Karyawan PT. International Nickel Indonesia,tbk Terkena Low Back Pain? Bagaimana Karakteristiknya?

Beberapa penelitian menunjukkan bahwa prevalensi keluhan Low Back Pain (LBP) pada pekerja di industri pertambangan cukup tinggi padahal dapat menurunkan produktifitas. Penelitian yang dilakukan di Rumah Sakit Sorowako ini bertujuan mengetahui karakteristik karyawan PT. INCO,Tbk yang menderita LBP berdasarkan hasil diagnosa dokter Perusahaan di beberapa unit rawat jalan pada periode 1 Oktober 2006 30 September 2007. Karakteristik karyawan yang diteliti adalah menurut umur, jenis kelamin, pendidikan, jenis pekerjaan, olahraga, tempat tinggal, departemen tempat bekerja, masa kerja, waktu kerja, waktu diagnosa pertama dan jumlah kunjungan selama periode penelitian. Menggunakan metode penelitian deskriptif untuk menjelaskan karakteristik penderita LBP berdasarkan data sekunder dari rekam medik rumah sakit dan biodata karyawan dengan jumlah sampel sebanyak 188 orang. Hasil penelitian menunjukkan bahwa LBP paling banyak pada kelompok umur 50 -55 tahun, jenis kelamin laki-laki (96,3%), berpendidikan rendah (87,8%), bekerja sebagai operator alat berat atau mesin (46,3%) dan tidak teratur berolahraga (75%). Paling banyak berdomisili di Sorowako (51%) dan bekerja di Departemen Mining (54,8%). Memiliki masa kerja lebih dari 20 tahun (44,7%), pola penjadwalan kerja 5 work, 2 off (57,4%), waktu diagnosa pertama pada bulan Mei 2007 (10,6%) dan kebanyakan berkunjung hanya sekali (70,7%). Nampaknya faktor pekerjaan masih dominan dalam mempengaruhi kejadian LBP di PT. INCO,Tbk.Key Words: Low Back Pain, Karyawan PT. INCO, Pekerjaa

Faktor yang Berhubungan dengan Kelengkapan Rekam Medis di RSUD H. Padjonga Dg. Ngalle Takalar

The quality of medical records at the hospital was one determining factors of the quality of service. The aimed of the research was to analyze the relationship between the employment status, knowledge, motivation, the expertise, and the duration of work of the qphysician with the completeness of the medical record data sheet resume during hospitalization. This research was a quantitative research survey analytic approach, with cross sectional study design. The population was 55 physicians, the sample in this study was the entire population, data analysis was chi-square and multiple logistic regression. The results revealed that there was a relationship between employment status and knowledge with the completeness of the medical record data. There was no relationship between motivation and skills with the completeness of the medical record data. There was a relationship between duration of work with the completeness of the medical record data. This study suggests the development of human resources through education and training, guidance to the physicians on the filling of medical records and documents, provide internal training regarding the determination of the main diagnosis in accordance with the ICD-10, improved knowledge of the completeness of filling medical records. Motivate physicians in filing medical records through career development, promotion and providing feedback with reward and punishmentKeywords: Completeness of Medical Records Filling, Knowledge, Motivatio

Faktor Risiko Kematian Neonatal Dini di Rumah Sakit Bersalin

Infant mortality rate in Indonesia is still high. Fifty percent of the neonatal mortality occurred among low birth weight infants (LBWI) and neonatal mortality within 7 days of life accounted for 50% of total infant mortalities. This study was aimed to examine the extent of early neonatal mortality risk by antenatal care (ANC), Tetanus Toxoid (TT) immunization status of pregnant women, anemia during pregnancy, birth weight of neonatal, parity status, and hypothermia status.This study was a case control study with direct interview to respondents, conducted in the Maternity Hospital of Makassar with 40 cases and 120 controls. Samples were selected by purposive sam- pling. Study results indicated that risk factor of early neonatal mortality were ANC (p value = 0,000; odds ratio, OR = 7,33; CI 95% = 2,966 - 18,129), TT immunization status (p value = 0,000; OR = 19,205; CI 95% = 7,902 - 46,678), pregnancy anemia (p value = 0,000; OR = 32,818; CI 95% = 7,549 - 142,674), birth weight (p value = 0,000; OR = 122,212; CI 95% = 32,324 - 462,068), parity status (p value = 0,000; OR = 5,537; CI 95% = 2,029 - 15,111), asphyxia status (p value = 0,000; OR = 8,197; CI 95% = 0,452 - 2,745), whereas hypothermia status (p value = 0,815; OR = 1,114; 0,452 - 2,745) was not a risk factor. Results of logistic regression multivariate analysis indicated that infant\u27s birth weight was the most risk factor of early neonatal mortality (p value = 0,000). Specific surveillance program for high risk neonatal needed to be arranged in all health centers

Predictors of Long Covid 19 Syndrome

Background: Symptoms of covid persist in most cases with development of a multisystem syndrome called long covid syndrome.Objective: The aim of the work was to evaluate symptoms that persist after the acute stage of the disease in a cohort of patients with confirmed or suspected COVID 19 and to define the predictors for long COVID syndrome.Patients and method: This retrospective study involved 164 patients with previously confirmed or highly suspected COVID 19 and still attending to the post covid outpatient clinic in El-Minia University Chest Hospital complaining from persistence of symptoms or for regular follow up. Their data was obtained from their previous medical reports. Results: Post Covid 19 symptoms were found in about 86 % of the studied patients with 42.7% reported neuropsychiatric symptoms and 26.8% reported respiratory symptoms. The most common reported symptoms in nonsevere cases were the anxiety disorders (18.9%), followed by chronic fatigue and neuropathy (15.2%), while chronic dyspnea in 9.8% mostly in severe cases, while vertigo and headache in 9.1%, musculoskeletal symptoms in 6.1% and skin lesions in 3.7%.Conclusion: It could be concluded that persistence of symptoms is very common after acute Covid 19 infection. Chronic dyspnea was reported more frequently in severe cases while anxiety reported mostly by patients with mild disease

ConectCat : aplicación web : fiestas locales y otros servicios y puntos de interés en Cataluña

Aplicación web basada en mapas interactivos y timeline. Permite visualizar las fiestas locales así como otros servicios y puntos de interés de Cataluña

Cannabinoids inhibit hippocampal GABAergic transmission and network oscillations

Using a new antibody developed against the C-terminus of the cannabinoid receptor (CB1), the immunostaining in the hippocampus revealed additional axon terminals relative to the pattern reported previously with an N-terminus antibody. Due to a greater sensitivity of this antibody, a large proportion of boutons in the dendritic layers displaying symmetrical (GABAergic) synapses were also strongly immunoreactive for CB1 receptors, as were axon terminals of perisomatic inhibitory cells containing cholecystokinin. Asymmetrical (glutamatergic) synapses, however, were always negative for CB1. To investigate the effect of presynaptic CB1 receptor activation on hippocampal inhibition, we recorded inhibitory postsynaptic currents (IPSCs) from principal cells. Bath application of CB1 receptor agonists (WIN55,212-2 and CP55,940) suppressed IPSCs evoked by local electrical stimulation, which could be prevented or reversed by the CB1 receptor antagonist SR141716A. Action potential-driven IPSCs, evoked by pharmacological stimulation of a subset of interneurons, were also decreased by CB1 receptor activation. We also examined the effects of CB1 receptor agonists on Ca2+-independent miniature IPSCs (mIPSC). Both agonists were without significant effect on the frequency or amplitude of mIPSCs. Synchronous gamma oscillations induced by kainic acid in the CA3 region of hippocampal slices were reversibly reduced in amplitude by the CB1 receptor agonist CP 55,940, which is consistent with an action on IPSCs. We used CB1-/- knock-out mice to confirm the specificity of the antibody and of the agonist (WIN55,212-2) action. We conclude that activation of presynaptic CB1 receptors decreases Ca2+-dependent GABA release, and thereby reduces the power of hippocampal network oscillations.Journal ArticleResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.FLWINinfo:eu-repo/semantics/publishe

Burns objective scar scale (BOSS): Validation of an objective measurement devices based burn scar scale panel.

AIMS Hypertrophic scars in burn survivors are a major cause of morbidity but the development of evidence based treatments is hampered by the lack of objective measurements of these scars. The objective of our study is to investigate the most accurate parameters for objective scar assessment and to create a combination score to facilitate the use of a panel of objective scar measurement tools. METHODS Three independent assessors evaluated fifty five scar sites on fifty five burn patients with both the subjective modified Vancouver Scar Scale (mVSS) and a panel of objective measurement tools including the DSM II Colormeter, Cutometer, Dermascan high frequency ultrasound. The sensitivity and specificity of the objective scar parameters in predicting a mVSS score of 6 or more using the Receiving Operator Characteristic Area under the curve (ROC AUC) was then calculated and the most accurate parameters were combined to create an objective global scar score. RESULTS The ROC AUC values were found to be highest for the Dermascan scar thickness (0.897), dermal intensity and intensity ratio (0.914 and 0.919), Cutometer R0 value (0.942), and R0 ratio (0.944). For colour measurements, ratios of scar to normal skin performed better than the single parameters for both erythema and pigmentation measurements: DSM II Erythema ratio vs Erythema (0.885 vs 0.818), DSM II a* ratio vs a* (0.848 vs 0.741); DSM II Melanin ratio vs Melanin (0.854 vs 0.761), DSM II L* ratio vs L* (0.862 vs 0.767). Analysis of the ROC AUC with chi-square test values showed that the highest AUC (0.786) was obtained with the combination of the Cutometer R0, Dermascan scar thickness, intensity and their respective scar to normal skin ratios. A total score of 5 and above (out of 6 parameters) had the highest combined sensitivity (69.0%) and specificity (83.3%). CONCLUSION The objective parameters for the DSM II Colormeter, Cutometer and Dermascan high frequency ultrasound were all found to have moderate to strong ROC AUC values and combination of the Cutometer R0 and Dermascan scar thickness and intensity values can be used to create an objective global scar scale that can accurately differentiate patients with hypertrophic burn scarring from non-hypertrophic scars or normal skin