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Gambaran Faktor Risiko Pasien Stroke Iskemik yang dirawat di Bangsal Saraf RSUD Arifin Achmad Provinsi Riau Periode 1 Januari 2018 31 Desember 2018
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.44-50
Yossi Maryanti, Devi Susanti, Dhea Maulidyastuti
Ischemic stroke is neurological dysfuntion caused by focal cerebral, spinal, or retinal infarction with symptoms persistingfor more than 24 hours. Prevalence of ischemic stroke is 87% of the total stroke. This study aims to describe the riskfactors of ischemic stroke patients in neurology ward Arifin Achmad General Hospital Riau province 1 January 2018−31 December 2018 period. The cross sectional used in this study and the sampling methode was consecutive sampling.There was 150 cases in this study. The result shown that most of ischemic stroke patients at 51−65 year age group(52,0%), female (50,7%), have optimal total cholesterol levels (46,7%), optimal levels of LDL (28,0%), medium levels ofHDL (55,3%), optimal levels of trygliceryde (66,0%), normal uric acid levels (63,3), have history of hypertension(60,0%), have not history of diabetes mellitus (72,7%) and history of heart disease (89,3%).
缺血性脑卒中是由局灶性脑、脊髓或视网膜梗死引起的神经功能障碍,症状持续24小时以上。缺血性卒中的发病率占卒中总发病率的87%。本研究旨在描述2018年1月1日至2018年12月31日期间廖内省阿里芬艾哈迈德综合医院神经内科病房缺血性脑卒中患者的危险因素。本研究采用的横截面和抽样方法为连续抽样。这项研究中有150个病例。结果显示,51 ~ 65岁年龄组缺血性脑卒中患者中,大部分(52.0%)、女性(50.7%)总胆固醇水平最佳(46.7%)、低密度脂蛋白水平最佳(28.0%)、高密度脂蛋白水平中等(55.3%)、甘油三酯水平最佳(66.0%)、尿酸水平正常(63.3%)、有高血压史(60.0%)、无糖尿病史(72.7%)、有心脏病史(89.3%)。
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引用次数: 1
Laporan Kasus: Melanoma Maligna Intrakranial Primer
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.73-76
Andrea Valentino, Rijalun Arridho
Primary intracranial malignant melanoma is an extremely rare tumor. Most of the intracranial malignant melanoma aremetastatic from skin. Diagnosis needs multidisciplinary workup to exclude metastatic melanoma. We are reporting acase of young girl with decrease consciousness and tetraplegia. CT scan revealed a solitary tumor mass in the brain.Histopathological examination and confirmed by immunohistochemistry showed that the type of tumor was intracranialprimary malignant melanoma and by excluding metastatic melanoma. Tumor excision was performed in patient andadjuvant chemotherapy was given, but residual tumors were present multiple.
原发性颅内恶性黑色素瘤是一种极为罕见的肿瘤。大多数颅内恶性黑色素瘤是从皮肤转移过来的。诊断需要多学科检查以排除转移性黑色素瘤。我们报告一例年轻女孩意识下降和四肢瘫痪。CT扫描显示脑内有一个孤立的肿块。组织病理检查及免疫组化证实肿瘤类型为颅内原发性恶性黑色素瘤,排除转移性黑色素瘤。患者行肿瘤切除及辅助化疗,但残余肿瘤多发。
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引用次数: 0
Gambaran Histopatologi Pankreas Tikus Putih (Rattus norvegicus) Pasca Perlakuan Iskemia-Reperfusi Ginjal 小肠后胰腺癌(Rattus norvegicus)病理特征
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.58-66
Elva Rosiana, Wiwit Ade Fidiawati, Darmawi Darmawi
Ischemic-reperfusion injury is defined by a condition of hypoperfusion in the spesific organ followed by reperfusion(reoxygenation) inducing tissue damage. Tissue damage produces reactive oxygen species (ROS) leading to oxidativestress condition. Oxidative stress mediate the lipid peroxidation reactions, harm the cell and finally facilitate the celldeath. The aim of this study was to evaluate the histopathologic feature of white rat’s pancreas post renal ischemiareperfusion.This study was an experimental laboratory research with post-test-only control group design including 20male white rats. Rats were divided into 5 groups, control, treatment 1 (45 minutes ischemia), treatment 2 (45 minutesischemia followed by 1 hour reperfusion), treatment 3 (45 minutes ischemia followed by 2 hours reperfusion) andtreatment 4 (45 minutes ischemia followed by24 hours reperfusion). We found the change of the histopathologicalcharacteristics of white rat’s pancreas in term of edema, leukocyte infiltration and vacuolization.
缺血-再灌注损伤的定义是特定器官的低灌注,然后再灌注(再氧化)诱导组织损伤。组织损伤产生活性氧(ROS)导致氧化应激状态。氧化应激介导脂质过氧化反应,损害细胞,最终促进细胞死亡。本研究旨在探讨大鼠肾缺血再灌注后胰腺的组织病理学特征。本研究为实验室实验研究,选取雄性大鼠20只,采用后验对照组设计。将大鼠分为5组:对照组、处理1(缺血45分钟)、处理2(缺血45分钟后再灌注1小时)、处理3(缺血45分钟后再灌注2小时)和处理4(缺血45分钟后再灌注24小时)。我们观察了大鼠胰腺组织病理特征在水肿、白细胞浸润和空泡化方面的变化。
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引用次数: 0
Gambaran Kepadatan Tungau Debu Rumah Sebagai Pencetus Rinitis Alergi pada Anak Panti Asuhan Pekanbaru
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.23-27
Yolazenia Yolazenia, H. Harianto, Iqbal Teguh Riady
Allergic rhinitis should be considered as a serious condition because it can affect the quality of life of patients. In manycases, the most common allergen is house dust mites (HDM). The purpose of this study was to describe the density ofhouse dust mites as triggers of allergic rhinitis in Pekanbaru orphanage children. This is a descriptive study with across sectional approach. Data obtained from interviews using the modified International Study of Asthma and Allergiesof Childhood (ISAAC) questionnaire to know the allergic rhinitis status and examination of house dust samples toidentify HDM in the parasitology laboratory. Sampling was carried out in 4 orphanages Pekanbaru. Allergic rhinitissymptoms were experienced by 81.2% of children in the orphanages and HDM was found with the mean density 9.11/g of dust. HDM was found in all four orphanages and was found to have a high incidence of allergic rhinitis.
变应性鼻炎应被认为是一种严重的疾病,因为它可以影响患者的生活质量。在许多情况下,最常见的过敏原是室内尘螨(HDM)。本研究的目的是描述屋尘螨密度作为北干巴鲁孤儿院儿童变应性鼻炎的触发因素。这是一项采用横断面方法的描述性研究。数据来自访问,使用修改的国际儿童哮喘和过敏症研究(ISAAC)问卷了解变应性鼻炎状况,并在寄生虫学实验室检查室内灰尘样本以确定HDM。在北干巴鲁4所孤儿院进行抽样调查。81.2%的孤儿院儿童出现变应性鼻炎症状,平均粉尘密度为9.11/g。所有四所孤儿院都发现了HDM,并且发现过敏性鼻炎的发病率很高。
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引用次数: 3
Gambaran Hasil Pemeriksaan Sitologi Cairan Asites di Instalasi Patologi Anatomi RSUD Arifin Achmad Provinsi Riau Periode Januari 2013 – Desember 2017
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.51-57
Ilhami Romus, Ina Farida Rangkuti, Vini Jum’atur Rahmah
Ascites is abnormal accumulation fluid in the peritoneal cavity. Many underlying disease can be responsiblefor causing ascites. Peritoneal fluid cytology remains the gold standard for detection of malignant cells inascites which is useful in determining staging, treatment and prognosis. This aim of this study is to describethe characteristic of the result ascitic cytology examination at Anatomical Pathology Department of ArifinAchmad Hospital Period January 2013 – December 2018. This study reviewed the anatomy pathology data.A total of 171 cases consisted of 91.8% were females and males were 8.2%. The highest number caseswere in the age group of 41-50 years (26.9%). Most ascitic fluid came from Department of Obstetric andGynecology (81.9%). The more frequent clinical diagnosis were ovarian carcinoma (19.3%) and ovariancyst (18.7%). Most ascitic cytology examination results was positive cytology (64,9%). Adenocarcinomawas commonest positive cytology (46,2%).
腹水是腹膜腔内异常积液。许多潜在的疾病都可能导致腹水。腹膜液细胞学仍然是检测恶性细胞腹水的金标准,在确定分期、治疗和预后方面是有用的。本研究的目的是描述2013年1月至2018年12月期间ArifinAchmad医院解剖病理科腹水细胞学检查结果的特征。本研究回顾了解剖病理资料。171例,其中女性占91.8%,男性占8.2%。以41 ~ 50岁年龄组最多(26.9%)。腹水主要来自妇产科(81.9%)。临床诊断以卵巢癌(19.3%)和卵巢囊肿(18.7%)居多。腹水细胞学检查结果多数为阳性(64.9%)。腺癌是最常见的细胞学阳性(46.2%)。
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引用次数: 0
Konsumsi Ikan dan Potensi Anisakiasis: Aspek Komunikasi Kesehatan Masyarakat Suatu Program Pemerintah 鱼类的摄入和潜在敌意:政府项目公共卫生方面
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.4-13
Ekarini Daroedono
Communication in the health sector plays an important role in the context of educating people and the society. Theemphasis is rely primarily on promoting health so that behavior changes occur. One of the example is a governmentprogram “GEMARIKAN” which was designated to increase fish consumption in the community. Unfortunately, thetriumph upon this programme is overshadowed by the potential transmission of zoonotic infections of the nematodeworm named Anisakis spp. This worm can caused a potentially fatal and deadly disease called anisakiasis. This risk canbe reduced by re-conducting numerous education in the community regarding these parasites, their life cycles, its hostbehaviors and lifestyles that can facilitate transmission such as eating fish in raw conditions and the need of goodhandling practices of fish to avoid transmission to occur.
卫生部门的沟通在教育人民和社会方面发挥着重要作用。重点主要在于促进健康,从而使行为发生改变。其中一个例子是政府的“GEMARIKAN”计划,该计划旨在增加社区的鱼类消费。不幸的是,这一计划的成功被一种名为异尖线虫的线虫的人畜共患感染的潜在传播蒙上了阴影。这种线虫可以引起一种潜在的致命疾病,称为异尖线虫病。通过在社区重新开展大量教育,了解这些寄生虫及其生命周期、寄主的行为和可能促进传播的生活方式,例如在生条件下食用鱼类,以及必须采取良好的鱼类处理方法以避免发生传播,可以减少这种风险。
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引用次数: 2
Pengetahuan dan Perilaku Mahasiswa Kedokteran di Sebuah Universitas di Jakarta tentang Penggunaan dan Perawatan Lensa Kontak 雅加达一所大学医科学生的使用和使用隐形眼镜的知识和行为
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.67-72
Sri Wahdini, Anita D. Shanti, Hans M. Sinaga
Knowledge and behaviour about properly handle and maintain contact lens is essential to prevent infection. Thepurpose of this study was to determine the knowledge and behaviour of medical students in one of university in Jakartaabout the use and care of contact lens in contact lenses users. This study uses cross-sectional design. Data wascollected in January-June 2015 in one of university in Jakarta using specific questionnaire containing 10 questions.Respondents were the students in the first, second, and third years who use the contact lens. There were 97 respondentsand the percentage of respondent with good, fair, and poor knowledge level about the use and care of contact lens were40 (41.2%), 29 (29.9%), and 28 (28.9%). The number of respondents with good, fair, and poor behavior level about thecare of contact lens were 63 (64.9%), 31 (32.0%), and 3 (3.1%). The knowledge and behaviour among medical studentswearing contact lenses about the use and care of contact lens were in good level.
正确使用和保养隐形眼镜的知识和行为对预防感染至关重要。本研究的目的是了解雅加达一所大学医学生对隐形眼镜使用者使用和护理的知识和行为。本研究采用横断面设计。数据于2015年1月至6月在雅加达的一所大学收集,使用包含10个问题的特定问卷。受访者是一年级、二年级和三年级使用隐形眼镜的学生。97名被调查者中,对隐形眼镜的使用和护理知识了解程度良好、一般和较差的分别占40(41.2%)、29(29.9%)和28(28.9%)。对隐形眼镜护理行为等级为良好、一般和较差的受访者分别为63人(64.9%)、31人(32.0%)和3人(3.1%)。医学生佩戴隐形眼镜对隐形眼镜使用和护理的知识和行为处于良好水平。
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引用次数: 0
Immunosenescence : Penuaan Pada Sel Makrofag
Pub Date : 2019-03-01 DOI: 10.26891/jik.v13i1.2019.14-22
F. Siregar
Immune function will decrease with age. The weakening of immune system is known as immunosenescence.Macrophages that play a major role in carrying out innate and adaptive immune functions have potential to undergoaging (macrophaging). Some potential mechanisms that can affect the aging of macrophages include telomereshortening, oxidative damage and impaired DNA repair processes. The impact of macrophaging can be a decreasenumber of macrophages in bone marrow, changing cytokine secretion, decreasing class II MHC expression, changingmacrophages polarization, decreasing ability of phagocytosis, and decreasing ability of wound repair and tissueregeneration.
免疫功能会随着年龄的增长而下降。免疫系统的衰弱被称为免疫衰老。巨噬细胞在执行先天和适应性免疫功能中发挥重要作用,具有潜在的破坏(巨噬细胞)。影响巨噬细胞衰老的潜在机制包括端粒缩短、氧化损伤和DNA修复过程受损。巨噬细胞的影响可以是骨髓中巨噬细胞数量减少,细胞因子分泌改变,II类MHC表达降低,巨噬细胞极化改变,吞噬能力下降,伤口修复和组织再生能力下降。
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引用次数: 2
Perbandingan Indeks Massa Tubuh Pada Pasien Hipertensi Dengan Tekanan Darah Yang Terkontrol dan Tidak Terkontrol di RSUD Arifin Achmad Provinsi Riau 廖内阿奇马省高血压患者比例控制和不可控血压的比例
Pub Date : 2018-11-22 DOI: 10.26891/jik.v11i2.2017.30-33
Eka Bebasari, D. P. Nugraha
The nutritional status is a factor that related with blood pressure. The nutritional status that indicated by body massindex (BMI) needs to be considered in management of hypertension. This study was a cross-sectional analytic thatassess relationship between BMI and hypertension controlled. The subjects of the study were hypertension patientsthat visit outpatient clinic of Arifin Ahmad General Hospital, Riau Province. Datas were analyzed by unpaired t-test.The results showed that patients with obesity grade 1 were more frequent in controlled hypertension group comparedto uncontrolled hypertension (43.8% vs 32.5%). The BMI average in patients with controlled hypertension group was24.2, while in uncontrolled hypertension group was 24.8 (p>0.05). There was no statistically significant differencebetween BMI in both groups patients.
营养状况是与血压有关的一个因素。在高血压的治疗中,需要考虑身体质量指数(BMI)所指示的营养状况。本研究采用横断面分析评估BMI与高血压控制之间的关系。研究对象为在廖内省阿里芬艾哈迈德总医院门诊就诊的高血压患者。数据分析采用非配对t检验。结果显示,高血压控制组1级肥胖患者发生率高于高血压不控制组(43.8% vs 32.5%)。高血压控制组BMI平均值为24.2,高血压未控制组BMI平均值为24.8 (p>0.05)。两组患者BMI差异无统计学意义。
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引用次数: 1
Ethanol Extracts of Centella asiatica (L.) Urb. Leaf Increase Superoxide Dismutase-2 (SOD-2) Expression on Rat Cerebellar Purkinje Cells After Chronic Stress 积雪草乙醇提取物市区。慢性应激后叶片增加大鼠小脑浦肯野细胞超氧化物歧化酶-2 (SOD-2)表达
Pub Date : 2018-11-22 DOI: 10.26891/jik.v11i2.2017.24-29
Desby Juananda, D. C. R. Sari, M. Ar-Rochmah, N. Arfian, M. M. Romi
Beberapa penelitian menunjukkan bahwa stres kronis meningkatkan produksi reactive oxygen species (ROS), dan /atau menekan mekanisme pertahanan antioksidan. Efek neuroprotektif dari Centella asiatica (L.). Urb telah dilaporkandapat melindungi neuron dari kerusakan oksidatif. Tujuan dari penelitian ini adalah untuk mengetahui efek ekstraketanol C. asiatica leaf terhadap ekspresi superoxide dismutase-2 sel (SOD- 2) pada sel Purkinje serebelum tikussetelah diberikan kejutan kronis di kaki. Sebanyak 25 tikus Sprague Dawley jantan dewasa muda diacak ke dalam limakelompok. Kelompok kontrol negatif terdiri dari tikus yang tidak stres; kelompok kontrol stres menerima aquadest; dankelompok lain diobati dengan dosis yang berbeda (mg / kg berat badan / hari, p.o.) ekstrak etanol daun C. asiatica: 150,300 dan 600, masing-masing diikuti oleh pemberian kejutan kronis di kaki selama dua puluh delapan hari. Ekspresi SOD-2 dari lapisan sel Purkinje diukur menggunakan metode imunohistokimia. Data dianalisis dengan one-way ANOVA (p<0,05). Kami menemukan bahwa ekspresi SOD-2 (%) dari lapisan sel Purkinje untuk kelompok kontrol negatif, kelompokkontrol stres, CeA150, CeA300 dan CeA600 kelompok adalah 22,38 ± 9,73, 9,81 ± 2,21, 10,29 ± 3,60, 14,72 ± 6,65, dan22,75 ± 10,93, masing-masing (p <0,05). Analisis post-hoc menunjukkan perbedaan yang signifikan antara kelompokkontrol negatif dan kelompok kontrol stres (p <0,05). Ada juga perbedaan yang signifikan antara kelompok kontrolstres dan kelompok CeA600 (p <0,05), tetapi tidak ada perbedaan yang signifikan antara kelompok perlakuan (p> 0,05).Penelitian ini menunjukkan bahwa ekstrak etanol daun C. asiatica meningkatkan ekspresi SOD-2 pada sel Purkinjecerebellar tikus setelah stres kronis.
一些研究表明,长期压力增加了反应氧物种的产生和/或抑制抗氧化剂防御机制。亚洲Centella的神经保护效应。已报告的Urb可以保护神经元免受氧化损伤。这项研究的目的是要确定叶皮醇乙醇乙醇对源氏菌2细胞色素沉着(SOD- 2)反应的影响。多达25只小雄性斯普拉格·道利老鼠被打乱成一团。消极的控制小组由没有压力的老鼠组成;压力控制组接收aquadest;其他组则接受不同剂量的治疗(mg / kg体重/ day, p.o.s)乙醇提取物C. siatica: 150.300和600,然后每组进行持续的腿电击28天。Purkinje细胞层的SOD-2表达式是用一种免疫化学方法来测量的。数据是通过一条路分析的(p . 05)。研究表明,乙醇提取物C. asiatica在慢性压力后增加了purkinjebellar小鼠细胞的SOD-2表达。
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引用次数: 2
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Jurnal Ilmu Kedokteran
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