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All Journal Indonesian Journal of Cancer The Indonesian Journal of Public Health Paediatrica Indonesiana JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Belitung Nursing Journal Syntax Literate: Jurnal Ilmiah Indonesia Media Medika Muda Jurnal Epidemiologi Kesehatan Komunitas Jurnal Dunia Kesmas Jurnal Respirologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Anesthesiology and Reanimation (IJAR) Indonesian Journal of Global Health research Indonesian Journal of Cancer Makara Journal of Health Research Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference Tarumanagara Medical Journal Pro Health Jurnal Ilmiah Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Epidemiologi Kesehatan Indonesia
Asri C. Adisasmita
Departemen Epidemiologi FKM UI
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Faktor risiko pemakaian ventilator mekanik lebih dari 24 jam pasca bedah pintas arteri koroner di RSUPN Dr. Cipto Mangunkusumo Rizky Ramadantie; Asri C Adisasmita
Tarumanagara Medical Journal Vol. 3 No. 1 (2021): TARUMANAGARA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/tmj.v3i2.11757

Abstract

Bedah Pintas Arteri Koroner (BPAK) merupakan salah satu tatalaksana dalam revaskularisasi penyakit jantung koroner (PJK). Pemakaian ventilator mekanik yang memanjang pasca tindakan BPAK dapat menyebabkan peningkatan biaya perawatan, penurunan kualitas hidup pasien serta berdampak pada psikologis pasien. Tujuan dari studi ini adalah mencari faktor risiko pemakaian ventilator mekanik lebih dari 24 jam pascabedah pintas arteri koroner. Penelitian ini merupakan analisis kohort retrospektif pada pasien yang dilakukan bedah pintas arteri koroner di Unit Pelayanan Jantung Terpadu RSUPN Dr. Ciptomangunkusumo dari tahun 2016 hingga 2020. Insiden pemakaian ventilator lebih dari 24 jam adalah sebesar 28% (89/313) dengan faktor risiko preoperasi yang signifikan yaitu status gagal jantung NYHA Class III dan IV dengan OR 3,5 (p-value 0,005; IK 1,4-8,5), fraksi ejeksi jantung <50% (OR 2,1; p-value 0,008; IK 95% 1,2-3,5), dan faktor intraoperasi yaitu durasi proses klem silang aorta > 86 menit. Maka dapat disimpulkan bahwa gagal jantung NYHA Class III dan IV, fraksi ejeksi jantung <50%, proses klem silang aorta > 86 menit merupakan faktor risiko terjadinya pemakaian ventilator mekanik pascabedah pintas arteri koroner.
Karakteristik maternal, diagnosis dan komplikasi obstetrik pada penyedia layanan kesehatan sekunder Kota Bekasi Indonesia Sofi Mardiah; Asri C Adisasmita
Tarumanagara Medical Journal Vol. 3 No. 1 (2021): TARUMANAGARA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/tmj.v3i2.11759

Abstract

Tingginya angka kematian ibu di beberapa negara masih menjadi masalah yang perlu mendapat perhatian. Hal ini menggambarkan adanya ketidaksetaraan dalam pelayanan kesehatan terutama kesehatan ibu hamil. Banyaknya kematian perempuan setiap harinya akibat komplikasi selama kehamilan dan persalinan menjadikan hal pertama yang penting untuk dilakukan adalah mengetahui diagnosis terbanyak disertai kemungkinan komplikasi yang terjadi di masing-masing wilayah Telaah karakteristik maternal, kasus dan komplikasi obstetrik dapat memberikan banyak informasi terkait dengan kualitas pelayanan kesehatan pada ibu hamil. Studi ini dilakukan untuk mengidentifikasi diagnosis obstetrik dan komplikasinya di salah satu pemberi pelayanan kesehatan sekunder di Kota Bekasi. Data yang digunakan dalam studi ini diambil dari rekam medis dan register pasien di IGD, kamar bersalin dan ruang operasi pada bulan Maret – Juni tahun 2019. Dari 335 ibu hamil terdapat 28 (8,35%) kasus obstetrik dengan komplikasi. Dari angka tersebut, sebanyak 5,97% (20 kasus) disebabkan oleh perdarahan. Selanjutnya, sebesar 8,35% komplikasi kehamilan ditemukan pada subjek berusia 21 – 34 tahun dan pada usia kehamilan trimester 3, yaitu sebanyak 9,06% dari total kejadian. Hal ini menunjukkan bahwa dibutuhkan upaya lebih baik dalam memperbaiki kualitas pelayanan kesehatan ibu untuk mengurangi komplikasi kehamilan terutama yang disebabkan oleh perdarahan.
Various Clinical Overviews in Pelvic Cavity Cancer In “Dharmais” National Cancer Hospital (DNCH) Evlina Suzanna; Asri C Adisasmita; Pradnya Sri Rahayu; Grace Shalmont
Indonesian Journal of Cancer Vol 17, No 1 (2023): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v17i1.1022

Abstract

Background: Pelvic cavity is formed by the bones of pelvic organs where there are many system organs. Pelvic cavity cancer incidence in Jakarta from 2005 to 2007 was 13.96/100.000 population. In “Dharmais” National Cancer Hospital (DNCH), the frequency in 1993-2007 was 26% of all cancer. The purpose of the research is to find an overview of epidemiological (age group, gender, domicile, educational, marital status, tumor location) and clinical (symptoms and stage) cancer pelvic cavity. Methods: This cross-sectional study used the medical records of patients registered with DNCH as new cases and diagnosed by microscopic examination during 2005-2007. The study population is a case of cancer with the diagnosis of the location of the primary tumor in the pelvic cavity area. The sample calculation used a precision formula and obtained a minimum sample of 323. The data collection used questionnaires and obtained 326 cases. The data were analyzed using SPSS 26.0 with Chi-square test (α = 0.05).Results: Pelvic cavity cancer is a major problem in females (91.1%) with peak ages 45-59. Variations of clinical features in males and females were 24 and 35 symptomatic. In males, the most common clinical feature is dark/blood stool (41.38%), generally on rectal cancer, followed by weight loss (20.69%) which overlaps at five organs. In females, the most common clinical features are vaginal bleeding (43.77%), and vaginal spotting (13.47%), which occurs in cervix cancer, followed by abdominal pain (13.47%) that overlaps in six organs. Conclusions: Cancer, especially primary tumors of the pelvic cavity, is not a “silent killer” disease because the clinical picture can appear at an early stage. This study also provides a common clinical picture in patients with primary tumors in the pelvic cavity even though they are in one cavity. The clinical picture that appears is specific according to the primary tumor. In addition, some symptoms are possessed by various organs, so they are nonspecific.
DIABETIC STATUS OF PEOPLE AFFECTED BY LEPROSY IN DONOROJO LEPROSY RECOVERED VILLAGE: A CROSS SECTIONAL STUDY Nadhila Beladina; Asri Adisasmita
Pro Health Jurnal Ilmiah Kesehatan Vol. 3 No. 1 (2021): Pro Health Jurnal Ilmiah Kesehatan, January 2021
Publisher : Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (11.915 KB) | DOI: 10.35473/proheallth.v3i1.805

Abstract

Just like diabetes, leprosy also cause painless neuropathic ulcers which process is mediated by Schwann-cell. Biochemical changes on leprosy patients presumed to have role on pathogenesis of diabetes mellitus. This study is aimed to know further about diabetic status on population of people affected by leprosy, as the preliminary study to prove the association between diabetes mellitus and leprosy.  Data, such as diabetic status, type of leprosy, grade of disability, and other variables are collected from 127 people affected by leprosy in Donorojo leprosy recovered village. Result showed that 19.7% are having diabetes mellitus, and other 23.6% are in pre-diabetic condition. This number is higher than prevalence of diabetes mellitus in Central Java (2.09%) and Indonesia (2%).  Thus, we recommend further research on this topic and that all leprosy patients should be routinely screened for diabetes mellitus.
The Effect Of Type 2 Diabetes On The Duration Of Recovery Of Covid-19 Patients In Bogor City Regional General Hospital Shalzaviera Azniatinesa; Asri C. Adisasmita; Marthino Robinson
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 9, No 1 (2022): Jurnal Publikasi Kesehatan Masyarakat Indaonesia
Publisher : Lambung Mangkurat University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v9i1.14748

Abstract

Diabetes (36.5%) is the second most common comorbidity suffered by COVID-19 patients after hypertension (49.8%) in Indonesia. COVID-19 patients with diabetes have a 52.1% higher risk of being hospitalized. This study aims to determine the effect of diabetes on the recovery time of COVID-19 patients since being admitted to the hospital. A retrospective cohort study was conducted on 339 confirmed RT-PCR SARS-CoV-2 patients. The Cox Proportional Hazard regression test was used to analyze the relationship between diabetes and the length of recovery for COVID-19 patients. The survival probability for a COVID-19 patient without diabetes to recover from hospital stay for more than 12 days is 19.3% and 32.6% for diabetic patients. The median survival to recovery in patients without diabetes was 9 days (95% CI 8.56-9.44), whereas in patients with diabetes it was 10 days (95% CI 8.94-11.06). The average length of recovery needed for COVID-19 patients without diabetes was 13.13 days, and 20.38 days for COVID-19 patients with diabetes. Multivariate analysis showed no significant correlation between diabetes and recovery time with p-value = 0.302 (HR 1.216; 95% CI 0.839 – 1.762). COVID-19 patients with diabetes have a longer median recovery time than patients without diabetes. However, there is no significant relationship between diabetes and recovery time.
Food profile, environmental factors, stunting, and risk of autism among children on Citarum watershed: a preliminary study Shela Rachmayanti; Asri Chasanah Adisasmita; Retno Asti Werdhani; Wiku B. B. Adisasmito
BKM Public Health and Community Medicine Vol 37 No 12 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i12.3439

Abstract

Purpose: The Citarum River, Indonesia, is one of the most polluted rivers in the world. Despite this, it is still used for community purposes. This preliminary study aims to determine the initial profile and magnitude of the problem in the health ecosystem along Citarum River, which focuses on stunting and the risk of autism associated with food consumption and environmental factors. Methods: Our random sample included children aged <5 years from their households in the Andir and Gajahmekar villages, from September 2018 to September 2019. We interviewed guardians on food consumption and the Modified Checklist for Autism in Toddlers - Revised (M-CHAT-R) questionnaire. The height measurement was interpreted with HAZ WHO-curve. The relationship between variables was analyzed through Chi-square. Results: This study showed that the proportion of stunting and risk of autism was 46.2% and 68%, respectively. Children who consume cow's milk and do not consume tomatoes are more at risk of developing autism. Moreover, subjects that consume chicken and fish from the Citarum riverbank have a higher risk of stunting and autism. Conclusions: Based on this preliminary study, the proportion of stunting and autism in children on the Citarum watershed is higher than the national average. The animal husbandry service authority must consider efforts to maximize this riverside habitat to provide livestock as a source of protein for communities around the river.
Determinant of Unintended Pregnancy in Indonesia Lubis, Pika Novriani; Djuwita, Ratna; Adisasmita, Asri C.; Ronoatmodjo, Sudarto; Gayatri, Maria
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Unintended pregnancy is a global health problem. The number of unintended pregnancies globally is still high, accounting for 1 in 4 pregnancies. In Indonesia, it occupies 15% of total pregnancies. However, studies discussing the determinants of unintended pregnancies in Indonesia were conducted on a small scale. Methods: This cross-sectional research utilized the data of 15,316 respondents of the 2017 Indonesia Demographic and Health Survey. Results: The prevalence of unintended pregnancies in women with live births in the last 3–5 years was approximately 16%. The highest risk of unintended pregnancies was recorded for those with the youngest age, living in urban, and were grand multipara and for the couples who did not know each other’s preferences. Conclusions: Strengthening communication, information, and education in family planning programs, particularly for young women and grand multipara and promoting men’s involvement can help prevent unintended pregnancies.
EARLY DETECTION RISK FACTORS OF PREECLAMPSIA: SCOPING REVIEW Siti Sopiatun; Asri C. Adisasmita
Muhammadiyah International Public Health and Medicine Proceeding Vol. 4 No. 1 (2024): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - F
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v4i1.627

Abstract

Preeclampsia (PE) is a multisystem disorder affecting 2%-5% of pregnancies and remains a leading contributor to maternal and perinatal morbidity and mortality, particularly in cases of early onset. The disorder, commonly emerging around the 20th week of gestation, has a prevalence of approximately 14.1% and is a frequent pregnancy complication. This scoping review aims to examine recent studies on the early detection of pre-eclampsia risk factors. Articles published between 2016 and 2021 were sourced from databases such as PubMed, Google Scholar, Scopus, and Science Direct. Nine studies met the inclusion criteria. These studies explore prediction models for gestational hypertension and preeclampsia, with three focusing on symptoms, signs, laboratory tests, biomarkers, and other associated risk factors. One study highlights family history, obesity, chronic illness, anemia, and lack of ANC visits as contributing factors. Two articles address the management of preeclampsia through initiatives like the PRE-EMPT (Eclampsia Monitoring, Prevention, and Treatment), while others emphasize community-level interventions and healthcare provider education (CLIP). Effective early detection models are essential to reduce preeclampsia incidence and prevent maternal and fetal mortality.
Faktor–Faktor yang Mempengaruhi Gangguan Perkembangan Motorik Kasar Virmandiani, Virmandiani; Adisasmita, Asri C.
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i1.11954

Abstract

Background: Gross motor skills are very important for functional independence and others developmental milestone. Delays in this domain are more pronounced than in other domains in early age, for healthy developmental trajectories, so very early detection is imperative for every parent with a newborn. This study identify risk factors that affect gross motor development in children aged 1 to 3 years.Methods: This retrospective cohort study involved 139 subjects, rehabilitation outpatient clinic. Gross motor delay was assessed using CDC (Milestone Developmental) and Gross Motor Function Classification System (GMFCS) for patient with Cerebral Palsy. Potential risk factors included: prematurity status, asphyxia, epilepsy,  and parent's education.Results: 63 (45.32%) children had delays in gross motor skills, with a mean age of 27±7 months. Cox regression showed asphyxia RR=1.72; [95% CI, 1.49-1.99]; p=0.018. Epilepsy RR=1.50; [95% CI, 1.18-1.92]; p=0.004 was a factor associated with a higher risk ratio in children with gross motor delay. Prematurity was not statistically significant, which may be due to the very small number of subjects with prematurity (less than 5%). Younger children were more at risk of developing symptoms of delayed motor development. Parental education was not associated with the risk of delay.Conclusion: This study demonstrated children with asphyxia or epilepsy have higher risk of being gross motor delay. Therefore, early screening is very important in this population at risk, in order to identify potential delays so that these patients receive appropriate intervention immediately.
Keputusan untuk Melahirkan dengan Tenaga Kesehatan Terlatih pada Persalinan di Rumah (Analisis Data Survei Demografi dan Kesehatan Indonesia 2017) Choirunisa, Septyana; Adisasmita, Asri
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i1.11922

Abstract

Background: IDHS 2017 reported that there are 20.5% of births occur at home. Among births at home, the presence of a skilled health provider as a birth attendant is critical to ensure safe birth care, especially for mothers who could not access health facilities. However, the presence of skilled birth attendants has not been accessible during home births.Methods: This study used a cross-sectional study design using the 2017 IDHS data. The sample of this study was all women of childbearing age who gave birth at home in 2012-2017. The variables analyzed included maternal education, ownership index, region, place of residence, insurance, pregnancy complications, delivery complications, ANC visits, parity, maternal age at delivery, and delivery assistants. Predictive model analysis was performed using Cox regression.Results: 59.5% of home deliveries were attended by skilled birth attendants, while 40.5% were attended by traditional birth attendants/relatives.  Higher wealth index/socioeconomic status (PR=1.35; 95% CI 1.23-1.48), >4 ANC visits (PR=1.28; 95% 1.18-1.40), and higher education (PR=1.21; 95% CI 1.10-1.32) were the most dominant characteristics affecting the odds of delivery by a skilled birth attendant. Conclusion: Increasing coverage of skilled birth attendants can be pursued by increasing the coverage of recommended ANC visits (>4 times), improving socio-economic status, and increasing maternal education levels.
Co-Authors Abioso Wicaksono Adelina Fitri Adisasmito, Wiku Bakti Bawono Amelia, Dwirani Ana Maina Rezky Anjani, Sonia Miyajima Arief Wicaksono, Arief Arwinda Nugraheni Ascobat, Purwantyastuti Bambang Dwipoyono, Bambang Betera, Same Bramantyo, Dion Firli Chandrayani Simanjorang Clement Drew DENNI JOKO PURWANTO, DENNI JOKO Desinta Ayu Lestari Detty Siti Nurdiati Djajuli, Hidayat Nuh Ghazali EDI TEHUTERU, EDI Erlina Burhan Evlina Suzanna Febriyanti, Nooridha Fidya Rumiati Gayatri, Maria Grace Shalmont Gunarsih, Arum Hadayna, Saila Harijanto, Eddy Hatma, Ratna Djuwita Heryana, Ade Ihsan, Maulidiah Imam Subekti Indriyati, Titi Irwan, Hermansyah JAUHARI OKA REUWPASSA, JAUHARI OKA Johanes Edy Siswanto, Johanes Edy Kemal N. Siregar Lhuri Dwianti Rahmartani Lila Kesuma Hairani Lubis, Pika Novriani Manggala, Sidharta Kusuma Marthino Robinson MARYANI, DINI Muchtar, Zahra Zetira Muhammad Agus Muljanto Muhammad Hidayat Sahid Mulyadi M Djer, Mulyadi M Murtiani, Farida Nadhila Beladina Nadjib, Mardiati Nasdaldy -, Nasdaldy Nurhakiki, Syifa Nurjannah Nurjannah Nyamukondiwa, Melisa Pradnya Sri Rahayu Prasetyo, Rachma Wenidayanti Putra, Andika Chandra Putri, Murti Utami RA. Koestoer Rachellina, Miranda Rahmah, Herlina Rahmartani, Lhuri Dwianti Ratna Djuwita Renti Mahkota Retno Asti Werdhani Rezky, Ana Maina Rizky Ramadantie Rosdiana, Prita Saefina, Isnani Dewi Safanta, Nurzalia Safitri, Meirica Rosaline Septyana Choirunisa Septyana Choirunisa Shalzaviera Azniatinesa Shela Rachmayanti Siti Sopiatun Sjahrul Sjamsuddin, Sjahrul Soemanadi -, Soemanadi Soewarta Kosen Sofi Mardiah Sudarto Ronoatmodjo Sugiarto, Adhrie Susianti, Yanti Talib, Suprohaita Rusdi Taufiqurahman, Khobir Abdul Karim Telly Purnamasari Tika Dwi Tama Tubagus Ferdi Fadilah, Tubagus Ferdi Virmandiani, Virmandiani Woro Riyadina Yoga Yunadi Zahrina, Fadiah Zhara Juliane