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All Journal Proceedings of the International Conference on Applied Science and Health Global Health Management Journal Medika Kartika : Jurnal Kedokteran dan Kesehatan Tunas Medika Jurnal Kedokteran & Kesehatan The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Jurnal Penyakit Dalam Indonesia
Ahmad Fariz Malvi Z Zein
Fakultas Kedokteran Universitas Swadaya Gunung Jati
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS HIDUP PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS Rai Rifda Sukma Fairuz; Hermansyah Suwarno; Ahmad Fariz Malvi Zamzam Zein
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 7 No 2 (2024): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Pasien dengan penyakit ginjal kronik (PGK) stadium akhir mempunyai pilihan pengobatan berupa hemodialisis yang harus dijalani seumur hidup. Kualitas hidup pasien selama melakukan hemodialisis dipengaruhi oleh usia pasien, jenis kelamin, pendidikan akademis, status pekerja, lama perawatan hemodialisis, riwayat hipertensi serta riwayat diabetes. Studi dilakukan dengan tujuan untuk mengetahui variabel-variabel yang berkaitan dengan kualitas hidup pasien selama melakukan hemodialisis. Analitik observasional adalah desain yang digunakan untuk riset ini, serta menggunakan jenis cross-sectional dan partisipan diambil dengan pendekatan seluruh sampel. Beberapa variabel independen dinilai untuk studi. Uji chi-square dipakai dalam menganalisis bivariate, sedangkan regresi logistik dipakai dalam menganalisis multivariate. Hasilnya didapatkan usia (p = 0,001), tingkat pendidikan (p = 0,001), status pekerjaan (p = 0,002), lama menjalani hemodialisis (p=0,000), dan penyakit penyerta (p =0,005). Hasil dari analisis multivariate diketahui bahwa lama pengobatan hemodialisis (OR=8,66), status pekerjaan (OR=5,08), dan tingkat pendidikan (OR=3,67). Kesimpulannya lama menjalani hemodialisis, tingkat pendidikan, pekerjaan, usia, dan adanya penyakit penyerta berhubungan signifikan dengan kualitas hidup pasien hemodialisis serta lama pengobatan hemodialisis, status pekerjaan dan tingkat pendidikan yang paling berhubungan dengan kualitas hidup pasien hemodialisis. Kata kunci: hemodialisis, kualitas hidup, penyakit ginjal kronik DOI : 10.35990/mk.v7n2.p177-187
Endoscopic Band Ligation for Treatment of Bleeding Internal Hemorrhoids in Primary Referral Hospital Zein, Ahmad Fariz Malvi Zamzam; Luthfi, Ahmad Ichwan; Pratiwi, Lusi; Adi, Galang Prasetyo
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 25, No 2 (2024): VOLUME 25, NUMBER 2, August, 2024
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/2522024%p

Abstract

Aim: This study aims to evaluate the efficacy and safety of endoscopic band ligation (EBL) for bleeding grade III internal hemorrhoids in an evidence-based case report.Method: A search was conducted on PubMed and Cochrane databases based on clinical query, with keywords "endoscopic band ligation AND internal hemorrhoids". The inclusion criteria were meta-analysis, systematic review and randomized clinical trial, and written in English. The critical appraisal was performed for validity, importance, and applicability.Results: Of 18 studies, only 2 studies that suited the criteria. Compared to bipolar electrocoagulation (BPEC), EBL had significantly higher success rate in controlling bleeding and reducing the grade of hemorrhoids. In comparison with band ligation with rigid proctoscope (BL-RP), EBL was associated with higher success rate, lesser treatment sessions, and earlier symptom control. Mild complications and symptomatic recurrence were comparable among EBL, BPEC, and BL-RP.Conclusion: Endoscopic band ligation is effective and safe for bleeding grade III internal hemorrhoids. It is feasible procedure in primary referral hospital.
Factors Influencing Quality of Life among Patients with Type 2 Diabetes Mellitus (T2DM) at Waled General Hospital, Cirebon, Indonesia Hidayat, Abimanyu; Zein, Ahmad Fariz Malvi Zamzam; Suwarno, Hermansyah
GHMJ (Global Health Management Journal) Vol. 8 No. 1s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-81s1171

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease that requires long-term management and carries the risk of leading to other health conditions, which can result in decrease of quality of life. Aims: To find the quality of life of patients with Type 2 Diabetes Mellitus (T2DM) and the factors affecting it at Waled General Hospital (RSUD Waled), Cirebon, Indonesia. Methods: It was an analytic observational study with a cross-sectional approach. The study took place at RSUD Waled, Cirebon Regency, and used 96 (T2DM) patients as research samples that were chosen with simple random sampling. The source of data was primary through a questionnaire and secondary from the patient’s medical record. The questionnaire used for the quality of life’s variable in this research was WHOQOL-BREF. The analytical statistics used were Spearman’s correlation test for the bivariate analytics, and binary logistics regression for the multivariate analytic. Results: There were 54.2% of T2DM patients that fell into bad quality of life category and 45.8% of T2DM patients had good quality of life. Analytic statistics showed a significant relationship between glycemic control (p = 0.003 and r = 0.304), family support (p = 0.000 and r = 0.502), and self-acceptance with quality of life of T2DM patients (p = 0.000 and r = 0.606). Meanwhile types of therapy, comorbidities, and complication didn’t show a significant correlation with quality of life of T2DM patients. Multivariate analysis showed the most correlated factor for quality of life of patients T2DM was self-acceptance (OR=30). Conclusion: There were some factors that had significant correlation with quality of life of T2DM patients. Self-acceptance was the most correlated factor with quality of life of T2DM patients. Healthcare providers can incorporate educational intervention programs into routine diabetes care, emphasizing patients' psychological health, especially with regard to self-acceptance and family support techniques. In order to improve knowledge, motivation, and efficient self-management, this program may incorporate counselling, education, and the creation of support groups.
Characteristics and Endoscopy Findings of Liver Cirrhosis Patients at Waled Hospital, Cirebon, Indonesia (2020-2023) Azahra, Afifah Humaira; Sedayu, Sedayu; Zein, Ahmad Fariz Malvi Zamzam
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741071

Abstract

Background: Hepatic cirrhosis is a terminal manifestation of chronic liver disease. The causes of cirrhosis in the Asia Pacific it was caused by hepatitis B. Older adults are more likely to experience complications, which might be due to abnormalities in the liver. Various complications occurred during the progression from compensated to decompensated, and endoscopic examination showed images of gastroesophageal varices or PHG. Aims: The aim was to determine the characteristics of liver cirrhosis patients and the endoscopy findings at waled hospital from 2020 to 2023. Methods: This research used descriptive observational methods. The sample in this study were patients with liver cirrhosis at Waled hospital from 2020-2023, there were 135 sample who were selected using total sampling techniques. Information was acquired from medical records of 33 patients who met the consideration rules. Results: This study showed that the largest number of patients with liver cirrhosis based on age 45 years old (12.1%), predominantly male (72.7%), with the etiology hepatitis B (69.7%), and all (100%) were in decompensated stage. Endoscopy results revealed that the majority of patients experiences esophageal varices and PHG (54.5%), with grade 3 esophageal varices (81.8%) and mild grade PHG (60.6%) dominating. Conclusion: The majority of patients with liver cirrhosis were 45 years old, predominantly male, with the most common etiology hepatitis B, and all were in the decompensated stage. The most common endoscopy results showed esophageal varices and PHG, with grade 3 esophageal varices and mild grade PHG. Received: 26 September 2024  |  Reviewed: 23 October 2024  |  Revised: 30 November 2024  |  Accepted: 12 December 2024.
Co-Authors Adi, Galang Prasetyo Alif Hamzah Apriliani Nur Puspita Sari Azahra, Afifah Humaira Catur Setiya Sulistiyana Dewi Sukmawati Dini Sapardini Warsodoedi Donny Nauphar Dwi Listiany Corneli Eka Ayuningtyas Eni Suhaeni Hendy Ekananda Saputra Hermansyah Suwarno Hidayat, Abimanyu Ismayanti Ismayanti Lugyanti Sukrisman Luthfi, Ahmad Ichwan Pratiwi, Lusi Rai Rifda Sukma Fairuz Rama S Brajawikalpa Risa Rafana Sayyidah Vina Syauqia Sedayu, Sedayu Suwarno, Hermansyah Tiar Masykuroh Pratamawati Tissa Octavira Permatasari Uswatun Khasanah Witri Pratiwi