Background: Thoracic trauma is defined as a trauma that hits the chest wall directly or indirectly, either as a result of blunt or penetrating trauma. Thoracic trauma can occurred in any age or genders, and become a life-threatening if the treatment isn’t immediate and  appropriate. Methods: This research was an observational study with a cohort retrospective design using secondary data in the form of thoracic trauma patients at The Zainoel Abidin General Hospital, Banda Aceh, Indonesia in the period January 2019- December 2020. The statistical analysis used were chi square for bivariate and  multivariate analysis, spesifically logistic regression analysis was conducted to know which risk factor influences the most. Result:  There were 141 medical records used in this study, thoracic trauma was more common in men compared to women. The age group of 46-55 is the age group with the highest percentage of thoracic trauma patients, road traffic are the leading cause of thoracic trauma where the most common diagnosis is rib fractures. Significant factors that associated with the short outcome of thoracic trauma are thoracic trauma diagnosis (p=0,00), management of thoracic trauma (p=0,00), ventilator (p=0,04), duration of ventilator (p=0.01), sepsis (p=0,00), qSOFA score (p=0,00) and  injury severity score (p=0,00). Conclusions: Motorbike accidents contributed to a considerable number of traumatic chest injuries in this study. Diagnosis, management of trauma, days of ventilation, qSOFA score, injury severity score, and development of sepsis were associated with the short-term outcome among thoracic trauma patients.  Injury severity score seems to be the most influential variable in this study, the lower the better it is. Road safety intervention is urgently needed to control the underlying problems in this study.

Objective: To investigate the interaction of physical activity and body mass index with age at menarche in Babun Najah Junior High School.Methods: This was a cross sectional study. The sampling technique in this study is non-probability sampling by a total sampling.Results: The results of the study were processed using the Chi-Square statistical test on 142 samples, obtained p-value = 0.748 (p>0.05) for the relationship between physical activity and age at menarche, p-value = 0.048 (p<0.05) for relationship between body mass index with age at menarche, and p-value > 0.05 for the interaction of physical activity and body mass index with age at menarche.Conclusions: There is no interaction of physical activity and body mass index with age at menarche in Babun Najah Junior High School.Keywords:   body mass index,  interaction, menarche age,  physical activity.   Abstrak Tujuan: Mengetahui interaksi aktivitas fisik dan indeks massa tubuh dengan usia menarche di Madrasah Tsanawiyah Swasta Babun Najah.Metode: Jenis penelitian ini adalah observasional analitik dengan desain penelitian potong lintang. Teknik pengambilan sampel dalam penelitian ini adalah pengambilan sampel non probabilitas dengan metode total sampling.Hasil: Terdapat hubungan antara indeks massa tubuh dengan usia menarche (p-value = 0,048) , tidak terdapat hubungan antara aktivitas fisik dengan usia menarche (p-value = 0,784) serta tidak terdapat interaksi antara aktivitas fisik dan indeks massa tubuh dengan usia menarche (p-value > 0,05).Kesimpulan: Tidak terdapat interaksi aktivitas fisik dan indeks massa tubuh dengan usia menarche di Madrasah Tsanawiyah Swasta Babun Najah.Kata kunci: aktivitas fisik, indeks massa tubuh, , interaksi, usia menarche

Background Deep vein thrombosis (DVT) is a common but elusive illness that can result in suffering and death if not recognized and treated effectively. Overall, 43% of patients with thrombocytopenia were hospitalized, but just 2% of patients had DVT. Case Summary A 48-year-old male patient presented with a complaint left leg pain accompanied by edema leg 8 days before admission. The patient is a smoker, the patient has a history of diabetes since one year ago, In the laboratory results showed platelet count 23,000/mm3, D-dimer above 4000 ng/ml. Anti-dengue IgM and IgG were negative. Doppler examination revealed a thrombus in the common femoral and popliteal veins of the left leg. Patient was treated with low molecular weight heparin (LMWH) Subcutan fondaparinux 5 mg once daily for up to 7 days without bleeding and continued with Rivaroxaban 20 mg once daily, The patient was discharged on day 14. Discussion Platelet count below 50 x109/L significantly reduces the risk of DVT. Some known risk factors for DVT still appear to apply in patients with thrombocytopenia, and therefore patients with thrombocytopenia would benefit from DVT risk stratification based on platelet count and comorbidity. Patients having thrombocytopenia with DVT were treated safely with anticoagulants without increased occurrence of bleeding. The majority of cases were given therapeutic doses of LMWH.

COVID-19 is a multisystem disease, with various complications besides respiratory disorders that can affect various systems ranging from the heart, kidneys, gastrointestinal, nervous, endocrine, and musculoskeletal. Post COVID-19/Long Covid Syndrome is a condition where the symptoms of COVID-19 persist even though they have been declared cured. Health workers have a fairly large risk of being infected with COVID-19, as well as the risk of symptoms of Post COVID 19 Syndrome with the most complaining symptom being fatigue. The purpose of this study was to examine the effect of supervised cardiopulmonary exercise on increasing functional capacity in health workers with Post Covid-19 Syndrome. This study used an experimental research design with the sample divided into the control group and the treatment group. We provided supervised cardiopulmonary exercise with moderate and high intensity on 30 medical personnel for 12 times in Cardiac Rehabilitation Gymnasium. It was concluded that treatment group experienced an increase in functional capacity compared to the control group. The improvement in functional capacity between the moderate and high intensity exercise groups was not significantly different. Increased functional capacity will improve the quality of life in patients with Post Covid-19 Syndrome.

Di Indonesia penyakit jantung koroner (PJK) merupakan penyebab nomor satu dari seluruh kematian. Provinsi Aceh memiliki prevalensi penyakit jantung di atas rata-rata nasional yaitu 16.6% dibanding 9.2%. Penelitian mengenai profil pasien sindroma koroner akut (SKA) yang merupakan bagian dari PJK belum pernah dilakukan di Provinsi Aceh. Penelitian ini diharapkan dapat mendeskripsikan profil pasien SKA di Provinsi Aceh sehingga data ini dapat dijadikan indikator pentingnya penanganan SKA serta dijadikan evaluasi kinerja program edukasi masyarakat mengenai penyakit kardiovaskular di Provinsi Aceh. Penelitian ini menggunakan desain penelitian deskriptif dengan sampel penelitian seluruh pasien SKA pada Januari 2017 hingga Desember 2018. Teknik pengumpulan data adalah total sampling yang diperoleh dari rekam medis. Analisis dan pengolahan data menggunakan SPSS for Windows versi 14. Disimpulkan bahwa pasien yang terbanyak berjenis kelamin laki-laki yaitu 206 pasien (69%), usia terbanyak yaitu 45─60 tahun dengan 138 kasus (50%), jenis SKA paling dominan adalah UAP/NSTEMI sebanyak 121 kasus dengan Banda Aceh sebagai domisili terbanyak. Karakteristik nyeri dada tipikal paling dominan ditemukan 81.4 % dengan onset >24 jam dan terjadi di malam hari. Merokok merupakan faktor risiko dominan serta keluhan nyeri dada adalah yang terbanyak ditemukan.