Claim Missing Document
Check
Articles

Found 10 Documents
Search

ANESTESI PADA GASTROSCHISIS ANDRI YUNAFRI
JURNAL ILMIAH MAKSITEK Vol 4 No 1 (2019): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.47 KB)

Abstract

Gastroschisis is a defect in the anterior abdominal wall usually on the right side, caused by a herniation of the abdominal contents without being protected by a pouch, repairing the operation is an action that must be done immediately. Gastroschisis is different from omfalocele, where gastroschisis has other abnormalities that are fewer and are not associated with chromosomal abnormalities. The incidence of this defect is 1 in 10,000 births. Perioperatively monitors loss of fluid and body heat with general anesthesia techniques.
HUBUNGAN TINGKAT PENDIDIKAN DAN PENGETAHUAN TENTANG STATUS GIZI DENGAN ANGKA KEJADIAN STUNTING DI DESA SECANGGANG KABUPATEN LANGKAT SUCI MARDIANA; ANDRI YUNAFRI
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting is a condition of growth disturbance in children namely the child's height is lower or shorter (dwarf) than his agestandard, as a result of the low nutritional and health status in the pre and post-natal period. The level of education andknowledge of the mother greatly influences the level of the mother's ability to manage family resources, in order to obtainsufficient food needed. To determine the relationship between education level and knowledge about nutritional status withthe incidence of stunting in Secanggang Village, Langkat Regency. This type of research is analytic descriptive research withcross-sectional research design. Subjects in this study were mothers who have children aged 0-59 months with stuntingcondition who reside in Secanggang District, Langkat Regency as many as 27 people. The results showed there was arelationship between the level of education and knowledge about nutritional status with the incidence of stunting inSecanggang Village, Langkat Regency.
HUBUNGAN KONSUMSI PRODUK OLAHAN SUSU DAN KEBIASAAN MEMBERSIHKAN WAJAH DENGAN KEJADIAN AKNE VULGARIS PADA MAHASISWA FK UMSU ANGKATAN 2019 AMIRAH DESNINATAMA HARAHAP; ANDRI YUNAFRI
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Until now, acne vulgaris is still one of the most common skin problems suffered by teenagers. The incidence of acne vulgarisis around 85% in adolescents with the most incidence at the age of 15-18 years in both boys and girls. The prevalence ofacne vulgaris in Indonesia based on Indonesian Cosmetic Dermatology Study Group PERDOSKI (2013) said that the highestprevalence of acne among women aged 14-17 years was around 83-85% and in men aged 16-19 years was around 95-100%. There are many factors that can cause acne vulgaris such as genetic, race, diet, skin type and hygiene. Highglycemic and fat type of food such as dairy products is one of the triggering factors that can cause acne vulgaris. Everyindividual must have a sense of responsibility to take care of themselves after they reach adolescence, a proper and correctfacial cleaning habits is important to prevent the onset of acne vulgaris. To determine the relationship between consumptionof dairy products and facial cleaning habits with the incidence of acne vulgaris in students of medical faculty UMSU 2019.The research method used was descriptive analytic research with a cross-sectional approach. This research was conductedonline via Google form with a total sample 135 students from Faculty of Medicine, Muhammadiyah University of NorthSumatera and using a simple random sampling technique. From the results of statistical analysis this study shows that therelationship between consumption of dairy products and the incidence of acne vulgaris is indicated by the p value = 0,045and the p value = 0,001 on the relationship between facial cleaning habits and the incidence of acne vulgaris. There is asignificant relationship between consumption of dairy products and facial hygiene with the incidence of acne vulgaris instudents of medical faculty UMSU 2019.
HUBUNGAN PENGETAHUAN MASYARAKAT TERHADAP COVID - 19 DENGAN PENGGUNAAN MASKER SEBAGAI PENCEGAHAN PENULARAN INFEKSI DI LINGKUNGAN III KELURAHAN PULO BRAYAN BENGKEL KECAMATAN MEDAN TIMUR PUTRI AGUSTIAN; ANDRI YUNAFRI
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

COVID-19 is a respiratory infection disease with a very rapid spread and causes high mortality rates, so that on January 30,2020 WHO declared Coronavirus Disease a Public Health Emergency of International Concern. Knowledge of COVID-19 isvery important to know so that someone can take preventive measures such as wearing a mask which aims to reduce thespread of COVID-19 infection. Knowing the relationship between the knowledge of the community of Lingkungan III,Keurahan Pulo Brayan Bengkell against COVID-19 with the use of masks as a prevention of infection transmission.Analytical descriptive with cross-sectional design. The measuring instrument in this research is a validated questionnaire.Hypothesis testing using the Chi Square test. The number of respondents was 94 people. The results showed that therewere 49 people (52.1%) who had good public knowledge of COVID-19. There are 39 people (41.5%) who use good masks.People with good knowledge of COVID-19 with the action of using good masks amounted to 31 people (63.3%) with a pvalue = 0.000. There is a Correlation between public knowledge of COVID-19 and the use of masks as a prevention ofinfection transmission.
GAMBARAN PENGETAHUAN DAN SIKAP MAHASISWA PROGRAM PENDIDIKAN PROFESI DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA TERHADAP “NYERI SEBAGAI TANDA VITAL KE-5” PADA TATALAKSANA NYERI AKUT DI RUMAH SAKIT PENDIDIKAN MARSHELLA BRENDA SYAHPUTRI NASUTION; MUHAMMAD JALALUDDIN ASSUYUTHI CHALIL; ANDRI YUNAFRI; ARIL RIZALDI
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

In 1995 the American Pain Society (APS) instituted a campaign on "Pain as the 5th vital sign". Pain is a common reason thata person comes to the hospital seeking medical attention. The percentage of pain is higher than diabetes, heart disease andcancer. This study aims to see the level of knowledge and attitudes of P3D FK UMSU students towards pain as the 5th vitalsign in acute pain management in teaching hospitals. Using a descriptive method with a cross sectional approach, a sampleof 144 people from P3D FK UMSU students batch 2015 and 2016. The results of this study were obtained that from 94people (65.3%),out of 144 respondents had less knowledge, then 48 people (33.3%) have sufficient knowledge, and 2people (1.4%) have good knowledge.Moreover, as many as 124 people (84,4%) have a good attitude, and as many as 20people (13,6%) have bad attitude. The conclusion of this study is that P3D FK UMSU students have less knowledge andgood attitudes of pain as the 5th vital sign in acute pain management in teaching.
GAMBARAN ANGKA KEJADIAN POST OPERATIVE NAUSEA AND VOMITING (PONV) PADA PASIEN YANG MENJALANI ANESTESI INHALASI DENGAN ISOFLURAN PADA BULAN OKTOBER - DESEMBER 2018 DI RSU PUTRI HIJAU TK. II KESDAM I/BB MUHAMMAD IKHSAN; ANDRI YUNAFRI
JURNAL ILMIAH SIMANTEK Vol 4 No 4 (2020): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Post operative nausea and vomiting (PONV) occur in 24-48 hours after operative procedures. PONV is the commonestcause to disstressing/dissatisfying in patient during anaesthesia procedures. Unresolved PONV may result in prolonged PostAnesthesia Care Unit (PACU) and increasing readmission into the hospital. Result in overall health care costs. Reported thatincidence of PONV about 30% to 80% in high-risks patients. Around 30% of the 100 millions patient on the operativeprocedures in United States of America had PONV. In Indonesia, incidence of PONV not yet clearly recorded. To find out theincidence of PONV in terms of isoflurane use, gender, age, type of surgery, and smoking history in October-December 2018at RSU Putri Hijau Tk. II Kesdam I/BB. This study is descriptive-quantitative categorical by surveying medical record patientsundergone anaesthesia with isoflurane on October-December 2018 at RSU Putri Hijau Tk. II Kesdam I/BB. Of the 70 patientsusing inhalational anaesthesia with isoflurane, 27 patients experienced PONV (38,6%), the incidence of PONV were high onfemale gender within 14 patients (51,9%), the incidence of PONV were high in 3 age groups 18-24 years, 25-31 years and39-45 years within 6 patients (22,2%), the incidence of PONV were high on ENT operative procedures within 11 patients(40,7%), the incidence of PONV were high on non-smokers within 21 patients (77,8%). In this study the highest incidence ofPONV was found in the age group 18-24 years, 25-31 years, and 39-45 years, female gender, undergone ENT operativeprocedures, and non-smokers patients.
GAMBARAN INDEKS MASSA TUBUH (IMT) DAN KADAR KOLESTEROL TOTAL DALAM DARAH PADA PENGGUNA KONTRASEPSI HORMONAL JENIS MEDROXYPROGESTERONE ACETATE MUHAMMAD IQBAL RIFAI FAUZI; ANDRI YUNAFRI
JURNAL ILMIAH SIMANTEK Vol 4 No 4 (2020): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Contraception already popular, not only for family planning but also for prevent pregnancy. Oral contraception give sense ofsecurity for its user, because can be buy on store without anybody know. Injection Contraception and Implant usually have tofollow administrative procedure clinic and hospital. Oral or Injection, both have effect on increase body weight and obesity.On injection contraceptive user there is an increase blood pressure, BMI, total cholesterol, Low Density Lipoprotein (LDL),Triglycerides (TG), and Apoprotein B (Apo B). The goal of this study is to know description of BMI and total blood cholesterolon contraceptive hormonal user type medroxyprogesterone acetate. This is a descriptive study with cross – sectional designand point time approach. This study was conducted at Puskesmas Binjai Selatan Binjai city, This study held for 3 months onSeptember – December 2018. The result from this study is majority of contraceptive hormonal user typemedroxyprogesterone acetate with 6 months usage period have normal BMI and normal total blood cholesterol.Contraceptive hormonal user type medroxyprogesterone acetate, Majority of contraception user 20 – 35 age, number ofchildren ≥ 2, have job as housewife, majority of user have normal BMI and normal total blood cholesterol.
HUBUNGAN SIMTOM KECEMASAN DAN SIMTOM DEPRESI TERHADAP NILAI BLOK PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA ANGKATAN 2019 MUHAMMAD IKHSAN FAJAR PRASETYO; ANDRI YUNAFRI
JURNAL ILMIAH SIMANTEK Vol 5 No 2 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Based on the 2013 Basic Health Research (Riskesdas) the prevalence of the Indonesian population experienced nationalmental emotional disorders such as anxiety disorders by 6%. Depression and anxiety can affect student learning outcomes,because depression and anxiety tend to produce perceptual distortions and confusion. This distortion and confusion willdisrupt students' learning by weakening their ability to focus, decreasing memory, and interfering with the ability to relate onething to another. Symptoms of depression and anxiety that appear in individuals are decreased concentration, sleepdisturbances and loss of enthusiasm for daily activities. All three are part of internal factors that affect learning achievement,so that depression can have an impact on academic achievement. To find out the relationship between the level of anxietysymptoms on the academic achievement index in the students class 2016 in the Faculty of Medicine, University ofMuhammadiyah Sumatera Utara. This study was descriptive analytic with a cross sectional design. The results of this studyused the Kruskal-Wallis test. Kruskal-Wallis test analysis obtained the value of P Value as indicated by the value of Asymp.Sig is 0.005 which means there is no influence on the level of anxiety symptoms on the academic achievement index.There is no correlation between the level of anxiety symptoms towards the academic achievement index in the students class2016 in the Faculty of Medicine, University of Muhammadiyah Sumatera Utara.
GAMBARAN PENGETAHUAN TENTANG FAKTOR RISIKO DAN PENCEGAHAN KANKER SERVIKS PADA PASIEN WANITA YANG SUDAH MENIKAH DI PUSKESMAS LALANG PUTRI MAULIA AMAMI HARUN; ANDRI YUNAFRI
JURNAL ILMIAH SIMANTEK Vol 5 No 3 (2021): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cervical cancer is a malignant tumor that affects the surface layer of the cervix, called squamous epithelial cells, which arelocated between the uterus and the vagina. It has been proven that the main cause of cervical cancer is Humanpapillomavirus (HPV), oncogenic subtypes, especially subtypes 16, 18, 31, 33, and 45. Mortality and morbidity of womenwith cervical cancer is very high, this situation will have a negative impact on world health in the world. including inIndonesia. It is important for women to know what factors can cause cervical cancer and have knowledge about cervicalcancer prevention because of the large incidence of cervical cancer in Indonesia, and there are still many women who do nothave less knowledge. The study design was descriptive with a sample of 45 people. The sampling technique used totalsampling. The data will be analyzed by quantity test using SPSS software. This study shows that the largest age range is inthe age group 36-45 years (late adults) as many as 19 people (42.2%), more respondents with primary school education are17 people (37.8%), the respondent's occupation group Most were housewives (IRT) as many as 34 people (75.6%), morehad knowledge of good cervical cancer risk factors as many as 31 people (68.9%), more had adequate / moderateknowledge of cervical cancer prevention 25 people (55.6%). There are more respondents who have good knowledge aboutcervical cancer risk factors, while more respondents have sufficient / moderate knowledge about cervical cancer prevention.
Perbandingan Ketamin Dosis 0.5 mg/KgBB/IV dan 1 mg/KgBB/IV Sebagai Preemptif Analgesia pada Paska Operasi Ginekologi dengan Anestesi Umum Andri Yunafri; A Sani P Nasution
Buletin Farmatera Vol 3, No 2 (2018)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.688 KB) | DOI: 10.30596/bf.v3i2.1688

Abstract

Abstract: Excitatory amino acids participate in the activation of nociceptive dorsal horn neurons as agonists of the N-methyl-D-aspartate (NMDA) receptor. A series of experimental data provides evidence that NMDA receptors play a significant role in neuronal plasticity and processes leading to central sensitization to pain. The concept of preemptive analgesia on the assumption that the administration of an analgesic drug before the occurrence of nociceptive input can prevent sensitization and thus improve postoperative analgesia. The aim of our study was to test the hypothesis that preemptive ketamine administration would further reduce postoperative pain in gynecology  surgery. After institutional review board approved the study protocol, all patients gave informed, written consent. 60 patients were randomized to a preemptive Ketamine 0.5 mg/kg/iv (Group A) or Ketamine 1 mg/kg/iv (Group B). Preoperatively visual analog scale (VAS) for pain assessment. Patient received premedication with midazolam 0.1 mg/kg iv, sulfas atropin 0.01 mg/kg  at the operating room. Anesthesia was induced with propofol 2 mg/kg/iv, fentanyl 2 μg/kg/iv, and rocuronium 1 mg/kg/iv was administered to facilitate tracheal intubation. Maintenance of anesthesia consisted of O2:N2O = 50%:50% and isoflurane 1%. In both groups, ketamine bolus IV was administered after induction of general anesthesia and 10 minute before incision. HR and BP was recorded during operation. Post operative pain assessed with VAS at 0.5, 1, 2, 8, 16, and 24 hour. Time first analgesic (TFA) was recorded, and if VAS pain scores > 3 cm (0= no pain, 10 = worst pain imaginable). Total fentanyl consumption were recorded for the post surgery. The first analgesic required time was significantly shorter in groups A as compared with group B (p=0.0001).  Group B had significantly decreased postoperative pain scores (VAS) at 0.5, 1, and 2 hours (p<0.05). There were no statistically significant differences VAS score between the two grups at 8, 16, and 24 hours post surgery (p>0.05). Conclusion, ketamine 1 mg/kg intravena provide better preemptive analgesia in the first 2 hours post surgery, but both groups perform the same preemptive analgesia  within 24 hours of post gynecology operation.Key words: analgesia; ketamine; preemptive; gynecology; surgery pain