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GAMBARAN PENGETAHUAN DAN SIKAP WANITA PEKERJA SEKSUAL TIDAK LANGSUNG DI HOTSPOT JALAN TUANKU TAMBUSAI KECAMATAN SUKAJADI PEKANBARU TERHADAP PAP SMEAR DAN INSPEKSI VISUAL ASETAT SEBAGAI DETEKSI DINI KANKER SERVIKS Tilusari, Shinta Puja; ", Suyanto; Fidiawati, Wiwit Ade
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Cervical cancer is the third most frequent cancer in women in Indonesia. Cervical cancer is a disease that may impact to many psychosocial condition for the patient. In Indonesia found about 40.000 new case of cervical cancer. Indirect female sex worker are in high risk for having cervical cancer. The aim of the research is to describe indirect female sex worker knowladge and attitude at Tuanku Tambusai Street in Pekanbaru toward Pap smear and Visual Inspection with acetid acid as cervical cancer screening. The descriptive methode was used with in 35 persons that was taken under total sampling technique through direcly interview by using quetionnaire. The result of study from 35 repondents, 32 repondents have bad knowladge with 91,43%, 3 respondents have moderate knoeladge with 8,57%, and none of respondents has good knowladge. On attitude quesionnaire, 26 respondents have negative attitude 74,29%, 9 respondents have positif attiude with 25,71%. The conclusion is indirect female sex worker at Tuanku Tambusai Street in Pekanbaru have bad knowladge and negative attitude toward Pap smear and Visual Inspection with acetic acid as cervical cancer screening Keywords: Knowladge, attitudes, Indirect female sex worker, Pap smear and IVA.
PERILAKU PROFESIONAL TENAGA KESEHATAN DAERAH PESISIR PADA PELAYANANKESEHATAN PRIMER PUSKESMAS SELAT BARU KABUPATEN BENGKALIS TAHUN 2014 Amir, Venni Oktary; Afandi, Dedi; Fidiawati, Wiwit Ade
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Increasing health services for coastal settlement that have low health degree issue should be directional priority of health subtlety. Health workers are the main factor to realize the optimum health effort. Professional health workers action needed for increasing the quality and the development health workers profession. The aim of this research is to discover the professional behavior of health-care workers of Selat Baru community health care (Puskesmas), Bengkalis Regency, that was reflected by the six elements of professionalism. The design of this research uses exploration method with qualitative approaches on seven health-care workers of Puskesmas Selat Baru, Bengkalis Regency, who were selected by using snowball sampling method. Data collection was done by interview and recorded with an audio recorder. The result of this research showed that all the informants possess altruism, accountability, duty and respect for other. Some informant who possess excellence and honor and integrity. In general, half of the Selat Baru community health center (puskesmas) health-care workers possess the elements of professional behavior in carrying their duty, especially in providing service for the patients.Key word : professional behavior, health-care workers.
GAMBARAN PEMERIKSAAN INPEKSI VISUAL ASETAT SEBAGAI DETEKSI LESI PRAKANKER SERVIKS DI HOTSPOT JALAN TUANKU TAMBUSAI KECAMATAN SUKAJADI PEKANBARU Novri, Dhini Aiyuli; sofian, Amru; Fidiawati, Wiwit Ade
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Cervical cancer is the third most frequent cancer in women in Indonesia. Indirect female sex worker are in high risk for having cervical cancer. World Health Organization had recommended an alternative approach for developing countries with down staging concept of cervical malignancy with visual inspection with acetic acid (VIA) to detect cervical precancerous lesion. This research was carried out at hotspot Tuanku Tambusai Street, Pekanbaru aimed to describe the characteritics of respondent and to detect displastic cervical epithelial cells with VIA. The result showed from 31 indirect female sex worker, 52 % were diagnosed with positive acetowhite appereance (positive VIA). Conclusion of the study that displastic cervical epithelial cells of indirect female sex worker who has high risk for having cervical cancer should be reffered for further follow up.Keywords: Visual inspection with acetic acid, Cervical cancer, Cervical precancerous lesion, Indirect female sex worker.
PERILAKU PROFESIONAL TENAGA KESEHATAN PADA PELAYANAN KESEHATAN PRIMER PUSKESMAS PELALAWAN KABUPATEN PELALAWAN TAHUN 2013 Putri, Eka Sri Indra; Afandi, Dedi; Fidiawati, Wiwit Ade
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 1 (2015): Wisuda Februari 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTProfessional behaviour is an effectuate that is expected of health professionals who provide services to the community including remote areas like in the littoral, one of which coastal settlement. This research aims for discovering the professional behaviour of health-care workes of Pelalawan community health center (Puskesmas), Pelalawan Regency that was assessed basing on the six elements of professional behaviour. The design of this reseacrh uses exploration method with qualitative approaches on nine health-care workers of Pelalawan community health center (Puskesmas), Pelalawan Regency, who selected by using snowball sampling method. Data collection was done by interview method and recorded with an audio recorder. The result of this research showed that all informants possess altruism, accountability, excellence, duty, honor and integrity and respect for other, and there are some informant who possess excellence. In general, half of the Pelalawan community health center (puskesmas) health-care workers possess the elements of professional behaviour in carrying their duty,especially in providing service the patients.Key word : professional behavior, health workers.
GAMBARAN PEMERIKSAAN INSPEKSI VISUAL ASETAT SEBAGAI DETEKSI LESI PRAKANKER SERVKS PADA WANITA PEKERJA SEKSUAL TIDAK LANGSUNG DI HOTSPOT X KECAMATAN LIMAPULUH PEKANBARU Islami, Nursida; Fidiawati, Wiwit Ade; Sofian, Amru
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 1 (2016): Wisuda Februari 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACKTCervical cancer wasthe second highest cancerin women in Indonesia. Indirect female sex workers had high risk for cervical cancer. World Health Organization (WHO) suggested screening to reduce the incidence of cervical cancer, alternative screening method which was relatively easy and often done in developing countries was Visual Inspection with Acetic Acid (VIA). This research was executed at hotspot X, Limapuluh district, Pekanbaru with the aim of describing the characteristics of respondents and to detect abnormal cervical epithelium using VIA. This research used descriptive research design, by using total sampling method there were 31 respondents. The result showed that 68% negative and 32% positive VIA. From the result of this study, it could be concluded that the majority of indirect female sexworkers (IFSW) had negative result of VIA, other wise IFSW who had positive result of VIA were suggested to get further examination.Keywords:Visual inspection with acetic acid, Cervical cancer, Indirect female sex workerPENDAHULUANKanker serviks merupakan keganasan pada serviks yang disebabkan oleh infeksi Human Papillomavirus khususnya tipe 16, 18, 31 dan 45.1,2 kanker ini menduduki peringkat keempatsebagai jenis kanker terseri
PROFIL PEMERIKSAAN INDEKS PROLIFERATIF KI-67 PADA PENDERITA KANKER PAYUDARA DI RSUD ARIFIN ACHMAD TAHUN 2010-201 Syukri, Nodia Adillah; Fidiawati, Wiwit Ade; Tripriadi, Effif Syofra
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 1 (2016): Wisuda Februari 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTBreast cancer is a malignancy in breast tissue when cells grow abnormallyuncontrolled and invade to other parts of the body. Some biomarkers that already recognizedin breast cancer are Estrogen Receptor (ER), Progesterone Receptor (PR), HumanEpidermal Growth Factor Receptor-2 (HER-2), Ki-67 Proliferation Index and Cytokeratin(CK5). Ki-67 Proliferation index examination can be used to predict recurrence and clinicaloutcome of breast malignancy, Ki-67 also may helpful to determine response ofchemotherapy. This study aims to present the profile of Ki-67 examination on breast cancerpatients at Arifin Achmad General Hospital in 2010-2015. This study using retrospectivecross-sectional and descriptive observational method. The population of this study are allpatients diagnosed with breast cancer based on histopathology examination with Ki-67proliferation index at Arifin Achmad General Hospital’s histopathology laboratory in 2010-2015. Six years breast cancer data were analysed, the result of the study are almost allhistological type of breast cancer is Invasive Ductal Carcinoma (IDC) with 350 cases(92,8%) and most of them are <50 years old, the most frequent histological grade is grade IIwith 203 cases (53,8%) and Luminal B as the most frequent molecular type of breast cancerwith 159 cases (42,1%), most of them are categorized as high expression of Ki-67 index with325 cases (86,2%).Keywords: breast cancer, Ki-67 proliferation index, invasive ductal carcinoma,Ki-67 high expression.
GAMBARAN PEMERIKSAAN INSPEKSI VISUAL ASETAT SEBAGAI DETEKSI LESI PRAKANKER SERVIKS PADA WANITA PEKERJA SEKSUAL TIDAK LANGSUNG DI HOTSPOT Y KECAMATAN TENAYAN RAYA PEKANBARU Ovinitha, Sarah; Fidiawati, Wiwit Ade; Sofian, Amru
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 1 (2016): Wisuda Februari 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTCervical cancer is a malignancy in the epithelial cells of the cervix that can be prevented and detected earlier, but still ranks as the fourth most common cancer in women worldwide. Early detection of cervical cancer in developing countries such as Indonesia that was recommended by World Health Organization (WHO) is Visual Inspection with Acetic Acid (VIA). Indirect Female Sex Workers (FSW) have a higher risk of cervical cancer. The aim of this study is to reveal the results of VIA on indirect FSW at hotspot Y District Tenayan Raya Pekanbaru. The method of this research is descriptive observational. The study population was WPS-TL residing in the hotspot Y District Tenayan Raya Pekanbaru and the samples were taken with total sampling method. The results showed that among 44 FSWs, 17 people (38.6%) of them had acetowhite on the VIA examination (positive VIA). It is concluded that the majority of indirect FSWs at hotspot Y District Tenayan Raya Pekanbaru have a negative IVA results.Key words : Visual Inspection with Acetic Acid (VIA), Cervical Cancer, Indirect Female Sex Worker (FSW), Hotspot Y
Gastorintestinal stromal tumor: gambaran klinik, histopatologik dan imunohistokimia Wiwit Ade Fidiawati; Ening Krisnuhoni
Majalah Patologi Indonesia Vol 19 No 1 (2010): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

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Abstract

ABSTRAKLatar BelakangTumor mesenkimal traktus gastrointestinal mempunyai gambaran histopatologik yang sulit untukdibedakan. Tumor tersebut dapat berasal dari otot dan saraf maupun campuran keduanya.Beberapa tahun belakangan ini tumor mesenkimal traktus gastrointestinal dinyatakan berasal dariIntertitial Cells of Cajal (ICC) dan disebut sebagai Gastrointestinal Stromal Tumor (GIST).Bahan dan caradata arsip Departemen Patologi Anatomik selama dua tahun (2006-2007) terdapat 25 kasus yangdidiagnosis sebagai GIST dengan pulasan Hematoxillin & Eosin, CD117, CD34, S100 dan SMA.Langkah berikutnya dilakukan analisis gambaran klinik, histopatologik dan imunohistokimia.HasilDari 25 kasus GIST, 84,9% terdapat pada pria dan usia terbanyak antara 40-49 tahun. Gastermerupakan lokasi GIST tersering (72%), kemudian diikuti oleh usus kecil (16%), usus besar (8%)dan esophagus (4%). Gambaran histopatologik yang terbanyak adalah subtipe sel kumparan(52%), kemudian subtype campuran (28%) dan subtype epiteloid (20%). GIST dengan diferensiasisaraf merupakan jenis diferensiasi terbanyak, kemudian diikuti oleh GIST yang tidakberdiferensiasi, berdiferensiasi otot polos dan GIST berdiferensiasi campuran otot polos dan saraf.KesimpulanPada penelitian ini, kasus GIST lebih banyak terdapat pada pria dan lokasi tersering adalah gaster.Sub tipe histopatologik terbanyak adalah subtipe spindel dan diferensiasi saraf merupakandiferensiasi tersering. Diagnosis GIST dapat ditegakkan bila sel tumor positif dengan pulasanCD117.
Gambaran Histopatologi Paru Mencit (Mus musculus) Setelah Pemaparan Paraquat Aulia Wiradi; Wiwit Ade Fidiawati; Sri Melati Munir
Jurnal Ilmu Kedokteran Vol 11, No 2 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

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Abstract

Paraquat destroys organs including lung. Purpose of this study was to determine the effect of paraquat on histopathologyof lung, exspecially fibrosis in mice (Mus musculus). This study was an experimental study with post-test only withcontrol design and using 15 mice as sample. Samples were divided into 5 groups consist of one control group and fourdifferent doses of paraquat treatment group (25 mg / kg / day, 50 mg / kg / day, 75 mg / kg / day and 100 mg / kg / day for7 days with spraying). Analysis of the data have used One-Way ANOVA then post-hoc test with tukey to assesseddifferences of each groups. The results showed increasing of lung fibrosis with increasing doses and have significantcorrelations (p = 0.000). In conclusion, there are significant changes in lung histopathology of mice (Mus musculus)after paraquat exposure for 7 days.
HUBUNGAN LAMA PEMBERIAN DIET ATEROGENIK TERHADAP KADAR TRIGLISERIDA Rattus novergicus JANTAN STRAIN WISTAR Renti Sulvia Niza; Enikarmila Asni; Wiwit Ade Fidiawati
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTCardiovascular diseases is the disruption and damage of the heart muscleand the number one cause of death worldwide. Based on epidemiologic data andclinical trial results support an association between elevated triglyceride andCardiovascular risk. The goal of this research is to know the correlation of givenduration atherogenic diet againts triglyceride level in male wistar rats. Thisresearch was experimental with the post test-only control group design, by usingmale rats (Rattus novergicus) of 2-3 month with the average weight range of 160-240 g. The rats were divided into 4 group, control group given with standard diet,the 5 weeks atherogenic diet group, the 8 weeks atherogenic group and 12 weeksatherogenic group, in which group consist of 6 rats. The atherogenic diet (2%cholesterol of yolk, 5% goat’s fat, and 0,2% cholic acid) were given as much as20 g/each/day. The result showed a significant difference (p=0,000). As for thepost hoc test (p=0,000), there is a statistically significant difference within theexperimental groups. As for the spearman test (0,969), it shows a significantpositive correlation between the given duration of the atherogenic diet and thetriglyceride level. It can be concluded the longer time that the rats gotatherogenic diet showed the level of triglycerides rats (Rattus novergicus)increased.Keywords: Atherogenic diet, triglyceride level, rats (Rattus novergicus).