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GAMBARAN KARAKTERISTIK PENYAKIT HIRSCHSPRUNG’S DI RSUD GUNUNG JATI CIREBON PERIODE 2020–2022 Andini, Maryzka; Kusumo, Dimas Aryo; Hermawan, Iwan; Nopita, Ineu; Ahmad, Zulkifli; Suroso, Triono Adi
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 11 No 1 (2025): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v11i1.10044

Abstract

ABSTRAK Latar Belakang: Penyakit Hirschsprung’s adalah terjadinya pembesaran usus yang tipikal sepanjang bagian proksimal yang mengalami aganglionosis coli. Insiden penyakit Hirschsprung’s di dunia adalah 1:5000 kelahiran hidup dengan angka kematian berkisar antara 1–10%. Tujuan: Mengetahui gambaran jenis kelamin, usia, usia gestasi, usia saat dilakukan Tindakan, gambaran gejala klinis, Tindakan operasi dan komplikasi pasien penderita Hirschsprung’s di RSUD Gunung Jati Kota Cirebon Metode: Desain penelitian ini deskriptif retrospektif. Data yang digunakan adalah data sekunder berupa rekam medis pasien Hirschsprung’s di RSUD Gunung Jati periode 2020-2022. Teknik pengambilan sampel yang digunakan adalah total sampling. Hasil: Berdasarkan uji univariat didapatkan kejadian penyakit Hirschsprung’s terbanyak pada kategori usia 0-6 bulan (37,1%) dengan jenis kelamin laki-laki (60,0%), pasien berdasarkan usia gestasi preterm (8,6%), usia saat operasi 0-6 bulan (37,1%), gambaran klinis yang terbanyak konstipasi (55,7%), Tindakan operasi yang paling sering dilakukan yaitu operasi Swenson (77,1%) dan pasien dengan komplikasi infeksi luka operasi (7,1%). Simpulan: Gambaran penyakit Hirschsprung’s yang didominasi paling banyak berdasarkan karakteristik penyakit yaitu pada kategori usi 0-6 bulan (37,1%) dengan jenis kelamin laki-laki (60,0%) ABSTRACT Background: Hirschsprung's disease is the typical occurrence of intestinal enlargement along the proximal part which has aganglionosis coli. The incidence of Hirschsprung's disease in the world is 1:5000 live births with a mortality rate ranging from 1–10%. Aim: Knowing the description of gender, age, gestational age, age at the time of action, description of clinical symptoms, surgical procedures and complications of patients with Hirschsprung's at Gunung Jati Hospital, Cirebon City. Methods: This research design is descriptive retrospective. The data used is secondary data in the form of medical records of Hirschsprung's patients at Gunung Jati Regional Hospital for the 2020-2022 period. The sampling technique used is total sampling. Results: Based on the univariate test, the highest incidence of Hirschsprung's disease was found in the age category 0-6 months (37.1%) with male sex (60.0%), patients based on preterm gestational age (8.6%), age at surgery 0-6 months (37.1%), the most clinical picture is constipation (55.7%), the most frequently performed surgery is Swenson surgery (77.1%) and patients with surgical wound infection complications (7.1%) %). Conclusion: The most dominant description of Hirschsprung's disease is based on disease characteristics, namely in the 0-6 month age category (37.1%) with male sex (60.0%)
POLA MIKROORGANISME PENYEBAB PERITONITIS GENERALISATA DAN PROFIL SENSITIFITASNYA TERHADAP ANTIBIOTIK DI RSD GUNUNG JATI 2018-2023 Kartiwa, Raniya; Kusumo, Dimas Aryo; Indrakusuma, Mohammad Erwin; Amanah, Amanah
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 7 No 4 (2024): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Prevalensi peritonitis di Indonesia semenjak tahun 2018 berjumlah sekitar 5% dari penduduk Indonesia atau sekitar 150.000 kasus pertahun. Resistensi mengalami peningkatan di setiap tahun disebabkan penggunaan antibiotik yang tidak tepat dan penggunaan jangka panjang. Studi ini bertujuan mengetahui pola mikroorganisme dan sensitivitas antibiotik pada pasien peritonitis generalisata sekunder di RSD Gunung Jati. Penelitian ini merupakan penelitian cohort retrospective, dengan total 100 responden yang terseleksi sesuai inklusi dan eksklusi dan responden didapatkan dari rekam medis dan WHO net. Hasil penelitian dari observasi rekam medis didapatkan pertumbuhan bakteri tertinggi kelompok gram negatif; Escherichia coli (55%), Klebsiella pneumoniae (14%), dan gram positif; Enterococcus faecalis (4%). Uji kepekaan antibiotik dengan tingkat Susceptible (≥75 %) pada Gram Positif; Ampicillin (100%), Cefoxitin (100%), Rifampin (100%), Nitrofurantoin (100%), dan Linezoid (83,3%), pada Gram Negatif; Ertapenem (96,6%), Meropenem (91,5%), Amikacin (91,3%), dan Imipenem (80%). Kesimpulannya bakteri penyebab peritonitis generalisata sekunder terbanyak di RSD Gunung Jati adalah Escherichia coli, Klebsiella pneumonia, dan Enterococcus faecalis. Profil sensitivitas antibiotik yang baik pada bakteri Gram Positif; Ampicillin, Cefoxitin, Rifampin, Nitrofurantoin, dan Linezoid, pada bakteri Gram Negatif; Ertapenem, Meropenem, Amikacin, dan Imipenem Kata kunci : peritonitis sekunder, pola mikroorganisme, sensitivitas antibiotik DOI : 10.35990/mk.v7n4.p352-363
The Influence of Job Autonomy, Self-Efficacy, and Compensation on Employee Performance with Job Satisfaction as a Mediating Variable Kusumo, Dimas Aryo; Arrizky, Muhamad Daffa Thareq; Radityaputra, Audric; Sibarani, Roza
JOURNAL OF MANAGEMENT, ACCOUNTING, GENERAL FINANCE AND INTERNATIONAL ECONOMIC ISSUES Vol. 5 No. 2 (2026): MARCH
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/marginal.v5i2.2074

Abstract

The rapid transformation of the banking industry in the digital era, accompanied by increasing technological demands and a decline in employee numbers at Bank XYZ, has heightened the urgency to understand the determinants of employee performance. Rising turnover rates and fluctuating productivity further underscore the importance of examining organizational and personal factors that shape employee outcomes. This study investigates the impact of job autonomy, self-efficacy, and compensation on employee performance, with job satisfaction as an intervening variable. Using a quantitative survey approach, data were collected from 208 employees at Bank XYZ through questionnaires measuring five key variables. Statistical testing was carried out using multiple regression and mediation analysis. The findings reveal that the three independent variables have a direct positive and significant effect on employee performance. All three also positively and significantly affect job satisfaction. However, the direct effect of job satisfaction on performance was not significant. Mediation analysis further shows that job satisfaction does not mediate the relationships between job autonomy, self-efficacy, and compensation on employee performance. Theoretically, these results challenge established models that position job satisfaction as a critical mediator, suggesting its role may be contingent on industry context. Practically, this indicates that in digitally transforming banks like XYZ, managers should prioritize enhancing direct drivers including autonomy, self-efficacy, and compensation to improve performance, rather than relying on satisfaction as a pathway. The study is limited by its single-bank sample and short observation period, suggesting the need for broader future research.