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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kesehatan Andalas The Journal of Society Medicine (JSOCMED)
Ashan, Hesty Rhauda
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Performed Laparoscopic Surgery For Gastric Perforation: Case Report Mirton; Pasihulilzan; Ashan, Hesty Rhauda
Journal of Society Medicine Vol. 3 No. 6 (2024): June
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i6.147

Abstract

Introduction: Perforated peptic ulcer (PPU) is a life-threatening disease with historically reported high morbidity and mortality rates. The epidemiology of perforated peptic ulcer was appear to be stable in recent. The laparoscopy as primary operation has focused on safety to tread PPU. Case: A 75 years old man presented to our emergency center with generalized abdominal pain since 2 days before admision. Generalize abdominal pain develop suddenly and severe. Patient has history taking NSAID for 7 years to treat pain in the knee joint. He was complaining of chronic and recurrent upper abdominal for 5 year and relieved by food or antacids. He is smoker. After initial resuscitation by adequate administration intravenous lines of fluid and nasogastric tube, Patient underwent a laparocopik surgery, we perform prymari suture and a Graham patch.  We followed administration antibiotic and proton pump inhibitor. We perform the suturing to close the perforation site before peritoneal irrigation to avoid the accumulation of infected fluid and other debris. Once irrigation was complete, a large volume of omentum was reinforced above the primary suture site. Conclusion: We successfully managed perforated peptic ulcers with minimally invasive approach. Adequate resuscitation, hypotension in no longer be a significant prognostic indicator. In experienced hand laparoscopic is probably the most appropriate approach for perforated peptic ulcer. Because no upper abdominal incision is made, there I decreased post operative pain and decrease administration of post operative pain medication. The patient rapidly recovers with less complication.
Perbedaan Kadar Natrium pada Packed Red Cell Berdasarkan Lama Penyimpanan di Bank Darah RSUP Dr. M. Djamil Padang Ashan, Hesty Rhauda
Jurnal Kesehatan Andalas Vol. 9 No. 1 (2020): Online March 2020
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i1.1237

Abstract

Packed Red Cell (PRC) adalah komponen darah yang didapat setelah sebagian besar plasma dipisahkan dari Whole Blood (WB) dan memiliki nilai hematokrit sekitar 80%. Packed red cell disimpan pada suhu 2-6°C selama 21–42 hari tergantung larutan antikoagulan-pengawet yang digunakan. Pompa Na+/K+ATPase menjadi inaktif pada suhu 4°C menyebabkan natrium masuk ke dalam sel dan kalium keluar dari sel. Proses ini terjadi perlahan dan terus menerus sehingga kadar natrium pada plasma PRC menurun sesuai dengan bertambahnya waktu penyimpanan. Tujuan: Menentukan perbedaan kadar natrium PRC antara penyimpanan ≤14 hari dan >14 hari di bank darah RSUP Dr.M.Djamil Padang. Metode: Penelitian ini adalah suatu penelitian analitik dengan rancangan potong lintang, dimulai dari bulan September 2016 sampai Oktober 2018. Kadar natrium diperiksa dengan electrolyte analyzer. Analisis data menggunakan uji-t, bermakna bila p<0,05. Hasil: Rerata kadar natrium pada penyimpanan ≤14 hari adalah 150,5 (2,9)  mmoL/L dan 143,3 (4,3) mmoL/L pada penyimpanan >14 hari. Terdapat perbedaan bermakna rerata kadar natrium PRC berdasarkan lama penyimpanan (p= 0,0001). Simpulan: Terdapat perbedaan kadar natrium PRC pada lama penyimpanan ≤14 hari dan >14 hari.Kata kunci: lama penyimpanan, jejas penyimpanan, natrium, packed red cell
Unveiling Burnout: How Psychological Well-Being and Quality of Life Shape Female Lecturers' Resilience Ambarsarie, Riry; Dinda, Rofifah; Saki, Vernonia Yora; Euleryn, Norevia; Ashan, Hesty Rhauda
Jurnal Ilmu Kedokteran Vol 19, No 1 (2025): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v19i1.2025.29-34

Abstract

Female lecturers are more vulnerable to burnout due to biological and emotional factors, as well as the dual roles they often manage. Psychological well-being (PWB) and quality of life (QOL) are critical factors that can influence the occurrence of burnout. This research aims to determine the relationship between PWB and QOL with the level of burnout syndrome among female lecturers at University of Bengkulu. This study employed an observational cross-sectional design, consisted of 86 female lecturers at the University of Bengkulu selected through stratified random sampling. The variables were assessed by using Ryff’s Psychological Well-Being Scale, WHOQOL-BREF questionnaire, and Maslach Burnout Inventory Educators Survey. Data were analyzed using univariate, bivariate and multivariate analysis. The results showed that the majority of respondents were aged 36-45 years (34.9%), married (83.7%), and held a Master's degree (68.6%), have a high PWB level (86%) with good QOL (58.1%) and have a mild burnout syndrome (91.9%). The Pearson chi-square test analysis results show p = 0.0001 (p ≤ 0.05) for both PWB and QOL. From the multiple linear regression analysis, it was found that both the PWB and QOL variables have a negative and significant effect on burnout syndrome among female lecturers. Each increase both PWB and QOL will reduces burnout by 0.255 (PWB) and 0.829 (QOL). With appropriate interventions, it is hoped that a healthier and more productive work environment can be created, supporting professional development and the emotional well-being of educators, especially with female lecturers.
Co-Authors Ambarsarie, Riry Dinda, Rofifah Euleryn, Norevia Mirton Pasihulilzan Saki, Vernonia Yora