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All Journal INTERACTION Communication Studies Journal Deka in Medicine
Kurniawan, Dea
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Public Health Social Sciences

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Compartment syndrome as reperfusion injury following thrombectomy in acute limb ischemia: A case report Afifuddin, Mokhammad; Kurnianingsih, Novi; Kurniawan, Dea
Deka in Medicine Vol. 1 No. 2 (2024): August 2024
Publisher : PT. DEKA RESEARCH INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69863/dim.2024.e209

Abstract

BACKGROUND: Compartment syndrome following reperfusion in acute limb ischemia represents a rare but serious complication. Thus, documenting such cases is essential to enhance comprehension and management of this condition. CASE PRESENTATION: A 51-year-old man was referred from an urban hospital presenting with severe right leg pain persisting for 5 days prior to admission, accompanied by pulselessness, paresthesia, poikilothermia, and paralysis. The patient had underlying risk factors including uncontrolled diabetes mellitus and active smoking. Duplex ultrasound confirmed the diagnosis of acute limb ischemia, which was further supported by CT angiography revealing total occlusion from the right common iliac artery to the distal region. Intravenous heparin was administered, and the patient underwent emergency surgical thrombectomy. Following the intervention, the patient developed clinical signs of compartment syndrome as a manifestation of reperfusion injury, necessitating fasciotomy. Subsequent evaluation of the wound post-fasciotomy indicated it was not suitable for closure, and unfortunately, the patient passed away a few days later. CONCLUSION: This case illustrates acute limb ischemia necessitating thrombectomy and surgical fasciotomy due to compartment syndrome resulting from reperfusion injury, emphasizing the importance of rigorous monitoring.
Business Communication Strategy In Improving Customer Confidence Regarding The Quality of Drinking Water Companies For Regional Drinking Water Kurniawan, Dea; Waskito, Budhi; Verawati, Noning
Interaction Communication Studies Journal Vol. 2 No. 1 (2025): May
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/interaction.v2i1.4225

Abstract

This study aims to analyze and design a business communication strategy to increase customer trust in the drinking water quality provided by PDAM Kota Bandar Lampung, particularly in the Teluk Betung Barat area. Despite having access to piped water, many customers still prefer bottled water (AMDK), indicating a lack of confidence in PDAM’s water for direct consumption. Using a qualitative descriptive method with a post-positivist approach, data were collected through interviews, observations, and documentation. Informants included PDAM officials and customers. The results show that communication factors—such as limited public education, lack of transparency, and inconsistent messaging—contribute to customer distrust. SWOT analysis was used to identify internal and external factors that affect communication performance. The study recommends strategic improvements through transparent, community-based communication, increased use of social media, and proactive crisis communication. An integrated communication strategy is essential to rebuild trust and reduce public dependence on bottled drinking water.
Co-Authors Afifuddin, Mokhammad Budhi Waskito Kurnianingsih, Novi Noning Verawati