Randy Novirsa
Research Center for Climate Change Universitas Indonesia

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Analisis Ketahanan Hidup Pasien HIV/AIDS Rawat Inap di RSUD Raden Mattaher Jambi Tahun 2016-2021 Annisa, Reza; Masrizal, Masrizal; Novnariza, Elsi; Novirsa, Randy
JIK-JURNAL ILMU KESEHATAN Vol 8, No 2 (2024): JIK-Oktober Volume 8 Nomor 2 Tahun 2024
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v8i2.1137

Abstract

HIV/AIDS merupakan masalah kesehatan global yang memiliki angka morbiditas dan mortalitas yang masih tinggi di Indonesia. Provinsi Jambi merupakan 10 terendah kejadian HIV/AIDS namun memiliki angka kematian yang masih tinggi (CFR=26,98%). Penelitian ini bertujuan untuk menganalisis ketahanan hidup pasien HIV/AIDS di RSUD Raden Mattaher Jambi Tahun 2016-2021, serta faktor yang diduga mempengaruhinya. Penelitian ini menggunakan desain studi kohort retrospektif. Data bersumber dari rekam medis pasien HIV/AIDS rawat inap tahun 2016-2021 sebanyak 124 sampel menggunakan teknik simple random sampling. Analisis dilakukan secara univariat, dan bivariat (cox regression). Pasien mengalami events sebesar 17,7% dengan incidence rate sebesar 2,4%. Terdapat hubungan antara stadium klinis (p-value=0,014), infeksi oportunistik (p-value=0,011), komorbid (p-value=0,000), status terapi ARV (p-value=0,037), lama terapi ARV (p-value=0,028). Pasien HIV/AIDS yang berada pada stadium klinis IV, memiliki infeksi oportunistik, memiliki komorbid, tidak pernah/putus terapi, dan menjalani terapi < 6 bulan memiliki probabilitas ketahanan hidup yang lebih rendah. Diharapkan rumah sakit dapat memberikan perawatan yang komprehensif, serta perawatan pendukung khususnya pasien dengan komorbiditas sehingga membantu dalam perencanaan pengobatan yang tepat.
PENINGKATAN KUALITAS HIDUP DAN KESEHATAN MASYARAKAT KELOMPOK RENTAN PASCA BENCANA BANJIR BANDANG DI KENAGARIAN PANDAI SIKEK Markolinda, Yessy; Ramadani, Mery; Augia, Trisfa; Novirsa, Randy; Elda, Frima; Kasra, Kamal; Husna, Nadiyatul; Aurora, Bunga Putri; Efendi, Melati Putria; Deca, Fathiya Zarine; Cahyani, Mardhiah BP
Warta Pengabdian Andalas Vol 32 No 3 (2025)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.32.3.357-366.2025

Abstract

Nagari Pandai Sikek West Sumatra experienced a flash flood disaster that caused infrastructure damage, disruption of basic services, and decreased the quality of life of the community, especially vulnerable groups. This activity aims to improve the quality of life and health of post-disaster communities through an integrated approach in the fields of health and disaster management. The quality of life of the community is measured through a composite approach that includes knowledge improvement (pre- and post-tests), behavioral changes and participation in activities, simple health conditions (blood pressure and physical activity), waste bank and maggot-based environmental management, and community social involvement. These indicators show improvements in physical, cognitive, social, and environmental aspects after the community service activities. Activity methods include socialization, simulation, and education with a pre-test and post-test approach to measure the effectiveness of the intervention. Activities were carried out in the form of disaster mitigation counseling for elementary school students, maggot-based waste management training, healthy lifestyle counseling for the elderly through the GERMAS program, and nutrition education for parents related to stunting prevention. The results of the activity showed an increase in public understanding of disaster mitigation, with an average pre-test score of 58.4 increasing to 82.7 in the post-test. The community demonstrated a better understanding of the importance of waste management to prevent environmental pollution, awareness of early detection of hypertension, and the fulfillment of balanced nutrition to prevent stunting. Active participation in simulations, question and answer sessions, and discussions were indicators of the success of the activity. It can be concluded that this community service program succeeded in increasing the understanding and awareness of the Pandai Sikek community regarding health and disaster preparedness. The sustainability of this program needs to be supported through collaboration with local governments, educational institutions, and local communities to expand its positive impact.
Survival Rate of Hepatocellular Carcinoma Patients with Varying Individual Characteristics: A Retrospective Cohort Study Mardhiyah, Imalatul; Masrizal, Masrizal; Pradipta, Yudi; Novirsa, Randy; Soko, Wilson
JIK-JURNAL ILMU KESEHATAN Vol 9, No 2 (2025): JIK-OKTOBER VOLUME 9 NOMOR 2 TAHUN 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i2.1408

Abstract

Background: There is a continuous demand for an integrated survival analysis that takes into account clinical biomarkers and socio-demographic factors in Hepatocellular carcinoma (HCC) patients from Southeast Asia. This study figured out the mortality predictors that were independent of HCC patients at a major tertiary referral center in Indonesia.Methods: This retrospective cohort study looked into 123 HCC patients who were admitted to Dr. M. Djamil General Hospital, Padang (2018-2023). These patients were selected by simple random sampling. Survival analysis was conducted using Kaplan-Meier curves, log-rank tests, and multivariate Cox regression.Results: Median survival was 284 days with mortality at 24.4%. Univariate analysis showed that albumin <3.5 g/dL (HR=7.67, p=0.045), AFP ≥20 ng/mL (HR=2.16, p=0.044), age ≥59 years (HR=2.38, p=0.018), and obesity (HR=3.43, p=0.013) were significantly associated factors. Multivariate Cox regression indicated that AFP level was the leading factor (adjusted HR=3.94, 95%CI: 1.67-9.33, p=0.002), followed by age ≥59 years (adjusted HR=3.52, p=0.002) and education (adjusted HR=0.36, p=0.014).Conclusions: AFP level, old age, and education were the independent factors of HCC deaths in Central Sumatra. Besides, the conjunction of clinical and socio-demographic factors may be utilized for prognostic risk stratification to pinpoint the most at-risk groups and hence direct the targeted interventions that are most compatible with resource-limited settings predominately HBV-related HCC.
Analisis Risiko Pajanan PM2,5 di Udara Ambien Siang Hari terhadap Masyarakat di Kawasan Industri Semen Novirsa, Randy; Achmadi, Umar Fahmi
Kesmas Vol. 7, No. 4
Publisher : UI Scholars Hub

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Abstract

Salah satu dampak negatif industri pabrik semen terhadap kesehatan masyarakat adalah peningkatan risiko penyakit saluran pernapasan. Risiko tersebut banyak disebabkan oleh pajanan partikulat di udara, khususnya partikulat berukuran di bawah 2,5 mikron (PM2,5). Penelitian ini bertujuan menganalisis risiko pajanan PM2,5 di udara ambien siang hari pada masyarakat di kawasan industri semen. Risiko dihitung dengan metode Analisis Risiko Kesehatan Lingkungan berdasarkan metode Louvar yang menghasilkan nilai Intake pajanan yang diterima individu per hari berdasarkan nilai konsentrasi pajanan, pola aktivitas individu, dan nilai antropometri. Konsentrasi PM2,5 di lingkungan diukur pada 10 titik dengan radius 500 meter antartitik dari pusat pabrik, sedangkan pola aktivitas dan nilai antropometri diukur dengan menggunakan kuesioner pada 92 responden dewasa di kawasan pabrik. Hasil perhitungan risiko yang diterima seumur hidup (lifetime) menunjukkan terdapat tiga area berisiko dengan nilai RQ > 1, yaitu Ring 2 (500 – 1.000 m), Ring 4 (1.500 – 2.000 m), dan Ring 5 (2.000 – 2.500 m). Daerah paling aman yang dapat dihuni oleh masyarakat di kawasan industri semen adalah di atas 2,5 km dari pusat industri dengan konsentrasi paling aman 0,028 mg/m3. One of the negative impacts of cement industry to public health is an increased risk of respiratory disease. These risks are caused by exposure to particulate matter in air, especially fine particulate matter which is smaller than 2,5 microns (PM2,5). This study aimed to analyze the risks of PM2,5 exposure in ambien air at noon on people around cement industry. Risk was calculated using Environmental Health Risk Analysis Method that generates value of individual exposure intake received per day. This value was generated based on the concentration of exposure, individual activity patterns, and anthropometric values. PM2,5 concentrations in the environment was measured at 10 points (Ring) from the center of plant with radius of 500 meters each point. The activity patterns and anthropometric values were measured using questionnaire to 92 adult respondents around the factory. The calculation of lifetime risk showed that there are three risked area: Ring 2 (500 – 1.000 m), Ring 4 (1.500 – 2.000 m), and Ring 5 (2.000 – 2.500 m). The safest area was over 2,5 kilometers from the center of the industry with the safest concentration was 0,028 mg/m3.
Myths about Menstrual Personal Hygiene among Female Adolescents Palupi, Tyas Diah; Pristya, Terry Y.R.; Novirsa, Randy
Kesmas Vol. 15, No. 2
Publisher : UI Scholars Hub

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Abstract

Poor personal hygiene during menstruation among adolescents can lead to urinary tract infection, reproductive tract infection, and skin irritation. This studyaimed to determine the relationship between belief in myths and personal hygiene during menstruation. Cross-sectional quantitative study was conductedusing a sample of 119 10th grade female students from Tangerang 13 State Senior High School selected through purposive sampling. Logistic regressionanalysis was used in this study to determine the relationship between myths and personal hygiene after age of menarche, attitude, socioeconomic status,information, and maternal education were controlled. In the bivariate selection, modeling was completed by entering confounding and interaction variablesthen reducing the confounding variables by examining changes in the odds ratio. Results showed that the students who believed the myths were 3.7 timesmore likely to not practice personal hygiene during menstruation compared with those who did not believe the myths after attitude and status socioeconomicstatus were controlled. No interaction was observed between the myths and socioeconomic status.