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Relationship of Gross Motor Function Classification System Level with The Incidence of Epilepsy Fujianti, Annisa; Hidayah, Nurul; Triawanti, Triawanti; Fakhrurrazy, Fakhrurrazy; Bakhriansyah, Mohammad
Berkala Kedokteran Vol 20, No 1 (2024)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v20i1.18763

Abstract

Epilepsy is one of the comorbidities or complications that can occur in cerebral palsy (CP) pediatric, the severity of CP can be measured using the gross motor function classification system (GMFCS) level. The aim of this study was to determine the relationship of GMFCS level with incidence of epilepsy in CP pediatric at RSUD Ulin Banjarmasin. This research used a cross – sectional method. Subjects were CP pediatric outpatients aged 2-18 years at pediatric polyclinic and medical rehabilitation installation RSUD Ulin Banjarmasin. Samples were obtained with total sampling technique during September-November 2021. Data were analyzed univariate and bivariate by Fisher’s exact test with a significance level of p <0,005. There were 33 CP pediatric who fulfilled the inclusion and exclusion criteria. The result showed that most of the patients were aged 2-5 years (63,6%), male sex (57,6%), severe GMFCS levels (75,8%) and had epilepsy (66,7%). There was a significant correlation of GMFCS level with incidence epilepsy (p=0,008, PR=3,2). It can be concluded that GMFCS level is associated with incidence epilepsy in CP pediatric at RSUD Ulin Banjarmasin.
The Effectiveness of The Handwashing Program with Soap (CTPS) In Preventing E. Coli Contamination on Elementary School Student, West Martapura South Kalimantan Mutttaqien, Fauzan; Khatimah, Husnul; Fakhrurrazy, Fakhrurrazy; Arganita, Fidya Rahmadhany; Maulana, Irfan; Yuliana, Ida
Berkala Kedokteran Vol 20, No 1 (2024)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v20i1.18762

Abstract

Martapura river had been  discovered of indicators of microbial contamination of drinking water, namely total coliform and E coli which are harmful to health. CTPS program for elementary schools in West Martapura sub-district has been going  for  long time to prevent disease. Tihis study aimed to know the difference in the effectiveness of using Martapura river water for CTPS in elementary school children in Martapura Barat District to preventing E. Coli contamination. The research method used the true experiment method with a posttest only control group design research design. The research group named group (P1) CTPS using processed Martapura river water, group with hand washing soap (P2) CTPS using Martapura river water without being processed and group (K) CTPS with PDAM water . The research subjects were18  elementary student selected by simple random sampling technique.  The object study was the observation of the presence of Escherichia coli bacteria which were found from the hand swabs of elementary school children in West Martapura sub-district whose schools had treated water facilities and did not have treated water facilities. Also taking palm swabs for the research subjects, a quality test for PDAM water, Martapura river water and processed river water at the three elementary schools was carried out and examined at the Banjarbaru BBTKL-PPB Laboratory. The results showed that for CTPS water samples from PDAM water sources only counted 1 CFU E coli/100 ml, while CTPS water from the Martapura River and PAMSIMAS the number of E. coli colonies was > 200 CFU/100 ml. For all samples of palm swabs from the elementary school students, all results were negative for E. Coli CFU / cm2. The conclusion is that there is no difference in the effectiveness of using Martapura River water, both treated and untreated, in the CTPS program in reducing E.Coli numbers.
PERBEDAAN GANGGUAN KESEIMBANGAN DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Sandaga, Putri Noor; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14568

Abstract

Abstract: Stroke causes weakness and results in balance disorders and can affect functional activities. The research aims to determine whether there are differences in balance disorders in post-stroke patients based on patient characteristics. The research was conducted using observational analysis methods and a cross-sectional design. The primary data used is the results of observations of the Berg Balance Scale questionnaire assessment. The research population was post-stroke patients at the Medical Rehabilitation Polytechnic. Number of samples in the period November-December 2023 using purposive sampling technique. The results of the study did not show a relationship between balance disorders in terms of gender, age, stroke onset, lesion location, Brunstrom stage, history of attacks, comorbidities and history of therapy in post-stroke patients. From the results of the study, no relationship was found between mobility impairments based on the characteristics of post-stroke patients at the medical rehabilitation clinic at Ulin District Hospital, Banjarmasin. Keywords: Balance disorders, post-stroke, Berg Balance Scale. Abstrak: Stroke menyebabkan kelemahan dan mengakibatkan gangguan keseimbangan serta dapat mempengaruhi aktivitas fungsional. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan keseimbangan pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien. Penelitian dilakukan dengan metode analisis observasional dan desain potong lintang. Data primer yang digunakan adalah hasil pengamatan penilaian kuesioner Berg Balance Scale. Populasi penelitian adalah pasien pasca stroke di Poli Rehabilitasi Medik. Jumlah sampel pada periode November-Desember 2023 dengan teknik purposive sampling.  Hasil penelitian tidak di dapatkan hubungan antara gangguan keseimbangan ditinjau dengan jenis kelamin,usia,onset stroke,letak lesi,stadium brunnstrom,riwayat serangan,komorbid dan riwayat terapi pada pasien pasca stroke. Dari hasil penelitian tidak didapatkan hubungan antara gangguan mobilitas ditinjau berdasarkan karakteristik pasien pasca stroke di poli rehabilitasi medik RSUD ulin Banjarmasin. Kata-kata kunci: Gangguan keseimbangan, pasca stroke, Berg Balance Scale.
PERBEDAAN GANGGUAN MOBILITAS DITINJAU BERDASARKAN KARAKTERISTIK PASIEN PASCA STROKE DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Luthfiyyah, Rifaa; Siddik, Muhammad; Sanyoto, Didik Dwi; Hayati, Azka; Fakhrurrazy, Fakhrurrazy
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14569

Abstract

Abstract: Stroke results in limited mobility. Mobility impairment due to stroke affects functional activities. The research aims to determine whether there are differences in mobility impairment in post-stroke patients based on patient characteristics. The method used is observational analysis with a cross-sectional design. The data used is primary data from examination observations using the Functional Ambulation Category questionnaire. This research targets the population of post-stroke patients at the Medical Rehabilitation Clinic. Number of samples in the period November-December 2023 using purposive sampling technique. The results of the study did not show a relationship between mobility impairment in terms of gender, age, stroke onset, lesion location, Brunstrom stage, history of attacks, comorbidities and history of therapy in post-stroke patients. From the results of the study, no relationship was found between mobility impairments based on the characteristics of post-stroke patients in the medical rehabilitation clinic at Ulin District Hospital, Banjarmasin. Keywords: Mobility disorders, post-stroke patients, Functional Ambulation Category Abstrak: Stroke mengakibatkan keterbatasan mobilitas. Gangguan mobilitas akibat stroke mempengaruhi aktivitas fungsional. Penelitian bertujuan mengetahui apakah terdapat perbedaan gangguan mobilitas pada pasien pasca stroke yang ditinjau berdasarkan karakteristik pasien. Metode yang digunakan adalah analisis observasional dengan desain potong lintang. Data yang digunakan adalah data primer pengamatan pemeriksaan menggunakan kuesioner Functional Ambulation Category. Penelitian ini menargetkan populasi pasien post stroke Poli Rehabilitasi Medik. Jumlah sampel pada periode November-Desember 2023 dengan teknik purposive sampling.  Hasil penelitian tidak di dapatkan hubungan antara gangguan mobilitas ditinjau dengan jenis kelamin,usia,onset stroke,letak lesi,stadium brunnstrom,riwayat serangan,komorbid dan riwayat terapi pada pasien pasca stroke. Dari hasil penelitian tidak didapatkan hubungan antara gangguan mobilitas ditinjau berdasarkan karakteristik pasien pasca stroke di poli rehabilitasi medik RSUD Ulin Banjarmasin. Kata-kata kunci: Gangguan mobilitas, pasien pasca stroke, Functional Ambulation Category.
Handwashing with soap training for elementary school children along the Martapura riverbank Husnul Khatimah; Fakhrurrazy Fakhrurrazy; Fauzan Muttaqien; Fahrina Ulfah; Siti Khairiyah; Ida Yuliana; Irfan Maulana
Community Empowerment Vol 9 No 9 (2024)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12013

Abstract

Handwashing with soap, when practiced correctly, is the simplest and most effective way to prevent the spread of fecal-oral and other diseases among children. One of the national elementary school health programs is handwashing with soap (CTPS). Therefore, the purpose of this community service activity is to improve the handwashing skills of elementary school children living near the Martapura River. The methods used were lectures with question-and-answer sessions, demonstrations, focus group discussions, and practice. The results of this activity showed an increase in understanding and skills related to CTPS, so that children know the benefits and procedures.
The Relationship between Drinking Water Sources and Nutritional Status of Elementary School Children on the Martapura Riverbank Khatimah, Husnul; Mutttaqien, Fauzan; Fakhrurrazy, Fakhrurrazy; Arganita, Fidya Rahmadhany; Maulana, Irfan; Yuliana, Ida
Berkala Kedokteran Vol 21, No 1 (2025)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v21i1.22154

Abstract

Environment cleanliness has an indirect impact on nutritional status, particularly in the growth and development stages of children. In this study, school-age children living along the Martapura River's banks were asked to assess their nutritional health and the relationship between their drinking water sources. Study methodology employing a cross-sectional study design and analytical observational techniques. Research participants comprised 53 primary school students in grade 4 from SDN Keliling Benteng Ulu 2, SDN Keliling Benteng Tengah, and SDN Sungai Rangas Hambuku. Groups A (Martapura River water source group) and B (non-river water source group) comprised the seven groups of subjects: group 1 (very poor nutrition); group 2 (undernutrition); group 3 (normal nutrition); group 4 (obesity). Based on the data, it was discovered that 37 individuals (69.8%) had very poor nutritional status, and 39 individuals (73%), had the most commonly used gallons. The nutritional quality of primary school-aged children living along the Martapura Riverbanks did not significantly correlate with the sources of their drinking water, as indicated by the Fisher Exact test results, which revealed p = 0.146 (p > 0.05).
Hubungan Skor GCS dengan Fungsi Kognitif pada Pasien Cedera Otak Traumatik di IGD RSUD Ulin Banjarmasin Kartinasari, Apidha; Fakhrurrazy, Fakhrurrazy; Sikumbang, Kenanga M.
Jurnal Neuroanestesi Indonesia Vol 9, No 1 (2020)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.27 KB) | DOI: 10.24244/jni.v9i1.209

Abstract

Latar Belakang dan Tujuan: Cedera Otak Traumatik (COT) merupakan cedera yang mempengaruhi tingkat kesadaran serta fungsi neurologis. Pemeriksaan GCS dilakukan untuk mengkategorikan keparahan yang terjadi pada COT. Kondisi pasca COT dapat menyebabkan terjadinya penurunan fungsi kognitif karena terjadi kerusakan pada sel-sel otak serta vaskularisasinya. Tujuan penelitian ini untuk mengetahui apakah terdapat hubungan antara skor GCS dengan pemeriksaan fungsi kognitif menggunakan Mini Mental State Examination (MMSE) dan Clock Drawing Test (CDT) pada pasien COT di Instalasi Gawat Darurat (IGD) RSUD Ulin Banjarmasin.Subjek dan Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional. Sebanyak 48 sampel didapatkan secara consecutive sampling.Hasil: Pada COT ringan terdapat 2 pasien (10%) mengalami penurunan fungsi kognitif, COT sedang 15 pasien (83,3%), dan COT berat 9 pasien (90%). Analisis data menggunakan uji Chi-Square dengan tingkat kepercayaan 95% menunjukkan penurunan fungsi kognitif seiring dengan semakin beratnya COT (p=0,000).Simpulan: Terdapat hubungan antara skor GCS dengan fungsi kognitif menggunakan MMSE dan CDT pada pasien COT.Relationship between Glasgow Coma Scale (GCS) Score with Cognitive Function in Traumatic Brain Injury Patient at Emergency Department of Ulin General Hospital BanjarmasinAbstractBackground and Objective: Traumatic Brain Injury (TBI) is an injury that affects the level of consciousness and neurological function. GCS examination is done to categorize the severity that occurs in TBI. Conditions after traumatic brain injury cause cognitive function impairment due to damage of brain cells and its vascularization. Analyze the relationship between GCS scores and cognitive function test using MMSE and CDT in TBI patients.Subject and Method: This study was observational analytic in design with a cross sectional approach. A total of 48 samples were obtained by consecutive sampling.Result: In mild TBI there were 2 patients (10%) experienced decrease in cognitive function, moderate TBI was 15 patients (83.3%), and 9 patients (90%) in severe TBI. Data analysis used Chi-Square test with 95% confidence level which showed a decrease in cognitive function along with the increasing severity of TBI (p=0.000). Conclusion: There was a relationship between GCS scores and cognitive function using MMSE and CDT in TBI patients.