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Different Doses of Intraumbilical Oxytocin on the Third Stage of Labor Theodorus, Theodorus; BasiR, Firmansyah; Bernolian, Nuswil; Islamy, Nurul
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.291 KB) | DOI: 10.32771/inajog.v6i3.780

Abstract

  Objective: To compare the dose of oxytocin injected intraumbilicalltowards the duration of the third stage, blood loss volume, hemoglobinand hematocrit.   Methods: This study is a prospective randomised study with acontrol. The control group was given an intramuscular injection of10 IU oxytocin. The intervention of the three groups intraumbilicaloxytocin treatment dose of 10 IU, 20 IU and 30 IU diluted in 50 ml ofnormal saline solution and administered intraumbilically. Thesample selection by purposive sampling and the distribution groupbased on systematic random sampling (10 samples each). Data weretaken from the period April 2016-January 2017 with the inclusionand exclusion criteria. Data were analysed using Chi-square, T-test,ANOVA and Post hoc tests.   Results: Characteristics study for variables of age, occupation,parity, education, episiotomy and neonates weight showed homogeneouscharacteristics. The mean duration of the third stage forall groups was between 366.7  159.0 seconds and 440.1  244.99seconds. While the average number of postpartum haemorrhage forall group 61.894  226.3ml and 309.5  110.26 ml. There were nodifferences in the dose of oxytocin on the duration of the thirdstage (p> 0.05) and the amount of bleeding (p> 0.005). There was adifference of haemoglobin between intervention group of oxytocindose of 10 IU and 30 IU intraumbilical (p = 0.031). There was nodifference between the mean hematocrit levels between the groups(p> 0.005).   Conclusion: There were no differences in the dose of oxytocinintraumbilical towards the duration of the third stage, the amountof bleeding and hematocrit levels. The decrease of haemoglobingreater in 30 IU intraumbilical significantly. Keywords: duration of the third stage, haemoglobin and hematocrit,oxytocin intraumbilical, the amount of bleeding
Different Doses of Intraumbilical Oxytocin on the Third Stage of Labor Theodorus, Theodorus; BasiR, Firmansyah; Bernolian, Nuswil; Islamy, Nurul
Indonesian Journal of Obstetrics and Gynecology Volume 6 No. 3 July 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.291 KB) | DOI: 10.32771/inajog.v6i3.780

Abstract

  Objective: To compare the dose of oxytocin injected intraumbilicalltowards the duration of the third stage, blood loss volume, hemoglobinand hematocrit.   Methods: This study is a prospective randomised study with acontrol. The control group was given an intramuscular injection of10 IU oxytocin. The intervention of the three groups intraumbilicaloxytocin treatment dose of 10 IU, 20 IU and 30 IU diluted in 50 ml ofnormal saline solution and administered intraumbilically. Thesample selection by purposive sampling and the distribution groupbased on systematic random sampling (10 samples each). Data weretaken from the period April 2016-January 2017 with the inclusionand exclusion criteria. Data were analysed using Chi-square, T-test,ANOVA and Post hoc tests.   Results: Characteristics study for variables of age, occupation,parity, education, episiotomy and neonates weight showed homogeneouscharacteristics. The mean duration of the third stage forall groups was between 366.7  159.0 seconds and 440.1  244.99seconds. While the average number of postpartum haemorrhage forall group 61.894  226.3ml and 309.5  110.26 ml. There were nodifferences in the dose of oxytocin on the duration of the thirdstage (p> 0.05) and the amount of bleeding (p> 0.005). There was adifference of haemoglobin between intervention group of oxytocindose of 10 IU and 30 IU intraumbilical (p = 0.031). There was nodifference between the mean hematocrit levels between the groups(p> 0.005).   Conclusion: There were no differences in the dose of oxytocinintraumbilical towards the duration of the third stage, the amountof bleeding and hematocrit levels. The decrease of haemoglobingreater in 30 IU intraumbilical significantly. Keywords: duration of the third stage, haemoglobin and hematocrit,oxytocin intraumbilical, the amount of bleeding
ANALISIS SEKTOR POTENSIAL, DAPATKAH PARIWISATA MENJADI LOKOMOTIF BARU EKONOMI NUSA TENGGARA BARAT? Islamy, Nurul
Journal of Indonesian Tourism, Hospitality and Recreation Vol 2, No 1
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jithor.v2i1.16426

Abstract

ABSTRAKEkonomi Nusa Tenggara Barat (NTB) yang tercermin dalam Produk Domestik Regional Bruto (PDRB) masih tergantung pada tambang bijih logam dan ekspor. Padahal, NTB dengan berbagai keindahan alam maupun budaya lokalnya merupakan salah satu provinsi yang dalam perkembangannya ditargetkan menjadi gerbang pariwisata nasional. Dengan semakin mantapnya posisi NTB sebagai destinasi wisata nasional, sekaligus tujuan investasi di bidang kepariwisataan di Indonesia, maka perlu dilakukan studi untuk dapat diketahui sejauh mana lapangan usaha yang berafiliasi dengan dunia pariwisata memberikan kontribusi sebagai lokomotif baru perekonomian NTB di luar sektor pertambangan. Untuk mendapatkan sektor/kategori unggulan di suatu wilayah, beberapa metode pengukuran yang umum digunakan antara lain Location Quotient (LQ), Analisis Shift–Share, dan Tipologi Klassen. Berdasarkan tiga metode tersebut diperoleh hasil bahwa dari delapan kategori unggulan, tiga diantaranya merupakan kategori yang menyokong pariwisata di NTB yakni lapangan usaha Transportasi dan Pergudangan, Real Estate dan Jasa–jasa. Kategori penting lainnya yaitu Penyediaan Akomodasi dan Makan Minum; Konstruksi; dan Perdagangan berpotensi lebih digenjot untuk semakin meningkatkan perekonomian NTB. Bagi pengusaha, kategori unggulan yang menyokong pariwisata tersebut dapat “dilirik” untuk investasi di masa mendatang. Tanpa menutup kemungkinan untuk membuka usaha baru di lapangan usaha yang potensial. Ada satu kekuatan ekonomi baru yang menyeruak dari hasil analisis yaitu ekonomi kreatif. Ternyata lapangan usaha yang berkaitan dengan Ekonomi Kreatif telah terdeteksi sebagai kategori potensial yang patut dikembangan di NTB. Diperlukan kajian lebih lanjut terkait topik ini dengan menggunakan Tabel Input–Output agar didapatkan gambaran hubungan timbal balik dan keterkaitan antarsektor dalam perekonomian di NTB secara menyeluruh utamanya terkait pariwisata. Kata Kunci : Analisis Shift–Share, Ekonomi Kreatif, Location Quotient (LQ), Sektor Unggulan, Sektor Pariwisata, PDRB,  Tipologi Klassen  POTENTIAL SECTOR ANALYSIS, CAN THE TOURISM BE A NEW LOCOMOTIVE ECONOMY OF WEST NUSA TENGGARA? ABSTRACTThe economy of Nusa Tenggara Barat (NTB) reflected in the Gross Regional Domestic Product (GRDP) still depends on metal ore mining and exports. In fact, NTB with a variety of natural beauty and local culture is one of the provinces which in its development is targeted to become the gate of national tourism. With the increasing position of NTB as a national tourist destination, as well as an investment destination in the field of tourism in Indonesia, it is necessary to study to find out the extent to which industry affiliated with the tourism contribute as a new locomotive for the NTB economy outside the mining sector. To obtain leading sectors /categories in a region, several commonly used measurement methods include Location Quotient (LQ), Shift–Share Analysis, and Klassen Typology. Based on the three methods, the results show that of the eight leading categories, three of them are categories that support tourism in NTB, namely the Transportation and Storage, Real Estate and Services. Other important categories are Accomodation & food Service Activities; Construction; and Trade has the potential to be further boosted to further improve the NTB economy. For entrepreneurs, the leading categories that support tourism can be "glimpsed" for investment in the future. Without closing the possibility to open a new business in a potential industry. There is one new economic power that has emerged from the results of analysis, namely the creative economy. It turns out that the industry related to the Creative Economy have been detected as potential categories that deserve to be developed in NTB. Further studies are needed regarding this topic using the Input–Output Table in order to obtain an overview of the interrelationships and inter–sectoral linkages in the economy in NTB as a whole, especially related to tourism. Keywords: Creative Economy , GRDP , Klassen Typology, Leading Sector, Location Quotient (LQ), Shift – Share Analysis, Tourism Sector.
Health Care Seeking Behaviour Of Community And Tb Patients, And Capability Of Nonformal Health Services Provider In Tanjung Bintang Subdistrict, Indonesia Nurul Islamy
JUKE Unila Vol 2, No 1 (2012)
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (477.853 KB)

Abstract

In Lampung province, Indonesia, the case detection rate (CDR) has not reached the national target of 70%. This suggests that tuberculosis (TB) case finding is insufficient. In Tanjung Bintang subdistrict (Lampung) the CDR was only  27.8% in 2007. This study aimed to identify the reasons for the low CDR in Tanjung Bintang subdistrict. In an explorative study design we assessed health care seeking behavior of community members who were selected by systematic random sampling. We also assessed health care seeking behavior of all TB patients that were registered between 2001 and 2007 in the subdistrict public health center (PHC). To assess the diagnostic capacity of non-formal Health Service Providers (HSP), we interviewed all HSP in the subdistrict. Data analyzed descriptively using Epi-info. Community members mentioned that they would first visit midwives (31%), paramedics (18.8%) and subhealth centers (18.8%) for mild symptoms. Most TB patients (97.5%) reported that they initially visited a nonformal HSP for their symptoms. Most (85.2%) nonformal HSP have poor knowledge about general TB especially for symptoms and 45.8% of them refer TB patients to a private practioner or private hospital rather than to the PHC (54.2%). Community members and TB patients frequently seek care with nonformal HSP. Since most nonformal HSP have poor knowledge of TB and do not refer TB patients to the PHC many TB patients may remain not reported. The fact that patients do not seek health care at PHC and nonformal HSP are not capable of diagnosing TB can both explain the low CDR in Tanjung Bintang subdistrict
Tatalaksana Eklampsia dengan Gagal Ginjal Akut Nurul Islamy; Ade Yonata
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2226

Abstract

Eklampsia merupakan kelainan akut disebabkan hipertensi karena kehamilan atau hipertensi yang bertambah berat karena kehamilan. Eklampsia menyebabkan kegagalan multi organ dengan peningkatan tekanan darah yang mendadak dan tinggi mengakibatkan kegagalan autoregulasi aliran darah. Hampir seluruh organ penting tubuh dapat terganggu dengan berbagai derajat gangguan yang berbeda terutama glomerulus. Karakteristik histologis lesi renal pada preeklampsia/eklampsia adalah adanya endoteliasis glomerulus. Glomerulus mengalami pembesaran dengan sel-sel endotel bervakuola yang menyebabkan vasokonstriksi yang meluas, mengakibatkan terjadi gagal ginjal. Gagal ginjal akut didefinisikan sebagai suatu penurunan yang cepat dan mendadak dari fungsi ginjal. Pengelolaan komplikasi dilakukan secara konservatif sesuai dengan penyebab dan tahapan prarenal, renal atau pascarenal.Kata kunci: Eklampsia, gagal ginjal akut