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Journal : Journal Of Nursing Practice

The Severity of Head Injuries Based on Injury Location: a Cross-Sectional Study Erik Irham Lutfi; Meirna Eka Fitriasnani; Hengky Irawan; Achmad Wahdi; Ely Isnaeni
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.821

Abstract

Background: The mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding. Intracerebral hemorrhage is a common complication of traumatic brain injury. The severity of head injury patients is a predisposing factor that causes high mortality and morbidity rates. The presence of bleeding in the head affects the severity of the patient's injury, bleeding in the head will reduce blood flow to the head, which will cause decreased blood perfusion to the brain. In severe head injury, a hematoma of more than 50 mL is associated with higher mortality. Acute ICH (Intra Cerebral Haemoraghea) can be a catastrophic event with the mortality largely predicted by the hematoma size, location, and the patients' GCS  (Glasgow Coma Scale) on admission. Objective: This study aims to determine the relationship between the location of intracerebral hemorrhage and the severity of head injury. Methods: This study uses a correlational analytical approach with a cross-sectional design, utilizing secondary data from medical records of patients with traumatic head injuries from January to December 2022. The calculation of severity using RTS (Revised Trauma Score). These three scores (Glasgow Coma Scale, Systolic Blood Pressure, Respiratory Rate) are then used to take the weighted sum by RTS = 0.9368 GCSP + 0.7326 SBPP + 0.2908 RRP Values for the RTS are in the range 0 to 7.8408. Scores range from 0-4. The study population was patients with moderate to severe traumatic head injuries. Data were analyzed using a correlation test based on Spearman's rank correlation. Results: The results showed a significant relationship between the location of head trauma lesions and the severity of head injury patients (p value = 0.008, correlation coefficient 0.378). Conclusion: Mortality and morbidity rates in patients with traumatic head injuries are still high, caused by primary damage due to internal bleeding.  The majority of patient with Trauma brain Injury is male and were in the productive age range ranging from 12-35 years. Epidural hematoma (EDH) is one of the most life-threatening lesions in patients with craniocerebral disease.
Bengkuang as an Alternative for Hypoestrogen Problems in the Reproductive System Mayasari Putri Ardela; Meirna Eka Fitriasnani; Putri Erika Kulistiyani
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.742

Abstract

Background: Hypoestrogenism is a condition characterized by a deficiency of the hormone estrogen. This condition is commonly experienced by women who are menopausal or those using hormonal contraceptives like Depot Medroxyprogesterone Acetate. Exposure to this synthetic progesterone can suppress the production of estrogen, leading to a decrease in the expression of estrogen receptors. One alternative to overcome the problem of hypoestrogenism is the use of natural ingredients known as phytoestrogens, which are chemically and functionally similar to estrogen. Bengkuang is known as one of the sources of phytoestrogens. Purpose: This study aims to assess the impact of bengkuang ethanol extract on estrogen levels and the expression of estrogen receptor beta in a hypoestrogenic rat model exposed to DMPA. Methods: This experimental study involved 25 rats, which were divided into five groups. One group served as the negative control and did not receive DMPA or Bengkuang extract, while the four treatment groups were administered DMPA at a dose of 2,7 mg every three days, repeated four times. Three of the treatment groups received Bengkuang extract at varying doses. The data were analyzed using a one-way ANOVA test. Results: The findings indicated significant differences (p < 0,05) in estrogen levels and the expression of estrogen receptor beta. Conclusion: Administration of bengkuang extract can enhance the female reproductive system with low estrogen levels.
Co-Authors Achmad Wahdi Alfika Awatiszahro Anis Nikmatul Nikmah Ayu Tiska Arlik Insiati Clara Anabel Galla Darul Arayan, Arasyesa Dewi Nur Afifi Dewi, Rahma Kusuma Dhita Kris Prasetyanti Dhita Kris Prasetyanti Dhita Kris Prasetyanti Dwi Ayu Lestari Erik Irham Lutfi Fathia Sari, Bintang Fauzia Laili Fauzia Laili Fithri Rif'atul Himmah Fithri Rifatul Himmah Fithri Rif’atul Himmah Galuh Pradian Yanuaringsih Gina Salsabila Harnida Harnida Hengky Irawan Himmah, Fithri Rif'atul Himmah, Fithri Rif’atul Huda Rohmawati Ihrom Fatma Saputri Isnaeni, Ely Jamhari Jamhari Khofidhotur Rofi’ah Kris Prasetyanti, Dhita Kurnia Kurnia Novitasari Kurnia Novitasari Kusuma Dewi, Rahma Kusumawati, Lindha Sri Lindha Kusumawati Lindha Sri Kusumawati Lindha Sri Kusumawati Mahmudah, Naufal Mayasari Putri Ardela mega puspita, nara lintan Nara Lintan Mega Puspita Nara Lintan Mega Puspita Nara Lintan Mega Puspita Nikmah, Anis Nikmatul Nikmatul Firdaus, Nikmatul Nikmatul Nikmah, Anis Nugrohowidi, Agung Nur Wasilatul Kauniyah Nuraeni Nurul Istikvarini Prasetyanti, Dhita Kris Pria Sabila Putri Puspita, Nara Lintan Mega Putri Ardela, Mayasari Putri Erika Kulistiyani Rahma Kusuma Dewi Rahma Kusuma Dewi Rahmat Kusuma Dewi Raras Sucma Ambar Raras Sucma Ambar Pamula Raras Sukma Ambar Rif’atul Himmah, Fithri Saputri, Ihrom Fatma siti aminah SITI AMINAH Siti Aminah Siti Aminah Siti Khotimah Siti Khotimah Siti Siti Aminah Tira Gustiara Dewi weni tri purnani Yeni Puspita Anggraini Yeni Puspita Anggraini Yunicha Viridula, Erike Yunita Lamunde