scholarly journals Trauma Analysis Related Injury Severity Score (Triss) in Predicting the Prognosis of Politrauma Patients in Adam Malik General Hospital

2020 ◽  
Vol 13 (1) ◽  
pp. 97-104
Author(s):  
Rahmad Gunawan ◽  
Heru Rahmadhany ◽  
Iman Dwi Winanto
Keyword(s):  
Head Injury ◽  
General Hospital ◽  
Injury Severity ◽  
Cross Sectional ◽  
Independent Variables ◽  
Dependent Variables ◽  
Polytrauma Patients ◽  
Male Sex ◽  
Cross Sectional Design ◽  
Referral Status

Objective : The purposeofthis study wastoanalyzetheabilityof TRISS in predictingthe prognosis ofpolytraumapatients in the Haji Adam Malik General Hospital Medan, January 2016 toDecember 2018. Material and Method : This type of research is an analytic study with cross sectional design, which is a study by measuring independent variables and dependent variables at the same time, which aims to analyze the ability of TRISS in predicting the prognosis of patients in Haji Adam Malik General Hospital Medan January 2016 to December 2018. Results : From January 2016 - December 2018, a total 175 polytrauma patients which mostly was adult patient (>18 y.o) observed. Based on sex, referral status and diagnosis, patients with polytrauma dominated in patients with male sex(143 patients), referred patient (68patients) and diagnosed with head injury (29 patients). Conclusion : There is an influence between TRISS Score on the prognosis of polytrauma patients.

scholarly journals Pengaruh Pemanfaatan Buku KIA dalam Pengkajian ROT dan MAP terhadap Deteksi Dini Pre Eklamsia di Polindes

2020 ◽  
Vol 1 (2) ◽  
pp. 73-83
Author(s):  
Kolifah ◽  
Erika Agung Mulyaningsih
Keyword(s):  
Blood Pressure ◽  
Early Detection ◽  
Pregnant Women ◽  
Statistical Test ◽  
Test Results ◽  
Urine Protein ◽  
Cross Sectional ◽  
Independent Variables ◽  
Dependent Variables ◽  
Cross Sectional Design

One way to detect the presence of eclampsia is to do early detection using ROT and MAP. Efforts to prevent the occurrence of preeclampsia are with routine antenatal surveillance where one of them is to test the possibility of preeclampsia with conventional examinations namely blood pressure along with urine protein and ROT and MAP examination. The design of this study used a cross sectional design, where observations of independent variables and dependent variables were carried out at the same time. The population in this study was TM III pregnant women who had a book of KIA and conducted ANC examinations in September and October at the Puskesmas. Jelak Ombo Jombang is 87 respondents. Statistical test results show that there is a significant influence between the results of ROT examination with the incidence of pre-eclampsia, there is a significant effect between the results of the MAP examination with the pre-eclampsia event. Examination of  ROT and MAP is documented in the KIA book. The KIA book is very effective in utilizing pre-eclampsia early detection through ROT and MAP measurements. The KIA book is a very important for pregnant women, because in the KIA book the condition of the mother is recorded during pregnancy so that information about the state of pregnancy of pregnant women is obtained. The KIA book  provides an overview of the condition of the mother at each visit, can also be done early detection of eclampsia and pre-eclampsia through blood pressure and weight of pregnant women.

scholarly journals PERBANDINGAN KEPUASAN PASIEN TERHADAP PELAYANAN KEBIDANAN PADA PESERTA BPJS DAN NON BPJS

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Yosi Arum Ariningtyas
Keyword(s):  
Health Service ◽  
Social Security ◽  
General Hospital ◽  
Sampling Technique ◽  
Satisfaction Level ◽  
Cross Sectional ◽  
Independent Variables ◽  
Service Unit ◽  
Patients Satisfaction ◽  
Dependent Variables

All patients always expected qualified services to get their satisfaction. And all health service unit must give same services either to BPJS or non BPJS patients. This research was to know the patients’ satisfaction differences towards midwifery services of BPJS (Social Security Administrator) patients and non-BPJS patients Postpartum Room of General Hospital in Kediri. The design of this research was observational analytics by using cross-sectional methods. The population was finite, which meant it was still countable. 70 respondents were taken as samples by purposive sampling technique. The independent variables were the patients’ BPJS membership and non-BPJS, and the dependent variables were the patients’ satisfaction. The data was obtained from questionnaires and analyzed with Mann Whitney Test. The research showed that most BPJS patients, 24 respondents (77.4%) were satisfied of midwifery services, 37 non-BPJS patients (94.9%) were satisfied of midwifery services of totally 39 respondents, and there were no satisfaction level differences of BPJS and non-BPJS patients towards midwifery services in Postpartum Room of  General Hospital in Kediri (p = 0.548 > 0.05 then Ho accepted).

Description of Pregnant Women's Nutritional Status Based on The Mid-Upper Arm Circumference in Sundari Medan General Hospital In 2019

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
David Franli ◽  
Makmur Sitepu ◽  
Hotma Partogi Pasaribu ◽  
Sake Juli Martina
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
General Hospital ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Energy Stores ◽  
Cross Sectional Design ◽  
Mid Upper Arm Circumference ◽  
Observational Descriptive Study

Introduction. Chronic energy deficieny (CED) is a condition of a body characterized by low body weight and low energy stores, possibly limited physical capacity due to deprivation of food over a long period time. Ministry of Health ( Kemenkes) showed that in 2015, 305 out of 100.000 death of pregnant women is realated to malnutriotion and CED. Objective. The aim of this study is to determine the overview of pregnant women nutritional status based on mid-upper arm circumference (MUAC) in Sundari Medan General Hospital. Method. The study was an observational descriptive study with a cross sectional design. The samples of this study consists of pregnant women from Sundari Medan Genaral Hospital, who had fulilled the inclusion and esclusion criteria by total sampling. Results.. Among 60 samples, the prevalance of Non-CED woman (85%) was found higher than the mild malnutrition (15%). Conclusion. Prevalance of CED pregnant women was found higher in risky age, middle educated and high income family.  

scholarly journals Response and Side Effects from Rheumatoid Arthritis Therapy at Dr. Soetomo General Hospital Surabaya 2017

2022 ◽  
Vol 13 (1) ◽  
pp. 9
Author(s):  
Ayu Imamatun Nisa ◽  
Awalia Awalia ◽  
Jusak Nugraha
Keyword(s):  
Rheumatoid Arthritis ◽  
Side Effects ◽  
General Hospital ◽  
Clinical Symptoms ◽  
Laboratory Data ◽  
Kidney Injury ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Cross Sectional Design ◽  
The Given

Introduction: Rheumatoid arthritis (RA) is an autoimmune disease which mainly attacks synovial membrane and causes systemic manifestation. During treatment, controlling disease activity is needed to prevent further complication. On the other hand, medications used in the treatment of RA may bring various side effects. It is important to evaluate side effects from the given therapy.Methods: This study aimed to evaluate response and side effects of therapy in RA patients. The samples were collected from 59 RA patients at Rheumatology Division of Outpatient Clinic in Department of Internal Medicine Dr. Soetomo General Hospital Surabaya in 2017. This study method was descriptive observational with cross sectional design using medical records.Results: Pain was reduced in 83.1% patients, Erythrocyte Sedimentation Rate (ESR) increased in 61.4% patients, and C-Reactive Protein (CRP) decreased in 50% patients. Based on the statistic analysis, ESR decreased significantly (p = 0.012) while CRP decreased not significantly (p = 0.415). The side effects were observed from clinical and laboratory data. Based on clinical symptoms, there were alopecia in 1.7% patient, dyspepsia in 78% patients, infection in 27.1% patients, and other symptoms including itchy skin, neuropathy, hyperuricemia, hyperkalemia and Acute Kidney Injury (AKI). Meanwhile, abnormalities in laboratory data include increased aspartate transaminase (AST) in 3.8% patients, increased alanine transaminase (ALT) in 26.1% patients, increased Blood Urea Nitrogen (BUN) in 7.9% patients, increased creatinine serum in 7.9% patients, decreased hemoglobin in 15.5% patients, and decreased leukocytes in 3.4% patients.Conclusion: Most patients had a good therapeutic response based on decreased pain, while ESR had a significant decrease and CRP did not have significant decrease. Side effects discovered in patients were various

scholarly journals Predictors of Clinical Reasoning Using the Reasoning 4 Change Instrument With Physical Therapist Students

2019 ◽  
Vol 99 (8) ◽  
pp. 964-976 ◽  
Author(s):  
Maria Elvén ◽  
Jacek Hochwälder ◽  
Elizabeth Dean ◽  
Anne Söderlund
Keyword(s):  
Behavior Change ◽  
Behavioral Medicine ◽  
Clinical Reasoning ◽  
Psychological Factors ◽  
Physical Therapist ◽  
Cross Sectional ◽  
Independent Variables ◽  
Curriculum Orientation ◽  
Dependent Variables ◽  
Physical Therapist Students

AbstractBackgroundAlthough physical therapist students must be well prepared to integrate biopsychosocial and behavioral perspectives into their clinical reasoning, there is a lack of knowledge regarding factors that influence such competence.ObjectiveThis study explored the associations among the independent variables—knowledge, cognition, metacognition, psychological factors, contextual factors, and curriculum orientation vis-à-vis behavioral medicine competencies—and the dependent variables—outcomes of input from client (IC), functional behavioral analysis (FBA), and strategies for behavior change (SBC) as levels in physical therapist students’ clinical reasoning processes.DesignThis study used an exploratory cross-sectional design.MethodsThe Reasoning 4 Change instrument was completed by 151 final-semester physical therapist students. Hierarchical multiple regression analyses for IC, FBA, and SBC were conducted. In the first step, curriculum orientation was inserted into the model; in the second step, self-rated knowledge, cognition, and metacognition; and in the third step, psychological factors.ResultsAll independent variables except contextual factors explained 37% of the variance in the outcome of IC. Curriculum orientation explained 3%, cognitive and metacognitive factors an additional 22%, and attitudes another 15%. Variance in the outcomes of FBA and SBC were explained by curriculum orientation only (FBA change in R2 = 0.04; SBC change in R2 = 0.05). Higher scores of the dependent variables were associated with a curriculum having behavioral medicine competencies.LimitationsThe limitations of this study are that it was cross-sectional.ConclusionsCognitive and metacognitive capabilities and skills and positive attitudes are important predictors of physical therapist students’ clinical reasoning focused on behavior change at the IC level. Curricula with behavioral medicine competencies are associated with positive outcomes at all clinical reasoning levels.

scholarly journals Analysis of Factors Responsible for Preoperative Anxiety in Patients during the COVID-19 Pandemic at the Surgical Polyclinic of Sanglah General Hospital, Denpasar

2021 ◽  
Vol 1 (2) ◽  
pp. 54-61
Author(s):  
I Made Widhi Arthayasa ◽  
Ni Luh Putu Thrisna Dewi ◽  
Ni Gusti Ayu Putu Triyani ◽  
Ketut Lisna Wati
Keyword(s):  
General Hospital ◽  
Sampling Method ◽  
Preoperative Anxiety ◽  
Dominant Factor ◽  
Cross Sectional ◽  
Bivariate Data ◽  
Gender Education ◽  
Chi Squared ◽  
Cross Sectional Design ◽  
Bivariate Data Analysis

Surgery often causes anxiety in patients. Preoperative anxiety may cause delays of surgery due to physiological and psychological changes experienced by the patient. Preoperative anxiety is influenced by age, gender, education level, physical condition, and experience. The research objective was to analyze the influence of factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic. This research applied cross sectional design with 98 respondents who were selected by consecutive sampling method. Data were collected using the APAIS. Bivariate data analysis was performed using non-parametric Pearson’s chi-squared test and multivariate analysis with logistic regression. All patients experienced preoperative anxiety, most of which were in the moderate category (41.8%). Factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic were gender (p = 0.043, α = 0.05), education (p = 0.000, α = 0.05), and experience (p = 0.006, α = 0.05). The most dominant factor was experience with an odds ratio of 4.806. The influence of the three factors was 75.4% and the remaining 24.6% was influenced by other factors. Most respondents expressed their anxiety with fear and curiosity about surgical procedure so it is important for nurses to provide education about the surgery in order to reduce the level of preoperative anxiety in patients, especially female patients with lower levels of educational attainment who have never undergone surgery.

scholarly journals Analysis Of Counsel Support With The Time Of Disclosure Of Personal Status Of People with HIV/AIDS (ODHA) Against His Partners In Sumenep District

2020 ◽  
Vol 9 (2) ◽  
pp. 1128-1133
Author(s):  
Dian Permatasari ◽  
Eva Nurhidayati ◽  
Dian Ika Puspitasari
Keyword(s):  
Support Groups ◽  
Quantitative Research ◽  
Sampling Technique ◽  
Deficiency Syndrome ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Dependent Variables ◽  
Cross Sectional Design ◽  
Living With Hiv ◽  
Hiv Aids

Human Immunodeficiency Virus and Acquired Immuno Deficiency Syndrome  have become epidemics that seriously  of the world community. East Java is one of the provinces with the highest number of HIV / AIDS sufferers in Indonesia. As of September 2018, the number of people living with HIV / AIDS was 47,396 people.  This research is a quantitative research design with explanatory research which aims at research conducted to explain the influence between independent and dependent variables through testing. Cross sectional design because the independent and dependent variables were measured at the same time. The sampling technique used total sampling. The instrument in this study was a questionnaire. Data were analyzed using regression test. One of the solutions to overcome this problem is the role of peer support groups in providing support and services to ODHA by providing access to information and referrals about treatment. 

scholarly journals HUBUNGAN PENGETAHUAN DENGAN MINAT IBU BALITA TENTANG TAMAN POSYANDU DI KELURAHAN COKROMENGGALAN KECAMATAN PONOROGO KABUPATEN PONOROGO

2018 ◽  
Vol 5 (2) ◽  
pp. 35-45
Author(s):  
Sumini Sumini ◽  
Arifatul Rosidah
Keyword(s):  
Research Result ◽  
Local Health ◽  
Cross Sectional ◽  
Significance Level ◽  
Spearman Rank ◽  
Independent Variables ◽  
Dependent Variables ◽  
Total Data ◽  
Additional Service ◽  
Stimulation Of

Taman Posyandu is development of posyandu purnama or independent which give additional service to develop early childhood and bina keluarga balita. Total data of toddler in posyandu pos 3 Cokromenggalan Village has 52 people. At 2016, in posyandu pos 3 Cokromenggalan Village has 22 toddler that followed Taman Posyandu.  Based on study of preliminary studies there are 6 from 10 mother of toddler is lack of knowledge about Taman Posyandu. The purpose of  research is to know The connection knowledge  mother of toddler with interest to the mother of toddler about Taman Posyandu in posyandu pos 3 Cokromenggalan, Cokromenggalan Village, Ponorogo District, Ponorogo Regency. This type of research is quantitative. The research design used Cross Sectional and this research was conducted at Posyandu Pos 3 Cokromenggalan in January 2017. The population is all the mothers of toddler with the number of 52, the number of samples 30, with the technique of Accidental Sampling. Independent variables (knowledge) and dependent variables (interests). Instrument with questionnaire, and Spearman Rank statistical test at 0.05 significance level. Based on research result of knowledge about taman posyandu half of 15 respondents (50%) with less knowledge. Interest in following the taman posyandu almost half of 16 respondents (53.3%) with negative interest. The result of statistic test by using Spearman Rank shows that ρ = 0,000 with correlation coefficient value 0.803, ρ which can be <0.05 so that H0 is rejected which means there is the correlations knowledge of mother toddler with interest to the mother of toddler about taman posyandu  in posyandu post 3 Cokromenggalan,Cokromenggalan village, Ponorogo district,  Ponorogo regency with a level flatness is very strong. The conclusion is that mother have low knowledge about Taman Posyandu can cause the interest mother about Taman Posyandu is low. It is recommended that local health personnel to improve the extension of the importance of the visit to the Taman Posyandu to toddler and useful for enhance mother of knowledge about the importance of monitoring, detecting growth for children, providing health services and stimulation of education early.

scholarly journals Comparison of Lymphocyte Neutrophil Ratio in Head Injury Patients with Blood and without Intracranial Bleeding in Dr. M. Djamil Hospital

2021 ◽  
Vol 7 (1) ◽  
pp. 164-180
Author(s):  
Muhammad Zaki Abdul Hafiz ◽  
Syaiful Saanin ◽  
Hesty Lidya Ningsih
Keyword(s):  
Head Injury ◽  
Intracranial Hemorrhage ◽  
Severe Head Injury ◽  
Injury Severity ◽  
Intracranial Bleeding ◽  
P Value ◽  
Mild Head Injury ◽  
Cross Sectional ◽  
Neutrophil Lymphocyte Ratio ◽  
The Mean

A B S T R A C TBackground: Head injuries occur every 15 seconds worldwide, with patientsdying every 12 minutes. The value of the Neutrophil Lymphocyte Ratio (NLR) is afactor that influences the assessment and prognostic value of patients withintracranial hemorrhage and without intracranial hemorrhage in head injury.The aim of this study was to determine the relationship between increased NLRbased on the severity of head injury patients with or without intracranialhemorrhage. Methods: This study is a retrospective cross sectional study of headinjury patients with hemorrhage and without intracranial hemorrhage who weretreated at Dr. M. Djamil Hospital Padang in 2020 from May to December 2020.Data was collected in the Medical Records Department of Dr. M. Djamil HospitalPadang who met the inclusion and exclusion criteria. Results : A total of 92patients were included in the inclusion criteria for this study. The results showedthat the mean NLR value in head injury patients was 11.72 with a variation of7.31. The mean NLR level based on the severity of mild head injury was 10.15with a variation of 6.38. The mean NLR level of moderate head injury severity was12.70 with a variation of 7.09. The mean NLR level of severe head injury, was14.69 with a variation of 9.30. The results showed that there was no difference inthe mean of NLR levels in mild head injury patients with hemorrhage and withoutintracranial hemorrhage. The results showed that there was a significantrelationship between NLR levels in moderate head injury patients withhemorrhage (14.20) and without intracranial hemorrhage (7.20) (p value = 0.029),whereas in severe head injury it could not be assessed because there was nosample without hemorrhage. Conclusion: There is an association betweenincreased NLR and intracranial bleeding in moderate head injury patients

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SAFETY DRIVING PADA SUPIR TRAVEL DI PT. LIBRA WISATA TRANSPORT

2020 ◽  
Vol 4 (1) ◽  
pp. 1-10
Author(s):  
Ade Dita Puteri ◽  
Azimah Mardiatun Nisa
Keyword(s):  
Data Analysis ◽  
Load Capacity ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Independent Variables ◽  
Dependent Variables ◽  
Chi Square Test ◽  
Employment Education ◽  
Work Knowledge

Safety Driving is the basis for further driving training that pays attention to the safety of drivers and passengers. Safety Driving is influenced by human factors such as age, education, length of work, knowledge, vehicle factors such as passenger load capacity, environmental factors in this condition of road and weather. The purpose of this study is to know the factors relating to correlation safety driving of travel driver at PT. Libra Wisata Transport Pekanbaru year 2019. This research is a quantitative study of analytics with a cross-sectional approach. This research was conducted on June 20-25, 2019 with the population in this research is the travel driver of PT. Libra Wisata Transport Pekanbaru, which was 40 people using the Total Sampling technique. independent variables are age, employment, education, length of work, knowledge, and driving completeness, while the dependent variables are the behavior of Safety Driving. The instruments used in data collection are questionnaires. Data analysis is conducted with the analysis of univariate and bivariate with Chi-Square test. The results of the research can be a relationship between age, employment, education, duration of work, knowledge and completeness of driving with the behavior of Safety Driving. It is suggested to the travel to be able to conduct training on Safety Driving to the all of driver, and conduct evaluation on the implementation of Safety Driving training, so that the results of the training can make the driver Act securely In driving. In addition, the driver is expected to always obey the ordinances of the traffic provisions.

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