scholarly journals Pola Kasus dan Penatalaksanaan Peritonitis Akut di Bangsal Bedah RSUP Dr. M. Djamil Padang

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Aiwi Japanesa ◽  
Asril Zahari ◽  
Selfi Renita Rusjdi

AbstrakPeritonitis menjadi salah satu penyebab tersering akut abdomen yang merupakan suatu kegawatan abdomen. Peritonitis biasanya disertai dengan bakterisemia atau sepsis yang dapat menimbulkan kematian. Tujuan penelitian ini adalah untuk mengetahui hal-hal yang berkaitan dengan peritonitis agar dapat mencegah dan melakukan penanganan secepatnya terhadap kasus ini. Penelitian deskriptif retrospektif ini telah dilakukan dari September 2014 sampai Oktober 2014 dengan teknik total sampling. Data yang diambil merupakan kasus pasien peritonitis yang dirawat inap di Bagian Bedah RSUP Dr. M. Djamil Padang, kemudian dilakukan seleksi berdasarkan kriteria inklusi dan eksklusi sehingga didapatkan 98 data rekam medik periode 01 Januari 2013 sampai 31 Desember 2013.  Prevalensi peritonitis pada laki-laki (68,4%) lebih tinggi dibandingkan perempuan (31,6%). Kelompok usia terbanyak adalah 10-19 tahun (24,5%). Peritonitis sekunder umum akibat perforasi apendiks merupakan jenis peritonitis yang terbanyak (53,1%). Sebagian besar pasien peritonitis mendapatkan tatalaksana bedah berupa laparatomi eksplorasi dan apendektomi (64,3%). Lama rawatan terbanyak pada 4-7 hari (45,9%). Frekuensi pasien peritonitis menurut kondisi keluar sebagian besar dalam keadaan hidup (85,7%). Kesimpulan yang dapat diambil dari penelitian ini adalah bahwa peritonitis dapat dipengaruhi oleh faktor usia, jenis kelamin, penyebab peritonitis, tatalaksana, lama rawatan dan kondisi saat keluar dari rumah sakit.Kata kunci: peritonitis, bedah, pola AbstractPeritonitis is one of the most common cause of acute abdomen, which is an abdominal emergency. Peritonitis is usually accompanied by bacteremia or sepsis that can cause mortality. The objective of this study was to know something that associated with peritonitis in order to prevent and to respond immediately to this case. This retrospective descriptive study was conducted from September 2014 to October 2014 using a total sampling technique. Data was taken from cases of hospitalized patients with peritonitis in Surgery Ward of RSUP Dr. M. Djamil Padang, selected by on inclusion and exclusion criteria. There were 98 medical records by the period from 1st of January 2013 to 31th of December 2013. Peritonitis prevalence in men (68,4%) was higher than women (31,6%). Most common age group is 10-19 years old (24,5%). Secondary peritonitis due to perforation of the appendix is the most common type of peritonitis (53,1%). Most patients with peritonitis get a surgical procedure of exploratory laparotomy and appendectomy (64,3%). Most hospitalization length was 4-7 days (45,9%). The frequency of peritonitis patients based on conditions when discharged from hospital is mostly alive (85,7%).Conclusion from this study is that peritonitis may be influenced by age, sex, cause of peritonitis, the surgical procedure, hospitalization, and condition when discharged from hospital.Keywords: peritonitis, surgical, pattern

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Kevin G. Pitojo ◽  
Adrian Tangkilisan ◽  
Alwin Monoarfa

Abstract: Trauma is reported as the main cause of death, hospitalization, and long-term disability. Blunt thoracic trauma is a common problem in society which can be caused by traffic accidents, fallen from height, impact, and others. This study was aimed to obtain the profile of non-enetrating blunt thoracic trauma in surgery emergency unit of Prof. Dr. R. D. Kandou General Hospital Manado from January 2014 to June 2016. This was a retrospective descriptive study using all medical records of non-penetrating blunt thoracic trauma. The results showed that there were 35 cases of non penetrating blunt thoracic trauma out of a total of 120 cases. The majority of cases occurred in 2014 and 2016 (37.1%); age group 21-30 years (28.5%), and males (85.7%). The most common cause was traffic accidents (74.2%) meanwhile most treatment performed was conservative treatment (77.1%) and the outcome of most non-penetrating blunt thoracic trauma was uncomplicated (77.1%).Keywords: trauma, blunt thoracic trauma Abstrak: Trauma dilaporkan menjadi penyebab utama kematian, perawatan di rumah sakit dan kecacatan jangka panjang. Trauma tumpul toraks merupakan masalah umum bagi masyarakat, yang bisa disebabkan oleh kecelakaan lalu lintas, jatuh dari ketinggian, benturan, dan lain-lain. Penelitian ini bertujuan untuk mendapatkan data tentang trauma tumpul toraks non penetrans di IRDB RSU Prof Dr. R. D. Kandou Manado periode Januari 2014-Juni 2016. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan semua data rekam medik pasien trauma tumpul toraks non-penetrans. Hasil peneltiian mendapatkan jumlah kasus trauma tumpul toraks non penetrans sebanyak 35 pasien dari total 120 pasien dengan kasus terbanyak terjadi pada tahun 2014 dan 2016 (37,1%), kelompok usia 21-30 tahun (28,5%), dan jenis kelamin laki-laki (85,7%). Penyebab tersering ialah kecelakaan lalu lintas (74,2%) sedangkan penanganan yang paling banyak dilakukan ialah penanganan konservatif (77,1%). Hasil akhir trauma tumpul toraks non-penetrans yang didapat umumnya tanpa komplikasi (77,1%).Kata kunci: trauma, trauma tumpul


Author(s):  
Deva Pon Pushpam. I.

One of the most important stage in women`s life is menopause. The word menopause simply refers to the last menstrual period which is defined by not having had a period in 12 months. The average age of menopause in western world is 51 years while as in India it is 47.5 years and the normal age range for the occurrence of menopause is somewhat between the age of 45 and 55 years. A descriptive study was conducted to assess the level of knowledge regarding menopause among rural women of age group 45-55 years at Kot Bhalwal, Jammu. The objectives were to assess the level of knowledge regarding menopause among rural women of age group 45-55 years at Kot Bhalwal, Jammu and to associate the level of knowledge regarding menopause with their selected socio demographic variables. Quantitative approach, descriptive research design was used. 100 women of 45–55 years age who fulfil the inclusion and exclusion criteria were selected using purposive sampling technique. A self-structured questionnaire was developed for the study. The tool was tested for content validity and reliability prior to the study. The collected data was tabulated, analysed and interpreted by using descriptive and inferential statistics and findings showed that majority of the sample 97(97%) had below average level of knowledge, 3(3%) had average level of knowledge and 0(0%) had above average level of knowledge and there was no significant association between the selected socio-demographic variables and the level of knowledge.


2021 ◽  
Vol 3 (1) ◽  
pp. 18-24
Author(s):  
Nilda Yulita Siregar ◽  
Cici Fitrayanti Kias ◽  
Nurfatimah Nurfatimah ◽  
Fransisca Noya ◽  
Lisda Widianti Longgupa ◽  
...  

Introduction: Fear and anxiety during pregnancy and childbirth can cause problems such as preterm labor and low birth weight. Purpose: The purpose of this study was to determine the level of anxiety of third-trimester pregnant women in dealing with labor. Methods: This type of research is a descriptive study and analyzed with frequency distribution. The population was all pregnant women in the third trimester who were in the working area of ​​the Mapane Community Health Center with a total of 37 people. The sampling technique used total sampling. The results showed that only 8.1% of pregnant women experienced mild anxiety, while 91.9% did not experience anxiety. pregnant women who experience mild anxiety are 20% in the risk age group, 20% with diploma education, 11.5% in mothers who do not work, 60% in primigravidas, and 15.8% in mothers who do not get support from their husbands. Anxiety occurs mostly in primigravida because it is the first experience of pregnancy. It suggested for village midwives providing information about pregnancy and childbirth, especially for primigravida mothers, and involving their husbands in posyandu activities for pregnant women.


2016 ◽  
Vol 5 (2) ◽  
pp. 26-28
Author(s):  
Zubaida Gulshan Ara ◽  
ASM Shafiqul Islam ◽  
Umme Kulsum Sharmin Zaman ◽  
Anjuman Ara ◽  
Reeva Aireen Busreea

This cross sectional descriptive study was done to see the length of the cervix in Bangladeshi cadaver to find out the anatomical variation and to compare it with other study findings. 60 post mortem specimens containing female genital organs particularly uterine cervix were collected by purposive sampling technique from cadavers of different age groups. All the collected specimens were fixed in 10% formalin solution. This study was carried out in the department of Anatomy, Mymensingh Medical College from July 2006 to June 2007. Both gross and fine dissections were performed to measure the length of the uterine cervix. We compare our study findings with that of the references. Maximum mean length of the cervix was found in the 13-45 years age group. It was 2.89 cm. CBMJ 2016 July: Vol. 05 No. 02 P: 26-28


2019 ◽  
Vol 9 (01) ◽  
pp. 61-66
Author(s):  
Yunilda Rosa ◽  
Masnir Alwi ◽  
Monica Julianti

The case of dengue fever (DF) is one of the health problems in the world which its prevalence increased hence the accuracy of therapy is needed to reduce morbidity. One one aspects that related to this is rationality treatment. This study aims to obtain an overview of rationality treatment in patients who suffered dengue fever (DF) in the Islamic Hospital Siti Khadijah Palembang in 2017. This research is a non-experimental research. The research subjects were all the patients who were diagnosed with dengue fever at the Siti Khadijah Islamic Hospital Palembang in 2017. The data was take based on medical record, the used data were retrospective data which were taken by using purposive sampling technique. The obtained data were 30 respondents who met the inclusion-exclusion criteria. The data analysis used is univariate analysis. The result showed that there was an inaccurate dose of (6.66%). A description of the rationality of treatment carried out from 30 patient stated that treatment rationality was (93,33%) and treatment irrationality was (6,66%). It is suggested that efforts be made to increase compliance for health professionals in hospitals in the completeness of recording in medical records.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Windy D.P. Masengi ◽  
Elvie Loho ◽  
Vonny Tubagus

Abstract: Radiology examination especially chest x-ray can enforce various kinds of pulmonary diseases inter alia pneumothorax. Pneumothorax is defined as the presence of air in the pleural cavity. The causes of pneumothorax are very diverse ranging from idiopathic, infection, trauma, and iatrogenic. This study was aimed to obtain the profile of chest x-ray in patients with pneumothorax. This was a retrospective descriptive study by using secondary data from the medical records at the Department of Radiology Prof. Dr. R. D. Kandou Hospital Manado from January 2015 to August 2016. Samples were the medical records of patients that were radiologically diagnosed as pneumothorax. There were 41 patients that were diagnosed radiologically as pneumothorax. The majority of cases were male (90.2%), age group >50 years (36.6%), location of lesion in the right hemithorax (53.7%), and secondary spontaneous pneumothorax as the etiology (43,9 %). Conclusion: In this study, pneumothorax was more common among males, age group of ≥50 years, and secondary spontaneous pneumothorax as the etiology of pneumothorax.Keywords: pneumothorax, radiology, chest x-ray Abstrak: Pemeriksaan radiologi khususnya foto toraks dapat menegakkan berbagai macam diagnosis penyakit paru, salah satunya ialah pneumotoraks. Pneumotoraks adalah terdapatnya udara bebas didalam rongga pleura dengan penyebab yang sangat beragam mulai dari idiopatik, infeksi, trauma, maupun iatrogenik. Penelitian ini bertujuan untuk mengetahui profil hasil pemeriksaan foto toraks pada pasien pneumotoraks. Jenis penelitian ialah deskriptif retrospektif dengan pengambilan data di Bagian Radiologi RSUP Prof. Dr. R. D. Kandou Manado pada bulan Januari 2015 sampai dengan Agustus 2016. Sampel yaitu data rekam medik pasien yang didiagnosis pneumotoraks secara radiologis sebanyak 41 pasien. Yang tersering ditemukan ialah pasien laki-laki sebanyak 37 orang (90,2%), kelompok usia >50 tahun sebanyak 15 orang (36,6%), lokasi lesi hemitoraks deksra sebanyak 22 kasus (53,7%), serta etiologi pneumotoraks spontan sekunder sebanyak 18 kasus (43,9%). Simpulan: Pada penelitian ini didapatkan pneumotoraks paling banyak pada laki-laki, kelompok usia ≥50 tahun, dengan pneumotoraks spontan sekunder sebagai etiologi tersering. Kata kunci: pneumotoraks, radiologi, foto toraks


2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Amalia Rizkiannur Putri ◽  
Sukartini ◽  
Evi Fitriany

The early 28 days of life called the neonatal period is the most vulnerable period for infants. The infants face the highest risk of death in the first month after birth. The most common cause of infant death is asphyxia, prematurity, and infection. Infection in newborns is defined as a condition where the newborns have a disease caused by microorganisms. One of the risk factors causing infection in newborns includes factors from the mother, such as premature rupture of membranes, green or meconium and smelly amniotic fluid, maternal infection, and others. The main objective of this research was to describe the risk factors of incidence of infection in newborns at RSUD Abdul Wahab Sjahranie Samarinda. This research uses a retrospective descriptive method with the cross-sectional approach. Sampling was done by taking data on medical records of patients at the RSUD Abdul Wahab Sjahranie Medical Record Installation using total sampling technique. The results obtained were 99 samples that met the inclusion and exclusion criteria with details of patients who experienced premature rupture of membranes by 18 people (18,2%), poor amniotic color by 62 people (62,6%), mothers who had leukocytosis by 15 people (15,2%), and the incidence of infection in newborns by 2 people (2%). the collected data were tabulated bu frequency and percentage and displayed in tables


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Feby Bantoyot

Abstract: Malaria is a disease caused by protozoan parasites of the genus Plasmodium.  Malaria remains a public health problem in the world. In Indonesia in the last five years Paracite Annual Incidence (API) has been successfully reduced from 1.96 per 1000 population (2008) to 1.69 per 1000 population (2012). In 2010 the incidence of malaria by age group, based on the characteristics of the respondents was highest in the age of 1-4 years (23.9%), according to the characteristics of sex, obtained in men is higher than women. In Central Sulawesi, incidence of malaria in 2011 was 3.08%. In 2008, the highest incidence of malaria in Central Sulawesi contained in Buol district, Donggala and Banggai. This study aims to determine the profile of malaria in children in BRSD Banggai Central Sulawesi period January 2011 - December 2013. This study is a retrospective descriptive study, by accessed the medical records of study subjects. The result of experiment include 75 sample with distribution male a little more than female, age group 1-4 years,  low Hb value, and moderate malnutrition is the most include in this experiment.The type of Plasmodium is dominated by Plasmodium vivax.Keywords: malaria, Plasmodium, malnutrition, BRSD Luwuk  Abstrak: Penyakit malaria merupakan penyakit yang disebabkan oleh parasit Protozoa dari genus Plasmodium. Malaria masih menjadi masalah kesehatan masyarakat di dunia. Di Indonesia dalam lima tahun terakhir Annual Paracite Incidence (API) telah berhasil diturunkan dari 1,96 per 1000 penduduk (2008) menjadi 1,69 per 1000 penduduk (2012) Pada tahun 2010 insiden malaria menurut golongan umur, berdasarkan karakteristik respondenpaling tinggi pada umur 1-4 tahun (23,9%), untuk karakteristik menurut jenis kelamin, didapatkan pada laki-laki lebih tinggi dibandingkan perempuan. Di Provinsi Sulawesi Tengah insiden malaria tahun 2011 sebesar 3,08 %. Pada tahun 2008, insiden malaria tertinggi di Provinsi Sulawesi Tengah terdapat di Kabupaten Buol, Donggala dan Banggai. Penelitian ini bertujuan untuk mengetahui profil malaria pada anak di BRSD Kabupaten Banggai Provinsi Sulawesi Tengah periode Januari 2011 – Desember 2013. Penelitian ini merupakan penelitian yang bersifat deskriptif retrospektif, yaitu dengan mengakses data rekam medis subyek penelitian. Hasil penelitian, didapatkan sampel 75 anak dengan distribusi jeniskelaminlaki-laki sedikit lebih banyak dibandingkan jenis kelamin perempuan, golonganumur 1-4 tahun nilai Hb rendah dan status gizi mal nutrisi sedang paling banyak ditemukan. Jenis Plasmodium yang mendominasi adalah Plasmodium vivax.Kata Kunci :malaria, Plasmodium,malnutrisi,  BRSD Luwuk


2016 ◽  
Vol 23 (02) ◽  
pp. 223-227
Author(s):  
Niaz Hussain Soomro ◽  
Dr. Ali Shan Shariff ◽  
Aneeqa Ahsan Zafar ◽  
Omar Ehtisham ◽  
Guzel Maxood ◽  
...  

Objective: To review all the mediastinal tumors and cysts operated uponat Department of Thoracic Surgery, OICD, DUHS over a 2.5 year period. Study design:Retrospective descriptive study. Place and duration of study: Ojha Institute of Chest Diseases,Dow University of Health Sciences, Karachi, Pakistan from November 2012- April 2015. Materialand methods: 50 patients with mediastinal masses of either sex were included in the study.Tumors were categorized as arising from the anterior, middle and posterior mediastinum onthe basis of CT scan chest. Tumors were classified into various type based on the results ofhistopathology. Data was obtained from hospital medical records and proformas were filledfor each patient. Results: A total of 50 patients with mediastinal masses were seen at theDepartment of Thoracic Surgery, Ojha Institute of Chest Diseases between Nov 2012- April2015. There were 30 males and 20 females (ratio 1.5:1). Most of the patients were between 11-70 years of age, with mean age of 32 years. The most common location for mediastinal tumorswas found to be the anterior mediastinum which comprised of 40% of all tumors, followed byposterior (32%) and middle mediastinum respectively (28.0%). Shwanomma (18%) was themost common type of tumor observed, followed by lymphoma (12%) and germ cell tumors(10%). Conclusion: Mediastinal tumors are relatively uncommon in clinical setting. Thesetumors represent a group of heterogeneous masses present between two pleural cavities. Adefinitive early diagnosis is the key in management and prognosis of the patient.We present our5 year experience of patterns of mediastinal tumors.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Rina D.S. Andisi ◽  
Pieter L. Suling ◽  
Marlyn G. Kapantow

Abstract: Keloid is an abnormal scar that appears as an impact of wound healing process. Trauma, skin tension, hormone, and genetics are the risk factors of keloid. This study was aimed to obtain the profile of keloid patients at Polyclinic of Dermatology and Venereology Prof. Dr. R. D. Kandou Hospital in the period 2011-2015. This was a retrospective descriptive study using data of registration book and medical records. The results showed that the incidence of keloid in the period 2011-2015 was 93 cases (1.68%). Based on gender, females were the most (52.69%). The age group that had the highest in number was 15-24 years old (36.56%). Based on occupation, most were students (25 cases; 26,88%). The most common location of lesion was on the chest, which accounted for 48 cases (51.61%). Eighty-nine cases (90.70%) used intralesion steroid injection as the therapy. Conclusion: Keloid was more common in females, age group 15-24 years old, and occupation as students. The most common location of the lesion was on the chest, and the intraleson steroid injection was the most used therapy for keloid.Keywords: keloids, scar, profile Abstrak: Keloid adalah parut abnormal yang timbul sebagai akibat dari proses penyembuhan luka. Trauma, ketegangan kulit, hormon, dan genetik merupakan faktor penyebab terbentuknya keloid. Penelitian ini bertujuan untuk mengetahui profil penderita keloid yang berobat di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2011-2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data dari buku register dan catatan rekam medik. Hasil penelitian menunjukkan insidensi penderita keloid periode 2011-2015 sebanyak 93 kasus (1,68%). Distribusi kasus terbanyak pada perempuan (52,69%), kelompok umur 15-24 tahun (36,56%), pekerjaan sebagai pelajar dengan 25 kasus (26,88%). Lokasi lesi paling sering pada daerah dada yaitu sebanyak 48 kasus (51,61%). Sebanyak 89 kasus (90,70%) menggunakan terapi injeksi steroid intralesi. Simpulan: Berdasarkan hasil penelitian ini keloid lebih sering pada perempuan, kelompok umur 15-24 tahun, pekerjaan sebagai pelajar, dengan lokasi lesi paling sering pada daerah dada dan injeksi steroid intralesi merupakan terapi keloid yang paling banyak digunakan. Kata kunci: keloid, bekas luka, profil


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