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All Journal Majalah Kesehatan Pharmamedika Jurnal Komplikasi Anestesi
Darmestari, Dara Lalita
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Gambaran antara Stres, Indeks Massa Tubuh dan Tekanan Darah pada Mahasiswa Fakultas Kedokteran Universitas YARSI Asiah, Nur; Darmestari, Dara Lalita; Harsa, Betari Texania; Pratiwi, Cita; Monzalita, Ayuvy; Irhamna, Bening
Majalah Kesehatan Pharmamedika Vol 11, No 1 (2019): JUNI 2019
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/mkp.v11i1.952

Abstract

Mahasiswa kedokteran rentan terhadap kondisi stress yang disebabkan  kurikulum padat, ketrampilan klinik, tutorial dan tahap pendidikan di rumah sakit dalam menghadapi pasien. Stress tinggi dapat mengakibatkanprestasi akademik, kompetensi, profesionalisme dan kesehatan tubuhnya menjadi burukseperti mengalami obesitas dan hipertensi. Tujuan penelitian ini untuk mengetahui  gambaran stress, indeks massa tubuh dan tekanan darah mahasiswa Fakultas Kedokteran Universitas YARSI.Penelitian ini merupakan penelitianpotong lintang dengan subyek sebanyak 47 mahasiswa kedokteran Universitas YARSI Jakarta pada tahun 2017. Data yang dikumpulkan meliputi indeks massa tubuh, tingkat aktivitas fisik, asupan kalori, tingkat stress dan tekanan darah. Penilaian tingkat stress menggunakan Depression Anxiety Scale (DASS) 42. Hasil penelitian menunjukkan 46.8% mahasiswa kedokteran dengan indeks massa tubuh tergolong obes (30.10±4.05 kg/m2),   65.9% mahasiswa kedokteran memiliki aktivitas fisik sedang, 22.7% mahasiswa kedokteran yang obesitas dan tingkat stress sedang. Analisis data membuktikan tidak ada perbedaan bermakna antara stress dengan obesitas namun ditemukan perbedaan bermakna antara obesitas dan hipertensi
Airway Management for Neonates with Beckwith-Wiedemann Syndrome (Bws): Case Report Darmestari, Dara Lalita
Jurnal Komplikasi Anestesi Vol 13 No 1 (2025)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v13i1.15137

Abstract

Introduction: Beckwith-Wiedemann syndrome (BWS) is a congenital disorder with abnormalities such as macroglossia and abdominal wall defect. Children with BWS predicted to have difficult airway due to macroglossia in perioperative airway management. Management : 4 days old male neonates with macroglossia on BWS is schedule for umbilical cord hernia revision. Patient was assessed as ASA 3 based on his physical status. First patient was pre-oxygenated and ventilation using size 1 mask, and after ventilation archived, induction started with 4 vol% Sevoflurane followed by intravenous agent Fentanyl 7.5 mcg and Atracurium. The initial intubation attempt with direct laryngoscope failed due to unclear visualization of vocal cord because obstruction of the tongue. The second attempt was made using VL, vocal folds visualized according to Cormack–Lehane grade IIb, and neonate bougie with a kinking, size 3 uncuffed ETT. Postoperatively, patient was extubated before admitted back to the NICU. Conclusion: Macroglossia causes anatomical airway abnormalities in children with BWS. It was predicted that might cause difficult ventilation, intubation and extubation. Airway management with tongue traction and awake tracheal intubation are reported to facilitate the intubation. Other emergency equipment including bougie, FOB, cricothyroidotomy set, and tracheostomy set needs to be ensured before anesthesia administration begins
Co-Authors Harsa, Betari Texania Irhamna, Bening Monzalita, Ayuvy Pratiwi, Cita Raden Mohamad Herdian Bhakti