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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

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

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

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

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.

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

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.

The Relationship between Job Insecurity, Work distress and Anxiety with Hypertension in Fishing Equipment Manufacturing Worker Anggraeni, Caroline; Fuady, Ahmad; Wibowo, Suryo; Soemarko, Dewi Sumaryani; Isbayuputra, Marsen
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

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.

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

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.

Comparison of Fatigue Dimensions between Warehouse Staff and Heavy Equipment Technicians in The Mining Sector Bahari, Mohammad Ikram; Friska, Dewi; Fitriani, Dewi Yunia; Fuady, Ahmad; Adi, Nuri Purwito
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

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 Hidayat, Marizca Saras Chitra; Fuady, Ahmad; Wibowo, Suryo; Soemarko, Dewi; Purwito Adi, Nuri
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

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.

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