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Ery Suhaymi
UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA
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Perbandingan Akurasi Diagnostik Kadar Procalcitonin dan C-Reactive Protein pada Pasien Apendisitis Anak di RSUP H.Adam Malik Medan dan RSUD Dr.Pirngadi Medan Suhaymi, Ery; Fikri, Erjan; Nasution, Iqbal Pahlevi Adeputra
Cermin Dunia Kedokteran Vol 43, No 10 (2016): Anti-aging
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.609 KB) | DOI: 10.55175/cdk.v43i10.869

Abstract

Latar Belakang: Diagnosis appendisitis akut masih merupakan tantangan, terutama pada kelompok usia anak. Oleh karena itu diperlukan suatu alat diagnostik yang sensitif dan spesifik. Tujuan : Membandingkan akurasi Procalcitonin (PCT) dengan C-Reactive Protein (CRP) untuk mendiagnosis apendisitis anak. Metode: Penelitian potonglintang dengan analisis deskriptif dan analitik terhadap 31 pasien usia di bawah 18 tahun yang datang ke IGD RSUP H. Adam Malik Medan dengan gejala apendisitis dan telah menjalani appendektomi dari bulan Desember 2014 hingga Juli 2015. Seluruh sampel darah diambil preoperatif dan nilai PCT dan CRP diukur. Dilakukan apendektomi dan pemeriksaan histopatologi pasca operasi. ROC nilai sensitivitas, spesifisitas, prediksi positif dan prediksi negatif masing-masing pemeriksaan laboratorium dan kombinasi keduanya dianalisis menggunakan kurva. Hasil : Didapatkan 14 ( 45,2%) laki-laki dan 17 (54,8%) perempuan, pada kelompok umur 12 – 18 tahun (58,1%) dan kelompok umur < 12 tahun (41,9%). Kadar CRP meningkat pada 91,7% penderita appendisitis akut dan pada 84,2% penderita appendisitis komplikasi. Sensitivitas uji diagnostik 84,2% dan spesifisitas 8,3% serta akurasi pengukuran kadar CRP 54,8%. Rentang kadar CRP untuk appendisitis akut 0,69 – 17,10 mg/l dengan rerata 10,11 ± 4,74 mg/l dan untuk appendisitis komplikasi 3,70 – 19,70 mg/l dengan rerata 12,27 ± 4,82 mg/l. Kadar PCT dijumpai meningkat pada 91,7% penderita appendisitis akut dan pada 100% penderita appendisitis komplikasi. Sensitivitas uji diagnostik 100% dan spesifisitas 8,3% serta akurasi pengukuran kadar PCT 64,5%. Rentang kadar PCT sangat besar untuk appendisitis akut 0,04 – 55,50 ng/ml dengan rerata 10,60 ± 15,95 ng/ml dan untuk appendisitis komplikasi 0,75 – 151,70 ng/ml dengan rerata 15,98 ± 33,44 ng/ml. Simpulan : Pemeriksaan PCT pada pasien appendisitis memiliki sensitivitas 100% dan spesifisitas 8,3% dan memiliki nilai akurasi lebih tinggi (64,5%) dibandingkan pemeriksaan CRP (54,8%) dengan sensitivitas 84,2% dan spesifisitas 8,3%. PCT dan CRP memiliki peranan penting untuk mendukung diagnosis klinis apendisitis akut pada anak.Background: Diagnosis of acute appendicitis remains a challenge, especially among children. A sensitive and specific diagnostic tool is needed. Objective: To compare the accuracy of Procalcitonin (PCT) and C-Reactive Protein (CRP) in diagnosing pediatric appendicitis. Method: Cross-sectional study with descriptive and analytical analysis on 31 patients under 18 years of age in the emergency department of RSUP H. Adam Malik with symptoms of appendicitis and underwent appendectomy from December 2014 until July 2015. Blood samples were taken to determine the value of preoperative PCT and CRP. Postoperative histopathological examination was done. ROC curve was used to analyze the sensitivity, specificity, positive predictive and negative predictive value of each and combination of laboratory tests. Results: Samples were 14 (45.2%) male and 17 (54.8%) female; aged 12-18 years (58.1% ) and <12 years (41.9%). The range of values of CRP levels for acute appendicitis were 0.69 - 17.10 mg / l (mean 10.11 ± 4.74 mg / l) and for complicated appendicitis were 3.70 - 19.70 mg / l (mean 12.27 ± 4.82 mg / l). A CRP level was increased in 91.7% patients with acute appendicitis, and in 84.2% patients with complications. Sensitivity and specificity of the diagnostic test was 84.2% and 8.3% respectively, the accuracy of measurement of CRP levels was 54.8%. PCT levels was increased in 91.7% patients with acute appendicitis, and in 100% patients with complicated appendicitis. Sensitivity and specificity were 100% and 8.3% respectively and the accuracy of measurement of PCT levels is 64.5%. The range of values of PCT levels for acute appendicitis is 0.04 to 55.50 ng / ml, mean 10.60 ± 15.95 ng / ml and for complicated appendicitis of 0.75 to 151.70 ng / ml, mean 15.98 ± 33.44 ng / ml. Conclusion: Examination of PCT in patients with appendicitis had a 100% sensitivity and 8.3% specificity of and has a higher accuracy (64.5%) compared with CRP examination (54.8%) with a sensitivity of 84.2% and a specificity of 8.3%. 
KARAKTERISTIK ANAK PENDERITA HIDROCEPHALUS BERDASARKAN ETIOLOGI, STATUS GIZI DAN UMUR GESTASI DI RSU. HAJI MEDAN 2017 – 2019 NUGRAHA ILHAMSYAH; ERY SUHAYMI
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Hydrocephalus is a build up of cerebrospinal fluid (CSF) in the central nervous system, which is a result of impairedformation, flow and absorption that often affects humans, both infants, children and adults, which can be caused bycongenital abnormalities (malformations), infections, and neoplasms. countries with low and middle income have a largernumber of cases than countries with high income. Hydrocephalus can cause serious problems if left untreated, such asdecreased intellectual abilities and motor deficits. Children with hydrocephalus are most often found in a state of poornutritional status, especially in the group of children with TB meningitis. Knowing the characteristics of children withhydrocephalus who are hospitalized at RSU Haji Medan in 2017-2019. This study was a descriptive study with a crosssectionalretrospective design where the sample data were taken from medical records. Result 57 children withhydrocephalus at RSU Haji Medan was found with the characteristics of the male sex group as many as 33 children (57.9%),the highest age group was Infant (1 month-2 years) as many as 20 children (35.1%), with the etiology of infection in 32children (56.1%), malnutrition status of 31 children (54.4%), history of aterm gestational age totaled 56 children (98.2%),history of VP-Shunt action that was not performed by 28 children (49.1%), and the hydrocephalus type group non-obstructiveas many as 36 children (63.2%). Children suffering from hydrocephalus in RSUP Haji mostly caused by infection with lownutritional status and history of gestational age at term.
PERBANDINGAN EFEK POVIDONE IODINE DENGAN SARI KURMA TERHADAP PENYEMBUHAN LUKA SAYAT PADA MENCIT (MUS MUSCULUS) DINDA NAWA MIFTAH SEMBIRING; ERY SUHAYMI
JURNAL ILMIAH SIMANTEK Vol 4 No 4 (2020): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

When a wound occurs, human body has its own mechanisms to restore the injured tissue by forming the new functionaltissues. Broadly the first treatment of wounds that are often used by the public is antiseptic. Antiseptics are substances thatare used to inhibit growth or kill microorganisms that live on the surface of the body. The most commonly used antiseptic ispovidone iodine which is a chemical complex of polyvinyl pyrrolidone and iodine elements. But povidone still has some sideeffects in its use.Dates (Phoenix Dactylifera) is a fruit that is very familiar with people lives, especially for muslims. Datescontain antioxidant compounds namely phenolic compounds such as flavonoids. Flavonoids are hydroxylated phenolicsubstances and known to be synthesized by plants in response to microbainfection. Therefore dates and processed productscan be used as natural antiseptics. To compare the effectiveness of wound care using palm juice against wound healingcompared to povidone iodine in mice in improving the wound recovery process. This study uses an experimental method thatis designing a post test with a design control group to compare wound utilization using palm juice and povidone iodine to thetreatment of incision in mice. The average speed of wound healing, palm juice had the fastest time of 6.56 days followed bypovidone iodine 10.56 days, while controls were 11.67 days. Palm juice are more effective in wound healing compared topovidone iodine.
PERBANDINGAN EFEKTIVITAS POVIDONE IODINE DENGAN KOPI ROBUSTA TERHADAP PENYEMBUHAN LUKA SAYAT PADA MENCIT (MUS MUSCULUS) RAHU ALPHAMA; ERY SUHAYMI
JURNAL ILMIAH SIMANTEK Vol 5 No 1 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

Wound healing is a vital procces. Therefore it should be treat carefully which cause the wound to healing well. There areseveral ways to precipitate the wound healing whether is systemic or local. Unify the edges of the wound could be done bysuturing. The small wound could be heal by it self without any infection. Coffe seeds countain chlorogenic acid. Chlorogenicacid have some important benefits such as antioxidant, antibacterial, and also can precipitate the wound healing. Coffeseeds could be used in the wound which cause it to dry faster and not cause any inflammation. To compare the effectivity ofwound healing using robusta coffe seeds and povidone iodine in wound incised healing in mus musculus. This study uses anexperimental method that is designing a post test with a design control group to compare wound utilization using robustacoffee and povidone iodine to the treatment of incision in mice. The average speed of wound healing, coffee had the fastesttime of 6.56 days followed by povidone iodine 10.56 days, while controls were 11.67 days. In terms of effectiveness, Robustacoffee is more effective than controls, namely 8.4: 8. Povidone iodine is no more effective than control ie 8: 8 and after thesignificance test the results are not significant. Differences in the effect of administration of robusta coffee with povidoneiodine in the recovery of incised wounds in mice (Mus musculus). Robusta coffee powder can be overcome as an alternativewhen wound recovery.
PERBANDINGAN EFEKTIVITAS POVIDONE IODINE 10% DAN EKSTRAK ETANOL DAUN COCOR BEBEK (KALANCHOE PINNATA) TERHADAP LAMA PENYEMBUHAN LUKA BAKAR PADA TIKUS PUTIH (RATTUS NORVEGICUS L.) JANTAN GALUR WISTAR M. HATADI ARSYAD; ERY SUHAYMI
JURNAL ILMIAH KOHESI Vol 5 No 2 (2021): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Abstract

Burns are a form of trauma to the skin or other tissues caused by heat, ultraviolet radiation, electromagnetic energy, electricshock or contact with hazardous chemicals. Burns often have adverse effects on humans both physically and psychologically.The process of healing burns includes the phases of hemostasis, inflammation, proliferation, and tissue remodeling.Povidone iodine has strong antimicrobial properties. The criteria that must be met for a good dressing is to maintain highhumidity between the wound and dressing. Kalanchoe pinnata are rich in flavonoids, bufadienolides, and saponins. To findout the effectiveness of 10% povidone iodine and ethanol extract of Kalanchoe pinnata on the healing time of burns in Rattusnorvegicus L. This study is a true experimental study with a post test controlled group design. In terms of the average rate ofhealing of burns, povidone iodine 10% has the fastest time of 7 days followed by ethanol extract of Kalanchoe pinnata 11days and control 12 days. In terms of effectiveness, povidone iodine is 10% more effective than ethanol extract of Kalanchoepinnata and controls in healing burns. Povidone iodine is 10% more effective than ethanol extract of Kalanchoe pinnata inhealing burns in Rattus norvegicus L. Ethanol extract of Kalanchoe pinnata can be considered as an alternative to healingburns.
HUBUNGAN MOTIVASI BELAJAR TERHADAP KESIAPAN BELAJAR MANDIRI MAHASISWA PROFESI DOKTER DI MASA PANDEMI COVID – 19 TIA PURNAMASARI; SITI MASLIANA SIREGAR; DESI ISNAYANTI; ERY SUHAYMI
JURNAL ILMIAH KOHESI Vol 5 No 3 (2021): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Abstract

The spread of COVID-19 happened so fast that the government gave instructions to conduct online learning. This learningwill have an impact on professional students, namely affecting clinical skills, difficulty evaluating professionalism, difficultyachieving and evaluating competency standards of Indonesian doctors, and loss of collaborative experience. So that requiresstudents to be more active in independent learning. One of the factors that affect independent learning is motivation inlearning. So researchers want to research the relationship between independent study readiness and learning motivation formedical students during the COVID-19 pandemic. To determine the relationship between learning motivation and readinessfor independent study of medical profession students during the COVID-19 pandemic. This study was a descriptive analyticstudy with a cross sectional design. Respondents found that independent learning readiness was low 58.3% and high 41.7%.At medium motivation, 72.4% and high 27.6. In the Chi-Square test, it was found that the value of p = 0.000 (p <0.05).Statistically, there is a relationship between learning motivation and self-study readiness of medical profession students.
KARAKTERISTIK APENDISITIS PADA PASIEN DI RUMAH SAKIT UMUM HAJI MEDAN PADA JANUARI 2017 - DESEMBER 2019 AYU ANDIKA BINTANG; ERY SUHAYMI
JURNAL ILMIAH KOHESI Vol 5 No 3 (2021): JURNAL ILMIAH KOHESI
Publisher : LP2MTBM MAKARIOZ

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Abstract

Appendicitis is an inflammation of the appendix vermiformis due to infection and bacteria. The main complication inappendicitis is perforation of the appendix. This study aims to determine the characteristics of appendicitis patients at RSUHaji Medan in 2017-2019 based on age, gender, and type of appendicitis. This study was a retrospective descriptive studywith 221 respondents with acute, perforated, and chronic appendicitis patients as seen from the 2017-2019 medical records.Univariate analysis was performed on each research variable and the category of frequency distribution of each variable wasexpressed as a percentage. It was found that there were more women (127 people) with appendicitis than men (94 people).The highest age range was in the 13-19 years age group as many as 73 people (33.0%) and the least in the age group> 70years as many as 1 person (0.5%). Based on the characteristics of the type of appendicitis, it was found that there were 161respondents (72.9%) of the acute appendicitis type, 35 perforated appendicitis (15.8%) and 25 chronic appendicitisrespondents (11.3%). Appendicitis is more common in women aged 13-19 years with acute appendicitis.
Akurasi Mean Platelet Volume (MPV), White Blood Cell (WBC) dan Neutrofil Pada Pasien Anak dengan Appendisitis Sederhana dan Komplikasi di RSUP H.Adam Malik Medan Ery Suhaymi
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 51, No 4 (2018): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction To diagnose appendcitis in children remains challenging. Mean Platelet Volume (MPV) is an indicator of trombocytes activation. Less study described the diagnostic accuracy of thrombocyte function in appendicitis. The aim of this study is to investigate the accuracy of Mean Platelet Volume (MPV) in the diagnosis of simple and complicated appendicitis in children.Methods Retrospective study was performed to 151 patients (<18 years old) whom were admitted to Adam Malik Hospital during january 2011 until September 2015 with appendicitis symptoms and were subjected to appendectomy. Blood samples were collected to measure preoperative MPV, White Blood Cell (WBC) dan Neutrofil values. Histopathology examination was performed to ensure the classification the simple and complicated appendicitis cases preoperatif. Sensitivity, specificity accuracy, positive predictive value and negative predictive value of each laboratory parameters were analysed.Result Histopathology results confirmed 36,4 % and 63,6 % samples were diagnosed with simple and complicated appendicitis, respectively. Most of the simple appendicitis patients (78,2%) was 12-18 years old while in complicated appendicitis was mostly (63,5%) < 12 years old. There was no significant difference in MPV between simple and complicated appendicits (9,32 ± 0,99 and 9,39 ± 1,13, respectively, p>0,05). MPV has 11% sensitivity, 80% specificity, 36% accuracy, 50% positive predictive value and 34% negative predictive value.  Conclusion :. MPV was not statistically significant in prediction of simple or complicated appendicitis. The accuracy of MPV was also lower than WBC and neutrophil.Keywords Appendisitis, Mean Platelet Volume, White Blood Cell, Neutrophil AbstrakPendahuluan Diagnosis appendisitis masih merupakan suatu tantangan teutama pada anak. Mean Platelet Volume (MPV) merupakan indikator dari aktivasi trombosit. Sangat sedikit studi yang meneliti akurasi diagnostik dari parameter fungsi trombosit dalam kasus appendisitis. Penelitian ini bertujuan untuk mengetahui nilai akurasi MPV dalam mendiagnosis appendisitis sederhana dan appendisitis komplikasi pada anak.Metode Studi retrospektif terhadap 151 pasien usia dibawah 18 tahun yang datang ke RSUP H. Adam Malik Medan dengan gejala appendisitis dan dilakukan appendektomi dari bulan Januari 2011 hingga September 2015. Dilkukan pemeriksaan laboratorium terhadap nilai MPV, white blood cell (WBC) dan neutrofil preoperatif. Pemeriksaan histoptologi dilakukan untuk konfirmasi diagnostik pasca-operasi dalam menentukan. appendisitis sederhana atau komplikata.Hasil Dari 151 sampel dalam penelitian berdasarkan histopatologi didapat 36,4% appendisitis sederhana dan 63,6% appendisitis komplikata. Berdasarkan kelompok umur appendisitis sederhana terbanyak pada usia 12-18 tahun (78,2%) dan usia <12 tahun (63,5%) pada appendisitis komplikasi. Tidak dijumpai perbedaan yang bermakna antara nilai rerata MPV pada appendisitis komplikasi (9,32 ± 0,99) dengan appendisitis sederhana (9,39 ± 1,13, p>0,05). MPV memiliki sensitivitas 11%, spesifisitas 80%, akurasi 36%, NPP 50%, NPN 34%.Kesimpulan Nilai MPV secara statistik tidak bermakna dalam memprediksi appendisitis sederhana dan appendisitis komplikasi. Pemeriksaan MPV pada pasien appendisitis memiliki nilai akurasi yang lebih rendah dibanding dengan pemeriksaan WBC dan neutrophilKata Kunci Appendisitis, Mean Platelet Volume, White Blood Cell, Neutrofil
Annular Pancreas in infancy Ery Suhaymi; Djeni Bijantoro
ANATOMICA MEDICAL JOURNAL | AMJ Vol 5, No 1 (2022)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v5i1.9071

Abstract

Abstract: Annular pancreas is a rare congenital disorder where the symptoms that appear in this patient are symptoms of obstruction caused by the presence of pancreatic tissue that forms a ring around the descending part of the duodenum. The annular pancreas has a ratio of 1:20,000 births that may show stenotic or obstructive symptoms early in life. With a plain abdominal radiograph taken in the erect position, a “double bubble” appearance is seen, which is typical of the annular pancreas. In this case, A boy 10 month, with chief complaint vomiting, with containt vomiting every time he eat (breast milk). It had been suffered since he was born. Patient was born by midwife, aterm. Since he born, patient used took antivomitus from pediatric. Patient has been documented by barium meal to hospitalization, and was differential diagnosed with obstruction partial duodenum; duodenal web; pyloric stenosis; annulare pancreas with right scrotalis hernia. In these patient the treatment with perform Duodeno-Jejunustomy.Keywords: Annular pancreas, double bubble, Duodeno-Jejunustomy
Pencegahan Transmisi COVID-19 melalui Pelayanan Telemedicine di Indonesia Ery Suhaymi
JURNAL IMPLEMENTA HUSADA Vol 2, No 2 (2021)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v2i2.9088

Abstract

Pada awal Maret 2020 dunia dihebohkan oleh munculnya kasus penyakit yang menyerang sistem pernapasan manusia dimana peningkatan jumlah kasus yang berlangsung sangat cepat  dan  menyebar dalam waktu yang singkat. Awalnya dilaporkan  di Wuhan, Provinsi Hubei, Tiongkok pada akhir Desember 2020 yang pada saat itu ditemukan adanya kasus pneumonia yang belum diketahui penyebabnya dan baru pada tanggal 7 Januari 2020, Pemerintah Tiongkok mengumumkan bahwa penyebab kasus tersebut adalah Coronavirus jenis baru yang kemudian diberi nama SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) dengan penyakit yang dikenal dengan Coronavirus Disease 2019 (COVID-19) (Portnoy Jay, et.al.,2020).
Co-Authors AYU ANDIKA BINTANG Desi Isnayanti DINDA NAWA MIFTAH SEMBIRING Djeni Bijantoro Erjan Fikri Hervina, Hervina Iqbal Pahlevi Adeputra Nasution M. HATADI ARSYAD Melviana Lubis NUGRAHA ILHAMSYAH RAHU ALPHAMA TIA PURNAMASARI