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All Journal Majalah Kedokteran Nusantara The Journal Of Medical School International Journal of Health, Economics, and Social Sciences (IJHESS)
Otman Siregar
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Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health Social Sciences

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Karakteristik dari penderita cedera medula spinalis traumatik di RSUP Haji Adam Malik Medan Benny dr; Otman Siregar
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 45, No 2 (2012): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background : Traumatic spinal cord injury was associated with high mortality rate, disabilities, prolonged rehabilitation and treatment, and high economic burden.Aim : Preventive measures can only be carried out through identification of the variables associated with this condition through an extensive and comprehensive epidemiology study.Methods : Collection of secondary data that was recorded in the patient’s medical record that diagnosed with traumatic spinal cord injury that was treated in Haji Adam Malik General Hospital Medan from January 2009 to December 2010. Results : At the period of two years (January 2009 to December 2010) as many as 44 medical records with diagnosis of traumatic spinal cord injury in Haji Adam Malik General Hospital were collected. Most of them were male (86.36%) in the productive age 21-40 years old (45.4%) with the most common causes was road traffic accident (45.5%) followed by fall from height (31.8%) and diving (2.3%). In general, patients arrived in the emergency room of Haji Adam Malik General Hospital after 8 hours (93%). The severity of spinal cord injury according to the Frankel Grading was dominated by Frankel A (40.9%) with the most level of neurological injury was twelfth thoracic (18%). Generally, patients sustaining traumatic spinal cord injury did not undergo surgery (86%). More than half of the patients (59%) were hospitalized less than 10 days with forced discharge as many as 19 patients (43.1%).Conclusion : Most of the patients with traumatic spinal cord injury in Haji Adam Malik General Hospital were male in their productive age with the most common cause was road traffic accident. Almost all of the patients arrived in Haji Adam Malik Medan after golden period hours. Preventive measures with the focus on reducing road traffic accident rate was the first priority followed by comprehensive counseling and education regarding the prevention, management and consequence of the traumatic spinal cord injury to the community.Keyword : injury; medula spinalis; traumatic; characteristic
Analysis of Social Support Role Systems in the Long-Term Outcomes of Ponseti-Treated Clubfoot Patients at RSUP H. Adam Malik Medan Nico Sutanto; Otman Siregar; Iman Dwi Winanto
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 2: April 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i2.7350

Abstract

Congenital talipes equinovarus (clubfoot), if left untreated, can result in significant physical disability. While the Ponseti method has demonstrated high efficacy as a primary treatment modality, its long-term success depends substantially on consistent postoperative management and brace compliance, factors potentially influenced by social support systems. This study examines the impact of social support structures on treatment outcomes in clubfoot patients managed with the Ponseti technique at a tertiary referral center. We conducted a cross-sectional analytical study involving 80 pediatric clubfoot cases (mean age: 29.05±35.11 months; male predominance: 57.5%). Through structured interviews and retrospective medical record review, we evaluated multiple dimensions of social support (family engagement, community resources, healthcare accessibility) and their correlation with long-term therapeutic outcomes (recurrence rates, bracing adherence, functional assessments). Statistical analysis employed chi-square tests and multivariate logistic regression models. Our findings revealed significant associations between robust family support systems (p=0.015) and community-based assistance programs (p=0.032) with favorable long-term outcomes. Multivariate analysis identified consistent primary caregiver involvement (p=0.008; prevalence ratio [PR]=4.12) and access to rehabilitation services (p=0.022; PR=2.89) as independent predictors of treatment success. Socioeconomic indicators showed no statistically significant correlation. These results underscore the critical role of multidimensional social support in optimizing Ponseti method outcomes. We recommend integrating family education initiatives and community support networks into standard clubfoot management protocols. Further multicenter prospective studies are warranted to validate these findings across diverse sociocultural contexts.
Co-Authors Benny dr Iman Dwi Winanto Nico Sutanto