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All Journal Indonesian Journal of Urology Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Pengabdian Pada Masyarakat Indonesia (JPPMI) AKSONA
Rayyan, Muhammad Isra Rafidin
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Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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Identifikasi dan Konseling Pemakaian Alat Pelindung Diri pada Petani Gayasan B Desa Jenggawah Kabupaten Jember sugiyanta, sugiyanta; Hairrudin, Hairrudin; Efendi, Erfan; Febianti, zahrah; Sutejo, Ika Rahmawati; Septyawati, Ratna; Nurfahimi, Yudriani; Rayyan, Muhammad Isra Rafidin
Jurnal Pengabdian Pada Masyarakat Indonesia Vol 2 No 1 (2023): Februari: Jurnal Pengabdian Pada Masyarakat Indonesia
Publisher : Universitas Gajah Putih, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55542/jppmi.v2i1.240

Abstract

Indonesia merupakan negara Agraris dengan sektor pertanian menjadi salah satu kunci utama. Peningkatan produksi pertanian berkorelasi positif dengan penggunaan pestisida. Jika tidak bijak, pestisida menyebabkan berbagai masalah kesehatan. Untuk mencegah dan mengurangi efek buruk paparan pestisida, penting untuk menggunakan alat pelindung diri (APD) pada petani. Kegiatan ini bertujuan mengidentifikasi perilaku kepatuhan dan memberikan edukasi penggunaan APD untuk menghindari paparan pestisida. Kegiatan dilakukan melalui kerjasama FK Universitas Jember, pemerintah desa dan puskesmas Jenggawah. Kegiatan dilaksanakan di balai Dusun Gayasan B pada 18-19 Juni 2022, pukul 07.30-13.00 WIB. Jumlah sasaran dalam dua hari sebanyak 300 peserta. Tim pelaksana terdiri atas dosen, mahasiswa dan tenaga pendukung kegiatan, yang berjumlah 20 orang. Kegiatan terdiri atas pemeriksaan TTV, antropometri, anamnesis, identifikasi dan konseling mengenai penggunaan APD dilakukan oleh mahasiswa, dan konseling kesehatan dilakukan oleh dosen. Jumlah warga yang hadir dalam 2 hari mencapai 317 orang, dengan jumlah petani sebanyak 134 orang. 62 dari 134 petani menggunakan APD. Jenis APD yang sering digunakan oleh para petani adalah masker, baju lengan panjang dan sarung tangan. Melalui kegiatan ini diharapkan meningkatkan pengetahuan dan kesadaran petani terkait pentingnya APD, sehingga terbentuk masyarakat agrikultur yang sehat dan diharapkan visi Agromedis Fakultas Kedokteran Universitas Jember terimplementasi riil sebagai salah satu tri dharma perguruan tinggi.
Lambert-Eaton Myasthenic Syndrome: A Review of Rare Neuromuscular Disease Related to Paraneoplastic and Autoimmune Fardhani, Ichlasul Mahdi; Graciella, Cindy; Rayyan, Muhammad Isra Rafidin
AKSONA Vol. 5 No. 1 (2025): JANUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v5i1.56359

Abstract

Highlight: LEMS is a rare neurological disease with fluctuating symptoms Delays and misdiagnosis of LEMS disease often occur The two main pathophysiologies of LEMS are autoimmune and paraneoplastic.   ABSTRACT A rare condition known as Lambert-Eaton myasthenic syndrome (LEMS) affects the neuromuscular junctions, which are the connections between muscles and nerves. Tumor-associated or autoimmune causes trigger this condition. This mechanism depends on the presence of antibodies that directly attach to voltage-gated calcium channels located on the presynaptic nerve terminals. LEMS disease is divided into non-paraneoplastic or non-tumor LEMS (NT-LEMS) and paraneoplastic LEMS (P-LEMS). NT-LEMS is believed to be caused by an autoimmune process. On the other hand, P-LEMS has an underlying tumor, and LEMS symptoms are paraneoplastic manifestations of the tumor. Clinical signs of LEMS include proximal muscle weakness, autonomic dysfunction, and decreased deep tendon reflexes. The predominant sign of LEMS is weakness of the lower extremities. The defining characteristic of LEMS is a weakness that spreads from caudal to cranial, causing oculobulbar manifestations, and from proximal to distal, potentially involving the feet and hands. The diagnosis of LEMS depends on clinical, electromyographic, and serological findings of anti-VGCC antibodies. Therefore, comprehensive oncologic screening and monitoring should promptly follow a diagnosis of LEMS. The standard approach to treating LEMS symptoms is administering drugs that improve neurotransmission, such as potassium channel blockers and amifampridine. In refractory cases, immunosuppressants or immunomodulator agents, such as a combination of prednisone and azathioprine, are used. If a tumor is detected, oncological therapy should be a priority.  
INTRACAVERNOSAL INJECTION OF PLATELET-RICH PLASMA AS AN ALTERNATIVE TREATMENT OF ORGANIC ERECTILE DYSFUNCTION: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS Rayyan, Muhammad Isra Rafidin; Kholid, Akbar Fakhrudin; Wahyudi, Septa Surya
Indonesian Journal of Urology Vol 32 No 3 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i3.967

Abstract

Objective: To evaluate the effectiveness and safety of intracavernosal injections of platelet-rich plasma (PRP) as an alternative therapy for the treatment of erectile dysfunction. Material & Methods: We conducted a comprehensive literature search on Pubmed, Cochrane Library, ScienceDirect, Scopus, and Proquest databases for randomized controlled clinical trials (RCTs) until April 2023. The study protocol has been registered in the International Prospective Register of Systematic Reviews (PROSPERO CRD42023424586). Results: Our results showed that PRP could improve MCID in IIEF-EF score (OR: 4.64; 95% CI: 2.20, 9.79; p < 0.0001; I2 = 77%) and PSV (MD: 9.63; 95% CI: 1.17, 18.09; p = 0.03; I2 = 73%). In addition, PRP administration was shown to be relatively safe, and there was no significant difference in post-injection VAS pain scores when compared to controls (MD: -0.09; 95% CI: -0.49, 0.31; p = 0.66; I2 = 84%). Conclusion: This systematic review and meta-analysis showed promising results regarding the effects of PRP administration on erectile dysfunction. However, due to the lack of quality and number of studies, these findings should be interpreted carefully, and further investigations are still needed. Keywords: Platelet-Rich Plasma, Intracavernosal Injection, Erectile Dysfunction, IIEF-EF, Meta-Analysis.
Combined Spinal-Epidural Anesthesia with Isobaric Ropivacaine 0.375% for Inguinal Hernia Surgery in a Heart Failure Patient with Ejection Fraction of 36% Rayyan, Muhammad Isra Rafidin; Ghiffari, Salman Sultan; Hariyanto, Achmad; Winarso, Achmad Wahib Wahju; Darmawan, Haris; Fardhani, Ichlasul Mahdi
Indonesian Journal of Anesthesiology and Reanimation Vol. 6 No. 1 (2024): 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.V6I12024.50-57

Abstract

Introduction: Heart failure is a condition caused by myocardial abnormalities that interfere with the fulfillment of the body's metabolism. It is one of the primary causes of high perioperative morbidity and mortality rates, and its management presents a challenge to anesthesiologists. Objective: To demonstrate combined spinal-epidural anesthesia with isobaric ropivacaine 0.375% for inguinal hernia repair surgery in a heart failure patient with an ejection fraction of 36%. Case Report: A 53-year-old man presented with a complaint of a lump on his left groin accompanied by pain with a visual analog scale (VAS) pain score of 3/10 three days before admission. The patient was also known to often complain of shortness of breath and chest palpitations when lying down at night and during strenuous activity. Based on the examination, the patient was then diagnosed with reducible left lateral inguinal hernia and heart failure with LVEF 36%. Subsequently, the patient was scheduled for elective herniotomy-hernioraphy surgery under low-dose combined spinal-epidural anesthesia. Spinal anesthesia was performed with isobaric ropivacaine 0.375% and fentanyl 25 μg in a total volume of 3.5 ml at the L3-L4 intervertebral space. Epidural anesthesia was performed with isobaric ropivacaine 0.375% and fentanyl 25 μg in a total volume of 8 ml at the L2-L3 intervertebral space. After 10 minutes, the sensory block reached the T6 level, but the motor block was only partial (Bromage 1). A continuous infusion of isobaric ropivacaine 0.1875% 1 ml/hour was administered through the epidural catheter to control postoperative pain. During surgery and hospitalization, the patient's hemodynamic condition remained stable. Conclusion: Combined spinal-epidural anesthesia with isobaric ropivacaine 0.375% can provide adequate anesthesia with relatively stable hemodynamics, thus making it safe for inguinal hernia repair surgery in heart failure patients with reduced ejection fraction.
Co-Authors Darmawan, Haris Erfan Efendi Fardhani, Ichlasul Mahdi Ghiffari, Salman Sultan Graciella, Cindy Hairrudin Hairrudin Hariyanto, Achmad Ika Rahmawati Sutejo Kholid, Akbar Fakhrudin Nurfahimi, Yudriani septa surya wahyudi, septa surya Septyawati, Ratna Sugiyanta Sugiyanta Winarso, Achmad Wahib Wahju Zahrah Febianti