scholarly journals PROFIL PENDERITA LUKA BAKAR AKIBAT LISTRIK DI BLU RSU PROF. DR. R. D. KANDOU MANADO PERIODE AGUSTUS 2009  AGUSTUS 2012

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Shinta D. Siahaan

Abstract: Electrical burns are caused by direct contact electric with the body, and often wound more serious than what is visible on the surface. Electric current can cause injury in three ways: Cardiac arrest (cardiac arrest) due to electrical effects on the heart; damage to muscles, nerves, and tissues by electric current through the body; thermal burns due to contact with the power source. The purpose of this study was to determine the profile of patients with electrical burns on BLU RSU Prof. Dr. R. D. Manado Kandou for period August 2009-August 2012. Methods: This study used a retrospective descriptive study method by the medical record data on BLU RSU Prof. Dr. R. D. Kandou Manado August 2009-August 2012. Results: The total cases of electrical burns are 40 cases, with 15 cases on period of August 2009 to August 2010, 9 cases on period of August 2010 to August 2011, and on period August 2011 to August 2012 found are 16 cases. Most incidents occurred in the age of 25-44 years with more incident occurred to men. Seen from the work, most incidence is occupied by the employees construction workers. Based on the strength of electric current, the highest incidence in medium voltage (domestic installations), which indicates that the housekeeping installation is not good, using of low quality cable, no electrical installation checks on a regular basis, using of cable rollers with excessive load, and using incorrect electrical tools. All of those items increasing the incidence rate. Conclusion: The accident caused electricity easily happen to anyone. Most of those who work in place are susceptible to electrical currents. On illegal electricity usage may also increase the risk of electricity. In children which less supervision from their parents can also occur. These facts required tights attention from all parties to realize unsafe power consumption and attention to safety themselves.Keywords: Profiles, electrical burns, handling    Abstrak: Luka bakar listrik disebabkan oleh kontak langsung aliran listrik dengan badan, dan sering lukanya lebih serius dari apa yang terlihat di permukaan. Arus listrik dapat menyebabkan cedera dalam tiga cara: Henti jantung (cardiac arrest) akibat  efek listrik pada jantung; kerusakan otot, saraf, dan jaringan oleh arus listrik yang melewati tubuh; luka bakar thermal akibat kontak dengan sumber listrik. Tujuan penelitian ini adalah untuk mengetahui profil penderita luka bakar akibat listrik di BLU RSU Prof. Dr. R. D. Kandou Manado periode Agustus 2009–Agustus 2012. Metode: Penelitian ini menggunakan metode retrospektif deskriptif melalui penelitian data rekam medik di BLU RSU Prof. Dr. R. D. Kandou Manado Agustus 2009–Agustus 2012. Hasil: Keseluruhan luka bakar listrik sebanyak 40 kasus, yaitu 15 kasus pada periode Agustus 2009 ‑ Agustus 2010, 9 kasus pada periode Agustus 2010 ‑ Agustus 2011, dan pada periode Agustus 2011 ‑ Agustus 2012 didapatkan sebanyak 16 kasus. Insiden terbanyak terjadi pada umur 25-44 tahun dengan insiden terjadi lebih banyak pada pria. Dilihat dari pekerjaan terbanyak, insiden terbanyak ditempati oleh para pekerja buruh bangunan. Berdasarkan kuat arus listrik, insiden terbanyak adalah voltase menengah (instalasi rumah tangga), yang menunjukkan bahwa instalasi rumah tangga yang tidak baik, penggunaan kabel kualitas rendah,  tidak adanya pengecekan instalasi listrik secara teratur, penggunaan kabel rol dengan beban berlebihan, serta penggunaan alat-alat listrik yang tidak benar, menyebabkan insiden meningkat. Kesimpulan: Kecelakaan akibat listrik mudah terjadi pada siapa saja. Kebanyakan bagi mereka yang bekerja ditempat yang rentan dengan arus listrik. Kemudian pada pemakaian listrik illegal juga dapat meningkatkan resiko terjadinya listrik.Pada anak-anak yang kurang pengawasan dari orang tuanya pun dapat terjadi. Meningkatnya angka kejadian ini mendapat perhatian dari berbagai pihak untuk menyadari pemakaian listrik yang tidak aman dan memperhatikan keselamatan diri sendiri.Kata kunci: Profil, luka bakar listrik, penanganan.

e-CliniC ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Shinta D. Siahaan ◽  
Alwin Monoarfa ◽  
Mendy Hatibie

Abstract: Background: Electrical burns are caused by direct contact electric with the body, and often wound more serious than what is visible on the surface. Electric current can cause injury in three ways: Cardiac arrest (cardiac arrest) due to electrical effects on the heart; damage to muscles, nerves, and tissues by electric current through the body; thermal burns due to contact with the power source. The purpose of this study was to determine the profile of patients with electrical burns on BLU RSU Prof. Dr. R. D. Manado Kandou for period August 2009-August 2012. Methods: This study used a retrospective descriptive study method by the medical record data on BLU RSU Prof. Dr. R. D. Kandou Manado August 2009-August 2012. Results: The total cases of electrical burns are 40 cases, with 15 cases on period of August 2009 to August 2010, 9 cases on period of August 2010 to August 2011, and on period August 2011 to August 2012 found are 16 cases. Most incidents occurred in the age of 25-44 years with more incident occurred to men. Seen from the work, most incidence is occupied by the employees construction workers. Based on the strength of electric current, the highest incidence in medium voltage (domestic installations), which indicates that the housekeeping installation is not good, using of low quality cable, no electrical installation checks on a regular basis, using of cable rollers with excessive load, and using incorrect electrical tools. All of those items increasing the incidence rate. Conclusion: The accident caused electricity easily happen to anyone. Most of those who work in place are susceptible to electrical currents. On illegal electricity usage may also increase the risk of electricity. In children which less supervision from their parents can also occur. These facts required tights attention from all parties to realize unsafe power consumption and attention to safety themselves. Keywords: Profiles, electrical burns, handling   Abstrak: Latar belakang: Luka bakar listrik disebabkan oleh kontak langsung aliran listrik dengan badan, dan sering lukanya lebih serius dari apa yang terlihat di permukaan. Arus listrik dapat menyebabkan cedera dalam tiga cara: Henti jantung (cardiac arrest) akibat  efek listrik pada jantung; kerusakan otot, saraf, dan jaringan oleh arus listrik yang melewati tubuh; luka bakar thermal akibat kontak dengan sumber listrik. Tujuan penelitian ini adalah untuk mengetahui profil penderita luka bakar akibat listrik di BLU RSU Prof. Dr. R. D. Kandou Manado periode Agustus 2009–Agustus 2012. Metode: Penelitian ini menggunakan metode retrospektif deskriptif melalui penelitian data rekam medik di BLU RSU Prof. Dr. R. D. Kandou Manado Agustus 2009–Agustus 2012. Hasil: Keseluruhan luka bakar listrik sebanyak 40 kasus, yaitu 15 kasus pada periode Agustus 2009 ‑ Agustus 2010, 9 kasus pada periode Agustus 2010 ‑ Agustus 2011, dan pada periode Agustus 2011 ‑ Agustus 2012 didapatkan sebanyak 16 kasus. Insiden terbanyak terjadi pada umur 25-44 tahun dengan insiden terjadi lebih banyak pada pria. Dilihat dari pekerjaan terbanyak, insiden terbanyak ditempati oleh para pekerja buruh bangunan. Berdasarkan kuat arus listrik, insiden terbanyak adalah voltase menengah (instalasi rumah tangga), yang menunjukkan bahwa instalasi rumah tangga yang tidak baik, penggunaan kabel kualitas rendah,  tidak adanya pengecekan instalasi listrik secara teratur, penggunaan kabel rol dengan beban berlebihan, serta penggunaan alat-alat listrik yang tidak benar, menyebabkan insiden meningkat. Kesimpulan: Kecelakaan akibat listrik mudah terjadi pada siapa saja. Kebanyakan bagi mereka yang bekerja ditempat yang rentan dengan arus listrik. Kemudian pada pemakaian listrik illegal juga dapat meningkatkan resiko terjadinya listrik.Pada anak-anak yang kurang pengawasan dari orang tuanya pun dapat terjadi. Meningkatnya angka kejadian ini mendapat perhatian dari berbagai pihak untuk menyadari pemakaian listrik yang tidak aman dan memperhatikan keselamatan diri sendiri. Kata kunci: Profil, luka bakar listrik, penanganan.


2021 ◽  
Vol 3 (2) ◽  
pp. 113-117
Author(s):  
Asvia Rahayu ◽  
Romauli Anna Teresia Marbun ◽  
Dian Nopita Sari Manalu ◽  
Sa’adah Siregar ◽  
Vincentia Ade Rizky ◽  
...  

Uric acid is a disease that arises due to excess purine in the body caused by uric crystals in the joint tissue that attacks the fingers, elbows, knees, toes, toes and heels. Gouty arthritis is a progressive disease caused by deposition of monosodium urate crystals (MSU) found in the joints, kidneys, and other connective tissue due to chronic hyperuricemia. The incidence of gouty arthritis is common in men as many as 25 patients (65.8%) and women as many as 13 patients (34.2%). The incidence of gouty arthritis continues to increase with age, at the age of 21-35 years (7.9%), ages 36-55 years (36.7%), age 56-65 years (28.9%), and at the age of 66 -75 years (26.3%). The purpose of this study was to examine the use of uric acid and its prescription patterns in arthritis patients in Deli Serdang Lubuk Pakam Hospital in 2020 in terms of the right parameters according to the indications, the right patients, the right drugs, and the right dosages. This research is a non-experimental study, data retrospective retrieval was done by looking at the medical record data of arthritis gout patients and analyzed descriptively. Sampling as many as 38 patients with puposive sampling method. Inclusion criteria in this study were patients who were diagnosed with gout and given arthritis medication with complete medical record data. The results of the study evaluated the use of gout and its prescribing patterns in 38 patients at Deli Serdang Lubuk Pakam Regional Hospital in 2020, which were 100% correct, 100% right, 100% right, and 96% right.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Michelle P. Boham ◽  
Pieter L. Suling ◽  
Herry E.J. Pandaleke

Abstract: Psoriasis is a skin disease that belongs to erythrosquamous dermatosis, characterized by erythema and scaling. Psoriasis are usually localized on the elbows, knees, and scalp, however, it can spread to almost all areas of the body. Its causes are still not known for certain but it is suspected that this disease is related to genetic, immunological, and environmental factors. This study was aimed to obtain the profile of psoriasis in the Dermatovenereology Clinic of Prof. Dr. R. D. Kandou Hospital Manado from January 2013 to December 2015. This was a retrospective descriptive study using the medical record data. The results showed that of 3573 new cases of skin diseases, 188 were classified as psoriasis (5.26%). The majority of psoriasis cases were males (57.98%), aged 45-64 years (50.53%), occupation as housewife (16.48%), and diagnosed as psoriasis vulgaris (80.85%). Psoriasis typically found in the head, body, and extremities was found in 73.94% of cases. The most common type of treatment was a combination of topical corticosteroid and oral antihistamine (68.62%).Keywords: psoriasis, erythrosquamous dermatosis Abstrak: Psoriasis merupakan salah satu jenis penyakit kulit yang termasuk dalam golongan dermatosis eritroskuamosa, ditandai dengan adanya eritema dan skuama. Letak psoriasis dapat terlokalisir, misalnya pada siku, lutut, kulit kepala, atau menyerang hampir 100% luas tubuhnya. Penyebabnya belum diketahui secara pasti, namun diduga penyakit ini di[engaruhi oleh faktor genetik, imunologik, dan lingkungan. Penelitian ini bertujuan untuk mendapatkan profil psoriasis di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2013 – Desember 2015. Jenis penelitian ialah deskriptif retrospektif menggunakan data rekam medik. Hasil penelitian menunjukkan dari 3573 kunjungan baru penyakit kulit, terdapat 188 kasus baru psoriasis (5,26%). Mayoritas kasus ialah laki-laki (57,98%), usia 45-64 tahun (50,53%), pekerjaan tersering ibu rumah tangga (16,48%), dan diagnosis sebagai psoriasis vulgaris (80,85%). Psoriasis paling banyak mengenai kepala, badan, dan ekstremitas (73,94%). Terapi yang paling sering digunakan ialah kombinasi kortikosteroid topikal dan antihistamin oral (68,62%). Kata kunci: psoriasis, dermatosis eritroskuamosa


2019 ◽  
Author(s):  
Gantar Rina Dewi Pramushinta

Fever is a condition of body temperature above normal as a result of an increase in the temperature control center in the hypothalamus, this increase in temperature will have a negative impact on the child and can even lead to seizures and decreased consciousness. Medical record data of DIY Province Bhayangkara Hospital in 2019. Number of children suffering from fever with bronchopneumonia 442 children, typhoid 279 children and DHF 46 children. The purpose of this research is tocompare the effectiveness of giving warm compresses to decrease the body temperature of children who have fever in the 2015 Yogyakarta Bhayangkara General Hospital. The statistical test results show there is a difference in the decrease in body temperature between warm compresses with mean 0.5 ° C and tepid sponge with mean 0 , 8 ° C (p value ˂ α, 0.003 5 0.05). Suggestions for hospitals as a result of this research can be used as input for standard operating procedures in reducing the body temperature of children who have fever in a non-pharmacological manner.


SOEPRA ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. 4
Author(s):  
Liya Suwarni

Background. Cases of sexual violence increase every year, victims ranging from adolescents, children to toddlers. Based on data from the Indonesian Child Protection Commission, abuse and violence against children in Indonesia in 2013 were 23 cases, in 2014 there were 53 cases, in 2015 there were 133 cases, 2017 reached 1,337 cases, and as of July 2018 there were 424 cases. Purpose. Knowing the factors that influence the law enforcement process of sexy violence cases in Semarang City. Method This study uses descriptive analytical methods for cases of violence against children, based on medical record data in hospitals, documents in Mapolrestabes, the District Attorney's Office and the Semarang City Court for the period of January 2015 to December 2018. Results. Based on research results obtained 213 experimental cases section from medical record data in hospitals in the city of Semarang. Most cases of child abuse occurred in 2018 with 72 cases. Most victims are 12-14 years old age group, female. Most types of cases are cases of intercourse. The majority of violations are persons known as victims, perpetrators not working, and most of the places of occurrence are in the defendant's house. At the time of prosecution and trial, the number of cases was significantly reduced to only 8 cases. Factors related to this include lack of evidence, difficulty in obtaining information from victims, convoluted statements of coverage, lack of election, and obtaining diversion rates. Conclusion Cases of sexual violence have increased from year to year. The process of law enforcement on this problem still has many difficulties in each manufacturing process which is still difficult to overcome.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e038375
Author(s):  
Feifei Jin ◽  
Chen Yao ◽  
Xiaoyan Yan ◽  
Chongya Dong ◽  
Junkai Lai ◽  
...  

ObjectiveTo investigate the gap between real-world data and clinical research initiated by doctors in China, explore the potential reasons for this gap and collect different stakeholders’ suggestions.DesignThis qualitative study involved three types of hospital personnel based on three interview outlines. The data analysis was performed using the constructivist grounded theory analysis process.SettingSix tertiary hospitals (three general hospitals and three specialised hospitals) in Beijing, China, were included.ParticipantsIn total, 42 doctors from 12 departments, 5 information technology managers and 4 clinical managers were interviewed through stratified purposive sampling.ResultsElectronic medical record data cannot be directly downloaded into clinical research files, which is a major problem in China. The lack of data interoperability, unstructured electronic medical record data and concerns regarding data security create a gap between real-world data and research data. Updating hospital information systems, promoting data standards and establishing an independent clinical research platform may be feasible suggestions for solving the current problems.ConclusionsDetermining the causes of gaps and targeted solutions could contribute to the development of clinical research in China. This research suggests that updating the hospital information system, promoting data standards and establishing a clinical research platform could promote the use of real-world data in the future.


2021 ◽  

Hypoxic-ischemic brain injury (HIBI) is a leading cause of mortality in post-cardiac arrest (post-CA) patients who successfully survive the initial cardiopulmonary resuscitation (CPR) but later die in the Intensive Care Unit (ICU). Therefore, a key priority of post-resuscitation ICU care is to prevent and limit the impact of HIBI by optimizing the balance between cerebral oxygen delivery and demand. Traditionally, an optimal systemic oxygen balance is considered to ensure the brain’s oxygen balance. However, the validity of this assumption is uncertain, as the brain constitutes only 2%of the body mass while accounting for approximately 20% of basal oxygen consumption at rest. Hence, there is a real need to monitor cerebral oxygenation realistically. Several imaging and bedside monitoring methods are available for cerebral oxygenation monitoring in post-CA patients. Unfortunately, each of them has its limitations. Imaging methods require transporting a critically ill unstable patient to the scanner. Moreover, they provide an assessment of the oxygenation state only at a particular moment, while brain oxygenation is dynamic. Bedside methods, specifically near-infrared spectroscopy (NIRS), brain tissue oxygen tension (PbtO2), and jugular venous oxygen saturation monitoring (SjvO2), have not often been used in studies involving post-CA patients. Hence there is ambiguity regarding clear recommendations for using these bedside monitors. Presently, the most promising option seems to be using the NIRS as an indicator of effective CPR. We present a narrative review focusing on bedside methods and discuss the evidence for their use in adult patients after cardiac arrest.


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