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Wachyu Hadisaputra
Abstrak :
Dalam kurun waktu Juni 2003 sampai dengan Juni 2004, pasien-pasien yang menderita adenomiosis berdasarkan ultrasonografi transvaginal dan memiliki keluhan menorhagia, dismenore, mcmpun nyeri pelvis diikulsertakan dalam penelitian. Randomisasi dilakukan untuk mengalokasikan subjek ke dalam kelompok reseksi dan kelompok miolisis. Semua pasien dan kedua kelompok mendapal GnRH analog 3 siklus pasca-laparnskopi operatif. Penilaian dilakukan dalam jangka waktu 6 bulan, baik secara subjektif melalui kuesioner maupun secara objektif melalui evaluasi volume adenomiosis per ultrasonografi transvaginal di akhir semester. Terdapat 20 pasien yang menjalani pembedahan, 10 dalam kelompok reseksi dan JO dalam kelompok miolisis. Komplikasi bermakna tidak ditemukan pada kedua kelompok. Evaluasi subyektif dapat dilakukun pada semua pasien sedangkan evaluasi objektif hanya dapal dilakukan pada 17pasien. Tidak didapatkan perbedaan bermakna antar-kelompok dalam penentuan skor keluhan menorhagia (p = 0.399) dan dismenorea (p=0.213). Tidak ditemukan perbedaan bermakna dalam median penambahan volume adenomiosis (p = 0.630) antara kelompok reseksi (medicui= +15,35% (-100 - 159)) dengan kelompok miolisis (median=+48,43% (-100 - 553)). Lima pasien hamil, 3 dari kelompok reseksi, 2 dari kelompok miolisis, dengan satu kasus ruptur uteri pada usia kehamilan 8 bulan pada kelompok miolisis. Efektifitas reseksi adenomiosis per laparoskopi tidak berbeda bermakna dengan miolisis adenomiosis per laparoskopi dalam penataksanaan adenomiosis bergejala. Miolisis tidak disarankan bagi wanitayang masih ingin hamil. (Med J Indones 2006; 15:9-17).
Effective therapy preserving reproductive function in adenomyosis is warranted. From June 2003 to June 2004, patients diagnosed as having adenomyosis by transvuginal ultrasound and had symptoms of menorrhagta, dysmenorrhea, and pelvic pain were randomly allocated to either receive laparoscopic resection or myolysis. GnRH analog was given for 3 cycles after surgery. Within 6 months, symptoms were evaluated using questionnaires and at the end of follow up, adenomyosis volume was assessed by transvaginal ultrasound. There were 20 patients included, 10 patients had resection and the rest underwent myolysis. Both procedures did not yield significant complications. Subjective evaluation by questionnaires was done in all patients. Three patients could not be evaluated objectively by transvaginal ultrasound, 2 patients resigned and I was pregnant. There was no significant difference in menorrhagia and dysmenorrhea reduction score between the 2 groups (p=0.399 and 0.213, respectively). In both groups, dysmenorrhea was reduced significantly after treatment. No significant statistical difference was found in median adenomyosis volume increment (p=0.630) between the resection (median= + !5.35% (-100-159)) and myolysis groups (median=+48.43% (-100-553)). Five patients were pregnant, 3 from the resection group and 2 from the myolysis group. Uterine rupture was found in I patient (from the myolysis group) at the age of 8 months of pregnancy. The effectiveness of laparoscopic adenomyosis resection was not significantly different compared with la-parascopic myolysis as an alternative conservative surgery in treating symptomatic adenomyosis. Myolysis was not recommended for women who wish to be pregnant. (MedJ Indones 2006; 15:9-17)
[place of publication not identified]: Medical Journal of Indonesia, 15 (1) January-March 2006: 9-17, 2006
MJIN-15-1-JanMarch2006-9
Artikel Jurnal  Universitas Indonesia Library
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Abstrak :
ABSTRAK
Teknik Distraksi: Bercerita Menurunkan Nyeri Pada Anak Usia Pra Sekolah Selama Penggunaan Infus. Rasa sakit seringkali dikaitkan dengan salah satu prosedur rumah sakit yakni pemasangan infus. Reaksi anak prasekolah yang dipasang infus menunjukkan ketakutan yang luar biasa, hal itu disebabkan karena konsep integritas tubuhnya belum berkembang dengan baik. Salah satu cara untuk mengurangi ketakutan akibat nyeri pemasangan infus pada prasekolah adalah teknik distraksi bercerita. Tujuan penelitian ini untuk mengidentifikasi perbedaan skala nyeri antara kelompok intervensi dan kelompok kontrol. Penelitian ini merupakan penelitian kuantitatif dengan metode quasy eksperimen, yang menggunakan kelompok intervensi dan kelompok kontrol. Penelitian dilakukan terhadap 46 responden usia prasekolah (3-6 tahun) yang terdiri dari 34 kelompok intervensi dan 12 kelompok kontrol dari bulan September-Desember 2017 di salah satu Rumah Sakit Swasta di wilayah Bekasi Timur. Instrumen penelitian menggunakan kuisioner data demografi dan lembar observasi skala nyeri Wong Baker Faces Pain. Teknik analisis data menggunakan Uji Independent T test.Hasil penelitian menunjukkan terdapat perbedaan respon nyeri antara kelompok intervensi dan kelompok kontrol dengan nilai p= 0,012 (< 0.05). Perawat anak sebaiknya menggunakan metode bercerita sebagai sarana asuhan keperawatan atraumatik. ABSTRACT
Hospital procedures, such as infusions, are often associated with pain. Preschool-aged children who are hospitalized for infusions will often exhibit a strong fearful response because their concept of body integrity has not fully developed. One way to reduce the fear of infusion pain is by using stories as a distraction technique. The purpose of this study was to identify differences in the scale of pain between members of an intervention group, to which the distraction technique was applied, and a control group, to which it was not applied. The study used quasi-experimental methods, with intervention and control groups. The study was conducted on 46 preschool aged respondents (3-6 years old), divided into a 34 member intervention group and a 12 member control group and ran from September to December 2017 in one of the private hospitals in the East Bekasi. The research employed a questionnaire to collect demographic data and used the Wong-Baker Faces Pain Scale to assess pain levels. The data analysis technique used was the independent t-test. The results showed there was a difference of pain response between the intervention and control groups with P value < 0.05. Pediatric nurses are advised to use storytelling therapy as an option for providing atraumatic care intervention.
Depok : Fakultas Ilmu Keperawatan Universitas Indonesia , 2019
610 JKI 22:1 (2019)
Artikel Jurnal  Universitas Indonesia Library
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Annisa Nadhila Issadi
Abstrak :
Skripsi ini membahas mengenai bagaimana nilai ekosentrisme tercerminkan dalam manga Doraemon seri petualangan dengan judul Nobita to Kumo no Ōkoku. Data dianalisis dengan memakai cara analisis sastra murni. Hasil penelitian menunjukkan bahwa gagasan-gagasan paham ekosentrisme tergambar di beberapa aspek dalam manga ini. ...... This undergraduate thesis talks about how ecocentrism is portrayed in Doraemon manga titled Nobita to Kumo no Ōkoku. The data is analyzed using pure literature analysis method. Study results show that ecocentrism is shown in some aspects of this manga.
Depok: Fakultas Ilmu Pengetahuan dan Budaya Universitas Indonesia, 2015
S61302
UI - Skripsi Membership  Universitas Indonesia Library
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Marlina Ayuningtias
Abstrak :
ABSTRAK
Skripsi ini akan membahas pola pembentukan alur dalam 16 dongeng-dongeng Jepang (setsuwa) dengan meninjau tindakan-tindakan tokoh melalui teori fungsi Vladimir Propp. Propp mengemukakan 31 fungsi yang menggambarkan tindakan tokoh dalam setiap dongeng. Dengan menganalisis tindakan-tindakan tokoh dalam setsuwa dapat diidentifikasi kecenderungan-kecenderungan pembentukan alur dalam setsuwa. Hasil penelitian ini menunjukkan bahwa pembentukan alur dalam setsuwa cenderung sederhana. Selain itu kemunculan fungsi wedding yang menunjukkan konsep ongaeshi atau balas budi dalam budaya Jepang cenderung dominan. Dapat disimpulkan bahwa setsuwa cenderung menunjukkan tokoh-tokoh dengan peran baik yang menjadi panutan bagi pembaca.
ABSTRACT
This thesis discusses the patern of formation of plots in 16 folktales of Japan (setsuwa) by reviewing the actions of characters through the theory of functions of Vladimir Propp. Propp proposed 31 functions that describe the actions of the characters in folktale. By analyzing the actions of the characters in setsuwa, can be identified the tendency of the plots formation in setsuwa. These results indicate that the formation of plots in setsuwa tend to be simple. In addition the appearance of ‘wedding’ function which shows the concept ongaeshi or reciprocation in Japanese culture tends to be dominant. It can be concluded that setsuwa figures tend to show a role model for the reader.
2015
S62169
UI - Skripsi Membership  Universitas Indonesia Library
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Juferdy Kurniawan
Abstrak :
ABSTRACT Riedels lobe is a normal variant form of right liver lobe rarely found. Here we report a case of 38 years old female with an incidental finding not revealed in physical examination, but then known to have hepatomegaly by gynecological ultrasonography. Diagnosis of Riedels lobe was strengthened by similar results on hepatobiliary ultrasonography, abdominal MRI, and diagnostic laparoscopy. Our patient was discharged and had follow up examination three months later. Knowledge regarding this anomaly is essential to be understood because the finding of accessory liver lobe does not always remain asymptomatic as in our patient, but rather can be related to significant clinical complication.
Jakarta: Faculty of Medicine University of Indonesia, 2017
610 UI-IJIM 49: 1 (2017)
Artikel Jurnal  Universitas Indonesia Library