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Analysis of Related Factors With the Activity of the Larva Monitoring Officer in Disease Control Efforts Dengue Hemorrhagic Fever In Tangerang District Wahidin, Wahidin; Mansyur, Muchtaruddin; Herman, Rustika
Journal of Ultimate Public Health Vol 2, No 2 (2018): NOVEMBER 2018
Publisher : Journal of Ultimate Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/jump-health.v2.i2.p102-108

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None
The role of occupational health services in the universal health coverage era in Indonesia Mansyur, Muchtaruddin
Universa Medicina Vol 38, No 1 (2019)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (435.949 KB) | DOI: 10.18051/UnivMed.2019.v38.1-3

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In accordance to Act No 24 Year 2011 on The Social Security Administrating Body, the Indonesian National Social Security program is managed by  two national organizations, namely: Social Security Administering Body for Health (Badan Penyelenggara Jaminan Sosial Kesehatan = BPJS Kesehatan) and Social Security Administering Body for Labor (Badan Penyelenggara Jaminan Sosial Ketenagakerjaan = BPJS Ketenagakerjaan). The former is responsible for providing health coverage for all Indonesians through the National Social Health Insurance Scheme known as the Jaminan Kesehatan Nasional/JKN. The latter is  responsible for  providing the worker's social security consisting of Provident Fund Benefit, Accident Benefit, Pension Benefit, and Death Benefit.1The Indonesian government has been continuously improving the health service program towards better national universal health coverage and has set the 2019 functional achievement target of 95% of the population enrolled in the program. To ensure that this target of  the program will be achieved,  the government pays the premium of BPJS Kesehatan of the poor and near poor.2
Parkinson's disease and the welding job: are both related? Mochtar, Iqbal; Mansyur, Muchtaruddin
Universa Medicina Vol 39, No 1 (2020)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.305 KB) | DOI: 10.18051/UnivMed.2020.v39.63-70

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Up to the present, there has been a controversy on the relationship between Parkinson’s disease and the welding job. The aim of this study was to obtain evidence-based information regarding the relationship between Parkinson’s disease and the welding job through an evidence-based case report derived from a literature review. The review was conducted through a method of search and selection of articles in the Pubmed, Cochrane Library and JSTOR databases aimed at answering the study question. The process of searching articles used the keywords “Welding” OR “Welder” AND “Parkinson”. Article selection was performed using the defined inclusion and exclusion criteria. At the initial search, 117 articles were retrieved from the three databases. Following the selection process, three articles remained, which consisted of one systematic review and two observational studies. Comparing the selected articles, the systematic review of Mortimer et al. is more relevant and appropriate for answering the clinical question. Mortimer et al. used a meta-analytical method, applied strict inclusion and exclusion criteria and excluded studies that potentially led to bias effects, lack of validity or inadequate statistical methods. Based on the selected evidence-based resources, Parkinson’s disease is not related to the welding job. The welding job, however, may produce clinical symptoms and signs resembling Parkinson’s disease, known as manganism.
Assessment of compliance to standard precautions among nurses using the Health Belief Model Rusli, Noer Triyanto; Mansyur, Muchtaruddin; Kekalih, Aria; Sulistomo, Astrid; Werdhani, Retno Asti
Universa Medicina Vol. 39 No. 3 (2020)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2020.v39.199-206

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BACKGROUNDThe application of Standard Precautions (SP) has become a significant challenge for healthcare workers, especially in developing countries, endangering their safety and increasing their exposure to blood-related pathogens. This study was aimed at exploring the factors related to nurses’ compliance with the practice of SP.METHODSA cross-sectional study was conducted on 120 nurses working at a hospital in Palembang. Health Belief Model components of the subjects were recorded through questionnaires. A 12-point observation form assessed the nurses’ SP compliance. Multiple logistic regression models were used to explore factors associated with nurses’ compliance.RESULTSThe results showed that 56.7% of participants had good compliance, although the five moments of hand hygiene still needed to be improved. The study revealed that the proportion of the operating room and emergency room nurses who complied with the SP was larger than the proportion of those who worked at the other wards (OR=2.57, 95% CI 1.51-4.36). The nurses who had received training also showed a larger proportion of compliance with SP than those who had not been trained (OR=2.70, 95% CI 1.07-6.79).CONCLUSIONNurses’ behavior to SP was significantly associated with the adequacy of the training and work unit. It is suggested that the practice of SP was also influenced by enabling factors and subjective norms. Adequate training of nurses, provision of infection prevention equipment, and assessment of occupational exposures need to be introduced.
The Effect of Nuhonni-Tulaar Rheumatic Exercise on Pain Reduction of Knee Osteoarthritis Patients Ferius Soewito; Siti Annisa Nuhonni; Elida Ilyas; Muchtaruddin Mansyur; Angela BM Tulaar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.514 KB) | DOI: 10.36803/ijpmr.v2i01.223

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Objectives: Knee osteoarthritis patient has the risk for ambulation disability as a result of knee pain. Nuhonni-Tulaar rheumatic exercise was designed to prevent complications of rheumatic diseasesincluding knee osteoarthritis. The purpose of this study is to investigate the effectivity of Nuhonni-Tulaar rheumatic exercise to reduce pain of knee osteoarthritis patient.Methods: Twenty two subjects did the rheumatic exercise thrice a week in the gymnasium of medicalrehabilitation department Cipto Mangunkusumo hospital. Twenty other subjects, the control group, didthe standard hamstring stretching exercise at home. Each group performed the exercise for 8 weeks.Pain was measured using Visual Analog Scale (VAS) each week and analyzed before and after theintervention.Results: After 8 weeks VAS was reduced 1.5 in the intervention group while in the control group the reduction was 0.9. VAS was then transformed into no pain, mild pain, moderate pain and severepain. VAS was significantly reduced in the intervention group (p=0.002) but not in the control group (p=0.059). VAS changes between the two groups was significantly different (p=0.004).Conclusions: Rheumatic exercise has greater benefit in reducing pain than standard stretching exercise.Warming up, core exercise II and cooling down is safe and comfortable for knee osteoarthritis patientwith grade I-II Kellgren Lawrence radiographic grading.Keywords: Nuhonni-Tulaar Rheumatic exercise, Knee osteoarthritis, Visual Analog Scale
The Effect of Nuhonni-Tulaar Rheumatic Exercise on Pain Reduction of Knee Osteoarthritis Patients Ferius Soewito; Siti Annisa Nuhonni; Elida Ilyas; Muchtaruddin Mansyur; Angela BM Tulaar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.514 KB) | DOI: 10.36803/ijpmr.v2i01.223

Abstract

Objectives: Knee osteoarthritis patient has the risk for ambulation disability as a result of knee pain. Nuhonni-Tulaar rheumatic exercise was designed to prevent complications of rheumatic diseasesincluding knee osteoarthritis. The purpose of this study is to investigate the effectivity of Nuhonni-Tulaar rheumatic exercise to reduce pain of knee osteoarthritis patient.Methods: Twenty two subjects did the rheumatic exercise thrice a week in the gymnasium of medicalrehabilitation department Cipto Mangunkusumo hospital. Twenty other subjects, the control group, didthe standard hamstring stretching exercise at home. Each group performed the exercise for 8 weeks.Pain was measured using Visual Analog Scale (VAS) each week and analyzed before and after theintervention.Results: After 8 weeks VAS was reduced 1.5 in the intervention group while in the control group the reduction was 0.9. VAS was then transformed into no pain, mild pain, moderate pain and severepain. VAS was significantly reduced in the intervention group (p=0.002) but not in the control group (p=0.059). VAS changes between the two groups was significantly different (p=0.004).Conclusions: Rheumatic exercise has greater benefit in reducing pain than standard stretching exercise.Warming up, core exercise II and cooling down is safe and comfortable for knee osteoarthritis patientwith grade I-II Kellgren Lawrence radiographic grading.Keywords: Nuhonni-Tulaar Rheumatic exercise, Knee osteoarthritis, Visual Analog Scale
Posisi elektroda intrakoklea dan ECAP sebagai pedoman pemetaan pada tuli sensorineural dengan implan koklea Semiramis Zizlavsky; Ratna Dwi Restuti; Jacub Pandelaki; Muchtaruddin Mansyur; Bambang Hermani; Teguh Ranakusuma; Edrial Eddin; Sarwono Waspadji
Oto Rhino Laryngologica Indonesiana Vol 44, No 1 (2014): Volume 44, No. 1 January - June 2014
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (734.352 KB) | DOI: 10.32637/orli.v44i1.77

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Latar belakang: Implan koklea merupakan pilihan utama untuk habilitasi pendengaran dan berbicara pada anak tuli sensorineural berat bilateral. Pengaturan comfortable dan threshold level berdasarkan nilai evoked compound action potential (ECAP) direkam dengan neural responses imaging (NRI) saat pemetaan. Tujuan: Memperoleh nilai ECAP sebagai acuan pemetaan berdasarkan jarak elektroda intrakoklea ke modiolus, jarak terpanjang elektroda nomor satu dengan elektroda berhadapan, jarak marker dengan lubang kokleostomi dan faktor lainnya. Metode: Anak tuli sensorineural usia 2-10 tahun, menggunakan implan koklea dengan desain contour atau straight terdiri dari 16 elektroda, 120 channel sebagai subjek penelitian. Subjek penelitian sebanyak 46 telinga (39 anak), terpasang implankoklea diperoleh secara konsekutif dengan desain potong lintang. Perekaman ECAP elektroda 3-5, 8-10, 13-15 mewakili daerah apeks, medial dan basal. Hasil tomografi komputer resolusi tinggi koklea dengan program OsiriX dilakukan rekonstruksi 3D untuk menilai posisi dan jarak elektroda. Analisis data diawali dengan univariat dan uji korelasi Spearman ‘s pada bivariat. Kandidat faktor yang berperan disertakan pada regresi ganda untuk mendapatkan faktor determinan ECAP. Comfortable zone untuk populasi diperoleh dari analisis area pada distribusi normal menggunakan comfortable level. Hasil: Diperoleh persamaan yaitu: (rerata ECAP)=-21,19+5,87 rerata jarak elektroda ke modiolus (mm)+1.31, rerata threshold level (cu)+0.48 lama penggunaan implan koklea (bulan). (R square=0.60). Comfortable zone diperoleh dengan ECAP yang berada pada variasi 84-87,5% comfortable level. Kesimpulan: Jarak elektroda ke modiolus, lama penggunaan implan koklea dan t level merupakan faktor determinan ECAP. Nilai ECAP dapat digunakan untuk mengidentifikasi penyimpangan jarak elektroda dan memperoleh comfortable zone.Kata kunci : ECAP, implan koklea, lokasi elektroda, tuli sensorineuralABSTRACT Background: Currently cochlear implant remains a preferred choice in hearing and speechhabilitation in children with bilateral profound SNHL. Comfortable and threshold level setting based on ECAP value is recorded by NRI during mapping. Purpose: To obtain ECAP value as mapping guidance based on the distance between electrode to modiolus, the longest distance between electrode number one with the ones it faces, the distance between marker and cochleostomy and other factors. Methods: Research subject were children with SNHL, between 2-10 years old using CI with 16 electrodes, 120 channels. There were 46 ears (39 children) with CI chosen consecutively by cross sectional design. Using NRI, ECAP was recorded on electrode 3-5, 8-10, 13-15 that represent the apex, medial and basal area. Their cochlears were examined with HRCT then 3D reconstruction with OsiriX programto determine the electrode position and calculate the distance. Data analysis started with univariat 1 and bivariat with Spearman’ correlation. Candidates’ factor were analysed with multiregression test to gain ECAP determinant factor. Comfortable zone for population was gained from area analysis in normal distribution using comfortable level. Results: The equation found were: y (average ECAP)=21.19+5.87 the average electrodes to modiolus distance (mm)+1.31, threshold level (cu)+0.48 CI length use (months). (R square=0.60).Comfortable zone was acquired with ECAP between 84-87,5% comfortable level variation. Conclusion: The electrode to modiolus distance, duration of CI use and t level are ECAP determinant factor. The value of ECAP can be used as guidance to identify electrode distance deviation and to gain comfortable zone.Keywords: cochlear implant, ECAP, electrode location, sensoryneural hearing loss 
Could Hypertension in Radiographers Associated with Low Ionizing Radiation Exposure? An Evidence-Based Case Report I. Wijaya, Rita; C Khoe, Levina; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Low-dose ionizing radiation exposure (
A Work-Related Thyrotoxic Periodic Paralysis in A Worker Exposed to Heat Stress: A Case Report Puji Lestari, Shanti; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Thyrotoxic Periodic Paralysis (TPP) is an uncommon disorder, characterized by the triad of acute hypokalemia, muscle paralysis, and thyrotoxicosis. Attacks are typically transient, last hours to days, and may be triggered by many conditions, including exposure to heat stress in both indoor and outdoor activities. Indoor workers, especially those working around furnaces, ovens, smelters, and boilers, are at a higher heat stress risk, even higher risk if they have other individual factors such as obesity, dehydration, slower heat acclimation, consume certain medications and presence of underlying diseases. A 48-year-old man presented a sudden onset weakness in all four limbs, associated with admission blood hypokalemia and thyrotoxicosis. No history of either alcohol or high carbohydrate intake consumption, infection, trauma, or heavy exercise. He has been working as a chef in the food procurement unit at a hospital for 28 years, 6 hours/day, six days/week. The results of the heat measurement at the cooking area where he works revealed that the heat stress index was 31,9º C Wet Bulb & Globe Temperature (WBGT).
Development of Food-Based Recommendation and Nutrient-Dense Meal for Female Shift Workers in West Java, Indonesia Puji Lestari, Shanti; Adi, Nuri Purwito; Fahmida, Umi; Kusuma Dewi, Dian; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Some manufacturing industries employ not only male workers but also female workers, who are required to undergo shift work. Given the altered eating habits as well as metabolic and endocrine profiles of shift workers, this will affect their nutritional needs. Considering that anemia that occurs in female workers is primarily nutritional anemia, this becomes a challenge in the field of occupational nutrition, especially in terms of preparing food for female workers in accordance with their nutritional needs. The aim of the study is to develop a set of FBR for female shift workers using the Linear Programming (LP) approach. Methods. Dietary data were collected in a cross-sectional survey of female shift workers (n=106) working at a textile factory in Sumedang District, West Java, Indonesia, and a market survey in two local markets. Optifood software was used for LP analysis particularly to identify problem nutrients, and nutrient-dense foods, and compare alternative FBRs. The nutrient-dense menu was developed using the identified nutrient-dense foods. Results. The problem nutrients were iron (absolute) and calcium (partial), and the remaining nutrients were still dietary inadequate. The nutrient-dense menu including iron-rich and folate-rich foods can fulfill the nutrient gap for iron from the final FBR (15% RNI of the 7% RNI). Conclusion. The inclusion of a nutrient-dense menu for the female factory workers helped to meet the nutrient gap for iron which is the absolute problem nutrient in the optimized FBR. The promotion of optimized FBR and the provision of a nutrient-dense menu should be part of the occupational nutrition program.
Co-Authors Abdulmuthalib Abdulmuthalib Agung Waluyo Agus Kharmayana Rubaya Agus Setiawan Ahmad Eru Ahmad Fuady Ahmad Thohir Hidayat Al Rasyid Alfares, Heru Alida Harahap Amiliana M. Soesanto Anandita, Faizal Ablansah ANDI WIJAYA Angela BM Tulaar Antari R. Harmani Anung Sugihantono Aria Kekalih As’ari, Mahrus Bambang hermani Bertha Pangaribuan Birahmatika, Fitya Safira C Khoe, Levina Cosphiadi Irawan Dahlia, Debie - Damajanti R. Syarif Damayanti Rusli Sjarif Deandra, Fadhila Iswi Dede Iskandar, Dede Dede Kusmana Dewi Sumaryani Soemarko Dewi Yunia Fitriani Djajadiman Gatot Djoko Priyatno, Djoko Djumhana Atmakusumah, Djumhana Dwi Restuti, Ratna Edrial Eddin Efta Yudiarsah, Efta Elida Ilyas Elly Nurachmah Endang Susalit Erni Sulistiawati Eryando, Tries Fatma Afira Fauzia, Khalida Ferial H. Idris Ferius Soewito Hajar, Siti Sarah Hanna, Henny Haryono Haryono Helda Khusun Henny Permatasari Herman, Rustika Hilman Syarif Houweling, Tanja A I Dewa Gede Ugrasena I. Wijaya, Rita Ina S Timan, Ina S Ina Susianti Timan Irawan Yusuf Isman Firdaus Jamhari Jamhari Jan S Purba, Jan S Judhiastuty Februhartanty Juli Dwi Prasetyono Jusuf Misbach Kusuma Dewi, Dian Leonard Ivan Melana Lim Weng Kong, Lim Weng Lugyanti Sukrisman Malik, Safarina G. Mediawati, Ati Surya Merci Monica br Pasaribu Mochtar, Iqbal Moh. Khotibul Umam Muhammad Ilyas Mulyana Mulyana Murti Andriastuti, Murti Ninik Mudjihartini Novi Silvia Hardiany Nuri Purwito Adi Nurjati Chaeranie Siregar, Nurjati Chaeranie Nurlita, Hera Nurul Ratna Mutu Manikam Nuryati Chairani Ong Choon Kiat, Ong Choon Pandelaki, Jacub Parmaditya Pamungkas, Indra Poppy Fitriyani Pramesthi, Indriya Laras Prasetyono, Juli Dwi Puji Lestari, Shanti Rafsanzani, Reza A Ratna Dwi Restuti Retno Asti Werdhani Riadi Wirawan Rianto Setiabudy Richardus, Jan H Rino Alvani Gani Rizaldi, Riza Ronny Suwento, Ronny Rosina Tarigan Rr. Tutik Sri Hariyati Rusli, Noer Triyanto Sahala Panggabean Salim Harris Sarwono Waspadji Semiramis Zizlavsky SEPTELIA INAWATI WANANDI Setyowaty sigid sudaryanto, sigid Sigit Mulyono Simanjuntak, Ernawati Siti Annisa Nuhonni Sudigdo Satroasmoro, Sudigdo Sugiarta, Iwan Sukman Tulus Putra, Sukman Tulus Sulistomo, Astrid Suroto Suroto Suzanna Immanuel Tamin, Susyana Tantut Susanto Teguh Budiharjo, Teguh Teguh Ranakusuma The Bin Tean, The Bin Tirza Z. Tamin Trevino A. Pakasi Umi Fahmida Wahidin, Wahidin Wibowo, Suryo Winata, Vera Windarso, Sarjito Eko Yati Afiyanti Yoga Yuniadi