scholarly journals Comparison of Mastication Status in Ameloblastoma Patients Post-Mandibular Segmental Resection Operation with LC Type with Mandibular Reconstruction using Kirschner Wire and Plate Bone Graft in RSUD Dr. Soetomo

2021 ◽  
Vol 8 (7) ◽  
pp. 386-390
Author(s):  
Asep Nasrullah ◽  
Dwi Hari Susilo ◽  
Marjono Dwi Wibowo

Introduction: Ameloblastoma is a benign epithelial neoplasm and accounts for 10% of all odontogenic tumors. It is characterized by a slow growth pattern and can grow to a very large size and cause severe facial deformities. Radical resection with K-wire reconstruction and plate bone graft is the most effective method but can cause deformity and malfunction of the patient's jaw. Mastication status is an important indicator to assess a good quality of life in ameloblastoma patients undergoing mandibular resection. Methods: data comes from primary data in the form of interviews and secondary data in the form of medical records of ameloblastoma patients who have undergone mandibular resection surgery with LC type defects and underwent mandibular reconstruction with Kirschner Wire or Plate-Bone Graft in the Head-Neck Surgery Division at dr. Soetomo Surabaya. This study is an analytic study to see the mastication status of patients after mandibular resection and reconstruction. The research design is a Case Control Study. Results: Based on a total of 80 research subjects consisting of 43 patients (53.8%) and 37 (46.3%). -60 years as many as 25 patients (31.3%), age 20 years as many as 18 patients (22.5%). and age 61 years as many as 5 patients (6.3%). Based on the type of reconstruction used, the results showed that 43 patients (53.8%) used plate bone graft and 37 patients (46.3%) used Kirschner wire. there is a relationship between the type of reconstruction used and the mastication status of the research subjects with p value = 0.004 (p <0.05). Conclusion: Patients who underwent reconstructive surgery with plate bone graft had 4 times better mastication status compared to patients who underwent reconstructive surgery using Kirschner wire. Keywords: mastication status, mandibular reconstruction, K-wire, plate bone graft.

2021 ◽  
Vol 8 (7) ◽  
pp. 375-380
Author(s):  
Djoko Supriyandono ◽  
Marjono Dwi Wibowo ◽  
Dwi Hari Susilo

Background: Mandibular resection is part of the surgical operation for ameloblastoma cases, followed by mandibular reconstruction. Good masticatory status should be taken into account in determining the success of mandibular reconstruction. To assess mastication, some measuring instruments in the form of a questionnaire were created, one of which is the Tsuga questionnaire. At RSUD Dr. Soetomo Surabaya, the most common resection performed is mandibular segmental resection with an LC type defect, where an assessment of mastication status had not been carried out in this case. Methods: This study is an analytic study to see the mastication status of patients after mandibular resection and reconstruction with a case-control study design. This study used primary data in the form of interviews and secondary data in the form of medical records of ameloblastoma patients who had undergone mandibular resection surgery with an LC type defect and underwent mandibular reconstruction at RSUD Dr. Soetomo Surabaya. Results: The total research subjects were 50 people, consisting of 26 men (52%) and 24 women (48%). From the results of the study, there was no statistically significant relationship between the age group and mastication status after mandibular reconstruction (p-value = 0.765) and also between gender and mastication status after mandibular reconstruction (p-value = 0.725). Meanwhile, between the type of reconstruction and mastication status, there was a statistically significant relationship (p-value = 0.011). It was also found that patients with the type of reconstruction using a plate bone graft had five times better mastication status than those who used the type of reconstruction using a plate. Conclusion: There is a statistically significant relationship between the type of reconstruction and mastication status. Mandibular reconstruction in postoperative ameloblastoma patients with mandibular segmental resection with LC type defects using plate bone graft has a better mastication status than those using plates without bone graft. Keywords: masticatory status, ameloblastoma, mandibular resection, mandibular reconstruction.


2019 ◽  
Vol 2 (1) ◽  
pp. 25-29
Author(s):  
Ketut Anita Herdianti ◽  
Nyoman Gede Wardana ◽  
I Nyoman Mangku Karmaya

Primary dysmenorrhea is defined as a painful sensation during menstruation that is not associated with gynecological disorders or without the discovery of a pathological condition in the pelvis. Primary dysmenorrhea is the most common type of menstrual  pain,  which  is  experienced  by  more  than  50%  of  women,  so  effective prevention with minimal side effects is needed, such as improvement in exercise habits. This study aims to  determine the relationship between exercise habits with primary dysmenorrhea in female students of the Faculty of Medicine Unud academic year 2017. The type of research used is observational analytic with a cross sectional approach. The research subjects were 96 students from the Faculty of Medicine Unud academic year 2017. The research data were primary data in the form of questionnaires. Of  the  96  samples  examined,  most  of  the  students  experienced  primary dysmenorrhea with a proportion of primary dysmenorrhea is 86.5% and respondent with routine exercise habits less than respondent whose exercise habits were not routine with a proportion of 12.5% and 87.5% each. Students with regular exercise habits found a higher proportion of primary dysmenorrhea, 75% compared to 25% without primary dysmenorrhea. Based on the results of the chi-square test showed that there was no significant relationship between exercise habits with primary dysmenorrhea in Pre-Clinical Students of Medical Education Program Faculty of Medicine Udayana University Academic Year 2017 with p-value = 0.215.


2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Durrotun Nafisah ◽  
Sudji Munadi ◽  
Nurul Suciana Adam

This study Post-Occupational Evaluation (POE), aims to determine whether the natural lighting and ventilation openings in theoretical rooms at SMK XYZ have met the standards or not. The review of technical aspects focused on lighting and ventilation issues. This research is descriptive, evaluative, with the POE method at the investigative level, making 13 theoretical rooms as research objects and 156 students or 12 students per class as research subjects. The research instrument is a measuring instrument plus a questionnaire as data to strengthen the study results. Data collection techniques with observation and recording of primary data and secondary studies. The data analysis technique used descriptive quantitative. The theoretical space at SMK XYZ for the KBM process does not meet standards, such as the natural lighting of the theoretical room in 11 of the 12 existing rooms, the inlet, and the outlet area, elevation of ventilation holes at the inlet throughout the theory room.


2021 ◽  
Vol 5 (4) ◽  
pp. 1119-1126
Author(s):  
Indri Ramayanti ◽  
Wieke Anggraini ◽  
Fatinah Fairuz Qonitah ◽  
Ahmad Ghiffari ◽  
Thia Prameswarie

Background: COVID-19 (coronavirus disease 2019) is a contagious infection currently affecting people worldwide, including in Indonesia. The spread of this virus is extremely rapid, and the number of deaths continues to rise. Compliance with the health protocol is one method of preventing the spread of COVID-19. The purpose of this study is to determine the relationship between generation-Z (gen-Z) knowledge and attitudes toward the use of masks, keeping distance, and washing hands as a means of preventing COVID-19 in religious activities at houses of worship in Palembang. Method: The observational analytic cross-sectional research design with the study's population consists of generation Z members who participate in religious activities in places of worship. The cluster random sampling method yielded 147 respondents. The data collected are primary data obtained directly from the research subjects via a questionnaire and secondary data obtained from the Palembang City Ministry of Religion. They were using the Pearson chi-square test to analyze descriptive data. Results: According to the findings, 79 people (53.7%) out of 147 respondents have good knowledge, while 75 people have a good attitude (51% ). The results obtained a statistically significant p-value of 0.05, indicating a relationship between gene Z knowledge and attitude and adherence to the use of masks, keeping distance, and washing hands. Conclusion: There is a significant relationship between knowledge and attitudes toward COVID-19 infection prevention in Generation Z who participate in religious activities in Palembang City.


2021 ◽  
Vol 5 (7) ◽  
pp. 685-692
Author(s):  
Indri Ramayanti ◽  
Wieke Anggraini ◽  
Fatinah Fairuz Qonitah ◽  
Ahmad Ghiffari ◽  
Thia Prameswarie

Background: COVID-19 (coronavirus disease 2019) is a contagious infection currently affecting people worldwide, including in Indonesia. The spread of this virus is extremely rapid, and the number of deaths continues to rise. Compliance with the health protocol is one method of preventing the spread of COVID-19. The purpose of this study is to determine the relationship between generation-Z (gen-Z) knowledge and attitudes toward the use of masks, keeping distance, and washing hands as a means of preventing COVID-19 in religious activities at houses of worship in Palembang. Method: The observational analytic cross-sectional research design with the study's population consists of generation Z members who participate in religious activities in places of worship. The cluster random sampling method yielded 147 respondents. The data collected are primary data obtained directly from the research subjects via a questionnaire and secondary data obtained from the Palembang City Ministry of Religion. They were using the Pearson chi-square test to analyze descriptive data. Results: According to the findings, 79 people (53.7%) out of 147 respondents have good knowledge, while 75 people have a good attitude (51% ). The results obtained a statistically significant p-value of 0.05, indicating a relationship between gene Z knowledge and attitude and adherence to the use of masks, keeping distance, and washing hands. Conclusion: There is a significant relationship between knowledge and attitudes toward COVID-19 infection prevention in Generation Z who participate in religious activities in Palembang City.


Author(s):  
Hung Nguyen Ngoc ◽  
Wantanee Kriengsinyos ◽  
Nipa Rojroongwasinkul ◽  
Wichai Aekplakorn

Objective: Thai adults, have increased risk of being diagnosed with metabolic syndrome (MetS). Hence, early discrimination of MetS, with a simple and high accuracy index, appears necessary. However, the application of the discriminating ability of Lipid Accumulation Product (LAP), which is an emergent indicator of central lipid accumulation, to MetS among Thai people has not been investigated. This present study’s purposes were to investigate the nationwide prevalence of MetS, and the ability of LAP in discriminating this disorder.Material and Methods: Cross-sectional secondary data analysis was performed in 2018, using primary data from the Thai National Health Examination Survey, 2009. A total of 18,642 Thailanders ≥18 years were recruited. MetS was diagnosed by the National Cholesterol Education Program/Adult Treatment Panel III (NCEP/ATP) and International Diabetes Federation (IDF).Results: Overall, the prevalence of MetS-NCEP/ATP and MetS-IDF in Thai adults was 20.0% and 27.0%, respectively. LAP showed outstanding discriminating ability for MetS in both definitions (the cut-off point of 34.38 and 37.96 cm.mmol/L; area under the curve of 0.889 and 0.915 for NCEP/ATP and IDF, respectively). LAP performed the closest agreement in discriminating MetS-NCEP/ATP (κ=0.598, p-value<0.001) and MetS-IDF (κ=0.577, p-value<0.001). Logistic regression analysis exhibited a strong association of the LAP cut-off point with MetS, with the odds ratio being from 23.37 to 27.22 (p-value<0.001). Conclusion: These study results revealed that LAP was strongly associated with MetS, had an outstanding and reliable diagnostic accuracy for discriminating MetS in Thai adults, which might be helpful for early detection of MetS among vulnerable populations.


2020 ◽  
Vol 1 (2) ◽  
pp. 9
Author(s):  
Yunita Mansyah Lestari ◽  
Suzy Yusna Dewi ◽  
Aulia Chairani

ABSTRAK   Alexithymia ditandai dengan ketidakmampuan dalam mengenali dan mengekpresikan emosi serta pemikiran yang berorientasi eksternal sehingga mereka memiliki hubungan interpersonal yang buruk. Remaja dengan alexithymia cenderung menjadi kecanduan media sosial.Penelitian ini bertujuan untuk mengetahui hubungan antara Alexithymia terhadap kecanduan media sosial pada remaja di Jakarta Selatan. Subjek penelitian adalah remaja yang berusia 13-19 tahun dan tinggal di Jakarta selatan. Pengambilan data menggunakan metode consecutive sampling dan snowball sampling dengan menyebar kuesioner menggunakan link googleform. Jumlah subjek penelitian sebanyak 207 orang (41 = laki-laki, 166 = perempuan). Skala yang digunakan adalah Toronto Alexithymia Scale (TAS-20) dan Social Media Disorder (SMD). Analisa data menggunakan metode chi-square pada SPSS 25. Hasil penelitian didapatkan 85 orang mengalami alexithymia, 88 mengalami kecanduan dan 62 orang mengalami alexithymia dan kecanduan media sosial. p-value didapatkan 0,000. Hal ini berarti terdapat hubungan antara Alexithymia dengan Kecanduan Media Sosial pada remaja di Jakarta Selatan. Kata Kunci :Alexithymia, Kecanduan Media Sosial, Remaja     ABSTRACT   Alexithymia is characterized by an inability to recognize and express emotions and have external oriented thoughts so that they have poor interpersonal relationships. Teenagers with alexithymial tend to become addicted to social media. This study aims to determine the relationship between Alexithymia towards social media addiction in adolescents in South Jakarta. The research subjects were adolescents aged 13-19 years and lived in south Jakarta. Retrieval of the data was using consecutive sampling and snowball sampling method by distributing questionnaires using the googleform link. The number of research subjects was 207 people (41 = men, 166 = women). The scale was used is the Toronto Alexithymia Scale (TAS-20) and Social Media Disorder (SMD). Data analysis using the chi-square method in SPSS 25. The results showed that 85 people had alexithymia, 88 were addicted and 62 people had alexithymia and were addicted to social media. p-value obtained is 0,000. This means that there is a relationship between Alexithymia and Social Media Addiction in adolescents in South Jakarta. Keyword : Adolescents, Alexithymia, Social Media Addiction


2020 ◽  
Vol 2 (2) ◽  
pp. 112-120
Author(s):  
Nursari Abdul Syukur ◽  
Susi Purwanti

Many mothers who give birth to Sectio Caesarea (SC) do not Initiate Early Breastfeeding (IMD), which fails exclusive breastfeeding. This study aimed to determine the effect of IMD management in postpartum SC mothers on nutritional status, speed of milk production, and quality of breast milk protein. Method: quantitative research with quasi approach experiment. The research design used was a pre-post-test control non-equivalent control group. A sampling of this study used the Consecutive method sampling with a sample of 20 mothers who gave birth by cesarean section (SC). Hypothesis testing uses the independent t-test and the Mann-Whitney test. The study results showed an influence on the management of IMD in postpartum SC mothers on the speed of ASI production (p-value=0.004) and nutritional status (p-value=0.028). There was no effect of IMD management on postpartum SC mothers on the quality of breast milk protein (p-value = 0.543). This study recommends that the hospital implement an IMD promotion program before the abdominal wall is closed as a form of intervention to increase milk production and maternal nutritional status


2019 ◽  
pp. 1-2

A study of of endometrial thickness on TVS in relation with histopathology report on dilation and curettage. AIM AND OBJECTIVE-To set a cut off limit of endometrial thickness on TVS for differtiating between normal and abnormal endometrium. MATERIAL AND METHOD-hospital based comparative study. RESULTS-TVS is non invasive ,simple first line procedure in AUB women. Mean endometrial thickness in normal endometrial group was 8.00±2.44 mm and in abnormal endometrial group was 15.16±33 mm.The difference was found highly significant (p value<.001)


2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Fela Putri Hariastuti ◽  
Andin Ajeng Rahmawati

ABSTRAK            Masa remaja mengalami perkembangan fisiologis, psikososial, kognitif, moral dan perkembangan seksual. Perubahan fisiologis pada masa remaja merupakan hasil aktivitas hormonal dibawah pengaruh sistem saraf pusat. Menarche pada umumnya menjadi masalah bagi remaja, hal ini terjadi karena remaja masih belum tahu tentang apa itu menstruasi dan bagaimana menanganinya, sehingga kebersihan daerah genetalia tidak terjaga dan dapat menimbulkan terjadinya keputihan (Soetjiningsih, 2007).            Penelitian ini bertujuan untuk mengetahui penatalaksanaan flour albus pada remaja putri kelas X di SMA AL-Fatimah Bojonegoro tahun 2016. Jenis penelitian ini adalah kualitatif yaitu penelitian expose facto (mengungkap fakta) dengan pendekatan pengukuran secara langsung dengan menggunakan data primer. Subjek penelitian semua remaja putri kelas X yang mengalami keputihan di MA AL- Fatimah Kecamatan Bojonegoro Kabupaten Bojonegoro tahun 2016 yang berjumlah 30 responden.            Hasil penelitian yang didapatkan sebanyak 25 responden remaja putri sudah bisa melaksanakan penatalaksanaan pada flour albus. Kata Kunci : flour albus,  remaja putri ABSTRACT            Adolescence develops physiological, psychosocial, cognitive, moral and sexual development. Physiological changes in adolescence are the result of hormonal activity under the influence of the central nervous system. Menarche is generally a problem for teenagers, this is because teenagers still do not know what menstruation is and how to handle it, so that the cleanliness of the genetalia area is not maintained and can lead to whitish (Soetjiningsih, 2007).This study aims to determine the management of flour albus in adolescent girls of class X in SMA AL-Fatimah Bojonegoro in 2016. The type of this research is qualitative research that is expose facto (revealing fact) with approach of measurement directly by using primary data. Research subjects of all teenage girls of class X who experienced whiteness in MA Al-Fatimah Bojonegoro District Bojonegoro District in 2016, amounting to 30 respondents.The results obtained as many as 25 female teenage respondents have been able to implement management on flour albus. Keywords: flour albus, young women


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