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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Majalah Kedokteran Bandung Indonesian Journal of Urology Jurnal Kesehatan Andalas Jurnal Kesehatan Komunitas B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah Oto Rhino Laryngologica Indonesiana Majalah Kedokteran Andalas Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Narra J Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Sains, Teknologi dan Kesehatan
Cimi Ilmiawati, Cimi
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Engineering Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Public Health Social Sciences Other

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Mortality and associated factors among community-acquired pneumonia patients: A cross-sectional study in a provincial referral hospital in Indonesia Rosdiana, Dani; Siregar, Fajri M.; Ediwi, Nabila C.; Putri, Rahmi T.; Nurrahma, Zuyyina ER.; Elisabet, Adinda; Sarassari, Rosantia; Safari, Dodi; Ilmiawati, Cimi; Elliyanti, Aisyah
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.1649

Abstract

Community-acquired pneumonia (CAP) poses a significant impact on the healthcare system due to rehospitalization and mortality. About one-third of hospitalized CAP patients died within one year. In addition to advanced age, vulnerable groups with comorbidities such as cancer, diabetes, and cerebrovascular disease (CVD) are more likely to suffer from severe CAP. The aim of this study was to investigate the factors linked to mortality in adult hospitalized CAP patients. The study extracted the medical records of patients aged ≥18 years, admitted to a referral hospital in Riau Province, who were diagnosed with CAP between January and December 2023. Multiple logistic regression step-wise analysis was employed to determine the factors associated with mortality in CAP patients. The study involved 334 patients with a median age of 58 years. Based on the confusion, urea, respiratory rate, blood pressure, and age ≥65 years (CURB-65) score, 11.9% of patients had severe CAP (CURB-65 scores 3 and 4). Age was a significant predictor of severe CAP (p≤0.001). The most prevalent comorbidities were malignancy (33.2%), CVD (30.2%), and diabetes (28.4%). Mortality incidence during hospitalization reached 35.9%. Significant factors associated with mortality in hospitalized CAP patients included renal dysfunction/elevated serum urea levels (p=0.031), CURB-65 score (p=0.023), vasopressor use (p≤0.001), mechanical ventilator use (p≤0.01) and steroid use (p=0.029). However, CVD was associated with a decreased risk of mortality (p=0.019). Gram-negative bacteria predominated, accounting for 50.6% of all positive isolates.  Several significant factors were associated with mortality in adult patients hospitalized with CAP at referral Hospital in Riau, including renal dysfunction, CURB-65 score, vasopressor use, mechanical ventilator use, and steroid use. This finding underscored the importance of early identification factors in CAP patients.
Hubungan Kadar 25-Hidroksivitamin D (25(OH)D) Serum pada Ibu Hamil Trimester III dengan Fetal Outcome Delfina, Delfina; Amir, Arni; Ilmiawati, Cimi
Majalah Kedokteran Andalas Vol. 48 No. 2 (2025): MKA April 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v48.i2.p173-180.2025

Abstract

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan kadar 25(OH)D serum pada ibu hamil trimester III dengan fetal outcome. Metode: Penelitian ini merupakan penelitian observasional analitik dengan rancangan cohort terhadap 77 ibu hamil trimester III dan bayi baru lahir, penelitian dilakukan di wilayah kerja Puskesmas Andalas. Pengambilan sampel secara purposive sampling. Pengukuran kadar 25(OH)D serum dilakukan dengan metode ELISA secara dupleks. Data fetal outcome (berat badan, panjang badan, lingkar kepala) didapatkan dari buku Kesehatan Ibu dan Anak. Korelasi antar variabel diuji dengan uji korelasi Pearson atau Spearman. Hasil: Kadar 25(OH)D serum ibu hamil trimester III didapatkan nilai median yaitu 21,10 ng/ml dan 32 ibu hamil yang mengalami defisiensi. Kadar 25(OH)D) serum ibu berkorelasi negatif dengan berat badan bayi lahir (uji Pearson; r=-0,239; p=0,036), namun tidak memiliki korelasi yang bermakna secara statistik dengan panjang badan (uji Spearman; r=-0,106; p=0,360) dan lingkar kepala bayi  (uji Spearman; r=-0,031; p=0,788). Kesimpulan: Disimpulkan bahwa sebagian besar ibu hamil mengalami defisiensi 25(OH)D dan hal ini dapat mempengaruhi fetal outcome.
ANALISIS PENULISAN RESEP UNTUK PASIEN PESERTA JAMINAN KESEHATAN NASIONAL PADA PUSKESMAS DI KOTA PADANG Sadewa, Arendhika Sesa; Julizar, Jullizar; Usman, Elly; Ilmiawati, Cimi; Nurhayati, Nurhayati; Isrona, Laila
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 4 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i4.1939

Abstract

Prescription contain information about medication that used to treat the diagnosis and prevent complications from patient. A doctor should refer to the principles of rational therapy and National Formularies (FORNAS) in accordance with Government Regulation No. 12 of 2013. A correct prescription will minimize the occurrence of medication errors that could endanger the patient's life. From some studies, there are still many prescriptions that doesn’t pass the standards. This study aimed to analyze the quality of the doctor’s prescription writing for National Health Insurance (JKN) patients at health centers in Padang city. This observational study was performed in the three health centers in September 2023. Sampling was done by proportional stratified random technique, where we obtained 378 prescriptions. Prescriptions were analyzed for accuracy and completeness according to the WHO’s Guide to Good Prescribing. Prescription analysis showed that prescriptio were mostly complete (74%), superscriptio were all complete (100%), inscriptio were mostly complete (67%), signatura were mainly complete (99%), subscriptio were partially complete (58%), pro were nearly complete (96%) and 88% of prescription confirmed with the FORNAS.  It is concluded that improvements are needed in prescription writing and using drugs that are registered on FORNAS.
Education on Exposure and Health Risks of Forever Chemicals (PFAS) for Housewives and Adolescent Girls Ilmiawati, Cimi; Silvia, Roza; Arisanty, Dessy; Usman, Elly; Masrul; Amir, Arni; Hasmiwati; Reza, Mohamad; Ariadapa Rahadi, Didan; Fauzan, Rezky; Abi Ghofari Siregar, Muhammad; Olivia, Ivonne; Dwiharyani, Yuli; Ilham, Muhammad
Warta Pengabdian Andalas Vol 33 No 1 (2026)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.33.1.28-38.2026

Abstract

Our community service activity aimed to increase knowledge and awareness about the dangers of per- and polyfluoroalkyl substances (PFAS), known as “forever chemicals,” which are commonly found in household products, food packaging, and cosmetics. Long-term exposure to PFAS has been associated with numerous serious health effects, including an increased risk of several cancers, disruption of hormone homeostasis, liver toxicity, impaired immune function, and adverse reproductive and developmental outcomes.  The participants included housewives and adolescent girls (n = 20) who attended Padang Pasir Community Health Center, East Padang, Padang on 6 September 2025. An interactive educational session was conducted using a pre-test–post-test design to evaluate changes in knowledge and awareness. Analysis of participants who completed both assessments showed an improvement in knowledge following the intervention, with the greatest increases observed in understanding of healthy cooking utensils (50%) and the presence of persistent chemicals in cosmetics (50%). However, evaluation of awareness levels revealed only a minimal increase in median scores (from 57 to 60), which was not statistically significant (p = 0.221). We conclude that a focused educational session is effective in improving participants’ cognitive knowledge, but a more comprehensive and sustained approach is needed to promote meaningful behavioral change and deeper awareness, particularly since practicality and convenience remain major considerations when choosing household products, food packaging, and cosmetics.
Co-Authors Abdani, Fathan Alif Abi Ghofari Siregar, Muhammad Ade Asyari Aisyah Elliyanti Aizah, Havina Nurul Al Hafiz Alvarino Amel Yanis Andani Eka Putra Ariadapa Rahadi, Didan Arni Amir Asri, Ennesta Bobby, Bobby Brian Sri Prahastuti Dani Rosdiana Delfina, Delfina Desmawati Desmawati Dessy Arisanty Dwiharyani, Yuli Ediwi, Nabila C. Effendi, Muhammad Dzaky Sayyid Elisabet, Adinda Ernesto, Gian Esha, Indi Etriyel Myh Fasya, Haidar Haikal Fathiyyatul Khaira, Fathiyyatul Fauzan, Rezky Gardenia Akhyar Harahap, Sari Hasmiwati Hirowati Ali, Hirowati Husna, Annisa Tamara Julizar, Jullizar Juwita, Dinda Ratna Laila Isrona Lestari, Rahmi Mardhatilah, Ashifa Masnadi, Nice Rachmawati Masrul Djalal Muhammad Ilham Netti Suharti, Netti Nurhayati Nurhayati Nurrahma, Zuyyina ER. Nursyirwan Effendi, Nursyirwan Olivia, Ivonne Perdinan, Alfindy Putra, Alby Dwinanda Putri, Nabila Putri, Rahmi T. Rashieka, Shaydi Amala Reza, Mohamad Rosfita Rasyid Roza Silvia Sadewa, Arendhika Sesa Safari, Dodi Safitri, Nuridha Audinia Saptino Miro, Saptino Sarassari, Rosantia Siregar, Fajri M. Syamel Muhammad Syamsir, Elmatris Tofrizal Veronica, R. Merlinda Vivi Triana Wirza, Thifla Rafifa Yulia, Dwi Yulistini, Yulistini