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All Journal Indonesian Journal of Geography Jurnal Anestesiologi Indonesia Berita Kedokteran Masyarakat Academic Hospital Journal

Susianti, Noor Alia

Faculty Of Medicine Universitas Gadjah Mada Yogyakarta

Author-ID : 2893576

Dentistry Earth & Planetary Sciences Health Professions Medicine & Pharmacology Nursing Public Health

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Articles

The Spatiotemporal Analysis of Dengue Fever in Purwosari District, Gunungkidul Regency, Indonesia Indra Agus Riyanto; Noor Alia Susianti; Ratri Abdatush Sholihah; Raden Ludhang Pradipta Rizki; Ahmad Cahyadi; Muhammad Naufal; Fajri Ramadhan; Victor Kusuma Ramadan; Awanda Sistia Risky
Indonesian Journal of Geography Vol 52, No 1 (2020): Indonesian Journal of Geography
Publisher : Faculty of Geography, Universitas Gadjah Mada

From 2014 to 2016, the number of prevalence of Dengue Hemorrhagic Fever (DHF) and deaths associated with DHF in Indonesia increased. DHF fatal cases were also reported from three administrative units in the Special Region of Yogyakarta, namely Bantul Regency, Gunungkidul Regency, and Yogyakarta City. Two related deaths in Purwosari, a district in Gunungkidul, raised the status of DHF to an outbreak. This study was designed to characterize the spread pattern of DHF in its endemic areas in Purwosari District using the retrospective method, anamnesis, in-depth interviews, Geographic Information System (GIS), and environmental analysis. The kernel density estimation revealed that in 2011-2017, DHF was concentrated in four villages, namely Giriasih, Giricahyo, Giritirto, and Giripurwo. There was a correlation between DHF incidents and physical geographical features of these villages, including proximity to water sources, high vegetation density, elevation, humidity, and rainfall, which created habitats for mosquito growth. A high incidence of DHF has been observed in children (50.8%) and students (57.4%), with most cases (78.7%) showing typical symptoms of the disease. A few of the 61 cases in the district developed into dengue shock syndrome (DSS) and led to death (4.9%), mainly because the public was unable to recognize the warning signs of DHF early and had limited knowledge of required management therapy. Moreover, the preventive or precautionary measures known as the 3M-Plus were not fully implemented yet.

Efektivitas Lidokain Intravena untuk Mengurangi Nyeri pada Pemberian Drip KCl melalui Akses Vena Perifer Kamala Kan Nur Azza; Noor Alia Susianti; Rizki Puji Agustin; Uswathon Khasanah; Lina Andarwanti; Widya Yuniatun
JAI (Jurnal Anestesiologi Indonesia) Vol 12, No 1 (2020): Jurnal Anestesiologi Indonesia
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Latar Belakang: Hipokalemia merupakan gangguan elektrolit yang sering terjadi. Hipokalemia berat dapat mengancam jiwa. Koreksi hipokalemi yang tepat dan cepat dapat mencegah komplikasi yang membahayakan jiwa. Salah satu intervensi yang dapat dilakukan adalah dengan pemberian KCl melalui akses vena perifer, tetapi KCl memiliki sifat iritatif yang dapat menyebabkan nyeri. Cara yang dapat dilakukan untuk mengurangi nyeri adalah dengan pemberian lidokain intravena. Lidokain merupakan obat anestesi yang dapat diberikan secara intravena dan memberikan efek analgesia. Tujuan: Mengetahui keefektifan lidokain untuk mengurangi nyeri pada pemberian KCl melalui akses vena perifer.Metode: Penelitian ini merupakan uji klinis randomisasi samar berganda melibatkan 37 pasien hipokalemia yang memerlukan koreksi. Pasien terbagi menjadi 21 pasien kelompok perlakuan (mendapatkan lidokain saat koreksi) dan 16 pasien kelompok kontrol (tanpa lidokain) yang kemudian penilaian nyeri menggunakan numering pain rating scale (NPRS) pada pertengahan proses koreksi (2,5 jam) dan akhir koreksi (5 jam). Hasil: Tidak terdapat perbedaan karakteristik dasar di kedua kelompok pada awal penelitian. Pemberian lidokain terbukti dapat mengurangi terjadinya nyeri dari proses koreksi kalium pada pertengahan proses koreksi dan akhir proses koreksi (p<0,05). Pada progresivitas nyeri, pemberian lidokain mampu mencegah terjadinya nyeri pada 2,5 jam pertama (RR=0,47, 95%IK 0,26-0,85, p=0,01) namun progresivitas nyeri 2,5 jam berikutnya tidak bermakna secara statistik (RR=0,95, 95%IK 0,30-2,99, p>0,05).Kesimpulan: Lidokain dapat mengurangi nyeri selama proses koreksi kalium sehingga dapat dipertimbangkan untuk diaplikasikan dalam praktik klinis.

The refreshing course program and an introspective survey on occupational health efforts for informal industry in the catchment areas of Srandakan Public Health Center in Bantul: a case report Noor Alia Susianti; Fifi Sumarwati; Budi Setyowati; Suhandriyah Suhandriyah
Berita Kedokteran Masyarakat (BKM) Vol 35, No 5 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Purpose: Srandakan sub-district as one of the sub-district in Bantul which has a lot of informal industry that caused a lot of work-related accidents and health problems. These problems can be prevented. One of the prevention is by increasing public health programs in UKK (Upaya Kesehatan Kerja). Primary health care’s UKK programs include annually refreshing and introspective or self-assessment programs that can help the informal industry to implement occupational health and safety, develop UKK station, and UKK cadres couching. The implementation of occupational safety and health (OSH) and UKK is expected can decrease the prevalence of work-related accidents and health problems in the informal industrial sector.Conclusion: The UKK caders’ knowledge about the implementation of occupational health and safety and UKK is still poor. Annually refreshing program is so important to improve caders’ knowledge and understanding. The introspective programs showed that not many informal industries those have UKK station. The role of UKK programmer in primary health, i.e. general practitioners and nurses, and also the government have an important influence in developing, monitoring, and evaluating the implementation of occupational health and safety programs.

Geographic Accessibility to Primary Healthcare: Study Case Dengue Fever in Purwosari Sub-District, Gunungkidul Regency, Yogyakarta, Indonesia Noor Alia Susianti; Indra Agus Riyanto; Novia Ismayuni; Raden Ludhang Pradipta Rizki; Ahmad Cahyadi
Indonesian Journal of Geography Vol 55, No 2 (2023): Indonesian Journal of Geography
Publisher : Faculty of Geography, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijg.64967

Distribution and spatial analysis of public healthcare in Indonesia are rarely discussed. Most of the research tell about quantity and quality which do not mention the spatial aspect. This research purposes to know the relationship between health facilities selection and geographic conditions by combining medical facilites data, number of doctor and spatial analysis approach. The selected study areas are referral health facilities chosen by DHF (Dengue Hemorrhagic Fever) patients in Purwosari District, Gunungkidul Regency. Information was collected by interviews and field measurements (altitude and location plotting) and also secondary data collection (hospital accreditation data, number of doctors, and number of beds). GPS, Altimeter, ArcGIS, and SPSS used for data collection and analysis. The spatial analysis method in this research were kernel density, buffer, ruler, and altitude of each facility. Meanwhile, the medical analysis approach used Pearsons' correlation and multinomial logistic regression in SPSS. The results of the spatial analysis show that the DHF patients in Purwosari dominantly choose health facilities in Bantul Regency because of having closer distance, relatively short travel time, lower elevation, and many health facilities centers. At the same time, Puskesmas Purwosari (Sub-district level Health center) was only chosen as an early reference and a place for treating mild dengue patients. In addition, distance, duration of travel time, and the number of doctors had a strong correlation based on the Pearson's correlation. These three variables have the greatest linear relationship with the response variable. Meanwhile, some variables; elevation, number of doctors, accreditation, and number of beds were considered by patients in choosing a hospital based on multinomial logistic regression analysis.

The Successfulness of A Multidisciplinary Approach For Obstructive Sleep Apnea Susianti, Noor Alia; Nathania, Caroline Evanthe; Prodjohardjono, Astuti; Vidyanti, Amelia Nur; Gofir, Abdul; Setyaningsih, Indarwati; Setyaningrum, Cempaka Thursina Srie; Sutarni, Sri
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.103305

Background: Obstructive Sleep Apnea (OSA) is a global problem that has an impact on health and quality of life (QOL). There are a lot of risk factors for OSA, i.e. anatomical abnormality and comorbidity. A multidisciplinary approach can improve the symptoms and the impact of OSA and QOL too.Materials and methods: This case report is structured according to The CARE (Case Report) guideline.Case: A male, 37 years old, came with the chief complaint of snoring for 6 years. The patient felt unfit and dissatisfied with his sleep (Sleep Condition Indicator: 2.5). This impacted the daily activities and caused excessive daytime sleepiness. He could fall asleep while doing activities (Epsworth Sleepiness Scale: 24). The condition was worsening and he was often found apnea during sleep. The patient’s body mass index was 38.3kg/m2 (type I obesity) and the neck diameter was 43 cm. The polysomnography showed sleep architectural abnormality and the patients suffered from moderate OSA (Apnea-Hipopnea Index: 23.7). The patient was hospitalized for 7 days and got a Continuous Positive Airway Pressure Device (CPAP). Anatomical abnormality was investigated but none needed surgical intervention. Metabolic syndrome intervention includes therapy for hypertension, dyslipidemia, and diabetes. Collaboration with a clinical nutritionist for nutritional intervention. After 7 days, the sleep quality, the symptoms, and the SCI score were improved (7.1). Conclusion: OSA risk factors are varied and needed to be identified. In addition to definitive therapy, management of comorbidities, such as metabolic syndrome, should be addressed. A multidisciplinary approach can thereby improve OSA, patient’s health, and QOL.

Co-Authors Abdul Gofir Ahmad Cahyadi Ahmad Cahyadi **) Amelia Nur Vidyanti Awanda Sistia Risky Budi Setyowati Fajri Ramadhan Fifi Sumarwati Indra Agus Riyanto Indra Agus Riyanto Kamala Kan Nur Azza Lina Andarwanti Muhammad Naufal Nathania, Caroline Evanthe Novia Ismayuni Prodjohardjono, Astuti Ratri Abdatush Sholihah Rizki Puji Agustin Rizki, Raden Ludhang Pradipta Setyaningrum, Cempaka Thursina Srie Setyaningsih, Indarwati Sri Sutarni Suhandriyah Suhandriyah Uswathon Khasanah Victor Kusuma Ramadan Widya Yuniatun

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