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All Journal Jurnal Neuroanestesi Indonesia Mandala of Health : A Scientific Journal Jurnal of Community Health Development (JCHD) Medical and Health Journal
Wisnu Budi Pramono, Wisnu Budi
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Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Veterinary

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PENGETAHUAN ORANG TUA TENTANG KECACINGAN DAN PENGOBATAN TERHADAP KEJADIAN INFEKSI SOIL TRANSMITTED HELMINTH DI SDN CIBEREM KECAMATAN SUMBANG KABUPATEN BANYUMAS: A CROSS SECTIONAL STUDY Susiawan, Lieza Dwianasari; Wahyudin, Wahyudin; Sari, Octavia Permata; Pramono, Wisnu Budi; Bahiyah, Fiona Annisa
Medical and Health Journal Vol 3 No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.3.2.11388

Abstract

Soil Transmitted Helminths (STH) infection is a disease caused by nematodes and often occurs among elementary school age children. One factor that can influence the occurrence of recurrent infections is parents' lack of understanding about worm treatment. Errors in treating worms can be influenced by several factors, one of which is the level of parental knowledge. To determine the relationship between the level of parental knowledge about worms and treatment on the incidence of Soil Transmitted Helminth infections at SDN Ciberem, Sumbang District, Banyumas Regency. Analytical research is an observational study with a cross-sectional design on 96 Ciberem Elementary School students using purposive sampling techniques. Data collection was carried out by questionnaires on parental knowledge and fecal examination at the FK Unsoed Parasitology Laboratory using the floating method (qualitative). Hypothesis analysis uses Fisher's Exact test. Result: The prevalence of STH infection at SDN Ciberem was 5.2% with the worm type Trichuris trichiura. The results of the Fisher's Exact statistical test showed that parental knowledge about worms (p= 0.052) did not have a significant relationship with the incidence of STH infection. The level of parental knowledge about worm treatment (p=0.033) has a significant relationship with the incidence of STH infection. Conclusion: There was no relationship between the level of parental knowledge about worms and the incidence of STH infection. There is a relationship between the level of parental knowledge about worm treatment and the incidence of STH infection.
DRUG INTERACTIONS AND CONTRAINDICATIONS ANESTHESIA DRUGS IN PSYCHIATRIC PATIENTS Wardani, Henry Nur Kusuma; Pramono, Wisnu Budi
Medical and Health Journal Vol 3 No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.3.2.11390

Abstract

Psychotropic drugs are used in the treatment of psychiatric and non-psychiatric conditions. Many patients taking psychotropic medications may present for procedures that require anesthesia. Psychotropic drugs can have dangerous interactions with drugs commonly used in anesthesia, some of which can be life-threatening. In this review, we describe current anesthetic considerations for patients undergoing psychotropic drug therapy, including antidepressants, antipsychotics, mood stabilizers, anxiolytics, and stimulants. The pharmacology, side effects, and potential drug interactions of commonly prescribed psychotropic drug therapy with anesthetic agents are described. Next, we highlight current recommendations regarding discontinuation and continuation of these medications during the perioperative period.
Edema Paru Neurogenik Perioperatif Prihatno, MM Rudi; Suryani, Shila; Pramono, Wisnu Budi
Jurnal Neuroanestesi Indonesia Vol 12, No 2 (2023)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v12i2.464

Abstract

Edema paru neurogenik (EPN) merupakan salah satu penyebab kematian di ruang perawatan intensif. Kejadian ini lebih sering tersamarkan sebagai penyakit atau gangguan yang murni berasal dari sistem pernafasan. Pemeriksaan untuk menegakkan diagnosis EPN perlu dilakukan, baik secara radiologis dan laboratoris. Ada beberapa hal yang sangat berguna pada penentuan perkiraan kejadian EPN ini, antara lain adalah penyebab kejadian neurologis yang terjadi, pemeriksaan penunjang, lama perawatan berjalan di RS, serta prakondisi penyakit penyerta yang dimiliki oleh pasien ataupun keluarganya. Pasein yang akan menjalani prosedur operasi dan memiliki gangguan respirasi sebelumnya atau riwayat gangguan neurologis sebelumnya atau bahkan keduanya, menjadi catatatan tersendiri akan resiko kejadian EPN perioperatif. EPN pada dasarnya bisa ditatalaksana dengan baik bilamana dalam pengelolaannya secara komprehensif dan selalu mempertimbangkan kemungkinan diagnosa banding kausatifnya, karena bila salah dalam penentuan diagnosanya, maka tentunya akan mengakibatkan kesalahan dalam terapinya.Pengelolaan EPN yang efektif dan efisien, didasarkan pada tegaknya diagnosis yang diperkuat dengan dukungan pemeriksaan laboratorium dan penunjang, untuk menyingkirkan kerancuan penyebab dari EPN, apakah murni kasus neurologis ataupun non neurologis. Pasien pasca pembedahan yang terindikasi mengalami EPN, selama perawatan di ruang perawatan intensif ataupun ruangan perawatan pasca anestesi (post anesthesia care unit/ PACU), perlu mendapatkan perhatian khusus untuk sementara waktu, dengan tujuan agar pasien tidak mengalami pemburukan.Perioperative Neurogenic Pulmonary EdemaAbstractNeurogenic pulmonary edema (NPE) is one of the leading causes of death in the intensive care unit. These events are often disguised as diseases or disorders that originate purely from the respiratory system. Diagnostic examination of NPE needs to be done, both radiologically and in the laboratory. Several things are useful in determining the estimated incidence of NPE, including the causes of neurological events, supporting examinations, length of stay, and preconditions for comorbidities owned by the patient or his family. Patients who are about to undergo a surgical procedure and have previous respiratory problems, a recent history of neurological disorders, or even both have a special note about the risk of perioperative NPE events. Management of NPE can be appropriate if it is managed comprehensively and always considers possible differential diagnoses of causes because if it is wrong to make a diagnosis, then of course it will result in an error in therapy. Effective and efficient management of NPE, based on diagnosis that is strengthened by the support of laboratory and supporting examinations, to rule out ambiguous causes of NPE, both purely neurological and non-neurological cases. Postoperative patients who are indicated to have NPE, during treatment in the intensive care unit or post anesthesia care unit (PACU), need to receive temporary special attention so that the patient does not experience aggravation.
Pengaruh Pelatihan Promosi Koping Pada Kader Kesehatan di Desa Karangsalam Lor Baturraden Pratama, Koernia Nanda; Pramono, Wisnu Budi; Alivian, Galih Noor; Vitasari, Imaniar
Jurnal of Community Health Development Vol 6 No 1 (2025): Vol 6 No 1 (2025): Journal Of Community Health Development terbitan bulan Januari
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jchd.2025.6.1.13180

Abstract

Latar belakang: Masalah kesehatan hypertensi masih terus dicari cara untuk mencegah terjadinnya komplikasi yang dapat terjadi. Upaya promotive dan preventif melalui pelatihan kader mengenai upaya promosi koping. Tujuan: menerapkan IPTEKS teknik promosi koping pada kader kesehatan di desa guna mendukung peningkatan derajat kesehatan penderita hypertensi dan program penanggulangan penyakit tidak menular hypertensi di Masyarakat. Metode: Pengabdian kepada masyarakat berbasis riset dilakukan dengan metode pendidikan kesehatan dengan topik pelatihan promosi koping pada kader dalam rangka mencegah komplikasi hipertensi pada penderitanya. Peserta yang hadir sebanyak 40 orang. Hasil : Tingkat pengetahun kader tentang bagaiman cara melakukan praktik promosi koping untuk penderita hipertensi berada pada tingkat baik yaitu sebanyak 31 kader (82%) dan tingkat pengetahuan tentang hipertensi sudah mencapai 96% tingkat pengetahuan yang tinggi. Kesimpulan: pelatihan promosi koping untuk pencegahan komplikasi penderita hipertensi pada kader sangat penting dilakukan guna membekali pengetahuan dan ketrampilan kader sehingga mampu menerapkan promosi koping pada saat kunjungan ke penderita hipertensi. Dengan kader memiliki ketrampilan yang baik maka akan mampu mengaplikasikan promosi koping
ULTRASOUND GUIDED PERIPHERAL NERVE BLOCK FOR TRIGEMINAL NEURALGIA: A CASE REPORT Sulistyo, Bambang; Pramono, Wisnu Budi
Mandala Of Health Vol 19 No 1 (2026): Mandala of Health: A Scientific Journal
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2026.19.1.17754

Abstract

Background: Trigeminal neuralgia (TN), also known as tic douloureux, is a severe neuropathic pain disorder characterized by recurrent unilateral facial pain. Although pharmacological therapy remains the first-line treatment, a significant proportion of patients experience inadequate pain control or adverse effects. Alternative minimally invasive approaches are therefore needed. Case Presentation: A 26-year-old woman presented with a one-year history of severe, paroxysmal, electric shock-like pain on the left side of her face, with a Visual Analog Scale (VAS) score of 6. The pain was triggered by daily activities such as talking, eating, and brushing teeth. Clinical and laboratory examinations showed no abnormalities, and the patient was diagnosed with trigeminal neuralgia. Pharmacological treatment with paracetamol and pregabalin provided only temporary relief. The patient declined invasive procedures targeting the trigeminal ganglion. Intervention and Outcome: The patient underwent ultrasound-guided peripheral nerve block targeting the supraorbital, infraorbital, and mental nerves using lidocaine and dexamethasone. Immediately after the procedure, the patient reported complete pain relief (VAS score 0). At 7 days follow-up, the patient discontinued medication without recurrence of symptoms. At 3 months follow-up, the patient remained pain-free. Conclusion: Ultrasound-guided peripheral nerve block may serve as an effective and minimally invasive alternative for managing trigeminal neuralgia, particularly in patients who do not respond to pharmacological therapy or refuse more invasive procedures.
ANALYSIS OF THE IMPACT OF TRANSVERSUS ABDOMINIS PLANE BLOCK AND INTRATHECAL MORPHINE AS POST-CESAREAN Sulistyo, Bambang; Pramono, Wisnu Budi; Wahyudin, Wahyudin
Mandala Of Health Vol 19 No 1 (2026): Mandala of Health: A Scientific Journal
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2026.19.1.17755

Abstract

Background: Surgical wound pain 24 hours after cesarean section is still a problem found in obstetric patients. Many drugs are used to reduce pain scores both orally, intravenously, transdermally and others. However, it is necessary to pay attention to the dosage of the drug so that it does not harm the postoperative patient. Other methods that can be used include preoperative administration of intrathecal morphine and administration of transversus abdominis muscle blocks. Methods :The study's experimental design uses a post-test only control group. Three groups were created from 108 cesarean patients who had no problems. As per standard protocol, the control group (K) had a cesarean section with intravenous analgesia after the procedure. The Intrathecal Morphine (M) group got preoperative intrathecal morphine in addition to the same treatment as the K group. Apart from receiving the same treatment as group K, the Transversus Abdominis Plane Block (B) group also underwent bilateral transversus abdominis muscle blocks guided by ultrasonography. SPSS for Windows Release 26.0 was used to process the data, and differences with a significance level of 0.05 were examined using the One-Way ANOVA test analysis and the Bonferroni Post Hoc test. Outcomes: Group B differed significantly from group K on the visual analogue scale (p value = 0.000). Similar results were obtained for Group M compared to Group K (p value = 0.000). Group B and group M differ significantly from one another, as can be shown, Compared to group M, group B's visual analogue scale is lower (p=0.000). Conclusion: Intrathecal morphine and transversus abdominis block are effective in reducing post-cesarean section pain. Obtained a lower pain score in the administration of transversus abdominis block compared to intrathecal morphine with a significant difference.
Co-Authors Alivian, Galih Noor Bahiyah, Fiona Annisa Bambang Sulistyo Octavia Permata Sari, Octavia Permata Pratama, Koernia Nanda Prihatno, M. Mukhlis Rudi Shila Suryani, Shila Susiawan, Lieza Dwianasari Vitasari, Imaniar Wahyudin Wahyudin Wahyudin Wahyudin Wardani, Henry Nur Kusuma