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Tatalaksana Anestesi pada Mandibulektomi Rekonstruksi pada Adenokarsinoma Mandibula ari wahyuni; Brandon Caesario
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.246

Abstract

Metastatic carcinoma on mandibula is a very rare lesion, contributing to <1% of all oral malignancies. Usually metastatis originate from breast, lungs, prostate, followed by kidney, thyroid, liver, etc. Carcinoma type lesion is more common than sarcomas. Mandibular metastation from thyroid tumors were very rare, and follicular type was the most common. In maxillofacial surgeries, airway management is very important considering difficult airway is commonly present. Either caused by altered surrounding tissues, organ immobilities, or organ enlargements. A 58-year old woman, weighing 45 kgs, and 159 cm in height was admitted to Dr. dr. H. Abdoel Moeloek Hospital of Lampung Province with a lump on right jaw from 1 year ago. On physical examination, the tumor was 7x5 cm in size, immobile, with firm consistency. Histopathology examination reveal an adenocarcinoma. Patient was diagnosed with mandibular adenocarcinoma and reconstructive mandibulectomy was performed.
Laporan Kasus : Ruptur kornea + katarak traumatik OD dengan General Anestesi Sukma Nugroho; ari wahyuni
Medula Vol 11 No 2 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i2.247

Abstract

Ocular trauma is one of the main causes of visual impairment. Ocular trauma can be divided into sharp trauma, blunt trauma, chemical trauma and thermal trauma. Ocular trauma can cause cataracts called traumatic cataracts, which can result from penetrating or blunt trauma to the eyeball. Prompt and appropriate treatment can improve visual acuity. In this case report, an 8-year-old female patient came to the ER Abdul Moeloek Hospital with complaints of blurred vision in the right eye accompanied by sudden red eyes. This complaint was felt due to the patient playing with the simcard opening tweezers and the tweezers fell into the patient's eye in a piercing position. patient. In addition, the patient complained of vision in the right eye that felt like seeing fog and was dazzled when he saw light. Then the right eye felt watery, sore and felt lumpy. On physical examination, ocular ophthalmology with cloudy cornea and visible tears, shallow anterior ocular camera, uneven cloudy lens. This patient was diagnosed as right ocular corneal rupture with traumatic cataract and cataract extraction was planned with some prior anesthetic considerations. Complete preoperative, intraoperative, and postoperative management will improve the success of the operation.
Gagal Ginjal Akut Akibat Rabdomiolisis yang Diinduksi Status Epileptikus Fahmi Ikhtiar; riskita fiannisa; evi kurniawati; ari wahyuni
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.292

Abstract

Status epilepticus is any type of epileptic seizure that fails to stop and lasts for more than 30 minutes. This condition is an emergency in the field of neurology. In adults, almost 50% of status epilepticus is caused by acute cerebrovascular disease, hypoxia, metabolic disorders, and inadequate epilepsy treatment. While in children caused by infection of the central nervous system, metabolic disorders, trauma, and anoxia. If the seizures do not stop and last for a long time, they can lead to complications such as rhabdomyolysis. Rhabdomyolysis is a syndrome that can be life-threatening due to the breakdown of skeletal muscle cells. Skeletal muscle cells release toxic substances such as myoglobin which will clog the tubules in the kidneys, interfere with urinary excretion, and cause acute renal failure. Diagnosis is based on clinical signs and symptoms, and laboratory tests. Early signs are non-specific. Symptoms may include muscle weakness, increased body temperature and local or generalized muscle pain. Laboratory tests are carried out to confirm the diagnosis, namely looking at the amount of creatine kinase. The incidence of acute renal failure due to rhabdomyolysis is around 10% - 40%. In addition, antiepileptic drugs such as phenytoin have been reported to have an association with acute kidney failure.
Peningkatan Pengetahuan Dan Kesadaran Terhadap Kejadian Mata Merah Pada Anak Rani Himayani; Helmi Ismunandar; Rasmi Zakiah Oktarlina; Ari Wahyuni
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 3 (2020): Peran Perguruan Tinggi dan Dunia Usaha Dalam Pemberdayaan Masyarakat Untuk Menyongsong
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.161 KB) | DOI: 10.37695/pkmcsr.v3i0.874

Abstract

Salah satu gangguan yang sering ditemukan pada mata adalah mata merah, yang terjadi ketika pembuluh darah halus di permukaan mata melebar akibat iritasi, peradangan, infeksi, cedera, atau meningkatnya tekanan bola mata. Keluhan mata merah bisa mengenai semua usia. Mata merah umumnya tidak berbahaya, tetapi ada juga mata merah yang memerlukan penanganan segera untuk menghindari kerusakan pada penglihatan terutama pada anak-anak. Tujuan: Peningkatan pengetahuan dan kesadaran baik anak, orangtua dan guru mengenai pentingnya pemeriksaan berkala pada anak agar segera terdeteksi dini apabila ada kelainan mata merah pada anak. Metode : Penyuluhan dan skreening kelainan mata merah pada anak, meliputi pretest dan post test serta pemeriksaan mata oleh ahli. Hasil : Kegiatan diikuti oleh total 50 orang (anak, orangtua serta guru) Taman Kanak Titah Bunda yang dipilih untuk menghadiri penyuluhan dan skreening mata. Berdasarkan data hasil pengamatan pre-test, diketahui sekitar 57% peserta tidak paham mengenai pengetahuan kelainan mata merah dan 43% telah mengetahui pengetahuan yang cukup mengenai kelainan mata merah. Setelah dilakukan kegiatan penyuluhan, nilai hasil pengamatan meningkat. Sebagian besar peserta menjadi paham mengenai pengetahuan kelainan mata merah. Setelah dilakukan post-test diperoleh semua peserta sudah paham (100%) terhadap kelainan mata merah dan bagaimana pencegahan serta pertolongan pertama.
Manajemen Anestesi Peritonitis Eksplorasi pada Anak Usia 5 Tahun Lailatut Toriqoh; Sharlene Sabrina Azzahra; Ari Wahyuni
NUTRIENT Vol. 2 No. 1 (2022): Nutrient: Jurnal Gizi
Publisher : POLTEKKES KEMENKES MEDAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/nutrient.v2i1.1327

Abstract

Peritonitis merupakan kegawatdaruratan bedah dengan etiologi yang bervariasi dengan angka kematian yang tinggi, terutama pada anak-anak. Penyebabnya terjadinya pertitonitis dapat berupa perforasi saluran usus, pankreatitis, penyakit panggul, tukak lambung, sirosis, atau apendix yang pecah.. Peritonitis salah satu penyebab kematian tersering pada penderita bedah dengan mortalitas sebesar 10-40%. Pada pembedahan laparatomi umumnya jenis anastesi yang digunakan adalah jenis anastesi umum inhalasi. Laparatomi merupakan salah satu prosedur definitif peritonitis yang bersifat mayor, dengan melakukan penyayatan pada lapisan-lapisan dinding abdomen untuk mendapatkan bagian organ abdomen yang mengalami masalah. Laparotomi ekspolrasi yang dilakukan pada pasien ini menggunakan teknik anestesi general dan membutuhkan pengawasan yang adekuat serta dosis yang tepat mengingat usia pasien. Anastesi umum adalah suatu keadaan tidak sadar yang bersifat sementara yang diikuti oleh hilangnya rasa nyeri di seluruh tubuh akibat pemberian obat anestesia. Laporan kasus ini membahas manajemen anestesi peritonitis eksplorasi pada anak usia 5 tahun dengan peritonitis
Karakteristik Penderita Adenokarsinoma Paru Di RSUD Dr. H. Abdul Moeloek Lampung Periode Tahun 2014-2019 Trixie Almira; Rizki Hanriko; Ari Wahyuni; Retno Ariza Soeprihatini
MAJORITY Vol 12 No 1 (2023): MAJORITY
Publisher : Majority

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Adenonacarcinoma of the lung is the largest type of lung carcinoma. Risk factors of lung adenocarcinoma are include age, gender and smoking history. Lung adenocarcinoma therapy generally consists of chemotherapy and developed targeted therapy, such as targeting genes that activate proliferation such as Epidermal Growth Factor Receptor (EGFR). The research is a descriptive and observational analytic study with a cross sectional approach. The number of samples obtained was 82 samples obtained using the Total Random Sampling technique. Analyze descriptive statistical test results showed that most patients with lung adenocarcinoma were found in the 40-60 years age group (61.0%), the most sex was found in men (64.6%), had a history of smoking (54.9%), some large were diagnosed at stage IV (80.5%), there was no EGFR gene mutation (54.9%), and had survival rate > 1 year diagnosed (62.2%). The results showed a relationship between gender (p value = 0.040), smoking history (p value = 0.002), survival rate (0.012) with EGFR gene mutations. Meanwhile, there was no significant corelation between sex (p value = 0.448) and the EGFR gene mutation. Lung adenocarcinoma is most commonly found in males in the adolescent age group of 40-60 years with a history of smoking, stage IV, no EGFR gene mutation and survival rate >1 year and there is an association between sex, smoking history, survival rate with EGFR gene mutations in patients lung adenocarcinoma.
Kampanye Eliminasi TBC di Desa Cipadang Kecamatan Gedong Tataan Kabupaten Pesawaran Rasmi Zakiah Oktarlina; Ari Wahyuni; Sutarto Sutarto; Sofyan Musyabiq Wijaya
Jurnal Pengabdian Kepada Masyarakat (JPKM) TABIKPUN Vol. 4 No. 3 (2023)
Publisher : Faculty of Mathematics and Natural Sciences - Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpkmt.v4i3.128

Abstract

Upaya percepatan eliminasi tuberkulosis (TBC) di Indonesia tahun 2030 harus dicapai karena TBC merupakan permasalahan kesehatan masyarakat yang serius di Indonesia. Beberapa permasalahan di Desa Cipadang meliputi kurangnya pengetahuan tentang TBC, termasuk pengetahuan tentang gejala, cara penularan, dan cara pencegahan. Akibatnya, banyak masyarakat menganggap TBC bukan masalah serius dan sering mengabaikan gejala awal penyakit ini. Pengabdian ini merupakan kegiatan penyuluhan dan praktik edukasi kesehatan kepada masyarakat desa. Peserta kegiatan didominasi usia lebih dari 40 tahun sebanyak 32 individu dari keseluruhan 50 individu. Menurut data kesehatan, kelompok usia lebih dari 40 tahun merupakan kelompok risiko tinggi terkena TBC. Tingkat pengetahuan peserta mengalami peningkatan yang signifikan sesudah dilakukan intervensi penyuluhan. Kegiatan ini merupakan upaya nyata tim pengabdi membantu percepatan program eliminasi TBC meskipun dalam lingkup kecil.