Articles

DEVELOPMENT OF A PROTOTYPE OF MALARIA CLINICAL DIAGNOSTIC DECISION SUPPORT SYSTEM Harefa, Sudarta Yabesman; Lazuardi, Lutfan; Fuad, Anis
Tropical Medicine Journal Vol 1, No 2 (2011): Tropical Medicine Journal
Publisher : Fakultas Kedokteran bekerjasama dengan PETRI

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Introduction : Malaria is a public health problem that still causes mortality, particularly in high risk population. Kabupaten Nias is one of the malaria endemic areas. Malaria diagnosis is mainly determined according to physical examination, despite the fact that laboratory examination is the gold standard of malaria diagnosis. To help health workers in diagnosing malaria accurately, it is necessary to develop a decision support system for malaria diagnosis.Objectives: To develop a prototype of malaria diagnostic decision support system.Methods: It was a descriptive study with action research design to explore each phase in the development of a prototype of malaria diagnostic decision support system. Participants of the study consisted of 5 general practitioners in RSU Gunungsitoli and 2 nurses in Puskesmas Gunungsitoli.Results: The study created an application model of computer-based malaria diagnostic decision support system designed using PHP programming language and MySQL database. This system worked by entering malaria clinical symptoms into the expert system, and data of symptoms were processed by the expert system to determine diagnosis and medical advice that was useful to assist health staff in making decision.Conclusion: Malaria diagnostic decision support system that had been developed attracted the interest of health workers and help them in diagnosing malaria clinically.Keywords: diagnostic decision support system, prototype, malaria, computer application, Gunungsitoli
Pola sebaran tingkat infeksi bersama serotipe virus dengue di wilayah kajian RT-PCR Balai Besar Teknik Kesehatan Lingkungan dan Pengendalian Penyakit Yogyakarta: analisis data 2013-2015 Wakano, Fitria; Lazuardi, Lutfan; Arguni, Eggi; Kusnanto, Hari
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

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Pattern of concurrent infection of dengue virus serotype in the regional study areas of Yogyakarta Center for Environmental Health and Diseases Control: an analysis of  2013-2015 dataPurposeThis study aimed to determine the pattern in the spread of infection rates with dengue viral serotypes.MethodsThe study was a descriptive research with spatial mapping methods. Data of 132 respondents were collected based on RT-PCR in 2013-2015. The complete address of the village-level patient from the dengue arbovirosis surveillance data of the Center for Environmental Health and Diseases Control Yogyakarta were used to determine the coordinate points with utilization of RBI and Google Earth maps in searching addresses for distribution of case coordinate points. ResultsThere were similarities with the most complex quadruple joint infection rates of DEN in Semarang and Yogjakarta, while Kebumen obtained double DEN level. Three patterns of infection with DEN-1 and DEN-3 have p-value < 0.05 in Semarang in 2014, Sragen in 2015 and Semarang 2013 and 2 patterns in Gunung Kidul 2014 and Kulon Progo 2015. The patterns of infection with DEN-1, DEN-2 and DEN-3 in 2015 were covering Sragen and Semarang in 2013.ConclusionThe most complex areas of infection were Semarang and Yogyakarta. The pattern of most likely cluster infection with DEN-1 and DEN-3 and DEN-1, DEN-2 and DEN-3 allegedly was a result of two infected patients, different serotypes of different mosquitoes or infection of more than one serotype of Ae. aegypti or Ae. albopictus as the main vector.
Pemetaan Sistim Informasi Geografis untuk Menggambarkan Kejadian dan Faktor Risiko Infeksi Nosokomial Overview of The Incidence and Risk Factors for Nosocomial Infections Using a Geographic Information System Maps Setianto, Rochady; Lazuardi, Lutfan; Dahesihdewi, Andaru
Jurnal Sains Medika Vol 5, No 2 (2013)
Publisher : Fakultas Kedokteran UNISSULA

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Abstract

Pasien rawat inap beresiko sangat tinggi untuk terjadinya infeksi nosokomial karena berbagai alasan. Mereka cenderung lebih rentan terhadap infeksi karena kondisi penyakit yang mendasari mereka, tetapi risiko mereka diperparah ketika pasien menjalani prosedur invasif. Jika pasien terganggu sistem kekebalannya, maka mikroorganisme yang biasanya tidak patogen mampu menyebabkan penyakit. Peta adalah metode pengilustrasian data epidemiologik untuk menyampaikan data tertentu dengan mudah dan cepat. Peta dapat digunakan untuk menunjukkan tempat sebuah penyakit atau kejadian terjadi. Pemetaan kejadian infeksi nosokomial di Rumah Sakit Sultan Agung adalah metode yang dikembangkan untuk surveilans infeksi nosokomial. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan rancangan cross sectional study. Penelitian ini menggambarkan faktor risiko infeksi nosokomial dengan kejadian infeksi nosokomial yang terjadi berdasarkan point time. Faktor risiko adalah faktor ekstrinsik dan faktor instrinsik. Berdasarkan gambar spasial pada peta, secara ektrinsik kejadian infeksi nosokomial baling banyak adalah Plebitis. Kejadian Plebitis terjadi terkait dengan penempatan titik cuci tangan handrub. Sedangkan faktor intrinsik gambaran Plebitis dan Infeksi Luka Operasi (ILO) di ruang rawat inap distribusi paling banyak pada pasien usia 50 tahun dengan gangguan integritas kulit akibat pemasangan infus dan secara fisik disebabkan penurunan imunitas berkaitan dengan berbagai macam penyakit yang mendasari. Kejadian infeksi nosokomial di ruang rawat inap adalah faktor predisposisi primer seperti umur dan predisposisi permasalahan klinis terkait penyakit dasar dapat memperlemah sistem imun pasien, sehingga prosedur dan tindakan medis yang paling sederhanapun berpotensi menimbulkan infeksi nosokomial.Hospitalized patients have a high risk of getting nosocomial infections due to various reasons. They tend to be more susceptible to infection because of their underlying disease condition, and they have higher when patients undergo invasive procedures. If the patient’s immune system is impaired, the non-pathogenic microorganism are capable of causing disease. Map is a method of illustrating an epidemiologic effectively . Maps can be used to show place of incidence. Mapping the incidence of nosocomial infections in Sultan Agung Hospital is a method developed for the surveillance of nosocomial infections. This type of research is a quantitative study with a cross sectional design. This study illustrates the risk factors of nosocomial infection with incidence of nosocomial infections that occur based on time point. Risk factors are extrinsic and intrinsic factors. Based on the spatial image on the map, in extrinsic incidence of nosocomial infections is Plebitis. Genesis Plebitis incidence correlates with the placement of hand washing points handrub. While the intrinsic factor in the Plebitis image and ILO most inpatient distribution in patients aged 50 years with impaired skin integrity due to infusion and physically due to decreased immunity associated with a variety of underlying diseases. Incidence of nosocomial infections in the inpatient unit is the primary predisposing factors such as age and clinical issues related predisposing underlying disease can weaken the immune system of the patient, so that the procedures and even the most basic medical treatment could potentially cause nosocomial infection.
Risk Factor of HIV Infection Among Young Agein Voluntary Counseling Testing (VCT) Clinics of Yogyakarta Saleh, Ismael; Sumardi, Sumardi; Lazuardi, Lutfan
Tropical Medicine Journal Vol 3, No 1 (2013): Tropical Medicine Journal
Publisher : Fakultas Kedokteran bekerjasama dengan PETRI

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ABSTRACTIntroduction: HIV/AIDS is a health problem in the world. The Highest HIV/AIDS cases in Indonesia were reported in young age groups, including in Province of Yogyakarta (DIY). Knowing the determinant and risk factors of HIVis necessary to determine effective prevention programs, especially in young agewhich one of the vulnerable populations, either because of individual and family characteristics, media influence, peer pressure, substance use and risky behavior.Objectives: To know the relationship between risk factors for HIV infection amongyoung age in VCT clinic of Yogyakarta.Methods: This study used a cross-sectional design and the population was young clients at VCT clinics of Yogyakarta. Samples were obtained from VCT clinics of Griya LenteraPKBI Yogyakarta and Edelweis Clinics of Dr Sardjito Hospital. Variable risk factors were obtained byquestionnaire and interviews than HIV test results was obtained from VCT clinics.Results: Of the 62 respondents, 74.2% were female, age average were 24,4 years old, 41.9% level education were junior high school, 82.3% had migration, 62.9% received less monitoring from families, 61.3% ever use the TV / HP for pornography, 56.5% getting high sexual pressure from peers, 62.9% had been smoking and alcohol consumption, 98.4% had ever sexual intercourse, 95.2% had sexual intercourse in the last 6 months, 93.5% risky sexual intercourse, 32.3% HIV positive and 55% through heterosexual.Conclusion: HIV infection among young people in VCT Clinic of Yogyakarta, by bivariate analysis correlated with gender, residency status, education level, relationship with parents, TV / mobile and internet used to watch pornography. However, according to multivariate analysis, HIV infection correlated with education level at senior high school and college, residing with their parents/ family and in the last 6 months are still using alcohol and illicit drugs. It is recommended to enhance more comprehensive prevention for young people in accordance with the factors associated with HIV risk behaviour.Keywords: HIV infection, young age, individual characteristics, family, peers, media usage, substance use, risky behavior.
INTEGRASI SISTEM INFORMASI: AKSES INFORMASI SUMBER DAYA FASILITAS KESEHATAN DALAM PELAYANAN RUJUKAN Sanjaya, Guardian Yoki; Hanifah, Nimah; Prakosa, Hendri K.; Lazuardi, Lutfan
SISFO Vol 6 No 1 (2016)
Publisher : Department of Information Systems, Institut Teknologi Sepuluh Nopember

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Di era Jaminan Kesehatan Nasional (JKN), utilisasi pelayanan kesehatan semakin tinggi melalui pelayanan rujukan&nbsp;berjenjang. Sayangnya ketersediaan informasi sumber daya fasilitas kesehatan menyebabkan pelayanan rujukan dan&nbsp;kegawat-daruratan kurang optimal. Disisi lain, teknologi informasi dan komunikasi dapat memfasilitasi pelayanan&nbsp;rujukan melalui penyediaan informasi sumber daya fasilitas kesehatan di suatu wilayah. Penelitian ini bertujuan untuk&nbsp;merancang sistem informasi terintegrasi untuk mendukung pelayanan rujukan dan kegawat-daruratan medis di DI Yogyakarta. Penelitian dilakukan secara kualitatif untuk menganalisa kebutuhan informasi sumber daya fasilitas&nbsp;kesehatan, merancang integrasi antar sistem informasi secara elektronik, serta penyediaan layanan informasi sumber&nbsp;daya fasilitas kesehatan bagi pengguna. Sebagian besar fasilitas kesehatan, baik layanan primer maupun rumah sakit&nbsp;sudah memiliki sistem informasi elektronik. Sistem informasi terintegrasi dikembangkan untuk mengumpulkan data&nbsp;sumber daya fasilitas kesehatan, dengan mengintegrasikan berbagai macam sistem yang digunakan melalui teknologi&nbsp;web service.
Overview of The Incidence and Risk Factors for Nosocomial Infections Using a Geographic Information System Maps Setianto, Rochady; Lazuardi, Lutfan; Dahesihdewi, Andaru
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 5, No 2 (2013): July-December 2013
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1071.366 KB) | DOI: 10.26532/sainsmed.v5i2.345

Abstract

Hospitalized patients have a high risk of getting nosocomial infections due to various reasons. They tend to be more susceptible to infection because oftheir underlying disease condition, and they have higher when patients undergo invasive procedures. If the patientâ??s immune system is impaired, thenon-pathogenic microorganism are capable of causing disease. Map is a method of illustrating an epidemiologic effectively . Maps can be used to showplace of incidence. Mapping the incidence of nosocomial infections in Sultan Agung Hospital is a method developed for the surveillance of nosocomialinfections. This type of research is a quantitative study with a cross sectional design. This study illustrates the risk factors of nosocomial infection withincidence of nosocomial infections that occur based on time point. Risk factors are extrinsic and intrinsic factors. Based on the spatial image on the map,in extrinsic incidence of nosocomial infections is Plebitis. Genesis Plebitis incidence correlates with the placement of hand washing points handrub. Whilethe intrinsic factor in the Plebitis image and ILO most inpatient distribution in patients aged 50 years with impaired skin integrity due to infusion andphysically due to decreased immunity associated with a variety of underlying diseases. Incidence of nosocomial infections in the inpatient unit is theprimary predisposing factors such as age and clinical issues related predisposing underlying disease can weaken the immune system of the patient, so thatthe procedures and even the most basic medical treatment could potentially cause nosocomial infection.
Pentingnya Renstra SI/TI sebagai Acuan Pengembangan SI/TI (Studi Kasus : Rumah Sakit Grand MEDISTRA Lubuk Pakam) Irmayani, Irmayani; Nugroho, Eko; Lazuardi, Lutfan
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 1, No 2 (2016)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

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Abstract

Latar belakang : Sistem informasi berkontribusi meningkatkan kualitas pelayanan pasien, efisiensi operasional, dan kepuasan pasien. Dengan SI/TI monitoring, koordinasi, dan pengambilan keputusan dapat dilakukan dengan efektif. Hal tersebut bisa dicapai ketika organisasi memiliki suatu perencanaan yang jelas pada organisasinya. Penelitian ini bertujuan untuk mengetahui pentingnya renstra SI/TI sebagai acuan pengembangan SI/TI di RS. Grand MEDISTRA Lubuk Pakam. Metode : Penelitian dilakukan dengan metode collaborative action research. Penelitian dilakukan di RS. Grand MEDISTRA Lubuk Pakam. Penelitian melibatkan 23 orang yang terdiri dari pengguna langsung maupun pengguna tidak langsung. Pengumpulan data dilakukan dengan cara  melakukan wawancara mendalam, Focus Group Discussion (FGD), observasi dan telah dokumen. Hasil : Hasil penelitian menunjukkan bahwasannya pentingnya penyusunan renstra SI/TI yang digunakan sebagai acuan dalan pengembangan SI/TI sehingga pengembangan SI/TI memiliki arahan.Kesimpulan : Disarankan kepada RS. Grand MEDISTRA Lubuk Pakam untuk menyusun Renstra SI/TI.
Polusi udara dan kejadian penyakit kardiometabolik di Indonesia: analisis data IFLS tahun 2014 Dewi, Fitri Kusuma; Lazuardi, Lutfan
Berita Kedokteran Masyarakat (BKM) Vol 33, No 7 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.774 KB) | DOI: 10.22146/bkm.26159

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Latar Belakang: Polusi udara telah terbukti secara mekanisme biologis mampu menyebabkan gangguan oksidasi pada jaringan tubuh, resistensi insulin serta penggumpalan darah yang merupakan parameter sindrom metabolik pemicu penyakit diabetes mellitus dan penyakit kardiovaskuler. Polusi udara Indonesia merupakan negara berkembang yang mayoritas penduduknya masih menggunakan kayu bakar dan batubara yang merupakan sumber utama polusi udara dalam ruangan. Tujuan dari penelitian ini ialah untuk mengetahui hubungan antara polusi udara dalam ruangan akibat penggunaan kayu bakar dengan penyakit kardiometabolik. Metode: Penelitian ini menggunakan desain penelitian kohort prospektif dengan menganalisis data sekunder Indonesian Family Life Survey (IFLS) 2 hingga IFLS 5. Analisis bivariat menggunakan uji regresi logistik dan simple cox regression. Analisis multivariat menggunakan cox regression. Hasil: Paparan polusi udara akibat penggunaan kayu bakar mempercepat kejadian penyakit diabetes mellitus sebanyak 1,32 kali (HR: 1,32; 95% CI: 1,074-1,620) setelah mengontrol variabel status merokok, tingkat pendidikan, indeks massa tubuh, lingkar pinggang, dan wilayah domisili. Penggunaan kayu bakar tidak berhubungan dengan kecepatan onset penyakit kardiovaskuler seperti PJK (HR: 0,86; 95% CI: 0,674-1,121) dan stroke  (HR: 1,36; 95% CI: 0,922-2,020).
Induced-Coagulated Plasma-Fibrin Gels as a Biological Scaffold for Cell Attachment and Proliferation of Umbilical Cord-Derived Mesenchymal Stem Cells (UC-MSC) Hermantara, Rio; Kerans, Fiano A.; R, Rizal; Herningtyas, E. Henny; Lazuardi, Lutfan
Indonesian Journal of Biotechnology Vol 19, No 2 (2014)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (378.872 KB) | DOI: 10.22146/ijbiotech.9310

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Fibrin gels are an ideal natural biological scaffold for tissue engineering because they are biocompatible,biodegradable, and have many biological surface markers. However, most research on fi brin gels used commercialfi brin kits that could be costly and limited in some areas. In this study, fi brin gels were made by inducing bloodcoagulation by adding a common diagnostic kit to assess the time for blood to clot, called activated partialthromboplastin time (aPTT). This induced coagulated plasma (iCoplas)-fi brin gels was evaluated for its ability toenhance biological activity of umbilical cord-derived mesenchymal stem cell (UC-MSC), which were cell attachmentand proliferation. Fibrinogen concentration had infl uence on cell attachment, where only 50% of the cells couldattach to 77 mg/dl fi brinogen gels whereas 93% cells adhered to 154 mg/dl fi brin gels. There were no signifi cantdifferences in cell proliferation on polysterene culture dish and fi brin gels (p>0.05). These results showed thatiCoplas-fi brin gels could be used as a fi brin-based scaffold, yielding no signifi cant difference than polysterene-tissueculture dish cultures in cell attachment and cell proliferation on 154 mg/dl fi brinogen concentration.
Fatalitas dan analisis apasial lokasi rawan kcelakaan lalu lintas di kabupaten Gunungkidul Isfandyari, Aning; Lazuardi, Lutfan
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1122.984 KB) | DOI: 10.22146/bkm.26311

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Tujuan: Penelitian ini bertujuan untuk melakukan analisis terhadap fatalitas kecelakaan dan mengidentifikasi lokasi rawan terjadinya kecelakaan.Metode: Penelitian  ini  merupakan  penelitian  observasional  analitik  dengan  menggunakan desain  studi  cross-sectional. Sampel adalah seluruh kejadian kecelakaan yang tercatat dalam register kecelakaan kepolisian Gunungkidul periode 1 Januari - 31 Desember 2015. Fatalitas kecelakaan akan dianalisis menggunakan uji poisson regression untuk mengestimasi nilai Prevalence Ratio (PR). Lokasi terjadinya kecelakaan akan dianalisis secara spasial menggunakan software ArcGIS 10.4.Hasil: Hasil penelitian menunjukkan bahwa kecelakaan lalu lintas yang terjadi pada pukul 06.00-11.59 (PR 0,31; 95% CI 0,144-0,687) atau 12.00-17.59 (PR 0,40; 95% CI 0,184-0,865), pada jalan menanjak/menurun (PR 2,16; 95% CI 1,144-4,094) atau jalan menikung (PR 1,80; 95% CI 1,013-3,213) serta tipe kecelakaan tunggal (PR 3,59; 95% CI 1,953-6,592) merupakan faktor yang signifikan mempengaruhi fatalitas kecelakaan lalu lintas. Ruas jalan yang memiliki tingkat kerawanan kecelakaan lalu lintas mengelompok di beberapa ruas jalan, antara lain Jalan Yogyakarta-Wonosari, Jalan Karangmojo-Semin, Jalan Wonosari Semanu dan Jalan Wonosari Baron.Kesimpulan: Fatalitas kecelakaan lalu lintas di Gunungkidul dipengaruhi oleh kondisi lingkungan dan tipe kecelakaan. Stakeholder terkait perlu melakukan upaya modifikasi lingkungan terkait kondisi geometrik jalan untuk meminimalisis terjadinya kecelakaan.tes 
Co-Authors Abdul Azis Adi Heru Husodo Agus Pramusinto Aji Setiawan Akhmad Kharis Nugroho Amrina Rosyada Andaru Dahesihdewi Andreasta Meliala, Andreasta Anis Fuad Anwary, Ahmad Zacky Aprizal Aprizal Ashlihah, Sitti Ayulia Fardila Sari, Ayulia Fardila Candra candra Citra Indriani, Citra daswito, rinaldi Dedik Sulistiawan Dewi, Fitri Kusuma Dyah Wulan Sumekar Rengganis Wardani E. Henny Herningtyas, E. Henny Efrizal Efrizal Eggi Arguni, Eggi Eko Nugroho Faizah, Noor Fakultas Kedokteran UGM, Bagian PKMK, Fakultas Kedokteran UGM, Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fiano A. Kerans, Fiano A. Guardian Y. Sanjaya Guardian Yoki Sanjaya, Guardian Yoki Hanifah, Nimah Hardyanto Soebono Hari Kusnanto Harry, Sunandar Hera Nirwati, Hera Huda, Kamarul Indwiani Astuti Ira Dewi Ramadhani Irmayani Irmayani Isfandyari, Aning Ismael Saleh Iswarno, Iswarno Kuntoro Kuntoro Kusrini Kusrini Laksono Trisnantoro Leny Latifah Lutfi Agus Salim Luti, Ignasius Mailoa, Felix Fridom Mansur, Faisal Mohammad Hakimi Mubasysyir Hasanbasri Muhammad Zaini Nana Sumarna, Nana Nilasari, Nilasari Ning Rintiswati Novi Hastuti, Novi Oktaviani, Zakiyah Prakosa, Hendri K. Priyatmoko, Heri Prodi Kesehatan Masyarakat, FKM UNISKA, Bagian Resna, Riksa Wibawa Rio Hermantara, Rio Rizal R, Rizal Rochady Setianto Saputro, Niko Tesni Satibi Satibi Satrisno, Hary Savitri Citra Budi Sitti Rahmah Umniyati Sri Werdati, Sri Sudarta Yabesman Harefa Sukamdi, Dyani Primasari Sumardi Sumardi Sumarni Sumarni Sunartini Sunartini, Sunartini Sutjipto Sutjipto Tetra, Fatwa Sari Tjahjono Kuntjoro Tri Baskoro Tunggul Satoto Wahistina, Rizki Wahyudi Wahyudi Wakano, Fitria Wasilah Rochmah Widada, Trisna Yodi Mahendradhata Yusman, Marnaza