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Hand Hygiene Compliance Behavior and Glove Use in the Pediatric Intensive Care Unit During COVID-19 Pandemic Bangkit Putrawan; Dominicus Husada; Parwati Setiono Basuki; Risa Etika; Ismoedijanto; Dwiyanti Puspitasari; Leny Kartina
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16811

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Background: The condition of Covid-19 pandemic potentially influences hand hygiene compliance as aresult of workload changes, increased awareness of healthcare workers (HCWs) and personal protectiveequipment procedures, especially in terms of hand glove use,Objective to know the adherence of healthcare workers at the pediatric intensive care unit (PICU) to complywith hand hygiene and glove use during the pandemic.Methods An observational prospective study was carried out including all HCWs stationed at the PICU DrSoetomo General Hospital during January 2021. All participants were to sign an informed consent beforethe study took place. A target of 500 opportunities was estimated during the observation, and recorded usinginfra-red cameras placed at ten points. Hand hygiene compliances were evaluated according to the videosurveillance records by an independent auditor. Compliance was measured by dividing total number ofobserved appropriate hand hygiene by the sum of opportunities. Data were analysed using Chi Square testat a significance of p<0.05.Results: A total of 28 HCWs were eligible for the study; 9 were excluded. The majority were female(21; 75%), the mean age was 37.9 (SD 5.2) years. During 72 hours’ observation among 526 glove-useopportunities 104 (19.7%) actual glove-use episodes were evident. The hand hygiene compliance was lower(41.3%) when wearing gloves as compared to those with no glove use (68.2%) (p<0.001).
The Effect of ARV on Rate of HIV Vertical Transmission from Exclusive Breastfeeding Mothers: A Systematic Review Amanah Fatmadani Suwarno; Dwiyanti Puspitasari; Pudji Lestari
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 2 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i2.17919

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Objective: To give a visualization and explanation whether the use of ARV during exclusivebreastfeedingperiod is able to reduce the rate of transmission during exclusive breastfeeding.Methods: Systematic review of cross-sectional studies, case control, cohort studies, and prospectivestudies using Pubmed, LWW Journals, and Science Direct for literature search. Literature publishedbetween 2010 and 2020 are researched. Results are recorded using PRISMA, MMAT is used for biasriskevaluation.Results: A total of 2090 breastfed infants were included among the 2 studies. The first journal includedwas by Coovadiaet al.2012 was a 3rd phase clinical regarding the use of extended NVP on HIV exposedinfants were exclusive breastfed, concluded that the transmission rate for the group that receivedextendedNVP was only 1.1%. Rutagweraet al. 2019, focused on the shedding of HIV virus into thebreastmilk which is why this study used breastmilk as their sample4,6. Rutagweraet al. 2019. foundalmost 80% of their subjects shed HIV virus into their breastmilk6. This number is correlated to thetransmission of HIV vertically in breastfeeding mother.Conclusion: To conclude, the use of ARV does affect the rate of transmission of HIV from mother tochild during breastfeeding.
Profil Klinik Infeksi Virus Dengue pada Bayi di Surabaya Dominicus Husada; Catarina Rani; Dwiyanti Puspitasari; Widodo Darmowandowo; Parwati S. Basuki; Ismoedijanto Ismoedijanto
Sari Pediatri Vol 13, No 6 (2012)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.418 KB) | DOI: 10.14238/sp13.6.2012.437-44

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Latar belakang.Di Jawa Timur didapatkan peningkatan kasus infeksi virus dengue dari 4224 (2000) menjadi 7180 (2004). Sekitar 5% di antaranya terjadi pada bayi <1 tahun. Bayi mempunyai karakter klinik yang unik dan tidak banyak publikasi penelitian mengenai hal ini di Indonesia.Tujuan.Mengetahui profil klinik bayi dengan infeksi virus dengue (IVD) yang dirawat di RSU Dr. Soetomo Surabaya pada tahun 2010Metode.Penelitian cross-sectional,menggunakan data dokumen medik bayi IVD yang dirawat di RSU Dr. Soetomo Surabaya 1 Januari - 31 Desember 2010. Data yang dianalisis mencakup jenis kelamin, usia, hari sakit saat diagnosis, suhu, batuk, diare, muntah, kejang, petekie, ensefalopati, hepatomegali, melena, dan penurunan nafsu makan. Penelitian menggunakan derajat kemaknaan 95% (95% CI) dan p<0,05.Hasil.Dari 82 bayi IVD, 53 digunakan sebagai sampel. Usia termuda bayi DBD 4 bulan, dengan modus pada 4-5 bulan (masing-masing 6 bayi). Kebocoran plasma umumnya terjadi pada hari keempat dan kelima. Rasio laki:perempuan (PR 0,383), batuk (PR 0,191), ensefalopati (PR 4,5), hepatomegali (PR 2,818), dan melena (PR 3,5) merupakan gejala dan tanda klinis yang signifikan yang membedakan DD dengan DBD.Kesimpulan.Rerata usia dan kelompok usia terbanyak setara dengan beberapa penelitian lain. Batuk dan jenis kelamin laki-laki lebih berhubungan dengan demam dengue, sedangkan ensefalopati, hepatomegali, dan melena berhubungan dengan demam berdarah dengue.
Perbedaan dan Pola Jumlah Trombosit, Leukosit, serta Hematokrit pada Penderita Dengue Fever dan Dengue Hemorrhagic Fever di Ruang Rawat Inap Anak RS Kristen Mojowarno Kabupaten Jombang Samira - Assegaf; Dwiyanti Puspitasari; Amor Peraten Ginting
Sari Pediatri Vol 23, No 1 (2021)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp23.1.2021.51-6

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Latar belakang. Infeksi virus dengue sering menyerang anak rusia di bawah 15 tahun. Jumlah kasus cukup tinggi terdapat di Kabupaten Jombang, Jawa Timur. Pola jumlah trombosit, leukosit, dan hematokrit dapat berfungsi sebagai prediktot perjalanan penyakit pada kasus dengue.Tujuan. Untuk mengetahui perbedaan dan pola jumlah trombosit, leukosit serta hematokrit pada penderita DF (dengue fever) dan DHF (dengue hemorrhagic fever) guna memprediksi perjalanan penyakit.Metode. Penelitian ini menggunakan desain cross sectional pada anak yang telah terdiagnosis DF maupun DHF berdasarkan kriteria WHO 2011 dan menjalani perawatan di ruang rawat inap anak RS Kristen Mojowarno Kabupaten Jombang periode Februari-Juli 2019. Data jumlah trombosit, leukosit, hematokrit, suhu tubuh, hari sakit, dan karakteristik penderita diambil dari rekam medis kemudian dianalisis menggunakan independent sample T test dan Mann Whitney.Hasil. Selama kurun waktu penelitian terdapat 127 responden dengan rerata usia 6,67 tahun untuk kasus DF dan 6,43 tahun untuk DHF. Periode defervescent ditemukan pada hari ke-4 sakit. Rerata trombosit pasien DF dan DHF menurun di hari sakit ke-3 dan sangat rendah pada hari sakit ke-6. Rerata trombosit DHF berada di bawah 100.000 sel/mm3 sejak periode defervescent dengan rerata terendah mencapai 74.727 sel/mm3. Rerata leukosit DF dan DHF menurun sejak hari sakit ke-3 dan mencapai puncak penurunan pada periode defervescent. Rerata hematoktit DHF meningkat sejak hari sakit ke-3 dan mencapai puncaknya pada hari sakit ke-5. Terdapat perbedaan yang signifikan pada rerata hematokrit antara pasien DF dan DHF pada hari sakit ke-5 (p=0,004).Kesimpulan. Terdapat perbedaan yang bermakna signifikan pada rerata persentase hematokrit penderita DF dan DHF.
Pola Jumlah Trombosit Pasien Infeksi Virus Dengue yang dirawat di SMF Ilmu Kesehatan Anak RSUD Dr. Soetomo Surabaya Rizkiya Candra Sari; Hartono Kahar; Dwiyanti Puspitasari
Sari Pediatri Vol 19, No 1 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.836 KB) | DOI: 10.14238/sp19.1.2017.1-6

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Latar belakang. Dengue merupakan penyakit infeksi virus akut yang sering menimbulkan morbiditas dan mortalitas tinggi di Indonesia. Trombositopenia merupakan salah satu parameter laboratorium dalam penegakan diagnosis infeksi virus dengue yang dapat berubah dari hari ke hari.Tujuan. Mengetahui pola jumlah trombosit pada anak terinfeksi virus dengue untuk meningkatkan pemahaman dan kewaspadaan terhadap kondisi pasien.Metode. Penelitian retrospektif analitik pada pasien dengue fever (DF) dan dengue haemorrhage fever (DHF) yang dirawat di SMF Ilmu Kesehatan Anak RSUD Dr. Soetomo Surabaya periode Januari-Juni 2015. Data jumlah trombosit, hari sakit, diagnosis, dan karakteristik penderita diambil dari rekam medis dan dianalisis menggunakan independent sample t-test.Hasil. Rerata trombosit pasien DF mulai turun pada hari sakit ke-4. Terendah pada hari sakit ke-5 dan kembali naik pada hari sakit ke-6. Rerata trombosit pasien DHF menurun mulai hari sakit ke-3. Terendah pada hari sakit ke-5 dan meningkat pada hari sakit ke-6. Rerata trombosit pasien DHF dengan syok hari sakit ke-3 adalah 52.382 sel/mm3 dan rerata terendah pada hari sakit ke-6 (40.815 sel/mm3) dan mulai meningkat pada hari sakit ke-7. Terdapat perbedaan bermakna rerata trombosit DF dan DHF pada hari sakit ke-3,4,5,6 (p<0,001) dan ke-8 (p=0,012). Perbedaan rerata trombosit pasien DHF dengan dan tanpa syok bermakna pada hari sakit ke-6 (40.815 sel/mm3 dan 68.589 sel/mm3, p=0,004).Kesimpulan. Terdapat perbedaan yang bermakna pada rerata trombosit pasien DF dan DHF. Penurunan trombosit <100.000 sel/mm3 pada hari sakit ke-3 harus lebih diwaspadai agar tidak jatuh pada kondisi syok yang lebih buruk.
Faktor yang Berhubungan dengan Keberhasilan ASI Eksklusif Rokhmah Ayu Suliasih; Dwiyanti Puspitasari; Dhasih Afiat Dwi Pawestri
Sari Pediatri Vol 20, No 6 (2019)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.208 KB) | DOI: 10.14238/sp20.6.2019.375-81

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Latar belakang. Pemberian ASI eksklusif (AE) merupakan intervensi yang efektif untuk mencegah penyakit metabolik dan permasalahan kesehatan anak. Data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dan 2016 menunjukkan angka ASI eksklusif di Jawa Timur cenderung turun. Faktor yang memengaruhi pemberian AE meliputi faktor pemudah, pendukung, dan pendorong.Tujuan. Mengetahui hubungan antara faktor pemudah (pengetahuan tentang tanda kecukupan ASI, karakteristik sosiodemografi), pendukung (cara persalinan, Inisiasi menyusu dini, paritas ibu), dan pendorong (tenaga kesehatan, keluarga, dan media) dengan keberhasilan AE.Metode. Penelitian potong lintang analitik melalui pengisian kuesioner oleh ibu yang memiliki anak berusia 6-11 bulan yang datang ke Posyandu atau Puskesmas Simomulyo dan Manukan Kulon, Surabaya pada bulan Maret-April 2018. Data hasil pengisian kuesioner dianalisis statistik menggunakan uji Kai kuadrat dan regresi logistik, dengan confidence interval (CI) 95%.Hasil. Didapatkan proporsi AE 61% dari sejumlah 82 ibu, semua ibu pernah melihat iklan formula, dan alasan terbesar (53,1%) ibu tidak memberikan AE karena khawatir ASI tidak cukup. Usia ibu (p=0,020), pekerjaan (p=0,003), pendidikan terakhir (p=0,030), dan riwayat keberhasilan pemberian AE pada anak yang sebelumnya (p=0,032) berhubungan dengan AE.Kesimpulan. Ibu yang berusia 25-30 tahun, berpendidikan tinggi, memiliki riwayat keberhasilan AE, dan tidak bekerja dapat memengaruhi keberhasilan pemberian AE.
THE ANTIDIPHTHERIA ANTIBODIES OF SEROEPIDEMIOLOGY SURVEY AMONG ADOLESCENTS IN BANGKALAN AND KEDIRI DISTRICTS Dominicus Husada; Kristina Marbun; Desy Primayani; Leny Kartina; Dwiyanti Puspitasari; Parwati Setiono Basuki; Ismoedijanto Moedjito; Aris Wiji Utami; Eveline Irawan
Jurnal Berkala Epidemiologi Vol. 7 No. 2 (2019): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (401.595 KB) | DOI: 10.20473/jbe.V7I22019.94-102

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Background: An increase in diphtheria cases has occurred in East Java Province since 2011. The resistance level to diphtheria is considered as the most important cause. Purpose: The study aims analyzed the immunity level immunity to diphtheria in adolescents aged 16-18 years old in Bangkalan and Kediri Districts. Methods: This study was a cross-sectional study, conducted on students in eleven grade of senior high schools (SMAN) from both districts. The inclusion criteria included being 16-18 years old and students in eleven grades of senior high schools in Bangkalan and Kediri. This study was approved by their parents/guardians. The exclusion criteria included immunocompromised students and those who have a history of diphtheria infection. The data were obtained from 204 samples, 89 samples in Bangkalan, and 115 samples in Kediri. The antidiphtheria antibodies examination was carried out by the Vero cell method. The antibodies levels were grouped according to WHO standard, consist of vulnerable, basic, full, and long-term. Further analysis was done with 2 tiers of immunity, consist of immune and vulnerable. Results: The immunization coverage for basic and booster diphtheria vaccine is better in Kediri than in Bangkalan. In contrast, levels of antibodies samples in Bangkalan District is better. The participants who were immune in Bangkalan were higher than those in Kediri (91% vs. 44.3%). Conclusion: The immunity adolescents of Bangkalan is higher than in adolescent Kediri District. The adolescents in Kediri have a greater risk to get infected by the disease
The Relationship of Ns1 Antigen Profi Le and Days of Illness in Children with Dengue Virus Infection Dwiyanti Puspitasari; Saraswati Dewi; Aryati Aryati
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.654 KB) | DOI: 10.20473/jn.v8i1.3867

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Introduction: Dengue NS1 Antigen (NS1 Ag) detection or quantification has become a specific diagnostic tool for dengue virus infection, but has variable sensitivity. Previous research reported NS1 Ag level can be detected up to the 7th–10th day of fever, others stated the sensitivity was decreased after four days of fever. We performed this research to analyze the NS1 Ag profile and its relationship with the day of illness.Methods: This study was a prospective cohort study on 39 children hospitalized at Dr. Soetomo Hospital Surabaya since November 2009 to May 2010. Inclusion criteria were acute fever less than 72 hours, bleeding tendency denoted at least by positive tourniquet test, age between 1–14 years, and confirmed by positive dengue IgM/IgG on the 5th day of fever. We performed daily quantitative dengue NS1 Ag tests until defervescence day, and its relationship with the day of illness were analyzed.Results: NS1 Ag was positive in 19/39 samples. Secondary infection occurred in 14/19 of Dengue Fever and 17/20 of Dengue Hemorrhagic Fever cases. Positivity of NS1Ag was higher in primary (6/8 cases) than secondary infection (12/31 cases). Mean level of NS1 Ag was highest on the 2nd day, decreased afterwards and undetected on the 5th day of fever. There was significant relationship between NS1 Ag positivity (P=0.037, rs=-0.9) and level (P<0.001, rs=-1) with the day of illness.Conclusion: Dengue NS1 Ag positivity and level were highest during the acute phase of fever and decreased afterwards.The Relationship of Ns1 Antigen Profi Le and Days of Illness in Children with Dengue Virus Infection
Clinical Features of Children with Diphtheria on Soetomo Hospital Dwiyanti Puspitasari; Erna Supatmini; Dominicus Husada
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.679 KB) | DOI: 10.20473/jn.v7i2.4012

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Introduction: Diphtheria is an important disease in children that could lead to fatal disease. East Java Province was declared to have Diphtheria outbreak in 2011 with increasing morbidity and mortality, including on Soetomo Hospital. Our paper aimed to describe the profi le of diphtheria cases in children admitted at dr Sutomo Hospital.Method: This descriptive study reviewed all medical records of diphtheritic patients admitted to Dr. Soetomo Hospital, January 2004–December 2010, of concerns were clinical presentations, age, sex, immunizations status, complications, and outcomes.Result: From 148 diphtheria cases, 22.3% were bacteriologically proven; 53.4% were male with sex ratio 1.1:1. The age proportion of ≤ 5 years old, 5- ≤ 10 years old, and > 10 years old were 61.5%, 31.8%, and 6.7%. Fever occurred in 99% cases, sore throat, stridor and bullneck occurred respectively in 62.2%, 39.9%, and 29.7% cases. There were 56.8% severe and 41.9% moderate diphtheria. Subjects were immunized in 84%, but none of them have adequate immunization. Myocarditis, being one of the commonest complications occurred in 11.4% cases and tracheostomy was the second (4.0%). All of the death cases (7.9%) were unvaccinated and in severe form.Discussion: The mostly prevalent clinical manifestations in diphtheria children were fever and sore throat. Half of the cases came with severe diphtheria and most cases were inadequately vaccinated. Death occurred in the unvaccinated and severe form.
Effects of Climatic Factors on The Incidence Rate of Dengue Virus Infection in Surabaya During 2010-2013 Winni Aprillia Putri; Abu Rohiman; Sulistiawati Sulistiawati; Dwiyanti Puspitasari
Biomolecular and Health Science Journal Vol. 2 No. 1 (2019): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.701 KB) | DOI: 10.20473/bhsj.v2i1.9340

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Introduction: Dengue Virus Infection (DVI) is one of cautious mosquito-borne virus disease that transmitted by Aedes aegypti and Aedes albopictus. Surabaya has the highest incidence rate of DVI in East Java. Transmission of dengue virus were significantly affected by the change of climatic factor components (precipitation, temperature, and humidity). This study is aimed to analyze the correlation between climatic factor components with the incidence rate of DVI in Surabaya and its distribution.Methods: This is a cross-sectional study using analytic observational approach. The Incidence rate of DVI during 2010-2013 datas were taken from Surabaya Health Office. Climatic factor datas on the same years were taken from Juanda Meteorological Station. Correlation tests were performed by using Spearman Test.Results: As the result, there were 7,685 DVI patients during 2010-2013. Male patients have less proportion (51.89%). The highest DVI cases are from the age group of 5-14 years (>40%). Incidence rate of DVI was increased during February to April, and highest incidence rate occured in 2010 (n=3,379). There were significant correlation between precipitation (r=0.419, p-value p=0.003) and humidity (r=0.502, p-value=0.000) with the incidence rate of DVI in Surabaya during 2010-2013.Conclusion: Therefore, precipitation and humidity are two climatic factor components that may effect the incidence rate of DVI in Surabaya.
Co-Authors A.A.W., I Wayan Putra Abu Rohiman Alifadiningrat, Dianira Hanum Febia Alpha Fardah Athiyyah Amanah Fatmadani Suwarno Amor Peraten Ginting Andy Darma Annisa Fira Salsabila Arguni, Egi Arina Setyaningtyas Aris Wiji Utami Aryati Aryati Atika Atika Auliya, Arsya Ayu Citra Gestari AYU WULANSARI Ayuningtyas, Jayanti Febry Ayush Khangai Baiduri, Senja Bangkit Putrawan Basuki, Setio Catarina Rani Desy Primayani Devi Maya Arista Dewi, Maharani Sita Dharmawati, Ira Dhasih Afiat Dwi Pawestri Dominicus Husada Edward Adijaya Rusli Egi Arguni Elfrida A. Rachmah Erna Supatmini Ernawati Ernawati Esti Yunitasari Eveline Irawan Ferisca Maya Kurnia Wardhani Firdaus, Hema Rizkyana Hammam Izza Rofiqi Hanik, Elya Umi Haq, Arini Hartono Kahar, Hartono Hilwana, Lutifta Husada, Dominicius I Gusti Made Reza Gunadi Ranuh Ida Fitriawati Ida Safitri Laksanawati Inna Fairuuza Firdaus Innayah, Reza Nidaul Irwanto Irwanto Ismoedijanto Januarti, Catur Ifda Juniastuti Juniastuti Jusak Nugraha Kartina, Leny Kevin Sastra Dhinata Khadijah Rizky Sumitro Khadijah Rizky Sumitro Kristina Marbun Kuntaman Kuntaman Linda Astari, Linda Lutfi Dewanda Nugroho Maesarah Maesarah ManikRetno Wahyunitisari Medhi Denisa Alinda, Medhi Denisa Mohammad Sjaifullah Noer Muhammad Faizi Muhammad Faizi, Muhammad Muhammad Miftahussurur Mustikasari, Rahma Ira Mutahhar, Alif Nadya Khuswatun Khasanani Nesa, Ni Nyoman Metriani Ni Nyoman Metriani Nesa Ni Nyoman Metriani Nesa Ningrum, Astika Gita Ninik Asmaningsih Soemyarso Ninik Darsini Parwati S. Basuki Parwati Setiono Basuki Perwitasari, Yulinda Ayu Prastiya Indra Gunawan Pratiwi, Maurin Pudji Lestari Purwanta, Marijam Puspa Wardhani Putri, Ardelia Savinka Anandrian Raissa Manika Purwaningtias Ratni Indrawanti Rebekah Setiabudi, Rebekah Regitha Adit Pramesty Reza Gunadi Ranuh Reza Gunadi Ranuh Risa Etika, Risa Risky Vitria Prasetyo Riza Noviandi Rizkiya Candra Sari Rochmanti, Maftuchah Rochmanti Rokhmah Ayu Suliasih Rusli, Musofa Sacharissa Zerlina Tsarwah Thirafi Safitri, Emilia Samira - Assegaf Saraswati Dewi Sari, Gadis Meinar Sri Utami Sri Utami Steven Christian Susianto Steven Christian Susianto Sudarmo, Subijanto Marto Sulistiawati Sulistiawati Sumitro, Khadijah Rizky Sunny Mariana Samosir Susianto, Steven Christian Tirthaningsih, Ni Wajan Tuksin Jearanaiwitayakul Wahyu, Agung Dwi Wahyul Anis Wahyuni Mahmud Date Widati Fatmaningrum Widodo Darmowandowo Winni Aprillia Putri Woro Setia Ningtyas Yetti Hernaningsih Yuni Hisbiiyah Zaky Firmawan El-Hakim