Journal of Society Medicine最新文献_第4页

Journal of Society Medicine Pub Date : 2022-11-30 DOI: 10.47353/jsocmed.v1i2.7

Rendi Sidiq, B. Lubis, Yutu Solihat

{"title":"Comparison of Pre-Loading Fluid With Norepinephrine Toward Mean Arterial Pressure (MAP) In Sepsis Patients In Intensive Care Unit (ICU) of Haji Adam Malik General Hospital, Medan","authors":"Rendi Sidiq, B. Lubis, Yutu Solihat","doi":"10.47353/jsocmed.v1i2.7","DOIUrl":"https://doi.org/10.47353/jsocmed.v1i2.7","url":null,"abstract":"Introduction: Sepsis is a life-threatening organ dysfunction caused by dysregulation of the host response to infection. Sepsis and septic shock are major health problems, affecting millions of people worldwide each year and killing one in six people affected. Early identification and appropriate management in the early hours after the development of sepsis improves the patient's prognosis. Surviving Sepsis Campaign (SSC) 2021 recommends a fluid dose of 30mL/kgBW, but there are many studies stating that there is no difference in patient outcomes when we resuscitate patients with 10 or 20 mL/kgBW fluids. Norepinephrine is considered as the safest and most potent vasopressor agents than others. \u0000Methods: This study used a double-blind randomized clinical trial (RCT) design to assess MAP in sepsis patients in intensive care unit (ICU) of Haji Adam Malik General Hospital ,Medan. \u0000Results: There were more male (56.5%), than female (43.5%). In our study, administration of 10mL/kg and 20mL/kg fluid bolus with vasopressor resulted in increased MAP, and the differences were statistically significant (p < 0.05). Administration of 10 mL/kg fluid gave higher MAP values than the other groups, could be a consideration in choosing fluid in order to avoid fluid overload. \u0000Conclusion: There is a significant comparison in the ratio of norepinephrine pre-loading fluid toward MAP in sepsis patients. Comparison of the mean MAP value at 15, 20, 25 minutes was the highest in the 10 mL/KgBW group. Meanwhile, the lowest MAP was found in 30mL/KgBW the group.","PeriodicalId":370087,"journal":{"name":"Journal of Society Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129769449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serum Procalcitonin (PCT) Level In Acute Kidney Injury (AKI) In Critical Patients 急性肾损伤(AKI)危重患者血清降钙素原(PCT)水平

Journal of Society Medicine Pub Date : 2022-11-16 DOI: 10.47353/jsocmed.v1i2.8

Azwar Iwan Tona, M. Syukri

引用次数: 0

Use of Chest X-Ray (CXR) in Covid-19 Screening as A Modalities 胸部x线(CXR)在Covid-19筛查中的应用

Journal of Society Medicine Pub Date : 2022-11-04 DOI: 10.47353/jsocmed.v1i2.9

Adityo Prabowo

{"title":"Use of Chest X-Ray (CXR) in Covid-19 Screening as A Modalities","authors":"Adityo Prabowo","doi":"10.47353/jsocmed.v1i2.9","DOIUrl":"https://doi.org/10.47353/jsocmed.v1i2.9","url":null,"abstract":"Background: As of March 11, 2020, the number of confirmed cases in China had reached 80,955 with the death toll reaching 3,162. So far, Covid-19 tends to infect people who have comorbid diseases such as heart disease, diabetes mellitus, cancer and chronic respiratory diseases as well as people over 60 years of age. Several cases of Covid-19 have also been reported in pregnant women. \u0000Method: Radiographic technologies and tools including chest X-Ray and Computed Tomography (CT) are applied for initial screening and the follow-up because they provide detailed diagnoses with specific pathological features for staging and treatment settings. Not infrequently cases of Covid-19 are found in pregnant women because during pregnancy women’s condition becomes very vulnerable to infection with pneumonia pathogens due to physiological changes during pregnancy that result in a decrease in the immune system. Although the clinical symptoms are the same as for non-pregnant women and there are no aggravating factors, pregnant women are prone to hypoxia. \u0000Results: Chest x-ray (CXR) is a radiographic projection tool that can help diagnose conditions or abnormalities in the thoracic cavity. Due to the spread of Covid-19, it is important to recognize the common Covid-19 imaging findings and the abnormal pneumonia that occurs over time on CXR results. CXR can be used to diagnose patients with acute respiratory distress as the first line of evaluation for Covid-19 patients 19. \u0000Conclusion: CXR can be a screening modality in Covid-19 patients including pregnant women. However, it is necessary to keep in mind that the CXR examination can have an impact on the fetus. Even though the risk is small, pregnant women who will undergo a Covid-19 examination or evaluation need special attention. In addition, it is necessary to consider other examinations that can be carried out especially on pregnant women, which do not have the effect of radiation","PeriodicalId":370087,"journal":{"name":"Journal of Society Medicine","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125457751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Medical Perspective of Dry Cupping and Wet Cupping: Effects and mechanisms of action 干拔罐和湿拔罐的医学视角:效果和作用机制

Journal of Society Medicine Pub Date : 2022-10-09 DOI: 10.47353/jsocmed.v1i1.6

Qadri Fauzi Tanjung, Hendi Ishadi

引用次数: 0

Catechol-O-Methyltransferase (COMT) Enzyme Level In Preoperative Anxiety Patients 儿茶酚o -甲基转移酶(COMT)酶在术前焦虑患者中的水平

Journal of Society Medicine Pub Date : 2022-10-08 DOI: 10.47353/jsocmed.v1i1.5

Akhyar Hamonangan Nasution, A. Lelo

{"title":"Catechol-O-Methyltransferase (COMT) Enzyme Level In Preoperative Anxiety Patients","authors":"Akhyar Hamonangan Nasution, A. Lelo","doi":"10.47353/jsocmed.v1i1.5","DOIUrl":"https://doi.org/10.47353/jsocmed.v1i1.5","url":null,"abstract":"Background: Incidence of perioperative anxiety is very high, many preoperative patient experience anxiety . Thiamine acts as an essential nutrition funtionate as cofactor enzyme in most of mitochondria in brain. Brain is very susceptible to thiamine deficiency because its dependency on mitochondrial ATP production. Decreased ATP production result in inhibition of COMT activity. Low COMT levels indicated tendency for anxiety. The aim of this study is to determine the effect of thiamine in increasing COMT enzyme levels in patient with preoperative anxiety \u0000Methods : A true experiment with pretest-posttest control group and double-blind design conducted at the Department of Anesthesia and Intensive Care of University of North Sumatra in August 2019. The 60 patients were analyzed which were planned for and done an elective surgery under general anesthesia. Preoperative anxiety was measured with Amsterdam Preoperative Anxiety and Information Scale (APAIS) and COMT enzyme level measured by ELISA assays. \u0000Results : The results showed that from 64 patients had incidence of preoperative anxiety in this study was 48.3%. We found that there is significant differences in COMT enzyme levels in thiamine group compared to control (p value = 0.001). In addition, it was seen that in thiamine group had an increased COMT levels from 0.96 ng/dL to 1.78 ng/dL, while in control group there also slight increasing from 0.44 ng/dL to 0.78 ng/dL. This show that increase in COMT levels is greater in thiamine group than control group. \u0000Conclusion : Thiamine can cause increasing COMT enzyme levels in patients scheduled for elective surgery with preoperative anxiety under general anesthesia","PeriodicalId":370087,"journal":{"name":"Journal of Society Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128102963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Catecholamine Toxicity After Craniotomy Evacuation Craniotomy and Evacuation of The Abscess 开颅及脓肿引流术后儿茶酚胺毒性

Journal of Society Medicine Pub Date : 2022-10-07 DOI: 10.47353/jsocmed.v1i2.3

Ongta Gibson Sirait, Wulan Fadinie

引用次数: 0

E-Claim System For Health Insurance And Social Security (BPJS) Types In Indonesia: Innovation And Effectiveness Of Services 印度尼西亚医疗保险和社会保障(BPJS)类型的电子索赔系统:服务的创新和有效性

Journal of Society Medicine Pub Date : 2022-10-07 DOI: 10.47353/jsocmed.v1i1.4

Wachyoe Hadi Saputra, Agus Prima

引用次数: 0