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GAMBARAN NILAI PEAK EXPIRATORY FLOW RATE (PEFR) PADA PASIEN ASMA YANG MENGIKUTI SENAM ASMA DI PEKANBARU Zibetra, Fendro; Munir, Sri Melati; Bebasari, Eka
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTAsthma is a chronic inflammatory associated with airway cause symptoms such as recurrent episodes of wheezing, breathlessness, chest tightness and coughing, especially at night or in the early days and it is reversible with or without treatment. Asthma gymnastic is one of the recommended exercise therapy to help the process of rehabilitation in patients with asthma. To determine the success rate, it is important to evaluate and monitor the effect of asthma gymnastic to lung fuction periodically, with Peak Expiratory Flow Rate (PEFR) examination by using Peak Flow Meter before and after doing gymnastic. This was a cross sectional descriptive study using the total sampling technique to know the overview of PEFR in asthma patients that following asthma gymnastics in pekanbaru. . This research has 32 samples. Result showed that asthma patients who followed gymnastics asma were in the age group 41-50 years old (37,5%), most commonly happened in female (75%), most common had not comorbidities (53,12%), most common patients had a family history of asthma (62,5%), the length of time following asthma gymnastics was the most ≥3 month (59,37%). The degree was the (37,5%). Assessment of asthma control was the most good controlled asthma (46,87%). Assesment of PEFR was the most low obstructive (43,75%).Key word : asthma, asthma gymnastic, Peak Expiratory Flow Rate (PEFR)

Gambaran Histopatologi Paru Mencit (Mus musculus) Setelah Pemaparan Paraquat Aulia Wiradi; Wiwit Ade Fidiawati; Sri Melati Munir
Jurnal Ilmu Kedokteran Vol 11, No 2 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Paraquat destroys organs including lung. Purpose of this study was to determine the effect of paraquat on histopathologyof lung, exspecially fibrosis in mice (Mus musculus). This study was an experimental study with post-test only withcontrol design and using 15 mice as sample. Samples were divided into 5 groups consist of one control group and fourdifferent doses of paraquat treatment group (25 mg / kg / day, 50 mg / kg / day, 75 mg / kg / day and 100 mg / kg / day for7 days with spraying). Analysis of the data have used One-Way ANOVA then post-hoc test with tukey to assesseddifferences of each groups. The results showed increasing of lung fibrosis with increasing doses and have significantcorrelations (p = 0.000). In conclusion, there are significant changes in lung histopathology of mice (Mus musculus)after paraquat exposure for 7 days.

GAMBARAN DERAJAT BERAT MEROKOK BERDASARKAN KADAR CO PADA PEROKOK DI POLI PARU RSUD ARIFIN ACHMAD PROVINSI RIAU Ayu Warma; Sri Melati Munir; Eka Bebasari
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 1 (2015): Wisuda Februari 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTCigarette is the result of tobacco processed which contains dangerous chemical materials. When cigarette burned it will be produced the carbon monoxide gases. If the CO gases inhaled that gas will makes a binding with Hb become HbCO. The CO concentration in blood will be balance with the CO level expire air. micro CO meter is effective to evaluate the CO level in expiration air . So it can be determined the degree of heavy smoking . Besides using the micro CO meter the heavy degree of smoking can also determined by Brinkman Index. This research used an observational study using descriptive crossectional design. This sampling used accidental sampling methods with 97 samples. This study showed that active smokers in pulmonary polyclinic of Riau Province General Hospital Arifin Achmad with the age group with commonly characteristic at 44-54 year old 26 persons (26,80%), highest sex group was male with 94 respondence (96,91%), daily consumption of cigarettes for more than 20 pieces are 40 people (41,24%), 39 people (40,21%) have their smoking period for >20 years and most types of cigarette are kretek 81 people (83,51%). According to Brinkman Indeks, smoking level was on the medium smoker degree with 41 patuents (42,27%) while micro CO meter showed heavy smoker degree with 63 patients (64.95%).Keywords : cigarette, CO, Brinkman Index, micro CO meter

GAMBARAN PERILAKU PASIEN TB PARU TERHADAP UPAYA PENCEGAHAN PENYEBARAN PENYAKIT TB PARU PADA PASIEN YANG BEROBAT DI POLI PARU RSUD ARIFIN ACHMAD PROVINSI RIAU Iklima Asiah; Suyanto "; Sri Melati Munir
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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Tuberculosis (TB) pulmonary is a contagious infectious disease caused by Mycobacteriumtuberculosis that attacks the lungs. The prevalence of pulmonary TB disease can beprevented when patients have pulmonary tuberculosis good behavior for prevention of TBlung disease spread.The behavior consist of three is knowledge, attitude and practice. Thepurpose of this study is knowing description of behavior pulmonary TB patient to preventthe spread of pulmonary TB disease in patient seeking treatment in lung poly ArifinAchmad hospital province of Riau.This study was conducted in Februari-Maret 2014. Thesubject of this study were 115 pulmonary TB patient which inclusion criterias. This studyused questionnaires as instruments. The result of this study showed that rspondents had agood knowledge of as many 50 people (43,5%), good attitudes as many as 81 people(70,4%) and good practice as many as 53 people (46,1%).Key words : Tuberculosis (TB) pulmonary, knowledge, attitude dan practice prevention ofpulmonary TB disease, pulmonary TB patient

GAMBARAN PERAN PENGAWAS MINUM OBAT TENTANG PENGOBATAN TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS TAMBANG KECAMATAN TAMBANG KABUPATEN KAMPAR PROVINSI RIAU Dwipa Dhurandhara; Suyanto "; Sri Melati Munir
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTTuberculosis ( TB ) is a contagious infectious disease that is a big cause of death. Case detection rate and cure rate of TB at the provincial level in Indonesia has yet to reach the global target. One component of TB DOTS namely the supervisors to take medication. Expected supervisors to take medication can function well in accordance with his duties as a PMO is to give a boost to the patient , remind patients to take medication , and sputum checked regularly. This type of research is descriptive qualitative approach with interviews and observations. Researcher get 12 samples from supervisors to take medication population who live at home with TB patients and patients with tuberculosis by using purposive sampling technique. Researchers also found that most of the supervisors to take medication for TB patients who are in the working area of the Tambang health center function well .Keywords:Supervisor to take medicaion, Treatment of tuberculosis, Tuberculosis

GAMBARAN FAAL PARU PADA PASIEN ASMA YANG MELAKUKAN SENAM ASMA DENGAN YANG TIDAK MELAKUKAN SENAM ASMA Uci Tama Azilla; Sri Melati Munir; Eka Bebasari
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 1 (2016): Wisuda Februari 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACT Asthma is chronic inflammation disorder of respiratory tract that cause trial episode of symptoms like wheezing, breathlessness, feel heavy in chest, cough especially in the night or early morning that reversible with or without therapy. Spirometry is used in clinical examination to diagnose and evaluation patient with asthma. Asthma gymnastic is one of recommendation exercise therapy to help the process of rehabilitation in asthma patient. This study was cross sectional descriptive that used total sampling method which explained overview lung function of asthma patient that followed asthma gymnastic and not followed asthma gymnastic. In this study, total sampling was 62 patient which 31 asthma patient that followed asthma gymnastic and 31 not followed asthma gymnastic. The result showed asthma patient that followed asthma gymnastic were in the age group 41-50 years old consist of 12 patient (38,7%), most commonly happened in female consist of 24 patient (77,4%), most common not had comorbidities consist of 18 patient (58%), most common patient had family history of asthma consist of 19 patient (61,3%), the lung function was obstructive consist of 17 patient (54.9%), the level of asthma was intermittent consist of 12 patient (38.7%), assessment of asthma control was controlled consist of 14 patient (45.1%) the length of time following the most gymnastic was asthma ≥3 month 19 patient (61,3%). In asthma patient that was not followed asthma gymnastic were in the age group 41-50 years old consist of 13 patient (42%), most commonly happened in female consist of 27 patient (81,7%), most common had comorbidities consist of 18 patient (58%), most common patient not had family history of asthma consist of 16 patient (51,6%), the lung function was restrictive consist of 20 patient (64.5%), the level of asthma was severe persistent consist of 12 patient (38.7%) and assessment of asthma control was controlled consist of 18 patient (58.1%).Keywords: Asthma, asthma gymnastic, spirometry, lung function.

GAMBARAN DERAJAT BERAT MEROKOK BERDASARKAN KADAR CO PADA PEROKOK DI POLI PARU RSUD ARIFIN ACHMAD PROVINSI RIAU Ayu Warma; Sri Melati Munir; Eka Bebasari
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 1 (2015): Wisuda Februari 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTCigarette is the result of tobacco processed which contains dangerous chemical materials. When cigarette burned it will be produced the carbon monoxide gases. If the CO gases inhaled that gas will makes a binding with Hb become HbCO. The CO concentration in blood will be balance with the CO level expire air. micro CO meter is effective to evaluate the CO level in expiration air . So it can be determined the degree of heavy smoking . Besides using the micro CO meter the heavy degree of smoking can also determined by Brinkman Index. This research used an observational study using descriptive crossectional design. This sampling used accidental sampling methods with 97 samples. This study showed that active smokers in pulmonary polyclinic of Riau Province General Hospital Arifin Achmad with the age group with commonly characteristic at 44-54 year old 26 persons (26,80%), highest sex group was male with 94 respondence (96,91%), daily consumption of cigarettes for more than 20 pieces are 40 people (41,24%), 39 people (40,21%) have their smoking period for >20 years and most types of cigarette are kretek 81 people (83,51%). According to Brinkman Indeks, smoking level was on the medium smoker degree with 41 patuents (42,27%) while micro CO meter showed heavy smoker degree with 63 patients (64.95%).Keywords : cigarette, CO, Brinkman Index, micro CO meter

GAMBARAN KUALITAS HIDUP PASIEN PPOK STABIL DI POLI PARU RSUD ARIFIN ACHMAD PROVINSI RIAU DENGAN MENGGUNAKAN KUESIONER SGRQ Muthmainnah "; Tuti Restuastuti; Sri Melati Munir
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTChronic Obstructive Pulmonary Disease (COPD) is one of disease that have high morbidity and mortality, even in developingor developed country. One of negative effect of COPD is becoming low in quality of patients’ life because this disease has a chronic and irreversible characters. This research was conducted to know about quality of COPD patients’ life at Poli Paru RSUD Arifin Ahmad of Riau Province, included about patients’ characteristic based on age, sex, occupation, education level, smoking status, and diagnosis level of COPD patients. This research was conducted at Poli Paru RSUD Arifin Ahmad of Riau Province, and the design of this research used cross sectional descriptive design. The sample of this research was COPD patients that has fully achieved of inclusion and exclusion criteria by using collecting consecutive sampling technique with 64 respondents. The data was collected from SGRQ questionnaire. Based on the analyzing of data, there were found that majority of COPD patients contributed onsex (male) (80,28%), elderly (64,78%), primary educational level (36,61%), smoker (61,97%), retired (25,35%), and new COPD diagnostic <3 years (60.56%). In general, the quality of COPD patients’ life is not good which showed (61,97%).Key word: COPD, the quality of life, SGRQ questionnaire

GAMBARAN STATUS GIZI PADA PASIEN TUBERKULOSIS PARU (TB PARU) YANG MENJALANI RAWAT INAP DI RSUD ARIFIN ACHMAD PEKANBARU Wina Astari Putri; Sri Melati Munir; Erwin Christianto
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 2 (2016): Wisuda Oktober 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTTuberculosis (TB) is still one public health problem in the world. In2014, 9.6 million people fell ill with TB and 1.5 million died from the disease.Nutritional status is a state body as a result of food consumption and the use ofnutrients. TB may affect nutritional status then cause malnutrition andmalnutrition may increase TB progress. Undernutrition is prevalent in about 25-40% of hospitalized patient and is associated with higher care complexity, longerlength of stay, and increased morbidity and mortality. This study was usingdescriptive methods with cross sectional approached. The sampling techniqueused minimal sampling. The study was held on February – March 2016 withnumber of sample is 36 person whom pulmonary tuberculosis inpatient atpulmonary hospitalization room of Arifin Achmad general hospital. The result ofthe study is characteristic based on gender showed 26 (72,2%) persons are male,24 (66,7%) persons are 18-55 years old. Characteristic based on occupationshowed 9 (25%) persons were unemployment. 22 (61,1%) persons is alreadyconsume OAT less than 2 months and 19 ( 52.8 % ) persons had a decrease inappetite . Most nutritional status based on BMI is underweight by 22 ( 61.1 % )persons , most nutritional status based on LLA was 15 ( 41.7 % ) personsclassified as malnutrition and highest MUST score was 31 ( 86.1 % ) personsclassified as high risk .Keywords : pulmonary tuberculosis inpatient, nutritional status , MUST

KARAKTERISTIK PENDERITA TUBERKULOSIS PARU RELAPS YANG BEROBAT DI POLIKLINIK PARU RUMAH SAKIT UMUM DAERAH ARIFIN ACHMAD PROVINSI RIAU TAHUN 2012-2013 Widya Syah Fitri; Sri Melati Munir; Suyanto "
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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Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Most of the TB cases (95%) and death (98%) occured in developing countries. Relapse of TB are patients who previously got TB treatments, where declared cured or achieved completed treatment at the end of their most recent course of treatment, and are now diagnosed with a relapse episode of TB by sputum smear or culture results positive. This research was a descriptive retrospective study, which was conducted by using medical record of patients. Sample collected by using total sampling method. The results showed that patients relapse of pulmonary tuberculosis who undergone theraphy in lung department of RSUD Arifin Achmad showed large proportion in the age group 25-44 years (44.1%), the most gender was males (73.5%%), most work was labours (50.9%), most of patients had no history of weight gain (65.7%), time of relapse was < 4 years (80.4%), most comorbidities were no comorbidity (57.8%), most regularity of taking medicine was unregularly (66.7%), and most of patients had history of adverse effect in OAT treatment (68.6%).Key words :Tuberculosis (TB), relapse.

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