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Persepsi Tenaga Kesehatan terhadap Penggunaan Alat Pelindung Diri dan Kejadian Kecelakaan Akibat Kerja di Salah Satu Rumah Sakit di Kota Bandung Laranova, Atri; Afriandi, Irvan; Pratiwi, Yuni Susanti
Jurnal Sistem Kesehatan Vol 3, No 4 (2018): Volume 3 Nomor 4 Juni 2018
Publisher : Universitas Padjadjaran

Pendahuluan Tenaga kesehatan berperan dalam meningkatkan derajat kesehatan masyarakat dan berhak mendapatkan jaminan kesehatan dan keselamatan kerja. Penelitian sebelumnya melaporkan kecelakaan kerja yang sering terjadi di rumah sakit adalah tertusuk jarum, teriris pisau, terluka dan terpercik cairan tubuh. Kejadian tersebut banyak yang belum terlaporkan karena padatnya jadwal pelayanan kesehatan dan rendahnya persepsi terhadap risiko terpapar infeksi. Rendahnya persepsi dan tingginya risiko kejadian kecelakaan kerja menjadi tujuan penelitian ini dilakukan untuk mengetahui hubungan antara persepsi tenaga kesehatan terhadap penggunaan alat pelindung diri dengan kejadian kecelakaan akibat kerja. Metode Penelitian dilakukan dengan metode analitik dan desain potong lintang yang melibatkan 102 tenaga kesehatan yang dipilih dengan teknik simple random sampling di salah satu rumah sakit di Kota Bandung pada bulan Oktober hingga November 2016. Variabel yang diteliti meliputi persepsi terhadap penggunaan alat pelindung diri dan kejadian kecelakaan akibat kerja. Data diambil melalui instrumen kuesioner kemudian dilakukan analisis data dengan menggunakan uji Chi-square dan Uji Spearman Correlation. Hasil Tidak terdapat hubungan yang signifikan antara variabel yang diteliti dengan nilai r= -0,085 dan p= 0,395. Pembahasan Tidak ada hubungan antara persepsi tenaga kesehatan terhadap penggunaan alat pelindung diri dengan kejadian kecelakaan akibat kerja. Terdapat faktor-faktor lain yang dapat memengaruhi kepatuhan dalam penggunaan alat pelindung diri dan kejadian kecelakaan kerja.Kata kunci: APD, KAK, Persepsi, Tenaga kesehatan

Internal and External Aspects Toward The Quality of Refill Water Station Production; Qualitative Study in Bandung City Raksanagara, Ardini Saptaningsih; Fitriyah, Sukhriyatun; Afriandi, Irvan; Iskandar, Hadyana; Sari, Sri Yusnita Irda
Majalah Kedokteran Bandung Vol 50, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Kualitas produksi Depot Air Minum (DAM) isi ulang ditengarai semakin menurun dan upaya menjaga kualitas DAM tidak hanya dilakukan oleh pemilik DAM, pemerintah mempunyai kewajiban berperan aktif dalam melakukan pengawasan DAM, namun belum banyak informasi mengenai kendala dan tantangan yang terjadi di lapangan dalam proses pengawasan kualitas DAM. Penelitian ini bermaksud mengeksplorasi aspek internal dan eksternal yang berkaitan dengan kualitas DAM yang tidak memenuhi syarat. Desain penelitian ini bersifat kualitatif menggunakan pendekatan fenomenologi dengan paradigma konstruktivisme. Teknik pengumpulan data dilakukan melalui observasi, wawancara mendalam dan studi dokumen, data dianalisis menggunakan analisis tema. Penelitian dilakukan di Dinas Kesehatan, Dinas Perdagangan, Puskesmas, dan DAM pada bulan Mei-Agustus 2017. Hasil penelitian menunjukan aspek internal yang berpengaruh terhadap DAM yang tidak memenuhi syarat terdiri dari sumber daya manusia, proses pengolahan, peralatan, dan higiene. Faktor sumber daya yang rendah menyebabkan proses pengolahan tidak sesuai dengan standar. Aspek eksternal meliputi pengawasan pemerintah, sanksi, dan kerjasama. Pemerintah memiliki hambatan dalam kegiatan pengawasannya seperti kekurangan tenaga sanitarian, alokasi dana pemeriksaan sampel air minum yang rendah, dan beban kerja ganda. Tidak ada sanksi tegas serta kurangnya kerjasama antarlintas sektoral turut berpengaruh terhadap kualitas air minum isi ulang tidak memenuhi syarat. Upaya terobosan baru diperlukan untuk meningkatkan kualitas produksi DAM terutama melalui pengembangan sistem pengawasan terintegrasi yang tidak hanya melibatkan pemerintah lokal, namun juga masyarakat dan konsumen.Kata kunci: Aspek eksternal, aspek internal, depot air minumÂ Internal and External Aspects Related to Quality of Refill Water Station Production: Qualitative Study in Bandung CityThe quality of water production in drinking water refill station (DWRS) has recently been decreasing. Maintaining the quality of DWRS is not only the responsibility of the owners because the government should also playe an active role as the external supervisor. However, few information is available on the obstacles in monitoring the quality of DWRS. This study aimed to explore the internal and external aspects related to quality of drinking water production in DWRS. It was a qualitative study using phenomenology approach with constructivism paradigm. Data were collected through observation, indepth interviews, and document study. Data were analyzed using theme analysis. The place of study was Bandung City Health Office, Trade Service Unit, Primary Health Centers, and some DWRSs with inadequate water quality during May-August 2017. The result showed that internal aspects that related to drinking water quality were human resources, proper processing, appropiate equipments, and hygienic environment.Â Inadequate human resource can cause unstandardized process production. External aspects included government supervision, sanctions, and law enforcement as well as collaboration between owner and local government. In conducting DWRS supervisory activities, the government has obstacles such as lack of human resources, lack of funding allocation, and multiple workloads. In addition, the absence of strict sanctions and the lack of cross-sectoral cooperation also contribute to the quality of refill drinking water, making it inadequate. New innovation should be developed to increase the quality of DWRS, particularly development of integrated supervison system which iincludes not only the local government but also the commmunity and consumers.Key words: Drinking water refill station, external aspect, internal aspect

Profiles of diphtheria cases in children in Hasan Sadikin Hospital, West Java Iskandar, Safira Atya; Setiabudi, Djatnika; Tarigan, Rodman; Alam, Anggraini; Afriandi, Irvan
Paediatrica Indonesiana Vol 64 No 4 (2024): July 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.4.2024.305-10

Background Diphtheria cases continue to be reported in Indonesia, which has long been one of the countries with the highest number of diphtheria cases worldwide. One of Indonesia's province with the highest annual diphtheria cases is West Java. Dr. Hasan Sadikin General Hospital (RSHS) is one of the tertiary referral hospitals in Bandung, West Java, that treats several diphtheria cases annually. No study focused on the clinical characteristics of diphtheria cases in children admitted to RSHS between 2017 and 2021 yet. Therefore, this study sought to analyze that. Objective To find out the profiles of children < 18-year-old with diphtheria admitted in RSHS between 2017-2021. Methods This descriptive, cross-sectional study reviewed the medical records of diphtheria patients 0 to 18-year-old who were admitted to RSHS between year 2017 and 2021. Results Out of 45 subjects, 76% were males. The median of age was eight years old, ranging from 2 to 17 years. Most patients lived in urban areas and had normal anthropometry status, although some showed abnormal findings. The data showed that 44% had more than 3 days of onset until admission to the hospital, and the median length of stay was 9 days. The clinical characteristics showed that 91% of patients had pseudomembrane, also present with cough, common cold, hoarseness, stridor, and bull’s neck. As many as 44% of patients did not have complete basic immunization status. Complications found were airway obstructions, myocarditis, and sepsis, and 2 deaths were reported. Conclusion Pseudomembrane was found in the majority of patients. Most patients were over five years of age, and almost half number of the patients did not have complete basic immunization status, indicating the need for improved immunization and booster coverage.

Autism Spectrum Disorder: a Two-center Evaluation of Pharmacological Intervention and Behavioral Therapies on Core Symptoms Solek, Purboyo; Gamayani, Uni; Rusmil, Kusnandi; Afriandi, Irvan; Prasetya, Taufan; Rizqiamuti, Anggia Farrah; Nurfitri, Eka; Burhan, Burhan; Sahril, Indra; Gunawan, Kevin
Global Medical & Health Communication (GMHC) Vol 12, No 3 (2024)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v12i3.14460

Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder characterized by chronic deficits in social communication and interaction, with sensory processing abnormalities affecting over 90% of individuals across different sensory areas. This study investigated the combined effects of aripiprazole and behavioral therapy (BT) on core symptoms of ASD in children aged 6–10. Utilizing the considerable neuroplasticity still present at this age, we hypothesized that this combined approach might yield superior outcomes compared to BT alone. The 12-week randomized, double-blind, placebo-controlled trial was conducted from February 2023 to January 2024 at two sites of Child Development Centers in Bandung city, involving 51 participants (22 intervention, 29 placebo). The intervention group received aripiprazole and BT, while the placebo group received saccharum lactis and BT. Both groups underwent BT comprising applied behavioral analysis (ABA) and discrete trial training (DTT). The Childhood Autism Rating Scale (CARS) assessed treatment effects. The independent 2-sample t-tests and Mann-Whitney tests showed no significant differences in overall CARS scores between groups. However, the analysis revealed significant improvements in three subcategories: VII (visual response, p=0.021), IX (taste-smell-touch response, p=0.035), and X (fear or nervousness, p=0.043). These findings suggest that the combined approach may enhance sensory processing and emotional regulation in children with ASD. The study highlights the potential benefits of a multimodal approach to ASD treatment, combining targeted pharmacological intervention with behavioral therapies. However, limitations such as study duration and sample size warrant further research to optimize treatment strategies for individuals across the autism spectrum.

The Influence of Patient Attendance for 5 Years in Prolanis (Chronic Disease Management Program) on Body Mass Index and Chronic Disease Parameters Fadillah, Reza Arif; Afriandi, Irvan; Arya, Insi Farisa Desy
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.102827

Background: Chronic diseases such as diabetes and hypertension are one of the biggest causes of death in the world and in Indonesia. Social Insurance Administration Organization or Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, a health insurance in Indonesia, has a chronic disease management program or prolanis Patients who follow the prolanis program follow the prolanis program process for years. Objective: This study looks at whether patients who have followed the prolanis program for 5 years from 2019 to 2023 get good output results of health parameters such as blood pressure, HbA1c, Total Cholesterol, LDL, HDL, Ureum, Creatinine, and eGFR. Methods: This research method is a quantitative analytic retrospective on 151 patients who participated in the prolanis program during the period 2019 to 2023 with a pre-post retrospective research design. Normality tests were performed on all variables to determine the distribution of data distribution and bivariate analysis. The parameters assessed were Body Mass Index, HbA1c, Total Cholesterol, LDL, HDL, Triglycerides, Ureum, Creatinine, eGFR and Blood Pressure. Results: The results showed that significant differences occurred in the values of HbA1c, ureum, creatinine, and eGFR parameters in the group of patients with attendance ≥40 months. The Δ value from 2023 to 2019 has a significant difference (p-value <0.05) based on the HbA1c variable which increased in value in the ≥40 months attendance group, and decreased in value in the <40 months attendance group, then there was no significant difference in the value of other parameters in all attendance groups. For hypertension, the highest incidence of hypertension occurred in attendance <40 months less than attendance ≥40 months so that there was no relationship between attendance and blood pressure values in the last year (year 2023). Conclusions: It was concluded that attendance for 5 years with attendance ≥ 40 months was beneficial in maintaining eGFR function compared to attendance < 40 months. However, it has not been proven to be beneficial in maintaining the stability of HbA1c in the attendance group ≥ 40 compared to the attendance group < 40 months. Although there was an increase in ureum and creatinine, attendance ≥ 40 months proved to be able to maintain the stability of ureum and creatinine in normal numbers. From the results of the study, the highest incidence of hypertension occurred in attendance ≥40 months compared to attendance <40 months, so there is no relationship between the number of attendance with blood pressure values.

TEACHERS’ CHALLENGE IN TEACHING THE PREVENTION OF SEXUAL ABUSE IN DISABILITIES Sudirman, Siska Bradinda Putri; Afriandi, Irvan; Winarno, Gatot N.A; Rusmil, Kusnandi; Arisanti, Nita
Journal of Early Childhood Education (JECE) Vol 7, No 1 (2025)
Publisher : Syarif Hidayatullah State Islamic University of Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/jece.v7i1.46592

Individuals with disabilities are one of the most vulnerable people due to sexual abuse. A recent study found that 31.7% of children with disabilities experience violence, and these children are at twice the risk of being subjected to violence compared to children without disabilities. This alarming disparity underscores the crucial role of educators. Teachers, given their professional roles with special needs students, are uniquely positioned to provide essential sexual education and protective guidance in schools. To explore the challenge faced by teachers in special schools in teaching the prevention of sexual abuse among children with special needs. The methodology used included a qualitative method with a phenomenology approach using in-depth interviews with 11 teachers in special schools and analysis of data was done using qualitative thematic analysis. Four themes emerged summarizing such as type of disabilities, teacher’s competence, environment, and implementation of health reproduction in school. Most teachers revealed that the challenge in teaching sexual abuse prevention is a limitation in a student's ability to learn, teacher’s limited knowledge in handling the students, neglectful parenting, lack of training for teachers, and non-inclusive health reproduction programs. This study showed that the experience of special school teachers in preventing sexual abuse is considered to have been done well but not maximized due to the challenges felt by teachers. Programs should encourage development of skills and knowledge of special school teachers. Sexual abuse prevention education for children with disabilities can be made a special program in special schools.

The Effect of Imbalance On Rotor Vibration in Electric Motors Albaru, Agung; Balqis, Dinda; Afriandi, Irvan; Syaputra, Muhammad Lyan
METALOGRAM Metalogram Vol.01 No.03 (August,2025)
Publisher : Universitas Riau Kepulauan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33373/mtlg.v1i03.7979

Mechanical system failures in electric motors are often caused by mass imbalance in the rotor. This imbalance occurs when the mass distribution is uneven relative to the axis of rotation, causing the center of mass to deviate from the rotational axis. Such conditions generate centrifugal forces that lead to excessive vibrations, accelerate component wear, reduce efficiency, and shorten the motor’s lifespan. Mass imbalance in the rotor system is one of the main causes of excessive vibration in rotating machines, which can result in performance degradation, component wear, and even catastrophic failure. This study aims to analyze the vibration characteristics caused by unbalance in a single rotor and evaluate the effectiveness of the trial weight balancing method (three-test-mass method) in reducing the resulting vibrations. Experimental testing was conducted using a Digital Signal Analyzer (DSA), an accelerometer sensor, and a rotor test system with various unbalanced mass configurations installed on the rotor disk. Vibration data were analyzed in both time and frequency domains using the Fast Fourier Transform (FFT) to identify dominant frequencies due to unbalance. The results show that the highest vibration amplitude occurs at the fundamental frequency corresponding to the rotor’s rotational speed. The three-test-mass balancing method proved effective in significantly reducing the vibration amplitude after mass correction. These findings indicate that identifying unbalance through vibration response and applying an appropriate balancing method can improve the stability and reliability of rotating rotor systems, including both three-phase induction motors and universal motors such as electric drills.

Profil Serum Serotonin dan Brain-Derived Neurotrophic Factor sebagai Indikator Kompleksitas Gejala Anak Autisme Usia 6-10 Tahun Solek, Purboyo; Gamayani, Uni; Rusmil, Kusnandi; Afriandi, Irvan; Prasetya, Taufan; Rizqiamuti, Anggia Farrah; Nurfitri, Eka; -, Burhan; Sahril, Indra; Gunawan, Kevin
Sari Pediatri Vol 27, No 2 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.2.2025.96-101

Latar belakang. Gangguan spektrum autisme (GSA) adalah gangguan neurodevelopmental kompleks yang melibatkan faktor neurobiologis seperti serotonin dan brain-derived neurotrophic factor (BDNF).Tujuan. Penelitian bertujuan untuk mengevaluasi kadar serotonin dan BDNF serum pada anak dengan autisme serta menilai potensinya sebagai biomarker diagnostik.Metode. Penelitian potong lintang melibatkan 51 anak autisme usia 6-10 tahun di Melinda dan Indigrow Child Development Center. Kadar serum serotonin dan BDNF dianalisis dengan metode ELISA dan dinilai berdasarkan tingkat kompleksitas gejala menggunakan Childhood Autism Rating Scale (CARS). Uji T-test independent digunakan untuk menganalisis perbedaan kedua biomarker berdasarkan tingkat kompleksitas gejala. Kadar serotonin dan BDNF dianalisis lebih lanjut menggunakan ROC.Hasil. Rerata kadar serotonin adalah 339,86 ng/ml, dengan perbedaan signifikan antara autisme ringan-sedang (398,82 ng/ml) dan berat (325,48 ng/ml) (p<0,05). Rerata kadar BDNF adalah 41,77 ng/ml, cenderung lebih tinggi pada autisme berat (42,92 ng/ml) dibandingkan autisme ringan-sedang (37,05 ng/ml), namun tidak signifikan (p>0,05). Analisis ROC menunjukkan nilai diagnostik suboptimal untuk kedua biomarker. Kesimpulan. Meskipun terdapat perbedaan kadar serotonin dan BDNF serum berdasarkan tingkat kompleksitas gejala anak autisme, namun penggunaannya sebagai biomarker diagnostik masih terbatas dan memerlukan penelitian lebih lanjut.

Autism Spectrum Disorder: a Two-center Evaluation of Pharmacological Intervention and Behavioral Therapies on Core Symptoms Solek, Purboyo; Gamayani, Uni; Rusmil, Kusnandi; Afriandi, Irvan; Prasetya, Taufan; Rizqiamuti, Anggia Farrah; Nurfitri, Eka; Burhan, Burhan; Sahril, Indra; Gunawan, Kevin
Global Medical & Health Communication (GMHC) Vol 12, No 3 (2024)
Publisher : Universitas Islam Bandung

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

Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder characterized by chronic deficits in social communication and interaction, with sensory processing abnormalities affecting over 90% of individuals across different sensory areas. This study investigated the combined effects of aripiprazole and behavioral therapy (BT) on core symptoms of ASD in children aged 6–10. Utilizing the considerable neuroplasticity still present at this age, we hypothesized that this combined approach might yield superior outcomes compared to BT alone. The 12-week randomized, double-blind, placebo-controlled trial was conducted from February 2023 to January 2024 at two sites of Child Development Centers in Bandung city, involving 51 participants (22 intervention, 29 placebo). The intervention group received aripiprazole and BT, while the placebo group received saccharum lactis and BT. Both groups underwent BT comprising applied behavioral analysis (ABA) and discrete trial training (DTT). The Childhood Autism Rating Scale (CARS) assessed treatment effects. The independent 2-sample t-tests and Mann-Whitney tests showed no significant differences in overall CARS scores between groups. However, the analysis revealed significant improvements in three subcategories: VII (visual response, p=0.021), IX (taste-smell-touch response, p=0.035), and X (fear or nervousness, p=0.043). These findings suggest that the combined approach may enhance sensory processing and emotional regulation in children with ASD. The study highlights the potential benefits of a multimodal approach to ASD treatment, combining targeted pharmacological intervention with behavioral therapies. However, limitations such as study duration and sample size warrant further research to optimize treatment strategies for individuals across the autism spectrum. DOI: https://doi.org/10.29313/gmhc.v12i3.14460

Evaluasi Pelaksanaan Konseling Menyusui Murtiyarini, Ika; Herawati, Dewi Marhaeni Diah; Afriandi, Irvan
Kesmas Vol. 9, No. 1
Publisher : UI Scholars Hub

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

Salah satu upaya pemerintah dalam meningkatkan pemberian ASI di Indonesia adalah dengan memberikan konseling menyusui di pelayanan kesehatan. Penelitian perlu dilakukan untuk mengevaluasi pelaksanaan konseling menyusui di Kota Jambi dengan mengeksplorasi komponen input, activity, output, dan outcome. Penelitian ini merupakan penelitian kualitatif menggunakan strategi studi kasus. Penelitian dilakukan di empat puskesmas Kota Jambi pada bulan Desember 2013 sampai dengan Februari 2014. Pengumpulan data dilakukan dengan studi dokumen, observasi pelaksanaan konseling menyusui dan sarana prasarana, wawancara mendalam, serta focus group discussion. Analisis data yang digunakan adalah analisis tematik. Hasil penelitian menunjukkan bahwa komponen input dan activity kurang optimal seperti kurangnya sumber daya manusia, keterbatasan sarana prasarana, belum ada petunjuk teknis pelaksanaan konseling menyusui, belum ada pemantauan pascapelatihan, kurangnya komitmen personal konselor, belum ada penegasan program, serta lemahnya pengawasan. Komponen output masih kurang baik, terlihat pada belum terdapat data jumlah klien yang diberi konseling menyusui dan jumlah monitoring/supervisi. Komponen outcome menunjukkan bahwa kepuasan klien konseling menyusui kurang. Pelaksanaan konseling menyusui di Kota Jambi masih kurang optimal. Terlihat dari komponen input masih kurang memadai, komponen activity belum berjalan optimal, sedangkan komponen output dan komponen outcome belum mencapai hasil yang diharapkan. The government’s efforts in improving breastfeeding in Indonesia is to provide breastfeeding counseling services in health care especially at primary health care centre. Therefore it is necessary to evaluate the implementation of breastfeeding counseling in the City of Jambi by exploring its input, activity, output, and outcomes components. This study was a qualitative research using case study strategy. The study was conducted in four health centers City of Jambi during December 2013 to February 2014. Data were collected through document study, breastfeeding counseling and execution infrastructure observation, in-depth interviews, and focus group discussion. Data analysis includes transcription, reduction, coding, categorizing, themes, and interpretation of research results. The results showed that the component inputs and activity were not done optimally due to a lack of human resources, infrastructure limitations, unavailability of technical guidelines, non-existence of post training monitoring or supervision, lack of counselor’s personal commitment, lack of program clarity, as well as poor management and supervision of the health department. Aservice output were not also good as indicated by data unavailability of clients served and none of monitoring has been conducted. Outcome component showed that there were still a lack of client satisfaction and resolved breastfeeding problems after acquiring breastfeeding counseling as an conclusion, implementation of breastfeeding counseling in the City of Jambi is still less than optimal, seen from the input components is still inadequate, activity components are not yet optimal, while the outputs and outcomes components not achieving the expected.

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