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All Journal PAMERI : Pattimura Medical Review

Irwan Irwan

Fakultas Kedokteran Universitas Pattimura

Author-ID : 5987841

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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ABLASI RADIOFREKUENSI PADA SEORANG WANITA MUDA DENGAN JALUR ASESORIS MULTIPEL KOEKSISTENSI DENGAN SINDROM WOLFF-PARKINSON-WHITE, ATRIOVENTRICULAR NODAL REETRANT TACHICARDYA DAN TAKIKARDI VENTRIKEL Irwan Irwan
PAMERI Vol 3 No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Pattimura

Introduction. Wolff-Parkinson-White (WPW) syndrome is a common form of preexitation syndrome and usually present with supraventricular tachycardia (SVT). It is characterized by presence of an accessory pathway which lead to tachyarrhythmia and sudden cardiac death. Among patients with WPW syndrome, multiple reentry circuits are relatively common. Coexistence of more than one type tachycardia in an individual patientis a well-known but infrequent phenomenon. Report. We present a-20 years old woman who had frequent episodes of palpitation and dizziness since 3 years ago. Frequently hospitalized in rural hospital then referred to us. During electrophysiology study, retrograde atrial activation showed two types of tachycardia, orthodromic tachycardia incorporating left lateral accessory pathway and wide complex tachycardia. After successful multiple ablation was performed in left lateral location, we conducted another pacing and induced another tachycardia with earliest activation shown as orthodromic tachycardia in CS 9-10, another ablation was performed in anteroseptal location. Following the successful ablation of accessory pathway, ventricular tachycardia inducibility was tested. Either SVT or VT was not induced by anyprogrammed ventricular stimulation. We stop. Conclussion. Multiple accessory pathway are relatively common in WPW syndome patient during electrophysiology study. In our case, multiple accessory with different electrophysiology properties manifest in left lateral and anteroseptal accessory pathway causing AVRT with 2 different morphologies which were induced after initial ablation. All effort should be made to induce another possible tachycardia after initial successful ablation.

HUBUNGAN RASIO KOLESTEROL TOTAL TERHADAP HIGH DENSITY LIPOPROTEIN DENGAN KEJADIAN SINDROM KORONER AKUT DI RSUD DR. M. HAULUSSY AMBON TAHUN 2018-2019 Nurul H D J F Ahmad; Irwan Irwan; Eka Astuty; Zulkarnain Zulkarnain; Indrawanti Kusadhiani; Is Ikhsan Hataul
PAMERI Vol 3 No 2 (2021)
Publisher : Fakultas Kedokteran Universitas Pattimura

Cardiovascular disease is one of the leading causes of death in the world. The primary cause of death in cardiovascular disease around the worldis acute coronary syndrome (ACS). Based on data from the World Health Organization (WHO) in 2015, cardiovascular disease causes 17.5 million deaths or about 31% of all deaths globally, and due to acute coronary syndrome is 7.4 million. This disease is estimated to reach 23.3 million deathsby 2030. ACS is an emergency heart disease that occurs due to rupture or erosion of the atherosclerotic plaque in the coronary arteries. The ratio of total cholesterol to high density lipoprotein (HDL) cholesterol or also known as the Cardiac Risk Ratio is a comparative number that can be used to detect the risk of developing ACS.The purpose of this study was to determine the relationship between the ratio of total cholesterol to high density lipoprotein and the incidence of ACS in RSUD dr. M. Haulussy Ambon in 2018-2019. This research was an observational analytic study with a cross sectional design. Using total sampling method there were 80 peoples included to the sample. The instrument used was medical record data. Datas were analyzed using the SPSS application with the chi square test. Theresult showed p=0,032 (p<0,05). Based on the data analysis, there wassignificant relationship between theratio of total cholesterol to high density lipoprotein (HDL) and the incidenceof acute coronary syndrome in RSUD dr.M. Haulussy Ambon in 2018-2019

HUBUNGAN REAKSI EMOSIONAL MAHASISWA SEMESTER PERTAMA DENGAN TINGKAT KELULUSAN PRAKTIKUM ANATOMI BERBASIS CADAVER Ayu Febriyanti Abbas; Vebiyanti Tentua; Johan B. Bension; Parningotan Y. Silalahi; Sherly Yakobus; Irwan Irwan
PAMERI Vol 3 No 2 (2021)
Publisher : Fakultas Kedokteran Universitas Pattimura

Emotion is psychological condition that supports a person to make or do something after a stimulus originating from within and outside him/her. First-year medical students habitually experience various emotional reactions and mixed feelings, when they got cadaver for the first time in the practicum room or surgery room. Based on data graduation got from the Medical Education Unit (MEU) of the Faculty of Medicine at Pattimura University, the level of effectiveness of anatomy subject from the 2014/2015 academic year to the 2016/2017 only reached 53,63% this figure shows that a small number of students are capable pass anatomy sub-alignment course. This research aims to describe the emotional reaction of the first semester students with a graduation level of cadaver-based anatomy practicum. This research is a quantitative analytic research with sectional approach. Amount of 142 respondent were obtained using total sampling for the all 2019 first semester students who participated in the second biomedical anatomysub-block of the 2019/2020 Academic Year. Retrieval of data using the cadaver student's emotional reaction dealing with questionnaire that has been validated. Based on the result of the study found that a mount of 31,2% of students who passed the anatomy practicum experience got the positive emotions, while 25% felt negative emotions. Then 68,8% and 80% of student who experienced positive and negative emotions were stated didn’t pass the test. These results showed that there was no correlation between emotional reactions and cadaver-based anatomical practicum graduation rates, with the calculated Chi Square amount=0.069 and p=0,793 at the significance of 0,050. So it can be concluded that there is no relationship between emotional reactions with the graduation level of cadaver-based anatomical practicum in 2019 first semester students of the Faculty of Medicine, Pattimura University.

KARAKTERISTIK DAN TINGKAT KEPATUHAN MINUM OBAT ANTI HIPERTENSI PADA PASIEN HIPERTENSI DI PUSKESMAS AIR BESAR Daniel Sinaga; Irwan Irwan; Samuel Maruanaya; Presli G Siahaya
PAMERI Vol 4 No 2 (2022)
Publisher : Fakultas Kedokteran Universitas Pattimura

Hypertension known widely as a cardiovascular disease in which patients has a blood pressure above normal. Treatments on hypertension can be fully completed when a few factors are met. One of the factors mentioned is hypertension drug adherence. This study is conducted to know characteristics on hypertension drugs adherence patients in Puskesmas Air Besar. This study is an observational research is a descriptive cross-sectional study. The sample in this study is hypertension patients in Puskesmas Air Besar Desa Batu Merah in 2021, 108 patients, will be given a questionnaire to fill. The data then taken and analyzed using univariate approach. This study shows that in Puskesmas Air Besar Desa Batu Merah most patients are in the range of 45-54 of age which are 31 patients (28,78%), most patients as many as 80 patients (74,07%) are female, most patients as many as 52 patients (48,15%) are on low level of education category, most patients as many as 46 patients (42,60%) are housewife, most patients as many as 25 patients (23,15%) does not have any family history for hypertension, most patients as many as 101 patients (93,52%) does not smoke, most patients as many as 67 patients (62,04%) found in this study are mostly obese, and most patients found in this study as many as 68 patients (62,96%) has low category on adherence level.

Co-Authors Ayu Febriyanti Abbas Daniel Sinaga Eka Astuty Indrawanti Kusadhiani Is Ikhsan Hataul Johan B. Bension Nurul H D J F Ahmad Parningotan Y. Silalahi Samuel Maruanaya Sherly Yakobus Vebiyanti Tentua Zulkarnain Zulkarnain

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