Latar belakang. Tekanan darah yang tinggi merupakan faktor resiko utama terjadinya stroke, namun tidak menutup kemungkinan tekanan darah yang rendah juga dapat menyebabkan stroke, walaupun angka kejadiannya rendah. Tujuan. Mengetahui hubungan antara tekanan darah pada saat masuk ruang stroke unit dengan hasil keluaran klinis penderita stroke fase akut tipe thrombosis menggunakan skor NIHSS. Metode. Studi kohort retrospektif yang berasal dari stroke registry pasien. Sampel yang terpilih melalui metode konsekutif sebanyak 38 orang. Variabel yang diamati pada penelitian ini adalah tekanan darah sistolik (TDS), tekanan darah diastolik (TDD), dan Mean Arterial Pressure (MAP) pada saat awal masuk ruang stroke unit terhadap NIHSS hari terakhir pasien rawat inap (10-14 hari). Hasil. Dari hasil uji korelasi Spearman, hasil penelitian ini menunjukkan bahwa TDS (p = 0,136; r = 0,246), TDD (p = 0,586; r = 0,091), dan MAP (p = 0,171; r = 0,227) ketiganya memiliki hubungan yang tidak signifikan terhadap NIHSS dan memiliki nilai korelasi yang sangat lemah. Simpulan. Tekanan darah sistolik (TDS), tekanan darah diastolik (TDD), dan Mean Arterial Pressure (MAP) memiliki hubungan yang tidak signifikan terhadap NIHSS dan memiliki nilai korelasi yang sangat lemah. Diperlukan penelitian lebih lanjut untuk memperjelas hubungan tanpa adanya pengaruh terapi dan faktor perancunya.
Tumor pada tulang belakang yang terbanyak adalah metastasis, namun tumor primer pada tulang belakang lebih jarang didapatkan. Kesulitan dalam menegakkan diagnosis tumor primer pada tulang belakang karena pada tumor primer memiliki beberapa diagnosis banding serta struktur yang kompleks dari tulang belakang. Ketepatan diagnosis sangat penting untuk menentukan terapi dan mempengaruhi prognosis pasien. Karakteristik tumor secara radiologi sangat membantu dalam mengarahkan diagnosis. Evaluasi secara radiologis didasarkan pada lokasi, matriks tumor, dan usia pasien Pemeriksaan radiologis meliputi radiografi , CT scan, MRI, angiografi, sidik tulang (bone scintigraphy) serta single photon emission computed tomography (SPECT) dan positron emission tomography (PET). Masing-masing modalitas memiliki kelebihan dan kekurangan dalam pemeriksaan. Karenanya penting untuk mengetahui karakteristik dari tumor pada tulang belakang dan pilihan pemeriksaan radiologis yang tepat untuk diagnosis tumor pada tulang belakang. Kata kunci: CT scan, MRI, pemeriksaan radiologi, radiografi, tumor tulang belakang.
Breast cancer in the most common malignancy in woman. Screening is very important to identify precancerous lesions. The use of diagnostic imaging is one of the first steps in cancer diagnosis. Mammography is one of detection tool, which able to detect breast abnormality in early stage, while breast sonography is more helpful in cases with dense breast. In this study we compared the finding on mammography and ultrasonography among woman 40 to 60 years undergoing breast cancer screening. This study included 30 asymptomatic woman aged over 40 years, which have no history of reast cancer. All were assigned to undergo screening by either mammography and ultrasonography. The diagnoses were scored due to ultrasound BI-RADS, the finding from mammography and breast ultrasound were compared to analyze the difference between both examination. From the result of mammography and ultrasound were shown that at the same BIRADS scale, different images could be obtained. Further studies are needed to demonstrate the significance of the differences in examination findings on the same BIRADS scale. Keywords: Breast Cancer, Mammography, Screening, Sonography
Breast cancer is the most common type of cancer suffered by women worldwide. The development and incidence of breast cancer is influenced by various risk factors, one of which is breast volume. The amount of breast volume is influenced by several factors such as genetics, demographics, reproduction, lifestyle, and Body Mass Index (BMI). This study aims to determine the relationship between Body Mass Index and breast volume of research subjects at RSUD Dr. Saiful Anwar Malang, East Java. This type of research is observational analytic with a cross-sectional study approach and analysis using Kruskal Wallis test, the Mann Whitney test, and Spearman correlation test. Based on the Kruskal Wallis test BMI-left breast volume, the sig value obtained was 0.020 (sig < 0.05) while in the analysis of BMI-right breast volume the sig value obtained was 0.083 (sig > 0.05). Follow-up analysis using the Mann-Whitney BMI test-left breast volume showed significant results in the normal-overweight (p=0.050) and normal-obese (p=0.007) BMI groups. While the BMI-volume analysis of the right breast showed significant results only in the normal-obese BMI group (p = 0.044). Spearman correlation test of BMI-left breast volume obtained sig = 0.000 and r = 0.603. While the Spearman test of BMI-right breast volume obtained sig = 0.004 and r = 0.511. This study concludes that there is a significant relationship between BMI and breast volume which is positive with a fairly strong correlation strength.
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