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CORRELATION OF STORAGE SYMPTOMS OR OVERACTIVE BLADDER SYMPTOMS POST TRANSURETHRAL RESECTION OF THE PROSTATE WITH THE DURATION OF CATHETER USE IN A PATIENT WITH URINARY RETENTION DUE TO BENIGN PROSTATE HYPERPLASIA Perdinan, Alfindy; Alvarino; Ilmiawati, Cimi; Myh, Etriyel
Indonesian Journal of Urology Vol 32 No 2 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i2.944

Abstract

Objective: Find out the correlation of catheter use duration with the incidence of overactive bladder symptoms (OABS) post Transurethral Resection of The Prostate (TURP) in patients with urinary retention due to Benign Prostate Hyperplasia (BPH). Material & Methods: An observational analytical research correlation with a cohort approach was carried out on 29 patients with urinary retention due to BPH post TURP in five hospitals in Padang from January 2019 to August 2019. Data collected included the characteristics and duration of catheter use, which were obtained through interviews using questionnaires, while those of OABS were obtained based on the total score by using the overactive bladder symptoms score (OABSS) standard questionnaire. Results: The average duration of catheter use was 14.9 ± 8.0 days, and the average total OABSS score was 4.7 ± 2.5. Bivariate analysis results showed a positive correlation with a weak strength between the duration of catheter use and the total OABSS score (Pearson’s correlation, r = 0.396, p = 0.033). Conclusion: It is necessary to shorten the duration of catheter use to decrease the incidence and severity of OABS in patients with urinary retention due to BPH post TURP. Keywords: Benign Prostate Hyperplasia, duration of catheter use, overactive bladder, urinary retention.
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.
Pola Bakteri Berdasarkan Hasil Kultur dan Sensitivitas Antibiotik pada Penderita Abses Leher Dalam di Bagian THT-KL RSUP Dr. M. Djamil Padang Periode 2019-2021 Salim, Aurelia Agantha; Lestari, Yuniar; Asyari, Ade; Suharti, Netti; Ilmiawati, Cimi
Jurnal Otorinolaringologi Kepala dan Leher Indonesia Vol. 2 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jokli.v2i1.37

Abstract

Latar Belakang : Penyakit abses leher dalam merupakan perluasan peradangan dari berbagai sumber infeksi yang membentuk suatu pus di dalam ruang potensial leher dalam. Infeksi pada ruang potensial leher dalam dapat disebabkan oleh bakteri aerob, bakteri anaerob, maupun multibakterial. Terapi antibiotik empiris diberikan sebelum hasil kultur dan uji sensitivitas antibiotik didapatkan. Tatalaksana pemberian antibiotik yang tidak tepat dapat menyebabkan terjadinya resistensi antibiotik. Tujuan : Penelitian ini bertujuan untuk mengetahui pola bakteri berdasarkan hasil kultur dan sensitivitas antibiotik pada penderita abses leher dalam di Bagian THT-KL RSUP Dr. M. Djamil Padang periode 2019-2021. Metode : Jenis penelitian ini adalah deskriptif retrospektif dengan teknik total sampling dan menggunakan data sekunder. Sampel penelitian adalah pasien abses leher dalam yang terdapat hasil kultur dan uji sensitivitas antibiotik di Bagian THT-KL RSUP Dr. M. Djamil Padang periode 2019-2021 dengan total 77 pasien. Hasil : Hasil pada penelitian ini menunjukkan usia terbanyak ialah usia pertengahan (>44-59 tahun) (37,7%), jenis kelamin terbanyak ialah laki-laki (74%), lama perawatan terbanyak ialah < 7 hari (44,2%). Jenis abses leher dalam terbanyak ialah abses submandibula (42,9%), etiologi paling banyak ialah infeksi odontogenik (71,4%), terapi antibiotik empiris yang paling banyak digunakan ialah kombinasi ceftriaxone dan metronidazole (68,8%), hasil kultur terbanyak ialah bakteri Klebsiella pneumonia (18,2%), antibiotik dengan angka sensitif tertinggi ialah antibiotik amikacin (89,7%) dan meropenem (82,4%), dan angka resisten tertinggi ialah antibiotik amoxicillin (100%) dan ampicillin (93,3%). Kesimpulan : pola bakteri berdasarkan hasil kultur ialah Klebsiella pneumoniae dan uji sensitivitas antibiotik didapatkan gentamicin dengan kombinasi metronidazole yang dapat digunakan sebagai antibiotik empiris pada penderita abses leher dalam.
Gambaran Klinis dan Terapi Pasien Karsinoma Laring di Departemen THT-KL RSUP Dr. M. Djamil Padang Periode 2017-2021 Putri, Rahmi Novira; Rahman, Sukri; Ilmiawati, Cimi
Jurnal Otorinolaringologi Kepala dan Leher Indonesia Vol. 2 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jokli.v2i1.39

Abstract

Pendahuluan: Karsinoma laring adalah suatu tumor ganas yang berasal dari sel epitel laring. Faktor risiko utama yang berperan dalam perkembangan penyakit karsinoma laring adalah merokok dan alkohol. Penelitian ini bertujuan untuk mengetahui gambaran klinis dan terapi pasien karsinoma laring di departemen THT-KL RSUP Dr. M. Djamil Padang periode 2017-2021. Desain penelitian ini adalah deskriptif retrospektif yang menggunakan data rekam medis pasien karsinoma laring dengan teknik pengambilan sampel yaitu total sampling yang berjumlah 41 orang. Data pasien kemudian diolah dan ditampilkan dalam bentuk tabel distribusi frekuensi. Penelitian ini mendapatkan hasil bahwa kasus pasien karsinoma laring terbanyak terjadi pada tahun 2017 dan 2018 (31,7%), rerata usia 64 tahun dengan kelompok usia terbanyak 51-60 tahun dan 61-70 tahun (31,7%), lebih banyak pada laki-laki (97,6%), dan mayoritas faktor risiko merokok (95,1%) namun tidak memiliki tiwayat alkohol (92,7%). Keluhan utama tersering suara serak (51,2%). Gejala klinis yang muncul terdiri dari suara serak (73,2%), sesak nafas (65,9%), batuk (56,1%), dan sulit menelan (43,9%). Lokasi paling banyak ditemukan glotis (73,2%), stadium yang sering ditemukan stadium IVA (57,9%), dan tipe histopatologi terbanyak karsinoma sel skuamosa (100%). Jenis terapi yang paling sering diberikan kemoterapi (46,3%). Dapat disimpulkan bahwa pasien karsinoma laring memiliki faktor risiko yang umum dan karakteristik klinik yang tipikal serta sebagian besar datang dalam stadium lanjut. Oleh karena itu diperlukan upaya promotif dan preventif yang lebih agresif terhadap penyakit ini
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.