scholarly journals POLA CEDERA KASUS KEKERASAN FISIK PADA ANAK DI R. S. BHAYANGKARA MANADO PERIODE TAHUN 2013

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Chriselya L. Janise ◽  
Erwin G. Kristanto ◽  
James F. Siwu

Abstract: Child abuse in Indonesia shows a tendency to increase every year.This study aimed to detect the injury patterns in the living victims due to child abuse. This was a descriptive retrospective study. Data were obtained from the 2013 medical records of Bhayangkara Hospital in Manado. Variables of this study were types of violence, types of injuries, and locations of injuries. The results showed that the types of violence were oppression (66%) and sexual abuse (34%). The most frequent type of injuries was bruise (53%), followed by laceration (27%) and excoriation (20%). The location of injuries were mostly on the head (65%), especially on the left eye (19% of the head), followed by the other parts of the body. Conclusion: In this study, concerning child abuse, the most frequent type of violence was oppression. The most frequent type of injuries was bruise, and the location of injuries was mostly on the head, especially on the left eye. Keywords: injury pattern, physical violence, children.     Abstrak: Kekerasan pada anak di Indonesia memperlihatkan kecenderungan meningkat setiap tahun. Penelitian ini bertujuan untuk mendapatkan pola cedera pada anak (yang hidup) yang menjadi korban kekerasan. Penelitian ini menggunakan metode deskriptif retrospektif. Pengambilan data dilakukan di R.S. Bhayangkara Manado periode tahun 2013 dengan memanfaatkan data sekunder dari rekam medis orang hidup, jenis kekerasan yang paling sering terjadi pada kasus kekerasan anak, jenis cedera, dan letak cedera sebagai variabel penelitian. Hasil penelitian memperlihatkan jenis kekerasan yang ditemukan ialah penganiayaan (66%) dan kekerasan seksual (34%). Jenis cedera yang tersering ditemukan ialah memar (53%), diikuti oleh luka robek (27%) dan luka lecet (20%). Lokasi cedera yang terbanyak di daerah kepala (65%) terutama mata kiri (19% dari bagian kepala), diikuti oleh bagian tubuh lainnya. Simpulan: Pada penelitian ini, jenis-jenis kekerasan yang tersering ditemukan pada anak berupa penganiayaan dengan jenis cedera tersering berupa memar. Lokasi cedera tersering pada daerah kepala, terutama mata kiri. Kata kunci: pola cedera, kekerasan fisik, anak.

2019 ◽  
Vol 11 (1) ◽  
pp. 29
Author(s):  
Cherryl A. Lumentut ◽  
Erwin G. Kristanto ◽  
James F. Siwu

Abstract: Complete medical record is clearly important to health service of a hospital. In cases of violence, medical records play a significant role in law enforcement. Prof. Dr. R. D. Kandou Hospital is categorized as type A service hospital that has been fully accredited in 2015. Therefore, its medical personnels should be responsible for the completeness of each patient’s medical record, especially of violence cases. This study was aimed to determine the completeness of physical violence cases’ medical records due to criminal acts at Prof. Dr. R. D. Kandou Hospital in the period of September 2017-August 2018. This was a descriptive retrospective study. The results obtained as many as 40 cases of physical violence due to criminal acts. The medical record completeness of physical violence cases due to criminal acts were as follows: in Emergency Care 40%, inpatients 12%, surgery 58.82%, anesthesia/ sedation 45.45%, blood transfusion 66.67%, and informed consent 96.87%. Conclusion: In physical violence cases due to criminal acts, the medical record completeness with informed consent had higher percentage than the other medical record documents.Keywords: completeness of medical record, physical violence casesAbstrak: Kelengkapan rekam medik merupakan hal penting dalam pelayanan kesehatan dari suatu rumah sakit. Dalam kasus kekerasan, rekam medik berperan dalam penegakan hukum. RSUP Prof. Dr. R. D. Kandou sebagai rumah sakit pelayanan tipe A yang telah terakreditasi paripurna pada tahun 2015, sudah seharusnya kelengkapan rekam medis bagi setiap pasien menjadi tanggung jawab tenaga medis terutama rekam medik kasus kekerasan yang ada di RSUP. Prof. Dr. R. D. Kandou. Penelitian ini bertujuan untuk mengetahui kelengkapan rekam medik kasus kekerasan fisik akibat tindakan pidana di RSUP Prof. Dr. R. D. Kandou periode September 2017 - Agustus 2018. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian mendapatkan sebanyak 40 kasus kekerasan fisik akibat tindak pidana. Secara keseluruhan kelengkapan rekam medik pada kasus kekerasan fisik akibat tindak pidana di Instalasi Rawat Darurat sebesar 40%, rawat inap 12%, tindakan operatif 58,82%, tindakan anestesi/sedasi 45,45%, transfusi darah 66,67%, dan informed consent 96,87%. Simpulan: Pada kasus kekerasan fisik akibat tindakan pidana, kelengkapan rekam medik dengan informed consent memiliki persentase yang lebih tinggi daripada berkas rekam medik lainnya.Kata kunci: kelengkapan rekam medik, kasus kekerasan fisik


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Chriselya L. Janise ◽  
Erwin G. Kristanto ◽  
James F. Siwu

Abstract: Violence on children has high incidence in Indonesia. The total number of incidence, if compared to the total number of children, shows the large number of victims, when reaches 3%. This means that in every 1000 children, there can be 30 children who are possible to be victims of physical violence. Violence cases on children are troubling to the society, due to more cases rising annually. To improve the ability to detect violence cases on children to doctors by identifying the injury patterns of physical violence in children. Data from year 2013 is obtained from RS Bhayangkara Manado. This was a retrospective descriptive study using secondary data of medical records of live persons. The most common type of violence cases on children, type of injury, and location of injury were the variables of this research. Conclusions: The types of violence found on children were sexual violence and abuse. The types of lesion found were bruises, torn wounds, abrasions, swellings, and bleeding in pubic hollows. The most found location of injury in violence cases on children was the left eye area.Keywords: injury patterns, physical violence on children.Abstrak: Kekerasan pada anak punya angka kejadian yang tinggi di Indonesia. Jumlah tersebut, apabila dibandingkan dengan jumlah anak menujukkan besarnya korban kekerasan pada anak yang mencapai 3 persen. Yang berarti setiap 1000 anak, terdapat sekitar 30 anak yang berpeluang menjadi korban tindak kekerasan. Kasus kekerasan pada anak ini cukup meresahkan masyarakat, karena semakin meningkatnya kasus-kasus kekerasan pada anak yang didapat tiap tahunnya. Untuk meningkatkan kemampuan deteksi kasus kekerasan pada anak bagi para dokter melalui pola cedera kekerasan pada anak. Pengambilan data dilakukan di RS. Bhayangkara Manado periode tahun 2013. Metode penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder yaitu rekam medis orang hidup. Jenis kekerasan yang paling sering terjadi pada kasus kekerasan anak, jenis cedera dan letak cedera sebagai Variabel penelitian. Simpulan: Jenis-jenis kekerasan yang ditemukan pada anak berupa kekerasan seksual dan penganiayaan. Jenis cedera yang ditemukan berupa memar, luka robek, luka lecet, bengkak dan pendarahan liang kemaluan. Letak cedera terbanyak yang ditemukan pada kasus kekerasan pada anak terdapat pada bagian mata kiri.Kata kunci: pola cedera, kekerasan fisik pada anak.


2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Erwin Kristanto ◽  
Johannis Mallo ◽  
Aria Yudhistira

Abstract: Nowadays, the incidence of traffic accidents increases annually. Injuries caused by traffic accidents show specific patterns, which differ from that of injuries due to other causes. Information of injury patterns due to accidents can be very useful in the management of treatment. The aim of this retrospective study is to describe the kinds of injuries in autopsied victims due to traffic accidents, which were autopsied, and in some cases handled in Prof.dr.R.D.Kandou Manado General Hospital from 2004 until 2008.  The results showed that 77.7% of deaths were due to traffic accident head injuries, and 22.2% to chest injuries. We observed that they had obvious internal organ damage, especially in the abdomen, which observation could not have been predicted just from external examination.  Therefore, it can be concluded that not only deaths by traffic accidents, but all fatalities should undergo autopsy to verify the exact cause of death. Keywords: injury pattern, retrospective study, forensic autopsy     Abstrak: Angka kecelakaan lalu lintas tiap tahun meningkat. Cedera yang ditimbulkan memiliki pola tertentu yang berbeda dengan cedera akibat kekerasan lain. Informasi mengenai pola cedera pada kecelakaan lalu lintas dapat digunakan dalam pengobatan. Studi retrospektif ini mendeskripsi-kan cedera yang ditemukan pada autopsi korban kecelakaan lalu lintas di rumah sakit umum Prof.dr.R.D Kandou di Manado, periode tahun  2004 – 2008. Hasil survei menemukan bahwa 77,7% kasus kematian akibat kecelakaan lalu lintas disebabkan oleh cedera kepala, dan 22,2 % akibat cedera pada dada. Dari pengamatan penulis tampak dengan jelas kerusakan organ dalam, terutama pada perut tidak dapat diperkirakan hanya dengan pemeriksaan luar mayat. Perlu dipikirkan bersama agar dapat diciptakan kondisi di mana korban meninggal pada kasus kecelakaan lalu lintas maupun untuk kasus yang lain dapat menerima pelayanan autopsi forensik. Kata kunci: Pola cedera, studi retrospektif, autopsi forensik


Author(s):  
Sunandar Macpal ◽  
Fathianabilla Azhar

The aims of this paper is to explain the use of high heels as an agency for a woman's body. Agency context refers to pain in the body but pain is perceived as something positive. In this paper, the method used is a literature review by reviewing writings related to the use of high heels. The findings in this paper that women experience body image disturbance or anxiety because they feel themselves are not beautiful or not attractive. The use of high heels, makes women more attractive and more confident, on the other hand the use of high heels actually makes women feel pain and discomfort. However, for the achievement of beauty standards, women voluntarily allow their bodies to experience pain. However, the agency's willingness to beauty standards here is meaningless without filtering and directly accepted. Instead women keep negotiating with themselves so as to make a decision why use high heels.


2020 ◽  
Author(s):  
Ashleigh Doub ◽  
Anne Hittson ◽  
Brielle C Stark

Purpose: The use of technology (e.g., telehealth) in clinical settings has rapidly increased and its use in research settings continues to grow. The aim of this report is to provide detailed methods for conducting a multi-timepoint (test-retest) virtual paradigm, assessing lifestyle, physiological, cognitive, and linguistic factors in persons with and without aphasia. Methods: Procedures for virtual assessment are detailed in a sample of non-brain damaged adults (NB; N=24) and persons with aphasia (PWA; N=9) on a test-retest paradigm (data collection approximately 10 +/- 3 days apart). This report provides practical information about pre-assessment (e.g. recruitment, scheduling), assessment (e.g. aphasia-friendly consent presentation, investigator fidelity), and post-assessment (e.g. data storage, quality check) procedures for human behavior research using a virtual platform.Results: Preliminary study data is provided, demonstrating high retention rates and feasibility. Common technological troubles and solutions are discussed, and solutions offered. The results suggest that our pre-assessment, assessment, and post-assessment procedures were core to the success of our study. Conclusion: We provide practical methodology for conducting a multi-timepoint study, with considerations for persons with aphasia, adding to the body of research on telehealth in clinical populations. Future studies should continue to evaluate tele-methodology, which may be core for diversifying studies, improving study retention, and enrolling larger sample sizes.


2018 ◽  
Vol 8 (4) ◽  
pp. 28-33
Author(s):  
Mao Nguyen Van ◽  
Thao Le Thi Thu

Background: In practice it was difficult or impossible to have a correct diagnosis for the lymphoid proliferation lesions based on only H.E standard histopathology. In addition to histopathology, the application of immunohistochemistry was indispensable for the definitive diagnosis of the malignant or benign tumours and the origin of the tumour cells as well. Objectives: 1. To describe the gross and microscopic features of the suspected lesions of lymphoma; 2. To asses the expression of some immunologic markers for the diagnosis and classification of the suspected lesions of lymphoma. Materials and Method: Cross-sectional research on 81 patients diagnosed by histopathology as lymphomas or suspected lesions of lymphoma, following with immunohistopathology staining of 6 main markers including LCA, CD3, CD20, Bcl2, CD30 and AE1/3. Results: The most site was lymph node 58.1% which appeared at cervical region 72.3%, then the stomach 14.9% and small intestine 12.4%. The other sites in the body were met with lower frequency. Histopathologically, the most type of the lesions was atypical hyperplasia of the lymphoid tissue suspecting the lymphomas 49.4%, lymphomas 34.5%, the other diagnoses were lower including inflammation, poor differentiation carcinoam not excluding the lymphomas, lymphomas differentiating with poor differentiation carcinomas. Immunohistochemistry showed that, LCA, CD3, CD20, Bcl2, CD30 and AE1/3 were all positive depending on such type of tumours. The real lymphomas were 48/81 cases (59.3%), benign ones 35.8% and poor differentiated carcinomas 4.9%. Conclusion: Immunohistochemistry with 6 markers could help to diagnose correctly as benign or malignant lesions, classify and determine the origin of the tumour cells as lymphocytes or epithelial cells diagnosed by histopathology as lymphomas or suspected lesions of lymphomas. Key words: histopathology, immunohistochemistry, lymphomas, poor differentiated carcinomas, hyperplasia, atypicality


Author(s):  
Zoran Vrucinic

The future of medicine belongs to immunology and alergology. I tried to not be too wide in description, but on the other hand to mention the most important concepts of alergology to make access to these diseases more understandable, logical and more useful for our patients, that without complex pathophysiology and mechanism of immune reaction,we gain some basic insight into immunological principles. The name allergy to medicine was introduced by Pirquet in 1906, and is of Greek origin (allos-other + ergon-act; different reaction), essentially representing the reaction of an organism to a substance that has already been in contact with it, and manifested as a specific response thatmanifests as either a heightened reaction, a hypersensitivity, or as a reduced reaction immunity. Synonyms for hypersensitivity are: altered reactivity, reaction, hypersensitivity. The word sensitization comes from the Latin (sensibilitas, atis, f.), which means sensibility,sensitivity, and has retained that meaning in medical vocabulary, while in immunology and allergology this term implies the creation of hypersensitivity to an antigen. Antigen comes from the Greek words, anti-anti + genos-genus, the opposite, anti-substance substance that causes the body to produce antibodies.


Author(s):  
Isabella Image

This chapter discusses Hilary’s dichotomous body–soul anthropology. Although past scholars have tried to categorize Hilary as ‘Platonic’ or ‘Stoic’, these categories do not fully summarize fourth-century thought, not least because two-way as well as three-way expressions of the human person are also found in Scripture. The influence of Origen is demonstrated with particular reference to the commentary on Ps. 118.73, informed by parallels in Ambrose and the Palestinian Catena. As a result, it is possible to ascribe differences between Hilary’s commentaries to the fact that one is more reliant on Origen than the other. Nevertheless, Hilary’s position always seems to be that the body and soul should be at harmony until the body takes on the spiritual nature of the soul.


Author(s):  
D. T. Gauld ◽  
J. E. G. Raymont

The respiratory rates of three species of planktonic copepods, Acartia clausi, Centropages hamatus and Temora longicornis, were measured at four different temperatures.The relationship between respiratory rate and temperature was found to be similar to that previously found for Calanus, although the slope of the curves differed in the different species.The observations on Centropages at 13 and 170 C. can be divided into two groups and it is suggested that the differences are due to the use of copepods from two different generations.The relationship between the respiratory rates and lengths of Acartia and Centropages agreed very well with that previously found for other species. That for Temora was rather different: the difference is probably due to the distinct difference in the shape of the body of Temora from those of the other species.The application of these measurements to estimates of the food requirements of the copepods is discussed.


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