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RACHMAT HIDAYAT
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Jl. Sirna Raga no 99, 8 Ilir, IT3 Palembang
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INDONESIA
Jurnal RSMH Palembang
Published by HM Publisher
ISSN : -     EISSN : 27742970     DOI : https://doi.org/10.37275/jrp
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
JRP covers the major topics like Internal Medicine, Obstetric and Gynecology, Pediatric, Surgery, Ear Nose Throat, Neurology, Ophthalmology, Dermatovenerology, Anesthesia and Reanimation, Radiology, Pathology Anatomy, Clinical Pathology, Community Enpowerment, Manajemen of Hospital, Community Medicine and all topics related medical fields.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 6 Documents
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Search results for , issue "Vol. 3 No. 1 (2022): Jurnal RSMH Palembang" : 6 Documents clear
Papillary Thyroid Carcinoma Arising in Thyroglossal Duct Cyst: A Case Report Fadillah
Jurnal RSMH Palembang Vol. 3 No. 1 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i1.24

Abstract

Thyroglossal duct cysts (TGDC) are usually located in the midline of the neck. A remnant of the thyroglossal duct, usually a cyst, is the most common congenital abnormality of thyroid gland development. This study aimed to describe a patient with TGDC and the microscopic appearance of the supporting examination. A woman, 22 years old, was admitted to the hospital with complaints of a lump in the submandibular area. Excision surgery was performed, with the result microscopic showing the cyst was composed of cuboidal epithelial cells and thyroid follicles present in the cyst wall, and some histological findings, such as; formation of papillary structures, nuclear morphologic variations such as ground glass nuclei, pseudoinclusions, intranuclear grooves. Based on the clinical symptoms and histopathology, the mass in the left submandibular is consistent with papillary carcinoma arising in thyroglossal duct cysts.
Factors Related to Clinical Outcome of Patients with Stroke and COVID-19 Pneumonia in Dr. Mohammad Hoesin General Hospital Palembang Masita; Pinto Destiramadhoni Ramadhoni; Ika Erna Uli Sirait
Jurnal RSMH Palembang Vol. 3 No. 1 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i1.25

Abstract

COVID-19 infection may predispose thrombotic complications mediated by inflammation, endothelial dysfunction, and platelet activation. Several studies have reported that infection with COVID-19 is associated with both ischemic and hemorrhagic stroke. Stroke with COVID-19 Pneumonia is associated with increased morbidity and mortality. This study aimed to describe factors related to clinical outcomes in stroke patients comorbid with COVID-19 pneumonia. This study was an observational study with a cross-section approach. The population of this study is the medical records of stroke patients with pneumonia due to COVID-19 who were treated at Dr. Mohammad Hoesin General Hospital Palembang. Sample inclusion criteria in the form of medical record data for stroke patients with COVID-19 pneumonia and treated from January to June 2021. It was found that the most demographic characteristics were age (30-60 years), female, and comorbid hypertension. The most clinical characteristics were hemorrhagic stroke with severe NIHSS category and hypercoagulable conditions, and respiratory failure. From the bivariate analysis, it was found that the use of a ventilator was significantly associated with the incidence of death from stroke with COVID-19 pneumonia.
Risk Factors Related to Mortality in COVID-19 Patients Hospitalized at Dr. Mohammad Hoesin General Hospital Palembang Nieke Erianita; Sari MP; Alfiah L
Jurnal RSMH Palembang Vol. 3 No. 1 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i1.26

Abstract

The high risk of death for patients infected with COVID-19 has resulted in many stakeholders making policies and regulations related to COVID-19 in an effort to prevent the spread of this virus in Indonesia, starting from activating lockdowns, physical distancing to vaccinations in order to reduce morbidity and mortality rates. This study aimed to analyze various factors that could increase the risk of death of COVID-19 inpatients at Dr. Mohammad Hoesin General Hospital Palembang. The study uses the design of case-control by analyzing univariate, bivariate, and multivariates. The place of this research was carried out in Dr. Mohammad Hoesin General Hospital Palembang in the range of April until June 2020. It uses subjects based on study criteria. The result of bivariate analysis of the cause of death with independent variables based on data of COVID-19 claims in 2020. Statistically, there were some relationships among the gender (p-value=0,010), age (p-value=<0,0001), comorbid diseases (p-value=<0,0001), history of close contact with COVID-19 sufferers (p-value=0,006), length of stay (p-value=<0,0001). COVID-19 patients who have aged ≥50 years are at risk 2,74 to a higher risk of causing death than those aged <50 years after controlling for comorbid disease variables and length of stay (95% CI: 1,84-4.07). In conclusion, age is the dominant factor causing death. It can be used as a policy reference and additional information for readers. To apply the health protocols correctly and always consume nutritious food, especially for risky groups.
The Roles of Extracellular Matrix in Breast Carcinoma: A Narrative Literature Review Eka Putra Pratama; Citra Dewi
Jurnal RSMH Palembang Vol. 3 No. 1 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i1.27

Abstract

The extracellular matrix is a complex and highly dynamic molecular network and serves to provide biochemical signals in the process of development, invasion, and metastasis of breast cancer. There are several proteins that contribute to the structure and function of the extracellular matrix, including collagen, laminin, glycosaminoglycans, and proteoglycans. Alterations of the extracellular matrix in breast cancer are not only limited to the composition of the extracellular matrix but also remodeling enzymes such as matrix metalloproteinase (MMP), cathepsin, urokinase plasminogen activator (uPA), lysyl oxidase (LOX) and heparanase. The extracellular matrix can increase breast cancer progressivity and resistance to treatment, so it is important to know its role because it can be a targeted therapy in the future.
Analysis of Associated Factors for Nurses’ Anxiety Levels in Caring for COVID-19 Patients Kuniarti Rachmat; Gustri Putri; Evi Yuni Mistati
Jurnal RSMH Palembang Vol. 3 No. 1 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i1.28

Abstract

The COVID-19 pandemic has created a significant crisis for various groups, including nurses. Direct contact with COVID-19 patients increases the risk of infection, thereby can increase nurses’ anxiety due to the risk of transmission that may happen to their family members. This study aims to analyze the associated factors of nurses' anxiety levels in caring for COVID-19 patients. The design is an analytic study with a cross-sectional survey. The research sample was 201 nurses with purposive sampling in Covid and non-Covid wards at Dr. Mohammad Hoesin General Hospital from April to May 2021. The instrument was the Indonesian version of the Hamilton Anxiety Rating Scale (HAM-A). Data analysis was done using univariate, bivariate, and multivariate. Of the 201 nurses, 163 came from the non-Covid and 38 from the Covid wards. The levels of nurses' anxiety were mild (94%), mild-moderate (2.5%), moderate-severe (3%), and severe (0.5%). Associated factors were related to gender (p=0.039), living with the elderly (p=0.041), and being pregnant or breastfeeding (0.013) (p<0.05). Male respondents and being pregnant or breastfeeding showed the most significant relationship in influencing nurses' anxiety (p=0.048, p=0.017). There was no relationship between work units and nurses' anxiety in caring for COVID-19 patients (p=0.086; p>0.05). Gender factors and being pregnant or breastfeeding are the dominant factors in nurses' anxiety levels. The COVID-19 pandemic has been shown to affect nurses' emotional responses. Counseling is needed to reduce anxiety and prevent psychological problems during the pandemic.
Diagnosis of Osteogenesis Imperfecta in 23 Years Old Man: A Case Report Radiyati Umi Partan; Hafizzanovian; Desi Oktariana
Jurnal RSMH Palembang Vol. 3 No. 1 (2022): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jrp.v3i2.34

Abstract

Osteogenesis imperfecta is a disorder of the formation of collagen tissue that functions as connective tissue and is caused by a gene mutation that causes disturbances in the formation of type 1 collagen. This study aimed to describe the diagnosis of osteogenesis imperfecta. A 23-year-old man came to the rheumatology polyclinic of Dr. Mohammad Hoesin General Hospital Palembang with a complaint of recurrent fractures since ± 17 years ago. The patient also complained that the hearing in the left ear was slowly decreasing. The patient's right thigh was still pinned 2 years ago, but after being controlled by orthopedics, it was said that the bones were still not fused. Then the patient was referred to the rheumatology polyclinic for further examination and management. On examination, the patient was 145 cm tall and weighed 40 kg. He had blue-gray sclera, triangular facial appearance, right leg length 86 cm, left leg length 78 cm, blue sclera, and scoliosis, while secondary sex growth was within normal limits. From the examinations of bone survey and bone age, it was found osteoporotic bone structure, scoliosis, plate-screw in the middle 1/3 of the right femur, fracture union of the femur, bowing of the left femur, BMD Z-Score -3.0 means very low compared to the same age and gender. Management is more focused on supportive therapy with the aim of minimizing the occurrence of fractures, minimizing disability, and helping people with osteogenesis imperfecta to be independent and maintain overall health. The goal of orthopedic management is to treat osteogenesis imperfecta with fractures and prevent or correct bone deformity. In conclusion, osteogenesis imperfecta is a complex hereditary disease characterized by striking clinical variability necessitating a logical classification system. Disease management requires multidisciplinary experts and further research on therapeutic approaches such as bisphosphonates.

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