Tonang Dwi Ardyanto - Academia.edu (original) (raw)
Papers by Tonang Dwi Ardyanto
GIZI INDONESIA
Obesity is an excess weight that is characterized by the Body Mass Index (BMI) 27kg/m2. Obesity i... more Obesity is an excess weight that is characterized by the Body Mass Index (BMI) 27kg/m2. Obesity in health professionals can potentially endanger health professionals. Tomatoes are a source of lycopene which has a protective effect against obesity. This study aims to analyze the effect of giving tomato juice on the waist circumference and body fat of health officers with obesity. This experimental study employed the pre-test and post-test control group design. The research sample comprised 66 individuals, divided into 2 groups. The Control group was given education on a low-calorie diet while the treatment group was given education on a low-calorie diet and 500 ml of tomato juice. The data analysis was conducted using paired–t-tests. After 30 days of treatment, there was a decrease in body fat levels in the treatment group by 1.32+1.4 (p=0.000). Meanwhile, in the control group, there was no significant difference (p=0.543). The treatment group experienced a decrease in waist circumfe...
Iranian Journal of Psychiatry
Objective: Quran memorization is familiar in Indonesia since early childhood (EC) education level... more Objective: Quran memorization is familiar in Indonesia since early childhood (EC) education level and it is reported to have a positive effect on children’s emotional state. This study investigates how Quran memorization influences children’s emotions in a certain condition using Frontal Alpha Asymmetry (FAA) index. Method: The participants were 4 children aged 5-7 years, studying at Islamic-based schools in Surakarta. The tasks included three methods of Quran learning: visual, by watching videos; auditory, by listening to murattal recitations of the Quran; and memory, by repeating rote. The FAA index measurement used absolute power data obtained from Electroencephalography (EEG) by calculating the natural logarithm (ln [right alpha power] – ln [left alpha power]) from channel F8 and channel F7 respectively. Results: The majority of participants showed a positive FAA index in almost all tasks. The FAA index of various tasks were not significantly different from each other, with P = ...
Jurnal Jaminan Kesehatan Nasional (JJKN)
Sejak terjadinya pandemi Covid-19 pada akhir Januari 2020, Badan Penyelenggara Jaminan Sosial (BP... more Sejak terjadinya pandemi Covid-19 pada akhir Januari 2020, Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan sebagai pembayar memiliki bagian penting dalam penanganan Covid-19, yaitu dengan melakukan proses verifikasi klaim kasus Covid-19 sedangkan pembiayaan dilakukan oleh Kementerian Kesehatan. Namun demikian, tidak menutup kemungkinan adanya pengalihan manfaat Covid-19 pada manfaat Jaminan Kesehatan Nasional (JKN) di masa endemi. Oleh karena itu, penelitian ini bertujuan untuk mengevaluasi layanan dan memperoleh rekomendasi kebijakan alih manfaat Covid-19. Penelitian kualitatif melalui focus grup discussion dilakukan pada bulan September 2021 bersama pengambil kebijakan, klinisi, penyintas Covid-19, dan BPJS kesehatan. Hasil dari studi kualitatif menunjukkan bahwa masih banyak kendala dalam proses layanan. Oleh karena itu perlu diatur dengan ketentuan regulasi pelayanan. Adapun terkait proses klaim, fasilitas kesehatan merasa kesulitan atas perubahan regulasi yang dinamis sel...
Hemophilia A is an inherited bleeding disorder caused by factor VIII (FVIII) deficiency. In most ... more Hemophilia A is an inherited bleeding disorder caused by factor VIII (FVIII) deficiency. In most minor-to-moderate bleeding events, FVIII concentrates therapy can result in significant lifesaving. However, chronic FVIII concentrates therapy can cause FVIII inhibitors synthesis and replacement therapy inefficacious. Immunosuppressive therapy can suppress FVIII inhibitors synthesis and make FVIII concentrates therapy more responsive. This study aims to determine the effects of low-dose methylprednisolone on acquired FVIII inhibitors. A randomized clinical trial was conducted on 11 hemophilia A male patients with high level of FVIII inhibitors. This pretest-posttest study design consists of intervention group (6 patients) who received 1 mg/bodyweight/day methylprednisolone, and control group (5 patients) received 100 mg/day sugar pill placebo for 6 weeks. Statistical analysis used independent t-test and paired t-test. Results showed significant FVIII inhibitors rising in pretest-posttest mean comparison of both intervention group (p = 0.001) and control group (p = 0.001). Further result showed inter-groups pretest mean comparison (p = 0.976) and inter-groups posttest mean comparison (p = 0.034). We conclude that low-dose methylprednisolone significantly suppresses the FVIII inhibitors synthesis pace within 6 weeks instead of inhibits the FVIII inhibitors synthesis.
Indonesian Journal of Clinical Pathology and Medical Laboratory, 2010
Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion... more Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion (like in renal failure), the dysmechanism of potassium transportation into the intracellular space (regards on the hyperglycemia status) or combinations of those etiologies. In nephropathy diabetic patients, hyporeninemic hypoaldosteronism syndrome might also be the etiology resulting from the high potassium level. The objective of the present study was to evaluate the correlation between the serum creatinine and potassium level in patient with and without type II diabetes. The data of this study were drawn from patients admitted to the laboratory for the measurement of serum creatinine and potassium with or without the measurement of blood glucose level at the Clinical Pathology Laboratory of Moewardi Hospital in Surakarta. The subjects were then classified into two groups A (non-diabetic patients) and B (diabetic patients). The data were analyzed statistically with T-student test and ...
Indonesian Journal of Clinical Pathology and Medical Laboratory, 2013
Coronary Heart Disease (CHD) is the leading cause of death recently, including in Indonesia which... more Coronary Heart Disease (CHD) is the leading cause of death recently, including in Indonesia which is raised to 25%. Acute Coronary Syndrome (ACS) is its common clinical manifestation. Therefore, the necessity for a sensitive as well as specific diagnostic biomarker for ACS should be addressed in discriminating the ACS patient and its related risks. The diagnosstic sensitivity of characteristic electrocardiography pattern in ACS cases were reported to be variatively between 55-75%. In laboratory diagnosis, ACS markers among others are CKMB activity, CKMB mass as well as Cardiac Troponin-T and Troponin-I (cTnT and cTnI). Currently, cTnI is the gold standard. The present study is to know the analysing of the CKMB activity as well as the mass diagnostic performance in the detection of ACS in the patient presenting with chest-pain at RSDM, by using cTnI as the standard of reference. As many 30 samples, 18−65 years old, were selected trough incidental sampling method from the subjects pre...
Jurnal Jaminan Kesehatan Nasional, 2021
Salah satu amanah dari Undang-Undang No. 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (SJ... more Salah satu amanah dari Undang-Undang No. 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (SJSN) adalah adanya pelayanan medis dan non-medis yang sama, tidak ada perbedaan, dalam rangka mencapai keadilan sosial. Dalam Program Jaminan Kesehatan Nasional (JKN), keadilan ini diterjemahkan sebagai pelayanan kelas standar rawat inap untuk menggantikan tingkatan fasilitas akomodasi rawat inap yang saat ini berlaku. Memasuki tahun keempat implementasi Program JKN, amanah ini masih belum dapat terwujud. Untuk itu, studi ini berupaya menganalisis kemungkinan penerapan kelas standar rawat inap, termasuk menghitung ketersediaan tempat tidur di Indonesia untuk mendukung penerapan tersebut. Studi ini menggunakan mixed method di mana studi kuantitatif dilakukan melalui metode survei terhadap 520 responden peserta JKN yang pernah mendapatkan pelayanan rawat inap di rumah sakit. Studi kualitatif dilakukan melalui wawancara dan diskusi terarah pada pembuat kebijakan Program JKN. Hasil studi menu...
Jurnal Gizi Klinik Indonesia, 2017
Background: Breast cancer is the most common malignancy in women in the world. Vitamin D helps co... more Background: Breast cancer is the most common malignancy in women in the world. Vitamin D helps control the majority of gene expression in female reproductive tissues. Body mass index (BMI) influences the bioavailability of vitamin D. Diet is one of the main sources of vitamin D and it is directly converted into 25-hydroxyvitamin D [25 (OH) D] in the liver.Objective: This study aimed to analyze the relationship between BMI and vitamin D intake and 25 (OH)D serum in patients with breast cancer.Method: Analytic observational with cross sectional design was used in this study. A total of 37 breast cancer patient visited Dr. Moewardi Hospital in Surakarta was selected as research subjects using a purposive sampling technique. BMI data was obtained by measuring body weight and height. Vitamin D intake was determined using 1 x 24-hour food recall and semi-quantitative food frequency questionnaire. While, 25(OH)D serum was measured using enzyme-linked immunoabsorbent assay. Data analysis us...
Nexus Kedokteran Komunitas, Sep 26, 2013
FISIO MU: Physiotherapy Evidences, 2021
Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi dengan kebugaran jasmani ... more Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi dengan kebugaran jasmani atlet taekwondo remaja. Metode penelitian ini menggunakan desain cross sectional dengan jumlah sampel sebanyak 30 atlet taekwondo remaja, sampel diambil menggunakan metode secara acak sederhana yaitu simple random sampling. Pengumpulan data meliputi status gizi dengan cara pengambilan data antropometri berat badan dan tinggi badan, kebugaran jasmani dengan menggunakan tes lari MFT (multistage fitness). Analisis yang digunakan adalah analisis univariat dan bivariat menggunakan uji korelasi pearson product moment. Hasil penelitian menunjukkan terdapat hubungan antara status gizi dengan kebugaran jasmani (p= 0,028). Nilai R sebesar -0,401 menunjukkan kekuatan hubungan yang sedang, nilai negatif menunjukkan hubungan yang terbalik pada variabel. Status gizi lebih maka kebugaran jasmani menurun. status gizi berhubungan dengan kebugaran jasmani. Atlet yang memiliki status gizi yang baik cenderu...
Medical Research Archives
Diabetic ketoacidosis (DKA) is a life-threatening consequence of diabetes mellitus. Infection is ... more Diabetic ketoacidosis (DKA) is a life-threatening consequence of diabetes mellitus. Infection is the most common cause of DKA. A 41-year-old man came to the hospital emergency department with shortness of breath the day before, nausea, vomiting, coughing, pain and swelling in the left neck. The patient has a history of uncontrolled diabetes. A physical examination revealed Kussmaul's breathing and a lump the size of a tennis ball on the left side of his neck. Laboratory findings are: leukocytosis, an increase in blood sugar of 512 mg/dL; blood gas analysis shows acidosis, ketone examination reveals ketonuria; Electrocardiography shows waves of ischemic heart disease, with elevated Hs Troponin. Fine needle examination of the lump shows a neck abscess. The patient was diagnosed with DKA in type 2 diabetes mellitus, with the acute coronary syndrome and neck abscess. Surgical debridement, antibiotics, acute coronary syndrome therapy, and DKA therapy are treatments. The patient respo...
Jurnal Dharma Bhakti Ekuitas
Kejadian gawat daruat bisa terjadi pada siapa saja, kapan saja dan dimana saja. Keadaan ini menun... more Kejadian gawat daruat bisa terjadi pada siapa saja, kapan saja dan dimana saja. Keadaan ini menuntut kesiapan para tenaga kesehatan untuk melakukan tindakan sesuai dengan kompetensinya. Salah satu profesi kesehatan yang bertanggung jawab dalam penatalaksaan pasien gawat darurat adalah perawat. Penelitian di medan tahun 2019 menyebutkan mayoritas perawat tidak memahami cara membaca rekam jantung yang baik. Setelah berkoordinasi dengan ketua PPNI Rumah Sakit Universitas Sebelas Maret, permasalahan utama yang dialami PPNI adalah Pengetahuan mengenai cara membaca EKG pada perawat masih terbatas. Perawat tidak mengetahui gambaran rekam jantung yang berbahaya. Pelatihan membaca rekam jantung jarang ditemui di era pandemic COVID-19, dan tidak ada buku panduan khusus untuk membaca rekam jantung bagi perawat. Tahap-tahap pengabdian dilakukan dengan mengadakan workshop pelatihan membaca EKG secara daring pada minggu ketiga bulan April 2021.Tahap pengabdian selanjutnya adalah buku petunjuk EKG...
INTERNATIONAL CONFERENCE ON SCIENCE AND APPLIED SCIENCE (ICSAS) 2021, 2022
INDONESIAN JOURNAL OF APPLIED PHYSICS, 2021
Telah berhasil dilakukan klasifikasi kanker paru-paru dari 120 data citra CT Scan. Pada penelitia... more Telah berhasil dilakukan klasifikasi kanker paru-paru dari 120 data citra CT Scan. Pada penelitian, proses preposisi dimulai dengan variasi filtering yaitu low pass filter, median filter, dan high pass filter. Segmentasi yang digunakan yaitu Otsu Thresholding yang kemudian teksturnya akan diekstraksi menggunakan fitur Gray Level Co-occurrence Matrix (GLCM) dengan variasi arah sudut. Hasil dari ekstraksi GLCM dijadikan database yang akan menjadi dataset untuk pengklasifikasian citra menggunakan klasifikasi naïve bayes. Hasil dari penelitian dengan 12 buah variasi diperoleh hasil variasi terbaik adalah median filter dengan arah sudut GLCM 0° menunjukkan tingkat akurasi yang paling tinggi sebesar 88,33 %.
Advances in Health Sciences Research, 2021
Background: In the current COVID-19 pandemic, the number of hospital visits was significantly dec... more Background: In the current COVID-19 pandemic, the number of hospital visits was significantly decreased. There was a decrease in the number of outpatient visits from 9911 patients in January to 5586 patients in May 2020 in UNS hospital. This study aims to know the association the level of stress, hospital service quality, and fear of COVID 19 with hospital visits at UNS Hospital. Research methods: The study was conducted at UNS Hospital in July 2020 using the questionnaire method. Research tools with hospital service quality questionnaire, stress level questionnaire, fear for COVID-19 scale. The patient group was divided into two, the on-time outpatient group, which always met the schedule visit doctor, and the loss of follow-up outpatient, which was a late schedule to the hospital. Statistical test using t-test and Mann Whitney test, p < 0,05. Results: The COVID-19 fear score (14.8 + 6.89) and the stress level (13.95 + 6.1) were higher in the out of follow-up outpatients compared to on-time outpatients. While the hospital service quality scores were quite right in all study groups and were not significantly different in the two groups (mean 21.70 + 2.08). The results showed that the lost follow-up outpatients were associated with COVID-19 fear scores (p = 0.001) and stress levels (p = 0.001), and were not related to hospital quality service levels. Conclusion: The level of stress and fear of COVID 19 decrease hospital visits at UNS Hospital.
Jurnal Kedokteran dan Kesehatan Indonesia, 2019
Background: Jaminan Kesehatan Nasional (JKN) is Indonesia's health policy to achieve universal he... more Background: Jaminan Kesehatan Nasional (JKN) is Indonesia's health policy to achieve universal health coverage (UHC). Towards 2019, not all regions have succeeded in achieving UHC. One of the reasons is the uneven distribution of information regarding JKN policies. Socialization is needed so that the JKN policy is understood by the people of Indonesia. Objective: This research was design to describe the importance of JKN policy socialization to reach UHC. Methods: Qualitative research was conducted in September 2018-February 2019 in two districts in Central Java, that were the district that had reached UHC and districts that had not yet reached UHC. The informants consisted of leaders of regional organizations and also the community. The researcher conducted an interactive model analysis on the interview transcript. Results: In districts that had reached UHC, socialization was conducted directly and indirectly through the government, community cadres and BPJS cadres. The district government provided support by issuing circulars letters. The district socialization effectively increases JKN participants. Meanwhile, in districts that had not yet reached UHC, there was found differences between community and the government. The government said that they had conducted effective socialization. But the community said that the information provided has not been effective and there is no detailed information about JKN. Conclusion: An effective socialization of JKN policies is needed to increase the understanding and awareness of the community to achieve UHC.
IOP Conference Series: Earth and Environmental Science, 2021
Viral-based disease is very closely related to the climate change. For years, dengue infection wa... more Viral-based disease is very closely related to the climate change. For years, dengue infection was reported to be related to rainy season. Any climate change supposedly induces the change on the pattern of dengue infection. Since March 2020, the Covid-19 is started to report in Indonesia. The toll was relatively low in the beginning but gradually increased in the following months. In the same period of rainy season, as it is annually reported, the dengue fever is also increasing. The possible coincidence of covid-19 and dengue infection is therefore an interesting issue. We review 19 cases of which the Dengue fever serological test as well as Covid RT-PCR test were simultaneously performed based on the symptoms and signs found on the patient. Of those cases, coincidence was found on 4 cases. Even relatively low, the 4 cases were significant issue for public health management and the possible correlation with climate change. The emerging covid infection interfered with the dengue cas...
Indonesian Journal of Clinical Pathology and Medical Laboratory, 2018
Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion... more Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion (like in renal failure), the dysmechanism of potassium transportation into the intracellular space (regards on the hyperglycemia status) or combinations of those etiologies. In nephropathy diabetic patients, hyporeninemic hypoaldosteronism syndrome might also be the etiology resulting from the high potassium level. The objective of the present study was to evaluate the correlation between the serum creatinine and potassium level in patient with and without type II diabetes. The data of this study were drawn from patients admitted to the laboratory for the measurement of serum creatinine and potassium with or without the measurement of blood glucose level at the Clinical Pathology Laboratory of Moewardi Hospital in Surakarta. The subjects were then classified into two groups: A (non-diabetic patients) and B (diabetic patients). The data were analyzed statistically with T-student test and...
Smart Society Empowerment Journal, 2021
Pendahuluan: Keadaan darurat bisa terjadi pada siapa saja, di mana saja, kapan saja. Dalam situas... more Pendahuluan: Keadaan darurat bisa terjadi pada siapa saja, di mana saja, kapan saja. Dalam situasi ini, tenaga medis harus siap untuk bertindak dalam kekuasaan mereka. Perawat adalah profesional medis yang bertanggung jawab untuk perawatan pasien darurat. Sebuah survei tahun 2019 di lapangan menemukan bahwa sebagian besar perawat tidak memahami keadaan darurat kardiovaskular. Masalah terbesar yang dihadapi PPNI setelah dikoordinasikan sebagai ketua tim PPNI RS UNS adalah pengetahuannya tentang pembacaan EKG perawat terbatas, perawat tidak mengetahui kondisi kegawatan jantung dan pelatihan pertolongan pertama kegawatan jantung jarang ditemui, dan tidak ada pedoman khusus kegawatan kardiovaskuler pada perawat. Tujuan pengabdian ini adalah meningkatkan pengetahuan kegawatan kardiovaskuler pada perawat PPNI RS UNSMetode: Kegiatan pengabdian masyarakat yang dilakukan ini meliputi pelatihan secara daring pada hari Kamis 16 April 202 di RS UNS, selain itu juga pembuatan buku Panduan membac...
GIZI INDONESIA
Obesity is an excess weight that is characterized by the Body Mass Index (BMI) 27kg/m2. Obesity i... more Obesity is an excess weight that is characterized by the Body Mass Index (BMI) 27kg/m2. Obesity in health professionals can potentially endanger health professionals. Tomatoes are a source of lycopene which has a protective effect against obesity. This study aims to analyze the effect of giving tomato juice on the waist circumference and body fat of health officers with obesity. This experimental study employed the pre-test and post-test control group design. The research sample comprised 66 individuals, divided into 2 groups. The Control group was given education on a low-calorie diet while the treatment group was given education on a low-calorie diet and 500 ml of tomato juice. The data analysis was conducted using paired–t-tests. After 30 days of treatment, there was a decrease in body fat levels in the treatment group by 1.32+1.4 (p=0.000). Meanwhile, in the control group, there was no significant difference (p=0.543). The treatment group experienced a decrease in waist circumfe...
Iranian Journal of Psychiatry
Objective: Quran memorization is familiar in Indonesia since early childhood (EC) education level... more Objective: Quran memorization is familiar in Indonesia since early childhood (EC) education level and it is reported to have a positive effect on children’s emotional state. This study investigates how Quran memorization influences children’s emotions in a certain condition using Frontal Alpha Asymmetry (FAA) index. Method: The participants were 4 children aged 5-7 years, studying at Islamic-based schools in Surakarta. The tasks included three methods of Quran learning: visual, by watching videos; auditory, by listening to murattal recitations of the Quran; and memory, by repeating rote. The FAA index measurement used absolute power data obtained from Electroencephalography (EEG) by calculating the natural logarithm (ln [right alpha power] – ln [left alpha power]) from channel F8 and channel F7 respectively. Results: The majority of participants showed a positive FAA index in almost all tasks. The FAA index of various tasks were not significantly different from each other, with P = ...
Jurnal Jaminan Kesehatan Nasional (JJKN)
Sejak terjadinya pandemi Covid-19 pada akhir Januari 2020, Badan Penyelenggara Jaminan Sosial (BP... more Sejak terjadinya pandemi Covid-19 pada akhir Januari 2020, Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan sebagai pembayar memiliki bagian penting dalam penanganan Covid-19, yaitu dengan melakukan proses verifikasi klaim kasus Covid-19 sedangkan pembiayaan dilakukan oleh Kementerian Kesehatan. Namun demikian, tidak menutup kemungkinan adanya pengalihan manfaat Covid-19 pada manfaat Jaminan Kesehatan Nasional (JKN) di masa endemi. Oleh karena itu, penelitian ini bertujuan untuk mengevaluasi layanan dan memperoleh rekomendasi kebijakan alih manfaat Covid-19. Penelitian kualitatif melalui focus grup discussion dilakukan pada bulan September 2021 bersama pengambil kebijakan, klinisi, penyintas Covid-19, dan BPJS kesehatan. Hasil dari studi kualitatif menunjukkan bahwa masih banyak kendala dalam proses layanan. Oleh karena itu perlu diatur dengan ketentuan regulasi pelayanan. Adapun terkait proses klaim, fasilitas kesehatan merasa kesulitan atas perubahan regulasi yang dinamis sel...
Hemophilia A is an inherited bleeding disorder caused by factor VIII (FVIII) deficiency. In most ... more Hemophilia A is an inherited bleeding disorder caused by factor VIII (FVIII) deficiency. In most minor-to-moderate bleeding events, FVIII concentrates therapy can result in significant lifesaving. However, chronic FVIII concentrates therapy can cause FVIII inhibitors synthesis and replacement therapy inefficacious. Immunosuppressive therapy can suppress FVIII inhibitors synthesis and make FVIII concentrates therapy more responsive. This study aims to determine the effects of low-dose methylprednisolone on acquired FVIII inhibitors. A randomized clinical trial was conducted on 11 hemophilia A male patients with high level of FVIII inhibitors. This pretest-posttest study design consists of intervention group (6 patients) who received 1 mg/bodyweight/day methylprednisolone, and control group (5 patients) received 100 mg/day sugar pill placebo for 6 weeks. Statistical analysis used independent t-test and paired t-test. Results showed significant FVIII inhibitors rising in pretest-posttest mean comparison of both intervention group (p = 0.001) and control group (p = 0.001). Further result showed inter-groups pretest mean comparison (p = 0.976) and inter-groups posttest mean comparison (p = 0.034). We conclude that low-dose methylprednisolone significantly suppresses the FVIII inhibitors synthesis pace within 6 weeks instead of inhibits the FVIII inhibitors synthesis.
Indonesian Journal of Clinical Pathology and Medical Laboratory, 2010
Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion... more Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion (like in renal failure), the dysmechanism of potassium transportation into the intracellular space (regards on the hyperglycemia status) or combinations of those etiologies. In nephropathy diabetic patients, hyporeninemic hypoaldosteronism syndrome might also be the etiology resulting from the high potassium level. The objective of the present study was to evaluate the correlation between the serum creatinine and potassium level in patient with and without type II diabetes. The data of this study were drawn from patients admitted to the laboratory for the measurement of serum creatinine and potassium with or without the measurement of blood glucose level at the Clinical Pathology Laboratory of Moewardi Hospital in Surakarta. The subjects were then classified into two groups A (non-diabetic patients) and B (diabetic patients). The data were analyzed statistically with T-student test and ...
Indonesian Journal of Clinical Pathology and Medical Laboratory, 2013
Coronary Heart Disease (CHD) is the leading cause of death recently, including in Indonesia which... more Coronary Heart Disease (CHD) is the leading cause of death recently, including in Indonesia which is raised to 25%. Acute Coronary Syndrome (ACS) is its common clinical manifestation. Therefore, the necessity for a sensitive as well as specific diagnostic biomarker for ACS should be addressed in discriminating the ACS patient and its related risks. The diagnosstic sensitivity of characteristic electrocardiography pattern in ACS cases were reported to be variatively between 55-75%. In laboratory diagnosis, ACS markers among others are CKMB activity, CKMB mass as well as Cardiac Troponin-T and Troponin-I (cTnT and cTnI). Currently, cTnI is the gold standard. The present study is to know the analysing of the CKMB activity as well as the mass diagnostic performance in the detection of ACS in the patient presenting with chest-pain at RSDM, by using cTnI as the standard of reference. As many 30 samples, 18−65 years old, were selected trough incidental sampling method from the subjects pre...
Jurnal Jaminan Kesehatan Nasional, 2021
Salah satu amanah dari Undang-Undang No. 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (SJ... more Salah satu amanah dari Undang-Undang No. 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (SJSN) adalah adanya pelayanan medis dan non-medis yang sama, tidak ada perbedaan, dalam rangka mencapai keadilan sosial. Dalam Program Jaminan Kesehatan Nasional (JKN), keadilan ini diterjemahkan sebagai pelayanan kelas standar rawat inap untuk menggantikan tingkatan fasilitas akomodasi rawat inap yang saat ini berlaku. Memasuki tahun keempat implementasi Program JKN, amanah ini masih belum dapat terwujud. Untuk itu, studi ini berupaya menganalisis kemungkinan penerapan kelas standar rawat inap, termasuk menghitung ketersediaan tempat tidur di Indonesia untuk mendukung penerapan tersebut. Studi ini menggunakan mixed method di mana studi kuantitatif dilakukan melalui metode survei terhadap 520 responden peserta JKN yang pernah mendapatkan pelayanan rawat inap di rumah sakit. Studi kualitatif dilakukan melalui wawancara dan diskusi terarah pada pembuat kebijakan Program JKN. Hasil studi menu...
Jurnal Gizi Klinik Indonesia, 2017
Background: Breast cancer is the most common malignancy in women in the world. Vitamin D helps co... more Background: Breast cancer is the most common malignancy in women in the world. Vitamin D helps control the majority of gene expression in female reproductive tissues. Body mass index (BMI) influences the bioavailability of vitamin D. Diet is one of the main sources of vitamin D and it is directly converted into 25-hydroxyvitamin D [25 (OH) D] in the liver.Objective: This study aimed to analyze the relationship between BMI and vitamin D intake and 25 (OH)D serum in patients with breast cancer.Method: Analytic observational with cross sectional design was used in this study. A total of 37 breast cancer patient visited Dr. Moewardi Hospital in Surakarta was selected as research subjects using a purposive sampling technique. BMI data was obtained by measuring body weight and height. Vitamin D intake was determined using 1 x 24-hour food recall and semi-quantitative food frequency questionnaire. While, 25(OH)D serum was measured using enzyme-linked immunoabsorbent assay. Data analysis us...
Nexus Kedokteran Komunitas, Sep 26, 2013
FISIO MU: Physiotherapy Evidences, 2021
Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi dengan kebugaran jasmani ... more Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi dengan kebugaran jasmani atlet taekwondo remaja. Metode penelitian ini menggunakan desain cross sectional dengan jumlah sampel sebanyak 30 atlet taekwondo remaja, sampel diambil menggunakan metode secara acak sederhana yaitu simple random sampling. Pengumpulan data meliputi status gizi dengan cara pengambilan data antropometri berat badan dan tinggi badan, kebugaran jasmani dengan menggunakan tes lari MFT (multistage fitness). Analisis yang digunakan adalah analisis univariat dan bivariat menggunakan uji korelasi pearson product moment. Hasil penelitian menunjukkan terdapat hubungan antara status gizi dengan kebugaran jasmani (p= 0,028). Nilai R sebesar -0,401 menunjukkan kekuatan hubungan yang sedang, nilai negatif menunjukkan hubungan yang terbalik pada variabel. Status gizi lebih maka kebugaran jasmani menurun. status gizi berhubungan dengan kebugaran jasmani. Atlet yang memiliki status gizi yang baik cenderu...
Medical Research Archives
Diabetic ketoacidosis (DKA) is a life-threatening consequence of diabetes mellitus. Infection is ... more Diabetic ketoacidosis (DKA) is a life-threatening consequence of diabetes mellitus. Infection is the most common cause of DKA. A 41-year-old man came to the hospital emergency department with shortness of breath the day before, nausea, vomiting, coughing, pain and swelling in the left neck. The patient has a history of uncontrolled diabetes. A physical examination revealed Kussmaul's breathing and a lump the size of a tennis ball on the left side of his neck. Laboratory findings are: leukocytosis, an increase in blood sugar of 512 mg/dL; blood gas analysis shows acidosis, ketone examination reveals ketonuria; Electrocardiography shows waves of ischemic heart disease, with elevated Hs Troponin. Fine needle examination of the lump shows a neck abscess. The patient was diagnosed with DKA in type 2 diabetes mellitus, with the acute coronary syndrome and neck abscess. Surgical debridement, antibiotics, acute coronary syndrome therapy, and DKA therapy are treatments. The patient respo...
Jurnal Dharma Bhakti Ekuitas
Kejadian gawat daruat bisa terjadi pada siapa saja, kapan saja dan dimana saja. Keadaan ini menun... more Kejadian gawat daruat bisa terjadi pada siapa saja, kapan saja dan dimana saja. Keadaan ini menuntut kesiapan para tenaga kesehatan untuk melakukan tindakan sesuai dengan kompetensinya. Salah satu profesi kesehatan yang bertanggung jawab dalam penatalaksaan pasien gawat darurat adalah perawat. Penelitian di medan tahun 2019 menyebutkan mayoritas perawat tidak memahami cara membaca rekam jantung yang baik. Setelah berkoordinasi dengan ketua PPNI Rumah Sakit Universitas Sebelas Maret, permasalahan utama yang dialami PPNI adalah Pengetahuan mengenai cara membaca EKG pada perawat masih terbatas. Perawat tidak mengetahui gambaran rekam jantung yang berbahaya. Pelatihan membaca rekam jantung jarang ditemui di era pandemic COVID-19, dan tidak ada buku panduan khusus untuk membaca rekam jantung bagi perawat. Tahap-tahap pengabdian dilakukan dengan mengadakan workshop pelatihan membaca EKG secara daring pada minggu ketiga bulan April 2021.Tahap pengabdian selanjutnya adalah buku petunjuk EKG...
INTERNATIONAL CONFERENCE ON SCIENCE AND APPLIED SCIENCE (ICSAS) 2021, 2022
INDONESIAN JOURNAL OF APPLIED PHYSICS, 2021
Telah berhasil dilakukan klasifikasi kanker paru-paru dari 120 data citra CT Scan. Pada penelitia... more Telah berhasil dilakukan klasifikasi kanker paru-paru dari 120 data citra CT Scan. Pada penelitian, proses preposisi dimulai dengan variasi filtering yaitu low pass filter, median filter, dan high pass filter. Segmentasi yang digunakan yaitu Otsu Thresholding yang kemudian teksturnya akan diekstraksi menggunakan fitur Gray Level Co-occurrence Matrix (GLCM) dengan variasi arah sudut. Hasil dari ekstraksi GLCM dijadikan database yang akan menjadi dataset untuk pengklasifikasian citra menggunakan klasifikasi naïve bayes. Hasil dari penelitian dengan 12 buah variasi diperoleh hasil variasi terbaik adalah median filter dengan arah sudut GLCM 0° menunjukkan tingkat akurasi yang paling tinggi sebesar 88,33 %.
Advances in Health Sciences Research, 2021
Background: In the current COVID-19 pandemic, the number of hospital visits was significantly dec... more Background: In the current COVID-19 pandemic, the number of hospital visits was significantly decreased. There was a decrease in the number of outpatient visits from 9911 patients in January to 5586 patients in May 2020 in UNS hospital. This study aims to know the association the level of stress, hospital service quality, and fear of COVID 19 with hospital visits at UNS Hospital. Research methods: The study was conducted at UNS Hospital in July 2020 using the questionnaire method. Research tools with hospital service quality questionnaire, stress level questionnaire, fear for COVID-19 scale. The patient group was divided into two, the on-time outpatient group, which always met the schedule visit doctor, and the loss of follow-up outpatient, which was a late schedule to the hospital. Statistical test using t-test and Mann Whitney test, p < 0,05. Results: The COVID-19 fear score (14.8 + 6.89) and the stress level (13.95 + 6.1) were higher in the out of follow-up outpatients compared to on-time outpatients. While the hospital service quality scores were quite right in all study groups and were not significantly different in the two groups (mean 21.70 + 2.08). The results showed that the lost follow-up outpatients were associated with COVID-19 fear scores (p = 0.001) and stress levels (p = 0.001), and were not related to hospital quality service levels. Conclusion: The level of stress and fear of COVID 19 decrease hospital visits at UNS Hospital.
Jurnal Kedokteran dan Kesehatan Indonesia, 2019
Background: Jaminan Kesehatan Nasional (JKN) is Indonesia's health policy to achieve universal he... more Background: Jaminan Kesehatan Nasional (JKN) is Indonesia's health policy to achieve universal health coverage (UHC). Towards 2019, not all regions have succeeded in achieving UHC. One of the reasons is the uneven distribution of information regarding JKN policies. Socialization is needed so that the JKN policy is understood by the people of Indonesia. Objective: This research was design to describe the importance of JKN policy socialization to reach UHC. Methods: Qualitative research was conducted in September 2018-February 2019 in two districts in Central Java, that were the district that had reached UHC and districts that had not yet reached UHC. The informants consisted of leaders of regional organizations and also the community. The researcher conducted an interactive model analysis on the interview transcript. Results: In districts that had reached UHC, socialization was conducted directly and indirectly through the government, community cadres and BPJS cadres. The district government provided support by issuing circulars letters. The district socialization effectively increases JKN participants. Meanwhile, in districts that had not yet reached UHC, there was found differences between community and the government. The government said that they had conducted effective socialization. But the community said that the information provided has not been effective and there is no detailed information about JKN. Conclusion: An effective socialization of JKN policies is needed to increase the understanding and awareness of the community to achieve UHC.
IOP Conference Series: Earth and Environmental Science, 2021
Viral-based disease is very closely related to the climate change. For years, dengue infection wa... more Viral-based disease is very closely related to the climate change. For years, dengue infection was reported to be related to rainy season. Any climate change supposedly induces the change on the pattern of dengue infection. Since March 2020, the Covid-19 is started to report in Indonesia. The toll was relatively low in the beginning but gradually increased in the following months. In the same period of rainy season, as it is annually reported, the dengue fever is also increasing. The possible coincidence of covid-19 and dengue infection is therefore an interesting issue. We review 19 cases of which the Dengue fever serological test as well as Covid RT-PCR test were simultaneously performed based on the symptoms and signs found on the patient. Of those cases, coincidence was found on 4 cases. Even relatively low, the 4 cases were significant issue for public health management and the possible correlation with climate change. The emerging covid infection interfered with the dengue cas...
Indonesian Journal of Clinical Pathology and Medical Laboratory, 2018
Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion... more Hyperkalemia is a metabolic disorder caused by either renal insufficiency for potassium excretion (like in renal failure), the dysmechanism of potassium transportation into the intracellular space (regards on the hyperglycemia status) or combinations of those etiologies. In nephropathy diabetic patients, hyporeninemic hypoaldosteronism syndrome might also be the etiology resulting from the high potassium level. The objective of the present study was to evaluate the correlation between the serum creatinine and potassium level in patient with and without type II diabetes. The data of this study were drawn from patients admitted to the laboratory for the measurement of serum creatinine and potassium with or without the measurement of blood glucose level at the Clinical Pathology Laboratory of Moewardi Hospital in Surakarta. The subjects were then classified into two groups: A (non-diabetic patients) and B (diabetic patients). The data were analyzed statistically with T-student test and...
Smart Society Empowerment Journal, 2021
Pendahuluan: Keadaan darurat bisa terjadi pada siapa saja, di mana saja, kapan saja. Dalam situas... more Pendahuluan: Keadaan darurat bisa terjadi pada siapa saja, di mana saja, kapan saja. Dalam situasi ini, tenaga medis harus siap untuk bertindak dalam kekuasaan mereka. Perawat adalah profesional medis yang bertanggung jawab untuk perawatan pasien darurat. Sebuah survei tahun 2019 di lapangan menemukan bahwa sebagian besar perawat tidak memahami keadaan darurat kardiovaskular. Masalah terbesar yang dihadapi PPNI setelah dikoordinasikan sebagai ketua tim PPNI RS UNS adalah pengetahuannya tentang pembacaan EKG perawat terbatas, perawat tidak mengetahui kondisi kegawatan jantung dan pelatihan pertolongan pertama kegawatan jantung jarang ditemui, dan tidak ada pedoman khusus kegawatan kardiovaskuler pada perawat. Tujuan pengabdian ini adalah meningkatkan pengetahuan kegawatan kardiovaskuler pada perawat PPNI RS UNSMetode: Kegiatan pengabdian masyarakat yang dilakukan ini meliputi pelatihan secara daring pada hari Kamis 16 April 202 di RS UNS, selain itu juga pembuatan buku Panduan membac...