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All Journal COPE Medula JURNAL AGROTEKNOLOGI JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Ners Planta Simbiosa : Jurnal Tanaman Pangan dan Hortikultura Jurnal Ilmiah ASET Jurnal Pengabdian Kepada Masyarakat (JPKM) Tabikpun Jurnal Pengabdian Nasional Jurnal Agroteknologi dan Pertanian (JURAGAN) Habitus Aquatica : Journal of Aquatic Resources and Fisheries Management Agrimansion: Agribusiness Management & Extension Media Pertanian Indonesian Trust Health Journal Jurnal abimana (Jurnal Pengabdian Kepada Masyarakat Nasional) JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agroteknologi dan Pertanian (JURAGAN)
Ari Wahyuni
Program Studi Ilmu dan Teknologi Benih, SPs IPB Jalan Meranti Kampus Darmaga Bogor, 16680 Telp/HP: 0852 8231 9041 2
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Journal : Medula

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Manajemen Jalan Napas Definitif pada Pasien Gawat Darurat Cholyviona W.S Handhayani; Sidharti, Liana; Wahyuni, Ari
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.979

Abstract

Definitive airway refers to the creation of a safe and patent airway to ensure adequate gas exchange, usually involving the trachea and special airway devices. Definitive airway is the standard of care in pre-hospital airway management, especially in trauma patients. Definitive airway has an important aspect in airway management, especially in emergency and trauma care, and its implementation is essential to ensure patient safety and stability. Proper training and routine maintenance skills are key to increasing the success rate of airway management procedures. A definitive airway can be performed if a clinical picture is obtained, including guarantees for maintaining a patent airway, failure to maintain adequate oxygenation with an oxygen mask or the appearance of apnea, airway guarantees including respiratory failure (hypoxia or hypercapnia), the presence of a head injury and requiring broadcast assistance, and decreased consciousness with a GCS (Glasgow Coma Scale) score of 8 or less. Patients with serious or persistent airway compromise usually require an airway device. The most common devices used in definitive airway include orotracheal intubation, nasotracheal intubation, and surgical airway (cricothyroidotomy and tracheostomy). The choice of airway device and technique is tailored to the specific clinical scenario and patient condition.
Sepsis pada Pneumonia: Literature Review Farhana, Shabrina; Wahyuni, Ari; Lisiswanti, Rika
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1075

Abstract

Sepsis is a clinical syndrome that occurs as a complication of severe infection and systemic inflammation and widespread tissue damage. Over the past three decades, the incidence of sepsis has continued to increase and has become the leading cause of death compared to other common diseases in Western countries. The incidence of sepsis reaches 750,000 every year with mortality reaching 50% in patients experiencing sepsis and septic shock. Pneumonia is the most common primary infection that occurs in sepsis patients. Pneumonia ranks third highest worldwide. Pneumonia sufferers with sepsis account for 40% of all pneumonia sufferers. Severe sepsis can be triggered by infections that occur during medical treatment or can also occur from community-acquired infections (Community Acquired Pneumonia). The aim of this literature review is to provide an overview of epidemiology, pathophysiology, clinical manifestations, and therapy that can be carried out in patients with pneumonia complicated by sepsis. The results of this literature study show that clinical manifestations in patients are influenced by the location of the infection, the type of organism, and the severity or lightness of the infection. Therapy that can be carried out in patients with pneumonia with sepsis is initial resuscitation which includes administering 0.9% NaCL for 6 hours and vasopressors to maintain the patient's hemodynamics, as well as administering empiric antibiotics followed by antibiotics according to the culture results and resistance in the patient.
Differences in Obesity Status on Blood Pressure at Panjang Health Center Bandar Lampung City Putri, Syalika Dianisa; Carolia, Novita; Graharti, Risti; Oktarlina, Rasmi Zakiah; Wahyuni, Ari
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1282

Abstract

Obesity continues to be a major health problem worldwide and has become an epidemic that has worsened over the past 50 years. Obesity has a prevalence that continues to increase every year due to unhealthy lifestyles and energy intake that is greater than energy expenditure. Obesity is closely related to the habit of consuming high-fat foods, which can increase the risk of increased blood pressure. Several studies have found that a 15% increase in body weight can cause an 18% increase in blood pressure. The results of the 2018 Indonesian Basic Health Research showed that the prevalence of obesity in the Indonesian population aged 18 years and over reached 21.8%. The purpose of this study was to determine the difference in obesity status on blood pressure at the Panjang Health Center, Bandar Lampung City. This study used an observational analytical method with a cross-sectional approach. The population in this study were obese patients registered at the Panjang Health Center, Bandar Lampung City in the period August 2023 to August 2024. The total number of research subjects who met the inclusion and exclusion criteria was 113 research subjects obtained from medical records of obese patients at the Panjang Health Center, Bandar Lampung City in the period August 2023-August 2024. Data are presented in a distribution table and analyzed using the Mann-Whitney test. The results showed a P value of 0.001 which indicated that there was a difference in the effect of obesity status on blood pressure status at the Panjang Health Center, Bandar Lampung City.
Co-Authors A Hakim, Nurman Agustia, Devi Aliati Iswantari Andini, Siti N Andini, Siti Novridha Andrifianie, Femmy Annisa Fitri Ar-Rahmah, Arsyka Hunjri Ario Damar Ayu Nabila, Diah Ayu, Inna Puspa Bias Cintaning, Anis Cholyviona W.S Handhayani Chrisna P Pradana, Onny Cintaning, Anis Bias Debby Handayati Harahap Dwi Yuni Wulandari Dyah Wulan Sumekar Rengganis Wardani Ety Apriliana Farhana, Shabrina Ferdiansyah, Ahmad Irzal H Zaini, Akbar Helmi Ismunandar Jumawati, Riana Karima, Nisa Karmaita, Yummama Kusumaningrum, Desy Liana Sidharti, Liana Majariana Krisanti Marcelia, Selvi Mohamad Rahmad Suhartanto N Andini, Siti Nabila, Diah Ayu Neti, Natali Niken Tunjung Murti Pratiwi Novita Carolia Nurhalim, Rofi Oktoba, Zulpakor Paulina, Maria Pradana, Onny Chrisna P Putri, Syalika Dianisa Ramadhana Komala Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Ratna Dewi Puspita Sari Reni Zuraida Reny Andriyanty Ria Putri, Ria Rika Lisiswanti Risa Wentasari Risti Graharti Rudang Astari Sinaga, Tamara SEPTIANA SEPTIANA Septiani, Linda Shinta Nareswari, Shinta Sinaga, Tamara Rudang Astari Sofyan Musyabiq Wijaya Sutarto . Suwarto Suwarto Syazili Mustofa T. Adjeng, Andi Nafisah TA Larasati Taisa, Rianida Tianigut, Gut Wardani, Helen Kusuma Widaryanti Widaryanti, Widaryanti Zaini, Akbar H Zen Hafy