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Wanita, G2p0a1 Hamil 36 Minggu Belum Inpartu Dengan PEB + Partial HELLP Syndrome Dan Solutio Plasenta, Janin Tunggal Mati, Presentasi Kepala Rodiani, Rodiani; Luvika, Stefhani Gista
Jurnal Kedokteran Universitas Lampung Vol 1, No 2 (2016): JK UNILA
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v1i2.1657

Abstract

Solusio plasenta adalah terlepasnya sebagian atau keseluruhan plasenta dari implantasi normalnya setelah kehamilan 20 minggu dan sebelum janin lahir. Solusio plasenta sering berulang pada kehamilan berikutnya. Kejadiannya tercatat sebesar 1 diantara 8 kehamilan.2 Ny. MS, G2P0A1, 21 tahun, hamil 36 minggu datang ke RSAM dengan keluhan utamahamil kurang bulan dengan nyeri perut, darah tinggi dan anak tidak bergerak lagi. Pada pemeriksaan fisik didapatkan abdomen cembung dengan striae gravidarum, teraba keras dan nyeri, dan terdapat edema pretibial. Pada status obstetrikus didapatkan kesan yaitu tinggi fundus uteri (TFU) 29 cm, 4 jari di bawah processus xyphoideus, letak memanjanag, presentasi kepala, pu-ka, DJJ (-), janin intrauterine dengan TBJ 2480 gram, tunggal, mati. Pada pemeriksaan urinalisis didapatkan bilirubin 2 mg/dL dan protein 500. Pada pemeriksaan kimia darah didapatkan LDH 938. Pada pemeriksaan hematologi didapatkan hemoglobin: 11,8 gr/dL, hematokrit: 34%, leukosit 20.300/uL, trombosit 226.000/uL, CT: 8', BT: 2'. Pada pemeriksaan USG, tampak janin tunggal mati, presentasi kepala; biometri janin: BPD, HC, AC, FL ~ 36 minggu, ketuban cukup, tampak hematoma retroplasenta dengan ukuran 9x10 cm. Diagnosis G2P0A1 hamil 36 minggu belum inpartu dengan PEB+partial hellp syndrom edan solutio plasenta,JTM presentasi kepala. Pasien diberikan terapi stabilisasi 1 jam, rencana partus pervaginam, observasi TVI, tanda akut abdomen, tanda inpartu, IVFD RL gtt XX/m, insersi kateter menetap, inj. MgSO4 sesuai protokol, inj. Dexamethasone 2x 10 mg IV, ceftriaxone 2 x 1 gr IV, rencana pematangan serviks dengan drip oksitosin dan nifedipine 3 x 10 mg PO. [JK Unila. 2016; 1(2)]Kata Kunci: preeklampsia berat, solusio plasenta
Studi Perbandingan Efektivitas Penggunaan Antibiotik Pada Pasien Sectio Caesarea di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Hardiyanti, Rahma; Rodiani, Rodiani; Kurniawati, Evi; Sari, Ratna Dewi Puspita
Archives Pharmacia Vol 2, No 1 (2020): ARCHIVES PHARMACIA
Publisher : Lembaga Penerbitan Universitas Esa Unggul

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Abstract

ABSTRAKAngka kejadian persalinan dengan sectio caesarea sekitar 10-15% dari semua proses persalinan. Ada beberapa resiko dari sectio caesarea dan sekitar 90% morbiditas pasca operasi disebabkan oleh Infeksi Luka Operasi (ILO). Resiko ILO dari tindakan sectio caesarea tersebut dapat diturunkan dengan adanya pemberian antibiotik prabedah dan pascabedah. Penelitian ini bertujuan untuk menganalisis perbedaan efektivitas penggunaan antibiotik pada pasien sectio caesarea di RSUD Dr. H. Abdul Moeloek Provinsi Lampung.Desain penelitian analitik observasional dengan pendekatan cross sectional, menggunakan metode pengambilan sampel total sampling. Jumlah responden pada penelitian ini adalah 88 pasien section caesarea yang dibagi menjadi 2 kelompok. Kelompok pertama (n=44) adalah kelompok pasien yang mendapatkan antibiotik cefazoline 1gr IV prabedah dan kelompok kedua (n=44) adalah kelompok pasien yang mendapatkan antibiotik ceftriaxone 1gr IV dan cefotaxime 1gr IV pascabedah. Parameter penilaian perbedaan efektivitas penggunaan antibiotik prabedah dan pascabedah yaitu suhu tubuh, kadar leukosit dan lama perawatan pasien. Hasil analisis antara waktu pemberian antibiotik dengan suhu tubuh dan kadar leukosit pasien didapatkan p-value sebesar 0,016<0,05 dan 0,000<0,05 dan hasil analisis antara perbedaan waktu pemberian antibiotik dengan lama perawatan pasien didapatkan p-value sebesar 0,554>0,05.Kesimpulan terdapat perbedaan efektivitas penggunaan antibiotik prabedah dan pascabedah yang bermakna berdasarkan suhu tubuh dan kadar leukosit pasien sectio caesarea, namun tidak ditemukan perbedaan yang bermakna berdasarkan lama perawatan pasien. Kata kunci: antibiotik, lama perawatan, leukosit, sectio caesarea, suhu. ABSTRACTIncidence of cesarean sections about 10% and 15% of all labor process. There are several risks of cesarean section,  around 90% of postoperative morbidity is caused by Surgical Site Infection (SSI). Risks of SSI in a cesarean section can be reduced by an administration of preoperative and postoperative antibiotics. The study aimed was to analyze the difference in the effectiveness of antibiotic in cesarean section patientsat RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Analytical observational design with cross-sectional, using a total sampling method. Respondents in this study were 88 cesarean section patients who were divided into 2 groups. The first group (n = 44) was a group of patients who received a preoperative antibiotic, cefazoline 1gr IV antibiotics and the second group (n = 44) were groups of patients who receivedpostoperative antibiotics, ceftriaxone 1gr IV antibiotics and cefotaxime 1gr IV. Parameters of the assessment of differences in the effectiveness between preoperative and postoperative antibiotics are body temperature, leukocyte levels and maternal hospitality stay. From research between the time difference of antibiotic administration with body temperature and leukocyte level obtained p-value of 0,016< 0,05 and 0,000<0,05 and the research between the time difference of antibiotic administration with maternal hospital stay obtained p value of 0,554>0,05. It can be concluded that there are significant differences in body temperature and leucocyte levels between the administrasion of preoperative and postoperative antibiotic.However, there are no significant differences in the matrenal hospitality stay of patients. Keywords:antibiotic, body temperature, cesarean section, leukocyte levels, maternal hospitality stay
Faktor-Faktor yang Berhubungan dengan Perdarahan Pasca Persalinan di Rumah Sakit Umum Abdul Moeloek Lampung Rodiani, Rodiani; Setiawan, Sony
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2217

Abstract

Salah satu faktor yang menyebabkan angka kematian ibu masih cukup tinggi di Indonesia adalah perdarahan pasca persalinan. Perdarahan pasca persalinan didefinisikan sebagai perdarahan yang terjadi pada seorang ibu bersalin yang kehilangan darah lebih dari 500 ml. Beberapa faktor yang dapat menyebabkan perdarahan pasca persalinan yaitu usia, paritas dan jarak kehamilan. Tujuan penelitian ini adalah untuk mengetahui hubungan usia, paritas dan jarak kehamilan dengan kejadian perdarahan pasca persalinan di Rumah Sakit Umum Abdul Moeloek Lampung. Penelitian ini adalah penelitian observasional analitik dengan desain penelitian kohort retrospektif. Data sekunder diperoleh menggunakan buku rekam medik. Populasi dalam peneliian ini adalah semua ibu bersalin di Rumah Sakit Umum Abdul Moeloek (RSAM) Lampung periode 1 September sampai 31 Agustus 2018 dengan jumlah sampel 143 responden. Teknik sampling yang digunakan adalah simple random sampling. Penelitian ini menggunakan perhitungan Uji Chi-Square. Didapatkan prevalensi kejadian perdarahan pasca persalinan di RSAM pada tahun 2017–2018 adalah 33 kasus (23,1%). Angka kejadian terbanyak perdarahan pasca persalinan pada usia >35 tahun (42,85%), pada paritas kelompok multipara (46,66%), dan pada jarak kehamilan ≥ 2 tahun (30,43%). Uji statistik menunjukkan antara perdarahan pasca persalinan dan usia didapatkan p= 0,001, pada paritas didapatkan p= 0,001 dan pada jarak kehamilan didapatkan p= 0,044. Terdapat hubungan antara usia, paritas dan jarak kehamilan dengan kejadian perdarahan pasca persalinan di Rumah Sakit Umum Abdul Moeloek Lampung tahun 2017–2018. Kata kunci : jarak kehamilan, paritas, perdarahan pasca persalinan, usia
Penggunaan Tanaman Mangrove Sebagai Obat Herbal di Lampung Selatan Rodiani, Rodiani; Islamy, Nurul
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1085

Abstract

As a means of adaptation to extreme habitats, mangrove plants produce a variety of secondary metabolic substances that have the potential as herbal medicines. Empirically, coastal communities have utilized and proven the medicinal properties of mangrove plants. The study’s objective was to determine the use of mangrove plants as herbal medicine in Pematang Pasir, South Lampung. The use of mangroves as medicine was obtained through in-depth interviews followed by descriptive analysis and calculation of species use value, plant part value, and fidelity level. The results showed that the use of mangrove plants as herbal medicine in the Pematang Pasir area, Ketapang District, South Lampung, ethnically dominated by the Serang ethnic group (54%), with the majority having completed junior high school education (38.1%), economically classified as middle-income based on BPS criteria (2020), with the majority working as fishermen and farmers, and the majority being adults (over 40 years old). Based on the Species Use Value (SUV), R. apiculata is the most popular and widely used species by the community. Based on Plant Part Value (PPV) analysis, leaves are the most commonly used part as herbal medicine, with over 75% of the population using mangrove leaves as a source of treatment, while other parts are less utilized. The level of community trust in the benefits of mangrove plants as medicine is relatively low, with figures below 50%. Rhizophora apiculata is the only species accepted with a high level of confidence of 88%, particularly as a wound or antiseptic medicine.
Pengaruh Pemberian Ekstrak Biji Kopi Robusta (Coffea canephora) Lampung Terhadap Gambaran Histopatologi Tubulus Proksimal Ginjal Tikus Putih (Rattus norvegicus) Jantan Galur Sprague-dawley yang Diinduksi Monosodium Glutamat Salsabila, Aina; Wulan, Anggraeni Janar; Rodiani, Rodiani
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1335

Abstract

Excessive consumption of monosodium glutamate can form free radicals and is nephrotoxic which causes damage to organs, one of which is the kidneys, especially in the proximal tubule. Chlorogenic acid compounds contained in coffee beans have potential as antioxidants and nephroprotective agents. Coffee consumption at a certain dose is assumed to prevent and or reduce damage to the proximal kidney tubules of rats caused by free radicals. This research is an experimental study with a completely randomized design (CRD) with a Posttest Only Control Group Design approach. This research was conducted for 14 days. The samples used were 25 rats which were divided into 5 groups, namely K- (aquades 3 ml/day), K+ (MSG 4 g/kgBW/day), P1, P2, and P3 (MSG 4 g/kgBW/day). and Lampung robusta coffee bean extract 1 ml/200gBW/day with a concentration of 0.006 g/ml; 0.012 g/ml; 0.024 g/ml respectively) with each group consisting of 5 rats. Kidney histopathological assessment was carried out by observing kidney preparations in 5 visual fields each in 400x magnification. The mean total score of proximal tubular damage in groups K-, K+, P1, P2, and P3 respectively was 2.48; 3.40; 2.80; 2.64; 3.04. One Way ANOVA test obtained p value = 0.001 (p <0.05). Post Hoc LSD test on proximal tubular damage scores showed a significant difference (p<0.05) between K- and K+ (p=0.000), K- and P3 (p=0.008), K+ and P1 (p=0.005) , K+ with P2 (p=0.001), and P2 with P3 (p=0.047). There is an effect of administration of Lampung Robusta (Coffea canephora) coffee bean extract on the histopathological appearance of the kidney proximal tubules of male rats (Rattus norvegicus) strain Sprague-Dawley induced by monosodium glutamate.
Pola zonasi mangrove di wilayah Rawajitu Kabupaten Tulang Bawang Provinsi Lampung Irawan, Sandy Erggi; Duryat, Duryat; Riniarti, Melya; Yuwono, Slamet Budi; Maryono, Tri; Rodiani, Rodiani
ULIN: Jurnal Hutan Tropis Vol 9, No 1 (2025)
Publisher : Fakultas Kehutanan Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32522/ujht.v9i1.11860

Abstract

Ekosistem mangrove memiliki keunikan yaitu adanya zonasi yang khas dan membedakannya dengan vegetasi terestrial. Penelitian ini bertujuan untuk mengetahui pola zonasi mangrove di Rawajitu, Kabupaten Tulang Bawang, Provinsi Lampung. Penarikan sampel dilakukan dengan metode klaster sampling, hal ini didasari pada kenyataan bahwa kondisi mangrove pada lokasi penelitian memiliki keragaman dalam hal substrat, pasokan air tawar, dan kondisi arus laut. Pada masing-masing klaster diletakan plot contoh berbentuk garis berpetak yang diawali dari bagian terluar yang paling dekat dengan lautan sampai dengan daratan. Data ditabulasi dan dikelompokkan berdasarkan spesies penyusun vegetasi utama pada setiap zona. Analisis data dilakukan secara deskriptif analitik. Hasil penelitian menunjukan bahwa hutan mangrove di Rawajitu tergolong pola zonasi lengkap yaitu zona luar dengan vegetasi penyusun Avicennia marina, Sonneratia caseolaris, zona tengah dengan vegetasi penyusun Rhizophora mucronata, zona nipah dengan penyusun Nypa fruticans dan vegetasi penyusun zona darat (Excoecaria agallocha dan Hibiscus tiliaceus).
Kondisi sosial ekonomi dan pemanfaatan pekarangan oleh masyarakat kawasan hutan mangrove, Desa Bumi Dipasena Utama Kabupaten Tulang Bawang, Provinsi Lampung Kambey, Kevin Kornelius; Duryat, Duryat; Maryono, Tri; Rodiani, Rodiani
ULIN: Jurnal Hutan Tropis Vol 9, No 1 (2025)
Publisher : Fakultas Kehutanan Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32522/ujht.v9i1.11645

Abstract

Pekarangan memberi potensi untuk meningkatkan ekonomi, perbaikan kualitas lingkungan, dan sosial masyarakat.  Penelitian ini bertujuan untuk mengetahui bentuk pemanfaatan lahan pekarangan oleh petani tambak udang di Desa Bumi Dipasena Utama, Kabupaten Tulang Bawang.  Penentuan responden dilakukan dengan metode Simple Random Sampling. Analisis data dilakukan dengan metode deskriptif analitik.  Hasil penelitian menunjukan bahwa sebagian besar (64,3%) petani tambak di Bumi Dipasena berada pada usia dewasa madya (40—60 tahun).  Berdasarkan jenis kelamin, semua petani tambak berjenis kelamin laki-laki.  Petambak di bumi dipasena terdiri dari berbagai suku, yaitu suku Jawa, Lampung, Palembang, dan Melayu.  Sebagaian besar (92,9%) petani tambak memiliki tingkat pendidikan sekolah menengah.  Masyarakat bumi dipasena sebagian besar (78.6%) tidak memiliki pekerjaan sampingan.  Berdasarkan kriteria BPS (2021) sebagian besar (78,6%) masyarakat di Bumi Dipasena Utama tergolong berpendapatan sedang.  Seluruh petani tambak Bumi Dipasena memiliki lahan pekarangan seluas 1.000 m².  Sebagian besar (57,1%) lahan pekarangan di Desa Bumi Dipasena Utama dimanfaatkan oleh masyarakat sebagai kebun pekarangan, diikuti oleh pemanfaatan untuk kandang ternak, taman, dan kolam ikan, dengan persentase berturut-turut adalah 42,8%, 21,4%, dan 7,1%.  Tidak terdapat korelasi antara etnik dengan bentuk pemanfaatan lahan pekarangan oleh masyarakat.
SOCIO-ECONOMIC CONDITIONS AND HOME GARDEN UTILIZATION BY THE COMMUNITY IN THE CONSERVATION AREA OF WAN ABDUL RACHMAN GRAND FOREST PARK, SUNGAI LANGKA VILLAGE, PESAWARAN REGENCY, LAMPUNG PROVINCE Duryat, Duryat; Saragih, Yoppie Jordan; Rodiani, Rodiani
Jurnal Belantara Vol 8 No 1 (2025)
Publisher : Forestry Study Program University Of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbl.v8i1.1108

Abstract

Home gardens have significant potential to improve communities' economic, ecological, and social welfare. This study examines the socio-economic conditions and home garden utilization practices of the community in the Wan Abdul Rachman Grand Forest Park (Tahura WAR) conservation area, located in Sungai Langka Village, Pesawaran Regency, Lampung Province. Data was collected through direct interviews using structured questionnaires, with respondents selected via the Simple Random Sampling method. Descriptive analytical methods were employed for data analysis. The results reveal that 83.33% of farmers in Sungai Langka are adults aged 27–40 years, all male. The farmers belong to three ethnic groups: Javanese, Lampungese, and Sundanese, with Javanese being the majority. Most farmers (63.33%) have a secondary education level, and 83.33% engage in secondary occupations. According to the Indonesian Statistical Agency/BPS (2021) income classification, 74.5% of the population falls into the middle-income category. The average homegarden size is approximately 100 m². The majority of homegardens (90.33%) are utilized as yard gardens, followed by livestock shelters (66.33%), ornamental gardens (40.66%), and fishponds (20.55%). These findings highlight the pivotal role of homegardens in supporting the livelihoods of communities near conservation areas. This study underscores the importance of optimizing homegarden management to enhance community welfare while mitigating pressures on conservation forests.
UJI DAYA HAMBAT EKSTRAK DAUN LIDAH MERTUA (Sansevieria trifasciata laurentii) TERHADAP PERTUMBUHAN BAKTERI Staphylococcus aureus Saputra, Kurnia Hadi; Apriliana, Ety; Rodiani, Rodiani; Oktarlina, Rasmi Zakiah
Medula Vol 15 No 2 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i2.1579

Abstract

Infectious and communicable diseases remain one of the leading causes of mortality in Indonesia and worldwide. Several pathogenic bacteria can cause infections, one of which is Staphylococcus aureus. This bacterium can lead to a variety of conditions, including mastitis, dermatitis (skin inflammation), respiratory tract infections, impetigo, abscesses, toxic shock syndrome, and food poisoning. With the advent of antibiotics, an increasing number of bacterial strains have developed antibiotic resistance. The primary cause of this resistance is the widespread and irrational use of antibiotics, which allows some bacteria to survive and become resistant. The snake plant (Sansevieria trifasciata laurentii) contains compounds with antibacterial properties, such as tannins, saponins, and flavonoids. This study aimed to investigate the antibacterial activity of snake plant extract against Staphylococcus aureus. The research design used was a laboratory-based observational study. The antibacterial activity of the snake plant leaf extract was tested at concentrations of 20%, 40%, 60%, 80%, and 100% against Staphylococcus aureus using the dilution method to determine the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC). The results showed that the snake plant extract exhibited antibacterial activity against Staphylococcus aureus at all tested concentrations (20% to 100%). The MIC was observed at a concentration of 20%, while the MBC was found at 40%. These findings confirm that the extract of Sansevieria trifasciata laurentii has inhibitory effects on the growth of Staphylococcus aureus.
Edukasi Khasiat Obat Tanaman Pekarangan untuk Kesehatan Masyarakat Mitra Taman Hutan Raya Wan Abdurachman Provinsi Lampung Duryat, Duryat; Dewi, Bainah Sari; Qurniati, Rommy; Bakri, Samsul; Manaf, Latifah Abd.; Rodiani, Rodiani
Jurnal Pengabdian Fakultas Pertanian Universitas Lampung Vol 4, No 1 (2025): Jurnal Pengabdian Fakultas Pertanian Universitas Lampung Vol 4 No 1, Maret 2025
Publisher : Agriculture Faculty, Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpfp.v4i1.10857

Abstract

While not yet regulated at the legislative level, traditional medicine therapy has gained legal recognition at the ministerial level through Ministerial Regulation No. 6 of 2016 and No. 37 of 2017. These legal frameworks significantly facilitate scientific exploration for research and practical application of herbal medicine. Promoting such practices is particularly urgent for rural communities that face barriers to accessing modern healthcare services or financial constraints. The community engagement program aimed to introduce medicinal plants growing in situ while reinforcing traditional healing practices already embedded within the local community. Conducted on January 18, 2025, the initiative involved 15 participants, most of whom were women, reflecting inclusive access to educational activities. The core activities comprised lectures and interactive discussions on local biodiversity, medicinal plant identification, cultivation techniques, and traditional herbal processing. Pre- and post-activity evaluations revealed a significant improvement in cognitive knowledge and affective attitudes. The average cognitive scores for topics such as biodiversity awareness and medicinal plant cultivation increased from the "low-moderate" to the "good-excellent" category, while affective scores regarding the perceived benefits of herbal medicine rose from "poor" to "excellent." Participants'