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ANALISIS FAKTOR RISIKO DAN LUARAN DARI PENGGUNAAN TERAPI ANTIBIOTIK EMPIRIK JANGKA PANJANG PADA BAYI DENGAN BERAT LAHIR SANGAT RENDAH DALAM KONDISI SEPSIS Reza, Muhammad; Sampurna, Mahendra Tri Arif; Handayani, Kartika Darma; Angelika, Dina; Utomo, Martono Tri; Etika, Risa; Harianto, Agus
Majalah Kesehatan FKUB Vol 6, No 4 (2019): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.154 KB) | DOI: 10.21776/ub.majalahkesehatan.2019.006.04.4

Abstract

Terapi antibiotik berkepanjangan pada neonatus menyebabkan beberapa konsekuensi negatif meliputi resistensi antibiotik, sepsis awitan lambat, enterocolitis nekrotikan (EKN), lama rawat lebih panjang, dan peningkatan mortalitas. Semua faktor tersebut mempengaruhi efisiensi biaya pelayanan rumah sakit di era Jaminan Kesehatan Nasional. Penelitian ini bertujuan untuk menganalisis faktor risiko dan luaran dari terapi antibiotik berkepanjangan pada bayi berat lahir sangat rendah (BBLSR) dengan sepsis. Desain penelitian adalah studi retrospektif pada BBLSR dengan sepsis di Neonatal Intensive Care Unit (NICU), RSUD Dr. Soetomo, Surabaya sejak Januari-Desember 2017 dilakukan dengan membandingkan luaran antara kelompok I yang mendapat terapi antibiotik empirik kurang dari sama dengan 2 minggu dengan kelompok II yang mendapat terapi antibiotik empirik lebih dari 2 minggu empirik. Dari 87 bayi yang termasuk ke dalam studi, 37 bayi termasuk dalam kelompok I dan 50 bayi dalam kelompok II. Rerata durasi terapi antibiotik pada kelompok I dan kelompok II adalah 9,2±2,5 dan 17,9±3,2 hari, dengan lama rawat inap 19,7±8,5 dan 27,2±13,1 hari. Analisis faktor risiko menunjukkan bahwa BBLSR terutama 1000 gram (p < 0,001), ventilasi mekanik invasif (p < 0,001), ventilasi mekanik non-invasif (p < 0,001), korioamnionitis (p = 0,003), penyakit maternal (p = 0,004), kehamilan multipel (p = 0,03) merupakan faktor risiko mendapatkan terapi antibiotik empirik berkepanjangan. Luaran dari terapi antibiotik empirik berkepanjangan adalah 41 (47%) bayi mengalami sepsis awitan lambat,  15 (17%) bayi dengan EKN, dan 11 (12%) bayi meninggal. Mortalitas bayi dengan sepsis awitan lambat (p < 0,001) dan EKN (p = 0,02) lebih tinggi pada kelompok II dibandingkan kelompok I. Kesimpulannya, terapi antibiotik empirik berkepanjangan meningkatkan angka kejadian sepsis awitan lambat, enterocolitis nekrotikan, lama rawat, dan mortalitas BBLSR di NICU yang berdampak meningkatkan biaya pelayanan rumah sakit.  
PERAN ORANG TUA DALAM MENUMBUHKAN MOTIVASI BELAJAR ANAK DAN PRESTASI SISWA Harianto, Agus
Jurnal Ilmiah Mahasiswa Raushan Fikr Vol 8 No 2 (2019): Jurnal Ilmiah Mahasiswa Raushan Fikr
Publisher : Lembaga Kajian dan Pemberdayaan Mahasiswa UIN Prof. KH. Saifuddin Zuhri Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24090/jimrf.v8i2.4205

Abstract

The relationship that exists between parents and children is very close. Children have a close and strong emotional bond with their parents. Unlike the relationship that is formed between a teacher and a child, this relationship will end after the child has finished receiving education. However, the relationship between parents and children will continue even into adulthood. This kind of relationship will continue and is always needed by children. All forms of parental love and attention to children are elements that are needed by children, especially during their growth and development. This paper discusses the role of parents in fostering children's learning motivation and student achievement. From the study conducted, it can be seen that the role of parents in improving children's learning achievement in school is very large. Parents who do not pay attention to their children's education, for example they are indifferent to their child's learning process, do not pay attention to the interests and needs of their children in learning, do not manage their learning time, do not provide or equip learning tools, do not want to know how their child's learning progress is, difficulties experienced by their children in learning and others can cause children to be less or even unsuccessful in learning. The results obtained, grades or learning achievements will not be satisfactory or may even fail. Parents who always pay attention to their children, especially attention to their learning activities at home, make children more active and more enthusiastic in learning because they know that it is not only themselves who want to move forward, but their parents also have the same desire. So that the learning outcomes or learning achievements achieved by students are better.
Echocardiographic Study in Preterm Infant with Hemodynamic Significant Patent Ductus Arteriosus Sunny Mariana Samosir; Martono Tri Utomo; Mahrus A. Rahman; Risa Etika; Dina Angelika; Kartika Darma Handayani; Agus Harianto
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17650

Abstract

Background: Potential complications of hemodynamic significant patent ductus arteriosus (hsPDA) after birth include heart failure, need for respiratory support, renal disfunction, intraventricular hemorrhage, as well as long term altered growth and development. Nevertheless, clinical signs of patent ductus arteriosus (PDA) are not sensitive and specific enough. Therefore, echocardiography still remains the preferred method to evaluate the ductal patency in preterm infant. The present study aimed to evaluate the echocardiography characteristic in preterm infant with hsPDA.Methods: A cross-sectional study was conducted on preterm infants aged 3-7 days with 24-336/7 weeks of gestation. Data taken were demographic, clinical and echocardiography. Diagnosis of hsPDA was carried out by echocardiography; defined as >1.5mm diameter of ductus and >1.4 left pulmonal artery and aorta (La/Ao) ratio. The statistical analysis was undertaken using SPSS 21.0.Results: There were 11 out of 52 preterm infants diagnosed hsPDA. Mean birth weight was 1213±293 gram; Mean gestational age was 30.72±2.01 weeks. In hsPDA group, mean ductus diameter was 2.84±0.93 mm, mean La/Ao ratio was 1.56±0.26, and mean ejection fraction (EF) was 71.55±5.72%.Conclusion: Echocardiographic evaluation is important for addressing hsPDA in preterm infants.
Profil Kematian Neonatus di RSUD dr. Soetomo Shanty Djajakusli; Agus Harianto; Risa Etika; Martono TU
Sari Pediatri Vol 18, No 6 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.6.2017.474-80

Abstract

Latar belakang. Upaya menurunkan angka kematian neonatus belum optimal sesuai dengan yang ditargetkan MDG’s 2015, yaitu menurunkan angka kematian neonatus menjadi 23/1000 kelahiran hidup. Tujuan. Mengetahui profil kematian neonatus berdasarkan faktor maternal, faktor neonatal, sosio-demografi, keadaan klinis neonatus lahir hidup, usia ≤ 7 hari, sampai 28 hari serta mengetahui penyebab kematian neonatus dini dan neonatus lanjut.Metode. Penelitian deskriptif dilakukan di ruang Intensif Instalasi Rawat Darurat, Gedung Bedah Pusat Terpadu dan ruang Intermediate Neonatal SMF Ilmu Kesehatan Anak RSUD dr. Soetomo. Penelitian dimulai 1 September 2014 sampai 28 Februari 2015. Pengumpulan data menggunakan Lembar Pengumpul Data Perinasia Pusat, setiap neonatus yang dirawat kemudian meninggal dimasukkan kematian neonatus dini maupun lanjut, dicatat keadaan klinis, serta faktor risiko dari ibu dan neonatus.Hasil. Dari 807 kelahiran neonatus didapatkan 101 (12,5%) kematian neonatus terdiri dari 63 (7,8%) kematian neonatus dini dan 38 (4,7%) kematian neonatus lanjut. Kematian neonatus dini dan lanjut ditemukan paling banyak pada neonatus BBL ≥2500 g (34,9% dan 50%) , laki-laki (61,9% dan 71,1%), tunggal (95,2% dan 199%) dan sesuai masa kehamilan (79,4% dan 84,2%) serta usia ibu 20-25 tahun (82,5% dan 71,1%). Sesak (95,2% dan 86,8%) dan sepsis (66,7% dan 63,2%) merupakan keadaaan klinis neonatus pada usia ≤ 7 hari sementara keadaan klinis kematian neonatus lanjut sampai usia 28 hari terutama sesak (100%), sepsis (84,2%), dan pneumonia (52,6%).Kesimpulan. Profil penyebab kematian neonatus yang sering ditemukan adalah sepsis, prematuritas, asfiksia, dan kelainan bawaan.
The use of score for neonatal acute physiology perinatal extention II (SNAPPE II) in predicting neonatal outcome in neonatal intensive care unit Mia R A; Risa Etika; Agus Harianto; Fatimah Indarso; Sylviati M Damanik
Paediatrica Indonesiana Vol 45 No 6 (2005): November 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.6.2005.241-5

Abstract

Background Scoring systems which quantify initial risks have animportant role in aiding execution of optimum health services by pre-dicting morbidity and mortality. One of these is the score for neonatalacute physiology perinatal extention (SNAPPE), developed byRichardson in 1993 and simplified in 2001. It is derived of 6 variablesfrom the physical and laboratory observation within the first 12 hoursof admission, and 3 variables of perinatal risks of mortality.Objectives To assess the validity of SNAPPE II in predicting mor-tality at neonatal intensive care unit (NICU), Soetomo Hospital,Surabaya. The study was also undertaken to evolve the best cut-offscore for predicting mortality.Methods Eighty newborns were admitted during a four-month periodand were evaluated with the investigations as required for the specifi-cations of SNAPPE II. Neonates admitted >48 hours of age or afterhaving been discharged, who were moved to lower newborn care <24hours and those who were discharged on request were excluded. Re-ceiver operating characteristic curve (ROC) were constructed to derivethe best cut-off score with Kappa and McNemar Test.Results Twenty eight (35%) neonates died during the study, 22(82%) of them died within the first six days. The mean SNAPPE IIscore was 26.3+19.84 (range 0-81). SNAPPE II score of thenonsurvivors was significantly higher than the survivors(42.75+18.59 vs 17.4+14.05; P=0.0001). SNAPPE II had a goodperformance in predicting overall mortality and the first-6-daysmortality, with area under the ROC 0.863 and 0.889. The best cut-off score for predicting mortality was 30 with sensitivity 81.8%,specificity 76.9%, positive predictive value 60.0% and negativepredictive value 90.0%.Conclusions SNAPPE II is a measurement of illness severity whichcorrelates well with neonatal mortality at NICU, Soetomo Hospital.The score of more than 30 is associated with higher mortality
Compartment syndrome in a neonate Magdalena Santosa; Fatimah Indarso; Agus Harianto; Sylviati M. Damanik; Erwin Sarwono
Paediatrica Indonesiana Vol 41 No 9-10 (2001): September 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.5.2001.253-5

Abstract

A neonate born with severe asphyxia and considerable risk of infection was treated with intravenous sodium bicarbonate and intravenous antibiotics. At the age of five days he developed edema of the right forearm, tense on palpation, painful, hyperemic, and the hand was pallor, hypesthetic with maceration of the fifth finger. The diagnosis of compartment syndrome was established but it was delayed at least for about 48 hours. Decompression by fasciotomy using the volar Henry approach was performed; after which the pathologic changes rapidly subsided.  The cause of this syndrome wasprobably due to intravenous sodium bicarbonate and repeated intravenous antibiotics. From this experience it is strongly emphasized that we have to be aware and able to diagnose compartment syndrome at the earliest possible time in severely ill neonates and children who have multiple intravenous injection. Daily inspection and careful evaluation of the condition at the site of the intravenous line will be very crucial to detect the syndrome.
EKSKLUSIVISME BAHAUDDIN NURSALIM: Radikalisasi dan Ideologisasi Ayat Interagama di Youtube Fikri Fanani; Agus Harianto
Wahana Islamika: Jurnal Studi Keislaman Vol 8 No 2 (2022): Wahana Islamika: Jurnal Studi Keislaman
Publisher : SEKOLAH TINGGI AGAMA ISLAM AL-HUSAIN MAGELANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/wahanaislamika.v8i2.216

Abstract

The development of da'wah in modern times is different from ancient times. At this time the media of da'wah has shifted to the virtual world, an electronic world in computer networks that are widely used as online communication. Youtube is a video sharing website created by 3 former PayPal employees in 2005. The site provides facilities for the public to upload, watch and share videos. Besides being used as a money maker, Youtube is currently also used as a tool to spread religious ideology. One of the cleric figures that has gone viral on the Youtube site is Bahauddin Nursalim, who is more familiarly called Gus Baha. In the last two years, his name has drastically popped into the arena of religious scholarly discourse. His deep knowledge and captivating rhetoric make it easy for him to fill the hearts of the audience. This paper wants to identify the reasoning side of Bahauddin Nursalim's thinking and ideology. Even though he doesn't have a personal channel, the recitation videos he fills in as well as public lectures have been widely spread on the channels of his congregation. Therefore, the primary sources of this mini-research are 5 video lectures of Bahauddin Nursalim. As for theoretically, the author uses the theory of language criticism popularized by Roger Flower and his friends.
Ultrasound-Guided Peripheral Nerve Block as Post-Operative Management of Lower Abdominal Surgery in Ksatria Airlangga Floating Hospital Vina Lidya Setjaputra; Steven Christian Susianto; Jessica Deborah Silitonga; Maya Hapsari Kusumaningtyas; I Putu Agni Rangga Githa; Robbi Tri Atmaja; Burhan Mahendra Kusuma Wardhana; I Ketut Mega Purnayasa Bandem; Khildan Miftahul Firdaus; Agus Harianto
Indonesian Journal of Anesthesiology and Reanimation Vol. 6 No. 2 (2024): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V6I22024.99-105

Abstract

Introduction: Enhanced Recovery After Surgery (ERAS) implementation in remote areas by operating hospital ships is immensely helpful due to high patient turnover, reducing costs, and minimizing the effects of surgical stress. Utilization of regional anesthetics, namely ultrasound-guided Transversus Abdominis Plane (TAP) block or Quadratus Lumborum (QL) block, is applicable and beneficial in this setting. Objective: Due to the limited time, facilities, and health personnel available in floating hospital services surgery, several adjustments in anesthetic methods are required to rapidly return patients to their preoperative physiologic state. Therefore, we wrote this case report. Case Series: We presented case series of lower abdominal surgery performed in Ksatria Airlangga Floating Hospital with the implementation of peripheral nerve blocks as one of the ERAS protocols in one of the remote islands in Indonesia, Gili Iyang Island. Two patients underwent TAP blocks, while the remaining two received QL Blocks. A peripheral nerve block was performed under ultrasound guidance and a 20-mL injection of 0.25% levobupivacaine to QL muscle or TAP. During the observation, we found Visual Analogue Score (VAS) of 1-2 after surgery, no post-operative sedation needed, only 1 patient experienced nausea without vomiting, and the length of health facility stay were less than 3 days. Nearly all of our patients who underwent lower abdomen surgery got benefits from the application of peripheral nerve block. Because there was no opioid consumption in our cases, the risk of unwanted effect of opioids like postoperative nausea and vomiting, were also decreased. Conclusion: Peripheral nerve block, as mentioned TAP Block and QL Block, has emerged as a promising alternative to prevent and manage post-operative pain in remote medicine settings, namely Ksatria Airlangga Floating Hospital, particularly in areas with few medical facilities.
EKSKLUSIVISME BAHAUDDIN NURSALIM: Radikalisasi dan Ideologisasi Ayat Interagama di Youtube Fikri Fanani; Fanani, Fikri; Harianto, Agus
Wahana Islamika: Jurnal Studi Keislaman Vol. 8 No. 2 (2022): Wahana Islamika: Jurnal Studi Keislaman
Publisher : STAI Syubbanul Wathon Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61136/k736f455

Abstract

According to Komaruddin Hidayat, there are 5 types of mapping of religious attitudes typology: exclusivism, inclusivism, pluralism, eclecticism, and universalism. These five typologies have an impact on religious life in Indonesia. For Moqsith Ghazali, the typology of exclusivism is not suitable for living a pluralistic life, such as in Indonesia with six recognized religions. Exclusivism is an understanding that puts forward the truth of the religion it adheres to and blames other religions. The writer finds this exclusive way of thinking in the thoughts of Gus Baha, the ulema who all circles have recently accepted. Through his research on Youtube, the author found five videos that represent his exclusivism. How can exclusivism be accepted in a society that should not be suitable for living in the midst of a pluralistic religious life. Moreover, Indonesia frees its people to follow any religion they believe in without judging which religion is right and which one is wrong. By means of inductive thinking, the author has tracked down several videos of Gus Baha and selected 5 videos that will be used as the primary source of this research. As for theoretically, the author uses the theory of language criticism popularized by Roger Flower and his friends. 
JARAK ROTOR YANG OPTIMAL TERHADAP RIPPLE PLATE PADA MESIN RIPPLE MILL UNTUK EFISIENSI HASIL PEMECAH BIJI KELAPA SAWIT CB MODIPALM KAPASITAS 8 TON/JAM Harianto, Agus; Aspiyansyah, Aspiyansyah; Faot , Ecy Yedija
Jurnal Rekayasa Mesin Vol. 15 No. 1 (2024)
Publisher : Jurusan Teknik Mesin, Fakultas Teknik, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/jrm.v15i1.1840

Abstract

A ripple mill machine is one of the crucial pieces of equipment in the palm oil processing industry to separate oil palm kernels into fruit kernels and shells. One of the key components in this machine is the rotor and ripple plate, which play a role in the process of breaking seeds. This study aims to determine the optimal distance between the rotor and ripple plate on the ripple mill machine. The test was conducted using a CB Modipalm-type ripple mill machine. The parameter observed was the cracking efficiency of oil palm kernels, which was measured based on the percentage of cracked seeds, whole seeds, and crushed kernels. The results showed that the optimal distance between the rotor and ripple plate was 5 mm, with an efficiency value of 96.62%.