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Literature Review: Analisis Faktor Risiko yang Berhubungan dengan Kejadian Apendisitis Akut Josephine Olivia Cristie; Agung Ary Wibowo; Meitria Syahadatina Noor; Budianto Tedjowitono; Iwan Aflanie
Homeostasis Vol 4, No 1 (2021)
Publisher : Homeostasis

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Abstract

Abstract: Acute appendicitis is an acute inflammation of the vermiform appendix it caused by an obstruction of the lumen appendix. Appendicitis can affect both men and women, but 1.3-1.6 times more often in men. In Indonesia, appendicitis was the second highest disease in 2009 until 2010. The aim of this literature review is to find out relation between an incidence of acute appendicitis with the risk factors. Method in this study used a narrative literature review of 20 related research literature. Results of this literature review showed that the percentage of literature related to the gender variable was 70% which stated that male gender had more acute appendicitis. Meanwhile, for the age variable, 66.67% stated that the age of 20-30 years had more acute appendicitis and also had a relationship. For dietary pattern variable as much as 55.6% were related and 44.4% stated that a bad dietary pattern was more affected by acute appendicitis and for the stool consistency variable as much as 66.7% were related. According to the researchers' view and the results of the synthesis. The data shows that the sex of men aged 20-30 years, a poor dietary pattern and the consistency of hard feces have a relation and can increase the incidence of acute appendicitis.  Keywords: risk factors, appendicitis, sex, age, dietary patterns, and appendicolith Abstrak: Apendisitis akut adalah peradangan akut pada apendiks vermiformis karena adanya obstruksi lumen apendiks. Apendisitis dapat mengenai laki-laki dan perempuan, namun 1,3-1,6 kali lebih sering mengenai laki-laki. Di Indonesia apendisitis menjadi penyakit tertinggi kedua pada tahun 2009-2010. Tujuan kajian literatur ini adalah untuk mengetahui faktor risiko yang berhubungan dengan terjadinya apendisitis akut. Metode pada penelitian ini menggunakan narrative literature review terhadap 20 literatur penelitian yang berkaitan. Hasil penelitian menunjukan persentase literature yang berhubungan untuk variabel jenis kelamin sebanyak 70% yang menyatakan jenis kelamin laki-laki lebih banyak terkena apendisitis akut. Sedangkan untuk variabel usia sebanyak 66,67% yang menyatakan usia 20-30 tahun lebih banyak terkena apendisitis akut dan juga memiliki hubungan. Pada variabel pola diet sebanyak 55,6% berhubungan dan 44,4% menyatakan pola diet yang buruk lebih banyak terkena apendisitis akut dan untuk variabel konsistensi feses sebanyak 66,7% berhubungan. Menurut pandangan peneliti dan hasil dari sintesis data, terdapat kesimpulan bahwa jenis kelamin laki-laki, usia 20-30 tahun, pola diet yang buruk dan konsistensi feses yang keras memiliki hubungan dan dapat meningkatkan kejadian apendisitis akut. Kata-kata kunci: faktor risiko, apendisitis, jenis kelamin, usia, pola diet, appendicolith
Literature Review: Gambaran Berbagai Skor Diagnosis Apendisitis dengan Skor Alvarado dalam Diagnosis Apendisitis Akut Laily Alfisahrinie; Agung Ary Wibowo; Meitria Syahadatina Noor; Budianto Tedjowitono; Iwan Aflanie
Homeostasis Vol 4, No 2 (2021)
Publisher : Homeostasis

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Abstract

Abstract: Appendicitis is an inflammation of the appendix vermiformis. Immediate surgery is the standard weakening to prevent perforation, but only by looking at clinical symptoms the negative appendectomy rate reaches 15-30%, leading to morbidity and even death. The ideal service system serves to speed up and improve diagnostic accuracy, the best known of which is the Alvarado score. Other service score tables are the King Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score, Appendicitis Inflammatory Response (AIR) score, and Tzanakis score. The purpose of this literature review is to see an overview of the various appendicitis diagnosis scores with the Alvarado score in the diagnosis of acute appendicitis. The research method used a narrative literature review of 20 related literatures. Examining 11 literature discussing the Ripasa score, got superior in sensitivity and negative predictive rates. In 5 literature that discusses the Tzanakis score, it was found to be superior in sensitivity, positive and negative predictive numbers. And in 4 literature discussing AIR scores, it was found superior in specificity and positive predictive numbers. So that the use of scores other than Alvarado can be revoked in daily practice. Keywords: Appendicitis, Alvarado score, Ripasa score, Tzanakis score, AIR score. Abstrak: Apendisitis merupakan peradangan pada appendiks vermiformis. Pembedahan segera merupakan standar emas untuk mencegah terjadinya perforasi, tetapi hanya dengan melihat gejala klinis angka apendektomi negatif mencapai 15-30%, sehingga akan mengarah pada morbiditas dan bahkan kematian. Sistem penilaian yang ideal berfungsi untuk mempercepat dan meningkatkan akurasi diagnostik, yang paling dikenal adalah skor Alvarado. Terdapat skor penilaian lainnya yaitu skor Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA), skor Appendicitis Inflammatory Response (AIR), dan skor Tzanakis. Tujuan kajian literatur ini untuk melihat gambaran dari berbagai skor diagnosis apendisitis dengan skor Alvarado dalam diagnosis apendisitis akut. Metode penelitian menggunakan narrative literature review terhadap 20 literatur yang berkaitan. Terdapat 11 literatur yang membahas skor Ripasa, didapatkan unggul dalam sensitivitas dan angka prediksi negatif. Pada 5 literatur yang membahas skor Tzanakis, didapatkan unggul dalam sensitivitas, angka prediksi positif dan negatif. Dan pada 4 literatur yang membahas skor AIR, didapatkan unggul dalam spesifisitas dan angka prediksi positif. Sehingga penggunaan skor selain Alvarado dapat dipertimbangkan dalam praktek sehari-hari. Kata-kata kunci: Apendisitis, skor Alvarado, skor Ripasa, skor Tzanakis, skor AIR.
Hubungan Hitung Jenis Leukosit dengan Tingkat Keparahan Apendisitis Martinus Anggriawan Salim; Agung Ary Wibowo; Meitria Syahadatina Noor; Budianto Tedjowitono; Iwan Aflanie
Homeostasis Vol 4, No 1 (2021)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.001 KB)

Abstract

Abstract: Acute appendicitis is the most common cases of emergency surgery. Appendicitis divided into several phase: focal, suppurative, gangrene, and perforation phase. In acute appendicitis that is not diagnosed and treated early, it will cause perforated appendicitis and has the higher risk to be peritonitis or abscess. Leukocytes are one of the body's defenses against infection. There are 5 types of leukocytes counted: basophil, eosinophil, neutrophil, monocyte, and lymphocyte. This research is an analytic observational study with a cross sectional approach. Total of 93 samples were taken using consecutive sampling technique. Data analysis using unpaired T-test was found that monocyte count was not related to the severity of appendicitis (p = 0.19). Data analysis using Man Whittney test was found that neutrophil and lymphocyte related with the severity of appendicitis (p = 0.02 and p = 0.01), while eosinophil and basophil count was not related to the severity of appendicitis (p = 0.182 and p = 0.109). Keywords: Acute appendicitis, perforated appendicitis, leukocyte count. Abstrak: Apendisitis akut merupakan kasus bedah emergensi paling sering ditemui. Apendisitis terbagi menjadi beberapa fase berdasarkan tingkat keparahannya yaitu fase fokal, supuratif, gangren, dan perforasi. Pada apendisitis akut yang tidak diagnosis dan diobati secara dini maka akan menyebabkan apendisitis perforasi. Leukosit merupakan salah satu pertahanan tubuh terhadap infeksi. Tipe leukosit yang dihitung ada 5 yaitu: basofil, eosinofil, neutrofil, monosit, dan limfosit. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Sebanyak 93 sampel diambil menggunakan teknik consecutive sampling. Analisis data menggunakan uji T-tidak berpasangan didapatkan hitung jenis monosit tidak berhubungan dengan tingkat keparahan apendisitis dengan nilai p= 0,19. Analisis data menggunkan uji Man Whittney didapatkan hitung jenis neutrofil dan limfosit berhubungan dengan tingkat keparahan apendisitis dengan nilai p= 0,02 dan p= 0,01, sedangkan hitung jenis eosinofil dan basofil tidak didapatkan berhubungan dengan tingkat keparahan apendisitis dengan nilai p=0,182 dan p= 0,109. Kata-kata kunci: Apendisitis akut, apendisitis perforasi, hitung jenis leukosit.
Pemanfaatkan Incenerator Limbah Infeksius: Upaya Menekan Penyebaran Covid-19 Kluster Sekolah Eko Suhartono; Iwan Aflanie; Noor Muthmainah; Sumi Kartika
Jurnal Pengabdian ILUNG (Inovasi Lahan Basah Unggul) Vol 2, No 2 (2022)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ilung.v2i2.6103

Abstract

AbstractThe Covid-19 death rate in Banjarbaru Utara District ranks first, followed by Liang Anggang District. This requires an integrated effort from all elements of society to help suppress the spread of COVID-19 cases through community empowerment, including students in the school environment. SMK Telkom Banjarbaru is one of the schools located in the North Banjarbaru sub-district, which has the potential as a cluster for the spread of covid 19. In this regard, it is necessary to provide counseling about the spread of Covid-19 and incinerators as infectious waste processors. The method used is lecture, discussion, and question and answer. The activity was attended by 90 students and teachers, consisting of 81 students and 9 teachers. The training went smoothly. The participants were enthusiastic in listening to the presentation of the material, and were active in asking questions about the spread of Covid-19 and the processing of infectious waste. The conclusion of this activity was that the participants were motivated in the treatment of infectious waste. Keywords: incinerators, Covid-19, infectious waste, AbstrakTingkat kematian Covid-19 di Kecamatan Banjarbaru Utara menempati urutan pertama diikuti oleh Kecamatan Liang Anggang. Hal ini diperlukan upaya terpadu dari semua elemen masyarakat untuk membantu menekan penyebaran kasus covid-19 melalui pemberdayaan masyarakat, termasuk siswa di lingkungan sekolah. SMK Telkom Banjarbaru merupakan salah satu sekolah yang terletak di wilayah kecamatan Banjarbaru Utara, yang berpotensi sebagai kluster penyebaran covid 19. Berkaitan dengan hal itu perlu diberikan penyuluhan tentang penyebaran Covid-19 dan incinerator sebagai pengolah limbah infeksius. Metode yang digunakan adalah ceramah, diskusi, dan tanya jawab. Kegiatan diikuti oleh siswa dan guru sebanyak 90 peserta, yang terdiri atas 81siswa dan 9 guru.  Penyuluhan berjalan dengan lancar. Para peserta antusias dalam mendengarkan pemaparan materi, dan aktif dalam tanya jawab seputar penyebaran Covid-19 dan pemgolahan limbah infeksius. Kesimpulan kegiatan ini  para peserta penyuluhan termotivasi dalam pengolahan limbah infeksius. Kata kunci: incinerator, Covid-19, limbah infeksius,
Community Acceptance Assessment of the Covid-19 Vaccination Program in the South Kalimantan Region Iwan Aflanie; Mohammad Bakhriansyah; Istiana; Fauzie Rahman; Vina Yulia Anhar; Diauddin; Yusef Dwi Jayadi; Husnul Fatimah
International Journal of Humanities, Management and Social Science (IJ-HuMaSS) Vol 5 No 2: December 2022
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.ij-humass-0502.377

Abstract

Conducting an effective Covid-19 vaccine is a global public health necessity in containing the pandemic. Vaccines are one of the most reliable and cost-effective public health interventions ever implemented that are saving millions of lives each year. The purpose of this study was to identify public acceptance of the Covid-19 vaccination program in the South Kalimantan region. Quantitative research by using a cross-sectional approach. The number of samples is 252 people. The sampling technique is accidental sampling. The study was conducted in South Kalimantan Province, Indonesia. Predictors of acceptance of the vaccine program were identified from vaccination status, views on vaccine effectiveness, vaccine safety, pandemic conspiracy, trustworthiness of information about Covid-19, and willingness to pay for vaccines. Data collection was done online using a Google Form questionnaire. Based on the predictors of acceptance of the covid-19 vaccination program, it can be seen that the majority support the vaccination program in helping prevent the transmission of Covid-19.
Association between Gender and Utilization of Cataract Surgical Services: A Systematic Review and Meta-Analysis Farisa Shauma Fachir; Syamsul Arifin; Silvia Kristanti Tri Febriana; Adi Nugroho; Iwan Aflanie; Tenri Ashari Wanahari
Sriwijaya Journal of Ophthalmology Vol. 6 No. 1 (2023): Sriwijaya Journal of Ophthalmology
Publisher : Department of Opthalmology, Faculty of Medicine, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/sjo.v6i1.100

Abstract

Introduction: Cataract is the most prevalent cause of blindness worldwide, which can be effectively treated with surgery. The high incidence of blindness in women highlights the need to address gender inequality in the utilization of cataract surgery. This study aimed to assess the association between gender and the utilization of cataract surgical services. Methods: A systematic review and meta-analysis were conducted according to preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. A literature search was performed on PubMed and ProQuest in the last 10 years (2012 to 2022). The search strategy used the following terms: ("cataract surgical" or "cataract surgical coverage" or "cataract surgical uptake") and ("sex" or "gender"). Data were analyzed in RevMan 5.3, with pooled effect estimates reported as OR with a 95% confidence interval (CI). Results: A total of 13 articles were identified and included in the meta-analysis. The pooled results of these studies indicate a statistically significant association between gender and the utilization of cataract surgery, with a lower utilization probability, observed among women compared to men (OR 0.76, 95% CI 0.60-0.98, p=0.03). High heterogeneity was observed among studies (I2 89%, p<0.0001). Conclusion: There is an association between gender and the utilization of cataract surgical services, with women being less likely than men to use cataract surgical services.
TINGKAT PEMAHAMAN MALPRAKTIK PADA MAHASISWA FAKULTAS HUKUM UNIVERSITAS LAMBUNG MANGKURAT Vinni Fioleta Angi; Nila Nirmalasari; Ahmad Husairi; Iwan Aflanie; Roselina Panghiyangani
Homeostasis Vol 6, No 2 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i2.10012

Abstract

Kasus malpraktik kini sudah menjadi salah satu masalah paling utama yang berkaitan dengan hukum kesehatan dan pelayanan kesehatan. Meskipun saat ini undang-undang kesehatan dan praktik kedokteran sudah memperkuat status hukum bagi pasien dan menyetarakan hubungan hukum antara pasien dan dokter namun peningkatan kasus-kasus malpraktik tidak dapat dihindari. Pada tahun 2006 hingga 2012 sudah ada tercatat 183 kasus malpraktik medik yang di lakukan oleh dokter maupun perawat. Saat ini masyarakat sudah semakin sadar bahwa dokter dapat dituntut bila dicurigai melakukan tindakan yang melanggar etika atau hukum yang mana jika tuntutan yang berlebihan dan tidak diiringi dengan pemahaman yang cukup tentang sistem dan kondisi  dari pelayanan kesehatan maka akan terus terjadi ketidakpuasan akan pelayanan kesehatan dan mudah memberikan tuduhan malpraktik medik.Metode penelitian yang digunakan adalah penelitian observasional, yaitu dengan mengambil data pada mahasiswa fakultas hukum menggunakan kuisioner untuk mendeskripsikan tingkat pemahaman mahasiswa Fakultas Hukum Universitas Lambung Mangkurat mengenai malpraktik medik dan untuk mengetahui tingkat pemahaman malpraktik medik pada mahasiswa Fakultas Hukum. Hasil Penelitian menunjukkan bahwa tingkat pemahaman malpraktik medik mahasiswa fakultas hukum Universitas Lambung Mangkurat sebanyak 4 orang (5,5) tinggi, sebanyak 84 orang (92%) sedang dan sebanyak 3 orang(3,3%)rendah. 
UPAYA PENCEGAHAN KASUS BULLYING DENGAN PEMBENTUKAN POLISI ANTI BULLYING PADA REMAJA DI KOTA BANJARBARU Iwan Aflanie; Firdha Yuserina; Fauzie Rahman; Husnul Fatimah; Zuhrufa Wanna Yolanda; Wetha Exavarani Susanto; Melati Noormaulidya Putri; Hamdanah Hamdanah; Nina Ulfatin Khaira; Nor Annisa; Muhammad Abdus Salam Assyaida; Chairul Ramadhan; Rahmat Nur Fadilah; Muhammad Syarif
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 7, No 3 (2023): September
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v7i3.16903

Abstract

ABSTRAKBullying (perundungan) merupakan masalah sosial yang terjadi dimasyarakat. Komisi Perlindungan Anak Indonesia (KPAI) merilis data bahwa sepanjang tahun 2022, setidaknya sudah terdapat lebih dari 226 kasus kekerasan fisik dan psikis, termasuk perundungan yang jumlahnya terus meningkat hingga saat ini. Pada tahun yang sama, Indonesia menempati posisi kelima tertinggi dari 78 negara sebagai negara yang paling banyak mencatat kasus perundungan di lingkungan sekolah. Bullying sering ditemukan di lingkungan sekolah karena merupakan tempat berkumpulnya banyak remaja dan aktivitas remaja banyak dihabiskan di lingkungan sekolah. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja terkait pencegahan bullying melalui program pembentukkan polisi anti-bullying. Metode pelaksanaan kegiatan terdiri dari 3 tahapan, yaitu persiapan atau perencanaan, pelaksanaan, serta monitoring dan evaluasi. Hasil capaian kegiatan diukur menggunakan pre-test dan post-test pengetahuan remaja dengan menggunakan uji T berpasangan. Berdasarkan hasil kegiatan, didapatkan bahwa dari 31 peserta kegiatan nilai rata-rata sebelum pemberian edukasi mengenai bullying pada siswa SMAN 1 Banjarbaru adalah sebesar 74,45 poin sedangkan nilai rata-rata setelah pemberian edukasi mengenai bullying pada siswa SMAN 1 Banjarbaru adalah sebesar 85,03 poin, adapun jumlah peserta yang mengalami peningkatan pengetahuan adalah sebanyak 31 orang (100%). Hasil dari kegiatan ini adalah ditemukannya perbedaan pengetahuan sebelum dan setelah pemberian edukasi bullying pada siswa SMAN 1 Banjarbaru serta adanya peningkatan pengetahuan. Sehingga dapat disimpulkan bahwa program ini dinilai efektif untuk meningkatkan pengetahuan remaja terkait bahaya bullying dan penerapannya dalam pemberdayaan remaja. Kata kunci: bullying; remaja; polisi anti-bullying ABSTRACTBullying is a social problem that occurs in society. The Indonesian Child Protection Commission (KPAI) released data that throughout 2022, there have been at least 226 cases of physical and psychological violence, including bullying, the number of which continues to increase to date. In the same year, Indonesia ranked fifth highest out of 78 countries as the country with the most cases of bullying in the school environment. Bullying is often found in the school environment because it is a gathering place for many teenagers and many adolescent activities are spent in the school environment. This community service activity aims as a form of youth empowerment model in an effort to prevent cases of bullying among adolescents by forming anti-bullying police. The activity implementation method consists of 3 stages, namely preparation or planning, implementation, and monitoring and evaluation. The results of the activity achievements were measured using the pre-test and post-test of adolescent knowledge using a paired t test. Based on the results of the activity, it was found that of the 31 activity participants the average score before providing education about bullying to students of SMAN 1 Banjarbaru was 74.45 points while the average score after providing education about bullying to students of SMAN 1 Banjarbaru was 85.03 points. Then the results of the paired t test obtained a p-value before and after giving bullying education to students at SMAN 1 Banjarbaru of 0.000 which is a p-value <0.005. In this activity it was found that there were differences in knowledge before and after giving bullying education to students of SMAN 1 Banjarbaru and an increase in knowledge. Keywords: bullying; youth; anti-bullying police
PERBEDAAN NILAI MCV DAN MCHC PADA PASIEN KANKER OVARIUM DENGAN DAN TANPA KEMOTERAPI DI RSUD ULIN BANJARMASIN Putri, Ajeng Alifia; Yuseran, Hariadi; Aflanie, Iwan
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11444

Abstract

The ovary is one of the female reproductive organs which is where the egg or ovum is produced. Ovarian cancer is a gynecological malignancy that can arise from disorders of the ovarian epithelial cells. The treatment that is often used to treat ovarian cancer is chemotherapy. Chemotherapy can improve the clinical condition of ovarian cancer patients. Erythrocyte indices like Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin Concentration (MCHC) can be used to examine anemia and chemotherapy. Between January and December 2021, the aim of this study was to compare the MCV and MCHC values of ovarian cancer patients receiving and not receiving chemotherapy at Ulin Banjarmasin General Hospital. An analytical observational study with a crosssectional design was used for the research design. According to the findings of the study, only 54 of the 110 study participants met the inclusion criteria at Ulin Hospital, Banjarmasin's medical record installation. The unpaired t-test was used for the analysis.  The results showed that the mean MCV values with and without chemotherapy were 86,8±3,8 fl and 81,4±7,5 fl (p<0,05), and the mean MCHC values without chemotherapy were 32,5±1,2 g/dl and 31,6±1,3 g/dl (p<0,05). It can be concluded that there are differences in MCV and MCHC values in ovarian cancer patients with and without chemotherapy.
TINGKAT PEMAHAMAN MALPRAKTIK MAHASISWA FAKULTAS KEDOKTERAN SEMESTER AKHIR ANGKATAN 2019 Uyun, Andi Quratul; Nirmalasari, Nila; Husairi, Ahmad; Aflanie, Iwan; Panghiyangani, Roselina
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11443

Abstract

Malpractice is not only limited to the health profession but can also occur in other professions. Medical malpractice can be committed by doctors, nurses, midwives or other health workers whose actions deviate from medical standards.The problem of malpractice in health services today is being interesting topic for many people among various groups. It is proved by the many malpractice cases handled by the Honorary Council of Indonesian Medical Discipline (MKDKI). One of the reasons lies on the lack of communication between doctors or medical personnel and patients. One of the purposes of this research is to measure the level of understanding of doctor candidates about malpractice so that it is easier to follow up on it. his research used observation research method by taking data from medical students 2019 who are in the final semester to determine the students’ level of malpractice understanding. The sample of this research were decided by using purposive sampling in non-probability sampling technique. The results showed that there are 8 students (13%) in the high level,47 students (78%) in moderate level and 5 students (8%) in deficient level of malpractice understanding in the final semester students of medicine faculty at University of Lambung Mangkurat.