Hasil Pencarian  ::  Simpan CSV :: Kembali

"Morbiditas dan mortalitas apendisitis akut disebabkan karena perkembangan apendisitis akut menjadi perforasi apendiks. Hal-hal yang menyebabkan kerentanan apendiks belum banyak diteliti dan belum diketahui sebab pastinya. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang dapat memprediksi terjadinya perforasi apendiks. Penelitian menggunakan desain kasus kontrol menggunakan data sekunder berupa rekam medis penderita apendisitis akut dewasa tahun 2013-2014 dengan jumlah kasus (perforasi apendiks) 36 dan kontrol (non perforasi) 93. Analisis data yang dilakukan meliputi deskriptif, chi square, receiver operating characteristic, dan regresi logistik multivariat. Dua faktor prediksi yang bermakna sebagai faktor prediksi perforasi apendiks dalam analisis regresi logistik multivariat adalah suhu badan diatas 37,50C dengan odds ratio (OR) 7,54 (95% CI 2,01; 28,33), jumlah leukosit diatas 11.500/mm3 dengan OR 12,12 (95% CI 4,03; 36,48) Perlu validasi pemeriksaan suhu badan di RS, penelitian lebih lanjut untuk mencari faktor prediksi lainnya, persiapan operasi segera untuk pencegahan komplikasi perforasi apendiks, dan pemberian informasi ke masyarakat bahwa sakit perut dapat bersifat gawat darurat.

---

Appendix perforation is the causation for acute appendicitis morbidity and mortality. Factors that may cause appendix vulnerability has not been extensively studied before and the main cause is still yet unknown. The goal of this study is to analyze what factors that could be used to predict appendix perforation. This study is a case control study using 2013-2014 medical records as data. Case group pooled from 36 perforated appendix adult (above 15 years old) patients, while control group pooled from 93 non perforated appendix adult patients. Data analysis conducted are descriptive, chi square, receiver operating characteristic, and multivariate logistic regression. There are two prediction factors which significantly associated with perforated appendix. Those are body temperature above 37,50C with odds ratio (OR) 7,54 (95% CI 2,01; 28,33), and leucocytes count above 11.500/mm3 with OR 12,12 (95% CI 4,03; 36,48). Further studies and body temperature validation on each hospital are needed to find other prediction factors, preparing pre operative equipment for immediate definite measure like surgery, to prevent the complication of perforated appendix, and education to people that abdominal pain is not always causing by gastric problem and it might be a case of emergency."

"Introduksi: Penegakkan diagnosis apendisitis perforasi sebelum operasi berpengaruh terhadap morbiditas pasien. Dengan anamnesis, pemeriksaan fisik dan pemeriksaan penunjang berupa peningkatan nilai lekosit, dan netrofil segmen dan peningkatan nilai bilirubin total pre-operatif diharapkan dapat memprediksi diagnosis apendisitis perforasi.Metode: Dari 128 pasien apendisitis akut yang datang ke IGD dilakukan pemeriksaan nilai bilirubin total dan dilakukan apendektomi dikumpulkan retrospektif dari Januari-Juli 2016. Data karateristik pasien, hasil laboratorium darah dan laporan operasi diambil dari rekam medik, dilakukan analisis multivariat untuk melihat korelasinya.Diskusi: Dari 128 pasien yang didiagnosis awal sebagai apendisitis akut sebanyak 68,8% dan apendisitis perforasi sebanyak 31,3% didapatkan temuan intra operatif apendisitis non perforatif sebanyak 46,9% dan apendisitis perforasi sebanyak 53,1% nilai rata-rata bilirubin total adalah 1,19 mg/dL dan nilai cut off 1,00 mg/dL. Nilai sensitivitas 77,94%; spesifitas 76,67%, nilai prediktif positif 79,1% dan nilai prediksi negatif 75,41%. Pada analisis multivariat didapatkan nilai bilirubin total (odds ratio 5,016; 95% confidence interval 2,092-12,026; P = < 0,0001), leukosit (odds ratio 1,993; 95% confidence interval 0,893-4,451; P = 0,092) dan avarado score (odds ratio 3,193; 95% confidence interval 1,542-6,611; P = 0,002) secara statistik signifikan untuk memprediksi diagnosis apendisitis perforasi pre-operatif.Hasil: Hiperbilirubinemia secara satitistik signifikan untuk memprediksi diagnosis apendisitis perforasi pre-operatif.

---

Introduction: The diagnosis accuracy of perforated appendicitis prior to surgery influence morbidity. By anamnesis, physical examination, laboratory finding such as increasing leukocytes count, neutrophil segment and pre-operative total bilirubin expected to predict the diagnosis of appendicitis perforation.Method: A retrospective study conducted enrolling those diagnosed as perforated appendicitis in period of January to July 2016. The subject characteristic, leukocytes count, total bilirubin were variables subjected statistical. Significance met if p <0.0001.Results: Among 128 subjects enrolled, 31.3% out of 88 who diagnosed as acute appendicitis and 46.9% perforated appendicitis found intraoperatively. Mean value of total bilirubin pre-operative was 1,19 mg/dL and cut off point of 1,00 mg/dL. Sensitivity of 77.94%, specifity of 76.67%, positive predictive value 79.1%, negative predictive value of 75.41%. The multivariate analysis demonstrated that total bilirubin (Odds ratio 5.016; 95% confidence interval 2.092-12.026; p = <0.0001), leukocyte (Odds ratio 1.993; 95% confidence interval 0.893-4,451; p = 0.092) and avarado score (Odds ratio 3.193; 95% confidence interval 1.542-6.611; p = 0.002) have statistically significant diagnostic value for perforated appendicitis.Conclusion: Hyperbilirubinemia is a statistically significant as a predictor to diagnose perforated appendicitis pre-operative."

"Rumah Sakit Islam AI-lhsan sebagai sebuah rumah sakit Swasta dituntut untuk mampu memenuhi tuntutan masyarakat akan sebuah peiayanan kesehatan yang bermutu, sehingga mampu meningkatkan daya saing dengan rumah sakil swasta lain baik rumah sakit swasta nasional maupun rumah sakit swasta Asing. Rumah Sakit Islam Ai ihsan Hingga buian Seplernber Tahun 2005 kapasitas tempat tidur meniadi 139, untuk melihat trend cakupar: pelayanan rawat Rumah Sakit. Tujuan penelitian ini adaiah untuk mengetahui anaiisis keterkaitan faktor- faklor karakteristik pasien di intnslaasi rawai inap Rumah Sakil islam Ai ihsan padan tahun 2003 dengan kepuasannya melaui pengukuran harapan dan persepsi pasien tersebut. Data primer melalui pengisian kueeioner oieh pasien yang seda ng dan reiah dirawat di instaiasi Rawat Inap Rumah Sakit islam Al Ihsan Bandung pada buian Oktober tahun 2005.jumiah sample scbanyak 100 responfien. ‘fariabei independent yang dianaiisis adaiah karatcteristik pasien yaitui Umur pasien, jenis keiamin, tingkat pendidikan, status keiompoic pasien dan pendapatan sedangkan variabel dependennya adalah kepuasan pasien melalui pengukuran persepsi dan harapan pasien berdasarkan 5 (lima) di mensi service qur1/ily. Data yang clikumpuikan dioiah secara kuantitatii Analisa statistic yang digunakan aciaiah anaiisis univariat, bivariat, serta anailisis Rat-tesius. Hasil penelitian menunjukan bahwa proporsi pasien yang puas yaitu 37% seciangkan yang tidak puas scbcsar 63%, karakteristik pasien yang iebih banyak afiaiah umur 3 36 tanun ( 53% }, iaki-iaizi 53%, 5 SMA (66%), keiompok pasien umum (63%), dan pendapatan 2 Rp i.OUO.UOU,- (59%), Uji bivariai dengan Chi Square secara garis besar didapat karaktcristik pasien yang berhubungan dcngan harapan adalah pendapatan pasien seciangkan karakteristik pasien yang berhubungan dengan pcrsepsi adalah: umur, pendiciikan dan status keiompok pasien sedangkan pada karakteristiit pasicn yang bcrhubungan cicngan kepuasan adalah semua kelompok pasten yang ciihagi menurut umur, jems kelamin, pendidikan,status keiompok pasien dan pendapalan memiiiki tingkai itepuasan yang sama untuk sumua dimcnsi pelayanan. Hasil amalisis kartesius didapatkan factor ruang perawatan yang nyaman, bersih, keiengkapan pcraiatan kesehatan dan prosedur pasien puiang merupakan komponen yang harus menjadi prioritas mama, factor pemeriksaan rutin pasien, cepat tanggap dolder dan perawat, kemampuan dokter mendiagnosa penyakit, sopannsantun doktcr da perawat scrta peiayanan yang tidak memandang status socialmerupakan prestasi yang harus dipertahankan, factor ruangan yang sejuk, ketepatan waktu visits, cepat tanggap petugas kebersihan, keamanan lingkungan, pemberian keterangan pcnyakil lanpa diminta, komunikasi dan pemberian kesempatan bertanya dan perhatian perawat dan petugas kepada pasien merupakan prioritas rendah ( Hi ) dan factor ruang perawatan yang Iuas, kecepat langgapan petugas adrnnnintrasi, keterampilan perawat, komunikasi dan pe-mberian kesempatan bertanya dart perawat merupakan kinerja yang bcriebihan ( IV ). Berdasarkan hasii peneiitian, disarankan kepatia scmua pihak yang terkait untuk memperhatikan pasien yang mempunyai harapan tinggi tetapi berpersepsi rendah, dimana hal tersebtu mcnggambarkan tingginya tingkat kctidakpuasan dari paslen.

---

Al Ihsan Islamic Hospital as a private hospital has already trusted for fultill the society demand which concerning to high quality health care, that makes Al Ihsan able to increasing its competitiveness compare with other national private hospital, even other foreign-private hospital. Until September 2005, the bed capacity of Al Ihsan Islamic Hospital has reached 139 number of beds.

The aim of this research is to analyze the connection among the patient characteristic factors in the hospitalization installation of Al Ihsan Islamic Hospital on 2005 and sc the patient satisfaction by measuring the patient expectations and perceptions. This research is using a cross sectional design. The primary data is from the questionnaire which has been answered by the patient on the hospitalization by October 2005 as much as 100 respondent. The independent variables are the patient characteristic, that is, patient age, gender, education level, patient grouping status, and patient income. While the dependent variables are the patient satisfaction by measuring their expectations and perceptions based on S (five) dimensions of service quality. The data has been processed quantitatively and the statistic analysis that is used are univariat analysis, bivariat analysis, and cartesius analysis.

This research result indicating that 37% are satisfied patient and 63% are unsatistied~ patient. Large number of patients are having demcgraphy characteristic as follow, by this as many as 53% patients are equal or more than 36 years old, 58% are men, 66% has a senior high school background, 63% are grouping patients, and 59% are the patient who has producing income Rp. l.OO0.00O,- / month. Bivariat test with chi square, by and large, had obtained that patient characteristic which related to an expectation is patients income, where as characteristic that related to perceptions are age, education level, patient grouping status, while characteristics that related to satisfactions are all ofthe patient group which divided according by age, gender, education level, patient grouping status, and income has equal satisfaction level with all of service dimensions.

Based on cartesius analysis, we know that a comfortable and neat treatment room, a comprehensiveness of medical equipment and after-hospitalize procedure are the first priority component (I). The patient routine examination, doctor and nurse responsiveness, doctor capability in diagnosing disease, the behavior of a doctor and nurse, and not discriminate a social status is an achievement that we should appreciate (II). A chilly room, exactness of visiting time, responsiveness of cleaning service officer, area safety, giving disease information initiatively, communicative, giving a chance to ask, and a nurse attention are a lowers priority (III). A vast treatment room, responsiveness of administration officer, a nurse skill, communicative, and giving a chance to ask fiom a nurse are an excessive performance (IV). Based on this research, I suggesting to all interrelated party to pay attention to the patient which has a higher expectations but has a lower perceptions which is depict the highness of an unsatisfied patient."

"Tuberkulosis masih merupakan masalah kesehatan di Indonesia, karena merupakan penyakit yang menular dan dapat menyebabkan kematian. Salah satu upaya penanganan tuberculosis di dunia dengan program strategi DOTS (Directly Observed Treatment Shortcourse) termasuk di Indonesia. Sebenarnya bila TB paru ditanggani dengan baik dan benar dapat disembuhkan sehingga diharapkan setiap penderita TB paru dapat sembuh dari penyakitnya, akan tetapi bila tidak ditanggani dengan baik dan benar dapat menyebabkan terjadinya DO (Drop Out). Di Kabupaten Bandung rata-rata angka DO penderita TB paru pada tahun 2001, sebesar 10,8%. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan terjadinya DO pada penderita TB paru di Kabupaten Bandung tahun 2001.Penelitian ini menggunakan data primer dengan disain kasus kontrol dan dilakukan di wilayah Kabupaten Bandung, dilaksanakan pada bulan Mei- Juni 2002. Sampel penelitian adalah penderita TB paru di Kabupaten Bandung dengan jumlah sampel kasus sebanyak 77 responden dan kontrol sebanyak 77 responden.Hasil penelitian mengenai persepsi biaya dengan terjadinya DO pada penderita TB paru diperoleh ORa 8,918 dengan (95% CI 1,859 - 42,785) dan nilai p=0,006, berarti bahwa biaya mahal beresiko sebesar 8,92 kali untuk menjadi DO bila dibandingkan dengan penderita yang berpersepsi murah setelah dikontrol dengan variabel jarak dan ESO.Demikian Pula dengan penderita TB paru yang merasakan adanya ESO diperoleh nilai p=0,004 (p<0.05) dengan ORa 2,78 (95%CI: 1,393-5,539) berarti bahwa penderita TB paru yang merasakan adanya ESO beresiko 2,78 kali bila dibandingkan dengan penderita yang tidak merasakan adanya ESO, setelah dikontrol variabel jarak dan biaya. Sedangkan penderita TB paru dengan persepsi jarak jauh diperoleh p 0,012 (p<0,05) dan ORa 2,497 (95% CI: 1,220-5,109), berarti bahwa penderita TB paru yang berpersepsi jauh dari rumah ke tempat pelayanan beresiko 2,497 kali menjadi DO bila dibandingkan dengan penderita TB paru dengan persepsi jarak dekat setelah dikontrol variabel biaya dan adanya ESO.Dengan diketahuinya faktor-faktor yang berhubungan dengan terjadinya DO pada penderita TB paru pada penelitian ini dapat memberikan saran kepada Dinas Kesehatan dan Puskesmas pengelola program TB paru sehingga dapat menekan angka DO penderita TB paru di Kabupaten Bandung.

---

The Factors Related to the Occurrence of DO of Pulmonary TB Patients in Bandung Regency in the Year 2001Tuberculosis is still a health problem in Indonesia as well as in other countries in the world because it is a contagious disease which can cause death if not treated well. One effort in treating Tuberculosis in the world including in Indonesia is by applying the strategic program, namely the DOTS (Directly Observed Treatment Shortcourse). In fact, in the pulmonary Tuberculosis is treated well and properly, it can be cured, and therefore every TB patient can recuperated but if it is not treated well and properly it will result in DO (Drop Out). In Bandung Regency the DO of pulmonary TB in the year 2001 is 10.8%.The aim of this research is to know the factors related to the DO of pulmonary TB patients in Bandung Regency in the year 2001.This research applies primary data with a case-control design and is done in Bandung Regency, carried on in May - June 2002. The samples of the research are pulmonary TB patients in Bandung Regency with the sample case of 77 respondents and control as many as 77 respondents.The result of the cost perception causing DO in pulmonary TB patients is OR 8.918 with (95%CI 1.859 - 42.785) and the p value =0.006, which means the high cost perception ha a risk of 8.92 times to be DO if compare to patients with cheap perception after being controlled distance perception variable and the side effect of tuberculosis-pulmonary drug therapy.It is also the same as the pulmonary TB patients who feel the side effect of tuberculosis-pulmonary drug therapy with ORa 2.778 (95% CI: 1,339-5,539) and the p value = 0,004 (p<0,05) which means who feel the side effect of tuberculosis - pulmonary drug therapy has a risk of 2,778 times to be DO if compare to patients who do not feel the side effect of tuberculosis-pulmonary drug therapy after being controlled with the perception cost and with far distances perception.And the pulmonary TB patients with the far distances perception with ORa 2.497 (95% CI; 1,220-5,109) and p value = 0,012 (p<0,05) its means the patients with the far distances perception has risk of 2,497 times to be DO if compare to pulmonary TB patients with the near distances perception after being controlled with cost variable and the side effect of tuberculosis-pulmonary drug therapy.Having known the factors related to the occurrence of DO in pulmonary TB patients in this research, it is possible to give suggestions to: the health office regency and the pulmonary program, to reduce the number of DO."

"Skripsi ini berisi tentang faktor kerusakan koleksi buku di Perpustakaan Fasilkom periode tahun 2013-2014. Tujuan dari penelitian ini adalah untuk mengetahui mengetahui faktor yang merusak dan mengganggu fisik koleksi, serta jenis koleksi yang mengalami kerusakan dan tindakan pengguna terhadap koleksi. Penelitian ini adalah penelitian kuantitatif dengan metode penelitian deskriptif. Hasil dari penelitian ini menyimpulkan bahwa karakter kerusakan yang dialami koleksi buku di Perpustakaan Fasilkom masih dalam status cukup baik dan masih layak digunakan, serta tindakan pemakai yang memiliki kesadaran untuk menjaga dan merawat koleksi perpustakaan.

---

This undergradute thesis contains the damage factor to the collection of books in the Library Fasilkom period 2013-2014. The aim of this research is to determine the factors that determine the physical damage and interfere with the collection, as well as the kind of collection that were damaged and the user's actions on the collection. This research is a quantitative study using the descriptive methods . Results from this research concluded the damage suffered by the character of the collection of books in the Library Fasilkom still in pretty good condition and still fit to use, as well as the actions of users who have the awareness to preserve and care for the collections."

"Perforasi merupakan komplikasi utama apendisitis yang memerlukan tindakan laparatomi untuk mencegah terjadinya peritonitis maupun sepsis. Pasien yang mengalami apendisitis dengan COVID 19 sering menyebabkan kekeliruan dalam penentuan diagnosa akibat miripkan tanda dan gejala COVID 19 dengan appendisitis yang mengarah pada keterlambatan penanganan sehingga menyebabkan perforasi. Selama post operasi, tindakan optimal harus dilakukan untuk mencegah komplikasi. Salah satu tindakan yang dilakukan selama post operasi laparatomi eksplorasi adalah memastikan kelancaran aliran NGT dekompresi, drain ataupun luka pasien. Pemberian posisi miring sangat membantu dalam menjaga kepatenan aliran melalui pemberian posisi miring. Selama 5 hari dilakukan intervensi miring kiri miring kanan kepada pasien post laparatomi didapatkan aliran NGT maupun drain luka post operasi lebih paten terutama pada pemberian posisi miring kiri dengan kepala ditinggikan 45^o. Melihat keefektifan tindakan miring kiri dengan elevasi kepala 45^o dalam menjaga kepatenan aliran NGT dan drain luka maka tindakan ini dapat digunakan sebagai intervensi yang dapat diterapkan pada pasien post operasi laparatomi.

---

Perforation is the main complication of appendicitis which requires Laparatomy to prevent Peritonitis and Sepsis. Patient who is contracted with appendicitis and COVID 19 ofter cause misunderstanding in diagnosis due to similar signs and symptoms of COVID 19 with appendicitis that leads to delay in handling causing perforation. During post surgery, optimal measures should be taken to prevent complication. One of measures taken during post operative laparotomy exploration is to ensure the smooth flow of NGT decompression, drain or incision site. Providing patient in lateral positioning is helpful in maintaining flow patency by giving lateral positioning. For 5 days of intervention, left lateral positioning and right lateral positioning given to post laparatomy patient, NGT flow and wound drain were more patent, especially in left lateral positioning with head elevated 45 ^o. Seeing the effectiveness of left lateral positioning with head elevated of 45^o in maintaining the patency of NGT flow and wound drain drainage, this procedure can be used as an intervention  that can be applied to post-laparatomy patient."

"Stroke menimbulkan gangguan neurologic sehingga menyebabkan perubahan kualitas hidup. Kualitas hidup adalah sehat fisik, mental, social dan terlepas dari penyakit. Pemulihan stroke agar tercapainya kualitas hidup yang baik dibutuhkan peran serta tenaga kesehatan. Discharge planning adalah mempersiapkan pasien untuk mendapatkan kontinuitas perawatan dalam proses penyembuhan maupun dalam mempertahankan derajat kesehatan. Desain penelitian Quasy Experimental. Bertujuan membandingkan pengaruh pemberian discharge planning terstruktur di RS Al-Islam dengan discharge planning rutin di RS Al-Ihsan Bandung terhadap kualitas hidup pasien stroke iskemik. Populasi adalah pasien stroke iskemik. Sampel secara consecutive admission berdasarkan estimasi proporsi sebanyak 44 orang. Instrument untuk kualitas hidup The MOS (SF-36). Berisi 36 pertanyaan; Fungsi fisik, peranan fisik, rasa nyeri, kesehatan umum, fungsi social, vitalitas, kesehatan mental, peranan emosi, ringkasan fisik dan mental. Skor 0-100. Hasil uji statistic discharge planning terstruktur berpengaruh secara bermakna terhadap kualitas hidup pasien stroke iskemik setelah mempertimbangkan umur, jenis kelamin, tingkat pendidikan pada nilai p<0,001 nilai koefisien beta 3,008 dengan nilai Relatif Risk (RR) 20,25 yang menunjukkan pasien stroke iskemik yang dilakukan discharge planning terstruktur memiliki peluang 20 kali lebih besar untuk memiliki perubahan kearah kualitas hidup yang lebih baik dibandingkan tanpa dilakukan discharge planning.

---

Stroke cause neurologic disorders that cause changes in quality of life. Quality of life is a healthy physical, mental, social, and regardless of the disease. Stroke recovery in order to achieve good quality of life required the participation of health personnel. Discharge planning is to prepare patients for continuity of care in a healing process and in maintaining health. Quasy Experimental research design. Aiming to compare the effect of discharge planning is structured in RS Al-Islam with the routine discharge planning in hospitals of Al-Ihsan Bandung to quality of life of patients with ischemic stroke. The population was patients with ischemic stroke. Samples are based on estimates of the proportion of consecutive admissions of 44 people. Instrument for quality of life of the MOS (SF-36). Contains 36 questions; physical function, physical role, pain, general health, social functioning, vitality, mental health, role emotional, physical and mental summary. Score 0-100. The results of statistical tests structured discharge planning significantly affects the quality of life of ischemic stroke patients after considering age, sex, educational level on the p-value <0.001 3.008 beta coefficient value with the value Relative Risk (RR) 20.25 indicating ischemic stroke patients who do structured discharge planning to have 20 times greater chance to have a better quality of life compared with no discharge planning done."

"Latar belakang: Perforasi tukak peptik PTP merupakan komplikasi penyakit tukak peptik yang memiliki angka morbiditas dan mortalitas yang cukup tinggi. Luaran pasien yang maksimal dapat dicapai dengan perawatan optimal disertai alokasi sumber daya yang sesuai dengan statifikasi pasien berdasarkan kelompok risikonya. Skor peptic ulcer perforation PULP merupakan sistem penilaian terbaru untuk prediksi prognosis pasien PTP. Penelitian ini bertujuan untuk mengetahui penerapan skor PULP dalam prediksi mortalitas pasien PTP di Rumah Sakit dr. Cipto Mangunkusumo RSCM. Metode penelitian: Studi potong lintang analitik dilakukan dengan mengambil total sampel 52 pasien PTP yang datang ke RSCM pada periode Januari 2011-Juni 2015. Pasien perforasi gaster/duodenum akibat trauma dan keganasan gaster/duodenum, pasien yang tidak menjalani pembedahan dan pasien yang sudah menjalani pembedahan di luar RSCM dieksklusi. Analisis statistik diolah dengan program SPSS 20 for windows, untuk menilai variabel apa yang secara independen memengaruhi mortalitas pasien PTP dan bagaimana akurasi skor PULP dalam prediksi mortalitas pasien PTP. Hasil penelitian: Variabel syok saat masuk rumah sakit dan awitan penyakit >24 jam merupakan prediktor independen mortalitas pasien PTP dengan nilai kemaknaan masing-masing 0,04 dan 0,03. Nilai area under the curve skor PULP dalam prediksi mortalitas pasien PTP mencapai 71,60 95 IK 53,80 -89,40. Kesimpulan: Penggunaan skor PULP dinilai cukup baik untuk prediksi mortalitas pasien PTP di RSCM. Kata kunci: Perforasi tukak peptik, skor peptic ulcer perforation PULP , mortalitas, syok, awitan penyakit.

---

Background: Perforated peptic ulcer PPU is a complication of peptic ulcer disease with high rates of morbidity and mortality. Maximum outcomes could be achieved by optimal care combined with allocation of resources in accordance with patient's risk stratification. Peptic ulcer perforation PULP score is the newest scoring systems for predicting the prognosis of PPU patients. This study aims to determine the application of PULP score in predicting mortality of PPU patient in Cipto Mangunkusumo Hospital.

Method: A cross sectional analytical study carried out by taking the total sample of 52 patients who came with PPU to Cipto Mangunkusumo Hospital in the period of January 2011 June 2015. Those with perforation at stomach duodenum due to trauma and malignancy, those who did not undergo surgery and those who have undergone surgery outside Cipto Mangunkusumo Hospital were excluded. Statistical analysis is processed with SPSS 20 for windows, to determine which variables independently afffect the mortality of PPU patients and how is the accuracy of PULP score in predicting mortality of PPU patients.

Results: Shock on admission and onset of disease 24 hours were independent predictors of mortality in PPU patients p value 0.04 and 0.03 respectively. The value of area under the curve of PULP score in predicting mortality in PPU patients was 71.60 95 CI 53.80 89.40.

Conclusions: PULP score is considered good enough to predict mortality of PPU patients in Cipto Mangunkusumo Hospital. Keywords Perforated peptic ulcer, peptic ulcer perforation PULP score, mortality, shock, onset of disease."

"Latar Belakang Nyeri merupakan salah satu gejala yang paling banyak dirasakan pasien sesudah menjalani operasi. Sebanyak lebih dari 80% pasien melaporkan nyeri akut pascabedah. Nyeri akut pascabedah dipengaruhi oleh banyak faktor preoperatif seperti usia, jenis kelamin, komorbiditas, tingkat pendidikan, jenis analgesia, nyeri prabedah, dan jenis pembedahan. Maka dari itu, peneliti ingin menginvestigasi faktor-faktor yang memengaruhi derajat nyeri akut pascabedah elektif pada pasien dewasa di RSUPN Dr. Cipto Mangunkusumo. Metode Penelitian kohort retrospektif dilakukan dengan mengambil rekam medis pada bulan 15 Juni—14 Juli 2022. Didapatkan sejumlah 137 sampel yang memenuhi kriteria inklusi dan eksklusi. Data rekam medis dianalisis dengan uji Chi-square untuk melihat hubungannya. Hasil Faktor preoperatif yaitu jenis analgesia dan nyeri prabedah bermakna signifikan secara statistik terhadap derajat nyeri akut 24 jam pascabedah (p<0,05). Faktor lain seperti usia, jenis kelamin, komorbiditas, dan tingkat pendidikan tidak memiliki hubungan bermakna yang signifikan terhadap derajat nyeri akut 24 jam pasacabedah (p>0,05). Kesimpulan Faktor preoperatif seperti jenis analgesia dan nyeri prabedah mampu memengaruhi derajat nyeri akut 24 jam pascabedah elektif pada pasien dewasa di RSUPN Dr. Cipto Mangunkusumo.

---

Introduction Pain is one of most common symptoms experienced by patients after undergoing surgery. More than 80% of patients report acute postoperative pain. Acute postoperative pain if influenced by many preoperative factors, such as age, gender, comorbidities, education level, type of analgesia, preoperative pain, and types of surgery. Therefore in this study, researcher wants to investigate the factors that influence the degree of acute postoperative pain after elective surgery in adult patients at RSUPN Dr. Cipto Mangunkosomo. Methods A retrospective cohort study was conducted by taking medical records from 15 June to 14 July 2022. A total of 137 samples that met the inclusion and exclusion criterias were obtained. Medical records data was analyzed using the Chi-square test to see the relationship between factors and acute postoperative pain. Results Preopetaive factors, such as the type of analgesia and preoperative pain, were statistically significant on the degree of acute pain 24 hourse after surgery (p<0,05). Other factors such as age, gender, comorbidities, and education level do not have a significant relationship to the degree of acute pain 24 hours after surgery (p>0,05). Conclusion Preoperative factors such as the type of analgesia and preoperative pain can influence the degree of acute pain 24 hours after elective surgery in adult patients at RSUPN Dr. Cipto Mangunkusumo."

"Objective : Diabetes Mellitus has been known as a causal factor for sexual dysfunction in men due to neuropatic diabetic, vascular insufficiency and psychological problems. Female sexual dysfunction in diabetic patients has not been studied yet, because of limited scientific experiments in this subject. The purpose of this study is to get the prevalence of female sexual dysfunction in diabetic patients at Hasan Sadikin Hospital Bandung.Method : This study was done to 100 women with diabetes mellitus who visited Endocrinology Out Patient Clinic at Hasan Sadikin Hospital Bandung. The study was performed using The Index of Female Sexual Function (IFSF) questionnaires with interview technic. Control population was 110 women who visited or worked at Hasan Sadikin Hospital Bandung. The responses of the qustionnaieres were analyzed to determine whether subject of this study experience sexual dysfunction or not.Result : Women with diabetes mellitus were more likely to suffer from sexual dysfunction than population control (36 % vs 26 % ; p < 0.05 ). Women with diabetes mellitus complained more about decreased lubrication of vagina than population control ( 32 % vs 15 % ; p = 0.008 ). Age and length of suffering from diabetes mellitus are statistically not significant for causing female sexual dysfunction.Conclusion : Sexual problems are more likely to occur in women with diabetes mellitus."