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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.
Implementation of an Education and Early Detection Program to Reduce the Risk of Occupational Lung Disease in Furniture Craftsmen in Sambirembe Village Ardyanto, Tonang Dwi; Myrtha, Risalina; Prabowo, Nurhasan Agung; Apriningsih , Hendrastutik; Dyanneza, Frieska; Kuncorowati, Niken Dyah Aryani; Nugroho, Novianto Adi; Suwandono, Adji; Sari, Maria Galuh Kamenyangan; Shofiyah, Laily
Sebatik Vol. 29 No. 2 (2025): December 2025
Publisher : STMIK Widya Cipta Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46984/sebatik.v29i2.2640

Abstract

Furniture industry workers in Sambirembe Village, Sragen, face significant health risks from exposure to wood dust, particularly an increased risk of Chronic Obstructive Pulmonary Disease (COPD). This research is prompted by the low awareness among workers regarding these risks and the minimal use of personal protective equipment (PPE). The objective of this program was to increase workers' and business owners' knowledge of lung health, promote early detection of COPD, and encourage the adoption of safer work practices. The method employed was an intervention that included health education and lung function screening via questionnaires and spirometry. The results revealed a critical knowledge gap, where over 85% of workers had never heard of COPD, even though 70% of them reported experiencing respiratory symptoms. Furthermore, over 90% of workers admitted to rarely using masks. The intervention, which combined education with personalized spirometry data feedback, proved effective in increasing worker awareness of tangible health risks. In conclusion, the education-based and health-screening intervention program successfully raised furniture workers' understanding of COPD risks. An approach that integrates information with personal medical evidence is crucial for promoting behavioural change in high-risk work environments.
Identification of Bone Skeleton in Old Well Nugroho, Novianto Adi
Smart Medical Journal Vol 5, No 3 (2022): Smart Medical Journal
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v5i3.62250

Abstract

The purpose of forensic identification of cadavers is to identify each bone's usefulness in the identification process in addition to establishing the time and cause of death. Identification of skeletonized corpses will be difficult to assess, and pathological conditions such as broken bones and bruising of the bones are also an assessment of signs of violence in the individual. The results of the examination of the human skeleton show that one individual was identified. Meanwhile, bone is a mongoloid male, estimated to be between 20-25 years old with a bone height of 159 - 166 cm, in which bruises were found on top of the head. Post-mortem fractures were found at the tip of the distal femur and proximal tibia, and the estimated time of death is more than three months. The assessment of diatoms in the upper arm bones, which yielded a negative result, was done as a supporting investigation. Further, a sample of DNA was extracted from one of the second right ribs for analysis.
Development of Interactive Learning Media (Scaffolding) on Learning Materials of Stone and Concrete Nugroho, Novianto Adi; Yuana, Rosihan Ari; Sucipto, Taufiq Lilo Adi
Journal of Informatics and Vocational Education Vol 2, No 1 (2019): Journal of Informatics and Vocational Education
Publisher : Pendidikan Teknik Informatika dan Komputer, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/joive.v2i1.35700

Abstract

This research aims to develop interactive learning media on learning materials of stone and concrete for building engineering majors in class X and knowing the feasibility based on material experts, media experts and learning practitioners assessment’s and to know the usability level of its so it can be applied on teaching and learning activities. Research methods that used in this research is research and development method’s modified with 4-D development models. These method includes 4 development phase’s namely, (1) Defining phase (Define), (2) Designing phase (Design), (3) Developing phase (Develop), (4) Disseminating phase (Disseminate). Results of the research showed that interactive learning media (scaffolding) has been successfully created with 94% of feasibility level’s, its consisting of 90,5% of material feasibilities from material expert, 92% of media feasibilities from media expert and 99,5% of learning feasibilities from learning practitioners. So, it can be concluded that interactive learning media (scaffolding) has a very feasible of feasibility levels. Results of the research also showed that interactive learning media (scaffolding) has 86% of usability levels that consisted of 88,5% of effectively component’s, 87,5% of efficiency component’s and 81% of user satisfaction component’s. So, it can be concludes that interactive learning media (scaffolding) has a very good usability levels to use by media user’s.
Peningkatan Pengetahuan Petugas Kesehatan Mengenai Peran Spirometri Sebagai Alat Deteksi Dini Penyakit Paru Obstruktif Kronik (PPOK) di Fasilitas Kesehatan Layanan Primer Apriningsih, Hendrastutik; Prabowo, Nurhasan Agung; Ardyanto, Tonang Dwi; Myrtha, Risalina; Sari, Maria Galuh Kamenyangan; Shofiyah, Laily; Aryani, Niken Dyah; Nugroho, Novianto Adi; Dyanneza, Frieaska; Suwandono, Adji
Smart Society Empowerment Journal Vol 4, No 1 (2024): Maret
Publisher : Faculty of Medicine, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/ssej.v4i1.80196

Abstract

Pendahuluan: Penyakit Paru Obstruktif Kronik (PPOK) adalah salah satu dari sepuluh besar penyebab utama kematian di Indonesia. Prevalensi dan angka kematian akibat PPOK yang tinggi menunjukkan pentingnya deteksi dan tatalaksana dini PPOK. Underdiagnosis PPOK menurunkan akurasi data mortalitas, akurasi diagnosis yang terekam dalam database pada administasi kesehatan kurang jelas. Gold standard diagnosis PPOK adalah spirometri. Penerapan spirometri sebagai alat skrining mencakup penilaian besarnya underdiagnosis, intervensi potensial dan efektif, prediksi akurasi spirometri dan profil klinik spirometri. Pengabdian masyaratat ini bertujuan meningkatkan kemampuan tenaga kesehatan mengenai peran spirometri sebagai alat deteksi dini PPOK di fasilitas kesehatan primer.Metode: Pengabdian ini bekerjasama dengan Puskesmas Purwodiningratan Kota Surakarta. Metode yang digunakan dengan memberikan penyuluhan dan pelatihan spirometri kepada tenaga kesehatan di wilayah puskesmas tersebut. Untuk mengetahui tingkat pengetahuan tenaga kesehatan dilakukan evaluasi kegiatan berupa pre dan post-test mengenai soal-soal spirometri dasar.Hasil dan Pembahasan: Jumlah peserta kegiatan sebanyak 18 tenaga kesehatan tediri dari dokter umum dan perawat wilayah kerja Puskesmas Purwodiningratan. Hasil evaluasi menunjukkan bahwa tenaga kesehatan sudah mempunyai pengetahuan yang cukup mengenai spirometri, namun masih kurang dalam operasional dan interpretasi hasil spirometri. Sehingga masih memerlukan penyuluhan dan pelatihan. Hasil evaluasi didapatkan rerata nilai pre-test adalah 51,11 dan nilai post-test adalah 72,77. Sehingga terdapat peningkatan nilai sebesar 21,66 poin. Nilai pre-test terendah adalah 20 dan post-test adalah 50, sedangkan nilai pre-test tertinggi adalah 80 dan post-test adalah 100.Kesimpulan: Terdapat peningkatan pengetahuan tentang peran spirometri sebagai alat deteksi dini PPOK pada tenaga kesehatan di wilayah kerja Puskesmas Purwodiningratan.Kata kunci: spirometri; deteksi dini; PPOK; tenaga kesehatan; puskesmas Purwodiningratan