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All Journal Universa Medicina Jurnal Keperawatan Muhammadiyah Journal Of Widya Medika Junior Oceana Biomedicina Journal JPMB: Jurnal Pemberdayaan Masyarakat Berkarakter
Florentina Sustini
Fakultas Kedokteran, Universitas Airlangga
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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Home humidity increased risk of tuberculosis in children living with adult active tuberculosis cases Lestari, Pudji; Sustini, Florentina; Endaryanto, Anang; Asih, Retno
Universa Medicina Vol 30, No 3 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.138-145

Abstract

Indonesia is one of the countries with the largest number of tuberculosis (TB) cases in the world. Environmental factors play significant roles in infection and disease development in children living with adult active TB cases. The aim of this study was to explore the environmental factors affecting TB risk in children, including humidity and number of people living in the same house with the children.  Using a cross-sectional study design, children living with active TB adults for at least 8 weeks were recruited. The subjects underwent clinical examination, tuberculin skin test (TST) and radiological investigations. Home visits were conducted three times daily, namely in the morning, at midday, and in the evening, to measure humidity by digital hygrometer and to observe home conditions. Of 56 index cases living with active TB adults in an urban low socio-economic setting, 64 contact TB children were recruited. These children were classified as class I with negative TST and no clinical signs, class II with positive TST and no clinical signs, and class III with both positive TST and clinical signs. There were 32 (50%) class I, 10 (15.6%) class II and 22 (34.3%) class III children. However, a sub-sample of 43 showed positive results for Mtb 16S rRNA, indicating that all children were infected. The humidity cut-off point was set at 75%, p=0.04 and EP 2.09 (CI= 1.32-3.29), signifying that children living in houses with a humidity higher than 75%, were twice more likely to be tuberculin positive. Environmental conditions playing a role in disease development were humidity and number of people living in the house.
Empirical Antibiotic Therapy Assessment of Patients diagnosed with Sepsis in Intermediate Care Ward of Internal Medicine Department of Dr. Soetomo General Hospital according to Gyssens Method Adiwinoto, Ronald Pratama; Sustini, Florentina; Hardiono, Hardiono; Widodo, Agung Dwi Wahyu; Hidajat, Boerhan; Hadi, Usman
Oceana Biomedicina Journal Vol 1, No 2 (2018): Oceana Biomedicina Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (546.601 KB) | DOI: 10.30649/obj.v1i2.17

Abstract

Rational empirical antimicrobial therapy is an important component of sepsis patient management. This study aimed to assess the rationality of empirical antimicrobial therapy in patients diagnosed with sepsis admitted in intermediate care ward of internal medicine department (RPI) of Dr. Soetomo General Hospital from January 2016 to July 2017. Medical records of 91 patients diagnosed with sepsis were collected and studied retrospectively in period from July 2017 to November 2017. 91 (85.05%) medical records from 107 sepsis patients were evaluated. Cultures and antimicrobial sensitivity tests were carried out in 21 (23.07%) patients. 14 patients yielded positive culture results, 9 of which were MDRO positive with ESBL as resistant marker. Empirical antibiotic therapies for these patients were reviewed according to Gyssens method.73 (80.2%) of 91 patients were deemed receiving appropriate empirical antibiotic therapies. Ceftriaxone IV injection as monotherapy or combination therapy were the most common empirical antibiotic therapies (82 in 91 patients, 90.1%), despite local microbiologic flora and antibiogram show most pathogens were resistant to ceftriaxone. Mortality rate in this study was high, 92.3% (84 patients died) despite rational empirical antibiotic therapies were high. This study concluded that empirical antibiotic therapies in sepsis patients according to guidelines adopted in Soetomo General Hospital, albeit deemed rational, was no longer appropriate according to local antibiogram issued by microbiological department of Soetomo General Hospital. Keywords: Empirical Antibiotics Therapy, Gyssens criteria, Intermediate Care Ward, Sepsis, Septic Shock
Peningkatan Pengetahuan Dan Keterampilan Konseling Vasektomi Menggunakan Manekin, Video, Leaflet, Dan Poster Rizalanda, Sofyan; Soebadi, Doddy Moesbadianto; Sustini, Florentina
Jurnal Keperawatan Muhammadiyah 2019: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v4i2.2329

Abstract

Objective: to identify the effect of the use of family planning counseling media on improving vasectomy knowledges and counseling skills.Methods: This article used  quasi-experimental method with a non randomized control group pre test - post test design. The research subjects were 35 male heads of the male family planning group divided into mannequin, video, leaflet, poster, and control group.  Results: Average variable of knowledges of the male family planning group leader before debriefing was 43.66 and after it became 66.86 with average knowledges in the control namely 43.43, leaflet 68.71, poster 68.57, video 74.29, and mannequin 78.29 (p = 0.0001) or smaller than 0.05. While the average variable of counseling skills before debriefing was 26.74 and after it became 84.00 with the average of them were control group 27.43, leaflet 65.14, poster 70.85, video 72.57, and mannequin 71.57, (p = 0,0001) or smaller than 0.05.  Conclusion: The use of family planning counseling medias increase vasectomy knowledges and counseling skills. For knowledges, mannequin is the best media. While the counseling skills, video is the best one.Keywords:  counseling skills, knowledges, media
Level Knowledge Of Cataract, Education, And Sosioeconomic Status With Preoperative Visual Acuity In Patients With Senile Cataract In Phc Hospital Of Surabaya Sumomba, Yordani; Ernawati, Titiek; Sustini, Florentina
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 1, No 3 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (354.394 KB) | DOI: 10.33508/jwmj.v1i3.2099

Abstract

Introduction : Cataract is a cloudiness in the fibers or lens material inside the lens capsule. If the cataract was not treated immediately, the patient might experience blindness. Aim: This study aimed to analyze the correlation between the level of knowledge about cataract, education, and socioeconomic status with preoperative visual acuity in patients with senile cataract in hospital PHC Surabaya. Methods : This study was observational analytic with sampling through accidental sampling. The sample of the study was senile cataract patients preoperatively on August 24th to 27th September 2016. The variables of the study was the level of knowledge about cataract, education level, socioeconomic status, and preoperative visual acuity. Data analysis used Spearman correlation test. Results : Results obtained preoperatively senile cataract patients was highest in the age group 60-64 years (28%) and the lowest in the age group 75-79 years (6%). By gender, patients of senile cataract was highest in the group of male (52%) than female (48%). There was a significant correlation between the level of knowledge about cataract (p = 0.008) and level of education (p=0,006) with preoperative visual acuity in patients with senile cataract. There was no correlation between socioeconomic status with preoperative visual acuity in patients with senile cataract (p = 0.124). Conclusion : The results showed that the factors affecting patients in seeking treatment of cataract was the level of knowledge about cataract and level of education. Patients with a good level of knowledge and good education were expected to recognize the symptoms of cataracts immediately and could search for cataract treatment to prevent blindness.
Peningkatan Keterampilan Konseling Kelompok Keluarga Berencana Pria Menggunakan Alat Bantu di Propinsi Jawa Timur Rizalanda, Sofyan; Soebadi, Doddy M.; Sustini, Florentina
JPMB : Jurnal Pemberdayaan Masyarakat Berkarakter Vol 2 No 1 (2019): Januari-Juli
Publisher : Pusat Penelitian dan Pengembangan Rekarta Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstrak: Kegiatan ini dilaksanakan melalui kerjasama dengan Kelompok Keluarga Berencana Pria di Propinsi Jawa Timur. Adapun tujuannnya adalah untuk menyelesaikan masalah yang dihadapi oleh Kelompok Keluarga Berencana Pria di Propinsi Jawa Timur, yaitu terbatasnya pengalaman dan bekal untuk memberikan konseling kepada calon peserta vasektomi yang ada di wilayahnya. Permasalahan tersebut menjadi salah satu penyebab rendahnya kesertaan vasektomi di Propinsi Jawa Timur. Hasil pelaksanaan kegiatan menunjukkan bahwa, pemberian pelatihan konseling dan peralatan pendukung konseling vasektomi dapat meningkatkan kemampuan konseling para ketua kelompok Keluarga Berencana Pria, sehingga hal tersebut meningkatkan jumlah peserta vasektomi. Alat pendukung konseling yang paling banyak menarik peserta vasektomi adalah manekin/boneka tiruan dari organ kelamin pria.Abstract: This activity was carried out in collaboration with the Men's Family Planning Group in East Java Province. The purpose was to solve the problems faced by the Male Family Planning Group in East Java Province. They were limited experience and provisions to provide counseling to prospective vasectomy participants in their area. They were some of the causes of low vasectomy in East Java Province. The results of the implementation of the activity show that the provision of counseling training and supporting equipment for vasectomy counseling improve the counseling capacity of the leaders of the Men's Family Planning group, so that they increase the number of vasectomy participants. The counseling supporting tools that attracts most vasectomy participants is mannequins / artificial dolls from the male genital organs.
Co-Authors Agung Dwi Wahyu Widodo Anang Endaryanto Doddy M. Soebadi Ernawati, Titiek Hardiono Hardiono, Hardiono Hidajat, Boerhan Pudji Lestari Retno Asih, Retno Rizalanda, Sofyan Rizalanda, Sofyan Ronald Pratama Adiwinoto Soebadi, Doddy Moesbadianto Sumomba, Yordani Usman Hadi