PRIMER (Prima Medical Journal) http://jurnal.unprimdn.ac.id/index.php/PRIMER <p>PRIMER (Prima Medical Journal) published the original peer-reviewed article of basic medical research and case reports. This journal is published twice a year (April and October).</p> Universitas Prima Indonesia en-US PRIMER (Prima Medical Journal) 2614-0128 PENGBlock pra Epidural Anestesia http://jurnal.unprimdn.ac.id/index.php/PRIMER/article/view/3158 <p><strong><em>Backgrounds:</em></strong><em> Patients with hip fractures are common in geriatric patients. Severe pain often found in cases hip fracture, especially in sitting and tilt position. This complicate anesthetic procedures, especially in regional anesthesia such as epidural or spinal, and patient must positioned on side sitting position. <strong>Objective:</strong> implementing PENG block is to block nerve fibers in the articular branch supplied by femoralis, obturator and obturator accessory nerves area. PENG blocks performed postoperative pain relief for hip joint surgery or management posttraumatic pain associated proximal femoral/femoral head fractures which patients is unable to withstand pain when positioned sitting or tilted,&nbsp;&nbsp;&nbsp; it is often necessary to add general anesthetic to reduce pain. With the reason of avoiding general anesthesia, PENG block temporarily relieves pain, so patients could be positioned freely sitting or tilt. <strong>Case: </strong>This case report describes a 79-year-old woman with pelvic pain due to a fall. The patient only can lie down and cannot change position.&nbsp; Patient has history of hypertension, cardiac catheterization surgery and stroke. <strong>Discussion: </strong>patient given PENG block to minimize pain and positioned to a sitting position. Anesthesia followed by epidural anesthesia. Operation lasts approximately 5 hours. There were no complaints of pain during and after surgery. Mobilization can be done within 6 hours after surgery. <strong>Conclusion:</strong> The PENG block technique used in this case is able to minimize pain so that the patient can be positioned freely and allows regional anesthesia to be performed.</em></p> Edlin - Mual Kristian Sinaga Copyright (c) 2022 PRIMER (Prima Medical Journal) 2022-10-31 2022-10-31 7 2 31 37 10.34012/pmj.v7i2.3158 PROFIL PENDERITA CARCINOMA MAMMAE DI RSUP H. ADAM MALIK TAHUN 2019-2020 http://jurnal.unprimdn.ac.id/index.php/PRIMER/article/view/2984 <p><em>Background : Breast cancer is the most common type of carcinoma in inpatients and outpatients in all hospitals in Indonesia, with total of 12,014 patients or 28.7% of all types of carcinoma . Objective : To know the profile of breast cancer patients in RSUP H. Adam Malik in 2019-2020 Methods : Descriptive retrospective. Results : The most experienced maternal age was 41-50 years old is 38 patients (38%), the most BMI experienced are mothers &gt;25, about 51 patients (51%), the highest education experienced mothers are SMA / SMK, namely 56 patients (56%), the most occupations experienced breast cancer are housewives, namely 47 patients (47%), the age at menarche experienced the most breast cancer are &lt;12 years about 66 patients (66%), marital status with mothers are married, namely 91 patients (91%), the history of breastfeeding with the most mothers answer yes, namely 81 patients (81%), the history of contraception experienced the most mothers answers yes, namely 80 patients (80%), a family history with the most mothers having breast cancer, about 52 patients (52%), a family history of other carcinoma are 95 patients (95%). Conclusion : The most age is 41-50 years, BMI is at most &gt;25, education is SMA/SMK, most occupations are housewives, most menarche age is &lt;12 years, most marital status is married, most breastfeeding is breastfeeding, history of most are using contraception, family history with mammary carcinoma.</em></p> Indri Mahrani Rahmatika Duri Copyright (c) 2022 PRIMER (Prima Medical Journal) 2022-10-31 2022-10-31 7 2 38 42 Kadar Serum Interleukin-6 Tikus Wistar Jantan Pada Uji Toksisitas Akut Ekstrak Kunyit Putih http://jurnal.unprimdn.ac.id/index.php/PRIMER/article/view/3163 <p>Latar belakang : Interleukin 6 ( IL–6 ) merupakan salah satu zat sitokin yang dikeluarkan bila terjadi respon inflamasi, hal ini sering disebabkan oleh adanya infeksi dari zat patogen seperti bakteri dan virus. Kunyit putih memiliki zat kurkumin yang mengandung<em> diferuloylmethan </em>dimana dapat berkhasiat sebagai antioksidan. Tujuan : Penelitian ini bertujuan untuk mengetahui efektifitas kunyit putih dalam menurunkan IL-6 pada tikus putih. Metode : Penelitian ini merupakan penelitian eksperimental mengunakan design post-only control. Penelitian ini dibagi atas VI kelompok dimana masing-masing kelompok diberikan perlakuan berbeda. Kelompok I : diberikan aquades, kelompok II : NaCMC 1%, kelompok III-VI secara berurutan diberi ekstrak kunyit putih sebanyak 2000 mg; 750 mg; 500 mg; 250 mg yang diberikan per-oral. Setelah itu dilakukan pengukuran IL–6 mengunakan ELISA kit. Hasil : Berdasarkan analisis menggunakan uji Kruskal-Wallis didapatkan rerata kadar IL–6 pada masing-masing kelompok I-VI adalah 362,041 pg/ml; 405,609 pg/ml; 397,908 pg/ml; 355,071 pg/ml; 441,025 pg/ml; 443,593 pg/ml. Berdasarkan uji Mann-Whitney, terdapat perbedaan signifikan pada kelompok I dengan kelompok V dan kelompok VI. Didapatkan pemberian ekstrak kunyit putih dengan dosis 750 mg memiliki efektifitas terbaik dalam menurunkan kadar IL - 6 Kesimpulan : Pemberian ekstrak kunyit putih dengan dosis 750 mg memiliki efektifitas terbaik dalam menurunkan kadar IL – 6.</p> Richardo Chandra Adhayani Lubis Arie Siah Putra Siahaan Erny Tandanu Fiska Maya Wardhani Copyright (c) 2022 PRIMER (Prima Medical Journal) 2022-10-31 2022-10-31 7 2 43 47 10.34012/pmj.v7i2.3163 Hubungan Vertigo Dengan Insomnia Pada Mahasiswa Fakultas Kedokteran Universitas Prima Indonesia 2019 http://jurnal.unprimdn.ac.id/index.php/PRIMER/article/view/3147 <p>Penelitian ini bertujuan untuk mengetahui adanya hubungan <em>vertigo</em> dengan <em>insomnia</em> pada mahasiswa Fakultas Kedokteran Universitas Prima Indonesia 2019. Manfaat penelitian dapat menambah wawasan pengetahuan bagi masyarakat tentang aktivitas hubungan derajat <em>vertigo</em> dan derajat <em>insomnia</em> pada mahasiswa Fakultas Kedokteran Universitas Prima Indonesia 2019. Metode penelitian analitik dengan pendekatan <em>cross sectional</em> dan teknik pengumpulan data menggunakan kuisoner tertutup yang berkaitan dengan vertigo dan insomnia. Hasil yang dinyatakan bahwa ada hubungan yang signifikan <em>vertigo</em> dengan <em>insomnia</em> pada mahasiswa fakultas kedokteran Universita Prima Indonesia 2019 yang berupa vertigo dimana tingkat kejadian gangguan tidur secara signifikan lebih tinggi pada pasien <em>vertibular migraine (VM)</em> dan pasien <em>benign paroxysmal positional vertigo</em> <em>(BPPV)</em> dibandingkan dengan kelompok kontrol.</p> Muhamma Anugerah Ramadhan Hasibuan Winny Wijaya Hendy Million Copyright (c) 2022 PRIMER (Prima Medical Journal) 2022-10-31 2022-10-31 7 2 48 52 10.34012/pmj.v7i2.3147 FACTORS THAT INFLUENCE THE OCCURATION OF ARI DISEASE IN TOLLS IN RANTANG PUSKESMAS, MEDAN CITY http://jurnal.unprimdn.ac.id/index.php/PRIMER/article/view/3201 <p><em>Background: ARI is an acute infection that attacks the respiratory tract, namely body organs starting from the nose to the alveoli along with the adnexa (Romelan, 2006). Acute Respiratory Infection (ARI) is one of the causes of death that is often experienced by children in developing countries. Hypothesis: What are the factors that influence the occurrence of ARI in children under five at the Rantang Health Center, Jalan Rantang No.37, Sei Putih Tengah, Medan City. Research Methods: This research is descriptive analytic with a cross-sectional approach (cross-sectional). This study used a questionnaire which was distributed to each respondent's parents. Summary of Results: The age of children under five who suffer from ARI at the Rantang Public Health Center in Medan is the most aged &gt;2 years - 5 years with the most gender being male. The level of knowledge of the child's parents is less, with an average level of low education, has a low level of information, and has less environmental factors</em></p> Yosua Riva Naldy Panjaitan Masdalena - Suhartina - Copyright (c) 2022 PRIMER (Prima Medical Journal) 2022-10-31 2022-10-31 7 2 53 57 10.34012/pmj.v7i2.3201