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Analisis implementasi kebijakan Sistem Kesehatan Pertahanan Negara (Siskeshanneg) menghadapi ancaman faktual pandemi COVID-19 di Lembaga Kedokteran Gigi (Ladokgi) Raden Eddy MartadinataAnalysis of the National Defense Health System (Siskeshanneg) policy implementation on the Covid-19 pandemic factual threat at Raden Eddy Martadinata Naval Dentistry Institute (Ladokgi) Sugeng Winarno; Ganesha Wandawa; Suhardjo Sitam
Padjadjaran Journal of Dental Researchers and Students Vol 5, No 2 (2021): Oktober 2021
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjdrs.v5i2.33356

Abstract

ABSTRAK Pendahuluan: Sistem Kesehatan Pertahanan Negara (Siskeshanneg) adalah totalitas sumber daya bidang kesehatan yang dapat digunakan secara terarah dan terpadu untuk menghadapi ancaman bidang kesehatan. Pandemi COVID-19 merupakan manifestasi ancaman bidang kesehatan yang memerlukan Siskeshaneg untuk menghadapinya. Hingga saat ini implementasi kebijakan ini masih terjadi permasalahan sehingga mempengaruhi kesiapsiagaan institusi dalam menghadapi suatu bencana. Tujuan penelitian ini adalah untuk memberikan gambaran tentang proses implementasi kebijakan Siskeshanneg di Ladokgi Raden Eddy Martadinata (Ladokgi REM) ini dilihat dari empat aspek yang mengacu pada analisis implementasi model Edward III. Metode: Penelitian menggunakan metode deskriptif kualitatif. Pengumpulan data melalui wawancara mendalam, observasi dan penelaahan dokumen. Pemilihan informan melalui teknik purposive sampling. Validasi data dilakukan triangulasi terhadap sumber, metode dan teori. Hasil: Gambaran proses implementasi Siskeshaneg di Ladokgi REM memperlihatkan komunikasi menggunakan jaring fungsi komando, sumberdaya bidang personel kekuatannya berkurang, bidang anggaran dilakukan refocusing pada kegiatan terkait penanggulangan COVID-19, pemenuhan sarana dan prasarana ruangan sesuai protokol kesehatan dan pembagian zonasi, struktur birokrasi tidak terfragmentasi serta disposisi pimpinan dan anggota berkomitmen penuh dan sesuai perintah. Faktor penghambat meliputi penyiapan sarana dan prasarana membutuhkan waktu 3 bulan, kecemasan pada sebagian anggota dan pasien takut terpapar COVID-19. serta harga logistik kesehatan yang melambung. Simpulan: Implementasi Siskeshaneg di Ladokgi REM dapat berjalan baik, dengan indikator keberhasilan berupa kecepatan pengambilan keputusan, kepemimpinan dan kemampuan adaptasi sehingga kegiatan layanan kesehatan dapat terselenggara di masa pandemi COVID-19.Kata kunci: implementasi kebijakan; Siskeshanneg; ancaman faktual; pandemi COVID-19 ABSTRACTIntroduction: The National Defense Health System (Siskeshanneg) is the totality of health sector resources that can be used in a directed and integrated manner to deal with threats in the health sector. The COVID-19 pandemic manifests a health sector threat that requires the National Defense Health System implementation. However, until now, the implementation of this policy is still experiencing problems that affect institutions' preparedness in the face of a disaster. The purpose of this study was to provide an overview of the implementing process of the National Health Defense System (Siskeshanneg) policy at Raden Eddy Martadinata Naval Dentistry Institute (Ladokgi REM) observed from four aspects that refer to the analysis of the Edward III model implementation. Methods: The study used a qualitative descriptive method. Collecting data through in-depth interviews, observation and document review. Selection of informants through purposive sampling technique. Data validation was carried out by triangulation of sources, methods, and theories. Results: An overview of the National Defense Health System implementation process in Raden Eddy Martadinata Naval Dentistry Institute shows that communication was performed through command function network; personnel resources were reduced in strength; the budget aspect was refocused on activities related to COVID-19 prevention; fulfilment of room facilities and infrastructure according to health protocols and zoning distribution; the bureaucratic structure has not fragmented, and the disposition of leaders and staffs was fully committed and according to orders. Inhibiting factors included preparing facilities and infrastructure that take three months, some staff and patients' anxiety about being exposed to COVID-19, and soaring health logistics prices. Conclusions: Implementing the National Health Defense System (Siskeshanneg) policy at Raden Eddy Martadinata Naval Dentistry Institute is thriving, with indicators in the form of fast decision-making, leadership, and adaptability for health service activities were able to be carried out during the COVID-19 pandemic.Keywords: policy implementation; National Defense Health System; factual threats; COVID-19 pandemic
Exploring Oral Health Behavior In Residential Gunung Masigit Village with Radon Level 2030±509 Bq/m3 and 1140+ 393 Bq/m3 Azhari azhari; Ivhatry Rizky Octavia Putri Susilo; Suhardjo SItam; Merry Annisa
HIGIENE: Jurnal Kesehatan Lingkungan Vol 4 No 3 (2018): Kesehatan Lingkungan
Publisher : Public Health Department, Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.293 KB)

Abstract

Konsep sehat pada ronga mulut adalah ilmu baru dalam revolusi sosial industrialisasi untuk mencerminkan aktualisasi diri yang berkembang dan menjadi konsep dalah penialian kesehatan secara umumnya.Faktor lingkungan salah satunya radiasi pengion radon dapat mempengaruhi kesehatan rongga mulut. Penelitian ini diperlukan untuk menilai perilaku masyarakat terhadap kesehatan rongga mulut yang tinggal di sumber mata air yang terpapar radon dengan berkonsentrasi terhadap penilaian individu tentang kondisi gigi dan mulutnya, perilaku pemeliharaan kebersihan gigi dan mulut, dan perilaku pencarian pengobatan dalam kuesioner WHO 2013.
Dosis Rata-Rata Harian dan Efektif Tahunan Radon Airtanah pada Daerah Gunung Masigit, Kecamatan Cipatat, Kabupaten Bandung Barat, Indonesia Azhari Azhari; Ivhatry Rizky Octavia Putri Susilo; Bintarsih Bintarsih; Rachmat Fajar Lubis; Suhardjo Sitam
JURNAL RISET GEOLOGI DAN PERTAMBANGAN Vol 29, No 2 (2019)
Publisher : Indonesian Institute of Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14203/risetgeotam2019.v29.1020

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Konsentrasi radon dapat mempengaruhi kondisi air yang biasa dikonsumsi masyarakat untuk kebutuhan sehari-hari. Hal ini berpotensi terhadap resiko kesehatan termasuk resiko kanker. Pada penelitian ini sampel didapatkan dari sumber air di berbagai kampung di daerah Gunung Masigit, Cipatat, yang biasa digunakan oleh masyarakat sekitar untuk keperluan sehari-hari. Sampel di tes menggunakan RAD 7 Electronic Radon detector. Konsentrasi radon pada sampel bervariasi di setiap sumber air. Konsentrasi radon terukur yaitu  2030± 509 Bq/m3, yang berasal dari sumber mata air kampung Cisalada dan 1140±393 Bq/m3 yang berasal dari air sumur Kampung Giri Mulya dan 705±393 Bq/m3 pada mata air daerah Kampung Pamucatan. Konsentrasi ini digunakan untuk menghitung konsentrasi rerata harian pada penduduk sekitar yang terpapar radon. Dosis rerata harian individu yang terpapar akibat konsumsi air mengandung radon  adalah 5,0 × 10-3 kg/ug/hari dan dosis efektif tahunan lebih rendah dari 0,1 mSv/tahun. Penelitian ini direkomendasikan sebagai acuan komprehensif yang dapat ditarik untuk kajian radiobiologi kesehatan dan toksisitas yang berhubungan dengan penyakit dan kualitas hidup masyarakat.Radon concentration affects the water condition, which is consumed daily. Radon is potentially have an effect on health, including cancer risk. In this research, samples were obtained from variou water sources in villages in Gunung Masigit, Cipatat. The samples were tested using RAD 7 Electronic Radon detector. We found that radon concentrations in water vary in each water source. Radon concentration from spring in Cisalada is 2030±509 Bq/m3, from water wells in Giri Mulya is 1140±393 Bq/m3 and from spring in pamucatan is 705±393 Bq/m3. The radon concentrations are used to calculate the daily average dose in the population. The daily average dose of individuals exposed for consuming water containing radon is 5.0 × 10-3 kg/ug/day, and the annually effective dose is lower than 0.1 mSv/year. This research is recommended as a comprehensive reference for radiobiology studies of health and disease-related toxicity and the quality of life of communities.
PERIODONTAL DISEASE : A RISE IN PREVALENCE IN MILITARY TROOPS PENYAKIT PERIODONTAL Amaliya Amaliya; Snataka Pribadi; Yun Mukmin Akbar; Suhardjo Sitam
ODONTO : Dental Journal Vol 8, No 1 (2021): July 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.1.6-17

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Background: Oral condition is one of substantial factors in general health. Good oral health will determine dental fitness or readiness in military troops. Oral diseases affecting soldiers may have negative impacts in readiness on deployment or fight and contributes to lowering morale among personnel. At the recruitment stage, the prevalence of periodontal disease is low and controlled before the commencement of the training. As a matter of fact, periodontal health was not considered to be maintained and found to be worsening through the course of time. In the end, many of soldiers were found to suffer from periodontal diseases. Method : This review article aims to discuss several factors in military way of life related to oral condition.Result : Lack of oral hygiene practices, stress, deficiency of nutritious food, and smoking among military personnel may contribute to the prevalence of periodontal disease. Several attempts should be incorporated in military life to reduce the negative impacts of these factors on oral health.Conclusion: Periodontal therapy should be provided early in the military careers and repeated at intervals specific to the needs of each personnel. Several risk factors contributing to the development and severity of periodontal disease should be assessed and overcome to arrest the progression of the disease.
ANALYSIS OF DENTIGEROUS CYST, AMELOBLASTOMA, AND ODONTOGENIC KERATOCYST PANORAMIC RADIOGRAPH AND CBCT: A SCOPING REVIEW Monica Siregar; Suhardjo Sitam; Yurika Ambar Lita; Indra Hadikrishna
ODONTO : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.9.0.115-130

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Background: The radiographic images similarity of a dentigerous cyst, ameloblastoma, and odontogenic keratocyst can lead to misdiagnosis. The radiographic images of these lesions can be analyzed using panoramic radiographs and CBCT with quantitative and qualitative methods of analysis. The purpose of this study was to find out what radiographic methods is better to used on panoramic radiograph and cbct to analysis these lesions so that the diagnose could be more objective, to determine the characteristics of these lesions, and to determine the use of CBCT and panoramic radiography in establishing radiodiagnosis of these lesions.Method: This research was conducted using a scoping review, through searching for articles related to the research topic in Pubmed, EBSCOHost, and Google Scholar. Result: Fifty-eight studies and case reports were reviewed in this study. This study analyzed these lesions using quantitative methods based on buccolingual size, density, and lesion volume using CBCT. Qualitative methods were used to analyze border and shapes, associations, internal structures, and locations using panoramic radiography and CBCT. Based on the cases studied, size, border, and shape of these lesions were the least optimal characteristics analyzed by panoramic radiography and CBCT.Conclusion: Ameloblastoma has a higher incidence of multilocular forms than OKC and dentigerous cysts and causes tooth resorption, while dentigerous cysts often cause tooth displacement. CBCT can be a gold standard in analyzing dentigerous cyst, ameloblastoma, and odontogenic keratocyst. Analysis of CBCT images could be more objective because it can be carried out using quantitative methods for calculating the density, volume, and size of the buccolingual expansion. Based on the case reports reviewed, size, border, and shape are the least used in determining suspected radiodiagnosis.
Analisis gambaran complex odontoma pada radiografi panoramikPanoramic radiograph analysis of complex odontoma Fitri Angraini Nasution; Suhardjo SItam
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 30, No 2 (2018): Agustus
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (441.447 KB) | DOI: 10.24198/jkg.v30i3.18525

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Pendahuluan: Odontoma merupakan tumor odontogenik yang memiliki sifat klinis jinak. Odontoma terdiri dari dua jenis yaitu compound dan complex odontoma. Perbedaan diantara keduanya adalah compound odontoma berbentuk seperti struktur gigi, sedangkan complex odontoma tersusun atas massa enamel dan dentin yang tidak teratur dan tidak memiliki kemiripan anatomi. Tujuan laporan kasus untuk menganalisis gambaran radiograf panoramik pada kasus complex odontoma. Laporan kasus: Pasien perempuan berusia 24 tahun datang ke klinik Bedah Mulut RSUD Arifin Achmad Pekanbaru dengan keluhan pembengkakan pada rahang bawah bagian kiri. Pembengkakan tidak disertai rasa sakit. Hasil pemeriksaan radiograf panoramik menunjukkan lesi radioopak homogen, well-defined yang dikelilingi halo radiolucent. Suspek radiodiagnosis adalah complex odontoma yang berhubungan dengan impaksi gigi permanen molar. Radiograf panoramik dapat digunakan untuk menganalisis gambaran complex odontoma. Simpulan: Gambaran radiografi complex odontoma umumnya radioopak homogen yang dikelilingi halo radiolucent dengan batas jelas (well-defined, soft tissue capsule border).Kata kunci: Complex odontoma, impaksi molar, tumor odontogenik. ABSTRACTIntroduction: Odontomas are odontogenic tumour with benign clinical properties. Odontoma consists of two types, namely compound and complex odontoma. The difference between them is that the compound odontoma is shaped like a tooth structure, whereas complex odontoma is composed of an irregular mass of enamel and dentine with no anatomical resemblance. The purpose of this case report was to analyse the panoramic radiograph of complex odontoma cases. Case report: A 24-years-old female patient came to the Arifin Achmad Pekanbaru Oral Surgery Clinic with a complaint of swelling in the left mandibular. The swelling was not accompanied by pain. The panoramic radiograph result showed a homogeneous, well-defined radioopaque lesions surrounded by a halo radiolucent halo. Radiodiagnosis suspect was a complex odontoma associated with impaction of permanent molar teeth. Conclusion: Panoramic radiograph can be used to analyse complex odontoma images. Radiographic features of homogeneous complex odontoma are homogeneous radiopaque surrounded by halo radiolucent with a well-defined, soft tissue capsule border.Keywords: Complex odontoma, molar impaction, odontogenic tumour.
Gambaran kualitas dan mutu radiograf Alongsyah Zulkarnaen Ramadhan; Suhardjo Sitam; Azhari Azhari; Lusi Epsilawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 3 No 3 (2019): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v3i3.445

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Objectives: The study is aimed to give further explanation and understanding of radiograph quality assurance based on scientific literatures. Literature Review: A radiograph’s quality can be assessed based on the produced image itself. The radiograph must meet the standard values to be interpreted by practitioners and radiologists. There are various kinds of standard value of a radiograph that should be met before doing an interpretation, therefore a review is needed to assess the quality of a radiograph. This literature will discuss how to assess the quality of a radiograph. Based on the review of previous literatures, differences have been found between one quality assessment and another, so that the quality of radiograph is fulfilled. Conclusion: A radiograph has many aspects to be assessed to determine its quality.
Densitas tulang mandibula pengguna obat anti hipertensi calcium channel blocker (CCB) melalui radiograf panoramik Gunawan Gunawan; Suhardjo Sitam; Lusi Epsilawati
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 2 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v4i2.527

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Objectives: The purpose of this research was to describe radiographic density of mandibular bone in calcium channel blocker anti-hypertensive drug users. Bone density in the mandible is assessed from the trabecular. Panoramic radiograph is a routine examination that is often done in dentistry that can be used to assess changes in quality in the form of changes in bone density in users of anti-hypertensive calcium channel blockers Material and Methods: This research is a descriptive study of 21 panoramic radiographs of calcium channel blocker anti-hypertensive drug users aged 40-75 years. Panoramic radiograph archive density checks in the distal region of the foramen mentale and the mandibular angular region using software image j, with the final result was the percentage between bone and marrow. Results: This research showed the average radiographic density in male using calcium channel blocker antihypertensive drugs was 18.81% and the average radiographic density in female was 20.92%. Conclusion: Based on the results of the study found that the average radiographic density of female patients taking antihypertensive drugs calcium channel blockers was higher than male.
Analisis ketebalan kortikal, ukuran sudut dan kepadatan trabekula tulang mandibula prajurit dan non prajurit ditinjau dari radiograf panoramik Indra Gunawan; Suhardjo Sitam; Azhari Azhari; Krisnadi Setiawan
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 4 No 3 (2020): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v4i3.622

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Objectives: To analyze the cortical thickness, angular size and density of the mandibular bone trabeculae of soldiers and non-soldiers in terms of panoramic radiographs Material and Methods: This study is a comparative analytical descriptive study. The sample used was 65 panoramic radiographic data from soldiers and non-soldiers carried out at LADOKGI TNI AL R E Martadinata Jakarta. Results: Significant differences (p-value <0.05) in the calculation of the MCW value (Mandibular Cortical Width) of male soldiers compared to non-male soldiers (p-value 0.047) and FD FM (Fractal Dimension region superior foramen mentale) values 40-58 years compared to non-soldiers aged 40-58 years (p-value 0.027). Conclusion: There are differences in the size of the cortical thickness of the foramen mentale region (MCW) of the male group and in the value of the superior region of the mandibular foramen mentale (FD) region of the 40-58 years age group between soldiers and non-soldiers in terms of panoramic radiographs.
The value of Mental Index (MI) and Gonial Index (GI) in hypertension patients on its correlation with serum calcium and cortisol level Dwi Putri Wulansari; Lusi Epsilawati; Farina Pramanik; Suhardjo Sitam
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) Vol 5 No 2 (2021): Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI)
Publisher : Ikatan Radiologi Kedokteran Gigi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jrdi.v5i2.688

Abstract

Objective: This research was aimed to analyze the mandibular cortical width based on a mental index (MI) and gonial Index (GI) in hypertension patients correlated with serum calcium and cortisol levels. Materials and Methods: This study was an analytic-observational study with 31 hypertension patients aged 41-79. All of the patients have checked their serum calcium and cortisol level. The panoramic radiograph was taken and analyzed using Image-J Fiji software. The mandibular cortical width was then measured with Mental Index (MI) and Gonial Index (GI) and correlated with the serum calcium and cortisol level. Results: The data obtained from examining serum calcium and cortisol levels and the measurement of Mental Index (MI) and Gonial Index (GI) showed varying results but tended towards normal values. The results of the correlation test between mental index and gonial index with cortisol and serum calcium showed no correlation with p>0.05. Conclusion: There was no correlation between serum calcium and cortisol level in the value of MI and GI in hypertension patients.