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Gambaran Karakteristik Etiologi dan Penyakit Penyerta Pasien End-Stage Renal Disease yang Menjalani Hemodialisis di RS Al-Islam pada Tahun 2018–2022 Ilhan Rakha Aryawardana; Yani Triyani; Sara Puspita
Bandung Conference Series: Medical Science Vol. 4 No. 1 (2024): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v4i1.10722

Abstract

Abstract. In the last few decades there has been an increase in cases of chronic kidney disease (CKD). An increase in CKD cases can result in an increase in cases of end-stage renal disease (ESRD) which can be indicated by an increase in hemodialysis procedures every year. According to data from the Indonesian Renal Registry (IRR) in 2018, the number of new patients undergoing hemodialysis in West Java increased from the previous year by 50% (from 7,444 to 14,771 patients), based on this data, an analysis of the etiology and comorbidities of ESRD patients in 2018–2022 is needed. The aim of this study is to distributively describe the etiology and comorbidities of ESRD cases at Al-Islam Hospital in 2018–2022. The method used in this research is descriptive quantitative with a retrospective approach using the case series method. Samples were taken from medical records of new hemodialysis patients in 2018–2022 and there were 769 ESRD patients. The results of this study showed that there was an increase in ESRD patients by 20.4% during 2018–2022 with the main etiologies being hypertensive kidney disease (61.9%), diabetic nephropathy (19.5%), other causes (6.5%), primary glomerulopathy (4.6%), and lupus nephropathy (3.5%), while the main comorbidities were hypertension (57.0%), diabetes mellitus (16.3%), cardiovascular disease (6.5%), cerebrovascular disease (2.7%), and tuberculosis (2.2%). Conclusion, the most common etiologies during 2018–2022 were hypertensive kidney disease and diabetic nephropathy, while the most common comorbidities were hypertension and diabetes mellitus. From the results of this research, it is hoped that it can become a reference for establishing ESRD prevention programs and for conducting other research to deepen other characteristics using other methods. Abstrak. Dalam beberapa dekade terakhir terjadi peningkatan kasus chronic kidney disease (CKD). Peningkatan kasus CKD dapat mengakibatkan peningkatan kasus end-stage renal disease (ESRD) yang dapat diindikasikan dengan peningkatan tindakan hemodialisis setiap tahun. Menurut data Indonesia Renal Registry (IRR) tahun 2018 jumlah pasien baru yang menjalani hemodialisis di Jawa Barat meningkat dari tahun sebelumnya sebesar 50% (dari 7.444 menjadi 14.771 pasien), berdasarkan data tersebut diperlukan analisis etiologi dan penyakit penyerta pasien ESRD pada tahun 2018–2022. Tujuan penelitian ini ialah menggambarkan secara distributif etiologi dan penyakit penyerta kasus ESRD di Rumah Sakit Al-Islam pada tahun 2018–2022. Metode penelitian ini adalah deskriptif kuantitatif dengan pendekatan retrospektif menggunakan metode case series. Sampel diambil dari rekam medis pasien baru hemodialisis pada tahun 2018–2022 dan didapatkan pasien ESRD sebanyak 769 pasien. Hasil penelitian terjadi peningkatan pasien ESRD sebesar 20,4% selama tahun 2018–2022 dengan etiologi utama penyakit ginjal hipertensif (61,9%), nefropati diabetik (19,5%), penyebab lainnya (6,5%), glomerulopati primer (4,6%), dan nefropati lupus (3,5%), sementara untuk penyakit penyerta utama hipertensi (57,0%), diabetes melitus (16,3%), penyakit kardiovaskular (6,5%), penyakit serebrovaskular (2,7%), dan penyakit tuberkulosis (2,2%). Simpulan, etiologi yang paling banyak terjadi selama tahun 2018–2022 adalah penyakit ginjal hipertensif dan nefropati diabetik, sementara penyakit penyerta yang paling banyak diderita adalah hipertensi dan diabetes melitus. Berdasarkan hasil penelitian diharapkan dapat menjadi acuan untuk pembentukan program prevensi ESRD dan penelitian untuk memperdalam karakteristik lainnya menggunakan metode lain.
Hubungan Karakteristik Pasien dengan Hasil Uji Tubex Positif pada Pasien Demam Tifoid di RS Al-Islam Tahun 2021–2022 Gina Giptia Humanisa Bahri; Puspita, Sara; Garina, Lisa Adhia
Bandung Conference Series: Medical Science Vol. 4 No. 1 (2024): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v4i1.11922

Abstract

Abstract. Typhoid fever is a disease caused by bacterial infection Salmonella typhi which enters through fecal-oral. A common symptom is prolonged fever, and this disease is quite serious, especially in underdeveloped countries. The aim of this study was to determine the relationship between patient characteristics and positive tubex test results in typhoid fever patients at Al-Islam Hospital Bandung in 2021–2022. In this study, secondary data was obtained from medical records using descriptive observation methodology cross section. The sample used a total sampling approach with a total of 60 people. The relationship between a positive tubex test and patient characteristics was tested using ChiSquare. Research findings show that males under the age of eighteen make up the majority of positive tubex test results. Age and gender were not significantly correlated with tubex scores. P-value mark of 0.095 indicates there is no significant relationship between tubex and age. Likewise, there is a p-value of 0.305 which shows there is no relationship between tubex and gender. These results can increase our knowledge about the variables that influence tubex test results in typhoid fever patients. Abstrak. Demam tifoid adalah penyakit yang diakibatkan infeksi bakteri Salmonella typhi yang masuk melalui fecal-oral. Gejala yang umum terjadi adalah demam berkepanjangan, dan penyakit ini cukup serius, terutama di negara-negara terbelakang. Tujuan penelitian ini adalah untuk mengetahui hubungan karakteristik pasien dengan hasil uji tubex positif pada pasien demam tifoid di RS Al-Islam Bandung tahun 2021–2022. Dalam penelitian ini, data sekunder dari rekam medis dengan menggunakan metodologi observasi deskriptif cross-sectional. Sampel menggunakan pendekatan total sampling dengan jumlah 60 orang. Hubungan uji tubex positif dengan karakteristik pasien di uji menggunakan ChiSquare. Temuan penelitian menunjukkan bahwa laki-laki di bawah usia delapan belas tahun merupakan mayoritas hasil tes tubex positif. Usia dan jenis kelamin tidak berkorelasi signifikan dengan skor tubex. Nilai p-value sebesar 0,095 menunjukkan tidak terdapat hubungan bermakna antara tubex dengan usia. Demikian pula, terdapat nilai p 0,05 yang menunjukkan tidak ada hubungan antara tubex dan jenis kelamin. Hasil ini dapat meningkatkan pengetahuan kita tentang variabel yang mempengaruhi hasil tes tubex pada pasien demam tifoid.
Pelatihan Specimen Collection dan Pra-Analitik Covid-19 di Sekitar RSIA Al-Islam Bandung Triyani, Yani; Puspita, Sara; Nilapsari, Rika; Noormartany, Noormartany
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 8 No 2 (2024): Volume 8 Nomor 2 Tahun 2024
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v8i2.19480

Abstract

The gold standard examination to make a diagnosis COVID-19 is an examination using the Nucleic Acid Amplification Test (NAAT) method, for example, Reverse Transcriptase Polymerase Chain Reaction (RT-PCR). Current data shows that more than 60 percent of errors occur in the pre-analytic process. The purpose of this community service is to help improve the knowledge and abilities of health workers in the implementation of specimen collection, stages and impacts of pre-analytical errors, types of examinations for laboratory examinations enforcement of the Covid-19 diagnosis. The method of the service was online, in the form of lectures, video screenings and discussions, for the evaluation using pretest and posttest activities. The result of this service is that there is an increase in understanding and knowledge as well as insight into laboratory examination specimen collection pre-analytic activities. COVID-19.
PENDAMPINGAN OLAHAN PANGAN SEHAT DAN PERIZINAN BERUSAHA PRODUSEN KUE TRADISIONAL RW 11 SANGGAR INDAH BANJARAN KECAMATAN CANGKUANG KABUPATEN BANDUNG Triyani, Yani; Puspita, Sara; Surialaga, Samsudin; Hendryanny, Eka
Jurnal Abdi Insani Vol 11 No 4 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i4.1850

Abstract

The impact of the Covid-19 pandemic on traditional cake businesses in the study area affects the family economy. It was more difficult while the burden of basic needs that must be met was increasing. This community of traditional cake producers has the potential to be developed and can improve the welfare of people’s lives. However, most need to learn how to process healthy food and do not have business permits. The service aims to provide knowledge and assistance so that traditional cake producers are aware of safe and healthy, as well as encouraging the ownership of business permits and halal certificationso that they can improve the quality of their products and businesses. The service method is carried out in several stages, the activity stage consists of 2 stages, first stage is delivering knowledge on healthy and halal food processing by Islam Bandung (Unisba) experts and Indonesian Food and Drug Authority in collaboration with the Unisba medical faculty, which is carried out in a hybrid meeting. The second stage is assistance in the form of interactive dialogue and hands-on workshops to get to know the flow of procedures for making and managing Home Industrial Food  and Business Identification Number as well as halal certification of a product. The results is traditional cake producers seemed enthusiastic when they received knowledge and assistance regarding the importance of the quality of processed products and business permits for developing their business. Further assistance activities are needed, in terms of PIRT management and NIB ownership, as well as halal certification of processed products so that efforts to improve the quality and business development of traditional cake producers can be further realized.
Hubungan Dukungan Keluarga dengan Sikap Ibu dalam Pemberian ASI pada Bayi Baru Lahir di RSIA Bunda Sejahtera Tangerang Sianipar, Imelda M.G.; Sari, Sara Puspita; Doloksaribu, Juliyanti
Jurnal Ilmu Kesehatan Immanuel Vol. 18 No. 1 (2024): Jurnal Ilmu Kesehatan Immanuel
Publisher : Institut Kesehatan Immanuel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36051/jiki.v18i1.250

Abstract

Breastfeeding is the ideal food for babies that contains nutrition and complete antibodies. Breastfeeding in Indonesia is very low, at 30,2%. This percentage is still far below the WHO recommendation and the national target of 50%. Breastfeeding is influenced by the mother’s level of education and low family support. PP No. 33 of 2012 alsi states that family support plays an important role in efforts to indrease breastfeeding for infants. The purpose of the study was to determine the relationship between family support and mother’s attitude in breastfeeding babies at RSIA Bunda Sejahtera Tangerang. This research ia a descriptive quantitative type with a cross sectional approach. The number of respondents was 74 people, taken by using total sampling. Collecting data using analytical survey methods through questionnaires, documentation studies, and direct observation. The Kendall Tau test shows the Asymp value Sig. (2 sided) with p value = 0,000 < 0,05, so it can be stated that there is a significant relationship between family support and mother’s attitude in breastfeeding infants. The results of data analysis also showed that of the 74 respondents who received low support, 34 respondents (87.2%), while respondents who received high family support were found to have very good attitudes towards breastfeeding in the very good category, as many as 3 respondents (100 %). It means that when family give high support, the mother’s attitude is good, and when family support is low, the mother’s attitude is bad. The result of this study prove that family support is very important for the mother in breastfeeding their babies
The Relationship between Hypercholesterolemia and Hyperuricemia, Elevated Body Mass Index, and Hypertension in Climacteric Women Ismawati; Sara Puspita; Regina Cintya Darajat; Fitri Rahmawati
Global Medical & Health Communication (GMHC) Vol. 13 No. 3 (2025): Accredited Sinta 2
Publisher : UPT Publikasi Ilmiah Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v13i3.8768

Abstract

The climacteric phase marks the transition from perimenopause to postmenopause, which is triggered by ovarian aging and declining estrogenic levels. During this phase, women face an increased risk of metabolic disorders. This study aimed to investigate the relationships among total cholesterol and uric acid levels, body mass index (BMI), and blood pressure among climacteric women residing in the Tamansari Public Health Centre area, Bandung City. An analytical observational study with a cross-sectional design was conducted using purposive sampling in the Tamansari Public Health Centre area, Bandung City, during October 2024. A total of 66 climacteric women aged over 42 years, without prior diagnoses of metabolic disorders and not receiving related treatments, were included. Data collection comprised anthropometric measurements, self-reported menstrual status, and capillary blood examinations of total cholesterol and uric acid levels using a standardized point-of-care testing (POCT) device. Hypercholesterolemia was defined as total cholesterol ≥200 mg/dl, hyperuricemia as serum uric acid ≥6 mg/dl, elevated BMI as ≥25 kg/m2, and hypertension as blood pressure ≥140/90 mmHg. Statistical analysis was performed using Fisher’s exact test, with p<0.05 considered significant. The mean age of participants was 49.6±4.7 years. Mean total cholesterol was 215±44 mg/dl, serum uric acid 6.1±1.6 mg/dl, BMI 27.3±4.9 kg/m2, and systolic/diastolic blood pressure 128±16 / 81±10 mmHg. No significant associations were found between hypercholesterolemia and hyperuricemia (p=0.999), elevated BMI (p=0.159), or hypertension (p=0.275). This study concludes that hypercholesterolemia was not significantly associated with hyperuricemia, elevated BMI, or hypertension among climacteric women in the Tamansari Public Health Centre area of Bandung City.
Perbandingan Puasa Intermiten Kering dan Air terhadap Inflamasi Hepar Mencit Dzakira Zalfaa Titis; Annisa Rahmah Furqaani; Sara Puspita
Bandung Conference Series: Medical Science 1563-1570
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v6i1.22404

Abstract

Abstract. Non-alcoholic fatty liver disease (NAFLD) is a metabolic disorder associated with high-fat diet consumption and characterized by hepatic inflammatory processes that contribute to disease progression. Intermittent fasting has been proposed as a non-pharmacological strategy to modulate metabolic and inflammatory responses; however, comparative evidence between dry and water intermittent fasting on hepatic inflammation remains limited. This study aimed to compare the effects of dry intermittent fasting and water intermittent fasting on hepatic inflammation scores in mice fed a high-fat diet. This quantitative experimental study employed a post-test only controlled group design using 28 paraffin-embedded liver tissue blocks from male Swiss Webster mice. Intermittent fasting was conducted for 30 days with a daily fasting duration of 14 hours. Hepatic inflammation was assessed histopathologically using hematoxylin–eosin staining based on the number of inflammatory foci per field of view. Data analysis was performed using the Chi-square test and subsequently Fisher’s Exact Test due to unmet assumptions, followed by Spearman correlation analysis. The results showed no statistically significant difference in hepatic inflammation scores between the dry intermittent fasting and water intermittent fasting groups (Fisher’s Exact Test, p = 1.00). Spearman correlation analysis also demonstrated no significant association between the type of intermittent fasting and hepatic inflammation score (r = 0.001; p > 0.05). Abstrak. Non-alcoholic fatty liver disease (NAFLD) merupakan gangguan metabolik yang berkaitan dengan konsumsi pakan tinggi lemak dan ditandai oleh proses inflamasi hepar yang berperan dalam progresivitas penyakit. Puasa intermiten dikenal sebagai pendekatan nonfarmakologis yang berpotensi memodulasi respon metabolik dan inflamasi, namun perbandingan efek puasa intermiten kering dan air terhadap inflamasi hepar masih terbatas. Penelitian ini bertujuan membandingkan efek puasa intermiten kering dan puasa intermiten air terhadap skor inflamasi hepar pada mencit yang diberi pakan tinggi lemak. Penelitian ini merupakan studi eksperimental kuantitatif dengan desain post-test only controlled group menggunakan 28 blok parafin jaringan hepar mencit jantan galur Swiss Webster. Puasa intermiten dilakukan selama 30 hari dengan durasi puasa 14 jam per hari. Inflamasi hepar dinilai secara histopatologis menggunakan pewarnaan hematoksilin–eosin berdasarkan jumlah fokus inflamasi per lapang pandang. Analisis data dilakukan menggunakan uji Chi-square dan dilanjutkan dengan Fisher’s Exact Test, serta analisis korelasi Spearman. Hasil penelitian menunjukkan tidak terdapat perbedaan bermakna pada skor inflamasi hepar antara kelompok puasa intermiten kering dan air (Fisher’s Exact Test, p = 1,00). Analisis Spearman juga menunjukkan tidak terdapat hubungan bermakna antara jenis puasa intermiten dan skor inflamasi hepar (r = 0,001; p > 0,05).
Association of Hematocrit and HbA1c as Indicators of Glycemic Control in Diabetes Mellitus Yuke Andriane; Sara Puspita; Ratna Damailia; Fajar Awalia Yulianto
Global Medical & Health Communication (GMHC) Vol. 14 No. 2 (2026): Accredited Sinta 2
Publisher : UPT Publikasi Ilmiah Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v14i2.8985

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by elevated blood sugar levels that can damage various organs, including the heart, blood vessels, kidneys, and nerves. Diagnosing DM typically involves assessing blood glucose levels and hemoglobin A1c (HbA1c), which reflects average glucose levels over the past 2 to 3 months. HbA1c testing has limitations, including interference from red blood cell lifespan, relatively high costs, and limited availability in some laboratories in Indonesia. Hematology parameters are crucial for diagnosis, including hematocrit, which is associated with blood viscosity, inflammation, and hyperinsulinemia. These conditions are closely associated with the clinical state of Diabetes mellitus. This research aims to analyze the association between hematocrit and HbA1c to identify alternative tests for predicting glycemic status. A cross-sectional study was conducted among 603 patients with diagnosed type 2 diabetes who visited the outpatient department at Al Islam Hospital from January 2018 to December 2019, selected through total sampling. Data were analyzed using multiple linear regression to assess the association between hematocrit and HbA1c, adjusting for confounders. A p-value <0.05 was considered statistically significant. The mean hematocrit level is 41.23±6.21, and HbA1c is 7.87±2.49. The results demonstrated a positive association between increased hematocrit and increased HbA1c, although the effect size is small and statistically insignificant after adjusting for age and sex (β=0.03; 95% CI=−0.004, 0.06; p=0.08; adjusted R-squared=0.004), where an increase of 1 unit of hematocrit is associated with a rise of 0.03 units of HbA1c in this study. In conclusion, hematocrit levels cannot yet serve as a substitute for HbA1c for assessing a patient’s glycemic status.