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TINGKAT PENGETAHUAN PENGENDARA OJEK ONLINE MENGENAI PERTOLONGAN PERTAMA (FIRST AID) TRAUMA MUSKULOSKELETAL AKIBAT KECELAKAAN LALU LINTAS DI KOTA JAMBI Muhammad Anggamguna; Budi Justitia; Erny Kusdiyah; Humaryanto; Armaidi Darmawan
Journal of Medical Studies Vol. 1 No. 2 (2021): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v1i2.16568

ABSTRACT Background: Musculoskeletal trauma is the most common injury experienced by casuality. According to WHO in 2018, it is estimated that the number of deaths due to traffic accidents has reached 1.35 million people. Knowledge of musculoskeletal trauma first aid is very important for all road users, especially ojek online drivers. Objectives: This research was to determine the level of knowledge of ojek online drivers regarding first aid for musculoskeletal trauma due to traffic accidents in Jambi City. Methods: This research is a descriptive with cross sectional design. The sample in this research amounted to 150 ojek online drivers who accordance the inclusion criteria. This research was conducted in Jambi City in June-October 2021. Data were obtained from questionnaires that had been tested for validity and reliability. Results: The results in this research obtained most of the characteristics of the sample with a mean age of 26-35 years (41.3%), male gender (98.7%), having completed formal education up to high school or vocational school (91.3%), has a working period of 18 months or more (74.7%), and has a work duration of 12 hours or more (76.0%). In the knowledge questionnaire, it was found that most of the samples had a high level of knowledge (54.0%) and the majority of respondents chose to do some assistance at the scene of the accident (55.3%). Conclusions: In this research, most of the respondents had a high level of knowledge about musculoskeletal trauma first aid. Keywords: Musculoskeletal trauma, first aid, ojek online. ABSTRAK Latar Belakang: Trauma muskuloskeletal merupakan cedera paling sering dialami oleh korban kecelakaan lalu lintas. Menurut WHO pada tahun 2018, diperkirakan jumlah kematian akibat kecelakaan lalu lintas telah mencapai 1,35 juta orang. Pengetahuan akan pertolongan pertama trauma muskuloskeletal sangatlah penting untuk dimiliki oleh seluruh pengguna jalan raya terkhusus yaitu pengendara ojek online. Tujuan: Untuk mengetahui tingkat pengetahuan pengendara ojek online mengenai pertolongan pertama trauma muskuloskeletal akibat kecelakaan lalu lintas di Kota Jambi. Metode: Penelitian ini merupakan penelitian deskriptif dengan rancangan penelitian cross-sectional. Sampel pada penelitian ini berjumlah 150 pengendara ojek online yang memenuhi kriteria inklusi. Penelitian ini dilakukan di Kota Jambi pada bulan Juni-Oktober 2021. Data diperoleh dari kuesioner yang sudah dilakukan uji validitas dan reliabilitas. Hasil: Hasil penelitian ini didapatkan sebagian besar karakteristik sampel dengan rerata usia 26-35 tahun (41,3%), jenis kelamin laki-laki (98,7%), sudah menyelesaikan pendidikan formal hingga jenjang SMA atau SMK (91,3%), memiliki masa kerja ≥ 18 bulan (74,7%), dan memiliki durasi kerja selama ≥ 12 jam (76,0%). Pada kuesioner pengetahuan didapatkan sebagian besar sampel memiliki tingkat pengetahuan tinggi (54,0%) dan mayoritas responden memilih untuk melakukan pertolongan di tempat kejadian (55,3%). Kesimpulan: Pada penelitian ini didapatkan sebagian besar responden memiliki tingkat pengetahuan yang tinggi mengenai pertolongan pertama trauma muskuloskeletal. Kata kunci: Trauma muskuloskeletal, Pertolongan pertama, Ojek online.

GAMBARAN HISTOPATOLOGI GINJAL PADA TIKUS PUTIH JANTAN GALUR WISTAR SETELAH PEMBERIAN MADU INTRAPERITONEAL POST LAPAROTOMI Indah Putri Armita; Miftahurrahmah Maria; Budi Justitia
Journal of Medical Studies Vol. 1 No. 2 (2021): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v1i2.16571

ABSTRACT Background: Jambi honey, given intraperitoneally, was demonstrated to be effective as an anti-adhesion agent after laparotomy. Based on several studies, honey given orally can prevent drug-induced kidney cell damage. Objectives: knowing the description of the histopathology of the kidney of male Wistar strain after administration of intraperitoneal honey. Methods: The type of research used is experimental laboratory research that uses a post test only control group design. 20 male wistar rats were divided into 4 groups. Group A as a control group, group B receiving 0.9% NaCl 3ml intraperitoneally, group C rats receiving 0.27ml intraperitoneal honey, group D rats receiving 0.54ml intraperitoneal honey. The data will be analysed with Univariate analysis method. Results: The glomerulus was damaged with Bowman's spatium edema the most. In the tubules, the most severe damage was haemorrhagic in the control group and interstitial inflammation in all groups with a mild degree. Conclusions: The results of histopathological examination of the kidneys showed damage in the form of Spatium Bowman's edema, hemorrhagic, and interstitial inflammation in all groups.Keywords: Jambi Honey, kidney, histopathology. ABSTRAK Latar Belakang: Madu Jambi yang diberikan secara intraperitoneal sudah terbukti dapat digunakan sebagai antiadhesi pasca laparotomi. Berdasarkan beberapa penelitian madu yang diberikan secara oral dapat mencegah terjadinya kerusakan sel ginjal yang diinduksi obat. Tujuan: Mengetahui gambaran histopatologi ginjal tikus putih jantan galur wistar setelah pemberian madu intraperitoneal. Metode: Jenis penelitian yang digunakan adalah penelitian eksperimental laboratorik dengan rancangan post test only control group design. 20 tikus jantan galur wistar terbagi menjadi 4 kelompok. Kelompok A sebagai kelompok kontrol, kelompok B yang mendapatkan NaCl 0,9% 3ml intraperitoneal, kelompok C tikus yang mendapatkan Madu 27ml intraperitoneal, kelompok D tikus yang mendapatkan Madu 0,54ml intraperitoneal. Hasil: Pada glomerulus didapatkan kerusakan dengan edema spatium bowman paling banyak. Pada tubulus kerusakan berupa hemoragik derajat berat paling banyak pada kelompok kontrol dan inflamasi interstitial pada semua kelompok dengan derajat ringan. Kesimpulan: Hasil pemeriksaan gambaran histopatologi ginjal menunjukkan adanya kerusakan berupa edema spatium bowman, hemoragik, dan inflamasi interstitial pada semua kelompok. Kata Kunci: Madu Jambi, ginjal, histopatologi

EFEK PEMBERIAN ONDANSETRON INTRAVENA TERHADAP TEKANAN DARAH DAN LAJU NADI PASIEN BEDAH ELEKTIF DENGAN ANESTESI SPINAL DI RSUD RADEN MATTAHER JAMBI Aldaherlen Kalkarina; Mara Imam; Budi Justitia
Journal of Medical Studies Vol. 2 No. 2 (2022): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v2i2.23249

ABSTRACT Background: Spinal anesthesia is most commonly performed anesthetic technique around the world. Hypotension and bradycardia are the most common side effect that related to spinal anesthesia. Recently, Ondansetron as a serotonin receptor antagonists, have been shown to limit blood pressure and heart rate drop after spinal anesthesia by inhibiting the Bezold-Jarisch reflex (BJR). Objective: to see efficacy of ondansetron intravenous administration between before and after spinal spinal anesthesia on blood pressure and heart rate. Methods: total 44 patients of both gender undergoing elective surgeries with spinal anesthesia, randomly divided into two groups. Group A , patients received ondansetron 5 minutes before spinal anesthesia and in group B, patients received ondansetron 5 minutes after spinal anesthesia. Heart rate (HR) and mean arterial pressure (MAP) were recorded every 3 minutes for 30 minutes after spinal anesthesia in group A and administration ondansetron in group B were performed. Result: decreases Mean Arterial Pressure in 3 and 6 minutes in group A was less than group B (p=0,023 p=0,045). There was no significant difference of heart rate in two groups. Conclusion: This study conclude that there was no significant difference of blood pressure, mean arterial pressure and heart rate between two groups. Keyword : Spinal anesthesia, Ondansetron, Bezold â€“ Jarisch Reflex (BJR) ABSTRAK Latar Belakang: Anestesi spinal merupakan teknik anestesi yang paling umum dillakukan diseluruh dunia. Hipotensi dan bradikardia merupakan efek samping yang paling umum terjadi akibat tindakan anestesi spinal. Belakangan ini, Ondansetron yang merupakan antagonis reseptor serotonin, telah banyak dibuktikan dapat membatasi penurunan tekanan darah dan laju nadi setelah anestesi spinal dengan cara menghambat terjadinya refleks Bezold-Jarisch (BJR). Tujuan: Untuk melihat efek ondansetron intravena terhadap tekanan darah sesudah anestesi spinal antara pemberian ondansetron sebelum dan sesudah anestesi spinal. Metode: Sebanyak 44 pasien yang menjalani bedah elektif dengan anestesi spinal, dibagi secara acak menjadi dua kelompok. Kelompok A, pasien diberikan ondansetron 5 menit sebelum anestesi spinal, dan kelompok B , pasien menerima ondansetron 5 menit sesudah anestesi spinal. Laju nadi dan tekanan arteri rata rata (MAP) setelah anestesi spinal dicatat tiap 3 menit selama 30 menit pada kelompok A dan kelompok B. Hasil: Penurunan tekanan darah kelompok A dalam 3 dan 6 menit pertama lebih kecil dibandingkan kelompok B (p=0,023;p=0,045). Tidak ada perbedaan signifikan terhadap denyut jantung pada kedua kelompok. Kesimpulan: penelitian ini menyimpulkan bahwa tidak terdapat perbedaan yang bermakna tekanan darah , MAP dan laju nadi keseluruhan antara kedua kelompok. Kata Kunci: anestesi spinal, ondansetron, bezold-jarisch reflex (BJR)

Gambaran Kadar C-Reactive Protein (CRP) pada Osteomyelitis Dini Pasla Ramadhanti; Budi Justitia; Hanina Hanina; Lipinwati Lipinwati
Journal of Medical Studies Vol. 3 No. 3 (2023): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v3i3.28439

ABSTRACT Background: Osteomyelitis is an infection of the bone. Osteomyelitis is most often caused by bacteria. Osteomyelitis can be measured use C-Reactive Protein (CRP). CRP is a parameter infection that has a good level of sensitivity and specificity. Aims of this study is to describe the level of CRP in Osteomyelitis Methods: This study was a descriptive method, conducted in July-December 2022, with data collection using total sampling. Samples of this study used blood osteomyelitis patients with inclusion and exclusion criteria. The data is presented in the table. Results: That of 14 osteomyelitis patients, in the male sex group, 10 people (71.4%). 26-35 years 4 people (28.6%). There were 3 patients (21.4%) with acute osteomyelitis and 11 patients (78.6%) with chronic osteomyelitis. There were 11 patients (78.6%) who had traumatic osteomyelitis and 3 patients (21.4%) who had non-traumatic osteomyelitis. There were 11 patients (78.6%) with abnormal CRP levels. Conclusion: The conclusion of osteomyelitis patients is male gender, age group 26-35 years, patients with chronic osteomyelitis, patients with traumatic osteomyelitis, and the CRP levels of osteomyelitis patients are abnormal. Keywords: Osteomyelitis, CRP ABSTRAK Latar Belakang: Osteomyelitis adalah infeksi mikroorganisme yang menyebabkan kerusakan tulang. Osteomyelitis paling sering disebabkan oleh bakteri. Osteomyelitis dapat diukur dengan menggunakan C-Reactive Protein (CRP) yang merupakan parameter yang memiliki tingkat sensitivitas dan spesifisitas yang baik. Tujuan Penelitian ini adalah untuk menggambarkan kadar CRP pada osteomyelitis. Metode: Penelitian ini menggunakan metode deskriptif untuk mengetahui gambaran kadar CRP pada pasien osteomyelitis. Sampel berupa pasien yang terdiagnosa osteomyelitis. Hasil: Pada hasil penelitian ini, dari 14 pasien osteomyelitis yang berada pada kelompok berjenis kelamin laki-laki sebanyak 10 orang (71,4%). Berusia 26-35 tahun sebanyak 4 orang (28,6%). Pasien yang mengalami osteomyelitis akut sebanyak 3 orang (21,4%) dan osteomyelitis kronik sebanyak 11 orang (78,6%). Pasien yang mengalami osteomyelitis trauma sebanyak 11 orang (78,6%) dan osteomyelitis non trauma sebanyak 3 orang (21,4%). Terdapat kadar CRP tidak normal sebanyak 11 orang (78,6%). Kesimpulan: Gambaran osteomyelitis banyak dijumpai yang berjenis kelamin laki-laki, kelompok usia 26-35 tahun, pasien dengan osteomyelitis kronik, pasien dengan osteomyelitis trauma, dan pasien dengan kadar CRP tidak normal. Kata kunci: Osteomyelitis, CRP

The Staphylococcus Aureus Antibiotics Resistanceâ€™s pattern in Osteomyelitis Cases at Hospital in Jambi City Lipinwati Husman; Budi Justitia; Hanina Hanina
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i4.29020

Osteomyelitis is still a health problem in Indonesia, due to poor hygiene, late diagnosis, patients with open fractures who seek treatment late, treats osteomyelitis is long time and quite expensive. Osteomyelitis is an inflammation of the bone that is often caused by a bacterial infection. Osteomyelitis often occurs in open fractures, infections of the feet of diabetics, or surgical treatment of closed wounds. Osteomyelitis can be caused by bacteria, fungi, or other organisms, and is idiopathic. The bacteria that most often causes osteomyelitis is the genus Staphylococcus, which is found in 75% of cases of osteomyelitis, especially Staphylococcus aureus. We wanted to know how the prevalence of osteomyelitis with S. aureus infection was and the pattern of resistance of these bacteria to antibiotics. This research was a descriptive research with laboratory experiments. The research samples were patients with osteomyelitis who had signed informed consent form, samples were taken in the form of wound swabs/bone scrapings and blood using the total sampling method since August 2022 until December 2022. Wound swabs/bone scrapings were performed bacterial culture on Mannitol Salt Agar (MSA). MSA was incubated at 37Â°C for 18 - 24 hours. The cultures were done gram staining, catalase test and coagulase test. Cultures that grown in MSA with coccus positive gram, catalase test positive and coagulase test positive then tested resistance to antibiotics (Cefoxitin/FOX 30 mg, Ceftriaxone/CRO 30 mg, Gentamicin/CN 10 mg, Chloramphenicol/C 30 mg, and Ciprofloxacin/CIP 5 mg) using the disc diffusion method on Mueller Hinton Agar (MHA) with fresh culture bacteria 0.5 mc Farland. There are 18 samples swabs from wound, and 10 samples are identified as Staphylococcus sp. There are 9 samples that gram staining with coccus positive gram, Catalase positive test, and coagulase positive test. From 9 samples which done antibiotic sensitivity test, there are 2 samples, 3 samples, 1 sample, 3 samples, and 5 samples resistence to cefoxitin (Methicillin resistance Staphyloccus aureus/MRSA), Ceftriaxon, Chlromphenicol, Gentamisin and Ciprofloxacin respectively. There are Fifty percents of osteomyelitis samples are staphylococcal infection with 22.22 percents infection of MRSA.

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