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Diabetes Predictive Scoring Model in Adults at Jakarta Based on Waist-to-Hip Ratio and Handgrip Strength Setiawan, Fiona Valencia; Wijaya, Bryan Anna; Gunawan, Shirly; Firmansyah, Yohanes
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 14 No. 1 (2026): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v14i1.52320

Abstract

Background: Diabetes mellitus is an escalating public health concern, particularly among productive-age populations in urban settings. This study aimed to evaluate the potential of WHR and HG as low-cost, non-invasive tools for early diabetes risk detection. Methods: A cross-sectional study was conducted among 539 productive-age adults (>18 years) across multiple districts in Jakarta during 2024–2025 using consecutive sampling. Fasting blood glucose, WHR, and HG were assessed. Multiple linear regression was applied to examine associations between WHR, HG, and fasting glucose. A binary logistic regression model with backward likelihood ratio selection was used to identify predictors of diabetes. Results: WHR showed a significant positive association with fasting glucose (B = 72.647; p = 0.001), while HG demonstrated a significant inverse association (B = –0.468; p = 0.047). Logistic regression analysis indicated that lower HG (B = –0.867; Exp(B) = 0.420; p = 0.001) and higher WHR (B = –2.413; Exp(B) = 0.090; p = 0.018) were independently associated with diabetes risk. The model constant was 4.535 (p < 0.001). Conclusion: A model integrating WHR and HG shows promise for early diabetes risk stratification among productive-age adults in Jakarta, supporting their utility in community-based screening.
Edukasi Pemanfaatan Tanaman Obat Tradisional untuk Kesehatan Lansia di Panti Werda Berbasis Edukasi Interaktif Shirly Gunawan; Bruce Edbert; Devi Putri Nabila; Elisya Shafa Ananda Maurika; Taufik Rizky Marhaen; Dodo Nugroho; Theresa Vanya Nabela Puspita Prameswari; Stephanie Amadea; Jennifer Oscar
Amalee: Indonesian Journal of Community Research and Engagement Vol. 7 No. 1 (2026): Amalee: Indonesian Journal of Community Research and Engagement
Publisher : LP2M INSURI Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37680/amalee.v7i1.9410

Abstract

Indonesia, with its rapidly growing elderly population (12% today, projected to reach 20% by 2045), faces major challenges in sustaining the quality of life of older adults. Comprehensive strategies are required to keep the elderly active, healthy, and productive, including the role of nursing homes that provide integrated health services. One promising approach is the use of traditional medicinal plants, globally recognized but remain relatively unfamiliar among the elderly. This community service program aims to educate elderly nursing home residents on the use of traditional medicinal plants. This activity adopted an educational approach using interactive games. Sixty-three elderly participants were divided into six groups. The program employed a descriptive qualitative approach supported by simple quantitative pre‑ and post‑test data to achieve a comprehensive understanding of its effectiveness. Initial knowledge was limited (83.33% scored 3–4), but after the educational intervention, four groups (66.67%) achieved excellent scores (9–10), one group (16.67%) attained good scores (7–8), and one group attained average scores (5-6). In the quiz, all questions (100%) were answered correctly. These findings highlight that interactive education can significantly improve elderly knowledge and motivation, offering a sustainable model for promoting the safe and effective use of traditional medicinal plants.
Kepatuhan Pengobatan Multi-Drug Therapy (MDT) dan Faktor yang Mempengaruhinya pada Pasien Morbus Hansen di RSUD RAA Soewondo Pati Elly Mazida; Erna Kristiyani; Shirly Gunawan
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.5938

Abstract

Hansen’s disease (leprosy) remains a public health problem in Indonesia. Although national elimination was declared in the year 2000, the number of new cases has remained stagnant at around 17,000–20,000 cases per year, and the proportion of Grade 2 Disability (G2D) remains high. Social stigma, delayed diagnosis, and poor adherence to Multi-Drug Therapy (MDT) continue to be major challenges in achieving elimination. This study aims to evaluate MDT adherence based on three Hansen’s disease patients and to analyze the factors influencing it. This research uses a descriptive design with a three-case report approach analyzed from a public health perspective. The variables assessed include MDT adherence, family support, stigma, patient knowledge, and drug adverse effects. Two of the three patients demonstrated high adherence to MDT, while one patient exhibited non-adherence due to a severe drug reaction (dapsone hypersensitivity syndrome). Factors influencing adherence include patient knowledge, drug side effects, family support, and special conditions such as pregnancy. MDT adherence remains a challenge in leprosy elimination efforts. A multidisciplinary approach involving education, intensive monitoring, and stigma prevention is needed to improve treatment success.
POTENSI EKSTRAK BUNGA MAWAR PUTIH (ROSA ALBA): KAJIAN FITOKIMIA DAN KAPASITAS ANTIOKSIDAN Muhammad Fitrianur Ramadansyah; Shirly Gunawan; David Limanan; Frans Ferdinal; Eny Yulianti
Ebers Papyrus Vol. 32 No. 1 (2026): EBERS PAPYRUS
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/ep.v32i1.36998

Abstract

Stres oksidatif muncul ketika tubuh terpapar ROS (Reactive Oxygen Species) dalam jumlah berlebih hingga melampaui kapasitas antioksidan di dalam tubuh. Untuk mencegah terjadinya kerusakan akibat oksidasi, kondisi ini dapat diatasi melalui penambahan antioksidan eksogen. Antioksidan eksogen dapat diperoleh dari sumber alami, termasuk tanaman herbal. Salah satu contoh tanaman yang tumbuh di wilayah Bandung (Jawa Barat) adalah bunga mawar putih (Rosa alba), yang telah dimanfaatkan sebagai bahan pembuatan air aromatik dikenal dengan nama air Nesri. Penelitian ini bertujuan untuk mengevaluasi potensi antioksidan pada bunga mawar putih (Rosa alba). Ekstrak dari bunga tersebut diperoleh melalui metode maserasi dengan menggunakan pelarut metanol. Uji fitokimia dilakukan dengan pendekatan semikualitatif. Uji kapasitas total antioksidan dilakukan menggunakan metode DPPH (1,1-diphenyl-2-picrylhydrazyl) dan dianalisis dengan spektrofotometer UV-Vis. Pada uji fitokimia didapatkan ekstrak bunga mawar putih (Rosa alba) mengandung glikosida, kumarin, saponin, kuinon, fenolik, antosianin, betasianin, alkaloid, flavonoid, kardioglikosida, steroid, tanin, dan terpenoid. Diperoleh ekstrak bunga mawar putih (Rosa alba) memiliki kapasitas antioksidan dengan metode DPPH (IC50 = 100,444 µg/mL), dengan metode ABTS (IC50 = 13,481 µg/mL), dengan metode FRAP (IC50 = 20,106 µg/mL). Sehingga dapat disimpulkan ekstrak bunga mawar putih (Rosa alba) berpotensi sebagai agen antioksidan.
Loyalitas pasien ditinjau dari pengalaman dan kepercayaan pasien pada rumah sakit di Depok, Jawa Barat Bella Chechelia Tambunan; Keni Keni; Shirly Gunawan
Jurnal Manajemen Bisnis dan Kewirausahaan Vol 10 No 4 (2026): Jurnal Manajemen Bisnis dan Kewirausahaan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmbk.v10i4.38427

Abstract

Increasing competition in the healthcare industry requires hospitals to strengthen patient loyalty as an essential factor for sustaining organizational performance. Patient experience and patient trust are considered important determinants of patient loyalty in healthcare services. This study aims to analyze the effects of patient experience and patient trust on patient loyalty at a Hospital in Depok, West Java. A quantitative approach with a cross-sectional design was employed. Primary data were collected through questionnaires administered to 100 outpatients selected using purposive sampling. Data were analyzed using the Partial Least Squares–Structural Equation Modeling (PLS-SEM) method with SmartPLS 4 software. The findings indicate that patient experience and patient trust have positive and significant effects on patient loyalty. These results suggest that improving patients' service experiences and strengthening their trust in the hospital are essential for fostering patient loyalty. Therefore, hospitals should continuously enhance service quality by delivering patient-centered care and improving the professional competence and interpersonal communication of healthcare personnel. Persaingan yang semakin ketat dalam industri pelayanan kesehatan mendorong rumah sakit untuk meningkatkan loyalitas pasien sebagai salah satu faktor penting dalam mempertahankan keberlangsungan layanan. Pengalaman pasien dan kepercayaan pasien merupakan dua faktor yang berpotensi memengaruhi loyalitas pasien dalam memanfaatkan layanan rumah sakit. Penelitian ini bertujuan untuk menganalisis pengaruh pengalaman pasien dan kepercayaan pasien terhadap loyalitas pasien di sebuah rumah sakit di Depok, Jawa Barat. Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional. Data primer diperoleh melalui penyebaran kuesioner kepada 100 pasien rawat jalan yang dipilih menggunakan teknik purposive sampling. Data dianalisis menggunakan metode Partial Least Squares–Structural Equation Modeling (PLS-SEM) dengan bantuan SmartPLS 4. Hasil penelitian menunjukkan bahwa pengalaman pasien dan kepercayaan pasien berpengaruh positif dan signifikan terhadap loyalitas pasien. Temuan ini menunjukkan bahwa peningkatan kualitas pengalaman pasien serta penguatan kepercayaan terhadap rumah sakit berperan penting dalam membangun loyalitas pasien. Oleh karena itu, rumah sakit perlu meningkatkan kualitas pelayanan secara berkelanjutan melalui penyediaan layanan yang berorientasi pada kebutuhan pasien serta penguatan kompetensi dan komunikasi interpersonal tenaga kesehatan.
Pengaruh kualitas pelayanan terhadap kepuasan dan kepercayaan sebagai faktor pembentuk kesetiaan pasien RSD di Jawa Tengah Novilia Puspitasari; Keni Keni; Shirly Gunawan
Jurnal Manajemen Bisnis dan Kewirausahaan Vol 10 No 4 (2026): Jurnal Manajemen Bisnis dan Kewirausahaan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmbk.v10i4.38431

Abstract

The dynamic growth of the healthcare sector in Indonesia has fostered an increasingly challenging competitive landscape. To survive in this market, hospitals are now obligated to prioritize service quality as a core strategy for maintaining patient loyalty, trust, and satisfaction. This study examines the extent to which service quality influences the satisfaction of inpatient care patients at RSD Jawa Tengah, along with its implications for their trust and loyalty. Applying a cross-sectional design and a quantitative methodology, data were collected from 200 respondents via online questionnaires using purposive sampling. Through PLS-SEM modeling with SmartPLS 4.0, the findings reveal that service quality significantly enhances patient satisfaction. Patient satisfaction is also proven to be a primary driver of both trust and patient loyalty. Furthermore, trust contributes positively to patient loyalty. These findings confirm that service optimization is an absolute prerequisite for strengthening hospital competitiveness and achieving patient-centered care. Dinamika pertumbuhan sektor kesehatan di Indonesia menciptakan iklim kompetisi yang semakin menantang. Untuk bertahan dalam pasar ini, rumah sakit kini wajib memprioritaskan mutu layanan sebagai strategi kunci dalam menjaga loyalitas, kepercayaan, serta kepuasan pasien. Studi ini menelaah sejauh mana kualitas pelayanan memengaruhi kepuasan pasien rawat inap di RSD Jawa Tengah, serta implikasinya terhadap kepercayaan dan kesetiaan mereka. Dengan menerapkan desain cross-sectional dan metode kuantitatif, data dihimpun dari 200 responden via kuesioner daring menggunakan teknik purposive sampling. Melalui pemodelan PLS-SEM dengan SmartPLS 4.0, diperoleh temuan bahwa kualitas pelayanan secara signifikan mampu meningkatkan kepuasan pasien. Kepuasan pasien juga terbukti menjadi pendorong utama bagi kepercayaan dan kesetiaan pasien. Di samping itu, kepercayaan memiliki kontribusi positif terhadap loyalitas pasien. Temuan ini menegaskan bahwa optimalisasi pelayanan merupakan prasyarat mutlak untuk memperkuat daya saing rumah sakit dan mewujudkan layanan yang berpusat pada pasien (patient-centered care).
Co-Authors Adnan, Naufal Ikbar Rian Agatha Gracecia Nindra Clarissa Agus Limarta Ajeng Retno Setiawati Alexa Griffith Jaya Leslie Alfarisi, Mohamad Daffa Alicia Sarijuwita Alicia Sarjuwita Alicia Sarjuwita Allyssa, Jihan Putri Amimah, Ranindita Maulya Ismah Amin, Mohamad Shodiqul Anggita Tamaro Arinanda , Septian Averina, Frilliesa Belinda Angie Bella Chechelia Tambunan Bernadetha Vania Eveliani Bruce Edbert Bryan Anna Wijaya Bustam, Steve Geraldo Celline Angel Sinaja Chaidir Cokki, Cokki Daniel Goh David Limanan Devi Putri Nabila Dinali, Diana Djulia Djulia Dodo Nugroho Drew, Clement Dzahabiyyah, Tania Yumna Dzakwan, Muhammad Fikri Elisya Shafa Ananda Maurika Elly Mazida Eny Yulianti Erna Kristiyani Farihin Fadhilah Syarif Fia Fia Lie Fitriani, Gina Frans Ferdinal Gunaidi, Farell Christian Halim, Kenley Harsisnowo, Raden Hawari, Irawati Henyta, Henyta Herdiman, Alicia Hetty Karunia Tanjungsari Husada, Miftah Irawaty Hawari Irvan Baharits Al Basith Jap, Ayleen Nathalie Jennifer Oscar Johan Johan Kamalo, Angelica Joanna Charity Kasvana, Kasvana KENI KENI Kosasih, Robert Kurniawan, Joshua Leonita , Stefani Lerbin R. Aritonang R Liemitang, Gregorius Edward Listiono, Kevin Sanjaya Lo, Geoffrey Christian Lucius, Steven Hizkia Lumintang, Valentino Gilbert Luthfi Handayanti Maharani , Syifa Shabrina Marcella E. Rumawas Marcella Erwina Rumawas Marcella Erwina Rumawas Marshanda, Santy Massie, Andrew Christian Mei Ie Muhammad Fitrianur Ramadansyah Nathaniel, Fernando Nindi R, Desintha Cristy Noer Saelan Tadjuddin Noer Saelan Tadjudin Novendy Novendy Novilia Puspitasari Oentarini Tjandra Pandean, Felicia Paskalis Gunawan Pramana Jaya, I Made Satya Pratama, Raka Yoga Pratiwi, Adelia Helmi Prematellie Jaya Leslie Putri, Hadyan Prasetyaningtyas R. Aritonang R., Lerbin RA Rengganis Ularan Risnawaty, Widya Rumbay, Vaya Talenta Santoso, Alexander Halim Sari, Dwita Linda Sari, Karen Permata Satyanegara, William Gilbert Setiawan, Fiona Valencia Silaban, Hertina Silvia Dwi Mustika Sinaga, Oktri Lentina Sintia Seftiya Ningrum Sobiyanto, Mohammad Nuh Stephanie Amadea Sugiarto, Hans Susilodinata Halim Syarifah , Anisa Ulaya Tanuhariono, Ardhita Felicia Taufik Rizky Marhaen Teguh, Stanislas Kotska Marvel Mayello Theresa Vanya Nabela Puspita Prameswari Tiranda, Wisasti Gladys Chantika Tjongarta, Winny Triyana Sari Vamelda Agustin Vini Claudya Agustine Rajagukguk Vini Claudya Agustine Rajagukguk Widya Risnawaty Wijaya, Bryan Anna Yana Sylvana Yohanes Firmansyah Yosafat, Fernando Yunita, Fenny Zefanya, Belva Zita Atzmardina Zita Atzmardina