scholarly journals Association between Frequency of Prosthesis Cleaning and the Discharge Characteristics and the Tear Film in Subjects with Anophthalmic Socket after Eviceration with Dermis Fat Graft

2018 ◽  
Vol 6 (11) ◽  
pp. 2012-2016 ◽  
Author(s):  
Tari Adrian ◽  
Rodiah Rahmawaty Lubis ◽  
T. Siti Harilza Zubaidah

AIM: To analyze the associations between frequency of prosthesis cleaning with the discharge characteristics and the tear film in subjects with anophthalmic socket post evisceration with dermis fat graft. SUBJECTS AND METHODS: This study is an analytic observational with cross sectional design study with control. The subjects of the study were unilateral acquired anophthalmic socket after evisceration with dermis fat graft at University of Sumatera Utara General Hospital which amounts to 30 subjects or 60 eyes (30 unilateral anophthalmic sockets, 30 contralateral eyes). Data was obtained from April 2018 to May 2018. RESULT: There is significant association between frequency of prosthesis cleaning and the frequency of discharge (P = 0.001) and tear film quantity (P = 0.024). There is also significant association between the tear film quantity and the frequency of discharge (P = 0.024). CONCLUSION: There was a significant association between frequency of prosthesis cleaning with the frequency of discharge and the tear film in subjects with Acquired Unilateral anophthalmic socket post-evisceration with dermis fat graft.

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
David Franli ◽  
Makmur Sitepu ◽  
Hotma Partogi Pasaribu ◽  
Sake Juli Martina

Introduction. Chronic energy deficieny (CED) is a condition of a body characterized by low body weight and low energy stores, possibly limited physical capacity due to deprivation of food over a long period time. Ministry of Health ( Kemenkes) showed that in 2015, 305 out of 100.000 death of pregnant women is realated to malnutriotion and CED. Objective. The aim of this study is to determine the overview of pregnant women nutritional status based on mid-upper arm circumference (MUAC) in Sundari Medan General Hospital. Method. The study was an observational descriptive study with a cross sectional design. The samples of this study consists of pregnant women from Sundari Medan Genaral Hospital, who had fulilled the inclusion and esclusion criteria by total sampling. Results.. Among 60 samples, the prevalance of Non-CED woman (85%) was found higher than the mild malnutrition (15%). Conclusion. Prevalance of CED pregnant women was found higher in risky age, middle educated and high income family.  


2021 ◽  
Vol 4 (2) ◽  
pp. 71-74
Author(s):  
Ratih Mega Septiasari ◽  
Nurya Viandika

AbstrakWanita hamil adalah salah satu kelompok khusus yang berisiko tinggi tertular virus Covid-19.Faktor risiko terbesar untuk mengalami berbagai tekanan psikologis adalah perempuan dan tenaga kesehatan serta populasi rentan seperti ibu hamil. Ketakutan dan kekhawatiran muncul dari bahaya yang memang ada, tetapi banyak juga yang muncul dari kurangnya pengetahuan dan informasi yang salah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan Covid-19 dengan kecemasan ibu hamil pada saat pandemi Covid-19 di Malang Jawa Timur Indonesia. Penelitian dilakukan pada bulan November hingga Desember 2020 dan merupakan penelitian desain cross-sectional dengan menggunakan kuesioner  yang diberikan kepada 52 ibu hamil. Berdasarkan tabel 4 didapatkan p-value 0,029 (sig<0,05) yang menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil selama pandemi Covid-19. Sehingga dapat disimpulkan bahwa pengetahuan merupakan factor penting bagi ibu hamil karena dapat mempengaruhi perilaku ibu selama hamil. Sehingga diharapkan edukasi yang optimal dari petugas kesehatan bagi para ibu agar dapat menjalani kehamilan sejahtera serta ibu dan janin tetap sehat selama pandemi Covid-19. Kata kunci: pengetahuan, kecemasan, kehamilan, pandemi covid-19  AbstractPregnant women are one of the special groups that are at high risk for the Covid-19 virus. The biggest risk factors for experiencing various psychological distresses are women and health workers as well as vulnerable populations such as pregnant women. Fear and worry arise from dangers that do exist, but many also arise from lack of knowledge and misinformation. The purpose of this study was to determine the correlation between Covid-19 knowledge and anxiety of pregnant women during the Covid-19 pandemic at Malang, East Java Indonesia. The study was conducted from November to December 2020 and is a cross-sectional design study using a questionnaire given to 52 of pregnant women. Based on the table 4, the p-value is 0.029 (sig <0.05), which indicates that there is a significant correlation between the knowledge and the anxiety of pregnant women during the Covid-19 pandemic. So it can be concluded that knowledge is an important factor for pregnant women because it can affect the behavior of the mother during pregnancy. So it is hoped that optimal education from health workers for mothers to be able to undergo a prosperous pregnancy so that mothers and fetuses remain healthy during the Covid-19 pandemic. Keywords: knowledge, anxiety, pregnancy, covid-19 pandemic


Author(s):  
Ayu Imamatun Nisa ◽  
Awalia Awalia ◽  
Jusak Nugraha

Introduction: Rheumatoid arthritis (RA) is an autoimmune disease which mainly attacks synovial membrane and causes systemic manifestation. During treatment, controlling disease activity is needed to prevent further complication. On the other hand, medications used in the treatment of RA may bring various side effects. It is important to evaluate side effects from the given therapy.Methods: This study aimed to evaluate response and side effects of therapy in RA patients. The samples were collected from 59 RA patients at Rheumatology Division of Outpatient Clinic in Department of Internal Medicine Dr. Soetomo General Hospital Surabaya in 2017. This study method was descriptive observational with cross sectional design using medical records.Results: Pain was reduced in 83.1% patients, Erythrocyte Sedimentation Rate (ESR) increased in 61.4% patients, and C-Reactive Protein (CRP) decreased in 50% patients. Based on the statistic analysis, ESR decreased significantly (p = 0.012) while CRP decreased not significantly (p = 0.415). The side effects were observed from clinical and laboratory data. Based on clinical symptoms, there were alopecia in 1.7% patient, dyspepsia in 78% patients, infection in 27.1% patients, and other symptoms including itchy skin, neuropathy, hyperuricemia, hyperkalemia and Acute Kidney Injury (AKI). Meanwhile, abnormalities in laboratory data include increased aspartate transaminase (AST) in 3.8% patients, increased alanine transaminase (ALT) in 26.1% patients, increased Blood Urea Nitrogen (BUN) in 7.9% patients, increased creatinine serum in 7.9% patients, decreased hemoglobin in 15.5% patients, and decreased leukocytes in 3.4% patients.Conclusion: Most patients had a good therapeutic response based on decreased pain, while ESR had a significant decrease and CRP did not have significant decrease. Side effects discovered in patients were various


2021 ◽  
Vol 1 (2) ◽  
pp. 54-61
Author(s):  
I Made Widhi Arthayasa ◽  
Ni Luh Putu Thrisna Dewi ◽  
Ni Gusti Ayu Putu Triyani ◽  
Ketut Lisna Wati

Surgery often causes anxiety in patients. Preoperative anxiety may cause delays of surgery due to physiological and psychological changes experienced by the patient. Preoperative anxiety is influenced by age, gender, education level, physical condition, and experience. The research objective was to analyze the influence of factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic. This research applied cross sectional design with 98 respondents who were selected by consecutive sampling method. Data were collected using the APAIS. Bivariate data analysis was performed using non-parametric Pearson’s chi-squared test and multivariate analysis with logistic regression. All patients experienced preoperative anxiety, most of which were in the moderate category (41.8%). Factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic were gender (p = 0.043, α = 0.05), education (p = 0.000, α = 0.05), and experience (p = 0.006, α = 0.05). The most dominant factor was experience with an odds ratio of 4.806. The influence of the three factors was 75.4% and the remaining 24.6% was influenced by other factors. Most respondents expressed their anxiety with fear and curiosity about surgical procedure so it is important for nurses to provide education about the surgery in order to reduce the level of preoperative anxiety in patients, especially female patients with lower levels of educational attainment who have never undergone surgery.


2017 ◽  
Vol 4 (2) ◽  
pp. 100
Author(s):  
Putri Anggraini ◽  
Abdurrahman Wahid ◽  
Noor Diani

ABSTRAKAritmia merupakan gangguan irama pada jantung bisa cepat, lambat dan ireguler. Komplikasi dari STEMI salah satunya adalah aritmia disebabkan adanya gangguan konduksi listrik dan sel jantung pada jantung. Angka kejadian aritmia 50% yang dapat mengakibatkan kematian. Tujuan penelitian mengetahui gambaran kejadian aritmia dan mortalitas pada pasien STEMI di Rumah Sakit Umum Daerah Ulin Banjarmasin Metode penelitian ini menggunakan metode penelitian deskriptif  dengan pendekatan cross sectional. Penelitian ini adalah pasien STEMI yang mengalami komplikasi aritmia dari 4 september 2015 – 31 desember 2015 dengan tekhnik pengambilan sampel yang digunakan adalah nonprobability sampling dengan jenis sampling aksidental. Instrumen yang digunakan lembar EKG dan lembar observasi. Hasil penelitian kejadian aritmia berjumlah 11 responden (65%), tidak aritmia 6 responden (35%). Kejadian mortalitas didapatkan 2 responden (12%). Rata – rata umur responden 57 tahun. Jenis kelamin laki – laki terdapat 15 responden (88%), perempuan 2 responden (12%). Kesimpulan prevalensi kejadian aritmia pada pasien STEMI tinggi, ditemukan irama sinus takikardi dan sinus bradikardi dapat mengakibatkan kematian.Kata – kata kunci: aritmia, mortalitas, STEMI.ABSTRACTArrhythmias are disturbances in the heart rhythm become fast, slow or irregular. Arrhythmia is a complication of STEMI. These arrhythmias can damage electrical conduction and cardiac cells in the heart. The incidence of arrhythmias is 50%, which can lead to death. The objective to describe the incidence of arrhythmias and an overview mortality in STEMI patients at the General Hospital of Ulin Banjarmasin. The methods of study was using a descriptive with cross sectional design to STEMI patients. This study has been done since 4 September 2015-31 December 2015 using accidental sampling technique. Instruments used ECG and observation sheet. The results of this study total incidence of arrhythmias were 11 respondents (65%), non arrhythmia 6 respondents (35%). The incidence of mortality was two respondents (12%). 15 respondents (88%), 2 female respondents (12%). It can be concluded the prevalence of arrhythmias in patients with STEMI is high, found with sinus tachycardia and bradycardia may result in death.Keywords: arrhythmias, mortality, STEMI.


2019 ◽  
Vol 15 (1) ◽  
pp. 1-5
Author(s):  
Alteriana Mydriati Sita Pritasari ◽  
Soraya Nur Faida ◽  
Siti Thomas Zulaikhah

Cigarette smoke can damage the fat layer of the tear film lperoxidation. Dry eye syndromeis a cluster of disorders caused by an imbalance between production and excretionof tears, causing symptoms of discomfort in the eye. This study aims to related riskfactors smoke of dry eye syndrome. Analytic observational with cross sectional design,population of all visitors, officers and employees KAI Poncol station Semarang. Sampleof 60 respondents who meet the inclusion and exclusion criteria. Data about dry eye syndrome are examined using Schirmer I test, data on smoking were taken using a checklist.The data obtained were analyzed using chi-square test. Results of the respondentswho smoke and have dry eye syndrome was higher (80.6%) compared with non-smokers(25.0%). The results chi-square test p=0.000 (p<0.05), PR = 3.222 (95%CI:1.582-6.562).Smoke who risk 3.222 times higher chance of developing dry eye syndrome comparedwith do not smoke.


Author(s):  
Katherine Fedora ◽  
I Ketut Alit Utamayasa ◽  
Sri Purwaningsih

Introduction: Acyanotic congenital heart defect is a congenital structural abnormality arising from incomplete formation of the heart or major blood vessels which generally do not interfere with the amount of oxygen or blood that reaches the body's tissues so that cyanosis are rarely found in these patients. This research aims to evaluate the profile of acyanotic congenital heart defect patients in Paediatric Cardiology Outpatient Clinic Dr. Soetomo General Hospital Surabaya period of January – December 2016 based on 4 variables; gender, age, nutritional status, type of congenital heart disease and symptoms. Until 2017, the profile of acyanotic congenital heart defect in children in Outpatient Unit of Paediatrics Department Dr. Soetomo General Hospital Surabaya has not been much researched, so this research is expected to be used as learning reference for practitioners and other readers, and also as a reference in developing management strategies for children with acyanotic congenital heart defect in the future. Methods: This was a descriptive non-experimental study using cross-sectional design and was performed by evaluating medical record of acyanotic congenital heart defect patients in Department of Paediatrics Dr. Soetomo General Hospital Surabaya period of January – December 2016 and analysed using Microsoft Excel. Results: The results of this study revealed that majority of acyanotic congenital heart defect patients were female (53.85%) with age range between 0 – <5 years old. Atrial septal defect (ASD) was the most common type of acyanotic congenital heart defect (49.8%), with sign and symptom that is commonly found in patients were failure to thrive (61.94%). Majority of patients also suffered from growth disruption with most of patients aged 0 – <5 years old are severely underweight (42.46%) and most of patients aged 5 – 18 years old are having malnutrition (38.23%).


2021 ◽  
Vol 16 (2) ◽  
pp. 196
Author(s):  
Erwin Era Prasetya ◽  
Denny Ardyanto W ◽  
Hari Basuki Notobroto ◽  
Tjipto Suwandi

ABSTRACTHospital fires have the potential to cause fatalities and huge material losses,  there were 22 hospital fires covered by newspapers in India in 2011-2012 with 102 dead. Buildings are considered safe if all occupants building threatened by fire must be able to exit and assembly point before available safe egress time. This study aimed to analyze the effect of preconditions and unsafe acts (violations of evacuation procedures) on evacuation duration in fire disaster conditions in the inpatient building of general hospital R. Koesma Tuban. This study was an observational study, a quantitative method and cross sectional design, which were carried out in April-July 2019. Analysis of Covariance test results stated preconditions (age, sex, exercise habits, location of inpatient ward, distance traveled) affect the duration of evacuation (p <0.05) while preconditions (interaction between workers and readiness of workers) don’t affect the duration evacuation (p> 0.05). Violation of evacuation procedures has the potential to influence the duration of evacuation (p = 0.054). The conclusions this study are age, gender, exercise habits, location of the inpatient ward, and distance traveled affect the duration of the evacuation. Keywords: Duration of evacuation, preconditions, violations of evacuation procedures, hospital


2021 ◽  
Vol 2 (6) ◽  
pp. 57-66
Author(s):  
Mappeaty Nyorong ◽  
Asyiah Simanjorang ◽  
Jauhari Jauhari

This study aims to determine the factors that influence the performance of nurses and to determine the most dominant factors affecting the performance of nurses at the General Hospital Datu Beru Takengon 2021. The research design used a quantitative analytic survey with a cross-sectional design. The population is all nurses in the Inpatient Room at RSU Datu Beru Takengon as many as 200 people. The sampling technique used was random sampling. Data analysis was performed by univariate, bivariate and multivariate analysis with chi_square. The results of the Chi-Square statistical test analysis obtained p-value = 0.003 < 0.05, which means there is a relationship between workload and nurse performance, while the length of service period obtained p-value = 0.652 < 0.05, which means there is no relationship between length of service and nurse performance, the training variable obtained p-value = 0.004 < 0.05 which means there is a relationship between training and nurse performance, the discipline variable obtained p-value = 0.005 < 0.05 which means it means that there is a relationship between discipline and nurse performance and the motivation variable is obtained p-value = 0.002 < 0.05, which means there is a relationship between motivation and nurse performance. The results of the Multivariate test analysis showed that the variables that influenced the performance of nurses were workload, discipline and motivation, while the most dominant variable was the workload variable with p = 0.002 <0.05.


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