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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Jurnal Kesehatan Andalas MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Jurnal Respirologi Indonesia Majalah Kedokteran Andalas Bioscientia Medicina : Journal of Biomedicine and Translational Research Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Respiratory Science PROFESSIONAL HEALTH JOURNAL Bioscientia Medicina : Journal of Biomedicine and Translational Research Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Irvan Medison
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Penyuluhan tentang Kenali dan Waspada Corona Virus Diseases of 2019 (Covid-19) pada Acara Hari Bebas Kendaraan Bermotor Kota Padang Russilawati Russilawati; Irvan Medison; Afriani Afriani; Yessy Susanty Sabri
Warta Pengabdian Andalas Vol 27 No 2 (2020)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.27.2.119-125.2020

Abstract

Mysterious atypical pneumonia appeared abruptly in Wuhan, China in December 2019. China authority and Word Health Organization (WHO) found out the etiology on January 2020. New strain of Corona virus that eventually called by SARS-CoV2 has been responsible for the Corona virus disease of 2019 (Covid-19). The disease has ability to spread from human to human. These diseases had been pandemic since March 2020. As the start of early spreading we need to give right information about Covid-19 to the community so that the mass panicked could be avoided. We also need to educate community to take right precaution and prevention. These activities aims to spread the right information about Covid-19 and give simple training to performed prevention act so that community can slowdown the disease transmission. Methods: the campaign and health education about covid-19 and training of cough etiquette, right steps of hand washing using water and soap or alcohol based hand rub, and also how to use face mask properly. There were 66 participants that involved in this event. Participants had actively asked information about frequency of hand washing we need to prevent transmission and travel safety. We also performed flash mob so the participants could train cough etiquette, hand washing, and using face mask in fun ways. We ended the activities with competition of hand washing and using face mask properly. The door prize for the winner was hand sanitizer and face mask that they could use as tools to prevent transmission of Covid-19.
Peningkatan Komitmen Penanggulangan Covid-19 Mahasiswa melalui Webinar dan Deklarasi SIAGA SAKATO Liganda Endo Mahata; Fitrisia Amelin; Fathiyyatul Khaira; Denada Florencia Leona; Andani Eka Putra; Rizanda Machmud; Irvan Medison; Hardisman Hardisman; Yefri Zulfiqar; Fenty Anggraini; Linosefa Linosefa; Desy Nofita Sari; Rahmat Syawqi
Warta Pengabdian Andalas Vol 28 No 3 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.28.3.225-231.2021

Abstract

The Covid-19 virus is transmitted from human to human through close contact with infected people through their respiratory droplets. A person can also be infected by touching an object contaminated with SARS-CoV-2 and then followed by reaching the eyes, nose, or mouth. Implementing the health protocol is necessary to reduce the number of virus transmissions. In addition, to increase the community's immune against Covid-19, WHO and the government have been developing a vaccination program. However, the recommendation from the latest research stated that people still have to obey the health protocol even after being vaccinated. The purpose of this community service was to help the government to increase people's understanding of the importance of implying health protocols, even after vaccination, to suppress Covid-19 cases. The method used is by holding an online event called a Webinar. It followed by a statement with audiences to commit to implementing the health protocol led by the Rector of Andalas University, then called a SIAGA SAKATO declaration. The activity began with a pre-test questionnaire for initial information collection, followed by education about Covid-19 prevention from the experts to the 512 students. The activity ended with the final data collection using a posttest questionnaire to test the student knowledge after the education. Paired t-test analysis showed a significant increase in student commitment after attending the Webinar (P≤0.05). Based on these results, the Webinar increases students' understanding of the importance of the health protocol in reducing the Covid-19 cases.
PENGGUNAAN IV KATETER PADA PENATALAKSAAN EMFISEMA SUBKUTIS Oea Khairsyaf; Irvan Medison
Majalah Kedokteran Andalas Vol 33, No 1: April 2009
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.759 KB) | DOI: 10.22338/mka.v33.i1.p%p.2009

Abstract

AbstrakDilaporkan seorang wanita usia 24 tahun di rujuk ke RSUP DR. M Djamil Padang dengan keluhan utama sesak nafas sejak tiga hari sebelumnya. Sesak nafas disertai oleh pembengkakan pada leher, wajah dan dinding dada. Pada riwayat penyakit sebelumnya didapatkan ia telah menderita asma sejak masa anak-anak.Diagnosis ditegakkan sebagai emfisema subkutis akibat eksaserbasi asma berat. Penatalaksanaan terapi berupa pemasangan kateter abocath no.14F yang telah di modifikasi subkutan.Pasien di rawat selama empat hari, kemudian dibolehkan pulang.Kata kunci: emfisema – asma – IV kateterAbstractTwenty four years old female patient admitted to the hospital with symptom of dyspnea since three days before entered the hospital. Dyspnea was accompanied by swelling in the neck, face and chest wall. She had suffered of asthma since a child.Patient was diagnosed as subcutaneous emphysema due to severe excacerbation of asthma. The treatment was treated with the insertion of modified abocath no. 14F subcutaneously.The patient was hospitalized for 4 days and went home with recovery.Keywords : emphysema – asthma – IV catheterLAPORAN KASUS
BRONKOSKOPI SEBAGAI PROSEDUR DIAGNOSTIK DAN TERAPEUTIK PENYAKIT PARU Sari, Elsa Purnama; Khairsyaf, Oea; Medison, Irvan
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 9 No. 3 (2021): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.686 KB)

Abstract

Abstract Bronchoscopy is a medical procedure that provides tracheobronchial visualization by placing an optical instrument (bronchoscope) into the airways and is performed by a competent doctor. Bronchoscopy was invented by Gustav Killian in 1897 and since then the techniques have continued to develop. In 1966 Shigeto Ikeda introduced flexible bronchoscopy with fiber optic imaging technology. This is a revolution in the field of bronchoscopy. As cases of lung disease become more complex and the need for minimally invasive procedures, the contribution of bronchoscopy becomes increasingly important. This procedure has had significant developments in the last two decades. The latest bronchoscopy technology allows us to look outside the endobronchial tree to the mediastinum using endobronchial ultrasound (EBUS). Then the small nodules located in the periphery can also be traced for sampling using an electromagnetic navigation bronchoscopy (ENB). We can also manipulate the airway muscles to reduce asthma symptoms using bronchial thermoplasty. This paper is written to describe the basic principles of bronchoscopy and its clinical application in the diagnostic and therapeutic measures of pulmonary disease. Keywords: Bronchoscopy, Diagnostic, Therapeutic
Pleural Amebiasis without Hepar Involvement Handayani, Friska; Medison, Irvan; Fitrina, Dewi Wahyu; Mizarti, Dessy
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.229-238

Abstract

Background:  Pleuropulmonary amebiasis is the most common complication of amoebic liver abscess, occurring in 15% of patients with amoebic liver disease and in 1% of patients with amoebic dysentery. Most commonly occurs by direct extension of a right superior lobe hepatic abscess through the diaphragm to the right lower lobe of the lung with a mortality rate of 5-16%. Primary pleural amebiasis without liver involvement is rare.Case Presentation: Reported an 18-year-old male patient with pleural amebiasis from the results of parasitological examination of pleural fluid found Entamoeba histolytica. History, physical examination and support showed normal liver function. The patient has a history of poor sanitation with a dissertation of unhygienic habits. Patients without liver problems remain at risk for amoebiasis pleuraConclusion: Pleural amebiasis without liver involvement was a rare case. Further investigation was needed in patients with pleural amoebiasis to other organs, such as the liver and digestive tract. Diagnose pleural amebiasis should be the main focus in determining the etiology. Entamoeba histolytica may be involved in pleural inflammation and cause effusion.
Co-Existence of Tuberculosis and Lung Cancer Aribowo, Kornelis; Medison, Irvan; Mizarti, Dessy; Fitrina, Dewi Wahyu
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 9, No 1 (2022): February
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.9.1.2022.51-61

Abstract

Background: Tuberculosis (TB) and lung cancer cause significant morbidity and mortality worldwide and pose a global health threat. Each year these two diseases account for more than 1.6 million deaths worldwide. The incidence of both diseases is still high in many developing countries, especially in Asian countries. TB and lung cancer are often confused and misdiagnosed, especially in countries with diagnostic challenges of low TB incidence and risk of missed diagnosis.Case Presentation: The following is a case report of a 53-year-old male patient diagnosed with pulmonary TB accompanied by right lung cancer, and the same respiratory complaints can be had by lung cancer and TB. However, the presence of facial edema (part of the superior vena cava syndrome) causes clinicians to focus more on lung cancer so that the diagnosis of TB is often overlooked.Conclusion: Tuberculosis should be a significant concern, especially in patients with malignancies such as lung cancer and located in TB endemic areas. Delay in diagnosis and or miss diagnosis will affect the patient's outcome.
Leukopenia as a Prognostic Factor in Severe Community-Acquired Pneumonia with Sepsis: A Case Report Irawan, Dandy; Irvan Medison; Dewi Wahyu Fitrina; Dessy Mizarti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 12 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i12.1149

Abstract

Background: Community-acquired pneumonia (CAP) is a major cause of sepsis, and severe CAP with sepsis is associated with significant morbidity and mortality. Leukopenia, a decrease in white blood cell count, has been identified as a potential prognostic factor in sepsis, suggesting a poorer outcome. This case report aims to evaluate the role of leukopenia in predicting the clinical course and outcome of a patient with severe CAP and sepsis. Case presentation: A 73-year-old male presented with complaints of shortness of breath, cough, fever, and altered mental status. He was diagnosed with severe CAP with sepsis and sepsis-associated encephalopathy (SAE). Laboratory investigations revealed leukopenia. The patient's clinical condition improved over 10 days of treatment, coinciding with an improvement in his white blood cell count. Conclusion: This case report highlights the potential prognostic value of leukopenia in patients with severe CAP and sepsis. The patient's clinical improvement paralleled the recovery of his white blood cell count, suggesting that leukopenia may serve as a marker of disease severity and treatment response. Further studies are needed to validate these findings and establish the role of leukopenia in the management of severe CAP with sepsis.
Pleural Amebiasis Mimicking Pleural Effusion: A Case Report Sari Handayani Utami; Irvan Medison; Dewi Wahyu Fitrina; Dessy Mizarti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 1 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i1.1168

Abstract

Background: Pleural amebiasis is a rare manifestation of extraintestinal amebiasis, primarily occurring due to the rupture of an amebic liver abscess into the pleural space. We present an unusual case of pleural amebiasis in an elderly woman without any evidence of liver involvement. Case presentation: A 78-year-old female presented with a two-month history of progressive dyspnea, cough, and right-sided chest pain. She had a history of consuming raw vegetables. Examination revealed right-sided pleural effusion, which was confirmed by chest radiography and thoracic ultrasound. Pleural fluid analysis showed exudative effusion and microscopic examination demonstrated the presence of Entamoeba histolytica trophozoites. Despite the absence of a liver abscess on abdominal ultrasound, the patient was diagnosed with pleural amebiasis based on the pleural fluid findings. She was successfully treated with metronidazole and drainage of the pleural fluid. Conclusion: This case highlights the importance of considering pleural amebiasis as a differential diagnosis in patients with pleural effusion, even in the absence of liver involvement. Early diagnosis and prompt treatment with metronidazole and drainage are crucial for a favorable outcome.
Do Ventilator Bundles Reduce Ventilator-Associated Pneumonia? A Meta-Analysis of Randomized Controlled Trials Reski Anugrah Zuandra; Irvan Medison; Russilawati
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 3 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i3.1233

Abstract

Background: Ventilator-associated pneumonia (VAP) is a serious complication in mechanically ventilated patients, leading to increased morbidity, mortality, and healthcare costs. Ventilator bundles are evidence-based practices aimed at preventing VAP. This meta-analysis evaluated the effectiveness of ventilator bundles in reducing VAP incidence in critically ill adults. Methods: A systematic search of PubMed, Embase, and Cochrane Central Register of Controlled Trials was conducted from January 2013 to December 2024. Randomized controlled trials (RCTs) comparing ventilator bundles to standard care in adult patients receiving mechanical ventilation were included. The primary outcome was the incidence of VAP. Secondary outcomes included mortality, length of intensive care unit (ICU) stay, and duration of mechanical ventilation. Pooled risk ratios (RR) with 95% confidence intervals (CI) were calculated using a random-effects model. Results: Nine RCTs involving 2,850 patients met the inclusion criteria. The implementation of ventilator bundles was associated with a significant reduction in VAP incidence (RR 0.68, 95% CI 0.55-0.84, p=0.0002). Mortality (RR 0.89, 95% CI 0.75-1.05, p=0.16) and duration of mechanical ventilation (mean difference -1.2 days, 95% CI -2.8 to 0.4, p=0.13) did not significantly differ between groups. However, a significant reduction in ICU length of stay was observed in the ventilator bundle group (mean difference -2.1 days, 95% CI -3.5 to -0.7, p=0.004). Conclusion: This meta-analysis demonstrates that ventilator bundles are effective in reducing VAP incidence in critically ill adults. While no significant impact on mortality was observed, ventilator bundles were associated with a shorter ICU length of stay. These findings reinforce the importance of implementing ventilator bundles as a standard of care in ICUs to improve patient outcomes.
Diagnosis And Management Of Pulmonary Tuberculosis In Hiv With Severe Immunodeficiency Rizki, Fitri Amelia; Medison, Irvan; Anggrainy, Fenty
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 1 (2025): In Progress issue
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i1.1016

Abstract

The total number of TB cases in Indonesia is 969,000. This figure represents a 17% increase compared to 2020. SITB 2022 data shows there are 15,375 cases of co-infection of pulmonary TB with HIV. The treatment success rate for pulmonary TB co-infection with HIV in Indonesia in 2022 is 71%. This is still far from the national target of 90%.This case report discusses a 33-year-old man with pulmonary TB and TB lymphadenitis with HIV at clinical stage 4. The CD4 count was 10 cells/mm3. The degree of immunodeficiency suffered by this patient is severe immunodeficiency. The management was to administer OAT first, followed by ART within 2 weeks after OAT was administered and well tolerated. OAT was administered for 9 months due to the presence of TB lymphadenitis. Treatment evaluation showed clinical improvement and the patient did not develop IRIS. The incidence of IRIS in patients with TB is 8%-43%. Factors influencing the occurrence of IRIS include the CD4 count at the start of ART.
Co-Authors Afriani Afriani Amelin, Fitrisia Andani Eka Putra Anggraini, Fenty Anggrainy, Fenty aribowo, kornelis Bagus HS, Muhammad Berliana Islamiyarti Hydra Demas Nico M Manurung Dessy Mizarti Desy Nofita Sari Detty Iryani Dewi Wahyu F. Dewi Wahyu Fitrina Dzaki Murtadho Eka Irawan Ellyza Nasrul Elsesmita, Elsesmita Eni Yulvia Susilayanti Erkadius Erkadius Erlina Rustam Erly Erly Ermawati Ermawati Fadhil el Naser Fathiyyatul Khaira Fenty Anggraini Fenty Anggrainy Finny Fitry Yani Fitrina, Dewi Wahyu Hafni Bachtiar Handayani, Friska Hardisman Herman, Deddy Intan Irfa Irawan, Dandy Katerine Katerine Leona, Denada Florencia Linosefa Linosefa Mahata, Liganda Endo Mizarti, Dessy Nadia Ventiani, Nadia Nurmadya Nurmadya Oea Khairsyaf Rahmat Syawqi Reski Anugrah Zuandra Rifki YS Rizanda Machmud Rizki, Fitri Amelia Russilawati Russilawati, Russilawati Sabrina Ermayanti Sari Handayani Utami Sari Nikmawati Sari, Elsa Purnama Selfi Renita Rusjdi Suyastri Suyastri Wulan Prisilla Prisilla Yefri Zulfiqar Yessy Susanty Sabri Yuni Kartika