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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

Abstract

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

Abstract

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

Abstract

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.
HEAVEN versus LEMON Score in Predicting Emergency Intubation Success in Critically Ill Patients Johan, T. Abdurrahman; Lubis, Andriamuri Primaputra; Ihsan, Muhammad
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.73108

Abstract

Background: The LEMON and HEAVEN scores are currently used only to assess airway difficulties in emergency patients. This research was conducted to evaluate the success of emergency intubation using the LEMON and HEAVEN scores in critically ill patients who require mechanical ventilation.Objective: The objective of this study is to compare the success of emergency intubation with the HEAVEN score with the LEMON score in critically ill patients requiring mechanical ventilation.Methods: This research employed a cross-sectional observational analytical design and took place at Adam Malik General Hospital, Medan, Dr. Pirngadi Medan, and RSU Haji Medan from January to March 2024. All critically ill patients aged 18-64 years requiring emergency intubation were included, excluding those with prior tracheotomy or intubation experience who refused to participate. A minimum sample size of 70 participants was obtained, with statistical analysis planned using SPSS version 26 software.Results: A total of 76 patients were included in this study. According to the LEMON score, 5 patients (6.6%) were identified as having difficult intubation, whereas the HEAVEN score categorized 30 patients (39.5%) as difficult cases. Following emergency intubation, only 3 patients (3.9%) experienced initial intubation failure. The LEMON score demonstrated an area under the curve (AUC) of 0.984, indicating excellent accuracy, while the HEAVEN score had an AUC of 0.911, also demonstrating excellent accuracy. Both scores proved equally effective in assessing intubation success, with statistical analysis favoring the superiority of the LEMON score. However, the HEAVEN score can serve as a viable alternative in critically ill patients.Conclusion: The LEMON score and HEAVEN score can be used to evaluate the success of emergency department intubation in critically ill patients who require mechanical ventilation.
The Effect of Intrathecal 20 mg Ketamine on 0.5% 15 mg Bupivacaine in Spinal Anesthesia For Lower Extremity Surgery Chandra, Nopial Ade; Hamdi, Tasrif; Lubis, Andriamuri Primaputra
Journal of Anaesthesia and Pain Vol. 7 No. 1 (2026): January
Publisher : Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Background: Regional anesthesia is widely used in orthopedic procedures to reduce complications such as nausea, vomiting, and pulmonary aspiration. Intrathecal ketamine is known to prolong analgesia duration, but evidence remains limited. This study aimed to compare the effectiveness and side effects of combining intrathecal ketamine 20 mg with 0.5% bupivacaine 15 mg versus bupivacaine alone in spinal anesthesia for lower extremity surgery. Methods: A randomized controlled trial (RCT) was conducted at RS Haji Medan and Rumkit Tk II Putri Hijau Medan, involving 30 patients undergoing spinal anesthesia. Subjects were divided into two groups: Group A (Ketamine + Bupivacaine) and Group B (Bupivacaine only). Variables observed included onset and duration of sensory and motor blockade, sedation level, hemodynamic responses, and adverse effects. Data were analyzed using SPSS v24.0. Results: No significant differences were found in baseline characteristics between the two groups. The addition of ketamine did not significantly affect the onset or duration of sensory and motor blockade. Hemodynamic parameters such as heart rate and blood pressure remained stable in both groups. However, sedation levels were lower and the incidence of adverse effects (such as nausea, shivering, and hallucinations) was higher in the ketamine group. Conclusion: The addition of intrathecal ketamine 20 mg to bupivacaine 0.5% 15 mg slightly prolonged spinal anesthesia but was associated with an increased risk of adverse effects and lower sedation. This combination should be used cautiously in clinical practice.
Hemodynamic Effects of Phenylephrine 100 µg versus Ephedrine 5 mg During Propofol-Induced General Anesthesia: A Randomized Study Sibarani, Nicholas Hamonangan; Lubis, Andriamuri Primaputra; Bangun, Chrismas Gideon; Yunanda, Yuki
Jurnal Anestesi Perioperatif Vol 13, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v13n3.4454

Abstract

Background: Propofol is widely used for induction of general anesthesia; however, it frequently associated hypotension due to vasodilation and myocardial depression. Vasopressors such as phenylephrine and ephedrine are commonly administered to counteract this effect, but evidence comparing their hemodynamic efficacy during induction remains limited.Methods: This randomized double-blind clinical trial included 80 patients undergoing elective surgery under general anesthesia. Patients were randomly allocated into two groups to receive either phenylephrine 100 µg or ephedrine 5 mg at the time of propofol induction. Demographic characteristics (sex, age, body mass index, and ASA physical status) were recorded. Hemodynamic parameters, including systolic blood pressure, diastolic blood pressure, mean arterial pressure, and heart rate, were measured after premedication and 30 seconds following propofol administration.Results: Baseline characteristics were comparable between the two groups. At 30 seconds after induction, there were no statistically significant differences in systolic blood pressure, diastolic blood pressure, mean arterial pressure, or heart rate between the phenylephrine and ephedrine groups. Both vasopressors effectively maintained hemodynamic stability during propofol induction.Discussion: The findings suggest that phenylephrine and ephedrine have similar hemodynamic profiles when administered during propofol induction. Despite their differing pharmacological mechanisms, both agents were equally effective in preventing early hypotension without significant differences in heart rate or blood pressure responses.Conclusion: Phenylephrine 100 µg and ephedrine 5 mg demonstrated comparable efficacy in maintaining hemodynamic stability during propofol-induced general anesthesia, with no significant difference in their ability to prevent hypotension.