scholarly journals SIGNIFIKANSI HELM SNI SEBAGAI ALAT PELINDUNG PENGENDARA SEPEDA MOTOR DARI CEDERA KEPALA

2016 ◽  
Vol 17 (1) ◽  
pp. 31
Author(s):  
Endi Hari Purwanto

<p>Abstrak<br />Fungsi helm yang benar yaitu sebagai pelindung pengendara sepeda motor dari cedera kepala saat terjadi kecelakaan dan mengalami benturan kepala, dalam batas kemampuan helm dan kondisi kecelakaan yang dialami. Penelitian ini berguna mendudukkan kapabilitas helm terhadap beberapa jenis cedera kepala. Harapannya adalah masyarakat menjadi paham bahwa helm bukan menjadi satu-satunya penentu keselamatan dari keparahan cedera kepala pengendara sepeda motor saat mengalami kecelakaan. Penelitian ini bertujuan menghitung signifikansi fungsi helm SNI sebagai alat pelindung dari cedera kepala dibandingkan terhadap faktor berpengaruh lainnya kemudian menghitung besarnya potensi untuk terjadinya suatu cedera kepala tersebut. Metode yang digunakan adalah kolaborasi 3 metode statistik yang kemudian diambil kesimpulannya yang terbaik. Tiga metode tersebut adalah Rasio Prevalensi (RP), khi-kuadrat (Xhit2), distribusi z (p-value) dengan CI=95%, digunakan untuk menghitung signifikansi fungsi helm ber-SNI sebagai alat pelindung dari paparan cedera kepala akibat kecelakaan sepeda motor antara tahun 2006 – 2011 di wilayah kota Bandung. Kemudian uji multivariat digunakan untuk menghitung besarnya potensi kejadian cedera kepala yang dialami. Hasilnya bahwa penggunaan helm ber-SNI signifikan berpengaruh terhadap keparahan cedera fraktur tengkorak dan tulang wajah (S02 injury) yang dialami pengendara sepeda motor ketika mengalami kecelakaan. Dengan syarat kecelakaan yang terjadi bukan tabrakan berlawanan dan bukan tabrakan berpola depan-depan dan sedapat mungkin mendapatkan pertolongan yang cepat. Maka potensi korban mengalami cedera S02 1,437 kali lebih besar daripada tidak menggunakan helm ber-SNI. Kesimpulannya adalah penggunaan helm-SNI hanya sebatas melindungi pengendara dari cedera kepala S02 saja sedangkan potensi cedera kepala yang lebih berat seperti: cedera severe HI, intrakranial (S06) dan meninggal dunia adalah diluar kapabilitas helm SNI tersebut.<br />Kata kunci: penggunaan helm SNI, cedera kepala S02, severe HI, intrakranial (S06), meninggal dunia.</p><p><br />Abstract<br />The right function of helmet as protective motorcycle riders from head injuries during an accident and suffered a clash of heads, within the limits of the ability of the helmet and accident conditions experienced. Useful of this research is sit on the capabilities of helmets to some kind of head injury. The hope is that people come to understand that the helmet is not the sole determinant of safety from the severity of motorcyclists head injury when the accident occured. The study aims to calculate the significance of the function of SNI helmet as protective gear from head injuries compared to other influential factors and then calculate the amount of potential for the occurrence of an injury to the head. The method used is a collaboration of three statistical methods were then infer the best. The three methods are the prevalence ratio (PR), chi-squared (Xhit2), the distribution of z (p-value) with CI = 95%, is used to calculate the significance of the function of SNI helmet as protective gear from head injuries caused by exposure to a motorcycle accident between the years 2006 - 2011 in the city of Bandung. As additionaly, the multivariate test is used to calculate the magnitude of the potential incidence of head injuries suffered. The result is that the use of SNI helmet significantly affect the severity of the injury skull fracture and facial bones (S02) injury suffered by motorcyclists when it crashed. With conditions not collision accident happened opposite and not patterned front-front collisions and as far as possible to get help fast. So the potential victim injured S02 1.437 times greater than not using SNI helmet. The conclusion was that the use of helmet-SNI merely protect riders from head injuries while the potential of S02 only more severe head injuries such as severe HI injury, intracranial (S06) and death are beyond the capabilities of the helmet.<br />Keywords: SNI helmet usage, S02 head injury, severe HI, intracranial HI (S06), passed away.</p>

Author(s):  
Sukriti Das ◽  
Bipin Chaurasia ◽  
Dipankar Ghosh ◽  
Asit Chandra Sarker

Abstract Background Traumatic brain injury (TBI) is one of the leading causes of mortality and morbidity. Economic impact is much worse in developing countries like Bangladesh, as victims are frequently male, productive, and breadwinners of the families. Objectives The objective of our study was to highlight the etiological pattern and distribution of varieties of head injuries in Bangladesh and give recommendations regarding how this problem can be solved or reduce to some extent at least. Methods From January 2017 to December 2019, a total of 14,552 patients presenting with head injury at emergency got admitted in Neurosurgery department of Dhaka Medical College and Hospital and were included in this study. Results The most common age group was 21 to 30 years (36%: 5,239) with a male-to-female ratio of 2.6:1. Injury was mostly caused by road traffic accident (RTA [58.3%: 8,484]), followed by fall (25%: 3,638) and history of assault (15.3%: 2,226). The common varieties of head injury were: acute extradural hematoma (AEDH [42.30%: 1,987]), skull fracture either linear or depressed (28.86%: 1,347), acute subdural hematoma (ASDH [12.30%: 574]), brain contusion (10.2%: 476), and others (6.04%: 282). Conclusion RTA is the commonest cause of TBI, and among them motor bike accident is the severe most form of TBI. AEDH is the commonest variety of head injuries. Proper steps taken by the Government, vehicle owners, and drivers, and proper referral system and prompt management in the hospital can reduce the mortality and morbidity from TBI in Bangladesh.


2020 ◽  
Vol 2 (2) ◽  
pp. 102-112
Author(s):  
Luci Riani Ginting ◽  
Kuat Sitepu ◽  
Renni Ariana Ginting

Head injury is directly or indirectly mechanical injuries that resulted wound in the scalp, skull fracture, tear the lining of the brain, and brain damage, and neurological disorders. The basic method for brain protection of head injury patients are freeing the airway and giving adequate oxygenation. Giving oxygen and headv elevation 30° of head are the appropriate action for the moderate head injury classification to launch the cerebral oxygen perfusion and to increase consciousness level. The purpose of this research were to determine the GCS before and after giving oxygenation with and position 30 ° of head and to analyze the effect of giving oxygen and headv elevation30 °of head to change the levels of consciousness of moderate head injury patients. This research was an Quasi-Experimental study with 10 respondents. The test were used Paired Sample T-test Test. The results showed that there was an effect of giving oxygen and headv elevation 30 °of head toward to change the level of consciousness of moderate head injury patients. GCS average value before was 10.10 and GCS average after 12.90 value was with p value was 0.000. Keywords : Levels of Consciousness GCS, Moderate Head Injury, Position 30° of the Head


2015 ◽  
Vol 2 (2) ◽  
pp. 76-86
Author(s):  
Elly Trisnawati

Nowadays, there are more women workers occupying various types of works, and it expands to the area of oil palm plantation. One of which  is women workers who work at fertilization section in oil palm plantation. This condition is vulnerable for the women workers due to the dust exposure from urea fertilizer. There are some likely possible risk jobs encountered by the women workers such as pulmonary function impairment indicated by lung vital capacity. From pre observation, it was found out that there were 60% of women workers who committed to respiratory disorders. About 80% from the women workers did not use proctected mask during the process of fostering the plantation. As a result, the long term goal of conducting this research is to get accurate information on the determinant factor of lung vital capacity of women worker at fertilization section which can be grounded as basic recommendation for the arrangement of Occupational Health and Safety (OHS) at oil palm plantation.Based on the problem identification, this research was designed by employing quantitative method of research with cross-sectional design. The observed and analyzed variables were the characteristics, the description of lung vital capacity of women workers, and influential factors to the lung vital capacity. This research was conducted to 50 women workers at fertilization area in oil palm plantation, Kebun Gunung Emas Kalimantan Barat. The data were analyzed through 2 phases of analyses namely univariable analysis and bivariable analysis using chi square test and prevalence ratio (PR). The findings of the research revealed that the associated factors with the lung vital capacity of women workers on fertilization area were the dust exposure (p value = 0,000 ; r = -0,650**) while the age variable, years of service, and nutrional status were not related to the lung vital capacity of women workers on fertilization area. The unanalzyed variables resulted from the homogeneity data were the length of exposure, and the use of personal protective equipment (PPE). All women workers rarely used PPE with its length of exposure 4 hours per day. As a result, it is recommended to the management of the oil palm plantation to make a policy on the obligation of using PPE for women workers at fertilization area because the amount of dust exposure exhaled by the workers is the main factor. It is also expected that the company can promote a counselling for the workers to do fertilization safely.


2021 ◽  
Vol 9 (3) ◽  
pp. 211
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina ◽  
Sari Priyanti ◽  
Geofrey Ssekalembe

Background: Anemia is a pregnancy complication that increases the morbidity and mortality of mother and baby during pregnancy and until puerperium. In 2015, the incidence of anemia in Indonesia was 23%. Purpose: The aim of this study was to determine factors that influence anemia in the third trimester of pregnancy. Methods: The study was conducted on pregnant women in Mojokerto. This study used a case-control design. The sample calculation results obtained 70 cases and 70 controls. The primary and secondary data were obtained from the MCH book and from interviews conducted according to questionnaire guidelines. Data were analyzed via chi-squared test and logistic regression test. Results: The factors that influence anemia in the third trimester of pregnancy were found to be age (p value = 0.04; OR 2.08; 95% CI = 1.04–4.16), occupation (p value = 0.02; OR = 2.27; 95% CI = 1.15–4.47), birth interval (p value = 0.03; OR = 2.25; 95% CI 1.08-4.69), nutritional status (p value = 0.02; OR = 2.33; 95% CI = 1.14- 4.82), knowledge [about anemia] (p value = 0.01; OR = 3.17; 95% CI = 1.41-7.09), income per month (p value = 0.03, OR = 2.25; 95% CI =1.08–4.69), smoking activity (p value = 0.04; OR = 2.00; 95% CI = 1.02–3.92), perception (p value = 0.02; OR = 2.20; 95% CI = 1.10–4.40) , and spousal support (p value = 0.01; OR = 2.63; 95% CI = 1.16 – 5.93) Conclusion: The most influential factors on anemia in the third trimester of pregnancy were birth interval, nutritional status, and knowledge.


Med Phoenix ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 71-74
Author(s):  
Bikash Sah ◽  
Bishwanath Yadav ◽  
Shivendra Jha ◽  
Abdul Sami Khan

Background: Head injury is regarded as a main health problem that is a common cause of morbidities and mortalities and makes great demand to control and prevent it. For this, policy makers need to see the pattern of head injury and this study is done to describe the pattern.Methods: Hospital based, descriptive cross sectional study done on one year autopsy cases of fatal blunt trauma head injury which was 76 in which proportion of different types of head injuries, their causes and their distribution as per age, sex, and duration of survival were studied.Results: Skull-vault fractures were present in 57 (75%) cases in which most common type of fracture was linear fracture constituting 29(49.12%). 50% of the cases were with skullbase fracture in which the most common was of anterior cranial fossa fracture(60.5%). 56.34% of the victims were with subarachnoid haemorrhage (SAH) followed by subdural haemorrhage (SDH) and extradural haemorrhage (EDH). 6.6% victims were without any intracranial haemorrhage. Road traffic accident alone accounted for 71% of total blunt trauma causations of this fatal head injury. 70% cases were in age group from 11 to 50 years and 78.9% were male. 51.3% died at the spot. Conclusions: The research findings have shown that among the fatal blunt trauma head injury cases, skull vault fracture was present in 75% and skull base fracture was present in 50%. The most common intracranial haemorrhage was subarachnoid haemorrhage (56.34%) followed by subdural and extradural haemorrhage.  Med Phoenix. Vol. 3, Issue. 1, 2018, Page: 71-74                                                         


2011 ◽  
Vol 7 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Arthur Wang ◽  
Alan R. Cohen ◽  
Shenandoah Robinson

Object In recent years there has been an increased incidence of golf-associated head injuries in children and adolescents. At the authors' institution, they have identified a unique pattern of head injury associated with a swinging golf club. In this study, the authors highlight the mechanism of this injury and report their experience treating it. Methods The authors reviewed the database of Rainbow Babies and Children's Hospital Trauma Center and performed a retrospective analysis of golf injuries recorded over a 10-year period (January 2000–April 2010). They identified 13 children (9 boys and 4 girls) who sustained head injuries in golfing accidents. All patients were 10 years of age or younger. The medical charts were reviewed and follow-up interviews were conducted to better delineate the details of the injuries. Results Injuries included 13 depressed skull fractures, 7 epidural hematomas, and 1 cerebral contusion. All 13 patients sustained their injuries after being struck in the head by a golf club. Seven sustained injuries on the follow-through of the initial swing and 3 sustained injuries on the backswing. All but one patient required neurosurgical intervention. Five patients developed neurological sequelae. None of the children had prior experience with golf equipment. All but one injury occurred in the child's own backyard. There was no direct supervision by an adult in any of the cases. Conclusions Golfing can lead to serious head injuries in children. The authors noticed a unique pattern of golf-related head injuries, previously not described, that they have termed the “swing-ding.” This golf club–inflicted injury occurs when a child stands too close to a swinging golfer and is struck in the head, subsequently sustaining a comminuted depressed skull fracture in the frontal or temporal region, with or without further intracranial injury. The study suggests that a lack of adult supervision, minimal previous golf experience, and proximity of the child to the swinging golfer are all implicated in this head injury pattern.


2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Nanang Bagus Sasmito ◽  
Titin Andri Wihastuti ◽  
Heri Kristianto

Abstract : Head injuries will affect more serious disorder compared with other organ traumatic. Lack of nurse competences, particularly on identify the early sign of critical head injuries and misunderstood of onset head injuries happened with the patient, will cause delays to give precise treatment and decision for the patient, such as giving reference to other hospital. The objective of this study is to analyze the influencing factor related to outcome of head injury patient in RSUD dr. Iskak Tulungagung using Interpersonal Interpersonal Nursing Model by Heldegrad E. Peplau approach. This research used analytical analytics comparative with cross-sectional approch. The data collected by purposive sampling and finally 78 respondent were included in this research. With regard to outcome of head injury patient whose referenced in, the bivariat analysis result showed conditions patients a head injury (p-value 0,005), assistance referral (p-value 0,042), the distnace referral (p value 0,020), and time referral (p value 0,006). In addition, the regression analysis showed variable pattients condition the most dominant relating to outcome patients a head injury referred (p value 0,001 and OR 16.184). The decrease of GCS value for patients who reference at other hospital indicated the deterioration of their condition. Hence, the values of GCS was important indication to be noticed.When in every phase in interpersonal nursing implementation well in patients referred to a head injury, so outcome head injuries with the glasgow outcome scale would be good.Key Word : Outcome Patient Head Injuries, Referrals, Interpersonal Nursing. Abstrak : Cedera kepala akan memberikan gangguan yang sifatnya lebih kompleksbila dibandingkan dengan trauma pada organ tubuh lainnya. Minimnya kompetensi yang dimiliki perawat dalam mengenali tanda dini kegawatan cedera kepala dan tidak memahami onset cedera kepala yang dialami oleh korban memberi dampak pada keterlambatan tindakan segara yang harus diberikan kepada pasien cedera kepala, salah satunya dalam membuat keputusan rujukan.Beberapa hal yang dapat mengurangi dampak dari pelaksanaanrujukan pasien yang tidak optimal, perlu disusun manajemenrujukan pasien gawat darurat yang berfungsi sebagai kerangka acuan bagi petugas kesehatan terlebih lagiperawat. Salah satu teori model keperawatan yang menunjang dan mengembangkan pelaksanaan rujukan adalah teori interpersonal relations in nursingdari Heldegard E Peplau. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan outcome pasien cedera kepala yang dirujuk di IGD RSUDdr. Iskak Tulungagung melalui pendekatan model interpersonal nursing Heldegrad E. Peplau. Metode dalam penelitian ini adalah analitik komparatif dengan pendekatan cross-sectional. Jumlah sampel sebanyak 78 responden dengan menggunakan purposive sampling. Dari analisis bivariat faktor yang berhubungan dengan outcome pasien cedera kepala yang dirujuk adalah tingkat kesadaran pasien cedera kepala (p value 0,005), pendampingan saat merujuk (p value 0,042), jarak rujukan (p value 0,020) dan faktor waktu yang ditempuh (p value 0,006). Hasil analisis uji regresi logistik menunjukkan faktor kondisi pasien yang paling dominan berhubungan dengan outcome pasien cedera kepala yang dirujuk (p value 0,001 dan nilai OR 16.184). Pasien cedera kepala mengalami penurunan nilai GCS pada saat dirujuk merupakan petunjuk bahwa terjadi perburukan kondisi pasien, sehingga nilai GCS menjadi parameter yang penting utnuk diperhatikan. Sehingga apabila dalam setiap fase dalam interpersonal nursing dapat dilaksanakan dengan baik pada pasien cedera kepala yang dirujuk, maka outcome cedera kepala dengan penilaian glasgow outcome scale akan baik.Kata Kunci : Outcome Pasien Cedera Kepala, Rujukan, Interpersonal Nursing.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Ibrahim Alnaami ◽  
Shbeli Alshehri ◽  
Saeed Alghamdi ◽  
Meshal Ogran ◽  
Asim Qasem ◽  
...  

Background. Head injuries contribute to almost 50% of all injuries. Head injuries are still one of the major causes of loss of life and loss of function among young adults. Nowadays, head injury has become a major community problem. Recently, head injury has become one of the biggest issues of almost more than 57 million people in the whole world living with the neurological problem raised by TBI, in which 10 million people require hospital base care. Objectives. To determine the epidemiological aspects of patients with head injury (HI) in Aseer Central Hospital (ACH). Materials and Methods. This is a retrospective cross-sectional study. Data were gathered from patients’ files and the registrar’s database of ACH. The study duration was January 2015–December 2017. All patients with head injury admitted to ACH during the study duration were included in the study. SPSS software was used for analysis. Descriptive statistics were obtained (mean SD frequencies, percentages). Statistical tests, t test, and chi-squared test were applied to measure the significant difference among the variables. P-value less than 0.05 was considered as a significant difference. Results. There were 353 patients with head injury, and the mean ± SD of age was 27.01 ± 13.9. Motor vehicle accidents (MVA) accounted for (89.3%) of head injury. A total of 87.3% of the patients were male while 12.7% were female. Conclusion. In this study, we observed that MVA is the leading cause of brain/head injuries in the KSA, despite the implementations of new speed rules. However, with new regulations of forbidding cell phone use while driving and forcing the seat belt regulations, a major impact on these numbers is expected in the future. Thus, a future study is recommended to assess these expectations.


Author(s):  
Muhammad Reza Azriyantha ◽  
Syaiful Saanin ◽  
Hesty Lidya Ningsih

A B S T R A C TBackground: Traumatic brain injury is the main cause of death in the populationunder the age of 45 years, and the fourth leading cause of death in the entire ofpopulation. Based on the degree of traumatic brain injury, it is commonly categorizedbased on the Glasgow Coma Scale (GCS). Post-Concussion Syndrome (PCS) is theset of somatic, emotional / behavioral and cognitive symptoms that occur after atraumatic brain injury. The aim of this study was to find out the prevalence andcorrelation of the degree of traumatic brain injury based on the Glasgow Coma Scale(GCS) and the emersion of Post-Concussion Syndrome (PCS) acute onset in patientswith head injuries Method: This study was a cross-sectional analytic study ofpatients who experienced Post-Concussion Syndrome (PCS) after traumatic braininjury at DR. M. Djamil Hospital Padang in 2020 from June to November 2020. Datawere collected by filling in a questionnaire (The Rivermead Post ConcussionSymptoms Questionnaire) and medical record data of neurosurgical patients thatmet the inclusion and exclusion criteria. Result: : It indicated that 70 patients wereincluded in the inclusion criteria of this study. A total of 38 (54.3) respondents didnot undergo the acute onset of PCS, meanwhile respondents who experienced acuteonset of PCS were 32 (45.7) respondents. The results showed that 25 (67.6%)respondents with mild traumatic brain injury had PCS acute onset, while 4 (17.4%)respondents with moderate degree of traumatic brain injury had PCS acute onset,and 4 (17.4%) respondents had PCS acute onset PCS 3 (30%) respondentsexperienced severe traumatic brain injury with acute onset PCS and statistically thedifference in the proportion of data from each of these variables was significant witha p-value of 0.0001. The results of statistical tests showed that p value> 0.05 on thecorrelation between PCS and GCS, thus, it can be concluded that there was nocorrelation between the direction of the relationship between PCS and GCS.Conclusion There was no correlation between the degree of traumatic brain injurybased on GCS and the incidence of PCS acute onset, either it was unidirectional orvice versa in patients with head injuries at RSUP M. Djamil Padang.


2018 ◽  
Vol 7 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Ida Zuhroidah ◽  
Ayu Dewi Nastiti ◽  
Nurul Huda ◽  
Novi Rahmania

Background: Head injuries are a major cause of disability and death under the age of 45 years. The main focus on handling head injury patients is to prevent and limit the occurrence of secondary brain injury which will ultimately affect the outcome of the sufferer. Emergency conditions in head injury patients certainly require quick and appropriate help for better outcome outcomes.Purpose: The purpose of this study was to determine the relationship of respiratory frequency with the outcome of head injury patients in the emergency department of Bangil Hospital Pasuruan Regency.Methods: This research method is quantitative with a cross sectional approach involving 53 respondents. The sampling technique uses purposive sampling method. The outcome of head injury patients was measured using the Trauma and Injury Severity Score (TRISS) scale.Results: Data were analyzed using the Spearman test which showed a relationship p value = 0.013 <α = 0.05 so that H0 was rejected or there was a significant relationship between respiratory frequency (RR) and the outcome of head injury patients.Conclusion: The need for improvement and development of nurse resources through nursing education, emergency training and evaluation of health services at the ED. Keywords: Head Injury, Respiratory Frequency (RR), Outcome.


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