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All Journal Jurnal Biomedika dan Kesehatan KESANS : International Journal of Health and Science Jurnal AKAL: Abdimas dan Kearifan Lokal Jurnal Akta Trimedika
Rima Anindita Primandari
Fakultas Kedokteran, Universitas Trisakti, Jakarta, Indonesia
Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Physics Public Health Social Sciences Transportation

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PENYULUHAN NYERI PUNGGUNG BAWAH DAN NYERI KEPALA AKIBAT BEKERJA DARI RUMAH Rima Anindita Primandari; Andini Aswar
Jurnal AKAL: Abdimas dan Kearifan Lokal Vol. 4 No. 1 (2023): Jurnal AKAL : Abdimas dan Kearifan Lokal
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/akal.v4i1.14385

Abstract

The COVID-19 pandemic has affected various aspects of people's lives. To prevent transmission, one of the policies made is to Work From Home (WFH) which allows workers to work more flexibly and still meet the requirements for physical distancing. However, WFH can also cause a decrease in physical activity in workers and have a negative impact on workers' health. Low back pain (LBP) and headache are complaints that are often felt by workers due to WFH. The purpose of this Community Service activity is to increase public knowledge about low back pain and headaches due to WFH. This activities is carried out online using a zoom meeting in the form of webinar with the lecture method using PPT, questions and answers, and discussions as well as sharing experiences about LBP and headaches. The target participants are 30 people. The participants seemed serious and enthusiastic in participating in the webinar as evidenced by the many questions asked. Although the participants' education was quite good, knowledge about LBP and headaches was still lacking.
PENYULUHAN DAN EDUKASI TATA LAKSANA CTS PADA PENGEMUDI OJEK ONLINE Rima Anindita Primandari; Andini Aswar; Dewi Hastuty; Yudhisman Imran; Andira Larasari; Victor Livinus
Jurnal AKAL: Abdimas dan Kearifan Lokal Vol. 4 No. 2 (2023): Jurnal AKAL : Abdimas dan Kearifan Lokal
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/akal.v4i2.16545

Abstract

Carpal tunnel syndrome (CTS) merupakan penyakit neuropati perifer akibat jeratan yang tersering menyebabkan disabilitas. Penyakit ini disebabkan oleh gerakan repetitif jangka panjang (cumulative trauma disorders (CTD)) dan berhubungan dengan penyakit akibat kerja dengan insidens terjadinya mencapai 21 kasus per 100.000 pekerja per tahun. Salah satu pekerjaan dengan gerakan repetitif terjadi pada pengemudi ojek online. Gerakan pada pergelangan tangan dan getaran yang timbul selama mengendarai motor merupakan faktor risiko terjadinya CTS. Tujuan dari kegiatan Pengabdian kepada Masyarakat (PkM) ini adalah untuk membantu para pengemudi ojek online untuk mendapatkan penyuluhan, penanganan, serta pencegahan akan kerentanannya mengalami CTS. PkM dilaksanakan dalam selama seminggu dalam bentuk terklasterisasi untuk menghindari penularan Covid-19 akibat keramaian. Peserta yang hadir adalah sebanyak 56 orang dari target 55 orang. Selama pelaksanaan peserta tampak antusias dengan kegiatan penyuluhan ini dilihat dari pertanyaan dan animo peserta terhadap peragaan cara mencegah serta mengurangi gejala CTS. Kami juga memberikan obat-obatan sederhana bagi peserta yang memiliki gejala CTS.
Serial Kasus: Pola EEG dan Hubungannya dengan Luaran Pasien Pasca-Kembalinya Sirkulasi Spontan (ROSC) Rima Anindita Primandari; Winda Arista Haeriyoko; Fitri Octaviana; Astri Budikayanti
Jurnal Biomedika dan Kesehatan Vol 9 No 2 (2026)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2026.v9.179-193

Abstract

Return of spontaneous circulation after cardiopulmonary resuscitation is often followed by hypoxic-ischemic brain injury, which may affect neurological recovery. Electroencephalography (EEG) is commonly used to evaluate brain function and prognosis in these patients. EEG patterns can be classified into benign, malignant, and highly malignant categories, which reflect the severity of brain injury. Objective of this study was to evaluate the relationship between EEG patterns and clinical outcomes in patients after return of spontaneous circulation. This case series included six patients who underwent EEG examination more than 24 hours after cardiac arrest. EEG findings were classified according to the Westhall classification and compared with clinical outcomes using the Cerebral Performance Category (CPC) scaler The Results were Four patients showed highly malignant EEG patterns, including electrocerebral inactivity or continuous suppression, and all had poor outcomes (CPC 4–5). Two patients with benign EEG patterns had relatively better outcomes (CPC 3–4). No patient achieved good neurological recovery (CPC 1–2). Low EEG reactivity was observed in all cases, and amplitudes below 10 µV were mostly found in patients with CPC 5. Highly malignant EEG patterns were strongly associated with poor neurological outcomes after return of spontaneous circulation. EEG may be useful as part of a multimodal approach for prognostic evaluation in post-cardiac arrest patients.
Prolonged Activated Partial Thromboplastin Time in Adults with Nephrotic Syndrome: A Case Report Mutiara Ferina; Alvina Alvina; Karina Shasri Anastasya; Deasyka Yastani; Andira Larasari; Rima Anindita Primandari
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 10 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i10.689

Abstract

Introduction: Nephrotic syndrome is classically associated with a hypercoagulable state driven by the compensatory hepatic overproduction of procoagulant proteins and platelet hyperreactivity. However, massive proteinuria can rarely disrupt this paradigm, inducing a paradoxical bleeding diathesis that presents a significant clinical challenge. Discussion: A 22-year-old man presented to the emergency department with a two-week history of generalized edema and a recent onset of melena. Laboratory investigations revealed profound hypoalbuminemia (1.1 g/dL) and extraordinary, massive nephrotic-range proteinuria (63.42 g/24 h), accompanied by dyslipidemia and anemia. Coagulation profiling demonstrated a significantly prolonged activated partial thromboplastin time (aPTT) of 51.4 seconds, confirming an active upper gastrointestinal hemorrhage in the setting of ultra-severe nephrotic. He was treated with methylprednisolone, furosemide, candesartan, and simvastatin, together with albumin transfusion for severe hypoalbuminemia. Conclusion: This case highlights a rare hemorrhagic paradox in nephrotic syndrome and underscores the importance of prompt coagulation workup, including a mixing study, when bleeding occurs in a condition typically considered prothrombotic
POLA EEG SEBAGAI CERMINAN PATOFISIOLOGI ENSEFALOPATI HIPOKSIK-ISKEMIK AKUT Rima Anindita Primandari; Winda Arista Haeriyoko; Fitri Octaviana; Astri Budikayanti
Jurnal Akta Trimedika Vol. 2 No. 3 (2025): Juli 2025
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v2i3.22816

Abstract

Ensefalopati hipoksik-iskemik (EHI) merupakan komplikasi neurologis berat yang umumnya terjadi pasca-henti jantung akibat berkurangnya aliran darah dan suplai oksigen ke otak. Patofisiologi EHI terdiri dari fase primer dan sekunder yang melibatkan depolarisasi iskemik, cedera reperfusi, disregulasi metabolik, dan fase pemulihan. Adanya cedera jaringan otak pada EHI ditandai dengan adanya disfungsi mitokondria, eksitotoksisitas, stres oksidatif, dan inflamasi yang memperberat kerusakan neuron. Elektroensefalografi (EEG) dapat digunakan untuk menilai tingkat keparahan dan prognosis EHI. Pola EEG seperti burst-suppression, irama isoelektrik, dan aktivitas epileptiform pada latar yang datar dikaitkan dengan prognosis buruk, terutama bila ditemukan setelah 24 jam pasca-return of spontaneous circulation (ROSC). Sebaliknya, pola EEG kontinu dengan amplitudo normal dalam 12–24 jam pasca-ROSC menunjukkan kemungkinan pemulihan neurologis yang lebih baik. Kesimpulan. Pemahaman terhadap karakteristik pola EEG pada EHI dapat membantu dokter dalam pengambilan keputusan klinis dan penyusunan rencana tatalaksana yang lebih tepat bagi pasien kritis dengan akut EHI.
Co-Authors Alvina Alvina Andini Aswar Andini Aswar Andira Larasari Andira Larasari Astri Budikayanti Deasyka Yastani Dewi Hastuty Fitri Octaviana Karina Shasri Anastasya Mutiara Ferina Victor Livinus Winda Arista Haeriyoko Winda Arista Haeriyoko Yudhisman Imran