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Korelasi Skor Modified Sequensial Organ Failure Assesment dengan Kadar Superoksida Dismutase dan Vitamin D Serum pada Pasien Sepsis Zainumi, Cut Meliza; Prasetya, Raka Jati
Jurnal Anestesi Perioperatif Vol 6, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Sepsis adalah disfungsi organ yang mengancam jiwa yang disebabkan oleh disregulasi antara respons tubuh dan infeksi. Penilaian tingkat keparahan sepsis berdasar atas derajat disfungsi organ dapat digunakan skor modified sequential organ failure assesment (MSOFA). Beberapa penelitian terdahulu menemukan hubungan rendahnya kadar vitamin D dan peningkatan kadar superoxide dismutase (SOD) pada sepsis. Tujuan penelitian ini mengetahui korelasi skor MSOFA dengan kadar SOD dan vitamin D serum pada sepsis. Penelitian ini adalah penelitian potong lintang pada 61 pasien sepsis yang dirawat di ruang terapi intensif pada bulan Juli sampai Oktober 2017. Penilaian Skor MSOFA dan pengambilan sampel darah dilakukan saat pasien masuk ruang intensif dengan metode enzim linked immunosorbent assay (ELISA). Analisis statistik menggunakan korelasi Spearman dengan p<0,05, hasil yang diperoleh terdapat korelasi skor MSOFA dengan kadar vitamin D serum (p 0,169 dan nilai r 0,179). Korelasi skor MSOFA dengan kadar SOD tidak bermakna dan kekuatan korelasinya juga sangat lemah (p=0,793; r=0,034). Simpulan penelitian ini adalah pada pasien sepsis skor MSOFA tidak mempunyai korelasi dengan kadar SOD dan vitamin D serum sehingga kadar vitamin D dan SOD tidak dapat digunakan sebagai prediksi morbiditas dan mortalitas sepsis.Kata kunci: Sepsis, skor MSOFA, superoksida dismutase, vitamin D

IbM PEMBERDAYAAN GURU DAN SANTRI PONDOK PESANTREN DALAM PENANGANAN AWAL PENDERITA LUKA Zaimah Z. Tala; Mutiara Indah Sari; Cut Meliza Zainumi
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 2 No. 2 (2017): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Luka adalah suatu kondisi yang menyebabkan kerusakan atau hilangnya sebahagian jaringan tubuh disebabkan berbagai kemungkinan. Pada keadaan luka dapat terjadi perdarahan hebat, kesakitan yang luar biasa sehingga menyebabkan shok, kehilangan volume cairan tubuh bahkan terjadinya henti jantung. Penatalaksanaan awal segera penderita luka sangat diperlukan orang-orang terdekat penderita untuk mencegah kesakitan yang lebih parah bahkan kematian. Khalayak pondok pesantren yang mempunyai syarat mukim selama aktifitas kesehariannya di pondok sangat mungkin mengalami hal-hal yang menyebabkan luka.. Tujuan pengabdian masyarakat ini adalah meningkatan pengetahuan dan ketrampilan khalayak pondok khususnya para guru dan santri pesantren Kwala Madu Binjai dan Ibadurrahman Stabat dalam penanganan awal penderita luka. Kegiatan pengabdian masyarakat dilakukan pada bulan Juni-Oktober 2017 dengan metode 1) Peninjauan lokasi daerah mitra, 2) Analisa masalah dengan wawancara beberapa guru dan santri mengenai pemahaman penatalaksanaan awal terhadap luka, 3) Penyusunan materi penyuluhan serta teknik pelatihan berdasarkan analisa wawancara, 4) Pelaksanaan penyuluhan dan pelatihan, 5) Evaluasi hasil kegiatan penyuluhan dan pelatihan, 6) Penyerahan bahan dan alat kesehatan yang dibutuhkan dalam penatalaksanaan awal terhadap luka ke pengelola Pesantren. Hasil pengabdian kepada masyarakat ini adalah peningkatan pengetahuan dan ketrampilan guru dan santri dalam penatalakasanaan awal terhadap luka Juga tersedianya bahan dan alat kesehatan yang dibutuhkan dalam penatalaksanaan awal terhadap luka untuk dipergunakan di pesantren

Korelasi Skor Modified Sequensial Organ Failure Assesment dengan Kadar Superoksida Dismutase dan Vitamin D Serum pada Pasien Sepsis Cut Meliza Zainumi; Raka Jati Prasetya
Jurnal Anestesi Perioperatif Vol 6, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Sepsis adalah disfungsi organ yang mengancam jiwa yang disebabkan oleh disregulasi antara respons tubuh dan infeksi. Penilaian tingkat keparahan sepsis berdasar atas derajat disfungsi organ dapat digunakan skor modified sequential organ failure assesment (MSOFA). Beberapa penelitian terdahulu menemukan hubungan rendahnya kadar vitamin D dan peningkatan kadar superoxide dismutase (SOD) pada sepsis. Tujuan penelitian ini mengetahui korelasi skor MSOFA dengan kadar SOD dan vitamin D serum pada sepsis. Penelitian ini adalah penelitian potong lintang pada 61 pasien sepsis yang dirawat di ruang terapi intensif pada bulan Juli sampai Oktober 2017. Penilaian Skor MSOFA dan pengambilan sampel darah dilakukan saat pasien masuk ruang intensif dengan metode enzim linked immunosorbent assay (ELISA). Analisis statistik menggunakan korelasi Spearman dengan p<0,05, hasil yang diperoleh terdapat korelasi skor MSOFA dengan kadar vitamin D serum (p 0,169 dan nilai r 0,179). Korelasi skor MSOFA dengan kadar SOD tidak bermakna dan kekuatan korelasinya juga sangat lemah (p=0,793; r=0,034). Simpulan penelitian ini adalah pada pasien sepsis skor MSOFA tidak mempunyai korelasi dengan kadar SOD dan vitamin D serum sehingga kadar vitamin D dan SOD tidak dapat digunakan sebagai prediksi morbiditas dan mortalitas sepsis.Kata kunci: Sepsis, skor MSOFA, superoksida dismutase, vitamin D

Hubungan Kecemasan pada Visit Pre-Anestesi dengan Tekanan Darah sebelum Tindakan Anestesi di Rumah Sakit Universitas Sumatera Utara Christine Christine; Cut Meliza Zainumi; Tasrif Hamdi; Husnul Fuad Albar
Jurnal Kesehatan Andalas Vol 10, No 3 (2021): Online November 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i3.1860

Preoperative anxiety is frequently correlated with anesthesia procedures, resulting in the anesthesiologist being the most suitable person to decrease the patient's anxiety through effective doctor–patient communication during pre–anesthesia visits. During anxiety, one of the body responses is the release of epinephrine to the blood vessel resulting in increased blood pressure. Objectives: To knew the correlation between pre-anesthesia visit anxiety and blood pressure before anesthesia procedure. Methods: This study used a cross-sectional design that was conducted at Universitas Sumatera Utara General Hospital from September until October 2019. The sample was collected by consecutive sampling techniques, which meet inclusion and exclusion criteria. This study used primary data then was analyzed using Fisher’s Exact Test. Results: From 67 patients going through elective surgery, there are 41 patients (61,2%) with mild anxiety, 17 patients (25,4%) with moderate anxiety, and nine people (13,4%) with severe anxiety. There is no significant correlation (p>0,05) between anxiety with sex, types of anesthesia, PS ASA and heart rate. There is a significant correlation (p<0,05) between anxiety with blood pressure and types of surgery. Conclusion: There is a correlation between anxiety during the pre-anesthesia visit with blood pressure before anesthesia procedures.Keywords: anesthesia, anxiety, blood pressure, pre-anesthesia visit

Knowledge level of students about basic life support during the COVID-19 pandemic Ikhsan, Ahmad Avicenna Ash-Shiddiq; Zainumi, Cut Meliza
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5015

Basic Life Support (BLS) is a vital competency that should be possessed by everyone, especially medical students. However, the COVID-19 pandemic has made the practice of BLS more complex due to close contact, which puts helpers at risk of contracting the virus. This study aims to assess the level of knowledge of students regarding BLS during the pandemic. This research is a quantitative, descriptive study with a survey design that utilizes an online questionnaire with a sample of students from the Faculty of Medicine, Universitas Sumatera Utara, class of 2019. The results of this study show that the level of knowledge of students about BLS during the pandemic is sufficient. Among the female respondents, 22 had good knowledge (14.7%), 53 had sufficient knowledge (35.3%), and 15 had less knowledge (10%). Among the male respondents, 4 had good knowledge (2.7%), 35 had sufficient knowledge (23.3%), and 21 had less knowledge (14%). Of the respondents who had a history of participating in BLS training, 12 had good knowledge (8%), 36 had sufficient knowledge (24%), and 5 had poor knowledge (3.3%). For those without a history of BLS training, 14 had good knowledge (9.3%), 52 had sufficient knowledge (34.7%), and 31 had poor knowledge (20.7%). Even though the pandemic makes BLS practice more complex, the results show that students have sufficient knowledge about BLS during the pandemic. This knowledge was better among students who had previously participated in BLS training.

Comparison of The Effects of General and Spinal on Apgar Scores of Babies Born Through Caesarean Section in RSUP Haji Adam Malik Medan from 2018 to 2019 Rambe, Aldo Putra; Nasution, Akhyar Hamonangan; Cut Meliza Zainumi; Nova Zairina Lubis
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 3 No. 4 (2021): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Background. General anesthesia and spinal anesthesia in cesarean section both have advantages and disadvantages. The scoring system of APGAR is a standardized tool that can inform the condition of newborn infants, which might be influenced by gestational age, medication, resuscitation, cardiorespiratory and neurological conditions of the mother. This study aimed to compare the effect of general and spinal anesthesia usage to the APGAR score of newborn infants at Haji Adam Malik General Hospital Medan. Methode. This study uses an observational-analytic design with a cross-sectional approach, conducted using secondary data through the medical records of mothers who gave birth through cesarean section and obtained at the Medical Record Installation at the Haji Adam Malik Hospital Medan from 2018 to 2019. Result. In spinal anesthesia, there are 52 samples for a score of 8-10. Whereas in general anesthesia, there are 52 samples to score 8-10. The APGAR score of 1 minute in infants born through cesarean section under spinal anesthesia had an average of 8.63, with general anesthesia of 8.00 (p=0.001). The 5-minute APGAR score in infants born through cesarean section under spinal anesthesia had an average of 9.85, and with general anesthesia of 8.67 (p=1.000). Conclusion: The 1-minute APGAR score for infants using spinal anesthesia showed a statistically better effect than the 1-minute APGAR score for infants using general anesthesia.

Hubungan Kecemasan pada Visit Pre-Anestesi dengan Tekanan Darah sebelum Tindakan Anestesi di Rumah Sakit Universitas Sumatera Utara Christine, Christine; Zainumi, Cut Meliza; Hamdi, Tasrif; Albar, Husnul Fuad
Andalas Journal of Health Vol. 10 No. 3 (2021): Online November 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i3.1860

Preoperative anxiety is frequently correlated with anesthesia procedures, resulting in the anesthesiologist being the most suitable person to decrease the patient's anxiety through effective doctorâ€“patient communication during preâ€“anesthesia visits. During anxiety, one of the body responses is the release of epinephrine to the blood vessel resulting in increased blood pressure. Objectives: To knew the correlation between pre-anesthesia visit anxiety and blood pressure before anesthesia procedure. Methods: This study used a cross-sectional design that was conducted at Universitas Sumatera Utara General Hospital from September until October 2019. The sample was collected by consecutive sampling techniques, which meet inclusion and exclusion criteria. This study used primary data then was analyzed using Fisherâ€™s Exact Test. Results: From 67 patients going through elective surgery, there are 41 patients (61,2%) with mild anxiety, 17 patients (25,4%) with moderate anxiety, and nine people (13,4%) with severe anxiety. There is no significant correlation (p>0,05) between anxiety with sex, types of anesthesia, PS ASA and heart rate. There is a significant correlation (p<0,05) between anxiety with blood pressure and types of surgery. Conclusion: There is a correlation between anxiety during the pre-anesthesia visit with blood pressure before anesthesia procedures.Keywords: Â anesthesia, anxiety, blood pressure, pre-anesthesia visit

The Effect of Midazolam Sedation on Agitation Incidence in Post-Operative Patients Who Are Intubated in the ICU of Adam Malik General Hospital Medan Adnani, Muhammad Ivanny; Irina, Rr Sinta; Zainumi, Cut Meliza
JAI (Jurnal Anestesiologi Indonesia) Publication In-Press
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.68368

Background: Agitation in critically ill patients is a phenomenon that can endanger patient safety and assistance during treatment in the intensive care unit (ICU). It is characterized by increased motor and mental activity that manifests as inappropriate behavior, disorganized thoughts, and loss of self-control over actions.Objective: Evaluating the effect of midazolam sedation on the incidence of agitation in post-operative intubated patients in the ICU at Adam Malik General Hospital, Medan.Methods: This is a retrospective analytical study with a cross-sectional design using a scoring approach to determine the relationship between midazolam use and agitation in postoperative patients intubated in the ICU after surgery at Adam Malik General Hospital, Medan. The subject selection technique used was non-probability sampling with a consecutive sampling method, where 115 subjects were needed. Bivariate analysis for numeric variables used the Independent T-test if the data were normally distributed, or the Mann-Whitney U test if the data were not normally distributed. The results of the analysis were said to be significant if p <0.05, with a confidence level of 95%.Result: The results of the study the dose of midazolam given to postoperative patients intubated in the ICU of Adam Malik General Hospital, Medan had a minimum dose of 0.017 mg/kg/hour, a maximum of 0.031 mg/kg/hour and an average of 0.023 mg/kg/hour which was related to the incidence of patient agitation during the ICU obtained a significant relationship p <0.05.Conclusion: The effect of midazolam sedation on the incidence of agitation in postoperative patients who were intubated in the ICU of Adam Malik General Hospital, Medan, patients who experienced agitation had a statistically significant difference in the dose of midazolam. And there were side effects of agitation in the form of release of invasive instruments/devices, such as endotracheal tubes, in patients who did not receive sufficient sedation.

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