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Comparison of Pain Scale and Duration of Early Mobilization after Cesarean Section Surgery Using Eracs Tap Block Method with Eracs without Tap Block Siburian, Tissa Priscillya Deabitha Br; Simbolon, Boyke Marthin; Chairul, Muhammad
Journal La Medihealtico Vol. 5 No. 5 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i5.1679

Abstract

One of the problems for pregnant women is dealing with pain and recovering quickly after surgery. This research focuses on observing pregnant women after surgery to compare the pain scale and duration of early post-operative mobilization using ERACS tap blocks and ERACS without tap blocks. This quantitative research was designed using a cross-sectional approach. The research sample was 40 respondents selected by purposive sampling. The pain scale was measured using the Visual Analog Scale (VAS) and Early Mobilization was measured using an observation sheet. Based on the results of statistical analysis. The p value in the results of the Mann-Whitney test analysis on the pain scale for both variables is VAS5 (24 hours) which has a p value of 0.028 which is lower than 0.05. Early mobilization shows that catheter removal has a p value of 0.002, lower than 0.05. It can be concluded that there is a significant difference between the pain scale and the duration of early mobilization using ERACS tap block and ERACS without tap block.
Perbandingan Shivering Pasien Pasca Operasi Sectio Caesarea Metode Eracs Tap Blok, Eracs Tanpa Tap Blok Dhillon, JagRoshen Singh; Simbolon, Boyke Marthin
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 3 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss3.1999

Abstract

Shivering pasca anestesi spinal pada operasi sectio caesarea dapat meningkatkan konsumsi oksigen dan menurunkan kenyamanan pasien. Penelitian ini bertujuan menilai pengaruh penerapan Transversus Abdominis Plane (TAP) block dalam protokol Enhanced Recovery After Caesarean Section (ERACS) terhadap kejadian shivering pasca operasi. Penelitian dilakukan dengan desain observasional cross-sectional pada 40 pasien sectio caesarea dengan anestesi spinal yang dibagi menjadi dua kelompok, yaitu ERACS dengan TAP block (n = 20) dan ERACS tanpa TAP block (n = 20). Kejadian shivering dinilai menggunakan skala 0–4, dan data dianalisis dengan uji Chi-square atau Fisher’s Exact Test, serta ukuran asosiasi dinyatakan sebagai Prevalence Ratio (PR) dengan 95% Confidence Interval (CI). Hasil menunjukkan bahwa kejadian shivering lebih rendah pada kelompok ERACS dengan TAP block (45%) dibandingkan kelompok tanpa TAP block (85%) dengan PR = 1,89; 95% CI = 1,13–3,17; p = 0,02. Penerapan TAP block sebagai bagian dari protokol ERACS terbukti menurunkan risiko shivering pasca operasi sectio caesarea dan mendukung penggunaannya sebagai strategi analgesia multimodal yang efektif untuk meningkatkan kenyamanan dan pemulihan pasien.
Efek Pemberian Ekstrak Daun Lidah Buaya (Aloe Vera) Terhadap Penyembuhan Luka Bakar Tikus Putih Jantan (Rattus Novergicus) Galur Wistar Simbolon, Boyke Marthin; Hutasoit, Maria Angelina Br; Tarigan , Elviyanti Br
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v11i1.63668

Abstract

Burn injuries are a major cause of morbidity and mortality worldwide, accounting for approximately 180,000 deaths annually. Conventional treatments for burns often cause side effects such as allergic reactions and antibiotic resistance. Aloe vera has been traditionally used as a natural remedy for burns due to its bioactive compounds. This study aims to investigate the effect of aloe vera leaf extract administration on burn wound healing in male Wistar rats (Rattus norvegicus). This experimental research employs a post-test only control group design with 12 rats divided into four groups: negative control, positive control (silver sulfadiazine), and two treatment groups receiving different doses of aloe vera extract. Second-degree burns were induced using a heated iron plate. Parameters observed include wound diameter, healing time, and histopathological analysis of skin tissue. Aloe vera leaf extract contains bioactive compounds such as vitamins A, C, E, flavonoids, saponins, and tannins that play roles in wound healing through anti-inflammatory, antibacterial activities, and collagen synthesis stimulation. This research is expected to provide scientific evidence regarding the effectiveness of aloe vera as a safe, affordable, and accessible natural treatment alternative for burns in the community.
Hubungan Kepatuhan Minum Obat Antiretroviral dengan Kadar Viral Load pada Pasien HIV/AIDS dengan Koinfeksi Sifilis di RS H. Adam Malik Medan Sukma, Triza Via; Br Tarigan, Elviyanti; Simbolon, Boyke Marthin; Br Ginting, Masita Unjuk; Sitompul, Christian Michael Oloan
Ranah Research : Journal of Multidisciplinary Research and Development Vol. 8 No. 2 (2026): Ranah Research : Journal Of Multidisciplinary Research and Development
Publisher : Dinasti Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/rrj.v8i2.1999

Abstract

The Human Immunodeficiency Virus (HIV) is a virus that targets and attacks the human immune system. Acquired immunodeficiency syndrome (AIDS) is an immunosuppressive condition (syndrome) closely associated with various opportunistic infections, secondary neoplasms, and certain neurological manifestations resulting from HIV infection. Adherence to antiretroviral therapy is a key factor in achieving optimal viral load suppression. Viral load testing is one indicator of the success of ARV treatment. The higher the viral load in the blood, the faster HIV disease progresses. Objective: To determine the relationship between adherence to antiretroviral medication and viral load levels in HIV/AIDS patients with syphilis co-infection at H. Adam Malik General Hospital. Methods: This study used an analytical observational research design with purposive sampling techniques, namely measuring antiretroviral medication adherence and viral load levels in HIV/AIDS patients with syphilis co-infection. Results: Of the 100 study subjects, the majority were male (82%) with the largest age group being 25-35 years (48%). The results of the analysis showed a highly significant relationship between the MMAS-8 compliance level and viral load status (χ² = 31.248; df = 2; p = 0.001). There was a clear pattern showing that the higher the level of adherence, the greater the proportion of patients who achieved viral suppression. Only 39% of patients achieved high adherence (score of 8), and there was a dramatic difference in viral suppression between low adherence (14.8%), moderate adherence (55.9%), and high adherence (76.9%).