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"Latar Belakang: Kanker serviks sebagai penyakit kanker tersering yang mendapatkan terapi pengganti ginjal berupa hemodialisis (HD). Gangguan ginjal yang terjadi pada kanker serviks dapat terkait kanker nya, nefropati obstruktif yang dapat menjadi sekuele kronik berupa penyakit ginjal kronik (PGK) maupun AKI (acute kidney injury) yang membutuhkan inisiasi HD.

Tujuan: Mengetahui kesintasan tiga bulan pasien kanker serviks yang membutuhkan inisiasi HD. Mengetahui hubungan antara usia, stadium kanker, faktor komorbid, hemodinamik pasca HD, akses vaskuler, rerata kenaikan berat badan antar HD, baseline kreatinin, baseline ureum dan baseline albumin dengan kesintasan tiga bulan pasien kanker serviks yang membutuhkan inisiasi HD.

Metode: Penelitian ini merupakan studi kohort retrospektif dari rekam medis pasien kanker serviks yang membutuhkan inisiasi hemodialisis. Penelitian dilaksanakan di RS Kanker Dharmais. Pengambilan data dilakukan pada 1 Juli 2023 sampai dengan 30 Agustus 2023. Kriteria inklusi yaitu Pasien berusia lebih dari 18 tahun dan Pasien kanker serviks yang membutuhkan inisiasi HD dengan indikasi akut di RS Kanker Dharmais. Kriteria eksklusi yaitu pasien dengan data yang tidak lengkap. Pengambilan data dari pencarian data dimulai dari login ke SIMRS RS kanker. Data akan dianalisis secara univariat, bivariat dan multivariat. Analisis univariat digunakan untuk mengetahui probabilitas menggunakan life table. Analisis bivariat menggunakan metode Kapplan Meier atau Regresi Cox Bivariat. Analisis multivariat dilakukan untuk mengukur pengaruh secara bersama faktor yang mempengaruhi kesintasan dan untuk melihat variabel yang paling dominan pengaruhnya.

Hasil: Didapatkan 252 pasien yang telah memenuhi kriteria dan dapat dianalisis. Hasil akhir multivariat menunjukkan variabel hemodinamik pasca HD sistolik < 110 mmHg dan rerata kenaikan berat badan antar HD ≥ 5%; HR 3,354 (95% CI: 2,346 - 4,795; p = < 0,001) dan 1,685 (95% CI: 1,125 – 2,521; p < 0,011) bermakna mempengaruhi kesintasan tiga bulan pasien kanker serviks yang membutuhkan inisiasi HD dengan kumlatif kesintasan adalah 49%.

Simpulan: Kumulatif kesintasan tiga bulan pasien kanker serviks yang membutuhkan inisiasi HD adalah 49%. Analisis bivariat maupun multivariat menunjukkan terdapat hubungan antara hemodinamik pasca HD sistolik < 110 mmHg dan rerata kenaikan berat badan antar HD ≥ 5%.

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Cervical cancer is the most common cancer that receives kidney replacement therapy in the form of hemodialysis (HD). Kidney disorders that occur in cervical cancer can be related to the cancer, obstructive nephropathy which can become a chronic sequela in the form of chronic kidney disease (CKD) or AKI (acute kidney injury) which requires HD initiation.

Objective: To determine the three-month survival of cervical cancer patients requiring HD initiation. To determine the relationship between age, cancer stage, comorbid factors, post-HD hemodynamics, vascular access, Weight gain, baseline creatinine, baseline urea and baseline albumin with three-month survival of cervical cancer patients who require HD initiation.

Methods: This research is a retrospective cohort study of medical records of cervical cancer patients who required initiation of hemodialysis. The research was carried out at Dharmais Cancer Hospital. Data collection was carried out from 1 July 2023 to 30 August 2023. Inclusion criteria were patients aged more than 18 years and cervical cancer patients who required initiation of HD with acute indications at Dharmais Cancer Hospital. Exclusion criteria are patients with incomplete data. Retrieval of data from data searches starts from logging into the SIMRS cancer hospital. Data will be analyzed univariate, bivariate and multivariate. Univariate analysis is used to determine the probability using a life table. Bivariate analysis uses the Kaplan Meier method or Bivariate Cox Regression. Multivariate analysis was carried out to measure the joint influence of factors that influence survival and to see which variables had the most dominant influence.

Results: There were 252 patients who met the criteria and could be analyzed. Multivariate final results showed post-HD systolic hemodynamic variables < 110 mmHg and Weight gain ≥ 5%; HR 3.354 (95% CI: 2.346 - 4.795; p = < 0.001) and 1.685 (95% CI: 1.125 - 2.521; p < 0.011) significantly influenced the survival of cervical cancer patients who required HD initiation.

Conclusion: The cumulative survival rate of cervical cancer patients requiring HD initiation is 49% at three months. Bivariate and multivariate analysis showed that there was a relationship between hemodynamics after systolic HD < 110 mmHg and Weight gain ≥ 5%."

"Penyintas kanker leher rahim masih mengalami ketakutan sepanjang hidupnya. Salah satu sumber ketakutan adalah kemungkinan mengalami kekambuhan walaupun sudah dinyatakan sembuh. Penelitian ini bertujuan mengeksplorasi kisah penyintas kanker leher rahim yang mengalami kekambuhan dengan menggunakan pendekatan kualitatif "life history". Pengambilan data dilakukan dengan wawancara mendalam pada dua penyintas kanker, analisa dengan menceritakan kembali kisah penyintas dalam bentuk tema. Hasil penelitian ini menemukan bahwa penyintas kanker leher rahim saat mengalami kekambuhan menerima kondisi kekambuhannya dengan berbagai proses kehidupan yang dialami yaitu terpenuhinya rasa aman setelah terapi dinyatakan selesai, kembalinya tanda gejala awal dan lanjutan, menjalani terapi kembali, penolakan terhadap kondisi kekambuhan, menghindari kontak sosial saat mengalami kekambuhan, memperoleh dukungan saat mengalami kekambuhan, sampai menerima kondisi kekambuhan. Oleh karena itu pentingnya pemahaman tenaga kesehatan khususnya perawat untuk mengetahui kisah hidup penyintas kanker leher rahim dengan kekambuhan sehingga dapat memberikan tindakan dan dukungan yang tepat pada setiap periode kekambuhan yang dilalui dalam meningkatkan kualitas hidupnya.

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Cervical cancer survivors are still experiencing fear throughout her life. One source of fear is likely to experience a recurrence despite being declared cured. This study aims to explore the story of cervical cancer survivors who experienced recurrence by using a qualitative approach life history. Data were collected by indepth interviews in two cancer survivors, analysied by retelling the story of the survivors in the form of theme.

The results of this study found that cervical cancer survivors experienced a recurrence while receiving recurrence with various process conditions of life experienced, that sense of fulfillment after the treatment was complete, marks the return of the symptoms of early and advanced, come back to therapy, the rejection of recurrence conditions, avoid social contact when experiencing a recurrence, obtaining support when experiencing a recurrence, to accept the conditions of recurrence. Hence the importance of understanding health professionals, especially nurses to know the life story of cervical cancer survivors with recurrence so as to provide appropriate action and support on any recurrence period which passed in improving the quality of life."

"Tujuan. Penelitian ini bertujuan untuk mengetahui profil Treg (ditunjukkan oleh Foxp3), CD4, dan CD8 pada kanker serviks stadium lanjut lokal dan dampaknya terhadap progresivitas tumor dan respons radiasi. Metode. Setelah disetujui oleh komite penelitian, kami mengumpulkan data pasien kanker serviks stadium lanjut lokal yang menjalani radioterapi, di RSCM, Jakarta, pada Januari 2018 – Desember 2020. Subjek penelitian harus memiliki pencitraan pra dan paska radiasi dan spesimen blok parafin untuk memenuhi syarat dalam penelitian ini. Profil Foxp, CD4, dan CD8, akan dianalisis dengan imunohistokimia dengan penghitungan jumlah sel. Respons radiasi akan dianalisa dengan kriteria RECIST 1.1. Semua informasi klinis pasien yang diperlukan akan dikumpulkan dari rekam medis elektronik. Hasil. Kami menemukan bahwa sebagian besar pasien memiliki karsinoma sel skuamosa (93%), stadium IIIC (48%), dan menjalani radiasi saja (72%). Evaluasi RECIST menunjukkan 62% pasien memiliki respons lengkap, 28% respons parsial, dan 10% respons buruk (penyakit stabil dan progresif). Kami dapatkan median jumlah sel CD4 =29 (7 – 154), CD8 = 30 (6 – 227), dan Foxp3 = 36 (2 – 156). Tidak ada hubungan bermakna antara jumlah sel limfosit CD4, CD8, dan Foxp3 dengan volume tumor, dengan p = 0.858; p = 0.975, dan p = 0.723 masing masing. Tidak ada hubungan bermakna dengan dimensi terbesar tumor dengan p = 0.481, p = 0.480, dan p = 0.792 masing masing. Tidak ada pula hubungan bermakna antara jumlah sel limfosit CD4, CD8, dan Foxp3 dengan respons radiasi dengan p = 0.964, p = 0.296, dan p = 0.787 masing masing. Namun kami mendapatkan korelasi positif yang kuat dan bermakna pada jumlah sel tumor pada stroma, CD 4 - CD8 (r = 0.580, p=0.001); CD4 - Foxp3 (r = 0.699, p < 0.001), dan CD8 - Foxp3 (r = 0.652, p < 0.001). Kesimpulan. Sebagian besar pasien kanker stadium lanjut lokal yang menjalani radiasi memiliki respons lengkap. Tidak didapatkan hubungan bermakna antara jumlah sel limfosit CD4, CD8, dan Foxp3 dengan volume tumor, dimensi terbesar tumor, dan respons radiasi. Terdapat korelasi yang kuat dan signifikan antar sel imun (CD4-CD8, CD4-Foxp3, dan CD8-Foxp3) pada lingkungan stroma.

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Aims: This study aims to determine profile of Treg (shown by Foxp3), CD4, and CD8 in locally advanced cervical cancer and the impact to tumor progressivity and radiation response. Method. After been approved by the institution research committee, we collect data of locally advanced of cervical cancer patients who underwent radiotherapy, at RSCM, Jakarta, in January 2018 – December 2020. Studies subjects must have pre and post irradiation imaging and paraffin block specimen to be eligible in this study. Profile of Foxp, CD4, and CD8, will be analyzed by immunohistochemistry, by counting the number of cells, and radiation response will be analyzed by RECIST 1.1 criteria. All necessary patient’s clinical information will be collected from electronic medical record. Result. We found that most of the patients had squamous cell carcinoma (93%), stage IIIC (48%), and underwent radiation alone (72%). RECIST evaluation showed 62% of patients had a complete response, 28% a partial response, and 10% had a poor response (stable and progressive disease). We found median CD4 cell counts = 29 (7 – 154), CD8 = 30 (6 – 227), and Foxp3 = 36 (2 – 156). There was no significant relationship between the number of CD4, CD8, and Foxp3 lymphocytes with tumor volume, with p = 0.858; p = 0.975, and p = 0.723 respectively. There was no significant relationship with the dimensions of the largest tumor with p = 0.481, p = 0.480, and p = 0.792, respectively. There was no significant relationship between the number of CD4, CD8, and Foxp3 lymphocytes with radiation response with p = 0.964, p = 0.296, and p = 0.787, respectively. However, we found a strong and significant positive correlation in the number of tumor cells in the stroma, CD4 - CD8 (r = 0.580, p = 0.001); CD4 - Foxp3 (r = 0.699, p < 0.001), and CD8 - Foxp3 (r = 0.652, p < 0.001). Conclusion. Most locally advanced cancer patients who undergo radiation have a complete response. There are no significant relationships between the number of CD4, CD8, and Foxp3 lymphocytes with tumor volume, largest tumor dimensions, and radiation response. There is a strong and significant correlation between immune cells (CD4-CD8, CD4-Foxp3, and CD8-Foxp3) in the stromal environment."

"Background : Laminoplasty was developed to widen the spinal canal dimensions without permanently removing the dorsal elements of the cervical spine. The retained dorsal elements should aid in the prevention of muscle scarring to the dura and potentially reduce the incidence of postoperative instability.Cervical laminoplasty has been advocated as an alternative procedure to laminectomy for the decompression of the cervical spine. It provides favourable cord decompression and stabilisation of the cervical spine and is a simpler and safer alternative to anterior fusion and laminectomy for myelopathy and myeloradiculopathy, due to degenerative cervical stenosis. Most authors report outcome based on the Japanese Orthopedic Association (JOA) scoring system. Reported results include mean preoperative and postoperative scores for all patients, and a calculated rate of recovery is provided. The mean recovery rate after the Hirabayashi expansive laminoplasty is approximately 60%. To know the outcome, we evaluated 9 patients with degenerative cervical spinal stenosis that had been treated with laminopalsty using JOA score and Oswestry disability index questioner also the correlation between them.Methods : We performed pre and post interventional study on patients with degenerative cervical spinal stenosis with moderate until severe stenosis that had failed non operative treatment from January 2007 -June 2008 at Cipto mangunkusumo Hospital Jakarta. With JOA score as clinicall approach and Oswestri Disability Index (001) questioner by patient approach, we identify the cervical spine function of the patients before and after laminoplasty (1 month, & 6 month post operative)Results: There were significant difference of JOA and 001 score before and after decompression by laminoplasty with p<0.05. The improvement of cervical spine function also significantly increase until 6 months after surgery compare to the 1$ month post operative JOA and 001 score (p=0.028, p=0.035 respectically). There is strong correlation between them (r=0.804).Conclusion : Laminoplasty decompression technique can improve the cervical spine clinically (increase the JOA score) and quality of life (decrease the 001 score) of patient with degenerative cevical spinal stenosis."

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Latar Belakang: Ekstrak mangga telah terbukti memiliki efek antikanker terhadap kanker serviks, namun kemang (Mangifera kemanga) sebagai kerabat mangga yang belum banyak diteliti diduga memiliki efek yang sama. Tujuan: Mengetahui kandungan golongan senyawa yang terdapat pada ekstrak etanol, etil asetat, dan nheksan buah kemang serta menguji efek sitotoksiknya terhadap sel kanker serviks HeLa. Metode: Daging buah kemang diekstraksi menggunakan pelarut etanol, etil asetat, dan n-heksana. Uji fitokimia dan kromatografi lapis tipis menggunakan ketiga ekstrak digunakan untuk mengetahui kandungan fitokimia yang ada. Uji MTT dilakukan pada ketiga ekstrak yang diuji terhadap sel HeLa untuk mengetahui efek sitotoksik sampel dalam nilai IC50. Hasil: Uji fitokimia menunjukkan bahwa ekstrak buah kemang mengandung senyawa flavonoid, tanin, triterpenoid, dan alkaloid. Uji kromatografi lapis tipis dengan eluen non polar menunjukkan satu titik dengan Rf 0,82 pada ekstrak etanol; enam titik dengan Rf 0,16, 0,36, 0,49, 0,76, 0,82, dan 0,94 pada ekstrak etil asetat; dan enam titik dengan Rf 0,36, 0,48, 0,63, 0,75, 0,83, dan 0,93 pada ekstrak n- heksan. Uji MTT mendapatkan nilai IC50 terhadap sel HeLa, berturut-turut untuk ekstrak etanol, etil asetat, dan n-heksan, adalah 44,34, 16,41, dan 43,23 ppm. Kesimpulan: Ekstrak buah kemang memiliki potensi sebagai agen antikanker terhadap kanker serviks.

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Background: Mango extract has been proven in its anticancer effect against cervical cancer, however kemang (Mangifera kemanga), despite being a relative of mango, has not been thoroughly researched although expected to give the same effect. Objective: To identify the contents contained in the ethanol, ethyl acetate, and n-hexane extract of kemang flesh and examine its cytotoxic effect on HeLa cervical cancer cells. Methods: Kemang flesh was extracted using ethanol, ethyl acetate, and n-hexane. Phytochemical tests and thin-layer chromatography on the extracts were conducted to identify the phytochemical contents. MTT assay was carried out using the extracts against HeLa cells to find out the cytotoxic effect of the samples in IC50 values. Results: Phytochemical tests revealed that kemang flesh extract contains flavonoid, tannin, triterpenoid, and alkaloid. Thin-layer chromatography test with nonpolar eluent showed one spot with Rf of 0.82 in ethanol extract; six spots with Rf of 0.16, 0.36, 0.49, 0.76, 0.82, and 0.94 in ethyl acetate extract; and six spots with Rf of 0.36, 0.48, 0.63, 0.75, 0.83, and 0.93 in n-hexane extract. MTT assay obtained IC50 values for HeLa cells, respectively for ethanol, ethyl acetate, and n-hexane extracts, were 44.34, 16.41, and 43.23 ppm. Conclusion: Kemang fruit extract has potential as an anticancer agent against cervical cancer.

 

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"ABSTRAKTujuan: Penelitian ini bertujuan untuk mengetahui kesintasan hidup pasien kanker serviks dan faktor-faktor yang mempengaruhinya.Metode: Penelitian ini menggunakan desain kohort retrospektif dengan analisis kesintasan. Pasien kanker serviks yang didiagnosis di Rumah Sakit Cipto Mangunkusumo pada 1 Januari 2005 sampai 31 Desember 2006 dimasukkan dalam penelitian ini. Dilakukan pendataan tanggal dan umur saat diagnosis, tingkat pendidikan, stadium, jenis histopatologi, diferensiasi tumor, invasi limfovaskuler, jenis terapi, dan lengkapnya terapi. Jika pasien menjalani operasi, dinilai pula adanya tumor pada kelenjar getah bening(KGB) atau batas sayatan. Selanjutnya pasien diamati sampai minimal 5 tahun apakah pasien masih hidup. Kemudian dilakukan analisis kesintasan dengan metode Kaplan Meier. Faktor-faktor yang mempengaruhi kesintasan dinilai dengan analisis Cox regression.Hasil: Diperoleh 447 pasien kanker serviks dalam kajian ini. Didapatkan median survival keseluruhan pasien kanker serviks 1916 hari (63 bulan) dengan kesintasan hidup 5 tahun 52%. Faktor umur, pendidikan, jenis pembiayaan, ukuran tumor, dan adanya invasi limfovaskuler tidak menunjukkan adanya perbedaan kesintasan. Stadium III dan IV memiliki kesintasan hidup yang lebih rendah dengan Hazard Ratio 3.27 dan 6.44. Diferensiasi buruk dan terapi tidak lengkap memiliki kesintasan yang lebih rendah dengan HR 2.26 dan 2.22. Jenis histopatologi lain-lain memiliki kesintasan yang lebih rendah dengan HR 2.85, namun tidak menunjukkan perbedaan bermakna pada uji multivariat. Pada pasien yang menjalani operasi disertai adanya tumor pada KGB menunjukkan kesintasan yang lebih rendah dengan HR 12.01, sedangkan adanya tumor pada batas sayatan tidak menunjukkan perbedaan kesintasan yang bermakna. Jenis terapi pada stadium awal ataupun sradium lanjut tidak menunjukkan perbedaan pada uji multivariat.Kesimpulan: Median survival pasien kanker serviks adalah 63 bulan. Faktor-faktor yang berpengaruh secara independen terhadap kesintasan pasien kanker serviks adalah stadium, diferensiasi tumor, kelengkapan terapi, dan adanya tumor pada kelenjar getah bening.

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ABSTRACTObjective: To find out of the probability of 5 years survival rate on cervical cancer patients and to identify the influencing factors.Methods: This is a retrospective cohort study. Cervical cancer patients treated at Cipto Mangunkusumo Hospital in 2005-2006 were selected. Demographic and clinical data were collected. Demographic data collected were diagnosis time, age, and education level. Clinical data collected were stage, histopathology, differentiation, lymphovascular invasion, and therapy. The appearance of the tumor on the specimen margin and lymphnodes was also noted in the patient underwent surgery. All the patients were followed up for minimal 5 years to know whether the patient was alive. Kaplan Meier methods was used to determine the survival rate probability and Cox regression analysis was used to assessed the factors influencing the cervical cancer survivalResult: A total of 447 cervical cancer patients was enrolled to this study. Median survival of these patients was 63 months and the overall 5-years survival probability was 52%. Age, education level, funding source, tumor size, and lymph-vascular invasion showed no significant differences on cervical cancer survival. Stage III and IV had lower survival probability (Hazard Ratio 3.27 and 6.44). Poor differentiated tumor and uncompleted therapy also had lower survival probability (HR 2.26 and 2.22). Histopathology of others had lower survival probability(HR 2.85), but wasn't significant on multivariate analysis. The presence of tumor on the cervical cancer specimen during operation showed worse survival probability (HR 12.01), otherwise the presence of tumor on specimen margin didn't show difference survival. Therapy types didn't showed any differences, either on early and advanced stage.Conclusion: Cervical cancer median survival was 63 months. Independent influencing factors in this study were cancer’s stage, tumor differentiation, therapy completeness, and the presence of the tumor on the pelvic lymph nodes specimen during operation."

"Kanker serviks merupakan salah satu jenis kanker dengan kejadian tertinggi pada perempuan di Indonesia. Tesis ini bertujuan untuk mengkaji hubungan antara dukungan sosial dengan koping dan resiliensi serta faktor demografi yang memengaruhi pada pasien kanker serviks. Penelitian ini menggunakan desain cross-sectional dengan 213 responden dari RSK Dharmais. Instrumen yang digunakan meliputi Edmonton Symptom Assessment System, Multidimensional Scale of Perceived Social Support, Cancer Coping Questionnaire, dan Connor-Davidson Resilience Scale. Analisis data dilakukan secara univariat dan bivariat menggunakan chi-square, dan uji multivariat dilakukan untuk melihat faktor yang paling memengaruhi hubungan koping dan resiliensi. Hasil penelitian menunjukkan bahwa dukungan sosial berpengaruh positif terhadap koping dan resiliensi pasien kanker serviks, dengan faktor seperti status perkawinan dan dukungan sosial yang berkontribusi dalam hubungan ini.

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Cervical cancer is one of the most common types of cancer among women in Indonesia. This thesis aims to examine the relationship between social support, coping, and resilience, as well as the demographic factors influencing cervical cancer patients. The research employs a cross-sectional design with 213 respondents from Dharmais Hospital. The instruments utilized include the Edmonton Symptom Assessment System, the Multidimensional Scale of Perceived Social Support, the Cancer Coping Questionnaire, and the Connor-Davidson Resilience Scale. Data analysis is conducted using univariate and bivariate methods with chi-square tests, while multivariate analysis is performed to identify the most influential factors in the relationship between coping and resilience. The findings indicate that social support positively impacts coping and resilience among cervical cancer patients, with factors such as marital status and social support was contributing to this relationship."

"ABSTRAKLatar belakang Sindrom Terowongan Karpal merupakan salah satu penyehab timbulnya kelainan tangan yang paling cepat pada pekerja yang menyebabkan penurunan produktivitas den peningkatan biaya pengobatan pekerja. Pekelja call center menggunakan komputer sebagai sarana bekerja diperkirakan menderita Sindrom Terowongan Karpal cukap besar, angka pasti belum didapatkan karena hal ini kurang mendapat perhatian. Metode Penelitian ini menggunekan metode Potong lintang , deta diambil dari pekerja call Canter PTX, pengambilan deta selamat bulan febmari-maret 2009. menggunakan total sampel, didepatkan 153 pekerja, 9 tidek bersedia menjadi responden dan 27 dieksekusi sehingga didapatkan jumlah responden 117 pekerja. Hasn dan kesimpulan penelltian Diperoleh bahwa prevalensi STK call center sebesar 5,9%, umur 21-30 tahun sebesar 96.6%, jenis kelamin perempuan sebesar 62,4%, pendidikan Sl sebesar 65o/o, IMT normal sebesar 52,9''/o, masa kerja >2 tahun sehasar 60,7%, tidak pernah mengikuti pelatihan K3 sebesar 96,6 o/o, tidak menggunakan APD sebesar 98,3, tidak melakukan stretching sebesar 88,9%, ditemukan hubungan yang bermakna antara STK dengan pelatihan K3 {jF0,033) dengan OR 0,002 (CI 95%= 0,0- 0,6 ).

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AbstractBackground Carpal Tunnel Syndrome is one of the fastest causes of hand dysfunction among workers which is causing decrease in productivities and increase in worker's costs therapy. call centers workers are using computers as an occupational instruments are estimated to suffer carpal Tunnel Syndrome in big number, the exact number is not yet known because the lack of attention. Methods The study used the cross-sectional method, from cal! center PT.X , data was taken from PT X call center workers during February -march 2009. used total sample methode, found 153 workers, 9 workers refused from being respondence, and 27 workers were exculuded, 117 workers were found as the total respondence. Results and conclusionThe study show that CTS call center prevalence was 5,9"A. , The Age group of 21-30 years was 96,6%, female were 62,4%, 65% bed bachelor degree, 52,9% had none BMI, 60,7% had worked over 2 years, 96,6% had never followed occupational health and safety training, 98,3% found never used PPE, 88,9"-4 bad never done streching activities, significant association was found between CTS with occupational health and safety training (p=Q,033) dengan OR 0,00 2 (CI 95o/o= 0,0- 0,6 )."

"ABSTRAKLatar Belakang. Perkembangan teknologi dan meningkatnya peran penggunaantangan di bidang industri, rumah tangga dan perkantoran akan meningkatkanangka kejadian STK. Hal ini akan memiliki dampak negatif di bidang medis,sosial dan ekonomi. Pemeriksaan Ultrasonografi (USG) berguna sebagaipenunjang dalam mendiagnosis STK. Kemajuan dalam kualitas dan portabilitasUSG telah menempatkan USG sebagai alat pilihan dalam penelitian danpenerapan klinis di bidang neurologi. USG mudah dijumpai di pelayanankesehatan, memiliki biaya yang murah, waktu pemeriksaan yang singkat dan tidakinvasif, serta memiliki sensitivitas dan spesifisitas yang cukup baik dalammendiagnosis STKMetode. Desain penelitian berupa studi potong lintang. Subyek penelitian adalahpasien Poliklinik Neurologi RSCM yang memenuhi kriteria inklusi dan eksklusi.Subyek diperoleh secara konsekutif. Pada subyek dilakukan wawancara, pengisiankuesioner, pemeriksan fisik, elektroneurografi dan ultrasonografi di PoliklinikNeurologi RSCM. Dilakukan analisis data menggunakan perangkat SPSS 17.0Hasil. Diperoleh 58 subyek tangan yang masuk kriteria inklusi. Sensitivitas danspesifisitas kombinasi gambaran klinis dan USG adalah 86,04% dan 73,33%.Sedangkan akurasi kombinasi gambaran klinis dan USG sebesar 82,75%.Terdapat kesesuaian antara pemeriksaan kombinasi klinis dan USG dengankombinasi klinis dan elektroneurografi dalam mendeteksi STK (kappa = 0,70).Kesimpulan. Nilai sensitivitas kombinasi gambaran klinis dan USG sama denganelektroneurografi. Sedangkan spesifisitas kombinasi gambaran klinis dan USGlebih rendah daripada elektroneurografi. Kombinasi gambaran klinis dan USGdapat digunakan sebagai alternatif pemeriksan dalam mendiagnosis STK

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ABSTRACTBackground. Technological development and the increased use of hands in thefields of industrial, household and office space will increase the prevalence ofCarpal Tunnel Syndrome (CTS). This will have a negative impact on medicalscience, social and economic. Ultrasonography (USG) is useful to supportdiagnosis of CTS. Progress in the quality and portability of ultrasound has placedultrasound as a chosen instrument in research and clinical application in the fieldof neurology. USG is easily found at the health centers, has a lower cost, a shortexamination time and not invasive, as well as having superior specificity andsensitivity is good enough in diagnosing CTS.Method. A cross-sectional sectional study was conducted. The research subjectwere patients of the Neurology Clinic of RSCM Hospital who meet all of theinclusion and exclusion criteria.Result. Fifthy eight hands were included in this study. The sensitivity andspecificity of the combination of clinical features and ultrasonography were86.04% and 73.33%. While, the accuracy of the combination of clinical featuresand ultrasonography was 82.75%. There is a conformity between the combinationof clinical features and ultrasound with a combination of clinical picture andelectroneurography in diagnosing CTS (kappa = 0.70)Conclusion. The combination of clinical features and ultrasonography has similarsensitivity with electroneurography. Meanwhile, the specificity of thecombination of clinical features and ultrasonography is inferior toelectroneurography. Thus, the combination of clinical features andultrasonography can be used as an alternative to electroneurography in diagnosingCTS."

"Latar Belakang. Kuesioner Boston Carpal Tunnel Syndrome (BCTQ) merupakan kuesioner yang dikembangkan untuk menilai keluhan pasien sindrom terowongan karpal dalam melakukan aktifitas sehari-hari. Penelitian ini bertujuan untuk melakukan uji validasi dan reliabilitas kuesioner BCTQ ke dalam bahasa Indonesia. Metode. Melakukan adaptasi dan translasi transkultural, kemudian dilakukan uji validitas dan uji reliabilitas kuesioner BCTQ versi bahasa Indonesia. Populasi dari penelitian ini adalah semua pasien dewasa dengan sindrom terowongan karpal yang datang ke Poliklinik Neurologi RSUPNCM yang memenuhi kriteria inklusi. Hasil. Tiga puluh lima pasien memenuhi kriteria inklusi. Sebagian besar adalah perempuan (88,6%). Usia berkisar antara 45 tahun sampai 71 tahun, dengan prevalensi tertingi > 50 tahun (91,4%), pekerjaan sebagian besar subjek adalah sebagai ibu rumah tangga (77,1%). Pada uji validitas domain derajat keparahan gejala pada uji pertama memiliki nilai antara 0,484-0,781, pada retes didapatkan nilai 0,482 sampai 0,760, untuk domain status fungsional didapatkan nilai antara 0,495 sampai 0,825, dan nilai 0,615 sampai 0,783 pada retes. Hasil uji reliabilitas domain derajat keparahan gejala 0,876 pada uji pertama dan 0,874 pada uji kedua, untuk uji reabilitas domain status fungsional pada uji pertama sebesar 0,857 dan pada retes 0,854. Waktu yang dibutuhkan untuk mengisi kuesioner oleh semua subjek kurang dari 10 menit, Kesimpulan. Kuesioner BCTQ versi Bahasa Indonesia valid dan reliabel dalam mengevaluasi keluhan serta gejala pada pasien dengan sindrom terowongan karpal.

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Introduction. Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) is a questionnaire developed to assess complaints and symptoms of carpal tunnel syndrome patients in carrying out daily activities. Aim of this study is to gain a valid and reliable Indonesian version of BCTQ. Methods. Trancultural adaptation and translation from the original version to Indonesian version, then validation and reliability test are carried out. The population of this study was adult patients with carpal tunnel syndrome who came to the neurology department RSUPNCM and met the inclusion criteria. Thirty-five patients met the inclusion criteria, majority are women (88,6%). Age ranged from 45-71 years, with the highest prevalence >50 years old. Most of the subjects were housewife. The value of symptoms severity scale domain between 0,484-0,781 for first test, 0,482-0,760 on the retest. For domain functional status 0,495-0,825 in the first tests, and 0,615-0,783 for the retest. The reliability test for symptoms severity scale domain for the first test is 0,876 and 0,874 for the retest. The realiability test value for functional status 0,857 for the first test and 0,854 for the retest. The time needed to complete the questionnaire is under 10 minutes. Conclusion. Indonesian version of BCTQ is a valid and reliable instrument to be used as instrument in evaluate complaint and symptoms in patients with carpal tunnel syndrome."