Pub Date : 2020-01-29DOI: 10.32734/SUMEJ.V3I1.2044
Rini Syahrani Harahap, Delyuzar, J. Chrestella
Background: Helicobacter pylori is a well known pathogen which is recognized as the most frequent infection of individuals. Helicobacter pylori plays important role in the etiology og gastritis, gastric and duodenal ulcers. We investigated the presence of Helicobacter pylori as an extragastric reservoir in the tonsilectomy specimens. Aim: To determine the presence of Helicobacter pylori in cases of chronic tonsillitis in tonsilectomy specimens. Methods: This is a descriptive study with cross sectional which the sample will be obtained using consecutive sampling method. We collect 43 cases with chronic tonsilitis were examined in tonsillectomy specimens for which available tissue for routin staining could be retrieved were histopathology chronic tonsillitis. The colonization of the helicobacter pylori have been evaluated with hematoxylin & Eosin and Giemsa stains under the light microscope. Results: With H&E staining, Helicobacter pylori has been detected in 23 cases (53,48%) of the tonsil-lectomy specimens in total. No colonization has been observed in the remaining 20 cases (46,51%). With giemsa staining Helicobacter pylori has been detected in 29 cases (67,74%) of the tonsillectomy specimens in total. No colonization has been observed in the remaining 14 cases (32,55%). Keywords: Helicobacter pylori, Chronic Tonsillitis, H&E, Giemsa.
{"title":"The Presence of Helicobacter pylori in cases of Chronic Tonsillitis in Medan","authors":"Rini Syahrani Harahap, Delyuzar, J. Chrestella","doi":"10.32734/SUMEJ.V3I1.2044","DOIUrl":"https://doi.org/10.32734/SUMEJ.V3I1.2044","url":null,"abstract":"Background: Helicobacter pylori is a well known pathogen which is recognized as the most frequent infection of individuals. Helicobacter pylori plays important role in the etiology og gastritis, gastric and duodenal ulcers. We investigated the presence of Helicobacter pylori as an extragastric reservoir in the tonsilectomy specimens. \u0000Aim: To determine the presence of Helicobacter pylori in cases of chronic tonsillitis in tonsilectomy specimens. \u0000Methods: This is a descriptive study with cross sectional which the sample will be obtained using consecutive sampling method. We collect 43 cases with chronic tonsilitis were examined in tonsillectomy specimens for which available tissue for routin staining could be retrieved were histopathology chronic tonsillitis. The colonization of the helicobacter pylori have been evaluated with hematoxylin & Eosin and Giemsa stains under the light microscope. \u0000Results: With H&E staining, Helicobacter pylori has been detected in 23 cases (53,48%) of the tonsil-lectomy specimens in total. No colonization has been observed in the remaining 20 cases (46,51%). With giemsa staining Helicobacter pylori has been detected in 29 cases (67,74%) of the tonsillectomy specimens in total. No colonization has been observed in the remaining 14 cases (32,55%). \u0000Keywords: Helicobacter pylori, Chronic Tonsillitis, H&E, Giemsa.","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131801929","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}
E. W. Lumbantoruan, K. Nasution, Nelva Karmila Jusuf
Background: Melasma and lentigo solaris are common, recurrent, and refractory acquired hyperpigmentation disorder. In spite of variety of therapeutic options available for this cosmetically disfiguring condition, the treatment of this condition remains a challenge. Azelaic acid (AA) is a depigmenting agent which acts by inhibition of DNA synthesis and mitochondrial enzymes, thereby inducing direct cytotoxic effects on melanocytes. Glycolic acid (GA) peel is one of the most versatile agents in the treatment of melasma and lentigo solaris. GA peels alone or in combination with topical hypopigmenting agents has shown encouraging results. However, there is paucity of controlled trial demonstrating the efficacy of GA peels in conjunction with topical AA. Case: A 42-years-old female, works as a street vendor, came with dark brown spots on both cheeks, nose, chin and forehead that spreads to whole face since one year ago. She had a history of using contraceptives. From the dermatological examination, there were multiple well-circumscribed, irregular hyperpigmented macules that asymmetrical, with size ranging from lenticular to plaque on the maxillary, left buccalis, mentalis and frontalis region. We also found a numular dark brown hyperpigmented macules on right zygoma. She was diagnosed with melasma and lentigo solaris. The Melasma Area Severity Index (MASI) score was 25.6, which classified as moderate melasma. She was treated with 20% azaleic acid cream twice a day, broadspectrum sunscreen with SPF 50 and GA 20% peeling. Result: After 6 weeks of treatment, there were significant improvement in both melasma and lentigo solaris.
{"title":"Combination Therapy in Melasma with Lentigo Solaris","authors":"E. W. Lumbantoruan, K. Nasution, Nelva Karmila Jusuf","doi":"10.32734/SUMEJ.V3I1.690","DOIUrl":"https://doi.org/10.32734/SUMEJ.V3I1.690","url":null,"abstract":"Background: Melasma and lentigo solaris are common, recurrent, and refractory acquired hyperpigmentation disorder. In spite of variety of therapeutic options available for this cosmetically disfiguring condition, the treatment of this condition remains a challenge. Azelaic acid (AA) is a depigmenting agent which acts by inhibition of DNA synthesis and mitochondrial enzymes, thereby inducing direct cytotoxic effects on melanocytes. Glycolic acid (GA) peel is one of the most versatile agents in the treatment of melasma and lentigo solaris. GA peels alone or in combination with topical hypopigmenting agents has shown encouraging results. However, there is paucity of controlled trial demonstrating the efficacy of GA peels in conjunction with topical AA. \u0000Case: A 42-years-old female, works as a street vendor, came with dark brown spots on both cheeks, nose, chin and forehead that spreads to whole face since one year ago. She had a history of using contraceptives. From the dermatological examination, there were multiple well-circumscribed, irregular hyperpigmented macules that asymmetrical, with size ranging from lenticular to plaque on the maxillary, left buccalis, mentalis and frontalis region. We also found a numular dark brown hyperpigmented macules on right zygoma. She was diagnosed with melasma and lentigo solaris. The Melasma Area Severity Index (MASI) score was 25.6, which classified as moderate melasma. She was treated with 20% azaleic acid cream twice a day, broadspectrum sunscreen with SPF 50 and GA 20% peeling. \u0000Result: After 6 weeks of treatment, there were significant improvement in both melasma and lentigo solaris.","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125251066","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 : 2020-01-20DOI: 10.32734/SUMEJ.V3I1.3310
V. Chandra, Y. Siregar, C. A. Arina
Stroke is the third highest cerebrovascular disease in the world with high mortality and disability rate that is mostly dominated by ischemic stroke. Genetic factor that had been reported to have an indirect effect in increasing the incidence of ischemic stroke is ACE gene polymorphism. ACE gene polymorphism is characterized by the insertion marked by letter (I) or deletion marked by letter (D) on intron 16, chromosome 17. ACE gene polymorphism has drawn a lot of attention from scientists and had been reported to have an indirect effect in increasing the ischemic stroke incidence through pathogenesis of hypertension and atherosclerosis. In this study, 78 subjects of ischemic stroke consist of 43 subjects with hypertension and 35 subjects with normotension. I allele of ACE gene polymorphism was more dominant than D allele in hypertensive ischemic stroke patients (72.1% > 27,9%) and this dominance was also seen in the incidence of hypertension vs normotension (55.4% > 44.6%). However, the correlation of ACE gene polymorphism with the incidence of hypertension was not statistically significant when compared based on its genotype (p=0.280) and allele (p=0.948).
{"title":"Correlation of ACE Gene Polymorphism and Hypertension in Stroke Ischemic Patients","authors":"V. Chandra, Y. Siregar, C. A. Arina","doi":"10.32734/SUMEJ.V3I1.3310","DOIUrl":"https://doi.org/10.32734/SUMEJ.V3I1.3310","url":null,"abstract":"Stroke is the third highest cerebrovascular disease in the world with high mortality and disability rate that is mostly dominated by ischemic stroke. Genetic factor that had been reported to have an indirect effect in increasing the incidence of ischemic stroke is ACE gene polymorphism. ACE gene polymorphism is characterized by the insertion marked by letter (I) or deletion marked by letter (D) on intron 16, chromosome 17. ACE gene polymorphism has drawn a lot of attention from scientists and had been reported to have an indirect effect in increasing the ischemic stroke incidence through pathogenesis of hypertension and atherosclerosis. In this study, 78 subjects of ischemic stroke consist of 43 subjects with hypertension and 35 subjects with normotension. I allele of ACE gene polymorphism was more dominant than D allele in hypertensive ischemic stroke patients (72.1% > 27,9%) and this dominance was also seen in the incidence of hypertension vs normotension (55.4% > 44.6%). However, the correlation of ACE gene polymorphism with the incidence of hypertension was not statistically significant when compared based on its genotype (p=0.280) and allele (p=0.948).","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129940939","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 : 2020-01-20DOI: 10.32734/SUMEJ.V3I1.3279
A. Tamba, N. Jusuf
The skin problem often found on adolescents is acne vulgaris. The pathogenesis of acne vulgaris is multifactorial, from increased production of sebum, hyperproliferation of pilosebaceous follicles, colonization of Cutibacterium acnes, to inflammation process. The elevated sebum production which is often linked to oily skin type could result in acne vulgaris in adolescents. According to Baumann Skin Type, one of the parameters in categorizing skin type is having either oily or dry skin. Acne vulgaris is also found on dry skin. This research aims to find the association between skin types and acne vulgaris. It is an analitic research with cross-sectional method. The data were acquired from 93 students of SMA Santo Thomas 1 Medan who fulfilled the inclusion criteria with stratified random sampling method. The collection of data were primarily carried out with dermatology examination and Baumann Skin Type questionnaire to determine the skin types. Then, they were analyzed with Chi-square test to see the relationship between skin types and acne vulgaris. The obtained results show that 73 (78,5%) out of 93 students suffered from acne vulgaris with predominance being female (39,8%) than male (38,7%), and those in 15-year age group (38,7%). The most commonly observed skin type on samples is oily skin (79,6%). The bivariate analysis with acquired p-value of 0,002 (p<0,05) led to a conclusion that there is a significant association between skin types and acne vulgaris.
{"title":"The Association Between Skin Types and Acne Vulgaris","authors":"A. Tamba, N. Jusuf","doi":"10.32734/SUMEJ.V3I1.3279","DOIUrl":"https://doi.org/10.32734/SUMEJ.V3I1.3279","url":null,"abstract":"The skin problem often found on adolescents is acne vulgaris. The pathogenesis of acne vulgaris is multifactorial, from increased production of sebum, hyperproliferation of pilosebaceous follicles, colonization of Cutibacterium acnes, to inflammation process. The elevated sebum production which is often linked to oily skin type could result in acne vulgaris in adolescents. According to Baumann Skin Type, one of the parameters in categorizing skin type is having either oily or dry skin. Acne vulgaris is also found on dry skin. This research aims to find the association between skin types and acne vulgaris. It is an analitic research with cross-sectional method. The data were acquired from 93 students of SMA Santo Thomas 1 Medan who fulfilled the inclusion criteria with stratified random sampling method. The collection of data were primarily carried out with dermatology examination and Baumann Skin Type questionnaire to determine the skin types. Then, they were analyzed with Chi-square test to see the relationship between skin types and acne vulgaris. The obtained results show that 73 (78,5%) out of 93 students suffered from acne vulgaris with predominance being female (39,8%) than male (38,7%), and those in 15-year age group (38,7%). The most commonly observed skin type on samples is oily skin (79,6%). The bivariate analysis with acquired p-value of 0,002 (p<0,05) led to a conclusion that there is a significant association between skin types and acne vulgaris.","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127650927","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 : 2020-01-20DOI: 10.32734/SUMEJ.V3I1.3543
Eka Zhaki Safira Lubis, N. Jusuf
Abstract. Background. Premature canities is a terminology to describe a premature graying of hair before the age of 25 in Asians.The ethiopathogenesis of premature canities is still not fully understood, but there are risk factors associated to premature canities such as gender, family history, obesity, smoking, alcohol consumption, other disease, micronutrients deficiencies. Aims: to evaluate risk factors that influence the incidence of premature canities in medical students of University of Sumatera Utara class 2016-2018. Methods: This research is an analytic research with the number of subjects are 80 respondents using bivariate and multivariate analysis using logistic regression test. Results: of the 80 respondents, 57 respondents (71,2%) had premature canities. Based on bivariate analysis, it was obtained p value ≤ 0,05 for family history and stress, Based on multiavariate analysis, it was obtained p value ≤ 0,05 for family history (p value = 0,000), which means family history is the most dominants factors for premature canities. Conclusion: there is a correlation between premature canities and family history and stress and Family history is the most dominant risk factors that associated to premature canities in medical students of University of Sumatera Utara class 2016-2018.
{"title":"Risk Factors Analysis of Premature Canities in Medical Students of Universitas Sumatera Utara Class 2016-2018","authors":"Eka Zhaki Safira Lubis, N. Jusuf","doi":"10.32734/SUMEJ.V3I1.3543","DOIUrl":"https://doi.org/10.32734/SUMEJ.V3I1.3543","url":null,"abstract":"Abstract. Background. Premature canities is a terminology to describe a premature graying of hair before the age of 25 in Asians.The ethiopathogenesis of premature canities is still not fully understood, but there are risk factors associated to premature canities such as gender, family history, obesity, smoking, alcohol consumption, other disease, micronutrients deficiencies. Aims: to evaluate risk factors that influence the incidence of premature canities in medical students of University of Sumatera Utara class 2016-2018. Methods: This research is an analytic research with the number of subjects are 80 respondents using bivariate and multivariate analysis using logistic regression test. Results: of the 80 respondents, 57 respondents (71,2%) had premature canities. Based on bivariate analysis, it was obtained p value ≤ 0,05 for family history and stress, Based on multiavariate analysis, it was obtained p value ≤ 0,05 for family history (p value = 0,000), which means family history is the most dominants factors for premature canities. Conclusion: there is a correlation between premature canities and family history and stress and Family history is the most dominant risk factors that associated to premature canities in medical students of University of Sumatera Utara class 2016-2018. ","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125046250","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 : 2020-01-20DOI: 10.32734/sumej.v3i1.3336
Priya Darshini Krishna Moorthi, Y. Machrina, L. I. Laksmi, M. R. Yaznil
Background. Low back pain is one of the most common health problem among school students. Carrying heavy backpack to school is one of the cause of low back pain. Objectives. To identify the bag load carried by the students and antropometry of the students. Method. This research is a descriptive observasional with cross sectional method. Data used is a primer data which is from 268 students by measuring their body weight, height, bag weight and also by interviewing them using interview guidelines. Results. The results obtained from 268 elememtary school students of Siti Hajar mostly have normal nutritional status. The average bag weight at level I (6.071%), level II (8.510%) and level III (10.812%) where the majority of bag loads compared to elementary school antropometry were included in the mild category 47.6% at level I, 74.7% at level II and 84.3% at level III eventhough there were some children in the heavy category. 88.8% of children carry their school bags using two shoulders, with a duration of time <30 minutes (61.7%). Respondents who experienced back pain (4.9%) and who did not experience back pain (95.1%). Conclusions. The weight of Siti Hajar Elementary School children bag against antropometry has not exceeded the recommended load limit. Key words. Bag load, antropometry, cross-sectional, interview
{"title":"Description Of Bag Load With Antropometry Of Elementary School Students","authors":"Priya Darshini Krishna Moorthi, Y. Machrina, L. I. Laksmi, M. R. Yaznil","doi":"10.32734/sumej.v3i1.3336","DOIUrl":"https://doi.org/10.32734/sumej.v3i1.3336","url":null,"abstract":"Background. Low back pain is one of the most common health problem among school students. Carrying heavy backpack to school is one of the cause of low back pain. Objectives. To identify the bag load carried by the students and antropometry of the students. Method. This research is a descriptive observasional with cross sectional method. Data used is a primer data which is from 268 students by measuring their body weight, height, bag weight and also by interviewing them using interview guidelines. Results. The results obtained from 268 elememtary school students of Siti Hajar mostly have normal nutritional status. The average bag weight at level I (6.071%), level II (8.510%) and level III (10.812%) where the majority of bag loads compared to elementary school antropometry were included in the mild category 47.6% at level I, 74.7% at level II and 84.3% at level III eventhough there were some children in the heavy category. 88.8% of children carry their school bags using two shoulders, with a duration of time <30 minutes (61.7%). Respondents who experienced back pain (4.9%) and who did not experience back pain (95.1%). Conclusions. The weight of Siti Hajar Elementary School children bag against antropometry has not exceeded the recommended load limit. \u0000Key words. Bag load, antropometry, cross-sectional, interview","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114620705","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 : 2020-01-20DOI: 10.32734/SUMEJ.V3I1.3382
Ardy Putra Wirtanto, A. Sitepu
Background. Heart failure is a public health problem and the main cause of morbidity and mortality in the world. The goal of the therapy is to reduce symptoms, prevents rehospitalization and increases survivability. Objective. To evaluate the adherence to the European Society of Cardiology for heart failure treatment at H. Adam Malik Medan hospital. Methods. The study was descriptive observational cross sectional design with medical record data of heart failure at H. Adam Malik Hospital, using consecutive sampling method. The adherence of guidelines was assessed by: (1) drug prescribing (“yes” or “no”), and (2) guideline adherence indicator (GAI), both GAI-3 or GAI-5, by calculating the proportion as the number of drugs prescribed by number of drugs indicated to the ESC guidelines. Results. From research, the predominant GAI-3 and GAI-5 were High, which were 54.9% and 59.5%, respectively. The recommended drug used based on indications were ACE-i / ARB (89.1%), beta-blockers (83.4%), MRA (73.6%), diuretics (93.7%), and digitalis (20,8%). Conclusion. The predominant category in adherence to the ESC heart failure treatment guidelines based on GAI-3 and GAI-5 is High.
背景。心力衰竭是一个公共卫生问题,也是世界上发病率和死亡率的主要原因。治疗的目标是减轻症状,防止再次住院,提高生存率。目标。评估欧洲心脏病学会对H. Adam Malik Medan医院心力衰竭治疗的依从性。方法。本研究采用描述性观察横断面设计,采用连续抽样方法,选取H. Adam Malik医院心力衰竭患者的病历资料。指南的依从性通过(1)药物处方(“是”或“否”)和(2)指南依从性指标(GAI), GAI-3或GAI-5,通过计算ESC指南指示的药物数量与处方药物数量的比例来评估。结果。研究结果表明,优势基因为GAI-3和GAI-5,分别占54.9%和59.5%。根据适应症推荐使用的药物是ACE-i / ARB(89.1%)、β受体阻滞剂(83.4%)、MRA(73.6%)、利尿剂(93.7%)和洋地黄(20.8%)。结论。遵循基于GAI-3和GAI-5的ESC心力衰竭治疗指南的主要类别是高。
{"title":"Adherence to European Society of Cardiology Heart Failure Treatment Guideline in Haji Adam Malik General Hospital Medan","authors":"Ardy Putra Wirtanto, A. Sitepu","doi":"10.32734/SUMEJ.V3I1.3382","DOIUrl":"https://doi.org/10.32734/SUMEJ.V3I1.3382","url":null,"abstract":"Background. Heart failure is a public health problem and the main cause of morbidity and mortality in the world. The goal of the therapy is to reduce symptoms, prevents rehospitalization and increases survivability. Objective. To evaluate the adherence to the European Society of Cardiology for heart failure treatment at H. Adam Malik Medan hospital. Methods. The study was descriptive observational cross sectional design with medical record data of heart failure at H. Adam Malik Hospital, using consecutive sampling method. The adherence of guidelines was assessed by: (1) drug prescribing (“yes” or “no”), and (2) guideline adherence indicator (GAI), both GAI-3 or GAI-5, by calculating the proportion as the number of drugs prescribed by number of drugs indicated to the ESC guidelines. Results. From research, the predominant GAI-3 and GAI-5 were High, which were 54.9% and 59.5%, respectively. The recommended drug used based on indications were ACE-i / ARB (89.1%), beta-blockers (83.4%), MRA (73.6%), diuretics (93.7%), and digitalis (20,8%). Conclusion. The predominant category in adherence to the ESC heart failure treatment guidelines based on GAI-3 and GAI-5 is High.","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115842969","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 : 2020-01-20DOI: 10.32734/SUMEJ.V3I1.3557
Ghinia Zati Hulwani Raditra, M. I. Sari
Skin diseases for teenagers and young adults are acne vulgaris. It occurs through various factors, such as food and obesity. Foods with a high glycemic index (IG) are associated with a high incidence of acne vulgaris. By considering the Body Mass Index, the glycemic load has a significant relationship with the occurrence of acne vulgaris. The relationship between BMI and acne vulgaris in the class of 2016 FK USU student population. This study was analytic design with cross sectional design, a sample by 2016 FK USU students. Data collected by conducting a physical examination, measurement of height, weight, determination of BMI, and nutrient intake using the Food Frequency Questioner (FFQ) questionnaire. Data is collected using SPSS program. Then, a Chi-Square test was performed. The incidence of acne vulgaris in students 2016 FK USU was 46.1%. With majority of locations arising acne vulgaris is in the face of 35.6%. The most common age suffering from acne vulgaris is 21 years (22.2%). Women (30.6%) from acne vulgaris than men (15.6%). The most BMI in the sample is underweight to normal body weight (31.7%). The results of data analysis, found no relationship between BMI and acne vulgaris p = 0.336
{"title":"The Correlation Between Body Mass Index And Acne Vulgaris","authors":"Ghinia Zati Hulwani Raditra, M. I. Sari","doi":"10.32734/SUMEJ.V3I1.3557","DOIUrl":"https://doi.org/10.32734/SUMEJ.V3I1.3557","url":null,"abstract":"Skin diseases for teenagers and young adults are acne vulgaris. It occurs through various factors, such as food and obesity. Foods with a high glycemic index (IG) are associated with a high incidence of acne vulgaris. By considering the Body Mass Index, the glycemic load has a significant relationship with the occurrence of acne vulgaris. The relationship between BMI and acne vulgaris in the class of 2016 FK USU student population. This study was analytic design with cross sectional design, a sample by 2016 FK USU students. Data collected by conducting a physical examination, measurement of height, weight, determination of BMI, and nutrient intake using the Food Frequency Questioner (FFQ) questionnaire. Data is collected using SPSS program. Then, a Chi-Square test was performed. The incidence of acne vulgaris in students 2016 FK USU was 46.1%. With majority of locations arising acne vulgaris is in the face of 35.6%. The most common age suffering from acne vulgaris is 21 years (22.2%). Women (30.6%) from acne vulgaris than men (15.6%). The most BMI in the sample is underweight to normal body weight (31.7%). The results of data analysis, found no relationship between BMI and acne vulgaris p = 0.336","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126294921","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 : 2019-10-17DOI: 10.32734/sumej.v2i3.1294
Herman Wiliam Parlindungan
The CHA2DS2-VASC score has been reported recently to predict adverse clinical outcomes so is CIN in patients with AMI regardless of having AF. We investigated relationship between CHA2DS2-VASC score with CIN in patients who underwent PCI strategies. This is a study of 40 patients with and underwent PCI. The CHA2DS2-VASC score was calculated for each patient. From this study 16 cases(18.82%) of CIN were diagnosed. CIN was defined as rise in serum creatinine>0,5mg/dL or>25% increase in baseline within 24h after PCI. In the ROC curve analysis,the cut-off value of CHA2DS2-VASC score in the prediction of CIN was>4(sensitivity:56.25%,Specificity:87.5%)(AUC0.698,95%:CI1.460-6.163,p=0.003) and has a significant association with CIN(R20.485). We also identified Hb level<12mg/dL as an independent predictor of CIN with (RR3.44,95%:CI1.816-6.532,p<0.001). The CHA2DS2-VASC score was positively associated with CIN. Therefore,it can be used as a simple and reliable tools to predict CIN in AMI patients who underwent PCI.
{"title":"Relationship Between CHA2DS2-VASC Score With CIN For AMI Patients After PCI","authors":"Herman Wiliam Parlindungan","doi":"10.32734/sumej.v2i3.1294","DOIUrl":"https://doi.org/10.32734/sumej.v2i3.1294","url":null,"abstract":"The CHA2DS2-VASC score has been reported recently to predict adverse clinical outcomes so is CIN in patients with AMI regardless of having AF. We investigated relationship between CHA2DS2-VASC score with CIN in patients who underwent PCI strategies. This is a study of 40 patients with and underwent PCI. The CHA2DS2-VASC score was calculated for each patient. From this study 16 cases(18.82%) of CIN were diagnosed. CIN was defined as rise in serum creatinine>0,5mg/dL or>25% increase in baseline within 24h after PCI. In the ROC curve analysis,the cut-off value of CHA2DS2-VASC score in the prediction of CIN was>4(sensitivity:56.25%,Specificity:87.5%)(AUC0.698,95%:CI1.460-6.163,p=0.003) and has a significant association with CIN(R20.485). We also identified Hb level<12mg/dL as an independent predictor of CIN with (RR3.44,95%:CI1.816-6.532,p<0.001). The CHA2DS2-VASC score was positively associated with CIN. Therefore,it can be used as a simple and reliable tools to predict CIN in AMI patients who underwent PCI.","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115830815","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 : 2019-09-30DOI: 10.32734/sumej.v2i3.1263
Yuli Tetriana Sari, Delfitri Munir
Congenital Aural Atresia (CAA) is the failure of development of the external auditory canal. It usually occurs in conjunction with microtia, which is malformation of the auricle due to the failure of development of the external ear. The evaluation and treatment of aural atresia present a number of challenges to the otologic surgeon. Computed tomography also plays a pivotal role in planning the surgery and grading the outcome of the surgery in congenital aural atresia. We report a case of unilateral congenital aural atresia and microtia and did a canalplasty and tympanoplasty in this patient.
{"title":"Management of Congenital Aural Atresia : A Case Report","authors":"Yuli Tetriana Sari, Delfitri Munir","doi":"10.32734/sumej.v2i3.1263","DOIUrl":"https://doi.org/10.32734/sumej.v2i3.1263","url":null,"abstract":"Congenital Aural Atresia (CAA) is the failure of development of the external auditory canal. It usually occurs in conjunction with microtia, which is malformation of the auricle due to the failure of development of the external ear. The evaluation and treatment of aural atresia present a number of challenges to the otologic surgeon. Computed tomography also plays a pivotal role in planning the surgery and grading the outcome of the surgery in congenital aural atresia. We report a case of unilateral congenital aural atresia and microtia and did a canalplasty and tympanoplasty in this patient.","PeriodicalId":184699,"journal":{"name":"Sumatera Medical Journal","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133082883","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}