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Hubungan Karakteristik Pengguna Jalan Korban Kecelakaan Lalu Lintas Darat dengan Derajat Keparahan Cedera Kepala: Tinjauan Terhadap Pasien Cedera Kepala di RSUD Ulin Banjarmasin Periode Juni - September 2013 Wilianto, Bagas; Lahdimawan, Ardik; Al Audhah, Nelly
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.967

ABSTRACT: Head injury is the leading cause of death and long-term disability. Head injuries can occur due to various reasons one of which is traffic accidents. Accidents can happen in a variety of road users such as pedestrians, cyclists, passenger vehicles, motorcyclists and car drivers. The purpose of this study was to determine the relationship of road users characteristics with the severity of head injuries in emergency room of Ulin Hospital. The study design was an analytic descriptive with cross sectional approach. The number of samples in this study were 121 people who were taken in accordance with the inclusion and exclusion criteria using consecutive sampling method. Most of road users who suffered head injury were Â 97 persons motorcyclists (80.1%), followed by 15 pedestriansÂ (12.4%), 4 cyclists and car drivers (3.3%) as well as 1 passenger vehicle (0.8%). Most of patients had Â mild head injury (59.5%) followed by moderate head injury (24.8%) and severe head injury (15.7%). Based on the results, pedestrians had the most severe head injuries, while the vehicleÂ passenger and the car driver had the mildest head injuries. Based on statistical tests, there were no significant relationship between the characteristics of the traffic aaccident victim with head injury severity, p = 0.070 (p <0.05). It can be concluded that all road users are at risk for severe head injury so that all road users are required to be careful on the highway.Â Key words: road traffic accident, road users, head injury, GCSÂ ABSTRAK: Cedera kepala merupakan penyebab utama kematian dan kecacatan jangka panjang. Cedera kepala dapat terjadi akibat berbagai sebab salah satunya Kecelakaan Lalu Lintas Darat (KLLD). Kecelakaan dapat terjadi pada berbagai pengguna jalan seperti pejalan kaki, pengguna sepeda, penumpang mobil, pengendara sepeda motor dan pengendara mobil. Tujuan dari penelitian ini untuk mengetahui hubungan karakteristik pengguna jalan KLLD dengan derajat keparahan cedera kepala di IGD RSUD Ulin. Rancangan penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel pada penelitian ini adalah 121 orang yang diambil sesuai kriteria inklusi eksklusi dengan metode consecutive sampling. Pengendara sepeda motor merupakan pengguna jalan terbanyak yang mengalami cedera kepala yaitu 97 orang (80,1%) disusul oleh pejalan kaki 15 orang (12,4 %), pengguna sepeda dan pengendara mobil 4 orang (3,3%) serta penumpang mobil 1 orang (0,8 %). DerajatÂ cedera kepala yang terbanyak adalah cedera kepala ringan (59,5%) disusul cedera kepala sedang (24,8 %) dan cedera kepala berat (15,7 %). Berdasarkan hasil penelitian kelompok pejalan kaki mengalami cedera kepala paling berat, sedangkan penumpang dan pengendara mobil merupakan kelompok dengan cedera kepala teringan. Berdasarkan uji statistik,Â tidak terdapat hubungan yang bermakna antara karakteristik korban KLLD dengan derajat keparahan cedera kepala, p = 0,070 (p < 0,05). Dapat disimpulkan bahwa semua pengguna jalan memiliki risiko untuk mengalami cedera kepala yang berat sehingga seluruh pengguna jalan wajib berhati-hati di jalan raya.Â Kata-kata kunci: kecelakaan lalu lintas darat, pengguna jalan, cedera kepala, GCS

PERBEDAAN KARAKTERISTIK PASIEN PERITONITIS SEBELUM DAN SELAMA PANDEMI COVID-19 DI RSUD ULIN BANJARMASIN Tinjauan Terhadap Usia, Lama Datang, Jenis Penanganan, dan Penyebab Fadhilah, Nur; Wibowo, Agung Ary; Noor, Meitria Syahadatina; Lahdimawan, Ardik; Skripsiana, Nika Sterina
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11465

Peritonitis is an inflammation that occurs in the peritoneal organs. Coronavirus Disease 2019 (COVID-19) has been declared a pandemic. This study aims to analyze the characteristics of peritonitis patients before and during the COVID-19 pandemic at RSUD Ulin Banjarmasin which were reviewed based on age, length of arrival, type of treatment, and causes. This research is an analytic observational study using a retrospective cohort study design. The subjects of this study were peritonitis patients at RSUD Ulin Banjarmasin from March 2018 – February 2022 who fit the inclusion criteria. The sampling method before the COVID-19 pandemic used simple random sampling and during the COVID-19 pandemic used total sampling. The results showed that the mean age of peritonitis patients before and during the COVID-19 pandemic was 33.75 ± 16.92 and 40.05 ± 19.99 (p=0.185), the average length of arrival was 4.26 ± 4.70 and 3 .40 ± 3.91 (p=0.234), and the Chi-Square test on the variable type of treatment obtained p value =0.320 and the cause obtained p value=0.558. It can be concluded that there is no difference in age, length of arrival, type of treatment, and causes of peritonitis patients before and during the COVID-19 pandemic at RSUD Ulin Banjarmasin.

A Clinical Chronicle: The Use of Ventriculo-Atrial Shunt in Tuberculous Hydrocephalus Treatment Abidin, Zainal; Lahdimawan, Ardik; Hosea, Nathania
Indonesian Journal of Case Reports Vol. 1 No. 2 (2023): December 2023
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v1i2.104

Tuberculous meningitis (TBM) is the predominant bacterial meningitis form in children under 13, with an incidence of 8.6 per 100,000 before age 15. Tuberculous Hydrocephalus (TH), often presenting with hydrocephalus, poses a significant challenge in Indonesia for both children and adults. The commonly used Ventriculo-peritoneal (VP)-shunt procedure for TH, though prevalent, is associated with multiple complications. As an alternative, the Ventriculo-atrial (VA)-shunt procedure has been explored, but reports on its use in TH in Indonesia are lacking. This case report details a 1-year-old girl with TH who initially underwent a VP-shunt procedure, which proved unsuccessful. Subsequently, the VA-shunt procedure was employed, leading to a complete recovery. Our findings contribute valuable insights into the potential effectiveness of the VA-shunt as an alternative intervention for TH, especially in the Indonesian medical landscape.

Analisis Faktor Pelayanan yang Berpengaruh Terhadap Tingkat Kepuasan Pasien di Instalasi Gawat Darurat Rumah Sakit Sari Mulia Banjarmasin Hikmat, Ramadhan Maulana; Bakhriansyah, Mohammad; Isa, Mohammad; Lahdimawan, Ardik; Shadiqi, Muhammad Abdan
Jurnal Ners Vol. 8 No. 2 (2024): OKTOBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i2.24670

Kepuasan merupakan ungkapan emosi yang dapat berupa perasaan senang atau kecewa yang muncul setelah membandingkan sesuatu yang diharapkan atau diinginkan dengan hasil dari suatu produk pelayanan. Beberapa pakar menganggap bahwa kepuasan pasien dan kepuasan penyelenggara sebagai aspek psikososial dari keefektifan layanan kesehatan. Menganalisis hubungan waktu tunggu laboratorium, jenis pembiayaan, tingkat kegawatan, luaran, dan lama waktu tunggu di IGD terhadap kepuasan pasien IGD RS Sari Mulia Banjarmasin. Penelitian kuantitatif dengan pendekatan cross sectional berjumlah 211 responden pasien IGD RS Sari Mulia Banjarmasin dengan metode accidental sampling menggunakan kuisioner dan rekam medis dengan uji univariat dan uji regresi logistik multinomial untuk analisis bivariat dan multivariat Terdapat hubungan tingkat jenis pembiayaan umum dengan tingkat kepuasan baik (p=0,029) dan tingkat kepuasan sangat baik (p=0,005). Tidak terdapat hubungan kepuasan terhadap lama tingkat kegawatan (p>0,05). Data tidak dapat dianalisis pada faktor lama waktu tunggu laboratorium dan luaran pasien karena terdapat variabel dengan jumlah 0 responden. Terdapat hubungan jenis pembiayaan umum dan tingkat kepuasan baik dan sangat baik pada pasien di IGD RS Sari Mulia Banjarmasin

Bibliometric Analysis of the Effects of Prolonged Preoperative Fasting on Patients Rahman, Taupik; Arifin, Syamsul; Lahdimawan, Ardik; Noor, Meitria Syahadatina; Illiandri, Abdullah Oski; Suhartono, Eko
MAHESA : Malahayati Health Student Journal Vol 5, No 1 (2025): Volume 5 Nomor 1 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i1.17322

ABSTRACT Preoperative fasting is a common practice in the surgical field, which aims to minimize complications and ensure patient safety. Understanding its impact and optimizing protocols are essential in clinical practice. This study analyzed the bibliometric and network overview of publications on the effects of extended preoperative fasting on patients, using VOSViewer. This bibliometric analysis explores the research landscape on the effects of extended preoperative fasting duration on patients. Using VOSViewer, this study identified key contributors and clusters in the literature, highlighting significant research gaps. Bibliometric methods were used to analyze publications regarding the effects of extended preoperative fasting. Using VOSViewer, this study identified key contributors and groups in the literature, which highlighted significant research gaps. Bibliometric methods were used to analyze publications regarding the effects of extended preoperative fasting. Data were aggregated and visualized using VOSViewer to map the publication network and identify thematic clusters. China and the UK emerged as the main contributors with 7 articles each, followed by Brazil and India. Three main clusters were identified: a red cluster focusing on fasting duration, side effects, dehydration risk, and intraoperative management; a blue cluster exploring the effects of fasting on surgical outcomes, hunger, and procedural aspects; and a green cluster addressing guideline development, elective surgery, and preoperative preparation. These findings underscore the importance of extended preoperative fasting in clinical practice and highlight significant research opportunities. Future research could focus on personalized fasting protocols, long-term effects, psychological impact, and innovative monitoring technologies to improve the quality of patient care. Keywords: Preoperative Fasting, Effects Of Prolonged Fasting, Bibliometric Analysis, Vosviewer, Surgical Outcomes, Patient Care

Penggunaan Remifentanil pada Pasien Pediatrik dengan Meningokel yang Dilakukan Tindakan Eksisi Meningokel Sikumbang, Kenanga Marwan; Lahdimawan, Ardik
Jurnal Neuroanestesi Indonesia Vol 10, No 1 (2021)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Meningokel adalah kondisi kegagalan fusi selubung saraf medulla spinalis yang umum ditemui pada pasien pediatrik. Koreksi meningokel dilakukan dalam posisi prone yang memerlukan tatalaksana anestesi yang hati-hati. Fisiologi neonatus dan infant berbeda dengan orang dewasa, karena fungsi fisiologis system organ masih imatur dan menyebabkan safety margin terbatas, sehingga pilihan obat adalah yang metabolismenya tidak tergantung pada fungsi hati dan ginjal normal. Dalam bidang neuroanestesi pediatrik, penggunaan remifentanil semakin luas, karena onset cepat, efek analgesik poten dan eliminasi cepat. Seorang bayi laki-laki, usia 7 bulan dengan berat badan 7 kg, diagnosis meningokel lumbosacral dilakukan tindakan eksisi meningokel. Pasien diberikan remifentanil 1 mcg/kgbb selama 1 menit dilanjutkan dengan remifentanil kontinyus 0.05-1mcg/kgbb/mnt. Induksi dengan propofol, diberikan atracurium sebelum intubasi. Selama operasi kondisi stabil, tidak terjadi episode bradikardi dan pascaoperasi pasien langsung diekstubasi. Penggunaan remifentanil menjadi pilihan karena onset cepat, efek analgesik poten, eliminasi cepat dan memberikan stabilitas hemodinamik selama operasi. Operasi dengan posisi prone pada pasien pediatrik memerlukan kehati-hatian terutama saat memposisikan pasien, dimana harus yakin pipa ett tidak mengalami dislokasi atau kinking, mencegah efek penekanan pada mata dan pencegahan terjadinya neuropati perioperatif. Pemakaian remifentanil pada kasus ini memberikan stabilitas hemodinamik yang baik dan pulih sadar yang cepat.Using Remifentanyl For Pediatrik Patient With Meningocele Underwent Meningocelectomy Under General AnesthesiaAbstractMeningocele is failure of the neural tube to close during first trimester pregnancy which is the most common conditions in pediatrik patient. Correction is performed under prone position with carefull anesthestic procedure. The physiology of neonates and infants are different from that of adults. Immaturity of their vital organ systems narrows the safety margin of perioperative management including anesthesia. Remifentanil is becoming increasingly popular for this purpose. Remifentanil has favorable characteristics for anesthesia in neonates such as rapid onset, potent analgesic effect, and rapid elimination. A baby boy 7 months old, 7 kg, with meningocele lumbosacral underwent meningocelectomy. The patient was given remifentanil 1 mcg/kgbw/iv in one minute and continuous 0.05-0.1 mcg/kgbw/mnt. Induction with propofol iv, atracurium before intubation. Stability hemodynamic during the operation, no episode of bradycardia and patient extubated early after the operation. Remifentanil is an ultra-short-acting opioid, with rapid onset, produces profound analgesia, rapid offset and good stability of hemodynamic during the operation. The operations are carried out prone, careful positioning is paramount to avoid complications like dislodging or kinking of the endotracheal tube, corneal abrasion or perioperative neuropathy. Using remifentanyl in this case report given good hemodynamic stability dan rapid emergence.

Analysis of Factors Associated with Fasting Adherence Behaviour of Preoperative Patients Rahman, Taupik; Arifin, Syamsul; Lahdimawan, Ardik; Noor, Meitria Syahadatina; Illiandri, Abdullah Oski
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15874

ABSTRACT Patient compliance with preoperative fasting instructions is essential to prevent perioperative complications such as pulmonary aspiration, which can have a serious impact on patient safety during surgery. Several factors such as age, gender, education, and understanding of medical instructions are thought to play a role in patient compliance with preoperative fasting. This study aimed to evaluate the relationship between these factors and patient compliance in a hospital in Banjarmasin. This study used a quantitative observational analytic design with a cross-sectional approach, involving 75 elective surgery patients selected based on inclusion criteria. Data were collected through interviews and questionnaires covering demographic information, education level, understanding of medical instructions, and compliance with pre-surgical fasting. Data were analysed using the Chi-Square test and logistic regression. The results showed that age (p = 0.377) and gender (p = 1.000) had no significant association with adherence to preoperative fasting. In contrast, there was a significant association between education (p = 0.001) and understanding of instructions (p = 0.000) with adherence. Patients with higher levels of education and good understanding of instructions tended to be more compliant than patients with basic education and poor understanding. Patients who had a good understanding of instructions were 29.96 times more likely to adhere to preoperative fasting compared to patients with poor understanding. Understanding of instructions is the most dominant factor in influencing patient compliance. The analysis showed a B coefficient of 3.599 with an OR of 36.556 (p-value = 0.000). This means that patients who have a good understanding of instructions are 36.5 times more likely to adhere to preoperative fasting compared to those with poor understanding. Good understanding significantly increased the likelihood of compliance, emphasising the importance of effective communication and clear education to patients about medical instructions. In conclusion, education and understanding of medical instructions are important factors associated with adherence to preoperative fasting. Meanwhile, age and gender showed no significant influence on adherence. Therefore, increased patient education and better understanding of medical instructions should be the focus of interventions to improve patient compliance, especially for those with lower education levels. Keywords: Adherence, Preoperative Fasting, Education, Understanding, Demographic Factors

Bibliometric Analysis of Research Trends on Filtration and Quality of Waste Liquid in Hospitals Purnama, Sapta Heru; Suhartono, Eko; Syauqiah, Isna; Marlinae, Lenie; Lahdimawan, Ardik
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16601

ABSTRACT This study aims to conduct a bibliometric analysis of research trends regarding filtration and liquid waste quality in hospitals from 2018 to 2024. Using the Google Scholar database and bibliometric analysis applications such as VOSviewer, this study identified and analyzed relevant publications with the keywords filtration, effluent, hospital, COD, BOD, and Liquid Waste Quality. The data obtained was processed with occurrence 4 and term 20 parameters to identify the main patterns and trends in the literature. The analysis results show that the number of publications has increased significantly from year to year, with peaks in 2021 and 2022. The distribution of publication types shows the dominance of research articles with 42 out of 50 publications, followed by literature reviews (3) and conference articles (4). Analysis based on country of publication revealed the dominance of Indonesia with 23 publications, followed by India and several other countries with smaller contributions. Cluster analysis based on network visualization identified four main clusters: (1) effluent quality parameters such as BOD and COD; (2) hospital effluent management; (3) effluent treatment and management; and (4) effluent quality characterization and assessment.The results of density visualization showed a high concentration of quality parameters and treatment technologies, while overlay visualization revealed a close relationship between quality parameters and effluent management. The conclusions of this study highlight the major focus on technical parameters of effluent quality and treatment technology, as well as the importance of integration between effluent management and quality evaluation in research. The findings offer valuable insights for further research and development of innovative solutions in effluent management in hospitals. Keywords: Bibliometrics, Filtration, Effluent Quality, Hospital, Network Analysis

Bibliometric Analysis of Compliance and Completeness in Electronic Medical Record Filling: Trends and Insights from Hospital Documentation Ningsih, Endang Suprihati; Herawati, Herawati; Febriana, Silvia Kristanti Tri; Hartoyo, Edi; Lahdimawan, Ardik
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16606

ABSTRACT The introduction of Electronic Medical Records (EMR) has revolutionized healthcare documentation, emphasizing the importance of compliance and completeness in medical data recording. This study aims to analyze the bibliometric data and visualize the publication trends related to compliance and completeness in EMR using VOSviewer. We employed a bibliometric approach to identify key clusters and relationships among terms in the literature from various journals and countries over recent years. The results highlight three main clusters: documentation and adherence, data completeness and quality, and accuracy and compliance in hospital settings. The analysis shows a significant global interest, with the USA, Germany, and Indonesia being major contributors. The study also reveals a rise in publications from 2018 to 2022, predominantly consisting of research articles. The most cited article, "Tools and Technologies for Registry Interoperability" by V. Ehrenstein et al., underscores the influence of registry interoperability on patient outcomes. Our conclusions indicate that while substantial progress has been made, further research is needed to explore factors affecting compliance and completeness across different healthcare systems, the long-term impact on patient outcomes, the integration of AI technologies, and real-time monitoring tools for data accuracy and compliance. Keywords: Electronic Medical Records, Compliance, Data Completeness, Bibliometric Analysis, Healthcare Documentation

Bibliometric Analysis of Research on Factors Affecting Service Quality and Physician Performance Marlina, Marlina; Aflanie, Iwan; Akbar, Izaak Zoelkarnain; Shadiqi, Muhammad Abdan; Lahdimawan, Ardik
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.16648

ABSTRACTThis study analyzes the influence of various factors on service quality and doctor performance with a focus on aspects of additional employee income, adequacy of doctor personnel, facilities and infrastructure, competence, and communication. The background of this study is the importance of improving the quality of health services to achieve optimal patient satisfaction and effective physician performance. The purpose of this study is to identify trends, distribution, and relationships between these factors in the scientific literature, as well as identify research gaps that need to be further explored. The method used in this study is bibliometric analysis, with data collected from Google Scholar using the Publish or Perish application. The search period was limited to 2018 to 2024, and the keywords used included "quality of service," "performance," "doctors," "factors," "facilities and infrastructure," "income," "competence," and "communication." The data was analyzed using VOS viewer to visualize the keyword network and identify research trends.The results show that India and Indonesia are the biggest contributors with 10 and 5 publications respectively. Springer and Emerald were the most active publishers, with 9 and 8 publications respectively. The publication trend peaked in 2019 with 16 publications, and the citation analysis identified the article "Health care service delivery based on the Internet of things: A systematic and comprehensive study" as the most influential with 249citations. Network visualization revealed close relationships between keywords such as "doctor," "service quality," and "competence." The conclusion of this study is that although there are many studies that discuss factors affecting service quality and physician performance, there are still gaps that need to be further explored, especially regarding the influence of additional employee income, adequate physician staffing, and facilities and infrastructure. Filling these gaps will provide a more comprehensive understanding and help improve the overall quality of healthcare services.Keywords: Service Quality, Doctor Performance, Competence, Communication, Infrastructure.

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