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All Journal KONSELI: Jurnal Bimbingan dan Konseling (E-Journal) Buletin Farmatera Majalah Kedokteran Neurosains Malahayati International Journal of Nursing and Health Science Jurnal Prima Medika Sains Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) CONSEN: Indonesian Journal of Community Services and Engagement DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN The Journal of Society Medicine (JSOCMED)
Kiking Ritarwan
Faculty Of Medicine, Universitas Sumatera Utara
Religion Computer Science & IT Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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PERBEDAAN COGNITIVE PERFORMANCE ANTARA ANAK YANG TERINFEKSI CACING USUS DENGAN TIDAK TERINFEKSI CACING USUS Kiking Ritarwan*, Hasan Sjahrir*
NEURONA Vol 28 No. 1 Oktober 2010
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

INTRODUCTION SOIL TRANSMITTED HELMINTHIASES IS ONE OF THE PROBLEM IN PEOPLES HEALTHY ESPECIALLY IN DEVELOPING COUNTRIES IN INDONESIAN THE PREVALENCE IS HIGH 6080 IN THE SCHOOL AGE CHILDREN IN MILD INFECTION IT WAS FOUND GROWTH ABNORMALITY THAT IT CAUSED REDUCED COGNITIVE FUNCTION AND MALNUTRITION FOR CHILDREN IN ENDEMIC AREA MORE OVER WORM INFECTION RELATED TO CHANGING EDUCATION HELMINTHIASES HAS CLOSED RELATIONSHIP WITH HUMAN QUALITY BECAUSE IT CAN INFLUENCE HEALTHY NUTRITIONAL STATUS INTELEGENTIA PRODUCTIVITY AND LOW ECONOMIC STATUS
MALARIA SEREBRAL Kiking Ritarwan*
NEURONA Vol 28 No. 1 Oktober 2010
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

INTRODUCTION CEREBRAL MALARIA IS THE MOST SEVERE NEUROLOGICAL COMPLICATION OF PLASMODIUM FALCIFARUM IT OCCURS IN ABOUT 12 IN PATIENTS INFECTED WITH PLASMODIUM FALCIFARUM AND THE MORTALITY IS STILL HIGH
ASPEK KLINIS DAN PENATALAKSANAAN MENINGITIS TUBERKULOSA Kiking Ritarwan*
NEURONA Vol 28 No. 2 Januari 2011
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION TUBERCULOUS MENINGITIS TBM IS ONE OF THE EXTRAPULMONAL TUBERCULOUS IT IS SUBACUTELY CENTRAL NERVOUS SYSTEM INFECTION FROM LUNG PRIMARY FOCUS THE ROUTE OF THE BACTERIA TO THE MENINGEN USUALLY VIA HEMATOGEN SPREADING FROM RESPIRATORY TRACT TUBERCULOUS IS ACID FAST ORGANISM MYCOBACTERIUM TUBERCULOUS WHICH PROPAGATED THROUGH DROPLET NUCLEUS ON THE AIRWAY TUBERCULOUS MENINGITIS DIAGNOSIS BASED ON CLINICAL EXAMINATION CSF ANALYSIS LED MRICT SCAN VIEW AND HISTORY OF CONTACT TUBERCULOUS PERSON ANTI DRUG TUBERCULOSA TREATMENT CHEMOTHERAPY REGIMEN ARE THE BEST TREATMENT OF TBM PATIENTS
KOMPLIKASI NEUROLOGI PADA INFEKSI HIV Kiking Ritarwan*
NEURONA Vol 28 No. 2 Januari 2011
Publisher : Neurona Majalah Kedokteran Neuro Sains

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Abstract

INTRODUCTION HIV VIRUSES ARE INCLUDED OF RNA GROUP OF RETROVIRUS FAMILY AND LENTIVIRIDAE SUBFAMILY HIV INFECTION IS PANDEMIC IN THE WORLD THAT AFFECT ALL GROUP OF POPULATION ESPECIALLY SPREAD RAPIDLY IN THE DEVELOPING COUNTRIES THE INVOLVEMENT OF NEURAL SYSTEM IN HIV INFECTIONS CAN BE DIRECT OR DUE TO OPPORTUNISTIC INFECTION BECAUSE IMMUNOCOMPROMISED STATUS THE RECENTLY ARE TENDENCY OF INCREASING NUMBER OF HIV PATIENTS WITH OPPORTUNISTIC THE HAART TREATMENTS DECLINE VIRAL LOAD IN BLOOD AND THEREFORE DECREASE MORTALITY RATE AND INCREASE LIFE EXPECTANCY RATE
Nilai Prognostik Parameter Fibrinogen dan Uji Reliabilitas terhadap Outcome Stroke Iskemik Akut Kiking Ritarwan; Yenita Yenita
Buletin Farmatera Vol 2, No 2 (2017)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.726 KB) | DOI: 10.30596/bf.v2i2.1064

Abstract

Nilai Prognostik Parameter Fibrinogen dan Uji Reliabilitas terhadap Outcome Stroke Iskemik AkutAbstrak: Fibrinogen merupakan protein fase akut dimana kadarnya akan meningkat sebagai respon terhadap terjadinya infeksi, peradangan, stress, tindakan bedah, trauma dan nekrosis jaringan, akibat peningkatan kadar fibrinogen ini akan menyebabkan peningkatan viskositas plasma dan peningkatan aggregasi trombosit serta aggregasi eritrosit. Fibrinogen pada stroke iskemik akut dijumpai kadarnya akan meningkat terutama pada pria, usia muda dan genetik. Tujuan penelitian ini adalahuntuk melihat nilai rata-rata kadar fibrinogen plasma dan kesepakatan penilaian outcome pada dua pengamat.Metode Penelitian ini adalah studi rancangan  kohort yangdilakukan sejak April 2013 hingga Agustus 2013 di Rumah Sakit Umum Adam Malik Medan. Dilakukan pemeriksaan darah rutin di instalasi gawat darurat (IGD) dan pengukuran kadar fibrinogen dengan mengunakan metode Clauss.Outcome stroke diukur dengan menggunakan  Modified Ranking Scale (mRS).Analisa statistik dilakukan secara bivariat dengan menggunakan uji Wilcoxon. Dari136 pasien stroke iskemik akut yang diteliti, diperoleh seimbang kelompok usia muda dan usia tua sebanyak 50%.  Perempuan lebih banyak dari laki-laki sebanyak 55.1%. Nilai rerata umur subyek penderita stroke iskemik akut pada penelitian sekitar 56.85 ( SE 1.123); dengan umur terendah 24 tahun dan tertinggi umur 84 tahun.Nilai reliabilitas kappa yang dilakukan pada dua pengamat adalah  0,566 yang artinya dijumpai moderate agreement pada kedua pengamat.Terdapat perbedaan yang bermakna antara hari pertama kadar fibrinogen plasma sebelum pemakaian aspirin dan hari ke sembilan puluh setelah pemakaian aspirin ( p< 0,005).Kata kunci: fibrinogen, fase akut stroke iskemik, outcomestroke Prognostic Value of Fibrinogen and Reliability Test of Acute Ischemic Stroke Outcome Abstract: Fibrinogenis an acute phase protein which levels will rise in response to infection, inflammation, stress, surgery, trauma and tissue necrosis, due to an increase in the fibrinogen level will cause an increase in plasma viscosity and increased platelet aggregation and erythrocytea ggregation. Fibrinogen in acute iscemic stroke found levels will rise, especially in men, young age and genetic. The objective of this research was to see the average value of plasma fibrinogen levels and outcome assessment agreement on two observers. Cohort design study was conducted from April 2013 to August 2013 at the Adam Malik General Hospital. Routine blood examination in  emergency department (ED)instalation and measured levels of fibrinogen using the Clauss method. Outcome of stroke was measured using the modified Ranking Scale (MRS). Bivariate statistical analyzes were performed using the Wilcoxon test. There are 136 acute ischemic stroke patients studied obtained a balanced group of young and old age as much as 50%. More women than men as much as 55.1%. Mean age value of the subject of acute ischemic stroke patients in the study approximately 56.85 (SE 1,123), with the lowest age of 24 years and age 84 years. Highest value of reliability kappa conducted on two observers was 0.566, which means moderate agreement found in both observers. There was difference significantly between the first day of plasma fibrinogen levels before the used of aspirin and ninety days after the used of aspirin (p <0.005).Keyword:  fibrinogen, acute phase of iscemic stroke, outcome stroke
Penerapan Teknologi Virtual Reality terhadap Perilaku Nyeri Pasien Pasca Bedah ORIF Fraktur Ekstremitas Bawah Saat Penggantian Balutan Luka Robin Ferdiansyah Sitopu; Jenny Marlindawani Purba; Kiking Ritarwan
Journal of Telenursing (JOTING) Vol 4 No 1 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i1.2628

Abstract

This study aims to identify the effect of applying virtual reality technology on pain behavior in postoperative ORIF patients with lower extremity fractures during dressing changes. The type of research used is a quasi-experimental nonequivalent control group pretest-posttest design. The sample in this study amounted to 50 patients after ORIF surgery for lower extremity fractures who underwent a wound dressing replacement procedure with a consecutive sampling technique. The research instrument consisted of a demographic data questionnaire, virtual reality devices and media and the Behavioral Pain Scale-Non Intubated (BPS-NI). The results showed that as many as 22 respondents (88%) who received virtual reality intervention when changing wound dressings did not show any pain, while the other 3 respondents experienced mild pain (12%). The results of the statistical test analysis Wilcoxon-Signed Ranked and Mann Whitney obtained a p-value <0.05. In conclusion, there is an effect of applying virtual reality technology in reducing pain as indicated by changes in pain behavior of patients after ORIF surgery for lower extremity fractures when changing wound dressings. Keywords: Change of Wound Bandage, Pain Behavior, Virtual Reality
Efektivitas Masase Abdomen terhadap Pencegahan Konstipasi pada Pasien Stroke Nonika Roma Suryani Sianturi; Dudut Tanjung; Kiking Ritarwan
Journal of Telenursing (JOTING) Vol 4 No 1 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i1.2679

Abstract

This study aims to identify the effectiveness of abdominal massage in preventing constipation in stroke patients. The method used is a quasi-experimental two-group pretest-posttest. The sampling technique was conducted by consecutive sampling using the Constipation Assessment Scale (CAS) instrument. The results showed an effect of abdominal massage on the prevention of constipation in stroke patients (p = 0.001) and after the procedure (p = 0.001). In conclusion, abdominal massage is effective in preventing constipation. Keywords: Abdomen, Constipation, Massage, Stroke
Efektivitas Foot Bath terhadap Penurunan Gejala Neuropati Perifer pada Pasien yang Menjalani Kemoterapi Dora Hastura; Siti Saidah Nasution; Kiking Ritarwan
Journal of Telenursing (JOTING) Vol 4 No 2 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i2.3763

Abstract

This study aims to identify the effect of foot bath intervention on reducing symptoms of peripheral neuropathy in patients undergoing chemotherapy. The method used is a quasi-experimental pre-test and post-test with a control group design. Data was collected using a Chemotherapy Induced Peripheral Neuropathy Assessment Tool (CIPNAT) questionnaire with a total sample of 66 patients consisting of 33 patients in the intervention group and 33 patients in the control group selected by consecutive sampling technique. The data obtained were analyzed using paired t-tests and t-tests for independent groups. The results showed a difference between the mean value of peripheral neuropathy symptoms in the intervention group and the control group after treatment with a p-value of 0.0001 (p<0.05). In conclusion, a foot bath effectively reduces peripheral neuropathy symptoms in breast cancer patients undergoing chemotherapy. Keywords: Foot Bath, Chemotherapy, Chemotherapy Induced Peripheral Neuropathy
Intervensi Massage Aromaterapi (Lavender) terhadap Penurunan Intensitas Nyeri Penderita Neuropathy Diabetic Rizzi Triputri Maya Meutia; Jenny Marlindawani; Kiking Ritarwan
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.4232

Abstract

This study aims to analyze lavender aromatherapy massage intervention to reduce pain intensity in DN patients. The method used is quantitative research with a Quasy Experimental Non-Equivalent Control Group Pretest-Postest Design. The results of this study indicate a difference between the mean value of pain intensity in the intervention group and the control group after being given treatment with the obtained value (t = -5.155, p-value = 0.000). This study concludes that lavender aromatherapy massage has a significant effect on reducing pain intensity in patients with diabetic neuropathy.
Latihan Menelan terhadap Kemampuan Menelan Pasien Stroke yang Mengalami Disfagia Meszadena Tumanggor; Nunung F. Sitepu; Kiking Ritarwan
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5323

Abstract

This study aims to identify and compare the effect of interventional swallowing exercises on swallowing ability in stroke patients who experience dysphagia. The method used is a quantitative method with a one-group pre-test-post-test approach. Respondents in this study were stroke patients who underwent moderate category of dysphagia, totaling 35 respondents. Initial data collection was started using the Nursing Bedside Swallowing Screening dysphagia assessment sheet. Then, the researcher used the Mann Assessment of Swallowing Ability (MASA) to assess the patient's swallowing ability. The results showed a significant difference (p<0.05) in the swallowing capacity of the respondents before and after the swallowing training intervention. The conclusion of this study, swallowing exercises are effective in improving the swallowing ability of stroke patients who experience dysphagia. Keywords: Dysphagia, Swallowing Ability, Stroke
Co-Authors Ameilia Zuliyanti Siregar Anggreiny Ardiana Ardiana, Ardiana Arrasyid, Nurfida Khairina Asrizal Asrizal, Asrizal Asrizal Asysyarif, Abdurrahman Aznawi, Andi Aznan Daulay, Elvita Rahmi Delvian Delvian Diana Sofia Hanafiah Dora Hastura Dudut Tanjung Elfiati, Deni Elfiati Elisabeth Elisabeth etti sartina siregar F. A. Simarmata, Junius Fachrezi, Muhammad Alfian Faradila, Devita Fitri, Fasihah Irfani Fujiati, Isti Ilmiati Harahap, Juliandi Iqbal, Kiki Mohammad Ira Maulani Lubis Jenny Marlindawani Jenny Marlindawani Purba Juliani Jumilawaty, Erni Jumilawaty Karota, Evi Kartika Sari Kusumawati, R. Lia M. Harwansyah Putra Sinaga Malau, Tamara Betanya Mendrofa, Deskrisman Stefan Meszadena Tumanggor Mohammad Basyuni Mubaraq, Alfian Mubaraq Muzasti, Riri Andri Nababan, Windika Nasution, Siti Saidah Nauly, Meutia Nauly Nonika Roma Suryani Sianturi Nunung F. Sitepu Nunung Febriany Sitepu Nur Asnah Sitohang, Nur Asnah Panjaitan, Alfred Johnatan Purba, Jenny Marlindawani Puspitasari, Carina Shelia Putri Chairani Eyanoer, Putri Chairani R.A. Dwi Pujiastuti Rangkuti, Ahmad Baiquni Ribawanto, Muhammad Rafif Risnasari, Iwan Risnasari Risqin, Muhammad Anas Fatah Rizaldi Nanda Wiguna Rizzi Triputri Maya Meutia Robin Ferdiansyah Sitopu Salsabila, Anisa Sari, Masitha Dewi Sekali, Oktaviani Karo Sinaga, M. Harwansyah Putra Sinaga, Sofi Oktaviera Sirait, Asima Rodiarta Siti Zahara Nasution, Siti Zahara Sivaipram, Itchika Sivaipram Slamet, Bejo Slamet Surbakti, Utama Hadiputra Susilowati, Arida Susilowati Sylvia Marlina Turnip Tanjung, Riswani Wahyuni, Arlinda Sari Warli, Syah Mirsya Wiguna, Rizaldi Nanda Yenita, Yenita