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Journal articles on the topic 'RSCM'
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Andrej Kupecsek and Juliana Monárová. "The influence of fertilization and tillage method on the formation root system capacity and grain production of spring barley." Acta Agraria Debreceniensis, no. 44 (November 20, 2011): 89–93. http://dx.doi.org/10.34101/actaagrar/44/2613.
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To evaluate the interaction of year x variety, year x tillage method and year x fertilization on the grain yield and root system capacity (RSC) of spring barley, we ran polyfactorial field trials in agroecological conditions of a warm corn production area in Slovakia, at Malanta, in 2009 and 2010. The RSC measurements were done using LCR - meter at a frequency of 1 kHz and they took place in four growth stages: at leaf development in the stage of four leaves (RSC1), in full tillering (RSC2), in the stage heading (RSC 3) and at the stage of ripening (RSC4). The values of grain yield, RSC1, RSC2, RSC3, RSC4 reached in 2009 comparison to 2010 were significantly lower. The highest yield in 2009 was reached by variety Marthe (4.49 t.ha-1) and by variety Bojos (7.19 t ha-1) in 2010. The highest values of RSC in observed growth stages were achieved by variety Bojos in 2009, and in 2010 also besides RSC1. Within both years, difference in yields between tillage methods was not observed. The values of RSC in growth stage of 4 leaves and tillering was higher at conventional tillage, butthe values of RSC3 and RSC4 were higher with minimized tillage. The highest grain yield and values of RSC in every growth stage were achieved on the fertilization variant “c“ in 2009 and on the fertilization variant “b“ in 2010. The correlation relationships between grain yield and RSC were significant and positive in every growth stage. The strongest relationship was found among grain yield and RSC (r=0.6047).
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Behera, Ajay Kumar, Sasmita Mohapatra, Rabindra Mahapatra, and Harish Das. "Effect of Big Data Analytics in Reverse Supply Chain." International Journal of Information Systems and Supply Chain Management 15, no. 1 (January 2022): 1–14. http://dx.doi.org/10.4018/ijisscm.287128.
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The main purpose of this paper is to know about the recent status of big data analytics (BDA) on various manufacturing and reverse supply chain levels (RSCL) in Indian industries. In particular, it emphasises on understanding of BDA concept in Indian industries and proposes a structure to examine industries’ development in executing BDA extends in reverse supply chain management (RSCM). A survey was conducted through questionnaires on RSCM levels of 330 industries. Of the 330 surveys that were mailed, 125 completed surveys were returned, corresponding to a response rate of 37.87 percent, which was slightly greater than previous studies (Queiroz and Telles, 2018).The information of Indian industries with respect to BDA, the hurdles with boundaries to BDA-venture reception, and the connection with reverse supply chain levels and BDA learning were recognized.
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Ali, Jamshid. "Environmental Resilience: Transition to regenerative supply chain management." AIMS Environmental Science 11, no. 2 (2024): 107–28. http://dx.doi.org/10.3934/environsci.2024007.
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<abstract> <p>Global supply chains face mounting pressures for sustainability, necessitating a shift from Green Supply Chain Management (GSCM) towards Regenerative Supply Chain Management (RSCM) to address environmental concerns and enhance Resilience. This transition addresses environmental concerns while improving and supporting Resilience within supply networks. My aims were twofold: (1) To assess the resilience-enhancing mechanisms during the transition to RSCM through a comprehensive review process, and (2) to uncover critical factors and themes of the RSCM. The study employed qualitative interviews as the primary method to collect data using a structured questionnaire. The study adopted snowball sampling based on the referral and recommendation of the respondents. The study investigated vital strategies and challenges for adopting RSCM, explicitly focusing on environmental sustainability. The results indicated that the transition emphasizes a shift from harm reduction to ecosystem restoration, highlighting the importance of environmental restoration in RSCM. Additionally, RSCM places a pronounced emphasis on resilience-building strategies compared to GSCM, underscoring the need for more comprehensive integration of Resilience within supply chains during this transition, particularly in an environmental context. I also developed a framework illustrating the transition from GSCM to RSCM, emphasizing environmental considerations. Additionally, this study contributes novel insights into the dynamic landscape of sustainable supply chain management, emphasizing the importance of resilience-building strategies, particularly in an environmental context, during the shift to RSCM.</p> </abstract>
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Indarti, Junita, Lucas Christiawan, Dalri Suhartomo, Caroline Caroline, and Ditha Loho. "Postpartum contraceptive use among pregnant women who delivered at Cipto Mangunkusumo General Hospital: A descriptive study." Majalah Obstetri & Ginekologi 29, no. 3 (November 25, 2021): 124. http://dx.doi.org/10.20473/mog.v29i32021.124-128.
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HIGHLIGHT1. As maternal mortality rate (MMR) is still high, there should be ways to reduce the rate, one of which is the prevention of conception through contraceptive methods. 2. A descriptive study was conducted to all patients giving birth in a national hospital between 2016 to 2019 covering data on the patients, including age, parity, the origin of referral, and type of contraception.3. Most patients who gave birth in the hospital had postpartum contraception, especially permanent contraception and long-term contraception. ABSTRACTObjectives: The maternal mortality rate in Indonesia is one of the highest in the world at 305 out of 100.000 live birth. One of the best ways to reduce MMR is conception prevention through contraceptive methods. According to 2018 Demographic and Health Survey, Indonesia’s Contraceptive Prevalence Rate is as low as 57%, not even reaching the 2015 Millenium Development Goals target of 65%. We conducted a study on postpartum contraceptive use in Dr. Cipto Mangunkusumo National Central General Hospital (RSCM) to see the use of contraception in RSCM so that it can be an example of how contraception is used in RSCM for patients who give birth here.Materials and Methods: A descriptive study was conducted from all patients giving birth in RSCM from 2016 until 2019, data including patient data, consisting of patient age, parity, the origin of referral, and type of contraception, are input from the medical recordResults: There were 5,596 deliveries, consisting of 3,785 C-sections and 1,811 vaginal deliveries. As much as 5332 (95.3%) of subjects had postpartum contraception, 725 (13.67%) of which received tubectomy, and most of which received long-term contraceptive methods (IUD 4414 (82.78%) and implant 44 (0.82%)). As many as 1.065 subjects were more than 35 years of age, 6,2% of which did not use any postpartum contraception. As many as 984 subjects were RSCM bookcases, 6,9% of which did not use any postpartum contraception.Conclusion: Most patients giving birth in RSCM had postpartum contraception, especially permanent contraception and long-term contraception. The contraception profile in RSCM alone can neither describe nor represent the condition and distribution of contraceptive methods in Indonesia because RSCM is a national referral and medical education center whose cases are relatively more complex.
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Shawon, Ashifur Rahman, Jonghan Ko, Bokeun Ha, Seungtaek Jeong, Dong Kwan Kim, and Han-Yong Kim. "Assessment of a Proximal Sensing-integrated Crop Model for Simulation of Soybean Growth and Yield." Remote Sensing 12, no. 3 (January 28, 2020): 410. http://dx.doi.org/10.3390/rs12030410.
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A remote sensing-integrated crop model (RSCM) able to simulate crop growth processes using proximal or remote sensing data was formulated for simulation of soybean through estimating parameters required for modelling. The RSCM-soybean was then evaluated for its capability of simulating leaf area index (LAI), above-ground dry mass (AGDM), and yield, utilising the proximally sensed data integration into the modelling procedure. Field experiments were performed at two sites, one in 2017 and 2018 at Chonnam National University, Gwangju, and the other in 2017 at Jonnam Agricultural Research and Extension Services in Naju, Chonnam province, South Korea. The estimated parameters of radiation use efficiency, light extinction coefficient, and specific leaf area were 1.65 g MJ−1, 0.71, and 0.017 m2 g−1, respectively. Simulated LAI and AGDM values agreed with the measured values with significant model efficiencies in both calibration and validation, meaning that the proximal sensing data were effectively integrated into the crop model. The RSCM reproduced soybean yields in significant agreement with the measured yields in the model assessment. The study results demonstrate that the well-calibrated RSCM-soybean scheme can reproduce soybean growth and yield using simple input requirement and proximal sensing data. RSCM-soybean is easy to use and applicable to various soybean monitoring projects.
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Rantitsch, Gerd, Gerhard Bryda, and Hans-Jürgen Gawlick. "Conodont thermometry by Raman spectroscopy on carbonaceous material: a case study from the Northern Calcareous Alps (Mürzalpen Nappe, Eastern Alps)." Austrian Journal of Earth Sciences 113, no. 1-2 (June 1, 2020): 201–10. http://dx.doi.org/10.17738/ajes.2020.0012.
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Abstract Carnian metapelites from the southeastern segment of the Mürzalpen Nappe (Northern Calcareous Alps, Eastern Alps) were heated to 280-310 °C, estimated by Raman spectroscopy of carbonaceous material (RSCM). This temperature range is correlated to a Color Alteration Index of 5.0-6.5, determined on conodonts from adjacent Anisian to Norian carbonates. Average RSCM temperatures estimated on the conodonts are biased towards higher temperatures. The spectral characteristics of the conodont apatite suggest a composition altered during progressive recrystallization, influencing the band parameters of the included carbonaceous matter. Consequently, accurate conodont RSCM thermometry needs an assessment of apatite alteration.
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Wankmüller, Christian, and Gerald Reiner. "Coordination, cooperation and collaboration in relief supply chain management." Journal of Business Economics 90, no. 2 (September 24, 2019): 239–76. http://dx.doi.org/10.1007/s11573-019-00945-2.
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Abstract In recent years, an increasing number of natural and man-made disasters has demonstrated that a working relief supply chain management (RSCM) is crucial in order to alleviate the suffering of the affected population. Coordination, cooperation and collaboration within RSCM is essential for overcoming these destructive incidents. This paper explores the research undertaken in recent years, focusing on coordination, cooperation and collaboration in the field of supply chain management (SCM) and RSCM in order to provide unique definitions of these concepts taking the disaster setting into consideration. A systematic literature review including 202 academic papers published from 1996 onwards in top journals dealing with commercial supply and relief supply chain coordination, cooperation and collaboration is applied. In order to answer the underlying research questions in a proper way, a descriptive analysis and qualitative and quantitative content analysis of the papers are conducted. Descriptive results indicate that RSCM coordination, cooperation and collaboration have increasingly shifted into the focus of scientific research since 2001/2004 (i.e., 9/11 and the Indian Ocean Tsunami). Based on the qualitative content analysis, clear definitions of the terms coordination, cooperation and collaboration in SCM and RSCM were elaborated. The research landscape, as a result of the quantitative content analysis, allowed the identification of three issues that need to be addressed in future research work.
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Dakers, Lionel. "The RSCM: Past, Present... and Future." Musical Times 128, no. 1732 (June 1987): 349. http://dx.doi.org/10.2307/1193762.
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Heriwardito, Aldy, Adhrie Sugiarto, Bakti Setiadi, Anggara Gilang Dwiputra, Noor Hafidz, and Andi Ade Wijaya Ramlan. "Skor Kelelahan pada Peserta Didik Anestesiologi dan Terapi Intensif dan Faktor-Faktor yang Mempengaruhi." Majalah Anestesia & Critical Care 40, no. 1 (March 12, 2022): 28–35. http://dx.doi.org/10.55497/majanestcricar.v40i1.252.
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Latar Belakang: Prevalensi kelelahan secara global bervariasi antara 2,36-75,7%. Kelelahan merupakan konsekuensi yang dapat dialami oleh peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitasi Indonesia (FKUI) selama menjalami proses pendidikan. Penelitian ini dilakukan untuk mengetahui tingkat kelelahan pada PPDS Anestesiologi dan Terapi Intensif FKUI/RSCM setelah bertugas selama 24 jam di RSCM dengan menggunakan penilaian FAS, serta faktor-faktor yang memengaruhinya.
Metode: Metode penelitian adalah studi potong lintang dan acak. Analisis dilakukan terhadap 36 subjek peserta PPDS Anestesiologi dan Terapi Intensif FKUI tahap paripurna, mandiri dan magang selama periode penelitian. Subjek diberikan kuesioner berisi pertanyaan mengenai faktor yang dapat memengaruhi tingkat kelelahan. Kelelahan secara subjektif diukur dengan Fatigue Assessment Scale (FAS) setelah peserta PPDS bekerja di Rumah Sakit dr.Cipto Mangunkussumo (RSCM) selama ≥ 24 jam.
Hasil: Sebanyak 55,6% peserta PPDS Anestesiologi dan Terapi Intensif mengalami kelelahan seetelah bekerja di RSCM selama > 24 jam, dengan rerata skor kelelahan berdasarkan FAS adalah 23,6±4,2 yang berada diatas titik potong skor kelelahan dari FAS yaitu > 22. Kelelahan fisik memiliki rerata nilai yang lebih besar (15,19±2,7) dibandingkan dengan kelelahan mental (10,61±2,2) dengan perbedaaan yang bermakna (p<0.01). Kelelahan pada peserta PPDS Anestesiologi dan Terapi Intensif FKUI tidak dipengaruhi oleh karakteristik, gaya hidup dan karakteristik pekerjaan.
Kesimpulan: PPDS Anestesiologi dan Terapi Intensif mengalami kelelahan fisik pasca bekerja selama >24 jam di RSCM. Kelelahan tersebut tidak dipengaruhi oleh faktor gaya hidup dan pola kerja.
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Rifky, Muhamad, NM Faizah, and Lucky Koryanto. "Design and Development of KPRI RSCM Employee Presence Attendance Application Using Android-Based QR Code." Journal Mobile Technologies (JMS) 1, no. 1 (February 10, 2023): 8–17. http://dx.doi.org/10.59431/jms.v1i1.129.
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RSCM KPRI Services Cooperative is a cooperative that operates in 2 initial tasks, namely providing loans to members with light services and carrying out the distribution of basic goods from the government to members of each company or agency. make attendance. attendance attendance is part of the most important role in every body of work. Where attendance is one of the main supports that can motivate and support all work activities to be carried out in it, using the finger print system in attendance at the Cooperative office which is in the Dr. Cipto Mangunkusumo National General Hospital (RSCM) environment is very at risk of being exposed to various kinds of virus, and one of them is the Corona Virus which is still a pandemic, so that the KPRI RSCM Service Cooperative innovates in the employee attendance system by using a presence system using an Android-based QR Code, so that cooperative employees can take attendance using their personal cell phones. explains how to use the designed application system, namely the KPRI RSCM Employee Presence Application. It is hoped that this application can make it easier for employees to make attendance, and the Personnel section can more easily monitor the attendance of their employees utilizing the Android system as a tool or attendance system that makes it easier for companies and employees, especially at the KPRI RSCM Service Cooperative so that it reduces contact that can cause risk of exposure to the coronavirus.
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Jeong, Seungtaek, Taehwan Shin, Jong-Oh Ban, and Jonghan Ko. "Simulation of Spatiotemporal Variations in Cotton Lint Yield in the Texas High Plains." Remote Sensing 14, no. 6 (March 15, 2022): 1421. http://dx.doi.org/10.3390/rs14061421.
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This study aimed to simulate the spatiotemporal variation in cotton (Gossypium hirsutum L.) growth and lint yield using a remote sensing-integrated crop model (RSCM) for cotton. The developed modeling scheme incorporated proximal sensing data and satellite imagery. We formulated this model and evaluated its accuracy using field datasets obtained in Lamesa in 1999, Halfway in 2002 and 2004, and Lubbock in 2003–2005 in the Texas High Plains in the USA. We found that RSCM cotton could reproduce the cotton leaf area index and lint yield across different locations and irrigation systems with a statistically significant degree of accuracy. RSCM cotton was also used to simulate cotton lint yield for the field circles in Halfway. The RSCM system could accurately reproduce the spatiotemporal variations in cotton lint yield when integrated with satellite images. From the results of this study, we predict that the proposed crop-modeling approach will be applicable for the practical monitoring of cotton growth and productivity by farmers. Furthermore, a user can operate the modeling system with minimal input data, owing to the integration of proximal and remote sensing information.
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Adiarsi, Gracia Rachmi, and Rani Chandra Oktaviani. "Pelatihan Customer Service Excellence Pada Karyawan RSCM Kirana." ETHOS (Jurnal Penelitian dan Pengabdian) 7, no. 1 (January 21, 2019): 46–55. http://dx.doi.org/10.29313/ethos.v7i1.3970.
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Abstract. All institutions that seek profit or non-profit, either service or product companies feel important in establishing cooperation and communication with customers. One health care institution, RSCM Kirana eye health hospital, considers it important and urgent to conduct good service training for customers considering the competition in the field of health services. From the observations and discussions review with RSCM Kirana, this community service was carried out in the form of customer service excellence training to a number of employees and divisions related to the implementation of services. The implementation of the training combines the concept of "customer service excellence" and training practices. This training can change the level of confidence and skills in providing services by employees based on the results of the pre-test and post-test evaluations. Evaluations come from the trainers and representative of employees. The recommendation for management that should conduct customer service excellence training before employees will be placed in the customer service position. This is useful for providing employees with knowledge and skills in serving customers. Abstrak. Semua institusi baik itu institusi profit maupun non-profit, baik perusahaan jasa atau produk merasa penting dalam menjalin kerjasama dan komunikasi dengan customer. Salah satu institusi jasa kesehatan yaitu RSCM Kirana Jakarta rumah sakit kesehatan mata menganggap penting dan mendesak (urgent) untuk melakukan pelatihan layanan yang baik terhadap customer mengingat persaingan di bidang layanan kesehatan. Dari hasil observasi dan diskusi dengan pihak RSCM Kirana maka pengabdian masyarakat ini dilakukan dalam bentuk pelatihan customer service excellence kepada sejumlah karyawan dan divisi yang berkaitan dengan pelaksanaan jasa pelayanan. Pelaksanaan pelatihan mengkombinasikan konsep “customer service excelence” dan praktik pelatihan. Berdasarkan hasil evaluasi pre-test dan post-test dari tim pelatih serta evaluasi dari perwakilan manajemen karyawan RSCM Kirana, pelatihan ini dapat merubah tingkat kepercayaan diri dan keterampilan dalam memberikan layanan oleh karyawan RSCM Kirana Jakarta. Adapun rekomendasi bagi pihak manajemen ialah sebelum karyawan ditempatkan pada posisi layanan customer sebaiknya dilakukan pelatihan customer service excellence terlebih dahulu. Hal ini berguna untuk membekali karyawan tentang pengetahuan dan ketrampilan dalam melayani customer.
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Haryanti, Lina, Antonius H. Pudjiadi, Evita Kariani B. Ifran, Amir Thayeb, Idham Amir, and Badriul Hegar. "Prevalens dan Faktor Risiko Infeksi Luka Operasi Pasca-bedah." Sari Pediatri 15, no. 4 (November 10, 2016): 207. http://dx.doi.org/10.14238/sp15.4.2013.207-12.
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Latar belakang. Infeksi luka operasi (ILO) merupakan salah satu komplikasi pasca-bedah abdomen yang dapat meningkatkan morbiditas, mortalitas, dan biaya pengobatan. Diperlukan data prevalens ILO pasca-bedah abdomen pada anak di RSCM dan faktor risiko yang memengaruhinya.Tujuan. Mengetahui prevalens dan karakteristik ILO serta hubungan antara usia, jenis kelamin, status nutrisi, skor PELOD, skor ASA, jenis operasi, kategori luka operasi, dan lama operasi dengan ILO pasca-bedah abdomen pada anak.Metode. Data penelitian dari rekam medis tahun 2009-2011 pada anak pasca-bedah abdomen dengan besar sampel 180 subjek. Analisis statistik dengan uji Chi-square/Fisher dan regresi logistik.Hasil. Prevalens ILO pasca-bedah abdomen pada anak di RSCM selama tiga tahun 7,2%. Infeksi luka operasi merupakan 23,6% dari total infeksi nosokomial pasca-bedah abdomen di RSCM. Enam dari 13 subjek dengan ILO mengalami sepsis dan 2 di antaranya meninggal karena sepsis. Tiga jenis ILO, yaitu ILO insisional superfisial (9 subjek), ILO insisional dalam (2 subjek), dan ILO organ (2 subjek). Terdapat hubungan bermakna antara jenis operasi cito dengan ILO (p=0,007, RO 4,72;95%IK 1,54-14,42). Sedangkan variabel lainnya tidak berhubungan bermakna.Kesimpulan. Jenis operasi cito merupakan faktor risiko ILO pasca-bedah abdomen pada anak di RSCM Jakarta. Perlu penelitian prospektif dengan sampel yang lebih besar.
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Haddad, Christian. "Embodied values: post-pharmaceutical health and the accumulation of surplus vitality in regenerative stem cell medicine." Sociologias 21, no. 50 (April 2019): 48–79. http://dx.doi.org/10.1590/15174522-02105002.
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Abstract This paper analyzes an emerging form of post-pharmaceutical health and its underlying regime of value in the global bioeconomy of regenerative stem cell-based medicine (RSCM). Animated by a vision to overcome drug-based therapies and their underlying political economies, RSCM pursues a form of regenerative health that is strikingly at odds with pharmaceutical regimes of drug research, regulation and therapy. To offer a theoretical account of these competing forms of health, the paper provides an analysis of the regimes of values that underpin pharmaceutical and regenerative health respectively. This analysis is done alongside three dimensions: the interlinkage between knowledge, technology and economic value creation; its relation to normative values and ethics; and conceptions and valuations of the biomedical subject and his/her body in biomedical research, intervention and innovation. Contrasting these two diverging regimes of health and value suggests that in RSCM the pharmaceutical logic of accumulating “surplus health” is not entirely dismissed but re-articulated in a regime based on the (re-)generation of regenerative biovalue through the extraction and ex vivo accumulation of “surplus vitality”. Finally, the article discusses “post-pharmaceutical health” as a sensitizing concept that offers new research avenues into emergent forms of health, value, and subjectivity beyond RSCM.
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Ulva, Ananda Faridhatul, Nurdin, Rizky Putra Fhonna, Desvina Yulisda, Muzakir Nur, and Rizki Setiawan. "Aplikasi IoT Pemantauan Detak Jantung Pasien Lansia Beresiko Tinggi di RSCM Cut Mutia Lhokseumawe Berbasis Mobile." G-Tech: Jurnal Teknologi Terapan 7, no. 1 (January 5, 2023): 237–46. http://dx.doi.org/10.33379/gtech.v7i1.1979.
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Beberapa masyarakat Aceh Utara yang memiliki kendala yang kadang jarak pasien dengan RSCM Cut Mutia Lhokseumawe yang cukup jauh, dan penangan tidak cepat tanggap dapat menyulitkan keluarga lansia dalam penangan dini. Sehingga pemantauan detak jantung sangat perlu dilakukan secara berkala dan realtime, agar cepat dalam penanganan pasien reskin lansia. Metode untuk membuat aplikasi IoT dengan menggunakan metode waterfall, dimana metode ini dari adanya kemajuan sistem sampai pada sebuah analisa, desain, testing dan pemeliharaan. Sistem ini juga mengambil keputusan dengan algoritma genetika, dimana algoritma ini akan memberikan solusi optimal dari permasalahan. Hasil dari uji testing dari 15 sampel pada pengujian berbagai dengan alat IoT yang dibangun peneliti dengan alat kedokteran yang di RSCM Cut Mutia Lhokseumawe yaitu 0,05% tensimeter dan 1,8% oxymeter selisih tingkat akurasi alat IoT yang sekitar 1,9% sehingga alat dan sistem IoT yang dirancang dan dibangun dapat digunakan oleh pihak RSCM Cut Mutia Lhokseumawe.
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Călin, Dragoș. "The Romanian Superior Council of Magistracy’s Role in the Protection of The Law Enforcement." Constitutionale 2, no. 1 (April 23, 2021): 57–68. http://dx.doi.org/10.25041/constitutionale.v2i1.2253.
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The Romanian Superior Council of Magistracy (RSCM) has failed to provide stability as an active form of involvement to defend the judicial officers against acts that injures their independenc, impartiality, and professional reputation. The disrespect towards the juidical officers through the media have not motivated the RSM to take any actions. This is not aligned with their responsibility to clarify any miss-leading information. The RSCM has yet to overcome the flawed integrity of the judiciary system.
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Ramadan, Mohamad Rachadian, Nadhira Anindita Ralena, Sara Ester Triatmoko, and Parintosa Atmodiwirjo. "Early And Recent Development Of Reconstructive Microsurgery Subspeciality In Dr. Cipto Mangunkusumo National Hospital, Universitas Indonesia (1983-2020)." Jurnal Plastik Rekonstruksi 6, no. 2 (March 4, 2020): 281–90. http://dx.doi.org/10.14228/jpr.v6i2.288.
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Plastic surgery in Indonesia was pioneered and developed by Moenadjat Wiratmadja, MD., in 1958. This specialty experienced many developments and improvements over time with more specific subspecialties to facilitate the advancement of the science of plastic surgery, including the reconstructive microsurgery subspecialty. The reconstructive microsurgery service in the plastic surgery division dr. Ciptomangunkusumo National Hospital (RSCM), Jakarta, Indonesia was first initiated by Sidik Setiamiharja, MD., self-taught from the textbooks. In late 1985, following the success of conducting the first basic microsurgery course in Jakarta, the plastic surgery team in RSCM which consisted of Sidik Setiamihardja, MD, Chaula L. Sukasah, MD and Gentur Sudjatmiko, M.D. pioneered many of the first microsurgery cases, including the first major limb replantation, first penile replantation and the first free flap. Overtime, the reconstructive microsurgery subspecialty has been growing significantly. In 2019, the number of free flap cases at RSCM reached the highest number in Indonesia with 90 free flap cases with 94% success rate.
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C, Novie Amelia, Djajadiman Gatot, Endang Windiastuti, and Setyo Handryastuti. "Perdarahan Intrakranial pada Hemofilia: Karakteristik, Tata Laksana, dan Luaran." Sari Pediatri 13, no. 4 (November 17, 2016): 250. http://dx.doi.org/10.14238/sp13.4.2011.250-6.
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Latar belakang. Perdarahan intrakranial merupakan salah satu penyebab mortalitas tertinggi pada hemofilia dan morbiditas berupa gangguan neurologis. Tujuan.Mengetahui gambaran klinis, tata laksana dan luaran pasien hemofilia anak yang mengalami perdarahan intrakranial di Departemen Ilmu Kesehatan Anak RS Dr. Cipto Mangunkusumo, Jakarta selama periode 2007-2010.Metode. Studi retrospektif pasien hemofilia berusia >1 bulan hingga 18 tahun yang dirawat dengan diagnosis perdarahan intrakranial di Departemen Ilmu Kesehatan Anak RSCM dalam kurun waktu 1 Januari 2007 – 31 Desember 2010. Data dikumpulkan dari Registrasi Hemofilia Divisi Hematologi-Onkologi dan rekam medik Departemen Ilmu Kesehatan Anak RSCM, Jakarta.Hasil. Selama kurun waktu penelitian, dari 154 pasien hemofilia anak (usia <18 tahun) yang terdaftar di Registrasi Hemofilia Divisi Hematologi-Onkologi Departemen Ilmu Kesehatan Anak RSCM, terdapat 13 episode perdarahan intrakranial yang dialami oleh 11 pasien (7,1%). Pasien adalah hemofilia A dengan median usia 6 tahun (3 - 15 tahun). Delapan dari 13 episode perdarahan intrakranial didahului oleh trauma kepala. Manifestasi klinis tersering adalah nyeri kepala (7), muntah (6), kejang (4), penurunan kesadaran (3), iritabilitas (2), paresis motorik (2), paresis saraf kranial (2) dan vulnus laceratumdi kepala (1). Perdarahan terbanyak adalah pada lokasi subdural (7). Median durasi pemberian faktor VIII adalah 10,5 hari (7-16 hari). Sembilan pasien membaik tanpa komplikasi, satu pasien mengalami epilepsi dan satu pasien meninggal dunia.Kesimpulan. Angka kejadian perdarahan intrakranial pada hemofilia di RSCM 7,1%. Ketersediaan faktor pembekuan untuk replacement therapydan kerjasama tim multidisiplin sangat penting untuk memperbaiki luaran pasien hemofilia yang mengalami perdarahan intrakranial.
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Purbasari, Lusiana, Anindya Larasati, and Larisa Paramitha Wibawa. "Epidemiologic Profile of Seborrheic Keratosis and Acrochordon at the National Referral Hospital in Indonesia." Berkala Ilmu Kesehatan Kulit dan Kelamin 35, no. 3 (November 22, 2023): 182–86. http://dx.doi.org/10.20473/bikk.v35.3.2023.182-186.
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Background: Seborrheic keratosis (SK) and acrochordon are common benign neoplasms of the skin thatan be diagnosed clinically. Management of SK and acrochordon has a wide range of purposes, including aesthetic appearance and health concerns. Epidemiologic data for these entities is rare in Indonesia. Purpose: To determine the epidemiology of SK and acrochordon patients at the Dermatology & Venereology (DV) Clinic, dr. Cipto Mangunkusumo National Central General Hospital (RSCM). Method: Patient registry data at the DV Clinic, RSCM from 2014 to 2017 was collected retrospectively. Data was obtained by using the total sampling method and retrieving characteristics such as age, sex, and outpatient-based procedures. Result: In the four-year period, there were 1.202 SK patient visits with 447 new cases and 374 acrochordon patient visits with 169 new cases. The proportion of SK patients in this study was 2.2%; acrochordon was 1.8% of all patients at the DV Clinic of RSCM. The highest prevalence of SK was found in patients older than the 6th decade, while for acrochordon, it was within the 4th decade. Both SK and acrochordon were seen higher in women, with a male-to-female ratio of 1:2. Electrosurgery was the most common office procedure performed. Conclusion: Seborrheic keratosis and acrochordon proportion, respectively, are 2.2% and 1.8% at the DV Clinic, RSCM. Seborrheic keratosis and acrochordon are more frequent in women, with the peak occurring in 6th decade and 4th decade, respectively
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Kusmanto, Thohir Yuli. "PENANGANAN BERBASIS RUMAH SAKIT TERHADAP KORBAN KEKERASAN BERBASIS GENDER." Sawwa: Jurnal Studi Gender 7, no. 2 (May 15, 2012): 113. http://dx.doi.org/10.21580/sa.v7i2.652.
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Kekerasan berbasis gender telah ada dan menjadi bagian dari kehidupan umat manusia selama peradaban ini ada. Beragam faktor yang melatar belakanginya. Namun persoalan tersebut hingga saat ini masih kurang menjadi perhatian publik. Bahkan cenderung diisolasi agar tidak menjadi konsumsi publik. Mayoritas korban tindak kekerasan berbasis gender adalah perempuan dan anak-anak. Perempuan rentan menjadi korban tindak kekerasan karena mereka lemah dan tidak berdaya, akibat dari relasi gender yang tidak adil dan setara. Laki-laki cenderung dominan dalam relasi gender. Fenomena tersebut bisa dilihat dalam berbagai data baik di media ataupun lembaga sosial yang punya perhatian menangani kasus ini. Dalam perkembangan saat ini, terutama pasca reformasi perhatian publik terhadap persoalan tindak kekerasan berbasis gender meningkat. Banyak lembaga sosial kemasyarakatan dan juga lembaga layanan publik yang memberikan layanan penanganan korban tindak kekerasan berbasis gender, diantaranya Pusat Krisis Terpadu (PKT) Rumah Sakit Cipto Mangunkusumo (RSCM) Jakarta. PKT RSCM merupakan pioner dari lembaga penanganan korban kekerasan berbasis gender yang berbasis rumah sakit. Dalam makalah ini penulis berupaya mengemukakan dinamika PKT RSCM dalam perjuangannya untuk menangani korban kekerasan berbasis gender.
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Ghiasi-Shirazi, Kamaledin, Mahdi Mohseni, Majid Darvishan, and Reza Yousefzadeh. "RSCM technology for developing runtime-reconfigurable telecommunication applications." Computer Standards & Interfaces 51 (March 2017): 43–55. http://dx.doi.org/10.1016/j.csi.2016.10.015.
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Dharma, Andhika Guna, Ari Djatikusumo, Elvioza Elvioza, Gitalisa Andayani Adriono, Anggun Rama Yudantha, Mario Marbungaran Hutapea, and Andi Arus Victor. "Vitrektomi dengan Anestesi Lokal pada Ablasio Retina Rhegmatogen di Rumah Sakit Cipto Mangunkusumo." Ophthalmologica Indonesiana 46, no. 2 (August 27, 2020): 131. http://dx.doi.org/10.35749/journal.v46i2.100090.
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Latar Belakang: Vitrektomi pada ablasio retina dapat dilakukan dengan anestesi umum maupun anestesi lokal. Anestesi lokal kerap dipilih atas keunggulannya dalam efisiensi waktu dan biaya. Tujuan: Memaparkan tingkat keberhasilan anatomi dan fungsional vitrektomi dengan anestesi lokal pada ablasio retina rhegmatogen di Divisi Vitreoretina RSCM-FKUI.
Metode: Penelusuran retrospektif pada 42 pasien ablasio retina rhegmatogen yang dilakukan vitrektomi dengan anestesi lokal di RSCM-FKUI pada Januari 2017 – Juni 2017.Hasil: Terjadi peningkatan tajam penglihatan pada enam bulan pasca vitrektomi dengan anestesi lokal yaitu visus ?1/60 dari 55% menjadi 77%. Kondisi retina menempel pasca tindakan operasi vitrektomi dengan anestesi lokal sebanyak 93%.
Kesimpulan: Tingkat keberhasilan fungsional sebesar 77% dan keberhasilan anatomis 93%.
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Wiguna, Tjhin, Paul Samuel Kris Manengkei, Christa Pamela, Agung Muhammad Rheza, and Windy Atika Hapsari. "Masalah Emosi dan Perilaku pada Anak dan Remaja di Poliklinik Jiwa Anak dan Remaja RSUPN dr. Ciptomangunkusumo (RSCM), Jakarta." Sari Pediatri 12, no. 4 (November 18, 2016): 270. http://dx.doi.org/10.14238/sp12.4.2010.270-7.
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Latar belakang. Anak dengan masalah emosi dan perilaku mempunyai kerentanan untuk mengalamihendaya dalam fungsi kehidupan sehari-hari, terutama dalam fungsi belajar dan sosialisasi. Masalah tersebutseringkali sulit dikenali oleh orangtua sehingga anak dengan masalah ini datang berobat dalam kondisiyang cukup berat.Tujuan. Untuk mengetahui persepsi orangtua terhadap perubahan emosi dan perilaku pada anak merekapada saat berkonsultasi di Poliklinik Jiwa Anak dan Remaja RSCM Jakarta selama periode November2009–Mei 2010.Metode. Penelitian deskriptif dengan menggunakan data sekunder dari catatan medik anak dan remaja diPoliklinik Anak dan Remaja RSCM, selama periode November 2009 – Mei 2010. Kriteria inklusi adalah,catatan medik lengkap mengenai data anak beserta orangtuanya, dan kuesioner Strength and DifficultiesQuestionaire (SDQ) diisi dengan lengkap.Hasil. Selama periode enam bulan didapatkan 161 subjek penelitian yang memenuhi kriteria yang sudahditentukan. Enam puluh lima koma sembilan puluh persen dari seluruh subjek penelitian berada pada usiakurang dari 12 tahun dan mempunyai tingkat pendidikan setara dengan sekolah dasar. Proporsi terbesaradalah masalah hubungan dengan teman sebaya 54,81%, dan masalah emosional 42,2%.Kesimpulan. Masalah teman sebaya dan emosi merupakan masalah yang terbesar yang dijumpai pada pasienanak dan remaja yang datang berobat ke Poliklinik Jiwa Anak dan Remaja RSCM. Perlu dipertimbangkanuntuk menerapkan suatu program keterampilan sosial di masyarakat atau sekolah sehingga diharapkandapat menurunkan masalah ini di kemudian hari.
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Pulungan, Aman B., Riza Mansyoer, Jose RL Batubara, and Bambang Tridjaja AAP. "Gambaran Klinis dan Laboratoris Diabetes Mellitus tipe-1 pada Anak Saat Pertama Kali Datang ke Bagian IKA-RSCM Jakarta." Sari Pediatri 4, no. 1 (December 6, 2016): 26. http://dx.doi.org/10.14238/sp4.1.2002.26-30.
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Diabetes Mellitus tipe-1 merupakan salah satu penyakit kronis yang sampai saat inibelum dapat disembuhkan. Walaupun demikian, berkat kemajuan teknologi kedokterankualitas hidup pasien DM tipe-1 dapat terpelihara. Sebagian besar kasus DM pada anaktermasuk di dalam DM tipe-1, namun sedikit sekali tulisan di Indonesia mengenaikarakteristik klinis dan laboratorium DM tipe-1. Hal ini mengakibatkan banyak tenagamedis yang tidak mengetahuinya sehingga sering sekali salah dalam mendiagnosis pasienDM tipe-1. Pasien DM tipe-1 sebagian besar mempunyai riwayat perjalanan klinis,dengan poliuria, polidipsia, polifagia, dan berat badan yang cepat menurun. Untukmengurangi keterlambatan diagnosis maka kewaspadaan terhadap DM tipe-1 merupakankata kunci. Telah dilakukan penelitian deskriptif retrospektif pada semua pasien DMtipe-1 yang berobat ke Bagian IKA-RSCM antara tahun 1989-1999. Seluruh subyekpenelitian diambil dari catatan medis dan didapat 41 kasus dengan DM tipe-1 dengansebagian besar anak perempuan. Usia terbanyak saat datang pertama kali ke BagianIKA-RSCM pada usia 5-10 tahun (56%). Dari 41 kasus DM tipe-1, hanya 31% yangmempunyai keturunan keluarga DM. Saat datang ke Bagian IKA-RSCM 66% dengankatoasidasis diabetik, 71% menderita gizi kurang dan seluruh pasien datang dengankeluhan poliuria, polidipsia, polifagia dan adanya penurunan berat badan yang progresif.Gangguan kesadaran juga menyertai pasien dengan KAD. Kadar gula darah pasien DMtipe-1 terbanyak antara 300-500 mg/dl (51%). Semua pasien pada saat awal diagnosiskadar HbA1c di atas normal dan C-peptida di bawah normal.
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Aji, Daniel Nugraha, Christopher Silman, Citra Aryudi, Cynthia Cynthia, Centauri Centauri, Damara Andalia, Desi Astari, et al. "Faktor–Faktor yang Berhubungan dengan Kualitas Hidup Pasien Thalassemia Mayor di Pusat Thalassemia Departemen Ilmu Kesehatan Anak RSCM." Sari Pediatri 11, no. 2 (November 25, 2016): 85. http://dx.doi.org/10.14238/sp11.2.2009.85-9.
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Latar belakang. Transfusi darah dan terapi kelasi yang diberikan seumur hidup pada anak dengan thalassemiamayor memberikan harapan hidup yang sama dengan anak sehat. Kualitas hidup menjadi hal yang pentingdengan bertambahnya angka harapan hidup pasien thalassemia.Tujuan. Mengetahui kualitas hidup anak dengan thalassemia mayor di Pusat Thalassemia Departemen IlmuKesehatan Anak FKUI-RSCM serta faktor-faktor yang berhubungan.Metode. Penelitian menggunakan rancangan cross-sectional. Pengambilan sampel dilakukan secara konsekutifpada bulan Juli 2009. Subjek penelitian adalah anak berusia 13-18 tahun di Pusat Thalassemia DepartemenIlmu Kesehatan Anak FKUI-RSCM yang datang selama periode penelitian. Penilaian kualitas hidupmenggunakan kuesioner baku PedsQL yang diisi sendiri oleh subjek. Analisis data dengan metode univariatdengan tingkat kemaknaan=0,05.Hasil. Dari 97 subjek, 49 (50,5%) memiliki kualitas hidup buruk. Sebaran usia, jenis kelamin, dan pendapatanorang tua berturut-turut didapatkan pada 53 subjek (54,6%) berusia 13-15 tahun, 49 subjek (50,5%) perempuan,dan 53 subjek (54,6%) memiliki orang tua berpendapatan menengah. Kelompok suku bangsa terbanyakadalah Sunda-Sunda (32%). Perubahan fisis dialami oleh 78% subjek yang terdiri dari facies Cooley (58%),hiperpigmentasi (64%), dan perut membuncit (26%). Faktor yang berhubungan dengan kualitas hidup adalahtingkat pendapatan orang tua (p=0,037), suku bangsa (p=0,019), dan tampilan facies cooley (p=0,006).Kesimpulan. Separuh anak dengan thalassemia mayor di Pusat Thalassemia RSCM (50,5%) memiliki kualitashidup yang buruk. Kualitas hidup tersebut berhubungan dengan tingkat pendapatan orang tua, suku, dantampilan facies Cooley.
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Leonardo, Leonardo, Alie Solahuddin, and Wardiansah Wardiansah. "Angka Kejadian Posterior Capsular Opacity di Rumah Sakit Khusus Mata Provinsi Sumatera Selatan." Sriwijaya Journal of Medicine 4, no. 2 (August 4, 2021): 138–42. http://dx.doi.org/10.32539/sjm.v4i2.120.
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Posterior Capsular Opacity salah satu komplikasi yang terjadi dari operasi katarak. Sebanyak 8,82% pasien mengalami Posterior Capsular Opacity di RSCM, Jakarta. Penelitian ini bertujuan untuk megetahui angka kejadian Posterior Capsular Opacity di RSKM, Palembang. Penelitian ini merupakan studi deskriptif observasional dengan desain cross-sectional. Sampel penelitian adalah pasien yang telah menjalani operasi katarak di RSKM Provinsi Sumatera Selatan pada periode Januari – Maret 2018 yang dipilih dengan sistem total sampling. Sebanyak 353 pasien memenuhi kriteria inklusi. Data distribusi kejadian dan sosiodemografi posterior capsular opacity didata melalui rekam medik pasien dan dianalisis dengan analisis univariat. Dari 353 pasien yang menjalani operasi katarak, sebanyak 2 orang (0,6%) mengalami posterior capsular opacity. Pada jenis kelamin laki-laki dan perempuan, didapatkan masing-masing 1 orang (0,6%). Dewasa berusia 18 – 60 tahun dan usia lanjut ≥ 60 tahun masing-masing sejumlah 1 orang berusia 54 tahun (1%) dan berusia 66 tahun (0,4%).. Tidak ditemukan kejadian Posterior Capsular Opacity pada anak ≤ 18 tahun. Angka kejadian Posterior Capsular Opacity di Rumah Sakit Khusus Mata Provinsi Sumatera Selatan pada tahun 2018 cukup rendah. Menurut jenis kelamin, didapatkan jumlah kejadian setara. Menurut usia, dewasa berusia dewasa dan lanjut usia setara. Tidak ditemukan kejadian Posterior Capsular Opacity pada anak-anak.
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Arif, Muhammad Andi, Moh Azhar, Sempurna Bangun, and Pio Ranap Tua Naibaho. "ANALISIS KAPASITAS PROFIL GELAGAR MEMANJANG DAN GELAGAR MELINTANG TERHADAP GAYA-GAYA DALAM JEMBATAN RANGKA BAJA TIPE WARREN DENGAN MENGGUNAKAN SOFTWARE MIDAS CIVIL 2019 (Studi Kasus : Jembatan Penghubung Gedung RSCM Kencana – Gedung RSCM Kirana)." JURNAL ILMIAH GLOBAL EDUCATION 4, no. 4 (December 19, 2023): 2250–64. http://dx.doi.org/10.55681/jige.v4i4.1164.
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There are two access bridges that have different functions and to cross the Ciliwung river below as an access road from the RSCM Kencana building to RSCM Kirana. Where there is access to the bridge that is specifically for car/motorcycle riders and a special bridge for pedestrians. However, the density of motorists and pedestrians can hinder traffic access. Thus, supporting infrastructure was built, namely a vehicle bridge and connecting pedestrians from the Kencana RSCM building to the Kirana RSCM building. The type of bridge built is a concrete slab steel frame bridge. In this regard, this study aims to determine the values of the ultimate moment, shear, and axial forces that occur with the object viewed from the longitudinal and transverse girders whether they exceed the nominal profile value or not, and the deflections that occur on the behavior of the structure. on the bridge according to SNI 1725:2016 loading with the help of the MIDAS Civil 2019 software. From the results of the calculation and capital analysis on the MIDAS Civil 2019 software, the values of the internal forces on the object under review do not exceed the nominal strength value of the profile. First, the girder extends against ultimate moment of ϕMn ≥ Mu = 3.762,080 kNm ≥ 528,869 kNm, against shear force ϕVn ≥ Vu = 1.095,444 kN ≥ 909,282 kN, against axial compressive force ϕPn ≥ Pu = 8.532,876 k N ≥ 3.115,265 kN, to the axial tensile force ϕPn ≥ Pu 7.726,842 kN ≥ 2.434,744 kN. Second, the transverse girder with respect to the ultimate moment of ϕMn ≥ Mu = 1.242,046 kNm ≥ 53,723 kNm, against the shear force ϕVn ≥ Vu = 1.076,400 kN ≥ 81,513 kN, against the axial compressive force ϕPn ≥ Pu = 3.805,349 kN ≥ 255,812 kN. The deflection value that occurs at the ultimate state of the structural behavior of the bridge is 48.70 mm where this value is still smaller than the allowable deflection of 55 mm. So it can be concluded that the bridge structure is safe when it receives the ultimate load.
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Muhammad Andi Arif, Moh. Azhar, and Sempurna Bangun. "ANALYSIS OF THE CAPACITY OF A WARREN TYPE STEEL FRAME BRIDGE USING MIDAS CIVIL 2019 SOFTWARE." International Journal on Livable Space 8, no. 1 (February 27, 2024): 29–36. http://dx.doi.org/10.25105/livas.v8i1.18746.
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There are two access bridges that have different functions, i.e., to cross the Ciliwung river as an access road from the RSCM Kencana building to RSCM Kirana, where there is access to the bridge that is specifically for car/motorcycle riders and a special bridge for pedestrians. However, the density of motorists and pedestrians can hinder traffic access. Thus, supporting infrastructure was built, namely a vehicle bridge and connecting pedestrians from the Kencana RSCM building to the Kirana RSCM building. The type of built bridge is a concrete slab steel frame bridge. This study aims to determine the values of the ultimate moment, shear, and axial forces that occur with the object viewed from the longitudinal and transverse girders whether they exceed the nominal profile value or not, and the deflections that occur on the behavior of the structure on the bridge based on SNI 1725:2016 loading with the aisstance of the MIDAS Civil 2019 software. The results of the calculation and capital analysis on the MIDAS Civil 2019 software, the values of the internal forces on the object under review do not exceed the nominal strength value of the profile. First, the girder extends against ultimate moment of ϕMn ≥ Mu = 3.762,080 kNm ≥ 528,869 kNm, against shear force ϕVn ≥ Vu = 1.095,444 kN ≥ 909,282 kN, against axial compressive force ϕPn ≥ Pu = 8.532,876 k N ≥ 3.115,265 kN, to the axial tensile force ϕPn ≥ Pu 7.726,842 kN ≥ 2.434,744 kN. Second, the transverse girder with respect to the ultimate moment of ϕMn ≥ Mu = 1.242,046 kNm ≥ 53,723 kNm, against the shear force ϕVn ≥ Vu=1.076,400 kN ≥ 81,513 kN, against the axial compressive force ϕPn ≥ Pu = 3.805,349 kN ≥ 255,812 kN .The deflection value that occurs at the ultimate state of the structural behavior of the bridge is 48.70 mm, this value is smaller than the allowable deflection of 55 mm, making the bridge structure is safe when it receives the ultimate load.
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Daniel, Hisar, Syntia Nusanti, and M. Sidik. "Karakteristik, Hasil Terapi dan Prediktor Keberhasilan Terapi Pasien Neuropatik Optik Traumatik (NOT) Divisi Neurooftalmolog Rumah Sakit Cipto Mangunkusumo." Ophthalmologica Indonesiana 44, no. 1 (February 24, 2019): 17. http://dx.doi.org/10.35749/journal.v44i1.157.
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Latar belakang : Mengetahui karakteristik demografis pasien, hasil terapi yang diberikan dan menemukan faktor prediktor keberhasilan terapi pasien NOT di RSCM. Metode : Penelitian deskriptif menggunakan data sekunder dari telusur rekam medis pasien yang terdiagnosis NOT dari poliklinik Divisi Neuro-Oftalmologi (NO) Departemen Medik Mata FKUI/RSCM pada periode Januari 2014 hingga Desember 2015.
Hasil : Karakteristik demografik pasien NOT di RSCM ialah 82,4% laki-laki, dan rerata usia adalah 22,47 ± 10,68 tahun. Sebanyak 50% datang dalam rentang kurang dari 24 jam pasca trauma. Penurunan tajam penglihatan berat (58,8% NLP), 67,6% dengan RAPD positif, dan papil nervus optik yang bervariatif. Sebanyak 67,6% ditatalaksana dengan metilprednisolon intravena (1 g/hari selama 3 hari), 26,5% dengan metilprednisolon oral (0,8mg/kgBB/hari). Perbaikan tajam penglihatan dijumpai pada 32,4% pasien yang mendapatkan pengobatan selama satu bulan. Pasien close globe injury yang mendapat terapi < 24 jam secara statistik terjadi perbaikan tajam penglihatan (p = < 0.05).
Kesimpulan : Faktor prediktor seperti awitan trauma, awitan terapi inisial dan hasil pencitraan pada penelitian ini belum kuat untuk menjadi acuan dalam memprediksi keberhasilan terapi. Akan tetapi, pasien dengan closed globe injury yang diobati kurang dari 24 jam menunjukkan perbaikan tajam penglihatan yang signifikan. Dosis metilprednisolon IV 1 gram/hari selama 3 hari yang dilanjutkan dengan penirusan dosis per inggu maupun pemberian preparat oral dengan dosis 0.8 mg/KgBB/hari dapat digunakan. Pengobatan dilakukan setidaknya sampai dengan 1 bulan pasca pengobatan karena kurang baiknya kepatuhan pasien neuropati optik traumatic.
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Ubukata, Seiki, Keisuke Umado, Akira Notsu, and Katsuhiro Honda. "Characteristics of Rough SetC-Means Clustering." Journal of Advanced Computational Intelligence and Intelligent Informatics 22, no. 4 (July 20, 2018): 551–64. http://dx.doi.org/10.20965/jaciii.2018.p0551.
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HardC-means (HCM), which is one of the most popular clustering techniques, has been extended by using soft computing approaches such as fuzzy theory and rough set theory. FuzzyC-means (FCM) and roughC-means (RCM) are respectively fuzzy and rough set extensions of HCM. RCM can detect the positive and the possible regions of clusters by using the lower and the upper areas which are respectively analogous to the lower and the upper approximations in rough set theory. RCM-type methods have the problem that the original definitions of the lower and the upper approximations are not actually used. In this paper, rough setC-means (RSCM), which is an extension of HCM based on the original rough set definition, is proposed as a rough set-based counterpart of RCM. Specifically, RSCM is proposed as a clustering model on an approximation space considering a space granulated by a binary relation and uses the lower and the upper approximations of temporal clusters. For this study, we investigated the characteristics of the proposed RSCM through basic considerations, visual demonstrations, and comparative experiments. We observed the geometric characteristics of the examined methods by using visualizations and numerical experiments conducted for the problem of classifying patients as having benign or malignant disease based on a medical dataset. We compared the classification performance by viewing the trade-off between the classification accuracy in the positive region and the fraction of objects classified as being in the positive region.
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Hidayat, Rudy, Sumariyono, RM Suryo Anggoro Kusumo Wibowo, Anna Ariane, Faisal Parlindungan, Johanda Damanik, and Abirianty Priandani Araminta. "Characteristics and Treatment Responses of Rheumatoid Arthritis Patients at Dr. Cipto Mangunkusumo National General Hospital." Indonesian Journal of Rheumatology 15, no. 2 (December 19, 2023): 791–97. http://dx.doi.org/10.37275/ijr.v15i2.252.
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Introduction: Rheumatoid arthritis (RA) is a chronic progressive autoimmune rheumatic disease that primarily affects the joints. The goal of RA treatment is to achieve remission or low disease activity, using a treat-to-target approach. This study aims to explore the characteristics of RA patients and evaluate their treatment responses in Dr. Cipto Mangunkusumo National General Hospital (RSCM). Methods: This cross-sectional study is conducted by collecting demographic and clinical data, as well as interviewing adult patients that have been diagnosed with RA at the Rheumatology Clinic of RSCM and have been on disease-modifying antirheumatic drugs (DMARD) treatment for a minimum of 6 months.Results: A total of 94 patients were included in this study. Subjects were predominantly female (93.6%) and had no formal jobs (64.9%). A majority of RA patients exhibited moderate disease activity (48.9%, based on Disease Activity Score-28 with erythrocyte sedimentation rate [DAS-28 ESR]), with a relatively high level of steroid use (86.2%). Notably, most patients started DMARD treatment more than 2 years after the onset of symptoms (45.7%). The proportion of patients achieving therapy target (remission to low disease activity) was 41.5%, with 13.8% attaining remission. Furthermore, Health Assessment Quality (HAQ) scores were found to be significantly lower among the target-achieving group, indicating better quality of life.Conclusion: Therapy target was achieved in 41.5% of RA patients in RSCM, with 13.8% achieving remission. Further research can be conducted to evaluate factors which may affect treatment response among RA patients.
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Gunnesch-Luca, George, and Klaus Moser. "Development and Validation of a German Language Unit-Level Organizational Citizenship Behavior (OCB) Scale." European Journal of Psychological Assessment 36, no. 5 (September 2020): 852–63. http://dx.doi.org/10.1027/1015-5759/a000558.
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Abstract. The current paper presents the development and validation of a unit-level Organizational Citizenship Behavior (OCB) scale based on the Referent-Shift Consensus Model (RSCM). In Study 1, with 124 individuals measured twice, both an Exploratory Factor Analysis (EFA) and a Confirmatory Factor Analysis (CFA) established and confirmed a five-factor solution (helping behavior, sportsmanship, loyalty, civic virtue, and conscientiousness). Test–retest reliabilities at a 2-month interval were high (between .59 and .79 for the subscales, .83 for the total scale). In Study 2, unit-level OCB was analyzed in a sample of 129 work teams. Both Interrater Reliability (IRR) measures and Interrater Agreement (IRA) values provided support for RSCM requirements. Finally, unit-level OCB was associated with group task interdependence and was more predictable (by job satisfaction and integrity of the supervisor) than individual-level OCB in previous research.
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Kuo, Li-Wei, Jyh-Rou Huang, Jiann-Neng Fang, Jialiang Si, Sheng-Rong Song, Haibing Li, and En-Chao Yeh. "Carbonaceous Materials in the Fault Zone of the Longmenshan Fault Belt: 2. Characterization of Fault Gouge from Deep Drilling and Implications for Fault Maturity." Minerals 8, no. 9 (September 7, 2018): 393. http://dx.doi.org/10.3390/min8090393.
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In recent works on the determination of graphitization of carbonaceous materials (CM) within the principal slip zone (PSZ) of the Longmenshan fault (China), we demonstrated that the formation of graphite, resulted from strain and frictional heating, could be evidence of past seismic slip. Here we utilize Raman Spectroscopy of CM (RSCM) on the CM-bearing gouges in the fault zone of the Longmenshan fault belt, at the borehole depth of 760 m (FZ760) from the Wenchuan earthquake Fault Scientific Drilling project-1 (WFSD-1), to quantitatively characterize CM and further retrieve ancient fault deformation information in the active fault. RSCM shows that graphitization of CM is intense in the fault core with respect to the damage zone, with the graphitized carbon resembling those observed on experimentally formed graphite that was frictionally generated. Importantly, compared to the recognized active fault zone of the Longmenshan fault, the RSCM of measured CM-rich gouge shows a higher degree of graphitization, likely derived from high-temperature-perturbation faulting events. It implies that FZ760 accommodated numerous single-event displacement and/or at higher normal stresses and/or in the absence of pore fluid and/or along a more localized slip surface(s). Because graphite is a well-known lubricant, we surmise that the presence of the higher degree graphitized CM within FZ760 will reduce the fault strength and inefficiently accumulate tectonic stress during the seismic cycle at the current depth, and further infer a plausible mechanism for fault propagation at the borehole depth of 590 m during the Mw 7.9 Wenchuan earthquake.
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Renaldi, Kaka, Teddy Septianto, and Dadang Makmun. "The Risk Factors of Pancreatic Cancer Patients in Dr. Cipto Mangunkusumo National Hospital, Jakarta During 2014-2019." Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy 21, no. 2 (September 30, 2020): 120–25. http://dx.doi.org/10.24871/2122020120-125.
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Background: Pancreatic cancer is a very rare cancer with age-adjusted rates ranging from about 5 to 10 new cases per 100,000 persons per year. It has one of the worst prognoses of any type of cancer, with a 5-year survival rate of only 4.6%. Several risk factors have been identified, including older age, smoking, familial history of pancreatic cancer, obesity, chronic pancreatitis, diabetes mellitus, and alcohol consumption.Method: This was a descriptive study describing the risk factors of patients who were diagnosed with pancreatic cancer in the period between 1 January 2014 – 1 January 2019 at the Cipto Mangunkusumo National Referral Hospital (RSCM) Jakarta. Data were obtained from the medical records and Endoscopic Retrograde Cholangiopancreatography (ERCP) database from the RSCM Gastrointestinal Endoscopy Center.Results: From January 2014 to January 2019 there were 123 patients with newly diagnosed pancreatic cancer in RSCM. The mean age was 52 years old. The incidence of pancreatic cancer is more common in men (53%) than women (47%). The most common risk factor identified is smoking which was found in 29% of patients, followed by obesity at 27.9% and a history of diabetes mellitus at 19.5%. Risk factors with a fairly low prevalence include alcohol consumption at 9.7% and chronic pancreatitis at 2.4%. No family history of pancreatic cancer is identified in any subject.Conclusion: Smoking, obesity, and diabetes mellitus are common risk factors in pancreatic cancer patients. In contrast, chronic pancreatitis, alcohol consumption, and family history of pancreatic cancer are less commonly identified in patients.
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Rahayu, Budi, Nafiah Ariyani, and Levyda Levyda. "Pengaruh Kualitas Pelayanan terhadap Kepuasan Pelanggan: Studi pada Unit Pelayanan Transfusi Darah di RSCM." Jurnal Syntax Admiration 4, no. 2 (February 1, 2023): 138–51. http://dx.doi.org/10.46799/jsa.v3i12.502.
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The best service quality is an important factor that must be owned by a company in order to be able to survive and still gain the trust of customers. Service quality is a performance indicator for health service providers such as hospitals. Hospitals will be more advanced if their performance can be maintained and improved according to patient demands. Therefore, hospital services must lead to market forces so that hospital orientation can retain customers so that the main goal can be carried out properly. Customer satisfaction is one of the determining factors and an indicator of quality and safety in UPTD RSCM. Customer satisfaction at UPTD RSCM is influenced by factors of reliability, responsiveness, assurance, empathy and tangible assets from the Blood Service Technician (TPD). The effect of service and performance of medical officers on customer satisfaction in the Blood Transfusion Unit of Dr. RSUPN. Cipto Mangunkusumo was carried out through the stages of research, namely: Analyzing the effect of service and performance of medical officers on patient satisfaction in the inpatient/or outpatient room at Dr. Cipto Mangunkusumo. From the results of data collection respondents, in this study the authors conclude a hypothesis; that customers are satisfied with the quality of service at the RSCM Blood Transfusion Unit on the factors of realibility, responsiveness, assurance, empathy and tangibles as a whole are at an index of 88.42% based on a Likert scale in the 'satisfied' category. The value of the consumer satisfaction index (CSI) lies in the 80% - 89.99% interval which indicates that the Customer Satisfaction Index is in the "satisfied" category
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Ben Yahya, Taher, Noriza Mohd Jamal, Balan Sundarakani, and Siti Zaleha Omain. "Factors Affecting Mobile Waste Recycling through RSCM: A Literature Review." Recycling 6, no. 2 (May 8, 2021): 30. http://dx.doi.org/10.3390/recycling6020030.
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Mobile phone consumers have been motivated by the rapid growth of technology and encouraged to update their devices regularly to keep up with new innovations, architectures, and capabilities. Consequently, mobile/cell phone waste has risen significantly in the last decade. Due to their small size, it is convenient for users to keep outdated or unused mobile phones at home or the office, rather than recycling them appropriately. A reverse supply chain (RSC) is one possible method of mitigating the questionable e-waste activity present in the ecosystem. RSC has been significant for the mobile phone industry, user states, analysts, and scholars. This paper reviews the available literature in the RSC management (RSCM) domain, along with its processes and strategies. The paper reviews 223 published scholarly papers in the domain of mobile phone waste recycling and investigates 22 papers related to factors influencing consumers’ intention with regard to electronic recycling, focusing on mobile devices, which contribute significantly to electronic waste management practices.
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Sinaga, James L. Alvin, Soepardi Soedibyo, Harry S. Purwanto, and Aman B. Pulungan. "Tingkat Kepuasan Orangtua Pasien di Pediatri Rawat Jalan Departemen Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Cipto Mangunkusumo Jakarta." Sari Pediatri 8, no. 2 (December 5, 2016): 135. http://dx.doi.org/10.14238/sp8.2.2006.135-41.
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Latar belakang. Sejak tahun 2000 hingga kuartal I tahun 2005 angka kunjunganpasien rawat jalan mengalami penurunan secara gradual di Unit Rawat Jalan DepartemenIlmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Cipto Mangunkusumo (URJDepartemen IKA RSUP CM) Jakarta. Kecenderungan penurunan angka kunjunganpasien merupakan indikator bagi pengelola untuk meninjau kembali strategi pelayanandi Pediatri Rawat Jalan.Tujuan Penelitian. Meneliti tingkat kepuasan orangtua pasien yang membawa anaknyaberobat jalan di URJ Departemen IKA RSCM.Metoda penelitian. Studi survai deskriptif dengan metode potong lintang (crosssectional) dilakukan di URJ Departemen IKA RSCM dalam kurun waktu Agustus –Nopember 2005. Pengumpulan data primer menggunakan kuesioner yang terstrukturberisi 30 pertanyaan.Hasil penelitian. Dari 144 orang tua pasien, enam puluh dua persen orangtua pasienmerasa puas terhadap kualitas pelayanan, skor kepuasan total terhadap dimensi kualitaspelayanan 3,55 (puas). Bukti fisik (tangibility) memberi skor kepuasan tertinggisedangkan kehandalan pelayanan (reliability) memberi skor kepuasan terendah bagiorangtua pasien.Kesimpulan. Kualitas pelayanan di URJ Departemen IKA RSCM memuaskan (skor3,55) dan persentase orangtua pasien yang puas 62%.
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Ubukata, Seiki, Hiroki Kato, Akira Notsu, and Katsuhiro Honda. "Rough Set-Based Clustering Utilizing Probabilistic Memberships." Journal of Advanced Computational Intelligence and Intelligent Informatics 22, no. 6 (October 20, 2018): 956–64. http://dx.doi.org/10.20965/jaciii.2018.p0956.
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Representing the positive, possible, and boundary regions of clusters, rough set-based C-means clustering methods, such as generalized rough C-means (GRCM) and rough set C-means (RSCM), are promising for analyzing vague cluster shapes and realizing reliable classification. In this study, we consider rough set-based clustering approaches that utilize probabilistic memberships as variants of GRCM and RSCM, including π generalized rough C-means (πGRCM), π rough set C-means (πRSCM), and rough membership C-means (RMCM). πGRCM and πRSCM assign equal probabilities of cluster belonging according to Laplace’s principle of indifference, whereas RMCM assigns the probabilities according to rough memberships, which represent conditional probabilities based on the object’s neighborhood derived from a binary relation. In addition, we discuss the theoretical validity of our RMCM approach and compare it with other methods considered in this study. Furthermore, we conducted numerical experiments for evaluating the classification performances of the abovementioned methods. Based on our experimental results, the methods were found to be effective.
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Ubukata, Seiki, Sho Sekiya, Akira Notsu, and Katsuhiro Honda. "Noise Rejection Approaches for Various Rough Set-Based C-Means Clustering." Journal of Advanced Computational Intelligence and Intelligent Informatics 24, no. 6 (November 20, 2020): 738–49. http://dx.doi.org/10.20965/jaciii.2020.p0738.
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In the field of cluster analysis, rough set-based extensions of hard C-means (HCM; k-means) including rough C-means (RCM), rough set C-means (RSCM), and rough membership C-means (RMCM) are promising approaches for dealing with the certainty, possibility, uncertainty of belonging of object to clusters. Since C-means-type methods are strongly affected by noise, noise clustering approaches have been proposed. In noise clustering approaches, noise objects, which are far from any cluster center, are rejected for robust estimation. In this paper, we introduce noise rejection approaches for rough set-based C-means based on probabilistic memberships and propose noise RCM with membership normalization (NRCM-MN), noise RSCM with membership normalization (NRSCM-MN), and noise RMCM (NRMCM). In addition, visualization demonstration of the cluster boundaries on the two-dimensional plane of the proposed methods is carried out to confirm the characteristics of each method. Furthermore, the clustering performance is verified by numerical experiments using real-world datasets.
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Rantitsch, Gerd. "Raman Spectroscopy of carbonaceous material thermometry in the Carnic Alps (Austria, Italy)." Austrian Journal of Earth Sciences 117, no. 1 (January 1, 2024): 73–86. http://dx.doi.org/10.17738/ajes.2024.0006.
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Abstract The Carnic Alps (eastern Southern Alps) provide a classical area to study polyphase very-low- to low-grade metamorphism within the Variscan belt of Europe. Temperature indicators collected during the past three decades map the general metamorphic structure of a mountain chain affected by three major tectonic events (Variscan and Alpine thrusting, Oligocene transpression). Thermometric data obtained by Raman Spectroscopy of carbonaceous material (RSCM) described in this study extend the already published database, provide a map of metamorphic isotherms, and are interpreted in the view of current tectonic concepts. The RSCM temperatures of this study describe a gradient between ca. 460 °C in the tectonically deepest segments, bordered by the Periadriatic Fault System, and temperatures of ca. 200 °C in Permian- Triassic boundary strata of the Gartnerkofel-1 core. Mapped isotherms indicate three domains with different thermal histories, characterized by Variscan imbrication of an accretionary wedge, Permo-Mesozoic burial, and Oligocene contact metamorphism.
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Avrizal, Reza, Erdiyansyah Saputra, Siti Suaedah, and Nasrulloh Isnain. "Sistem Informasi Aplikasi Kasir Pada Koperasi RSCM Jakarta Pusat Berbasis Java." Format : Jurnal Ilmiah Teknik Informatika 11, no. 2 (January 7, 2023): 176. http://dx.doi.org/10.22441/format.2022.v11.i2.010.
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The progress of an agency or company can be seen from how to use computer technology as a tool in solving problems. This is very supportive in the operation of an agency or company, both small, medium and large companies in increasingly fierce business competition. In this case the application in question is the Cashier Application System at the Indonesian Employee Cooperative, RSCM Central Jakarta, which is located at Jln. Diponegoro no. 71 Central Jakarta. This cashier and report application was built based on needs analysis from KPRI RSCM. This application was built using the JAVA programming language (Desktop) using Netbeans as its IDE, and using the MySql database. The methodology used by the researcher is the Agile software development method. The data collection methods used in this study were closed interviews, observation, and review of decisions from stakeholders so that the data obtained were able to accommodate the needs and initiation of the application to be built. This application is tested using blackbox as a test of application functionality.
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Sedono, Rudyanto, Alfan Mahdi Nugroho, and Qudsiddik Unggul Putranto. "Pengaruh Kapasitas Vital Paksa, Hipertensi Pulmonal, Jumlah Perdarahan, Jumlah Cairan Intraoperasi, Transfusi Darah dan Lokasi Segmen Vertebra yang Terlibat Terhadap Lama Ventilasi Mekanik Pascaoperasi Koreksi Skoliosis Pendekatan Posterior." Majalah Anestesia & Critical Care 40, no. 1 (March 12, 2022): 19–27. http://dx.doi.org/10.55497/majanestcricar.v40i1.240.
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Latar Belakang : Pasien yang menjalani operasi koreksi skoliosis pascaoperasi di RSCM mendapatkan lama ventilasi mekanik pascaoperasi yang beragam. Pemakaian ventilasi mekanik pascaoperasi koreksi skoliosis memengaruhi biaya perawatan dan waktu kontak pasien dengan keluarga. Identifikasi faktor-faktor yang dapat memengaruhi lama ventilasi mekanik diharapkan dapat memprediksi lama ventilasi mekanik pascaoperasi sehingga lebih efektif dalam penggunaan ventilasi mekanik. Penelitian ini dilakukan dengan harapan mengetahui faktor risiko lama ventilasi mekanik pascaoperasi koreksi skoliosis pendekatan posterior di RSCM.
Tujuan : Mengetahui faktor-faktor risiko yang dapat memengaruhi lama penggunaan ventilasi mekanik pascaoperasi koreksi skoliosis pendekatan posterior.
Metode : Penelitian ini adalah penelitian kohort retrospektif menggunakan data dari rekam medis. Lima puluh dua pasien yang menjalani operasi koreksi skoliosis pendekatan posterior antara januari 2011 hingga Juni 2016 dianalisis secara retrospektif. Dicatat lama pemakaian ventilasi mekanik pascaoperasi koreksi skoliosis pendekatan posterior. Faktor preoperasi dan intraoperasi yang dianalisis merupakan data yang biasa dicatat dalam rekam medis antara lain nilai kapasitas vital paksa preoperasi, hipertensi pulmonal, jumlah perdarahan, jumlah cairan intraoperasi, transfusi darah dan lokasi segmen vertebra. Data akan diolah menggunakan perangkat lunak SPSS dengan uji korelasi dan analisis multivariat regresi linier.
Hasil : Mayoritas sampel adalah wanita (86,5%). Analisis korelasi didapatkan jumlah perdarahan (r=0,431; p<0,05) memiliki hubungan sedang dengan lama ventilasi mekanik, jumlah cairan intraoperasi (r=0,347; p<0,05) memiliki hubungan lemah dengan lama ventilasi mekanik. Dari analisis multivariat regresi linier didapatkan tidak ada variabel yang menjadi faktor risiko (p>0,05; R square=0,073).
Kesimpulan : Dari variabel yang diteliti tidak ada yang merupakan faktor risiko lama ventilasi mekanik pascaoperasi koreksi skoliosis pendekatan posterior di RSCM.
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Bungard, David, Michelle Reed, and Edward Winter. "RSC1 and RSC2 Are Required for Expression of Mid-Late Sporulation-Specific Genes in Saccharomyces cerevisiae." Eukaryotic Cell 3, no. 4 (August 2004): 910–18. http://dx.doi.org/10.1128/ec.3.4.910-918.2004.
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ABSTRACT Rsc1 and Rsc2 are alternative bromodomain-containing subunits of the ATP-dependent RSC chromatin remodeling complex in Saccharomyces cerevisiae. Smk1 is a sporulation-specific mitogen-activated protein kinase homolog that is required for the postmeiotic events of spore formation. In this study we show that RSC1 and RSC2 are haploinsufficient for spore formation in a smk1 hypomorph. Moreover, diploids lacking Rsc1 or Rsc2 show a subset of smk1-like phenotypes. High-copy-number RSC1 plasmids do not suppress rsc2-Δ/rsc2-Δ sporulation defects, and high-copy-number RSC2 plasmids do not suppress rsc1-Δ/rsc1-Δ sporulation defects. Mid-late sporulation-specific genes, which are normally expressed while key steps in spore assembly occur and which include genes that are required for spore wall formation, are not expressed in cells lacking Rsc1 or Rsc2. We speculate that the combined action of Rsc1 and Rsc2 at mid-late promoters is specifically required for the proper expression of this uniquely timed set of genes. Our data suggest that Smk1 and Rsc1/2 define parallel pathways that converge to provide signaling information and the expression of gene products, respectively, that are required for spore morphogenesis.
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Parmato, Primo, Luh Karunia Wahyuni, and Aryono Hendarto. "Prevalens dan Faktor Prediktor dari Kemampuan Berjalan Pasien Palsi Serebral pada Masa Anak di Rumah Sakit Cipto Mangunkusumo dan Yayasan Pembinaan Anak Cacat." Sari Pediatri 16, no. 1 (November 9, 2016): 22. http://dx.doi.org/10.14238/sp16.1.2014.22-8.
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Latar belakang. Permasalahan palsi serebral (PS) yang menjadi perhatian bagi orangtua adalah kemampuan berjalan.Tujuan. Mengetahui prevalens kemampuan berjalan pasien PS dan faktor prediktor yang berhubungan terhadap kemampuan berjalan pasien PS pada masa anak.Metode. Dilakukan penelitian terhadap 102 pasien PS berusia 6 tahun ke atas dengan pengisian kuesioner melalui wawancara orang tua dan melihat rekam medis di RSCM dan YPAC.Hasil. Duapuluh tujuh (26,5%) pasien berjalan tanpa alat bantu, 13 (12,7%) pasien berjalan dengan alat bantu, dan 62 (60,8%) pasien tidak berjalan walau dengan alat bantu. Faktor prediktor yang bermakna secara statistik adalah mampu duduk tanpa topangan sebelum usia 2 tahun (p<0,001; OR=6,89; IK 95%=2,42-19,71) dan tipe PS spastik unilateral (OR=7,36; IK 95%=1,86-29,18).Kesimpulan. Prevalens kemampuan berjalan pasien PS di RSCM dan YPAC adalah 26,5% berjalan tanpa alat bantu, 12,7% berjalan dengan alat bantu, dan 60,8% tidak berjalan walaupun dengan alat bantu. Faktor prediktor yang berhubungan dengan kemampuan berjalan pada masa anak adalah mampu duduk tanpa topangan sebelum usia 2 tahun dan tipe spastik unilateral.
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Lin, Di, Cewu Lu, Hui Huang, and Jiaya Jia. "RSCM: Region Selection and Concurrency Model for Multi-Class Weather Recognition." IEEE Transactions on Image Processing 26, no. 9 (September 2017): 4154–67. http://dx.doi.org/10.1109/tip.2017.2695883.
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Hustrini, Ni Made. "Pengelolaan Predialisis Pasien Penyakit Ginjal Kronik." Jurnal Penyakit Dalam Indonesia 7, no. 2 (June 30, 2020): 78. http://dx.doi.org/10.7454/jpdi.v7i2.440.
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Hingga saat ini, fenomena memulai dialisis kronik dalam situasi emergensi untuk pasien penyakit ginjal kronik (PGK) stadium akhir/gagal ginjal masih banyak ditemukan. Hal ini dikonfirmasi dengan temuan Lydia, dkk. bahwa di Rumah Sakit dr. Cipto Mangunkusumo (RSCM) – Jakarta, sebagai rumah pusat rujukan nasional, persentase pasien PGK stadium 5 yang memulai dialisis tidak terencana sangat tinggi, yakni sebesar 90%.
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Indarti, Junita, Affan Solihin, Arresta V. Suastika, Dyah P. Wardhani, Muhammad T. Ramadhani, Quamila F. Afdi, Syifa M. Syafitri, Muhammad Ikhsan, and Kristian Alda. "Three-Delay Model on Maternal Mortality Cases in Tertiary Referral Hospital in Indonesia." eJournal Kedokteran Indonesia 9, no. 2 (September 1, 2021): 99. http://dx.doi.org/10.23886/ejki.9.60.99.
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Maternal mortality remains a worldwide concern to this day. Three main causes of maternal mortality during 2010–2013 were hemorrhage, hypertension, and infection, which all of them are the direct causes. The high MMR is also due to the presence of 3 delay which is Delay in seeking assistance (type–1), delay in identifying and accessing medical center (type–2) and delay in having prompt treatment (type–3) . Therefore, this study aims to describe maternal mortality cases in tertiary hospital which is Cipto Mangunkusumo Hospital (CMH) so that the root of problems in maternal deaths can be discovered and improvements can be done in the future. This was a descriptive study conducted in the Department of Obstetrics and Gynecology at CMH, Jakarta. Data collection was taken from 2016 – 2018 where subjects were taken from secondary data on maternal mortality. Based on the data that has been collected in CMH total live births in Emergency Department CMH during 2016-2018 which was 4.226 cases. There was 22 maternal death cases (0.52%). Most deaths were occurred in 2017 (50% of all cases). Indirect causes of maternal mortality were the leading cause in this study, including septic shock, hypovolemic shock due to Dengue Shock Syndrome, cardiogenic shock, and acute respiratory failure. Three delay models were three main factors contributing to maternal mortality interrelated and influenced by other factors with delay in looking for assistance and treatment (31,8%) was the upmost factor of maternal mortality. More than half maternal deaths in CMH during 2016 – 2018 caused by indirect causes. Among three delay models, delay in looking for assistance and treatment was the upmost factor of maternal mortality. Keywords: maternal mortality, three-delay model. Tiga Model Keterlambatan pada Kasus Kematian Ibu di Rumah Sakit Tersier di Indonesia Kematian ibu masih menjadi perhatian dunia hingga saat ini. Tiga penyebab utama angka kematian ibu (AKI) selama 2010-2013 adalah perdarahan, hipertensi, dan infeksi, yang semuanya merupakan penyebab langsung. Tingginya AKI juga disebabkan oleh adanya 3 keterlambatan yaitu keterlambatan dalam mencari pertolongan, keterlambatan dalam mengidentifikasi dan mengakses pusat kesehatan, dan keterlambatan dalam mendapatkan pengobatan yang tepat. Penelitian ini bertujuan untuk mendeskripsikan kasus kematian ibu di rumah sakit tersier yaitu Rumah Sakit Cipto Mangunkusumo (RSCM) sehingga akar permasalahan kematian ibu dapat ditemukan dan dapat dilakukan perbaikan di masa yang akan datang. Penelitian ini merupakan penelitian deskriptif yang dilakukan di Bagian Obstetri dan Ginekologi RSCM, Jakarta. Pengambilan data diambil dari tahun 2016 – 2018, subjek diambil dari data sekunder kematian ibu. Berdasarkan data yang terkumpul di RSCM jumlah kelahiran hidup di Instalasi Gawat Darurat RSCM selama tahun 2016-2018 sebanyak 4.226 kasus. Terdapat 22 kasus kematian ibu (0,52%). Kematian terbanyak terjadi pada tahun 2017 (50% dari seluruh kasus). Penyebab tidak langsung kematian ibu merupakan penyebab utama dalam penelitian ini, antara lain syok septik, syok hipovolemik akibat dengue shock syndrome, syok kardiogenik, dan gagal napas akut. Tiga model keterlambatan merupakan tiga faktor utama penyebab kematian ibu yang saling berkaitan dan dipengaruhi oleh faktor lain dengan keterlambatan mencari pertolongan dan pengobatan (31,8%) merupakan faktor penyebab kematian ibu yang paling tinggi. Lebih dari separuh kematian ibu di RSCM selama tahun 2016 – 2018 disebabkan oleh penyebab tidak langsung. Di antara tiga model keterlambatan, keterlambatan dalam mencari bantuan dan pengobatan merupakan faktor utama kematian ibu. Kata kunci: kematian maternal, model tiga terlambat.
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Harisandi, Sandra, and Dedy Pratama. "Blood flow Rate Intraoperatif Sebagai Prediktor Maturitas Arteriovenous Fistula Brakiosefalika Pada Penderita Nefropati Diabetik." Jurnal llmu Bedah Indonesia 46, no. 1 (June 9, 2020): 17–27. http://dx.doi.org/10.46800/jibi-ikabi.v46i1.30.
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Latar Belakang: Penelitian ini merupakan penelitian lanjutan untuk melakukan pengkajian nilai batasan blood flow rate (BFR) intraoperatif menggunakan ultrasonografi Doppler dalam memprediksi maturitas fistula brakiosefalika dengan sampel yang lebih besar dan lebih spesifik untuk mendapatkan nilai dengan tingkat error dan bias lebih rendah, sehingga dapat dijadikan referensi di divisi Bedah Vaskular RSCM.
Metode: Dilakukan studi potong lintang analitik di Divisi Vaskular Departemen Ilmu Bedah FKUI-RSCM, Jakarta yang melibatkan semua penderita gagal ginjal stadium 4-5 akibat nefropati diabetik yang akan dihemodialisis dengan akses vaskular fistula brakiosefalika.
Hasil: Terdapat 71 subjek dengan rerata BFR 249,15 + 86,86 mL/menit, rerata diameter arteri 3,3 mm (2,0–7,4 mm) dan rerata diameter vena 3 mm (2,1–5,6 mm). Analisis statistik menunjukkan bahwa hanya BFR yang berhubungan bermakna dengan maturitas AVF (p<0,001). Sensitivitas dan spesifisitas tertinggi BFR intraoperatif di 211,3 mL/menit. Nilai ini yang selanjutnya ditentukan sebagai cut-off value untuk batasan prediksi maturitas (95,45%, 92,59%) dengan positive predictive value sebesar 95,5% dan negative predictive value sebesar 92,6%.
Simpulan: BFR intraoperatif menggunakan ultrasonografi Doppler sesaat setelah kreasi AVF brakiosefalika memprediksi maturasi jangka pendek dengan sensitivitas dan spesifisitas >80%.
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Tjoa, Enty, Lucky Hartati Moehario, Andriansjah Rukmana, and Rinawati Rohsiswatmo. "Acinetobacter baumannii: Role in Blood Stream Infection in Neonatal Unit, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia." International Journal of Microbiology 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/180763.
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Acinetobacter baumannii(A. baumannii) is Gram-negative coccobacilli that has emerged as a nosocomial pathogen. Several reports in Indonesia showed the continuous presence ofA. baumannii. This study aimed to determine the incidence ofA. baumanniibacteremia in neonates in the Neonatal Unit Dr. Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia, and assess its role in blood stream infection using antibiogram and genotyping by pulsed-field gel electrophoresis (PFGE). Subjects were neonates with clinical sepsis. Blood specimens from the neonates and samples of suspected environment within the Neonatal Unit were cultivated. Antimicrobial resistance profiles were classified for analysis purpose.A. baumanniiisolates were genotyped by PFGE to determine their similarity. A total of 24A. baumanniiwere isolated from 80 neonates and the environment during this period of study. Seven isolates from the neonates showed multiple antimicrobial resistance (MDR), and 82% (n=17) of the environment isolates were also MDR. Antibiotype “d” seemed to be predominant (62.5%). PFGE analysis showed a very close genetic relationship between the patients and environment isolates (Dice coefficient 0.8–1.0). We concluded that a mode of transmission of environmental microbes to patients was present in the Neonatal Unit of RSCM and thus needed to be overcome.
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Pudjiadi, Marissa Tania Stephanie, Mardjanis Said, Irawan Mangunatmadja, Hidra Irawan Satari, H. F. Wulandari, and Murti Andriastuti. "Angka Kejadian Koagulasi Intravaskular Diseminata pada Pneumonia." Sari Pediatri 14, no. 1 (November 17, 2016): 52. http://dx.doi.org/10.14238/sp14.1.2012.52-6.
Full textAbstract:
Latar belakang. Pneumonia merupakan penyebab kematian utama pada bayi dan balita di negara berkembang. Sitokin pada pneumonia yang diproduksi akibat inflamasi paru secara berlebihan. Sehingga menyebabkan kaskade koagulasi sistemik teraktivasi yang berakhir pada trombosis sistemik yang akan menyebabkan keadaan kritis dan seringkali berakhir dengan kematian. Tujuan.Mengetahui profil koagulasi dan prevalensi koagulasi intravaskular diseminata (KID) pada pasien pneumonia yang dirawat inap.Metode. Studi deskriptif analitik dengan desain potong lintang dilakukan di ruang rawat Departemen Ilmu Kesehatan Anak RSCM antara 1 Februari 2010 sampai 28 Februari 2011.Hasil. Tiga puluh enam persen subjek penelitian mengalami trombositopenia, 13,4% mengalami pemanjangan protombine time (PT), dan 19,6% mengalami penurunan kadar fibrinogen. Didapatkan 83,5% subjek penelitian memiliki kadar D-dimer yang tinggi dan 64,9% di antaranya meningkat sangat tinggi. Kejadian KID 17,5% subjek dan seluruhnya mengalami perdarahan. Pada 88,2% pasien KID mengalami trombositopenia dengan rasio prevalens 32,5 (95% IK 6,70-157,57).Kesimpulan. Profil koagulasi pasien pneumonia yang dirawat di Departemen Ilmu Kesehatan Anak RSCM 36% mengalami trombositopenia, pemanjangan PT 13,4%, penurunan kadar fibrinogen 19,6%, dan peningkatan kadar D-dimer 83,5% . Koagulasi intravaskular diseminata terjadi 17,5% (17/97) pasien pneumonia yang dirawat.