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Neuropsychiatric Manifestation Screening among Systemic Lupus Erythematosus Patients in Hasan Sadikin General Hospital Bandung Putra, Septian Dwi; Ardisasmita, Mulya Nurmansyah; Hamijoyo, Laniyati
Indonesian Journal of Rheumatology Vol 9, No 2 (2017)
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.773 KB)

Background: Systemic Lupus Erythematosus (SLE) is an autoimmune diseases caused by deposition of immune complex with the involvement of various organ system and certain autoantibodies production. One of the most significant manifestation is neuropsychiatricsymptoms, known as NPSLE (Neuropsychiatric Systemic Lupus Erythematosus). This study aims to portray the distribution of neuropsychiatric manifestation of SLE patients using a screening method in Hasan Sadikin General Hospital.Method: An observative, descriptive categoric study, with consecutive sampling were done. Data were collected by spreading the questionnaire to subjects diagnosed as SLE who visiting Hasan Sadikin General Hospital during August-October 2016 and by tracingtheir medical records. Data analyzed included age, sex, education background, duration of lupus, diagnosis criteria, ongoing therapy, and neuropsychiatric manifestation.Result: Samples volunteered in this study were 97 patients. Of them 94 patients (96.9%) were women and 47 patients (48.5%) were senior high school graduated. Most common diagnosis criteria found was positive ANA test (91.8%). Most necessary ongoing therapygiven was methylprednisolone (96.9%). Common neuropsychiatric manifestations were mood disorders (73,2%), headache (57,7%), and mononeuropathy (51,5%).Conclusion: The common psychiatric, central nervous, and peripheral nervous manifestations were mood disorder, headache, and mononeuropathy, respectively.Keywords: Neuropsychiatry, NPSLE Screening,Systhemic Lupus Erythematosus

Correlation between Learning Comfort and the Risk of Musculoskeletal Disorder in Anatomy Laboratorium Activity Based on RULA Method Lubis, Leonardo; Putri, Jesslyn Christianningrum; Ardisasmita, Mulya Nurmansyah
International Journal of Integrated Health Sciences Vol 7, No 1 (2019)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v7n1.1566

Objective:Â To describe learning comfort in the anatomy class of the Faculty of Medicine, Universitas Padjadjaran as one of the learning facilities, to assess the risk of musculoskeletal disorders in students, and to observe correlation between learning comfort and the risk of musculoskeletal disorders in students.Â Method:Â A cross sectional research design conducted to the participants that were students from batch 2017 (second year), faculty of Medicine, Universitas Padjadjaran as the population sample. Data were taken using a Likert scale questionnaire (very uncomfortableâ€“very comfortable) about the comfort aspects in the class, meanwhile the risk of musculoskeletal disorders were assessed by using Rapid Upper Limb Assessment (RULA). After data collection, there were 106 respondents with complete data, then the data were processed by using descriptive statistical analyses. The correlation between the two variables was analyzed using the Gamma correlation test.Results: Majority of the students were very comfortable with the aspects of learning comfort (majority scale 5), except in aspects of furniture, work area, room aroma, personal storage area, maintenance and repair. A moderate risk level of musculoskeletal disorders (58.5%) was found in the majority of the students. There was a relative significant relationshipÂ between learning comfort and the risk of musculoskeletal disorders in the aspect of colors (Î³=0.445, p<0.01).Conclusion:Â There is a significant relationship between learning comfort in the aspect of colors and the risk of musculoskeletal disorders. Other aspects do not indicate a significant relationship.Keywords: Learning comfort, risk of musculoskeletal disorders, RULAÂ

GAMBARAN KEKUATAN, DAYA TAHAN OTOT, POWER, KELENTUKAN, KECEPATAN REAKSI, DAN DAYA TAHAN JANTUNG PARU ATLET CABANG OLAHRAGA TENIS MEJA JAWA BARAT PON XVIII/2012 RIAU BERDASARKAN STANDAR KONI PUSAT Annisa Putri; Mulya Nurmansyah Ardisasmita
JURNAL ILMU FAAL OLAHRAGA INDONESIA Vol 2, No 2 (2019)
Publisher : PAIFORI

On PON XVIII/2012 Riau, achievements earned by West Java table tennis athletes were not the best. Those athletes only earned 1 silver medal and 1 bronze medal. One of several factors influencing these athlete’s achievement is physical condition of the athlete. Underwhelming achievements may be caused by discrepancy of athlete’s physical condition with Central KONI standards. This study aimed to describe predominant physical components of West Java table tennis athletes in PON XVIII/2012 Riau according to Central KONI standard. The study was conducted using descriptive study design and cross sectional approach using secondary data that has been measured by Sport Medicine field of KONI West Java. Secondary data consists of predominant physical components in table tennis athletes, which are strength, muscle endurance, power, flexibility, reaction speed, and heart lung strength, that will be compared to Central KONI standard. Based on Central KONI standard, there were predominant physical component of West Java table tennis athletes in PON XVIII/2012 Riau still on deficient and adequate level, which were arm and shoulder muscle strength, leg muscle strength, abdominal muscle endurance, arm muscle power, and heart lung endurance in male athletes; and arm and shoulder strength, abdominal muscle endurance, leg muscle strength, and heart lung endurance in female athletes. There were still predominant physical components of West Java table tennis athletes that have not achieved good, very good or perfect category according to Central KONI standard. Hence, efforts to coach athletes through scalable and well programmed training are needed. In conclusion, an athlete can earn gold medal if predominant physical component capability of said athlete achieved good, very good or perfect category.

Gambaran Penyakit Berdasarkan Keluhan Utama Dari Rekam Medis Elektronik Pasien Rawat Jalan Puskesmas Kota Bandung Tahun 2015 Mutiara Dewi Restuningrum; Sri Yusnita IrdaSari; Mulya Nurmansyah Ardisasmita
Jurnal Sistem Kesehatan Vol 4, No 3 (2019): Volume 4 Nomor 3 Maret 2019
Publisher : Universitas Padjadjaran

Pusat Kesehatan Masyarakat (Puskesmas) adalah fasilitas pelayanan kesehatan tingkat pertama yang menyelenggarakan Upaya Kesehatan Masyarakat dan Upaya Kesehatan Perseorangan. Keluhan utama yang paling banyak dikeluhkan oleh pasien yang berobat ke puskesmas diklasifikasikan menjadi 20 keluhan utama. Sampai saat ini belum ada informasi yang menjelaskan mengenai gambaran keluhan utama di puskesmas. Hasil penelitian diharapkan dapat memberikan gambaran penyakit berdasarkan keluhan utama dari rekam medis elektronik pasien rawat jalan puskesmas Kota Bandung tahun 2015. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan desain potong lintang (cross-sectional). Subjek penelitian terdiri dari pasien yang berobat ke poli umum dan tercatat di 10 rekam medis elektronik (format TOMI) di Puskesmas Kota Bandung tahun 2015. Keluhan utama yang paling sering dijumpai adalah dispepsia sejumlah 16.263 pasien (19,525%), sakit tenggorokan 14.835 pasien (17,811%), dan diare sejumlah 10.928 pasien (13,120%). Berdasarkan kelompok umur, umur 0-4 tahun paling banyak terkena diare, umur 5-14 tahun paling banyak sakit tenggorokan, umur 15-64 tahun paling banyak terkena dispepsia, dan umur ≥65 tahun paling sering mengeluhkan nyeri sendi. Berdasarkan jenis kelamin, wanita paling banyak mengeluhkan dispepsia, nyeri sendi, sakit kepala, sakit punggung, dan sakit perut. Keluhan utama pasien yang paling sering dijumpai di puskesmas Kota Bandung tahun 2015 adalah dispepsia, sakit tenggorokan, dan diare.Kata Kunci: Keluhan utama, Puskesmas, Rekam medis elektronik.

Neuropsychiatric Manifestation Screening among Systemic Lupus Erythematosus Patients in Hasan Sadikin General Hospital Bandung Septian Dwi Putra; Mulya Nurmansyah Ardisasmita; Laniyati Hamijoyo
Indonesian Journal of Rheumatology Vol. 9 No. 2 (2017): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Background: Systemic Lupus Erythematosus (SLE) is an autoimmune diseases caused by deposition of immune complex with the involvement of various organ system and certain autoantibodies production. One of the most significant manifestation is neuropsychiatricsymptoms, known as NPSLE (Neuropsychiatric Systemic Lupus Erythematosus). This study aims to portray the distribution of neuropsychiatric manifestation of SLE patients using a screening method in Hasan Sadikin General Hospital.Method: An observative, descriptive categoric study, with consecutive sampling were done. Data were collected by spreading the questionnaire to subjects diagnosed as SLE who visiting Hasan Sadikin General Hospital during August-October 2016 and by tracingtheir medical records. Data analyzed included age, sex, education background, duration of lupus, diagnosis criteria, ongoing therapy, and neuropsychiatric manifestation.Result: Samples volunteered in this study were 97 patients. Of them 94 patients (96.9%) were women and 47 patients (48.5%) were senior high school graduated. Most common diagnosis criteria found was positive ANA test (91.8%). Most necessary ongoing therapygiven was methylprednisolone (96.9%). Common neuropsychiatric manifestations were mood disorders (73,2%), headache (57,7%), and mononeuropathy (51,5%).Conclusion: The common psychiatric, central nervous, and peripheral nervous manifestations were mood disorder, headache, and mononeuropathy, respectively.Keywords: Neuropsychiatry, NPSLE Screening,Systhemic Lupus Erythematosus

Challenges in the Diagnosis and Management of Intracranial Abscess in Developing Countries: A Retrospective Study from a Tertiary Hospital in Indonesia Imron, Akhmad; Turbawaty, Dewi Kartika; Sumargo, Sheila; Ardisasmita, Mulya Nurmansyah
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 2 (2023): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v17i2.5800

Despite progressive development of antibiotics and surgical approaches, outcomes in patients with intracranial abscess remained far from ideal. This paper aimed to describe challenges in the diagnosis and treatment of intracranial abscess in developing countries based on study from a tertiary hospital in Indonesia. A retrospective study was performed and included patients who were suspected of intracranial abscess at a tertiary referral hospital in Indonesia between January 1, 2012 and January 1, 2020. Clinical, radiological and laboratory characteristics were analyzed. Two-hundred-and-seventy-seven patients were initially enrolled. Age (p = 0.001), GCS at admission (p = 0.009), comorbidity with hypoalbuminemia (p = 0.003) and hydrocephalus (p = 0.009) are significantly associated with patients’ GCS when discharged. Results from culture and resistance tests could only be retrieved from 66 patients, with 33 (50%) obtained negative results, while the other 33 (50%) results were positive, consisted of 20 (60.6%) were of gram-negative bacteria and 13 (39.4%) were of gram-positive bacteria. Treatments that are directed to hypoalbuminemia and hydrocephalus should also be prioritized when any of these comorbidities exist.

Patients Satisfaction with the Chronic Disease Management Program in Indonesia Using the Importance-Performance Matrix Kusumawardana, Ramza Aurum; Sunjaya, Deni Kurniadi; Gondodiputro, Sharon; Raksanagara, Ardini Saptaningsih; Ardisasmita, Mulya Nurmansyah; Widjajakusuma, Anggraini
Althea Medical Journal Vol 11, No 1 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n1.2780

Background: Indonesia still has a high prevalence of hypertension and diabetes mellitus. On the other hand, essential health services were disrupted during the COVID-19 pandemic. Hence, the quality of service still needs to be prioritized. The government also obliges the government-owned primary healthcare facilities (Pusat Kesehatan Masyarakat, Puskesmas) to conduct customer satisfaction surveys to evaluate service quality. This study was conducted to analyze patients’ satisfaction with the chronic disease management program (Program Pengelolaan Penyakit Kronis, Prolanis) provided by Puskesmas in Bogor City.Methods: Quantitative research with a survey approach using the CSI-29 questionnaire was conducted from October to November 2021 on 104 Prolanis participants from 6 Puskesmas in Bogor City, West Java, Indonesia. The variables were 9 dimensions of satisfaction based on the CSI-29 questionnaire. Data was transformed using the Rasch model and analyzed using the Importance-Performance Matrix (IPM).Results: Of the 104 participants, there were 78 (75%) were satisfied with the Prolanis services provided by the Puskesmas. The IPM analysis showed that the dimensions of requirements, procedures, costs, type of service products, and attitudes of health workers had low expectations and perceived performance level.Conclusions: Most of the Prolanis participants were satisfied with the Prolanis services provided by the Puskesmas in Bogor City.

Development of Disability Inclusion Capacity Instrument for Community Cadres: Rasch Model Analysis Hartopo, Daniel Francis; Hilfi, Lukman; Ardisasmita, Mulya Nurmansyah
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 2 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i2.452

Adding to their relatively high number, people with disabilities in Indonesia also face various challenges. Given such high prevalence, cadres have an important role in promoting disability inclusion. It is crucial to measure the level of knowledge, attitudes, and behaviors of these cadres regarding disability inclusion, for example, by using an instrument. To test the validity and reliability of such an instrument, statistical analysis methods like the Rasch Model Analysis are applicable due to their advantages. This study evaluates the construct validity of the Hilfi & Kaylia Disability Inclusiveness Perception instrument among health cadres. The study used a cross-sectional design using secondary data from the Disability Inclusion Capacity instrument administered to 709 cadres residing in Bandung City, Indonesia, from July to December 2024. Construct validity was analyzed using the Rasch model. Data from 626 participants who met the criteria showed that the average outfit mean-square (MnSq) for the 25-item version of the instrument met Rasch model expectations (0.92). However, item J1 was identified as a misfitting item (outfit MnSq > 1.4 and outfit Z-standard (ZSTD) > 2) across all three versions of the instrument. The explained variance was found to be 44.1%. Reliability and separation index results were excellent, with Cronbach’s alpha at 0.96 and separation index above 2. However, category response functioning and targeting did not fully meet Rasch model expectations. Nonetheless, it can be concluded that the Hilfi & Kaylia Disability Inclusiveness Perception Instrument has acceptable construct validity with the sample of health cadres in Bandung City, Indonesia.

Geographic Accessibility towards Primary Health Care in Karawang District Ramadina, Nabila; Ardisasmita, Mulya Nurmansyah; Sujatmiko, Budi
Kesmas Vol. 16, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Health accessibility refers to the availability of health care services accessible to the community as required. However, the convenience of accessing such services vary throughout regions due to geography. Hence differences in geographic accessibility can be an obstacle to accessing health care. This study characterized the influence of geographic accessibility on primary health care (PHC) in Karawang District. A cross-sectional study was conducted in November 2019 in five sub-districts of Karawang District. Respondents were interviewed using questionnaires to collect geographic (mileage and travel time from respondents’ house to nearest PHC) and transportation (mode of transportation and transportation cost) data. In total, the study involved 513 randomly selected households, of which 11% had far to travel to the PHC, 22% had a long traveling time, and 23% had expensive transportation costs, with motorcycles being the most common means of transport. Therefore, PHCs in several sub-districts in Karawang District are less accessible due to geographic barriers.

Construct Validity of the Kessler Psychological Distress Scale (K-10) Instrument in the Elderly with Disabilities: Rasch Model Analysis Hilfi, Lukman; Ardisasmita, Mulya Nurmansyah; Nuril Mahra, Fauzura
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 3 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i3.453

Aging contributes to functional decline and heightened psychological distress that affects the older adults’ quality of life. The World Health Organization (WHO) recommends the 10-item Kessler Psychological Distress Scale (K-10) for assessing psychological distress, however the Classical Test Theory (CTT)-based evaluation method has limitations. Item Response Theory (IRT), specifically the Rasch model, offers a more accurate method for measuring the instrument’ validity and reliability. This study examined the construct validity of the K-10 Indonesian version in older adults with disabilities. A cross-sectional method and secondary data from 321 elderly individuals (≥60 years) with disabilities in Bandung City, Indonesia, were used between August and February 2025. The Instrument’s construct validity of was analyzed by performing the Rasch model. A total of 315 responses were eligible for analysis. The K-10 showed an overall fit to the Rasch model (mean outfit MnSq = 1.03±0.27). Item C10 (“feel worthless”) was identified as misfitting (outfit MnSq >1.4; ZSTD >2), although no factor bias was detected. The explained variance reached 54.10%. Reliability indicators were strong, with a Cronbach’s alpha of 0.89 and a person separation index above 2. However, category functioning and targeting did not fully meet Rasch expectations. The correlation between K-10 and WHODAS 2.0 showed a moderate positive relationship, though it did not reach the criterion for convergent validity (r >0.6). The Indonesian version of the K-10 has acceptable construct validity in a sample of older adults with disabilities in Bandung City, Indonesia.

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