Jofizal Jannis
Faculty of Medicine, University of Indonesia

Published : 5 Documents
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Lifting and Transferring Patient as Risk Factors for Low Back Pain among Female Nurses Widiyanti, E.C Lanny; Basuki, Endang; Jannis, Jofizal
Journal of the Indonesian Medical Association Vol. 59 No. 3 March 2009
Publisher : Journal of the Indonesian Medical Association

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Abstract

The aim of this study was to investigate the determinant factors related to low back pain (LBP) among female nurses working in the ward for adults in the hospital. A case-control study with age frequency matching, was proceeded by a cross-sectional study to obtain the prevalence of LBP and to determine the population of the cases and the controls. This study was done in Hospital “X” between February and June 2007, and consisted of 58 nurses with LBP (cases) and 58 nurses without LBP (controls). The prevalence of LBP was 23.0%, the determinant factors of LBP was forward bending more than 45° while lifting and transferring patient from wheelchair to bed (p=0.003; OR 4.5; 95%CI 4.4-4.6). No significant association was found between height, working period, body mass index, number of lifting and transferring patient in a week from wheelchair to bed with LBP. In conclusion, bending forward with angle of more than 45° was the risk factor of LBP among female nurses in the ward for adults in the hospital.Keywords: low back pain, forward bending of the back spine, nurses
Plasmin for Enhanced Improvement in Acute Ischaemic Stroke: A Multicentre Randomized Placebo-Controlled Trial Misbach, Jusuf; Jannis, Jofizal; Kustiowati, Endang; Umbas, David Gunawan; Nurimaba, Nurjaman; Suratno, Suratno; Kotambunan, Siwi; Yamanie, Nizar; Soertidewi, Lyna; Octaviana, Fitri; Khosama, Herlyani
Journal of the Indonesian Medical Association Vol. 59 No. 5 May 2009
Publisher : Journal of the Indonesian Medical Association

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Abstract

Plasmin® (rongshuan jiaonans) is a medicine from China - which has gone through a high technology of biochemical extraction - that has thrombolitic effect, fibrinolytic effect, anticoagulant, antiplatelet and anti-inflamation effect. The purpose of this study was to evaluate Plasmin® in acute ischemic stroke patients in a randomized, double-blind, placebo-controlled trial using some assessments of functional outcome and vascular as well as labarotary parameter such as Barthel Index (BI) and Modified Rankin Scale (MRS), mini mental state examination (MMSE), transcranial Doppler’s (TCD) performance, and measurement of blood analysis including fibrinogen level, INR, platelet aggregation, total cholesterol, HDL cholesterol, LDL cholesterol, and triglyceride level. An 84-day randomized double-blind placebo-controlled study was conducted. Participants were recruited from six academic hospitals that had been diagnosed as ischaemic stroke for the first time after 2 hours and before 2 weeks of onset. Patients were randomly assigned to plasmin® or placebo control (1:1 ratio). Sixty patients of ichaemic stroke who fulfilled inclusion criteria were enrolled in the study over 84 days period, with 44 participants completing the study (21 plasmin and 23 placebo). The increasing of BI score at 84th day compare to 14th day was significantly more in plasmin group than in placebo. Eighteen participants (85.7%) of plasmin showed improvement in MRS score, while in placebo group only 12 participants (52.2%) showed improvement (p =0.018). Motor strength of upper extremity was seen improving significantly in plasmin after 14 days of treatment compare to placebo, while lower extremity was significantly improved after 28 days of treatment. Administration of plasmin® in the acute ischaemic stroke patient between 2 hours and 2 weeks of onset showed significant improvement in motor strength, BI score, and MRS score. Further study with larger number of participants is recommended to confirm the benefit of plasmin® in management of acute ischaemic stroke.Keywords: acute ischaemic stroke, Barthel Index, Modified Rankin Scale, plasmin, randomized controlled trial
The use of brain CT Scan in craniocerebral trauma with Glasgow coma scale scores of 13 – 15 in Dr. Cipto Mangunkusumo Hospital 1999-2001 Jannis, Jofizal
Medical Journal of Indonesia Vol 13, No 3 (2004): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.006 KB) | DOI: 10.13181/mji.v13i3.148

Abstract

There is still a controversy among the neurologists whether brain CT scan must be performed on the mild head trauma patients. This study was executed to find out the correlation between the brain CT scan image findings and its clinical impairment among the mild head trauma patients with Glasgow coma scale (GCS) score of 13 to 15. The study was a retrospective study by analyzing the uniform medical records of the head trauma patients hospitalized at the Neurology ward of Dr. Cipto Mangunkusumo Hospital within the period of 1999 to 2001. During that period 1,663 patients were hospitalized due to head trauma, and 1,166 of them (70.1 %) were suffered from mild head trauma patients with GCS score of 13-15. Among those with brain CT scan examinations (N: 271), the neurological abnormalities were found on 144 (53.1%) of patients, consisted of cerebral edema (11,4%), intracerebral hemorrhage (5.5%), epidural hemorrhage (16.2%), subdural hemorrhage (18.1%), subarachnoid hemorrhage (5.5%), and combination (13.8%). The further analysis showed that cranial nerves disturbance, amnesia, loss of conciousness for more than 10 minutes, and vomiting are significantly correlated to the brain CT scan abnormality. Combination of the above four clinical signs and symptoms have sensitivity of 90 % in predicting brain insults. This findings may be used as a simple set of clinical criteria for identifying mild head trauma patients who need undergo CT scan examination. (Med J Indones 2004; 13: 156-60) Keywords: mild head injury, brain CT scan
Meningitis mortality in Neurology Ward of Dr. Cipto Mangunkusumo hospital Jakarta Jannis, Jofizal; Hendrik, Firman
Medical Journal of Indonesia Vol 15, No 4 (2006): October-December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.816 KB) | DOI: 10.13181/mji.v15i4.244

Abstract

Mortality rate of meningitis is not decreased even though there is decreasing meningitis rate and advanced development of antibiotics. The purpose of this study is to find out meningitis mortality pattern and to evaluate factors related to meningitis mortality in hospitalized patients. Study was done using retrospective data from medical records of the patients administered in the Neurology ward of Cipto Mangunkusumo hospital from January 1997 – December 2005. Data were reported descriptively in texts and tables, and analyzed with Chi-square for categorical data and Student’s “t” test for numerical data, then for final model using multinomial logistic regression analysis. Two hundred and seventy three patients were included in this study, consisted of 81 female patients and 192 male patients age between 12 to 78 years old. A hundred and fourteen patients died during and 159 patients lived. Decreased level of consciousness, especially stupor (OR 10.44, p 0.000) and coma (OR 53.333, p 0.000), and presence of motor weakness (OR 2.068, p 0.009) had relationship with outcome. Mortality rate of meningitis is still high (41.8%) because there are some factors that affect its prognosis. From this study, onset, level of consciousness, and motor weakness are predictors for meningitis death. (Med J Indones 2006; 15:236-41)Keywords: meningitis, acute meningitis, chronic meningitis, death
TERAPI DIATERMI GELOMBANG MIKRO DAN TRAKSI TRANSLASI PENDERITA HEMIPLEGIA DENGAN GANGGUAN GERAK SENDI BAHU DI RUMAH SAKIT FATMAWATI JAKARTA TAHUN 2015 Andreas Hariandja, Andy Martahan; Jannis, Jofizal; Suranto, Suranto
Jurnal Ilmu dan Teknologi Kesehatan Vol 4 No 2 (2017): Maret
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.712 KB) | DOI: 10.32668/jitek.v4i2.69

Abstract

Delaying in caring restricted shoulder’s joint motion among haemiplegia patients lead to worsen conditions, which are characterized by the limitations of active and passive movement on the entire movement of the shoulder joint. This study aims to determine the effect of Diathermy Micro Wave therapy and translational traction on the changes in joint motion of shoulder hemiplegia with frozen shoulder. This research uses pre-experiment pre-posttest one group design. The study population was hemiplegic patients with frozen shoulder movement dysfunction. The sample was 15 the patiens in the population those chosed based onpurposive sampling consideration with 30 - 50 years aged. The result of statistical analisys showed that paired t-test for the extent of exorotation of the shoulder joint before and after MWD and traction-translation revealed significant differences with p = 0.014 <α = 0.05; wilcoxone test for abduction before and after administration of MWD and traction-translation made significant different with value of p=0.046 < α=0.05; and wilcoxon test for endorotation shoulder joint area before and after administration of Diathermy Microwaves and traction-translations showed significant differences (p = 0.001 <α = 0.05). The conclusion of this research is the provision of Diathermy Micro Wave intervention and traction-translation can increase the distance of motion abduction, exorotation and endorotation of shoulder joints of Hemiplegia patients with shoulder joint disfunction.