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Kambey, Barry I.
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Journal : Medical Scope Journal (MSJ)

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Fungsi Kognitif Skala MOCA-INA pada Peserta PPDS Anestesiologi dan Terapi Intensif: Perbandingan Sebelum dan Setelah Jaga di Rumah Sakit Wonggo, Tesalonika; Kambey, Barry I.; Lalenoh, Diana C.
Medical Scope Journal Vol. 7 No. 1 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i1.56407

Abstract

Abstract: Shift duty can negatively impact cognitive function among residents of Specialist Program. This study aimed to obtain the differences in cognitive function of Anesthesiology and Intensive Therapy (ATI) residents at Universitas Sam Ratulangi before and after on-call duty at Prof. Dr. R. D. Kandou General Hospital Manado. This was a descriptive observational study with a cross-sectional design. Samples were residents of ATI who completed the Indonesian version of the Montreal Cognitive Assessment (MoCA-INA) before and 24 hours after on-call duty. The results showed a total of 31 residents as samples with a proportion of 24 (77.4%) males and seven (22.6%) females. There was a decline in most cognitive domains, with a statistical analysis demonstrating a decrease in the mean MoCA-INA score from 26.8387 to 25.0000, accompanied by a p-value of 0.000 (<0.05) and a Z-score < -2 obtained from the Wilcoxon test. In conclusion, there is a significant difference in cognitive function of residents of Anesthesiology and Intensive Therapy Specialist Program of Universitas Sam Ratulangi before and after on-call duty at the hospital. This is possibly due to cognitive overload caused by the shift duty. Keywords: cognitive function; MoCA-INA; shift duty; specialist program   Abstrak: Tugas jaga yang berat dapat berdampak negatif terhadap fungsi kognitif peserta Program Pendidikan Dokter Spesialis (PPDS). Penelitian ini bertujuan melihat perbedaan fungsi kognitif PPDS Anestesiologi dan Terapi Intensif (ATI) Universitas Sam Ratulangi sebelum dan sesudah jaga di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif observasional dengan desain potong-lintang pada PPDS ATI yang mengisi Montreal Cognitive Assesment versi Indonesia (MoCA-INA) sebelum dan 24 jam setelah jaga. Penelitian ini bertujuan untuk mengidentifikasi apakah terdapat perbandingan antara fungsi kognitif pada PPDS sebelum dan setelah menjalani tugas jaga 24 jam. Hasil penelitian mendapatkan 31 sampel dengan proporsi laki-laki sebanyak 24 (77,4%) orang dan perempuan sebanyak tujuh (22,6%) orang. Penurunan pada sebagian besar domain kognitif dengan hasil analisis statistik menunjukkan penurunan rerata skor MoCA-INA dari 26,8387 menjadi 25,0000 disertai dengan nilai p<0,05 (p=0,000) dan Z-score <-2 yang diperoleh melalui uji Wilcoxon. Simpulan penelitian ini ialah terdapat perbedaan fungsi kognitif PPDS Anestesiologi dan Terapi Intensif Universitas Sam Ratulangi yang bermakna antara sebelum dan setelah jaga di rumah sakit. Hal ini diduga disebabkan kelebihan beban kognitif akibat tugas jaga. Kata kunci: fungsi kognitif; MoCA-INA; tugas jaga; residen pendidikan dokter spesialis
Profil Pasien dengan Gangguan Elektrolit yang Dirawat di Ruang Perawatan Intensif Sumule, Vania S. P.; Laihad, Mordekhai L.; Kambey, Barry I.
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.58877

Abstract

Abstract: Electrolyte disturbance is a common health problem in critical patients in the Intensive Care Unit (ICU). These disorders can cause serious complications and contribute to increased morbidity and mortality. This study aimed to determine the description of electrolyte disturbances experienced by patients in the ICU of Prof. Dr. R. D. Kandou Hospital. This was an observational study with a retrospective design involving 252 patients admitted to the ICU with electrolyte disturbances from January to June 2023. Data were obtained from medical records and analyzed descriptively. The results showed that hyponatremia was the most common electrolyte disorder (65.1%), followed by hypokalemia (48%), hypochloremia (53.6%), hypocalcemia (61.5%), and hyperphosphatemia (40.5%). The highest incidence was in the age group >65 years (18.7% for hyponatremia and hypocalcemia). The majority of patients were male. The most common disease diagnosis was sepsis. In conclusion, hyponatremia and hypocalcemia are the main electrolyte disorders in critical patients in the ICU of Prof. Dr. R. D. Kandou Hospital. The high-risk group is elderly men with sepsis. Close monitoring of electrolytes needs to be done especially in patients with these conditions to prevent fatal complications. Keywords: electrolyte disturbance; hyponatremia; hypocalcemia   Abstrak: Gangguan elektrolit merupakan masalah yang sering terjadi pada pasien kritis di Intensive Care Unit (ICU). Penelitian ini bertujuan mengetahui profil pasien dengan gangguan elektrolit di ICU RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah observasional retrospektif dan pendekatan kuantitatif. Sampel penelitian ialah 252 pasien dengan gangguan elektrolit yang dirawat di ICU RSUP Prof. Dr. R. D. Kandou periode Januari-Juni 2023. Pengambilan sampel dilakukan secara purposive sampling. Variabel yang diteliti meliputi jenis gangguan elektrolit, karakteristik pasien (usia, jenis kelamin), diagnosis penyakit, dan lama rawat inap. Data dikumpulkan dari rekam medis dan dianalisis secara deskriptif. Hasil penelitian mendapatkan gangguan elektrolit terbanyak ialah hiponatremia (65,1%) dan hipokalsemia (61,5%). Kelompok usia >65 tahun (18,7%) dan laki-laki lebih banyak mengalami gangguan elektrolit, dan diagnosis tersering ialah sepsis. Rerata lama rawat inap pasien 1-7 hari. Simpulan penelitian ini ialah hiponatremia dan hipokalsemia merupakan gangguan elektrolit yang paling umum terjadi pada pasien ICU RSUP Prof. Dr. R. D. Kandou. Pasien usia lanjut dan sepsis berisiko tinggi mengalami gangguan elektrolit. Kata kunci: gangguan elektrolit; hiponatremia; hipokalsemia
Co-Authors Bazmul, Muhammad F. Datu, Muliana E. Diana C. Lalenoh, Diana C. Diana Ch. Lalenoh Harold F. Tambajong Laihad, Mordekhai L. Lalenoh, Diana C. H. Lantang, Eka Y. Laritmas, Sintikhe C. Y. Lucky T. Kumaat Lumanauw, Fabiola I. Poluan, Timothy M. Sumule, Vania S. P. Thambas, Anastasia T. Wonggo, Tesalonika Yana, Ruth D. Yanhil, Sitti I. Yaqin, Muh A.N