Claim Missing Document
Check
Articles

Found 36 Documents
Search

ANALISIS KOMPARATIF AKSES VASKULAR TERHADAP KEJADIAN HEMATOMA PASCA PERCUTANEOUS CORONARY INTERVENTION DENGAN PEMASANGAN STENT PADA PASIEN ACUTE CORONARY SYNDROME DI RSPAD GATOT SUBROTO Dewi, Via Arsita; Musthafa, Zainal; Bustamam, Nurfitri
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2015): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4006.897 KB) | DOI: 10.33533/jpm.v9i1.821

Abstract

Hematoma is the most common non-hearth complication occur in patients after Percutaneous Coronary Intervention (PCI). At Gatot Subroto army center hospital, there are 20% cases of hematoma after PCI reported during the period of January 2014 to December 15th 2014. One of the risk factor of the occurance is the selection of vascular access. This research is conducted to find out the difference between radial and femoral vascular access on hematoma and the lenght of treatment in Acute Coronary Syndrome (ACS) patients after PCI with stent placement using Cross-Sectional design. Data is obtained from medical records of ACS patients that undertook PCI treatment with stent placement. The sample size is calculated using Lemeshow ratio prevalance formula. As many as 75% of the 120 subjects were male, 66.7% aged 45-64 years old and 95% of patients with ACS on-ST Elevation Myocardial Infarction (NSTEMI). Chi-square test show the difference between radial and femoral vascular access after PCI with stent placement on hematoma occurance (p=0,002). However, Fisher test show no difference between radial and femoral vascular access after PCI with stent placement on length of treatment (p=0,116).
THE ADHERENCE TO FIXED-DOSE COMBINATION ANTIRETROVIRAL THERAPY AND VIRAL LOAD IN HIV PATIENTS Auliannissa, Salma; Bustamam, Nurfitri; Ningsih, Sri Rahayu
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 20 No 1: January 2020
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Antiretroviral fixed-dose combination (FDC ARV) has been used in HIV patient therapy. The therapy is recommended to be monitored using a viral load (VL), reflecting the amount of HIV in the blood. Since 2015, the VL testing has been carried out at Pengayoman Cipinang Hospital. However, the evaluation of adherence to the FDC antiretroviral therapy on VL has never been conducted. This study aims to determine the relationship between the adherence level to the FDC ARVs and VL at Pengayoman Cipinang Hospital in 2015-2018. The study used a cross-sectional design and a random sampling technique. The sample size was 70, and data generated from the medical record. Kruskal Wallis test showed no differences in the level of adherence in the group based on gender, education level, marital status, employment status, and the risk factor for HIV. However, there was a significant difference in the age group. Cross-tab data showed virological failure (VL> 400 copies/ml) was found in 1.8% of patients with good adherence, 75% of patients with moderate adherence, and 100% of patients with poor adherence. The Chi-square test showed a significant relationship between adherence to FDC ARV and VL (p=0.000). It can be concluded that there was a significant relationship between the level of adherence in taking ARV FDC and viral load.
The Risk for Obstructive Sleep Apnea and Cognitive Function of High School Student Ferrany Thifla Aghni Brilliana; Nurfitri - Bustamam; Cut - Fauziah
Saintika Medika Vol. 16 No. 2 (2020): December 2020
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol16.SMUMM2.11340

Abstract

Obstructive sleep apnea (OSA) is a common sleep disorder characterized by recurrent partial and/or total upper airway obstruction during sleep resulting in hypoxemia and arousal. One of the risk factors for OSA is obesity which its prevalence increased in Indonesia. OSA has a negative effect on cognitive function broadly. This study was aimed to determine the association between risk for OSA and cognitive function in high school students with obesity at Sulthon Aulia Boarding School, Bekasi. The study used a cross-sectional design and a simple random sampling technique. Data were taken using the Berlin Questionnaire and the Montreal Cognitive Assessment Indonesia version (MoCA-Ina) Questionnaire. The sample size is 47 subjects with inclusion criteria had overweight or obese body mass index (BMI) and were willing to be the research subjects. Subjects with a history of head injury, smoking, drinking alcohol, and taking sedative drugs were excluded from the study.  There were differences in BMI and neck circumference between high-risk subjects for OSA and low-risk subjects for OSA. The risk level for OSA was significantly associated with cognitive function (p = 0.001; OR =12.727).  High-risk subjects for OSA are recommended to lose weight and perform a polysomnographic evaluation.
Sekolah Sahabat Gawai: Pendampingan Kegiatan Belajar dari Rumah untuk Menjaga Kesehatan Siswa SMP Islam Dian Didaktika Nurfitri Bustamam; Duma Lumban Tobing; Evin Novianti
Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Vol 5, No 2 (2021): Jurnal Pelayanan dan Pengadian Masyarakat (Pamas)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/pamas.v5i2.998

Abstract

In the Academic Year 2020/2021 learning face-to-face for school students in most parts of Indonesia is prohibited to prevent the spread of coronavirus disease (COVID)-19. Instead, a school from home (SFH) is implemented. As a result, the use of gadgets by school students increases not only for learning activities, but also for communication, entertainment/recreation, and socializing. Excessive use of the gadget will increase the risk of developing health problems both physically and mentally. Based on this, the school collaborated with a team from the Faculty of Medicine and the Faculty of Health Sciences Universitas Pembangunan Nasional Veteran Jakarta to carry out community service activities with the theme "School of Gadget-Friendly.” This activity aimed to 1) Increase students' knowledge of health problems both physically and mentally due to excessive use of gadgets and 2) Students implement efforts to prevent/reduce the risk of health problems when they are using gadgets. Partners of this activity were students of Islamic Junior High School Dian Didaktika grades 8 and 9. Education to students by the team was carried out from the school studio using google meet. Before and after education, students were given a pre & post-test to measure the level of knowledge. A week later the students were asked to fill out a checklist related to their activities using the gadget. School teachers were also asked for their opinions regarding the activity. The results of this activity were an increase in students' knowledge regarding the use of gadgets and most students have made any efforts to stay healthy when using gadgets during SFH. The school teacher argued that this community service activity was a provision for students to be able to use gadgets wisely so that they remained healthy during SFH.
Perbandingan screen-time berdasarkan kuantitas dan kualitas tidur mahasiswa Fakultas Kedokteran Universitas Pembangunan Nasional Veteran Jakarta pada pandemi Corona Virus Disease-19 Dhea Faizia Tasya; Nurfitri Bustamam; Winda Lestari
Jurnal Kedokteran Syiah Kuala Vol 21, No 2 (2021): Volume 21 Nomor 2 Agustus 2021
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v21i2.20406

Abstract

The study result showed that in the pandemic of COVID-19 there was an increase in screen-time that caused sleep disturbances. The Faculty of Medicine Universitas Pembangunan Nasional Veteran Jakarta (FMUPNVJ) implemented the online learning method to prevent transmission of COVID-19. The average of screen-time scheduled for the seventh semester FMUPNVJ was 6.4 hours/day. This study aimed to compare the screen-time based on sleep quantity and quality of FMUPNVJ students. The study used a cross-sectional design with a sample size of 123 subjects. The instruments of this study were the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quantity and quality, and a self-reported questionnaire to measure screen-time. The study results showed that most (78.9%) of the subjects were female, aged 21 (20-22) years old with an average of screen-time 10.48 ± 2.87 hours/day, 61% of the subjects had short sleep quantity, and 56.9% of the subjects had poor sleep quality. The results of the statistical test showed that there were differences in screen-time based on sleep quantity (p = 0.000) and sleep quality (p = 0.000). Subjects with high screen-time had short sleep quantity and poor sleep quality.
Ginekomastia Terkait Efavirenz: Laporan Dua Kasus Pasien HIV Nurfitri Bustamam; Indra Setiawan; Laura Hotdiana
Indonesian Journal of Clinical Pharmacy Vol 9, No 3 (2020)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15416/ijcp.2020.9.3.229

Abstract

Pada pasien human immunodeficiency virus (HIV) positif, terapi antiretroviral (ARV) dapat berkontribusi terhadap kejadian ginekomastia. Ditemukan dua kasus ginekomastia pada pasien HIV di RS Pengayoman Cipinang antara tahun 2017–2019. Pada penelitian ini digunakan data yang diambil secara retrospektif dari rekam medis dan dianalisis menggunakan algoritma Naranjo. Kasus pertama, Tn. X, 34 tahun, diterapi dengan fixed-dose combination (FDC) berisi Tenofovir+Lamivudine+Efavirenz (TDF+3TC+EFV). Setelah dua tahun, kedua payudaranya membesar tanpa disertai nyeri. Terapi dengan TDF+3TC+EFV dilanjutkan selama 11 bulan, tetapi ukuran payudaranya tidak bertambah besar. Kasus kedua Tn. Y, 36 tahun, diterapi dengan Duviral (AZT+3TC)+EFV. Setelah 36 bulan, payudara kanan mulai membesar, tetapi tidak nyeri. Terapi dengan Duviral +EFV dilanjutkan selama dua tahun. Namun, ukuran payudara semakin membesar hingga diameternya 5 cm, keras, nyeri, tidak keluar air susu, dan tidak ada pembesaran kelenjar di ketiak. Oleh karenanya, EFV disubstitusi dengan Neviral. Setelah 12 bulan diterapi dengan Duviral+Neviral, terjadi regresi ginekomastia. Total skor Naranjo menunjukkan Tn. Y mungkin (probable) mengalami ginekomastia akibat EFV, sedangkan Tn. X cukup mungkin (possible) mengalami ginekomastia akibat EFV. Oleh karenanya, perlu dipertimbangkan substitusi EFV bagi pasien untuk menghindari penurunan tingkat kepatuhan minum obat akibat distres karena ginekomastia.Kata kunci: Antiretroviral, efavirenz, ginekomastia yang diinduksi obat, pasien HIV Gynecomastia Associated with Efavirenz: Report of Two Cases of HIV Patients AbstractThe antiretroviral (ARV) therapy administration is found to greatly contribute to gynecomastia incidence in human immunodeficiency virus (HIV) positive patients. Therefore, this study aims to determine the effects and characteristics of gynecomastia incidence among HIV patients receiving antiretroviral (ARV) therapy. Two gynecomastia cases were found among HIV patients at Cipinang Pengayoman Hospital in the year 2017–2019. In this study, data were collected retrospectively from medical records and analyzed using the Naranjo algorithm. The first case, Mr. X, 34 years old, was treated with a fixed-dose combination (FDC) containing Tenofovir+Lamivudine+Efavirenz (TDF+3TC+EFV). After two years of therapy, there was breasts enlargement without pain. Then, the TDF+3TC+EFV therapy continued for 11 months, however, no changes was observed. The second case, Mr. Y, 36 years old, was being treated with Duviral (AZT+3TC)+EFV. After 36 months, the right breast began to enlarge without pain, then, the Duviral+EFV therapy continued for two years. However, the breast size was getting bigger until it was 5 cm in diameter, hard, painful, without milk, and no enlargement of the glands in the armpit. Then, the EFV was substituted with Neviral, after 12 months of Duviral+Neviral therapy, gynecomastia regression occurred. The Naranjo total score indicated that Mr. Y probably experienced gynecomastia due to EFV, while Mr. X possibly experienced gynecomastia due to EFV. Therefore, it is necessary to consider EFV substitution for the patient to avoid decreased adherence, resulting from the distressing side effect of gynecomastia.Keywords: Antiretroviral, drug-induced gynecomastia, efavirenz, HIV patient
Efek Proteksi Profilaksis Isoniazid terhadap Infeksi Tuberkulosis pada Pasien HIV di Rumah Sakit Pengayoman Cipinang Nurfitri Bustamam; Indra Setiawan
Indonesian Journal of Clinical Pharmacy Vol 10, No 2 (2021)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15416/ijcp.2021.10.2.100

Abstract

Tuberkulosis (TB) merupakan infeksi oportunistik yang menjadi penyebab utama kematian pada pasien human immunodeficiency virus (HIV). Oleh karenanya, perlu upaya pencegahan infeksi TB melalui pemberian profilaksis isoniazid (INH) kepada pasien HIV. Penelitian ini bertujuan untuk memberikan gambaran karakteristik pasien yang mendapat profilaksis INH dan hasil pemberian profilaksis tersebut di RS Pengayoman Cipinang. Metode penelitian yang digunakan adalah desain kohort retrospektif pada pasien HIV yang mulai mendapat profilaksis INH pada tahun 2018–2019. Data diambil dari Ikhtisar Perawatan HIV. Hasil penelitian menunjukkan sebanyak 46 dari 57 (80,7%) subjek mendapat profilaksis INH lengkap, sementara subjek lainnya ada yang mengalami alergi, loss of follow up, pindah, atau meninggal. Subjek mulai mendapat profilaksis INH setelah 3 (0–13) tahun dikonfirmasi terinfeksi HIV.  Berdasarkan karakteristiknya, subjek yang mendapat profilaksis INH lengkap sebagian besar adalah laki-laki, berusia 36 (24–54) tahun, berpendidikan Sekolah Menengah Atas (SMA), dan belum menikah. Status kesehatan dan riwayat pengobatan subjek beragam. Sebanyak 71,1% subjek mendapat regimen antiretroviral fixed-dosed combination, 87% dengan adherence ≥95%, 39% stadium klinis III, 52,2%  dengan viral load detected, 15,2% mempunyai riwayat infeksi TB, dan 93,5% tidak mendapat profilaksis kotrimoksasol. Hasil observasi selama setahun menunjukkan tidak ada subjek dengan profilaksis INH lengkap yang terinfeksi TB. Dapat disimpulkan profilaksis INH efektif melindungi subjek dari infeksi TB.Kata kunci: Pasien human immunodeficiency virus, profilaksis isoniazid, tuberkulosis   The Protective Effect of Isoniazid Prophylactic Therapy against Tuberculosis Infection in HIV Patients at Pengayoman Cipinang Hospital AbstractTuberculosis (TB) is the most opportunistic infection and the leading cause of death in human immunodeficiency virus (HIV) patients. Consequently, TB infection must be prevented by providing these patients with isoniazid prophylactic therapy (IPT). This study, therefore, aimed to describe the characteristics of patients administered IPT and the results of this therapy at Pengayoman Cipinang Hospital, using a retrospective cohort design in HIV patients first administered IPT between 2018 and 2019. Data was collected through a review of medical records and a total of 57 participants were selected for the study. According to the results, 46 subjects (80.7%) received complete IPT, while others either experienced allergies, failed to follow-up, moved, or died. The subjects all began IPT after 3 (0 to 13) years of confirmed HIV infection, and based on the respondent characteristics, the majority of subjects administered complete IPT were unmarried men, aged 36 (24–54) years, and with high school education. However, the health status and treatment history of the subjects varied. A total of 71.1% of the subjects received a fixed-dose combination antiretroviral regimen, 87% received with adherence ≥95%, 39% with clinical stage III, 52.2% with viral load detected, 15.2% had a history of TB infection, while 93.5% did not receive cotrimoxazole prophylaxis. Observations for a year showed none of the subjects with complete IPT were infected with TB. Therefore, IPT was concluded to be effective in protecting HIV patients from TB infection.    Keywords: Isoniazid prophylactic therapy, human immunodeficiency virus patients, tuberculosis 
Hubungan antara Tingkat Keparahan Obstructive Sleep Apnea dan Fungsi Kognitif pada Pasien Rumah Sakit Angkatan Laut Dr. Mintohardjo Eko Satrio Bahari; Nurfitri - Bustamam; Maria Selvester Thadeus
JURNAL KEDOKTERAN DAN KESEHATAN Vol 8, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/V8I1.11073

Abstract

Hubungan antara Tingkat Keparahan Obstructive Sleep Apnea dan Fungsi Kognitif pada Pasien Rumah Sakit Angkatan Laut Dr. Mintohardjo. Prevalensi obstructive sleep apnea (OSA) pada populasi dewasa diperkirakan berkisar antara 5-14%. Sebagian besar pasien OSA di Rumah Sakit Angkatan Laut (Rumkital) Dr. Mintohardjo, Jakarta diukur tingkat keparahannya menggunakan polisomnografi. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat keparahan OSA dan fungsi kognitif. Penelitian menggunakan desain cross sectional dan teknik consecutive sampling. Data diambil dari 60 pasien OSA Rumkital Dr. Mintoharjo pada bulan April-Mei 2018. Data tingkat keparahan OSA diambil dari rekam medis, sedangkan data fungsi kognitif diukur menggunakan kuesioner Montreal Cognitive Assessment Indonesia version (MoCA-Ina). Subjek penelitian sebagian besar adalah pasien OSA laki-laki dengan usia rata-rata 43 tahun, berpendidikan tinggi, dan bekerja sebagai pegawai swasta. Berdasarkan data apnea-hypopnea index didapatkan  25 pasien OSA berat, 23 pasien OSA sedang, dan 12 pasien OSA ringan. Pada penelitian didapatkan pula sebanyak 45 pasien dengan fungsi kognitif terganggu dan 15 pasien dengan fungsi kognitif normal. Hasil uji Chi-square menunjukkan hubungan antara tingkat keparahan OSA dan fungsi kognitif (p = 0,000). Perlu diberikan edukasi kepada pasien OSA agar patuh mengikuti tatalaksana yang dianjurkan dokter, sehingga penurunan fungsi kognitif lebih lanjut dapat dicegah.
FAKTOR YANG BERHUBUNGAN DENGAN DERMATITIS KONTAK AKIBAT KERJA PADA PEKERJA PROYEK BANDARA Harumi Kusuma Wardani; Mashoedojo Mashoedojo; Nurfitri Bustamam
The Indonesian Journal of Occupational Safety and Health Vol. 7 No. 2 (2018): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.193 KB) | DOI: 10.20473/ijosh.v7i2.2018.249-259

Abstract

The incidence of contact dermatitis in Indonesia varies greatly and affects most workers. Epidemiological studied showed the incidence of Occupational Contact Dermatitis (OCD) was 0.5–1.9 cases/1000 workers/year. Aircarft Filling Depot Project at Juanda Airport is a construction project that is working on hydrant system and topping up development. This study was aimed at identifying risk factors of OCD among the project workers. A cross sectional design was used on 47 workers whom randomly selected during period May-June 2017. Data was collected using a questionnaire with the researcher’s guide. Occupational Contact Dermatitis is diagnosed by general practitioner that located in Naval Hospital (RUMKITAL) dr. Soekantyo Jahja Surabaya. Occupational contact dermatitis risk factors were analyzed using Chi-square test, followed by multiple logistic regression test. Of 47 workers, 21 (43.8%) experienced OCD. The use of personal protective equipment (PPE), duration of contact, personal hygiene, and history of skin diseases were associated with OCD (p < 0.01), whereas the type of work was not related to OCD (p = 0.491). The most dominant factor causing OCD was personal hygiene (OR = 9.659), followed by duration of contact (OR = 8.576), and history of skin disease (OR = 3.420). In conclusion, factors of use of PPE, length of contact, personal hygiene, and history of skin relationship with DKAK, while the type of work is not related to DKAKKeywords: aircraft filling depots project, occupational contact dermatitis, risk factor
PENGARUH MADU TERHADAP TINGKAT NYERI DISMENORE DAN KUALITAS HIDUP MAHASISWI FAKULTAS KEDOKTERAN UNIVERSITAS PEMBANGUNAN NASIONAL VETERAN JAKARTA Nurfitri - Bustamam; Cut - Fauziah; Meiskha - Bahar
Jurnal Kesehatan Reproduksi Vol 12 No 1 (2021): JURNAL KESEHATAN REPRODUKSI VOLUME 12 NOMOR 1 TAHUN 2021
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/kespro.v12i1.3914

Abstract

Latar belakang: Prevalensi dismenore diperkirakan berkisar antara 45–95 persen dan 10–25 persen diantaranya merupakan dismenore primer berat. Dismenore dapat menimbulkan sejumlah masalah, antara lain limitasi aktivitas, penurunan prestasi akademik, dan kesulitan tidur. Saat ini, terdapat kecenderungan penggunaan herbal dan pengobatan alternatif untuk mengatasi dismenore primer. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh madu terhadap tingkat nyeri dismenore dan kualitas hidup mahasiswi Fakultas Kedokteran Universitas Pembangunan Nasional Veteran Jakarta (FKUPNVJ). Metode: Penelitian menggunakan one group pretest-posttest design. Sebanyak 30 subjek yang ditentukan dengan consecutive sampling diminta minum madu sebanyak dua sendok makan yang dimulai dari dua hari sebelum menstruasi hingga hari ketiga menstruasi. Data diambil menggunakan kuesioner, Numeric Rating Scale, Verbal Multidimensional Scoring System, dan Brief Pain Inventory. Hasil: Hasil uji Wilcoxon menunjukkan madu dapat menurunkan intensitas nyeri (p = 0,000) dan grade dismenore (p = 0,001). Selain mengurangi derajat nyeri, madu dapat mengurangi lama waktu nyeri menstruasi dari 2 hari menjadi 1 hari (p = 0,001). Hasil uji Wilcoxon juga menunjukkan madu dapat mengurangi gangguan dismenore terhadap aktivitas secara umum, suasana hati, kemampuan berjalan, pekerjaan, hubungan dengan orang lain, tidur, dan menikmati hidup (p ≤ 0,001). Kesimpulan: madu dapat menurunkan tingkat nyeri dan meningkatkan kualitas hidup mahasiswi FKUPNVJ dengan dismenore primer. Kata kunci: dismenore primer, kualitas hidup, madu, mahasiswi