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The Effectiveness of Cardiorehabilitation Programs in Returning to Work Post-CABG or PCI in Coronary Heart Disease Darifah, Siti; Adi, Nuri Purwito; Widyahening, Indah Suci
Tirtayasa Medical Journal Vol 2, No 1 (2022): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v2i1.17167

Abstract

In developing countries, coronary heart disease (CHD) is one of the primary sources of disease burden. Cardiovascular rehabilitation is primarily used to help people recover after Coronary Artery Bypass Graft (CABG) or Percutaneous Coronary Intervention (PCI) and improve their quality of life, but still underutilized by public. The literature search was conducted in May 2018 through PubMed and Google Scholar using Boolean Operators. The search strategy used only articles in English from any years. The desired studies are randomized control trial, cohort, and systematic review. From one selected systematic review found that combined cardiac rehabilitation, physical conditioning with counseling and risk factor education, of cardiac rehabilitation programs are more effective than usual care. Combined cardiac rehabilitation programs may improve the rate of short-term return to work (RR 1.56, 95% CI 1.23-1.98; I2=20%; low certainty evidence). Combined cardiac rehabilitation probably reduce the average time needed to return to work (moderate-certainty evidence) by about 40 days when compared to receiving usual care. Combined cardiac rehabilitation is probably better than standar care in shorten rest time before return to work in post CABG or PCI patients
Type 2 Diabetes in Non-Sedentary Workers with Long Working Hours “An Evidence-Based Case Report” Sofyan, Marwan; Widyahening, Indah Suci; Soemarko, Dewi Sumaryani
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 2 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i2.119.88-94

Abstract

Background: Type 2 diabetes mellitus is a serious threat to public health and the economy. Several reviews suggested that working long hours has a negative effect on health, especially metabolic disorders.Objective: To determine whether long working hours increase the incidence of diabetes mellitus in non-sedentary workers.Methods: A literature search using PubMed, Scopus, and Proquest was conducted based on the clinical question. Selected studies were critically reviewed for their validity using Oxford University’s Center for Evidence-Based Medicine’s etiological study criteria.Result: Three relevant studies were found. A cohort study found that non-clerical workers and shift workers with long working hours had a significantly higher risk of developing diabetes with a Hazard Ratio (HR) of 2.28 (95% Confidence Interval [CI] 1.13-4.82). However, the dominant risk factor that may have influenced the outcomes could not be clearly identified. In contrast, a cross-sectional study found no significant association (p>0.05) between working overtime and diabetes prevalence among field workers. Another cross-sectional study showed that blue-collar workers with long working hours had a higher likelihood of prediabetes with an adjusted Odds Ratio (aOR) of 1.54 (95% CI 1.15-2.06). However, since this is a cross-sectional study, the causal relationship is uncertain. Conclusion: Studies regarding the relationship between long working hours and an increased risk of type 2 diabetes mellitus in non-sedentary workers showed inconsistent and unclear results. Further evaluation is still needed to find more evidence on the health effects of long working hours on workers.
The Effectiveness of Cardiorehabilitation Programs in Returning to Work Post-CABG or PCI in Coronary Heart Disease Darifah, Siti; Adi, Nuri Purwito; Widyahening, Indah Suci
Tirtayasa Medical Journal Vol 2, No 1 (2022): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v2i1.17167

Abstract

In developing countries, coronary heart disease (CHD) is one of the primary sources of disease burden. Cardiovascular rehabilitation is primarily used to help people recover after Coronary Artery Bypass Graft (CABG) or Percutaneous Coronary Intervention (PCI) and improve their quality of life, but still underutilized by public. The literature search was conducted in May 2018 through PubMed and Google Scholar using Boolean Operators. The search strategy used only articles in English from any years. The desired studies are randomized control trial, cohort, and systematic review. From one selected systematic review found that combined cardiac rehabilitation, physical conditioning with counseling and risk factor education, of cardiac rehabilitation programs are more effective than usual care. Combined cardiac rehabilitation programs may improve the rate of short-term return to work (RR 1.56, 95% CI 1.23-1.98; I2=20%; low certainty evidence). Combined cardiac rehabilitation probably reduce the average time needed to return to work (moderate-certainty evidence) by about 40 days when compared to receiving usual care. Combined cardiac rehabilitation is probably better than standar care in shorten rest time before return to work in post CABG or PCI patients
Adolescents’ preferences of educational media on sugar sweetened beverages : A qualitative study Faraji, Mahsa; Wiradnyani, Luh Ade Ari; Chandra, Dian Novita; Februhartanty, Judhiastuty; Fauzia, Khalida; Wangsa, Andrean; Widyahening, Indah Suci
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0034

Abstract

Adolescents consume sugar-sweetened beverages (SSBs), their primary added sugar source, daily, yet there is a considerable SSBs’ knowledge, attitude, and practice (KAP) gap. Media literacy is crucial in enhancing student education and engagement through high-quality and digestible materials and methods. This study aims to identify the preferred educational media for SSBs among urban adolescents in Jakarta.
Exploring socioenvironmental influences on adolescent girls eating attitudes in Jakarta : A comparative study Wangsa, Andrean; Wiradnyani, Luh Ade; Deandra, Fadhila I.; Widyahening, Indah Suci
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0035

Abstract

A balanced diet is vital in adolescence because of the growth spurts occurring in different areas. However, girls in the adolescent phase are at risk of developing unhealthy eating attitudes, leading to severe physical and psychological consequences, including body dissatisfaction, depression, etc. This study was aimed to assessing the socioenvironmental influences on eating attitudes among adolescent girls in DKI Jakarta, Indonesia.
Community prevalence and distribution of dengue virus serotype based on antibody neutralization assay in Jakarta, Indonesia Karyanti, Mulya Rahma; Alam, Anggraini; Widyahening, Indah Suci; Hadinegoro, Sri Rezeki; Munasir, Zakiudin; Satari, Hindra Irawan; Sasmono, R. Tedjo
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.10-6

Abstract

Background Dengue infection is still rising globally despite the implementation of preventive efforts in many endemic countries. Monitoring the circulation of dengue virus (DENV) serotypes is not performed routinely in the Indonesian national surveillance program, primarily due to high cost and effort. Objective To evaluate the distribution of DENV serotypes based on serological profile and neutralizing antibody level against all four DENV serotypes in Jakarta, Indonesia. Methods This cross-sectional study was performed as part of a dengue vaccine effectiveness study, 10 years after a dengue vaccination program was initiated. It was conducted in five community public health centers in Jakarta in subjects aged 12 years and above who had not received the dengue vaccine. We collected serum samples and DENV neutralizing antibody titers were measured using a plaque reduction neutralization test (PRNT). Results Eighty healthy subjects with a median age of 15 (range 12-27) years were enrolled. The highest median antibody titer was that to DENV-2 [898 (range 29-91558) 1/dil], followed by that to DENV-3 [297.5 (range 10-36091); 1/dil], DENV-1 [288 (range 0-68237) 1/dil], and DENV-4 [164 (range 0-35812) 1/dil]. Neutralizing antibodies against the four DENV serotypes were found in all the 5 districts studied in Jakarta. A multitypic neutralizing antibody profile was observed in the majority (74/80 subjects; 92.5%). Three subjects were naïve. Conclusion All four dengue serotypes are widely circulating in Jakarta based on neutralizing antibody detection in the community, with the highest neutralizing antibody titer being against DENV-2, followed by DENV-3, DENV-1 and DENV-4.
Targeted Educational Materials for Sugar-Sweetened Beverage Intervention among Urban Adolescents in Jakarta: A Mixed-Methods Study Faraji, Mahsa; Wiradnyani, Luh Ade Ari; Chandra, Dian Novita; Februhartanty, Judhiastuty; Wangsa, Andrean; Widyahening, Indah Suci
Jurnal Gizi dan Pangan Vol. 20 No. 1 (2025)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2025.20.1.21-30

Abstract

This study aims to identify the educational needs of urban adolescents in Jakarta to improve their Knowledge, Attitudes, and Practices (KAP) regarding Sugar-Sweetened Beverages (SSBs). Its goal is to develop tailored educational material topics regarding SSBs related to health risks, such as obesity and Non-Communicable Diseases (NCDs). Employing a mixed-methods approach, the research was conducted across five public senior high schools in all five areas of Jakarta from January to February 2024. The quantitative component involved a survey of 488 students to assess their KAP related to SSBs. The KAP formed the basis of the educational materials. The qualitative approach involves 2 Focus Group Discussions (FGDs) with students and 8 In-Depth Interviews (IDIs) with teachers and experts focusing on adolescents’ nutrition and health. The insights were used for the development of the educational materials. The qualitative data were transcribed, coded, and analysed thematically to pinpoint essential educational materials that could bridge the gaps identified in the quantitative data. Results showed that only 18.8% of adolescents had good knowledge, 13.9% had a positive attitude, and 32.4% exhibited healthy practices regarding SSBs. Findings revealed critical issues: poor knowledge, negative attitude, and unhealthy practice regarding the maximum daily sugar intake, inadequate understanding of the nutritional value of sugar, infrequent checking of sugar content before consuming SSBs, limited awareness of SSBs' negative health impacts, and poor knowledge of SSB examples and food labelling practices. Educational materials are needed to address critical gaps in adolescents’ KAP related to SSBs. These materials should focus on raising awareness about the health risks of SSBs, understanding sugar content, improving food labelling literacy, and promoting healthier beverage choices. Future research should assess the implementation and effectiveness of tailored educational strategies to enhance adolescents' KAP related to SSBs, address critical health risks, and promote informed beverage choices.
Comparison of Students’ 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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v1i5.541

Abstract

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 students’ 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 students’ 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 Persentase Lemak Tubuh dengan Nilai V̇O2 Maks Penerbang TNI AU Widianto, Eri; Wibawanti, Retno; Mulijadi, Herman; Widyahening, Indah Suci; Isbaniah, Fathiyah; Sinabutar, Klara; Kekalih, Aria
Majalah Kedokteran Indonesia Vol 73 No 5 (2023): 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.73.5-2023-1030

Abstract

Introduction: Military pilots require good cardiorespiratory fitness due to the need to perform tasks in difficult and varied environmental conditions. Cardiorespiratory fitness is usually expressed in terms of maximal oxygen consumption (V̇O2 max). It is important to know the factors associated with V̇O2 max in order to maintain the fitness of Indonesian Air Force pilots. This study was conducted to assess the association between body fat percentage with V̇O2 max of Indonesian Air Force pilots.Methods: A cross-sectional study was conducted on active Indonesian Air Force pilots who carried out periodic medical examinations from October to November 2022 at Lakespra dr. Saryanto, Jakarta. The research subjects underwent body composition examinations using Bioelectrical Impedance Analysis (BIA), and V̇O2 max assessment was conducted using the Bruce protocol. The association between body fat percentage and V̇O2 max value was assessed by Pearson’s correlation test.Results: Of the 64 subjects analysed, the average value of V̇O2 max was 44.6±6.2 ml/kg/min and the average body fat percentage was 23.4±5.0 %. There is a significant correlation between body fat percentage and V̇O2 max. (r=-0.334; p=0.007)Conclusion: There is a significant negative correlation with moderate strength between the body fat percentage and the V̇O2 max of Indonesian Air Force pilots who carried out medical examination at Lakespra dr. Saryanto.
Macronutrient Intake Among Multidrug-Resistant Tuberculosis Patients in Three Referral Hospitals in Indonesia Mariana, Nina; Gayatri, Anggi; Widyahening, Indah Suci; Rosdiana, Ano; Setiawaty, Vivi; Ascobat, Purwantyastuti
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6624

Abstract

Poor nutritional status, such as macro- and micronutrient deficiencies, might lead to worse clinical outcomes in multidrug-resistant tuberculosis (MDR-TB) patients. This study aimed to describe the macronutrient intake among MDR-TB patients and then compare those findings with the Indonesian recommended dietary allowance (RDA). A cross-sectional study of MDR-TB outpatients aged 18-65 years treated with the nine- or 18-month regimens at the end of the first month of treatment was conducted. Macronutrient intake data were obtained from a food consumption survey (24-hour food recall) of MDR-TB outpatients that was conducted by interviewing, recording, and then analyzing using NutriSurvey software, and compared with the RDA of the Ministry of Health of Indonesia. There were 63 outpatients with MDR-TB. The mean age was 38 (SD 12) years, and most of the patients were male (58.7%). Nutritional status based on BMI < 18,5 kg/m2 was observed in 43 patients (68.3%). According to the survey, after the end of the first month of MDR-TB treatment, the median (min–max) daily intake of energy was 1386.5 (519.4 – 2963.6) kcal per day, and the mean of protein was 49.6 (SD 23.0) grams per day. The median (min-max) daily intake of fat was 43.0 (1.1-170.6) grams per day, and the mean carbohydrate was 209.16 (87.9) grams per day. The proportions of energy, protein, fat, and carbohydrate deficiency were 85,7%, 68,8%, 74,6%, 90,5%, respectively. Macronutrient intake among MDR TB patients in this study was lower than the Indonesian recommended dietary allowance. These findings indicate that additional food intake and dietary counseling are needed in MDR-TB patients in Indonesia.
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 Indrawarman Soeroharjo Indriastuti Soetomo Isbaniah, Fathiyah Iswanto, J. Judhiastuty Februhartanty KASMARA, E. Kokok, Andwi Setiawan Kresna, Andreas 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 Toar J.M. Lalisang Tony Loho Trinovita Andraini Usman, Nurhayat Vivi Setiawaty Wangsa, Andrean Wibowo, Suryo Widianto, Eri Yefta Moenadjat Zakiudin Munasir