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Diagnostic Value Of Qtc Dispersion And And Qt Dispersion Ratio Changes On Stress Test In Detecting Significance Of Coroner Lesion In Stable Angina Pectoris Patients putri yeantesa; Hauda El Rasyid; Masrul Syafri; Ricvan Dana Nindrea
Jurnal Kardiologi Indonesia Vol 40 No 2 (2019): Indonesian Journal of Cardiology: April-June 2019
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v40i2.921

Abstract

Background : Treadmill exercise test remains an important method and often used in the initial evaluation of patients with chest pain and can be a filter for more expensive invasive diagnostic. Increased QT dispersion (QTD) occurs because of the heterogeneity of ventricular repolarization because transient ischaemia during a treadmill stress test can be a marker of coronary artery disease (CAD) and can improve the accuracy of exercise tests to diagnose CAD, but this parameter is still controversial. Method : This is an analytic observational approach with a cross sectional study. Data was taken retrospectively at the Heart Center Installation at RSUP Dr. M. Djamil Padang, from March to April 2019, stable angina pectoris patient with a positive treadmill stress test who underwent coronary angiography as the subject. Bivariate analysis was performed on changes in QTcD (∆QTcD) and QTdR (∆QTdR) variables on the significance of coronary lesions by the chi-square method, after which a diagnostic test was based on receiver operating curve (ROC) analysis. Study Result : There were 122 subjects and found that older age, male and smoking were more common in groups with significant coronary lesions. Cut off point for ∆QTcD is ≥13 ms with a sensitivity of 87,1% and specificity 85,2% and AUC 95,1%, while ∆QTdR ≥5.5% with sensitivity 85,7% and specificity 81,9% and AUC 90,5% are related to significancy of coronary lesion. Obtained subjects with significant lesions generally had a value of ∆QTcD ≥ 13 ms (p <0.001) and ∆QTdR ≥ 5.5% (p <0.001). Conclusion : The use of ∆QTdR dan ∆QTdR parameters as ECG variables, which are easily obtained in evaluating stress tests, can improve the diagnostic accuracy of exercise tests. In addition, evaluation of ∆QTdR dan ∆QTdR can provide information about the incidence of CAD. Keywords : ∆QTcD, ∆QTdR, Treadmill Exercise Test, Coronary Lession Significancy
Recurrence Prediction Score of the Localy Advance Breast Cancer in West Sumatera Province, Indonesia Shinta Qorina; Wirsma Arif Harahap; Ricvan Dana Nindrea
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 9 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i9.406

Abstract

Introduction: Breast cancer is the most common malignancy that occurs in women in the world, which is about 18% of cancer cases that occur in women. Every year there are 1 million new cases of breast cancer worldwide and nearly 60,000 patients die from this disease. Therefore, the authors want to find out more about the prognosis factors that play a role in influencing the survival of patients with locally advanced breast cancer in Padang city, West Sumatera Province Indonesia. Methods: This study is a retrospective case-control study of locally advanced breast cancer for patients in Padang city. The study was conducted at the Surgical Oncology Division of Dr. M Djamil Padang Hospital, Ropana Suri Hospital, Ibnu Sina Hospital and Siti Rahmah Padang Hospital from September 2018 to December 2018. The total number of samples for the two groups was 242 people. The sampling technique used was convenience sampling. Results: In this study 4 prognostic factors were found that had a significant effect on predicting breast cancer recurrence, namely histopathological type, stage, regional lymph and lymphovascular invasion with p <0.05. Conclusion: Prognosis factors that influence breast cancer recurrence are histopathological type, stage, regional lymph node status and lymphovascular invasion. A scoring system is obtained that is good enough to predict the possibility of breast cancer recurrence.
Comparison of vitamin D intake and ultraviolet light exposure in pre and postmenopausal women in the elderly pandemic period Syahrial Syahrial; Resmiati Resmiati; Ricvan Dana Nindrea; Faiz Nur Hanum
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 10 ISSUE 1, 2022
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2022.10(1).22-29

Abstract

Background: Osteoporosis is one of the degenerative diseases in the elderly which is still a priority health problem in Indonesia. There are several precautions that can be taken to prevent the occurrence of osteoporosis, one of that is vitamin D. Vitamin D can be obtained through exposure to Ultraviolet (UV) rays from the sun and from nutritional sources of food. Vitamin D can slow down the process of osteoporosis, because vitamin D is able to maintain bone health by increasing the absorption of the mineral calcium. Objectives: The purpose of this study is to see the comparison of vitamin D intake and UV exposure in pre and postmenopausal women during the pandemic.Methods: This research was an analytic study conducted with a cross sectional research design, which compares predictor variables and outcome variables that are viewed simultaneously. The study was conducted on women aged 35-65 years at the Elderly Posyandu, Padang City. Then the results of the data obtained will be analyzed using the Anova test.Results: The results showed that the percentage of menopausal respondents exposed to UV light was higher (87.5%) compared to those who were not exposed to UV light (12.5%). Then the percentage of menopausal respondents based on the consumption of Vit D < RDA was higher (52.5%) than the consumption of Vit D > RDA (47.5%).Conclusions: There was no significant difference (p<0.05) between the incidence of menopause and levels of vitamin D intake (p=0.381) and UV light exposure (p=0.462) in the elderly at the Posyandu Lansia, Padang City
Analisis Ketahanan Hidup Ibu Hamil Dengan COVID 19 Berdasarkan Kadar D-Dimer terhadap Luaran di RSUP Dr. M. Djamil, Padang Fauzan Fauzan; Roza Sriyanti; Dovy Djanas; Ricvan Dana Nindrea
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.69 KB) | DOI: 10.36418/syntax-literate.v7i6.8219

Abstract

Pada pasien tidak hamil, koagulopati telah dikaitkan dengan prognosis COVID-19 yang lebih buruk. Sementara kehamilan normal diketahui dapat menyebabkan peningkatan kadar indikator koagulopati seperti D-Dimer. Oleh karena itu, telah dikemukakan bahwa hiperkoagulopati dalam kehamilan dapat berkontribusi pada peningkatan morbiditas kasus COVID-19 dan perburukan yang lebih cepat pada pasien hamil. Mengetahui angka ketahanan hidup wanita hamil dengan COVID-19 di RSUP Dr. M. Djamil, Padang berdasarkan kadar D-dimer. Penelitian ini adalah penelitian analitik observasional dengan desain penelitian kohort retrospektif yang dilakukan di RSUP Dr. M. Djamil Padang selama periode waktu Maret 2020 sampai dengan Maret 2021. Kriteria inklusi sampel adalah seluruh pasien hamil yang terinfeksi COVID-19 yang telah dibuktikan dengan pemeriksaan Reverse Transcriptase–Polymerase Chain Reaction (RT-PCR). Sebanyak 113 orang pasien telah diperiksa kadar D-Dimer dan dilakukan analisis. 3 orang pasien (2,7%) diantaranya meninggal, dan sisanya, 110 orang pasien (97,3%) sembuh. Rata-rata kadar D-Dimer secara keseluruhan yang didapatkan pada pasien hamil yang terinfeksi COVID-19 adalah 2186,77 ± 1681,17 ng/ml. Rata-rata kadar D-Dimer pasien yang meninggal adalah 5830,67 ± 4144,23 ng/ml. Kadar tersebut lebih tinggi sekitar 2 kali lipat dibanding dengan rata-rata kadar D-Dimer pasien yang sembuh, 2087,39 ± 1487,81 ng/ml. Hasil ini menunjukkan bahwa terdapat perbedaan signifikan rata-rata kadar D-Dimer antara kedua kelompok (p < 0,05). Dari penelitian ini didapatkan rata-rata angka ketahanan hidup adalah 10,27 ± 0,57 hari. Tidak terdapat hubungan antara kadar D-Dimer dengan ketahanan hidup (p > 0,05). Rata-rata kadar D-Dimer wanita hamil yang terinfeksi COVID-19 di RSUP Dr. M. Djamil Padang selama periode waktu Maret 2020 sampai dengan Maret 2021 adalah 2186,77 ± 1681,17 ng/ml. Terdapat perbedaan yang signifikan antara kadar D-Dimer wanita hamil terinfeksi COVID-19 yang sembuh jika dibandingkan dengan kadar D-Dimer wanita hamil terinfeksi COVID-19 yang meninggal, tapi tidak terdapat hubungan antara kadar D-Dimer dengan ketahanan hidup.
The Effect of Health Education on the Behavior of Elderly with Hypertension Asni Hasanuddin; Muh Khidri Alwi; Ricvan Dana Nindrea; Astuti Astuti; Nilam Fitriani Dai; Andi Maryam; Ardiansah Hasin; La Ode Asrianto
Jurnal Penelitian Pendidikan IPA Vol. 9 No. 9 (2023): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i9.4506

Abstract

Education is one way that can be used to increase one's knowledge. Education can be given in various fields, including health. The purpose of this study was to determine the effect of Health Education on increasing the knowledge, attitudes and behavior of elderly people with hypertension in the Pangkajene Health Center area in 2023. This type of research used a quantitative method with a pre-experimental design study with pre-test and post-test design treatment, while the population was patients 90 people who suffer from hypertension at the Pangkajene Health Center use total sampling. The results of this study used the Wilcoxon test analysis. Knowledge was -8.132 and a significant value was 0.000 (p<0.05), Attitude was -8165 and a significant value was 0.000 (p<0.05), and Behavior was -8267 and a significant value was 0.000 ( p<0.05), there was a significant difference in the results of the Health Education pretest and posttest on the attitudes of the elderly with hypertension in the Pangkajene Health Center area. The results of this study indicate that there is an effect of Health Education on the attitude of the elderly who experience hypertension in the Pangkajene Health Center area. The conclusion of the study showed that there was an effect of Health Education on the knowledge, attitudes and behavior of elderly people with hypertension in the Pangkajene Health Center area. it is expected that the puskesmas will carry out home care because elderly people with hypertension cannot carry out health checks because there is no family to take them to health services because they are busy with their daily activities.
Fokus Grup Diskusi Metode Efektif Pencegahan Gizi Buruk Pada Bayi dan Balita di Kota Makassar Hasanuddin, Asni; Alwi, Muh Khidri; Ricvan Dana Nindrea; La Ode Asrianto
Jurnal Pengabdian Masyarakat (JUDIMAS) Vol. 2 No. 1 (2024)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/judimas.v2i1.237

Abstract

Gizi buruk merupakan salah satu penyebab tidak langsung kematian pada balita, karena kurangnya asupan makanan yang dikonsumsi dan atau adanya penyakit penyerta. Data Riset Kesehatan Dasar tahun 2018 menunjukkan bahwa terdapat 10,2% balita gizi kurang (wasting) dan 3,5% diantaranya gizi buruk (severe wasting). Kondisi ini menunjukkan masalah gizi buruk dan gizi kurang di Indonesia menurut kriteria WHO masih menjadi masalah kesehatan masyarakat dengan kategori tinggi. (Hasanuddin et al., n.d.)Pengabdian ini penting dilakukan sebab balita gizi buruk sangat rentan terkena penyakit infeksi dan seringkali gizi buruk disebabkan oleh penyakit infeksi, sehingga harus dilakukan penanganan secara cepat, tepat, dan terintegrasi antara rawat inap dan rawat jalan, dengan mengoptimalkan pemberdayaan masyarakat. Metode pengabdian yang dilakukan adalah fokus grup diskusi dengan mengundang 3 narasumber dari akademisi serta kader posyandu dan tokoh masyarakat untuk merumuskan solusi yang efektif agar angka gizi buruk menjadi zero di wilayah Kota Makassar. Adapun hasil diskusi adalah mencegah gizi buruk dengan meningkatkan sumber pendapatan keluarga dengan membentuk UMKM berupa home industri, memberikan makanan tambahan pada bayi dan balita, memberikan Pendidikan pra nikah bagi pasangan agar membentuk kebiasaan yang baik pada saat hamil dan memenuhi asupan gizi seimbang. Kesimpulan dari FGD agar pemerintah tanggap terhadap keluhan kader posyandu yang menharapkan agar PMT Kembali diadakan.
The Relationship Between Clean Water Sources, Waste Management, and Availability of Healthy Latrines with the Incidence of Pulmonary TB in Marginal Community Hasanuddin, Asni; Alwi, Muh Khidri; Dita Ellyana Artha; Aisyah; Ricvan Dana Nindrea; Ardiansah Hasin
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.659

Abstract

Pulmonary TB is a disease that can attack anyone because the source of this disease is very broad, especially in the environmental aspect. These environmental aspects include rubbish, clean water sources, and healthy latrines. The incidence of pulmonary TB in the Minasatene Community Health Center working area is still found. This research aims to determine the relationship between waste management, availability of latrines, and clean water sources with the incidence of pulmonary TB in Minasatene District, Pangkajene Islands Regency. This type of research is a quantitative analytical survey with a cross-sectional study design. The sampling technique used in this research was a simple random technique (Simple Random Sampling) with a sample size of 163 respondents. The results of the research are that there is a relationship between waste management and the incidence of diarrhea with a value of p = 0.006, there is a relationship between clean water sources and the incidence of diarrhea with a value of p = 0.000, there is a relationship between the availability of healthy latrines and the incidence of diarrhea with a value of p = 0.000, there is a need to manage community waste through counseling or outreach organized by the government or private sector.
The Evaluation of Needs and Weaknesses of The Immunization Program in Kodingareng and Barranglompo Island, Makassar City, South Sulawesi, Indonesia Hasanuddin, Asni; Jurnal Syarif; Ricvan Dana Nindrea
IJCS: International Journal of Community Service Vol. 1 No. 2 (2022): IJCS: International Journal of Community Service
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (700.489 KB) | DOI: 10.55299/ijcs.v1i2.208

Abstract

Objectives: This study evaluates the needs and weaknesses of the immunization program in the Kodingareng Island and Barranglompo Islands, Makassar City, South Sulawesi, Indonesia. Materials & Methods: This research is qualitative research at the Center Health Service islands Kodingareng and Barranglompo Makassar City. Research informants were the head of the Sub-Health Service, immunization officers, immunization cadres Kodingareng Islands and Barranglompo Makassar City. The data analysis was done by triangulation.Results: The results showed that there was still a lack of immunization executors on the input component, vaccines were not available on the island because they were constrained by electricity intake to maintain the stability of the vaccine storage temperature. Funding support has not been able to support the operation of the immunization program. Apart from that, community empowerment is still not optimal. Infrastructure is constrained by the storage area for vaccines on the island which is not supported by adequate electricity intake. Vaccines cannot be stored in the area closest to the island because there are no storage facilities and also limited electricity intake. This causes officers after visiting the immunization site to immediately carry out vaccination activities.Conclusions: The needs and weaknesses in the immunization program in the Kodingareng and Barranglompo Island areas of Makassar City are the need for immunization implementing officers, the availability of vaccines on the island by strengthening funding support, and the availability of facilities through the provision of generators to support vaccine storage. Apart from that, the community is still lacking in terms of community empowerment.
Google Review Analysis of “Duta We Care” Excellent Service as a Featured Service at a Central General Hospital in Padang Alfitri, Alfitri; Nindrea, Ricvan Dana; Setiawan, Adek; Yuniarti, Elsa
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Improving healthcare service quality required both technical and interpersonal enhancements through a personalized approach, as demonstrated by the “Duta We Care” program at a Central General Hospital in Padang. This study aimed to evaluate the program’s effectiveness by analyzing patient feedback from Google Reviews. A descriptive quantitative design examined 2,035 patient reviews from March 2013 to June 2024. Using NVivo 12 software, the data analysis generated word clouds. The results showed that 68.20% of reviews received a 5-star rating, 9.48% a 4-star rating, 4.35% a 3-star rating, 2.27% a 2-star rating, and 15.70% a 1-star rating. Words like “friendly,” “professional,” “fast,” and “good” frequently appeared, which highlighted patient appreciation for the program’s interpersonal aspects. The “Duta We Care” program successfully raised patient satisfaction, evident from the increased ratings from 3.8 to 4.6. It was determined that staff friendliness and professionalism played a key role in this improvement. However, complaints about waiting times and limited facilities suggested the need for further operational and infrastructural enhancements.
The Relationship Between Clean Water Sources, Waste Management, and Availability of Healthy Latrines with the Incidence of Pulmonary TB in Marginal Community Hasanuddin, Asni; Alwi, Muh Khidri; Dita Ellyana Artha; Aisyah; Ricvan Dana Nindrea; Ardiansah Hasin
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.659

Abstract

Pulmonary TB is a disease that can attack anyone because the source of this disease is very broad, especially in the environmental aspect. These environmental aspects include rubbish, clean water sources, and healthy latrines. The incidence of pulmonary TB in the Minasatene Community Health Center working area is still found. This research aims to determine the relationship between waste management, availability of latrines, and clean water sources with the incidence of pulmonary TB in Minasatene District, Pangkajene Islands Regency. This type of research is a quantitative analytical survey with a cross-sectional study design. The sampling technique used in this research was a simple random technique (Simple Random Sampling) with a sample size of 163 respondents. The results of the research are that there is a relationship between waste management and the incidence of diarrhea with a value of p = 0.006, there is a relationship between clean water sources and the incidence of diarrhea with a value of p = 0.000, there is a relationship between the availability of healthy latrines and the incidence of diarrhea with a value of p = 0.000, there is a need to manage community waste through counseling or outreach organized by the government or private sector.