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PREVALENSI INFORMED CONSENT TERTULIS PADA KASUS TRAUMA KEPALA YANG DI TATALAKSANA DI RS UNS TAHUN 2020-2022 Suwandono, Adji; Angeline, Agiona; Nugroho, Novianto Adi
Cerdika: Jurnal Ilmiah Indonesia Vol. 3 No. 11 (2023): Cerdika : Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v3i11.678

Abstract

Trauma (injury) dilihat dari pengertian secara medis sedikit berbeda dari aspek medicolegal dimana secara medis, trauma atau perlukaan diartikan tidak adanya kontuinitas jaringan. Pengetahuan tentang alat atau benda yang berpotensi menimbulkan gangguan kesehatan seseorang merupakan pengertian trauma secara medicolegal. Berdasarkan Permenkes 290/2008, seluruh tindakan kedokteran, termasuk tindakan kedokteran yang mengandung resiko tinggi, memerlukan persetujuan tindakan kedokteran (Informed Consent). Penelitian ini berupa deskriptif observasional dengan teknik total sampling dimana sampel pada penelitiaan ini adalah seluruh kasus pada tatalaksana trauma kepala tahun 2020-2022 yang memiliki informed consent rekam medis di RS UNS. Analisa data dilakukan secara deskriptif. Didapatkan 106 kasus trauma kepala yang di tatalaksana di RS UNS tahun 2020-2022 dengan kasus terbanyak berupa trauma tumpul kepala sebanyak 99,23% berjenis kelamin laki-laki berusia 12-45 tahun dengan persentase data informed consent tertulis pada tatalaksana kasus tersebut sebanyak 84,91%. Prevalensi informed consent tertulis pada kasus trauma kepala yang di tatalaksana di RS UNS tahun 2020-2022 sebanyak 84,91% dengan kasus terbanyak berupa trauma tumpul kepala.
Differences in livor mortis in Wistar rats due to organophosphate induction and normal mortality: A randomized experimental study Nugroho, Novianto Adi; Sena, Muhammad Shokhiful Wafa Arya Wida; Suwandono, Adji
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 15, No 2, (2024)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol15.Iss2.art5

Abstract

Background: Pesticide intoxication, a significant global health issue, particularly in developing nations, is often caused by the most toxic pesticides, organophosphates. These substances activate the sympathetic and parasympathetic nervous systems, producing a characteristic livor mortis. It is a secondary sign of death that can be used to estimate the time and cause of death. Objective: This study aims to determine the difference in livor mortis due to organophosphate poisoning and ordinary death (decerebration) using Wistar rats.Methods: From March to April 2023, we conducted an experimental study with a posttest-only control group at the Laboratory of Animal Experiments, Faculty of Medicine, Sebelas Maret University. We used 32 male Wistar rats weighing 150-200 g, divided into control and test groups. The test group received organophosphate diazinon 1.16 ml through a nasogastric tube, while the control group was decerebrated. The data was processed with univariate analysis and an independent t-test.Results: There was a significant difference in the appearance and the persistence time of livor mortis between the control and test groups (p < 0.05). The color of livor mortis in the control group was purplish blue, while in the test group, it was reddish to blackish blue. Most of our samples displayed a distribution of livor mortis in the abdominal and dorsal regions, with a some displaying an abdominal distribution only.Conclusion: Our study reveals significant differences in the appearance and persistence time, as well as the color and distribution of livor mortis between decerebrated and organophosphate-induced dead rats.