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CEPHALIC TETANUS A RARE LOCAL TETANUS Iin Novita Nurhidayati Mahmuda; Doni Priambodo
Biomedika Vol 7, No 2 (2015): Biomedika Agustus 2015
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v7i2.1872

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Woman, 68 years old came to hospital with chief complain trismus and dysphagia. She was in a good condition with physical examination and standard laboratory test reveal normal value. The neurologist found multiple parese of cranial nerve (V, VII, IX, X, XI). After further examination include electromedic test and head ct scan with contrast the neurologist did not find any abnormality that may explain her symptoms. The patient then consulted to the internist with suspect of local tetanus infection because of focal infection in her dental caries. The patient is then treated with antibiotics, convultion inhibitor agent, also given tetanus immunoglobulin. During the treatment, her symptoms improved. There were no other severe complication. Patient was returning home on the ninth day of hospitalisation and ready for her dentist appointment.Keywords : Trismus, dysphagia, parese, tetanus, tetanus imunoglobulin
PENCEGAHAN DAN TATALAKSANA DEKUBITUS PADA GERIATRI Iin Novita Nurhidayati Mahmuda
Biomedika Vol 11, No 1 (2019): Biomedika Februari 2019
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v11i1.5966

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Decubitus ulcer or pressure sore is a serious morbidity in elderly patients. The incidence of pressure sores in geriatric patients is 11%. Population at 70-75 of their aged had a two-fold risk higher for suffering decubitus ulcers compared with 55-69 years of aged people. The highest incidence is in group of 80-84 years old peole. Studies has found 95% of cases are preventable. Prevention efforts have already proven to be more effective and cost effective than treatment. Prevention efforts include mobilization, skin care, fulfillment of fluids and adequate nutrition, the use of tools / aids for body movement, environmental regulation of health care and education. Treatment of decubitus ulcers by administering topical material, systemic drugs or surgery should be done as early as possible. Keyword: decubitus ulcer, geriatric patients, prevention, treatment 
HIPERGLIKEMIA SEBAGAI PREDIKTOR KEBERHASILAN PENGOBATAN PASIEN DENGAN SINDROM KORONER AKUT DI RSUD X SURAKARTA Iin Novita Nurhidayati Mahmuda; Yuniana Nur Rezki; Wildan Priscillah
Biomedika Vol 10, No 2 (2018): Biomedika Agustus 2018
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v10i2.7023

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ABSTRAK Sindrom Koroner Akut atau acute coronary syndrome (ACS) dengan hiperglikemia pada saat masuk memiliki rerata mortalitas yang lebih tinggi, pada penelitian terbaru. Hiperglikemia pada pasien dengan ACS digambarkan sebagai respon akut dari keadaan hiperadrenergik dengan peningkatan risiko trombosis, sehingga bisa memperburuk kondisi pasien ACS selama dirawat di rumah sakit. Tujuan penelitian ini untuk mengetahui perbedaan lama tinggal dan mortalitas pada pasien ACS dengan stres hiperglikemia dan tanpa hiperglikemia stres. Jenis penelitian ini adalah penelitian observasional  analitik dengan pendekatan cross sectional. Subjek penelitian adalah pasien ACS non-diabetes di RSUD X Surakarta. Data diperoleh dari rekam medis dengan teknik purposive sampling, dianalisis dengan uji Mann-Whitney. Subjek penelitian sebanyak 68 pasien, 34 pasien ACS dengan hiperglikemia dan 34 pasien ACS tanpa hiperglikemia. Hasil penelitian ini menyatakan ada perbedaan durasi lama tinggal pasien ACS dengan dan tanpa hiperglikemia(p = 0,002) dan tidak ada perbedaan rerata mortalitas diantara keduanya.Kata kunci: Sindrom Koroner Akut, Hiperglikemia, Lama Rawat Inap, Mortalitas ABSTRACT Acute Coronary Syndrome (ACS) in recent studies has been associated with hyperglycemia at the time of admission with higher mortality rates. Hyperglycemia in patients with ACS described as an acute response from a hyperadrenergic state with an increased risk of thrombosis, so it could worsen the condition of the patient ACS during the hospital stay. Aims of this study are to know differences in length of stay and mortality in ACS patients with hyperglycemia stress and without hyperglycaemia stress. This was an analytical observational research design with  cross sectional approach. The subjects were non diabetic ACS patient in RSUD X Surakarta. Data were obtained from medical record with purposive sampling technique, analyzed by Mann-Whitney test. Subjects were 68 patients, 34 patients ACS with hyperglycemia and 34 patients ACS without hyperglycemia. There is a difference in duration long of stay ACS patients with and without hyperglycemia (p = 0.002) and there is no difference in mortality.Keywords: Acute Coronary Syndrome, Hyperglycemia, Length Of Hospitalization, Mortality
Coronary Heart Disease: Diagnosis and Therapy Iin Novita Nurhudayati Mahmuda; Nanda Nurkusumasari; Fakhri Nofaldi; Prihatin Puji Astuti; Ferika Dian Syafitri; Dessy Dessy
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 1, No 2 (2021): October 2021
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (823.02 KB) | DOI: 10.20961/soja.v1i2.55191

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Coronary heart disease (CHD), is one of the non-communicable diseases that has a tendency to increase every year and have an impact not only on developed countries, but also in developing countries. According to the World Health Organization (WHO), in 2012 there were 56 million deaths worldwide caused by non-communicable disease and heart disease contributed 46.2% or caused 17.5 million deaths. This review article to give brief explanation about CHD from risk factors, diagnosed criteria, management therapy and prognosis. Risk factors for CHD can be distinguished into major risk factors and minor risk factors. Symptoms of CHD are discomfort in the chest ranging from pain crushed during activity and improved with rest to continuous chest pain. The diagnosis of CHD is established based on anamnesis, physical examination, and laboratory examination. The CHD classification consists  of Stable Angina Pectoris (APS) and Acute Coronary Syndrome (ACS). Lifestyle changes accompanied by right medication can reduce complications caused             by CHD.
FAKTOR-FAKTOR YANG MEMPENGARUHI JUMLAH CD4 PASIEN HIV AIDS YANG DITERAPI ANTIRETROVIRAL: STUDI LITERATUR Iin Novita Nurhidayati Mahmuda; Nandya Herdiana; Angiesta Pinakesty; Poetrie Wulandari Ruswandi; Triana Rahma Juwita
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.933 KB)

Abstract

Salah satu cara untuk menurunkan angka kesakitan, angka kematian, membatasi penularan serta penyebaran penyakit, dan mengurangi dampak negatif yang ditimbulkan HIV/AIDS adalah dengan terapi antiretroviral, yang salah satu keberhasilannya dinilai dari perbaikan imunologis dan diketahui bahwa cluster of differentiation 4 (CD4) sebagai penanda status kesehatan sistem imun, maka pemeriksaan CD4 dapat digunakan untuk menentukan pasien yang memerlukan pengobatan profilaksis infeksi oportunistik (IO) dan terapi antiretroviral. Untuk mengetahui faktor-faktor yang mempengaruhi jumlah CD4 pada pasien HIV/AIDS yang diterapi antiretroviral. Penelitian ini menggunakan desain penelitian literature review atau kajian literatur. Sumber penelitian diambil dari beberapa database dengan kata kunci “("increase CD4" AND "decrease CD4" AND "hiv" OR "human immunodeficiency virus" AND "acquired immunodeficiency syndrome" AND "antiretroviral")”. Dari 612 artikel, terdapat 8 artikel yang sesuai dengan kriteria retriksi. Dari beberapa artikel tersebut didapatkan faktor-faktor yang mempengaruhi angka CD4 adalah jenis kelamin, usia, stadium klinis, jumlah CD4 awal, kepatuhan dalam terapi antiretroviral (yang dipengaruhi oleh beberapa faktor, seperti dukungan sosial, tingkat pendidikan, penggunaan ponsel, jenis kelamin, waktu kunjungan ke tempat pelayanan kesehatan, faktor ekonomi), jumlah viral load, ada tidaknya koinfeksi tuberkulosis (TB), dan infeksi hepatitis C (HCV). Faktor yang mempengaruhi jumlah CD4 pada pasien HIV/AIDS yang diterapi antiretroviral adalah jenis kelamin,, usia, stadium klinis, kepatuhan pasien dalam terapi antiretroviral, jumlah CD4 awal, jumlah viral load, dan ada tidaknya infeksi oportunistik (TB, HCV).
Obesitas Sebagai Faktor Risiko Keparahan Pada COVID-19 Nadia Wdihi Aqmarina; Erika Diana Risanti; Iin Novita Nurhidayati Mahmudah; Safari Wahyu Jatmiko
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (362.939 KB)

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Obesitas diketahui sebagai peradangan kronis derajat rendah. Hal ini menjadi faktor yang dapat menyebabkan keparahan pada gejala COVID-19. Gejala COVID-19 dinyatakan dalam asimptomatis hingga kritis dan obesitas dicurigai memiliki peran dalam tingkat keparahan COVID-19. Tujuan penelitian ini adalah untuk mengetahui hubungan antara obesitas dengan tingkat keparahan COVID-19. Penelitian ini dilakukan pada 13 Desember 2020 pada mesin pencarian Pubmed, Science Direct dan Google Scholar dengan memasukkan kata kunci (obesity OR overweight) AND risk factor AND (severe OR severity) AND fatality rate AND (COVID-19 OR SARS-CoV-2 OR Novel coronavirus). Selanjutnya dilakukan skrining sesuai dengan kriteria restriksi yang telah ditetapkan dan mengelompokkan artikel penelitian dalam tabel lalu diurutkan sesuai alphabet nama peneliti. Data yang sudah terkumpul selanjutnya dilakukan penarikan kesimpulan, sehingga didapatkan sampel sebanyak 11 artikel berasal dari Negara Italia, China, New York, USA dan Prancis. Berdasarkan hasil penelitian didapatkan adanya hubungan antara BMI dan nilai risiko yang menyebabkan keparahan pada COVID-19. Semakin tinggi kenaikan angka BMI akan memberikan nilai risiko yang lebih tinggi pula. Keparahan penyakit ditandai dengan penggunaan alat bantu pernafasan (IMV, NIV, oksigenasi dan ECMO), penggunaan ruang ICU, penurunan PaO2 dan SaO2 serta hipoksemia.
HUBUNGAN KADAR VITAMIN D DAN PENURUNAN KADAR GLUKOSA DARAH PENDERITA DIABETES MELLITUS Ratnasari Bondan Wijayanti; Iin Novita; Riandini Aisyah; Erika Diana Risanti
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (528.708 KB)

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Diabetes melitus atau disebut Diabetes merupakan penyakit gangguan metabolik akibat pankreas tidak memproduksi cukup insulin atau tubuh tidak dapat menggunakan secara efektif insulin yang diproduksi. Kelebihan sekresi glukagon oleh sel alfa dan insulin yang tidak dapat diproduksi atau tidak berperan secara efektif oleh sel beta menyebabkan peningkatan kadar glukosa dalam darah (hiperglikemia). Pemberian vitamin D meningkatkan transkripsi gen reseptor insulin untuk mengurangi kenaikan hiperglikemik dengan menginduksi sel β pankreas. Tujuan: Menganalisis peran vitamin D dalam menurunkan kadar glukosa darah penderita Diabetes melitus. Metode: Penelitian ini menggunakan jenis studi literatur review dengan menggunakan sumber artikel terbitan dari tahun 2015 sampai November 2020 pada database PubMed dan Science Direct dengan menggunakan kata kunci "vitamin d" OR "ergocalciferols" OR vitamin D AND "glucose" AND "Diabetes mellitus". Analisis data berupa kalimat naratif yang dimulai dengan pemilihan artikel yang sesuai kriteria inklusi, kriteria eksklusi dan relevansi penelitian, yang selanjutnya dilakukan penarikan kesimpulan. Hasil: Artikel yang direview sebanyak 7 artikel yang berasal dari negara-negara seperti Mesir, Pakistan, Arab Saudi, Iran dan Taiwan. Uji klinis pada beberapa penelitian menunjukkan hasil bahwa vitamin D berperan dalam menurunkan glukosa darah pada pasien dengan penyakit diabetes yang secara signifikan menurunkan HbA1c. Kesimpulan: Vitamin D berperan dalam menurunkan kadar glukosa darah penderita Diabetes melitus.
Correlation Cholesterol and Triglyceride Level on Cognitive Function in Type 2 Diabetes Mellitus Iin novita Nurhidayati Mahmuda; Fairuz Ulfah
International Journal of Health Science and Technology Vol 2, No 3 (2021): April
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (600.865 KB) | DOI: 10.31101/ijhst.v2i3.1913

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Diabetes Mellitus (DM) is a type of non-communicable disease that is still a public health problem both globally, regionally, nationally and locally. The prevalence of DM in the world is 1.9% and makes DM the seventh cause of death in the world. One of the complications caused by DM is a decrease in cognitive function. The triggers for cognitive function include high cholesterol and triglyceride levels. The purpose of this study was to determine the correlation between cholesterol and triglyceride leves on cognitive function in Type 2 Diabetes Mellitus at Boyolali. This study is an analytic observational study with a cross sectional approach .The subject are 51 respondents. The sampling technique used in this study was  purposive sampling technique. Data analyzed with chi-square test . it was found that there was a correlation between cholesterol level and cognitive function with a p-value of 0.003 0.05 and there was also correlation triglyceride level and cognitive function with a p-value of 0.000 0.05.  There is a significant correlation between cholesterol and triglyseride level with cognitive function in type II diabetic patient. 
Potential Anti-Bacterial Extract of Red Belt (Piper Crocatum Ruiz & Pav.) Against Staphylococcus Epidermidis Nanda Dhea Ayu Sawitri; Iin Novita Nurhidayati Mahmuda
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 11 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i11.102

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Introduction: Red betel leaf is a plant native to Indonesia which is used as an antiseptic, anti-cancer, and infection treatment. The ethanol content of red betel leaf extract is known to have antibacterial activity. Among them there are alkaloids, flavonoids, essential oils, tannins, and saponins. Objective: to determine the potential of red betel leaf extract (Piper crocatum Ruiz & Pav.) in inhibiting the growth of Staphylococcus epidermidis bacteria. Methods: Staphylococcus epidermidis bacteria were divided into 5 groups, PEG 5% as negative control, clindamycin 30µg/disk as positive control, extract 20%, 40%, 80% as treatment group. Measuring the zone of inhibition using a ruler. Result and Discussion: Staphylococcus epidermidis inhibition zone was formed at concentrations of 20%, 40%, 80%. Kruskal Wallis analysis showed significant results of p = 0.000 for bacteria. Conclusion: Red betel leaf extract (Piper crocatum Ruiz & Pav.) has significant antibacterial activity against Staphylococcus epidermidis. The higher the concentration, the larger the diameter of the inhibition zone.
A Technical Approach to Anesthesia in the Case of Tonsillectomy Febrian Dwi Cahyo; Bambang Sutanto; Iin Novita Nurhidayati Mahmuda
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 3, No 1 (2023): April 2023
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v3i1.60444

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Background: Tonsillectomy is the most common surgical procedure performed by an ENT doctor (Throat Nose Ear) in children. This surgery can cause pain, bleeding and swelling in the injured throat. Patient may complain of pain, difficulty swallowing, eating, drinking disorders, nausea and vomiting and fall into a dehydrated state. This can reduce patient satisfaction.Discussion: Postoperative pain management of tonsillectomy is  a concern both by the ENT doctor and by the anesthesiologist. The high incidence of post-tonsillectomy pain or anxiety increases the risk of secondary post-tonsillectomy bleeding. It is necessary to know the mechanism of post operative pain and the negative impact of pain.Conclusion: Doctors should give attention to reduce postoperative pain and choose a rational analgesic to overcome post operative tonsillectomy pain.
Co-Authors Adhalia, Lian Aditya Putra Perdana Affifah, Fathiyya Noor Akbar Wardhana Angiesta Pinakesty Aqmarina, Nadia Wdihi Arifin , Arifin Azahra Khansa Muza Bahrodin, Bahrodin Bambang Sutanto Binuko, Raafika Studiviani Dwi Citra Saputra, Rada Dessy Dessy Devi Usdiana Rosyidah Doni Priambodo Dwi, Raafika Studiviani Em Sutrisna Erika Diana Risanti Fairuz Ulfah Faizah, Ishmah Nur Fakhri Nofaldi Fauziah, Nida Faradisa Febrian Dwi Cahyo Febrian, Rizky Ferika Dian Syafitri Fuad Gandhi Torizal Harioputro , Dhani Redhono Herdiana, Nandya Ilhami, Afiq Zakie Indriyati Oktoviano R Iwan Setiawan Izzati, Sofi Filda Jati, Izzah Tsaqoofah Juwita, Triana Rahma Kania, Yulia Intan Khairunnisa, Reza Khotik, Laisa Kurnia Retnowati Kurnia Retnowati, Kurnia Lestari, Nining Lian Adhalia Listiana Masyita Dewi Maharotullaili Nur Azizah Marhamah, Nisrinah Marsya, Vitania Marwah, Azarine Maryati Maslahah, Syah Fillia Nurul Maulana, Yudrik Maya Monica Manurung Metana Puspitasari Mubaraq, Syahrun El Nadia Wdihi Aqmarina Nanda Dhea Ayu Sawitri Nanda Dhea Ayu Sawitri Nanda Nurkusumasari Nandya Herdiana Naruma, Anteng Nisa, Faridita Khoirun Nugrahaeni, Sarwasri Fajra Nugraheni, Frida Asfarina Oktafiani, Niken Sari Oktoviano R, Indriyati Pinakesty, Angiesta Poetrie Wulandari Ruswandi Prasetyo, Andri Sugeng Prihatin Puji Astuti Priscillah, Wildan Putra, Catur Permana Putriyantiwi, Idoviari Raafika Studiviani Dwi Binuko Rajendra, Hafish Harfian Ratnasari Bondan Wijayanti Rezki, Yuniana Nur Riandini Aisyah Rochmadina Suci Bestari Ruswandi, Poetrie Wulandari Safari Wahyu Jatmiko Sahilah Ermawati Santi, Tika Melandya Sifak, Sheila Faadhila Siti Soekiswati Sri Wahyu Basuki Sri Wahyuni Srirojanakul, Sirada Subekti, Tyas Hanurita Sulistyani , Sulistyani Sulistyani Sulistyani Sumandjar , Tatar Susilo , R. Satriyo Budhi Susilo, R. Satriyo Budhi Syah, Devan Adil Taroeno, Suryo Aribowo Tri Agustina, Tri Triana Rahma Juwita Tyas Hanurita Subekti Ulfah, Fairuz Utami, Musrifah Budi Wibowo, Muhammad Irfan Sulystyo Wildan Priscillah Yaasiin, Putri Isa Maharani Yamsun, Rahmat Dani Yudrik Maulana Yuniana Nur Rezki Zelindrah, Virgil