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Yohanes Firmansyah
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Contamination In Covid-19 Sample – The Iceberg Phenomenon and Pandora Box (Law and Sociology Perspective) Yohanes Firmansyah; Imam Haryanto
Jurnal Indonesia Sosial Teknologi Vol. 2 No. 07 (2021): Jurnal Indonesia Sosial Teknologi
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.363 KB) | DOI: 10.59141/jist.v2i07.199

Abstract

Infeksi Covid-19 telah menyebabkan dampak yang sangat besar di seluruh aspek kehidupan manusia, terutama dalam tatanan sistem kesehatan. Salah satu metode deteksi Covid-19 yang dikenal sebagai alat diagnosis baku (golden standar) adalah pemeriksaan molekuler berbasis amplifikasi asam nukleat. Tetapi kenyataan dilapangan, metode pemeriksaan ini pun rentan untuk terjadi kontaminasi dan menyebabkan kesalahan interpretasi dan diagnosis, serta membawa dampak lanjutan dari segi medis hingga sosial. Jurnal ini membahas tentang laporan kasus terjadinya kesalahan diagnosis akibat kontaminasi pada pemeriksaan molekuler berbasis amplifikasi asam nukleat, serta pertanggungjawaban hukum dari kesalahan tersebut. Penelitian ini berupa laporan kasus dengan metode pendekatan yuridisnormatif dari berbagai sumber primer maupun sekunder. Kejadian kontaminasi pada pemeriksaan molekuler berbasis amplifikasi asam nukleat khususnya pada kasus Covid-19, bukan semata-mata kesalahan dari tenaga kesehatan, tetapi merupakan serangkaian dampak dari permasalahan regulasi rumah sakit, pemerintah, dan masyarakat. Disisi lain, pertanggungjawaban hukum akibat kesalahan dan kelalaian ini tidak dapat dihindari, oleh karena dampaknya yang cukup besar bagi masyarakat di kemudian hari. Infeksi covid-19 tidak hanya berhubungan erat dengan masalah medis. Tapi lebih jauh sangat berhubungan erat dengan masalah sosial dan hukum, serta hubungan sebab akibat antara berbagai faktor menyebabkan konsekuensi hukum dan sosial yang dapat menyerang siapapun yang terlibat, baik tenaga kesehatan, rumah sakit, pemerintah, hingga masyarakat
Legal Responsibility of Medical Personnel in Cases of Malpractice in Telemedicine Yohanes Firmansyah; Putri Mahirah Afladhanti
LITERACY : International Scientific Journals of Social, Education, Humanities Vol. 4 No. 2 (2025): August : International Scientific Journals of Social, Education, Humanities
Publisher : Badan Penerbit STIEPARI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/literacy.v4i2.2467

Abstract

The COVID-19 pandemic has accelerated the adoption of telemedicine in Indonesia as a cross-regional alternative to conventional healthcare services. This technology-based medical practice offers increased accessibility and efficiency, yet it also presents legal challenges, particularly concerning physicians' liability in malpractice cases. This study aims to examine the legal responsibility of physicians in post-pandemic telemedicine using a normative juridical approach. It analyzes six key areas: the innovation and legal challenges of telemedicine; the concept of malpractice and legal liability; regulatory dynamics in Indonesia; malpractice risks in virtual practice; international legal comparisons (United States, United Kingdom, Singapore); and recommendations for legal reform. The method used was a normative legal study with statute and comparative approaches. The secondary data used consists of primary legal materials (laws and regulations), secondary sources (academic literature), and tertiary materials (dictionaries/encyclopedias). The data was then systematically reviewed with a descriptive-analytical approach. The findings indicate that although Law No. 17 of 2023 and Government Regulation No. 28 of 2024 recognize telemedicine practice, technical regulations have led to legal uncertainty for patients and physicians. In contrast, other countries have already established legal frameworks that emphasize doctors' responsibilities in virtual care as equivalent to those in in-person settings. In conclusion, Indonesia must successfully formulate implementing regulations governing service standards, digital informed consent, complaint mechanisms, and the delineation of responsibilities between medical practitioners and platform providers. Such legal reform is essential to ensure that telemedicine evolves as an innovation aligned with patient rights protection and the principles of legal justice.
Laporan Kasus : Sindrom Aspirasi Mekonium Pada Neonatus Anggita Tamaro; Yohanes Firmansyah; Dian Emiria Tunggadewi
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24424

Abstract

ABSTRACT Meconium Aspiration Syndrome (MAS) remains a significant cause of respiratory distress in term and post-term neonates, contributing to neonatal morbidity and mortality. The condition results from aspiration of meconium-stained amniotic fluid, leading to airway obstruction, inflammatory lung injury, surfactant inactivation, and impaired gas exchange. Differentiating MAS from other causes of early neonatal respiratory distress, particularly neonatal pneumonia and early-onset sepsis, remains clinically challenging. We report a case of a term female neonate born at 39 weeks of gestation via cesarean section, who developed respiratory distress immediately after birth following exposure to meconium-stained amniotic fluid. The infant presented with weak crying, central cyanosis, grunting, and subcostal retractions, requiring positive pressure ventilation and supplemental oxygen. Laboratory evaluation revealed leukocytosis without other significant hematologic abnormalities. Chest radiography demonstrated findings consistent with neonatal pneumonia. Supportive respiratory management and empiric antibiotic therapy were initiated while further evaluation for infection was conducted. Discussion: The clinical presentation, laboratory findings, and radiographic features supported the diagnosis of mild to moderate MAS, with neonatal pneumonia and early-onset sepsis considered as differential diagnoses. The case highlights the inflammatory pathophysiology of MAS and the overlap of clinical and radiological features with neonatal infection. Evidence from current literature emphasizes that supportive respiratory care remains the cornerstone of management, while the use of empiric antibiotics should be guided by serial clinical and laboratory assessment. Conclusion: This case underscores the importance of integrated clinical, laboratory, and radiological evaluation in the diagnosis and management of MAS. Early recognition and appropriate supportive care are essential to optimize neonatal outcomes and avoid unnecessary interventions. Keywords: Meconium Aspiration Syndrome, Neonatal Respiratory Distress, Meconium-Stained Amniotic Fluid, Neonatal Pneumonia, Term Neonate.  ABSTRAK Sindrom Aspirasi Mekonium (SAM) masih merupakan salah satu penyebab penting distres pernapasan pada neonatus cukup bulan dan post-term, serta berkontribusi terhadap morbiditas dan mortalitas neonatal. Kondisi ini terjadi akibat aspirasi cairan ketuban bercampur mekonium yang menyebabkan obstruksi jalan napas, cedera paru akibat inflamasi, inaktivasi surfaktan, dan gangguan pertukaran gas. Secara klinis, membedakan SAM dari penyebab lain distres pernapasan neonatal dini, khususnya pneumonia neonatal dan sepsis onset dini, masih menjadi tantangan. Kami melaporkan suatu kasus neonatus perempuan cukup bulan, lahir pada usia kehamilan 39 minggu melalui seksio sesarea, yang mengalami distres pernapasan segera setelah lahir dengan riwayat paparan cairan ketuban bercampur mekonium. Bayi lahir dengan tangisan lemah, sianosis sentral, disertai grunting dan retraksi subkostal, sehingga memerlukan ventilasi tekanan positif dan suplementasi oksigen. Pemeriksaan laboratorium menunjukkan leukositosis tanpa kelainan hematologis bermakna lainnya. Pemeriksaan radiografi toraks memperlihatkan gambaran yang konsisten dengan pneumonia neonatal. Terapi suportif pernapasan serta antibiotik empiris diberikan sambil dilakukan evaluasi lanjutan terhadap kemungkinan infeksi. Gambaran klinis, hasil pemeriksaan laboratorium, dan temuan radiologis mendukung diagnosis MAS derajat ringan hingga sedang, dengan pneumonia neonatal dan sepsis onset dini sebagai diagnosis banding. Kasus ini menyoroti mekanisme patofisiologi inflamasi pada MAS serta adanya tumpang tindih manifestasi klinis dan radiologis dengan infeksi neonatal. Bukti dari literatur terkini menegaskan bahwa terapi suportif pernapasan merupakan pilar utama penatalaksanaan MAS, sedangkan pemberian antibiotik empiris sebaiknya dipertimbangkan berdasarkan evaluasi klinis dan pemeriksaan laboratorium serial. Kasus ini menegaskan pentingnya pendekatan terpadu melalui evaluasi klinis, laboratorium, dan radiologis dalam menegakkan diagnosis dan menentukan tatalaksana MAS. Pengenalan dini dan pemberian terapi suportif yang tepat sangat penting untuk mengoptimalkan luaran neonatal serta mencegah intervensi yang tidak diperlukan. Kata Kunci: Sindrom Aspirasi Mekonium, Distres Pernapasan Neonatal, Cairan Ketuban Bercampur Mekonium, Pneumonia Neonatal, Neonatus Cukup Bulan.
Hubungan Kadar Vitamin D dengan Kejadian Insomnia Pada Kelompok Lanjut Usia di Panti Santa Anna Anastasia Ratnawati Biromo; Noer Saelan Tadjudin; Alexander Halim Santoso; Yohanes Firmansyah; William Gilbert Satyanegara; Dean Ascha Wijaya; Joshua Kurniawan; Ayleen Nathalie Jap; Fladys Jashinta Mashadi; Melkior Michael Fransisco; Linginda Soebrata
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13516

Abstract

ABSTRACT Vitamin D deficiency is a public health problem that affects everyone regardless of their age. It is linked to various health problems, and one of them is sleep problem. Nearly 60% of elderly have sleep problems, with insomnia being the most frequently reported symptom. Insomnia can lead to physical, mental, behaviour problems, and increasing risk of having diabetes and cardiovascular disease. To find the association between vitamin D and insomnia in elderly. This research uses cross sectional study to find association between vitamin D and insomnia in elderly who live in Santa Anna’s nursing home. Respondents who met the inclusion criterias were measured for vitamin D and then filling out Insomnia Severity Index (ISI) questionnaire. Statistical analysis used is the Mann-Whitney test. Twenty-seven participants met the inclusion criteria, with the mean age of 75,59 (SD 7,42) years and vitamin D level 19,93 (SD 6,87) ng/ml. There was no significant difference in vitamin D level between non-insomnia and insomnia (p-value 0,979). However, from this study we found that lower vitamin D serum was associated with the increasing risk of insomnia. Vitamin D deficiency should be taken into account when treating elderly with sleep disorder. Health practitioners should consider Vitamin D supplementation as adjunctive treatment in sleep problems. Keywords: Insomnia, Elderly, Vitamin D  ABSTRAK Defisiensi vitamin D merupakan masalah kesehatan umum yang dapat terjadi pada semua orang tanpa memandang usia. Defisiensi vitamin D dihubungkan dengan berbagai macam masalah kesehatan, salah satunya adalah gangguan tidur. Gangguan tidur pada lansia merupakan masalah yang sering ditemui, dimana hampir 60% lansia mengalami gangguan tidur. Insomnia dapat menyebabkan gangguan fisik, mental, perilaku, dan meningkatkan risiko penyakit diabetes serta kardiovaskular. Meneliti hubungan vitamin D dengan kejadian insomnia pada lansia. Penelitian ini merupakan studi potong lintang yang mencari hubungan antara kadar vitamin D dengan kejadian insomnia pada orang lanjut usia di Panti Lansia Santa Anna. Responden yang memenuhi kriteria inklusi dilakukan pengukuran kadar vitamin D dan pengisian kuesioner Insomnia Severity Index (ISI) untuk insomnia. Analisis statistik dilakukan dengan menggunakan uji Mann-Whitney. Sebanyak 27 responden memenuhi kriteria inklusi dengan rerata usia 75,59 (SD 7,42) tahun, dengan kadar vitamin D 19,93 (SD 6,87) ng/ml. Hasil analisis statistik tidak mendapatkan perbedaan rerata kadar vitamin D yang bermakna antara kelompok dengan atau tanpa insomnia (p-value 0,979), meski demikian pada penelitian ini didapatkan bahwa defisiensi vitamin D berisiko meningkatkan terjadinya insomnia. Defisiensi vitamin D harus dipertimbangkan dalam manajemen lanjut usia dengan gangguan tidur. Suplementasi vitamin D dapat dipertimbangkan sebagai terapi tambahan pada lanjut usia yang mengalami gangguan tidur. Kata Kunci: Insomnia, Lansia, Vitamin D
Hubungan Kadar 25(OH)D3 dengan Lingkar Betis Pada Kelompok Lanjut Usia di Panti Santa Anna: Studi Potong-Lintang Alexander Halim Santoso; Susi Olivia Lontoh; Yohanes Firmansyah; Giovanno Sebastian Yogie; Daniel Goh; Andini Ghina Syarifah; Stanislas Kotska Marvel Mayello Teguh; Anthon Eka Prayoga Khoto
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13124

Abstract

ABSTRACT The research on vitamin D is still developing until its role in the immune system, the absorption of phosphate from the intestine, and preventing its excretion in the kidneys are known. The prevalence of low levels of vitamin D is high, and recently, it was discovered that there was a relationship between vitamin D deficiency and the incidence of sarcopenia in the elderly. Determining vitamin D levels and the incidence of sarcopenia in the elderly at the Santa Anna Nursing Home. This study was an analytical study with a cross-sectional design conducted on elderly residents of the Santa Anna Nursing Home in July 2023 to assess vitamin D levels and calf circumference to assess sarcopenia. The data obtained were analyzed using Mann-Whitney. Result Of the 32 respondents, the average age was 72.66 years, and 22 (68.7%) respondents were women. It was found that 30 (93.8%) respondents experienced vitamin D deficiency, and 15 (46.9%) respondents experienced sarcopenia. The results of statistical tests showed that there was no difference in the mean levels of vitamin D between the sarcopenic and non-sarcopenic groups. However, the group of patients with sarcopenia had vitamin D levels that tended to be lower compared to the group without sarcopenia (18 vs. 21 ng/mL; MR 15.50 vs. 17.38). There was no statistically significant difference in mean vitamin D levels between the groups with and without sarcopenia. However, there is a tendency for groups of patients with sarcopenia to have vitamin D levels that tend to be lower than those in groups without sarcopenia. Keywords: Vitamin D, Sarcopenia, Elderly  ABSTRAK Hingga saat ini, penelitian terhadap vitamin D terus berkembang hingga diketahui perannya dalam sistem imun, absorpsi fosfat dari usus dan mencegah terekskresinya pada ginjal. Tingginya prevalensi kurangnya kadar vitamin D dan baru-baru ini, diketahui ada hubungan defisiensi vitamin D dengan kejadian sarkopenia pada lansia. Mengetahui kadar vitamin D dengan kejadian sarkopenia pada lansia di Panti Werda Santa Anna. Penelitian ini adalah analitik dengan desain potong lintang yang dilakukan pada lansia penghuni Panti Werdha Santa Anna pada Juli 2023 untuk menilai kadar vitamin D dan lingkar betis untuk menilai sarkopenia. Data yang didapat kemunian dianalisis menggunakan Mann-Whitney. Didapat 32 responden dengan rerata usia 72,66 tahun dan sebanyak 22 (68,7%) responden adalah perempuan. Didapat 30 (93,8%) responden mengalami defisiensi vitamin D dan 15 (46,9%) responden mengalami sarkopenia. Hasil uji statistic didapat hasil tidak terdapat perbedaan rerata kadar vitamin D antara kelompok sarkopenia dan tidak. Namun dapat terlihat bahwa kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia (18 vs 21 ng/mL; MR 15,50 vs 17,38). Tidak terdapat perbedaan rerata kadar vitamin D yang bermakna secara statistik antara kelompok dengan atau tanpa sarkopenia. Namun terdapat kecenderungan kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia. Kata Kunci: Vitamin D, Sarkopenia, Lanjut Usia
Laporan Kasus: Manajemen Anestesi Umum dengan Intubasi Nasotrakeal pada Fraktur Maxilla Dextra dan Fraktur Dentoalveolar Alicia Sarijuwita; Yohanes Firmansyah; Subhan Yudihart
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24665

Abstract

ABSTRACT Maxillofacial trauma, particularly maxillary fractures, poses significant challenges in anesthetic management due to potential airway compromise, bleeding, and anatomical distortion. Adequate airway control is critical to ensure patient safety while allowing optimal surgical access during maxillofacial procedures. Nasotracheal intubation is commonly employed in such cases; however, its use requires careful evaluation to avoid complications, especially in patients with midface trauma. We report a case of a 17-year-old male patient who presented following a motorcycle traffic accident with complaints of facial pain, right periorbital swelling, epistaxis, and intraoral bleeding. Computed tomography imaging revealed a right maxillary fracture extending to the nasal bone accompanied by a dentoalveolar fracture. The patient was scheduled for open reduction and internal fixation (ORIF). General anesthesia was administered using nasotracheal intubation with controlled ventilation. Intraoperative monitoring demonstrated stable hemodynamic and respiratory parameters throughout the approximately two-hour surgical procedure, with no anesthetic-related complications observed. Maxillary fractures, particularly those involving the midfacial region, are associated with an increased risk of airway obstruction and bleeding, making airway management a major concern in anesthetic practice. Nasotracheal intubation provides unobstructed access to the oral cavity and is advantageous for maxillofacial surgery when contraindications such as skull base fractures are excluded. This case highlights the importance of comprehensive preoperative airway assessment, appropriate anesthetic planning, and close intraoperative monitoring to ensure safe perioperative management in patients with maxillofacial trauma. This case emphasizes that nasotracheal intubation under general anesthesia is a safe and effective airway management strategy in selected patients with maxillary and dentoalveolar fractures. Early assessment and multidisciplinary coordination play a vital role in optimizing perioperative outcomes and minimizing complications. Keywords: Maxillofacial Trauma, Maxillary Fracture, Dentoalveolar Fracture, Nasotracheal Intubation, Airway Management, General Anesthesia.   ABSTRAK Trauma maksilofasial, khususnya fraktur maksila, merupakan tantangan tersendiri dalam praktik anestesi karena berpotensi menyebabkan gangguan jalan napas, perdarahan, serta perubahan anatomi yang dapat menyulitkan pengelolaan jalan napas. Pengamanan jalan napas yang adekuat sangat krusial untuk menjamin keselamatan pasien sekaligus memungkinkan akses bedah yang optimal selama prosedur maksilofasial. Kami melaporkan suatu kasus pasien laki-laki berusia 17 tahun yang datang pascakecelakaan lalu lintas sepeda motor dengan keluhan nyeri wajah, pembengkakan periorbital kanan, epistaksis, dan perdarahan intraoral. Evaluasi klinis dan pemeriksaan tomografi terkomputasi menunjukkan fraktur maksila dextra yang meluas hingga os nasal disertai fraktur dentoalveolar. Pasien direncanakan menjalani tindakan open reduction and internal fixation (ORIF) dan dilakukan anestesi umum dengan teknik intubasi nasotrakeal serta ventilasi terkontrol. Selama prosedur pembedahan yang berlangsung sekitar dua jam, parameter hemodinamik dan respirasi pasien terpantau stabil tanpa ditemukannya komplikasi terkait anestesi. Fraktur maksila, terutama yang melibatkan regio midfasial, memiliki risiko tinggi terhadap obstruksi jalan napas dan perdarahan, sehingga manajemen jalan napas menjadi aspek krusial dalam tatalaksana anestesi. Intubasi nasotrakeal memberikan keuntungan berupa akses bebas ke rongga mulut dan lapangan operasi yang lebih optimal, serta dapat digunakan secara aman apabila kontraindikasi seperti fraktur dasar tengkorak telah disingkirkan melalui evaluasi praoperatif yang menyeluruh. Kasus ini menegaskan pentingnya penilaian jalan napas yang komprehensif, perencanaan anestesi yang tepat, serta pemantauan intraoperatif yang ketat dalam menangani pasien dengan trauma maksilofasial. Dengan pendekatan tersebut, intubasi nasotrakeal pada anestesi umum dapat menjadi pilihan yang aman dan efektif pada pembedahan fraktur maksila dan dentoalveolar untuk mencapai luaran perioperatif yang optimal. Kata Kunci: Trauma Maksilofasial, Fraktur Maksila, Fraktur Dentoalveolar, Intubasi Nasotrakeal, Manajemen Jalan Napas, Anestesi Umum.
Hubungan Kadar Insulin Puasa dengan Indeks Massa Tubuh Pada Kelompok Lanjut Usia di Panti Lanjut Usia Olivia Charissa; Alexander Halim Santoso; Joshua Kurniawan; Dean Ascha Wijaya; Fernando Nathaniel; Yohanes Firmansyah; Bryan Anna Wijaya; Gracienne Gracienne; Yovian Timothy Satyo; Steve Vallery Ranonto
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13126

Abstract

ABSTRACT Elderly population is increasing globally. One of the global adversity is obesity. Prevalence of obesity in the elderly population is growing over time and has become a global threat. Obesity also affect insulin level and resistancy, becoming the foundation for diabetes melitus, the unending global health problem. This will bring various health risks for elderly. This study aims to find out the correlation between fasting insulin level with body mass index in the elderly population. This cross-sectional study was done in Santa Anna Nursing Home. The sampling method is total sampling. Body mass index data collection was carried out according to standard physical examination protocols and insulin level analysis was carried out according to standard laboratory protocols. Statistic analysis used in the study is Spearman correlation, with hoped significance level of 5% and power of 80%. We found 31 respondents with mean age of 73.1 (±9.55) years with female as the dominant gender. The median of insulin level were 10 (5,4 – 29,,5) uIU/mL, with mean BMI of 22,24 (3,95) kg/m2. Statistical analysis found no significant correlation between fasting insulin level with BMI (p-value : 0.179), but clinically could be seen that increase of fasting insulin level will affect the increase of BMI though its only a weak correlation (r-spearman : 0.248). Fasting insulin level plays a role and could affect body mass index in the elderly body.  Keywords: Body Mass Index, Elderly, Fasting Insulin, Nursing Home  ABSTRAK Jumlah penduduk lanjut usia secara global akan terus meningkat. Salah satu permasalahan yang mendunia adalah obesitas. Prevalensi obesitas pada populasi lanjut usia kian meningkat dan menjadi ancaman global. Obesitas juga memengaruhi kadar dan resistensi insulin yang menyebabkan diabetes melitus menjadi masalah kesehatan yang tak kunjung berakhir di dunia. Hal ini menjadi dasar berbagai risiko kesehatan pada lansia. Studi ini dilakukan untuk mengetahui apakah terdapat hubungan yang bermakna antara kadar insulin puasa dengan indeks massa tubuh pada kelompok lanjut usia. Studi cross-sectional ini dilaksanakan di Panti Lanjut Usia Santa Anna. Metode pengambilan sampel berupa total sampling. Pengambilan data indeks massa tubuh dilakukan sesuai protokol pemeriksaan fisik standar dan analisa kadar insulin dilaksanakan sesuai protokol laboratorium standar. Analisa statistik yang digunakan pada penelitian ini berupa analisa korelasi spearman, dengan nilai signifikansi yang diharapkan pada penelitian ini adalah sebesar 5% dengan kekuatan penelitian sebesar 80%.  Didapatkan 31 responden dengan rerata usia sebesar 73,1 (±9,55) tahun dengan dominan berjenis kelamin perempuan (71,0%). Rerata kadar insulin puasa adalah 10 (5,4 – 29,,5) uIU/mL, dengan rerata IMT 22,24 (3,95) kg/m2. Pada uji statistik tidak didapatkan korelasi yang bermakna antara kadar insulin puasa dengan IMT (p-value : 0.179), tetapi secara klinis dapat terlihat bahwa peningkatan kadar insulin puasa akan berdampak terhadap peningkatan IMT walaupun tergolong dalam korelasi lemah (r-spearman : 0.248). Kadar insulin puasa tampak memegang peranan dan dapat berdampak terhadap indeks massa tubuh pada lansia. Kata Kunci: Indeks Massa Tubuh, Insulin Puasa, Lanjut Usia, Panti Lanjut Usia
Partial Least Squares Regression Analysis Between Body Mass Index, Abdominal Circumference, Hip Circumference, Hemoglobin, Body Composition, Uric Acid, Blood Sugar, Hemoglobin and Hematocrit with Face Analyzer in Adults Sukmawati Tansil Tan; Farell Christian; Cindy Christella Chandra; Yohanes Firmansyah
Malahayati Nursing Journal Vol 6, No 12 (2024): Volume 6 Nomor 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i12.15873

Abstract

ABSTRACT Skin is an important aspect of the human body. Many factors may influence skin health and its characteristics, including physiological and metabolic conditions such as obesity, blood sugar, hemoglobin and hematocrit, and uric acid. To establish a correlation between physiological and metabolic health parameters with skin-face analysis (roughness and wrinkles). This research was conducted in Kalam Kudus Foundation, West Jakarta, targeting individuals ≥17 years old, both men and women, following the inclusion and exclusion criteria. Skin health parameters used were roughness and wrinkles. The metabolic parameters studied were body mass index (BMI), waist circumference (WC), hip circumference (HC), body composition, blood sugar, hemoglobin (Hb), hematocrit (Ht), and uric acid. Our research shows negative coefficient results of BMI (-0,076 and –0,059), WC (-0,844 and -0,795), Hb (-0,069 and -0,074), Ht (-0,112 and -0,161), and uric acid (-0,155 and -0,170) with skin roughness and wrinkle. Other parameters such as HC (0,294 and 0,323), blood glucose (0,141 and 0,058), total body fat mass (0,321 and 0,345), visceral fat (0,234 and 0,203), total subcutaneous fat (0,319 and 0,391), and total muscle mass (0,725 and 0,890) result in a positive coefficient with skin roughness and wrinkle. An increase in BMI, WC, Hb, Ht, and uric acid is associated with better skin roughness and wrinkles while higher hip circumference, total body fat mass, visceral fat, total subcutaneous fat, total muscle mass, and blood sugar may worsen the skin condition. Keywords: Obesity, Blood Sugar, Hemoglobin, Hematocrit, Uric Acid, Skin Roughness, Wrinkles
Hubungan Kadar Vitamin D Dengan Kadar Albumin Pada Kelompok Lanjut Usia di Panti Santa Anna Ernawati Ernawati; Olivia Charissa; Alexander Halim Santoso; Yohanes Firmansyah; Dean Ascha Wijaya; Fernando Nathaniel; William Gilbert Satyanegara; Hans Sugiarto; Jonathan Hadi Warsito; Valentino Gilbert Lumintang; Angel Sharon Suros
Malahayati Nursing Journal Vol 6, No 2 (2024): Volume 6 Nomor 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i2.13123

Abstract

ABSTRACT Low albumin and vitamin D levels in the elderly are often due to factors such as malnutrition, inflammation, and illness. A deficiency in albumin can affect the availability of vitamin D because it binds to albumin. Maintaining normal levels of albumin and vitamin D in the elderly has positive impacts on nutrition, healing, infection prevention, and metabolic function. This cross-sectional study aimed to investigate the relationship between vitamin D levels and albumin levels in the elderly. It was conducted at Santa Anna Elderly Care Home in November 2023. The variables in this study were vitamin D levels and albumin levels. Statistical analysis was performed using the Mann-Whitney test. Out of 47 respondents, the average age was 77.55 years. Mann-Whitney test results indicated no significant relationship between 25-hydroxyvitamin D levels and albumin levels in blood serum (p-value: 0.770). The correlation between these two variables showed a negative correlation, meaning that lower levels of 25-hydroxyvitamin D were associated with higher albumin levels. This is interesting because it contradicts the research hypothesis, suggesting that albumin levels may be influenced by factors outside the variables being studied. The correlation result of 0.044 falls into the category of very weak and cannot be considered a determining variable between two variables. Further analysis using the Mann-Whitney test revealed that there was no significant relationship or difference in mean values between 25-hydroxyvitamin D levels in the hypoalbuminemia and normal groups (p-value: 0.919), and there was no significant relationship or difference in mean values between albumin levels in the vitamin D deficiency and normal groups. Keywords: Albumin, Elderly, Vitamin D  ABSTRAK Albumin dan vitamin D yang rendah pada lanjut usia dapat terjadi karena faktor malnutrisi, inflamasi, dan penyakit. Kekurangan albumin dapat memengaruhi ketersediaan vitamin D, hal ini disebabkan vitamin D terikat pada albumin. Memiliki kadar albumin dan kadar vitamin D yang normal pada lanjut usia berdampak positif pada status nutrisi, penyembuhan, pencegahan infeksi, dan fungsi metabolik. Penelitian potong lintang ini bertujuan mengetahui hubungan kadar vitamin D dengan kadar albumin pada lanjut usia yang dilakukan di Panti Lansia Santa Anna pada November 2023. Variabel dalam penelitian ini adalah kadar vitamin D dan kadar albumin. Analisis statistik menggunakan uji Mann Whitney. Dari 47 responden, rata-rata usia adalah 77,55 tahun. Hasil uji Mann Whitney menyatakan tidak terdapat hubungan yang bermakna antara kadar 25-hidroksi vitamin D dengan kadar albumin dalam serum darah (p-value: 0,770). Hasil korelasi antara kedua variabel tersebut menunjukan korelasi negatif yang berarti semakin rendah kadar 25-hidroksi vitamin D maka akan semakin tinggi kadar albumin. Hal ini cukup menarik dikarenakan berlawanan dengan hipotesis penelitian yang berarti pula sebenarnya kadar albumin disebabkan oleh banyak faktor di luar variabel yang diteliti. Hasil korelasi 0,044 masuk dalam kategori sangat lemah dan tidak dapat diperhitungkan sebagai variabel penentu antara kedua variabel. Hasil analisis lanjutan dengan uji Mann Whitney didapatkan hasil bahwa tidak terdapat hubungan atau perbedaan rerata yang bermakna antara kadar 25-hidroksi vitamin D pada kelompok hipoalbumin maupun kelompok yang normal (p-value: 0,919) serta tidak terdapat hubungan atau perbedaan rerata yang bermakna antara kadar albumin pada kelompok defisiensi vitamin D dan kelompok normal. Kata Kunci: Albumin, Lanjut Usia, Vitamin D
Hubungan Kadar Insulin Puasa dengan Tekanan Darah Pada Kelompok Lanjut Usia: Studi Potong Lintang di Panti Santa Anna Robert Kosasih; Frisca Frisca; Alexander Halim Santoso; Yohanes Firmansyah; William Gilbert Satyanegara; Fernando Nathaniel; Joshua Kurniawan; Friliesa Averina; Daniel Goh; Ribkha Anggeline Hariesti Sitorus; Brian Albert Gaofman
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.13127

Abstract

ABSTRACT Hypertension is one of the most common causes of death in the world. Insulin is a hormone that has been studied for a long time, and hyperinsulinemia is a condition where the body requires large amounts of insulin to achieve normal sugar levels. It was found that hypertensive patients with metabolic syndrome disorders have higher insulin levels with or without obesity which makes it considered as a risk factor. Finding the correlation between fasting insulin and blood pressure in nuring home. Cross-sectional study research on the correlation of fasting insulin levels with blood pressure in the elderly group at Santa Anna Nursing house. Respondents who meet the inclusion criteria will follow a series of data collection according to applicable physical and laboratory examination standards. Statistical analysis using spearman correlation analysis. There were 30 respondents who met the inclusion criteria with an average age of 73 (56 - 88) years, systolic blood pressure (SBP) 120 (105-150) mmHg, diastolic blood pressure (DBP) 70 (55-80) mmHg, and fasting insulin levels 9.45 (5.4-29.5) μIU / ml. the results of the analysis did not find a significant correlation between fasting insulin levels and blood pressure (p-value = 0.590 and 0.898). In this study, it was found that the higher the fasting insulin level, the lower the systolic blood pressure (r-systolic = -0.102). Fasting insulin is one of the tests that can be carried out as an early detection of metabolic disease, especially as a prevention of hypertension. Keywords: Fasting Insulin, Elderly, Blood Presure  ABSTRAK Hipertensi merupakan salah satu penyebab kematian tersering di dunia. Insulin merupakan hormon yang telah dipelajari sejak lama, dan hiperinsulinemia merupakan suatu kondisi dimana tubuh membutuhkan jumlah insulin yang banyak untuk mencapai kadar gula darah yang normal. Ditemukan bahwa pada penderita hipertensi dengan gangguan sindroma metabolik memiliki kadar insulin yang lebih tinggi baik itu dengan atau tanpa obesitas yang membuatnya dipertimbangkan sebagai faktor risiko. Meneliti bagaimana korelasi kadar insulin puasa dengan tekanan darah di panti lansia. Penelitian studi potong lintang mengenai korelasi kadar insulin puasa dengan tekanan darah pada kelompok lanjut usia di Panti Lansia Santa Anna. Responden yang memenuhi kriteria inklusi akan mengikuti rangkaian pengambilan data sesuai standar pemeriksaan fisik dan labotorium yang berlaku. Analisis statistik menggunakan analisis korelasi spearman.  Terdapat 30 responden yang memenuhi kriteria inklusi dengan rerata usia 73 (56 – 88) tahun, tekanan darah sistolik (TDS) 120 (105-150) mmHg, tekanan darah diastolik (TDD) 70 (55-80) mmHg, dan kadar insulin puasa 9,45(5,4-29,5)μIU/ml. hasil analisis tidak didapatkan korelasi yang bermakna antara kadar insulin puasa dengan tekanan darah (p-value= 0,590 dan 0,898). Pada penelitian ini didapatkan semakin tinggi kadar insulin puasa maka akan semakin rendah tekanan darah sistolik (r-sistolik=-0,102). Insulin puasa merupakan salah satu pemeriksaan yang dapat dilakukan sebagai deteksi dini penyakit metabolik, khususnya sebagai pencegahan terhadap hipertensi.   Kata Kunci: Insulin Puasa, Lansia, Tekanan Darah
Co-Authors Adjie, Eko Kristanto Kunta Afladhanti, Putri Mahirah Agnes Marcella Agnes Marcella Agus Hadian Rahim Agustina Ajeng Tias Endarti Akhtar Nawfal Rafif Alda Clarissa Sunaryo Alexander Halim Santoso Alexander Halim Santoso Alexander Halim Santoso Alexander Halim Santoso Alexander Halim Santoso Alexander Halim Santoso Alfred Sutrisno Sim Alicia Herdiman Alicia Sarijuwita Alicia Sarijuwita Alicia Sarijuwita Alicia Sarjuwita Alicia Sarjuwita Alifia, Tosya Putri Alvianto, Fidelia Amelia Setiawati Soebyanto Amelia, Devi Astri Rivera Amimah, Ranindita Maulya Ismah Anastasia Ratnawati Biromo Andi Eka Putra Andi Eka Putra Andini Ghina Syarifah Andria Priyana Andriana Kumala Dewi Angel Sharon Suros Angel Sharon Suros Angelika S, Michelle Angelika, Michelle Anggita Tamaro Anggita Tamaro Anggita Tamaro Anggita Tamaro Anggraeni, Natasha Anna Maria Tri Anggraini Annisa Kharenina Augustine Anthon Eka Prayoga Khoto Aribowo, Aretha Sarah Arni Ismi Fadhila Atzmardina, Zita Averina, Friliesa Ayleen Nathalie Jap Badruddin, Gabriella Hafidha Baroto, Radian Tunjung Bayu Aditya Belinda Angie Belinda Junitia Brahmana, Ririn Efranisa Sembiring Brian Albert Gaofman Brigita Anasthasia Myra Nailulu Bruce Edbert Bryan Anna Wijaya Bryan Anna Wijaya Bryan Anna Wijaya Bryan Anna Wijaya Bryan Wijaya Buntara, Ivan Bustam, Steve Geraldo Catharina Sagita Moniaga Catharina Sagita Moniaga Catharina Sagita Moniaga Catherine Christiana Pranata Cendi, Sylvia Chalishah Shifa Martiana Chandra, Cindy Christella Charissa, Olivia Charity Harlim Chau, Welhan Chesia Angelina Chesia Angelina Chrismerry Song Christiani, Lidya Chua, Jimmy Cindy Christella Chandra Clarissa Hartawan Clarissa Sunaryo , Alda Daniel Goh Daniel Goh Daniel Ruslim Darren Gosal Darren Gosal Darren Gosal Darren Gosal Dean Ascha Wijaya Dean Ascha Wijaya Dean Ascha Wijaya Destra, Edwin Dewi, Andriana Kumala Dewi, Andriana Kumawa Dian Emiria Tunggadewi Diana Dinali Dinali, Diana Dinata, Freddy Djulia Djulia Donatila Mano S Donatila Mano S Drew, Clement Dzakwan, Muhammad Fikri E Ernawati Edbert, Bruce Edwin Destra Edwin Destra Edwin Destra Edwin Destra Edwin Destra Edwin Destra Edwin Destra Edwin DESTRA Edwin Destra Edwin Destra Eko Kristanto Kunta Adjie Elfrida Ratnawati Elizabeth, Jessica Emilda, Emilda Erdiana, Grace Eric Hartono Erik Sidharta Ernawati Ernawati . Ernawati Ernawati Ernawati Ernawati Ernawati Ernawati Ernawati Ernawati Ernawati Su Eva Julita Evi Evi Fajarivaldi, Kresna Bambang Farell Christian Farell Christian Gunaidi Farell Christian Gunaidi Farell Christian Gunaidi Farhan Pratomo Febriastuti, Abebi Fendy Wellen Fendy Wellen Fendy Wellen Fernando Nathaniel Fernando Nathaniel Fernando Nathaniel Fernando Nathaniel Fidelia Alvianto Fidelis Samudra Kadang Fiona Valencia Setiawan Fiona Valencia Setiawan Fiona Valencia Setiawan Fladys Jashinta Mashadi Fransisca I. R. Dewi Fransisca Iriani R Dewi Friliesa Averina Friliesa Averina Frisca Frisca Frisca Frisca Frisca Frisca Gabriella Hafidha Badruddin Gaofman, Brian Albert Geoffrey Christian Lo Geoffrey Christian Lo Ghina, Andini Gilda, Gilda Ginting, Desi Natalia Giovanno Sebastian Yogie Giovanno Sebastian Yogie Giovanno Sebastian Yogie Goh, Daniel Gosal, Darren GRACE SHALMONT, GRACE Gracieene Gracienne Gracienne Gracienne Gracienne Gracienne Gracienne Gunaidi, Farell Christian Gunawan Widjaja Halim Santoso Halim Santoso, Alexander Hamzah Hamzah Handar Subhandi Bakhtiar Handayanti, Luthfi Hanna Wijaya Hanna Wijaya Hanna Wijaya Hanna Wijaya Hanna Wijaya Hanna Wijaya Hanna Wijaya Hanna Wijaya Hans Sugiarto Hardjanto, Kevin Shen Angga Hari Sutanto, Hari Hariesti, Ribka Anggeline Harjono, Johan Lucas Hartono, Vincent Aditya Budi Haryanto, Imam Hawari, Irawati Heiddy Chandra Sumampouw Heiddy Chandra Sumampouw Hendry Agustian Hendry Agustian Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun Hendsun, Hendsun Herdiman, Alicia Hernani, Anggit Hetty Karunia Tanjungsari Hidayat, Fadil Ida Ayu Putu Sri Widnyani Imam Hartanto Imam Haryanto Irawaty Hawari Irawaty Hawari Irene Dorthy Santoso Irene Setiawan Irvan Baharits Al Basith Jap, Ayleen Nathalie Jasmine Syabania Noviantri Jasmine Syabania Noviantri Jaya, I Made Satya Pramana Jeffrey ., Jeffrey Jeffry Luwito Jeffry Luwito Jeffry Luwito Jessica Elizabeth Jessica Elizabeth Jessica Elizabeth Jessica Elizabeth Jessica Elizabeth Jessica Elizabeth Jessica Nadia Dinda Jimmy Chua Jonathan Hadi Warsito Joshua Kurniawan Joshua Kurniawan Joshua Kurniawan Joshua Kurniawan Junius Kurniawan Juvenius Martin Kartika, Ronald Kartika, Ronald Winardi Kasvana Kasvana Kasvana Kasvana Kharenina Augustine, Annisa Khoto, Anthon Eka Prayoga Kosasih, Robert Kresna Bambang Kurniawan, Joshua Kurniawan, Junius Kusrini, Henni Lidya Christiani Lie, Jason Gunawan Liesia Asiku Linda Julianti W. Linda Yulianti W Linginda Soebrata Lo, Geoffrey Christian Lontoh, Susy Olivia Louise Audrey Louise Audrey Sukianto Lucius, Steven Hizkia Lumintang, Valentino Gilbert Mahaputera, Pramadio Mandalika, Astin Marendra Shinery Kartolo Margaretha Pramesti Utar Martin, Alfianto Maryani, Luh Putu Endyah Santi Mashadi, Fladys Jashinta Mei Ie Melian Anita Meliyana Meliyana, Meliyana Melkior Michael Fransisco Michael Michael Michelle Angelika S Michelle Angelika S Michelle Angelika S Michelle Angelika S Michelle Angelika S Michelle Angelika S Michelle Angelika S Michelle Angelika S Michelle Angelika S Moniaga, Catharina Sagita Muhamad Rizki Nanda F Muhamad Rizki Nanda F Muhammad Ali Hanafiah Selian Muhammad Fikri Dzakwan Muhammad Kevin Dava Pratama Murni L Naibaho Murni L Naibaho Muslichah Muslichah Nancy Suwarna Nanda Lessi Hafni Eka Putri Natasha Anggraeni Natasha Fiorentina Kusumawati Nathaniel, Fernandho Nathaniel, Fernando Naufal Rayhan Nicholas Setia Nicole Nastassja Kurniawan Nimas Berlian Betta Chantika Noer Saelan Tadjudin Noer Saelan Tadjudin Noer Saelan Tadjudin Noer Saelan Tadjudin Normala, Ajeng Novendy, Novendy Novia, Elizabeth Nur Asniati Djaali Olivia Charissa Olivia Paulus Paskalis Andrew Gunawan Pasuarja Jeranding Ezra Pasuarja Jeranding Ezra Pati, Vanessa Irenea Peter Ian Limas Prawiro, Evy Luciana Pujiono, Sheryn Purnomo, Yonathan Adi Purwadhi Purwadhi Putra, Muhammad Dzakwan Dwi Putri Bennya Aisyah Putri Mahirah Afladhanti R Dewi, Fransisca Iriani RA Rengganis Ularan Raharjo, Budiarjo Notonagoro Ramadhanty, Prajnya Kamila Ravenska Theodora Ravenska Theodora Ravenska Theodora Rayhan, Naufal Refael Alfa Budiman Rendy Singgih Rendy Singgih Ribka Anggeline Hariesti Ribkha Anggeline Hariesti Sitorus Robert Kosasih Robert Kosasih Robert Kosasih Rudi Rudi Ruslim, Daniel Ruslim, Welly Hartono S, Michelle Angelika S., Michelle Angelika Samara, Trisha Samuel Halim Santoso, alex Santoso, Alexander Santoso, Alexander Halim Saputra, Rio Sari Mariyati Dewi Nataprawira Sari Mariyati Dewi Nataprawira Sari Mariyati Dewi Nataprawira Sari, Anna Rahmania Satyanagara, William Gilbert Satyanegara, William Gilbert Satyo, Yovian Timothy Septrisya, Shiera Setia, Nicholas Setiawan, Fiona Valencia Setiawan, Hardianto Setiyati, Pinka Nurashri Setyati, Pinka Nurashri Shafira, Ellyta Shelma Tria Amanda Shirly Gunawan Shirly Gunawan Shirly Gunawan Singgih, Rendy Siufui Hendrawan Siufui Hendrawan Sjaiful Bachri Slamet Tri Wahyudi Soebrata, Linginda Soni, Yulfitra Sony Sugiharto St. Laksanto Utomo Stanislas Kotska Marvel Mayello Teguh Stanley Surya Cahyadi Stanley Surya Cahyadi Stefanus Gardino Stefanus Gardino Setyo D Stephanie Amadea Steve Geraldo Bustam Steve Vallery Ranonto Su, Ernawati Subhan Yudihart Sugiharto, Hans Sukmawati Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sukmawati Tansil Tan Sung Chian Suros, Angel Sharon Susi Olivia Lontoh Susy Olivia Lontoh Susy Olivia Lontoh Sutedja, Gina Triana Sutjipto, Fiolita Indranita Syachputri, Rifi Nathaznya Syarifah, Andini Ghina Sylvana, Yana Tambunan, Nicholas Albert Tan, Sukmawati T Tan, Sukmawati Tansil Teguh, Stanislas Teguh, Stanislas Kotska Marvel Mayello Tenty, Tenty Tiffany Valeri Alexandra Triyana Sari Tubagus Andri Purnama Tubagus Andri Purnama Twidy Tracisia Valentino Gilbert Lumintang Valentino Gilbert Lumintang Valeria Saputra Valeria Saputra Velika Elaine Kangnata Vincent Aditya Budi Hartono Vini Claudya Agustine Rajagukguk Vini Claudya Agustine Rajagukguk Vonny Veronica Jap Warsito, Jonathan Hadi Wellen, Fendy Welly Hartono Ruslim Widjaya, Inge Friska Wijaya, Bryan Wijaya, Bryan Anna Wijaya, Christian Wijaya, Dean Ascha Wijaya, Hanna Wijayadi, Linda Julianti William Gilbert Satyanegara William Gilbert Satyanegara William Gilbert Satyanegara William Gilbert Satyanegara William Gilbert Setyanegara William Gilbert Setyanegara William Gilbert Setyanegara Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yana Sylvana Yogie, Giovanno Sebastian Yovian Timothy Satyo Yudhitiara, Novia Yurike Indah Pratiwi Yurike Indah Pratiwi Zita Atzmardina