bluuebunny/crossref_metadata_2025 huggingface dataset:
Vaginal synechiae in reproductive woman : A case report
Authors: Dinata Kurnia Ariya , Setia Dyhan Purna , Putra Ilham Rizka
Published: July 2024

Background: Vaginal synechiae is a condition which lips of labia minor was fused and covered the opening of vagina. The choice of treatment depends on the age group and the thickness. The cause is multifactorial, but during childhood it can be caused by hypoestrogenism or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. In the post-delivery hypo-estrogenic state of the female infant, the labia minora stick together in the midline. Case Report: A 23-year-old woman complained of having a different genitalia appearance compared to her friends. Patient had menarche at 13 years old, with regular cycles for 4-5 days and using 2-3 pad/day on her period. Conclusion: Vaginal synechiae in this patient maybe multifactorial, but during childhood it can be caused by hypoestrogenism during pregnancy or trauma to the vulvar, Labial adhesion is one of the most common paediatric gynaecologic problems. Synechiae incision was performed in this patient. Topical antibiotic and steroid maybe needed to promote healing and prevent recurrence.
A Case Report: Vesico Vaginal Fistula
Authors: Amalia Rezi , Sari` Yulia Margaretta
Published: July 2024

Background: Vesica vaginal fistula is a part of urogenital fistula wich condition that present fistula between bladder and vagina and make urine mold through vagina. Case Report: Nullipara woman, 48 years old, admitted with complaining mold of urine from vagina since ten months ago after seven days having surgery procedure. Complaint appeared seven days after hysterctomi procedure as indication of uterine myoma. The vital signs are normal. On Per Speculum examination, clearly see there are fluids on the posterior fornix. Methylene blue test show result one fistula is at the top anterior of vagina, 6 cm proximal from hymenal ring about 1-1.5 cm. The patient underwent fistulorraphy with a vaginal approach using the futh mayo technique Discussion: Vesica vaginal fistula usually occur in the development country. Predisposition factors of it caused by hysterectomy procedure, besides trauma during labor and complications of pelvic surgery may also too. Physical and additional specific examination conventionally or minimally invasive like cystoscopy, cystography with contrast can obtain diagnosis, determine the location, size and number of fistula. Surgery is the mainstay therapy for urogenital fistula through trans vaginal or trans abdomen. Approaching depends on knowledge, experience and collaboration with other experts if needed. Surgery is the mainstay therapy for urogenital fistula through trans vaginal or trans abdomen. Approaching depends on knowledge, experience and collaboration with other experts if needed. Surgery is the mainstay therapy for urogenital fistula through trans vaginal or trans abdomen. Approaching depends on knowledge, experience and collaboration with other experts if needed.
Relationship Between Pregnant Woman's Knowledge Level About Maternal Nutritional And Gestational Weight Gain In Puskesmas Banjardawa
Authors: Gusthi Pangestu1 Yoga , Alya Rahmi Trisha
Published: July 2024

Introduction: Gestational weight gain (GWG) is the weight gain of pregnant women duringpregnancy. Inadequate/excessive GWG can have an impact on fetal weight at birth. The 2019MCH handbook includes a gestational weight gain chart, but the method of calculating thebody mass index is not included so that there are difficulties in filling out the chart and GWGis not monitored.Aims: to examine the relationship between the level of nutritional knowledge of pregnantwomen and gestational weight gain.Methods: This research is an analytic observational with cross sectional method. Thisresearch was conducted in the working area of the UPT Puskesmas Banjardawa , namelyBanjaran Village, Banjardawa Village, Taman Village, Beji Village, and Pedurungan Villagein September - October 2022.Result: Most of the pregnant women in the Banjardawa Health Center working area in 2022were 26-35 years old, had low education level, middle to lower economic status, averagegestational age in the third trimester, and had no history of disease. Most pregnant women inthe working area of the Banjardawa Health Center in 2022 already have a good level ofknowledge about the nutrition of pregnant women, but have inappropriate gestational weightgain. The results of the bivariate analysis showed that there was no significant relationshipbetween the knowledge level of pregnant women and gestational weight gain in pregnantwomen.Conclusion : Health workers are expected to be able to provide motivation and informationabout nutrition for pregnant women to pregnant women, so that they are expected to helpwith appropriate gestational weight gain
The Relationship Compliance with Iron Tablet Consumption with the incidence of anemia in Pregnant Women in the working area of the Tanjung Pati Health Center, Nagari Sarilamak in 2022
Authors: Fegita Primadella , Saputra Muhammad Rizki , Hakim Lathifah Ainil
Published: July 2024

Backgrounds: Anemia prevention program for pregnant women in Indonesia by giving 90iron tablets during pregnancy. However, pregnant womenâ€™s refuse or donâ€™t comply with thisadvice for various reasons so that prevalence of anemia in pregnant women is still high.Purpose: To determine the relationship beetween adherence to consuming iron tablets andthe incidence of anemia in pregnant women in the Tanjung Pati Nagari Sarilamak HealthCenter in 2022.Methods : The scope of this research is Obstetrics and Gynecological science. The study wasconducted in June - July 2022. The type of research is cross sectional study. The affordablepopulation in the study was pregnant women in the Tanjung Pati Nagari Sarilamak HealthCenter working area as many as 74 samples with accidental sampling technique. Univariatedata analysis is presented in the form of frequency distribution and bivariate analysis usingthe Kolmogorov-Smirnov, data processing using the computerized SPSS version IBM 25.0.Results: the highest pregnant women age is 20-35 years, which is 58 people (78.4%), thehighest education is high school, which is 32 people (43.2%). The highest parity pregnantwomen is multipara, which is 30 people (40.5%), the highest gestational age in the 2ndtrimester, which is 35 people (47.3%), pregnant women who are not anemic, which is 60people (81.1%), pregnant women with compliance consuming iron tablets was good, which is58 people (78.4%), and the relationship between adherence to consuming iron tablets and theincidence of anemia in pregnant women in the Tanjung Pati Nagari Sarilamak Health CenterWork Area in 2022 (p = 0.000).Conclusion: There is a relationship between the compliance of pregnant women inconsuming iron tablets and the incidence of anemia in the Tanjung Pati Nagari SarilamakHealth Center Work Area in 2022
The Role Of Vitamin D And Calcium In Pre-Eclampsia And The Association With Neonatal Outcomes
Authors: Fadila Tara , Yusrawati Yusrawati , Karmia Hudila Rifa
Published: July 2024

Introduction: Pre-eclampsia is one of the main causes of maternal and neonatal death in developingcountries. A low vitamin D level can increase the risk of neonatal abnormalities. Clinical studiesreported various complications of low vitamin D levels, such as pre-eclampsia, gestational diabetes,low birthweight, and caesarean section. This study aimed to investigate the role of vitamin D inpregnancy with pre-eclampsia and its association with neonatal outcomes.Methods: This is an observational analytical study uses a cross-sectional approach to investigatevitamin D levels and pre-eclampsia, conducted in General Hospital Dr. M. Djamil Padang from Mei2021 â€“ April 2022. A total of 5 mL blood was withdrawn to analyzed vitamin D. This study has beenapproved by Health Research Ethics Committee Andalas University (Approved number:339/KEPK/2021).Results: There was a significant difference in the levels of 1,25 dihydroxy vitamin D3 between normalpregnancy and pre-eclampsia patients (99,18 vs 72,53 pg/ml; p = 0,033). In the pre-eclampsia patientsâ€™first APGAR score, there was a significant difference in the levels of 1,25 dihydroxy vitamin D3 betweennormal, moderate, and severe asphyxia groups (114,19 vs 66,75 vs 74,78 pg/ml; p = 0,025).Conclusion: Measuring early maternal 1,25 dihydroxy vitamin D3 can lower the pre-eclampsia risksand the impact the perinatal outcomes, particularly in determining first Apgar scores.
The Relationship Between Stress Level And Menstrual Cycle In Final Level Of Sriwijaya University Medical Education Batch 2019
Authors: Prasetya Bagus Eko , Abadi Adnan , Purnamasari Septi
Published: July 2024

Background: Menstruation is the discharge of blood and mucous tissue through the vaginafrom the uterus periodically every month with a span of 24-35 days. Menstruation can beaffected by stress. The burden of working on the final assignment coupled with learning thathas started to be done face to face makes students have to adjust to their daily habits. Thepurpose of this study was to find out whether there is a relationship between stress levels infinal year students of Sriwijaya University Medical Education class of 2019.Methods: This study uses a type of observational research, namely correlation analysis witha cross sectional approach. Data collection was carried out in October 2022 and obtained124 student data, then an analysis was carried out using the SPSS program and analyzedusing the Chi Square test.Results: From the results of the study, it was found that 124 respondents who experiencedmenstrual disorders were 47 (37.9%) while 77 (62.1%) experienced normal menstruation,then the most stress was severe stress, namely 43 (34.7). Then an analysis of the relationshipbetween stress and the menstrual cycle was carried out, the result was p = 0.009 / p <Î±(0.05), which means that there is a relationship between stress and the menstrual cycle.Conclusion: There is a relationship between stress levels and the menstrual cycle
Clinical Characteristics and Outcomes of Pregnant Women with Covid-19 in Gadjah Mada Academic Hospital
Authors: Tamara Yosi , Sapuraning Rahayu Fithri Islamiyah , Singgih Rendy
Published: July 2024

Introduction: This study aimed to determine the characteristics of pregnant women diagnosed withCovid-19 and hospitalized at the Gadjah Mada University Academic Hospital.Methods: The method in this study is a descriptive research method to illustrate a situation objectivelyand without intervention. All pregnant women who seek treatment and are included in the Gadjah MadaUniversity Academic Hospital study are diagnosed with Covid-19 by RT-PCR.Results: The object of this study were 210 pregnant female patients diagnosed with Covid-19 untilAugust 2021. The third trimester dominated the gestational age, and most of them had no symptoms(asymptomatic). The most dominant symptom was cough. Most of the patients came with referrals fromthe puskesmas on the grounds of pregnancy complaints. Most of them are puskesmas referrals withseven days of treatment in the hospital. Most of the delivery of pregnant women with Covid-19 was byabdominal delivery.Conclusion: The clinical characteristics and outcomes of pregnant women with Covid-19 whounderwent treatment varied. Most of them went home from treatment due to improved conditions orhad given birth and continued to self-isolate at home. Nevertheless, it remains a concern that Covid-19is undoubtedly one of the factors that can cause death in pregnant women.
Cesarean Section Trends In The Tertiary Hospital â€“ A Description Study With The Robson Classification
Authors: Armi Wendy
Published: July 2024

Introduction: The high incidence of Cesarean Section (CS) in Indonesia causes morbidity andmortality for mothers and babies and is not in line with efforts to reduce maternal and infant mortalityaccording to the 2024 RPJMN. This study aims to provide an overview of the criteria for C-sectionaccording to the Robson Group Classification System for CS indications at the suburban area level.Methods: his study used medical record data from patients who underwent childbirth at RSIAPermata Bunda, Solok City, West Sumatra, from July to December 2021, where each patient wasincluded in the CS criteria group according to the Robson Group Classification System for CSindications. After that, all data groups were analyzed.Results: The CS rate at RSIA Permata Bunda for the period July 2021-December 2021 is 80.65%.This is in accordance with tiered referral conditions at level 1 health facilities.In the CS Robson criteria, criterion 5 occupies the highest position in the percentage of AbsoluteContribution (29.08) and Relative Contribution (36.05). This criterion includes all multiparousdeliveries, singleton fetuses, and pregnancies >37 weeks with at least 1 history of uterine surgery(uterine scar).In the Robson 2 group, Absolute Contribution (18.33) and Relative Contribution (22.73) were thesecond highest. This group includes all nulliparous pregnancies with singletons, >=37 weeks, with anindication for induction or surgery prior to delivery.Conclusion: The Robson Group Classification System for CS indications is considered to be used indetermining the description of CS criteria in tertiary hospitals. This criterion can well help theHospital to describe and analyze the high rate of C-section
Ovarian fibrosarcoma : A Case Report
Authors: Muhammad Syamel , Julio Reyhan
Published: July 2024

This case report aims to report and discuss cases of ovarian fibrosarcoma. Ovarian fibrosarcoma is a rare casethat generally occurs in women who have menopause. In the case of ovarian fibrosarcoma, the patient was 43years old, had two children, and had no complaints during menstruation. The patient has lost weight in the lastsix months. The patient has performed debulking surgery optimally. On the PA results, it looks macroscopic, apiece of brownish-white tissue, densely rubbery, with a size of 15x12x5 cm, a solid white part is visible, and thereis a yellowish-white part and anger, there is a 0.5-1.5 cm cavity filled with a yellowish liquid. On microscopicexamination of the tumor, the tissue section appears to consist of a diffuse proliferation of tumor cells withhypercellular and hypocellular areas. Based on the results of macroscopic and microscopic examination of thetumor tissue, a skewed sarcoma is established in fibrosarcoma. The patient underwent chemotherapy after tumorsurgery. Although there is no clear consensus on the administration of fibrosarcoma chemotherapy, severalpublished case reports have demonstrated a lower probability of recurrence and a better prognosis in patientsundergoing chemotherapy.
Isolated Mayerâ€“Rokitanskyâ€“Kusterâ€“Hauser syndrome (MRKH): Case Report
Authors: Putri Eka , Saputra Mondale
Published: July 2024

Background:Mayerâ€“Rokitanskyâ€“Kusterâ€“Hauser syndrome (MRKH) is a rare complex of congenitalmalformations characterized by aplasia of the uterus and upper (two-thirds) vagina in a woman with normalovaries and fallopian tubes, secondary sexual characteristics and a 46XX karyotype. The clinical symptoms ofMRKH syndrome are usually primary amenorrhea but with normal thelarche and adrenarche, as well as sexualintercourse disorders and infertility.Case report:In this case, a 22-year-old nulliparous woman with a female phenotype and normal secondary sexgrowth presented with primary amenorrhea and difficulty in sexual intercourse. On internal examination, thelength of the vagina was 4 cm and the cervix was not palpable. Transvaginal ultrasound examination did not showa picture of the uterus, but both ovaries were normal size and there were several follicles. Diagnostic laparoscopyshowed bilateral ovaries with intact tubes, but no uterus.Conclusion: Women with MRKH syndrome usually have normal ovarian function and usually present withprimary amenorrhea. Treatment of MRKH syndrome must include sexological care of the patient and hispartner.6The American College of Obstetricians and Gynecologists (ACOG) recommends dilation therapy as firstlinetreatment and vaginoplasty surgery should be performed for patients who have failed dilation therapy.
Pregnancy with severe preeclampsia, acute kidney injury and nephrotic syndrome
Authors: Serudji Joserizal , Yuad Haviz , Ambelina Syntia
Published: July 2024

Background: Preeclampsia is one of the main causes of maternal death every year. Preeclampsia can have badconsequences for both the mother and the fetus. Complications in the mother in the form of HELLP syndrome(Hemolysis, Elevated Liver Enzyme, Low Platelet), pulmonary edema, kidney disorders, bleeding, placentalabruption and even maternal death. Complications in infants can be premature birth, fetal distress, low birthweight or intra uterine fetal death (IUFD).Case Report: A 34 year old female patient was brought to the emergency room of Dr. M. Djamil Padang, sent tothe Batusangkar Private Hospital with complaints of shortness of breath which has been increasing when lyingdown. Physical examination found blood pressure 190/136. The patient was diagnosed with G2P1A0H1 gravidpreterm 25-26 weeks, PEB on maintenance dose MgSO4 regimen from outside, suspected nephrotic syndrome,CAP with hypoxemia, pleural effusion, AKI with metabolic acidosis, UTI, hyponatremia, hypoalbuminemia.Discussion: Preeclampsia, eclampsia and HELLP syndrome are serious and life-threatening conditions faced bypregnant women. Early diagnosis and prompt treatment via a multidisciplinary team in the ICU setting canprevent complications and reduce morbidity and mortality. The most common indications for intubation andmechanical ventilation are respiratory failure and hemodynamic instability. The cause of death in this patientwas multiple organ failure which was exacerbated by suspected nephrotic syndrome and suspected SLE.
A Sexual Dysfunction And Quality Of Life Problems Caused By Perineal Pain Cicatrix In A Woman: A Case Report
Authors: Fakhrizal Edy , Primananda M. Lingga
Published: July 2024

Introduction: Sexual dysfunction is a complaint that could happened because of disturbance in complex processwhich coordinated by neurology system, vascular and endocrine system.1 One cause of sexual disfunction isdyspareunia which also followed by quality of life problems. Problems of dyspareunia, sexual dysfunction andquality of life can be measure with VAS, FSFI and WHOQOL instruments. VAS, Visual Analogue Scale, is one ofthe pain rating scales used in epidemiologic and clinical research to measure the intensity or frequency of varioussymptoms.2 FSFI, Female Sexual Function Index, is a multidimensional questionnaire that can show female sexualfunction. This questionnaire consists of 6 domains in which sexual desire, sexual arousal, lubrication, orgasm,sexual satisfaction and pain.3,4,5 WHOQOL-BREF, World Health Organization Quality-of-Life Scale, is a qualityof life assessment developed by the WHOQOL Group with fifteen international field centres, simultaneously, inan attempt to develop a quality of life assessment that would be applicated by cross-culturally.Case Report : Patient came with complaint of pain in genital opening and perineum that felt since 5 months ago.Patient also came with complaint of dyspareunia. Patient had history of vaginal delivery which causing her aperineal rupture. For 5 months, patient could not get intercourse and made her desperated and suffered becauseof her husband desire. Patient also felt inferiority and these problems disturbed her daily activity. VAS was 8,FSFI was 3, and WHOQOL was 71. The perinel ruptured was sutured at the moment of delivery, but after 1 weekpatient started to felt pain at her birth canal. It was the first pregnancy, delivery process was without anyproblems, baby born with 2900 gram of birth weight. From gynecology examination, found a cicatrix at 5 oâ€™clockdirection, any other gynecology organs within normal limit. Diagnose was dyspareunia ec perineal cicatrix withsexual dysfunction and quality of life problems, then urogynecologist decided to do surgery
Correlation of Neutrophil Lymphocyte Ration (NLR) Values with Severe Preeclampsia, HELLP Syndrome and Eclampsia
Authors: Lisfi Indah , Sriyanti Roza , FIrdawati Firdawati
Published: July 2024

Background: Â Preeclampsia (PE) is the leading cause of maternal and fetal morbidity and mortality. The disease is characterized by hypertension (â‰¥140/90 mmHg), proteinuria, thrombocytopenia, renal failure, neurological complications, liver involvement, and fetal growth retardation. HELLP syndrome is a variant of preeclampsia that causes an increase in liver enzymes and a low platelet count. Eclampsia is the heaviest complication of preeclampsia. Neutrophil lymphocyte ratio (NLR) is part of the leukocyte type count examination which is an easy, available examination parameter and can be used as an index of the severity of systemic inflammation. This study aimed to determine the relationship of neutrophil-lymphocyte ratio (NLR) values with severe Preeclampsia, HELLP syndrome, and eclampsia.
Method: This research is a comparative analytical study with a case control study approach. This research was conducted from April-November 2022. This study was conducted at the emergency room (ER) and inpatient department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Andalas â€“ RSUP Dr. M. Djamil Padang. The study sample was part of the population that met the inclusion and exclusion criteria. The study required 108 samples, namely 27 from the severe preeclampsia group, 27 from the eclampsia group, 27 from the HELLP syndrome group, and 27 from the control group. Bivariate statistical analysis using Independent T-Test.Â Samples were taken by the method of consecutive sampling.Â The data were analyzed at a 95% confidence interval, if obtained p value<0.05 then there is a significant relationship. The Data was analyzed by the SPSS computer program.
Results: The results of this study obtained neutrophil-lymphocyte ratio in eclampsia has the highest average value compared with HELLP syndrome, severe preeclampsia, and control. While HELLP syndrome has a higher mean value than severe preeclampsia and control and subsequently severe preeclampsia also has a higher mean value NLR than control. This study found a significant relationship between neutrophil-lymphocyte ratio (NLR) with severe Preeclampsia, HELLP syndrome, and eclampsia (all p values=0.000).
Conclusion: This study proves that neutrophil-lymphocyte ratio (NLR) has a significant relationship with severe Preeclampsia, HELLP syndrome, and eclampsia so further research can develop this study by analyzing other factors that affect preeclampsia. For clinicians can make this study as a reference in monitoring the progression of inflammation that occurs in severe preeclampsia, HELLP syndrome, and eclampsia.
Correlation between Menopause and Changes in Women's Sexual Function at Lubuk Buaya Public Health Center
Authors: Ilham Marcella , Adnani Syahredi
Published: July 2024

Background:Â Sexuality is a fundamental need, as is eating and sleeping. Post-menopausal women experience many psychological changes and have feelings about their negative reactions to menopausal transformations. Decreased sexual function is considered one of the important complications of this period that plays a negative effect on sexual function. This study aims to determine the relationship of menopause stage with sexual function of women in Lubuk Buaya Public Health Center (PHC).Method:Â This research method is observational analytic with a cross-sectional method. This study was conducted starting in March 2021 until the number of samples was reached. The study was conducted in the working area of Lubuk Buaya PHC. The minimum number of samples studied in this study was determined 140 samples. The sampling technique is stratified random sampling. Univariate analysis of data in the form of tables and bivariate analysis using normality test using Kolmogorov-Smirnov test, if the data is normally distributed Anova test or Kruskal Wallis test. If the p-value <0.05 is significant.Results:Â The average age of respondents was 48 years This study found the frequency of premenopausal stage found the most (43.6%), followed by postmenopausal stage (21.4%), perimenopause (17.9%), and menopause stage (17.1%). The domain of desire (2.7Â±1.0) and arousal (2.7Â±1.3) achieved the lowest score, indicating major sexual problems, while the domain of pain was the domain where women obtained the highest score (3.6Â±1.5) indicating minor sexual problems. In this study, it was found that the menopause stage affects five domains of sexual function changes in the FSFI, namely desire, arousal, lubrication, orgasm, and satisfaction, while in the pain domain, there was no significant relationship.Conclusion:Â Menopausal status is significantly related to the domains of lust, lust, lubrication, orgasm, and satisfaction. There is a significant relationship between the stage of menopause with FSFI domain scores.
Skene Duct Cyst in Childhood: A Case Report
Authors: Kusuma Agung Wijaya , Utama Bobby Indra , Sari Yulia Margaretta
Published: July 2024

Introduction.Â Vaginal cystsÂ are uncommon and may be either congenital or acquired. the most common vaginal cysts is a urothelial cyst or a paraurethral cyst. With an incidence of 1 in every 2000â€“7000 live births, paraurethral cysts are an uncommon cause of interlabial mass in newborns and account for less than 0.5 per cent of all congenital urinary system anomalies.Â Study Purpose. This reportÂ describes a rare Vaginal cyst in a child at the posterior vaginal wall..Â Results.this is a case report study about a girlÂ 1-year-8-months old with vaginal cyst sinceÂ the age of 2 months.Â Physical examination and ultrasound finding revealed a cystic mass size 3x3x1 cm in posterolateral of the right vaginal wall extended to right periurethral. Management of this case was extirpation of the vaginal cyst.Conclusion.Â A vaginal cyst is an uncommon case in a child. Vaginal cysts have several possible etiologies, such as possibly embryological origin, ectopic inclusion tissue or possibly due to urological abnormalities. Diagnosis requires a thorough understanding of diagnostic possibilities and a systematic evaluation. This patient has been treated with surgical excision due to a high success rate.
A Case Report: Unusual Case of Heterotopic Pregnancy with Chronic Ectopic Pregnancy
Authors: Pagi Putri Embun , Yuad Haviz
Published: July 2024

Background :Â Heterotopic pregnancy describes the occurrence of two pregnancies in different implantation sites simultaneously, mostly manifested as intrauterine and ectopic pregnancies (ampullary in 80%). TheÂ Â incidence has been documented due to the increase incidence of pelvic inflammatory diseases.Â Case:Â A 28-years-old primipara woman with suspected chronic ectopic pregnancy, differential diagnosed with ovarian cyst. Previously, the patient had complete abortion becauseÂ abdominal and pelvic pain still present,Â she decided to seek treatment at RSUP dr. Mdjamil, from ultrasound was found suspected chronic ectopic pregnancy differentially diagnosed with ovarian cyst. Laparoscopy had done then,Â Â the intraoperative findings found that there was a chronic ectopic pregnancy in the left ampullary tubal and then left salpingectomy was performed.Conclusion:Â This case is one of the unusual clinical presentations of heterotopic pregnancy. This case highlights the importance of including heterotopic pregnancy in the differential diagnosis especially in patients with persistent abdominal and pelvic pain after complete abortion.Â
Hematometra Ec Stenosis Of The Cervix Of The Uterus: A Case Report
Authors: Sari Yenny Mayang , Utama Bobby Indra
Published: July 2024

Background :Â Cervical stenosis has been defined as a narrowing of the endocervical canal preventing passage of a 2.5-mm Hegar or Pratt dilator. Stenosis of the external cervical os has been described as an external os diameter of less than 4.5mm. Symptoms of cervical stenosis are dependent on the degree of endocervical canal obstruction and the patient's menopausal status. Those patients with severe or complete obstruction of the endocervical canal can experience hematometra with scant or sporadic menstrual flow, amenorrhea, dysmenorrhea, chronic pelvic pain, and infertility.Case Report :Â A 16-year-old woman was consulted from Pediatric with cervix stenosis with haematometra wich had been noticed since a month ago. Menarche at the age 13 years, regular and slightly pain menstruation every month. The result of MRI examination represented bilateral hematometra and hematocolpos ec suspected cervical stenosis. The management of this case was cervical dilatation and cervical tube installation.Â Conclusion :Â Cervical stenosis is a caused of menstrual complaint which is characterized by slightly pain while menstruation, hematometra and hematocolpos.Â
Myxoid ovaries that resemble malignancy in young girls: a case report
Authors: Fajriman Fajriman , Antonius Puja Agung , Muhammad Syammel
Published: July 2024

In the most recent publications on Mayer-Rokitansky-KÃ¼ster-Hauser (MRKH)Â Myxoma is a benign tumor that generally occurs in the heart, soft tissue, muscle, skin and bone. But in this case, we present myxoma that occurs primarily in the ovary. Ovarian myxsoma is a rare benign tumor.In this case report, it was found that a 12-year-old girl was brought by her parents to the M. Djamil Hospital in the city of Padang, West Sumatra. After performing the gynecological physical examination and ultrasonography, there was a hypoechoic mass with an indeterminate solid part of the right adnexa, which was suspected of being an ovarian malignancy. Then it was decided to carry out a procedure in the form of a conservative surgical staging laparotomy. The results of the Anatomical Pathology examination confirmed the myxoid ovarian appearance and the patient was decided for regular monitoring.Â
THE ROLE OF MAGNESIUM SUPPLEMENTS ON HYPERTENSION IN PREGNANCY AND PREECLAMPSIA
Authors: Nurwany Raissa , Ramadhina Shafira Fitri , Pariyana Pariyana
Published: July 2024

Objective:ThisÂ article aimsÂ to discuss the effects of magnesium supplementation on clinical outcomes of pregnancy and highlights the benefits of magnesium supplementation in reducing the risk of hypertension in pregnancy and preeclampsia.Â Method:Â In this systematic review article, the author conducted a literature search using certain keywords and selected articles that were published from 2013-2023, can be accessed in full-text in pdf format, and are in Indonesian or English. The methods used were in accordance with the reporting guidelines provided in the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P).Â Results:Â After carefully searching the database and eliminating articles that were not related to the topic, 6 articles were obtained for review. Hypertension in pregnancy and preeclampsia are serious health problems that can harm both mother and baby. Magnesium supplements have been studied as a way to reduce the risk of hypertension in pregnancy and preeclampsia.Â Conclusion:Â Magnesium supplements may help reduce the risk of hypertension in pregnancy and preeclampsia.
PAPP-A Levels and IGF-1 Levels in Early-Onset Preeclampsia and Late-Onset Preeclampsia
Authors: Soufal Juan Habli , Yusrawati Yusrawati , Basyir Vaulinne
Published: July 2024

Introduction: The pathophysiology of preeclampsy is not yet fully understood, but failure of tropoblastinvasion and placentation, which is influenced by factors such as pregnancy-associated plasma proteinA (PAPP-A) and insulin-like growth factor 1 (IGF-1), is thought to play a role.Aims: This study aimed to explore the difference in PAPP-A and IGF-1 levels between Early OnsetPreeclampsia (PEAD) and Late Onset Preeclampsia (PEAL) assuming that the role of PAPP-A andIGF-1 is more significant in the pathogenesis of PEAD than PEAL.Methods: This is an analytical observational study with a cross-partition comparative study design.Clinical data were obtained at Dr. M. Djamil Padang Hospital, while PAPP-A and IGF-1 levels weremeasured at the Biomedical Laboratory of the Faculty of Medicine, Andalas University. Samples aretested according to reagent procedures and analyzed by experts.Results: Average PAPP-A levels were 2.45+0.35 pg/mL in the early onset preeclampsy group and2.85+0.50 pg/mL in the late onset preeclampsy group. These two levels differed statisticallysignificantly (p=0.006). That means that low levels of PAPP-A are associated with and play a role inthe pathogenesis of early onset preeclampsy. Average IGF-1 levels were 4.66+0.91 pg/mL in the earlyonset preeclampsy group and 5.39+0.74 pg/mL in the late-onset preeclampsy group. These two levelsdiffered statistically significantly (p=0.010). That means that low levels of IGF-1 are associated withand play a role in the pathogenesis of early onset preeclampsy. PAPP-A levels were significantlypositively correlated with IGF-1 levels (p=0.000).Conclusion: PAPP-A levels are lower in PEAD than PEAL, as are IGF-1 levels. These findings confirmthe role of PAPP-A and IGF-1 in preeclampsia. Both of these hormones have potential as indicatorsand markers for the prediction and management of preeclampsy in early and late onset periods.
FACTORS AFFECTING THE AGE OF MENOPAUSE IN PADANG CITY IN 2023
Authors: Bennovry Rizky Rivonda , SA Syahredi , Utama Bobby Indra
Published: July 2024

AbstractMenopause is characterized by a consecutive period of amenorrhea lasting 12 months without anyunderlying causes or surgical interventions. The age at which menopause occurs can be influenced byvarious factors, including menarche, number of childbirths, body mass index, and the utilization ofhormonal contraceptives. This study aims to determine the factors that influence the incidence ofmenopause in Padang. This study is an analytical research with a cross-sectional study design. Theresearch was conducted in the working areas of all primary public health centers in Padang fromJanuari 2023 to September 2023. The sample consisted of middle-aged women who visited theworking areas of all primary public health centers during the study period. This study is using aquestionnaire as the research instrument and employing the simple random sampling technique toobtain a sample size of 124 participants. The data analysis was conducted using the Chi- Square test,and utilize the statistical software SPSS. A significant relationship between variables was defined if thep-value < 0.05. The results of this study revealed that the majority of respondents experienced earlymenarche (36.3%), had multiparous pregnancies (33.9%), had underweight body mass index (33.1%),used hormonal contraceptives (52.4%), and experienced late menopause (40.3%). The analysisshowed a significant relationship (p<0.05) between the age of menarche (p=0.036) and parity(p=0.002) with the occurrence of menopause. However, there was no significant relationship (p>0.05)between body mass index (p=0.141) and history of contraceptive use (p=0.069) with the occurrenceof menopause. This study found a significant relationship between the age of menarche and paritywith the occurrence of menopause, while there was no significant relationship between body massindex and history of contraceptive use with the occurrence of menopause among middle-aged womenvisiting the primary public health center areas in Padang.
CORRELATION OF MATERNAL SERUM 25 HYDROXY VITAMIN D WITH NEWBORN ANTHROPOMETRY
Authors: Iqbal Muhammad , Yusrawati Yusrawati , Karmia Hudila Rifa , Serudji Joserizal
Published: July 2024

Vitamin D deficiency (VDD) is identified as a public health problem in many countries, and pregnant women have been identified as a high-risk group, among whom the prevalence of VDD ranges between 20 and 40%. Vitamin D deficiency causes essential health problems, not only in the mother but also in the baby, because the mother's vitamin D stores are the primary source of vitamin D for the fetus. During pregnancy, severe vitamin D deficiency in mothers has been associated with biochemical evidence of impaired bone homeostasis, congenital rickets, and bone fractures in newborns. This study aims to determine the correlation between umbilical cord blood 25(OH)D levels in term pregnancy and Neonatal anthropometry. This research is analytical research using a cross-sectional approach. The sample in this study amounted to 40 people. Data analysts use people tests. The results of this study obtained an average umbilical cord serum 25(OH)D level of 14.70 Â± 4.93. There was no correlation between umbilical cord blood 25(OH)D levels in term pregnancy and neonate anthropometry (p>0.05). The average level of 25(OH)D is included in the insufficiency category. Therefore, it is necessary to increase vitamin D supplementation during pregnancy.
PROFIL KETERAMPILAN SOSIAL ANAK BERKEBUTUHAN KHUSUS DI SEKOLAH INKLUSIF
Authors: Simbolon Marlina Eliyanti
Published: July 2024

Penelitian ini dilatarbelakangi oleh pentingnya keterampilan sosial pada anak berkebutuhan khusus di sekolah inklusif. Tujuan penelitian ini untuk mendeskripsikan profil keterampilan sosial anak berkebutuhan khusus di Sekolah Inklusif yaitu Sekolah Dasar Negeri Unggulan Kabupaten Kuningan. Fokus penelitian ini adalah dua anak ADHD dan seorang anak lamban kecerdasan dan intelektual. Penelitian ini menggunakan pendekatan kualitatif deskriptif. Teknik pengumpulan data dalam penelitian ini yaitu dilakukan dengan cara wawancara dan angket pada guru dan orang tua siswa. Hasil wawancara dengan orang tua menunjukkan bahwa n1 dan n2 kategori penilaian cukup, dan n3 kategori penilaian baik.
STUDI DESKRIPTIF VIDEO PEMBELAJARAN MATH MAGIC SeMUT UNTUK MENINGKATKAN KEMAMPUAN BERHITUNG PERKALIAN SISWA SEKOLAH DASAR
Authors: Sulistiawati Devi , Qurotul A'yun Dya
Published: July 2024

Pembelajaran Matematika di Sekolah Dasar belum mampu meningkatkan keterampilan berhitung peserta didik secara maksimal, salah satu penyebabnya karena banyak peserta didik berpendapat mengenai matematika merupakan ilmu yang sulit dan penjelasan yang didapat terkait materi belum dapat dipahami peserta didik dengan baik. Penggunaan metode pengajaran yang monoton tanpa adanya inovasi membuat peserta didik mudah bosan dan kurang fokus memahami materi selama pembelajaran. Penelitian ini bertujuan untuk mengetahui peningkatan kemampuan berhitung siswa setelah menggunakan media pembelajaran berupa video Math Magic Trick SeMUT (Stripped Multiplication Trick). Orientasi penelitian yang akan dibahas mengenai operasi perkalian bilangan bulat. Penelitian dilakukan di kelas IV SDNU Al Istiqomah Gresik dengan subjek penelitian berjumlah 9 peserta didik yaitu 3 siswa laki-laki dan 6 siswa perempuan. Jenis penelian menggunakan penelitian kuantitatif deskriptif. Teknik pengambilan sample menggunakan teknik purposive sampling dan teknik pengumpulan data menggunakan teknik observasi dengan instrumen penelitian berupa tes. Metode penelitian menggunakan design eksperimen pre-eksperimental dengan jenis One Group Pretest-Posttest. Hasil akhir penelitian menunjukkan bahwa terdapat peningkatan kemampuan berhitung perkalian peserta didik setelah diterapkan pembelajaran menggunakan media video pembelajaran Math Magic SeMUT.
Muhasebe Eğitiminde Tutumlar, Kaygılar ve Muhasebe Mesleğinin Geleceğine Yansımaları: Yükseköğretimden Kanıtlar
Authors: Şimşek Kezban , Doğan Öznur
Published: July 2024

Bu çalışmada, muhasebe eğitimi alan öğrencilerin muhasebe derslerine yönelik tutum ve kaygıları tespit edilmiş, tutum ve kaygıların muhasebe mesleğinin geleceğine yansımaları değerlendirilmiştir. İhtiyaç duyulan veriler araştırma kapsamında geliştirilen ölçekler yoluyla toplanmıştır. Araştırma sonuçları, araştırma kapsamında yer alan öğrencilerin muhasebe derslerine yönelik olumlu ya da olumsuz bir tutum içinde olmadıklarını, kaygılarının orta düzeyde olduğunu, muhasebe mesleğini gelecekte icra etmeye yönelik ifadelere orta düzeyde bir katılım gösterdiklerini ortaya koymaktadır. Analiz sonuçlarına göre, öğrencilerin muhasebe derslerine yönelik tutumları, kaygı düzeylerini negatif yönlü, gelecekte muhasebe mesleğini icra etme eğilimlerini pozitif yönlü olarak, muhasebe derslerine yönelik kaygı düzeyleri ise gelecekte muhasebe mesleğini icra etme eğilimlerini negatif yönlü olarak etkilemektedir.
Aplikasi Sistem Informasi Geografis (SIG) Pendataan Pada Pengawasan Dan Pengendalian Menara Telekomunikasi Berbasis Android (Studi Kasus Dinas Komunikasi Dan Informatika Kota Cimahi)
Authors: Syani Mamay , Mahdani  , Laia Firdaus , Mulyana Dadan , Yudi Permana Nana
Published: July 2024

Aplikasi Sistem Informasi Geografis (SIG) berbasis Android digunakan untuk tujuan pendataan dan pengawasan menara telekomunikasi, dengan studi kasus dilaksanakan di Dinas Komunikasi dan Informatika (Diskominfo) Kota Cimahi. Tujuan dari penelitian ini adalah untuk mengoptimalkan proses pendataan dan pengawasan menara telekomunikasi melalui pemanfaatan teknologi berbasis Android serta informasi geografis. Harapannya, aplikasi yang dikembangkan akan memberikan dukungan efisien bagi Diskominfo dalam pengelolaan data, pemantauan akurat lokasi menara telekomunikasi, dan peningkatan pengawasan terhadap infrastruktur penting ini. Dengan menggabungkan teknologi Android dan fitur SIG, diharapkan aplikasi ini dapat menjadi alat efektif dalam mendukung pengawasan dan pengendalian menara telekomunikasi di Kota Cimahi. Metodologi yang digunakan dalam perancangan sistem ini adalah metodologi Software Development Life Cycle (SDLC) Waterfall, yang terdiri dari tujuh tahap, yaitu Definisi Kebutuhan, Perancangan, Pengembangan, Pengujian, Implementasi, Pemeliharaan, dan Evaluasi. Aplikasi ini dibangun dengan menggunakan Flutter versi 3.10.6. Dari hasil pengujian User Acceptance Test (UAT) yang telah dilakukan, diperoleh hasil rata-rata parameter sebagai berikut: antarmuka pengguna (85,6%), kinerja aplikasi (88,4%), fungsi aplikasi (88,4%), keamanan aplikasi (80%), umpan balik akhir (91,4%). Hasil pengujian keseluruhan adalah (86,7%).
Sistem Informasi Evaluasi Kinerja Manajemen SDM menggunakan Key Performance Indicator pada PT. X
Authors: Kurnia Rahma , Nurlani Lani , Perdana Chepy
Published: July 2024

Abstrak
Sistem pengukuran kinerja manajemen SDM Perusahaan dapat dilakukan dengan menerapkan pendekatan Human Resource Scorecard dimana Perusahaan dapat menetapkan indikator yang terukur dan relevan sesuai dengan tujuan strategis Perusahaan dalam berbagai perspektif, internal bisnis proses, HR  Alignment, dan HR  Deliverable (Learning & Growth). Penelitian ini bertujuan untuk melihat ketercapaian sasaran yang dibebankan pada suatu organisasi mengigunakan instrumen Key Performance Indicator (KPI). Hasil penelitian ini menunjukan bahwa terdapat 4 perspektif, yaitu HR  Efficiency  (Financial), Perspektif High Performance Work System  (Internal Bisnis Process), HR  Alligement  (Costumer), dan HR  Deliverable (Learning & Growth) dari keempat perspektif tersebut terdapat 9 indikator yang digunakan untuk membangun sistem evaluasi kinerja manajemen SDM yang sesuai dengan degan PT. X. Sistem yang dibangun dapat menunjukan nilai ketercapaian setiap indikator yang dapat dievaluasi untuk menentukan kebijakan Perusahaan. Sistem ini dilengkapi dengan traffic light system yang dapat menunjukan keterangan indikator mana yang perlu perbaikan, perlu ditingkatkan, dan sudah sesuai dengan target.
 
Kata Kunci : KPI, indikator, evaluasi, SDM
Implementasi Metode Geolocation Menggunakan Teknologi Webcam pada Sistem Absensi Pegawai
Authors: Muthmainnah Ihmatull , Christanto Febrian Wahyu , Manurung Jonson , Sidiq Maulana
Published: July 2024

PT Omni Electrindo merupakan distributor komponen kelistrikan yang berlokasi di Jalan Sidodadi Timur No.22 Semarang masih menemukan banyak permasalahan dalam pengelolaan absensi kerja pergawai. Absensi masih dikelola menggunakan microsoft excel dan data diambil secara manual. Pada awal tahun 2020 terdapat wabah penyakit Coronavirus 2019 (Covid-19) yang mengguncang masyarakat dunia, sehingga pemerintah mengeluarkan kebijakan membatasi aktifitas keluar rumah. Sesuai kebijakan pemerintah, PT Omni Electrindo melaksanakan bekerja dari rumah secara bergantian. Berdasarkan latar belakang tersebut, peneliti membuat sistem absensi pegawai menggunakan metode geolocation dan webcam pada aplikasi HRIS serta menggunakan metode prototype yang diharapkan dapat membantu personalia dalam pengelolaan data absensi pegawai yang bekerja secara work from home. Pada proses pengujian sistem mendapatkan hasil pengujian performa dengan score B (74%) dan menghasilkan persentase dari hasil kuesioner pengguna dengan responden sebanyak 22% dari total 60 karyawan di PT Omni yaitu 91% responden memilih sangat baik dan 9% memilih baik. Berdasarkan hasil pengujian yang diperoleh, proses perekapan absensi yang sebelumnya membutuhkan waktu 20-30 menit, sekarang hanya membutuhkan waktu 5 menit. Dengan adanya sistem absensi pegawai ini diharapkan mampu membantu bagian personalia dan karyawan dalam proses absensi secara cepat dan akurat.
Extracorporeal Membrane Oxygenation Nursing Care
Authors: Sharma Varsha , Joshi Mukesh
Published: July 2024

Extracorporeal membrane oxygenation (ECMO) is increasingly being used with adult patients in respiratory failure or cardiac failure. ECMO is a complex treatment that requires diligent nursing care with the knowledge and ability to identify complications of ECMO can potentially reduce morbidity and mortality in these high-risk patients. Nurses are integral to the multidisciplinary team caring for patients in the intensive care unit and are fundamental to successful outcomes. The increased complexity of caring for the patient supported by ECMO adds to the challenge for the nursing team. The bedside intensive care nurse is supported by ECMO specialist nurses in the delivery of care and monitoring of the ECMO patient. This cardiopulmonary support system uses an artificial membrane lung to move blood forward and replace carbon dioxide with oxygen in venous blood.
Evaluation of Right Ventricular Function in Patients Undergoing Mitral Valve Replacement with Pulmonary Artery Systolic Pressure of more than 50 mmHg: A Prospective Analysis
Authors: Majumder Biraj , Singh Sarveshpal , Seth Sandeep , Sahu Manoj , Yadav Satyavir , Singh Ummed , Gupta Surabhi , Pandey Shivam
Published: July 2024

Objectives:

The severity of pulmonary artery hypertension affects the outcomes of patients undergoing mitral valve replacement (MVR). Speckle-tracking derived strain is a new modality for the assessment of the right ventricular (RV) function as well as the longitudinal contractile pattern.

Our main objective of this study was to evaluate the right ventricular (RV) function in patients undergoing MVR with pulmonary artery systolic pressure (PASP) of more than 50 mmHg at 1 and 4 weeks postoperatively.

Material and Methods:

This prospective cohort study included 40 patients with rheumatic heart disease (RHD) (mitral stenosis [MS] and mitral regurgitation [MR]) scheduled to undergo MVR between January 2022 and December 2023 in AIIMS, New Delhi. Serial 2D echocardiography, tissue Doppler imaging, as well as RV speckle-tracking echocardiography were performed, and serum brain natriuretic peptide (BNP) levels were measured during the pre-operative period, 1st week and 4th weeks postoperatively to evaluate RV function.

Results:

Tricuspid annular plane systolic excursion (TAPSE) and left ventricular ejection fractions (LVEFs) were significantly lower at 1 week after surgery, compared to pre-operative levels, and reached the pre-operative values at 4 weeks after surgery. The RV fractional area change (RVFAC) at 4 weeks postoperatively significantly increased compared to 1st week and baseline values. The tricuspid valve (TV) tissue velocity in systole (S'), TV velocity in diastole (E'), RV global strain (RVGLS), and RV free wall strain (RVFWLS) at post-operative 4 weeks were lower than pre-operative values, and this difference was statistically significant.

Conclusion:

Four weeks after MVR, in adult patients with RHD (MS and MR) having PASP >50 mmHg, it was observed that deformational indices or speckle-tracking echocardiography such as RVGLS and RVFWLS predict better RV dysfunction than linear indices like TAPSE. The BNP, PASP (delta TR), right atrial volume, left atrial volume, LV internal diameter in systole, and LV internal diameter in diastole decreased significantly in these patients. RVFAC increased significantly to compensate for the loss of longitudinal function.