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GAMBARAN DIAGNOSTIC DELAY DAN TREATMENT DELAY PASIEN KANKER PAYUDARA DI KOTA PADANG Cindy Fatricia Therescova; Annisa Lidra Maribeth; Rhandyka Rafli
Health and Medical Journal Vol 5, No 1 (2023): HEME January 2023
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v5i1.1174

Abstract

Pendahuluan: Tingginya angka mortalitas dan morbiditas kanker payudara disebabkan oleh diagnostic delay dan treatment delay. Diagnostic delay dan treatment delay dikaitkan dengan ukuran tumor yang lebih besar, peningkatan stadium, keterlibatan kelenjar getah bening serta metastasis organ. Namun, belum adanya data mengenai gambaran rentang waktu diagnostic delay dan treatment delay pasien kanker payudara di provinsi Sumatera Barat. Tujuan penelitian: untuk mengetahui gambaran karakteristik dan rata-rata rentang waktu diagnostic delay, surgery delay, chemotherapy delay dan radiotherapy delay pasien kanker payudara di Kota Padang.  Metode: Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross sectional yang dilakukan dari bulan November 2021 sampai Juni 2022. Jumlah sampel sebanyak 83 responden secara consecutive sampling di Rumah Sakit UNAND dan Ropanasuri. Analisis data berskala numerik disajikan dalam bentuk  median, nilai minimal dan maksimal. Hasil: Hasil penelitian yaitu 81 (97,6%) responden berjenis kelamin perempuan dan 2 (2,4%) laki-laki. Kelompok usia terbanyak pada kelompok lansia (46-65 tahun)  yaitu 54 (65,1%) responden dan stadium terbanyak pada stadium III B yaitu 51 (61,4%) responden. Jenis histopatologi terbanyak adalah invasive carcinoma mammae of no special type yaitu 59 (71,1%) responden dengan modalitas terapi terbanyak pada singel modaliy yaitu 36 (43,4%) responden. Hasil analisis diagnostic delay didapatkan median 7 bulan dengan nilai minimal 1 dan maksimum 193 (IK 95% : 9,78-20,66). Surgery delay didapatkan median 4 hari dengan nilai minimal 1 dan maksimum 201 (IK 95%: 4,23-25,81). Chemotherapy delay didapatkan median 23,50 hari dengan nilai minimal 1 dan maksimum 617  (IK 95% : 27,90-145,10). Radiotherapy delay didapatkan median 57,50 hari dengan nilai minimal 1 dan maksimum 1422 (IK 95% : 78,75-239,53). Kesimpulan: Rata-rata rentang waktu yang variasi dengan rentang waktu terpanjang terdapat pada diagnostic delay, yaitu dari 1 bulan sampai 193 bulan, dan terpendek pada surgery delay yaitu 1 sampai 201 hari . Nilai median dari diagnostic, surgery, chemotherapy dan radiotherapy delay adalah 7 bulan, 4 hari, 23,50 hari, 57,50 hari.
HUBUNGAN KEHAMILAN TIDAK DIINGINKAN DENGAN KEJADIAN STUNTING PADA ANAK USIA 0-5 TAHUN DI INDONESIA (ANALISIS DATA RISKESDAS 2013) Annisa Lidra Maribeth; Naima Lassie; Yuni Handayani Gusmira
Nusantara Hasana Journal Vol. 2 No. 3 (2022): Nusantara Hasana Journal, August 2022
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v2i3.991

Abstract

Indonesia has become 5th top country with biggest stunting rate in the world. Unintended pregnancies can be one of the factors that may play a major role in causing the incidence of stunting in children aged 0-5 years. This study aims to analyze the relationship of unintended pregnancies with incidence of stunting in children aged 0-5 years. This quantitative research used secondary data from National Health Research (Riskesdas) with cross sectional research methods. This research covered all provinces and districts / cities in Indonesia which were carried out from preparation to further analysis in January 2012 - December 2014 and the secondary data was processed in 2019. The sample of this study was women aged 15-49 years old with children 0-5 years old in Indonesia which amount to 42,684 people. Results: In bivariate analysis using chi-square test, it was found that the relationship of unintended pregnancies with stunting have a p value of 0.04 (OR: 1.059 and 95% CI: 1.003-1.118). In multivariate test using logistic regression tests, the relationship of unintended pregnancies became insignificant to stunting with p-value 0, 077 (OR: 1.051; 95% CI: 0.995-1,110). There are two confounding variabels, economic status and education related significantly to stunting with p value <0.001. Conclusion: in multivariate analysis there was no relathionship of unintended pregnancy with stunting in children under five years old ( p value> 0.05). There is confounding in this study, the educational variable and economic status are confounding variable. Education and economic status have a significant relationship on multivariate analysis (p value< 0.001) with stunting.
Skrining Status Gizi Pada Remaja Rifkind Malik; Ruhsyahadati Ajisman; Alief Dhuha; Annisa Lidra Maribeth; Rahma Triyana; Muhammad Rizki Saputra
AMMA : Jurnal Pengabdian Masyarakat Vol. 2 No. 10 : November (2023): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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Abstract

Non-communicable diseases are one of the causes of disability and death in the world which are often found in developing countries, one of the factors is a change in diet that is high in fat, processed meat, high in salt and sugar but low in fiber. The aim of this social empowerment project is to screen the nutritional status of teenagers. The method is carried out sequentially starting from registration, then continuing with measuring height and weight. The results of this social empowerment project are that the majority are female, the majority are 18 years old and the majority's nutritional status is normal. During this screening, nutritional imbalances were also found to be high, so it is necessary to increase education and outreach regarding good and balanced nutrition to avoid various non-communicable diseases in the future.
EPIDURAL BLOOD PATCH PADA POST DURAL PUNCTURE HEADACHE (PDPH) Rialta Hamda; Annisa Lidra Maribeth
Nusantara Hasana Journal Vol. 3 No. 7 (2023): Nusantara Hasana Journal, December 2023
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i7.1037

Abstract

Post dural puncture headache (PDPH) is a complication that can occur following diagnostic lumbar puncture, spinal anesthesia, and accidental dural puncture during epidural anesthesia. Spinal and epidural anesthesia are important modalities for an anesthesiologist. Anesthesiologists play a role not only in treating the patient, but also in preventing or reducing the risk of PDPH events. This case report presents a case of PDPH which treated by conservative method, continued by Epidural Blood Patch, and the case was followed until the patient recovered.