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GAMBARAN DIAGNOSTIK DAN PENATALAKSANAAN PENYAKIT PARU OBSTRUKSI KRONIS RSUD. DR. PIRNGADI MICHELLE HENDRIANI DJUANG
PRIMER (Prima Medical Journal) Vol. 5 No. 1 (2020): Edisi April
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/pmj.v3i1.1170

Abstract

COPD is the fourth cause of death and affects> 16 million people in the United States. COPD is also a disease that raises public health attention in the world. GOLD estimates indicate that COPD will increase to be the third leading cause of death in the world by 2020. From RISKESDAS 2013 obtained through interviews with people aged ≥ 30 years found prevalence of COPD in Indonesia is 3.7 percent. The purpose of this study was to determine the diagnostic picture of people with COPD in dr. Pringadi . This research use descriptive-retrospective case study design, with population in the form of all medical record data of COPD patients in RSUD Dr. Pirngadi Medan treated. The data of this research are then analyzed with SPSS 20. The results of this study indicate that there are more male patients (78%) than women (22%), with the most jobs being self-employed (27 people). In anamnesis results, the main complaint of all patients with COPD is dyspnea and the most common complaint is cough accompanied by sputum production (44 people). Based on smoking history, most patients smoked for 20-40 years (68 people) with the highest number of cigarettes smoked per year from smokers who smoked> 600 cigarettes / day (58 people). While most of the management is bronkodilator in the form of combination of albuterol and ipratropium (73%), antitusif in the form of ambroksol (52%), antibiotic in the form of ceftriaxone (71%), and corticosteroid in the form of metilpredinisolon (78%), and non-medical treatment in the form of rest and diet (82%).
SEPSIS RISK FACTORS IN ELDERLY PATIENTS AT ROYAL PRIMA MEDAN GENERAL HOSPITAL Bagas Dwi Sanjaya; Michelle Hendriani Djuang; Fazwiansyah Darlin Muniro; Linda Chiuman
Jambura Journal of Health Sciences and Research Vol 4, No 3 (2022): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i3.12488

Abstract

Abstract               Sepsis is a severe infectious disease accompanied by the discovery of a systemic response that can include hypothermia, hyperthermia, tachycardia, hyperventilation, and fatigue. Some studies suggest age is the most common risk factor for sepsis. The goal of the study was to determine the risk factors for sepsis in elderly patients associated based on age, gender, diagnosis, location of the infection, and length of treatment. The study used 100 samples of elderly patients aged 60 years diagnosed with sepsis. Descriptive analysis techniques with cross-sectional designs are used to explain the characteristics of each research variable. The results of the study explained that the risk factors for sepsis most in elderly patients by age are 70 years as many as 53 people (53.0%), female sex as many as 52 people (52.0%), endocrinological diagnoses as many as 24 people (23.5%), the location of lung infections as many as 20 people (19.6%), the length of treatment 3 to 7 days as many as 45 people (45%). Based on the results of the study showed that the elderly are an age that is susceptible to sepsis because the immune system and organ function will decrease with age. Endocrine diseases, such as diabetes mellitus, and infections of the lungs are the biggest risk factors for sepsis in the elderly.