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All Journal Majalah Kedokteran Nusantara The Journal Of Medical School Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Armon Rahimi
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Humanities Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Public Health Social Sciences

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Eosinopenia Sebagai Penanda Dini Diagnosis Sepsis Bakterialis Elisabet Sipayung; Endang Sembiring; Armon Rahimi
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 48, No 1 (2015): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction :The early diagnosis of sepsis bacterialis plays an integral role in the morbidity and mortality of patients admitted to the hospitals and the intensive care unit (ICU) because it ensures the early administration of antibiotics. Thus the good markers of sepsis bacterialis which had good accuracy, easy to use and also cheap. Previously procalcitonin (PCT) was used to diagnose sepsis, unfortunetely it is expensive and this coupled with the fact that it takes a long time for the results to be attained and not always exist in developing countries, it is not an ideal marker for the early diagnosis of sepsis. In sepsis bacterialis, eosinophil absolut count decreased thus eosinopenia could be an early marker. The aim ofthis study was to know the accuracy of eosinopenia compared wih PCT to early diagnose of sepsis bacterialis. Methods : This cross-secional study was held from March 2014 until August 2014 in Internal medicine ward and ICU of H. Adam Malik Hospital Medan. Results : In this study the mean eosinophil count of the sepsis bacterialis patients was 27 sel/mm3• The cut-off of eosinopenia compared with PCT was 37 cells/mm3, then from statistical analysis the sensitivity of eosinophil was 94.9%, specificity was 92.3%, positive predictive value (PPV) was 92.5%, and negative predictive value (NPV) was 94.7%. Positive likelihood ratio was 12.3 and negative likelihood ratio was 0.06. From analysis of ROC curve area under the curve (AUC) was 92.4% (95% Cl:84.8% - 100%; p = 0.0001). Conclusion :Eosinopenia could be used to an early diagnosis of sepsis bacterialis. Keywords :sepsis bacteria/is, early diagnosis, proca/citonin,  eosinopenia
Bacterial Contamination on The First-Year Internal Medicine Residents’ Scrubs at H. Adam Malik Medan General Hospital Lubis, Muhammad Allif Syafrin; Armon Rahimi; Restuti Hidayani Saragih; Putri Chairani Eyanoer
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 4 No. 3 (2022): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v4i3.12490

Abstract

Background: The doctor’s white coat was known to be a source of nosocomial infection. Despite many studies’ results have shown the presence of bacterial contamination on the doctor's white coat, there was little research about bacterial contamination on the doctor's scrub. This study aims to investigate bacterial contamination on the scrubs of first-year residents of the Internal Medicine Department worn for one shift (17 hours). Method: This is a descriptive study on the first-year residents' scrubs which was conducted in January - February 2021 at H. Adam Malik Medan General Hospital. Samples were taken from the sleeves and pockets of the scrubs and programmed software was used to identify the amount, percentage of bacterial contamination, and bacterial species. Data were analyzed using the SPPS version 21. Result: Of the 31 first-year residents' scrubs that met the inclusion criteria, 79 colonies (50,6%) of bacterial contamination was found on the sleeves and 77 colonies (49,4%) in the pockets of the scrubs. Bacteria found on the scrubs are coagulase-negative Staphylococcus, Bacillus sp., Staphylococcus aureus, Acinetobacter Iwoffli, Pantoea sp., Acinetobacter baumanii, Klebsiella pneumaniae, Oligella ureolytica, and Pseudomonas stutzeri with the most common bacterial colonies found both in sleeves and pockets were coagulase- negative Staphylococcus (220.935 ± 180.56 and 289.09 ± 181.57). Conclusion: Bacterial contamination was found mainly on the sleeves of the scrubs with coagulase-negative Staphylococcus as the most contaminating bacteria and this should be taken into consideration as this strain could cause severe infection, especially in immunocompromised patients.
Gambaran HbA1c Pada Pasien Diabetes Melitus Tipe 2 Usia Dewasa Roma Asih Silaban; Armon Rahimi; Hendrianto Hendrianto
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 4 No. 8 (2024): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v4i8.2709

Abstract

Pasien DM tipe 2 dengan kadar Hb1Ac yang tidak terkontrol dapat berisiko mengalami komplikasi, karena kadar HbA1c yang semakin tinggi dapat meningkatkan tingginya hemoglobin penderita DM. Penelitian ini bertujuan untuk menganalisis jumlah HbA1c pada penderita DM tipe 2. Studi ini merupakan penelitian deskriptif dengan desain cross-sectional. Lokasi penelitian dilakukan di Rumah Sakit Umum Haji Medan pada bulan Juni 2024. seluruh pasien yang didiagnosa diabetes melitus tipe 2 dan sudah melakukan pemeriksaan darah di laboratorium Rumah Sakit Umum Haji Medan pada tahun 2023 sebanyak 336 orang. Besar sampel penelitian sebanyak 183 orang dengan teknik purposive sampling. Data dikumpulkan melalui data sekunder yaitu catatan atau rekam medis pasien diabetes melitus tipe 2 di Rumah Sakit Umum Haji Medan pada tahun 2023 setelah terapi selama 8-12 minggu. Data dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa sebanyak 52,5% responden berjenis kelamin perempuan. Sebanyak 74,9% responden berusia >50 tahun, dan usia 41-50 tahun sebanyak 23,5%, dan sebanyak 76% responden memiliki kadar Hb1Ac yang tidak terkontrol.
Co-Authors Elisabet Sipayung Endang Sembiring Hendrianto Hendrianto Lubis, Muhammad Allif Syafrin Putri Chairani Eyanoer, Putri Chairani Restuti Hidayani Saragih Roma Asih Silaban