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All Journal Jurnal Anestesiologi Indonesia Jurnal Anestesi Perioperatif Sari Pediatri Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Jurnal Biomedika dan Kesehatan Jurnal Prima Medika Sains Indonesian Journal of Anesthesiology and Reanimation (IJAR) Journal of Anaesthesia and Pain Indonesian Journal of Applied Research (IJAR) Journal SAGO Gizi dan Kesehatan Jurnal Neuroanestesi Indonesia Majalah Anestesia & Critical Care (MACC) Jurnal PADE: Pengabdian & Edukasi The Journal of Society Medicine (JSOCMED)

Lubis, Andriamuri Primaputra

Unknown Affiliation

Author-ID : 7388868

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Antisialogogue Effect of Atropine Sulfate at Dosages of 0.25 Mg and 0.5 Mg Under General Anesthesia with Ketamin Hasibuan, Muhammad Ramadhan; Lubis, Andriamuri Primaputra; Wijaya, Dadik Wahyu
Journal of Society Medicine Vol. 1 No. 3 (2022): December
Publisher : CoinReads Media Prima

Introduction: Excessive saliva production can becomes an airway problem in conditions of decreased consciousness where there is impaired swallowing function. It increases the risk of aspiration of saliva into the airways that can result in choking. The use of premedication drugs to reduce the incidence of drug-induced hypersalivation can be done as a prevention. The anticholinergic drug class is the drug of choice for the management of hypersalivation in general anesthesia patients who have been given ketamine and ether. Ketamine as a sedating agent will provide a side effect of hypersalivation, where hypersalivation can cause laryngospasm or aspiration, as a form of prevention, anticholinergic drugs such as atropine can be given. The aim of this research was to compare the effect of antisialagogue on the administration of atropine sulfate at a dose of 0.25 mg and 0.5 mg in intravenous general anesthesia patients without ETT with ketamine at Haji Adam Malik General Hospital Medan and Putri Hijau Hospital Medan. Method: This study used a double blind RCT design. A total of 60 patients with intravenous general anesthesia without ETT with ketamine (1-2 mg/kg BW) were divided into 2 groups of Atropine Sulfas doses (0.25 and 0.5 mg) then the total salivary volume of each patient was measured and analyzed. Results: There was a significant difference between the treatment groups of 0.25 mg and 0.5 mg in the volume of saliva that had been collected (P-value = 0.008). Conclusion: There was a significant comparison between the use of 0.25 mg and 0.5 mg atropine in patients at Haji Adam Malik Hospital and Putri Hijau Hospital Medan.

The Relationship Between The Characteristics of COVID-19 Patients To Predict Mortality in The COVID-19 ICU Special Care Taufik, Maulana; Wijaya, Dadik Wahyu; Lubis, Andriamuri Primaputra
Journal of Society Medicine Vol. 1 No. 1 (2022): October
Publisher : CoinReads Media Prima

Introduction: The SARS-CoV-2 epidemic is sweeping the world with several waves of infections continuing. In some COVID-19 patients, this condition can develop into ARDS (acute respiratory distress syndrome) which requires ICU care with a mortality rate of 50-65 and the need for mechanical ventilation reaches 97%. The aim of this research was to know characteristics of COVID-19 patients to predict mortality in the Negative Pressure Isolation Room COVID 19 ICU at H. Adam Malik General Hospital Method: Retrospective research method with secondary data sources of COVID-19 Negative Pressure Isolation Room ICU (RITN) patients at RSUP H. Adam Malik Medan for the period May 2021 – July 2021.The data collected was in the form of patient data including name, gender, age, medical record number, comorbidities, NLR, D-Dimer, Fibrinogen, PF ratio, use of oxygen supplementation, and length of ICU stay. Chi Square statistical analysis was used for categorical data, while the T-test or Mann Whitney was used for numerical data. Then between the variables an ANOVA test was carried out to assess the comparison of clinical characteristics with mortality. Results: The results of this study indicate a higher mortality rate in women41 people (57.7%), 56-65 years age group 26 people (36.6%), patients using ventilators 51 people (71.8%), comorbid hypertension 33 people (46.5%) ), Moderate PF Ratio were 44 people (62%) and Length of stay <10 days were 55 people (77.5%). The mean fibrinogen value in COVID-19 patients who died was 658.96 ± 674.98, as well as the D-dimer value of 658.96 ± 674.98 and NLR of 11.06 ± 3.23 which showed a significant increase compared to patients Survivors of COVID-19 (p<0.05). Conclusion: A significant relationship was found between gender, age, breathing apparatus, D-dimer, Fibrinogen, NLR and length of stay with mortality of COVID-19 patients treated in the COVID Negative Pressure Room (RITN) ICU

Prophylactic Effectiveness of Phenylephrine 100 mcg and Ephedrine 10 mg on the Incidence of Spinal Anesthesia Induced Hypotension in Patients Undergoing Cesarean Section Etania, Cassandra; Hanafie, Achsanuddin; Lubis, Andriamuri Primaputra
Indonesian Journal of Anesthesiology and Reanimation Vol. 7 No. 2 (2025): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V7I22025.85-92

Introduction: Birth by cesarean section (C-section) has increased significantly, with a high risk of maternal hypotension due to spinal anesthesia. Objective: This study aims to compare the prophylactic effectiveness of phenylephrine 100 mcg and ephedrine 10 mg in preventing spinal anaesthesia induced hypotension in C-section patients. With a focus on safety and reducing the incidence of fetal acidosis, the results of the study are expected to provide clinical insights that can improve the safety and quality of care for pregnant women undergoing this procedure. Methods: This study compared the effectiveness of phenylephrine 100 mcg and ephedrine 10 mg in preventing hypotension due to spinal anesthesia in cesarean section patients in four hospitals in Medan, Indonesia. Using a double-blind design, 40 patients aged 18-40 years were randomly selected, and blood pressure and heart rate were measured before and after anesthesia. Data were analyzed using SPSS, and ethical aspects were taken care of through informed consent. Results: This study found that phenylephrine 100 mcg was more effective than ephedrine 10 mg in preventing spinal anaesthesia induced hypotension in cesarean section, with more stable blood pressure and mean arterial pressure (MAP) at the 5th, 10th, and 15th minutes (p-value < 0.05). Although ephedrine remained above 100 mmHg for systolic blood pressure (SBP), the incidence of nausea and vomiting was slightly higher in the ephedrine group. Results support phenylephrine as the primary choice for hypotensive management. Conclusion: Phenylephrine 100 mcg is more effective than ephedrine 10 mg in preventing hypotension due to spinal anesthesia, without increasing heart rate. Despite causing nausea, ephedrine has a higher incidence of vomiting. Ephedrine is recommended if phenylephrine is not available, with further studies needed for lower doses of phenylephrine.

Tingkat pengetahuan tentang bantuan hidup dasar (BHD) pada pengemudi kendaraan umum Kota Medan: Studi kuasi-eksperimental Lubis, Andriamuri Primaputra; Irina, Rr Sinta; Akbar, Hera Zein; Elfazi, Tazzya Shailla
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2643

Background: Basic Life Support (BLS) knowledge is essential, particularly for public transport drivers who frequently encounter medical emergencies. Adequate education on BLS can enhance their preparedness in responding to such situations.Objectives: This study aims to assess the level of knowledge among public transport drivers in Medan City regarding BLS before and after an educational interventionMethods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 521 public transportation drivers in Medan City, divided into four groups: angkot drivers (125), online motorcycle taxi drivers (201), motorized rickshaw drivers (125), and rental car drivers (50). Data were collected using a structured questionnaire containing items assessing basic knowledge of Basic Life Support (BLS), administered both before and after an educational intervention. Data were analyzed descriptively to summarize respondent characteristics, and paired t-tests and Chi-Square tests were used to assess statistical differences in knowledge scores before and after the intervention and between driver groups.Results: The majority of participants were male (n = 451, 86.56%), with the most common age range being 31–40 years (n = 250, 47.98%). Most respondents had completed junior high school (n = 251, 47.98%), and the largest driver category was online motorcycle taxi drivers (n = 201, 38.57%). The initial assessment indicated that most participants had a limited understanding of BLS. However, post-intervention analysis demonstrated a statistically significant improvement, with the majority achieving higher knowledge scores in the posttest.Conclusion: Educational interventions on Basic Life Support significantly enhance the knowledge levels of public transport drivers in Medan City, as evidenced by the substantial difference between pretest and posttest scores.

The relationship between pain intensity and sleep quality in various type of elective postoperative patients at Prof. Dr. Chairuddin P. Lubis USU Medan Hospital Tarigan, Randi Joel Oktavianus; Lubis, Andriamuri Primaputra; Ardinata, Dedi; Ketaren, Aga Shahri Putera
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2659

Background: Postoperative pain arises after surgery and includes acute pain that needs to be treated immediately. The postoperative phase must always be observed because it relates to the patient's recovery process. The prevalence of postoperative pain varies widely around the world, with the United States at 86%, Europe at 70%, and China at 48.7%. The prevalence of postoperative pain in Indonesia has not been studied as a whole.Objectives: The research aims to analysed the relationship between pain intensity and sleep quality in elective postoperative patients at Prof. dr. Chairuddin P. Lubis USU Medan Hospital.Methods: The research used an analytical observation using a cross-sectional approach with a consecutive sampling design. Respondents' data was collected only once and simultaneously using the Numeric Pain Rating Scale (NRS) and Pittsburgh Sleep Quality Index (PSQI) questionnaires. The data will be analysed using the Statistical Package for the Social Sciences (SPSS), including Somers'd test.Results: Based on the analysis of 125 respondents' data, the highest experienced pain intensity by patients was moderate pain intensity with 49,6%, mild pain intensity with 38,4%, and severe pain intensity 12%. In the sleep quality, the poor sleep quality group was the highest, with 54,4% and the good sleep quality group 45,6%. Respondents in this research were majority aged 26–35 years with 37 respondents. This analysis shows a significant relationship and very strong correlation between pain intensity and sleep quality (p-value <0,001 and r = 0,789).Conclusion: There is a relationship between pain intensity and sleep quality in elective postoperative patients at Prof. dr. Chairuddin P. Lubis USU Medan Hospital.

Pengaruh pelatihan Early Warning Score (EWS) terhadap tingkat pengetahuan dokter dan perawat dalam penerapan EWS di Rumah Sakit Laras PT. Prima Medika Nusantara Simalungun Lubis, Andriamuri Primaputra; Rusda, Muhammad; Wahyuni, Arlinda Sari; Effendy, Elmeida; Amin, Mustafa Mahmud
Jurnal PADE: Pengabdian & Edukasi Vol 7, No 2 (2025): Oktober
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/pade.v7i2.2739

Background: The Early Warning Score (EWS) is a clinical monitoring system based on vital signs, designed to support early detection of patient deterioration. However, its implementation in hospitals is often hindered by limited knowledge and skills among healthcare professionals. Objective: To evaluate the impact of EWS training on improving doctors' and nurses' knowledge regarding the application of the system at Laras Hospital, PT. Prima Medika Nusantara. Methods: A quasi-experimental pre-post study without a control group was conducted involving 155 participants. The EWS training, delivered through lectures and simulations, was followed by pre- and post-intervention knowledge assessments using a structured questionnaire. Statistical analysis was performed using the Wilcoxon test. Results: The findings demonstrated a significant improvement in knowledge after training (p = 0.00), indicating the effectiveness of the intervention in enhancing clinical readiness among medical staff. Conclusion: EWS training plays a vital role in strengthening the clinical competencies of doctors and nurses. Its routine implementation can serve as a practical strategy to enhance early detection systems and improve patient safety and care quality in hospital settings.

Pengaruh Pemberian Glukosa Oral Pra Operasi Terhadap Kadar Glukosa Darah pada Pasien Diabetes Melitus yang dilakukan operasi dengan anestesi Umum Harahap, Dhiny Yolanda; Hanafie, Achsanuddin; Lubis, Andriamuri Primaputra; Amelia, Rina
Jurnal Biomedika dan Kesehatan Vol 7 No 2 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.199-207

Background The administration of general anesthesia during surgery can trigger the body’s stress response causing changes in regular metabolic patterns that result in hyperglycemia and ketosis. The goal of this study is to investigate how preoperative oral glucose and non-glucose administration affect patients with diabetes mellitus with blood glucose levels during surgery under general anesthesia. Methods This is a single-blind, randomized controlled trial (RCT) being carried out by the Central Surgical Installation and postoperative recovery area at Haji Adam Malik General Hospital Medan. The study sample consists of 38 patients with diabetes mellitus who underwent electively scheduled laparotomies under general anesthesia and met inclusion/exclusion criteria. For treatment group participants, mineral water containing 50 grams of glucose was administered with 400 cc. Research hypotheses were assessed using the t-test, and significant findings had p-values equal to or less than 0.05 within a confidence interval of 95%. Results The study sample had a mean age of 50.1 ± 12.73 and showed a significant effect between glucose levels before (178.47) and after (163.78) administration of maltodextrin, with a P value (0.001). No side effects were observed during or after the post-operative evaluation process conducted in this study's participants. Conclusions Patients with diabetes mellitus experience a preoperative oral glucose-induced impact on blood glucose levels.

Knowledge Level of Emergency for Students at Senior High School Al-Azhar Asy Syarif Islamic Boarding School Deli Serdang Lubis, Andriamuri Primaputra; Khairani, Mitra
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 1 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i1.12822

Background: Emergency means life threatening, while emergency is the need to get immediate treatment or action to eliminate the threat to the victim's life. Emergency is a condition when patient's clinical condition requires immediate medical action to save lives and prevent disability. In handling emergency cases, taking the right action for help must be carried out quickly, precisely, and calmly. This study is a cross sectional study. Data was collected in the form of a questionnaire. Questionnaires were collected twice, first the pretest which was carried out before the instructor gave the emergency material and the posttest which was carried out after the emergency material was given. The results show that in general, the posttest results show a shift to a higher score than the pretest results. Conclusion The level of knowledge of students at MA Al-Azhar Asy Syarif Islamic Boarding School Deli Serdang regarding emergencies, is categorized as Good.

Pengaruh Frekuensi Membaca Buku Kesehatan Ibu dan Anak terhadap Pengetahuan Ibu Putra, Muhammad Irvan Triono; Tanjung, Ika Citra Dewi; Hutagalung, Sunna Vyatra; Lubis, Andriamuri Primaputra
Sari Pediatri Vol 25, No 6 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp25.6.2024.371-7

Latar belakang. Buku Kesehatan Ibu dan Anak merupakan salah satu upaya pelayanan kesehatan promotif bagi masyarakat yang berfungsi sebagai alat komunikasi, informasi dan edukasi terkait kesehatan ibu dan anak. Pemanfaatan buku tersebut mencakup membawa buku saat pemeriksaan kesehatan, membaca, dan mengisi buku yang dapat meningkatkan pengetahuan ibu mengenai kesehatan anak. Studi mengenai pemanfaatan Buku Kesehatan Ibu dan Anak dan pengetahuan ibu mengenai kesehatan anak masih sedikit.Tujuan. Mengetahui hubungan antara pemanfaatan Buku Kesehatan Ibu dan Anak dengan pengetahuan kesehatan anak pada ibu.Metode. Penelitian cross-sectional dengan wawancara menggunakan kuesioner terstruktur yang valid dan reliabel kepada orangtua dari anak usia 0-59 bulan yang datang ke Posyandu di praktek bidan mandiri periode Maret sampai Desember 2023 secara consecutive sampling. Kriteria inklusi adalah ibu yang memiliki buku dan anak usia 0-59 bulan, dan ibu menyetujui mengikuti penelitian. Kriteria eksklusi adalah anak tidak datang bersama ibu. Hasil. Dari 144 reponden penelitian, pemanfaatannya terbanyak dengan kategori baik (60,4%) dan pengetahuan ibu mengenai kesehatan anak terbanyak dengan kategori cukup (43,8%). Terdapat hubungan bermakna antara pemanfaatan Buku Kesehatan Ibu dan Anak dengan pengetahuan kesehatan anak pada ibu (p=0,001).Kesimpulan. Hubungan antara pemanfaatan Buku Kesehatan Ibu dan Anak dengan tingkat pengetahuan ibu mengenai kesehatan anak bermakna. Oleh karena itu, ibu harus memanfaatkannya lebih sering untuk meningkatkan pengetahuan mengenai kesehatan anak.

The Efficacy of Channa Striata Extract Administration in Improving Albumin and Creatinine Levels in Sepsis Patients in the Intensive Care Unit Panggabean, Mathilda; Lubis, Andriamuri Primaputra; Irina, Rr. Sinta; Amelia, Rina
Indonesian Journal of Applied Research (IJAR) Vol. 5 No. 1 (2024): Indonesian Journal of Applied Research (IJAR)
Publisher : Universitas Djuanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30997/ijar.v5i1.414

Albumin levels in the blood are an indicator for assessing the severity of sepsis. In sepsis patients, administering albumin extract from Channa striata has better potential to replace Human Albumin by 20%. This study aims to determine the role of Channa striata extract (CSE) in improving albumin and creatinine in sepsis patients. This research is a quasi-experimental research with a pre-post-test design. Sepsis patients who meet the inclusion and exclusion criteria and sign the informed consent form will be divided into treatment and control groups. Both groups received the same therapy protocol, except for the treatment group, which will be given CSE at a dose of 5gr, three times a day, for five days. Albumin, creatinine, and SOFA score measurements will be taken before the treatment and on the 7th day. All data will be tabulated and analyzed using statistical software. This study consisted of 2 groups, with a sample size of 20 patients for each group. It was found that the mean age of the research sample was 56.1 + 11.8 years. In the treatment group, there was no decrease in albumin levels before and after (2.76 + 0.41 to 2.76 + 0.40), p=0.952. There was no significant difference in assessing creatinine levels before and after treatment, p>0.05. There was an increase in SOFA score before and after treatment in both groups, p<0.05. Channa striata extract is clinically significant for improving the condition of sepsis patients in the ICU.

Co-Authors Akbar, Hera Zein Annisa Syifanurhati Ansari, Aulia Kamal Ardinata, Dedi - Aulia, Miftah Furqon Bangun, Chrismas Gideon Bastian Lubis Chandra, Nopial Ade Elfazi, Tazzya Shailla Elmeida Effendy Etania, Cassandra Hamdi, Tasrif Hanafie, Achsanuddin Harahap, Dhiny Yolanda Harahap, Juliandi Hasibuan, Muhammad Ramadhan Hutagalung, Sunna Vyatra Irina, Rr Sinta Irina, Rr. Sinta Karim, T. Abdul Ketaren, Aga Shahri Putera Khairani, Mitra Lubis, Adhika Syaputra Mustafa Mahmud Amin Nadeak, Rommy Nadeak, Rommy Fransiscus Nasution, Afrida Aryani Panggabean, Mathilda Paramita, Deryne Anggia Pohan, Alfindy Maulana Putra, Muhammad Irvan Triono Rifani Masharto, Alegra Rina Amelia Rusda, Muhammad Sibarani, Nicholas Hamonangan Suherman, Jessen Syaputra, Adhika Tanjung, Ika Citra Dewi Tarigan, Randi Joel Oktavianus Taufik, Maulana Wahyuni, Arlinda Sari Wijaya, Dadik Wahyu Wijaya, Yudhi Yunanda, Yuki

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