ISSN / EISSN : 0215-8833 / 2716-0920
Published by: Universitas Airlangga (10.20473)
Total articles ≅ 15
Latest articles in this journal
Majalah Biomorfologi, Volume 31, pp 57-65; doi:10.20473/mbiom.v31i2.2021.57-65
Background: The Emergency Department (ED) has the main purpose of receiving, triageing, stabilizing, and providing acute health services to patients, including those who require resuscitation and emergency patients to some degree. An indicator of the success of medical treatment of emergency patients is the speed of providing adequate assistance both in daily routine situations or during disasters. Factors that influence nurses’ motivation to work, especially implementing triage at the Emergency Department include the characteristics of nurses such as age, sex, education, length of work and training. Objective: To analyze the effect of workload of the medical staff of the Emergency Department on the response time in the Emergency Department of Sampang Hospital, Indonesia. Materials and Methods: Observational analytic research with cross-sectional design. Sampling was performed with total sampling method to 24 people who met the criteria. Data collection was done by questionnaire and observation. Data were analyzed using the Chi-square correlation test and Fisher’s exact test. Results: There was a significant influence between workload and response time of triage P1 of Emergency Department staff at Sampang Hospital, Indonesia (p=0.015), whereas in triage P2 and P3 there was no effect of workload of staff on response time (p>0.05). Conclusion: In Emergency Department of Sampang Hospital, Indonesia, the response time in all categories of emergency (P1/red, P2/yellow, and P3/green) is fast. Workload correlates significantly with response time in P1/red category, while in P2/yellow and P3/green categories the workload has no effect on the response time.
Majalah Biomorfologi, Volume 31, pp 66-69; doi:10.20473/mbiom.v31i2.2021.66-69
Background: Hirschsprung's disease may lead to gastrointestinal obstruction if not appropriately treated. The initial-surgery or colostomy is intended to decompress the large bowel, prevent enterocolitis, and the stooling-patterns can be measured after definitive surgery. Objective: To determine the correlation between initial-surgery age with stooling-patterns. Materials and Methods: We performed an analytic observational study in Ulin Hospital in Banjarmasin, South Kalimantan, Indonesia, from November to December 2015 with a total sample of 31 patients. The initial-surgery age was divided into before and after 30 days, while the stooling-patterns were divided into satisfied and not satisfied. Results: There was no significant correlation between initial-surgery age with stooling patterns. Most of the patients, 18/31 (58.1%), underwent initial-surgery after 30 days, and 23/31 (74.2%) had satisfied stooling patterns after surgery. Conclusion: No significant correlation between initial-surgery age and stooling patterns among Hirschsprung's disease patients.
Majalah Biomorfologi, Volume 31, pp 31-38; doi:10.20473/mbiom.v31i2.2021.31-38
Background: The habit of smoking tobacco is a lifestyle that has become a necessity for some people. Sometimes, social needs is the main reason for someone to have a smoking habit. Based on this problem, the level of cigarette consumption in the community has increased. Nowadays, the total number of couples visiting an infertility clinic is on the rise. This have led to an assumption among the community that smoking tobacco is one of the main factors causing male infertility. Objective: to compare light smokers and heavy smokers towards the results of semen analysis in infertile male patients. Materials and Methods: This study was an observational analytics, with a retrospective-cross sectional. The instrument used in this study was taken from medical records of the patients who visited the Andrology Clinic of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, for the period from January to December 2017. The observed semen analysis parameters were concentration, motility, and morphology for microscopic examination and liquefaction, pH, and volume for macroscopic examination, by following the inclusion and exclusion criteria. Results: Ninety-two samples of infertile male participants (50 light smokers and 42 heavy smokers) were included in this study. Semen analysis on its concentration, motility, spermatozoa morphology, as well as liquefaction, pH, and volume) towards the number of cigarette consumption showed no significant difference (p>0.05) between light smokers and moderate smokers. Conclusion: There was no significant difference between the light smoker and heavy smoker groups on the results of the semen analysis.
Majalah Biomorfologi, Volume 31, pp 44-48; doi:10.20473/mbiom.v31i2.2021.44-48
Background: Obesity in pregnant women has been linked to negative outcomes for both the mother and the fetus. Gestational diabetes, preeclampsia, and postpartum haemorrhage are all threats for mothers during pregnancy. These may also affect labor outcomes because fat accumulation in the pelvis makes obese pregnant women more likely to have a caesarean section. Objective: To analyze the outcome of maternal obesity in pregnancy in 2017. Materials and Methods: This was an analytic cross-sectional, observational study in pregnant women with obesity in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, within the period of January 1st – December 31st 2017 using medical records. Sample size was determined using cross-sectional sample size calculation with the result of n=162. After receiving approval of ethical clearance, medical records were collected and analyzed. The statistical analysis was done using chi-square test. Results: From a total of 162 subjects, most of the patients were 21-34 y/o (56.8%), under graduate (90.7%) and 58% of the subjects worked. Proportion of grade I, II and III were 60.5%, 22.2%, and 17.3%, and 67% suffered from complications such as PE, DM, PE with DM with percentages as follows: 56.2%, 4.9%, and 6.2%. Neonatal complications were preterm 42.6%, macrosomia 4.3%, stillbirth 4.9%, and low Apgar score 48.1%. No association was identified between maternal age and complications in grade I (p=0.764) and grade III (p=0.716). Obesity grades I and III had correlation with complications (p=0.035). Conclusion: No significant association was found between age and complications in grade III obesity, while there was significant correlation between obesity levels (grade I and grade III) and complications.
Majalah Biomorfologi, Volume 31, pp 70-74; doi:10.20473/mbiom.v31i2.2021.70-74
Background: Perforated peptic ulcer is a form of complications from peptic ulcer and one of the most common emergency conditions in medicine. Objective: To describe the characteristic and histopathological features of patients with perforated peptic ulcer who underwent open surgery therapy in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Materials and Methods: This study was a descriptive study by observing patients’ data from medical records (secondary data) at Medical Record Center of Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, in 2016. Data obtained were analyzed descriptively. Results: Forty-six patients were identified (34 male, 12 female), most of them were between 56-65 years old for male and ≥66 years old for female. Majority of the subjects had a history of herbal medicine consumption (54%) as risk factors for developing perforated peptic ulcer and the most frequent comorbid diseases were diabetes and hypertension. The histopathological features found mostly were inflammation (100%), necrosis (44%), fibrosis (36%), granulation (17%) and positive Helicobacter pylori (6%). Conclusion: Majority of the subjects were male, mostly between 56-65 years old for male and ≥66 years old for female. The histopathological features showed that all subjects had inflammations.
Majalah Biomorfologi, Volume 31, pp 49-56; doi:10.20473/mbiom.v31i2.2021.49-56
Background: Systemic Lupus Erythematosus (SLE) is an autoimmune disease with unknown aetiology. SLE attacks multiple organs with diverse clinical manifestations. Most patients get immunosuppressant therapy that suppresses immune system, causing the body to be susceptible to infection. Objective: to describe clinical manifestations, laboratory abnormalities, and incidence of infections in SLE patients hospitalized at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2016. Materials and Methods: Cross-sectional descriptive observational study used medical records of 273 SLE patients hospitalized at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia in 2016. Results: Clinical manifestations found in this study were malar rash 7.33%, discoid rash 2.93%, oral ulcer 8.42%, allopecia 16.48%, arthritis 26.74%, serositis 13.19%, kidney 35.9%, neurology 24.91%, anemia 73.71%, leucopenia 32.67%, lymphopenia 76.89%, and thrombocytopenia 33.86%. Laboratory abnormalities found in this study were hematology (anemia 73.71%, leucopenia 32.67%, lymphopenia 76.89%, thrombocytopenia 33.86%), kidney function (high serum creatinine levels 39.66%, high BUN levels 41.2%, hypoalbuminemia 62.6%), urine (proteinuria 68.21%, hematuria 51.79%) and liver function (high ALT levels 36.65%, high AST levels 29.86%). Infection occurred in 33.7% patients. The most common infections were pneumonia (70.65%), urinary tract infections (51.09%), and sepsis (35.87%). Conclusion: The most common clinical manifestations experienced by SLE patients are hematological disorder, kidney disorder, and arthritis. Prominent laboratory abnormalities are anemia, lymphopenia, and proteinuria. Infection is a common complication, with the most common types pneumonia, urinary tract infection, and sepsis.
Majalah Biomorfologi, Volume 31, pp 39-43; doi:10.20473/mbiom.v31i2.2021.39-43
Background: Depression is a mental disorder with a relatively high prevalence rate in medical students around the world. Medical students are often faced with a variety of pressures ranging from academic to social stress so that the prevalence of depression in medical students tends to be higher than general population. Objective: to find the prevalence of depression in medical students at Universitas Airlangga, Surabaya, Indonesia. Materials and Methods: This research was a descriptive cross-sectional study of first-year medical students at Universitas Airlangga, Surabaya, Indonesia in the academic year of 2017/2018. The data collection was carried out using Beck Depression Inventory II questionnaires as a measurement instrument and was analyzed by SPSS 16.0. Results: From 86 samples obtained from first-year students, 37.20% of them experienced mental conditions that were considered abnormal (mean score of 10.14 ± 7.093), starting from mild mood disturbance (23.26%) to the most severe category, severe depression (1.16%). There was no extreme depression category in this study. Furthermore, mean score of male subjects is 8.57 ± 6.120 while mean score of female subjects is 10.64 ± 7.351. Conclusion: This study revealed that the prevalence of depression in first-year medical students at Universitas Airlangga, Surabaya, Indonesia in the second semester of academic year 2017/2018 was quite high, which was more than one third of the total respondents, while the prevalence in female subjects was higher than in male subjects.
Majalah Biomorfologi, Volume 31, pp 1-5; doi:10.20473/mbiom.v31i1.2021.1-5
Background: Globocan data in 2018 shows the cancer incidence in Indonesia. The highest case in women is breast cancer. The chance of survival for patients with high malignancy (Grade III) is only 11.86%, while for patients with low malignancy (Grade I) can reach 71.69%. Estrogen exposure is a risk factor for breast cancer. The hormone causes its effect through the estrogen receptor which is a core protein. Patients with positive receptor have 5 and 10 years survival rate which is better than patients with negative estrogen receptor. Objective: To identify the correlation between hormonal status of estrogen receptor and malignancy degree of invasive ductal breast cancer. Material and Method: This research is an observational analytic study. The sample used was patient medical record data in 2015-2017 in Anatomical Pathology Unit, Central Laboratory Installation, Dr. Soetomo General Hospital. Results: The data used was 694 patients medical record in 2015-2017. Approximately 56 patients (86%) had hormonal status of positive estrogen receptor with grade I cancer, 180 patients (70%) were in grade II, and 217 patients (45%) were in grade III. Approximately 9 patients (14%) had hormonal status of negative estrogen receptor with grade I cancer, 71 patients (28%) were in grade II, and 161 patients (34%) were in grade III. The result using Chi-Square test found Chi-Square value in the amount of 27.413 with a significance value of 0.000 (p
Majalah Biomorfologi, Volume 31, pp 13-20; doi:10.20473/mbiom.v31i1.2021.13-20
Background: Metabolic syndrome is a cluster of risk factor which consists of central obesity, hypertriglyceride, low High Density Lipoprotein (HDL) level, hypertension, and hyperglycemia where the incidence increases among the office workers. Uric acid is often associated with cardiovascular disease while risk factor of cardiovascular disease is associated with metabolic syndrome. Objective: To analyze the correlation between metabolic syndrome and serum uric acid level in office workers. Method: This study used medical record of health examination of PT Wijaya Karya Divisi IV male office workers aged of 20 – 60 years. The data taken consisted of abdominal circumference, triglyceride level, HDL level, fasting blood glucose level, blood pressure, and serum uric acid levels. The diagnostic criterion of metabolic syndrome which was used in this study was National Cholesterol Education Program’s Adult Treatment Panel III (NCEP ATP III) that had been modified for Asian. The correlation of metabolic syndrome and serum uric acid level was analyzed by chi-square test with IBM SPSS Statistic 20 application. Results: There was no significant correlation between metabolic syndrome and serum uric acid leves in male office workers of PT Wijaya Karya Divisi IV (p=0.598). Conclusion: Among the male office workers of PT Wijaya Karya Division IV, it had no significant correlation between metabolic syndrome and serum uric acid level.
Majalah Biomorfologi, Volume 31, pp 6-12; doi:10.20473/mbiom.v31i1.2021.6-12
Background Coronary heart disease is a deadly disease for both men and women. Risk factors for coronary heart disease include age, sex, hypertension, diabetes mellitus, dyslipidemia. The incidence of coronary heart disease is not uniform thus here we reported the profile of coronary heart disease patients in Soetomo General Hospital Objective To analyze the profile of coronary heart disease patients in RSUD dr. Soetomo from February 2018 until September 2018. Materials and Methods A descriptive research based on the medical records patients was done Result There are 65 male patients (76%) and 20 female patients (24%). There are 58% patients aged 50-60 years (49 people), 24% patients aged more than 60 years old (21 people) and 18% patients less than 50 years old (15 people). Types of patients' occupations include 42% public servants (36 people), 36% private employees (31 people), 9% housewives (8 people), 5% retirees (3 people), 3% entrepreneurs (2 people), 1% teachers (1 person), 1% drivers (1 person) , 1% fishermen (1 person), 1% pastor (1 person) 1% merchant (1 person). The main complaints of patients included chest pain (40% or 34 cases), shortness of breath (23.5% or 20 cases),PCI pro staging therapy (4.6% or 4 cases), thump chest (1.2% or 1 case), lower right abdominal pain (1.2% or 1 case), right leg pain (1.2% or 1 case), nausea (1.2% or 1 case), vomiting (1.2% or 1 case), cough (1.2% or 1 case), dysentery (1.2% or 1 case) and no complaints (23.5% or 20 cases). Inpatients with coronary heart disease in Dr. Soetomo General Hospital have a history of hypertension (30.6% or 38 people), heart disease (22.6% or 28 people), diabetes mellitus (21.9% or 26 people), smoking (5.6% or 7 people), dyslipidemia (3.2% or 4 people), stroke (2.4% or 3 people) ), pulmonary TB (0.8% or 1 person), COPD (0.8% or 1 person) and no history of disease (12.9% or 16 people). Fifty-two patients had blood sugar levels of ≥100 mg / dl with a data percentage of 61%. While 16 other patients had blood sugar levels