Pub Date : 2022-07-11DOI: 10.21776/ub.jkb.2021.031.02.3s
Anggun Agatha Cristy Lukito, Kurnia Widyaningrum
The Covid-19 pandemic has caused a decreasing number of non-Covid-19 inpatient visits in almost all hospitals, including the hospital where the study was conducted, which experienced decreasing Bed Occupancy Rate (BOR) up to 35.5%. This study aimed to identify the factors causing the decrease in the number of inpatients at the hospital. The research was conducted using a case study approach at a type D hospital in Malang Regency. Data was collected through a Focus Group Discussion (FGD) analyzed using a Fishbone Diagram combined with 5 whys and triangulation using secondary data and surveys. FGD respondents determined were eight respondents consisting of the Head of Inpatient Room, the Coordinator of Inpatient Room, the Coordinator of Outpatient, the Head of the Public Relations and Marketing Unit, and the Coordinator of the Admission Department. The results show that the causes can originate from human, method, market, and environmental aspects. Distrust in hospitals is caused by negative stigmatization and instructions to delay hospital services and communication barriers due to media as a consequence of implementing health protocols.
{"title":"Why Do Inpatient Visits Decrease during the Covid-19 Pandemic? A Case Study in Hospital, Malang Regency","authors":"Anggun Agatha Cristy Lukito, Kurnia Widyaningrum","doi":"10.21776/ub.jkb.2021.031.02.3s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.3s","url":null,"abstract":"The Covid-19 pandemic has caused a decreasing number of non-Covid-19 inpatient visits in almost all hospitals, including the hospital where the study was conducted, which experienced decreasing Bed Occupancy Rate (BOR) up to 35.5%. This study aimed to identify the factors causing the decrease in the number of inpatients at the hospital. The research was conducted using a case study approach at a type D hospital in Malang Regency. Data was collected through a Focus Group Discussion (FGD) analyzed using a Fishbone Diagram combined with 5 whys and triangulation using secondary data and surveys. FGD respondents determined were eight respondents consisting of the Head of Inpatient Room, the Coordinator of Inpatient Room, the Coordinator of Outpatient, the Head of the Public Relations and Marketing Unit, and the Coordinator of the Admission Department. The results show that the causes can originate from human, method, market, and environmental aspects. Distrust in hospitals is caused by negative stigmatization and instructions to delay hospital services and communication barriers due to media as a consequence of implementing health protocols.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77286516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-11DOI: 10.21776/ub.jkb.2021.031.02.13s
Lidia Asjanti, Dolly Irbantoro, Devita Rahmani R
High nurse workload can impact the quality of hospital services. Nurses are the spearhead of the services, so they must obtain attention and be professionally managed to provide positive contributions to the advancement of the hospital. This study was conducted to describe the factors that influence the high workload of nurses in the Surgical and Internal Inpatient Installation (IRNA BDB) Baptis Batu Hospital. Qualitative and quantitative study methods with an explorative, descriptive approach were used. Determination of the root of the problem was using the fishbone diagram. Factors that influence the high workload of inpatient nurses are the number of nurses that do not meet the workload needs, placement of junior nurses and interns increases more workload for senior nurses, nurses carry out financial administrative tasks, blood sampling for laboratory examinations, and dispensing sterile preparations, as well as nurse call and bathroom facilities that are not supportive. In short, the causes of the high nurse workload are the lack of nurses, varied nurse qualities, non-nursing workloads, and less supportive facilities.
{"title":"Workload of the Inpatient Nurses: What are the Affecting Factors?","authors":"Lidia Asjanti, Dolly Irbantoro, Devita Rahmani R","doi":"10.21776/ub.jkb.2021.031.02.13s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.13s","url":null,"abstract":"High nurse workload can impact the quality of hospital services. Nurses are the spearhead of the services, so they must obtain attention and be professionally managed to provide positive contributions to the advancement of the hospital. This study was conducted to describe the factors that influence the high workload of nurses in the Surgical and Internal Inpatient Installation (IRNA BDB) Baptis Batu Hospital. Qualitative and quantitative study methods with an explorative, descriptive approach were used. Determination of the root of the problem was using the fishbone diagram. Factors that influence the high workload of inpatient nurses are the number of nurses that do not meet the workload needs, placement of junior nurses and interns increases more workload for senior nurses, nurses carry out financial administrative tasks, blood sampling for laboratory examinations, and dispensing sterile preparations, as well as nurse call and bathroom facilities that are not supportive. In short, the causes of the high nurse workload are the lack of nurses, varied nurse qualities, non-nursing workloads, and less supportive facilities.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"270 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76970050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-11DOI: 10.21776/ub.jkb.2021.031.02.8s
Emilda Yuvita, N. Fitriasari, Nofita Dwi Harjayanti
The Emergency Department (ED), as the main entrance of health service access in hospitals, faces the highest infection risk and high service load due to the increasing number of patients during the Covid-19 pandemic. Implementing a pre-triage system offers a solution to deal with a surge in the number of patients who demand staff preparedness. This study aimed to determine the knowledge level on the pre-triage system and its relationship with the preparedness of emergency room staff in implementing the pre-triage system. The study was conducted with a cross-sectional approach in a private type C hospital in Malang District on all 30 ER staff as respondents. The research instrument used were questionnaires. Data analysis was done using descriptive analysis and the Fisher exact test. The results show that although 76.7% of respondents have insufficient knowledge, 86.7% of respondents are ready to implement the pre-triage system. The test results prove that there is no relationship between the knowledge and the preparedness levels of the emergency room staff in implementing the pre-triage system.
{"title":"Relationship between Knowledge and Preparedness Levels of ER Staff on Pre-Triage System Implementation","authors":"Emilda Yuvita, N. Fitriasari, Nofita Dwi Harjayanti","doi":"10.21776/ub.jkb.2021.031.02.8s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.8s","url":null,"abstract":"The Emergency Department (ED), as the main entrance of health service access in hospitals, faces the highest infection risk and high service load due to the increasing number of patients during the Covid-19 pandemic. Implementing a pre-triage system offers a solution to deal with a surge in the number of patients who demand staff preparedness. This study aimed to determine the knowledge level on the pre-triage system and its relationship with the preparedness of emergency room staff in implementing the pre-triage system. The study was conducted with a cross-sectional approach in a private type C hospital in Malang District on all 30 ER staff as respondents. The research instrument used were questionnaires. Data analysis was done using descriptive analysis and the Fisher exact test. The results show that although 76.7% of respondents have insufficient knowledge, 86.7% of respondents are ready to implement the pre-triage system. The test results prove that there is no relationship between the knowledge and the preparedness levels of the emergency room staff in implementing the pre-triage system.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"147 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77105761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-12DOI: 10.21776/ub.jkb.2022.032.01.5
Dian Yusnita, A. Dewi, Riece Hariyati
Functional Endoscopic Sinus Surgery (FESS) is commonly performed on patients with chronic rhinosinusitis (CRS) that has not improved through medical treatment. Hyaluronic acid (HA) has a vital role in wound healing and mucosa repair. This study aimed to determine the effectiveness of nasal drops using HA on clinical symptom scores, quality of life, and endoscopic features in post-FESS patients. This study was conducted with a pre- and post-test randomized control group design in 50 CRS patients undergoing FESS (25 males, 25 females, aged 18 to 55 years) at Dr. Kariadi General Hospital Medical Center Semarang from May to November 2019. The treatment group received additional HA therapy, while the control group only received standard therapy. Subjects were assessed with clinical symptom scores, quality of life, and endoscopic features before and after treatment. The statistical analysis was performed between the control and treatment groups using the Mann-Whitney test. There were significant differences between the control and treatment groups on clinical symptom scores (nasal congestion p = 0.001, runny nose p = 0.027) and endoscopic features (edema p = 0.001, secret p = 0.001, crusts p = 0.001). The therapy in post-FESS patients was using nasal drops, the treatment group was given HA, and the control group was given a placebo. Nasal drops using HA in the treatment group show improvement in clinical symptom scores of nasal congestion and runny nose, as well as the endoscopic appearance of edema, secret, and crusts.
{"title":"Effectiveness of Hyaluronic Acid Nasal Drops in Post Functional Endoscopic Sinus Surgery","authors":"Dian Yusnita, A. Dewi, Riece Hariyati","doi":"10.21776/ub.jkb.2022.032.01.5","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.5","url":null,"abstract":"Functional Endoscopic Sinus Surgery (FESS) is commonly performed on patients with chronic rhinosinusitis (CRS) that has not improved through medical treatment. Hyaluronic acid (HA) has a vital role in wound healing and mucosa repair. This study aimed to determine the effectiveness of nasal drops using HA on clinical symptom scores, quality of life, and endoscopic features in post-FESS patients. This study was conducted with a pre- and post-test randomized control group design in 50 CRS patients undergoing FESS (25 males, 25 females, aged 18 to 55 years) at Dr. Kariadi General Hospital Medical Center Semarang from May to November 2019. The treatment group received additional HA therapy, while the control group only received standard therapy. Subjects were assessed with clinical symptom scores, quality of life, and endoscopic features before and after treatment. The statistical analysis was performed between the control and treatment groups using the Mann-Whitney test. There were significant differences between the control and treatment groups on clinical symptom scores (nasal congestion p = 0.001, runny nose p = 0.027) and endoscopic features (edema p = 0.001, secret p = 0.001, crusts p = 0.001). The therapy in post-FESS patients was using nasal drops, the treatment group was given HA, and the control group was given a placebo. Nasal drops using HA in the treatment group show improvement in clinical symptom scores of nasal congestion and runny nose, as well as the endoscopic appearance of edema, secret, and crusts.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87966538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-12DOI: 10.21776/ub.jkb.2022.032.01.7
Fadli Robby Amsriza, Rizka Fakhriani
Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) of hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared to a hemorrhoidectomy. This study consisted of 56 respondents who underwent hemorrhoidectomy, and the other 56 respondents experienced a modified combined method of rubber ligation and sclerotic injection using a PILA pack. Data showed the LOS's average of respondents who underwent hemorrhoidectomy was 47.33 hours or 1.97 days. Meanwhile, respondents' average length of stay who underwent a modified combined rubber ligation and sclerotic injection using a PILA pack was 20.44 hours or 0.85 days. Finally, the T-test results showed a p-value of 0.001 (p<0.05), indicating that there was a statistically significant difference in the average LOS between hemorrhoidal patients who underwent hemorrhoidectomy and hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using PILA pack. Based on the result, it can be concluded that the mean LOS for hemorrhoidal patients receiving haemorrhoidectomy vs. hemorrhoidal patients undergoing a modified technique of rubber ligation and sclerotic injection utilizing the Paran Injection Ligation for Ambeien pack was significantly different.
{"title":"The Use of PILA-Pack: Differences in Length of Stay of Hemorrhoidal Patients","authors":"Fadli Robby Amsriza, Rizka Fakhriani","doi":"10.21776/ub.jkb.2022.032.01.7","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.7","url":null,"abstract":"Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) of hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared to a hemorrhoidectomy. This study consisted of 56 respondents who underwent hemorrhoidectomy, and the other 56 respondents experienced a modified combined method of rubber ligation and sclerotic injection using a PILA pack. Data showed the LOS's average of respondents who underwent hemorrhoidectomy was 47.33 hours or 1.97 days. Meanwhile, respondents' average length of stay who underwent a modified combined rubber ligation and sclerotic injection using a PILA pack was 20.44 hours or 0.85 days. Finally, the T-test results showed a p-value of 0.001 (p<0.05), indicating that there was a statistically significant difference in the average LOS between hemorrhoidal patients who underwent hemorrhoidectomy and hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using PILA pack. Based on the result, it can be concluded that the mean LOS for hemorrhoidal patients receiving haemorrhoidectomy vs. hemorrhoidal patients undergoing a modified technique of rubber ligation and sclerotic injection utilizing the Paran Injection Ligation for Ambeien pack was significantly different.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91150224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-12DOI: 10.21776/ub.jkb.2022.032.01.8
I. Sanjana, T. A. Wihastuti, Nurul Muslihah
The pre-hospital emergency service was the first guard of nursing and treatment delivery. The pre-hospital ambulance service could be used to offer first aid to the patient or victim who experienced trauma or non-trauma with unpredictable condition. The improvement of service quality on emergency sector was required to assure that the health service was given and performed well. This research was aimed to analyze the correlation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The correlative analytic research method and cross sectional approach were exerted to accomplish this research. The total sample was 271 respondents which were consisted of 144 patients and 127 nurses. The result of Spearman-rank referred p value 0.024; r 0.189 which it was indicated a significant relation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The nurse practice was instituted through educational degree and training experience. The improvement of nurse practice value was in line with the pre-hospital ambulance service satisfaction value in Bali.
{"title":"Correlation between Nurse Practice and Pre-hospital Ambulance Service Satisfaction in Bali","authors":"I. Sanjana, T. A. Wihastuti, Nurul Muslihah","doi":"10.21776/ub.jkb.2022.032.01.8","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.8","url":null,"abstract":"The pre-hospital emergency service was the first guard of nursing and treatment delivery. The pre-hospital ambulance service could be used to offer first aid to the patient or victim who experienced trauma or non-trauma with unpredictable condition. The improvement of service quality on emergency sector was required to assure that the health service was given and performed well. This research was aimed to analyze the correlation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The correlative analytic research method and cross sectional approach were exerted to accomplish this research. The total sample was 271 respondents which were consisted of 144 patients and 127 nurses. The result of Spearman-rank referred p value 0.024; r 0.189 which it was indicated a significant relation between nurse practice and pre-hospital ambulance service satisfaction in Bali. The nurse practice was instituted through educational degree and training experience. The improvement of nurse practice value was in line with the pre-hospital ambulance service satisfaction value in Bali.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85101684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-11DOI: 10.21776/ub.jkb.2022.032.01.2
F. Arjadi, M. Mustofa, Y. Wibowo, N. S. Gumilas, Dzicky Rifqi Fuadi
Paradoxical Sleep Deprivation (PSD) elevates glucocorticoid and Reactive Oxygen Species (ROS) levels that cause oxidative stress, trigger spermatogenic cells damage, and reduce the number of sertoli cells. Vitamin C and E are antioxidants that could prevent spermatogenesis damage by preventing free radical formation. The study aimed to determine the effect of single and combined doses of vitamin C and E in improving spermatogenesis of white male rats (Rattus norvegicus) model of PSD. This is experimental research with post-test only and control group design on 28 white male rats distributed into four groups, i.e. group I (control, PSD), group II (PSD+vitamin C), group III (PSD+vitamin E), and group IV (PSD+a combination of vitamin C and E). Testicular preparations were stained using Hematoxylin-Eosin staining, quantitative scores of spermatogenic cells were measured using the Johnsen method, and the number of sertoli cells was counted in 10 seminiferous tubules in each of the three testicular sections. Group I has the lowest mean of Johnsen score (5.27±0.28), and group IV has the highest mean score (8.95±0.62), while the Mann-Whitney test showed a significant difference (p<0.05) between group II, III and IV compared to group I (control group). Mean sertoli cells number of group I is the lowest (10.66±1.04), and group IV has the highest sertoli cells number. The post-hoc LSD test showed a significant difference (p<0.05) between group IV and the other groups. Thus, the combination of vitamins C and E improves Johnsen score and sertoli cells number of male rats (Rattus norvegicus) experiencing PSD.
{"title":"Combination of Vitamin C and E Improves Spermatogenesis of White Male Rat Model of Paradoxical Sleep Deprivation Stress","authors":"F. Arjadi, M. Mustofa, Y. Wibowo, N. S. Gumilas, Dzicky Rifqi Fuadi","doi":"10.21776/ub.jkb.2022.032.01.2","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.2","url":null,"abstract":"Paradoxical Sleep Deprivation (PSD) elevates glucocorticoid and Reactive Oxygen Species (ROS) levels that cause oxidative stress, trigger spermatogenic cells damage, and reduce the number of sertoli cells. Vitamin C and E are antioxidants that could prevent spermatogenesis damage by preventing free radical formation. The study aimed to determine the effect of single and combined doses of vitamin C and E in improving spermatogenesis of white male rats (Rattus norvegicus) model of PSD. This is experimental research with post-test only and control group design on 28 white male rats distributed into four groups, i.e. group I (control, PSD), group II (PSD+vitamin C), group III (PSD+vitamin E), and group IV (PSD+a combination of vitamin C and E). Testicular preparations were stained using Hematoxylin-Eosin staining, quantitative scores of spermatogenic cells were measured using the Johnsen method, and the number of sertoli cells was counted in 10 seminiferous tubules in each of the three testicular sections. Group I has the lowest mean of Johnsen score (5.27±0.28), and group IV has the highest mean score (8.95±0.62), while the Mann-Whitney test showed a significant difference (p<0.05) between group II, III and IV compared to group I (control group). Mean sertoli cells number of group I is the lowest (10.66±1.04), and group IV has the highest sertoli cells number. The post-hoc LSD test showed a significant difference (p<0.05) between group IV and the other groups. Thus, the combination of vitamins C and E improves Johnsen score and sertoli cells number of male rats (Rattus norvegicus) experiencing PSD.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73200445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-11DOI: 10.21776/ub.jkb.2022.032.01.13
Wuriandaru Kurniasih, A. Widiatmoko
An epidermoid cyst is benign cystic tumor coated with squamous epithelium and contains keratin. It generally appear on the body parts which have pilosebaceous follicles, such as head, neck, and body. The manifestation of the disease is a skin-colored, mobile, painless nodule with a punctum in the center. Epidermoid cyst of sole is often similar to clavus, callus, and verruca plantaris. However, epidermoid cyst of sole is rare because the area is without pilosebaceous follicles. The etiopathology is believed due to trauma that causes implantation of epidermal cells into the dermis layer, thus triggering the formation of epidermoid cysts. This case report a girl with an epidermoid cyst of sole that was initially thought as a verruca plantaris and clavus. A 14-year-old girl complained about a bump on her right foot that got bigger during nine months. The lesions surface was slippery, and the patient felt pain when walking. The patient denied any trauma or changing footwear with friends or relatives. Examination in the right lateral plantar pedis region, a nodule was found skin-colored, round, measuring 2x2 cm, and solitary. The patient was planned to undergo excochleation, but since a white cystic mass was found during the operation, it was continued with extirpation surgery. The histopathological examination results showed a stroma with keratin, which was concluded as an epidermoid cyst. In the case of epidermoid cysts with atypical clinical symptoms and unusual lesion locations, histopathological examination is required for a definite diagnosis.
{"title":"Epidermoid Cyst of Sole","authors":"Wuriandaru Kurniasih, A. Widiatmoko","doi":"10.21776/ub.jkb.2022.032.01.13","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.13","url":null,"abstract":"An epidermoid cyst is benign cystic tumor coated with squamous epithelium and contains keratin. It generally appear on the body parts which have pilosebaceous follicles, such as head, neck, and body. The manifestation of the disease is a skin-colored, mobile, painless nodule with a punctum in the center. Epidermoid cyst of sole is often similar to clavus, callus, and verruca plantaris. However, epidermoid cyst of sole is rare because the area is without pilosebaceous follicles. The etiopathology is believed due to trauma that causes implantation of epidermal cells into the dermis layer, thus triggering the formation of epidermoid cysts. This case report a girl with an epidermoid cyst of sole that was initially thought as a verruca plantaris and clavus. A 14-year-old girl complained about a bump on her right foot that got bigger during nine months. The lesions surface was slippery, and the patient felt pain when walking. The patient denied any trauma or changing footwear with friends or relatives. Examination in the right lateral plantar pedis region, a nodule was found skin-colored, round, measuring 2x2 cm, and solitary. The patient was planned to undergo excochleation, but since a white cystic mass was found during the operation, it was continued with extirpation surgery. The histopathological examination results showed a stroma with keratin, which was concluded as an epidermoid cyst. In the case of epidermoid cysts with atypical clinical symptoms and unusual lesion locations, histopathological examination is required for a definite diagnosis.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"60 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89776763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-11DOI: 10.21776/ub.jkb.2022.032.01.1
Davy Reyhanditya, Viona Faiqoh Hikmawati, N. Kurnianingsih, F. Fatchiyah
Restraint stress causes changes in the brain parameters. Little research has been done on the impact of restraint stress on other tissues, including adrenal glands and kidneys. This study aimed to determine the effect of restraint stress on eating behaviors, depressive-like, anxiety-like behaviors, weight gain as well as histopathological changes in the kidneys and adrenal glands. Twenty adult BALB/c mice were assigned into control male, stressed male, control female, and stressed female. Restraint stress was applied two hours/day for 14 days. Tail suspension and open field tests were carried out to perform behavior analyses. Adrenal and kidney histological slides were observed under an Olympus CX-31 microscope and visualized using an Olympus E330 camera. The two-way ANOVA test was used for statistical analysis using GraphPad Prism 9.0.0 software. We found that restraint stress defeat appetite and reduces weight gain particularly in stressed female. However, depressive- and anxiety-like behavior were demonstrated in both sexes. Adrenal and kidney tissues of stressed mice demonstrated a higher number of necrotic cells than control. The pyknosis phase was more common than the karyorrhexis and karyolitic phases. Interestingly, male mice were more receptive to stress than female mice. These findings indicate that restraint stress leads to behavioral changes and cellular defects in the adrenal glands and kidneys, particularly in male mice. The sympathetic activation and hypothalamus-pituitary-axis stimulation are assumed as the underlying stress effect of the restraint procedure. The restraint stress method has the potential to be used in future research on stress-responsive target organs.
克制压力会引起大脑参数的变化。关于约束压力对其他组织(包括肾上腺和肾脏)的影响的研究很少。本研究旨在确定约束应激对饮食行为、抑郁样行为、焦虑样行为、体重增加以及肾脏和肾上腺的组织病理学变化的影响。将20只成年BALB/c小鼠分为对照雄性、应激雄性、对照雌性和应激雌性。施加约束应力2 h /d，连续14 d。进行了尾悬架和露天试验，以进行性能分析。在奥林巴斯CX-31显微镜下观察肾上腺和肾脏组织学切片，并使用奥林巴斯E330相机进行可视化。采用GraphPad Prism 9.0.0软件，采用双因素方差分析进行统计分析。我们发现，抑制压力能抑制食欲，减少体重增加，尤其是压力大的女性。然而，类似抑郁和焦虑的行为在两性中都有表现。应激小鼠的肾上腺和肾脏组织坏死细胞数量高于对照组。固缩期比核分裂期和核成核期更常见。有趣的是，雄性老鼠比雌性老鼠更容易接受压力。这些发现表明，约束压力会导致肾上腺和肾脏的行为改变和细胞缺陷，尤其是在雄性小鼠中。交感神经的激活和下丘脑-垂体轴的刺激被认为是约束过程的潜在应激效应。约束应力法在未来的应激反应靶器官研究中具有广阔的应用前景。
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Pub Date : 2022-04-11DOI: 10.21776/ub.jkb.2022.032.01.10
Wiwit Agung Sri Nur Cahyawati, R. Panghiyangani, Muhammad Syauqi Abid Muslim, Novia Belinda Rahman
The elderly often have nutritional problems. The risk of malnutrition can stimulate the prevalence of frailty and declining cognitive function in the elderly. The study aimed to analyze the relationship between nutritional status, frailty, and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh Hospital Banjarmasin. This study was analytic observational using a cross-sectional method. A sample of 93 elderly was obtained using a total sampling technique according to the inclusion and exclusion criteria. The nutritional status assessment was done using the Mini Nutritional Assessment-Short Form (MNA-SF), the Edmonton Frailty Scale (EFS), and the Mini-Mental State Examination (MMSE). The results showed that the mean of Mini Nutritional Assessment score was 12.00±2.126, the average frailty score was 4.41±1.872, and the average value of cognitive function was 25.98±2.923. Data were analyzed using the Spearman's non-parametric correlation test with a 95% confidence level. The correlation test results between nutritional status and frailty obtained p=0.000 and r=-0.490. The correlation test results between nutritional status and cognitive function obtained p=0.000 and r=0.595. In short, there is a relationship between nutritional status on frailty and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin, it means that the good nutritional status in the elderly, the risk of frailty syndrome will decrease and improve cognitive function.
老年人经常有营养问题。营养不良的风险会导致老年人身体虚弱，认知功能下降。该研究旨在分析老年人的营养状况、虚弱和认知功能之间的关系。Banjarmasin安萨里·萨利赫医院。本研究采用横断面法进行分析观察。按照纳入和排除标准，采用全抽样方法抽取老年人93例。营养状况评估采用Mini nutrition assessment - short Form (MNA-SF)、Edmonton孱弱量表(EFS)和Mini mental State Examination (MMSE)进行。结果显示，患者Mini营养评估评分平均值为12.00±2.126，衰弱评分平均值为4.41±1.872，认知功能评分平均值为25.98±2.923。数据分析采用Spearman非参数相关检验，置信水平为95%。营养状况与虚弱的相关检验结果为p=0.000, r=-0.490。营养状况与认知功能的相关性检验结果为p=0.000, r=0.595。简而言之，老年人的营养状况与虚弱和认知功能之间存在关系。安萨里·萨利赫综合医院Banjarmasin表示，这意味着营养状况良好的老年人，患虚弱综合征的风险会降低，认知功能会改善。
{"title":"Relationship between Nutritional Status, Frailty, and Cognitive Function among Elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin","authors":"Wiwit Agung Sri Nur Cahyawati, R. Panghiyangani, Muhammad Syauqi Abid Muslim, Novia Belinda Rahman","doi":"10.21776/ub.jkb.2022.032.01.10","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.10","url":null,"abstract":"The elderly often have nutritional problems. The risk of malnutrition can stimulate the prevalence of frailty and declining cognitive function in the elderly. The study aimed to analyze the relationship between nutritional status, frailty, and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh Hospital Banjarmasin. This study was analytic observational using a cross-sectional method. A sample of 93 elderly was obtained using a total sampling technique according to the inclusion and exclusion criteria. The nutritional status assessment was done using the Mini Nutritional Assessment-Short Form (MNA-SF), the Edmonton Frailty Scale (EFS), and the Mini-Mental State Examination (MMSE). The results showed that the mean of Mini Nutritional Assessment score was 12.00±2.126, the average frailty score was 4.41±1.872, and the average value of cognitive function was 25.98±2.923. Data were analyzed using the Spearman's non-parametric correlation test with a 95% confidence level. The correlation test results between nutritional status and frailty obtained p=0.000 and r=-0.490. The correlation test results between nutritional status and cognitive function obtained p=0.000 and r=0.595. In short, there is a relationship between nutritional status on frailty and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin, it means that the good nutritional status in the elderly, the risk of frailty syndrome will decrease and improve cognitive function.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85216522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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