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All Journal Jurnal Biodjati Journal Orthopaedi and Traumatology Surabaya (JOINTS) Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Riset Ilmiah Seroja Husada: Jurnal Kesehatan Masyarakat
Eka Fithra Elfi, Eka Fithra
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Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Dampak Pandemi Coronavirus Disease 2019 (COVID-19) Terhadap Layanan Bedah Jantung di RSUP Dr. M. Djamil Padang Izzati, Ilham Yuma; Alvarino, Alvarino; Elfi, Eka Fithra
Seroja Husada: Jurnal Kesehatan Masyarakat Vol. 1 No. 6 (2024): Seroja Husada: Jurnal Kesehatan Masyarakat
Publisher : Seroja Husada: Jurnal Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Corona virus disease 2019 (COVID-19) merupakan new emerging disease disebabkan oleh severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) yang menyerang sistem pernapasan dan menimbulkan gejala ringan sampai berat. Pasien COVID-19 umumnya memiliki banyak komorbiditas, terutama penyakit jantung sebanyak 8%. Pandemi COVID-19 menyebabkan penurunan layanan bedah jantung. Tujuan penelitian ini untuk mengetahui dampak pandemi COVID-19 terhadap layanan bedah jantung. Penelitian ini merupakan studi observasional analitik dengan desain cross-sectional. Penelitian ini membandingkan layanan bedah jantung sebelum dan selama pandemi COVID-19 (Maret 2019-Februari 2020 dengan Maret 2020 - Desember 2021). Pengumpulan data dilakukan pada bulan November 2021 - Februari 2022. Teknik pengambilan sampel adalah total sampling. Analisis yang digunakan dalam penelitian ini adalah analisis univariat dan bivariat. Hasil dari data yang didapatkan 8 sampel sebelum pandemi dan 9 sampel selama pandemi. Didapatkan rerata usia pasien sebelum dan selama pandemi adalah 26,50 tahun dan 26,67 tahun, dengan sebagian besar adalah perempuan. Sebagian besar pasien memiliki komorbid, dengan seluruh pasien didiagnosis penyakit jantung kongenital dan menjalani tatalaksana korektif kongenital. Tidak didapatkan perbedaan yang signifikan antara pandemi dengan waktu layanan pra-operatif (p=0,114), intra-operatif (p=0,082) dan pasca-operatif (p=0,550). Kesimpulan, tidak didapatkan perbedaan waktu layanan pra-operatif, intra-operatif dan pasca-operatif pasien bedah jantung sebelum dan selama pandemi.
Profile of Lumbar Spinal Stenosis Patients at Dr. M. Djamil Central Public Hospital from 2018-2022 Akbar, Inasa Faiza; Sahputra, Roni Eka; Elfi, Eka Fithra; Rahmadian, Rizki; Rusjdi, Dina Arfiani; Silvia, Nelmi
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 13 No. 2 (2024): October 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v13i2.2024.52-60

Abstract

Background: Lumbar Spinal Stenosis (LSS) is a pathological condition characterized by narrowing of the spinal canal in the lower back. In Indonesia, comprehensive data on LSS is currently unavailable. This study aimed to determine the profile of LSS patients at Dr. M. Djamil Central Public Hospital. Methods: This descriptive cross-sectional study utilized medical record data from 122 LSS patients at Dr. M. Djamil Central Public Hospital between 2018 and 2022, selected via consecutive sampling. Inclusion criteria included age over 18 years and a confirmed LSS diagnosis. Exclusion criteria included incomplete medical records, lack of MRI results, and follow-up visits without treatment. Univariate analysis was performed using SPSS 25.0 to describe patient characteristics, causative factors, symptoms, location of stenosis, and management type. Results: In this study, 122 samples met the inclusion and exclusion criteria. LSS was mainly found in patients aged 60-69 years (33.6%) and in women (59%). Most LSS patients had obesity (BMI category I, 32%). Many LSS patients were housewives (42.62%) and reported light work activity (63.1%). The most common cause of LSS was degenerative factors (59%). The main symptom experienced by LSS patients was lower back pain (94.3%), frequently accompanied by radicular pain (79.5%). The most common location of stenosis was L4-L5 (43.4%). Most LSS patients in this study were managed both conservatively and operatively (70.5%). Conclusion: These findings contribute to a better understanding of LSS prevalence and distribution among patients. Further multicenter studies are needed to establish a comprehensive national LSS profile.
Correlation Between Heart Rate and Left Ventricular Ejection Fraction in Peripartum Cardiomyopathy Patients at RSUP Dr. M. Djamil Padang Sinai, Nadiva Kezia; Hamdani, Rita; Putra, Andani Eka; Elfi, Eka Fithra; Silvia, Nelmi; Sriyanti, Roza
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 1 (2025): Maret 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i1.1298

Abstract

Abstract Background: Peripartum cardiomyopathy (PPCM) is one of the highest preventable causes of death in pregnant women after delivery. Left ventricular ejection fraction (LVEF) describes the degree of damage to myocardial systolic function. Heart rate frequency might be used as one of the prognosis indicators of peripartum cardiomyopathy. Objective: This study aimed to determine the correlation between heart rate frequency at diagnosis and LVEF at diagnosis and after 6 months in patients with PPCM at Dr. M. Djamil Padang Hospital for the period 2017-2021. Methods: This is an observational retrospective analytic study. Samples came from secondary data obtained through the medical records of patients with PPCM at Dr. M. Djamil Padang Hospital for the period 2017-2021, collected using the total sampling technique, 17 samples met the inclusion criteria. Data analysis was performed using simple logistic regression method. Results: The results shows the median age of the patients was 32 years. The average body mass index was 26.32 kg/m2, with hypertension in pregnancy (58.8%), with multiparity (52.9%), delivery by cesarean section (88.2%), diagnosis made postpartum (70.6%), therapy with ACEi/ARB, beta blocker, spirinolactone (100%); LVEF category 20 – 35% (52.9%), delta LVEF more than 10% after 6 months (70.59%). There was no statistically significant relationship between heart rate frequency at diagnosis and LVEF at diagnosis (p > 0.1). There was a statistically significant association between heart rate frequency of 111 - 120 beats per minute at diagnosis and LVEF after 6 months (p < 0.1). Conclusion: There was no association between heart rate frequency and LVEF at diagnosis. There is an association between heart rate frequency of 111 - 120 beats per minute at diagnosis and LVEF after 6 months.
KARAKTERISTIK KLINIKOPATOLOGI KARSINOMA SERVIKS DI RUMAH SAKIT DR. M. DJAMIL PADANG  PERIODE 2018 – 2021 Fedrivia, Rannia; Asri, Aswiyanti; Elfi, Eka Fithra; Muhammad, Syamel; Mulyani, Henny; Nofita, Eka
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 5 (2025): SINERGI : Jurnal Riset Ilmiah, Mei 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i5.1206

Abstract

Cervical carcinoma is a malignant tumor of cervical epithelial cells which is more than 90% caused by the human papillomavirus. Clinicopathology factors in cervical carcinoma such as age, history of parity, history of sexual intercourse, history of clinical manifestations, histopathology type and degree of differentiation are known to affect the prognosis. This study aims to determine the clinicopathological characteristics of cervical carcinoma at Dr. M. Djamil Hospital Padang in 2018-2021. This research is a descriptive research with the number of samples, 108 patients with confirmed cervical carcinoma. Research was conducted from March 2022 to March 2023 at the Laboratory of Anatomical Pathology, Dr. M. Djamil Padang. The results found that majority of cervical carcinoma patients is ≥45 years old (74,1%) with all patients are married (100%). The clinical manifestation that most patients complained about was vaginal bleeding 99.1% and 91,7% patients of cervical carcinoma were multiparity. The most common histopathological type of cervical carcinoma is squamous cell carcinoma (77.8%) and the highest degree of differentiation is moderate (47.2%). The cervical carcinoma patients at the Laboratory of Anatomical Pathology Dr. M. Djamil Hospital in 2018-2021 were found in the early elderly age group and are in advanced stage so it is necessary to carry out early detection and prevention of cervical carcinoma.
Hubungan Diabetes Melitus dengan Kematian dan Rehospitalisasi Pasien STEMI Pasca IKPP Sylvia; Elfi, Eka Fithra; Putri, Biomechy Octomalio; Ilhami, Yose Ramda; Anggraini, Fika Tri
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 4 (2025): Desember 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i4.1467

Abstract

Latar Belakang: ST-Elevation Myocardial Infarction (STEMI) tetap menjadi tantangan kesehatan utama dengan risiko kematian dan rehospitalisasi yang lebih tinggi pada pasien dengan diabetes melitus (DM). Meskipun intervensi koroner perkutan primer (PPCI) efektif menurunkan angka kematian dibandingkan terapi fibrinolitik, pasien DM menghadapi risiko komplikasi lebih besar karena kerusakan vaskular dan hiperglikemia. Objektif: Penelitian ini bertujuan untuk mengetahui hubungan DM dengan kematian dan rehospitalisasi padapasien STEMI pasca IKPP di RSUP. Dr. M. Djamil Padang Metode: Penelitian ini merupakan penelitian analitik obsevasioal dengan desain cross sectional. Penelitian ini menggunakan data sekunder rekam medik pasien dan  menggunakan media telepon. Teknik pegambilan sampel adalah total sampling dengan 104 subjek memenuhi kriteria penelitian. Hasil: Dari 104 sampel yang memenuhi kriteria inklusi, terdapat 89 laki-laki, usia dominan 45–64 tahun (n=62), 69 memiliki IMT ≥23, 39 dengan lokasi infark anterior, 69 perokok, 101 mengalami penurunan kadar HDL, 71 mengalami peningkatan kadar LDL, dan 85 memiliki faktor risiko ganda. Terdapat 9 kasus kematian (8 dengan DM) dan 19 kasus rehospitalisasi (14 dengan DM), dengan korelasi signifikan antara DM dengan kematian (p=0,015) serta rehospitalisasi (p=0,034). Kesimpulan: Kesimpulan penelitian ini menunjukkan pasien STEMI didominasi laki-laki, usia 45-64 tahun, dengan IMT ≥23, penurunan HDL, peningkatan LDL, lokasi infark anterior, faktor risiko ganda, dan merokok. Kejadian kematian dan rehospitalisasi lebih sering pada pasien dengan diabetes melitus, dengan hubungan signifikan terhadap peningkatan risiko keduanya
The Role of Endothelial Microparticle in Coronary Heart Disease as The Complications of Diabetes Mellitus Elfi, Eka Fithra; Ilhami, Yose Ramda; Darwin, Eryati
Jurnal Biodjati Vol 4 No 1 (2019): May
Publisher : UIN Sunan Gunung Djati Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15575/biodjati.v4i1.4164

Abstract

  Coronary heart disease (CHD) is caused by obstruction of coronary blood flow due to endothelial dysfunction triggered by various genetic and non-genetic risk factors such as hyperlipidemia, hypertension, hyperglycemia and obesity. Endothelial cell activation due to hyperglycaemia in diabetes mellitus induces production of pro-inflammatory factors that damage the cell membrane triggering the formation of membrane particles called microparticles. Endothe-lial microparticles contain proteins including endothelial nitric oxide synthase (eNOS) which plays a role in the production of nitric oxide (NO). To determine the role of microparticles in the occurrence of coro-nary heart disease in diabetes mellitus due to endothelial dysfunction, a study was conducted by comparing the levels of eNOS and NO in DM patients who had CHD with DM patients who had no CHD. Blood samples from 20 DM patients who had CHD and 20 DM patients who had no CHD of the outpatients in Cardiology Department and Inter-nal Medicine department of regional public hospital were included in this study. All patients were fulfilled inclusion and exclusion criteria and diagnosed by the appropriate specialist. The eNOS and NO lev-els were measured using the ELISA method. The results of this study show that eNOS levels in the group of DM patients who had CHD (21,292±12,415 ng/ml) were significantly lower (p <0.05) than those in the group of DM patients who had no CHD (29,721±11,952 ng/ml). Nitric oxide levels in DM patients who had CHD (0,053±0,021 nmol/ μl) were not statistically different to the levels in DM patients who had no CHD (0,047±0,032 nmol/μl). From the results of this study we concluded that endothelial microparticle protein eNOS plays a role in the occurrence of CHD due to the complications of diabetes mellitus 
Co-Authors Akbar, Inasa Faiza Alvarino Alvarino Andani Eka Putra Aswiyanti Asri Dina Arfiani Rusjdi Eryati Darwin Fedrivia, Rannia Fika Tri Anggraini henny Mulyani Ilhami, Yose Ramda Izzati, Ilham Yuma Nelmi Silvia Putri, Biomechy Octomalio Rahmadian, Rizki Rita Hamdani Sahputra, Roni Eka Sinai, Nadiva Kezia Sriyanti, Roza Syamel Muhammad Sylvia