scholarly journals HUBUNGAN DERAJAT KEPARAHAN SIROSIS HATI DAN NILAI LAJU GLOMERULUS PADA SIROSIS HATI

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Pamela M. Poluan ◽  
Ventje Kawengian ◽  
Cerelia Sugeng

Abstract: Liver cirrhosis is often associated with impaired renal function. This can be due to disturbances of hemodynamic and neurohormonal systems and increased activity of the sympathetic nervous system. This will lead to a decrease in glomerular filtration rate (GFR). This study aimed to find out the connection of the liver cirrhosis degree and GFR values in liver cirrhosis subjects. This study was a cross-sectional design. Samples were 30 liver cirrhosis cases’ medical records at BLU Prof. Dr R.D Kandou Hospital Manado in the period of October 2013 to October 2014.The medical record data included age, gender, values of albumin, bilirubin, and creatinine, Child’s score, and the GFR values by using CKD-EPI formula. The corrrelation of the liver cirrhosis degrees and GFR values was tested by using the Spearman correlation test. The results showed that there was a negative, not significant correlation between class B Child’s score and GFR (r = -0.231, p = 0.618); a positive, not significant correlation between class C Child’s score and GFR (r = 0.188, p = 0.428), and btween Child’s score and GFR (r = 0.118, p = 0.533)Conclusion: There was no significant correlation between the liver cirrhosis degree (Child’s score) and GFR values.Keywords: liver cirhhosis, Child’s score, GFRAbstrak: Sirosis hati sering disertai gangguan fungsi ginjal. Hal tersebut dapat disebabkan adanya gangguan sistem hemodinamik dan neurohormonal, serta peningkatan aktivitas sistem saraf simpatis. Gangguan ini akan memicu penurunan laju filtrasi glomerulus (LFG). Penelitian ini bertujuan untuk melihat hubungan derajat keparahan sirosis hati dengan nilai laju filtrasi glomerulus pada subyek sirosis hati. Penelitian ini menggunakan desain potong lintang. Sampel peneltian ini berjumlah 30 rekam medik subyek sirosis hati yang tercatat di BLU RSUP Prof. Dr. R.D. Kandou Manado periode Oktober 2013 sampai Oktober 2014. Data rekam medik tersebut mencakup umur, jenis kelamin, nilai albumin, bilirubin, kreatinin, skor Child, dan nilai LFG menggunakan formula CKD-EPI. Hubungan derajat keparahan Child dengan LFGdiuji dengan uji korelasi Spearman. Hasil uji korelasi Spearman menunjukkan bahwa terdapat hubungan negatif dan tidak signifikan antara skor Child kelas B dengan LFG (r = -0,231, p = 0,618), hubungan positif dan tidak signifikan antara skor Child kelas Cdengan LFG (r = 0,188, p = 0,428), serta skor Child dengan LFG (r = 0,118, p = 0,533). Simpulan: Tidak terdapat hubungan signifikan antara derajat keparahan sirosis hati (Skor Child) dengan nilai LFG.Kata kunci: sirosis hati, skor Child, LFG

2014 ◽  
Vol 2 (3) ◽  
pp. 380
Author(s):  
Faradiba Hikmarida

ABSTRACTIncreasing number of diphteria cases in Sidoarjo Regency, with occurrence of cases in those who had received DPT immunization shows the existence of problem concerning to immunization. The efficacy itself, depends on the quality of vaccines given. Insufficiency in cold chain may lower the quality of DPT vaccines. The purpose of this study was to analyze relationship between DPT vaccine storage and recording for DPT vaccines cold chain with quality of DPT vaccine cold chain in puskesmas Sidoarjo Regency. This research is a descriptive research with cross sectional design. Sample used were total population, which includes all 26 puskesmas within Sidoarjo. The variables were DPT vaccine storage, recording for DPT vaccines cold chain and quality of DPT vaccine cold chain. The result of this study showed that DPT vaccine storage was good (58%), recording for DPT vaccines cold chain were insufficient (77%), and quality of DPT vaccine cold chain in puskesmas was also good (62%). Spearman correlation test showed relationship between DPT vaccine storage and quality of DPT vaccine cold chain in Puskesmas was strong and positive (r = 0,561). Relationship between recording for DPT vaccines cold chain and quality of DPT vaccine cold chain in puskesmas was moderate and positive (r = 0,421). the better the storage for DPT vaccines and recording for DPT vaccines cold chain in puskesmas, the better its cold chain quality in puskesmas. Improvement in officers’ obedience in storing DPT vaccine and its recording concerning to the cold chain which appropriate according to procedures, were really needed.Keywords: storage, recording, quality, cold chain, DPT vaccine


2021 ◽  
Vol 5 (9) ◽  
pp. 842-850
Author(s):  
Lisa Apri Yanti ◽  
Nelly Oktriyani ◽  
Erial Bahar

Introduction: Tracheostomy is a surgery to open the trachea to allow air to enter the airway. Tracheostomy cannot be separated from possible complications. Tracheostomy stoma infection is one of the complications of post-tracheostomy that occurs due to the activity of several bacteria. Many factros can cause the incidence of tracheostomy stoma infection. Objective: The aim of this study is to determine the factors associated with the incidence of tracheostomy stoma infection. Methods: Observational study with cross-sectional design. Data collection was carried out using medical record data on 71 subjects who underwent tracheostomy tube replacement from july 2019 to November 2020. Results: From 71 subjects, it was found that the subjects who had tracheostomy stoma infection were 54.9%. The results of bivariate analysis showed that age (p=0.031), comorbidities (p=0.009), the type of tracheostomy tube (p=0.015), the use of antiseptic in tracheostomy dressing (p=0.020), tracheostomy tube care (p=0.013), and the interval of changing the tracheostomy tube (p=0.041) are the significant factors. The results of multivariate analysis showed that tracheostomy tube care and the interval of changing the tracheostomy tube had a significant effect on tracheostomy stoma infection. Tracheostomy tube care has a risk of 9.362 times to experience infection with CI95%(1.535-57.086) and the interval of changing the tracheostomy tube has a risk of 10.669 with CI95% (1.074-105.985). Conclusion: There is a significant relationship between age, comorbidities, type of tracheostomy tube, the use of antiseptic in tracheosotmy dressing, tracheosotmy tube care, and interval of changing the tracheostomy tube with the incidence of tracheostomy stoma infection.


2019 ◽  
Vol 8 (1) ◽  
pp. 93
Author(s):  
Rica Frastia Prahardani ◽  
Lutfi Agus Salim

Gestation is the growth of an embryo which starts from conception and ends at the beginning of labor. The most common direct causes of complications in pregnancy respectively are preeclampsia (28.7%), bleeding (22.42%), and infection (3.45%). The most common infection that is experienced by mothers due to complications of pregnancy is due to premature ruptured membranes (65%). The purpose of this study was to determine the characteristics of pregnant women who experienced premature ruptured membranes at Assalam Hospital, Gemolong. This is a descriptive study with a cross-sectional design. The population is all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, in April–May 2015, totalling 36 women. The sample was all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, throughout April–May 2015 and the sampling technique used was non probability sampling. The secondary data were obtained from medical record data at Assalam Hospital, Gemolong, from April to May 2015. The results showed that the characteristics of pregnant women with KPD were that they were mostly 20–35 years of age (91.7%), had primiparous parity (63.9%), were mostly working mothers (72.2%), and had secondary education (80.6%).


2014 ◽  
Vol 2 (3) ◽  
pp. 380
Author(s):  
Faradiba Hikmarida

ABSTRACTIncreasing number of diphteria cases in Sidoarjo Regency, with occurrence of cases in those who had received DPT immunization shows the existence of problem concerning to immunization. The efficacy itself, depends on the quality of vaccines given. Insufficiency in cold chain may lower the quality of DPT vaccines. The purpose of this study was to analyze relationship between DPT vaccine storage and recording for DPT vaccines cold chain with quality of DPT vaccine cold chain in puskesmas Sidoarjo Regency. This research is a descriptive research with cross sectional design. Sample used were total population, which includes all 26 puskesmas within Sidoarjo. The variables were DPT vaccine storage, recording for DPT vaccines cold chain and quality of DPT vaccine cold chain. The result of this study showed that DPT vaccine storage was good (58%), recording for DPT vaccines cold chain were insufficient (77%), and quality of DPT vaccine cold chain in puskesmas was also good (62%). Spearman correlation test showed relationship between DPT vaccine storage and quality of DPT vaccine cold chain in Puskesmas was strong and positive (r = 0,561). Relationship between recording for DPT vaccines cold chain and quality of DPT vaccine cold chain in puskesmas was moderate and positive (r = 0,421). the better the storage for DPT vaccines and recording for DPT vaccines cold chain in puskesmas, the better its cold chain quality in puskesmas. Improvement in officers’ obedience in storing DPT vaccine and its recording concerning to the cold chain which appropriate according to procedures, were really needed.Keywords: storage, recording, quality, cold chain, DPT vaccine


2018 ◽  
Vol 5 (1) ◽  
pp. 36-42
Author(s):  
Menik Kustriyani ◽  
Aji Susanti Kharisa ◽  
Arifianto Arifianto

While doing their job as nurses, it is a must for the nurses to use PPE (PersonalProtective Equipment) based on the SOP which is established by the hospital. One of theinfluencing factors of the nurses’ obedience in using PPE is their motivations. Thepurpose of this study is to discover the relation between nurse’s motivation withobedience of using general precautions. This research is a non experimental quantitativeresearch which used cross sectional design. Using simple random sampling, there were153 nurses as the sample for this study. The instrument of this study were questionnairesand observation sheets. Rank Spearman Correlation Test was used in this research toanalyze the data.The result of Rank Spearman with p = 0,000 with the value of r = 0,507with positive correlation which also shows that nurses with higher motivation will alsohave higher obedience in using PPE. Conclusion: the higher the nurse's motivation thehigher the adherence to the use of PPE.   Perawat dalam melakukan asuhan keperawatan harus menggunakan APD sesuai denganSOP yang telah ditetapkan oleh rumah sakit. Faktor yang mempengaruhi kepatuhanpenggunaan APD salah satunya adalah motivasi. Tujuan Penelitian ini adalah untukmengetahui hubungan antara motivasi perawat dengan kepatuhan penggunaan alatpelindung diri. Penelitian ini adalah penelitian kuantitatif yang merupakan penelitian nonexperimental dengan menggunakan desain cross sectional. Jumlah sampel penelitian inisebanyak 153 perawat dengan tehnik simpel random sampling. Instrumen penelitian inimenggunakan kuesioner dan lembar observasi. Analisa data menggunakan uji korelasiRank Spearman. Hasil uji Rank Spearman nilai p = 0,000 dengan nilai r = 0,507 arahkorelasi positif yang berarti semakin tinggi motivasi perawat maka semakin tinggikepatuhan penggunaan APD. Kesimpulan: semakin tinggi motivasi perawat makasemakin tinggi kepatuhan penggunaan APD.


Author(s):  
Shinta Arta Mulia

Introduction: Fatigue is believed as a common problem that is often encountered by workers including food makers in home industry. Fatigue is caused by various factors such as nutritional status, calories intake and workload. This study is intended to identify the correlation between caloric intake, and workload with fatigue on workers who work at home industry of sumpia, bidaran and tempe in Surabaya. Metods: This study was an observational study with cross sectional design. The samples of this study were all workers in Sinar Kencana Rangkah Home Industry, Sinar Kencana Lebak Jaya Home Industry and Bu Slamet Home Industry in Surabaya. Data were collected by measuring food recall 24 hours, measuring workload, and using questioner of fatigue. Data were presented on the table then were analyzed using Spearman Correlation Test. Results: The result showed that there were correlations between caloric intake (correlation coefficient: 0,530), and workload (correlation coefficient: 0.939) with work fatigue. Conclusion: The lesser the calories intake of the workers, the more severe the work fatigue experienced. The heavier the workload given to the workers, the more severe the work fatigue underwent by the workers. Keywords: caloric intake, food maker, home industry, workload, work fatigue


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Atika I. S. Labatjo ◽  
Firginia P. Manoppo ◽  
Siemona L. E. Berhimpon

Abstract: The graduation rate of the Computer Based Test (CBT) in Competency Test for Medical Student Profession Program (UKMPPD) of Medical Faculty, Sam Ratulangi University is still below 50% so far. Therefore, the Medical Faculty of Sam Ratulangi University makes various efforts to increase their graduation rate, inter alia implementation of local Try Out (TO) test as a filtering test required before the CBT UKMPPD. This study was aimed to find out whether there was a correlation between the local TO test score and the CBT UKMPPD score. This was a descriptive analytical study with a cross-sectional design. Data of this study were the local TO test score and the CBT UKMPPD score of the Medical Faculty of Sam Ratulangi University. The data were analyzed with the Spearman correlation test. The results showed that there was a significant correlation (P=0.028) between the local TO test score and the CBT UKMPPD score with a very weak positive correlation value (r= 0.199). Conclusion: There was a significant correlation between the local TO test score and the CBT UKMPPD score.Keywords: TO, CBT, UKMPPD Abstrak: Angka kelulusan Computer Based Test (CBT) Ujian Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) Fakultas Kedokteran Universitas Sam Ratulangi (FK Unsrat) Manado masih berada di bawah 50%. Pihak FK Unsrat melakukan berbagai upaya agar angka kelulusan UKMPPD FK Unsrat meningkat, salah satunya yaitu dengan mengadakan ujian Try Out (TO) lokal sebagai ujian penyaring yang wajib diikuti sebelum CBT UKMPPD. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara nilai ujian TO lokal dengan nilai CBT UKMPPD. Jenis penelitian ialah deskriptif analitik dengan ddesain potong lintang. Data penelitian ialah nilai ujian TO lokal dan CBT UKMPPD FK Unsrat. Data dianalisis menggunakan uji korelasi Spearman. Hasil penelitian mendapatkan hubungan bermakna (P=0,028) antara nilai ujian TO lokal dengan nilai CBT dengan tingkat keeratan positif yang sangat lemah (r=0,199). Simpulan: Terdapat hubungan bermakna antara nilai ujian TO lokal dengan nilai CBT UKMPPD.Kata kunci: TO, CBT, UKMPPD


e-GIGI ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Dediyanto C. Sambeta ◽  
P.S. Anindita ◽  
. Juliatri

Abstract: Facial appearance, especially the eye and mouth part, has the highest level in affecting people perception of aesthetic. Adolescence is a stage of self-identity formation. Adolescent face and mandible teeth aesthetic play an important role in forming a self-concept and pride. An unattractive appearance of face and the mandible teeth has a horrible impact on psychosocial development in adolescence. This study aimed to obtain the impact of anterior malocclusion on psychosocial status of SMA Negeri 1 Luwuk students. This was an analytical observational study with a cross sectional design. Subjects were obtained by using purposive sampling. This study was conducted in 2014 on September 14 to Oktober 10. Data were collected from the subjects with anterior malocclusion who underwent intraoral examination. There were 50 subjects selected to fill the PIDAQ questionnaire. The Spearman correlation test showed the coefficient of correlation (r) = 0.176, which indicated that the anterior malocclusion had no impact towards psychosocial status of SMA Negeri 1 Luwuk students. Conclusion: Anterior malocclusion had no impact towards psychosocial status of SMA Negeri 1 Luwuk students. Keywords: anterior malocclusion, adolescence, psychosocial status, psychosocial impact, PIDAQ Abstrak: Penampilan wajah, terutama pada bagian mata dan mulut, memiliki tingkatan tertinggi dalam memengaruhi persepsi estetika seseorang. Masa remaja merupakan tahap pembentukan identitas diri. Estetika wajah dan gigi-geligi remaja berperan penting dalam pembentukan konsep diri dan harga diri. Tampilan wajah dan gigi-geligi yang tidak menarik mempunyai dampak yang tidak menguntungkan pada perkembangan psikologis dan sosial seorang remaja. Penelitian ini bertujuan untuk mengetahui pengaruh maloklusi gigi anterior terhadap status psikososial siswa SMA Negeri 1 Luwuk. Jenis penelitian ini observasional analitik dengan desain potong lintang. Sampel diperoleh dengan metode purposive sampling. Pengambilan data dilakukan dengan memeriksa subjek yang mengalami maloklusi anterior. Penelitian ini dilakukan sejak 14 September-10 Oktober 2014. Terdapat 50 siswa sebagai subyek dan mengisi kuesioner PIDAQ. Uji Korelasi Spearman menunjukkan koefisien korelasi (r) = 0,176, yang berarti tidak ada pengaruh antara maloklusi gigi anterior terhadap status psikososial pada siswa SMA Negeri 1 Luwuk. Simpulan: Tidak terdapat pengaruh maloklusi gigi anterior terhadap status psikososial pada siswa SMA Negeri 1 Luwuk.Kata kunci: maloklusi anterior, remaja, status psikososial, PIDAQ


2019 ◽  
Vol 8 (1) ◽  
pp. 93
Author(s):  
Rica Frastia Prahardani ◽  
Lutfi Agus Salim

Gestation is the growth of an embryo which starts from conception and ends at the beginning of labor. The most common direct causes of complications in pregnancy respectively are preeclampsia (28.7%), bleeding (22.42%), and infection (3.45%). The most common infection that is experienced by mothers due to complications of pregnancy is due to premature ruptured membranes (65%). The purpose of this study was to determine the characteristics of pregnant women who experienced premature ruptured membranes at Assalam Hospital, Gemolong. This is a descriptive study with a cross-sectional design. The population is all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, in April–May 2015, totalling 36 women. The sample was all pregnant women with premature ruptured membranes (KPD) at Assalam Hospital, Gemolong, throughout April–May 2015 and the sampling technique used was non probability sampling. The secondary data were obtained from medical record data at Assalam Hospital, Gemolong, from April to May 2015. The results showed that the characteristics of pregnant women with KPD were that they were mostly 20–35 years of age (91.7%), had primiparous parity (63.9%), were mostly working mothers (72.2%), and had secondary education (80.6%).


2015 ◽  
Vol 3 (1) ◽  
pp. 50
Author(s):  
Nurul Hidayatul Mukaromah ◽  
Ratna Dwi Wulandari

ABSTRACT                The coverage of under-five children weighed is an indicator of community participation in Posyandu. During 2012 until 2014, Puskesmas Kenjeran had not reached the target of this indicator. The objective of this study is to arrange recommendations for Posyandu utilization improvement based on total customer sacrifice analysis. This was a quantitative analytical study with observational approach and cross sectional design. The sampling was calculated by using multistage random sampling method. The interviews through instrument were conducted to 112 respondents to obtain information on Posyandu utilization and respondents sacrifice required to utilize Posyandu. The results showed that respondents thought time was the greatest sacrifice among monetary, energy, and psychological sacrifices. Spearman correlation test on any sacrifice required showed significant correlation (p<0.05), except for monetary sacrifice.This study concluded that even total customer sacrifices was very small, but the huge expense of time spent still made respondents to be less likely to utilize Posyandu. Therefore, efforts are needed to reduce the magnitude of the sacrifice required by community utilizing Posyandu in Puskesmas Kenjeran area. Keywords: Posyandu utilization, total customer sacrifices, under-five children                    weighed


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