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GAMBARAN TINGKAT PENGETAHUAN MAHASISWA PROGRAM PENDIDIKAN PROFESI DOKTER FAK. KEDOKTERAN UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA TENTANG REVISED WORLD HEALTH ORGANIZATION ANALGESIC LADDER UNTUK TATALAKSANA NYERI AKUT PASCA BEDAH DI RUMAH SAKIT PENDIDIKAN LATHIFAH ARDHIAN; MUHAMMAD JALALUDDIN ASSUYUTHI CHALIL
JURNAL ILMIAH MAKSITEK Vol 6 No 2 (2021): JURNAL ILMIAH MAKSITEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

The Revised WHO Analgesic Ladder can be used for acute pain in emergency and postoperative conditions. The researchobjective was to determine the level of knowledge and attitudes of P3D FK UMSU students towards the Revised WHOAnalgesic Ladder as a post-surgical acute pain management in teaching hospitals. Descriptive with aapproach crosssectional, a sample of 144 people from P3D FK UMSU students batch 2015 and 2016. The knowledge level of P3D FKUMSU students who have good knowledge is19 people, moderate is 87 people and 38 people less. The attitudes of P3D FKUMSU students were 7 questions with correct answers and 3 questions with wrong answers. The level of knowledge of P3DFK UMSU students was in the sufficient category as many as 87 people with a GPA of 3.00 and in the attitude study, 7questions were obtained with correct answers.
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

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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.
EFEKTIFITAS EKSTRAK DAUN SAMBILOTO (ANDROGRAPHIS PANICULATA NESS) DENGAN KLORAMFENIKOL TERHADAP PERTUMBUHAN BAKTERI SALMONELLA TYPHI SECARA IN VITRO FAJAR MUHAMMAD NASUTION; MUHAMMAD JALALUDDIN ASSUYUTHI CHALIL; ANNISA .; MELVIANA LUBIS
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Abstract

S. typhi is a stem bacteria, and gram-negative bacteria causes of typhid fever that until now became a health problem . Sambiloto (Andrographis paniculata Ness) is a potentially medicinal plants because it has antibiotic effect on bacteria. Objective: This study aims to determine the effectiveness of sambiloto’s leaf ectract on Salmonella typhi growth in vitro. Method: this research use experimental method. The technique used in measuring antibiotic activity is the method of disk diffusion. Result: The result showed that the sambiloto’s leaf extract (Andrographis paniculata Ness) with concentration of 80%, 40%, 20% and 10% yielded the mean of clear zone diameter ie 9.93 mm, 9.61 mm, 8.74 mm, and 7.49 mm. in this study showed that each concentration has different inhibitory power between the one with the other which obtained the value (p<0.05) but in the concentration ratio of 40% with 80% obtained value (p>0.05). Conclusion: Sambiloto’s leaf extract has an inhibitory power to the growth of Salmonella typhi bacteria and it can be seen in the result of the study. The higher the concentration of sambiloto’s leaf extract given, more higher the clear zone forme on the agar medium.
PERBANDINGAN EFEKTIVITAS JUS BUAH TOMAT (LYCOPERSICUM ESCULANTUM MILL.) DENGAN JUS BUAH JAMBU BIJI MERAH (PSIDIUM GUAJAVA L.) TERHADAP PENURUNAN KADAR KOLESTEROL TOTAL PADA TIKUS PUTIH JANTAN YANG DIINDUKSI KUNING TELUR MUHAMMAD AULIA RAHMAN; IRFAN HAMDANI; ISRA THRISTY; MUHAMMAD JALALUDDIN ASSUYUTHI CHALIL
JURNAL ILMIAH SIMANTEK Vol 3 No 3 (2019): JURNAL ILMIAH SIMANTEK
Publisher : LP2MTBM MAKARIOZ

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Communities have an unhealthy lifestyle that leads to an increase in total cholesterol levels. Tomato juice (Lycopersacum esculentum M.) and red guava (Psidium guajava L.) contain lycopene which is high enough of antioxidant that can lower blood cholesterol levels. Methods: This study was experimental using pretest posttest with control group design. White rat (Rattus norvegicus L.) male 24 wistar strain induced egg yolk 6.25gr / kgBW, grouped into 4, negative controls were given distilled water, positive control was given egg yolk, one treatment was given tomato juice 3 cc and two treatment was administered 3 cc red guava fruit juice for 2 weeks then blood was taking for 3 times, pretest, intervention and posttest. Result: the average of total cholesterol level posttest negative control group, positive control, one treatment and two treatment respectively 64,82 mg / dl, 78,48 mg / dl, 61,24 mg / dl, 41,81 mg / dl . ANOVA test results showed that there was a significant difference between posttest intervention of treatment group one and treatment group two with p = 0,021 and 0,000 (p <0,05). Conclusion: The provision of tomato juice and red guava juice can reduce total cholesterol levels of rats. Red Guava juice is more effective to lower total cholesterol of rats.
Perbandingan efek klonidin 2g/Kg intravena dan lidokain 2% 1.5 mg/Kg intravena untuk mencegah kenaikan tekanan intra okuler (TIO) selama tindakan intubasi endotrakheal Muhammad Jalaluddin Assuyuthi Chalil; Nazaruddin Umar; Dadik Wahyu Wijaya; Aslim Sihotang
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background: Endotracheal intubation is routinely performed during general anaesthesia in patients undergoing intraocular surgery. However, intubation is associated with an increase in intraocular pressure (IOP).Aim: To compare the effect of clonidine and lidocain to prevent the increase of IOP during endotracheal intubation. Method: Forty patients with no pre-existing eye diseaseundergoing elective non-ophthalmic surgeriesundergeneral anesthesiawererandomly allocated to two groups of 20 each.In Group A, patients received clonidine 2μg/kg/iv, and in group B lidocain2% 1.5mg/kg/iv for premedication.The hemodynamic profile (systolic and diastolic blood pressure, mean arterial pressure, heart rate) and IOP (using Schioetz tonometer) were measured before premedication (pre anesthesia), before intubation, immediately after intubation, and every 1 minute for 2 minutes.Result:There was a significant decrease in IOP and hemodynamic profile within both groups before and after endotracheal intubation compare to pre anesthesia periode (P <0.05). But the decreasewas not different between two groups (P >0.05). Conclusion: We conclude that both drugs have the same ability in blunting the hemodynamic response and attenuating the IOP, and preventing the increase in IOP caused by endotracheal intubation.Key word : clonidine, endotracheal intubation, intra-ocular pressure, lidocain
Flush Cairan pada Jarum Spinal 27-Gauge Tipe Quincke Mempercepat Waktu Munculnya Cerebrospinal Fluid (CSF) sebagai Penanda Keberhasilan Mencapai Ruang Subarakhnoid pada Tindakan Anestesi Spinal Muhammad Jalaluddin Assuyuthi Chalil
ANATOMICA MEDICAL JOURNAL | AMJ Vol 2, No 3 (2019)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.514 KB) | DOI: 10.30596/anatomica

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ABSTRACT Background: There are currently various sizes and shapes of spinal needles designed to prevent post-dural puncture headache (PDPH). Spontaneous CSF flow is very slow on fine spinal needles which impacts prolonging the duration of the procedure and resulting in repeated punctures in the dura mater. Aim. To Evaluate 0.5% 0.2 mL bupivacaine filling into the Quincke 27G needle before insertion is a fast and simple method for identifying the appearance of CSF under spinal anesthesia.Methodology. After obtaining approval from the ethics committee, a cross-sectional study was conducted on 100 pregnant women, aged 18-40 years, ASA I and II status, who underwent elective cesarean section, and sought written approval. Subjects were randomized into 2 groups. A (n = 50) used a 27G Quincke spinal needle (Spinocan®, B.Braun Melsunger) filled with 0.5% bupivacaine 0.2 ml before being inserted into the L3-L4 space and group B (n = 50) as a control. The time from when the stylet was pulled until the appearance of CSF on the hub was calculated using a stopwatch.Results. There were no significant differences between the two groups in age and ASA physical status. The mean time for CSF to appear was significantly shorter in group A than in group B (6.26 vs 16 seconds; p= 0.000).Conclusion. This method can be used to identify the emergence of CSF in a shorter of time, simpler and easier to do.Keywords: fine spinal needle, cerebrospinalfluid (CSF), post-dural puncture headache (PDPH)
EFFECTIVENESS OF PREEMPTIVE ANALGESIA IBUPROFEN 10 MG / KGBB PER ORAL FOR POSTOPERATIVE PAIN MANAGEMENT IN CHILDREN UNDERGOING MASS CIRCUMCISION Muhammad Jalaluddin Assuyuthi Chalil
Buletin Farmatera Vol 4, No 3 (2019)
Publisher : Universitas Muhammadiyah Sumatera Utara

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Management of post-mass circumcision pain is often overlooked and not optimal because the administration of analgesia will be given when circumcision is complete. This study aims to determine the effectiveness of oral 10 mg / KGBB ibuprofen as preemptive analgesia for the management of post mass circumcision pain. After obtaining permission from the ethics commission of the FK UMSU clinical research, a prospective double-blind randomized controlled clinical trial was conducted on 28 children in consecutive sampling who met the inclusion and exclusion criteria. Samples were randomized into 2 groups, A was given ibuprofen 10 mg/kg BW orally 1 hour before incision and B was given ibuprofen 10 mg/kg BW orally at the time immediately after the circumcision was completed. Pain scale measurements were performed using FPR-S (Faces Pain Scale-Revised) at the 1st, 2nd, 4th, 6th and 8th postoperative hours. Monitoring of the 1st to 4th hours is carried out at the location of the activity, while the 6th to 8th hours are carried out by telephone. There was a significant decrease in pain scale at the 1st hour (p = 0.031) in group A. At the second to eighth-hour monitoring, the effectiveness of the two methods was the same. In conclusion, the method of preemptive analgesia is effective for the management of post-mass circumcision pain.Keywords: preemptive analgesia, post-circumcision pain
Abdominal Compartment Syndrome Muhammad Jalaluddin Assuyuthi Chalil
Buletin Farmatera Vol 2, No 1 (2017)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.891 KB) | DOI: 10.30596/bf.v2i1.890

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Abstrak: Insiden dan penyebab Intra-abdominal Hypertension (IAH) dan Abdominal Compartment Syndrome (ACS) adalah penyakit-penyakit yang berkaitan dengan penyakit kritis. Dilaporkan bahwa insiden IAH dan ACS pada populasi yang dirawat pada Intensive Care Unit (ICU) gabungan masing-masing sekitar 32,1% dan 4,2%. Laju kejadian IAH juga telah dilaporkan pada pasien-pasien dengan luka bakar berat yaitu 36,7-70%, 2%-50% pada pasien trauma berat, dan 31,5%-40,7% pada pasien yang menjalani operasi abdominal mayor. ACS meningkatkan risiko terjadinya Acute Respiratory Distress Syndrome (ARDS) dan Multiple Organ Failure (MOF) sebesar 40%, dengan laju mortalitas 63-72%. ACS didefinisikan sebagai suatu keadaan dimana Intra-Abdominal Pressure (IAP) yang bertahan> 20 mmHg (dengan atau tanpa Abdominal Perfusion Pressure (APP) < 60 mmHg) yang dikaitkan dengan terjadinya disfungsi atau kegagalan organ. ACS primer terjadi akibat adanya cedera langsung pada regio abdomen dan pelvik, sedangkan ACS sekunder terjadi tanpa adanya cedera atau kelainan langsung pada abdomen sepertipada syok berat, pemberian cairan yang masif akibat perdarahan, sepsis, capillary leak, atau luka bakar hebat. Metode pengukuran tekanan bladder dikatakan sebagai baku emas dan merupakan pengukuran yang paling dapat dipercaya. Dengan menggunakan sebuah  manometer atau transduser tekanan dan monitor, maka tekanan intravesikal dapat diukur dan dapat digunakan sebagai refleksi IAP.Kata kunci: Abdominal Compartment Syndrome, Intra Abdominal Pressure  Abdominal Compartment SyndromeAbstract:Incidence and cause IAH and ACS are diseases related to critical illness. The reported incidence of IAH and ACS is about 32.1% and 4.2%, respectively, in the mixed intensive care unit (ICU) population. Rates of IAH have also been reported for patients with severe burns (36.7%–70%) and traumatic injuries (2%–50%), and for patients who had major abdominal procedures (31.5%–40.7%). ACS increases the risk of acuterespiratory distress syndrome/multiorgan failure by 40%, mortalityassociated with abdominal compartment syndromeis 63–72%. ACS is defined as a sustained IAP > 20 mmHg (with or without an APP < 60 mmHg) that is associated with new organ dysfunction/ failure. Primary ACS results from direct injury within the abdomen and pelvic region. Secondary ACS develops without direct abdominalinjuries or conditions.Secondary ACS can be seenin patients with severe shock and who have requiredmassive fluid loading due to haemorrhage, sepsis,capillary leak, or major burns.The bladder pressure method is described as the gold standard and is the most reliable measurementof IAP via indirect means.With the use of a manometer or monitoring equipmenta pressure measurement can be achieved toestablish a reflection of IAP.Keyword: Abdominal Compartment Syndrome, Intra Abdominal Pressure
Pendidikan dan Pelatihan Bantuan Hidup Dasar pada Komunitas Lifeguard di Lokasi Wisata Pantai Cermin Muhammad Jalaluddin Assuyuthi Chalil; Irfan Hamdani
JURNAL PRODIKMAS Hasil Pengabdian Kepada Masyarakat Vol 3, No 1 (2018)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (385.128 KB) | DOI: 10.30596/jp.v3i1.2612

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Pantai Cermin Kanan Village is one of the villages in Pantai Cermin Subdistrict, Serdang Bedagai Regency, North Sumatra Province, located on the east coast of Sumatra Island. Because of this location, the Pantai Cermin Kanan Village has long been recognized by the community as a beautiful beach tourism destination and is visited every weekend and other holidays. The local government has sought to advance the coastal tourism industry in this village by building good access to tourist sites, and equally important is establishing the Pantai Cermin Puskesmas as the Regional Technical Implementation Unit (UPTD) of the Tourism Health Center. Based on these data, training is needed that aims to increase the knowledge and ability to conduct Basic Life Assistance (BHD) for the "Lifeguard" community of coastal tourist sites in Pantai Cermin Kanan Village and health workers in the work area of Cermin Beach Tourism Puskesmas as an effort to improve rescue management services first cases of cardiac arrest in drowning victims and emergency cases of cardio respiration. This activity was carried out for 2 days and was attended by 40 participants, consisting of 2 stages, namely the theory and technical practice of BHD on manikin. The results of this activity were an increase in knowledge and ability to do BHD between before and after training (p = 0.00) in the health workforce group. So it was concluded that this activity could help increase knowledge and implementation of BHD and still needed to be continued, especially in the "Lifeguard" community.
Penyuluhan dan Pelatihan Bantuan Hidup Dasar bagi Guru Sekolah Dasar Ika Nopa; Muhammad Jalaluddin Assuyuthi Chalil
JURNAL IMPLEMENTA HUSADA Vol 1, No 1 (2020)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v1i1.4571

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Latar Belakang : Anak usia sekolah dasar  terlibat dalam perilaku sosial dan motorik yang kompleks sehingga sangat aktif dalam berbagai aktivitas baik di dalam maupun luar kelas. Hal ini dapat menyebabkan keadaan gawat darurat yang membutuhkan pertolongan berupa bantuan hidup dasar. Kejadian gawat darurat yang tidak mendapat pertolongan segera dapat menyebabkan kecacatan bahkan kematian. Untuk itu diperlukan adanya pengetahuan dan ketermpilan bantuan hidup dasar yang baik oleh guru guru di sekolah dasar. Tujuan dilakukannya Penyuluhan dan Pelatihan Bantuan Hidup Dasar Bagi Guru Sekolah Dasar adalah meningkatnya  pengetahuan dan ketermpilan bantuan hidup dasar yang baik oleh guru guru di sekolah dasar. Metode : Kegiatan pengabdian kepada masyarakat di laksanakan di SDN 060929, 060930, dan 064988, Kelurahan Pangkalan Masyhur, Kecamatan Medan Johor, Kota Medan. Media yang digunakan adalah: Power point  presentasi, ,manekin bayi, manekin anak, dan manekin kompresi dada. Hasil : Kegiatan pengabdian kepada masyarakat berupa penyuluhan dan pelatihan bantuan hidup dasar pada guru di SDN 060929, 060930, dan 064988, Kelurahan Pangkalan Masyhur, Kecamatan Medan Johor, Kota Medan di hadiri oleh 44 orang guru. Pelaksanaan kegiatan berupa penyuluhan dengan presentasi powerpoit, peragaan/demonstrasi, dan simulasi kasus terkait bantuan hidup dasarKata Kunci: Penyuluhan, Bantuan Hidup Dasar, Guru