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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Transforma: Jurnal Manajemen
Andika Afriansyah, Andika
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Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health

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TRANSITION FROM PRONE TO SUPINE PERCUTANEOUS NEPHROLITOTOMY: EVALUATING THE LEARNING CURVE FROM THE SINGLE SURGEON EXPERIENCE Ali, Zulfikar; Afriansyah, Andika
Indonesian Journal of Urology Vol 28 No 2 (2021)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v28i2.680

Abstract

Objective: This study aims to evaluate the learning curve of the urologist to perform supine PCNL and the perioperative outcome of patients based on a single surgeon’s experience. Material & Methods: 60 consecutive patients who underwent modified supine PCNL for renal stone were analyzed. A single experienced urological surgeon performed the supine PCNL. Mean operative time, drop in hemoglobin level, stone-free rate, complications, and length of hospital stay were analyzed to evaluate the learning curve of the surgeon. All parameters were compared among all six groups obtained from the 60 cases in chronological order. Besides, the outcomes of supine PCNL were also compared to prone PCNL. Results: Mean operative time from 60 cases of supine PCNL was 100 ± 27 minutes. The mean operative time was decreased over time, particularly after 20 cases. Significantly different mean operative times (89 ± 14 minutes vs. 126 ± 21 minutes, p < 0.001) in the groups of cases 21-60 compared to the group of 1–20 cases were observed. The total stone-free rate for supine PCNL from all cases was 68%. There was no difference regarding the reduction of hemoglobin level, stone-free rate, hospital stay, and complication rate. No major complication was found among study subjects. Supine PCNL showed similar outcome parameters compared to prone PCNL. Conclusion: The surgeon acquired the surgical competencies to perform supine PCNL after 20 cases. The supine PCNL could remove the kidney stone as effective and safe as prone PCNL.
ACCIDENTAL PENILE FRACTURE CAUSED BY SELF-INVOLVEMENT IN THE ABSENCE OF SEXUAL ACTIVITY: A CASE REPORT Falamy, Ryan; Mirza, Hendy; Afriansyah, Andika
Indonesian Journal of Urology Vol 31 No 2 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i2.858

Abstract

Objective: This study aims to present a case of accidental penile fracture without sexual activity. Case(s) Presentation: A 40-year-old guy was sent to our emergency center nine hours prior to admission with oedema and lack of tumescence on the penis. There were no records of sexual activity or masturbation. The patient was treated for a hematoma and a fracture. The patient raised no complaints during his one-week and two-month follow-up visits after the procedure. Discussion: A urological emergency involving penile fracture is uncommon. It is important to avoid unnecessary delays in obtaining medical help. In the current case study, with urgent surgical intervention, corporal tears were repaired. Recent research recommends prompt surgical treatment of penile fractures, as this appears to be associated with fewer complications and better results. Conclusion: A penile fracture that requires immediate surgical treatment can preserve erectile and voiding function. Keyword: Penile fracture, urological emergency, surgical treatment.
The Influence Of Work Discipline And Physical Work Environment On Employee Performance At PT. Inkaprima Jaya Jakarta Selatan Afriansyah, Andika; Prabowo, Budhi
Transforma Jurnal Manajemen Vol. 3 No. 1 (2025): Transforma: Jurnal Manajemen
Publisher : Pascasarjana Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56457/tjm.v3i1.169

Abstract

The aim of this research is to determine the influence of work discipline and work environment on the performance of PT Inkaprima Jaya South Jakarta employees, both partially and simultaneously. The research method used is a quantitative method with an deskriptif approach. The sampling technique used was saturated sampling technique, namely using a sample of 75 respondents from the entire population. The data analysis techniques used are instrument testing, classical assumption testing, linear regression analysis, correlation coefficient analysis, determination coefficient analysis, hypothesis testing. This is proven by the results of the work discipline hypothesis test, which obtained a tcount value of 4,763 > ttable 1,293 and was strengthened by the ? value < Sig.0.05 or a significance value < 0.05 (0.000 < 0.05). The work environment obtained a tcount value of 0.778 > ttable 1,293 and is strengthened by the ? value < Sig.0.05 or significance value < 0.05 (0.439 > 0.05). The research results of work discipline and work environment simultaneously have a positive and insignificant effect on employee performance at PT Inkaprima Jaya South Jakarta, shown by the multiple linear regression equation Y = 19.557 + 0.427X1 + 0.012X2. This is proven by the results of simultaneous hypothesis testing obtained by the Fcount value (11,200 > Ftable 3.12) and reinforced by the significance value < 0.00 (0.000 < 0.05). The results of the coefficient of determination test for work discipline and work environment variables have an influence of 23.7% on employee performance at PT Inkaprima Jaya South Jakarta. Thus H01 is accepted and H3 is rejected. This means that it is proven that there is a simultaneous insignificant influence between work discipline (X1) work environment (X2) on employee performance (Y)
Urodynamic parameters as predictors of percutaneous tibial nerve stimulation outcomes in overactive bladder patients Indraswari, Madhyra Tri; Rahardjo, Harrina Erlianti; Seno, Doddy Widyawan Hami; Mirza, Hendy; Afriansyah, Andika
Medical Journal of Indonesia Vol. 34 No. 4 (2025): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257836

Abstract

BACKGROUND Percutaneous tibial nerve stimulation (PTNS) is an emerging overactive bladder (OAB) treatment. However, some patient characteristics can affect its effectiveness. Urodynamic studies help diagnose OAB by evaluating bladder function. This study aimed to identify prognostic factors for PTNS treatment based on urodynamic parameters. METHODS A retrospective study was performed on 108 patients with OAB who underwent PTNS at Persahabatan Hospital, Jakarta, Indonesia, between January 2022 and January 2023. Patients with primary OAB received an 8-week PTNS regimen and were grouped into success and failure. Pre-treatment urodynamic parameters were extracted and compared between groups. Additional multivariate Cox regression analysis was performed to identify risk factors associated with PTNS failure. RESULTS Of 108 patients (mean age: 51.69 [17.5]), 77 (73.1%) responded favorably to PTNS treatment. Three significant covariates of PTNS failure were identified: initial sensation volume (hazard ratio [HR]: 6.312; 95% confidence interval [CI]: 1.94−20.49), detrusor overactivity (DO) (HR: 8.476; 95% CI: 1.89−38.095), and infravesical obstruction (IVO) (HR: 5.213; 95% CI: 1.40−19.41). CONCLUSIONS Urodynamic predictors including abnormal first sensation volume, DO, and IVO were observed as risk factors for PTNS failure. These findings can help medical professionals personalize PTNS treatment, enhancing patient outcomes and satisfaction.
Co-Authors Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Bangsawan, Kiwah Andanni CHAIDIR A MOCHTAR, CHAIDIR A Doddy Hami Seno Dyandra Parikesit, Dyandra Falamy, Ryan Harrina E Rahardjo, Harrina E Harrina Erlianti Rahardjo, Harrina Erlianti Indraswari, Madhyra Tri Mirza, Hendy Muhammad I Akbar, Muhammad I Nusaly, Harry Pande MW Tirtayasa, Pande MW Prabowo, Budhi Purnomo , Nugroho Rainy Umbas Seno, Doddy Widyawan Hami Siregar, Moammar Andar Roemare Yusuf, Abdul M Zulfikar Ali, Zulfikar