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Perbedaan Kadar Adiponektin, Asimetrik Dimetilarginin Plasma, dan Respons Vasodilatasi Arteri Brakialis antara Dewasa Muda dengan Riwayat Bayi Berat Lahir Rendah dan Normal Purnomowati, Augustine; K.S. Kariadi, Sri Hartini; Achmad, Tri Hanggono; C. Mose, Johanes; Setianto, Budhi
Majalah Kedokteran Bandung Vol 44, No 1 (2012)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (929.954 KB)

Abstract

Adiponektin mempunyai efek antiaterogenik, antiinflamasi, sensitizer insulin, dan berperan penting dalam mengatur pertumbuhan janin. Hipoadiponektinemia dapat menyebabkan disfungsi endotel. Risiko penyakit kardiovaskular meningkat pada subjek dengan riwayat bayi berat lahir rendah (BBLR). Penelitian ini bertujuan menganalisis perbedaan kadar adiponektin, asimetrik dimetilarginin (ADMA) plasma dan respons vasodilatasi arteri brakialis melalui tes flow mediated brachial artery (FMBA) antara dewasa muda dengan riwayat BBLR dan bayi berat lahir normal (BBLN), serta korelasi kadar adiponektin dengan fungsi endotel pada BBLR. Penelitian kohor retrospektif dilakukan periode November 2009–Januari 2010 berasal dari Growth Study Cohort Tanjungsari Kabupaten Sumedang. Sebanyak 134 subjek dipilih secara simple random, terdiri atas 67 BBLR dan 67 BBLN yang karakteristik umumnya sama. Analisis multivariat melalui Hotelling’s trace menunjukkan FMBA, kadar ADMA, dan adiponektin berbeda bermakna (p<0,001) antara BBLR dan BBLN. Analisis simultaneous confidence interval menunjukkan kadar adiponektin plasma dan FMBA bermakna lebih rendah (p=0,015 dan p<0,001) pada BBLR dibandingkan dengan BBLN. Korelasi tidak bermakna antara kadar adiponektin dan ADMA (r=-0,16; p=0,176) dan FMBA (r=0,13; p=0,281) BBLR. Kecil peran adiponektin pada disfungsi endotel, mungkin variabel lain berperan, seperti tumor necrosis factor α. Simpulan, terdapat perbedaan kadar adiponektin plasma dan FMBA antara dewasa muda dengan riwayat BBLR dan BBLN, tetapi kecil peran adiponektin pada disfungsi endotel dewasa muda dengan riwayat BBLR. [MKB. 2012;44(1):1–6].Kata kunci: Adiponektin, asimetrik dimetilarginin, BBLR, tes flow mediated brachial arteryDifferences of Plasma Adiponectine, Asymmetric Dimethylarginine and Brachial Artery Vasodilatation Response in Young Adult with Low and Normal Birth Weight HistoryBeside an anti-atherosclerotic, anti-inflammation effect, and a sensitizer insulin, adiponectin also play an important role in fetal growth. Hypoadiponectinemia may lead to endothelial dysfunction. Low birth weight (LBW) has increase risk of cardiovascular disease. The aim of this study was to analyze the differences of plasma adiponectin, asymmetric dimethylarginine (ADMA) level and vasodilatation response of brachial artery by doing flow mediated brachial artery (FMBA) test between young adults with LBW and normal birth weight (NBW), and the role ofadiponectin level in endothelial function of the LBW. This was a retrospective cohort study during November 2009– January 2010, 134 subjects were randomly selected from the Growth Study Cohort of Tanjungsari Sumedang. They consisted of 67 LBW and 67 NBW young adults, with similar basic characteristics. A multivariate analysis via Hotelling’s trace showed that there was a significant difference (p<0.001) for FMBA, ADMA, and adiponectin level, but simultaneous confidence interval measurements indicated that the rate of FMBA and the level of plasma adiponectin were significantly lower (p<0.001, p=0.015, respectively) in LBW compared to NBW. The correlation between adiponectin and ADMA level (r=-0.16, p=0.176), and FMBA (r=0.13, p=0.281) in LBW were not significant, suggesting a small role of plasma adiponectin in endothelial dysfunction of young adults with LBW, other variables could play a role such as tumor necrosis factor α. In conclusions, the level of plasma adiponectin and FMBA are different between LBW and NBW, but the role of adiponectin may be small in endothelial dysfunction in young adults with LBW. [MKB. 2012;44(1):1–6].Key words: Adiponectin, asymmetric dimethylarginine, flow mediated brachial artery, LBW test DOI: http://dx.doi.org/10.15395/mkb.v44n1.72
Literature Review: Hubungan Personal Hygiene dengan Kejadian Penyakit Kulit Pekerja Pengangkut Sampah di TPA Rokhiya, Naily Aniqotur; Asih, Akas Yekti Pulih; Setianto, Budhi
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 20, No 6 (2021): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.20.6.443-450

Abstract

Latar belakang: Kejadian penyakit kulit seringkali dialami oleh petugas pengangkut sampah. Didasari dengan perilaku personal hygiene yang tidak dilakukan secara baik oleh tiap petugas pengangkut sampah setelah melakukan pekerjaan. Penelitian ini bertujuan untuk menganalisis hubungan personal hygiene dengan kejadian penyakit kulit pada pekerja pengangkut sampah di TPA.Metode: Metode yang digunakan dalam penulisan literature review ini adalah tradisional literature review. Sumber data yang digunakan berasal dari google scholar dan portal garuda dalam rentang waktu 2015-2020. Kata kunci yang digunakan yaitu “Personal Hygiene dengan penyakit kulit pekerja pengangut sampah di TPA”. Setelah dilakukan screening didapatkan sebanyak 12 artikel rujukan.Hasil: Hasil penelitian ini menunjukkan bahwa terdapat aspek aspek personal hygiene yang memiliki hubungan dengan kejadian penyakit kulit yaitu kebersihan kulit, rambut, tangan, kaki, dan kuku. Secara umum juga menyebutkan bahwa personal hygiene memiliki hubungan dengan kejadian penyakit kulit.Simpulan: Simpulan literature review ini adalah perilaku Personal Hygiene yang buruk dapat menyebabkan kejadian penyakit kulit pada pekerja pengangkut sampah di TPA. Kejadian tersebut dapat mengganggu aktifitas pekerja pengangkut sampah dalam bekerja. Kejadian tersebut dapat dihindari dengan melakukan kegiatan Personal Hygiene dengan baik mulai dari perawatan rambut sampai dengan perawatan kulit.Kata kunci: Kejadian Penyakit Kulit; Pengangkut Sampah; Personal Hygiene ABSTRACTTitle: Literature Review: Association of Personal Hygiene with Incidence of Skin Diseases in Transporting Waste Workers in LandfillBackground: The incidence of skin diseases is often experienced by garbage collectors. Based on personal hygiene behavior that is not carried out properly by each garbage collector after doing work. This study aims to analyze the relationship of personal hygiene with the incidence of skin diseases in workers who transport waste at the TPA. Method: The method used in writing this literature review is a traditional literature review. The data sources used are from Google Scholar and the Garuda Portal in the 2015-2020 period. The keywords used are "Personal Hygiene with skin diseases of workers carrying waste at the TPA". After screening, 12 reference articles were obtained.Result: The results of this study indicate that there are aspects of personal hygiene that have a relationship with the incidence of skin diseases, namely the cleanliness of the skin, hair, hands, feet, and nails. In general, it is also stated that personal hygiene has a relationship with the incidence of skin diseases.Conclusion: The conclusion of this literature review is that poor Personal Hygiene behavior can cause skin diseases to occur in waste transport workers at the TPA. This incident can disrupt the activities of waste transport workers at work. This incident can be avoided by doing good Personal Hygiene activities, from hair care to skin care.Keywords: Skin Diseases; Garbage Collectors; Personal Hygiene
ANALISIS INSIDEN KESELAMATAN PASIEN BERDASARKAN KUALITAS TEAMWORK DAN COORDINATION MANAJEMEN RUMAH SAKIT ISLAM AHMAD YANI SURABAYA Adriansyah, Agus Aan; Setianto, Budhi; Sa'adah, Nikmatus; Lestari, Indah; Nashifah, Nur Sa'adah; Anggarwati, Fauziah Rizki; Arindis, Pinky Ayu Marsela
Jurnal Ilmu Kesehatan Masyarakat Vol 18 No 3 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v18i3.26515

Abstract

Peningkatan insiden keselamatan pasien di rumah sakit sering terjadi. Kerja tim antar individu dalam unit kerja dan koordinasi antar unit pelayanan merupakan salah satu upaya untuk mengurangi lejadian yang terkait dengan masalah keselamatan pasien. Penelitian ini bertujuan untuk menganalisis peranan kerja tim antar individu dalam unit kerja dan koordinasi antar unit pelayanan terhadap terjadinya insiden keselamatan pasien (IKP) di rumah sakit. Penelitian ini dilakukan di RS Islam Surabaya pada tahun 2020, dilakukan secara deskriptif dengan pendekatan cross-sectional. Unit analisis ditentukan secara total sampling meliputi 18-unit kerja yang memberikan pelayanan kepada pasien dengan responden adalah pimpinan unit atau ruangan, penanggung jawab shift kerja dan penanggung jawab mutu keselamatan pasien. Pengumpulan data responden terkait kerja tim dan koordinasi dalam penanganan keselamatan pasien. Pengumpulan data dilakukan secara online dengan menggunakan google form, dan dianalisis menggunakan tabulasi silang serta pendekatan Pareto (memiliki keterkaitan jika ditemukan perbedaan >20% antara variabel bebas dan variabel terikat). Hasil penelitian menunjukkan mayoritas kerja tim sudah baik (83,3%), pelaksanaan koordinasi mayoritas masih kurang baik (83,3%) dan insiden keselamatan pasien masih tergolong tinggi (33,3%). Insiden didominasi oleh Nyaris Cedera dengan peringkat hijau, dan unit rawat jalan memiliki insiden tertinggi. Kerja tim dan koordinasi berperan penting terhadap insiden keselamatan pasien dengan selisih persentase masing-masing sebesar 40,0% (> 20,0%) dari setiap kategori pada kerja tim maupun koordinasi. Penelitian ini menunjukkan kerja tim dan koordinasi berperan penting terhadap terjadinya IKP di rumah sakit. Oleh sebab itu, perlu saling support antar individu dalam tim di setiap unit kerja serta rutin melakukan pertemuan secara bersama membahas patient safety. Kata kunci: insiden keselamatan pasien, kerja tim, koordinasi, rumah sakit
IMPLEMENTATION OF OCCUPATIONAL SAFETY AND HEALTH RISK MANAGEMENT IN ISLAMIC HOSPITAL SURABAYA A. YANI Firmansyah, Muhammad Huda; Moch. Sahri; Setianto, Budhi
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.2179

Abstract

Background: Risk management is a preventive effort for a company, especially those engaged in the service sector, which is very prone to errors and complaints. For this reason, it is necessary to map the risks that occur in accordance with the work unit in it which is expected to minimize the number of accidents or errors in both patients, visitors and employees in the hospital. In the 2019 patient safety incident report data at the Surabaya A. Yani Islamic Hospital, it was found that there were incidents which included near miss 93%, not injured 4%, unexpected events 3% and Sentinel 0%. The purpose of this study was to identify and identify the application of occupational safety and health risk management at the A. Yani Islamic Hospital in Surabaya. Methods: This thesis is a qualitative research with a case study method with the aim of fully describing the implementation of K3 risk management at Surabaya A. Yani Hospital based on observation, survey and documentation data on 37 units and hospital workplaces by identifying risks. , analyze and find risk control measures. Results: The results showed that the implementation of K3 risk management in the Islamic Hospital of Surabaya A. Yani based on the results of risk identification obtained as many as 25 risks in the graha building and the old building which were further analyzed by finding 15 moderate risks and 10 high risks. can be done is by repairing damaged infrastructure and improving the existing security system at the A. Yani Islamic Hospital in Surabaya. Conclusion: The conclusion in this study is the implementation of K3 risk management at the Islamic Hospital of Surabaya A. Yani based on the process of risk identification and risk analysis, there are 25 potential risks, of which there are 15 moderate risks and 10 high risks that can potentially cause accidents to employees, visitors and patients. In this case, control efforts are made to minimize the number of incidents and accidents.
Analisis swot untuk menentukan strategi bersaing saat masa pandemi covid-19 pada rumah sakit islam surabaya Elvana, Yesia; Hariyati, Hariyati; Setianto, Budhi
Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan Vol. 4 No. 11 (2022): Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan
Publisher : Departement Of Accounting, Indonesian Cooperative Institute, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (480.687 KB) | DOI: 10.32670/fairvalue.v4i11.1807

Abstract

This study has a goal, namely to find out the right competitive strategy using SWOT analysis at the Surabaya Islamic Hospital so that its business can be even better, able to attract interest and give trust to the public regarding the health services it has, can measure and determine the right management at the Surabaya Islamic Hospital so that it can encourage business progress in the face of increasingly fierce competition even during the Covid-19 pandemic. The type of research used is descriptive qualitative. The data analysis technique in this research is SWOT (Strength, Weakness, Opportunity, Threat) analysis. The results of the study showed that in the Internal Factors Analysis Summary (IFAS) the total score for the strength factor was 5.89, and the weakness was 2.47, then in the External Factors Analysis Summary (EFAS) the total score for the opportunity was 4.46, and the threat was 4. ,20. From these results, the SWOT diagram at the Surabaya Islamic Hospital is in quadrant I (one), namely the aggressive and supportive strategy using the SO (Strength-Opportunity) strategy.
Analisis kinerja rumah sakit dengan pendekatan balanced scorecard pada RSI surabaya Safitri, Shinta; Prastiwi, Dewi; Setianto, Budhi
Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan Vol. 4 No. 11 (2022): Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan
Publisher : Departement Of Accounting, Indonesian Cooperative Institute, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.093 KB) | DOI: 10.32670/fairvalue.v4i11.1912

Abstract

This study aims to measure the performance of the Surabaya Islamic Hospital with a balanced scorecard approach. The balanced scorecard approach consists of perspectives, finance, customers, internal business processes, as well as growth and learning. The research was carried out with descriptive qualitative methods. The primary data collection method was conducted by interviewing the HR section, the medical record unit, and the nursing section. Secondary data used in this study is data and information from the web, journals, books and documents related to hospital performance measurement, in the form of financial reports and patient care data. The results of the study can be concluded from a financial perspective, it is considered good except for the liquidity ratio. Customer perspective is considered good. The internal business process perspective is considered good, all except the BTO parameter. Growth and learning perspectives are considered good.
LITERATURE REVIEW: PENGETAHUAN IBU DAN RIWAYAT PEMBERIAN ASI EKSKLUSIF DENGAN GIZI KURANG PADA BALITA Nisa, Aizatun; Nadatien, Im; Setianto, Budhi
Health Publica Vol 4, No 02 (2023): Health Publica Jurnal Kesehatan Masyarakat
Publisher : Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/hp.v4i02.6697

Abstract

Gizi kurang merupakan penyebab kematian 3,5 juta balita di dunia. Masalah gizi kurang pada balita dapat terjadi karena belum terpenuhinya target cakupan ASI eksklusif. ibu yang memiliki pengetahuan yang kurang terkait gizi balita memiliki balita yang mengalami gizi kurang karena gizi yang diberikan pada balita belum sesuai yang asupan yang dibutuhkan balita pada masa perkembangannya. Penelitian ini bertujuan untuk menganalisis keterkaitan pengetahuan ibu dan riwayat pemberian ASI Eksklusif dengan kejadian gizi kurang pada balita. Metode yang digunakan dalam penulisan literature review ini adalah tradisional literature review. Sumber data yang digunakan berasal dari google scholar dan portal garuda dalam rentang waktu 2017-2022. Setelah dilakukan screening didapatkan sebanyak 13 artikel rujukan. Analisis data dilakukan dengan mengidentifikasi pengetahuan ibu dan riwayat pemberian ASI Eksklusif dengan kejadian gizi kurang balita berdasarkan artikel yang telah direview. Hasil penelitian ini menunjukkan bahwa Ibu yang memiliki pengetahuan baik memiliki balita yang sehat sedangkan ibu yang memiliki pengetahuan yang kurang memiliki balita yang mengalami gizi kurang. Pemberian ASI Eksklusif yang cukup juga mempengaruhi kebutuhan gizi pada balita. Kesimpulan literature review menunjukkan Pengetahuan ibu dan pemberian ASI Eksklusif berhubungan dengan kejadian pada balita. Keterkaitan antara pengetahuan ibu terkait gizi balita dan riwayat pemberian ASI Eksklusif dengan gizi kurang yang dialami oleh balita. Pentingnya pengetahuan ibu tentang gizi balita sangat mempengaruhi asupan yang diberikan pada balita. Pemberian ASI secara eksklusif juga memberikan dampak yang tinggi bagi status gizi balita.
PERAWATAN PALIATIF KARDIOVASKULAR: PENDEKATAN PENYAKIT JANTUNG TERMINAL Setianto, Budhi; Laksono, Sidhi
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 23 No. 2 (2024): Juli 2024
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/ibnusina.v23i2.659

Abstract

Penyakit kardiovaskular merupakan penyakit dengan morbiditas dan mortalitas tertinggi di dunia. Mortalitas dan morbiditas tersebut mempengaruhi kualitas hidup pasien hariannya dan menjelang kematiannya. Diperlukan perawatan holistik yang berguna untuk meningkatan kualitas hidup pasien dengan penyakit serius atau terminal kardiovaskular dan komplikasinya. Perawatan tersebut adalah perawatan paliatif, dimana perawatan ini multidisiplin dengan dukungan psikososial dan spiritual. Perawatan paliatif ini dibagi menjadi dua yaitu, primer dan sekunder. Perawatan paliatif primer dilakukan oleh ahli jantung, sedangkan perawatan sekunder dilakukan oleh ahli paliatif dengan tim lain. Perawatan ini dapat diterapkan pada pasien dengan penyakit jantung iskemik, penyakit katup jantung berat, gangguan irama, penyakit arteri perifer dan penyakit jantung kongenital dewasa. Penggunaan pereda nyeri dapat digunakan pada penyakit jantung iskemik, juga pengaturan ICD pada aritmia. Pada pasien dengan masalah katup, penyakit arteri perifer, maupun penyakit jantung kongenital, tindakan invasif maupun prosedur operasi perlu didiskusikan bersama dengan preferensi dari pasien. Diharapkan para ahli jantung dapat menggunakan layanan perawatan paliatif kardiovaskular untuk pasien tahap terminal kardiovaskular di kemudian hari.
EVALUATING TELEMEDICINE UTILIZATION IN THE NATIONAL HOSPITAL USING RESOURCE PARAMETERS BASED ON THE AUSTRALIAN COUNCIL ON HEALTH CARE STANDARDS (ACHS) Heenderi, Hendera; Setianto, Budhi; Adriansyah, Agus Aan
Jurnal Ilmiah Kesehatan Vol 17 No 02 (2024): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v17i02.5858

Abstract

Digital transformation and disruptive innovation describe a comprehensive reorientation of industry including its business models due to the arrival of the digital technology era in the form of digitization of products, services and processes. Meanwhile, digital health products can be in the form of electronic health. The low utilization of Telemedicine visits is 2.90% of total visits as well as the conformity of NH Apps telemedicine products with ACHS standards. Analyzing the use of Telemedicine from Resource Parameters based on Australian Council on Healthcare Standards (ACHS) Standards at the National Hospital. The method for this research uses system theory (Input, Process and Output) and is descriptive research with a qualitative approach. By gathering information from 33 respondents who carried out analysis and assessment regarding the implementation of telemedicine in accordance with ACHS. Information that all telemedicine implementation in each department is going well except in the pharmacy department which is considered less good. The implementation of Telemedicine is in accordance with and meets the requirements in terms of the Use of Telemedicine Applications from the Australian Council on Healthcare Standards (ACHS) Requirements Aspect. Process Flow for Using Telemedicine in Hospitals. National Hospital Surabaya is running well and is systemized using the NH Apps application, divided into 2, namely the outpatient flow and the emergency treatment flow. Resources for Using Telemedicine Applications in Hospitals. National Hospital Surabaya has strong modalities regarding units and doctors are all involved in integrated services and have good assessments in system quality, information quality, service quality, structure and environment:
WORKFORCE ECOSYSTEM DEVELOPMENT AT HOSPITAL X SURABAYA Putri, Errytrina Kurnia; Setianto, Budhi; Adriansyah, Agus Aan
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 3 (2024): Desember 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.3.2024.321-326

Abstract

X Hospital is one of the hospitals in Surabaya that continues to improve its medical services following several negative reviews found on Google Business between January and April 2024. These reviews suggest that human resource performance, particularly in patient care, needs improvement. In response, the hospital is focusing on internal development by cultivating a workforce ecosystem that includes organic employees, non-organic employees, and interns. This study aims to analyze the development of the workforce ecosystem at Manyar Hospital by evluating employee performance, skill training, and on-the-job training among 116 organic employees, 88 non-organic employees, and 20 interns, with a sample size of 65 participants. Descriptive statistical analysis was employed, with samples selected through convenience sampling. The results indicated that, for employee performance, the highest mean value was found in supervisor social support, while the lowest was found in empowerment. For skill training, the highest mean value was found in the ability to ask, while the lowest was found in self-control. For on-the-job training, the highest mean value was found in the effect on the job, employee training, and deductive and inductive on-the-job training strategies, while the lowest mean was found in structured on-the-job training in developing nations.