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All Journal Jurnal Saintika Medika E-Jurnal Medika Udayana Majalah Kedokteran Sriwijaya Nusantara Medical Science Journal Majalah Sainstekes The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Mandala of Health : A Scientific Journal
Bachtiar Murtala
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health

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Correlation between Serum Calcium and Phosphate with Coronary Artery Calcium Scores on Cardiac MSCT Examination Rosita Kai; Bachtiar Murtala; Andi Alfian Zainuddin; Muzakkir Amin; Muhammad Ilyas
Saintika Medika Vol. 15 No. 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol15.SMUMM2.9970

Abstract

Increased serum calcium and phosphate associated with cardiovascular disease in patients with chronic kidney disease, but research on the relationship between coronary artery calcium scores with serum calcium and phosphate in individuals with normal kidney function is lacking. We explore the relationship of serum calcium and phosphate levels with coronary atherosclerosis as assessed by cardiac Multislice Computed Tomography (MSCT) in individuals with normal kidney function. This study aims to assess the correlation of calcium level scores on cardiac MSCT examination with serum calcium and phosphate levels, and assess the association with risk factors for coronary heart disease. This study was a cross-sectional study of 40 subjects who underwent cardiac MSCT examination with normal kidney function, at RSUP Dr. Wahidin Sudirohusodo Makassar during the March-July 2019 period. The results showed an correlation between coronary artery calcium scores with calcium and serum phosphate (serum calcium r = 0.67, serum phosphate r = 0.53, p <0.05).
Hubungan antara Diameter Optic Nerve Sheath pada Grey Scale Ultrasound dengan Peningkatan Tekanan Intrakranial pada Pasien dengan Lesi Intrakranial Tatok Rudiharto; Bachtiar Murtala; Sri Asriyani; Mirna Muis; Cahyono Kaelan; Burhanuddin Bahar
Majalah Sainstekes Vol 6, No 1 (2019): JUNI 2019
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.92 KB) | DOI: 10.33476/ms.v6i1.1216

Abstract

The study aims to determine the correlation between diameter of optic nerve sheath on grey scale with increased intracranial pressure in patients with intracranial lesion. The research was conducted in Radiology Department of Dr. Wahidin Sudirohusodo Makassar from January 2019 – May 2019. The sample were 39 people aged ³18 years old with intracranial lesion. Axial computed tomography (CT) examination was performed to evaluate intracranial lesions and the presence of midline shift. The diameter of the optic nerve sheath was measured using eye ultrasonography. Data analyses used Spearman’s correlation test. The results showed that there was a correlation between the dilatation of the right and left optic nerve sheath diameter with midline shift (p value 0.04; p less than 0.05) on the diameter of the right optic nerve sheath showing a weak positive relationship (p value 0.02) for the diameter the optic nerve sheath left showing a medium positive relationship where the higher the midline shift, the wider the diameter of the left and right optical nerve sheath. There is a correlation between the right and left optic nerve sheath diameter (p less than equal 0.001) showing a strong positive relationship where the wider the diameter of the right optic nerve sheath, the wider the diameter of the left optic nerve sheath at high intracranial pressure. Statistically other results also obtained no relationship between dilatation of the diameter of the optic nerve sheath with clinical symptoms of increased intracranial pressure and type of lesion.
Perbandingan Gambaran Ultrasonography Gray Scale dan Doppler Parenkim Hepar Berdasarkan Scoring System dengan Pemeriksaan Fibroscan pada Pasien Hepatitis B Kronik Nur Alam; Sri Asriyani; Bachtiar Murtala; Nikmatia Latief; Burhanuddin Bahar; Nu’man As Daud
Majalah Sainstekes Vol 8, No 2 (2021): DESEMBER 2021
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.734 KB) | DOI: 10.33476/ms.v8i2.2101

Abstract

Penelitian ini bertujuan untuk mengetahui korelasi ultrasonography gray scale (USG) dengan doppler parenkim hati berdasarkan sistem skoring dengan pemeriksaan fibro scan pada pasien hepatitis B kronik. Metode penelitian yang digunakan adalah studi potong lintang. Penelitian dilaksanakan di Bagian Radiologi RSUP Dr. Wahidin Sudirohusodo Makassar pada bulan Juli sampai Desember 2020. Populasi penelitian ini adalah seluruh penderita virus hepatitis B kronik yang memenuhi kriteria inklusi dan eksklusi. Sampel penelitian ini dilakukan pemeriksaan morfologi dan hemodinamik hati dan limpa menggunakan USG Trans abdominal, dilanjutkan dengan penentuan derajat fibrosis berdasarkan Transient Elastography. Data dianalisis secara statistik melalui uji korelasi Spearman jika nilai P lebih kecil dari 0,05. Penelitian ini melibatkan 32 orang, 22 laki-laki (68,8%) dengan rentang usia 25-64 tahun pada penderita virus hepatitis B kronis. Hasil penelitian menunjukan korelasi yang kuat berdasarkan morfologi USG adalah echoparenkim (p value 0,0001, r value 0,793). Permukaan hati (p value 0,010, r value 0,450), ukuran limpa (p value 0,009, r value 0,452), berkorelasi sedang, sedangkan sudut jantung (p value 0,041, r value 0,363) memiliki hubungan yang lemah korelasi. Diameter vena hepatik dan rerata Portal Vein Velocity (PVV) tidak memiliki korelasi yang signifikan dengan Transient Elastography. Penilaian USG memiliki korelasi yang kuat (p value 0,0001, r value 0,729) dengan derajat fibrosis berdasarkan Transient Elastography
Korelasi Sudut Lumbosakral Berdasarkan MRI Lumbosakral dengan Oswestry Disability Index (ODI Score) pada Degenerative Disk Disease Yuliawati Yuliawati; Muhammad Ilyas; Bachtiar Murtala; Andi Alfian Zainuddin; Cahyono Kaelan; Mirna Muis
Majalah Sainstekes Vol 8, No 1 (2021): Juni 2021
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.728 KB) | DOI: 10.33476/ms.v8i1.1910

Abstract

Pengukuran sudut lumbosacral merupakan salah satu parameter dalam mengevaluasi kemungkinan etiologi dari nyeri punggung bawah yang disebabkan oleh degenerative disc disease. Oswestry Disability Index (ODI) Score digunakan untuk mengukur disabilitas pada nyeri punggung bawah. Penelitian ini bertujuan untuk mengetahui apakah ada korelasi antara sudut lumbosakral  berdasarkan MRI Lumbosakral dengan Oswestry Disability Index (ODI) Score pada degenerative disk disease. Penelitian ini menggunakan desain cross sectional yang dilaksanakan di Departemen Radiologi RS dr. Wahidin Sudirohusodo Makassar mulai bulan Mei sampai September 2020, didapatkan sampel sebanyak 67 pasien dengan keluhan nyeri punggung bawah dan telah mengisi kuisioner Oswestry Disability Index (ODI) Score serta menjalani pemeriksaan MRI lumbosacral. Pengukuran sudut lumbosacral dilakukan pada irisan mid sagital di work station MRI, derajat degenerative disc disease dinilai berdasarkan klasifikasi Pfirrmann. Metode  yang digunakan adalah uji korelasi Spearman dan Chi Square. Hasil penelitian menunjukkan adanya korelasi antara sudut lumbal lordosis (nilai p adalah 0,014), sudut sacral inclination (nilai p adalah 0,002), sudut sacral horizontal (nilai p adalah 0,034), umur  (nilai p kurang dari 0,0001) dengan degenerative disk disease. Tidak terdapat korelasi antara sudut lumbosacral disc (nilai p adalah 0,250), jenis kelamin (nilai p adalah 0,796), index massa tubuh (nilai p adalah 0,707) dengan degenerative disk disease. Adanya korelasi antara sudut lumbal lordosis (nilai p adalah 0,046), umur (nilai p kurang dari 0,0001), index massa tubuh (p kurang dari 0,0001) dengan ODI score. Tidak terdapat korelasi antara sudut lumbosacral disc (nilai p adalah 0,072), sudut sacral inclination (nilai p adalah 0,090), sudut sacral horizontal  (nilai p adalah 0,143),  jenis  kelamin  (nilai p adalah 0,337)  dengan  ODI   score. Adanya korelasi antara derajat degenerative disk disease dengan derajat ODI score (p kurang dari 0,0001)
Korelasi Derajat Leukoaraiosis dengan Faktor-faktor Risiko Stroke dan Keparahan Stroke Berdasarkan Derajat Klinis pada Pasien Stroke Iskemik Yohanes Irsandy; Sri Asriyani; Bachtiar Murtala; Burhanuddin Bahar; Ashari Bahar; Nurlaily Idris
Majalah Sainstekes Vol 7, No 2 (2020): DESEMBER 2020
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.462 KB) | DOI: 10.33476/ms.v7i2.1702

Abstract

Penelitian ini bertujuan mengetahui korelasi derajat leukoaraiosis berdasarkan CT-Scan kepala dengan faktor-faktor risiko stroke dan keparahan stroke berdasarkan derajat klinis pada pasien stroke iskemik. Metode yang digunakan adalah cross sectional, dilakukan secara retrospektif pada penderita stroke iskemik yang menjalani pemeriksaan CT-Scan kepala di Bagian Radiologi RSUP dr. Wahidin Sudirohusodo, Makassar periode Januari 2020 sampai Juli 2020. Sampel sebanyak 46 orang dengan usia lebih dari 40 tahun yang mengalami serangan stroke pertama dengan onset kurang dari 1 bulan. Derajat leukoaraiosis dinilai dengan menggunakan skala Van Swieten dan derajat klinis dinilai dengan menggunakan National Institute of Health Stroke Scale (NIHSS). Uji statistik yang digunakan adalah uji korelasi Spearman. Hasil penelitian menunjukkan bahwa ada korelasi bermakna yang sedang dan searah antara derajat leukoaraiosis dan kelompok umur dengan nilai p sebesar 0,004 (kurang dari 0,05) dan nilai r sebesar 0,415. Tidak ada korelasi bermakna antara derajat leukoaraiosis dengan jenis kelamin, hipertensi, diabetes melitus, dislipidemia dan derajat klinis dengan nilai p masing-masing secara berurutan sebesar 0,146; 0,520; 0,779; 0,185; dan 0,537 (lebih dari 0,05). Namun tampak kecenderungan bahwa pasien dengan hipertensi tidak terkontrol memiliki derajat leukoaraiosis yang lebih berat.
KESESUAIAN HASIL PEMERIKSAAN MDCT SCAN ABDOMEN DENGAN HASIL PEMERIKSAAN ERCP PADA PASIEN IKTERUS OBSTRUKSI Ariany Asnur; Bachtiar Murtala; Nikmatia Latief; Arifin Seweng; Nu’man As Daud; Nurlaily Idris
E-Jurnal Medika Udayana Vol 10 No 3 (2021): Vol 10 No 03(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/.MU.2021.V10.i3.P01

Abstract

This study aims to find out correlation between result of abdominal MDCT scan abdomen and ERCP in obstruction icteric patient. This study was a cross sectional and retrospective study including all patient with intrahepatic or extrahepatic or both cholestatic in abdominal MDCT scan without and with contrass enhance and ERCP in Dr. Wahidin Sudirohusodo hospital, over period of two years and four months from January 2018 to Apriil 2020. Minimal 31 data were collected, using Kappa and p value <0,05. Among the 174 samples, 81 samples (46,6%) undergo abdominal MDCT scan without contrass enhance and 93% samples (53,4%) undergo abdominal MDCT scan with contrass enhance. Majority belong to 41-50 and 51-60 year age groups is 60 samples (34,5%) and 44 samples (25,35%). Males are more than females in number that is 57,5% dan 42,5%. there is correlation among result in abdominal MDCT scan without and with contrass enhance and ERCP in the cholestatic, location and cause of obstruction biliary. Majority cholestatic in intra and extrahepatic duct, the obstruction location in extrahepatic duct and the cause of obstruction is benign for MDCT scan without contrass enhance and malignant in MDCT scan with contrass enhance. There is significat correlation among cholestatic, location and cause of obstruction in abdominal MDCT scan without and with contrass enhance and ERCP.
Comparison of Cardiac Size in Posteroanterior Chest X-Ray and Echocardiography Agustining Rahayu; Bachtiar Murtala; Sri Asriyani; Andi Alfian Zainuddin; Muzakkir Muzakkir; Nikmatia Latief
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.v51i4.10238

Abstract

Cardiac size is important to determine the presence of cardiac enlargement caused by left ventricular enlargement or right ventricular enlargement. Although echocardiography is considered to be the gold standard for cardiac enlargement, its availability is limited, expensive and requires trained experts. The posteroanterior (PA) chest X-ray (CXR) is the most common imaging used as a reliable alternative. The aim of this study was to compare cardiac size using cardiothoracic ratio (CTR) and transverse left cardiothoracic ratio (TL-CTR) in PA chest X-ray and echocardiography. This cross- sectional study involved 88 inclusion sample, aged 20-60 years. On the basis of provisional clinical diagnosis, the patients were divided three groups, consist of: (i) Group with normal cardiac size, (ii) Group with left ventricular enlargement (LVE) dan (iii) Group with right ventricular enlargement (RVE). All patients underwent PA CXR and M-Mode echocardiography examinations. The results of the two modalities were compared. CTR and TL-CTR, transverse diameter (TD) and transverse left (TL) in PA chest X-ray showed a strong positive correlation with total ventricular dimension (TVD) and left ventricular internal dimension (LVID) in echocardiography. CTR, TL-CTR, TD and TL in the PA chest X-ray are very good indicators for TVD and LVID in echocardiography. Chest X-ray is a reliable alternative for the diagnosis of cardiomegaly/cardiac enlargement in the absence of echocardiography. 
Gambaran Ultrasonografi Kelainan Endometrium pada Penderita Kanker Payudara yang Mendapat Terapi Hormonal di Rumah Sakit Wahidin Sudirohusodo Hijriah Thayyib; Mirna Muis; Bachtiar Murtala
Nusantara Medical Science Journal Volume 5 No. 2 Juli - Desember 2020
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v5i2.13408

Abstract

Pendahuluan: Penelitian ini bertujuan untuk menilai gambaran ultrasonografi kelainan endometrium pada penderita kanker payudara yang mendapat terapi hormonal di Rumah Sakit Wahidin Sudirohusodo. Metode:  Penelitian ini dilaksanakan di Rumah Sakit Umum Pemerintah Wahidin Sudirohusodo Makassar mulai bulan Januari sampai bulan Mei 2020. Sampel sebanyak 66 pasien yang telah mendapat terapi hormonal minimal 6 bulan berturut-turut dan dilakukan pemeriksaan ultrasonografi transvaginal. Metode analisis yang dilakukan adalah Uji Chi Square/Uji Fisher dan Uji T Independen. Hasil:   Pada penelitian ini, rentang usia terbanyak pasien kanker payudara adalah antara 41 – 50 tahun. Dari 66 pasien yang diteliti, terdapat 34 pasien yang premenopause dan 32 pasien yang menopause. Terdapat 46 pasien yang mendapat terapi Tamoxifen, 20 pasien yang mendapat terapi Aromatase inhibitor. Kesimpulan: Hasil penelitian menunjukkan tidak terdapat hubungan yang bermakna antara penebalan endometrium pada pemeriksaan ultrasonografi transvaginal dengan pemberian terapi hormonal pada penderita kanker payudara dengan nilai p=0,232. Terdapat hubungan bermakna antara status menstruasi dengan penebalan endometrium pada penderita kanker payudara yang mendapat terapi hormonal dengan nilai p=0,002. Terdapat hubungan bermakna antara Indeks Massa Tubuh (IMT) dengan penebalan endometrium pada penderita kanker payudara yang mendapat terapi hormonal dengan nilai p=0,037. Tidak terdapat hubungan bermakna antara penggunaan kontrasepsi hormonal terhadap penebalan endometrium dengan nilai p=0,946. Tidak terdapat hubungan yang bermakna antara nullipara dengan kejadian penebalan endometrium dengan nilai p=0,256
Pulmonary Tuberculosis CT-Scan Features and Sputum Smear in Tertiary Referral Hospital Nur Amelia Bachtiar; Sri Asriyani; Bachtiar Murtala; Irawaty Djaharuddin; Andi Alfian Zainuddin; Nikmatia Latief
Nusantara Medical Science Journal Volume 5 No. 2 Juli - Desember 2020
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v5i2.13489

Abstract

Introduction: Management of pulmonary tuberculosis (PTB) from primary and secondary health centers might affect the result of sputum acid-fast bacilli (AFB) smear and features of lung computed tomography scan (CT-scan) presented in tertiary hospitals. The study aims to investigate comparison between CT-scan features of PTB with sputum AFB smear in Wahidin Sudirohusodo Hospital as the top referral hospital in the Eastern part of Indonesia. Methods: This is a retrospective study of patients diagnosed as PTB by pulmonologist of nine months period. Patients with available CT-scan and sputum AFB smear results are included in the study. CT-scan features re-evaluated with RadiAnt DICOM viewer for standardized reading. The relationship between data obtained was analyzed with a chi-square test. Results: Sixty-one PTB patients were entered into the study. The three most common features found in CT were consolidation (93.4%) followed by Tree-in-bud (91.8%), and fibrosis calcification (85.2%). Relationship of CT features and sputum AFB smear was significant on cavity (p-value: 0.002) and pleural effusion (p-value: 0.020). However, unlike cavity (OR = 1.667), pleural effusion has opposite relationship (OR = 0.205) with sputum AFB smear. Conclusions: Pulmonary tuberculosis CT features seen in top referral hospitals can be very severe with consolidation and tree-in-buds as the most common features found in more than 90% of the cases. Feature of cavity may help radiologist to distinct highly active PTB with positive sputum AFB smear while presence of pleural effusion should raise the suspicion from pulmonologists to add further laboratory investigation.
Gastrointestinal Stromal Tumors: A Rare Neoplasm Presenting with Gastrointestinal Bleeding Fardah Akil; HAM Akil; Tajuddin Tjambolang; N K Sungowati; M Adnan; Bachtiar Murtala; Junus Alkatiri; Santa Jota
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 8, ISSUE 1, April 2007
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/81200728-32

Abstract

Gastrointestinal stromal tumors (GIST) are rare tumors of the gastrointestinal (GI) tract that arise from primitive mesenchymal cells. GISTs occur throughout the GI tract but are usually located in the stomach and small intestine. GISTs are known with myoid, neural or mixed features of differentiation. Clinical findings are gastrointestinal bleeding, abdominal pain, and weight loss. GISTs express a heterogeneous clinical course not easily  predicted.  The  histologic  features  that  correlate  best  with  development  of recurrence and metastasis are mitotic activity, tumor size and the presence of tumor necrosis and most recently, mutation in the c-kit gene. Some authors specifically use the term GIST to refer to only those mesenchymal tumors that express CD117, whereas others believe that the diagnosis can be made in the absence of CD117 positivity based on clinical and morphologic features. Surgical resection remains the treatment of choice, since chemotherapy and radiation are ineffective. Long-term follow-up is imperative and recurrence rates are high. We report the case of a 60 years old female patient who presented with intermittent melena, chronic dyspepsia, and anemia. Upper digestive tract endoscopy showed a submucosal tumor, broad-based, centrally ulcerated, projection of 5 cm in the gastric corpus-antral wall as the cause of the upper gastrointestinal bleeding. Endoscopic biopsies were negative for neoplastic changes. After triple eradication therapy of Helicobacter pylori and treatment continued with proton pump inhibitor agent, the patient underwent distal gastrectomy with Billroth-I reconstruction. Histopatological studies on the surgical resection specimen revealed a GIST of smooth muscle with spindle cell, no evidence of mitotic activity but of uncertain biological behavior. One year after surgery the patient is was improved with no signs of residual malignancy. However, metastases were found later in the liver in the next two year.   Keywords: GIST, stromal tumor, surgery, C-kit
Co-Authors Agustining Rahayu Andi Alfian Zainuddin Ariany Asnur Arifin Seweng Burhanuddin Bahar Cahyono Kaelan Fardah Akil HAM Akil Hijriah Thayyib Irawaty Djaharuddin Jimmy Tungka Junus Alkatiri Latief, Nikmatia M Adnan Mirna Muis Muhammad Ilyas Muhammad Yunus Amran,*,** Seung Pil Ban,** Ashari Bahar,* O-Ki Kwon** Muzakkir Amin Muzakkir Muzakkir N K Sungowati Nur Alam Nur Amelia Bachtiar Nurlaily Idris Nu’man As Daud Rosita Kai Santa Jota Sri Asriyani Tajuddin Tjambolang Tatok Rudiharto Ulfiawaty Ulfiawaty Yohanes Irsandy Yuliawati Yuliawati