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Epidemic Burden of Cardiovascular Disease in Indonesia Tjang, Yanto Sandy; Susanto, Djap Hadi
Jurnal Biotek Medisiana Indonesia Vol 1, No 1 (2009)
Publisher : Pusat BTDK

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Abstract

Transformasi luar biasa di bidang ekonomi dan urbanisasi telah mengubah struktur de­mografi sosial di Indonesia sehingga menyebabkan pergeseran besar dalam pola makan dan penyebab kematian. Sebagai penyebab kematian utama, epidemik penyakit kardiovaskuler telah menjadi masalah kesehatan masyarakat yang serius. Masalah menjadi lebih sulit dengan adanya beban ganda penyakit yakni penyakit-penyakit tidak menular menjadi lebih menonjol sementara penyakit-penyakit menular masih belum teratasi karena sanitasi lingkungan yang buruk akibat tidak baiknya sistem pelayanan kesehatan. Penyakit kardiovaskuler sangat berhubungan dengan beberapa faktor risiko yang dapat diubah, seperti kebiasaan merokok tembakau, perubahan gaya hidup (makanan yang tidak sehat dan kurangnya aktivitas fisik), dan kelebihan berat badan/kegemukan. Strategi dengan target individu-individu berisiko tinggi dan upaya pencegahan berlandaskan populasi jelas sangat dibutuhkan untuk menghadapi beban epidemik penyakit kardiovaskuler, disamping menyediakan pelayanan kesehatan baku bagi penduduk Indonesia. Semua strategi ini harus disertai adanya keinginan politik untuk mendukung perubahan kebijakan kesehatan yang diperlukan. Tulisan ini memberikan gambaran singkat tentang beban epidemik penyakit kardiovaskuler di negara-negara berkembang seperti Indonesia, dengan penekanan pada faktor-faktor risiko penting maupun strategi pencegahan dan pengendaliannya.   Kata kunci: Penyakit kardiovaskuler, faktor risiko, pencegahan
FACTORS ASSOCIATED WITH CHRONIC KIDNEY DISEASE AMONG PATIENTS UNDERGOING HEMODIALYSIS Tjang, Yanto Sandy; Pandelaki, Paulus Anung Anindita
Majalah Kedokteran Indonesia Vol 68 No 4 (2018): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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Abstract

Introduction: The development of chronic kidney disease (CKD) and later proportion of decline in renal function are diverse among individuals. This reflects the multifactorial biological mechanisms that are involved in the underlying disease process. The risk factors and resources for care of CKD also vary from place to place. Identifying the risk factors of CKD is crucial and develop prevention strategies, including screening, might be beneficial to reduce burden cost, morbidity and mortality of CKD. We aim at identifying the factors associated with CKD in individuals who have undergone hemodialysis. Material and Methods: All adult patients (age >18 years) admitted to the department of internal medicine either as in- or out-patient for undergoing hemodialysis at the Mardi Rahayu Hospital in Kudus, Middle Java, Indonesia from January to August 2016 were included in the study. Results: Eighty-two patients were evaluated during the study period. Most of the patients were in older age (> 50 years old). Sixty (73%) were male and 22 (27%) were female patients. Fifty (61%) patients had mild anemia, 23 (28%) patients had moderate anemia and 8 (10%) patients had severe anemia. Among 82 patients, 77 (94%) of the patients were hypertensive, 19 (23%) of the patients had DM, 23 (28%) of the patients had renal stone, 8 (10%) of the patients had renal cysts, and 7 (9%) of the patients suffered from glomerulonephritis. Conclusion: Older age, male gender, anemia, and hypertension were factors that associated with CKD among patients undergoing hemodialysis. Keywords: chronic kidney disease, risk factors, hemodialysis, anemia, hypertension
STRESS LEVEL OF MEDICAL STUDENTS IN ONLINE LEARNING DURING COVID-19 PANDEMIC AND ITS IMPACT ON ACADEMIC ACHIEVEMENT Tjang, Yanto Sandy; Prihatiningsih, Titi Savitri; Prabandari, Yayi Suryo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.76645

Abstract

research on its prevalence is still very few and inconclusive. The relationship between stress and academic achievement in medical students remains a matter of debate. This study aims to determine the stress level of medical students in online learning during the COVID-19 pandemic and its impact on academic achievement.Method: This descriptive-analytical study used a cross-sectional design on undergraduate medical students from the 2019-2021 class. The questionnaire distributed online contained questions related to characteristics of respondents, 14 questions from DASS-42 questionnaire to measure stress, and questions related to respondents' perceptions of online learning and semester achievement index (IPS). Data were analysed descriptively and analytically using logistic regression method with the help of SPSS Statistics 26 software. Results: Of 431 students, 411 (95%) students participated in this study. The prevalence of stress in respondents was 41.8%, majority was mild (13.4%) and moderate (13.9%). Lack of interaction between lecturers and students increased 1,691 times the risk of stress. A total of 403 (98.1%) respondents had IPS ≥ 3. Stress on respondents did not have negative impact on academic achievement, although statistically not significant (OR = 0.831; 95% CI = 0.196-3.524; p-value 0.801).Conclusion: The prevalence of stress for medical students in online learning during COVID-19 is quite high, majority was mild and moderate. Lack of interaction between lecturers and students increased risk of stress. Majority of respondents have good IPS. Stress on respondents apparently did not have negative impact on academic achievement.
Factors Associated with Delayed 2-Month Sputum Smear Conversion in MDR-TB Patients Treated with All-Oral Regimen at Persahabatan Hospital Sitinjak, Sahat Anugerah Immanuel; Harfiani, Erna; Tjang, Yanto Sandy; Muktamiroh, Hikmah; Sutarto, Riyadi
Respiratory Science Vol. 6 No. 1 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v6i1.183

Abstract

Background: The emergence of multidrug-resistant tuberculosis (MDR-TB) presents significant challenges in achieving treatment success. Sputum conversion time, an essential indicator of treatment progress, varies among patients and may be influenced by demographic and clinical factors. This study aimed to identify factors associated with sputum conversion time in MDR-TB patients treated with all-oral regimens at Persahabatan Hospital during the 2021–2022 period. Method: This retrospective cohort study analyzed data from 154 MDR-TB patients treated with all-oral regimens at Persahabatan Hospital. Patients were categorized by sputum conversion time (≤2 months or >2 months). Independent variables included age, sex, diabetes mellitus, anemia, previous TB treatment, pulmonary cavitation, education level, marital status, and initial sputum AFB results. Inclusion criteria were primary pulmonary MDR-TB patients confirmed via sputum culture, aged ≥20 years, and treated per Indonesian national guidelines. Logistic regression analyses identified significant factors. Results: Among the nine factors studied, four significantly influenced sputum conversion time: elderly age, anemia, pulmonary cavitation, and initial sputum AFB results. Older age (≥60 years) was protective against delayed conversion, while anemia, pulmonary cavitation, and higher initial sputum AFB results were associated with prolonged conversion times. Conclusion: Factors such as anemia, pulmonary cavitation, and initial sputum results are associated with delayed sputum conversion, with elderly age as a protective factor against delayed sputum conversion.
Pengaruh Cotrimoxazole Terhadap Perkembangan Neural Tube Embrio Ayam Pamuji, Alifia Shafanaura; Fauziah, Cut; Tjang, Yanto Sandy; Thadeus, Maria Selvester
Jurnal Biomedika dan Kesehatan Vol 7 No 2 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.190-198

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Background In Indonesia, congenital abnormalities are still very high. Neural Tube Defect (NTD) is one of the most common congenital abnormalities. NTD occurs due to the failure of neural plate closing. One of the risk factors for NTD is folic acid deficiency. Drug use during pregnancy is one of the risk factors for congenital abnormalities. Cotrimoxazole is an anti-folate drug that still has pros and cons regarding its potential to cause NTD. Human embryonic brain development can be simulated using chicken embryos. This study aimed to determine the effect of Cotrimoxazole on the development of the chicken embryo's neural tube. Methods This study used a post-test-only control group design. The number of samples is 30 eggs and the sampling method was simple random sampling. The dose of Cotrimoxazole used was 0; 60; and 120 mg/kg per egg then the eggs were incubated for 72 hours. Data analysis was based on sample characteristics and bivariate analysis using the comparative Kruskal-Wallis test with the post-hoc test. Results In this study, 11 out of 30 eggs could be analyzed. The results were obtained by observing the number of brain vesicles. There was a significant difference in the number of brain vesicles (p= 0.046) between the study groups from the Kruskal-Wallis test. Conclusions Cotrimoxazole administration showed an effect on neural tube development of chicken embryos when compared to controls.
Korelasi antara Massa Otot dan Fungsi Kognitif pada Mahasiswi Kedokteran Fazriani, Alifianisa; Bustamam, Nurfitri; Tjang, Yanto Sandy; Heristyorini, Ayodya
Jurnal Kedokteran Meditek Vol 29 No 3 (2023): SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v29i3.2846

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Hasil penelitian tahun 2018 menunjukkan sebanyak 52,5% dari 217 mahasiswa kedokteran melakukan sedentary lifestyle. Sedentary lifestyle dapat mengakibatkan berkurangnya massa otot sehingga terjadi perubahan sintesis miokin yang memberikan dampak merugikan pada fungsi kognitif. Penelitian ini bertujuan untuk mengetahui korelasi antara massa otot dan fungsi kognitif pada mahasiswi kedokteran. Penelitian menggunakan desain dengan besar sampel 90 mahasiswi yang diambil seluruhnya (total sampling) dari mahasiswa sesuai kriteria penelitian. Instrumen penelitian yang digunakan adalah Tanita Medical Body Composition Analyzer (MC-980MA Plus) dan kuesioner Digit Symbol Substitution Test (DSST). Hasil penelitian didapatkan 38 (42,2%) subjek memiliki massa otot rendah, 47 (52,2%) subjek memiliki massa otot normal, dan 5 (5,6%) subjek memiliki massa otot tinggi. Hasil pemeriksaan fungsi kognitif didapatkan skor dengan median 61 (43-76), 64 (50-100), dan 81 (68-92) berturut-turut pada kelompok massa otot rendah, normal, dan tinggi. Hasil uji Kruskal-Wallis menunjukkan perbedaan skor fungsi kognitif antar kelompok massa otot (p = 0,023). Hasil uji Spearman menunjukkan korelasi antara massa otot dan skor fungsi kognitif dengan korelasi lemah (p = 0,008; r = 0,279). Semakin tinggi massa otot, semakin baik fungsi kognitif.
Peran Buah Kelor (Moringa oleifera fruits) pada Obesitas: Penyuluhan dari Sisi Ilmu Biomedis Di Desa Pangkalan Jati Cinere Depok, Jawa Barat Amalia, Muttia; Thadeus, Maria Selvester; Susantiningsih, Tiwuk; Lardo, Soroy; Supartono, Basuki; Tjang, Yanto Sandy
Segara : Jurnal Pengabdian Kepada Masyarakat Vol 3 No 1 (2025): Vol. 3 No. 1 (2025): SEGARA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Fakultas Kedokteran UPN "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/segara.v3i1.11259

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Obesitas merupakan masalah kesehatan yang meningkat tajam di Indonesia. Salah satu upaya pencegahan dan penanggulangan obesitas adalah dengan memanfaatkan sumber daya lokal yang memiliki nilai gizi tinggi dan potensi pengaturan berat badan, seperti buah kelor (Moringa oleifera fruits). Kegiatan penyuluhan dengan Peran Buah Kelor (Moringa oleifera fruits) pada Obesitas: Penyuluhan dari Sisi Ilmu Biomedis Di Desa Pangkalan Jati Cinere Depok, Jawa Barat. Penyuluhan ini bertujuan untuk mengevaluasi efektivitas penyuluhan tentang peran buah kelor (Moringa oleifera fruits) dalam pencegahan obesitas pada masyarakat di Desa Pangkalan Jati Cinere, Depok. Metode yang digunakan adalah penyuluhan berbasis partisipatif dengan pendekatan ceramah, diskusi interaktif, dan demonstrasi pengolahan buah kelor (Moringa oleifera fruits). Peserta terdiri dari 28 peserta yang dipilih secara purposive sampling. Hasil penyuluhan menunjukkan adanya sebanyak 16 peserta yang mempunyai pengetahuan baik, 8 peserta dengan pengetahuan cukup dan 4 peserta dengan pengetahuan yang masih kurang. Lebih dari 50% peserta mempunyai tingkat pengetahuan yang baik dalam pengetahuan peserta mengenai manfaat buah kelor (Moringa oleifera fruits), khususnya kandungan serat dan antioksidan yang membantu mengatur berat badan. Kesimpulan: penyuluhan tentang buah kelor (Moringa oleifera fruits) efektif dalam meningkatkan pengetahuan dan minat masyarakat mengenai pemanfaatannya untuk pencegahan obesitas. Disarankan agar kegiatan serupa dilakukan secara berkelanjutan dan melibatkan lebih banyak masyarakat untuk memperluas dampak positifnya.
Kasih Allah Dalam Pergumulan Iman Para Leluhur Israel: Kajian Biblis dan Makna Teologis-Spiritual Bagi Umat Kontemporer Tjang, Yanto Sandy; Acin, Mayong Andreas; Sunarso, Alfeus
SAPA - Jurnal Kateketik dan Pastoral Vol 10 No 2 (2025)
Publisher : Sekolah Tinggi Pastoral IPI Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53544/sapa.v10i2.807

Abstract

This study explores the faith journeys of Israelite ancestors: Abraham, Sarah, Isaac, Rebekah, Jacob, Leah, Rachel, and Joseph, as exemplifications of God’s active, faithful, and transformative love. Employing a qualitative-theological methodology grounded in library research, the study analyzes patterns of divine love manifested through calling, promise, testing, providence, and fulfillment within the lives of the patriarchs and matriarchs. Findings indicate that Abraham and Sarah model courage and trust amid uncertainty; Isaac safeguards the generational continuity of God’s promise; Rebekah, Leah, and Rachel highlight the proactive role of women in the divine plan; Jacob experiences faith transformation through personal and familial struggles; and Joseph illustrates God’s providential care in adversity, resulting in blessing. The study affirms that God’s love operates even within human fragility and conflict, inviting active engagement in divine purposes, and contributes to Old Testament theology while offering insights for contemporary spiritual reflection on dynamic and transformative faith.
Kesetaraan Gender dalam Perspektif Agama di Indonesia Noverin Andrea Anang; Tjang, Yanto Sandy; Herkulana Mekarryani Soeryamassoka
Nubuat : Jurnal Pendidikan Agama Kristen dan Katolik Vol. 2 No. 4 (2025): Desember: Jurnal Pendidikan Agama Kristen dan Katolik
Publisher : Asosiasi Riset Ilmu Pendidikan Agama dan Filsafat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/nubuat.v2i4.1466

Abstract

Gender equality in the religious sphere in Indonesia is a complex phenomenon, shaped by the interaction between theological doctrines, institutional practices, and the socio-cultural context of each tradition. This study employs a qualitative-descriptive approach through literature review to analyze six major religions in Indonesia: Catholicism, Protestantism, Islam, Hindu Dharma, Buddhism, and Confucianism. The analysis focuses on three main dimensions: theological perspectives regarding gender roles and positions, social changes influencing gender relations, and transformations in institutional structures and practices that support gender equality. The findings indicate that historically, women were often placed in subordinate positions due to patriarchal norms, although the core teachings of these religions contain egalitarian principles and recognition of women’s dignity. Contemporary transformations are reflected in the reinterpretation of religious texts and practices that promote gender equality: Catholicism emphasizes the recognition of women’s dignity within the clerical hierarchy; Protestantism opens opportunities for the ordination of female pastors; Islam reinterprets the principles of Qawwamun and family law rights; Balinese Hindu Dharma adjusts women’s roles in rituals and public spheres; Buddhism revives the bhikkhuni order within the sangha; and Confucianism modernizes the interpretation of Wu Lun and San Cong to emphasize mutual responsibilities between husband and wife. In conclusion, despite persistent patriarchal challenges, this study affirms that religion has the potential to act as an agent of social transformation promoting gender equality while maintaining the moral, spiritual, and traditional values distinctive to each tradition. These findings contribute significantly to academic literature, interfaith dialogue, and the development of more gender-inclusive policies.
Tarian Ka’bawakng sebagai Doa Tubuh: Inkulturasi Budaya Dayak Kanayatn dalam Liturgi Gereja Katolik Kristina Meni; Tjang, Yanto Sandy; Amandus Suhaedi Dol; Felisitas Yuswanto
Sabar : Jurnal Pendidikan Agama Kristen dan Katolik Vol. 3 No. 1 (2026): Januari : Sabar : Jurnal Pendidikan Agama Kristen dan Katolik
Publisher : Asosiasi Riset Ilmu Pendidikan Agama dan Filsafat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/sabar.v3i1.1862

Abstract

This study examines the Ka’Bawakng dance as a cultural–religious expression of the Dayak Kanayatn community that has undergone a deepening of meaning through inculturation within Catholic liturgy. Originating in the Baliatn ritual, Ka’Bawakng dance initially functioned as a medium of healing and cosmological communication that affirmed the interconnectedness of human beings, nature, and Jubata. In its encounter with the Catholic faith, the dance was incorporated into the Eucharistic celebration as an offertory dance through symbolic reinterpretation grounded in the principles of inculturation articulated by the Second Vatican Council. This research employs a hermeneutical approach using participant observation, in-depth interviews, and documentary study, analyzed through thematic analysis. The findings indicate that Ka’Bawakng dance is not treated as a merely decorative liturgical element, but is understood as a language of prayer engaging the body, cultural memory, and the spirituality of the faithful. This integration deepens liturgical participation, strengthens the religious–cultural identity of the Dayak Kanayatn community, and creates a constructive space for dialogue between ancestral traditions and Christian faith. Nevertheless, sustaining the inculturation of Ka’Bawakng dance requires ongoing pastoral accompaniment to ensure fidelity to Church liturgical norms while respecting local cultural values.