Amir Fauzi
Faculty of Medicine University ofSriwijayaj Dr. Mohammad Hoesin Hospital Palembang

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The Risk of Urinary Tract Infection in Post-Operative Pelvic Organ Prolapse is Increasing in Patients with Shorter Urethral-Anal Distance Fakhrudin, Emir; Fauzi, Amir; Effendy, Kms Yusuf; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Vol. 1 No. 3 July 2013
Publisher : Indonesian Journal of Obstetrics and Gynecology

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Objectives: The purpose of our study was to find the correlation between urethral-anal distance and urinary tract infection (UTI) after surgery for grade III and IV uterine prolapse. Methods: Cross sectional study of 57 consecutive women who underwent surgery for grade III and IV uterine prolapse Fisher exact test was used to determine independent risk factors. Results: Eight (14%) women developed a UTI. The risk of UTI was significantly increased in women whose distance between the urethra and the anus was less than 50.27 mm, with PR: (95%CI): 43.75 (6.05-303.61) and p: 0.001. Conclusion: There is correlation between urethral-anal distance and urinary tract infection (UTI) after surgery for grade III and IV uterine prolapse.Keywords: cystocele, pelvic organ prolapse, rectocele, urinary tract infection, uterine prolapse
ANALISA EFISIENSI JARINGAN IRIGASI DAERAH IRIGASI PANDRAH KABUPATEN BIREUEN Rizalihadi, Maimun; Fauzi, Amir; Tanzil, Reza
Jurnal Teknik Sipil Vol 1, No 3 (2012): Volume 1, Nomor 2, Mei 2012
Publisher : Department of Civil Engineering, Syiah Kuala University

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Abstract: Irrigation efficiency is the number ratio of the  amountof irrigation water is used for the real needs of plant growth with the amount of water out from intake. Irrigation efficiency assumption based portion of the amount of water taken will be lost either on canals or in the rice fields. Values of irrigation efficiency specified in the plan is too high so that the implementation of the water provided is not enough given to areas downstream. The research was conducted at the Main Canals Right Pandrah until tertiary canals PKN3 T1 at Regional Irrigation District Pandrah Bireun is by measuring inflow and outflowthe canals by using current meter, to measure by using class A pan evaporation while the seepage measurement by the method of ponding. From the research results will be obtained efficiency will be obtained efficiency value of 87.50% of primary canals, secondary canals of 80.01% and 76.13% for the tertiary canals to obtain the value of the efficiency of irrigation system in the Canals Main Right Pandrah of 50.30%. Value efficiency ebove shows that there has been a shortage of 11.70% of the value of the efficiency plan by 65%. Water loss was causwd by the canals that has been broken, illegal tapping along the canals, domestic household use, complementary building of irrigation and evaporation. Need for reconsideration of the discharge plan taking on the intake for the distribution of irrigation water shall be adjusted to the actual value of efficiency in the field.Keywords : irrigation efficiency, water loss, evaporation, seepageAbstrak: Efisiensi irigasi adalah angka perbandingan dari jumlah air irigasi nyata yang terpakai untuk kebutuhan pertumbuhan tanaman dengan jumlah air yang keluar dari pintu pengambilan (intake). Efisiensi irigasi didasarkan asumsi sebagian dari jumlah air yang diambil akan hilang baik di saluran maupun di petak sawah. Nilai efisiensi irigasi yang digunakan di Indonesia selama ini ternyata jauh lebih besar dari beberapa negara di Asia. Inilah permasalahan yang menyebabkan kemungkinan kegagalan dari proyek yang ada di daerah kita dimana nilai efisiensi irigasi yang ditetapkan dalam perencanaan terlalu tinggi sehingga pada pelaksanaan air yang diberikan tidak cukup diberikan pada daerah hilir. Penelitian ini dilakukan di Saluran Induk Pandrah Kanan sampai dengan saluran tersier Pkn. 3 T1 pada Daerah Irigasi Pandrah yaitu dengan mengukur debit masuk dan debit keluar pada saluran dengan menggunakan alat pengukur kecepatan arus (current meter), untuk mengukur evaporasi dengan menggunakan panci evaporasi kelas A sedangkan pengukuran rembesan dilakukan dengan metode teknik Ponding. Dari hasil penelitian akan diperoleh nilai efisiensi saluran primer sebesar 87,50%, saluran sekunder sebesar 80,01% dan saluran tersier sebesar 76,13% sehingga diperoleh nilai efisiensi jaringan irigasi pada Saluran Induk Pandrah Kanan sampai dengan saluran tersier Pkn. 3 T1 sebesar 50,30%. Nilai efisiensi di atas menunjukkan bahwa telah terjadi kekurangan sebesar 11,70% dari nilai efisiensi rencana sebesar 65%. Kehilangan air tersebut disebabkan karena saluran yang telah mengalami kerusakan, adanya sadap-sadap liar disepanjang saluran, penggunaan domestik rumah tangga, bangunan pelengkap irigasi dan evaporasi. Perlu adanya peninjauan kembali terhadap debit rencana di pintu pengambilan (intake) untuk pembagian air irigasi agar disesuaikan dengan nilai efisiensi aktual di lapangan.Kata kunci : efisiensi jaringan irigasi, kehilangan air, evaporasi, rembesan.
Numerical Simulation for Scenario Based Volcanic Hazard Assessment (VHA) at Seulawah Agam Volcano, Aceh, Sumatra Syukri, Muhammad; Fauzi, Amir; Fashbir, .; Irwandi, .
Proceedings of The Annual International Conference, Syiah Kuala University - Life Sciences & Engineering Chapter Vol 2, No 2 (2012): Engineering
Publisher : Syiah Kuala University

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Seulawah Agam is an active volcano with high 1,810 m located at 5.448°N 95.658°E and close to the capital of Aceh province densely populated. Following Sumatra-Andaman earthquake 26 December 2004, Sumatra Island has increased not only seismicity but also volcanic activity. On the other hand, Sinabung volcano categorized as inactive volcano, but beyond expectations on the 3rd September 2010 experienced eruption and the closest volcanic eruption location to Seulawah Agam volcano. Meanwhile, in 1 September 2010, Seulawah Agam categorized as active volcano was alert to level 2. We cannot predict what happens in future to the Seulawah Agam volcano, but we can provide volcano hazard assessment as important step for mitigation procedure. This paper introduces numerical study for volcanic eruption and integrated with a GIS-based tool for volcanic hazard assessment VORIS (VOlcanic Risk Information System) which develop by Alicia Felpeto.  This model investigate scenario based volcanic eruption for ash fallout, PDC (pyroclastic density currents), and lava. Digital elevation model (DEM) from SRTM (Shuttle Radar Topography Mission), meteorological data from NOAA, and geological study are used in this model. In the statovolcano mountain four geothermal manifestations appeared, such as: Fumarol Simpago, crater Heutz, ground steam Ie-Jue, and hot spring Ie-Suum. In this numerical simulation, we consider the location as potential eruption vent to produce erupted material. Wind velocity data at 3rd January 2012 and 1 July 2012 above the summit is selected to represent wet and dry season condition for scenario based ash fallout. Further, the simulation show the ash fallout is possible to reach Banda Aceh and potentially disrupt flight at Sultan Iskandar Muda Air port. Lava flow simulations are only depending on topography data (DEM) and applying some parameter for maximum flow length 5 km. The Simulation resolution depend on DEM data (90m) which produce more precise then volcanic hazard map produce by Center of Volcanology and Geological Hazard Mitigation, Bandung (CVGHM) and more reasonable with topography slope of mountain at southern part and northern part. Furthermore, PDC simulations are conducted scenario for height eruption column (starting point of the flow) 20m dan 200m. The simulations show PDC can be reach longer location until Banda-Aceh Medan Highway compare then CVGHM map.  This preliminary research should be developed to apply high resolution DEM and using adequate method for estimation eruption parameters. This method will be potential to provide more precise volcano hazard assessment for others volcano in Indonesia
Impact of Uterine Prolapse Surgery on Improvement of Bowel Symptoms Zulfadli, Zulfadli; Fauzi, Amir; Azhari, Azhari; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Vol. 2. No. 3 July 2014
Publisher : Indonesian Journal of Obstetrics and Gynecology

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Abstractpatients with bowel symptoms.Method: Clinical trial without comparison study of 32 consecutive women who underwent surgery for grad e III and IV uterine prolapse with bowel symptoms. Bowel symptoms score was evaluated before and three months after surgery by using the Australian Pelvic Floor Questionnaire. Data was analyzed using SPSS version 20. Result: There were significant mean differences between bowel symptoms score three months after surgery for grade IIIand IVuterine prolapse and before surgery although there were patients with persistent symptoms. Bowel symptoms scores include constipation , flatus incontinenc e, fecal incontinence, fecal urgency, defecation frequency, defecation consistency, incomplete bowel emptying, laxative use, and frequency of defecation disorder score, with p<0.001 and 95% Cl.Conclusion: Uterine prolapse surgery was effective to improve quality of life in grade III-IV uterine prolapse patients with bowel symptoms.Keywords: bowel symptoms, cystocele, rectocele, uterine prolapse surgery
Laporan kasus: Neovagina Ileum pada Agenesis Vagina Wanita Dewasa Pratiwi, Ratih; Renaldy, Renaldy; Fauzi, Amir
Syifa'MEDIKA:Jurnal Kedokteran dan Kesehatan Vol 8, No 2 (2018): Syifa' Medika
Publisher : Faculty of Medicine University of Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (602.622 KB) | DOI: 10.32502/sm.v8i2.116

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Agenesis vagina adalah kondisi yang jarang terjadi.  Sindrom Mayer-Rokitansky-Kuster-Hauser (MRKH) adalah diagnosa klinis yang paling sering ditemui ahli ginekologi dimana agenesis vagina terjadi akibat gangguan perkembangan duktus Mulleri. Dilaporkan seorang wanita dewasa 37 tahun datang dengan keluhan tidak ada lubang kemaluan. Dari pemeriksaan fisik dan penunjang didapatkan kesan agenesis vagina, uterus unicornu hipoplasia nonfungsional, agenesis ginjal kanan, dan pelvic kidney sinistra. Pemeriksaan kromatin, drum stick, dan sex quotion didapatkan kesan wanita. Dilakukan laparotomi neovagina dengan menggunakan segmen usus ileum, operasi bersama dengan bedah digestif, bedah urologi, bedah plastik, dan obsgin uroginekologi. Pasca operasi dilakukan pemasangan mold selama 14 hari. Pasien diedukasi untuk melakukan pemasangan mold sendiri sebagai dilator. Dilakukan follow-up rutin untuk menilai stenosis atau striktur vagina.
STUDI EFISIENSI IRIGASI PADA PETAK SAWAH DI DAERAH IRIGASI PANDRAH Rizalihadi, Maimun; Fauzi, Amir; Syahdi, Iwan
Jurnal Teknik Sipil Vol 2, No 2 (2013): Volume 2, Nomor 2, januari 2013
Publisher : Department of Civil Engineering, Syiah Kuala University

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Abstract: Irrigation efficiency is based on an assumption that part of the amount of water taken will be lost either in the channel or in the field. Irrigation efficiency values specified in the planning and use in Indonesia are greater than some countries in Asia. Hence, in the implementation is the amount of water given not adequateto the field. A large amount of operational water discharge for field processing and paddy growth period on Growing Season 2 (MT) in Pandrah Irrigation undergoes water shortage. Therefore, the tertiary field of Right 3 Tertiary 1 Pandrah Building (BPKn3T1) receives less water. Due to the issue, a research was conducted about distrbuting of irrgation for paddy crop. It was conducted on BPKn3T1 field with 0.12 Ha of the total areas. The measurement of evaporation, evapotranspiration, percolation, effective rainfall and surface runoff used drum technique. To find out the daily rainfall, the researchers used an ordinary pluviometer. Inflow-outflow method was carried on to know the irrigation discharge on the plot of rice field. Based on the research, it is obtained the efficiency values on plot of  rice field (Ea) is 44.50% and total efficiency of  D.I Pandrah is 28.93%. Operational efficiency (Eo) is 37.50%. It shows that the wastage of irrigation water   distribution is 18.66%. In brief, it is necessary to go over the distribution of irrigation water disharge in order to be adjusted to the actual efficiency values in the field.Keywords : irrigation efficiency on  the plot of rice field, distribution of water irrigation, drum technique.Abstrak: Efisiensi irigasi didasarkan asumsi sebagian dari jumlah air yang diambil akan hilang, baik di saluran maupun pada petak sawah. Nilai efisiensi irigasi yang ditetapkan dalam perencanaan dan digunakan di Indonesia lebih besar dari beberapa negara di Asia, sehingga pada pelaksanaan air yang diberikan tidak cukup diberikan pada petak sawah. Besarnya pemberian debit  operasional  untuk pengolahan lahan dan masa pertumbuhan padi pada Musim Tanam (MT) 2 Daerah Irigasi Pandrah mengalami kekurangan air, sehingga pada petak tersier Bangunan Pandrah Kanan 3 Tersier 1 (BPKn3T1) kurang mendapatkan air irigasi. Sehubungan dengan permasalahan tersebut maka dilakukan penelitian pemberian air irigasi dan mengevaluasi efisiensi irigasi pada petak sawah guna memenuhi kebutuhan air irigasi untuk tanaman padi. Penelitian ini dilakukan pada petak sawah BPKn3T1 dengan luas sawah 0.12 Ha. Pengukuran evaporasi, evapotranspirasi, perkolasi, curah hujan efektif dan surface runoff menggunakan metode teknik drum.  Untuk mengetahui  curah hujan harian menggunakan alat penakar curah hujan biasa. Metode inflow-outflow  dilakukan untuk mengetahui debit irigasi pada petak sawah. Dari hasil penelitian diperoleh nilai efisiensi pada petak sawah (Ea) sebesar 44.50 % dan efisiensi total D.I Pandrah 28.93 %. Efisiensi operasional (Eo)  sebesar 37.50 %, hal ini menunjukan pemborosan pemberian  air irigasi sebesar 18.66 %. Perlu adanya peninjauan kembali terhadap debit rencana pemberian  air irigasi agar disesuaikan dengan nilai efisiensi aktual di lapangan.Kata kunci : efisiensi irigasi pada petak sawah, pemberian air irigasi, teknik drum.
Effectiveness of Pelvic Organ Prolapse Surgery in Women with Depressive Symptoms and Decreased Quality of Life Susanto, Azhar; Fauzi, Amir; Rusydi, Syakroni D; Theodorus, Theodorus; Sahab, Abdullah
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 4, October 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.402 KB) | DOI: 10.32771/inajog.v3i4.54

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Objective: To know the effectiveness of pelvic organ prolapse surgery in decreasing depressive symptoms (based on PHQ9) and improving quality of life in women with pelvic organ prolapse. Methods: This experimental study without control is conducted at the Obstetrics and Gynecology Department of Dr. Mohammad Hoesin Hospital Palembang/Faculty of Medicine Sriwijaya University, from October 03 2012 until May 31, 2014. Data containing selfadministrated questionnaire about depressive symptoms (PHQ9) and quality of life (PFIQ and PFDI) were recorded. Questionnaire was performed before and six months after surgery. Sample included 26 women with pelvic organ prolapse seeking pelvic organ prolapse surgery, which qualified the inclusion criteria. Data were analyzed using Chi Square and Fisher Exact test. Data analysis was done using SPSS 18.0. Results: According to paired T test there is a significant difference between mean PHQ9 score before (6.69±3.80) and 6 months after surgery (1.96±1.75)(p=0.001). Total PFIQ score decreased from 17.15±9.39 to 2.88±4.01 with 14.27±5.38 reduction. PFDI score before surgery were 29.85±15.73 and decreased to 11.50±10.99, with a reduction of 18.35±4.74. Conclusion: There was significant reduction in depressive symptoms and improved quality of life in women with prolapse after surgery, compared to before surgery. [Indones J Obstet Gynecol 2015; 3-4: 196-199] Keywords: depression, quality of life, uterine prolapse
Effectiveness of Pelvic Organ Prolapse Surgery in Women with Depressive Symptoms and Decreased Quality of Life Susanto, Azhar; Fauzi, Amir; Rusydi, Syakroni D; Theodorus, Theodorus; Sahab, Abdullah
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 4, October 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.402 KB) | DOI: 10.32771/inajog.v3i4.54

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Objective: To know the effectiveness of pelvic organ prolapse surgery in decreasing depressive symptoms (based on PHQ9) and improving quality of life in women with pelvic organ prolapse. Methods: This experimental study without control is conducted at the Obstetrics and Gynecology Department of Dr. Mohammad Hoesin Hospital Palembang/Faculty of Medicine Sriwijaya University, from October 03 2012 until May 31, 2014. Data containing selfadministrated questionnaire about depressive symptoms (PHQ9) and quality of life (PFIQ and PFDI) were recorded. Questionnaire was performed before and six months after surgery. Sample included 26 women with pelvic organ prolapse seeking pelvic organ prolapse surgery, which qualified the inclusion criteria. Data were analyzed using Chi Square and Fisher Exact test. Data analysis was done using SPSS 18.0. Results: According to paired T test there is a significant difference between mean PHQ9 score before (6.69±3.80) and 6 months after surgery (1.96±1.75)(p=0.001). Total PFIQ score decreased from 17.15±9.39 to 2.88±4.01 with 14.27±5.38 reduction. PFDI score before surgery were 29.85±15.73 and decreased to 11.50±10.99, with a reduction of 18.35±4.74. Conclusion: There was significant reduction in depressive symptoms and improved quality of life in women with prolapse after surgery, compared to before surgery. [Indones J Obstet Gynecol 2015; 3-4: 196-199] Keywords: depression, quality of life, uterine prolapse
Transforming Growth Factor β1 and Tropoelastin Expression in Uterine Prolapse Alvilusia, Alvilusia; Fauzi, Amir; Azhari, Azhari; Wresnindyatsih, Wresnindyatsih; Saleh, Irsan
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 2, April 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (577.898 KB) | DOI: 10.32771/inajog.v4i2.78

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Objective: To know the correlation of the expression of transforming growth factor beta (TGF-β1) and tropoelastin in uterine prolapse. Method: A cross-sectional study of 30 subjects suffered from uterine prolapse in the Department of Obstetrics and Gynecology Dr. Mohammad Hoesin hospital Palembang. The study was conducted since December 1st, 2014 until July 31st, 2015. The sample was from the sacrouterine ligament and immunohistochemical examination was conducted to see the expression of TGF-β1 and tropoelastin. Result: Of the 30 subjects obtained, the expression of TGF-β1 was on 30 subjects consisting of 18 (60%) for weak expression and 12 (40%) for strong expression. Meanwhile, the strong tropoelastin expression was on 18 subjects (60%) and weak tropoelastin expression on 12 subjects (40%). There was a positive correlation between TGF-β1 and tropoelastin expression with moderate correlation (p=0.014; r=0.44). Conclusion: There is a positive correlation between the TGF-β1 and tropoelastin expression of sacrouterine ligament in uterine prolapse with moderate correlation. [Indones J Obstet Gynecol 2016; 4-2: 70-74] Keywords: transforming Growth Factor Beta 1, tropoelastin, uterine prolapse
PREDIKSI LOKASI RAWAN PEMBENDUNGAN ALAMI PADA DAERAH ALIRAN SUNGAI SEBAGAI MITIGASI BENCANA BANJIR BANDANG (DAS KRUENG TEUNGKU-KECAMATAN SEULIMUM-ACEH BESAR-PROVINSI ACEH) Dirwan, Dirwan; Azmeri, Azmeri; Fauzi, Amir
Jurnal Teknik Sipil Vol 3, No 1 (2013): Jurnal Teknik Sipil Volume 3, Nomor 1, September 2013
Publisher : Department of Civil Engineering, Syiah Kuala University

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Flash floods have repeatedly occurred in Aceh province and happened at Seulimum Aceh Besar district on January 2, 2013. The flash floods flows to Krueng Raya and crashing Beureuneut village. Flash floods caused 90 % of the 90 houses in the village were submerged with a height varying between 1-3 meters. It is the repeat disaster. In 1980 a similar disaster has also resulted in a loss of community life. But until now there hasn’t been the availability of early warning systems particularly describing the the upstream of sub-watershed Krueng Tengku. Therefore this study aimed to evaluate volume of the natural damming. The results obtained is based on surface geological conditions in the upstream and downstream of the sub-watershed map of Krueng Tengku (SIMDAS KEMENHUT, 2012) and clarified through the maps of Google Earth Pro, field surveys, reflecting there are 2 (two) the natural dammings potential flooding flash if the collapse of a natural dam. Based on the soilcondition, land slope, land cover, then the condition that there is potential for containment dam collapse. Extensive analysis of the volume and surface damming through maps withdifference elevation of 1 meters+202 m to +210 m MSL. The maximum volume of natural damming 29.175.347,31 m3 and area of 3.160.747,69 m2(location I). Extensive analysis of the volume and surface damming through maps withdifference elevation of 2 meters+114 m to +122 m MSL. The maximum volume of natural damming 909,841.19 m3 and area of 282,048.36 m2(location II). Extensive damming of providing a very high hazard potential in the event of a dam collapse