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The Effects of Ketamin-Midazolam and Ketamin-Propofol on Bispectral Index Score as Sedatives During Bone Marrow Puncture Procedure Among Pediatrics Aldiar; Fredi Heru Irwanto; Andi Miarta; Irfannuddin
Journal of Anesthesiology and Clinical Research Vol. 2 No. 1 (2021): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.162 KB) | DOI: 10.37275/jacr.v2i1.143

Abstract

Background: Bone Marrow Puncture (BMP) is an invasive procedure associated with pain and anxiety. The ketamine-midazolam and the ketamine-propofol is an effectivecombination with minimal side effects. This study of the study aims to compare the effect of the combination of ketamine-midazolam and ketamine- propofol on sedation depth based on BIS in pediatric leukemia patients undergoing BMP. Methods: This study was a randomized controlled trial that was done single-blinded. The population was all pediatric patients diagnosed with leukemia who underwent BMP at RSMH and performed sedation. The research sample is the population that fulfill the inclusion and exclusion criteria. The sample size for each group was 25, with 50 Subjects in total. Sampling was done by block randomization. Results: This study found no differences in sex, age, and body weight between the two groups ([p=1.000], [p=0.845], and [p=0.147], respectively). In this study, there was no difference in mean MAP (p=0.592), oxygen saturation (p=0.164), heart rate (p=0.098), and respiratory rate (p=0.252) before intervention between the two groups. BIS value of the two groups had significant difference before and after the intervention where the two groups could reduce BIS to reach the optimal value of sedation <60 (p <0.05) There was no difference in BIS before intervention in the two groups (p=0.385). In this study, it was found that hypersalivation occurred more frequently in the ketamine-midazolam combination group. Conclusion: The combination of ketamine-midazolam and ketamine-propofol was equally good for sedation as indicated by a decrease in the mean BIS in patients undergoing BMP.
HUBUNGAN LINGKAR LEHER, LINGKAR PERGELANGAN TANGAN DAN LINGKAR BETIS DENGAN INDEKS MASSA TUBUH PADA PASIEN DIABETES MELITUS TIPE 2 Geo Vanda; Ardesy Melizah Kurniati; Tri Suciati; Irfannuddin Irfannuddin; Susilawati Susilawati
Alami Journal (Alauddin Islamic Medical) Journal Vol 5 No 1 (2021): JANUARY
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/alami.v5i1.17762

Abstract

Pengukuran status gizi pada pasien DM dapat dilakukan dengan metode pengukuran antropemetri seperti indeks massa tubuh (IMT), lingkar leher, lingkar pergelangan tangan dan lingkar betis. Tujuan dari penelitian ini adalah mengetahui hubungan lingkar leher, lingkar pergelangan tangan dan lingkar betis dengan indeks massa tubuh pada pasien DM tipe 2 di puskesmas Sako kota Palembang. Penelitian dengan desain studi potong lintang ini dilakukan di puskesmas Sako kota Palembang pada bulan November dan Desember 2018. Sampel penelitian ini adalah pasien DM tipe 2 yang berobat yang memenuhi kriteria inklusi dan eksklusi. Data diperoleh melalui pengukuran langsung pada pasien kemudian dianalisis dengan uji korelasi Pearson dan uji regresi linier. Pada penelitian ini didapatkan sebanyak 44 pasien DM tipe 2 yang memenuhi kriteria inklusi dan eksklusi, masing-masing jenis kelamin berjumlah 22 pasien. Terdapat korelasi yang bermakna antara lingkar leher laki-laki (p=0,000, r=0,865) dan perempuan (p=0,000, r=0,756) dengan IMT. Korelasi antara lingkar pergelangan tangan laki-laki (p=0,002, r=0,696) dan perempuan (p=0,000, r=0,648) dengan IMT. Korelasi antara lingkar betis laki-laki (p=0,000, r=0,745) dan perempuan (p=0,005, r=0,578) dengan IMT. Terdapat hubungan yang bermakna antar lingkar leher, lingkar pergelangan tangan dan lingkar betis dengan indeks massa tubuh pada pasien DM tipe 2.
Evaluation of CTEV Management in Children's Walking Ability Assessed by "BANGLA" Club Foot Tool Score System Irfannuddin Irfannuddin; Nur Rachmat Lubis; Febian Aji Wicaksono
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 4 No. 1 (2020): Bioscientia Medicina: Journal of Biomedicine and Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v4i1.113

Abstract

Abstract Congenital talipes equinovarus (CTEV) or clubfoot is a congenital deformity that involves an abnormal position of the calcaneonaviculare complex. "Bangla clubfoot tool score system" is an assessment that indicates the effectiveness of CTEV management. The purpose of this study was to evaluate the management of CTEV on children's ability to walk as assessed by the Bangla clubfoot tool score system. A cross sectional study was conducted at the Hospital Dr. Mohammad Hoesin Palembang. There were 24 CTEV patients who received CTEV management before the age of 3 years and were not associated with a neurological disorder. A comparison of the average total Bangla clubfoot score tool system was analyzed by assessing parental satisfaction, walking ability and clinical examination. The majority of CTEV patients were women (58.3%) with and mostly being treated before 1 year old (79.2%). The most types of CTEV were bilateral (70.8%), and most of them performed surgery (66.7%). Assessment with the Bangla clubfoot tool system shows that the level of parental satisfaction is sufficient, gait is good, but physical foot examination is poor (20%). The score is influenced by age at first therapy and compliance using the brace. Parents must continue to support their children to undergo integrated management after therapy to maintain their walking ability.
Epidemiology and Risk Factors for Cervical Cancer Patiyus Agustiansyah; Rizal Sanif; Siti Nurmaini; Irfannuddin; Legiran
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 7 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i7.326

Abstract

Cervical cancer in Indonesia in 2018 ranks second in cancer in women in Indonesia with an incidence rate of 348.809 cases with a mortality rate of nearly 60% of the incidence, namely 207.210 deaths. Deaths from cervical cancer are projected to continue to increase and are estimated to reach 12 million deaths by 2030 if not treated properly. The incidence of cervical cancer in Indonesia is estimated to have 180.000 new cases per year and the death rate is thought to reach 75% in the first year. This death is mainly associated with the majority of newly diagnosed patients who are already at an advanced stage (70% of cases) and are already at the terminal stage at the time of diagnosis.
Human Papilloma Virus: Biomolecular Aspect Patiyus Agustiansyah; Rizal Sanif; Siti Nurmaini; Irfannuddin; Legiran
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 8 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i8.327

Abstract

HPV is a sexually transmitted virus, and high-risk HPV DNA was found in 99.7%of cervical cancer specimens. Within 12 to 24 months of exposure to the virus,90% of HPV infections disappear or become inactive. However, infection with high-risk strains of HPV persist which then increases the risk of progression to cervicalcancer. The detection of precancerous lesions consists of various methods,including pap smear (conventional or liquid-base cytology / LBC), visualinspection of acetic acid (IVA), visual inspection of lugoliodine (VILI), and HPV DNAtest (genotyping / hybrid capture).
WHO Global Strategy in Eradication of Cervical Cancer Patiyus Agustiansyah; Rizal Sanif; Siti Nurmaini; Irfannuddin; Legiran
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 9 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i9.328

Abstract

WHO has created a global strategy to accelerate the elimination of cervical canceras a public health problem and a world burden. Cervical cancer is a disease thatcan be prevented and cured, as long as it is detected early and treated effectively.Cervical cancer is also a disease that reflects global injustice. The burden isgreatest in low- and middle-income countries, where access to public healthservices is limited and screening and treatment for the disease has not been widelyapplied. In 2018, nearly 90% of all deaths worldwide occurred in low and middleincome countries. Furthermore, the proportion of women with cervical cancer whodie from the disease is more than 60% in these countries, more than double thenumber in many high-income countries, which is only 30%.
Screening for Cervical Cancer Patiyus Agustiansyah; Rizal Sanif; Siti Nurmaini; Irfannuddin; Legiran
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 10 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i10.329

Abstract

Screening is a public health intervention administered to a target population without symptoms. Screening is not performed to diagnose a disease, but to identify individuals with a higher likelihood of developing the disease itself or a precursor to the disease. Not all diseases are suitable for screening programs. The following criteria help determine whether a disease is suitable for a screening program: (1) The disease is bound to have serious consequences. (2) The disease must have a detectable preclinical and asymptomatic stage. (3) Treatment at the preclinical stage should influence the long-term course and prognosis of the disease being screened. (4) Care must be available and accessible to those who have a positive screening test. History, screening tests and treatment options for cervical pre-cancer meet these criteria.
Electrocardiography Predictive Value on Coronary Slow Flow Phenomenon Erwin Sukandi; Yudhie Tanta; Taufik Indrajaya; Ali Ghanie; Muhammad Irsan Saleh; Irfannuddin; Radiyati Umi Partan; Zulkhair Ali
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 3 (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.v6i3.454

Abstract

Coronary Slow Flow Phenomenon (CSFP) is characterized by the slow flow of contrast in one or more epicardial coronary vessels without evidence of coronary artery stenosis during coronary angiography procedures. CSFP is fairly common at the time of elective angiography with an incidence of around 7% and accounts for about 4% of hospitalized unstable angina cases. Coronary angiography is currently still the only effective way to detect CSFP, but this procedure is an invasive procedure with high costs, there is a risk of allergy to contrast. Electrocardiography (ECG), as a widely available, inexpensive, and simple modality is felt to be an attractive alternative in early detection of this abnormality. The ECG parameters on CSFP discussed in this study include; p-wave dispersion, QT interval dispersion, QRS intrinsic (Tpeak-Tenddeflection duration), and QRS fragmentation. Further studies are needed on the ECG image in CSFP so that in the future ECG can be a cheaper and non-invasive diagnostic modality for CSFP compared to coronary angiography.
ANALYSIS OF LIVER FUNCTION DISORDERS IN CRUMB RUBBER FACTORY WORKERS IN PALEMBANG CITY, SOUTH SUMATRA Ferly Oktriyedi; Irfannuddin Irfannuddin; Ngudiantoro Ngudiantoro; Muhammad Hatta Dahlan
Majalah Kedokteran Sriwijaya Vol 54, No 2 (2022): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/mks.v54i2.17842

Abstract

Workers are required to receive Occupational Safety and Health protection. Work accidents can be influenced by physical, chemical, biological, ergonomic and psychological factors. Natural rubber factory is one of the industries that have risks to these factors. This study used a cross-sectional design. Data analysis used the CHAID (Chi-Square Automatic Interaction) method. P value < 0.05 was considered statistically significant. The results of the study showed that the average concentration of H2S in the air and in solids was above the quality standard and the average concentration of H2S in water was still below the quality standard. The average concentration of NH3 in water and in solids is above the quality standard and the average concentration of NH3 in the air is still below the quality standard. The results of the CHAID method analysis showed that glucose levels were associated with impaired liver function (p = 0.000; chi square = 48.766) and the risk of H2S exposure in the air with impaired liver function (p = 0.007; chi square = 7.944). In addition, 3 segments of liver function disorders were also found, namely Segment 1: Workers with abnormal BBS levels, high air exposure H2S; segment 2: Workers with abnormal glucose levels, low air exposure H2S; segment 3: Workers with normal glucose levels. Based on this segment, it was also found that the percentage of risk of experiencing liver function disorders were workers in segment 2 (36.3%) and segment 1 (17.4%).
Pengembangan Keterampilan Kader Instruktur Olahraga Virtual Melalui Media Zoom Meeting Selama Pandemi Covid-19 Arwan Bin Laeto; Irfannuddin; Budi Santoso; Eka Febri Zulissetiana
I-Com: Indonesian Community Journal Vol 2 No 2 (2022): I-Com: Indonesian Community Journal (Agustus 2022)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (810.936 KB) | DOI: 10.33379/icom.v2i2.1440

Abstract

Kegiatan Pengabdian kepada Masyarakat ini bertujuan untuk membentuk keterampilan mahasiswa menjadi kader instruktur olahraga agar memperoleh pemahaman dan peningkatan keterampilan memimpin olahraga serta melatih pelaksanaan olahraga secara virtual melalui media Zoom Meeting sehingga mampu mempromosikan kepada masyarakat akan pentingnya menjaga kesehatan fisik melalui olahraga selama pandemi covid-19. Metode pelatihan yang dilakukan meliputi edukasi prinsip fisiologi, mekanisme dan konsep serta tipe-tipe olahraga dari tim pelaksana kegiatan Pengabdian kepada Masyarakat yang diselingi tanya jawab, penyampaian materi penggunaan teknologi berupa aplikasi Zoom Meeting dan implementasi olahraga virtual oleh mahasiswa kepada masyarakat. Kegiatan Pengabdian kepada Masyarakat ini memperlihatkan hasil berupa pengetahuan dan pemahaman mahasiswa terkait olahraga meningkat, mahasiswa menjadi mampu mengoperasikan teknologi aplikasi Zoom Meeting dan adanya peningkatan keterampilan mahasiswa menjadi kader intruktur olahraga secara virtual. Keterampilan mahasiswa memanfaatkan teknologi dalam mempromosikan kesehatan melalui olahraga yang dilakukan secara virtual sangat penting dilakukan demi terciptanya masyarakat yang tetap sehat meski masih dalam kondisi pandemi.
Co-Authors Ahmad Junaidi Ahmadi Ahmadi Aini, Lela Aldes Lesbani Aldiar Ali Ghanie Alifia Salsabila Amallia, RA Hoetary Tirta Andi Miarta Andi Saputra Andi Saputra Andika Okparasta Andini Agustina Anggraini, Wieke Ardesy Melizah Kurniati Arwan Bin Laeto Budi Santoso Citra Maharani Dahlan, Kemas Daniel Saputra Dewi Susan Diansari, Yunni Dwi Budi Santoso Eddy Ibrahim Eddy Mart Salim, Eddy Mart Eka Febri Zulissetiana Eka Febri Zulissetiana Elsafani Faddiasya Erni Desmita Erwin Sukandi Erwin Sukandi Esa Indah Ayu, Esa Indah Fachmi Idris Fajarini, Agustina Fatmawati Fatmawati Febian Aji Wicaksono FERLY OKTRIYEDI Ferry Usnizar Fredi Heru Irwanto Geo Vanda Ghina Kartika Handayani, Sri Hanna Marsinta Hestiningsih, Tyas Huntari Harahap Husodo, Reyki Yudho Iche Andriyani Liberty, Iche Andriyani INDRA FRANA JAYA KK Indriyani Indriyani Jayawarsa, A.A. Ketut Karmila, Ariesti Kemas Dahlan Koibuchi, Noriyuki Krisna Murti Kusuma, Singgih Legiran Legiran Lela aini Lestari, Ajeng dwinta Lilik Pranata M. Hatta Dahlan M. Hatta Dahlan Mailan Alexander Mariana Mariana marisdina, selly Masagus Irsan Saleh Masayu Rita Dewi Masayu Rita Dewi Maya, Rachel Medina Athiah Mega Gemala Miftahurrahmah Miftahurrahmah, Miftahurrahmah Minerva Riani Kadir Monica, Ricca Muhammad Hatta Dahlan Muhammad Irsan Saleh Mukhlisa Mukhlisa, Mukhlisa Muradi, Akhmadu Nadia Mutiara Ngudiantoro . Nur Rachmat Lubis Nursiah Nasution Nursiah Nasution Nursiah Nasution, Nursiah Nurwany, Raissa Oktarizal, Hengky Pahrul, Dedi Patiyus Agustiansyah Poedji Loekitowati Hariani Pudi Handayani Putri Erlyn Putri, Sarahdeaz Siti Fazzaura R.Kintoko Rochadi Rachel Maya Raden Muhammad Indra Radi Noorsyawal Radiyati Umi Partan Ramadhoni, Pinto Desti Rini Nindela Rini Yana Risa Vera, Risa Rizal Sanif Roni Saputra Sadakata Sinulingga Safri Dhaini Safyudin Shanty Chairani Sintiya Halisya Pebriani Siti Nurmaini Siti Rusdiana Puspa Dewi Siti Sarahdeaz Fazzaura Putri Subandrate Suheryanto Suprapti Suprapti Susanty, Tri Susilawati Susilawati Susilawati Susilawati Swanny Swanny, Swanny Syahputri, Rizka Aprillia Syarif Darwin Tanzila, R.A Tanzila, Raden Ayu Taufik Indrajaya Taufik Indrajaya Tri Suciati Trijoso Permono Trinovita Andraini Yenny Febriany Yuanita Windusari Yudhie Tanta Yudianita Kesuma, Yudianita Yunita Fediani Yunita Fediani Yunita Panca Putri, Yunita Yusuf Effendi Yususf, Fahmi Jaka Zaky Hasan Zulkarnain, Mohammad Zulkhair Ali Zulkifli