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Prolapsus Uteri pada Pasien Berusia 53 Tahun Multipara : Sebuah Laporan Kasus Syarina Syafira; Iskandar Albin
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v2i4.211

Abstract

Pelvic organ prolapse is a disease that combines a group of disorders of the ligamentous apparatus of the uterus and vagina, leading to prolapse and prolapse of the internal genital organs, manifested by displacement of the genitals to the vaginal inlet or prolapse beyond its redistribution. A case has been reported from a female patient aged 53 years with complaints of lumps coming out of the vagina. The complaint begins with discomfort and feels like there is a burden on the pelvis. The complaints felt by the patient were aggravated when squatting and lifting heavy objects that made the lump come out of the vagina, the lump decreased when sitting and lying down. On physical examination, it was found that the uterine mass came out of the vaginal introitus in a round shape of pink, the distal part of the uterine prolapse decreased by 1.6 cm from the hymen and no more than TVL (Total Vaginal Length) by 2 cm. Management in patients with operative measures is the laparotomy with total hysterectomy.
Gambaran Karakteristik Persalinan Spontan (Spontaneous Vertex Delivery) di Wilayah Kecamatan Nisam Aceh Utara Tahun 2021 Salmiah Salmiah; Nora Maulina; Iskandar Albin
Jurnal Medika Nusantara Vol. 3 No. 2 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i2.1805

Abstract

Labor is a process that requires great energy and stamina, during this process the cervix will open and become thinner, making it easier for the fetus to descend into the birth canal. During labor, additional sources of energy from outside the body are needed to conserve glycogen stores during labor. Lack of nutritional intake during labor can reduce blood glucose levels so that the mother experiences muscle fatigue, characterized by high levels of lactate in the blood and inadequate uterine contractions which results in delayed progress or delayed delivery. The research method is descriptive observational with a population of 421 deliveries in Nisam District. The sample taken is part of the population. Research variables are maternal age at delivery, education, parity, distance of residence, occupation, socio-economic and birth attendant. The results of this study were from 81 deliveries that occurred in Nisam District in 2021, the mother's age at delivery was 20-35 years (93.8%), high school education (54.3%), Primipara parity (50.6%), distance of residence <15 minutes (69.1% ), non-civil servant occupation (86.4%), socio-economic minimum wage (53.1%), birth attendant assisted by a midwife (100%). The conclusion of this study is the characteristics of spontaneous delivery in Nisam District in 2021, namely; The highest maternal age at delivery was 20-35 years, the most education was high school, the most parity was primipara, the most residence distance was <15 minutes, the most occupations were Non-PNS, most socio-economically above the minimum wage, and spontaneous birth attendants by midwives.
Pengaruh Simulasi First Aid Kegawatdaruratan Kecelakaan terhadap Pengetahuan Penanganan Fraktur di SMA N 1 Lhokseumawe Ramadhina Ramadhina; Adi Rizka; Iskandar Albin
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 3 No. 1 (2026): Maret: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v3i1.2916

Abstract

Fractures are conditions where there is a separation or rupture in the continuity of the bone structure, caused by excessive pressure that the bone cannot withstand. According to the World Health Organization (WHO), the incidence of fractures is expected to increase with the growing number of vehicles. The productive age group is particularly vulnerable to injury due to accidents. A lack of knowledge about fractures and First Aid methods can exacerbate the situation. This study aims to determine the impact of fracture education and First Aid simulation methods on the knowledge of students at SMA N 1 Lhokseumawe. The research used a quantitative quasi-experimental design with a one-group pretest-posttest design, involving 91 students. The instrument used was a knowledge questionnaire. The results showed that before the education and simulation, 44 respondents (48.4%) had a poor knowledge category, while after the education and simulation, 84 respondents (93.4%) were in the good category. The Wilcoxon test resulted in a P-value of 0.000, indicating a significant impact. The conclusion of this study is that fracture education and First Aid simulation methods are effective in improving students' knowledge about fractures and First Aid.
Hubungan Karakteristik Ibu Hamil Dengan Tingkat Pengetahuan Tentang Tanda-Tanda Bahaya Kehamilan Di Puskesmas Muara Dua Lhokseumawe Rafie, Maghfiroh Rahma; Iskandar Albin; Teuku Yudhi Iqbal
Al-Zayn: Jurnal Ilmu Sosial, Hukum & Politik Vol 4 No 3 (2026): 2026
Publisher : Yayasan pendidikan dzurriyatul Quran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61104/alz.v4i3.5206

Abstract

Tanda bahaya kehamilan adalah tanda bahaya selama masa kehamilan yang harus di ketahui setiap ibu hamil. Kematian pada ibu dapat terjadi selama masa kehamilan, pada saat bersalin serta masa nifas yang disebabkan oleh kurangnya pengetahuan untuk mengenali adanya tanda bahaya kehamilan. Berdasarkan data yang di rilis oleh Dinas Kesehatan Kota Lhokseumawe, jumlah angka kematian ibu di Lhokseumawe persereratus ribu kelahiran dari tahun 2017-2021 adalah 20 orang dan terbanyak di tahun 2021 yang terjadi di puskesmas Muara Dua Lhokseumawe yaitu berjumlah 6 orang. Tujuan dari penelitian ini adalah untuk mengetahui hubungan variabel umur, Pendidikan, graviditas dan riwayat tanda bahaya dengan Tingkat pengetahuan. Penelitian ini menggunakan populasi sebanyak 55 ibu hamil yang memeriksakan kehamilan di puskesmas Muara Dua. Metode pengambilan sampel yang digunakan adalah metode Total Sampling sehingga sampel dalam penelitian ini berjumlah 55 ibu hamil. Data penelitian diperoleh dengan cara wawancara responden menggunakan kuesioner. Hasil univariat menunjukkan bahwa responden berpengetahuan cukup sebesar 5,1% , sedangkan responden dengan pengetahuan yang baik sebesar 94,9%. Hal ini menandakan bahwa sebagian besar responden berpengetahuan baik dalam mengenali tanda bahaya kehamilan. Hasil bivariat menunjukkan bahwa hanya variabel umur dan graviditas yang memiliki hubungan dengan tingkat pengetahuan ibu hamil tentang tanda bahaya kehamilan, selebihnya tidak memiliki hubungan apapun
Laporan Kasus: Mioma Uteri pada Pasien Perempuan Usia 41 Tahun Khairun Nisa; Iskandar Albin
Inovasi Kesehatan Global Vol. 3 No. 2 (2026): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v3i2.3039

Abstract

Uterine myoma is a benign smooth muscle tumor of the uterus commonly found in women of reproductive age and may cause symptoms related to mass effect and hematologic disturbances. We report the case of a 41-year-old woman presenting with progressive vaginal pain for 3 months, accompanied by low back pain and impaired daily activities, without vaginal bleeding, vaginal discharge, fever, or urinary or defecatory symptoms. Laboratory examination revealed severe microcytic hypochromic anemia with a hemoglobin level of 4.7 g/dL, while ultrasonography demonstrated a 9.93 × 10.32 cm mass described as symmetric, well circumscribed, and hyperechoic, leading to a working diagnosis of uterine myoma with anemia. The patient was managed with general condition monitoring, intravenous fluids, analgesics, transfusion of four units of packed red cells, and laparotomy as definitive intervention. Following transfusion and surgery, the hemoglobin level increased to 9.4 g/dL and subsequently to 11.0 g/dL, accompanied by improvement in postoperative symptoms and clinical condition. This case demonstrates that a large uterine myoma may present predominantly with pelvic pain and functional impairment in the absence of vaginal bleeding. A comprehensive approach involving systematic evaluation, preoperative correction of anemia, appropriate surgical intervention, and postoperative monitoring is essential to improve safety and clinical outcomes in patients with symptomatic pelvic masses.