Arifin Seweng
Bagian Anestesiologi, Perawatan Intensif Dan Manajemen Nyeri, Fakultas Kedokteran, Universitas Hasanuddin Makassar

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Social-Demographic Characteristics of Acceptance of Measles Rubella Immunization in Tongkuno District, Indonesia Yanna Mellina; Arifin Seweng; Andi Mardiah Tahir
Health Notions Vol 3, No 7 (2019): July
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.981 KB) | DOI: 10.33846/hn30701

Abstract

Acceptance of immunization is one of the challenges faced by the government in the Rubella Measles immunization program. This study aims to measure the influence of social demography on the acceptance of Measles Rubella immunization in Tongkuno District, Indonesia. The study was conducted in the working area of Tongkuno Health Center, Muna Regency. The research design used was a cross sectional study. The research sample was 299 people who were selected using the proportional stratified random sampling technique. Data were analyzed using chi square test and logistic regression. The results showed the socio-demographic characteristics associated with receipt of Tongkuno District rubella measles immunization were the age of the child (p-value = 0.008), children's education (p-value = 0.002) and age of parents (p-value = 0.015). Child education is the variable most associated with the acceptance of MR immunization with an OR value of 0.155 (95% CI: 0.045 - 0.539). The intensive socialization of MR immunization carried out by the government in all circles makes it easy for people to receive information that is not only influenced by education and the work of parents. counseling needs to be done and periodic outreach to both the community and mothers who have children about the benefits of MR immunization. Keywords: Socio-demographic characteristics; immunization; measles; rubella; tongkuno; Indonesia
Perbandingan Efektivitas Premedikasi MgSO4 40 mg/Kgbb dengan Klonidin 1 mcg/Kgbb Intravena sebagai Ajuvan untuk Teknik Hipotensi Kendali pada Bedah Sinus Endoskopik Fungsional Kausarina Purwaningrum; Abdul Wahab; Arifin Seweng
JAI (Jurnal Anestesiologi Indonesia) Vol 6, No 1 (2014): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.107 KB) | DOI: 10.14710/jai.v6i1.6648

Abstract

Latar belakang: Teknik hipotensi kendali akan mengurangi perdarahan sehingga lapang pandang operasi lebih jelas dan kemungkinan komplikasi dapat dihindari.Tujuan: Membandingkan efektivitas premedikasi MgSO4 40 mg/kgBB dengan Klonidin 1 mcg/kgBB intravena sebagai ajuvan teknik hipotensi kendali pada bedah sinus endoskopik fungsional pada anestesi umum.Metode: Penelitian eksperimental secara acak tersamar tunggal. Total sampel 48 orang yang menjalani bedah sinus endoskopik fungsional. Sampel dibagi dalam dua kelompok perlakuan, kelompok pertama diberikan premedikasi MgSO4 40 mg/kgBB (n=24) dan kelompok kedua diberikan Klonidin 1 mcg/kgBB (n=24).  Selama periode hipotensi kendali, setiap 15 menit ahli THT memberikan penilaian numerik dari kondisi lapangan operasi menggunakan skala Fromme dan Boezzart. Data non parametrik diuji dengan uji Mann-Whitney.Hasil: Tampilan lapangan pandang operasi pada bedah sinus endoskopik fungsional pada kedua kelompok tidak berbeda bermakna (p>0,05)Simpulan: Premedikasi MgSO4 40 mg/kgBB intravena sama efektif dengan Klonidin 1 mcg/kgBB sebagai ajuvan dalam teknik hipotensi kendali dan memberikan tampilan lapangan operasi yang bersih pada bedah sinus endoskopik fungsional.
Effect of a Single Dialysis on Cognitive Function in Chronic Kidney Disease Stage 5 Hemodialysis Patients Andi Rahmat Hidayat; Haerani Rasyid; Syakib Bakri; Hasyim Kasim; Saidah Syamsuddin; Arifin Seweng
Indonesian Journal of Kidney and Hypertension Vol 2 No 2 (2019): May - August 2019
Publisher : PERNEFRI (PERHIMPUNAN NEFROLOGI INDONESIA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.148 KB) | DOI: 10.32867/inakidney.v2i2.10

Abstract

Abstract Background: The incidence of cognitive impairment (CI) has been widely reported in various studies among chronic kidney disease (CKD) patients. Many factors influence cognitive function including hemodialysis (HD) process itself. There is much evidence that a single HD session brings about changes in the cognitive status of patients, but just a few studies assessing whether cognitive performance varies with dialysis. Aim: To know the effect of single dialysis session on cognitive function in HD patients. Method: Sixty medically stable CKD stage 5 patients on HD maintenance at least for three months were enrolled. Cognitive testing performed thrice, 1-2 hour prior dialysis (T1), 3-4 hour into the session (T2) and 24 hour after the session (T3) using a well-validated neuropsychological test battery, Montreal Cognitive Assessment (MoCA) Indonesian version which assess the domain of cognitive function including visuospatial, executive function, naming, memory, attention, language, abstraction, recall, and orientation. Result: among 60 patients complete testing, mean age 45,45 ± 11,28 years, dialysis vintage 10,12 ± 11,88 months, 44 patients (73,3%) had CI at baseline. Cognitive function decline during dialysis (T2) (MoCA INA score 21,65 to 19,67, p < 0.001) and visuospatial, executive function, attention, language and recall was impaired during dialysis. While cognitive function reached its best 24 hour after dialysis (MoCA INA score 23,65, p < 0.001) and all the domain of cognitive function was improved except naming that didn’t change over the dialysis session. Age and dialysis adequacy were associated with the decline. Conclusion: There is effect of a single HD session on global cognitive function where cognitive function was deteriorated during HD and reached its best 24 hour after HD. Keywords: cognitive function, chronic kidney disease, hemodialysis
COMPARISON OF TWO DIFFERENT DOSAGES OF COMBINATION OF INTRAVENOUS GRANISETRON WITH INTRAVENOUS DEXAMETHASONE AS A PROPHYLAXIS FOR NAUSEA AND VOMITING IN CAESAREAN SECTION WITH SUBARACHNOID BLOCK Irfan Faisal Sjattar; Syafruddin Gaus; Andi Salahuddin; Arifin Seweng
Jurnal Kesehatan Vol 15 No 1 (2022): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v15i1.25811

Abstract

Granisetron can be used to treat and prevent nausea and vomiting in patients receiving chemotherapy or radiotherapy, as well as during or after surgery. To compare the effects of two doses of intravenous granisetron on nausea and vomiting in Caesarean section with subarachnoid block. This study was a randomized double-blind clinical trial. Subjects were randomized into two groups: Granisetron 10 mcg/kg (GD10) and granisetron 25 mcg/kg (GD25). Dexamethasone 0.1 mg/kg was also administered to all subjects. A total of 21 subjects were included for each group. Data was analyzed using Mann Whitney U test. The results When comparing the incidence of nausea and vomiting in the GD10 and GD25 groups, there was a significant difference in the incidence of nausea (p = 0.001). In the GD10 group, there were nine participants who experienced nausea, whereas the GD25 group had none. Neither of the groups experienced vomiting, hence no additional therapy given to both groups. Granisetron is a selective 5-HT3 receptor antagonist and an effective antiemetic during and after neuraxial anesthesia for Caesarean section. The combination of granisetron and dexamethasone has been reported to be more potent than granisetron alone. Administration of granisetron 25 mcg/kg had a positive impact on patients, with no incidence of nausea and vomiting compared to administration of granisetron 10 mcg/kg.