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All Journal Jurnal Anestesi Perioperatif Jurnal Kesehatan Hesti Wira Sakti Jurnal NERS Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Aplikasi dan Inovasi Iptek (JASINTEK) Jurnal Layanan Masyarakat (Journal of Public Service) Airlangga Development Journal Jurnal Syntax Transformation Jurnal Manajemen dan Ilmu Administrasi Publik (JMIAP) Abimanyu: Journal of Community Engagement Jurnal Widya Medika Folia Medica Indonesiana
Christrijogo Soemartono Waloejo
Departemen Anestesiologi Dan Reanimasi, Fakultas Kedokteran, Universitas Airlangga/RSUD Dr. Soetomo Surabaya, Indonesia
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Penggunaan Ventilatory Ratio dan Dead Space Fraction Sebagai Prediktor Mortalitas Pada Pasien COVID-19 dengan Acute Respiratory Distress Syndrome Muh Kemal Putra; Arie Utariani; Bambang Pujo Semedi; Christrijogo Soemartono Waloejo; Hardiono Hardiono
Jurnal Anestesi Perioperatif Vol 9, No 1 (2021)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15851/jap.v9n1.2274

Abstract

Pada pasien COVID-19 dengan ARDS terjadi gangguan oksigenasi dan ventilasi. Menurut kriteria Berlin ARDS, oksigenasi diukur dengan PaO2/FiO2, namun tidak mengukur ventilasi alveolar yang diukur dengan dead space yang dapat terjadi akibat kondisi, seperti kerusakan endotel, mikrotrombus, dan penggunaan ventilator yang berlebih. Tujuan penelitian ini menganalisis penggunaan ventilatory ratio (VR) dan dead space fraction (Vd/Vt) sebagai prediktor mortalitas pasien COVID-19 ARDS. Penelitian ini adalah analitik kohort retrospektif. Data dikumpulkan dari rekam medik pasien COVID-19 yang dirawat di RIK RSUD Dr. Soetomo periode Juni–September 2020 dengan teknik total sampling terhadap subjek yang memenuhi kriteria inklusi dan tidak termasuk eksklusi. Data yang dikumpulkan adalah nilai VR dan Vd/Vt (diambil dari data laboratorium), kondisi klinis pasien dan pengaturan ventilator 24 jam pertama setelah terintubasi. Penelitian ini didapatkan 77 dari 80 subjek yang memenuhi kriteria. Nilai VR berhubungan dengan mortalitas secara signifikan dengan nilai p 0,001; cut off 1,84; sensitivitas 84,2%; spesifisitas 85%; RR 30,22; CI 95%: 7,31–124,89. Vd/Vt dan mortalitas menunjukkan hubungan yang signifikan terhadap mortalitas dengan nilai p 0.001. Uji analisis Spearman VR dengan Vd/Vt didapatkan hasil korelasi yang kuat dengan koefisien korelasi 0,704 dan p 0,001. Simpulan, nilai VR dan Vd/Vt dapat digunakan sebagai prediktor mortalitas pasien COVID-19 dengan ARDS dan keduanya mempunyai korelasi yang kuat. VR dapat menggantikan Vd/Vt.Use of Ventilatory Ratio and Alveolar Dead Space Fraction as Predictorz of Mortality in Covid-19 Patients with Acute Respiratory Distress SyndromeCOVID-19 with ARDS experience impaired oxygenation and ventilation. In Berlin ARDS criteria, oxygenation is measured by PaO2 /FiO2, but does not measure alveolar ventilation, which is measured through the dead space produced in this conditions, such as endothelial damage, microthrombus, and excessive use of entilator. The purpose of this study was to analyze the use of ventilatory ratio (VR) and dead space fraction (Vd/Vt) as predictors of mortality in patients with COVID-19 ARDS. This study was a retrospective cohort analytic study one medical records of COVID-19 patients treated in an inpatient unit of a referral hospital in Indonesia. The ethical clearance was obtained from the Health Research Ethics Committee of Dr. Soetomo Hospital, Indonesia. Data were collected through total sampling of medical records that met the inclusion and exclusion criteria. The VR and Vd/Vt scores were collected from the laboratory data, patient clinical condition, and ventilator setting 24 hours after intubation. Of all medical records screened, 77 out of 80 samples met the criteria. VR was significantly associated with mortality with a p value of 0.001 (cut-off point:1.84, sensitivity: 84.2%, specificity: 85%, RR: 30.22, and 95%, CI: 7.31–124.89). Similarly, Vd/Vt and mortality showed a significant relationship with mortality with a p value of 0.001 (cut-off: 0.25, sensitivity: 85%, specificity: 86%, RR: 34.71, 95% CI: 8.24–146.05). The Spearman analysis test between VR and Vd/Vt showed a strong correlation with a correlation coefficient of 0,704 and p 0,001. Thus, VR and Vd/Vt can be used as predictors of mortality in COVID-19 patients with ARDS and because both have a strong correlation. VR can also substitute Vd/Vt.
A Tentamen Suicide in Neuropsychiatric Syndrome in Severe COVID-19 Intensive Care Patient with Respiratory Failure: a Serial Cases Suparno Adi Santika; Nancy Margaritta Rehatta; Christrijogo Sumartono
Jurnal Kesehatan Hesti Wira Sakti Vol. 10 No. 1 (2022): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v10i1.358

Abstract

Abstract Introduction : COVID-19 is a pneumonia caused by SARS-CoV-2 infection, that can cause morbidity and mortality in the care of critical patients in the Covid-specific Intensive Care Unit (RICU). Tentamen suicide is one of severe neuro-psychiatric syndrome which can aggravate the condition of patients with acute respiratory failure. Methode : We present 3 cases of patients with suicide trial in severe COVID-19 Pneumonia accompanied by acute respiratory failure. Results : Patients with tentamen suicide experience a gradual worsening of condition. This complication especially tentamen suicide is not well recognized at the beginning of treatment. Conclusion :The conclusion of this case series is tentamen suicide is one of severe neuropsychiatric syndrome in COVID-19 patient with respiratory failure. Early recognizing and conducting clinical management of neuropsychiatric syndrome symptoms in COVID-19 Pneumonia patients with acute respiratory failure who are intensively treated at the RICU can reduce the risk of morbidity, mortality and improve patient outcomes.
Health Disaster Preparedness Using Android Mobile Based Application Case Mount Bromo Eruption Mukhamad Fathoni; Fadly Usman; Septiana Hariyani; Eddi Basuki Kurniawan; Ah Yusuh; Christrijogo Soemartono Waloejo
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.19005

Abstract

Introduction: In the last 10 years, Mount Bromo has erupted four times; 2004, 2010, 2015 and 2019. However, it is unique that people at Tengger are reluctant to evacuate even though Mount Bromo is erupting and releasing volcanic material such as stones and dust.Methods: This research is a quantitative study, using correlative analytic observational design and cross sectional approach with pourposife sample of 120 taken from online questionare results of bivariate analysis using gamma correlation test obtained the results of knowledge factors (p=0.005; r=0.27) attitude (p=0.000; r=0.45), means of infrastructure (p=0.000; r=0.58), and android application (p=0.000; r=0.59) for health preparedness. Results: Knowledge, attitude, infrastructure and android application factors can influence health preparedness in disaster risk reduction in Bromo area.Using the smartphone application as the Mount Bromo information facilities are one of an effort so that people and tourists can activate if an eruption occurs. There is important health preparedness about features made in the application such as distribution shelters, evacuation routes, health centres, photos, videos, and primary health care information.Conclusion: Assessment results to the application interface, the information conveyed, and the features offered showed that the application was very useful and gives a new perspective in conveying accurate information to the public and also tourists. The health preparedness community level is also quite good with the services provided by the Bromo alert application.
VETIVER ROOT PLANTING FOR PREVENTION AND MITIGATION OF LANDSLIDES IN DISASTER-PRONE AREAS, NGANJUK, EAST JAVA Arie Utariani; Soni Sunarso Sulistiawan; Hamzah Hamzah; Christrijogo Soemartono Waloedjo; Kun Arifi Abbas; Belindo Wirabuana; Teuku Aswin Husain; Maulana Hanif Ibrahim; Alivery Raihanda Armando
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 6 No. 1 (2022): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v6i1.2022.77-86

Abstract

Landslide is the transfer of slope-forming material in the form of rocks, debris, soil moving down or out of the slope. Geolologically, landslides are a geological phenomenon with a movement of land such as falling rocks or large lumps of land (Nandi, 2007). The majority of Nganjuk Regency, East Java, is at high risk of landslides. Reporting from Tirto.id news on February 19, 2021, there was a landslide in Ngetos Subdistrict, Nganjuk which claimed many victims. Nineteen people died, 20 were injured and 10 houses were severely damaged. Ngetos village is the largest village with the most populous population in Nganjuk. Unit of Natural Disease Support from Faculty of Medicine, Community Service Team of the Department of Anesthesiology and Reanimation Faculty of Medicine Universitas Airlangga in collaboration with the Center of Environmental Health Engineering and Disease Control (BBTKLPP) Surabaya in efforts to overcome landslide disasters that occurred in Nganjuk. Assistance provided includes medical assistance and environmental development as one of the disaster mitigation efforts. One of the mitigation measures carried out through this activity is reforestation by planting vetiver roots. Vetiver Roots are known as landslide prevention plants because their roots can reach depths soil of down to 5 meters. One of the causes of landslides is the lack of vegetation on the ground so it is prone to movement, especially if it rains heavily because there is no anchoring. Therefore, this activity is considered important to prevent repeated landslides.
Ekspresi Interleukin 1 dan Tumor Necrosis Factor Alpha pada Pemberian Ropivacain Di Sekitar Luka terhadap Proses Penyembuhan Luka Ardiansyah; Arie Utariani; Christrijogo Sumartono; Bambang Pujo Semedi; Imam Susilo
Jurnal Syntax Transformation Vol 2 No 02 (2021): Jurnal Syntax Transformation
Publisher : CV. Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jst.v2i2.223

Abstract

Luka merupakan gangguan integritas jaringan akibat trauma. Penanganan nyeri pasca trauma yang tidak memadai, seperti pembedahan, akan mengakibatkan gangguan penyembuhan luka. Salah satu faktor penting dalam penyembuhan luka fase akut pada 3 hari pertama adalah ekspresi Tumor Necrosis Factor (TNF) -a dan Interleukin (IL) -1. TNF-a dan IL-1β merupakan dua sitokin inflamasi utama yang bekerja secara sinergis untuk memperkuat respon inflamasi dan memiliki efek mempercepat penyembuhan luka. Nyeri dapat meningkatkan β endorfin oleh kelenjar hipofisis anterior dan mempunyai efek menekan makrofag, sehingga aktivitasnya menurun. Penurunan ini mengakibatkan penurunan aktivitas sitokin yang dilepaskan oleh makrofag seperti TNF-α, IL-1, IL-6, IL-8, TGF β; Sehingga bisa menghambat penyembuhan luka. Tujuan penelitian ini adalah untuk membuktikan pengaruh injeksi infiltrasi ropivacaine dalam meningkatkan IL-1 dan TNF-a. ekspresi dalam proses penyembuhan luka. Metode: 24 ekor tikus Wistar jantan dibagi menjadi 2 kelompok (Kelompok Perlakuan (P) dan Kelompok Kontrol (K)), kemudian dibuat luka insisi ketebalan superfisial pada punggung masing-masing tikus. Kelompok kontrol tidak diberikan suntikan infiltrasi ropivacaine, sedangkan kelompok perlakuan diberikan. Setiap kelompok dibagi menjadi 2 sub kelompok yang masing-masing terdiri dari 6 ekor mencit, diterminasi pada hari ke-3 dan ke-7. Kemudian dilakukan evaluasi histopatologi untuk mengetahui apakah terdapat peningkatan ekspresi IL-1 dan TNF-a di sekitar jaringan luka sayatan. Data yang terkumpul kemudian dianalisis dengan menggunakan program SPSS. Hasil: Pemberian infiltrasi ropivacaine pada luka insisi dengan ketebalan superfisial meningkatkan penyembuhan luka yang ditandai dengan peningkatan jumlah ekspresi IL-1 dan TNF-a pada hari ke 3 setelah insisi. Kesimpulan: Suntikan infiltrasi ropivacaine disekitar luka sayatan memiliki efek menguntungkan pada proses penyembuhan luka superfisial tikus Wistar hari ketiga
Analisis Kesalahan Siswa dalam Menyelesaikan Soal Sistem Persamaan Linier Dua Variabel Di Tinjau Dari Gaya Belajar Sandi Ardiya Rasitullah; Arie Utariani; Christrijogo Sumartono; Bambang Pujo Semedi; Imam Susilo
Jurnal Syntax Transformation Vol 2 No 02 (2021): Jurnal Syntax Transformation
Publisher : CV. Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jst.v2i2.224

Abstract

Penelitian ini bertujuan untuk mengetahui jenis kesalahan yang dilakukan siswa yang memiliki gaya belajar berbeda pada soal cerita sistem persamaan linier dua variable di kelas VIII MTs Al – Mu’ ini Sesela. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian deskriptif yaitu studi kasus. Data dikumpulkan dengan instrumen tes, wawancara, dan angket. Subyek dalam penelitian ini sebanyak 3 orang siswa. Tehnik analisis data untuk tes dan wawancara yaitu reduksi data, penyajian data, dan penarikan kesimpulan dan verifikasi, sedangkan angket menggunakan tehnik analisis statistik deskriptif kuantitatif. Hasil penelitian dari analisis hasil tes adalah siswa gaya belajar visual jenis kesalahannya pada tahap memahami, transformasi, keterampilan proses, dan penulisan jawaban. Siswa gaya belajar auditori jenis kesalahannya pada tahap transformasi, keterampilan proses, dan penulisan jawaban. Dan siswa gaya belajar kinestetik jenis kesalahannya pada tahap membaca, transformasi, keterampilan proses, dan penulisan jawaban. Sedangkan hasil dari analisis wawancara adalah siswa gaya belajar visual jenis kesalahannya pada tahap memahami, keterampilan proses, dan penulisan jawaban. Siswa gaya belajar auditori jenis kesalahannya pada tahap memahami, transformasi, keterampilan proses, dan penulisan jawaban. Dan siswa gaya belajar kinestetik jenis kesalahannya pada tahap transformasi, keterampilan proses dan penulisan jawaban.
Pelatihan Rencana Penanggulangan Bencana dan Rencana Aksi Komunitas Masyarakat Pesisir Utara Surabaya Christrijogo Soemartono Waloejo; Moses Glorino Rumambo Pandin; Arief Hargono
Jurnal Aplikasi dan Inovasi Iptek Vol 4 No 1 (2022): Jurnal Aplikasi dan Inovasi Iptek No. 4 Vol. 1 Oktober, 2022
Publisher : Denpasar Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52232/jasintek.v4i1.88

Abstract

Fenomena kejadian bencana pada komunitas pesisir utara kota Surabaya sering terjadai, namun kesadaran untuk merancang dan mempersiapkan Masyarakat menghadapi bencana tergolong minim. Permasalahan lain masyarakat pesisir utara kota Surabaya adalah minimnya kemampuan merancang Penanggulangan bencana. Rencana solusi diambil dengan pengembangan Kampung tangguh diatasi dengan pelatihan merancang Penanggulangan bencana yang dilaksanakan oleh komunitas masyarakat pesisir di kelurahan Kedung Cowek, kecamatan Bulak, Kota Surabaya. Metode Perencanaan dberbasis Participation Action Research diikuti oleh 25 orang peserta pelatihan yang berasal dari berbagai profesi selama 3 minggu. Hasil pelaksanaan pelatihan merupakan Pengembangan kapasitas warga untuk merancang rencana Penanggulangan bencana dengan memetakan peta bahaya ROB dan peta bahaya banjir di lingkungan komunitas setempat
Opioid-Sparring and Multimodal Analgesia as Parts of Enhanced Recovery After Surgery (ERAS) Applied In The Ksatria Airlangga Floating Hospital Pratama Ananda; Bambang Pujo Semedi; Christrijogo Sumartono Waloejo; Arie Utariani
Indonesian Journal of Anesthesiology and Reanimation Vol. 3 No. 1 (2021): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.648 KB) | DOI: 10.20473/ijar.V3I12021.17-21

Abstract

Introduction: Enhanced Recovery After Surgery (ERAS) protocol is a perioperative multimodal service program designed to achieve a faster surgical recovery period and a better outcome, the key in reducing morbidity in surgery is by reducing the "surgical injury” and reducing the body's stress response caused by the surgery. The success of the ERAS protocol depends on the interpretation and collaboration of the multidisciplinary team, therefore though the protocol is carried out in a hospital that has sufficient facilities and resources, the obstacle in the implementation of ERAS can still happen. The implementation of ERAS protocol in the non-permanent hospital service facility becomes a challenge in itself. Case Reports: From the two case reports of the implementation of ERAS protocol in the Ksatria Airlangga Floating Hospital (RST-KA) it is obtained that the key success of the anesthesia in ERAS protocol above lies on the administration of opioid-sparring therapy where it will reduce the use of opioid. Although there are many obstacles obtained in the RST-KA, the use of ERAS protocol can be conducted by making effective use of opioid-sparring combined with the administration of multimodal analgesia. Conclusion: Therefore, it can be concluded that the ERAS protocol can be applied in the social service concept in the non-permanent health facility.
TRAINING AND ESTABLISHMENT OF CODE BULE SYSTEM (EMERGENCY MANAGEMENT) IN ISLAMIC BOARDING SCHOOL DARUL MA’RIFAT GONTOR KEDIRI Christrijogo Sumartono Waloedjo; Belindo Wirabuana; Dedi Susila; Soni Sunarso Sulistiawan
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 7 No. 3 (2023): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v7i3.2023.395-403

Abstract

A heart attack is the sudden cessation of effective heart function in a healthy-looking individual. In general, worldwide morbidity and mortality associated with heart attacks are enormous. This shows the importance of Basic Life Support training for the layman considering the many incidents of cardiac arrest outside the hospital that need a lot of time to get the help of trained health workers The purpose of this social service is to increase knowledge and skills in the field of Basic Life Support, participants are able to practice handling code blue in accordance with the procedures and the flow of fast and precise and carry out Tri-Dharma Higher Education Faculty of Medicine Unair and RSUD Dr.Soetomo. Specific targets to be achieved are the formation of Code Blue System at Pondok Pesantren Putra and the formation of BLS Citizen Community in Kediri. The method used in community service is by In-house training supported by lecture, demonstration and practice methods. The targets of this activity are the students who include 38 students who are given Basic Life Support training for one day, then compared the level of knowledge and attitude before and after (pre post-test design). Different test results obtained p value = 0.352 this value is above 0.05 so that the difference test of attitude before and after training is not different meaningful. However, it does not mean that the training process can be considered unsuccessful in improving the attitude of all participants, because the average attitudes value is still high, more than 4. This is presumably still good attitude retention from Basic Life Support training which has been given in the same population a year ago (December 26, 2016).
Kolaborasi Stakeholder dalam Penanganan Bencana Kebakaran di Kota Surabaya: Perspektif Pentahelix Paulyna, Anita; Glorino Rumambo Pandin, Moses; Soemartono Waloejo, Christrijogo
Jurnal Manajemen dan Ilmu Administrasi Publik (JMIAP) Vol 6 No 4 (2024): Jurnal Manajemen dan Ilmu Administrasi Publik (JMIAP)
Publisher : Laboratorium Jurusan Ilmu Administrasi Negara Fakultas Ilmu Sosial Universitas Negeri Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24036/jmiap.v6i4.1197

Abstract

The high population density in Surabaya City creates challenges for firefighters responding to fires, necessitating effective stakeholder collaboration. While the pentahelix concept has been identified in research as a promising approach to improve service delivery, it has not yet been implemented in Surabaya's fire management. This qualitative descriptive evaluative study analyzed weaknesses in stakeholder collaboration and assessed economic and community welfare impacts of fire disasters. The research involved 14 informants selected through purposive sampling, with data collected via interviews and documentation, and analyzed using three-stage coding. Results revealed suboptimal stakeholder collaboration due to several factors: inadequate implementation of health protocols, insufficient citizen safety equipment, neglected fire-prone areas, traffic congestion, disorganized residential facilities, and limited fire engine availability. The economic and welfare impacts included income and job losses, alongside psychological trauma among fire victims. The study recommends that the Fire and Disaster Management Agency (DPKP) strengthen collaborative efforts through clearer authority distribution and appropriate budgeting to meet disaster management requirements, ultimately fostering more effective collaboration among stakeholders.
Co-Authors Aditiawarman Aditiawarman, Aditiawarman Ah. Yusuf Ahmad Faiz Muhammad Noer Alivery Raihanda Armando Ardiansyah Arief Hargono Belindo Wirabuana Belindo Wirabuana Dedi Susila Eddi Basuki Kurniawan Eduard, Stephanus Maria Evi Susanti Fadly Usman Fauzi, Asra Al Hamzah Hamzah Hardiono Hardiono Ika Zulkafika Mahmudah Imam Susilo Kun Arifi Abbas Kurniawan, Ficky Adi Machin, Abdulloh Maulana Hanif Ibrahim Moses Glorino Rumambo Pandin Muh Kemal Putra Muhammad Rivai Mukhamad Fathoni Nancy Margaritta Rehatta Pandin , Moses Pandin Paulyna, Anita Pratama Ananda Prayoga, Yohanes Ary Puspa Wardhani R. Muhammad Aviv Pasa Rezki Muhammad Hidayatullah Rudyanto Wiharjo Seger Sandi Ardiya Rasitullah Seger, Rudyanto Wiharjo Semedi, Bambang Pujo Septiana Hariyani Shodiq, Muhammad Ja'far Soni Sunarso Sulistiawan Soni Sunarso Sulistiawan Sulistiawan, Soni Sunarso Suparno Adi Santika Teuku Aswin Husain Toetik Koesbardiati Utariani, Arie Widodo, Suko Zuyyinna Choirunnisa