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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 Media Medika Muda Jurnal Epidemiologi Kesehatan Komunitas Jurnal Epidemiologi Kesehatan Indonesia 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)
Asri C. Adisasmita
Departemen Epidemiologi FKM UI
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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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.
HUBUNGAN HIPERTENSI DENGAN KEJADIAN DIABETES MELITUS PADA POPULASI PEROKOK (ANALISA DATA IFLS 5) Maulidiah Ihsan; Asri C Adisasmita
Jurnal Dunia Kesmas Vol 12, No 2 (2023): Volume 12 Nomor 2
Publisher : Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v12i2.9158

Abstract

Diabetes mellitus diketahui sebagai masalah global yang dapat menimbulkan komplikasi terjadinya kematian dini. Salah satu faktor risiko yang dapat dirubah adalah merokok, tidak hanya menyebabkan diabetes melitus, merokok juga dapat meningkatkan komplikasi kardiovaskular pada orang dengan hipertensi. Penelitian ini bertujuan melihat hubungan hipertensi dengan kejadian diabetes melitus pada populasi perokok. Penelitian ini memanfaatkan data sekunder dari Survei Aspek Kehidupan Rumah Tangga Indonesia ke-5. Jumlah sampel yang dianalisa dalam studi ini melibatkan seluruh populasi eligble yaitu perokok berusia >15 tahun yang dilakukan pengukuran sampel darah kering serta tekanan darah sebanyak 3 kali yaitu 1.962 orang. Analisa data dilakukan melalui regresi logistik dengan meggunakan ukuran POR. Hasil studi menunjukkan terdapat hubungan yang posistif antara hipertensi dengan diabetes mellitus pada populasi perokok POR 1,30 (95% CI 0,85-1,97) setelah diadjust variabel usia, indeks masa tubuh, aktifitas fisik, dan konsumsi buah dan sayur. Lebih lanjut juga diketahui perokok hipertensi yang menghisap >20 batang/hari nilai hubungannya lebih kuat (POR 2,4; 95% CI 0,75 - 8,99) dibandingkan perokok hipertensi yang menghisap <20 batang/hari (POR 2,05; 95% CI 1,36 - 3,15). Berdasarkan hasil tersebut, perlu intensifikasi promosi pengurangan konsumsi rokok yang diikuti upaya intervensi lain sebagai upaya untuk mencegah dampak rokok dan hipertensi terhadap komplikasi diabetes melitus.
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.
Association Between Shock Index and Post-Emergency Intubation Hypotension in Patients Who Called the Rapid Response Team at Dr. Cipto Mangunkusumo Hospital Herlina Rahmah; Asri Adisasmita; Sidharta Kusuma Manggala; Adhrie Sugiarto; Fadiah Zahrina; Prita Rosdiana
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 1 (2023): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V5I12023.27-36

Abstract

Introduction: Hypotension is an acute complication following Emergency Endotracheal Intubation (ETI) in populations who called the Rapid Response Team (RRT). Thus, a fast and simple tool is needed to identify the risk of Post-emergency Intubation Hypotension (PIH). Shock Index (SI) pre-intubation is one of the potential factors to predict PIH. Objective: To measure the association between shock index with post-emergency intubation hypotension after calling for the RRT. Methods: This research is a cohort retrospective study that analyzed 171 patients aged ≥18 years who have called RRT and underwent an emergency ETI. The cut-off point for SI was determined using the ROC curve to predict PIH. The modification effect was evaluated using stratification analysis. Data were analyzed using cox regression to determine the likelihood of SI in the cause of hypotension. Result: A total of 92 patients (53.8%) underwent post-emergency intubation hypotension. The SI cut-off point of 0.9 had a sensitivity of 82.6% and a specificity of 67.1% for predicting PIH (Area Under Curve (AUC) 0.81; 95% CI 0.754–0.882, p <0.05). The increased risk of PIH associated with high SI score was an aRR of 1.9; 95% CI 1.03–3.57, a p-value of 0.040 among those with sepsis, and an aRR of 7.9, 95% CI 2.36–26.38, a p-value of 0.001 among those without sepsis. Conclusion: This study showed that a high SI score was associated with PIH after being controlled with other PIH risk variables. The risk of PIH associated with SI score modestly increased (2-fold increase) in those with sepsis and significantly increased (8-fold increase) in those without sepsis.
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
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.
Analisis Sosiodemografis Pada Kesehatan Mental Ibu Dari Anak yang Belajar di Rumah Selama Pandemi COVID-19 Miranda Rachellina; Asri Chasanah Adisasmita
Majalah Kedokteran Indonesia Vol 71 No 4 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.4-2021-540

Abstract

Introduction: The implementation of distance learning due to the COVID-19 pandemic has impacted not only the students but also parents especially mothers. This study was aimed to provide an overview of mothers’ mental health status (stress and anxiety) in Jabodetabek and its association with mother’s education level and occupation status, number of children, and number of children doing distance learning during the COVID-19 pandemic.Method: This was a cross-sectional study using an online questionnaire targeted to married women who have greater than 1 children in elementary school-high school doing distance learning in Jabodetabek. The data was collected in the period of 2-20 December 2020. Instruments used to measure stress and anxiety levels were PSS-10 and GAD-7.Results: There were 311 respondents aged between 27-61 years old. The average respondents had moderate stress and mild anxiety. The risk of severe stress increased significantly in mothers with elementary-middle education level (crude RR 2,1; 95%CI 1,04-4,4) and increased risk of moderate-severe anxiety in mothers with greater than 3 children (crude RR 1,9; 95%CI 1,1-3,1).Conclusion: More than 50% of mothers with children in elementary school-high school in Jabodetabek had moderate stress and 31% showed signs of mild anxiety. The mother’s sociodemographic factor associated with the risk of severe stress was education level. The factor associated with moderate-severe anxiety risk was the number of children living under one roof.
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.
Co-Authors Abioso Wicaksono Adelina Fitri Adisasmito, Wiku Bakti Bawono Amelia, Dwirani Ana Maina Rezky Arwinda Nugraheni Ascobat, Purwantyastuti Bambang Dwipoyono, Bambang Chandrayani Simanjorang Clement Drew DENNI JOKO PURWANTO, DENNI JOKO Desinta Ayu Lestari Detty Siti Nurdiati EDI TEHUTERU, EDI Erlina Burhan Evlina Suzanna Fadiah Zahrina Fidya Rumiati Gayatri, Maria Grace Shalmont Gunarsih, Arum Hadayna, Saila Harijanto, Eddy Hatma, Ratna Djuwita Herlina Rahmah Heryana, Ade 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 Marthino Robinson MARYANI, DINI Maulidiah Ihsan Miranda Rachellina Muhammad Agus Muljanto Muhammad Hidayat Sahid Mulyadi M Djer, Mulyadi M Murtiani, Farida Nadhila Beladina Nadjib, Mardiati Nasdaldy -, Nasdaldy Nurhakiki, Syifa Nurjannah Nurjannah Pradnya Sri Rahayu Prasetyo, Rachma Wenidayanti Prita Rosdiana RA. Koestoer Ratna Djuwita Renti Mahkota Retno Asti Werdhani Rizky Ramadantie Safanta, Nurzalia Safitri, Meirica Rosaline Septyana Choirunisa Septyana Choirunisa Shalzaviera Azniatinesa Shela Rachmayanti Sidharta Kusuma Manggala 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 Zhara Juliane