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All Journal MEDISAINS Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Muhiddin, Rachmawati
Unknown Affiliation
Health Professions Medicine & Pharmacology Nursing Public Health

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Analysis of procalcitonin and urine nitrite to predictor sepsis patients Maghfirah, Andi Itha; Muhiddin, Rachmawati; Handayani, Irda; Kadir, Nursin Abdul
MEDISAINS Vol 19, No 2 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i2.11075

Abstract

Background: Sepsis is a significant health problem worldwide. Various sepsis biomarkers have been studied before, but few data link PCT and urinary nitrite levels to culture result in septic patients.Purposes: This study compares PCT, Urine Nitrite on culture results against their sensitivity to determine variables that can be used to predict sepsis patients.Methods: This is a cross-sectional study by taking data on patients with sepsis aged ≥18 years in 207. Diagnostic tests were performed to determine sensitivity and specificity of PCT, Urine Nitrite, and Blood Culture of septic patients. A Chi-square test was carried out to see the relationship between two parameters and the outcome of sepsis.Results: PCT sensitivity was higher than Urine Nitrite: 74.5%. Specificity of Urine Nitrite was higher than PCT: 88.2%. Procalcitonin has a significant relationship with sepsis patient outcomes (p<0.005).Conclusion: PCT can predict septic patients because it has a higher sensitivity than urine nitrite
An internal iliac artery ligation technique for bleeding control in the placenta accreta spectrum disorder Riu, Deviana Soraya; Sunarno, Isharyah; Pelupessy, Nugraha; Bakri, Syarif; Muchtar, Faisal; Andi Adil; Muhiddin, Rachmawati
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 4 October 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i4.2134

Abstract

Objective: To assess the contribution of internal iliac artery ligation to bleeding control during surgery. Methods: This retrospective study used secondary data from medical records. All patients diagnosed with PASD from January 2019 – to December 2022 were included in this study. Participants were grouped based on operation technique, and the blood loss and operative duration were evaluated. The tests used were the Kruskal-Wallis and the Mann-Whitney U tests. Results: 108 PAS patients were discovered. The most age group was between 20-35 years with parity of more than or equal to 4, history of Cesarean section once, gestational age at termination 34-36 weeks, and maternal death in 7 out of 101 cases. There were 49 resections, 13 resections with internal iliac artery ligation, 34 hysterectomies, and 12 hysterectomies with internal iliac artery ligation. There was no difference in bleeding and operative duration between resection vs. resection with internal iliac artery ligation (p: 0.113; p: 0.639), hysterectomy vs. a hysterectomy with internal iliac artery ligation ((p:0.052; P:0.723), and resection with ligation vs hystetectomy with the internal iliac artery ligation (p:0.052; p:0.723). Bleeding and operative duration differed significantly between resection vs. hysterectomy (p:0.002; p:0.013). All patients underwent tourniquet placement. Conclusion An Internal iliac artery ligation was not shown to reduce bleeding in treating PASD. Keywords: accreta, internal iliac artery, placenta .
Co-Authors Andi Adil Handayani, Irda Kadir, Nursin Abdul Maghfirah, Andi Itha Muchtar, Faisal Pelupessy, Nugraha Riu, Deviana Soraya Sunarno, Isharyah Syarif Bakri, Syarif