Sapporo Medical Journal aims to distribute and expand medical data to the World as well as build a supportive and vibrant community of researchers to connect and explore ideas by publishing articles related to all fields of medicine. Sapporo Medical Journal believes that quality and ethical research. The journal seeks to publish original research articles that are hypothetical and theoretical in its nature and that provide exploratory insights in the following fields but not limited to:
Abstract : Study aimed at classifying related factors by biplot analysis of oral carcinoma patients at Hospital Universiti Sains Malaysia. Medical history of chosen patients treated with oral carcinoma in oral and maxillofacial surgery (OMFS) unit. Histopathology, lesion site, TNM stage, age group, and pathology variables were selected. Salivary gland lesions are very poorly differentiated, buccal mucosal lesions are well differentiated, while mouth, palate, tongue, and surface lip lesions are near to moderately differentiated. Stage II cases were mainly well-differentiated, Stage IV cases were moderately-differentiated, and Stage III cases were poorly differentiated. Most of Stage I cases are from the maxilla, Stage II is close to the salivary gland and mandible, Stage III is close to the palate, and Stage IV is associated with tongue, mouth floor and buccal mucosa. Salivary gland and mandible are the most prominent lesion sites below 30 and 50-59. Usually, tongue cancer grows at 30-39. Typical oral cancer sites are palate and buccal mucosa for patients aged 60 and 40-49. Squamous and adenoid cystic carcinoma are common in patients <30 and >60. Mucoepidermoid carcinoma was observed primarily in patients aged 40-49 to 30-39 years. Oral cancers were 78% squamous cell carcinoma and 55% oral tongue cancers. This also highlights the need for early diagnosis and oral cancer care by comprehensive institutionalised oral cancer education and risk factor awareness, particularly for teenagers.
Abstract : Chronic kidney disease includes conditions that damage the kidneys and decrease their ability to keep them healthy. Kidney disease patients have no symptoms at all. At the worst, patients can be threatened with life if they do not undergo periodic hemodialysis or kidney transplantation to replace their severely damaged kidney organs. CKD patients who reach the final stage will experience a condition that causes disability, poor quality of life, and expensive social and financial costs. The study aimed to identify psychosocial assistance on patients' quality of life with chronic renal failure. This research is a quantitative study using a quasi-experimental method with the one group pre-test-post test design approach. Data collection using the WHOQOL quality of life questionnaire was then carried out psychosocial mentoring. Respondents were patients with chronic renal failure with hemodialysis, amounting to 34 people. The sampling method used purposive sampling. This study indicated that the quality of life significantly increased with p-value = (0.001). Domains that have increased are psychological domain p-value = (0.001) and environmental domain p-value = (0.001). The physical health domain (p = 0.639) and social domain (p = 0.751) did not change significantly. Many psychosocial problems occur in CRF patients with hemodialysis. Urgently needed support from family and community to improve patients' quality of life with hemodialysis with chronic renal failure.
Abstract : Malnutrition is a common cause of morbidity and mortality in children with Tetralogy of Fallot (TOF), especially in developing country like Indonesia. However there are still limited studies that focus on the correlation between malnutrition and mortality in children with TOF undergoing total corrective surgery. The purpose of this study is to determined the correlation between malnutrition on mortality in TOF patients undergoing total correction. This is a retrospective cross-sectional study using medical records from 2016 to 2019. In this study, majority of mortality was found in male patients (39.3%) while the female’s rate was lower (36.8%). The overall mortality in malnourished patients was 38.3%. Out of 72.34% patients with malnutrition, 73.5% of them were severely malnourished. Around 87.5% children under 5 years old were stunted, 46% of them were underweight, and 39% was wasted. Meanwhile in children above 5 years old, 69.5% was stunted and 12.5% was wasted. Our study shows that malnutrition is significantly correlated to mortality in TOF post corrective surgery (p=0.001; OR :2.12). As one of the significant and potentially treatable pre-operative comorbidity, prevention of malnutrition by early diagnosis is important to reduce the mortality in TOF repair.
Abstract : Children with ASD have a form of social interaction disorder, have limited communication, and repeatedly fidget. In Indonesia, it is estimated ASD occurs in 1 in 88 children. This research aims to find out more about the correlation between the history of pregnancy, birth and baby characteristics, and children with ASD. Researchers analyzed 112 children with ASD below the age of 10 based on inclusive and exclusive criteria from 3 therapy centers, Bina Autis Mandiri, YPAC, and SDLB in October and November of 2017. The Case-Control method was used in this research. Samples of some ASD cases have been taken from a therapy center in Palembang recently. From 112 samples (35.7% girls, 64.3% boys), we can conclude that gender, mother’s occupation, and race are factors of ASD (p<0.005) History of pregnancy such as age during the marriage, bleeding, APGAR score, age during pregnancy, the weight of the newborn and history of the birth of twins. The factors that lead to the birth of children with ASD are the mother’s age during the first pregnancy, bleeding, the birth process, age of pregnancy of the child with ASD, the weight of the newborn with ASD, APGAR score, and birth disorder. Having a checkup before pregnancy and antenatal care are some of the ways to prevent a child from getting ASD.
Abstract : A prospective study that include ( 100 ) patients who underwent emergency laparotomy for perforated duodenal ulcer during a period from May 2016 to January 2018. The operations were done in Al-Husein Teaching Hospital. The clinical finding, general risk factors, co-morbid medical diseases, operative finding, and post – operative complications were all taken in consideration. Follow-up period range from 2 weeks to 18 months. in this study,( 96%) male and( 4%) female with mean age of 43.13 years (range from 10 to more than 70) years. The disease was more common in rural areas (58%) than in urban areas (42%). Fifty five percent of patients gave previous history of duodenal ulcer and ( 45%) had no previous history of duodenal ulcer. The most common risk factors are smoking ( 32% ) and NSIADs (25%) . In this study most of elderly patients presented with medical diseases as hypertension, diabetes mellitus, ischemic heart disease, and chronic obstructive pulmonary disease. Most patients admitted to hospital between 19 – 24 hours ( 21%), ( 8%) admitted during 6 hours, and ( 2%) admitted after (120) hours. Regarding the complications occur in this study; wound infections, chest infections, and paralytic ileus were the most common complications. Mortality rate occur in 2%. The most common factor that leading to development of postoperative complications is delayed in hospital admission, so, to improve the results of treatment of perforated duodenal ulcer, the diagnosis and treatme