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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Majalah Kedokteran Andalas
Ligat Pribadi Sembiring
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Public Health

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IDENTIFIKASI DAN RESISTENSI BAKTERI Methicillin resistant Staphylococcus aureus (MRSA) DARI ULKUS DIABETIKUM DERAJAT I DAN II WAGNER DI BAGIAN PENYAKIT DALAM RSUD ARIFIN ACHMAD Meta, Definov Tacsa; Endriani, Rita; Sembiring, Ligat Pribadi
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Diabetic ulcers is a chronic complications of diabetic mellitus which caused people treated in hospital about 80%. Patients with diabetic ulcers need more care and additional costs. It will be wretched if the infection caused by multidrugs resistant bacterials like Methicillin resistant Staphylococcus aureus (MRSA). This research aimed to identified and understand the resistance of MRSA bacteria from Wagner grade I and II diabetic ulcers at department of Internal Medicine of RSUD Arifin Achmad. Samples were taken with a swab technique and then the bacteria were identified and further resistance test with Kirby-bauer disk diffusion method. This research reported about 6 samples (21,42%) from 28 grade I and II swabs diabetic ulcers are Staphylococcus aureus and 5 samples 83,33% from 6 samples Staphylococcus aureus were identified as MRSA. Antibiotics trimethoprim-sulfamethoxazole, chloramphenicol and gentamycin resistance test results had sensitivity 100% to MRSA bacteria. Followed by ofloxacin 60% and ciprofloxacin 40%.Key words : Diabetes Mellitus, Diabetic ulcers, Methicillin resistant Staphylococcus aureus, Resistance
Konstipasi pada Kehamilan Ligat Pribadi Sembiring
Jurnal Ilmu Kedokteran Vol 9, No 1 (2015): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (29.308 KB) | DOI: 10.26891/JIK.v9i1.2015.7-10

Abstract

Constipation is a condition often found in pregnant women and can lead to various complications. Based onpathophysiology, constipation can be classified into constipation due to structural abnormalities and functionalconstipation. Constipation in pregnant women is classified as the functional constipation caused by hormonal factors,changes in diet, growth of fetus, decrease in physical activities and the position of the defecation. The management ofconstipation during pregnancy take precedence on non pharmacological therapy. Pharmacological therapy (laxatives)that can be used is the bulk-forming agents and osmotic laxatives, however, they are only when absolutely necessaryand are not for long term use. The reasons are to avoid dehydration and electrolyte imbalance in pregnant women.
IDENTIFIKASI BAKTERI BATANG GRAM NEGATIF PENGHASIL Extended Spectrum β Lactamase (ESBL) DARI ULKUS DIABETIKUM DERAJAT I DAN II Waigner DI BANGSAL PENYAKIT DALAM RSUD ARIFIN ACHMAD PROVINSI RIAU Ferry Anggriawan; Rita Endriani; Ligat Pribadi Sembiring
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Diabetic ulcers are open wound on the skin surface effect of neuropathy andvascular insufficiency that made the wound are often not felt by the patient , and candevelop into an infection caused by aerobic and anaerobic bacteria . Diabetic ulcersmedical patients are very susceptible infected with antibiotic-resistant bacteria likeESBL -producing bacteria. This descriptive study to detect Gram-negative bacillibacteria producing enzyme Extended spectrum beta - lactamase ( ESBL ) in diabeticulcers, are carried out using a double disc approximation Method ( DAM ) to thenumber of study subjects were 26 people with diabetic ulcers Wagner grade I and II .The results obtained ESBL producing bacteria as much as 16 samples ( 69.57 % )some of them were Citrobacter freundi , Enterobacter sp , Proteus sp , Klebsiella sprespectively – each of them are 3 isolates ( 18.75 % ) , and Pseudomonas sp ,Salmonella sp respectively – each of them are 2 isolates ( 12.5 %) .The results of theantibiotic sensitivity test showed that Gram-negative bacilli bacteria producing ESBLhave high sensitivity toward amikacin and meropenem as much as 16 samples ( 100% ) Antibiotics Betalaktam groups such as ampicillin, and third -generationcephalosporins such as cefotaxcime , ceftriaxone, and ceftazidime factually hadexperienced resistance 100% toward ESBL producing bacteria.Keywordrs : diabetic ulcers , Double disc aproximation Method ( DAM ) , Gram -negative bacilli bacteria , Extended spectrum beta - lactamase ( ESBL )
Gambaran Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Continuous Ambulatory Peritoneal Dialysis Di RSUD Arifin Achmad Provinsi Riau Dengan Menggunakan Kuesioner KDQOL-SFTM Rizqina Putri; Ligat Pribadi Sembiring; Eka Bebasari
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Chronic renal failure is an end stage of renal disease that can be treated by dialysis, which one of them is Continuous Ambulatory Peritoneal Dialysis (CAPD). CAPD is a dialysis technique uses peritoneal membrane as dialysis membrane that splits between dyalisate in peritoneal membrane with blood plasm in peritoneal vessels. CAPD as a theraphy for chronic renal failure patients can be examined by KDQOL-SFTM questionnaire to measures its effect on patients’ quality of life. This research helds on purpose to get a representation of Continuous Ambulatory Peritoneal Dialysis (CAPD) patients’ life quality. This is a descriptive method of research with cross sectional approachment and had implemented on February 2014. About 47 chronic renal failure patients have been undergoing CAPD therapy. Research results showed most of respondents is dominated by male respondents (59,57%). Results from respondent by age category indicated that category 18-44 years old and category 45-64 years old are relatively equal ini amount. Category by ethnic showed that most of respondents are Malay ethnic (31,91%). Respondents have been educated and got undergraduated and degree: D1/D2/D3/S1 (53,19%). Most of respondents have been married (93,61%) and work as a housewife, retired and unemployed (36,17%). CAPD has been used as theraphy for about 1-5 years by most respondents (72,34%). Most chronic renal failure patient who undergo CAPD therapy at RSUD Arifin Achmad Riau Province (76,59%) have hight value of quality of lifeKey word: chronic renal failure, Continuous Ambulatory Peritoneal Dialysis , quality of life
Kejadian Breakthrough Infection Pasca Vaksinasi Dosis 2 Sinovac pada Tenaga Kesehatan RSUD Arifin Achmad Agung Ramadhan; Eka Bebasari; Dani Rosdiana; Ligat Pribadi Sembiring; Rahmat Azhari Kemal
Majalah Kedokteran Andalas Vol 46, No 2 (2023): Online April 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i2.p348-357.2023

Abstract

Tujuan: untuk mengetahui prevalensi dan karakteristik responden breakthrough infection pasca vaksinasi dosis 2 Sinovac. Metode: penelitian deskriptif observasional dengan pendekatan cross sectional, pengambilan data dilakukan menggunakan metode consecutive sampling dengan besar sampel adalah 120 orang. Hasil: menunjukkan bahwa sebanyak 11 orang (9,2%) tenaga kesehatan di RSUD Arifin Achmad Provinsi Riau terkonfirmasi mengalami breakthrough infection. Mayoritas subjek penelitian yang mengalami breakthrough infection adalah laki-laki (63,6%), pada kelompok usia 40-49 tahun (36,4%), berprofesi sebagai dokter (40%), kelompok obesitas (81,8%), tanpa penyakit komorbid (54,5%), mempunyai riwayat kontak erat (63,6%), dan belum pernah terinfeksi COVID-19 sebelum vaksinasi (90,9%). Sebagian besar kasus merupakan kasus asimtomatis/tanpa gejala sebanyak 6 orang (54,5%), dan terdapat 5 orang (45,5%) yang memiliki gejala yaitu pada 3 orang (27,3%) dengan gejala sedang, dan pada 2 orang (18,2%) dengan gejala ringan. Kesimpulan: kejadian breakthrough infection pasca vaksinasi Sinovac dosis dua pada tenaga kesehatan di RSUD Arifin Achmad Provinsi Riau tidak ditemukan adanya kasus dengan gejala berat. 
Gambaran KIPI Vaksin Booster mRNA Heterolog Pada Tenaga Kesehatan RSUD Arifin Achmad Provinsi Riau Carlo Manuel Perangin-angin; Eka Bebasari; Dani Rosdiana; Ligat Pribadi Sembiring; Rahmat Azhari Kemal
Majalah Kedokteran Andalas Vol 46, No 2 (2023): Online April 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i2.p394-404.2023

Abstract

Tujuan: untuk mengetahui gambaran KIPI vaksin booster mRNA heterolog pada tenaga kesehatan di RSUD Arifin Achmad Provinsi Riau. Metode: penelitian deskriptif observasional, pengambilan data dilakukan menggunakan metode consecutive sampling dengan besar sampel adalah 117 orang. Hasil: menunjukkan bahwa mayoritas subjek penelitian berjenis kelamin perempuan (70,9%), pada kelompok usia 30-45 tahun (66,7%), dengan IMT overweight (46,2%), tanpa komorbid (71,8%), bukan penyintas (86,3%), dan memiliki riwayat kontak erat (54,7%).  Keluhan yang muncul terbanyak pada setiap kategori terdiri dari, keluhan umum berupa demam/meriang (82,9%), keluhan lokal/area penyuntikan berupa bengkak di daerah penyuntikan (55,6%), keluhan muskuloskeletal/otot berupa nyeri otot (88,9%), keluhan pencernaan berupa penurunan/peningkatan nafsu makan (24,8%), keluhan psikis berupa sering ngantuk/tidur lebih lama (23.9%), keluhan saraf berupa kebas pada tangan dan/atau kaki (11,1%), keluhan pada kepala/telinga/hidung/tenggorokan berupa hidung tersumbat (14,5%), dan keluhan pada jantung dan pembuluh darah dan pernapasan berupa batuk (8,5%). Kesimpulan: tenaga Kesehatan di RSUD Arifin Achmad Provinsi Riau mengalami Kejadian Ikutan Pasca Imunisasi (KIPI) yang terbagi kedalam beberapa kelompok.
Co-Authors Agung Ramadhan Carlo Manuel Perangin-angin Dani Rosdiana Definov Tacsa Meta Eka Bebasari Ferry Anggriawan Rahmat Azhari Kemal Rita Endriani Rizqina Putri