scholarly journals Characteristics of Patients with Pelvis injury in General Hospital of Haji Adam Malik Medan

2020 ◽  
Vol 13 (2) ◽  
pp. 103-109
Author(s):  
Irfan Ritonga ◽  
Chairiandi Siregar

Objective- Fractures and injuries to the pelvic ringmay be associated with severe trauma and other associated injuries. This study aims to determine the characteristics of patients with pelvic injury in Adam Malik Haji General Hospital Medan. Material and Method-The type of research conducted is a retrospective descriptive research method. This study was conducted in Medan Haji Adam Malik Hospital based on medical records of traumatic pelvic injury patients during the period of January 2016 - December 2017. The data used is secondary data taken from the records in the patient's medical record. The collected medical and demographic data is tabulated and presented in the form of a frequency distribution diagram or table and analyzed descriptively using total sampling. Results- During the period of research found from the medical record data of Medan Haji Adam Malik Hospital, there were 59 subjects with women as many as 18 subjects (30.5%) and 41 people (69.5%). . From the data collected, it was found that patients with a kindergarten background of 2 (16.9%), SD as many as 10 (16.9%) people, SMP as many as 8 (13.6%) people, high school as many as 25 (42, 4%) people, 10 (16.9%) people, and 4 (6.8%) people who don't go to school. Patients with tile type A1 total 12 patients (20.3%), tile type A2 as many as 18 people (30.5%), tile type B1 as many as 10 (16.9%), type tile B2 as many as 9 people (15.3 %), C1 tile type as many as 6 people (10.2%), C2 tile type as much as 1 (1.7%), and C3 tile type as much as 1 (1.7%). Patients with APC 1 compression type as many as 7 (11.9%) people, APC 2 as many as 13 (22%) people, APC 3 as many as 3 (5.1%) people, LC1 as many as 21 (35.6%) people, LC2 11 (18.6%) people, LC3 as many as 1 (1.7%) people, undefined as many as 2 (3.4%) people, and VS as many as 1 (1.7%) people. Conclusion- Patients who experience pelvic injuries are mostly male with an age range of 4-80 years. In terms of level of education, most patients are at the level of high school education. The most common mechanism of injury in pelvic injuries is lateral compression. The most common for tile classification is A2. Other most frequent injuries are lower limb fractures and the most common treatment for pelvic injuries are conservatives treatment.

Author(s):  
Cut Meurah Yeni ◽  
Aldilo Talima ◽  
Hijdrian Milzam

Gestasional diabetes mellitus (GDM) is a glucose intolerance of variable severity with onset or first recognition during pregnancy. This is a silence occurred disease by the patient so it made much of morbidity for baby and the mother. Purpose of the research is to found the prevalence of GDM in RSUDZA and how was the delivery outcome in 2018. This is a descriptive research which use medical record as a secondary data. Sample of the research is all of pregnant woman who diagnosed with GDM and got treatment at RSUDZA in 2018. From the research we got from 2538 pregnant woman there are 55 of them was diagnosed with GDM. 15 of them (27,3%) had a baby with birthweight >4000gr, and 6 of them (10,9%) had a baby with birthweight <2500gr.


2019 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Tia Kartika ◽  
Prima Adelin ◽  
Rinita Amelia

Preeclampsia is the cause of maternal deaths that high after bleeding. Lactate dehydrogenase (LDH) useful as biochemical markers to describe the severity of the preeclampsia-eclampsia. Aim of this study is to find out the relationship of lactate dehydrogenase levels with preeclampsia-eclampsia degrees in RSUP DR.M.Djamil Padang 2017. Methods od this research is observational analytic uses secondary data derived by medical record. The place of study was carried out at the medical record installation of central general hospital DR.M.Djamil Padang. The time of the study wasconducted in December 2018 - January 2019. The sample is preeklampsia-eklampsia patients these being treated in installation of inpatient and installation of outpatient in central general hospital DR.M.Djamil Padang 2017 which meets the criteria of inclusion and exclusion and drawn using simple random sampling techniques amounted to 32 people.Univariate analysis is presented in the form of tables and bivariate analysis was presented in the form af a table using the Spearman test. Results : Based on the research results obtained severe preeclampsia patients 21 persons (65,6%) have average levels of lactate dehydrogenase 979,05 u/l with range 313-1755 and eclampsia patients 11 persons (34,4%) have average levels of lactate dehydogenase 1838,64 u/l with range 420-5508. Spearman correlation tst obtained significant value of 0.001 and correlation 0,545. Conclusion : There is a relationship between the levels of lactate dehydrogenase with degree preeclampsia-eclampsia (p<0,05) with medium correlation (r=0,545)


2009 ◽  
Vol 21 (3) ◽  
Author(s):  
Nurmilah Maelani ◽  
Irna Sufiawati ◽  
Hartati Purbo Darmadji

Stevens-Johnson Syndrome is a mucocutaneous disease caused by allergic drug eruption. Antiretroviral (ARV) therapy for HIV/AIDS patient may cause allergic drug eruption such as Stevens-Johnson Syndrome.The aim of this research was to find out the prevalence of Stevens-Johnson Syndrome caused by ARV in hospitalize patient at Dr.Hasan Sadikin General Hospital Bandung from January to December 2008.It was a descriptive research by taking the secondary data from patient’s medical record. The result of this research showed that from 20 Stevens-Johnson Syndrome patients, 12 persons of them (60%) are men.Most of the patients were between the age of 20-29 (45%).Oral manifestation of Stevens-Johnson Syndrome seen in 100% patients.Prevalence of Stevens-Johnson Syndrome caused by ARV was 28.6% which seen in 8 HIV/AIDS patients.ARV combination consists of nevirapine, lamivudine, and zidovudine was the most (50.0%) ARV which suspected causing Stevens-Johnson Syndrome.The conclusion of this research showed that the prevalence of Stevens-Johnson Syndrome caused by ARV in hospitalize patient at Dr.Hasan Sadikin General Hospital Bandung 2008 was 28.6% seen in 8 HIV/AIDS patients.


2019 ◽  
Vol 1 (1) ◽  
pp. 15-21
Author(s):  
Rada Puspita ◽  
Haves Ashan ◽  
Fidiariani Sjaaf

Vision impairment is estimated to affect 285 million people in the world, where 16-20% experience blindness, from the number of blindness suffered at the age of 40-50 years. Cataract seninis is all lens opacities that are found in old age that is above 40 years. The purpose of identifying and collecting frequency data Profile of Senilis cataract patients at the age of 40 years and above at RSI Siti Rahmah Padang in 2017. The research method is descriptive type of research, this study data taken is secondary data, In this study data was taken from the Medical Record at RSI Siti Rahmah Padang. When the study was conducted in February-August 2018, the population of this study were all cataract patients at the age of 40 years and above at RSI Siti Rahmah Padang in 2017 with 80 samples. Data analysis is univariate presented in the form of a frequency distribution table. Results From 80 respondents as many as 40 people (50%) were in the age range of 60-69 years, as many as 42 people (52.5%) patients were male, as many as 31 people (38.8%) patients with high school education and 35 people (43.8%) patients work as private companies. Conclusion In general, most patients are at the age of 60-69 years, the most sex is men, the highest education is high school and most patients are private.


2020 ◽  
Vol 9 (1) ◽  
pp. 190-197
Author(s):  
Luh Putu Desy Puspaningrat ◽  
Gusti Putu Candra ◽  
Putu Dian Prima Kusuma Dewi ◽  
I Made Sundayana ◽  
Indrie Lutfiana

Substitution is still a threat to the failure of ARV therapy so that no matter how small it must be noted and monitored in ARV therapy. The aims  was analysis risk factor substitution ARV first line in therapy ARV. This study was an analytic longitudinal study with retrospective secondary data analysis in a cohort of patients receiving ARV therapy at the District General Hospital of Buleleng District for the period of 2006-2015 and secondary data from medical records of PLHA patients receiving ART.  Result in this study that the percentage of first-line ARV substitution events is 9.88% (119/1204) who received ARV therapy for the past 11 years. Risk factors that increase the risk of substitution in ARV therapy patients are zidovudine (aOR 4.29 CI 1.31 -2.65 p 0.01), nevirapine (aOR1.86 CI 2.15 - 8.59 p 0.01) and functional working status (aOR 1.46 CI 1.13 - 1.98 p 0.01). 


2020 ◽  
Vol 10 (1) ◽  
pp. 35-44
Author(s):  
Fausiah Fausiah

The number of inpatient visits in RSU Anutapura Palu, where in 2015 inpatient visits of 5,640, then in 2016 patient visits decreased to 5,451, in 2017 also decreased to 3,999 and in 2018 also decreased Drastic to 1,146 patient visits. This research aims to determine the utilization of health services in patients in general hospitalization in RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from May-June 2019. The population in the study is a visitor (number of hospitalizations) at the General Hospital (RSU) Anutapura Palu. In this case the people who use health services in the General Hospital (RSU) Anutapura Palu recorded as many as 1,146 visitors (patients) in the year 2018. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. The utilization of health services in patients in general hospitalization in RSU Anutapura Palu is well from the aspects of health beliefs, abilities and needs. RSU Anutapura Palu is expected to be able to improve the promotion of health services so that people use the health services provided.  


2020 ◽  
Vol 13 (1) ◽  
pp. 19-22
Author(s):  
Sarita Tuladhar ◽  
Jamuna Gurung

Introduction: Conjunctivitis is a common health problem in Nepal. It is inflammation of conjunctiva presenting as red eye. It is a communicable eye disease. Health education to the students and proper management can help spread of the disease. Knowledge of conjunctivitis among school students will help in prevention of the disease. So the study was carried out to assess the knowledge of conjunctivitis among high school students in Pokhara valley of Western Nepal. Materials/ Methods: A school based cross sectional study was performed among six government schools in western Nepal from May 2019 to June 2019. Students from grade eight, nine and ten were included in the study. Data was collected using structured questionnaire including demographic data, knowledge regarding sign symptoms of conjunctivitis, treatment, prevention, complication of conjunctivitis. Data was analysed using SPSS version 11.6. Result: A total of 523 students were included in the study. The mean age of the students was 14.7 ± 1.2 years with majority of females (53%). Nearly 2/3rd of the students (61.6%) had heard of conjunctivitis. Majority of the students (87.4%) of the students mentioned that it is communicable while 80.3% of the students correctly mentioned its etiology. Majority of the students (97.9%) mentioned that it is curable with treatment as first option (97.5%). Majority of the students (98.3%) correctly responded to the preventive measures but majority of the students (83.2%) wrongly mentioned mode of transmission. Conclusion: Secondary school students in Western Nepal have poor knowledge of conjunctivitis. Appropriate eye health education should be given to school students to prevent rapid spread of infective conjunctivitis.  


2021 ◽  
pp. 43
Author(s):  
Mohammed Alsabieh

Introduction: The aim of this retrospective medical record review was to describe the patterns and outcomes of traumatic spinal injuries (TSIs) in a tertiary care trauma center in Riyadh, Saudi Arabia. Methodology: Data of all patients who presented at a setting level-1 trauma center with any type of spinal trauma between February 1, 2016 and December 31, 2018 were review. The data obtained included age, gender, nationality (as Saudi and non-Saudi), date of presentation, site of fracture/injury, associated injuries, mechanism of injury, presence of neurological involvement, and hospital mortality. The main outcome of the review was frequencies of different types of TSI across various subgroups. Result: We identified 692 patients who presented with TSI during the study period. The mean age was 36.9 years. Males represented 83.2% (n = 576) of the sample size, and the most common mechanism of injury was motor vehicle collision (MVC), accounting for 66.8% of the cases (n = 462), while fall-related injuries were seen in 31.6% of the cases (n = 219). A total of 454 (65.6%) of all patients were Saudi, and 332 (73.1%) of the TSIs in Saudis were due to MVC. Non-Saudi cases accounted for 238 (34.4%) of all patients, and 89 (37.4%) of the non-Saudi injuries were due to falls from height, this association was statistically significant (p < 0.001). Conclusion: TSI was not thoroughly examined in Saudi Arabia; therefore, this study is considered the first to be done in the Kingdom using a representative sample. The fact that non-Saudi patients had a higher proportion of falls as a mechanism of injury should be taken into consideration in terms of raising awareness and taking more safety precautions, as most construction workers tend to be expatriates.


2015 ◽  
Vol 13 (2) ◽  
pp. 215-220 ◽  
Author(s):  
Cinthia Leite Frizzera Borges Bognar ◽  
Sergio Daniel Simon ◽  
Rene Claudio Gansl ◽  
Roberto Abramoff ◽  
Marcelo Aisen ◽  
...  

ABSTRACT Objective: To report the demographic data and clinical outcomes of non-small-cell lung cancer patients exposed to erlotinib in any line of treatment. Methods: This was a retrospective cohort study of nonsmall-cell lung cancer patients from a reference general hospital and a private oncology clinic, who received erlotinib from 2005 to 2011. Statistical analysis was performed and we evaluated demographic data and response to treatment, by correlating the results of this first cohort published in Brazil with results of current literature. Results: A total of 44 patients were included; 65.9% were diagnosed with adenocarcinoma, and 63.6% had metastatic disease. The mean age was 63.3 years. The median follow-up was 47.9 months. Epidermal growth factor receptor mutation screening was performed in 22.7% of patients (n=10), with mutation present in 30% of patients. The median overall survival was 46.3 months, and there was a higher probability of survival at 60 months for females compared to males (29.4% versus 15.8%; p=0.042). The other variables did not present significant statistical difference. Conclusion: We collected the largest cohort of patients with non-small-cell lung cancer who have used erlotinib in Brazil to date, and demonstrated that outcomes of patients treated at our clinic during the study period were consistent with the results of current literature in similar patients.


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