Articles

Found 11 Documents
Search

GAMBARAN HASIL TERAPI RADIASI DAN KEMORADIASI PASIEN KANKER SERVIKS DI RSUD ARIFIN ACHMAD PEKANBARU PERIODE 2009-2013 Putri, Fadilla Rizki; Sofian, Amru; Nugraha, Dimas Pramita
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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

Abstract

Cervical cancer is the third most common cancer in women in Indonesia. Many cervical cancer cases were found in an advanced stage, so that they were treated by radiation or chemoradiation. Radiation is divided into external radiation and internal radiation. There is no internal radiation done in Arifin Achmad General Hospital Pekanbaru, so that they only use complete external radiation treatment for 25 times. After the therapy, the patient will do a follow-up treatment of pap smears to assess the cancer cells. This research was conducted in Radiotherapy Installation, Pathology Installation and Medical Records Installation at Arifin Achmad General Hospital Pekanbaru to study and reveal the results of radiation and chemoradiation therapy in cervical cancer patients at Arifin Achmad General Hospital Pekanbaru. The results showed that of 79 patients treated with cervical cancer radiation, only 29 patients did the follow up treatment whilst of 31 patients treated with cervical cancer chemoradiation, only 6 patients did the follow up treatment. Only 2 patients treated by radiation were found to have malignant cells in the pap smear treatment. Meanwhile, in cervical cancer patients treated by chemoradiation, 2 patients were still found malignant cells and 1 patient experienced a recurrence. Once treated with radiation, malignant cells on pap smears are found only in 2 patients, while 27 patients were not found and only 1 patient who experienced a recurrence. After chemoradiation therapy in 6 cervical cancer patients who did the follow up, malignant cells are found in 2 patients and in 4 patients no malignant cells was found, while the other 2 patients experienced recurrence. The conclusion of this study is the incompleteness of the data found in the medical records, low patient adherence to do follow-up treatment after therapy, and the lack of education and information given by the health professionals to patients to do a follow up treatment.Keywords: Cervical cancer, Complete radiation , Chemoradiation, Pap smear
THE OVERVIEW SURGICAL SITE INFECTION OF PASCA OPEN SURGICAL OF URINARY STONE AT ARIFIN ACHMAD GENERAL HOSPITAL OF RIAU PROVINCE 1 JANUARY – 31 DECEMBER 2014 PERIOD Noorrahman, M. Irvan; Nugraha, Dimas Pramita; ", Afdal
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 3, No 1 (2016): Wisuda Februari 2016
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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

Abstract

ABSTRACTAbout 63% managemen urinary stone is open surgery, because this threatment choice could decrease the risk of recurency this disease but have the risk of high surgical site infection (SSI). This research explain about surgical site infection after open surgery of urinary stone in RSUD Arifin Achmad Province of Riau 1 January – 31 December period. The method of this research is retrospective descriptive. The source of data take from medical report of patient that undergo open surgery of urinary stone in RSUD Arifin Achmad Province of Riau. This research found 82 patient that undergo open surgery of urinary stone. The number of SSI in this research is 2,4% (2 patient). Based on the age group SSI found in the group 46-55 and 56-65 years old. Based on the gender SSI found more in women. Based on the nutrition SSI found in the group of under nutrition and normal nutrition. Based on level education SSI found in patient didn’t got education. Based on the preoperative diagnostic SSI found in patient with renal stone. Based on gift of the antibiotic prophilaxis SSI found in patient that gift the antibiotic prophilaxis. Based on the comorbid SSI found in patient with comorbid and without comorbid. Based on number of leukocytes SSI found in patient with normal and high leukocytes. Based on the named of surgery SSI found in pyelolitotomy and nephrolitotomy. Based on a duration of operative SSI found in the group with duration with 1 hour and >1 hour. Based on span of struck infection time SSI found more in >7 days. Based on a along of nursing SSI found in >3 hari. The conclution of this research is the number of SSI pasca open surgery of urinary stone in RSUD Arifin Achmad 1 January -31 December period is lower than the survey of World health organization (WHO).Key word : Surgical site infection, open surgery of urinary stone, discribe of patient
Penggunaan Antibiotik Profilaksis Pada Pembedahan Terbuka Batu Saluran Kemih Di RSUD Arifin Ahmad Provinsi Riau Nugraha, Dimas Pramita; Fauzia, Dina; Hamidy, M.Yulis; Noorrahman, M.Irvan
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.957 KB) | DOI: 10.26891/JIK.v10i2.2016.106-111

Abstract

Open surgery urinary tract stones are classified as clean-contaminated surgerywheresurgical prophylactic antibioticsare recommended.The purpose of this study was to determine the pattern and correct use of surgical prophylacticantibiotic in patients undergoing open surgery urinary tract stones in Arifin Ahmad Hospital.This research is a descriptivestudy using secondary data from medical records of patients who underwent open surgery urinary tract stones, with atotal sample amounted to 82 people. The precision of the use of antibiotics assessed based PermenkesGuidelines Useof Antibiotics.The results showed the use of prophylactic antibiotics for urinary tract surgery have not been preciselyclassified according to the indication the use of antibiotics andthe timing of antibiotics.Even though the durationantibiotics, dosage, and route of administration of prophylactic antibiotics are appropriate under the guidelines.Theuse of prophylactic antibiotics for open surgery urinary tract stones need improvement.
Profil Pasien Stroke di RSUD Arifin Achmad Provinsi Riau Nugraha, Dimas Pramita; Bebasari, Eka; Wardani, Yulia
Jurnal Ilmu Kedokteran Vol 12, No 1 (2018): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (46.217 KB) | DOI: 10.26891/JIK.v12i1.2018.52-56

Abstract

Stroke is the first cause of death in women and the second leading cause of death in men in industrialized countries. InAsia, every year an estimated 500 thousand people experience a stroke. Therefore recognizing stroke risk factors andmanaging them appropriately is key to designing primary prevention strategies in non-stroke populations and secondaryprevention to avoid recurrent strokes. This research was cross sectional study to describe profile stroke patients inArifin Achmad hospital Riau Province. Research data was taken through questionnaire and patient medical records. Inthis study, stroke patients in Arifin Achmad Hospital were mostly <60 years old, 65.80% and male sex 64.50%. Theproportion of hypertension is 90.80%. Diabetes mellitus 7.90%, dyslipidemia 63.20%, smoking 21.10%, obesity 32.90%,and sedentary life 73.70%.
Gambaran Farmakoterapi Pasien Common Cold Di Puskesmas Pekanbaru Nugraha, Dimas Pramita; Inayah, Inayah
Jurnal Ilmu Kedokteran Vol 10, No 1 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.436 KB) | DOI: 10.26891/JIK.v10i1.2016.63-66

Abstract

Common cold is still a disease with the most number of cases in Indonesia and the province of Riau in out patientswho visited the primary health center (Puskesmas). However, in primary health care, like Puskesmas and privatepractice physicians are expected pharmacotherapy common cold is not rational. Medication errors is a common problem.The purpose of this study was to determine how the use of pharmacotherapy in patients with the common cold inPuskesmas Pekanbaru. This study was an observational descriptive , with a total sample 4602 people who meet thespecified criteria .The results showed that the percentage patients common cold using symptomatic analgesic-antipyreticdrugs 70.2%.However, the percentage of patients that using antibiotics in common cold is still quite a lot (36%), alsothe use corticosteroid (17,9%) that showed medication error. The patterns pharmacotherapy of common cold inPuskesmas Pekanbaru was relatively good, but need improvement .
Histology Structure of Lymph and Uterus of White Rat (Rattus norvegicus) Given with Nanas Bongsai (Ananas comosus var. microstachys L.) Fitmawati, Fitmawati; Saputra, Agus; Yohanes, Yohanes; Teruna, Hilwan Yuda; Nugraha, Dimas Pramita; Hamidi, Yulis
Biosaintifika: Journal of Biology & Biology Education Vol 10, No 1 (2018): April 2018
Publisher : Department of Biology, Faculty of Mathematics and Sciences, Semarang State University . Ro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/biosaintifika.v10i1.13596

Abstract

Nanas Bongsai (Ananas comosus var. microstachys L.) is an amazing herb which is used in traditional medicine by local people of Muara Lembu district as a potion to reduce pain while menstruation period for a women. The present work was designed to investigate its probable side effects on the histopathologic changes in limph and uterus tissues after treated with A. comosus var. microstachys L extract in female white rats. This is an experimental research consisted of five treatments and three repetitions. Treatment composed of two controls (P0 and P+) and given Nanas Bongsai extract with three different dosages. Histology result of lymph show that all treatments given with Nanas Bongsai with three different dosages have different diameter average of white pulp and there is no significant changes with normal control. While observation towards histology structure of endometrium thickness with dosage P1, dosage P2, dosage P3 is 206.333±33.486; 215.667±33.486; 197.667±60.871 respectively. The most thin endometrium layer found in treatment with dosage P3 compared to control P0. From this study showed that there is no toxic effect on uterus and lymph function of of Nanas Bonsai (A. comosus var. microstachys L.) at different doses, so the plant is secure for consumption by the community.
GAMBARAN FARMAKOTERAPI DIARE AKUT PADA ANAK DI PUSKESMAS SIMPANG TIGA KOTA PEKANBARU PERIODE 1 JANUARI – 31 DESEMBER 2015 Pertiwi, Lia; Nugraha, Dimas Pramita; ", Inayah
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 4, No 1 (2017): Wisuda Februari 2017
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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

Abstract

ABSTRACTDiarrhea is one of the major causes of infant and child death in Indonesia, so appropriate pharmacotherapy is needed. Acute diarrhea occurs less than fourteen days (two weeks). The aim of this study was to observe the description of pharmacotherapy diarrhea acute among children in Puskesmas Simpang Tiga Pekanbaru City from January 1st - December 31st 2015. This was a descriptive study using data from medical records. There were 147 samples that fulfilled the inclusion criterias. Acute diarrhea was most common found in male (61,9%). Age group of 1-5 years was the most common age group in this study (77,6%). Enough weight group was the common weight group in this study (80,3%), and oralit was the most used pharmacotherapy (74,8%). The appropriate zinc duration by WHOs standar in this study was 65,3%,and appropriate zinc frequency was 68,7%.Key words: acute diarrhea,pharmacotherapy
Perbandingan Indeks Massa Tubuh Pada Pasien Hipertensi Dengan Tekanan Darah Yang Terkontrol dan Tidak Terkontrol di RSUD Arifin Achmad Provinsi Riau Bebasari, Eka; Nugraha, Dimas Pramita
Jurnal Ilmu Kedokteran Vol 11, No 2 (2017): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.01 KB) | DOI: 10.26891/JIK.v11i2.2017.30-33

Abstract

The nutritional status is a factor that related with blood pressure. The nutritional status that indicated by body massindex (BMI) needs to be considered in management of hypertension. This study was a cross-sectional analytic thatassess relationship between BMI and hypertension controlled. The subjects of the study were hypertension patientsthat visit outpatient clinic of Arifin Ahmad General Hospital, Riau Province. Datas were analyzed by unpaired t-test.The results showed that patients with obesity grade 1 were more frequent in controlled hypertension group comparedto uncontrolled hypertension (43.8% vs 32.5%). The BMI average in patients with controlled hypertension group was24.2, while in uncontrolled hypertension group was 24.8 (p>0.05). There was no statistically significant differencebetween BMI in both groups patients.
Compliance Pengguna Antihipertensi di RSUP DR. SARDJITO Yogyakarta (Periode Juli 2006- Juni 2009) Nugraha, Dimas Pramita; Dwiprahasto, Iwan; Thobari, Jarir At
Jurnal Ilmu Kedokteran Vol 8, No 2 (2014): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (45.112 KB) | DOI: 10.26891/JIK.v8i2.2014.70-75

Abstract

Hypertension is the second largest of the 10 diseases on an outpatient at a hospital in Indonesia. The poor complianceto therapy of hypertension is a major cause of uncontrolled blood pressure. The aim of this study is to determinecompliance antihypertension on patient at DR. Sardjito hospital Yogyakarta. This study was designed with aretrospective cohort study design using a database of participants claimed prescribing health insurance (ASKES) inthe DR. Sardjito hospital using antihypertensive drugs. Compliance measured with medication possession ratio (MPR).Data was analysed by chi- square and logistic regression statistic. From 8.011 patients, compliance of antihypertensivedrugs during the first year is 7,6%. Analysis for compliance showed that the type of antihypertensive diuretics aremore compliance compare with angiotensin II receptor blockers, ACE inhibitors, calcium channel blockers and betablockers. Combination therapy (20,7%) is more compliance than monotherapy ( 4,1%), as well as drugs administration1 time a day (8,2%) is more compliance than drug administration 2 times (2,5%) and 3 times a day (3%). Theproportion of compliance in antihypertensive users at DR. Sardjito hospital classified as less good. Compliancepattern indicates that therapy is not continuous, the longer the use of antihypertensive therapy, the higher thediscontinuous therapy.
Profil Pengendalian Diabetes Melitus Tipe 2 Di Poliklinik Penyakit Dalam RSUD Arifin Achmad Pekanbaru Putri, Lesi Kurnia; Karimi, Jazil; Nugraha, Dimas Pramita
Jurnal Ilmu Kedokteran Vol 8, No 1 (2014): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (48.536 KB) | DOI: 10.26891/JIK.v8i1.2014.18-24

Abstract

Management in patients with type 2 diabetes mellitus (DM) is aimed diabetic control required antidiabetic drugs(OAD). The aim of this study was to know data about the profile of diabetics control in patients with type 2 diabetesmellitus followed in department of endocrinology Arifin Achmad General Hospital Pekanbaru. The type of researchwas descriptive. The samples are 96 people included all patients with type 2 DM according to inclusion criteria. Theidentity patients and patients knowledge were determined using questionnaire, used of antidiabetics drugs and diabeticcontrol were detemined using medical record. The characteristics of patients with type 2 DM were most at group ofage 50-59 years (45,8%), female sex (58,3%), duration of DM 1-5 years (52,1%), complication of diabetic neuropathy(25%) and frequency of the Doctor once a month (64,6%). The used OAD predominant oral antidiabetic drugs (83%)combinations sulfonylureas and biguanid (73,7%), combinations oral antidiabetic drugs with insulin (14%) arecombinations biguanid with long acting insulin (69,2%) and intensive insulin (3%) are long acting insulin with rapidacting insulin (66,6%). Diabetic control of patients with type 2 DM are fasting blood glucose, post prandial 2 hoursblood glucose, total cholesterol, LDL and HDL was bad (68%, 74%, 46,9%, 61,5% and 70,8%). This researchshowed that used of antidiabetic drugs was not satisfactory of diabetic control.