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All Journal Journal Of Widya Medika Junior Dynamic Management Journal International Journal of Public Health Excellence (IJPHE) Madani: Multidisciplinary Scientific Journal CandraRupa: Journal of Art, Design, and Media
Alexander, Devin
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SEPTIC ARTHRITIS AFTER TOTAL KNEE REPLACEMENT IN GERIATRICS PATIENT, THE IMPORTANT OF PERIOPERATIVE CARE Jaya, Kris; Alexander, Devin; Rianto, Louis
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 3, No 4 (2021): October
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v3i4.3508

Abstract

Introduction: The geriatric population are the fastest growing segment around the world. The prevalence of multiple comorbidities in geriatric patients requiring special perioperative care. Perioperative management must be done properly, considering that surgical complications on geriatric can cause multiple comorbidities. There are many complications that often occur in geriatrics, one of which is infection.Case report: A 77-year-old man complained about pain on his right knee 1 – 2 weeks after doing TKR procedure. The pain accompanied with fever, swollen, and redness. Physical examination showed elevated blood pressure (140/90), Fever (37,4oC), obesity grade I (BMI 27.4 kg/m2), swollen and redness on his right knee, pain on palpation with VAS 5, edema (+). Barthel index ADL showed mild dependency, FRAIL score 3, qSOFA score 0. Laboratory result showed elevated leukocyte 14.900/µl.Conclusion: Geriatric patients are very vulnerable to the risks of surgery, one of which is septic arthritis. So that a good perioperative evaluation can reduce complications, comorbidities and decreased functional status
Fat Emboli with Thrombocytopenia in A Patient Undergoing Operation for A 1/3 Medial Humerus Oblique Fracture Ardianto, Son; Alexander, Devin; Wahono, Budi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.780

Abstract

Fat embolism is a clinical syndrome characterized by the systemic spread of fat emboli which often occurs due to fractures in long bones. We report a 29 year old man with a diagnosis of a fracture of the medial third of the right humerus accompanied by thrombocytopenia which could be one of the clinical manifestations of pulmonary embolism. A 29 year old man came to the emergency room at RAA Soewondo Pati Regional Hospital with complaints of pain in his right hand 2 hours before entering the hospital. The patient felt pain after falling and slipping at home. Physical examination revealed tachycardia and tachypnea. Humeral x-ray revealed discontinuity in the medial 1/3 of the right humerus. The patient then underwent treatment for the fracture and the day after a routine blood test was carried out. Routine blood tests revealed thrombocytopenia.Fat embolism is a dangerous complication of long bone fractures. Often this fat embolism is not recognized until the patient shows symptoms in several systems, especially the respiratory system such as respiratory distress and neurological system disorders ranging from motor disorders to seizures. Apart from that, fat embolism can also disrupt the coagulation system so that thrombocytopenia can occur. In this patient there was tachypnea and thrombocytopenia which could be early symptoms of fat embolism. Fat embolism is a complication of long bone fractures that is rare but dangerous if not properly recognized. Immediate management of fractures and collaboration with anesthesiologists and internists are important to prevent fat embolism.
Vitamin K Supplementation for Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review Liora, Kevin; Wiyono, Putri Dhiya Prameswari; Putra, Ananda; Alexander, Devin; Ramadhan, Afif; Oktavia, Anissya Rima; Larissa, Olivia; Nugroho, Fajar Prianto; Tjahyanto, Teddy
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.919

Abstract

This study was conducted to analyze the hSIL of Vitamin K Supplementation in Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review. Cardiovascular disease (CVD) is the leading source of morbidity and mortality worldwide, and chronic kidney disease (CKD) is a major contributor to this matter. Kidney disease is estimated to affect over 850 million people worldwide. The present systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We searched studies from electronic databases (PubMed Central, ScienceDirect, PLoS One, Google Scholar, Nature). Studies were considered eligible if they met the following criteria : (1) the study is a randomized controlled trial (RCT), (2) the study was published in the last 5 years (2018– 2022), (3) the study participants were adult patients with kidney disease from stage III to end-stage who were given vitamin K supplementation, (4) the study reported coronary artery calcium scores pre- and post- vitamin K supplementation, (5) the study was published in English. Risk of bias of each study was evaluated using Cochrane Risk of Bias (RoB) 2 tool. Data were descriptively examined and narratively reported. In conclusion, our results do not suggest that vitamin K supplementation may affect vascular calcification as measured by the CAC score. Up till now there is no treatment to reverse vascular calcification in ESKD patients. The current clinical practice should focus on prevention and retardation of its progression.
THE INFLUENCE OF WORKLOAD AND WORKING ENVIRONMENT ON JOB STRESS IN MSME EMPLOYEES IN PALEMBANG kwanto, ivan; alexander, devin; darmawan, dicky
Dynamic Management Journal Vol 8, No 1 (2024): January
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/dmj.v8i1.10339

Abstract

The aim of the writing that I will write is to see wheter there is a relationship between workload variables and the work environment on employee work stress for MSME employees in the Palembang area. In this writing technique, purpusov sampling technique was used which used 89 respondents as sample samples and this data analysis technique used a simple linear regression analysis technique. This technique aims to gain an understanding that is used to see wheter there is a relationship between workload and work environment variables on work stress among MSME employees in Palembang. In this writing we will use hyphothesis testing, namely the T test and the results obtained from this writing are that workload has a significant influence on the work stress of MSME employees in Palembang but the work environment does not have a positive influence on the work stress of MSME employees in Palembang 
Pengaruh Motivasi Kerja, Pelatihan Terhadap Kinerja Karyawan Alexander, Devin; Kwanto, Ivan; Kheng, Bryan Kaymanage; Wijaya, Rizky; Saputra, Dhaniel Whizztyo
Madani: Jurnal Ilmiah Multidisiplin Vol 1, No 12 (2024): Madani, Vol. 1 No. 12 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

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

Abstract

Penelitian ini bertujuan untuk menginvestigasi dampak motivasi kerja, pelatihan, terhadap kinerja karyawan dalam sebuahorganisasi.Penelitian ini menggunakan pendekatan kuantitatif dengan mengumpulkan data dari karyawan yang bekerja di berbagai departemen perusahaan. Hasil analisis data menunjukkan bahwa motivasi kerja,pelatihan, memiliki pengaruh positif dan signifikan terhadap kinerja karyawan. Motivasi kerja yang tinggi mendorong karyawan untuk bekerja dengan lebih giat dan berdedikasi, sementara pelatihan memberikan pengetahuan dan keterampilan yang diperlukan untuk menjalankan tugas mereka dengan lebih efisien. Penelitian ini menyimpulkan bahwa perusahaan harus memperhatikan faktor-faktor motivasi kerja, pelatihan sebagai strategi untuk meningkatkan prestasi. Dengan memperkuat motivasi, memberikan pelatihan yang relevan, dan mengakui prestasi karyawan. Implikasi manajerial dari penelitian ini adalah pentingnya mengembangkan program motivasi dan pelatihan yang efektif, serta mempertimbangkan insentif penghargaan sebagai bagian dari strategi manajemen Sdm
Pengaruh Motivasi Kerja, Pelatihan Terhadap Kinerja Karyawan Alexander, Devin; Kwanto, Ivan; Kheng, Bryan Kaymanage; Wijaya, Rizky; Saputra, Dhaniel Whizztyo
Madani: Jurnal Ilmiah Multidisiplin Vol 1, No 12 (2024): Madani, Vol. 1 No. 12 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

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

Abstract

Penelitian ini bertujuan untuk menginvestigasi dampak motivasi kerja, pelatihan, terhadap kinerja karyawan dalam sebuahorganisasi.Penelitian ini menggunakan pendekatan kuantitatif dengan mengumpulkan data dari karyawan yang bekerja di berbagai departemen perusahaan. Hasil analisis data menunjukkan bahwa motivasi kerja,pelatihan, memiliki pengaruh positif dan signifikan terhadap kinerja karyawan. Motivasi kerja yang tinggi mendorong karyawan untuk bekerja dengan lebih giat dan berdedikasi, sementara pelatihan memberikan pengetahuan dan keterampilan yang diperlukan untuk menjalankan tugas mereka dengan lebih efisien. Penelitian ini menyimpulkan bahwa perusahaan harus memperhatikan faktor-faktor motivasi kerja, pelatihan sebagai strategi untuk meningkatkan prestasi. Dengan memperkuat motivasi, memberikan pelatihan yang relevan, dan mengakui prestasi karyawan. Implikasi manajerial dari penelitian ini adalah pentingnya mengembangkan program motivasi dan pelatihan yang efektif, serta mempertimbangkan insentif penghargaan sebagai bagian dari strategi manajemen Sdm
Pengaruh Beban Kerja dan Lingkungan Kerja Terhadap Turnover Karyawan Gen Z di Palembang Kheng, Bryan Kaymanage; Alexander, Devin; Wijaya, Rizky
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 1 (2024): Madani, Vol. 2, No. 1 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.10473976

Abstract

Penelitian ini bertujuan untuk menggunakan pendekatan kuantitatif terhadap fenomena Pengaruh Beban Kerja dan Lingkungan Kerja Terhadap Turnover Karyawan Gen Z Di Palembang. Target yang di teliti dalampenelitian ini adalah para karyawan yang bekerja UMKM di Palembang. Metode pengambilan sampel yang dipilih untuk penelitian ini, dan disarankan agar jumlah sampel setidaknya lima kali lebih besar dari jumlah item kuesioner di sebut dengan purposive sampling. Data yang di gunakan adalah data primer dan data sekunder. Teknik analisis data yang akan di gunakan yaitu uji validitas, uji reliabilitas, uji asumsi klasik, uji analisis regresi linier berganda, pengujian hipotesis menggunakan software SPSS dan koefisien determinasi. Hasil pengujian ini menyatakan bahwa Beban Kerja , berpengaruh negative dan Lingkungan Kerja tidak berpengaruh terhadap turnover. Karyawan Gen Z di kota Palembang.
Pengaruh Motivasi Kerja dan Kompensasi Kerja Berpengaruh Terhadap Kinerja Karyawan Pada UMKM di Kota Palembang Wijaya, Rizky; Alexander, Devin; Kheng, Bryan Kaymanage
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 1 (2024): Madani, Vol. 2, No. 1 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.10492870

Abstract

Penelian ini bertujuan  dalam melakukan pengujian pengaruh motivasi kerja serta kompensasi kerja terhadap sebuah kinerja dari karyawan pada UMKM yang ada dikota Palembang. Jenis penelitian yang dipakai ialah penelitian kuantitatif. Penelitian ini menggunakan metode sampling purposive, untuk mengambil sempel dengan menyebarkan angket google form. Jumlah responden adalah 100 sampel dan Penggunaan analisis regresi linier berganda sederhana. Teknik ini memiliki tujuan untuk mendapatkan pemahaman yang digunakan untuk melihat adakah pengaruh dari motivasi kerja serta kompensasi kerja terhadap kinerja dari karyawan pada UMKM yang ada dikota Palembang. Pada hasil dari analisis yang memakai SPSS dengan versi 26 menurut hasil dari analisis data terhadap Pengujian t, dengan ini dapat ditarik kesimpulan bahwasannya: Motivasi kerja mempunyai pengaruh  yang positif serta signifikan terkaitd dengan kinerja karyawan UMKM pada kota Palembang, tetapi Kompensasi kerja tidak mempunyai pengaruh secara signifikan terkait dengan kinerja karyawan terhadap UMKM pada kota Palembang.
Pengaruh Pencahayaan di Kamar Kos Wisma Serasi Terhadap Perilaku Penghuni Alexander, Devin; Darmayanti, Tessa Eka
CandraRupa : Journal of Art, Design, and Media Vol. 3 No. 2 (2024): Vol.3 No.2, October (2024)
Publisher : Universitas Dinamika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37802/candrarupa.v3i2.703

Abstract

Pencahayaan berfungsi sebagai penerangan saat berada di dalam bangunan, baik itu kantor, sekolah, ataupun rumah. Jika tidak ada pencahayaan, ruangan menjadi redup ketika siang hari dan gelap ketika malam hari. Hal ini tentu dapat menyulitkan seseorang ketika melakukan aktivitas seperti membaca, bekerja atau bahkan saat berjalan di dalam ruangan. Maka dari itu, pencahayaan merupakan salah satu faktor penting yang akan mempengaruhi kenyamanan bagi penghuni dalam melakukan aktivitas ketika sedang berada di dalam ruangan tersebut. Aktivitas tersebut meliputi membaca, menulis, memasak, dan lain sebagainya. Pencahayaan merupakan elemen desain yang penting, yang dapat membuat ruangan menjadi liveable atau nampak hidup. Tujuan penelitian ini adalah mengetahui pengaruh faktor pencahayaan terhadap perilaku atau aktivitas penghuni kamar kos, meningkatkan kenyaman, menjaga kesehatan, serta meningkatkan efisiensi penggunaan energi. Metode penelitian yang digunakan dalam penelitian ini adalah metode kualitatif, dengan pengumpulan data melalui wawancara kepada penghuni kamar kos serta melakukan survei secara langsung. Hasil dari penelitian ini adalah ditemukannya solusi dari permasalahan pada kamar kos, yaitu dengan menyarankan penghuni untuk menggunakan tirai dengan jenis vertical blind untuk mengontrol cahaya, menjaga privasi, menjaga temperatur ruangan, serta tersedia berbagai desain dan warna. Alternatif berikutnya, yaitu dengan mengatur ulang layout atau letak furniture sehingga sinar matahari tidak mengarah langsung dan membuat kondisi kamar lebih nyaman.
Fat Emboli with Thrombocytopenia in A Patient Undergoing Operation for A 1/3 Medial Humerus Oblique Fracture Ardianto, Son; Alexander, Devin; Wahono, Budi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.780

Abstract

Fat embolism is a clinical syndrome characterized by the systemic spread of fat emboli which often occurs due to fractures in long bones. We report a 29 year old man with a diagnosis of a fracture of the medial third of the right humerus accompanied by thrombocytopenia which could be one of the clinical manifestations of pulmonary embolism. A 29 year old man came to the emergency room at RAA Soewondo Pati Regional Hospital with complaints of pain in his right hand 2 hours before entering the hospital. The patient felt pain after falling and slipping at home. Physical examination revealed tachycardia and tachypnea. Humeral x-ray revealed discontinuity in the medial 1/3 of the right humerus. The patient then underwent treatment for the fracture and the day after a routine blood test was carried out. Routine blood tests revealed thrombocytopenia.Fat embolism is a dangerous complication of long bone fractures. Often this fat embolism is not recognized until the patient shows symptoms in several systems, especially the respiratory system such as respiratory distress and neurological system disorders ranging from motor disorders to seizures. Apart from that, fat embolism can also disrupt the coagulation system so that thrombocytopenia can occur. In this patient there was tachypnea and thrombocytopenia which could be early symptoms of fat embolism. Fat embolism is a complication of long bone fractures that is rare but dangerous if not properly recognized. Immediate management of fractures and collaboration with anesthesiologists and internists are important to prevent fat embolism.
Co-Authors Afif Ramadhan, Afif Ardianto, Son Darmawan, Dicky Darmayanti, Tessa Eka Jaya, Kris Kheng, Bryan Kaymanage kwanto, ivan Larissa, Olivia Liora, Kevin Nugroho, Fajar Prianto Oktavia, Anissya Rima Putra, Ananda Rianto, Louis Saputra, Dhaniel Whizztyo Tjahyanto, Teddy Wijaya, Rizky Wiyono, Putri Dhiya Prameswari