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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
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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Pengaruh Pemberian Makanan Selingan terhadap Lama Pengerjaan pada Pekerja Helper di Perusahaan Peti Kemas Nove Maria; Setyawati Budiningsih; Dian Kusumadewi; Retno Asti Werdhani; Ance Adriani
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.68.12-2018-205

Abstract

Introduction: Good nutrition in the workforce can affect work productivity, but many workers have not paid attention to their nutritional balance, including helper workers in container company. Based on data from the International Labor Office (ILO) in 2005, unbalanced diet on labor can reduce productivity by up to 20%. The purpose of this study was to find out the effect of snack intervention toward working duration among helper workers in container company.Method: This study used pre-experimental design which was conducted for four weeks. Eighteen respondents who were helper workers were given 300 kcal snack once a day for four weeks. The respondent’s food intake was recorded with food record every week (two working days and one day off) and analyzed by Nutrisurvey application and manual calculation. Result: There was significant mean difference in total working duration (reduced two hours and eight minutes) before and after intervention (p less than 0.001). Conclusion: Once a day snack intervention for four weeks can shorten the working duration of helper workers.
Identifying primary immunodeficiency through the evaluation of severe, persistent, unusual, and recurrent infections in Indonesian children Muktiarti, Dina; Hendarto, Aryono; Munasir, Zakiudin; Wulandari, Dewi; Satari, Hindra Irawan; Werdhani, Retno Asti; Kumara Wati, Ketut Dewi
Paediatrica Indonesiana Vol. 66 No. 2 (2026): March 2026
Publisher : Indonesian Pediatric Society

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Abstract

Background Primary immunodeficiency (PID) is widely underdiagnosed in countries with high rates of infection and limited diagnostic facilities, such as Indonesia. It remains challenging to distinguish PID from other conditions predisposing children to severe, persistent, unusual, and recurrent (SPUR) infection. Such conditions include secondary immunodeficiency caused by human immunodeficiency virus (HIV) infection, allergic diseases, and chronic diseases with structural or anatomical abnormalities. Objective To evaluate children with SPUR infections for PID and to compare the clinical characteristics of children with PID to those with other underlying conditions. Methods We conducted a cross-sectional, analytic study of children aged 0-18 years presenting with SPUR infections at 10 hospitals in Jakarta, Indonesia, from July 2024 to September 2025. Clinical assessment and laboratory investigations, including immunological tests, were performed to identify the underlying cause of SPUR infections. Children were classified as healthy, PID, secondary immunodeficiency (HIV), allergy, or chronic disease/anatomical abnormalities. Results Two hundred fifty-four subjects (53% male) with a median age of 26 months were included in our study. Most of them had a history of pneumonia (72.1%), diarrhea (31.1%), and pulmonary tuberculosis (27.9%). Thirty-three (13%) subjects were diagnosed with PID, with the majority being male (60.6%). The most common PID found was antibody deficiency (27.3%), followed by immunodeficiencies combined with associated or syndromic features (24.2%), and immunodeficiencies affecting cellular and humoral immunity (21.2%). Median age of onset in the PID group was 12 (3–24) months. Severe malnutrition was most common in children with HIV. Gender, parental consanguinity, and adverse events following live vaccines did not differ significantly across groups. Conclusion The prevalence of PID among children with SPUR infection in this study was 13%, with the most common classification being antibody deficiency.
Adaptation of Stanford Presenteeism Scale-6 in Indonesia Tanama, Fery Alfaro; Adi, Nuri Purwito; Werdhani, Retno Asti; Herqutanto, Herqutanto
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Presenteeism has been identified to cause productivity loss more than 50% greater than absenteeism. Currently in Indonesia there are no standardized tools to assess presenteeism among workers. Therefore, we intended to adapt and validate SPS-6 in Indonesia. Methods: This is a cross-sectional study with cross-cultural adaptation refers to the ISPOR method, with a validity and reliability statistical test. Total respondents were 112 white-collars workers. Inter-item correlation was used for validity test and Cronbach’s Alpha was used for reliability test. Results: Cross-cultural adaptation of SPS-6 has been successfully done. The most significant change occurred in the explanation of the health problem definition. All item and item’s dimension were statistically significant correlated with total score. Cronbach’s alpha of work focus dimension and psychological dimension was 0.657 and 0.646, respectively. Conclusion: The Indonesian version of the SPS-6 questionnaire was valid and reliable and could be used as an instrument to identify presenteeism for office workers (white collar workers) in Indonesia.
Prolanis Health Talk Education for Hypertension and Diabetes Mellitus Communities: A Community Service Program Approach Agus Sugiharto; Retno Asti Werdhani; Dian Kusumadewi; Vican Sefiany Koloi; Siti Rahmi
Poltekita: Jurnal Pengabdian Masyarakat Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v7i1.4162

Abstract

Two non-communicable diseases that rank third in terms of mortality and are becoming more common in Indonesia are hypertension (HT) and diabetes mellitus (DM). The Chronic Disease Management Program (Prolanis), which aims to maintain the health of individuals with HT and DM, was introduced by the government and the National Health Care Security (BPJS) in response. Prolanis is intended for patients at Primary Health Care Facilities diagnosed with HT and DM. Nonetheless, participation in the Prolanis program remains relatively low. This program aims to increase the knowledge and involvement of HT and DM patients in Prolanis at the Annisa Dua Clinic in Citereup, Bogor City, by using Health Talk Education. The activity's outcomes demonstrated that participants' attitudes and understanding of the significance of participating in Prolanis had increased. Participants also felt more understanding and motivated to participate in activities and contribute to Prolanis. There was high participant satisfaction with this community service program. Participation in Prolanis can be increased through education about the importance of participating in community-based Prolanis related to the community. Of course, collaboration from various parties is needed to achieve Prolanis's goals.
Health Talk Education On The Importance Of Peer Group Support For The Prolanis Community: A Community Service Program Approach Agus Sugiharto; Retno Asti Werdhani; Dian Kusumadewi; Vican Sefiany Koloi; Siti Rahmi
International Journal Of Community Service Vol. 5 No. 2 (2025): May 2025 (Indonesia - Malaysia - Timor-Leste)
Publisher : CV. Inara in Colaboration with www.stie-sampit.ac.id

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v5i2.856

Abstract

The Chronic Disease Management Program (Prolanis) is an initiative in the health care system that aims to improve the quality of life of people with chronic diseases, such as diabetes mellitus and hypertension. A key component of Prolanis's effectiveness is social support, particularly peer group support, which can enhance patients' adherence to treatment and promote healthy living. This Health educational activity seeks to increase Prolanis participants' comprehension of the value of peer support in the management of chronic illnesses. The method used in this community service is Health Talk Education, using 3 stages, namely, preparation, implementation, evaluation, and follow-up. To conduct evaluation and follow-up, questionnaires are used to gauge participants' knowledge growth both before and after the activity, as well as the development of peer support. According to the activity's findings, participants' attitudes and awareness of the advantages of taking part in peer group support increased, and five peer group support groups were formed, each with five members. In addition, active participation in the discussion indicated the high enthusiasm of participants to form and strengthen a support community in the Prolanis community environment. This community service initiative received excellent feedback from participants. Through a more comprehensive strategy founded on social support, it is anticipated that this community-based education will help Prolanis patients have a greater quality of life.
Validity and Reliability of the Medical Student e-Learning Management System Readiness Scale Agus Sugiharto; Wastucitra Cantika; Retno Asti Werdhani
Jurnal Pendidikan Indonesia Gemilang Vol 3, No 2 (2023)
Publisher : Gemilang Maju Publikasi Ilmiah (GMPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53889/jpig.v3i2.237

Abstract

The degree to which a person is seen as having the attitudes and traits necessary for success in studies in the future is known as e-learning management system (EMAS) ready. This study evaluated the EMAS preparation measure for medical students. The study's methodology makes use of the Borg and Gall five-step streamlined research design. The EMAS preparedness scale is measured using ten items and five dimensions. 117 students at the Faculty of Medicine, at a public university in Depok, Indonesia, were given the questionnaire. the relationship between the reliability test, Cronbach's Alpha, and the validity test, Pearson's Product Moment. These are the study's findings: All items had values of α .05, testing the instrument's validity on 10 item questions indicates that all question items are declared valid with a value greater than r table 0.1816. While test reliability indicates an alpha value of Cronbach 0.678, the tested instrument can be declared reliable or consistent. According to the results, ten items possessed high validity and reliability.
Detection of Uterine Cavity Pathology in Subfertile Women Prior to In Vitro Fertilization Using Transvaginal Sonography and Office Hysteroscopy Nadya Lusiana; Retno Asti Werdhani; Mila Maidarti; Achmad Kemal Harzif; Kanadi Sumapraja; Atika Mahira Yanfaunnas; Irfan Arieqal Hatta Ampri; Natasha Talya; Gita Pratama
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2795

Abstract

Objective: To compare transvaginal sonography (TVS) and office hysteroscopy in detecting uterine cavity pathology in subfertile women prior to in vitro fertilization (IVF).Methods: This retrospective cross-sectional study included 104 subfertile women who underwent both TVS and office hysteroscopy at the Yasmin IVF Clinic, Dr. Cipto Mangunkusumo Kencana Hospital, Jakarta. Findings from TVS and hysteroscopy were compared with histopathological results for chronic endometritis, endometrial polyps, submucosal fibroids, and endometrial hyperplasia. Findings of uterine septum and intrauterine synechiae on TVS were compared with hysteroscopy as the reference standard. Results: Office hysteroscopy detected chronic endometritis in 16.3% of subjects, with a sensitivity of 33% and specificity of 68%, whereas TVS did not identify any cases. Submucosal fibroids were detected by both modalities with identical specificity (100%) and sensitivity (75%). Endometrial polyps were identified in 47.1% of cases by hysteroscopy and 15.4% by TVS. TVS demonstrated higher specificity (88% vs. 35%), although both modalities showed low sensitivity (15% for TVS vs. 50% for hysteroscopy). Both methods accurately detected endometrial hyperplasia, showing high specificity (97%). Uterine septum and intrauterine synechiae were detected exclusively by hysteroscopy. Conclusion: Both TVS and office hysteroscopy are effective in detecting submucosal fibroids and endometrial hyperplasia. However, only hysteroscopy can identify chronic endometritis, uterine septum, and intrauterine synechiae, while TVS demonstrates higher specificity for detecting endometrial polyps. Histopathology remains the gold standard, and office hysteroscopy provides important complementary diagnostic value prior to IVF. Keywords: in vitro fertilization, office hysteroscopy, sub-fertility, transvaginal sonography
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