61 research outputs found
Gambaran Laboratorium Leukemia Kronik di Bagian Penyakit Dalam RSUP Dr. M. Djamil Padang
AbstrakLeukemia merupakan penyakit keganasan sel darah yang berasal dari sumsum tulang ditandai oleh proliferasi sel-sel darah putih, dengan manifestasi adanya sel-sel abnormal dalam darah tepi. Pada tahun 2006, leukemia berada pada urutan ke-5 dari keseluruhan penderita kanker di Indonesia. Leukemia kronik merupakan leukemia yang paling sering terjadi pada dewasa dan lanjut usia. Secara umum leukemia kronik diklasifikasikan atas Leukemia Granulositik Kronik (LGK) dan Leukemia Limfositik Kronik (LLK). Leukemia kronik yang perjalanannya lambat dan diiringi oleh gejala yang tidak khas, maka penelitian ini bertujuan untuk mengetahui gambaran laboratorium leukemia kronik di bagian Peyakit Dalam RSUP DR. M. Djamil Padang. Jenis penelitian ini adalah deskriptif retrospektif. Instrumen yang digunakan pada penelitian ini adalah data sekunder yang diperoleh dari Instalasi Rekam Medik RSUP Dr. M. Djamil Padang berupa data pasien leukemia kronik yang dirawat di Bagian Penyakit Dalam RSUP Dr. M. Djamil Padang sejak 1 Januari 2010 – 31 Desember 2012. Hasil penelitian ini menunjukkan bahwa dari 16 kasus leukemia granulositik kronik terdapat 37,5% pasien mengalami anemia sedang, 100% leukositosis, jumlah trombosit dapat menurun, normal, dan meningkat dengan presentase masing-masing 25%, 25%, dan 50%. Gambaran eritrosit sebagian besar normositik anisositosis. Separuh pemeriksaan darah tepi menunjukkan peningkatan persentasi mielosit, 31,25% menunjukkan peningkatan persentasi metamielosit dan eosinofil, serta sebagian besar menunjukkan presentasi blast. Sedangkan gambaran sumsum tulang hiperseluler, penekanan eritropoetik, mielopoetik hiperaktif, dan trombopoetik dalam batas normal. Leukemia limfositik kronik yang terdiri dari 1 kasus menunjukkan gambaran laboratorium berupa anemia sedang, leukositosis, trombositopenia, gambaran eritrosit nomokrom anisositosis, peningkatan jumlah leukosit, peningkatan jumlah limfosit, presentasi smudge cell, dan ditemukan presentasi blast pada darah tepi, tetapi selularitas tidak dapat dinilai.Kata kunci: leukemia kronik, darah tepi, BMPAbstractLeukemia is a malignant disease of blood cells derived from the bone marrow characterized by the proliferation of white blood cells, with the manifestation of the abnormal cells in the peripheral blood. In 2006, leukemia was ranked 5th of all cancer patients in Indonesia. Chronic leukemia is the most common leukemia in adult and the elderly. In general, chronic leukemia classified on chronic myelocytic leukemia (CML) and chronic lymphocytic leukemia (CLL). The onset of chronic leukemia is insidious and accompanied by symptoms that are not typical, this research aims to describe the laboratory findings of chronic leukemia patients treated at Internal Medicine Department of Dr. M. Djamil Hospital Padang.This research is a retrospective descriptive research. The instruments used in this research are the secondary data derived from the Medical Record Departement Dr. M. Djamil Hospital Padang in the form of leukemia chronic patients’ data who were treated in Internal Medicine Department of Dr. M. Djamil Hospital Padang since January 1st 2010 – December 31st 2012. The results of this research showed that of 16 cases of chronic myelocytic leukemia contained 37.5% of the patients had moderate anemia, leukocytosis 100%, platelet count can be decreased, normal, and increased the percentage of each 25%, 25%, and 50%. The morphology of erythrocytes mostly normocytic anisocytosis. Half of peripheral blood examination showed an increase in the percentage of myelocyte, 31.25% showed an increase in the percentage metamyelocyte and eosinophils, as well as most of the shows presentation blast. The bone marrow are hypercellular, compressing erythropoietic, myelopoietic hyperactivity and thrombopoietic mostly normal in number. Chronic lymphocytic leukemia consisting of 1 case shows the laboratory findings are moderate anemia, leukocytosis, thrombocytopenia, the morphology of erythrocyte is normochromic anisocytosis, leukocytes increase in number, increase in the number of lymphocytes, presentations smudge cells, and blast presentation is found in the peripheral blood, but the cellularity not be assessed.Keywords: chronic leukemia, peripheral blood, BMP</p
Hubungan Jumlah Trombosit, Hematokrit dan Hemoglobin dengan Derajat Klinik Demam Berdarah Dengue pada Pasien Dewasa di RSUP. M. Djamil Padang
AbstrakDiagnosis yang tepat terhadap stadium dan kondisi penderita DBD penting untuk menentukan prognosisnya. Pemeriksaan trombosit, hematokrit, dan hemoglobin untuk setiap derajat klinik DBD diharapkan membantu dalam mengelompokkan dan mengelola pasien berdasarkan derajat kliniknya. Penelitan ini bertujuan untuk melihat hubungan hasil pemeriksaan trombosit, hematokrit, dan hemoglobin dengan derajat klinik DBD berdasarkan kriteria WHO.Penelitian dilakukan secara retrospektif terhadap 84 sampel dari rekam medik Bagian Ilmu Penyakit Dalam di RSUP. M. Djamil Padang dari januari 2011 sampai 30 April 2013. Trombosit diperiksaan menggunakan metode Rees Ecker, hematokrit dengan metode langsung cara mikro, dan hemoglobin menggunakan metode Sahli. Uji hipotesis menggunakan analisis bivariat dengan uji hipotesis nonparametrik Kendal’s Tau dengan software SPSS.Hasil penelitian ditemukan rerata umur 25.49±10.09 tahun. Laki-laki 46 orang (54.8%) lebih banyak dari wanita 38 orang (45.2%). Hasil analisis dengan uji korelasi Kendal’s Tau didapatkan trombosit berhubungan dengan derajat klinik DBD, semakin rendah trombosit semakin berat derajat kliniknya (p < 0.05, r = 0.336). Hematokrit tidak berhubungan dengan derajat klinik DBD (p > 0.05, r = 0.059). Hemoglobin tidak berhubungan dengan derajat klinik DBD (p > 0.05, r = - 0.036).Semakin rendah jumlah trombosit semakin berat derajat klinik DBD, hematokrit dan hemoglobin tidak berhubungan dengan derajat klinik DBD.Kata kunci: jumlah trombosit, nilai hematokrit, kadar hemoglobin, derajat klinik DBD.AbstractPrompt diagnosis and as an accurate assessment of the stage and condition of DHF cases is a very important factor for determining patient prognosis. The existence of an exact value of the results of platelets, hematocrit, and hemoglobin for each grade of DHF are expected to greatly assist in classify and manage patients based on the clinical degree. This research was aimed to determine the relationship between the results of the hemoglobin, hematocrit and platelets count with the degree of clinical DHF according to WHO criteria. This research with retrospective design in 84 samples were taken from the medical records of adult patients in RSUP. M. Djamil Padang from 1 January 2011 until 30 April 2013. Platelets used direct method Rees Ecker, hematocrit’s used direct method micro method, and hemoglobin’s used Sahli method. Data processed by Kendal Tau tests using SPSS software. Results found average ages of 25.49 ± 10,09 years. The number of male patients 46 (54.8%) higher than female patients 38 (45.2%). Analysis by hypotetic test showed that there is a relationship between the platelet with clinical degree of DHF, where the lower the number, the more severe the clinical degree of DHF (p < 0.05, r = - 0336). There is no relation between hematocrit with clinical degree of DHF (p > 0.05, r = 0.059). There is no relation between hemoglobin with clinical degree of DHF (p > 0.05, r = - 0.036). More lower the number of trombosit, the more severe the clinical degree of DHF, and there is no relation between hematocrit and hemoglobin with clinical degree of DHF.Keywords: platelet count, hematocrit, hemoglobin levels, clinical degree of DHF.</p
Music as Propaganda for Humanitarian Diplomacy: Semiotic Analysis of Ferdinand de Saussure in The Song We Are The World
In this paper, the author will examine one of the songs with the most phenomenal theme of humanity, entitled We Are The World. In the making, this song was created as a charity song initiated by the USA for Africa which aims to raise funds for the prevention of hunger in the African region, precisely in Ethiopia. This is because Ethiopia is experiencing political instability and drought from 1984-1985. In this study, the author uses Ferdinand de Saussure's semiotic analysis to see the message of meaning contained in each of the lyrics. For the research methodology, the author uses a qualitative method to review this paper. Then the author also uses the concept of humanity as the basis of the research argument, the concept of love by Mahatma Gandhi and M. Said Ramadhan Al Buthi in their interpretation of Ali Imron verse 14 and uses propaganda theory to see the role of this song implies the value of humanity. Sources of data were obtained through literature review from Scopus and Google Scholar journal documents with the NVivo 12 Plus application as a lyric analysis tool. The findings resulting from this study are that with the song, moral and humanitarian messages can be conveyed well to the public by upholding universal ethical values towards humanity. It is proven that the song We Are The World always gets more enthusiasm in the community by always being commemorated on the date of its creation, and from the recording royalties it is allocated for charity activities. It is believed by the author as a parameter for the success of the song We Are The World to get more sympathy and become a symbolic song for human things
Perbandingan Dosis Warfarin terhadap Durasi Tercapainya Target INR pada Pasien CHF dengan Fibrilasi Atrial
Telah dilakukan penelitian mengenai perbandingan dosis warfarin terhadap durasi tercapainya target INR pada pasien CHF dengan fibrilasi atrial di RSUP DR. M. Djamil Padang. Penelitian ini dianalisis menggunakan metode anova satu arah yang jika bermakna dilanjutkan dengan uji post hoc. Dari total 27 pasien, seluruhnya menderita penyakit CHF dan 11 orang menderita hipertensi. Pasien dengan umur <60 tahun sebanyak 15 orang, 60-74 tahun sebanyak 11 orang, dan ≥75 tahun sebanyak 1 orang. Pasien berjenis kelamin laki-laki dan perempuan masing-masing berjumlah 11 dan 16 orang. Rata-rata durasi tercapainya target INR pada dosis 2 mg adalah 38,22 hari; dosis (2 mg dan 4 mg) adalah 29,33 hari; dan dosis 5 mg adalah 6,56 hari. Terdapat perbedaan rerata durasi tercapainya target INR secara bermakna pada kelompok dosis. Dosis 5 mg memiliki rerata durasi tercapainya target INR yang berbeda signifikan dibandingkan dengan dosis lainnya.</jats:p
Synthesis of Novel Derivatives by Allylic Bromination of Β-Asarone from the Roots of Acorus Calamus
This Dissertation / Report is the outcome of investigation carried out by the creator(s) / author(s) at the department/division of Central Food Technological Research Institute (CFTRI), Mysore mentioned below in this page
Peripartum Cardiomyopathy: A Case Report
Background: Peripartum cardiomyopathy (PPCM) is a type of dilated cardiomyopathy of unknown origin. Predisposing factors for PPCM are multiparity, family history, ethnicity, smoking, diabetes, hypertension, preeclampsia, malnutrition, and advanced age in pregnant women or teenage pregnancy.
Case presentation: A 29-year-old female patient was treated in the internal medicine department of Dr. M. Djamil General Hospital Padang on March 18th, 2023, with the main complaint of shortness of breath. On physical examination, signs of congestion were found. ECG shows sinus tachycardia, QT prolongation, and T inversion in V3-V6, II, III, and aVF. The patient is established with peripartum cardiomyopathy, community-acquired pneumonia, nonsevere low-risk MDR, hypochromic microcytic mild anemia et causa chronic disease, high-risk VTE, h hypokalemia et causa diuretic.
Conclusion: Education regarding recurrent recurrence of PPCM in subsequent pregnancies is 30-50%. The prognosis depends on the recovery of left ventricular function; 30% of patients can return to baseline ventricular function within 6 months, and 50% of patients have an improvement in symptoms and ventricular function. Contraception is recommended that does not pose a risk of thromboembolism, such as a uterine device (IUD) and subcutaneous progesterone
Gambaran Hasil Uji Widal Berdasarkan Lama Demam pada Pasien Suspek Demam Tifoid
AbstrakDiagnosis definitif demam tifoid adalah dengan biakan, tetapi pada beberapa daerah sering tidak tersedia fasilitas untuk biakan, maka cara lain untuk membantu menegakkan diagnosis yang praktis dan tersedia di rumah sakit yaitu uji Widal. Tujuan penelitian ini adalah untuk mengetahui gambaran hasil uji Widal pada pasien suspek demam tifoid. Penelitian ini dilakukan di Bagian Rekam Medik RS Dr. M. Djamil Padang. Jenis penelitian ini adalah retrospektif deskriptif yang telah dilaksanakan dari Juli 2013 sampai Februari 2014. Jumlah sampel yang didapatkan adalah sebanyak 46 orang. Dari 46 sampel didapatkan hasil uji Widal dengan titer antibodi terhadap antigen O 1:80 sebanyak 6,51%, 1:160 sebanyak 73,89%, 1:320 sebanyak 19,54%, dan 1:640 sebanyak 0%. Titer antibodi terhadap antigen H 1:80 sebanyak 4,34%, 1:160 sebanyak 47,80%, 1:320 sebanyak 45,63%, dan 1:640 sebanyak 2,17%. Kesimpulan hasil studi ini ialah 1:160 adalah titer yang tersering ditemukan dengan titer antibodi terhadap antigen O tertinggi yakni 1:320 lebih sering ditemukan pada lama demam dengan rentang 6 – 8 hari sedangkan titer antibodi terhadap antigen H tertinggi yakni 1:640 ditemukan pada lama demam dengan rentang 6 – 8 hari.Kata kunci: demam tifoid, uji Widal, Salmonella typhi AbstractThe definitive diagnosis of typhoid fever is proven by culture, but in some areas is often no way of culture. There is another examination that has been found to help the diagnosis that is practical and available in hospital which is called Widal test. The objective of this study was to describe the results of Widal test in patients with suspected typhoid fever. This research was conducted at the medical record of Dr. M. Djamil Padang Hospital. This is a descriptive research which was held in July 2013 – February 2014. The number of samples obtained are as many as 46 people. The 46 samples obtained Widal test, the results was made with titres of antibodies against O antigens 1:80 as much as 6,51%, 1:160 as much as 73,89%, 1:320 as much as 19,54%, and 1:640 as much as 0%. Titers of antibodies against H antigens 1:80 as much as 4,34%, 1:160 as much as 47,80%, 1:320 as much as 45,63%, and 1:640 as much as 2,17%. The conclusion is 1:160 is the most often titres found in patients with suspected typhoid fever with the highest value of antibody titers against the O antigens that is 1:320, is more common in duration of fever with a range of 6-8 days and the highest value of antibody titers against H antigens that is 1:640 has found in duration of fever with range 6-8 days.Keywords: typhoid fever, Widal test, Salmonella typhi </em
Hubungan Pengetahuan dan Sikap dengan Tindakan Pencegahan Penularan HIV-AIDS pada Waria di Kota Padang Tahun 2013
AbstrakKasus HIV/AIDS di Provinsi Sumatera barat sampai Desember 2012 sebanyak 133 kasus positif HIV dan 120 kasus AIDS, jumlah kasus terbesar di kota Padang sebesar 78,94%. Faktor resiko paling banyak melalui hubungan seksual sebesar 32%, dan di antara 40 orang waria penjaja seks dibawah bimbingan LSM APP(Aia Pacah Peduli) dinyatakan 5 waria +HIV. Tujuan penelitian untuk menganalisa hubungan pengetahuan dan sikap dengan tindakan pencegahan penularan HIV-AIDS pada waria di kota Padang. Metode penelitian adalah analitik observasional dengan pendekatan cross sectional study. Populasi penelitian adalah para waria penjaja seks dibawah bimbingan LSM APP Padang. Penentuan jumlah sampel menggunakan teknik total sampling dengan jumlah sampel 40 waria penjaja seks. Analisis data menggunakan uji statistik chi-square. Hasil penelitian menunjukkan bahwa 65% waria penjaja seks memiliki tindakan yang baik, 70% memiliki pengetahuan yang tinggi, dan 52,5% menunjukkan sikap sedang terhadap pencegahan penularan HIV-AIDS. Hasil uji chi-square menunjukkan bahwa ke dua variabel independen berhubungan secara bermakna dengan variabel dependen (p < 0,05) yaitu variabel pengetahuan (p = 0,040) dan sikap (p = 0,048).Kata kunci: Pengetahuan, Sikap, Tindakan, HIV-AIDS, Waria penjaja seksAbstractCases of HIV/AIDS in West Sumatra province until December 2012, is as many as 133 cases of HIV positive and 120 cases of AIDS, with the largest number is occured in Padang city that is 79.3%. The most influenced risk factor is through a sexual relationship amounted to 32%, and among the 40 transvestites sex workers who have been under the guidance of the APP (Aia Pacah Peduli)—an NGO, there are 5 transvestites with +HIV. This research aims to analyze the relationship of knowledge and attitude with the precautions of HIV/AIDS transmission on transvestites in Padang city. Methode of this research is an observational analytic study with cross sectional study approach. Population were all transvestites sex workers (40) who have been under the guidance of the APP (Aia Pacah Peduli)—an NGO that is 40. The amount of this sample is chosen using total sampling. Data analysis uses statistical test of chi-square. The research results showed that 65% of transvestites sex workers take good preventive action, 70% had high knowledge, and 52.5% show that they took sufficient attitude related to prevention of HIV/AIDS transmission. Chi-square test results showed that the two independent variables are significantly correlated with the dependent variable (p < 0,05), that is knowledge variable (p =0,040) and attitude (p =0,048).Keywords: Knowledge, Attitude, Action, HIV/AIDS, Transvestites sex workers</p
Cooling rates of neutron stars and the young neutron star in the Cassiopeia A supernova remnant
We explore the thermal state of the neutron star in the Cassiopeia A supernova remnant using the recent result of Ho & Heinke that the thermal radiation of this star is well described by a carbon atmosphere model and the emission comes from the entire stellar surface. Starting from neutron star cooling theory, we formulate a robust method to extract neutrino cooling rates of thermally relaxed stars at the neutrino cooling stage from observations of thermal surface radiation. We show how to compare these rates with the rates of standard candles – stars with non-superfluid nucleon cores cooling slowly via the modified Urca process. We find that the internal temperature of standard candles is a well-defined function of the stellar compactness parameter x=rg/R, irrespective of the equation of state of neutron star matter (R and rg are circumferential and gravitational radii, respectively). We demonstrate that the data on the Cassiopeia A neutron star can be explained in terms of three parameters: f?, the neutrino cooling efficiency with respect to the standard candle; the compactness x; and the amount of light elements in the heat-blanketing envelope. For an ordinary (iron) heat-blanketing envelope or a low-mass (? 10?13 M?) carbon envelope, we find the efficiency f?? 1 (standard cooling) for x? 0.5 and f?? 0.02 (slower cooling) for a maximum compactness x? 0.7. A heat blanket containing the maximum mass (?10?8 M?) of light elements increases f? by a factor of 50. We also examine the (unlikely) possibility that the star is still thermally non-relaxe
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Book:
Ellis, R. (2003). Task-based language learning and teaching. Oxford: Oxford University Press.
Internet source:
Andrewes, S. (2003). Group work v. whole-class activities. Retrieved October 1, 2012 from http://www.teachingenglish.org.uk/think/articles/group-work-v-whole-class-activities
Journal:
Yusuf, Y. Q., Pillai, S., & Mohd. Ali, N.T.A. (2013). Speaking Acehnese in Malaysia. Language and Communication, 33(1): 50-60.
Chapter in an edited volume:
Lee, E. M., & Lim, L. (2000). Diphthongs in Singaporean English: Their realizations across different formality levels, and some attitudes of listeners towards them. In A. Brown, D. Deterding & E. L. Low (Eds). The English language in Singapore: Research on pronunciation (pp. 101-111). Singapore: Singapore Association for Applied Linguistics.
Conference proceedings publications:
Al-Tamimi, J., & Ferragne, E. (2005). Does vowel space size depend on language vowel inventories? Evidence from two Arabic dialects and French. Proceedings of Interspeech (pp. 2465-2468). Lisbon, Portugal.
Published dissertation:
Asyik. A. G. (1987). A contextual grammar of Acehnese sentences. (Doctoral dissertation). University of Michigan, Ann Arbor. Retrieved February 4, 2014 from http://www.acehbooks.org/pdf/00402.pdf. (Order number: 8720237)
Unpublished thesis/dissertation:
Yasin, B. (2004). Sistem informasi manajemen pendidikan: Studi pengembangan model sistem informasi manajemen bidang adminsitrasi akademik dan kemahasiswaan pada FKIP Unsyiah. (Unpublished doctoral dissertation). Universitas Negeri Malang Malang.
Unpublished paper presented at a conference:
Yasin, B. (2007, December). Membangun masa depan pendidikan Aceh Barat: Strategi dan kebijakan. Paper presented at the Seminar Pembangunan Pendidikan Kabupaten Aceh Barat, Universitas Syiah Kuala, Banda Aceh, Indonesia.
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Akmal, S. (2011, March 13). Nasib Bahsa Aceh di tengah euforia nasionalisme Keacehan. Serambi Indonesia, p. Opini column.
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