Online Journal Faculty of Medicine Universitas Sriwijaya
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Comparison of the Effectiveness of 5 IU Oxytocin Bolus and 20 IU Infusion on Uterine Contraction and Hemodynamic Response in Caesarean Section
No full textUterine atonic can result in postpartum hemorrhage, gravid hysterectomy andmaternal mortality. Oxytocin is the most commonly used agent for the preventionand treatment of atonic uterine during cesarean section. However, the provision ofrapid and increasing the dose may result in hemodynamic instability, cardiovascularcollapse, and death. This study aimed to compare the effectiveness of oxytocin bolus5 IU and oxytocin infusion 20 IU to contractions of the uterus and the hemodynamicresponse in cesarean section with spinal anesthesia.An experimental study, Randomized Controlled Trial (RCT) was conducted in theoperating room Mohammad Hoesin Hospital Palembang from July to August 2016.It was obtained a 44 pregnant at term women who will do a cesarean section thatmeet the inclusion and exclusion criteria. The frequency and distribution of data aredescribed in tables and comparisons between the two groups were analyzed usingSPSS.Of the 44 pregnant women at term, 22 women in the group of oxytocin bolus 5 IUand 22 women in the group of oxytocin infusion 20 IU. By statistical analysis, therewas no significant hemodynamic changes after bolus administration of oxytocin 5 IUor oxytocin infusion 20 IU (p> 0.05) and there were no significant hemodynamicdifferences between oxytocin bolus 5 IU and infusion of 20 IU oxytocin (p> 0.05). Inaddition, there are significant changes in uterine contractions after bolusadministration of oxytocin 5 IU or oxytocin infusion 20 IU (p< 0.05) and there weresignificant differences in uterine contraction in the 3rd minute (p = 0.006), 6thminute ( p = 0.010) and 9th minute (p = 0.008) between oxytocin bolus 5 IU andinfusion of oxytocin 20 IU.It can be concluded that there is no significant hemodynamic changes afteradministration of oxytocin 5 IU bolus and oxytocin infusion 20 IU and there aredifferences in uterine contractions significantly in the 3rd minute, 6th minute and9th minute between oxytocin bolus 5 IU and oxytocin infusion 20 IU
Angka Kejadian Korban Kecelakaan Lalu Lintas Berdasarkan Hasil Pemeriksaan Luar Visum Et Repertum di RSUP Dr. Mohammad Hoesin Palembang
No full textKecelakaan lalu lintas merupakan masalah kesehatan yang potensial di Indonesia seiring makin giatnyapembangunan akhir-akhir ini. Jumlah penduduk yang cukup padat dan pembangunan yang pesat menyebabkanmobilitas penduduk menjadi tinggi bisa meningkatkan angka kecelakaan lalu lintas. Penelitian ini bertujuan untukmengetahui angka kejadian korban kecelakaan lalu lintas berdasarkan hasil pemeriksaan luar visum et repertum diRSUP Dr. Mohammad Hoesin Palembang tahun 2011-2013. Penelitian ini menggunakan rancangan deskriptifdengan pendekatan serial kasus. Populasi dalam penelitian ini adalah semua korban mati yang tercatat daripemeriksaan luar di Bagian Forensik RSUP Dr. Mohammad Hoesin Palembang periode Januari 2011-Desember2013. Sampel dalam penelitian ini adalah semua korban kecelakaan lalu lintas di Bagian Forensik RSUP Dr.Mohammad Hoesin Palembang periode Januari 2011-Desember 2013. Subyek penelitian adalah 184 (50,8%)korban kecelakaan lalu lintas. Mayoritas korban adalah laki-laki (78,35%), usia 21-30 tahun (36,4%), pengendarasepeda motor (89,1%), dan mengalami luka robek (40%). Angka kejadian korban kecelakaan lalu lintas berdasarkanhasil pemeriksaan luar visum et repertum di RSUP Dr. Mohammad Hoesin Palembang adalah (50,8%)
Hubungan Fungsi Paru dengan Kadar Interleukin-6 (Il-6) Pada Penduduk Yang Berada Di Sekitar Pabrik Karet Gandus Dan Tempat Pembuangan Akhir (Tpa) Sampah Sukawinatan Palembang
No full textPaparan dari polusi udara dapat mengganggu kapasitas fungsi paru dan sistem imum tubuh. Kapasitas fungsi parumerupakan penjumlahan dari dua volume paru atau lebih. Interleukin-6 (IL-6) merupakan mediator inflamasi padapatogenesis pernapasan. Penelitian ini bertujuan untuk mengetahui hubungan antara fungsi paru dan kadarInterleukin-6 (IL-6) pada penduduk yang berada di sekitar Pabrik Karet Gandus dan TPA Sukawinatan Palembang.Rancangan penelitian yang digunakan adalah jenis korelasi atau explanatory yaitu mengkaji hubungan antaravariabel. Sampel sebanyak 72 dan dibagi menjadi 2 kelompok : kelompok di wilayah Pabrik Karet Gandus dankelompok di wilayah Tempat Pembuangan Akhir (TPA) Sampah Sukawinatan Palembang. Uji fungsi paru di ukurmenggunakan spirometri dan kadar Interleukin-6 diukur menggunakan pemeriksaan ELISA. Hasil uji Chi squaremenunjukkan bahwa tidak terdapat hubungan yang bermakna (p value = 0,001) antara fungsi paru pada pendudukyang berada di sekitar Pabrik Karet Gandus dan TPA Sampah Sukawinatan. Dan tidak terdapat hubungan yangbermakna (p value = 0,337) antara kadar Interleukin-6 (IL-6) pada penduduk yang berada di sekitar Pabrik KaretGandus dan TPA Sampah Sukawinatan. Hasil uji Chi Square menunjukkan bahwa tidak terdapat hubungan yangbermakna (p value = 0,626) antara fungsi paru dan kadar Interleukin-6 (IL-6) pada penduduk yang berada di sekitarPabrik Karet Gandus. Hasil uji Chi Square menunjukkan bahwa tidak terdapat hubungan yang bermakna (p value =1,000) antara fungsi paru dan kadar Interleukin-6 (IL-6) pada penduduk yang berada di sekitar TPA SampahSukawinatan Palembang. Kesimpulan dari hasil penelitian bahwa Tidak terdapat hubungan yang bermakna(p<0,05) antara kadar Interleukin-6 dan Fungsi Paru pada penduduk yang berada di sekitar Pabrik Karet Gandusdan TPA Sukawinatan Palembang
Characteristics of Calvaria Depression Fractures Patients in Dr. Kariadi General Hospital, Semarang
No full textIntroduction. Head injury is one of trauma cases with high morbidity and mortality, with an incidence of 7.3 to 811 cases per 100.000 individuals per year and mortality ratio varying from 5.2 to 80.73 cases per 100.000 cases. Calvaria fractures that result from head injuries are often associated with risk of post-traumatic morbidity and mortality, where the incidence of post-trauma calvaria fractures is about 25% of all cases and around 10% of calvaria fractures are depressed calvaria fractures. This study was aimed to identify the characteristics of patients with depressed calvaria fractures at Dr. Kariadi General Hospital in 2020.
Methods. This research is a descriptive study using secondary data from medical records. There were 30 patients with depressed calvaria fractures in January - December 2020 at Dr. Kariadi Hospital. The data is then presented in tabular form.
Results. Depressed calvaria fractures in the period 2020 at Dr. Kariadi General Hospital was dominated by male (76.7%), mainly age 12-45 years old with a mean of 25.73 years old. The most common cause of depressed calvaria fractures is high velocity trauma. Minor head injury is the most common type of head injury. Depressed calvaria fractures of the frontal bone predominate in 80% of cases, with fracture depth > 1 tabula.
Conclusion. There were no cases of posttraumatic infection. There were 16.7% of cases with neurological deficits at the time of discharge. There were 73.3% cases with other intracranial disorders associated with depressed calvaria fractures. Operative management is the main choice of management with most cases length of stay are 5-10 days
Effect of Irradiation Distance of LED on Bulk-Fill Composite Resin Hardness
No full textIntroduction: Bulk-fill composite is a restorative material with the advantage of 4 mm thickness application into the cavity and good modulus of elasticity similar to natural teeth. One of the important aspect in composite restoration is polymerization which is a formation of polymer from monomers. One way to achieve a high degree of polymerization is to use Light Emitting Diode (LED) irradiation, which will increase the hardness of the composite resin. Objective: The purpose of this study was to determine the effect of distance between the LED tip with bulk-fill composite surface on the hardness of composite. Methods: Fifteen samples were divided into three groups with irradiation distance of 0 mm, 5 mm, and 9 mm respectively. Samples were made in a cylindrical shape with 6 mm of diameter and 4 mm of height then irradiated with LED for 10 seconds. The samples then immersed in distilled water at 37o for 24 hours. Hardness test was carried out on three different points at the top and bottom each side using Vickers hardness test. Data was analyzed with Shapiro-Wilk and One Way ANOVA. Results: The highest hardness value was obtained in the group with an irradiation distance of 0 mm, while the lowest was in the group with irradiation distance of 9cm, both on the top and bottom surfaces. Increasing the distance between the tip of light curing unit and the composite surface resulted in a significant reduction in the hardness of the composite. Conclusion: There were significant differences in the hardness value of bulk-fill composite in all distance group
Acute Pseudomembran Candidiasis In A Patient With Osteogenic Sarcoma And Anemia
No full textIntroduction: Acute pseudomembranous candidiasis is an opportunistic infection caused by the overgrowth of Candida spp. Candida spp can become pathogenic in a weak immune response. There is a clear relationship between oral candidiasis and patients with malignant disease (cancer) and hematological disorders, such as anemia. Anemia is a complication that often occurs in patients with malignancy. Purpose: This paper reports a case of acute pseudomembtane candidasis caused by osteogenic sarcoma and secondary anemia. Case presentation: A 12-year-old male patient was hospitalized for osteogenic sarcoma and anemia. Intraoral examination showed white plaque that could be wiped out on the tongue dorsum. Candida albicans was identified by oral microbial tests. Antifungal therapy was applied for 14 days and it showed improvement. Conclusion: The successful management of this patient involves control of predisposing factors, plaque control, and DHE
Correlation Between Unilateral Free End Edentulous and Morphological Variations of Condyle Using Panoramic Radiographs : in Dental Hospital of South Sumatera Province
No full textBackground: Unilateral free end edentulous can cause a habit of one side chewing which will affect the condition of the temporomandibular joint (TMJ) mechanism. The TMJ is a complex joint consisting of the glenoid fossa, mandibular condyle and disc articular. No previous studies have examined the correlation between free end edentulous and morphological variations in the mandibular condyles. Purpose: to determine the correlation between unilateral free end edentulous and morphological variations of condyle using panoramic radiographs at South Sumatera RSKGM. Methods: This analytic observational study was using 68 samples of panoramic radiographs at RSKGM South Sumatra in September 2019 - March 2020. The sample was divided into 34 unilateral free end edentulous and 34 complete teeth. The condyle morphology of each sample was traced, and the data obtained were analyzed using the Chi-square method in the SPSS application. Results: Morphological abnormalities of the condyles were more frequently seen in patients with unilateral free end edentulous conditions, that is 41.18%. While in patients with complete teeth, the visible abnormalities of the condyles was only 5.88%. There was a significant correlation between unilateral free end edentulous and morphological variations of mandibular condyles (p<0.005). Conclusion: There is a correlation between unilateral free end edentulous and morphological variations of condyle using panoramic radiographs in Dental Hospital of South Sumatera Province
Glandula Tiroid Problem: Literature Review
No full textThyroid cancer is the most common endocrine system neoplasm.Based on the "Pathologycal Based Registration" in Indonesia, thyroidcancer is a cancer with the highest incidence in the ninth rank.According to statistics from the National Cancer Institute (NCI), theincidence of thyroid cancer in men is about 2.5 per 100.000population and women around 6.7 per 100.000 population. Thyroidcancer can affect all age groups and the frequency increases afterthe age of 50 years. Only about 5% can affect the age of 15-20 years.NCI also states that this thyroid cancer can affect 16.000 people peryear. Diagnosis is important to improve the quality of life forsufferers. Clinical diagnosis is the basis for determining furthermanagement, so that knowledge and skills are needed indetermining the diagnosis. The first treatment for a cancer is thebest chance for the patient to achieve optimal cure rates, as is thecase for thyroid cancer
Hubungan Siklus Bioritme dengan Nilai Computer Based Test (CBT) pada Mahasiswa Program Studi Pendidikan Dokter Fakultas Kedokteran
No full textTubuh manusia memiliki banyak irama, salah satunya bioritme. Bioritme terdiri dari tiga siklus yaitu, siklus fisik,emosi dan intelektual. Masing-masing siklus memiliki fase positif, negatif dan kritis. Saat mengikuti ujian seseorangmemerlukan keadaan fisik, mental, dan intelektual yang baik. Dengan menggunakan siklus bioritme, seseorangdapat melihat keadaan-keadaan tersebut agar dapat mempersiapkan diri ketika ujian. Penelitian ini adalahpenelitian analitik observasional dengan desain cross sectional. Sampel terdiri dari 386 mahasiswa Program StudiPendidikan Dokter Universitas Sriwijaya angkatan 2014 dan 2015 secara total sampling yang memenuhi kriteriainklusi. Data yang diambil berupa data sekunder yang terdiri dari nilai CBT, tanggal ujian, dan jalur masuk yangdiperoleh dari bagian akademik Fakultas Kedokteran Universitas Sriwijaya, sedangkan data tanggal lahir, IMT dannilai IQ diambil dari kuesioner. Data siklus bioritme diambil menggunakan biorhythm software. Pengolahan datadilakukan dengan menggunakan analisis uji Kruskal Wallis dan Regresi Linier. Dari hasil analisis bivariat dengan ujiKruskall Wallis didapatkan nilai IQ memiliki hubungan dengan nilai CBT (p=0,010), jalur masuk universitas memilikihubungan dengan nilai CBT (p=0,000), dan siklus fisik bioritme berhungan dengan nilai CBT (p=0,011), Namun,pada analisis multivariat (Regresi Linier) siklus fisik bioritme tidak memiliki hubungan dengan nilai CBT. Tidakterdapat hubungan siklus bioritme dengan nilai CBT pada mahasiswa Program Studi Pendidikan Dokter FakultasKedokteran Universitas Sriwijaya
Level Of Haemoglobin and Knowledge Regarding Anemia and Its Prevention Among Adolescent
No full textAnemia is a condition in which hemoglobin (Hb) concentration being lower than a specific threshold. The prevalence of anemia among adolescents is varies among country and its proportion is higher in developing countries. In Indonesia, the proportion of anemia in the 15-24-year age group was 32%. Anemia in adolescents has a negative impact on decreased immunity, impaired physical growth and mental development, concentration, learning achievement, adolescent fitness and productivity. Knowledge of the extent and causes of anemia in adolescence is very important because it is a window of opportunity for interventions to improve adolescent health. This study aims to describe level of Hb and knowledge regarding anemia and its prevention among adolescents. This research is a descriptive study with a cross sectional method using Hb meter to assess Hb level and questionnaire to assess knowledge regarding anemia and its prevention among adolescents, conducted in November 2019. The respondents were 42 adolescents in SMPN 9 Palembang. The ages of respondents in this study ranged from 12-13 years, consisting of 36% boys and 64% girls. The mean value of Hb level in all adolescent was 13.78 g/dL with 12% of respondents had anemia. A total of 76% adolescents had poor knowledge, while 24% adolescents had good knowledge. The mean value of Hb level in all adolescent was normal, only few adolescents had anemia. This study also shows majority of the adolescents have poor knowledge about anemia and its prevention.Anemia is a condition in which hemoglobin (Hb) concentration being lower than a specific threshold. The prevalence of anemia among adolescents is varies among country and its proportion is higher in developing countries. In Indonesia, the proportion of anemia in the 15-24-year age group was 32%. Anemia in adolescents has a negative impact on decreased immunity, impaired physical growth and mental development, concentration, learning achievement, adolescent fitness and productivity. Knowledge of the extent and causes of anemia in adolescence is very important because it is a window of opportunity for interventions to improve adolescent health. This study aims to describe level of Hb and knowledge regarding anemia and its prevention among adolescents. This research is a descriptive study with a cross sectional method using Hb meter to assess Hb level and questionnaire to assess knowledge regarding anemia and its prevention among adolescents, conducted in November 2019. The respondents were 42 adolescents in SMPN 9 Palembang. The ages of respondents in this study ranged from 12-13 years, consisting of 36% boys and 64% girls. The mean value of Hb level in all adolescent was 13.78 g/dL with 12% of respondents had anemia. A total of 76% adolescents had poor knowledge, while 24% adolescents had good knowledge. The mean value of Hb level in all adolescent was normal, only few adolescents had anemia. This study also shows majority of the adolescents have poor knowledge about anemia and its prevention