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THE ASSOCIATION OF URINARY SPECIFIC GRAVITY AND ACIDITY WITH UROLITHIASIS Agung Nugroho, Raden Fenditya; Hendri, Ahmad Zulfan; Ali, Zulfikar
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.547

Abstract

Objective: This study aimed to know the association between urinary specific gravity and acidity with the formation of urolithiasis. Material & Methods: This retrospective descriptive study was conducted among proven urolithiasis patients reporting to the Kardinah Hospital, Tegal. The patient’s age, gender, anatomical sites of the stone, and biochemical parameters were obtained from the case records. The correlation of kidneys stone with specific gravity and pH changed according to anatomical sites of stone was analyzed by One way Anova. Results: The resulted show urinary stones patients with lower pH tend to have a higher probability of stone formation but not specific to its location. Higher pH values were found in the patient with urinary stones at the kidney, ureter, and also bladder. The average of specific gravity in ureter stone patients was lower than stones on other sites. One-way ANOVA shows no statistically significant difference in patient's urinary pH with stones on different sites, but there is a statistically significant difference in specific gravity examination (p<0.05) on ureter stone patients compared to other locations. There is a statistically significant difference (p=0.000) of urine specific gravity of ureter stone compared to other anatomical sites with the lower mean value. Conclusion: A decrease in urinary pH is associated with the risk of urinary stone formation. The specific gravity value of the patient’s urine with kidney and bladder stones is higher than the patient with ureter stones but there is no association of urine specific gravity toward the risk of urinary stone formation.
THE ASSOCIATION OF URINARY SPECIFIC GRAVITY AND ACIDITY WITH UROLITHIASIS Agung Nugroho, Raden Fenditya; Hendri, Ahmad Zulfan; Ali, Zulfikar
Indonesian Journal of Urology Vol 27 No 2 (2020)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v27i2.547

Abstract

Objective: This study aimed to know the association between urinary specific gravity and acidity with the formation of urolithiasis. Material & Methods: This retrospective descriptive study was conducted among proven urolithiasis patients reporting to the Kardinah Hospital, Tegal. The patient’s age, gender, anatomical sites of the stone, and biochemical parameters were obtained from the case records. The correlation of kidneys stone with specific gravity and pH changed according to anatomical sites of stone was analyzed by One way Anova. Results: The resulted show urinary stones patients with lower pH tend to have a higher probability of stone formation but not specific to its location. Higher pH values were found in the patient with urinary stones at the kidney, ureter, and also bladder. The average of specific gravity in ureter stone patients was lower than stones on other sites. One-way ANOVA shows no statistically significant difference in patient's urinary pH with stones on different sites, but there is a statistically significant difference in specific gravity examination (p<0.05) on ureter stone patients compared to other locations. There is a statistically significant difference (p=0.000) of urine specific gravity of ureter stone compared to other anatomical sites with the lower mean value. Conclusion: A decrease in urinary pH is associated with the risk of urinary stone formation. The specific gravity value of the patient’s urine with kidney and bladder stones is higher than the patient with ureter stones but there is no association of urine specific gravity toward the risk of urinary stone formation.
TRANSITION FROM PRONE TO SUPINE PERCUTANEOUS NEPHROLITOTOMY: EVALUATING THE LEARNING CURVE FROM THE SINGLE SURGEON EXPERIENCE Ali, Zulfikar; Afriansyah, Andika
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.680

Abstract

Objective: This study aims to evaluate the learning curve of the urologist to perform supine PCNL and the perioperative outcome of patients based on a single surgeon’s experience. Material & Methods: 60 consecutive patients who underwent modified supine PCNL for renal stone were analyzed. A single experienced urological surgeon performed the supine PCNL. Mean operative time, drop in hemoglobin level, stone-free rate, complications, and length of hospital stay were analyzed to evaluate the learning curve of the surgeon. All parameters were compared among all six groups obtained from the 60 cases in chronological order. Besides, the outcomes of supine PCNL were also compared to prone PCNL. Results: Mean operative time from 60 cases of supine PCNL was 100 ± 27 minutes. The mean operative time was decreased over time, particularly after 20 cases. Significantly different mean operative times (89 ± 14 minutes vs. 126 ± 21 minutes, p < 0.001) in the groups of cases 21-60 compared to the group of 1–20 cases were observed. The total stone-free rate for supine PCNL from all cases was 68%. There was no difference regarding the reduction of hemoglobin level, stone-free rate, hospital stay, and complication rate. No major complication was found among study subjects. Supine PCNL showed similar outcome parameters compared to prone PCNL. Conclusion: The surgeon acquired the surgical competencies to perform supine PCNL after 20 cases. The supine PCNL could remove the kidney stone as effective and safe as prone PCNL.
Urinary calcium and matrix Gla protein levels in the kidney stones: a case-control study Ali, Zulfikar; Selanno, Fradelino Esau; Gunawan, I Putu Gde Fredy; Sulchan, Mohammad; Birowo, Ponco; Winarni, Tri Indah
Medical Journal of Indonesia Vol. 34 No. 1 (2025): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257748

Abstract

BACKGROUND Kidney stones are a global issue with varying prevalence. The most common metabolic risk factor is hypercalciuria, a condition where excess calcium in the urine promotes stone formation. Matrix Gla protein (MGP) inhibits stone formation by preventing crystal growth. This study aimed to analyze the correlation between urinary calcium and MGP levels in kidney stone formation. METHODS A case-control study at Kardinah Hospital, Indonesia, included 64 patients with kidney stone and 64 healthy controls. Exclusion criteria included renal failure, stroke, kidney tumor, heart failure, and hemodialysis. Urinary calcium and MGP were measured using the 5’-nitro-5’-methyl-BAPTA method and enzyme-linked immunosorbent assay. Cut-off values were determined via receiver operating characteristic analysis. RESULTS Among 128 participants (mean age: 51.6), the optimal cut-off for urinary MGP was 1,405 ng/l (p = 0.00024) with 62.5% sensitivity and 72% specificity. Urinary calcium cut-off was 72.5 mg/24 hours with 81.3% sensitivity and 62.5% specificity. Higher urinary calcium and MGP levels were linked to kidney stones (OR: 7.22; 95% CI: 3.23–16.18 and OR: 4.26; 95% CI: 2.03–8.96, respectively). A significant association was found between urinary calcium and MGP (OR: 5.11; 95% CI: 2.31–11.29, p = 0.00006) that hypercalciuria and increased MGP levels are predictors of kidney stone formation. CONCLUSIONS Urinary calcium and MGP levels are associated with kidney stones. Elevated urinary calcium (>1,405 ng/l) increases MGP levels more than 5-fold. Depending on their levels, urinary calcium and MGP act as both promoters and inhibitors of stone formation.
Overview of Microorganisms Causing Urinary T ract Infections at Cut Meutia General Hospital, North Aceh, Indonesia Santoso, Hidayat; Ali, Zulfikar
Sriwijaya Journal of Internal Medicine Vol. 1 No. 1 (2023): Sriwijaya Journal of Internal Medicine
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjim.v1i1.205

Abstract

Introduction: Urinary tract infection (UTI) is a general term that refers to the presence of microorganisms in the urine. Bacteria and fungi are the causative agents of urinary tract infections, which can be found in the urine of someone who is indicated to be suffering from a urinary tract infection. This study aimed to provide an overvie w of microorganisms that cause urinary tract infections in Cut Meutia General Hospital, North Aceh, Indonesia. Methods: This study is a descriptive observati onal study. A total of 100 research subjects participated in this study. Data analysis on the distribution of microorganisms that cause UTIs was carried out in a univariate. Results: The majority of microorganisms that cause urinary tract infections are Escherichia coli. In addition, other microorganisms as the cause of urinary tract infections are Klebsiella pneumoniae, Acinetobacter baumannii, Proteus mirabilis, Klebsiella oxytoca, and Pseudomonas aeruginosa. Conclusion: Escherichia coli is the most common microorganism that causes urinary tract infections at Cut Meutia General Hospital, North Aceh, Indonesia.
INTERVENSI ASPEK KESEHATAN LINGKUNGAN DALAM MENCEGAH KEJADIAN STUNTING Junaidi; Pratiwi, Niken; Parellangi; Pahruddin, Muhammad; Ali, Zulfikar; Hamzani, Sulaiman; Haris, Abdul; Suroto; Afifah Puteri, Siti Noor Ain; Farhat, Yasir; Ahdiyannor, Muhammad Isra
JURNAL RAKAT SEHAT (JRS) : Pengabdian Kepada Masyarakat Vol 4 No 1 (2025): Jurnal Rakat Sehat
Publisher : UPPM Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jrs.v4i1.99

Abstract

Melayu Tengah Village is one of the villages located in East Martapura District, Banjar Regency, South Kalimantan Province. With strategic village potential, it has a connecting bridge with East Martapura District and other villages, the existence of Pukaha craftsmen, and community support for health. However, health problems still occur frequently, such as diarrhea and stunting. Banjar Regent H. Saidi Mansyur said that based on the results of the 2021 Indonesian toddler nutrition case study, the prevalence of stunting in Banjar Regency was 40.2%. (Banjar Regency Public Info, (20 May 2022). Even though the threshold set by the World Health Organization or WHO for stunting cases is only around 20 percent. Moreover, prevalence rates above around 30 percent are declared as 'red' status areas.   After the previous year the team carried out increased sanitation efforts, one of which was through increasing community knowledge in the target area of ​​ Melayu TengahVillage, East Martapura District, Banjar Regency, community service in 2024 will focus on interventions on environmental health aspects in the form of building faecal disposal facilities and household wastewater management. It is hoped that the stairs will become an example and even become a habit for the community in their daily lives, so that they can prevent the transmission of infectious diseases which have a further impact on the incidence of stunting.
CORRELATION OF FEMALE SEXUAL DYSFUNCTION WITH OCCUPATIONAL BURNOUT IN MARRIED NURSE Ali, Zulfikar; Aulia, Kindy; Rahardjo, Harrina Erlianti
Indonesian Journal of Urology Vol 32 No 3 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i3.956

Abstract

Objective: This study aims to see the correlation between occupational burnout and sexual dysfunction in Indonesian female nurses. Material & Methods: A cross sectional study was conducted in Kardinah General Hospital, Tegal, Central Java, Indonesia between January 2022, and March 2022. An anonymous, self-administered online questionnaire was used. Our study subjects are female nurses from outpatient clinics, inpatient wards, high/intensive care unit, emergency unit, and operating theater. We distributed online questionnaires to female nurses who matched our inclusion and exclusion criteria. Occupational burnouts among nurses were assessed using Copenhagen Burnout Inventory (CBI), while Female sexual dysfunction (FSD) was assessed using Female Sexual Function Index (FSFI). Statistical analysis was conducted using IBM SPSS software ver 25.0. Results: A total of 285 nurses participated as samples of this study, 164 nurses (57.54%) were in the low workload group and 121 nurses (42.46%) in the high workload group. The prevalence of sexual dysfunction in female nurses in this study was as high as 87.7% While occupational burnout in high and low workload nurses in our study was 42.2% and 19.5%, respectively. The analysis shows a significant negative correlation between CBI score, sub scores, and burnout status to FSFI score (p < 0.05) although these correlations were weak. Our data proved that there were no independent variables that can become a predictor variable. Conclusion: Married female nurses have a relatively high occupational burnout and are prone to sexual dysfunction. This study showed statistically significant but weak correlation between occupational burnout with sexual dysfunction in married female nurses from the CBI total score, subscores and burnout status with FSFI total score and subscores in terms of lubrication, orgasm, satisfaction, and pain. Keyword: Female sexual dysfunction, occupational burnout, married, nurse, CBI, FSFI.
HEALTH ANALYSIS OF SUGARCANE PLANTS USING COMPARISON OF LANDSAT-8 SATELLITE IMAGE TIME SERIES (CASE STUDY: PAKIS DISTRICT, MALANG REGENCY) Gusti, Raihan Daffa Gusti Abyanta; Ali, Zulfikar; Ayani, Raudlah Hawin
Journal of Marine-Earth Science and Technology Vol. 3 No. 2 (2022): September
Publisher : Marine & Earth Science and Technology Research Center, DRPM, ITS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j27745449.v3i2.567

Abstract

Sugarcane is one of the most widely cultivated plant commodities in Indonesia. The need for sugar consumption in Indonesia is very high, in 2021 it required 3.2 million tons of sugar consumption. Sugar productivity is strongly influenced by the physical condition of the sugarcane plant which can be influenced by nature, be it weather, temperature, and humidity and the effect of sugarcane plant care in providing plant nutrition and so on. Therefore, an analysis of the health of sugarcane was carried out using the time series comparison method of Landsat-8 satellite imagery with a case study in Pakis District, Malang Regency. In 2017, Pakis Subdistrict contributed 89,793 tons of sugarcane production from a total of 4,001,879 tons of sugarcane production. The productivity level is the age and health of sugarcane. Based on the results obtained using vegetation indices such as the Normalized Different Vegetation Index and Normalized Different Moisture Index and using the Land Surface Temperature parameter, it can be seen that the highest NDVI (Normalized Difference Vegetation Index) and NDMI (Normalized Difference Moisture Index) values occur in February 2022 and the lowest in August 2021 while the highest soil surface temperature occurred in August 2021 and the lowest in February 2022. The sugarcane plants studied had NDVI values ranging from 0.392 to 0.726 and NDMI values ranging from 0 to 0.4. The index value is included in the category of healthy sugar cane. So, if there is a point area outside this value, then there is unhealthy sugar cane. This value is associated with the Pearson correlation so that NDVI and NDMI are very strongly correlated, while the correlation between LST-NDMI and LST-NDVI has a moderate to very strong correlation. However, these parameters need validation in the field to determine the original conditions and the accuracy of the results obtained.
Share Acquisition Perspective of Law Number 5 of 1999 (Study of KPPU Decision in Case Number: 03/KPPU-M/2014) Zatika, Dinda Anna; Lilyana, Besti; Anwar, Mashuril; Yuniwati, Yuniwati; Ali, Zulfikar
Innovative: Journal Of Social Science Research Vol. 4 No. 4 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i4.12714

Abstract

Merujuk pada Putusan KPPU Perkara Nomor 03/KPPU-M/2014, akuisisi saham PT. Sukses Abadi Karya Inti oleh PT. Dunia Pangan mengakibatkan persaingan usaha tidak sehat. Maka tujuan penulisan artikel ini untuk menganalisis pertimbangan Majelis Komisi dalam memutus perkara terhadap pelanggaran akuisisi saham PT. Sukses Abadi Karya Inti oleh PT. Dunia Pangan melalui Putusan Nomor 03/KPPU-M/2014. Penelitian ini menggunakan metode penelitian yuridis normatif dengan data sekunder berupa bahan hukum primer, sekunder, dan tersier. Hasil penelitian menunjukkan bahwa, nilai aset PT. Dunia Pangan selaku terlapor melebihi jumlah tertentu sebagaimana diatur dalam PP 57 Tahun 2010 dan terlapor diwajibkan menyampaikan pemberitahuan secara tertulis kepada KPPU. Setelah Majelis Komisi menilai, menganalisa, menyimpulkan bahwa terlapor terlambat melakukan pemberitahuan ke KPPU selama 13 hari.
RISK FACTORS ASSOCIATED WITH FEMALE SEXUAL DYSFUNCTION IN MARRIED WOMEN WORKING IN HEALTH CARE SYSTEM Ridwan, Fanny Riana; Ali, Zulfikar; Gautami Hidayah, Kemala; Faradila Utari, Nazlah; Innayah, Ulfa
Indonesian Journal of Urology Vol 30 No 3 (2023)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v30i3.839

Abstract

ABSTRACT Objective: In this study, we want to evaluate the risk factors associated with sexual dysfunction in married women working in health care system. Material & Methods: The sexual function was assessed in the questionnaire using Female Sexual Function Index (FSFI). The analysis was conducted using chi-square test or Fisher Exact Test. Results: All participants who were overweight/obese had highest pain problem (p-value 0.034). Women with diabetes mellitus had higher satisfaction problems (p=0.002, OR 13.13, CI 1.73-99.91). The females who used contraception had significantly lower orgasm problems (p<0.004, OR 0.33, CI 0.15-0.72. Participants who worked as medical staff such as nurse/midwife, pharmacist, radiographer had higher pain problems (71.43%) compared to medical staff (administration staff) (OR 27.47, CI 3.73-202). Conclusion: The BMI (overweight/obesity), diabetes mellitus, the use of contraception, and the medical occupation were the significant risk factors to sexual dysfunction problem in women working in the hospital. Keywords: Female sexual dysfunction, working women, hospital.