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Histology Structure of Lymph and Uterus of White Rat (Rattus norvegicus) Given with Nanas Bongsai (Ananas comosus var. microstachys L.) Fitmawati, Fitmawati; Saputra, Agus; Yohanes, Yohanes; Teruna, Hilwan Yuda; Nugraha, Dimas Pramita; Hamidi, Yulis
Biosaintifika: Journal of Biology & Biology Education Vol 10, No 1 (2018): April 2018
Publisher : Department of Biology, Faculty of Mathematics and Sciences, Semarang State University . Ro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/biosaintifika.v10i1.13596

Abstract

Nanas Bongsai (Ananas comosus var. microstachys L.) is an amazing herb which is used in traditional medicine by local people of Muara Lembu district as a potion to reduce pain while menstruation period for a women. The present work was designed to investigate its probable side effects on the histopathologic changes in limph and uterus tissues after treated with A. comosus var. microstachys L extract in female white rats. This is an experimental research consisted of five treatments and three repetitions. Treatment composed of two controls (P0 and P+) and given Nanas Bongsai extract with three different dosages. Histology result of lymph show that all treatments given with Nanas Bongsai with three different dosages have different diameter average of white pulp and there is no significant changes with normal control. While observation towards histology structure of endometrium thickness with dosage P1, dosage P2, dosage P3 is 206.333±33.486; 215.667±33.486; 197.667±60.871 respectively. The most thin endometrium layer found in treatment with dosage P3 compared to control P0. From this study showed that there is no toxic effect on uterus and lymph function of of Nanas Bonsai (A. comosus var. microstachys L.) at different doses, so the plant is secure for consumption by the community.
GAMBARAN FARMAKOTERAPI DIARE AKUT PADA ANAK DI PUSKESMAS SIMPANG TIGA KOTA PEKANBARU PERIODE 1 JANUARI – 31 DESEMBER 2015 Pertiwi, Lia; Nugraha, Dimas Pramita; ", Inayah
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 4, No 1 (2017): Wisuda Februari 2017
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

ABSTRACTDiarrhea is one of the major causes of infant and child death in Indonesia, so appropriate pharmacotherapy is needed. Acute diarrhea occurs less than fourteen days (two weeks). The aim of this study was to observe the description of pharmacotherapy diarrhea acute among children in Puskesmas Simpang Tiga Pekanbaru City from January 1st - December 31st 2015. This was a descriptive study using data from medical records. There were 147 samples that fulfilled the inclusion criterias. Acute diarrhea was most common found in male (61,9%). Age group of 1-5 years was the most common age group in this study (77,6%). Enough weight group was the common weight group in this study (80,3%), and oralit was the most used pharmacotherapy (74,8%). The appropriate zinc duration by WHOs standar in this study was 65,3%,and appropriate zinc frequency was 68,7%.Key words: acute diarrhea,pharmacotherapy
Gambaran Farmakoterapi Pasien Common Cold Di Puskesmas Pekanbaru Dimas Pramita Nugraha; Inayah Inayah
Jurnal Ilmu Kedokteran Vol 10, No 1 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.436 KB) | DOI: 10.26891/JIK.v10i1.2016.63-66

Abstract

Common cold is still a disease with the most number of cases in Indonesia and the province of Riau in out patientswho visited the primary health center (Puskesmas). However, in primary health care, like Puskesmas and privatepractice physicians are expected pharmacotherapy common cold is not rational. Medication errors is a common problem.The purpose of this study was to determine how the use of pharmacotherapy in patients with the common cold inPuskesmas Pekanbaru. This study was an observational descriptive , with a total sample 4602 people who meet thespecified criteria .The results showed that the percentage patients common cold using symptomatic analgesic-antipyreticdrugs 70.2%.However, the percentage of patients that using antibiotics in common cold is still quite a lot (36%), alsothe use corticosteroid (17,9%) that showed medication error. The patterns pharmacotherapy of common cold inPuskesmas Pekanbaru was relatively good, but need improvement .
Penggunaan Antibiotik Profilaksis Pada Pembedahan Terbuka Batu Saluran Kemih Di RSUD Arifin Ahmad Provinsi Riau Dimas Pramita Nugraha; Dina Fauzia; M.Yulis Hamidy; M.Irvan Noorrahman
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.957 KB) | DOI: 10.26891/JIK.v10i2.2016.106-111

Abstract

Open surgery urinary tract stones are classified as clean-contaminated surgerywheresurgical prophylactic antibioticsare recommended.The purpose of this study was to determine the pattern and correct use of surgical prophylacticantibiotic in patients undergoing open surgery urinary tract stones in Arifin Ahmad Hospital.This research is a descriptivestudy using secondary data from medical records of patients who underwent open surgery urinary tract stones, with atotal sample amounted to 82 people. The precision of the use of antibiotics assessed based PermenkesGuidelines Useof Antibiotics.The results showed the use of prophylactic antibiotics for urinary tract surgery have not been preciselyclassified according to the indication the use of antibiotics andthe timing of antibiotics.Even though the durationantibiotics, dosage, and route of administration of prophylactic antibiotics are appropriate under the guidelines.Theuse of prophylactic antibiotics for open surgery urinary tract stones need improvement.
Perbandingan Indeks Massa Tubuh Pada Pasien Hipertensi Dengan Tekanan Darah Yang Terkontrol dan Tidak Terkontrol di RSUD Arifin Achmad Provinsi Riau Eka Bebasari; Dimas Pramita Nugraha
Jurnal Ilmu Kedokteran Vol 11, No 2 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.01 KB) | DOI: 10.26891/JIK.v11i2.2017.30-33

Abstract

The nutritional status is a factor that related with blood pressure. The nutritional status that indicated by body massindex (BMI) needs to be considered in management of hypertension. This study was a cross-sectional analytic thatassess relationship between BMI and hypertension controlled. The subjects of the study were hypertension patientsthat visit outpatient clinic of Arifin Ahmad General Hospital, Riau Province. Datas were analyzed by unpaired t-test.The results showed that patients with obesity grade 1 were more frequent in controlled hypertension group comparedto uncontrolled hypertension (43.8% vs 32.5%). The BMI average in patients with controlled hypertension group was24.2, while in uncontrolled hypertension group was 24.8 (p>0.05). There was no statistically significant differencebetween BMI in both groups patients.
Compliance Pengguna Antihipertensi di RSUP DR. SARDJITO Yogyakarta (Periode Juli 2006- Juni 2009) Dimas Pramita Nugraha; Iwan Dwiprahasto; Jarir At Thobari
Jurnal Ilmu Kedokteran Vol 8, No 2 (2014): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.112 KB) | DOI: 10.26891/JIK.v8i2.2014.70-75

Abstract

Hypertension is the second largest of the 10 diseases on an outpatient at a hospital in Indonesia. The poor complianceto therapy of hypertension is a major cause of uncontrolled blood pressure. The aim of this study is to determinecompliance antihypertension on patient at DR. Sardjito hospital Yogyakarta. This study was designed with aretrospective cohort study design using a database of participants claimed prescribing health insurance (ASKES) inthe DR. Sardjito hospital using antihypertensive drugs. Compliance measured with medication possession ratio (MPR).Data was analysed by chi- square and logistic regression statistic. From 8.011 patients, compliance of antihypertensivedrugs during the first year is 7,6%. Analysis for compliance showed that the type of antihypertensive diuretics aremore compliance compare with angiotensin II receptor blockers, ACE inhibitors, calcium channel blockers and betablockers. Combination therapy (20,7%) is more compliance than monotherapy ( 4,1%), as well as drugs administration1 time a day (8,2%) is more compliance than drug administration 2 times (2,5%) and 3 times a day (3%). Theproportion of compliance in antihypertensive users at DR. Sardjito hospital classified as less good. Compliancepattern indicates that therapy is not continuous, the longer the use of antihypertensive therapy, the higher thediscontinuous therapy.
Profil Pengendalian Diabetes Melitus Tipe 2 Di Poliklinik Penyakit Dalam RSUD Arifin Achmad Pekanbaru Lesi Kurnia Putri; Jazil Karimi; Dimas Pramita Nugraha
Jurnal Ilmu Kedokteran Vol 8, No 1 (2014): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.536 KB) | DOI: 10.26891/JIK.v8i1.2014.18-24

Abstract

Management in patients with type 2 diabetes mellitus (DM) is aimed diabetic control required antidiabetic drugs(OAD). The aim of this study was to know data about the profile of diabetics control in patients with type 2 diabetesmellitus followed in department of endocrinology Arifin Achmad General Hospital Pekanbaru. The type of researchwas descriptive. The samples are 96 people included all patients with type 2 DM according to inclusion criteria. Theidentity patients and patients knowledge were determined using questionnaire, used of antidiabetics drugs and diabeticcontrol were detemined using medical record. The characteristics of patients with type 2 DM were most at group ofage 50-59 years (45,8%), female sex (58,3%), duration of DM 1-5 years (52,1%), complication of diabetic neuropathy(25%) and frequency of the Doctor once a month (64,6%). The used OAD predominant oral antidiabetic drugs (83%)combinations sulfonylureas and biguanid (73,7%), combinations oral antidiabetic drugs with insulin (14%) arecombinations biguanid with long acting insulin (69,2%) and intensive insulin (3%) are long acting insulin with rapidacting insulin (66,6%). Diabetic control of patients with type 2 DM are fasting blood glucose, post prandial 2 hoursblood glucose, total cholesterol, LDL and HDL was bad (68%, 74%, 46,9%, 61,5% and 70,8%). This researchshowed that used of antidiabetic drugs was not satisfactory of diabetic control.
Gambaran obesitas pada pasien stroke akut di Rumah Sakit Umum DaerahArifin Achmad Provinsi Riau periode Januari-Desember 2019 Muhammad Ikhwan Fuadi; Dimas Pramita Nugraha; Eka Bebasari
Jurnal Kedokteran Syiah Kuala Vol 20, No 1 (2020): Volume 20 Nomor 1 April 2020
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v20i1.18293

Abstract

Abstrak. Stroke adalah penyakit akibat gangguan peredaran darah otak yang dipengaruhi oleh banyak faktor risiko. Stroke merupakan penyebab utama disabilitas. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah obesitas. Tujuan penelitian ini adalah untuk mengetahui gambaran obesitas pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 115 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada usia terbanyak terjadi pada rentang usia 51-65 sebanyak 60 kasus (52,2%). Jenis kelamin terbanyak yaitu laki-laki sebanyak 67 kasus (58,3%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 62 kasus (53,9%). Terdapat 65 kasus (56,5%) pasien obesitas, sebanyak 34 kasus (52,3%) adalah stroke hemoragik. Kesimpulan dari penelitian ini adalah obesitas lebih banyak terjadi pada stroke hemoragik dibanding stroke iskemik.Kata kunci:  obesitas, strokeAbstract. Stroke is a disease caused by the interrupted of blood supply to the brain which can be influenced by several risk factors. Stroke is a major cause of disability. Stroke is generally classified as ischemic or non-hemorrhagic and hemorrhagic stroke. One of those risk factors of stroke is obesity. The aim of this study was to describe obesity in acute stroke patients at Arifin Achmad Regional Hospital of Riau Province in January- December 2019. This was a descriptive study design with cross sectional study method while using medical records of the acute stroke patient’s at Arifin Achmad Regional Hospital of Riau Province in January to December 2019. There were 115 cases fulfilled the criteria. The results show that the majority happened within 51-65 years age group with 60 cases (52,2%) and frequently in male as much as 67 cases (58,3%). Most patients had hemorrhagic stroke with 62 cases (53,9%). In 65 cases (56,5%) of obese patients cases, 34 cases (52,3%) were hemorrhagic strokes. The conclusion of this study is that obesity more commonly occurs in hemorrhagic stroke types compared to the ischemic.Keywords: acute stroke, obesity
Gambaran dislipidemia pada pasien stroke akut di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau periode Januari-Desember 2019 Dimas Pramita Nugraha; Eka Bebasari; Sahwal Sahputra
Jurnal Kedokteran Syiah Kuala Vol 20, No 1 (2020): Volume 20 Nomor 1 April 2020
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v20i1.18294

Abstract

Abstrak. Stroke adalah penyakit gangguan fungsional otak yang timbul mendadak dan berlangsung lebih dari 24 jam atau berakhir dengan kematian tanpa diketahui penyebab yang jelas selain gangguan vaskuler. Stroke secara umum diklasifikasikan menjadi stroke iskemik atau stroke non hemoragik dan stroke hemoragik. Salah satu faktor risiko terjadinya stroke adalah dislipidemia. Tujuan penelitian ini adalah untuk mengetahui gambaran dislipidemia pada pasien stroke akut di RSUD Arifin Achmad Provinsi Riau Periode Januari–Desember 2019. Desain penelitian yang digunakan adalah penelitian deskriptif  dengan rancangan cross sectional menggunakan data sekunder rekam medis pasien stroke akut di  RSUD Arifin Achmad Provinsi Riau  Periode Januari-Desember 2019 dengan jumlah sampel sebanyak 103 kasus. Hasil penelitian menunjukkan stroke banyak terjadi pada jenis kelamin laki-laki yaitu 63 orang (61,2%). Usia terbanyak terjadi pada rentang usia 51-65 tahun sebanyak 54 (52,4%). Jenis stroke terbanyak adalah stroke hemoragik yaitu 59 orang (57,3%). Kadar kolesterol total terbanyak pada  rentang normal yaitu sebanyak 46 orang (44,7%). Kadar High Density Lipoprotein (HDL)  terbanyak pada rentang normal yaitu sebanyak 49 orang (47,6%). Kadar Low Density  Lipoprotein (LDL) terbanyak pada kategori tinggi sebanyak 26 orang (25,2%) dan normal tapi berisiko sebanyak 26 orang (25,2%). Kadar trigliserida terbanyak pada kategori normal sebanyak 65 orang (63,1%). Terdapat 17 orang (16,5%) pasien dislipidemia, sebanyak 9 orang (52,9%) adalah stroke iskemik. Kesimpulan dari penelitian ini adalah dislipidemia lebih banyak terjadi pada stroke iskemik disbanding stroke hemoragik.Kata kunci:  dislipidemia, stroke, stroke non hemoragikAbstract. Stroke is a disease of the brain functional disorders that arises suddenly and lasts more than 24 hours or ends in death situation without a known cause other than vascular disorders. Strokes are generally classified into ischemic stroke (non-hemorrhagic) and hemorrhagic stroke, One of the risk factors of stroke is dyslipidemia. The aim of this study was to describe dyslipidemia in acute stroke patients at Arifin Achmad Regioal General Hospital of Riau Province in January to December 2019. This was a descriptive study design with cross sectional study method by using secondary data of the acute stroke patient's medical record at Arifin Achmad Regional General Hospital of Riau Province in January to December 2019 with a total sample of 103 cases. The results show that stroke is more common in male that is 63 (61.2%) cases, and the majority happened within the 51-65 years age groups with 54 (52.4%) cases. Most of the stroke’s type in patients were hemorrhagic stroke in 59 (57.3%) cases. Highest total of cholesterol level remains normal in 46 (44.7%) cases. The majority of patients still presented with normal level of High Density Lipoprotein (HDL) in 49 (47.6%) cases. In contrary, most patients presented with high level of Low Density Lipoprotein (LDL) in 26 (25.2%) cases and also with normal level but considered as high-risk group in  26 (25.2%) cases. Most patients still presented with normal level of triglyceride in 65 (63.1%) cases. There were 17 (16.5%) cases of patient with dyslipidemia, 9 of them were considered as ischemic stroke (52.9%). The conclusion of this study is that dyslipidemia commonly occurs in ischemic stroke types compared to a hemorrhagic stroke.Keywords: dyslipidemia, stroke, non hemorrhagic stroke
THE OVERVIEW SURGICAL SITE INFECTION OF PASCA OPEN SURGICAL OF URINARY STONE AT ARIFIN ACHMAD GENERAL HOSPITAL OF RIAU PROVINCE 1 JANUARY – 31 DECEMBER 2014 PERIOD M. Irvan Noorrahman; Dimas Pramita Nugraha; Afdal "
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

ABSTRACTAbout 63% managemen urinary stone is open surgery, because this threatment choice could decrease the risk of recurency this disease but have the risk of high surgical site infection (SSI). This research explain about surgical site infection after open surgery of urinary stone in RSUD Arifin Achmad Province of Riau 1 January – 31 December period. The method of this research is retrospective descriptive. The source of data take from medical report of patient that undergo open surgery of urinary stone in RSUD Arifin Achmad Province of Riau. This research found 82 patient that undergo open surgery of urinary stone. The number of SSI in this research is 2,4% (2 patient). Based on the age group SSI found in the group 46-55 and 56-65 years old. Based on the gender SSI found more in women. Based on the nutrition SSI found in the group of under nutrition and normal nutrition. Based on level education SSI found in patient didn’t got education. Based on the preoperative diagnostic SSI found in patient with renal stone. Based on gift of the antibiotic prophilaxis SSI found in patient that gift the antibiotic prophilaxis. Based on the comorbid SSI found in patient with comorbid and without comorbid. Based on number of leukocytes SSI found in patient with normal and high leukocytes. Based on the named of surgery SSI found in pyelolitotomy and nephrolitotomy. Based on a duration of operative SSI found in the group with duration with 1 hour and >1 hour. Based on span of struck infection time SSI found more in >7 days. Based on a along of nursing SSI found in >3 hari. The conclution of this research is the number of SSI pasca open surgery of urinary stone in RSUD Arifin Achmad 1 January -31 December period is lower than the survey of World health organization (WHO).Key word : Surgical site infection, open surgery of urinary stone, discribe of patient