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Correlation Between Sepsis Bundle Compliance with Incidence of Acute Kidney Injury and Mortality in Sepsis Adult Patients Eka Prasetiyawan; Arie Utariani; Edward Kusuma
Health Notions Vol 4, No 2 (2020): February
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn40205

Abstract

Sepsis is serious medical condition with mortality rate around 25%. Sepsis cause multiorgan failure, including AKI (Acute Kidney Injury). One-hour sepsis bundle compliance is expected to prevent AKI and reduce patient mortality. Aims: Analyze the correlation between sepsis bundle compliance with incidence and progression of AKI and mortality in first 48 hours of treatment in the Resuscitation Room (Intensive) of RSUD Dr. Soetomo Surabaya. Methods: Observational retrospective study. Total sampling from medical record of adult sepsis patients who treated in Resuscitation/ Intensive Room of RSUD Dr. Soetomo in January - July 2019. Sepsis bundle compliance was assessed in first 1-hour patient was treated, then observed in first 48 hours of treatment, whether there was death or AKI. Results: Most of the 1-hour survival bundle sepsis compliance were classified as poor (51.6%) and very poor (26.9%). The highest component was antibiotic administration management (63.4%) and the lowest was fluid resuscitation (8.6%). There is significant correlation between sepsis bundle compliance with AKI incidence in the first 6 hours, p value= 0.048; contingency coefficient 0.280. Cumulatively, there is significant correlation between sepsis bundle compliance with mortality rates sepsis patients under 48 hours, p value: 0.000; contingency coefficient 0.614. There is significant correlation between bundle sepsis compliance to mortality under 6; 12; 42; and 48 hours. Conclusions: There is significant correlation between sepsis bundles compliance with AKI incidence in first 6 hours. There is significant correlation between sepsis bundle compliance to the mortality rate of sepsis patients under 48 hours of treatment. Keywords: compliance; one-hour sepsis bundle; AKI; mortality
Study of Progress Expected Results Based on Percentage of Construction Work Plan Duration Mardiaman Mardiaman; Edward Kusuma
Civilla : Jurnal Teknik Sipil Universitas Islam Lamongan Vol 6, No 2 (2021): September
Publisher : Litbang Pemas - Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/cvl.v6i2.628

Abstract

Abstract. Controlling how construction work is completed is critical to success. Generally, the result value method is used as the tool. Although this method has been applied to a variety of different types of construction work, the tool has been limited to a single project. This study examines the total value of completed construction work. Because the duration of construction work varies, the researchers refer to the percentage of the plan's duration. The percentages are set at 25%, 30%, and 50%. There have been 17 completed building construction projects between 2017 and 2018. Additionally, a comparison sample of construction work is used. The results of the data processing are pessimistic, most likely, optimistic, and hopeful. Additionally, the expected value is compared to a reference value. The expected values for the percentages of 25%, 30%, and 50% are (-2.425), (1.071), and 50%, respectively (2.275). Indeed, the expected value obtained is not the same as the comparison value. The contractor can prepare the necessary resources by knowing the value of the expected yield at a certain percentage of the duration. 
The Effect of CSR Disclosure to the Firm’s the Cost of Debt: Evidence from Indonesian Companies Listed in Sri-Kehati Index from 2010-2019 Christina Aprilia Wijaya; Edward Putra Kusuma
iBuss Management Vol 9, No 2 (2021): iBuss Management
Publisher : iBuss Management

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

Abstract

Corporate Social Responsibility (CSR) has emerged as one of the most prominent topics in the business world. Consequently, businesses that play a major role in global economic activity are demanded to be socially responsible. This social responsibility behavior must be communicated to maintain effective relationships between firms and stakeholders. Subsequently, sustainability reporting, which focuses on the stakeholders, would give firms a competitive advantage. However, despite the importance of CSR disclosure, most literature only sees the benefits of CSR disclosure from the revenue-outcome instead of cost-related outcome, specifically cost of debt. Thus, this research raises the aforementioned topic to add value and fill the existing literature gap. This research will specifically examine the effect of CSR disclosure to the Cost of debt in the context of Indonesia. The companies which are taken would be listed in the SRI KEHATI Index consecutively from 2010-2019, which data were collected from Bloomberg Database and Annual Report. The results show that ESG Disclosure Score, Environmental Disclosure Score, and Governance Disclosure Score have a negative impact on the Cost of Debt. Meanwhile, Social Disclosure Score has an insignificant impact on the Cost of Debt. Keywords:Corporate Sustainability Responsibility, CSR Disclosure, ESG disclosure, Cost of Debt.
Perbandingan Efektivitas Antara Nebulisasi Lidokain dan Spray Lidokain untuk Mencegah Refleks Batuk pada Tindakan Bronkoskopi dengan General Anestesi Anna Erliana Oetarman; Edward Kusuma; Maulydia Maulydia; Arie Utariani
JAI (Jurnal Anestesiologi Indonesia) Vol 12, No 2 (2020): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v12i2.29418

Abstract

Latar belakang: Batuk sering terjadi pada tindakan bronkoskopi. Batuk menyebabkan ketidaknyamanan pasien dan menimbulkan kesulitan pada pelaksanaan tindakan bronkoskopi sehingga dapat meningkatkan risiko komplikasi akibat bronkoskopi seperti perdarahan intrabronkial, bronchospasme, dan pneumothorax. Batuk pada tindakan bronkoskopi dapat dicegah dengan pemberian anestesi lokal lidokain.Tujuan: Membandingkan efek nebulisasi lidokain 2 % dibandingkan spray lidokain 10% dalam mencegah kejadian batuk pada tindakan bronkoskopi dengan anestesi umum.Metode: Penelitian dilakukan pada 20 pasien usia 18-65 tahun dengan status fisik American Society of Anesthesiologist (ASA) I dan II yang menjalani tindakan bronkoskopi dengan anestesi umum menggunakan intubasi oral. Pasien dibagi 2 kelompok: kelompok spray lidokain 10% dan kelompok nebulisasi lidokain 2% dengan dosis lidokain yang sama yaitu 2 mg/kgbb. Tanda vital (tekanan darah, laju jantung, saturasi oksigen serta frekuensi napas) dan kedalaman anestesi dengan bispectral index (BIS) diukur selama bronkoskopi. Spray lidokain dan nebulisasi lidokain diberikan sebelum pembiusan dilakukan. Kemudian dievaluasi kejadian batuk dan derajat batuk selama dan setelah tindakan bronkoskopi. Analisis hasil penelitian menggunakan dua metode yaitu uji Mann Whitney dan uji Wilcoxon. Uji Mann Whitney dengan derajat kemaknaan p<0,05 untuk membandingkan kejadian batuk pada kedua kelompok selama dan dua jam setelah bronkoskopi, sedangkan uji Wilcoxon dengan derajat kemaknaan p<0,05 untuk membandingkan derajat batuk sebelum bronkoskopi dan selama bronkoskopi pada masing kelompok.Hasil: Terdapat perbedaan bermakna derajat batuk antara sebelum dan sesudah pemberian spray lidokain maupun nebulisasi lidokain (p<0,05). Ada perbedaan bermakna derajat batuk antara kelompok spray lidokain dibandingkan nebulisasi lidokain (p<0,05), dimana nebulisasi lidokain menimbulkan derajat batuk lebih rendah dibandingkan spray lidokain. Tidak ada efek samping pada penelitian ini.Kesimpulan: Pemberian nebulisasi lidokain 2% lebih efektif menekan refleks batuk dibandingkan spray lidokain 10% pada tindakan bronkoskopi dengan general anestesi.
Prioritas Penghuni Terkait Perawatan Rumah Susun Sederhana Sewa di Surabaya Edward Gondo Kusuma; Njo Anastasia
TATALOKA Vol 23, No 2 (2021): Volume 23 No. 2, May 2021
Publisher : Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/tataloka.23.2.252-262

Abstract

Previous research focused on the conditions, awareness, and priorities of tenants for property maintenance in housing and middle-class flats, so that simple flats have not received special attention related to property maintenance issues. This study aims to determine the maintenance priority, the reasons given by tenants to maintain simple flat, the correlation between maintenance priorities and the reasons for maintain. The method used was a survey by distributing questionnaires. Property maintenance is divided into three such as structure, architecture and utility. The results show that each tenant has different priorities on property maintenance and their reasoning behind it. Disagreements occur in each of the tenants, where some of them are more concerned with maintenance and reasons for utility maintenance rather than structure and architecture maintenance. The more important the maintenance is, the stronger reason to do the maintenance. This research provides benefit to the management, namely the Surabaya City Governement, to develop procedures that can be proposed by tenants to obtain maintenance for damaged flat in accordance with priority needs of tenants. The managers can also develop maintenance strategies before and after damaged occur.
Cut-Off Value of Procalcitonin in Sepsis and Septic Shock patients at Dr. Soetomo Hospital Shinta Lungit Ambaringrum; Yetti Hernaningsih; Edward Kusuma; Hartono Kahar
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 28, No 2 (2022)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v28i2.1827

Abstract

Sepsis is a state of life-threatening organ dysfunction caused by dysregulation of the body's response to infection. Organ dysfunction is marked by an increase in SOFA score ≥ 2 or qSOFA score ≥ 2. Septic shock is a subset of sepsis with fairly severe circulatory disorders that can significantly increase mortality. Although the current gold standard diagnosis method for sepsis is bacterial culture, some researchers believe PCT can help identify sepsis severity because bacterial culture requires a relatively long time. This study aims to determine the cut-off point of procalcitonin in patients with sepsis and septic shock. The data taken were secondary data from the medical records of sepsis and septic shock patients in Dr. Soetomo General Hospital from 2017 to 2019. Determination of cut-off PCT for sepsis and septic shock using Receiver Operating Characteristic (ROC) analysis curve. Most sepsis patients were young (18 - 65 years) (69%) (p = 0.331) and male (60%) (p = 0.156). The majority of the clinical sepsis patients have focal infections of the respiratory system (55.17%). Patients with respiratory tract infections who develop sepsis have an OR of 6.182, which means it is six times more likely to develop septic shock. There was a significant difference between septic and non-septic PCT levels (p = 0.000), and there was a positive correlation between PCT and sepsis. The cut-off of procalcitonin in sepsis was 0.6 ng/mL, and the cut-off of procalcitonin in septic shock was 10 ng/mL.
Cut-Off Value of Procalcitonin in Sepsis and Septic Shock patients at Dr. Soetomo Hospital Shinta Lungit Ambaringrum; Yetti Hernaningsih; Edward Kusuma; Hartono Kahar
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 28 No. 2 (2022)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v28i2.1827

Abstract

Sepsis is a state of life-threatening organ dysfunction caused by dysregulation of the body's response to infection. Organ dysfunction is marked by an increase in SOFA score ≥ 2 or qSOFA score ≥ 2. Septic shock is a subset of sepsis with fairly severe circulatory disorders that can significantly increase mortality. Although the current gold standard diagnosis method for sepsis is bacterial culture, some researchers believe PCT can help identify sepsis severity because bacterial culture requires a relatively long time. This study aims to determine the cut-off point of procalcitonin in patients with sepsis and septic shock. The data taken were secondary data from the medical records of sepsis and septic shock patients in Dr. Soetomo General Hospital from 2017 to 2019. Determination of cut-off PCT for sepsis and septic shock using Receiver Operating Characteristic (ROC) analysis curve. Most sepsis patients were young (18 - 65 years) (69%) (p = 0.331) and male (60%) (p = 0.156). The majority of the clinical sepsis patients have focal infections of the respiratory system (55.17%). Patients with respiratory tract infections who develop sepsis have an OR of 6.182, which means it is six times more likely to develop septic shock. There was a significant difference between septic and non-septic PCT levels (p = 0.000), and there was a positive correlation between PCT and sepsis. The cut-off of procalcitonin in sepsis was 0.6 ng/mL, and the cut-off of procalcitonin in septic shock was 10 ng/mL.
Pengolahan Data Buah Menggunakan Metode Deep Learning Satria Pratama, Chrisantian; Kusuma, Edward; Kristina Yanti Hutapea, Duma
Jurnal Elektro Vol 15 No 1 (2022): Vol.15 No.1 April 2022: Jurnal Elektro
Publisher : Prodi Teknik Elektro, Fakultas Teknik Unika Atma Jaya Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/jurnalelektro.v15i1.5121

Abstract

The use of artificial intelligence is increasingly widespread, one of which is in the use of detecting an object. In general, object detection is often used in tools that capture images such as cameras on cell phones or CCTV which is applied to e-tickets (electronic tickets). With deep learning technique in this article to detect fruit, it is hoped that it can be useful in everyday life such as a fruit sorting machine based on the level of maturity based on color or separating fruit from leaves in the fruit picking process.
Efek Analgesik Ekstrak Etanol Zingiber cassumunar Roxb. pada Mencit dengan Metode Writhing Test Bajuber, Qonita; Indiastuti, Danti Nur; Kusuma, Edward
Jurnal Medik Veteriner Vol. 3 No. 1 (2020): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (437.601 KB) | DOI: 10.20473/jmv.vol3.iss1.2020.45-50

Abstract

Penelitian bertujuan untuk menguji efek analgesik ekstrak etanol Zingiber cassumunar Roxb. pada mencit yang diinduksi dengan asam asetat. Penelitian ini merupakan penelitian eksperiment  posttest only control design, menggunakan metode writhing test. Sampel penelitian terdiri dari 25 mencit terbagi dalam tiga kelompok perlakuan ekstrak Zingiber cassumunar Roxb.; P1, P2, dan P3, dengan masing-masing dosis 100 mg/kgBB, 200 mg/kgBB, 400 mg/kgBB, kelompok kontrol negatif aquades (K-), serta kelompok kontrol positif aspirin (K+). Hasil penelitian menunjukkan bahwa (P1) dan (P2) signifikan menurunkan jumlah geliat pada mencit dibandingkan (K-) (p < 0,05), dengan persentase penurunan jumlah geliat sebesar 49,53% dan 57,01%, sedangkan (P3) tidak menunjukkan aktivitas analgesik. Ekstrak Zingiber cassumunar Roxb. dosis 100 mg/kgBB dan 200 mg/kgBB tidak memiliki perbedaan yang signifikan terhadap (K+) untuk mengurangi rasa nyeri.
Risk Factors of Death in Chronic Obstructive Pulmonary Disease (COPD) Patients at Dr. Soetomo General Academic Hospital, Surabaya, in 2019 Wedhana, Hilmy Indra; Bakhtiar, Arief; Kusuma, Edward; Rosyid, Alfian Nur
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.14-20

Abstract

Highlights: The highest distribution of chronic obstructive pulmonary disease (COPD) patients’ age and gender was over 60 years old and males. The highest distribution of COPD patients’ comorbidity was infection, with pneumonia being the most common infection.   Abstract Introduction: The distribution of death and risk factors in chronic obstructive pulmonary disease (COPD) patients varies according to disease severity. This study aimed to determine the risk factors of mortality in COPD patients. Methods: This was a retrospective descriptive study with a total sampling method using inclusion and exclusion criteria. Data collection was performed on patients' medical records throughout 2019. The inclusion criteria for this study sample were patients diagnosed with COPD who died in 2019, aged over 25 years old (adults), both male and female. The exclusion criteria were COPD patients with incomplete medical record data. Results: The total number of samples obtained and included in this study was 31 COPD patients (n=31). The characteristics of the patients showed a predominance of males over females, with a ratio of 9:1. Seventeen samples (58.0%) out of 31 were patients aged >66 years old. Comorbidities accounted for 96.8% of the study population. The most prevalent comorbidity was infection (77.41%), with pneumonia accounting for 38.7% of all deaths. Eighteen patients (58.1%) reported having two or more comorbidities, whilst 28 patients (90.3%) scored 0-7 on the Modified Sequential Organ Failure Assessment (mSOFA) when admitted to the hospital. Conclusion: This study found that the group of patients with the mSOFA score of 0-7 with the characteristics of being aged >60 years old, males, and having pneumonia infection had the highest mortality rate among other COPD patients who died.