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All Journal Berkala Kedokteran Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Homeostasis: Jurnal Mahasiswa Pendidikan Dokter
Agung Ary Wibowo, Agung Ary
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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GAMBARAN FAKTOR RISIKO PASIEN KANKER KOLOREKTAL DI RSUD ULIN BANJARMASIN PERIODE APRIL-SEPTEMBER 2014 Rahdi, Dhia Raihana; Wibowo, Agung Ary; Rosida, Lena
Berkala Kedokteran Vol 11, No 2 (2015): September 2015
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i2.172

Abstract

The incidences of colorectal cancer in a developing country such as Indonesia are thought to increase, related to some risk factors that increase the likelihood of colorectal cancer to develop. We have done a study aimed to describe the incidence of colorectal cancer based on risk factor in patients of RSUD Ulin Banjarmasin from April-September 2014. This is a descriptive study using primary data obtained through the use of questionnaire. A total of 39 samples were chosen using non randomized accidental sampling technique. The age group with the most incidence of colorectal cancer was the productive age group (15-64 years old) with as many as 79,49% of all samples. Colorectal cancer patients with a bad diet pattern were as many as 82,05% of all samples. Most of the colorectal cancer patients were diagnosed with colorectal tumor or polyp (69,72%). A total of 30 patients (76,92%) were never diagnosed with ulcerative colitis. As many as 76,93% patients were without any familial history of cancer. The lifestyles of 61,54% colorectal cancer patients were bad lifestyle. Based on the result it can be concluded that diet pattern, age, tumor history, and lifestyle had a significant distribution on the incidences of colorectal cancer. Keywords: colorectal cancer, colorectal polyp, ulcerative colitis.
DISTRIBUSI POLA DIET PASIEN KANKER KOLOREKTAL DI RSUD ULIN BANJARMASIN PERIODE AGUSTUS OKTOBER 2015 Rahmadania, Emma; Wibowo, Agung Ary; Rosida, Lena
Berkala Kedokteran Vol 12, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v12i2.1872

Abstract

Abstract: Colorectal cancer is a malignancy of epithelial cells of the colon or rectum. Factors associated with an increased risk of this type of cancer include eating habits. The purpose of this study was to determine distribution the dietary patterns in colorectal cancer patients at hospitals Ulin Banjarmasin period from August to October 2015 by a review of fat dietary, protein dietary, fiber dietary  by age and gender. This research is a descriptive observasional with  cross sectional approach. Data was collected using a food frequency questionnaire and interviews. Sampling was conducted with consecutive sampling technique to obtain the sample amounted to 30 patients in accordance with the inclusion criteria. Obtained the age group of patients when first diagnosed with colorectal cancer is highest in the age group 41-60 years (50%) as many as 15 people. Sex ratio of colorectal cancer patients in hospitals Ulin Banjarmasin the period August-October 2015 that men of 15 people (50%) and women of 15 people (50%). Of the 30 respondents, there are 28 (93.4%) patients with colorectal cancer who rarely consume fat, there are 25 (83.4%) patients with colorectal cancer who rarely consume protein, and there were 25 (88.7%) patients with colorectal cancer are rare consuming fiber. Distribution of pattern dietary (fat, protein, fiber)by age and sex obtained the same result that most are in the rare category. Keywords: colorectal cancer, fat, protein, fiber. Abstrak: Kanker kolorektal adalah suatu keganasan dari sel epitel kolon atau rektum. Faktor yang berkaitan dengan peningkatan risiko kanker jenis ini antara lain kebiasaan makan. Tujuan penelitian ini adalah untuk mengetahui distribusi pola diet pasien kanker kolorektal  di RSUD Ulin Banjarmasin periode Agustus-Oktober  2015 dengan tinjauan terhadap diet lemak, diet protein, diet serat berdasarkan usia dan jenis kelamin. Penelitian ini merupakan penelitian yang bersifat deskriptif observasioal dengan pendekatan cross sectional. Data dikumpulkan dengan menggunakan lembar kuesioner food frequency dan wawancara. Pengambilan sampel  dilakukan dengan teknik consecutive sampling sehingga didapatkan sampel berjumlah 30 pasien yang sesuai dengan kriteria inklusi. Didapatkan kelompok usia pasien saat pertama kali terdiagnosis kanker kolorektal terbanyak adalah pada kelompok usia 41-60 tahun (50%) yaitu sebanyak 15 orang. Rasio perbandingan jenis kelamin pasien kanker kolorektal di RSUD Ulin Banjarmasin periode Agustus-Oktober 2015 yaitu laki-laki sebanyak  15 orang (50%)  dan perempuan sebanyak 15 orang (50%). Dari 30 responden, terdapat 28 (93,4%) pasien kanker kolorektal yang jarang mengkonsumsi lemak, terdapat 25 (83,4%) pasien kanker kolorektal yang jarang mengkonsumsi protein, dan terdapat 25 (88,7%) pasien kanker kolorektal yang jarang mengkonsumsi serat. Distribusi pola diet (lemak, protein, serat) berdasarkan usia dan jenis kelamin didapatkan hasil yang sama yaitu paling banyak berada pada kategori jarang. Kata-kata kunci: kanker kolorektal, lemak, protein, serat
GAMBARAN KEPATUHAN HAND HYGIENE PADA PESERTA PROGRAM PENDIDIKAN DOKTER SPESIALIS DI RSUD ULIN BANJARMASIN Qothrunnada, Salsabila; Rahmiati, Rahmiati; Mulyani, Nina; Wibowo, Agung Ary; Muthmainah, Noor
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11468

Abstract

The account of Hospital Associated Infections (HAIs) remains high in Indonesia and worldwide. Cross-transmission can occur through contaminated healthworker hand, including residents. Hand hygiene is considered one of HAIs prevention control. This study sought to know hand hygiene compliance among Ulin Hospital’s residents based on gender and specialty. The observation was to checked on six steps standard procedure and five moments of hand hygiene. This observational descriptive study was conducted among internal medicine and surgery residents during October to November 2022. Samples were taken by consecutive sampling method. The result showed that hand hygiene compliance was 35%. Moreover, 38,1% residents adhered to 6 standard steps. Hand hygiene compliance between male 50% and female 20%; internal medicine 35% and surgery 34%. Compliance of each five moments hand hygiene was before aseptic 100%, after body fluid exposure 100%, before touching patient 38,1%, after touching patient 38,1%, and after touching patient surroundings 7,14%. Thus, the study concluded that male hand hygiene compliance was higher than female; internal medicine was higher than surgery. The highest compliance were before aseptic and after body fluid exposure. The present study emphasize the need for improving hand hygiene compliance among residents. 
HUBUNGAN ANTARA SKOR WIBOWO DAN SKOR RANDHAWA DENGAN TINGKAT KESULITAN KOLESISTEKTOMI LAPAROSKOPI Sorayya, Laina; Wibowo, Agung Ary; Yuliana, Ida; Poerwosusanta, Hery; Rosida, Lena
Homeostasis Vol 7, No 2 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i2.13233

Abstract

Abstract: Wibowo and Randhawa score are preoperative scoring systems to predict the difficulty of laparoscopic cholecystectomy. Allegedly, the duration of surgery lengthens as the score increases. Variable difference of the two scores may also be associated with their effectiveness difference in predicting the difficulty of surgery. This study aimed to determine the correlation and difference between Wibowo and Randhawa score with the difficulty of laparoscopic cholecystectomy. This study is an observational analytical correlation and comparative study with a prospective cohort approach. The correlation between the score and the difficulty of surgery was analyzed by simple linear regression test, while the effectiveness difference was analyzed by binomial logistic regression test. There was a weak positive correlation that’s significant between Randhawa score and the difficulty of surgery (r = 0,406; B = 3,017; p = 0,009) and moderate positive correlation that’s significant between Wibowo score and the difficulty of surgery (r = 0,540; B = 3,618; p = 0,001). There was no significant difference between the two scores in predicting the difficulty of surgery (RR 1,523; p = 0.498). An increasing score would lengthen the duration of surgery. Wibowo score was more effective than Randhawa’s, but not significant. Keywords: laparoscopic cholecystectomy, Wibowo score, Randhawa score, level of difficulty, duration Abstrak: Skor Wibowo dan Randhawa merupakan sistem skoring preoperatif untuk memprediksi tingkat kesulitan kolesistektomi laparoskopi. Peningkatan skor diduga berhubungan dengan pemanjangan durasi operasi. Perbedaan variabel penilaian pada kedua skor diduga juga berhubungan dengan perbedaan efektivitasnya dalam memprediksi tingkat kesulitan operasi. Penelitian bertujuan untuk mengetahui hubungan dan perbedaan antara kedua skor tersebut dengan tingkat kesulitan kolesistektomi laparoskopi. Penelitian bersifat observasional analitik korelasional dan komparatif dengan pendekatan kohort prospektif. Hubungan kedua skor dengan tingkat kesulitan operasi dianalisis dengan uji regresi linier sederhana, sedangkan perbedaan efektivitasnya dianalisis dengan uji regresi logistik binomial. Terdapat korelasi positif tingkat lemah yang bermakna antara skor Randhawa dengan tingkat kesulitan operasi (r = 0,406; B = 3,017; p = 0,009) dan korelasi positif tingkat sedang yang bermakna antara skor Wibowo dengan tingkat kesulitan operasi (r = 0,540; B = 3,618; p = 0,001). Tidak terdapat perbedaan yang bermakna antara kedua skor tersebut dalam memprediksi tingkat kesulitan operasi (RR 1,523; p = 0,498). Peningkatan skor menyebabkan pemanjangan durasi operasi. Skor Wibowo lebih efektif daripada skor Randhawa, tetapi tidak bermakna. Kata-kata kunci: kolesistektomi laparoskopi, skor Wibowo, skor Randhawa, tingkat kesulitan, durasi
HUBUNGAN DERAJAT DIFERENSIASI DENGAN JUMLAH SEL RADANG LIMFOSIT PADA HISTOPATOLOGI KANKER KOLOREKTAL Wahyuni, Dina; Wibowo, Agung Ary; Oktaviyanti, Ika Kustiyah; Budiwinata, Winardi; Rosida, Lena
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11450

Abstract

Colorectal cancer is the third most common cause of death in the world. Colorectal cancer was ranked third in Indonesia. Colorectal cancer patients had a statistically significant difference in lymphocyte inflammatory cell values compared to healthy controls. Colorectal cancer patients had much higher lymphocyte inflammatory cell values than healthy controls. Lymphocyte infiltration can provide additional prognostic information for treatment options in some situations. Histopathology is an essential factor in determining the diagnosis, treatment management, and prognosis. Histopathological examination of the degree of differentiation can determine whether a neoplasm is malignant. The prognosis of colorectal cancer depends on the presence or absence of metastases and the degree of differentiation; with a histopathological examination, we can see the spread of inflammatory cell infiltration at the degree of differentiation which can be used to determine the prognosis of colorectal cancer. The normality test results of the p-value of inflammatory lymphocyte cells were <0.001. Correlation data analysis using the rank-spearman test showed p>0.05 in colorectal cancer patients at Ulin Hospital Banjarmasin. 
GAMBARAN KEPATUHAN HAND HYGIENE PADA MAHASISWA PROGRAM PROFESI NERS DI RSUD ULIN BANJARMASIN Romdoni, Muhammad Akbar; Rahmiati, Rahmiati; Mulyani, Nina; Wibowo, Agung Ary; Muthmainah, Noor
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11455

Abstract

Healthcare Associated Infections (HAIs) are infections in patients acquired in hospitals which are strongly influenced by the cleanliness of nursing students who are practicing at the hospital. Nurse student hand hygiene compliance is a fundamental behavior in an effort to prevent HAIs. The purpose of this study was to find out the compliance of hand hygiene among nursing students at Ulin Hospital, Banjarmasin. This study used an observational survey method with 15 samples. The results of this study indicate the compliance of nurse students with five moments hand hygiene 85%, which 75% adhered to the procedure . Based on gender, female 90.6% and male 78.6%. Based on the five moments indication, after exposure to body fluids 100%, after touching the patient 100%. before touching the patient 80%, before aseptic action 60%, %. The conclusion of this study is that most nursing students perform hand hygiene at five moments, the compliance of female is higher than men, the highest adherence is found after exposure to body fluids and after touching the patient while the lowest compliance is found at before the aseptic procedure and most of the nursing students perform.
INSIDENSI SINDROM PASCA KOLESISTEKTOMI PADA PASIEN KOLELITIASIS Ridhana, Achmad; Wibowo, Agung Ary; Yuliana, Ida; Rosida, Lena; Poerwosusanta, Hery
Homeostasis Vol 7, No 1 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i1.12356

Abstract

Abstract: Post-cholecystectomy syndrome can reduce the recovery of patients with cholelithiasis. This study aims to analyze the incidence of post-cholecystectomy syndrome in patients with cholelithiasis. This study was descriptive longitudinal co-hort prospective with follow up patients 2 and 7 days post cholecystectomy using guided interviews. The incidence of post-cholecystectomy syndrome based on clinical symptoms of 54 subjects 2 and 7 days postoperatively was 38.9% and 14.8%. Of the 54 subjects there were clinical symptoms of biliary colic pain 2 and 7 days after cholecystectomy, many felt moderate and mild pain, percentages of 50% and 88.9%. Fever 2 and 7 days after cholecystectomy many did not feel it percentage of 70.4% and 100%. Jaundice 2 and 7 days after cholecystectomy was mostly not felt by 90.7% and 98.1%. Jaundice 2 and 7 days after cholecystectomy was mostly not felt by 90.7% and 98.1%. Vomiting 2 and 7 days after cholecystectomy was not experienced by 74.1% and 88.9%, respectively. Dyspepsia 2 and 7 days after cholecystectomy was mostly not felt by 74.1% and 83.3%. Diarrhea 2 and 7 days after cholecystectomy was not experienced by 100% and 87%, respectively. Abdominal cramps 2 days after cholecystectomy were mostly felt by 87%, 7 days after cholecystectomy were mostly not felt by 92.6%. Most subjects 2 and 7 days post cholecystectomy did not experience post-cholecystectomy syndrome. Keywords: incidence, post cholecystectomy syndrome, cholelithiasis Abstrak: Sindrom pasca kolesistektomi dapat menurunkan kesembuhan pasien kolelitiasis. Penelitian bertujuan menganalisis insidensi sindrom pasca kolesistektomi pada pasien kolelitiasis. Penelitian ini deskriptif longitudinal  co-hort prospektif dengan  follow up pasien 2 dan 7 hari pasca kolesistektomi menggunakan wawancara terpimpin. Insidensi sindrom pasca kolesistektomi berdasarkan gejala klinis dari 54 subjek 2 dan 7 hari pasca operasi sebesar 38,9% dan 14,8%. Dari 54 subjek terdapat gejala klinis nyeri kolik bilier 2 dan 7 hari pasca kolesistektomi banyak merasakan nyeri sedang  dan ringan persentase 50% dan 88,9%. Demam 2 dan 7 hari pasca kolesistektomi banyak tidak merasakannya persentase 70,4% dan 100%. Ikterus 2 dan 7 hari pasca kolesistektomi banyak  tidak merasakannya persentase 90,7% dan 98,1%. Ikterus 2 dan 7 hari pasca kolesistektomi banyak tidak merasakannya persentase 90,7% dan 98,1%. Muntah 2 dan 7 hari pasca kolesistektomi banyak tidak merasakannya persentase 74,1% dan 88,9%. Dispepsia 2 dan 7 hari pasca kolesistektomi banyak tidak merasakannya persentase 74,1% dan 83,3%. Diare 2 dan 7 hari pasca kolesistektomi  banyak tidak merasakannya persentase 100% dan 87%. Kram perut 2 hari pasca kolesistektomi banyak merasakannya persentase 87%, 7 hari pasca kolesistektomi banyak tidak merasakannya persentase 92,6%. Sebagian besar subjek 2 dan 7 hari pasca kolesistektomi tidak mengalami sindrom pasca kolesistektomi. Kata-kata kunci: insidensi, sindrom pasca kolesistetomi, kolelitiasis.
PERBEDAAN KARAKTERISTIK PASIEN PERITONITIS SEBELUM DAN SELAMA PANDEMI COVID-19 DI RSUD ULIN BANJARMASIN Tinjauan Terhadap Usia, Lama Datang, Jenis Penanganan, dan Penyebab Fadhilah, Nur; Wibowo, Agung Ary; Noor, Meitria Syahadatina; Lahdimawan, Ardik; Skripsiana, Nika Sterina
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11465

Abstract

Peritonitis is an inflammation that occurs in the peritoneal organs. Coronavirus Disease 2019 (COVID-19) has been declared a pandemic. This study aims to analyze the characteristics of peritonitis patients before and during the COVID-19 pandemic at RSUD Ulin Banjarmasin which were reviewed based on age, length of arrival, type of treatment, and causes. This research is an analytic observational study using a retrospective cohort study design. The subjects of this study were peritonitis patients at RSUD Ulin Banjarmasin from March 2018 – February 2022 who fit the inclusion criteria. The sampling method before the COVID-19 pandemic used simple random sampling and during the COVID-19 pandemic used total sampling. The results showed that the mean age of peritonitis patients before and during the COVID-19 pandemic was 33.75 ± 16.92 and 40.05 ± 19.99 (p=0.185), the average length of arrival was 4.26 ± 4.70 and 3 .40 ± 3.91 (p=0.234), and the Chi-Square test on the variable type of treatment obtained p value =0.320 and the cause obtained p value=0.558. It can be concluded that there is no difference in age, length of arrival, type of treatment, and causes of peritonitis patients before and during the COVID-19 pandemic at RSUD Ulin Banjarmasin. 
GAMBARAN SEL RADANG AKUT DAN SEL RADANG KRONIK PADA HEMOROID INTERNA Berdasarkan Gambaran Histopatologi Pasien Hemoroid di Laboratorium Patologi Anatomi RSUD Ulin Banjarmasin Tahun 2017-2021 Al Hasani, Siti Atthahirah; Oktaviyanti, Ika Kustiyah; Rosida, Lena; Wibowo, Agung Ary; Ulfah, Maria
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11470

Abstract

Hemorrhoids are dilation and inflammation of the veins in the anus from the hemorrhoidal plexus. Based on histopathological characteristics, hemorrhoids are divided into internal, external and mixed hemorrhoids. Hemorrhoids become inflamed when they experience supporting tissue degeneration, which is divided into acute and chronic inflammation. The study aims to describe acute inflammatory cells and chronic inflammatory cells in internal hemorrhoids at the Anatomical Pathology Laboratory of Ulin Hospital, Banjarmasin, 2017-2021. This study used a descriptive observational method with a cross sectional approach through secondary data collection, using a total sampling technique. Of the 24 preparations, 20 samples (83.33%) showed acute inflammatory cells. In addition, chronic inflammatory cells were found in all samples. In the categorization of chronic inflammatory cells, the highest degree of chronic inflammatory cells was shown, namely moderate degrees of 14 samples (58.33%), 7 samples (29.17%) of severe chronic inflammatory cells, and 3 samples (12.5%) of chronic inflammatory cells. light degree. So it can be concluded that chronic inflammatory cells are found more frequently than acute inflammatory cells.
Konsensus Perhimpunan Dokter Spesialis Bedah Digestif Indonesia tentang Pedoman Diagnosis dan Tatalaksana Batu Saluran Empedu Rivai, Muhammad Iqbal; Lalisang, Arnetta Naomi Louise; Nugroho, Adianto; Wibowo, Agung Ary; Handaya, Adeodatus Yuda; Arifin, Fransiscus; Situmorang, Indah; Prabowo, Erik; Irwan, Irwan; Mayasari, Maria; Tendean, Michael; Rudiman, Reno; Setyadi, Kunsemedi; Niam, Muhammad Shobachun; Suprapto, Bambang; Putra, Jeffri; Lesmana, Tommy; Mazni, Yarman; Muhar, Adi Muradi; Mulyawan, I Made; Warsinggih, Warsinggih; Lalisang, Toar Jean Maurice
Majalah Kedokteran Indonesia Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.2-2024-1188

Abstract

Introduction: Choledocholithiasis, the presence of stones in the common bile duct (CBD), is a challenge in the field of digestive surgery due to the wide range of cases with varying levels of difficulty. Until now, the options for diagnostic and therapeutic modalities have been increasingly evolving, ranging from non-invasive to invasive procedures. Therefore, the Indonesian Society of Digestive Surgeons provides recommendations for the management of CBD stone cases in Indonesia.Method: The consensus was developed using the Delphi survey method involving digestive surgery experts from various cities in Indonesia. Several issues related to the diagnosis and management of CBD stones were formulated and answered based on current research, while also considering the opinions of the experts.Result: This consensus consists of two parts: 15 recommendations related to the selection of diagnostic modalities and 10 recommendations related to management options. Recommendations regarding diagnosis include the use of ultrasonography, abdominal CT-scan, and magnetic resonance cholangiopancreatography (MRCP). In addition to standard therapeutic procedures, this consensus also provides recommendations regarding contemporary procedures such as endoscopic retrograde cholangiopancreatography (ERCP), laparoscopic common bile duct exploration (LCBDE), and open common bile duct exploration (OCBDE).Conclusion: These recommendations are aimed to assist digestive surgery experts in providing the best management for CBD stone cases.
Co-Authors Adeodatus Yuda Handaya, Adeodatus Yuda Adianto Nugroho Al Hasani, Siti Atthahirah Ardik Lahdimawan, Ardik Budiwinata, Winardi Dhia Raihana Rahdi, Dhia Raihana Fransiscus Arifin Ida Yuliana Ika Kustiyah Oktaviyanti Indah Situmorang Irwan Irwan Lalisang, Arnetta Naomi Louise Lalisang, Toar Jean Maurice Lena Rosida Lesmana, Tommy Maria Mayasari Maria Ulfah Mazni, Yarman Meitria Syahadatina Noor Muhar, Adi Muradi Mulyani, Nina Mulyawan, I Made Muthmainah, Noor Niam, Muhammad Shobachun Nur Fadhilah Poerwosusanta, Hery Prabowo, Erik Putra, Jeffri Qothrunnada, Salsabila Rahmadania, Emma Rahmiati Rahmiati Reno Rudiman Ridhana, Achmad Rivai, Muhammad Iqbal Romdoni, Muhammad Akbar Setyadi, Kunsemedi Skripsiana, Nika Sterina Sorayya, Laina Suprapto, Bambang Tendean, Michael Wahyuni, Dina Warsinggih, Warsinggih