Vetinly
Departemen Ilmu Kesehatan Masyarakat Dan Gizi, Fakultas Kedokteran Dan Ilmu Kesehatan, Universitas Katolik Indonesia Atma Jaya

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HUBUNGAN DISFAGIA DAN PENURUNAN KESADARAN TERHADAP PNEUMONIA ASPIRASI PADA PASIEN STROKE RS ATMA JAYA Michael Nathaniel Budiarso,* Linda Suryakusuma,** Luse,*** Vetinly****
NEURONA Vol. 36 No. 1 Desember 2018
Publisher : Neurona Majalah Kedokteran Neuro Sains

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

Abstract

INTRODUCTION APPROXIMATELY 4096 OF STROKE PATIENTS WILL DEVELOP COMPLICATIONS THE MOST FREQUENT IS PNEUMONIA 33 THIS IS DUE TO THE UNDERLYING CLINICAL MANIFESTATION OF STROKE SUCH AS DYSPHAGIA IMMOBILIZATION ALTERED LEVEL OF CONSCIOUSNESS AND IMMUNE SUPPRESSION WHICH INCREASES THE RISK OF ASPIRATION THEREFORE INCREASES THE RISK FOR ASPIRATION PNEUMONIA EARLY DETECTION OF ASPIRATION PNEUMONIA AND ITS RISK FACTORS IN STROKE PATIENTS ARE ESSENTIAL BUT THE NUMBER OF RESEARCHES REGARDING THIS IN INDONESIA IS STILL LIMITED
Body Mass Index, a Body Shape Index, and Waist-to-Height Ratio in Predicting Elevated Blood Pressure Bryan Junius Winata; Veronika Maria Sidharta; Linawati Hananta; Vetinly Vetinly; Nawanto Agung Prastowo
Althea Medical Journal Vol 9, No 1 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n1.2291

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Background: One of the complications of obesity is an elevation in blood pressure  which can increase the risk of hypertension. This study aimed to explore body mass index (BMI), a body shape index (ABSI), and waist-to-height ratio (WHtR) in predicting elevated blood pressure (BP).Methods: This study was conducted in a cross-sectional design on 215 medical students from October 2019 to September 2020. Respondents measured their own weight, height, waist circumference and BP. Receiver operating characteristics (ROC) curve were analyzed using IBM SPSS v.23. Results: Of the 215 medical students who participated in this study, only 102 met the inclusion criteria. The majority of the students were female (n=71, 69.6%) with a mean age of 19.37 years, and normal blood pressure (n=90, 88.2%). Area under the ROC curve (AUC) of WHtR and ABSI were 0.774 (p-value= 0.002) and 0.766 (p-value= 0.003) respectively, which were still acceptable. However, the AUC of BMI (p-value=0.589) was 0.11, which was considered poor.Conclusion: The indicators of obesity can be used as a screening value for increased blood pressure in adults, with BMI being the weakest indicator compared to ABSI and WHtR. Further research is needed to examine ABSI and WHtR indicators as predictor of increased blood pressure in adults.
Indeks Massa Tubuh Paling Berpengaruh Terhadap Rasio Extracellular Mass/Body Cell Mass Myra Antonia; Maria Dara Novi Handayani; Agnes Rensa; Vetinly Vetinly
Bahasa Indonesia Vol 20 No 2 (2021): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v20i2.2638

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ABSTRACT Background: Extracellular mass/body cell mass (ECM/BCM) ratio is a independent predictor mortality in nutritional status and certain chronic disease. ECM/BCM ratio is influenced by various factors such as muscle mass, blood cells, bone mass, tendons, total body water, and certain chronic diseases. Objective: Determine factors associated with elderly ECM/BCM ratio in Jakarta nursing home. Methods: This observational cross-sectional study was conducted in four nursing home in Jakarta. Nutritional status measured with Mini Nutritional Assessment (MNA) score, Body Mass Index (BMI), Waist Circumference (WC), Mid-Arm Circumference (MAC), and calf circumference (CC) using measurement. ECM/BCM ratio is measured using Maltron Bioscan 916, Pearson correlation and Kendall's Tau B were used for bivariate analysis. Simple linear regression was used for multivariate analysis. Results: A total of 74 subjects were recruited (mean age 72.12 years, 71.6% women). Body mass index (p<0.05), WC (p<0.05), and CC (p<0.05) were negatively associated with ECM/BCM ratio, while MNA score (p<0.05) and age (p<0.05) were positively associated with ECM/BCM ratio. There wasn't any significant difference in TBW between male and female elderly. In the multivariate linear regression analysis, BMI was negatively associated with ECM/BCM ratio (p<0.05). Conclusions: Significant relationship were found independently between MNA score, BMI, WC,MAC, and age with ECM/BCM ratio. Body mass index is the main factor associated with ECM/BCM ratio in the elderly in Jakarta nursing homes. Our findings suggest that elderly with lower BMI have higher ECM/BCM ratio.
Dietary Intake, Nutritional Status, and Quality of Life in Patients with Thalassemia Major Steven Yulius Usman; Salvabilla Azheema Rahmat; Vetinly Vetinly; Felicia Kurniawan
Althea Medical Journal Vol 9, No 2 (2022)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v9n2.2301

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Background: Impaired growth and inadequacy of dietary intake in thalassemia patients may affect the quality of life. This study aimed to determine and examine the relationship between dietary intake, nutritional status, and quality of life in in patients with thalassemia major.Methods: This study was a cross-sectional descriptive study conducted from February to October 2020. Twelve respondents who were registered at the Yayasan Thalassemia Indonesia and the blood transfusion unit at Fatmawati Hospital participated. This study conducted a physical examination and distributed food record questionnaires and WHOQOL-BREF. Data analysis was performed using Nutrisurvey 2007 and Fisher’s exact test.Results: The majority of the respondent were male (58.3%), categorized in the age group 5–18 years (58.3%), had normal nutritional status (50%) and quality of life. Interestingly, the respondents had an excess intake of protein and fats, while the intake of energy and carbohydrates was normal. Respondents had less intakes of all micronutrients. Conclusion: The majority of respondents have normal nutritional status and quality of life but have a low intake of micronutrients. Both patients and parents need to be further educated on dietary intake to meet their nutritional needs
Does Lifestyle Affect Dysmenorrhea Intensity? A Cross-Sectional Study: Apakah Gaya Hidup Mempengaruhi Intensitas Dismenore? Sebuah Studi Cross-Sectional Hernanto, Annisa D. P.; Polim, Arie A.; Vetinly
Indonesian Journal of Obstetrics and Gynecology Volume 10 No. 3 July 2022
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v10i3.1559

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Objective : To determine whether or not there is a relationship between lifestyle and dysmenorrhea intensity in FKIK Atma Jaya students. Methods : This research is a cross sectional analytic descriptive study with a minimum sample size of 196 students of the FKIK Atma Jaya class 2017-2019. The degree of pain was assessed using the Verbal Multidimensional Scoring System pain scale. Frequency of fast food consumption were assessed with Food Frequency Questionnaire. Frequency of physical activity were assessed with International Physical Activity Questionnaire. The datas were analyzed using the Kolmogorov-Smirnov normality test, the Mann-Whitney U test, and the Kruskal-Wallis test. Results : The highest percentage of menstrual pain was at grade 1 (painful menstruation; rarely disturbed activity; no systemic symptoms; rarely required analgesics) for the VMSS scale (46.3%). The percentage of fast food consumption in this study was 86.1%. The highest percentage of physical activity in the category of moderate physical activity was 56.2%. The results of this study indicates a significant relationship between consumption of fast food and the intensity of dysmenorrhea with p = 0.017. There were no significant relationship between physical activity and the intensity of dysmenorrhea with p = 0.225 Conclusion : Consumption of fast food were related to the intensity of dysmenorrhea, whereas physical activity was not related with the intensity of dysmenorrhea. Keywords : dysmenorrhea, , fast food consumption, lifestyle, physical activity Abstrak Tujuan : Untuk mengetahui ada tidaknya hubungan gaya hidup dengan intensitas dismenore pada mahasiswa FKIK Atma Jaya. Metode : Penelitian ini merupakan penelitian deskriptif analitik cross sectional dengan jumlah sampel minimal 196 mahasiswa FKIK Atma Jaya angkatan 2017-2019. Derajat nyeri dinilai dengan menggunakan skala nyeri Verbal Multidimensional Scoring System. Frekuensi konsumsi makanan cepat saji dinilai dengan Food Frequency Questionnaire. Frekuensi aktivitas fisik dinilai dengan International Physical Activity Questionnaire. Data dianalisis menggunakan uji normalitas Kolmogorov-Smirnov, uji Mann-Whitney U, dan uji Kruskal-Wallis. Hasil : Persentase nyeri haid tertinggi pada derajat 1 (nyeri haid; aktivitas jarang terganggu; tidak ada gejala sistemik; jarang memerlukan analgesik) untuk skala VMSS (46,3%). Persentase konsumsi fast food dalam penelitian ini adalah 86,1%. Persentase aktivitas fisik tertinggi pada kategori aktivitas fisik sedang adalah 56,2%. Hasil penelitian ini menunjukkan adanya hubungan yang signifikan antara konsumsi fast food dengan intensitas dismenore dengan p = 0,017. Tidak ada hubungan yang bermakna antara aktivitas fisik dengan intensitas dismenore dengan p=0,225 Kesimpulan : Konsumsi fast food berhubungan dengan intensitas dismenore, sedangkan aktivitas fisik tidak berhubungan dengan intensitas dismenore. Kata kunci : aktivitas fisik, dismenore, gaya hidup, konsumsi fast food
TINGKAT PENGETAHUAN EFEK KONSUMSI KAFEIN DAN ASUPAN KAFEIN PADA MAHASISWA Sarah Stephanie Br Ginting; Yunisa Astiarani; Bryany Titi Santi; Vetinly Vetinly
Journal of Nutrition College Vol 11, No 4 (2022): Oktober
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v11i4.32930

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Latar belakang: Sejak tahun 1990 hingga 2021, Indonesia mengalami peningkatan konsumsi kopi sekitar 302,57%. Peningkatan asupan kafein ini sering kali tidak diikuti dengan pengetahuan yang baik terkait efek konsumsi kafein, baik risiko dan manfaatnya. Konsumsi kafein dapat memberikan manfaat seperti meningkatkan mood, memperbaiki konsentrasi, meningkatkan performa aktivitas fisik, menangkal radikal bebas, dan menurunkan berat badan. Risiko dari konsumsi kopi dapat berpotensi mengalami nyeri kepala, dispepsia, diuresis, ansietas, dan kualitas tidur yang buruk.Tujuan: Mengetahui hubungan tingkat pengetahuan efek konsumsi kafein dengan asupan kafein pada mahasiswa tahap akademik Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya.  Metode: Penelitian analisis observasional dengan desain potong lintang yang meliputi 155 mahasiswa tahap akademik di FKIK Universitas Katolik Indonesia Atma Jaya angkatan 2018-2020. Sampel yang digunakan dalam penelitian ini diambil dengan metode proportional random sampling (sampel acak proporsional). Penelitian dilaksanakan pada bulan Oktober 2021. Data penelitian diperoleh melalui kuesioner yang sudah divalidasi dan dibagikan secara dalam jaringan (online). Analisis data dilakukan dengan uji Chi-square.  Hasil: Dari 155 responden yang berpartisipasi dalam penelitian ini, sebanyak 60,65% memiliki pengetahuan yang baik terkait risiko dan manfaat kafein. Prevalensi konsumsi kafein pada Mahasiswa tahap akademik cukup tinggi (82,58%) namun rata-rata tingkat konsumsinya masih dalam batas aman (55,60mg/ hari, SD = 47,89mg). Sumber kafein utama yang paling banyak dikonsumsi adalah kopi, dan minuman berenergi menempati posisi yang paling rendah. Hubungan yang signifikan antara tingkat pengetahuan dengan asupan kafein harian dengan dibuktikan oleh analisis bivariat Chi-square (p =0,005).  Simpulan: Terdapat hubungan antara tingkat pengetahuan dan manfaat konsumsi kafein dengan asupan kafein harian pada Mahasiswa tahap akademik Fakultas Kedokteran dan Ilmu Kesehatan Universitas Katolik Indonesia Atma Jaya.Kata Kunci : Dewasa muda; Konsumsi kafein; Mahasiswa; Risiko dan manfaat; Tingkat pengetahuan.
HUBUNGAN DISFAGIA DAN PENURUNAN KESADARAN TERHADAP PNEUMONIA ASPIRASI PADA PASIEN STROKE RS ATMA JAYA Michael Nathaniel Budiarso; Linda Suryakusuma; Luse Luse; Vetinly Vetinly
NEURONA Vol 36 No 1 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v36i1.46

Abstract

   THE CORRELATION BETWEEN DISHAGIA AND ALTERED LEVEL OF CONSCIOUSNESS WITH ASPIRATION PNEUMONIA IN STROKE PATIENTS AT ATMA JAYA HOSPITALABSTRACTIntroduction: Approximately 40-96% of stroke patients will develop complications; the most frequent is pneumonia (33%). This is due to the underlying clinical manifestation of stroke such as dysphagia, immobilization, altered level of consciousness, and immune suppression which increases the risk of aspiration, therefore increases the risk for aspiration pneumonia. Early detection of aspiration pneumonia and its risk factors in stroke patients are essential, but the number of researches regarding this in Indonesia is still limited.Aims: To study the correlation between dysphagia and altered level of consciousness in stroke patients with aspiration pneumonia in Atma Jaya Hospital, Jakarta.Methods: This is a retrospective cohort research with a cross sectional approach towards 263 stroke patients in Atma Jaya Hospital, February 2016 until October 2017. Data was taken from the stroke registry and medical records, and analized with Chi-square test (α=0.05).Results: The incidence for aspiration pneumonia was 16% in the study population, most of which being male (57.8%), age <65 years old (79.5%), and length of education <9 years (71.5%). Age >65, dysphagia and altered level of consciousness were statistically significant with Odds ratio (OR) 2.26, 3.92, and 8.67, respectively.Discussion: Male, age <65 years old, and length of education <9 years were correlated with poor daily life habits which increases the risk of getting a stroke. Age >65 years old, dysphagia and altered level of consciousness can disturb the coordination and swallowing reflex which makes patients more vulnerable to aspiration and develop aspiration pneumonia.Keywords: Altered level of consciousness, aspiration pneumonia, dysphagia, strokeABSTRAKPendahuluan: Sebanyak 40-96% pasien stroke akan mengalami komplikasi, terutama pneumonia (33%). Hal ini dimungkinkan oleh adanya kecenderungan disfagia, imobilitas, penurunan kesadaran, dan supresi imunitas yang mempermudah terjadinya aspirasi hingga terjadi pneumonia aspirasi. Deteksi awal faktor risiko pneumonia aspirasi pada pasien stroke sangat penting, namun penelitiannya masih terbatas di Indonesia.Tujuan: Mengetahui hubungan antara disfagia dan penurunan kesadaran terhadap kejadian pneumonia aspirasi pada pasien stroke di RS Atma Jaya, Jakarta.Metode: Penelitian kohort retrospektif dengan pendekatan potong lintang terhadap 263 pasien stroke di RS Atma Jaya. Penelitian dilakukan mulai Februari 2016-Oktober 2017. Data diperoleh melalui data register stroke dan rekam medis. Analisis dilakukan menggunakan uji Chi-square dengan nilai α=0,05.Hasil: Insiden pneumonia aspirasi pada pasien stroke adalah 16%. Didapatkan mayoritas populasi laki-laki (57,8%) berusia <65 tahun (79,5%), dan berpendidikan <9 tahun (71,5%). Usia >65 tahun, disfagia, dan penurunan kesadaran memiliki hubungan yang bermakna secara statistik terhadap kejadian pneumonia aspirasi dengan rasio Odds (RO) 2,26, 3,92, dan 8,67 kali lipat.Diskusi: Laki-laki, usia <65 tahun, dan pendidikan <9 tahun berkaitan dengan pola kesehatan hidup buruk yang meningkatkan faktor risiko terjadinya stroke. Usia >65 tahun, disfagia, dan penurunan kesadaran dapat mengganggu koordinasi dan refleks menelan, sehingga pasien stroke lebih rentan terjadi aspirasi dan mengalami pneumonia aspirasi.Kata kunci:  Disfagia, penurunan kesadaran, pneumonia aspirasi, stroke
Food Addiction Prevalence and its Association with COVID-19 Related Stress among Clinical Rotation Medical Students in Jakarta Astiarani, Yunisa; Susanto, Helen; Stephanie, Michelle; Fitriah, Nur; Vetinly, Vetinly
Journal of Urban Health Research Vol. 2 No. 1 (2023): Journal of Urban Health Research
Publisher : School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/juhr.v2i1.4814

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Introduction: This study investigated the relationship between food addiction and stress among clinical rotation medical students during the COVID-19 pandemic. While prior research has examined the impact of mental and physical well-being on medical students, the exploration of food addiction in this demographic has been limited. Methods: The survey study includes 355 clinical-level medical students. Stress levels are assessed using the Coronavirus Stress Measure (CSM) questionnaire, while food addiction is evaluated with the Yale Food Addiction Scale 2.0 questionnaire. Comparative analysis was performed to see the association between food addiction and the stress level related to COVID-19. Results: Both questionnaires indicate good validity and reliability measures. Medical students exhibited lower stress levels during the pandemic than the general population. Approximately 30.1% of students showed signs of food addiction, with most cases classified as mild. Food addiction was significantly higher among women, partially influenced by the dominant presence of female students. The study reveals a significant connection between food addiction and stress levels among medical students (p<0.001). Those with moderate and severe food addiction experience notably higher stress (p<0.05). Conclusion: This study highlights the prevalence of food addiction among medical students and its association with increased stress levels during the COVID-19 pandemic. It underscores the need for further research and support mechanisms to address food addiction and stress management among medical students, ultimately promoting their overall well-being and academic success.
Hubungan Waist Hip Ratio (WHR) dan A Body Shape Index (ABSI) dengan Tekanan Darah pada Mahasiswa Kedokteran Hasim, Edward; Vetinly, Vetinly; Astiarani, Yunisa
Jurnal Ilmu Kedokteran Vol 18, No 2 (2024): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v18i2.2024.150-155

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Prehypertension is a condition that can increase the risk of developing hypertension and lead to various diseases such as cerebrovascular disease, coronary artery disease, and chronic kidney disease. Lifestyle factors significantly influence blood pressure, with obesity being one of the key risk factors for prehypertension. Obesity can be assessed using anthropometric measurements such as Waist-Hip Ratio (WHR) and A Body Shape Index (ABSI). This study aimed to investigate the relationship between WHR and ABSI with prehypertension among male students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. The study employed an analytic observational design with a cross-sectional approach. The respondents consisted of active male medical students from the class of 2019–2021, with data collected using random proportional-to-size sampling. Among the 74 respondents, 28.4% had normotensive blood pressure, while 71.6% exhibited elevated blood pressure. Regarding WHR, 28.4% of respondents had values indicating a risk of hypertension, and for ABSI, 25.7% of respondents had values indicating similar risks. Bivariate analysis revealed a significant relationship between WHR and ABSI with prehypertension (p = 0.024, p = 0.045). In conclusion, this study found a significant association between WHR and ABSI with prehypertension among male medical students at the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia.
Effectiveness of Red Onion Extract (Allium Cepa) on the Elongation of Papillae and Neutrophil Cell in the Gastroesophageal Junction (GEJ) of Sprague Dawley Strain Rats Gastroesophageal Reflux Disease (GERD) Model Blandina, Maria Bernadetta Nadya; ., Vetinly; Djuartina, Tena; Tenggara, Riki; Budianto, Iskandar R.
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 26, No 1 (2025): VOLUME 26, NUMBER 1, April, 2025
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/261202536-42

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Background: Gastroesophageal acid reflux disease (GERD) is a disorder caused by the reflux of stomach acid when the lower esophageal sphincter (LES) relaxes with a prevalence of around 1.03 billion worldwide. One of the supporting examinations carried out to diagnose GERD is a histopathological examination. This study aims to determine the effect of red onion extract on the papillae elongation and neutrophil cells of the gastroesophageal junction in Sprague Dawley rats. Methods: This experimental study was conducted on Sprague Dawley rats induced with 1 mL of HCl + 1 mL of ascorbic acid, administered into the gastric cardia of the rats, mixed with 1 mL of sodium thiocyanate (NaSCN) and 1.5 mL of sodium nitrite (NaNO₃) to develop a GERD model. The rats were then divided into ten groups with different treatments, including red onion extract (250, 500, 750 mg/kgBW) and PPI (pantoprazole). Results:  It was stated that there was a significant relationship between the effect of red onions and changes in papillae elongation in rats induced by GERD (P-value 0.05). The neutrophil cells showed no significance on the impact of red onion (p-value 0,05). Nor are the papillae elongation and the neutrophil cell changes dose-dependent.Conclusion: A significant reduction in the histopathological appearance of papillae elongation was seen in the majority of the population. However, no significant results were found for the different doses of shallot extract.Keywords: Gastroesophageal acid reflux disease, allium cepa, papillae elongation, red onion extract, neutrophil cells