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All Journal Jurnal Pendidikan Vokasi Jurnal Anestesi Perioperatif Biota: Jurnal Ilmiah Ilmu-Ilmu Hayati Althea Medical Journal Indonesian Journal of Multidisciplinary Science Jurnal Neuroanestesi Indonesia The Journal of Society Medicine (JSOCMED)
Suwarman Suwarman, Suwarman
SMKN 2 Pengasih Kulon Progo
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Uji Kesesuaian Pengukuran Berat Badan antara Metode Lorenz dan Metode Modifikasi PAWPER-XL MAC dengan Tempat Tidur Bertimbangan Khusus Pamugar, Bramantyo; Suwarman, Suwarman; Rismawan, Budiana
Jurnal Anestesi Perioperatif Vol 12, No 3 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v12n3.3826

Abstract

Berat badan aktual sangat penting di Intensive Care Unit (ICU). Baku standar penilaian berat badan aktual adalah timbangan khusus, namun timbangan ini tidak banyak tersedia di ICU. Alternatif lain untuk estimasi berat badan aktual dapat menggunakan metode antropometrik. Penelitian ini merupakan uji kesesuaian antara estimasi berat badan aktual menggunakan metode Lorenz dan modifikasi PAWPER-XL MAC dengan berat badan aktual menggunakan timbangan khusus baku standar. Penelitian ini adalah analitik observasional dengan potong lintang pada 83 pasien ICU rumah sakit Hasan Sadikin Bandung antara Agustus hingga November 2023. Uji kesesuaian menggunakan: uji t, P10, P20, mean percentage error (MPE), dan limit of agreement (LOA). Pasien metode Lorenz dan modifikasi PAWPER-XL MAC dengan rerata perawatan 2,00±1,704 dan rerata balans kumulatif 126,99±1483,62, didapatkan nilai p adalah 0,646 dan 0,717 secara berurutan, nilai P10 adalah 84,3% dan 71,1% secara berurutan, nilai P20 adalah 98,8% dan 95,2% secara berurutan, nilai MPE adalah 0,361 dan 0,463 secara berurutan, nilai LOA adalah -14,75 s/d 15,53 dan -18,12 s/d 19,04 secara berurutan. Semua berada dalam rentang yang direkomendasikan. Pengukuran estimasi berat badan aktual metode Lorenz dan modifikasi PAWPER-XL MAC sesuai dengan pengukuran berat badan aktual dengan tempat tidur bertimbangan khusus pada pasien-pasien ICU.
Management of Acute Pulmonary Edema in Kidney Transplant Patients in the ICU Ginting, Muhammad Aldi Rivai Ginting; Suwarman, Suwarman
Journal of Society Medicine Vol. 4 No. 5 (2025): May
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i5.210

Abstract

Introduction: Kidney transplantation is the standard treatment for end-stage renal disease (ESRD), significantly improving survival rates and quality of life. However, pulmonary complications are a leading cause of morbidity and mortality post-transplant. Case Report: This case report presents a 50-year-old male with chronic kidney disease (CKD), diagnosed five months prior and undergoing regular hemodialysis. He had a history of hypertension and diabetes mellitus. The patient underwent a 9-hour kidney transplant surgery without complications. Post-operatively, urine output was minimal (5 mL), prompting vasopressor support to elevate the mean arterial pressure above 150 mmHg, which improved renal function. On days one and two post-surgery, the patient developed respiratory distress, with a chest X-ray revealing pulmonary edema. Continuous furosemide infusion was initiated to manage fluid overload, leading to improvement in the patient’s respiratory status. By day four, the patient was stable and transferred from the ICU to a regular room. Pulmonary complications, including pulmonary edema, affect up to 80% of kidney transplant recipients in the first year post-transplant and contribute to high morbidity and mortality. Conclusion: This case emphasizes the importance of early recognition and management of pulmonary edema through fluid management and vasopressors. Timely intervention, including diuretic therapy, is crucial for stabilizing kidney transplant recipients and improving patient outcomes. The report highlights the need for further research to establish evidence-based guidelines for fluid management in kidney transplant patients. Effective management is essential for enhancing post-operative recovery and quality of life in transplant recipients.
Management of Patients with Guillain-Barré Syndrome in the Intensive Care Unit Sani , Fahmi; Suwarman, Suwarman
Journal of Society Medicine Vol. 4 No. 5 (2025): May
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i5.212

Abstract

Introduction: Guillain-Barré Syndrome (GBS) is an autoimmune disorder that affects the peripheral nervous system, commonly presenting with tetraplegia with or without sensory disturbances. This condition manifests as progressive muscle weakness and areflexia, leading to respiratory muscle weakness in severe cases, which often requires mechanical ventilation. ICU complications such as nosocomial infections, hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), and sepsis are commonly encountered in prolonged hospitalizations. Plasmapheresis therapy is a primary treatment option for GBS, alongside intravenous immunoglobulin (IVIG). Case Report: We report the case of a 42-year-old male patient diagnosed with GBS, who developed respiratory failure and was treated with plasmapheresis. The patient showed significant clinical improvement following three cycles of plasmapheresis, leading to earlier recovery. The patient was successfully weaned off mechanical ventilation after four days. Conclusion: GBS is an autoimmune disorder following infection, leading to nerve cell destruction. Severe muscle weakness can result in respiratory failure, necessitating mechanical ventilation therapy.
Ketorolac Administration with Ketorolac and Bilateral Superficial Cervical Plexus Block's Comparison to Total Post-Thyroidectomy Analgesic Rescue Needs Fathir, Sandi; Suwarman, Suwarman; Erlangga, Muchammad Erias
Indonesian Journal of Multidisciplinary Science Vol. 2 No. 8 (2023): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v2i8.520

Abstract

Thyroidectomy is generally performed by a surgeon with a short operating duration. Inadequate postoperative pain treatment results in several physiological and psychological outcomes, including prolonged hospital stays and the development of chronic pain. This study aims to compare the administration of ketorolac with a combination of ketorolac and bilateral superficial cervical plexus blocks to the total need for analgetic rescue after thyroidectomy surgery. This study used an experimental study with a single-blind randomized control trial method for both study groups. After surgery, group A was given an IV injection of 30 mg ketorolac, while group B was given IV injections of 30 mg ketorolac and bilateral superficial cervical plexus block under ultrasound guidance and 10 ml of 0.25% bupivacaine on each side of the neck before surgery was completed. Both groups would be monitored for 2 hours. The average value of total analgetic rescue needs in the patient group given ketorolac was 195.24 ± 72.72 mcg. While the total need for analgetic rescue in the group of patients who were given a combination of ketorolac and bilateral superficial cervical plexus blocks was 44.05 ± 19.21 mcg. The results of the unpaired T-test showed a p-value of 0.001. There is a significant difference in the total need for analgetic rescue in patients receiving ketorolac.
Kadar Hemoglobin, Jumlah Perdarahan dan Transfusi pada Pasien yang Menjalani Operasi Tumor Otak di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung Tahun 20152016 Ningsih, Diana Fitria; Suwarman, Suwarman; Bisri, Tatang
Jurnal Neuroanestesi Indonesia Vol 7, No 2 (2018)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.852 KB) | DOI: 10.24244/jni.vol7i2.4

Abstract

Latar Belakang dan Tujuan: Operasi tumor otak berhubungan erat dengan risiko perdarahan dalam jumlah besar yang dapat menyebabkan anemia. Efek klinis anemia dapat diperbaiki dengan pemberian transfusi darah. Transfusi diberikan dengan target level Hemoglobin (Hb) antara 9 sampai 10 gr/dL. Tujuan penelitian ini adalah untuk mengetahui gambaran kadar Hb dan hematokrit prabedah dan pascabedah, jumlah perdarahan serta pemberian transfusi darah pada pasien yang menjalani operasi tumor otak di RSUP Dr. Hasan Sadikin Bandung periode Juni 2015 sampai dengan Juni 2016.Subjek dan Metode: Penelitian ini merupakan penelitian deskriptif observasional yang dilakukan secara retrospektif terhadap 126 objek penelitian yang diambil di bagian rekam medis.Hasil dan Simpulan: Penelitian ini memperoleh hasil kadar Hb prabedah rata-rata sebesar 13,231,35 gr/dL dan hematokrit prabedah rata-rata sebesar 39,193,54%. Kadar Hb pascabedah 9 gr/dL sebanyak 15 pasien, Hb 910 gr/dL sebanyak 6 pasien dan Hb 10 gr/dL sebanyak 105 pasien. Hematokrit pascabedah rata-rata sebesar 34,036,03%. Jumlah perdarahan rata-rata sebesar 11591032,66cc. Transfusi yang diberikan pada 56 pasien terdiri atas PRC dengan jumlah rata-rata sebesar 365,81258,70cc, FFP rata-rata sebesar 425,45274,78cc dan WB 250cc.Hemoglobin Levels, Blood Loss and Transfusionin Patients Underwent Brain Tumor Surgery atDr. Hasan Sadikin Bandung General Hospital During 20152016Background and Objective: Brain tumor surgery is closely related to the risk of numerous bleeding that can cause the patient to be in an anemic condition. The clinical effects of anemia can be improved by administered blood transfusions. Transfusion can be administered with target Hemoglobin (Hb) level between 9 to 10 gr/dL.The purpose of this study was to describe of preoperative and postoperative levels of Hb and hematocrit, blood loss and how blood transfusion administered in patients undergoing brain tumor surgery at Dr. Hasan Sadikin Bandung during June 2015 to June 2016.Subject and Method: This is a descriptive observational study with retrospective approach to 126 objects taken at medical records.Result and Conclusion: The average of preoperative Hb level was 13,231,350 gr/dL and the average of preoperative hematocrit level was 39,193,54%. Number of patients with postoperative Hb level 9 gr/dL were 15 patients, Hb 9-10 gr/dL were 6 patients and Hb10 gr/dL were 105 patients. The average of postoperative Ht were 34,036,032%. The rate of blood loss was 11591032,66cc. The rate of transfusions administered to 56 patients was pack red cell 365,81258,70cc, fresh frozen plasma 425,45274,78cc and whole blood 250cc.
Pengelolaan praktik kerja industri pada program keahlian teknik pemesinan SMK se-Kabupaten Kulon Progo Suwarman, Suwarman; Pardjono, Pardjono
Jurnal Pendidikan Vokasi Vol. 4 No. 1 (2014): Februari
Publisher : ADGVI & Graduate School of Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (661.317 KB) | DOI: 10.21831/jpv.v4i1.2537

Abstract

Penelitian ini bertujuan untuk mengungkapkan (1) perencanaan; (2) pelaksanaan; (3) evaluasi pembelajaran; (4) evaluasi program; dan (5) manfaat dari praktik kerja industri. Jenis penelitian adalah survey. Sampel penelitian ditentukan berdasarkan tabel Isaac dan Michael dengan taraf signifikansi 5%. Analisis data yang digunakan adalah analisis data diskriptif kuantitatif. Hasil penelitian menunjukkan bahwa, aspek perencanaan masuk dalam kategori sangat tinggi dengan skor 89,74 Aspek pelaksanaan menurut persepsi siswa, guru pembimbing dan pembimbing industri, masuk dalam kategori tinggi dengan skor masing-masing 320, 41,43 dan 48,7. Menurut persepsi siswa 19% guru pembimbing kurang dalam melakukan monitoring. Sebagian industri (47%) tidak pernah memberikan masukan pada sekolah. Evaluasi pembelajaran dilakukan oleh semua industri. Pada aspek manfaat, siswa merasakan manfaat yang sangat besar dengan skor 340,16, sekolah merasakan manfaat yang besar dengan skor 8,88, dan industri merasakan manfaat yang besar dengan skor 57,5. THE INDUSTRIAL WORK PRACTICUM MANAGEMENT OF THE MACHINERY TECHNICAL SKILL PROGRAM OF SMK KULON PROGO REGENCYAbstractThis study aims to determine (1) the planning; (2) the implementation; (3) learning evaluation; (4) evaluation program; and (5) the benefits of the industrial work practicum.This study used survey method. The determination of the sample number used the sample size determination according to Isaac and Michael with the significance level of 5%. The data analysis used the descriptive quantitative analysis. The results of the research show that the planning aspects is in the high category with scor is 89,74.. The aspects of the implementation as perceived by students, teachers/ mentors, and industry mentors are in the high category with mean scors each 320, 41,43 and 48,7. According to the students perception there is less guidance from the counselor (19%) in monitoring activities of the industrial work practicum. Some of the industries (47%) never provide input to schools to improve the industrial work practicum. The learning evaluation of the industrial work practicum is performed by all industries. In the benefit aspects of the industrial work practicum, the students get many benefits with scor is 340,16, so do the schools and the industry with scors each 8,88 and 57,5.
Co-Authors Alam, Mohamad Deny Saeful Ayu Puji Lestari Bangun, Primta Boy Rahardjo Sidharta Budiana Rismawan Dedi Fitri Yadi Doddy Tavianto Dzulfikar D. Lukmanul Hakim Erlangga, Muchammad Erias Fathir, Sandi Ginting, Muhammad Aldi Rivai Ginting Harsono, Handoyo Ike Sri Redjeki Latuconsina, Fariz Wajdi Namastra Probosunu Ningsih, Diana Fitria Ningsih, Diana Fitria Oktaviani, Ayu Sary Pamugar, Bramantyo Prihartono, M. Andy Ratu Lewi, Ratu Rudi Kurniadi Kadarsah Ruli Herman Sitanggang Sani , Fahmi Swasono, Girindro Andi Tanjung, Iervan Churniawan Tatang Bisri