Agus Suwandono
Fakultas Hukum Universitas Padjadjaran

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BEBERAPA FAKTOR RISIKO KEJADIAN HIPERTIROID PADA WANITA USIA SUBUR DI KABUPATEN MAGELANG “STUDI KASUS DI KLINIK LITBANG BP2GAKI MAGELANG” Sari, Erent Ersantika; Susanto, Henry Setyawan; Udiyono, Ari; Suwandono, Agus
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Hyperthyroidism is the condition that occurs due to excessive production of thyroid hormone by thyroid gland which increased the levels of fT4, T4, fT3, and decreased TSH. The results of RISKESDAS showed that the proportion of household iodine suplementation increased to 5% in 2013. This can eventually leads to hyperthyroidism. Last screening by Magelang District Health Department showed that there is 16,67 % cases of Hyperthyroidism in 2013. The purpose of this research is to analyze some risk factors of hyperthyroidism in fertile age women in Magelang District. This research use analytical observation with cross sectional comparative design with 100 sample in endemic area and 54 in non endemic area of GAKI (Iodine deficiency disorders). Logistic Regression was used to analyze data with significance level of 5 %. The results of multivariate analysis showed in endemic GAKI areas, the consumption of iodine capsule (pOR=10,6 p=0,001), stress level (pOR = 8,4 p=0,001), high iodine food (pOR=5,8 p=0,007), iodine salt > 30 ppm (pOR=6,9 p=0,002) and smoke exposure (pOR=4,1 p=0,030) were risk factors of hyperthyroidism. Despite, hormonal contraception (pOR=8,0 p=0,007) was not a risk factor of hyperthyroidism. The results of multivariate analysis showed in non endemic GAKI areas, stress level ( pOR = 11.2 p = 0.002 ) and high iodine food  (pOR = 8.0 , p = 0.007 ) were risk factors of hyperthyroidism. Despite, iodine salt > 30 ppm , hormonal contraception , the consumption of iodine capsule, and smoke exposure have P value ? 0.05 so it was not a risk factors of hyperthyroidism in Magelang District. The results of multivariate analysis showed in Magelang Distric, stress level ( pOR = 41,1  p ? 0,0001 ), high iodine food  (pOR = 11,2 p ? 0.0001), smoke exposure (pOR=3,5 p=0,037) and  the consumption of iodine capsule(pOR =4,97 p=0,016) were risk factors of hyperthyroidism. Despite, iodine salt > 30 ppm and hormonal contraception have P value ? 0.05 so it was not a risk factors of hyperthyroidism in Magelang District.
Pengembangan Instrumen Sumber Daya Rumah Sakit dengan Pendekatan Systematic Review Terintegrasi Manajemen Bencana dan Pandemi Influenza Suwandono, Agus; Adisasmito, Wiku; Aisyah, Dewi Nur
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 6 Juni 2011
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.689 KB) | DOI: 10.21109/kesmas.v5i6.123

Abstract

Pandemi influenza yang terjadi sejak tahun 2009 dan berbagai kejadian bencana karena kondisi geografis Indonesia membutuhkan integrasi komponen sumber daya rumah sakit terintegrasi untuk mengatasi bencana. Penelitian ini bertujuan untuk mengembangkan instrumen sumber dayarumah sakit menggunakan data Riset Fasilitas Kesehatan (Risfaskes) 2011 yang memuat komponen terkait manajemen bencana dan pandemi influenza. Instrumen ini dikembangkan dengan prinsip Client Oriented Research Activity, studi literatur serta diskusi pakar dan tim ahli di tingkat lokal dan nasional. Instrumen ini kemudian diintegrasikan ke dalam manajemen bencana dan pandemi influenza dengan pendekatan systematic review. Dalam integrasi ini, instrumen asli mengalami beberapa modifikasimenghasilkan 49 halaman instrumen rumah sakit yang komprehensif. Instrumen terintegrasi ini dapat digunakan untuk mengamati indeks kinerja rumah sakit yang hasil analisis dan simulasinya bermanfaat untuk meningkatkan perencanaan dan kesiapsiagaan menghadapi bencana danpandemi influenza di Indonesia. Kata kunci: Pandemik influenza, instrumen, sumber daya rumah sakit, systematic reviewAbstractThe rise of influenza pandemic since 2009 and various disasters prevalence in Indonesia due to its geographical condition call for an instrument designed for integrated registry of hospital resources required for overcomingthe disasters. The aim of this research was to develop an instrument of hospital resources registry using Health Facility Research (Risfaskes) 2011 data which contains components related to disaster management and influenza pandemic. The instrument was developed using Client Oriented Research Activity principles, literature study, and discussion with international and national experts. This instrument was further integrated into disaster management and influenza pandemic using systematic review approach. In this integration, several modifications to the original instrument were made resulting in a comprehensive 49 page hospital instrument. The integrated instrument can be employed to observe hospital’s performance index, from which the analysis and simulation results will also contribute to the improvement of disaster and influenza pandemic planning and preparedness in Indonesia.Key words: Influenza pandemic, instrument, hospital resource, systematic review
A modified gentle human touch (GHT) to increase oxygen saturation levels on low birth weight infants: A study at a Private and Public Hospital in Central Java, Indonesia Riadini, Agi Yulia; Suwandono, Agus; Runjati, Runjati
Global Health Management Journal Vol 3, No 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Low birth weight (LBW) care in hospitals often causes discomfort and stress which affect changes in physiological function. Modification of gentle human touch with the left lateral position is described as a treatment for developmental care that supports the comfort and supportive position of the lungs which is expected to have a positive effect on oxygen saturation and respiratory frequency for infants.Aims: This study aimed to find the effect of gentle human touch modification with a left lateral position on oxygen saturation in LBW infants.Methods: This study used a quasi-experimental design study. The population in this study was 36 LBW babies who received care, selected at a private and public hospital in Central Java, Indonesia, using a consecutive sampling technique. The infants were then divided equally to: (i) a group who received a standard human touch given at the hospital, with a supine position (control), and (ii) a group where the infants have been provided with a modified gentle human touch with left lateral position (intervention). The statistical test used was Mann Whitney and Wilcoxon test.Results: From this study, it is acknowledged that modification gentle human touch with the left lateral position was more effective in increasing oxygen saturation than the control group when viewed from clinical changes. The oxygen saturation levels after intervention reached 98 to 99%. However, from the statistical analysis, it has been noted that the mean difference between the two groups is not significantly different at a level of 0.05.Conclusions: A modified gentle human touch with the left lateral position proposed in this study presents a positive contribution to the oxygen saturation of low birth weight infants. Thus, the findings may recommend the modification as a procedure in a hospital care unit for low birth weight infants at hospitals or at home. Keywords: Gentle human touch, Left lateral position, Low birth weight babies, Oxygen saturation.
Pengembangan Instrumen Sumber Daya Rumah Sakit dengan Pendekatan Systematic Review Terintegrasi Manajemen Bencana dan Pandemi Influenza Suwandono, Agus; Adisasmito, Wiku; Aisyah, Dewi Nur
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 6 Juni 2011
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.689 KB) | DOI: 10.21109/kesmas.v5i6.123

Abstract

Pandemi influenza yang terjadi sejak tahun 2009 dan berbagai kejadian bencana karena kondisi geografis Indonesia membutuhkan integrasi komponen sumber daya rumah sakit terintegrasi untuk mengatasi bencana. Penelitian ini bertujuan untuk mengembangkan instrumen sumber dayarumah sakit menggunakan data Riset Fasilitas Kesehatan (Risfaskes) 2011 yang memuat komponen terkait manajemen bencana dan pandemi influenza. Instrumen ini dikembangkan dengan prinsip Client Oriented Research Activity, studi literatur serta diskusi pakar dan tim ahli di tingkat lokal dan nasional. Instrumen ini kemudian diintegrasikan ke dalam manajemen bencana dan pandemi influenza dengan pendekatan systematic review. Dalam integrasi ini, instrumen asli mengalami beberapa modifikasimenghasilkan 49 halaman instrumen rumah sakit yang komprehensif. Instrumen terintegrasi ini dapat digunakan untuk mengamati indeks kinerja rumah sakit yang hasil analisis dan simulasinya bermanfaat untuk meningkatkan perencanaan dan kesiapsiagaan menghadapi bencana danpandemi influenza di Indonesia. Kata kunci: Pandemik influenza, instrumen, sumber daya rumah sakit, systematic reviewAbstractThe rise of influenza pandemic since 2009 and various disasters prevalence in Indonesia due to its geographical condition call for an instrument designed for integrated registry of hospital resources required for overcomingthe disasters. The aim of this research was to develop an instrument of hospital resources registry using Health Facility Research (Risfaskes) 2011 data which contains components related to disaster management and influenza pandemic. The instrument was developed using Client Oriented Research Activity principles, literature study, and discussion with international and national experts. This instrument was further integrated into disaster management and influenza pandemic using systematic review approach. In this integration, several modifications to the original instrument were made resulting in a comprehensive 49 page hospital instrument. The integrated instrument can be employed to observe hospital’s performance index, from which the analysis and simulation results will also contribute to the improvement of disaster and influenza pandemic planning and preparedness in Indonesia.Key words: Influenza pandemic, instrument, hospital resource, systematic review
Perbedaan Sekuens Asam Amino Epitop Sel B dan Sel T pada Protein Hemaglutinin (H) Antara Virus Campak Liar dan Virus Vaksin di Indonesia Setiawan, Made; Sjahrurachman, Agus; Ibrahim, Fera; Suwandono, Agus
Sari Pediatri Vol 10, No 3 (2008)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp10.3.2008.190-5

Abstract

Latar belakang. Protein H virus campak sangat penting agar virus dapat menginfeksi sel pejamu. Selain itu, protein H dapat merangsang antibodi spesifik yang dapat menetralisasi virus campak, sehingga virus tidak dapat menginfeksi sel. Bila ada perbedaan sekuens asam amino epitop sel B dan sel T pada protein H antara virus campak liar dan virus vaksin campak, maka vaksin tidak dapat merangsang terbentuknya antibodi protektif.Tujuan. Mengetahui perbedaan sekuens asam amino epitop sel B dan sel T pada protein H antara virus campak liar (G2, G3, dan D9) dan virus vaksin CAM-70, Schwarz dan Edmonston-wt.Metode. Ekstraksi dan amplifikasi gen dilakukan di laboratorium menggunakan teknologi biologi molekuler dan analisis gen dan protein dilakukan menggunakan teknologi bioinformatika.Hasil. Ditemukan perbedaan sekuens asam amino epitop sel T pada protein H antara virus campak liar dan virus Edmonstone-wt, sedangkan antara virus campak liar dan virus vaksin (CAM-70 dan vaksin Schwarz) tidak ditemukan perbedaan. Ditemukan perbedaan sekuens asam amino pada epitop sel B protein H antara virus campak liar dan virus vaksin (CAM-70 dan Schwarz, sedangkan antara CAM-70 dan Schwarz tidak ditemukan perbedaan.Kesimpulan. Tidak ada perbedaan sekuens asam amino epitop sel T antara virus campak liar dan virus vaksin (Schwarz dan CAM-70). Perbedaan ditemukan pada epitop sel B antara virus campak liar dan virus vaksin (CAM-70 dan Schwarz).
Faktor-Faktor yang Mempengaruhi Perilaku Minum Obat Tuberkulosis Novani, Deny; Suwandono, Agus; Trihadi, Djoko; Adi, M. Sakundarno; Suwondo, Ari
VISIKES: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2017): VisiKes
Publisher : Dian Nuswantoro Semarang

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The Multi Drug Resistance Tuberculosis (MDR TB) is tuberculosis resistance to minimum of two very potent TB drugs, Isoniazid and Rifampicin. Non-adherence to TB treatment may result in development of MDR TB. The study objective is to assess the risk factors of non-adherence to TB-treatment among MDR TB patients.This was the case control study, while case were non-adhere patients (n=57), and control were patients who are adhere to treatment (n=91). Total samples were 148 patients, with 10% of those who have risk Data was analyzed using bivariate analysis with Chi Square test, Odds Ratio (OR) and multivariate with logistic regression. There are two variables found as risk factors of non-adherence to TB treatment among MDRTB patients; treatment history (p=0,014; OR:2,648; 95%CI:1,215-5,771), duration of treatment (p=0,008; OR:2,960; 95% CI:1,320-6,638). Probability of non-adherence when there are thesetwo factors is 52,99%. Treatment history and duration of treatment were found as risk factors of non-adherence to TB treatment among MDR-TB patients in this study.Keywords: Risk factors, non-adherence to treatment, development of MDR TB
MODEL INTERVENSI ZIKIR UNTUK MEMPERBAIKI KECERDASAN EMOSIONAL DAN SPIRITUAL PADA PERAWAT Sari, Rita Kartika; Putra, Suharto Taat; Suwandono, Agus; Sudiro, Sudiro; Muslim, Rifki; Syukur, Amin
Jurnal Keperawatan Vol 10 No 2 (2018): September
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (18.362 KB) | DOI: 10.32583/keperawatan.10.2.2018.130-137

Abstract

ABSTRAK Intervensi stressor dapat menurunkan sampai 70 % gangguan malpraktek rumah sakit pada 22 rumah sakit. Survei Northwestern National Life melaporkan bahwa 40%  karyawan dalam tingkatan stres yang lebih tinggi di perusahaan. Dampak pada stressor 50 % mengalami penurunan pada produk perusahaan. Stressor pada pelayanan perawat rumah sakit seperti halnya pekerjaan, lingkungan kerja, shift kerja, perilaku organisasi. Stres mempunyai dampak pada phsyconeuroimunology, Pelayanan keperawatan supaya meningkat lebih baik dengan pelatihan agama. Kecerdasan emosional dan spiritual perawat meningkat dengan  melakukan pelatihan keagamaan seperti zikir dalam beberapa metode inovasi. Desain penelitian quasi exsperiment dengan times series. Pelatihan yang disampaikan adalah 3 fase seperti zikir sirr, zikir jaher dan zikir ruh dan fi'ly. Variabel meliputi kecerdasan emosional dan spiritual. Data dianalisis dengan uji t berpasangan, ANOVA satu arah, dan SEM (Strukture Equation Modeling). Intervensi zikir  berpengaruh pada perbaikan emosional dan spiritual secara signifikan setelah 2 minggu intervensi,  p <0,001. Intervensi zikir berpengaruh berdampak spiritual pada aspek  kepercayaan. zikir pengaruhnya untuk emosional pada aspek pengendalian diri. Zikir melatih lebih banyak pengaruh pada spiritual dibandingkan emosional. Zikir meningkatkan persepsi emosional dan spiritual secara signifikan setelah 2 minggu intervensi. zikir lebih didominasi pada peningkatan spiritual dibandingkan emosional. Pelatihan zikir lebih meningkatkan kepercayaan pada aspek spiritual, dan pengendalian diri pada aspek emosional. Kata Kunci: Intervensi zikir, Persepsi emosional and spiritual ZIKIR INTERVENTION MODEL TO IMPROVE EMOTIONAL AND SPIRITUAL INTELLIGENCE ON NURSES   ABSTRACT Stressor intervention can reduce up to 70% of hospital malpractice disorders in 22 hospitals. The Northwestern National Life survey reports that 40% of employees are at a higher level of stress in the company. The impact on the 50% stressor has decreased in the company's products. Stressor on hospital nurse services such as work, work environment, work shifts, organizational behavior. Stress has an impact on phsyconeuroimunology, nursing services to improve better with religious training. Emotional and spiritual intelligence of nurses increases by conducting religious training such as remembrance in several methods of innovation. Quasi exsperiment research design with times series. The training delivered were 3 phases such as zikir sirr, zikir jaher and zikir ruh and fi'ly. Variables include emotional and spiritual intelligence. Data were analyzed by paired t test, one-way ANOVA, and SEM (Structure Equation Modeling). Recitation of dhikr significantly affected emotional and spiritual improvement after 2 weeks of intervention, p <0.001. Remembrance interventions have a spiritual impact on aspects of trust. dhikr has an emotional impact on aspects of self-control. Recitation trains more influence on spiritual than emotional. Recitation significantly increases emotional and spiritual perception after 2 weeks of intervention. dhikr is more dominated by spiritual than emotional enhancement. Dhikr training enhances trust in the spiritual aspect, and self-control in the emotional aspects. Keywords: Intervention of remembrance, emotional and spiritual perception  
THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA Khomsah, Yuli Sya’baniah; Suwandono, Agus; Ariyanti, Ida
Belitung Nursing Journal Vol 3, No 5 (2017): September-October 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.343 KB) | DOI: 10.33546/bnj.201

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Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.
TANGGUNG JAWAB PELAKU USAHA ATAS PENJUALAN KARTU PERDANA ASING DI INDONESIA Hakim, Jefferson; Suryamah, Aam; Suwandono, Agus
Jurnal Hukum Bisnis Bonum Commune Volume 3, Nomor 1 Februari 2020
Publisher : Faculty of Law, University of August 17, 1945 Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30996/jhbbc.v3i1.3012

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Business practitioners in Indonesia such as travel agents and other forms of business activities utilize overseas travel activities by the Indonesian people by selling starter packs or SIM cards or portable wifi that can be used abroad. Most people who travel abroad for more than 3 (three) days prefer to use foreign starter cards or foreign portable wifi due to more affordable prices compared to using international roaming services offered by Indonesian telecommunications service providers. However, the problem that arises is that there is no single regulation governing the sale of starter packs and portable wifi managed by foreign telecommunications service providers in Indonesia, both in terms of telecommunications and consumer protection. The research method that will be used in this research is normative juridical, which is an approach using various data sources such as articles of law, various legal theories, and the scientific work of scholars so as to create a system and basic rules to be applied in Indonesia. This study has a descriptive analytical specification that aims to provide an overview of the object studied through data and to provide concepts regarding the regulation of oversight of foreign prime card sales in Indonesia and the resolution of consumer disputes over prime card use by overseas consumers.Pelaku usaha di Indonesia seperti agen perjalanan maupun bentuk kegiatan usaha lainnya memanfaatkan kegiatan perjalanan ke luar negeri oleh masyarakat Indonesia dengan menjual kartu perdana atau SIM Card atau wifi portable yang dapat digunakan di luar negeri. Sebagian besar masyarakat yang melakukan perjalanan ke luar negeri untuk waktu lebih dari 3 (tiga) hari lebih memilih untuk menggunakan kartu perdana asing atau wifi portable asing dikarenakan harga yang lebih terjangkau dibandingkan dengan menggunakan jasa layanan jelajah internasioanl yang ditawarkan oleh penyelenggara jasa telekomunikasi Indonesia. Namun, permasalahan yang timbul adalah belum ada satu peraturan yang mengatur tentang penjualan kartu perdana maupun wifi portable yang dikelola oleh penyelenggara jasa telekomunikasi asing di Indonesia, baik dari segi telekomunikasi maupun perlindungan konsumen. Metode penelitian yang akan digunakan dalam penelitian ini adalah yuridis normatif, yaitu pendekatan dengan menggunakan berbagai sumber data seperti pasal-pasal perundangan, berbagai teori hukum, dan hasil karya ilmiah para sarjana sehingga menciptakan sistem dan dasar aturan untuk diterapkan di negara Indonesia. Penelitian ini memiliki spesifikasi berupa deskriptif analisis yang bertujuan untuk memberikan gambaran terhadap objek yang diteliti melalui data serta memberikan konsep mengenai pengaturan tentang pengawasan penjualan kartu perdana asing di Indonesia serta penyelesaian sengketa konsumen atas tidak dapat digunakan kartu perdana oleh konsumen di luar negeri.
COMPARISON OF EFFECTS OF ABDOMINAL STRETCHING EXERCISE AND COLD COMPRESS THERAPY ON MENSTRUAL PAIN INTENSITY IN TEENAGE GIRLS Cahya Rosyida, Desta Ayu; Suwandono, Agus; Ariyanti, Ida; Suhartono, Suhartono; Mashoedi, Imam Djamaluddin; Fatmasari, Diyah
Belitung Nursing Journal Vol 3, No 3 (2017): May-June 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.894 KB) | DOI: 10.33546/bnj.98

Abstract

Background: Pain during menstruation is not uncommon, especially in young women, which has an impact on their life activities.Objective: To examine the effect of abdominal stretching exercise and cold compress therapy on decreasing intensity of menstrual pain in teenage girls at SMK Bakti Indonesia Medika.Design: A Quasy Experimental Study with two group comparison pretest-postest design. There were 46 respondents selected in this study by consecutive sampling that consisted of 23 samples in the abdominal stretching exercise group and 23 samples in the cold compress group. The menstrual pain was measured using VAS (visual analog scale). Data were analyzed using Mann-Whitney, Chi-Square, and Wilcoxon test.Results: Findings showed that the mean of menstrual pain before intervention in the abdominal stretching exercise was 7.04 and in the cold compress therapy was 6.74 with p-value 0.211 (<0.05), which indicated that there was no mean difference of pain between both groups. However, after intervention, the menstrual pain was reduced from 7.04 to 1.91 (5.09 difference) in the abdominal stretching exercise group; and from 6.74 to 5.52 (1.22 difference) in the cold compress group with p-value 0.000 (<0.05), which indicated that there was statistically significant difference of menstrual pain before and after intervention, both abdominal stretching exercise and cold compress therapy.Conclusion: There were statistically significant effects of abdominal stretching exercise and cold compress therapy on menstrual pain in teenage girls. The abdominal stretching exercise is more effective than cold compress therapy in reducing menstrual pain intensity. Thus, it is suggested that abdominal stretching exercise can be an alternative choice of management of dysmenorrhea in teenage girls, and can be a part of subject in the education as non-pharmacological medicine.