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All Journal Jurnal Kebijakan Kesehatan Indonesia Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Community Education Engagement Journal Narra J Jurnal Impresi Indonesia The Indonesian Journal of Community and Occupational Medicine Occupational and Environmental Medicine Journal of Indonesia Ophthalmologica Indonesiana
Ahmad Fuady
Department Of Community Medicine, Faculty Of Medicine Universitas Indonesia, Jakarta
Religion Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Effect of Smoking on Advanced Stage Cervical Cancer Patient Survival Pradipta, Bram; Andrijono, Andrijono; Fuady, Ahmad
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (144.045 KB) | DOI: 10.32771/inajog.v3i3.49

Abstract

Objective: The researchers aim to investigate the relationship between smoking habit and other factors as prognostic factors of cervical cancer. Method: We performed a retrospective and prospective cohort study with subjects that are stage IIB-IVB cervical cancer patients in Dr. Cipto Mangunkusumo Hospital followed up from August 2009 to April 2014. The subjects’medical records were reviewed, and patients were interviewed about their current condition by telephone. Questions asked include smoking habit, spouse’s smoking habit, and mortality status. Patients that could not be contacted by phone were excluded from the study. Statistical analysis was done using Stata 10. Result: Out of 390 cervical cancer patients stage IIB-IVB in 2009, there were 270 patients (69.2%) that were included in the inclusion criteria. Most of the patients are 40-59 years old (82.2%) and are nonsmokers (91.8%). The most frequent clinicopathological characteristic is IIIB (63.3%) and squamous cell carcinoma (71.9%). The 5- year survival rate is 22.6%. There is no statistical significance between advanced stage cervical cancer survival with the patients’ or patients’ husbands’ smoking habit. Conclusion: In our study, smoking habits do not aggravate survival rate of advanced stage cervical cancer patients but further research must be done with more sample. Stage, and tumor size both by physical examination and ultrasound can be used as the prognostic factor. [Indones J Obstet Gynecol 2015; 3: 170-176] Keywords: Brigmann Index, cervical cancer, smoking, survival
Analysis of Knowledge of Hospital Manager about Occupational Tuberculosis and Associated Factors Prasetyo, Aditya Agung; Wibowo, Suryo; Ilyas, Muhammad; Fuady, Ahmad; Taufik, Feni Fitriani
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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

Abstract

Introduction.Knowledge of hospital managers about occupational tuberculosis can affect occupational tuberculosis services in the hospital. This study aims was to identify associated factors with knowledge of hospital manager about occupational tuberculosis in order to improve occupational tuberculosis services in hospitals as seen in the four management functions. Method.Concurrent embedded mixed approaches are used in this cross-sectional study. Focus group discussions (FGD) are used in qualitative research, whereas questionnaires are used in quantitative research. The questionnaire was evaluated using the difficulty level and discriminating index tests. The ten questions were examined both univariate and bivariate. Thematic analysis was used to analyze qualitative research. The quantitative and qualitative data were then integrated. Result.Age and years of service are related to question about definition of occupational diseases and occupational diseases regulation. Education level, occupational health training, and managed occupational disease are related to question about reporting occupational tuberculosis cases. Educational background is related to question about time reporting occupational tuberculosis. Four questions have a correct response frequency of less than 50%, while six questions have a correct answer frequency greater than 50%. Conclusion.No important factor affects knowledge of hospital managers about occupational tuberculosis. Hospital managers require occupational health training to understand occupational tuberculosis.
Perbandingan Efektivitas dan Keamanan Fakoemulsifikasi Torsional dan Transversal terhadap Densitas Sel Endotel pada Katarak Sedang-Keras Nasrul Ihsan; Amir Shidik; Tjahjono D. Gondhowiardjo; Ahmad Fuady
Majalah Oftalmologi Indonesia Vol 46 No 2 (2020): Ophthalmologica Indonesiana
Publisher : The Indonesian Ophthalmologists Association (IOA, Perhimpunan Dokter Spesialis Mata Indonesia (Perdami))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35749/journal.v46i2.100092

Abstract

Tujuan: Mengetahui efektivitas dan keamanan fakoemulsifikasi torsional dan transversal dilihat melalui parameter intraoperatif berupa phaco time dan parameter perioperatif berupa perubahan kepadatan sel endotel kornea dan ketebalan sentral kornea.Metode: Penelitian prospektif ini menggunakan pasien katarak dengan NO 3-4 (LOCS III) yang telah dibagi menjadi dua kelompok torsional (Ozil IP®) atau transversal (Ellips FX®) mengunakan randomisasi. Keluaran utama yang dinilai adalah lama phaco time, endothelial cell density (ECD), central corneal thickness (CCT), tajam penglihatan jauh dikoreksi pada hari 1, 7, dan 30 hari pasca operasi. Hasil: Penelitian ini menggunakan data 61 subjek dengan data karakteristik dasar yang setara. Lama phaco time kelompok torsional (CDE) hanya satu pertiga lama phaco time kelompok transverasl (EFX). Besar rerata penurunan ECD pada kelompok torsional dan transversal adalah 7.9% dan 8.9%. Rerata perubahan CCT pada kelompok torsional 37.75 ?m dan kelompok transversal 42.67 ?m. Tidak ada perbedaan bermakna secara statistik pada penurunan ECD dan perubahan CCT antara kedua kelompok. Simpulan: Phaco time kelompok torsional lebih rendah dibandingkan dengan kelompok transversal. Oleh karena adanya perbedaan algorithma pada setiap mesin berbeda dalam menghitung phaco time, perbandingan efektivitas antara kedua mesin tidak adapat dibandingkan secara langsung. Namun, dapat dinilai secara tidak langsung berdasarkan penilaian terhadap perubahan ECD dan CCT. Sehingga efektivitas dan keamanan antara kelompok torsional dan transversal dinilai setara.
Stigma and health-related quality of life (HRQoL) among people with multidrug-resistant tuberculosis (MDR-TB): A cross-sectional study in Indonesia Arifin, Bustanul; Sarwadan, Muhamad G.; Wahyudin, Elly; Sarifah, Latifah M.; Fuady, Ahmad; Purba, Fredrick D.; Alkaff, Sylmina D.; Ardiansyah, Akhmad; Madolangan, Jamaluddin
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.1317

Abstract

Stigma often accompanies people with multidrug-resistant tuberculosis (MDR-TB) and potentially affects their health-related quality of life (HRQoL). The aim of this study was to investigate the stigma faced by patients with MDR-TB, both from the patients' and community's perspective, and its relationship with HRQoL. Data was gathered at the provincial hospital in Makassar, South Sulawesi, Indonesia. The instrument employed in this research was the Indonesian version of the tuberculosis (TB) stigma instrument to assess MDR-TB stigma from the patient and community perspectives. The patient perspective represents how individuals with TB perceive and experience stigma, including the fear of disclosure, isolation, and guilt (feeling responsible for the burden on their family or their own risky behaviors). Meanwhile, the community perspective reflects how individuals with TB perceive societal attitudes towards them, such as social distancing, avoidance, and reluctance to interact. HRQoL was measured using the European quality of life-5 dimensions-5 level version (EQ-5D-5L) instrument. Notably, the evaluation of anxiety and depression is centered on the fifth dimension of the EQ-5D-5L instrument. A total of 210 patients with MDR-TB were included in the study, all of whom reported experiencing stigma. Most participants perceived stigma at a moderate level, with 76% from the patient perspective and 71% from the community perspective. The average EQ-5D-5L index score was 0.72 (95% confidence interval (95%CI): 0.68–0.76). Measurements from both perspectives show similar scores. There is a substantial negative association between the level of stigma and HRQoL, both from the patient's perspective (R2=-0.33; F=102.52; p<0.001) and the community's (R2=-0.32; F=96.76; p<0.001). The study highlights that the stigma of MDR-TB significantly affects the HRQoL from the patient and community perspective.
Peluang dan Tantangan dalam Jaminan Kesehatan Nasional di Indonesia: Studi Kebijakan Arimbi, Diah; Fuady, Ahmad; Satrya, Aryana; Dewi, Arika
Jurnal Kebijakan Kesehatan Indonesia Vol 11, No 1 (2022): March
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.70231

Abstract

Kesuksesan penyelenggaraan Jaminan Kesehatan Nasional harus didukung oleh berbagai pihak tanpa terkecuali fasilitas kesehatan swasta. Akan tetapi di lapangan masih terdapat permasalahan terkait dengan tarif yang dianggap belum memadai bagi fasilitas kesehatan terutama fasilitas kesehatan swasta. Permasalahan lain adalah enggannya fasilitas kesehatan swasta untuk bekerjasama dengan JKN dikarenakan permasalahan tarif. Penelitian ini memiliki tujuan untuk mengetahui peluang dan hambatan tarif bagi fasilitas kesehatan dalam jaminan kesehatan nasional di Indonesia. Metode penelitian menggunakan pendekatan kualitatif dengan analisis normatif-deskriptif. Data yang dikumpulkan yaitu menggunakan data primer dilakukan dengan wawancara mendalam baik secara online dan offline di tahun 2021. Data sekunder menggunakan studi literatur, antara lain buku dan artikel ilmiah. Hasil penelitian menunjukkan bahwa hubungan antara BPJS Kesehatan dan fasilitas kesehatan berdasarkan sebuah perikatan, masing-masing para pihak memiliki hak dan kewajiban, fasilitas kesehatan publik merupakan perintah dari PerPres No 82 tahun 2021. Hak dan kewajiban harus diimbangi dengan kualitas pelayanan, keadilan bagi para pihak dimana peserta tidak hanya di fokuskan ke askes publik saja akan tetapi berdasarkan asas manfaat yang didapatkan oleh peserta dan pelayanan kesehatan swasta. 
Peningkatan Pengetahuan Masyarakat Tentang Covid-19 Omicron Melalui Penguatan Protokol Kesehatan dan Pelatihan Pembuatan Strap Masker Tristanti, Lia Budi; Umam, Mohammad Roisul; Alfian, Dimas Dwi Andi; Ramadhani, Dendys Cahya; Jainuri, Alviki Yustria; Anggreini, Rika Dwi; Anggraini, Putri Nur; Salsabila, Zahra; Herawati, Desta Fitri; Wulandari, Laili; Rosidi, Amalia Ilmi; Pristyaningsih, Dita; Damayanti, Sindy; Hidayati, Ainun; Fuady, Ahmad; Handono, Tri
Community Education Engagement Journal Vol. 3 No. 2 (2022): April
Publisher : UIR Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25299/ceej.v3i02.9028

Abstract

Upaya patuh pada protokol kesehatan sebenarnya sudah dilakukan pemerintah melalui perangkat desa yaitu Kepala desa Rejoslamet Kecamatan Mojowarno Kabupaten Jombang beserta jajarannya. Salah satu upaya yang dilakukan adalah memasang poster himbauan menggunakan masker. Namun kesadaran masyarakat untuk mematuhi protokol kesehatan masih tergolong kurang. Hal tersebut dimungkinkan karena minimnya pegetahuan dan pemahaman masyarakat akan bahaya Covid-19 varian omicron. Oleh karena itu, dilaksanakan kegiatan pengabdian kepada masyarakat yang berfokus pada peningkatan pengetahuan masyarakat tentang covid-19 omicron melalui penguatan patuh protokol kesehatan dan pelatihan pembuatan strap masker di desa Rejoslamet Mojowarno. Tujuan dari pengabdian ini adalah peningkatan pengetahuan masyarakat tentang covid-19 varian omicron, masyarakat lebih patuh pada protokol kesehatan dengan perilaku hidup sehat dan menggunakan masker serta masyarakat dapat membuat strap masker dengan bahan yang mudah didapat, ekonomis, ramah lingkungan dan mudah cara pembuatannya secara mandiri. Metode yang digunakan yaitu program edukasi dan pelatihan. Mitra dampingan adalah ibu-ibu PKK. Evaluasi dilakukan sebelum dan sesudah program edukasi dan pelatihan (pre dan post test). Data pre dan post test digunakan untuk mendeskripsikan tingkat pengetahuan mitra. Hasil pelaksanaan pengabdian pada masyarakat adalah terdapat peningkatan pengetahuan ibu-ibu PKK Desa Rejoslamet tentang covid-19 omicron, dengan peningkatan sebesar 84%.
The Relationship between Job Insecurity, Work distress and Anxiety with Hypertension in Fishing Equipment Manufacturing Worker Caroline Anggraeni; Ahmad Fuady; Suryo Wibowo; Dewi Sumaryani Soemarko; Marsen Isbayuputra
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 1 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i1.163.11-8

Abstract

Background: Hypertension is one of the main risk factors for cardiovascular disease and can be influenced by psychosocial factors such as job insecurity, work distress, and anxiety. The objective of this study to analyze the impact of job insecurity, work distress, and anxiety on the incidence of hypertension among employees. Explore the mediating role of distress and anxiety in the relationship between job insecurity and hypertension.Method: There was a cross-sectional design, encompassing a population of employees from a fishing equipment manufacturing company. Consecutive sampling was utilized to select study participants, and data was collected via COPSOQ III questionnaires for assessed job insecurity, the 4DSQ instrument for assesses work distress and anxiety, and measuring blood pressure. The collected data underwent logistic regression analysis for mediating role of work distress and anxiety in the relationship between job insecurity and hypertensionResult: In the bivariate analysis, the probability of hypertension is significantly 4.05 times higher in workers experiencing moderate distress than low distress. In the multivariate analysis, after adjusting for dependent variables, ikelihood of hypertension is 3.88 times higher in workers experiencing moderate distress compared to those with low distress.Conclusion: There is a correlation between work distress and hypertension among workers in a fishing equipment manufacturing company. Work distress and anxiety do not serve as mediators in the relationship between job insecurity and hypertension among workers. Recommendations for this company is implementation of distress management programs such as training in relaxation techniques, or counseling to reduce worker distress.
Comparison of Fatigue Dimensions between Warehouse Staff and Heavy Equipment Technicians in The Mining Sector Mohammad Ikram Bahari; Dewi Friska; Dewi Yunia Fitriani; Ahmad Fuady; Nuri Purwito Adi
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 2 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i2.174.49-55

Abstract

Background: Work-related fatigue is a multidimensional condition that can reduce productivity and increase the risk of workplace accidents, particularly in professions with high physical and mental demands such as heavy equipment technicians and warehouse workers in the mining sector. Both professions work under shift systems and high workloads; however, studies comparing the dimensions of fatigue between the two remain limited.Objective: To determine the proportion of fatigue levels and compare fatigue dimensions between warehouse workers and heavy equipment technicians.Methods: A descriptive-comparative cross-sectional study was conducted on 132 male workers (100 heavy equipment technicians and 32 warehouse workers) at a mining company in South Kalimantan, Indonesia. Demographic and job-related characteristics were collected. Fatigue was measured using the Swedish Occupational Fatigue Inventory (SOFI) in Indonesian, which has been validated, covering five dimensions: energy deficiency, physical exertion, physical discomfort, sleepiness, and lack of motivation. Descriptive and comparative statistical analyses were conducted.Results: Mild fatigue (among technicians and warehouse staff were 90% and 93.8% ). Moderate fatigue was experienced by 10% of technicians and 6.3% of warehouse staff. No participants experienced severe fatigue. Among heavy equipment technicians, the highest dimension was physical exertion, while the highest dimension of fatigue among warehouse staff was lack of energy. Work factors, age, work experience, and nutritional status were not significantly associated with fatigue levels.Conclusion: Mild fatigue dominates in both work groups, as this company is a supporting company for a mining company, there have never been any near misses or incidents, and has an appropriate management. For the overall fatigue dimension, heavy equipment technicians scored higher than warehouse staff. However, fatigue checks should still be carried out regularly among workers.
Mental Workload and Work Stress among Train Drivers and Their Associated Factors: A Cross-Sectional Study in Indonesia Marizca Saras Chitra Hidayat; Ahmad Fuady; Suryo Wibowo; Dewi Soemarko; Nuri Purwito Adi
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 2 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i2.186.56-65

Abstract

Background: Employment in the railway sector is one of the professions that involves high challenges and demands, as it requires handling various complex tasks and responsibilities to ensure the safety and comfort of passenger travel. Train driver and train co-driver bear a high workload and face complex mental demands, making them vulnerable to work stress.Objective: This study aims to examine the relationship between mental workload and work stress, as well as occupational and sociodemographic factors among train driver and train co-driver in DAOP 2 Bandung.Methods: A cross-sectional analytical observational study was conducted using data from routine medical check-ups. Mental workload was measured using the NASA-TLX questionnaire, while work stress was assessed using the Job Stress Scale (JSS).Results: Among 106 participants, 53% experienced high mental workload, while 97% reported low to moderate work stress. No significant associations were found between work stress and mental workload (p=0.190), job type, years of service, age, marital status, income, number of dependents, or coworker support. However, work stress was significantly associated with role expectation conflict (p<0.001) and work-life balance (p=0.029). After multivariate analysis, only role expectation conflict remained significantly associated. Workers experiencing moderate to high role expectation conflict had a 14.3-fold higher risk of work stress (CI 4.45–46.17).Conclusion: Role expectation conflict is a significant factor associated with work stress. Addressing psychosocial factors through clear role definitions and policies supporting work-life balance is essential in reducing stress among train crews.
Low Back Pain and Associated Factors among Workers in The Blacksmithing Industry in Java, Indonesia Diana Lutvia; Retno Wibawanti; Ahmad Fuady; Muhammad Ilyas; Dewi Sumaryani Soemarko
The Indonesian Journal of Community and Occupational Medicine Vol. 6 No. 1 (2026): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v6i1.175.1-7

Abstract

Background: Low back pain (LBP) is a common musculoskeletal disorder among informal sector workers, including blacksmiths. particularly because of non-ergonomic work positions.Objective: This study aims to identify the prevalence of low back pain (LBP) and its associated characteristics among blacksmith workers in Mekarmaju Village, Bandung Regency.Methods: A cross-sectional study was carried out among 105 blacksmiths with interview, the Bodymap Discomfort questionnaire, the Visual Analogue Scale (VAS), physical examination, and measurement of trunk flexion angle using APECS version 8.05.07. In this study, LBP among blacksmith workers was characterized as chronic non-specific low back pain.Results: LBP prevalence among blacksmiths was 58.1%. Factors significantly associated with LBP included forward-bending posture (p=0.034; aOR 3.7; 95% CI 1.1–12.5), static sitting posture for ≥4 hours (p=0.009; aOR 3.6; 95% CI 1.4–9.4), rest duration <0.5 hours (p=0.006; aOR 7.9; 95% CI 1.8–35.3), and age ≥35 years (p=0.006; aOR 4.6; 95% CI 1.6–13.6). Other occupational and individual factors didn’t have a significant correlation with LBP.Conclusion: These results indicate the necessity for immediate ergonomic interventions and health assessments at the beginning of employment for preventing LBP among informal sector workers.
Co-Authors Aditya Nugraha Artar Alfian, Dimas Dwi Andi Alkaff, Sylmina D. Amir Shidik Andrijono Andrijono Anggraini, Putri Nur Anggreini, Rika Dwi Ardiansyah, Akhmad Aryana Satrya Bram Pradipta Bustanul Arifin Caroline Anggraeni Damayanti, Sindy Dewi Friska Dewi Soemarko Dewi Sumaryani Soemarko Dewi Sumaryani Soemarko Dewi Yunia Fitriani Dewi, Arika Diah Arimbi Diana Lutvia Elly Wahyudin Handono, Tri Hansen Angkasa Herawati, Desta Fitri Herqutanto - Hidayati, Ainun Hirzi Zulkarnain Houweling, Tanja A Jainuri, Alviki Yustria Laili Wulandari Lia Budi Tristanti Madolangan, Jamaluddin Marizca Saras Chitra Hidayat Marsen Isbayuputra Mohammad Ikram Bahari Muchtaruddin Mansyur Muhammad Ilyas Muhammad Ilyas Nasrul Ihsan Nuri Purwito Adi Nuri Purwito Adi Prasetyo, Aditya Agung Pristyaningsih, Dita Purba, Fredrick D. Ramadhani, Dendys Cahya Retno Wibawanti Richardus, Jan H Rosidi, Amalia Ilmi Saleha Sungkar Sarifah, Latifah M. Sarwadan, Muhamad G. Sri L. Menaldi Suryo Wibowo Suryo Wibowo Taufik, Feni Fitriani Tjahjono D. Gondhowiardjo Trevino A. Pakasi Triana Agustin Umam, Mohammad Roisul Victor Santawi Wibowo, Suryo zahra salsabila