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Perbandingan Efek Samping Pemberian Ketorolac 30 mg Intravena dengan Tramadol 100 mg Intravena pada Nyeri Pasca Bedah terhadap Perubahan Kadar Hemoglobin Pasien Fraktur Shaft Femur yang Dilakukan Reduksi Terbuka dan Fiksasi Dalam di RS M. Djamil Muhamad Ivan; Rizki Rahmadian; Nasman Puar; Rizanda Machmud
Health and Medical Journal Vol 3, No 1 (2021): HEME January 2021
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (441.155 KB) | DOI: 10.33854/heme.v3i1.476

Abstract

Introduction: Clinical manifestation of fractured femur are deformity, severe pain and sometimes shock as a result of bleeding. Thrombocytes dysfunction is one of the cause of bleeding during surgery or major injury such as fractured femur. Drug interactions that cause thrombocytes dysfunction are hazardous.5 Meanwhile, major injury like fractured femur and surgery always need analgesic. Ketorolac and tramadol become the choices in M. Djamil Hospital for analgesic therapy of fracture cases because they are the hospital formularies. Although they are from different classes, these medicine both have coagulation effect, that is interrupting thrombocytes aggregation through different channels. There are still no experiment about the effect of hemoglobin level change towards the using of those two analgesics. Aims: of this study is to know the comparison between the effect of using 30 mg ketorolac intravenous and 100 mg tramadol intravenous for post surgical pain towards hemoglobin level change of patient with shaft fracture femur who got open reduction and internal fixation treatment at M. Djamil Hospital. Method: This study used double-blind randomized clinical trial method and was held between September-December 2015. The collected data are primary data of hemoglobin levels measurement before and after the treatment given. The subjects of this study are the patients who have undergoing surgery in department of orthopedic surgery chosen based on inclusion criteria and divided into ketorolac group and tramadol group. The difference between hemoglobin level of these two groups were analyzed using independent two sample Wilcoxon-Rank test and Mann-Whitney test. Results: there is differences between hemoglobin level before and after surgery, before and after the given of analgesic in both tramadol group and ketorolac group. But, there is no significant change of hemoglobin levels after the surgery and after the given of analgesic, in both tramadol or ketorolac group. There is no difference between hemoglobin levels after the given of tramadol or ketorolac. Conclusion: there is no significant change between the average hemoglobin level after the surgery and after the given of analgesic in both tramadol and ketorolac groups. Based on statistical test, there is no difference between the hemoglobin level after the given of analgesic in both tramadol and ketorolac group.
KARAKTERISTIK PASIEN APENDISITIS BERDASARKAN SKOR RIPASA DI RUP DR. M. DJAMIL PADANG Mhd Nurhuda; Rosmaini Rosmaini; Yusti Siana; Muhamad Ivan; Fazilla Arma
Nusantara Hasana Journal Vol. 2 No. 2 (2022): Nusantara Hasana Journal, July 2022
Publisher : Nusantara Hasana Berdikari

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Abstract

Acute Appendicitis Is An Inflammation Of The Appendix Vermiformis. The Research Find Out Characteristics Of  Appendicitis Patients Based On RIPASA Score At Dr. M. Djamil General Hospital For The Period January 2017 – December 2019. Type Of This Research Is Categorical Descriptive With Cross Sectional Approach Using Secondary Data. The Sample Was 93 Acute Appendicitis Patient Who Were Recorded In The Medical Records Of Dr. M. Djamil General Hospital And Were Selected Using Purposive Sampling Techniques. Data Processing Using The SPSS Program. Result Of Research Are The Most Gender Were Male (60 Patients, 64,5%) With The Most Age Group Were <39,9 Years (68 Patients, 73,1%). RIF Pain Found In 93 Patients (100%), Migration Pain To The RIF Found In 63 Patients (67,7%), Anorexia Found In 21 Patients (22,6%), Nusea And Vomiting Found In 77 Patients (82,8%). The Most Duration Of The Symptoms Were <48hours (49 Patients, 52,7%). RIF Tenderness Found In 93 Patients (100%), Guarding Found In 49 Patients (52,7%), Rebound Tenderness Found In 70 Patients (75,3%), Increase Body Temperature Found In 51 Patients (54,8%) And The Most Leukocytes Level Were >10.000sel/µl (74 Patients, 79,6%).Variable Of RIPASA Can Be Used As Characteristic  Appendicitis Patients The Abstract Consists Of A Single, Concise Paragraph Describing The Purpose, Procedure, And Results Of Your Study. Use No More Than 200 Words. Do Not Write The Abstract Until You Are Nearly Finished Writing And Then Draft And Redraft Until It Reads As Clearly As Possible.
The Effect of Peer Education of Bone Health on Knowledge Level of High School Students Muhamad Ivan; Muhammad Nurhuda; Ade Teti Vani
Journal on Education Vol 5 No 4 (2023): Journal on Education: Volume 5 Nomor 4 Mei-Agustus 2023
Publisher : Departement of Mathematics Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joe.v5i4.2785

Abstract

The goal of this investigation is to ascertain how peer education about bone health affects students' knowledge. A one-group pre-test-post-test design was used in the pre-experimental study design. Twenty-nine students were chosen as the sample for this study using a straightforward random sampling procedure. 27 questions about bone health were included in the questionnaire that served as the study tool. The t-test statistical test was used for univariate and bivariate data analysis. According to the findings, there was a significant difference in knowledge between the two time periods before and after the peer education intervention for bone health (p-value = 0.000). The obtained beta squared value was 0.89, which indicated that peer education interventions for bone health had a significant impact on knowledge growth. A similar study will be conducted in the future to assess attitudes and behavior, as well as the presence of a control group.