Ari Suwondo
Occupational Safety And Health Dept., Faculty Of Public Health, Diponegoro University

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Faktor-Faktor yang Mempengaruhi Perilaku Minum Obat Tuberkulosis Deny Novani; Agus Suwandono; Djoko Trihadi; M. Sakundarno Adi; Ari Suwondo
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (830.133 KB) | DOI: 10.33633/visikes.v16i1.1844

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The Multi Drug Resistance Tuberculosis (MDR TB) is tuberculosis resistance to minimum of two very potent TB drugs, Isoniazid and Rifampicin. Non-adherence to TB treatment may result in development of MDR TB. The study objective is to assess the risk factors of non-adherence to TB-treatment among MDR TB patients.This was the case control study, while case were non-adhere patients (n=57), and control were patients who are adhere to treatment (n=91). Total samples were 148 patients, with 10% of those who have risk Data was analyzed using bivariate analysis with Chi Square test, Odds Ratio (OR) and multivariate with logistic regression. There are two variables found as risk factors of non-adherence to TB treatment among MDRTB patients; treatment history (p=0,014; OR:2,648; 95%CI:1,215-5,771), duration of treatment (p=0,008; OR:2,960; 95% CI:1,320-6,638). Probability of non-adherence when there are thesetwo factors is 52,99%. Treatment history and duration of treatment were found as risk factors of non-adherence to TB treatment among MDR-TB patients in this study.Keywords: Risk factors, non-adherence to treatment, development of MDR TB
The Effect of Rekattidiri Ovitrap towards Aedes aegypti Larval Density Malik Saepudin; Soeharyo Hadisaputro; Ari Suwondo; Suhartono Suhartono
International Journal of Public Health Science (IJPHS) Vol 6, No 1: March 2017
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.225 KB) | DOI: 10.11591/ijphs.v6i1.6536

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Dengue Hemorrhagic Fever (DHF) is a health problem in Indonesia. The entire region of Indonesia at risk of contracting dengue disease. The study aims to prove the effect of modifications ovitrap rekattidiri on the density of larvae (HI: House Index, CI: Container Index and BI: Breteu Index) as well as comparing the differences between the mean larvae trapped between ovitrap Rekattidiri with standard ovitrap. Using a quasi experimental design, time series experimental design with Control group. Population subjects were Aedes aegypti at the endemic sites in Pontianak, West Borneo. The results showed larval density index in the intervention area decreased each ie HI from 26% to 3%, CI of 6.95% to 2.19 %, and BI from 29% to 13%. The number of larvae trapped in ovitrap rekattidiri ie 70% (12,770 larvae) more than the standard ovitrap in the control and intervention, namely: 17% (3,057 larvae) and 13% (2,334 larvae). It is concluded that there are significant modifications Rekattidiri ovitrap against larval density index (HI p-value: 0.025, CI p-value: 0.052, BI value of p: 0.04) and there are differences between the mean larvae trapped in ovitrap Rekattidiri and standard ovitrap with p value: 0.001.
FAKTOR YANG MEMPENGARUHI TINGKAT KESEMASAN POSTPARTUM PRIMIPARA Fauziah Winda Gurnita; Ari Suwondo; Rara Sri Endang Puji Astuti
Jurnal Ilmiah Kesehatan Ar-Rum Salatiga Vol 4, No 2 (2020)
Publisher : STIKES Ar-Rum Salatiga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36409/jika.v4i2.94

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Peran sebagai ibu baru untuk pertama kali membuat perubahan besar pada peran dan kondisi psikologis primipara saat menjalani periode postpartum. Mayoritas tanda-tanda kecemasan postpartum sering diabaikan karena kurangnya kesadaran akan dampak di kemudian hari pada primipara, suami, atau hubungan dengan anggota keluarga lainnya yang akan menjadi beban psikologis bagi primipara. Metode penelitian yang digunakan adalah pra eksperimental dengan 40 sampel wanita primipara dengan kriteria persalinan normal. Faktor-faktor yang diteliti adalah usia, pendidikan, pekerjaan, status ekonomi, dan budaya etnis primipara. Hasil dari penelitian ini adalah usia, pendidikan, pekerjaan, dan status ekonomi tidak mempengaruhi tingkat kecemasan postpartum primipara. Budaya etnis mempengaruhi tingkat kecemasan postpartum primipara. Kesimpulan: Kelompok etnis membentuk lingkungan dan persepsi efektif untuk primipara dan keluarga. Karena budaya etnis membentuk lingkungan bagaimana kondisi psikologis primipara berjalan selama proses postpartum berlangsung.
Optimalisasi Informasi Citra T1 W1 Post-Contrast Dengan Fat Saturation dan Pengaturan Time Repetition: Studi pada Pemeriksaan Magnetic Resonance Imaging Brain dengan Kasus Tumor Akhmad Haris Sulistiyadi; Ari Suwondo; Sugiyanto Sugiyanto
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 1: January 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.3149

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Background: Fat saturation is an alternative technique to improve image information in T1 WI post contrast MRI of brain tumor. It can increase lesion conspituity by suppressing normal tissue’s signal. To optimize image information by using fat saturation, selection of Fat Saturation type and Time Repetition (TR) value are important.Objectives: to analyze the differences in T1 WI post-contrast image information in MRI of brain tumor in various type of Fat Saturation and TR value.Methods: Experimental study with factorial design conducted in  Telogorejo Hospital-Semarang. Nine combinations (9 groups) of three Fat Saturation types (none, weak, and strong) by three TR values (700 ms, 750 ms, and 800 ms) were given to 12 patients of MRI brain tumor. Image informations were assessed by measuring  SNR (white matter, gray matter, lesions, surrounding tissue), CNR (white matter- gray matter, white matter-CSF, gray matter-CSF, lesion- surrounding tissue), lesion conspituity, artifacts, and contrast image in general.Results: The results showed that there were significant differences in SNR of white matter, gray matter, and in surrounding tissue (p 0.05); CNR of white matter-CSF, gray matter-CSF, lesion-tissue surrounding tissue (p 0.05); and lesion conspituity (p 0.05) between groups with no sat fat, weak fat sat, and strong fat sat. There were significant differences in SNR of white matter, gray matter, and surrounding tissue (p 0.05); and CNR of white matter-CSF, gray matter-CSF, and lesion- surrounding tissue (p 0.05) between group TR 700 ms, TR 750 ms, and TR 800 ms.Conclusion: Combination of strong fat saturation and TR 700 ms can produce the most optimal image information.
Optimalisasi Citra dalam Penghitungan Calsium Scoring dengan Variasi Scan Type dan Slice Thickness (Studi Pendahuluan Dilakukan Dengan Menggunakan Modifikasi Phantom Thorax di RS Telogorejo Semarang) Bagus Dwi Handoko; Ari Suwondo; Jeffri Ardiyanto
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 1: January 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.3152

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Background : Examination of Calcium scoring in Radiology Departement Telogorejo Hospital Semarang using CINE scan type and  recon phase images using a slice thickness of 2.5mm, this affect will be plaque with small size cann’t to calculate. Aim : The Purpose of this study was to determine the variation of parameters of calcium scoring MSCT scan examination right in calculating optimal plaque.Methods : The study was preceded by Pre experiments using a thorax phantom with an added 3-calcium artificial heart is likened to the RCA, LCX, LAD and have determined the weight and volume. Experiments with 10 patient samples by applying the best parameters from the pre experiment. Statistical analysis of the results of research conducted by Paired T-Test, while the assessment of the quality radiographs evaluated by an expert in this specialist radiology by providing anatomical criteria scores with 3 choices of items (not clear = 1, is quite clear = 2  and obvious = 3)Result : The volume of plaque is embedded in the thorax Panthom 900mm3. Results of pre experiments with hellical scan type and pitch of 0.5, 0.9, 1.3 in a score of plaque volume is 104mm3, 67mm3, 60mm3. While the scan type CINE with slice thickness 0.625mm, 1.25mm, 2.5mm produces a score of volume plaque is 880mm3, 878mm3, 867mm3. Further experiments were performed by applying parameters with the best result is CINE scan with variations slice thickness 0,625mm, 1.25mm, 2.5mm. To determine the best parameters assessment of image quality with the results on slice thickness 0.625mm was 2.2 (quite obvious), slice thickness 1,25mm scoring average of 2.7 (quite obvious), and slice thickness 2.5 mm average scoring 2.9 (obviously). While image noise on the slice thickness 0.625mm, 1.25mm, 2.5mm, namely 2.7(very high), 1.6 (low), 1.1 (low).Conclusions : Selected parameters that calculate optimal scoring calcium and low noise image for MSCT scan calcium scoring in Telogorejo Hospital Semarang is Scan type CINE with slice thickness variation 1,25mm
Perbedaan Kualitas Gambar MRI 0,3 Tesla Antara Metode Grappa dan Metode Perubahan Nilai Parameter dengan Metode Rutin (Studi Pada Pemeriksaan MRI Vertebra Lumbal Potongan Sagital T2 FSE RSUD Prof. Dr. Margono Soekardjo Purwokerto Pada Pasien Dengan Lumbar Panji Wibowo Nurcahyo; Ari Suwondo; Hermina Sukmaningtyas
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 1: January 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.3153

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Background : Artefact degrade image quality. Motion artefact can be minimized by reducing scan time. The use of GRAPPA and change the value of TR, NEX and phase enchoding can reduce scan time. This study aims to determine the difference between MRI image quality of the GRAPPA method and routine method with change the value Phase enc. Dir., FOV phase, TR, TE, NEX, concatenation, base resolution, phase resolution and bandwidth by routine method MRI examination of lumbar spine sagittal T2 FSE in Prof. Dr. Margono Soekardjo hospital in patients with lumbar disorders.Methods : Quasi experiments with equivalent posttest only control group design in 25 respondents were obtained in consecutive sampling. Each respondent was given three treatments with different method. Qualitative assessment was done on the MRI images results of the third treatment. Presence or absence of an overview assessment results HNP, spondylosis and degenerative disc analyzed with Cochran test while the level of clarity of the ligamentum flavum, thecal sac, intervertebral disc, vertebral body and the spinal cord was analyzed by Friedman test.Results : Cochran test produces a p value 0,05, while the friedman test results were followed by post hoc analysis resulted p value 0,05. The highest mean value rank is 3 with obtained of the routine method but has a scan time 326 seconds, the GRAPPA activation performed (mean rank 1) then the scan time can be reduced by 144 second and routine method with change the value of some parameters can reduce 150 second with a mean rank 2.Conclusion : There is no difference reveal HNP, spondilosis and degenerative disc ability between GRAPPA method and routine method with change the value of some parameters by routine methodProf. Dr. Margono Soekardjo hospital, but levels of clarity ligamentum flavum, thecal sac, intervertebra disc, corpus vertebra dan spinal cord is difference. Routine method Prof. Dr. Margono Soekardjo hospitalproduce images with the best quality, but has a maximum scan time.
TYPE 2 DIABETES MELLITUS, ANEMIA, AND HYPERTENSION AS THE RISK FACTORS THAT AFFECT THE INCIDENCE OF METASTATIC BREAST CANCER Elma Elmika; Selamat Budijitno; Ari Suwondo
Jurnal Berkala Epidemiologi Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I22022.151-158

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Background: Breast cancer is one of the most common gynecologic malignancies in women and the main cause of death in 25% of all cases. The main cause of death from breast cancer is metastases, it is estimated that 5-10% of breast cancers have metastasized at the time of early diagnosis with an advanced stage. Purpose: To analyze the risk factors that influence the incidence of metastases in patients with advanced breast cancer. Methods: This study is an analytic observational study with a cross-sectional design, the number of samples in the study was 120 patients. The inclusion criteria of the study sample were breast cancer patients with advanced stages III and IV in the last five years. Exclusion criteria were incomplete patient medical records. The sampling technique in this study was consecutive sampling. This research was conducted at Ibnu Sina Hospital, Makassar City. The variables analyzed in this study were type 2 diabetes mellitus, anemia, and hypertension which were tested with the chi-square test. Results: The results of this study showed that diabetes mellitus type 2 (p=0.00; Prevalence Rate [PR]=1.79; 95% CI=1.32-2.42) and anemia (p=0.03; Prevalence Rate [PR] = 1.82; 95% CI = 1.61-2.86) is a risk factor that affects the incidence of metastases in patients with advanced breast cancer. While the risk factor that has no effect is hypertension. Conclusion: Type 2 diabetes mellitus and anemia are risk factors that influence the incidence of metastases in breast cancer patients.
Factor of Anxiety Level Primiparous Women Fauziah Iinda Gurnita; Ari Suwondo; Rara Sri Endang PujiAstuti
Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.5.1.8-12.2020

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The majority of primiparous woman signs of anxiety are often overlooked due to a lack of awareness of the impact of later life on the child's mother, husband or other family relationships which will be a psychological burden for primiparaous. Factors studied were age, education, job, economic status is not affected to anxiety level primiparous woman. Ethnic group influences anxiety level because it shapes the environment and effective perceptions for primiparous mothers and families. Because ethnic group make environmental entity shapes how the mother's psychological state runs during the postpartum process.
Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit Asif Yuliati; Ariawan Soejoenoes; Ari Suwondo; Anies Anies; Martha Irene Kartasurya
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.321 KB) | DOI: 10.14710/jekk.v3i1.3101

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Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in both developed and developing countries. To prevent postpartum hemorrhage, knowledge of the risk factors were needed.Method: Methos of the research is a case control study. Study population were hospitalized mothers who delivered in three hospitals on January 2015 – July 2016. The subjects were 55 patients who suffered from PPH (as cases) and 55 patients who were not suffered from PPH (as control). Sampling method for cases was consecutive sampling and purposive for controls. Data were analysed by Odds Ratio calculation and logistic regression.Results: The risks factor significantly for PPH are midwife as birth attendant (OR=7.10; 95% CI 2.2 –22.81; p=0.001), poor of obstetric history (OR=5.37; 95%CI 1.53–18.86; p=0.009), pregnancy interval (< 2 years or > 5 years) (OR =4.04; 95%CI 1.48 –11.07; p= 0,007), anaemia trimester III (OR =3,58; 95%CI 1.23-10.43; p=0.019), history of abortion (OR=4.93; 95% CI 1.20-20.31; p=0,027).Conclusion: The risk factors for PPH were midwife as birth attendant, poor of obstetric history, pregnancy interval (<2 years and >5 years), anaemia trimester III, and history of abortion.
Faktor Lingkungan dan Perilaku yang Berpengaruh terhadap Kejadian Filariasis di Daerah Endemis Kota Pekalongan Yusuf Lensa Hamdan; Suharyo Hadisaputro; Ari Suwondo; Muchlis AU Sofro; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 1: Februari 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (533.299 KB) | DOI: 10.14710/jekk.v4i1.4424

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Background: Filariasis is a disease still become a health problem in Indonesia. South Pekalongan District is one of the endemic areas of filariasis. Filariasis is influenced by several factors such as environmental factors, socio economic and community behavior. The objective of this study was to determine the influence of environmental factors, socio economic factor and behavior that contributed to the incidence of filariasis cases in South Pekalongan District.Methods: This research was an observational research with a case-control approach. Case in this study was filariasis cases and for control was people suffer from filariasis. The number of each case and control is 40. Data was taken by observation and interview. Data collected was analyzed by using logistics regression.Results: Multivariate analysis shows that out of 11 (eleven) variables there is 1 variable which is proven to influence the incidence of filariasis in South Pekalongan District in July 2018, it was use of anti-mosquito drugs (OR = 29,231, CI 95% = 5,998 – 142,445).Conclusion: Not using mosquito repellent is the most dominant risk factor for the occurrence of filariasis transmission. People are advised to use mosquito repellent while sleeping or during activities at night. It is necessary to perform health promotion and extend the information related to filariasis in order to improve community knowledge.