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TANGGUNG JAWAB HUKUM RUMAH SAKIT TERHADAP PASIEN HEALTH CARE-ASSOCIATED INFECTIONS (HAIS) Sutrisno, Endang; Hartini, MC Inge; Mustopo, Mustopo; Ruhyana, Nanang
HERMENEUTIKA : Jurnal Ilmu Hukum Vol 4, No 1 (2020): HERMENEUTIKA : Jurnal Ilmu Hukum
Publisher : Sekolah Pascasarjana Universitas Swadaya Gunung Jati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/hermeneutika.v4i1.3277

Abstract

Rumah Sakit memiliki peran penting dalam mewujudkan derajat kesehatan masyarakat secara optimal, untuk itu dituntut agar mampu mengelola secara professional dan bertanggung jawab, mengusung arus keutamaan tanggung jawab profesi pada aspek kesehatan, khususnya tenaga medis dan tenaga keperawatan dalam menjalankan tugas dan wewenangnya.  Health-Care Associated Infection (HAIs) penyebabnya terkait dengan proses dan sistem kesehatan. Aspek pertanggungjawaban hukum Rumah Sakit terhadap pasien yang terkena Health care-associated Infections (HAIs) menjadi fokus kajian, dengan pendekatan penelitian yuridis normatif, pada perspektif hukum sebagai kaidah tertulis yang tertuang dalam produk perundang-undangan yang berlaku. Rumah Sakit bertanggung jawab atas tindakan kelalaian tenaga kesehatan di Rumah Sakit, yang menyebabkan kerugian pada pasien, dibutuhkan adanya perlindungan hukum yang memadai sebagaimana tertuang dalam peraturan hukum secara normatif. Dalam hal perlindungan pasien, sebelum pelaksanaan pelayanan medis yang berkaitan dengan tindakan medis, tenaga kesehatan memberikan edukasi terhadap pasien terlebih dahulu, berupa penjelasan mengenai informasi, risiko yang terjadi, serta bentuk penanganannya. Apabila pasien merasa dirugikan dalam hal materiil maupun imateriil, pasien dapat mengajukan gugatan kepada Rumah Sakit yang melakukan kelalaian dan kesalahan, sebagai salah satu bentuk tanggung jawab hukum yang timbul.
HUBUNGAN USIA DAN TINGKAT KEPATUHAN PENGOBATAN TERHADAP KESEMBUHAN PASIEN TB PARU DI RS PARU SIDAWANGI Nisa, Qoirun; Ruhyana, Nanang; Affandi, Thysa Thysmelia
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 24 No. 1 (2025): Januari 2025
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/ibnusina.v24i1.724

Abstract

Tuberkulosis paru adalah penyakit menular yang menjadi masalah kesehatan terbesar kedua di dunia setelah HIV. Rumah Sakit Paru Sidawangi merupakan salah satu rumah sakit dengan kasus tuberkulosis tertinggi di Kabupaten Cirebon. Penelitian ini bertujuan untuk mengetahui hubungan antara usia dan tingkat kepatuhan minum obat dengan kesembuhan pasien tuberkulosis paru pada tahun 2023. Menggunakan desain observasional analitik dengan pendekatan cross-sectional, sampel diambil dengan teknik consecutive sampling. Pengambilan data sampel menggunakan SITB melibatkan 67 responden, dan tingkat kepatuhan diukur menggunakan Medication Possession Ratio (MPR) dari Juni hingga Juli 2024. Hasil penelitian menunjukkan hubungan signifikan antara usia dan kesembuhan pasien (P-value = 0,001; OR = 0,440) serta antara tingkat kepatuhan minum obat dan kesembuhan pasien (P-value = 0,001; OR = 1,000). Kesimpulannya, usia dan tingkat kepatuhan minum obat berpengaruh signifikan terhadap kesembuhan pasien tuberkulosis paru di Rumah Sakit Paru Sidawangi.
HUBUNGAN TINGKAT KEPATUHAN MENJALANI TERAPI HEMODIALISA DENGAN NILAI UREA REDUCTION RATE PASIEN CHRONIC KIDNEY DISEASE DI RUMAH SAKIT DAERAH GUNUNG JATI CIREBON TAHUN 2024 Pandjaitan, Putri Diviacita; Ulfah, Siti Maria; Ruhyana, Nanang
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.36808

Abstract

Chronic Kidney Disease (CKD) merupakan penyakit progresif dan ireversibel yang menyebabkan penurunan fungsi ginjal, sehingga tubuh mengalami gangguan dalam mempertahankan metabolisme serta keseimbangan cairan dan elektrolit. Salah satu terapi utama bagi pasien CKD adalah hemodialisa, yang bertujuan untuk meningkatkan kualitas hidup pasien. Efektivitas terapi ini dapat diukur melalui berbagai indikator, salah satunya adalah Urea Reduction Rate (URR). Tingkat kepatuhan pasien dalam menjalani terapi hemodialisa menjadi faktor penting dalam menentukan keberhasilan terapi dan kadar URR yang optimal. Oleh karena itu, penelitian ini bertujuan untuk mengetahui hubungan antara tingkat kepatuhan terapi hemodialisa dengan nilai Urea Reduction Rate pada pasien CKD di Rumah Sakit Daerah Gunung Jati Kota Cirebon tahun 2024. Penelitian ini merupakan studi observasional analitik dengan desain cross-sectional, yang melibatkan 94 pasien CKD yang menjalani hemodialisa. Sampel dipilih menggunakan metode simple random sampling, sementara analisis data dilakukan dengan uji Wilcoxon untuk mengetahui hubungan antara kedua variabel. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara tingkat kepatuhan menjalani terapi hemodialisa dengan nilai Urea Reduction Rate, dengan nilai p-value < 0,001. Berdasarkan hasil tersebut, dapat disimpulkan bahwa semakin tinggi tingkat kepatuhan pasien dalam menjalani terapi hemodialisa, maka semakin optimal nilai Urea Reduction Rate yang diperoleh. Oleh karena itu, diperlukan upaya peningkatan kepatuhan pasien dalam menjalani terapi hemodialisa guna meningkatkan efektivitas terapi dan kualitas hidup pasien CKD di Rumah Sakit Daerah Gunung Jati Cirebon.
PROFIL KLINIS DAN GABUNGAN TERAPI PASIEN TERDIAGNOSIS OTOMIKOSIS DI POLIKLINIK THT-KL RSUD WALED PERIODE TAHUN 2018-2022 Zulhaidah, Febiana; Budiman, Pahmi; Bakri, Edy Riyanto; Purnamasari, Febryanti; Ruhyana, Nanang; Zaidah, Niklah
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 11 No 1 (2025): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Tunas Medika Jurnal Kedokteran & Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar belakang: Otomikosis merupakan infeksi jamur, disebabkan oleh jamur Aspergillus Sp dan Candida Spp yang menyerang bagian meatus akustikus eksternus. Prevalensi otomikosis di seluruh dunia antara 30-40% kasus yang biasanya terjadi di daerah tropis dan subtropis. Keluhan yang muncul adalah pruritus dan diikuti dengan otalgia. Faktor predisposisi otomikosis yaitu penggunaan obat tetes telinga, sering berenang, penggunaan cotton bud pada telinga dan pengguna alat bantu dengar. Tatalaksana pada pasien otomikosis diberikan terapi irigasi telinga, kompres telinga, obat topikal tetes ataupun salep, dan oral. Tujuan: Mengetahui profil klinis dan gabungan terapi pasien terdiagnosis Otomikosis di poliklinik THT-KL RSUD Waled. Metode: Penelitian deskriptif retrospektif menggunakan total sampling data rekam medis pasien yang terdiagnosis Otomikosis di poliklinik THT-KL RSUD Waled periode 2018-2022. Pasien yang didiagnosis otomikosis tanpa gangguan telinga lain masuk dalam kriteria inklusi. Pasien yang datanya tidak lengkap masuk dalam kriteria ekslusi. Hasil: Terdapat 56 pasien terdiagnosis otomikosis dengan laki-laki 20 pasien (35,7%) dan perempuan 36 pasien (64,3%). Mayoritas IRT 39,3%, dengan rentang usia terbanyak 26-45 tahun (46,4%). Kebanyakan pasien mengeluhkan gatal 76,8% pasien. Diikuti oleh keluhan lainnya yaitu otalgia 62,5%, rasa penuh di telinga 44,6%, tinnitus 39,3%, ottorhea 35,7%, dan gangguan pendengaran 17,9%. Mayoritas pasien mendapat gabungan terapi topikal dan oral sebanyak 35,7% pasien. Kesimpulan: Otomikosis banyak menginfeksi perempuan khususnya IRT dengan rentang umur 26-45 tahun. Gejala yang banyak muncul yaitu pruritus dan otalgia. Kata Kunci: Otomikosis, Infeksi, Gabungan terapi. ABSTRACT Background: Otomycosis is a fungal infection, caused by Aspergillus Sp and Candida Spp which attack the canal external auditory. The prevalence of otomycosis worldwide is between 30-40% of cases, which usually occurs in tropical and subtropical regions. The most common symptomps are pruritus and usually followed by otalgia. Main predisposing factors of otomycosis are the use of ear drops, swimming, use of cotton buds in the ear, and hearing aid users. Management of otomycosis patients is usually given ear toilet, ear tampons, topical drops or ointments, and oral medication. Objective: The aims in this study to determine the clinical profile and combined therapy of Otomycosis patients at the ENT clinic at Waled Hospital for the period 2018-2022. Methods: A retrospective descriptive study using total sampling medical record data of patients diagnosed with otomycosis at the ENT-KL polyclinic at Waled Hospital period 2018-2022. Patients diagnosed with otomycosis without other ear disorders were included. Patients with incomplete data were exluded. Results: This study found 56 patients diagnosed with otomycosis with 20 male patients (35.7%) and 36 female patients (64.3%). The majority were housewives (39,3%) with an age range of 26-45 years (46,4%). Most patients complain of pruritus 76.8%. Followed by other symptoms, otalgia 62.5%, ear fullness 44.6%, tinnitus 39.3%, otorrhea 35.7% and hearing loss 17.9%. Most patients received a combination of topical and oral therapy with 35.7% of patients. Conclusion: Otomycosis was common in female population especially in housewives, in the age range 26-45 years. Predominant symptoms were pruritus and otalgia.
SENTIMENT ANALYSIS OF TWITTER DATA ON KIP-KULIAH USING TEXTBLOB AND GRADIENT BOOSTING Desi Masdin; Ruhyana, Nanang
Jurnal Riset Informatika Vol. 7 No. 1 (2024): December 2024
Publisher : Kresnamedia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34288/jri.v7i1.353

Abstract

The Indonesian government aims to position the country among developed nations by 2045, with a primary focus on improving education quality from elementary to higher education levels. One of the key initiatives is the KIP-Kuliah (Indonesia Smart College Card) program, which supports high-achieving students from underprivileged economic backgrounds in accordance with UU No. 12/2012 on Higher Education. This study applies sentiment analysis using TextBlob and the Gradient Boosting algorithm to build a predictive model that identifies public support for the program through Twitter data. The results reveal a significant dominance of negative sentiment, with the model achieving an accuracy of 97%. These findings underscore the importance of sentiment analysis as a feedback tool for policymakers during the implementation of education-related programs. Furthermore, the results suggest that continuous monitoring of public opinion via social media can contribute to more adaptive and responsive policy development. This research highlights the need for future studies to expand the scope of analysis using more advanced natural language processing techniques for deeper understanding and broader coverage of public sentiment.
TWITTER SENTIMENT ANALYSIS ON THE 2024 PRESIDENTIAL DISPUTE DECISION USING NAÏVE BAYES AND SVM Aulia Rahman, Ihsan; Ruhyana, Nanang
Jurnal Riset Informatika Vol. 7 No. 1 (2024): December 2024
Publisher : Kresnamedia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34288/jri.v7i1.355

Abstract

Public sentiment regarding the 2024 presidential election dispute decision was analyzed through the Twitter platform. The method employed was Naïve Bayes, implemented using RapidMiner software. The dataset consisted of thousands of tweets collected during the presidential election dispute period. Each tweet was classified into three sentiment categories: positive, negative, and neutral. The text mining process involved data cleaning, tokenization, and the application of natural language processing (NLP) techniques for feature extraction. The results of the analysis revealed the distribution of sentiments among Twitter users and changes in sentiment trends over specific periods. This research is expected to provide insights into public perceptions and sentiment patterns related to the presidential election dispute decision
ANALYSIS OF PUBLIC SENTIMENT TOWARDS 2024 PRESIDENTIAL CANDIDACY USING NAÏVE BAYES ALGORITHM Rianggi; Ruhyana, Nanang
Jurnal Riset Informatika Vol. 7 No. 1 (2024): December 2024
Publisher : Kresnamedia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1869.319 KB) | DOI: 10.34288/jri.v7i1.356

Abstract

This study analyzes public sentiment towards presidential nominations using text mining techniques and machine learning. The dataset consists of 670 tweets collected from social media. The analysis process includes a data pre-processing phase, encompassing text cleaning, case folding, tokenization, stopword removal, and stemming using the Sastrawi library for the Indonesian language. Sentiment labeling was was performed using NLTK's SentimentIntensityAnalyzer, categorizing tweets into positive, negative, or neutral sentiments. The analysis results reveal the sentiment distribution among the analyzed tweets. Data modeling was performed using the Naive Bayes algorithm, which achieved an accuracy of 97.78% on the Iris dataset as an implementation example. The confusion matrix and classification report demonstrate the model's excellent performance in distinguishing sentiment classes. This research provides insights into public opinion regarding presidential nominations and demonstrates the effectiveness of text mining techniques and machine learning in sentiment analysis. The method can be applied to understand public opinion trends in other political and social contexts
RANCANG BANGUN SISTEM INFORMASI MANAJEMEN DISTRIBUSI QURBAN Ruhyana, Nanang; Sari, Ani Oktarini; Mardiana, Tati; Bayhaqy, Achmad; Riyadi , Andri Agung; Setiaji, Setiaji
INTI Nusa Mandiri Vol. 20 No. 1 (2025): INTI Periode Agustus 2025
Publisher : Lembaga Penelitian dan Pengabdian Pada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33480/inti.v20i1.6945

Abstract

One of the most important aspects of Eid al-Adha celebrations is the distribution of sacrificial meat. However, the process of distributing sacrificial meat often faces various challenges, such as inaccurate data collection, difficulty in tracking the amount of sacrificial meat, and a lack of transparency and efficiency. The objective of this study is to design and develop an application that can enhance efficiency, accuracy, and accountability in the distribution of sacrificial meat through the systematic use of information technology. This study employs the waterfall method, which involves several sequential stages: needs analysis, system design, implementation, and testing. This system was developed to support the performance of the sacrificial committee in managing data on sacrificial animals, information on recipients, the distribution process of meat, and the documentation of all activities in a digital and real-time manner. In the user interface (front end), the Next.js/React.js framework is combined with Tailwind CSS to produce a responsive and user-friendly interface. Meanwhile, the server side (back end) was developed using Laravel as a reliable and efficient PHP framework, and MySQL as a database to store all information related to distribution. The result of this research is a web-based application prototype featuring animal sacrifice data collection, beneficiary data recording, and distribution report generation. It is hoped that this application will facilitate more organized and effective distribution of sacrificial meat
Relationship Analysis of Risk Factors Concerning the Incidence of Pulmonary Tuberculosis in Children at Panti Abdi Dharma Hospital, Cirebon, Indonesia Pratama, Annisa Shintya; Nisaa, Defa Rahmatun; Ruhyana, Nanang
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1228

Abstract

Background: Tuberculosis (TB) is an infectious disease caused by the Mycobacterium tuberculosis germ. The germs are spread from people with TB through the air. Nearly a quarter of the world’s population is infected with Mycobacterium tuberculosis germs and 11% are children. Aims: To analyze the association of risk factors that most influence the incidence of pulmonary tuberculosis in children at Panti Abdi Dharma Hospital, Cirebon City in 2024. Methods: Using a cross sectional analytical observational approach, systematic sampling technique on 138 respondents using bivariate analysis (chi-square) and multivariate analysis (logistic regression). Results: The results showed that risk factors associated with the incidence of tuberculosis in children were age (P-value 0.002), gender (P-value 0.027), father's education (P-value 0.032) and parents' socioeconomic status (P-value 0.001). The risk factor that most influenced the incidence of tuberculosis was parents' socioeconomic status (Exp(B) value 3.798). Conclusion: In the 10 risk factors studied, 4 risk factors were found to have an association with the incidence of tuberculosis in children, namely child age, child gender, father's education, and parents' socioeconomic status. The most influential risk factor in this study was parents' socioeconomic status.