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"Latar belakang: Retensio urine pasca persalinan merupakan salah satu komplikasi tersering dalam persalinan. Salah satu jenis retensi urine yang sulit diketahui adalah tipe covert yang tidak bergejala. Akan tetapi, retensi urine tipe covert dapat menyebabkan retensi urine persisten yang dapat menurunkan kualitas hidup. Diperlukan suatu studi untuk meneliti faktor risiko terjadinya retensi urine tipe covert agar dapat dideteksi lebih dini. Tujuan: Mengetahui faktor risiko retensi urine pasca persalinan tipe covert. Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode potong lintang (cross sectional). Subjek dari penelitian ini merupakan ibu yang melakukan persalinan pervaginam di RSUPN Cipto Mangunkusumo, RSUP Persahabatan, RSUD Koja, RSUD Kabupaten Tangerang, dan RSUD Karawang pada20 September 2019 hingga 27 Februari 2020. Pasien dengan riwayat retensi urine sebelumnya, penggunaan kateter menetap, atau memiliki nyeri VAS 5 meski sudah diberikan analgetik dieksklusi dari penelitian. Pasien yang tidak berkemih 6 jam pasca persalinan termasuk dalam drop out.Hasil: Didapatkan sebanyak 520 subjek yang memenuhi kriteria inklusi dan eksklusi. Tidak terdapat hubungan antara usia ibu dengan kejadian retensio urine pascapersalinan tipe covert (p > 0,05). Paritas primipara lebih berisiko mengalami kejadian retensio urine pascapersalinan tipe covert (p < 0,001, OR 3,8 IK95% 1,87-7,72). Durasi persalinan kala II ≥ 20 menit lebih berisiko mengalami kejadian retensio urine pascapersalian tipe covert (p < 0,001, OR 36,69 IK95% 14,9-90,20). Ruptur perineumberat (derajat 3 atau 4) lebih berisiko mengalami kejadian retensio urine pascapersalinan tipe covert (p = 0,050, OR 8,54 IK95% 1,00-73,66). Berat bayi saat lahir > 3.000 gramlebih berisiko mengalami kejadian retensio urine pascapersalinan tipe covert (p < 0,001, OR 8,54 IK95% 1,76-7,59). Persalinan pervaginam menggunakan alat lebih berisikomengalami kejadian retensio urine pascapersalinan tipe covert (p = 0,002, OR 4,79 IK95% 1,75-12,99). Tidak terdapat hubungan antara volume urine kala III dengan kejadian retensio urine pascapersalinan tipe covert (p > 0,05). Kesimpulan: Faktor risiko terjadinya retensi urine pasca persalinan tipe covert adalah paritas primipara, durasi persalinan kala II memanjang, ruptur perineum berat, beratbadan lahir bayi besar, dan persalinan pervaginam dengan bantuan alat.

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Background: Postpartum urine retention is one of the most common complications in labor. One type of urine retention that is difficult to know is the asymptomatic covert

type. However, covert type urine retention can cause persistent urine retention which could reduce quality of life. A study is needed to examine the risk factors for covert type urine retention so that they can be detected early. Objective: To determine the risk factors for the occurrence of covert urinary retention after delivery.

Method: This study was an observational analytic study with cross sectional. method. The subjects of this study were mothers delivering vaginal deliveries at Cipto Mangunkusumo General Hospital, Friendship Hospital, Koja Regional General

Hospital, Tangerang District General Hospital, and Karawang General Hospital from September 20th 2019 to February 27th 2020. Patients with a history of previous urinary retention, moderate catheter use, or moderate pain even though analgesics have been excluded from the study. Patients who did not urinate 6 hours after delivery were dropped out.

Result: There were 520 subjects who met the inclusion and exclusion criteria. There was no relationship between maternal age and the incidence of covert postpartum urine

retention (p> 0.05). Primiparous parity was more at risk of having covert postpartum urine retention (p <0.001, OR 3.8% 95.97-7.72). Duration of second stage of labor ≥ 20 minutes is more at risk of covert postpartum urine retention (p <0.001, OR 36.69 IK95% 14.9-90.20). Severe perineal rupture (grade 3 or 4) is more at risk of having covert postpartum urine retention (p = 0.050, OR 8.54 IK95% 1.00-73.66). The birth weight > 3,000 grams is more at risk of having covert postpartum urine retention (p<0.001, OR 8.54 IK95% 1.76-7.59). Vaginal delivery using a tool is more at risk of

having covert postpartum urine retention (p = 0.002, OR 4.79 IK95% 1.75-12.99). There is no relationship between the volume of urine stage III with the incidence covert

postpartum urine retention (p> 0.05). Conclusion: Risk factors of covert type urine retention are primiparous parity, prolonged duration of second stage of labor, severe perineal rupture, birth weight of large infants, and vaginal delivery with the aid of a tool."

"ABSTRAK Latar belakang: Tesis ini bertujuan untuk mengetahui insidens retensio urin pasca rekonstruksi POP dan faktor-faktor yang berhubungan.Retensio urinmerupakan komplikasi akut tindakan rekonstruksi dan banyak dijumpai padaprosedur operasi, termasuk operasi POP (POP). Untuk menghindari morbiditaslebih lanjut, penelitian ini bertujuan untuk mengetahui insidens rertensio urinpasca rekonstruksi POP faktor-faktor risiko yang berhubungan.Metode: Penelitian ini adalah penelitian kohort prospektif yang dilaksanakan diRS Cipto Mangunkusumo dan RS Fatmawati dengan mengikutsertakan wanitayang hendak mengalami rekonstruksi POP dalam rentang waktu April 2013hingga April 2015. Kriteria inklusi dan eksklusi subjek meliputi wanita denganPOP derajat 2,3 dan 4 tanpa riwayat retensio urin sebelumnya, konsumsi obatobatanyangdapat menyebabkan retensio urin dan tanpa cedera kandung kemih.Pasca rekonstruksi, subjek dilakukan pemasangan kateter urin selama 24 jam.Kemudian, enam jam pasca pelesapan kateter, dilakukan pengukuran residu urinpada kandung kemih. Retensio urin didefinisikan dengan didapatkannya residuurin >100 ml.Hasil: Dari 200 subjek, ditemukan 59 subjek (29,5%) mengalami retensio urin.Tidak ada hubungan antara faktor risiko umur, Indeks Massa Tubuh (IMT),derajat POP, derajat sistokel, kejadian infeksi saluran kemih, dan durasi operasiterhadap retensio urin. Jenis prosedur total vagina hysterectomy + kolporafianterior + kolpoperineorafi + sacrospinous fixation dan durasi operasi > 130menit berhubungan dengan retensio urin dengan RR 3,66 95% IK 2,91-4,60p<0,001 dan 1,66 95%IK 1,07-2,59 p=0,02, berturut-turutKesimpulan: Insidens retensio urin cukup tinggi pasca rekonstruksi POP. Jenistindakan rekonstruksi tertentu dan semakin lamanya durasi rekonstruksiberhubungan dengan kejadian retensio urin.ABSTRACT Background: The objective of this study was to know the incidence of post operativeurinaryretention after pelvic organ prolapse surgery and associatedfactors.Post operative urinary retention (POUR) is considered as an acutecomplication after a surgey in many operative procedures, including pelvic organprolpase (POP) surgery. To avoid further morbidity, this study aimed to know theincidence of POUR after POP surgery and its risk factors. Methods: This is a prospective cohort study conducted in Cipto Mangunkusumohospital and Fatmawati Hospital from April 2013 to April 2015. Subjects werewomen who wanted to undergo POP surgery with two to four degree of POP.Subjects with history of urinary retention, drugs consumption that tend to causeurinary retention or bladder unjury were excluded. After the reconstruction,urinary catheter was placed for 24 hours. Then, after six hours, catheter wasremoved and residual urine was measured. Urinary retention was defined asresidual urine more than 100 ml. Results: Of 200 subjects recruited, 59 (29.5%) had POUR. There were noassociation between age, body mass index, degree of uterine POPe, degree ofcystocele, urinary tract infectionand POUR. Duration of surgery > 130 minute andTotal vagina hysterectomy +anterior colporraphy + colpoperineorraphy +sacrospinous fixation procedure and duration of surgery > 130 minute were associated with POUR (RR 3.66, 2.91-4.60 95% CI, p<0.001 and 1.66 , 072.5995%CI,p=0.02;respectively)Conclusion: POUR incidence after POP surgery was quite high. Type of theprocedure and duration of surgery were associated with POUR.;Background: The objective of this study was to know the incidence of post operativeurinaryretention after pelvic organ prolapse surgery and associatedfactors.Post operative urinary retention (POUR) is considered as an acutecomplication after a surgey in many operative procedures, including pelvic organprolpase (POP) surgery. To avoid further morbidity, this study aimed to know theincidence of POUR after POP surgery and its risk factors. Methods: This is a prospective cohort study conducted in Cipto Mangunkusumohospital and Fatmawati Hospital from April 2013 to April 2015. Subjects werewomen who wanted to undergo POP surgery with two to four degree of POP.Subjects with history of urinary retention, drugs consumption that tend to causeurinary retention or bladder unjury were excluded. After the reconstruction,urinary catheter was placed for 24 hours. Then, after six hours, catheter wasremoved and residual urine was measured. Urinary retention was defined asresidual urine more than 100 ml. Results: Of 200 subjects recruited, 59 (29.5%) had POUR. There were noassociation between age, body mass index, degree of uterine POPe, degree ofcystocele, urinary tract infectionand POUR. Duration of surgery > 130 minute andTotal vagina hysterectomy +anterior colporraphy + colpoperineorraphy +sacrospinous fixation procedure and duration of surgery > 130 minute were associated with POUR (RR 3.66, 2.91-4.60 95% CI, p<0.001 and 1.66 , 072.5995%CI,p=0.02;respectively)Conclusion: POUR incidence after POP surgery was quite high. Type of theprocedure and duration of surgery were associated with POUR.;Background: The objective of this study was to know the incidence of post operativeurinaryretention after pelvic organ prolapse surgery and associatedfactors.Post operative urinary retention (POUR) is considered as an acutecomplication after a surgey in many operative procedures, including pelvic organprolpase (POP) surgery. To avoid further morbidity, this study aimed to know theincidence of POUR after POP surgery and its risk factors. Methods: This is a prospective cohort study conducted in Cipto Mangunkusumohospital and Fatmawati Hospital from April 2013 to April 2015. Subjects werewomen who wanted to undergo POP surgery with two to four degree of POP.Subjects with history of urinary retention, drugs consumption that tend to causeurinary retention or bladder unjury were excluded. After the reconstruction,urinary catheter was placed for 24 hours. Then, after six hours, catheter wasremoved and residual urine was measured. Urinary retention was defined asresidual urine more than 100 ml. Results: Of 200 subjects recruited, 59 (29.5%) had POUR. There were noassociation between age, body mass index, degree of uterine POPe, degree ofcystocele, urinary tract infectionand POUR. Duration of surgery > 130 minute andTotal vagina hysterectomy +anterior colporraphy + colpoperineorraphy +sacrospinous fixation procedure and duration of surgery > 130 minute were associated with POUR (RR 3.66, 2.91-4.60 95% CI, p<0.001 and 1.66 , 072.5995%CI,p=0.02;respectively)Conclusion: POUR incidence after POP surgery was quite high. Type of theprocedure and duration of surgery were associated with POUR."

"Latar Belakang: Meningkatnya angka kehamilan remaja berkorelasi dengan meningkatnya dampak buruk terhadap ibu atau pun bayi. Selain peningkatan kematian ibu atau pun bayi yang diakibatkan kehamilan remaja, depresi pascapersalinan dan gejalanya meningkat secara bermakna pada kehamilan remaja. Prevalensinya berkisar antara 26 % sampai lebih dari 50%. Depresi pascapersalinan dipengaruhi oleh berbagai faktor, antara lain status pernikahan, status sosial-ekonomi, kepercayaan diri, depresi antenatal, kurangnya dukungan sosial, stresor, gangguan emosi pada masa anak, kehamilan yang tidak diinginkan, depresi terdahulu.Tujuan: Untuk mengetahui prevalensi depresi pascapersalinan pada kehamilan remaja di RSUPN Ciptomangunkusumo dan Puskesmas jejaring serta untuk mengetahui apakah terdapat hubungan antara dukungan pasangan, dukungan orangtua, status pernikahan, kehamilan yang tidak diinginkan, stresor psikososial, luaran janin, penyulit obstetri dengan depresi pascapersalinan.Metode: Penelitian ini merupakan suatu penelitian deskriptif analitik observasional dengan desain cross sectional yang menggunakan kuesioner Edinburgh Postnatal Depression Scale (EPDS) dengan tujuan untuk mengetahui prevalensi dan hubungan faktor-faktor yang mempengaruhi terjadinya depresi pascapersalinan di Rumah Sakit Dr. Cipto Mangunkusumo Jakarta  dan puskesmas jejaring dalam 6 bulan (Februari 2019 hingga Juli 2019).Hasil: Dari 6 bulan (Februari 2019-Juni 2019) terdapat 77 pasien yang memenuhi kriteria inklusi. Prevalensi depresi pascapersalinan di RSUPN Cipto Mangunkusumo dan 5 puskesmas jejaring adalah 45%. Terdapat hubungan bermakna antara dukungan pasangan, status pernikahan, kehamilan yang diinginkan, stresor psikososial, dan komplikasi obstetrik terhadap terjadinya depresi pascapersalinan melalui analisis bivariat dengan nilai signifikansi p<0,001 (p<0,05), sedangkan untuk faktor dukungan keluarga, status pernikahan, kehamilan yang tidak diinginkan, dan luaran janin didapatkan hasil analisis bivariat mempunyai hubungan tidak bermakna dengan kejadian depresi pasca persalinan. Hasil analisis multivariat menunjukkan bahwa dukungan suami, stressor psikososial, dan komplikasi obstetrik menjadi 3 faktor utama sebagai pendukung terjadinya depresi pascapersalinan. Terdapat hubungan antara tidak adanya dukungan suami dengan peningkatan depresi pasca persalinan yang terjadi di 31 (93.9%) pasien yang tidak mendapat dukungan suami dengan OR=64,3. Terdapatnya stresor psikososial terbukti pula mempunyai hubungan dengan peningkatan kejadian depresi pascapersalinan pada 14 (93.9%) pasien yang terdapat stressor psikososial dengan OR=67,2. Kesulitan obstetrik yang dialami pasien juga didapatkan hasil analisis yang bermakna terhadap peningkatan kejadian depresi pascapersalinan pada 32 (86.5%) pasien yang mengalami kesulitan obstetrik dengan OR=36,3.Kesimpulan: Berdasarkan temuan penelitian maka faktor-faktor pengaruh dukungan suami, stres psikososial dan kesulitan obstetrik terhadap depresi sebesar 86,6%, sisanya 13,4% dipengaruhi faktor lain. Faktor tersebut penting dalam memprediksi depresi pascapersalinan pada kehamilan remaja, karena memiliki pengaruh yang signifikan. Hal tersebut penting sebagai pertimbangan untuk melakukan skrining awal dan menentukan tatalaksana yang lebih jauh.Kata kunci: Kehamilan remaja, depresi pascapersalinan, faktor-faktor

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Background: Increasing numbers of adolescent pregnancy correlates with increasing adverse effects on mother or baby. In addition to an increase in maternal or infant mortality due to teenage pregnancy, postpartum depression and symptoms increase significantly in teenage pregnancy. The prevalence ranges from 26% to more than 50%. Postpartum depression is influenced by various factors, including marital status, socio-economic status, self-confidence, antenatal depression, lack of social support, stressors, emotional disturbances in childhood, unwanted pregnancy, previous depression.

Objective: This study aims to find out the prevalence of postpartum depression in adolescent pregnancy at Ciptomangunkusumo General Hospital and network primary helath care and to find out whether there is a relationship between partner support, parental support, marital status, unwanted pregnancy, psychosocial stressors, fetal outcomes, obstetric complications and postpartum depression.

Methods: This study is descriptive observational analytic with cross sectional study design using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire with the aim to determine the prevalence and relationship of factors that influence the occurrence of postpartum depression at Dr. Hospital. Cipto Mangunkusumo Jakarta and network primary helath care in 6 months (February 2019 to July 2019)

Results: From 6 months (February 2019-June 2019) there were 77 patients who met the inclusion criteria. The prevalence of postpartum depression in Cipto Mangunkusumo General Hospital and 5 networked primary helath care 45%. There was a significant relationship between partner support, marital status, unwanted pregnancy, psychosocial stressors, and obstetric complications of postpartum depression through bivariate analysis with a significance value of p <0.001 (p <0.05). As for the factors of family support, marital status, unwanted pregnancy, and fetal outcomes obtained bivariate analysis results have no significant relationship with the incidence of postpartum depression. The results of multivariate analysis showed that the support of husbands, psychosocial stressors, and obstetric complications were 3 main factors supporting the occurrence of postpartum depression. There was a relationship between lack of husband support with an increase in postpartum depression that occurred in 31 (93.9%) patients with lack of husband support with OR = 64.3. The presence of psychosocial stressors has also been shown to be associated with an increased incidence of postpartum depression in 14 (93.9%) patients with presence of Universitas Indonesia psychosocial stress with OR = 67.2. Obstetric difficulties experienced by patients also obtained results of a meaningful analysis of the increased incidence of postpartum depression in 32 (86.5%) patients with obstetric difficulties with OR = 36.3.

Conclusions: Based on the above findings, the factors influencing husband's support, psychosocial stress and obstetric difficulties for depression were 86.6%, the remaining 13.4% were influenced by other factors. This factor is important in predicting postpartum depression in teenage pregnancy, because it has a significant effect. This is important as a consideration for conducting initial screening and determining further management.

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"ABSTRAKPersalinan preterm merupakan kejadian yang disebabkan oleh multifaktorial salah satunya adalah infeksi pada ibu. Penelitian ini dilakukan untuk mengetahui prevalensi persalinan preterm di RSCM pada tahun 2011, untuk mengetahui apakah terdapat perbedaan kejadian persalinan preterm dengan ibu positif ISK dan ibu negatif ISK, serta mengetahui korelasi persalinan preterm dengan ISK pada ibu. Metode penelitian cross-sectional pada 2005 sampel. Data yang diambil berupa data sekunder. Kemudian data diolah menggunakan spss 11.5 for windows dan dianalisis dengan uji chi square untuk uji perbedaan. Hasil penelitian didapat Prevalensi persalinan preterm di RSCM tahun 2011 adalah sebesar 27%. Tidak ada perbedaan bermakna kejadian persalinan preterm antara ibu positif ISK dengan ibu negatif ISK di RSCM pada tahun 2011 (P>0,05).

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ABSTRACTPreterm labor is an incident caused by a multifactorial one of which is an infection in the mother. This study was conducted to determine the prevalence of preterm delivery in RSCM in 2011, to determine whether there are differences of preterm labor in positive UTI’s mother and negative UTI’s mother, to determine the correlation of preterm labor with maternal UTI . Methods Cross-sectional study in 2005 samples. Data taken the form of secondary data. Then the data is processed using the SPSS 11.5 for Windows and analyzed by chi-square test for testing the differences. Research results obtained prevalence of preterm birth in the RSCM in 2011 amounted to 27%. There is no significant difference of preterm delivery between positive UTI’s mother and negative UTI’s mother in RSCM in 2011 (P> 0.05). And the results showed no significant correlation between preterm labor and maternal UTI in the RSCM in 2011"

"Pola penyakit di negara berkembang, termasuk Indonesia mengalami pergeseran, prevalensi diabetes melitus tipe 2 mengalami peningkatan setiap tahunnya. Hal ini disebabkan oleh oleh peningkatan taraf sosioekonomi dan perubahan gaya hidup terutama di kota besar. Penyakit diabetes melitus tidak hanya dipengaruhi faktor lingkungan, seperti gaya hidup namun juga terdapat interaksi dengan faktor genetik. Untuk itu dilakukan penelitian mengenai prevalensi diabetes melitus tipe 2 dan hubungannya dengan faktor-faktor yang mempengaruhi. Penelitian ini dilakukan dengan studi potong lintang menggunakan data sekunder dari rekam medik pasien unit rawat jalan RSCM pada tahun 2010. Analisis data dilakukan untuk menghitung prevalensi diabetes melitus tipe 2, kemudian dilakukan analisis statistik untuk mendapatkan faktor yang berhubungan. Berdasarkan hasil penelitian didapatkan bahwa prevalensi diabetes melitus tipe 2 sebesar 6,7%. Berdasarkan uji hipotesis,didapatkan faktor yang berhubungan adalah variabel usia (p<0,001), berat badan (p<0,001), pekerjaan (p<0,001), asuransi pembiayaan (p=0,003) dan riwayat penyakit sebelumnya (p=0,008). Sedangkan variabel lain yaitu tinggi badan (p=0,189), jenis kelamin (p=0,343), status pernikahan (p=0,126), tingkat pendidikan (p=0,356), status gizi (p=0,648), gaya hidup (p=0,674), tidak menunjukkan adanya hubungan yang bermakna secara statistik.

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Disease pattern in developing countries, including Indonesia is changed, type 2 diabetes mellitus prevalence is increased every year. This change of disease pattern is affected by the increase of socioeconomic level and the change of lifestyle especially in metropolis. Diabetes mellitus disease is not only affected by environment factor, such as lifestyle but also there is an interaction of the genetic factor. Because of that, we did research about type 2 diabetes mellitus prevalence and its relation with the related factors.

The method of this research is crosssectional study by taking secondary data from the medical record of outpatients RSCM in 2010. Data analysis is done to count the prevalence of type 2 diabetes mellitus, then hypothesis test is done on each variable.

Based on the result, the prevalence of type 2 diabetes mellitus is 6.7%. Based on the hypothesis test, factors that have a significant value are age variable (p<0,001), weight (p<0,001), occupation (p<0,001), cost assurance (p=0,003), and disease history (p=0,008). The other factors, height (p=0,189), gender (p=0,343), marriage status (p=0,126), education level (p=0,356), nutrient status (p=0,648), lifestyle (p=0,674) did not have significant value statistically."

"Latar belakang: Salah satu masalah perempuan dengan epilepsi (PDE) saat ini adalah infertilitas. Prevalensinya sendiri mencapai sepertiga dari PDE. Penelitian ini bertujuan untuk mengentahui faktor-faktor apa saja yang memengaruhi kejadian infertilitas, khususnya pada populasi PDE di RS Cipto Manungkusumo (RSCM).Metode Penelitian: Studi potong lintang pada pasien PDE rawat jalan di poli epilepsi, dilakukan telusur rekam mendis dan pengisian kuesioner. Analisis bivariat menggunakan uji Chi Square dan Mann Whitney, dilanjutkan dengan analisis multivariat regresi logistik.Hasil: Prevalensi PDE yang mengalami infertilitas di RSCM ada 51,1% dengan usia rata-rata 35,57 ± 5,53 tahun. Disfungsi seksual (p=0,020), gangguan orgasme (p=0,042) dan gangguan nyeri seksual (p=0,005) berhubungan dengan kejadian infertilitas pada PDE. Pada analisis multivariat regresi logistik, tidak didapatkan adanya faktor independen yang memengaruhi kejadian infertilitas pada PDE.Kesimpulan: Prevalensi infertilitas pada PDE di RSCM cukup besar yakni 51,1%. Faktor yang memengaruhinya adalah disfungsi seksual, gangguan orgasme dan nyeri seksual. Oleh karena itu, penting bagi klinis untuk mendeteksi dini faktor-faktor tersebut pada PDE untuk mencegah dampak lebih lanjut yang dapat ditimbulkan.

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Background: Infertility is one of the issues facing women with epilepsy (WWE) today. Its prevalence alone reaches one-third of WWE. The purpose of this study is ti determine what variables affect the prevalence of infertility, particularly in the group of WWE at Cipto Mangunkusumo Hospital (RSCM)

Method: Outpatient WWE at epilepsy clinic were the subject of this cross-sectional study. A questionnaire was completed and medical records were searched. Chi square and Mann Whitney tests were employed in bivariate analysis before multivariate logistic regression analysis.

Results: In our study, the prevalence of WWE with infertility is 51,1%, and their average age is 35,57 ± 5,53 years old. Sexual dysfunction, orgasmic disorders and sexual pain disorders are associated with infertility in WWE. There were no independent factors affecting the infertility in WWE in multivariate logistic regression study.

Conclusion: 51,1% of WWE at RSCM are infertile, which is a significant prevalence. Sexual dysfunction, orgasmic disorders, and sexual pain are all factors that might affect it. In order to limit any negative effects such as infertility, it is crucial for clinicians to detect these factors early in WWE."

"Latar Belakang. Hipotensi ortostatik merupakan masalah yang sering ditemukan pada usia lanjut, dan berhubungan dengan peningkatan morbiditas dan mortalitas. Penyakit penyerta pads usia lanjut diketahui berpotensi mengakibatkan timbulnya hipotensi ortostatik Mengacu pada hal tersebut maka deteksi awal adanya hipotensi ortostatik pada pasien usia lanjut dan pengendalian faktor-faktor risiko hipotensi ortostatik perlu dilakukan dalam upaya mencapai kualitas hidup yang optimal.Tujuan. Mengetahui prevalensi dan faktor-faktor risiko yang mempengaruhi timbulnya hipotensi ortostatik pada usia lanjut yaitu usia, hipertensi, diabetes melitus, gagal jantung, riwayat strok, dehidrasi dan obat antihipertensi.Metodologi : Sembilan puluh tujuh subyek usia lanjut dengan usia 60 tahun atau lebih.yang berobat jalan di Poliklinik dan Instalasi Gawat Darurat RSCM diikutsertakan dalam penelitan. Data dikumpulkan dengan melakukan serangkaian anamnesis, pemeriksaan fisik, tekanan darah posisi berbaring, segera setelah 1-3 menit berdiri, pemeriksaan laboratorium, pemeriksaan EKG dan foto torak. Penelitian ini menggunakan desain cross sectional ..dengan variabel yang diteliti meliputi faktor usia, adanya hipertensi, diabetes melitus, gagal jantung, riwayat strok, dehidrasi dan penggunaan obat antihipertensi, dihubungkan dengan hipotensi ortostatik.Hasil : Laki-laki 40 (41,2%), wanita 57 (58,8%) dan usia rerata 67,4 tahun, didapatkan subyek yang mengalami hipotensi ortostatik sebanyak 15 orang(15,5%). Analisis bivariat dan multivariat menunjukkan bahwa variabel hipertensi dan dehidrasi menunjukkan hubungan bermakna dengan hipotensi ortostatik. Faktor risiko lainnya tidak terbukti secara bermakna dengan terjadinya hipotensi ortostatik.Kesimpulan : Hipertensi dan dehidrasi merupakan faktor risiko terjadinya hipotensi ortostatik. Subyek usia lanjut dengan hipertensi memerlukan pengendalian tekanan darah lebih baik. Kondisi dehidrasi pada usia lanjut perlu dikenali sedini mungkin, sehingga dapat dilakukan tatalaksana guna mencegah timbulnya hipotensi ortostatik.

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Background: Orthostatic hypotension is widely known as a problem that. frequently found in elderly individuals and is associated with an increase of morbidity and mortality rate. Comorbidity in elderly have been recognized to potentially give rise to the development of orthostatic hypotension. Reffering to this matter, early detection of orthostatic hypotension in elderly and management of.risk factors need to be done in effort to achieve the optimal quality of life.

Objectives. To find out the prevalence and some risk factors for the development of orthostatic hypotension in elderly individuals such as age, hypertension, diabetes mellitus, heart failure, history of stroke,dehydration and anti-hypertension drug usage.

Methods: Ninety-seven elderly subjects with 60 years of age or more who had come to Outpatient clinic and Emergency Room of Cipto Mangunkusumo Hospital were included in the study. Data were obtained by anamnesis, physical examination, blood pressure examination in lie down position, immediately after 1-3 minutes of standing. We also perfomed laboratory examination, ECG and thorax X-ray. This study had a cross-sectional design and the studied variables include age, hypertension, diabetes mellitus and heart failure, history of stroke, dehydration and anti-hypertension drug usage, which were correlated to orthostatic hypotension.

Result: The subjects consists of found 40 males (41.2%), 57 females (58.8%) and mean of age 67.4 years. We found 15 subjects with orthostatic hypotension (15.5%)_ Analysis bivariate and multivariate indicated that the variables of hypertension and dehydration had a significant correlation to orthostatic hypotension. Other risk factors were not proven to have significant correlation with the development of orthostatic hypotension.

Conclusion: Hypertension and dehydration were proven as risk factor of orthostatic hypotension. Elderly subject with hypertension needs a more careful management of blood pressure. Dehydration condition should be detected immediately in order to perform appropriate management to prevent the development of orthostatic hypotension."

"Rumah sakit sebagai instansi pelayanan kesehatan tidak terhindar dari bahaya bising. Efek yang ditimbulkan bising dapat berupa efek auditori dan efek non auditori. Salah satu efek non auditori yang ditimbulkan bising adalah burnout syndrome. Penelitian ini merupakan studi potong lintang untuk mencari prevalensi risiko tinggi burnout syndromepekerja RSUPNCM dan hubungannya dengan kebisingan ruangan yang ditentukan peneliti. Analisis statistik dilakukan untuk mencari hubungan antara faktorjenis kelamin, usia, status pernikahan, serta pengalaman kerja dengan risiko tinggi burnout syndrome. Peneliti melakukanaudiometri nada murni, timpanometri, dan pemeriksaan emisi otoakustik untuk kemudian dicari hubungannya antara hasil pemeriksaan dengan risiko tinggi burnout syndrome. Pekerja diminta mengisi kuesioner Maslach Burnout Inventoryuntuk skrining risiko tinggi burnout syndrome. Satu dari 77 subyek penelitian ditemukan memiliki risiko tinggi burnout syndrome. Prevalensi risiko tinggi burnout syndrome pada pekerja RSUPNCM adalah 1,3%. Analisis statistik menunjukkan tidak terdapat hubungan antara jenis kelamin, usia, status pernikahan, pengalaman kerja, audiometri nada murni, timpanometri, serta otoakustik emisi dengan risiko tinggi burnout syndrome.

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Hospital as public health service can not avoid noise hazard. Effect of hospital noise including auditory effect and non auditory effect. One of the non auditory effect is burnout syndrome. This research is a cross sectional study in order to find the prevalence of high burnout syndrome risk on CMCGH workers and its relation with certain noise room which have determined by researcher. Statistic analysis have conducted in order to find relationship between several factors including gender, age, marital status,working history with high burnout syndrome risk. Researcher examine workers including pure tone audiometry, tympanometry, otoaccoustic emission. Relationship analysis between those examination and high burnout syndrome risk haveconducted. Researcher instruct workers to fill the Maslach Burnout Inventory questionnaire as screening for high burnout syndrome risk. One of 77 workers have been revealed having high risk.The prevalence of high burnout syndrome risk is 1,3 %. There is no relationship between gender, age, marital status, working history, pure tone audiometry, tympanometry, acoustic emission with high burnout syndrome risk due to statistic analysis."

"Tujuan: Memperoleh data prevalensi perempuan dengan gejala saluran kemih bawah di RS Cipto Mangunkusumo, Indonesia. Metode: Studi deskriptif dan analitik dengan pengumpulan data menggunakan kuesioner. Subjek penelitian yakni perempuan yang berada di poliklinik Ginekologi RS Cipto Mangunkusumo Jakarta, menjalani wawancara menggunakan metode konvensional dan menggunakan International Consultation on Incontinence Questionnaire (ICIQ) Female LUTS long form yang divalidasi ke Bahasa Indonesia. Hasil: Metode konvensional hanya menanyakan sebuah pertanyaan tentang gangguan berkemih tanpa menanyakan gejala yang lebih detail, menghasilkan prevalensi LUTS yang rendah sebanyak 17.3%. Pada sisi lain, dengan menggunakan kuesioner yang terstruktur menggunakan ICIQ- FLUTS long form, luaran prevalensi LUTS total adalah 95.3% pada populasi penelitian. Hal ini menunjukkan bahwa LUTS mempunyai prevalensi yang tinggi pada populasi studi dengan faktor resiko yang teridentifikasi berupa persalinan pervaginam. Kesimpulan: LUTS adalah kondisi yang dengan prevalensi tinggi pada populasi penelitian. Untuk mendapatkan prevalensi yang lebih akurat, metode skrining sangat penting. Penggunaan kuesioner terstruktur secara signifikan menapis LUTS lebih tinggi dari metode konvensional. Kuesioner ICIQ FLUTS long form adalah alat yang direkomendasikan untuk digunakan pada penelitian epidemiologi dan dan juga pada praktek klinik sehari- hari. Penelitian lanjutan dengan basis komunitas direkomendasikan untuk mendapatkan prevalensi nasional LUTS di Indonesia.

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Objective: To obtain the prevalence of women with Lower Urinary Tract Symptoms (LUTS) in Cipto Mangunkusumo National Hospital, Indonesia.

Method: Descriptive and analytic study with questionnaire- based data collection. All of the subjects were interviewed using the conventional method and International Consultation on Incontinence Questionnaire (ICIQ) Female LUTS long form validated in Indonesian language at Gynecology outpatient clinic in Cipto Mangunkusumo Hospital.

Results: The conventional method which pose only one single question of urination disturbance without asking the detailed symptoms, low prevalence of LUTS obtained i.e. 17.3%. On the other hand, with a well structured questionnaire using ICIQ- FLUTS long form, the prevalence of LUTS was 95.3% prevalence of LUTS. This result revealed that LUTS was a common condition among Indonesian women in the study population with identified risk factor of vaginal delivery.

Conclusion: LUTS is a frequent condition in this population. To obtain a more accurate prevalence, method of screening is important. A structured questionnaire screened LUTS significantly higher than the conventional method. The ICIQ FLUTS long form questionnaire validated in Indonesian language is a robust questionnaire that recommended to be used in epidemiological research as well as routine clinical practice. Further community based research is warranted to obtain the national prevalence of LUTS."

"ABSTRAK Aterosklerosis adalah penyakit sistemik, Peripheral artery disease PAD dan Carotid artery stenosis CS secara luas mencakup penyakit vaskular yang keduanya dikenal sebagai manifestasi spesifik aterosklerosis. Mengingat etiologi umum aterosklerosis perifer yang bisa terjadi di lokasi vaskular yang berbeda, keberadaan penyakit di satu tempat meningkatkan frekuensi penyakit simptomatik dan asimtomatik di tempat lain. Karena keduanya memiliki penyebab yang sama, maka terdapat hipotesis bahwa keduanya berkorelasi satu sama lain. Tujuan penelitian adalah untuk mengetahui faktor-faktor risiko yang berhubungan dengan Carotid artery stenosis CS pada pasien lower extremityPeripheral artery disease PAD berat serta mengetahui prevalensi Carotid artery stenosis CS dan ketebalan Intimal media thicknes IMT pada pasien dengan penyakit lower extremity Peripheral artery disease PAD berat. Penelitian ini dilakukan di RSUPN Cipto Mangunkusumo selama Februari-Mei 2018. Penelitian ini bersifat prospektif, data diambil dari data sekunder berdasarkan anamnesis dan hasil laboratorium sedangkan derajat stenosis dan intimal media thickness dilakukan carotid duplex ultrasound DUS dengan United imaging ultrasound menggunakan probe 8,5 Mhz. Data dikumpulkan, direvisi, dikodekan dan dimasukkan ke paket statistik untuk ilmu sosial SPSS versi 20 dan yang berikut ini dilakukan : Data kualitatif disajikan sebagai jumlah dan persentase sementara data kuantitatif disajikan sebagai rata-rata, standar deviasi, rentang median dan interkuartil. Kurva karakteristik operasi penerima digunakan untuk menilai titik potong terbaik dengan sensitivitas, spesifisitas, nilai prediksi positif dan nilai prediktif negatif. Interval kepercayaan ditetapkan 95 dan margin kesalahan ditetapkan hingga 5 sehingga p-value dianggap signifikan sebagai P> 0,05. Hasil penelitiandidapatkan 50 subjek dengan rentang umur antara 49-80 tahun 63,8 8,8 tahun , dimana yang berjenis kelamin laki-laki sebanyak 31 62 , dan perempuan sebanyak 19 38 . Didapatkan korelasi antara hiperkolesterol dan riwayat merokok dengan derajat Carotid Stenosis dengan nilai ABSTRACT Atherosclerosis is a systemic disease, Peripheral arterial disease PAD and Carotid artery stenosis CS widely include vascular disease bothh known as specific manifestation of atheroscleroris. Given the common etiology of peripheral atherosclerosis that can occur in different vascular sites, the presence of disease in one place increases the frequency of symptomatic and asymptomatic disease elsewhere. Since both have the same cause, there is a hypothesis that the two are correlated with each other. The objective of the study were to investigate the risk factor associated with Carotid artery stenosis CS in patients with severe lower extremity Peripheral arterial disease PAD and to know the prevalence of Carotid artery stenosis CS and degree of Intimal media thickness IMT in patients with severe lower extremity Peripheral arterial disease PAD . This research was conducted at Cipto Mangunkusumo General Hospital during February-May 2018. This is prospective research, the data was taken from secondary data based on hystory taking and laboratory result while the degree of stenosis and intimal media thickness is carotid duplex ultrasound DUS with United imaging ultrasound, using linier probe 8,5 Mhz. Data are collected, revised, encoded and fed into statistical package for social-science SPSS version 20, and the following are performed : Qualitative data are presented as quantities and percentages while quantitative data are presented as mean, standart deviation, median and interquartile range. The reciever operating characteristic curve is use to asses the best ctoff point with sensitivity, specificity, positive predictive value and negative predictive value. The confidence interval is set 95 and the margin error is set to 5 so p-value is considered significant as p"