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All Journal Journal of Economic, Bussines and Accounting (COSTING) INFOKUM
Djunadi, Joshua
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Computer Science & IT Economics, Econometrics & Finance

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CERVICAL TETRAPARESIS CAUSED BY HERNIATED DISCS: A CASE REPORT Djunadi, Joshua; Suryo, Martin Firman
INFOKUM Vol. 10 No. 5 (2022): December, Computer and Communication
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/infokum.v10i5.1121

Abstract

Tetraparesis means weakness of muscle strength in all four extremities. Tetraparesis is one of the most common symptoms in daily practice but is often treated in a less comprehensive manner without finding out the root cause of the problem causing increased progression and worsening the prognosis of the disease. We report a case of cervical tetraparesis due to disc herniated in a 63-year-old woman with complaints of cramping in both hands for 10 months ago and lower back pain. Complaints such as tingling, fever, night pain, unexplained weight loss, nausea, and vomiting were denied. On physical examination, there was a decrease in motor strength in all four limbs, an increase in physiological reflexes, pathological reflexes positive, and decrease in sensory function. Cervical MRI examination revealed cervical spondylosis with degenerative discs. HNP Central discs C2 to C3, C4 to C5, and C5 to C6 pressing heavily on the thecal sac, no neural foramen narrowing was seen. Protrusion of C3 to C4 and C6 to C7 centers compressing the thecal sac and neural foramen bilaterally, suggestive of compression irritating to bilateral C3 and C6 roots. The treatment given was laminectomy surgery with pedicle fixation and pharmacologic such as Methylprednisolone 4 x 125 mg, Omeprazole 2 x 20 mg, Tizanidine 1 x 2 grams, Provlyn 3 x 50 mg, and Ketorolac tromethamine 3 x 10 mg with good results without any complication. The patient's prognosis is good.
ANALISIS KARAKTERISTIK PASIEN TERHADAP KEPUASAN PELAYANAN KLINIK PRATAMA RAWAT JALAN DI JAKARTA BARAT Djunadi, Joshua
Journal of Economic, Bussines and Accounting (COSTING) Vol 7 No 6 (2024): COSTING : Journal of Economic, Bussines and Accounting
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/costing.v7i6.13689

Abstract

Kepuasan pelayanan adalah komponen penting dalam evaluasi layanan kesehatan, terutama pada layanan rawat jalan primer. Penelitian ini bertujuan menganalisis hubungan antara karakteristik pasien—seperti jenis kelamin, generasi, pendidikan, pekerjaan, dan status sosial—dengan kepuasan terhadap layanan kesehatan di Klinik Pratama LDS, Jakarta. Penelitian kuantitatif ini menggunakan desain cross-sectional dengan 57 responden berusia 18 tahun ke atas. Data dikumpulkan menggunakan Kuesioner Kepuasan Pasien 2017 (KKP-2017), yang terdiri dari 25 pernyataan berbasis skala Likert. Variabel independen mencakup jenis kelamin, generasi, pendidikan, pekerjaan, dan pendapatan bulanan, sedangkan kepuasan pasien diukur melalui perilaku interpersonal, kualitas teknis/profesionalisme, akses/kenyamanan, aspek keuangan, dan lingkungan fisik. Analisis dilakukan menggunakan uji Mann-Whitney dan Kruskal-Wallis dengan tingkat signifikansi P = 0,05. Hasil menunjukkan hubungan signifikan antara karakteristik pasien dengan aspek kepuasan tertentu, seperti jenis kelamin dan perilaku interpersonal (P = 0,0253), generasi dan perilaku interpersonal (P = 0,0249), serta status sosial ekonomi dan aspek keuangan (P = 0,0445). Kesimpulannya, layanan kesehatan yang personal dan inklusif sangat penting untuk meningkatkan kepuasan pasien. Penelitian lanjutan yang lebih luas dan beragam diperlukan untuk generalisasi yang lebih baik.
Co-Authors Suryo, Martin Firman