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Analisis Faktor Risiko Kejadian Mask-Induced Acne (Maskne) Berdasarkan Karakteristik Tenaga Kesehatan RSUD Sumedang di Masa Pandemi Covid-19 Safana Edisa; Herry Garna; Rika Nilapsari
Bandung Conference Series: Medical Science Vol. 3 No. 1 (2023): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v3i1.6594

Abstract

Abstract. Until now, people's behavior around the world has changed due to the emergence of the COVID-19 pandemic, one of which is the obligation to wear masks. However, various side effects occur, especially on the skin when using a mask for a certain period of time, one of which is mask-induced acne (maskne). This study aims to analyze the risk factors for masks based on the characteristics of the subjects. This type of research is quantitative using observational analytic methods with a cross-sectional design. Subjects were selected using purposive sampling with a total of 110 people at Sumedang Regional General Hospital in March–September 2022. Data analysis used univariate and chi-square test for bivariate analysis. The results of the study found that most of the Sumedang Hospital health workers were women (34.5%) and had a history of suffering from acne (56%). Based on bivariate analysis, it was found that the value of p <0.05 for gender and history of suffering from acne, which means there is a relationship with the incidence of mask-induced acne (maskne). The use of masks is not the only cause of maskne, there are other factors such as heredity, hormones, and so on. In conclusion, there is a relationship between gender and a history of suffering from acne with the incidence of mask-induced acne (maskne). Abstrak. Sampai saat ini, perilaku hidup masyarakat di seluruh dunia berubah akibat munculnya pandemi COVID-19, diantaranya adalah kewajiban dalam penggunaan masker. Namun demikian, berbagai efek samping timbul terutama pada kulit apabila menggunakan masker dalam jangka waktu tertentu, salah satunya adalah mask-induced acne (maskne). Penelitian ini bertujuan menganalisis faktor risiko kejadian maskne berdasarkan karakteristik subjek. Jenis penelitian adalah kuantitatif menggunakan metode analitik observasional dengan desain cross-sectional. Subjek dipilih menggunakan purposive sampling dengan jumlah 110 orang di RSUD Sumedang pada bulan Maret–September 2022. Analisis data menggunakan univariat dan uji chi-square untuk analisis bivariat. Hasil penelitian didapatkan bahwa sebagian besar tenaga kesehatan RSUD Sumedang adalah wanita (34,5%) dan memiliki riwayat menderita akne (56%). Berdasarkan analisis bivariat didapatkan nilai p<0,05 untuk jenis kelamin dan riwayat menderita akne, yang artinya terdapat hubungan dengan kejadian mask-induced acne (maskne). Penggunaan masker bukan satu-satunya penyebab maskne, terdapat faktor lain seperti herediter, hormon, dan lain sebagainnya. Simpulan, terdapat hubungan antara jenis kelamin dan riwayat menderita akne dengan kejadian mask-induced acne (maskne).
Pengetahuan dengan Perilaku Pencegahan Kejadian Anemia Defisiensi Besi pada Mahasiswi Fakultas Kedokteran Universitas Islam Bandung Amelia Nurshafa; Nuzirwan Acang; Rika Nilapsari
Bandung Conference Series: Medical Science Vol. 3 No. 1 (2023): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v3i1.6847

Abstract

Abstract. There was an increase in the prevalence of anemia in Indonesian young women from 37.1% (2013) to 48.9% (2018), this is based on the 2018 Riskesdas statistics, with the highest rates seen for the age range 15-24 and 25-34 years. There are several factors that cause ADB including age, diet, socio-economic, and lack of knowledge and poor preventive behavior about Iron Deficiency Anemia. The purpose of this study was to determine the relationship between the level of knowledge and the behavior of preventing the incidence of Iron Deficiency Anemia in female students of the Faculty of Medicine, Islamic University of Bandung. This study used an analytic observational method with a cross sectional design. The sample in the study was selected by purposive sampling method. The data obtained will then be processed and analyzed using the chi-square test and Fisher's Exatc correlation. The results of the study from 131 samples who had a high level of knowledge had also a high prevention behavior with a proportion of 35.1%. However, the highest percentage was in respondents with a moderate level of knowledge and had a prevention level of 49.6%. The results of statistical analysis using the Fisher's Exatc correlation test were obtained (p = 0.000) that obtained a relationship between the level of knowledge and the level of prevention behavior of Iron Deficiency Anemia (p <0.05). The conclusion drawn from this study is that there is a relationship between the level of knowledge and the behavior of preventing the incidence of Iron Deficiency Anemia in FK UNISBA female students. Keywords: Iron Deficiency Anemia, Knowledge, Prevention. Abstrak. Terjadi peningkatan prevalensi anemia pada remaja putri Indonesia dari 37,1 % (2013) menjadi 48,9 % (2018), hal ini berdasarkan statistik Riskesdas 2018, dengan angka tertinggi terlihat untuk rentang umur 15-24 dan 25-34 tahun. Terdapat beberapa faktor penyebab ADB diantaranya adalah usia, diet, sosial ekonomi, dan kurangnya pengetahuan dan perilaku pencegahan yang buruk tentang Anemia Defisiensi Besi. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan dengan perilaku pencegahan kejadian Anemia Defisiensi Besi pada mahasiswi Fakultas Kedokteran Universitas Islam Bandung. Penelitiaan ini menggunakan metode analitik observasional dengan desain cross sectional. Sampel pada penelitian dipilih dengan metode purposive sampling. Data yang diperoleh selanjutnya akan diolah dan dianalisis dengan uji chi-square dan korelasi Fisher’s Exatc.Hasil penelitian dari 129 sampel yang memiliki tingkat pengetahuan tinggi memiliki perilaku pencegahan yang juga tinggi dengan persentase 42,2%. Namun, persentase terbanyak berada pada responden dengan tingkat pengetahuan sedang dan memiliki tingkat pencegahan sedang yaitu sebanyak 75,9%. Hasil analisis statistika menggunakan uji korelasi Fisher’s Exatc didapatkan (p=0.000) bahwa diperoleh hubungan antara tingkat pengetahuan dengan tingkat perilaku pencegahan Anemia Defisiensi Besi (p<0.05). Kesimpulan yang didapat dari penelitian ini adalah terdapat hubungan antara tingkat pengetahuan dengan perilaku pencegahan kejadian Anemia Defisiensi Besi pada mahasiswi FK UNISBA. Kata Kunci: Anemia Defisiensi Besi, Pengetahuan, Pencegahan.
Peran Rasio Trombosit Limfosit dalam Memprediksi Tingkat Keparahan Pasien Covid-19 Tania; Yani Triyani; Rika Nilapsari
Bandung Conference Series: Medical Science Vol. 3 No. 1 (2023): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v3i1.5963

Abstract

Abstract. COVID-19 is an infectious disease caused by the SARS-CoV-2 group. This disease has been declared by the WHO as a global pandemic. The first case of COVID-19 in Indonesia was reported on March 2, 2020, and the number has continued to increase until now. COVID-19 in Indonesia has spread to various regions, accompanied by increased cases and deaths. The severity of COVID-19 patients is classified into four, namely mild, moderate, severe, and critical, which can be determined by measuring the platelet-lymphocyte ratio value at routine hematological examinations. This RTL has become a new indicator of inflammation to determine the severity of COVID-19. Based on this phenomenon, the problem in this research is formulated as follows: (1) Is there a relationship between the platelet-lymphocyte ratio in moderate cases of COVID-19 at Al-Islam Hospital in Bandung? (2) Is there a relationship between the platelet-lymphocyte ratio in severe cases of COVID-19 at Al-Islam Hospital in Bandung? (3) Does the platelet-lymphocyte ratio act as an indicator of the severity of COVID-19 patients at Al-Islam Hospital Bandung? (4) What is the cut-off value of the platelet-lymphocyte ratio as an indicator of severity in COVID-19 patients at Al-Islam Hospital in Bandung?. The research design uses a diagnostic test method with a cross-sectional approach with data analysis techniques using Chi-square. The population selected in this study were confirmed COVID-19 patients based on RT-PCR results, which were treated at Bandung Al-Islam Hospital. Using the sampling technique, Total Sampling, the number of research samples was 350 patients. The data collection technique used in this study was from medical records. The data analysis technique used in this research is the descriptive analysis technique. The results of this study are: There is a relationship between the platelet-lymphocyte ratio (p-value=0.009) and the severity of COVID-19 patients at Al-Islam Hospital Bandung. Abstrak. COVID-19 merupakan penyakit menular yang disebabkan oleh kelompok SARS-CoV-2. Penyakit ini telah ditetapkan oleh WHO sebagai pandemi global. Kasus pertama COVID-19 di Indonesia dilaporkan pada tanggal 2 Maret 2020, dan jumlahnya terus meningkat hingga sekarang. Penyebaran COVID-19 di Indonesia menyebar ke berbagai wilayah dengan diiringi peningkatan jumlah kasus dan kematian. Derajat keparahan pasien COVID-19 diklasifikasikan menjadi empat yaitu derajat ringan, sedang, berat dan kritis yang dapat ditentukan dengan mengukur nilai rasio trombosit limfosit pada pemeriksaan hematologi rutin. RTL ini ini telah menjadi salah satu indikator peradangan yang baru untuk menentukan derajat keparahan COVID-19. Berdasarkan hal tersebut, maka permasalahan dalam penelitian ini dirumuskan sebagai berikut: (1) Apakah terdapat hubungan antara rasio trombosit limfosit pada kasus COVID-19 derajat sedang di RS Al-Islam Bandung? (2) Apakah terdapat hubungan antara rasio trombosit limfosit pada kasus COVID-19 derajat berat di RS Al-Islam Bandung? (3) Apakah rasio trombosit limfosit berperan sebagai indikator derajat keparahan pasien COVID-19 di RS Al-Islam Bandung? (4) Berapakah nilai cut off rasio trombosit limfosit sebagai indikator derajat keparahan pada pasien COVID-19 di RS Al-Islam Bandung?. Desain penelitian ini menggunakan metode uji diagnostik dengan pendekatan cross sectional dengan teknik analisis data menggunakan Chi-square. Populasi yang dipilih dalam penelitian ini adalah pasien terkonfirmasi COVID-19 berdasarkan hasil RT-PCR yang di rawat di Rumah Sakit Al-Islam Bandung. Dengan teknik pengambilan sampel yaitu Total Sampling diperoleh jumlah sampel penelitian sebanyak 350 pasien. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah dari rekam medik. Adapun teknik analisis data yang digunakan dalam penelitian ini adalah teknik analisis deskriptif. Hasil penelitian ini adalah: Terdapat hubungan antara rasio trombosit limfosit (p-value=0,009) dengan derajat keparahan pasien COVID-19 di Rumah Sakit Al-Islam Bandung.
Hubungan Antara Tingkat Kecemasan Dengan Kejadian Insomnia Menjelang Ujian Sooca Pada Mahasiswa Tingkat I Fk Unisba Tahun 2022 Audia Rizky Pratama; Siska Nia Irasanti; Rika Nilapsari
Jurnal Riset Kedokteran Volume 4, No.1, Juli 2024, Jurnal Riset Kedokteran (JRK)
Publisher : UPT Publikasi Ilmiah Unisba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jrk.v4i1.3769

Abstract

Abstract. Anxiety, an emotional response to uncertainty, often involves feelings of fear and physical symptoms. Insomnia, difficulty sleeping linked to mental health issues. SOOCA exam, an oral case analysis for medical students, tends to increase anxiety and sleep problems. This research aims to determine the anxiety levels and incidence of insomnia among FK UNISBA 2022 students and analyze the relationship between them. The study used an analytical observational method with a cross-sectional design. The research subjects were students of the Medical Education study program at FK UNISBA, class of 2022, selected through simple random sampling. Data were collected using the Hamilton Anxiety Rating Scale (HARS) questionnaire for anxiety levels and the Insomnia Severity Index (ISI) for measuring insomnia incidence. Data analysis involved univariate and bivariate tests. Out of 35 respondents, 28.7% of students experienced anxiety before the SOOCA exam. Out of 95 respondents, 77.9% experienced insomnia. Statistical analysis showed a significant relationship between anxiety levels and insomnia incidence in FK UNISBA students in the first year of 2022 (p = 0.044 <0.05). This finding illustrates that the SOOCA exam can cause anxiety and insomnia among medical students. The SOOCA exam at FK Unisba triggers anxiety among medical students. This oral exam situation increases anxiety and sleep problems. The experience of a new role and the Problem-Based Learning (PBL) system also contribute to the anxiety of first-year students. Recommendations for future research include expanding the sample, a longitudinal research approach, and exploring additional factors influencing the relationship between anxiety and insomnia in students. It is also suggested to consider implementing student welfare programs focusing on stress management, counseling, and holistic support in the academic environment. Abstrak. Kecemasan, respons emosional terhadap ketidakpastian, seringkali melibatkan perasaan ketakutan dan gejala fisik. Insomnia, kesulitan tidur yang terkait dengan masalah kejiwaan. Ujian SOOCA, ujian lisan menganalisis kasus pada mahasiswa kedokteran, cenderung meningkatkan kecemasan dan masalah tidur. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan dan kejadian insomnia Mahasiswa FK UNISBA 2022 serta menganalisis hubungan antara keduanya. Penelitian menggunakan metode observasional analitik dengan desain cross-sectional. Subjek penelitian adalah mahasiswa program studi Pendidikan Kedokteran FK UNISBA angkatan 2022, dipilih melalui simple random sampling. Data dikumpulkan dengan kuesioner Hamilton Anxiety rating Scale (HARS) untuk mengukur tingkat kecemasan dan Insomnia Severity Index (ISI) untuk mengukur kejadian insomnia. Analisis data melibatkan uji univariat dan bivariat. Dari 35 orang responden, didapatkan 28,7% mahasiswa mengalami kecemasan menjelang ujian SOOCA. Dari 95 orang responden, didapatkan 77,9% mengalami insomnia. Analisis statistik menunjukkan adanya hubungan signifikan antara tingkat kecemasan dan kejadian insomnia pada mahasiswa FK UNISBA tingkat I tahun 2022 (p = 0,0440<05). Temuan ini memberikan gambaran bahwa ujian SOOCA dapat menyebabkan kecemasan dan kejadian insomnia pada mahasiswa kedokteran. Ujian SOOCA di FK Unisba, menjadi pemicu kecemasan pada mahasiswa kedokteran. Situasi ujian lisan ini meningkatkan kecemasan dan masalah tidur. Pengalaman peran baru dan sistem PBL juga berkontribusi pada kecemasan mahasiswa tingkat satu. Saran untuk penelitian berikutnya melibatkan perluasan sampel, pendekatan penelitian longitudinal, dan eksplorasi faktor tambahan yang memengaruhi hubungan antara kecemasan dan insomnia pada mahasiswa. Disarankan juga mempertimbangkan implementasi program kesejahteraan mahasiswa dengan fokus pada manajemen stres, konseling, dan dukungan holistik di lingkungan akademik.
Correlation of NLR and D-dimer Levels with Clinical Severity of COVID-19 and Determination of Cut-off Values at a Hospital in Cirebon Sari, Fitria Ratna; Nilapsari, Rika
Global Medical & Health Communication (GMHC) Vol 12, No 1 (2024)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v12i1.12279

Abstract

Inflammation and coagulation markers play a crucial role in assessing the systemic involvement of COVID-19. Early identification of disease severity through neutrophil-lymphocyte ratio (NLR) and D-dimer levels can aid physicians in promptly identifying potentially severe cases and determining appropriate treatment strategies. This study explored the relationship between NLR, D-dimer levels, and clinical severity in COVID-19 patients. This retrospective cross-sectional study reviewed 237 medical records of adult COVID-19 patients treated at Permata Cirebon Hospital from July to October 2021. The seriousness of COVID-19 served as the outcome variable, while NLR and D-dimer values were considered independent variables. Correlation analysis examined the relationship between NLR, D-dimer, and COVID-19 severity. Receiver operating characteristic (ROC) curve analysis was employed to establish the cut-off values. The majority of COVID-19 patients exhibited moderate disease severity. Male gender, advanced age, and comorbidities such as diabetes, hypertension, CVD, and stroke were associated with a higher likelihood of severe disease. A significant positive correlation was found between NLR and disease severity, as well as between D-dimer and disease severity. Notably, the correlation between D-dimer and disease severity was more substantial than that of NLR. Furthermore, the cut-off values obtained from the ROC analysis were 3.79 for NLR (sensitivity=68.8%, specificity=68.1%) and 1,110 for D-dimer (sensitivity=79.2%, specificity=87.5%). The study revealed a significant positive correlation between the severity of NLR, D-dimer levels, and COVID-19. Therefore, NLR and D-dimer can serve as prognostic markers for COVID-19 patients.
Hubungan Penyakit Komorbid dengan Status Mortalitas Pasien COVID-19 Delvira Azzahra; Suganda Tanuwidjaja; Rika Nilapsari
Bandung Conference Series: Medical Science Vol. 4 No. 1 (2024): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v4i1.11307

Abstract

Abstract. Coronavirus disease-19 (COVID-19) is a disease caused by infection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). From January to May 20, 2020, a total of 4,806,299 people have been infected and caused 318,599 deaths worldwide. One of the risk factors for COVID-19 is comorbid diseases. Individuals who have comorbidities can make COVID-19 more severe and can increase mortality. The purpose of this study was to determine the relationship between comorbid diseases and mortality status of COVID-19 patients. This study was observational analytic using a cross-sectional study. The study was conducted from February – August 2023. Research materials were taken from medical records, obtained 184 secondary data that met the inclusion criteria. Data were collected using total sampling and analyzed using the Fisher method. The results showed that the number of patients who had comorbidities was 77.7% dominated by lung disease (48.4%). There is a relationship between comorbid diseases and mortality status with a p value of 0.000. This result can occur because it is influenced by various worsening mechanisms that occur in individuals with comorbid diseases. Abstrak. Coronavirus disease-19 (COVID-19) adalah suatu penyakit yang disebabkan oleh infeksi severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Terhitung sejak Januari sampai 20 Mei 2020, sejumlah 4.806.299 orang telah terinfeksi dan menyebabkan 318.599 kematian di seluruh dunia. Salah satu faktor risiko COVID-19 penyakit komorbid. Individu yang mempunyai penyakit penyerta dapat menyebabkan COVID-19 yang dideritanya menjadi lebih berat dan dapat meningkatkan angka mortalitas. Tujuan penelitian ini adalah untuk mengetahui hubungan penyakit komorbid dengan status mortalitas pasien COVID-19. Penelitian ini adalah observasional analitik menggunakan cross-sectional study. Penelitian dilakukan dari Februari – Agustus 2023. Bahan penelitian diambil dari rekam medis, didapatkan 184 data sekunder yang memenuhi kriteria inklusi. Pengambilan data menggunakan total sampling dan dianalisis menggunakan metode Fisher. Hasil penelitian menunjukkan jumlah pasien yang memiliki komorbid adalah 77.7% yang didominasi oleh penyakit paru (48,4%). Terdapat hubungan antara penyakit komorbid dengan status mortalitas dengan p value 0,000. Hasil ini bisa terjadi karena dipengaruhi oleh adanya berbagai mekanisme perburukan yang terjadi pada individu dengan penyakit komorbid.
Pemberdayaan Guru dan Staff Day Care dalam Pencegahan Penyakit Infeksi Saluran Pernafasan di TPA Shaffana Kecamatan Buah Batu Kota Bandung Nilapsari, Rika; Purbaningsih, Wida; Suryani, Yani Dewi; Triyani, Yani
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 8 No 2 (2024): Volume 8 Nomor 2 Tahun 2024
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v8i2.19444

Abstract

Daycare (TPA) provides an alternative for baby and toddler care while parents work by providing standardized educational guidance according to the child's age development with an Islamic approach. However, the positive potential of TPA must be supported by creating a good health environment because toddlers are vulnerable to disease transmission. Based on interviews with school principals and teacher representatives, problems with the transmission of respiratory infection and diarrhea occur quickly in children, especially during the transition period. The purpose of this community service program is to increase the knowledge of teachers and teaching staff about respiratory tract infections which can be highly contagious, as well as how to minimize the occurrence of diseases from outside and increase parenting knowledge in sick children. The implementation method used is counseling, modeling the flow of infection prevention and playing isolation facilities, mentoring teachers and staff regarding implementing infection prevention procedures, and preparing an infection prevention game model. The result of PKM is the dissemination of knowledge to teachers and teaching staff about respiratory tract infections which can be highly contagious, as well as how to minimize the occurrence of diseases from outside, as measured by pre and post-test assessments for each activity.
Pelatihan Specimen Collection dan Pra-Analitik Covid-19 di Sekitar RSIA Al-Islam Bandung Triyani, Yani; Puspita, Sara; Nilapsari, Rika; Noormartany, Noormartany
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 8 No 2 (2024): Volume 8 Nomor 2 Tahun 2024
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v8i2.19480

Abstract

The gold standard examination to make a diagnosis COVID-19 is an examination using the Nucleic Acid Amplification Test (NAAT) method, for example, Reverse Transcriptase Polymerase Chain Reaction (RT-PCR). Current data shows that more than 60 percent of errors occur in the pre-analytic process. The purpose of this community service is to help improve the knowledge and abilities of health workers in the implementation of specimen collection, stages and impacts of pre-analytical errors, types of examinations for laboratory examinations enforcement of the Covid-19 diagnosis. The method of the service was online, in the form of lectures, video screenings and discussions, for the evaluation using pretest and posttest activities. The result of this service is that there is an increase in understanding and knowledge as well as insight into laboratory examination specimen collection pre-analytic activities. COVID-19.