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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Majalah Kedokteran Sriwijaya Biomedical Journal of Indonesia Paediatrica Indonesiana Majalah Patologi Indonesia
Erial Bahar
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Majalah Kedokteran Sriwijaya

 1 
CORRELATION BETWEEN CHRONIC PAIN WITH DEPRESSION AND ANXIETY DISORDERS IN PATIENTS AT RSUP DR MOHAMMAD HOESIN PALEMBANG Henry Sugiharto; Hasnawi Haddani; Yusril Yusril; Nia Elisa Ginting; Erial Bahar
Majalah Kedokteran Sriwijaya Vol 52, No 2 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i2.11970

Abstract

The International Association for the Study of Pain defines pain as an unpleasant sensory and emotional experience related to the actual or potential damage to a tissue. Recent research reports 30% - 60% of the incidence of pain in depression and anxiety. Both of these conditions affect the quality and function of life of patients with chronic pain. This study was observational analytic research with a cross-sectional study. The subject of this study was the patien with chronic pain treated at Dr. Moh. Hoesin Palembang. Determination of pain level was assessed by Numeric Pain Rating Scale (NPRS) and Functional Pain Scale (FPS). Determination of depression is valued by Beck Depression Inventory II (BDI II) and determination of anxiety with the Beck Anxiety Inventory (BAI). Statistical analysis using a correlation test, is a method to find relationships between variables with a confidence level of 95%, significant if p <0.05. In this study there were 78 patients with chronic pain where the correlation between NPRS scores and depression disorders with a correlation of 35.3% and a p-value of 0.002 showed significant. The correlation between NPRS scores and anxiety disorders with a correlation was 43.5% with and p-value 0,000 which showed a significant correlation. Correlation between FPS score and depression disorders was 33.1% and p-value of 0.003 which showed a significant correlation. Correlation between FPS score and anxiety disorders was 20.8% with a p-value of 0.068 showed not significant correlation. There was a significant correlation between chronic pain with depression and anxiety disorders.
Accuracy of Clinical Examination, Lumbosacral Radiography, and Electrodiagnosis in Suspected Patients With Lumbar Herniated Nucleus Pulposus Theresia Christin; Luther Theng; R.M. Faisal; Erial Bahar
Majalah Kedokteran Sriwijaya Vol 51, No 4 (2019): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v51i4.10235

Abstract

Low back pain is a common health problem often complained around the world with prevalence of 12% -35%2. Low back pain is the second causes of patient consult in United State of America and become the etiology of patient under 45 years old disability.3 Apart from a number of strategies recommended for the causes of low back pain, the initial diagnosis and correct diagnosis of the pain location is of clinical importance. In Indonesia, diagnostic test for lumbosacral radiography, EDX and neurological clinic examination that might help to diagnose HNP have never been compared to MRI as gold standard. Many studies have tried to find diagnostic alternatives using other modalities to help with HNP screening such as myelographic CT scans, conventional myelography or discography, but those tests are invasive. Common test that is expected to help in screening is clinical neurological examination because it is easy to do, requires no fees, can be carried out by a neurology resident supervised by a neurologist and a neurologist himself, and can be done anywhere. The accuracy of neurological clinical examinations, along with lumbosacral radiography and electrodiagnosis in assessing signs of lumbar HNP as a screening method is compared to gold standard MRI.The study is a diagnostic study with a cross sectional approach. This research was conducted at the Department of Neurology, Dr. Mohammad Hoesin Hospital Palembang in the period of 6 months from February to July 2018. The study population were patients who were suspected of having lumbar HNP. Samples were patients with suspected lumbar HNP who came to Dr. RSUP. Mohammad Hoesin Palembang and conducted a Lumbosacral MRI examination and according to the research acceptance criteria (inclusion and exclusion criteria). We find that ischialgia history, lumbosacral radiographs, upright AP projections, electroneuromyograph (ENMG) and neurological clinical examinations can be used as a screening modality in diagnosing lumbar HNP and have an accuracy that approaches the gold standard examination, namely MRI.
Perbedaan Derajat Nyeri Haid Pasien Endometriosis Sebelum dan Sesudah Tindakan Laparoskopi di RSUP Dr. Mohammad Hoesin Palembang Fitri Hidayati; R.M. Aerul Chakra Alibasya; Erial Bahar
Majalah Kedokteran Sriwijaya Vol 47, No 1 (2015): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v47i1.2742

Abstract

Endometriosis didefinisikan sebagai keberadaan kelenjar dan stroma endometrium di luar kavum uteri. Penelitian ini bertujuan untuk mengetahui perbedaan derajat nyeri haid pasien endometriosis sebelum dan sesudah tindakan laparoskopi. Penelitian yang dilakukan ini bersifat analitik observasional dengan menggunakan pendekatan potong lintang dengan besar sampel yang memenuhi kriteria inklusi sebanyak 44 orang. Data diperoleh dari data primer hasil pengisian kuesioner pasien endometriosis yang melakukan tindakan laparoskopi dan juga data sekunder dari rekam medik RSUP Dr. Mohammad Hoesin Palembang dari bulan Januari 2014 sampai bulan Agustus 2014. Penelitian ini menunjukkan pasien endometriosis banyak terjadi pada usia 15-45 tahun (90,9%) dengan rata-rata usia adalah 33,52, derajat endometriosis ditemukan sama antara derajat I, II, dan IV sebanyak 13 orang (29,5%), dan IMT dengan frekuensi terbesar berkisar 18,5-25,0 (77,5%). Dari hasil analisis didapatkan ada perbedaan sangat bermakna rata-rata VAS nyeri haid sebelum dan sesudah tindakan laparoskopi (p= 0,000), dan ada perbedaan sangat bermakna rata-rata VAS nyeri haid sebelum dan sesudah tindakan laparoskopi berdasarkan derajat endometriosis I, II, III, dan IV (p= 0,001). Ada perbedaan antara derajat nyeri haid pasien endometriosis sebelum dan sesudah tindakan laparoskopi.
CORRELATION OF Hba1c LEVELS WITH PUPILLARY RESPONSE TO APRACLONIDINE 0,5% EYE DROPS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS Devi Azri Wahyuni; Nafila Mahida Sukmono; Erial Bahar
Majalah Kedokteran Sriwijaya Vol 52, No 3 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i3.12503

Abstract

Pupillary reflex abnormalities can result from disorders of the innervation or iris structure of the eye. In people with diabetes mellitus, the pupil size becomes smaller than normal due to neuropathy in innocent sympathetic innervation of the pupil. This neuropathy is associated as a manifestation of uncontrolled diabetes complications. Pupillary response is associated as a general indication of autonomic neuropathy disorders in diabetes mellitus patients. Apraclonidine as an ophthalmic sympathomimetic agent can cause mydriasis, which is likely to identify pupillary sympathetic denervation in type 2 diabetes mellitus patients. This study aimed to find out the correlation between HbA1c levels and pupillary response to 0.5% Apraclonidine eye drops in diabetes mellitus type 2 patients at Mohammad Hoesin Hospital Palembang. Observational research with a correlation test design to investigate the correlation of HbA1c levels with pupillary response to apraclonidine 0.5% eye drops in patients with type 2 diabetes mellitus has been conducted from March to May 2019. The study sample met the inclusion and exclusion criteria of 31 diabetics mellitus type 2 with HbA1c level> 6.5% in the Eye clinic at the Mohammad Hoesin Palembang hospital. In this study 31 patients with type 2 diabetes mellitus with HbA1c levels >6.5 mg% were obtained. The average HbA1c level was 9.5 ± 1.4 mg%, which ranged from 7.6 - 12.6 mg%. The glycemic status of the patients in this study were all (100.0%) in an uncontrolled condition (HbA1c> 7.5 mg%). The estimated duration of diabetes mellitus is 2.7 ± 1.8 years, with a minimum value of 1 year and the largest being 8 years. The average change in pupillary diameter before - after dropping 0.5% apraclonidine was 1.16 ± 1.06 mm, ranging from 0 - 4 mm. There were 9 (29.0%) eyes that did not show any changes. Significant enlargement of pupillary size after dropping 0.5% apraclonidine (p = 0,000). This change in pupil size correlated with the estimated duration of diabetes mellitus (r = 0.436, p = 0.014) and HbA1c levels (r = 0.492, p = 0.005). Pupil size after using 0.5% apraclonidine has a distribution value of 4 (3-6) mm can be interpreted that there are subjects who have no change, but there are patients who have pupils dilated to 6 mm.
COMPARISON OF POST OPERATIVE EPIDURAL ANALGESIA EFFECT USING CONTINUOUS 0.125% BUPIVACAINE WITH BOLUS 3 MG MORPHINE ON INSULIN LEVELS IN PATIENT UNDERGOING LOWER LIMB SURGERY Yovalina R; Zulkifli Zulkifli; Zainal R; Erial Bahar
Majalah Kedokteran Sriwijaya Vol 52, No 3 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i3.12511

Abstract

The procedure for lower limb surgery is one of the major and long-standing operations. Surgical trauma stimulates the stress response of surgery. The surgical stress response will interfere with stress hormones including insulin. Insulin is an anabolic hormone that is important in the body and has a role in the process of wound healing. Previous studies have shown insulin levels to correlate with increased surgical stress and the type of anesthesia given. This study analyzed differences insulin levels in bupivacaine 0,125% with morphine 3 mg and to compare the analgesia effect of continuous bupivacaine 0,125% with 3 mg morphine epidural in postoperative lower extremity assessed from insulin levels. A retrospective cohort study taken from secondary data from previous studies and their medical records at RSUP Dr. Mohammad Hoesin Palembang. Statistical analysis used STATA 15th edition. Wilcoxon showed that there was a significant difference in 0,125% bupivacaine group on insulin leves after 12th hours postoperative (p<0.05). Man-Whitney showed that there was no significant difference between the 0,125% bupivacaine with 3 mg morphine on insulin levels postoperative lower extremity after 6th hours, 6th and 12th hours and after 12th hours (p>0.05). In this study, there was no significant difference between the 0,125% bupivacaine with 3 mg morphine on insulin levels
COMPARISON OF COPPER LEVEL AND COLOR VISION IN PULMONARY TUBERCULOSIS PATIENTS BEFORE AND AFTER ETHAMBUTOL TREATMENT IN CATEGORY I AND II Devi Azri Wahyuni; Febria Restissa; Ahmad Rasyid; Erial Bahar
Majalah Kedokteran Sriwijaya Vol 52, No 2 (2020): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v52i2.11969

Abstract

Copper as a metal chelator in ethambutol may interfere oxidative phosphorylation and mitochondrial function that are useful in the formation of ATP, so that long-term damage can cause apoptosis and interfere color vision. This study aims to determine the correlation between duration of ethambutol and copper levels in serum with color vision disorder examined with Farnsworth Munsell 100 Hue (FM100) in patients with tuberculosis. This study was an explorative observation of 20 samples during November 2017 - January 2018 period. Comparative analysis using independent t-test, paired t-test, Wilcoxon test and Mann-Whitney test, while correlation analysis using Spearman's test and Pearson's test. There was a significant difference of FM100value before and after in category I (p=0.000) with increase of total error value 11.80+5.31 or category II (p=0.000) with increase of total error value 15.00+7.41. There was significant difference of Cu2+  level before and after in category I (p=0.005) with decrease of  Cu2+ level 15.57+5.04 mg/dL or category II (p=0.005) with decrease of  Cu2+ level 31.66+7.35 mg/dL. The duration of Ethambutol was related to changes in color vision examined with FM100.
Co-Authors Achirul Bakri Agustine Tinambunan Ahmad Rasyid Aida Farida Citra Dewi Devi Azri Wahyuni Eddy Roflin Eva Syahriana Febria Restissa Fifie Julianita Guntur Bayu Bima Pratama Hasri Salwan Henny Sulastri Ika Kartika Indah Yunalda Irene A. O. Isnada Isnada Jusuf Fantoni Krisna Murti Krisna Murti Linda Fatrisia Luther Theng Mediarty Muhammad Asprianto Muhammad Hasnawi Haddani Nafila Mahida Sukmono Nia Elisa Ginting Nurul Salmah Alia Dita Olivia Amanda R.M. Aerul Chakra Alibasya R.M. Faisal Rusdi Ismail Sri Handayani Subandrate Sugiharto, Henry Theresia Christin Yoan Levia Magdi Yovalina R Yundari, Yundari Yusril Yusril Zainal R Zulkifli Zulkifli