Articles
<![CDATA[PERBEDAAN RERATA RASIO KALSIUM MAGNESIUM DAN RERATA RASIO NATRIUM KALIUM SERUM ]]>
<![CDATA[Serudji, Joserizal]]>;
<![CDATA[Helga, Helga]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol. 1 No. 1 (2017) ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Andalas ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.25077/aoj.1.1.22-29.2017
<![CDATA[The high incidence of preeclampsia and eclampsia causes the importance of early detection especially eclampsia which is the main cause of maternal morbidity and mortality and bad perinatal outcome. The etiology was unknown, but is related to changes in electrolyte status. Electrolytes such as calcium (Ca2+), Magnesium (Mg2+), sodium (Na+) and potassium (K+) play an important role in pre-eclampsia and eclampsia because they contribute significantly in vascular smooth muscle function. This study was done to analyze the differences in mean levels of calcium magnesium ratio and sodium potassium ratio of maternal serum in severe preeclampsia and eclampsia. We performed an observasional comparative with cross sectional study on 16 women with severe preeclampsia and 16 women with eclampsia who met the inclusion criteria and there were no exclusion criteria. The samples were recruited in Dr. M Djamil general hospital Padang, Solok District Hospital, and Pariaman District Hospital from May 2015 to January 2016. The levels of calcium serum were examined by atomic absorption spectrophotometry (AAS), magnesium levels were examined by enzymatic metode, sodium and potassium levels were examined by ion selection electrode (ISE). The differences in mean levels of calcium magnesium ratio and sodium potassium ratio between the two groups was analyzed by using independent t test. The mean levels of calcium magnesium ratio in severe preeclampsia was significantly higher than eclampsia. The mean levels of sodium potassium ratio in severe preeclampsia was significantly lower than eclampsia.Keywords: Calcium magnesium ratio, sodium potassium ratio, severe preeclampsia, eclampsia]]>
<![CDATA[PERBEDAAN RERATA KADAR AKTIVIN A SERUM MATERNAL ANTARA PREEKLAMSIA BERAT DENGAN BUKAN PREEKLAMSIA BERAT ]]>
<![CDATA[Djanas, Dovy]]>;
<![CDATA[Ariwibowo, Bayu Pramudyo]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol. 1 No. 1 (2017) ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Andalas ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.25077/aoj.1.1.30-37.2017
<![CDATA[At the start of preelampsia there is a failure of cytotrophoblst invasion into the maternal spiral arteries that will lead to decreased uteroplacetal perfusion which will be followed by the failure of the unit fetoplacenter to get enough oxygen from the room intervillous that ultimately lead to a state of hypoxia in placenta. This will cause the expenditure of TNF-α dan IL-1β from placenta and a factors called hypoxia-inducible transcription factors that will spur the trophoblast to produce activin A lot more. This research was conducted by cross sectional method in maternal room of obstetrics and gynecology department of Central General Hospital of Dr. M. Djamil Padang from August 2015 until February 2016 with 20 patients of severe preeclampsia and 20 patients not severe preeclampsia, who met inclusion criteria and there is no exclusion criteria. Then performed statistical analysis using Mann-Whitney test to determine difference in mean maternal activin A serum levels of severe preeclampsia and not severe preeclampsia. The mean maternal serum levels of activin A in severe preeclampsia is 32,55 ± 1,84 ng/ml and in pregnancy with no severe preeclampsia is 8,59 ± 0,59 ng/ ml. Difference in mean maternal serum level of activin A in the two groups was statistically significant (p=0,001). Ma-ternal serum activin A levels is significantly higher in severe preeclampsia than pregnancy with no severe preeclampsia.Keywords: Activin A, severe preeclampsia, not severe preeclampsia]]>
<![CDATA[PERBEDAAN RERATA KADAR IL-6 SERUM MATERNAL BERDASARKAN KEBERHASILAN PEMBERIAN TOKOLITIK PADA PARTUS PREMATURUS IMMINENS ]]>
<![CDATA[Serudji, Joserizal]]>;
<![CDATA[Effendy, Rika]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol. 1 No. 1 (2017) ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Andalas ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.25077/aoj.1.1.15-21.2017
<![CDATA[Preterm labor needs to be prevented, one of the prevention methods is by tocolytic administration which could prevent labor thus providing a chance for lung maturation. Preterm Pregnancy is associated with increased concentrations of cytokines such as Interleukin (IL). The increasing concentration of maternal serum IL-6 can be used to predict preterm labor. This research uses the design Cross-Sectional Comparative to determine differences in means of maternal serum levels of IL-6 based on the success of the administration of a tocolytic agent on preterm labor. This study was performed on pregnant women who come to the obstetric emergency room of DR. MA. Hanafiah Batusangkar Hospital within August-November 2015. The total number which was included in statistical analysis was 34 pregnant women which were divided into 2 groups, 17 people in the group of patients who failed in tocolytic agent administration, and 17 people in the group who success in managed with a tocolytic agent. Statistical analysis was performed to analyze the validity using the T-test. There are significant differences in the average rate of maternal serum IL-6 in patients who failed to treat with a tocolytic agent and successful to treat with a tocolytic agent. Seen from the p-value 0.000. Levels of maternal serum IL-6 in patients who failed to treat with a tocolytic agent were higher than successful to treat with a tocolytic agent.Keywords: IL-6, Tocolytic, Preterm labor]]>
<![CDATA[PERBEDAAN LEVEL RERATA KEKUATAN OTOT DASAR PANGGUL SEBELUM DAN SETELAH PERSALINAN SPONTAN PADA KELOMPOK INKONTINENSIA URIN DAN KELOMPOK NORMAL ]]>
<![CDATA[Utama, Bobby Indra]]>;
<![CDATA[Sari, Hasni Kemala]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol. 1 No. 1 (2017) ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Andalas ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.25077/aoj.1.1.7-14.2017
<![CDATA[Trauma to the pelvic floor during delivery is now recognized as a major etiological factor against PFM disorders such as urinary incontinence, pelvic organ prolapse and fecal incontinence. This study was conducted to analyze the differences in mean levels of differences of pelvic muscle strength before and after spontanous labor between stress urinary inconti-nence group and normal group. This research was done using analytic method with cross sectional design in 13 women with stress urinary incontinence, and 17 women with normal group. Subjects were collected in hospitals of Pariaman, Padang from May to December 2014. Examination of the pelvic floor muscle strength was performed with a perineometer. Differences between the mean difference in the strength of the pelvic floor muscles before and after spontaneous delivery between the two groups were analyzed using independent t test. The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was larger than normal group (3.85 + 1.281 cmH2O vs 2,00 + 1.173 cmH2O, p = 0.000). The mean difference between the strength of the pelvic floor muscles before and after spontaneous labor in stress urinary incontinence group was significantly greater than the normal group.Keywords: Pelvic Floor Muscle, Urinary Incontinence, Spontaneous Labor]]>
<![CDATA[Differences of Misoprostol and Oxytocin Effect on Cervical Ripening ]]>
<![CDATA[Yunitra, Imelda]]>;
<![CDATA[Lasmini, Putri Sri]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol. 3 No. 2 (2019) ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Andalas ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.25077/aoj.3.2.112-115.2019
<![CDATA[Many studies has been done to determine the effectiveness of misoprostol and oxytocin even comparing the use of them for the induction of labor. Based on those studies, there seems to be a different effect of misoprostol and oxytocin on different phase of parturition, start from cervical ripening, uterine contrac- tion and successful labor. Compared to oxytocin as cervical ripening agent, misoprostol is more avail- able, cheaper, and effective. This study was an experimental study using pre-post control group to eval- uate the difference of misoprostol and oxytocin effect on cervical ripening. This study was conducted at RSUP DR. M. Djamil Padang and Secondary Hospital in periode of January-October 2014. Indepen- dent variable was cervical ripening using misoprostol 25 µg and oxytocin drip. Dependent variables are the event of cervical ripening and the increase of Bishop score. The average of cervical ripening using misoprostol was higher than oxytocin with 7,0968 ± 2,11904, compared to 2,5806±3,36427. This difference was significantly different with p > 0.05. It can be concluded that misoprostol is a better cer- vical ripening agent than oxytocin. Oxytocin is better given to ripe cervixKeywords: severe preeclampsia, folic acid, normal pregnancy]]>
<![CDATA[Pengembangan Model Kebijakan Pelayanan Gratis di Puskesmas ]]>
<![CDATA[Syah, Iskandar]]>;
<![CDATA[Darwin, Eryati]]>;
<![CDATA[Bachtiar, Hafni]]>;
<![CDATA[Pujani, Vera]]>
<![CDATA[ Kesmas Vol. 8, No. 7 ]]>
Publisher : <![CDATA[UI Scholars Hub ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
<![CDATA[Dengan adanya Peraturan Daerah Nomor 05 tahun 2009 lahirlah kebijakan pelayanan kesehatan gratis di kota Padang. Pelayanan kesehatan gratis ini merupakan dukungan pemerintahan kota kepada warganya untuk menyadari bahwa kesehatan merupakan kebutuhan dasar dan kebijakan ini mendapat dukungan dari Bazda (Badan Zakat Daerah). Tujuan dari penelitian ini adalah untuk menganalisis model pengembangan kebijakan pelayanan kesehatan gratis di kota Padang. Penelitian ini dilakukan dengan menggunakan pendekatan kualitatif dan kuantitatif. Data kualitatif diperoleh dari Dinas Kesehatan Kota Padang. Sedangkan data kuantitatif diperoleh melalui wawancara dan focus group disscussion (FGD). Enam pimpinan puskesmas dan tenaga kesehatan merupakan informan yang diwawancarai untuk mengidentifikasi variabel yang diselidiki. Pimpinan pemerintahan yang terkait dengan kebijakan ini juga dilibatkan untuk memperoleh data yang dibutuhkan, sedangkan kepuasan pasien tentang pelayanan kesehatan gratis ini diperoleh melalui FGD. Analisis terhadap semua data yang diperoleh dari informan dalam penelitian ini dilakukan secara multicase analisis. Penelitian ini menemukan bahwa pengembangan model kebijakan pelayanan kesehatan gratis yang ditawarkan adalah model pelayanan yang dapat memberikan manfaat maksimal bagi semua pihak yang terlibat termasuk pasien, puskesmas dan tenaga kesehatan. According to Peraturan Daerah Nomor 05 tahun 2009 toward the free health service in Padang city implied that the free service of health care was driven by the consideration of the city government as basic public needs and financially suported by Bazda (Badan Zakat Daerah). The objective of the study is to analyze the development of free health care policy model in Padang. The study was conducted by using quatitative and qualitative data. The quantitative data was obtained from the health agency office in Padang. Hence the qualitative data was obtained through interview and fofocus group discusion (FGD). The six puskesmas managers and health workers as the research informant were interviewd to identify the investigated variable. The related goverment leaders also were involved to make data collection comprehensivelly. In the meantime, satisfaction patients related to service delivery were investigated using FGD. All informant obtained were transcriped as picture for this research in the multicase analysis. This study found that the model development of free service policy offered is a model of service that can provide the maximum benefits for all aspects involved including patients, health centers, and health professionals.]]>
<![CDATA[The effects of product, price, promotion, and place on patient satisfaction: a study in inpatient care of a regional public hospital in West Sumatra ]]>
<![CDATA[Putra, Raihandi]]>;
<![CDATA[Bachtiar, Hafni]]>;
<![CDATA[Putra, Abdi Setya]]>;
<![CDATA[Daryus, Asyari]]>
<![CDATA[ BKM Public Health and Community Medicine Vol 37 No 02 (2021) ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.22146/bkm.v37i2.2320
<![CDATA[Purpose: As a consumer, people always want something to satisfy themself whether in goods or services. Hospitals always try to give consumers the best services. To improve consumer satisfaction, hospital managers apply product, price, promotion, and place. This research aims to study the relationship between product, price, promotion, and place with the satisfaction of ward patients in Arosuka Hospital. Method: This study used purposive sampling of 106 inpatients of Arosuka Hospital. Results: The results are on variable of product, p = 0.027, variable of price with p = 1.00, variable of promotion with p = 1.00, and variable of place with p = 0.08. From all variables, the product has the strongest relationship to the satisfaction of ward patients in RSUD Arosuka with p= 0.021. Conclusion: Product is the only variable that has a relationship with inpatient satisfaction in Arosuka Hospital. The product has the strongest relationship to inpatient satisfaction in RSUD Arosuka.]]>
<![CDATA[Association of α-SMA and EpCAM Expressions with Recurrence Risk Based on Histopathological Subtypes of Basal Cell Carcinoma ]]>
<![CDATA[Yona, Fajriza]]>;
<![CDATA[Hilbertina, Noza]]>;
<![CDATA[Mulyani, Henny]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Majalah Patologi Indonesia Vol. 33 No. 1 (2024): MPI ]]>
Publisher : <![CDATA[Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA) ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.55816/mpi.v33i1.613
<![CDATA[Background Basal cell carcinoma (BCC) is the most common skin malignancy in the world with a proportion 70%. Recurrent and aggressive variants are still challenging in diagnosis and treatment. Histopathologically, there are two group of BCC risk of recurrence, i.e low risk and high risk. Assessment the expression of alpha-smooth muscle actin (α-SMA) as a biomarker of cancer associated fibroblast cell in stroma and the expression of epithelial cell adhesion molecule (EpCAM) in tumor cells probably have role in the pathomechanism of BCC progression, suggest its can distinguish the risk of BCC recurrence. This research aims to determine the assosiation between the expression of α-SMA and EpCAM with the recurrence risk group of BCC histopathological subtypes. Methods This was a cross sectional study using 48 samples, with 24 low and high risk groups each. Histopathological subtypes were determined from Hematoxylin and eosin slide. The expression of α-SMA and EpCAM was examined by the immunohistochemical method which was assessed semiquantitatively. Statistical analysis was performed using the Chi-square test with p<0.05 was considered significant. Results Expression of α-SMA with the score 3 was found more in high risk BCC (85.7%), while a score of 1 was more in low risk BCC (100%). Loss of EpCAM expression was mainly found in high risk BCC (82.8%). Statistical analysis showed that there was a significant assosiation between the expression of α-SMA and EpCAM and the recurrence risk group of BCC histopathological subtypes with p value =0.000 for each. Conclusions This study concluded that increased of α-SMA expression and loss of EpCAM expression were associated with a high recurrence risk group of BCC histopathological subtypes.]]>
<![CDATA[PERBEDAAN TINGKAT PENGETAHUAN IBU HAMIL PRIMIGRAVIDA YANG MELAKUKAN KUNJUNGAN ANTENATAL PADA DOKTER SPESIALIS OBGYN DENGAN BIDAN DI KOTA PADANG ]]>
<![CDATA[Apriani, Susanti]]>;
<![CDATA[Adnani, Syahredi Syaiful]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol. 3 No. 2 (2019) ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Andalas ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.25077/aoj.3.2.104-111.2019
<![CDATA[The maternal mortality rate in Indonesia Demographic and Health Survey (IDHS) 2012, increased sig- nificantly to 359 per 100,000 births hidup.1 Obtained in Household Health Survey (Survey) 2001 mater- nal mortality rate can be lowered only by basic health services such as antenatal. Based on a UNICEF report, only about 45% were informed about the signs of pregnancy complications. This research was conducted to determine the cross sectional differences in the level of knowledge of pregnant women who had antenatal care at obstetricians and midwives in the city of Padang. Primigravida pregnant women who visit antenatal care at obstetricians and midwives in Padang City, amounting to 73.8% have a high level of knowledge. There were no differences in the level of knowledge of pregnant women who had antenatal care at obstetrician (p> 0.05)Keywords: Antenatal, Midwives, Obstetrician, knowledge]]>
<![CDATA[AKURASI INSPEKSI VISUAL ASAM ASETAT PADA LOW SQUAMOUS INTRAEPITHELIAL LESIONDIBANDINGKAN DENGAN KOLPOSKOPI DI POLI GINEKOLOGI RS M.DJAMIL PADANG ]]>
<![CDATA[Nirmala, Vera]]>;
<![CDATA[Desmiwarti, Desmiwarti]]>;
<![CDATA[Bachtiar, Hafni]]>
<![CDATA[ Andalas Obstetrics And Gynecology Journal Vol. 3 No. 1 (2019) ]]>
Publisher : <![CDATA[Fakultas Kedokteran Universitas Andalas ]]>
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
DOI: 10.25077/aoj.3.1.9-14.2019
<![CDATA[LSIL is a low grade cervical cancer prelesion, which through prompt diagnosis and therapy, could reduce cervical cancer incidence to 90% and reducing mortality rate for 70-80%. Colposcopy will speed up diagnosis of cervical precancer lesions thus gaining prompt management, and beneficial for patients from afar. Combination of Pap’s smear, colposcopy and biopsy is a good diagnostic package to perform in medical practice. This study was conducted using statistics diagnostic test with cross-sectional design. This research was carried out among women diagnosed with LSIL (Pap’s smear) which then colposcopy was performed in Gynaecology Clinic in Dr.M.Djamil Hospital Padang, during July to December 2014. The study was performed to determine the definitive diagnosis of LSIL (Pap’s smear). Total number of women included in this study were 70, which were divided into 2 groups: 35 women in VIA positive group and 35 in VIA negative group and statistical anal- ysis was performed using unpaired t test and chi square in SPSS 18.0 for windows. From statistical analysis using chi-square test, obtained a statistical significance between VIA test and colposcopy, it can be seen from the p-value 0.002 (p <0.05). There is a statistical significance between VIA test and colposcopy.Keywords: VIA, colposcopy, LSIL, biopsy]]>
