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Liana Sidharti
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Efek Samping Sectio Caesarea Metode ERACS (Literature Review) Arifaa Thalitha Z.; Liana Sidharti; Evi Kurniawaty
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.596

Abstract

Sectio caesarea surgery or cesarean section is a labor procedure to remove the baby through an incision in the abdomen (laparotomy) and uterus (hysterotomy). These surgeries are increasing all over the world (ACOG, 2021). The level of this operation continues to increase as evidenced by the report from the World Health Organization or WHO which will be published in 2021. The research was conducted using the literature review method. Literature review is a systematic, explicit and reproducible method for identifying, evaluating and synthesizing works. research results and ideas that have been produced by researchers and practitioners. The results of observations during the study on post-sectio caesarea (SC) birth mothers with the ERACS method, it was found that the implementation of early mobilization after 2-4 hours after surgery, most of the respondents were able to sit, and some even dared to stand. Then, after 8-10 hours, almost all of the respondents had removed the catheter, and some of the respondents had even taken a walk. After 13 hours after surgery, all respondents, based on the discussion above, which referred to several articles and journals, showed that the Caesarean section method had significant side effects, but there were also several advantages to the ERACS method, namely being able to make it easier and more effective in giving birth.
PENGARUH ALGAE MERAH (EUCHEUMA SPINOSUM) TERHADAP INFEKSI ESCHERICHIA COLI Putu Urvasi Ari Utami; Ety Apriliana; Rika Lisiswanti; Liana Sidharti
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.651

Abstract

Bacteria can contribute to the development of diarrheal disease through direct contact with those who have the condition, consumption of food and drink contaminated with feces, or both. In addition, water, food sanitation, family latrines are the main causes of diarrheal disease. Among the causative bacteria, Escherichia coli is the most common pathogen for diarrhea in children in developing countries and an associated entero-pathogen of emerging antimicrobial resistance in developed countries. Reports of increased antibacterial resistance have become a challenge in handling diarrhea cases. Eucheuma spinosum is a species of red algae which is a marine organism that has been screened for phytochemicals and found to contain active substances such as flavonoids, triterpenoids, alkaloids, and ascorbic acid. Phenol compounds and their derivatives (flavonoids) are predicted to be compounds in E. spinosum that have the potential to inhibit E. coli bacteria by damaging the bacterial cytoplasmic wall.
Faktor-Faktor yang Berpengaruh Terhadap Kejadian Ventilator Associated Pneumonia Nadya Salsabilah; Ari Wahyuni; Liana Sidharti
Medula Vol 13 No 3 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i3.664

Abstract

Nosocomial infections also reffered to as healthcare-asscociated infections (HAI). This infection can occur both while in the treatment room, during surgical procedurs or actions, and it can also be transmitted through medical devices that have contact with patients such as mechanical ventilators. The use of a mechanical ventilator machine is intended as a life saving measure in critical patients and is usually found in the intensive care unit (ICU) room of a hospital. Ventilator associated pneumonia is a risk that can occur when using a mechanical ventilator machine. VAP is nosocomial pneumonia in patients who have mechanically ventilated with endotracheal tube and tracheostomy for at least 48 hours. In United States, Ventilator Associated Pneumonia is one of the causes of mortality in patients with a mortality rate of 13%. In Europe, mortality rate due to early Ventilator Associated Pneumonia is 19,2% and late Ventilator Associated Pneumonia is 31,4%. Ventilator associated pneumonia is reported to have varying incidence rates ranging from 9-27%. The mortality rate from ventilator associated pneumonia can be more than 50%. This event is influenced by several risk factors, one of which is the duration of using a mechanical ventilator. The use of a mechanical ventilator, especially during the installation of an endotracheal tube (ETT) can damage the defense barrier in the airways, the installation of an ETT can also damage the mucociliary and tracheal epithelium and interfere with the cough reflex. This allows pathogens to invade the lower respiratory tract resulting in ventilator associated pneumonia.  
GAMBARAN PENGETAHUAN MAHASISWA FAKULTAS KEDOKTERAN PROGRAM STUDI PENDIDIKAN DOKTER UNIVERSITAS LAMPUNG ANGKATAN 2021 TERHADAP ANESTESI DAN PERAN DOKTER SPESIALIS ANESTESI Javinka Fairuz Zahrani; Liana Sidharti; Nurul Islamy; Bambang Eko Subakti
Medula Vol 13 No 7 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i7.849

Abstract

Anesthesia is an action in the medical field that is carried out intentionally on healthy patients and patients who have a disease from mild to severe with the aim that the patient does not feel sick when surgery is performed. This study aims to describe the knowledge of students of the Faculty of Medicine, Medical Education Study Program, University of Lampung on anesthesia and the role of anesthesiologists. This study used a descriptive cross-sectional research method on 136 samples selected through simple random sampling technique. The study used a questionnaire given via google form. The data were analyzed univariately to describe the knowledge of students of the medical faculty of the Lampung University medical education study program on anesthesia and the role of anesthesiologists. The results showed that 12 respondents (8.8%) had good knowledge, 54 respondents (39.7%) had sufficient knowledge, and 70 respondents (51.5%) had less knowledge about anesthesia and the role of anesthesiologists. . The conclusion in this study was that students of the medical faculty of the Lampung University medical education study program class of 2021 still lacked knowledge about anesthesia and the role of anesthesiologists.