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All Journal Jurnal Manajemen Kesehatan Indonesia Belitung Nursing Journal Jurnal Kesehatan
Halilintar, Via Dolorosa
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Decision Sciences, Operations Research & Management Health Professions Nursing Public Health

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Faktor Determinan yang Memengaruhi Perilaku Swadiagnosis dan Swamedikasi pada Mahasiswa Kedokteran dan Non-Kedokteran Lonah, Lonah; Halilintar, Via Dolorosa; Lauwly, Edlyn Edrea
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3328

Abstract

Self-diagnosis and self-medication are some of the global health phenomena. Inappropriate behavior may lead to harmful effects such as misdiagnosis, antibiotic resistance, etc. Determinant factors such as age, gender, ownership of health insurance, and others are influencing self-medication. This study aims to find the prevalence of self-diagnosis and self-medication and the determinant factors influencing self-medication in university students. This study used a cross-sectional method conducted in April 2021 online. Using consecutive non-probability sampling, the research sample successfully obtained was 184 medical and non-medical faculty students. The research data were analyzed in univariate and bivariate. The prevalence of self-diagnosis and self-medication was 64.1% and 46.7% in the medical faculty-student group, then 63.0% and 43.5% in the non-medical faculty-student group. Duration of illness in the medical faculty-student group, self-diagnosis, and support from other persons in both groups of respondents significantly correlated with self-medication (p-value
ECONOMIC EVALUATION OF PHARMACOGENETIC-GUIDED PRESCRIBING IN PRECISION MEDICINE FOR CARDIOVASCULAR DISEASES: AN EVIDENCE SYNTHESIS FROM ASIAN COUNTRIES Halilintar, Via Dolorosa; Lonah, Lonah; Pujiyanto, Pujiyanto
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 3 (2024): Desember 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.3.2024.252-265

Abstract

Precision medicine, particularly pharmacogenetic-guided approaches, has emerged as a promising tool to optimize treatment strategies for cardiovascular disease. However, the economic evaluation of these approaches in Asian populations remains underexplored. This review study aimed to synthesize evidence on the implementation, methodology, research gaps, and limitations of pharmacogenetic-guided precision medicine in cardiovascular disease among the Asian population. A comprehensive search of electronic databases (Pubmed, Embase, Google Scholar and Cochrane Library) was conducted to identify relevant studies. The data were extracted and synthesized to address the study objectives A total of 12 studies were included in the analysis. Economic evaluation studies of pharmacogenetic-guided precision medicine in cardiovascular disease management in Asian countries are still limited, with precision medicine interventions often requiring high resources. The sampling process remains a challenge in conducting economic evaluation studies, and there are limitations in obtaining clinical outcome descriptions from real-world evidence, as most studies rely on literature reviews or modeling-based approaches. Furthermore, most studies use a provider or healthcare cost perspective, limiting the comprehensiveness of cost information. This evidence synthesis highlights the potential for pharmacogenetic-guided precision medicine in cardiovascular disease management among the Asian population, as well as the current challenges and limitations in conducting economic evaluations. Further research is needed to address these issues, develop more robust sampling strategies, obtain real-world clinical outcome data, and provide comprehensive cost information to inform clinical practice and healthcare policy in the region.
Unseen burden: Prevalence and determinants of possible sarcopenia in Indonesian older adults – a secondary data analysis Halilintar, Via Dolorosa; Pujiyanto
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4368

Abstract

Background: Indonesia is experiencing rapid population aging, raising concern about muscle weakness in later life; possible sarcopenia offers early identification through low handgrip strength. Objective: To estimate the prevalence of possible sarcopenia and its determinants among older adults in Indonesia. Methods: This secondary analysis used baseline data from the Indonesian Longitudinal Aging Survey 2023 and included adults aged sixty years or older with valid handgrip measurements. Possible sarcopenia followed the Asian Working Group for Sarcopenia 2019 thresholds using the maximum of two trials per hand. Covariates included sociodemographic, behavioral, functional, and clinical factors. We applied descriptive statistics, bivariate tests, and multivariable logistic regression, with probit average marginal effects. Sampling weights were unavailable in the public-use microdata; we treated enumeration areas as the primary sampling units, with available stratification and no weights; estimates were unweighted, and standard errors were design-based (survey-corrected). Results: Among 1,598 participants, the prevalence of possible sarcopenia was 51.1%. Older age, low physical performance, and urban residence were associated with higher odds. Higher body mass index and better cognition were associated with lower odds. A prespecified sex-by-body mass index interaction suggested attenuation of the protective association of body mass index among women. Conclusion: Possible sarcopenia is common among older Indonesians and is patterned by age, body composition, cognition, functional status, and residential context. Community health services, including community nursing services, can integrate routine handgrip assessment with brief interventions on strength activities, nutrition, and cognitive engagement to identify risk early and inform preventive care.
Co-Authors Andalusia, Lucia Rizka Lauwly, Edlyn Edrea Lonah, Lonah Nadjib, Mardiati Pujiyanto Pujiyanto Pujiyanto Sjaaf, Amal Chalik