Sapporo Medical Journal

Abstract : The first 1000 days of life period, which consists of 270 days during pregnancy and 730 days in the first 2 years of the baby's life, is a sensitive period. However, there was a period that was missed, namely the preconception period that is a critical stage for determining a successful pregnancy. This study aims to describe the incidence of obesity and other nutritional problems on preconception women in the Banggai Regency. This is the baseline from an experimental study on the effect of giving multi micronutrient supplements since the preconception period on blood glucose levels during pregnancy in Banggai Regency which was carried out since January 2020. There are 137 samples of preconception women in four districts (Luwuk, Luwuk Utara, Luwuk Selatan, and Nambo). Anthropometric measurements and hemoglobin levels are using standardized tools and procedures. We used univariate analysis. The prevalence of obesity was 36,5% (up to 50,4% with overweight), 67,9% central obesity, and 12,4% anemia and 13,9% chronic energy deficiency. In Banggai, six out of ten preconception women experience central obesity and being overweight. This will affect the health status of the pregnancy and birth outcomes. Interventions must be focused on preventing anemia and overweight that begins from the preconception period

Abstract : Malaria is one of the public health problems that can cause death. In 2017 it was estimated that 219 million cases of malaria occurred worldwide with 435,000 deaths globally. This study was conducted to see an overview of malaria cases in Pesawaran District in 2018. This is a descriptive study by analyzing according to people, place, and time to see an overview of malaria cases. Data analysis uses Stata and Microsoft Excel applications, and it is presented in tables and graphs. Malaria cases in Pesawaran District in 2018 were more prevalent in males (65%), in adults (51%), in Labor/Farmers/Fishermen (40%) followed by Students (25%). Malaria cases increased in July November with peak cases in October (222 cases). Most malaria cases were in Hanura Public Health Center, 491 cases. Most malaria cases were from indigenous cases (932 cases). Examination of malaria cases in Pesawaran District used microscopy 334 cases and examination used RDT 601 cases. Based on the results of laboratory tests, the most common type of plasmodium was Plasmodium Vivax (72%). Malaria cases were more prevalent in males than females, in adults, in Labor/Farmer/Fisherman, and increasing in July-November.

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.