Determinants of Injury Incidents in the Productive Aged Groups in Central Sulawesi

ABSTRACT Background: Based on RISKESDAS data from 2007, 2013, and 2018, the prevalence of injuries in Indonesia had increased from 7.5%, 8.2%, and 9.2% respectively. In 2018, the proportion of injuries ranked 12th place in morbidity in Indonesia with the highest cases in Central Sulawesi Province (13.8%). This study aimed to determine of injury inci­dents in the productive aged groups in Central Sulawesi. Subjects and Method: This was a cross-sectional design conducted in Central Sulawesi from October 2019 to January 2020. A total of 1,323 reproductive-aged household mem­bers was selected by random sampling method. The dependent variable was the incident of injury. The independent variables were age, gender, level of education, employment status, and nutritional status. The data were collected from secondary data of basic health research data in 2018 with household dan individual questionnaires. Bivariate analysis was performed by chi-square method. Results: The bivariate analysis showed that the incidence of injury among the productive aged groups increased with age (OR= 1.50; 95% CI= 1.10 to 2.05; p= 0.021), gender (OR= 1.29; 95% CI= 1.03 to 1.62; p=0.030), level of education (OR= 2.01; 95% CI= 1.14 to 3.56; p= 0.010), employment status (OR= 1.86; 95% CI= 1.19 to 2.90; p= 0.005), and nutritional status (OR= 0.77; 95% CI= 0.55 to 1.07; p= 0.033). Conclusion: The incidence of injury among the productive aged groups increases with age, gender, level of education, employment status, and nutritional status. Keywords: injury, incidents, determinants, productive age Correspondence: Sea Septiana. Universitas Esa Unggul. Jl. Arjuna Utara No. 9, Kebon Jeruk, West Jakarta, 11510. Email: [email protected]. Mobile: +628978233316 DOI: https://doi.org/10.26911/the7thicph.04.30

Injuries in Wheelchair Basketball Players

In the literature, information about injury patterns, risk factors and management strategies is limited for wheelchair athletes. The purpose of this study was to determine the prevalence and nature of injuries in wheelchair sports participants. Demographic data, sport history, type, area, cause and story of the injury and barriers of collecting this sport information were recorded. A total of 15 individuals were included in the study. The biggest barrier to play the sport was the cost of the wheelchair. 26.6% of them had injury in the past one year and 75% of them had injuries because of muscle tears. Injuries while playing wheelchair sports are common, and mostly occurred while driving the wheelchair. Mostly their fingers are squeezed and stuck to the wheelchair. Education for prevention of injuries should be given to all the players. Protective equipment for hands should be considered to protect against injuries. Keywords: Injury, wheelchair, basketball players, wheelchair athletes

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

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.

CEDERA AKIBAT KECELAKAAN LALU LINTAS DI KOTA MANADO

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