Dzulfikar Djalil Lukmanul Hakim
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Unpad,Rumah Sakit Hasan Sadikin Bandung

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Faktor-Faktor Penentu Vaccine Hesitancy pada Orang Tua Anak Usia 6-12 Tahun terhadap Vaksin COVID-19 di Kabupaten Bandung Nirwani, Bunga; Dhamayanti, Meita; Solek, Purboyo; Lukmanul Hakim, Dzulfikar Djalil; Alam, Anggraini; Tarigan, Rodman
Sari Pediatri Vol 25, No 5 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp25.5.2024.283-91

Abstract

Latar belakang. Hingga 18 Mei 2020, 584 anak terkonfirmasi positif COVID-19 di Indonesia, mendorong upaya pencegahan melalui vaksinasi anak. Kendati Ikatan Dokter Anak Indonesia mendukung vaksinasi COVID-19 pada anak usia 6–11 tahun, terdapat keraguan (hesitancy) dan penolakan vaksin yang perlu dipahami faktornya.Tujuan. Penelitian bertujuan mengeksplorasi adanya keraguan terkait vaksinasi COVID-19 pada anak dan menganalisis faktor-faktor yang memengaruhi orang tua.Metode. Penelitian analitik kuantitatif dengan desain potong lintang, menggunakan data sekunder yang diperoleh dari penelitian sebelumnya yang merupakan bagian dari riset Academic Leadership Grant meliputi data demografis subjek penelitian, tingkat pengetahuan subjek penelitian mengenai COVID-19, serta status keraguan subjek penelitian terhadap vaksin COVID-19. Hasil. Didapat 613 subjek penelitian yaitu orang tua yang memiliki setidaknya satu orang anak berusia 6-12 tahun yang memenuhi kriteria inklusi dan tidak memenuhi kriteria eksklusi. Dari 613 subjek, sebagian besar memiliki skor pengetahuan COVID-19 yang baik pada 419 orang (68,4%) dan sebagian besar menunjukkan tanpa keraguan pada 546 (89,1%). Pendidikan terakhir (p=0,002 <0,05) dan riwayat infeksi COVID-19 pada keluarga (p=0,007 <0,05) merupakan faktor yang secara signifikan berpengaruh terhadap skor pengetahuan COVID-19.Kesimpulan. Tingkat pendidikan dan riwayat infeksi COVID-19 pada keluarga merupakan faktor yang signifikan secara statistik terhadap tingkat pengetahuan orangtua anak usia 6-12 tahun mengenai COVID-19. Tidak terdapat faktor yang signifikan secara statistik terhadap vaccine hesitancy pada orangtua anak usia 6-12 tahun.
Early Left Ventricular Structural Changes With Preserved Function in Overweight and Obese Adolescents: A Speckle-Tracking Echocardiography Study Nurfandi, Wendi; Hafsah, Tisnasari; Rahayuningsih, Sri Endah; Apandi, Putria Rayani; Hakim, Dzulfikar Djalil Lukmanul; Ghrahani, Reni; Kuswiyanto, Rahmat Budi; Gurnida, Dida Akhmad
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4343

Abstract

Background: Overweight and obesity in adolescents are associated with dyslipidemia and may contribute to early cardiovascular remodelling. Speckle-tracking echocardiography (STE) is a sensitive imaging technique capable of detecting early myocardial functional alterations before the onset of clinical symptoms. This study aimed to evaluate the correlation between cardiac chamber dimensions, left ventricular (LV) geometry and function, and lipid profiles in overweight and obese adolescents. Methods: A cross-sectional study was conducted from June to September 2023, involving 51 overweight and obese adolescents aged 15–18 years in Bandung, Indonesia. Anthropometric measurements, fasting lipid profiles (triglycerides, total cholesterol, LDL, HDL), and transthoracic echocardiography were obtained. LV dimensions, LV mass index (LVMI), ejection fraction (EF), fractional shortening (FS), and global longitudinal strain (GLS) were assessed. Associations were analyzed using Pearson correlation.Results: Participants were predominantly male (64.7%) with a mean age of 16.3±0.6 years. Overweight (47.1%) and obesity (52.9%) were almost equally distributed with a mean BMI of 29.6±4.1 kg/m². LVMI correlated negatively with total cholesterol (r=−0.356; p=0.005), HDL (r=−0.351; p=0.006), and LDL (r=−0.280; p=0.023). The LV posterior wall thickness and LV end-diastolic diameter were also inversely correlated with selected lipid parameters. Interventricular septal thickness in systole correlated positively with triglycerides (r=0.270; p=0.028). No significant correlations were found between lipid profiles and LV function parameters, including EF, FS, and GLS (p>0.05).Conclusions: In overweight and obese adolescents, lipid profiles are associated with early alterations in LV structural dimensions while LV systolic function remains preserved. These findings support the importance of early cardiovascular screening and lifestyle modification to reduce future cardiometabolic risk.
Bahasa Inggris Josi Noviani; Dwi Prasetyo; Dini Pusianawati; Dzulfikar Djalil Lukmanul Hakim; Setyorini Irianti
Jurnal Kependidikan : Jurnal Hasil Penelitian dan Kajian Kepustakaan di Bidang Pendidikan, Pengajaran, dan Pembelajaran Vol. 12 No. 2 (2026): June (IN PRESS)
Publisher : LPPM Universitas Pendidikan Mandalika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/jk.v12i2.20379

Abstract

This scoping review aims to identify and categorize pedagogical interventions designed to enhance menstrual hygiene knowledge, attitudes, and practices among adolescent girls. The study was conducted in accordance with PRISMA-ScR guidelines. Literature published between 2020 and 2026 was retrieved from PubMed, EBSCOhost, SAGE Journals, Scopus, and ScienceDirect using a Population–Exposure–Outcome (PEO) search strategy. Studies were included if they involved adolescent girls, examined menstrual hygiene education interventions, and reported outcomes related to knowledge, attitudes, or practices. Data were extracted and analyzed descriptively, and methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. The 15 included studies were predominantly conducted in South and Southeast Asia, as well as Sub-Saharan Africa. Notably, six studies employed digital approaches, while nine utilized conventional methods, reflecting a growing trend toward technology-based interventions. The interventions varied widely, including digital and mHealth-based approaches, school-based education, peer-led programs, and multicomponent strategies. Improvements were consistently reported in knowledge and attitudes, whereas changes in hygiene practices were less consistent across studies. Theoretical frameworks such as Bandura’s Social Cognitive Theory and Mayer’s Cognitive Theory of Multimedia Learning were commonly used to support intervention effectiveness. Overall, educational interventions are evolving toward more participatory and technology-enhanced models that create safe spaces for adolescents. These findings provide guidance for educational practitioners and curriculum developers in designing more effective, inclusive, and adolescent-centered menstrual hygiene education programs.