Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
[ABSTRAK
Latar Belakang. Penilaian derajat kesadaran penting dilakukan pada pasien di Unit Gawat Darurat untuk memperkirakan prognosis. Banyak sistem penilaian dipakai untuk mengevaluasi pasien, masing-masing dengan kelebihan dan kekurangannya. Sistem penilaian yang baru, yaitu Full Outline of Unresponsiveness (FOUR )Score, dapat digunakan menilai derajat kesadaran dan memprediksi prognosis pasien. FOUR Score dapat memberikan data neurologis yang lebih detail dan dapat digunakan pada pasien yang terintubasi. Belum ada penelitian yang menilai validitas FOUR Score sebagai prediktor outcome pada pasien dengan penurunan kesadaran di IGD RSCM sebelumnya. Metode. Penelitian kohort prospektif observasional pada pasien dengan penurunan kesadaran yang dirawat di IGD RSCM. Evaluasi FOUR Score dilakukan terhadap 120 pasien baru yang dirawat di IGD RSCM. Outcome pasien dicatat setelah perawatan 72 jam. Analisis bivariat digunakan untuk menentukan hubungan FOUR Score terhadap outcome. Analisis regresi logistik untuk menentukan hubungan komponen FOUR Score terhadap outcome. Nilai area di bawah kurva (AUC) digunakan untuk sebagai uji dsikriminasi FOUR Score terhadap outcome. Hasil. Terdapat hubungan yang bermakna antara nilai FOUR Score dengan outcome (p <0,001). Komponen respon membuka mata (FOUR-E) dan pola respirasi (FOUR-R) adalah komponen yang mempunyai nilai prediksi terhadap outcome. AUC FOUR Score adalah 0,864 (95% IK 0,784-0,928).Uji kesesuaian antarpenilai antara dokter dan perawat menunjukkan kesesuaian yang sangat baik dengan κ = 0,836 (95% IK 0,786- 0,894), p <0,001.

---

ABSTRACT
Background. Asssessment of conciousness is important in patients in emergency room to estimate prognosis. Many scoring systems used to evaluate patients? level of conciousness, each with their advantages and disadvantages Full Outline of Unresponsiveness (FOUR) Score is a new system to assess patients?s level of conciousness and future prognosis. FOUR Score can provide a detailed neurological data and can be used in patients who are intubated. There have never been done a research on validity of FOUR Score as a predictor of outcome in RSCM?s ER before. Method. Observational, prospective cohort study in patients with decreased of conciousness treated in the RSCM?s ER. FOUR Score?s evaluation conducted on 120 new patients. Patient?s outcome was recorded after 72 hours of treatment, and classified as dead or alive. Bivariate analysis conducted to determine the relation between FOUR Score and outcome. Logistic regression analysis was performed to determine the relation between components of the FOUR Score and the outcome, and the value of area under the curve (AUC) of the FOUR Score to outcome was determined to measure discrimination of FOUR Score. Results. There is a significant correlation statistically between the value of the FOUR Score with the outcome (p <0.001). From all the components had been measured, the eye response (FOUR-E) and respiratory pattern (FOUR-R) had predictive value related to the outcome. AUC of the FOUR Score is 0,864 (95% CI 0,784-0,928). Inter-rater agreement between doctor and nurse shows a very good strength of agreement wtith κ = 0,836 (95% CI 0,786- 0,894), p <0,001. Conclusion. FOUR Score can accurately predict the outcome of patients with decreased of consciousness in the RSCM?s ER after 72 hours of treatment.;Background. Asssessment of conciousness is important in patients in emergency room to estimate prognosis. Many scoring systems used to evaluate patients? level of conciousness, each with their advantages and disadvantages Full Outline of Unresponsiveness (FOUR) Score is a new system to assess patients?s level of conciousness and future prognosis. FOUR Score can provide a detailed neurological data and can be used in patients who are intubated. There have never been done a research on validity of FOUR Score as a predictor of outcome in RSCM?s ER before. Method. Observational, prospective cohort study in patients with decreased of conciousness treated in the RSCM?s ER. FOUR Score?s evaluation conducted on 120 new patients. Patient?s outcome was recorded after 72 hours of treatment, and classified as dead or alive. Bivariate analysis conducted to determine the relation between FOUR Score and outcome. Logistic regression analysis was performed to determine the relation between components of the FOUR Score and the outcome, and the value of area under the curve (AUC) of the FOUR Score to outcome was determined to measure discrimination of FOUR Score. Results. There is a significant correlation statistically between the value of the FOUR Score with the outcome (p <0.001). From all the components had been measured, the eye response (FOUR-E) and respiratory pattern (FOUR-R) had predictive value related to the outcome. AUC of the FOUR Score is 0,864 (95% CI 0,784-0,928). Inter-rater agreement between doctor and nurse shows a very good strength of agreement wtith κ = 0,836 (95% CI 0,786- 0,894), p <0,001. Conclusion. FOUR Score can accurately predict the outcome of patients with decreased of consciousness in the RSCM?s ER after 72 hours of treatment., Background. Asssessment of conciousness is important in patients in emergency room to estimate prognosis. Many scoring systems used to evaluate patients? level of conciousness, each with their advantages and disadvantages Full Outline of Unresponsiveness (FOUR) Score is a new system to assess patients?s level of conciousness and future prognosis. FOUR Score can provide a detailed neurological data and can be used in patients who are intubated. There have never been done a research on validity of FOUR Score as a predictor of outcome in RSCM?s ER before. Method. Observational, prospective cohort study in patients with decreased of conciousness treated in the RSCM?s ER. FOUR Score?s evaluation conducted on 120 new patients. Patient?s outcome was recorded after 72 hours of treatment, and classified as dead or alive. Bivariate analysis conducted to determine the relation between FOUR Score and outcome. Logistic regression analysis was performed to determine the relation between components of the FOUR Score and the outcome, and the value of area under the curve (AUC) of the FOUR Score to outcome was determined to measure discrimination of FOUR Score. Results. There is a significant correlation statistically between the value of the FOUR Score with the outcome (p <0.001). From all the components had been measured, the eye response (FOUR-E) and respiratory pattern (FOUR-R) had predictive value related to the outcome. AUC of the FOUR Score is 0,864 (95% CI 0,784-0,928). Inter-rater agreement between doctor and nurse shows a very good strength of agreement wtith κ = 0,836 (95% CI 0,786- 0,894), p <0,001. Conclusion. FOUR Score can accurately predict the outcome of patients with decreased of consciousness in the RSCM?s ER after 72 hours of treatment.]

Abstrak :
Latar Belakang: Setiap tahap odontogenesis yang tidak berjalan dengan baik semestinya dapat mengakibatkan terjadinya abnormalitas pada gigi, hal tersebut dipengaruhi oleh beberapa faktor atau komponen tertentu seperti gen, nutrisi, mineral, molekul, atau lainnya. Untuk memahami proses terjadinya abnormalitas serta faktor-faktor yang memengaruhinya, perlu diketahui secara spesifik setiap tahapan perkembangan gigi. Penelitian terkait perkembangan gigi pada manusia tidak memungkinkan karena diperlukan tindakan yang invasif dalam pengambilan sampel jaringan. Oleh sebab itu, digunakan hewan coba mencit C57BL/6 karena merupakan jenis inbred dan banyak digunakan dalam penelitian biomolekuler. Namun, hingga saat ini penelitian mengenai odontogenesis pada mencit C57BL/6 masih sangat terbatas. Tujuan: Menganalisis perkembangan gigi (odontogenesis) mencit strain C57BL/6 usia satu hari. Metode: Rahang mencit C57BL/6 dipotong menjadi 4 bagian. Setelah itu, dilakukan pembuatan preparat dengan potongan longitudinal (sagital) pada maksila dan mandibula kanan dan potongan koronal (frontal) pada maksila dan mandibula kiri, serta dilakukan pewarnaan hematoksilin dan eosin (H&E) pada preparat dan dilakukan pengamatan benih gigi insisif dan molar rahang atas dan rahang bawah menggunakan mikroskop. Hasil: Terlihat benih gigi insisif, molar pertama, molar kedua, dan molar ketiga pada jaringan maksila dengan potongan transversal atau axial dan terlihat adanya benih gigi molar pada preparat jaringan maksila dan mandibula dengan potongan koronal. Pada jaringan mandibula dengan potongan longitudinal atau sagital hanya terlihat adanya benih gigi insisif. Kesimpulan: Terjadi proses odontogenesis hingga tahap awal bell stage pada gigi molar maksila kiri dan mandibula kiri mencit C57BL/6 usia satu hari, sehingga mencit C57BL/6 usia satu hari dapat dijadikan alternatif objek penelitian dalam menganalisis perkembangan struktur jaringan gigi baik pada kondisi normal maupun patologis. ......Background: Disruption in the stages of odontogenesis results in teeth abnormalities. These conditions can be influenced by certain factors or components such as genes, nutrients, minerals, molecules, or others. To understand the process of abnormality and the factors that influence it, it is necessary to know specifically each stage of tooth development. Research related to the development of teeth in humans is not possible because it requires an invasive procedure in tissue sampling. Therefore, C57BL/6 mice were used as experimental animals because they are an inbred species and are widely used in biomolecular research. However, until now research on odontogenesis in C57BL/6 mice is still very limited. Objective: Analyzing tooth development (odontogenesis) in one-day-old C57BL/6 mice. Methods: The jaws of C57BL/6 mice were cut into 4 parts. After that, preparations were made with longitudinal (sagittal) sections on the right maxilla and mandible and coronal (frontal) sections on the left maxilla and mandible, and stained with hematoxylin and eosin (H&E) on the preparations and observation of the maxillary and mandibular incisors and molars using a microscope. Results: Tooth germs of incisors, first molars, second molars, and third molars were observed in the maxillary tissue with transverse or axial sections and the presence of molars in the maxillary and mandibular tissue preparations with coronal sections. In mandibular tissue with longitudinal or sagittal sections, only incisor germs were seen. Conclusion: The odontogenesis of one-day-old C57BL/6 mice in this study were observed in the early bell stage both in the left maxillary and left mandibular molars. Based on this study, one-day-old C57BL/6 mice can be used as an alternative object of research in analyzing the tooth structure that have been developed in the early bell stage, both normal and pathological conditions.