bluuebunny/crossref_metadata_2025_split huggingface dataset:
The relationship between CT scan and incidence of intrathoracic thymoma metastases in Dr. Moewardi General Hospital, Surakarta
Authors: Nikita Sekar Mayang Octarina , Widiastuti Widiastuti , Rima Ana , Sarwono Prasetyo , Wujoso Hari , Rosati Ari 
Published: February 2022

Background: Intrathoracic metastases are the most common form of metastasis in thymoma patients that influences the patient's life expectancy. Observing the tumor profile based on CT scan images is one of the ways that can be used to predict the presence of intrathoracic metastases in thymoma patients. However, there are not many studies reported.Methods: This observational analytic study with a cross-sectional approach was conducted on 60 thymoma patients who had undergone a chest CT scan at Dr Moewardi General Hospital Surakarta and held from September 2020 to February 2021. Two research variables were used: the incidence of intrathoracic metastases as the dependent variable and the thymoma CT scan image as the independent variable. Data analysis was performed using SPSS 25.0 software, including hypothesis testing and Chi-Square test with a 95% confidence level.Results: Intrathoracic metastases were found in 78.3% of the thymomas patients. Based on the analysis between chest CT scan findings and the presence of intrathoracic metastases in thymoma patients, it was found that a significant association between tumor density and the incidence of intrathoracic metastases with heterogeneous density increased the risk of intrathoracic metastases 6.72 times higher with a form of subpleural nodules and pleural effusions with a p-value of 0.037 and 0.027.Conclusion: There is a significant relationship between thymoma density based on a chest CT scan and the incidence of intrathoracic metastases in Dr. Moewardi General Hospital Surakarta.
Comparison of angle, length, and diameter of the eustachian tube of safe and unsafe CSOM based on CT scan in Dr. Zainoel Abidin General Hospital, Banda Aceh, Indonesia
Authors: Ridwan Azwar , Husni TR T. , Machilah Nurul , Aria Zona 
Published: February 2022

Introduction: Damages in middle ear structures correlated with tubal dysfunction and impaired drainage; thus, it's associated with changes in angle, length, and tubal diameter. This study aimed to determine the ratio of angle, length, and diameter of Eustachian tube with safe and unsafe types of chronic suppurative otitis media (CSOM).Methods: Cross sectional analytical retrospective design, CT-Scan assessment for angle, length, the diameter of the tube on safe and unsafe type CSOM from January to December 2019 Angle is assessed using Reid's line, tube length by a tympanic orifice to pharyngeal orifice line, Tube diameter is measured from anteroposterior pre-tympanic line diameter. Results: From 61 CSOM patients, 70.5% safe type, 29.5% unsafe type. Safe type tube angle mean is 29.120, unsafe type 29.950, normal ear 28.230, thus no significant difference. A significant difference in the tube length (P = 0.001) is that the mean normal ear is 35.39 mm, smaller on safe type 33.58 mm, and unsafe type 29.53 mm. A significant difference in tubal diameter ratio (P = 0.001), normal diameter 2.19 mm, on safe type is 2.02 mm smaller, unsafe type 1.86 mm.Conclusion: The smaller length and diameter of the Eustachian tube will lead to unsafe type CSOM.
Complete tubular duplication of colon presenting as rectovestibular fistula: A case report
Authors: Isa Muntadhar Muhammad , Thayeb Amir , Meildi Maria , Hutagalung Muhammad Bayu Zohari 
Published: February 2022

Background: Duplication of the gastrointestinal tract is a rare congenital disorder in pediatric patients. Complete resection in case of a total tubular duplication that requires total or subtotal colectomy is undesirable in children.Case Presentation: This case presented a simple surgical technique for treating complete colonic duplication without colonic resection. A 2 months old female baby with abdominal distention and stool complaint came out from her vaginal vestibular and normal anus. A digital rectal exam showed a palpable mass in the posterior region. Abdominal CT Scan showed a rounded mass with size 2x2 cm in the left posterolateral of rectum region. The initial diagnosis was suspected sacrococcygeal tumor type 4 with rectovestibular fistula. Intraoperative findings showed duplication of the caecum, appendix, total colon (ascending to sigmoid) and rectum (one directed to the vagina and the other to anus). The ileostomy was done 20 cm from the ileocaecal junction as a temporary treatment to relieving distention with definitive repair planned in the following months. The second stage repair was performed after 1-year-old with posterosagital anorectoplasty followed by distal separation of the duplicated colon using a 12 cm linear stapler. For this case, the third stage repair was done one year after the previous surgery to close the remaining ileostomy. The patient’s outcome showed good results with normal defecating function and no complication.Conclusion: Complete tubular duplication is a rare case without specific clinical symptoms, but the assessment of the diagnosis can be assisted by radiology such as abdominal CT and barium enema. We hope this article could illustrate management for complete tubular duplication of colon presenting as rectovestibular fistula, thus reflect how important clinical judgment and initial diagnostic in our health care system.
Role of exercise training in pulmonary hypertension: a review article
Authors: Ridwan Muhammad , Dimiati Herlina , Putri Cut Jaswanita Eka , Habibie Yopie Afriandi , Sariningrum Hesti Anandini 
Published: February 2022

Pulmonary hypertension is a cardiovascular disease with high mortality and morbidity affecting various aspects, including prognosis and quality of life. Limiting physical exercise in patients with pulmonary hypertension was initially suggested because it worsened the patient's clinical condition. Recently clinicians have begun to focus on the role of physical activity in patients with pulmonary hypertension. Despite limitations of literature that describe the role of physical exercise in pulmonary hypertension, this paper is expected to provide an overview and the extent of implementing physical exercise in health centers. In our review, the data collection for eligible articles was conducted from 1st January 2011 until 4th January 2021 using the PubMed database undertaken English language. The search algorithm used in this paper is "Exercise" OR "Physical Activity" AND "Pulmonary Hypertension." Manual search methods were also has been used to find the topic-related articles. According to our synthesis of physical exercise in patients with pulmonary hypertension, it is safe to apply under the supervision of cardiac rehabilitation experts. Initial assessment, exercise capacity adjustment, and monitoring during physical exercise are essential to avoid adverse events during exercise. Regular physical exercise over 12 weeks can increase exercise capacity, improve quality of life, improve prognostic and life expectancy. Otherwise, the application of physical exercise under ten weeks does not always show significant results, and the application for less than eight weeks shows unsatisfactory results. In conclusion, the use of physical exercise in pulmonary hypertension has not been optimally utilized in cardiac rehabilitation centers
Rehabilitation-related knowledge correlate to visit compliance in post-ischemic stroke patients in an outpatient rehabilitation clinic
Authors: Nadila Islah , Syahrul Syahrul , Suherman Suherman , Mamfaluti Teuku , Firdausa Sarah 
Published: February 2022

Background: Stroke is a serious medical condition potential that affects humans and requires special attention. The treatment of stroke is highly dependent on patients' knowledge and adherence in undergoing rehabilitation. Knowledge about medical rehabilitation will determine the level of patients' adherence undergo medical rehabilitation. The study aimed to find the correlation between patients' knowledge and adherence to chronic stroke patients undergoing medical rehabilitation.Methods: This is an observational analytic study conducted in the executive medical rehabilitation policlinic at dr. Zainoel Abidin Hospital. Seventy-four respondents were selected by the non-probability sampling technique and accidental sampling method. Two questionnaires were used, namely the "Overview of Familial Behaviour towards Stroke Patients in Rehabilitation Efforts" questionnaire and the "Correlation of Family Support with Stroke Patients Rehabilitation Adherence" questionnaire. Data were analyzed using Chi-Square statistical test.Results: 45.9% of respondents had good knowledge and compliance, 23% of respondents had average knowledge and compliance, and 9.5% of the respondents had poor knowledge and compliance. Data analysis showed a significant correlation between patients' knowledge and level of adherence in undergoing medical rehabilitation.Conclusion: Increasing patients' knowledge about medical rehabilitation is crucial to improve patient's adherence in undergoing medical rehabilitation.
Bizarre parosteal osteochondromatous proliferation (Nora’s lesion) of the talus: a case report
Authors: Rante Su Djie To , Sugiarto Jordan , Nugraheni Tri , Norahmawati Eviana 
Published: February 2022

Introduction: Bizarre Parosteal Osteochondromatous Proliferation (BPOP), or Nora’s Lesion, is a very rare condition, with less than 200 documented cases that exist in the literature. BPOP / Nora’s Lesion of the talus has not been reported in any literature in Indonesia. Therefore, this study aim to present a unique and rare case of BPOP (Nora’s Lesion) of the talus.Case: An eighteen-year-old male patient admitted to hospital with a complaint of palpable lump at his front right ankle region since seven years ago with the size of a marble. On physical examination, there was a swelling of the anteromedial aspect of the ankle, hard in consistency, well-defined, immobile, and without neurovascular impairment. There was pain exacerbated by sports activities. There was a history of trauma at the located lump; he was fell while running on the ground a few years before the lump first arose with no fracture, wound, or swelling at that area. The range of motion (ROM) of the right ankle was less than the left ankle. The operation was performed under general anesthesia. After an incision was made, the mass was exposed and we did an osteotomy and a complete surgical excision. Conclusion: In this case, the radiographic imaging showed well-defined exostosis arising from the anteromedial aspect of the talus bone cortex, but not in continuity with it. Histopathological examination consistent with BPOP. We suggest a surgical “En-bloc” (complete surgical excision) as a recommended treatment for BPOP.
The effect of cutaneous candidiasis toward skin moisture in Haji Adam Malik Central Hospital in Medan
Authors: Armayanti Ira , Wardani Meidina Kusuma , Nasution Lukmanul Hakim 
Published: February 2022

Background: Cutaneous candidiasis is the second most common fungal infection. One of the predisposing factors for candidiasis is moisture. Excess moisture will cause skin damage related to skin moisture or also known as Moisture-Associated Skin Damage (MASD) is defined as inflammation and erosion of the skin caused by prolonged exposure to various sources of moisture. This study aimed to determine the comparison of skin moisture in patients with cutaneous candidiasis and without cutaneous candidiasisSubjects and Methods: This study was an observational analytic test with a cross sectional approach on 32 subjects with cutaneous candidiasis and 32 subjects without cutaneous candidiasis. The diagnosis was confirmed by clinical examination, skin scraping with 10% KOH and fungal culture. Check skin moisture using a scalar moisture checker on the volar lower arm.Results: The majority of the subjects' age ranged from 40-49 years (28.1%). The majority of gender is female (62.5%). The majority of body mass index is overweight (46.9%). The majority of occupations are service and sales personnel consisting of traders and employees (43,8%). The majority have middle education level is senior high school/equivalent (43.7%). Distribution of cutaneous candidiasis by location. Majority was intertriginous candidiasis (50.0%). The degree of skin moisture in candidiasis subjects was wet as many as 19 people (59.4%) and subjects without candidiasis were normal as many as 21 people (65.6%). Humidity in cutaneous candidiasis subjects compared with subjects without cutaneous candidiasis showed a significant difference (p = 0.001).Conclusion : Subjects with cutaneous candidiasis had a wetter level of skin moisture than subjects without cutaneous candidiasis.
Relationship between plasma atherogenic index and xanthelasma palpebrarum
Authors: Setio Wati Sri Karunia , Putra Imam Budi , Jusuf Nelva Karmila 
Published: February 2022

Introduction: Xanthelasma is a common form of skin xanthoma. It is due to abnormal lipid deposition in the eyelid skin. Xanthelasma is thought to be a sign of dyslipidemia, one of the important risk factors in atherosclerosis. The risk of atherosclerotic disease can be determined using the atherogenic index of plasma (AIP) parameters. AIP is a mathematical relationship between TG and HDL in logs (TG/HDL). Thus, this study aimed to determine the relationship between the atherogenic index of plasma and xanthelasma palpebrarum at the Polyclinic of the Department of Dermatology and Venereology, Universitas Sumatera Utara Hospital.Methods: This study was an observational analytic study with a cross-sectional approach involving 50 patients with xanthelasma palpebral and 50 controls based on inclusion and exclusion criteria. Gender, age, lipid profile values (cholesterol, HDL, LDL, and triglycerides), and Atherogenic Index of Plasma (AIP) values were recorded. Laboratory tests measured assessment atherogenic index of plasma to determine triglyceride (TG) and high-density lipid (HDL) levels using the Cobas 6000 C501 device. An independent t-test was conducted to assess the relationship between research variables, and it was declared significant with p < 0.001.Results: The majority of xanthelasma palpebrarum occurred in women (94%), and the mean value of the subjects of this disease was higher in the 50-59 year age group (42%). The mean value of lipid profile (total cholesterol, LDL, HDL, and triglycerides) in xanthelasma palpebrarum subjects tends to increase compared to subjects without xanthelasma palpebrarum. The results obtained using the logistic regression test showed that there was a significant relationship between plasma atherogenic index (AIP) values and xanthelasma palpebrarum (p < 0.001). In the group with xanthelasma palpebrarum, the highest proportion were subjects with an IAP value > 0.21 (high risk), and the risk of experiencing xanthelasma palpebrarum was 7.714 times greater than subjects with an AIP < 0.11 (low risk).Conclusion: There is a relationship between plasma atherogenic index and xanthelasma palpebrarum.
COVID-19 Pandemic: Maternal Anxiety Increases During Pregnancy, Indonesia
Authors: Dewi Arlina , Junaedi Fajar , Safaria Triantoro , Supriyatiningsih Supriyatiningsih , Dewanto Iwan , Dewi Dyah Tri Kusuma 
Published: February 2022

Introduction: The anxiety of pregnant women during the Covid-19 pandemic increased compared to pregnancy in ordinary conditions because pregnant women are one of the populations vulnerable to Covid-19 infection. The Covid-19 Pandemic can affect the health of pregnant women and fetuses, even feared increased morbidity and mortality. This study aimed to determine the anxiety of pregnant women, especially related to maternal and infant health in the Covid-19 pandemic.Method: This research is using a quantitative descriptive method with a cross-sectional design. The sample in this study were all pregnant women who were willing to take part in this study. Respondents came from three islands in Indonesia, namely Java, Sulawesi and Sumatra. The sampling technique used accidental sampling; as many as 20 respondents carried out checks at health facilities during the pandemic Covid-19. Researchers adopted the Pregnancy Stress Rating Scale (PSRS) instrument for 36 items statement and converted it in a google form for online surveys. The data analysis in this study used a frequency distribution.Results: The results showed that most of the pregnant women who experienced a severe level of anxiety in “finding safe health facilities for mothers and babies during pregnancy, and childbirth” (32.3) with a tertiary level of education (71.4), live outside the island of Java (83.3), and anxiety increased in the second trimester (61.5) and the third trimester (66.7).Conclusion: The emotional well-being of pregnant women must be maintained to produce a good quality pregnancy outcome, so that health workers need to identify pregnant women's anxiety early to minimize its effects. In addition, pregnant women must have the self-awareness to assess the health conditions, including anxiety during the pregnancy process.
Pansinusitis kronis dengan komplikasi abses serebri dan selulitis preseptal: laporan kasus
Authors: Maharani Iriana , Santoso David 
Published: February 2022

Background: Rhinosinusitis is an inflammation of the sinuses of the paranasal mucosa, while pansinusitis is an inflammatory process in several sinuses. Rhinosinusitis is one of the most prevalent health problems in the world. Although rare, rhinosinusitis can also lead to serious complications, including intracranial complications such as a cerebral abscess. This case report attempts to evaluate a cerebral abscess and preseptal cellulitis caused by chronic pansinusitis.Case Presentation: A 56 years old woman, after trepanation, was consulted by the neurosurgery department to the ear, nose, throat, head, and neck department at dr. Saiful Anwar Hospital. Patients with complaints of decreased consciousness. A gradual decrease in consciousness was felt 3 weeks before admission to the hospital (SMRS). CT scan showed a cerebral abscess with a single lesion located in the frontal (unilocular) lobe as a complication of chronic pansinusitis. In this case, there was also preseptal cellulitis due to the spread of infection from the ethmoid sinus to the orbit. Treatment with ceftriaxone, metronidazole, omeprazole, ketorolac, Levemir, Apidra, Levocin, and anterior ethmoidectomy showed clinical improvement.Conclusion: Cerebral abscess is a rare complication of chronic pansinusitis but has a high morbidity and mortality rate. Medical intervention and anterior ethmoidectomy showed clinical improvement in patients. Latar Belakang: Rinosinusitis adalah peradangan sinus mukosa paranasal sedangkan pansinusitis merupakan proses inflamasi pada beberapa sinus. Rinosinusitis adalah salah satu masalah kesehatan yang memiliki prevalensi besar di dunia. Meskipun jarang terjadi, rinosinusitis juga dapat mengakibatkan komplikasi serius termasuk komplikasi intrakranial seperti abses serebri. Laporan kasus ini berupaya untuk mengevaluasi abses serebri dan selulitis preseptal yang disebabkan oleh pansinusitis kronis.Presentasi Kasus: Seorang wanita berusia 56 tahun pasca trepanasi dikonsultasikan oleh departemen bedah saraf ke departemen telinga hidung tenggorok kepala leher (THT-KL) RSUD dr. Saiful Anwar Pasien dengan keluhan terjadi penurunan kesadaran. Penurunan kesadaran secara gradual dirasakan semenjak 3 minggu sebelum masuk rumah sakit (SMRS). Pemeriksaan CT-Scan menunjukkan keberadaan abses serebri dengan lesi tunggal yang terletak pada lobus frontalis (unilokuler) sebagai komplikasi pansinusitis kronis. Pada kasus ini juga didapatkan selulitis preseptal akibat penyebaran infeksi dari sinus ethmoidalis ke orbita. Pengobatan dengan pemberian ceftriaxone, metronidazole, omeprazole, ketorolac, Levemir, Apidra, Levocin, dan etmoidektomi anterior menunjukkan perbaikan klinis.Kesimpulan: Abses serebri adalah komplikasi yang jarang pada pansinusitis kronis tetapi memiliki angka morbiditas dan mortalitas yang tinggi. Intervensi medikamentosa dan etmoidektomi anterior menunjukkan perbaikan klinis pada pasien.
Membedah peran bank sampah guna menilik efektivitas pengelolaan limbah medis B3 rumah sakit
Authors: Karna I Nyoman Yustra , Adi I Nyoman Rasmen 
Published: February 2022

Background: The implementation of the waste bank to reduce the cost of hazardous and toxic medical waste management needs to be optimized so that it is effective to reduce costs and additional hospital income.Aim: The study aims to determine the factors causing the non-optimal management of medical waste at Surya Husadha Hospital through the implementation of the waste bank.Methods: This study applied a qualitative approach with purposive sampling at Surya Husadha Hospital. Data were collected through observation, in-depth interviews and documentation from six informants. Result: Some obstacles cause the implementation of the waste bank at Surya Husadha Hospital in reducing medical waste management costs to be not optimal, such as limited human resources and equipment. This obstacle causes only two of the four types of medical waste according to the Regulation of the Minister of Environment and Forestry of the Republic of Indonesia No. 56 of 2015, which can be managed through waste banks such as used infusion bottles and used hemodialysis fluid packaging.Conclusion: The implementation of the waste bank at Surya Husadha Hospital has met the proper regulation, but it is necessary to evaluate the constraints, and planning for the needs of human resource and equipment in reducing medical waste management costs. Latar Belakang: Penerapan bank sampah dalam membantu beban biaya pengelolaan limbah medis bahan berbahaya dan beracun (B3) perlu lebih dioptimalkan sehingga bisa efektif untuk meringankan biaya sekaligus bisa sebagai pendapatan tambahan untuk rumah sakit.Tujuan: Studi ini bertujuan untuk mengetahui faktor-faktor penyebab kurang optimalnya pengelolaan limbah medis B3 di Rumah Sakit Umum (RSU) Surya Husadha melalui pemberdayaan bank sampah.Metode: Penelitian ini menggunakan pendekatan kualitatif dengan purposive sampling di RSU Surya Husadha. Teknik pengumpulan data yang dilakukan adalah melalui observasi, wawancara mendalam serta dokumentasi dari enam informan.Hasil: Ditemukan adanya beberapa kendala yang menyebabkan penerapan bank sampah di RSU Surya Husadha dalam mengurangi beban biaya pengelolaan limbah medis B3 menjadi kurang optimal. Kendala tersebut berupa keterbatasan sumber daya manusia serta keterbatasan ketersediaan sarana prasarana. Adanya kendala tersebut menyebabkan dari empat jenis limbah medis B3 yang bisa dikelola melalui bank sampah sesuai Peraturan Menteri Lingkungan Hidup dan Kehutanan (LHK) RI No 56 Tahun 2015 hanya dua yang bisa dikelola yaitu botol infus bekas dan bekas kemasan cairan hemodialisis.Kesimpulan: Pelaksanaan pengelolaan limbah medis B3 di RSU Surya Husadha sudah sesuai regulasi, namun evaluasi terhadap kendala-kendala, perencanaan kebutuhan tenaga, dan juga pengadaan sarana prasarana yang dibutuhkan dalam menunjang kegiatan bank Sampah sangat diperlukan untuk membantu mengurangi biaya pengelolaan limbah medis B3.