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Clinical Condition and Comorbidity of Patients with Emergency Hemodialysis at Dr. Soetomo General Academic Hospital, Indonesia in January 2023 Viola Awriendina; Aditiawardana; Budi Utomo
Journal of Comprehensive Science Vol. 5 No. 6 (2026): Journal of Comprehensive Science
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jcs.v5i6.4184

Abstract

Emergency hemodialysis (HD) can happen because of numerous factors such as delayed referral to the nephrologist doctor and inadequate care of patient comorbidities. It was challenging because this procedure had a higher mortality than planned hemodialysis. This study aims to present the characteristics of patients who underwent emergency hemodialysis. An observational description exploration was applied in this retrospective cross-sectional study of all patients receiving emergency hemodialysis at Dr. Soetomo General Academic Hospital in January 2023. The inclusion criteria of having complete evidence data in medical reports indicate the patient’s need for this therapy. We collected data on the patient's age, gender, type of renal failure, HD status, comorbidities, and indications of hemodialysis procedure. A univariate analysis performed for this study. A total of 104 patients undergoing emergency hemodialysis were evaluated in this study. The majority of patients were male (50.96%), in the age of 40-59 range (50%), from Surabaya (51%), and had CKD V (88.46%). The most potential causes of declined kidney function were hypertension (65.38%) and diabetes mellitus (37.5%). This study also examined most indications for emergency hemodialysis: hypervolemia (75.96%) and uremia syndrome (68.26%) with 89.42% patient with multiple indications. The study population was dominated by CKD V patients who had previously undergone regular HD and several patients underwent emergency hemodialysis more than once in January 2023. The majority of patients are in the productive age range and have hypertension and diabetes mellitus. This study also found that hypervolemia and uremic syndrome are the most common indications for emergency hemodialysis.
Effectiveness of Ketoprofen Suppositories in Reducing the Risk of Preterm Labor at a Teaching Hospital in Malang Tri Isworowati; Budi Utomo; Ratna Dwi Jayanti
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1730

Abstract

Partus prematurus imminens (PPI) was a condition that threatened preterm labor, marked by labor signs before term (20 to <37 weeks) and birth weight under 2500 grams. Management included rest, hydration, and pharmacological measures. One approach used to delay labor was tocolytic therapy, such as ketoprofen suppositories, to inhibit uterine contractions. This study aimed to analyze the difference in uterine contractions before and after the administration of ketoprofen suppositories in women at risk of preterm labor. This study used a quasi-experimental design with a pre-test and post-test without a control group. The sample included 30 pregnant women with PPI who met the inclusion criteria. Consecutive sampling was used. The intervention administered was ketoprofen suppository therapy, 200 mg (2 tablets) given rectally. Data were collected using an observation sheet and analyzed using the Wilcoxon signed-rank test. The results showed that the mean uterine contraction score before therapy was 2,17, which decreased to 1,20 after therapy. There was a statistically significant difference in uterine contractions before and after the intervention. The Wilcoxon signed-rank test resulted in a p-value of 0,001 (p ≤ 0,05). The findings indicated a significant difference in uterine contractions before and after the administration of ketoprofen suppositories in pregnant women at risk of preterm labor. Ketoprofen suppository therapy was effective in reducing uterine contractions in pregnant women at risk of preterm labor, with routine fetal monitoring ensuring the safety of the intervention.