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PROSEDUR DIAGNOSIS PADA EFUSI PLEURA UNILATERAL DENGAN PLEUROSKOPI: LAPORAN KASUS Sari, Elsa Purnama; Khairsyaf, Oea; Russilawati, Russilawati
Syifa'Medika Vol 12, No 2 (2022): Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v12i2.3325

Abstract

Pleuroskopi merupakan tindakan invasif minimal untuk mengakses rongga pleura sehingga membantu visualisasi langsung pada permukaan pleura. Laporan kasus ini memaparkan seorang perempuan berusia 54 tahun datang ke rumah sakit dengan keluhan utama sesak napas yang meningkat sejak 2 hari yang lalu. Sesak napas sudah dirasakan sejak 1 bulan dan pasien telah dikeluarkan cairan melalui dinding dada sebanyak 2500 cc. Pasien juga telah melalui pemeriksaan rontgen, USG dan CT-scan toraks yang menunjukkan kecurigaan pasien menderita kanker paru dengan efusi pleura dan didiagnosa banding dengan efusi pleura ec TB (pleuritis tuberculosis). Oleh karena itu pasien dilakukan prosedur diagnostik pleuroskopi untuk menegakkan diagnostik dengan tujuan melihat pleura secara langsung dan mengambil sampel jaringan. Hasil sitologi dan patologi jaringan tidak menunjukkan tanda keganasan  dan gambaran pleuroskopi memberikan gambaran TB sehingga pasien ditatalaksana sebagai pleuritis tuberculosis.
Pleuroskopi Sebagai Tindakan Diagnostik pada Paru Hafis Herdiman; Oea Khairsyaf; Russilawati Russilawati
Jurnal Sehat Mandiri Vol 16 No 2 (2021): Jurnal Sehat Mandiri, Volume 16, No.2 Desember 2021
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.689 KB) | DOI: 10.33761/jsm.v16i2.486

Abstract

Pleuroscopy, also known as medical thoracoscopy, is a minimally invasive procedure that is used to examine and biopsy the pleural cavity as well as to perform therapeutic interventions. This procedure has a near-perfect diagnostic accuracy in malignant pleural effusions and tuberculosis. With a mortality rate of 0.1%, the complication rate is low (2% - 5%) and usually mild (subcutaneous emphysema, bleeding, infection). Objective : Increase knowledge of pleuroscopy as a diagnostic and therapeutic tool in lung disease. Method : This paper is based on a review of the literature on pleuroscopy. Conclusion : Pleuroscopy is a minimally invasive procedure that can be used to examine and biopsy the pleural cavity, as well as for therapeutic intervention. Complications are uncommon and usually minor. Sugestion : Other articles are required to increase knowledge about pleuroscopy in order to obtain more knowledge.
EFEK PEMBERIAN ANTIBIOTIKA TERHADAP PENINGKATAN KOLONISASI CANDIDA SALURAN NAPAS Muhammad Fajri; Irvan Medison; Oea Khairsyaf; Russilawati Russilawati
Jurnal Kesehatan Andalas Vol 7 (2018): Supplement 4
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i0.944

Abstract

Kolonisasi jamur Candida spp bisa pada orang normal, tetapi pada keadaan bersifat opurtunistik dihubungkan dengan beberapa kondisi penurunan daya tahan tubuh seperti pada pemberian kortikosteroid, kemoterapi, malnutrisi, adanya keganasan dan kondisi netropenia. Kondisi lain yang dapat menyebabkan berkembangnya kolonisasi jamur Candida spp disaluran napas adalah pemberian antibiotika spektrum luas. Tujuan penelitian untuk melihat hubungan pemakaian antibiotika lebih dari satu minggu pada pasien infeksi paru dengan terjadinya peningkatan kolonisasi Candida spp dengan pemeriksaan kultur sputum jamur pasien. Desain penelitian prospektif dengan metode cohort pada pasien infeksi paru yang dirawat di bangsal paru dan pemeriksaan kultur di laboratorium mikrobiologi RSUP Dr.M.Djamil Padang. Pengambilan sampel dilakukan dengan cara concecutive sampling mulai Juli 2017 sampai jumlah sampel terpenuhi. Dari 62 sampel penelitian, 54(87,1%) pasien infeksi paru terdapat kolonisasi jamur Candida spp. Berdasarkan data karakteristik dasar penelitian, didapatkan terbanyak adalah laki- laki 39 orang (62,9%) dengan usia rata rata 53,56 ±16,71 tahun. Berdasarkan umur rata-rata, jenis kelamin dan faktor komorbid yang ada kolonisasi dan tidak ada kolonisasi Candida spp tidak terdapat perbedaan yang bermakna secara statistik p=0,333. Kejadian kolonisasi Candida spp berdasarkan jumlah kepadatan koloni sebelum dan sesudah pemberian antibiotika secara statistik tidak bermakna (sebelum vs sesudah dengan nilai p= 0,306 .Analisis lebih lanjut pada 54 subjek penelitian dengan kolonisasi didapatkan setelah pemberian antibiotika kepadatan koloni Candida spp meningkat tetapi tidak bermakna secara statistik.
Pemberian Lyophilized Bacterial Lysat Pada Penderita Penyakit Paru Obstruktif Kronis Stabil Yang Memiliki Kolonisasi Potentialy Pathogenic Microorganism Povi Pada Indarta; Irvan Medison; Russilawati Russilawati; Deddy Herman
Jurnal Kesehatan Andalas Vol 8, No 1S (2019): Suplemen 1
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i1S.950

Abstract

Latar Belakang: Eksaserbasi pada pasien PPOK berpengaruh terhadap keparahan penyakit. Kolonisasi bakteri pada pasien PPOK dianggap berkontribusi terhadap kejadian eksaserbasi. Usaha menurunkan kolonisasi bakteri dilakukan untuk mengurangi kejadian eksaserbasi salah satuanya adalah dengan vaksinasi. Tujuan dari penelitian ini adalah untuk melihat efek pemberian vaksinasi Lyophilized bacterial lysat pada pasien yang telah diketahui jenis potentialy pathogenic microorganism (PPM).Metode: Desain penelitian uji klinis terbuka (open ckinical trial) pada pemberian Lyophilized bacterial lysate dibandingkan dengan Plasebo terhadap pasien PPOK dengan koloni PPM di poliklinik Paru RSUP Dr.M.Djamil Padang periode Januari sampai Juni 2017.Sampel diambil dengan teknik konsekutif (accidental sampling). Hasil: Penelitian pada 33 pasien PPOK stabil dengan PPM yang diberikan Lyophilized bacterial lysat dan 22 pasien PPOK stabil dengan PPM yang diberika plasebo. Setelah perlakuan selama 3 bulan pada kelompok Lyophilized bacterial lysat tidak ditemukan lagi koloni bakteri ganda (10 menjadi 10) (p=0,002) sedangkan pada bakteri tunggal masih ditemukan koloni, sebelum 23 menjadi 26. Kelompok plasebo tidak didapatkan perubahan baik bakteri ganda (13 menjadi 13) ataupun tunggal (9 menjadi 9). Pada kelompok Lyophilized bacterial lysat terjadi perubahan pola koloni yaitu klebsiella pneumonia berkurang 6, Pseudomonas Aureginosa berkurang 2, Stapilococcus Areus berkurang 6, secara statistik mengalami penurunan (p=0,001) sedangkan pada plasebo tidak terjadi perubahan pola koloni Simpulan: Lyophilized bacterial lysat menurunkan proporsi koloni PPM oleh bakteri ganda dibandingkan dengan plasebo. Lyophilized bacterial lysat juga mengurani koloni terutama Pseudomonas Aureginosa dan stapylococcus Aureus dan klebsiella pneumonia.
Faktor Risiko Kanker Paru pada Perempuan yang Dirawat di Bagian Paru RSUP Dr. M. Djamil Padang dan RSUD Solok: Penelitian Case Control Yati Ernawati; Sabrina Ermayanti; Deddy Herman; Russilawati Russilawati
Jurnal Kesehatan Andalas Vol 8, No 2S (2019): Suplemen 2
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i2S.951

Abstract

Kejadian kangker paru pada perempuan meningkat setiap tahun. Penelitian ini bertujuan mengetahui faktor risiko kejadian  kanker paru pada perempuan yang dirawat di Bagian Paru RSUP Dr. M. Djamil Padang dan RSUD Solok. Penelitian ini menggunakan desain penelitian case control pada 23 orang perempuan dengan kanker paru sebagai kasus dan 46 orang perempuan bukan kanker paru sebagai kontrol yang dilakukan di Bagian Paru RSUP Dr. M. Djamil Padang dan RSUD Solok selama tahun 2018. Sampel diambil secara nonprobabilitas dengan teknik konsekutif. Tidak terdapat perbedaan bermakna karakteristik antara kelompok kasus dan kontrol. Terdapat hubungan bermakna antara paparan asap rokok dari orang tua dengan kejadian kanker paru pada perempuan (OR= 13,46 CI95% 4,04-44,82; p=0,0001). Tidak terdapat perbedaan bermakna merokok (OR=2,05 CI95%  0,12-34,26; p=1,000), paparan asap rokok suami (OR=2,97 CI95% 1,03-8,60; p=0,074), paparan asap rokok di tempat kerja (OR=2,10 CI95% 0,28-15,92; p=0,596), paparan asap biomass (OR=1,22 CI95% 0,42-3,57; p=0,928), riwayat keganasan dalam keluarga (OR=4,29 CI95% 0,37-49,95; p=0,256) dan riwayat TB (OR=0,25 CI95%; p=0,253) dengan kejadian kanker paru pada perempuan. Dapat disimpulkan, paparan asap rokok orang tua adalah faktor risiko utama untuk terjadinya kaker paru pada perempuan.
Edukasi Pencegahan Penyakit Paru Akibat Paparan Debu Silika pada Pengrajin Batu Akik di Kota Padang Cimi Ilmiawati; Mohamad Reza; Russilawati Russilawati
LOGISTA - Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 1 No 1 (2017)
Publisher : Department of Agricultural Product Technology, Faculty of Agricultural Technology, Universitas Andalas Kampus Limau Manis - Padang, Sumatera Barat Indonesia-25163

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (575.667 KB) | DOI: 10.25077/logista.1.1.1-10.2017

Abstract

ABSTRAK: Meningkatnya minat masyarakat terhadap batu akik sebagai perhiasan dalam beberapa tahun terakhir di Indonesia mendorong meningkatnya jumlah pengrajin batu akik. Pengrajin batu akik terpapar pada partikel batu yang utamanya terdiri atas silika. Tanpa proteksi diri yang sesuai, pengrajin berisiko mengalami penyakit akibat debu silika. Untuk melindungi pengrajin, diperlukan suatu program edukasi kesehatan dan keselamatan kerja. Tujuan kami adalah untuk menyebarluaskan informasi mengenai penyakit akibat debu silika dan upaya pencegahannya pada komunitas pengrajin batu akik di Kota Padang. Sebanyak dua puluh pengrajin diundang dan dinilai pengetahuan, sikap, dan perilakunya terhadap kesehatan dan keselamatan kerja menggunakan kuesioner. Bahan edukasi disampaikan dalam bahasa setempat, diikuti dengan diskusi. Pada tiap peserta juga dibagikan booklet edukasi dan masker standar. Analisis kuesioner menunjukkan bahwa sebagian besar peserta memiliki tingkat pendidikan yang rendah, tingkat pendapatan bervariasi, perokok, bekerja setiap hari, dan memiliki pengetahuan yang terbatas mengenai upaya kesehatan dan keselamatan kerja. Evaluasi lebih lanjut diperlukan untuk menilai apakah program ini berhasil memodifikasi perilaku kerja pengrajin akik.Kata kunci: akik, edukasi, Indonesia, pengrajin, silika ABSTRACT: The increased public interest in the last few years towards agate as accessories in Indonesia has turned more people to grind agate as an alternative occupation. Grinders are exposed to hazardous agate particles mostly consist of silica. Without proper occupational protection, grinders are at risk of developing silica dust-associated diseases. To protect grinders, an occupational health and safety education program is needed. Our aim was to disseminate information on silica dust-associated diseases and necessary preventive measures to a community of agate grinders in Padang. Twenty participants were invited. We assessed their prior knowledge, attitude, and behavior on occupational health and safety by using a 24-items questionnaire. Educational material was presented in local language, followed by a discussion. A printed-guide on silica dust-associated diseases and a standard mask was distributed to each participant. Analysis of questionnaire responses showed that most participants were of low educational level, had variable income, were smokers, worked all weekdays, and had limited knowledge on relevant occupational health and safety practice. Further evaluation is required to assess whether this program successfully modifies the occupational behavior of the agate grinders.Keywords: agate, education, grinder, Indonesia, silica
PENYULUHAN BAHAYA MEROKOK DALAM RANGKA PERINGATAN HARI PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) SEDUNIA DAN BULAN PEDULI KANKER PARU Russilawati Russilawati; Sabrina Ermayanti; Masrul Basyar
LOGISTA - Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 4 No 2 (2020)
Publisher : Department of Agricultural Product Technology, Faculty of Agricultural Technology, Universitas Andalas Kampus Limau Manis - Padang, Sumatera Barat Indonesia-25163

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/logista.4.2.356-366.2020

Abstract

Padang Municipality has been making effort to improve quality of life for its citizens by providing out door facility trough weekly car free day program. Even though it is supposed to be fresh air there were many visitors still smoking tobacco so that caused air pollution. Tobacco smoking has been known as major risk factor for Chronic Obstructive Pulmonary Disease (COPD) and lung cancer. In addition tobacco smoking has been considered to have association with twenty millions premature deaths. Our objectives were to outspread knowledge about hazard of tobacco and smoking cessation campaign in commemoration of COPD word day and month of lung cancer care 2018. Counseling was implemented by presentation, discussion, leaflet, and quiz with door prize. Meanwhile, smoking cessation campaign was performed by waking around and giving present to individu who willingly put out the cigarette at the moment. Total 155 visitors were involved in the event. They were classified in three groups of never smoker, former smoker or current smoker. Furthermore, 74 self identified current smokers were assessed in regard of grade of smoking, nicotine dependence, and motivation to smoke by using standardized questioner. Analysis of interview found out most of visitors were mild smoker with low nicotine dependence, and had motivation for smoking by social influence and stress relief. The data could be considered in choosing smoking cessation program for community. Keyword: tobacco smoking, nicotine, COPD, lung cancer
Happy Hypoxemia In COVID-19 Ilham; Deddy Herman; Russilawati
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 5 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i5.514

Abstract

The new coronavirus disease 2019 (COVID-19) pandemic is becoming a global health crisis that challenges health systems around the world. The clinical spectrum of COVID-19 varies from mild upper respiratory tract infections to severe pneumonia and acute respiratory distress syndrome, but there are also many patients present with an SpO2 < 90% but without symptoms of shortness of breath. This phenomenon is called happy hypoxemia or silent hypoxemia. Shortness of breath or dyspnea is a subjective sensation resulting from inadequate breathing effort and is usually described as constriction in the chest, difficulty breathing air or difficulty breathing. Breathing is controlled centrally by the respiratory center in the medulla oblongata and the pons region which controls the "respiratory drive" and adapts respiration to the body's metabolic needs. The mechanisms that play a role in this phenomenon include the presence of intrapulmonary shunts, loss of pulmonary perfusion regulation, vascular microthrombus and impaired pulmonary diffusion capacity.
Gender Disparities in Their Effects on Characteristics and Prognostics of Lung Cancer Patients in Pulmonary Ward of Dr. M Djamil Hospital, Padang Sabrina Ermayanti; Afriani Afriani; Sari Nikmawati; Russilawati Russilawati; Irvan Medison; Suyastri Suyastri
Jurnal Respirologi Indonesia Vol 41, No 4 (2021)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v41i4.216

Abstract

Background: Lung cancer incidence in female tends to increase in many countries. Various studies have reported the characteristics of lung cancer in female are different from male. The purpose of this study was to determine the effect of gender on characteristics of lung cancer at Dr. M Djamil Hospital, Padang.Methods: A retrospective analytic study of lung cancer patients treated in the Pulmonary Ward of Dr. M. Djamil Hospital Padang from January 1, 2004 to December 31, 2017, with recognized cancer cell types. Data were grouped according to gender.Results: This study found that 451 lung cancer patients, male-dominant 77.8%. Female were younger than male (52.97 ± 12.79 years vs. 57.81 ± 11.23 years; p = 0.00). Most of male (94.5%) were smokers and former smokers, while 93.9% of female were non-smokers (p = 0.00). Most female were having prior history of tuberculosis (TB) (21.2% vs 11.0%; p = 0.008) and also prior history of other organs cancer (10.1% vs 3.4%; p = 0.007) than in male. Squamous cells were highest in males (41.1%), while females had adenocarcinoma (55.0%); with p = 0.008. Advanced stage in female more than male (91.8% vs 82.7%; p = 0.027). The mean life expectancy of female was longer than male, respectively 8.74 ± 1.56 and 7.29 ± 0.64 months; (p = 0.95).  Conclusion: There are differences in the epidemiology of lung cancer between male and female in Dr. M. Djamil Hospital Padang in the form of age, cell type and staging. Non-smokers, a previous history of TB and a history of cancer in other organs were more dominant in female.
Penyuluhan tentang Kenali dan Waspada Corona Virus Diseases of 2019 (Covid-19) pada Acara Hari Bebas Kendaraan Bermotor Kota Padang Russilawati Russilawati; Irvan Medison; Afriani Afriani; Yessy Susanty Sabri
Warta Pengabdian Andalas Vol 27 No 2 (2020)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.27.2.119-125.2020

Abstract

Mysterious atypical pneumonia appeared abruptly in Wuhan, China in December 2019. China authority and Word Health Organization (WHO) found out the etiology on January 2020. New strain of Corona virus that eventually called by SARS-CoV2 has been responsible for the Corona virus disease of 2019 (Covid-19). The disease has ability to spread from human to human. These diseases had been pandemic since March 2020. As the start of early spreading we need to give right information about Covid-19 to the community so that the mass panicked could be avoided. We also need to educate community to take right precaution and prevention. These activities aims to spread the right information about Covid-19 and give simple training to performed prevention act so that community can slowdown the disease transmission. Methods: the campaign and health education about covid-19 and training of cough etiquette, right steps of hand washing using water and soap or alcohol based hand rub, and also how to use face mask properly. There were 66 participants that involved in this event. Participants had actively asked information about frequency of hand washing we need to prevent transmission and travel safety. We also performed flash mob so the participants could train cough etiquette, hand washing, and using face mask in fun ways. We ended the activities with competition of hand washing and using face mask properly. The door prize for the winner was hand sanitizer and face mask that they could use as tools to prevent transmission of Covid-19.