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Efektifitas Tramadol 100mg Supp dibandingkan dengan Ketoprofen 100mg Supp untuk Mengurangi Nyeri Selama 24 Jam Pasca Operasi Seksio Sesaria dengan Menggunakan Vas Skor di Rumah Sakit Bhayangkara Hadi, Ewaldo Amirullah; Kresnoadi, Erwin; Danianto, Ario
Jurnal Kedokteran Vol 6 No 3.1 (2017)
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Rasa nyeri yang ditimbulkan pasca operasi seksio sesaria adalah nyeri ringan hingga sedang. Tramadol dan Ketoprofen merupakan obat yang dapat digunakan untuk mengurangi nyeri pasca operasi seksio sesaria. Tramadol berkerja dengan menghambat reseptor opioid dan ketoprofen berkerja dengan penghambatan jalur siklooksigenase dari metabolisme asam arakidonat. Tujuan: Penelitian ini membandingkan efektifitas tramadol 100 mg supp dan ketoprofen 100mg supp dalam mengurangi nyeri pasca operasi seksio sesaria. Metode: Metode Penelitian ini observasi klinik karena sampel penelitian diobservasi sampai waktu tertentu untuk melihat efek yang timbul pada sampel penelitian. Total 48 pasien, yang terbagi dalam 2 kelompok. Kelompok Tramadol 24 pasien dan Kelompok Ketoprofen 24 pasien. Data Disajikan dalam bentuk nilai rerata ± simpang baku, kemudian diuji dengan menggunakan uji Mann Whitney dan Independent t-Test dengan (α = 0,05). Hasil: Penurunan derajat nyeri pada pasien pasca seksio sesaria yang diberi tramadol 100mg supp lebih efektif dibanding dengan ketoprofen 100mg supp, p=0,000 (p,0,05). Kesimpulan: terdapat perbedaan bermakna antara kelompok tramadol dan kelompok ketoprofen dalam menurunkan derajat nyeri, p=0,000 (p,0,05).
KORELASI ANTARA PERTAMBAHAN BERAT BADAN SELAMA KEHAMILAN DENGAN BERAT BAYI SAAT LAHIR DI PUSKESMAS MENINTING KABUPATEN LOMBOK BARAT Primayanti, Ika; Danianto, Ario; Wilmayani, Ni Ketut; Geriputri , Ni Nyoman
Jurnal Kedokteran Vol 9 No 1 (2020): Jurnal Kedokteran Vol 9 No 1 2020
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v9i1.397

Abstract

Background: Maternal weight before pregnancy as one of maternal nutritional status illustration, has a close relationship with baby birth weight. Weight gain during pregnancy is an illustration of the fetus rate of growth need to be considered because the increase in weight that is lacking or excessive may cause serious problems for infants and mothers. This study aims to determine the correlation of early pregnancy nutritional status and baby birth weight. Methods: The research design was observational analytic with cross sectional approach. The research data were obtained from maternal cohorts, maternal cards and cohorts of infants who underwent antenatal care between July 2017–January 2018 at polindes in Meninting Primary Health Care territory. Data were analyzed by Spearman correlation test. Results: One hundred and fifty data were enrolled in this study, with the majority age group of 20–35 years (78%) and multigravida status (71%). Statistical analysis showed no correlation between maternal weight gain and birth weight (p <0.05). Conclusion: maternal weight gain during pregnancy is not the only factor that contributes to the baby's weight at birth Keywords: maternal weight gain, birth weight
PERSEPSI DOSEN DAN MAHASISWA TERHADAP STRUKTUR KEGIATAN PEMBELAJARAN MAHASISWA TAHAP PROFESI DI FAKULTAS KEDOKTERAN UNIVERSITAS MATARAM Dian Puspita; Rizki, Mohammad; Maulana, Akhada; Geriputri, Ni Nyoman Geriputri; Danianto, Ario
Jurnal Kedokteran Vol 9 No 1 (2020): Jurnal Kedokteran Vol 9 No 1 2020
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v9i1.402

Abstract

Latar belakang: Pendidikan kedokteran tahap profesi berlangsung dalam konteks pelayanan pasien yang sering kali kurang terstruktur dan tidak sistematis. Hal ini menyulitkan fakultas memantau capaian kegiatan. Untuk mengatasinya, fakultas perlu menyusun struktur inti kegiatan dengan tetap memberikan ruang untuk penyesuaian, namun sebelumnya perlu diketahui persepsi dosen dan mahasiswa terhadap struktur kegiatan pembelajaran tahap profesi yang sudah ada saat ini. Metode: Studi ini bersifat deskriptif dan responden adalah dosen dan mahasiswa kedokteran tahap profesi. Pengambilan data menggunakan kuesioner yang menilai persepsi mengenai kejelasan jadwal kegiatan pembelajaran, alokasi waktu dosen untuk kegiatan akademik dan pelayanan, alokasi waktu untuk berbagai kegiatan pembelajaran, metode penilaian yang digunakan dan fungsi penilaian, serta pemberian umpan balik. Hasil: Dosen (N=21) menilai kejelasan jadwal kegiatan dan pembagian waktu antara kegiatan akademik dan pelayanan lebih positif (masing-masing 4.33±0.58 dan 4.00±0.71) dibandingkan mahasiswa (3.71±0.85 dan 3.73±0.92, N=48). Terdapat variasi dalam alokasi waktu mingguan untuk setiap kegiatan pembelajaran namun alokasi waktu terbesar digunakan untuk bedside teaching. Metode penilaian yang telah digunakan di seluruh bagian adalah Mini-CEX dan MCQ. Lebih banyak mahasiswa yang mempersepsikan bahwa Mini-CEX sebagai penilaian sumatif dibandingkan formatif. Mahasiswa menilai pemberian umpan balik oleh dosen cukup baik (mean 3.71 – 3.94 pada skala 1-5) meskipun 52.4% dosen menyatakan waktu pemberian umpan balik tidak tentu. Kesimpulan: Struktur pembelajaran di banyak bagian klinik masih memerlukan perbaikan terutama terkait jadwal dan pembagian waktu dosen untuk akademik dan pelayanan. Penilaian di tahap profesi perlu lebih difokuskan pada fungsi formatif dibandingkan sumatif.
Prolaps Organ Panggul Multipel pada Wanita Multipara: Sebuah Laporan Kasus Triharsadi, Rakhmad; Anggraini, Meilisva Audila; Punarbawa, Gede Made; Danianto, Ario
Jurnal Kedokteran Vol 10 No 2 (2021): Jurnal Kedokteran Juni 2021
Publisher : Faculty of Medicine Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jku.v10i2.533

Abstract

Prolaps organ panggul (POP) adalah turun atau menonjolnya dinding vagina ke dalam liang vagina atau keluar introitus vagina, yang dapat disertai oleh organ-organ pelvik (uterus, kandung kemih, usus atau rektum). POP menimbulkan rasa ketidaknyamanan (uncomfortable feelings) pada penderitanya, gejala-gejalanya meliputi gejala vagina, buang air kecil (BAK), buang air besar (BAB), dan seksual. Meskipun demikian, POP sering kali tidak terdeteksi pada stadium dini atau bersifat asimtomatik sehingga pasien sering kali berobat pada stadium lanjut. Laporan kasus ini melaporkan seorang perempuan multipara berusia 58 tahun dengan sistokel grade IV, prolaps uteri grade IV, dan rektokel grade IV yang mendapat terapi pembedahan total vaginal hysterectomy dan high levatorplasty.
Uncovering Barriers to Maternal Mortality Audits: An Unseen Challenge Ishlahi, Salsabila Dinda Nuril; Octora, Metta; Barirah, Ratih; Danianto, Ario
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.371-386

Abstract

Indonesia has the third highest maternal mortality rate in ASEAN. The Maternal Perinatal Death Surveillance and Response (MPDSR) program was established to reduce the high maternal mortality rate. However, the effectiveness of maternal audit implementation still faces many obstacles. This study aims to describe the obstacles faced by the MPDSR team in assessing maternal mortality in Lombok Island. We used qualitative study with case study design through in-depth interviews with nine informants from two MPDSR program holders at the Health Offices and one Maternal Perinatal Death Notification (MPDN) coordinator at the West Nusa Tenggara Health Office in 2022. Data were analyzed using the thematic analysis approach. Triangulation were done by method triangulation, triangulation between researchers, triangulation of data sources, and theoretical triangulation. The results showed that the problems faced by the MPDSR team, including ineffective of MPDSR socialization, budget limitations of MPDSR activities, feature issues in the MPDN, the ratio between labor and workload was less than ideal, incomplete and delayed collection of maternal mortality data, lack of communication between MPDSR teams, health workers have not been trained in the data entry process, labor outside of medical supervision, no monitoring of maternal mortality cases in wards other than obgyn, health workers did not understand the ICD-10 code, the assessment was still conducted in a hybrid, not all maternal death cases were assessed, blaming culture, and suboptimal monitoring of the sustainability of MPDSR recommendation. Therefore, it was necessary to establish discussion to find strategies and solutions based on a priority scale.
Factors Affecting Fe Tablet Consumption in Adolescent Girls in Order to Prevent Anemia in Mataram City Tarigan, Rizqy Agung Fattahillah; Cholidah, Rifana; Danianto, Ario
Jurnal Biologi Tropis Vol. 25 No. 2 (2025): April-Juni
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i2.8101

Abstract

A disorder known as anemia occurs when the body's hemoglobin level falls. Oxygen is transported throughout the body by hemoglobin. Because puberty alters the body's nutritional and physiological requirements, teenage females are among the groups most at risk for anemia. If adolescent girls' anemia is not addressed with regular Fe pill use, it can impair their capacity to learn and result in pregnancy. Adolescent girls' consumption of Fe pills is influenced by a number of factors, including distribution of the tablets, school assistance, attitude, and knowledge. This study aims to determine the factors that influence the consumption of Fe tablets in adolescent girls. The type of research conducted is an analytical survey study with a cross-sectional approach and using chi-square data analysis with a sample size of 68 respondents. The results of the study showed that the variable level of knowledge was dominated by the less category (50%) and had a p-value of 0.000, the attitude variable was dominated by a positive attitude (54.4%) and had a p-value of 0.061, the school support variable was dominated by the less supportive category (54.4%) and had a p-value of 0.041, the overall distribution variable of Fe tablets received tablets once a week (100%) and the p-value could not be assessed (NA).
The impact of Gestational Weight Gain on Preeclampsia During COVID-19 Pandemic Anugra, Lalu Rifal Hadi; Danianto, Ario; Irawati, Deasy
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 3 Jully 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i3.2119

Abstract

Objective : To determine the Effect of Gestational Weight Gain on Preeclampsia During COVID-19 Pandemic in Public Health Centers of The West Lombok Regency Methods : This study is an observational analytic study that uses a case control study design (case control) starting by identifying patients with effects (preeclampsia and/or eclampsia) and groups without effects (no preeclampsia and/or eclampsia) and then retrospectively tracing their risk factors at 3 public health centers, which are located in West Lombok Regency, NTB Province, Indonesia namely Narmada, Kediri and Gunung Sari Health Centers. The analysis was carried out using the SPSS application. Results: Total of 120 samples were obtained, with 60 case samples and 60 control samples. During the COVID-19 pandemic with a time span of 2020-2021, subjects with weight gain that did not meet the recommendations had more preeclampsia, namely 56 people (93.3%) than subjects who did not had preeclampsia, which was 32 people (53.3 %). The value of Odds Ratio (OR) is 12,25 (95% Confidence Interval, 3.941-38.078). Conclusion : Based on this study, there was a significant relationship between the increase in BMI and the incidence of preeclampsia during the COVID-19 pandemic. The increase in BMI that is not in accordance with the recommendations is a risk factor for the occurrence of preeclampsia in pregnant women. The majority of preeclampsia occurs in 3rd trimester pregnant women. In addition, the Odds Ratio value obtained in this study increased by 6 times compared to similar studies conducted in non-pandemic conditions. Keywords : Preeclampsia, Eclampsia, Gestational Weight Gain, COVID-19
The Relationship Between Knowledge on Nutrition and The Case of Anemia in Pregnant Women Hermansyah, Anang; Danianto, Ario; Cholidah, Rifana
Jurnal Biologi Tropis Vol. 24 No. 4 (2024): Oktober - Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i4.7603

Abstract

Anemia is a condition when the body's hemoglobin levels decrease. Hemoglobin serves as a carrier of oxygen throughout the body. Pregnant women are one of the populations most susceptible to anemia because their bodies' nutritional and physiological needs change throughout pregnancy. One factor influencing the occurrence of anemia in pregnant women is a lack of knowledge about nutrition during pregnancy. This study aims to determine the anemia case, the level of knowledge, and the relationship between the level of knowledge about nutrition and the anemia case in pregnant women. The type of research conducted is an observational analytical research with a cross sectional approach and uses Spearman rank data analysis with a sample size of 33 respondents. The results of the study showed that the anemia case was 63.6%, the level of knowledge of respondents was dominated by a low level of knowledge, and there was no relationship between the level of knowledge about nutrition and the anemia case in pregnant women with a significance value of 0.578% and had a weak relationship with a correlation value of 0.101%.
Relationship Between Menstrual Cycle and Anemia in Adolescent Girl at MA Nurul Islam Mataram Aswandani, Alifa; Danianto, Ario; Cholidah, Rifana
Jurnal Biologi Tropis Vol. 24 No. 4 (2024): Oktober - Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i4.7709

Abstract

Adolescent are individuals who experience rapid growth and development process. In adolescent girl in particular, there is a physiological process occurs called menstruations that caused bleeding every month in adolescent girl and known as menstrual cycle. As a result of the menstruation, young women become a vulnerable group to anemia. This study intends to determine the relationship between the menstrual cycle and the incidence of anemia in adolescent girl at MA Nurul Islam Mataram. This study is quantitative categorical analysis with a cohort retrospective approach. The sample in this study was 48 young women at MA Nurul Islam Mataram, divided into 24 people in the normal menstrual cycle group and 24 people in the abnormal menstrual cycle group. Sample selection was carried out using a consecutive sampling method that fulfilled the sample inclusion and exclusion criteria. Data analysis in this study was carried out using the chi-square test to see the relationship between the menstrual cycle and the incidence of anemia in adolescent girl at MA Nurul Islam Mataram. The result of this study data analysis using the chi-square hypothesis test obtained a p-value of 0.505 (p<0.05) which shows that there is no significant relationship between the menstrual cycle and the incidence of anemia in young women at MA Nurul Islam Mataram.
The Relationship Between Stunting and Anemia in Toddlers in Malaka Coastal Area, North Lombok Danianto, Ario; Cholidah, Rifana; Amalia, Emmy; Purnaning, Dyah
Jurnal Biologi Tropis Vol. 24 No. 4 (2024): Oktober - Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i4.7990

Abstract

Stunting is a major chronic nutritional problem with a high prevalence in Indonesia. This issue is crucial as it affects the quality of Indonesia's human resources in the future. One of the consequences of stunting is the increased incidence of anemia in toddlers. Anemia occurring early in life disrupts physical growth and leads to growth retardation. The relationship between anemia and stunting is an overlapping influence stemming from various levels. Efforts to prevent and reduce the rates of stunting and anemia must involve all parties comprehensively. Anemia in toddlers is a global health problem, both in terms of severity and prevalence. Globally, 1.6 million people are affected by anemia, and 47.4% of them are preschool-aged children. This study aims to determine the relationship between the occurrence of stunting and anemia in toddlers. The research was conducted through an analytical observational survey with a cross-sectional design. In this study, in the normal toddler group, of 26 samples, 25 children (96.15%) had normal Hb levels, and 1 child had mild anemia (3.85%). Meanwhile, in the 30 stunted toddlers, all samples had normal Hb levels (100%). The average Hb level in normal toddlers was 12.82 mg/dl, and in stunted toddlers, it was 12.81 mg/dl. No significant difference was found between the Hb levels of normal and stunted toddlers, with a p-value of 0.977 (p > 0.05).