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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.
Hubungan Usia, Jenis Kelamin, Lokasi, Dan Tipe Histopatologi Terhadap Kejadian Kanker Kolorektal Di RSD Gunung Jati Cirebon Ulpah, Maria; Nurbaiti, Nurbaiti; Ladala, Evan Wahyudy
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i9.61512

Abstract

Latar belakang: Kanker kolorektal merupakan penyakit yang ditandai dengan adanya pertumbuhan sel abnormal pada bagian kolon dan rektum. Angka kejadian kanker kolorektal pada pria lebih tinggi dibandingkan wanita dan kejadian kanker kolorektal ini meningkat secara signifikan di kelompok usia 50 tahun keatas. Lokasi kanker kolorektal paling banyak ditemukan pada rektum dan tipe histopatologi paling banyak ditemukan adenokarsinoma sekitar 90%. Tujuan: Untuk mengetahui distribusi, frekuensi dan menganalisis hubungan usia, jenis kelamin, lokasi, dan tipe histopatologi terhadap kejadian kanker kolorektal di RSD Gunung Jati Cirebon. Metode: Penelitian ini menggunakan desain Cross Sectional. Pengambilan sampel melalui data sekunder dengan cara Total Sampling (115 responden). Analisis univariat untuk menilai distribusi frekuensi usia, jenis kelamin, lokasi, tipe histopatologi dan kanker kolorektal serta analisis bivariat menggunakan uji Chi-Square. Hasil: Dari 115 responden, terdapat 38 responden (33%) untuk kelompok usia 51-60 tahun dengan ρ-value 0,175, 67 responden (58%) untuk jenis kelamin laki-laki dengan ρ-value 0,508, lokasi rektum 54 responden (47%) dengan ρ-value 0,07 dan untuk tipe histopatologi terdapat 85 responden (74%) adenocarsinoma dengan ρ-value 0,07. Simpulan : Pada penelitian ini tidak terdapat hubungan yang signifikan antara usia, jenis kelamin, lokasi, dan tipe histopatologi terhadap kejadian kanker kolorektal di RSD Gunung Jati Cirebon.
Hubungan Pekerjaan dan Usia Dengan Angka Kejadian Hernia Inguinalis di RSUD Waled Cirebon Periode Januari 2022-Desember 2023 Ramadani, Vivi Silviana; Ladala, Evan Wahyudy; Maria Ulfah, Siti
EduInovasi:  Journal of Basic Educational Studies Vol. 5 No. 3 (2025): EduInovasi:  Journal of Basic Educational Studies
Publisher : Intitut Agama Islam Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/edu.v5i3.9867

Abstract

Inguinal Hernia is the emergence of protrusion in the groin. The incidence of Inguinal Hernia in Indonesia is 75% compared to other hernias. Inguinal Hernia in West Java 4,567 cases. Inguinal Hernia occurs due to several factors, namely modifiable (obesity), and non-modifiable (age), and other factors such as work. to determine the correlation between occupation and age with the incidence of inguinal hernia at Waled Cirebon Regional Hospital. analytical observational study with a cross-sectional approach. Data collection was carried out secondary by collecting medical record data. The sampling method used the Lemeshow method many as 96 samples. Data analysis will be tested using a data processing application. The highest frequency of inguinal hernia patients at RSUD Waled Cirebon is 91.7% of patients with lateral inguinal hernia. The highest frequency of work was 83.3% of patients with physical work, and the highest age frequency was 71.9% in adults. The results of the contingency coefficient show that there is no correlation between occupation and the incidence of inguinal hernias (p=0.741), and there is no correlation between ages and the incidence of inguinal hernias (p= 0.927). there is no significant correlation between work and age with the incidence of inguinal hernia.