5 research outputs found
Karakteristik Karsinoma Ovarium Epitel di Rsup Haji Adam Malik Tahun 2013-2016
Ovarian cancer is a gynecologic malignancy derived from ovarian tissue. There are several factors that can affect the occurrence of ovarian cancer such as age, Body Mass Index (IMT), pregnancy and parity, history of surgery, estrogen and hormone therapy, family history with cancer, diet, and consumption of alcohol and cigarettes
The present study is qualitative descriptive research aimed at obtaining the descriptive of characteristic of the patients with epithelial ovarian cancer based on age, parity, CA-125, RMI, histopathology, disease stage and surgery at RSUP Haji Adam Malik 2010-2014. The samples of the study included all epithelial ovarian cancer patients recorded in the Department of Obstetrics and Gynecology Haji Adam Malik Hospital started during the period January 2013 until December 2016 which amounted to 42 persons.
The results of the study showed that majority of the samples aged 41-60 years old as of 28 persons (66.7%) and majority of them was multipara ie as many as 16 persons (38.1%). Majority of samples had a CA-125 tumour marker level greater than 35, 37 (88.1%) with RMI more than 200, 32 (50.0%), suffering from serous adenocarcinoma 24 persons (57.1%), had an advanced stage ie as many as 22 persons (52.4%) and majority of the sample undergo surgery Laparotomy Surgical Staging (LSS) that is as of 36 persons (85.7%). It is suggested to H. Adam Malik General Hospital Medan to further improve the completeness of medical record data, especially about epithelial ovarian carcinoma so many aspects required such as RMI data, examination of CA 125, histopathology, stage and operation action have more accurate and complete data.
Majority of the the samples had age ranging 41-60 years old as of 53 persons (63.1%) and in general the sample was multipara ie as of 27 persons (31.2%). The majority of samples had levels of CA-125 tumor marker greater than 35, 57 (67.9%), had more than 200 RMI’s (42 persons (50.0%), suffered serous adenocarcinoma (38.2%), advanced stage ie as of 33 persons (39.3%) and majority of the samples undergo surgery Laparotomy Surgical Staging (LSS) as of 51 persons (60.7%). To RSUP H. Adam Malik Medan is suggested to further improve the completeness of medical record data, especially about epithelial ovarian carcinoma so aspect aspect required such as RMI data, examination of CA-125, histopathology, stage and operation action have more accurate and complete data.Kanker ovarium merupakan keganasan ginekologik yang berasal dari jaringan ovarium. Ada beberapa faktor yang dapat memengaruhi terjadinya kanker ovarium. Faktor risiko itu berupa usia, Indeks Massa Tubuh (IMT), kehamilan dan paritas, riwayat operasi, terapi estrogen dan hormon, riwayat keluarga dengan kanker, pola makan, serta konsumsi alkohol dan rokok.
Penelitian ini merupakan penelitian deskriptif kualitatif untuk memperoleh gambaran karakteristik penderita kanker ovarium epitel berdasarkan karakteristik usia, paritas, kadar CA-125, IRK, gambaran histopatologi, stadium penyakit dan tindakan operasi di RSUP Haji Adam Malik tahun 2013-2016. Sampel penelitian adalah seluruh penderita kanker ovarium epitel yang tercatat di Departemen Obstetri dan Ginekologi RSUP Haji Adam Malik mulai selama periode Januari 2013 sampai dengan Desember 2016 yang berjumlah 42 orang.
Hasil penelitian menunjukkan bahwa pada umumnya sampel berumur antara 41-60 tahun yakni sebanyak 28 orang (66.7%) dan pada umumnya sampel adalah multipara yakni sebanyak 16 orang (38.1%). Mayoritas sampel memiliki kadar penanda tumor CA-125 lebih dari 35 yakni sebanyak 37 orang (88.1%) dengan RMI lebih dari 200 yakni sebanyak 32 orang (50.0%), menderita menderita adenokarsinoma serosa yakni sebanyak 24 orang (57.1%), memiliki stadium lanjut yakni sebanyak 22 orang (52.4%) dan pada umumnya sampel menjalani tindakan operasi Laparotomy Surgical Staging (LSS) yakni sebanyak 36 orang (85.7%). Kepada RSUP H. Adam Malik Medan disarankan untuk lebih meningkatkan kelengkapan data rekam medik khususnya tentang karsinoma ovarium epitel sehingga aspek-aspek yang diperlukan seperti data RMI, pemeriksaan kadar CA 125, histopatologi, stadium dan tindakan operasi memiliki data yang lebih akurat dan lengkap.72 HalamanSkripsi Sarjan
Karakteristik Karsinoma Ovarium Epitel di Rsup Haji Adam Malik Tahun 2013-2016
Ovarian cancer is a gynecologic malignancy derived from ovarian tissue. There are several factors that can affect the occurrence of ovarian cancer such as age, Body Mass Index (IMT), pregnancy and parity, history of surgery, estrogen and hormone therapy, family history with cancer, diet, and consumption of alcohol and cigarettes
The present study is qualitative descriptive research aimed at obtaining the descriptive of characteristic of the patients with epithelial ovarian cancer based on age, parity, CA-125, RMI, histopathology, disease stage and surgery at RSUP Haji Adam Malik 2010-2014. The samples of the study included all epithelial ovarian cancer patients recorded in the Department of Obstetrics and Gynecology Haji Adam Malik Hospital started during the period January 2013 until December 2016 which amounted to 42 persons.
The results of the study showed that majority of the samples aged 41-60 years old as of 28 persons (66.7%) and majority of them was multipara ie as many as 16 persons (38.1%). Majority of samples had a CA-125 tumour marker level greater than 35, 37 (88.1%) with RMI more than 200, 32 (50.0%), suffering from serous adenocarcinoma 24 persons (57.1%), had an advanced stage ie as many as 22 persons (52.4%) and majority of the sample undergo surgery Laparotomy Surgical Staging (LSS) that is as of 36 persons (85.7%). It is suggested to H. Adam Malik General Hospital Medan to further improve the completeness of medical record data, especially about epithelial ovarian carcinoma so many aspects required such as RMI data, examination of CA 125, histopathology, stage and operation action have more accurate and complete data.
Majority of the the samples had age ranging 41-60 years old as of 53 persons (63.1%) and in general the sample was multipara ie as of 27 persons (31.2%). The majority of samples had levels of CA-125 tumor marker greater than 35, 57 (67.9%), had more than 200 RMI’s (42 persons (50.0%), suffered serous adenocarcinoma (38.2%), advanced stage ie as of 33 persons (39.3%) and majority of the samples undergo surgery Laparotomy Surgical Staging (LSS) as of 51 persons (60.7%). To RSUP H. Adam Malik Medan is suggested to further improve the completeness of medical record data, especially about epithelial ovarian carcinoma so aspect aspect required such as RMI data, examination of CA-125, histopathology, stage and operation action have more accurate and complete data.Kanker ovarium merupakan keganasan ginekologik yang berasal dari jaringan ovarium. Ada beberapa faktor yang dapat memengaruhi terjadinya kanker ovarium. Faktor risiko itu berupa usia, Indeks Massa Tubuh (IMT), kehamilan dan paritas, riwayat operasi, terapi estrogen dan hormon, riwayat keluarga dengan kanker, pola makan, serta konsumsi alkohol dan rokok.
Penelitian ini merupakan penelitian deskriptif kualitatif untuk memperoleh gambaran karakteristik penderita kanker ovarium epitel berdasarkan karakteristik usia, paritas, kadar CA-125, IRK, gambaran histopatologi, stadium penyakit dan tindakan operasi di RSUP Haji Adam Malik tahun 2013-2016. Sampel penelitian adalah seluruh penderita kanker ovarium epitel yang tercatat di Departemen Obstetri dan Ginekologi RSUP Haji Adam Malik mulai selama periode Januari 2013 sampai dengan Desember 2016 yang berjumlah 42 orang.
Hasil penelitian menunjukkan bahwa pada umumnya sampel berumur antara 41-60 tahun yakni sebanyak 28 orang (66.7%) dan pada umumnya sampel adalah multipara yakni sebanyak 16 orang (38.1%). Mayoritas sampel memiliki kadar penanda tumor CA-125 lebih dari 35 yakni sebanyak 37 orang (88.1%) dengan RMI lebih dari 200 yakni sebanyak 32 orang (50.0%), menderita menderita adenokarsinoma serosa yakni sebanyak 24 orang (57.1%), memiliki stadium lanjut yakni sebanyak 22 orang (52.4%) dan pada umumnya sampel menjalani tindakan operasi Laparotomy Surgical Staging (LSS) yakni sebanyak 36 orang (85.7%). Kepada RSUP H. Adam Malik Medan disarankan untuk lebih meningkatkan kelengkapan data rekam medik khususnya tentang karsinoma ovarium epitel sehingga aspek-aspek yang diperlukan seperti data RMI, pemeriksaan kadar CA 125, histopatologi, stadium dan tindakan operasi memiliki data yang lebih akurat dan lengkap.72 HalamanSkripsi Sarjan
DETEKSI DINI KANKER SERVIK PADA WANITA USIA SUBUR DENGAN INSPEKSI VISUAL ASAM ASETAT (IVA TEST) DI KLINIK BERSALIN KOTA MEDAN
Cervical cancer in Indonesia ranks first, 65% of the patient's condition is in an advanced stage. In research in thirteen anatomical pathology laboratories in Indonesia, the frequency of cervical cancer patients was around 18.5%. This community service aims to: (1) provide communication, education and information (IEC) about cervical cancer and the benefits of IVA Test; (2) conduct IVA Test; (3) measure WUS's knowledge about cervical cancer and IVA test. Performed at the maternity clinic, namely SAM maternity clinic (20 people) and Sari (20 people). Data analysis using dependent t test. The results of the activity were data from 26-30 years old (40%), Batak tribes (13%), Islamic religion (95%), first marriage (77.5%), high school / diploma / undergraduate education (80%), IRT (77.5 %), the work of husband's employee (52.5%), first age married 26-30 years (40%) and not smoking (80%); using injection contraception (42.5%); the obstetric history of the majority of WUS giving birth twice (42.5%) , never checked (80%), no brother is sick (75%), breast cancer (10%), not much vaginal discharge (65%), no pain under the abdomen (70%), no bleeding during intercourse (90%) and did not experience irregular menstruation (55%); results of IVA WUS Test were negative (80%), inflammation (17.5) and positive (2.5); WUS knowledge before being given Information Education Communication (IEC) about cervical cancer and the IVA Test averages = 13.58, SD = 3.012 and after being given health education on average = 14.30, SD = 3.275. The results of statistical tests obtained different mean = 0.725 and P value = 0.016, it can be concluded that there was a significant effect of IEC on WUS knowledge about cervical cancer and IVA Test. Keywords: Cervical cancer, fertile age women (WUS), IVA Tes
Pengetahuan Remaja tentang Implementasi Mitigasi Bencana pada Kelompok Rentan di Kelurahan Aur Kecamatan Medan Maimun
Disaster events will have an impact on the stability of the social order. Mitigation is structural and non-structural steps taken to limit the adverse impacts caused by natural hazards, environmental damage and technological hazards. Mitigation measures in terms of their nature can be classified into 2 (two) parts, namely passive mitigation and active mitigation. Vulnerable groups in society that must receive priority during a disaster are pregnant women, mothers giving birth and babies. The impact of disasters on pregnant women is abortion and premature birth because mothers easily experience stress, both due to hormonal changes and environmental pressures around them. Children who experience a disaster feel afraid, sad and in pain because they have experienced trauma. Disasters also affect children's future growth and development. Aur village is on the banks of the Deli river which experiences major flooding every year between December and January. Meanwhile, small floods occur starting in September around 5 times every month. This flood hit Lingkungan III and IV. The number of family heads in Lingkungan III is 360 families and in Lingkungan IV is 255 families. This research aims to increase teenagers' knowledge about implementing disaster mitigation in vulnerable groups. Research design that has been use is descriptive. The sampling technique that has been used is total sampling. The number of samples was 23 people. The research data analysis that has been used is descriptive. The research results showed that the majority were 16 years old (73.3%), high school education (93.34%), parents' occupation, housewife (36.6%), source of information about the implementation of disaster mitigation through this research (66.6 %). The level of knowledge was good (47.8%), sufficient (39.1%) and poor (13%). This research proves that the health education provided can increase teenagers' knowledge about implementation of disaster mitigation for vulnerable groups
Relationship between Chlamydia Trachomatis Infection with Patency Tubal and Non-Patency Tubal Occurrence in Infertile Women
AIM: To determine the relationship between Chlamydia Trachomatis infections with patency tubal and non-patency tubal occurrence in infertile women.
METHODS: This research was an observational analytic research with a cross-sectional study. This research was conducted at Haji Adam Malik General Hospital Medan, Pramita Laboratory Medan and Medical Faculty of Medicine Universitas Sumatera Utara. Laboratory on October 2017 until the number of samples was fulfilled. The samples were women who were referred to Pramita Laboratory Medan for hysterosalpingography procedure in accordance which corresponded to the inclusion criteria by using consecutive sampling technique.
RESULTS: From this research, it was found that the most infertile women were aged 31-35 years, with the most infertility type was primary infertility (83,8%) with the longest infertility duration was ≥ 3 years (44%). From all samples who were infertile, 26% among them were positive to chlamydia infection. Eight from twelve people who were infected by Chlamydia Trachomatis experienced non-patency tubal (66.7%) with p-value = 0.001 which showed that there was a relationship between Chlamydia Trachomatis infection with patency tubal and non-patency tubal occurrence in infertile women.
CONCLUSION: The proportion of Chlamydia Trachomatis infection in tubal abnormality in this study was 66.7%, whereas Chlamydia Trachomatis infection in the normal tube was 13.2%. It was obtained that there was a significant relationship between Chlamydia Trachomatis infection with tubal abnormality (non-patency tubal) with p-value < 0.005 (p = 0.001)
