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All Journal Amerta Nutrition World Nutrition Journal JITSI : Jurnal Ilmiah Teknologi Sistem Informasi The Indonesian Journal of Community and Occupational Medicine Occupational and Environmental Medicine Journal of Indonesia Journal of Indonesian Specialized Nutrition Ophthalmologica Indonesiana Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Levina Chandra Khoe
Department Of Community Medicine, Faculty Of Medicine, Universitas Indonesia
Computer Science & IT Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Usability of a Mobile Application for Dengue Fever Reporting by Community Health Workers Agus Sugiharto; Levina Chandra Khoe; Reza Haryo Yudanto; Dani Muhamad Trianto; Muhammad Aji Muharrom
JITSI : Jurnal Ilmiah Teknologi Sistem Informasi Vol 4 No 4 (2023)
Publisher : SOTVI - Society of Visual Informatics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62527/jitsi.4.4.192

Abstract

Community health workers hold an important role in health promotion and prevention of dengue fever. In the Jumantik program, the community health workers sought to find any mosquito larvae at the houses and report the findings to the community health centers (Puskesmas). Nevertheless, the reporting process is still paper-based and complex. This study aims to develop a mobile application that facilitates the reporting process to be more user-friendly and practical for community health workers. We used a system framework with the input-process-output scheme in developing this application. A review of the Puskesmas program and interviews with Puskesmas officers and community health workers were performed to obtain input. The application was tested among programmers and users (i.e., community health workers) to understand its usability and applicability. The users were able to input the data, upload photos, and produce the report. We invited about fifty users to test this application. They provided positive responses and were satisfied with the final product of this mobile application. However, they also suggest adding some functions related to the data storage and availability of this application in the Apple store
Comparation of Bevacizumab Intravitreal Injection Effects with and without Yellow Subthreshold Micropulse Laser (577-nm) Combination on Central Macular Thickness and Best Corrected Visual Acuity of Mild-Moderate Diabetic Macular Edema Patients UTAMI, ALIA NESSA; Djatikusumo, Ari; Khoe, Levina Chandra
Majalah Oftalmologi Indonesia Vol 49 No S2 (2023): Supplement Edition
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/ff95wf62

Abstract

Introduction & ObjectivesThe management of macular edema is constantly evaluated, with anti-VEGF therapy being the firstline. Subthreshold micropulse laser (SML) has been proposed as alternative adjuvant. Previousretrospective studies demonstrated the effectiveness of 577-nm SML as monotherapy in macularedema with CMT below 400 ?m. However, prospective data on the effectiveness of SML as adjuvantis lacking. The aim is to assess the effect of the combination of bevacizumab and 577-nm SML lasercompared to bevacizumab monotherapy on central macular thickness and visual acuity in mildmoderatediabetic macular edema patients. MethodsA prospective randomized clinical trial was performed on diabetic macular edema patients withmacular thickness range of 300-600 ?m. Subjects are divided into two groups. The control groupreceived a standard protocol and the study group received a yellow SML laser adjuvant one weekafter injection. Patients underwent follow-up assessment of visual acuity and central macularthickness at 28 and 35 days post-injection. Results26 subjects were equally divided into study and control groups. Significant decrease in CMT werefound in study group (p=0.011 and 0.014) and the control group (p=0.006 and p=0.001). However,there was no significant difference in ?CMT values between the two groups in the 28-day (p=0.317)and 35-day controls (p=0.84). There was no difference in ?BCVA ETDRS between the study andcontrol groups at 28 days (p=0.568) and 35 days (p=0.128) after injection. ConclusionThe combination of SML and intravitreal bevacizumab can reduce central macular thickness andimprove visual acuity but there was no significant difference with standard monotherapy.
Assesment of Occupational Stressor and Stress Response among Election Officers (KPPS) in 2019 Dewi Sumaryani Soemarko; Muhammad Ilyas; Martha Landauw; Nuri Purwito Adi; Levina Chandra Khoe
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 3 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i3.122.141-9

Abstract

Introduction: The 2019 general election in Indonesia was the first general election to be held simultaneously and election officers (KPPS) had to complete the vote count on the same day with additional ballot papers. This situation caused high mortality and morbidity among KPPS officers due to stress and fatigue caused by job overload. This study was aimed to explore the factors related stress response in 2019 election KPPS officersMethods: A cross-sectional study design was conducted to the issue under the study included 80 data of KPPS officers at Polling Station (TPS) in Jakarta, Banten, and Yogyakarta. Occupational stressor and stress response was assesed with NBJSQ bahasa Indonesia. Multiple logistic regression models were used to explore factors associated with stress response.Results: The most perceived occupational stressor experienced by the 2019 General Election KPPS officers in this study were quantitative job overload (47,5%).The stress response that occurred in the 2019 General Election KPPS officers in this study was fatigue (17.5%). There was no relationship between occupational stressor and individual factors with stress response (p>0.05)Conclusion: This study showed that quantitative job overload was a major occupational stressor among KPPS officers in general election 2019. The stressor can trigger the incidence of heart attacks in predisposed individuals.
Associations of Chronotype and Job Stressors with Anxiety, Depression, and Stress among Shift Workers in Oil and Gas Company Fitria Nurbaeti; Feranindhya Agiananda; Levina Chandra Khoe; Dewi Sumaryani Soemarko; Imron Khazim
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.v5i1.155.1-10

Abstract

Background: Oil and gas companies often require employees to work abnormal working hours, namely long shift hours and changing work environment conditions. Understanding how chronotypes, which refer to an individual’s biological preferences for choosing sleep and wake times (starting activities) and job stressors impact anxiety, depression, and distress levels among shift workers in oil and gas companies can aid in developing more effective risk management, health, and wellness programs for the workforce.Objective: This study aims to determine the relationship between chronotype and work stress with anxiety, depression, and stress in oil and gas companies.Methods: A cross-sectional study was conducted in an oil and gas company in Indonesia. Data was collected in 2024 using online questionnaires and interviews. Chronotype was measured using the Morningness Eveningness Questionnaire (MEQ) in Indonesian Version, job stressors were identified using the Stress Diagnostic Survey (SDS), and distress levels were obtained from the Depression Anxiety Stress Scale 21 (DASS 21). Results: Based on the results of data analysis, it was found that the chronotype type for workers in oil and gas companies is morning type as much as 57.4% and midnight type as much as 42.6%. From the results of the analysis, no relationship was found between chronotype and work stressors with stress levels. Chronotype type and work stressors are not related to the level of anxiety, depression and stress in the worker population in this study. The level of anxiety, depression and stress in workers was 20.5% and the prevalence of work stressors in workers experiencing moderate stress levels in the form of role inequality 54.9%, role conflict 52.5%, qualitative overload 52.5%, career development 50%, and responsibility for others 54.1%. While the most quantitative overload stressors were at the mild stress level 54.9%.Conclusion: The majority of respondents were morning type, and their job stressors were at moderate levels. The chronotype and job stressors did not have relationships with the level of distress. Other factors related to the incidence of anxiety, depression and stress levels in this study were age, length of service and type of work.
Examining The Relationship between Shift Work and Diabetes Mellitus among Nurses: An Evidence-based Case Report Arifianto, Angga; Widyahening, Indah Suci; Khoe, Levina Chandra; Mokoagow, M. Ikhsan
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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

Abstract

Background : Work shifts could cause numerous health problems, such as sleep disorders, weight gain disorders, and unhealthy food intake consumption, leading to obesity and changes in blood glucose levels, that eventually lead to diabetes mellitus. This evidence-based case report aims to provide an evidence of association between shift work and the risk of diabetes mellitus among nurses. Methods : We performed a literature searching from Pubmed, Embase, Cochrane, Scopus, and Google Scholar in September 2023 using keywords ‘shift work’ AND ‘diabetes’ AND ‘nurse’. We included studies that assessed the association between shift work and diabetes among nurses using observational studies, meta-analysis, and systemic review as their study design. The outcome variable was the odd ratio or the relative risk of developing diabetes. We excluded cross-over studies, clinical trials, and cross-sectional studies. In addition, quality assessment was conducted according to The Oxford Center for Evidence-Based Medicine (OCEBM). Results : After title and abstract screening, we found seven out of twenty articles with a total of 689,273 participants. Among these articles, there were three cohort studies which found an increased relative risk (1.08 to 2.60) of diabetes among nurses who worked night and rotating shifts compared to those who did not. Another evidence from two cohort studies and one meta-analysis identified that nurses who worked in full shifts had an increased risk of diabetes (1.05 to 3.60) than those who worked non-shifts. Factors affecting the risk of diabetes were gender, unhealthy lifestyle, sleep disorders, and shift work duration (≥10 years). Conclusions : Shift work in nurses has a significant association with the risk of diabetes mellitus. Nurses had been working shift work for more than 10 years, particularly on night shift, had a higher risk compared to those who had been working for less than 10 years without night shift. Additional factors such as obesity, smoking, lack of physical activity, unhealthy diet, and sleep disorders would increase the risk of diabetes mellitus.
Low-Dose Prophylaxis Versus On-Demand Treatment for Children with Severe Hemophilia A in Indonesia: A Conceptual Model Khoe, Levina Chandra; Atika, Nur; Pertiwi, Dhia Ticha; Putri, Septiara
Kesmas Vol. 21, No. 1
Publisher : UI Scholars Hub

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Abstract

Hemophilia A is a rare bleeding disorder caused by a deficiency of clotting factor VIII, leading to recurrent bleeds, joint damage, and disability. Low-dose prophylaxis has been shown to achieve better clinical outcomes than on-demand treatment in reducing bleeding frequency. However, in Indonesia, access and affordability remain key challenges. This study aimed to develop a conceptual model for conducting a health economic evaluation of low-dose prophylaxis treatment for children with severe hemophilia A in Indonesia. This study followed the ISPOR-SMDM Modeling guidelines, outlining two-stage processes: conceptualization of the clinical problem and model development. A systematic literature review was conducted to identify relevant clinical and economic evidence on low-dose prophylaxis and on-demand treatment in pediatric hemophilia A. Indonesian clinical guidelines and expert input from two hematologists were incorporated to contextualize the model. Thirteen studies (three clinical and ten economic evaluations) consistently reported improved outcomes with low-dose prophylaxis. Most models applied health state transitions involving bleeding episodes, joint damage, complications, and death. Based on this review and discussion, the conceptual model was established to support the cost-effectiveness analysis of low-dose prophylaxis. A rigorous conceptual model serves as the key foundational step in developing a valid, health economic model for the Indonesian setting.
Co-Authors Agiananda, Feranindhya Agus Sugiharto Amilya Agustina Aria Kekalih Arifianto, Angga Arriz Akbar Sukadi Astrid Sulistomo Atika, Nur Betharia Sonata Butarbutar CECILIA ANGGRAINI Dani Muhamad Trianto Dewi Sumaryani Soemarko Dewi Yunia Fitriani Dicky L Tahapary Djatikusumo, Ari Edwin Halim Em Yunir, Em Endang Mariani Rahayu Faraby Martha Fitria Nurbaeti HANIFAH RAHMANI NURSANTI Herqutanto - Imron Khazim Indah S. Widyahening Julie Dewi Barliana Marsen Isbayu Putra Martha Landauw Mokoagow, M. Ikhsan Muhammad Aji Muharrom Muhammad Ilyas Muhammad Sidik Nuri Purwito Adi Nuri Purwito Adi Pertiwi, Dhia Ticha Pramastuty, Ajeng putri, septiara Retno Asti Werdhani Reza Haryo Yudanto Rini Sekartini Sabarguna, Boy Subirosa Sitorus, Nova Syntia Nusanti Syska Widyawati Tanoto, Rodri Tjhin Wiguna UTAMI, ALIA NESSA Zakiudin Munasir