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All Journal Majalah Kesehatan FKUB Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Science Midwifery Jurnal Promotif Preventif Jurnal Altifani Penelitian dan Pengabdian kepada Masyarakat Cermin Dunia Kedokteran Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Jurnal Manajemen Jurnal Ilmiah Kesehatan Masyarakat GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Jurnal Kedokteran Ibnu Nafis Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Cermin Dunia Kedokteran
Agustiawan
Fakultas Kedokteran Institut Kesehatan Helvetia Medan
Religion Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Hubungan Waktu Tanggap dan Tunggu terhadap Kepuasan Pasien di Instalasi Gawat Darurat: Tinjauan Sistematis Serihati, Ade Yoska Tilla; Tabari, Muhammad Fadhlan La; Susanto, Denny; Nasir, Andi; Agustiawan, Agustiawan
Jurnal Promotif Preventif Vol 8 No 4 (2025): Agustus 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i4.2096

Abstract

Instalasi Gawat Darurat (IGD) memiliki peran krusial dalam memberikan pelayanan medis segera bagi pasien dalam kondisi kritis. Kepuasan pasien telah menjadi indikator utama mutu layanan kesehatan dan sangat dipengaruhi oleh waktu tunggu serta waktu tanggap petugas. Penelitian ini bertujuan untuk meninjau secara sistematis artikel penelitian asli yang mengkaji pengaruh waktu tanggap dan waktu tunggu terhadap kepuasan pasien di IGD. Pencarian literatur dilakukan melalui basis data Google Scholar, PubMed, dan SagePub dengan kata kunci terkait layanan darurat, waktu tanggap, waktu tunggu, dan kepuasan pasien. Artikel yang disertakan merupakan studi asli yang dipublikasikan sejak tahun 2015, dilakukan di lingkungan IGD, serta menggunakan desain penelitian seperti potong lintang, kohort, atau uji klinis acak. Sebanyak 12 studi memenuhi kriteria inklusi dan dianalisis lebih lanjut. Sembilan studi menunjukkan adanya hubungan signifikan antara waktu pelayanan yang lebih cepat dengan tingkat kepuasan pasien yang lebih tinggi, meskipun beberapa studi melaporkan hasil yang tidak signifikan. Perbedaan ini kemungkinan disebabkan oleh variasi metodologi dan kapasitas sistem kesehatan lokal. Simpulan dari tinjauan ini menegaskan bahwa waktu tanggap dan waktu tunggu merupakan determinan penting dalam membentuk kepuasan pasien dan perlu menjadi fokus utama dalam peningkatan mutu layanan IGD.
Comparison Of Reduction In Blood Pressure Between Sublingual and Oral Captopril Agustiawan, Agustiawan; Tabari, Muhammad Fadhlan La; Ilvira, Muhammad Natsir; Mastari, Ekawaty Suryani; Hardiyanti, Dwi
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 11 No. 4 (2025)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v11i4.1794

Abstract

Background: Hypertensive crisis poses a high risk for long-term cardiovascular complications, and management focuses on controlled blood pressure (BP) reduction rather than immediate normalization. Objective: To compare the effectiveness of sublingual and oral captopril in reducing BP among patients with hypertensive urgency. Methods: A literature review was conducted using English-language studies published after 2012 that evaluated BP reduction outcomes of sublingual versus oral captopril. Results: Three relevant studies met the inclusion criteria, comparing both administration routes in hypertensive urgency management. All studies demonstrated that sublingual and oral captopril were similarly effective in lowering systolic and diastolic BP within the first few hours after administration. Sublingual captopril consistently produced a faster onset of action, with BP reduction observed within 15–30 minutes, whereas oral administration required 30–60 minutes to achieve comparable effects. None of the studies reported significant differences in adverse effects between the two routes. These findings suggest that while overall efficacy is comparable, the sublingual route provides more rapid BP control, which may be crucial in acute care settings. Conclusion: Both sublingual and oral captopril are effective options for hypertensive urgency, with the sublingual form offering a faster therapeutic response suitable for rapid BP reduction in emergency situations.
Penggunaan Skor CONUT untuk Penentuan Pasien Stroke Iskemik Agustiawan; Novita, Dewi; Meilina, Ayu
Cermin Dunia Kedokteran Vol 51 No 6 (2024): Cardiology
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i6.1054

Abstract

Stroke patients are vulnerable to malnutrition, which is associated with poor outcomes, both in the acute and rehabilitation phases. Malnutrition at admission and one week after admission is a predictor of poor outcomes within or after three months of stroke. Adequate nutritional assessment and management are necessary to improve the outcomes of stroke patients. The CONUT score can be used for nutrition assessment in stroke patients.
Risk factors for postpartum psychiatric disorders: A systematic review Sitawati, Andini Dyah; Fahma, Hilmia; La Tabari, Muhammad Fadhlan; Ratnaningsih, Tri; Antariksa, Putri Mayang Sari; Agustiawan, Agustiawan
Science Midwifery Vol 13 No 5 (2025): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2123

Abstract

Introduction: Postpartum psychiatric disorders, particularly postpartum depression, are one of the most common psychological complications affecting maternal and neonatal well-being. These conditions are often underdiagnosed and undertreated, particularly in developing countries. Identifying risk factors is crucial for prevention and early detection. Objective: This systematic review aims to identify and analyze risk factors contributing to postpartum psychiatric disorders based on scientific evidence from 2015 to 2025. Methods: A literature search was conducted through PubMed, Scopus, ScienceDirect, and Web of Science databases using the keywords “postpartum depression,” “psychiatric disorder,” and “risk factors.” Included articles were observational human studies, written in English or Indonesian, reporting risk factors and postpartum psychiatric outcomes. Of the 1,026 articles screened, nine studies met the inclusion criteria. Results: The most consistent risk factors found included a history of previous psychiatric disorders, low social support, perinatal stress, low economic status, obstetric complications, and postpartum immunological dysregulation. Eight of the nine studies showed a significant association (p < 0.05). Conclusion: Postpartum psychiatric disorders are multifactorial, influenced by biological, psychological, and social factors. Preventive efforts should focus on antenatal screening, strengthening social support, and monitoring the mother's mental state after delivery.
Diagnosis dan Tatalaksana Sindrom Wernicke-Korsakoff Agustiawan Agustiawan; Feby Purnama
Majalah Kedokteran Indonesia Vol 74 No 3 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.3-2024-1321

Abstract

Wernicke-Korsakoff syndrome is a common complication of thiamine (vitamin B1) deficiency. The prevalence of Wernicke-Korsakoff syndrome (WKS) worldwide is 0-2%, especially in the homeless, elderly, and psychiatric patients. Individuals with malnutrition due to any cause are at risk for developing WKS. The most common social factor associated with WKS is chronic alcohol abuse. Ethanol has been shown to interfere with thiamine absorption in the gastrointestinal tract. The syndrome is classically described as a clinical triad consisting of altered mental status (confusion or dementia), nystagmus (or ophthalmoplegia), and ataxia. The diagnosis of WKS is based on the history and clinical findings supplemented by laboratory and radiological examinations. Treatment of thiamine deficiency in patients suspected of having Wernicke’s is intravenous injection of thiamine 500 mg infused over 30 minutes. The drug is given three times daily for two days. Thereafter, transition to 250 mg either intravenously or intramuscularly once daily for 5 days.
Co-Authors Agustiawan, Irwan Andi Nasir Andi Nasir Anggraini , Tivalen Dwirara Antariksa, Putri Mayang Sari Antariksa, Putri Mayangsari Anwar Bet Asmaret, Desi Ayu Meilina Dani Rosdiana dewi novita Dewi Novita Ekawaty Suryani Mastari Febryani, Ergina Rahmawati Feby Purnama Feby Purnama Fitriani, Arifah Devi Hardiyanti, Dwi Hendriyani, Dwi Hilmia Fahma Juwita Desry Kaonang, Mahardika Putri La Tabari, Muhammad Fadhlan M. Jailani Al-Fajri Mappeaty Nyorong Meilina, Ayu Muhammad Fadhlan La Tabari Muhammad Natsir Ilvira Nareswara, Anastu Regita Nora Maulina Nurhayati Nurhayati Putri Lisdiyati Rai Riska Resty Wasita Raja Merlinda Veronica Ramdika, Sari Bema Saragih, Novia Nurinta Jayanti Saragih, Ulfah Octavia Serihati, Ade Yoska Tilla Sitawati, Andini Dyah Sonia Novita Sari Sri Hajijah Sri Hajijah Purba Susanto, Denny Syahadatina Tabari, Muhammad Fadhlan La Tanjung, Asril Tri Ratnaningsih Veronica, Raja Merlinda Zulfikar, Deza Harati