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KARAKTERISTIK PASIEN PERDARAHAN INTRASEREBRAL BERDASARKAN FAKTOR RISIKO, KLINIS, DAN LOKASI DI RS DUSTIRA CIMAHI PERIODE 2019-2020 2012 -2020年期间,DUSTIRA CIMAHI医院的风险、临床和位置是患者颅内出血的特征
Pub Date : 2023-03-30 DOI: 10.35990/mk.v6n1.p1-10
Andri Kusuma, Anita Liliana, Nabila Asad
Perdarahan intraserebral (PIS) meningkat pada pasien yang memiliki riwayat hipertensi, usia tua, dan berjenis kelamin laki-laki. Tujuan penelitian ini untuk mengetahui karakteristik pasien PIS berdasarkan insidensi, faktor risiko, manifestasi klinis, dan lokasi perdarahan. Penelitian ini menggunakan rancangan cross sectional yang diambil dari rekam medik meliputi usia, jenis kelamin, anamnesis, pemeriksaan fisik, dan hasil CT Scan. Sampel penelitian sejumlah 49 rekam medik. Hasil penelitian menunjukkan insidensi 7,7%, jumlah pasien PIS terbanyak adalah perempuan (51,02%) dengan usia ≥65 tahun (36,73%). Perdarahan di ganglia basalis menyebabkan hemiparese (31,91%), perdarahan di talamus paling sering dengan hemiparese (36,84%), perdarahan batang otak sering dengan aphasia dan hemiparese (26,32%), perdarahan serebelum dengan sakit kepala dan hemiparese (33,33%), sedangkan perdarahan di lobar paling sering dengan hemiparese (36,67%). Pasien dengan hipertensi sebanyak 67,35% dengan 32,65% pasien mengalami krisis hirpertensi. Gejala penurunan kesadaran (31,33%), dan lokasi perdarahan di ganglia basalis (40,82%). Dari hasil tersebut terdapat faktor yang bisa diintervensi atau dicegah terjadinya strok seperti pengelolaan tekanan darah secara optimal yang bisa dilakukan dengan menggiatkan edukasi bagi masyarakat dengan faktor risiko tersebut secara terus menerus. Simpulan dari hasil penelitian ini menunjukkan bahwa PIS merupakan penyakit yang sering menyerang pada perempuan berusia tua yang memiliki riwayat hipertensi. Perdarahan intraserebral paling sering terjadi di ganglia basalis dengan gejala hemiparese dan tekanan darah ≥180/120 mmHg
有高血压、老年和男性病史的患者体内颅内出血增加。本研究的目的是根据病因、风险因素、临床表现和出血位置确定患者的特征。这项研究采用了交叉设计,从医学记录中可以找到年龄、性别、anamnesis、体格检查和CT扫描。研究样本编号为49例。研究结果显示insidensi 7,7%,病人的数量是女性最常见的pi(51,02%)≥65岁的(36,73%)。湿神经节出血导致血肿(31.91%),塔拉穆斯出血最常见的是急性脑出血(36.84%),脑干出血经常与病原和脑炎(26.32%),脑干出血与头痛和脑炎(33.33%),而lobar出血最常见的是血肿(36,67%)。血压高达67.35%,32.65%的患者有等级危机。症状下降(333%),吸水神经节出血(40.82%)。在这些结果中,可以采取预防中风的措施,如最佳的血压管理,可以通过通过持续的风险因素促进对社会的教育。这些研究得出的结论表明,pi是一种经常影响有高血压病史的老年妇女的疾病。最常发生在颅内出血神经节basalis hemiparese症状和血压≥180/120 mmHg
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引用次数: 0
HUBUNGAN HIPERURISEMIA DENGAN KEJADIAN PENYAKIT JANTUNG KORONER 黄疸与冠心病相关
Pub Date : 2023-03-30 DOI: 10.35990/mk.v6n1.p56-66
Hesty Wahyuningsih, A. Aulia, Prima Rizky Nur Rasyid, Ajat Sudrajat, Riefky Ikhsan Pratama
Penyakit jantung koroner (PJK) merupakan penyakit dengan tingkat kematian tinggi. Beberapa kondisi yang menjadi faktor risiko PJK antara lain dislipidemia, diabetes melitus, merokok, dan obesitas. Hiperurisemia diduga mempunyai hubungan dengan kejadian PJK dalam beberapa tahun terakhir, namun masih terdapat kontroversi. Penelitian ini bertujuan untuk mengetahui hubungan antara hiperurisemia dengan PJK di Rumah Sakit Islam Sultan Agung Semarang. Rancangan penelitian yang digunakan adalah studi observasional dengan pendekatan cross sectional. Sampel penelitian berjumlah 102 orang diambil dengan cara consecutive sampling dari pasien hiperurisemia dan nonhiperurisemia di Rumah Sakit Islam Sultan Agung Semarang periode tahun 2016-2020. Data diambil dari catatan rekam medis dan dianalisis menggunakan koefisien kontingensi. Hasil penelitian menunjukkan bahwa pada kelompok hiperurisemia terdapat 39 orang yang menderita PJK (38,24%), sedangkan pada kelompok nonhiperurisemia terdapat 18 orang yang menderita PJK (17,65%). Hasil analisis Contingency Coefficient didapatkan nilai p 0,000 (p<0,05), dengan kekuatan hubungan sebesar 0,383. Kesimpulan yang didapatkan adalah terdapat korelasi antara hiperurisemia dengan PJK dengan kekuatan hubungan yang rendah.
冠心病是一种死亡率很高的疾病。一些是冠心病风险因素的疾病包括坏疽、糖尿病、吸烟和肥胖。Hiperurisemia被认为与PJK过去几年的事件有关,但仍有争议。本研究旨在确定hiperurisemia与PJK在伊斯兰苏丹大三宝垄医院的关系。使用的研究设计是经节方法的观察研究。2011 -2020年,伊斯兰苏丹大三宝医院的希马氏菌和非口腔病样本共提取了102个样本。数据来自医疗记录记录,并使用应急系数进行分析。研究表明,hiperurisemia有39人患有冠心病(38.24%),而非hiperurisemia患者中有18人患有冠心病(17.65%)。摄入量的偶然性coeffitions分析得到了p ' s值(p ' < 0.05),关系强度为0.383。他得出的结论是,黄疸病和PJK关系较低。
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引用次数: 0
KARAKTERISTIK PASIEN DAN POLA PENGGUNAAN OBAT ANTI BANGKITAN (OAB) PADA PASIEN EPILEPSI DI RS. MUHAMMADIYAH PALEMBANG 患者在MUHAMMADIYAH PALEMBANG医院使用抗感染药物(OAB)的特征和模式
Pub Date : 2023-03-29 DOI: 10.32502/sm.v13i2.4446
Yesi Astri, Irma Yanti, Ayu Permata Sari
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引用次数: 0
ANALISIS HUBUNGAN MASA KERJA DAN UMUR TERHADAP ROM AKTIF FLEXI BAHU PADA KULI PANGGUL 分析工作时间和年龄关系
Pub Date : 2023-03-29 DOI: 10.32502/sm.v13i2.5689
Indriyani Indriyani, Mutia Khairunnisa
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引用次数: 0
HUBUNGAN ANTARA TINGKAT SELF CARE DAN FUNGSI KELUARGA TERHADAP KUALITAS HIDUP PENYANDANG DISABILITAS FISIK DI SLB N 1 PEMALANG 赛尔夫护理水平与家庭功能与残疾生活质量之间的关系
Pub Date : 2023-03-29 DOI: 10.32502/sm.v13i2.4157
Aliyah Ari Juliani, Merry Tiyas Anggraini, Nina Anggraeni Noviasari
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引用次数: 0
LITERATUR REVIEW TENTANG PERSEPSI SOSIAL BUDAYA MASYARAKAT TERHADAP PENYAKIT TUBERCULOSIS PARU 关于人们对结核病的社会文化看法的文献综述
Pub Date : 2023-03-29 DOI: 10.32502/sm.v13i2.4586
Rahmi Fitri, Tri Krianto
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引用次数: 0
Correlation Between Platelets Count, Platelet Index and D-Dimer in Covid-19 Patients Covid-19患者血小板计数、血小板指数与d-二聚体的相关性
Pub Date : 2023-03-20 DOI: 10.18196/mmjkk.v23i1.16121
Nelly Tolla, Rachmawaty Rachmawaty, Andi Salsa Anggeraini, Darmmawaty R, F. Nur
Hypercoagulation in the alveoli of the lungs is one of the causes of death in SARS-CoV2 virus infection. Hypercoagulation is defined by an elevation in D-Dimer, which typically rises on the fifth day of therapy. This parameter is not available in all hospitals and is still relatively expensive in preventing premature death. Platelets count and indices are suggested to describe the thromboinflammatory condition in COVID-19 patients. This research is an observational analytic study with a cross-sectional study design in 59 COVID-19 patients treated at Hassanuddin University Hospital. The patients who are declared COVID-19 based on the results of radiological examinations and PCR swabs underwent routine blood tests and D-Dimer before undergoing therapy. Data were analyzed using the Spearmen test in SPSS version 26 to reveal the correlation between platelet count, platelet indices, and D Dimer in COVID-19 patients with severe and non-severe conditions.  Platelet count, platelet indices, especially MPV, and D-Dimer values were found to correlate in both groups COVID-19 using the Spearman rho correlation test (p 0.000) with strengths correlation between -44.6 and 60.5. There was a significant association between platelet count and MPV value with D-Dimer in COVID-19 patients.
肺泡高凝是SARS-CoV2病毒感染的死亡原因之一。高凝的定义是d -二聚体升高,通常在治疗的第五天升高。并非所有医院都有这一参数,而且在预防过早死亡方面仍然相对昂贵。建议血小板计数和指标来描述COVID-19患者的血栓炎症状况。本研究是一项观察性分析研究,采用横断面研究设计,对在哈桑努丁大学医院治疗的59例COVID-19患者进行了研究。根据放射学检查和PCR拭子结果宣布为COVID-19的患者在接受治疗前进行常规血液检查和d -二聚体检查。采用SPSS version 26中的Spearmen检验分析数据,揭示重症和非重症患者血小板计数、血小板指数与D二聚体的相关性。采用Spearman rho相关检验发现,两组患者的血小板计数、血小板指数(尤其是MPV)和d -二聚体值存在相关性(p 0.000),相关强度为-44.6和60.5。COVID-19患者血小板计数、MPV值与d -二聚体有显著相关性。
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引用次数: 0
Curcumin Improves Cytokines and HDL in Diabetic Wistar Rats 姜黄素改善糖尿病Wistar大鼠细胞因子和高密度脂蛋白
Pub Date : 2023-03-14 DOI: 10.18196/mmjkk.v23i1.17031
Fathia Kesuma Dinanti, Sri Mulyani, Chodidjah Chodidjah
In type 2 diabetes mellitus, lipid profile is often found in the form of high-density lipoprotein (HDL) decrease. TNFa and IL-6 are proinflammatory cytokines that are elevated in the blood in many patients with diabetes mellitus. Turmeric is one of the natural ingredients that has anti-cholesterol and anti-inflammatory effects through the work of its active substance, curcumin. This study aimed to evaluate the effect of turmeric extract combined with metformin on HDL, TNFa, and IL-6 levels in diabetic rats. Twenty-four Wistar rats were injected intraperitoneally with streptozotocin and niacinamide. The diabetic rats then were divided into four groups; control group, metformin group, turmeric group, and combination group. The dose of metformin and turmeric which were given, respectively, 45mg/KgBW/day and 200 mg/KgBW/day. While the combo group was given half dose of each. Blood serum was taken to examine the HDL, IL-6, and TNFa levels. The levels of HDL, IL-6, TNFa on diabetic rats that received the combination of metformin and turmeric extract (p0.05) were the best among of all the groups. This means that the combination of metformin and turmeric is better in increasing HDL, reducing IL-6, and TNFa levels better than metformin or turmeric extract alone.
在2型糖尿病中,脂质谱常以高密度脂蛋白(HDL)降低的形式出现。TNFa和IL-6是促炎细胞因子,在许多糖尿病患者的血液中升高。姜黄是一种天然成分,通过其活性物质姜黄素的作用,具有抗胆固醇和抗炎作用。本研究旨在评价姜黄提取物联合二甲双胍对糖尿病大鼠HDL、TNFa和IL-6水平的影响。24只Wistar大鼠腹腔注射链脲佐菌素和烟酰胺。然后将糖尿病大鼠分为四组;对照组、二甲双胍组、姜黄组、联合组。二甲双胍和姜黄剂量分别为45mg/KgBW/d和200mg /KgBW/d。而组合组每一种只给一半剂量。取血清检测HDL、IL-6、TNFa水平。二甲双胍联合姜黄提取物组糖尿病大鼠HDL、IL-6、TNFa水平最高(p < 0.05)。这意味着,与单用二甲双胍或姜黄提取物相比,二甲双胍和姜黄联合使用在增加高密度脂蛋白、降低IL-6和TNFa水平方面效果更好。
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引用次数: 0
The Factors Related to Cadres’ Competency in Integrated Health Service Post during Pandemic 大流行期间影响综合卫生服务岗位干部胜任力的因素分析
Pub Date : 2023-02-27 DOI: 10.18196/mmjkk.v23i1.17236
Ferry Fadzlul Rahman, S. Darsono, S. Sunarti
The competence of Posyandu (Integrated Service Post) cadres played a crucial role in response to the pandemic. They were responsible for raising awareness about COVID-19 and implementing preventive measures. The impact of their competence cannot be overstated and highlights the importance of investing in health worker training. This study aims to determine the factors related to the competence of Integrated Health Service Post cadres during the pandemic in the Samarinda Primary Healthcare working area. Observational research was employed with stratified random sampling, and primary data was collected from five Primary Healthcare in Samarinda. This study employed three steps to examine the effect of competency cadres: univariate analysis, bivariate analysis using the Spearman Rank test, and multivariate analysis with Multiple Linear Regression. The bivariate analysis results showed that supervision had a very strong correlation with the cadres’ competency, and social environment had a strong correlation with the cadres’ competency. At the same time, the organization had a moderate correlation with cadres’ competency. The multivariate test results showed that the social environment contributed 0.165 times to the competence of cadres, organizational support contributed 0.211 times in cadre competence, and supervision support contributed 0.652 times to cadre competence. It provides them with the necessary resources, training, and recognition for their work.
综合服务岗位干部的能力在应对大流行病方面发挥了关键作用。他们负责提高对COVID-19的认识并实施预防措施。他们的能力的影响不能被夸大,并突出了投资于卫生工作者培训的重要性。摘要本研究旨在探讨疫情期间影响综合卫生服务岗位干部能力的相关因素。观察性研究采用分层随机抽样,主要数据收集自萨马林达的五家初级保健机构。本研究采用单因素分析、双因素分析(Spearman秩检验)、多因素分析(多元线性回归)三步分析胜任力干部的影响。双变量分析结果表明,监督与干部胜任力存在很强的相关关系,社会环境与干部胜任力存在很强的相关关系。同时,组织与干部胜任力存在适度的相关关系。多变量检验结果显示,社会环境对干部胜任力的贡献为0.165倍,组织支持对干部胜任力的贡献为0.211倍,监督支持对干部胜任力的贡献为0.652倍。它为他们的工作提供了必要的资源、培训和认可。
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引用次数: 1
Epithelial Mucosal Changes and An Inflammation Process of the Cavum Nasi Due to Inhaled Sawdust 吸入木屑导致鼻腔上皮黏膜改变和炎症过程
Pub Date : 2023-02-02 DOI: 10.18196/mmjkk.v23i1.16623
Yusmawati Yusran, H. Lubis
Woodworkers are particularly susceptible to inhalation of sawdust exposure. Exposure to sawdust for a long time causes various health problems and causes the damage of the epithelium to a barrier. This study aims to identify whether inhaled sawdust can cause changes in the nasal mucosa and the occurrence of an inflammatory process. This study was a cross-sectional analytical study. Data were collected from July 2021 to January 2022 from the nasal cavity swab of 35 woodworkers who had worked for 1 to 5 years. The assessment was carried out by cytological examination to identify epithelial changes in the form of mild and moderate dysplasia, while the inflammation was found in the form of acute and chronic inflammation. Twenty-six (74.3%) samples were normal, 7 (20%) samples had mild dysplasia, and 2 (5.7%) samples had moderate dysplasia. Whereas 20 (57.1%) were found to have no inflammation, 8 (22.9%) were with acute inflammation, and 7 (20.0%) were found to have chronic inflammation). Fisher’s exact test showed a relationship between the inflammatory process and epithelial changes (p 0.020). In conclusion, sawdust inhaled showed changes in the epithelial mucosa and inflammatory processes of the nasal cavity.
木工特别容易吸入木屑。长时间接触木屑会引起各种健康问题,并引起上皮屏障的损伤。本研究旨在确定吸入木屑是否会引起鼻黏膜的改变和炎症过程的发生。本研究为横断面分析研究。从2021年7月至2022年1月收集了35名工作1至5年的木工的鼻腔拭子数据。通过细胞学检查进行评估,以确定轻度和中度发育不良形式的上皮变化,而炎症以急性和慢性炎症形式发现。正常26例(74.3%),轻度发育不良7例(20%),中度发育不良2例(5.7%)。无炎症20例(57.1%),急性炎症8例(22.9%),慢性炎症7例(20.0%)。Fisher精确检验显示炎症过程与上皮改变之间的关系(p = 0.020)。综上所述,吸入木屑可改变鼻腔上皮黏膜和炎症过程。
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引用次数: 0
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Jurnal Profesi Medika
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