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"Liver cirrhosis is a chronic and irreversible disease. The patients quality of life (QOL) may be impaired because of long-standing burden of the disease. This research was a cross-sectional study conducted at Dr. Sardjito Hospital, Yogyakarta to determined the QOL of patients with liver cirrhosis who hospitalized in this institution. The parameter for the QOL was measured according to Spitzer index. Sixty-five patients with liver cirrhosis of various etiology were abled to be studied. The number of male and female patients were almost equal (30 and 35 respectively). There was a reduction in QOL in both male (21/30) and female (28/ 35) but no significant different between this variable. There was a significant positive correlation between Child criteria, and nutritional status with QOL (r=0.68, p<0.05 and r=0.37, p<0.05). It was concluded that Child criteria and nutritional status were positively correlated with QOL."

"Latar Belakang. Di Indonesia, insiden tumor ginjal menempati urutan ketiga keganasan saluran urogenital pada laki-laki. Penelitian ini bertujuan untuk mengetahui karakteristik demografi, tampilan klinis, laboratorium, staging dan penatalaksanaan yang dilakukan di Di RSUP Dr. Sardjito. Metode. Sebuah studi prospektif pada subyek 105 pasien yang didiagnosis tumor ginjal antara tahun 2009 sampai 2013. Pasien dibagi menjadi 2 grup berdasarkan usia : (1) anak, dan (2) dewasa. Hasil. Selama 5 tahun, ditemukan 105 pasien tumor ginjal, anak 41 orang dan dewasa 57 orang. Rata-rata usia pasien tumor ginjal anak adalah 3,76 ± 2,54 tahun, dan rasio laki-laki : perempuan 1,56 : 1. Rata-rata usia pasien tumor ginjal dewasa adalah 49.51±14.08 tahun. Rasio laki-laki : perempuan adalah 1,48 : 1. Tumor paling sering pada anak adalah nefroblastoma 39 kasus (95,1%) dengan keluhan tersering adalah massa (100%). Tumor paling sering pada dewasa adalah RCC, 26 kasus (46,6%), dengan keluhan terbanyak nyeri pinggang 22 kasus (84,6%), keluhan massa 21 kasus (80,8%), hematuria 14 kasus (53,8%). Kesimpulan. Terjadi penurunan kasus nefroblastoma dan peningkatan kasus RCC di RSUP Dr. Sardjito dalam 5 tahun terakhir. Mayoritas pasien RCC pada dekade 4-5 dan nefroblastoma pada usia 3 tahun, dengan rasio laki-laki:perempuan masing-masing 1,56:1 dan 1,48:1.

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Background. In Indonesia, the incidence of kidney tumor was in the 3rd rank after prostate and bladder cancer among the urogenital cancer in men. The objective of this study is to describe demographic characteristic, clinical feature, and treatment of kidney tumor in Dr. Sardjito Hospital Yogyakarta.

Methods. A prospective study of 105 subjects whom were diagnosed as kidney tumor between year 2009 to 2013. The subjects were cathegorized into two groups according their age: (1) children, and (2) adults.

Results. There were 105 cases of kidney tumor found over the past 5 years, 41 children cases and 57 adult cases. Mean age of the children was 3,76 ±2,54 years old, and male:female ratio 1,56:1. Mean age of adults were 49,51±14,08 years old. Male:female ratio 1,48:1. Majority of tumor in children were nephroblastoma about 39 cases (95,1%) with symptoms most profound were abdominal mass (100%). Majority of kidney tumor found in adults were RCC (26 cases [46,6%]), with symptoms flank pain (22 cases [84,6%]), palpable mass (21 cases [80,8%]), hematuria (14 cases [53,8%]).

Conclusion. The number of nephroblastoma cases were decreased, meanwhile there was an increase in RCC case number in Dr. Sardjito Hospital for the past 5 years. Majority of RCC patients were in decade 5-6, while in nephroblastoma patients, the majority were 3 years old, with the ratio of male:female 1,56:1 and 1,48:1 respectively."

"Self-care pasien gagal jantung merupakan fokus utama strategi non farmakologi dalam menurunkan angka morbiditas, mortalitas, rehospitalisasi dan meningkatkan kualitas hidup. Kemampuan self-care pasien jantung masih rendah. Penelitian ini bertujuan untuk mengenali faktor yang berhubungan dengan kemampuan self-care pasien gagal jantung. Penelitian ini merupakan penelitian kuantitatif dengan desain deskriptif analitik dengan pendekatan cross sectional yang melibatkan 132 responden. Analisa data menggunakan analisis deskriptid, uji Chi Square dan regresi logistik. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki kemampuan self-care maintenance yang tidak adekuat, tetapi memiliki kemampuan self-care monitoring dan self-care management yang adekuat. Karakteristik sosisodemografik responden menunjukkan bahwa sebagian besar dewasa akhir yang berumur 46-65 tahun, laki laki, berpendidikan tinggi, penghasilan yang cukup; dan secara karakteristik klinis memiliki derajat gagal jantung kelas fungsional NYHA 2, FEVki > 50 %, lama sakit > 3 tahun dan memiliki ko-morbid ringan. Sebagian besar responden memiliki tingkat pengetahuan baik, efikasi diri adekuat, tidak depresi dan dukungan pelaku rawat di keluarga yang adekuat. Terdapat hubungan yang signifikan antara derajat gagal jantung, lama sakit, ko-morbid dan efikasi diri dengan kemampuan self-care maintenance, dimana derajat gagal jantung adalah faktor yang paling dominan. Terdapat hubungan yang bermakna antara derajat gagal jantung, ko-morbid, pengetahuan dan dukungan pelaku rawat di keluarga dengan kemampuan self-care monitoring, dimana faktor yang paling dominan adalah derajat gagal jantung. Terdapat hubungan yang bermakna antara efikasi diri dan dukungan pelaku rawat di keluarga dengan kemampuan self-care management, dimana efikasi diri adalah faktor yang paling dominan. Perlunya dilakukan intervensi keperawatan spesifik terkait gagal jantung pada pasien untuk meningkatkan kemampuan self-care.

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Self-care of heart failure patients is a main focus of non-pharmacological strategies to decrease morbidity, mortality, rehospitalization, and improve quality of life. Self-care ability of heart failure patients is still low. This study aims to identify factors related to self-care ability of patients with heart failure. This is a quantitative study with a descriptive analytic design using a cross sectional approach involving 132 respondents. Data were analyzed using descriptive analytic, Chi Square and logistic regression test. The results showed that most of the respondents have inadequate self-care maintenance, but have adequate self-care monitoring and self-care management abilities. Sociodemographic characteristics indicated that most of the respondents are late adulthood aged 46-65 years, male, have a fairly high income; and clinically characterized by a degree of heart failure NYHA functional class 2, LVEF > 50%, duration of illness > 3 years and have mild co-morbidities. Most of the respondents have a good level of knowledge, adequate self-efficacy, are not depressed and have adequate support from caregivers in their families. There is a significant relationship between the degree of heart failure, duration, co-morbidities and self-efficacy with self-care maintenance ability, whereas the degree of heart failure is the most dominant factor. There is a significant relationship between the degree of heart failure, co-morbidities, knowledge and support of caregivers in the family with the self-care monitoring ability, meanwhile the most dominant factor is the degree of heart failure. There is a significant relationship between self-efficay and caregiver support in the family with self-care management ability, and self-efficacy is the most dominant factor. Specific nursing interventions related to heart failure need to be carried out to improve self-care abilities."

"Since the limulus test, a method for the evaluation of endotoxin levels using extract from horsehoc crabs (limulus, spp), was developed in the year 1969 by Levin and Bang, there have been reports on endotoxin from portal blood without negative gram bacterial infection, a condition known as endogenous endotoxemia."

"Latar Belakang : Nyeri seringkali tidak dikelola dengan adekuat pada lebih kurang separo dari semua kasus bedah. 1 Sebuah konsep baru untuk mengurangi rasa nyeri dengan pemberian analgetik sebelum munculnya stimulus nyeri , lebih efektif dibandingkan pemberian analgetik setelah munculnya stimulus nyeri. Inilah prinsip dari preemptive analgesia.1 Nyeri pasca operasi dapat diatasi dengan penggunaan blok anestesi lokal, Opioid, obat anti inflamasi non steroid, atau kombinasi dari ketiganya. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian Ketorolak pra operasi pada nyeri Pasca Operasi pada pasien yang dilakukan operasi prostatektomi transuretral, di RSUP dr Sardjito Yogyakarta. Manfaat bagi pasien adalah meningkatnya kenyamanan dengan menurunnya sensasi nyeri pasca operasi.Metode: Penelitian ini merupakan penelitian potong lintang, analitik, dan prospektif. Kami mengelompokkan pasien pembesaran prostat jinak (PPJ) dari bulan Oktober 2011 sampai Februari 2012 di RSUP dr Sardjito Yogyakarta menjadi dua. Kelompok I diberikan Ketorolak 30 mg intravena dua kali sehari , sehari sebelum operasi dan pagi hari sebelum operasi . Kelompok II tidak diberikan Ketorolak preoperatif. Pasien dilakukan operasi prostatektomi transuretral dengan anastesi spinal. Setelah 24 jam pasca operasi, kami melakukan wawancara tentang sensasi nyeri dengan menggunakan Visual Analogue Scale (VAS) . Kemudian dibandingkan antar kelompok I dan II.Hasil: Duapuluh empat pasien termasuk dalam penelitian ini dengan rerata umur 66 tahun dengan usia paling muda 45 tahun dan tertua 80 tahun (sd 8,77744). Kelompok I ( 17 pasien ) , Skor VAS 1 hingga 7 dengan median 3 dan rerata 3,4118 ( sd 1,66053 ) . Kelompok II ( 7 pasien ) Skor VAS 1 hingga 8 dengan median 3 dan rerata 3,8571 ( sd 2,8357 ). Kami menghitung secara statistik menggunakan tes Mann-Witney U dengan p 0,951.Kesimpulan : Tidak terdapat perbedaan nyeri pasca operasi yang bermakna antara pasien yang dilakukan operasi prostatektomi transuretral yang diberikan Ketorolak praoperasi dan yang tidak diberikan Ketorolak pra operasi.

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Background : Pain is often not assesed adequately in about half of all surgical case. 1 There is a new concept to relief pain by administering analgesics before pain stimulus, which is more effective than when administered after pain stimulus. This is the principle of preemptive analgesia.1 Postoperative pain maybe controlled by the use of local anaesthetic block, opioids, non steroidal anti inflamatory drugs or combination of these. The aim of this study is to know the effect of preoperative Ketorolak on postoperative Transurethral Prostatectomy pain in Sardjito Hospital Yogyakarta. We expected to increase patients comfort by decreasing postoperative pain sensation.Methods: This is a cross sectional, analitic, prospective study. We devide BPH patients - from October 2011 until February 2012 in Sardjito Hospital Yogyakarta - into two groups. Group I given Ketorolak 30 mg intravenously twice a day one day before operation day and in the morning before operation. Group II without Ketorolak preoperatively. Patient undergo Transurethral operation with spinal anaesthesia. After 24 hours ,postoperatively, we asses pain using Visual Analogue Scale (VAS) . And then we compare between Group I and Group IIResult: Twenty four patients were included in this study with mean of the age is 66 years old with the youngest 45 years old and the oldest 80 years old (sd 8,77744). Group I ( 17 patients) , VAS score 1 until 7 with median 3 and mean 3,4118 ( sd 1,66053 ) . Group II ( 7 patients ) VAS score 1 until 8 with median 3 and mean 3,8571 ( sd 2,8357 ). We count it using Mann-Witney U with p 0,951.Conclusion: There is no significance difference of postoperative pain between Transurethral prostatectomy patients which administered and without Ketorolak preoperatively."

"Latar belakang: Pembesaran Prostat Jinak (PPJ) merupakan masalah prostat yang umum terjadi pada laki-laki, Infeksi Saluran Kemih (ISK) dapat disebabkan oleh PPJ akibat dari obstruksi pada Bladder outlet, instrumentasi, bahkan akibat dari sistoskopi atau kateterisasi.Tujuan: Tujuan penelitian ini adalah untuk menggambarkan pola kuman dan kuman terbanyak yang menyebabkan ISK pada pasien PPJ di Rumah Sakit Umum Pusat Dr. SardjitoMetode: Data dikumpulkan secara retrospektif dari rekam medis pasien Rumah Sakit Umum Pusat Dr. Sardjito mulai Januari 2001 sampai Desember 2011. Pola kuman dan sensitivitas obat dicatat.Hasil: Terdapat 92 pasien dengan usia 46-95 tahun yang didiagnosis dengan PPJ dan Prostatitis. Didapatkan 81,40% merupakan bakteri gram negatif, 9,3% bakteri gram positif, dan 9,3% jamur. Kemudian didapatkan Streptococcusfaecalis (11,62%) merupakan bakteri gram positif terbanyak yang ditemukan di dalam kultur urin. Obat yang dipakai untuk sensitivitas melipuit : Amikacin, Ampicillin, Ampicillin/Sulbactam, Cefepim, Cefpiron, Ceftazidime, Ceftriaxone, Cefotaxime, Cefuroxime, Chloramphenicol, Fosfomycin, Gentamycin, Nalidixic acid, Imipenem, Netilmicin, Nitrofurantoin, Norfloxacin, Tetracyclin, Tobramycin, Vancomycine, Ciprofloxacine, Trimethoprim-Sulfamethoxazole.Kesimpulan: Bakteri paling banyak yang ditemukan pada pasien dengan BPH adalah Pseudomonas aerogenosa (25.58%) dan bakteri yang paling jarang ditemukan adalah Citrobacterfreundii (2.32%). Menurut penelitian ini, 82.05% pasien BPH dengan infeksi saluran kemih sensitif terhadap pengobatan dengan Imipenem, diikuti dengan Amikacin (74.35%).

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Background: Benign prostatic hyperplasia (BPH) is the most common condition in men with prostate problems. Urinary tract infection can be caused by BPH due to Bladder outlet obstruction, instrumentation either from cystoscopy or catheterization.

Objective: The aim of this study is to describe microorganism pattern and the most common caused urinary tract infection in BPH patient hospitalized in Dr. Sardjito general hospital.

Method: Data were retrospectively collected from Dr. Sardjito general hospital medical record patients from January 2011 to December 2011. Microorganism pattern and drug sensitivity data were collected.

Results: There were 92 patients age 46-95 years old diagnosed histophatologically as BPH and prostatitis. The 81.40% microorganism pattern were Gram negative bacteria, 9.3% Gram positive bacteria and 9.3% yeast. On the other hand , Streptococcus faecalis (11,62%)is the main gram positif bacteria found in the urine culture. The drug used for sensitivity including; Amikacin, Ampicillin, Ampicillin/Sulbactam, Cefepim, Cefpiron, Ceftazidime, Ceftriaxone, Cefotaxime, Cefuroxime, Chloramphenicol, Fosfomycin, Gentamycin, Nalidixic acid, Imipenem, Netilmicin, Nitrofurantoin, Norfloxacin, Tetracyclin, Tobramycin, Vancomycine, Ciprofloxacine, Trimethoprim, and Sulfamethocazole.

Conclusion: The most frequent bacteria found in BPH patients is Pseudomonas Aerogenosa (25.58%) and the least frequentbacteria is Citrobacter freundii (2.32%). According to this study, 82.05% UTI patients sensitive to Imipenem medication, followed by Amikacin (74.35%)."

"Skripsi ini membahas tentang perilaku struktur rumah sakit 5 lantai dengan penambahan isolator jenis lead rubber bearing pada perletakan dibanding dengan struktur jepit terhadap gaya Gempa El Centro, Gempa Kern, Gempa Loma Prieta dan Gempa San Fernando. Analisis yang digunakan adalah analisis dinamik riwayat waktu. Penelitian ini adalah penelitian simulasi numerik dengan bantuan program komputer. Hasil penelitian menunjukkan bahwa isolator meningkatkan periode getar alami struktur sehingga dapat menghindari kemungkinan terjadinya resonansi akibat gaya gempa; efektif dalam mereduksi kecepatan, percepatan, gaya geser, momen, dan simpangan struktur sehingga dapat membatasi kerusakan struktural pada bangunan rumah sakit.

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The focus of this study is to discuss the comparison of structural response between a fixed-base structure and an isolated structure at 5-stories hospital towards El Centro Earthquake, Kern Earthquake, Loma Prieta Earthquake, and San Fernando Earthquake. Lead rubber bearing were used as an isolator. The case was solved with time history analysis. This research is a numeric simulation with computer program.

The result shows that the isolator increases natural period of a structure which can avoid the structure from being resonance; the isolator also reduce structural velocity, acceleration, shear force, moment and displacement, so that limiting the structural damage towards the building."

"Small intestinal bacterial overgrowth is a condition where the proximal small intestine harbours more than 10 organisms/ml intestinal fluid for a long period. Bacterial overgrowth could be found in patients with certain clinical conditions, such as intestinal anatomical disorders, intestinal motility disorders, and several diseases including liver cirrhosis. It was reported that the prevalence of bacterial overgrowth in patients with liver cirrhosis was around 30%-75%. Small intestinal bacterial overgrowth could induce various clinical conditions from mild to severe cases, therefore it is important to recognise its signs and symptoms, diagnosis, and management. This article will also review the clinical management of small intestinal bacterial overgrowth in liver cirrhosis."

"Perkembangan ilmu pengetahuan dan teknologi telah berdampak perubahan baru terhadap pelayanan keperawatan. Penelitian ini bertujuan mengidentifikasi pengaruh sistem informasi supervisi keperawatan berbasis komputerisasiterhadap kualitas informasi dan kepuasan pengguna informasi supervisi keperawatan. Penelitian ini merupakan studi pre experimental design dengan rancangan one group pretest postest design. Sampel penelitian adalah 63 perawat dan 50 dokumen kualitas informasi. Hasil analisis menunjukkan terdapat pengaruh/kenaikan yang signifikan sistem informasi supervisi keperawatan terhadap kualitas informasi dengan perbedaan mean 12,24 (10%) dan kepuasan pengguna dengan perbedaan mean 4,93(10,1%) sebelum dengan sesudah berbasis komputerisasi. (p = 0,000; α : 0,05). Peneliti merekomendasikan penyempurnaan komponen sistem informasi, penerapan dan evaluasi.

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The development of science and technology affects on the new alteration of nursing service systems. This research was aimed at identifying the effects of computer-based nursing supervision information system towards the information of quality and satisfactions of nursing ascendancy. This research was a study of pre experimental design by using one group pretest postestdesign. The sample of this research was 63 nurses and 50 information quality documents.

The result of this research showedthat there was significant effects of the nursing supervision information towards the quality of nursing ascendancy with the mean rate of 12,24 (10%) and the users satisfaction is 4,93 (10,1%) before and after the computer-based technology. (p = 0,000; α : 0,05). The researcher recommends the hospital stakeholders to imperfect the components systems as well as to give feedback for the evaluation and implementation steps."