aged range between 0-24 months in the region of Tanjung Bintang Primary Health Care.Stunting adalah keadaan tubuh yang lebih pendek dari anak seusianya karena pertumbuhan yang terhambat akibat kekurangan gizi yang kronis. Stunting dapat disebabkan oleh bayi berat badan lahir rendah dan ibu anemia dalam kehamilan. Tujuan dari penelitian ini adalah untuk melihat pengaruh riwayat bayi berat badan lahir rendah dan riwayat ibu anemia dalam kehamilan terhadap risiko stunting pada balita usia 0-24 bulan di Wilayah Kerja Puskesmas Tanjung Bintang. Penelitian ini adalah penelitian observasional-analitik dengan pendekatan cross-sectional. Penelitian ini dilakukan di wilayah kerja Puskesmas Tanjung Bintang. Sampel dalam penelitian ini sebanyak 73 balita usia 0-24 bulan. Data dianalisis dengan uji Chi-square untuk mengetahui pengaruh setiap variabel bebas dengan nilai α = 0,05. Hasil penelitian menunjukkan bahwa 37% balita risiko stunting, 12,3% balita dengan riwayat bayi berat badan lahir rendah dan 34,2% balita dengan riwayat ibu anemia dalam kehamilan. Hasil analisis bivariat menunjukkan hasil bahwa tidak terdapat pengaruh riwayat bayi berat badan lahir rendah terhadap risiko stunting (p-value = 0,718) dan terdapat pengaruh riwayat ibu anemia dalam kehamilan terhadap risiko stunting pada balita (p-value = 0,001). Dari penelitian ini dapat disimpulkan bahwa tidak terdapat pengaruh riwayat bayi berat badan lahir rendah terhadap risiko stunting dan terdapat pengaruh riwayat ibu anemia dalam kehamilan terhadap risiko stunting pada balita usia 0-24 bulan di wilayah kerja Puskesmas Tanjung Bintang

Hubungan Akreditasi Sekolah, Asal Sekolah, Jalur Penerimaan Mahasiswa dan Tempat Tinggal dengan Indeks Prestasi Kumulatif Mahasiswa

Proses pembelajaran merupakan kegiatan utama dalam dunia pendidikan, termasuk di Perguruan Tinggi (PT).Keberhasilan proses pembelajaran dipengaruhi oleh faktor internal dan faktor eksternal. Untuk mengukurkeberhasilan dalam pembelajaran di universitas menggunakan Indeks Prestasi Kumulatif. Tujuan objektif daripenelitian ini adalah menentukan hubungan akreditasi sekolah, asal sekolah, jalur penerimaan, dan tempattinggal dengan IPK mahasiswa PSPD angkatan 2014 FK Unsri. Jenis penelitian ini adalah observasi analitik dengandesain potong lintang. Responden dalam penelitian ini adalah seluruh mahasiswa PSPD Angkatan 2014 FK Unsriyang memenuhi kriteria inklusi sebanyak 216 mahasiswa. Data diambil dari Sub-bagian Akademik berupa data IPKdan jalur penerimaan dan Unit Bimbingan Konseling Mahasiswa (UBKM) berupa data asal sekolah dan tempattinggal sedangkan data akreditasi sekolah diperoleh dari web resmi Kementrian Pendidikan dan Kebudayaan.Analisis data bivariat menggunakan uji Chi-Square bila memenuhi syarat. Bila tidak memenuhi syarat makadigunakan uji alternatif yaitu kolmogorov-smirnov. Berdasarkan analisis bivariat, tidak terdapat hubunganakreditasi sekolah (A dan B) dan asal sekolah (kota dan kabupaten) dengan IPK dengan nilai p= 1,000, tidakterdapat hubungan asal sekolah (Palembang dan luar Palembang) dengan IPK dengan nilai p= 0,843, dan tidakterdapat hubungan tempat tinggal (bersama orang tua dan kos) dengan IPK dengan nilai p=0,730 sedangkanberdasarkan analisis bivariat terdapat hubungan jalur penerimaan (SNMPTN, SBMPTN, dan USM) dengan IPKdengan nilai p= 0,000. Terdapat hubungan jalur penerimaan dengan IPK Mahasiswa PSPD Angkatan 2014 FK Unsri.Namun, tidak terdapat hubungan akreditasi sekolah, asal sekolah dan tempat tinggal dengan IPK Mahasiswa PSPDAngkatan 2014 FK Unsr

The Role of Estrogen in the Development of Breast Cancer

Breast cancer is a hormone-dependent disease that relies on the mitogenic effect ofestrogen to increase tumorigenesis and tumor growth. Clinically significant levels ofestrogen-α receptor (ERα) expression are seen in 80% of human breast cancers,whereas progesterone receptor is expressed in 55% of human breast cancers. Thesedata are one of the bases for the development of endocrine therapy. Endocrinetherapy is therapy that targets the pathway and synthesis of estrogen, by blocking itvia receptors, reducing circulating levels of estrogen, or suppressing estrogensynthesis in the tissues of women diagnosed with breast cancer

Pengaruh Paparan Gas Amonia Terhadap Perubahan Ureum Dan Kreatinin Pada Kelompok Berisiko Di Kota Palembang

Amonia termasuk bahan kimia iritan yaitu bahan yang jika terkena atau kontak dengan bagian tubuh yanglembab akan mengakibatkan kerusakan atau peradangan. Amonia yang tidak dikeluarkan akan menumpuk didalam ginjal dan akan menyebabkan kerusakan ginjal. Tujuan penelitian ini adalah untuk mengetahui pengaruh gasammonia terhadap perubahan ureum kreatinin pada kelompok berisiko di Kota Palembang 2017. Jenis penelitian iniadalah penelitian observasi analitik dengan studi Cross Sectional. Penelitian dilaksanakan di RT 14 dan 16 KelurahanKaranganyar Kecamatan Gandus Palembang dan Kelurahan Pajar Bulan Kecamatan Tanjung Batu Ogan Ilir padabulan Mei 2017. Jumlah sampel pada penelitian ini sebanyak 22 orang pada kelompok berisiko dan 22 orang padakelompok tidak berisiko. Data dianalisis dengan menggunakan independent t test karena data berdistribusi normal.Pada penelitian ini didapatkan hasil tidak terdapat perbedaan kadar ureum kelompok berisiko dan tidak berisikodengan p-value 0.156 dan kadar ureum kelompok berisiko lebih tinggi dengan nilai 16.65 mg/dl dibandingkandengan kelompok tidak berisiko dengan nilai 15.26 mg/dl. Hasil terdapat perbedaan kadar kreatinin kelompokberisiko dan tidak berisiko dengan p-value 0.002 dan kadar kreatinin kelompok berisiko lebih tinggi dengan nilai0.838 mg/dl dibandingkan dengan kelompok tidak berisiko dengan nilai 0.773 mg/dl

Factors Related to Patient Satisfaction Level of Thyroid Tumor on Post- Operative Thyroidectomy Scar Based on Patient Scar Assessment Scale (PSAS) in General Hospital Dr. M. Djamil Padang

A B S T R A C TIntroduction : Dr. M. Djamil Padang General Hospital (RSUP) still appliesconventional methods as thyroidectomy treatment. Satisfaction and comfort to thescar is one of the issues because conventional thyroidectomy surgery scars arelocated in the neck area that will affect the confidence of patients, especially women.Method: This research was a quantitative research using cross sectional studydesign. The research was conducted at The Oncology Surgery Polyclinic of RSUPDr.M. Djamil Padang with a sample of 50 respondents. Result: More than half ofthyroid tumor patients found were women (56%), most patients had totalthyroidectomy surgery (70%) with malignan tumor type (72%), and the most tumorsize in the T4 group (52%). The average age of patients during surgery was 54.26years. The average patient satisfaction score for post-thyroidectomy scars was 14.72with a total score of 16, the lowest score was 6 and the highest score was 22.Significant relationships were found in variable tumor size (p= 0.000), type of surgery(p= 0.005), tumor type (p=0.004) and gender (p = 0.028), while there was nostatistically significant relationship between age and patient satisfaction with post-thyroidectomy scars (p=0,176). Conclusion: There were significant relationshipsbetween gender, type of surgery, type of tumor, tumor size to patient satisfactionwith post-thyroidectomy scars, while age has no signifacnt relationship to patientsatisfaction with post-thyroidectomy scars. A small number of PSAS score showedthat the average patient was satisfied with post-thyroidectomy scar

Immunology Aspects in Tension-Type Headache Chronicity

Tension-Type Headache (TTH) headache is a type of primary headache which mostlycomplained by patients. The pain often ignored due to low mortality rates. Inadequatemanagement makes the pain becoming chronic and causing a high disability rate. Many factorsinvolved in transforming infrequent tension-type headache to chronic tension-type headache.A deeper understanding of the immune system's role in the pathophysiological process andmodulation of chronic pain could be a potential target for developing therapies in managingchronic pain

Characteristics of Calvaria Depression Fractures Patients in Dr. Kariadi General Hospital, Semarang

Introduction. Head injury is one of trauma cases with high morbidity and mortality, with an incidence of 7.3 to 811 cases per 100.000 individuals per year and mortality ratio varying from 5.2 to 80.73 cases per 100.000 cases. Calvaria fractures that result from head injuries are often associated with risk of post-traumatic morbidity and mortality, where the incidence of post-trauma calvaria fractures is about 25% of all cases and around 10% of calvaria fractures are depressed calvaria fractures. This study was aimed to identify the characteristics of patients with depressed calvaria fractures at Dr. Kariadi General Hospital in 2020. Methods. This research is a descriptive study using secondary data from medical records. There were 30 patients with depressed calvaria fractures in January - December 2020 at Dr. Kariadi Hospital. The data is then presented in tabular form. Results. Depressed calvaria fractures in the period 2020 at Dr. Kariadi General Hospital was dominated by male (76.7%), mainly age 12-45 years old with a mean of 25.73 years old. The most common cause of depressed calvaria fractures is high velocity trauma. Minor head injury is the most common type of head injury. Depressed calvaria fractures of the frontal bone predominate in 80% of cases, with fracture depth > 1 tabula. Conclusion. There were no cases of posttraumatic infection. There were 16.7% of cases with neurological deficits at the time of discharge. There were 73.3% cases with other intracranial disorders associated with depressed calvaria fractures. Operative management is the main choice of management with most cases length of stay are 5-10 days

Antiviral Therapy in Corona Virus Disease-19 (Covid-19)

Coronavirus disease 2019 (COVID-19) is a disease caused by a new coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, previously known as 2019-nCoV), which was first identified in Wuhan City, Hubei Province, PRC. The total number of COVID-19 cases worldwide has reached 102 million cases with 54 million cases recovered and 2.3 million cases dead. Handling for this pandemic is still being carried out. In Indonesia, the antiviral drugs used are those that meet the Emergency Use Authorization (EUA) requirements, and are included in the COVID-19 management guidelines issued by the Ministry of Health. Antiviral options used are Oseltamivir, Favifirapir, Remdesivir. Until now, the use of antivirus is still being researched regarding the effectiveness and security of the antivirus used. Oseltamivir is used as an antiviral for COVID-19 with a mild clinical course, Favifirapir is used for mild to moderate clinical cases of COVID-19. For the use of remdesivir in COVID-19 patients with severe and critis clinical conditions