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NILAI FUNCTIONAL INDEPENDENCE MEASURE PENDERITA CEDERA SERVIKAL DENGAN PERAWATAN KONSERVATIF Arifin, MZ; H., Jefri
Jurnal Kesehatan Masyarakat Vol 8, No 1 (2012)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Masalah penelitian adalah bagaimana nilai Functional Independence Measure (FIM) pasien cedera servikal dengan manajemen konservatif. Tujuan penelitian untuk menganalisis nilai Functional Independence Measure (FIM) pasien cedera servikal dengan manajemen konservatif. Metode penelitian kohor prospektif dengan observasi pada semua pasien cedera servikal yang memenuhi kriteria inklusi di bagian Bedah Saraf Rumah Sakit (RS) Dr. Hasan Sadikin Bandung. Subjek dikelompokkan berdasarkan umur, jenis kelamin, trauma tunggal/multipel, akut/kronik, abnormalitas servikal, lesi komplit/inkomplit, dan ASIA impairment score. Data dianalisis menggunakan uji t dan uji chi kuadrat. Hasil penelitian menunjukkan terdapat 17 pasien cedera servikal yang dirawat di bagian Bedah Saraf RS Dr. Hasan Sadikin Bandung periode April 2009–April 2010. Rata-rata nilai FIM pasien cedera servikal adalah 4+1,63. Tidak terdapat hubungan umur, jenis kelamin, jenis trauma, onset trauma, dan abnormalitas servikal dengan besarnya nilai FIM pasien cedera servikal. Simpulan penelitian adalah terdapat hubungan jenis lesi cervical spine, ASIA impairment score dengan besarnya nilai FIM pasien cedera servikal. Jenis lesi cervical spine dan ASIA impairment score memiliki hubungan bermakna dengan besarnya nilai FIM pasien 6 bulan pasca cedera servikal. The research problem was how the Functional Independence Measure score (FIM) cervical injury patients with conservative management. The purpose of this study was to analyze the value of the functional independence measure (FIM) cervical injury patients with conservative management. Prospective cohort methods used to observe cervical injury in all patients who met the inclusion criteria at the Neurosurgery Hospital (Hospital) Dr. Hasan Sadikin. Subjects were grouped by age, sex, trauma, single/multiple, acute/chronic, cervical abnormalities, complete/incomplete lesions, and ASIA impairment score. Data were analyzed using t test and chi-square test. The results showed there were 17 patients with cervical injuries were treated at the Hospital of Neurosurgery Dr. Hasan Sadikin the period April 2009-April 2010. The average value of FIM cervical injury patients was 4 +1.63. There wasn’t relationship to age, sex, type of trauma, the onset of trauma, and cervical abnormalities with the value of FIM cervical injury patients. The conclusion, there was relationship type of cervical spine lesions, ASIA impairment score with the value of FIM of cervical injuries patients. Type the cervical spine lesions and ASIA impairment score had significant correlation with the value of FIM 6 months after injury of cervical patients.
The correlation between serum neuron-specific enolase level in adult patients of oromaxillofacial fracture with mild head injury Ruslin, M.; Yusup, HY; Arifin, MZ; Noormartany, N.
Padjadjaran Journal of Dentistry Vol 21, No 3 (2009): November
Publisher : Faculty of Dentistry Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.105 KB) | DOI: 10.24198/pjd.vol21no3.14114

Abstract

Oromaxilofacial fracture will have associated with head injury due to its adjacent location and structure. The oromaxillofacial structure is considered to be as force silencer for trauma so that it can protect the intracranial structures. Neuron-specific enolase (NSE) is a specific enzyme within neuron cells and can be detected rapidly in serum. The objective of the study was to investigate the increased serum NSE level in adult patients with oromaxillofacial fracture with mild head injury; and to investigate the correlation between serum NSE level and the location of oromaxillofacial fracture (upper, middle, lower regions, or the combinations) in adult patients with mild head injury. This study used the analytical observational method with a cross-sectional design, that conducted in Department of Neurosurgery, Department of Oral and Maxillofacial Surgery, and Laboratory of Clinical Pathology, Dr Hasan Sadikin Hospital, Bandung, from August to October 2008. The serum NSE level examination was undertaken by blood sample taking then examined with electrochemiluminescence immunoassay (ECLIA). The data were analyzed using Mann-Whitney test to seek the increased serum NSE level; using Kruskal-Wallis to seek the mean of increased serum NSE levels by location of oromaxillofacial fracture; and using Spearman ranked correlation test to seek the correlation between the increased serum NSE levels and location of oromaxillofacial fracture in adult patients with mild head injury. The study results indicated that there was an increased serum NSE level in adult patients with oromaxillofacial fracture with mild head injury by 13.12 ng/mL compared to adult healthy group by 7.72 ng/mL (p<0.001). By upper, middle, and lower regions of oromaxillofacial fracture, the serum NSE level of oromaxillofacial fracture at combined upper-middle-lower region was significantly the highest, i.e., 21.14 ng/mL (p=0.049). A positive correlation between the increased serum NSE level and location of oromaxillofacial fracture caused by mild head injury existed (rs=0.33, p=0.020). In conclusion, there was an increased serum NSE level in adult patients with oromaxillofacial fracture with mild head injury; and there was also a positive correlation between the increased serum NSE level and location of oromaxillofacial fracture due to mild head injury.
NILAI FUNCTIONAL INDEPENDENCE MEASURE PENDERITA CEDERA SERVIKAL DENGAN PERAWATAN KONSERVATIF Arifin, MZ; H., Jefri
KEMAS: Jurnal Kesehatan Masyarakat Vol 8, No 1 (2012)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v8i1.2253

Abstract

Masalah penelitian adalah bagaimana nilai Functional Independence Measure (FIM) pasien cedera servikal dengan manajemen konservatif. Tujuan penelitian untuk menganalisis nilai Functional Independence Measure (FIM) pasien cedera servikal dengan manajemen konservatif. Metode penelitian kohor prospektif dengan observasi pada semua pasien cedera servikal yang memenuhi kriteria inklusi di bagian Bedah Saraf Rumah Sakit (RS) Dr. Hasan Sadikin Bandung. Subjek dikelompokkan berdasarkan umur, jenis kelamin, trauma tunggal/multipel, akut/kronik, abnormalitas servikal, lesi komplit/inkomplit, dan ASIA impairment score. Data dianalisis menggunakan uji t dan uji chi kuadrat. Hasil penelitian menunjukkan terdapat 17 pasien cedera servikal yang dirawat di bagian Bedah Saraf RS Dr. Hasan Sadikin Bandung periode April 2009–April 2010. Rata-rata nilai FIM pasien cedera servikal adalah 4+1,63. Tidak terdapat hubungan umur, jenis kelamin, jenis trauma, onset trauma, dan abnormalitas servikal dengan besarnya nilai FIM pasien cedera servikal. Simpulan penelitian adalah terdapat hubungan jenis lesi cervical spine, ASIA impairment score dengan besarnya nilai FIM pasien cedera servikal. Jenis lesi cervical spine dan ASIA impairment score memiliki hubungan bermakna dengan besarnya nilai FIM pasien 6 bulan pasca cedera servikal. The research problem was how the Functional Independence Measure score (FIM) cervical injury patients with conservative management. The purpose of this study was to analyze the value of the functional independence measure (FIM) cervical injury patients with conservative management. Prospective cohort methods used to observe cervical injury in all patients who met the inclusion criteria at the Neurosurgery Hospital (Hospital) Dr. Hasan Sadikin. Subjects were grouped by age, sex, trauma, single/multiple, acute/chronic, cervical abnormalities, complete/incomplete lesions, and ASIA impairment score. Data were analyzed using t test and chi-square test. The results showed there were 17 patients with cervical injuries were treated at the Hospital of Neurosurgery Dr. Hasan Sadikin the period April 2009-April 2010. The average value of FIM cervical injury patients was 4 +1.63. There wasn’t relationship to age, sex, type of trauma, the onset of trauma, and cervical abnormalities with the value of FIM cervical injury patients. The conclusion, there was relationship type of cervical spine lesions, ASIA impairment score with the value of FIM of cervical injuries patients. Type the cervical spine lesions and ASIA impairment score had significant correlation with the value of FIM 6 months after injury of cervical patients.