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All Journal PREPOTIF : Jurnal Kesehatan Masyarakat International Archives of Medical Sciences and Public Health International Archives of Medical Sciences and Public Health Cermin Dunia Kedokteran Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Health Safety Environment Journal Jurnal Ilmiah Kesehatan Masyarakat Jurnal Kedokteran Ibnu Nafis Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara
Agustiawan
Fakultas Kedokteran Institut Kesehatan Helvetia Medan
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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DESCRIPTION OF USE OF PERSONAL LISTENING DEVICES (PLD) DURING ONLINE LEARNING DURING COVID-19 PANDEMIC Agustiawan Agustiawan
Health Safety Environment Vol 2, No 2 (2021): Health Safety Environment Journal (September 2021)
Publisher : Health Safety Environment Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.649 KB)

Abstract

Background: Unwise use of personal listening devices (PLD) when learning online during COVID-19 pandemic can increase risk of deafness in future. Methods: This cross sectional study involved 159 respondents (97 students and 62 lecturers) who then filled out a questionnaire regarding their knowledge and attitudes in using PLD. Mann-Whitney test was conducted to see the association between two variable. Results: A total of 51, 55, and 53 respondents respectively used earphones, headsets, and both. A total of 83.0% of respondents knew that they should not use PLD with a volume >60%, 81.1% of respondents knew that they should not use PLD >60 minutes, and as many as 70.4% knew that they should not clean their ears using cotton. bud. Respondents in this study generally never used PLD within >60 minutes (27.7%), rarely used PLD with volume >60% (35.2%), and always cleaned their ears with a cotton bud (48.4%). The bivariate test showed that there was no relationship between the respondent's knowledge of the duration of PLD use >60 minutes (p-value= 0.392) and the volume of PLD usage > 60% (p-value= 0.410), while for the respondent's knowledge in terms of "no ear cleaning". using a cotton bud” on the attitude of respondents not to clean their ears using a cotton bud was significant (pvalue = 0.034). Conclusions: This study shows that there are still many uses of PLD that are not in accordance with the rules of <60% and <60 minutes. Online learning has been carried out for three semesters, so efforts are needed to invite students and lecturers to use PLD wisely.
Dampak Promosi Kesehatan Rumah Sakit (PKRS) Terhadap Loyalitas Pasien di Rumah Sakit: Sebuah Tinjauan Litelatur: The Impact of Hospital Health Promotion on Patient Loyalty in Hospital: A Literature Review Agustiawan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 2: FEBRUARY 2022 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (752.659 KB) | DOI: 10.56338/mppki.v5i2.2046

Abstract

Pendahuluan: Promosi Kesehatan Rumah Sakit (PKRS) merupakan konsep tata kelola rumah sakit yang menjalankan promosi kesehatan, sehingga berdampak pada pengembangan kualitas pelayanan RS. Artikel ini membahas mengenai penerapan PKRS yang dihubungkan dengan loyalitas pasien. Metode: Kami menganalisis jurnal berbahasa Indonesia atau Inggris, teks lengkap dan membahas mengenai promosi kesehatan serta loyalitas pasien dalam sepuluh tahun terakhir. Adapun database yang kami gunakan adalah Pubmed dan Google Schoolar. Hasil dan Pembahasan: Banyak tenaga kesehatan beranggapan bahwa promosi kesehatan selalu menjadi core business rumah sakit. Promosi kesehatan rumah sakit membuat RS tidak hanya menyediakan layanan medis dan keperawatan komprehensif yang berkualitas tinggi, tetapi juga mengembangkan identitas perusahaan, mengembangkan struktur dan budaya organisasi yang mempromosikan kesehatan, termasuk peran aktif dan partisipatif bagi pasien dan semua anggota staf, mengembangkan diri menjadi lingkungan fisik yang mempromosikan kesehatan, dan secara aktif bekerja sama dengan komunitasnya. Promosi kesehatan RS juga dikaitkan dengan harapan / ekspektasi pasien, mempengaruhi nilai yang dirasakan, dan meningkatkan kepuasan. Promosi kesehatan RS dinilai dapat meningkatkan citra RS dimata pasien. Persepsi nilai, citra RS yang baik dan kepuasan pasien berpengaruh terhadap loyalitas pasien. Kesimpulan: PKRS dapat berpengaruh positif terhadap loyalitas pasien.
Hiperglikemia Reaktif pada Kasus Traumatic Brain Injury (TBI) Agustiawan -; M. Jailani Al-Fajri
Cermin Dunia Kedokteran Vol 48, No 7 (2021): Infeksi - [Covid - 19]
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v48i7.1463

Abstract

Trauma kepala merupakan penyebab utama kematian pada dewasa. Kerusakan akibat traumatic brain injury (TBI) dibagi menjadi dua jenis, yaitu cedera otak primer dan sekunder. Hiperglikemia setelah trauma kepala merupakan komplikasi sekunder yang berhubungan dengan hasil klinis buruk dan peningkatan mortalitas disebabkan respons stres, inflamasi, diabetes, disfungsi hipofisis atau hipotalamus, operasi, dan anestesi. Hiperglikemi pada kondisi ini harus dikontrol karena meningkatkan risiko outcome buruk dan kematian.Traumatic brain injury (TBI) is the main cause of death in adults. Damage due TBI is divided into two types, primary and secondary brain injury. Hyperglycemia after head trauma is a secondary complication associated with poor clinical outcomes and increased mortality due to stress response, inflammation, diabetes, pituitary or hypothalamic dysfunction, surgery, and anesthesia. Hyperglycemia in this condition must be controlled because it increases the risk of adverse outcomes and death. 
GAMBARAN FAKTOR DAN KIAT BERHENTI MEROKOK BERDASARKAN PENGALAMAN MANTAN PEROKOK AKTIF Agustiawan Agustiawan; Sri Hajijah; Juwita Desry
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 5 No. 1 (2021): April 2021
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v5i1.1623

Abstract

Introduction: Smoking activity or behavior is one of the serious problems that can cause dangerous diseases. Methods: This qualitative study conducted in-depth interviews with three samples that we had selected based on inclusion and exclusion criteria. The inclusion criteria for the sample of this study were moderate and heavy smokers (Brinkman Index >200) and had quit smoking in the last two years. The exclusion criteria of this study were tiral smoker (trial smoker) and having comorbidities that generally make a person stop smoking due to their disease conditions. Interviews were conducted in a structured manner throughout March through the social media voice note chat application. Results: Three respondents in this study started smoking because they joined friends and quit smoking because of the increase in cigarette prices and received family support to quit smoking. Conclusion: The main principle in quitting smoking is to strengthen your intention and fill your daily life with positive activities, be it work or worship. Efforts to quit smoking are not instantaneous, so it needs support and assistance from people around someone who is about to quit smoking.
Pilihan Media Promosi Kesehatan Berdasarkan Kategori Generasi di Rumah Sakit Islam Ibnu Sina Pekanbaru Agustiawan Imron
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 4 (2022): Oktober 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v1i4.834

Abstract

Health promotion is an effort to spread health information or messages to all levels of society. Achieving health promotion goals generally requires media or tools so that health promotion can be more effective and efficient. The delivery and media of health promotion must be adapted to the characteristics of the target to be achieved. This article discusses the choice of health promotion media by generation category at Ibnu Sina Islamic Hospital Pekanbaru. This study involved 200 patients seeking treatment at the Outpatient Polyclinic from October 1 to 5, 2021. Patients were asked to fill out a questionnaire on Googleform, then the results of the questionnaire were analyzed using the Chi Square or Fisher Exact test, where p < 0.05 was considered significant. This study was dominated by Generation Y (44.0%), college education (54.5%) and male gender (53.5%). Respondents of this study generally chose Instagram as an online health promotion media (61.0%), while leaflets were the media of choice for offline health promotion media (37.5%). Fisher's exact test for the difference between Generasi and health promotion media both online and offline was significant based on statistical tests (p-value = 0.000). There is a difference between the age generation and the choice of health promotion media.
Hiperglikemia Reaktif pada Kasus Traumatic Brain Injury (TBI) Agustiawan; M. Jailani Al-Fajri
Cermin Dunia Kedokteran Vol 48 No 7 (2021): Infeksi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v48i7.104

Abstract

Trauma kepala merupakan penyebab utama kematian pada dewasa. Kerusakan akibat traumatic brain injury (TBI) dibagi menjadi dua jenis, yaitu cedera otak primer dan sekunder. Hiperglikemia setelah trauma kepala merupakan komplikasi sekunder yang berhubungan dengan hasil klinis buruk dan peningkatan mortalitas disebabkan respons stres, inflamasi, diabetes, disfungsi hipofisis atau hipotalamus, operasi, dan anestesi. Hiperglikemi pada kondisi ini harus dikontrol karena meningkatkan risiko outcome buruk dan kematian. Traumatic brain injury (TBI) is the main cause of death in adults. Damage due TBI is divided into two types, primary and secondary brain injury. Hyperglycemia after head trauma is a secondary complication associated with poor clinical outcomes and increased mortality due to stress response, inflammation, diabetes, pituitary or hypothalamic dysfunction, surgery, and anesthesia. Hyperglycemia in this condition must be controlled because it increases the risk of adverse outcomes and death.
Factors Associated With Complaints of Disorders Hearing In Workers In The Machine Section of PT. Fertilizer Iskandar Muda Lhokseumawe In 2022 Suzan Fhitriana Pakpahan; Siti Khairunnisa Nasution; Suzanne C. Hutagalung; Agustiawan Agustiawan
International Archives of Medical Sciences and Public Health Vol. 5 No. 1 (2024)
Publisher : Pena Cendekia Insani

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Abstract

Introduction: Technological advances in the machinery sector, have succeeded in creating a variety of machine products that in operation often produce noise that must be faced by employees in doing work. Objective: The purpose of this study was to determine the factors associated with complaints of hearing loss in workers at PT. Pupuk Iskandar Muda Lhokseumawe. Method: This study used descriptive with a cross sectional approach. The study population was all workers as many as 200 workers with a sample of 133 workers taken using simple random sampling techniques. Data analysis using univariate, bivariate analysis with statistical logistic regression tests. Results: The variables worker age = 0.000, length of exposure = 0.000, working period = 0.000, noise intensity = 0.000, ear protection equipment = 0.000, which means worker age, length of exposure, noise intensity, ear protection equipment (APT). Conclusion: This study is that there is a relationship between worker age, length of exposure, length of service, noise intensity and ear protection equipment with complaints of hearing loss in machine part workers. It is expected that workers can comply with the regulations set by the factory and pay more attention to occupational safety and health.
PENATALAKSANAAN PASIEN TENGGELAM DI PELAYANAN GAWAT DARURAT Agustiawan
Jurnal Kedokteran Ibnu Nafis Vol. 12 No. 2 (2023): Desember 2023
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v12i2.587

Abstract

Tenggelam merupakan proses dimana seseorang mengalami gangguan pernafasan akibat perendaman dalam medium cair. Tenggelam berisiko menyebabkan kematian jika individu tersebut tidak diselamatkan atau tidak mampu mengatasi situasi tersebut. Faktor penyumbang terbanyak untuk morbiditas dan mortalitas akibat tenggelam adalah hipoksemia, asidosis serta efek multiorgan dari proses tersebut. Tatalaksana pasien tenggelam dilakukan dengan tim interprofessional yang meliputi dokter gawat darurat, ahli saraf, ahli anestesi, intensifivis, perawat dan layanan sistem gawatdarurat terpadu. Pasien tenggelam derajat 3 sampai 6 biasanya akan tiba dengan kebutuhan ventilasi mekanis. Positive end-expiratory pressure (PEEP) awal sebaiknya tingkat 5 cmH2O dan kemudian dititrasi dengan kenaikan 2 sampai 3 cmH2O jika diperlukan dan memungkinkan. Disfungsi jantung dengan curah jantung yang rendah dapat terjadi segera setelah kasus yang berat. Curah jantung yang rendah dikaitkan dengan tekanan oklusi kapiler paru yang tinggi (vasokonstriksi hipoksia), tekanan vena sentral yang tinggi, dan resistensi pembuluh darah paru yang dapat bertahan selama berhari-hari. Suhu inti dipertahankan pada rentang 32-34°C selama setidaknya 24 jam pasca henti jantung untuk meningkatkan hasil neurologis. Tidak ada cukup bukti untuk mendukung target tekanan parsial karbondioksida (PaCO2) atau saturasi oksigen tertentu, tetapi hipoksemia harus dihindari.
RISIKO GANGGUAN PERNAFASAN PADA PEKERJA BARBER SHOP: RISK FACTOR OF RESPIRATORY DISORDERS IN BARBER SHOP WORKERS Agustiawan; Rai Riska Resty Wasita
Jurnal Kedokteran Ibnu Nafis Vol. 13 No. 1 (2024): Juni 2024
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v13i1.650

Abstract

Bahaya di lingkungan kerja dapat dibagi menjadi tiga kategori, antara lain bahaya kesehatan, keselamatan serta lingkungan. Bahaya kesehatan merupakan semua segala aktivitas yang dapat menyebabkan timbulnya penyakit dalam semua pekerja. Penata rambut secara signifikan mengalami peningkatan risiko gejala pernapasan, seperti batuk, mengi, sesak napas, dan sesak di dada, serta penurunan VC, FVC, dan FEV1 secara signifikan. Pendekatan umum untuk penyakit akibat kerja adalah relokasi pekerja ke lingkungan kerja yang lebih sehat. Namun, tidak mungkin industri tata rambut mampu memberdayakan pekerja dengan alternatif penempatan yang berarti di semua wilayah baik di negara berpenghasilan tinggi maupun rendah. Upaya untuk mengganti produk yang mengandung berbagai zat berbahaya dengan produk yang tidak terlalu berbahaya harus diprioritaskan. Pemilihan alat pelindung diri untuk mencegah dan melindungi tubuh dari paparan inhalan harus memenuhi syarat mampu melindungi tubuh dari inhalasi zat / material, tidak mudah rusak, ringan dan tidak membatasi gerak atau menimbulkan rasa tidak nyaman, serta mudah dibersihkan.
FAKTOR RISIKO ACUTE KIDNEY INJURY (AKI) PADA PASIEN DENGAN KEGANASAN: RISK FACTORS FOR ACUTE KIDNEY INJURY (AKI) IN PATIENTS WITH MALIGNANCY Agustiawan; Ekawaty Suryani Mastari; Tivalen Dwirara Anggraini; Ulfah Octavia Saragih
Jurnal Kedokteran Ibnu Nafis Vol. 13 No. 2 (2024): Desember 2024
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v13i2.662

Abstract

Acute kidney injury (AKI) merupakan kondisi dimana seseorang mengalami penurunan fungsi ginjal secara tiba-tiba (<48 jam). Mereka dengan AKI mengalami peningkatan kadar serum kreatinin >0.3 mg/dl, kenaikan presentasi kreatinin serum ≥50% (1,5 kali dari nilai awal/normal), atau penurunan urine output. Penelitian sebelumnya menunjukkan bahwa AKI merupakan komplikasi umum dari kanker, dimana hampir separuh pasien neoplastik mengalami AKI selama perjalanan penyakit mereka. Hal ini tentunya berdampak besar pada prognosis keseluruhan, lama rawat inap, dan biaya pengobatan. Kejadian AKI pada pasien kanker merupakan hal yang umum, dimana AKI seringkali ditemukan dalam perjalanan penyakit pasien dengan keganasan. AKI dapat disebabkan oleh karena faktor pasien, tumor, maupun pengobatan. Pencegahan dan antisipasi harus dilakukan untuk meningkatkan luaran pasien.
Co-Authors Andi Nasir Anwar Bet Dani Rosdiana Ekawaty Suryani Mastari Juwita Desry M. Jailani Al-Fajri Maulina, Nora Muhammad Fadhlan La Tabari Rai Riska Resty Wasita Rai Riska Resty Wasita Raja Merlinda Veronica Siti Khairunnisa Nasution Sri Hajijah Suzan Fhitriana Pakpahan Suzanne C. Hutagalung Tivalen Dwirara Anggraini Ulfah Octavia Saragih