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Ibnu Nafis Jurnal Kedokteran Volume 6 Nomor 1 Edisi Juni 2017 ISSN 2252-6870

Ibnu Nafis Jurnal Kedokteran Volume 6 Nomor 1 Edisi Juni 2017 ISSN 2252-6870

Ibnu Nafis,  Juni 2017,  hlm 1-14,  Vol. 6, No. 1,  ISSN 2252-6870

 

Perbedaan Lama Waktu Alih Terapi Antibiotik pada Pasien Pneumonia Dengan Menggunakan Seftriakson dan Siprofloksasin di Rumah Sakit Haji Medan

 

Irmayanti Rangkuti* dan Sisilmonalisa

 

*Dosen Kopertis Wil. I DPK Fakultas Kedokteran UISU Medan

Fakultas Kedokteran UISU Medan, Jl. Sisingamangaraja XII No. 2A Medan

Abstract

 This research aims to know the differences a long time over the antibiotic therapy in patients of pneumonia by using seftriakson and ciprofloxacin in RS. Haji Terrain. The research is descriptive, using case studies of design series. Samples from the patient’s medical record pneumonia, research conducted in November – January 2017 respectively 73 samples that use seftriakson and ciprofloxacin. The research results obtained by patients using seftriakson most apparent age 73-77 years (20.5%), male (54.8%), blood pressure <120mmHg (41,1%), respiratory frequency >20 x/minute (78.1%), pulse rate of 60-100 x/minute (61,6%), temperature of 36,5-37,5oC and > 37oC (39.7%), with clinical symptoms in the form of shortness of breath (82,2%), cough (71,2%), nausea (37.0%), fever (42.5%), vomiting (30.1%), leukocytes >11000/µl (87,7%), infiltrates (50,7%), hypertension (11,09%). Patients using ciprofloxacin most aged 70-79 years (20.5%), male (50,7%), blood pressure of 140-159mmHg (37.0%), respiratory frequency > 20 x/minute (70.7%), pulse rate of 60-100 x/minute (65.8%), temperature of 36.5 -37, 5oC (83,6%), shortness of breath (70.7%), cough (72,6%), nausea (20.5%), fever (43.8%), vomiting (30.1%), leukocytes >11000/µl (86,3%), infiltrates (54.8%), hypertension (15,1%). The average time over of therapy seftriakson 6,66 ± 2,38 day and ciprofloxacin 4,62 ± 3,10 day. Mann-whitney test was obtained p = 0.000 (p < 0.05) there is a difference in meaning between long time over seftriakson therapy with ciprofloxacin. Siproflokasasin had a great time over a shorter therapy compared to seftriakson.

Keywords: Long time instead of therapy, pneumonia, seftriakson, ciprofloxacin

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Gambaran Penderita Trauma Kepala di Rumah Sakit Umum Haji  Medan Periode Januari – Desember  2014

 

Khoirunnisa Siregar,*Tri Makmur

*Dosen Fakultas Kedokteran Universitas Islam Sumatera Utara

RSU Haji Medan, Jl. RS Haji Medan Estate, Kec.Percut Sei Tuan Kab. Deli Serdang Sumatera Utara

Fakultas Kedokteran UISU Medan, Jl. Karya Bakti No.34 Pangkalan Masyur Medan

Abstract

Head injury is a process where there is direct trauma or deceleration of the head causing damage to the skull and brain. This study was conducted in the medical record section of Medan Haji Hospital in November – December 2015 with a total sample of 68 people. This study aims to determine the description of patients with head injury at Haji Medan General Hospital period January – December 2014. This research uses descriptive research method with analytic approach. Gender, age, occupation, mechanism of injury, degree of injury, CT Scan head and patient outcome recorded from the patient’s medical record. The results showed 68 cases of head injuries, most of them are male with 53 people (78%) while female 15 people (22%). The highest incidence rate in the age group of 15-23 years which 23 people (33.8%) with the most accupations affected is student with 17 students (25.0%) and the most common cause of head injury was the traffic accident experienced by 52 people (76, 5%), 58 people with mild head injury (85.3%) and 57 people with CT Scan comotio (83.8%), with 61 outcomes living (89.7%).

Keywords : Head Injury, Head Injury Morphology

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Gambaran Perilaku Orang Tua Tentang Penyakit Diare dan Pencegahannya pada Balita di Puskesmas Simalingkar Medan

Tahun 2016

Muhammad Ichsan Dian, *Edward Kosasih

*Dosen Fakultas Kedokteran Universitas Islam Sumatera Utara

Jln. SM. Raja No. 2A Medan

Abstract

Diarrhea is an abnormal bowel movement and a liquid form of stool with a greater frequency than usual. Another definition uses the frequency criterion, in which  watery stool happens more than 3 times per day. The watery discharge can be followed by mucus or blood. In this study aims to determine the description of the behavior of parents about diarrheal diseases and prevention in infants at the Health Center Simalingkar Medan. This research design is descriptive, and conducted at Simalingkar Medan Public Health Center from January to April 2016. And the population of this study amounted to 1354 people and the sample amounted to 93 people with a degree of error (d) 0.1. The data were collected by questionnaires conducted in front of the researchers and collected on the spot. After the data is collected, data processing and analysis is done by editing, coding, processing, cleaning and savingThe results showed that the level of knowledge of parents about diarrheal diseases and prevention in infants who have good criteria 52.7%, 47.3% and poor there is no. While the attitude of parents to diarrhea and prevention in toddlers who have good criteria 47.3%, moderate 52.7% and none in the bad criteria. Parents action towards diarrhea and prevention in toddlers who have good criteria 50.5%, moderate 49.5% and none in the bad criteria. Based on the result of the research, it is expected to the Medan City Health Office to improve supervision, guidance and evaluation on the implementation of diarrhea program, to the Simalingkar Medan Community Health Center to increase diarrhea education, implement the management of diarrhea with Integrated Sick Management approach (MTBS), and to the community to maintain cleanliness Environment and implementing clean and healthy living behavior (PHBS).

Keywords : Diarrhea, Descriptive, Knowledge, Attitude and Action

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Gambaran Sputum Tukang Becak di Kecamatan Medan Kota Dengan Pulasan KOH 

Neno Warisman, *Indra Janis 

*Dosen Fakultas Kedokteran UISU

Fakultas Kedokteran UISU Medan, Jl. Karya Bakti No.34 Pangkalan Masyhur Medan

Abstract

KOH swab is an identification technique for fungi using KOH 15%. KOH swab is one of microscopic examination that plays an important role in early diagnosis of lung disease caused by fungus. Lung disease due to fungus is one of infectious diseases caused by fungi. One of the symptoms that often arise in lung disease due to fungus is coughing. Sputum examination should be done to diagnose lung disease due to fungus. Sputum is a coughed secretion and is derived from the bronchus not a substance that comes from the throat, nose, and mouth. This study aims to determine the description of the sputum pedicab driver in the District of Medan City with KOH swab. Pedicab drivers are easily infected by lung diseases caused by fungus due to work and work environment. This research uses descriptive observational method. This study was conducted in Medan City Subdistrict in February 2016. The sample in this study were 30 motorized becak drivers who had a complaint of cough ≥ 2 weeks. In this study, it was found that positive sputum samples of fungi consisted of 6 samples (20%) and negative mushrooms amounted to 24 samples (80%). Characteristics of respondents by age the highest are in the 35-45 years group as many as 11 people (36.7%). Based on the education the most respondents in the middle school group as many as 20 people (66.7%), and almost all respondents as many as 25 people (83.3%) have a smoking habit.

Keywords : KOH, Cough, Sputum, Mushroom

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Gambaran Pengetahuan Ibu Tentang Pemberian Imunisasi Hepatitis B 0 di Klinik Pratama Sehati Husada Deli Tua Medan Tahun 2015 

Rahmayana Pasaribu, *Alamsyah Lukito

*Dosen Fakultas Kedokteran UISU Medan

Fakultas Kedokteran UISU Medan, Jl. Karya Bakti No.34 Pangkalan Masyhur Medan 

Abstract 

Immunization is a way to increase a person’s immunity against a disease, so that when later exposed to the disease he did not become ill. Hepatitis B is a potentially life-threatening liver infection caused by hepatitis B virus. WHO recommends that all infants receive hepatitis B vaccine immediatelly after birth, preferably within 24 hours. This research was conducted in Pratama Sehati Husada Deli Tua Medan Clinic Year 2015. This research is descriptive followed by 73 volunteers. The results of this study showed that the level of knowledge of respondents about hepatitis B 0 immunization is mostly in the category of suffice, which is 54 people (74.0%), while the good category is 10 people (13,7%), while the least Is in the category of Less, with 9 people (12.3%).

Keywords: Knowledge, Age, Hepatitis  Immunization B 0

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Gambaran Faktor Risiko Hipertensi Berdasarkan erajat Hipertensi Di Puskesmas Medan Johor Tahun 2015

Rizka Gayo, *Siska Anggreni Lubis

*Dosen Fakultas Kedokteran UISU Medan,

Jl. Karya Bakti No. 34 Pangkalan Masyur Medan

Abstract

Hypertension has become a major health problem not only in Indonesia but also worldwide. Hypertension is one of the risk factors for cardiovascular disease which classified as a deadly disease. A total of 1 billion people in the world or 1 in 4 adults suffer from hypertension. In general, hypertension risk factors are divided into two, modifiable risk factors and non-modifiable risk faktors. Hypertension can be controlled with a healthier lifestyle modification. The purpose of this research is to know the description of risk factors of hypertension in Puskesmas Medan Johor. The research was conducted with cross sectional design done on 74 respondents ie hypertension patients aged 40 to 55 years at the Johor Field Health Center, which was taken randomly with consecutive sampling technique in November to December 2015. Demographic characteristics of respondents in this study were educated graduate high school / equivalent and work as housewife. The highest risk factor in hypertension of degree 1 and degree 2 is the habit of eating salty foods. The results of this study are expected to increase awareness of research subjects will risk the incidence of hypertension and hypertension risk factors.

Keywords: Hypertension, Hypertension Risk Factors

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Gambaran Pengetahuan Siswi Tentang Kesehatan Reproduksi di SMA ADVENT 1 Medan Tahun 2016 

Brian Jones Simanungkalit, *Rusdi Yunus 

*Dosen Fakultas Kedokteran UISU

FakultasKedokteran UISU Medan, Jl. KaryaBakti No.34 PangkalanMasyur Medan 

Abstract 

Reproductive health is a state in which a person has a physical, mental and social well-being of the whole in relation to the reproductive system or function and not only a condition free of disability or free from BKKBN. The purpose of this study is to determine the knowledge of female students about reproductive health in Advent 1 High School Medan. This research is a descriptive research, using total sampling as sampling technique. This research was conducted in Advent 1 field high school located at Jalan Veteran-Medan, February-March 2016. The measuring tool used in this study is questionnaires distributed to 54 respondents and directly filled by respondents. The results showed that the knowledge of Advent 1 Medan high school students on reproductive health was in sufficient category that is (52%), followed by good category (48%). It can be concluded that the knowledge of high school students Advent 1 Medan category is quite good.

Keywords: Knowledge, Reproductive Health, High School Students

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