Rehatta, Nancy Margarita
Departemen Anestesi Dan Reanimasi, Fakultas Kedokteran, Universitas Airlangga; RSUD Dr. Soetomo, Surabaya, Indonesia

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NUMERIC RATING SCALE ANALYSIS OF TRIGEMINAL NEURALGIA PATIENTS BEFORE AND AFTER MICROVASCULAR DECOMPRESSION Fitri Amelia, Elena Ghentilis; Turchan, Agus; Rehatta, Nancy Margarita; Hidayati, Hanik Badriyah
Malang Neurology Journal Vol 7, No 1 (2021): January
Publisher : Malang Neurology Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2021.007.01.4

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Background: Trigeminal Neuralgia is a common condition of facial pain and its significantly affect patients’ daily life. Microvascular decompression is one of the interventional pain management for trigeminal neuralgia. There is still a little data obtained on evaluation of facial pain after microvascular decompression in Indonesia.   Objective: This research aimed to evaluate facial pain after microvascular decompression of  trigeminal neuralgia patients in Dr. Soetomo General Hospital, PHC Hospital, and Bangil General Hospital, Indonesia.Methods: The research design was a pretest-posttest with total sampling. Data were obtained from medical records from January 2018 until June 2019. Researches used Numeric Rating Scale (NRS) as pain measurement. The data obtained were analyzed by descriptive statistical test, normality test, and paired t-test.Results: Trigeminal Neuralgia patients that has been treated with microvascular decompression have an average facial reduction from 7.33±2.29 to 1.89±3.41 with p = 0.001. This result showed that the microvascular decompression has significantly reduce facial pain in patients with trigeminal neuralgia.Conclusion: Microvascular decompression significantly reduce the facial pain of trigeminal neuralgia patients.
The Higher Level of Neutrophil – Lymphocyte Ratio (NLR) and Serum Syndecan-1 Based on Timeline (First, Sixth, and Twenty-Fourth Hour) in Sepsis-Induced Acute Kidney Injury Lila Tri Harjana; Eddy Rahardjo; Windhu Purnomo; Lilik Herawati; Nancy Margarita Rehatta
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17578

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This study aims to analyze the difference between the NLR and serum syndecan-1 level at the first,sixth, and twenty-fourth hours with the incidence of acute kidney injury (AKI) and non-AKI in sepsis.We observed thirty-one adult sepsis patients who admitted to the emergency room and ICU of Dr.Soetomo General Academic Hospital, Surabaya, Indonesia from March 30, 2020, to July 5, 2020 (fourmonth),and differentiated into two groups, AKI group (n=14) and non-AKI group (n=17). All septicpatients have been given the standard treatment based on Survival Sepsis Campaign 2018. The resultsshowed that the NLR at 1st-hours, 6th-hours, and 24th-hours in the non-AKI group were lower thanthose in the AKI group (1st: 15.9±2.6 vs 33.0±11.3; 6th: 14.2±1.8 vs 19.3±3.8; and 24th: 11.6±1.3 vs19.9±3.8) (p <0.00). Almost NLR at every groups based on serial hours were decreasing, except in theAKI group, the NLR at the 24th-hour group was higher than the NLR at 6-hour group, but still lowerthan the NLR at 1st-hours. Serum syndecan-1 levels were lower in the non-AKI group than in theAKI group, at 1st, 6th, and 24th-hours, (1st: 532.5±72.0 ng/mL vs 597.2±85.8 ng/mL; 6th: 557.6±71.6ng/mL vs 612.0±73.9 ng/mL; and 24th: 548.4±76.6 ng/mL vs 586.4±84.6 ng/mL) (p <0.05). It canbe concluded that the neutrophil-lymphocyte ratio (NLR) and serum syndecan-1 levels at 1st, 6th,and 24th hours is higher in the AKI compared to non-AKI groups in sepsis. Hence, NLR and serumsyndecan-1 have a potential biomarkers for sepsis-induced AKI.
Comparison General Anesthesia And Combined Scalp Block With Ropivacaine 0.5% On Mean Arterial Pressure, Heartrate And Fentanyl Consumption During Craniotomy. Rudi Iskandar Suryadani; Hamzah Hamzah; Nancy Margarita Rehatta; Arie Utariani
JURNAL WIDYA MEDIKA Vol 6, No 1 (2020): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (752.456 KB) | DOI: 10.33508/jwm.v6i1.2499

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Surgical craniotomy such as skin incisions, head pinning, periosteal-dural contact, dura closure, bones and skin can cause of nociceptive stimulation. These actions are stimuli to the nerves that can stimulate stress response. The stress response to surgery is characterized by increased secretion of the pituitary hormone and activation of the sympathetic nervous system. Hypothalamic activation of the sympathetic autonomic nervous system results in increased secretion of catecholamines from the adrenal medulla and the release of norepinephrine from the presynaptic nerve terminal. Objectives: This study is a single blind experimental, 14 patients with ages 18-60 years physical status ASA (American Society of Anesthesiologists) 1-3, with elective craniotomy surgery. This study was divided into two groups of subjects, group A with seven craniotomy subjects with general anesthesia and group B with seven craniotomy subjects combined with scalp block using ropivacaine 0.5%. Data collected then analyzed with SPSS. We found a decrease in MAP (Mean Arterial Pressure) and heart rate in the scalp block group during scalp incision (MAP p=0.002; HR p=0.029), periosteal contact (MAP p=0.025; HR p=0.039) significantly, as well as the use of fentanyl during surgery was significantly decreased (p=0.0001). General anesthesia with scalp block is more effective in reducing the increase in MAP, heart rate and fentanyl consumption during craniotomy.
Pengaruh gaya belajar, lama waktu belajar, dan mitra belajar terhadap nilai ujian utama mata kuliah ilmu kesehatan anak pada program studi S1 pendidikan dokter fakultas kedokteran Universitas Airlangga Candra Dwantara Ramadhan; Maftuchah Rochmanti; Nancy Margarita Rehatta
Jurnal Kedokteran Syiah Kuala Vol 19, No 3 (2019): Volume 19 Nomor 3 Desember 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i3.12504

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Abstrak. Pediatri adalah spesialisasi ilmu kedokteran yang berkaitan dengan bayi dan anak-anak. Ada beberapa materi yang perlu dipelajari termasuk 14 bab di mana ada total 48 topik. Penelitian ini bertujuan untuk mengetahui pengaruh gaya belajar, lama waktu belajar, dan mitra belajar terhadap nilai ujian utama Ilmu Kesehatan Anak. Metode yang digunakan dalam penelitian ini adalah pendekatan cross-sectional. Menganalisis pengaruh antara variabel bebas dengan variabel terikat dengan menggunakan kuesioner. Sebagian besar gaya belajar mahasiswa semester 7 yang mengikuti ujian utama Ilmu Kesehatan Anak adalah gaya Visual (62,4%), Auditori dan Kinestetik memiliki persentase yang sama (18,8%). Mayoritas mahasiswa belajar lebih dari 2 jam (68%) sisanya kurang dari 2 jam (32%). Mayoritas mahasiswa belajar mandiri (58,4%) sisanya belajar dengan tutor teman sebaya (41,6%). Tidak ada pengaruh yang signifikan antara gaya belajar dan nilai ujian utama Ilmu Kesehatan Anak. Tetapi, ada pengaruh antara lama waktu belajar (p=0,033) dan mitra belajar (p=0,003) terhadap nilai ujian utama Ilmu Kesehatan Anak. Tidak ada pengaruh antara gaya belajar dan nilai ujian Ilmu Kesehatan Anak. Terdapat pengaruh antara lama waktu belajar, mitra belajar, terhadap nilai ujian Ilmu Kesehatan Anak. Kata kunci: gaya belajar, lama waktu belajar, mitra belajar. Abstract. Pediatrics is a medical science specialization related to babies and children. There are some material that needs to be studied including 14 chapters in which there are a total of 48 topics. This study aims to determine the influence of learning styles, length of study time, and learning partners on result of the main pediatric exam. The method used in this study is a cross-sectional approach. Analyzing the influence of independent variables with dependent variables using a questionnaire. Most of 7th semester student who attend the pediatric main exam in 2017 learning styles is visual (62,4%), Auditory and Kinesthetic have the same percentage (18,8%). Most of students study more than 2 hours (68%) the rest are below 2 hours (32%). Most of students study by themselves (58,4%) the rest are study with their friend as a tutor (41,6%). There are no correlation between learning style and the result of pediatric main exam. But there are a correlation between length study time (p=0,033) and learning partners (p=0,003) towards the result of pediatric main exam. There are no correlation between learning style and the result of pediatric main exam. But there are a correlation between length study time and learning partners towards the result of pediatric main exam. Keywords: learning styles, length of study time, learning partners.
ORIGINAL ARTICLE: CAUSE OF STRESS AND COPING MECHANISM AMONG MEDICAL STUDENTS YEAR 2013 – 2015 IN UNIVERSITAS AIRLANGGA Aulia Rahmi; Azimatul Karimah; Nancy Margarita Rehatta
Jurnal Kedokteran Syiah Kuala Vol 19, No 2 (2019): Volume 19 Nomor 2 Agustus 2019
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v19i2.18056

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Abstract. Background: Stress is response and acknowledged as a natural respond to problems in daily life. Coping is defined as a process used to confront stress with various degree of effectiveness. Purpose: To correlate cause of stress and coping mechanism based on sex and year of admission among Universitas Airlangga medical students year 2013, 2014, and 2015. Method: This study was observational analytic study. Data were taken by self-administrated questionnaires (demographic, Medical Student Stressor Questionnaire, and BriefCOPE)  Result: Respondents were dominated by female (60%) and  out of 90 answers, the most frequent stressor was Academic Relater stressor (45.12%) regardless of the gender and admission year, and the most frequent coping mechanism is Planning (79.50%)  and Religion for female students (80.75%) and 2013 students (78.75%). There was a significant correlation between stressor Intrapersonal and Interpersonal and Teaching and Learning Related also coping mechanism Planning, Humor, and Religion between male and female participants. There was also significant correlation between different admission year for coping mechanism Denial, Humor, and Self Blame. Conclusion: The most common stressor of the student year 2013, 2014, and 2015 with medical major in Universitas Airlangga is Academic Related and the most common coping mechanism is Planning.Keywords: medical student, academic stressor, coping mechanism, observational analytic study
The Difference of Results in Abdomen and Anus Area Measurement With Non-Contact Infrared Thermometer Anna Surgean Veterini; Nancy Margarita Rehatta; Hamzah Hamzah; Widijiati Widijiati; Sarmanu Sarmanu; Subijanto Marto Soedarmo; Widodo Jatim Pudjirahardjo; Annis Catur Adi; Heni Rachmawati; I Ketut Sudiana
Jurnal Veteriner Vol 22 No 2 (2021)
Publisher : Faculty of Veterinary Medicine, Udayana University and Published in collaboration with the Indonesia Veterinarian Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.022 KB) | DOI: 10.19087/jveteriner.2021.22.2.183

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Study about sepsis is chalenging to get the right therapeutic method. One clinical signs of the sepsis mice model is changes in body temperature. An easy way to examine body temperature is using infrared non-contact thermometer. The aim of this study is to compare the body temperature obtained from infrared non-contact thermometer at the abdomen and anus area. We used male Mus musculus mice, body weight of 25–30 grams, were divided into 2 groups (control and treated groups). In the control group, mice were injected with NaCl 0.9% solution, with the amount of NaCl volume equal to LPS. In the treated group, mice were injected with 2.5 mg/kgBW of LPS intraperitoneally. Body temperature measurement was measured in abdomen (tabd) and anus (tan) area. Body temperature was measured at 8th and 24th hour after LPS or NaCl injection. Body temperature value result using tabd was higher than tan. LPS injection to mice produced an increase in body temperature but was not significant when compared to the control group (8th and 24th hour). The mean difference between tabd and tan in 8th hour control groups respectively were 2.12oC. The mean difference between tabd and tan in 24th hour control groups 4.6oC. The mean difference in treated groups (8th hour) was 4.66oC, while it was 4.77oC in the 24th hour treated groups. LPS could caused vasodilation of the vessels, the measurement area of non contact-infrared thermometer will be the most important factor to be considered; tan may closer to the physiology condition.
Peran Deksmedetomidin Sebagai Protektor Otak Yang Dinilai Dengan Kadar Il-6 Dan Cox-2 Pada Tikus Model Cedera Otak Traumatika Mohammad Sofyan Harahap; A. Himendra Wargahadibrata; Tatang Bisri; Nancy Margarita Rehatta
JAI (Jurnal Anestesiologi Indonesia) Vol 7, No 3 (2015): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.624 KB) | DOI: 10.14710/jai.v7i3.10806

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Latar belakang: Proteksi otak sangat penting dalam penanganan cedera kepala sehari hari, agar tidak terjadi cedera sekunder. Proteksi otak terdiri dari metode dasar dan farmakologik yaitu dengan menggunakan obar-obatan. Sampai saat ini belum ada hasil proteksi otak yang konsisten dari berbagai metode farmakologi, sehingga masih terus menjadi bahan kajian.Tujuan :  Penelitian ini untuk mengetahui peran deksmedetomidin sebagai protektor otak yang dinilai dengan kadar IL-6 dan COX-2.Metode : Penelitian eksperimental di laboratorium dengan rancangan acak terkontrol, dilakukan pada 24 tikus wistar jantan, usia sekitar 3 bulan, kondisi aktif, yang mendapat perlakuan cedera kepala buatan derajat sedang. Setelah mendapat persetujuan komite etik, hewan coba dibagi dalam 3 kelompok secara random yaitu kelompok K1(NaCl) (n=8), kelompok P (deksmedetomidin) (n=8) dan kelompok K2 (kontrol) (n=8), kemudian dilakukan anestesi dengan Ketamin 80 mg/kgBB ip dan diambil sampel darah, selanjutnya kelompok K1 dan kelompok P dilakukan kraniektomi dan diberi trauma diikuti dengan pemberian deksmedetomidin 60 µgr/kgBB ip untuk kelompok P dan NaCl dengan volume dan cara sama untuk kelompok K1. Kelompok K2 tidak dilakukan cedera dan tidak mendapat terapi apapun. Pemberian deksmedetomidin atau NaCl diulang pada jam ke-3, ke-12 dan ke-24, pengambilan sampel darah berikutnya untuk pemeriksaan dengan metode ELISA dilakukan pada jam  ke-12 dan jam ke-24. Data yang diperoleh kemudian dianalisis dengan uji ANOVA dan Friedman serta uji korelasi Spearman.Hasil :  Kadar IL-6 pada kelompok K1 meningkat secara bermakna dibanding kelompok P, pada 12 jam dan 24 jam pasca trauma. (160±15,57) vs (140,5±17,65) dan (172,6±19,07) vs (124,2±23,6). Sedangkan Kadar COX-2 pada kelompok K1 meningkat secara bermakna dibanding kelompok P pada 12 jam dan 24 jam pasca trauma. (1491,41±341) vs (803,62±215,73) dan (1048,45±170,43) vs (588,93±198,57). Kadar COX-2 menunjukkan proses inflamasi yang terjadi.  Analisis Spearman’s menunjukkan adanya korelasi positif antara IL-6 dan COX-2 (ρ=0,71), yang terjadi pada 12 jam pasca trauma pada kelompok yang mendapat NaCl.Simpulan:  Deksmedetomidin mempunyai peran sebagai protektor otak dengan menurunkan kadar IL-6 dan COX-2. Ada korelasi positif pada perubahan kadar antara  IL-6 dan COX-2 setelah trauma. 
Perbandingan Visualisasi Laring dan Glotis pada Maneken Intubasi Sulit menggunakan Video Laryngoscope C-MAC dan VL-Scope Abdul Kadir Munsy; Nancy Margarita Rehatta; Maulydia Maulydia; Agustina Salinding; Arie Utariani; Teguh Sylvaranto; Elizeus Hanindito
JAI (Jurnal Anestesiologi Indonesia) Vol 10, No 3 (2018): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1195.059 KB) | DOI: 10.14710/jai.v10i3.20666

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Latar Belakang: Video laryngoscope C-MAC terbukti sangat membantu dalam tindakan intubasi terutama pada pasien kasus dengan difficult airway. Departemen Anestesiologi dan Reanimasi Rumah Sakit Dokter Soetomo Surabaya telah menciptakan video laryngoscope VL-Scope dengan fitur perekam audiovisual dengan harga yang jauh lebih murah.Tujuan: Membandingkan waktu yang dibutuhkan oleh video laryngoscope C-MAC dan VL-Scope pada simulasi maneken imobilisasi cervical spine dengan rigid collar neck.Metode: Penelitian dengan desain eksperimental acak ini melibatkan residen untuk melakukan intubasi dengan 2 video laringoskop yaitu C-MAC dan VL-Scope pada simulasi maneken imobilisasi cervical spine dengan rigid collar neck. Penelitian dilakukan dengan cara mengobservasi perbedaan waktu yang diperlukan untuk melihat plica vocalis, lama intubasi dan penekanan pada gigi menggunakan  laringoskop C-MAC dan video laringoskop VL-ScopeHasil: Video laryngoscope C-MAC mempersingkat waktu rata-rata untuk menilai derajat Cormarck and Lehane (8.57 ± 2,64 ) dan intubasi (17.89 ± 5,92) dibandingkan dengan video laringoskop VL-Scope (12.24±5,83) dan (20,68±5,83) detik. Namun frekuensi kejadian penekanan terhadap gigi saat tindakan laringoskopi adalah sama menggunakan kedua alat tersebut 2/37(5,4%)Kesimpulan: Intubasi menggunakan video laryngoscope C-MAC lebih efektif pada maneken imobilisasi cervical spine dengan rigid collar neck namun angka kejadian penekanan gigi pada tindakan tersebut adalah sama.
Comparison of Length of Stay and Deep Vein Thrombosis (DVT) Incidents in Dr. Soetomo Hospital Elizeus Hanindito; Prananda Surya Airlangga; Soni Sunarso Sulistiawan; Bambang Pujo Semedi; Lucky Andriyanto; Arie Utariani; Nancy Margarita Rehatta
Folia Medica Indonesiana Vol. 54 No. 4 (2018): December
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.835 KB) | DOI: 10.20473/fmi.v54i4.10713

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Vein thrombosis may occur both in deep and superficial vein of all extremities. Ninety percent of vein thrombosis may progress into pulmonary embolism which is lethal. Deep vein thrombosis (DVT) is frequently found in critically ill patients in ICU, especially patients who are treated for a long time. This study aims to analyse the comparison between length of stay and DVT incidents in critically ill patients. A cross-sectional study was employed. We include all patients who were 18 years or older and  were treated in ICU of Dr Soetomo public hospital for at least 7 days. The patients were examined with Sonosite USG to look for any thrombosis in iliac, femoral, popliteal, and tibial veins and Well’s criteria were also taken. This study showed that length of stay is not the only risk factor for DVT in patients treated in ICU. In our data, we found out that the length of treatment did not significantly cause DVT. Other risk factors such as age and comorbidities in patients who are risk factors may support the incidence of DVT events. The diagnosis of DVT is enforced using an ultrasound performed by an expert in the use of ultrasound to locate thrombus in a vein. Length of treatment is not a significant risk factor for DVT. Several other factors still need to be investigated in order for DVT events to be detected early and prevented.
PREVALENCE OF DEPRESSION IN FIRST-YEAR MEDICAL STUDENTS AT UNIVERSITAS AIRLANGGA, SURABAYA, INDONESIA Dina Arini Izzah; Suksmi Yitnamurti; Nancy Margarita Rehatta
Majalah Biomorfologi Vol. 31 No. 2 (2021): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v31i2.2021.39-43

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Background: Depression is a mental disorder with a relatively high prevalence rate in medical students around the world. Medical students are often faced with a variety of pressures ranging from academic to social stress so that the prevalence of depression in medical students tends to be higher than general population. Objective: to find the prevalence of depression in medical students at Universitas Airlangga, Surabaya, Indonesia. Materials and Methods: This research was a descriptive cross-sectional study of first-year medical students at Universitas Airlangga, Surabaya, Indonesia in the academic year of 2017/2018. The data collection was carried out using Beck Depression Inventory II questionnaires as a measurement instrument and was analyzed by SPSS 16.0. Results: From 86 samples obtained from first-year students, 37.20% of them experienced mental conditions that were considered abnormal (mean score of 10.14 ± 7.093), starting from mild mood disturbance (23.26%) to the most severe category, severe depression (1.16%). There was no extreme depression category in this study. Furthermore, mean score of male subjects is 8.57 ± 6.120 while mean score of female subjects is 10.64 ± 7.351. Conclusion: This study revealed that the prevalence of depression in first-year medical students at Universitas Airlangga, Surabaya, Indonesia in the second semester of academic year 2017/2018 was quite high, which was more than one third of the total respondents, while the prevalence in female subjects was higher than in male subjects.