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Heavy mental workload increase poor sleep quality in informal garment workers Merijanti, Lie T; Pusparini, Pusparini; Meiyanti, Meiyanti; Alvina, Alvina; Sudharma, Novia I; Tjahjadi, Muljadi
Universa Medicina Vol 38, No 3 (2019)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (687.632 KB) | DOI: 10.18051/UnivMed.2019.v38.202-208

Abstract

Background Sleep is needed by the human body so that the performance of body remains optimal when the body is awake, especially during work. Informal workers often work without clear regulations, with inadequate equipment and poor work environment, and pay little attention to occupational health and safety factors. The existence of large work demands with unclear work system arrangements will certainly result in a mental workload in these workers. The objective of this study was to determine the relationship between mental workload and sleep patterns of workers in the informal garment sector. MethodsA cross-sectional study involving 225 informal garment workers was conducted between December 2018 and May 2019. Data collection included respondents’ demographics, job characteristics, measurement of mental burden and disturbances in sleep patterns. The sleep pattern used the PSQI (Pittsburgh Sleep Quality Index) instrument and the mental burden used the Rating Scale Mental Effort (RSME). A multiple linear regression analysis was used to analyze the data. ResultsThe mean sleep quality was 5.40 ± 2.54. Multiple linear regression test found that mental workload correlated significantly with sleep quality of workers (β=0.016, p=0.012).ConclusionThis study demonstrated that heavy mental workload decreases the quality of sleep in informal garment workers. A good work system management is required so that workers are assigned that portion of the task that is commensurate with their capacity.
KORELASI ANTARA MODIFICATION OF DIET IN RENAL DISEASE (MDRD) DAN CYSTATIN C SERUM PADA USIA 40–70 TAHUN Jus, Jason; Irwanto, Ronald; Pusparini, Pusparini
Majalah Kedokteran Bandung Vol 48, No 3 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.104 KB) | DOI: 10.15395/mkb.v48n3.605

Abstract

Pelaporan estimasi laju filtrasi glomerulus (eLFG) pada setiap hasil pemeriksaan kreatinin dianjurkan, walaupun saat ini tidak semua laboratorium mencantumkan pada hasil pemeriksaan. Modification of Diet in Renal Disease (MDRD) merupakan formula yang digunakan untuk mengestimasi laju filtrasi glomerulus menggunakan kreatinin serum. Cystatin C serum merupakan pemeriksaan yang relatif baru dan petanda yang baik untuk menilai fungsi ginjal. Penelitian ini bertujuan mengetahui korelasi antara MDRD dan cystatin C serum. Penelitian ini menggunakan data sekunder dari 260 subjek penelitian usia 40?70 tahun yang memeriksakan kreatinin serum dan cystatin C serum selama periode Januari 2013?September 2014 di laboratorium klinik swasta di Jakarta Barat dengan desain potong lintang. Hasil penelitian menunjukkan bahwa usia rata-rata subjek 55,7+7,8 tahun. Kadar cystatin C serum rata-rata 0,99 + 0,6 mg/L, MDRD 80,24±28,1 mL/min/1,73m2. Terdapat korelasi negatif antara MDRD dan cystatin C serum dengan r=-0,767, p=0,001 (uji Pearson). Disimpulkan bahwa semakin tinggi nilai MDRD, nilai cystatin C serum semakin rendah. MDRD dapat digunakan sebagai alternatif uji fungsi ginjal bila pemeriksaan cystatin C serum tidak tersedia. [MKB. 2016;48(3):129?34]Kata kunci: Cystatin C, eLFG, kreatinin, MDRD Correlation between Modification of Diet in Renal Disease (MDRD) and Serum Cystatin C in 40?70 Years Old Reporting of the estimated glomerular filtration rate (GFR) in every creatinine test is suggested, despite the fact that every laboratory reports it in their result. Modification of Diet in Renal Disease (MDRD) is a formula that is used to estimate the GFR using serum creatinine. Serum cystatin C is a relatively new test and superior for assessing kidney functions. The purpose of this study was to show the correlation between MDRD and serum cystatin C. A cross-sectional study was conducted using secondary data from 260 subjects, aged 40?70 years old to assess serum creatinine and serum cystatin C at a private laboratory in West Jakarta, during the period of January 2013?September 2014. The result of the study showed that the mean age of subjects was 55.7+7.8 years old, the mean serum cystatin C level was 0.99 + 0.6 mg/L, and the mean MDRD was 80.24±28.1 mL/min/1.73 m2. Pearson correlation analysis showed a negative correlation between MDRD and serum cystatin C with r = -0.767 and p =0.001. In conclusion, higher MDRD presents lower cystatin C serum; hence,  MDRD can be used as an alternative renal function test when serum cystatin C is not available. [MKB. 2016;48(3):129?34] 
HIGH DIETARY DAIDZEIN INTAKE LOWERS CHOLESTEROL LEVELS AMONG POST-MENOPAUSAL WOMEN Herwana, Elly; Pusparini, Pusparini; Graciela, Audria
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 (571.588 KB) | DOI: 10.18051/UnivMed.2020.v39.47-54

Abstract

BackgroundMenopause is associated with changes in metabolic profile. Although hormone replacement therapy (HRT) has been shown to have beneficial effects on lipid metabolism, its adverse effects have indicated a need for alternative estrogen-based treatments. Several investigations have evaluated the effects of isoflavones on serum lipid levels in postmenopausal women, but the results were ambiguous. The objective of this study was to determine the relationship of dietary daidzein, genistein, and glycitein levels with lipid profile in postmenopausal women.MethodsA cross-sectional study was conducted involving 186 post-menopausal women. A food recall questionnaire was used to measure dietary genistein, daidzein, and glycitein levels. Serum total cholesterol (TC), low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, and triacylglycerol (TAG) were measured using the enzymatic colorimetric method. Simple and multivariate linear regression were used to analyze the data.ResultsGenistein intake was significantly associated with TC (b=145.48, p=0.023) and HDL cholesterol levels (b=48.80, p=0.032). Daidzein intake was significantly associated with TC (b=-204.60, p=0.003), LDL cholesterol (b=-160.81, p=0.014) and HDL cholesterol levels (b=-67.118, p=0.032). Glycitein was not significantly associated with TC (b=232.78;p=0.133), HDL (b=43.59;p=0.428), and LDL (b=235.84;p=0.116). Dietary daidzein had a more lowering effect on TC (Beta=-2.80) and HDL cholesterol (Beta=-2.67) than had genistein on TC (Beta=2.66) and HDL cholesterol (Beta=2.03).ConclusionsHigh dietary daidzein level has a significant lowering effect on TC, LDL cholesterol and HDL cholesterol in post-menopausal women. Our study supports the advice given to the public to increase soy isoflavone intake in post-menopausal women.
Glycated albumin is a better indicator for glucose levels than glycated hemoglobin in patients with diabetes mellitus on insulin therapy Lesmana, Alvina; Pusparini, Pusparini; Meiyanti, Meiyanti; Merijanti, Lie T
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 (482.547 KB) | DOI: 10.18051/UnivMed.2020.v39.27-33

Abstract

BackgroundDiabetes mellitus (DM) is a metabolic disease with a large incidence in the world and constitutes a global health problem. By 2030 it is estimated that there will be around 439 million people suffering from DM. Diabetes mellitus is a metabolic disease caused by a lack or absence of the hormone insulin. In type 2 DM pharmacotherapy can be given one of which is insulin. To monitor therapy, random blood glucose, glycated hemoglobin (HbA1c) and glycated albumin (GA) levels can be examined. The objective of this study was to determine the relationship of glycated albumin and glycated hemoglobin (HbA1c) with random blood glucose in insulin-treated diabetics.MethodsA cross-sectional study was conducted involving 92 type 2 diabetic patients treated with insulin. The study used a questionnaire and blood samples. We measured the GA , HbA1C and random blood glucose levels. A multiple linear regression was used to analyze the data. ResultsMean HbA1c was 9.21 ± 2.15%, mean glycated albumin was 24.4 ± 8.65%, and mean blood glucose was 229.47 ± 98.7 mg/dL. Multiple linear regression tests showed that HbA1c (B= 5,544; â=0.121; p=0.420) and GA (B=5.899; â=0.517; p=0.001) was signigicantly corelated with random blood gucose, respectively, indicating that glycated albumin is significantly related to and has the greatest influence on glucose level.ConclusionGlycated albumin is correlated with and has greater influence on glucose level than does HbA1c. Glycated albumin could be a better marker for glycemic control than glycated hemoglobin in diabetic patients treated with insulin.
Poor Glycemic Control Correlates with Iron Deficiency Anemia in Type 2 Diabetes Mellitus Kaltsum, Talitha Imani; Pusparini, Pusparini
Althea Medical Journal Vol 10, No 2 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n2.2937

Abstract

Background: Glycated hemoglobin (HbA1c) has been used extensively to diagnose and monitor diabetes mellitus (DM). Patients with type 2 DM are at risk of experiencing comorbidities and complications such as iron deficiency anemia (IDA). This study aimed to determine the correlation of HbA1c with iron deficiency anemia (IDA) in type 2 DM.Methods: This cross-sectional study was conducted on 115 types 2 DM patients at a hospital in South Jakarta, Indonesia from November to December 2021. Data on HbA1c levels and IDA were obtained from medical records.  Data were analysed with the Chi-Square test and significancy at  p<0.05.Results: In total, 43 men and 72 women with type 2 DM were included, with predominantly age over 45 years (89.6%), had DM for more than ten years (55.7%), had obesity I (53.9%), and with hypertension as the most common comorbidity (65.2%). Furthermore, the patients did not smoke (64.3%), had poor glycemic control ((76.5%) and had anemia (58.3%). There was a significant relationship between HbA1c levels and IDA (p = 0.003).Conclusions: This study shows a relationship between HbA1c and IDA in type 2 DM, therefore, DM patients with poor glycemic control need to be well monitored for iron deficiency anemia. 
PENGARUH PENYULUHAN GIZI SEIMBANG DENGAN MEDIA SOSIAL INSTAGRAM TERHADAP PENGETAHUAN, ASUPAN ENERGI DAN PROTEIN PADA REMAJA PUTRI SEKOLAH MENENGAH ATAS Dwi Suryana, Ira; Mahmudah, Umi; Pusparini, Pusparini; Agung Suprihartono, Fred
Jurnal Gizi dan Dietetik Vol. 2 No. 2 (2023): Jurnal Gizi dan Dietetik
Publisher : Jurusan Gizi Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jgd.v2i2.1802

Abstract

Adolescent girls are at high risk of experiencing nutritional problems, one of which is chronic energy deficiency (CED). Inadequate nutrient intake during adolescence will have an impact on health in subsequent life stages, namely adulthood (pregnant mothers) and old age. One of the efforts that can be done to address nutritional problems in adolescent girls is to change their behaviors by enhancing their knowledge through nutrition education. One of the nutritional education media used for targeting adolescent girls is the social media platform Instagram. The aim of this research was to determine the effect of balanced nutrition counseling using the social media platform Instagram on knowledge, energy intake, and protein intake among high school adolescent girls. The intervention was conducted for a total of 9 days over a period of 18 days. This study is a quasi-experiment with a two-group pre-test and post-test design. The treatment group was provided with the social media platform Instagram, while the control group was provided with PowerPoint media. The sample size consisted of 64 participants divided into two groups: the treatment group and the control group, using purposive sampling method. The data were analyzed using the Wilcoxon test, Dependent t-test, Independent t-test, and Mann-Whitney test. The research findings revealed that there was an influence of nutrition counseling on knowledge, energy intake, and protein intake in the treatment group. Similarly, there was an influence of nutrition counseling on knowledge, energy intake, and protein intake in the control group. There was a difference in knowledge between the treatment group and the control group among adolescent girls. However, there was no difference in energy intake and protein intake between the treatment group and the control group among adolescent girls. Periodic and continuous nutrition counseling is necessary to observe significant changes in energy intake and protein intake.
HUBUNGAN ANTARA KEBIASAAN SARAPAN DAN ASUPAN ZAT BESI DENGAN KONSENTRASI BELAJAR MAHASISWA JURUSAN GIZI Firdaus, Fahdina; Mahmudah, Umi; Rahmat, Mamat; Pusparini, Pusparini
Jurnal Gizi dan Dietetik Vol. 3 No. 1 (2024): Jurnal Gizi dan Dietetik
Publisher : Jurusan Gizi Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jgd.v3i1.2183

Abstract

Proses pembelajaran dipengarui oleh tingkat keseriusan atau konsentrasi. Faktor yang mempengaruhi diantaranya sarapan dan asupan zat besi. Sarapan mempengaruhi kadar glukosa dalam darah yang menjadi sumber energi yang berdampak pada kerja otak yaitu kemampuan dalam berkonsentrasi. Kekurangan zat besi akan menyebabkan peredaran oksigen dalam tubuh menjadi rendah sehingga tubuh menjadi mudah pusing, lelah, letih dan lesu serta berkurangnya kemampuan untuk berkonsentrasi dalam berpikir. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kebiasaan sarapan dan asupan zat besi dengan konsentrasi belajar Mahasiswa Jurusan Gizi Poltekkes Kemenkes Bandung. Desain penelitian yang digunakan adalah cross sectional dengan pengambilan sampel menggunakan teknik proportional random sampling. Sampel yang diganakan sebanyak 45 orang. Hasil penelitian menunjukkan tidak ada hubungan yang bermakna antara kebiasaan sarapan dengan konsentrasi belajar (p=0,937) karena nilai p>0,05. Tidak ada hubungan yang bermakna antara asupan zat besi dengan konsentrasi belajar (p=0,889) karena nilai p>0,05. Saran untuk penelitian ini adalah untuk penelitian selanjutnya disarankan responden bukan mahasiswa gizi, mengidentifikasi lebih lanjut mengenai faktor lain yang lebih berpengaruh pada konsentrasi belajar, dan responden membiasakan sarapan dan memperhatikan asupan zat besi agar dapat meningkatkan konsentrasi belajar.
NUGGET IKAN KEMBUNG DAN DAUN KELOR SEBAGAI MAKANAN SELINGAN TINGGI PROTEIN UNTUK ANAK SEKOLAH DASAR Prasasti, Tresna Dewi; Pusparini, Pusparini; Rosmana, Dadang; Sulaeman, Agus
Jurnal Gizi dan Dietetik Vol. 3 No. 2 (2024): Jurnal Gizi dan Dietetik
Publisher : Jurusan Gizi Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jgd.v3i2.2774

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One of the nutritional problems commonly found in school-aged children is stunting. According to the 2022 Indonesian Nutrition Status Survey (SSGI), the prevalence of stunting is 21.6%, down 2.8% from 2021. The development of nugget products can be used as an alternative high-protein snack as an effort to prevent and overcome stunting. This research aims to determine the formulation of nuggets based on mackerel and moringa leaves regarding the organoleptic properties and protein content of the best product formulation. The research method uses an experimental design with a completely randomized design. The nugget formulation was obtained from the calculation results, the formulation for mackerel and moringa leaves, F1 (90%:10%), F2 (85:15%), F3 (80%:20%). Hedonic tests were carried out to determine the organoleptic properties of nugget products and protein content tests to determine protein levels using the Kjeldahl micro method. The results of the research show that there is a significant difference, namely in the taste aspect. Then overall the superior product is formula three. The protein content of the three per serving formula is 10.8 grams, meeting the protein adequacy of 235%. Formula three nugget products can be used as an alternative snack to prevent stunting. Further research by giving this product to elementary school children.
Relationship between Emotional Distress and Workplace Influence on Depressive Symptoms among Online Motorcycle Taxi Drivers Merijanti, Lie Tanu; Hairunisa, Nany; Ridwan, Alvin Muhamad; Pusparini, Pusparini; Meiyanti, Meiyanti; Tjahjadi, Muljadi; Isahak, Marzuki bin
Althea Medical Journal Vol 11, No 4 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n4.3417

Abstract

Background: The rise of online motorcycle taxi services, driven by the demand for transportation and new technologies, has created a new landscape for drivers. However, despite the benefits, these drivers are not considered employees and are therefore vulnerable to psychosocial risks. This study aimed to investigate the relationship between psychosocial hazards and depressive symptoms among online motorcycle taxi drivers. Methods: A cross-sectional study was conducted, involving 218 online motorcycle taxi drivers in Jakarta, Bogor, Depok, and Tangerang from September to December 2022. The Copenhagen Psychosocial Questionnaire version III was used to assess psychosocial hazards in the workplace and the likelihood of developing depressive symptoms. A multiple linear regression test was used, with a significance level set of p < 0.05.Results: Most respondents were male, and many had worked for over five years, with the majority working more than 8 hours a day. Emotional burden and workplace influences were positively correlated with depressive symptoms (p = 0.017; β = 0.154; and p = 0.002; β = 0.166, respectively). In contrast, the meaning of work and clarity of roles were negatively correlated with depressive symptoms (p = 0.009; β = -0.161; and p = 0.024; β = -0.195, respectively).Conclusion: This study highlights that emotional stress and workplace influence can exacerbate depressive symptoms, while a clear and meaningful work environment have a positive impact. Healthy lifestyle habits are one of the stress management solutions to improve emotional wellness.
Tuberculosis treatment outcomes and associated factors: A retrospective study in West Nusa Tenggara, Indonesia Meiyanti, Meiyanti; Bachtiar, Adang; Kusumaratna, Rina K.; Alfiyyah, Arifah; Machrumnizar, Machrumnizar; Pusparini, Pusparini
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.1660

Abstract

Successfully treating tuberculosis (TB) could significantly help reduce its spread. The aim of this study was to identify factors associated with successful TB treatment. A retrospective study was conducted in West Nusa Tenggara, Indonesia, using data from the National TB Information System (SITB) covering patients from January 1 to December 31, 2022. Patients were classified into two groups: those with successful treatment outcomes (cured or completed treatment) and those with unsuccessful outcomes (including treatment failure, loss to follow-up, or death). Univariate and multivariate logistic regression analyses were performed to identify factors associated with treatment outcomes, providing odds ratios (OR) and adjusted odds ratios (aOR) with 95% confidence intervals (CIs). A total of 2,225 TB patients (1,382 males and 843 females) were included in the study. Of these, 2,048 (92.1%) achieved successful treatment outcomes. Univariate analysis indicated that older age (OR: 0.47; 95%CI: 0.28–0.78) and a high number of AFB in sputum smears (OR: 0.23; 95%CI: 0.09–0.66) were associated with a higher likelihood of unsuccessful TB treatment. In contrast, having no HIV infection (OR: 13.44; 95%CI: 6.22–29.08), clinical TB cases (diagnosed clinically rather than bacteriologically) (OR: 1.50; 95%CI: 1.04–2.20) and longer duration of TB treatments were associated with successful treatment outcomes. Multivariate analysis suggested that the TB treatment durations of 4–6 months (aOR: 1256.95; 95%CI: 431.89–3658.19) and 7–12 months (aOR: 575.5; 95%CI: 99.1–3342.06) were associated with a significantly higher likelihood of success compared to durations of 0–3 months. In conclusion, this study highlights that a minimum treatment duration of three months was crucial for increasing the likelihood of successful TB treatment. These findings emphasize the importance of comprehensive support programs to ensure adherence to treatment guidelines and improve outcomes.