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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.
Layanan Hotline Konsultasi Masalah Kesehatan Pasca COVID-19 Sabrina Ermayanti; Russilawati Russilawati; Fenty Anggraini; Afriani Afriani; Irvan Madison; Oea Khairsyaf; Masrul Basyar; Deddy Herman; Yessy Susanty Sabri; Dewi Wahyu Fitrina; Dessy Mirzati; Elsa Purnama Sari; Dimas Bayu Firdaus
Unri Conference Series: Community Engagement Vol 3 (2021): Seminar Nasional Pemberdayaan Masyarakat
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/unricsce.3.296-302

Abstract

Pandemy of Corona virus disease 2019 (Covid-19) has overwhelmed the word for nearly two years. Indonesia is one countries that been hit hard by Covid-19. Even though most of patients with positive test of Covid-19 had no symptoms or mild some of them reported persistent clinical symptoms months after test negative. This population with disorder whose terminology Long Covid-19 need health care to help them cope with this condition. In this need Department of Pulmonology and Respiratory medicine initiate community service activity for Covid-19 survival with Long Covid-19 in the formulation Hotline Service on Post Covid-19 Health Problem. Survivors of Covid-19 who accessed this service originated from variety geographic region in Indonesia. This Activity reached 60 survivors were mostly female (57%), in age group of young adult (62%) and dominant with mild symptoms (58%). Recommendation for these survivors whose mild symptoms was self care observation. There were still about 25 survivors (42%) who need further health care with appropriate speciality.
Kajian Terkini CoronaVirus Disease 2019 (COVID-19) Chicy Widya Morfi; Ahmad Junaidi; Elsesmita Elsesmita; Diana Nur Asrini; Dya Mulya Lestari; Irvan Medison; Russilawati Russilawati; Fauzar Fauzar; Roza Kurniati; Finny Fitry Yani
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 1 (2020): Maret 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.016 KB) | DOI: 10.25077/jikesi.v1i1.13

Abstract

The COVID-19 outbreak in Wuhan, Hubei Province, China, caused by a newly known coronavirus strain, SARS-CoV-2, up to March 3th, 2020, has caused 90.870 confirmed cases to be reported from 72 countries (including Indonesia) with 3.112 deaths (CFR 3,4%). Upper airway swab and lower airway aspirate specimens from suspected patients are required for examination by the RT-PCR microbiological method for establishing COVID-19. There are no specific antivirals for the management of COVID-19. On January, 30th, 2020 WHO has established Covid-19 as the Public Health Emergency of International Concern (PHEIC), but the increase in the number of cases is fast enough so that on March,11th 2020, WHO has established Covid-19 as a pandemic.
Faktor − Faktor yang Mempengaruhi Kejadian Gagal Napas pada Pasien PPOK Eksaserbasi Akut di RSUP Dr. M. Djamil Padang Mirtha Anggraeni; Russilawati Russilawati; Sabrina Ermayanti
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 1 (2020): Maret 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (433.322 KB) | DOI: 10.25077/jikesi.v1i1.16

Abstract

Latar Belakang. Eksaserbasi akut pada pasien PPOK menjadi faktor risiko untuk kejadian gagal napas. Pasien PPOK eksaserbasi akut dengan gagal napas memiliki status kesehatan yang lebih buruk dan morbiditas yang lebih tinggi. Objektif. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kejadian gagal napas pada pasien PPOK eksaserbasi akut di RSUP Dr M Djamil Padang. Metode. Penelitian ini merupakan studi kasus kontrol menggunakan data sekunder dari rekam medis RSUP Dr M Djamil Padang periode Januari 2016 - Desember 2017. Penelitian ini melibatkan 53 subjek pada masing-masing kelompok kasus (gagal napas) dan kelompok kontrol (tanpa gagal napas). Analisis data menggunakan analisis x2. Hasil. Karakteristik kelompok kasus dan kontrol tidak memiliki perbedaan yang bermakna, yang terdiri dari jenis kelamin (p=1,000), usia (p=0,804), status merokok (p=0,127), dan derajat merokok (p=0,942). Riwayat eksaserbasi akut ≥1 kali dalam satu tahun sebelumnya lebih banyak pada kelompok kasus dibandingkan dengan kelompok kontrol (86,8% vs 67,9%; p=0,037; OR = 3,103;95% CI = 1,162-8,288). Kelompok kasus lebih banyak yang meninggal dibandingkan dengan kelompok kontrol (50,9% vs 3,8%; p=0,000). Faktor risiko independen yang dianalisa adalah status merokok (p=0,974; OR=0,981), riwayat eksaserbasi (p=0,007; OR=4,169), dan terapi rumatan (p=0,024; OR=0,359). Kesimpulan. Riwayat eksaserbasi dalam satu tahun sebelumnya pada pasien PPOK eksaserbasi akut merupakan faktor risiko independen terjadinya gagal napas. Hasil luaran pada kelompok kasus lebih buruk dibandingkan dengan kelompok kontrol. Kata kunci: gagal napas, PPOK eksaserbasi akut, riwayat eksaserbasi dalam satu tahun sebelumnya
Komplikasi Kronik Benda Asing pada Percabangan Bronkus Russilawati Russilawati; Oea Khairsyaf
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 2 (2020): Juli 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (910.856 KB) | DOI: 10.25077/jikesi.v1i2.26

Abstract

CHRONIC COMPLICATION OF FOREIGN BODY IN TRACHEOBRONCHIAL TREE : A CASE REPORT Foreign body aspiration in tracheobronchial could be life threatening particularly if the object large enought to cause nearly complete obstruction. In the other hand small object could pass beyond carina and cause less severe sign and complication manifest. Chronic symptoms with recurrent infection that lead to brochiectasis may occur in delayed of extraction. We presented a case of nail aspiration by a 17 years old male patients who presented with hemoptysis. The patient had history of nail aspiration six months ago and had no symptom until the last one week . First attempt of evacuating used rigid bronchoscopy under general anesthesia had failed. Fiber optic bronchoscopy (FOB) found the nail at the orificium of right lower lobe and chest computed tomography stated the occurancy of bronchiectasis at distal of nail. The extraction was performed by FOB with local anesthesia succeeded to remove the nail to the laring that induced cough and nail threw out. There were no major complication and further symptoms after the extraction. Eventhough aspiration small object cause no symptom, it could lead to chronic complication such as bronchiectasis. FOB for removing the object is supposed to perform carefully because the object could fall on another part of brochial tree when it was pulled out. Keywords Foreign Body, Bronchial tree, complication, flexible bronchoscopy
Gambaran Gangguan Tidur pada Pasien Pasca Stroke Iskemik Alya Ramadhini; Yuliarni Syafrita; Russilawati Russilawati
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 3 (2020): November 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1276.117 KB) | DOI: 10.25077/jikesi.v1i3.75

Abstract

Background : Sleep disorder is common to be the complication in stroke patients and can be a risk factor for stroke. Sleep disorder in stroke patients decrease the quality of life. Objective : The purpose of this study was to find out the prevalence of sleep disorders in a post-ischemic stroke patient and the association between sleep disorders and stroke risk factors. Methods: A cross-sectional study was conducted on post-ischemic stroke at the neurology outpatient clinic of Ibnu Sina Islamic Hospital Padang. Information about stroke risk factors is obtained through patient data and guided questionnaires. Types of sleep disorders were assessed through the 2005 Specialized Center of Research Sleep Questionnaire. Results: We found out there were 57 post-ischemic stroke patients, in which 37 post-ischemic stroke patients (64.9%) had sleep disorder incidences, such as apnea, restless legs syndrome, insomnia, and narcolepsy (38.6%, 36.8%, 35.1%, and 15.8%; respectively). There was an association between age and insomnia (p = 0.034,CI = 95%). On the other hand, there was no association between other risk factors (gender, diabetes mellitus, dyslipidemia, heart disease, obesity, smoking, and alcohol consumption) and insomnia, apnea, narcolepsy, and restless legs syndrome. Conclusions : The conclusion of this study was more than half post-ischemic stroke patients have sleep disorder with the most common were apnea. There was an association between age and insomnia. Keywords: sleep disorder, apnea, ischemic stroke
Kandungan Bilangan Peroksida Minyak Goreng Pedagang di Jalan Perintis Kemerdekaan Kota Padang Intan Permata Sari Syafrudin; Asterina Asterina; Russilawati Russilawati
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 3 (2020): November 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1230.67 KB) | DOI: 10.25077/jikesi.v1i3.86

Abstract

Background. Indonesian usually using repeatedly cooking oil for deep frying process. The repeated use of cooking oil can be found among street vendors. Consumption of repeatedly cooking oil could lead to hepatic disorder, cardiovasular disorder and even cancer. Objective. The research aims to describe and analyze peroxide value in cooking oil used by street vendors in Perintis Kemerdekaan street in Padang City. Methods. This is a descriptive research. The reseacrh objects were taken by purposive sample method and 23 samples cooking oil used by traders. This research was conducted at Clinical Laboratory of West Sumatera from October 2019 to May 2020. Results. This research found out 14 from 23 of cooking oil used by street vendors have peroxide value above the Indonesian National Standard (abbreviated SNI) 01-3741-2013. Cooking oil used by fritter street vendors have average peroxide value is 15.10 mEq O2/kg while pecel catfish and chicken street vendors is 10.29 mEq O2/kg. The avarage peroxide value in each type of cooking oil are bulk 10,81 mEq O2/kg, branded 14,64 mEq O2/kg and mixture 16,28 mEq O2/kg. Conclusion. More than half of the samples tested had exceed the maximum peroxide values (> 10 mEq O2/kg) and the highest average are found in fritter street vendor and mixture of bulk and branded cooking oil.
Association Between Feritine Levels and Severity of COVID19 In RSUP Dr. M. Djamil Padang Elsa Purnama Sari; Irvan Medison; Russilawati Russilawati
Jurnal Respirologi Indonesia Vol 42, No 3 (2022)
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.v42i3.244

Abstract

Background: Ferritin is one of the inflammatory markers used as a predictor for severity of COVID-19. Early assessment of severity is expected to be a priority in disease management. This study aims to determine the association between ferritin levels and the severity of confirmed COVID-19 patients at RSUP dr. M. Djamil Padang. Methods: This study is a retrospective cohort study on confirmed COVID-19 patients from January to May 2021. Chi-square analysis was calculated to assess the association between ferritin levels and clinical grade, the severity of the chest X-ray and the level of need for oxygen therapy. To assess the risk opportunities for ferritin levels based on each dependent variable, an association analysis was performed by calculating the Odds Ratio..Results: Characteristics of the patients were mostly female (54.25%), aged more than 50 years (59,00%), clinical grade above category 4 (54,75%), required oxygen therapy (74,75%), the severity of chest X-ray was mild (75.50%), ferritin level < 500 ng/ml (52.75%) and had no comorbidities (51.25%). This study found that ferritin levels correlated with clinical grade, severity of chest X-ray, and level of need for oxygen therapy with HFNC and ventilator (p<0.001). Ferritin levels > 1000 ng/mL have a risk opportunity for clinical grade category 7 OR 8.28 (95% CI 2.69-25.41), severe chest X-ray severity OR 5.52 (95% CI 2.55- 11.97) and need for oxygen therapy with HFNC and ventilator, OR 4.76 (2.70-8.39) vs OR 7.69 (3.97-14.92)Conclusion: High ferritin levels significantly increase the risk of a severe clinical severity, severe chest X-ray and the level of need for oxygen therapy using HFNC and a ventilator in COVID-19 patients.Keywords: COVID-19, ferritin levels, severity
Profil Pasien Tuberkulosis Paru tanpa dan dengan Diabetes Melitus di RSUD Sungai Dareh Dharmasraya Mustika Dita Pradinda; Russilawati Russilawati; Yose Ramda Ilhami
Jurnal Ilmu Kesehatan Indonesia Vol 3 No 3 (2022): September 2022
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v3i3.786

Abstract

Latar Belakang: Tuberkulosis (TB) merupakan penyakit infeksi menular yang menjadi salah satu penyebab utama kematian di dunia. Salah satu komorbid dari TB adalah penyakit Diabetes Melitus (DM). Objektif: Penelitian ini bertujuan untuk mengetahui profil pasien Tuberkulosis paru tanpa dan dengan Diabates Melitus di RSUD Sungai Dareh Dharmasraya. Metode: Penelitian ini merupakan penelitian deskriptif restrospektif dengan pengambilan sampel menggunakan teknik total sampling. Sampel diambil dari rekam medik pasien yang didiagnosis TB paru tahun 2020 di RSUD Sungai Dareh Dharmasraya. Hasil: Hasil penelitian didapatkan 74 pasien TB paru tanpa DM dan 21 pasien TB-DM. Penelitian ini menunjukkan kelompok umur terbanyak pasien TB paru tanpa DM 35-44 tahun (28,4%) dan pada pasien TB-DM 45-54 tahun (33,3%). Jenis kelamin laki-laki paling banyak pada TB paru tanpa dan dengan DM (60,8% : 85,7%) serta status IMT adalah underweight (63,5% : 52,4%). Gejala klinis terbanyak pada TB paru tanpa DM adalah batuk (74,3%) dan TB-DM adalah sesak napas (76,2%). Hasil BTA sputum terbanyak pada TB paru tanpa DM adalah 3+ (37,8%) dan pada TB-DM adalah 1+ (38,1%). Hasil TCM TB Paru tanpa dan dengan DM terbanyak adalah Mtb detected Rif resisten not detected (83,8% : 76,2%). Hasil radiologi terbanyak pada TB paru tanpa DM di lapangan atas paru (18,9%) tanpa kavitas (60,8%) sementara pada TB-DM di lapangan bawah paru (28,5%) tanpa kavitas (61,9%). Kesimpulan: Sebagian besar pasien TB paru dengan DM mengeluhkan gejala klinis sesak napas, dan pada pasien TB paru tanpa DM lebih banyak mengeluhkan batuk.
Risk Factors Associated with 28-Day Mortality of COVID-19 Patients at RSUP Dr. M. Djamil Padang Lusi Agustini Arda; Oea Khairsyaf; Russilawati Russilawati; Tuti Handayani
Jurnal Respirologi Indonesia Vol 43, No 1 (2023)
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.v43i1.238

Abstract

Background: The COVID-19 mortality rate varies widely around the world. The COVID-19 death rate in Indonesia is currently relatively higher than the world average and is the highest in Southeast Asia. Data regarding risk factors of COVID-19 mortality in Indonesia, particularly West Sumatra, are still scarce. This study aims to determine the risk factors associated with the 28-day mortality of COVID-19 patients at RSUP Dr. M. Djamil Padang.Methods: This was an observational analytic study with a retrospective cohort approach on confirmed COVID-19 inpatients who were treated at RSUP Dr. M. Djamil Padang between January 1 and March 31, 2021. A bivariate analysis using Chi square was calculated to see the correlation between clinical severity, and routine blood values, markers of inflammation, liver function, kidney function, blood gas analysis, the RALE score and comorbidities with a 28-day mortality outcome. To assess the dominant risk factors, multivariate analysis was performed using logistic regression.Results: From 245 samples, patients aged >50 years and women were the most treated group of patients. Bivariate analysis obtained the following critical clinical grade factors: Hb <10 g/dl, leukocyte level >10.0x103/mm3, monocyte level 8.0%, procalcitonin level >0.5 ng/ml, interleukin-6 level >7 pg/ml, ferritin >159/ml, D-Dimer level >500 ng/dl, SGOT level >38 μ/l, urea >50 mg/dl, creatinine >1.3 mg/dl, PO2 <80 mmHg, SO2 ≤90%, PO2/FiO2 ≤300 mmHg, high RALE score, comorbid of chronic renal failure, hypertension, type II DM; and comorbidities >1 were associated with 28 days of death. Multivariate analysis identified critical clinical severity as the dominant risk factor (OR=8.47; 95% CI=2.55–28.14; P<0.001).Conclusion: Critical clinical severity was the dominant risk factor associated with the 28-day mortality of COVID-19 patients at RSUP Dr. M. Djamil.