Pub Date : 2023-10-30DOI: 10.24815/jks.v23i2.33041
Mulia Sari, Maria Rini Indriati, Debree Septiawan
Introduction: Diabetes mellitus (DM) is one of the most common chronic metabolic diseases. Diabetic patients suffer from anxiety almost twice as much as the general population. Progressive Muscle Relaxation (PMR) is a systematic technique that can be used to achieve a state of deep relaxation.Objective: To determine the effect of PMR therapy on the anxiety levels of type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital.Methods: A quasi-experimental group design study was conducted at the Internal Medicine Outpatient Clinic at Universitas Sebelas Maret Hospital in April 2022–May 2022. This study used a purposive sampling technique with a total sample of 19 subjects in the intervention group and 19 subjects in the control group. The instrument used to assess anxiety is the Hamilton Anxiety Rating Scale (HARS). The intervention uses PMR videos, which were carried out at least twice per week for a month.Results: The parametric test showed a significant effect of PMR therapy on the anxiety levels of type 2 diabetes mellitus patients (Z = -3.675; p value (Asymp. sig. 2-tailed) = 0.001).Conclusion: There was an effect of PMR on anxiety, and the intervention group experienced more reduction in anxiety levels than the control group in type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital.
{"title":"The effect of progressive muscle relaxation (PMR) therapy on the anxiety levels of type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital","authors":"Mulia Sari, Maria Rini Indriati, Debree Septiawan","doi":"10.24815/jks.v23i2.33041","DOIUrl":"https://doi.org/10.24815/jks.v23i2.33041","url":null,"abstract":"Introduction: Diabetes mellitus (DM) is one of the most common chronic metabolic diseases. Diabetic patients suffer from anxiety almost twice as much as the general population. Progressive Muscle Relaxation (PMR) is a systematic technique that can be used to achieve a state of deep relaxation.Objective: To determine the effect of PMR therapy on the anxiety levels of type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital.Methods: A quasi-experimental group design study was conducted at the Internal Medicine Outpatient Clinic at Universitas Sebelas Maret Hospital in April 2022–May 2022. This study used a purposive sampling technique with a total sample of 19 subjects in the intervention group and 19 subjects in the control group. The instrument used to assess anxiety is the Hamilton Anxiety Rating Scale (HARS). The intervention uses PMR videos, which were carried out at least twice per week for a month.Results: The parametric test showed a significant effect of PMR therapy on the anxiety levels of type 2 diabetes mellitus patients (Z = -3.675; p value (Asymp. sig. 2-tailed) = 0.001).Conclusion: There was an effect of PMR on anxiety, and the intervention group experienced more reduction in anxiety levels than the control group in type 2 diabetes mellitus patients at Universitas Sebelas Maret Hospital.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"51 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: According to the Covid-19 distribution map, it is evident that in Indonesia, the proportion of individuals aged 60 and above who tested positive for Covid-19 was 11.7%. Among this group, 13.7% received treatment or were isolated, while 10.3% successfully recovered from the illness. Unfortunately, the mortality rate among the elderly population stood at a significant 46.5%.Objectives: The objective of this study is to examine the extent of worry among the elderly population in the Baiturrahman district of Banda Aceh City in relation to the Covid-19 epidemic.Methods Materials: The research methodology employed in this study is analytical descriptive, utilizing a cross-sectional research design. The entire sample size consisted of 681 seniors, with a subset of 97 seniors selected using purposive selection technique. The application of logistic regression analysis for data analysis.Results: The study's findings indicated a significant association between various factors and old age anxiety during the Covid-19 pandemic in the Baiturrahman district of Banda Aceh in 2021. These factors include old age (P-value = 0.005), gender (P-value = 0.001), work (P-value = 0.0001), comorbidities (P-value = 0.001), home residence (P-value = 0.001), exposure of Covid-19 (P-value = 0.002), and quality of life (P-value = 0.010).Conclusion: The present study's findings indicate a significant association and potential danger between work-related factors, residential conditions, and anxiety levels among older individuals during the Covid-19 pandemic in the Baiturrahman area of Banda Aceh City in 2021. Bivariate analysis found that there is a relationship between elderly age, gender, work, comorbidities, living in the same house, Covid-19 history, and elderly quality of life to elderly anxiety in the Covid-19 pandemic situation in Baiturrahman District, Banda Aceh city in 2021. While the data from this study obtained no relationship between elderly education and vaccination against elderly anxiety in the Covid-19 pandemic situation in Baiturrahman District of Banda Aceh city in 2021.
{"title":"Analysis of elderly anxiety levels in Baiturrahman area of Banda Aceh city during COVID-19 pandemic","authors":"Yuhardiati Yuhardiati, Fahmi Ichwansyah, Amin Haris, Asnawi Abdullah, Marthoenis Marthoenis","doi":"10.24815/jks.v23i2.33478","DOIUrl":"https://doi.org/10.24815/jks.v23i2.33478","url":null,"abstract":"Introduction: According to the Covid-19 distribution map, it is evident that in Indonesia, the proportion of individuals aged 60 and above who tested positive for Covid-19 was 11.7%. Among this group, 13.7% received treatment or were isolated, while 10.3% successfully recovered from the illness. Unfortunately, the mortality rate among the elderly population stood at a significant 46.5%.Objectives: The objective of this study is to examine the extent of worry among the elderly population in the Baiturrahman district of Banda Aceh City in relation to the Covid-19 epidemic.Methods Materials: The research methodology employed in this study is analytical descriptive, utilizing a cross-sectional research design. The entire sample size consisted of 681 seniors, with a subset of 97 seniors selected using purposive selection technique. The application of logistic regression analysis for data analysis.Results: The study's findings indicated a significant association between various factors and old age anxiety during the Covid-19 pandemic in the Baiturrahman district of Banda Aceh in 2021. These factors include old age (P-value = 0.005), gender (P-value = 0.001), work (P-value = 0.0001), comorbidities (P-value = 0.001), home residence (P-value = 0.001), exposure of Covid-19 (P-value = 0.002), and quality of life (P-value = 0.010).Conclusion: The present study's findings indicate a significant association and potential danger between work-related factors, residential conditions, and anxiety levels among older individuals during the Covid-19 pandemic in the Baiturrahman area of Banda Aceh City in 2021. Bivariate analysis found that there is a relationship between elderly age, gender, work, comorbidities, living in the same house, Covid-19 history, and elderly quality of life to elderly anxiety in the Covid-19 pandemic situation in Baiturrahman District, Banda Aceh city in 2021. While the data from this study obtained no relationship between elderly education and vaccination against elderly anxiety in the Covid-19 pandemic situation in Baiturrahman District of Banda Aceh city in 2021.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"63 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-30DOI: 10.24815/jks.v23i2.31688
Saugi Abduh, Rheza Rizaldy
The risk factors for coronary artery disease (CAD) include age, hypertension, diabetes mellitus (DM), total cholesterol levels, smoking status, and obesity, with central obesity being of particular concern. However, there is a lack of research on the connection between CAD risk factors and the severity of stenosis in the Indonesian population, specifically in Central Java, as assessed by the Gensini score. The purpose of this study was to analyze hypertension, diabetes mellitus, total cholesterol levels, smoking status, body mass index (BMI), and waist circumference (LP) as predictors of the severity of CAD stenosis assessed using the Gensini score. A cross-sectional study was conducted on CAD patients at RSI Sultan Agung for the period of 2018-2021. The risk factors for CAD studied were age, gender, blood glucose (GDS), blood pressure, total cholesterol, smoking status, BMI, and LP. The degree of stenosis was grouped using gensini score into severe stenosis if the vessel narrowing was 40% and mild-moderate if ≤40%. The data were analyzed using logistic regression test. Gender, smoking status, BMI, and LP had a significant relationship to the severity of stenosis as assessed using the Gensini score. The results of multivariate analysis showed that gender, smoking status, BMI, and LP could increase the risk of CAD with the severity of severe stenosis as much as 2,774; 1,959; 2,269; and 1,883 times respectively. Gender, smoking status, BMI, and LP can be used as predictors of the severity of coronary artery disease stenosis as assessed using the Gensini score.
冠状动脉疾病(CAD)的危险因素包括年龄、高血压、糖尿病(DM)、总胆固醇水平、吸烟状况和肥胖，其中中心性肥胖尤其值得关注。然而，在印度尼西亚人口中，特别是在中爪哇，CAD危险因素与狭窄严重程度之间的联系缺乏研究，如Gensini评分评估。本研究的目的是分析高血压、糖尿病、总胆固醇水平、吸烟状况、体重指数(BMI)和腰围(LP)作为使用Gensini评分评估的CAD狭窄严重程度的预测因子。在2018-2021年期间，对RSI Sultan Agung的CAD患者进行了横断面研究。冠心病的危险因素包括年龄、性别、血糖(GDS)、血压、总胆固醇、吸烟状况、BMI和LP。狭窄程度按gensini评分分为严重狭窄(40%)和轻度-中度(≤40%)。采用logistic回归检验对数据进行分析。使用Gensini评分评估，性别、吸烟状况、BMI和LP与狭窄的严重程度有显著关系。多因素分析结果显示，性别、吸烟状况、BMI和LP可增加冠心病的风险，严重狭窄的严重程度可达2774;1959;2269;分别是1883次。性别、吸烟状况、BMI和LP可作为冠状动脉疾病狭窄严重程度的预测因子，使用Gensini评分进行评估。
{"title":"Analysis of cardiovascular risk factors as predictors for coronary artery disease stenosis severity","authors":"Saugi Abduh, Rheza Rizaldy","doi":"10.24815/jks.v23i2.31688","DOIUrl":"https://doi.org/10.24815/jks.v23i2.31688","url":null,"abstract":"The risk factors for coronary artery disease (CAD) include age, hypertension, diabetes mellitus (DM), total cholesterol levels, smoking status, and obesity, with central obesity being of particular concern. However, there is a lack of research on the connection between CAD risk factors and the severity of stenosis in the Indonesian population, specifically in Central Java, as assessed by the Gensini score. The purpose of this study was to analyze hypertension, diabetes mellitus, total cholesterol levels, smoking status, body mass index (BMI), and waist circumference (LP) as predictors of the severity of CAD stenosis assessed using the Gensini score. A cross-sectional study was conducted on CAD patients at RSI Sultan Agung for the period of 2018-2021. The risk factors for CAD studied were age, gender, blood glucose (GDS), blood pressure, total cholesterol, smoking status, BMI, and LP. The degree of stenosis was grouped using gensini score into severe stenosis if the vessel narrowing was 40% and mild-moderate if ≤40%. The data were analyzed using logistic regression test. Gender, smoking status, BMI, and LP had a significant relationship to the severity of stenosis as assessed using the Gensini score. The results of multivariate analysis showed that gender, smoking status, BMI, and LP could increase the risk of CAD with the severity of severe stenosis as much as 2,774; 1,959; 2,269; and 1,883 times respectively. Gender, smoking status, BMI, and LP can be used as predictors of the severity of coronary artery disease stenosis as assessed using the Gensini score.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"51 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-30DOI: 10.24815/jks.v23i2.31818
Pati Aji Achdiat
Introduction: Secondary syphilis is characterized by skin and mucous eruptions, such as condyloma lata. Syphilis cases are rare in children. Several factors could influence sexually transmitted infections (STIs) in children, such as lack of knowledge of STIs, parenting, social environment, parents’ marital status, occupation, and education. We reported one social case of secondary syphilis in a 13-year-old girl. Case Presentation: We did history taking, physical, and laboratory examinations. From history taking, the patient did not know about the signs and symptoms of STIs, has bad parenting, a bad social environment, divorced parents, and parents’ low education. On physical examination, there were skin-colored papules, plaques, and nodules on the labia majora, minora, and perianal. The venereal disease research laboratory (VDRL) result was reactive. The patient was treated with single dose injection of 2.4 million international units benzathine penicillin G and was educated for signs, symptoms, and complications of STIs, and the danger of risky sexual behavior. There were improvement of the lesions 10 days after therapy, decreased of VDRL titer 4x in one month after therapy, and no longer have sexual activity. Conclusion: Social condition can cause STIs in children. The bigger scope of education programs for children is needed to prevent STIs.
{"title":"Secondary syphilis in a 13-year-old Indonesian girl: a social problem","authors":"Pati Aji Achdiat","doi":"10.24815/jks.v23i2.31818","DOIUrl":"https://doi.org/10.24815/jks.v23i2.31818","url":null,"abstract":"Introduction: Secondary syphilis is characterized by skin and mucous eruptions, such as condyloma lata. Syphilis cases are rare in children. Several factors could influence sexually transmitted infections (STIs) in children, such as lack of knowledge of STIs, parenting, social environment, parents’ marital status, occupation, and education. We reported one social case of secondary syphilis in a 13-year-old girl. Case Presentation: We did history taking, physical, and laboratory examinations. From history taking, the patient did not know about the signs and symptoms of STIs, has bad parenting, a bad social environment, divorced parents, and parents’ low education. On physical examination, there were skin-colored papules, plaques, and nodules on the labia majora, minora, and perianal. The venereal disease research laboratory (VDRL) result was reactive. The patient was treated with single dose injection of 2.4 million international units benzathine penicillin G and was educated for signs, symptoms, and complications of STIs, and the danger of risky sexual behavior. There were improvement of the lesions 10 days after therapy, decreased of VDRL titer 4x in one month after therapy, and no longer have sexual activity. Conclusion: Social condition can cause STIs in children. The bigger scope of education programs for children is needed to prevent STIs.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136134440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-30DOI: 10.24815/jks.v23i2.32232
Muhammad Isra Rafidin Rayyan, Ichlasul Mahdi Fardhani, Hammam Arif Shabri
Current standard ST-segment elevation myocardial infarction (STEMI) treatments, such as percutaneous coronary intervention (PCI) and thrombolytic agent administration, still have some limitations. Sonothrombolysis is a new therapeutic modality that utilizes ultrasound energy to break up thrombus and is currently considered a promising alternative therapeutic strategy to treat STEMI. This systematic review aims to further review the clinical application of sonothrombolysis as an adjuvant therapy modality in STEMI based on the evidence available in the last ten years. We systematically searched studies on PubMed, Cochrane Library, and ScienceDirect databases. After removing duplicates and screening studies based on inclusion and exclusion criteria, data extraction and critical appraisal were performed by three independent reviewers. Study search and selection resulted in five studies with 614 patients and an additional 273 patients as a reference group. Results showed that patients treated with an intermittent, short pulse, and high mechanical index sonothrombolysis with microbubble infusion had significantly better ST-segment resolution and vessel recanalization rates than the other treatment groups. In addition, there was no significant difference in the safety level among all intervention groups. In conclusion, sonotrombolysis is a promising novel therapy that is an adjunct to PCI, which is effective and safe for treating STEMI.
{"title":"Sonothrombolysis for novel adjuvant therapy in ST-elevation myocardial infarction: a systematic review","authors":"Muhammad Isra Rafidin Rayyan, Ichlasul Mahdi Fardhani, Hammam Arif Shabri","doi":"10.24815/jks.v23i2.32232","DOIUrl":"https://doi.org/10.24815/jks.v23i2.32232","url":null,"abstract":"Current standard ST-segment elevation myocardial infarction (STEMI) treatments, such as percutaneous coronary intervention (PCI) and thrombolytic agent administration, still have some limitations. Sonothrombolysis is a new therapeutic modality that utilizes ultrasound energy to break up thrombus and is currently considered a promising alternative therapeutic strategy to treat STEMI. This systematic review aims to further review the clinical application of sonothrombolysis as an adjuvant therapy modality in STEMI based on the evidence available in the last ten years. We systematically searched studies on PubMed, Cochrane Library, and ScienceDirect databases. After removing duplicates and screening studies based on inclusion and exclusion criteria, data extraction and critical appraisal were performed by three independent reviewers. Study search and selection resulted in five studies with 614 patients and an additional 273 patients as a reference group. Results showed that patients treated with an intermittent, short pulse, and high mechanical index sonothrombolysis with microbubble infusion had significantly better ST-segment resolution and vessel recanalization rates than the other treatment groups. In addition, there was no significant difference in the safety level among all intervention groups. In conclusion, sonotrombolysis is a promising novel therapy that is an adjunct to PCI, which is effective and safe for treating STEMI.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136243284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.24815/jks.v22i1.24785
Ibnu Purwanto
Hingga saat ini tatalaksana KPTN masih belum menghasilkan peningkatan kesintasan yang memuaskan. Jika dibandingkan subtipe KPD lainnya, KPTN bersifat lebih imunogenik dengan ekspresi PD-1/PD-L1 yang lebih tinggi sehingga menjadi kandidat yang baik dalam penggunaan anti-PD-1/PD-L1. Berbagai penelitian telah menunjukan bahwa anti-PD-1/PD-L1 dapat digunakan secara efektif dalam terapi KPTN sebagai kombinasi dengan kemoterapi sistemik, baik dalam seting adjuvan maupun neoadjuvan. Tidak semua anti-PD-1/PD-L1 menunjukan manfaat yang sama dan sejauh ini pembrolizumab merupakan agen anti-PD-1/PD-L1 yang menunjukan respon paling baik pada KPTN. Telaah literatur ini bertujuan untuk merangkum bukti klinis yang ada serta membuat rekomendasi terkait penerapan agen PD-1/PD-L1 dalam manajemen pasien KPTN di Indonesia.
{"title":"Penerapan Modalitas Anti-PD-1/PD-L1 pada Pasien KPTN di Indonesia","authors":"Ibnu Purwanto","doi":"10.24815/jks.v22i1.24785","DOIUrl":"https://doi.org/10.24815/jks.v22i1.24785","url":null,"abstract":"Hingga saat ini tatalaksana KPTN masih belum menghasilkan peningkatan kesintasan yang memuaskan. Jika dibandingkan subtipe KPD lainnya, KPTN bersifat lebih imunogenik dengan ekspresi PD-1/PD-L1 yang lebih tinggi sehingga menjadi kandidat yang baik dalam penggunaan anti-PD-1/PD-L1. Berbagai penelitian telah menunjukan bahwa anti-PD-1/PD-L1 dapat digunakan secara efektif dalam terapi KPTN sebagai kombinasi dengan kemoterapi sistemik, baik dalam seting adjuvan maupun neoadjuvan. Tidak semua anti-PD-1/PD-L1 menunjukan manfaat yang sama dan sejauh ini pembrolizumab merupakan agen anti-PD-1/PD-L1 yang menunjukan respon paling baik pada KPTN. Telaah literatur ini bertujuan untuk merangkum bukti klinis yang ada serta membuat rekomendasi terkait penerapan agen PD-1/PD-L1 dalam manajemen pasien KPTN di Indonesia.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82440208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.24815/jks.v22i1.23563
Vernando Parlindungan Simanjuntak
Dalam tahun 2016 hingga 2018, Badan Pusat Statistik mencatat perubahan signifikan pada orang yang mengalami luka ringan dan luka berat hingga mengakibatkan kematian. Data luka ringan pada tahun 2016 tercatat 120.532 orang, sedangkan pada tahun 2018 tercatat 130.571 orang. Data luka berat pada tahun 2016 tercatat 20.075 orang, sedangkan pada tahun 2018 tercatat 13.315 orang. Mekanisme benturan (crushing) mungkin memiliki efek pada penyembuhan luka dan jaringan parut dan peningkatan risiko infeksi pada jaringan yang rusak. Luka sayat (incised wound) dihasilkan oleh tepi yang tajam dan biasanya lebih panjang dari yang dalam. Kematian pada kasus luka tajam ketika organ vital terluka, dan jika ditemukan ada satu luka tusukan pada ekstremitas juga bisa terbukti fatal jika merusak pembuluh darah besar.
2016年至2018年，中央统计局(central center for statistics)记录了轻微和严重受伤至死亡人数的显著变化。2016年的轻伤数据显示有120,532人，而2018年有130,571人。2016年的数据显示有20075人受伤，2018年有13315人受伤。碰撞机制可能对伤口愈合和疤痕组织产生影响，增加受损组织感染的风险。切口由锋利的边缘产生，通常比深层长。在重要器官受伤时，死亡是尖锐的伤口，如果发现四肢有一处刺伤，如果严重血管破裂，也可能被证明是致命的。
{"title":"Perlukaan Tajam Pada Pelaku Perjudian","authors":"Vernando Parlindungan Simanjuntak","doi":"10.24815/jks.v22i1.23563","DOIUrl":"https://doi.org/10.24815/jks.v22i1.23563","url":null,"abstract":"Dalam tahun 2016 hingga 2018, Badan Pusat Statistik mencatat perubahan signifikan pada orang yang mengalami luka ringan dan luka berat hingga mengakibatkan kematian. Data luka ringan pada tahun 2016 tercatat 120.532 orang, sedangkan pada tahun 2018 tercatat 130.571 orang. Data luka berat pada tahun 2016 tercatat 20.075 orang, sedangkan pada tahun 2018 tercatat 13.315 orang. Mekanisme benturan (crushing) mungkin memiliki efek pada penyembuhan luka dan jaringan parut dan peningkatan risiko infeksi pada jaringan yang rusak. Luka sayat (incised wound) dihasilkan oleh tepi yang tajam dan biasanya lebih panjang dari yang dalam. Kematian pada kasus luka tajam ketika organ vital terluka, dan jika ditemukan ada satu luka tusukan pada ekstremitas juga bisa terbukti fatal jika merusak pembuluh darah besar.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88793642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.24815/jks.v22i1.23673
Andra Dea Riskia
Rinosinusitis adalah suatu kondisi peradangan pada hidung dan sinus paranasal. Rinosinusitis disebabkan oleh berbagai faktor termasuk faktor lingkungan, anatomi dan penyakit sistemik. Penelitian ini bertujuan untuk mengetahui karakteristik penderita rinosinusitis di Bagian/KSM THT-KL RSUDZA Banda Aceh tahun 2019-2020. Penelitian ini menggunakan rancangan penelitian deskriptif retrospektif dengan pengambilan data sekunder berupa rekam medis pasien. Teknik pengambilan sampel pada penelitian ini menggunakan metode total sampling dengan jumlah sampel sebanyak 335 orang. Hasil penelitian menunjukkan bahwa distribusi pasien rinosinusitis tertinggi pada kelompok usia 36-45 tahun (22,69%), jenis kelamin perempuan (56,12%) dan berasal dari Kota Banda Aceh (33,13%). Berdasarkan lama penyakit, penderita rinosinusitis kronis adalah yang paling banyak ditemukan (60,30%). Pasien paling banyak mendapatkan pelayanan rawat jalan (78,81%) dan terapi medikamentosa (78,81%).
{"title":"Karakteristik penderita rinosinusitis di Bagian/Kelompok Staf Medis THT-KL Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda","authors":"Andra Dea Riskia","doi":"10.24815/jks.v22i1.23673","DOIUrl":"https://doi.org/10.24815/jks.v22i1.23673","url":null,"abstract":"Rinosinusitis adalah suatu kondisi peradangan pada hidung dan sinus paranasal. Rinosinusitis disebabkan oleh berbagai faktor termasuk faktor lingkungan, anatomi dan penyakit sistemik. Penelitian ini bertujuan untuk mengetahui karakteristik penderita rinosinusitis di Bagian/KSM THT-KL RSUDZA Banda Aceh tahun 2019-2020. Penelitian ini menggunakan rancangan penelitian deskriptif retrospektif dengan pengambilan data sekunder berupa rekam medis pasien. Teknik pengambilan sampel pada penelitian ini menggunakan metode total sampling dengan jumlah sampel sebanyak 335 orang. Hasil penelitian menunjukkan bahwa distribusi pasien rinosinusitis tertinggi pada kelompok usia 36-45 tahun (22,69%), jenis kelamin perempuan (56,12%) dan berasal dari Kota Banda Aceh (33,13%). Berdasarkan lama penyakit, penderita rinosinusitis kronis adalah yang paling banyak ditemukan (60,30%). Pasien paling banyak mendapatkan pelayanan rawat jalan (78,81%) dan terapi medikamentosa (78,81%).","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74644179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.24815/jks.v22i1.24868
Rahmatul - Husna
Kondisi lingkungan rumah memiliki pengaruh besar terhadap perkembangan alergi pernapasan pada anak. Agen pencetus alergi dapat ditemukan di berbagai sudut ruangan di dalam rumah. Tujuan penelitian ini adalah untuk mengetahui gambaran lingkungan rumah anak dengan alergi pernapasan dan bagaimana orang tua meminimalkan faktor pencetus alergi di lingkungan rumah. Penelitian ini merupakan penelitian deskriptif yang dilakukan di wilayah kerja UPT Puskesmas Batipuh I Kabupaten Tanah Datar, Sumatera Barat pada bulan Oktober 2020 hingga Maret 2021. Sampel diambil menggunakan metode purposive sampling dan pengambilan data dilakukan melalui wawancara menggunakan kuesioner kondisi lingkungan rumah dan perilaku orang tua dalam pencegahan alergi pernapasan pada anak. Jumlah responden pada penelitian ini adalah 45 responden. Hasil penelitian ini didapatkan kondisi lingkungan rumah anak dengan alergi pernapasan berada pada kategori baik (44,4%), cukup (46,7%), dan kurang (8,9%). Perilaku orang tua dalam pencegahan alergi pernapasan pada anak berada pada kategori baik (80%) dan cukup (20%). Berdasarkan hasil penelitian tersebut, masih banyak ditemukan kondisi lingkungan rumah yang kurang mendukung dan pengendalian lingkungan rumah yang kurang maksimal, sehingga orang tua diharapkan lebih mampu menciptakan lingkungan rumah yang bersih dan sehat bagi anak.
{"title":"Gambaran Lingkungan Rumah dan Perilaku Orang Tua dalam Pencegahan Alergi Pernapasan pada Anak di Wilayah Kerja UPT Puskesmas Batipuh I Kabupaten Tanah Datar Provinsi Sumatera Barat","authors":"Rahmatul - Husna","doi":"10.24815/jks.v22i1.24868","DOIUrl":"https://doi.org/10.24815/jks.v22i1.24868","url":null,"abstract":"Kondisi lingkungan rumah memiliki pengaruh besar terhadap perkembangan alergi pernapasan pada anak. Agen pencetus alergi dapat ditemukan di berbagai sudut ruangan di dalam rumah. Tujuan penelitian ini adalah untuk mengetahui gambaran lingkungan rumah anak dengan alergi pernapasan dan bagaimana orang tua meminimalkan faktor pencetus alergi di lingkungan rumah. Penelitian ini merupakan penelitian deskriptif yang dilakukan di wilayah kerja UPT Puskesmas Batipuh I Kabupaten Tanah Datar, Sumatera Barat pada bulan Oktober 2020 hingga Maret 2021. Sampel diambil menggunakan metode purposive sampling dan pengambilan data dilakukan melalui wawancara menggunakan kuesioner kondisi lingkungan rumah dan perilaku orang tua dalam pencegahan alergi pernapasan pada anak. Jumlah responden pada penelitian ini adalah 45 responden. Hasil penelitian ini didapatkan kondisi lingkungan rumah anak dengan alergi pernapasan berada pada kategori baik (44,4%), cukup (46,7%), dan kurang (8,9%). Perilaku orang tua dalam pencegahan alergi pernapasan pada anak berada pada kategori baik (80%) dan cukup (20%). Berdasarkan hasil penelitian tersebut, masih banyak ditemukan kondisi lingkungan rumah yang kurang mendukung dan pengendalian lingkungan rumah yang kurang maksimal, sehingga orang tua diharapkan lebih mampu menciptakan lingkungan rumah yang bersih dan sehat bagi anak.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85368832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-24DOI: 10.24815/jks.v22i1.23336
Yulia Trisna, Fanny Adhy Putri, Reno Bestari
Krisis miastenik adalah perburukan gejala yang terjadi pada pasien miastenia gravis, ditandai dengan kondisi gagal nafas. Sebanyak 15-20 % pasien miastenia gravis mengalami krisis miastenik dalam kehidupannya. Mortalitas akibat krisis miastenik pada saat ini mulai menurun, salah satunya adalah karena peran terapi plasma exchange (PE). Terapi PE dapat menghilangkan substansi seperti antibodi yang bersifat patologis, kompleks imun, dan sitokin, dari plasma, kemudian diganti dengan cairan pengganti. Pada laporan ini, kami membahas kasus seorang perempuan 21 tahun yang telah menderita miastenia gravis tipe okular (sejak tahun 2016), masuk ke unit gawat darurat dengan diagnosis krisis miastenik yang dipicu infeksi saluran nafas nafas atas. Pasien dirawat di unit perawatan intensif dan mendapat dukungan ventilator mekanikal, kemudian dilakukan tindakan terapi plasma exchange dengan hasil perbaikan luaran klinis.
{"title":"Terapi plasma exchange pada krisis miastenik","authors":"Yulia Trisna, Fanny Adhy Putri, Reno Bestari","doi":"10.24815/jks.v22i1.23336","DOIUrl":"https://doi.org/10.24815/jks.v22i1.23336","url":null,"abstract":"Krisis miastenik adalah perburukan gejala yang terjadi pada pasien miastenia gravis, ditandai dengan kondisi gagal nafas. Sebanyak 15-20 % pasien miastenia gravis mengalami krisis miastenik dalam kehidupannya. Mortalitas akibat krisis miastenik pada saat ini mulai menurun, salah satunya adalah karena peran terapi plasma exchange (PE). Terapi PE dapat menghilangkan substansi seperti antibodi yang bersifat patologis, kompleks imun, dan sitokin, dari plasma, kemudian diganti dengan cairan pengganti. Pada laporan ini, kami membahas kasus seorang perempuan 21 tahun yang telah menderita miastenia gravis tipe okular (sejak tahun 2016), masuk ke unit gawat darurat dengan diagnosis krisis miastenik yang dipicu infeksi saluran nafas nafas atas. Pasien dirawat di unit perawatan intensif dan mendapat dukungan ventilator mekanikal, kemudian dilakukan tindakan terapi plasma exchange dengan hasil perbaikan luaran klinis.","PeriodicalId":32458,"journal":{"name":"JKS Jurnal Kedokteran Syiah Kuala","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80043082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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