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Widodo J Pudjirahardjo
Faculty of Public Health, Airlangga University, Surabaya
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Effect of Dialogue Focused Supervisory Relationship in Cross-ethnic Supervision to Enhance Midwife’s Performance Trisno, Idawati; Suhariadi, Fendy; Pudjirahardjo, Widodo J
Health Notions Vol 1 No 4 (2017): October-December 2017
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

Midwife’s performance at Primary Health Care (PHC) still not optimal, slacken the effort of reducing maternal death. Unavailability of doctor at  PHC placed greater responsibility on midwife, thus improving midwife’s performance is crucial. Midwife’s performance influenced by ability, motivation, and supervision. Cross- ethnic supervision combined with line manager supervision, fit in the development of dialogue focused supervisory relationship (DFSR) in midwifery supervision. This study aimed to analyse the effect of DFSR on midwife’s performance, and the relationship between cross-ethnic supervision  and DFSR. This research used crosssectional design. Using random sampling techniques, 113 pairs of midwives -supervisors working in PHC at Kupang city and Kupang district were obtained. Data analysed using regression analysis. The findings were: (1) quality of DFSR affecting  midwife’s performance improvement, with quality of dialogue give strongest influence, (2) good quality supervisory relationship decrease midwife’s performance, and (3) cross-ethnic supervision didn’t have significant relationship towards DFSR. The development of DFSR as a new construct and evident of the relationship between DFSR and midwife’s performance is a novel in this study. To enrich this finding, future research should use longitudinal design and with different type of respondent. Study in exploring factor in cross-ethnic supervision that may influence DFSR also suggested.  
Effect of Dialogue Focused Supervisory Relationship In Cross-ethnic Supervision To Enhance Midwife’s Performance trisno, ida; Suhariadi, Fendy; Pudjirahardjo, Widodo J
Health Notions Vol 1 No 4 (2017): October-December 2017
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Midwife’s performance at Primary Health Care (PHC) still not optimal, slacken the effort of reducing maternal death. Unavailability of doctor at  PHC placed greater responsibility on midwife, thus improving midwife’s performance is crucial. Midwife’s performance influenced by ability, motivation, and supervision. Cross- ethnic supervision combined with line manager supervision, fit in the development of dialogue focused supervisory relationship (DFSR) in midwifery supervision. This study aimed to analyse the effect of DFSR on midwife’s performance, and the relationship between cross-ethnic supervision  and DFSR. This research used crosssectional design. Using random sampling techniques, 113 pairs of midwives -supervisors working in PHC at Kupang city and Kupang district were obtained. Data analysed using regression analysis. The findings were: (1) quality of DFSR affecting  midwife’s performance improvement, with quality of dialogue give strongest influence, (2) good quality supervisory relationship decrease midwife’s performance, and (3) cross-ethnic supervision didn’t have significant relationship towards DFSR. The development of DFSR as a new construct and evident of the relationship between DFSR and midwife’s performance is a novel in this study. To enrich this finding, future research should use longitudinal design and with different type of respondent. Study in exploring factor in cross-ethnic supervision that may influence DFSR also suggested.  
STONE-FREE RATE DIFFERENCES IN KIDNEY STONES PATIENTS WITH AND WITHOUT TAMSULOSIN AFTER ESWL Prasadja, Nindra; Soebadi, Doddy M; Djatisoesanto, Wahjoe; Pudjirahardjo, Widodo J
Indonesian Journal of Urology Vol 18 No 2 (2011)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v18i2.71

Abstract

Objective: To determine whether the administration of tamsulosin, as adjunctive medical therapy, increases the efficacy of one session of extracorporeal shock wave lithotripsy (ESWL) to treat renal stones. Material & Method: A prospective randomized placebo controlled study enrolled 21 patients. They underwent a single ESWL session to treat solitary radiopaque renal stones 4 to 20 mm in diameter. After ESWL, the study group (11) received 0,4 mg tamsulosin daily and the control group (10) received placebo until stone clearance or a maximum period of 8 weeks. The primary endpoint was stone-free rate and parameters were stone size and clearance time. Results: The overall stone-free rate was better in the study group than in the control group (90,9% vs. 60,0%). The clearance time after 2, 4, 6 and 8 weeks was greater in the study group than in the control group (36,4%; 63,6%; 72,7% and 90,9% vs 30,0%; 50,0%; and 60,0% respectively) but statistically insignificant. Conclusion: Clinically, the results of our study have demonstrated that tamsulosin therapy, as an adjunctive medical therapy after ESWL, is more effective than lithotripsy alone for the treatment of patients with renal stones. Keywords: ESWL, tamsulosin, medical expulsive therapy, renal stones.
Diagnostic Value of Ureteric Jet Frequency Examination using Color Doppler Ultrasonography to Predict Success of Retrograde DJ Stent Insertion in Uterine Cervicis Carcinoma patients with Hydronephrosis sriyono, sriyono; Santoso, Adi; Djojodimedjo, Tarmono; Soebadi, Moh Ayodhia; Pudjirahardjo, Widodo J
Indonesian Journal of Urology Vol 22 No 1 (2015)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v22i1.95

Abstract

AbstractObjective:  To prove that ureteric jet examination using Color Doppler Ultrasonography (CDU) can be used as a diagnostic tool to predict success of retrograde Double J Stent insertion in uterine cervicis carcinoma patients with hydronephrosis.Materials and Methods: This observational analytic study took 32 samples since May until October 2013. Before, the ureteric jet were counted for 5 minutes using CDU, then continued on the same day with cystoscopy and retrograde DJ Stent insertion. The analysis was using Chi-Square and also Coefficient Contingency test.Results: In both Chi-Square and Coefficient Contingency test, it is proven a significant correlation between success of retrograde DJ Stent insertion and Blood Urea Nitrogen (BUN), creatinine value, grade of hydronephrosis and also ureteric jet examination using CDU, with probability value (p < 0,005). The normal of BUN, creatinine level and the lower grading of hydronephrosis, the more likely successful DJ Stent insertion. Successfulness of DJ Stent insertion is also greater in a positive ureteric jet samples on examination using CDU, with sensitivity value 90,9% and specificity 89,5%, positive predictor value 83,3%, negative predictor value 95% and accuracy value 0,9.Conclusion: Ureteric jet frequency examination using CDU can be used as a success predictor of retrograde DJ Stent insertion in hydronephrosis uterine cervicis carcinoma patients with sensitivity value 90,9% and specificity 89,5%.Keywords: Ureteric jet, Color Doppler Ultrasonography, Double J Stent, Uterine Cervicis Carcinoma
DIAGNOSTIC VALUE OF NON-CONTRAST HELICAL CT-SCAN AND INTRAVENOUS UROGRAPHY IN UROLITHIASIS EVALUATION Hasan, Fadhli; Soebadi, Doddy M; Hardjowijoto, Sunaryo; Soebadi, Mohamad Ayodhia; Pria, Triyono Karmawan Sukmana; Pudjirahardjo, Widodo J
Indonesian Journal of Urology Vol 22 No 1 (2015)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v22i1.99

Abstract

Objective: To evaluate the diagnostic value of Non Contrast Helical Computed Tomography (NCHCT) scanning as the first choice diagnostic modality for detecting urolithiasis cases in Soetomo General Hospital Surabaya and evaluate the feasibility as alternative to Intravenous Urography (IVU). Material & Methods: Seventeen patients with clinical manifestation of suspected urolithiasis underwent NCHCT and IVU to evaluate suspected urolithiasis. Reformatted three-dimensional CT was performed in all patients. The images were correlated with findings from surgical procedure (ureteroscopy, percutaneous nephrolithotomy, and open surgery). Sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were determined for NCHCT and IVU. Results: The diagnosis of urolithiasis was defined as unequivocal evidence of urolithiasis on either NCHCT or IVU. Sixteen of seventeen patients evaluated were diagnosed with urolithiasis. NCHCT established the diagnosis in 16 of 17 patients while IVU was positive in 11 of 17 patients. IVU was negative in 6 of the 17 cases. The sensitivity, specificity and accuracy of NCHCT was 100%, 100%, and 100% respectively (p = 0.05) and the sensitivity, specificity, and accuracy of IVU was 68%, 100% and 70% respectively (p = 0.35). There was no statistically significant difference between IVU and NCHCT using Fisher’s exact test. Conclusions: NCHCT accurately diagnosed urolithiasis in patients with suspected urolithiasis. Considering that NCHCT is more effective and efficient than IVU as diagnostic modality in determining the presence of urolithiasis, it may be considered to replace IVU as the first line diagnostic tool for urolithiasis in Soetomo General Hospital Surabaya. Keywords: Non Contrast Helical CT Scan, Intravenous Urography, Urolithiasis.
ORAL PHENAZOPYRIDINE HCL FOR URETER ORIFICE IDENTIFICATION AND RETROGRADE STENTING Gumilar, Ogi Bahaurini; Soebadi, Doddy M; Djojodimedjo, Tarmono; Askandar, Brahmana; Pudjirahardjo, Widodo J
Indonesian Journal of Urology Vol 22 No 1 (2015)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v22i1.179

Abstract

Objective:  To compare the successful of the identification of the ureteral orifice at cervical cancer patients who received phenazopyridine orally and to analyze the correlation between hydronephrosis and successful rate for retrograde stenting. Material & Method: This was a comparative experimental study, using phenazopyridine hcl orally prior to cystoscopy to identify the ureteral orifice on cervical cancer patients and to perform retrograde stenting on spotted ureteral orifice. Forty samples provided consent to enroll in this study. Mean age was 49.2 ± 5.16 years. Thirty-four out of 40 samples was confirmed as squamous cell carcinoma type. Results: Chi-square test demonstrated no significant differentiation in finding ureteral orifice between treatment and control group on stage 3B (p = 0.408). However, result shown conversely on stage 4A (p = 0.046). There was no significant disparity in conducting retrograde stenting between treatment and control group on stage 2B and 3B (p = 0.221 and p = 0.197). There was no significant correlation between hydronephrosis gradation and retrograde stenting on control group (p = 0.144). Conclusion: Administration of phenazopyridine HCL orally in cervical cancer patients increase success for ureteral orifice identification and retrograde stenting, but not statistically significant. There is no correlation between hydronephrosis with a success retrograde stenting.Keywords: Cervical cancer, hydronephrosis, phenazopyridine hcl, ureteral orifice, retrograde stenting.
Co-Authors A.A. Ketut Agung Cahyawan W Askandar Tjokroprawiro Doddy M Soebadi Fadhli Hasan Fendy Suhariadi Idawati Trisno Moh Ayodhia Soebadi Mohamad Ayodhia Soebadi Nindra Prasadja Ogi Bahaurini Gumilar Sunaryo Hardjowijoto Tarmono Djojodimedjo trisno, ida Triyono Karmawan Sukmana Pria wahjoe djatisoesanto