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All Journal Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Jurnal Medika Malahayati Biomedika Frontiers on Healthcare Research
Awanda Herman
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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GAMBARAN HASIL PEMERIKSAAN SITOLOGI PENDERITA KANKER SERVIKS PASCA TERAPI RADIASI BERDASARKAN KELOMPOK UMUR DI INSTALASI RADIOTERAPI RSUD ARIFIN ACHMAD PERIODE TAHUN 2009–2013 Herman, Awanda; Sofian, Amru; Chandra, Fifia
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

Radiation therapy is a therapeutic option for cervical cancer, and expected to have optimal outcomes, The results of radiation therapy is different for each patient depending on the sensitivity of cancer cells to radiation that is influenced by age, it can be reviewed by looking at the cell's response to radiation based on the presence or absence of malignant cells that found in the results of cytologic examination after radiation therapy. This research aimed to describe the results of cytological examination of cervical cancer patients after radiation therapy by age group in Radiotherapy Installation Arifin Achmad general hospital of Riau Province Period 2009-2013. The type of this research was descriptive retrospective with population are medical recodrs of cervical cancer patients who had undergone radiation therapy in the form of 25 full time external radiation therapy without chemotherapy in Radiotherapy Installation Arifin Achmad General Hospital of Riau period 2009 to 2013. The sample is the medical record that eligible as population that is as much as 78 medical records. The result of this research was found the largest age group who performed radiation therapy was 40-49 years old (41%), while the largest age group who have a cytological examination found no malignant cells most is 40-49 years old (12.8%), the age group that has the results malignant cells are found in the form of the age group 40-49 years old and 50-59 years old with patients respectively (1.3%) and the largest age group who do not have the data post-radiation cytology result is 40-49 years old (26 , 9%). The largest age group who have a cytological examination found no malignant cells most is people who do a cytological examination more than once that is age group > 60 years old (55.6%) and resulted in the malignant cells are found in the age group 50-59 years old (11 , 1%). Key words: cervical cancer, cervical cancer radiation, cytology results based on age
Thoracic Spinal Anaesthesia for Modified Radical Mastectomy in a Patient with Pulmonary Atelectasis & Pleural Effusion: Case Report Irawan, Dino; Herman, Awanda
Jurnal Medika Malahayati Vol 8, No 4 (2024): Volume 8 Nomor 4
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v8i4.15986

Abstract

The incidence of breast cancer is the highest malignancy in Indonesia, and this case increases with age, affecting more than 65% of patients over 65 years old.  In geriatric patients, the possibility of coexisting major medical problems is high, which makes anesthetic management challenging, Regional anesthesia is a preferable option for breast cancer surgery for geriatrics with coexisting major medical problems than general anesthesia.Spinal anesthesia has more advantages compared with general anesthesia. These include smaller respiratory and cardiac complications, better intraoperative and postoperative pain control, early recovery of gastrointestinal function, lower postoperative nausea and vomiting, early ambulation and discharge from hospital, a reduced need for blood transfusions, and reduced costs. A significant advantage of spinal anesthesia in this case is the avoidance of airway instrumentation and its possible complications. Studies have demonstrated that up to 15 to 20% of the lung at its base collapses during uneventful anesthesia before any surgical intervention. Pulmonary atelectasis and pleural effusion increase the risk of ventilator dependence after anesthesia.
Total Intravenous Anaesthesia (TIVA) in Supratentorial Meningioma Undergoing Craniotomy Tumour Removal : A Case Report Herman, Awanda; Hidayat, Nopian; Anggraeni, Novita; Ananda, Pratama
Biomedika Vol 16, No 2 (2024): Biomedika Agustus 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v16i2.6390

Abstract

Meningiomas are tumours that grow inside the head cavity or intra-cranial tumours, The incidence of intra-cranial tumours in patients of all ages is approximately 4.2 - 5.4 /100,000. The brain uses 20% of the body's total oxygen. The brain uses most of its oxygen consumption (60%) to generate adenosine triphosphate (ATP), which supports the electrical activity of neurons. In cranitomy tumour removal, it is expected that good oxygen supply and oxygen consumption by the brain are reduced by reducing electrical activity in the brain with the aim of relaxing the brain, Selection of 4 intravenous anaesthetic agents in craniotomy tumour removal in this patient in the form of Tiopental, Fentanyl, Rocuronium and Dexmedetomidine because the use of these agents is the best in reducing cerebral metabolic rate (CMR) and cerebral blood flow (CBF) so as to reduce intracranial pressure (ICP) which appears in this case stable hemodynamics and adequate depth of anaesthesia during surgery.
Comparing Postoperative Fentanyl Use: Ibuprofen VS Ibuprofen-Dexamethasone as Preemptive Analgesia Herman, Awanda; Hidayat, Nopian; Sukiandra, Riki; Johannas
Frontiers on Healthcare Research Vol. 2 No. 2 (2025)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v2.n2.p45-50.2025

Abstract

Background: Fentanyl is the most frequently used opioid analgesic for managing postoperative pain. While effective, it is associated with various side effects. Postoperative pain is mainly due to acute tissue damage. Several studies have shown that administering preemptive analgesia before anesthesia can help reduce postoperative pain, thus decreasing the need for fentanyl and its side effects. Methods: This research employed a randomized controlled trial (RCT) with a double-blind design. Postoperative pain was measured using the Numeric Rating Scale (NRS). Patients with an NRS score above 6 received fentanyl. Statistical analysis was conducted to compare the impact of preemptive analgesia with Ibuprofen 800 mg alone versus Ibuprofen 800 mg combined with Dexamethasone 10 mg in patients undergoing postoperative gynecological abdominal surgery. Results: The findings revealed a significant difference in NRS pain scores between the groups. The group receiving the combination of Ibuprofen 800 mg and Dexamethasone 10 mg had a 69% reduction in the need for postoperative fentanyl compared to the group that received only Ibuprofen. Conclusion: Patients who received preemptive analgesia with Ibuprofen and Dexamethasone had lower pain scores and a reduced need for fentanyl in the postoperative period compared to those receiving Ibuprofen alone.
Co-Authors Amru Sofian Ananda, Pratama Dino Irawan Fifia Chandra Hidayat, Nopian Johannas Novita Anggraeni Riki Sukiandra