Abstract: Proton pump inhibitors (PPIs) are one of the primary therapies for managing gastroesophageal reflux disease (GERD). Inadequate dosing for managing GERD symptoms can result in prolonged discomfort and reduced quality of life. The GERD Questionnaire (GERDQ) is a questionnaire-based tool designed to aid in the diagnosis of GERD and assess therapeutic response. This study...
Abstract: Third trimester of pregnancy induces hematological changes, including physiological leukocytosis, as part of the immunological adaptation. However, hematological monitoring of pregnant women in Manado is still limited. This study aimed to describe leukocyte counts and differential leukocyte counts in third-trimester pregnant women and analyze their distribution based on...
Abstract: Cleaning service workers have the potential to experience musculoskeletal disorders (MSDs) since they carry out work repeatedly over a long period of time. This disruption can reduce workers’ productivity. This study aimed to analyze the relationship between MSDs with psychosocial factors and work posture using the REBA method in cleaning service workers at Universitas...
Abstract: Adolescent obesity is an emerging health problem worldwide. According to data from the World Obesity Federation, the increasing trend of adolescent obesity has yet to be halted. Visceral fat contributes to the incidence of overweight. The accumulation of excess visceral fat can cause adipose tissue inflammation and adipokine dysregulation, which can lead to several...
Abstract: Healthy eating behavior plays an essential role in preventing various health issues, such as obesity and non-communicable diseases (NCDs), which can affect all age groups. The prevalence of central obesity among individuals with higher education levels is significant, especially in women. Poor dietary patterns, such as the consumption of low-nutritional fast food, are...
Abstract: Visual impairments, such as refractive errors, can reduce quality of life. The increasing use of gadgets, especially among students, is often linked to visual disturbances due to blue light exposure. This study aimed to analyze the relationship between blue light exposure from gadgets and visual acuity among class of 2021 medical students at Universitas Sam Ratulangi...
Abstract: Disrupted sleep pattern is a common health issue among university students, potentially affecting their overall health and productivity. Caffeine, a widely consumed stimulant, is known to influence sleep pattern. However, individual tolerance to caffeine varies, with some individuals not experiencing significant sleep disturbances despite high caffeine consumption. This...
Abstract: Primary headaches are one of the most common neurological disorders in the world, affecting 62% of adolescents worldwide. Coffee has been the most popular drink in the world for many years and has become a daily lifestyle for many people. Caffeine is a substance contained in coffee and this psychoactive substance is believed to be associated with primary headaches. This...
Abstract: Noise Induced Hearing Loss (NIHL) is a hearing impairment caused by exposure to noise. Excessive use of headphones or earphones beyond hearing thresholds can lead to NIHL. This study aimed to determine the frequency, duration of exposure, and volume level of headphone or earphone usage among medical students of Universitas Sam Ratulangi, Manado. This was a descriptive...
Abstract: Achilles tendon (AT) rupture frequently occurs among individuals engaging in physical activities, and this condition often leads to significant functional impairment. The traditional open surgical approach for AT repair is associated with complications such as wound healing problems and infection. Mini open repair and percutaneous technique have emerged as minimally...
Abstract: Platelet count index may be used as useful clinical markers in the differential diagnosis of benign and malignant thyroid disorders. Platelet–lymphocyte ratio (PLR) has recently been introduced as prognostic markers of thyroid cancer and strong inflammatory markers. This study aimed to evaluate the clinical value of the platelet count and PLR in thyroid malignancy...
Abstract: Whipple procedure (pancreaticoduodenectomy) is a complex operation to remove the head of pancreas, duodenum, gallbladder, and bile duct. The Whipple procedure is a difficult and demanding operation which serious complications such as pancreas anastomotic leak, therefore, mortality can occur. This study aimed to assess surgical outcomes, including morbidity and mortality...
Abstract: Anorectal malformation is a congenital abnormality in which the anus does not open normally into the perineum. In several studies, earlier surgery time has a better impact on patients. Toilet training performed postoperatively is assumed to help improve patient defecation patterns. This study is an observational analytical study with a retrospective cohort design. The...
Abstract: Sharp violence is caused by the use of objects with sharp or pointed sides, so that, it can cause injuries to parts of the body. Attacks with sharp weapons and deaths from stabbing occur all over the world, from countries with high rates of crime and violence to countries known to be the safest in the world. This study aimed to determine wound pattern in cases of death...
Abstract: Liver metastases are common in patients with colorectal cancer; almost 70% will develop liver metastases during the course. The recommended treatment for colorectal liver metastasis (CRLM) is multidisciplinary, including liver resection and chemotherapy. We reported a 52-year-old female with stage 3B distal third rectal adenocarcinoma which eight months earlier...
Abstract: Accidents involving ovarian cysts might include cyst rupture, hemorrhage, and torsion. Any girl who has abdominal pain or a pelvic or abdominal mass should be evaluated for ovarian torsion, a rare issue in the juvenile age group. We reported a 10-year-old girl presented with complaints of lower left abdominal pain that began three days prior to her hospital admission...
Abstract: Gram-negative and gram-positive bacteria are common causes of sepsis and septic shock, therefore, treatment often uses broad spectrum antibiotics. This study aimed to determine the types of antibiotics used, the suitability of antibiotics with etiology, and the average length of antibiotic use in sepsis and septic shock patients at Prof. Dr. R. D. Kandou Hospital Manado...
Abstract: Backpack is still quite popular among high school students, albeit, inappropriate usage of backpacks can cause side effects in the form of pain complaints in the musculoskeletal system. This study aimed to determine the relationship between backpack usage and musculoskeletal disorders among high school students. This was an observational and analytical study with a...
Abstract: One of the indicators to identify a person's risk of hypertension is by measuring lipid profile. Measuring the high-density lipoprotein (HDL) cholesterol level in the lipid profile plays an important role in evaluating the risk of hypertension. This study aimed to determine the relationship between HDL level and blood pressure among patients with hypertension at ODSK...
Abstract: Smoking can accelerate decrease of lung function due to the abundant harmful substances in cigarettes. Decreased lung function is characterized by a decrease in the values of forced expiratory volume 1 (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio. This study aimed to compare the FEV1/FVC ratio in electronic smokers and tobacco smokers among students of...
Abstract: Patients with coronary heart disease (CHD) are prone to Drug Related Problems (DRPs) due to the many therapies received by patients. This study aimed to identify the prevalence of DRPs in each category of CHD patients. This was a descriptive and retrospective study using medical records of CHD patients during the period September-November 2023 who fulfilled the...
Abstract: Based on data from WHO, cervical cancer is ranked second among all types of cancer that occur among Indonesian women. Lack of knowledge and the right attitude in dealing with this matter is the basis for an increase in cases of cervical cancer. This study aimed to obtain an overview of the knowledge and attitude of women from the GMIM Sion Tumaluntung Congregation...
Abstract: Penetrating cardiac injuries are life-threatening emergencies requiring immediate surgical intervention. We presented a case of cardiac stab wound leading to cardiac tamponade and rupture of the pulmonary artery and right ventricle who survived long enough to undergo emergency procedure. A 25-year-old male was stabbed in the left chest approximately nine hours before...
Abstract: Management of hypertension is conducted to control the blood pressure in patients with hypertension. There are a variety of antihypertensie agents that can be used in patients with hypertension. This study aimed to evaluate the pattern of antihypertensive drug use among patients with hypertension in the Inpatient Ward. This was a retrospective and descriptive study...
Prolonged right ventricular (RV) apical pacing has been recognized to be associated with progressive left ventricular (LV) dysfunction. This impairment of LV function resultant from RV apical pacing is a remodelling process consequent to abnormal ventricular activation and contraction. RV septal pacing theoretically is associated with a more physiological ventricular activation...