Abdul Wahab Sjahranie Hospital Research Articles

Cancer risk factors associated with historical contraceptive use and breastfeeding duration

Cancer is the second leading cause of death worldwide. Two prominent factors in this regard are a woman's history of contraceptive use and the duration of breastfeeding. This study aimed to delve into these risk factors and their impact on cancer incidence. The research employed a cross-sectional design involving 125 cancer patients undergoing chemotherapy at Abdul Wahab Sjahranie Hospital in Samarinda, East Kalimantan. This study used a total sampling approach to include all available patients. Data on contraceptive use, breastfeeding duration, and cancer status were collected through a questionnaire and subsequently analyzed using the chi-square test. The study revealed that breast cancer was the most prevalent type, affecting 41.6% of patients. Additionally, more than half of the respondents breastfed for less than two years (52%), while only 48% breastfed for two years or more. Notably, a significant majority (66.4%) had a history of using hormonal contraception. Statistical analysis demonstrated a compelling association between contraceptive history, breastfeeding duration, and cancer incidence (p < 0.001). In summary, the findings highlight a substantial relationship between a woman's history of contraceptive use, the duration of breastfeeding, and the incidence of breast cancer. These results underscore the importance of further research and the development of targeted interventions to better understand and mitigate breast cancer risk factors among women.

Characteristics of central vein stenosis patients at Abdoel Wahab Sjahranie Hospital Samarinda

Background: Central vein stenosis (CVS) is a common complication in using a central venous catheter in hemodialysis (HD) access, and its incidence in Indonesia has not been obtained. This study aims to evaluate the characteristics of CVS patients in Abdul Wahab Sjahranie Hospital, Samarinda. Methods: This cross-sectional descriptive study was conducted by collecting CVS patients’ data from the medical records between January 2018 to August 2021. The demographic data and the characteristics of CVS patients were collected. The data obtained were analyzed in descriptive form and displayed in a table. Results: This study involved 23 subjects. The characteristics of CVS patients included: Highest sex group was males (61%); Age group was in the range 51-70 years (60%); Clinical feature was swelling (83%); Site of stenosis was in the subclavian vein (87%), on the left side (57%), type of occlusion were partial (67%) and single (87%), and the result of angioplasty was a success (61%). Conclusion: This study showed that CVS was male predominant, in the range 51-70 years, the most complaint was swelling in the arms that were mostly on the left side, and the location of the most stenosis was in the subclavian vein, with partial and single occlusion, as well as good treatment with angioplasty.

Hubungan Usia Kehamilan, Riwayat Abortus Dan Paritas Terhadap Kejadian Preeklampsia Berat Di RSUD Abdoel Wahab Sjahranie Tahun 2022

Introduction : In 2021, Abdoel Wahab Sjahranie Hospital recorded a total of 55 pregnant mothers suffering from severe preeclampsia. Preeclampsia can be treated by controlling the risk factors it carries. This study examines the relationship between gestational age, prior miscarriage record, and parity which incited severe preeclampsia cases in Abdul Wahab Sjahranie Hospital.
 Method : This research is an observational analytical study with case control design. A total sample of 110 respondents was taken from medical record data in 2021. The PEB group sample was taken using total sampling and the control group was taken by quota sampling. The bivariate analysis was conducted with chi-square test.
 Results : From the test conducted, gestational age has Pvalue of 0.008 and odd ratio of 0.244 . In addition, prior miscarriage has Pvalue of 0.041 and odd ratio of 2.628. Lastly, parity has Pvalue of 0.038.
 Discussion : Growing and aging placenta with gestational age more than 34 weeks will limit intervillous perfusion which causes secondary syncytiotrophoblast stress and the release of placental factors into the maternal bloodstream, maternal alloimmune response to fetal trophoblasts resulting in miscarriage, and primiparous parity due to first-time exposure to chorionic villi, whereas the case in grandemultipara is associated with a decrease in the function of reproductive system and nutritional fulfillment which lead to preeclampsia.
 Conclusions : Early detection of preeclampsia requires a more complete diagnostic procedure and it is associated with maternal and neonatal morbidity.
 Keywords: Gestational Age, Prior Miscarriage, Parity, Preeclampsia

Risk Factors of Postoperative Nausea and Vomiting on General Anesthesia in RSUD Abdul Wahab Sjahranie Samarinda

Postoperative Nausea and Vomiting (PONV) is the nauseous feeling within 24 hours after surgery. PONV increases the risk of fluid and electrolyte imbalance, re-opening of the surgical wound, and aspiration of gastric fluid. This study aimed to analyze the effect of postoperative opioid administration, duration of anesthesia, type of surgery, and BMI on the incidence of nausea and vomiting after surgery under general anesthesia, at Abdul Wahab Sjahranie Hospital, Samarinda. The research design employed in this research was a retrospective cohort study. The number of samples was 92 patients. The results of the analysis showed an increased risk of PONV in underweight – normal BMI patients (1.45 times higher risk; p=0.035), patients who received postoperative opioids (1.64 times higher risk; p=0.005), patients who underwent surgery that was potentially stimulating the vagus nerve (1.52 times riskier; p=0.02), and patients with anesthetic duration of more than 2 hours (1.93 times greater risk; p=0.007). Therefore, it could be concluded that BMI, postoperative opioid use, type of surgery, and duration of anesthesia influenced PONV incident on the use of general anesthesia at RSUD Abdul Wahab Sjahranie, Samarinda.
 Keywords: postoperative nausea and vomiting, BMI, opioid after surgery, type of surgery, anesthesia duration

Excision of Recurrent Hemangioma in Hand with Reconstruction Using Abdominal Flap

Highlights: Hemangioma of the hand is a challenging case due to the need to maximize eradication of the mass while minimizing damage to the healthy tissue to preserve the physiologic function of the hand. The reconstruction of the defect also needs to be taken into account to maintain the cosmetical appearance. Collaborative multidisciplinary work is essential to achieve these demands and maintain the patient’s quality of life. Abstract: Hemangiomas are known for their typical involution with age. However, around 40% of cases require intervention. Hemangioma in hand is challenging because the hand function and the aesthetic appearance need to be preserved. Hereby we reported a 21-year-old woman with a recurrent hemangioma on the left hand in Abdul Wahab Sjahranie Hospital, Samarinda, Indonesia. The patient’s previous surgery was ineffective since the mass reappeared in the same area. We performed surgical excision and reconstruction with an abdominal flap. One-month and one-year postoperative follow-up indicated good flap viability and preserved hand functions without the need for amputation. This report also emphasizes the importance of collaboration from multiple surgical and medical fields to allow favorable outcomes in this case.

Validation for EuroSCORE II in the Indonesian cardiac surgical population: a retrospective, multicenter study

BACKGROUND In 2011, the European System for Cardiac Operative Risk (EuroSCORE) II was created as an improvement of the additive/logistic EUROScore for the prediction of mortality after cardiac surgery. OBJECTIVE To validate EuroSCORE II in predicting the mortality of open cardiac surgery patients in Indonesia. METHODS We performed a multi-center retrospective study of cardiac surgery patients. The data were extracted from medical records of adult open-heart surgery patients from three participating centers (Dr. Sardjito Hospital, Kariadi Hospital, and Abdul Wahab Sjahranie Hospital) between January 1st, 2016, and December 31st, 2020. We investigated the performance of EuroSCORE II in predicting postoperative mortality. Discrimination was assessed from receiver operating characteristics curve analysis and calibration from the calibration curve and Hosmer-Lemeshow goodness-of-fit test. RESULTS We collected data from a total of 767 patients. The observed mortality rate was 9.5% (73 out of 767 patients). The median EuroSCORE II value was 1.13%. The area under the curve for EuroSCORE II was 0.71 (95% CI: 0.65-0.77), suggesting fair discriminatory power. Meanwhile, analysis of the calibration curve suggested that EuroSCORE II had poor calibration for this population. EuroSCORE II underestimated postoperative mortality. Multivariate logistic regression analysis identified that gender, age, chronic pulmonary disease, limited mobility, NYHA, and critical pre-operative state were significant predictors of post-cardiac surgery mortality in our population. CONCLUSION This study suggested that the EuroSCORE II was a poor predictor for postoperative mortality in Indonesian patients who underwent cardiac surgery procedures. Therefore, EuroSCORE II may not be suitable for mortality risk prediction in Indonesian populations, and surgical planning should be decided on an individual basis.

Evaluasi Penggunaan Antibiotik Secara Kuantitatif dan Kualitatif Pada Pasien Bedah Digestif di RSUD Abdul Wahab Sjahranie Samarinda

Antibiotics are drugs that are the most widely prescribed to treat bacterial infections. Prescription of high and not wise antibiotics has a detrimental impact: increasing antibiotic resistance. This study aimed to determine patient characteristics, quantity, and quality of antibiotic use in digestive surgery patients at Abdul Wahab Sjahranie Hospital Samarinda from January-December 2020. This study is a retrospective observational study with data collection techniques using the purposive sampling method. The results obtained 75 medical records, with the majority of the adults (26-45 years old) were 35 patients (48%), men were 45 patients (60%), length of stay 4-5 days were 30 patients (40%), private workers were 23 patients (30.7%), and type of disease appendicitis were 27 patients (36%). The most used antibiotic is ceftriaxone, which is 64.41 DDD/100 patient days, and antibiotics included in segment 90% were ceftriaxone and metronidazole. The quality of antibiotic use was 54.91% included in category 0 including ceftriaxone, metronidazole, cefpirom, and levofloxacin, category IIIB as 35.26% including ceftriaxone, metronidazole, cefpirom, and cefixime, category IIIA as 4.05% including ceftriaxone and metronidazole, the IVC category as 4.62% including ceftriaxone and cefixime, and IVA as 1.16% including metronidazole.

Hubungan Usia dengan Stadium Saat Diagnosis Penderita Kanker Kolorektal di RSUD Abdul Wahab Sjahranie Samarinda

Abstract
 Background: Colorectal cancer is a malignancy originating from the colon tissue. The incidence of colorectal cancer was recorded at 396,914 new cases with 234,511 deaths and the fourth rank of all types of cancer cases in Indonesia. This study aims to determine the relationship between age and histopathological features and stage when diagnosed with colorectal cancer at Abdul Wahab Sjahranie Hospital, Samarinda. Methods: The study design was retrospective analytic with a cross sectional study approach. The research data came from the medical records of colorectal cancer patients at Abdul Wahab Sjahranie Hospital, Samarinda in 2017-2020. Results: A total sample size of 71 samples. Data analysis statistically showed the relationship between age and stage at diagnosis with p = 0.004 (p = 0.05). Conclusion: The relationship between age and stage at diagnosis of colorectal cancer patients at Abdul Wahab Sjahranie Hospital, Samarinda.
 Keywords: Colorectal Cancer, Age, Stage

Analysis of Platelet Count on Liver Cirrhosis Patients Based on Child-Pugh Classification

Liver cirrhosis is described as a diffused pathological process which marked with fibrosis and architectural changes of normal liver that becomes an abnormal nodular structure. Liver cirrhosis is caused by chronic liver disease of virus nor non virus. Thrombocytopenia is a hematology abnormality which frequently found on liver cirrhosis patients. Severity level and prognosis of liver cirrhosis can be determined by Child-Pugh classification. This research aims to know the difference of mean platelet count on liver cirrhosis patients based on Child-Pugh classification. It applied analytic observational method with cross-sectional design. The data was taken from medical records of patients at Abdul Wahab Sjahranie Hospital in Samarinda of 2018-2020 period. Statistical analysis was using Kruskal-Wallis test. The results showed liver cirrhosis patients in Child-Pugh C is at most. Mean platelet count of liver cirrhosis with Child-Pugh A is 73.250/?l, Child-Pugh B is 126.370/?l, and Child-Pugh C is 148.375/ ?l. Based on statistical test, the score p = 0,19 (p > 0,05), there are no differences of mean platelet count among the three Child-Pugh classifications.

Hubungan Status Gizi, Umur, Jenis Kelamin dengan Derajat Infeksi Dengue pada Anak di RSUD Abdul Wahab Sjahranie Samarinda

Dengue virus infection can manifest from mild to severe, which are undifferentiated fever, dengue hemorrhagic fever (DD), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS), respectively. Mild and severe dengue infection is difficult to distinguish early in the course of the disease, and the clinical course is also difficult to "predict". Therefore, indicators were needed to predict the degree of dengue virus infection, thus appropriate treatment can be given. The study was aimed to determine the association of nutritional status, age, and sex with the degree of dengue infection in children. This study was an analytic observational study with a cross-sectional design. The samples were pediatric patients (0-18 years), who have been diagnosed with dengue virus infection and were hospitalized at the Abdul Wahab Sjahranie Hospital Samarinda in 2019. Purposive sampling technique was used to appointed 88 patients. The data obtained from the medical records. The bivariate association was statistically analyzed with chi-square test. The result showed a significant association between sex (p = 0.041) with the degree of dengue infection in children. Meanwhile nutritional status (p = 0.127) and age (p = 0.077) had no significant association with the degree of dengue infection in children. In conclusion, sex might serve as a predictor of the degree of dengue infection in children, in which male is more susceptible to worse manifestations.

Analysis of Age, Gender and H Analysis of Age, Gender and Hearing Loss in Early Stage Drug-Resistant TB Patients at Abdul Wahab Sjahranie Hospital Samarinda

ABSTRACT
 Hearing loss is one of the side effects of using kanamycin. Hearing loss will reduce the ability to receive information and verbal communication which will interfere with daily activities. This study aims to determine the relationship between age, sex on hearing loss and hearing loss in patients with drug-resistant TB during kanamycin treatment. The design of this study was cross sectional using purposive sampling. The number of samples that met the inclusion and exclusion criteria was 12 patients. The results show that hearing loss is not related to age (p = 0.293), sex (p = 1,000), and hearing loss (p = 0.182). Based on the results of this study it can be concluded that there is no relationship between age, sex on hearing loss and hearing loss during kanamycin administration.
 Keywords: Hearing Loss, Age, Sex

Association between molecular subtype of local advanced breast cancer with Ca 15-3 level.

Neoplasm is an abnormal mass of tissue that grows excessively and not coordinated with normal tissue growth and continues to do so even though the stimulation that triggered the change has stopped. Breast cancer can be known by using tumor marker, which has been used is mucin-like glycoprotein Carcinoma Antigen (CA 15-3) which is a tumor marker that is specific to breast cancer. This study is a cross-sectional study to determine the association between molecular subtypes of locally advanced breast cancer with CA 15-3 level at Abdul Wahab Sjahranie Samarinda Hospital. The population in this study were all breast cancer patients that were confirmed by histopathological examination. A total of 75 patients were included for this study, 29 patients (38.7%) known as Overexpression HER2, 18 patients (24.0%) were Luminal B with HER2 (+), 11 patients (14.7%) were Luminal B with HER2 (-), 11 patients (14.7%) were Basal-like/TNBC, and 6 patients (8,0%) were Luminal A. From the ANOVA test, the value of p =0.045 (p <0.05) means there was an association between Ca 15-3 level and molecular subtypes in patients with locally advanced breast cancer at the Abdul Wahab Sjahranie Hospital in Samarinda 2017. In this study Ca 15-3 levels were obtained on average for Luminal A 16.98U/mL, Luminal B with HER2 (-) 42.41U/mL, Luminal B with HER2 (+) 73.75U/mL, Overexpression HER2 47.73U/mL, and Basal Like /TNBC 63.50U/mL. Statistically, it was found that there was an association between Ca 15-3 levels and molecular subtypes in patients with locally advanced breast cancer at the Abdul Wahab Sjahranie Hospital in Samarinda 2017.

Primary patency of native arteriovenous fistula in elderly at Abdul Wahab Sjahranie Hospital, Samarinda, Indonesia

Introduction. Arteriovenous fistula (AVF) is preferred to be selected by the patient and clinician due to long term survival and fewer complications than other vascular access. Radiocephalic (RC) fistula is the first choice for dialysis access and should be performed in elderly renal failure patients. Several authors have advocated that the brachiocephalic (BC) fistula should be considered the surgeons' first option. We aim to analyze the primary patency of RC and BC AVF in the elderly. Method. This prospective cohort study was conducted from June 2018 to March 2020, which included 58 elderly patients who underwent surgery to create AVF. Demographic data were collected from medical records. Meanwhile, information about patient’s primary patency of RC and BC AVF were followed up to first access dysfunction or any intervention by phone. The survival data were analyzed using the Kaplan-Meier method Result. There were 58 elderly patients divided into 51 (87.9 %) patients with RC, 4 (6.9%) patients with BC, and 3 (5.2%) patients with Basilic Vein Transposition (BVT). The survival rate of RC was 70.5 % after six months and 29.4 % after 12 months. Meanwhile, 50% of BC patients survived in the first six months, and 25% survive for a year. On the other hand, 1 of 3 patients died in the BVT group in the first month after access placement due to hemodialysis complication, and the remaining two BVT patients survived in three months. Conclusion. RC has a patency rate of 70.5% in six months and 29.4% in a year. Choosing the right type and site of the anastomosis is essential as life expectancy increases in the elderly to preserve the veins for future access site.

Perbedaan Nilai Fraksi Ejeksi Ventrikel Kiri (LVEF) Pasien IMA-EST yang Menjalani Terapi Reperfusi dengan Fibrinolitik dan IKPP di RSUD Abdul Wahab Sjahranie Samarinda

Patients with Acute Myocardial Infarction with ST Segment Elevation (STEMI) should be given reperfusion therapy with fibrinolytic or PPCI (Primary Percutaneous Coronary Intervention) to prevent further myocardial damage. Currently PPCI is the main therapy choice for STEMI patients, but not all health facilities have these facilities. Thus, fibrinolytic may be the reperfusion therapy of choice in patients STEMI with chest pain onset ? 12 hours and without contraindications. STEMI can affect heart function, so the LVEF (Left Ventricular Ejection Fraction) value can be used to assess heart systolic function which can affect the prognosis of STEMI patients. The aim of this study was to identify the difference of LVEF values ??between STEMI patients undergoing reperfusion therapy with fibrinolytic and PPCI at Abdul Wahab Sajahranie Hospital, Samarinda. This study was an analytic observational study with a cross sectional design. The study population was all STEMI patients who undergoing reperfusion therapy with fibrinolytic and PPCI at Abdul Wahab Sjahranie Hospital, Samarinda for the period 2018-2019. Sampling was purposive sampling, with data sources derived from the patient's medical records. LVEF values ??were examined using transthoracic echocardiography, and Independent T-Test was used to analyze the difference of LVEF values ??between these groups. The result showed there was no significant difference in the LVEF value of STEMI patients undergoing reperfusion therapy with Fibrinolytics and PPCI (fibrinolytic 51.37 ± 12.254%, PPCI 56.47 ± 11.98%; p = 0.103 (p&gt; 0.05)). &#x0D; Keywords: STEMI, Fibrinolytic, PPCI, LVEF

Association between oxygen saturation, neutrophil-lymphocyte ratio and D-dimer with mortality based on clinical manifestation of COVID-19 patients

Background/Aim: Coronavirus 2019 (COVID-19) infection is caused by severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2). It has become an emergency condition for global public health. Oxygen saturation has important role for diagnosing the patient in the hospital. The neutrophil-lymphocyte ratio (NLR) is a marker for the viral inflammatory reaction to confirm the viral or bacterial infection. The D-dimer is also known as biomarker for severity and prognosis of COVID-19. The aim of the study was to investigate the risk factors of mortality in COVID-19 patients based on oxygen saturation, neutrophil-lymphocyte ratio and D-dimer. Methods: Data has been obtained from confirmed cases of COVID-19 in Abdul Wahab Sjahranie Hospital from October until November 2020. They were collected and analysed with Chi-squared test by SPSS 22.0 software. Results: There were 60 patients with SARS-CoV-2 infection in this study, 48 (80 %) patients survived and 12 (20 %) deceased. Peripheral oxygen saturation &lt; 90 % had 13 (21.7 %) and ≥ 90 % had 47 (78.3 %) patients. There were 13 (21.7 %) patients with NLR value &lt; 3.13 and ≥ 3.13 47 (78.3 %) patients. D-dimer value less than 0.5 had 9 (15 %) and ≥ 0.5 had 51 (85 %) patients. The results of statistical analysis have showed that there were relationship between oxygen saturation (p = 0.002) and survival rate of COVID patients. Conclusion: According to the research that has been conducted, there was correlation between oxygen saturation and mortality of COVID-19 patient. It could be used as biomarker to improve the management of COVID-19 patients.

Hubungan Kepatuhan dan Kualitas Hidup Pasien HIV/AIDS di Kota Samarinda

Adherence to taking antiretroviral drugs is very important to prevent HIV replication in the body. Compliance with taking medication can improve the quality of life of HIV/AIDS patients. This study aims to determine the and quality of life HIV/AIDS patients and the relationship between adherence with the quality of life of HIV/AIDS patients in Samarinda City. The method used in this study was observational with prospectively used quantitative descriptive analysis to explain the adherence and quality of life of HIV/AIDS patients while for the relationship of adherence and quality of life of HIV/AIDS patients using non-parametric statistics with the wilcoxon test. The results showed that Compliance in HIV patients in Abdul Wahab Sjahranie Hospital are moderate compliance and in some puskesmas are low compliance. The quality of life of HIV/AIDS patients in Abdul Wahab Sjahranie Hospital are adequate quality of life and in some puskesmas the quality of life varies. The relationship of adherence with the quality of life of HIV/AIDS patients in Abdul Wahab Sjahranie Hospital and several puskesmas has a p ? 0,05 or can indicate no relationship between adherence with quality of life.

FAKTOR DURASI MENDERITA DM TIPE 2 MEMPENGARUHI PERUBAHAN KEMAMPUAN EFIKASI DIRI

Background: Diabetes Mellitus (DM) cases increased by 776 cases from the previous year based on data from Abdul Wahab Sjahranie Regional Hospital. There are many changes that occur in the life of people with type 2 diabetes, such as stress, anxiety, anger, and feeling useless. These problems can be minimized if the patient also has the knowledge and ability as well as good self-efficacy to manage the disease by doing self-care. Aim: To analyze the factors associated with the self-efficacy of type 2 DM patients. Methods: a quantitative study with a cross sectional approach. The purposive sampling technique for Type 2 DM patients at Abdul Wahab Sjahranie Hospital Samarinda, totaling 60 respondents from September-October 2018. Results: showed a significant relationship between duration of suffering and self-efficacy of DM patients with a p value &lt;0.001, and there was no significant relationship between age, sex, education level, knowledge, motivation and self-efficacy with a p value&gt; 0.001. Conclusion: The duration of type 2 diabetes is related to the patient's self-efficacy ability.

DESCRIPTION OF CHARACTERISTICS FACTORS AFFECTING THE COMPLICATION OF DIABETES MELLITUS PATIENTS IN ABDUL WAHAB HOSPITAL SJAHRANIE SAMARINDA PERIOD MEI - JUNI 2019

ABSTRACTDiabetes Mellitus is a chronic disease that most often causes death. Patients with diabetes mellitus who are referred to hospitals have already experienced both macrovascular and microvascular complications. This study aims to determine the risk factors and types of complications that occur in patients with Diabetes Mellitus. This research uses descriptive observational design, with purposive sampling technique. The sample of this study was Diabetes Mellitus patients with complications in Abdul Wahab Sjahranie Hospital Samarinda. There are 52 respondent who met the inclusion and exclusion criteria. Overall data on the characteristics of patients based on age with the most complications are patients aged &lt;60 years. As many as 37 people (71.2%) and the characteristics of patients based on sex most experienced complications were female sex patients, as many as 36 people (69.2%). There is a relationship between student perceptions of the learning environment on campus with an achievement index.

Relationship between C-Reactive Protein (CRP) and Erythrocyte Sedimentation Rate (ESR) with gall bladder adhesion on cholecystectomy at Abdul Wahab Sjahranie Hospital, Samarinda

Background: The conversion from laparoscopic cholecystectomy to open cholecystectomy often results from pericholecystic Adhesion. Pericholecystic Adhesion is a result of cholecystitis in the case of cholelithiasis. C-Reactive Protein (CRP) and Erythrocyte Sedimentation Rate (ESR) can be increased in cholecystitis and used as a predictive factor for the degree of difficulty in laparoscopic cholecystectomy. This study aims to determine the relationship between CRP and ESR with gall bladder adhesion on cholecystectomy at Abdul Wahab Sjahranie Hospital, Samarinda.Method: A cross-sectional study was conducted among 61 respondents who underwent a cholecystectomy surgery at Abdul Wahab Sjahranie Hospital Samarinda during July-September 2019. Parameters assessed in this study were Gender, diagnosis, CRP, ESR, age, hemoglobin, leukocytes count, platelet count, and the relationship between CRP and ESR value with the pericholecystic adhesions. Data were analyzed by SPSS version 22 for Windows. Results: Most of respondents were female (70.5%), followed by cholelithiasis (73.8%) as primary diagnosis, no Pericholecystic Adhesions found (68.9%), CRP level &lt; 23 mg/dl (77.0%), and ESR level ≥ 11 mm/hour (78.7%). In addition, the average age of respondents was 48.44±10.85 years old, followed by the hemoglobin level (12.43±1.77 g/dL), leukocytes counts (9,439.67±3,719.37/µl), and platelet counts (319,295.08 ± 90,587.59/ µl). CRP level had a significant relationship to the occurrence of pericholecystic Adhesion (OR: 75.400; 95%CI: 7.991-711.441; p=0.000).Conclusion: It can be concluded that there was a relationship between CRP and ESR with the occurrence of pericholecystic Adhesion. However, based on multivariate analysis, CRP was more significant compared to ESR on the occurrence of pericholecystic Adhesion.

A DESCRIPTION OF RISK FACTORS OF RECCURENT FEBRILE SEIZURE ON PEDIATRIC PATIENTS IN ABDUL WAHAB SJAHRANIE HOSPITAL IN SAMARINDA

Febrile seizures are the most common seizures in children. One-third of the children could develop a recurrent febrile seizure, with 75% of the recurrence occurring in the first year after the initial febrile seizure. The purpose of this study was to describe the risk factors of recurrence of febrile seizures on pediatric patients at Abdul Wahab Sjahranie Hospital in Samarinda. The research design was a descriptive study with cross sectional method. The sample of this study were children with febrile seizures whose age range were from 6 months to 5 years at Abdul Wahab Sjahranie Hospital in Samarinda from January 2017 to December 2018 who did not receive long-term prophylactic treatment for febrile seizures after the initial febrile seizure and did not experience intracranial infections, metabolic and electrolytes disorders, developmental delayed and cerebral palsy. The data were secondary data obtained from subject’s medical records. The study found recurrent febrile seizures occurred on 27 samples. In this study, recurrence of febrile seizures was more common on male patients (74%), the patients’ age majority were £ 12 months when experiencing initial febrile seizures (56%), as for the initial febrile seizures, they mostly experienced simple febrile seizures (59%) and fever with £ 24 hour interval in initial febrile seizures (63%). The collected data were tabulated by frequency and percentage and displayed in tables.