Medicine and Health Sciences Commons^™

Pelayanan Consultation Liaison Psychiatry (Clp) Menuju Peningkatan Pelayanan Yang Lebih Holistik Di Rumah Sakit Tingkat Ii Udayana Denpasar, Rinie Indah Chandra Wirasati, Ede Surya Darmawan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

In the past, the medical field was still dominated by a medical model approach which was still overshadowed by a physical-psychic dichotomy. The reality shows that there are a lot of 'sick' conditions that are not enough to be overcome only by a medical model approach. Many physical complaints do not show obvious physical abnormalities, as well as many physical diseases whose morbidity and mortality are strongly influenced by mental-emotional conditions. Not to mention the various conditions of chronic illness or disability, which have a mental-emotional / psychosocial impact that greatly reduces the quality of life of the patient in …

Stres Kerja Perawat Meningkatkan Gejala Sindrom Pramenstruasi Di Rumah Sakit X Bekasi, Ratih Yulianingsih, Yenita Agus, Maftuhah Maftuhah

Jurnal Epidemiologi Kesehatan Indonesia

Profesi perawat berisiko terhadap stres kerja yang dapat mencetuskan sindrom pramenstruasi. Sindrom pramenstruasi yang terjadi ketika perawat bekerja akan berdampak pada penurunan produktivitas dan risiko terjadinya kecelakaan kerja, maka kondisi tersebut akan membahayakan pasien. Tujuan penelitian ini adalah untuk mengetahui tingkat stres kerja perawat, sindrom pramenstruasi, dan hubungan stres kerja perawat dengan sindrom pramenstruasi. Penelitian ini menggunakan studi potong lintang. Sampel penelitian terdiri dari 160 perawat dalam usia subur di Rumah Sakit (RS) X Bekasi dan sebanyak 12 perawat termasuk ke dalam kriteria ekslusi penelitian yakni mengonsumsi kontrasespi oral atau menderita sindrom polikistik ovarium. Stres kerja perawat dibagi dalam 8 …

Hubungan Preeklamsia Dengan Kejadian Bblr Di Rsu Kabupaten Tangerang Tahun 2018, Astrisa Faadhillah, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

Berat badan lahir rendah didefinisikan oleh World Health Organization. sebagai berat saat lahir kurang dari 2500 gram. Bayi dengan berat badan lahir rendah (BBLR) meningkatkan angka kesakitan dan kematian dua kali lipat dibandingkan dengan bayi yang lahir dengan berat badan 2500 gram atau lebih. Berat lahir rendah menjadi masalah kesehatan masyarakat berkelanjutan secara signifikan dan global dikaitkan dengan serangkaian konsekuensi jangka pendek dan jangka panjang. Faktor resiko utama yang berhubungan dengan tingginya kejadian BBLR adalah faktor demografi, penyakit kronis sebelum hamil, status gizi ibu hamil, komplikasi dalam kehamilan, dan status pemeriksaan kehamilan. Metode yang digunakan dalam penelitian ini adalah cross …

Efek Obesitas Dengan Risiko Kejadian Penyakit Asma Pada Perempuan Usia Produktif Di Indonesia, Arief Maulana, Nurhayati A. Prihartono, Yovsyah Yovsyah

Jurnal Epidemiologi Kesehatan Indonesia

Penelitian mengenai hubungan obesitas dengan risiko kejadian penyakit asma sudah banyak dilakukan namun masih jarang dilakukan penelitian yang mengambil sampel perempuan usia produktif (15-64 tahun). Tujuan penelitian ini adalah untuk mengevaluasi hubungan obesitas dalam menyebabkan asma pada perempuan usia produktif (15-64 tahun). Penelitian ini menggunakan data bersumber dari Indonesian Family Life Survey 5 (IFLS-5) tahun 2014 dengan desain penelitian cross sectional. Sampel yang dianalisis pada penelitian ini berjumlah 15.654 setelah memenuhi kriteria inklusi dan eksklusi. Data sampel dianalisis dengan menggunakan uji regresi logistik untuk mengetahui besar risiko obesitas dalam menyebabkan asma. Hasil penelitian didapatkan prevalensi asma sebesar 2,91%. Hasil analisis …

Karakteristik Ibu Melahirkan Sectio Caesaria Peserta Jaminan Kesehatan Nasional Di Rumah Sakit Profit X Di Sekitar Jakarta, Trisna Budy Widjayanti

Jurnal Epidemiologi Kesehatan Indonesia

Program Jaminan Kesehatan Nasional (JKN) memudahkan akses ibu melahirkan Sectio Caesaria (SC) di RS. Dalam tahun 2014-2017 persalinan SC menempati urutan 10 jumlah kasus dan klaim tertinggi. WHO menetapkan angka optimum SC sebesar 15% sebagai salah satu standar kualitas pelayanan persalinan ibu. Tujuan penelitian ini untukmengidentifikasi karakteristik sosial ekonomi dan klinis dari ibu yang melahirkan SC yang berhubungan dengan penggunaan JKN di Rumah Sakit Profit (RSP) X di sekitar Jakarta. Penelitian menggunakan desain Cross Sectional dengan total sampel sebanyak 385 ibu melahirkan SC yang diambil dari rekam medis pada periode januari 1- 31 Desember 2018. Karakteristik sosial ekonomi dan klinis …

Studi Tinjauan Pustaka: Risiko Kejadian Kanker Paru Pada Penderita Tuberkulosis Paru., Fariha Ramadhaniah, Syahrizal Syarif

Jurnal Epidemiologi Kesehatan Indonesia

Indonesia merupakan satu dari lima negara di dunia dengan insiden kasus TB yang tinggi, sementara itu kanker paru di Indonesia merupakan kasus keganasan utama yang paling sering terjadi. Untuk melihat gambaran risiko kejadian kanker paru diantara penderita TB paru, dilakukan studi tinjauan pustaka pada sepuluh jurnal yang dipublikasikan melalui Pubmed pada tahun 2009-2019. Kriteria inklusi dalam pemilihan jurnal yaitu TB paru sebagai faktor risiko dan kanker paru primer sebagai outcome, sedangkan kriteria ekslusi adalah jurnal yang merupakan tinjauan pustaka sistematis, skrining, diagnosis, dan evaluasi hasil pengobatan yang berkaitan dengan infeksi TB dan kanker paru. Analisis deskriptif menunjukan subjek sebagian …

Circulating Tumor Cell And Regulator T-Lymphocyte In Core Biopsy For Breast Cancer, Sonar Soni Panigoro, Diani Kartini, Dewi Wulandari, Arif Supono

The New Ropanasuri Journal of Surgery

Introduction: Breast cancer is the most common malignancy found in Indonesia. Core biopsy is one of the modalities used in breast cancer diagnosis with sensitivity of 91-99% and specificity of 96-100%. The procedure causes damage to tumor tissue thus causing tumor cells to enter circulation (CTC) and therefore acute inflammation and infiltration of inflammatory cells. In the final phase of infiltration, the number of Tregs cells will increase, as well as secretion of TGFβ and IL-10, creation of immunosuppresion microenvironment, COX2 stimulation by TGFβ then conversion of CD4+ T cells into FoxP3+ (Tregs), therefore the number of Tregs cells will …

Purse-String Suture For Skin Closure Following Large Thyroidectomy, Ahmad Kurnia, Bintang Abadi Siregar, Muchlis Ramli

The New Ropanasuri Journal of Surgery

Introduction. The total number of patients with thyroid nodules, especially large thyroid nodules (> 6 cm diameter), is increasing. However, the conventional suturing technique for closure of thyroidectomies is still only recommended as the standard for the tumor with a diameter up to 6 cm. Hence, this study aims to prove another surgical technique, purse-string stitching technique, for better esthetic outcomes on large thyroidectomy.

Methods. This study was a non-randomized control trial. The subjects included the patients of Cipto Mangunkusumo Hospital in 2013 to 2014 with a thyroid tumor > 6 cm in diameter without any history of anterior cervical …

A Solitary Bone Plasmacytoma In The Mandible: A Case Report, Erwin D. Yulian, Andre S. Suryadi

The New Ropanasuri Journal of Surgery

Abstract

Introduction: Solitary bone plasmacytoma (SBP) is a localized neoplasms in the bone consisting of abnormal plasma cells. We herein report an unusual case of SBP that presents in mandible bone.

Case Illustration: A 57-year-old woman, with chief complaint for the lump at right jaw, which gradually increasing in size since 13 years ago. Diagnosis was based on clinical, radiological, and histopathological findings. The patient was referred for radiotherapy before surgery using 50 Gy dose of radiation for 25 times with the result of partial response, followed by hemimandibulectomy and reconstruction with free fibular flap. Complete resection in a form …

Capsular Contracture, Prolonged Use Of Breast Implants With Pleural Effusion: A Case Report, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

A case with prolonged implanted breast prosthesis experienced a prolonged capsular contracture complicated with pleural effusion. A complete capsular removal proceeded instead of removal of the prosthesis solely. The present case aimed to share experiences that may add to the scientific horizon regarding the rare complications of breast prosthesis and rarely reported.

Cardiac Tamponade And Laceration Of Right Ventricle In Blunt Thoracic Injury: A Case Report, Prabowo W. Simbolon, Muhammad A. Putra

The New Ropanasuri Journal of Surgery

Introduction. Cardiac tamponade caused by blunt thoracic injuries is a rare case with a high mortality rate. Generally, patients with blunt cardiac injury were not survived before they reach the hospital. We present the case of a 50-year-old man was admitted to our emergency department after a motorcycle hit the cart he was pushing on the street, and then the handle hit the chest. He presented with hemodynamically unstable and a bruised on precordial area, then he went into cardiac arrest. Standard CPR was done for 2 minutes, continued with intubation and ROSC. FAST showed fluid in the pericardial …

Minireview: Covid–19: Criticism Of The Pathogenesis Based On The Tropism, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

No abstract provided.

Endovascular Management Of Post Traumatic Lower Extremity Pseudoaneurysm: An Evidence Based Case Report, Patrianef Darwis, Feyona H. Subrata

The New Ropanasuri Journal of Surgery

Introduction. Increasing incidence of trauma all over the world will increase the risk of vascular trauma, so will the prevalence of pseudoaneurysm. Post traumatic pseudoaneurysm occurs within days or months and commonly diagnosed as hematoma in its early presentation. An effective, less invasive, and low-cost treatment with high rate of survival is needed by patients with post traumatic pseudoaneurysm. Endovascular surgery is one of the less invasive techniques. This case report was made to find out the effectivity of endovascular surgery in the treatment of post traumatic pseudoaneurysm.

Method. Literature searching was performed in Cochrane Library, EBSCOhost, ClinicalKey, …

Hernia Through Winslow Foramen In Cipto Mangunkusumo General Hospital, Jakarta: A Case Report, Eko Ristiyanto, Taufik A. Wibowo, Ridho A. Syaiful, Benny Philippi, Toar J.M. Lalisang

The New Ropanasuri Journal of Surgery

Introduction. Hernias through Winslow foramen are extremely rare, occurred for 0.1% of all abdominal hernias and found during laparotomy due to strangulated bowel obstruction. This study aims to describe hernia of Winslow foramen and its management.

Method. Data were retrospectively collected based on medical records. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected.

Case summary. We report the first case of Winslow foramen hernia at Cipto Mangunkusumo General Hospital, Jakarta. A man 54 years in 2019. Ileus was the main clinical symptoms and presented epigastric pain, nausea and vomiting. Plain abdominal x-ray …

Intraoperative Pancreatic Assessment In Pancreaticoduodenectomy The Correlation With Pancreatic Fistula Formation, Yarman Mazni, Ardani F. Syafiuddin, Agi S. Putranto

The New Ropanasuri Journal of Surgery

Background Pancreatic cancer affects 25,000 to 30,000 people in the United States each year and is the fourth or fifth leading cause of cancer-related death in this country. It is generally resected by pancreaticoduodenectomy, with or without preservation of the pylorus and proximal duodenum. Anastomotic leaks, intra-abdominal abscesses, and delayed gastric emptying account for most of the perioperative complications after pancreaticoduodenectomy. Anastomotic leaks of pancreas are resulted pancreatic fistula about 45%. A lot of study that have been done to find risk factors of postoperative pancreatic fistula (POPF) with contradictive results.

Method This study was done for 70 patients …

Risk Factors That Influence Hospital Length Of Stay In Diabetic Foot Ulcer With Negative Pressure Wound Therapy At Rs. Dr. Cipto Mangunkusumo, Prabowo W. Simbolon, Hilman Ibrahim

The New Ropanasuri Journal of Surgery

Introduction. It is estimated that around 15% of diabetic patients will experience diabetic foot ulcer (DFU) in their lifetime. Negative Pressure Wound Therapy (NPWT) is proven to be more effective than conventional treatments. NPWT creates a moist wound environment, increases local blood flow and stimulates tissue granulation thereby accelerating wound healing. This study was conducted to determine the risk factors that affect the length of stay of DFU with NPWT. Knowing this risk factors may be helpful for optimizing management strategy.

Method. This research was a retrospective study with a cross-sectional analytic design in 105 subjects treated in January 2016 …

Postoperative Wound Irrigation Using Distilled Water In Preventing Surgical Site Infection In A Tertiary Hospital: A Retrospective Cohort And Cost-Effective Study, Wifanto S. Jeo, Dennis W. Pratama, Yoni Vanto, Aria Kekalih, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

Background. The incidence of surgical site infections (SSIs) is reducing following the global campaign that requires all the stakeholder involvement. However, of all hospital-acquired infection prevention programs, wound irrigation is hard to be implemented in our hospital. There is a belief that the wound irrigation procedure leading to the spreading of infection. In contrast, the use of antiseptic and topical antibiotic, as well as systemic antibiotic, is uncontrolled high. Thus, we run a cost-effective study of wound irrigation to change the practice.

Method. We carried out a prospective cohort study comparing wound irrigation and the standard protocol in wound …

Evaluation Of The Implementation Of Eras Protocol In Colorectal Surgery At Dr. Cipto Mangunkusumo General Hospital, Jakarta, Wifanto S. Jeo, Yarman Mazni, Andre S. Suryadi

The New Ropanasuri Journal of Surgery

Background: The enhanced recovery after surgery (ERAS) protocol, an evidence-based perioperative strategy, has been proven in reduces the postoperative length of stay and perioperative complications rates in colorectal surgery. The implementation of ERAS defined by 15 components. However, the evaluation of ERAS component that have been applied to the outcomes in unclear.

Methods: A retrospective study was performed on 63 patients who undergone elective colorectal surgery based on ERAS protocol from January 2015 to December 2017 at Cipto Mangunkusumo Hospital. Patient characteristics, demographic, clinical findings, and length of stay (LOS) colleted from medical records. The relationship between the number of …

Identifying The Weak Foundation Of Public Health Resilience Fornational Disaster Policy In Indonesia’S Mid-Term Developmentagenda 2015–2019: A Policy Content Analysis, Gita Miranda Warsito, Meiwita Budiharsana, Sharyn Burns

Kesmas

Indonesia is one of the most susceptible nations toward natural disasters in the world. Since 1992, approximately 37 tsunami incidents have occurred inIndonesia, with at least 1,244 cases of natural disasters during 2018. Despite the overwhelming impact of disasters on Indonesia, Public Health Resilience,as an approach to disaster countermeasures, has been poorly elaborated in Indonesia’s development agenda (National Mid-term Development Plan (NMDP),or Rencana Pembangunan Jangka Menengah Nasional (RPJMN), 2015 - 2019). By utilizing the method of policy content analysis, this study aimed to analyzethe policy background of Public Health Resilience against disasters in the NMDP 2015 - 2019 and National …

Benson's Relaxation Therapy And Sleep Quality Among Elderlyat A Social Institution In Inakaka, Indonesia, Nur Baharia Marasabessy, Lucky Herawati, Irhamdi Achmad

Kesmas

Serious sleep disturbances among elderlies include attention or memory disorders, depression and often fall. A quasi experimental study design with pre-posttest with control group was performed to determine effect of Benson’s relaxation therapy on sleep quality among the elderly, and influences of sex, age anddisease suffered differences. Of a total of 46 elderlies from a Social Institute in Ambon, 29 were taken for the treatment group and 19 for the control group.The treatment group was interfered with Benson’s breathing relaxation for 14 days. Sleep quality was measured using Pittsburg sleep quality index form. Datawere analyzed using independent t-test and multivariate …

Myths About Menstrual Personal Hygiene Among Female Adolescents, Tyas Diah Palupi, Terry Y.R. Pristya, Randy Novirsa

Kesmas

Poor personal hygiene during menstruation among adolescents can lead to urinary tract infection, reproductive tract infection, and skin irritation. This studyaimed to determine the relationship between belief in myths and personal hygiene during menstruation. Cross-sectional quantitative study was conductedusing a sample of 119 10th grade female students from Tangerang 13 State Senior High School selected through purposive sampling. Logistic regressionanalysis was used in this study to determine the relationship between myths and personal hygiene after age of menarche, attitude, socioeconomic status,information, and maternal education were controlled. In the bivariate selection, modeling was completed by entering confounding and interaction variablesthen reducing …

Adverse Effect Of Aerosol Pesticide On Lung Dysfunction Amongpaddy Farmers In Purworejo, Central Java, Indonesia, Fajaria Nurcandra, Renti Mahkota, Tri Yunis Miko Wahyono

Kesmas

The World Health Organization estimated that chronic obstructive pulmonary disease (COPD) will be the highest non-communicable disease worldwide by2030, and pesticide exposure is one of major risk factors. This study aimed to determine effect of pesticide exposure on lung dysfunction among paddyfarmers. A case-control study was performed on April - May 2016 in Purworejo. The case group comprised 66 farmers suffering from lung dysfunction during2015 based on medical records, while the control group comprised 59 neighboring farmers showing normal lung function. Both case and control groups weretested using a spirometer and COPD assessment test (CAT) questionnaire. Logistic regression analysis of …

Correlation Of Knowledge And Beliefs To Adherence With Antibiotic Use In Adult Patients At A Private Hospital In Sidoarjo, Muhammad Hasan Wattiheluw, Fauna Herawati, Setiasih Setiasih, Rika Yulia

Kesmas

Infectious diseases are one of the top ten causes of death in the world. Antibiotic therapy is administered for infectious diseases, but if bacteria are exposed to antibiotics continuously, then the bacteria are able to adapt to the medication, thereby resulting in antibiotic resistance. This condition results in an increase in mortality, long hospitalization period, and increased cost of antibiotic therapy and health services. Adherence to using antibiotics may be influenced by knowledge and beliefs about them. This study aimed to understand correlation between knowledge and belief with adherence to antibiotic use at a private hospital in Sidoarjo. This cross-sectional …

Effects Of Climbing Choice, Demographic, And Climate On Walking Behavior, Febriani Fajar Ekawati, Frank Francis Eves

Kesmas

Walking is a public health recommendation to increase physical activity. Although walking for transport is associated with health benefits, it is frequently avoided when a mechanized alternative is available and when the weather or individuals’ available resources are unfavorable. The present quasi-experimental study used chosen walking speed to estimate the use of resources by pedestrians and investigated 730 pedestrians’ behavior when approaching a choice point between a short stair and a ramp at an exit from a university campus toward the local train station on six separate days. Results revealed that individuals who climbed the stairs walked faster than those …

Religious Leader’S Support Toward Individual At Risk Ofhiv/Aids To Attend Voluntary Counselling And Testing Service, Imelda Februati Ester Manurung, Chatarina Umbul Wahyuni, Ari Probandari

Kesmas

Religious leader is a figure who is believed to have the gift of healing. A person with illness will follow any advice the religious leader gives for his/her recovery.Based on the phenomenon, religious leader is a potential local figure to give support for individuals at risk of human immunodeficiency virus (HIV) andacquired immune deficiency syndrome (AIDS). This study aimed to determine factors related to religious leader’s support toward individuals at risk of HIV andAIDS to attend voluntary counselling and testing (VCT) service. This study was an observational analytical with cross-sectional design. The population of thisstudy was religious leader in Kupang …

Adaptation And Validation Of The Tamil (Sri Lanka) Version Ofthe Montreal Cognitive Assessment, Pethirupillai Amal Dinesh Coonghe, Pushpa Fonseka, Sampasivamoorthy Sivayogan, Ajantha Keshavaraj, Rahul Malhotra, Truls Ostbye

Kesmas

The study aimed to develop the Tamil (Sri Lanka) version of the Montreal Cognitive Assessment (MoCA) and investigate its reliability and validity as a briefscreening tool for mild cognitive impairment (MCI). Tamil-speaking Sri Lankan elderly with normal cognition and MCI were recruited from a neurology clinic.Adaptation of the English MoCA to the Tamil (Sri Lanka) involved context-specific content modification and translation. The content validity, reliability, sensitivity,and specificity of the tool were evaluated. Study participants were 184 older adults, comprising 85 with normal cognition and 99 neurologist-diagnosed MCI.The tool had high internal consistency (Cronbach's alpha = 0.83). Receiver operating characteristic curve …

Barriers To Covid-19 Rt-Pcr Testing In Indonesia: A Health Policy Perspective, Purwa Kurnia Sucahya

Journal of Indonesian Health Policy and Administration

Indonesia has been facing a hard time accelerating the number of laboratory capacity. This study provides an overview of the data on daily tests, confirmed cases, and the challenge of Covid-19 control associated with government policy. This study utilizes data reported from 2 March to 29 April 2020 by online official sources and regulations. Initially, the government only trusted one lab for the Covid-19 test. As the number of cases increased, referral labs were increased, until 29 April 2020, there were 89 officially appointed laboratories. The daily number of testing results fluctuated and unstable, although the number of reference labs …

The Effectiveness Of Covid-19 Countermeasure Policy Implementation In Seven Asean Countries, Wahyu Sulistiadi, Sri Rahayu

Journal of Indonesian Health Policy and Administration

COVID-19, which has spread to almost all countries in the world, force country's leaders to issue COVID-19 countermeasures policy that is the most effective and suitable for their country. The various ways to implement the policy depend on the COVID-19 impact that arises in the country. This study describes the implications of national policies related to COVID-19 case fatality rates up to 29 April 2020 in 7 ASEAN countries. We use analytical descriptive method on COVID-19 data that has been published in online media. The achievement on the implementation of national policy in overcoming COVID-19 in some countries provide new …

Covid-19 Pandemic And Law No. 6 Year 2018 Regarding Health Quarantine, Gunawan Widjaja

Journal of Indonesian Health Policy and Administration

By late March, to anticipate the spreading of COVID-19 pandemic, the President of the Republic of Indonesia has issued several regulations. The Author has examined that the main laws that were used as the based for the issuance of those regulations are Law No.6 Year 2018 regarding Health Quarantine (the Health Quarantine Law). Therefore in order to handle COVID-19 pandemic, an understanding of the Law become a must. The aim of this research is to elaborate and explain the Health Quarantine Law to reduce the COVID-19 pandemic. This research is normative legal research. The research used secondary data, which consisted …

Impact Analysis Of The Large-Scale Social Restrictions (Psbb) Policy Implementation In Jakart, Hikmahwati Hikmahwati, Ekasafitri A.S Sangadji, Raden Roro Mega Utami

Journal of Indonesian Health Policy and Administration

Jakarta is the province with the highest population density in Indonesia and is also one of the main international gateways to enter Indonesia. These conditions cause a high risk of transmission COVID-19 in Jakarta. One of the government's decisions was applying the Large Scale Social Restrictions (PSBB) policy in Jakarta. This study is a documentation study with Sabatier and Mazmanian's top-down approach that aims to analyze the extent impact of policy implementation, in terms of the policy objectives and community compliance. Compliance analysis uses the results of the Covid-19 Outbreak Survey and Google mobility index. The result shows the compliance …