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All Journal Jurnal Dunia Kesmas Sanus Medical Journal
Bambang Sutrisna
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Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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PENGARUH KEJADIAN REAKSI TERHADAP PROGNOSIS KECACATAN PADA PASIEN KUSTA: STUDI KOHORT RETROSPEKTIF DI KOTA TANGERANG SELATAN Isti’anah Surury; Bambang Sutrisna
JURNAL DUNIA KESMAS Vol 7, No 3 (2018): Volume 7 Nomor 3
Publisher : Fakultas Kesehatan Masyarakat Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v7i3.511

Abstract

Tingginya angka kasus baru yang ditemukan dari tahun ke tahun, meningkatkan risiko kecacatan pada pasien kusta. Proporsi kecacatan tingkat 2 di Provinsi Banten sebesar 10,57%. Kota Tangerang Selatan merupakan wilayah tertinggi ke-5 dengan penemuan kasus baru lebih dari 400 orang. Tujuan penelitian diketahui pengaruh kejadian reaksi terhadap kondisi cacat akhir pada penderita kusta di Kota Tangerang Selatan setelah dikontrol variabel usia, jenis kelamin, tipe kusta, cacat awal dan status akhir pengobatan 2008-2015. Desain studi kohort retrospektif dinamik mengggunakan 418 data kohort pasien kusta di 25 puskesmas wilayah Kota Tangerang Selatan 2008- 2015. Data diambil secara total sampling dan proses penelitian dilakukan selama Maret– Juli 2016 dengan menggunakan analisis cox regression. Studi menemukan mayoritas pasien kusta yang teregister adalah laki-laki (60,05%) dengan dominasi bertipe kusta basah (MB) 89%. Kejadian reaksi terbukti bermakna secara statistik pengaruhnya pada kondisi cacat akhir pasien selama proses pengobatan multidrugs therapy (MDT) setelah dikontrol variabel tipe kusta, kondisi cacat awal, status akhir dan kategori umur dengan HR sebesar 2,43 (95% CI:1.04-5.79). Reaksi dan cacat (tipe MB) dengan memberikan layanan konseling oleh psikolog atau memantau kondisi pasien setiap datang mengambil obat. Serta perlunya pencatatan dan dokumentasi register kohort secara rutin serta akurat dan lengkap di dinas kesehatan dan puskesmas-puskesmas wilayah kerja Kota Tangerang Selatan
Comparing Clock Test for Cognitive Screening: Quantitative Analysis of Five Scoring Methods – What Is Optimal? Gea Pandhita; Bambang Sutrisna; Samekto Wibowo
Sanus Medical Journal Vol. 1 No. 1 (2020)
Publisher : Universitas Muhammadiyah Prof. Dr. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/sanus.v1i1.5302

Abstract

Objectives: The clock drawing test (CDT) is a widely used cognitive screening tool that has been well accepted. However, it is still questionable which scoring system is the best. We assessed the correlation of five common scoring methods of the CDT with Mini Mental State Examination (MMSE), and intercorrelations between each different scoring system. Methods: CDT scores of different scoring systems from participants from the geriatric club in Pondok Kopi Jakarta Islamic Hospital, were compared. The CDT was scored according to the methods of Rouleau, Babins, Mendez, Lin, and Shulman. Correlation coefficients between the five scoring methods of the CDT with MMSE were calculated, as well as the intercorrelations between each different scoring system. Results: The study sample consisted of 106 non-demented subjects, aged between 60 and 77 years. The five scoring methods of the CDT correlated significantly with MMSE, but correlation coefficients were moderate (r = 0.43 to r = 0.46). The highest was Lin's method (r = 0.46). Especially, correlation coefficients between the five scoring methods of the CDT with MMSE attention domain were higher (r = 0.42 to r = 0.52). The intercorrelations between each different scoring system were high (r = 0.87 to r = 0.99). The correlation coefficients between Rouleau's method with Mendez's method was the highest (r = 0.99). Conclusions: The correlation of five common scoring methods of the CDT with MMSE were moderate positive. The CDT scored according to the method of Lin was the highest. The intercorrelations between each different scoring system were high.
Co-Authors Gea Pandhita Isti’anah Surury Samekto Wibowo