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Hubungan antara Diameter Optic Nerve Sheath pada Grey Scale Ultrasound dengan Peningkatan Tekanan Intrakranial pada Pasien dengan Lesi Intrakranial Tatok Rudiharto; Bachtiar Murtala; Sri Asriyani; Mirna Muis; Cahyono Kaelan; Burhanuddin Bahar
Majalah Sainstekes Vol 6, No 1 (2019): JUNI 2019
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.92 KB) | DOI: 10.33476/ms.v6i1.1216

Abstract

The study aims to determine the correlation between diameter of optic nerve sheath on grey scale with increased intracranial pressure in patients with intracranial lesion. The research was conducted in Radiology Department of Dr. Wahidin Sudirohusodo Makassar from January 2019 – May 2019. The sample were 39 people aged ³18 years old with intracranial lesion. Axial computed tomography (CT) examination was performed to evaluate intracranial lesions and the presence of midline shift. The diameter of the optic nerve sheath was measured using eye ultrasonography. Data analyses used Spearman’s correlation test. The results showed that there was a correlation between the dilatation of the right and left optic nerve sheath diameter with midline shift (p value 0.04; p less than 0.05) on the diameter of the right optic nerve sheath showing a weak positive relationship (p value 0.02) for the diameter the optic nerve sheath left showing a medium positive relationship where the higher the midline shift, the wider the diameter of the left and right optical nerve sheath. There is a correlation between the right and left optic nerve sheath diameter (p less than equal 0.001) showing a strong positive relationship where the wider the diameter of the right optic nerve sheath, the wider the diameter of the left optic nerve sheath at high intracranial pressure. Statistically other results also obtained no relationship between dilatation of the diameter of the optic nerve sheath with clinical symptoms of increased intracranial pressure and type of lesion.
Korelasi Sudut Lumbosakral Berdasarkan MRI Lumbosakral dengan Oswestry Disability Index (ODI Score) pada Degenerative Disk Disease Yuliawati Yuliawati; Muhammad Ilyas; Bachtiar Murtala; Andi Alfian Zainuddin; Cahyono Kaelan; Mirna Muis
Majalah Sainstekes Vol 8, No 1 (2021): Juni 2021
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.728 KB) | DOI: 10.33476/ms.v8i1.1910

Abstract

Pengukuran sudut lumbosacral merupakan salah satu parameter dalam mengevaluasi kemungkinan etiologi dari nyeri punggung bawah yang disebabkan oleh degenerative disc disease. Oswestry Disability Index (ODI) Score digunakan untuk mengukur disabilitas pada nyeri punggung bawah. Penelitian ini bertujuan untuk mengetahui apakah ada korelasi antara sudut lumbosakral  berdasarkan MRI Lumbosakral dengan Oswestry Disability Index (ODI) Score pada degenerative disk disease. Penelitian ini menggunakan desain cross sectional yang dilaksanakan di Departemen Radiologi RS dr. Wahidin Sudirohusodo Makassar mulai bulan Mei sampai September 2020, didapatkan sampel sebanyak 67 pasien dengan keluhan nyeri punggung bawah dan telah mengisi kuisioner Oswestry Disability Index (ODI) Score serta menjalani pemeriksaan MRI lumbosacral. Pengukuran sudut lumbosacral dilakukan pada irisan mid sagital di work station MRI, derajat degenerative disc disease dinilai berdasarkan klasifikasi Pfirrmann. Metode  yang digunakan adalah uji korelasi Spearman dan Chi Square. Hasil penelitian menunjukkan adanya korelasi antara sudut lumbal lordosis (nilai p adalah 0,014), sudut sacral inclination (nilai p adalah 0,002), sudut sacral horizontal (nilai p adalah 0,034), umur  (nilai p kurang dari 0,0001) dengan degenerative disk disease. Tidak terdapat korelasi antara sudut lumbosacral disc (nilai p adalah 0,250), jenis kelamin (nilai p adalah 0,796), index massa tubuh (nilai p adalah 0,707) dengan degenerative disk disease. Adanya korelasi antara sudut lumbal lordosis (nilai p adalah 0,046), umur (nilai p kurang dari 0,0001), index massa tubuh (p kurang dari 0,0001) dengan ODI score. Tidak terdapat korelasi antara sudut lumbosacral disc (nilai p adalah 0,072), sudut sacral inclination (nilai p adalah 0,090), sudut sacral horizontal  (nilai p adalah 0,143),  jenis  kelamin  (nilai p adalah 0,337)  dengan  ODI   score. Adanya korelasi antara derajat degenerative disk disease dengan derajat ODI score (p kurang dari 0,0001)
PENGALAMAN SPRITUAL PASIEN KANKER KOLON DENGAN KOLOSTOMI PERMANEN: STUDI FENOMENOLOGI Masniati Arafah; Ariyanti Saleh; Cahyono Kaelan; Saldy Yusuf
Journal of Islamic Nursing Vol 2 No 2 (2017): Journal Of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.025 KB) | DOI: 10.24252/join.v2i2.3982

Abstract

Background: The spiritual aspect is the most challenging thing in a permanent colostomy Muslim patient. The spirituality of a Muslim's religious perspective is influenced by religious practice or ritual. Installation of permanent colostomy leads to uncontrolled expulsion of feces (feces) and uncontrolled gas. This condition will give effect of ritual change of keagaaman to a Muslim that will influence spiritual. Method: This research used qualitative method of phenomenology approach, the selection of participants by purposive sampling chosen in accordance with inclusion criteria. Data collection is done through in-depth interviews, by providing open questions, voice recorder and field notes. Results of the research were: (1) positive spiritual change, (2) acceptance response to colostomy action, (3) change in the implementation of worship, (4) need guidance in conducting worship, (5) hope to further improve the quality of his worship. Conclusion: There was a positive spiritual change in the condition of permanent colostomy. However it affects the implementation of ritual worship in patients of Muslim patients.
Literature Review : Relationship Between Moyamoya Disease And Cerebral Iscemic Incidents Muh. Fawwaz Irhadi; Mochammad Erwin Rachman; Cahyono Kaelan
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Moyamoya disease is a rare progressive cerebrovascular disorder characterized by blockage of arteries at the base of the brain, causing ischemic and hemorrhagic strokes. This condition is most common in children and adults in Asia, with the main symptoms being transient ischemic attacks (TIAs) or strokes. This study used a literature review method by collecting data from various medical journals related to the diagnosis and management of Moyamoya. Diagnosis is generally made through MRI, MRA, and DSA, with DSA being the best method to identify arterial stenosis and collateral formation. The results showed that treatment included medical therapy with aspirin and surgical revascularization procedures to improve cerebral blood flow, where direct revascularization provides faster results although technically more difficult. Early diagnosis and surgical intervention are essential to prevent disease progression.
PERSEPSI PASIEN TERHADAP FAKTOR YANG MEMPENGARUHI RUJUKAN PASIEN KECELAKAAN LALU LINTAS Muhammadong; Cahyono Kaelan; Armyn Nurdin
Nursing Arts Vol. 14 No. 2 (2020): NURSING ARTS
Publisher : Politeknik Kesehatan Kemenkes Sorong

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Abstract

ABSTRACT One form of implementation and development of health efforts in the National Resilience System (SKN) is the reference of health efforts. This study aimed to analyze the factors that affect the high number of referral traffic accident patients at the ERS Hospital Pangkep to the hospital Referral in Makassar. The design of this study was an correlation with cross sectional design with a sample size of 32 respondents. Sampling technique by Non Random Sampling (Purposive Sampling). Bivariate analysis is used to look at the factors that affect the rate of reference. From the combination of cells using the results of statistical test of Somers'D obtained significancy value of 0.006 <0.05, which indicated that the correlation was significant for human resources, where the correlation value is 0,507 which indicates that the correlation is strong, than facilities and emergencies. Therefore, the hospital should increase its human resources, in this case orthopedic and traumatology and anesthetist specialists, provide facilities in the form of official homes for specialists and provide incentives, make SOPs regarding patient referrals based on their medical diagnoses and collaborate with medical faculties so that Putting the doctor's residence in Pangkep Hospital, especially on holidays and other big days. Keywords: referral system, accident, human resources ABSTRAK Salah satu bentuk pelaksanaan dan pengembangan upaya kesehatan dalam Sistem Ketahanan Nasional (SKN) adalah rujukan upaya kesehatan. Penelitian ini bertujuan untuk menganalisis faktor yang mempengaruhi tingginya angka rujukan pasien kecelakaan lalu lintas di IGD RSUD Pangkep ke rumah sakit Rujukan di Makassar. Desain penelitian ini adalah korelasi dengan rancangan cross sectional dengan jumlah sampel 32 responden. Teknik pengambilan sampel secara Non Random Sampling (Purposive Sampling). Analisis bivariat digunakan untuk melihat faktor yang mempengaruhi tingginya angka rujukan. Dari hasil penggabungan cells dengan menggunakan hasil uji statistik Somers’D diperoleh nilai significancy sebesar 0,006 < 0,05 untuk SDM, yang menunjukkan bahwa hubungan bermakna, dimana nilai korelasi sebesar 0,507 yang menunjukkan bahwa korelasinya kuat, dibandingkan sarana dan kegawatdaruratan. Oleh karena itu, rumah sakit sebaiknya menambah sumber daya manusia dalam hal ini tenaga spesialis dokter ortopedi dan traumatologi dan anasthesi, menyediakan sarana berupa rumah dinas kepada dokter spesialis dan memberikan insentif, membuat SOP tentang rujukan pasien berdasarkan diagnosa medisnya dan melakukan kerjasama dengan fakultas kedokteran agar menempatkan dokter residence di rumah sakit pangkep, terutama pada hari libur dan harihari besar lainnya. Kata Kunci: sistem rujukan, kecelakaan, sumber daya manusia