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Sepsis dan Tata Laksana Berdasar Guideline Terbaru Irvan Irvan; Febyan Febyan; Suparto Suparto
JAI (Jurnal Anestesiologi Indonesia) Vol 10, No 1 (2018): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Istilah Sepsis menurut konsensus terbaru adalah keadaan disfungsi organ yang mengancam jiwa yang disebabkan karena disregulasi respon tubuh terhadap infeksi. Penggunaan kriteria SIRS untuk mengidentifikasi sepsis dianggap tidak membantu lagi. Kriteria SIRS tidak menggambarkan adanya respon disregulasi yang mengancam jiwa. Disfungsi organ didiagnosis apabila peningkatan skor SOFA ≥ 2. Dan istilah sepsis berat sudah tidak digunakan. Septik syok didefinisikan sebagai keadaan sepsis dimana abnormalitas sirkulasi dan metabolik yang terjadi dapat menyebabkan kematian secara signifikan. Dalam protokol yang dikeluarkan pada tahun 2016, target resusitasi EGDT dihilangkan, dan merekomendasikan terapi cairan kristaloid minimal sebesar 30 ml/kgBB dalam 3 jam atau kurang.

GAMBARAN TINGKAT PENGETAHUAN DAN SIKAP MASYARAKAT TERHADAP VAKSINASI COVID-19: SEBUAH TINJAUAN PUSTAKA Suparto; Jumriana; Citra Rencana Perangin-Angin
Journal of Scientech Research and Development Vol 5 No 1 (2023): JSRD, June 2023
Publisher : Ikatan Dosen Menulis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56670/jsrd.v5i1.91

Tujuan penelitian ini adalah mengetahui gambaran tingkat pengetahuan dan sikap masyarakat mengenai vaksin sebagai pencegahan infeksi COVID–19 Metodologi yang digunakan dalam penelitian ini adalah Literature Review, yang terdiri dari literature nasional maupun internasional pada tahun 2020-2021, dengan menggunakan database ProQuest, Google Scholar, PubMed, NCBI dan Medscape. Hasil penelitian ini secara garis besar terdapat beberapa argumentasi/pendapat masyarakat mengenai pengetahuan dan sikapnya terhadap vaksinasi COVID–19. Hal ini erat hubungannya dengan pengaruh pengetahuan informasi mengenai vaksin COVID–19 di seluruh dunia dan sikap yang ditunjukan masyarakat dalam menanggapi suatu pencegahan COVID–19 dengan vaksinasi. Pengetahuan dan sikap masyarakat terhadap pencegahan COVID–19 dengan vaksinasi dapat dikatakan baik, akan tetapi hal tersebut tergantung pada perepsi personality seseorang dalam menanggapi informasi tersebut, bergantung pada variabel yang diteliti seperti jenis kelamin, status pernikahan, status pendidikan, status ekonomi dan agama serta kepercayaan individu masing-masing.

Gambaran Tingkat Pengetahuan Mengenai Anastesi Spinal Operasi Sectio Caesaria pada Wanita Hamil di Klinik Ibu dan Anak Dita Eka Saputri; Clara Valentia Josephine; Suparto Suparto; Eva Oktavia; Erma Mexcorry Sumbayak
Jurnal MedScientiae Volume 1 No 01 : Mei - Agustus 2022
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

In Indonesia in 2019 there were 4,039,000 deliveries and 921,000 of them used cesarean delivery or around 22.8% of the total number of deliveries. The high prevalence of Sectio caserea contributes to increasing the problems caused by spinal anesthesia. Various complications that can be caused by spinal anesthesia, this requires knowledge of spinal anesthesia so that the mother is not traumatized by undergoing SC surgery. Good knowledge is needed to support postoperative healing behavior. The purpose of this study was to determine the level of insight regarding spinal anesthesia for sectio caesaria surgery in pregnant women at Clinic Maternal & Children. The research method used was quantitative descriptive, with perposive sampling technique of 96 respondents. Methods of data collection using a questionnaire and analyzed descriptively using SPSS. The results showed that the level of knowledge about spinal anesthesia for caesarean section in women at Clinic Maternal & Children was known that most of the respondents had a good level of knowledge as much as 60,4%, sufficient category as much as 30.2% and less category as much as 9,4%.

a DETEKSI DINI PRA HIPERTENSI PADA PEKERJA DI RS-FKIK UKRIDA DENGAN ANALISA HEART RATE VARIABILITY: DETEKSI DINI PRA HIPERTENSI PADA PEKERJA DI RS-FKIK UKRIDA DENGAN ANALISA HEART RATE VARIABILITY Yuvensius Gerry Atmaja Gerry; Suparto Suparto; Ronald Winardi Kartika
Jurnal MedScientiae Vol. 2 No. 1 (2023): April
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar

The global burden of disease study shows that stroke and ischemic heart disease are the main causes of death and disability in 2017. RISKESDAS 2018 showed that the prevalence of hypertension measured in residents over the age of 18 the increased from 25.8% to 34.1 This is the background of this study on early detection of prehypertension by analyzing heart rate variability in UKRIDA hospital staff. Data collection was performed by an objective sampling technique. There were 81 study samples that met the inclusion and exclusion criteria. As a result, the majority of respondents in the gender category were female, for a total of 43 respondents (53.1%). By age group, 44 people (54.3%) were in the age group of 20-30 years, the most. Subsequently, 29 of her in the professional group were nurses (35.8%). Most of the respondents were normotensive, i.e. 41 respondents (50.6%), and most of the SDNN respondents were of normal height, even 31 respondents (28.4%). The majority of respondents are RSMDD, or normal high, with as many as 23 (28.4%) respondents. HRV influences early detection of prehypertension by SDNN and RMSDD blood pressure results when the correlation test is 0.00 (p-value < 0.05).

Skrening Hipertensi dengan Analisa Heart Rate Variability Ronald Winardi Kartika; Yuvensius Gerry Atmaja; Suparto Suparto; Hartanto Hartanto; Yosephin Sri Sutanti
Health and Medical Journal Vol 6, No 1 (2024): HEME January 2024
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v6i1.1371

Latar Belakang:Tekanan darah merupakan pengukuran fundamental bagi kesehatan sistem kardiovaskular yang dapat menjadi indikator penyakit hipertensi kardiovaskular yang merupakan penyebab utama kematian dan kecacatan pada tahun 2017. Riset Kesehatan Derah (RISKESDAS) pada tahun 2018 menunjukkan adanya kenaikan prevalensi hipertensi menurut pengukuran pada penduduk yang umurnya >18 tahun di dapatkan 25,8% menjadi 34,1%. Hal tersebut menjadi latar belakang dari penelitian ini untuk skrening hipertensi pada pekerja di Rumah Sakit Ukrida dengan analisa heart rate variability. Metode: Pengambilan data dengan consecutive purposive sampling. Didapatkan sebanyak 81 sampel penelitian yang telah memenuhi kriteria inklusi dan ekslusi. Setiap sampel dilakukan pemeriksaan tekanan darah dan Heart Rate Variability (HRV) sebanyak tiga kali dan dilakukan nilai rerata. Hasil: Mayoritas subyek penelitian adalah perempuan sejumlah 43 subyek (53,1%) dengan kelompok usia kelompok 20-30 tahun tertinggi, 44 subyek (54,3%). Kategori pekerjaan terbanyak adalah perawat sebanyak 29 subyek (35,8%) Subyek yang memiliki tekanan darah yang normal, yaitu 41 responden (50,6%), prahipertensi 35 subyek ( (43.2%) dan hipertensi 5 subyek (6.2%). Uji korelesi pada subyek pra hipertensi didapatkan nilai SDNN nilai 20-30 ms (awareness) sebanyak 16 subyek (19,8%) dengan nilai korekasi 0.510 (korelasi sedang). Evaluasi nilai RMSDD pada subyek pra hipertensi didapatkan nilai 10-20 ms (awareness) sebanyak 13 (16,1%) subyek dengan nilai korelasi pearson 0,471( korelasi sedang). Kesimpulan: Tekanan darah mempunyai korelasi positif dengan pengukuran HRV ( nilai SDNN dan RMSDD ) pemeriksaan HRV dapat digunakan sebagai salah satu metode untuk deteksi dini pada penderita pra hipertensi pada pekerja RS UKRIDA.

Gambaran Tingkat Pengetahuan Mengenai Anastesi Spinal Operasi Sectio Caesaria pada Wanita Hamil di Klinik Ibu dan Anak Dita Eka Saputri; Clara Valentia Josephine; Suparto Suparto; Eva Oktavia; Erma Mexcorry Sumbayak
Jurnal MedScientiae Vol. 1 No. 1 (2022): August
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v1i1.2576

In Indonesia in 2019 there were 4,039,000 deliveries and 921,000 of them used cesarean delivery or around 22.8% of the total number of deliveries. The high prevalence of Sectio caserea contributes to increasing the problems caused by spinal anesthesia. Various complications that can be caused by spinal anesthesia, this requires knowledge of spinal anesthesia so that the mother is not traumatized by undergoing SC surgery. Good knowledge is needed to support postoperative healing behavior. The purpose of this study was to determine the level of insight regarding spinal anesthesia for sectio caesaria surgery in pregnant women at Clinic Maternal & Children. The research method used was quantitative descriptive, with perposive sampling technique of 96 respondents. Methods of data collection using a questionnaire and analyzed descriptively using SPSS. The results showed that the level of knowledge about spinal anesthesia for caesarean section in women at Clinic Maternal & Children was known that most of the respondents had a good level of knowledge as much as 60,4%, sufficient category as much as 30.2% and less category as much as 9,4%.

a DETEKSI DINI PRA HIPERTENSI PADA PEKERJA DI RS-FKIK UKRIDA DENGAN ANALISA HEART RATE VARIABILITY: DETEKSI DINI PRA HIPERTENSI PADA PEKERJA DI RS-FKIK UKRIDA DENGAN ANALISA HEART RATE VARIABILITY Yuvensius Gerry Atmaja; Suparto Suparto; Ronald Winardi Kartika
Jurnal MedScientiae Vol. 2 No. 1 (2023): April
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v2i1.2768

The global burden of disease study shows that stroke and ischemic heart disease are the main causes of death and disability in 2017. RISKESDAS 2018 showed that the prevalence of hypertension measured in residents over the age of 18 the increased from 25.8% to 34.1 This is the background of this study on early detection of prehypertension by analyzing heart rate variability in UKRIDA hospital staff. Data collection was performed by an objective sampling technique. There were 81 study samples that met the inclusion and exclusion criteria. As a result, the majority of respondents in the gender category were female, for a total of 43 respondents (53.1%). By age group, 44 people (54.3%) were in the age group of 20-30 years, the most. Subsequently, 29 of her in the professional group were nurses (35.8%). Most of the respondents were normotensive, i.e. 41 respondents (50.6%), and most of the SDNN respondents were of normal height, even 31 respondents (28.4%). The majority of respondents are RSMDD, or normal high, with as many as 23 (28.4%) respondents. HRV influences early detection of prehypertension by SDNN and RMSDD blood pressure results when the correlation test is 0.00 (p-value < 0.05).

The Long Term Outcome of Type-1 Diabetes Mellitus in Children. Putri Arsya Saragih; Suparto Suparto; Suryadi Susanto
Jurnal MedScientiae Vol. 2 No. 3 (2023): Desember
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v2i3.2905

Type-1 diabetes mellitus (DM) is a systemic disorder resulting from impaired glucose metabolism characterized by chronic hyperglycemia due to pancreatic β-cell destruction due to both autoimmune and idiopathic processes, resulting in reduced insulin production and even stopping. Over time, long-term complications arise.the objective of this literature review is to knowing long-term outcomes in the form of nephropathy, neuropathy, retinopathy and short-term complications in the form of hypoglycemia and ketoacidosis. Based on searches, PubMed, Google Scholar and Proquest found 76 literature with the keywords “(“Diabetes Mellitus Type 1”, “Long Term Outcome DM Type 1 pediatric”, “Long Term Management DM Type 1 pediatric”.)”. After the screening stage was carried out based on inclusion criteria and fulfilling the writing criteria so that only 7 literature was found and could be used for literature review.The development of microalbuminuria in children is greater than in adults with an odds ratio of 2.6 so that eventually the formation of nephropathy becomes an odds ratio of 3.8 and retinopathy odds ratio of 2.1. long-standing type 1 diabetes has resulted in psychosocial disturbances, most of which are internalization disorders and mental-emotional disorders. Long-term outcomes of type 1 diabetics in the form of incidents of neuropathy, nephropathy, proliferative retinopathy and emotional mental disorders

Perbandingan Penurunan IMT Pasien Obesitas Morbid yang dilakukan Bedah Bariatrik dan Non-Bedah Clara Valentia Josephine; Novelia Ratna Ury; Suparto Suparto
Jurnal MedScientiae Vol. 2 No. 2 (2023): August
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v2i2.2907

Morbid obesity has become a public health problem. Fifty-five million adults are morbidly obese. Several treatment are offered, including non-surgical and bariatric procedures. Treatment outcomes are assessed from the patient's Body Mass Index (BMI), which in general will decrease. The aim of this literature review is to compare the reduction in BMI of morbidly obese patients undergoing bariatric and non-surgical procedures. The method of this literature review is descriptive literature review of eight journals selected based on eligibility criteria. Based on the literature review, from 1.903 participants who were given surgical and non-surgical interventions, the decrease of BMI precentage in RYGB bariatric surgery patients is 27.7%-62.9% higher more than non-surgical therapy which only 5%. In addition, bariatric surgery has the advantage of losing weight in a faster time and lasting in the long term. Bariatric surgery is the first choice in patients with morbid obesity.

LITERATURE REVIEW : TARGET TEKANAN DARAH PADA PASIEN STROKE ISKEMIK DAN HEMORAGIK Roswita Sisilia Tosi; Suparto Suparto; Reni Angeline
Jurnal MedScientiae Vol. 2 No. 3 (2023): Desember
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Ukrida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v2i3.2973

Stroke is a disease that can cause disability and even death. The highest incidence of stroke occurs in China. There is impaired cerebral function in stroke. Stroke is divided into 2 types, namely ischemic stroke and hemorrhagic stroke. Hypertension is a risk factor that is often found. Target blood pressure in stroke patients is part of stroke management. This study method is a literature review that uses the method of searching articles in databases such as Google Scholar Engine, Pubmed, and ProQuest which are then analyzed as many as 13 of the 1,455 journals obtained. The results showed that hemorrhagic stroke patients with systolic blood pressure ≥160 mmHg had a higher mortality rate within 90 days. Patients with a target systolic blood pressure of <140 mmHg can reduce the risk of progressive intracerebral hemorrhage and improve patient functional outcomes. An intensive fall in systolic blood pressure <120 mm Hg is associated with an increase in ischemic lesions and acute neurologic damage. Systolic blood pressure ≥ 160 mmHg can worsen the patient's condition symptomatically within 2 hours after thrombolysis compared to systolic blood pressure <140 mmHg which gives better functional results and reduced mortality in ischemic stroke patients.

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