Saintika Medika

Dexmeditomidine And Fentanyl As An Adjunct To Bupivacainein Supraclavicular Nerve Block

Dhara Darji — 2024-07-11

Objective: The objective of the study was to evaluate the influence of the combination of dexmedetomidine and fentanyl with bupivacaine on the efficacy of ultrasonic guided supraclavicular nerve block for upper limb surgeries. Material and Methods: The study comprised a sample of 150 patients who were scheduled to have upper limb procedures at the Department of Anaesthesia in a Tertiary Care Teaching Institute in India. A total of 150 patients were divided into three groups. Group A was administered a combination of Bupivacaine and saline, Group B received Bupivacaine along with dexmedetomidine, and Group C was given Bupivacaine in combination with fentanyl. The essential parameters of heart rate, systolic and diastolic blood pressure, and oxygen saturation were documented. Results: Both the B Group and C Group exhibited a more rapid initiation and extended duration of sensory and motor blockade, which was statistically significant (P<0.05). Group B had a longer duration of pain relief after surgery compared to Group C and Group A. Conclusion: The administration of dexmedetomidine and bupivacaine in the supraclavicular block effectively reduced the onset time of both sensory and motor blocks. Furthermore, the administration of both dexmedetomidine and bupivacaine resulted in a significant reduction of postoperative discomfort.

Validity And Reliability Of Mars-10 Questionnaire On Antipsychotic Adherence In Schizophrenia Patients

Nailis Syifa — 2024-07-12

Non-adherence in schizophrenia treatment is still a major problem in the successful treatment of schizophrenia. MARS-10 (Medication Adherence Report Scale-10) questionnaire is a self-reported questionnaire to measure patient’s adherence which has been implemented in some disease. However, there is still no study investigated the application of MARS-10 into schizophrenia patients in Indonesia. The purpose of this study was to determine the reliability and validity of the MARS-10 questionnaire in schizophrenia cases in Indonesia. This design of this study was a prospective, descriptive quantitative analysis approach with a cross-sectional design. Thirty schizophrenia patients from Saiful Anwar Hospital Malang, Lawang Mental Hospital, and UMM Hospital were used as research samples. Determining the validity of the questionnaire using the Pearson Product Moment correlation test, the correlation coefficient value r count is greater than the r table value, which is 0.361. In determining the reliability of the questionnaire, an analysis was carried out using the Cronbach's Alpha coefficient which showed the Cronbach's Alpha coefficient of 0.742. The results of the validity and reliability tests show that the MARS-10 questionnaire that has been translated into Indonesian is valid and reliable for measuring the level of compliance of schizophrenia patients with antipsychotic treatment in Indonesia.

The Effect Of Butterfly Pea Flower Tea On Brain Weight In Wistar Rats After D-Galactose Induction

Ernadita Budiastuti — 2024-07-12

Introduction: Butterfly pea flowers (Clitoria ternatea L.) currently popular in society as high-antioxidant supplement. One of the organs affected by aging is the brain. D-galactose is a compound that is widely used for induction of aging in animal studies. The aim of this study was to assess the effect of butterfly pea flower tea on changes in brain weight in mice induced by D-galactose.

Method: 24 rats were divided into four groups consisting of control, groups with 1%, 5%, and 10% butterfly pea flower tea intervention after being induced by aging for 6 weeks. The brain organs were then weighed to assess changes in each group.

Result: There was an increase in body weight but no significant differences between each group either before or after the intervention. No significant differences were found in the average brain weight of each group, with the brain weight of the P3 group being lower than that of the other intervention groups. There is a positive correlation between body weight and brain weight.

Conclusion: Although the butterfly pea flower has no statistically significant effect, at concentrations of 1% and 10% it can have an effect on brain weight after induction of aging by D-galactose.

Tramadol and Dexamethasone as Adjuvant to Bupivacaine in Supraclavicular Brachial Plexus Block

Shrutika Ved — 2024-07-13

Background: To assess the effects of combining Tramadol and Dexamethasone with Bupivacaine in supraclavicular brachial plexus block for upper limb surgeries.

Material and Methods: A clinical research was performed with sixty patients who received upper limb surgery with a supraclavicular brachial plexus block. The study encompassed a total of 60 patients who were divided into two groups, with 30 patients in each group. Group D was administered a blend of Bupivacaine and Dexamethasone, whilst Group T was given a mixture of Bupivacaine and Tramadol, resulting in a combined amount of 25 ml. The study recorded the beginning and length of the sensory and motor block. We meticulously observed the hemodynamic variables throughout the research, until the administration of the first rescue analgesic.

Results: In group D, the mean time for motor block to occur was 5.10±0.92 minutes, whereas in group T, it took 7.93±0.98 minutes. Group D had an average sensory block onset time of 8.23±1.22 minutes, whereas Group T had a slightly longer average onset time of 10.97±1.22 minutes. Group D had an average motor block duration of 560.53±24.46 minutes, whereas group T had a duration of 358.93±20.85 minutes. Group D had a mean duration of sensory block of 745.17±32.81 minutes, whereas group T had a slightly shorter duration of 457.07±16.36 minutes. In group D, the average time for the first rescue analgesia was 961.50±32.94 minutes, whereas in group T, it was 524.17±16.46 minutes.

Conclusion: Inclusion of Dexamethasone led to a noticeably quicker onset of motor and sensory block in comparison to Tramadol. In a recent study, researchers discovered that when Dexamethasone was added to the mix, it had a notable impact on the duration of both motor and sensory block. The effects were significant and promising. When Dexamethasone was added, it noticeably increased the duration until the first rescue analgesia, in comparison to Tramadol.

Description of Workforce Preparedness for Fire Management at Dinoyo Health Center

Zanuba Syifa' Qotrunnada — 2024-07-15

Background: Dinoyo Community Health Center is a health facility in Malang City that must implement fire safety. There have been 4 incidents in 2020 and 8 incidents in 2021 where fire occurred at community health centers. Preparedness is carried out as an effort to deal with fires from a human perspective. Research objective: To determine workforce preparedness for fire management at the Dinoyo Community Health Center. Research type: descriptive quantitative with a population of 55 people using saturation sampling techniques. There are 2 preparedness parameters in this research variable, namely knowledge and attitudes. Results: The preparedness of the workforce is "ready" category for fire management with an index value of 76.10. The level of knowledge scored 66.23 is "ready" category and attitude scored 85.98 is "very ready" category. Conclusion: The attitude value is higher than the knowledge value. This is because attitudes are not only influenced by knowledge, but also influenced by personal experience, the influence of other people, and emotional influence. The workforce has received fire management training and simulations. The interview results show that the workforce understands information related to emergencies. Suggestion: Workers should increase their knowledge through print media or the internet.

Knowledge and Attitudes regarding Compliance with the Use of Personal Protective Equipment for Motor Vehicle Test Workers at the Malang Regency Transportation Service

Tiaravika Shafa Kamilah Vika — 2024-07-27

The use of PPE is an effort to protect or prevent potential work hazards or accidents. Worker compliance in using PPE is determined by worker knowledge and attitudes. Workers' knowledge will change their actions so that this change in attitude will make workers obey the rules at work. The aim of this research is to analyze the relationship between knowledge and attitudes and compliance with the use of PPE among motor vehicle test officers at the Malang Regency Transportation Service. Quantitative analytical method, cross sectional approach. Total sampling was 30 respondents. Data was taken by filling out questionnaires by respondents and observing. Data analysis was carried out univariately and bivariately using the spss program with the Chi-Square statistical test. The Chi-Square test showed that there was a relationship between knowledge and compliance with the use of PPE (p-value = 0.043), and there was a relationship between attitude and compliance with the use of PPE (p-value= 0.027). The higher a person's level of knowledge and attitude, the more compliant they will be in using PPE.

Profile of Drug-Resistant Tuberculosis Patients at the Haji Regional Hospital, East Java Province in 2019-2022

Meddy Setiawan — 2024-07-27

Objective: To determine the profile of TB cases that are resistant to antibiotics and the resistance pattern of Mycobacterium tuberculosis in patients at Haji Regional Hospital, East Java Province

Method: The type of research is descriptive-retrospective based on primary data from patient medical records and laboratories in the 2019-2022 period

Results: The results show that the incidence of drug resistance based on the most OAT in Tuberculosis Drug Resistant Patients at the Haji Hospital of East Java Province in 2019-2022 is a combination of R+H as many as 69 patients (46%) and the origin of the most infection is relapse / recurrence of 73 patients (48.7%)

Conclusion: According to the characteristics, the majority of drug-resistant tuberculosis patients at Haji Hospital in East Java Province from 2019-2022 were male patients aged 19-59 years. According to the resistance pattern of M. tuberculosis bacteria, the most common type of drug resistance was MDR-TB (Multi-Drug Resistant Tuberculosis), and the most previous TB history was relapsed patients.