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KORELASI ANTARA USIA, JENIS KELAMIN, OBESITAS DAN DIABETES MELITUS DENGAN TINGKAT KEPARAHAN PENYEMPITAN CELAH SENDI OSTEOARTRITIS MENURUT KELLGREN LAWRENCE DI RSUD WALED TAHUN 2019-2022 Cahyani, Tia Dwi; Royyani, Nunik; Putro, Widiyatmiko Arifin; Handoyo, Yusuf; Suhanda, Muhammad; Damayanti, Rian
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.v11i1.10192

Abstract

Latar Belakang : Menurut WHO sekitar 80% dari penderita osteoartritis berusia lebih dari 65 tahun. Penyakit ini menyebabkan nyeri dan disabilitas pada penderita sehingga mengganggu aktivitas sehari-hari. Tujuan : Mengetahui apakah terdapat korelasi antara usia, jenis kelamin, obesitas, diabetes mellitus dengan tingkat keparahan penyempitan celah sendi osteoartritis menurut Kellgren Lawrence Pasien Di RSUD Waled Tahun 2019-2022. Metode : Penelitian observasional dengan desain Cross sectional dari hasil foto rontgen pasien osteoartritis tahun 2019-2022 dan data rekam medis pasien osteoarthritis di Rawat jalan Poliklinik orthopedi, Saraf dan Penyakit dalam. Analisis statistik dilakukan dengan uji korelasi spearman dan Regresi logistik dengan aplikasi Software. Hasil : Hasil analisis didapatkan p = 0,012 (p<0,05) r=0,228 pada usia dengan penyempitan celah sendi, jenis kelamin dengan penyempitan celah sendi didapatkan p = 0,004 (p<0,05) r=0,259, obesitas dengan penyempitan celah sendi didapatkan p = 0,043 (p<0,05) r=0,184 dan diabetes mellitus dengan penyempitan celah sendi didapatkan p = 0,220 (p<0,05) r=0,112. Dengan hasil regresi logistik didapatkan variable yang berpengaruh yang paling besar dengan penyempitan celah sendi terdapat pada variabel usia karena nilai Exp(B) (0.112). Kesimpulan : Terdapat hubungan bermakna antara usia, jenis kelamin dan obesitas dengan penyempitan celah sendi dan tidak memiliki hubungan yang bermakna antara diabetes melitus dengan penyempitan celah sendi. Kata Kunci : osteoartritis, usia, jenis kelamin, obesitas, diabetes melitus, penyempitan celah sendi. ABSTRACT Introduction : According WHO, about 80% of people with osteoarthritis are over 65 years old. This disease causes pain and disability in the sufferer so that it interferes with daily activities. Purposes : Knowing whether there is a correlation between age, gender, obesity, diabetes mellitus and the severity of osteoarthritis joint space narrowing according to Kellgren Lawrence Patients at Waled Hospital in 2019-2022. Methods : Observational study with a cross-sectional design based on X-rays of osteoarthritis patients in 2019-2022 and medical record data of osteoarthritis patients at the Outpatient Polyclinic of Orthopedics, Neurology and Internal Medicine. Statistical analysis was carried out using the Spearman correlation test and logistic regression with software applications. Results : The results of the analysis obtained p = 0.012 (p <0.05) r = 0.228 at age with narrowing of the joint space, gender with narrowing of the joint space obtained p = 0.004 (p <0.05) r = 0.259, obesity with narrowing of the joint space obtained p = 0.043 (p<0.05) r=0.184 and diabetes mellitus with joint space narrowing obtained p = 0.220 (p<0.05) r=0.112. With the results of logistic regression, it was found that the variable that had the greatest influence on the narrowing of the joint space was found in the Age variable because of the Exp(B) value (0.112). Discussion : There is a significant relationship between age, gender and obesity with narrowing of the joint space and has no significant relationship diabetes melitus with narrowing of the joint space.
Correlation between Head Midline Shift CT-Scan with Glasgow Coma Scale in Head Injury Patient at Waled General Hospital, Cirebon, Indonesia Permana, Aditia; Royyani, Nunik; Ladala, Evan Wahyudy
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1241

Abstract

Background: Findings on a head CT scan could use the midline shift (MLS) parameter to assess the severity of head injury. Midline shift was also known to serve as an indicator that was frequently associated with the Glasgow Coma Scale (GCS) in head injury patients. A greater degree of midline shift (> 5 mm) indicated a severe head injury that was significantly associated with a lower Glasgow Coma Scale score. The measurement could be performed quickly, although most of the findings that appeared when patients first arrived at the emergency department were generally mild. Aims: This study aims to determine the correlation between midline shift on CT-Scan head and Glasgow coma scale in head injury patients at Waled General Hospital. Methods: This research is analytical observational with a cross-sectional design. The total sampling technique took samples from the medical records of 38 patients out of 81 samples that had been excluded. The study was conducted at Waled General Hospital in June-July 2024 and analyzed using the Spearman correlation test. Results: The results showed that most samples did not show a midline shift with 30 patients (78.9%) and had a GCS score of 13-15 with 22 patients (57.9%). A significant relationship exists between the midline shift on head CT-Scan with the GCS (p = 0.001, r = -0.770) in head injury patients at Waled General Hospital. Conclusion: Most samples did not show a midline shift picture and had a GCS score of 13-15. There was a significant relationship between the midline shift on head CT scans and the GCS in head injury patients at Waled General Hospital. These findings had important implications in clinical practice, particularly in determining triage priorities, predicting the need for surgical intervention, and monitoring patients intensively.
KARAKTERISTIK GAMBARAN PATOLOGIS VERTEBRAE LUMBOSACRAL PADA PEKERJA TAMBANG USIA 20 – 45 TAHUN DENGAN KELUHAN LOW BACK PAIN Nugraha, Verrel Adventa; Emman, Irene Max; Dewangga, Taufan Herwindo; Royyani, Nunik; Kusnandang, Agus
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 3 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i3.9586

Abstract

ABSTRAKPekerja tambang saat ini banyak berusia muda tetapi mengeluhkan low back pain dan setelah dilakukan screeningdengan foto rontgen terdapat gambaran penyempitan diskus intervertebralis, sklerotik end plate, osteofit,spondylolithesis, dan stenosis foramen intervertebralis. Dampak yang dialami oleh pekerja tambang tersebut dapatdikarenakan beban kerja yang berat dan lama kerja, usia, obesitas, dan kurang berolahraga. Ilmu yang mempelajaritentang rontgen vertebrae dan pertulangan yang berkaitan dengan pekerjaan disebut radiologi dan orthopedi.Untuk mengetahui karakteristik gambaran patologis radiografi pada vertebrae lumbosacral terhadap usia,pekerjaan, jenis kelamin dengan keluhan low back pain (LBP) pada pekerja tambang usia 20 – 45 tahun. Penelitianobservasional ini menggunakan rancangan deskriptif retrospektif. Sampel diambil dari hasil foto rontgen sebanyak54 orang. Teknik pengambilan sampel menggunakan Total sampling. Analisis data untuk melihat karakteristikgambaran patologis radiografi vertebrae lumbosacral pada pasien dengan pekerjaan sebagai pekerja tambang.Berdasarkan uji univariat didapatkan usia dewasa awal 26 – 35 tahun sebanyak 32 (59,3%), remaja akhir 20 – 25tahun sebanyak 13 (24,1%), dewasa akhir 36 – 45 sebanyak 9 (16,7%), laki - laki sebanyak 49 (90,7%), perempuansebanyak 5 (9,3%), penyempitan diskus intervertebralis sebanyak 50 (87,7%), osteofit sebanyak 7 (12,3%),sklerotik end plate sebanyak 0 (0%), spondylolithesis sebanyak 0 (0%), stenosis foramen intervertebralis sebanyak0 (0%). Karakteristik gambaran patologis radiografi vertebrae lumbosacral pada pasien pekerja tambangberdasarkan usia paling banyak di dapat adalah pasien usia dewasa awal, untuk jenis kelamin paling banyak adalahlaki - laki, untuk hasil foto rontgen paling banyak di dapat adalah penyempitan diskus intervertebralis.Kata kunci : Temuan radiologis lumbal, rontgen lumbal pekerja tambang, rontgen pasien LBP, rontgen lumbalpasien usia mudaABSTRACTToday's mining workers are mostly young but complain of low back pain and after screening with X-rays thereare pictures of narrowing of the intervertebral discs, sclerotic end plates, osteophytes, spondylolithesis, andstenosis of the intervertebral foramen. The impact experienced by mining workers can be due to heavy workloadand length of work, age, obesity, and lack of exercise. The science that studies X-rays of the vertebrae and bonesrelated to work is called radiology and orthopedics. To find out the characteristics of radiographic pathology ofthe lumbosacral vertebrae on age, occupation, gender with complaints of low back pain (LBP) in miners aged 20-45 years. This observational study used a retrospective descriptive design. Samples were taken from the results ofX-rays as many as 54 people. The sampling technique used total sampling. Data analysis to see the characteristicsof the pathological picture of lumbosacral vertebrae radiography in patients with occupations as mining workers.Based on univariate tests, it was found that the age of early adulthood 26 - 35 years was 32 (59.3%), lateadolescence 20 - 25 years was 13 (24.1%), late adulthood 36 - 45 was 9 (16.7%), men were 49 (90.7%), femaleas many as 5 (9.3%), intervertebral disc narrowing as many as 50 (87.7%), osteophytes as many as 7 (12.3%),sclerotic end plate as many as 0 (0%), spondylolithesis as many as 0 (0%), intervertebral foramen stenosis asmany as 0 (0%). The characteristics of the radiographic pathological picture of lumbosacral vertebrae in mineworker patients based on age are mostly early adult patients, for the most gender is male, for the most X-rayresults are narrowing of the intervertebral disc.Keywords : lumbar radiologic findings, lumbar x-rays of mine workers, X-ray of LBP patient, lumbar x-ray of ayoung patient