Dede Setiapriagung
Department Of Radiology, RS Al Islam/Faculty Of Medicine, Universitas Islam Bandung, Bandung

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Brixia Score for Predicting Mortality and Length of Stay in COVID-19 Confirmed Patients at the Hospital in Bandung Dede Setiapriagung; Cice Tresnasari; Fajar Awalia Yulianto
Global Medical & Health Communication (GMHC) Vol 10, No 1 (2022)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (52.717 KB) | DOI: 10.29313/gmhc.v10i1.8893

Abstract

On March 11, 2020, the World Health Organization declared the COVID-19 pandemic. This disease damages the lung and resulting mild to severe pneumonia. This study aimed to determine the value of the Brixia score for predicting mortality and length of stay of COVID-19 confirmed patients. The study design was case-control with secondary data from digital medical records of COVID-19 confirmed patients (December 2020 to February 2021). All patients' chest x-rays (CXR) were scored using the Brixia score. Logistic regression and the Spearman rank correlation test were used to identify mortality and length of stay predictors. There were 636 subjects included in this study, with the proportion of deceased patients (case group) being 20.3% (95% CI=17.33, 23.59%). Most CXR findings had signs of pneumonia (95.1%), including ground-glass opacities (GGOs) mixed with consolidation. The distribution of GGOs and consolidation were most frequent in the peripheral of survived patients (83.9%), while the deceased group had peripheral involvements mixed with medial (45.0%) and bilateral (22.2%). The mean Brixia score in the group of decease patients was significantly higher than the group of survived patients (11.95 vs 6.73, p=0.00). Brixia score had an OR of 1.14, 95% CI=1.07, 1.21 after adjusting by age, SpO2 level, and comorbid. The chance of dying was higher than 50% if the Brixia score reached to score of 15 (probability=49%, 95% CI=41, 56%). However, the Brixia score has no significant correlation with length of stay (rho=0.05, p=0.24). In conclusion, the CXR Brixia score can predict mortality, but it can not predict the length of stay of hospitalized COVID-19 confirmed patients.
Scoping Review: Pengaruh Paparan Bensin terhadap Kadar ALT dan AST pada Pekerja SPBU Dinarita Sari Nurhalimah; Santun Bhekti Rahimah; Dede Setiapriagung
Jurnal Integrasi Kesehatan dan Sains Vol 3, No 1 (2021): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v3i1.7453

Abstract

Paparan bensin sering dikaitkan dengan efek buruk pada tubuh termasuk kerusakaan pada hepar. Salah satu pekerja yang memiliki risiko tinggi terpapar bensin secara inhalasi adalah pekerja Stasiun Pengisian Bahan Bakar Umum (SPBU). Kerusakan hepar dapat diketahui dengan pemeriksaan fungsi hepar salah satunya pemeriksaan enzim hepar, yaitu ALT dan AST. Penelitian ini bertujuan mengetahui pengaruh paparan bensin terhadap kadar ALT dan AST pada pekerja SPBU. Metode penelitian menggunakan Scoping Review dengan mengindentifikasi, menganalisis, dan mengevaluasi artikel publikasi ilmiah yang sesuai dengan kriteria inklusi dan eksklusi, kriteria kelayakan sehingga diperoleh sebelas jurnal. Kata kunci yang digunakan “Gasoline workers” AND “ALT’ dengan artikel populasi pekerja SPBU, intevensi paparan bensin, perbandingan kelompok kontrol, dan hasil kadar ALT dan AST. Penelitian dilakukan pada Oktober sampai Desember 2020. Hasil penelitan didapatkan sebanyak sebelas artikel dengan empat artikel menyatakan ada perubahan signifikan pada ALT dan AST, dua artikel mengatakan hanya ALT yang mengalami perbedaan signifikan, dan lima artikel mengatakan tidak terdapat perubahan signifikan ALT dan AST. Kesimpulan penelitian terdapat perbedaan hasil ALT dan AST di berbagai artikel dapat dipengaruhi oleh faktor seperti variasi durasi dan konsentrasi bahan bakar terpapar, metode yang digunakan, perbedaan faktor lainnya seperti usia, jenis kelamin, BMI, merokok, konsumsi alcohol, atau pengabaian alat pelindung diri, kerusakan sel masif, serta dapat disebabkan oleh regenerasi sel hepar. Scoping Review: the Effect of Gasoline Exposure on ALT and AST Levels in Petrol Station AttendantsGasoline exposure often associated to adverse health effects including hepatic injury. Petrol station attendants are the most risky exposed to gasoline by inhalation due to occupational. Hepatic injury may be identified by examining the liver function such as liver enzyme, ALT and AST. This study aims to determine effect gasoline exposure on AST and ALT levels in petrol station attendants. This research method used Scoping Review by identifying, analyzing, and evaluating scientific publication articles that is in accordance with the inclusion and exclusion criteria, eligibility criteria thus eleven articles were obtained. Keyword used are “Gasoline workers” AND “ALT”, articles relevant to petrol station attendants population, gasoline exposure, control group, and ALT and AST levels. This research was conducted from October to December 2020. The result showed from eleven articles, four articles reported there was a significant differences in AST and ALT, two articles reported there was significant difference in ALT, and five articles reported there was no significant change in ALT nor AST. The conclusion of this study is difference in result may be influenced by other factor such as variation, duration, concentration of exposed fuel, method used, age, sex, smoking, alcohol consumption or neglect of personal protective equipment, massive cell destruction, also liver cell regeneration may take a role.
Systematic Review: Hubungan Personal Hygiene dengan Kejadian Skabies di Pondok Pesantren Egidia Setya Fitriani; Ratna Dewi Indi Astuti; Dede Setiapriagung
Jurnal Integrasi Kesehatan dan Sains Vol 3, No 1 (2021): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v3i1.7390

Abstract

Skabies adalah penyakit yang masih menjadi masalah kesehatan global. Penyakit skabies masuk ke dalam 12 penyakit yang sering terjadi di Indonesia. Skabies dapat terjadi akibat beberapa faktor risiko salah satunya adalah personal hygiene. Penelitian ini bertujuan mengetahui hubungan personal hygiene dengan kejadian skabies di Pondok Pesantren. Metode adalah Systematic review dengan kata kunci “personal hygiene” dan “kejadian skabies” pada santri di Pondok Pesantren dengan desain penelitian cross-sectional sesuai dengan kriteria inklusi dan eksklusi, dilakukan skrining menggunakan kriteria kelayakan ( Eligibility Criteria ) yang terdiri atas P (Population) santri di Pondok Pesantren, I (Intervention) kuesioner untuk menilai personal hygiene, C (Comparation) membandingkan personal hygiene yang baik dengan buruk dan O (Outcome) hubungan personal hygiene dengan kejadian skabies serta artikel yang lolos critical apprisal. Hasil penelitian, penderita skabies di Pondok Pesantren sebesar 46,8% dengan confidence interval 95% adalah 44,8 – 48,8%,  personal hygiene yang buruk pada santri sebanyak 42,5% dengan confidence interval 95% adalah 40,4 – 44,6% dan terdapat 24 dari 27 artikel menyatakan terdapat hubungan personal hygiene dengan kejadian skabies di pondok pesantren  Kesimpulan, personal hygiene berhubungan dengan kejadian skabies. Systematic review: the Relationship of Personal Hygiene and the Incidence of Scabies in Boarding SchoolScabies is a disease that is still a global health problem. Scabies is one of the 12 most common diseases in Indonesia. Scabies can occur due to several risk factors, one of which is personal hygiene. Purpose: This study aims to determine the relationship of personal hygiene with the incidence of scabies in Islamic boarding schools. Methods: Systematic review  with the keywords "personal hygiene" and "scabies incidence" in students at Islamic boarding schools with a cross-sectional research design in accordance with inclusion and exclusion criteria, screening using Eligibility Criteria. consisting of P (Population) of students at Islamic boarding schools, I (Intervention) questionnaire to assess personal hygiene, C (Comparation) comparing good and bad personal hygiene and O (Outcome) the relationship of personal hygiene with the incidence of scabies and articles that pass critical apprisal. Results: The number of scabies sufferers in Islamic boarding schools was 46.8% with a 95% confidence interval was 44.8 – 48.8%, poor personal hygiene among the students was 42.5% with a 95% confidence interval was 40.4 – 44.6% and 24 out of 27 articles stated that there was a relationship between personal hygiene and the incidence of scabies in Islamic boarding schools. Conclusion: Personal hygiene is related to the incidence of scabies.
Kemungkinan Adaptive Coping Styles dalam Mencegah Kejadian Depresi pada Mahasiswa selama Pandemi COVID-19: Kajian Pustaka Rakanda Muhammad Naufal Pratomo; Putri Qintara Choirunnisa; Nugraha Sutadipura; Dede Setiapriagung
Bandung Conference Series: Medical Science Vol. 2 No. 1 (2022): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v2i1.2207

Abstract

Abstract. The COVID-19 pandemic has caused a bad psychological response in all groups of society, especially young adult university students. This is because there are stressors that come from the environment, such as someone who is separated from his family, lives in a place that is prone to COVID-19 transmission, or face-to-face learning turns into online learning. These stressors can cause psychological symptoms, namely depression. Major Depressive Disorder (MDD) or depression is a mood disorder that is chronic and can spread, characterized by persistently low mood, hopelessness, anhedonia, loss of energy, and cognitive dysfunction. There are discrete episodes lasting at least 2 weeks that can produce marked changes in effects on cognition, neurovegetative function, and interepisode remission. Depression is caused by reduced expression of the NR3C1; methylation of the BDNF gene; methylation of the SLC6A4 promoter. Psychosocially caused by developmental predisposition and life events. As many as 1 in 5 groups of young adults suffer from depression and about 6.2% want to commit suicide. Adaptive coping styles play a role in intervening these mechanisms in the medial prefrontal cortex and nucleus accumbens. Thus, stressors can be handled properly and can prevent symptoms of depression in university students during the COVID-19 pandemic. Abstrak. Pandemi COVID-19 menimbulkan respons psikologis yang buruk pada semua kelompok masyarakat, terutama kelompok mahasiswa usia dewasa muda. Hal tersebut disebabkan karena terdapat stresor yang berasal dari lingkungan, seperti seseorang yang terpisah dengan keluarga, tinggal ke tempat yang rentan adanya penularan COVID-19, atau pembelajaran tatap muka berubah menjadi pembelajaran dalam jaringan (daring). Stresor tersebut dapat menyebabkan gejala psikologis, yaitu depresi. Major Depressive Disorder (MDD) atau depresi adalah gangguan mood yang bersifat kronis dan dapat menyebar, ditandai dengan mood yang terus-menerus rendah, putus asa, anhedonia, kehilangan energi, dan disfungsi kognitif. Terdapat episode diskrit paling tidak selama 2 minggu yang dapat membuat perubahan jelas dalam pengaruh pada kognisi, fungsi neurovegetative, dan remisi interepisode. Depresi disebabkan oleh ekspresi gen NR3C1 yang berkurang; methylation pada gen BDNF; methylation pada SLC6A4 promoter. Secara psikososial disebabkan oleh developmental predisposition dan life events. Sebanyak 1 dari 5 kelompok dewasa muda menderita depresi dan sekitar 6,2% ingin bunuh diri. Adaptive coping styles berperan dalam mengintervensi mekanisme tersebut pada medial prefrontal cortex dan nucleus accumbens, sehingga stresor dapat ditangani dengan baik dan dapat mencegah gejala depresi pada mahasiswa selama Pandemi COVID-19.