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GAMBARAN GANGGUAN OTONOM PADA PASIEN PARKINSON DI RSUPN CIPTO MANGUNKUSUMO DAN RSUP FATMAWATI Maria Arasen, Eva Dewati, Freddy Sitorus, Herqutanto
NEURONA Vol 30 No. 4 September 2013
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION AUTONOMIC SYMPTOMS ARE QUITE OFTEN REPORTED BY PARKINSONS DISEASE PATIENTS COMPRISE GASTROINTESTINAL URINARY CARDIOVASCULAR SEXUAL AND THERMOREGULATION SYMPTOMPS SCOPAAUT SCALE FOR OUTCOMES IN PARKINSONS DISEASE FOR AUTONOMIC SYMPTOMS QUESTIONNAIRE CAN DETECT AUTONOMIC DYSFUNCTIONS AND HAD BEEN VALIDATED IN INDONESIAN LANGUAGE BUT IT NEVER
UJI DIAGNOSTIK TORONTO CLINICAL SCORING SYSTEM TERHADAP DIAGNOSIS NEUROPATI PERIFER TERINDUKSI KEMOTERAPI Aldy Novriansyah, Manfaluthy Hakim, Aru Wicaksono Sudoyo, Tiara Aninditha, Herqutanto
NEURONA Vol 31 No. 2 Maret 2014
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION CHEMOTHERAPYINDUCED PERIPHERAL NEUROPATHY CIPN IS AN ADVERSE EFFECT OF NEUROTOXIC CHEMOTHERAPY THAT DECREASE THE PATIENTS QUALITY OF LIFE AND OBSTRUCT THE PROVISION OF OPTIMAL CHEMOTHERAPY EARLY DETECTION IS NEEDED BY A SIMPLE SCREENING TOOL THATHAS A NEAR ACCURACY TO ELECTRONEUROGRAPHY ENG AS THE GOLD STANDARD FOR THE DIAGNOSIS OF NEUROPATHY THE TORONTO CLINICAL SCORING SYSTEM TCSS IS ANEASY AND SUPERIOR TOOL FOR DIABETIC NEUROPATHYSCREENING SIMILARITY BETWEEN DIABETIC NEUROPATHY AND CIPNS CLINICAL PICTURE COULD MAKE THE TCSS AS A SCREENING TOOL FOR CIPN
ADAPTASI TRANSKULTURAL KUESIONER PAINDETECT KE DALAM BAHASA INDONESIA Karolina Margareta,* Tiara Aninditha,* Manfaluthy Hakim,* Herqutanto,** Mohammad Kuniawan*
NEURONA Vol. 34 No. 3 Juni 2017
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION NEUROPATHIC PAIN IS NOT EASILY DETECTED DUE TO LACK OF AN IDEAL SCREENING INSTRUMENT MANAGEMENT OF NEUROPATHIC PAIN AND NOCICEPTIC PAIN ARE DIFFERENT NEVERTHELESS INADEQUATE MANAGEMENT OF NEUROPATHIC PAIN WILL LEADS TO CHRONIC PAIN THAT IMPAIR QUALITY OF LIFE PAINDETECT QUESTIONAIRE HAS A HIGH SENSITIVITY AND SPECIFICITY TO IDENTIFY NEUROPATHIC PAIN AND ALREADY HAS BEEN TRANSLATED TO VARIOUS LANGUAGE BUT NOT TO INDONESIAN LANGUAGE
NILAI RERATA TES SKRINING NEUROPSIKOLOGI LURIA NEBRASKA STLNNB SEBAGAI PEMERIKSAAN FUNGSI KOGNITIF PADA POPULASI NORMAL Lani Septia*, Silvia F. Lumempow**, Diatri N.Lastri**, Herqutanto***
NEURONA Vol 29 No. 1 Oktober 2011
Publisher : Neurona Majalah Kedokteran Neuro Sains

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INTRODUCTION STLNNB IS A MULTIDOMAIN COGNITIVE SCREENING TOOL THAT CAN BE APPLIED START FORM 13 YEARS IN 20 MINUTES THIS STUDY IS AIMED TO GET THE PERFORMANCE OF STLNNB IN NORMAL POPULATION ACCORDING TO DEMOGRAPHIC FACTORS SUCH AS AGE SEX AND EDUCATION
The influence of Guided Imagery and Music (GIM) relaxation on primary school teachers’ stress Herlinah Herlinah; Herqutanto Herqutanto; Nuri Purwito Adi
Health Science Journal of Indonesia Vol 9 No 1 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v9i1.463

Abstract

Abstrak Latar belakang: Stres dapat menimpa berbagai profesi dan pekerjaan. Guru sekolah dasar merupakan salah satu profesi yang rentan terhadap stres. Stres ini dapat berpengaruh terhadap kinerja guru, oleh karena itu stress harus diatasi. Salah satu cara untuk menurunkan stres adalah relaksasi dengan terapi musik. Bagian dari terapi musik adalah Guided Imagery and Music (GIM). Penelitian ini untuk mengetahui pengaruh relaksasi GIM terhadap stres guru sekolah dasar negeri di kabupaten Sekadau, Kalimantan barat. Metode: 40 orang responden guru diikut sertakan dalam penelitian ini melalui cluster random sampling. Desain penelitian menggunakan metode quasi eksperiment pre-post dengan grup kontrol. Data yang dikumpulkan meliputi karakteristik individu dan masa kerja, stressor kerja (menggunakan kuesioner SDS) dan stres guru (menggunakan kuesioner SCL-90). Relaksasi GIM diberikan sebanyak 5 sesi dalam waktu ±20 menit setiap sesi selama 1 minggu. Hasil: 77.5% responden memiliki tingkat stress sedang pada stressor beban pekerjaan kualitatif berlebih. Penilaian awal stress didapatkan 77.5% responden mengalami gejala psikopatologi dengan gejala terbanyak adalah obsesi-kompulsif (27.5%). Terdapat penurunan rerata stres yang bermakna pada guru SD yang mendapat relaksasi GIM dengan perbedaan mean 3.00±6.29 (p=0.046) dan peningkatan rerata stress pada kelompok kontrol -1.45±7.72 (p=0.412). Kesimpulan: Intervensi GIM berpengaruh terhadap penurunan tingkat stress pada guru SD yang menjalani relaksasi GIM. (Health Science Journal of Indonesia 2018;9(1):45-50) Kata kunci: Relaksasi GIM, Stres guru, Guru sekolah dasar Abstract Background: Stress is a common hazard in a lot of professions and occupation. Primary school teachers are one of the most vulnerable profession to have stress. Stress may impact on teachers’ performance and therefore must be treated. One of the ways to alleviate stress is relaxation by musical theraphy. A part of musical theraphy is Guided Imagery and Music (GIM) relaxation. The purpose of the research is to know the influence of GIM relaxation method on stress’ level of primary school teachers in district Sekadau, West Kalimantan. Methods: 40 teachers participated in this research and were chosen by cluster random sampling method. The study design was pre-post quasi experiment with control group. The collected data included respondents’ individual characteristics and length-of-employment, work stressors (using SDS questionnaire) and teachers’ stress (using SCL-90 questionnaire). GIM relaxation method was provided in 5 sessions where conducted for 20 minutes during the period of one week. Results: 77.5% of respondents have medium stress levels, which were excessive qualitative workloads stressors. In early stress assessment, 77.5% respondent showed psychopatology symptoms, where the most frequent symptom was obsessive-compulsive (27.5%). There was a significant decrease in stress level in primary school teachers who received the GIM relaxation with a mean difference of 3.00±6.29 (p=0.046) and an increase of stress’ level in control group with a mean difference of -1.45±7.72 (p=0.412). Conclusion: GIM intervention has an effect on reducing stress level in primary school teachers who have undergone GIM relaxation. (Health Science Journal of Indonesia 2018;9(1):45-50) Keywords: GIM relaxation, Teachers’ stress, primary school teachers
Correlation of noise level exposure on the reaction time of workers at a manufacturing company in Bandung, Indonesia Herqutanto Herqutanto; Irwan Suhadi; Imron Khazim; Dewi S. Soemarko; Retno A. Werdhani
Health Science Journal of Indonesia Vol 11 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v11i1.2447

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Latar Belakang: Para pekerja sering kali terpaksa berhadapan dengan kebisingan tinggi ditempat kerja. Kebisingan mengganggu perhatian yang diperlukan terus-menerus dan menurunkan produktivitas kerja, oleh sebab itu pekerja yang melakukan pengamatan dan pengawasan terhadap satu proses produksi atau hasilnya, dapat membuat kesalahan akibat dari terganggunya konsentrasi dan kurang fokusnya perhatian. Pada penelitian ini dilakukan pengukuran waktu reaksi cahaya dan suara untuk menilai fokus perhatian/konsentrasi. Metode: Studi analitik dengan desain komparatif cross sectional. Penelitian ini dilakukan pada perusahaan manufaktur yang memproduksi benang nylon sintetik. Membandingkan rerata selisih waktu reaksi cahaya dan suara sebelum dan setelah bekerja dengan pajanan kebisingan pada kelompok subjek yang bekerja pada intensitas kebisingan di atas NAB (area braiding) dibandingkan dengan yang di bawah NAB (area waring), dimana sebelumnya dilakukan pengukuran intensitas tingkat kebisingan di kedua area tersebut. Hasil Penelitian: Perbedaan bermakna waktu reaksi cahaya yang melambat pada subjek yang bekerja dengan pajanan kebisingan di atas NAB sebelum dan setelah bekerja (p=0.007), namun tidak dengan waktu reaksi suara. Tidak terdapat perbedaan bermakna waktu reaksi cahaya dan suara pada subjek yang bekerja dengan pajanan kebisingan di bawah NAB sebelum dan setelah bekerja. Terdapat perbedaan bermakna rerata selisih waktu reaksi cahaya yang melambat pada subjek yang bekerja pada pajanan kebisingan di atas NAB dengan di bawah NAB, p=0,017, namun tidak bermakna terhadap rerata selisih waktu reaksi suara. Kesimpulan: Terdapat perbedaan rerata selisih waktu reaksi cahaya pada pekerja yang bekerja dengan pajanan kebisingan di atas NAB dibandingkan dengan pekerja yang bekerja dengan pajanan kebisingan di bawah NAB, sehingga tingkat intensitas kebisingan tinggi (di atas NAB) mempengaruhi waktu reaksi cahaya dan menjadi lebih lambat. Kata Kunci: waktu reaksi cahaya; waktu reaksi suara; kebisingan Abstract Background: Workers are often exposed to high noise level at their workplaces. Noise can disrupt the worker’s concentration and focus and in the end, may cause lower productivity. Thus, workers whose main job descriptions are to supervise workflow from one phase to another are prone to mistakes due to the loss of concentration and focus. In this research, we used reaction timer with light and sound stimuli to assess attention or concentration. Methods: The study was an analytical study with comparative cross sectional design, comparing a mean difference between light and sound reaction time before and after work. This research was conducted at a manufacturing company that produces synthetic nylon fibers. The subjects were divided into two groups; the workers with noise intensity above TLV (braiding’s area) and with noise intensity below TLV (waring’s area). Prior to the study, the research has measured the intensity of the noise level in the workplace area. Result: A significant difference was found in the light’s reaction time who work with noise exposure above TLV (p= 0.007) and it was found to be slower after work with the workers who are exposed to noise above TLV. There was also a significant mean difference for the light’s reaction time between the above TLV noise group and below TLV noise group (p = 0.017). There was no significant difference in sound reaction time. Conclusion: There was a significant mean difference in light reaction time for the workers who work with noise exposure above TLV compare with the workers who work in below TLV, so that high intensity of noise level is found to affect and decrease the light reaction time of the workers. Keywords: light’s reaction time, sound’s reaction time, noise.
Do the port health officers at Soekarno-Hatta International Airports and Zainuddin Abdul Madjid International Airports have sufficient knowledge, attitude, and practice regarding emergency landing? Herqutanto Herqutanto; Albert Wijaya; Budi Sampurna; Manaor F.L. Napitupulu; Ferdi Afian
Health Science Journal of Indonesia Vol 12 No 1 (2021)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v12i1.4026

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Background: : Emergency landing as an airport emergency requires quick and precise action by Port Health Office (PHO) as the medical coordinator. Medical treatment in an emergency landing is critical for the safety of disaster victims, based on the knowledge, attitudes and behavior of airport PHO officers. This study aimed to determine knowledge, attitude and behavior of PHO officers at Soekarno-Hatta International Airport (SOETTA) and Zainuddin Abdul Majid International Airport (ZAM) regarding emergency landings. Methods: This is an observational applying cross sectional design. Ninety-eight PHO officers from SOETTA airport and ZAM airport have participated, and their data was collected through questionnaires, and then analyzed based on knowledge, attitude, and practice toward emergency landing. Results: The knowledge of SOETTA PHO officers was sufficient in 63.5% officers, while it was 79.2% in ZAM. SOETTA PHO officers’ attitude was positive in 67.6% while in ZAM it was 54.16%. The behavior of SOETTA PHO officers was good in 55.4% officers while in ZAM it was 75%. Conclusion: The level of knowledge of SOETTA and ZAM PHO officers regarding emergency landings was sufficient. The attitude of SOETTA and ZAM PHO officers regarding emergency landings was positive. The behavior of SOETTA and ZAM PHO officers was good for emergency landings. Keywords: emergency landing, port health officer, knowledge, attitudes and practice Abstrak Latar belakang: Emergency landing sebagai salah satu keadaan darurat bandara memerlukan tindakan yang cepat dan tepat oleh Kantor Kesehatan Pelabuhan (KKP) sebagai koordinator medis. Penanganan medis dalam emergency landing sangat menentukan keselamatan dan keamanan korban, yang berbasis pada pengetahuan, sikap dan perilaku petugas KKP bandara. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap dan perilaku petugas KKP Bandara Internasional Soekarno-Hatta (SOETTA) dan Bandara Internasional Zainuddin Abdul Majid (ZAM) terhadap emergency landing. Metode: Penelitian ini adalah sebuah studi obervasional dengan disain potong lintang. Sembilan puluh delapan petugas KKP dari 74 bandara SOETTA dan 24 bandara ZAM diambil datanya lewat kuesioner.dan selanjutnya dinilai pengetahuan, sikap dan perilaku terhadap emergency landing. Hasil: Sebanyak 63,5% petugas KKP SOETTA memiliki pengetahuan yang cukup sementara 79,2% petugas ZAM meiliki pengetahuan yang tergolong cukup. Untuk hasil sikap petugas KPP SOETTA yang tergolong positif 67,6% sementara di ZAM sikap petugas KPP yang tergolong positif 54,16%. Untuk hasil perilaku petugas KPP SOETTA yang tergolong baik 55,4% sementara di ZAM perilaku petugas KPP yang tergolong baik 75%. Kesimpulan: Tingkat pengetahuan petugas KKP SOETTA dan petugas KKP ZAM terhadap emergency landing tergolong cukup. Sikap petugas KKP SOETTA dan ZAM terhadap penanganan emergency landing positif. Perilaku petugas KKP SOETTA dan ZAM cukup baik terhadap emergency landing. Kata kunci: emergency landing; petugas KKP; pengetahuan, sikap dan perilaku
INDONESIAN VERSION OF THE PAINDETECT QUESTIONNAIRE IN THE ASSESSMENT OF NEUROPATHIC PAIN: A VALIDITY AND RELIABILITY STUDY Karolina Margareta; Manfaluthy Hakim; Mohammad Kurniawan; Tiara Anindhita; Herqutanto
Jurnal Sinaps Vol. 4 No. 2 (2021): Volume 4 Nomor 2, Juni 2021
Publisher : Neurologi Manado

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Objective: To develop an Indonesian version of PainDETECT Questionnaire (PDQ-Ina) and assess itsvalidity and reliability. Methode: The validity and reliability study was conducted at the Neurology ClinicCipto Mangunkusumo General Hospital, Jakarta from March 2014 until May 2014 using cross sectionaldesign. Sample of the research was done by non random consecutive sampling method. and were takenfrom each participant who met the inclusion criteria, measuring reliability of painDETECT Questionnaires(PDQ) using statistical analysis and retest test method within 24-48 hours interval. Result:There were150 subjects with chronic pain. Divided in to 3 types of group based on Indonesian version PDQ scoring,75 patients having nociceptive pain, 42 were mixed pain and 33 patients having neuropathic pain. Withinvalidation criteria analysis there were high correlation between PDQ-Ina with LANSS instrument as goldstandard (r= 0,082,p<0,001), AUC 85,5%, sensitivity 78,3% and specificity 78,7% with the optimal cut offpoint ≥17. The reliability of internal consistency Cronbach’s Alpha value were 0,710 and the test retestrealibility were 0,96. Conclusion :The Indonesian version of the PDQ is a valid and reliable scale andhave a good sensitivity and specificity to be used to determine neuropathic component of chronic pain.
THE POTENTIAL OF SITUATIONAL JUDGEMENT TEST AS AN INSTRUMENT OF ETHICAL COMPETENCE ASSESSMENT: A LITERATURE REVIEW Hikmah Muktamiroh; Herqutanto Herqutanto; Diantha Soemantri; Agus Purwadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.53735

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Background: Agreement on the importance of teaching and assessing ethical competence as part of professionalism in medical education continues to grow. The assessments of ethical competence at the “does” level in preclinical students or a large group of resident candidates are considered less efficient and expensive. It is necessary to find an alternative form of ethical competence assessment instrument as a complementary test at the level “knows how” before being tested at the level “does.” This research proposed investigating the Situational Judgement Test (SJT) potential and obtaining evidence of the SJT as an instrument of ethical competence assessment.Methods: This study was a literature review of 39 journal articles relating to SJT, obtained through PubMed data-based and google scholar search engine.Results: There was evidence of the use of SJT to assess ethical competence. Ethical competence can be evaluated by ethical decisions making ability. SJT containing procedural skills in ethical decisions making. SJT having good values as deliberation in ethical dilemmas and idealistic ethical ideology (conative test) also exists. These findings support the evidence of potential SJT to assess ethical competence.Conclusion: SJT can be used to assess ethical competence at the level “knows how” before being tested at the level “does” based on the following reasons: SJT can contain content questions that are conative, SJT can assess the ability of ethical decision making based on an assessment of procedural knowledge related to ethical deliberation of ethical decision making in ethical dilemmas.
Association between Occupational Stress and Psychopathological Symptoms Among Nurses in Cardiovascular Hospital During COVID-19 Pandemic Ayu Munawaroh; Herqutanto; Khamelia Malik; Ambar W. Roestam; Astrid B. Sulistomo
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 3 (2022): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v1i3.34.129-36

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Introduction: Occupational stress is known to be one of the factors that are often found in nursing professionals. Occupational stress can affect a person both physically and mentally. Moreover, the COVID-19 pandemic has brought additional workload for healthcare professionals, including nurses. This study aimed to analyze the association between occupational stress and psychopathological symptoms among nurses in Cardiovascular Hospital during the Covid-19 pandemic. Methods: This cross-sectional study involved 108 nurses in Cardiovascular Hospital X. Samples were taken by simple random sampling based on inclusion and exclusion criteria. Occupational stress was assessed by Expanded Nursing Stress Scale (ENSS) and psychopathological symptoms were assessed by Symptom Checklist 90 (SCL-90). Results: The mean ENSS total score was 88,17 ± 32,24 (maximum score of ENSS was 228). 19,4% of nurses had psychopathological symptoms. Somatization, obsessive-compulsive, and psychoticism had higher t-score values than other SCL-90 subscales. There was a strongly significant association between occupational stress and psychopathological symptoms (p<0,001). Conclusion: Its highly recommend early diagnosis and prompt treatment for psychopathological symptoms among nurses. Monitor and evaluation of occupational stress and psychopathology in nurses are recommended as periodic medical check-up program in hospital.