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All Journal Jurnal Kesehatan Andalas Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Health and Medical Journal jurnal abdimas saintika Nusantara Hasana Journal Prosiding Seminar Nasional Program Pengabdian Masyarakat Journal of Public Health Science (JoPHS)
Khomeini Khomeini
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Hubungan Penurunan Kadar Natrium Terhadap Gangguan Pola Tidur Pasca TURP (Transurethral Resection of The Prostate) Khomeini Khomeini; Dody E Dody E; Erkadius Erkadius
Jurnal Kesehatan Andalas Vol 2, No 1 (2013)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v2i1.56

Abstract

AbstrakLatar Belakang. TURP merupakan tindakan operasi endoskopi standar baku untuk penatalaksanaan BPH yang memerlukan tindakan bedah. Dalam pengamatan sehari hari pasien pasca TURP mengeluhkan gangguan pola tidur pasca tindakan. Belum dilaporkan angka kejadian gangguan pola tidur pasca TURP. Salah satu masalah yang mungkin sebab yaitu terjadinya penurunan kadar natrium akibat imbibisi air irigant ke intra vaskuler. Penurunan kadar natrium dapat menyebabkan gangguan neurologis yang mengganggu pola tidur. Penurunan natrium berlanjut dapat menjadi sindroma TURP. Metodologi. Penelitian ini penelitian cross sectional, semua pasien BPH dilakukan pemeriksaan natrium dan diberikan kuesioner gangggan pola tidur. Setelah TURP dilakukan pemeriksaan natrium pasca TURP dan kuesioner kembali. Jumlah distribusi gangguan pola tidur dan kadar natrium disajikan dalam bentuk tabel. Tiap variabel dilakukan analisa dan uji statistik dengan menggunakan T-test, chisquare dan Fisher. Hasil. Didapatkan pasien dengan gangguan pola tidur 41%.. Didapatkan perbedaan bermakna hubungan antara umur pasien dengan gangguan pola tidur pada tabel 3 ( chisquare 1.999027 ). Tidak didapatkan perbedaan bermakna hubungan antara pekerjaan pasien dengan gangguan pola tidur pada tabel 5 (Chi square: 1.242). Tidak didapatkan perbedaan bermakna hubungan antara pendidikan pasien dengan gangguan pola tidur pada tabel 6 (chisquare 1,242). Tidak didapatkan perbedaan bermakna hubungan antara lama operasi dengan gangguan pola tidur tabel 7 (chisquare 3,306). Didapatkan lama operasi <1jam terjadi penurunan kadar natrium 3,783 + 2,235mmol/L sedangkan operasi > 1 jam terjadi penurunan natrium 6,692 + 6,047dengan perbedaan bermakna secara statistic.( t=2,087 ; P 0,044). Tidak didapatkan perbedaan bermakna hubungan antara jumlah cairan irigasi dengan gangguan pola tidur pada tabel 8 ( chi square 2,520). Tidak didapatkan perbedaan bermakna antara jumlah cairan irigasi dengan penurunan natrium pada gambar 2 (F1,35 = 3,004). Didapatkan Mean natrium sebelum TURP 139,3 + 3,7 dan natrium sesudah TURP 134,Kata kunci: Gangguan pola tidur, Penurunan kadar natrium, TURPAbstractBackground. TURP is the gold standard endoscopic surgery for the treatment of benign enlargement of the prostate gland that requires surgery. In daily observations after TURP patients often complain of sleep patterns disturbances . Incidence has not been reported sleep pattern disturbance after TURP. One problem that may cause sodium levels are decreasing as a result of water imbibition irigant to intra vascular. Declining levels of sodium cause neurological disorders that can disrupt sleep patterns. The decline continues of Sodium level could be a TURP syndrome.Methodology. This study is a cross sectional study, all patients with diagnose Benign Prostate Hypertrophi should be check sodium level and get questionnaire sleep patterns disturbances. After TURP check sodium level and questionnaires again . The number of distribution of sleep pattern disturbances and the sodium content is presented in tabular form. Each variabel was analize and statistic test with T-test, Fischer and chisquare.Results. Obtained patients with sleep patterns dsiturbances 41% . Achieved significant differences between relationship age of the patient with sleep patterns disturbances in Table 3 (chisquare 1.999027). No significant differences in the relationship between the work of patients with sleep patterns disturbances in table 5 (Chi square: 1,242). No significant differences in the relationship between the education of patients with sleep patterns dsiturbances in table 6 (chisquare 1.242). No significant differences in the relationship between long operation with sleep pattern disturbance in table 7 (chisquare 3.306). In this research, the operating time <1 hr make a decrease sodium levels 3.783 + 2.235 mmol / L, while operating > 1 hour decrease sodium 6.692 + 6.047 mmol/L with a statistically significant difference. (T = 2.087, P 0.044). No significant differences in the relationship between irrigation fluid with sleep patterns indisturbances table 8 (chi square 2.520). No significant differences between the amount of irrigation fluid with decreased of sodium level in figure 2 (F1, 35 = 3.004). Obtained Mean of sodium before TURP 139.3 + 3.7 and sodium after TURP 134.4 + 5.3 mmol / L. No significant differences between the relationship of sodium before TURP in table 9 (chi square 1.286) and post-TURP with decreased of sodium levels in table 10 (chi square 1.286) with sleep patterns disturbances after TURP. In getting significant differences between sleep patterns disturbances with decreases sodium levels in table 11 (Fischer: 0.0000118)Conclusion. The incidence of sleep patterns disturbances after TURP 41%. Sleep patterns disturbancesb after TURP is associated with decreased levels of sodium and operating time. No significant difference was found between age, occupation, education, with sleep patterns disturbances after TURP.Keywords:sleep patterns disturbances , decrease sodium levels, TURP.
Aktivitas Fisik Lansia Penderita Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Lubuk Buaya Tahun 2021 Nadia Purnama Dewi; Dessy Abdullah; Adeteti Vani; Khomeini Khomeini
Jurnal Abdimas Saintika Vol 3, No 2 (2021): November Jurnal Abdimas Saintika
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jas.v3i2.1192

Abstract

Type 2 diabetes mellitus is a chronic disease, characterized by increased blood glucose levels from normal values. Type 2 diabetes mellitus has many risk factors, including less physical activity. This devotion is in the form of counseling to the elderly on how to do safe and good physical activity done in old age to maintain blood glucose stability. Counseling is carried out at the Puskesmas Lubuk Buaya district of Koto Tangah as a partner that facilitates this community service. The purpose of community service is to counsel the elderly about good physical activity done in old age and increase the elderly's knowledge of physical activity plays a role in maintaining the stability of blood glucose levels. The purpose of community service is to counsel the elderly about good physical activity done in old age and increase the elderly's knowledge of physical activity plays a role in maintaining the stability of blood glucose levels. Counseling activities were carried out on Saturday, June 26, 2021 at 11.00 WIB to finish at Puskesmas Lubuk Buaya. The participants are elderly who are in the working area of Puskesmas Lubuk Buaya. Furthermore, discussion and question and answer sessions and the conclusion that community service is one of the activities part of Tri Darma Higher Education in the form of counseling activities to the community conducted by lecturers.
UTILIZING THE RESULTS OF UJIAN TAHAP BERSAMA AS SELF-REFLECTION FOR MEDICAL STUDENTS Akbar, Resti Rahmadika; Garcia, Regilda; Khomeini, Khomeini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.80868

Abstract

Background: Ujian Tahap Bersama is a form of formative exam initiated by AIPKI tomake students think and explore what they have learned. The results of the UjianTahap Bersama can be used as material for self-reflection by students to build,identify, and realize the extent of understanding of the knowledge that has beenobtained by students. This study aims to determine the utilization of the results of theUjian Tahap Bersama as material for self-reflection for students of the Faculty ofMedicine class of 2017 and 2018 at Universitas Baiturrahmah.Methods: This study used a mixed methods method that begins with a quantitativeand cross-sectional approach using secondary data. The results of the Ujian TahapBersama 1 and 2, namely the 2017 and 2018 batches and selected using a totalsampling technique using G-form to fill in the Graham Gibbs reflection of 30respondent. The results of Graham Gibbs&#39; reflections were followed by in-depthinterviews with 7 respondents whose answers were not saturated.Results: Based on UTB marks the average ability of the 2018 class is higher thanthe 2017 class. The results of Graham Gibbs&#39; reflection through the G-form showedthat students of the 2017 and 2018 batches were categorized into themes ofdescription, feelings, evaluation, analysis, conclusion, and action plan. The results ofthe in-depth interviews were categorized into positive and negative response themesusing Kirkpatrick 1 conceptConclusion: Based on the Kirkpatrick concept, the results of the UTB can be usedas material for reflection to improve student performance
EDUKASI DAMPAK PENGGUNAAN COTTON BUD UNTUK MEMBERSIHKAN TELINGA DI NAGARI TALUAK TIGO SAKATO PESISIR SELATAN Triansyah, Irwan; Aryaldy Zulkarnaini; Anita Darmayanti; Vina Tri Septiana; Melya Susanti; Jefri Henky; Khomeini, Khomeini; Sri Nani Jelmila
Nusantara Hasana Journal Vol. 4 No. 7 (2024): Nusantara Hasana Journal, December 2024
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v4i7.1341

Abstract

The use of cotton buds to clean ears is still widely done by the community without knowing the effects of using cotton buds. Cotton buds can cause otitis externa, cerumen prop and even perforation of the tympanic membrane. The purpose of community service is to provide education about the impact of using cotton buds to clean ears, as well as to create SOPs for cerumen props and ear hygiene. This community service consists of three steps, namely problem discovery, education on the impact of using cotton buds and creating SOPs for cotton buds and ear hygiene. The results of community service activities are in the form of problem discovery, increased knowledge and SOPs.The results of community service are that the community still does not know the correct way to clean ears, increased knowledge after providing education, as well as SOPs for cerumen props and ear hygiene. The conclusion of community service activities is increasing knowledge through education for health workers at the Taluak Tigo Sakato health center, SOPs for cerumen props, and SOPs for ear hygiene are expected to improve ear hygiene problems in the community.
Edukasi Dan Inovasi Untuk Masa Depan Yang Lebih Cerah Rosalia, Ananda Riza; Arifa, Diah Anindya; Arryanto, Bimamrulloh Dhimas; Fajri, Wildan; Khomeini, Khomeini; Rachman, Renandri Abdillah; Asih, Trinia Sefti; Kholik, Fikri Abdul; Latif, Muhammad Ghafar; Akmalia, Lila Maisya; Alifi, Fasyandira Gresila Sekar; Suryanto, Suryanto
Prosiding Seminar Nasional Program Pengabdian Masyarakat Vol. 8 No. 1 (2025): Rekonstruksi Pendidikan di Indonesia
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ppm.81.1344

Abstract

This program is a form of community service aimed at developing the community's potential and improving its welfare. The community service program is located in Dusun Suropati, Hargotirto Village, Kokap District, Kulon Progo Regency, Special Region of Yogyakarta. It focuses on three main programs: Dusun Bersinar (Drug-Free Hamlet), Pasar Online Kampung (Village Online Market), and Bincang Parenting dan Stunting (Parenting and Stunting Discussion). This program aims to create a healthy, safe, and productive environment. The Dusun Bersinar (Drug-Free Hamlet) program seeks to enhance public knowledge about the dangers of drugs, their health impacts, and legal consequences. This activity is carried out through public education and counseling under the theme "Living Without Drugs, Living More Meaningfully," involving health workers, the community, and the younger generation. The Pasar Online Kampung (Village Online Market) program supports MSMEs in expanding their market reach and equipping business actors with the skills to compete in the digital marketplace. This activity includes training small business owners on how to use social media for digital marketing. Meanwhile, the Bincang Parenting dan Stunting (Parenting and Stunting Discussion) program aims to raise awareness of the importance of balanced nutrition in preventing stunting and the significance of proper parenting for children's development. This program involves health workers, posyandu (integrated health service post) cadres, and mothers in interactive discussions to enhance understanding and awareness of the family's role in supporting optimal child growth. Combining these three programs is expected to significantly impact the community. A drug-free hamlet will create a safer and more conducive environment, market digitalization will improve the community’s economic well-being, and increased parenting awareness will result in a healthier and more intelligent generation. With collaboration between students and the community, this community service program is expected to be an innovative solution for developing a progressive, healthy, and prosperous village in a sustainable manner
GAMBARAN EKSPRESI HUMAN EPIDERMAL RECEPTOR 2 (HER-2) PADA PASIEN KANKER PAYUDARA STADIUM LANJUT (Ⅲ DAN Ⅳ) DI RUMAH SAKIT UNIVERSITAS ANDALAS OKTOBER 2023 – OKTOBER 2024 Zulyati Oktora, Meta; Khomeini, Khomeini; Vivekananda, Shahrazad; Ivan, Muhamad; Aliefia, Desi
Journal of Public Health Science Vol. 2 No. 3 (2025): September
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v2i3.2990

Abstract

Penelitian ini bertujuan untuk menggambarkan ekspresi HER-2 pada pasien kanker payudara stadium lanjut di Rumah Sakit Universitas Andalas selama periode Oktober 2023 hingga Oktober 2024. Metode penelitian ini menggunakan metode deskriptif retrospektif dengan total 73 pasien yang dipilih berdasarkan kriteria inklusi, pengukuran dilakukan hanya sekali pada setiap variabel dan sekaligus dalam waktu yang sama. Hasil penelitian menunjukkan bahwa kelompok usia terbanyak adalah 45–54 tahun (41,1%), dengan mayoritas pasien berjenis kelamin perempuan (98,6%). Jenis histopatologi terbanyak adalah Invasive Ductal Carcinoma – No Special Type (IDC-NST) sebesar 71,2%, dan grading histopatologi terbanyak adalah grade 2 (61,6%). Sebagian besar pasien berada pada stadium III (71,2%), dan ekspresi HER-2 negatif ditemukan pada 56,2% pasien. Ekspresi HER-2 ditemukan pada hampir setengah pasien kanker payudara stadium lanjut, menunjukkan bahwa subtipe HER-2 masih menjadi entitas klinis yang signifikan dengan potensi respons terhadap terapi target seperti trastuzumab. Namun, tingginya proporsi pasien dengan ekspresi HER-2 negatif mengindikasikan perlunya eksplorasi strategi pengobatan yang lebih luas dan personal.
Perubahan Gambaran Histologik Paru Mencit (Mus Musculus) yang Terpapar Asap Rokok Oktora, Meta Zulyati; Setiamurti, Sherena Meilia; Khomeini, Khomeini
Health and Medical Journal Vol 5, No 2 (2023): HEME May 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v5i2.1286

Abstract

Pendahuluan: Asap rokok merupakan hasil dari proses pembakaran rokok yang mengandung berbagai zat iritan dan menjadi penyebab utama kerusakan organ paru. Menurut data Riset Kesehatan Dasar prevalensi merokok di Indonesia mengalami peningkatan pada tahun 2013 (7,2%) dan pada tahun 2018 (9,1%). Menurut data Kementrian Kesehatan Republik Indonesia melaporkan terjadinya penyakit kardiovaskular serta berakibat kematian dini yang terjadi pada perokok aktif maupun pasif. World Health Organization (WHO) telah melaporkan 6 juta dari 7 juta kematian/tahun disebabkan oleh penggunaan tembakau secara langsung, dan kematian yang disebabkan oleh paparan asap rokok sebanyak 890.000 orang. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran histopatologi paru mencit yang terpapar asap rokok. Metode: Penelitian dilakukan di Laboratorium Farmakologi Fakultas Farmasi Universitas Andalas dan untuk pembacaan hasil di Laboratorium Patologi Anatomi Fakultas Kedokteran Universitas Baiturrahmah. Penelitian ini menggunakan metode eksperimental laboratorik dengan menggunakan 34 sampel mencit (Mus musculus) dengan 2 kelompok sampel. Mencit berusia 10-12 minggu dan berat badan 25-30 gram. Pemaparan asap rokok secara langsung didalam kandang kawat dengan dosis 3 batang rokok selama 30 menit pada sampel kelompok perlakuan I, dan sampel kontrol negatif tidak diberi perlakuan. Pada hari ke-15 dilakukan terminasi dan kemudian jaringan parudibuat preparat histopatologi. Hasil: Dari penelitian ini didapatkan sebanyak 76,5% sampel penelitian mengandung infiltrasi sel radang dan tampak tertutupnya alveoli oleh makrofag alveolar. Sebanyak 64,7% terjadi perubahan struktur membran alveolus sebanyak 88,2%
Hubungan Kecemasan Terhadap Sindrom Dispepsia pada Mahasiswa Tingkat Akhir Fakultas Kedokteran Universitas Baiturrahmah Padang Maribeth, Annisa Lidra; Khomeini, Khomeini; Indah, Dewi
Health and Medical Journal Vol 7, No 3 (2025): HEME September 2025
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v7i3.1606

Abstract

Latar belakang: Mahasiswa tingkat akhir dikatakan sudah memasuki fase quarter life crisis dan mengalami peningkatan kecemasan pada fase ini. Kecemasan dapat berimbas pada fungsi tubuh, berupa beberapa gejala fisik dan kognitif, seperti mempengaruhi fungsi saluran pencernaan melalui mekanisme brain – gut – axis yang memungkinkan gangguan psikologis dapat mempengaruhi aktivitas motorik, sensorik, dan sekretori pada traktus gastrointestinal dan menyebabkan timbulnya gejala-gejala pada sindrom dispepsia. Tujuan: Untuk mengetahui hubungan antara kecemasan dan sindrom dispepsia pada mahasiswa tingkat akhir Fakultas Kedokteran Universitas Baiturrahmah Padang. Metode: Penelitian ini menggunakan metode analitik observasional dengan desain cross sectional menggunakan data primer dengan jumlah sampel 81 responden. Analisa data univariat disajikan dalam bentuk distribusi frekuensi dan analisa bivariat menggunakan uji chi-square. Hasil: Berdasarkan hasil penelitian ini mahasiswa yang memiliki Kecemasan normal sebanyak 37 orang (45,7%), 20 orang (24,7%) kategori kecemasan ringan, 15 orang (18,5%)  kategori kecemasan sedang, 9 orang (11,1%) kategori kecemasan berat. Hasil uji statistik menunjukkan terdapat hubungan signifikan kecemasan terhadap kejadian sindrom dispepsia dengan nilai p yaitu 0,018 (p<0,05). Kesimpulan: Terdapat hubungan antara kecemasan dan sindrom dispepsia pada mahasiswa tingkat akhir Fakultas Kedokteran Universitas Baiturrahmah Padang
Co-Authors Adeteti Vani Akbar, Resti Rahmadika Akmalia, Lila Maisya Aliefia, Desi Alifi, Fasyandira Gresila Sekar Anita Darmayanti Arifa, Diah Anindya Arryanto, Bimamrulloh Dhimas Aryaldy Zulkarnaini Asih, Trinia Sefti Dessy Abdullah Dody E Dody E Erkadius Erkadius Fajri, Wildan Garcia, Regilda Indah, Dewi Irwan Triansyah, Irwan Ivan, Muhamad Jefri Henky Kholik, Fikri Abdul Latif, Muhammad Ghafar Maribeth, Annisa Lidra Melya Susanti Nadia Purnama Dewi Oktora, Meta Zulyati Rachman, Renandri Abdillah Rosalia, Ananda Riza Setiamurti, Sherena Meilia Sri Nani Jelmila Suryanto Suryanto Vina Tri Septiana Vivekananda, Shahrazad Zulyati Oktora, Meta