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PROFIL PENDERITA ULKUS DEKUBITUS YANG MENJALANI TIRAH BARING DI RUANG RAWAT INAP RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE JANUARI 2011-DESEMBER 2013 Levina Mutia; Kuswan Ambar Pamungkas; Dewi Anggraini
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTPressure ulcer is one of complication that might happen in Integumen System. It is formed because of the inability to mobilize in patient during bed rest. In addition, the incidence of pressure ulcer is one of indicator to evaluate hospital’s service quality. The incidence of pressure ulcer is associated with the service control and quality for patients. This research was aimed to know the profile of patient with pressure ulcer that experience bed rest at inpatient room of Riau Province General Hospital during January 2011-December 2013. It comprises of the patient’s distribution based on age, sex, diagnose that caused bed rest, the first day of ulcer appeared, ulcer stage and the therapy. The research was an observational study using descriptive retrospective design. This study used total sampling method. Samples of this study were all data of pressure ulcer patient that fulfilled inclusion criteria. The total samples were 54 cases. This study shows that the age group of 46-65 years old (51.9%) and female (64.8%) in sex group were the most commonly patient with pressure ulcer. Stroke was the top of diagnose that caused pressure ulcer with 53.7% in percentage. Pressure ulcer stage 1 and 4 with 33.3% in percentage each were the most commonly stage that has been found. Pressure ulcer was appeared on day 9 in the average and mostly appeared on day 7. Non-operative therapy (87%) is often used for treating patient with pressure ulcer.Keywords: Pressure Ulcer, Bed Rest

PROFIL PASIEN KONTRAKTUR YANG MENJALANI PERAWATAN LUKA BAKAR DI RSUD ARIFIN ACHMAD PERIODE JANUARI 2011 – DESEMBER 2013 Rezky Darmawan Hatta; Kuswan Ambar Pamungkas; Dimas P. Nugraha
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACKThe aim of this research is to find out the profile of contracture patients after burn injury treatments. We hold the research at Surgery department, Arifin Achmad hospital from 30th November – 17th December, 2014.This research is descriptive study with cross sectional approach. From 237 populations, we took 12 for our sample with total sampling method. Data collected by the review of medical records of patients hospitalized for burn injury from January 2011 – December 2013. Parameter investigated include patients’ frequent, data for extent of burn injury degree, age, and sex gender were tabulated, computerized and analyzed.From the data we have gathered, we got burn injury patients were 237 people, and 12 patients were contracture. Number of contracture patients mostly in range 15 – 24 years old (33,4%). Number of contracture patients in female patient were 6 people (50%) and in male patients were 6 people (50%). Almost all burn extent was deep dermal (2nd degree) (58,3%) and full thickness (3rd degree) (41,7%).Key word: Burn injury, contracture

KESESUAIAN HASIL PEMERIKSAAN ULTRASONOGRAFI DAN HISTOPATOLOGI PADA PASIEN TUMOR PAYUDARA DI RSUD ARIFIN ACHMAD PERIODE 1 OKTOBER 2013 - 30 SEPTEMBER 2014 Indira Suluh Paramita; Andreas Makmur; Effif Syofra Tripriadi
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACT This study aims to know the concordance of ultrasonography and histopathology results in diagnosing breast tumor at Arifin Achmad General Hospital. This study was an analytic retrospective with a cross-sectional design. Samples in this study includes all breast tumor patients that went through ultrasonography and histopathology examinations during 1 october 2013 – 30 september 2014. There were 31 samples that fulfilled the inclusion criteria. All samples were females. This study shows that breast tumor is most frequent in age group 40-49 years old with 15 patients (4,39%). Among 15 patients, 10 were diagnosed with benign tumor (32,26%) and 5 were diagnosed with malignant tumor (16,13%). Kappa scores of ultrasonography and histopatology was R 0,353, it means the concordance was fair. Overall, ultrasonography concordance accuracy was 70,96%. Concordance in diagnosing benign tumor was 80% and was 54,5% in malignant tumor.Keywords : Breast tumor, ultrasonography examinations result, histopatology examinations result.

GAMBARAN ILEUS OBSTRUKTIF PADA ANAK DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE JANUARI 2012 – DESEMBER 2014 Novita Sari; Ismar "; Elda Nazriati
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTObstructive ileus is a condition that causes the intestinal contents cannot pass through the intestinal lumen as a result of blockage or mechanical barriers. Obstructive ileus is an emergency in surgical and also a case which frequently happen to children including newborns. The research using a retrospective descriptive method regarding obstructive ileus overview of children in Arifin Achmad hospital of Riau province period of January 2012– December 2014 and the data is from medical records in Medical Record Installation of Arifin Achmad Hospital Pekanbaru. In the research, 123 obstructive ileus patients were found in children. Based on age, most of them were in the age group of >28 days-12 months with 37,4%, most numerous gender was male with 74,8% , there were four most common causes of obstructive ileus, they were Hirschsprung with 27,6%, adhesion with 22%, atresia ani with 21,2% and intussusception with 17,1%, most of the type of obstruction is simple obstruction with 87%, most of the obstruction position is low-level obstruction with 75,6%, the most clinical symptoms were abdominal distention with 78,9%, obstipation with 65,9%, vomiting with 61%, abdominal pain with 19,5%. Most of the obstructive ileus patients 67,5% returned home with the status/condition in a state of improvement.Keywords: obstructive ileus, obstructive ileus etiology, patient overview.

GAMBARAN PENDERITA INFEKSI LUKA OPERASI PADA PASIEN PASCA OPERASI BERSIH (CLEAN) DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE OKTOBER - DESEMEBER 2013 Kurnia, Andy; Tripriadi, Effif Syofra
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTSurgical site infection (SSI) is an infection caused by pathogenic microorganism that contaminate the surgical wound at the time of surgery or after surgery. SSI is the kind of healthcare-association infection or nosocomial infections (NI). This descriptive retrospective study explained the overview surgical site infection of post - clean surgical patients at Arifin Achmad General Hospital of Riau Province October to December 2013 period. The source of data was taken from medical records of clean surgical patient at Arifin Achmad General Hospital of Riau Province. In this study, a total of 192 patients were included into the clean surgical patients. The prevalence of surgical site infection in this study was 6.8 (13 patients). By the age group, the highest percentage of patients with post - clean surgical SSI was 41 - 60 years. By the sex, the comparison of patients with post – clean surgical SSI between men and women was 1.2 : 1. By the comorbidities, the highest percentage of patients with post – clean surgical SSI was the patients that have comorbidity non-diabetic. By the duration of surgical, the highest percentage of patients with post – clean surgical SSI was > 2 hours. By the length of stay, the highest percentage of patients with post – clean surgical SSI was > 7 days. By the prophylactic antibiotics administration, the highest percentage of patients with post – clean surgical SSI was clean surgical patients who not given prophylactic antibiotics. By the pre-operative procedure, shaving of the surgical area was pre-operative procedure that had highest percentage in patients with post – clean surgical SSI.Keywords: surgical site infection, clean surgical, patient overview.

GAMBARAN PENGETAHUAN DAN SIKAP IBU TENTANG PELAKSANAAN TOILET TRAINING PADA ANAK USIA 1-3 TAHUN DI WILAYAH KERJA POSYANDU KELURAHAN SUKAMAJU KECAMATAN SAIL KOTA PEKANBARU Rina Ovie Denada; Elda Nazriati; Fifia Chandra
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTOne of the important aspects in development of children in toddler age is toilet training. The right knowledge and attitude of mother’s are really needed in toilet training. The purposes of this study were to describe mother’s knowledge and attitude about implementation of toilet training in children aged 1-3 years. This study was conducted at Posyandu (Integrated Health Service Center) Working Area, Sukamaju Village, Sail District, Pekanbaru City. This study was done by using descriptive method and cross sectional approach. The sample consisted of 56 mothers of toddlers. This data was collected by doing an interview which using a questionnaire. The result of this research showed that majority of mothers have adequate knowledge (73,2%), neutral attitude (67,9%) and already implemented toilet training (67,9%). Most children (44,7%) in this study were toilet trained before the age of 18 months and the most characteristic of mothers who implemented toilet training were mothers age 20-35 years (64,3%), senior high school (39,3%), housewife (57,1%) and having ≤2 child (62,5%). This study has been shown that boys (39,3%) were toilet trained have higher frequency than girls. Most mothers who implemented toilet training have adequate knowledge (48,2%) and neutral attitude (46,4%).Keywords : Knowledge, attitude, implementation, toilet training, toddler

HUBUNGAN EFIKASI DIRI DENGAN NILAI OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) PADA MAHASISWA TAHUN KETIGA FAKULTAS KEDOKTERAN UNIVERSITAS RIAU Wan Risa Mailina; Zulharman "; Enikarmila Asni
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTBandura explains that self-efficacy is a person’s belief about ability to perform a task or action to achieve a particular result. Students with high self-efficacy will be able to deal with the OSCE successfully and smoothly. This study is a longitudinal study with retrospective approach to determine the correlation between self-efficacy and the mark of OSCE to the third year students of Faculty of Medicine, University of Riau. The sample 102 students of this study were taken by total sampling technique. Primary data was taken by self-efficacy questionnaire modified from Rizkia research based on the theory of Bandura and secondary data from mark of the OSCE taken from manager skill lab. Statistical test to determine the correlation between self-efficacy and the mark of OSCE used Spearman test. The results of this study showed that there is no significant correlation between self-efficacy and the mark of OSCE (r=0.137; p=0.170). The conclusion of this study there was no correlation between self-efficacy and mark of the OSCE in the students third year of medical university riau.Keywords: self-efficacy, mark of the OSCE, medical students

PENGARUH PAPARAN SABUN MANDI CAIR NON ANTISEPTIK PADA BERCAK DARAH TERHADAP KRISTAL HEMOGLOBIN DENGAN TES TEICHMANN DAN TES TAKAYAMA Hilda Fauziah Lainatus Shifa; Enikarmila Asni; Mohammad Tegar Indrayana
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTThe purpose of crime scene investigation is to gather evidence, such as blood, that can give information about chronology of events in crime scene. One of forensic examination of blood is confirmatory test (Teichmann test and Takayama test) that can confirm if suspected object is blood. The criminals can wipe out blood using non antiseptic liquid bath soap. The aim of this study was to know effect of non antiseptic liquid bath soap exposure on bloodstains to hemoglobin crystal with Teichmann test and Takayama test. The design of this study was pre test and post test experimental. This study was conducted in Biochemical Laboratory of Medical Faculty of Riau University. Samples of this study were 50 bloodstain slides (2 control slides and 48 slides that have been exposed with 12 kind of non antiseptic liquid bath soap). The result of this study was 48 bloodstain slides (100%) had positive result with Teichmann test and Takayama test and crystal’s shape was same as crystal’s shape on control slides. The effect of non antiseptic liquid bath soap exposure on bloodstains to hemoglobin crystal with Teichmann test and Takayama test could not be determined because statistical analysis could not be done.Keywords : bloodstain, hemoglobin crystal, non antiseptic liquid bath soap, Teichmann test,Takayama testPENDAHULUANPemeriksaan tempat kejadian perkara (TKP) bertujuan untuk mengumpulkan barang-barang bukti yang dapat memberikan informasi tentang kejadian di TKP, salah satunya adalah cairan tubuh manusia. Cairan tubuh yang sering ditemukan di TKP adalah darah. Darah dapat ditemukan pada kasus kekerasan fisik, seperti pembunuhan, penganiayaan, pemerkosaan, dan kecelakaan.1Deteksi dan identifikasi darah di

KRISTAL HEMOGLOBIN PADA BERCAK DARAH YANG TERPAPAR BEBERAPA SABUN MANDI PADAT NON ANTISEPTIK DENGAN TES TEICHMANN DAN TES TAKAYAMA Fika Maulidah; Enikarmila Asni; Mohammad Tegar Indrayana
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTBloodstains found on crime scene usually cleaned and camouflaged by the criminals as an attempt to eliminate the evidence. One of the way to eliminate the evidence is by using non antiseptic bar soap that can be found easily on the market. The contamination of non antiseptic bar soap on the bloodstains could probably influence the result of bloodstain’s identification by Teichmann test and Takayama test. This study was conducted to describe the crystal formation of hemoglobin at bloodstains that exposed with some brand of non antiseptic bar soap by Teichmann test and Takayama test. Each of bloodstain’s sample were exposed by flowing the non antiseptic bar soap that has been smoothed and dissolved in water. There were 66 samples that observed and found positive results on all samples (100%) through Teichmann test and Takayama test. These results showed that hemoglobin crystals still could be found even after the bloodstains were exposed by non antiseptic bar soap. The conclusion of this research is non antiseptic bar soaps do not influence the formation of hemoglobin crystals.Keyword : hemoglobin crystals, bloodstain, Teichmann test , Takayama test, non antiseptic bar soap

GAMBARAN PENGETAHUAN DAN SIKAP IBU TENTANG PELAKSANAAN TOILET TRAINING PADA ANAK USIA 1-3 TAHUN DI WILAYAH KERJA POSYANDU DESA KUBANG JAYA KABUPATEN KAMPAR Syari, Elfita; Chandra, Fifia; Risma, Devi
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
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ABSTRACTToilet training is a technique for teaching children to defecate and urinate in the toilet. Mother’s knowledge and attitude plays an important role in the implementation of toilet training. This study was conducted to know the mother’s knowledge and attitude about the implementation of toilet training toward the children ages 1-3 years old in the area of Posyandu Kubang Jaya village Kampar District. This study was conducted in the area of Posyandu Kubang Jaya village Kampar District. The design research of this study is a descriptive cross-sectional approach. The sample of this study were the mothers of 1-3 years old children. The minimum number of samples required were 79 mothers. The data was taken from interviews and questionnaires. Based on the result of this study, it shows that the most knowledge, attitude and the implementation of toilet training is in the sufficient category (76%), neutral (60.8%) and most of mothers (79.8%) have conducted toilet training. Age <18 months is the most age where the toilet training is implemented (61.9%). The most mothers who have do the toilet training are the mothers in the age of 20-35 years old (68.4%), high school educated mothers (45.6%), housewife (69.6%) and mothers with children(≤2 child) 45.6%. Female babies (45.6%) are the most numerous who have conducted toilet training. Mothers who have conducted toilet training mostly have sufficient knowledge (60.8%) and neutral (49.4%).Keywords: knowledge, attitude, implementation, toilet training, toddler child

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Riau

INDONESIA