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Survival Rate of Hepatocellular Carcinoma Patients with Varying Individual Characteristics: A Retrospective Cohort Study Mardhiyah, Imalatul; Masrizal, Masrizal; Pradipta, Yudi; Novirsa, Randy; Soko, Wilson
JIK-JURNAL ILMU KESEHATAN Vol 9, No 2 (2025): JIK-OKTOBER VOLUME 9 NOMOR 2 TAHUN 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i2.1408

Abstract

Background: There is a continuous demand for an integrated survival analysis that takes into account clinical biomarkers and socio-demographic factors in Hepatocellular carcinoma (HCC) patients from Southeast Asia. This study figured out the mortality predictors that were independent of HCC patients at a major tertiary referral center in Indonesia.Methods: This retrospective cohort study looked into 123 HCC patients who were admitted to Dr. M. Djamil General Hospital, Padang (2018-2023). These patients were selected by simple random sampling. Survival analysis was conducted using Kaplan-Meier curves, log-rank tests, and multivariate Cox regression.Results: Median survival was 284 days with mortality at 24.4%. Univariate analysis showed that albumin <3.5 g/dL (HR=7.67, p=0.045), AFP ≥20 ng/mL (HR=2.16, p=0.044), age ≥59 years (HR=2.38, p=0.018), and obesity (HR=3.43, p=0.013) were significantly associated factors. Multivariate Cox regression indicated that AFP level was the leading factor (adjusted HR=3.94, 95%CI: 1.67-9.33, p=0.002), followed by age ≥59 years (adjusted HR=3.52, p=0.002) and education (adjusted HR=0.36, p=0.014).Conclusions: AFP level, old age, and education were the independent factors of HCC deaths in Central Sumatra. Besides, the conjunction of clinical and socio-demographic factors may be utilized for prognostic risk stratification to pinpoint the most at-risk groups and hence direct the targeted interventions that are most compatible with resource-limited settings predominately HBV-related HCC.
Variation and Predictors of COVID-19 Mortality in Hospitalized Cases in West Sumatra Province, Indonesia: A Retrospective Observational Study Djafri, Defriman; Putri, Ade Suzana Eka; Pradipta, Yudi
Kesmas Vol. 19, No. 3
Publisher : UI Scholars Hub

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

Abstract

During 2020, the year of the COVID-19 pandemic, different Indonesian provinces had different numbers of COVID-19 infections and fatalities, particularly in West Sumatra Province. This study aimed to investigate the variation of confirmed COVID-19 cases and determine predictors of mortality in hospitalized patients across districts in West Sumatra Province. A retrospective observational study was conducted during the COVID-19 pandemic. From March 2020 to June 2021, 46,005 confirmed cases were collected in the province, of which 42,308 were hospitalized and analyzed. Confirmed cases and deaths were compared by geographic location using spatial analysis. The risk predictors of death were estimated using logistic regression. COVID-19 incidence and mortality varied across cities/districts, with less than 1,000 confirmed cases appearing to be the lowest number. A distinct pattern was visible nonetheless when the incidence density of confirmed cases and deaths was higher. Acute respiratory distress syndrome during the COVID-19 treatment had a higher risk of death (OR = 75.2, 95% CI: 25.6–250). The most significant predictors of death in terms of comorbidity were pneumonia, followed by cancer, chronic obstructive pulmonary disease, diabetes, cardiac disease, and hypertension.
Analysis of Supporting and Inhibiting Factors for Smoking Cessation Among The Totok Rokok Patients in Padang Panjang City Novnariza, Elsi; Hidayat, Ahmad; Chalida Nur, Nadia; Irfa Zadzkia, Shelsa; Andri Yani, Gita; Pradipta, Yudi
Jurnal Kesehatan Saintika Meditory Vol 6, No 1 (2023): Mei 2023
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v6i1.1886

Abstract

Smoking is one of preventable non-communicable diseases (NCDs) risk factors. Indonesia as the third largest number of smokers country in the world have the percentage of smokers (aged 15+ years) around 32% in 2018. The Padang Panjang City Government have commitment to solve the problem by issued a Regional Regulation regarding Smoke-Free Areas and Cigarette Order Areas No. 8 of 2009. The Padang Panjang City Government also provided ‘totok rokok’ service that available in all public health centers. This program help the smokers to improve their intention to quit smoking until succeed, but many patients also have failed or drop out. We conducted qualitative study with in-depth interview in five public health centers in Padang Panjang City. Participants in this study consist of patients of Totok Rokok Program in public health centers. Data were analyzed by triangulation. There were several factors that influence a smoker to quit smoking. The belief of patient’s susceptibility to have severe disease due to smoking, the belief that smoking can cause comorbidities which will eventually end in death, self-awareness that quit smoking can affect his health and his family as well as his own economy, and lack of motivation for quit smoking. The obstacles in achieving the goal of smokers to stop smoking such as self-inconsistent factors in undergoing therapy and environmental factors such as smoker friends that make patients failed after program.  Self factors that indicates a lack of self-motivation in decision to quit smoking, also smoker friends contributing in inconsistency of totok rokok program’s outcome. It is necessary to strengthening monitoring during and after totok rokok program in order to maintain patient’s motivation and control the smoking temptation from theirself and other smoker friends.Keywords : Totok Rokok ; Smoking; Cessation; Program
Faktor yang Mempengaruhi Ibu Hamil Dalam Kunjungan Antenatal Care: Systematic Review and Meta-Analysis Putri, Aulia; Rahmadini, Athifa; Wiliandari, Anggia; Pradipta, Yudi; Mayori, Aurelia
JIK-JURNAL ILMU KESEHATAN Vol 8, No 1 (2024): JIK-April Volume 8 Nomor 1 Tahun 2024
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v8i1.1070

Abstract

Salah satu agenda utama SDGs adalah menurunkan angka kematian ibu dan kematian Bayi. Pemeriksaan antenatal yang berkualitas dan teratur selama kehamilan akan menentukan status kesehatan ibu hamil dan bayi yang dilahirkan. Tingginya AKI di Indonesia terutama disebabkan faktor ”Tiga terlambat” dan ”Empat terlalu”. Penyebab AKI di Indonesia bervariasi, antara lain: pendarahan pascapersalinan, infeksi nifas, dan komplikasi kehamilan. Angka Kematian Ibu (AKI) didunia berkisar diangka 303 per 100.000 kelahiran hidup dan Angka Kematian Bayi (AKB) didunia sebesar 41 per 100.000 kelahiran hidup (WHO, 2019). Hasil Long Form SP2020 menunjukkan Angka Kematian Ibu di Indonesia sebesar 189 yang artinya terdapat 189 kematian perempuan pada saat hamil, saat melahirkan atau masa nifas per 100.000 kelahiran hidup. Jika dibandingkan dengan Data Angka Kematian Ibu (AKI) Dinas Kesehatan Kabupaten Lima Puluh Kota tahun 2022 sebanyak 11 kasus dari 5.350 kelahiran hidup (205,6/100.000 KH), artinya terdapat 205-206 ibu meninggal dalam 100.000 jumlah kelahiran hidup, maka angka kematian ibu di Kabupaten Lima Puluh Kota Jauh lebih tinggi. Penelitian ini menggunakan systematic literature review dengan menggunakan metode PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) melalui empat tahap, yaitu identifikasi, skrining, kelayakan dan hasil yang diterima. Penelitian bertujuan untuk menganalisi faktor-faktor yang mempengaruhi ibu hamil dalam kunjungan antenatal care yang dapat guna mengurangi angkat kematian ibu dan bayi. Penelusuran literatur dilakukan dengan cara mengakses database elektronik secara online dari Pubmed dan Google Scholar dengan melihat waktu publikasi dengan rentangan tahun 2019-2024. Framework yang digunakan adalah PICO. Berdasarkan 8 artikel yang telah di analisis, menunjukan bahwa ada hubungan tingkat pengetahuan ibu hamil, dukungan suami, aksebilitas pelayanan K4, paparan dan Media Informasi dengan kepatuhan melakukan Antenatal Care (ANC). Dari hasil analisis Systematic review dan meta analisis terdapat 8 artikel nasional maupun internasional didapatkan faktor yang mempengaruhi pemeriksaan Antenatal Care yaitu sebab kurangnya pengetahuan Ibu, sikap atau persepsi ibu, dan dukungan suami. Namun hubungan pekerjaan ibu tidak ada kaitannya. Seseorang akan sadar manfaat dan patuh dalam pengetahuan pemeriksaan kehamilan akan memberikan perilaku kesehatan yang baik.
UPAYA PENCEGAHAN PENYAKIT MENULAR MELALUI EDUKASI DAN TINDAKAN PREVENTIF BERBASIS MEDIA FLASH CARD GAME PADA SISWA SDN 04 GAUNG PADANG Masrizal, Masrizal; Perwati, Ane Dayu; Pradipta, Yudi; Fauzi, Falah
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 7 No. 4 (2024)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v7i4.719

Abstract

State Elementary School (SDN) 04 Gaung in Padang City is within the working area of the Mata Air Community Health Center, which has a high record of infectious disease cases among children, such as diarrhea and dengue fever (DF). The school environment faces sanitation challenges, with open drains and standing water during rainfall, which increase the risk of disease transmission. This activity aims to enhance students' understanding of infectious disease prevention through education using flash card game media. The program employed a pre-test and post-test design, involving 19 students from grades 4 and 5. The intervention consisted of education using flash card games containing information about Clean and Healthy Living Practices (PHBS). Data were analyzed using the Wilcoxon test to measure changes in knowledge, attitudes, and behaviors before and after the intervention. There was a significant improvement in all measured variables: knowledge (p=0.000) with an average increase from 3.16 to 6.84, attitude (p=0.034) from 6.32 to 6.68, and behavior (p=0.003) from 4.58 to 5.58. The majority of participants were female (63.2%) and 10 years old (52.6%). Education through flash card games proved effective in increasing knowledge, attitudes, and behaviors of SDN 04 Gaung students regarding infectious disease prevention. This interactive learning method successfully created a fun and informative learning environment for students.