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Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arteriovenous Fistula pada Pasien Gagal Ginjal Satria, Muhammad; Rustam, Raflis; Rivaldy, Vendry
Jurnal Kesehatan Vol 11, No 2 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i2.2122

Abstract

Hemodialysis is a treatment for kidney failure that uses a machine to send the patient's blood through a filter. Arteriovenous fistulas (AVF) and arteriovenous grafts are vascular access that is designed for long-term use. In the world, the number of patients with end-stage chronic kidney failure (CRF) which requires hemodialysis is increasing. However, almost 50% of arteriovenous fistulas can never be used for hemodialysis, and if they can be used, 25% will experience failure after 2 years. Many factors make the AVF failure, between the injury of the endothelial wall or the hypercoagulation. This study uses a cross-sectional retrospective design. Data is taken from the medical record status of patients with chronic kidney failure in RSUP Dr. M.Djamil Padang from January 2017-December 2019. Data were analyzed by Chi-square and Fisher test. From a sample of 33 people, patients obtained hematocrit values <33%, 33-36%,> 36% failure of AVF as many as 8, 2, and 4 people. While the platelet values <150,000,150,000-400,000 and 400,000 obtained AVF failures were 0.9 and 5 people. There was no relationship of platelet values with AVF failure in hemodialysis patients with p-value=0,323. There was a correlation between hematocrit values and AVF failure in hemodialysis patients with p-value=0,003.
HUBUNGAN NILAI TROMBOSIT DAN HEMATOKRIT DENGAN KEGAGALAN ARTERIOVENOUS FISTULA PADA PASIEN GAGAL GINJAL DI RSUP DR. M. DJAMIL PADANG Satria, Muhammad; Rustam, Raflis; Rivaldy, Vendry
Jurnal Kesehatan Karya Husada Vol 9 No 2 (2021): Jurnal Kesehatan Karya Husada (JKKH)
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v9i2.409

Abstract

ABSTRAK Abstrak: Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arterovenous Fistula pada pasien Gagal Ginjal Kronis di RSUP Dr.dr.M.Djamil Padang Hemodialisis adalah pengobatan pada gagal ginjal yang menggunakan mesin untuk mengirimkan darah pasien melalui sebuah penyaring. Fistula arteriovenosa dan cangkok arteriovenosa merupakan akses vaskuler yang didesain untuk penggunaan jangka panjang. Di dunia jumlah pasien gagal ginjal kronis (GGK) stadium akhir yang memerlukan hemodialisis semakin mening­kat. Akan tetapi hampir 50% fistula arteriovenosa tidak pernah dapat digunakan untuk hemodialisis, dan jika dapat digunakan, 25% akan mengalami kega­galan setelah 2 tahun. Banyaknya faktor-faktor yang menyebabkan kegagalan AVF, diantaranya kerusakan dinding endotel atau adanya aliran darah yang lambat atau hiperkoagulasi. Kata Kunci.Gagal ginjal kronis, Hemodialisis, Arterovenous Fistula, Kegagalan AVF
Hernia Umbilikalis: Ulasan Singkat Reghina Pratiwi Hidayat; Perwisa, Inna Rahmayanti; Satria, Muhammad
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.880

Abstract

An abnormal protrusion of an organ in the fascia of the abdominal wall is called a hernia. An umbilical hernia indicates that there is a protrusion in the anterior abdominal wall. Congenital umbilical hernias occur more frequently due to failure to obliterate the umbilical blood vessels into ligaments after birth. However, congenital umbilical hernia can completely close 85-90% by the age of 5 years. Adult umbilical hernias are usually associated with increased intra-abdominal pressure, such as chronic coughing, frequent straining and large abdominal tumors, requiring surgical treatment. The clinical manifestation of an umbilical hernia is usually a protrusion in or near the navel, but if it is incarcerated or strangulated, symptoms of nausea, vomiting, difficulty defecating and abdominal pain will appear. On physical examination, you will find a lump in the navel with skin color even red to black if strangulation has occurred. In addition, to the touch it will feel warm. The most severe clinical manifestations can be symptoms of sepsis such as hypotension and tachycardia. The necessary supporting examinations include initial imaging such as ultrasound and the most sensitive, namely an abdominal CT scan. Surgical treatment for adult umbilical hernias can be done with suture or mesh repairs, while pediatric umbilical hernias can be repaired with non-absorbable sutures and umbilicoplasty for aesthetic improvement. Complications of umbilical hernia are usually related to post-surgery such as hematoma, post-operative wound infection. The prognosis for an umbilical hernia is good after surgery.
Apendisitis Akut Pada Pasien Dewasa: Ulasan Singkat Fachmi Aditya; Satria, Muhammad
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.1053

Abstract

Acute appendicitis is an inflammatory condition that occurs within 24 hours in the vermiform appendix which is usually triggered by obstruction of the outlet of the appendix and in adult patients the obstruction is caused by lymphoid hyperplasia. The typical clinical manifestation that appears is periumbilical pain which then migrates to the right lower quadrant. Typical physical examination is tenderness at the McBurney point, Rovsing sign, obturator sign and psoas sign. The most important supporting examination is a complete blood test which indicates the presence of leukocytosis. Imaging modalities are performed if the clinical diagnosis is not yet established and to determine the size of the inflamed appendix. The imaging modality often chosen is abdominal ultrasound because it is cheap, easy and suitable for pregnant patients and children. Abdominal ultrasound will show an anteroposterior appendiceal diameter of >6 mm with an abnormal increase in peri-appendiceal fat echogenicity. After the diagnosis of acute appendicitis is made, the next step in treatment is to consider whether an appendectomy, either laparoscopic or open laparotomy, is needed. In addition, administering empirical broad-spectrum antibiotics such as a combination of cephalosporins or fluroquinolones with metronidazole is also important in this case.
Penerapan Strategi Belajar Self-Talk Instruksional terhadap Hasil Belajar Keterampilan Dasar Defensive Clear dan Long Service pada Permainan Bulutangkis Riansyah, Riansyah; Hidayat, Yusuf; Septian, Regi Dwi; Abdullah Al Ghazali, Muhamad Dzikry; Hambali, Burhan; Nugraha, Reshandi; Satria, Muhammad
Gelanggang Olahraga: Jurnal Pendidikan Jasmani dan Olahraga (JPJO) Vol 8 No 1 (2024): Gelanggang Olahraga: Jurnal Pendidikan Jasmani dan Olahraga
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jpjo.v8i1.11719

Abstract

The aim is to test the effect of instructional self-talk learning strategies on basic defensive clear and long service skills. The research was carried out using the experimental method on 32 Pinggir Sari 1 elementary school students consisting of 16 experimental group students and 16 control group students, which was carried out using a technique (random sampling). The results of the calculation of the independent samples t-test data for the experimental group and the defensive clear control group use the assumption of equal variances, which is seen from the average value of the experimental group, which is higher than the control group, namely (20.93 > 7.31) and the results of the test calculations independent samples t-test data for the experimental group and the extended service control group using the assumption of equal variances not assumed which is seen from the average value of the experimental group which is higher than the control group, namely (18.50 > 7.93). Conclusion: The instructional self-talk learning strategy significantly influences overall learning outcomes for basic skills. Keywords: Defensive precise, Instructional self-talk, Long service
ANALISIS EFEKTIFITAS PENERAPAN MODEL APO 08 – 14 DALAM UPAYA PENINGKATAN KINERJA ORGANISASI PADA UPT. PUSKESMAS KEDUNGKANDANG Pakpahan, Ruben Hizkia; Fitrah, Diyan; Satria, Muhammad
Journal of Information Systems Management and Digital Business Vol. 3 No. 1 (2025): Oktober
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jismdb.v3i1.2664

Abstract

Penelitian ini bertujuan untuk mengevaluasi penerapan model APO (Align, Plan, Organize) di UPT Puskesmas Kedungkandang, Kota Malang. Dengan populasi sekitar 192.625 jiwa dan rekor 280.000 kunjungan pada tahun 2023, puskesmas ini memiliki tanggung jawab besar dalam memberikan pelayanan kesehatan. Metode penelitian yang digunakan terdiri dari studi literatur, observasi, dan wawancara. Studi literatur dilakukan untuk mengumpulkan informasi dan referensi yang relevan, sedangkan observasi dilakukan untuk memahami penerapan model APO secara langsung di lapangan. Wawancara mendalam dilakukan dengan lima narasumber, termasuk Kepala Puskesmas dan tenaga kesehatan, untuk mengidentifikasi kendala, peluang, dan efektivitas penerapan model APO. Hasil analisis menunjukkan bahwa terdapat beberapa faktor pendukung dan penghambat dalam penerapan model ini, dengan skor efektivitas yang bervariasi pada sub-domain APO 08-14. Skor tertinggi diperoleh pada indikator tingkat pelayanan (3,7), sementara skor terendah pada upaya perbaikan dan efisiensi berkelanjutan (3,2). Penelitian ini diharapkan dapat memberikan rekomendasi untuk meningkatkan kinerja organisasi di Puskesmas Kedungkandang melalui penerapan model manajemen yang lebih efektif.
PEMBERDAYAAN KELOMPOK USAHA KREATIF MELALUI PENDAMPINGAN IZIN USAHA NIB UNTUK MENDORONG PENDAPATAN MASYARAKAT DI DESA AIR JOMAN KECAMATAN AIR JOMAN Wahyuni, Dian; Suriono, Hadi; Rumondang, Rumondang; Harianja, Meyliyani Hissania Br; Satria, Muhammad; Lubis, Alweni Khoiriyah
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2024): Volume 5 No 1 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i1.24307

Abstract

Usaha Mikro, Kecil, dan Menengah (UMKM) adalah salah satu penunjang perekonomian yang dimiliki di berbagai negara dan termasuk Indonesia. UMKM juga bisa di bilang sebagai tulang punggung perekonomian pada suatu negara. UMKM merupakan badan usaha yang diciptakan oleh masyarakat untuk pendapatan pribadi dan menjadi sumber pertumbuhan kesempatan kerja. Dengan menciptakan UMKM pada suatu daerah dapat meningkatkan nilai pertumbuhan perekonomian negara serta dapat mengurangi nilai kemiskinan dalam suatu negara. Adapun tahap-tahap yang dilakukan dalam melaksanakan pengabdian ini, antara lain : Observasi, Penyuluhan Tentang Pentingnya NIB, Pelaksanaan Kegiatan. Kegiatan pengabdian masyarakat berupa dan pendampingan pembuatan Nomor Induk Berusaha (NIB) bagi pelaku UMKM di Desa Air Joman. Sosialisasi dan pendampingan pembuatan Nomor Induk Berusaha (NIB) ini bertujuan untuk mendukung upaya tertib administrasi terhadap peraturan pemerintah. Para UMKM juga mendapatkan bantuan untuk membuatkan akun dan mendaftarkan usaha mereka melalui Online Single Submission (OSS). Maka dengan memiliki NIB para pelaku UMKM dapat menambah kepercayaan dari pelanggan karena dianggap sebagai usaha yang legal serta sebagai langkah dasar dalam mengurus perizinan-perizinan lainnya terkait kegiatan usahanya, seperti sertifikasi halal.