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The Relationship between Pain and Disability in Patients with Low Back Pain Ice Septriani Saragih; Ikhsanuddin A. Harahap; Ridha Dharmajaya
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.677 KB) | DOI: 10.35654/ijnhs.v3i1.289

Abstract

Low Back Pain (LBP) is a musculosceletal problem that contribute greatly to disability in general. The main complaint of patients who experience with LBP is pain. Pain is complex, multidimensional, individual and subjective. The aim of this study was to determine the relationship beetween pain and disability of low back pain. The number of samples in this study were 40 respondent. the sampling technique used is nonprobability sampling with the sampling methods was consecutive sampling. The result of this study showed that there was a significant relationship between pain (?= 0,000, p<0,05) and r= 0,663, which means it has a strong relationship between pain and disability. The conclusion of this study is there is the significant relationship between pain and disability in patients with LBP. This study recommends further studies to investigate the relationship of pain duration with disability in patient with LBP but in a larger sample.
The Effect of Distraction Technique on Pain Intensity among Patients Undergoing Circumcision Anesthetic in Medan Syamsul Idris; Ikhsanuddin Ahmad Harahap; Ridha Dharmajaya
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 2 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (764.397 KB) | DOI: 10.35654/ijnhs.v3i2.299

Abstract

Circumcision actions often cause pain complaints when the anesthetic injection and post-circumcision are given to patients. Distraction aims to reduce pain response. Distraction by seeing and holding a needle is referred to as audiovisual distraction, which is a combination of hearing distraction (audio) and visual distraction to distract the patient's attention from the pain. This study aims to determine the effect of distraction technique on pain intensity among patients undergoing circumcision anesthetic. This study was a quasi-experimental design by using Two groups, pre-test, and post-test with the non-equivalent control group. The research sample consisted of 98 respondents who were divided into two groups taken by purposive sampling technique. The instrument used was the Wong-Baker Faces Pain Scale (WBFPS). Data analysis used was Bivariate Analysis by using Mann Whitney U Test. The result showed that the application of distraction technique to see and to hold a needle in the intervention group was influential in reducing the intensity of injection pain/anesthetic injections on circumcision clients compared to the control group (z = -8,881; p = 0,000). Based on the result of the study, it can be concluded that the application of a distraction technique to see and to hold needle affects to reduce the intensity of injection pain/anesthetic injections on circumcision clients. It is expected that the distraction technique of viewing and holding needle becomes an independent nursing intervention for an invasive procedure such as undergoing circumcision anesthetic
ELEVATED SERUM S100B PROTEIN LEVEL AS A PARAMETER FOR BAD OUTCOME IN SEVERE TRAUMATIC BRAIN INJURY PATIENTS Ridha Dharmajaya; Dina Keumala Sari; Ratna Akbari Ganie
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 24, No 1 (2017)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v24i1.1159

Abstract

Beratnya suatu cedera kepala akibat trauma akan membuat gangguan saraf pusat. Kerusakan saraf ini dapat dinilai dengan petandabiokimia yang tepat. Pemakaian petanda biokimia terhadap kerusakan otak mendapatkan perhatian yang banyak terutama ProteinS100B. Protein S100B adalah suatu ikatan kalsium dan protein yang meningkat cepat sesaat setelah cedera kepala. Kesulitannya adalahuntuk memastikan, berapa lama Protein S100B ini harus diukur. Jika berhubungan dengan kerusakan otak, ia tidak selalu terjadi pada24 jam pertama. Dapat terjadi pada 48–72 jam pasca cedera kepala, bahkan 120 jam pada kecederaan tersebut. Penelitian ini bertujuanuntuk mendapatkan kenasaban antara Protein S100B dengan GOS sebagai faktor peramalan yang akurat, mudah, tidak menyakitkan,untuk cedera kepala berat. Pengambilan serum darah untuk pemeriksaan kadar Protein S100B dilakukan pada 24, 48, 72 dan 120 jampasca trauma. Selanjutnya pengukuran dilakukan dengan menggunakan Enzyme Linked Immunosorbent Assay (ELISA). Keluaran pasienpasca perawatan dinilai menggunakan penggolongan Glasgow Outcome Scale (GOS), tiga bulan pasca kecederaan. Hasil pengukurankadar Protein S100B pada 120 jam pasca cedera kepala berat menunjukkan hubungan berlawanan yang kuat terhadap keluaran pasien.Pasien cedera kepala berat dengan kadar Protein S100B 120 jam pasca trauma yang tinggi, memiliki hasil keluaran yang buru
BRAIN DERIVED NEUROTROPHIC FACTOR (BDNF) PASCACEDERA KEPALA BERAT SEBAGAI FAKTOR PERAMALAN PERJALANAN PENYAKIT {(Brain Derived Neurotrophic Factor (BDNF) as a Prognostic Factor in Severe Head Injury)} Ridha Dharmajaya
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 21, No 1 (2014)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v21i1.1261

Abstract

Severe head Injury result in primary and secondary brain damage. The secondary brain damage produces a more worse effect thanthe primary one. Therefore, the process of the secondary brain damage should be prevented in order to obtain a maximum result ofpatient management. The difficulty is to make sure, whether the secondary brain damage is already very bad or, on the other hand, isstill in a positive condition, causing patient management to have a good result. The prognostic decision, is the most important thing inpatient management. The objective of this research was to find an accurate prognostic factor which is simple and non invasive for severehead injury for each time lapse, 24, 48, 72 and 120 hours after the brain damage which had caused the head injury. The installation ofan intracranial pressure (ICP) monitor for the first 24 hours, after the head injury, followed by taking a cerebrospinal fluid sample forBDNF examination at the first 24 hours, 48 hours, 72 hours and 120 hours as well. Enzyme Linked Immunosorbent Assay was used todetermine BDNF. Each subject was assessed by Glasgow Outcome Scale classification, three months after the injury. The result of thisresearch was that BDNF at 48 hours after head injury showed a significant difference (p < 0.05) between good and bad Glasgow OutcomeScale classification. Thus, it can be concluded that patients with an increase in BDNF (>6.16 pg/mL) 48 hours after head injury, mayhave a good prognosis.
Burst fracture Th 9-10 treat with Transthoracal Corpectomy and stabilization: A Cases Report Halim Rahman Manurung; Sabri Ibrahim; Ridha Dharmajaya
Asian Australasian Neuro and Health Science Journal (AANHS-J) Vol. 1 No. 2 (2019): AANHS Journal
Publisher : Talenta Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/aanhs-j.v1i2.1032

Abstract

Abstract. Spinal fracture and dislocation are among the most feared injuries by patients and physicians alike, as the consequences can be devastating, ranging from mild pain and discomfort to severe paralysis and even death. Spinal trauma is commonly found in patients admitted to level-one trauma centers after serious accidents like traffic, falling, and sports accidents.Injuries of the cervical spine account for one third of spinal fractures and half to two thirds of all spinal cord injuries.In the thoracolumbar spine, the most common unstable fracture is the burst fracture. Altogether, burst fractures have been reported to account for about 15% of spinal injuries.Incidence of burst fractures peaked at the thoracolumbar junction and between levels T5 and T8. In 10% of cases,more than one burst fracture was seen, thereof 53% on noncontiguous levels. Main accident mechanisms were falls, traffic, and sports. Neurological deficit was highest in patients with burst fractures of the cervical spine, independent of accident mechanism, and lowest in thoracolumbar junction fractures. Burst fractures occur frequently in high energy traumas and are most commonly associated with falling and traffic accidents.Multiple burst fractures occur in 10% of cases, half thereof on noncontiguous levels.Access to the anterior thoracic spine via the transthoracic approach (via thoracotomy) can be used for decompression and fusion. To perform adequate decompression and stabilization of the thoracic spine, obtaining good exposure is a must. Preservation and protection of the vascular structures in the thoracic cavity is the key to such an exposure. Preoperative workup should include imaging modalities (plain rontgens, MRI/CT scan) to specifically define the area of decompression. If a tumor is being evaluated, CT angiography and embolization are helpful in preoperative planning. Assistance by a thoracic surgeon for exposure is highly recommended.
Saving Good Quality of Sleep for Cervical Herniated Nucleus Pulposus Patients Ridha Dharmajaya
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

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Abstract

Background: Cervical herniated nucleus pulposus compresses the nerve roots with clinical pain manifestation and causes sleeping disturbances. The aim of this study was to determine the difference in the quality of sleep before and after surgery. Method: This is a retrospective cohort study. Patients were asked to complete the Pittsburgh Sleep Quality Index (PSQI) and all data was analyzed with the McNemar Test.Result: The outcome revealed that in 98 patients, 72 (73.4%) patients had increased their quality of sleep after surgery. Conclusion: There was a significant difference in the quality of sleep pre- and post-surgery.