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All Journal Paediatrica Indonesiana Jurnal Plastik Rekonstruksi World Nutrition Journal Indonesian Journal of Global Health research Narra J Proceedings of the International Conference on Nursing and Health Sciences Makara Human Behavior Studies in Asia
Tjhin Wiguna
Faculty of Medicine Universitas of Indonesia Cipto Mangunkusumo Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Other

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Internet Screen Time and Related Factors: Threat to Adolescence in Indonesia Kurniasanti, Kristiana; Firdaus, Karina; Christian, Hans; Wiguna, Tjhin; Wiwie, Martina; Ismail, Raden
Makara Human Behavior Studies in Asia Vol. 23, No. 2
Publisher : UI Scholars Hub

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

Abstract

The widespread use of the internet has produced both positive and negative impacts. Among the latter is internet addiction (IA). The worldwide prevalence of this addiction has been measured at approximately 6%, although the specific prevalence in Indonesia is uncertain because no validated instrument to measure IA has been developed for the Indonesian context. Hence, screen time was used in this study as an alternative measure of the magnitude of IA in Indonesia, where more than 6 hours is considered risk for IA. Researchers measured internet screen time (IST) and potential related factors in adolescents. The subjects of this cross-sectional study were 200 junior and senior high school students in Jakarta, Indonesia, who completed a questionnaire assessing IST and related factors. IST duration was divided into two categories: short (<6 hours/day) and long (>6 hours/day). Out of 200 students, 68 (34%) had long ISTs, with related factors being senior high education, positive perception of IA, and excessive body mass index. The percentage of students with long ISTs was quite high. A valid and reliable diagnostic tool for IA is a necessity. Prompt prevention is necessary to prevent adolescent IA, especially in higher-risk adolescents.
Association Between Sensory Profile and Daily Functioning in Children with Autism Anindya, Isti; Soebandrio, Amin; Ariyanto, Ibnu Agus; Sekartini, Rini; Wiguna, Tjhin; Sari, Novika Purnama
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 1 (2024): January-June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.2787

Abstract

In the diagnostic criteria outlined in the DSM-5-TR (APA, 2022) Autism is characterized by hyper- or hyporeactivity to sensory input or unusual interest. Children with Autism encounter challenges in processing sensory information, leading to difficulties in regulating responses to specific sensations and stimuli. Meanwhile, behaviours such as repetitive motor movements, running, aggression, and self-harming have been correlated with sensory processing disorders. Furthermore, some daily functioning that are often disrupted due to sensory processing disorders are sleeping, eating, and social activities. Therefore in this study, we aim to examine association between sensory profile and daily functioning in children with Autism. We collected data from parents of children aged 2-5 years with Autism (N = 96) and non Autism (N = 94) in Indonesia for three months (September-December 2023). Parents filled out five types of instruments (CARS-P, FISH, BAMBI, SCQ, and SSP) and sociodemographic data. The results of this study showed a significant difference between autistic and non-autistic groups in their daily functioning (p < 0.001). In autistic group, we found a significant relationship between sensory profiles and eating behavior (p < 0.001); and social communication skills (p < 0.001). In the non-autistic group, only sensory profile was corelated to eating behavior (p < 0.001). Primary results indicate that, the sensory profile is closely related to eating behavior and social communication skills in autistic children.
The Association Between Psychopathology Ans Quality Of Life In Burn Patients At Dr. Cipto Mangunkusumo Hospital, Jakarta Winanda, Rizki Aniza; Kusumadewi, Irmia; Wardhana, Aditya; Wiguna, Tjhin; Raharjanti, Natalia Widiasih
Jurnal Plastik Rekonstruksi Vol. 4 No. 2 (2017): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.638 KB) | DOI: 10.14228/jpr.v4i2.235

Abstract

Background : Burns result in severe injuries that cause damage or loss of tissue due to contact with sources of heat resulting in injuries to all body systems. Injuries of the skin, which functions as a barrier to protect internal organs, may cause patients to experience damage to one's physical appearance and body image causing negative feelings that may lead to other problems such as psychopathology and symptoms of mental illness. Method : A cross sectional study with consecutive sampling method of burn patients who were treated at the Plastic Surgery Outpatient Clinic and Burn Unit of RSCM was conducted between April-May 2017. Subjects were asked to fill in self-report questionnaires including patient identity form, SRQ-20 (cutoff point ?6) for presence of psychopathology, and WHOQoL-BREF to obtain mean scores of quality of life that include four domains of physical, psychological, social, and environment assessment. Data collected was analyzed using correlation analysis. Result : 56 burn patients were included in the study. 30.4% did not work and 48.2% had very low income per month. 67.9% patients experienced burns due to fire and 44.6% had burns 10-30% of the TBSA with a majority of patients (80.4%) experiencing a combination of second & third degree burns. Based on the analysis, 57.1% of patients had a form of psychopathology and low mean scores of quality life (physical domain 48.1, psychological domain 51.5). Significant negative correlations (p ? 0.05) were obtained between the psychological domain and symptoms of depression, anxiety, low energy; physical domain and low energy; and social domain with anxiety. Conclusion: This study obtained significant results to identify the correlation between psychopathology and various domains of quality of life affected.
Effects of traditional music therapy on the psycho-neuro-immuno-endocrine aspect of burnout syndrome in healthcare workers: A randomized controlled trial Ardani, Yanuar; Shatri, Hamzah; Koesnoe, Sukamto; Yunir, Em; Wiguna, Tjhin; Wibowo, Heri; Sawitri, Dian R.; Sarwono, Sugeng J.; Masyur, Muhtaruddin; Ricardo, William; Katarina, Matilda; Anggono, Rendi F.
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.1686

Abstract

Burnout syndrome (BOS) is an occupational phenomenon highly prevalent among healthcare workers, particularly physicians and nurses. Despite its prevalence, no single therapy universally addresses all cases of BOS. The aim of this study was to develop a novel approach to managing BOS through traditional music therapy, evaluated from psychosomatic, neurological, immunological, and endocrine perspectives. The study involved 80 participants who were randomly assigned to either the intervention or control group. The intervention group received traditional music therapy for 10–15 minutes, three times a week, over four weeks. Key outcomes were assessed at weeks 2 and 4. Measurements included the Maslach Burnout Inventory (MBI), heart rate variability (HRV), saliva cortisol, saliva β-endorphin, saliva immunoglobulin A (IgA), and serum FOXP3. Instruments included the MBI-HSS questionnaire and HRV measuring devices. Over four weeks, significant improvements were observed in the MBI scores (p=0.001), HRV (p=0.001), and FOXP3 delta (p=0.035) in the intervention group compared to the control group. However, no significant differences were found for cortisol, β-endorphin, or IgA. These findings suggest that traditional music therapy positively impacts the psychological, neurological, and immunological aspects of BOS and potentially influences immunological and endocrine responses. Future research should explore the effects of longer intervention durations, test varying doses, and examine the combination of music therapy with other non-pharmacological treatments to enhance its therapeutic potential.
Model of Risk Factors Identification: A Qualitative Approach to Mitigate Pilot Errors in Indonesia Yuliawati, Inne; Sampurna, Budi; Wiguna, Tjhin; Subekti, Imam; Mustopo, Widura Imam; Kekalih, Aria
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.v7i5.6698

Abstract

Pilot errors accounts for 80% of accidents and 50% of serious incidents, thus identifying the risk factors is crucial to mitigation strategies. The research aimed to develop a model of pilot errors’ risk factors identification and mitigation by conducting a Focus Group Discussion (FGD) with stakeholders in Indonesia. This was a qualitative analysis by conducting hybrid FGD, divided into four groups of experts consisted of officials from the Directorate General Civil Aviation, human factors experts, active pilots and investigators from the National Transport Safety Committee, from 28 to 29 August 2024. The data was collected by transcribing verbatim transcript, then analysed using the Steps for Coding and Theorization and Content Validity Index. model was developed, consisted of pilots’ risk factors, divided into three themes, 16 sub-themes, grouped into internal and external factors, which can be identified by four activities and can be mitigated by three activities. The factors contributed to aviation safety are multifactorial and interrelated. The complexity of pilots’ risk factors involves a continuous assessment of identification and mitigation, emphasizes the adaptive collaboration among stakeholders. A significant contribution in aviation human factors data for the Safety Management System implementation in Indonesia.
Quality of life in episodic hypoxic children after emergency department or PICU hospitalization Yuniar, Irene; Julianti, Julianti; Gunardi, Hartono; Dewi, Rismala; Wiguna, Tjhin; Lubis, Munar
Paediatrica Indonesiana Vol. 65 No. 5 (2025): September 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.5.2025.357-63

Abstract

Background Studies on long–term outcomes of hypoxic children after being hospitalized are limited, even though hypoxia is known to affect their quality of life (QoL). Objective To assess the QoL of children with episodic hypoxia following hospitalization in the emergency department (ED) and Pediatric Intensive Care Unit (PICU). Methods A prospective cohort design study targeting pediatric patients aged 2–7 years with critical illness was conducted at Dr. Cipto Mangunkusumo Hospital. Inclusion criteria are hypoxia patients receiving oxygen therapy, defined from the ratio of partial arterial oxygen pressure and inspired oxygen (PaO2/FiO2). The PedsQLTM questionnaire was used to assess QoL at the time of admission and 3 months after hypoxia event. Patients with cerebral palsy, mental retardation, chromosomal abnormalities, liver transplantation, and length of stay ≤24 hours were excluded. Data distribution in numerical form was analyzed using the Kolmogorov–Smirnov test. Results Forty-six children with a median age of 4 (2–7) years had decreased QoL at 3 months after episodic hypoxia, based on PedsQLTM scores. The physical, emotional, and social domains were significantly decreased (P<0.01) compared to QoL at the time of admission. Prior to admission, 78.3% of children had already experienced impaired QoL. Conclusion Children with episodic hypoxia demonstrated a decline in QoL at 3 months after hypoxia event based on PedsQLTM scores. Specifically, the physical, emotional, and social domains were significantly decreased compared to at the time of admission.  
Social-emotional development in early life: what happens and how to optimize it Medise, Bernie Endyarni; Wiguna, Tjhin; Dharma Asih, Ni Ketut Susila
World Nutrition Journal Vol. 5 No. S2 (2022): Special Issue : critical aspects of early life nutrition, gut health, and deve
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S2.0002

Abstract

The Physical, metabolic, emotional, cognitive, and social development all begin to develop during early years of childhood.. Social and emotional competencies are increasingly recognized as critical for children's success, in school and in later phases of life into adulthood. According to new research, changes in the gastrointestinal tract's development during the early postnatal period can affect brain development and vice versa., collectively called the gut-brain axis. The gut microbiota has an impact on a variety of mental processes and phenomena, as well as being involved in the pathophysiology of a variety of mental and neurological diseases.. Insights in this area can be targeted through dietary treatments to improve cognitive outcomes in newborns by optimizing the link between the gastrointestinal system and the brain. Further, having a healthy and happy human life could be ensured by acquiring adequate and balance microbiota
Experts’ Opinion on Immunity and Nutrition to Support Key Cognitive Functions Sekartini, Rini; Surapsari, Juwalita; Oktarina, Molly Dumakuri; Wiguna, Tjhin; Pasiak, Taufiq Fredrik; Basrowi, Ray Wagiu; Kartjito, Melissa Stephanie; Wasito, Erika
World Nutrition Journal Vol. 6 No. S2 (2023): Special Issue : expert perspectives on the interconnections between immunity,
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V06.S2.0001

Abstract

The interaction of micronutrients and macronutrients has been shown to have a significant impact on children's cognitive development. Furthermore, proper nutrition helps a child's immune system avoid infection and disease, which can impair nutrient absorption and lead to deficiency. Microbiotas in the gut play critical roles in body physiology, including nutrient absorption, infection resistance and immune system development. Furthermore, it is known that the gut microbiota influences immune cell maturation. Finally, these three factors are thought to influence neurogenesis and cognitive development. A virtual meeting was held with five invited experts to gain a better understanding of the relationship between nutritional factors, the immune system and cognitive development.
The narrative review of recent studies in understanding the relationship between gut (microbiota)-brain axis, nutrition and cognitive function Pasiak, Taufiq Fredrik; Wiguna, Tjhin; Sekartini, Rini; Surapsari, Juwalita; Sundjaya, Tonny; Wasito, Erika; Basrowi, Ray Wagiu; Kartjito, Melissa Stephanie
World Nutrition Journal Vol. 6 No. S2 (2023): Special Issue : expert perspectives on the interconnections between immunity,
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V06.S2.0004

Abstract

The concept of the gut (microbiota)-brain axis, which influences the development and function of the gastrointestinal, immune, neuroendocrine, and metabolic systems, is gaining popularity. Recent animal studies have demonstrated that the gut (microbiota)-brain axis also plays a role in establishing cognitive function. It is known that a disruption in the environment's microbiota balance can increase disease susceptibility in children. Historically, it has been hypothesized that neurodevelopmental disorders are the results of a disruption in children’s health. However, it is becoming clear that the gut microbiota and the central nervous system communicate in both directions, which could explain how microbiota affects cognitive function. Dietary factors also play important role in the central nervous system via the gut (microbiota)-brain axis, demonstrating the importance of nutrition in optimizing cognitive function. This narrative review of recently published studies and current knowledge aims to elucidate the relationship between the gut (microbiota)-brain axis and cognitive function, as well as the variables that may influence it.
Exploring key cognitive indicators for practical use by parents in community setting Wiguna, Tjhin; Sekartini, Rini; Pasiak, Taufiq Fredrik; Basrowi, Ray Wagiu; Kartjito, Melissa Stephanie
World Nutrition Journal Vol. 6 No. S2 (2023): Special Issue : expert perspectives on the interconnections between immunity,
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V06.S2.0005

Abstract

The identification of child development milestones, specifically cognitive abilities, requires parental/caregiver awareness and knowledge. With the existence of multiple cognitive abilities such as attention and focus, memory, language, psychomotor skills, logic, reasoning, decision-making, problem-solving, social/emotional, there are multiple indicators to measure children's cognitive abilities. Pediatricians are the most knowledgeable and trusted authority to routinely screen and monitor the development of healthy children. Therefore, it is crucial that parents understand their children's developmental milestones so if they encounter anomalies, they can immediately consult with the professionals. This review compiles recently published research and current knowledge to examine potential key indicators of cognitive development in infants and children that can be utilized by parents and communities in an easily understood manner.
Co-Authors A.A.A.A Kusumawardhani Aditya Wardhana Amin Soebandrio Anggono, Rendi F. Anindya, Isti Ardani, Yanuar Aria Kekalih Ariyanto, Ibnu Agus Basrowi, Ray Wagiu Bernie Endyarni Medise Budi Sampurna Christian, Hans Dharma Asih, Ni Ketut Susila Dian R. Sawitri, Dian R. E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Em Yunir, Em Firdaus, Karina Hartono Gunardi Heri Wibowo Imam Subekti Inne Yuliawati, Inne Irene Yuniar, Irene Irmia Kusumadewi Ismail, Raden Ismail, Raden Irawati Julianti Julianti, Julianti Kartjito, Melissa Stephanie Katarina, Matilda Kurniasanti, Kristiana Kurniasanti, Kristiana Siste Malik, Khamelia Martina Wiwie Setiawan Nasrun Masyur, Muhtaruddin Munar Lubis Oktarina, Molly Dumakuri Pasiak, Taufiq Fredrik Pratiwi Assandi Putra, Anggi A. Raharjanti, Natalia Widiasih Ricardo, William Rini Sekartini Rismala Dewi Sari, Novika Purnama Sarwono, Sugeng J. Sukamto Koesnoe Sundjaya, Tonny Surapsari, Juwalita Wasito, Erika Widura Imam Mustopo, Widura Imam Winanda, Rizki Aniza Wiwie, Martina