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LAPORAN KASUS HIPERTIROIDISME PADA KEHAMILAN: HASIL IBU DAN NEONATAL Muthmainnah, Afifah; Rustam, Ruza P
JOMIS (Journal of Midwifery Science) Vol 8 No 1 (2024): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v8i1.4309

Abstract

Normal pregnancy induces some clinical findings similar to thyroxine excess; Clinically mild thyrotoxicosis may be difficult to diagnose. Hyperthyroidism in pregnancy is a hyperthyroid condition that existed before pregnancy, or a condition that was acquired during pregnancy. The aim of this study is to determine the management of hyperthyroidism in uncontrolled hyperthyroid pregnancies and the clinical outcomes for mothers and neonates. The location of the research was Arifin Achmad Rekanbaru Regional Hospital. The research method is a study that explores a problem in detail, and collects in-depth data and includes various sources of information that will help doctors gain insight into hyperthyroidism in pregnancy. Data was taken retrospectively from medical records, from February to April 2021. The results of the study were that the management of hyperthyroidism in the first and second patients was the same, but the maternal and neonatal outcomes obtained were different. In both cases, both experienced uncontrolled hyperthyroidism. The neonatal outcome of the first patient was poor, but the mother survived. Unlike the second patient who died of thyroid storm, the baby was saved. Treatment should be carried out in intensive care areas that include special care units during labor and delivery units. Patients with uncontrolled hyperthyroidism are in the high risk group and require early fetal surveillance examination. Treatment with propylthiouracil, a thionamide that inhibits thyroid biosynthesis and peripheral conversion of T4 to T3 has become the drug of choice for hyperthyroidism in pregnancy. Proper management of hyperthyroidism during pregnancy is very important for the mother and fetus. Untreated hyperthyroidism can lead to pregnancy-related complications such as premature birth, growth restriction, and even fetal death.
Pendampingan Pendirian Bank Sampah dan Pelatihan Akuntansi untuk Unit Bank Sampah di SMA Negeri 1 Palembayan Kabupaten Agam Darmayanti, Yeasy; Puttri, Daniati; Suryadimal, Suryadimal; Muthmainnah, Afifah; Khairul, Nabila
Jurnal Vokasi Vol 8, No 3 (2024): November
Publisher : Politeknik Negeri Lhokseumawe

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30811/vokasi.v8i3.4689

Abstract

Permasalahan sampah merupakan isu sentral di seluruh dunia, dan terkhusus di negara-negara berkembang yang sebagian masyarakatnya belum teredukasi dengan baik. Kebiasaan masyarakat yang masih menyatukan apapun jenis sampah dan membuangnya ke TPA, dalam jangka panjang akan berakibat pada pencemaran lingkungan  parah  karena  sulitnya  sampah  organik  terurai,  dan  sampah  B3  tidak dikelola dengan baik. Kegiatan  pemilahan  sampah  harus  dilakukan  oleh  semua  pihak,  termasuk pihak sekolah. Sekolah sebagai lembaga pendidikan tentunya menjadi garda terdepan dalam membentuk karakter siswa untuk sadar pentingnya menjaga lingkungan. SMAN 1 Palembayan Kabupaten Agam merupakan salah satu sekolah yang memiliki target menjadi sekolah adiwiyata khususnya fokus terkait pengolahan sampah. Posisi sekolah yang dekat dengan pasar kecamatan, belum adanya pembimbingan Perguruan Tinggi terkait sampah, dan keinginan yang tinggi dari pihak sekolah untuk menjadi sekolah percontohan membuat kegiatan pengabdian ini dilaksanakan dengan tujuan khusus untuk memberikan Pendampingan Pendirian Bank Sampah dan Pelatihan Akuntansi Kepada Siswa SMAN 1 Palembayan Kabupaten Agam. Metode yang dilakukan adalah dengan melakukan pelatihan berulang dan pendampingan. Hasil yang diperoleh menunjukkan kemajuan yang cukup signifikan baik pemahaman maupun keinginan pihak sekolah untuk dapat melanjutkan kegiatan ini kedepannya.