Sumatera Medical Journal

Case Report: Masson’s Tumor in Maxillary Sinus with Concurrent Inferior Turbinate Hemangioma – a Rare Entity

2024-12-08T18:26:35+07:00

Masson's tumour, also known as intravascular papillary endothelial hyperplasia (IPEH), is a relatively uncommon benign vascular lesion that develop in organising thrombus whereas hemangiomas are benign vascular tumours that can develop anywhere there are blood vessels . A 31-year-old female patient who is otherwise healthy presented with intermittent epistaxis, facial pain, and numbness. A mass in the maxillary sinus was discovered during imaging examinations, which led to a possible malignancy diagnosis. However, a post-surgery histological report supported the diagnosis of a benign vascular lesion called Masson's tumour in the maxillary sinus with concurrent inferior turbinate hemangioma. Based on our literature review, this is the 12th case of IPEH in maxillaty sinus. Moreover, the concurrent presentation of Masson's tumor in the maxillary sinus with an inferior turbinate hemangioma suggests a possible association between these two vascular anomalies.

Postoperative Rehabilitation Comparison of Patients After Anterior Cervical Disectomy and Autograft Fusion with or without Smoothing the Donor Site Defect

2024-12-19T20:45:14+07:00

Anterior cervical disectomy and autograft fusion (ACDF) is the gold standard of surgical treatment for HNP cervical. However, donor site complication has found in the form of pain that could lead to disability. The edge of the donor site defect can initiate pain which can reduce the patient’s quality of life. High ambulation can be earned by smoothing the donor site defect. The purpose of this study is to determine the quality of patient rehabilitation after following ACDF with autograft between smoothing group and non-smoothing group. This cross-sectional study was conducted at the Adenin Adenan Hospital Medan. Patients who had undergone ACDF with autograft in the period of 2015-2020 were assessed for their disability at the first, third, and sixth months postoperatively using Barthel Index. The total sampling method is used with inclusion and exclusion criteria. There were 41 respondents in this study, 20 people in the non-smoothing group and 21 people in the smoothing group. The disability experienced by the smoothing group was less than the non-smoothing group at each month of measurement, but only significant (p<0,05) at the sixth month. Both groups experienced a good rehabilitation process, but the rehabilitation outcomes of the smoothing group were better than the non-smoothing group. Conclusions of this study was disability and rehabilitation outcomes in the smoothing group were better than in non-smoothing group.

Effect of Mean Platelet Volume on Outcome of Stroke Infark in Elderly Patient

2024-12-10T07:28:46+07:00

Abstract

Introduction: Hyperreactivity and activation of platelet play a role in the occurrence and severity of ischemic stroke in geriatric patients. Mean Platelet Volume (MPV) describes levels of stimulation as well as platelet production rates that may affect the incidence of ischemic stroke and its clinical outcome. Aim : To determine the effect of MPV on the outcome of stroke infarction in geriatric patients. Methods. This was a cohort study. MPV measured at the beginning of hospital admission. Statistical analysis carried out by Receiver of Curve (ROC) test to determine the MPV cut off point and Chi-square to determine the relationship between MPV and infarction of stroke patient using SPSS software version 22. Result. There were 52 stroke patients with mean age 68.25+6.06 years old. Clinical outcomes of the patient deteriorated in 38 (73.08%) patients. The AUC value of MPV was73.3% (p=0.011) with MPV cut off point 10.85fl. Deterioration occurred in 10 (43.38%) patient with MPV levels >10.85fl. The Chi-square test result was (p<0.001) implying a significant difference between the groups (RR 3.125 CI 95% 1.134-8.761). Weconcluded that ischemic stroke patients with MPV levels >10.85fl at hospital admission has 3 times chance of deterioration.

Conclusion. MPV can be used as prognostic factor for clinical outcome of acute ischemic stroke in geriatric patients.

Keyword: Mean Platelet Volume, Ischemic Stroke, Geriatric

Description of Potential PTSD in Students Surviving Covid-19 at the Faculty of Medicine, Andalas University

2024-11-20T13:11:09+07:00

Introduction. The Covid-19 pandemic has become a potentially traumatic event that can trigger the development of Post-Traumatic Stress Disorder (PTSD), especially in Covid-19 survivors. The study found that college students (aged 16 to 25 years) are at the most significantly risk for exposure to potentially traumatic events. Aim. To describe the potential for PTSD in students who survived Covid-19 at the Faculty of Medicine, Andalas University. Method. This research is a descriptive study with a case-control design. A total of 167 student survivors of Covid-19 participate in the study. Data were obtained by the PTSD Checklist for DSM-5 (PCL-5) questionnaire digitally. Result. The study found that 18% of Covid-19 survivor students at the Faculty of Medicine, Andalas University had the potential to experience PTSD. The potential for PTSD is more susceptible to being experienced by male Covid-19 survivor students (30.4%), younger age, experienced clinical symptoms of moderate illness Covid-19 (29,2%), and hadnâ€™t a history of mental disorders (100%). Alterations in mood and cognition symptoms domain are the most dominant symptoms of PTSD experienced by study subjects with potential PTSD. Most study subjects with potential PTSD donâ€™t experience stressors like life-threatening events, exposure to news about Covid-19, or social isolation. Conclusion. There were student survivors of Covid-19 at the Faculty of Medicine at Andalas University have potentially PTSD.

Heart or Grace Score for Diagnostic and Risk Stratification in Acute Coronary Syndrome Patients

2024-12-08T18:15:42+07:00

Some studies found that HEART score is better than GRACE score either as a rule-in method for myocardial infarction or as a risk stratification. However, GRACE score was also found to have better discriminatory ability as a prognostic model for patients with myocardial infarction. This study aims to evaluate whether the HEART and GRACE scores have equal capabilities either as a diagnostic method for myocardial infarction or risk stratification to predict inhospital Major Adverse Cardiovascular Events (MACE) in Acute Coronary Syndrome (ACS) patients at Adam Malik Hospital. This research is a retrospective and prospective observational study. Retrospective data was collected from all medical records of ACS patients from January to December 2022. Prospective data was collected by consecutive sampling until 46 samples were fulfilled from October 2023 at Adam Malik Hospital. Samples included in the research analysis were those who met the inclusion criteria. To compare each score, we use the area under the receiver-operating characteristics (AUC) method. As a conclusion, we found that HEART score is superior to GRACE score as a diagnostic method with an AUC of 0.903, a cutoff of 6.5, sensitivity of 86%, and specificity of 80%. The GRACE score is superior to the HEART score as a risk stratification with an AUC of 0.719, a cutoff of 128.5, a sensitivity of 66%, and a specificity of 65%.

Kanggoroo Mother Care as a Method to Increase the Weight of Premature Babies with Fenton Chart Monitoring: A Health Promotion Program

2024-12-23T08:29:19+07:00

Premature birth is defined as the birth of a baby before 37 weeks gestation. Kangaroo Mother Care (KMC) is a care technique, particularly beneficial for premature infants, that emphasizes skin-to-skin contact between the mother and her baby, but some beliefs may restrict physical contact with newborns or dictate other types of care that do not involve close, continuous contact. Research shows that KMC significantly reduce the number of neonatal deaths, preventing hypothermia, reducing the occurrence of infections, increasing baby growth and development, increasing breastfeeding and bonding between mother and baby. Therefore, it is important to educate healthcare workers and mothers the importance of Kangaroo Mother Care.

Risk Factors for Lung Cancer in Non-smoking Women, North Sumatera, Indonesia

2024-12-23T08:29:39+07:00

Basic Health Research Data in 2018 reported that lung cancer in women in Indonesia ranked third after breast cancer and cervical cancer. A person's risk of developing lung cancer can be evaluated by looking at several things, namely age and gender, genetic predisposition to cancer, tobacco use, and exposure to toxic agents at home or work. The purpose of this research is to obtain data on several risk factors with the incidence of lung cancer in non-smoking women at Adam Malik General Hospital and Santa Elisabeth General Hospital. This research is a case-control matching study involving 224 research subjects through medical record data collection from January 2019 to December 2020. All research subjects were recorded from medical record data confirmed by questionnaires related to risk factors, namely ages, exposure to cigarette smoke (passive smokers), genetics, mosquito coils, limes, pesticides, garbage burning, exposure to firewood, and air pollution. Data were analyzed by logistic regression test. The average age in the case group was 57.86 years, while in the control group, the average age was 47.4 years. The largest age group in both study groups was 40 years. In this research, five risk factors of lung cancer influenced the incidence of lung cancer in non-smoking women, namely age (p = 0.008), passive smokers (p = 0.043), genetic factors (p < 0.001), exposure to firewood (p = 0.007), and air pollution factors (p = 0.041). It was estimated that risk factors that significantly influence the incidence of lung cancer in women are not the age of 40 years, genetic factors, passive smokers, and exposure to firewood.

A Literature Review on Arnold-Chiari Disease in Children (Evaluation of Surgical Approach and Post-Surgical Management)

2024-09-13T08:12:56+07:00

Arnold-Chiari (AC) disease in children is a complex congenital condition requiring multidisciplinary management. Surgical intervention is often necessary to correct affected anatomy and alleviate symptoms, yet post-surgical management is also crucial. This literature review aims to investigate surgical approaches and post-surgical management of AC in children, as well as identify remaining knowledge gaps. Literature search was systematically conducted through PubMed using relevant keywords. Inclusion criteria encompassed studies within the past 15 years pertaining to pediatric neurosurgery and Chiari. The literature review identified 6 relevant studies highlighting the importance of intraoperative electrophysiological monitoring, comparison of outcomes between posterior decompression with and without duraplasty, correlation of CSF flow with surgical outcomes, post-operative pain management, and indications for syringosubarachnoid shunt placement. Surgical intervention for AC in children is a critical step, yet meticulous post-surgical management is required. Studies highlight knowledge gaps regarding long-term effects of intraoperative monitoring techniques, outcome comparisons between surgical procedures, the relationship between CSF flow and surgical outcomes, and post-operative pain management. Cross-disciplinary collaboration and emphasis on a holistic approach are necessary to enhance understanding and care of AC in children.