Kurnia Wahyudi, Kurnia
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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.214 KB) | DOI: 10.15850/amj.v4n3.1204

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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. 
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.064 KB) | DOI: 10.24198/jsk.v3i3.16988

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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.226 KB) | DOI: 10.24198/jsk.v1i4.10382

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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 “Kebutuhan yang dirasakan untuk kerjasama profesional” memiliki persepsi baik yang lebih rendah dibandingkan dengan komponen “Kompetensi dan otonomi” dan “Persepsi kerjasama aktual”. 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.993 KB) | DOI: 10.24198/jsk.v3i3.16985

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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  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
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

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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

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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.
Tacrolimus Therapy Among Steroid-Resistant Nephrotic Syndrome Children: A Preliminary Study in West Java, Indonesia Widiasta, Ahmedz; Wahyudi, Kurnia; Rachmadi, Dedi
International Journal of Integrated Health Sciences Vol 12, No 2 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v12.n2.3663

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Objective: To explore the outcomes of Tac therapy for Steroid-Resistant Nephrotic Syndrome (SRNS) and its implication in reducing the number of CKD events.Methods: An open, prospective, cohort study was conducted at a tertiary hospital in Bandung, West Java, Indonesia. Children (age 1–18 years old) with steroid and cyclophosphamide resistant nephrotic syndrome were enrolled in this study. Blood pressure, urinary protein, serum ureum, and creatinine levels were measured every month, Tac and soluble urokinase plasminogen activator receptor (supaR) levels were assessed at the 0, third, and sixth months.Results: Ten of fifteen subjects enrolled in this study got better within 3–6 months with a trend of decreasing suPAR level and proteinuria, as well as stable blood pressure and serum creatinine and ureum level. During treatment, no side effects of the subjects were found with the Tac level maintain safely.Conclusion: Tac is an effective and safe agent in treating SRNS, especially for those do not respond well to an alkylating agent.
The Influence of COVID-19 Severity on Maternal and Perinatal Outcomes: Evidence from a Cohort Study in Indonesia Aziz, Muhammad Alamsyah; Nurdiawan, Windi; Avivi, Safiya Fathina; Wahyudi, Kurnia; Irianti, Setyorini; Fauzi, Ali Amali; Lillah, Alfarisi Syukron; Mariana, Ana; Nugrahani, Annisa Dewi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.883

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Objective: This study aimed to assess the association between COVID-19 severity and maternal and neonatal outcomes at Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.Methods: A retrospective cohort study was conducted among pregnant women with confirmed COVID-19 who delivered between March 1, 2020, and March 31, 2022. Patients were categorized by disease severity (asymptomatic, mild, moderate, severe, or critical). Demographic, clinical, maternal, and neonatal data were collected. Statistical analyses included Fisher’s exact and Kruskal-Wallis tests for bivariate analysis and Poisson regression for multivariate analysis (significance level α = 0.05).Results: Among 199 pregnant women, most were asymptomatic (42.7%) or had mild symptoms (37.2%). Higher COVID-19 severity was significantly associated with increased ICU/semi-ICU admission and oxygen therapy, as well as neonatal complications. After adjustment, moderate to critical cases showed significantly increased risks for ICU/semi-ICU care (p = 0.012, aRR 14.6; 95% CI: 1.8–118.2) and oxygen therapy (p = 0.001, aRR 12.2; 95% CI: 2.7–55.3). Mild cases were not linked to adverse outcomes.Conclusion: Moderate to critical COVID-19 during pregnancy is associated with higher risks of adverse maternal and neonatal outcomes, emphasizing the importance of early detection and close monitoring.Dampak Keparahan COVID- 19 pada Luaran Kehamilan: Studi Kohort di IndonesiaAbstrakTujuan: Penelitian ini bertujuan mengevaluasi hubungan antara tingkat keparahan COVID-19 dan luaran kehamilan serta neonatal di RSUP Dr. Hasan Sadikin, Bandung.Metode: Metode yang digunakan pada penelitian ini adalah kohort retrospektif pada ibu hamil dengan konfirmasi COVID-19 yang melahirkan antara 1 Maret 2020 hingga 31 Maret 2022. Pasien dikelompokkan berdasarkan tingkat keparahan (asimtomatik, ringan, sedang, berat, kritis). Data demografi, klinis, serta luaran ibu dan bayi dikumpulkan. Analisis statistik dilakukan menggunakan SPSS, dengan uji Fisher’s exact dan Kruskal-Wallis untuk bivariat, serta regresi Poisson untuk multivariat (α=5%).Hasil: Hasil penelitian menunjukkan dari 199 ibu hamil yang dianalisis, mayoritas bersifat asimtomatik (42,7%) atau ringan (37,2%). Keparahan penyakit yang lebih tinggi secara signifikan berhubungan dengan peningkatan kebutuhan perawatan ICU/semi-ICU dan terapi oksigen, serta komplikasi neonatal. Setelah penyesuaian, COVID-19 sedang–kritis berkorelasi dengan peningkatan risiko ICU/semi-ICU (p=0,012, aRR 14,6; 95% CI 1,8–118,2) dan terapi oksigen (p=0,001, aRR 12,2; 95% CI 2,7–55,3). Kasus ringan tidak menunjukkan hubungan dengan luaran buruk.Kesimpulan: Keparahan COVID-19 sedang hingga kritis pada kehamilan meningkatkan risiko luaran buruk sehingga diperlukan identifikasi dini dan pemantauan ketat.
Prediction of Height from Various Limb Measurement Syafira, Aisha Dinda; Huspa, Fitri Agustina; Wahyudi, Kurnia
Jurnal Forensik dan Medikolegal Indonesia Vol 6 No 1 (2025): Jurnal Forensik dan Medikolegal Indonesia
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jfmi.2025.6.1.13038

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Height has an important role in forensic medicine and clinical context, namely for biological profile identification of missing or unknown individuals and to provide an easier way to assess nutritional status of bedridden patients or elderly. This literature review aims to explore the variations in height prediction formulas based on limb bone length and to identify the advantages and limitations of these prediction techniques. Scientific studies were selected from Google Scholar, Scopus, and PubMed. Boolean operators and filters were applied to limit only relevant studies. The inclusion criteria in this research are research published in journals in the period 2019-2024, in the form of articles and not pre-prints, in Indonesian or English, research conducted on living humans, full research access-text and free. The exclusion criteria in this research are child and elderly research participants, research participants who suffer from certain diseases, and research using supporting examinations or artificial intelligence. These studies were then selected by using PRISMA flow. 30 articles were included in this study from 367 results. Most of the studies show that there is a positive correlation between stature and limb bone length. Therefore, height can be predicted by limb bone length but should consider population variations such as age, gender, ethnicity, nutritional status, and medical conditions. Keywords: stature, estimation, prediction, limb bone length