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Journal : MAHESA : Malahayati Health Student Journal

Gambaran Radiologi Magnetic Resonance Imaging (MRI) pada Pasien Meningioma di Rumah Sakit Daerah K.R.M.T Wongsonegoro Luh Putu Endyah Santi Maryani; Fernando Nathaniel; Dean Ascha Wijaya; Yohanes Firmansyah; Giovanno Sebastian Yogie
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.11232

Abstract

ABSTRACT Meningioma, the most prevalent tumor in central nervous system, can be thoroughly evaluated using contrast MRI. This cross-sectional study aimed to analyze radiological characteristics of meningioma patients who underwent contrast-enhanced head MRI at K.R.M.T Wongsonegoro Regional Hospital. The patients were selected based on total sampling criteria, using medical records data from January to June 2023. The study examined various variables such as primary and secondary meningioma lesions, lesion size, location, increased intracranial pressure, midline shift, infarction, cranial nerve defects, and sinusitis. Data were presented descriptively. Among 30 respondents, average age was 49.33 years, and majority were females (96.7%). Most common location for primary meningiomas was right parafalcine region (16.7%). Average dimensions of primary meningioma lesions in the anterior-posterior, lateral-lateral, and cranial-caudal directions were 4.93 cm, 4.51 cm, and 4.43 cm, respectively. Meningomatosis was the predominant imaging finding in 33.3% of respondents, while 26.7% had secondary meningioma lesions. On average, the midline shift was 5.54 mm, with 93.3% of respondents experiencing midline shift, most frequently towards left side (53.3%). Clinical and radiological reviews demonstrated that all patients had increased intracranial pressure (ICP), among them, 9.9% experienced incidents of infarction, 13.3% had defects in cranial nerve II, and 43.3% had maxillary sinusitis. The conclusion of this study is that the location of meningioma generally varies with typical symptoms in the form of a midline shift and an increase in ICP Keywords : Central Nervous System, Head Tumor, Meningioma, MRI  ABSTRAK Meningioma merupakan tumor sistem saraf pusat yang paling sering. MRI kontras mampu memberikan evaluasi cukup lengkap terhadap meningioma. Penelitian potong lintang ini bertujuan untuk mengetahui gambaran radiologi pasien meningioma yang menjalani pemeriksaan MRI kepala dengan kontras di Rumah Sakit Daerah K.R.M.T Wongsonegoro yang dipilih sesuai kriteria secara total sampling menggunakan data rekam medis pada periode waktu Januari 2023 sampai Juni 2023. Variabel dalam penelitian ini yaitu lesi meningioma primer dan sekunder, ukuran lesi meningioma, letak lesi meningioma, peningkatan tekanan intrakranial, midline shift, insiden infark, defek nervus kranial, dan sinusitis. Data disajikan dalam bentuk deskriptif. Dari 30 responden, rerata usia adalah 49,33 tahun dan didominasi oleh perempuan (96,7%). Lokasi meningioma primer umumnya di parafalcine kanan (16,7%), ukuran meningioma primer secara anterior-posterior, lateral-lateral, cranial-kaudal berturut-turut adalah 4,93 cm, 4,51 cm, dan 4,43 cm, dominasi gambaran meningioma adalah meningomatosis pada 33,3% responden, serta 26,7% responden memiliki lesi meningioma sekunder. Rerata midline shift sebesar 5,54 mm pada 93,3% responden dan umumnya bergeser ke sisi kiri (53,3%). Peninjauan dari segi klinis dan radiologi ditemukan bahwa seluruh pasien mengalami peningkatan tekanan intrakranial (TIK), terdapat 9,9% responden mengalami insiden infark, 13,3% responden mengalami defek pada nervus kranial II, dan 43,3% responden mengalami sinusitis maksilaris. Kesimpulan penelitian ini berupa letak meningioma umumnya bervariasi dengan gejala yang khas berupa midline shift dan peningkatan TIK Kata Kunci: Meningioma, MRI, Sistem Saraf Pusat, Tumor Otak
Korelasi Kadar Hemoglobin pada Ibu Hamil Trimester Tiga dengan Kejadian Bayi Berat Lahir Rendah di RSUD Ciawi Ajeng Normala; Fernando Nathaniel; William Gilbert Satyanegara; Bruce Edbert; Dean Ascha Wijaya; Yohanes Firmansyah
MAHESA : Malahayati Health Student Journal Vol 4, No 1 (2024): Volume 4 Nomor 1 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i1.11758

Abstract

ABSTRACT Anemia during pregnancy is generally considered a risk factor for preterm delivery, low birth weight (LBW) infants, and other poor pregnancy outcomes. This cross-sectional study aimed to determine the correlation between third-trimester maternal hemoglobin levels and the occurrence of LBW meeting the criteria, using non-random consecutive sampling based on medical records from Ciawi Regional General Hospital during the period of July 2023. The variables in this study were maternal third-trimester hemoglobin levels and the occurrence of LBW. Statistical analysis utilized the Spearman test. Out of 320 respondents, the mean age was 29.68 years. The mean hemoglobin level was 9.24 g/dL. The mean birth weight was 1,852.06 grams. The results of the analysis were not statistically significant, with a correlation between the two variables of rs=0.058, p=0.301. The cutoff value for hemoglobin levels at 9 g/dL was the highest risk for causing births with a weight <2500 grams in the anemia group. The results of this study indicated that hemoglobin levels below 9 g/dL posed the highest risk for LBW and very LBW occurrence. Keywords: Anemia, Haemoglobin Level, Low Birth Weight, Pregnancy  ABSTRAK Anemia selama kehamilan umumnya dianggap sebagai faktor risiko untuk persalinan prematur, bayi berat lahir rendah (BBLR), dan hasil kehamilan yang buruk lainnya. Penelitian potong lintang ini bertujuan untuk mengetahui korelasi kadar hemoglobin pada ibu hamil trimester 3 dengan kejadian BBLR yang memenuhi kriteria dengan non-random consecutive sampling menggunakan data rekam medis di Rumah Sakit Umum Daerah Ciawi pada periode Juli 2023. Variabel dalam penelitian ini yaitu kadar hemoglobin pada trimester ketiga ibu hamil dan kejadian BBLR. Analisis statistik menggunakan uji Spearman. Dari 320 responden, rata-rata usia adalah 29,68 tahun. Rerata kadar hemoglobin sebesar 9,24 g/dL. Rerata berat badan lahir sebesar 1.852,06 gram. Hasil analisis tidak signifikan secara statistik dengan korelasi antara kedua variabel, rs=0.058, p= 0,301. Nilai cut-off kadar hemoglobin sebesar 9 g/dL merupakan risiko tertinggi untuk menyebabkan kelahiran dengan berat <2500 gram pada kelompok anemia. Hasil penelitian ini menyatakan bahwa kadar hemoglobin kurang dari 9 g/dL merupakan risiko tertinggi terhadap kejadian BBLSR dan BBLASR. Kata Kunci: Anemia, Berat Bayi Lahir Rendah, Kadar Hemoglobin, Kehamilan