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Education On Optimization Of Referral System For Cardiovascular Emergency Handling: Training And Simulation For Health Workers Kurniawan, Rudi Erwin
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

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Education on optimizing the referral system for cardiovascular emergencies is crucial for healthcare workers to improve the quality of medical services. This community service program aims to enhance healthcare workers' knowledge and skills through training and scenario-based simulations. The methods used include interactive lectures, workshops, and emergency simulations. Evaluations were conducted using pre-tests and post-tests to assess participants' knowledge improvement. The results showed a significant increase in participants' understanding and skills in handling cardiovascular emergency referrals. In conclusion, this training contributes to the readiness of healthcare workers in providing fast and accurate referral services. Additionally, the education provided increases awareness among healthcare workers regarding the importance of coordination between healthcare facilities to ensure optimal patient care. The implementation of this program is expected to serve as a model for improving a more efficient referral system, particularly in cardiovascular emergency cases.

Evaluation of Referral System Readiness in Handling Cardiovascular Emergencies in Hospitals Kurniawan, Rudi Erwin
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.2528

Cardiovascular emergencies are among the leading causes of morbidity and mortality worldwide. An effective referral system is crucial to ensuring patients receive timely and optimal care. This study aims to evaluate the readiness of the referral system in handling cardiovascular emergencies in hospitals using a literature review and descriptive analysis method. The findings indicate that infrastructure readiness, medical personnel capacity, and coordination between healthcare facilities play crucial roles in the effectiveness of the referral system. However, challenges such as limited medical transportation facilities and lack of integration of information technology in referral communication persist. Therefore, efforts to enhance policies and technological innovations in the referral system are required to improve services for cardiovascular emergency patients. Additionally, developing better communication networks and improving the competencies of medical personnel in handling emergency referrals are essential factors. The success of the referral system depends not only on technical preparedness but also on regulatory support and policies that facilitate rapid referral processes. The implementation of telemedicine systems, continuous training, and strengthening cross-sector healthcare coordination will significantly support the effectiveness of the referral system. With a holistic approach, the referral system can become more responsive in managing cardiovascular emergencies, ultimately reducing mortality rates and improving healthcare service quality.

The Effectiveness of Telemedicine in Managing Catastrophic Disease Emergencies in Remote Areas: Effectiveness of Telemedicine in Managing Catastrophic Disease Emergencies in Remote Areas Kurniawan, Rudi Erwin
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i2.2550

Telemedicine has emerged as a promising solution to overcome geographical and logistical barriers in handling emergency cases of catastrophic diseases, especially in remote areas. This study aims to analyze the effectiveness of telemedicine in managing emergencies related to catastrophic diseases by evaluating its impact on response time, patient outcomes, and healthcare accessibility. The methodology employed includes a systematic review of relevant literature, case studies from various remote healthcare centers, and a comparative analysis of conventional emergency responses versus telemedicine-assisted interventions. The findings indicate that telemedicine significantly reduces response times, facilitates early diagnosis, and enhances coordination between primary healthcare providers and specialists. However, challenges such as limited internet connectivity, inadequate infrastructure, and the need for trained personnel remain obstacles to implementation. This study concludes that telemedicine is a viable and effective tool for improving emergency care in remote regions, provided that adequate investment in infrastructure and training is ensured.

Lymphocyte Level Profile Between Active and Inactive Systemic Lupus Erythematosus Patients Receiving Methylprednisolon Therapy Kurniawan, Rudi erwin
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/pwmsfc33

Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by chronic inflammation and excessive lymphocyte activation, requiring accurate monitoring of disease activity. This study aimed to analyze the differences in lymphocyte levels between active and inactive SLE patients receiving methylprednisolone therapy. The methodology involved measuring lymphocyte counts from patients’ venous blood samples, followed by classification based on the MEX-SLEDAI score as an indicator of disease activity. Data were then analyzed to determine significant differences between the two groups. The results demonstrated that patients with active SLE had significantly lower lymphocyte counts (mean 838.35/μL) compared to inactive patients (mean 1957.65/μL). These findings indicate that a decrease in lymphocyte levels is closely associated with higher disease activity, suggesting that lymphocyte count may serve as a potential indicator of SLE activity. In conclusion, lymphocyte levels can be considered a useful parameter for assessing disease activity in SLE patients undergoing methylprednisolone therapy. This study provides valuable insight for clinical diagnosis and disease activity monitoring. Times New Roman 9 pt and single space. The abstract should contain the background, objectives, methodology, results, and conclusions. The abstract should contain background, objectives, methodology, results, and conclusions and be written in each opening paragraph. The abstract should not contain tables/images without including a citation. The use of abbreviations should be minimum except for units. Objectives and methodology are arranged in the form of past tense, while the results and conclusions in the form of simple present tense.

a ANALISA BAKTERI Escherichia coli DENGAN METODE MOST PROBABLE NUMBER (MPN) PADA CINCAU HITAM YANG BEREDAR DI PASARAN kurniawan, rudi erwin
Deli Medical and Health Science Journal Vol 1 No 2 (2024): Deli Medical And Health Science Journal (JDMHC)
Publisher : Fakultas Kedokteran, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jdmhc.v1i2.1793

Black grass jelly is a popular food, used as an ingredient to mix food and drinks. Black grass jelly can also be used in medicine such as lowering internal heat, mouth ulcers, fever, stomach pain, and preventing indigestion to be useful in lowering blood pressure. Black grass jelly is sold in traditional markets, but the presentation and processing of black grass jelly often lacks hygiene or hygiene. Unhygienic storage places such as being placed in open containers result in easy exposure to dust and are easily infested with flies. Disease-causing microbes attach to unclean body skin, which then allows them to attach to food which is a way of mechanical transmission. The bacteria that often contaminate food are Escherichia coli bacteria. Some of the health problems caused by Escherichia coli bacteria include meningitis, urinary tract infections, diarrhea and sepsis. This study aims to determine the presence of Escherichia coli bacterial contamination in black grass jelly circulating in the Lubuk Pakam market, and then count the number of colonies that grow on EMBA media. The method used in this research is descriptive with the MPN test.The results of the research on black grass jelly showed the presence of Escherichia coli bacteria. It was concluded that a positive result was obtained on EMBA media contaminated with Escherichia coli bacteria characterised by the presence of metallic green colonies.

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