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Puti Naindra Alevia
Karakteristik perlakuan salah seksual pada anak di pusat krisis terpadu RSCM tahun 2014-2015 = Characteristics of child sexual abuse cases at integrated crisis center Cipto Mangunskusumo Hospital 2014-2015
"ABSTRAK
Latar belakang: Sejak tahun 2000 sampai dengan Juli 2010 terdapat 2579 anak mengalamiperlakuan salah seksual yang terdaftar di Pusat Krisis Terpadu PKT Rumah Sakit CiptoMangunsukomo RSCM . Perlakuan salah seksual memiliki dampak negatif pada korban,keluarga, dan masyarakat sekitarnya. Karakteristik perlakuan salah seksual perludiidentifikasi sehingga dapat dilakukann upaya pencegahan.Tujuan: Mengetahui karakteristik korban, keluarga dan lingkungan, serta pelaku danpencetus perlakuan salah seksual pada anak di Jakarta.Metode: Studi deskriptif retrospektif dengan pengumpulan data dari rekam medis anakkorban perlakuan salah seksual di PKT RSCM dengan mengolah data kasus tahun 20142015.Variabel yang dinilai yaitu faktor anak, lingkungan, pelaku, dan pencetus.Hasil: Terdapat 103 rekam medis yang masuk dalam penelitian. Perlakuan salah seksualterbanyak adalah genito-genital 48,5 , lebih dari 50 disertai kekerasan fisik maupunancaman fisik dan senjata, 47,6 diketahui dari cerita korban. Sebanyak 86,4 korbanadalah perempuan, 42 berusia 13-18 tahun, 32,1 pendidikan tingkat menengah pertamadan atas, dengan pengawasan keluarga yang kurang, dan 26,2 mengalami dampakpsikososial. Sebagian besar orangtua korban bekerja di luar rumah dan 33 berada di bawahgaris kemiskinan. Pelaku 33 merupakan pelajar, tidak bekerja, atau pensiunan. Sekitar 20 pelaku memiliki riwayat penyalahgunaan obat dan alkohol.Simpulan: Anak perempuan, usia rerata 9,97 tahun, berpendidikan menengah dan/atau putussekolah, dengan orangtua yang bekerja, tinggal di lingkungan kumuh dengan penghuni rumahlebih dari 4 orang memiliki peluang lebih besar menjadi korban perlakuan salah seksual.Pelaku memiliki karakterisik laki-laki dewasa, berusia rerata 30 tahun, memiliki hubungantetangga, teman/kenalan dan anggota keluarga, merupakan pelajar, buruh, atau pengangguran,dan sebagian memiliki riwayat konsumsi alkohol dan obat terlarang.Kata kunci: Perlakuan salah seksual anak, karakteristik korban perlakuan salah seksual anak,karakteristik pelaku perlakuan salah seksual anak
ABSTRACT Background Data from Integrated Crisis Center Cipto Magunkusumo Hospital reveals thatfrom 2000 untul 2010, 2759 children became victims of sexual abuse. Sexual abuse has anegative effect on the victims children , their families, and people around them.Characteristics of these cases must be identified to help formulate preventive measures.Objective To identify the characteristics of the victims, families, environment, as well asperpetrators and triggers of child sexual abuse cases in Jakarta.Methods A retrospective descriptive study was conducted between July 25th and September19th 2016 by collecting data from the medical records of child sexual abuse victims atIntegrated Crisis Center Cipto Mangunkusumo Hospital from 2014 2015. Variables identifiedinclude characteristics of the victims, families and environment, perpetrators, and triggers.Results There were 103 medical records analysed in the study. Genito genital accounts forthe most frequent form of abuse 48.5 . More than 50 of abuse were conducted alongwith physical abuse or verbal threat of physical abuse with our without weapons. Close to50 of cases were discovered through confession by the victims. Most of the victims werefemale 86,4 , aged 13 18 years of 42 . Almost a third were students of junior and highschools. More than a quarter of the victims 26.2 suffered from psychosocial effects ofabuse. Most of the parents had occupations but a third of the families lived below povertyline. Around 40 of the perpetrators were students, retired civil servants, or jobless. Around20 of them had history of subtance and alcohol abuse.Conclusion Female children, with mean age of 9.97 years old, with middle schooleducation, working parents, living in poor neighborhood, with more than 4 people in thesame house have greater risk of becoming victims of sexual abuse. Characteristics ofperpetrators include adult male, with mean age of 30 years old, with relationship of neighborfriends acquaintance, and family members, jobless, blue collar workers, or students, andsome have history of alcohol and illicit drugs consumption.Keywords sexual abuse, child, characteristics, prevention "
2017
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UI - Tugas Akhir  Universitas Indonesia Library
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Mutiara Shinta Noviar Unicha
Gambaran faktor-faktor kekerasan seksual terhadap anak perempuan, studi case series pusat krisis terpadu RSUPN Dr. Cipto Mangunkusumo 2016-2017 = description of factors of child sexual abuse on girls, case series studies at integrated crisis center RSUPN Dr. Cipto Mangunkusumo in 2016-2017
"ABSTRAK
Skripsi ini membahas gambaran kekerasan seksual terhadap anak perempuan di Pusat Krisis Terpadu RSUPN dr. Ciptomangunkusumo berdasar temuan dari 49 data rekam medis tahun 2016 ndash; 2017 yang dikumpulkan peneliti. Penelitian ini adalah penelitian kuantitatif dengan desain deskriptif. Hasil penelitian menunjukkan bahwa mayoritas korban berusia 6 ndash; 11 tahun 38,8 , berstatus pendidikan SD/ tamat SD, dan datang dengan permintaan visum. Jenis kekerasan seksual terhadap anak perempuan didominasi kasus pemerkosaan oleh pelaku berusia 25 ndash; 40 tahun berjenis kelamin laki ndash; laki yang dikenal dan memiliki hubungan kedekatan dengan korban, seperti tetangga, pacar, teman, guru, dan pengasuh. Mayoritas korban kekerasan seksual terhadap anak perempuan memiliki status ekonomi menengah ndash; menengah ke bawah, status perkawinan orangtua dan hubungan dengan orangtua baik tetapi kurang pengawasan. Diketahui mayoritas kemampuan sosialisasi dan kondisi psikis korban dalam kategori baik ndash; cukup. Kejadian kekerasan seksual mayoritas dilakukan di tempat privasi dan tertutup pada jam 10.01 ndash; 16.00 saat orangtua bekerja dan 16.01 ndash; 22.00 saat anak bebas bermain dan lepas dari pengawasan orangtua. Sebanyak 59,2 korban mengaku mendapatkan paksaan/ ancaman/ iming ndash; iming, unsur pornografi, dan obat/ alkohol menggunakan makanan atau minuman dari pelaku. Mayoritas korban menyatakan tidak memberi perlawanan karena adanya ancaman/ iming ndash; iming dari pelaku, atau tidak tahu hal yang ia lakukan adalah salah, atau dilakukan atas dasar suka sama suka. Diharapkan bagi orangtua melakukan upaya ndash; upaya untuk mencegah anak menjadi korban maupun mencegah kejadian kekerasan seksual terulang kembali dengan mengajarkan anak tentang batasan antara lawan jenis, menggunakan baju yang sopan dan tidak terbuka, bagian tubuh yang tidak boleh disentuh, sentuhan boleh dan sentuhan tidak boleh, cara memberi respon penolakan, perilaku seksual yang berisiko dan akibatnya, serta orangtua meningkatkan pengawasan terhadap anaknya.
ABSTRACT
This thesis discusses the description of child sexual abuse on girls in Integrated Crisis Center RSUPN dr. Ciptomangunkusumo based on the findings of 49 medical records from 2016 to 2017 collected by researcher. This research is a quantitative research with descriptive design. The results showed that the majority of victims aged 6 11 years 38.8 , in elementary school education primary school, and come with a visum request. Types of sexual abuse are dominated by rape cases by perpetrators of 25 40 year old who are known and have close relationships with victims, such as neighbors, boyfriends, friends, teachers, and caregivers. The majority of victims have lower middle to lower economic status, parental marital status and good parent relationship but lack of parental supervision. Given the majority of socialization skills and the psychological condition of the victim in either good ndash enough category. The majority of sexual abuses conducted in private place and happen at 10.01 a.m 04.00 p.m. when parents are working and 04.01 p.m. 10.00 p.m. when children are free to play out and out of parental supervision. As many as 59.2 of victims claimed to have coercion threat lure, pornography, and drugs alcohol using food or drink from the perpetrators. The majority of victims said they did not give any rejections caused by the threats lures of the perpetrators, or not knowing what she was doing was wrong, or done the sexual activity on the basis of loving each other. It is desirable for parents to make efforts to prevent children from becoming victims and prevent the occurrence of sexual abuse from recurring by teaching children about the boundaries between the opposite sex, using proper dresses, untouchable body parts, part of ldquo permitted touch rdquo and ldquo not permitted touches rdquo , how to give rejections, risky sexual behaviour and these consequences, also increase parental supervision of their children. "
2018
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UI - Skripsi Membership  Universitas Indonesia Library
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Mohammad Ardhian Syaifuddin
Penerimaan korban kejahatan seksual dan dokter terhadap langkah langkah pemeriksaan di Pusat Krisis Terpadu Rumah Sakit Cipto Mangunkusumo = The acceptance of sexual violence victims and physicians of the examination methods in The Integrated Crisis Center Cipto Mangunkusumo Hospital
"Tesis ini membahas tentang apakah korban-korban kejahatan seksual yang diperiksa di pusat krisis terpadu rumah sakit Cipto Mangunkusumo Jakarta dan dokter-dokter yang sehari-harinya memeriksa korban-korban kejahatan seksual menerima langkah-langkah protokol pada pusat pelayanan tersebut. Penelitian ini merupakan penelitian kualitatif fenomenologi dan data dikumpulkan dengan menggunakan in-depth interview terhadap 10 responden korban kejahatan seksual yang diperiksa di pusat krisis terpadu rumah sakit Cipto Mangunkusumo dan focus group discussion terhadap 4 responden dokter. Hasil menunjukkan bahwa seluruh responden korban bersedia diperiksa dengan langkah-langkah tersebut dan responden dokter menerima langkah-langkah tersebut dalam praktek sehari-hari.
This thesis discusses whether victims of sexual violance who's examined in the integrated crisis center of Cipto Mangunkusumo hospital and doctors who regularly examine the victims are accepting the step-by-step protocol at the service center. This is a qualitative phenomenology research and the data were collected using in-depth interviews with 10 respondents of sexual violent victims whose examined in an integrated crisis center Cipto Mangunkusumo hospital and a focus group discussion with 4 physician respondents. The result showed that all the victim respondents are willing to be examined with these methods and the physician respondents accepting the methods in daily practice."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Andrio Wishnu Prabowo
Evaluate penatalaksanaan insufisiensi vena kronis C5-C6 di Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo pada tahun 2014-2015 = Management evaluation of chronic venous insufficiency C5-C6 in RSCM year 2014-2015.
"Latar belakang: Insufisiensi vena kronis IVK derajat berat atau C5-C6 membutuhkan penatalaksanaan yang lebih kompleks dan membawa dampak morbiditas yang lebih berat akibat lamanya waktu pengobatan dan angka kekambuhan yang tinggi. Tata laksana definitif IVK C5-C6 telah mengalami pergeseran dari terapi non operatif terapi kompresi dan medikamentosa menjadi terapi operatif dengan teknik non invasif seperti ablasi endovena. Penelitian ini bertujuan untuk melakukan evaluasi terhadap jenis terapi yang diberikan baik terapi definitif maupun terapi perawatan luka dengan keluaran berupa angka rekurensi dan lama rawat.
Metode penelitian: Studi potong lintang analitik dilakukan dengan mengambil total sampel 54 pasien IVK C5-C6 yang datang ke RSCM pada periode Januari 2014-Desember 2015. Pasien IVK yang disertai dengan insufisiensi arteri, insufisiensi vena dalam, dan kelainan kulit akibat penyakit kulit primer, keganasan, trauma dieksklusi. Analisis statistik diolah dengan SPSS 21 for windows, untuk menilai keluaran dari terapi definitif berupa angka kekambuhan dan lama rawat.
Hasil penelitian: Angka kekambuhan pasien IVK C5-C6 dengan terapi operatif lebih rendah dibandingkan dengan terapi non operatif yakni 7,1 berbanding 30,8 dalam follow up selama 2 tahun dengan nilai p 0,02 dan OR 0,17 95 IK 0,03-0,91. Lama perawatan rerata pasien IVK C5-C6 pada kelompok terapi operatif selama 10,6 hari dan kelompok non operatif selama 14,8 hari.
Kesimpulan: Angka kekambuhan pasien IVK C5-C6 yang memperoleh terapi definitif operatif lebih rendah dari yang hanya memperoleh terapi non operatif dalam evaluasi selama 1-2 tahun
Background: Severe degree C5-C6 of chronic venous insufficiency CVI require complex management and bring severe morbidity due to long duration of treatment and high recurrence rate. This leads to high treatment costs and interfered quality of patients life. Management of CVI C5-C6 in developed countries has changed from non operative therapy to operative therapy with non-invasive technique, i.e. endovascular treatment. In Indonesia CVI patient characteristics differ from developed countries, where the majority of patients come at advanced stage or C5-C6. This study aims to evaluate the management of CVI C5-C6, both definitive therapy and also wound care techniques, to afford an appropriate treatment in accordance with the characteristics of the patients in Indonesia.
Method: a cross sectional analytic study carried out by taking the total sample of 54 patients who came with CVI C5-C6 to Cipto Mangunkusumo Hospital in the period of January 2014-December 2015. Those accompanied by arterial insufficiency, deep venous insufficiency, and skin disorders due to primary skin disease, malignancy, trauma were excluded. Statistical analysis is processed with SPSS 21 for windows, to assess the outcome of the definitive therapy in the form of recurrence rates and length of stay.
Results: Recurrence rate of CVI C5-C6 patients with operative therapy is lower than non-operative therapy which is 7.1 versus 30,8 in 2-year follow-up with p-value of 0.02 and OR 0.17 95 CI 0, 03-.91. The mean treatment duration CVI C5-C6 patients in the operative therapy group is 10.6 days and non-operative group is 14.8 days
Conclusions: recurrence rate of CVI C5-C6 patients who obtain definitive operative therapy was lower than non-operative therapy group in the evaluation for 1-2 years."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Andrio Wishnu Prabowo
Evaluasi penatalaksanaan insufisiensi vena kronis C5-C6 di Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo pada tahun 2014-2015 = Evaluation of management of chronic venous insufficiency C5-C6 in 2014-2015 at Cipto Mangunkusumo Hospital, Jakarta
"Latar belakang: Insufisiensi vena kronis IVK derajat berat atau C5-C6 membutuhkan penatalaksanaan yang lebih kompleks dan membawa dampak morbiditas yang lebih berat akibat lamanya waktu pengobatan dan angka rekurensi yang tinggi. Hal ini menyebabkan biaya pengobatan yang tinggi dan menurunkan kualitas hidup penderita. Tata laksana definitif IVK C5-C6 telah mengalami pergeseran dari terapi non operatif terapi kompresi dan medikamentosa menjadi terapi operatif dengan teknik non invasif seperti ablasi endovena. Namun karakteristik pasien IVK di Indonesia berbeda dengan di negara maju, dimana sebagian besar pasien datang pada stadium lanjut atau C5-C6. Penelitian ini bertujuan untuk melakukan evaluasi terhadap jenis terapi yang diberikan baik terapi definitif maupun terapi perawatan luka, sehingga didapatkan penanganan IVK C5-C6 yang sesuai dengan karakteristik pasien di Indonesia.
Metode penelitian: Studi potong lintang analitik dilakukan dengan mengambil total sampel 54 pasien IVK C5-C6 yang datang ke RSCM pada periode Januari 2014-Desember 2015. Pasien IVK yang disertai dengan insufisiensi arteri, insufisiensi vena dalam, dan kelainan kulit akibat penyakit kulit primer, keganasan, trauma dieksklusi. Analisis statistik diolah dengan SPSS 21 for windows, untuk menilai keluaran dari terapi definitif berupa angka rekurensi dan lama rawat.
Hasil penelitian: Angka kekambuhan pasien IVK C5-C6 dengan terapi operatif lebih rendah dibandingkan dengan terapi non operatif yakni 7,1 berbanding 30,8 dalam follow up selama 2 tahun dengan nilai p 0,02 dan OR 0,17 95 IK 0,03-0,91 . Lama perawatan rerata pasien IVK C5-C6 pada kelompok terapi operatif selama 10,6 hari dan kelompok non operatif selama 14,8 hari.
Kesimpulan: Angka kekambuhan pasien IVK C5-C6 yang memperoleh terapi definitif operatif lebih rendah dari yang hanya memperoleh terapi non operatif dalam evaluasi selama 1-2 tahun.
Background: Severe degree C5 C6 of chronic venous insufficiency CVI require complex management and bring severe morbidity due to long duration of treatment and high recurrence rate. This leads to high treatment costs and interfered quality of patients life. Management of CVI C5 C6 in developed countries has changed from non operative therapy to operative therapy with non invasive technique, i.e. endovascular treatment. In Indonesia CVI patient characteristics differ from developed countries, where the majority of patients come at advanced stage or C5 C6. This study aims to evaluate the management of CVI C5 C6, both definitive therapy and also wound care techniques, to afford an appropriate treatment in accordance with the characteristics of the patients in Indonesia.
Method: a cross sectional analytic study carried out by taking the total sample of 54 patients who came with CVI C5 C6 to Cipto Mangunkusumo Hospital in the period of January 2014 December 2015. Those accompanied by arterial insufficiency, deep venous insufficiency, and skin disorders due to primary skin disease, malignancy, trauma were excluded. Statistical analysis is processed with SPSS 21 for windows, to assess the outcome of the definitive therapy in the form of recurrence rates and length of stay.
Results: Recurrence rate of CVI C5 C6 patients with operative therapy is lower than non operative therapy which is 7.1 versus 30,8 in 2 year follow up with p value of 0.02 and OR 0.17 95 CI 0, 03 .91 . The mean treatment duration CVI C5 C6 patients in the operative therapy group is 10.6 days and non operative group is 14.8 days.
Conclusions: Recurrence rate of CVI C5 C6 patients who obtain definitive operative therapy was lower than non operative therapy group in the evaluation for 1 2 years."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Yuniasti Evitasari
Karakteristik klinis pasien hemofilia a di pusat pelayanan hemofilia terpadu departemen ilmu kesehatan anak RSCM = Clinical characteristics of children with hemophilia a in the national hemophilia comprehensive care centre department of child health Cipto Mangunkusumo hospital
"Latar belakang: Hemofilia merupakan gangguan perdarahan yang bersifat herediter yang disebabkan oleh kekurangan faktor VIII. Pada kadar faktor koagulasi yang sama dapat menunjukkan karakteristik klinis yang berbeda.
Tujuan: Mengidentifikasi karakteristik klinis, penggunaan faktor VIII, dan komplikasi pada anak hemofilia A.
Metode: Penelitian kohort retrospektif pada anak le;18 tahun. Data diambil dari rekam medis Januari 2014 ndash; Juni 2016 meliputi data usia awitan perdarahan sendi, usia saat didiagnosis, kekerapan perdarahan, lokasi perdarahan, penggunaan faktor VIII, dan komplikasi yang dialami.
Hasil: Terdapat 109 subjek anak lelaki terdiri dari 2,8 subjek hemofilia A ringan, 27,5 hemofilia A sedang, dan 69,7 hemofilia A berat. Perdarahan paling sering ditemukan pada sendi 60,6 terutama pada lutut 37,2 . Anak hemofilia A berat menunjukkan usia awitan perdarahan sendi yang lebih dini median 12,5 4 - 120 bulan , kekerapan perdarahan sendi yang lebih sering median 8 1-44 kali/tahun , menggunakan konsentrat faktor VIII yang lebih banyak median 712 131 - 1913 IU/kg/tahun . Komplikasi yang ditemukan adalah hemofilik artropati dan sinovitis 46,8 , terbentuknya inhibitor faktor VIII 7,3 , anemia akibat perdarahan 2,6 , pseudotumor 0,9 , dan fraktur 0,9 . Terdapat 15,5 subjek hemofilia A berat yang menunjukkan karakteristik klinis yang lebih ringan.
Simpulan: Usia awitan perdarahan sendi berhubungan dengan kekerapan perdarahan sendi, kebutuhan faktor VIII, dan artropati. Artropati dan sinovitis merupakan komplikasi yang paling banyak ditemukan.
Background: Hemophilia A is a congenital bleeding disorder caused by deficiency of factor VIII. Phenotypic differences between patients with hemophilia is well known from clinical practice.
Aim: To identify clinical characteristics, factor VIII usage for on demand therapy, and complications of children with hemophilia A.
Method: A retrospective cohort study on children aged le 18 years. Data was obtained from medical record January 2014 ndash June 2016 including age of diagnosis, age of first joint bleed, number of bleeding, site of bleeding, treatment requirement, and complications.
Result: We found a total of 109 boys with hemophilia A consisted of 2.8 mild, 27.5 moderate, and 69.7 severe hemophilia. The most common bleeding was hemarthrosis 60.6 of the knee 37.2 . Severe hemophilia children showed earlier age of first joint bleed median 12,5 4 to 120 months , higher number of joint bleeds median 8 1 44 times year , and higher consumptions of clotting factor median 712 131 to 1913 IU kg year compared to mild and moderate hemophilia. Complications commonly found in severe hemophilia were haemophilic arthropathy and sinovitis 46.8 , followed by factor VIII inhibitors 7.3 , anaemia due to bleeding 2.6 , pseudotumour 0.9 , and fracture 0.9 . This study showed that 15.5 of patients with severe hemophilia A have mild clinical characteristics.
Conclusion: The onset of joint bleeding is related with number of joint bleeds, treatment requirement, and arthropathy and may serve as an indicator of clinical phenotype."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T55602
UI - Tugas Akhir  Universitas Indonesia Library
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Zwageri Argo Pitoyo
Evaluasi penatalaksanaan bedah pada fistel enterokutan di RSUPN Cipto Mangunkusumo Tahun 2014-2015 = Evaluation of surgical management of enterocutaneous fistula at Cipto Mangunkusumo Hospital 2014-2015
"ABSTRAK
Penatalaksanaan Fistel Enterokutan masih sangat beragam dan sulit dengan tingkat kekambuhan dan kematian pasca pembedahan yang masih tinggi. Tujuan dari penatalaksanaan pasien dengan fistel enterokutan adalah koreksi defisit metabolik dan nutrisi, penutupan fistel dan mengembalikan kesinambungan saluran cerna. Tujuan dari penelitian ini adalah untuk melakukan evaluasi penatalaksanaan bedah pada fistel enterokutan yang dirawat di RSUPN Cipto Mangunkusumo selama tahun 2014-2015. Penelitian ini dirancang secara retrospektif analitik dengan mengambil data rekam medik penderita di RSUPN Cipto Mangunkusumo pada periode 2014-2015. Ditemukan 27 kasus fistel enterokutan, dimana 21 kasus yang di evaluasi, rentang umur 27-65 tahun, terbanyak pada kelompok 40-60 tahun (52,38%), letak fistel terbanyak di ileum (57,14%), high output (71,43%), gizi buruk (52,38%), dilakukan tindakan operatif (85,71%), lama rawat <20 hari (66,67%), rekurensi fistel (19,05%) dan angka kematian (14,29%).ABSTRACT
Management of enterocutaneous fistula still varies and frustrating with high recurrence and mortality rate. The goal of management for patient with enterocutaneous fistula are correct metabolic and nutritional deficits, close the fistula and reestablish continuity of the gastrointestinal tract. The purpose of this study was to evaluate the surgical management of the enterocutaneous fistula treated at Cipto Mangunkusumo Hospital during 2014-2015. This study designed analytic retrospectively by taking the patient medical record data at Cipto Mangunkusumo Hospital ini the period 2014-2015. Found 27 cases of enterocutaneous fistula which 21 cases were evaluated, age range 40-60 years (52,38%), the location of the fistula largest in the ileum (57,14%), high output (71,43%), malnutrition (52,38%), operative management (85,71%), length of stay in hospital <20 days (66,67%), fistula recurrence (19,05%) and mortality rate (14,29%).;Management of enterocutaneous fistula still varies and frustrating with high recurrence and mortality rate. The goal of management for patient with enterocutaneous fistula are correct metabolic and nutritional deficits, close the fistula and reestablish continuity of the gastrointestinal tract. The purpose of this study was to evaluate the surgical management of the enterocutaneous fistula treated at Cipto Mangunkusumo Hospital during 2014-2015. This study designed analytic retrospectively by taking the patient medical record data at Cipto Mangunkusumo Hospital ini the period 2014-2015. Found 27 cases of enterocutaneous fistula which 21 cases were evaluated, age range 40-60 years (52,38%), the location of the fistula largest in the ileum (57,14%), high output (71,43%), malnutrition (52,38%), operative management (85,71%), length of stay in hospital <20 days (66,67%), fistula recurrence (19,05%) and mortality rate (14,29%).;Management of enterocutaneous fistula still varies and frustrating with high recurrence and mortality rate. The goal of management for patient with enterocutaneous fistula are correct metabolic and nutritional deficits, close the fistula and reestablish continuity of the gastrointestinal tract. The purpose of this study was to evaluate the surgical management of the enterocutaneous fistula treated at Cipto Mangunkusumo Hospital during 2014-2015. This study designed analytic retrospectively by taking the patient medical record data at Cipto Mangunkusumo Hospital ini the period 2014-2015. Found 27 cases of enterocutaneous fistula which 21 cases were evaluated, age range 40-60 years (52,38%), the location of the fistula largest in the ileum (57,14%), high output (71,43%), malnutrition (52,38%), operative management (85,71%), length of stay in hospital <20 days (66,67%), fistula recurrence (19,05%) and mortality rate (14,29%)."
Fakultas Kedokteran Universitas Indonesia, 2016
Sp-PDF
UI - Tugas Akhir  Universitas Indonesia Library
cover
Asri Megaratri Pralebda
Karakteristik keluarga sebagai faktor resiko kejahatan seksual pada anak = Family characteristics as risk factor for child sexual assault
"ABSTRAK
Latar Belakang: Kejahatan seksual terhadap anak terjadi di seluruh dunia. Komnas
Perlindungan Anak Indonesia mencatat, telah terjadi 21.869.797 kasus pelanggaran hak
anak di Indonesia, dengan 42-58% merupakan kejahatan seksual terhadap anak dari tahun
2010 hingga 2014. Hal-hal yang terdapat pada diri anak, karakteristik keluarga serta
faktor lingkungan dapat menjadi faktor resiko bagi anak untuk menjadi korban kejahatan
seksual.
Tujuan: Mencari hubungan antara karakteristik keluarga sebagai faktor resiko dengan
kejadian kejahatan seksual anak.
Metode: Penelitian ini menggunakan desain kasus-kontrol dengan kasus berasal dari
rekam medik pasien anak korban kejahatan seksual periode Januari 2012-Desember 2014
sedangkan kontrol adalah anak bukan korban kejahatan seksual yang berobat di Poliklinik
Kiara RSCM selama bulan Oktober 2015. Sampel diambil menggunakan teknik
purposive sampling dan menggunakan kuesioner kekerasan seksual anak yang diadopsi
dari Guidelines WHO 2003. Analisis data menggunakan uji Chi-square dan dinyatakan
bermakna apabila p<0,05 lalu dilakukan perhitungan RO serta IK95%.
Hasil: Diperoleh 230 subyek pada setiap kelompok kasus dan kontrol, dengan rentang
usia 2-18 tahun. Kejadian kejahatan seksual meningkat sesuai dengan bertambahnya usia,
terbanyak (65,2%) pada remaja (12-17 tahun). Terdapat hubungan antara keberadaan
orangtua dengan kejahatan seksual anak (p=0,009; RO 1,84; IK 1,16-2,91), namun tidak
terdapat hubungan antara pendapatan keluarga (p=0,499; RO 0,88 IK=0,60-1,28) dan
anggota keluarga yang padat (p=0,641; RO 0,92; IK=0,64-1,32) dengan kejadian kejahatan
seksual anak.
Kesimpulan: Anak dengan orangtua tidak lengkap terbukti memiliki resiko untuk
terjadinya kejahatan seksual anak (RO 1,84; IK 1,16-2,91). Tingkat pendapatan keluarga
dan jumlah anggota keluarga tidak berhubungan dengan kejadian kejahatan seksual anak.
ABSTRACT
Background: Child sexual assault occurs all over the world. Indonesia National
Commission in Child Protection states that 42-58 % of 21,869,797 cases occured
between the years of 2010 to 2014. Risk factors that can contribute for a child
becoming a child sexual assault victim are the characteristic from the child, the
family and the environment.
Aim: This study was designed to discuss the relationship between the incidence of
child sexual assault with the characteristics of the family as a risk factor.
Method: samples for case-control study was taken by purposive sampling. The
case group were taken from medical records of child sexual assault victims during
Januay 2012 until Desember 2014, while the control group from non child sexual
victims who are outpatients of Clinic Kiara RSCM during Oktober 2015 using the
same questionare. Data is analiyzed using Chi-square and significant when
p<0.05. OR and CI 95% is also calculate.
Result: Both groups consists of 230 subjects, with an age range 2-18 years.
Incomparison with the control group. The incidence of child sexual assault
increases with age, the highest (65.2%) in adolescent (12-17 years). This study
showed a significant relationship between the presence of a parent towards the
incidence with child sexual assault (p=0.012, RO=1.88, CI=1.13-2.85), but
showed no significant relationship between family income (p=0.499, OR=0,88;
CI=0.60-1.28 ) and the number of family members ( p=0.641, RO=0.92, CI=0.641.32).
Conclusion:
The result showed that children who have complete parents have a
proven risk to become victims of child sexual assault. The level of family income
and the number of family members does not associated with the incidence of child sexual assault. ;Background: Child sexual assault occurs all over the world. Indonesia National
Commission in Child Protection states that 42-58 % of 21,869,797 cases occured
between the years of 2010 to 2014. Risk factors that can contribute for a child
becoming a child sexual assault victim are the characteristic from the child, the
family and the environment.
Aim: This study was designed to discuss the relationship between the incidence of
child sexual assault with the characteristics of the family as a risk factor.
Method: samples for case-control study was taken by purposive sampling. The
case group were taken from medical records of child sexual assault victims during
Januay 2012 until Desember 2014, while the control group from non child sexual
victims who are outpatients of Clinic Kiara RSCM during Oktober 2015 using the
same questionare. Data is analiyzed using Chi-square and significant when
p<0.05. OR and CI 95% is also calculate.
Result: Both groups consists of 230 subjects, with an age range 2-18 years.
Incomparison with the control group. The incidence of child sexual assault
increases with age, the highest (65.2%) in adolescent (12-17 years). This study
showed a significant relationship between the presence of a parent towards the
incidence with child sexual assault (p=0.012, RO=1.88, CI=1.13-2.85), but
showed no significant relationship between family income (p=0.499, OR=0,88;
CI=0.60-1.28 ) and the number of family members ( p=0.641, RO=0.92, CI=0.641.32).
Conclusion:
The result showed that children who have complete parents have a
proven risk to become victims of child sexual assault. The level of family income
and the number of family members does not associated with the incidence of child sexual assault. ;Background: Child sexual assault occurs all over the world. Indonesia National
Commission in Child Protection states that 42-58 % of 21,869,797 cases occured
between the years of 2010 to 2014. Risk factors that can contribute for a child
becoming a child sexual assault victim are the characteristic from the child, the
family and the environment.
Aim: This study was designed to discuss the relationship between the incidence of
child sexual assault with the characteristics of the family as a risk factor.
Method: samples for case-control study was taken by purposive sampling. The
case group were taken from medical records of child sexual assault victims during
Januay 2012 until Desember 2014, while the control group from non child sexual
victims who are outpatients of Clinic Kiara RSCM during Oktober 2015 using the
same questionare. Data is analiyzed using Chi-square and significant when
p<0.05. OR and CI 95% is also calculate.
Result: Both groups consists of 230 subjects, with an age range 2-18 years.
Incomparison with the control group. The incidence of child sexual assault
increases with age, the highest (65.2%) in adolescent (12-17 years). This study
showed a significant relationship between the presence of a parent towards the
incidence with child sexual assault (p=0.012, RO=1.88, CI=1.13-2.85), but
showed no significant relationship between family income (p=0.499, OR=0,88;
CI=0.60-1.28 ) and the number of family members ( p=0.641, RO=0.92, CI=0.641.32).
Conclusion:
The result showed that children who have complete parents have a
proven risk to become victims of child sexual assault. The level of family income
and the number of family members does not associated with the incidence of child sexual assault. "
2016
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Kekerasan seksual terhadap anak (Child Sexual Abuse) di Jakarta, Bogor, Depok, Tangerang dan Bekasi (Analisa terhadap pemberitaan Child Sesual Abuse di Harian Warta Kota Tahun 2003
Fakultas Ilmu Sosial dan Ilmu Politik Universitas Indonesia, 2004
S4877
UI - Skripsi Membership  Universitas Indonesia Library
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Hanan Tsabitah
Jenis dan karakteristik kekerasan pada anak di Indonesia : analisis data Komisi Nasional Perlindungan Anak tahun 2013 = Types and characteristics of child abuse in Indonesia : an analysis of National Commission for Child Protection data
"Komisi Nasional Perlindungan Anak (Komnas PA) menyatakan tahun 2013 Indonesia dalam keadaan darurat kekerasan pada anak. Dari 3.023 laporan pelanggaran hak anak yang diterima oleh Komnas PA pada tahun 2013, 1.620 di antaranya merupakan kasus kekerasan. Penelitian ini bertujuan mengetahui perbedaan karakteristik pada masing-masing jenis kekerasan pada anak (fisik, psikis, seksual, dan penelantaran) di Indonesia berdasarkan sosiodemografi korban (usia, jenis kelamin, pendidikan, sosial ekonomi), hubungan korban dengan pelaku, dan wilayah terjadinya kekerasan. Desain yang digunakan dalam penelitian ini adalah cross sectional dengan menggunakan data kekerasan pada anak yang telah dikumpulkan oleh Komnas PA selama tahun 2013.
Hasil penelitian ini menunjukkan bahwa terdapat perbedaan karakteristik pada masing-masing jenis kekerasan yang diteliti (kekerasan fisik, psikis, seksual, dan penelantaran). Kekerasan fisik didominasi oleh anak laki-laki usia 13-17 tahun dengan status sosial ekonomi menengah dan dilakukan oleh orang tua kandung. Sementara kekerasan psikis lebih banyak dialami oleh anak perempuan usia 13-17 tahun dengan status sosial ekonomi menengah dan dilakukan oleh orang lain. Kekerasan seksual didominasi oleh anak perempuan usia 13-17 tahun dengan status sosial ekonomi bawah dan dilakukan oleh orang lain.
Penelantaran anak lebih banyak terjadi pada anak laki-laki usia di bawah 5 tahun dengan status sosial ekonomi bawah dan dilakukan oleh orang tua kandung. Anak laki-laki memiliki risiko jauh lebih besar mengalami kekerasan fisik dibandingkan anak perempuan (OR=15). Selain itu, anak-anak dari keluarga dengan sosial ekonomi bawah dan menengah memiliki risiko jauh lebih besar mengalami kekerasan seksual dibandingkan anak-anak dari keluarga dengan sosial ekonomi atas (OR=15 dan 6,5). Anak-anak kelompok usia 6-12 tahun memiliki risiko lebih besar mengalami penelantaran dibandingkan anak-anak dengan usia yang lebih tua (13-17 tahun) (OR=6).
National Commission for Child Protection (NCCP) stated that in 2013 Indonesia was in the emergency state of child abuse. 1.620 out of 3.023 reports received by NCCP in 2013 about child's right violation are cases of child abuse. This research aims to study the characteristic distinction in each type of child abuses (physically, psychologically, sexually, and negligence) in Indonesia, based on victim's sociodemographic background (age, gender, education and socioeconomic status), the relation between a victim and a suspect, and the location child abuse take place. This research used a cross sectional method, using NCCP data on child abuse in 2013.
The result of this research shows that there are differences in characteristic of each type of child abuse (physically, psychologically, sexually, and negligence). Physical abuses are happened the most to boys from a family with middle socioeconomic status, 13-17 years old, and committed by their own parents.Meanwhile, psychological abuses are happened the most to girls from a family with middle socioeconomic status, 13-17 years old, and committed by strangers. Sexual abuses are happened the most to girls from a family with low socioeconomic status, 13-17 years old, and committed by strangers.
Child neglects are happened the most to boys from a family with low socioeconomic status, under 5 years old, and committed by their own parents. Boys have a higher risk to experience physical abuses than girls (OR=15). Furthermore, children from a family with low socioeconomic status have a higher risk to experience sexual abuses than children from a family with high socioeconomic status (OR=15 and 6.5). Six to twelve years old children has a higher risk to experience child neglect compared to children in older age (13-17 years old (OR= 6)."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2015
S61551
UI - Skripsi Membership  Universitas Indonesia Library
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