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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Kedokteran Brawijaya Science and Technology Indonesia Majalah Kesehatan FKUB Indonesian Journal of Kidney and Hypertension JIMEK : Jurnal Ilmiah Mahasiswa Ekonomi Heart Science Journal CRJIM (Clinical and Research Journal in Internal Medicine) Jurnal Jeumpa Narra J Jurnal Klinik dan Riset Kesehatan Jurnal Penyakit Dalam Indonesia Jurnal Kesehatan Deka in Medicine
Nur Samsu
Brawijaya University, Dr. Saiful Anwar Hospital, Malang
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Strategi Memerangi Resistensi Antibiotik Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 2 No 1 (2022): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.1.1

Abstract

Ambulatory Blood Pressure Monitoring (ABPM): Prosedur, Interpretasi dan Penggunaan Klinik Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 2 No 3 (2023): Edisi Juni
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.3.4

Abstract

Mengingat peran penting hipertensi sebagai salah satu penyebab utama morbiditas dan mortalitas prematur global, maka untuk diagnosis dan tatalaksana hipertensi secara tepat, hal yang sangat penting adalah melakukan pengukuran tekanan darah (TD) yang tepat. Secara historis, diagnosis, tatalaksana, dan prediksi risiko kematian pada pasien hipertensi didasarkan pada pembacaan TD di klinik. Namun, pembacaan TD di klinik terbukti tidak selalu dapat mencerminkan TD pasien yang sebenarnya. Dilain pihak, telah banyak bukti yang menunjukkan bahwa ambulatory blood pressure monitoring (ABPM) adalah prediktor yang lebih baik untuk kejadian kardiovaskular utama dibandingkan pengukuran TD di klinik. ABPM mengurangi jumlah pembacaan yang salah, bersamaan dengan manfaat tambahan untuk memahami variabilitas dinamis TD. ABPM memungkinkan pencatatan pengukuran TD setiap 15 – 30 menit dalam 24 jam dan mengevaluasi berbagai parameter seperti TD rata-rata 24 jam, TD rata-rata siang hari, TD rata-rata malam hari, dan persentase penurunan TD pada malam hari. Tulisan ini fokus pada pentingnya ABPM, kelebihan dan keterbatasannya dibandingkan dengan pengukuran TD klinik standar serta prosedur dan interpretasinya dalam mendiagnosis dan melakukan tatalaksana hipertensi secara lebih tepat
Diagnosis dan Tatalaksana Hipertensi Krisis Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 3 No 1 (2023): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.1.6

Abstract

Hypertensive crises are divided into emergency and urgent hypertension. For most doctors, the differences between these two types of hypertensive crisis present their own challenges, especially in terms of therapy and follow-up. The main distinguishing feature of these two types of hypertensive crisis is the presence of ongoing acute target organ damage, not the degree of blood pressure (BP). A hypertensive emergency is a true medical emergency, which generally requires immediate lowering of BP, in an intensive care unit and short-term, easily titrated intravenous antihypertensive drug therapy. Common management strategies are based on hypertension-specific organ damage (HMOD); the onset of HMOD, especially time-sensitive ones such as acute ischemic stroke, acute ST-elevation myocardial infarction; and availability of facilities and resources. A hypertensive emergency is a state of severe or significant increase in BP but without acute damage to target organs. This type of hypertension does not require rapid lowering of BP, and can be treated on an outpatient basis with appropriate oral medications.
Tantangan Terhadap Tatalaksana Sindroma Nefrotik Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 3 No 1 (2023): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.1.1

Abstract

Apakah Perlu Ada Subspesialis Nefro-Kardiologi? Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 4 No 1 (2024): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.1.1

Abstract

Heparin: Indikasi Klinis dan Strategi Pencegahan Risiko Perdarahan Samsu, Nur
Jurnal Klinik dan Riset Kesehatan Vol 5 No 1 (2025): Edisi Oktober 2025
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.05.1.1

Abstract

Strategi Penerapan kebijakan Pengiriman logistik Nol Emisi di Jawa barat Samsu, Nur
Jurnal Kesehatan & Disiplin Ilmu Vol 1 No 03 (2023): Keperawatan & Multidisiplin
Publisher : LPPM Akper Kebonjati

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Abstract

Abstrak Penelitian ini mengkaji penerapan kebijakan pelayaran nol emisi di Indonesiakarena pertumbuhan industri pelayaran di negara itu telah menyebabkan peningkatan emisi kapal, yang berdampak pada kualitas udara dan laut, serta menimbulkan risiko bagi kesehatan manusia, iklim, dan ekosistem. Tujuan dari penelitian ini adalah untuk menentukan dampak kebijakan terhadap industri pelayaran negara jika kebijakan nol emisi berhasil diterapkan. Untuk mengumpulkan data dan wawasan, wawancara dilakukan dengan Departemen Kelautan Indonesia (MDM), dan analisis konten digunakan. Dengan memberikan wawasan tentang implementasi kebijakan nol emisi, penelitian ini membantu mengatasi tantangan keberlanjutan industri pelayaran di Indonesia.
The Role of Plasma Osmolarity in the Mortality of Patients with Covid-19 Indiastari, Dewi; Candradikusuma, Didi; Sutanto, Heri; Budiarti, Niniek; Samsu, Nur
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.12

Abstract

Covid-19 (Coronavirus disease 2019) is a new infectious disease that attacks the respiratory tract and is caused by severe acute respiratory syndrome coronavirus 2 (SARSCoV-2), causing multiorgan failure, often requiring temporary support such as the use of a ventilator or hemodialysis equipment. This condition is related to an imbalance in fluid distribution associated with changes in osmolarity or hyperosmolarity. This research aims to explain the role of plasma osmolarity in Covid-19 patients at dr. Saiful Anwar Hospital, Malang, in patient outcomes, especially death outcomes. The sample for this study was 205 medical records of Covid-19 patients, recorded from September 2021 to May 2022. This study used a retrospective cohort design to describe plasma osmolarity in Covid-19 patients and the outcome of hospitalized patients. There were 205 patient data obtained, with 85 patients dying aged <65 years. Sixty-eight patients of Covid-19 with comorbidities (DM, HT, AKI, CKD, combination) died. There was no difference in plasma osmolarity for living and deceased patients. Repeated plasma osmolarity (retest) had a good degree of accuracy in predicting the outcome of Covid-19 patients, where sensitivity was 71.3% and specificity was 73.4% at a cut-off value of 277.32mOsm/L. The repeat plasma osmolarity value of ≥277.32 had a PPV value of 75%, while plasma osmolarity <277.32 had an NPV value of 69.3%. The OR value was 6.77, meaning that Covid-19 patients with repeated plasma osmolarity levels ≥277.32 would have 6.77 times the risk of mortality compared to Covid-19 patients with repeated plasma osmolarity levels <277.32.
Comparison of Carotid Intima-Media Thickness (CIMT) and Calcium-Phosphorus (Ca × P) Product Between Hemodialysis (HD) Patients and Continuous Ambulatory Peritoneal Dialysis (CAPD) Patients. Rosandy, Kharisma Ogit; Winoto, Eden Suryoiman; Samsu, Nur
Clinical and Research Journal in Internal Medicine Vol. 6 No. 2 (2025): Volume 6 No 2, November 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2025.006.02.09

Abstract

Background: Cardiovascular disease is the leading cause of death in end-stage renal disease (ESRD). Carotid intima-media thickness (CIMT) and the calcium–phosphate (Ca × P) product are recognised surrogate markers of cardiovascular risk in dialysis recipients. Objective: This study aims to compare CIMT and Ca × P product levels between patients undergoing HD and CAPD. Methods: A cross-sectional study was conducted on 93 dialysis patients (49 HD, 44 CAPD) at Saiful Anwar General Hospital, Indonesia. Participants were over 18 years old, on dialysis for at least three months (HD at least twice weekly), and physically independent. Critically ill and pregnant patients were excluded. The Mann-Whitney U test compared CIMT and Ca × P levels, and Spearman's rank correlation analyzed the relationship between CIMT and Ca × P product Results: Significant differences in CIMT (p=0.0013) and Ca × P product (p<0.0001) were found between the HD and CAPD groups. A positive correlation between CIMT and Ca × P product was observed in HD patients compared to CAPD patients (r = 0.212, p = 0.044), Conclusion: This study revealed that CIMT was higher in HD patients compared to CAPD patients. Furthermore, the Ca × P product was lower in the CAPD group than in the HD group, and a positive correlation existed between CIMT and Ca × P in HD patients.
Co-Authors ACHMAD RIFAI Achmad Rudijanto Akhmad Sabarudin Albaar, Thoha M. Arie Srihardyastutie asihanti rosita ferdiana Aulanni’am Aulya, Justika Usmadhani Baridwan, Fakhri Camoya Gersom Dela, Jamaludin A. Dewi, Ratih TK. Diana Lyrawati Didi Candradikusuma Dwinata, Michael Fachrureza, Mochamad Fahmi, Ahmad Luthfi Fajar, Jonny Karunia Farahdina, Farahdina Fatimatuz Zahroh, Fatimatuz Fiddaroini, Saidun Fredo Tamara, Fredo Friatna, Yudha Gandung Satriyono, Gandung Hani Susanti, Hani Heri Sutanto Huda, Fariz N. Ida Wahyuni Indiastari, Dewi Jack Roebijoso Jonny K. Fajar Kosasih, Angelia Kusuma, Yeziga Enggar Matondang, Asri Rizqi Mutia, Tari Ni Luh Tantri Niniek Budiarti B Novitasari, Adinda Dian Nurike S Mudjari, Nurike S Oktavia Rahayu Adianingsih Pratama, Satya Putra, Riyantono Putri, Irawati E. Rifa'i, Achmad Rizaliansyah, Ferdian Roja’i, Abdul Munir Rosandy, Kharisma Ogit Rudy Salam, Rudy Salsabila, Isadora Evani Saraswati, Dara Sari, Fitria R. Susanto, Agung Suseno, Aryo Sutrisno, Muhammad A. Tidel, Caesar Tupamahu, Alvira R. Waafi, Affa Kiysa Wicaksono, Ramadi S. Winoto, Eden Winoto, Eden Suryoiman Wursito, Wursito Zuhri, Mohammad harisudin