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Effects of Education, Nutrition Status, Treatment Compliance, Family Income, and Family Support, on the Cure of Tuberculosis in Mojokerto, East Java -, Puspitasari; Mudigdo, Ambar; Adriani, Rita Benya
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculosis is an important global public health issue. Countries around the world have committed to control the disease with various programs. However, the cure of Tuberculosis treatment in many countries is still low, which can hamper the success of Tuberculosis control program. Productivity of Tuberculosis patients continues to decrease that leads to socioeconomic burden. This study aimed to examine the effects of education, nutrition status, treatment compliance, family income, and family support, on the cure of Tuberculosis.Subjects and Method: This was an observational analytic study with case control design. The study was conducted in Mojokerto, East Java, from April to May, 2017. A total sample of 108 Tuberculosis patients were selected for this study by fixed disease sampling. The sample consisted of 35 uncured cases of Tuberculosis and 73 cured cases of Tuberculosis. The dependent variable was cure of Tuberculosis. The independent variables were education, nutrition status, treatment compliance, family income, and family support. The data was collected by a set of questionnaire and analyzed using path analysis.Results: Nutritional status (b= 1.31; 95% CI = 0.41 to 2.22; p=0.004) and treatment compliance (b= 1.07; 95% CI= 0.17 to 1.97; p=0.019) directly and positively affect the cure of Tuberculosis. Nutritional status was affected by high education (b=1.62; 95% CI =0.62 to 2.63; p=0.002), family income (b=1.66; 95% CI =0.70 to 2.62; p=0.001), and strong family support (b=1.50; 95% CI =0.36 to 2.63; p=0.010). Treatment compliance was affected by high education (b= 0.84; 95% CI = -0.14 to 1.81; p=0.093), family income (b= 1.36; 95% CI =0.42 to 2.30; p=0.005), and strong family support (b=2.08; 95% CI =0.96 to 3.19; p<0.001).Conclusion: Cure of Tuberculosis is directly affected by nutritional status and treatment compliance. Education, family support, and family income, indirectly affect cure of Tuberculosis.Keywords: cure of Tuberculosis, education, nutrition status, family income, family support, treatment complianceCorrespondence: Puspitasari. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: puspita90@yahoo.co.id. Mobile: +6281333060714.Journal of Epidemiology and Public Health (2017), 2(2): 141-153https://doi.org/10.26911/jepublichealth.2017.02.02.05
Biopsychosocial Determinants of Visual Inspection Acetic-Acid Test Uptake in Sragen, Central Java Saptowati, Dewi; Mudigdo, Ambar; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer ranks second among the top ten leading causes of death in women in the world, especially in developing countries. Cervical cancer can be cured if detected early. A simple and common method in early detection of cervical cancer is a visual inspection acetatic-acid (VIA) test. This study aimed to analyze the biopsychosocial factors associated with use of VIA test, using health belief model and a path analysis model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out in Sragen, Central Java, from October 2017 to May 2018. A sample of 200 women was selected by fixed disease sampling. The dependent variable was utilization of VIA test. The dependent variables were intention, self-efficacy, perceived benefit, perceived barrier, attitude, subjective norm, knowledge, education, perceived susceptibility, perceived seriousness, and number of children. Data on VIA test were obtained from medical record. The other variables were measured by questionnaire and analyzed by path analysis.Results: Use of VIA test was directly and positively affected by intention (b= 3.50; 95% CI= 1.20 to 5.79; p=0.003), perceived benefit (b= 5.21; 95% CI= 1.98 to 8.44; p= 0.002), and number of children (b= 4.23; 95% CI= 1.61 to 6.86; p<0.001). Use of VIA test was directly and negatively affected by perceived barrier (b=-5.98; 95% CI= -8.83 to -3.13; p<0.001). Use of VIA test was indirectly affected by attitude, subjective norm, self-efficacy, knowledge, education, perceived susceptibility, and perceived seriousness.Conclusion: Use of VIA test is directly and positively affected by intention, perceived benefit, and number of children, but negatively affected by perceived barrier.Keywords: visual inspection acetic-acid test, determinants, biopsychosocial, health belief modelCorrespondence: Dewi Saptowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: dewi.saptowati@gmail.com.Journal of Maternal and Child Health (2018), 3(3): 197-206https://doi.org/10.26911/thejmch.2018.03.03.04
Path Analysis on the Determinants of Pap Smear Uptake in Women of Reproductive Age in Tegal, Central Java Armadhani, Riska; Mudigdo, Ambar; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is a leading cause of cancer-related deaths in women in developing countries. Although Pap smear is known as an effective strategy to reduce the burden of cervical cancer, it is underused in developing countries at around 19%. This study aimed to examine the determinants of Pap smear uptake in women of reproductive age using Health Belief Model (HBM).Subjects and Method: This was a case-control study conducted in Tegal, Central Java, from October 4 to November 2, 2018. A sample of 200 women of reproductive age was selected by fixed disease sampling. The dependent variable was Pap smear uptake. The independent variables were perceived benefit, susceptibility, seriousness, and threat, cues to action, education, knowledge, and peer support. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Pap smear uptake directly increased with stronger perceived threat (b= 1.18; 95% CI= 0.44 to 1.92; p=0.002), stronger perceived benefit (b= 1.40; 95% CI= 0.63 to 2.16; p<0.001), and higher self-efficacy (b= 1.48; 95% CI= 0.73 to 2.24; p<0.001). Pap smear uptake was indirectly affected by perceived susceptibility, perceived seriousness, cues to action, education, knowledge, and peer support.Conclusion: Pap smear uptake is directly affected by perceived threat, perceived benefit, and self-efficacy. It is indirectly affected by perceived susceptibility, perceived seriousness, cues to action, education, knowledge, and peer support.Keywords: Pap smear, Health Belief Model, path analysisCorrespondence: Riska Armadhani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: riska.armadhani@gmail.comJournal of Maternal and Child Health (2019), 4(2): 77-86https://doi.org/10.26911/thejmch.2019.04.02.03
Determinants of Womens Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java Ilmiyah, Desy Eka; Budihastuti, Uki Retno; Nurhaeni, Ismi Dwi Astuti; Mudigdo, Ambar
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and thehormonal contraceptive implant(effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of womens choice of a LARC in Boyolali, Central Java.Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program.Results:Womens choice of the LARC increased with age ?35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ?senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ?3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001).Conclusion: Womens choice of LARC increases with age ?35 years, education ?senior high school, parity ?3, better knowledge, counseling by health worker, and husband support.Keywords: long-acting reversible contraceptive, womens choice, determinantsCorrespondence:Desy Eka Ilmiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: desyekailmiyah@gmail.comJournal of Maternal and Child Health (2018), 3(3): 225-232https://doi.org/10.26911/thejmch.2018.03.03.07
Giant Cell Tumor of the Phalanx of Finger: Case Reports Utomo, Pamudji; Idulhaq, Mujaddid; Mudigdo, Ambar; Sentana, Okkie Mharga
Indonesian Journal of Medicine Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Giant cell tumor (GCT) of bone arising from aphalanx of finger is extremely rare. Although, the occurrence of GCT in the hands is a rare, it has been reported that GCT of the small bones (small-bone GCT) carries a higher risk of local recurrence and metastasis than conventional GCT.Subjects and Method: We report two cases of GCT arising from a phalanx of a hand finger. First patient was treated with wide excision of the tumor and fusion with fibular bone graft with the help of a K-wire. Second patient was treated by excision of tumour (Curretage) with allograft bonegraft for bone defect.Results: At their most recent follow-ups (4 months, respectively), both were recurrence free and had returned to their previous occupational and recreational activities.Conclusion: The effectiveness of these methods in the treatment and prevention of recurrence is still under discussion and there is no gold standard for treating GCT.Keywords: GCT, phalanx of finger, excision, illiac crest bonegraft, allograftCorrespondence: Pamudji Utomo. Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: utomodr@yahoo.com.Indonesian Journal of Medicine (2019), 4(1): 65-74https://doi.org/10.26911/theijmed.2019.04.01.11
A 25 Years Old Female with Meloheostosis: A Case Report Utomo, Pamudji; Warman, Fanny Indra; Idulhaq, Mujaddid; Mudigdo, Ambar
Indonesian Journal of Medicine Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Melorheostosis is a rare sclerosing bone dysplasia characterized by its classic radiographic feature of flowing/dripping candle wax. It usually affects one limb, more often the lower extremity, and rarely the axial skeleton. The etiology remains unknown and various theories have been proposed to explain the pathogenesis of this disease. It often has an insidious onset in early adult life. Symptoms include pain, oedema, and limitation of joint movement.Case presentation: A patient aged 25 year old male complaint of pain on the left lower extremity for the last 3 years. There is muscle atrophy at left extremity, bowing of the thigh, awelling at the foot. There is palpable mass at the left bottom, solid consistency and fixed. There are also limitation ROM of hip, knee and ankle. From the radiography examination showed inhomogen thickening of the periosteal cortical and endosteal, dripping candle wax appearance, and sclerotic lesion at soft tissue.Conculsion: X-ray is a sufficient method for diagnosis of melorheostosis.Other imaging techniques are essential for decision about therapeutic intervention (CT or MRI). Laboratory findings are usually in physiological range. Symptomatic therapy proved to be sufficient in subjective symptoms management.Keywords: Melorheostosis, sclerosing bone dysplasia, dripping candle waxCorrespondence: Pamudji Utomo. Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: utomodr@yahoo.com.Indonesian Journal of Medicine (2019), 4(1): 59-64https://doi.org/10.26911/theijmed.2019.04.01.10
Health Belief Model on the Determinants of Human Papilloma Virus Vaccination in Women of Reproductive Age in Surakarta, Central Java Fitriani, Yulia; Mudigdo, Ambar; Andriani, Rita Benya
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer is a type of cancer that develops in a woman's cervix. Cervical cancer is caused by a human papillomavirus (HPV). Cervical cancer ranked fourth against most women's cancer. The incidence of cervical cancer was estimated at 528,000 (7.9%) cases worldwide causing 266,000 deaths in 2012. The HPV vaccine can protect women from HPV infection, thus lowering the risk of cervical cancer. This study aimed to analyze the determinants of HPV vaccination in women of reproductive age in Permata Harapan Oncology Clinic, Surakarta, Central Java, using Health Belief Model.Subjects and Method: This was an analytic observational study with a case-control design. This study was conducted at Permata Harapan Oncology Clinic, Surakarta, from January to February 2018. A total study of 200 study subjects was selected by fixed disease sampling. The dependent variable was HPV vaccination. The independent variables were knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, and family support. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: HPV vaccination increased with better knowledge (OR=7.97; 95% CI= 1.50 to 42.38; p= 0.015), perceived seriousness (OR=22.81; 95% CI= 6.06 to 85.86; p<0.001), perceived susceptibility (OR=4.03; 95% CI= 1.25 to 13.09; p=0.020), , perceived benefit (OR­=6.57; 95% CI= 1.88 to 22.98; p=0.003), family income (OR=5.32; 95% CI= 1.57 to 18.07; p=0.007), and family support (OR=6.86; 95% CI= 1.55 to 30.36; p= 0.011). HPV vaccination decreased with perceived barrier (OR=0.14; 95% CI= 0.04 to 0.51; p=0.003).Conclusion: HPV vaccination increases with better knowledge perceived seriousness, perceived susceptibility, perceived benefit, family income, and family support, but decreases with perceived barrier.Keywords: HPV vaccination, knowledge, perceived seriousness, perceived susceptibility, perceived barrier, perceived benefit, family income, family supportCorrespondence: Yulia Fitriani. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yuliafitriani38@gmail.com. Mobile: 085655708946.Journal of Health Promotion and Behavior (2018), 3(1): 16-26https://doi.org/10.26911/thejhpb.2018.03.01.02 
Determinants of Recurrence and Death in HIV-Malaria Co-Infection Patients in Jayapura, Papua, Indonesia Winiarti, Dian; Mudigdo, Ambar; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Human Immunodeficiency Virus (HIV) is one of the important public health problems in the world which causes death of more than 35 million people annually. HIV infection is often associated with several comorbidities caused by the presence of endemic infectious diseases in certain regions, one of them is malaria. Analyzing the survival of HIV / AIDS patients malaria coinfection is based on risk factors for recurrence and death due to malaria. This study aimed to examine the determinants of recurrence and death in HIV-malaria co-infection patients in Jayapura, Papua, Indonesia.Subjects and Method: This was a retrospective cohort study conducted in the VCT room at Dok II Regional General Hospital, Jayapura, Papua Province, Indonesia, from May to June 2018. A sample of 183 people living with HIV/AIDS (PLWH) was selected by fixed disease sampling. The dependent variable was recurrence. The independent variables were drug taking adherence, nutritional status, economic status, use of mosquito nets, spraying residues in the house, healthy hygiene behavior, co-infection with malaria. The data were obtained from medical record. The other data were collected by questionnaire. The data were analyzed using path analysis.Results: The risk of recurrence in PLWH co-infected with malaria decreased with ARV treatment adherence (b= -2.17; 95% CI= -3.24 to -1.09; p<0.001) and compliance with Cotrimoxazole treatment (> 95 %) (b= -1.88; 95% CI= -2.58 to -1.19; p<0.001). The risk of recurrence in PLWHA co-infected with malaria increased with low income <Rp 2,000,000 (b= 3.06; 95% CI= 2.04 to 4.07; p <0.001), poor health behavior (mean <5) (b= 1.66;  95% CI= 0.92 to 2.40; p<0.001), poor nutritional status (b= 2.10; 95% CI= 1.44 to 2.76; p<0.001), and did not use bed nets (b= 0.73; 95% CI= 0.16 to 1.29; p= 0.011). The risk of death in PLWHA coinfected with malaria decreased with ARV treatment adherence (> 95%) (b= -2.08; 95% CI= -3.02 to -1.14; p<0.001) and healthy behavior (mean> 5) (b= -1.43; 95% CI= -2.15 to -0.70; p<0.001). The risk of death in PLWHA co-infected with malaria increased with low income (<Rp 2,000,000) (b = 3.06; 95% CI= 2.04 to 4.07; p <0.001), poor health behavior (mean <5) (b= 1.66; 95% CI= 0.92 to 2.40; p <0.001), and poor nutritional status (b = 2.10; 95% CI= 1.44 to 2.76; p <0.001).Conclusions: The risk of recurrence in PLWHA co-infected with malaria increases with low income, poor health behavior, and poor nutritional status, but decreases with adherence to ARV treatment and Cotrimoxazole treatment. The risk of death of PLWHA coinfected with malaria increases with low income, poor health behavior, and poor nutritional status, but decreases with adherence to ARV treatment.Keywords: recurrence, co-infection, HIV/AIDS, malaria, death, path analysis, people with HIV/AIDSCorrespondence: Dian Winiarti. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: Dianwiniarti@gmail.com. Mobile: +6281344266960.Journal of Epidemiology and Public Health, 2019, 4(3): 138-155https://doi.org/10.26911/jepublichealth.2019.04.03.01
The Effect of Obesity, Oral Contraceptive and Passive Smoking on the Risk of Cervical Cancer Arfailasufandi, Roiela; Mudigdo, Ambar; Sudiyanto, Aris
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Studies have investigated the effects of obesity on cancer development. However, the relationship between obesity and cervical cancer risk is unclear. This study aimed to determine the effect of obesity, oral contraceptive and passive smoking on the risk of cervical cancer.Subjects and Method: A case-control study was conducted at Dr. Moewardi Hospital, from October to December 2018. A sample of 200 patients was selected by fixed disease sampling, consisting of 100 cervical cancer patients and 100 noncervical cancer patients. The dependent variable was cervical cancer. The independent variables were obesity, oral contraceptive use, smoking exposure, parity, age at first sexual intercourse, and family history. The data were obtained from the medical record. The data were analyzed by multiple logistic regression.Results:The risk of cervical cancer increased with obesity (OR= 6.83; 95%CI= 2.44 to 19.17; p<0.001), cigarette smoke exposure (OR= 12.57; 95% CI= 4.59 to 34.41; p<0.001),oral contra­ceptive use (OR= 3.43; 95%CI= 1.27 to 9.25; p= 0.015), parity (OR= 3.94; 95%CI= 1.47 to 10.59; p= 0.006), and family history (OR= 5.63; 95%CI= 1.94 to 16.34; p= 0.001).The risk of cervical cancer decreased with delayed menarche (OR= 0.24; 95%CI= 0.09 to 0.68; p= 0.007) and delayed age at first sexual intercourse (OR= 0.21; 95%CI= 0.86 to 0.53; p= 0.001).Conclusion: The risk of cervical cancer increases with obesity, oral contraceptive use, smoking exposure, parity, and family history. The risk of cervical cancer decreases with delayed menarche and delayed age at first sexual intercourse.Keywords: obesity, oral contraception, smoking exposure, cervical cancerCorrespondence: Roiela Arfailasufandi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java, Indonesia. Email: andi_suf@ymail.com. Journal of Epidemiology and Public Health (2019), 4(3): 189-197https://doi.org/10.26911/jepublichealth.2019.04.03.06
Factors Associated with Late Detection of Breast Cancer: Application of Health Belief Model Theory Wati, Wayan; Mudigdo, Ambar; Qadrijati, Isna
Indonesian Journal of Medicine Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Primary prevention of breast cancer is still not available, so efforts to promote early detection continue to be the major focus in fighting breast cancer. Since early detection is as­sociated with decreased mortality, it is important to minimize delays in detection and di­agnosis. The purpose of this study was to examine factors associated with late detection of breast cancer in Surakarta, Central Java, using Health Belief Model.Subjects and Method: A cross sectional study was carried out at Dr. Moewardi Hospital, Sura­karta, from October to December 2018. A sample of 200 breast cancer patients was selected by fixed disease sampling. The dependent variable was late detec­tion of breast cancer. The inde­pen­dent variables were perceived susceptibility, threat, benefit, barrier, self-efficacy, family sup­port, breast cancer detection, and family income. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: Late detection of breast cancer decreased with perceived susceptibility (b= -1.49; 95% CI= -2.55 to -0.42; p= 0.006), perceived threat b= -1.87; 95% CI= -3.05 to -0.69; p= 0.002), per­ceived benefit (b= -3.27; 95% CI= -4.54 to -2.00; p<0.001), self-efficacy (b= -1.49; 95% CI= -2.52 to -0.46; p= 0.004), family support (b= -1.44; 95% CI= -2.49 to -0.39; p= 0.007), early breast cancer detection (b=-2.21; 95% CI= -3.33 to -1.09; p<0.001), and income (b= -1.75; 95% CI= -2.92 to -0.59; p= 0.003). It increased with perceived barrier (b= 1.64; 95% CI= 0.49 to 2.80; p= 0.005).Conclusion: Late detection of breast cancer decreases with perceived susceptibility, perceived threat, perceived benefit, self-efficacy, family support, early breast cancer detection, and in­come. It increases with perceived barrier.Keywords: late detection, breast cancer, Health Belief ModelCorrespondence: Wayan Wati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: wayanwati99@­gmail.­com.Mobile: +62858­42842990.Indonesian Journal of Medicine (2019), 4(2): 105-115https://doi.org/10.26911/theijmed.2019.04.02.04