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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kedokteran Syiah Kuala Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Buletin Farmatera Biosaintifika: Journal of Biology & Biology Education Collaborative Medical Journal (CMJ) Jurnal Implementa Husada Jurnal Penyakit Dalam Indonesia Jurnal Global Ilmiah
Dimas Pramita Nugraha
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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GAMBARAN HASIL TERAPI RADIASI DAN KEMORADIASI PASIEN KANKER SERVIKS DI RSUD ARIFIN ACHMAD PEKANBARU PERIODE 2009-2013 Fadilla Rizki Putri; Amru Sofian; Dimas Pramita Nugraha
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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Abstract

Cervical cancer is the third most common cancer in women in Indonesia. Many cervical cancer cases were found in an advanced stage, so that they were treated by radiation or chemoradiation. Radiation is divided into external radiation and internal radiation. There is no internal radiation done in Arifin Achmad General Hospital Pekanbaru, so that they only use complete external radiation treatment for 25 times. After the therapy, the patient will do a follow-up treatment of pap smears to assess the cancer cells. This research was conducted in Radiotherapy Installation, Pathology Installation and Medical Records Installation at Arifin Achmad General Hospital Pekanbaru to study and reveal the results of radiation and chemoradiation therapy in cervical cancer patients at Arifin Achmad General Hospital Pekanbaru. The results showed that of 79 patients treated with cervical cancer radiation, only 29 patients did the follow up treatment whilst of 31 patients treated with cervical cancer chemoradiation, only 6 patients did the follow up treatment. Only 2 patients treated by radiation were found to have malignant cells in the pap smear treatment. Meanwhile, in cervical cancer patients treated by chemoradiation, 2 patients were still found malignant cells and 1 patient experienced a recurrence. Once treated with radiation, malignant cells on pap smears are found only in 2 patients, while 27 patients were not found and only 1 patient who experienced a recurrence. After chemoradiation therapy in 6 cervical cancer patients who did the follow up, malignant cells are found in 2 patients and in 4 patients no malignant cells was found, while the other 2 patients experienced recurrence. The conclusion of this study is the incompleteness of the data found in the medical records, low patient adherence to do follow-up treatment after therapy, and the lack of education and information given by the health professionals to patients to do a follow up treatment.Keywords: Cervical cancer, Complete radiation , Chemoradiation, Pap smear
Perbandingan Terapi Diare Akut pada Anak di Puskesmas dan Klinik Swasta, Pekanbaru Indonesia: Studi Retrospektif Cross Sectional Dimas Pramita Nugraha; Inayah I; Dina Fauzia
JURNAL IMPLEMENTA HUSADA Vol 1, No 3 (2020)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v1i3.5345

Abstract

Diare merupakan penyakit penyebab kematian pada anak balita, kurang lebih 750.000 anak meninggal setiap tahunnya. Di Provinsi Riau 17,2% kematian bayi disebabkan diare. Sebagai salah satu kasus infeksi yang paling banyak, terapi diare akut pada anak harus menjadi perhatian utama untuk keberhasilan pengobatan, menghindari kesalahan pengobatan dan mencegah terjadinya resistensi antibiotik. Tujuan penelitian ini adalah untuk mengetahui terapi diare akut di Puskesmas dan Klinik Swasta. Penelitian ini merupakan penelitian retrospektif cross sectional, dengan sampel pasien yang memenuhi kriteria inklusi dan eksklusi yang ditentukan. Data dianalisis dengan test Chi Square. Hasil penelitian menunjukkan pola terapi diare akut pada anak di Puskesmas menggunakan suplementasi zink. Sedangkan pola terapi diare pada anak di klinik swasta menggunakan adsorben Penggunaan suplementasi zink di Puskesmas sebesar 81,7%  dibandingkan di klinik swasta 23,5% (P <0,05). Terapi diare akut pada anak di puskesmas Pekanbaru relatif lebih  rasional dibandingkan terapi di klinik swasta namun tetap memerlukan  perbaikan untuk manajemen pasien yang lebih baik
Controlled Blood Pressure Factors in Hypertension Patients atArifin Achmad Hospital, Riau Province: Cross Sectional Study Nugraha, Dimas Pramita; Bebasari, Eka
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Hypertension is a chronic disease that causes 1 in every 7 deaths. Controlled blood pressure will reduce the complication of hypertension. The aim of this study was to determine the factors that influence controlled blood pressure. Methods.This research was conduct by using an observational method with a cross-sectional study design to analyze factors for controlled blood pressure. The population of this research was all of the hypertension patients at the internal medicine polyclinic in Arifin Achmad Hospital Riau Province. The sample was selected using accidental sampling method. Patient adherence level factor was measured using the Morisky medication adherence scale-8 (MMAS-8) questionnaire. The stress level factor was measured using the DASS-42 questionnaire. The family support factor was assessed using a family support questionnaire that refers to Friedman and House, while the level of knowledge was measured with the Guttman adoption questionnaire. Data analysis was performed by using chi-square and logistic regression tests. Results. From the analysis, it showed that only 16.7% of 96 respondents had controlled blood pressure. In patients with controlled blood pressure, the most common antihypertensive group factor used was calcium channel blocker (18.6%, RP=0.73, p=0.51), antihypertensive monotherapy factor (21.7%, RP=2.17, p=0.15), high knowledge level factor (21.3%, RP=2.11, p=0.16), good adherence factor (22.1%, RP=6.18, p=0.14), normal stress factor (16.2%, RP=3.78, p=1.00), and high family support (23.2%, RP=10.8, p=0.053). Conclusion. In this study, there were no factors that could be predictors of controlled blood pressure at Arifin Achmad Hospital Riau Province.
HUBUNGAN LAMA MENDERITA DIABETES MELITUS TIPE 2 DAN DISFUNGSI EREKSI Firmansyah, Rio; Nugraha, Dimas Pramita; Susanti, Lasiah; Risnandar, Risnandar
Collaborative Medical Journal Vol 6 No 3 (2023): September 2023
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/cmj.v6i3.4019

Abstract

Diabetes melitus (DM) tipe 2 merupakan salah satu penyakit sistemik yang menyebabkan tingginya angka kesakitan dan mortalitas di Indonesia. Kali ini Disfungsi Ereksi (DE), salah satu komplikasi DM tipe 2 menjadi masalah serius karena pertama kejadian disfungsi ereksi tinggi dengan 50% -80% orang dengan DM tipe 2 mengalami DE. Kedua, masalah ini berdampak pada kehidupan pasien medis (psikologi dan infertilitas) serta nonmedis (bahan lama bercerai dan keluarga). DM tipe 2 adalah neuropati diabetik, angiopati diabetik, psikisis dan faktor hormonad. Semuanya berhubungan dengan durasi DM tipe 2 yang dialami penderita. Penelitian ini bertujuan untuk mengetahui korelasi durasi DM tipe 2 dengan DE pada RSUP Arifin Achmad pekanbaru. Penelitian ini menggunakan metode cross sectional yaitu populasi pasien rawat inap di RS Arifin Achmad. Penelitian dilaksanakan dengan teknik nonprobability sampling, consecutive sampling, dan terdapat 42 responden. Berdasarkan hasil uji koefisien kontingensi, terdapat korelasi antara durasi DM tipe 2 dengan DE (p=0,012, r=0,453). Terdapat korelasi antara durasi DM tipe 2 dengan DE, dengan kekuatan korelasi dan arah korelasi positif antara durasi DM tipe 2 dengan DE.
Analisis Drug Related Problems Pada Pasien Benign Prostatic Hyperplasia (BPH) di RSUD Arifin Achmad Provinsi Riau Nugraha, Dimas Pramita; Afdal, Afdal; Pratama, Anggit Armedo; Kemala, Sandrina
Buletin Farmatera Vol 6, No 2 (2021)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v6i2.5528

Abstract

The prevalence of Benign Prostatic Hyperplasia (BPH) is progressive and increases linearly with age. In addition to the high prevalence of comorbid diseases in the elderly population, patients with BPH are more likely to be prescribed a variety of drugs, which leads to an increased risk of drug interactions, BPH patients are at risk of developing drug-related problems (DRP). This study aimed to analyze DRP-related factors in BPH patients. This research is a retrospective study conducted at Arifin Achmad Hospital, Riau Province, with data taken from January 2017 to December 2019. DRP classification uses Pharmaceutical Care Network Europe Classification Version (PCNE) 5.01. The relationship between categorical variables was analyzed using Pearson's chi-square. In this study, most of the patients were old age (73.9%), ethnic Malay (31.9%). Clinical characteristics of BPH patients 84.5% had a period of suffering from BPH less than 1 year, the most common BPH complications were hematuria at 34.3% and the most comorbid disease was hypertension 26.6%. Most of the patients used alpha-blocker monotherapy (89.3%). There were a total of 40 DRPs, the most common DRP category was interaction problems in the form of potential drug interactions (97.5%) followed by drug selection problems in the form of incorrect duplication in the therapy group (2.5%). Factors that were significantly associated with the occurrence of DRP in BPH patients were complications of BPH (p = 0.007, RR = 2.77), hypertension (p = 0.011, RR = 2.04), and polypharmacy (p = 0.00, RR = 4, 79). This study indicates that there is still DRP in BPH patients, especially concerning potential drug interactions. Undetectable DRP can cause drug-related morbidity and if not attended to or treated, it can lead to a drug-related death.
SAFETY EVALUATION ON THE USE OF HIGH ALERT DRUGS IN RSUD ARIFIN ACHMAD RIAU PROVINCE Khairunnisa, Najwa; Nugraha, Dimas Pramita; Bebasari, Eka; Bebasari, Afdal
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 11 No. 3 (2024): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v11i3.433

Abstract

High alert drugs are drugs that have a high percentage of causing risk of harm to patients. To avoid errors, high alert drugs must be used properly, including storage and marking. The objective of this study was determine the safe use of high alert drugs at Arifin Achmad Hospital in Riau Province. This was a descriptive study that included 68 pharmacy officers. A questionnaire was used to collect data, which was the univariately analysed on a computer system. The result showed that the accuracy of the use of high alert drugs based on the 5 principles was in the good category. As many as 65 people (95.6%) were good at the right patient, 67 people (98.5%) were good at the right drug, 66 people (97.1%) were good at the right time of administration, 65 people (95.6%) were good at the right dose, and 66 people (97.1%) were good at the right route of administration. As many as 67 (98.5%) rated the storage safety and labelling of high alert drugs as good. The conclusion of this study is that the implementation of the five rights principle of medication, storage safety and labelling of high alert drugs at Arifin Achmad Hospital in Riau Province has reached a good level.
Correlation between duration of diabetes mellitus type 2 with erectile dysfunction Firmansyah, Rio; Nugraha, Dimas Pramita
Jurnal Global Ilmiah Vol. 1 No. 4 (2024): Jurnal Global Ilmiah
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/jgi.v1i4.41

Abstract

Diabetes mellitus (DM) type 2 was one of systemic disease that cause high morbidity and mortality rate in Indonesia. This time Erectile Dysfunction (ED), one of DM type 2 complication become a serious issue because firstly the incidence of erectile dysfungtion is high. 50%-80% of people with DM type 2 have ED, Secondly this problem impact to patient life medicaly (psychology and infertility) as well as nonmedicaly (materials long divorve and family). Etiology of ED ed DM type 2 are diabetic neuropathy, diabetic angiopathy, psychis and hormonad factor. All of them earelated to duration of DM type 2. The research aims to learn about correlation between duration of DM type 2 with ED on Arifin Achmad Hospital pekanbaru. This study use cross sectional method the population were all of out patient care in Arifin Achmad Hospital. The study held on July – Agust 2013 with nonprobability sampling technique, consecutive sampling, and there are 42 responden. Based on the contingency coefficient test results, there were correlation between of duration of DM type 2 with ED (p= 0,012, r= 0,453). There is correlation between duration of DM type 2 with ED, with the strength of correlation and the direction of the positive correlation between duration of DM type 2 with ED.
Co-Authors Afdal " Afdal Afdal, Afdal Amru Sofian Bebasari, Afdal Dina Fauzia Eka Bebasari Fadilla Rizki Putri Fitmawati Fitmawati Hamidi, Yulis Hilwan Yuda Teruna Inayah " Inayah I Inayah Inayah Iwan Dwiprahasto Jarir At Thobari Jazil Karimi Kemala, Sandrina Khairunnisa, Najwa Lesi Kurnia Putri M. Irvan Noorrahman M.Irvan Noorrahman M.Yulis Hamidy Muhammad Ikhwan Fuadi Pertiwi, Lia Pratama, Anggit Armedo Rio Firmansyah, Rio Risnandar, Risnandar Sahwal Sahputra Saputra, Agus Susanti, Lasiah Yohanes Yohanes