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All Journal Jurnal Gizi dan Pangan The Indonesian Journal of Public Health Universa Medicina Paediatrica Indonesiana Journal of Medicine and Health Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia World Nutrition Journal The New Ropanasuri Journal of Surgery Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) The Indonesian Journal of Community and Occupational Medicine eJournal Kedokteran Indonesia The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Tirtayasa Medical Journal Occupational and Environmental Medicine Journal of Indonesia Tirtayasa Medical Journal Journal of Medicine and Health

Indah S. Widyahening

Department Of Community Medicine, Faculty Of Medicine Universitas Indonesia

Author-ID : 416425

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

Published : 32 Documents Claim Missing Document

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Comparison of Studentsâ Characteristics, Self-Motivation, and Readiness of Self-Directed Learning Implementation among Medical Students at Maranatha Christian University Gunanegara, Rimonta F; Wahid, Mardiastuti H; Widyahening, Indah S
Journal of Medicine and Health Vol 1, No 5 (2017)
Publisher : Maranatha Christian University

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Self-Directed Learning (SDL) is an important skill that must be achieved by medical students.The aim of this study is to identify the level of self-motivation and SDL readiness in the medicalstudents as well as to identify factors affecting SDL. This is is a mixed method research,involving first-year and clinical year medical students. A quantitative research is conducted bydistributing self-motivation (MSLQ) and SDL questionnaire (SDLRS). A total sampling isapplied to select the respondents. Furthermore, focus group discussion (FGD) on students andtutors/preceptors is carried out. Informants are chosen by purposive sampling method. Thisresearch reveals that most of medical students have a good level of self-motivation but a lowlevel of SDL readiness. Nevertheless, the mean scores of SDL readiness in both groups showsno significant differences. The research also identifies four major factors affecting the SDLreadiness, namely the studentsâ characteristics, learning process, the role of tutors/preceptorsand supporting facilities for learning. There is no significant difference between SDL readinessof the first-year and clinical year of medical students. Unprepared studentsâ characteristics,sub-optimal learning process, unsupported role of tutors/preceptors and inadequate learningresources are found to be the mayor factors influencing SDL readiness.Keywords: self-directed learning readiness; self-motivation; problem-based learning

Perubahan Densitas Mineral Tulang Lumbal Perempuan Pengguna Kontrasepsi Suntik Depo Medroksi Progesteron Asetat (DMPA) selama 6 Bulan di Puskesmas Tebet, Jakarta Selatan KASMARA, E.; SUMAPRAJA, K.; SANTOSO, S. S.I.; WIDYAHENING, I. S.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 4, October 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Tujuan: Untuk mengetahui densitas mineral tulang (DMT) lumbal perempuan Indonesia berusia 20 - 35 tahun sebelum dan setelah pemberian kontrasepsi suntik DMPA selama 6 bulan, dan mengetahui hubungan antara faktor asupan kalsium dan aktivitas fisik perempuanperempuan tersebut dengan DMT lumbal. Tempat: Puskeskmas Kecamatan Tebet, Jakarta Timur, Departemen Obstetri dan Ginekologi RSUPN Dr. Cipto Mangunkusumo dan Klinik Imunoendokrinologi Yasmin, Jakarta Pusat. Rancangan/rumusan data: Penelitian ini bersifat eksperimental self-controlled dengan rancangan pra-intervensi dan pasca-intervensi pada kelompok subyek. Bahan dan cara kerja: Sembilan-belas responden perempuan paritas satu berusia antara 20-35 tahun menjalani pemeriksaan densitas mineral tulang (DMT) lumbal 1-4 dengan menggunakan densitometri DEXA (dual energy x-ray absorptiometry). Para responden adalah akseptor KB suntik depo medroksi progesteron asetat (DMPA) pertama kali, dengan jadual pemberian sebesar 150 mg DMPA intramuskular tiap tiga bulan. Selain itu, didapatkan data mengenai berat badan, tinggi badan, indeks massa tubuh (IMT), asupan kalsium per hari dan aktivitas fisik responden. Kemudian dilakukan pemeriksaan DMT lumbal 1-4 yang kedua setelah 6 bulan penggunaan kontrasepsi DMPA. Hasil: Didapatkan rata-rata usia subyek (n = 11) adalah 25,0 Â± 4,2 tahun (rentang 20 - 33 tahun). Rata-rata berat badan, tinggi badan dan indeks massa tubuh berturut-turut adalah sebesar 49,7 Â± 6,2 kg (41 - 60 kg); 151,8 Â± 6,2 cm (142 - 163 cm) dan 21,61 Â± 2,74 kg/m2 (17,69 - 26,67 kg/m2). Densitas mineral tulang (DMT) L1-L4 awal menunjukkan rata-rata 0,958 Â± 0,023 g/cm2 (0,876 - 1,080 g/cm2), rata-rata nilai T awal sebesar -1,26 Â± 0,61 (-1,85 sampai dengan -0,25). Nilai rata-rata asupan kalsium per hari sebesar 329,01 Â± 228,22 mg (78,25 - 784,55 mg). Rata-rata DMT L1-L4 akhir adalah sebesar 0,969 Â± 0,078 g/cm2 (0,844 - 1,084 g/cm2), rata-rata nilai T akhir sebesar -1,17 Â± 0,65 (-2,21 sampai dengan -0,22). Rata-rata pengeluaran energi total (Total Energy Expenditure [TEE]), laju metabolik basal (Basal Metabolic Rate [BMR]) dan faktor aktivitas (Activity Factor [AF]) berturut-turut adalah sebesar 2157,51 Â± 342,55 kkal (1679,58 - 2753,49 kkal); 1288,05 Â± 69,64 kkal (1189,20 - 1411,30 kkal) dan 1,68 Â± 0,24 (1,4 - 2,1). Rata-rata persentase perubahan DMT adalah sebesar 1,13 Â± 2,86% (-3,76 sampai dengan 6,74%). Terdapat korelasi yang sangat lemah dan tidak bermakna statistik antara faktor aktivitas dengan persentase perubahan DMT (r = 0,066, p = 0,846), antara IMT dengan persentase perubahan DMT (r = 0,098, p = 0,774). Sedangkan korelasi antara asupan kalsium per hari dengan persentase perubahan DMT adalah lemah (r = 0,457) dengan tingkat kemaknaan 0,158 (tidak bermakna). Analisis multivariat menunjukkan tidak ada perubahan yang bermakna secara statistik antara persentase perubahan DMT dengan IMT, asupan kalsium dan faktor aktivitas (p = 0,515). Kesimpulan: Pada sebelas responden yang diteliti, tidak terdapat perubahan bermakna DMT lumbal 1-4 setelah pemberian DMPA selama 6 bulan pertama dan tidak terdapat korelasi yang bermakna antara penggunaan DMPA selama 6 bulan pertama dengan indeks massa tubuh, asupan kalsium dan aktivitas fisik. [Maj Obstet Ginekol Indones 2007; 31-4: 243-50] Kata kunci: densitas mineral tulang (DMT), depo medroksi progesteron asetat (DMPA), indeks massa tubuh (IMT), asupan kalsium, faktor aktivitas.

Epidemiology of Microorganisms in intraabdominal infection/complicated intraabdominal infections in six centers of surgical care in Indonesia: A preliminary study Moenadjat, Yefta; Lalisang, Toar JM.; Saunar, Rofy S.; Usman, Nurhayat; Handaya, Adeodatus Y.; Iswanto, J.; Nasution, Safruddin; Karuniawati, Anis; Loho, Tony; Widyahening, Indah S.
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Data of complicated intraabdominal infections (cIAI) and the epidemiology of causative microorganisms which is Indonesian characteristics is required to develop a guideline. Thus, a preliminary study run to find out such characteristics. Method. Data of subjects with cIAI managed in six centers of teaching hospital in Indonesia in period of 2015–2016 were collected. Those data of source of infection, the epidemiology of microorganism and susceptibility of antibiotics were descriptively provided. Results. Source of infection were perforated appendicitis (26.64%), perforated gastric and duodenal ulcer (22.70%), small bowel perforation (11.84%), large bowel perforation (13.16%), postoperative (9.54%), and others (16.2%). Escherichia coli and Klebsiella pneumonia were the most microorganisms found in the pus specimen. The sensitivity of Escherichia coli and Klebsiella pneumonia to cephalosporins were in range of 14.1– 42% and 28.7–35.6%, respectively. Conclusion. Perforated appendicitis, perforated gastric and duodenal ulcer, small bowel perforation, large bowel perforation, and postoperative in sequent are the main causal of cIAIin Indonesia. The epidemiology predominated by Gram negative, particularly Escherichia coli and Klebsiella pneumonia.

Extracoporeal shockwave treatment decreases pain, functional limitations and medial collateral ligament thickness in subjects aged 50-70 years with knee osteoarthritis Kokok, Andwi Setiawan; Tamin, Tirza Z; Murdana, Nyoman; Widyahening, Indah Suci
Universa Medicina Vol. 40 No. 2 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.121-132

BackgroundPain from knee and hip osteoarthritis (OA) can have a significant impact on the physical function and quality of life of affected individuals worldwide. The objective of this study was to evaluate the effect of extracorporeal shockwave therapy (ESWT) on pain, flexibility, function, and medial collateral ligament (MCL) thickness in knee osteoarthritis (KOA). MethodsA study of quasi experimental design was performed involving 15 subjects aged 50 â€“ 70 years with Kellgren-Lawrence grade 2-3 KOA. All subjects were evaluated regarding baseline -pain using visual analogue scale (VAS), range of motion (ROM), functional outcome using Western Ontario and McMaster Universities Arthritis Index (WOMAC), and MCL size. Extracorporeal shock wave therapy was given 3 times, at baseline, and 4 and 8 weeks after intervention. All subjects were given 4000 shocks at intensities of 1.5 â€“ 4 Bar (raised gradually) per session. The shocks were given in the supine position, knee flexed 90o, without topical anesthetic. Statistical analyses were conducted using a dependent t-test. ResultsAfter 8 weeks of intervention, ESWT significantly improved pain score (p<0.01), WOMAC (p<0.01) and MCL thickness (p<0.01) in patients with OA of the knee. However, there was no significant difference in knee ROM, both for degree of flexion and extension (p>0.05). ConclusionThe use of ESWT for treatment of knee OA had a beneficial effect on pain relief, function outcome and MCL thickness. However, there remains a lack of clarity regarding the frequency and dosage levels of ESWT required to achieve maximum improvement.

LUNG CANCER ASSOCIATED WITH CARBON BLACK EXPOSURE ON BRICK WORKERS Anna nasriawati; Muhammad Ilyas; Indah S Widyahening
The Indonesian Journal of Public Health Vol. 16 No. 1SP (2021): SUPPLEMENTARY
Publisher : Universitas Airlangga

ABSTRACTCarbon black aerosol has potential risks to human health. It has been acknowledged to cause cardiovascular and respiratory diseases in humans. International Agency for Research on Cancer (IARC) 2010 stated that carbon black classification is 2b, which is carcinogenic. This research explains a case of lung cancer due to carbon black exposure and reviews the literature of occupational cases to get the answers about the effects of carbon black exposure and the increasing risk of lung cancer for workers exposed to carbon black. The literature review was performed to answer the clinical question via electronic databases: PubMed and Google Scholar. The keywords used were ‘carbon black’ and ‘lung cancer’ and 'workers'. The inclusion criteria of this searching strategy were the workers which exposed to carbon black, meta-analysis, randomized controlled trial, systematic reviews, cohort. The exclusion criteria of this article were inaccessible articles, RCTs that have been used in the recent systematic reviews. The selected articles were then critically appraised using relevant criteria by the Oxford Center for Evidence-based Medicine. This study reviews the literature by Rota Matteo; The epidemiological evidence on the polyaromatic hydrocarbon (PAH) high exposed, perspective cohort study by Delli LD, and the control case study by Marie EPt. All the researches above showed that carbon black carcinogenic potential is the same as the IARC monograph statement that the epidemiological studies of carbon black provide possible carcinogenicity (Group of 2B). Keywords: carbon black, lung cancer, workers

The Role of Primary Health Care in the Prevention of Noncommunicable Diseases Indah S Widyahening
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Noncommunicable diseases (NCDs) currently cause more deaths than all other causes combined. Cardiovascular diseases, cancer, chronic respiratory diseases and diabetes are the four major NCDs that are responsible for 82% of NCD deaths. Approximately 42% of all NCD deaths globally occurred before the age of 70 years; 48% of NCD deaths in the low- and middle-income countries and 28% in high-income countries were in individuals aged under 70 years.(1) Because of its chronic nature and the complications that arisen, NCDs bring devastating social, economic and public health impact. The management of its various long-term complications accompanied by the typical existence of multimorbidity will give rise to an increased complexity of care in the future. Aging, improved medical therapies, demographic transition, life-style changes, globalization and urbanization are factors that are contributing to the increased prevalence, severity and complexity of NCDs.........

Levothyroxine use and thyroid gland volumes in children with autoimmune thyroiditis: a systematic review and meta-analysis Annang Giri Moelyo; Indah Suci Widyahening; Bambang Tridjaja
Paediatrica Indonesiana Vol 59 No 4 (2019): July 2019
Publisher : Indonesian Pediatric Society

Background Autoimmune thyroiditis may manifest as overt hypothyroidism, subclinical hypothyroidism, euthyroidism, or hyperthyroidism in children. Although there is no consensus on treating euthyroidism and autoimmune thyroiditis in children, some studies have demonstrated the efficacy of levothyroxine in reducing thyroid volume, improving thyroid function, and stabilizing the immunological process. Objective To determine the effect of levothyroxine on thyroid gland volume changes, thyroid function, and thyroid antibodies in euthyroid children with autoimmune thyroiditis. Methods We performed a literature search of electronic databases (the Cochrane Library, MEDLINE, EBSCO, ProQuest, clinicaltrials.gov, and other sources, as well as a non-electronic search (searching journals and conference proceedings by hand) to identify studies of euthyroid children with autoimmune thyroiditis published by August 2018. Only English-language articles were included in the search (electronic and non-electronic). Randomized controlled trials that compared levothyroxine with a control (placebo or no treatment) in euthyroid children with autoimmune thyroiditis were selected. The outcome measures were thyroid volume changes, thyroid function, and thyroid antibody levels in euthyroid children with autoimmune thyroiditis. Two authors independently extracted the data, assessed the risk of bias, and analyzed the pooled data from the included studies using a random effects model. The same authors performed a sensitivity analysis. Results We identified 57 studies. Of these, three studies, involving 97 subjects (51 subjects in an intervention group and 46 subjects in the control group) were selected for inclusion in a systematic review/meta-analysis. The meta-analysis revealed a significant difference in mean thyroid volume changes between the two groups (-1.10 SDs; 95%CI -1.56 to -0.64; P<0.0001; I2=6%). The mean difference in the thyroid-stimulating hormone (TSH) change of the two groups was -1.82 mU/L (95%CI -3.52 to -0.11; I2=87%; P=0.04). The standardized mean difference in free thyroxine (fT4) change of the two groups was 0.82 pmol/L (95%CI -1.14 to 2.78; I2=89%; P=0.41). Conclusion In euthyroid children with autoimmune thyroiditis, levothyroxine treatment reduces the thyroid volume better. The TSH level change in the intervention group is better than those in the control group. Levothyroxine treatment did not significantly improve free T4.

Comparison of Studentsâ€™ Characteristics, Self-Motivation, and Readiness of Self-Directed Learning Implementation among Medical Students at Maranatha Christian University Rimonta F Gunanegara; Mardiastuti H Wahid; Indah S Widyahening
Journal of Medicine and Health Vol. 1 No. 5 (2017)
Publisher : Universitas Kristen Maranatha

Self-Directed Learning (SDL) is an important skill that must be achieved by medical students.The aim of this study is to identify the level of self-motivation and SDL readiness in the medicalstudents as well as to identify factors affecting SDL. This is is a mixed method research,involving first-year and clinical year medical students. A quantitative research is conducted bydistributing self-motivation (MSLQ) and SDL questionnaire (SDLRS). A total sampling isapplied to select the respondents. Furthermore, focus group discussion (FGD) on students andtutors/preceptors is carried out. Informants are chosen by purposive sampling method. Thisresearch reveals that most of medical students have a good level of self-motivation but a lowlevel of SDL readiness. Nevertheless, the mean scores of SDL readiness in both groups showsno significant differences. The research also identifies four major factors affecting the SDLreadiness, namely the studentsâ€™ characteristics, learning process, the role of tutors/preceptorsand supporting facilities for learning. There is no significant difference between SDL readinessof the first-year and clinical year of medical students. Unprepared studentsâ€™ characteristics,sub-optimal learning process, unsupported role of tutors/preceptors and inadequate learningresources are found to be the mayor factors influencing SDL readiness.Keywords: self-directed learning readiness; self-motivation; problem-based learning

Hubungan antara Pajanan Kadmium dan Kanker Prostat pada Pekerja: Laporan Kasus Berbasis Bukti Dina Tri Amalia; Nuri Purwito Adi; Indah Suci Widyahening
Jurnal Kedokteran Universitas Lampung Vol 5, No 1 (2021): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v5i1.2930

Kadmium memiliki peranan penting karena banyak digunakan di berbagai macam industri. Kadmium dapat masuk dan terakumulasi dalam tubuh termasuk di prostat. Kadmium sangat toksik dan bisa menyebabkan kanker. Tujuan dari laporan kasus berbasis bukti ini adalah untuk mendapatkan jawaban yang tepat terkait hubungan antara pajanan kadmium di tempat kerja dan kanker prostat pada pekerja. Metode dengan pencarian literatur dilakukan melalui database PubMed, Scopus dan Cochrane Library. Kata kunci yang digunakan adalah cadmium, cancer, prostate, work* dan occupation*. Pemilihan artikel menggunakan kriteria inklusi dan eksklusi yang telah ditetapkan. Kemudian dilakukan penilaian kritis menggunakan kriteria yang relevan untuk studi etiologi atau systematic review berdasarkan Oxford Center for Evidence-Based Medicine. Terpilih dua artikel yang relevan dan valid dengan desain studi systematic review dan meta-analisis. Penelitian dari Ju-Kun, dkk menunjukkan rasio kematian terstandarisasi (standardized mortality ratio) antara pajanan Cd dan risiko terjadinya kanker prostat adalah 1.66 (95% CI 1.10–2.50) pada populasi pekerja yang terpajan Cd. Berdasarkan penelitian Chen, dkk menunjukkan bahwa pekerja dengan pajanan kadmium memiliki risiko terjadinya kanker prostat yang lebih tinggi dibandingkan populasi umum, namun secara statistik tidak signifikan yakni dengan nilai OR pada studi case-control 1.17 (95%CI [0.85-1.62]), dan standardized mortality ratio (*100) pada studi kohort adalah 98 (95%CI [75-126]). Hasil studi yang ada tidak menunjukkan bukti yang cukup untuk memastikan bahwa pajanan kadmium bisa menyebabkan kanker prostat pada pekerja. Key words: Kadmium, kanker prostat, pekerja.

Relationship of Night Shift Work and Breast Cancer Arnold Fernando; Muhammad Ilyas; Indah Suci Widyahening
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 1 (2021): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Background. Breast cancer is the most common cancer among women worldwide. 80% of breast cancer that has been identified in Indonesia has progressed into an advanced stage of malignancy. In 2007, the International Agency for Research on Cancer concluded: shift-work that involves circadian disruption is probably carcinogenic to humans (Group 2A) Aim. This study aims to justify the association between night shift work and breast cancer. Methods. Searching literature for the evidence-based has been conducted with a clinical question through "PICO" method. Then continued with literature searching using the electronic database "PubMed" and "google scholar" search engine. The keyword is "shift work" "night shift" "breast cancer" and combined with MeSH terms and Boolean operation. The inclusion criteria are research on humans, and the exclusion is inaccessible studies, case report studies, and retracted articles. Result. All of the ten prospective studies that have been combined, the weighted average RR was 0.99 (95% CI = 0.95 to 1.03) for any night shift work compared with none. There was no statistically significant heterogeneity across studies (P = .052). ). But if based on a study of more than 20 years, the RR was 1.01 (95% CI = 0.93 to 1.10). And if based on a study of more than 30 years, the combined RR was 1.00 (95% CI = 0.87 to 1.14, P heterogeneity = 0.067. Confidence intervals for the incidence rate ratios on this study are narrow, even for 20 or more years of night shift work (RR = 1.01, 95% CI = 0.93 to 1.10), so these findings exclude a moderate association of breast cancer incidence with long duration night shift work Conclusion. There are insignificant associations between night shift work and breast cancer.

Co-Authors Ade Mutiara Adi, Nuri Purwito Aji B Widodo Ambar W Roestam Andon Hestiantoro Andrijono Andrijono Anggraini Alam, Anggraini Anis Karuniawati Anna nasriawati Annang Giri Moelyo Aria Kekalih Arnold Fernando Ascobat, Purwantyastuti Asmarinah Bambang Tridjaja AAP, Bambang Tridjaja Bernath Siagian Brodjonegoro, Sakti R Budi Wiweko Chandra, Dian Novita Danarto, Raden Deandra, Fadhila I. Denta Aditya Episana Dewi Friska Dewi S. Soemarko Dewi Sumaryani Soemarko Dewi Wulandari Dewi Yunia Fitriani Dicky Mahardhika Dina Tri Amalia Faraji, Mahsa Fauzia, Khalida Fedri Rinawan, Fedri Fuk, Liem Jen Gayatri, Anggi Gita Pratama Guntur Darmawan Handaya, Adeodatus Y. Hariwibowo, Rinto Hartanto Bayuaji Hendri, Ahmad Z Herman Mulijadi Hindra Irawan Satari, Hindra Irawan Indrawarman Soeroharjo Indriastuti Soetomo Isbaniah, Fathiyah Iswanto, J. Judhiastuty Februhartanty KASMARA, E. Kokok, Andwi Setiawan Kresna, Andreas Lalisang, Toar JM. Leopando, Zorayda E. Luh Ade Ari Wiradnyani Luh Ade Wiradnyani, Luh Ade Marcellus Simadibrata Marcellus Simadibrata Mardiastuti H Wahid Muchammad Arief Gunawan Muhammad A Aufa Muhammad F Alhas Muhammad Ilyas Muhammad Ilyas Mulya Rahma Karyanti, Mulya Rahma Murdana, Nyoman Nasution, Safruddin Neni Nurainy Nina Mariana, Nina Nur Rasyid Nuri Purwito Adi Parmitasari, Parmitasari Ponco Birowo Prahara Yuri Raden I. Ismail Rakhmi Savitri Hoesein Retno Wibawanti Revata Utama Rimonta F Gunanegara Rimonta F Gunanegara, Rimonta F Rini Mulia Sari Rosdiana, Ano SANTOSO, S. S.I. Sasmono, R. Tedjo Saunar, Rofy S. Setiawati, Elsa P. Sinabutar, Klara Siti Darifah Sofyan, Marwan Sri Rezeki Hadinegoro, Sri Rezeki Sudadi Hirawan SUMAPRAJA, K. Tanoto, Rodri Tirza Z Tamin Tony Loho Trinovita Andraini Usman, Nurhayat Vivi Setiawaty Wangsa, Andrean Wibowo, Suryo Widianto, Eri Yefta Moenadjat Zakiudin Munasir

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