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All Journal JURNAL WIDYA MEDIKA Journal Of Widya Medika Junior
Epriyanto Tri Darmadi
Department Of Radiology, Faculty Of Medicine Widya Mandala Surabaya Catholic University
Medicine & Pharmacology Public Health

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PANCOAST TUMOR : A CASE REPORT Epriyanto Tri Darmadi; Ivan Tjokrowinoto
JURNAL WIDYA MEDIKA Vol 8, No 2 (2022): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v8i2.3864

Abstract

Introduction: Pancoast tumor, or superior sulcus tumor, is defined as a tumor that grows on the thoracic inlet or grows on a pleuropulmonary peak that is found beyond the initial cost. These tumors may invade upper ribs, muscle, vertebral, subclavian vessels, the inferior portion of brachial plexus, sympathetic nervous system, and stellate ganglion. Pancoast tumors are mostly caused by non-small cell lung cancer. Case description: A 59-year-old man came to the emergency room with complaints about a lack of pain in his left chest. Other symptoms reported by the patient include chest discomfort, stiffness, pain rising and subsiding on the left arm that may spread back and forth, and weight loss. Chest CT Scan with contrast shows a heterogeneous mass appears at the tip of the left lung, pushing the upper lobe of the left lung, bronchiectasis at the lower lobe of the left lung, destruction of the left coastal bones 1, 2, and 3, and tracheobronchial supero-inferior lymphadenopathy. Anatomical pathology results round cell tumors favor adenocarcinoma with poorly differentiated metastasis Discussion: Diagnosis of Pancoast tumor is supported by patient symptoms, imaging results, and biopsies. This patient's complaints and symptoms are unusual, leading doctors to believe that the cause is not a Pancoast tumor. Keep in mind that Pancoast Tumors aren't the only thing that can cause Pancoast syndrome, though they are the most common. The results of this patient's biopsy rule out other causes of Pancoast tumor and are consistent with the cause of Pancoast tumors, namely adenocarcinoma, a type of non-small cell lung cancer. Conclusion: Chronic and progressive complaints and unintentional weight loss become "red flags" that may indicate the start of the malignancy process. A good clinical approach can help detect these tumors early, improving the patient's prognosis.
AGE AND GENDER WITH DEGREE OF HYPERTENSION IN ADULTS AT THE CARDIOLOGY CLINIC OF GOTONG ROYONG HOSPITAL IN SURABAYA Putu Raka Prema Aristian; Epriyanto Tri Darmadi; Maria Patricia Dian Putri
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 5, No 3 (2023): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v5i3.4827

Abstract

Background : Hypertension is a condition that blood pressure in a person increases with systolic 140 mmHg and/or diastolic 90 mmHg, either based on clinical measurements or health care facilities. Hypertension is often called a "silent killer". Risk factors associated with the incidence of hypertension include age and gender. Goals : To examine the correlation between age and degree of hypertension in adults and the correlation between gender and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong Hospital in Surabaya.Method : This research used an analytical observational method with a cross-sectional design. Data accumulation was obtained through medical records from the Cardiology Clinic of Gotong Royong Hospital in Surabaya. This research used simple random sampling as the sampling technique. Meanwhile, the expected analysis results from this research are p-value ≤ 0.05 and r value = 0.8 – 1.00.Result : The result of analysis after the Spearman test about the correlation between age and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong Hospital in Surabaya this research found p value = 0.938 which is interpreted as a non-significant correlation and r value=   -0.012, which is interpreted as a very weak correlation. Then, the result of the analysis of the correlation between gender and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong Hospital in Surabaya had a p-value = 0.632, which is interpreted as a non-significant correlation and an r value = -0.072, which is interpreted as very weak correlation.Conclusion : There is no correlation between age and degree of hypertension in adults, nor between gender and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong in Surabaya.
THE INFLUENCE OF WORKING PERIOD ON WORK DUE TO LUNG DISEASES IN PRODUCTION WORKERS OF NATURAL STONE PROCESSING, IN TULUNGAGUNG Dinata, Mulya; Sincihu, Yudhiakuari; Suwasanti, Niluh; Rihadi, Lukas Slamet; Steven, Steven; Darmadi, Epriyanto Tri; Wulansari, Nurlita
JURNAL WIDYA MEDIKA Vol 10, No 1 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v10i1.5343

Abstract

Background of the Problem: In 2000, deaths caused by air pollution in the world reached 57,000 people per year and it is estimated that over the next 20 years this figure will increase to close to 14% or 0.7 per year.  According to Calvin, 2020, in Gold Mining, incidents of Silica exposure among workers aged 45-55 years out of 2255 people, it was found that 1592 (71%) people died. From the number above, there were 1296 people (81%) suffering from silicosis and pulmonary Tuberculosis (TB). Chemical dust (Silica) causes lung disorders, which is one of the Occupational Lung Diseases. The above process has a danger to the environment and workers. According to BPJS Employment 2022, the number of cases of KK (working accidents) and PAK (occupational diseases) in 2021 is 234,370 cases.Method of Research:       Population of 100 workers aged 20 – 61 years, Natural Stone Processors located in Tulungagung, East Java, Indonesia. Workers inspection: (1) Interview and physical examination of workers, (2) Supporting examination: Spirometry and Thorax photos, (3) Work Environment Testing consisting of: Work climate, dust, gas (NO2, CO2).Results: Worker habits: smoking as much as 55%, PPE (Personal Protective Equipment) used by the majority of cloth masks 71%, chemical dust (Silica) highest 4.6995 mg/m3, Climate in the workplace (temperature >32°C). These conditions can influence the occurrence of occupational lung disorders. Lung examination of Natural Stone processing workers in Tulungagung showed lung function disorders in 61 people (61%) and thorax photo examination showed abnormalities in 11 people (11%). WorkingPeriod has an influence on Occupational Lung Disease with a significance value of 0.03 (p-value < 0.05), with a confidence level of 95%.Conclussion: Working Period influences Occupational Lung Disease in workers in the production department of the Natural Stone Processing Company, in Tulungagung (1). Other factors that are suspected to influence the health of workers include: Occupational Lung Disease, namely smoking habits, not using the correct PPE, a dusty work environment (chemical substances) and a workplace climate with temperatures above the recommended values (2).Keywords: PAK, KK, APD, Silica, Working Period, Lung Disease due to work
Co-Authors Dinata, Mulya Ivan Tjokrowinoto Maria Patricia Dian Putri Putu Raka Prema Aristian Rihadi, Lukas Slamet Sincihu, Yudhiakuari Steven Steven Suwasanti, Niluh Wulansari, Nurlita