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PERBANDINGAN DENSITAS ENERGI LOW-LEVEL LASER THERAPY (LLLT) 10J/CM2 DENGAN 5 J/CM2 TERHADAP PENYEMBUHAN LUKA KAKI DIABETES Purwitasari Darmaputri; Nury Nusdwinuringtya; Nyoman Murdana; Tri Juli Edi Tarigan; Dewi Friska
Majalah Kedokteran Indonesia Vol 70 No 2 (2020): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v70i2.173

Abstract

Latar Belakang: Luka kaki diabetes merupakan masalah umum pasien diabetes melitus (DM). Salah satu terapi adjuvan yang dapat mempercepat penyembuhan luka adalah Low- Level Laser Therapy (LLLT), namun belum ada pedoman pasti mengenai dosisnya. Di Indonesia belum ada penelitian yang membandingkan densitas energi terhadap penyembuhan luka diabetes.Metode: Studi eksperimental ini dilakukan pada 28 subyek dengan luka kaki diabetes yang telah dirandomisasi. Kelompok A mendapat perawatan luka rutin dan LLLT 5J/cm2. Kelompok B mendapat perawatan luka rutin dan LLLT 10J/cm2. Dilakukan intervensi selama 4 minggu dengan frekuensi 2x/minggu.Hasil: Selisih ukuran luka setelah intervensi antara kelompok A dan B adalah 4.15 mm2 dan 7.5 mm2 (p=0.178). Total kecepatan pemulihan luka kelompok A dan B adalah 4.15(-10-34.5) mm2/4 minggu dan 7.5(-2.8-34) mm2/4 minggu (p=0.168). Kesimpulan: Pemberian LLLT dengan 5J/cm2 maupun 10J/cm2 tidak memberikan efek bermakna secara statistik terhadap penyembuhan luka kaki diabetes.
Profil Asupan Minum pada Anak Prasekolah di Daerah Urban dan Rural di Indonesia dan Faktor-faktor yang Memengaruhinya Titis Prawitasari; Bernie Endyarni Medise; Diana Sunardi; Dewi Friska; Erfi Prafiantini; Rizki Yusrini Pohan; Budi Wiweko
Sari Pediatri Vol 22, No 4 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.4.2020.236-42

Abstract

Latar belakang. Asupan minum yang kurang akan berdampak terhadap performa fisik dan kognitif serta dapat menimbulkan manifestasi klinis, seperti pusing, lesu, dan gangguan konsentrasi. Anak memiliki proporsi cairan tubuh yang lebih tinggi dibandingkan dewasa. Hingga saat ini belum ada data mengenai kecukupan asupan minum anak prasekolah di Indonesia.Tujuan. Mengetahui kecukupan asupan minum anak prasekolah di daerah urban dan rural di Indonesia.Metode. Penelitian dengan desain potong lintang dilakukan pada bulan Januari-Maret 2016 di Jakarta dan Maluku pada anak usia 36-72 bulan. Perhitungan jumlah cairan dilakukan dengan mencatat jumlah yang diminum dalam 7 Day-Fluid Diary Record. Asupan minum total ditentukan berdasarkan jumlah yang dikonsumsi dari semua kategori dan sesuai dengan angka kecukupan gizi (AKG) 2019.Hasil. Sebanyak 585 anak mengikuti penelitian ini dengan median asupan minum adalah 1133,1 (85-2991,4) mL/hari dan jenis asupan paling tinggi adalah air putih. Subjek yang tinggal di daerah urban mempunyai faktor risiko lebih rendah untuk mengalami asupan minum yang kurang (RR=0,580; 95%IK: 0,418-0,807; p=0,001). Demikian pula semakin muda usia subjek, maka semakin kecil kemungkinan untuk mengalami kejadian asupan minum yang kurang (RR =0,497; 95%IK: 0,356-0,694; p=0,000).Kesimpulan. Rerata asupan minum anak usia prasekolah di Indonesia sedikit lebih rendah dari anjuran AKG. Anak prasekolah berusia ≥54 bulan dan anak yang tinggal di area rural lebih berisiko mengalami kekurangan asupan minum.
Knowledge, Attitude, and Practice of Mothers on the First 1000 Days of Life Indah Suci Widyahening; Muhammad A Aufa; Muhammad F Alhas; Aji B Widodo; Dewi Friska
eJournal Kedokteran Indonesia Vol 9, No. 2 - Agustus 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.545 KB) | DOI: 10.23886/ejki.9.65.129

Abstract

The first 1000 days of life is the window period which critically determines the children’s growth and development and individual’s health afterwards. The knowledge, attitude, and practice (KAP) of pregnant mothers and mothers with children under two years old greatly influence the optimum upbringing of the fetus and children during the period. This study was aimed to evaluate the KAP of mothers about the first 1000 days of life and its associated factors. A cross-sectional study was conducted at a district in Depok city in August 2017. Subjects were purposively recruited to fill the validated KAP questionnaire on the first 1000 days. A total of 110 subjects were recruited, the higher proportion of them have adequate knowledge (42.7%), good attitude ((62.7%), and good practice (61.8%). The mothers’ knowledge was associated with attitude and practice (p<0.001) but the attitude and practice were not associated (p=0.175). Maternal education was the only factor that associated with knowledge (p=0.018) and attitude (p=0.013) while family income was associated with practice (p=0.018). This finding strengthened the importance of the existing community empowerment program such as posyandu in improving the KAP of mothers to achieve better results in the first 1000 days period of their children. Keywords: the first 1000 days of life, knowledge, attitude, practice, nutrition.   Pengetahuan, Sikap dan Perilaku Ibu mengenai 1000 Hari Pertama Abstrak Seribu hari pertama kehidupan (1000 HPK) adalah periode emas yang sangat menentukan tumbuh kembang anak hingga kesehatan individu pada masa selanjutnya. Pengetahuan, sikap dan perilaku (PSP) ibu hamil dan ibu yang mengasuh anak berusia dua tahun ke bawah sangat menentukan asuhan 1000 HPK yang optimal. Penelitian ini bertujuan untuk mengetahui PSP ibu hamil dan ibu dengan anak berusia di bawah 2 tahun mengenai konsep 1000 HPK serta faktor – faktor yang berhubungan dengan ketiga aspek tersebut. Studi potong lintang dilakukan di Kampung Lio, Depok pada Agustus 2017. Ibu hamil dan ibu dengan anak berusia kurang dari 2 tahun direkrut secara purposif untuk mengisi kuesioner PSP tentang 1000 HPK. Sebanyak 110 subjek direkrut, proporsi terbesar subject memiliki tingkat pengetahuan cukup (42,7%), sikap sebagian besar baik (62,7%) dan perilaku sebagian besar juga baik (61,8%). Pengetahuan berhubungan dengan sikap dan perilaku (p<0.001) tetapi sikap dan perilaku tidak berhubungan (p=0,175). Tingkat pendidikan ibu adalah faktor yang berhubungan dengan pengetahuan (p=0,019) dan sikap (p=0,013). Tingkat penghasilan keluarga adalah faktor yang berhubungan dengan perilaku (p=0,018) mengenai 1000 HPK. Hasil ini menguatkan pentingnya posyandu sebagai upaya partisipasi masyarakat dalam meningkatkan PSP ibu untuk mencapai perkembangan anak yang optimal pada periode 1000 HPK. Kata kunci: seribu hari pertama kehidupan, pengetahuan, sikap, perilaku, nutrisi.
The Knowledge and Therapeutic Approach of Paediatrician on Functional Constipation Brahmantyo Ardhi Wicaksono; Fransesco B Hubert Jonathan; Agus Tini Sridevi; Dewi Friska; Badriul Hegar
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 23, No 2 (2022): VOLUME 23, NUMBER 2, August 2022
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.007 KB) | DOI: 10.24871/2322022199-205

Abstract

Background: Functional constipation is one of the most common functional gastrointestinal disorders in children under 4 years of age. The Rome IV Criteria have standardized diagnostic criteria for functional constipation. The purpose of the study was to determine the knowledge and therapeutic approach of Indonesian pediatricians to functional constipation.Method: A cross-sectional analytic observational study with the target of 101 pediatricians practicing in the DKI Jakarta area. This study provides an electronic questionnaire which was validated with facial and construct validity and the reliability was determined by Alpha-Cronbach value.Results: The average duration of experience practicing as pediatricians was 6.83 ± 3.96 years, with a range of 5-15 years (66.3%) with the majority working in non-teaching institutions (83.2%). Pediatricians’ knowledge of functional constipation did not show a significant difference in score based on length of experience practicing as a pediatrician (p = 0.738) and place of daily practice (p = 0.690). A Significant difference was seen based on the use of Rome Criteria as a source of information on functional constipation (p = 0.047). Five to fifteen years of experience practicing and teaching hospital as place of daily practice showed a higher therapeutic approach score, although this was not statistically significant. It turned out that using Rome Criteria as a source of information does not give higher therapeutic approach scores.Conclusion: Periodic evaluation of pediatrician's knowledge and therapeutic approach is needed to maintain the quality of functional constipation care.
Pola Aktivitas Fisik Anak Usia 10 Sampai 14 Tahun pada Masa Pandemi Covid-19 di Indonesia dan Faktor-Faktor yang Berhubungan Salindri Dara Rizkita; Rini Sekartini; Dewi Friska
Sari Pediatri Vol 24, No 3 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.3.2022.181-8

Abstract

Latar belakang. Kondisi pandemi global Covid-19 membuat pemerintah Indonesia membuat kebijakan untuk membatasi segala kegiatan sosial, termasuk perubahan metode kegiatan bersekolah. Tujuan. Mengetahui pola aktivitas fisik anak 10-14 tahun saat pandemi Covid-19 di Indonesia.Metode. Pengumpulan data dengan kuesioner daring. Jenis penelitian observasional, desain studi cross-sectional. Diolah dengan analisis deskriptif. Dilanjutkan analisis analitik bivariat, uji statistik chi-square dan analisis multivariat, uji regresi logistikHasil. Diperoleh sebaran subjek berdasarkan usia, 10-12 tahun 71,2% dan >12-14 tahun 28,8%. Jenis kelamin perempuan 62,7% dan laki-laki 37,3%. Tingkat ketaatan protokol kesehatan yaitu 75,7% tidak taat dan taat 24,3%, Durasi kegiatan pembelajaran jarak jauh 0-3jam/hari 63,8%, >3-6jam/hari 32,8%, dan >6jam/hari 3,4%. Klasifikasi daerah, rural 36,2% dan urban 63,8%. Tingkat aktivitas fisik tinggi 51,4% dan rendah 48.6%. Tingkat aktivitas fisik berhubungan bermakna dengan usia (p=0,017), durasi PJJ (p=0.005), tingkat ketaatan terhadap protokol kesehatan (p=0,013), tidak berhubungan bermakna dengan jenis kelamin (p=0,059), dan daerah tempat tinggal (p=0,363). Uji multivariat didapatkan hubungan dengan tingkat ketaatan (p=0,005;OR=2,870) dan durasi PJJ (p=0,002; OR=2,768).Kesimpulan. Prevalensi tingkat aktivitas fisik tinggi 51,4%. Faktor yang berhubungan dengan aktivitas fisik anak selama pandemi adalah usia. Faktor yang berhubungan kuat adalah durasi pembelajaran jarak jauh dalam sehari serta tingkat ketaatan anak terhadap protokol kesehatan.
Indonesian pediatricians’ understanding and management of infant regurgitation based on Rome IV criteria Fransesco Bernado Hubert Jonathan; Agus T. Sridevi; Brahmantyo A. Wicaksono; Dewi Friska; Badriul Hegar
Paediatrica Indonesiana Vol 62 No 6 (2022): November 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.6.2022.373-81

Abstract

Background The diagnostic criteria of infant regurgitation have been well elucidated in the Rome IV criteria and pediatricians have been informed of them. However, as a functional disorder, infant regurgitation is susceptible to misdiagnosis and inappropriate management. Objective To assess pediatricians’ diagnostic knowledge of and therapeutic approach to infant regurgitation. Methods We conducted a cross-sectional, analytical study using a questionnaire based on Rome IV criteria for infant regurgitation diagnosis and standardized guidelines for management. The questionnaire was face-level validated by an expert and tested for both reliability and correlation using 30 test respondents. The questionnaire was then distributed electronically to 131 randomized pediatricians, who were members of the Indonesian Pediatric Society DKI Jakarta branch and graduated from pediatric residency within year 2005-2019. Results Sixty-seven (51%) pediatricians reported applying the Rome IV criteria in daily clinical practice. Pediatricians who used Rome IV as their source of knowledge achieved mean and median diagnostic knowledge scores of 14.87 (SD 2.540) and 16 (range 8–20), respectively, with no significant correlation between the usage of ROME IV and the pediatricians’ diagnostic understanding (P=0.110), and mean and median therapeutic knowledge scores of 9.10 (SD 2.264) and 10 (range 4–12), respectively, with no significant correlation between the usage of ROME IV and the pediatricians’ therapeutic approach (P=0.486). Pediatricians’ diagnostic knowledge and therapeutic approach were not significantly different with regards to their practice experience, specialist institution, workplaces, and source of information. Conclusion The majority of pediatricians surveyed have good diagnostic and therapeutic knowledge scores with regards to handling of Rome IV infant regurgitation.
Hubungan Tingkat Aktivitas Fisik dan Performa Fisik dengan Kondisi Sarkopenia pada Penderita Obesitas Usia Lanjut di Komunitas Annisa Budi Prayuni; Tirza Z Tamin; Wanarani Alwin; Dewi Friska
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v11i02.334

Abstract

Introduction: Sarcopenic obesity (SO) is a condition in which sarcopenia and obesity occur simultaneously. This condition will lead to risk of higher morbidity, mortality, and reduced quality of life. This study aimed to examine the proportion of SO patients in community and investigate the association between physical activity level and physical performance with sarcopenia in elderly obese patient in community Methods: An analytic observation cross-sectional study with consecutive sampling. Inclusion criteria included subjects with age ≥ 60 years old, body mass index ≥ 25 Kg / m2, able to walk at least 10 meters, and has a good cognitive function. Subjects with pacemaker, have metal implants, history of cancer, acute cardiovascular and respiratory disorders, deformities, or pain in extremities and receive regular therapeutic exercise were excluded from this research. Measurement of physical activity level using Physical Activity Scale for Elderly (PASE) questionnaire and physical performance using 6meter walking speed test and timed up and go test (TUG). Sarcopenia is based on criteria from Asian Working Group of Sarcopenia 2019 with body composition assessment using Bioelectric Impedance Analysis (BIA) Results: There were 119 subjects in this study. Proportion of sarcopenia obesity in all subjects was 23,5% with 71,4% was female. The results showed that there was no significant association on physical activity level (p > 0,05) and a significant association on walking speed and TUG test (p < 0,05). Conclusion: This research concluded that there was a significant association between physical performance with sarcopenia in elderly obese patient in the community.
Hubungan Tingkat Aktivitas Fisik dan Performa Fisik dengan Kondisi Sarkopenia pada Penderita Obesitas Usia Lanjut di Komunitas Annisa Budi Prayuni; Tirza Z Tamin; Wanarani Alwin; Dewi Friska
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v11i02.334

Abstract

Introduction: Sarcopenic obesity (SO) is a condition in which sarcopenia and obesity occur simultaneously. This condition will lead to risk of higher morbidity, mortality, and reduced quality of life. This study aimed to examine the proportion of SO patients in community and investigate the association between physical activity level and physical performance with sarcopenia in elderly obese patient in community Methods: An analytic observation cross-sectional study with consecutive sampling. Inclusion criteria included subjects with age ≥ 60 years old, body mass index ≥ 25 Kg / m2, able to walk at least 10 meters, and has a good cognitive function. Subjects with pacemaker, have metal implants, history of cancer, acute cardiovascular and respiratory disorders, deformities, or pain in extremities and receive regular therapeutic exercise were excluded from this research. Measurement of physical activity level using Physical Activity Scale for Elderly (PASE) questionnaire and physical performance using 6meter walking speed test and timed up and go test (TUG). Sarcopenia is based on criteria from Asian Working Group of Sarcopenia 2019 with body composition assessment using Bioelectric Impedance Analysis (BIA) Results: There were 119 subjects in this study. Proportion of sarcopenia obesity in all subjects was 23,5% with 71,4% was female. The results showed that there was no significant association on physical activity level (p > 0,05) and a significant association on walking speed and TUG test (p < 0,05). Conclusion: This research concluded that there was a significant association between physical performance with sarcopenia in elderly obese patient in the community.
Relationship Between Nutritional Status, Physical Activity, Type of Work and Smoking Activity with Fitness Level Measured by 6-Minute Walking Test on Non-staff Employees of Universitas Indonesia, Depok Menaldi Rasmin; Hilma Nur Faiza; Kemal Akbar Suryoadji; Neny Husnaini Zain; Sakinasha Siva Utami; Feni Fitriani Taufik; Dewi Friska; Nani Cahyani Sudarsono; Elisna Syahrudin
Respiratory Science Vol. 3 No. 2 (2023): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v3i2.70

Abstract

Background: Fitness is inextricable to health and has a significant correlation with the habits and behaviour of individuals such as dietary practice, sedentary behaviour, physical activities, and smoking habits. Many ways can be used to assess an individual fitness level, one of them is using the 6-minute walking test. This study aims to find the correlation between smoking intensity, nutritional status, occupation, and physical activity with the fitness level of outdoor janitors in Universitas Indonesia, Depok. Method: The research method was the cross-sectional design. The determination of the subjects was carried out by a consecutive sampling method. The data obtained results from the assessment of nutritional status, occupation, physical activity, and smoking intensity, as well as result from the 6-minute walking test. Univariate data analysis was used to assess the distribution of subjects based on sociodemographics, nutritional status, physical activity, occupation, and smoking activity. Furthermore, categorical correlative tests used were Man-Whitney, Kruskal-Wallis, and Fisher's Exact test. Results: The subjects obtained are 109 outdoor janitors from UI, Depok in which 59.6% age 18-44 years old, and 56% are male. Based on the correlative test between the fitness level and the nutritional status, value of P=0.086, as value of P between the physical activity and the fitness level is 0.0523. No significant correlation between fitness level and occupation based on location of the job, duration of work and based on the work time (P=1.00; P=1.00; P=0.108) The correlation between smoking intensity with the fitness level has value of P=0.681. Conclusion: There is no significant correlation between nutritional status, physical activity, type of work, and smoking intensity with the fitness level as measured by the 6-minute walking test method for outdoor janitors of UI, Depok.
Effect of smartphone application with reminder on total fluid intake adequacy and hydration status among adults in Bontang, East Kalimantan Handayani Eka Puspita Sari; Diana Sunardi; Krisadelfa Sutanto; Dian Novita Chandra; Dewi Friska; Putri Novia Choiri Insani
World Nutrition Journal Vol. 7 No. i2 (2024): Volume 07 Issue 2, February 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V07.i2.0007

Abstract

Background: About 41% adults in Kalimantan have inadequate total fluid intake (TFI), which is higher than national inadequacy (28%). Inadequate TFI may cause dehydration. The biggest barrier to comply with TFI is to forget to drink. Smartphone application, Hidrasiku with reminder, is expected to be useful in TFI adequacy which may affect hydration status. Objective: This study aims to determine the effect of the Hidrasiku with reminder on the TFI adequacy and hydration status among adults in Bontang. Methods: The design of this study was quasi-experimental and cluster sampling. Inclusion criteria were healthy men, age 19-64 years and having a smartphone. Participants suffering with diseases that affected fluid balance and on diet and fluid restriction were excluded. Data collection was conducted from April to June 2023 in Bontang. A total of 106 participants were allocated into two groups, intervention and control. Both groups used Hidrasiku for four weeks, with the intervention group activating the reminder while the control group didn’t. Adequacy of TFI and hydration status were assessed before-after intervention. Results: A sample of 87 participants completed the study. The median age of the participants was 32 (19-61) years. At the end of intervention, there was significant difference in the TFI adequacy (90.2% vs 63.0%; p=0.003) and a significant increase in TFI +240 mL/day vs – 62.8 mL/day; p=0.002). Meanwhile no significant difference on hydration status (87.8% vs 73.9%; p=0.103). Conclusions: Hidrasiku with reminder has effect on the TFI adequacy and no effect on hydration status