Andi Alfian Zainuddin
Bagian Ilmu Kesehatan Masyarakat/Ilmu Kedokteran Komunitas Fakultas Kedokteran Universitas Hasanuddin

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Kebijakan Pengelolaan Kualitas Udara Terkait Transportasi di Provinsi DKI Jakarta Zainuddin, Andi Alfian
Jurnal Kesehatan Masyarakat Nasional Vol. 4 No. 6 Juni 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.009 KB) | DOI: 10.21109/kesmas.v4i6.168

Abstract

Pemerintah Daerah Khusus Ibukota Jakarta yang mengeluarkan beberapa kebijakan penanggulangan pencemaran udara menghadapi banyak kendala implementasi. Tujuan penelitian ini mengetahui implementasi kebijakan pengelolaan kualitas udara perkotaan terkait transportasi di provinsi tersebut dengan pendekatan model sistem. Faktor yang diamati meliputi instrumen kebijakan, sumber daya dan manajemen. Penelitian ini menggunakan metode penelitian kualitatif yang menggunakan sumber data primer dengan metode wawancara mendalam dan sumber data sekunder telaah dokumen. Data primer digali dariberbagai informan yang berkompeten meliputi Dewan Perwakilan Rakyat Daerah, Biro Hukum, Badan Pengelola Dampak Lingkungan Daerah, Dinas Perhubungan, Dinas Kesehatan dan Samsat. Penelitian ini menemukan bahwa instrumen kebijakan telah ada, tetapi dipersepsikan hanya berlaku untuk BPLHD. Penegakan hukum belum dilaksanakan secara semestinya karena sistem dan koordinasi belum maksimal; sumber daya manusia dan sumber dana masihkurang; rencana strategis belum ada, serta manajemen dan koordinasi belum maksimal. Untuk implementasi kebijakan pengelolaan kualitas udara perkotaan yang efektif, pembuat dan pelaksana kebijakan perlu memperhatikan beberapa faktor tersebut.Kata kunci: Kualitas udara, perkotaan, implementasi, kebijakan, transportasiAbstractThe Government of DKI Jakarta Province had released some policies regarding to remedy air pollution. However, there are much problems related with urban air quality in DKI Jakarta Province. So that, purpose of this study will know implementation of urban air quality management policy related to transportation by system model approach. The matter will be studied are policy instruments, resources and management. This study is qualitative study. In this study,primary and secondary data will be used. Primary data are collected from in depth interview with competent sources such as Regional Parliamentary, Law Bureau, Regional Authority for Environmental Impact, Transportation Department, Health Department and Samsat. Secondary data are collected by conducting documents. The study result showed that policy instrument has existed, but they are perceived only effective for BPLHD, real law enforcement has been not implemented because system and coordination are not optimal, human and money resources are minimal, and there is no strategic planning so that management and coordination are not optimal. Therefore, to make implementation of urban air quality management policy become effective, the factors should be respected by related parties especially policy makers and policy implementers.Key words: Air quality, urban, implementation, policy, transportation
Prediksi Prognosis Penderita Trauma Kapitis Berdasarkan Gambaran CT scan Kepala Husnah, Kurniawati; Murtala, Bachtiar; Asriyani, Sri; Zainuddin, Andi Alfian; Mustamir, Nasrullah; Latief, Nikmatia
Jurnal Kedokteran Brawijaya Vol 30, No 4 (2019)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.337 KB) | DOI: 10.21776/ub.jkb.2019.030.04.12

Abstract

Trauma kapitis memiliki penyebab, patologi, tingkat keparahan dan prognosis yang berbeda-beda sehingga diperlukan prediktor terpercaya untuk menilai luaran pasien. CT scan berperan penting dalam mengevaluasi kerusakan struktural pada fase akut trauma kapitis. Penelitian ini bertujuan menilai gambaran CT scan kepala dalam memprediksi prognosis penderita trauma kapitis. Penelitian ini merupakan penelitian retrospektif terhadap 444 penderita trauma kapitis ringan sampai berat yang dilakukan pemeriksaan CT scan kepala di RSUP Dr. Wahidin Sudirohusodo Makassar selama periode Januari-Juni 2018. Peneliti mengidentifikasi gambaran CT scan yang berpengaruh terhadap mortalitas pasien. Hasil penelitian menunjukkan bahwa status sisterna basalis (compressed, OR=31.690, absent, OR=11.092, p<0.0001), midline shift (OR=2.889, p<0.0001), dan pendarahan subarachnoid atau intraventrikel (OR=6,977, p<0.0001) merupakan prediktor independen mortalitas penderita trauma kapitis.
Kebijakan Pengelolaan Kualitas Udara Terkait Transportasi di Provinsi DKI Jakarta Zainuddin, Andi Alfian
Jurnal Kesehatan Masyarakat Nasional Vol. 4 No. 6 Juni 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.009 KB) | DOI: 10.21109/kesmas.v4i6.168

Abstract

Pemerintah Daerah Khusus Ibukota Jakarta yang mengeluarkan beberapa kebijakan penanggulangan pencemaran udara menghadapi banyak kendala implementasi. Tujuan penelitian ini mengetahui implementasi kebijakan pengelolaan kualitas udara perkotaan terkait transportasi di provinsi tersebut dengan pendekatan model sistem. Faktor yang diamati meliputi instrumen kebijakan, sumber daya dan manajemen. Penelitian ini menggunakan metode penelitian kualitatif yang menggunakan sumber data primer dengan metode wawancara mendalam dan sumber data sekunder telaah dokumen. Data primer digali dariberbagai informan yang berkompeten meliputi Dewan Perwakilan Rakyat Daerah, Biro Hukum, Badan Pengelola Dampak Lingkungan Daerah, Dinas Perhubungan, Dinas Kesehatan dan Samsat. Penelitian ini menemukan bahwa instrumen kebijakan telah ada, tetapi dipersepsikan hanya berlaku untuk BPLHD. Penegakan hukum belum dilaksanakan secara semestinya karena sistem dan koordinasi belum maksimal; sumber daya manusia dan sumber dana masihkurang; rencana strategis belum ada, serta manajemen dan koordinasi belum maksimal. Untuk implementasi kebijakan pengelolaan kualitas udara perkotaan yang efektif, pembuat dan pelaksana kebijakan perlu memperhatikan beberapa faktor tersebut.Kata kunci: Kualitas udara, perkotaan, implementasi, kebijakan, transportasiAbstractThe Government of DKI Jakarta Province had released some policies regarding to remedy air pollution. However, there are much problems related with urban air quality in DKI Jakarta Province. So that, purpose of this study will know implementation of urban air quality management policy related to transportation by system model approach. The matter will be studied are policy instruments, resources and management. This study is qualitative study. In this study,primary and secondary data will be used. Primary data are collected from in depth interview with competent sources such as Regional Parliamentary, Law Bureau, Regional Authority for Environmental Impact, Transportation Department, Health Department and Samsat. Secondary data are collected by conducting documents. The study result showed that policy instrument has existed, but they are perceived only effective for BPLHD, real law enforcement has been not implemented because system and coordination are not optimal, human and money resources are minimal, and there is no strategic planning so that management and coordination are not optimal. Therefore, to make implementation of urban air quality management policy become effective, the factors should be respected by related parties especially policy makers and policy implementers.Key words: Air quality, urban, implementation, policy, transportation
HUBUNGAN SHEAR WAVE ELASTOGRAPHY GINJAL DENGAN ESTIMATED GLOMERULAR FILTRATION RATE PADA PASIEN PENYAKIT GINJAL KRONIK Arif, Asnita; Idris, Nurlaily; Murtala, Bachtiar; Zainuddin, Andi Alfian; Asriyani, Sri; Kasim, Hasyim
Jurnal Kedokteran Brawijaya Vol 30, No 4 (2019)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2019.030.04.10

Abstract

Penyakit ginjal kronik (PGK) merupakan masalah kesehatan global dengan biaya ekonomi tinggi pada sistem kesehatan sehingga dibutuhkan modalitas pencitraan klinis non invasif untuk mendeteksi penyakit ginjal pada stadium awal. Shear wave elastography (SWE) merupakan pemeriksaan imaging untuk menilai tingkat keparahan dari perubahan morfologi kronik ginjal berdasarkan pengukuran elastisitas kortex. Penelitian ini bertujuan mengetahui hubungan antara SWE dengan estimated glomerular filtration rate (eGFR) sehingga SWE dapat direkomendasikan untuk deteksi dini tingkat keparahan penyakit ginjal kronik.  Penelitian ini dilakukan di bagian Radiologi Rumah Sakit Umum Pusat Dr. Wahidin Sudirohusodo Makassar dari bulan September 2018 sampai dengan Februari 2019. Desain penelitian yang digunakan adalah observasional dengan rancangan potong lintang. Sampel penelitian sebanyak 118 sampel yang terdiri dari 71 sampel dengan penyakit ginjal kronik dan 47 sampel normal. Pemeriksaan ultrasonografi yang dilakukan dengan metode SWE untuk mengukur shear wave velocity (SWV) pada kedua ginjal dengan tiga kali pengukuran pada kortex ginjal. Nilai median dari SWV pada kedua ginjal dihubungkan dengan eGFR. Data dianalisis dengan uji korelasi Spearman. Hasil penelitian menunjukkan bahwa nilai median SWV pada kelompok sampel normal adalah 2,02±0,32m/s pada ginjal kanan  2,01±0,32m/s pada ginjal kiri yang cenderung menurun dengan bertambahnya  usia. Terdapat korelasi positif yang signifikan antara nilai SWV pada ginjal kanan dan kiri dengan eGFR, dengan arah korelasi positif (p<0,0001). Pada penelitian ini, terdapat pula korelasi negatif yang signifikan antara tekanan darah dan proteinuria dengan eGFR maupun dengan SWV pada pasien penyakit ginjal kronik.
Analysis of Lamina Papyracea Area and Ethmoid Sinus Volume in Indonesian Patients Undergoing Paranasal Sinus CT Scan Wahyuni, Wahyuni; Idris, Nurlaily; Muis, Mirna; Zainuddin, Andi Alfian; Perkasa, Muhammad Fadjar; Ilyas, Muhammad
Jurnal Kedokteran Brawijaya Vol 31, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2020.031.01.6

Abstract

Of the rhinosinusitis (CRS) patients, half of whom require surgical intervention. Functional endoscopic sinus surgery (FESS) is a standard treatment of CRS and sinonasal polyposis. Orbito-ocular complications can occur during FESS. The lamina papyracea (LP) is the weakest point of the medial wall of the orbit. The variability in the size and shape of the paranasal sinuses is important in the FESS procedure. The ethmoid sinus is the most complex paranasal sinuses. Preoperative evaluation using computed tomography (CT) is mandatory for all patients undergoing FESS. This study aimed to determine the lamina papyracea area and ethmoid sinuses volume in patients who underwent a CT scan of paranasal sinuses. This study was a descriptive study on 103 patients who underwent a CT scan of paranasal sinuses in the Radiology Department of Hasanuddin University General Hospital, Makassar, from January to August 2019. The lamina papyracea area and ethmoid sinus volume were measured based on age and gender. The results showed that the average of lamina papyracea size and ethmoid sinus volume was greater in males than in females. There was a correlation between age and posterior height of left lamina papyracea (p=0.02), but no correlation between ethmoid sinuses volume and age.
CORRELATION BETWEEN ULTRASOUND FINDINGS OF URIC ACID PRECIPITATE IN MTP I AND ACUTE GOUT FLARE IN GOUTY ARTHRITIS SUSANTI, Elys; Ilyas, Muhammad; Idris, Nurlaily; Zainuddin, Andi Alfian; Murtala, Bachtiar; HP, Faridin
Jurnal Kedokteran Brawijaya Vol 31, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2020.031.01.7

Abstract

Acute gout flare is the most common manifestation of gouty arthritis that intermittently occurs with severe pain in the joints due to interactions between monosodium urate crystals (MSU) and the surrounding tissues. The most common predilection is the metatarsophalangeal joint (the 1st MTP). Ultrasound examination is a modality that can be used to visualize MSU crystal precipitates in and around joints. This study aimed to determine the correlation between the findings of the MSU crystal precipitate on the 1st MTP using ultrasound with the occurrence of acute gout flare in gout patients. This study was an analytical observational study with a cross-sectional method. The samples were 41 patients with a history of previous acute flares and in the intercritical phase when participating in the study. Examinations of ultrasound on the 1st MTP and random serum uric acid level were performed. Evaluations were carried out on both of the 1st MTPs to assess the shape of the MSU crystalline precipitate, namely Double Contour Sign (DCS), aggregate, and tophus. Each sample was evaluated within five days to assess the presence or absence of an acute flare. The diagnostic tests used were the Chi-Square Test and the Fischer Exact Test with a significance value of p <0.05. The results showed the images of DCS were seen in 20 samples with 9 (45%) samples experiencing acute flare (p <0.05), while in 21 samples where no DCS were found, all did not experience any flare. Findings of aggregate and tophus were rarely found, 7.3% and 4.9%, respectively. In this study, the finding of DCS precipitates using ultrasound has a significant correlation to the emergence of acute flare and is a significant form of precipitate findings in this study, whereas aggregate and tophus precipitates are difficult to determine.
Factors affecting tumor response to transarterial chemoembolization (TACE) therapy in patient with hepatocellular carcinoma (HCC) Amalia, Alia; Latief, Nikmatia; Murtala, Bachtiar; Zainuddin, Andi Alfian; Daud, Nu’man AS
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 52, No 2 (2020)
Publisher : Journal of the Medical Sciences (Berkala ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19106/JMedSci005202202006

Abstract

Hepatocellular carcinoma (HCC) is a major problem of global health.Transarterial chemoembolization (TACE) is the treatment of choice for unresectable HCC. The TACE is routinely conducted in major hospitals in Indonesia, however it rarely published.The use of modified response in evaluation criteria in solid tumors (mRECIST) was introduced as an accurate method of measuring tumor response in HCC. This study aimedto investigate the factorsaffecting tumor response to TACE therapy in HCC patients by using mRECIST. It was a retrospective cohort study conducted on 30 patients who successfully underwent the first TACE procedure in the Department of Radiology, Dr. Wahidin Sudirohusodo General Hospital, Makassar, Indonesia from January 2016 to August 2019. The multiphase abdominal computed tomography before and after as well as laboratory examination results before TACE were collected and analyzed. Chi-Square and Spearman-tests were used for the statistical analysis. A significant relationship between tumor location (p=0.016), number of tumor (p=0.001) and Child-Pugh score with tumor response to TACE therapy (p = 0.016) was observed. Solitary tumors tend to have a better therapeutic response, meanwhile, tumors located in the left lobe of patients with Child-Pugh B scores showed a decreased tumor response. Furthermore, no a significant relationship between age (p=0.920), sex (p=0.303), tumor size> 5 cm (p=0.082) and alpha-fetoprotein (AFP) levels (p=0.414) with tumor response was observed. In conclusion, TACE is preferably therapy for multinodular and unresectable HCC. Tumor response after TACE can be well assessed using mRECIST. The factorsaffecting tumor response to TACE therapy arenumber of tumor, location, and Child-Pugh score
Karakteristik morfologi penderita karsinoma payudara dengan reseptor estrogen positif dan negatif berdasarkan duplex ultrasound Anastasia, Wenda; Muis, Mirna; Ilyas, Muhammad; Zainuddin, Andi Alfian; Asriyani, Sri; Sungowati, Ni Ketut
Majalah Kedokteran Andalas Vol 42, No 3 (2019): Published in September 2019
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (309.797 KB) | DOI: 10.25077/mka.v42.i3.p97-107.2019

Abstract

Tujuan: Penelitian ini bertujuan mengetahui karakteristik morfologi dan vaskularisasi karsinoma payudara dengan reseptor estrogen positif dan negatif berdasarkan ultrasonografi grayscale dan doppler. Metode: Penelitian ini dilakukan di Bagian Radiologi RS Wahidin Sudirohusodo dan RS Pendidikan Universitas Hasanuddin Makassar pada Oktober 2018 sampai dengan Februari 2019. Penelitian ini merupakan jenis penelitian deskriptif dengan metode kajian potong lintang. Analisis data menggunakan statistik melalui uji diagnostik chi-square dan Mann-Whitney. Sampel penelitian sebanyak 40 orang dengan karsinoma payudara. Hasil: Hasil penelitian menunjukkan terdapat perbedaan rata-rata yang signifikan (p<0,05) pada morfologi akustik posterior antara reseptor estrogen positif dan negatif karena akustik posterior shadowing dominan pada reseptor estrogen positif, sedangkan akustik posterior enhancement dominan pada reseptor estrogen negatif. Morfologi akustik posterior ini hanya dapat dinilai dengan menggunakan ultrasonografi grayscale. Simpulan: Terdapat perbedaan yang signifikan pada morfologi akustik posterior dimana akustik posterior shadowing dominan pada reseptor estrogen positif, dan akustik posterior enhancement dominan pada reseptor estrogen negatif.
Kesesuaian ukuran kanalis spinalis lumbal berdasarkan Ultrasonografi dengan MR-Myelografi pada penderita nyeri punggung bawah Jufianti, Emilya; Ilyas, Muhammad; Murtala, Bachtiar; Zainuddin, Andi Alfian; Kaelan, Cahyono; Muis, Mirna
Majalah Kedokteran Andalas Vol 42, No 3 (2019): Published in September 2019
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.59 KB) | DOI: 10.25077/mka.v42.i3.p121-127.2019

Abstract

Tujuan: Penelitian ini bertujuan menilai kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita Nyeri Punggung Bawah (NPB). Metode: Penelitian ini menggunakan desain observasi cross-sectional dan dilakukan di Bagian Radiologi RSUP Dr. Wahidin Sudirohusodo Makassar dari November 2018 - Februari 2019. Sampel penelitian sebanyak 54 dengan 22 sampel eksklusi dan 32 sampel inklusi. Dari 32 sampel pada level L3-L4 sebanyak 27 sampel normal dan 5 sampel stenosis, level L4-L5 sebanyak 21 sampel normal dan 11 sampel stenosis, level L5-S1 sebanyak 28 sampel normal dan 4 sampel stenosis. Data dianalisis dengan analisis statistik melalui uji korelasi Person. Hasil: Hasil penelitian menunjukkan terdapat kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita NPB  pada level L3-L4 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,985. Data juga menunjukkan bahwa terdapat kesesuaian antara hasil MR myelografi dengan Ultrasonografi lumbosakral pada level L4-L5 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,987. Data juga menunjukkan bahwa terdapat kesesuaian antara hasil MR myelografi dengan Ultrasonografi lumbosakral pada level L5-S1 dengan nilai p=0,001 (<0,05) dan memiliki kekuatan hubungan kuat dengan nilai r=0,973. Simpulan: Terdapat kesesuaian ukuran kanalis spinalis lumbal berdasarkan ultrasonografi dengan MR myelografi lumbosakral pada penderita NPB.
CORRELATION BETWEEN SERUM CALCIUM AND PHOSPHATE WITH CORONARY ARTERY CALCIUM SCORES ON CARDIAC MSCT EXAMINATION Kai, Rosita; Murtala, Bachtiar; Zainuddin, Andi Alfian; Amin, Muzakkir; Ilyas, Muhammad
Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol 15, No 2 (2019): December 2019
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.617 KB) | DOI: 10.22219/sm.Vol15.SMUMM2.9970

Abstract

Increased serum calcium and phosphate associated with cardiovascular disease in patients with chronic kidney disease, but research on the relationship between coronary artery calcium scores with serum calcium and phosphate in individuals with normal kidney function is lacking. We explore the relationship of serum calcium and phosphate levels with coronary atherosclerosis as assessed by cardiac Multislice Computed Tomography (MSCT) in individuals with normal kidney function. This study aims to assess the correlation of calcium level scores on cardiac MSCT examination with serum calcium and phosphate levels, and assess the association with risk factors for coronary heart disease. This study was a cross-sectional study of 40 subjects who underwent cardiac MSCT examination with normal kidney function, at RSUP Dr. Wahidin Sudirohusodo Makassar during the March-July 2019 period. The results showed an correlation between coronary artery calcium scores with calcium and serum phosphate (serum calcium r = 0.67, serum phosphate r = 0.53, p <0.05).