scholarly journals Profile of COVID-19 Patients in Dr. Moewardi Hospital Surakarta Indonesia

2021 ◽  
Vol 9 (B) ◽  
pp. 1621-1624
Author(s):  
Cahyono Hadi ◽  
Cipta Pramana

BACKGROUND: The 2019 coronavirus disease has been declared by WHO as a pandemic that has spread throughout the world since March 2020. AIM: This study was conducted to determine the profile of COVID-19 patients at Dr. Moewardi hospital Surakarta. METHODS: This study is a retrospective descriptive study, with the population and study samples taken from medical records of patients with a diagnosis of COVID-19 or SARS-CoV-2. RESULTS: male sex with a total of 42 patients (47.72%) and female sex 46 patients (52.57%). The highest age group was in the age group 40-59 years with 46 patients (52.27%), with the most comorbid history being cardiovascular disease 31 patients (35.22%). The mean cytokine analysis of 88 patients includes examination of IL-1 that is equal to 73.95 and TNF-α with a mean of 67.19. The mean shows an increase above the normal value. CONCLUSION: There is no difference between the sexes of men and women. The highest age range is in the 40-59-year age group. The most common comorbid history is cardiovascular disease. And the average patient showed increased levels of IL-1 and TNF-α.

2017 ◽  
Vol 10 (1) ◽  
pp. 44
Author(s):  
Zuhirman Zuhirman ◽  
Desby Juananda ◽  
Putry Lestari

Benign prostatic hyperplasia (BPH) is a benign tumor that most common, a serious problem and may affect thequality of life. Transurethral resection of the prostate (TURP) is the gold standard for BPH management. The aim ofthis study was to describe the complications of TURP in patients with BPH. This was a descriptive study by reviewingthe medical records of BPH patients underwent TURPs at RSUD Arifin Achmad, Riau Province in 2011-2015. Therewere 280 medical records fulfilled the inclusion criteria in which showed 93 patients who experienced complicationsof TURP. The most age range was 60-69 years old (12,9%), the mean of the resection duration was 30(10-80) minutesand the mean of weight of the resected prostatic tissue was 30 (10-50)grams. The most common complications wasbleeding (42,9%), urinary retention (27,6%).In the research, we conclude the complications were higher than theones in the literatures.


Author(s):  
Deva Pon Pushpam. I.

One of the most important stage in women`s life is menopause. The word menopause simply refers to the last menstrual period which is defined by not having had a period in 12 months. The average age of menopause in western world is 51 years while as in India it is 47.5 years and the normal age range for the occurrence of menopause is somewhat between the age of 45 and 55 years. A descriptive study was conducted to assess the level of knowledge regarding menopause among rural women of age group 45-55 years at Kot Bhalwal, Jammu. The objectives were to assess the level of knowledge regarding menopause among rural women of age group 45-55 years at Kot Bhalwal, Jammu and to associate the level of knowledge regarding menopause with their selected socio demographic variables. Quantitative approach, descriptive research design was used. 100 women of 45–55 years age who fulfil the inclusion and exclusion criteria were selected using purposive sampling technique. A self-structured questionnaire was developed for the study. The tool was tested for content validity and reliability prior to the study. The collected data was tabulated, analysed and interpreted by using descriptive and inferential statistics and findings showed that majority of the sample 97(97%) had below average level of knowledge, 3(3%) had average level of knowledge and 0(0%) had above average level of knowledge and there was no significant association between the selected socio-demographic variables and the level of knowledge.


e-CliniC ◽  
2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Yordhan Tamsil ◽  
Emma Sy. Moeis ◽  
Frans Wantania

Abstract: Anemia is a complication of chronic kidney disease (CKD) that often occurs. Moreover, it can occur earlier than other complications of CKD in almost all patients with late stage kidney disease. This study was aimed to obtain the profile of anemia in subjects with stage 4 and 5 of chronic kidney disease. This was a retrospective and descriptive study using medical records of patients with CKD associated with anemia for two years. The results showed that of 428 CKD patients, 131 suffered from anemia (30.60%). The majority of patients were female (54.19%), age range 60-69 years (44.27%), non-dialysis stage 5 of CKD patients (74.04%), had sufficient iron status (79.38%). However, 15,26% of the 131 patients got blood transfusion therapy. In conclusion, the majority of CKD patients were stage 5 ND, female, age range of 60-69 years, had sufficient iron status, and were not treated with blood transfusion.Keywords: chronic kidney disease, anemia Abstrak: Anemia merupakan komplikasi penyakit ginjal kronik (PGK) yang sering terjadi, bahkan dapat terjadi lebih awal dibandingkan komplikasi PGK lainnya dan hampir pada semua pasien penyakit ginjal tahap akhir. Penelitian ini bertujuan untuk mengetahui gambaran anemia pada subyek penyakit ginjal kronik stadium 4 dan 5 di Poliklinik Ginjal-Hipertensi RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah metode deskriptif retroskpektif dengan mengunakan data rekam medik pasien PGK dengan anemia selama dua tahun. Hasil penelitian memperlihatkan dari 428 pasien PGK didapatkan 131 pasien dengan anemia pada PGK (30,60%). Mayoritas pasien ialah jenis kelamin perempuan (54,19%), usia 60-69 tahun (44,27%), dan PGK derajat 5 non-dialisis (74,04%), memiliki status besi cukup (79,38%). Terdapat 15,26% dari pasien yang mendapatkan terapi transfusi darah. Simpulan penelitian ini ialah pasien terbanyak dengan derajat 5 ND, jenis kelamin perempuan, rentang usia 60-69 tahun, dengan status besi cukup, dan tidak mendapat terapi transfusi darah.Kata kunci: penyakit ginjal kronik, anemia


2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 8029-8029 ◽  
Author(s):  
B. R. Healey Bird ◽  
N. Grant ◽  
K. Dunleavy ◽  
J. Janik ◽  
J. Cohen ◽  
...  

8029 Background: LYG is a rare angiocentric-destructive process with EBV+ B-cells and reactive T-cells. LYG is graded with grades I-II showing rare-moderate large EBV+ B-cells (usually polyclonal or oligoclonal) and grade III showing numerous large EBV+ B-cells (usually monoclonal), likely reflecting progressive transformation. Historically, steroids and/or chemotherapy have a 14 mos median survival. Methods: We are investigating Interferon-a (I-a) for grade I/II and dose-adjusted EPOCH ±Rituximab (R) for grade III LYG. Results: Characteristics of 53 pts are: male sex 68%; median age (range) 46 (17–67) and median ECOG P.S. 1 (0–3). Disease sites include lung 98%, CNS 38%, kidney 15%, skin 17%, liver 19% and nodes 4%. On study LYG grades are I-30%, II-26% and III-44%. Prior treatment was none-28%, chemotherapy± R-34%, and steroids alone-40% of pts. For grades I/II, I-a is begun at 7.5 million IUs TIW and escalated as tolerated until disease regression and continued 1 yr after CR. Of 31 patients treated with I-a, PFS is 62% at the median f/u of 5.3 yrs. Of 25 evaluable pts (3 NE; 3 TE), 60% had sustained CR for a median of 60 mos (4–175). In 9 pts who progressed on I-a, grade III was found in 5. Thus, in 20 pts with only grade I/II, 75% had sustained CR with I-a. In 11 evaluable pts with CNS disease, 81% achieved remission with I-a alone. The median time to remission is 9 mos (3–40) and median I-a dose is 20 MIU (7–40). Among 24 pts receiving DA-EPOCH±R, PFS is 40% at the median f/u of 28 mos. Of 21 evaluable pts (2 NE, 1 TE), 66% achieved CR. OS of all 53 pts is 68% at the median f/u of 4 yrs. Median EBV viral loads in 29 pts at study entry were 18 copies/10e6 genome equivalents (0–22727) (normal<200). Lymphocyte subsets in 30 pts showed a median CD4–428 (24–2322) and CD8–165 cells/mm3 (42–1316). In 12 pts in CR and with serial values, the mean CD8 cells (131 ± 44) (p2= 0.013) but not CD4 cells (65 ± 75) increased with treatment. Conclusions: High dose I-a produces sustained remissions in grade I/II LYG and is effective in CNS LYG. DA-EPOCH±R can produce durable CRs in grade III LYG. We hypothesize LYG emerges in a compromised immune milieu and undergoes progressive transformation if not effectively treated. Historical results suggest steroids may allow transformation by compromising immune function. No significant financial relationships to disclose.


Folia Medica ◽  
2020 ◽  
Vol 62 (3) ◽  
pp. 515-518
Author(s):  
Tahir Dalkiran ◽  
Mehmed Mustafa Özaslan ◽  
Can Acipayam ◽  
Yaşar Kandur ◽  
Velid Unsal

Introduction: A smokeless tobacco known as Maras powder (MP) is commonly consumed in the southern region of Turkey. To the extent of our knowledge, no previous study in literature has reported acute MP intoxication in children. Aim: Our aim was to determine the clinical effects and treatment strategies of MP poisoning in children.Materials and methods: We retrospectively reviewed the medical records of children <18 years of age with MP intoxication who were followed up in the Intensive Care Unit between January 2016 and April 2018 in our center. Results: Forty-one patients (M/F= 25/16) were included in this study. The mean age was 13.2&plusmn;22.4 months (age range: 7 to 30 months). The patients presented with vomiting (n=23, 56%), cough (n=17, 41.5%), loss of consciousness (n=11, 26.8%), respiratory distress (n=6, 14.6%), convulsion (n=7, 17%), cyanosis (n=1, 2.4%), and abdominal pain (n=1, 2.4%) following oral ingestion of the substance. On their physical examination all patients with convulsion were in a comatose state. Thirty-two patients (78%) had tachycardia; 15 patients (36.5%) had pharyngeal hyperemia; and three (7.3%) had hiccups. Although the female patients had a lesser rate of symptoms than male patients, the difference was not statistically significant. Conclusions: Our aim was to inform the doctors about the clinical picture that develops after taking this substance and contribute to the understanding of the treatment approach.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Windy D.P. Masengi ◽  
Elvie Loho ◽  
Vonny Tubagus

Abstract: Radiology examination especially chest x-ray can enforce various kinds of pulmonary diseases inter alia pneumothorax. Pneumothorax is defined as the presence of air in the pleural cavity. The causes of pneumothorax are very diverse ranging from idiopathic, infection, trauma, and iatrogenic. This study was aimed to obtain the profile of chest x-ray in patients with pneumothorax. This was a retrospective descriptive study by using secondary data from the medical records at the Department of Radiology Prof. Dr. R. D. Kandou Hospital Manado from January 2015 to August 2016. Samples were the medical records of patients that were radiologically diagnosed as pneumothorax. There were 41 patients that were diagnosed radiologically as pneumothorax. The majority of cases were male (90.2%), age group >50 years (36.6%), location of lesion in the right hemithorax (53.7%), and secondary spontaneous pneumothorax as the etiology (43,9 %). Conclusion: In this study, pneumothorax was more common among males, age group of ≥50 years, and secondary spontaneous pneumothorax as the etiology of pneumothorax.Keywords: pneumothorax, radiology, chest x-ray Abstrak: Pemeriksaan radiologi khususnya foto toraks dapat menegakkan berbagai macam diagnosis penyakit paru, salah satunya ialah pneumotoraks. Pneumotoraks adalah terdapatnya udara bebas didalam rongga pleura dengan penyebab yang sangat beragam mulai dari idiopatik, infeksi, trauma, maupun iatrogenik. Penelitian ini bertujuan untuk mengetahui profil hasil pemeriksaan foto toraks pada pasien pneumotoraks. Jenis penelitian ialah deskriptif retrospektif dengan pengambilan data di Bagian Radiologi RSUP Prof. Dr. R. D. Kandou Manado pada bulan Januari 2015 sampai dengan Agustus 2016. Sampel yaitu data rekam medik pasien yang didiagnosis pneumotoraks secara radiologis sebanyak 41 pasien. Yang tersering ditemukan ialah pasien laki-laki sebanyak 37 orang (90,2%), kelompok usia >50 tahun sebanyak 15 orang (36,6%), lokasi lesi hemitoraks deksra sebanyak 22 kasus (53,7%), serta etiologi pneumotoraks spontan sekunder sebanyak 18 kasus (43,9%). Simpulan: Pada penelitian ini didapatkan pneumotoraks paling banyak pada laki-laki, kelompok usia ≥50 tahun, dengan pneumotoraks spontan sekunder sebagai etiologi tersering. Kata kunci: pneumotoraks, radiologi, foto toraks


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Herry Y. Tia ◽  
Lucky T. Kumaat ◽  
Diana Ch. Lalenoh

Abstract: The occurence of increased or decreased levels of hemoglobin of post-caesarean patients depends on the intake of nutrients during pregnancy, bleeding, and anemia. In case of massive and life-threatening bleeding during the caesarean section, blood transfusion has to be administered to revive the patient in critical condition. This study was aimed to obtain the patients’ levels of hemoglobin in either pre- and post-operative caesarean section without blood transfusion. This was a retrospective descriptive study using data of medical records at the Installation of Medical Record Department of Prof. Dr. R. D. Kandou Hospital Manado from September 2015 to August 2016. There were 32 patients in this study. The result showed that the mean values of pre-operative Hb was 12.4 g/dL and of post-operative Hb was 11.5 g/dL with a difference of 0.9 g/dL. Decreased levels of hemoglobin occured in 28 patients. It is discerned that the mean value of pre-operative Hb was 12.4 g/dL while of post-operative Hb was 11.3 g/dL with a difference of 1.1 g/dL. Furthermore, increased levels of hemoglobin occured in 4 patients, showing that the mean value of pre-operative Hb was 12.1 g/dLwhereas of post-operative Hb was 12.5 g/dL with a difference of 0.4 g/dL. Based on the characteristics of pregnant women, 23 cases (71.9%), were in the age group of 20-35 years; 18 cases (56.3%) of hemorrhage of 500-1000 ml; and 25 cases (78.1%) of 6-10 days length of hospitalization. Conclusion: In this study, there was increased as well as decreased hemoglobin levels in caesarean patients who were not administered blood transfusion during surgery.Keywords: hemoglobin, caesarean section, blood transfusion Abstrak: Terjadinya peningkatan maupun penurunan kadar hemoglobin pada operasi seksio sesarea tergantung pada asupan zat-zat nutrisi saat kehamilan, perdarahan, dan anemia. Jika terjadi perdarahan hebat selama operasi seksio sesarea berlangsung yang mengakibatkan penurunan kadar hemoglobin mendekati batasan untuk dilakukan transfusi darah, maka transfusi darah diberikan untuk menolong pasien pada kondisi kritis. Penelitian ini bertujuan untuk mengetahui gambaran kadar hemoglobin pasien pra dan pasca operasi seksio sesarea yang tidak mendapat transfusi darah. Jenis penelitian ialah deskriptif retrospektif menggunakan data rekam medik pasien seksio sesarea di Instalasi Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado periode September 2015 sampai Agustus 2016. Hasil penelitian memperlihatkan 32 pasien yang memenuhi kriteria inklusi. Nilai mean kadar Hb pra 12,4 g/dL dan kadar Hb pasca 11,5 g/dL dengan selisih 0,9 g/dL. Penurunan kadar hemoglobin terdapat pada 28 pasien dengan nilai mean kadar Hb pra 12,4 g/dL dan kadar Hb pasca 11,3 g/dL (selisih 1,1 g/dL). Peningkatan kadar hemoglobin terdapat pada 4 pasien dengan nilai mean kadar Hb pra 12,1 g/dL dan kadar Hb pasca 12,5 g/dL (selisih 0,4 g/dL). Karakteristik ibu hamil didapatkan terbanyak kelompok usia 20-35 tahun berjumlah 23 kasus (71,9%), perdarahan 500-1000 cc berjumlah 18 kasus (56,3%), dan lama rawat inap 6-10 hari berjumlah 25 kasus (78,1%). Simpulan: Pada pasien operasi seksio sesarea yang tidak mendapat transfusi darah dapat terjadi penurunan maupun peningkatan kadar hemoglobin. Kata kunci: hemoglobin, seksio sesarea, transfusi darah


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Feby Bantoyot

Abstract: Malaria is a disease caused by protozoan parasites of the genus Plasmodium.  Malaria remains a public health problem in the world. In Indonesia in the last five years Paracite Annual Incidence (API) has been successfully reduced from 1.96 per 1000 population (2008) to 1.69 per 1000 population (2012). In 2010 the incidence of malaria by age group, based on the characteristics of the respondents was highest in the age of 1-4 years (23.9%), according to the characteristics of sex, obtained in men is higher than women. In Central Sulawesi, incidence of malaria in 2011 was 3.08%. In 2008, the highest incidence of malaria in Central Sulawesi contained in Buol district, Donggala and Banggai. This study aims to determine the profile of malaria in children in BRSD Banggai Central Sulawesi period January 2011 - December 2013. This study is a retrospective descriptive study, by accessed the medical records of study subjects. The result of experiment include 75 sample with distribution male a little more than female, age group 1-4 years,  low Hb value, and moderate malnutrition is the most include in this experiment.The type of Plasmodium is dominated by Plasmodium vivax.Keywords: malaria, Plasmodium, malnutrition, BRSD Luwuk  Abstrak: Penyakit malaria merupakan penyakit yang disebabkan oleh parasit Protozoa dari genus Plasmodium. Malaria masih menjadi masalah kesehatan masyarakat di dunia. Di Indonesia dalam lima tahun terakhir Annual Paracite Incidence (API) telah berhasil diturunkan dari 1,96 per 1000 penduduk (2008) menjadi 1,69 per 1000 penduduk (2012) Pada tahun 2010 insiden malaria menurut golongan umur, berdasarkan karakteristik respondenpaling tinggi pada umur 1-4 tahun (23,9%), untuk karakteristik menurut jenis kelamin, didapatkan pada laki-laki lebih tinggi dibandingkan perempuan. Di Provinsi Sulawesi Tengah insiden malaria tahun 2011 sebesar 3,08 %. Pada tahun 2008, insiden malaria tertinggi di Provinsi Sulawesi Tengah terdapat di Kabupaten Buol, Donggala dan Banggai. Penelitian ini bertujuan untuk mengetahui profil malaria pada anak di BRSD Kabupaten Banggai Provinsi Sulawesi Tengah periode Januari 2011 – Desember 2013. Penelitian ini merupakan penelitian yang bersifat deskriptif retrospektif, yaitu dengan mengakses data rekam medis subyek penelitian. Hasil penelitian, didapatkan sampel 75 anak dengan distribusi jeniskelaminlaki-laki sedikit lebih banyak dibandingkan jenis kelamin perempuan, golonganumur 1-4 tahun nilai Hb rendah dan status gizi mal nutrisi sedang paling banyak ditemukan. Jenis Plasmodium yang mendominasi adalah Plasmodium vivax.Kata Kunci :malaria, Plasmodium,malnutrisi,  BRSD Luwuk


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Aiwi Japanesa ◽  
Asril Zahari ◽  
Selfi Renita Rusjdi

AbstrakPeritonitis menjadi salah satu penyebab tersering akut abdomen yang merupakan suatu kegawatan abdomen. Peritonitis biasanya disertai dengan bakterisemia atau sepsis yang dapat menimbulkan kematian. Tujuan penelitian ini adalah untuk mengetahui hal-hal yang berkaitan dengan peritonitis agar dapat mencegah dan melakukan penanganan secepatnya terhadap kasus ini. Penelitian deskriptif retrospektif ini telah dilakukan dari September 2014 sampai Oktober 2014 dengan teknik total sampling. Data yang diambil merupakan kasus pasien peritonitis yang dirawat inap di Bagian Bedah RSUP Dr. M. Djamil Padang, kemudian dilakukan seleksi berdasarkan kriteria inklusi dan eksklusi sehingga didapatkan 98 data rekam medik periode 01 Januari 2013 sampai 31 Desember 2013.  Prevalensi peritonitis pada laki-laki (68,4%) lebih tinggi dibandingkan perempuan (31,6%). Kelompok usia terbanyak adalah 10-19 tahun (24,5%). Peritonitis sekunder umum akibat perforasi apendiks merupakan jenis peritonitis yang terbanyak (53,1%). Sebagian besar pasien peritonitis mendapatkan tatalaksana bedah berupa laparatomi eksplorasi dan apendektomi (64,3%). Lama rawatan terbanyak pada 4-7 hari (45,9%). Frekuensi pasien peritonitis menurut kondisi keluar sebagian besar dalam keadaan hidup (85,7%). Kesimpulan yang dapat diambil dari penelitian ini adalah bahwa peritonitis dapat dipengaruhi oleh faktor usia, jenis kelamin, penyebab peritonitis, tatalaksana, lama rawatan dan kondisi saat keluar dari rumah sakit.Kata kunci: peritonitis, bedah, pola AbstractPeritonitis is one of the most common cause of acute abdomen, which is an abdominal emergency. Peritonitis is usually accompanied by bacteremia or sepsis that can cause mortality. The objective of this study was to know something that associated with peritonitis in order to prevent and to respond immediately to this case. This retrospective descriptive study was conducted from September 2014 to October 2014 using a total sampling technique. Data was taken from cases of hospitalized patients with peritonitis in Surgery Ward of RSUP Dr. M. Djamil Padang, selected by on inclusion and exclusion criteria. There were 98 medical records by the period from 1st of January 2013 to 31th of December 2013. Peritonitis prevalence in men (68,4%) was higher than women (31,6%). Most common age group is 10-19 years old (24,5%). Secondary peritonitis due to perforation of the appendix is the most common type of peritonitis (53,1%). Most patients with peritonitis get a surgical procedure of exploratory laparotomy and appendectomy (64,3%). Most hospitalization length was 4-7 days (45,9%). The frequency of peritonitis patients based on conditions when discharged from hospital is mostly alive (85,7%).Conclusion from this study is that peritonitis may be influenced by age, sex, cause of peritonitis, the surgical procedure, hospitalization, and condition when discharged from hospital.Keywords: peritonitis, surgical, pattern


2021 ◽  
Vol 1 (3) ◽  
pp. 152-158
Author(s):  
Yessi Sundari

DBD is a disease caused by the dengue virus which is transmitted through mosquito bites and reduces the platelet count in the sufferer. This study aims to determine the medical records of dengue hemorrhagic fever at Lubuk Pakam General Hospital. This type of research is descriptive. Data collection methods were medical records for all DHF patients from 2005 to 2009 at Lubuk Pakam General Hospital. Then the medical record data are grouped by age, sex and occupation. Based on the results of the study, it was found that the number of DHF sufferers from 2005 to 2009 increased in the 21-56 year age group with all male sex and work as entrepreneurs. This is due to a narrower environment, increasing population, and inadequate living quarters with no good air ventilation, so that the spread of dengue is increasing.


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