scholarly journals Gambaran Pasien Laryngopharyngeal Reflux di Bagian Poliklinik THT-KL RSUP Dr. M. Djamil Padang Periode 2017.

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Nadhirah Binti Sa'an

Abstrak Latar Belakang. Laryngopharyngeal reflux (LPR) adalah aliran balik cairan lambung ke laring, faring, trakea dan bronkus. Objektif. Penelitian ini bertujuan untuk melihat gambaran pasien dengan LPR di bagian Poliklinik THT-KL RSUP Dr. M. Djamil, Padang periode 2017. Metode. Jenis penelitian ini adalah merupakan deskriptif retrospektif yang menggunakan data sekunder diambil dari rekam medis pasien LPR di Poliklinik THT-KL RSUP Dr. M. Djamil, Padang periode 2017. Sampel pada penelitian ini diambil dengan teknik total sampling, dimana didapatkan populasi pasien dengan LPR sebanyak 89 orang yaitu 20% daripada jumlah pasien di Sub Bagian Laringofaring. Hasil. Hasil penelitian ini didapatkan bahwa terdapat 83 orang pasien yang memenuhi kriteria inklusi dan dimasukkan ke dalam penelitian. Frekuensi kasus LPR lebih tinggi pada jenis kelamin perempuan sebanyak 55 orang (66,27%) berbanding laki-laki sebanyak 28 orang (33,73%) dengan rasio 2:1. Kelompok usia terbanyak pasien LPR pada penelitian ini adalah 46-55 tahun sebanyak 32 orang (38,55%), dengan rata-rata usia pasien adalah 49,30±12,12 tahun. Gejala terbanyak yang dikeluhkan pasien adalah sensasi mengganjal di tenggorok / globus pharyngeus (78,31%). Sementara pilihan pengobatan yang paling banyak diresepkan adalah Lansoprazol  (93,98%). Kesimpulan. Dapat disimpulkan bahwa jumlah pasien LPR adalah sebanyak 20% dari seluruh pasien Sub Bagian Laringofaring. Kata Kunci: LPR, Gejala, Pengobatan   Abstract Background. Laryngopharyngeal reflux (LPR) is the backflow of gastric fluid into the larynx, pharynx, trachea and bronchi. Objectives. This study aims to see the pattern of patients with  LPR in the Polyclinic of ENT-HN Department at Dr. M. Djamil Hospital, Padang in 2017 period. Method. This type of research was a retrospective descriptive which using secondary data taken from the medical record of LPR patients at the Polyclinic of ENT-HN Department at Dr. M. Djamil Hospital, Padang period 2017. The sample in this study was taken by total sampling technique, which obtained 89 patients of LPR as the population  that represented 20% of patients in the sub-section of laryngopharynx. Results.The results showed 83 patients who met the inclusion criteria and were included in the study. The cases of LPR was higher in female as many as 55 people (66,27%) compared to men as many as 28 people (33,73%) with a ratio of 2:1. The largest age group of LPR patients in this study was 46-55 years as many as 32 people (38,55%), with the average age of patients was 49,30 ± 12,12 years. The most symptoms complained were the sensation of lump in the throat / globus pharyngeus (78,31%). While the most prescribed medicine options are Lansoprazole (93,98%). Conclusion. It can be concluded that the number of LPR patients is as much as 20% of all Laryngopharyngeal Sub Division patients. Keywords: LPR, Symptoms, Medicines.

2020 ◽  
Vol 2 (2) ◽  
pp. 37-41
Author(s):  
Sindy Sekarlina ◽  
M Nurhuda ◽  
Sriwahyuni Sriwahyuni

Hemorrhoids (wasir) are widening of  venous artery plexus surrounding the distal part of the rectum and  canal anal. However, most people don’t know about the symptoms that arise from disease. Medical record data from  RSUP Dr.  M. Djamil Padang, noted that sufferers of Hemorrhoids disease in 2009  were 244 people,  from 2015 to 2016 there were an increase of  75 to 109 cases.This aims to knowing profile of hemorrhoids patients in Islamic Siti Rahmah Padang Hospital in 2016-2017 years. The study is descriptive by using secondary data from patient’s medical record and primary data from patient interview. Conducted at medical record at RSI Siti Rahmah  Padang from November 2018 - February 2019, the population are 45 samples by simple random sampling technique.The results showed that the highest age group was the age group 15-44 years (60%), the highest sex male (57,8%), internal hemorrhoids classification  (88.9%), III and IV degrees  with each there were (42,2%). A history was pain (100%) and followed by a lumpof (97,77%), defecation position is sitting (55.5%), and constipation (95.6%).


2021 ◽  
Vol 1 (3) ◽  
pp. 393-402
Author(s):  
Lucinda Patesia Amada Rumadas ◽  
Jacky Munilson ◽  
Dian Pertiwi

Background. Atticoantral type of Chronic Suppurative Otitis Media (CSOM) becomes a major health problem in developing countries. This condition has potential to be hard becaused complications that occur. Objective. This objectives of this study was to decribe atticoantral type complications CSOM at Dr M Djamil Hospital Padang years 2017-2019. Methode: This was a descriptive study using secondary data from medical record of patients diagnosed with atticoantral type CSOM at Dr M Djamil Hospital Padang periode 2017-2019. This study involved outpatients and inpatient with total subject 242 who qualify inclusion criteria. Sampling technic used total sampling technic Results. There are 242 cases atticoantral CSOM with the most age group years ˃10-20 and more men than woman. The Incidence of complications was founded to be 9,1% with the most intracranial complications age group years ˃20-30, while the most age group in intratemporal complications were years ˃10-20 and more experienced by men than women. Mortality rate was found 9,1% in intrakranial complications and no cases mortality rate in intratemporal complication. Conclusion. The incidence of compliations CSOM atticoantral type in RSUP Dr M Djamil still quite high.


2021 ◽  
Vol 1 (3) ◽  
pp. 425-430
Author(s):  
Astri Nadia Hidayat ◽  
Novita Ariani ◽  
Ida Rahman Burhan

   Cervical cancer was one of the most common malignancies in women and was the leading cause of death from cancer, especially in low and middle-income countries (developing countries). The high incidence and mortality rate in developing countries was caused by the lack of knowledge about cervical cancer and limited access to early detection, so that patients come late for treatment and were diagnosed when their condition were severe and the disease had progressed to an advanced stage. This study was conducted in the Medical Record Installation section of Dr. M. Djamil Padang Hospital on 11 August - 2 September 2020. The results of the study were obtained from secondary data from medical records, and data collection was taken by total sampling. Samples that have met the inclusion criteria in this study were 84 patients diagnosed with cervical cancer at Dr. M. Djamil Padang Hospital in 2019. The results showed cervical cancer patients at Dr. M. Djamil Padang Hospital in 2019 were mostly in the ≥50 year age group (51.2%), multiparous category (77.4%), and High School/ equivalent category (70.2 %). Keywords : Risk Factor, Cervical Cancer, Age, Parity, Education Level


2021 ◽  
Vol 8 (3) ◽  
pp. 276-283
Author(s):  
Pertiwi Perwiraningtyas ◽  
Anita Rahmawati

The incidence of caesarean section in Indonesia has increased every year. Caesarean section is an alternative to delivery when vaginal delivery cannot be done. The problems studied are the factors that influence the action of cesarean section delivery. The purpose of the study was to analyze the factors of delivery by caesarean section at Panti Waluya Hospital, Malang. The design of the study used cross sectional. The population in this study was all parturition mothers who were in the medical records of Panti Waluya Hospital Malang in January-May 2021. The sampling technique in this study used Simple Radom sampling, obtained 55 samples that met the inclusion criteria (ie data in the medical record). The study was carried out at the Panti Waluya Hospital in Malang in May 2021. The instrument used observation sheet. The data taken came from secondary data, namely the patient's medical record. The independent variables of the study were maternal age, gestational age, employment status, parity, disease history, income, insurance, education, delivery distance. The dependent variable of the study was caesarean section. The data analysis used Fisher exact test and logistic regression test. The results showed that history of disease and delivery interval had a significant correlation with delivery, and the variable that was the determinant of CS delivery was history of disease (p=0.012; OR=8.463). It is necessary to carry out routine ANC for pregnant women, in order to avoid risk factors for childbirth by caesarean section.


2018 ◽  
Vol 9 (02) ◽  
pp. 175
Author(s):  
Is Susiloningtyas ◽  
Isna Hudaya

ABSTRAKMasa kehamilan kemungkinan dapat terjadi komplikasi. Komplikasi yang dapat muncul akibat langsung kehamilan salah satunya pre eklamsi/eklamsi. Berdasarkan Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012, Angka Kematian Ibu (AKI) (yang berkaitan dengan kehamilan, persalinan, dan nifas) sebesar 359 per 100.000 kelahiran hidup.Sedangkan penyebab utama kematian ibu maternal adalah timbulnya perdarahan (28%), eklamsi (24%) dan infeksi (11%).Pada tahun 2000 dicanangkan Gerakan Nasional Kehamilan yang Aman atau Making Pregnancy Safer (MPS) sebagai bagian dari Strategi Pembangunan Kesehatan Masyarakat menuju Indonesia Sehat 2010, dimana salah satu targetnya adalah penurunan AKI yang penyabab utamanya eklamsi. Jenis penelitian ini adalah deskriptif analitik, tehnik pengambilan data menggunakan data sekunder. Instrumen dalam penelitian ini adalah catatan rekam medik Rumah Sakit Islam Sultan Agung Semarang dengan subyek penelitian adalah seluruh ibu hamil yang menderita pre eklampsia yaitu sebanyak 129. Hasil penelitian yang diperoleh dari 129 data rekam medik,  ibu yang mengalami pre eklamsi banyak terjadi pada ibu kelompok usia 20-35 tahun sebanyak 88 (68%), ibu berumur > 35 tahun sebanyak 32  (25%) dan ibu berumur < 20 tahun sebanyak 9 orang (7%). Ibu yang mengalami pre eklamsi lebih banyak dialami pada primipara sebanyak 48 (37%), multipara sebanyak 46 (36%) dan grande multipara sebanyak 35 (27%). ibu yang mengalami pre eklamsi banyak terjadi pada ibu yang bekerja swasta sebanyak 64 (50%),ibu rumah tangga sebanyak 50 (38%) pegawai negeri sipil sebanyak 15 (12%).Kata kunci : Faktor Predisposisi, Pre eklamsi.PREDISPOSITION FACTORS OF PREGNANT MOTHER WITH PRE ECLAMPSIA IN HOSPITAL ISLAM SULTAN AGUNG SEMARANGABSTRACTPregnancy period may occur complications. Complications that can arise due to direct pregnancy one of them pre eclampsia / eclampsia. Based on the Indonesian Demographic and Health Survey (IDHS) in 2012, Maternal Mortality Rate (MMR) (relative to pregnancy, delivery and postpartum) is 359 per 100,000 live births. While the main causes of maternal maternal deaths were bleeding (28%), eclampsia (24%) and infection (11%). In 2000 the National Pregnancy Safer (MPS) was launched as part of the Community Health Development Strategy towards Healthy Indonesia 2010, where one of the targets is the decreasing of AKI which is the main cause of eclampsia. The type of this research is descriptive analytic, technique of taking data using secondary data. Instrument in this research is medical record of Islamic Hospital of Sultan Agung Semarang with research subject is all pregnant women suffering from pre eclampsia that is as much 129. The result of research from 129 medical record data, mother having pre eclampsy mostly happened to mother of age group 20-35 years old 88 (68%), mother> 35 years old as many as 32 (25%) and mother <20 years old as many as 9 people (7%). Mothers who experienced preeclampsia were more common in primipara (48%), multiparas (46%) and multiparas (35%). mothers with preeclampsia were more common in private mothers (64%), housewives (50%) (38%) of civil servants (15%).Keywords : Predisposing Factor, Pre eclampsia.


Author(s):  
Raies Ahmad ◽  
Aditiya Saraf ◽  
Kamal Kishore ◽  
Nitika Gupta

AIMS & OBJECTIVES- to evaluate response of combination of b.i.d(twice daily) PPI(Proton pump inhibitors) plus nocturnal H2RAs (H-2 Receptor antagonists) in laryngopharyngeal reflux disease. MATERIAL & METHODS- The present study was conducted on 100 patients between age group of 25-70 years attending ENT OPD of SMGS Hospital, GMC Jammu during a time period of November 2017 to September 2019.Inclusion criteria for our study were patients with symptoms of GERD (both esophageal and extraesophageal). Exclusion criteria were patients other associated gastrointestinal complaints, patients suffering from URTI and patients having symptoms less than a month.Patients were prescribed acid suppression therapy consisting of twice daily dose of  PPI (Omeprazole 20 mg) plus bed time H2RA (Rantidine 150 mg) for four months and reviewed after every 15 days.  RESULTS- Out of 100 patients, 71% patients showed improvement symptomatically at the end of four months and laryngeal findings resolved in 55% of patients. CONCLUSION- The combination of symptoms and laryngoscopic findings both show improvement with b.i.d PPIs. Additional nocturnal H2RA had minimal effect on response rate.


2021 ◽  
Vol 2 (1) ◽  
pp. 41-47
Author(s):  
Irfan Fadilah ◽  
Dina Arfiani Rusjdi ◽  
Dinda Aprilia

Background: A goiter is an enlargement of the thyroid gland caused by abnormalities of the thyroid gland in the form of malfunctioning or disorders of the structure of the gland and its morphology. According to WHO, the incidence of goiter is still quite high with iodine deficiency as the main cause. Objective: This study aims to determine the description of ultrasound examinations in goiter patients in Department of Radiology DR. M. Djamil January-December 2019 period. Method: This research was a retrospective descriptive study using cross sectional method using secondary data on 123 patients with thyroid goiter who meet the inclusion criteria in RSUP DR. M. Djamil Padang period January 2019-December 2019. The sampling method used a total sampling technique. Result: The results showed that 112 patients with thyroid goiter disorders met the inclusion criteria. The most clinical diagnosis results were goiter nodusa as many as 61 people (54.5%). The highest incidence was in the age range 41-50 years with 35 people (31.3%). The most gender was 88 women (78.6%). The results of ultrasonography in most goiter patients were diffuse in 43 people (38%).Conclusion: The conclusion of this study, it was found that the most age group of patients suffering from goitre were 41-50 years old, the majority of goiters occurred in the female compared to the male and the results of the most thyroid ultrasound images were diffuse goiter


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Yuyun Saputri ◽  
Ismet Muchtar Nur ◽  
Meta Maulida Damayanti

Nodul tiroid merupakan kasus yang dapat disebabkan oleh berbagai jenis gangguan kelenjar tiroid dan masih sering ditemukan. Sekitar 90% nodul tiroid bersifat jinak dan 10% bersifat ganas. Di Indonesia data statistik mengenai nodul tiroid masih sangat kurang. Penelitian ini bertujuan mengetahui karakteristik pasien dengan nodul tiroid. Penelitian ini menggunakan metode deskriptif observasional dengan pendekatan potong lintang. Teknik pengambilan sampel dalam penelitian ini adalah total sampling. Data didapatkan melalui rekam medis tahun 2018–2019 di Rumah Sakit Al-Ihsan Bandung dan didapatkan 72 rekam medis yang memenuhi kriteria inklusi yang dilakukan periode tahun 2018–2019. Hasil penelitian menunjukkan frekuensi tertinggi berdasar atas usia terdapat kelompok usia 40 - 49 tahun 32%. Frekuensi tertinggi berdasar atas jenis kelamin terdapat pada pasien perempuan 90%. Frekuensi tertinggi berdasar atas ukuran nodul tiroid terdapat pada kelompok >4 cm 72%. Frekuensi tertinggi berdasar atas gambaran histopatologi berupa adenomatoid goiter 74%. Simpulan penelitian ini menunjukkan frekuensi tertinggi terjadi nodul tiroid terdapat pada usia 40-49 tahun, perempuan, ukuran nodul tiroid >4 cm dan jenis adenomatoid goiter. Hal ini terjadi karena imunitas dan daya tahan tubuh seseorang menjadi menurun seiring dengan usia yang bertambah. Pada perempuan risiko penyakit nodul tiroid dapat meningkat dengan penggunaan hormon estrogen pada kontrasepsi oral, pada kehamilan, serta perubahan siklus menstruasi. Characteristics of  Patients with Thyroid Nodule at the Al-Ihsan Hospital BandungThyroid nodule is a disease that can be caused by various disorders. About 90% of thyroid nodules are benign and 10% are malignant. In Indonesian, statistical data for thyroid nodules are still limit. The porpose of this study was to collect the characteristics of patients with thyroid nodules at the Al-Ihsan Hospital Bandung. This study used a observational descriptive method using total sampling technique. Data were obtained through medical records for January 2018–December 2019 at Al-Ihsan Hospital and obtained 72 medical records that met the inclusion criteria the study was held during January 2018–December 2019. The results showed that the highest frequency based on age was found in the 40 - 49 years age group at 32%. The highest frequency based on gender was found in female patients by 90%. The highest frequency based on the size of thyroid nodules was found in the group >4 cm at 72%. The highest frequency based on histopathological features was found in adenomatoid goiter by 74%. The conclusions in this study indicate that the highest frequency of thyroid nodules occurs at the age of 40 - 49 years, women, thyroid nodule size >4 cm and adenomatoid goiter type. This happens because a person's immunity and body resistance decrease with age. In women, the risk of thyroid nodule disease can increase with the use of the hormone estrogen in oral contraceptives, in pregnancy and changes in the menstrual cycle.


Author(s):  
Andar Sri Sumantri ◽  
Radix Nugrahanto

<p>Customer is an important factor for the survival of a company. At a time, company sometimes didn’t know the level of customer satisfaction. If the company continues with this situation, the company would not know the next strategies to develop the company. There are many factors that connected with customer such as trust, facility and service quality. This research objective is to analyze if there is a positive influence, both individually and simultaneously between independent variables which are trust, facility and service quality to the dependent variable which is customers. In this research the object are the customers of PT Panah Persada Logisindo Semarang. The data sources are primary and secondary data using sampling technique of 80 respondents. The results of multiple linear regression equation show that there is a positive influence and partial significant between (t= 3,543 &gt; ttebal = 1, 99167) Trust, (t=4,976 &gt;ttebal=1,99167 ) Facility and (t =3,908 &gt; ttebal= 1, 99167) Service Quality effected by customer satisfaction.</p><p><strong>Keywords: Trust, Facility, Service Quality, Customer Satisfaction</strong></p><p>Kepuasaan Pelanggan merupakan faktor penting terhadap kelangsungan hidup sebuah perusahaan. Masalah yang dihadapi perusahaan saat ini berkaitan dengan tidak diketahuinya kepuasaan Pelanggan setiap tahun, Jika ini dibiarkan terus menerus, perusahaan tidak dapat menentukan strategi untuk meningkakan kepuasaan pelanggan. Ada banyak faktor yang mempengaruhi Kepuasaan Pelanggandipengaruhi oleh kepercayaan, fasilitas dan Kualitas Pelayanaan. Perumusan masalah, tujuan penelitian dan hipotesis pada latar belakang masalah dan tujuan penelitian ini untuk menganalisis adakah pengaruh yang positif baik secara individual dan simultan antara variabel independen yaitu kepercayaan, fasilitas, kualitas pelayanaan terhadap variabel dependen yaitu Kepuasaan Pelanggan. Pada penelitian ini obyek yang diambil pengguna jasa Freight forwarder PT Panah Persana Logisindo Semarang Sumber data meliputi data primer dan sekunder. Sampel pada penelitian ini adalah 80 responden teknik sampling yang digunakan seluruh populasi dijadikan sample. Berdasarkan hasil penelitian dan analisis berganda dihasilkan persamaan : Hasil persamaan regresi linear berganda menunjukkan bahwa ada pengaruh yang positif dan signifikan secara parsial antara ( t hitung = 3,543&gt; t tabel = 1,99167) kepercayaan, (t hitung4,976 &gt; t tabel =1,99167) Fasilitas ( t hitung = 3,908&gt; t tabel = 1,99167) Kualitas pelayanaan terhadap Kepuasaan Pelanggan.</p><p><strong>Kata kunci : Kepercayaan, Fasilitas, Kualitas Pelanggan. Kepuasaan Pelanggan</strong></p>


2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Dina Patrisia ◽  
Muthia Roza Linda ◽  
Ursa Yulianti

This study aims to analyze the effect of investment decisions, funding decisions, and dividend policy on the value of the company. This research is classified as causative research. The populations in this study are all Manufacturing companies listed on the Stock Exchange in 2012-2016. The sampling technique in this study is using purposive sampling technique with a total sample of 213 samples. The data used is secondary data. The data analysis method used is multiple regression. The results showed that investment decision variables affect the value of the company in a positive direction, funding decisions affect the value of the company in a negative direction, and dividend policy affects the value of the company with a positive direction on Manufacturing companies listed on the IDX. With this research, it is expected that researchers who can further conduct research related to factors that influence the value of the company whose impact is higher than what researchers have met. By using different proxy and data processing methods to produce more accurate data processingKeywords: Investment decisions; funding decisions; dividend policy; company value


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