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All Journal Universa Medicina Cermin Dunia Kedokteran Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Aprildah Nur Sapardin
Pusat Teknologi Terapan Kesehatan dan Epidemiologi Klinik Jl. Dr. Sumeru 63 Bogor, Indonesia
Decision Sciences, Operations Research & Management Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Social Sciences

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Women and stroke patients are more at risk for fall- related injury among older persons Darjoko, Sulistyowati Tuminah; Djoeworo, Woro Riyadina; Sapardin, Aprildah Nur
Universa Medicina Vol 35, No 1 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.10-18

Abstract

BackgroundIn Indonesia, the prevalence of injury has increased from 7.9% in 2007 to 8.2% in 2013. Among older persons, falls were the main cause of injury. The objective of this study was to determine the major risk factors and the magnitude of the risk for fall-related injury in older persons.MethodsA study of cross-sectional design was conducted on 4,222 respondents aged 60 years and over. Injury was defined as fall-related injury occurring in the previous 12 months that disturbed activity dailyu living (ADL). Data collection was done by: 1) interview about sociodemographics and health (including hearing impairment, non-communicable diseases and injury) using a questionnaire, 2) measurement of blood pressure and anthropometry (body mass index), 3) examination of vision in the right nd left eyes using tumbling E cards and pinhole eye covers. Data were analyzed using the chi square test and multiple logistic regression with 0.05 significance level.Results After controlling for age, occupation, vision disorder, educational level and economic status, older women had a 2.0-fold increased risk for fall-related injury compared to men (aOR=2.30; 95% CI: 1.93-2.73; p=0.000); subjects with a history of stroke had a 2.0-fold increased risk for fall-related injury compared to those without a history of stroke (aOR=2.07; 95% CI: 1.38-3.09; p=0.000). Educational level was a confounding factor.ConclusionWomen and stroke sufferers were at higher risk of fall-related injury among older persons. Prevention of fall-related injury should be done by older persons through periodic control of their health condition.
Hormonal contraception increases risk of breast tumor based on clinical breast examination among adult women Darjoko, Sulistyowati Tuminah; Sapardin, Aprildah Nur
Universa Medicina Vol 36, No 2 (2017)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2017.v36.138-149

Abstract

BackgroundIn Indonesia, cancer prevalence according to the Basic Health Research 2013 was 1.4 per 1000 inhabitants and the most common cancer in hospitalized patients in 2010 was breast cancer (28.7%). Hormonal contraception (HC) use increases the breast cancer risk, even though HC has been used by 210 million women in the world. We aimed to define the association of HC with breast tumors based on clinical breast examination (CBE).MethodsA case-control design using secondary data from the baseline of the Cohort Study on the Risk Factors of Non-Communicable Disease (RFNCD) in 2011-2012 in 5 villages in Central Bogor District, Bogor City. Samples consisted of 152 cases and 152 controls. Cases comprised palpable tumors in one or both breasts CBE (+). Controls had no tumors in both breasts /CBE(-). Data were analyzed by logistic regression.ResultsOdds Ratio (OR) of CBE + was 1.83 (95% CI: 1.11-3.04; p=0.019) for HC user and 1.62 (95% CI: 1.01-2.60; p=0.044) for blood total cholesterol level <200 mg/dL. OR of group CBE(+) was 1.01 (current smoking) and 0.49 (former smoking) compared with nonsmoking (p=0.082); OR was also 1.21 for subjects with one child and 1.77 for those without children, compared with those who had ³2 children (p=0.454).Conclusion Hormonal contraception use increases breast tumor risk 1.8-fold after controlling for total cholesterol, smoking status and parity. With the several limitations of this advanced analysis, investigations focused on types and duration of HC use are still necessary.
Faktor Risiko Penyakit Tidak Menular pada Responden Terindikasi Strok Berdasarkan Penelitian Kohor Penyakit Tidak Menular Bogor 2011-2013 Idaiani, Sri; Sulistiowati, Eva; Sapardin, Aprildah Nur
Cermin Dunia Kedokteran Vol 44, No 2 (2017): Neurologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (202.648 KB) | DOI: 10.55175/cdk.v44i2.815

Abstract

Pendahuluan: Strok memiliki beban penyakit yang tinggi. Insiden, prevalensi serta angka kematian strok terus meningkat. Tujuan analisis ini adalah untuk memperlihatkan gambaran responden penelitian kohor penyakit tidak menular (PTM) di Kota Bogor yang terindikasi menderita strok. Metode: Analisis data penelitian kohor PTM. Data diperoleh melalui wawancara, pemeriksaan klinis dan pemeriksaan laboratorium kimia darah. Jumlah responden yang mengikuti penelitian awal di tahun 2011 sebanyak 2351 orang, pada tahun 2013 sebanyak 1633 orang. Responden yang mengikuti pemeriksaan neurologi secara konsisten sebanyak 25 orang, umur 25-64 tahun, tinggal di Kelurahan Kebon Kalapa Kota Bogor. Hasil: Lebih dari 50% responden mempunyai tekanan darah tinggi, berat badan tidak normal dan hiperkolesterolemia, diabetes melitus dan stres. Pemeriksaan neurologi menunjukkan sekitar 70% responden terdapat gejala strok pada tahun 2011 dan sekitar 45% pada tahun 2013. Fungsi kognitif buruk ditemui pada 20-30% responden. Simpulan: Sebagian besar responden sudah memiliki faktor risiko PTM, tidak semuanya mengalami strok. Mereka disarankan agar dipantau berkala oleh tim kohor PTM, kader Posbindu dan juga oleh Puskesmas terdekat.Introduction: Stroke is a disease that contributes to burden of disease. The incidence, prevalence and mortality rate are increasing. The aim of this study is to obtain the characteristics of non-communicable disease (NCD) cohort study respondents in Bogor indicated to have stroke. Methods: Analysis of NCD cohort study. Data were collected by interview, clinical and laboratory examinations. The respondents in 2011 were 2351 people, and 1633 people in 2013. Respondents with consistent neurological examination were 25 people, 25-64 years old, living in Kebon Kalapa Bogor. Result: More than 50% respondents have high blood pressure, abnormal body weight, hypercholesterolemia, diabetes mellitus and stress. Approximately 70% respondents have stroke symptoms in 2011 and 45% in 2013. Cognitive impairment was found in 20%-30% respondents. Conclusion: Majority of respondents have NCD risk factors, not all of them suffered from stroke. It was suggested to monitor them by cohort study team, Posbindu cadre or health worker from Primary Health Center.
ANALISIS PEMASARAN RUMAH SAKIT BERBASIS BUKTI Sapardin, Aprildah Nur
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 7, No. 2
Publisher : UI Scholars Hub

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Abstract

The annual growth rate of the private hospital sector increased rapidly by an average of 17.3%. The hospital management must make an effective marketing strategy to remain competitive, while still prioritizing quality health services and affordable to the community. The marketing mix is an example of an effective marketing strategy. One of the important elements of the marketing mix is physical evidence. The method used in writing this article is the Systematic Literature Review method by doing free searching on the Google Scholar website and the PubMed database using the keywords physical evidence, hospital physical evidence, mix marketing in hospital, and 7P mix marketing. Physical evidence is all about what customers see and experience when using a service and how they view the business. Physical evidence consists of three components, namely exterior facilities, interior facilities, and other tangible factors. The role of physical evidence is the packaging of services by conveying expectations and influencing perceptions, facilitating the flow of service delivery processes, providing information, facilitating the ordering process, managing consumers, socializing with employees and customers about the value they have, and providing a means for differentiation (differentiation). Some important aspects of physical evidence are the physical design of the hospital; amenities, signs, symbols, and artifacts; medical conditions; general condition of equipment and neat appearance of staff members; energy efficiency, and indoor air quality. Several studies have shown that the physical evidence component is the dominant factor in influencing patient satisfaction.
Co-Authors Eva Sulistiowati Sri Idaiani Sulistyowati Tuminah Darjoko, Sulistyowati Tuminah Woro Riyadina Djoeworo, Woro Riyadina