E-Journal Faculty of Medicine Universitas Padjadjaran / E-Jurnal Fakultas Kedokteran Universitas Padjadjaran
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EFEK EUTECTIC MIXTURE OF LOCAL ANAESTHETICS (EMLA) UNTUK MENGURANGI NYERI PENYUNTIKAN JARUM SPINAL DI RUMAH SAKIT UMUM PUSAT Dr. HASAN SADIKIN BANDUNG
No full textEutectic mixtures of local anaesthetics (EMLA) dapat mengurangi nyeri akibat penyuntikan jarum spinal. Penelitian bertujuan mengetahui efek EMLA terhadap nyeri saat penyuntikan jarum spinal. Metode penelitian adalah eksperimental secara acak terkontrol buta ganda pada pasien yang menjalani operasi elektif dalam anestesi spinal di ruang operasi sentral RSUP Dr. Hasan Sadikin Bandung dari bulan September hingga Oktober 2019. Data penilaian skor nyeri dilakukan setelah penyuntikan jarum spinal menggunakan Numeric pain rating score yang dianalisis dengan Uji Mann-Whitney. Hasil perhitungan statistik diperoleh Skor nyeri setelah aplikasi EMLA lebih rendah dibanding dengan skor nyeri (1 vs 4) dengan perbedaan yang sangat bermakna (p<0,001). Simpulan penelitian ini menunjukkan EMLA dapat mengurangi nyeri saat penyuntikan jarum spinal.Eutectic Mixture of Local Anesthetics (EMLA) Effect on Spinal Neddle Injection PainEutectic mixtures of local anesthetics can reduce pain caused by spinal injections. The purpose of this study was to understand the effect of EMLA on spinal injection pain. This was an experimental randomized single blind study involving all patients who underwent spinal anesthesia from September–October 2019 in Dr. Hasan Sadikin General Hospital. Pain score assessment was performed right after spinal injection using the numeric pain rating score. Data were then analyzed with Mann-Whitney test. Results showed that injection pain score in patients using EMLA was lower (1 vs 4) than patients who did not use EMLA (p<0.001). Therefore, EMLA can reduce spinal injection pain.Anestesi spinal merupakan teknik anestesi yang sering dilakukan dan efektif dalam pembiusan tubuh bagian bawah. Nyeri saat penyuntikan jarum spinal menjadi salah satu alasan pasien untuk menolak tindakan karena ketakutan terhadap jarum dan rasa nyeri akibat penyuntikan jarum. Metode yang dilakukan untuk mengurangi nyeri akibat penyuntikan jarum spinal yaitu aplikasi anestesi topikal. Anestesi topikal yang sering digunakan adalah EMLA (eutectic mixtures of local anaesthetics), yang terbukti memiliki efek analgetik pada saat pemasangan jalur intravena, pungsi lumbar, prosedur bedah dermatologi dan kosmetik serta prosedur medis minor. Penelitian ini bertujuan mengetahui efek EMLA saat penyuntikan jarum spinal. Uji klinis acak buta ganda dilakukan terhadap 68 pasien yang menjalani operasi elektif dalam anestesi spinal di Ruang Operasi Sentral RSUP Dr. Hasan Sadikin Bandung dari bulan September hingga Oktober 2019. Pasien dibagi menjadi 2 kelompok yaitu kelompok EMLA dan plasebo. Dua gram EMLA krim diaplikasikan 120 menit sebelum dilakukan penyuntikan jarum spinal ukuran 25G. Penilaian skor nyeri dilakukan setelah penyuntikan jarum spinal menggunakan Numeric Pain Rating Score. Skor nyeri setelah aplikasi EMLA yaitu 1,53 1,60; lebih rendah dibanding skor nyeri pada plasebo yaitu 3,94 1,30. Hasil ini signifikan secara statistik berdasarkan uji Mann-Whitney (p<0,05). Simpulan penelitian ini adalah EMLA memiliki efek untuk mengurangi nyeri saat penyuntikan jarum spinal
PENGARUH DEKSAMETASON 0,2 MG/KGBB SEBAGAI ADJUVAN ANALGESIA TERHADAP TERJADINYA NYERI PERTAMA KALI PASCAOPERASI DENGAN NRS> 3 PADA PASIEN ODONTEKTOMI DI RUMAH SAKIT UMUM PUSAT Dr. HASAN SADIKIN BANDUNG
No full textDeksametason merupakan kortikosteroid golongan glukokortikoid yang memiliki efek anti inflamasi yang adekuat. Penelitian ini bertujuan menilai waktu nyeri pertama kali dengan NRS >3 pada pasien pascaoperasi odontektomi. Penelitian ini merupakan uji acak terkontrol buta ganda pada 30 pasien dengan status fisik American Society of Anesthesiologist kelas 1 (ASA I) yang menjalani operasi odontektomi dalam anestesi umum di Rumah Sakit Dr. Hasan Sadikin Bandung periode Agustus–September 2019. Pasien dibagi menjadi dua kelompok, yaitu 15 pasien yang menerima deksametason (D) dan 15 pasien plasebo (K). Penilaian skala nyeri menggunakan nilai numeric rating scale pada NRS >3 pertama kali. Analisis statistika data hasil penelitian menggunakan chi square dan Mann-Whitney. Hasil penelitian menunjukkan waktu pertama kali terjadi nyeri dengan NRS >3 lebih lama pada kelompok D dibanding dengan kelompok plasebo dengan perbedaan bermakna (p3 pada pasien pascaoperasi odontektomi menghasilkan waktu yang lebih lama.Effect of Dexamethasone 0.2 mg/KgBW as Analgesia Adjuvant on Post-Operative Odontectomy Pain with Nrs >3 OccurenceDexamethasone is a glucocorticoid corticosteroid that has the strongest anti-inflammatory effect. The aim of this study was to assess the time of the first pain with NRS >3 in post-operative odontectomy patients. This study was an experimental randomized double blind controlled trial involving 30 patients with physical status ASA I whounderwent odontectomy under general anesthesia in Dr. Hasan Sadikin General Hospital Bandung during August-September 2019. Patients were divided into two groups: 15 patients received dexamethasone and 15 patients received placebo. Pain scale assessment was performed using the numeric rating scale (NRS) in post-operative patients with first pain with NRS >3. Data collected were analyzed statistically using chi square and Mann-Whitney and the results showed a significantly longer first pain with NRS >3 in the placebo group (p3 in post-operative odontectomy patients that enable analgesic dose reduction.Deksametason merupakan kortikosteroid golongan glukokortikoid yang memiliki efek anti inflamasi paling kuat. Penelitian ini bertujuan menilai waktu nyeri pertama kali dengan NRS >3 pada pasien pascaoperasi odontektomi. Penelitian ini merupakan uji acak terkontrol buta ganda pada 30 pasien dengan status fisik American Society of Anesthesiologist (ASA I) yang menjalani operasi odontektomi dalam anestesi umum di Rumah Sakit Dr. Hasan Sadikin Bandung periode Agustus 2019-September 2019. Pasien dibagi menjadi dua kelompok, yaitu 15 orang yang menerima deksametason (D) dan 15 orang tanpa deksametason (K). Penilaian skala nyeri menggunakan nilai numeric rating scale pada NRS >3 pertama kali. Analisis statistika data hasil penelitian menggunakan chi square dan Mann-Whitney. Hasil penelitian menunjukan berbeda bermakna waktu pertama kali dengan NRS >3 terdapat perbedaaan bermakna (p 3 pada pasien pascaoperasi odontektomi dapat diberikan karena menghasilkan efek analgesia yang lebih lama
Knowledge and Attitude as Factors Affecting Regularity of Antenatal Care Visits
Get PDFBackground: Maternal mortality ratio and infant mortality rate in Indonesia are still high and far from the Millennium Development Goals target. One of the solutions is by making regular antenatal care visits. Factors affecting antenatal care are knowledge and attitude. This study aimed to analyze the influence of knowledge and attitude about antenatal care toward regularity of antenatal care visit.Methods: This analytic study was conducted by using the rapid survey through cross-sectional approach. The study population was pregnant women in Cipacing Village, Jatinangor Sub-district, with 55 samples. Questionnaires were distributed to evaluate the knowledge and attitude, and Kartu Menuju Sehat observation was conducted to investigate antenatal care visit.Results: Out of 55 respondents, 26 had good knowledge, 25 had fair knowledge, and 4 had poor knowledge. Only 13 respondents had a good attitude level, while 42 had fair attitude, and none with poor attitude. As many as 46 respondents did antenatal care visits regularly, while 9 did not. Logistic regression analysis showed that knowledge and attitude had no significant influence towards regularity of antenatal care visit, with influence only approximately 2%. Conclusions: Knowledge, attitude, and regularity of antenatal care among respondents are good enough. Knowledge and attitude are not the dominant factors that affect the regularity of antenatal care visit. Thus a further study is needed to identify the other factors.
Exclusive and Non-Exclusive Breastfeeding among Stunted and Normal 6–9 Month-Old-Children in Jatinangor Subdistrict, Indonesia
Get PDFBackground: Stunting has become a public health problem in Indonesia, with the prevalence of stunting is 37.2% nationally and 25.6% in West Java. One of the causes of stunting is malnutrition that may occur because of not giving exclusive breastfeeding on the first 1000 days of life (FDL). The purpose of this study was to determine whether there was difference between exclusive and non-exclusive breastfeeding among stunted and normal 6–9 month-old-children. Methods: This study was conducted using a cross-sectional analytic study during August-October 2018 with consecutive sampling method. This study involved 110 pairs of mothers and children aged 6-9 months who resided in villages which were within the work area of Jatinangor Public Health Center. Nutritional status was determined based on length-for-age z score according to WHO. The type of breastfeeding was known based on the questionnaire. Data was analyzed by chi square test. Result: There were 60 of 110 children (54.5%) who did not receive exclusive breastfeeding. The incidence of stunting in children was 12.7% (14 of 110), of whom 10 children had no exclusive breastfeeding (p>0.05).Conclusions: Although the incidence of stunting is higher in non-exclusive breastfeeding group, there is no difference in the proportion of stunting in children aged 6–9 months between those who are exclusively breastfed and those who are not, however, exclusive breastfeeding is encouraged
Laporan Kasus: Anestesi Blok Peribulbar pada Pasien dengan Gagal Jantung Kongestif yang Dilakukan Enukleasi
Get PDFSeorang pria berusia 73 tahun datang ke Instalasi Gawat Darurat Pusat Mata Nasional Rumah Sakit Mata Cicendo pada bulan November 2018 dengan keluhan nyeri mata yang mengeluarkan darah dan disertai dengan keluhan sesak. Pemeriksaan mata menunjukkan prolaps okuli dan direncanakan untuk dilakukan enukleasi. Ahli kardiologi mendiagnosis sebagai hypertensive heart disease, congestive heart failure functional class IV, moderate mitral regurgitation, moderate aortic regurgitation. Laporan kasus ini bertujuan memaparkan keberhasilan tata laksana anestesi pada pasien usia lanjut dengan gagal jantung kongestif yang dilakukan enukleasi dalam blok peribulbar. Teknik blok peribulbar dipilih agar tidak memperberat masalah kardiovaskular serta untuk meminimalisir depresi kardiak. Teknik ini dilakukan dengan menyuntikkan obat anestesi lokal levobupivakain 0,5% pada inferotemporal, medial kantus, dan superonasal. Operasi berlangsung tanpa keluhan nyeri dan fluktuasi hemodinamik yang signifikan. Pascaoperasi pasien sadar penuh dengan skala nyeri NRS 60 menit pascaoperasi 0. Hal ini menunjukkan bahwa teknik anestesi blok peribulbar memberikan hasil memuaskan pada tindakan enukleasi. Enucleation under Peribulbar Block Anesthesia in Patients with Congestive Heart Failure: A Case ReportA 73-year-old male patient was presented to the emergency department of the National Eye Center Cicendo Hospital with a painful and bloody eye as well as shortness of breath. Eye examination revealed ocular prolapse and patient was scheduled for enucleation. The cardiologist diagnosed the patient with hypertensive heart disease, congestive heart failure functional class IV, moderate mitral regurgitation, and moderate aortic regurgitation. Patient then underwent treatment for six days. This case report aimed to describe the successful management of anesthesia in elderly patients with congestive heart failure who underwent peribulbar block for enucleation procedure. To prevent further cardiac problems and to minimize the risk of cardiac depression in this patient, the anesthetic technique chosen was peribulbar block with the injection of local anesthetic drug levobupivacaine 0.5% at the inferotemporal, medial canthus, and superonasal. The surgary took place without complaints of intraoperative pain and without significant hemodynamic fluctuations. Postoperatively, the patient was fully conscious and sixty minutes postoperative pain scale (Numeric Rating Scale) in this patient was 0. This shows that the peribulbar block anesthesia technique can provide satisfactory results for enucleation procedure.Seorang pria berusia 73 tahun datang ke Instalasi Gawat Darurat Pusat Mata Nasional Rumah Sakit Mata Cicendo pada bulan November 2018 dengan keluhan nyeri mata yang mengeluarkan darah dan disertai dengan keluhan sesak. Pemeriksaan mata menunjukkan prolaps okuli dan direncanakan untuk dilakukan enukleasi. Ahli kardiologi mendiagnosis sebagai hypertensive heart disease, congestive heart failure functional class IV, moderate mitral regurgitation, moderate aortic regurgitation. Laporan kasus ini bertujuan memaparkan keberhasilan tata laksana anestesi pada pasien usia lanjut dengan gagal jantung kongestif yang dilakukan enukleasi dalam blok peribulbar. Teknik blok peribulbar dipilih agar tidak memperberat masalah kardiovaskular serta untuk meminimalisir depresi kardiak. Teknik ini dilakukan dengan menyuntikkan obat anestesi lokal levobupivakain 0,5% pada inferotemporal, medial kantus, dan superonasal. Operasi berlangsung tanpa keluhan nyeri dan fluktuasi hemodinamik yang signifikan. Pascaoperasi pasien sadar penuh dengan skala nyeri NRS 60 menit pascaoperasi 0. Hal ini menunjukkan bahwa teknik anestesi blok peribulbar memberikan hasil memuaskan pada tindakan enukleasi
Biofilm Formation in Reverse Osmosis Water at Hemodialysis Units in Two Hospitals Bandung
Get PDFBackground: Bacteria in aquatic environments do not usually live as a single free-swimming microscopic cell, but rather as communities of microorganisms that are attached to a surface in the form of biofilm. Biofilm is a major cause of concern to the medical world, as it protects the bacteria from a harsh environment, the host immune system, antimicrobial therapy, and even disinfectant. The aim of this study was to determine which genus or species of bacteria in reverse osmosis (RO) water was able to form a biofilm.Methods: Water samples were taken from RO water of water treatment in hemodialysis (HD) centers at two hospitals in Bandung; at each point of the water treatment plant, bacteria were cultured. Any growth of bacteria was tested with a tube method to determine the formation of biofilm.Results: Micrococcus luteus, Citrobacter diversus, Enterobacter aerogenes, Pseudomonas sp., Serratia sp., Acinetobacter sp. were able to form biofilm while Klebsiella pneumoniae and Staphylococcus saprophyticus were not.Conclusions: Most bacteria isolated from RO water can form a biofilm, and a few are not. This study is successfully to check the possibility of biofilm formation of RO water, therefore, disinfecting RO water regularly is important and highly encouraged.
Profile of Medicolegal Cases at Department of Forensics and Legal Medicine of Dr. Hasan Sadikin General Hospital Bandung, Indonesia
Get PDFThe increasing number of criminal cases in Indonesia indirectly affects the number of cases handled in the Department of Forensics and Legal medicine. Forensic specialists play an important role in criminal investigation process by conducting medical examination of the corpse. This study aimed to present the profile of the corpses examined in the Department Forensic and Legal Medicine of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, during 2013-2017. This was a descriptive retrospective study based on data of the corpses examined at the Department of Forensics and Legal Medicine of Dr. Hasan Sadikin General HospitalBandung, Indonesia, in 2013–2017. During the period of study, 1,692 corpses were handled with 1,258 males (74%), 430 females (25%), and 4 with unidentified sex (1%). most of the corpses were 46–65 years old (30%) and 26–45 years old (29%) when they died. There were 24 corpses with multiple cases, making a total number of cases of 1,716 cases with an average number of cases handled each month of 29 cases. From these cases, 1,303 cases (76%) only involved external examination and 413 cases (24%) underwent autopsy (external and internal examinations). The highest number of cases was seen in 2014 (432 cases, 25%). Regarding the type of cases, Death on Arrival (DOA) cases was the most frequently seen (28%), followed by traffic accidents (26%), sudden death (22%), infanticide (7%), train accident (5%), and murders (5%). The most frequent cause of death in murder cases was sharp trauma. In conclusion, DOA and traffic accident are the dominant cases handled at the Forensics and Legal Medicine Department of Dr. Hasan Sadikin General Hospital. The high number of DOA indicates the high number of patients who come late for treatment. This needs further studies to clarify the situation in order to avoid future DOA cases. In addition, the risk factors related to the death due to traffic accidents in Indonesia need to be determined to reduce the number of fatalities in traffic accidents. Profil Kasus Medikolegal di Departemen Ilmu Kedokteran Forensik dan Medikolegal Rumah Sakit Dr. Hasan Sadikin BandungMaraknya kasus kriminal di Indonesia secara tidak langsung berefek pada jumlah kasus yang diperiksa di Departemen Ilmu Kedokteran Forensik dan Medikolegal. Dokter forensik berperan penting dalam mengungkap kasus kematian dengan melakukan pemeriksaan medik untuk kepentingan peradilan. Tujuan penelitian ini mengetahui profil kasus jenazah di Departemen Forensik dan Medikolegal RSUP Dr. Hasan Sadikin Bandung yang diperiksa selama tahun 2013-2017. Penelitian ini bersifat dekskriptif retrospektif berdasarkan data kasus jenazah yang diperiksa di Departemen Ilmu Kedokteran Forensik dan Medikolegal RSUP Dr. Hasan Sadikin Bandung tahun 2013-2017. Selama periode penelitian, terdapat 1.692 jenazah yang ditangani, terdiri dari 1.258 jenazah laki-laki (74%), 430 perempuan (25%), dan 4 jenazah (1%) tidak teridentifikasi jenis kelaminnya. Kelompok usia terbanyak adalah usia 46-65 tahun (30%) dan usia 26-45 tahun (29%). Terdapat 24 jenazah dengan kasus ganda, sehingga didapatkan total 1716 kasus, dengan rata-rata jumlah kasus setiap bulan adalah 29 kasus. Dari total kasus tersebut, yang dilakukan pemeriksaan luar saja 1.303 kasus (76%) dan yang dilakukanotopsi (pemeriksaan luar dan dalam)413 kasus (24%). Jumlah kasus terbanyak pada tahun 2014, 432 kasus (25%). Jenis kasus terbanyak adalah kasus Death on Arrival (DOA) 28%, diikuti secara berturut-turut kasus Kecelakaan Lalu Lintas 26%, Mati Mendadak 22%, Infantisid 7%, Kecelakaan Kereta Api 5% dan Pembunuhan 5%. Kasus pembunuhan terbanyak diakibatkan oleh trauma tajam. Simpulan, didapatkan kasus terbanyak pada tahun 2014 (25%), jenazah terbanyak berjenis kelamin laki-laki (76%), kelompok usia terbanyak adalah usia 46-65 tahun (30%), jenis kasus terbanyak adalah kasus DOA (28%), dan hanya 24% kasus yang dilakukan otopsi
Physical Activities Decrease Fasting Blood Glucose Level in Diabetes Mellitus Type 2 Patients: Use of International Physical Activity Questionnaire (IPAQ) in Rural Area
Get PDFAn increase in the incidence of diabetes mellitus type 2 (DM-2) has been observed from 1.1% in 2007 to 1.5% in 2018 with incidents occur in both urban areas and rural areas of Indonesia. Garut as one of the rural areas in Indonesia is the fourth district with the highest DM-2 incidence in West Java Province, Idnonesia. Physical activity is considered to affect the glycemic control and weight loss in DM-2 patients. Therefore, the purpose of this study was to determine the relation between the physical activity level and blood glucose level in DM-2 patients in Garut, Indonesia. This was a cross-sectional observational analytic study on 46 DM-2 patients who were the members of the Garut Branch of the Indonesian Diabetes Association (PERSADIA), in May 2018. The physical activity level was measured using the International Physical Activity Questionnaire (IPAQ) while the blood glucose level was measured using fasting blood glucose level test. Data were then analyzed using analysis of variance test. Results showed that most participants had a low level of physical activity (52.2%) while the lowest fasting blood glucose was obtained from patients with high physical activity (98.63±11.6), compared to those with moderate and low physical activity levels (123.43±20.16 and 164.21±19.04 mg/dL, respectively) with p=0.000 (p<0.05). Lifestyle changes, especially in the form of the lack physical activity, were seen alsonin the rural area in Indonesia. High physical activity level is the most effective measure to lower fasting blood glucose level in DM-2 patients. Aktivitas Fisik Menurunkan Kadar Glukosa Darah Puasa pada Pasien Diabetes Mellitus Tipe 2: Menggunakan the International Physical Activity Questionnaire (IPAQ) di Rural AreaKejadian pasien diabetes mellitus tipe 2 (DM-2) pada tahun 2018 (1,5%) mengalami peningkatan dibandingkan tahun 2007 (1,1%), terjadi baik di daerah perkotaan dan pedesaan di Indonesia. Garut sebagai salah satu daerah pedesaan di Indonesia adalah salah satu kabupaten dengan insidens DM-2 terbesar keempat di Jawa Barat-Indonesia. Aktivitas fisik dianggap memengaruhi kontrol glikemik dan penurunan berat badan pada pasien DM-2. Oleh karena itu, tujuan dari penelitian ini adalah mengetahui hubungan tingkat aktivitas fisik dengan kadar glukosa darah pada pasien DM-2 di Garut-Indonesia. Subjek penelitian ini adalah 46 pasien DM-2 yang tergabung dalam Persatuan Diabetes Indonesia (PERSADIA), cabang Kabupaten Garut, pada Mei 2018. Metode penelitian yang digunakan adalah analitik observasional dengan metode cross-sectional. International Physical Activity Questionnaire (IPAQ) sebagai alat untuk mengukur tingkat aktivitas fisik, selain itu dilakukan pengukuran kadar glukosa darah puasa. Data dianalisis menggunakan analysis of variance test. Hasil penelitian menunjukkan bahwa sebagian besar peserta memiliki tingkat aktivitas fisik yang rendah (52,2%) dan glukosa darah puasa terendah diperoleh dari pasien dengan aktivitas fisik yang tinggi (98,63±11,6) dibandingkan dengan aktivitas fisik sedang dan rendah (123,43±20,16 dan 164,21±19,04 mg/dL), dengan p=0.000 (p<0,05). Perubahan gaya hidup terutama kurangnya aktivitas fisik juga terjadi di daerah pedesaan di Indonesia dan aktivitas fisik yang tinggi adalah tipe yang paling efektif menurunkan kadar glukosa darah puasa pada pasien DM-2
PERBANDINGAN PERMEN KARET RASA MINT DENGAN ONDANSETRON 4 MG INTRAVENA DALAM MENGATASI KEJADIAN MUAL MUNTAH PASCA OPERASI MASTEKTOMI
Get PDFPermen karet rasa mint dapat menstimulasi sefalik vagal yang mampu mencegah mual dan muntah. Penelitian ini bertujuan membandingkan permen karet rasa mint dengan ondansentron 4 mg terhadap mual muntah pascaoperasi. Metode penelitian adalah eksperimental secara acak terkontrol buta tunggal pada 46 wanita yang menjalani mastektomi terhadap wanita (>18 tahun) yang mengalami mual dan muntah pascaoperasi di RSUP Dr. Hasan Sadikin Bandung pada bulan Februari–Juli 2019. Data perbaikan mual muntah dianalisis dengan uji chi kuadrat. Hasil perhitungan statistik menunjukkan kelompok permen karet rasa mint mampu mengatasi mual muntah lebih banyak dibanding dengan ondansentron (18 orang vs 9 orang) dengan perbedaan yang sangat bermakna (p18 years old) underwent mastectomy who experienced post-operative vomiting in Dr. Hasan Sadikin General Hospital Bandung between February and July 2019. Data on postoperative nausea and vomiting were analyzed using chi square. The statistical results showed that the mint flavored gum had a significantly better ability in treating post-operative nausea and vomiting when compared to ondansetron (18 versus 9 person) (p18 tahun) yang mengalami mual dan muntah pascaoperasi di RSUP Dr. Hasan Sadikin Bandung pada bulan Februari 2019– Juli 2019. Data perbaikan mual muntah dianalisis dengan Uji chi kuadrat. Hasil perhitungan statistik menunjukkan kelompok permen karet rasa mint mampu mengatasi mual muntah lebih banyak dibanding dengan ondansentron (18 orang vs 9 orang) dengan perbedaan yang sangat bermakna (p<0.001). Simpulan penelitian adalah permen karet rasa mint mengatasi lebih banyak pasien yang mual muntah pascaoperasi mastektomi dibandingkan dengan ondansetron
Alcohol Addiction and Cognitive Function among Café Visitors at South Jakarta
Get PDFBackground: Alcohol addiction has an acute and chronic impact, and may cause cognitive function impairment, in the form of interference in decision making and impulse control, as well as impaired motor function. Furthermore, research on alcohol addiction and cognitive function has not been widely studied in Indonesia. The purpose of this study was to explore the association between alcohol addiction and cognitive function among café visitors at South Jakarta. Methods: This was a cross sectional study, conducted among cafévisitors at South Jakarta in 2018. The respondents of this study were individuals who have consumed alcohol in the last 12 months and not consumed narcotics, psychotropic, and other addictive substances except nicotine and caffeine. Alcohol addiction among respondent was assessed by the CAGE questionnaire and cognitive function was assessed by the MoCA-Ina questionnaire. Statistical analysis was determined by Chi Square test.Results: In total, 80 respondents consisting of 57 men and 23 women met the study criteria, 67.5% of respondents have experienced alcohol addiction and 85.2% have experienced poor cognitive function. There was a strong association between alcohol addiction and cognitive function among café visitors (p=0.000; OR=44.083).Conclusions: Individual with alcohol addiction has a poor cognitive function compared with people without alcohol addiction. Therefore, awareness of the adverse effects of alcohol addiction on cognitive function among community is needed and thus, people are expected to distance from alcohol addiction