Irvan Setiawan
Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta

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HUBUNGAN MASA KERJA DENGAN KAPASITAS VITAL PARU OPERATOR EMPAT STASIUN PENGISIAN BAHAN BAKAR UMUM (SPBU) KOTA YOGYAKARTA Setiawan, Irvan; Hariyono, Widodo
Jurnal Kesehatan Masyarakat (Journal of Public Health) Vol 5, No 3 (2011): Jurnal Kes Mas FKM UAD September 2011
Publisher : Universitas Ahmad Dahlan

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Abstract

Background: Motor vehicles contributed almost 100 percent plumbum, 70,5 percent of carbon monoxide, 8,89 percent oxide nitrogen, 18,34 percent hydro carbon and 1,33 percent particles. Many pollutants would cause bad effect especially to respiratory system. Air pollution in Yogyakarta city, were above norml threshold of air qualiy standards. One point area with with high air pollutionis in SPBU. The officers also had high risk to exposed danger chemicals especially plumbum by gaso-line and gas emissions of motor vehicle that waiting queue refueling or vehicle departing after refu-eling. The longer someone worked so the more he has exosed the danger that generated by work environment. The purpose of this study was to determine the relation between work period with lung vital capacity operator in four public refueling stations Yogyakarta city. Methods: this study was analytic observational with kuantitatif methods. Design used cross sctonl. The sample of this study were operator four public refueling stations amount 43 persons. The measurements of lung vital capacity used electric spirometer and themeasure of work period used questionnaire. Data analsys used univariate and bivariate. Result: there was a significant relation between work period with lung vital capacity operator in four public refueling Yogyakarta city with significancy value (p) amount 0,018 with p=0,018,<?=005, so Ho which states there is no relationship between work periods with lung vital capacity in four public refueling stations “rejected”. Ha which states there is relationship between work periods with lung vtal capacity I four public refueling stations “accepted” Conclusion: work periods had significant relation to lung vital capacity operator in four public sta-tions in yyogyakarta city. Keywords: work periode, lung vital capacity, public refueling station operator
Perbandingan Pemulihan Bising Usus pada Pasien Pascaoperasi Histerektomi per Laparotomi Menggunakan Analgetik Kombinasi Ketamin-Morfin dengan Morfin Intravena Setiawan, Irvan; Oktaliansah, Ezra; Boom, Cindy Elfira
Jurnal Anestesi Perioperatif Vol 2, No 1 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Disfungsi gastrointestinal merupakan penyulit pascaanestesi yang sering terjadi. Tujuan penelitian ini untuk membandingkan pemulihan bising usus antara pemberian analgetika kombinasi ketaminmorfin dibandingkan dengan morfin. Penelitian dilakukan dengan uji klinis acak terkontrol buta ganda terhadap 36 pasien dengan status fisik American Society of Anesthesiologist (ASA) I dan II yang menjalani operasi histerektomi per laparotomi di Rumah Sakit Dr. Hasan Sadikin Bandung pada April–Agustus 2012. Kedua kelompok menerima dosis awal morfin 0,03mg/kgBB, lalu kelompok K diberikan infus ketamin 4 μg/kgBB/menit, dan kelompok M diberikan morfin infus 10 μg/kgBB/jam. Analisis data memakai uji-t dan Uji Mann Whitney, tingkat kepercayaan 95% dan bermakna bila p<0,05. Hasil penelitian ini menunjukkan waktu pemulihan bising usus pada kelompok K lebih cepat dibandingkan dengan kelompok M dengan berbeda bermakna (p<0,05). Simpulan, pemulihan bising usus lebih cepat pada pemberian analgetika kombinasi ketamin dan morfin dibandingkan dengan morfin pada pasien pascaoperasi histerektomi per laparotomi.Kata kunci: Ketamin, morfin, pemulihan bising usus Comparison of Bowel Sound Recovery in Postoperative Hysterectomy per Laparotomy Patient Between Combination of Intravenous Ketamine - Morphine and MorphineGastrointestinal dysfunction is the most common post anaesthesia complication. The aim of this study is to compare the recovery of bowel sounds between combination of ketamine-morphine analgesia to morphine alone. This is a randomized controlled study on 36 patients with American Society of Anesthesiologist (ASA) physical status I and II who underwent hysterectomy per laparotomy at Dr. Hasan Sadikin Bandung during April–August 2012. Both groups received an initial dose of morphine 0.03 mg/kgBW, while K group received intravenous ketamine 4 μg/kgBW/min, and the M group received morphine 10 μg/kgBW/hr. The results were analyzed using t-test and Mann Whitney test with a confidence level of 95% and were considered significant if p<0.05. The results of this study showed that the recovery time of bowel sounds in K group was significantly faster than in the M group (p<0.05). In conclusion, recovery of bowel sounds is faster in analgesia using combination of ketamine-morphine than morphine in postoperative hysterectomy per laparotomy patients.Key words: Ketamine, morphine, recovery of bowel DOI: 10.15851/jap.v2n1.238