Sapporo Medical Journal

Abstract : Electrical injury is cause of burns that continues to be one of the most distressing trauma injuries in highly industrialized countries. In Indonesia, the number of electrical burns is still underreported. The aim of this study is to evaluate the profile of electrical burn patiens in Department of Plastic Surgery Dr. Soetomo General Hospital Surabaya period of 2014 – 2016. Methods: This research was a descriptive observational study by evaluating medical record with the number of samples was 19 electrical burn patients. The variables were burn wound etiology, gender, age, history of disease, degree of burn, percentage of burn, type of electrical burns, complications and comorbidities, amputation rate, and Length of Stay (LOS). Results: All patients with electrical burns were male with high voltage injuries, 7 (36.8%) patients were 26-35 years old, and respectively 1 (5.3%) patient had a history of pulmonary disease and Type 2 Diabetes Mellitus. Electrical burns with mixed II-III degrees were found in 16 (84.2%) patients, percentage of burn 0-10% in 10 (52.6%), and LOS 11-20 days in 9 (47.4%) patients. There was complication of increasing transaminase serum in 6 (31.6%) patients. The number of patients who were not amputated was 14 (73.7%). Conclusion: This study revealed the most frequent electrical burns are encountered in male workers, reflecting the inefficiency of the electric energy system. It can be caused by the fact of the population’s low social and economic level.

Abstract : Urolithiasis is a situation where stones are found in urinary tracts. This disease is the third most common disease in the urinary system. The leading factors behind stone formation are including age, hormones, muscle mass, diet, body index, climate factors, fluid balance and urine PH. This study aims to discover the relationship between urine pH value and stone types in patients with urolithiasis. This study is an observational analytic study with a cross-sectional method using secondary data in the form of medical records from Urology department of Dr. Soetomo Regional Hospital 2019 - 2020. This study obtained 56 research samples, with the age group characteristics ranging from six - 76 years old. The average age was 49, 92 ± 12.91, on 43 men and 13 women. PH range that was most frequently found layes on pH 4.5 - 8.0. The average pH values were as follow: carbonate stones composition was 6.16, oxalate was 6.33, calcium was 7, phosphate was 6.38, ammonium was 6.33, while uric acid was 6.25.

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.