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All Journal Berkala Ilmiah Kedokteran Duta Wacana Jurnal Insan Farmasi Indonesia
Alexxander Alexxander, Alexxander
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Physics Public Health

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PERANAN OBAT GOLONGAN STATIN TERHADAP LUARAN STATUS FUNGSIONAL PASIEN STROKE ISKEMIK BERULANG DI RUMAH SAKIT BETHESDA YOGYAKARTA Alexxander, Alexxander; Nugroho, Agung Endro; Pinzon, Rizaldi Taslim
Berkala Ilmiah Kedokteran Duta Wacana Vol 2, No 3 (2017): Berkala Ilmiah Kedokteran Duta Wacana
Publisher : Medical Faculty of Duta Wacana Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1710.555 KB) | DOI: 10.21460/bikdw.v2i3.71

Abstract

Proporsi pasien yang menggunakan statin ketika pertama kali masuk rumah sakit dengan stroke iskemik berulang sangat meningkat dengan cepat. Tetapi masih menjadi kontroversi. Hal tersebut yang melatarbelakangi penelitian ini dilakukan untuk mengetahui peranan terapi statin dengan luaran status fungsional pada pasien stroke iskemik berulang di rumah sakit Bethesda Yogyakarta. Penelitian ini adalah penelitian analisis dengan metode retrospective cohort menggunakan data data rekam medis pasien. Sebagai sampel dipilih kelompok pasien stroke iskemik berulang, baik yang mendapat pengobatan dengan statin ataupun yang tidak mendapatkan pengobatan statin. Kemudian secara retrospektif diamati pengaruh penggunaan statin terhadap luaran status fungsional pasien. Jumlah subyek untuk masing masing kelompok adalah 77 pasien. Luaran baik ditandai dengan nilai mRS 0-3, sedangkan luaran buruk ditandai dengan 4-6. Lokasi penelitian adalah di rumah sakit Bethesda Yogyakarta. Penggunaan statin pada pasien stroke iskemik berulang dapat memberikan luaran status fungsional yang baik di RS Bethesda Yogyakarta (p = 0,022; RR=1,56; IK 95% = 1,056 – 2,305). Selain itu penelitian ini juga memberikan luaran sekunder yaitu variabel usia, GCS, dan kelemahan otot gerak memiliki hubungan bermakna terhadap luaran status fungsional pasien stroke iskemik berulang. Faktor prediktor untuk mendapatkan luaran status fungsional yang baik pada penelitian ini adalah pasien tanpa penggunaan antibiotik, GCS 13-15, penggunaan anti koagulan, pasien tanpa analgetik antipiretik, dan pasien dengan penggunaan anti platelet.Penggunaan statin pada pasien stroke iskemik berulang dapat memberikan luaran status fungsional yang baik di RS Bethesda Yogyakarta
ELECTIVE COURSE DEVELOPMENT AND EVALUATION FOR THIRD-YEAR PHARMACY STUDENTS ON PHARMACY HEALTH COACHING IN INDONESIA Alexxander, Alexxander; Puspitasari, Ika; Kristina, Susi Ari; Pratiwi, Restu Dwi
Jurnal Insan Farmasi Indonesia Vol 6 No 2 (2023): Jurnal Insan Farmasi Indonesia
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jifi.v6i2.1603

Abstract

To describe our experiences in developing an elective course for third-year pharmacy students on pharmacy health coaching, as well as to evaluate its effects on students' attitudes, knowledge, and skills. The 3 Co-TEAM models consist of 18 hours of course modules. A multiple-choice and essay quiz was used to assess students' mastery of essential abilities pre and post elective courses. After the last teaching session, students' self-perceived attitude, knowledge, and skills were evaluated through a voluntary survey. Of the 60 students in the third year, only 7 students are willing to voluntarily take the elective course. The development of the curriculum resulted in a course of 3 modules, the duration of each course was 2 hours. Results showed that there was a significant improvement in knowledge overall mean score before and after the course (38.79, SD=7.11 and 81.21, SD=5.34, respectively, p<0.05). The overall mean composite score in the student’s perceived attitudes, knowledge, and skills was increased by 48.35%, 96.43%, 51.91%, respectively; p<0.05. This elective course has proven to be a successful way of educating pharmacy students. We advocate the incorporation of this style of education into the learning process to improve student's learning experiences while still supporting traditional healthcare learning.
EVALUASI TEPAT PASIEN, TEPAT OBAT DAN TEPAT DOSIS ANTIPSIKOTIK PASIEN RAWAT INAP SKIZOFRENIA PARANOID DI RSJ SAMBANG LIHUM Alexxander, Alexxander; Pratiwi, Restu Dwi
Jurnal Insan Farmasi Indonesia Vol 7 No 2 (2024): JIFI : Special edition
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jifi.v7i2.2140

Abstract

Schizophrenia is a severe brain disorder which is a combination of hallucinations, delusions, disordered thinking and behavioral disturbances. Paranoid schizophrenia is known to be the most common type in Sambang Lihum Hospital in 2023. The main therapy for the treatment at schizophrenia is antipsychotics with a strong effect, which treat behavioral disorders, including psychosis. Improvement of symptoms seen from the PANSS-EC which is an assessment instrument in patients with severe mental disorders/schizophrenia, so that rationality is very important to consider the principle of clinical use benefits. This study aims to determine the percentage pattern of use and rationality of antipsychotics on the successful outcomes of paranoid schizophrenia patients at Sambang Lihum Sambang Hospital, South Kalimantan in 2023.The results of the study showed that the most common drug use patterns in the typical-atypical combination category were haloperidol and clozapine, and the rationality for accuracy was 100% correct dose, 100% correct drug and 99.1% correct patient, with the outcome of successful PANSS-EC discharge of ≤ 15 was 100%.
Co-Authors Agung Endro Nugroho Ika Puspitasari Pratiwi, Restu Dwi Rizaldy Pinzon Susi Ari Kristina