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All Journal JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Hearty : Jurnal Kesehatan Masyarakat
Deni Salmon
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Medicine & Pharmacology Other

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Hubungan Karakteristik, Pengetahuan dengan Stigma Petugas Kesehatan Tentang Koinfeksi Tuberkulosis-Virus Human Immunodeficiency di Kota Manado Salmon, Deni; Kandou, Grace D.; Palandeng, Henry M.F.; Porajow, Zwingly C.J.G.; Pakasi, Trevino A.
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 2 Nomor 1 Februari 2014
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Tuberculosis and human immunodeficiency virus (HIV) are two issues of public health which has become concern inthe world. HIV related stigma is a major barrier to treatment. Many cases of AIDS have been found compered hiv positiveraised the question how is hiv services in manado city. This study aims to determine the correlation betweencharacteristic, knowledge with stigma of health care workers about tuberculosis-human immunodeficiency virus coinfectionsin Manado city. The method of this research is analytical with cross-sectional design was conducted at fiveclinic of Manado city. Ninety seven health care workers were included in this study and they were selected proportion.Bivariat analysis (chi-square) was used to identify the correlations between characteristic, knowledge with stigmatizedattitudes. The result of research indicates that the level of stigmatized attitudes was high. Chi-square testshowed a correlation (p<0,05) between characteristic based on age with stigmatized attitudes, characteristic based onjob with stigmatized attitudes, characteristic based on years of experience with stigmatized attitudes, and knowledgewith stigmatized attitudes. Conclusion: There are a correlation between characteristic based on age, job, years of experienceand knowledge with stigmatized attitudes.Keywords: Characteristic, knowledge, stigma, health care workers, TB-HIV co-infection.
UTILIZATION OF ROCURONIUM AT A DOSE OF 0.8 MG/KG BODY WEIGHT IN CESAREAN SECTION WITH SPHENOID WING MENINGIOMA: A CASE REPORT Salmon, Deni; Senapathi, Tjokorda Gede Agung; Pradhana, Adinda Putra; Hartawan, IGAG Utara
HEARTY Vol 13 No 3 (2025): JUNI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i3.20047

Abstract

Sphenoid Wing Meningioma (SWMNG) is a prevalent intracranial tumor with significant implications for obstetric patients, particularly due to heightened risks of cerebral edema and increased intracranial pressure (ICP). This case highlights the anesthetic management of a pregnant patient with SWMNG and symptomatic epilepsy, focusing on the use of rocuronium bromide for rapid sequence intubation (RSI). Rocuronium, a non-depolarizing neuromuscular blocker, offers rapid onset and intermediate duration, making it a preferred choice for high-risk cases. A 34 year old woman at 38 weeks and 5 days of gestation with a confirmed diagnosis of SWMNG and symptomatic epilepsy underwent a cesarean section and surgical sterilization. The patient’s clinical history included frequent transient loss of awareness episodes, exacerbated during pregnancy. Imaging confirmed SWMNG, necessitating general anesthesia (GA) with rocuronium at a dose of 0.8 mg/kg to ensure effective RSI while minimizing risks of prolonged neuromuscular blockade, compromised hemodynamic stability, and increased ICP. The procedure was successfully completed with stable maternal and fetal outcomes. Rocuronium facilitated optimal intubation conditions and muscle relaxation, with minimal placental transfer and preserved uterine contractility. This case underscores the efficacy of precise rocuronium dosing in balancing rapid recovery, safety, and the unique challenges of airway management in obstetric patients with intracranial tumors. Vigilant monitoring and tailored anesthetic strategies are essential to mitigate complications, ensuring favorable outcomes for both mother and fetus.
Co-Authors Adinda Putra Pradhana Grace Debbie Kandou Hartawan, IGAG Utara Henry M. F. Palandeng Senapathi, Tjokorda Gede Agung Trevino A. Pakasi Zwingly C.J.G. Porajow