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All Journal Jurnal Ibu dan Anak Berita Kedokteran Masyarakat AJDHM
Atriana, Dinda
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Health Professions Nursing Public Health

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Managing External Radiation Exposure and Area Zoning in Industrial Radiography Training: A Case Report Arifin, Gusti Sultan; Atriana, Dinda; Abadha, Aksin Maula; Pribadi, Ari Prayogo; Promkhum, Dangfun; Fauzi, Desta Zul
ASEAN Journal of Disaster Health Management (AJDHM) Vol 2 No 1 (2026): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v2i1.21109

Abstract

Industrial radiography poses significant risks of external radiation exposure, particularly in training and operational environments. Effective radiation protection requires comprehensive understanding and application of key safety principles, including time, distance, shielding, and radiation zone identification. This study aims to evaluate external radiation exposure control through a series of practical activities conducted at the Vocational of Nuclear Technology X. Twenty-one participants performed tasks using gamma radiation sources to identify potential hazards, determine control and supervision areas, evaluate dose rate variations with distance and time, and assess the effectiveness of shielding materials. Data were collected through direct measurement and theoretical calculations and analyzed thematically. Findings confirmed that increasing distance and reducing exposure time significantly lowered dose rates, while shielding materials such as lead and concrete effectively attenuated gamma radiation. Conclusions: The study concludes that practical, scenario-based training reinforces technical competencies and safety culture among trainees. The results offer a valuable reference for students, researchers, and radiation workers in understanding external radiation management within radiographic practices.
Operationalization of a District-Level Health Emergency Operation Center During the Mount Semeru Eruption: A Field Report Yogadhita, Gde Yulian; Atriana, Dinda; Sutono, Sutono; Pangaribuan, Happy R; Wibowo, Bayu; Setiawati, Hani; Lestari, Sri; Fitriana, Ririn; Ramadhanjaya, Rakhmad; Hermawan, Dody; Oktafianto, Sonny
ASEAN Journal of Disaster Health Management (AJDHM) Vol 2 No 1 (2026): January
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v2i1.25548

Abstract

Introduction: Indonesia is highly prone to natural disaster, including volcanic eruptions that often generate sudden public health emergencies requiring rapid coordination and effective management of health resources. The eruption of Mount Semeru in December 2021 caused mass displacement and increased demand for emergency health services in Lumajang District, East Java. Objective: This field report aims to describe the establishment and operationalization of a district-level Health Emergency Operations Center (HEOC) during the acute response to the Mount Semeru eruption. Methods: A descriptive field report design was applied using operational documents, real-time coordination records, and field observations collected during the first ten days of the emergency response. Data were analyzed descriptively to examine coordination mechanisms, information management, volunteer deployment, and logistics monitoring. Results: HEOC activation strengthened command and coordination through routine coordination meetings, centralized health information management, structured volunteer deployment, and integrated logistics monitoring. These mechanisms improved situational awareness, reduced duplication of efforts, and supported timely operational decision-making despite resource constraints. Conclusion: The operationalization of a district-level HEOC enhanced health sector coordination and operational efficiency during the acute response phase. This report provides practical insights into HEOC implementation and highlights its importance for strengthening district-level health emergency preparedness in disaster-prone settings.
Kanjuruhan Football Stampede (2022): Gaps in Disaster Preparedness and Response Mass-Casualty Management at A Mass Gathering Event Yogadhita, Gde Yulian; Agustin, Widiana K; Atriana, Dinda
ASEAN Journal of Disaster Health Management (AJDHM) Vol 1 No 2 (2025): July
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ajdhm.v1i2.24832

Abstract

Introduction: On October 1, 2022, a post-match crowd disturbance at Kanjuruhan Stadium in Malang gave rise to a mass-casualty incident, highlighting deficiencies in disaster preparedness and readiness of medical care teams who are responsive to potential disasters occurred soccer event. Objective: This paper analyses the Kanjuruhan tragedy within the framework of disaster preparedness and mass-casualty management using only data from the initial report and presentation slides. Methods: A qualitative case study based on the Joint Independent Fact-Finding Team report, media reports, and medical responders' testimonies in webinars, as well as an interview with a pre-hospital care coordinator. Data were thematically coded by 5 areas: risk assessment, medical readiness, events timeline, hospital response and coordination. Results: Spectator venues were fit for purpose from the athlete’s point of view but not so much from a spectators. No formal coordination system for command, evacuation, referral, communication between emergency medical service and hospital existed before the event. The use of tear gas caused problems with respiratory distress and crowd crush, while hospitals experienced a lack of patient coordination during influxes, poor triage and resource limitations. Conclusions: The event demonstrates major deficiencies in large-scale events and mass casualty management. Tougher regulations, unified command systems, compatible communications and risk-based planning can help prevent such catastrophes
Co-Authors Abadha, Aksin Maula Agustin, Widiana K Ari Prayogo Pribadi Arifin, Gusti Sultan BAYU WIBOWO, BAYU Fauzi, Desta Zul Happy R Pangaribuan Hermawan, Dody Hrp, Juraida Roito Oktafianto, Sonny Promkhum, Dangfun Ramadhanjaya, Rakhmad Ririn Fitriana Setiawati, Hani Siska Helina, Siska Sri Lestari Sutono Sutono Yogadhita, Gde Yulian