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All Journal Medula Journals of Ners Community Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan Journal Indonesia Law and Policy Review (JILPR)
Sugianto Prajitno
Fakultas Kedokteran Universitas Islam Al-Azhar
Humanities Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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HUBUNGAN UKURAN DEFEK OMPHALOCELE TERHADAP KELAINAN KONGENITAL PENYERTA Prajitno Sugianto
JURNAL KEDOKTERAN Vol 5 No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Islam Al-Azhar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36679/kedokteran.v5i2.222

Abstract

Background: Omphalocele is often associated with the presence of other congenital anomalies. One study says that a small of defect omphalocele is often accompanied by intestinal disorders and have a better prognosis. Based on this study the researcher wants to review the relationship between the size of omphalocele defect and the presence of associated congenital anomaly in Hasan Sadikin Hospital. Methods: This is a retrospective cross-sectional study. All patient with omphalocele between January 2007 – March 2012 were included in this study. Data collected were patient demographics, size of omphalocele defect and congenital anomalies identified. In this study, patients were designated as those with small (4 cm and less) or large (greater than 4 cm) defect omphaloceles. This study analyzed correlation between size of defect with associated anomaly using Fisher exact test and p < 0.05 is considered to be significant. Results: There were 52 omphalocele cases (24 girls, 28 boys), median birth weight 2710gr (range 1300gr–4000gr). Twenty seven patients were classified as small defect, with 25 classified as large defect. Anomaly found in the small defect groups consists of facial anomaly (7%); cardiac anomaly (7%); intestinal disorder (22%,P=0,02) include patent omphalomesentericus duct, anorectal malformation and cloaca extrophi; limb anomaly (7%). Meanwhile, anomalies identified in the large defect group consist of facial anomaly (8%); cardac defect (32%) include dextrocardi and tetralogi Fallot; limb anomaly (16%).In this study, cardiac defects was significantly higher in the large defect group, meanwhile intestinal diorder is statistically significant in small defect groups. Conclusion: Small defect omphalocele correlates with an increased prevalence of associated gastrointestinal anomalies and a lower prevalence of cardiac anomalies.
Ukuran Omfalokel: Apakah Berhubungan dengan Anomali Kongenital ? Prajitno Sugianto
MEDULA JURNAL ILMIAH FAKULLTAS KEDOKTERAN UNIVERSITAS HALU OLEO Vol 8, No 1 (2020)
Publisher : Halu Oleo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46496/medula.v8i1.15015

Abstract

ABSTRACT                                                                     Background: Omphalocele (also known as exomphalus) is a condition that is seen in newborn infants, and is thought to result from failure of the intestines to return to the abdomen after the migration into the umbilical cord. Omphalocele is often associated with the presence of other congenital anomalies. One study says that a small of defect omphalocele is often accompanied by intestinal disorders and have a better prognosis. Purpose(s): Based on this study the researcher wants to review the relationship between the size of  omphalocele defect and the presence of associated congenital anomaly in Hasan Sadikin Hospital. Methods: This is a retrospective cross-sectional study. All patient with omphalocele between February 2007 – March 2012 were included in this study. Data collected were patient demographics, size of omphalocele defect and congenital anomalies identified. In this study, patients were  designated as those with large (greater than 4 cm) or small (4 cm and less) defect omphaloceles. This study analyzed correlation between size of defect with associated anomaly using Fisher exact test  and  p < 0.05 is considered to be significant. Results: There were 52 omphalocele cases (24 girls, 28 boys), median birth weight 2710gr (range 1300gr–4000gr). Twenty seven patients were classified as small defect, with 25 classified as large defect. Anomaly found in the small defect groups consists of facial anomaly (7%); cardiac anomaly (7%); intestinal disorder (22%,P=0,02) include patent omphalomesentericus duct, anorectal malformation and cloaca extrophi; limb anomaly (7%). Meanwhile, anomalies identified in the large defect group consist of facial anomaly (8%); cardac defect (32%) include dextrocardi and tetralogi Fallot; limb anomaly (16%).In this study, cardiac defects was significantly higher in the large defect group, meanwhile intestinal diorder is statistically significant in small defect groups. Conclusion: Small defect omphalocele correlates with an increased prevalence of associated gastrointestinal anomalies and a lower prevalence of cardiac anomalies.Keyword: Omphalocele; Exomphalus; Associated congenital anomalies; Defect size
Hubungan Kejadian Apendisitis Akut Dengan Peningkatan Mean Platelet Volume (Mpv) Di Rsud Kabupaten Klungkung Made Ngurah Jiyesta Wibawa; Sugianto Prajitno; Shinta Wulandhari; Made Agus Suanjaya
Journals of Ners Community Vol 13 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2525

Abstract

Apendik vermiformis merupakan organ kecil tambahan yang terletak dibawah katup ileosekal serta melekat pada sekum. Apendik vermiformis mudah mengalami obstruksi hingga rentan terjadi infeksi akibat mekanisme pengosongan diri apendik vermiformis yang pada umumnya kurang efisien, ditambah ukuran lumen yang terbilang kecil. Infeksi inilah yang lebih dikenal sebagai apendisitis, radang pada apendik, atau penyakit usus buntu. Apendisitis dapat menyerang semua usia namun kasus tertinggi terdapat pada individu yang tergolong remaja hingga dewasa muda yaitu usia 18-40 tahun. Pemeriksaan darah lengkap merupakan salah satu tes laboratorium yang paling umum digunakan untuk diagnosis Apendisitis akut. Mean Platelet Volume (MPV) adalah tes yang terbilang murah dan sering digunakan untuk menunjukkan ukuran dan aktivitas platelet. Trombosit atau platelet memiliki efek membentuk bekuan darah (hemostasis) dan mengatur kejadian inflamasi. Jumlah trombosit dan MPV telah diteliti sebagai penanda inflamasi aktivitas penyakit. Mengetahui adanya hubungan antara kejadian apendisitis akut dengan peningkatan Mean Platelet Volume (MPV) pada dewasa muda di RSUD Kabupaten Klungkung. Penelitian ini bersifat kuantitatif analitik observasional dengan desain penelitian cross sectional study. Teknik pengambilan sampel menggunakan purposive sampling. Penelitian dilakukan di RSUD Kabupaten Klungkung pada tahun 2017-2021. Sampel penelitian sebanyak 170 sampel. Data yang diperoleh dianalisis dengan uji Chi Square. Batas nilai signifikasi adalah (p ≤ 0.05). Didapatkan jumlah pasien dengan apendisitis akut tanpa perforasi berjumlah 108 pasien (63,50%) dan jumlah pasien dengan apendisitis akut dengan perforasi berjumlah 62 orang (36,50). Didapatkan pula nilai MPV normal berjumlah 129 orang (75,90%), nilai MPV menurun berjumlah 41 orang (24,10%), dan tidak terdapat pasien dengan MPV meningkat. Berdasarkan hasil analisis data menggunakan Chi Square didapatkan nilai p-value 0,46 (p > 0,05). Tidak terdapat hubungan yang signifikan antara peningkatan MPV dengan kejadian Apendisitis Akut di Rumah Sakit Umum Klungkung
Hospital Responsibilities in Storing Electronic Medical Record Documents Sugianto Prajitno; Mokhamad Khoirul Huda; Asmuni
JILPR Journal Indonesia Law and Policy Review Vol 5 No 1 (2023): Journal Indonesia Law and Policy Review (JILPR), October 2023
Publisher : International Peneliti Ekonomi, Sosial dan Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56371/jirpl.v5i1.161

Abstract

Medical records in hospitals are data for compiling health information and every health service and every health service, whether providing outpatient or inpatient services, is required to make a medical record and sanctions are imposed for those who violate it in accordance with applicable laws and regulations. The aim of this research is to analyze the norms for storing and destroying manual medical record documents and to analyze the legal responsibility of hospitals for storing electronic medical records in hospitals. The type of research used in this research is legal research. This type of research is carried out by examining legal norms in applicable laws and regulations related to guidelines and codes of ethics for a profession, especially in this case, medical laboratory technology experts in providing health services. Specifically, the type of research is normative juridical or doctrinal research. The findings of this research are that the legal responsibility of hospitals for storing electronic medical records in hospitals has been regulated by Minister of Health Regulation No. 24 of 2022, while the responsibility of hospitals in implementing electronic medical records is also outlined in the Ministry of Health in the form of ministerial supervision through the director general. If deviations occur, administrative sanctions will be given in the form of a warning or revocation of accreditation status.
Co-Authors Asmuni Made Ngurah Jiyesta Wibawa Mokhamad Khoirul Huda Shinta Wulandhari Suanjaya, Made Agus