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Adaptation of Patient's Colorectal Cancer to Stoma in Padang City Fira Firdausia; Avit Suchitra; Leni Merdawati
Jurnal Keperawatan Vol. 12 No. 2 (2021): July
Publisher : University of Muhammadiyah Malang

Introduction: Colorectal cancer patients have a variety of impacts after the colostomy such as skin irritation, problems with odors, and fears of pouch leaks that will affect daily life. Patients must be able to adapt to new situations due to ostomy so that they can undergo daily activities as usual. This study aims to explore the experience of colorectal cancer patients' adaptation to the ostomy. Materials and Methods: Research was conducted with a qualitative design grounded theory approach with semi-structured interviews on six participants (one man and five women) who were taken purposively with criteria to have an ostomy for more than 4 months at the General Hospital in Padang. After the data is collected, then the data were analyzed using grounded theory by doing open coding, axial coding, and selective coding and determining the core categories. Results: The research obtained the core category of patient’s adaptation to ostomy based on Roy's adaptation theory with two selective codings, among others, the impact of ostomy as a stimulus in patients and coping mechanisms carried out including social support from family, friends, health workers, and ostomates who help patients overcome psychosocial impacts. Conclusion: This study shows the process of ostomate adaptation to the impact of ostomy with various strategies as well as the presence of social support.

Correlation of Malignancy in the Hepato-Pancreato-Biliary System with Serum Bilirubin Levels in Extrahepatic Cholestasis Patients Rizqy Tansa; M. Iqbal Rivai; Avit Suchitra
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 9 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i9.566

Background: The incidence of hepato-pancreato-biliary system cancer is increasing worldwide, which has been recognized as a disease that is difficult to diagnose early and has a poor prognosis. No research has yet been conducted in areas with limited resources and health facilities. There is an urgent need for diagnostic methods to recommend further diagnostic modalities in the selection of curative or palliative management. Methods: Retrospective data from all cholestatic patients at Dr. M. Djamil General Hospital were collected during the period July 2020-May 2022. The data included demographic characteristics such as age, gender, preoperative, results of bilirubin fraction, and final diagnosis. Data analysis was done by bivariate and multivariate. Results: A total of 132 patients were included in this study. 35.6% of them are HPB system malignancies, with Pancreatic Adenocarcinoma being the most common diagnosis (34.4%), more in males (51.06%), and in the age group, 50 years (61.71%) is the most. Only 52.27% of patients underwent preoperative radiological imaging. Bivariate analysis showed a significant relationship between HPB system malignancies with age >50 years (p=0.024) and all bilirubin fractions (p<0.001). Multivariate analysis showed that only the bilirubin fraction was significant for the diagnosis of malignant HPB (p<0.001). Conclusion: The bilirubin fraction is a good initial indicator for predicting malignancy in the HPB system in order to increase the effectiveness of the diagnostic modality and reduce the referral duration.

Perbedaan Tingkat Pengetahuan Kaidah Dasar Bioetika Pada Mahasiswa Fakultas Kedokteran Universitas Andalas Raditya Arya Dewanda; Taufik Hidayat; Avit Suchitra
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 2 (2021): Juni 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Basic principles of bioethics are one of the materials taught to medical students. With a sufficient level of knowledge regarding the basic principles of bioethics, doctors can treat patients properly and optimally. This study aims to determine the differences in the level of knowledge of the application of the basic principles of bioethics in medical practice among students of the Faculty of Medicine, University of Andalas. This research is an observational analytic study with a cross sectional study design and the sampling technique using consecutive sampling technique, which obtained a total of 243 respondents. The research data is in the form of primary data using the Questionnaire Tes Kaidah Dasar Bioetika as a measuring tool with the measurement results obtained will be worth 0-8 and are considered to have good knowledge if you get a score of >5. Data analysis used bivariate analysis oneway ANOVA and Independent T test. The results of the study found that respondents who had good knowledge amounted to 29% in class 2017, 20% in class 2018, and 10% in class 2019, with a total percentage of 20% and there was a significant difference in the mean value of knowledge levels based on the year of entry and type which class 2017 is higher than the lower class and female students score higher than male students. The conclusion of this study is that the class that entered earlier had a better level of knowledge than the lower class because of education factors and female students had a better level of knowledge than male students because females were better at taking steps that related to ethics.

The Hubungan Obesitas dengan Kejadian Kolelitiasis di RSUP Dr. M. Djamil Padang Periode Januari – Desember 2019 Muhammad Adzka Putra Anbiar; Avit Suchitra; Desmawati Desmawati
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 2 (2021): Juni 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Background: Obesity is a common problem that occurs wich continues to increase and risk factor for cholelithiasis which can cause morbidity in cholelithiasis patients. Objective: This study aimed to determine the association between obesity and cholelithiasis and knowing the frequency distribution of patients based on age, gender and BMI. Methods: This research was an observational analytic with a case-control design with matched for age and sex. This research was held from December 2020 to March 2021 in the Medical Record Installation of RSUP Dr. M. Djamil Padang with total sample of 88 patients using simple random sampling technique. Results: The results showed that out of 44 cholelithiasis patients, as many as 28 patients (63.6%) were obese. Most were ³40 years old, 34 patients (77.3%), particularly in the age group 40-49 years with 14 patients (31.8%). Most of cholelithiasis patients were female with 28 patients (63.6%) and BMI ³25 were 28 patients (63.6%). Based on the Chi-square test, there was a relationship between obesity and the incidence of cholelithiasis (p = 0.019). Conclusion: The conclusion of this study states that there is a significant relationship between obesity and the incident of Cholelithiasis at RSUP Dr. M. Djamil Padang for the period of January-December2019.

Correlation of Malignancy in the Hepato-Pancreato-Biliary System with Serum Bilirubin Levels in Extrahepatic Cholestasis Patients Rizqy Tansa; M. Iqbal Rivai; Avit Suchitra
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 9 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i9.566

Background: The incidence of hepato-pancreato-biliary system cancer is increasing worldwide, which has been recognized as a disease that is difficult to diagnose early and has a poor prognosis. No research has yet been conducted in areas with limited resources and health facilities. There is an urgent need for diagnostic methods to recommend further diagnostic modalities in the selection of curative or palliative management. Methods: Retrospective data from all cholestatic patients at Dr. M. Djamil General Hospital were collected during the period July 2020-May 2022. The data included demographic characteristics such as age, gender, preoperative, results of bilirubin fraction, and final diagnosis. Data analysis was done by bivariate and multivariate. Results: A total of 132 patients were included in this study. 35.6% of them are HPB system malignancies, with Pancreatic Adenocarcinoma being the most common diagnosis (34.4%), more in males (51.06%), and in the age group, 50 years (61.71%) is the most. Only 52.27% of patients underwent preoperative radiological imaging. Bivariate analysis showed a significant relationship between HPB system malignancies with age >50 years (p=0.024) and all bilirubin fractions (p<0.001). Multivariate analysis showed that only the bilirubin fraction was significant for the diagnosis of malignant HPB (p<0.001). Conclusion: The bilirubin fraction is a good initial indicator for predicting malignancy in the HPB system in order to increase the effectiveness of the diagnostic modality and reduce the referral duration.

Comparison of Incident of Chronic Pain Post Operations of Preperitoneal Transabdominal Herniorafi Laparoscopy (TAPP) and Totally Extraperitoneal (TEP) in General Hospital Dr. M. Djamil Padang Yudi Ichsan Ramata; M.Iqbal Rivai; Avit Suchitra
Biomedical Journal of Indonesia Vol. 7 No. 1 (2021): Vol 7, No 1, 2021
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i1.278

Introduction : Inguinal herniation is a protrusion of peritoneal component through abdominal wall caused by the weakness of aponeurotica tissue of abdomen. Inguinal herniation is the most common herniation cases in which 291.145 patient registered in Indonesia at 2012 and 87 patients in General Government Hospital of M. Djamil Padang at 2017-2018. Herniation treatment is consisted of herniorrhapy laparoscopy using the TEP or TAPP techniques and both of them are related to the incidence of chronical post-operative pain that was defined by IASP as an uncomfortable sensation lasting for more than 3 months. Method: This research was using retrospective study design. The research was conducted at RSUP Dr. M. Djamil Padang in August – October 2020 with 54 samples. Result: The study found there was 54 cases of inguinal herniation fit to the inclusion criteria with peak age of 82 years old and average of 59.1 years old. Most patients were male (79.62 %). There were 2 patients having chronic pain (7.41%) after herniorrhapy using the TAPP technique and 1 more (3.71%) having chronic pain with TEP technique. Bivariate analysis was done by Fisher Exact Test and the study concluded there was no statistical significance in relationship of chronic post-operative pain incidence with the particular technique chosen at herniorrhapy laparoscopy (p=1.000). Conclusion:There was no significant relationship between the incidence of postoperative chronic pain in patients undergoing laparascopic hernioraphy and TEP or TAPP procedure.

Korelasi Indeks Massa Tubuh dengan Kadar Kolesterol Total pada Mahasiswa Pre Klinik Fakultas Kedokteran Universitas Andalas Zikra Muhammad; Julizar Julizar; Avit Suchitra
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 3 (2021): September 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v2i3.365

The increase in body mass index is a condition were excessive increase in fat accumulation in adipose tissue so it can be detrimental to health. Increase in lipid metabolism can trigger the increase in cholesterol level inside the body. This study aimed to know the correlation between body mass index and total cholesterol level on Medical Faculty of Andalas University pre clinic student. The research method used in this study was an analytic cross sectional approach, conducted from April to December 2020 in Medical Faculty of Andalas University. The subject were 35 pre clinic students who currently in Padang when the research was conducted. The data taken in this research were age, sex, height, weight, and total cholesterol level. The statistical test used was Pearson correlation test. The result of this research found that p value was 0,173, showed that there was a meaningless relation between BMI and total cholesterol level with negative correlation value (r = -0,236). This research concludes that there is no correlation between BMI with total cholesterol level on Medical Faculty of Andalas University pre clinic student.

Perbedaan Kadar Bilirubin Serum antara Kelompok Patologi Neoplasma dan Non-neoplasma pada Ikterus Obstruktif Ilma Fitri Sakina; Avit Suchitra; Yenita Yenita
Jurnal Ilmu Kesehatan Indonesia Vol 3 No 2 (2022): Juni 2022
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v3i2.951

Latar Belakang: Ikterus obstruktif merupakan kondisi dari adanya kelainan yang menyebabkan obstruksi pada sistem bilier. Salah satu pemeriksaan awal dan rutin yang dilakukan untuk membedakan kelainan yang menyebabkan ikterus adalah pemeriksaan kadar bilirubin serum. Objektif: Untuk mengetahui apakah terdapat perbedaan kadar bilirubin serum antara kelompok patologi neoplasma dan non-neoplasma pada pasien dengan ikterus obstruktif. Metode: Jenis penelitian ini adalah analitik observasional dengan desain cross-sectional menggunakan data rekam medis pasien ikterus obstruktif ekstrahepatik yang ditatalaksana di RSUP Dr. M. Djamil Padang pada Januari 2019 – Desember 2021 dengan jumlah sampel pada penelitian ini adalah 21 sampel untuk masing-masing kelompok. Analisis data dilakukan dengan uji Mann-whitney. Hasil: Perempuan (54,8%) lebih banyak dan kelompok usia terbanyak adalah 56 – 65 tahun (38,1%). Kelainan terbanyak adalah tumor di pankreas pada kelompok neoplasma (57,1%) dan koledokolitiasis (85,7%) pada kelompok non-neoplasma. Rerata kadar bilirubin kelompok neoplasma adalah 14,6 ± 8,99 mg/dL dan kelompok non-neoplasma adalah 8,14 ± 8,82 mg/dL dengan nilai p=0,015. Kesimpulan: terdapat perbedaan yang bermakna antara kadar bilirubin serum kelompok neoplasma dan non-neoplasma pada pasien dengan ikterus obstruktif di RSUP Dr. M. Djamil Padang. Kata kunci: bilirubin, neoplasma, non-neoplasma, ikterus obstruktif

Lactococcus Lactis D4 Starter Fermented Milk’s Effect on Liver Function of Obstructive Jaundice Model Hannan Khairu Anami; M. Iqbal Rivai; Avit Suchitra; Irwan Irwan; Rini Suswita; Juni Mitra
Indonesian Journal of Multidisciplinary Science Vol. 2 No. 5 (2023): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Obstructive jaundice can cause liver function damage which exacerbates patient morbidity and mortality. Fermented milk starter Lactococcus Lactis D4 derived from dadih is a probiotic that has the potential to improve liver function through the enterohepatic pathway. The research would like to determine the effect of Lactococcus Lactis D4 starter fermented milk on liver function of obstructive jaundice. This study was an experimental study with a post test only randomized control group design in 3 groups of Rattus Novergicus strain Wistar rats with obstructive jaundice model which got ligation of biliary ducts and given Lactococcus lactis D4 starter fermented milk for 7 days. Liver function was assessed by looking at the levels of total bilirubin, SGOT, SGPT, ALP, and GGT in each treatment group. Administration of Lactococcus Lactis D4 starter fermented milk caused a decrease in SGOT levels (LDB + BAL vs LDB: 51.12 ± 1.77 U/L vs 64.63 ± 0.10 U/L, p<0.05) and SGPT (LDB + LAB vs LDB: 60.60±0.85 U/L vs 67.77±2.60 U/L, p<0.05) which was significant. However, there was no significant effect on total bilirubin levels (LDB + BAL vs LDB: 3.21±0.11 mg/dl vs 3.18±0.10 mg/dl, p>0.05), ALP (LDB + LAB vs LDB: 108.20 ± 2.78 U/L vs 115.38 ± 5.08 U/L, p>0.05), and GGT (LDB + LAB vs LDB: 12.57 ± 0.45 U/L vs 12.78±0.31 U/L, p>0.05). Lactococus Lactis D4 starter fermented milk can improve liver function which is indicated by a decrease in SGOT and SGPT levels in experimental animals.

Giant Liver Abscess pada Usia Muda: Sebuah Laporan Kasus Atika Indah Sari; Avit Suchitra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i3.15427

Abses hati amuba disebabkan infeksi Entamoeba histolytica yang bermanifestasi amebiasis ekstraintestinal invasif dan sering ditemukan di negara tropis termasuk Indonesia. Abses hati amuba menyebabkan 50.000 kematian di dunia. Penegakkan diagnosis membutuhkan pencitraan hati dan serologis. Penemuan parasit Entamoeba histolytica penting dalam penentuan etiologi abses hati amuba. Tujuan dari penelitian ini adalah untuk melaporkan kasus seorang pria 20 tahun dengan gejala nyeri perut kanan atas, demam, mual, dan anoreksia, serta mengevaluasi efektivitas drainase abses laparoskopik sebagai metode penanganan. Metode yang digunakan adalah analisis data klinis dan evaluasi hasil terapi. Hasilnya menunjukkan bahwa pasien mengalami perbaikan klinis setelah pengobatan dengan metronidazole dan drainase laparoskopik, dengan tidak adanya komplikasi fisik tambahan. Entamoeba histolytica merupakan amuba yang ditransmisikan melalui jalur fecal-oral dan masuk ke sirkulasi darah yang selanjutnya membentuk abses di hati. Pasien datang dengan ukuran abses hati besar dan memerlukan tindakan drainase secara operatif. Abses hati amuba umumnya berespon baik dengan pengobatan medikamentosa. Namun, pada kasus tertentu seperti ukuran abses yang besar dibutuhkan tindakan drainase perkutaneus untuk mencegah ruptur abses. Pasien ditatalaksana dengan pemasangan drainase secara laparaskopik. Pemasangan drainase laparaskopik memiliki cedera fisik yang lebih sedikit. Tatalaksana yang tepat dapat menghindari komplikasi pecahnya abses hati.

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