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All Journal Jurnal Anestesiologi Indonesia Fokus Ekonomi Journal of Anaesthesia and Pain Solo Journal of Anesthesi, Pain and Critical Care COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Majalah Anestesia & Critical Care (MACC) Ahmad Dahlan Medical Journal Jurnal Ilmiah Fokus Ekonomi, Manajemen, Bisnis & Akuntansi (EMBA) Fokus Abdimas MANGGALI Jurnal Komplikasi Anestesi
Untung Widodo, Untung
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Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Social Sciences

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Laporan Kasus : Tatalaksana Tetanus dengan Ventilasi Mekanik Jangka Panjang di Icu Muniroh Almunawar, Nira; Widodo, Untung
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 4 No. 4 (2024): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v4i4.1414

Abstract

Tetanus adalah penyakit yang dapat dicegah yang disebabkan oleh bakteri gram positif bernama Clostridium tetani. Ini adalah penyakit akut namun fatal, terutama bagi orang lanjut usia dan orang yang lemah. Meskipun angka kesakitan penyakit ini menurun seiring dengan penyebaran vaksinasi di seluruh dunia, kebutuhan tatalaksana yang kompleks sering menyebabkan kematian. Penatalaksanaan dini dan memadai akan memperbaiki mortalitas dan morbiditas penyakit ini. Seorang laki-laki berusia 61 tahun masuk di IGD RSUP Dr. Sardjito dengan keluhan kejang. Dia menderita disfagia selama 3 hari dan kaki kanannya terluka akibat pecahan kaca kotor seminggu sebelumnya. Dia dalam kondisi sadar penuh namun nyaris tidak dapat membuka mulutnya. Anggota gerak dan dinding perutnya mengalami kekakuan otot secara berkala. Tekanan darah 187/112 mmHg, denyut nadi 121 bpm, frekuensi pernapasan 36 kali per menit, dan SpO2 95% pada udara ruangan. Hasil laboratorium menunjukkan anemia 9,6 mg/dL, dan peningkatan PaCO2 65,7 mmHg, selebihnya normal. Ia menjalani debridement pada lukanya tersebut, mendapat HTIG 3000 IU IM dan diintubasi di IGD, kemudian dirawat di ICU. Metronidazol 500mg/8 jam dan ceftriaxone 2g setiap hari disuntikkan. Morfin dan diazepam masing-masing 0,5 mg/jam dan 5mg/jam diberikan untuk pengendalian kejang berkelanjutan. Pneumonia muncul pada hari ke 5 yang menyebabkan syok septik. Antibiotik secara empiris ditingkatkan menjadi meropenem 2g/6 jam saat kultur dahak diuji. Norepinefrin dan dobutamin diberikan karena ketidakstabilan hemodinamik. Trakeostomi dilatasi perkutan dilakukan pada hari ke 7. Hasil uji mikroba menunjukkan MRSA sensitif terhadap amikasin pada hari ke 10. Pasien ini dirawat di ICU selama 35 hari dengan dukungan ventilasi mekanis selama 32 hari, kemudian dipindahkan ke HCU dengan dipasang selang trakeostomi. Debridemen segera sangat penting bagi pasien tetanus. Antibiotik memainkan peran penting. Metronidazol dipilih karena kemampuannya menembus area aerobik. Ceftriaxone merupakan antibiotik spektrum luas yang efektif terhadap Clostridium tetani yang memiliki ekspresi transporter glutamat neuroprotektif. Kombinasi ini meningkatkan efek pemberantasan bakteri. Penatalaksanaan tetanus di ICU terdiri dari 3 poin utama; (1) pemberantasan mikroba dengan debridemen luka dan antibiotik yang tepat, (2) netralisasi racun, dan (3) terapi suportif untuk kejang, ketidakstabilan hemodinamik, dan infeksi sekunder. Trakeostomi dini harus dipertimbangkan karena diperkirakan akan memperpanjang perawatan intensif.
Pendampingan Penguasaan Digital Marketing Untuk Meningkatkan Pendapatan Usaha Yuliati, Yuliati; Wahyuningsih, Susanti; Widodo, Untung; Indriyatni, Lies
Manggali Vol 4 No 1 (2024): Manggali
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat, Universitas Ivet

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31331/manggali.v4i1.3051

Abstract

Pengabadian masyarakat ini dilakukan dengan tujuan membuka wawasan anggota UNIQUE TAILOR agar dapat memperluas pemasaran tidak hanya secara konvensional tetapi juga secara online dengan harapan dapat menjangkau pasar yang lebih luas dan usaha yang semakin sukses, disamping itu juga menumbuhkan kreativitas dan kemandirian serta solusi bagaimana memanage usaha dengan lebih baik dan benar, sesuai dengan kaidah ilmu manajemen yang ada. Adapun metode yang digunakan adalah penyuluhan/ceramah dan pelatihan/work shop serta pendampingan dalam memulai usaha digital marketing. Dari hasil pengabdian masyarakat yang dilakukan di UNIQUE TAILOR. diperoleh gambaran bahwa sebagian peserta tersebut masih belum ada keberanian untuk melakukan pemasaran secara online (Digital Marketing), kurang motivasi untuk berkreasi dan masih kurang memahami pengelolaan (memanage) pemasaran secara benar sehingga sering mengakibatkan timbulnya ketakutan masalah pemasaran. Simpulan yang bisa diberikan adalah pentingnya pemberian pelatihan tentang tip menerapkan digital marketing secara benar sehingga akan menjadikan usaha semakin sukses,memberikan motivasi serta pengetahuan tentang memanage pemasaran bagi anggota, yang diharapkan akan dapat menumbuhkan minat dan keberanian memulai usaha digital marketing untuk mencapai keberhasilan dalam berwirausaha sesuai dengan yang diharapkan, serta sedapat mungkin menghindarkan mereka dari risiko kesulitan memasarkan prodak yang dihasilkan.
Fluid Management for Critically Ill Patients, Based on the ROSE Concept, an Old Method but Effective Enough Agustina, Ayu Yesi; Wisudarti, Calcarina Fitriani Retno; Widodo, Untung
Journal of Anaesthesia and Pain Vol. 5 No. 1 (2024): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jap.2024.005.01.02

Abstract

Fluid therapy is one of the most essential things in managing critical patients, such as ICU patients. Although it seems simple, this is difficult to do in this group of patients. The fluid needs of ICU patients vary according to the course of the disease. Therefore, fluids must be given according to individual needs, and each phase of the disease must be reassessed. To support this, there is a conceptual model that explains fluid administration based on the phases of the disease that the patient is going through. The ROSE concept (resuscitation, optimization, stabilization, and evacuation) describes the phases of a patient's illness and how fluids should be administered. In the resuscitation phase, the goal is lifesaving and is achieved by positive fluid balance. In the optimization phase, fluid balance is neutral and aims to save organs. In the stabilization phase, the fluid balance has started to move in a negative direction and aims to support the organs. Finally, in the evacuation phase, fluid balance is negative and organ repair has occurred. By implementing this model, it is hoped that ICU patients will have better outcomes
THE ABILITY OF GROSS PROFIT, OPERATING PROFIT, NET PROFIT, AND WORKING CAPITAL IN PREDICTING FUTURE CASH FLOWS (Empirical Study of Companies Listed in the Jakarta Islamic Index) Ainiyah, Ghonimah Zumroatun; Permatasari, Kartika Dewi; Qurrotuaini, Dhiya Nisrina; Widodo, Untung
Fokus Ekonomi : Jurnal Ilmiah Ekonomi Vol 19, No 1: June 2024
Publisher : STIE Pelita Nusantara Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34152/fe.19.1.42-52

Abstract

Users of financial statements make forecasts regarding the future situation of the entity in order to anticipate opportunities and identify potential risks. Gross profit, operating profit, net profit, and working capital are important pieces of information for investors because they allow for the prediction of future cash flows. However, for companies listed on the Jakarta Islamic Index, there is instability in gross profit, operating profit, net profit, and working capital, which leads to changes in cash flow. The research is of an associative quantitative nature, with a research population consisting of 50 companies listed on the Jakarta Islamic Index from 2019 to 2022. By using a purposive sampling technique, a sample of 24 companies was obtained, resulting in a total sample size of 96 samples over the span of 4 years. The data used is secondary data, collected through the official IDX website at www.idx.co.id. The analytical method employed is multiple linear regression. The findings of the study indicate that gross profit and working capital have a significant impact on the ability to predict future cash flows. However, operating profit and net profit do not possess the same predictive power. Furthermore, the study reveals that gross profit, operating profit, net profit, and working capital collectively contribute to the prediction of future cash flows with an impressive explanatory power of 89.3%. Keywords: gross profit, operating profit, net profit, working capital, future cash flow
STRATEGI PEMASARAN DAN MANAJEMEN UMKM EFEKTIF DALAM MENINGKATKAN DAYA SAING DI ERA PASAR ONLINE PADA PELATIHAN KECAKAPAN WIRAUSAHA DI LKP KAWAICI NN KABUPATEN DEMAK Widodo, Untung; Indriyatni, Lies; Wahyunigsih, Susanti; Yuliati, Yuliati
Fokus ABDIMAS Vol 4, No 2: Oktober 2025
Publisher : STIE Pelita Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34152/abdimas.v4i2.1584

Abstract

This community service activity aims to improve the skills and understanding of entrepreneurship training participants at LKP Kawaici NN, Demak Regency, in implementing effective marketing strategies in the digital era. The methods used include training sessions, mentoring, and hands-on practice in utilizing social media and online marketplaces as marketing platforms. The results of the activity show an increase in participants’ understanding of digital marketing concepts, their ability to create promotional content, and their confidence in selling products online. Therefore, this training has had a positive impact on enhancing the participants’ competitiveness in the online market.
Pengaruh Kompetensi, Motivasi, dan Reward terhadap Kinerja Karyawan di PT Duta Kencana Jaya Semarang Muthohar, Khasan; Widodo, Untung
Jurnal Ilmiah Fokus Ekonomi, Manajemen, Bisnis & Akuntansi (EMBA) Vol. 5 No. 1 (2026): April 2026
Publisher : STIE PENA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34152/58p07w28

Abstract

This study aims to determine the effect of Competence, Motivation, and Reward on Employee Performance at PT Duta Kencana Jaya Semarang. This study uses a quantitative approach. The sample consisted of 84 respondents, using saturated sampling technique with data collection method through questionnaire distribution. The analysis method in this study was multiple linear regression analysis with validity test, reliability test, classical assumption test, t-test, F-test, and coefficient of determination. Data management was carried out with the help of SPSS 25 for Windows software.The results showed that, partially, competence did not have a significant effect on employee performance. Motivation had a positive and significant effect on employee performance. Rewards had a positive and significant effect on employee performance. Simultaneously, competence, motivation, and rewards had a significant effect on employee performance. Keywords: Competence, Motivation, Rewards, Employee Performance 
Acute Fatty Liver of Pregnancy Management in Intensive Care Atsari, Nadhila; Apsari, Ratih Kumala Fajar; Adiyanto, Bowo; Widodo, Untung
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 6, No 1 (2026): April 2026
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v6i1.78517

Abstract

Background: Acute fatty liver of pregnancy (AFLP) is an obstetric emergency with high mortality that usually requires treatment in the intensive care unit (ICU). The cause of AFLP is not known with certainty, but it is suspected due to a deficiency of long chain 3-hydroxyacyl CoA dehydrogenase (LCHAD) in the fetus which causes accumulation of fatty acid metabolites from the fetus and placenta which are hepatotoxic. The clinical manifestations of AFLP are acute liver failure and progression to multiple organ dysfunction syndrome (MODS). This reported case was the only one successful case out of 3 incidences of AFLP recorded in RSUP Dr. Sardjito Yogykarta within a year of 2022. Case Illustration: A 24-years-old postpartum woman at 38 weeks' gestation admitted to resuscitation room with hypovolemic shock due to early postpartum hemorrhage. Patient was resuscitated and then taken to emergency operating room for uterine exploration under general anesthesia. Patient was subsequently admitted to the intensive care unit (ICU).  The patient's initial condition was intubated, requiring vasopressor support with epinephrine and norepinephrine, and the patient showed symptoms of encephalopathy, liver failure and kidney failure. AFLP diagnosis was then made with patient showing score 10 of Swansea criteria. Resuscitation, stabilization, and intensive care treatment was continued for up to eight days in the ICU. The patient's final condition was stable, there were no sequelae of AFLP and the patient was discharged from the hospital at the 14th day in good condition.Conclusion: AFLP is a serious complication during pregnancy and postpartum period that is reversible with a chance of complete recovery but has a high mortality associated with delayed treatment. Adequate early intensive care treatment with multidisciplinary approach essential for successful treatment of AFLP. 
Relationship Between Simple Oxygen Extraction Ratio to Cardiac Index and Mean Arterial Pressure in Septic Shock Patient Treated in ICU Dr. Sardjito Hospital Yogyakarta irianto, helen yudi; Jufan, Akhmad Yun; Widodo, Untung
Solo Journal of Anesthesi, Pain and Critical Care (SOJA) Vol 3, No 2 (2023): October 2023
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/soja.v3i2.76067

Abstract

Background : Oxygen extraction ratio (O2ER)  having any relationship with  cardiac index and mean arterial pressure in septic shock patient.Objective: Discover any relation between simplified oxygen extraction ratio with cardiac index and mean arterial pressure in shock septic condition at ICU of RSUP Dr Sardjito YogyakartaMethod : 32 subject with crossectional study was performed by inclution criteria such as : patient in ICU diagnosed as shock septic, more than 18 years old, inerted cvc in right atrium, inserted arterial line in  arterial radialis or brachialis which connected mostcare. BGA (arterial and venous ) sampel was taken by I-STAT® together with recording mean arterial pressure (MAP) and cardiac index value.Result :  Correlation between O2ER and cardiac index p=0,009 (p<0,05) with r -0,456. Correlation between O2ER and MAP p=0,006 (p<0,05) with r-0,474.Conclusion :Anesthesia management of TGA TGA cases is to avoid reducing cardiac output and SVR and keep the PVR lower than the SVR.
Co-Authors Abu Tholib Aman Adi Nugroho Adrin, Olga Elenska Agustina, Ayu Yesi Ainiyah, Ghonimah Zumroatun Aji, Bambang Hantoro Sarti Akbar, Shonnif Akhmad Yun Akhmad Yun Jufan Al-Hilal, Said Rival Andriani, Ika Jati Setya Anggraini, Diana Anisa Fadhila Farid Aprianti, Tutut Arif Setyo Wibowo Artika, I Gusti Ngurah Rai Atsari, Nadhila Bahrun, Nugraha Septian Baskoro, Windu Adi Bayu, Timor Krisna Bernadeta M Wara Kushartanti Bhaktiyar, Agung Bhirowo Yudo Pratomo Bowo Adiyanto Burhanuddin, Muhammad Fuad Calcarina Fitriani Retno Wisudarti Castro, Toto Damayanti Damayanti Dewi, Wahyu Jati Paramita Djayanti Sari Farizi, Sulaiman Al Ferdiansyah, David FRW, Calcarina Gafar, Wiramas Ikhsan Gautama, Raditsya Mada Gentong, Metia Gledis Gilang Hamam Hadi Harianto, Widi Yuli Hendra, Maijoni Hernawan, Agung Diky Heru Susilo Hihayat, Ibnu Hijriyatunnisa, Hijriyatunnisa Ikhwandi, Arif Indra Wijaya, Adi Irawati, Tri Endang Irianto, Helen Yudi Jaelani, M Jufan, Ahmad Yun Krispratama, Avian Kusumasari, Nur Hesti Lies Indriyatni Loru, Martha Yuanita Lumbantoruan, Mitra Maduretno Widowati Marthysal, Audhiaz Mi’raj, Geza Getar Mulyono, Arif Hei Muniroh Almunawar, Nira Muthohar, Khasan Naomi, Diah Anis Ningtias, Devi Rosita Noegroho, Wahyu Permatasari, Kartika Dewi Perwira, Rendra Prabowo, Janitra Prasamya, Erlangga Puspita, Mia Qurrotuaini, Dhiya Nisrina Rakhmatjati, Pradana Bayu Ramsi, Irhash Faisal Ratih Kumala Fajar Apsari Rudika Harminingtyas Sari, Ayu Rosema Sarosa, Pandit Satrya, Rafi Nanda Septiyono, Dwi Rahmat Gandhi Setiawan, Yosy Budi Shila Suryani, Shila Siti Helmyati Sudadi Sulistiyantoro, Antonius Catur Suryaman, Rifandi Suryono S, Bambang Susanti Wahyuningsih, Susanti Susetyowati Sutiyoso, Noor Aditya Tasriastuti, Nurohmi Ambar Teguh Setiadi Toruan, Joner Lumban Trifiana, May Lisa Triongko, Budi Ummi, Riadatul Wahyunigsih, Susanti Wicaksono, Galih Sahid Widowati, Madu Retno Widowati, Madurento Wijayanti, Maria Setya Yuliati - Yunita Widyastuti Yusmein Uyun Zulkarnaini, Zukarnaini