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Leadership in doctor-patient relationship: Implementation on patient’s case management in primary care Werdhani, Retno A.
Medical Journal of Indonesia Vol 26, No 2 (2017): June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (494.556 KB) | DOI: 10.13181/mji.v26i2.1877


As a care coordinator, primary care physicians (PCP) need planning, organizing, implementation, and evaluation. A model of leadership in medicine needs to be implemented in primary care. Transformational leadership is defined as a leadership style that is suitable for health services. It is similar to a patient-centered approach. Case management should be well prepared and explained in accordance with patient needs, can be agreed upon, as well as implemented with appropriate respective roles. A leader needs to do various aspects related to the managerial process for carrying out the required activities. The same process can also be done by PCPs to achieve patient’s target management. Such activities include planning up to building networks. PCPs are expected to have leadership competencies and transformational leadership to support their performance as care coordinators. This can be obtained through a holistic, comprehensive, integrated, and continuous approach, as well as building relationships with other stakeholders.
Efficacy of removable rigid dressing after transtibial amputation in diabetes mellitus patients Hidayati, Evi R.N.; Ilyas, Elida; Murdana, I N. N.; Tarigan, Tri J.E.; Werdhani, Retno A.
Medical Journal of Indonesia Vol 22, No 1 (2013): February
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.817 KB) | DOI: 10.13181/mji.v22i1.516


Background: The aim of this study was to evaluate the RRD’s efficacy in decreasing stump edema and pain compared to elastic bandage for diabetic mellitus patients after transtibial amputation.Methods: Interventional research was using consecutive  sampling. Subjects were randomized into two groups: RRD and elastic bandage. Twenty-three subjects were analyzed. Stump  edema volume was measured by the amount of water spilled out from volume glass. Elastic bandage was reapplied every 4 hours  and RRD was refitted every 7 days during evaluation time. Stump edema volume was evaluated every 7 days during the 8 week observation.Results: There was a significant decrease of stump volume in RRD group during the first and second week (p = 0.03, p = 0.01) and the edema decreasing time was also significant (p = 0.03).  The average decrease of edema volume in RRD was 63.85% of second week and in the elastic bandage group was 34.35%. There were a tendency of pain reduction time in RRD group (4.83 ± 1.95 weeks) compared to elastic bandage group (5.18 ± 2.31weeks). Cox regression result of decreasing edema volume time was 3.088 (CI 95%: 1.128 – 4.916).Conclusion: This study found that there was stump edema  volume acceleration in RRD group, it was three times faster for stump to become not edematous compared to elastic bandage group. There was a tendency of faster decreasing stump pain in  RRD group than elastic bandage group, eventhough this result  was not statistically significant. (Med J Indones. 2013;22:16-21)Keywords: Diabetes mellitus, removable rigid dressing, transtibial amputation
Correlation of noise level exposure on the reaction time of workers at a manufacturing company in Bandung, Indonesia Herqutanto Herqutanto; Irwan Suhadi; Imron Khazim; Dewi S. Soemarko; Retno A. Werdhani
Health Science Journal of Indonesia Vol 11 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v11i1.2447


Latar Belakang: Para pekerja sering kali terpaksa berhadapan dengan kebisingan tinggi ditempat kerja. Kebisingan mengganggu perhatian yang diperlukan terus-menerus dan menurunkan produktivitas kerja, oleh sebab itu pekerja yang melakukan pengamatan dan pengawasan terhadap satu proses produksi atau hasilnya, dapat membuat kesalahan akibat dari terganggunya konsentrasi dan kurang fokusnya perhatian. Pada penelitian ini dilakukan pengukuran waktu reaksi cahaya dan suara untuk menilai fokus perhatian/konsentrasi. Metode: Studi analitik dengan desain komparatif cross sectional. Penelitian ini dilakukan pada perusahaan manufaktur yang memproduksi benang nylon sintetik. Membandingkan rerata selisih waktu reaksi cahaya dan suara sebelum dan setelah bekerja dengan pajanan kebisingan pada kelompok subjek yang bekerja pada intensitas kebisingan di atas NAB (area braiding) dibandingkan dengan yang di bawah NAB (area waring), dimana sebelumnya dilakukan pengukuran intensitas tingkat kebisingan di kedua area tersebut. Hasil Penelitian: Perbedaan bermakna waktu reaksi cahaya yang melambat pada subjek yang bekerja dengan pajanan kebisingan di atas NAB sebelum dan setelah bekerja (p=0.007), namun tidak dengan waktu reaksi suara. Tidak terdapat perbedaan bermakna waktu reaksi cahaya dan suara pada subjek yang bekerja dengan pajanan kebisingan di bawah NAB sebelum dan setelah bekerja. Terdapat perbedaan bermakna rerata selisih waktu reaksi cahaya yang melambat pada subjek yang bekerja pada pajanan kebisingan di atas NAB dengan di bawah NAB, p=0,017, namun tidak bermakna terhadap rerata selisih waktu reaksi suara. Kesimpulan: Terdapat perbedaan rerata selisih waktu reaksi cahaya pada pekerja yang bekerja dengan pajanan kebisingan di atas NAB dibandingkan dengan pekerja yang bekerja dengan pajanan kebisingan di bawah NAB, sehingga tingkat intensitas kebisingan tinggi (di atas NAB) mempengaruhi waktu reaksi cahaya dan menjadi lebih lambat. Kata Kunci: waktu reaksi cahaya; waktu reaksi suara; kebisingan Abstract Background: Workers are often exposed to high noise level at their workplaces. Noise can disrupt the worker’s concentration and focus and in the end, may cause lower productivity. Thus, workers whose main job descriptions are to supervise workflow from one phase to another are prone to mistakes due to the loss of concentration and focus. In this research, we used reaction timer with light and sound stimuli to assess attention or concentration. Methods: The study was an analytical study with comparative cross sectional design, comparing a mean difference between light and sound reaction time before and after work. This research was conducted at a manufacturing company that produces synthetic nylon fibers. The subjects were divided into two groups; the workers with noise intensity above TLV (braiding’s area) and with noise intensity below TLV (waring’s area). Prior to the study, the research has measured the intensity of the noise level in the workplace area. Result: A significant difference was found in the light’s reaction time who work with noise exposure above TLV (p= 0.007) and it was found to be slower after work with the workers who are exposed to noise above TLV. There was also a significant mean difference for the light’s reaction time between the above TLV noise group and below TLV noise group (p = 0.017). There was no significant difference in sound reaction time. Conclusion: There was a significant mean difference in light reaction time for the workers who work with noise exposure above TLV compare with the workers who work in below TLV, so that high intensity of noise level is found to affect and decrease the light reaction time of the workers. Keywords: light’s reaction time, sound’s reaction time, noise.