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All Journal Jurnal Anestesi Obstetri Indonesia Buletin Kedokteran dan Kesehatan Prima
Atmadja, Linda Stefanie
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Tatalaksana Anestesi pada Tumor Payudara Kanan cT2N3Mx dan Kiri cT2N1Mx Curiga Ganas pada G4P2A1 Usia Kehamilan 22 Minggu Atmadja, Linda Stefanie; Fajar Apsari, Ratih Kumala
Jurnal Anestesi Obstetri Indonesia Vol 7 No 2 (2024): Juli
Publisher : Indonesian Society of Obstetric Anesthesia and Critical Care (INA-SOACC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47507/obstetri.v7i2.182

Abstract

Operasi non obstetrik selama kehamilan merupakan hal penting yang harus dikuasai oleh ahli anestesi. Operasi non obstetrik dapat diperlukan pada trimester berapapun dalam kehamilan, dimana tantangannya unik karena memperhatikan keselamatan ibu dan bayi. Ketika menangani wanita hamil yang menjalani operasi non obstetrik, dokter anestesi perlu untuk memodifikasi protokol anestesi standar untuk mengakomodasi perubahan fisiologi yang disebabkan oleh kehamilan dan adanya janin. Pada kasus ini, seorang wanita 41tahun,G4P2A1 pada usia kehamilan 22 minggu didiagnosa dengan tumor payudara kanan dan kiri cT2n3Mx dan cT2N1Mx curiga ganas direncanakan pengangkatan tumor payudara dengan anestesi umum. Pasien diinduksi dengan fentanyl 75mcg, sevoflurane 2 vol%, rocuronium 20mg, pemeliharaan anestesi dengan sevoflurane 2 vol %, O2 dan N2O. Intraoperatif hemodinamik pasien stabil. Selain perubahan fisiologi dan anatomi pada ibu, operasi non obstetrik pada kehamilan juga perlu memperhatikan keselamatan janin. Hal ini termasuk risiko teratogenisitas, pemantauan janin selama tindakan dan setelah tindakan. Perlu mendapat perhatian juga pada trimester berapa operasi dilakukan dan adanya risiko obat-obatan yang digunakan dapat melewati plasenta dan dapat berisiko terhadap janin. Selain itu perlu diperhatikan juga hal-hal yang dapat mempengaruhi sirkulasi uteroplasenta.
Factors related to the quality of health services at Rambung Community Health Center Tebing Tinggi City Purba, Arna Fransisca Millyanti; Harahap, Yuri Warda; Atmadja, Linda Stefanie; Djamin, Djamin; Silalahi, Todung Donald Aposan; Malau, Reghita Claudia; Br Bukit, Rosmeri; Iskandar, Dalmy; Zubaidah, Siti; Pakpahan, Enni Halimatussa'diyah
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.7450

Abstract

Service activites in an organization that the main activitiy is as service’s provider has a very strategic role. The facility that can support health service’s realization through Community Health Center  (PUSKESMAS). Minister of Health Regulation number 43 of 2019 concerning Puskesmas states that Puskesmas is health service that doing public health means and first level individual health, by prioritizing promotive and preventive in their working areas. This study aims to determinate the factors relating to quality of health’s service in Puskesmas Rambung at Tebing Tinggi City. This type of research is quantitative with a cross-sectional approach. With population of average monthly patitent who come for treatment of 68 samples. Sampling method used purposive sampling.The results showed that the variables that relating to health service’s quality at Puskesmas Rambung Tebing Tinggi City are tangibles (p=0,004), responsiveness (p=0,0001), assurance (p=0,0001), and empathy (p=0,0001). Puskesmas health workers must improving reliability through the attitude of officers towards patients, maintaining the cleanliness of the puskesmas environment so that patients who come for treatment feel comfortable and it is health workers considered to improve their performance so that they will be even better in the future.
Factors related to the quality of health services at Rambung Community Health Center Tebing Tinggi City Purba, Arna Fransisca Millyanti; Harahap, Yuri Warda; Atmadja, Linda Stefanie; Djamin, Djamin; Silalahi, Todung Donald Aposan; Malau, Reghita Claudia; Br Bukit, Rosmeri; Iskandar, Dalmy; Zubaidah, Siti; Pakpahan, Enni Halimatussa'diyah
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.7450

Abstract

Service activites in an organization that the main activitiy is as service’s provider has a very strategic role. The facility that can support health service’s realization through Community Health Center  (PUSKESMAS). Minister of Health Regulation number 43 of 2019 concerning Puskesmas states that Puskesmas is health service that doing public health means and first level individual health, by prioritizing promotive and preventive in their working areas. This study aims to determinate the factors relating to quality of health’s service in Puskesmas Rambung at Tebing Tinggi City. This type of research is quantitative with a cross-sectional approach. With population of average monthly patitent who come for treatment of 68 samples. Sampling method used purposive sampling.The results showed that the variables that relating to health service’s quality at Puskesmas Rambung Tebing Tinggi City are tangibles (p=0,004), responsiveness (p=0,0001), assurance (p=0,0001), and empathy (p=0,0001). Puskesmas health workers must improving reliability through the attitude of officers towards patients, maintaining the cleanliness of the puskesmas environment so that patients who come for treatment feel comfortable and it is health workers considered to improve their performance so that they will be even better in the future.
Co-Authors Br Bukit, Rosmeri Djamin, Djamin Harahap, Yuri Warda Iskandar, Dalmy Malau, Reghita Claudia Pakpahan, Enni Halimatussa'diyah Purba, Arna Fransisca Millyanti Ratih Kumala Fajar Apsari Siti Zubaidah Todung Donald Aposan Silalahi