Retno Palupi
Department Of Dental Public Health, Faculty Of Dental Medicine, Universitas Airlangga

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Analysis of importance level and quality achievement aspect in dental health service (A case study on Waru Sidoarjo Community Dental Health Service) Taufan Bramantoro; Retno Palupi
Dental Journal (Majalah Kedokteran Gigi) Vol. 45 No. 1 (2012): March 2012
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.18 KB) | DOI: 10.20473/j.djmkg.v45.i1.p48-51

Abstract

Background: Patients as customers of health services actually have expectation and assessment of health services perceived. During the initial interview conducted at Waru Sidoarjo Community Dental Health Service (Waru Sidoarjo CDHS), it is known that one hundred percent of initial respondents were not satisfied with dental care service provided. All of those respondents assessed that Waru Sidoarjo CDHS still has not met their expectations of service quality factors considered to be important for them. It is even known that there is usually a gap between the expectations of quality dental care service and the assessment of services perceived. As a result, further researches are needed to be conducted regarding the level of importance and achievement-related with factors that affect the quality of health services. Purpose: The purpose of this study was to determine the level of importance and achievement of the quality aspects of the health service provided by Waru Sidoarjo CDHS. Methods: This study can be considered as a descriptive observational study. The instrument used in this study was measurement instruments of service quality. Respondents in the study were 200 patients who visited to dental care services in Waru Sidoarjo CDHS in July 2011. Results: All of the attributes had a mean value of dominant importance and assessments at four. The attributes of the appearance feasibility of medical staffs had the highest interest, about 4.780. Meanwhile, the mean value of the lowest importance was on the attributes of the service suitability, about 4.595. During the observation of the service value, it is also known that the highest mean value was on the non-discriminative services, about 4.600. Conclusion: It can be concluded that there were attributes considered to be important for patients, but still not being fully met by health services provided by the service provider or Community Dental Health Care. Those attributes involving waiting room comfort, service readiness and service preparation attributes which not only had high importance value, but also had a large percentage of respondents who were not satisfied.Latar belakang: Pasien sebagai pengguna jasa pelayanan kesehatan, memiliki harapan dan penilaian terhadap pelayanan kesehatan yang diterima. Pada wawancara awal yang dilakukan pada pasien Balai Pengobatan Gigi Puskesmas Waru Sidoarjo, didapatkan bahwa seratus persen responden awal merasa tidak puas dengan pelayanan kesehatan gigi. Seluruh responden awal menilai pihak BPG Puskesmas belum memenuhi harapan mereka terhadap faktor kualitas pelayanan yang mereka nilai penting. Terdapat kesenjangan antara harapan mereka terkait kualitas pelayanan kesehatan gigi yang mereka nilai penting dengan penilaian mereka terhadap pelayanan yang diterima, sehingga diperlukan penelitian lebih lanjut mengenai tingkat kepentingan dan pencapaian terkait faktor yang berpengaruh terhadap kualitas pelayanan kesehatan. Tujuan: Tujuan penelitian ini adalah untuk mengetahui tingkat kepentingan dan pencapaian aspek kualitas pelayanan yang diberikan Balai Pengobatan Gigi Puskesmas Waru Sidoarjo. Metode: Penelitian ini merupakan penelitian deskriptif observasional. Instrumen yang digunakan pada penelitian ini adalah instrumen pengukuran kualitas pelayanan jasa. Responden pada penelitian adalah 200 pasien yang berkunjung dan mendapatkan pelayanan kesehatan gigi di Balai pengobatan Gigi Puskesmas Waru Sidoarjo pada bulan Juli 2011. Hasil: Seluruh atribut memiliki rerata nilai kepentingan dan penilaian yang dominan pada nilai 4. Atribut kelayakan penampilan staf medis memiliki nilai kepentingan tertinggi sebesar 4,780. Rerata nilai kepentingan terendah pada atribut kesesuaian layanan sebesar 4,595. Pada pengamatan nilai penerimaan layanan, rerata nilai tertinggi pada atribut layanan yang tidak diskriminatif sebesar 4,600. Rerata nilai terendah didapatkan pada atribut kesiapan layanan sebesar 4,200. Kesimpulan: Disimpulkan bahwa terdapat atribut yang dinilai penting tetapi belum sepenuhnya terpenuhi oleh pelayanan kesehatan yang diberikan oleh penyedia layanan atau Puskesmas. Atribut kenyamanan ruang tunggu, kesigapan layanan, dan kesiapan layanan, memiliki nilai kepentingan yang tinggi, tetapi memiliki nilai persentase yang besar pada jumlah responden yang merasa tidak puas.
Building team agreement on large population surveys through inter-rater reliability among oral health survey examiners Sri Susilawati; Grace Monica; R. Putri N. Fadilah; Taufan Bramantoro; Darmawan Setijanto; Gilang Rasuna Sabdho Wening; Retno Palupi
Dental Journal (Majalah Kedokteran Gigi) Vol. 51 No. 1 (2018): March 2018
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (144.704 KB) | DOI: 10.20473/j.djmkg.v51.i1.p42-46

Abstract

Background: Oral health surveys conducted on a very large population involve many examiners who must be consistent in scoring different levels of an oral disease. Prior to the oral health survey implementation, a measurement of inter-rater reliability (IRR) is needed to know the level of agreement among examiners or raters. Purpose: This study aimed to assess the IRR using consensus and consistency estimates in large population oral health surveys. Methods: A total of 58 dentists participated as raters. The benchmarker showed the clinical sample for dental caries and community periodontal index (CPI) score, with the raters being trained to carry out a calibration exercise in dental phantom. The consensus estimate was measured by means of a percent agreement and Cohen’s Kappa statistic. The consistency estimate of IRR was measured by Cronbach’s alpha coefficient and intraclass correlation. Results: The percent agreement is 65.50% for photographic slides of dental caries, 73.13% for photographic slides of CPI and 78.78% for calibration of dental caries using phantom. There were statistically significant differences between dental caries calibration using photographic slides and phantom (p<0.000), while the consistency of IRR between multiple raters is strong (Cronbrach’s Alpha: >0.9). Conclusion: A percent agreement across multiple raters is acceptable for the diagnosis of dental caries. Consistency between multiple raters is reliable when diagnosing dental caries and CPI.
PEMBERDAYAAN KADER MELALUI PELATIHAN PENCEGAHAN DAN PENANGGULANGAN PENYAKIT GIGI DI SURABAYA Titiek Berniyanti; Retno Palupi; Adriani Sari Fadilah; Nabilah Khansa Salsabila
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 5 No. 2 (2021): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v5i2.2021.259-266

Abstract

AbstrakDiketahui bahwa perilaku ibu dan anak memiliki hubungan yang signifikan dengan kejadian karies. Kesehatan mulut dan gigi merupakan sesuatu yang sangat penting bagi setiap individu di berbagai skala usia, termasuk anak-anak. Artikel ini bertujuan untuk mengetahui perilaku ibu tentang kesehatan gigi rongga mulut ditinjau dari predisposisi, pendorong, dan penguat sebagai faktor risiko keparahan karies gigi pada anak usia 4-6 tahun di Surabaya. Metode: Pelatihan dan Pemberdayaan kader / ibu tentang pencegahan dan penanggulangan penyakit gigi (Cegatan Pagi / Cegah dan Tangani Penyakit Gigi), dan edukasi melalui Game Edukasi Ular Tangga tentang Kesehatan Mulut dan Gigi Anak (Beruang Imut / Bermain). Ular Tangga Kesehatan Gigi Dan Mulut). Kesulitan ibu dalam mendidik anaknya tentang kesehatan gigi dan mulut dapat diatasi melalui permainan edukatif. Permainan ular tangga ini diharapkan dapat meningkatkan pemahaman dan minat anak dalam menjaga kesehatan mulut. Kesulitan ibu dalam mendidik anaknya tentang kesehatan gigi dan mulut dapat diatasi melalui permainan edukasi. Hasil Utama: Nilai korelasi antara 2 variabel tersebut adalah -7,242 yang berarti hubungan tersebut kuat dan positif dengan tingkat signifikan 0,000. Nilai rata-rata sebesar -3,750 bertanda negatif, artinya nilai tersebut cenderung meningkat setelah diberikan perlakuan. Artinya negatif artinya ada kecenderungan skor meningkat setelah perawatan. Kesimpulan: Ada peningkatan tingkat pengetahuan tentang kesehatan gigi dan mulut pada responden kader ibu wali dan guru Taman Kanak-kanak.Kata kunci: deft, Keparahan karies Gigi, Pencegahan Penyakit Mulut, Perilaku Ibu AbstractIt is known that the behavior of mothers and children has a significant relationship to the incidence of caries. Oral and dental health is something that is very important for every individual at various age scales, including children. This article aims to determine Mothers behavior regarding oral dental health in terms of predisposing, enabling, and reinforcing as A Risk Factor of Dental Caries Severity Of 4-6 Years Children in Surabaya. Methods: Training and Empowerment of cadres/mothers about the prevention and management of dental disease (Cegatan Pagi/Cegah dan Tangani Penyakit Gigi) and providing education through the Snake and Ladder Educational Game on Children's Oral and Dental Health or (Beruang Imut/Bermain Ular Tangga Kesehatan Gigi Dan Mulut). Difficulties for mothers in teaching their children about oral and dental health can be overcome through educational games. It is hoped that the snakes and ladders game will be able to increase children's understanding and interest in maintaining oral health Difficulties for mothers in teaching their children about oral and dental health can be overcome through educational games. Main Result: The correlation value between the 2 variables is -7,242, which means that the relationship is strong and positive with a significant level of 0.000. The mean value of -3,750 is negative, it means that the score tends to increase after being given treatment. The mean is negative, it means the tendency of the score to increase after treatment Conclusion: There was an increase in the level of knowledge about dental and oral health among the respondents of the cadres of mother guardians and teachers of kindergarten.Keywords: Dental Carries Severity, def-mother’s Behavior, Oral Health Prevention
Mutant p53 Expression Of Oral Transformed Epithelium Cell In Rats Injected By Benzo[A]Pyrene Sawitri Dwi indah Pertami; I Ketut Sudiana; Theresia Indah Budhy; Retno Palupi; Ira Arundina
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 1 (2020): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i1.234

Abstract

Benzopyrene is a polycyclic aromatic hydrocarbons (PAHs) compound that can cause transformation of normal cells into malignant in order to its genotoxic,mutagenic,and carsinogenic ability. DNA mutation in tumor suppressor genes p53 make cells immortal which results in cell transformation and develops into malignancies. This study consist of five groups including the control group (without benzopyrene injection) and 4 treatment groups injected with benzopyrene each for 4 weeks (P1), 6 weeks (P2), 8 weeks (P3) and 10 weeks (P4). Therefore, the mutant p53 expression was calculated and analyzed statistically with the One Way Anova Test. There was signifficance difference in mutant p53 expression of oral transformed epithelium cell injected by benzopyrene (p=0.000) and the highest expression was at 10th week. It can be concluded that the mutant P53 expression of oral transformed epithelium cells in rats was increased after injected by benzopyrene