Dwi Adhi Nugraha
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Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Nugraha, Dwi Adhi; Yuliadi, Istar; Hartanto, Rifai
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.808 KB)

Abstract

Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisis 
Diagnosis dan Tatalaksana Perdarahan Saluran Cerna Bagian Atas Non-Variseal Nugraha, Dwi Adhi
Cermin Dunia Kedokteran Vol 44, No 6 (2017): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (686.343 KB) | DOI: 10.55175/cdk.v44i6.796

Abstract

Perdarahan saluran cerna bagian atas non-variseal paling banyak disebabkan oleh perdarahan ulkus peptik. Penilaian status hemodinamik dan resusitasi merupakan langkah awal tatalaksana. Stratifikasi risiko perlu dilakukan. Saat ini endoskopi merupakan tulang punggung diagnosis dan terapi. Proton Pump Inhibitor (PPI) penting untuk mencegah perdarahan ulang dan mengurangi terapi endoskopi. Eradikasi H.pylori direkomendasikan pada setiap perdarahan ulkus peptik.Non-variceal upper gastrointestinal tract bleeding is mostly caused by peptic ulcer. Haemodynamic assessment and rescucitation is a first step of its management. Risk stratification should be done. Recent recommendation use endoscopy as a backbone for diagnosis and treatment. Proton Pump Inhibitor (PPI) can be given to prevent rebleeding and minimize the need for endoscopy therapy. H.pylori eradication is recommended for every ulcer peptic bleeding.
Hubungan Dukungan Sosial dengan Derajat Depresi Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis di RSUD Dr.Moewardi Dwi Adhi Nugraha; Istar Yuliadi; Rifai Hartanto
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.808 KB)

Abstract

Background: Chronic kidney disease incidences are expected to rise. One of the most pshycopatological problems in hemodyalisis patient is depression. Depression will decrease compliance, immnune dysfunction, and poor nutrition. This study aimed to know prevalence of depression and to search wether there were some relationship between social support with depression in hemodyalisis at RSUD Dr.Moewardi. Methods: This was an analitic observational study. Two measurement tools were used in this study, they were Beck Depression Inventor (BDI) and modified Multidimensional Support of Perceived Social Support (MSPSS). 30 patients were involved in this study. Statistic tests used in this study were Pearson test and Spearman test. Results: Depression was found in 43.33% chronic kidney disease patient undergoing hemodyalisis, with BDI cutoff >15. Mean of BDI score was 16.3 and deviation standard score was 7.433. Depression has significant negative relationship with family support, r = -0.480 and p = 0.007 (< 0.05). No significant relationship between social support from other source outside family with degree of depression. Conclusions: Depression was found in hemodyalisis patients at RSUD Dr.Moewardi. Degree of depression could be decreased by family support. Keywords: Social support, depression, chronic kidney disease, hemodyalisis
Google Trends data analysis of hepatitis B and their correlation with hepatitis B early detection program for pregnant women in Indonesia Nugraha, Dwi Adhi; Pramana, Triyanta Yuli
BKM Public Health and Community Medicine Vol 38 No 04 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i04.4413

Abstract

Purpose: Hepatitis B is still a problem in Indonesia. National surveillance project [Basic health survey (Riskesdas)] data in 2013 showed the prevalence of hepatitis B surface antigen (HBsAg) was 7.1%. One effort has been made to reduce the transmission of hepatitis B: the hepatitis B early detection program (DDHB) for pregnant women. Early changes in population health may be reflected in shifts in information and communication patterns on the internet. Changes in information and communication patterns on the internet can be an early "symptom" of changes in population health. This study aimed to know the correlation of hepatitis B relative search volume with HBsAg reactive percentage and coverage of the DDHB program for pregnant women in Indonesia. Methods: The value of relative search volume for hepatitis B in various regions in Indonesia in 2020 based on Google trends correlated with reactive HBsAg percentage and coverage of the DDHB program for pregnant women in 2020. Researchers compared the value of relative search volume for hepatitis B with hepatitis, hepatitis A, and hepatitis C. Spearman correlation analysis test was used to find the relationship between variables. Results: East Nusa Tenggara had the highest hepatitis B relative search volume and reactive HBsAg percentage in the DDHB program for pregnant women in 2020. Hepatitis B relative search volume was correlated with reactive HBsAg percentage (r=0.618; p<0.001) but did not correlate with DDHB coverage (r=-0.65; p=0.374). The popularity of hepatitis B (19.81±6.68) was higher than hepatitis A (8.65±5.79) and hepatitis C (3.90±1.75) but lower than hepatitis alone (54.08±19.02). Conclusion: East Nusa Tenggara had the highest hepatitis B relative search volume and reactive HBsAg percentage. Hepatitis B’s relative search volume in Google Trends data analysis significantly correlated with reactive HBsAg percentage in the DDHB program for pregnant women in Indonesia.