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Wagiu, Angelica
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Profil Pasien Trauma akibat Kecelakaan Lalu Lintas yang Dirawat di Instalasi Rawat Darurat Bedah RSUP Prof. Dr. R. D. Kandou Manado Periode 1 Januari – 31 Desember 2017 Zai, Petrina C.; Wagiu, Angelica; Rawung, Rangga
e-CliniC Vol 6, No 2 (2018): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.6.2.2018.22125

Abstract

Abstract: Traffic related death and trauma are major health problems in developing countries. Traffic accident needs multidisciplinary approach. Data regarding the profile of traumatic patients due to traffic accidents are still limited especially in Indonesia. This study was aimed to obtain the profile of traumatic patients due to traffic accidents admitted to the emergency unit of Surgery Department, Prof. Dr. R. D. Kandou Hospital Manado, from 1st January to 31st December 2017. This was a descriptive retrospective study using medical record data of the patients. Samples were all traumatic patients due to traffic accidents admitted to the emergency unit of Surgical Department. The results showed that of 173 patients the majority were as follows: adults 121 patients (69.9%), males 123 patients (71.1%), drivers 113 patients (65.3%), bikers 138 patients (88.5%), without using safety equipment 93 patients (59.6%), negative alcohol 141 patients (81.5%), head trauma 91 patients (52.6%), and outpatients as many as 130 patients (75.1%).Keywords: trauma, traffic accident Abstrak: Trauma dan kematian akibat kecelakaan lalu lintas (KLL) merupakan masalah kesehatan masyarakat yang utama di negara berkembang. Kecelakaan lalu lintas memerlukan penanganan dengan pendekatan multidisipliner. Data tentang profil pasien trauma akibat KLL terbilang masih sedikit khususnya di Indonesia. Penelitian ini bertujuan untuk mengetahui profil pasien trauma akibat KLL yang dirawat di Instalasi Rawat Darurat Bedah RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari s/d 31 Desember 2017. Jenis penelitian ialah deskriptif retrospektif menggunkan data rekam medik pasien. Sampel penelitian ialah semua pasien trauma akibat KLL yang dirawat di Instalasi Rawat Darurat Bedah RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian menunjukkan bahwa dari 173 pasien KLL, didapatkan yang terbanyak ialah pasien usia dewasa 121 orang (69,9%), jenis kelamin laki-laki 123 orang (71,1%), pengendara 113 orang (65,3%), pengguna motor 138 orang (88,5%), tidak memakai alat pengaman 93 orang (59,6%), negatif alkohol 141 orang (81,5%), trauma kepala 91 orang (52,6%), dan rawat jalan 130 orang (75,1%).Kata kunci: trauma, kecelakaan lalu lintas
250 Gambaran Benigna Prostat Hiperplasia di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari 2014 – Juli 2017 Adelia, Filzha; Monoarfa, Alwin; Wagiu, Angelica
e-CliniC Vol 5, No 2 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.5.2.2017.18538

Abstract

Abstract: Benign prostatic hyperplasia (BPH) is defined as stromal cell proliferation of prostate gland which causes enlargement of the gland. It manifests as urine flow disturbance, difficult to urinate, and desire to urinate, however, the urine emission is low. In 2013, Indonesia has 9.2 million cases of BPH among men aged over 60 years. This study was aimed to obtain the profile of BPH cases at Prof. Dr. R. D. Kandou Hospital Manado in the period of January 2014 to June 2017. This was a retrospective descriptive study at Medical Record Installation of Prof. Dr. R. D. Kandou Hospital. The results showed that during that period of time, the highest percentage of cases was in 2016 (38.46%) and the most common age group was 61-70 years old (46.15%). The main complaint among the patients was difficult to urinate and the most frequently performed action was transurethral resection of prostate (TURP) (51.28%). Conclusion: In this study, BPH cases were most common at the age group 61-70 years old. Moreover, TURP was the most common action performed.Keywords: benign prostatic hyperplasia Abstrak: Benigna prostat hiperplasia (BPH) didefinisikan sebagai proliferasi dari sel stromal pada prostat, yang menyebabkan pembesaran kelenjar tersebut. Manifestasi BPH dapat berupa terganggunya aliran urin, sulit buang air kecil (BAK), dan keinginan buang air kecil namun pancaran urin lemah. Pada tahun 2013 di Indonesia terdapat 9,2juta kasus BPH, umumnya diderita laki-laki berusia di atas 60 tahun. Penelitian ini bertujuan untuk mendapatkan gambaran kasus BPH di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2014 – Juli 2017. Jenis penelitian ialah deskriptif retrospektif , yang dilakukan di Instalasi Rekam Medik RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian menunjukkan bahwa jumlah kasus BPH tertinggi pada tahun 2016 (38,46%) dan pada kelompok usia 61-70 tahun (46,15%). Keluhan utama semua pasien ialah sulit BAK. Tindakan yang paling sering digunakan yaitu transurethral resection of prostate (TURP) (51,28%). Simpulan: Kasus BPH terutama ditemukan berusia 61-70 tahun. Tindakan yang paling sering dilakukan yaitu reseksi prostat transuretra (TURP).Kata kunci: benigna prostat hiperplasia
Gambaran Luaran Fungsional Tatalaksana Pasien Neglected Fraktur Sub-trokanter Menggunakan Reversed Distal Femur Limited Contact Dynamic Compression Plate di Rumah Sakit Bhayangkara Manado Rifai, Lilik; Rawung, Rangga B. V.; Wagiu, Angelica
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.32305

Abstract

Abstract:  Subtrochanter fracture is still a health problem due to the difficulty of treatment and the high incidence of non-union and malunion after treatment. Limited Contact-Dynamic Compression Plate (LC-DCP), an implant designed to be used in distal femur fractures, is reported as an alternative for the treatment of subtrochanter fractures. This study was aimed to obtain the functional outcome of neglected subtrochanter fractures using reversed distal femur LC-DCP at Bhayangkara Hospital Manado. This was a retrospectoive study using the medical record and by-phone evaluation of patients with neglected subtrochanter that were managed with the reversed distal femur LC-DCP in 2018-2019 at Bhayangkara Hospital, Manado. Patients were evaluated with the Harris Hip Score (HHS). The results showed that there were 6 patients who met the inclusion criteria and could be contacted by phone. The HHS results showed 6 patients of poor category (mean score of 25.6) at 3 months after surgery; 3 patients of poor category and 3 patients of fair category (mean score of 66.4) at 6 months after surgery; and 4 patients of good category and 2 patients of excellent category (mean score of 89.9) at 12 months after surgery. In conclusion, the functional outcomes of the patients were poor category at 3 months after surgery, poor to fair at 6 months after surgery, and good to excellent at 12 months after surgery.Keywords: functional outcome, neglected subtrochanter fracture, reversed distal femur limited contact – dynamic compression plate, Harris hip score Abstrak: Fraktur subtrokanter masih merupakan masalah kesehatan karena sulitnya penanganan dan tingginya angka kejadian non-union dan malunion setelah penanganan. Limited contact-dynamic compression plate (LC-DCP) yaitu implan yang dirancang untuk fraktur femur bagian distal dilaporkan dapat dijadikan alternatif untuk penanganan fraktur subtrokanter. Penelitian ini bertujuan untuk memperoleh gambaran luaran fungsional tatalaksana pasien neglected fraktur subtrokanter menggunakan reversed distal femur LC-DCP di RS Bhayangkara Manado. Jenis penelitian ialah retrospektif menggunakan data rekam medis dan evaluasi melalui telepon pada pasien dengan neglected fraktur subtrokanter yang ditatalaksana menggunakan reversed distal femur LC-DCP pada tahun 2018-2019 di RS Bhayangkara Manado. Pasien dievaluasi dengan Harris Hip Score (HHS). Hasil penelitian mendapatkan 6 pasien yang memenuhi kriteria inklusi. Hasil evaluasi HHS mendapatkan 6 pasien kategori poor (rerata skor 25,6) saat 3 bulan pasca operasi; 3 pasien kategori poor dan 3 pasien fair (rerata skor 66,4) saat 6 bulan pasca operasi dengan; dan 4 pasien kategori good dan 2 pasien dengan kategori excellent (rerata skor 89,9) saat 12 bulan pasca operasi. Simpulan penelitian ini ialah luaran fungsional pasien-pasien tersebut ialah HHS poor pada 3 bulan pasca operasi; HHS poor-fair 6 bulan pasca operasi; dan HHS good-excellent pada 12 bulan pasca operasi.        Kata kunci: luaran fungsional, neglected fraktur subtrokanter, reversed distal femur limited contact – dynamic compression plate, Harris hip score