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All Journal Jurnal Epidemiologi Kesehatan Komunitas Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa
Budi Laksono
Universitas Diponegoro
Dentistry Health Professions Public Health

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Faktor Risiko yang Berpengaruh terhadap Kejadian HIV/AIDS pada Pengguna Napza Suntik (Studi Epidemiologi Di Kota Pontianak) Sumini Sumini; Suharyo Hadisaputro; Anies Anies; Budi Laksono; Muchlis AU Sofro
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11556.588 KB) | DOI: 10.14710/jekk.v2i1.3993

Abstract

Background: Injecting drug users (IDUs) are play role of high risk of HIV infection due to sexual behaviors that do not use condoms and use of unsterile needles. The high productive age group affected by HIV/AIDS and death, then the lower life expectancy, availability and productivity of the workforce. The purpose of the study proved that individual and environmental factors are risk factors for the incidence of HIV / AIDS among injecting drug users.Method: This observational analytic study, with the design of the case control study equipped with a qualitative approach of risk factors retrospectively. The target population of the study were IDUs in Pontianak with a sample of 96 people consisting of 48 cases of HIV/AIDS and 48 were IDUs not control HIV/AIDS. The sampling method is non-probability sampling study with consecutive sampling manner. Data analysis included univariate, bivariate using chi- square test and multivariate logistic regression test.Results: Multivariate analysis of four variables associated with the incidence of HIV/AIDSamong IDUs is married status (OR = 5,57), had sexual intercourse more than two people (OR =4,13), frequency of injecting drugs > 6 time / week yet (OR = 3,71), and not / do not work (OR= 3,28)Conclusion: Risk factors were shown to influence: the married status, had sexual intercourse more than ≥ 2 people, frequency of injecting drugs > 6 times / week and not/do not work yet.
PENGALAMAN MANTAN PECANDU NARKOBA, MOTIVASI DAN RELAPSE PASCA REHABILITASI Nisrina Shafira Salsabilla; Bagoes Widjanarko; Budi Laksono
Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Vol 9, No 2 (2022): JURNAL KESMAS (KESEHATAN MASYARAKAT) KHATULISTIWA
Publisher : Universitas Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29406/jkmk.v9i2.3268

Abstract

ABSTRAKKeinginan seseorang untuk menggunakan narkoba kembali cukup tinggi. Mayoritas penyalahguna narkoba pernah mengalami relapse. Kecenderungan untuk relapse selama proses pemulihan merupakan hal serius untuk ditangani secara tepat.(sudah diperbaiki) Penelitian ini bertujuan untuk mendeskripsikan pengalaman hidup mantan pecandu narkoba yang mengalami relapse, menjelaskan motivasi yang mendorongnya, dan menganalisis faktor pemicu relapse pasca rehabilitasi. Penelitian ini menggunakan metode deskriptif kualitatif dengan desain penelitian studi fenomenologi. Informan utama yang terlibat dalam penelitian ini sebanyak 6 orang mantan pecandu narkoba yang tergabung dalam komunitas di Yayasan Sokoguru Kabupaten Semarang. Informan dipilih menggunakan teknik purposive sampling. Alat pengumpulan data dalam penelitian adalah wawancara mendalam dan dokumentasi. Penelitian dilakukan pada bulan Agustus sampai September 2021. Teknik analisis data dengan Interpretative Phenomenological Analysis. Hasil penelitian menunjukkan bahwa seluruh mantan pecandu narkoba yang relapse mempunyai pengalaman mendapatkan stigma negatif, dan berurusan dengan hukum. Faktor motivasi hingga akhirnya pecandu narkoba bisa pulih dari konsumsi narkoba yaitu faktor diri sendiri, dorongan keluarga, orang terdekat, dan hukum. Faktor pemicu relapse pasca rehabilitasi yaitu lingkungan atau pergaulan. Rekomendasi dari hasil penelitian ini yaitu hendaklah masyarakat tidak memandang mantan pecandu narkoba dengan stigma negatif, seperti mengucilkan dan mendiskriminasi karena mereka mempunyai sisi positif yang bisa diambil dari pengalamannya untuk bisa pulih dari narkoba dan bisa bekerja secara produktif. Selain itu, menumbuhkan kesadaran tentang bahaya narkoba pada masyarakat.Kata kunci: mantan pecandu narkoba, motivasi, pengalaman, relapse
Rhino-Orbito-Cerebral Mucormycosis (ROCM): An Observational Case Report of Covid-19 Positive Patients Admitted in Intensive Care Unit of Community Hospital in South India Chimezie Finian Nwadinigwe; Mateus Sakundarno Adi; Budi Laksono; Dwi Sutiningsih
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.16620

Abstract

Background: Rhino-orbito-cerebral mucormycosis (ROCM) increasing incidence in the setting of COVID-19 in India and elsewhere has become a matter of immediate concern. In this observational case report we have observed the signs and symptoms of ROCM among coronavirus positive patients with reference to “Mucor code “as reported by Honavar SG 2021, we have reported cases been admitted to ICU for <2weeks in a community hospital in South India. Method: Patient informed consent was taken, Patient’s data (Medical record, medication charts, daily report) were collected using a designed data collection form, observed warning signs and symptoms, and predisposed factors was noted and ROCM is characterized with reference to the “Mucor code”.Results: Nasal stuffiness, Foul smell and Facial pain and among others were the most coherent warning signs and symptoms observed among the patients in <2weeks of admission in ICU. Other observed predisposing risk factors were regular administration of corticosteroids, antibiotics, Diabetes Mellitus, Hypertension, and Kidney Stone.Conclusion: All the cases on preliminary examination on the basis of observed warning signs and symptoms were “Possible” ROCM a sub-type of Covid-19 associated mucormycosis (CAM), as this was the first reported case of the hospital. Our study gave basis for further diagnosis and monitoring of Covid-19 positive patient admitted in the intensive care units.
Distribution and Prevalence of Multidrug-Resistant Organisms (MDROs) Among MDRO-Positive Individuals at Dr. Kariadi Hospital Saidi Ntambi; Dwi Sutiningsih; Maiga Ayub Hussein; Budi Laksono
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.18530

Abstract

Background: Multidrug-resistant organisms (MDRO) pose a significant challenge to healthcare facilities globally, impacting patient outcomes and healthcare costs. Understanding the distribution and prevalence of MDRO is crucial for effective infection control and prevention strategies. This study aimed to investigate the distribution and prevalence of MDROs, among MDRO-positive individuals at Dr. Kariadi Hospital.Methods: A retrospective analysis of secondary data was conducted, encompassing a diverse range of MDROs, including ESBL, carbapenem-resistant Enterobacteriaceae (CRE), methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant Staphylococcus aureus (VRSA). The study population consisted of individuals who tested positive for MDRO within the hospital.Results: A total of 100 MDRO-positive cases were identified during the study period. The most prevalent MDRO identified was ESBL-producing organisms, accounting for 59% of all cases. Other significant findings included the presence of carbapenem-resistant Enterobacteriaceae (CRE) and MRSA, which constituted 4% and 3% of the MDRO-positive cases, respectively. Notably, a diverse range of MDRO species, such as MRCoNS (methicillin-resistant coagulase-negative Staphylococci), was also detected.Conclusion: This study provides valuable insights into the distribution and prevalence of MDRO at Dr. Kariadi Hospital. The findings underscore the urgent need for robust infection control measures and targeted interventions to mitigate the spread of MDRO. Implementing effective surveillance, promoting antibiotic stewardship, and enhancing preventive strategies are crucial for controlling MDRO infections. Future research should focus on exploring the molecular characteristics and resistance mechanisms of the identified MDRO to inform tailored prevention and treatment approaches. 
Co-Authors Anies Anies Bagoes Widjanarko Chimezie Finian Nwadinigwe Dwi Sutiningsih Maiga Ayub Hussein Mateus Sakundarno Adi, Mateus Sakundarno Muchlis AU Sofro Nisrina Shafira Salsabilla Saidi Ntambi Suharyo Hadisaputro Sumini Sumini