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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Jurnal Kebijakan Kesehatan Indonesia Althea Medical Journal Jurnal Sistem Kesehatan Indonesian Journal of Obstetrics & Gynecology Science Jurnal Forensik dan Medikolegal Indonesia JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia

Kurnia Wahyudi

Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Padjadjaran

Author-ID : 614160

Health Professions Medicine & Pharmacology Public Health

Published : 14 Documents Claim Missing Document

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Burden of Pediatric Cancer Treatment: Results of Online Pediatric Cancer Registry Prototype 1 at A Third Referral Hospital in Indonesia Sari, Nur Melani; Reniarti, Lelani; Suryawan, Nur; Susanah, Susi; Wahyudi, Kurnia
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Background: Despite the impressive progress of high-income countries, childhood cancer survival remains low in low and middle-income countries. Cancer is yet to be considered as a significant public health issue which has implicate only few pediatric cancer registry has been well established. The study aimed to describe the burden of pediatric cancer treatment in a third referral hospital in Indonesia through pediatric cancer registry.Methods: A-three-year retrospective analysis of 15 pediatric cancer diagnosed in children aged under 14 years was conducted at Dr Hasan Sadikin General Hospital, Bandung.Â Data were extracted from Online Bandung Pediatric Cancer Registry Prototype 1 and analyzed for age, gender, type of cancer. The outcomes were classified as treatment abandonment, treatment refusal, interrupted treatment, death during treatment, and completed treatment.Results: Seven-hundred and seventy-three children, 452 males and 321 females, were diagnosed with 15 types of malignancies.Â Peak incidence for each malignancy was different: at a young age was found in retinoblastoma and hepatoblastoma (mean; 3yo) while at adolescence in bone tumor and chronic myelocytic leukemia (9.1; 10 yo respectively). Distribution of the foremost malignancies recorded was: acute lymphoblastic leukemia (44.5%), retinoblastoma (15.2%), and non-Hodgkin lymphoma (8.9%). The cancer cure rate was very low (9.5%), treatment abandonment was still high (41.7%) and most patients died (27.8%) in the course of therapy either from advanced disease, infection, or late presentation. Meanwhile, 167 patients still continued the interrupted treatment.Conclusions: Cancer management is the burden for hospital, however the general outcome is very poor.Â

Determinan Kepemilikan Sumber Air Minum Rumah Tangga di Jawa Barat (Analisis Data Survei Demografi dan Kesehatan Indonesia (SDKI) Tahun 2012) Herawati, Pipit; Wahyudi, Kurnia; Afriandi, Irvan
Jurnal Sistem Kesehatan Vol 3, No 3 (2018): Volume 3 Nomor 3 Maret 2018
Publisher : Universitas Padjadjaran

Kekurangan air bersih merupakan salah satu faktor munculnya penyakit diare yang menjadi penyebab terbesar kedua terhadap kematian anak di bawah usia lima tahun. Terdapat banyak faktor yang memengaruhi kepemilikan sumber air bersih yang digunakan. Penelitian ini menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 di wilayah Provinsi Jawa Barat (n= 2.264) yang diperoleh secara umum melalui situs resmi DHS. Data yang digunakan merupakan data nominal dan ordinal, Beberapa variabel dikategorisasi ulang, kemudian seluruh variabel dianalisis menggunakan regresi logistik. Hasil yang didapatkan, variabel yang memiliki hubungan signifikan dengan kepemilikan SAM yang aman adalah jenis permukiman, jenis fasilitas sanitasi, pendidikan terakhir KK dan indeks kekayaan keluarga. Disamping itu, masih ditemukan disparitas antara rumah tangga yang tinggal di perkotaan dan pedesaan, di perkotaan masyarakat lebih mudah mengakses sumber air minum (SAM) yang aman sebesar 2 kali dibandingkan dengan masyarakat yang tinggal di pedesaan [AOR=1,97(IK 95% 1,53;2,53)]. Hasil penelitian ini mendapatkan informasi bahwa Indeks kekayaan keluarga dan pendidikan memiliki hubungan yang positif dengan kepemilikan SAM. Semakin tinggi indeks kekayaan keluarga semakin dapat mengakses SAM yang aman.Kata Kunci : Air Minum, Diare, Sanitasi, SDKI.

Persepsi Mahasiswa Profesi Kesehatan Universitas Padjadjaran Terhadap Interprofessionalism Education Wahyudi, Kurnia; hakiman, assica permata; Dewi, Sari Puspa; Sayusman, Chevi
Jurnal Sistem Kesehatan Vol 1, No 4 (2016): Volume 1 Nomor 4 Juni 2016
Publisher : Universitas Padjadjaran

Interprofessional Collaboration (IPC) yang buruk menjadi faktor penting dalam kesalahan medis. IPC dapat ditingkatkan sejak masa pendidikan melalui Interprofessionalism Education (IPE). Penelitian ini bertujuan untuk mengetahui persepsi mahasiswa program studi rumpun ilmu kesehatan Universitas Padjadjaran (Unpad) terhadap IPE. Metode Penelitian analitik komparatif menggunakan kuesioner Interdisciplinary Education Perception Scale (IEPS) yang diterjemahkan dan divalidasi dibagikan kepada mahasiswa Program Studi Kedokteran, Pendidikan Kedokteran Gigi, Farmasi, Keperawatan, Diploma Kebidanan, serta Profesi Dokter, Dokter Gigi, Apoteker, dan Ners Unpad sejumlah 252 mahasiswa meliputi 28 mahasiswa dari setiap program studi. Persepsi mahasiswa dikategorikan menjadi baik, cukup baik, dan kurang baik. Uji t independen dilakukan untuk membandingkan kelompok sarjana dan diploma dengan profesi, sedangkan One way Anova dan Post Hoc Tukey digunakan untuk membandingkan antar program studi pada kelompok sarjana dan diploma serta profesi. Hasil Persepsi 98% responden masuk ke dalam kategori baik. Uji Anova menunjukkan perbedaan signifikan antar program studi pada kelompok sarjana dan diploma (p = 0,004) serta pada kelompok profesi (p < 0,001). Komponen IPE âKebutuhan yang dirasakan untuk kerjasama profesionalâ memiliki persepsi baik yang lebih rendah dibandingkan dengan komponen âKompetensi dan otonomiâ dan âPersepsi kerjasama aktualâ. Diskusi Mahasiswa sudah memahami mengenai peran dan kompetensi masing-masing profesi. Namun, pemahaman mengenai profesi tenaga kesehatan lain dan pentingnya kerjasama antar profesi masih kurang, sehingga perlu diadakan IPE di Unpad.Kata Kunci: Interprofessional collaboration, interprofessional education, mahasiswa, persepsi

PERSPEKTIF TENAGA KESEHATAN: BUDAYA KESELAMATAN PASIEN PADA PUSKESMAS PONED DI KOTA BANDUNG Brahmana, Reisia Palmina; Wahyudi, Kurnia; Hilfi, Lukman
Jurnal Sistem Kesehatan Vol 3, No 3 (2018): Volume 3 Nomor 3 Maret 2018
Publisher : Universitas Padjadjaran

Kejadian Tidak Diharapkan (KTD) yang paling umum terjadi saat persalinan adalah infeksi. Hal ini seringkali disebabkan oleh faktor pelayanan kesehatan, baik pelayanan kesehatan di rumah sakit maupun di Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED). Penelitian ini bertujuan untuk mengetahui gambaran budaya keselamatan pasien pada Puskesmas PONED di Kota Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif dengan desain potong lintang yaitu dengan menggunakan data primer dari kuesioner. Penelitian dilakukan di Puskesmas Ibrahim Adjie dan Puskesmas Garuda pada bulan April hingga Juni 2017. Subjek penelitian adalah tenaga kesehatan di Puskesmas PONED, yaitu 53 responden. Kriteria inklusi adalah tenaga kesehatan Â Puskesmas PONED yaitu, dokter umum; dokter gigi; perawat; perawat gigi; bidan; apoteker; kepala puskesmas; dan nutrisionis yang bersedia mengisi kuesioner dan pegawai yang berada di puskesmas tersebut ketika kuisioner dibagikan. Hasil penelitian menunjukkan bahwa terdapat tiga indikator budaya keselamatan pasien dalam kategori kuat, enam indikator dalam kategori sedang dan tiga indikator yang dalam kategori lemah. Simpulan penelitian adalah budaya keselamatan pasien pada Puskesmas PONED di Kota Bandung ada dalam kategori sedang. Perlu dibuat alat ukur untuk menilai budaya keselamatan pasien di Puskesmas PONED.Kata kunci : Budaya keselamatan pasien, PONED, Puskesmas

Burden of Pediatric Cancer Treatment: Results of Online Pediatric Cancer Registry Prototype 1 at A Third Referral Hospital in Indonesia Nur Melani Sari; Lelani Reniarti; Nur Suryawan; Susi Susanah; Kurnia Wahyudi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Despite the impressive progress of high-income countries, childhood cancer survival remains low in low and middle-income countries. Cancer is yet to be considered as a significant public health issue which has implicate only few pediatric cancer registry has been well established. The study aimed to describe the burden of pediatric cancer treatment in a third referral hospital in Indonesia through pediatric cancer registry.Methods: A-three-year retrospective analysis of 15 pediatric cancer diagnosed in children aged under 14 years was conducted at Dr Hasan Sadikin General Hospital, Bandung. Data were extracted from Online Bandung Pediatric Cancer Registry Prototype 1 and analyzed for age, gender, type of cancer. The outcomes were classified as treatment abandonment, treatment refusal, interrupted treatment, death during treatment, and completed treatment.Results: Seven-hundred and seventy-three children, 452 males and 321 females, were diagnosed with 15 types of malignancies. Peak incidence for each malignancy was different: at a young age was found in retinoblastoma and hepatoblastoma (mean; 3yo) while at adolescence in bone tumor and chronic myelocytic leukemia (9.1; 10 yo respectively). Distribution of the foremost malignancies recorded was: acute lymphoblastic leukemia (44.5%), retinoblastoma (15.2%), and non-Hodgkin lymphoma (8.9%). The cancer cure rate was very low (9.5%), treatment abandonment was still high (41.7%) and most patients died (27.8%) in the course of therapy either from advanced disease, infection, or late presentation. Meanwhile, 167 patients still continued the interrupted treatment.Conclusions: Cancer management is the burden for hospital, however the general outcome is very poor.

Analisis Pembiayaan JKN Pasien Hipertensi Di FKTP Jawa Barat Tahun 2015-2016 (Analysis of JKN Non Capitation Financing for Hypertension Patients at West Java FKTP 2015-2016) Eleonora Anindya Tiara Dewi; Yulia Sofiatin; Elsa Pudji Setiawati; Kurnia Wahyudi; Irvan Afriandi
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 2 (2021)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.64165

Tahun 2015-2016, angka prevalensi hipertensi di Provinsi Jawa Barat melebihi angka prevalensi nasional. Hipertensi adalah salah satu penyakit yang pengobatannya ditanggung oleh Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Pelayanan kesehatan diberikan di Fasilitas Kesehatan Tingkat Pertama (FKTP) yang mendapat penggantian biaya dari BPJS Kesehatan berdasarkan sistem kapitasi dan non kapitasi. Penelitian ini bertujuan untuk melihat gambaran pembiayaan non kapitasi untuk kasus-kasus hipertensi yang dilayani di FKTP. Penelitian ini merupakan penelitian deskriptif dengan pendekatan retrospektif. Data tersier yang digunakan didapat dari data sampel BPJS Kesehatan tahun 2015-2016. Dalam analisis setelah pembobotan, terdapat 9056 peserta BPJS Kesehatan di Jawa Barat yang mendapat pelayanan untuk hipertensi yang dibayarkan secara non kapitasi. Pasien hipertensi pada data sampel ini didominasi peserta perempuan di kelompok usia 15-64 tahun dan terdaftar di segmen kepesertaan Peserta Bukan Penerima Upah (PBPU) pada kelas premi III. Dari segi pembiayaan, tiga jenis FKTP serta enam dari sembilan macam diagnosis mendapat penggantian dana lebih besar dari yang ditagihkan.In 2015-2016, the prevalence of hypertension in West Java Province exceeds the national rate. Hypertension is one of the diseases which treatment is covered by the Social Security Administrator for Health (Badan Penyelenggara Jaminan Sosial Kesehatan, BPJS Kesehatan). Health services are provided at the Primary Health Facility (Fasilitas Kesehatan Tingkat Pertama, FKTP) which are reimbursed by BPJS Kesehatan based on the capitation and non capitation systems. This study aims to look at the description of non capitation financing for hypertension cases served at FKTP. This study is a descriptive research with a retrospective approach. Tertiary data used were obtained from the 2015-2016 BPJS Kesehatan sample data. In the post-weighted analysis, there were 9056 BPJS Kesehatan participants in West Java who received services for hypertension paid on a non-capitation basis. Hypertension patients in this sample data are predominantly female participants in the 15-64 years age group and registered in the Special Participants of Non-Wage Receiver (Peserta Bukan Penerima Upah, PBPU) membership segment in premium class III. In terms of financing, three types of FKTP and six of the nine types of diagnosis have been reimbursed greater than the expenditure.

Survival Analysis of Chronic Kidney Disease Patients with Hemodialysis in West Java. Indonesia, Year 2007 - 2018 Afiatin Afiatin; Dwi Agustian; Kurnia Wahyudi; Pandu Riono; Rully M. A. Roesli
Majalah Kedokteran Bandung Vol 52, No 3 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n3.2124

The prevalence of chronic kidney disease on dialysis or CKD5D is increasing with a significant impact on disease burden in many countries. Patients are usually listed in the national renal registries, which report demographic data, incidence, prevalence, and outcome. The survival rate is an important outcome measure to characterize the impact of treatment in the CKD5 patient population in the national and international renal registries. Indonesian Society of Nephrology (InaSN) has the Indonesian Renal Registry program to collect data that was endorsed to monitor dialysis treatment quality in Indonesia. IRR releases an annual report, but there is no survival analysis yet. This study aimed to discover the five-year survival rate of CKD5D patients in West Java between 2007–2018 and its factor based on the IRR database. A retrospective cohort study was performed by gaining all patients' data from the IRR database, then data on all of the patients from West Java province who completed a 5-year follow-up on December 31, 2018. Kaplan-Meier analysis and Cox proportional hazard's model were used to analyze the risk factors. There were 3,199 data included in this study. In total, the 1, 2, 3, 4, and 5 year survival rates are 82%, 70%, 62%, 58%, and 55 %, respectively. Patients whose age is above 55 years and with unknown underlying kidney disease have a worse survival rate with a hazard ratio of 1.28 and 1.50, respectively. Further exploration of IRR data will provide better information on dialysis treatment in Indonesia. Ketahanan Hidup Pasien Penyakit Ginjal Kronis dengan Hemodialisis di Jawa Barat Indonesia tahun 2007-2018Prevalensi penyakit ginjal kronis pada dialisis atau PGK5D meningkat dan memberi beban penanganan penyakit di banyak negara. Pasien biasanya terdaftar dalam register ginjal nasional yang melaporkan data demografis, insiden, prevalensi dan luaran klisis. Tingkat ketahanan hidup merupakan parameter penting dalam registrasi ginjal untuk menggambarkan kualitas terapi pada populasi pasien PGK stadium 5. Perhimpunan Nefrologi Indonesia (Pernefri) memiliki program Registri Ginjal Indonesia yang disebut Indonesian Renal Registry (IRR) untuk mengumpulkan data pasien PGK5D untuk memantau kualitas pengobatan dialisis di Indonesia. IRR merilis laporan tahunan tetapi belum dilengkapi dengan analisis ketahanan hidup. Tujuan penelitian ini adalah mengetahui angka ketahanan hidup lima tahun pasien PGK5D di Jawa Barat antara tahun 2007-2018 dan faktor risikonya berdasarkan basis data dari IRR. Studi kohort retrospektif dengan mengambil semua data pasien dari basis data IRR kemudian ditentukan data pasien Jawa Barat yang lengkap dan di follow up selama 5 tahun pada 31 Desember 2018. Analisis Kaplan-Meier dan model proporsional hazard Cox digunakan untuk menganalisis faktor risiko. Subjek berjumlah 3199 data yang dimasukkan dalam penelitian ini. Kesimpulannya, angka harapan hidup satu, 2, 3, 4, dan 5 tahun berturut-turut adalah 82%, 70%, 62%, 58%, dan 55%. Usia lebih dari 55 tahun dan penyakit ginjal yang mendasari memiliki kelangsungan hidup yang lebih buruk dengan hazard ratio 1,28 dan 1,50. Eksplorasi lebih lanjut dari data IRR akan memberikan informasi yang lebih baik tentang perawatan dialisis di Indonesia.

Profile and Frequency of One Hundred Ankle Osteoarthritis Cases in an Indonesian Tertiary Hospital Muhammad Farhan Ibrahim; Kurnia Wahyudi; Raden Andri Primadhi
Majalah Kedokteran Bandung Vol 54, No 2 (2022)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v54n2.2636

Osteoarthritis is one of the most common cases in orthopedics and traumatology clinic. Ankle osteoarthritis is less common than osteoarthritis of hip and knee. Limited data and literature resulted in suboptimal treatment strategy. The purpose of this study was to describe the profile and frequency of ankle osteoarthritis at Dr. Hasan Sadikin General Hospital Bandung, a tertiary referral hospital in Indonesia. A cross-sectional descriptive observational study was conducted on all patients diagnosed with ankle osteoarthritis enrolled in the medical record database at Dr. Hasan Sadikin General Hospital Bandung, Indonesia in November 2020–November 2021. Results showed that the majority of the patients were female (52%), aged ≥60 years old (44%), graduated from senior high school education (56%), and housewives (30%). The 100 patients were proportionally distributed with most of them were categorized as suffering from secondary osteoarthritis with post-trauma predominance. From the perspective of body mass index, 85% patients were classified as above normal. As many as 76% of patients presented to the hospital in an advanced stage. With the high rate of posttraumatic ankle osteoarthritis, concerns should be given more to the ankle trauma management, as well as to the population with high body mass index. Increased health promotion for general population and health care providers is also needed to reduce the tendency of late presentation at the health care facility.

Anxiety Levels of Medical Students in Online Learning During COVID-19 Pandemic Amadeus, Joachim Kenneth; Veronica, Fifi; Oktavia, Nandina; Wahyudi, Kurnia; Lydiana, Lynna
Althea Medical Journal Vol 11, No 2 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n2.3187

Background: The COVID-19 pandemic has affected the education sector and caused major changes. This situation provides challenges for students, resulting in increased anxiety, especially for medical students who tend to have higher level of anxiety. This study aimed to determine the proportion of anxiety levels among undergraduate medical students in online learning during the COVID pandemic.Methods: This cross-sectional descriptive study was conducted in September–November 2022, involving 156 undergraduate medical students at Universitas Padjadjaran, Indonesia batch 2019–2021 who had no history of somatic or psychiatric disease. The stratified simple random sampling method was used. Anxiety levels was assessed using the Hamilton Anxiety Rating Scale (HAM-A) questionnaire. Data was analyzed using Pearson’s Correlation.Results: Participants were dominated by females (71.1%), average age 19.9 years with a grade point average (GPA) of 3.51-4.00 (88.5%). The anxiety level of most participants was mild (67.9%) and 19.2% were at the severe level. Interestingly, severe levels of anxiety seemed to occur more commonly in females, group batch 2020, GPA 2.51-3.00, living alone and in a place other than in the family home or rented house. Furthermore, respiratory manifestations tended to be the mildest, whereas intellectual manifestations were more often severely impacted.Conclusions: The anxiety level of undergraduate medical students in Universitas Padjadjaran is mostly mild. Female more often experience anxiety at a more severe level. Further research is needed to identify and analyze more comprehensively other possible anxiety factors in medical students.

Determinant of Hypertension among Adults in West Java, Indonesia: Analysis of National Basic Health Research Data 2018 Karlen, Jannatin; Berbudi, Afiat; Wahyudi, Kurnia
Althea Medical Journal Vol 10, No 4 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n4.2826

Background: Hypertension is a serious health problem worldwide. Many studies on the determinants of hypertension have been done, however studies in West Java are still very minimal. This study aimed to determine the risk factors for hypertension among adults in West Java, Indonesia.Methods: This study used a cross-sectional method with a quantitative approach using secondary data from the National Basic Health Research 2018. The final number of individuals sampled was 46,186 people. Data analysis was performed using simple logistic regression and multiple logistic regression methods.Results: The mean age of the sample was 42.97 years (SD=15.37), and females were the predominant (52.95%). The majority of samples consumed sweet beverages (31.06%) and salty foods more than once a day (29.22%), did not smoke (59.17%), had a normal body mass index (BMI) (53.78 %), and had experienced gum disease and dental problems in the last year (56.75 %). Physical activity in metabolic equivalent task (MET) minute was 5,917.79. There was a significant positive association between age and hypertension, with an odds ratio (OR) of 1.06 and a 95% confidence interval (CI) of 1.05–1.06. Furthermore, the analysis found a significant negative correlation between physical activity and hypertension, with an OR of 0.999 and a 95% CI of 0.9999874–0.9999962.Conclusions: Hypertension is significantly associated with age, whereas physical exercise is negatively associated. Priority should be given to elderly individuals and people with a high BMI for interventions such as routine blood pressure monitoring and education.

Co-Authors Afiat Berbudi Afiatin Afiatin Ahmedz Widiasta Amadeus, Joachim Kenneth Ana Mariana, Ana assica permata hakiman, assica permata Avivi, Safiya Fathina Aziz, Muhammad Alamsyah Brahmana, Reisia Palmina Chevi Sayusman Dedi Rachmadi Dwi Agustian Eleonora Anindya Tiara Dewi Elsa Pudji Setiawati Fauzi, Ali Amali Fifi Veronica Herawati, Pipit Huspa, Fitri Agustina Irvan Afriandi Julia Ramadhanti Karlen, Jannatin Lelani Reniarti Lelani Reniarti Lillah, Alfarisi Syukron Lukman Hilfi Lydiana, Lynna Muhammad Farhan Ibrahim Nandina Oktavia Nugrahani, Annisa Dewi Nur Melani Sari Nur Suryawan Pandu Riono Pipit Herawati Raden Andri Primadhi Rully Marsis Amirullah Roesli Sari Puspa Dewi Setyorini Irianti Suryawan, Nur Susi Susanah Syafira, Aisha Dinda Tsara Syarifah Istiqomah Windi Nurdiawan Yulia Sofiatin

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