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Perbedaan Skala Nyeri antara Blok Pleksus Servikalis Superfisialis Levobupivakain dan Fentanil Intravena Pascaoperasi Mastoidektomi Kaligis, Stephanus Andy Prakasa; Arianto, Ardana Tri; Thamrin, Muhammad Husni
Jurnal Anestesi Perioperatif Vol 6, No 2 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (497.814 KB) | DOI: 10.15851/jap.v6n2.1224

Abstract

Penelitian tentang penggunaan blok pleksus servikalis superfisialis sebagai analgetik pascaoperasi mastoidektomi masih sangat terbatas baik di Indonesia maupun luar negeri. Tujuan penelitian mengetahui efektivitas blok pleksus servikalis superfisialis sebagai analgetik pascaoperasi mastoidektomi. Penelitian ini berdisain uji klinik acak tersamar tunggal pada 30 pasien yang dilakukan operasi mastoidektomi dan memenuhi kriteria inklusi di Rumah Sakit Dr. Moewardi Surakarta periode Oktober 2017–Februari 2018. Sampel dibagi menjadi 3 kelompok, yaitu kelompok fentanil intravena, blok pleksus cervicalis superfisialis dengan levobupivakain, dan blok pleksus cervicalis superfisialis dengan salin. Semua pasien mendapatkan perlakuan anestesi umum sesuai standar dan dinilai skala nyeri berkala pascaoperasi. Selain itu, juga dinilai efek mual-muntah pascaoperasi, kebutuhan opioid selama operasi, dan efek samping tindakan blok. Skala nyeri pascaoperasi mulai jam ke-2 sampai ke-24 pada kelompok fentanil intravena (nyeri ringan 80–90%) dan levobupivakain (nyeri ringan 90–100%) lebih rendah dibanding dengan kelompok salin (nyeri ringan 10–50%; nyeri sedang 50–70%) (p<0,05). Pada kelompok salin bahkan terjadi nyeri berat sebanyak 40% pada jam ke-2. Skor PONV pada kelompok fentanil, levobupivakain, dan salin mayoritas mual ringan (60%; 40%; dan 50%). Tidak ada komplikasi yan g terjadi terkait blok pleksus servikalis superfisialis. Simpulan, tidak ada perbedaan skala nyeri yang bermakna antara blok pleksus servikalis superfisialis levobupivakain dan fentanil intravena pascaoperasi mastoidektomi. Kata kunci: Blok pleksus servikalis superfisialis, fentanil, levobupivakain, mastoidektomi Difference in Pain Scale between Levobupivacaine Superficial Cervical Plexus Block and Intravenous Fentanyl for Post-Post-Mastoidectomy PainResearch on the use of superficial cervical plexus block as an analgesic after mastoidectomy is still very limited both in Indonesia and abroad. The purpose of this study was to determine the efficacy of superficial cervical plexus block as an analgesics for post-post-mastoidectomy pain. This was a single blinded randomized clinical trial study performed on 30 patients underwent mastoidectomy who met the inclusion criteria in Dr. Moewardi General Hospital Surakarta October 2017–February 2018. Subjects were divided into 3 groups: levobupivacaine block, saline block, and intravenous fentanyl groups. All patients received standard general anesthesia treatment and  were evaluated periodically for the post-operative pain scale. The post-operative effects post-including  nausea-vomiting, opioid need during surgery, and side effects of  the block were also assessed. The pos-toperative pain scales 2 to 24 hours after surgery in the intravenous fentanyl (mild pain 80–90%) and levobupivacaine group (mild pain 90–100%) were lower than those in the saline group (mild pain 10–50%, moderate pain 50–70%) (p<0.05). In the saline group, severe pain was even identified 2 hours after the surgery in  as high as 40% of the subjects. Comparison of the pain scale between fentanyl and levobupivacaine groups from 2 to 24 hours after surgery did not show any significant difference. PONV scores in the fentanyl, levobupivacaine, and saline groups reflected mild nausea (60%, 40%, and 50% respectively). No complication occurred in superficial cervical plexus block application. In conclusion, there is no significant difference in pain scale between the superficial cervical plexus block using levobupivacaine and intravenous fentanyl in terms of  post-post-mastoidectomy pain. Key words: Fentanyl, levobupivacaine, mastoidectomy, superficial cervical plexus block 
The Effectiveness of Coordination on Disaster Management By the Goverment Disaster Agency in Ogan Ilir Regency Nomaini, Faisal; Thamrin, Muhammad Husni; Budiarto, Gatot
Sumatra Journal of Disaster, Geography and Geography Education Vol 4 No 2 (2020): Sumatra Journal of Disaster, Geography and Geography Education ( Desember Edition
Publisher : Sumatra Journal of Disaster, Geography and Geography Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.99 KB) | DOI: 10.24036/sjdgge.v4i2.333

Abstract

Effective Natural Disaster Management Activities are prioritized targets at the National and regional levels. Implementing natural disaster management activities in certain regions are the regional government through the Regional Disaster Management Agency (BPBD). Apart from being the spearhead for implementing natural disaster management activities, BPBD also acts as a coordinator for other related agencies in the natural disaster management. The Regional Government of Ogan Ilir Regency as the study locus of the research which is the main data source for this article, has the problem of weak coordination function between BPBD and other agencies in natural disaster management activities. To ensure this problem, this research has been conducted on the effectiveness of the coordination function using a quantitative design through a survey of the BPBD and agencies involved in natural disaster management activities. The effectiveness of the coordination function as a variable is viewed in four dimensions, namely the unity of action, communication, division of labor, and discipline. From the results of two-dimensional research, the coordination function obtained effectiveness in the medium category and the other two dimensions gained effectiveness in the low category. Meanwhile, overall the achievement of the level of effectiveness of the coordination function in natural disaster management activities in the Ogan Ilir Regency Government is moderate (the effectiveness of the coordination function is moderate). Keywords: BPBD, Natural Disasters, Coordination Function.
Agricultural Policy: Systematic Literature Review Nasution, Faiz Albar; Fahreza, Imam; Thamrin, Muhammad Husni
Journal of Peasants' Rights Vol. 2 No. 2 (2023): Community Empowerment and Agrarian Political
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jpr.v2i2.13631

Abstract

In general, agriculture is a neutral sector in a country. In this case, many countries rely on the agricultural sector, where agriculture is the primary production in economic development, often referred to as agrarian countries. The main objective of agricultural policy is to maintain agricultural production by achieving economic benefits compatible with poverty reduction as a final reaction to meet the population's social needs with the least possible impact. Seeing the problems and opportunities in the agricultural sector that also have socio-political impacts, this research is vital to understanding the implications and implementation of agricultural policies. This research uses a bibliometric analysis method to see the research development with the keyword "agriculture policy" on Google Scholar search with a vulnerable time in 2020-2023, which produces data for as many as 155 articles. The results show that the publication trend regarding "agriculture policy" has critical players who are relevantly attracting scientists to study by looking at the trend of keywords that most often come out, making discussions about agricultural policy a form of literature that can be a reference or consideration in policy making. Thus, food policy research must also continue to be carried out to obtain new knowledge as a reference in advancing agriculture in the scope of science.
Menakar Partisipasi Politik Masyarakat Kota Medan Terhadap Pemilihan Walikota Medan Tahun 2020 Nasution, Faiz Albar; Thamrin, Muhammad Husni; Ritonga, Alwi Dahlan
Politeia: Jurnal Ilmu Politik Vol. 12 No. 2 (2020): Politeia: Jurnal Ilmu Politik
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/politeia.v12i2.3955

Abstract

This study examines the political participation of the Medan City community to the Medan mayor elections. One indicator of the success of the elections, can be seen from the community participation in the exercise of the right of choice. However, voters ' participation in Medan city elections since reform to date, tends to have a low level of participation. The phenomenon, quite indicating that the community of the city of Medan has no orientation in using the right to select the regional head election. Therefore, the estimative participation of voters in the city elections in Medan year 2020 interesting to learn, to be a reference and reflection material in the press of the number of abstainers in Medan. This research is done by a qualitative method of descriptive. Data collection techniques using secondary data in the form of journals, documents, newspapers and primary data through in-depth interviews to the informant that originated from the agency of elections, political and social organisations. Data analysis using the Miles and Huberman techniques are: data reduction, data display and draw conclusions. The results of the study showed the community participation in Medan is dominated by participation in voting and total apathy. In addition, the factors that determine the level of participation in the upcoming elections 2020 are; Government, the party's role in political recruitment and the update of voters data.
PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN MASYARAKAT DALAM PELAYANAN PAJAK KENDARAAN BERMOTOR DI KANTOR SAMSAT MEDAN UTARA Ardina, Tri; Thamrin, Muhammad Husni; Harlis, Friska Prastya
Jurnal Paradigma Vol 13, No 1 (2024): JURNAL PARADIGMA
Publisher : Magister Administrasi Publik FISIP Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jp.v13i1.15147

Abstract

Administrasi Publik mengkaji berbagai strategi salah satunya di bidang pelayanan publik yang dimaksudkan untuk lebih memahami hubungan antara pemerintah dan masyarakat. Salah satu tuntutan masyarakat kepada pemerintah adalah peningkatan kualitas pelayanan publik. Pelayanan dikatakan berkualitas atau memuaskan bila dapat memenuhi kebutuhan dan harapan masyarakat. Berdasarkan data yang di diperoleh dari Ombudsman RI, adanya laporan pengaduan masyarakat terkait pelayanan publik yaitu sebanyak 2.706 laporan sepanjang triwulan I tahun 2022 yang menunjukkan masih kurang maksimalnya kualitas pelayanan yang diberikan. Penelitian ini bertujuan untuk mengetahui pengaruh kualitas pelayanan terhadap kepuasan masyarakat dalam pelayanan pajak kendaraan bermotor di SAMSAT Medan Utara. Penelitian ini menggunakan teori kualitas pelayanan oleh Parasuraman, Zeithaml, dan Berry. Adapun yang menjadi fenomena dalam penelitian ini yaitu adanya keluhan dari wajib pajak terkait pelayanan yang terkesan lambat, isu penggunaan jasa calo, serta adanya dugaan pungli yang dilakukaan oleh oknum pegawai SAMSAT Medan Utara. Metode analisis data pada penelitian ini menggunakan regresi linier sederhana dengan bantuan program SPSS versi 25. Populasi dari penelitian ini adalah wajib pajak yang terdaftar di SAMSAT kota Medan dengan sampel sebanyak 100 responden. Pengumpulan data menggunakan kuesioner dengan pengkuran 5 poin skala likert. Hasil penelitian ini menunjukkan hasil analisis deskriptif tentang variabel kualitas pelayanan (X) yang memiliki nilai signifikan 0,000 < 0,05 dengan nilai koefisien regresi 0,523 maka bernilai positif dan hasil uji parsial menjelaskan bahwa terdapat nilai t hitung > t tabel (6.458>1.98447). sehingga dapat disimpulkan bahwa terdapat pengaruh yang signifikan antara kualitas pelayanan terhadap kepuasan masyarakat dalam pelayanan pajak kendaraan bermotor di kantor SAMSAT Medan Utara.Kata kunci: Pelayanan Publik, Kualitas Pelayanan, Kepuasan Masyarakat
A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management Lubis, Batian; Purwaamidjaja, Dis Bima P; Lestari, Mayang Indah; Faisal; Thamrin, Muhammad Husni; Belinda, Febri Akhmad
Journal of Society Medicine Vol. 2 No. 12 (2023): December
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v2i12.108

Abstract

Introduction: Percutaneous Dilatational Tracheotomy (PDT) is a procedure established for the management of airway and ventilation in the medium to long term for critically ill patients in the ICU. Bleeding is one of the most frequent early complications of tracheostomy. The comorbid conditions of critically ill patients increase the risk of bleeding complications. The aim of this case was to identify factors that increase the risk of bleeding complications in critically ill patients undergoing Percutaneous Dilatational Tracheostomy (PDT) and its management Case: Two cases of patients experiencing bleeding complications after PDT were reported. The bleeding in these patients were suspected to be caused by coagulation disorders due to sepsis and chronic kidney disease. The bleeding occurred on day-1 and 2 post-PDT procedure. Bleeding complications that were not resolved with general management were managed by subcutaneous suturing in the anatomical region of branching arteries and veins that supply the trachea. Conclusion: Bleeding after PDT are a part of early complications of tracheostomy procedures. This complication is more often found in critically ill patients. Management can be carried out by suturing the anatomical region of branching arteries and veins supplying the trachea.
Optimizing Extension Communication in The Prevention of Sexual Harrasment in Higher Education Institutions (Systematic Literature Review) Ritonga, Aulia Rahma; Thamrin, Muhammad Husni; Nur'aini
Komunika Vol. 20 No. 02 (2024): Mass Communication, Marketing Communication and Interpersonal Communication.
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/komunika.v20i02.18104

Abstract

This study aims to optimize communication strategies for preventing sexual harassment in higher education institutions. Amid rising incidents of sexual harassment that threaten the safety and well-being of students, especially women aged 18-24, there is an urgent need for more effective interventions. Employing a descriptive qualitative approach, this research analyzes data from various scientific publications, official documents, and journals using content analysis techniques to identify main themes and categorize relevant information. The findings suggest that effective counseling communication strategies are crucial in preventing sexual harassment within higher education institutions. The study highlights the importance of education and awareness, development of interpersonal communication skills, provision of support resources, specialized training for facilitators, integration of a comprehensive sexual education curriculum, and the use of media and technology in counseling. These approaches aim to deepen understanding, enhance support for victims, and develop inclusive and effective prevention strategies. The discussion emphasizes the need for adapting communication strategies to match the cultural context and policies of each institution to enhance their effectiveness. Recommendations from this research include a holistic integration of approaches focusing on training, advocacy, and clear policies, as well as ongoing evaluation to assess and improve existing strategies, ensuring their effectiveness in preventing sexual harassment in university environments.
Peningkatan Penjualan Produk UMKM Melalui Inovasi dan Diversifikasi Produk Pada UMKM di Kel. Kayumanis Kec. Tanah Sareal Kota Bogor Hadi Broto; Thamrin, Muhammad Husni; Alinda Nurayani; Marjohan, Masno; Supratikta, Hadi
Karimah Tauhid Vol. 4 No. 1 (2025): Karimah Tauhid
Publisher : Universitas Djuanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30997/karimahtauhid.v4i1.17639

Abstract

Usaha Mikro, Kecil, dan Menengah atau yang sering kita kenal dengan UMKM memainkan peran vital dalam perekonomian Indonesia. UMKM tidak hanya berkontribusi pada penciptaan lapangan kerja tetapi juga pada peningkatan pendapatan masyarakat dan pertumbuhan ekonomi nasional sehingga berperan dalam proses peningkatan taraf hidup perekonomian masyarakat, UMKM sering menghadapi berbagai tantangan yang dapat menghambat perkembangan mereka. Salah satu tantangan utama yang dihadapi oleh UMKM adalah manajemen pemasaran produk yang kurang efektif, dikarenakan banyak pelaku UMKM yang masih menggunakan metode pemasaran yang sederhana sehingga pangsa pasar tidak tersentuh lebih luas. Di era digital ini inovasi dan diversifikasi produk sangat diperlukan untuk memberikan kontribusi prositif bagi peningkatan kesejahteran pelaku usaha UMKM melalui peningkatan penjualan produk UMKM, khususnya di Kelurahan Kayu Manis. Kegiatan Pengabdian Masyarakat ini bertujuan untuk meningkatkan kesadaran dan pemahaman pelaku UMKM terkait inovasi dan strategi pemasan produk guna meningkatkan pendapatan pelaku UMKM. Melalui kegiatan ini, diharapkan UMKM dapat mengoptimalkan manajemen pemasaran mereka, sehingga dapat beroperasi lebih efisien dan kompetitif di pasar sehingga mampu bersaing dan pelaku usaha dapat meningkatkan taraf hidup dengan adanya peningkatan pendapat dari usaha UMKM. Dalam kegiatan progam pengabdian kepada masyarakat ini dilakukan pelatihan dan pendampingan terkait dengan peningkatan penjulan produk UMKM yang difokuskan pada dua hal utama yaitu inovasi kemasan dan diversifikasi produk. Peningkatan penjualan menunjukkan bahwa daya saing dan pemasaran produk UMKM di Kelurahan Kayumanis diperkuat dengan inovasi kemasan dan diversifikasi produk. Kemasan yang menarik mampu meningkatkan daya tarik produk dan menarik minat pelanggan. Diversifikasi produk memberi pelanggan lebih banyak pilihan dan meningkatkan potensi penjualan. Meskipun program PKM menunjukkan hasil yang positif, ada beberapa tantangan yang perlu diperhatikan. Beberapa di antaranya adalah keterbatasan modal dan akses terhadap teknologi informasi. Untuk mengatasi tantangan ini dan memastikan program terus berlanjut, pemerintah dan pihak terkait harus terus memberikan dukungan. Diperlukan peningkatan intensitas pendampingan, pelatihan yang lebih khusus dan terarah, dan kemudahan mendapatkan permodalan untuk pengembangan program di masa mendatang.
INSTITUTIONAL COORDINATION OF FLOOD CONTROL AT MEDAN CITY IN MEBIDANGRO COOPERATION SCHEME Thamrin, Muhammad Husni; Ridho, Hatta; Nasution, Faiz Albar
Sosiohumaniora Vol 23, No 3 (2021): Sosiohumaniora: Jurnal Ilmu-Ilmu Sosial dan Humaniora, NOVEMBER 2021
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/sosiohumaniora.v23i3.31620

Abstract

Flood management system in Medan City is very poor, because there is no institutional coordination resulting from sectoral egos. Effective institutional coordination in urban flood management is needed. Condition is based on problem of flooding in Medan City which has not been effectively implemented, so an alternative solution for integrated urban flood management is needed. Purpose of this research is to explain implementation of flood control policies in Medan City and how coordinate flood control institutions in Medan City in Mebidangro cooperation scheme. This type of qualitative research with descriptive methods is used in this research. Primary data collection techniques with deep interviews through FGD activities with stakeholders. In addition, secondary data is collected by citing journals, books, documents, online media, and other materials support research. Data analysis techniques are carried out through data reduction activities, data display and drawing conclusions. Results showed implementation Presidential Regulation No. 62 of 2011 on flood control in Medan City has not been optimally implemented. Condition is influenced lack of understanding authority and lack of coordination between related agencies to safeguard river basins, river norms and establish primary drainage channels. In addition, coordination of Medan City flood control institution in Mebidangro cooperation scheme has been carried out in a procedural manner. However, actualization still requires visionary leadership and command to support success program.
Implementation of Risk-Based Business Licensing Policy in Supporting Ease of Doing Business (Study in Ogan Ilir Regency) Alhamdari, Lailita; Thamrin, Muhammad Husni; Mustain, Akhmad
ARISTO Vol 14, No 1 (2026): January : (Fortchoming )
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ars.v14i1.11090

Abstract

Risk-Based Business Licensing isa response to the JobCreation Law aimed at improving the investment ecosystem, business activities, and the Ease of Doing Business (EoDB) in Indonesia. This study analyzes theimplementation of risk-based business licensing policies in Ogan Ilir Regency using Charles O. Jones' implementation theory, which includes three main aspects: organization, interpretation, and application. The research method usedis descriptive qualitative through interviews, observations, and documentation. The analysis results show that the implementation of risk-based business licensing policies in Ogan Ilir Regency has been running well, as reflected in the adjustment of the organizational structure and the formation of a licensing technical team, adequatehuman resources in the licensing service sector, adequate internet networks and facilities, and good coordination between DPMPTSP in Ogan Ilir Regency and the licensing technical team. However, several challenges were identified,including budget limitations whichhave implications for the lack of policy socialization and participation in face-to-face OSS RBA training, insufficientpublicunderstanding of theOSS RBA system itself,and supporting regulations for risk-based business licensing that are still in the drafting stageand havenot yetbeen ratified.Itis necessaryfor theRegional Government to strengthen the capacity and competence of human resources, encourage the availability of budget allocations for licensing services, encourage OPD participation to accelerate the preparation of supporting regulations for risk-based licensing, and expand access to assistance by utilizing digital services through simple video tutorials for business actors.It is recommended that future research conduct a comparative study between regions to analyze patterns and best practices in the implementation of risk-based business licensing policies in Indonesia, particularly in areas facing similar challenges. Additionally, future studies should adopt a quantitative approach to measure the policy's impact on business actors.