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"ABSTRAK Operasi dekomprasi vaskular mikro telah diterima sebagai tatalaksana definitif pada berbagai keluhan akibat kompresi mekanik pada kompleks neurovaskular. Tindakan eksplorasi fossa posterior diketahui berhubungan dengan komplikasi gangguan fungsi serebellar dan saraf kranial. Diperlukan adanya evaluasi pasca operasi yang mengintegrasikan aspek pemulihan atas keluhan, dan komplikasi terkait tindakan, dalam menilai luaran pasien secara menyeluruh.TujuanMenilai luaran pasca operasi dekompresi vaskular mikro pada penderita sindrom kompresi kompleks neurovaskular yang dikelola Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2011-Oktober 2015 menggunakan efficacy, complication, total score (ECT score) serta faktor-faktor yang mempengaruhi luaran.MetodePenelitian ini merupakan penelitian historikal prospektif terhadap pasien pasca operasi dekompresi vaskular mikro dengan sindrom kompresi kompleks neurovaskular yang dikelola Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2011-Oktober 2015. Sebagai pembanding digunakan data luaran menurut publikasi ECT score orisinil. Data penelitian ini diperoleh melalui catatan rekam medis.HasilSejak Januari 2011 sampai dengan Oktober 2015, didapatkan 21 pasien trigeminal neuralgia primer dan 11 pasien hemifasial spasme primer yang dilakukan tindakan microvascular decompression. Sebanyak 15 pasien trigeminal neuralgia telah melalui periode lebih dari satu tahun pasca operasi dengan hasil luaran excellent (T-0) 13 pasien (87%), good (T-1) 1 pasien (6%), fair (T-2) 0 pasien, poor (T3-5) 1 pasien (6%). Sebanyak 11 pasien hemifasial spasme primer telah melalui periode lebih dari satu tahun pasca operasi dengan hasil luaran excellent (T-0) 5 pasien (62,5%), good (T-1) 2 pasien (25%), fair (T-2) 0, poor (T3-5) 1 pasien (12,5%). Penelitian ini memiliki jumlah sampel yang terbatas dan tidak didapatkan faktor yang mempengaruhi luaran KesimpulanSkor ECT terbukti bermanfaat dalam menilai luaran pasien paska MVD di RSCM. Jumlah pasien trigeminal neuralgia primer yang sembuh sempurna tanpa komplikasi (T0) di RSCM didapatkan 13 pasien dari 15 pasien. Jumlah luaran pasien hemifasial spasme primer yang sembuh sempurna tanpa komplikasi (T0) di RSCM didapatkan 5 pasien dari 8 pasien. ABSTRACTOutcome of Neurovascular Compression Syndrome Based on Efficacy Complication Total Score in FKUI-RSUPNCM, 2011-2015BackgroundMicrovascular decompression has been administered as neurosurgical armamentary as definitive treatment of mechanical compression of neurovascular. Posterior fossa approach also related to post operative cerebellar and cranial nerve dysfunction. An integrated evaluation combining efficacy and complication of surgical exploration is crucial to determine a comprehensive outcome of post surgical patients.PurposeTo evaluate outcome of microvascular decompression surgery in patient diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score) and related factors.MethodA historical prospective study on patients diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score). The result is compared with the original publication of ECT score outcome. Research data was obtained through medical records.ResultsTwenty one patients diagnosed with trigeminal neuralgia and 11 patients diagnosed with hemifacial spasm were treated by microvascular decompression surgery since January 2011 - October 2015. In trigeminal neuralgia group shown fifteen patients with more than one year post operative period with categorized outcome : 13 patients (87%) excellent (T-0), 1 patient (6%) good (T-1), 0 patient fair (T-2), 1 patient (6%) poor (T3-5). In hemifacial spasm group shown 11 patient with more than one year post operative period with categorized outcome : 5 patient (62,5%) excellent (T-0), 2 patient (25%) good (T-1), 0 patient fair (T-2), 1 patient (12,5%) poor (T3-5). Sample size of research were limited and related to insignificant findings of related factors. ConclusionEfficacy complication total score is efficient in evaluating post microvascular decompression surgery outcome. Trigeminal neuralgia group shown 13 of 15 patients with excellent outcome (T0). Hemifacial spasm group shown 5 of 8 patients with excellent outcome (T0).;TitleOutcome of Neurovascular Compression Syndrome Based on Efficacy Complication Total Score in FKUI-RSUPNCM, 2011-2015BackgroundMicrovascular decompression has been administered as neurosurgical armamentary as definitive treatment of mechanical compression of neurovascular. Posterior fossa approach also related to post operative cerebellar and cranial nerve dysfunction. An integrated evaluation combining efficacy and complication of surgical exploration is crucial to determine a comprehensive outcome of post surgical patients.PurposeTo evaluate outcome of microvascular decompression surgery in patient diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score) and related factors.MethodA historical prospective study on patients diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score). The result is compared with the original publication of ECT score outcome. Research data was obtained through medical records.ResultsTwenty one patients diagnosed with trigeminal neuralgia and 11 patients diagnosed with hemifacial spasm were treated by microvascular decompression surgery since January 2011 - October 2015. In trigeminal neuralgia group shown fifteen patients with more than one year post operative period with categorized outcome : 13 patients (87%) excellent (T-0), 1 patient (6%) good (T-1), 0 patient fair (T-2), 1 patient (6%) poor (T3-5). In hemifacial spasm group shown 11 patient with more than one year post operative period with categorized outcome : 5 patient (62,5%) excellent (T-0), 2 patient (25%) good (T-1), 0 patient fair (T-2), 1 patient (12,5%) poor (T3-5). Sample size of research were limited and related to insignificant findings of related factors. ConclusionEfficacy complication total score is efficient in evaluating post microvascular decompression surgery outcome. Trigeminal neuralgia group shown 13 of 15 patients with excellent outcome (T0). Hemifacial spasm group shown 5 of 8 patients with excellent outcome (T0).;TitleOutcome of Neurovascular Compression Syndrome Based on Efficacy Complication Total Score in FKUI-RSUPNCM, 2011-2015BackgroundMicrovascular decompression has been administered as neurosurgical armamentary as definitive treatment of mechanical compression of neurovascular. Posterior fossa approach also related to post operative cerebellar and cranial nerve dysfunction. An integrated evaluation combining efficacy and complication of surgical exploration is crucial to determine a comprehensive outcome of post surgical patients.PurposeTo evaluate outcome of microvascular decompression surgery in patient diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score) and related factors.MethodA historical prospective study on patients diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score). The result is compared with the original publication of ECT score outcome. Research data was obtained through medical records.ResultsTwenty one patients diagnosed with trigeminal neuralgia and 11 patients diagnosed with hemifacial spasm were treated by microvascular decompression surgery since January 2011 - October 2015. In trigeminal neuralgia group shown fifteen patients with more than one year post operative period with categorized outcome : 13 patients (87%) excellent (T-0), 1 patient (6%) good (T-1), 0 patient fair (T-2), 1 patient (6%) poor (T3-5). In hemifacial spasm group shown 11 patient with more than one year post operative period with categorized outcome : 5 patient (62,5%) excellent (T-0), 2 patient (25%) good (T-1), 0 patient fair (T-2), 1 patient (12,5%) poor (T3-5). Sample size of research were limited and related to insignificant findings of related factors. ConclusionEfficacy complication total score is efficient in evaluating post microvascular decompression surgery outcome. Trigeminal neuralgia group shown 13 of 15 patients with excellent outcome (T0). Hemifacial spasm group shown 5 of 8 patients with excellent outcome (T0)."

"ABSTRAKLatar belakang dan tujuan : Trigeminal neuralgia (TGN) atau tic douloureux adalah rasa nyeri seperti ditusuk-tusuk pada satu sisi wajah. Prevalensi TGN 0,01% sampai 0,3%, angka kejadian 3,4 sampai 5,9 per 100.000 orang pertahun. 3D CISS MRI waktu akuisisi singkat, Signal to Noise Ratio tinggi, dan Contrast to Noise Ratio yang baik. Instrumen Pain Assessment Scale (PAS) yang digunakan adalah Pain Rating Scale (PRS) karena mudah digunakan, tersedia luas dan murah. PRS dapat dipertimbangkan sebagai instrumen penilaian perkiraan jarak Neurovascular compression terhadap Root Exit Zone (REZ).Metode : Penelitian retrospektif pada 32 subjek Trigeminal Neuralgia yang melakukan pemeriksaan 3D CISS MRI dalam rentang Januari 2013 sampai Januari 2016. Evaluasi 3D CISS MRI 32 subjek ditemukan 35 origin vaskular penyebab kompresi. Metode penelitian menggunakan uji korelatif dengan pendekatan potong lintang antara nilai PRS dengan jarak NC terhadap REZ yang dievaluasi menggunakan 3D CISS MRI.Hasil : Menggunakan tes Spearman terhadap 35 subjek kompresi diperoleh hasil terdapat korelasi antara nilai PRS dengan jarak NC terhadap REZ dengan rerata jarak kompresi 2,10 mm ± 2,10 (r = -0,39 dan p= 0,021). Dihasilkan formulasi regresi jarak kompresi 3,15 ? 0,47 x Skala nyeri.Kesimpulan : Terdapat korelasi antara nilai PRS dengan jarak NCterhadap REZ pada pasien Trigeminal neuralgia.

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ABSTRACTBackground and Objective: Trigeminal neuralgia or tic douloureuxis unilateral facial pain. TGN prevalence 0,01% to 0,3%, incidence rate 3,4 to 5,9 per 100.000 people a year. High signal to noise ratio and better contrast to noise ratio is 3D CISS MR benefits. Trigeminal pain evaluated with pain assessment scale because simple, less expensive and widely available. So it can be considered as an assessment instrument to estimates neurovascular compressiondistance related to trigeminal nerve root exit zone.Methods : This is a retrospective study on 32 subjects trigeminal neuralgia who had 3D CISS MR examination within January 2013 to January 2016. Evaluation 3D CISS MR found 35 vascular origin causes compression. This methods using correlative study with cross sectional between PAS value with neurovascular compression distance related to trigeminal nerve root exit zone.Results : From 35 subject compression with Spearman test there is moderate correlation between PAS value with neurovascular compression distance related to trigeminal nerve root exit zone (Mean 2.10 mm ± 2,10, r = -0,39 and p = 0,021) and result Regretion formulation 3,15 ? 0,47 x Pain scale.Conclusion : There is moderate correlation between PRS value with neurovascular compression distance related to trigeminal nerve root exit zone."

"Latar belakang: Terdapat banyak tindakan Kedokteran Gigi yang dilakukan di daerah foramen mental serta adanya risiko komplikasi cedera neurovaskular. Foramen mental memiliki letak bervariasi yang dipengaruhi oleh beberapa faktor seperti ras dan jenis kelamin. Mengetahui normal range letak foramen mental merupakan hal yang penting diketahui klinisi untuk mengurangi resiko cedera saat perawatan. Tujuan: Mengetahui nilai rata-rata dan membandingkan jarak foramen mental terhadap puncak tulang alveolar pada kelompok laki-laki dan perempuan berusia 20-40 tahun di RSKGM FKG UI. Metode: Dilakukan pengukuran nilai jarak dengan membuat garis tegak lurus antara garis singgung pada batas superior foramen mental dan garis singgung pada puncak tulang alveolar, di mana garis-garis singgung tersebut sejajar dengan batas bawah mandibula pada 140 radiograf panoramik digital yang dibagi menjadi kelompok laki-laki dan perempuan berusia 20-40 di RSKGM FKG UI menggunakan software viewer Microdicom. Kemudian dilakukan uji reliabilitas intraobsever dan interobserver dengan uji ICC dan uji komparatif dengan uji T-test Independen. Hasil: Berdasarkan pengukuran diperoleh rata-rata dan standar deviasi pada kelompok laki-laki berusia 20-40 tahun adalah 15.60 ± 1.73 mm dan pada kelompok perempuan berusia 20-40 tahun adalah 15.12 ± 1.97 mm. Kesimpulan: Tidak terdapat perbedaan bermakna antara nilai rata-rata jarak foramen mental terhadap puncak tulang alveolar pada kelompok laki-laki berusia 20-40 tahun dan kelompok perempuan berusia 20-40 tahun di RSKGM FKG UI.

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Background: There are a lot of dental treatments involving mental foramen and a risk of neurovascular injuries as the complication from the treatments. Mental foramen varies in position based on several factors including race and gender. Knowing the position range of mental foramen is essential to prevent injuries during dental treatment. Objective: To elicit and compare the mean distance of mental foramen to alveolar crest in male and female aged 20-40 years old at RSKGM FKG UI. Method: This study is utilizing 140 digital panoramic radiographs divided into male group and female group aged 20-40 years old in RSKGM FKG UI. Samples were measured by making a perpendicular line to tangent line of mental foramen’s superior border and tangent line of alveolar crest which both tangent lines are parallel to inferior border of the mandible. Samples were measured directly on the digital panoramic viewer software (Microdicom). Then, carry on with the reliability test for both intraobserver and interobserver with ICC test and comparative test with Independent T-test. Results: Average and standard deviation for mean distance of mental foramen to alveolar crest in male group aged 20-40 years is 15.60 ± 1.73 mm and in female group aged 20-40 years is 15.12 ± 1.97 mm. Conclusion: There is no significant difference between the mean distance of mental foramen to alveolar crest in male aged 20-40 years and in female aged 20-40 years at RSKGM FKG UI"

"Latar belakang: Pemeriksaan neurovaskular memegang peranan penting dalam tatalaksana sarkoma muskuloskeletal, umumnya dengan menggunakan modalitas pencitraan MRI kontras intravena. Namun ketersediaan mesin MRI di Indonesia sangat terbatas. Tujuan: Menilai peranan USG greyscale, velositas arteri dan resistive index (RI) dalam menilai keterlibatan neurovaskular oleh massa tumor. Metode: Penelitian ini menggunakan data primer dari pemeriksaan USG Doppler Berwarna sistem arteri dan MRI kontras gadolinium intravena ekstremitas inferior. Penelitian dilakukan di Departemen Radiologi dan Poliklinik Orthopaedi dan Traumatologi Rumah Sakit Umum Pusat Dr. Cipto Mangunkusumo Jakarta dari bulan Januari 2021 hingga Agustus 2022. Hasil: Akurasi USG greyscale penelitian ini didapatkan sebesar 84,2%, sensitivitas 66,7%, spesifisitas 100%, PPV 100% dan NPV 76,9%. Adanya perbedaan velositas arteri yang dibandingkan kontralateral memiliki nilai sensitivitas 66,7%, spesifisitas 100%, PPV 100% dan NPV 76,9%. Adanya perbedaan RI yang dibandingkan dengan tungkai kontralateral memiliki nilai sensitivitas 66,7%, spesifisitas 100%, PPV 100% dan NPV 76,9%. Pemeriksaan MRI kontras dalam menilai keterlibatan neurovaskular utama memiliki nilai akurasi, sensitivitas, spesifisitas, NPV dan PPV sebesar 100%. Kesimpulan: Pemeriksaan USG greyscale cenderung memiliki nilai akurasi yang baik dan memiliki potensi untuk dipertimbangkan sebagai alat diagnostik, namun penggunaannya pada pasien dengan volume tumor massif harus dihindari karena berpotensi memberikan nilai negatif palsu.

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Background: Neurovascular assessment plays an important role in the management of musculoskeletal sarcomas, commonly use contrast MRI as modality of choice. However, the availability of MRI in Indonesia is very limited. Objective: To assess the role of greyscale ultrasound, arterial velocity, and resistive index (RI) in assessing musculoskeletal sarcomas neurovascular involvement. Method: Primary data analysed from CDUS of arterial system and contrast MRI inferior extremity. The study was conducted at Department of Radiology and Orthopaedic and Traumatology Clinic of Dr. Cipto Mangungkusumo Hospital from January 2020 to August 2022. Result: The accuracy of greyscale ultrasound in this study was 84.2%, 66.7% sensitivity, 100% specificity, 100% PPV and 76.9% NPV76,9%. Arterial velocity differences compared to contralateral limb had sensitivity 66,7%, specificity100%, PPV 100% and NPV 76,9%. RI differences compared to contralateral limb had sensitivity 66,7%, specificity 100%, PPV 100% and NPV 76,9%. Contrast MRI had sensitivity, specificity, NPV and PPV 100%. Conclusion: Greyscale ultrasound has good accuracy and has the potential to be considered as diagnostic imaging modality. But the utilization of this modality in massive volume mass should be avoided since it has potential to give false negative result."

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Latar Belakang: Penyakit insufisiensi vena merupakan kondisi terganggunya aliran balik darah dari tungkai menuju ke jantung. Kondisi ini dapat terjadi secara jangka panjang atau kronik sehingga sering dikenal sebagai chronic venous insufficiency (CVI).

Tujuan: Menganalisis dan membandingkan pengaruh penggunaan stoking kompresi selama 1 minggu dan 2 minggu pada pasien CVI pasca tindakan EVTA di RSUP Nasional Dr. Cipto Mangunkusumo Jakarta dan RS jejaring pendidikan.

Metode: Penelitian ini bersifat studi kohort.

Hasil: Populasi yang diambil adalah pasien yang berobat dari bulan Maret  –  Mei  2024 di RSCM dan RS jejaring. Distribusi komplikasi akut pasca pemasangan stoking kompresi selama 1 minggu dan 2 minggu. Iritasi kulit dialami oleh 3 orang (9,7%) pasien pada kelompok 1 dan 11 orang (37,9%) pada kelompok 2. Nyeri dialami oleh 9 orang (31%) pasien pada kelompok 1 dan pada 9 orang (29%) pasien pada kelompok 2. Edema hanya ditemukan pada kelompok 2 yaitu sebanyak 2 kasus (6,5%). Selanjutnya, hematoma dialami oleh 4 orang (13,8%) pasien pada kelompok 1 dan 4 orang (12,9%) pada kelompok 2 Hasil analisis bivariat mendapatkan bahwa jenis intervensi berpengaruh terhadap oklusi vena dengan  nilai odds ratio sebesar 1,203 (95% CI: 0,537 – 2,694) namun dengan nilai yang tidak signifikan berdasarkan uji Fischer’s Exact Test (p=0,77). Sebagai kesimpulan, penggunaan stoking kompresi selama 2 minggu tidak memiliki pengaruh yang bermakna dengan penggunaan selama 1 minggu saja. nilai korelasi sebesar -0,010 dengan nilai p=0,937. Nilai -0,01 termasuk dalam hubungan korelasi kuat (kurang dari 0,1).

Simpulan: Penggunaan stoking kompresi selama 2 minggu tidak memiliki pengaruh yang bermakna dengan penggunaan selama 1 minggu saja. nilai korelasi sebesar -0,010 dengan nilai p=0,937. Nilai -0,01 termasuk dalam hubungan korelasi kuat (kurang dari 0,1).

Kata kunci: Penyakit vena kronis,venous clinical severty score, medical compresi.

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Background: Venous insufficiency is a condition where the return of blood from the legs to the heart is disrupted. This condition can occur long-term or chronically so it is often known as chronic venous insufficiency (CVI).

Objective: This study will compare vein occlusion and Venous Clinical Severity Score (VCSS) in CVI patients after the EVTA procedure who were given compression therapy with stockings for one week compared with use for two weeks.

Methods: This research is a cohort study

Results:  The population taken were patients seeking treatment from March – May 2024 at RSCM and network hospitals. Distribution of acute complications after installation of compression stockings for 1 week and 2 weeks. Skin irritation was experienced by 3 (9.7%) patients in group 1 and 11 people (37.9%) in group 2. Pain was experienced by 9 (31%) patients in group 1 and 9 people (29%) patients in group 2. Edema was only found in group 2, namely 2 cases (6.5%). Furthermore, hematomas were experienced by 4 (13.8%) patients in group 1 and 4 people (12.9%) in group 2. The results of bivariate analysis showed that the type of intervention had an effect on vein occlusion with an odds ratio of 1.203 (95% CI : 0.537 – 2.694) but with a value that is not significant based on Fischer's Exact Test (p=0.77). In conclusion, the use of compression stockings for 2 weeks does not have a significant effect compared to use for just 1 week. The correlation value is -0.010 with a p value = 0.937. The value -0.01 is included in a strong correlation relationship (less than 0.1).

Conclusion: the use of compression stockings for 2 weeks does not have a significant effect compared to use for just 1 week. The correlation value is -0.010 with a p value = 0.937. The value -0.01 is included in a strong correlation relationship (less than 0.1).

Keywords: Chronic venous disease, venous clinical severity score, medical compression."

"Penurunan kasus penyakit yang terjadi di masyarakat diperlukan berbagai upaya. Agar upaya yang tertuang dalam perencanaan program dapat berhasil guna dan berdaya guna perlu didukung oleh pelaksanaan manajemen yang baik. Indikasi pelaksanaan manajemen yang baik dapat dilihat dari pelaksanaan pengambilan keputusan berdasarkan fakta nyata pada masyarakat atau wilayah dimana program tersebut akan dilaksanakan. Begitu pula upaya penurunan kasus penyakit yang terjadi pada masyarakat perlu dukungan data/fakta yang ada dimana masyarakat itu berada dalam wilayahnya.Sistem Pencatatan dan Pelaporan Puskesmas Laporan Bulanan Penyakit ( SP3-LBI) merupakan salah satu Instrument yang bisa dipakai untuk melihat fakta angka kejadian kasus penyakit yang ada di masyarakat. Namun sampai saat ini belum dapat memberikan konstribusi dalam membuat perencanaan program, yang dikarenakan berbagai sebab. Sehingga dalam upaya perencanaan, pelaksanaan, pengendalian, pengawasan dan evaluasi program tidak didukung oleh data dan informasi.SP3-LBI merupakan satu-satunya laporan yang banyak memuat jenis kasus penyakit, meskipun ada jenis laporan penyakit yang lain. Namun baru sekedar memberikan data berupa angka kasus penyakit dalam bentuk jumlah kumulatif tiap Puskesmas, sehingga belum bisa menghasilkan informasi sesuai kebutuhan. Karena bagaimanapun kejadian suatu penyakit dapat disebabkan oleh berbagai faktor.Di era otonorni daerah, terjadi perubahan fungsi Dinas Kesehatan Kabupaten/Kota dari technical control menjadi technical support. Dengan demikian Dinas Kesehatan Kabupaten/Kota mempunyai wewenang dalam pengembangan upaya pembangunan kesehatan sesuai dengan kebutuhan dan keadaan daerahnya masing-masing. Untuk itu dalam rangka memperoleh informasi dengan cepat dari kasus penyakit yang diperoleh dari SP3-L131, perlu dikembangkan agar lebih sederhana dengan mengikutsertakan variabel-variabel yang kemungkinan mempunyai hubungan dengan kejadian kasus. Varibel-veriabel tersebut adalah jumlah penduduk, jumlah tenaga kesehatan teknis dan jumlah Puskesmas yang berada dalam wilayah masingmasing. Untuk itu dikembangkanlah Sistem Informasi Sepuluh Penyakit Terbanyak Berbasis Kecamatan di Dinas Kesehatan Kabupaten Indramayu.Pengembangan dimulai dengan menganalisa dan mengidentifikasi permasalahan sistem yang ada. Selanjutnya melakukan perencanaan sistem, menganalisa situasi, membuat rancangan, mendesain sistem/pembuatan prototype dan uji coba prototype. Dan hasii rancangan ini akan dihasilkan indikator output berupa gambaran sepuluh kasus penyakit terbanyak untuk tiap kecamatan dan total kabupaten dalam bentuk tabel dan grafik, rasio kasus terhadap jumlah penduduk, rasio tenaga kesehatan terhadap jumlah penduduk dan rasio Puskesmas terhadap jumlah penduduk. Dengan adanya pengembangan tersebut diharapkan informasi akan bisa diperoleh dengan cepat, mekanisme feed back akan mudah dilakukan tiap bulan. Agar hal tersebut bisa berjalan optimal dibutuhkan minimal input hard ware Pentium III, soft ware Microsoft windows 98/2000, Acces 2000 dan brains ware minimum D III bidang informatika.Daftar bacaan : 35 (87-2001)

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Developing Information System of the Greatest Ten Diseases Subdistrict Basis in Health Official Indramayu Regency The descend of disease case that happen in society is needed many efforts. In order to get in planning program can get succeed and efficient which is supported by management implementation well. Implementation indication management which's good can be seen from taking decission implementation based on the real fact in society or area where the program will be done.Registration system and reporting local government clinic/Puskesmas for reporting disease monthly ( SP3-LB1 ) is one of the instrument which can be used for seeing the number case of disesase in society. But it hasn't given contribusion in making program planning yet, because many reasons. So in planning, implementation, controlling, supervision ang evaluating program aren't supported by information and data.SP3-LB1 is the wily one reporting that could accomadate kind of disease case, even there is a kind of other disease report, havever just giving data like the number disease case in cummulative total in every local government clinic, so hasn't got the information as needed yet. The disease could be caused by many factors.In the otonomy area time, many charges function in health official regency/city from technical can too be come technical support. Thus, health official regency has outhority in developing health according to necessity and situation in the area. Getting information quickly from disease case which is obtained from SP3-LB1, neediry developed to make smple by including variables that has relation with the cases. The variables are the total population, the total medical technical worker and the total of local government clinic in every area. So it is developed information system for the greatest ten disease subdistrict basis in health official Indramayu regency.Developing is started by analized and identification problem system. Doing system planning, analyzing situation, making design, design system/making prototype and the test of prototype. From this design result will be resulted output indicator like description of the greatest ten disease for every subdistrict and the total regency in table and graph, rasio case to the total population, rasio to medical worker to the total population and rasio to local government clinicfPuskesmas to the total population.Developing is hoped information can be fast to get, the mechanism feed back will easy to do very month, In order to do optimally. It is needed minimal input hard ware pentium III, soft ware microsoft windows 98/2000, access 2000 and brains ware minimum D.]TI information subject.Reference: 35 ( 1988 -- 2001 )"

"Penyakit menular merupakan salah satu masalah kesehatan penting di Indonesia, karena morbiditas dan mortalitasnya yang tinggi, meskipun saat ini ada pergeseran poly penyakit dari penyakit menular ke penyakit degeneratif. Penyakit menular yang sering menimbulkan kejadian luar biasa di Indonesia saat ini antara lain penyakit diare, campak, dan demam bedarah.Untuk mengantisipasi terjadinya KLB perlu dilaksanakan SKD (Sistem Kewaspadaan Dini). Namun dalam pelaksanaannya, khususnya di Kabupaten Tasikmalaya, Propinsi Jawa Barat, menghadapi beberapa masalah. Masalah tersebut antara lain tidak semua puskesmas mengirimkan laporan tersebut secara rutin dan tepat waktu. Selain itu, data yang masuk tidak diolah dan dianalisis secara rutin, serta analisis yang dilaksanakan pun belum optimal, sehingga belum bisa memprediksi akan terjadinya KLB. Perangkat lunak pengolah data yang digunakan saat ini adalah lotus 123. Dalam operasionalnya ada beberapa kelemahan yang ditemui, baik dalam entri data, proses, maupun output. Selain aplikasi ini juga mempunyai kelemahan dalam penyusunan dan pengorganisasian data dalam file.Tujuan penelitian ini adalah dikembangkannya sistem informasi laporan mingguan penyakit menular (Laporan Mingguan) dalam rangka sistem kewaspadaan dini kejadian luar biasa di Kabupaten Tasikmalaya tahun 2003. Metode penelitian menggunakan pendekatan pengembngan sistem, dengan tahapan penelitian antara lain : penentuan entitas, analisis sistem, rancangan sistem, dan penentuan kriterja ujicoba prototype.Dalam penelitian ini telah berhasil disusun; form input data sistem laporan mingguan penyakit menular potensial wabah dalam rangka sistem kewaspadaan dini kejadian luar biasa yang dirancang disesuaikan dengan kebutuhan, sehingga dapat meningkatkan efisiensi, efektivitas, serta validitas dalam pemasukan data; Basis data (database) dalam sistem informasi laporan mingguan telah dinormalisasi, dan dibuat relasi antar tabel. Proses ini menjadikan .file-file menjadi terstruktur dan terorganisir dengan baik, sehingga menjadi efisien, serta akan mempermudah dalam memanggil dan meng-update data; Prototype aplikasi sistem informasi laporan mingguan telah diuji coba dan mengghasilkan keluaran yang dapat digunakan untuk kewaspadaan dini berupa absensi kinerja pengiriman laporan, distribusi penyakit menular potensial wabah, grafik trend penyakit menular potensial wabah, area neap trend penyakit menular potensial wabah.Dengan tersusunnya prototype sistem informasi laporan mingguan penyakit menular yang telah berhasil diuji coba di laboratorium komputer, sebaiknya Dinas Kesehatan Kabupaten Tasikmalaya segera mengimplementasikan sistem tersebut, karena sumber daya petugas maupun komputer di Seksi Pengamatan Penyakit, memungkinkan untuk pelaksanaannya. Meskipun secara struktur organisasi sistem informasi laporan mingguan telah terakomodir, agar sistem yang berjalan dapat terpelihara, sebaiknya kegialan ini dikuatkan dengan kebijakan dari Kepala Dinas secara tersendiri, misalnya berupa pembentukan kelompok kerja fungsional, sehingga kegiatan ini dapat berjalan optimal.Pustaka : 21 (1984-2002)

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Communicable disease is one of important challenges in health issues in Indonesia, although there is a shifted pattern from communicable diseases to degenerative diseases, but still remain high rate in morbidity and mortality. The most often diseases that caused outbreak are diarrhea, measles, and blood fever dengue.

To anticipate the outbreak it needs Early Warning System (EWS), but there are some problems that make this system not working properly, especially in District of Tasikmalaya, Province of West Java. There are some health centers do not deliver report regularly and timely. Also the data processing and analyzing for outbreak prediction did not working well, because this data processed by Lotus 123 which have some weaknesses, such as in data entry. processing and output, also in file organizing.

This study objective is to develop an Information System of Weekly Report of communicable Incidence in order to support EWS in Tasikmalaya Sub-district, Province of West Java year of 2003. The method using system development approach, determining entities, system analysis, system design, and determining the criteria of test drive prototype.

The prototype for information system development on weekly report has been build, computer based. This prototype presenting information of communicable diseases distribution, which potentially causing outbreak, based on type of disease, week of incidence, and the health center which is reporting, also with trend graphic and area map trend of diseases.

This prototype has been passed the test in computer lab and we recommend using this prototype in Health Office District of Tasikmalaya immediately. Although In organization structure this report have been accommodated, this activity should be supported by head of Health Office by establish functional work group , so this system could be working at it best.

Bibliography: 2I (1984-2002)"

"This book employs a cased-based format similar to the earlier Krings book, Case-Based Interventional Neuroradiology. After describing a clinical scenario the relevant anatomic structure or variation will be described and explained (embryological background) and its impact on treatment decisions and treatment modalities are explained. Potential complications that may arise if not properly recognized are indentified. Images of other similar cases are added to show the spectrum of the anatomy and its variations. References to the pertinent literature are provided for each case. Cases are grouped to allow for smooth reading cover to cover and at the same time to quickly get one up to speed prior to performing a procedure where one encounters a similar variation. Imaging includes conventional angiography but will also include MR/​MRA and CT/​CTA when appropriate"--Provided by publisher."

"Tujuan penelitian ini adalah mengetahui hubungan derajat hidronefrosis dan leukosit urin dengan kejadian komplikasi demam dan retropulsi pada pasien batu non-opaque yang menjalani URS. Penelitian ini bersifat prospektif, deskriptif analitik di RSUD dr. Fauziah Bireun Aceh selama Oktober-Desember 2016. Terdapat 42 pasien dengan didominasi laki-laki 73,8 , rata-rata berusia 47 tahun, 61,9 dengan batu di ureter proksimal, dan 76,2 diantaranya mengalami hidronefrosis sedang serta 28,5 mengalami leukosit urin ge;15/LPB. Komplikasi demam terjadi pada 11,9 pasien dan retropulsi batu sebanyak 7,1 . Derajat hidronefrosis dan leukosit urin merupakan faktor yang mempengaruhi terjadinya demam paska operasi. Kadar leukosit urin tidak mempengaruhi kejadian retropulsi.

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The purpose of this research is to know the relationship between degree of hydronephrosis, urinary leukocytes with incidence of fever and retropulsion as complication of non opaque stone patients underwent URS. This was prospective, analytical descriptive research in dr.Fauziah Bireun Hospital Aceh during October December 2016. From 42 patients, 73.8 were male with mean age 47y.o, 61.9 had proximal ureter stone, 76.2 had moderate hydronephrosis, 28.5 had urinary leucocytes ge 15 HPF. Fever occurred in 11.9 and retropulsion in 7.1 patients. Degree of hydronephrosis and urine leukocyte affect the incidence of post operative fever significantly. Urine leukocyte levels do not affect the incidence of retropulsion."