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All Journal Jurnal Keperawatan Indonesia Jurnal Keperawatan Komunitas Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Interest : Jurnal Ilmu Kesehatan Jurnal Administrasi Kesehatan Indonesia STOMATOGNATIC- Jurnal Kedokteran Gigi Jurnal Penelitian Kesehatan Suara Forikes Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Jurnal Kesehatan Prima Journal of Health Policy and Management Journal of Health Promotion and Behavior Proceedings of the International Conference on Applied Science and Health NERSMID: Jurnal Keperwatan dan Kebidanan GEMA EKONOMI Jurnal Kesehatan Ibu dan Anak Oto Rhino Laryngologica Indonesiana Jurnal Abdimas Mahakam Jurnal Riset Kesehatan Poltekkes Depkes Bandung Padjadjaran Journal of Dental Researchers and Students Poltekita : Jurnal Ilmu Kesehatan Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Contagion: Scientific Periodical Journal of Public Health and Coastal Health Syntax Idea Jurnal Ilmiah Kesehatan Andalas obstetrics and gynecology journal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners An-Nadaa: Jurnal Kesehatan Masyarakat ASEAN Journal of Community Engagement Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery Indonesian Journal of Global Health research Jurnal Syntax Imperatif : Jurnal Ilmu Sosial dan Pendidikan Jurnal Kesehatan Tambusai Devotion: Journal of Research and Community Service Narra J Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Social Research Sehat Rakyat: Jurnal Kesehatan Masyarakat Indonesian Journal of Cancer The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy JKMP (Jurnal Kebijakan dan Manajemen Publik) Jurnal Sosial dan Sains Cerdika: Jurnal Ilmiah Indonesia Jurnal Farmasi Indonesia Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Adang Bachtiar
Departemen Administrasi Kebijakan Dan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia
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Journal : Narra J

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Anti-dandruff effects of butterfly pea flowers (Clitoria ternatea)-based shampoo: A pretest-posttest control study Assegaf, Tengku SDIS.; Jusuf, Nelva K.; Pane, Yunita S.; Rusda, Muhammad; Darmani, Endang H.; Amin, Mustafa M.; Lubis, Ramona DS.; Bachtiar, Adang
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.876

Abstract

Butterfly pea flower (Clitoria ternatea) may serve as an alternative anti-dandruff treatment; however, its effects on Malassezia spp. remain unexplored. The aim of this study was to explore the effects of C. ternatea as an herbal-based anti-dandruff treatment on Malassezia spp. DNA expression, plakoglobin levels, IL-8 levels, sebum levels, dandruff severity scores, adverse effects, and patient satisfaction. An experimental study with a pretest-posttest control design was conducted at Outpatient Clinic of Dermatology and Venereology, Arifin Achmad Hospital, Pekanbaru, Indonesia, from November 2023 to January 2024. The flower of C. ternatea was used to formulate the shampoo. The study involved 70 female patients aged 18–25 with dandruff, who were divided into two groups: (a) experimental group using 20% C. ternatea shampoo; and (b) control group using 2% ketoconazole shampoo. The present study found that 2% ketoconazole shampoo significantly reduced Malassezia spp. DNA expression compared to 20% C. ternatea shampooo (Clitoria ternatea: ΔCq=1.76±3.18; ketoconazole: ΔCq=3.77±2.90; p=0.008). No significant difference was observed in plakoglobin levels (C. ternatea: ΔCq=1.98±3.63; ketoconazole: ΔCq=2.50±2.36; p=0.427) or IL-8 levels (C. ternatea: ΔCq=3.46±4.00; ketoconazole: ΔCq=4.16 ± 3.62; p=0.459). C. ternatea significantly reduced sebum levels more than ketoconazole (C. ternatea: 1.16±0.98%; ketoconazole: 0.22±0.38%; p<0.001). Dandruff scores and patient satisfaction were similar for both shampoos (p=0.115 and p=0.336, respectively). Adverse effects were more common in the 2% ketoconazole shampoo group, affecting 21.2% of the patients. In conclusion, 2% ketoconazole shampoo is more effective in reducing Malassezia spp. DNA expression, while 20% C. ternatea shampoo offers better sebum control. Both shampoos are similarly effective in ameliorating dandruff severity and are well-tolerated, with fewer adverse effects reported for C. ternatea.
Navigating the aftermath: Risk factors of recurrence following coronary bypass surgery in Indonesia Bachtiar, Adang; Candi, Cicilya; Hasibuan, Syarif R.; Widyasanti, Nisrina; Kusuma, Dian
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.969

Abstract

Coronary heart disease (CHD) remains a leading cause of mortality in Indonesia, and coronary artery bypass graft (CABG) surgery is frequently employed to manage arterial blockages. Despite its efficacy, the recurrence of heart disease post-surgery is a significant concern, highlighting the need for a deeper understanding of its influencing factors. The aim of this study was to examine the factors associated with the incidence of heart disease recurrence after coronary bypass surgery. This study employed a prospective observational design, analyzing hospital claim data from Indonesia's Social Security Agency for Health, known as Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, from 2017 to 2022. The analysis included 5,947 patients who survived CABG surgery. Multivariable logistic regression was utilized to assess the relationship between patient demographics, comorbidities, socioeconomic status, and compliance with follow-up visits, as well as their impact on the recurrence of cardiovascular disease. The study found that 24.1% of patients experienced hospitalization recurrence. Patients with irregular follow-ups were less likely to experience recurrence (adjusted odds ratio (AOR): 0.63; 95%CI: 0.51–0.78). Other significant risk factors for recurrence included being self-employed (AOR: 2.09; 95%CI: 1.72–2.55), having comorbid conditions such as disorders of fluid, electrolyte, and acid-base balance (AOR: 3.55; 95%CI: 2.97–4.24), and experiencing cerebral infarction or stroke (AOR: 10.85; 95%CI: 8.24–14.29). In contrast, older age (AOR: 0.89; 95%CI: 0.88–0.91) and the presence of non-insulin-dependent diabetes mellitus (AOR: 0.35; 95%CI: 0.29–0.42) were associated with a lower risk of recurrence. Sex did not significantly influence the risk of recurrence (AOR: 1.18; 95%CI: 0.86–1.62). In conclusion, the study indicates a considerable rate of cardiovascular disease recurrence post-CABG in Indonesia, highlighting several key risk factors. Tailored postoperative management and strict adherence to follow-up protocols are essential for mitigating recurrence. These findings offer crucial insights for improving post-CABG health management strategies in Indonesia.
Tuberculosis treatment outcomes and associated factors: A retrospective study in West Nusa Tenggara, Indonesia Meiyanti, Meiyanti; Bachtiar, Adang; Kusumaratna, Rina K.; Alfiyyah, Arifah; Machrumnizar, Machrumnizar; Pusparini, Pusparini
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.1660

Abstract

Successfully treating tuberculosis (TB) could significantly help reduce its spread. The aim of this study was to identify factors associated with successful TB treatment. A retrospective study was conducted in West Nusa Tenggara, Indonesia, using data from the National TB Information System (SITB) covering patients from January 1 to December 31, 2022. Patients were classified into two groups: those with successful treatment outcomes (cured or completed treatment) and those with unsuccessful outcomes (including treatment failure, loss to follow-up, or death). Univariate and multivariate logistic regression analyses were performed to identify factors associated with treatment outcomes, providing odds ratios (OR) and adjusted odds ratios (aOR) with 95% confidence intervals (CIs). A total of 2,225 TB patients (1,382 males and 843 females) were included in the study. Of these, 2,048 (92.1%) achieved successful treatment outcomes. Univariate analysis indicated that older age (OR: 0.47; 95%CI: 0.28–0.78) and a high number of AFB in sputum smears (OR: 0.23; 95%CI: 0.09–0.66) were associated with a higher likelihood of unsuccessful TB treatment. In contrast, having no HIV infection (OR: 13.44; 95%CI: 6.22–29.08), clinical TB cases (diagnosed clinically rather than bacteriologically) (OR: 1.50; 95%CI: 1.04–2.20) and longer duration of TB treatments were associated with successful treatment outcomes. Multivariate analysis suggested that the TB treatment durations of 4–6 months (aOR: 1256.95; 95%CI: 431.89–3658.19) and 7–12 months (aOR: 575.5; 95%CI: 99.1–3342.06) were associated with a significantly higher likelihood of success compared to durations of 0–3 months. In conclusion, this study highlights that a minimum treatment duration of three months was crucial for increasing the likelihood of successful TB treatment. These findings emphasize the importance of comprehensive support programs to ensure adherence to treatment guidelines and improve outcomes.
Predicting the risks of stroke, cardiovascular disease, and peripheral vascular disease among people with type 2 diabetes with artificial intelligence models: A systematic review and meta-analysis Nur, Aqsha; Tjandra, Sydney; Yumnanisha, Defin A.; Keane, Arnold; Bachtiar, Adang
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.2116

Abstract

Macrovascular complications, including stroke, cardiovascular disease (CVD), and peripheral vascular disease (PVD), significantly contribute to morbidity and mortality in individuals with type 2 diabetes mellitus (T2DM). The aim of this study was to evaluate the performance of artificial intelligence (AI) models in predicting these complications, emphasizing applicability in diverse healthcare settings. Following PRISMA guidelines, a systematic search of six databases was conducted, yielding 46 eligible studies with 184 AI models. Predictive performance was assessed using the area under the receiver operating characteristic curve (AUROC). Subgroup analyses examined model performance by outcome type, predictor data (lab-only, non-lab, mixed), and algorithm type. Heterogeneity was evaluated using I2 statistics, and sensitivity analyses addressed outliers and study biases. The pooled AUROC for all AI models was 0.753 (95%CI: 0.740–0.766; I2=99.99%). Models predicting PVD achieved the highest AUROC (0.794), followed by cerebrovascular diseases (0.770) and CVD (0.741). Gradient-boosting algorithms outperformed others (AUROC: 0.789). Models with lab-only predictors had superior performance (AUROC: 0.837) compared to mixed (0.759) and non-lab predictors (0.714). External validations reported reduced AUROC (0.725), underscoring limitations in generalizability. AI models show moderate predictive accuracy for T2DM macrovascular complications, with laboratory-based predictors being key to performance. However, the limited external validation and reliance on high-resource data restrict implementation in low-resource settings. Future efforts should focus on non-lab predictors, external validation, and context-appropriate AI solutions to enhance global applicability.
Co-Authors - Afrizal Achir Y.S. Hamid Achmad A. Yusuf Achmad F. Kamal Ade Leana Adila Ramadhian, Elsa Adisasmito, Wiku Bakti Bawono Afriwardi Afriwardi Afrizal Agustina, Renita Ahmad, Rima Sumayyah Akmal Taher Alfiyyah, Arifah Almira Fanny Rahmasari Alya Pramesti Amin, Mustafa M. Amir, Arni Andani Eka Putra Andi A. Victor Anggi Parsaoran Hotmangatur Anhari Achadi Anwar Jusuf Ariadi, Ariadi Ariani, Peny Arief Rosyid Hasan Ariescha, Putri Ayu Yessy Arifin, Achmad Armedy Ronny Hasugian Aryani, Ari Dwi Ascobat Gani Asdawati Asdawati Asdawati Asdawati Asdawati, Asdawati Assegaf, Tengku SDIS. Atina Rusadi, Rosmala Awan Dramawan Ayuningtyas, Tri Auri Putri Benedict Sulaiman Besral . Bob Andinata Br Ginting Munthe, Novita Brian Sri Prahastuti Budi A. Keliat Budi Anna Keliat Budi, Rocky Setya Budiharto Budiharto Budiharto Budiharto Candi, Cicilya Christian, Deyo Alfa Chudahman Manan Chudahman Manan Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Cicilya Candi Dadang Makmun Damayanti, Rizky Anggraita Darmani, Endang H. Daruki, Maria Wahyu Dasman, Hardisman Dasril Nizam Deden Hidayat Defrin, Defrin Delmi Sulastri Denas Symond Desak Ketut Ernawati Devi Afni Dewa Ayu Dyah Widya Dewa Ayu Dyah Widya Dewi Citra Puspita Dewi Citra Puspita Dewi, Ni Putu Ayu Prima Deyo Alfa Christian DIAH ISKANDRIATI Dian Kusuma Dien Kurtanty Dini Widiarni Ditya, Tantri Puspa Dumilah Ayuningtyas Dwiana Ocviyanti Dwiantoro, Luky Dwiantoro, Luky Ede Surya Darmawan Ekorini Listiowati Elfrida Ratnawati Elina Waiman, Elina Elly Nurachmah Elsa Adila Ramadhian Elvi Zulka Emeraldy Chatra Ening Krisnuhoni Erdanela Setiawati Erika Agustina Kasdjono Erlina Burhan Erma Handayani Errol U. Hutagalung Esna Sipahutar Eva Chundrayetti Eva Decroli Faisal Yunus Farah Fauziah Rahmasari Farid Husin Farida Briani Sobri Ferdinal Ferry Ferry, Ferdinal Finny Fitry Yani Firdawati Firdawati Firdawati, Firdawati Franciscus D. Suyatna Gabriella Suarez Pratiwi Ginting, Desideria Yosepha Ginting, Sukaria Susana Br. Gisella, Prisca Gondhowiardjo, Soehartati A Gumilang, Intan Gurendro Putro Habibah Muhiddin Hadi Pratomo Hadi Pratomo Hadiarto Mangunnegoro Hafizurrachman Hafizurrachman Hamidiyanti, Baiq Yuni Fitri Hardiyanti, Widya Harimat Hendarwan Harimat Hendarwan Harimat Hendrawan Hasan, Arief Rosyid Hasibuan, Syarif R. Helmi Helmi Hema Malini, Hema Hermansach, Rendra Hidayat, Deden Himawati, Toki Hsu Chong Jen Huang, Ficky Husna Yetti Ilyas, Jaslis INDAH PUSPITASARI Innotata, Tiara Intan Gumilang Ismail Hadisoebroto Dilogo Jendrius Jendrius Jeremy Romeo Partahi Joung, Oka Wilsen Junaiti Sahar Jusuf, Nelva K. Juwita Cresti Rahmaania K. Kusumaratna, Rina Keane, Arnold KM Taufiq KM. Taufiq Kurnia Sari Kurnia Sari Kurnia Sari Kurniasari, Fitri Kurtanty, Dien Kusumaratna, Rina Kurniasri Kusumawati, Leti Ratna lail, nurul husnul Laksono Trisnantoro Leana, Ade Lestari, Petra Ade Paramita Lestariningrum, Siti Leti Ratna Kusumawati Leti Ratna Kusumawati Lubis, Ramona DS. M. F. Aziz Machrumnizar, Machrumnizar Magdalena, Rosinta Malahayati Rusli Bintang Manik, Irfan Rohot Uli Maranggi, Octavianus Marcellus Simadibrata Marcellus Simadibrata Mardiati Najib Mardiati Najib Maria Wahyu Daruki Maria Wahyu Daruki Mariani, Mia Maruni Wiwin Diarti Mayetti Mayetti Mazaya Shafa Ainan Dini Meily Arovi Qulsum Meily Arovi Qulsum Meiyanti Meiyanti, Meiyanti Melanie Vandauli Melanie Vandauli Menaldi Rasmin Merita Arini Mia Mariani Mieska Despitasari Mieska Despitasari Mona, Deli Mudjiran Munir Munir Munir Munir Munthe, Novita Br Ginting Murdani Abdullah Murdani Abdullah Muyana, Nana Nana Mulyana Nazhifah, Naurah Neherta, Meri Nelly Tandiari Nelwati, Nelwati Ni N. Susanti Ni Putu Ayu Prima Dewi Ni Putu Ayu Prima Dewi Nikmatul Hidayah Nila Kasuma Nindya Rahmanida Nora Idiawati Nur Afrainin Syah Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nur, Aqsha Nurani Purnama Sari Nurjati C. Siregar Nurwahyuni, Atik Nury Nusdwinuringtyas Nurzalia Safanta Pane, Yunita S. Patria Wardana Yuswar Patriot Haryo Trenggono Permanasari, Vetty Yulianty Petra Ade Paramita Lestari Petra Ade Paramita Lestari Pixelyne, Irene Pramesti, Alya Pratita, Rasta Naya Pratiwi, Intan Gumilang Prisca Gisella Prisca Gisella Pujiyanto Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Puput Oktamianti Purnamasari, Novita Purnawan Junadi Purnawan Junadi Pusparini Pusparini Puspita, Dewi Citra Putri Azzahroh Putri Ilham Sari Qulsum, Meily Arovi R. Susworo Rahmaania, Juwita Cresti Rahmad Gurusinga Rahmanida, Nindya Rahmanofa Yunizaf Rahmasari, Almira Fanny Rai Pandudita Rasta Naya Pratita Ratnawati Antaria Rendra Hermansach Reny Ayu Damayanti Retno Dewi Sulistyowati Retno Dewi Sulistyowati Retno Sulistyo Wardani Riastuti Kusuma Wardani Riastuti Kusuma Wardani Ricky Fathoni Rima Semiarty Rina K. Kusumaratna, Rina K. Risely Sutarsa Limirang Ristrini , Ristrini Ristrini Ristrini Ristrini Ristrini Ritonga, Sukhri Herianto Rizanda Machmud Rizky Anggraita Damayanti Rizky Anggraita Damayanti Robiana Modjo Rochani Istiawan Rosanti, Elvi Rosinta Magdalena Rosinta Magdalena Rosiyana Rosna Meutia Rozi Sastra Purna Rr Tutik Sri Hariyati Rusda, Muhammad Sabarinah Prasetyo Salsabila, Unik Hanifah Sari Mulyati Sari, Nur Mala Sarwono Waspadji Septelia I. Wanandi Sihotang, Erik Parulian Silvia Tarigan Silvia Tarigan Siti Lestariningrum Siti Lestariningrum Sjaaf, Amal Chalik Sobri, Farida Briani Soetrisno Soetrisno Soetrisno Soetrisno Sonar Soni Panigoro Sukaria Susana Br. Ginting Sukaria Susana Br. Ginting Sulaiman, Benedict Sulistyowati, Retno Dewi Suminar, Dian Laras Suranta, Roy Michael Susyana Tamin Suvonalya Suvonalya Suvonalya Suvonalya Suvonalya, Suvonalya Suyanto, Jipri Tandiari, Nelly Tantri Puspa Ditya Tantri Puspa Ditya Tarigan, Herri Novita Tarigan, Silvia Taufiq, KM Tauhidah, Sarah At Tinurbaya, Afriani Tjahjono D. Gondhowiardjo Tjandra, Sydney Tjen Dravinne Winata Toki Himawati Toki Himawati Trenggono, Patriot Haryo Trisetiawati, Lami Ukik Kusuma Kurniawan Ukik Kusuma Kurniawan Vandauli, Melanie Vetty Yulianty Permanasari Vetty Yulianty Permanasari Wahyu Sulistiadi Wahyuni, Sri Puji Widjajalaksmi Widjajalaksmi Widya, Dewa Ayu Dyah Widyasanti, Nisrina Windy Woro Paramyta Yopita Ratnasari Yuliarni Syafrita Yumnanisha, Defin A. Yusrawati Yusrawati Yuswar, Patria Wardana Yuyun Yuniar Yuyun Yuniar Zia, Hanim Khalida