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All Journal Jurnal Ners Indonesian Journal of Global Health research Jurnal Kedokteran Mulawarman
Yadi Yasir
Universitas Mulawarman
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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HUBUNGAN NILAI CT PADA PEMERIKSAAN REAL-TIME RT-PCR SARS-COV-2 DENGAN GEJALA KLINIS Olivia Siappa Tonglolangi; Moriko Pratiningrum; Yadi Yadi
Jurnal Kedokteran Mulawarman Vol 8, No 3 (2021): Jurnal Kedokteran Mulawarman
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.ked.mulawarman.v8i3.6559

Abstract

Coronavirus Disease 2019 (COVID-19) pertama kali muncul di Wuhan, Cina pada akhir Desember 2019 dan menyebar ke hampir seluruh dunia. Indonesia termasuk negara dengan kasus terkonfirmasi COVID-19 terbanyak di Asia. Real-time RT-PCR merupakan pemeriksaan yang direkomendasikan oleh WHO untuk mendeteksi virus penyebab COVID-19. Real-time RT-PCR memberikan gambaran nilai Ct atau Cycle Treshold yang diduga berhubungan dengan manifestasi klinis. Penelitian ini bertujuan untuk mengetahui hubungan antara nilai Ct pada pemeriksaan Real-time RT-PCR SARS-CoV-2 dengan gejala klinis. Penelitian ini merupakan penelitian observasional analitik dengan desain cross sectional. Sampel penelitian ini adalah semua pasien yang terkonfirmasi positif COVID-19 melalui pemeriksaan Real-Time RT-PCR SARS-CoV-2. Penelitian menggunakan data sekunder yang diperoleh dari rekam medik di Klinik Fakultas Kedokteran Universitas Mulawarman dan RSUD Abdul Wahab Sjahranie Samarinda pada bulan Maret-Mei 2021. Responden berjumlah 442 pasien yang berusia 8-87 tahun. Jumlah responden pria 60.9% dan wanita 39.1%. Dari hasil uji beda Mann Whitney didapatkan terdapat perbedaan nilai Ct pada pemeriksaan Real-Time RT-PCR dengan gejala asimtomatik, ringan, sedang dan berat-kritis dengan p value 0.000. Berdasarkan hasil penelitian ini dapat disimpulkan bahwa terdapat perbedaan nilai Ct pada pemeriksaan Real-Time RT-PCR SARS-CoV-2 dengan gejala klinis
Analisis Model Regresi Ketepatan Waktu Vaksinasi Meningitis Pada Jamaah Umrah di Balai Kekarantinaan Kesehatan Kelas I Samarinda Alwan Zakki Nozomi; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Ida Ayu Indira Dwika Lestari; Yadi Yadi
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60049

Abstract

Timeliness of meningitis vaccination among Umrah pilgrims remains an important public health issue due to the high risk of Neisseria meningitidis transmission during umrah activities. Although meningitis vaccination is a mandatory requirement for Umrah pilgrims, many individuals still receive the vaccine close to their departure date, resulting in suboptimal immune protection. This study aimed to analyze the factors associated with the timeliness of meningitis vaccination among Umrah pilgrims at the Health Quarantine Office Samarinda in 2026. A quantitative study with a cross-sectional design was conducted involving 306 respondents selected through purposive sampling. Data were collected using structured questionnaires and vaccination records, then analyzed using univariate, bivariate, and multivariate logistic regression analyses. The findings revealed that individual factors, including knowledge, perceived susceptibility, perceived severity, perceived benefits, and attitudes, were significantly associated with vaccination timeliness. External factors such as access to information, travel agent support, and family support, as well as structural factors including distance accessibility, procedural convenience, and availability of health facilities, also demonstrated significant associations with timely vaccination. Multivariate analysis identified the most dominant factor influencing vaccination timeliness among Umrah pilgrims. The study concludes that the timeliness of meningitis vaccination is influenced by a combination of individual, social. Keywords : meningitis vaccination, timeliness, Umrah pilgrims.
Faktor Faktor Yang Berhubungan Dengan Tindakan Pengendalian dm Tipe II Pada Jamaah Umrah di Balai Kekarantinaan Kelas I Samarinda Heny Surya Widiyaningsih; Irfansyah Baharuddin Pakki; Yadi Yadi
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60159

Abstract

Diabetes Melitus (DM) Tipe II merupakan salah satu penyakit tidak menular yang prevalensinya terus meningkat dan menjadi tantangan kesehatan global. Jamaah umrah dengan DM Tipe II memiliki risiko mengalami komplikasi akibat aktivitas fisik yang tinggi, perubahan pola makan, serta kondisi lingkungan selama pelaksanaan ibadah. Oleh karena itu, tindakan pengendalian diabetes yang optimal menjadi faktor penting dalam menjaga kondisi kesehatan jamaah. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan tindakan pengendalian DM Tipe II pada jamaah umrah di Balai Kekarantinaan Kesehatan Kelas I Samarinda. Penelitian menggunakan desain kuantitatif dengan pendekatan cross-sectional. Sampel penelitian sebanyak 160 jamaah umrah penderita DM Tipe II yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner berdasarkan konstruk Health Belief Model (HBM) dan instrumen Summary of Diabetes Self-Care Activities (SDSCA), kemudian dianalisis menggunakan uji Chi-Square dan regresi logistik biner. Hasil penelitian menunjukkan bahwa durasi menderita DM, kadar gula darah, persepsi kerentanan, persepsi keparahan, persepsi manfaat, persepsi hambatan, dan efikasi diri berhubungan signifikan dengan tindakan pengendalian DM Tipe II (p<0,05). Analisis multivariat menunjukkan bahwa kadar gula darah (OR=65,178) dan efikasi diri (OR=10,178) merupakan faktor dominan yang berhubungan dengan tindakan pengendalian DM Tipe II. Penguatan efikasi diri dan pemantauan kadar gula darah secara berkala perlu menjadi fokus dalam pembinaan kesehatan jamaah umrah dengan DM Tipe II.
Faktor Risiko Kejadian Demam Berdarah dengue (DBD) Pada Anak Usia 7-12 Tahun di Kecamatan Samarinda Utara Elina Erlina; Irfansyah Baharuddin; Yadi Yadi
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61005

Abstract

Various factors were suspected to contribute to the occurrence of Dengue Hemorrhagic Fever (DHF); however, the magnitude of each factor's contribution had not been fully determined. This study aimed to analyze factors associated with the incidence of DHF among children aged 7–12 years. An analytical observational study with a case-control design was conducted. The study population consisted of children aged 7–12 years residing in the working areas of Sempaja, Bengkuring, Lempake, and Sungai Siring Community Health Centers. A total of 300 respondents, comprising 150 cases and 150 controls, were selected using Proportionate Stratified Random Sampling. Data were collected using structured questionnaires and observation sheets. Data were analyzed using frequency distribution, Chi-square test, and logistic regression. The results showed that vaccination status, mosquito repellent use, residential density, 3M Plus Mosquito Nest Eradication (PSN 3M Plus) behavior, and socioeconomic status were significantly associated with DHF incidence (p<0.05), whereas sex was not significantly associated (p=0.639). PSN 3M Plus behavior was identified as the strongest factor associated with DHF incidence (OR=22.587). These findings may serve as a basis for strengthening DHF prevention efforts through the control of factors associated with disease occurrence. Keywords: Children Aged 7–12 Years, Dengue Hemorrhagic Fever, Risk Factors
Analysis of Factors Related to the Incidence of Ventilator-Associated Pneumonia (VAP) in the Intensive Care Unit Yudi Jaya Cahyana; Irfansyah Baharuddin Pakki; Ida Ayu Indira Dwika Lestari; Ratno Adrianto; Yadi Yadi; Akhmad Azmiardi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6628

Abstract

Ventilator-associated pneumonia (VAP) occurs in patients who have been on mechanical ventilation with an endotracheal tube (ETT) for at least 48 hours. This type of pneumonia typically arises as a result of nosocomial infections or Healthcare-Associated Infections (HAIs) and is commonly linked to the use of ventilators in hospital settings. This study was to identify the factors associated with the incidence of VAP among patients admitted to the Intensive Care Unit of Abdoel Wahab Sjahranie Hospital, Samarinda. Method: A cross-sectional study was conducted. The study population consisted of all patients who had undergone mechanical ventilation in the ICU without a prior history of pneumonia, totaling 118 respondents, using the HAIs bundle observation tool and direct observation. Chi-square and multiple logistic regression were used for statistical analysis, along with a predictive model. The results showed that the prevalence of VAP among respondents in the ICU was 5.9%. Factors significantly associated with the incidence of VAP included duration of ventilator use (p = 0.000), oral hygiene procedures (p = 0.000), head-of-bed elevation to 30–45° (p = 0.007), hand hygiene compliance (p = 0.015), and aseptic suctioning procedures (p = 0.043). The multivariate analysis identified duration of ventilator use ≥96 hours as the most dominant factor, with the highest Odds Ratio (OR = 13.975; 95% CI: 0.753–227.435). Duration of ventilator use was the most significant factor associated with an increased risk of VAP, with patients ventilated for ≥96 hours being 13 times more likely to develop VAP compared to those ventilated for <96 hours. Proper oral hygiene, appropriate head-of-bed elevation (30–45°), compliance with hand hygiene, and aseptic suctioning procedures were also found to be significantly associated with VAP incidence among ICU patients at Abdoel Wahab Sjahranie Hospital
The Relationship Between Lipid Profile and HBA1C Levels in Type 2 Diabetes Melitus Patients Miako Pasinggi; Irfansyah Baharuddin Pakki; Yadi Yadi
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6629

Abstract

Diabetes Mellitus is a chronic disease with high morbidity and mortality rates, requiring comprehensive and integrated management. Dyslipidemia is an important risk factor contributing to the occurrence of both microvascular and macrovascular complications in individuals with Diabetes Mellitus. Optimal control of HbA1c levels and lipid profiles is considered essential in reducing the risk of complications and improving patient outcomes. Therefore, monitoring and managing these parameters is a critical component of diabetes care to prevent further complications. This study aims to analyze relationship between lipid profile with HbA1c levels in Type 2 Diabetes Mellitus (T2DM) patients at Puskesmas in Samarinda. A cross-sectional study was conducted involving 1,482 patients with T2DM, selected through a total sampling technique. Data were obtained from secondary sources, specifically medical records. Bivariat analysis using the Chi-Square test was performed to evaluate the relationship between lipid profile and HbA1c levels. The analysis identified significant relationship between TG (p = <0,001 ; OR = 3,350; 95% CI:2,701-4,157), TC (p = <0,001; OR = 1,862; 95% CI: 1,486-2,334), HDL-C (p = 0,003; OR = 1,567; 95% CI: 1,169-2,100), and LDL-C (p = 0,013; OR = 1,310; 95% CI: 1,063-1,614). This study found a significant association between all components of the lipid profile and HbA1c levels among patients with type 2 diabetes mellitus (T2DM) in Samarinda. Levels of triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were all significantly related to poor glycemic control. .
Analysis of Factors Affecting Antiretroviral Adherence in HIV/AIDS Patients Mochamad Makin; Irfansyah Baharuddin Pakki; Akhmad Azmiardi; Ratno Adrianto; Yadi Yadi; Ida Ayu Indira Dwika Lestari
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6944

Abstract

Human Immunodeficiency Virus (HIV) remains a major global public health issue, with antiretroviral (ARV) therapy playing a critical role in its management. Adherence to ARV therapy is essential to suppress viral load, prevent drug resistance, and improve the quality of life of people living with HIV/AIDS (PLWHA). However, cases of non-adherence persist. At RSUD A. Wahab Sjahranie, a referral hospital in East Kalimantan, 16% of patients have been found to be non-adherent to their ARV medication. Ensuring adherence is vital to avoid complications and prevent HIV transmission. This study aims to identify and analyze the factors influencing ARV adherence among HIV/AIDS patients at the Anyelir Outpatient Clinic, RSUD A.W. Sjahranie, Samarinda. This study employed a quantitative analytical approach with a cross-sectional design. It involved 106 HIV/AIDS patients who were actively receiving antiretroviral therapy (ART). The independent variables included knowledge, self-efficacy, duration of therapy, side effects, family support, social support, and healthcare staff attitude. Data were collected using a structured questionnaire administered directly to respondents and supported by secondary data from medical records. A total sampling technique was applied, and data were analyzed using chi-square tests and logistic regression at a 95% significance level. A total of 85.8% of respondents were classified as adherent to ARV treatment. Bivariate analysis showed that knowledge (p = 0.019), family support (p = 0.018), social support (p = 0.011), healthcare staff attitude (p = 0.006), and self-efficacy (p = 0.002) were significantly associated with ARV adherence. Multivariate analysis identified family support (OR = 4.275), healthcare staff attitude (OR = 6.834), and self-efficacy (OR = 20.241) as the most influential factors. Knowledge, side effects, family support, social support, healthcare staff attitude, and self-efficacy are significant determinants of ARV adherence among PLWHA. Among these, self-efficacy emerged as the most dominant factor.
Co-Authors Adrianto, Ratno Akhmad Azmiardi Alwan Zakki Nozomi Elina Erlina Heny Surya Widiyaningsih Ida Ayu Indira Dwika Lestari Irfansyah Baharuddin Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Miako Pasinggi Mochamad Makin Moriko Pratiningrum Olivia Siappa Tonglolangi Yudi Jaya Cahyana