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All Journal Herb-Medicine Journal Prosiding University Research Colloquium
Abdul Hakim Nitiprodjo
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Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health

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PERSEPSI TENAGA MEDIS DAN PARAMEDIS TERHADAP PASIEN MENINGGAL DI RS PKU MUHAMMADIYAH GOMBONG Abdul Hakim Nitiprodjo; Andi Muhammad Maulana
Prosiding University Research Colloquium Proceeding of The 8th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (438.331 KB)

Abstract

Latar belakang: Seorang dokter pasti akan dihadapkan pada kasus kematian dalam melaksanakan profesinya. Di Rumah Sakit, dari hasil pengamatan dokter dan perawat, pasien yang ditandai dengan pupil midriasis, berhentinya denyut jantung dan pernafasan dianggap telah meninggal dunia atau mati secara klinis. Dalam waktu kurang dari satu jam bahkan kurang dari 30 menit, pasien yang meninggal baik di Instalasi Gawat Darurat, rawat inap, ICU dipindahkan ke Instalasi Pemulasaraan Jenazah. Tindakan tersebut bukan berarti tidak menimbulkan perdebatan, karena adanya kemungkinan bahwa pasien hanya mati suri. Waktu yang diperlukan untuk menimbulkan tanda pasti kematian minimal sekitar satu hingga dua jam pasca mati klinis. Tujuan: Mengamati persepsi tenaga medis dan paramedis terhadap pasien meninggal di Rumah Sakit dalam menentukan diagnosa kematian. Metode: Jenis penelitian ini merupakan penelitian deskriptif kualitatif. Populasi yang diteliti adalah dokter dan perawat di RS PKU Muhammadiyah Gombong. Sampel yang digunakan adalah dokter jaga dan perawat yang bertugas di Instalasi Gawat Darurat, ruang Rawat Inap, dan ruang Intensive Care Unit (ICU) RS PKU Muhammadiyah Gombong. Pengambilan sampel dilakukan dengan metode judgmental sampling (teknik sampling). Jumlah sampel penelitian diambil 20% dari total sampel yang ada di RS PKU Muhammadiyah Gombong. Hasil: Terdapat variasi atau perbedaan persepsi di antara ketiga dokter mengenai pasien yang dinyatakan meninggal, dua dari tiga dokter memeriksa tanda pasti kematian pada pasien. Terdapat variasi atau perbedaan persepsi mengenai pasien yang dinyatakan meninggal dari 37 perawat yang dikelompokkan menjadi tujuh grup sesuai dengan pernyataannya masing – masing, enam dari tujuh grup memeriksa tanda pasti kematian pada pasien. Kesimpulan: Terdapat variasi persepsi tenaga medis dan paramedis terhadap pasien yang meninggal di Rumah Sakit PKU Muhammadiyah Gombong. Sebagian besar dokter dan perawat telah menerapkan thanatologi dalam mendiagnosa kematian yang pasti pada pasien.
Differences in the Decomposition Time of Brain and Lower Gastrointestinal Tract in Male Wistar Rats (Rattus Norvegicus) in Lowland and Highland Soil Abdul Hakim Nitiprodjo; Brilliant Chandra Arthamevia Suwanto; Norina Agatri; Muhammad Fadhol Romdhoni
Herb-Medicine Journal: Terbitan Berkala Ilmiah Herbal, Kedokteran dan Kesehatan Vol. 9 No. 1 (2026): Herb-Medicine Journal April 2026
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/hmj.v9i1.30326

Abstract

Information in society, each person's body that is found can vary in condition, whether it is still fresh or has already rotted. Forensic science is needed to assist the investigative process, including determining the estimated time of death and the suspected cause of death. Thanatology is a branch of forensic science that studies the bodily changes that occur after death and provides definitive evidence of death. Decomposition of tissue is one of the sure signs of death caused by microorganisms both in the body and the environment. The objective of this research was to analyze the difference in decomposition time between the brain and the lower gastrointestinal tract in male Wistar rats buried in lowland soil and highland soil. This research is an experimental study with a repeated measures design. There are two treatment groups, each consisting of six male Wistar rats. Each group was euthanized using chloroform inhalation. The six rats in one group were buried in lowland soil, and the six in the other group were buried in highland soil. The brain and lower gastrointestinal tract organs were dissected. The Mann-Whitney test yielded p = 0.011, indicating significant differences in decomposition time between lowland and highland soil. Additionally, the decomposition time of the brain and lower gastrointestinal tract also showed significant differences, with p = 0.001.  There are differences in the decomposition time between lowland and highland soils due to the distinct characteristics of these terrains. The lower gastrointestinal tract decomposes faster than the brain due to a higher population of bacteria in the gastrointestinal tract, which aids in the digestion process.
Co-Authors Andi Muhammad Maulana Brilliant Chandra Arthamevia Suwanto Muhammad Fadhol Romdhoni Norina Agatri