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All Journal Journal Of Vocational Health Studies Jurnal Vokasi Indonesia Care : Jurnal Ilmiah Ilmu Kesehatan JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indian Journal of Forensic Medicine & Toxicology
Paulus Rahardjo
Department Of Radiology, Faculty Of Medicine, Universitas Airlangga, Surabaya - Indonesia
Arts Humanities Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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EVALUASI SUDUT TIBIOFEMORAL DAN JARAK INTERMALLEOLAR ATAU INTERKONDILAR PADA POPULASI DEWASA MUDA: SEBUAH STUDI PENDAHULUAN Julius Albert Sugianto; Tri Wahyu Martanto; Paulus Rahardjo
Majalah Kedokteran Indonesia Vol 68 No 10 (2018): Journal of The Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v68i10.213

Abstract

Latar Belakang: Pengukuran sudut Tibiofemoral (TF) dan jarak Intermaleolar/Interkondilar (IM/IC) secara klinis merupakan cara yang cepat, murah, simpel, reliabel, dan bebas radiasi untuk melakukan skrining genu varum atau valgum patologis. Sudut TF dan jarak IM/IC normal berbeda antar negara. Sedangkan penelitian mengenai sudut TF dan jarak IM/IC normal di Indonesia belum pernah dilaporkan sebelumnya. Tujuan: Mengetahui rata-rata sudut TF dan jarak IM/IC pada mahasiswa pendidikan dokter di Fakultas Kedokteran Universitas Airlangga angkatan 2013.Metode: Penelitian ini menggunakan metode deskriptif epidemiologis. Data yang digunakan diambil langsung dari sampel.Hasil: Peneliti mengukur 168 mahasiswa yang memenuhi kriteria inklusi. 65% dari sampel berumur 20 tahun dan 61% dari sampel adalah wanita. Diantara seluruh sampel, 64% memiliki BMI yang normal. Underweight sebanyak 11% dan total overweight dan obese adalah 26%. Rata-rata BMI adalah 22,9 ± 4,1. Rata-rata sudut TF adalah -7,50o ± 3,350o valgum sedangkan rata-rata jarak IM/IC adalah -4,4 ± 33,09 mm intermaleolar. Sudut TF lebih valgus dan jarak IM/IC lebih varus dengan sedikit perbedaan dibandingkan studi sebelumnya.Kesimpulan: Dari studi ini, peneliti menyimpulkan bahwa diantara pendidikan dokter di Fakultas Kedokteran Universitas Airlangga angkatan 2013, sudut TF dan jarak IM/IC memiliki perbedaan yang sedikit dibanding studi sebelumnya dengan dominasi memiliki genu valgus.  
Comparison of Stability And Sternum Healing Rate in Clinical and Ultrasonography (USG) between Stainless Steel Wire and Polydioxanone Yarn in Children Heart Surgery Operation Prima Kharisma Hayuningrat1, Heroe Soebroto1, Paulus Rahardjo2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i2.3207

Abstract

Background: The closing of the sternum bone is often used today by using stainless steel wire material and Polydioxanone yarn continuous suture. To objectives to be achieved for sternal healing after heart surgery without complications resulting from the failure of sternal healing. The bone healing process itself is influenced by mechanical stress and movement. Objectives: To compare the effects of sternum closure techniques on surgical patients The heart of the child uses Polydioxanone and Stainless Steel Wire threads against clinical stability and rate of healing which are evaluated clinically and Ultrasonography. Methods: Performed sternal closure of pediatric patients after cardiac surgery with sternal wire (n = 8) and PDS (n = 8). Performed sternal pain and stability evaluation with the physical examination. Further sternum ultrasonographyund was performed to assess displacement, gap and callus picture. Evaluations were performed at weeks 6, 9 and 12 postoperatively. Results: Week 6 and 9 degrees of pain were higher in sternal wire compared with polydioxanone (p = 0.03 and p = 0.01). The 12th week of sternal wire and polydioxanone did not find any difference in pain (p = 1,000). Week 6, 9 and 12 there was no clinical stability difference between wire and PDS (p = 0.143, p = 0.264, p = 0.063). 9th, 9th and 12th Sternum ultrasonography of examination appears to be displacement in polydioxanone (p = 0.025, p = 0.009, p = 0.009). The gap increased significantly from 6th to 9th weeks in the polydioxanone group, while the addition at week 9 to 12 was statistically insignificant but it appears that polydioxanone had a wider gap addition range than the sternal wire. Week 9 and 12 callus were seen more often in sternal wire patients but not significant (P = 0.602, p = 0.333) Conclusion: Clinically, sternal steal wire stability is proportional to polydioxanone. Radiologically, the stability of sternal wire is better than polydioxanone. The rate of sternal cure in polydioxanone is proportional to the sternal wire.
The Role of Chemical Shift Magnetic Resonance Imaging (SCMRI) to Differentiate Benign and Malignant Vertebral Lesions Yushaniaty Tottong; Rosy Setiawati; Paulus Rahardjo
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.16008

Abstract

Profile of Clinical and Radiological Factors of Intracerebral Hemorrhage Stroke Patients in Dr. Soetomo Hospital Farizal Rizky Muharram; Asra Al Fauzi; Paulus Rahardjo; Pudji Lestari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 1 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (544.936 KB) | DOI: 10.20473/juxta.V10I12019.15-19

Abstract

Introduction: ICH (intracerebral hemorrhage) is a medical emergency with high mortality and morbidity that occurs in 15-20% of stroke cases. However, in the Multicenter Surgical Trial in Lobar ICH (STICH) study no benefit was found from the initial operative handler in Lobar ICH patients. Many clinical and radiological factors that affect outcomes of patients.Methods: The design of this study was a cross-sectional study. Clinical and radiological factors were analyzed by chi-square test and Kruskal-Wallis test. Then significant results were sought Relative RiskResults: This research was conducted from January 2017 to September 2018 starting from sampling to processing data. Sampling was carried out at the medical record center of Dr. Hospital. Soetomo Surabaya. Data collection is done by using secondary data in the form of patient medical records. All of the collected intracerebral hemorrhage patients were 302 and the total patients who met the inclusion and exclusion criteria were included in the study as the study subjects. Patients who met the criteria obtained 247 research subjects.Conclusion: There are several factors that influence the outcome of ICH stroke patients. Radiological factors and clinical factors both have an impact on outcomes. Further research is needed to find out which factors can be a diagnosis for choosing treatments that provide better outcomes. Statistically more than 1 variable is needed to determine an action that results in a more significant outcome of living patients. This shows that the choice of treatment for patients with different characteristics requires different treatments. Further analysis is needed to look for indications of the use of Operative or Conservative actions16.
KARAKTERISTIK PENDERITA OMSK TIPE AMAN DENGAN RINITIS ALERGI DI IRJ RSUD DR. SOETOMO SURABAYA PERIODE JULI — DESEMBER 2017 salsabila nabilah rifdah; artono artono; paulus rahardjo
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 1 (2021)
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i1.1381

Abstract

Chronic suppurative otitis media (CSOM) is a chronic inflammatory process of the middle ear mucosa and mastoid cavity accompanied by tympanic membrane perforation and a history of discharge from the ear canal for more than two months, whether continuous or intermittent. The presence of allergies is thought to play an important role in the occurrence of safe type CSOM. Until now there have been no studies on the characteristics of safe type CSOM patients with allergic rhinitis at the IRJ Hospital Dr. Soetomo Surabaya in 2017. Based on this, it is necessary to conduct research to find out information on the characteristics of patients with safe type CSOM with allergic rhinitis at the IRJ Hospital Dr. Soetomo Surabaya. This study was a retrospective descriptive observational study on secondary data in the form of medical records in patients with safe type CSOM with allergic rhinitis who were treated at the RSUD Dr. Soetomo Surabaya. The results showed that the highest sex distribution was women (75%), the most age group was the age range of 21-30 years (30.56%), the most regional origin was Surabaya (58.33%), the highest employment status was not working (50%), most patients had a history of allergies (86.11%), the most family history of allergic patients was eczema (41.67%), and most allergens were house dust mites (77.77%).
Comparison Of Number Of Diffusion Gradient Direction In Brain Imaging Diffusion Tensor; Case Study Of Tumor Brain Afif Rofiky; Paulus Rahardjo; Didik Soeharmanto
Journal of Vocational Health Studies Vol. 1 No. 1 (2017): July 2017 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V1.I1.2017.15-17

Abstract

Background : Diffusion Tensor Imaging (DTI), namely MRI sequence which is the diffusion of water analysis that shows the complex structure of brain tissue. The weakness of this sequence is scanning time. Number of Diffusion Gradient Direction (NDGD) is one of parameter that effect scanning time. Purpose: This study has aim to compare between NDGD 25 and NDGD 15 in brain tumor. Methods: This study used observational analytic study with prospective approach. Five patients were examined using DTI sequence with NDGD 25 and NDGD 15. The parameter for evaluating the quality image is of Fractional Anisotropy (FA) and Fiber Tracking (FT). Result: Image with NDGD 25 was better than NDGD 15, but the difference was not significantly. Conclusion: It can be concluded that NDGD 15 can be solution to get informative image with short scan time when DTI sequence is used to examine brain tumor.
ANALYSIS OF ASIR VARIATION EFFECT TO SNR ON UNENHANCED ABDOMINAL CT SCAN IN UROLITHIASIS Rizki Aditiya Pratama Putra; Paulus Rahardjo; Pramono Pramono
Journal of Vocational Health Studies Vol. 4 No. 2 (2020): November 2020 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V4.I2.2020.78-82

Abstract

Background: Adaptive Statistical Iterative Reconstruction (ASIR) reconstruction in unenhanced abdominal CT scan reduce the radiation dose from 11.6 mSv to 2.07 mSv. However, the decrease in dose is accompanied by a decrease in image quality. Signal to Noise Ratio (SNR) is one of image quality parameters. Purpose: This study aims to determine the effect of the ASIR method on the optimal Signal to Noise Ratio (SNR) value in unenhanced abdominal CT of urolithiasis in clinical data. Method: 27 samples collected and the SNR was measured on the ASIR reconstruction results at the level of 40%, 50%, 60% by placing the ROI  in organ structures with different densities. Result: The results of this study indicate that the ASIR method has a significant effect on the SNR value. Based on the linear regression test, the value was 0.005 ( p< 0.05) and only had an effect of 9.5% on SNR. Conclusion: It can be concluded that the ASIR method affects the optimal SNR value for unenhanced abdominal CT on urolithiasis. The ASIR 60% level was recommended.
Erect Position as the Alternative Technique in Achilles Tendon US: Comparison with Prone Position Lailatul Muqmiroh; Safinah Fajarini Yusfadhiyah; Paulus Rahardjo
Jurnal Vokasi Indonesia Vol 6, No 1 (2018): January - June
Publisher : Program Pendidikan Vokasi Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.249 KB) | DOI: 10.7454/jvi.v6i1.111

Abstract

Background : Ultrasonography (US) is the cheaper and non invasive modality to determine Achilles tendon. Prone position is the standart position of Achilles tendon US. However, it is a discomfort for an uncooperative patient and a difficult technique too. The erect position is an alternative technique of Achilles tendon US. The goal of this study is to compare the erection as an alternative position with prone as a standart position.Material and Methode: The patient who had an injury or any inflamation process of Achilles tendon were excluded. The patient underwent two positions of Achilles tendon US, 900 and dorsoflexi. Longitudinal axis measured tendon thickness and a transversal axis which covered a cross-sectional area of the tendon.Result: From all the 21 patients coming, 13 patients were males (61,9%), and eight patients were females (38,1%). The mean of tendon thickness and cross-sectional area in 900 prone positions were 4,24±0,24 mm, 30,08±2,86 mm, respectively. The mean of tendon thickness and cross-sectional area in 900 erect positions were 4,27±0,23 mm, 31,36±2,19 mm, respectively. There was no anisotropy effect during longitudinal axis examination. Conclusion: We found that there were no significant differences between a prone and erect position (p<0.05). The erect postion could be an alternative position, uncooperative patient in particular, without reducing the diagnostic value. Keywords: Achilles tendon the US, erect position, prone position, tendon thickness, cross-sectional area
Co-Authors Afif Rofiky artono artono Asra Al Fauzi Didik Soeharmanto Farizal Rizky Muharram Julius Albert Sugianto Lailatul Muqmiroh Pramono Pramono Pudji Lestari Rizki Aditiya Pratama Putra Rosy Setiawati Safinah Fajarini Yusfadhiyah salsabila nabilah rifdah Tri Wahyu Martanto Yushaniaty Tottong