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All Journal Indonesian Journal of Urology Manuju : Malahayati Nursing Journal MAHESA : Malahayati Health Student Journal Jurnal Kesehatan Amanah Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Jurnal Pengabdian Bidang Kesehatan Health Community Service Gotong Royong Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Tambunan, Nicholas Albert
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Agriculture, Biological Sciences & Forestry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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FIRST EXPERIENCE IN VIDEOURODYNAMIC STUDY AT CIPTO MANGUNKUSUMO HOSPITAL IN 2012-2014 Tambunan, Nicholas Albert; Rahardjo, Harrina E
Indonesian Journal of Urology Vol 26 No 2 (2019)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v26i2.464

Abstract

Objective: Accuracy of diagnosis is a fundamental thing in terms of plan of treatment. Nowadays, symptoms from lower urinary tract can be diagnosed accurately with videourodynamic study (VUDS). Videourodynamic combines a fluoroscopic voiding cystourethrogram with multichannel urodynamics, allowing anatomic and functional assessment of the bladder and outlet. Material & Methods: This research is a descriptive retrospective. Data was taken from the patients who underwent VUDS at Department of Urology Cipto Mangunkusumo Hospital from 2012 to 2014. Patient’s  characteristics were gender, age, chief complaint, working diagnosis pre investigation, and diagnosis after VUDS was performed. Then, data was analyzed in a descriptive fashion and presented using tables and narative form. Results: There were 8 male patients (67%) and 4 female (33%) who underwent VUDS. Most of the patients were children (75%). Five patients (42%) complained about incontinence with or without other LUTS, only 1 patient (8%) had LUTS and disuria. Overall, working diagnosis pre investigation was neurogenic bladder with various causes. We found a variable diagnoses after VUDS. At filling phase, we found 7 patients (58%) with small bladder capacity, 5 patients (42%) with low bladder compliance then followed respectively by overflow incontinence (33%), detrusor overactivity (17%) and urethral sphincter incompetence (8%). At voiding phase, the most common abnormality detected were detrusor underactivity (42%), followed by infravesical obstruction (8%). VUR was found both at filling phase (42%) and voiding phase (33%). Conclusion: VUDS could be the first choice of modality for diagnosing dysfunction of lower and upper urinary tract especially in neurogenic cases.  
Hubungan Kejadian Infeksi Saluran Kemih pada Pasien Sirkumsisi dan Non-Sirkumsisi pada Usia 3-12 Tahun Riadi, Seravin Janet; Tambunan, Nicholas Albert
Malahayati Nursing Journal Vol 7, No 4 (2025): Volume 7 Nomor 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i4.19242

Abstract

ABSTRACT Urinary Tract Infection (UTI) is a common health issue among children, particularly those aged 9-12 years. This study aims to evaluate the relationship between UTI incidence and circumcision in children aged 3-12 years. Using a cross-sectional research design, data were collected from 128 respondents at Sumber Waras Hospital, West Jakarta. The findings revealed that 38% of the patients had UTI, with 65.2% of them being uncircumcised children. Statistical analysis showed a significant correlation between circumcision and UTI incidence (p < 0.001). This study supports circumcision as a preventive measure against UTI in boys. However, limitations such as the use of urinalysis as the primary diagnostic method should be addressed in future research. Keywords: Urinary Tract Infection, Circumcision, Children, Prevalence, Risk Factors  ABSTRAK Infeksi Saluran Kemih (ISK) merupakan salah satu masalah kesehatan yang sering dialami oleh anak-anak, khususnya pada rentang usia 9-12 tahun. Penelitian ini bertujuan untuk mengevaluasi hubungan antara kejadian ISK dan tindakan sirkumsisi pada anak usia 3-12 tahun. Dengan menggunakan metode penelitian cross-sectional, data diperoleh dari 128 responden di Rumah Sakit Sumber Waras, Jakarta Barat. Dari hasil penelitian, ditemukan bahwa 38% pasien menderita ISK, dengan 65,2% di antaranya adalah anak yang belum menjalani sirkumsisi. Analisis statistik menunjukkan adanya hubungan yang signifikan antara sirkumsisi dan kejadian ISK (p < 0,001). Penelitian ini menyarankan bahwa sirkumsisi dapat menjadi upaya pencegahan ISK pada anak laki-laki. Namun, terdapat keterbatasan dalam penelitian ini, seperti penggunaan urinalisis sebagai metode utama diagnosis, yang perlu ditingkatkan pada studi mendatang. Kata Kunci: Infeksi Saluran Kemih, Sirkumsisi, Anak, Prevalensi, Faktor Risiko
Edukasi Dan Skrining Asam Urat Sebagai Deteksi Dini Batu Saluran Kemih Pada Usia Produktif Tambunan, Nicholas Albert; Santoso, Alexander Halim; Gunaidi, Farell Christian; Amertha, Anak Agung Ngurah Putrayoga; Hendrianto, Rifandra Rifqi Adi
Gotong Royong Vol. 2 No. 2 (2025)
Publisher : CV. Akira Java Bulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63935/gr.v2i2.168

Abstract

Hyperuricemia, characterized by elevated serum uric acid levels, is a health issue that has the potential to cause serious complications such as urinary tract stones and kidney disorders, particularly in the productive-age population. This community service program was implemented using the PDCA method in Danau Sunter, North Jakarta, involving 49 adult participants. The activities included uric acid level screening through blood tests, result analysis, and educational sessions on the prevention and management of hyperuricemia. The screening results showed that all participants had uric acid levels within the normal range. The educational intervention aimed to raise awareness about the importance of a healthy lifestyle in preventing long-term complications. This program demonstrates that screening and education can be effective strategies for the early detection and prevention of urinary tract stones and for maintaining kidney health among productive-age individuals. Keywords: Hyperuricemia, Uric Acid, Urinary Tract Stones, Education, Productive Age
Exploring The Potential of Diabetes Panel and Albumin as Predictors on Urinary Incontinence in Elderly Soni, Yulfitra; Tambunan, Nicholas Albert; Santoso, Alexander Halim; Wijaya, Bryan Anna; Suros, Angel Sharon; Waltoni, Bobby Marshel Ancheloti
Jurnal Kesehatan Amanah Vol. 9 No. 1 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i1.857

Abstract

Urinary incontinence (UI) is a significant health issue among the elderly, affecting their quality of life. While its etiology is multifaceted, metabolic and nutritional markers such as diabetes panel parameters and albumin levels may play a role in its severity. However, the relationship between these biomarkers and UI remains underexplored. This study aims to investigate the association of diabetes panel components and albumin levels with the severity of UI in elderly individuals to identify potential predictors. A cross-sectional analytic study was conducted involving 93 elderly participants from Bina Bhakti Nursing Home. UI was assessed using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). Metabolic markers were analysed using validated methods, including fasting glucose, HbA1c, fasting insulin, HOMA-IR, and albumin. Data were statistically analyzed using Spearman’s Rho and multiple regression analyses to determine correlations and predictive relationships. Significant correlations were observed between HbA1c (r = -0.284, p = 0.006) and albumin (r = -0.259, p = 0.012) with UI severity. Multiple regression analysis confirmed that HbA1c and albumin are significant predictors of UI, with lower levels associated with increased UI severity. Diabetes panel parameters, particularly HbA1c and albumin levels, are valuable predictors of UI severity in elderly individuals. These findings emphasize the importance of metabolic and nutritional health monitoring in managing and mitigating UI symptoms. Future longitudinal studies and intervention trials are recommended to validate these findings and explore therapeutic implications.
Upaya Pengendalian Hiperurisemia melalui Skrining dan Edukasi pada Populasi Dewasa di Gereja Asisi Jakarta Tambunan, Nicholas Albert; Santoso, Alexander Halim; Gunaidi, Farell Christian; Johan, Richver Framanto; Haryanto, Ines
Jurnal Pengabdian Bidang Kesehatan Vol. 3 No. 2 (2025): Jurnal Pengabdian Bidang Kesehatan
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jpbidkes.v3i2.189

Abstract

Hyperuricemia is a medical condition characterized by an increase in uric acid levels in the blood above normal limits, which can trigger various metabolic complications such as gouty arthritis, urate nephropathy, and cardiovascular disease. In the early stages, hyperuricemia is often asymptomatic, therefore routine investigation of uric acid level are an important step in early detection. The Community Service Program (PKM) implemented at the Asisi Church, Tebet District, aims to increase public awareness of the importance of early detection of hyperuricemia through blood uric acid level screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach, which includes capillary blood tests with Point-of-Care Testing (POCT) tools and education on risk factors, symptoms, and prevention of hyperuricemia. Of the 68 participants, all participants showed uric acid levels within the normal range. These results emphasize the importance of education and routine screening efforts to maintain uric acid levels within normal limits, prevent complications in the future, and build public awareness of the importance of a healthy lifestyle to maintain quality of life sustainably.
KEGIATAN PENGUKURAN KEKUATAN GENGGAMAN TANGAN SEBAGAI BAGIAN DARI SKRINING DAN EDUKASI KESEHATAN OTOT LANSIA Tambunan, Nicholas Albert; Santoso, Alexander Halim; Gunaidi, Farell Christian; Khoto, Anthon Eka Prayoga; Hartono, Eric
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 3 No. 3 (2025): Juni
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v3i3.2575

Abstract

Sarkopenia merupakan kondisi degeneratif yang sering terjadi pada lansia, ditandai dengan penurunan massa dan kekuatan otot yang berdampak signifikan terhadap kualitas hidup dan kemampuan fungsional. Kehilangan massa otot terjadi secara bertahap sejak usia 30 tahun dan meningkat tajam setelah usia 65 tahun, memicu risiko disabilitas, penyakit kardiovaskular, hingga mortalitas. Deteksi dini sarkopenia melalui pengukuran kekuatan genggaman tangan (handgrip strength) dianggap metode efektif dan praktis karena bersifat non-invasif dan mudah dilakukan di lapangan. Kegiatan ini bertujuan untuk melakukan skrining kekuatan genggaman tangan pada populasi dewasa di Cengkareng guna mendeteksi potensi sarkopenia dan meningkatkan kesadaran tentang pentingnya menjaga kekuatan otot. Metode yang digunakan adalah pendekatan Plan-Do-Check-Action (PDCA) yang bersifat berkelanjutan terhadap suatu proses atau kegiatan. Kegiatan ini dilakukan di Panti Werdha Hana, Tangerang Selatan yang diikuti oleh 36 peserta. Hasil menunjukka bahwa sebanyak 6 orang laki-laki (16.67%) dan 25 orang perempuan (69.44%) masing-masing memiliki Hand Grip Strength yang lemah. Skrining kekuatan genggaman efektif dalam mendeteksi risiko sarkopenia, memungkinkan intervensi dini yang dapat meningkatkan kualitas hidup dan mencegah komplikasi di usia lanjut. Kata Kunci: Sarkopenia, Kekuatan Genggaman Tangan, Deteksi Dini, Skrining
Deteksi Dini Hipertensi dan Edukasi Gaya Hidup Sehat pada Dewasa Produktif: Studi Pengabdian di Grogol Tambunan, Nicholas Albert; Santoso, Alexander Halim; Gunaidi, Farell Christian; Putri, Tiara Aulia; Febriana, Nafrisca
Health Community Service Vol. 3 No. 1 (2025): Artikel Riset Mei 2025
Publisher : Information Technology and Science (ITScience)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/hcs.v3i1.6284

Abstract

Hipertensi merupakan salah satu penyakit tidak menular yang sering terjadi di masyrakat. Hipertensi sering tidak menunjukkan gejala, namun berdampak besar terhadap risiko penyakit jantung, stroke, gagal ginjal, hingga kematian. Deteksi dini melalui skrining rutin tekanan darah sangat penting untuk mencegah komplikasi dan meningkatkan kesehatan masyarakat. Kegiatan pengabdian ini dilakukan pada 67 peserta usia produktif di Kelurahan Grogol, Jakarta Barat. Skrining tekanan darah dilakukan menggunakan metode Plan-Do-Check-Act (PDCA), yang mencakup perencanaan, pelaksanaan, analisis hasil, serta edukasi kepada peserta dengan hasil abnormal. Hasil skrining menunjukkan bahwa 22,22% peserta mengalami hipertensi, 63,89% berada dalam kategori pre-hipertensi, dan hanya 13,89% memiliki tekanan darah normal. Hal ini menandakan tingginya prevalensi tekanan darah tinggi pada masyarakat usia produktif dan pentingnya tindakan preventif. Oleh karena itu, deteksi dini dan edukasi kesehatan perlu menjadi program rutin untuk mencegah komplikasi hipertensi dan meningkatkan kualitas hidup masyarakat.
Lipid Panel Predictors of Urinary Incontinence in Elderly in Bina Bakti Nursing Tambunan, Nicholas Albert; Soni, Yulfitra; Santoso, Alexander Halim; Teguh, Stanislas Kotska Marvel Mayello; Alifia, Tosya Putri; Raharjo, Anthony Jason
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 1 (2025): Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i1.6055

Abstract

Urinary incontinence (UI) significantly impacts the quality of life in older adults, often resulting from multifactorial causes, including age-related changes and systemic health issues. Emerging evidence highlights the role of lipid metabolism in influencing bladder and pelvic floor function through vascular integrity, inflammation control, and tissue repair. Lipid parameters, such as apolipoproteins, HDL, LDL, total cholesterol, triglycerides, and their ratios, provide insights into metabolic health and its association with UI. This study aims to identify specific lipid-related predictors, advancing the understanding of metabolic factors in UI and informing targeted prevention and management strategies for aging populations. This study used multiple linear regression analysis to assess the relationship between lipid panel predictors and urinary incontinence in 93 elderly respondents at Bina Bakti Nursing Home. The analysis identifies apolipoprotein B, Apo B/Apo A ratio, total cholesterol, and triglyceride-to-HDL ratio as significant predictors. These variables actively influence urinary incontinence through metabolic and vascular pathways, with both positive and negative associations. Apolipoprotein B, Apo B/Apo A ratio, total cholesterol, and triglyceride-to-HDL ratio predict urinary incontinence, highlighting lipid-related impacts on vascular health, inflammation, and tissue integrity for improved risk stratification.
Korelasi Kadar Gula Darah Sewaktu dengan Nilai International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada Kelompok Lanjut Usia Tambunan, Nicholas Albert; Firmansyah, Yohanes; Nathaniel, Fernando; Wijaya, Dean Ascha; Yogie, Giovanno Sebastian
MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i11.11411

Abstract

ABSTRACT Urinary incontinence (UI) is one of health problems that occur in elderly population. This cross-sectional study aims to determine correlation between blood sugar levels and International Consultation Incontinence Questionnaire - Urine Incontinence Short Form (ICIQ-UISF) scores in elderly group selected through total sampling criteria at Santa Anna Elderly Care Center in July 2023. ICIQ-UISF questionnaire was used to evaluate UI. Blood sugar level was measured using POCT according to standard procedures. Statistical analysis using Spearman correlation test. Out of 60 respondents, average age was 76.30 years, with 66.7% of respondents being female. Mean blood sugar level was 118.12 mg/dL and 11.7% of respondents showed high blood sugar levels. Average ICIQ-UISF score was 4.58 with 21.7% of respondents experiencing UI onset before reaching toilet, 20% during sleep, and the rest never experienced it. Spearman correlation test indicated a significant correlation between blood sugar levels and ICIQ-UISF scores (p-value: 0.028) with a correlation strength value of 0.264 (r-correlation: 0.283), which falls into weak category. The results show there is a significant correlation between blood sugar levels and ICIQ-UISF questionnaire scores. Blood sugar levels influence 8.0% of ICIQ-UISF scores, while the remaining 92% is attributed to other variables not examined in this study. Keywords: Blood Glucose, Elderly, Urine Incontinence  ABSTRAK Inkontinensia urin merupakan salah satu masalah kesehatan yang terjadi pada kalangan lanjut usia. Penelitian potong lintang ini bertujuan untuk mengetahui korelasi kadar gula darah sewaktu (GDS) dengan nilai kuesioner International Consultant Incontinence Questionnaire – Urine Incontinence Short Form (ICIQ-UISF) pada kelompok lanjut usia yang dipilih sesuai kriteria secara total sampling di Panti Lansia Santa Anna pada Juli 2023. Kuesioner ICIQ-UISF digunakan untuk mengevaluasi inkontinensia urin. GDS diukur menggunakan POCT sesuai prosedur standar. Analisis statistik menggunakan uji korelasi Spearman. Dari 60 responden, rata-rata usia adalah 76,30 tahun dengan 66,7% responden adalah perempuan. Didapatkan rata-rata GDS sebesar 118,12 mg/dL dan 11,7% responden menunjukkan kadar GDS yang tinggi. Rata-rata nilai ICIQ-UISF sebesar 4,58 dengan 21,7% responden mengalami onset inkontinensia urin sebelum sampai toilet, 20% saat tidur dan sisanya tidak pernah. Uji korelasi Spearman menyatakan adanya korelasi bermakna antara kadar GDS dengan nilai ICIQ-UISF (p-value : 0,028) dengan nilai kekuatan korelasi sebesar 0,264 (r-correlation : 0,283) atau masuk dalam kategori lemah. Hasil penelitian menyatakan bahwa terdapat korelasi yang bermakna antara kadar GDS dengan nilai kuesioner ICIQ-UISF. Kadar GDS memengaruhi 8% nilai ICIQ-UISF sedangkan 92% lainnya disebabkan oleh variabel lain yang tidak diteliti pada penelitian ini. Kata Kunci: Gula Darah, Inkontinensia Urin, Lanjut Usia
Co-Authors Alifia, Tosya Putri Amertha, Anak Agung Ngurah Putrayoga Febriana, Nafrisca Gunaidi, Farell Christian Harrina E Rahardjo, Harrina E Hartono, Eric Haryanto, Ines Hendrianto, Rifandra Rifqi Adi Johan, Richver Framanto Khoto, Anthon Eka Prayoga Nathaniel, Fernando Putri, Tiara Aulia Raharjo, Anthony Jason Riadi, Seravin Janet Santoso, Alexander Halim Soni, Yulfitra Suros, Angel Sharon Teguh, Stanislas Kotska Marvel Mayello Waltoni, Bobby Marshel Ancheloti Wijaya, Bryan Anna Wijaya, Dean Ascha Yogie, Giovanno Sebastian Yohanes Firmansyah