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All Journal Medical Journal of Indonesia Universa Medicina Paediatrica Indonesiana Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Oto Rhino Laryngologica Indonesiana Majalah Kedokteran Neurosains Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH International Journal of Community Service Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation The Indonesian Journal of Community and Occupational Medicine Jurnal Pendidikan Indonesia Gemilang eJournal Kedokteran Indonesia Berita Kedokteran Masyarakat Sriwijaya Journal of Neurology Occupational and Environmental Medicine Journal of Indonesia Neurona Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Poltekita: Jurnal Pengabdian Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Retno Asti Werdhani

Department Of Community Medicine Faculty Of Medicine Universitas Indonesia

Author-ID : 414042

Religion Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Evaluation of Swallowing Disorder in Ischemic Stroke Patients By Flexible Endoscopic Nur Indah Lestari Lestari; Widjajalaksmi Kusumaningsih; Salim Harris; Susyana Tamin; Retno Asti Werdhani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Dysphagia is one of the complications of stroke and closely associated with increasing of aspiration pneumonia. Evaluation of dysphagia was necessary to prevent pneumonia due to aspiration has effectively done by fiberoptic endoscopic evaluation of swallowing (FEES).Methods: The study was a cross sectional study with convenience sampling. The subjects were stroke outpatients from July to December 2018. The FEES was conducted to assess the swallowing dysfunction and the data were collected.Results: There was six post ischemic stroke subjects, mean age (SD) was 55.17 (9.13) years and 4 subjects were male. All subjects had standing secretion in pre-swallowing assessment. 3 subjects used nasogastric tube (NGT) to fulfill the intake safely. In swallowing assessment, all subjects had residue at vallecula and/or pyriformis sinus. 2 subjects had penetration only and 4 subjects had penetration with aspiration. There was inadequate cough reflex in 2 subjects.Conclusion: Standing secretion and residue became the most dominant findings in post ischemic stroke patients, which a risk to have Aspiration.Keywords: Swallowing Disorder, Stroke, Flexible Endoscopic Evaluation of Swallowing (FEES)

Nilai Pengetahuan Pemanfaatan Air Sungai, Faktor Sosiodemografi, dan Sosioekonomi Warga Daerah Aliran Sungai Citarum Retno Asti Werdhani; Dini Yuliani; Monika Herliana; Eghar Anugrapaksi
eJournal Kedokteran Indonesia Vol 10, No. 1 - April 2022
Publisher : Faculty of Medicine Universitas Indonesia

Sungai Citarum merupakan sungai tercemar di dunia dan digunakan oleh masyarakat di daerah aliran sungai (DAS). Penelitian ini bertujuan mengetahui hubungan faktor sosiodemografi dan sosioekonomi, denganpengetahuan pemanfaatan air Sungai Citarum pada warga di DAS Citarum, Jawa Barat. Studi potong lintang inimenggunakan data sekunder penelitian Indonesian One Health University Network (INDOHUN) pada tahun 2018.Profil sosiodemografi, sosioekonomi, dan pengetahuan pemanfaatan air diperoleh melalui kuesioner wawancaraterpimpin. Sebanyak 155 orang berusia produktif yang bertempat tinggal di Kelurahan Andir dan Kelurahan/DesaGajahmekar, Kabupaten Bandung, Jawa Barat, terpilih secara acak dengan teknik clustered random sampling.Mayoritas responden merupakan masyarakat berusia 18 - 45 tahun (61,3%), perempuan (78,1%), pendidikan rendah(74,2%), ibu rumah tangga (64,5%), dan memiliki status ekonomi rendah (81,6%). Median nilai pengetahuan 54,55(0–100). Nilai pengetahuan pada kelompok pendidikan rendah dan pendapatan di bawah UMR lebih kecil secarabermakna dibandingkan kelompok pendidikan sedang-tinggi dan pendapatan di atas UMR (masing-masing p=0,027dan p <0,001). Pada kelompok usia dan jenis kelamin tidak berbeda bermakna dengan pengetahuan pemanfaatanair (masing-masing p=0,414 dan p=0,315). Terdapat perbedaan skor pengetahuan pemanfaatan air Sungai Citarumsecara bermakna antar kelompok pendapatan dan tingkat pendidikan masyarakat di DAS Citarum.

Development of FRAMES (Fatigue Risk Assessment with Medical Advise) Application: Self-Assessment Application for Pilots Retno Wibawanti; Amilya Agustina; Retno Asti Werdhani
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 3 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i3.71.132-5

Introduction: Pilots have job characteristics that are at risk of causing fatigue. Since fatigue is not a disease, it is important to manage the risk factors. We developed a self-assessment application to manage the fatigue risk for pilots, including physical activity and sleeping difficulties. This application aims to increase pilots’ awareness as one of the health maintenance measures.Methods: The application was developed in collaboration with Garuda Indonesia Training Centre (GITC) to ensure suitable educational content for pilots. The users were asked to fill in data inquiring about their flight characteristics, the Checklist Individual Strength-20 for fatigue screening, General Physical Activity Questionnaire for physical activity, and Jenkins Sleep Scale for sleep difficulties. Afterward, a recommendation will be given based on the received input.Results: The application was able to screen fatigue risks, physical activities, and sleeping difficulties, and provide recommendations based on the questionnaire that was filled in, all adjusted to the user’s work characteristics. The finalized version was then available for download as an Android-based application for the pilots in GITC.Conclusion: The FRAMES is an Android-based self-assessment application for pilots. With the use of this application, hopefully, fatigue can be detected early in pilots, hence counteract measures may be implemented sooner to mitigate fatigue.

Modul Konsultasi dan Rujukan Dokter Keluarga Retno Asti Werdhani
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.12-2018-203

Konsultasi dan Rujukan adalah salah satu bentuk pelayanan kedokteran integrasi dengan tenaga-tenaga kesehatan lain baik di tingkat yang sama maupun ke tingkat yang lebih tinggi dalam rangka mengoptimalkan penatalaksanaan pasien. Tujuannya adalah untuk meningkatkan keilmuan, meningkatkan hubungan dengan sejawat, rekan kerja, dan pasien, serta menjamin tatalaksana pasien secara komprehensif dan berkesinambungan. Proses konsultasi dan rujukan memungkinkan pelayanan kedokteran menjadi tidak terkotak-kotak. Namun hal ini membutuhkan koordinasi dan komunikasi efektif antar dokter, pasien dan tenaga kesehatan lain.

Peran Dokter Keluarga Pada Masa Pandemi COVID-19: Penanganan di Indonesia dan Jerman Retno Asti Werdhani; Margaretta Prasetyani - Gieseller
Majalah Kedokteran Indonesia Vol 70 No 6 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.6-2020-260

Konsep dan Peran Dokter Keluarga di Indonesia Kasus positif Covid-19 pertama di Indonesia terdeteksi sekitar awal Maret 2020. Sejak saat itu, telusur dan penguatan kapasitas pelayanan kesehatan terus dilakukan termasuk penguatan fungsi dokter keluarga di layanan primer. Peran layanan primer dalam sistem kesehatan nasional adalah sebagai ujung tombak pengelolaan kesehatan masyarakat dengan sifat pelayanan holistik (memandang pasien sebagai bagian dari lingkungan), bersinambung, berorientasi pencegahan dengan pemberdayaan pasien, keluarga, dan masyarakat.

Pertemuan Keluarga dalam Praktik di Layanan Primer Retno Asti Werdhani; Dhanasari Vidiawati Trisna
Majalah Kedokteran Indonesia Vol 70 No 12 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.12-2020-339

From the Epidemiology Triangle, we can see that a person’s health status is influenced by 3 factors: host, agent, and the environment. The environment plays the biggest role as the cause of health prob-lems, one of which is the family environment.1Family can become a supporting factor or inhib-iting factor in the successful management of pa-tient’s cases. Therefore, a primary care physician/family physician needs to conduct family meetings to discuss and agree on solutions with the patient’s family by paying attention to inhibiting and sup-porting factors and find common solutions for the benefit of the patient.2,3

Pengelolaan Stigma COVID-19 Retno Asti Werdhani; Fiona Tambunaan; Kitra Latuasan
Majalah Kedokteran Indonesia Vol 71 No 3 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.3-2021-394

Virus SARS-CoV-2 yang terbilang baru ini mencetuskan berbagai permasalahan. Ketidakpahaman masyarakat terhadap penyakit ini menjadi salah satu celah sumber permasalahan yang harus dihadapi dan segera diperbaiki. Ketiadaan pemahaman yang benar mengenai pasien COVID-19 dapat menimbulkan stigma sosial. Stigma sosial dalam konteks wabah adalah pemberian label, stereotip, diskriminasi, perlakuan terpisah, dan / atau penghilangan status karena seseorang/sekelompok orang dianggap berkaitan dengan suatu penyakit. Stigma sosial yang timbul pada pandemi COVID-19 memicu perilaku diskriminatif terhadap individu yang terjangkit maupun terhadap individu yang diduga pernah melakukan kontak dengan virus ini, termasuk tenaga Kesehatan. Hal ini dapat menghambat upaya pemutusan rantai penularan Covid-19.

A Cohort Retrospective Study of Framingham Score and ECG Abnormality among Coal Mining Workers Anandita, Faizal Ablansah; Firdaus, Isman; Gani, Rino Alvani; Werdhani, Retno Asti; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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

Introduction. ECG is widely used for detecting cardiovascular disease in coal mine worker’s medical check-up. As the study has proven, coal mine workers have a double cardiovascular risk from their workplace hazard and their own medical risks as individuals. An early detection and risk assessment method is needed to predict ECG abnormalities in the future. This study will analyze the relationship between ECG abnormality and Framingham Risk Score on coal mine workers’. Methods. We examine ECG result from medical check-up of male coal worker during 2018 and 2021. Using Minnesota Code, we determine ECG abnormality categories in the 2021 result, then compare it with coal handling type worker and Framingham Score in 2018 as the main medical factor. Results. Among 755 male coal workers with normal ECG in 2018, 158 (20,9%) were found with ECG abnormalities in 2021. Cohort’s multivariate study shows that type of coal worker is considered a determinant, but Framingham risk score still has the highest influence (p multivariate

PASCAOPERASI ADENOMA HIPOFISIS: HUBUNGAN ANTARA DURASI AWITAN DENGAN LUARAN KLINIS VISUS DAN LAPANG PANDANG Renindra Ananda Aman; Reki Setiawan; Retno Asti Werdhani; Samsul Ashari; David Tandian; Syaiful Ichwan; Affan Priyambodo; Setyo Widi Nugroho
NEURONA Vol 37 No 3 (2020)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v37i3.161

Introduction: Pituitary adenomas can cause decrease of visual acuity (VA), narrowing visual field (VF). Several studies have showed that the duration of complaints were related significantly with clinical outcomes. As a national referral center hospital, all pituitary adenoma patients who came to our institution were referred from ophthalmologists, neurologists, and neurosurgeons from other institutions. Aim: In this study, we investigated the relationship between duration, which is calculated from the time of symptoms first appeared to the time of surgery, and outcome (VA and VF) in pituitary adenoma patients who underwent transsphenoidal surgery. Methods: A retrospective design was used on pituitary adenoma patients that underwent transsphenoidal surgery between 2015-2017 in Cipto Mangunkusumo Hospital. The duration between symptoms’ onset and surgery was calculated in months. VA and VF examinations were performed 1 day before surgery and within 1 to 2 months postoperatively. Results: There were 71 patients (36 male, 35 female) with decreased VA and narrowed VF, with a median age of 42 years (20-77 years). The median length of duration of onset for both symptoms was 12 months (1-108 months). 40.5% patients had improved VA postoperatively, with median duration of onset of 11 months. Improvement in VF was experienced in 67.6% patients, with median duration of onset of 12 months. Discussion: There was a statistically significant relationship between the duration of onset and the VF outcomes. Improvements in the VF were found in patients who underwent surgery up to 12 months after the time of onset. Keywords: Pituitary adenoma, transsphenoidal surgery, visual acuity, visual field

Food profile, environmental factors, stunting, and risk of autism among children on Citarum watershed: a preliminary study Shela Rachmayanti; Asri Chasanah Adisasmita; Retno Asti Werdhani; Wiku B. B. Adisasmito
BKM Public Health and Community Medicine Vol 37 No 12 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i12.3439

Purpose: The Citarum River, Indonesia, is one of the most polluted rivers in the world. Despite this, it is still used for community purposes. This preliminary study aims to determine the initial profile and magnitude of the problem in the health ecosystem along Citarum River, which focuses on stunting and the risk of autism associated with food consumption and environmental factors. Methods: Our random sample included children aged <5 years from their households in the Andir and Gajahmekar villages, from September 2018 to September 2019. We interviewed guardians on food consumption and the Modified Checklist for Autism in Toddlers - Revised (M-CHAT-R) questionnaire. The height measurement was interpreted with HAZ WHO-curve. The relationship between variables was analyzed through Chi-square. Results: This study showed that the proportion of stunting and risk of autism was 46.2% and 68%, respectively. Children who consume cow's milk and do not consume tomatoes are more at risk of developing autism. Moreover, subjects that consume chicken and fish from the Citarum riverbank have a higher risk of stunting and autism. Conclusions: Based on this preliminary study, the proportion of stunting and autism in children on the Citarum watershed is higher than the national average. The animal husbandry service authority must consider efforts to maximize this riverside habitat to provide livestock as a source of protein for communities around the river.

Co-Authors Achmad Fauzi Kamal Achmad Kemal Harzif Adisasmito, Wiku Bakti Bawono Affan Priyambodo Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Agus Sugiharto Agus Sugiharto Ahmad Aulia Akbar, Resti Rahmadika Akmal Taher Amilya Agustina Anandita, Faizal Ablansah Anang Endaryanto Ance Adriani Ance Adriani Andy Ardhana Mamahit Ardi Findyartini Ari Prayitno, Ari Aria Kekalih Aryono Hendarto Asmarinah Asri C. Adisasmita Atika Mahira Yanfaunnas Badriul Hegar David Tandian Dewanto, Naomi Esthernita Fauzia Dewi Wulandari Dhanasari Vidiawati Dian Kusumadewi Dian Kusumadewi Dian Kusumadewi Dina Muktiarti, Dina Dini Yuliani Eghar Anugrapaksi Elsa P. Setiawati Fajriani, Rosalina Fedri R. Rinawan Ferry Safriadi Fiastuti Witjaksono Fiona Tambunaan Gita Pratama Harahap, Alida Roswita Hartono Gunadi Hasan Mihardja Herqutanto - Hindra I. Satari Irfan Arieqal Hatta Ampri Isman Firdaus Ivo Novita Sah Bandar Jenny Bashiruddin Jeo, Wifanto Saditya Juandy Jo Kanadi Sumapraja Ketut Dewi Kumara Wati Kitra Latuasan Kitra Latuasan Koloi, Vican Sefiany Kusuma Dewi, Dian Levina Chandra Khoe Luh Karunia Wahyuni, Luh Karunia Mahardika, Abiyyu Ghiyats Malau, Bintang Leonard Mardiastuti Mardiastuti Margaretta Prasetyani - Gieseller Maria Melania Muda Maria Melania Muda Michelle, Michelle Mila Maidarti Monika Herliana Muchtaruddin Mansyur Muhammad Arvianda Kevin Kurnia Munasir, Zakiudin Nadya Lusiana Nareswari, Irma Natasha Talya Nove Maria Nove Maria Nugroho, Setyo Widi Nur Indah Lestari Lestari Nur Rasyid Nuri Purwito Adi Pambudi, Wiyarni Ponco Birowo Pukovisa Prawiroharjo Ramdhani, Aris Ramlan, Andi Ade Reki Setiawan Renindra Ananda Aman Retno Wibawanti Reyhan Eddy Yunus Rini Sekartini Rino A Gani Rukmindar, Dion Rusli, Noer Triyanto Salim Harris Samsul Ashari Savira, Missy Selfi Handayani Setyawati Budiningsih Setyawati Budiningsih Shela Rachmayanti Siti Rahmi Siti Rahmi Siti Zahra Afifah Sri Rezeki S. Hadinegoro, Sri Rezeki S. Suharto, Wuryantoro Sulistomo, Astrid Syaiful Ichwan Tamin, Susyana Tanama, Fery Alfaro Tanoto, Rodri Tantri, Julietta Theresia Santi Tiffany, Tiffany Umi Fahmida Vican Sefiany Koloi Wastucitra Cantika Widayat Alviandi Widi Atmoko Widjaja, Lydia Rosalina Widjajalaksmi Kusumaningsih Widjajalaksmi Kusumaningsih Winnugroho Wiratman Wistara, Sevita Sathya Yefta Moenadjat Yusra, Yusra

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