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UPAYA PENGELOLAAN FATIGUE PADA PENERBANG DENGAN AKTIVITAS FISIK, LATIHAN FISIK DAN WAKTU TIDUR Retno Wibawanti; Amilya Agustina; Maria Melania Muda; Retno Asti Werdhani
Majalah Kedokteran Indonesia Vol 69 No 12 (2019): Journal of The Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v69i12.169

Abstract

Fatigue adalah kondisi fisiologis yang ditandai dengan penurunan kapabilitas performa fisik dan mental akibat kehilangan tidur atau terjaga berkepanjangan, perubahan irama sirkadian dan beban kerja yang dapat mengganggu kewaspadaan dan kemampuan personil penerbangan dalam mengoperasikan pesawat atau tugas penerbangan dengan selamat. Insiden atau kecelakaan penerbangan dapat timbul akibat kesalahan di tingkat individu (penerbang atau awak pesawat lainnya), dimana fatigue menjadi salah satu faktor penyebab utama.International Civil Aviation Organization (ICAO) telah merekomendasikan Fatigue Risk Management System (FRMS) kepada negara-negara anggotanya, termasuk Indonesia. FRMS ini merupakan suatu sistem adalah suatu sistim pengawasan dan pengelolaan faktor-faktor risiko terkait kelelahan berbasis bukti, yang dilakukan secara berkesinambungan. Di Indonesia saat ini belum banyak maskapai yang menerapkan FRMS. Sebagai upaya lain untuk mengelola fatigue di penerbang, maka dibutuhkan panduan langkah-langkah praktis untuk mengelola faktor risiko fatigue di penerbang, khususnya terkait aktivitas fisik, aktivitas di waktu senggang atau istirahat dan pengaturan waktu tidur.Buku Panduan Praktis Pengelolaan Fatigue bagi Penerbang dengan Aktivitas Fisik, Latihan Fisik dan Waktu Tidur ditargetkan untuk menjadi acuan pengelolaan fatigue bagi penerbang, maskapai dan dapat menjadi rekomendasi bagi pemangku kebijakan untuk dapat dijadikan bagian dari prosedur keselamatan penerbangan di Indonesia.
MODUL KONSULTASI DAN RUJUKAN DOKTER KELUARGA Retno Asti Werdhani
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v68i12.203

Abstract

Konsultasi dan Rujukan adalah salah satu bentuk pelayanan kedokteran integrasi dengan tenaga-tenaga kesehatan lain baik di tingkat yang sama maupun ke tingkat yang lebih tinggi dalam rangka mengoptimalkan penatalaksanaan pasien. Tujuannya adalah untuk meningkatkan keilmuan, meningkatkan hubungan dengan sejawat, rekan kerja, dan pasien, serta menjamin tatalaksana pasien secara komprehensif dan berkesinambungan. Proses konsultasi dan rujukan memungkinkan pelayanan kedokteran menjadi tidak terkotak-kotak. Namun hal ini membutuhkan koordinasi dan komunikasi efektif antar dokter, pasien dan tenaga kesehatan lain.
THE EFFECT OF SNACK INTERVENTION TOWARD WORKING DURATION AMONG HELPER WORKERS IN CONTAINER COMPANY Nove Maria; Setyawati Budiningsih; Dian Kusumadewi; Retno Asti Werdhani; Ance Adriani
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v68i12.205

Abstract

Pendahuluan: Asupan gizi yang baik pada tenaga kerja dapat memengaruhi produktivitas kerja. Namun, banyak pekerja yang tidak memerhatikan kecukupan asupan gizi mereka, termasuk pekerja helper di perusahaan peti kemas. Berdasarkan data International Labor Office (ILO) tahun 2005, diet yang tidak seimbang dapat menurunkan produktivitas sampai 20%. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian makanan selingan terhadap lama pengerjaan pada pekerja helper di perusahaan peti kemas. Metode: Desain penelitian ini adalah pra-eksperimen yang dilakukan selama empat minggu. Sebanyak delapan belas responden yang merupakan pekerja helper diberikan makanan selingan satu kali sehari, sebesar 300 kkal selama empat minggu. Asupan makanan responden dicatat dengan food record setiap minggu (dua hari kerja dan satu hari libur) dan dianalisis dengan aplikasi Nutrisurvey serta perhitungan manualHasil: Terdapat perbedaan rerata yang bermakna pada lama pengerjaan total (berkurang dua jam delapan menit) sebelum dan sesudah intervensi (p < 0,001). Kesimpulan: Pemberian makanan selingan satu kali sehari selama empat minggu dapat mempersingkat lama pengerjaan pada pekerja helper.  
Assessment of compliance to standard precautions among nurses using the Health Belief Model Rusli, Noer Triyanto; Mansyur, Muchtaruddin; Kekalih, Aria; Sulistomo, Astrid; Werdhani, Retno Asti
Universa Medicina Vol. 39 No. 3 (2020)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2020.v39.199-206

Abstract

BACKGROUNDThe application of Standard Precautions (SP) has become a significant challenge for healthcare workers, especially in developing countries, endangering their safety and increasing their exposure to blood-related pathogens. This study was aimed at exploring the factors related to nurses’ compliance with the practice of SP.METHODSA cross-sectional study was conducted on 120 nurses working at a hospital in Palembang. Health Belief Model components of the subjects were recorded through questionnaires. A 12-point observation form assessed the nurses’ SP compliance. Multiple logistic regression models were used to explore factors associated with nurses’ compliance.RESULTSThe results showed that 56.7% of participants had good compliance, although the five moments of hand hygiene still needed to be improved. The study revealed that the proportion of the operating room and emergency room nurses who complied with the SP was larger than the proportion of those who worked at the other wards (OR=2.57, 95% CI 1.51-4.36). The nurses who had received training also showed a larger proportion of compliance with SP than those who had not been trained (OR=2.70, 95% CI 1.07-6.79).CONCLUSIONNurses’ behavior to SP was significantly associated with the adequacy of the training and work unit. It is suggested that the practice of SP was also influenced by enabling factors and subjective norms. Adequate training of nurses, provision of infection prevention equipment, and assessment of occupational exposures need to be introduced.
PASCAOPERASI ADENOMA HIPOFISIS HUBUNGAN ANTARA DURASI AWITAN DENGAN LUARAN KLINIS VISUS DAN LAPANG PANDANG Renindra Ananda Aman,* Reki Setiawan,* Retno Asti Werdhani,* Samsul Ashari,* David Tandian,* Syaiful
NEURONA Vol. 37 No. 3 Juni 2020
Publisher : Neurona Majalah Kedokteran Neuro Sains

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

Abstract

INTRODUCTION PITUITARY ADENOMAS CAN CAUSE DECREASE OF VISUAL ACUITY VA NARROWING VISUAL FIELD VF SEVERAL STUDIES HAVE SHOWED THAT THE DURATION OF COMPLAINTS WERE RELATED SIGNIFICANTLY WITH CLINICAL OUTCOMES AS A NATIONAL REFERRAL CENTER HOSPITAL ALL PITUITARY ADENOMA PATIENTS WHO CAME TO OUR INSTITUTION WERE REFERRED FROM OPHTHALMOLOGISTS NEUROLOGISTS AND NEUROSURGEONS FROM OTHER INSTITUTIONS
Immunization competence retention in medical students: a comparation between conventional lectures and lectures with simulations method Hartono Gunadi; Rini Sekartini; Retno Asti Werdhani; Ardi Findyartini; Muhammad Arvianda Kevin Kurnia
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.46 KB) | DOI: 10.14238/pi55.6.2015.339-44

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Background Immunization is recognized as one of the strategies to reduce vaccine preventable diseases. Competency related to immunization are consequently important for medical students and the medical school needs to assure the competence acquisition. Objective To assess competence related to immunization and its retention following lectures with simulations compared to lectures only. Methods A quasi-experimental study was conducted to the 5th year students of University of Indonesia Medical School during the Child Adolescent Health Module in 2012-2013. The intervention group had lectures with simulations and the control group had lectures only. Immunization knowledge was assessed with a 30 multiple choice question (MCA) items performed before and after the module. Competence retention was assessed by MCQ (knowledge) and OSCE (skills) 2-6 months afterwards. Results Sixty eight subjects for each group with similar characteristics were analyzed. There was significant difference after module MCQ score between two groups. Competence retention in 2-6 months after module completion was better in intervention group, both for the knowledge (median MCQ score of 70.00 (range 37-93) vs. mean score of 58.01 (SD 12.22), respectively; P<0.001) and skill (OSCE mean scores of 75.21 (SD 10.74) vs. 62.62 (SD 11.89), respectively; P < 0.001). Proportion of subjects in the intervention group who passed both the MCQ and OSCE were also significantly greater. Conclusion Lectures with simulations are proved to be more effective in improving medical students’ immunization competence as well as its retention compared to lectures only approach.
Inter-Professional Collaboration in Prevention and Management Problems of Infant and Toddler Nutrition Retno Asti Werdhani
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 1 (2020): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.54167

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One of the functions of the primary care/family physician in case management is as a care coordinator/coordinator of the patient’s management1. McDonald defines a care coordinator as a patient’s management activity in healthcare that involves two or more participants (including patients) to improve the quality of health services. The definition emphasizes the need for collaboration between doctors and various parties including patients, families, and other health workers in managing health problems2. This paper emphasizes coordination and collaboration between health workers and families, which aims to increase knowledge and perceptions of families and communities to prevent malnutrition events such as failure to thrive, or obesity in children in the management of the first 1000 days of life.Management of the first 1000 days of life and growth and development monitoring needs doctors who motivate as well as parenting guidance to be able for caring and feeding the baby, as well as directly monitor the growth and development of their children. Many perceptions and stigmas develop in community can affect parenting parents towards their children. Accordingly, the function of the family physician is expected to have the ability as a care coordinator to support the successful management of the first 1000 days of life. This service requires collaboration between doctors and other healthcare professionals. This is in line with a spirit of partnership and cross-sector cooperation3. Primary care/family physician responsible for providing health services sustainably and comprehensively to individuals, families, and the community, in collaboration with other health workers. Primary care/family physicians manage various resources for the benefit of patients and families. Health services in primary care services provide primary to tertiary prevention services4, which doctors cannot do alone. Primary care/family physician is not only responsible for primary prevention and screening, however, must also be prepared to manage health problems in the first 1000 days of life, growth, and development, including facilitating referral and reconciliation. This responsibility proves the importance of collaboration practice in primary care services.
CORRELATION BETWEEN MEDICAL STUDENTS’ PERCEPTION ON LEARNING ENVIRONMENT AND STRESS LEVEL Resti Rahmadika Akbar; Mardiastuti Wahid; Retno Asti Werdhani
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 1 (2019): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1614.827 KB) | DOI: 10.22146/jpki.44857

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Background: Learning environment in medical education is one of several aspect determine students’ academic success. The medical education itself has been the biggest source of depression or stress for students, beside personal, financial, or family problems. The purpose of this study is to assess the correlation between students’ perception on learning environment and stress levels.Methods: This study was a cross sectional study, conducted from December 2016 to April 2017, involving the 1st, 2nd, 3rd, 4th year students of the Faculty of Medicine, Baiturrahmah University (FK UNBRAH), Padang, with a total of 595 students. Students’ perceptions on learning environment were assessed using the Dundee Ready Educational Environment Measure (DREEM) questionnaire and the student stress level was assessed by the questionnaire of Depression Anxiety Stress Scale 42 (DASS 42). Both questionnaires have been validated and available in Bahasa.Results: Respondents involved in this study were 477 (80.1%).The median of the students’s perceptions on their learning environment was 132 (92-200), which means "more positive than negative". Students’ perceptions on learning environment between 1st year students with other academic years differed significantly. There was no significant difference between female and male students' perceptions on the learning environment. The median value of student stress level of FK UNBRAH was categorized as normal. There was no statistically significant difference in stress level based on academic level and gender. The correlation between students’ perception toward learning environment and academic level was found to be significant with very weak negative correlation (p<0,05)Conclusion: The better students’ perception on the learning environment, the lower the stress level.  
Pengaruh latihan Brandt Daroff dan modifikasi manuver Epley pada vertigo posisi paroksismal jinak Widjajalaksmi Kusumaningsih; Andy Ardhana Mamahit; Jenny Bashiruddin; Widayat Alviandi; Retno Asti Werdhani
Oto Rhino Laryngologica Indonesiana Vol 45, No 1 (2015): Volume 45, No. 1 January - June 2015
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2466.573 KB) | DOI: 10.32637/orli.v45i1.105

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Latar belakang: Latihan Brandt Daroff (BD) dan latihan Modifikasi Manuver Epley (MME) merupakan rehabilitasi vestibular sebagai terapi latihan mandiri di rumah bagi penderita Vertigo PosisiParoksismal Jinak (VPPJ) yang menggunakan sistem sensori terintegrasi. Secara fisiologis, BD berperandalam proses adaptasi sistem vestibular dan MME berperan dalam reposisi otolit. Tujuan: Untukmengetahui dan membandingkan efek terapi latihan vestibular mandiri BD dan MME terhadap perbaikangangguan keseimbangan penderita VPPJ. Metode: Studi pendahuluan dengan desain kuasi eksperimenpada 23 subjek VPPJ yang diperoleh secara consecutive sampling, laki-laki dan perempuan  berusia 2060 tahun. Secara random dibagi menjadi dua kelompok yaitu kelompok BD(n=12) dan kelompokMME(n=11)untuk latihan mandiri di rumah. Nilai  Symptoms Severity Score (SSS) dianalisis menggunakanuji McNemar dan nilai posturografi dianalisis dengan uji t berpasangan atau uji Wilcoxon Signed Rank bila sebaran data tidak normal. Hasil: Terdapat perbedaan bermakna pada nilai SSS pada latihan BD danlatihan MME (p<0,05). Tidak ditemukan perbedaan bermakna pada nilai posturografi dengan latihan MME.Ditemukan perbedaan bermakna (p<0,05) pada sepuluh variabel posturografi dengan latihan BD. Tidakditemukan perbedaan bermakna (p>0,05) dari nilai SSS dan posturografi antara latihan Brandt Daroff dan MME. Kesimpulan: Terdapat perbaikan bermakna nilai SSS yang lebih cepat  pada kelompok yang diberi latihan Brandt Daroff dibandingkan dengan kelompok MME. Kata kunci: VPPJ, BD, MME , SSS, PosturografiABSTRACT Background: Brandt Daroff (BD) and modified Epley maneuver (MEM) are independent vestibular rehabilitation therapeutic home program exercises for Benign Poxysmal Positional Vertigo (BPPV)patients using sensory integration. BD is an adaption process in vestibular system and MEM is based oncanalith reposition. Purpose: To find out and compare the effects of BD and MEM on improving symptomsof balance disorder in BPPV patients. Methods: A pilot study with quasi experimental design for 23BPPV subjects,  taken by consecutive sampling. Subjects are male and female, aged 20-60 years old. Byrandomization, subjects were allocated into two groups, group BD (n=12) and group MEM (n=11). Thevalue of symptoms severity was scored using McNemar test. The posturography result was evaluated byPair t test or Wilcoxon Signed Rank test. Result: There was a significant difference on SSS value (p<0,05)of BD exercise and MEM exercise. No significant difference was found on posturography scores withMEM exercise. There was a significant difference (p<0,05) on ten posturography variables using BDexercise. No significant difference was found between BD and MME from SSS and posturography value(p>0,05). Conclusion: This study found out that there was a significantly faster improvement of SSS inthe BD group compared with the MME group. Keywords: BPPV, BrandtDaroff, MEP, SSS, posturography
Evaluation of Swallowing Disorder in Ischemic Stroke Patients By Flexible Endoscopic Nur Indah Lestari Lestari; Widjajalaksmi Kusumaningsih; Salim Harris; Susyana Tamin; Retno Asti Werdhani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.104 KB) | DOI: 10.36803/ijpmr.v7i01.130

Abstract

Introduction: Dysphagia is one of the complications of stroke and closely associated with increasing of aspiration pneumonia. Evaluation of dysphagia was necessary to prevent pneumonia due to aspiration has effectively done by fiberoptic endoscopic evaluation of swallowing (FEES).Methods: The study was a cross sectional study with convenience sampling. The subjects were stroke outpatients from July to December 2018. The FEES was conducted to assess the swallowing dysfunction and the data were collected.Results: There was six post ischemic stroke subjects, mean age (SD) was 55.17 (9.13) years and 4 subjects were male. All subjects had standing secretion in pre-swallowing assessment. 3 subjects used nasogastric tube (NGT) to fulfill the intake safely. In swallowing assessment, all subjects had residue at vallecula and/or pyriformis sinus. 2 subjects had penetration only and 4 subjects had penetration with aspiration. There was inadequate cough reflex in 2 subjects.Conclusion: Standing secretion and residue became the most dominant findings in post ischemic stroke patients, which a risk to have Aspiration.Keywords: Swallowing Disorder, Stroke, Flexible Endoscopic Evaluation of Swallowing (FEES)
Co-Authors Adriani, Ance Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Agus Sugiharto Agustina, Amilya Akbar, Resti Rahmadika Akmal Taher Amilya Agustina Anandita, Faizal Ablansah Anang Endaryanto Ance Adriani Andy Ardhana Mamahit Ardi Findyartini, Ardi Ari Prayitno, Ari Aria Kekalih Asmarinah Badriul Hegar Cantika, Wastucitra Dewanto, Naomi Esthernita Fauzia Dian Kusumadewi Elsa P. Setiawati Fajriani, Rosalina Fatima Safira Alatas, Fatima Safira Fedri R. Rinawan Ferry Safriadi Fiastuti Witjaksono Harahap, Alida Roswita Hartono Gunadi Isman Firdaus Ivo Novita Sah Bandar Jenny Bashiruddin Jeo, Wifanto Saditya Juandy Jo Khoe, Levina Chandra Koloi, Vican Sefiany Kusuma Dewi, Dian Mahardika, Abiyyu Ghiyats Malau, Bintang Leonard Mardiastuti H Wahid Maria Melania Muda Maria, Nove Michelle, Michelle Muchtaruddin Mansyur Muda, Maria Melania Muhammad Arvianda Kevin Kurnia Nove Maria Nur Indah Lestari Lestari Nur Rasyid Pambudi, Wiyarni Ponco Birowo Pukovisa Prawiroharjo Ramdhani, Aris Ramlan, Andi Ade Retno Wibawanti Retno Wibawanti Rini Sekartini Rino Alvani Gani Rusli, Noer Triyanto Salim Harris Savira, Missy Setyawati Budiningsih Setyawati Budiningsih Sri Rezeki S. Hadinegoro, Sri Rezeki S. Suharto, Wuryantoro Sulistomo, Astrid Susyana Tamin Tanoto, Rodri Tantri, Julietta Theresia Santi, Theresia Tiffany, Tiffany Umi Fahmida Widayat Alviandi Widi Atmoko Widjaja, Lydia Rosalina Widjajalaksmi Kusumaningsih Widjajalaksmi Kusumaningsih Winnugroho Wiratman Wistara, Sevita Sathya Yefta Moenadjat Yusra, Yusra Zakiudin Munasir