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RELATIONSHIP BETWEEN GROWTH RATE AND DIFFERENT TYPES OF INFECTION IN CHILDREN UNDER 5 YEARS ON WEST PAPUA Pratomo, Fransiskus Aryo
Indonesian Journal of Tropical and Infectious Disease Vol. 6 No. 5 (2017)
Publisher : Institute of Topical Disease Universitas Airlangga

Malnutrition is still a significant problem in the world and in Indonesia. Among the factors underlying it, the role of growth faltering is often underestimated. Considering infection as a factor that affects growth and that Indonesia is endemic to various different infectious diseases, to understand its role, a study on infants is conducted using using longitudinal study design in the Sumuri District, Bintuni Bay Regency, West Papua Province. A total of 138 children aged 6 months to 5 years is followed for 6 months in February to August 2014. Weight gain data and frequency of infection is collected, with the infections divided into four category of disease: upper respiratory tract infection, skin infection, gastroenteritis, and malaria. These data are gathered by Puskesmas daily and monthly records followed by home visit. This study found that the prevalence of malnutrition for the area covered by Puskesmas Tanah Merah is 15.9% for moderate malnutrition and 2.9% for severe malnutrition, with the mean SD value in the beginning of the study -1.15 and at the end of study -1.12, with the difference of SD value calculated as weight gain. Total incidence of infections and mean duration of each infection is then compiled and calculated with weight gain data using linear regression method statistical test to understand the difference of role of each infection to weight gain. The result of the study shows that gastroenteritis has a significant negative effect to weight gain and upper respiratory tract infection has a negative effect to weight gain on children in the villages handled by Puskesmas Tanah Merah West Papua.

The Effect of Telang Flower Extract (Clitoria Ternatea) on Reducing Total Cholesterol Levels in Male Wistar Rats (Rattus Norvegicus) with Obesity Haryati, Aprillia Sri; Tanamal, Claudia; Pratomo, Fransiskus Aryo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.755

Several health problems can arise from obesity, including an increased risk of diabetes mellitus, heart disease, high blood pressure, and high cholesterol. High cholesterol levels are associated with obesity, which is a health risk in and of itself. Achieving excellent health requires careful monitoring of cholesterol levels, and one way to do this is to eat foods rich in antioxidants. Specifically, this study used a laboratory experimental design, a true of experimental quantitative research. The research used twenty-four male Wistar rats (Rattus norvegicus). This study set out to compare the pre-and post-administration of Telang flower extract (Clitoria ternatea) to total cholesterol levels in the blood of rats (Rattus norvegicus). The tests were administered for homogeneity, one-way ANOVA, and normality. After that, SPSS was used to examine the study data. Researchers observed that compared to other methods, a 600mg/KgBW dose of butterfly pea flower extract (Clitoria ternatea) significantly reduced total cholesterol levels in obese male Wistar rats (Rattus norvegicus) from 65.06mg/dl to 37.46mg/dl. The study found that the phytochemical content of Telang flowers helped obese people lower their cholesterol levels.

QUALITATIVE EVALUATION OF MORAL DILEMMA DISCUSSION PROGRAM FOR UNDERGRADUATE MEDICAL STUDENTS Pratomo, Fransiskus Aryo; Rahayu, Gandes Retno; Suhoyo, Yoyo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.75423

Background: In order to achieve professionalism in the medical profession, competence in medical knowledge and skills is crucial. However, equally important are affective components that encompass moral values. At Widya Mandala University Medical School, moral dilemma discussions are employed as a method to enhance the ethical and moral development of students. To optimize the impact of this method on students, it is necessary to delve deeper into the processes that occur within it. This study aims to qualitatively evaluate the student experience of moral dilemma discussions in terms of their moral development and ethical reasoning, their perception of the method as a learning tool, and their assessment of its effects on their moral development and ethical reasoning.Methods: This study utilized a qualitative phenomenological approach to assess the student experience of moral dilemma discussions. In-depth interviews were conducted with 15 student participants from three different academic years. The data obtained were qualitatively analyzed using the thematic analysis method.Results: The in-depth interviews with the 15 study participants yielded four main themes, namely moral development, self-development, the process of assimilation and accommodation, and enabling factors.Conclusion: All students who took part in the study reported a self-perception of higher stage of moral development. According to their experiences, moral development occurred through a process involving ethical contextualization, exposure to various points of view, and reflection. Important factors to consider include sufficient preparation, an active and enjoyable atmosphere, the use of relevant cases, and a longitudinal process.

Association between cardiothoracic ratio and aortic arch calcification with estimated glomerular filtration rate in hypertensive patients Pratomo, Fransiskus Aryo; Icksan, Aziza Ghanie; Nasution, Ikhwanul Hakim
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6677

Hypertension remains a leading cause of global cardiovascular mortality, including in Indonesia. Target organ damage, particularly renal impairment, underscores the need for easily obtainable biomarkers for early detection. Although not explicitly recommended in current guidelines, the cardiothoracic ratio (CTR) and aortic arch calcification (AAC), both assessable via chest radiography, represent readily available and cost-effective screening tools. This study aimed to evaluate the association between these radiographic markers and decreased estimated glomerular filtration rate (eGFR) in hypertensive patients at Royal Prima Hospital, thereby addressing a crucial knowledge gap in resource-limited settings with restricted access to advanced imaging modalities. A cross-sectional analysis was conducted involving 175 hypertensive participants, stratified according to their chronic kidney disease (CKD) stage. Baseline demographics, hypertension status, CTR, AAC, and eGFR were assessed. Bivariate correlation and multivariate regression analyses were performed to determine the relationships between CTR, AAC, and eGFR. The study population exhibited a high prevalence of cardiovascular comorbidities, with 82.3% demonstrating cardiomegaly (mild-to-severe CTR) and 61.7% presenting with AAC. Bivariate analysis revealed a strong inverse correlation between eGFR and both CTR (r = −0.418, p < 0.001) and AAC score (r = −0.457, p < 0.001). Multivariate regression confirmed that both CTR (B = -1.738, p < 0.001) and AAC (B = -16.127, p < 0.001) were significant predictors of eGFR decline. Progressive CKD stages were associated with increased CTR (52.3% in Stage 1 vs. 58.7% in Stage 5) and greater AAC severity (0% advanced calcification in Stage 1 vs. 34% in Stage 5). Age, sex, and blood pressure did not show significant correlations with eGFR (p > 0.05). CTR and AAC are strongly associated with renal dysfunction, reinforcing the evidence of an interaction between cardiovascular pathology and CKD progression. These markers have the potential to serve as accessible biomarkers for identifying high-risk patients, thereby facilitating early intervention in resource-limited settings.

The relationship between body mass index and blood sugar levels among menopausal women Manao, Oktoriadi; Lubis, Yolanda Eliza Putri; Nasution, Masdalena; Lawrence, Christopher; Pratomo, Fransiskus Aryo; Nardi, Leo
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.6352

Decreased estrogen levels during menopause are often associated with various health problems, one of which is carbohydrate metabolism disorders characterized by changes in blood sugar levels. The purpose of this study was to analyze the relationship between body mass index (BMI) and blood sugar levels in menopausal women. This study is an analytic descriptive study with a cross-sectional design. The research sample involved all women aged 40-60 years who met the inclusion criteria. The results showed that most of the respondents (75%) were included in the late elderly category (age >56 years). Based on BMI, the majority of respondents (35%) were categorized as obesity I. Additionally, 51.7% of respondents had high blood glucose levels. Statistical analysis revealed a significant relationship between age status and blood glucose levels (p-value = 0.000). Similarly, there was a significant relationship between BMI and blood glucose levels (p-value = 0.026). These results indicate that age and obesity are factors associated with increased blood sugar levels in menopausal women.

The Effect of Telang Flower Extract (Clitoria Ternatea) on Reducing Total Cholesterol Levels in Male Wistar Rats (Rattus Norvegicus) with Obesity Haryati, Aprillia Sri; Tanamal, Claudia; Pratomo, Fransiskus Aryo
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.755

Several health problems can arise from obesity, including an increased risk of diabetes mellitus, heart disease, high blood pressure, and high cholesterol. High cholesterol levels are associated with obesity, which is a health risk in and of itself. Achieving excellent health requires careful monitoring of cholesterol levels, and one way to do this is to eat foods rich in antioxidants. Specifically, this study used a laboratory experimental design, a true of experimental quantitative research. The research used twenty-four male Wistar rats (Rattus norvegicus). This study set out to compare the pre-and post-administration of Telang flower extract (Clitoria ternatea) to total cholesterol levels in the blood of rats (Rattus norvegicus). The tests were administered for homogeneity, one-way ANOVA, and normality. After that, SPSS was used to examine the study data. Researchers observed that compared to other methods, a 600mg/KgBW dose of butterfly pea flower extract (Clitoria ternatea) significantly reduced total cholesterol levels in obese male Wistar rats (Rattus norvegicus) from 65.06mg/dl to 37.46mg/dl. The study found that the phytochemical content of Telang flowers helped obese people lower their cholesterol levels.

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