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Abstrak :
American Venous Forum Commitee dari tahun 2000 ndash; 2011 terus mengembangkan sistem skoring penilaian derajat keparahan penyakit vena yang praktis bernama Venous Clinical Severity Score VCSS , namun di Indonesia, instrument VCSS hingga saat ini belum pernah dilakukan validasi. Penelitian ini adalah uji diagnostik skoring VCSS dengan membandingkan pemeriksaan penyakit vena menggunakan skoring VCSS oleh dokter umum dibandingkan dengan pemeriksaan klinis CEAP oleh dokter spesalis vaskuler sebagai baku emasnya. Penelitian dilakukan di perusahaan garmen di Jakarta Utara pada bulan Oktober dengan nilai sensivitas 87,5 , spesifitas 96,3 , nilai duga positif 83,3 dan nilai duga negatif 97,3 . Dari Hasil analisis kurva ROC nilai Area Under the Curve AUC sebesar 94,9 sangat baik. Faktor risiko paling dominan terhadap kejadian IVK pada pekerja wanita dengan posisi kerja berdiri adalah masa kerja lebih dari 1 tahun dengan. ...... The American Venous Forum Commitee from 2000 2011 continues to develop a practice scoring system on the severity of venous disease called Venous Clinical Severity Score VCSS , but in Indonesia, this VCSS instrument, until now has never been validated. This study is a VCSS scoring diagnostic test which compere the examination CVI using VCSS by general practitioner and using clinical class of CEAP by vascular specialist as gold standard. Based on the research, the VVTB diagnostic test by using VCSS score was 87.5 sensitivity, 96.3 specificity, 83.3 positive predictive value and 97.3 negative predictive value. From ROC curve analysis, the value of Area Under the Curve AUC is 94.9 which means very good. The most dominant risk factors for the occurrence of CVI in female workers with standing positions were more than 1 year with p

Abstrak :
Chronic venous insufficiency (CVI) merupakan salah satu gangguan pada sistem vaskular Bagian dari sistem vaskular yang dipengaruhi oleh CVI yaitu sistem vena pada ekstremitas bawah. Hal ini menganggu aliran darah pada ekstremitas bawah sehingga dapat menimbulkan komplikasi luka, nyeri, dan keterbatasan rentang gerak pergelangan kaki. Masalah keperawatan yang ditegakkan yaitu nyeri akut dan gangguan integritas kulit. Karya Ilmiah Akhir Ners (KIAN) ini menguraikan analisis asuhan keperawatan dan penerapan range of motion pada pasien dengan CVI untuk meningkatkan keterbatasan rentang gerak pada pergelangan kaki dan penyembuhan luka. Hasil evaluasi dari penerapan tersebut menunjukkan peningkatan rentang gerak pergelangan kaki dari 100 menjadi 150 tetapi tidak ada peningkatan penyembuhan luka selama 6 hari perawatan. Selain itu, terdapat penurunan nyeri dari skala 6 menjadi 5. Berdasarkan hasil tersebut diharapkan latihan ROM dapat diterapkan pada pelayanan kesehatan terutama pada pasien CVI dengan keterbatasan rentang gerak pergelangan kaki. ......Chronic venous insufficiency (CVI) is one of the disorders that affects vascular system. Part of the vascular system that is affected by CVI is venous system in the lower extremities. This disrupts blood flow in the lower extremities which may cause complications such as venous leg ulcer. The main nursing problem in this case is impaired skin integrity. This nursing scientific paper aims to elaborate analysis of nursing care and range of motion application in patient with CVI to increase ankle ROM limitation and wound healing. Evaluation of the ROM application shows increase in ankle ROM from 100 to 150 during 6 days of care. However, there is no increase in the healing rate after 6 days of application. According to the evaluation, ROM exercise is proposed to be applied in healthcare services particularly for CVI patients with ankle ROM limitations

Abstrak :
Pada tahun 2010 American Venous Forum mengembangkan sebuah sistem skoring Venous Clinical Severity Score (VCSS) untuk menilai tingkat keparahan Insufisiensi Vena Kronik, dimana system ini dikatakan lebih lengkap daripada system CEAP. Tetapi validasi VCSS terhadap uji obyektif masih kurang. Tujuan Penelitian ini adalah untuk menguji VCSS terhadap refluks dan diameter vena tungkai berdasarkan ultrasonografi. Penelitian ini merupakan suatu uji diagnostik potong lintang pada pekerja wanita dengan posisi kerja berdiri sebnyak 114 orang (228 tungkai). Dilakukan penilaian VCSS dan pemeriksaan USG pada semua subjek. Hubungan antara VCSS dengan refluks dan diameter vena tungkai dianalisis menggunakan odd rasio dengan interval kepercayaan 95%. Dari 228 tungkai yang diperiksa didapatkan skor VCSS 0-3 sebanyak 18,4%, skor ≥4sebanyak 81,6%. Refluks didapatkan pada 21,9% tungkai. Terdapat hubungan yang signifikan antara VCSS dengan refluks pada vena tungkai. Sedangkan diameter vena safena magna antara 2,1-12,2mm, vena femoral 7,1-17mm, vena popliteal 3-11,4 dan vena safena parva 1,7-7mm. Ketika VCSS dihubungkan dengan diameter vena, didapatkan hubungan yang signifikan. Sensistivitas VCSS dibandingkan dengan refluks berdasarkan USG didapatkan 78%, spesivitas 98,31%, nilai prediksi positif 92,86% dan nilai prediksi negatif 93,86%. Dari hasil penelitian ini disimpulkan skoring VCSS dapat dipakai sebagi metode untuk menilai insufisiensi vena kronik. Meskipun VCSS dirancang untuk menilai keparahan penyakit vena kronis,  VCSS dapat juga dipaki untuk melakukan skrining karena menujukkan hubungan yang baik dengan refluks dan diameter vena tungkai berdasarkan USG.

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In 2010 the American Venous Forum developed a scoring system for the Venous Clinical Severity Score (VCSS) to assess the severity of chronic venous insufficiency, where the system is said to be more complete than the CEAP system. But the VCSS validation of the objective test is still lacking. The aim of this study was to test VCSS for reflux and diameter of leg veins based on ultrasonography. This study is a cross-sectional diagnostic test on female workers with a working position standing at 114 people (228 limbs). VCSS assessment and ultrasound examination were performed on all subjects. The relationship between VCSS and reflux and limb vein diameter was analyzed using odds ratios with a 95% confidence interval. From the 228 limbs examined, the VCSS score of 0-3 was 18.4%, the score ≥4 was 81.6%. Reflux is obtained at 21.9% of the legs. There is a significant relationship between VCSS and reflux in the leg veins. Whereas the diameter of the safena magna vein is between 2.1-12.2mm, 7.1-17mm femoral vein, popliteal vein 3-11.4 and safena parva vein 1.7-7mm. When VCSS is associated with vein diameter, a significant relationship is obtained. The sensitivity of VCSS compared with reflux based on USG was 78%, the specificity was 98.31%, the positive predictive value was 92.86% and the negative predictive value was 93.86%. From the results of this study concluded VCSS scoring can be used as a method to assess chronic venous insufficiency. Although VCSS is designed to assess the severity of chronic venous disease, VCSS can also be cited for screening because it shows a good relationship with reflux and diameter of leg veins based on ultrasound.

Abstrak :
Introduction: In 2010, the American Venous Forum developed a Venous Clinical Severity Score (VCSS) scoring system to assess the severity of Chronic Venous Insufficiency (CVI), where this system was said to be more comprehensive than the CEAP system. However, VCSS validation was still lacking. The purpose of this study was to examine VCSS for reflux and leg vein diameter based on ultrasonography. Method: This study was a cross-sectional diagnostic test on women workers with standing work positions of 114 people (228 limbs) in Jakarta. VCSS assessment and ultrasound examinations were carried out on all subjects. The relationship between VCSS with reflux and leg vein diameter was analyzed using an odds ratio with a 95% confidence interval. Results: From 228 examined limbs, the VCSS score of 0-3 was 18.4%, and the score of ≥4 was 81.6%. Reflux was found in 21.9% of the limbs. There was a significant relationship between VCSS and reflux in leg veins. The diameter of the great saphenous vein was between 2.1-12.2 mm, the femoral vein was 7.1-17 mm, the popliteal vein as 3-11.4, and the small saphenous vein was 1.7-7mm. When VCSS was analyzed for association with venous diameter, a significant relationship was found. VCSS sensitivity compared with reflux based on USG was 78%, specificity was 98.31%, positive predictive value was 92.86%, and the negative predictive value was 93.86%.Conclusion: From the results of this study, it was concluded that the VCSS score could be used as a method for assessing chronic venous insufficiency. Although VCSS is was to assess the severity of the chronic venous disease, VCSS can also be used for screening because it shows a good relationship with the reflux and venous diameter of the limbs based on ultrasound.

Abstrak :
ABSTRAK
Penelitian kerentanan pesisir Surabaya dan sekitarnya terhadap kenaikan muka air laut difokuskan pada perhitungan indeks kerentanan fisik dan sosek dengan pendekatan metode Coastal Vulnerability Index (CVI) dan Social Vulnerability Index (SoVI) yang distandarisasi dengan Multi Criteria Analysis (MCA) sesuai daerah kajian, serta menganalisis variabel yang paling berkontribusi terhadap variasi indeks kerentanan dengan menggunakan Map Removal Sensitivity Analysis (MRSA). Berdasarkan hasil analisis, daerah pesisir Kabupaten Gresik, Kota Surabaya dan Kabupaten Sidoarjo memiliki tingkat kerentanan pesisir terhadap kenaikan muka air laut pada kategori sangat rendah hingga tinggi. Wilayah dengan tingkat kerentanan tinggi secara fisik merupakan wilayah dataran rendah dengan kondisi pantai langsung menghadap Laut Jawa dan merupakan wilayah permukiman dengan tingkat kepadatan penduduk yang cukup besar. Di seluruh daerah penelitian diketahui berada pada kategori kerentanan tinggi sebesar 11,86 % yang sebagian besar terdapat di bagian utara Selat Madura (Kabupaten Gresik). Sementara itu, Kota Surabaya dan Kabupaten Sidoarjo yang kondisi pantainya relatif lebih terlindung memiliki tingkat kerentanan sedang, rendah dan sangat rendah. Kondisi fisik yang paling berkontribusi terhadap tingginya variasi indeks kerentanan di pesisir Gresik, Surabaya dan Sidoarjo adalah kondisi elevasi pantai, sedangkan berdasarkan faktor sosial ekonominya adalah persentase penduduk miskin. Kondisi fisik yang paling berkontribusi terhadap tingginya tingkat kerentanan pesisir di daerah kajian adalah elevasi pantai sedangkan berdasarkan kondisi sosial ekonomi adalah penggunaan lahan.

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Abstract
The study for coastal vulnerability to sea level rise was carried out in Surabaya and its surrounding area, it has focused on calculations of the physical and socioeconomic vulnerability index based on Coastal Vulnerability Index (CVI) and Social Vulnerability Index (SoVI) methods. It was standardized by the Multi Criteria Analysis (MCA) approach according to the study area. The Map Removal Sensitivity Analysis (MRSA) was applied to the most contribute variables of vulnerability index variations as well. Result of this study shows that the coastal vulnerability of Gresik, Surabaya and Sidoarjo is very low to the high level. Physically, the lowland areas that direct look out on the Java Sea, as well as settlements with high density population have a high vulnerability category. The high level vulnerability was found located in the northern of Madura Strait (Gresik Distract) that overlooks to the Java Sea is about 11, 86% from the entire of study area. Meanwhile, the moderate, low and very low levels of vulnerability were located on Surabaya and Sidoarjo District that have more protected coastal area, relatively. According to physical condition, the coastal elevation is the most variable that contributes to the high variations of vulnerability index in the coastal of Surabaya and Sidoarjo District, while the percentage of population poverty is a socio-economic factor that caused the high variations of vulnerability index in the coastal too. Respectively, both the coastal elevation and land use coverage are most variables that contribute to the high of coastal vulnerability level.

Abstrak :
Industri pertambangan batubara merupakan salah satu sumber energi utama di banyak negara termasuk di Indonesia. Namun, industri ini juga menghadapi tantangan dalam hal dampak lingkungan, termasuk emisi gas rumah kaca, dan polusi udara. Untuk menghadapi tantangan tersebut, para pelaku industri tambang batubara beserta pemerintah Indonesia perlu menerapkan konsep ekonomi sirkular demi mengurangi dampak lingkungan yang dihasilkan. Oleh karena itu, perlu ditentukan faktor pendorong dan penghambat utama yang dapat diimplementasikan pada industri pertambangan batubara. Penelitian ini bertujuan untuk mengembangkan faktor pendorong dan penghambat implementasi ekonomi sirkular pada industri pertambangan batubara di Indonesia. Pada tahap awal, penelitian ini meninjau beberapa faktor pendorong dan penghambat yang ada untuk dijadikan daftar dari faktor pendorong dan penghambat awal. Kemudian daftar dari faktor pendorong dan penghambat tersebut dinilai dan divalidasi oleh lima ahli. Penelitian ini menggunakan metode Content Validity Index (CVI) untuk memvalidasi faktor pendorong dan penghambat dan metode DANP untuk menganalisis hubungan dan prioritas faktor pendorong dan penghambat. Dimensi yang paling penting  dari faktor pendorong dan faktor penghambat adalah dimensi financial dan faktor yang paling penting adalah adanya kerja sama industri untuk faktor pendorong dan penerapan teknologi yang rumit untuk faktor penghambat. Hasil penelitian ini dapat digunakan lebih lanjut oleh industri pertambangan batubara untuk menjawab tantangan tersebut. ......The coal mining industry is one of the main sources of energy in many countries, including Indonesia. However, this industry also faces challenges in terms of environmental impacts, including greenhouse gas emissions and air pollution. To address these challenges, coal mining industry players and the Indonesian government need to implement the concept of circular economy to reduce the environmental impact produced. Therefore, it is necessary to determine the main driving factors and barriers that can be implemented in the coal mining industry. This research aims to develop driving factors and barriers for the implementation of circular economy in the coal mining industry in Indonesia. In the initial stage, this research reviews several existing driving factors and barriers to create a list of initial driving factors and barriers. Then, the list of driving factors and barriers is evaluated and validated by five experts. This study uses the Content Validity Index (CVI) method to validate the driving factors and barriers and the Decision-Making Trial and Evaluation Laboratory (DEMATEL) based Analytic Network Process (ANP)/DANP method to analyze the relationships and priorities of the driving factors and barriers. The most important dimension of the driving factors and barriers is the financial dimension, and the most important factor is industry collaboration for the driving factors and the implementation of complex technology for the barriers. The results of this study can be further utilized by the coal mining industry to address these challenges.

Abstrak :
Peningkatan aktivitas budidaya di pantai utara Jawa secara signifikan menurunkan fungsi ekologis mangrove sebagai pelindung alami pantai dari pasang naik dan naiknya permukaan laut, sehingga menyebabkan kerentanan pantai terhadap banjir rob dan genangan berulang. Tujuan dari penelitian ini adalah: (1). pengkajian karakteristik fisik pesisir dan kerawanan sosial masyarakat nelayan terhadap banjir rob, (2). membuat peta zonasi kerentanan, dan (3). membangun model ketahanan pantai. Penelitian ini menggunakan metode indeks kerentanan pesisir (CVI) dan indeks kerentanan sosial (SoVI). Hasil penelitian menyajikan 22,13 persen dan 24,56 persen garis pantai di wilayah penelitian masing-masing memiliki nilai CVI tinggi dan sangat tinggi. Selain itu, nilai SoVI +1,76 juga menunjukkan kerentanan sosial tinggi terhadap banjir Rob. Berdasarkan analisis nilai kerentanan tersebut, penelitian ini mengusulkan  model strategi penanaman mangrove dengan wanamina tipe komplangan selebar 100 m sepanjang pesisir Kecamatan Indramayu untuk ketangguhan pesisir berkelanjutan. Hasil simulasi model menunjukkan strategi ini dapat menurunkan kerentanan dan meningkatkan pendapatan tambak secara signifikan. Penelitian ini berkontribusi pada konsep 'kerentanan' dan 'ketangguhan', dengan menyoroti kapasitas adaptif lokal. Temuan memberi masukan bagi pembuat kebijakan untuk memberi dukungan mitigasi dan adaptasi yang relevan dalam mengaktivasi kapasitas adaptasi komunitas penambak. ......Increased aquaculture activity on the north coast of Java significantly decreases the ecological function of mangroves as natural protectors of the coastal from high tides and sea-level rise, therefore causing coastal vulnerability to tidal flooding and repeated inundation. The objectives of this study were: (1). assessment of the physical coastal characteristic and social vulnerability of fishing communities to Rob flooding, (2). create a vulnerability zoning map, and (3). build a coastal resilience model. This study uses the coastal vulnerability index (CVI) and the social vulnerability index (SoVi) methods. The results showed that 22.13 percent and 24.56 percent of the coastline in the study area had high and very high CVI values, respectively. In addition, the SoVI value of +1.76 also indicates a high social vulnerability to Rob floods. Based on the analysis of the vulnerability value, this study proposes a strategic model of mangrove planting with silvofishery (Komplangan) with a width of 100 m along the coast of Indramayu District for sustainable coastal resilience. The model simulation results show that this strategy can significantly reduce vulnerability and increase pond income. This research contributes to the concepts of 'vulnerability' and 'resilient', by highlighting local adaptive capacities. The findings provide input for policymakers to relevant mitigation and adaptation support to activate the adaptive capacity of fishing communities.