scholarly journals COMPARISON OF CLOPIDOGREL AND ACETOSAL IN THE PREVENTION OF RECCURENT ISCHEMIC STROKE AT DR. MOEWARDI REGIONAL GENERAL HOSPITAL

Author(s):  
Anis Dwi Kristiyowati ◽  
Retnosari Andrajati ◽  
Anton Bahtiar

  Objective: This study was conducted to determine the effect of clopidogrel on the prevention of recurrent stroke.Methods: This study used case–control study; data were taken from patient’s medical record of DR. Moewardi Regional General Hospital in the period of January 2013 – February 2017. Case group is a recurrent stroke patient receiving an acetosal or clopidogrel. The control group is a nonrecurrent stroke patient who receives an acetosal or clopidogrel.Results: During the period of study, the number of medical sample record data are 177 samples from the entire study subjects that met the inclusion and exclusion criteria, 50 medical records entered as subject of case study, 32 medical record samples was excluded because medical record data at the first stroke was gone (obselete), 35 medical record was excluded because medical record data at first stroke was not at of DR. Moewardi Regional General Hospital, 4 samples of medical records was excluded for using a combination of acetosal and clopidogrel, 55 samples of medical records as control subjects. Patients who use clopidogrel have a tendency to prevent recurrent stroke, but statistically not significantly different. This study shows that men tend to suffer more recurrent ischemic stroke (64.0%) than women. While in the control group of recurrent ischemic stroke of women (56.4%) more experienced the first stroke than men. Patients who had a stroke almost all had a history of hypertension (90.2%). Recurrent stroke patients in this study almost all had a history of hypertension. Bivariate analysis was showed that gender, history of diabetes mellitus (DM) and history of hypertension had an effect on recurrent stroke events. From the multivariate analysis, it was found that men had a risk of 2.328 for recurrent stroke (p=0.047), the history of DM had a risk of 3.975 times for recurrent stroke (p=0.016) and history of hypertension was 4.021 times for recurrent stroke (p=0.03)

2019 ◽  
Vol 1 (2) ◽  
pp. 77-80
Author(s):  
Juliana Ruminta Sijabat ◽  
Sartini Sartini ◽  
Abdul Karim

This study aims to determine the presence or absence of protein in urine in patients with chronic renal failure. From the results of the study it was found that patients with chronic kidney failure in Martha Friska Multatuli General Hospital Medan from the 80 most patients in positive +++. Many patients with chronic kidney failure are male patients (62.5%) compared to female patients (37.5%) and the results of the examination based on age increase with age, ie at the age of 45 years and above. This type of research is descriptive analytic. Data is taken by recording medical record data of patients with chronic kidney failure based on age, sex and year. The study was conducted from January 2015 to December 2016. The place for conducting the research was conducted at Martha Friska Multatuli General Hospital (RSU) Medan. The study sample was urine samples from all patients with chronic renal failure. It can be concluded that the picture of protein in urine in patients with chronic kidney failure increases every year.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Fadhil El Naser ◽  
Irvan Medison ◽  
Erly Erly

AbstrakPenyakit Paru Obstuktif Kronik (PPOK) adalah penyakit dengan karakteristik keterbatasan saluran napas yang tidak sepenuhnya reversibel dan dapat dicegah. Indonesia merupakan salah satu negara berkembang yang memiliki jumlah perokok aktif yang tinggi. Tujuan penelitian ini adalah untuk mengetahui gambaran derajat merokok pada penderita PPOK di Bagian Paru Rumah Sakit Umum Pusat Dr. M. Djamil Padang. Ini adalah penelitian deskriptif retrospektif dengan menggunakan data rekam medik penderita merokok dengan yang dirawat di Bagian Paru Rumah Sakit Umum Pusat Dr. M. Djamil. Data sekunder diambil dari rekam medik penderita Penyakit Paru Obstruktif Kronik (PPOK) yang dirawat di Bagian Paru Rumah Sakit Umum Pusat dari  1 Januari 2013 sampai 31 Desember 2013. Data diolah secara manual dan disajikan dalam bentuk tabel distribusi frekuensi. Sebanyak 20 subjek didapatkan nilai indeks brinkman berat sebanyak 15 orang. Setelah dilakukan uji statistik didapatkan hubungan yang signifikan antara derajat merokok dengan derajat keparahan PPOK (p = 0,033) dan korelasi yang kuat antara keduanya (r  = 0,577). Terdapat hubungan yang signifikan dan korelasi yang kuat antara derajat merokok dengan derajat keparahan PPOK.Kata kunci: merokok. indeks Brinkman, PPOK AbstractCOPD is a disease with airway limitation characteristic. That is not fully reversible and can be prevented. Smoking is the leading cause of COPD. Indonesia is one of the developing countries that have a high number of active smokers. The increase in prevalence is also occurred in the province of West Sumatra, which increased from 30.2% in 2007 to 38.4% in 2010. The objective of this study was to describe the degree of smoking in patients with COPD in Pulmonary Section General Hospital Dr. M. Djamil. This study used a retrospective descriptive design using medical record data of smoker patients with Chronic Obstructive Pulmonary Disease (COPD) who were treated in the Pulmonary Section General Hospital Dr. M. Djamil. The data was taken from the secondary status of patients with Chronic Obstructive Pulmonary Disease (COPD) who were treated in Pulmonary Section General Hospital from January 1, 2013 to December 31, 2013 that recorded in the medical record. Data processed manually from the status of COPD patients and were presented in the form of frequency distribution table. From 20 subjects obtained that 15 samples were classified to severe Brinkman index.  Statistical tests found a significant relationship between the degree of smoking with COPD severity (p = 0.033) and a strong correlation between the two (r  = 0.577). There is a significant relationship and strong correlation between the degree of smoking with COPD severity.Keywords: smoking, Brinkman Index, COPD


2020 ◽  
Vol 5 (2) ◽  
pp. 259
Author(s):  
Beni Harzani ◽  
Diana Diana

Nagaswidak Health Center is one of the community health centers that is quite large and has complete facilities. But the problem that is often faced by officers in the puskesmas is the medical record data processing system which is still manual, causing the accumulation of patient medical record file data, in addition to patients who have been checked before and lost their medical records, it is very difficult for officers to find back, so the officer made a new medical record data. To overcome this problem, a Medical Records Filling Application was made at the Nagaswidak Health Center which includes the processing of medical records, patient data, drug data, action data, doctor data, and admin logins. So that the data search problem is not difficult, the turbo boyer moore algorithm method is applied which is expected to later be able to facilitate the search for patient data in the medical record filling application. Based on the test results Boyer Moore's Algorithm successfully applied to search for the beginning of a word, middle word, and final word. And the level of ease and usefulness of medical records application using Boyer Moore's algorithm obtained results that the level of ease is 80% and 100% usability rate.


2021 ◽  
Vol 1 (3) ◽  
pp. 152-158
Author(s):  
Yessi Sundari

DBD is a disease caused by the dengue virus which is transmitted through mosquito bites and reduces the platelet count in the sufferer. This study aims to determine the medical records of dengue hemorrhagic fever at Lubuk Pakam General Hospital. This type of research is descriptive. Data collection methods were medical records for all DHF patients from 2005 to 2009 at Lubuk Pakam General Hospital. Then the medical record data are grouped by age, sex and occupation. Based on the results of the study, it was found that the number of DHF sufferers from 2005 to 2009 increased in the 21-56 year age group with all male sex and work as entrepreneurs. This is due to a narrower environment, increasing population, and inadequate living quarters with no good air ventilation, so that the spread of dengue is increasing.


2019 ◽  
Vol 2 (3) ◽  
Author(s):  
Amany Khansa ◽  
Aih Cahyani ◽  
Lisda Amalia

 Vertigo often occurs from the ages of 18 to 79 years with a prevalence of 7.4%. Central vertigo is less common than peripheral vertigo, but it can worsen disability in stroke patients. This study aims to determine the profile of stroke patients with vertigo in Hasan Sadikin General Hospital Bandung Neurology Ward. This is a retrospective descriptive study, using medical record data from 2013 to 2017, and collected 173 medical record data. The results showed that most stroke patients with vertigo were women (59%), the most age group was 55-64 years (34.1%), the most common type of stroke was ischemic stroke (75.7%), the most disturbance regarding the vertebrobasilar system was (72.8%), the most patients got the first stroke was (52.6%), 60.7% of patients suffered from hypertension, 23.1% of patients suffered from hyperlipidemia 40 (23.1%), and 22% of patients suffered from diabetes mellitus type 2. This study concludes that stroke patients who experience vertigo are more common in women, and in the 55-64 year age group. The most common stroke is ischemic in the vertebrobasilar system. Most symptoms in stroke patients with vertigo are dizziness not affected by position, vomiting and nystagmus. Hypertension, hyperlipidemia and diabetes mellitus play an important role in the incidence of stroke in patients.   Keywords: vertigo, risk factor, stroke, vertebrobasilar


2019 ◽  
Vol 2 (2) ◽  
pp. 7-12
Author(s):  
Ayu Rahmawati ◽  
Elka Yulinda ◽  
Hansen Nasif

Has conducted a study entitled Switching Antibiotic Therapy to Cases of Appendicitis Surgery in Functional Medical Staff of Arifin Achmad Regional General Hospital, Riau Province. This type of research is a retrospective data observation study, medical record data of appendicitis surgery patients during 2010. The method used is the census method. Antibiotics - Oral Substitution Therapy (IAOST) Protocol to medical record data of appendicitis surgery patients at surgical SMF Arifin Achmad Hospital, Riau Province, following: a therapeutic switch (+) of 17% (29 cases), a percentage that met the switch therapy criteria and did not occur switch therapy (Δ) of 67% (114 cases), the percentage that did not meet the switch therapy criteria and switch therapy occurred (X) by 6% (11 cases), the percentage that did not meet the switch therapy criteria and no therapeutic switch (V) 17% (17 cases).


2018 ◽  
Vol 4 (1) ◽  
pp. 40-53
Author(s):  
Yuli Mardi

Medical record data in hospitals is rarely used for research and increase knowledge. Medical record data stored electronically or stored in the form of archives, periodically will be removed by the hospital according to existing rules, because the data is considered waste that will burden the storage media only. The main purpose of this research is how to utilize the medical record data that is considered to be a waste in order to give positive contribution for all parties both for hospital in making policy, for health facility, and for government in handling health. From data mining obtained at Citra BMC Padang General Hospital in January 2013, data analysis, data classification and decision tree making using algortima c4.5 were used, so that from total of 21 patients who got treatment got total entrophy 2,5061441 with amount most cases were found in CHAPTER XVIII (R00-R99) as many as 8 patients from 21, with sex details (female 5 patients and 3 men), age (elderly 5 patients, young and adults 1 patient, infant and child 2 patient), address (Padang Timur 4 patients, North Padang 1 patient, Lubuk Begalung 2 patient and Padang Barat 1 patient).


2009 ◽  
Vol 5 (4) ◽  
pp. 177-181 ◽  
Author(s):  
Ryan J. Groll ◽  
Kevin J. Leonard ◽  
Joan Eakin ◽  
Padraig Warde ◽  
Jackie Bender ◽  
...  

This study explores the basis for providing effective access to electronic medical record data as a reference source for patients with early-stage testicular cancer undergoing surveillance follow-up programs.


Author(s):  
Yuli Mardi ◽  
Syamsul Kamal

Hal pertama yang harus dilakukan sebelum ada tindakan terhadap pasien pada fasilitas kesehatan sangat erat kaitannya dengan rekam medis, seperti melengkapi data pasien, keluhan pasien dan lain sebagainya. Namun, banyak diantara masyarakat kita tidak memahami hal tersebut. Data rekam medis dan semua isi yang terdapat didalamnya merupakan data pribadi yang tidak boleh disebarluaskan kepada siapa saja. Di era BPJS saat ini, rekam medis menjadi sangat penting bagi fasilitas kesehatan, sehingga diperlukan juga pofesional rekam medis yang handal diposisi tersebut. Rekam medis tidak sekedar mengisi data medis pasien, tapi juga melakukan pengodean penyakit yang juga merupakan bagian dari rekam medis. Pengodean dilakukan agar fasilitas kesehatan dapat mengklaim biaya yang dikeluarkannya dalam menangani seorang pasien di fasilitas kesehatan tersebut. Untuk itu, perlu kiranya diberikan pengetahuan tentang rekam medis kepada masyarakat sehingga diharapkan nantinya lebih banyak masyarakat yang mengerti dan memahami betapa pentingnya rekam medis bagi pasien dan fasilitas kesehatan. Dalam hal ini, tahap awal pengetahuan tentang rekam medis diberikan kepada siswa-siswa Madrasah Aliyah Negeri (MAN) 2 Padang. Dengan kegiatan ini diharapkan masyarakat yang berobat ke fasilitas kesehatan lebih peduli dan tidak berbelit-belit dalam memberikan keterangan tentang hal-hal yang ditanyakan petugas medis di fasilitas kesehatan, sehingga proses pengobatan dapat berjalan dengan baik. Kata kunci : Rekam Medis, Pasien, Fasilitas Kesehatan ABSTRACT The first thing that must be done before there is action on patients in health facilities is very closely related to medical records, such as completing patient data, patient complaints and so on. However, several people do not understand this. Medical record data and all contents contained in it are personal data that cannot be disseminated to anyone. In the current BPJS era, medical records are very important for health facilities, so that professional medical records are also needed in that position. Medical records not only fill the patient's medical data but also encode the disease which is also part of the medical record. The coding is done so that health facilities can claim the costs incurred in handling a patient at the health facility. For this reason, it is necessary to provide knowledge about medical records to the community so that it is hoped that more people will understand the importance of medical records for patients and health facilities. In this case, the initial stage of knowledge about medical records is given to students of the State 2 Madrasah Aliyah (MAN) Padang. With this activity, it is expected that the people who seek treatment at health facilities are more caring and convoluted in giving information about matters that are asked by medical staff in health facilities so that the treatment process can run well. Keyword : Medical Records, Patients, Health Facilities


e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Ayling Soeryadi ◽  
Joudy Gesal ◽  
Lidwina S. Sengkey

Abstract: Osteoarthritis (OA) is a chronically progressive degenerative joint disease associated with joint cartilage damage. It is usually affected the joints of the hands, vertebrae, hips, and knee which is reported as the most common affected location. Risk factors of OA are divided into non-modifiable factors and modifiable factors. The non-modifiable risk factors are age, gender, race, and genetic factors, while the modifiable factors are body mass index, occupation, knee injury, blood pressure, blood sugar level, and cholesterol level. This study was aimed to determine the non-modifiable risk factors and modifiable risk factors in patients with knee OA at the Medical Rehabillitation Unit of Prof. Dr. R. D. Kandou Hospital Manado. This was a quantitative descriptive study using medical record data in the Medical Rehabilitation Unit. There were 36 cases of knee OA during the period of January-June 2017; 27 cases had complete medical record data. The highest distribution of knee OA were patients in the 70-79 age group (33.3%), females (70.4), Minahasa ethnic (59.3%), no family history of OA (70.4%), BMI ≥23 (66.7%), retired (51.9%), history of knee injury (77.8%), prehypertension (51.9%), no history of DM (70.4%) and of hypercholesterolemia (66.7%). Conclusion: Based on the non-modifiable risk factors, females were more at risk of developing knee OA and based on modifiable risk factors, knee injury was the most common factor in the occurrence of knee OA.Keywords: knee osteoarthritis, risk factors Abstrak: Osteoartritis (OA) merupakan penyakit sendi degeneratif yang berkaitan dengan kerusakan kartilago sendi dan bersifat kronik-progresif. Lokasi yang biasanya terkena adalah sendi pada tangan, vertebra, panggul dan lutut, dimana lutut dilaporkan sebagai lokasi yang paling sering terkena. Faktor risiko OA terbagi atas faktor yang dapat di modifikasi dan faktor yang tidak dapat di modifikasi. Faktor risiko yang tidak dapat dimodifikasi ialah antara lain umur, jenis kelamin, suku/ras dan genetik. Faktor risiko yang dapat dimodifkasi berupa indeks massa tubuh, pekerjaan, cedera/trauma, tekanan darah, gua darah, dan kadar kolesterol dalam darah. Penelitian ini bertujuan untuk mengetahui faktor risiko yang tidak dapat dimodifikasi maupun dapat dimodifikasi pada penderita OA lutut di Instalasi Rehabilitasi Medik RSUP Prof. Dr.R. D. Kandou Manado. Jenis penelitian ialah deskriptif kuantitatif menggunakan data rekam medik di Instalasi Rehabilitasi Medik. Terdapat 36 kasus OA lutut selama periode Januari-Juni 2017; hanya 27 kasus yang memiliki data rekan medik lengkap. Pada penelitian didapatkan distribusi OA lutut terbanyak pada kelompok usia 70-79 tahun (33,3%), jenis kelaimin perempuan (70,4%), suku Minahasa (59,3%), tidak memiliki riwayat OA dalam keluarga (70,4%), IMT ≥23 (66,7%), pensiunan (51,9%), riwayat cedera lutut (77,8%), tekanan darah pre-hipertensi (51,9%), tanpa riwayat DM (70,4%) dan riwayat hiperkolesterolemia (66,7%). Simpulan : Berdasarkan distribusi faktor risiko yang tidak dapat dimodifikasi, jenis kelamin perempuan paling rentan terhadap OA lutut dan berdasarkan faktor risiko yang dapat dimodifikasi, cedera/trauma lutut merupakan faktor yang paling sering.Kata kunci: osteoatritis lutut, faktor risiko


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