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Journal : UNEJ e-Proceeding

ACCURACY OF GLASGOW COMA SCALE (GCS) COMPONENTS AS PREDICTORS OF MORTALITY OF MODERATE AND SEVERE HEAD INJURY CLIENTS Riki Ristanto
UNEJ e-Proceeding 2023: 5th International Agronursing Conference (5th IANC) In Conjunction with 1st International Post
Publisher : UPT Penerbitan Universitas Jember

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Abstract

In moderate and severe head injury clients with multiple traumas, there may be difficulty calculating GCS scores due to facial trauma to the eyes and mouth. This condition makes it difficult for nurses and emergency room doctors to calculate client prognosis using GCS. This study aims to analyze the ability of GCS components as a predictor of mortality for moderate and severe head injury clients. This study is an observational study with a retrospective cohort design. The population is the medical record data of head injury patients admitted in the period January to December 2020 at Dr. Iskak Tulungagung Hospital. A sample of 115 medical records was obtained through purposive sampling method. The variables were GCS score in emergency department triage data and mortality data of head injury clients within seven days of treatment. The results were analyzed by Mann Whitney Test, logistic regression and ROC Curve comparison. The logistic regression result of GCS score has sensitivity = 0.904, specificity = 0.809, PPV = 0.955, NPV = 0.654; GCS-Eyes has sensitivity = 0.938, specificity = 0.617, PPV = 0.854, NPV = 0.807; GCS-Verbal has a sensitivity = 0.929, specificity = 0.667, PPV = 0.887, NPV = 0.769; GCS-Motor has a sensitivity = 0.833, specificity = 0.692, PPV = 0.955, NPV = 0.346. ROC Curve comparison results show ROC GCS = 0.952, GCS-Eyes = 0.870, GCS-Verbal = 0.885, GCS-Motor = 0.903. The conclusion is that the GCS-Motoric component is the GCS component that has the best accuracy after GCS. Keywords: Head Injury, GCS Components, Mortality Prognosis.
THE EFFECT OF JINS THREE NEEDLE ACUPUNCTURE ON COMPLAINTS OF STIFT NECK TEACHERS OF SDN 01 KETINDAN LAWANG EAST JAVA Mayang Wulandari; Chantika Mahadini; Riki Ristanto
UNEJ e-Proceeding 2023: 5th International Agronursing Conference (5th IANC) In Conjunction with 1st International Post
Publisher : UPT Penerbitan Universitas Jember

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

Abstract

Background: Neck stiffness is a condition that usually arises as a result of a number of disorders and diseases that affect the tissues around the neck such as degenerative disc disease, neck tension, and neck injuries including disc herniation which can cause pinched nerves (Stöppler, 2011). This complaint is experienced by everyone, including teachers, teachers are currently required to carry out distance learning (PJJ) which causes a lot of silence in one position, namely facing a laptop or looking down a lot at a cell phone which makes the neck and shoulders stiff. Methods: The research design used in this study is a pre-experimental design with a pretest-posttest design. Before and after treatment, the patient's neck stiffness was measured using the Nordic body map (NBM), then the results were compared. Results: It was found that respondents who experienced neck stiffness before acupuncture therapy had an average score of 2.10 with a standard deviation of 0.316, and an average of 1.20 who had been treated with acupuncture with a standard deviation of 0.422. Before Jins three needle acupuncture therapy, the average neck stiffness of SDN 01 Ketindan teachers was 2.10. After three-needle jeans acupuncture therapy, the average neck stiffness of SDN 01 Ketindan teachers was 1.20. There is a decrease in the level of neck stiffness after acupuncture therapy. Conclusions: The results obtained are the effect of Jins 3 needle acupuncture in cases of neck stiffness.