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Derajat Keparahan Pneumonia Komunitas pada Geriatri Berdasarkan Skor CURB-65 di Bangsal Penyakit Dalam RS. Dr. M. Djamil Padang Tahun 2016 Mecy Alvinda Sari; Raveinal Raveinal; Noverial Noverial
Jurnal Kesehatan Andalas Vol 7, No 1 (2018)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i1.786

Abstract

Skor CURB 65 merupakan salah satu sistem prediksi derajat keparahan pneumonia komunitas yang cukup mudah dan valid namun tingkat prediksinya tidak cukup tinggi dalam menentukan risiko mortalitas. Tujuan penelitian ini adalah untuk mengetahui derajat keparahan pneumonia komunitas pada geriatri berdasarkan skor CURB-65 di Bangsal Penyakit Dalam RS. Dr. M. Djamil Padang tahun 2016. Jenis penelitian ini adalah deskriptif retrospektif. Penelitian dilakukan dari November 2016 sampai April 2017 di Bangsal Penyakit Dalam Rumah Sakit Dr. M. Djamil Padang dan bagian Rekam Medik Rumah Sakit Dr. M. Djamil Padang. Pengambilan sampel menggunakan teknik total sampling dan data diolah secara manual dalam bentuk tabel. Dari 365 sampel yang didata, 167 (45,75%) sampel berasal dari laki-laki, dan 198 (54,25%) sampel dari perempuan. Kelompok usia dengan frekuensi tertinggi adalah 60-69 tahun 159 (43,56%). Skor CURB-65 terbanyak pada pasien Pneumonia Komunitas adalah skor 2 yaitu 132 (36,16%) pasien. Derajat keparahan pneumonia komunitas tertinggi didapatkan pada derajat berat sebanyak 167 (45,75%) pasien. Hasil didapatkan 156 (42,74%) pasien meninggal dengan perbandingan perempuan lebih besar dibandingkan laki-laki yaitu 22,47% dan 20,27%. Simpulan penelitian ini adalah derajat keparahan pneumonia komunitas pada geriatri berdasarkan skor CURB-65 yang dirawat di Bangsal Penyakit Dalam Rumah Sakit Dr. M. Djamil Padang tahun 2016 yang terbanyak adalah derajat berat.
OSTEOARHRITIS OF THE KNEE (GUIDELINE FOR TREATMENT) Noverial Noverial
Jurnal Ipteks Terapan Vol 6, No 4 (2012): JIT
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22216/jit.2012.v6i4.5356

Abstract

As OA is associated with aging, the impact of this disease will continue to grow over the next decade. With no cure, physicians and patients alike attempt to control the pain, stiffness, and other adverse effects. Most of the treatments of OA address the symptoms rather than the cause of the disease. They have been targeted to decrease pain and inflammation while preserving independence and quality of life as much as possible. Presently OA has no cure, and physicians have little hope that a cure will be available shortly, treatment strategies focus on treating the disease symptoms with minimal side effects. Interestingly, physicians show a greater interest in more effective, safer drugs than a “super-drug” that would cure OA. OA is a major cause of pain and disability in the elderly. Pain caused by inflammation of bursae and cartilage, subchondral fracture, distention and instability of the capsule and cartilage, osteophyte formation, spasm of the muscle. Progression of this disease in the knee may take many years. Once established however, the joint may remain in a stable condition for many years. Triad at large; pain, disability and structural change.
Evaluation of Propolis and Milk Administration on Caffein-Induced Mus musculus Fetus Skeletal Dillasamola, Dwisari; A, Almahdy; Sari, Novita Purnama; Putri, Biomechy Oktomalio; Noverial, Noverial; Diliarosta, Skunda
Pharmaceutical Sciences and Research Vol. 5, No. 1
Publisher : UI Scholars Hub

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

Abstract

Caffeine consumption by pregnant women at doses above 300 mg/day was suggested to cause skeletal damage. Propolis with high flavonoids concentration could increase the number of osteoblasts. This research aims to evaluate the effect of propolis and milk administration on fetal skeletal of caffeine-induced female mice (Mus musculus). Mice were divided into six groups: negative group, positive group of caffeine (a dose of 75 mg/kg BW), positive group of propolis (a dose of 1400 mg/kg BW), positive group of milk (200 ml), group D1 (caffeine 75 mg/kg BW and propolis 1400 mg/kg BW) and group D2 (caffeine 75 mg/kg BW and milk 200 ml). Data were processed using one-way ANOVA. The results showed that administration of propolis and milk on caffeine-induced mice during pregnancy does not affect the mice body weight, the number of fetuses and fetal weight significantly (P> 0.05). No skeletal defects detected in group D1 and D2 (observation with Alizarin solution) compared to the negative group. In conclusion, the admnistration of propolis at the dose of 1400 mg/kg BW and 200 ml of milk can repair skeletal damage caused by caffeine induction.
Efektivitas Penggunaan Platelet-Rich Plasma (PRP) dalam Proses Penyembuhan Tulang pada Model Hewan Coba: Systematic Review Noverial, Noverial; Putri, Biomechy Oktomalio
Jurnal Kesehatan Andalas Vol. 11 No. 3 (2022): Online November 2022
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v11i3.2129

Abstract

Bone injury causes thus, reduced productivity and death in the sufferer. Alternative treatment research was developed to speed up the bone healing process, including autologous treatments such as Platelet-Rich Plasma (PRP). Objective: To assessed the effectiveness of PRP use in the bone healing process on studies with experimental animal models. Methods: This study was a systematic review research whose article searches through the databases such as PubMed, ScienceDirect and ProQuest on English-language articles published from 2012-2022. The keywords used were ((bone healing OR fracture healing OR bone defect) AND (platelet rich plasma OR prp) AND (animal models)). Results: PRP was effective in accelerating bone regeneration in every experimental animal model in the early phases of healing, but not all studies have significant differences between groups that used PRP and those who did not. Conclusion: PRP has a positive impact in increasing bone mineral density, but the effectiveness of using PRP may vary from study result to study result, depending on the characteristics of the experimental animal model used in the study and the accuracy of concentration in the administration of PRP.Keywords: animal models, bone healing, platelet-rich plasma
Efek Pemakaian Hormone Replacement Therapy (HRT): Systematic Review Putri, Biomechy Oktomalio; Noverial, Noverial
Jurnal Kesehatan Andalas Vol. 12 No. 1 (2023): Online March 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i1.2131

Abstract

Menopausal women have a risk of suffering from several diseases due to decreased levels of the hormone estrogen in the body. One effort to reduce this risk is to use Hormone Replacement Therapy (HRT). Objective: To analyzed  the effect of HRT use on postmenopausal women.Methods: This research was a systematic review by searching articles in the PubMed electronic journal with keywords used [“Premenopausal women” OR “Postmenopausal women”, OR “Menopause”] AND  [“Hormone Replacement Therapy” OR “Menopausal Hormone Therapy”] AND [“Increased risk disease” OR “Decreased risk disease”]. Results: There were nine studies analyzed; six studies discussed the use of HRT having a positive effect in reducing the risk of several diseases, and as many as five studies discussed the use of HRT having a negative effect, namely, it could increase the risk of several diseases. The studies discussing the factors that influence the effect of HRT use are one study discussing how to use HRT, three studies discussing the type of HRT used, two studies discussing when to start using HRT, and three studies discussing the duration of using HRT which has a significant relationship to the effect resulting from HRT use. Conclusion: The use of HRT in postmenopausal women has negative and positive effects. This effect can be influenced by how HRT is used, the type of HRT used, when HRT was started, and the duration of using HRT.Keywords:  duration of use, how to use, HRT, type, time to start using
Gambaran Angka Kejadian dan Cedera Penyerta pada Fraktur Diafisis Femur di RSUP DR. M. Djamil Padang Periode Januari 2016 - Desember 2020 Ramadhani, Melati Nurul; Noverial, Noverial; Almurdi, Almurdi
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 3 (2024): September 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i3.1275

Abstract

Abstrak Latar Belakang: Fraktur adalah terjadinya diskontinuitas sebuah tulang. Fraktur pada ekstremitas bawah akibat kecelakaan memiliki prevalensi yang paling tinggi diantara fraktur lainnya. Dari kasus fraktur ekstremitas bawah akibat kecelakaan, terdapat 43% kasus fraktur pada tulang femur. Di antara beberapa jenis fraktur femur, fraktur diafisis femur mempunyai epidemiologi terbanyak yang umumnya terjadi akibat kecelakaan energi tinggi sehingga sering memiliki berbagai macam cedera penyerta. Diagnosis yang tertunda dari cedera penyerta sering menghasilkan hasil yang kurang optimal dan terkadang menimbulkan bahaya. Objektif: Penelitian ini bertujuan untuk mengetahui gambaran angka kejadian dan cedera penyerta pada pasien fraktur diafisis femur di RSUP Dr. M. Djamil Padang pada Bulan Januari 2016 hingga Desember 2020. Metode: Metode pengambilan sampel yang digunakan dalam penelitian ini adalah simple random sampling. Penelitian ini dilakukan di instalasi rekam medis RSUP DR. M. Djamil Padang. Penelitian dilakukan dari bulan Desember 2021 sampai Januari 2022. Besar sampel minimal diukur berdasarkan rumus deskriptif kategorik. Hasil: Frekuensi kelompok usia 18-40 tahun sebanyak 20 pasien (58,8%), 41-64 tahun sebanyak 8 pasien (23,5%), dan 65 tahun ke atas sebanyak 6 pasien (17,6%). Kesimpulan: Angka kejadian fraktur diafisis femur di RSUP DR. M. Djamil Padang periode Januari 2016 – Desember 2020 adalah sebanyak 38,2% tanpa disertai dengan cedera penyerta, 20,6% dengan cedera penyerta tunggal, 41,2% dengan cedera penyerta multiple. Total pasien fraktur diafisis femur yang mengalami cedera penyerta sebesar 61,8%. Kata kunci: cedera penyerta, diafisis femur, fraktur
Overview of Dry Eye Severity in Diabetic Retinopathy Patients Humaira, Fatihah Annisa; Vitresia, Havriza; Noverial, Noverial
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4255

Abstract

Dry eye is often found in patients with diabetes mellitus. One of the microvascular complications of diabetes mellitus is diabetic retinopathy. Dry eye in diabetic retinopathy patients is caused by chronic hyperglycaemia which causes microvascular and nerve damage resulting in decreased tear secretion and hyperosmolarity and activates inflammatory mediators that can damage conjunctival goblet cells and decrease mucin secretion. Objective: This study aims to determine the description of dry eye severity through the OSDI scoring system and ferning test in diabetic retinopathy patients based on its degree. Method: This study uses a descriptive method with a cross sectional design. The number of samples in the study were 64 people with a diagnosis of diabetic retinopathy. The sampling technique in this study was carried out by consecutive sampling. Result: The study was conducted using the OSDI questionnaire and ferning test examination on samples that had been diagnosed with diabetic retinopathy based on predetermined inclusion and exclusion criteria. The research data were compiled using Microsoft Excel and then reviewed for completeness. Then the complete data was processed using a computer programme, namely the Statistical Package for Social Sciences (SPSS). The results obtained from this research are most patients were female (64.1%), aged 45-65 years (79.7%), diabetes mellitus duration >5 years (60.9%). The most common degree of retinopathy with dry eye was PDR (64.1%). The most common degree of dry eye and type of ferning was severe dry eye (62.5%) and type IV (59.4%) which mostly occurred in patients with PDR. Conclusions: Based on the OSDI score and ferning test in the study conducted on diabetic retinopathy patients based on the degree, all patients had dry eye (100%).
Efek Ekstrak Daun Kemangi (Ocimum Basilicum) Terhadap Kadar LDL Tikus (Rattus Norvegicus) Model Aterosklerosis Kencana, Gita; Ali, Hirowati; Noverial, Noverial; Kadri, Husnil; Mahata, Liganda Endo; Pertiwi, Dian
Innovative: Journal Of Social Science Research Vol. 5 No. 3 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i3.19552

Abstract

Penelitian ini bertujuan untuk mengetahui efek ekstrak daun kemangi (Ocimum basilicum) terhadap kadar LDL pada tikus (Rattus Norvegicus) model aterosklerosis. Desain yang digunakan adalah post-test only control group design dengan 30 ekor tikus jantan yang dibagi menjadi lima kelompok: kontrol negatif (K-), kontrol positif (K+), kontrol statin (KS), perlakuan I (P1; 100 mg/kgBB ekstrak daun kemangi), dan perlakuan II (P2; 200 mg/kgBB). Induksi aterosklerosis dilakukan melalui ligasi parsial arteri karotis dan pemberian diet tinggi lemak selama 7 hari. Pemberian simvastatin dan ekstrak kemangi dilakukan secara oral selama 7 hari. Kadar LDL diukur menggunakan metode CHOD-PAP dengan alat Microlab 300. Hasil analisis statistik menunjukkan perbedaan bermakna kadar LDL antara kelompok K-, KS, dan P2 dibandingkan dengan kelompok K+ (p<0,05). Rerata kadar LDL tertinggi ditemukan pada kelompok K+ (64,56 mg/dL) dan terendah pada kelompok KS (31,62 mg/dL). Dapat disimpulkan bahwa ekstrak daun kemangi, khususnya dosis 200 mg/kgBB, berpotensi menurunkan kadar LDL pada tikus model aterosklerosis.
Hubungan Posisi dan Lama Duduk dengan Nyeri Punggung Bawah pada Mahasiswa Pendidikan Dokter Universitas Andalas Nur'aisyah, Shafira; Sahputra, Roni Eka; Ali, Hirowati; Noverial, Noverial; Revilla, Gusti; Fadila, Zurayya
eJournal Kedokteran Indonesia Vol. 12 No. 1 (2024): Vol 12, No. 1 - April 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.373.32

Abstract

Nyeri punggung bawah adalah rasa nyeri yang dirasakan di daerah lumbal atau lumbosakral dan merupakan keluhan muskuloskletal tersering. Penelitian ini bertujuan untuk mengetahui hubungan antara posisi dan lama duduk dengan kejadian nyeri punggung bawah pada mahasiswa Pendidikan Dokter Fakultas Kedokteran Universitas Andalas. Penelitian ini menggunakan Roland-Morris Disability Quesionarre untuk menentukan nyeri punggung bawah secara objektif dan numeric pain rating scale  untuk menentukan nyeri punggung bawah secara subjektif. Penelitian ini membandingkan kejadian saat pembelajaran daring (Maret 2020—September 2021) dan luring (Oktober 2021—November 2022).Data diambil pada Desember 2022. Data dianalisis dengan uji chi-square. Tidak terdapat perbedaan bermakna  antara posisi duduk dengan kejadian nyeri punggung bawah secara objektif saat daring dan luring (p>0,05), namun terdapat perbedaan bermakna antara posisi duduk dengan kejadian nyeri punggung bawah secara subjektif saat daring dan luring adalah (p<0,05). Lama duduk tidak berbeda bermakna dengan kejadian nyeri punggung bawah secara objektif dan subjektif saat daring dan luring (p >0,05). Disimpulkan bahwa terdapat hubungan antara posisi duduk dengan kejadian nyeri punggung bawah secara subjektif saat daring dan luring namun tidak terdapat hubungan secara objektif. Tidak terdapat hubungan antara lama duduk dengan kejadian nyeri punggung bawah secara objektif dan subjektif saat daring dan luring.
GAMBARAN KADAR HEMOGLOBIN DAN HEMATOKRIT PADA PASIEN IDIOPATHIC SCOLIOSIS DI POLIKLINIK ORTHOPEDI RSUP DR. M. DJAMIL PADANG Taufik, Muhammad Muhtadi; Sahputra, Roni Eka; Nurhajjah, Siti; Noverial, Noverial; Rusdji, Dina Arfiani
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i6.1321

Abstract

Background: Idiopathic scoliosis can cause pulmonary dysfunction due to thoracic pressure that triggers hypoxia, theoretically increasing hemoglobin and hematocrit levels as a compensatory mechanism.  Objective: This study aims to describe the levels of hemoglobin and hematocrit in patients with idiopathic scoliosis at the Orthopedic Clinic of RSUP Dr. M. Djamil Padang. Methods: This research employed a descriptive retrospective method, collecting medical record data of idiopathic scoliosis patients from 2018 to 2022. The data analyzed included age, gender, hemoglobin levels, and hematocrit levels prior to surgery. Out of 17 patients recorded, nine met the inclusion criteria. Results: The results showed that all patients were in the adolescent age category (10–18 years), with the highest age range being 14–16 years. All patients were female. A total of 44% of patients had hemoglobin levels of 13–14 g/dl, while 55% had hematocrit levels of 40–42%. Conclusion: The conclusion of this study is that there was no significant increase in hemoglobin and hematocrit levels before surgery, indicating no clear evidence of hypoxia compensation through elevated hemoglobin and hematocrit levels in patients with idiopathic scoliosis at RSUP Dr. M. Djamil Padang.