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GAMBARAN DAN TINGKAT KEPARAHAN CEDERA JARINGAN LUNAK PADA PASIEN DENGAN TRAUMA MAKSILOFASIAL YANG DIRAWAT DI BANGSAL BEDAH RSUD ARIFIN ACHMAD PEKANBARU PERIODE 2010-2013 ", Susilawati; Pamungkas, Kuswan Ambar; Burhanuddin, Laode
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Maxillofacial trauma not only caused physical impact but also psychological impact. Velocity and accuracy in handling facial soft tissue trauma will very influential to the aesthetics and facial function. This study aimed at knowing the representation and severity degree of soft tissue injury in patients with maxillofacial trauma hospitalized in surgical ward RSUD Arifin Achmad since 2010-2013. This study was a descriptive retrospective study. This study used 413 medical records of maxillofacial trauma patients. Result from this study, samples in this study was 328 cases (79,23%) males, and 86 cases females (20,77%). The most common age was 11-20 years old (38,41%) whereas the most common etiology of maxillofacial trauma was traffic accidents (81,40%). Most of the patients’ occupation weren’t written in the medical records (48,55%), followed by students as many as 79 cases (19,08%). The most affected hard tissue was multiple fractures as many as (32,37%), whereas medium category of soft tissue injury was the most affected (55,31%) and the most often location was multiple as many as (37,68%). Key words : maxillofacial trauma, soft tissue injury, multiple fracture
ANGKA KEJADIAN FISTULA PALATUM PADA PASIEN POST-PALATOPLASTY DI RS AWAL BROS SUDIRMAN PEKANBARU PERIODE JANUARI 2011-DESEMBER 2013 Atthahirah, Amelia Intan; Pamungkas, Kuswan Ambar; nMursali, Laode Burhauddin
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Cleft palate is the most common craniofacial abnormality encountered by plastic surgeons. Definitive therapy for cleft palate is throughout a palatoplasty operation. The most common complication of palatolasty is the formation of palatal fistula. The goal of this study is to determine the incidence of palatal fistula in postpalatoplasty patients at Awal Bros Hospital Sudirman Pekanbaru period January 2011-Desember 2013. This study is a descriptive retrospective study with a cross-sectional approach. Sample of this study includes all medical records that fulfill the inclusion criteria. 29 medical records are included as samples in this study. The results of this study suggests that 1 out of 29 patients has palatal fistula (3,4%). Patient with palatal fistula is in the group age >18bulan and is a male. Patient is diagnosed with complete unilateral dextra cleft palate.Keyword: palatal fistula, age, sex, diagnose.
PROFIL PASIEN LUKA BAKAR BERAT YANG MENINGGAL DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE JANUARI 2011 - DESEMBER 2013 Giovany, Lisa Giovany; Pamungkas, Kuswan Ambar; ", Inayah
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTBurn injury is one of trauma with high number of morbidity and mortality rate that needs comprehensive treatment from acute phase, subacute phase and chronic phase. The high number of mortality rate is commonly due to severe burn injury The death which is caused by severe burn injury usually influenced by good treatment, including patient factor (age, nutrition, sex, and premorbid factor), trauma factor (type, area, depth of burn injury and related trauma) and therapy factor (prehospital treatment and inhospital treatment).This research was aimed to know the profil of dead patient with severe burn injury at Arifin Achmad General Hospital Riau Province during January 2011-December 2013 which consists of mortality rate, age distribution, sex group, etiology and severe burn injury criteria. The research was on observational study using descriptive retrospective design. This study used total sampling method. Samples of this study were all population of severe burn injury patient that fulfilled inclusion criteria. The total samples were 88 cases. This study shows that the mortality rate of severe burn injury patient was 21.6% (19 patients). The age group 10-50 years old (9 patients) (47.4%) and male in sex group (13 patients)(68.4%) were the highest group of severe burn injury that passed away. Fire (52.6%) was the most commonly cause of death patient. The highest criteria of severe burn injury was second-third degree criteria >20% (age <10 years old or >50 years old) (52.6%).Keywords: Severe Burn Injury, Mortality rate
ANGKA KEJADIAN FRAKTUR MANDIBULA BERDASARKAN LOKASI ANATOMIS DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE JANUARI 2011 – DESEMBER 2013 Dwi Putri, Ratu Astuti; Pamungkas, Kuswan Ambar; Mursali, Laode Burhauddin
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTFace is the part of the body that is uncovered topographically and easy to get trauma as the result. The high incidence of traffic accident in developing countries is equal to the increasing of facial bone fracture incidence rate. Anatomy shape and the opened-position of mandibular lead to be easy to get trauma compared to other facial bones. This research was aimed to know the incidence rate of mandibular fracture based on anatomical location in Riau Province General Hospital during January 2011-December 2013 that consists of distribution of mandibular fracture in age, sex, total of fracture line, and trauma variant. The research was an observational study using descriptive retrospective design. This study used total sampling method. Samples of this study were all data of mandibular fracture patient that fulfilled inclusion criteria. The total samples were 206 cases. This study shows that the age group of 18-40 years old (59%) and male (80.1%) in sex group were the most commonly patient with mandibular fracture. Single trauma was the highest trauma that happened with 57.3% in percentage. The highest fracture line was single fracture (68.6%) with symphysis parasymphysis region (26.7%). Symphysis parasymphysis mandibular fracture was found in age group of 18-40 years old (53.12%), male in sex group (75%), single fracture line (63.38), and single trauma in trauma variant (57.81%.) .Keywords: Mandibular Fracture, Anatomical Fracture Location
Identifikasi dan Hitung Koloni Bakteri pada Tangan Perawat Kamar Operasi Instalasi Bedah Sentral (IBS) RSUD Arifin Achmad Pekanbaru Sebelum dan Sesudah Cuci Tangan dengan Antiseptik Klorheksidin Glukonat Devi Devi; Fauzia Andrini; Kuswan Ambar Pamungkas
Jurnal Ilmu Kedokteran Vol 5, No 2 (2011): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

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Abstract

Handwashing is an important thing to do and the most effective way in order to prevent nosocomial infection andinfection control. The most popular surgery’s handwashing is fuerbringer method. The purpose of this study was toknow the effectivity of hand washing from the nurses that work at central operation theather Arifin Achmad GeneralHospital Pekanbaru before and after washing hand with chlorhexidine gluconat antiseptic. This study method waslaboratoric descriptive with 22 samples which got from total sampling method. Bacterial was found from all sample.Bacterial which were found from the samples before hand washing were Coagulase negative staphylococci (CONS)(62.9%), Bacillus sp (20%), Metichillin resistant Staphylococcus aureus (MRSA) (11.4%) and Metichillin sensitiveStaphylococcus aureus (MSSA) (5.7%). Bacterial which found after doing hand wash were CONS (52.9%), Bacillussp (17.7%), Escherichia coli (8.8%), MRSA (11.8%), and MSSA (5.9%). The result of this bacterial colonizationarea showed the reduction of bacterial colonization after doing hand wash in 90.1% sample , which mostly reductionwas happen from II degree to I (36.4%).
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 P. Nugraha
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

The 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
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
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

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
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

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
ANGKA KEJADIAN DIPLOPIA PADA PASIEN FRAKTUR MAKSILOFASIAL DI BANGSAL BEDAH RSUD ARIFIN ACHMAD PROPINSI RIAU PERIODE JANUARI 2011 – DESEMBER 2013 Ni Komang Tri Adrianti; Kuswan Ambar Pamungkas; Miftah Azrin
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTDiplopia caused by maxillofacial fracture is diplopia binocular. Diplopia on maxillofacial fractures are one of absolute indications whether the patient will be operated or not, so physician can give the best treatment. This research is aimed to know the incidence of diplopia in patient with maxillofacial fractures at Arifin Achmad General Hospital period January 2011 – December 2013. The type of this research is a descriptive retrospective research. The sample of this research is all of patients with maxillofacial fractures’ medical records at Arifin Achmad General Hospital period January 2011 – December 2013, there are 162 sample included in this research. This research shows that the incidence of diplopia in maxillofacial fracture is 11,1% with the increasing case percentage from 2011 until 2013 (16%  34%  50%). Age group with the most frequent diplopia case is founded in age group between 15 to 24 years old (67%), the majority sex is male (78%). The most frequent type of diplopia is in multiple fractures (94%).Keywords: Diplopia binocular, maxillofacial fracture.