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All Journal Universa Medicina Jurnal Penelitian dan Karya Ilmiah Lembaga Penelitian Universitas Trisakti Jurnal Pengabdian Masyarakat Trimedika Poltekita: Jurnal Ilmu Kesehatan
Hari Krismanuel
Fakultas Kedokteran, Unversitas Trisakti, Jakarta, Indonesia
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Early versus late discharge from hospital after open appendectomy Krismanuel, Hari
Universa Medicina Vol 29, No 3 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.129-136

Abstract

To date there is increasing pressure on surgeons to minimize the time that the patient stays in hospital. Patients with acute appendicitis without perforation or peritonitis are not discharged early due to concern on the part of the surgeon that it would increase surgical wound infection rates. The aim of this study was to compare surgical wound infection rates after open appendectomy (OA) of patients with acute appendicitis without perforation or peritonitis in an early discharge (ED) group and a control group without early discharge (late discharge [LD] group. The study was also to evaluate patient acceptance of ED in comparison to the LD group. A cross sectional study was carried out on adult patients (age >14 years) with acute appendicitis without perforation or peritonitis, who underwent open appendectomy. The results showed that there was no significant difference (p>0.05) in surgical wound infection rates in both the intervention (ED) and control (LD) groups. In addition, there was a significant difference (p<0.05) in patient acceptance (satisfaction) in both groups, where patients in the ED group were more satisfied than the patients who had not been discharged early. The conclusions of this study are that early discharge from hospital after open appendectomy does not increase surgical wound infection rate and has good patient acceptance.
CORRELATION BETWEEN CARBON DIOXIDE (CO2) AND RESPIRATORY ISSUES: A LITERATURE REVIEW Krismanuel, Hari
JURNAL PENELITIAN DAN KARYA ILMIAH LEMBAGA PENELITIAN UNIVERSITAS TRISAKTI Volume 9, Nomor 1, Januari 2024
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/pdk.v9i1.17646

Abstract

ABSTRACT   The increasing levels of carbon dioxide (CO2) in the atmosphere due to human activities have raised concerns regarding potential health impacts, particularly on respiratory health. This literature review aims to examine the correlation between CO2 and respiratory issues by synthesizing the findings of relevant studies. A comprehensive search was conducted across academic databases, and studies were selected based on their relevance and methodological rigor. The review reveals that elevated CO2 levels are associated with respiratory symptoms, including coughing, wheezing, and shortness of breath, as well as the exacerbation of existing respiratory conditions. Additionally, exposure to increased CO2 concentrations can lead to respiratory acidosis, reduced lung function, and impaired gas exchange. Poorly ventilated indoor environments have been identified as potential hotspots for elevated CO2 levels, emphasizing the importance of monitoring indoor air quality. This review underscores the need for further research to elucidate the mechanisms underlying CO2-induced respiratory issues and to develop effective mitigation strategies. Understanding the correlation between CO2 and respiratory issues is crucial for public health interventions and policies aimed at minimizing the adverse impacts of elevated CO2 levels on respiratory health.
The Effects of Air Pollution on Respiratory Problems: A Literature Review Hari Krismanuel; Nany Hairunisa
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i1.3151

Abstract

As the global prevalence of air pollution continues to rise, understanding its intricate impact on human health, particularly respiratory well-being, becomes imperative. The research objectives of the article is to explore and establish clear connections between air pollution and respiratory health. Methods: A comprehensive search of peer-reviewed literature was conducted using databases such as PubMed, Web of Science, and Google Scholar. Articles published between 2015 and 2023 were included, with a focus on epidemiological studies, experimental research, and reviews that explored the impact of air pollution on respiratory problems. The result is this review synthesizes the established connections between these pollutants and a range of respiratory problems. Extensive evidence showcases how exposure to elevated pollutant levels escalates the risk of respiratory maladies, encompassing aggravated asthma, exacerbated chronic obstructive pulmonary disease (COPD) symptoms, compromised lung function, heightened susceptibility to respiratory infections, elevated lung cancer risk, and potentiated allergic responses. This review also underscores the heightened vulnerability of certain demographics, such as prenatal age, children, the elderly, individuals with preexisting respiratory conditions, low socioeconomic groups, occupational groups, outdoor workers, and athletes, immune-compromised individuals, and genetic susceptibility to these detrimental effects. The underlying mechanisms orchestrating the impact of air pollution on respiratory health involve intricate interplays of oxidative stress, inflammation, and tissue damage within the respiratory system. In conclusion: The study advocates for urgent and targeted strategies to mitigate the adverse impact of air pollution on respiratory health.
PENYULUHAN DAN PEMERIKSAAN HIPERPLASIA PROSTAT TERHADAP LANSIA PRIA di CIANGSANA dan NAGRA Krismanuel, Hari; Tjhin, Purnamawati; Agil, Nadifa; Suparjo, Tjhang; Alvina, Alvina
Jurnal Pengabdian Masyarakat Trimedika Vol. 1 No. 1 (2024)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v1i1.19014

Abstract

Prostate hyperplasia is a condition in which there is hyperplasia of the stromal and epithelial cells of the prostate gland. This condition can be experienced by around 20% of men aged 41-50 years, 50% of men aged 51-60 years, up to more than 90% of men aged >80 years. As human life expectancy increases, the number of elderly people in society increases. This causes more and more elderly men to experience prostate hyperplasia. This condition is also experienced by people in the Ciangsana and Nagrak area. Meanwhile, the level of public knowledge regarding the symptoms and signs of prostate hyperplasia is still lacking. This situation causes a lack of public awareness about seeking treatment and increases the anxiety experienced by sufferers. The aim of this PKM is to increase public knowledge of the symptoms and signs of prostate hyperplasia and to screen for prostate hyperplasia among elderly men aged 60 years or more in the Ciangsana and Nagrak areas. This PKM method uses an education, preceded by a pre-test before education and a post-test after education. After that, a digital rectal examination is carried out to diagnose Prostate Hyperplasia. The data obtained consisted of pre-test and post-test results as well as data on Prostate Hyperplasia sufferers from counseling participants. The conclusion obtained in the form of Prostate Hyperplasia education increases the knowledge and level of awareness of counseling participants and the percentage of Prostate Hyperplasia sufferers from male elderly participants in Ciangsana and Nagrak is quite high (64.52%). The implication of this PKM is that people can detect early symptoms and signs of Prostate Hyperplasia and immediately go to a health facility.
THE IMPACT OF AIR POLLUTION ON CARDIOVASCULAR PROBLEMS Krismanuel, Hari
JURNAL PENELITIAN DAN KARYA ILMIAH LEMBAGA PENELITIAN UNIVERSITAS TRISAKTI Volume 10, Nomor 1, Januari 2025
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/pdk.v10i1.21590

Abstract

Introduction: Air pollution is a significant environmental issue with adverse effect on public health. Numerous studies have investigated the association between air pollution exposure and the development of cardiovascular diseases (CVD). The purpose of study: This literature review aims to provide  an overview of recent studies, focusing on key findings, mechanisms, and potential interventions related to air pollution and CVD. Methods: A comprehensive search was conducted in Google Scholar, Web of Science and Pub Med for articles published between 2015 and 2024. The review prioritized epidemiological studies, experimental research, and previous review that examine the relationship between air pollution and cardiovascular conditions. Result study: Evidence showed that exposure to air pollution, particularly fine particulate matter (PM2.5) and gaseous pollutants, increased the risk of CVD, including heart risk, hypertension, stroke, and coronary artery disease. Mechanism involved endothelial dysfunction, inflammation and oxidative stress. Conclussion: To mitigate the global health risks associated with air pollution, improving air quality, implementing policy changes and promoting public health campaigns are essential.
PENYULUHAN PENCEGAHAN HEMORRHOIDS PADA LANSIA Krismanuel, Hari; Tjhin, Purnamawati; Supardjo, Tjhang
Jurnal Pengabdian Masyarakat Trimedika Vol. 2 No. 1 (2025)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v2i1.22057

Abstract

Semakin meningkatnya usia harapan hidup manusia, menyebabkan semakin banyaknya golongan lansia di dalam masyarakat. Ketika usia individu semakin tua, mereka menghadapi berbagai tantangan kesehatan, dan satu masalah umum pada lansia adalah haemorrhoids. Hemorrhoids adalah pembesaran simtomatik dan perpindahan ke distal dari bantalan anus normal. Gejala paling sering dari hemorrhoids adalah perdarahan rectum yang berhubungan dengan pergerakan usus. Insidens hemorrhoids yang memerlukan hemorrhoidectomy di antara para lansia meningkat. Ini menunjukkan kurangnya pengetahuan dan pemahaman terhadap penyebab meningkatnya hemorrhoids pada para lansia dan tindakan pencegahannya. Karenanya diperlukan upaya-upaya untuk mengatasi kesenjangan pengetahuan dan pemahaman yang terkait dengan hemorrhoids melalui penyuluhan untuk pencegahan dan penanganan yang efektif. Tujuan PkM ini adalah untuk meningkatkan pemahaman masyarakat di Kelurahan Krendang terhadap penyebab hemorrhoids pada para lansia untuk pencegahan dan penanganan yang efektif. Metode PkM ini menggunakan metode penyuluhan diikuti sesi tanya jawab. Hasilnya peserta yang hadir sebanyak 30 peserta (sesuai dengan rencana). Para lansia dengan antusias mengikuti penyuluhan dan mengajukan banyak pertanyaan pada saat sesi tanya jawab. Mereka puas dan dapat memahami materi penyuluhan dan penjelasan yang diberikan penyuluh. Kesimpulan yang didapatkan adalah penyuluhan tentang Pencegahan Hemorrhoids pada lansia meningkatkan pengetahuan dan pemahaman peserta penyuluhan. Implikasi dari PkM ini para lansia dapat mendeteksi dini gejala dan tanda hemorrhoids, dapat melakukan pencegahan terhadap terjadinya hemorrhoids dan melakukan tindakan proaktif/ efektif. 
STRATEGI PENYULUHAN UNTUK MENGENALI GEJALA, TANDA, DAN RESIKO RADANG USUS BUNTU Krismanuel, Hari; Agil, Nadifa; Suparjo, Tjhang
Jurnal Pengabdian Masyarakat Trimedika Vol. 2 No. 2 (2025)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v2i2.22987

Abstract

Abstrak   Apendisitis adalah peradangan pada apendiks vermiformis atau penyakit usus buntu. Apendisitis akut adalah penyebab yang paling umum dari nyeri abdomen akut. Penderita biasanya mengalami kegawat-daruratan dalam 24 jam dari timbulnya gejala. Penyakit ini umumnya terjadi pada anak dan dewasa, terjadi pada usia antara 10 sampai 20 tahun. Walau pun demikian, para lansia dapat juga menderita apendisitis. Penentuan diagnosa apendisitis berdasarkan pada presentasi klinik dan pemeriksaan fisik saja menjadi tantangan. Pendekatan individual dianjurkan dengan memberikan perhatian khusus terhadap probabilitas penyakit, jenis kelamin dan usia dari penderita. Pemahaman tentang gambaran klinik dan ciri khas penyakit ini penting untuk memberikan perawatan tepat waktu dan mencegah komplikasi yang terkait dengan kondisi umum ini. Deteksi dini untuk apendisitis akut penting mengingat onsetnya yang pendek dan komplikasinya yang serius dan kematian bila tidak segera ditangani. Saat ini pengetahuan dan kesadaran masyarakat akan penyakit ini dan komplikasi-komplikasinya masih kurang, sehingga penderita sering berobat dalam keadaan sudah lanjut/ parah tanpa sadar akan bahayanya bila datang terlambat. Oleh karena itu diperlukan segera upaya peningkatan pengetahuan dan kesadaran masyarakat tentang gejala dan tanda penyakit radang usus buntu dan komplikasi-komplikasi serta bahayanya bagi penderita bila datang mencari pertolongan dalam keadaan terlambat. Tujuan PkM ini adalah meningkatkan pengetahuan masyarakat di desa Ciangsana dan Nagrak tentang gejala dan tanda radang usus buntu dan kesadaran akan pentingnya berobat dalam keadaan awal untuk menghindari komplikasi-komplikasi yang memperberat penyakit dan membahayakan penderita. Metode PKM ini menggunakan metode penyuluhan dengan didahului pre test sebelum penyuluhan dan post test sesudah penyuluhan. Kesimpulan yang didapatkan adalah pengetahuan masyarakat tentang gejala, tanda, dan bahaya radang usus buntu meningkat dan terjadi perubahan sikap dalam masyarakat sehingga penderita radang usus buntu akan segera dibawa berobat dalam keadaan awal. Implikasi dari PKM ini para peserta dapat mendeteksi dini gejala dan tanda radang usus buntu, dapat melakukan pencegahan terhadap terjadinya radang usus buntu dan melakukan tindakan proaktif/ efektif.    
Co-Authors Agil, Nadifa Alvina Alvina Nany Hairunisa Purnamawati Tjhin, Purnamawati Supardjo, Tjhang Suparjo, Tjhang