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GAMBARAN KEJADIAN KEGAGALAN ANESTESI SPINAL PADA PASIEN SEKSIO SESAREA DI RUMAH SAKIT UMUM DAERAH ARIFIN ACHMAD PROVINSI RIAU PERIODE MEI- JUNI 2014 Hardiyani, Wiwi Hardiyani; Irawan, Dino; Fauzia, Dina
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Sectio Cesarea is a birth giving of fetus through transabdomen insition in uterus or fetus excretion through the wall of abdomen insition (laparatomy) and the wall of uteus (hysterectomy). In birth giving of this sectiocesarea, the technic that is generally used is the general and regional anaesthesia, but mostly used is the regional one, especially for spinal anaesthesia. The spinal anaesthesia technic has a risk of failure that is known as failed spinal anaesthesia. The type of this research is the descriptive one with cross sectional approach, to see the description of a failed spinal anaesthesia incident to medical patient of section cesarean in General Hospital Arifin Achmad Riau Province on May-June 2014. The result of this research shows that the number of failed spinal anaesthesia incident to medical patient of section cesarean in General Hospital Arifin Achmad Riau Province is 3,4% for 3 cases. The most cause distribution are obtained by a-not-really-good medicine quality for 2 cases (66,67%), followed by unappropriate chemicals for the medicine for 1 case (33,33%). The implementation of pasca failed spinal anaesthesia in every case of this failure is the repetation of spinal anaesthesia procedure.Key words : Spinal anaesthesia, Failed Spinal Anaesthesia, Sectio Cesarea

Peranan Statin Dalam Memperbaiki Fungsi Paru pada Penyakit Paru Obstruktif Kronik (PPOK) Dina Fauzia
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Chronic obstructive pulmonary disease (COPD) is a disease state characterized by airflow limitation that is not fullyreversible and a global health problem with an increasing incidence. Latest pathogenesis states that inflammationoccurs in COPD is not just limited to the airway and parenchymal lung disease, but a systemic inflammation involvingother systems, especially the cardiovascular system. Therefore, the approach to COPD therapy currently includes twoaspects, suppression of lung inflammation and systemic diseases. One of the the therapeutic agent that may affectboth aspects are statin.

Penggunaan Antibiotik Profilaksis Pada Pembedahan Terbuka Batu Saluran Kemih Di RSUD Arifin Ahmad Provinsi Riau Dimas Pramita Nugraha; Dina Fauzia; M.Yulis Hamidy; M.Irvan Noorrahman
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Open surgery urinary tract stones are classified as clean-contaminated surgerywheresurgical prophylactic antibioticsare recommended.The purpose of this study was to determine the pattern and correct use of surgical prophylacticantibiotic in patients undergoing open surgery urinary tract stones in Arifin Ahmad Hospital.This research is a descriptivestudy using secondary data from medical records of patients who underwent open surgery urinary tract stones, with atotal sample amounted to 82 people. The precision of the use of antibiotics assessed based PermenkesGuidelines Useof Antibiotics.The results showed the use of prophylactic antibiotics for urinary tract surgery have not been preciselyclassified according to the indication the use of antibiotics andthe timing of antibiotics.Even though the durationantibiotics, dosage, and route of administration of prophylactic antibiotics are appropriate under the guidelines.Theuse of prophylactic antibiotics for open surgery urinary tract stones need improvement.

Penggunaan Antibiotik Profilaksis Bedah pada Sectio Cesarea di RSUD Arifin Achmad Provinsi Riau M. Yulis Hamidy; Dina Fauzia; Dimas P. Nugraha; M. Imam Muttaqien
Jurnal Ilmu Kedokteran Vol 10, No 1 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Cesarean section is a high risk operation for the development of surgical site infection. Routine prophylaxis withantibiotic may reduce this risk. Antibiotic administrations in presurgery and postsurgery are widely used to avoid andto treat surgical site infection. The purpose of this study was to evaluate the administration of prophylactic antibioticsfor cesarean section at the Arifin Achmad Hospital, Riau Province. This study included 485 patients who had beenunderwent cesarean section for one year period (January 1st – December 31st 2014). Data were collected using patient’smedical record. The study showed that prophylactic antibiotic was given to 43.7% of the subjects. All of the prophylacticsubjects received seftriaxon as prophylactic antibiotic. About 75.0% antibiotic was given <60 minutes before incision.All of the drugs were administered by intravenous route. It can be concluded that there are some inappropriate use ofprophylactic antibiotics. The greatest inappropriateness is inappopriate duration and indication of prophylacticantibiotic.

Strategi Optimasi Penggunaan Antibiotik Dina Fauzia
Jurnal Ilmu Kedokteran Vol 9, No 2 (2015): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Use of antibiotics known is an important factor in the development of resistance tontibiotics, namely the use ofantibiotics that are inappropriate, in the form of overuse or misuse. Inappropriate use of antibiotics should be reducedto prevent the selective pressure that will lead to the development of resistance to antibiotics. Given the magnitude ofthe problem of antibiotics use in hospitals and its impact on the growing and widespread resistance to antibiotics, it isnecessary to immediately improve antibiotic use. Various strategies or interventions can be done at the hospital tooptimize the provision of antibiotics.

POLA RESISTENSI Acinetobacter baumannii YANG DIISOLASI DI Intensive Care Unit (ICU) RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE 1 JANUARI HINGGA 31 DESEMBER 2014 Venty Rahman; Dewi Anggraini; Dina Fauzia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTBacterial resistance toward antibiotics occurs when antibiotics have lost their ability to effectively control or kill the growth of the bacteria. Bacterial resistance is a worldwide problem in both developing and developed countries. The purpose of this research is to know A. baumannii pattern and their antibiotics resistance isolated in an Intensive Care Unit of Arifin Achmad General Hospital in Riau Province period 1 January until 31 December 2014. This research used descriptive and retrospective design with the total number of isolates as much as 59 isolates. This study was carried out at Microbiology of the clinical Patologi Laboratory Arifin Achmad General Hospital in Riau Province using a Vitek Compact 2. The most commonly isolated bacteria of sputum culture were A. baumannii 34,7% meanwhile in blood culture A. baumannii was found as much as 1,7%. Resistance pattern showed that A. baumannii bacteria have the resistance against meropenem and the sensitivity were amikasin and tygesiclin.Keywords : Antibiotics, bacteria resistance, Intensive Care Unit, sensitivity.

GAMBARAN TINGKAT CAPAIAN TERAPI INSULIN PADA PASIEN RAWAT JALANDIABETES MELITUS TIPE 2 DI BAGIAN PENYAKIT DALAM RSUD ARIFIN ACHMAD PROVINSI RIAUPERIODE JANUARI – DESEMBER 2011 Norra Purti Yolanda; Jazil Karimi; Dina Fauzia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Diabetes mellitus (DM) is a group of metabolic diseases, the characteristic is hyperglycemia that causes by abnormal of insulin secretion, insulin action or both of it. Insulin is a therapy of type 2 DM. Data of International Diabetes Federation showed that using insulin therapy in type 2 DM patient in Indonesia was classified low. This study aims to determine the description of the achievement insulin terapy level in type 2 DM patient’s. Design of this study is retrospective descriptive is done with and collect data from medical record to 114 type 2 DM patients who received combination oral antidiabetic agents with insulin therapy and intensive insulin therapy. The result of this research were found that combination oral antidiabetic agents with insulin therapy usage are higher than intensive insulin therapy is 77,2%. The most used combination therapy was combination long acting insulins with biguanids and sulfonylureas is 14,8%. The most used intensif insulin therapy was long acting insulin and rapid acting insulin is 38,4%. Achievement of therapeutic targets DM is 69,8% fasting blood glucose levels and 82,8% 2-hour postprandial blood glucose levels in bad catagory, 46% Triglycerides levels in avarege catagory, 64,2% HDL cholesterol in low catagory, 61,8% LDL cholesterol in bad catagory, 34% total cholesterol in bad catagory and 50% blood preassure in avarege catagory. Incidence of hypoglycemia is 7%. Conclusion of this study is the avhievement insulin therapy in type 2 diabetes mellitus patients is low catagory. Key words: insulin therapy, achievement of therapeutic targets

PROFIL PASIEN TUBERCULOSIS MULTIDRUG RESISTANCE (TB-MDR) DI POLIKLINIK TB-MDR RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE APRIL 2013-JUNI 2014 Vivin Anggia Putri; Indra Yovi Yovi; Dina Fauzia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 2, No 2 (2015): Wisuda Oktober 2015
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTMultidrug Resistance Tuberculosis (MDR-TB) is Mycobacteriumtuberculosis resistance to at least two types of first-line OAT which are rifampicinand isoniazide. There were 6900 cases of MDR-TB at Indonesia in 2012. MDRTBcause limitation to TB's control programs. The identification of patient'scharacteristics and the affecting factor of MDR-TB occurence was expected toincrease the succes rate of TB treatment and prevent MDR-TB. This was adescriptive study with cross sectional approach by using patient's medical recordsand guided interview for MDR-TB patients in the MDR-TB clinic at ArifinAchmad Hospital in Riau Province Period April 2013 - June 2014. Samplecollected by using total sampling method. The results that was obtained from 18patients with MDR-TB, the largest distribution of age group was 24-44 years(50%). The most common gender was male (66.7%), the majority of MDR-TBpatients have less nutritional status (61.1%) and most patients experiencing oldcough (77.8%). Most patients with pulmonary TB type that was the type of relapsecases (83.3%), the most anti drug resistance tuberculosis were rifampicin andisoniazide (50%) and the treatment regimen of patients with MDR-TB that wasoften used is the Z-E-Km-LFX-Eto-Cs (61.1%). Side effects from the previoustreatment and comorbid DM patients were identified as patient's factors, mostpatients did not get education by doctors about the treatment of MDR-TB before,the far distance from patient's home to health facilities and communication withhealth care providers in the previous treatment also indentified as factors ofprogram and health system.Keywords : Tuberculosis, MDR-TB

FAKTOR-FAKTOR YANG MEMPENGARUHI TINGKAT KEPATUHAN PASIEN TERHADAP PENGOBATAN TUBERKULOSIS PARU DI LIMA PUSKESMAS SE-KOTA PEKANBARU Adelia Ratna Sundari Gunawan; Rohani Lasmaria Simbolon; Dina Fauzia
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 4, No 2 (2017): Wisuda Oktober Tahun 2017
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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ABSTRACTTuberculosis (TB) disease is a transmitted infection that caused by Mycobacterium Tuberculosis (M. Tuberculosis). In 2015, Indonesia is in the 2nd place after Tiongkok in the world and the case of TB in Indonesia increases twice from the previous year which is about 1 million new cases per year. The success full of a program is determined by the patients’ obedient in consuming medicine completely therefore of effective intervention increasing the early initiation, obedience and completion the treatment of TB are required. There are five healt centers that have the most TB cases in Pekanbaru namely Puskesmas Sidomulyo which is 68 cases, Rejosari which is 64 cases, Payung Sekaki which is 60 cases, Simpang Tiga Which is 56 cases and Garuda which is 48 cases. The patients can be cured if they are discipline in following the treatment of TB, comply the schedule of the treatment regularly, the functionary visits the patients regularly and the good role of the family. This research is aimed to find out the factors affecting the patients’ obedient in TB treatment. The research was conducted in each patients’house with TB by using descriptive method and cross sectional approach. The sample of this research was 75 patients and 20 patients are for the validity and reliability test. The most patients are in 45 years old (36%), the male patients (64%), the average of the patients’house distance is > 2 Km which is 77,3%, patients who have motorcycle (96,1%), patients’ income < 1 million (38,7%), the last education of the patient is Sekolah Menengah Atas (SMA)/ Madrasah Aliyah (MA)/Equivalent (58,7%), good knowledge (86,7%), good attitude (85,3%), good motivation (100%), the avaibility of good medicine (100%), the average patients in the intensive stage of category 1 month -2 (22,7%), the good role of Pengawas Menelan Obat (PMO) (85,3%), and the good support from family (88%). There are tree factors affecting the patients’ obedient on the TB treatment in five Healt Centers in Pekanbaru namely motivation to be cured, the role of family and the role of PMO.Keywords : Tuberculosis, TB treatment, the role of PMO, the role of family.

Perbandingan Terapi Diare Akut pada Anak di Puskesmas dan Klinik Swasta, Pekanbaru Indonesia: Studi Retrospektif Cross Sectional Dimas Pramita Nugraha; Inayah I; Dina Fauzia
JURNAL IMPLEMENTA HUSADA Vol 1, No 3 (2020)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v1i3.5345

Diare merupakan penyakit penyebab kematian pada anak balita, kurang lebih 750.000 anak meninggal setiap tahunnya. Di Provinsi Riau 17,2% kematian bayi disebabkan diare. Sebagai salah satu kasus infeksi yang paling banyak, terapi diare akut pada anak harus menjadi perhatian utama untuk keberhasilan pengobatan, menghindari kesalahan pengobatan dan mencegah terjadinya resistensi antibiotik. Tujuan penelitian ini adalah untuk mengetahui terapi diare akut di Puskesmas dan Klinik Swasta. Penelitian ini merupakan penelitian retrospektif cross sectional, dengan sampel pasien yang memenuhi kriteria inklusi dan eksklusi yang ditentukan. Data dianalisis dengan test Chi Square. Hasil penelitian menunjukkan pola terapi diare akut pada anak di Puskesmas menggunakan suplementasi zink. Sedangkan pola terapi diare pada anak di klinik swasta menggunakan adsorben Penggunaan suplementasi zink di Puskesmas sebesar 81,7% dibandingkan di klinik swasta 23,5% (P <0,05). Terapi diare akut pada anak di puskesmas Pekanbaru relatif lebih rasional dibandingkan terapi di klinik swasta namun tetap memerlukan perbaikan untuk manajemen pasien yang lebih baik

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