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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.

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.

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

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%.

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