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All Journal Research Journal of Life Science Berkala Ilmu Kesehatan Kulit dan Kelamin Indonesian Journal of Tropical and Infectious Disease MEDISAINS MNJ (Malang Neurology Journal) Jurnal Ilmiah Kedokteran Wijaya Kusuma Majalah Kesehatan FKUB Jurnal Berkala Kesehatan Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Dinamisia: Jurnal Pengabdian Kepada Masyarakat ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal Klinik dan Riset Kesehatan International Journal of Science and Society (IJSOC) Asian Journal of Health Research Jurnal Ilmu Kedokteran Keluarga Journal of General Procedural Dermatology and Venereology Indonesia Journal of International Surgery and Clinical Medicine JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Dhelya Widasmara
Department Of Dermatology And Venereology, Faculty Of Medicine, Brawijaya University.
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Earth & Planetary Sciences Economics, Econometrics & Finance Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Brøset Violence Checklist (BVC) versus Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV): their sensitivity, specificity and accuracy as a predictor of violence in 24 hours among schizophrenia patients Yuniati, Wahyu; Putra, Kuswantoro Rusca; Widasmara, Dhelya
MEDISAINS Vol 18, No 2 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i2.7454

Abstract

Background: Brøset Violence Checklist (BVC) and Dynamic Appraisal of Situational Aggression-Inpatient Version (DASA-IV) are risk assessment instruments of violence that nurses can use in psychiatric services, but their accuracy of the instruments in predicting violent behavior in 24 hours need to be tested.Objective: This study aims to examine the sensitivity and specificity of BVC and DASA-IV instruments in predicting violent behavior within 24 hours and which is more accurate.Method: This is a diagnostic study with a cross-sectional approach. The sample of this study was 112 patients. The respondents' behaviors were observed, based on parameters assessed by BVC and DASA-IV as well as recording incidents of violent behavior using AOS (Aggression Observation Short) as the gold standard. Sensitivity, specificity, and Receiver Operating Characteristic (ROC) tests were conducted to assess the accuracy of the two instruments in predicting violent behavior within 24 hours.Results: 23.2% of the respondents in this study experienced violent behavior in the first 24 hours. BVC has a sensitivity value of 65.4% and specificity of 94.5%. DASA-IV has a sensitivity value of 69.2% and a specificity of 95.5%. The level of accuracy of BVC is 87.9%, and of DASA-IV is 92.2%.Conclusion: DASA-IV is more sensitive, higher in its specificity, and is more accurate in predicting violent behavior within 24 hours in schizophrenic patients compared to BVC
The Impact of Social Media Marketing Activities and Customer Experience on Instagram on Outpatient Relationship Quality Widasmara, Dhelya; Setijowati, Nanik; Rahmah, Shofi Nur
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.486

Abstract

Instagram, which ranks fourth globally in usage in Indonesia, has become an effective and cost-efficient marketing tool, especially in the healthcare sector. Hospitals, such as RSUD Dr. Saiful Anwar Malang, utilize Instagram to promote services and engage patients. However, despite a growing following and content, fluctuating patient visits suggest that the hospital's Instagram marketing strategy may need further optimization. The purpose of this study was to identify social media marketing activities (SMMA) and customer experience on Instagram regarding the relationship quality of outpatient patients at RSUD Dr. Saiful Anwar Malang. This study used a quantitative approach with a cross-sectional design and accidental sampling of outpatients during February-March 2024. Data were collected through surveys and analyzed statistically to examine the impact of SMMA and customer experience on Instagram on the relationship quality of outpatients.  The results of the multiple linear regression analysis show that SMMA has a significant effect on relationship quality (regression coefficient = 0.34, p=0.039), while customer experience has a significant positive effect (regression coefficient = 1.003, p=0.000), indicating that improving customer experience has a stronger impact on relationship quality compared to SMMA. The study concludes that SMMA has a partial effect on relationship quality, meaning that better SMMA increases relationship quality. This suggests that future media services should prioritize building connections, satisfaction, and patient retention.
Aspergilosis Kutis Primer dengan Gambaran Klinis Menyerupai Tuberkulosis Verukosa Kutis Dani, Adinda Amalia; Widasmara, Dhelya
Jurnal Klinik dan Riset Kesehatan Vol 2 No 1 (2022): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.02.1.8

Abstract

Background: Primary cutaneous aspergillosis (PCA) is a rare invasive fungal infection of the skin that can be life-threatening. This disease is caused by Aspergillus spp and belongs to the deep mycosis (subcutaneous) group. Case report: A 63-year-old man came with complaint of wound that feels itchy, painful and exudative on right lower leg since 5 years ago. Dermatological examination showed multiple erythematous papules and plaques with verrucous surface partially covered in brownish yellow crust accompanied by xerosis and some ulcers with pus. The proposed differential diagnoses are Tuberculosis verrucosa cutis, Chromoblastomycosis and Mycetoma. The result of tissue culture showed Aspergillus niger. Biopsy result supports the diagnose of deep mycosis. The patient then diagnosed as primary cutaneous aspergillosis, treated with pulse dose Itraconazole and improved clinically within 2 weeks. Conclusion: Atypical manifestation in this patient gives diagnostic challenge for dermatologist. The importance of establishing diagnosis in patient with deep mycoses are to identify the cause, determine the appropriate treatment and prevent cimplication.
Tinea Unguium Yang Disebabkan Microsporum sp. : Sebuah Kasus Jarang Saviestya, Kaorie Bunga; Widasmara, Dhelya
Jurnal Klinik dan Riset Kesehatan Vol 3 No 2 (2024): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.03.2.7

Abstract

Onychomycosis is a fungal infection of the nails that can be caused by dermatophytes, non-dermatophytes, and yeast, while tinea unguium is an infection of the nails caused by the dermatophyte group. Onychomycosis is known to occur in 2-18.5% of the population worldwide where it is 4-20 times more common in toenails than fingernails. In patients with systemic lupus erythematosus, it was reported that 25% experienced nail changes where the most common abnormality was onycholysis. The following is a report of a 27-year-old female patient with complaints of damaged and brittle left toe nails accompanied by itching. From the dermatological examination of the left I-V digiti pedis, discoloration and onychodystrophy were found. Examination of 20% KOH on nail clippings shows long-branched hyphae. The results of the fungal culture showed the growth of Microsporum sp. This case report discusses a rare case of tinea unguium caused by Microsporum sp.
PENERAPAN PHBS SEBAGAI MANAJEMEN STRATEGI PENINGKATAN MUTU PELAYANAN KESEHATAN DI RSUD Dr. SAIFUL ANWAR MALANG Dhelya Widasmara; Henggar Sulistiarto; I Wayan Agung Indrawan; Siti Umi Ernawati; Suparno Adi Santika
Majalah Kesehatan Vol. 0 No. 00 (2025): Article in Press
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/yvgymc48

Abstract

Perilaku Hidup Bersih dan Sehat (PHBS) merupakan upaya preventif yang dilaksanakan secara sadar untuk meningkatkan derajat kesehatan individu, keluarga, maupun masyarakat. Implementasi PHBS di fasilitas pelayanan kesehatan memiliki peran strategis dalam meminimalisasi risiko penularan penyakit sekaligus mendukung pencapaian standar mutu layanan serta akreditasi rumah sakit. Penelitian ini bertujuan mengidentifikasi penerapan PHBS di RSUD Dr. Saiful Anwar Malang sebagai strategi peningkatan mutu pelayanan kesehatan. Penelitian menggunakan metode kualitatif dengan teknik pengumpulan data melalui observasi, wawancara yang melibatkan 41 informan kunci, dan studi literatur. Pengumpulan data dilaksanakan pada periode Januari-Maret 2024. Hasil penelitian menunjukkan bahwa implementasi PHBS di RSUD Dr. Saiful Anwar Malang telah mengacu pada kriteria akreditasi rumah sakit dan pedoman pelayanan kesehatan. Namun, ditemukan sejumlah tantangan, antara lain keterbatasan sumber daya, kepatuhan tenaga kesehatan, serta konsistensi pengawasan terhadap pengunjung dan pasien. Faktor-faktor tersebut berpotensi menurunkan efektivitas PHBS dalam mendukung mutu pelayanan. Oleh karena itu, diperlukan optimalisasi melalui peningkatan kapasitas sumber daya manusia, penguatan sistem monitoring dan evaluasi, serta internalisasi budaya PHBS di seluruh lapisan rumah sakit. Kesimpulannya, penerapan PHBS yang konsisten dan terstandar berkontribusi signifikan terhadap peningkatan mutu layanan kesehatan rumah sakit. Implikasi penelitian ini menegaskan pentingnya PHBS sebagai manajemen strategi yang berkelanjutan dalam mendukung akreditasi dan pencapaian pelayanan kesehatan yang unggul.
Co-Authors Abdul Gofur Ade Setyagraha Adya Sitaresmi Agnes Sri Siswati Agung Minto Wahyu Anggun Putri Yuniaswan Anum, Qaira Bagus Haryo Kusumaputra Cita Rosita Sigit Prakoeswa Dani, Adinda Amalia Dea Florensia Dwi Murtiastutik Fifa Argentina Fuzianingsih, Eka Noviya Haidar Abror Firladi Hansel Hansel Henggar Sulistiarto Herwinda Brahmanti I Wayan Agung Indrawan Ika Andrini Farida Jayawarsa, A.A. Ketut Kurnia Penta Seputra Kuswantoro Rusca Putra Lita Setyowatie, Lita Lubis, Ramona Sari Luh Made Mas Rusyati M. Yulianto Listiawan Mamuaja, Enricco Hendra Maulidah Maulidah Medhi Denisa Alinda, Medhi Denisa Mochammad Yunus, Mochammad Mohammad Bisri Muchtar, Vitayani Mulianto, Nur Rachmat Nanik Setijowati Novita, Khuznita Dasa Nugrahanti Prasetyorini Panji Sananta rahmah, shofi nur Rakhmaditya Dewi Noorrizki Regitta Indira Agusni Renni Yuniati Ristiawan Muji Laksono Rizka Melina Fauziyyah Sanata, Panji Santosa Basuki Santosa Basuki Sari, Diane Tantia Sari, Diane Tantia Saviestya, Kaorie Bunga Septina Yosephine Servasius To’o Jala Mulu Shahdevi Nandar Kurniawan, Shahdevi Nandar Siti Umi Ernawati Sri L. Menaldi Sunarso Suyoso Sunarso Suyoso, Sunarso Suparno Adi Santika Tamadi, Virginia Rosa Tasya Yuni Ariskasari Titin Andri Wihastuti Tutut Chusniyah Widiatmoko, Arif Widodo Mardi Santoso, Widodo Mardi Wildan Faza Pratama Yuniati, Wahyu