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The Relationship Between Smoking Status And Diabetic Foot Severity Surya, Nadhea Debrinita; Jonny Setiawan; Rensa
Sriwijaya Journal of Medicine Vol. 3 No. 3 (2020): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i3.98

Diabetes mellitus is a chronic metabolic disease which happens to be the 7th leading cause of death worldwide. In Indonesia, 6.9% of population aged Â³ 15 years old suffers from this disease. Diabetic foot is one of the complication of diabetes mellitus which has high mortality and morbidity level. Smoking is an addictive behavior that is really common in Indonesia. Components inside a cigarette, such as nicotine, can contribute in determining the prognosis of diabetic foot through various mechanism. This study aims to investigate the association between smoking status and the severity degree of diabetic foot. This study is an observational analytic study using a cross-sectional approach. Data collection was conducted on January 2019 until July 2019 in RSUK Pesanggrahan and Atma Jaya Hospital Jakarta. The research data was obtained through interviews with diabetic foot patients and medical record reading. Data was analyzed using the chi-square method. There were 40 patients eligible to be the subject of this study. The smoker status with the most distribution was moderate smoker (27.5%) and severity degree of diabetic foot with most distribution was Wagner 3 (25%). Bivariate analysis showed that there was a significant association between smoking status and severity degree of diabetic foot (p < 0.001). In conclusion, there is a significant association between smoking status and the severity degree of diabetic foot. Therefore, education regarding the importance of smoking cessation to diabetic foot patients should be done in order to improve the prognosis of diabetic foot patients.

Kepatuhan ODHA Pengguna Napza Suntik tanpa atau dengan Ko-infeksi TB/ Hepatitis Virus dalam Terapi Antiretroviral dan Metadon -, Surilena; -, Minawati; -, Rensa; -, Isadora; Suryani, Eva; Hartono, Teguh Sarry
Cermin Dunia Kedokteran Vol 42, No 7 (2015): Stem Cell
Publisher : PT. Kalbe Farma Tbk.

Latar Belakang: Jumlah pengguna NAPZA suntik (penasun) terinfeksi HIV/AIDS (ODHA/orang dengan HIV AIDS) yang menjalani terapi antiretroviral (ART/antiretroviral therapy) dan metadon bersamaan makin meningkat. ODHA penasun di Indonesia rentan terko-infeksi oleh penyakit tuberkulosis (TB) dan hepatitis virus. Kombinasi konsumsi ARV, metadon, obat-obat untuk ko-infeksi, dan NAPZA secara bersamaan berefek negatif pada kepatuhan optimal ODHA pada ART. Tujuan: Memberi gambaran kepatuhan ODHA penasun yang menjalani ART dan metadon, dengan/tanpa ko-infeksi TB/hepatitis virus. Metode: Sejumlah 34 ODHA penasun yang menjalani terapi ARV di kios Atma Jaya dan puskesmas Tambora, pada Oktober - Desember 2012, mengikuti studi potong lintang ini. Responden mengisi kuesioner data demografis, status infeksi hepatitis virus dan TB, terapi ARV dan metadon, serta kepatuhan ART (self-report). Hasil: Grup 1 terdiri dari 20 ODHA penasun (58,8%) sedang/pernah terko-infeksi TB/hepatitis virus (9 orang terko-infeksi hanya TB dan sudah selesai terapi TB, 6 orang sedang dalam pengobatan TB, dan 5 orang terinfeksi virus hepatitis saja). Grup 2 terdiri dari 14 ODHA penasun (41,2%) tanpa koinfeksi TB dan hepatitis virus. Kepatuhan ART optimal dicapai oleh 9 orang (45%) pada grup 1, yaitu: 6 dari 9 (66,7%) responden yang selesai berobat TB, 1 dari 6 (16,7%) responden yang sedang berobat TB, dan 2 dari 5 (40%) responden yang menderita hepatitis virus. Di grup 2 terdapat 6 orang (42,9%) yang mencapai kepatuhan ART optimal. Simpulan: ART optimal dicapai < 50% total responden. Pada responden yang terko-infeksi; ART optimal dicapai oleh 66,7% responden yang telah menyelesaikan terapi TB, 16,7% responden yang belum menyelesaikan terapi TB, dan 40% responden yang menderita hepatitis virus.Background: People living with HIV/AIDS (PLWHA) who are intravenous drug users (IVDU) are increasing in number, and mostly are on both antiretroviral therapy (ART) and methadone maintenance therapy (MMT). In Indonesia, PLWHA and IVDU are more easily infected with tuberculosis (TB) and/or viral hepatitis. Co-infections and drug interaction may negatively affect their adherence to ART. Goal: To observe ART adherence among IVDU who were on MMT with PLWHA with/without co-infections (TB and/or viral hepatitis). Method: Thirty-four PLWHA who were IVDU from kios Atma Jaya and Tambora public primary health care participated in this cross-sectional study from October to December 2012. They filled out questionnaires on demographic data, previous viral hepatitis and TB infection, ART & MMT data, and adherence to ART by self report. Results: Group 1: 20 (58.8%) respondents were/had been co infected with TB/viral hepatitis (9 respondents had finished TB treatment, 6 respondents were on TB treatment, 5 respondents had untreated viral hepatitis only). Group 2: 14 (41.2%) respondents had never been co-infected with TB/ viral hepatitis. We found that nine respondents in group 1 (45%) and six respondents in group 2 (42,9%) adhered optimally to ART. Six (66,7%) respondents who had finished TB treatment, one respondent (16,7%) who were on TB drugs, and two respondents (40%) who had untreated viral hepatitis, adhered optimally to ART. Conclusions: Less than 50% respondents adhered optimally to ART. Respondents who had optimal ART adherence among those who had finished TB treatment, who were on TB drugs, and who had untreated viral hepatitis were 66.7%, 16.7%, and 40%.

Correlation between Cognitive Function and Physical Performance in Community-Dwelling Older Adults Amanda Risviandari; Rensa Rensa
Althea Medical Journal Vol 8, No 2 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v8n2.2145

Background: One of the health problems often found among older adults in Indonesia is cognitive impairment, resulting in difficulties daily life and a significant decrease in functional status. This study aimed to determine the correlation between cognitive function and physical performance in community-dwelling older adults.Methods: This was a cross-sectional study conducted from October–November 2019. Samples were collected from North Jakarta through consecutive sampling (n=38). Cognitive function was measured using the Mini-Mental State Examination (MMSE) and the physical performance was measured using the Timed Up and Go Test (TUG) method. The statistical test applied in this study was Spearman’s rank correlation (p<0.05). Results: The majority of the subjects in this study were mostly female young older adults with the most received ≥12 years of education. The results for both MMSE and TUG were normal. There was a negative correlation between MMSE and TUG scores (r= -0.357, p=0.028).Conclusions: There is a weak but significant correlation between cognitive function and physical performance in community-dwelling older adults. A further study exploring cognitive dysfunction and physical performance in older adults is needed.

Indeks Massa Tubuh Paling Berpengaruh Terhadap Rasio Extracellular Mass/Body Cell Mass Myra Antonia; Maria Dara Novi Handayani; Agnes Rensa; Vetinly Vetinly
Bahasa Indonesia Vol 20 No 2 (2021): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v20i2.2638

ABSTRACT Background: Extracellular mass/body cell mass (ECM/BCM) ratio is a independent predictor mortality in nutritional status and certain chronic disease. ECM/BCM ratio is influenced by various factors such as muscle mass, blood cells, bone mass, tendons, total body water, and certain chronic diseases. Objective: Determine factors associated with elderly ECM/BCM ratio in Jakarta nursing home. Methods: This observational cross-sectional study was conducted in four nursing home in Jakarta. Nutritional status measured with Mini Nutritional Assessment (MNA) score, Body Mass Index (BMI), Waist Circumference (WC), Mid-Arm Circumference (MAC), and calf circumference (CC) using measurement. ECM/BCM ratio is measured using Maltron Bioscan 916, Pearson correlation and Kendall's Tau B were used for bivariate analysis. Simple linear regression was used for multivariate analysis. Results: A total of 74 subjects were recruited (mean age 72.12 years, 71.6% women). Body mass index (p<0.05), WC (p<0.05), and CC (p<0.05) were negatively associated with ECM/BCM ratio, while MNA score (p<0.05) and age (p<0.05) were positively associated with ECM/BCM ratio. There wasn't any significant difference in TBW between male and female elderly. In the multivariate linear regression analysis, BMI was negatively associated with ECM/BCM ratio (p<0.05). Conclusions: Significant relationship were found independently between MNA score, BMI, WC,MAC, and age with ECM/BCM ratio. Body mass index is the main factor associated with ECM/BCM ratio in the elderly in Jakarta nursing homes. Our findings suggest that elderly with lower BMI have higher ECM/BCM ratio.

Efektivitas Modul Komunikasi Interprofesional Pada Mahasiswa Fakultas Kedokteran dan Keperawatan Rensa Rensa; Kristina Lisum; Jesika Pasaribu; Sri Indiyah
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 3 (2017): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Interprofessional education (IPE) is one of medical professionals’ need to manage the patients’ problem efficiently and comprehensively.Method: This is a cohort prospective study that implemented mixed methods approach that consists of quantitative and qualitative methods. Quantitative data is collected through the Interprofessional Collaborative Competencies Attainment Survey (ICCAS) on pilot study, while qualitative data is collected through the open-ended questions on Focus Group Discussion (FGD). This study involves students from Medical School, Atma Jaya Catholic University and Sint Carolus Nursing School, all of them were at their fourth-year college.Results: Pilot study obtains quantitave data from the ICCAS questionnaire, before and after Interprofessional Learning (IPL) intervention. There are mean differences on domain collaboration before and after IPL intervention using interprofessional communication module (mean difference 6 [95%CI 2 to 10], P 0,007).Conclusion: There are significant differences in collaboration skills between FKUAJ and STIK’s college students after IPL.

Kepatuhan ODHA Pengguna Napza Suntik tanpa atau dengan Ko-infeksi TB/ Hepatitis Virus dalam Terapi Antiretroviral dan Metadon Surilena -; Minawati -; Rensa -; Isadora -; Eva Suryani; Teguh Sarry Hartono
Cermin Dunia Kedokteran Vol 42, No 7 (2015): Stem Cell
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v42i7.984

Latar Belakang: Jumlah pengguna NAPZA suntik (penasun) terinfeksi HIV/AIDS (ODHA/orang dengan HIV AIDS) yang menjalani terapi antiretroviral (ART/antiretroviral therapy) dan metadon bersamaan makin meningkat. ODHA penasun di Indonesia rentan terko-infeksi oleh penyakit tuberkulosis (TB) dan hepatitis virus. Kombinasi konsumsi ARV, metadon, obat-obat untuk ko-infeksi, dan NAPZA secara bersamaan berefek negatif pada kepatuhan optimal ODHA pada ART. Tujuan: Memberi gambaran kepatuhan ODHA penasun yang menjalani ART dan metadon, dengan/tanpa ko-infeksi TB/hepatitis virus. Metode: Sejumlah 34 ODHA penasun yang menjalani terapi ARV di kios Atma Jaya dan puskesmas Tambora, pada Oktober - Desember 2012, mengikuti studi potong lintang ini. Responden mengisi kuesioner data demografis, status infeksi hepatitis virus dan TB, terapi ARV dan metadon, serta kepatuhan ART (self-report). Hasil: Grup 1 terdiri dari 20 ODHA penasun (58,8%) sedang/pernah terko-infeksi TB/hepatitis virus (9 orang terko-infeksi hanya TB dan sudah selesai terapi TB, 6 orang sedang dalam pengobatan TB, dan 5 orang terinfeksi virus hepatitis saja). Grup 2 terdiri dari 14 ODHA penasun (41,2%) tanpa koinfeksi TB dan hepatitis virus. Kepatuhan ART optimal dicapai oleh 9 orang (45%) pada grup 1, yaitu: 6 dari 9 (66,7%) responden yang selesai berobat TB, 1 dari 6 (16,7%) responden yang sedang berobat TB, dan 2 dari 5 (40%) responden yang menderita hepatitis virus. Di grup 2 terdapat 6 orang (42,9%) yang mencapai kepatuhan ART optimal. Simpulan: ART optimal dicapai < 50% total responden. Pada responden yang terko-infeksi; ART optimal dicapai oleh 66,7% responden yang telah menyelesaikan terapi TB, 16,7% responden yang belum menyelesaikan terapi TB, dan 40% responden yang menderita hepatitis virus.Background: People living with HIV/AIDS (PLWHA) who are intravenous drug users (IVDU) are increasing in number, and mostly are on both antiretroviral therapy (ART) and methadone maintenance therapy (MMT). In Indonesia, PLWHA and IVDU are more easily infected with tuberculosis (TB) and/or viral hepatitis. Co-infections and drug interaction may negatively affect their adherence to ART. Goal: To observe ART adherence among IVDU who were on MMT with PLWHA with/without co-infections (TB and/or viral hepatitis). Method: Thirty-four PLWHA who were IVDU from kios Atma Jaya and Tambora public primary health care participated in this cross-sectional study from October to December 2012. They filled out questionnaires on demographic data, previous viral hepatitis and TB infection, ART & MMT data, and adherence to ART by self report. Results: Group 1: 20 (58.8%) respondents were/had been co infected with TB/viral hepatitis (9 respondents had finished TB treatment, 6 respondents were on TB treatment, 5 respondents had untreated viral hepatitis only). Group 2: 14 (41.2%) respondents had never been co-infected with TB/ viral hepatitis. We found that nine respondents in group 1 (45%) and six respondents in group 2 (42,9%) adhered optimally to ART. Six (66,7%) respondents who had finished TB treatment, one respondent (16,7%) who were on TB drugs, and two respondents (40%) who had untreated viral hepatitis, adhered optimally to ART. Conclusions: Less than 50% respondents adhered optimally to ART. Respondents who had optimal ART adherence among those who had finished TB treatment, who were on TB drugs, and who had untreated viral hepatitis were 66.7%, 16.7%, and 40%.

The Relationship Between Smoking Status And Diabetic Foot Severity Nadhea Debrinita Surya; Jonny Setiawan; Rensa
Sriwijaya Journal of Medicine Vol. 3 No. 3 (2020): Vol 3, No 3, 2020
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i3.79

The Association Between Smoking Status and Severity Degree of Diabetic Foot. Diabetes mellitus is a chronic metabolic disease which happens to be the 7th leading cause of death worldwide. In Indonesia, 6.9% of population aged  15 years old suffers from this disease. Diabetic foot is one of the complication of diabetes mellitus which has high mortality and morbidity level. Smoking is an addictive behavior that is really common in Indonesia. Components inside a cigarette, such as nicotine, can contribute in determining the prognosis of diabetic foot through various mechanism. This study aims to investigate the association between smoking status and the severity degree of diabetic foot. This study is an observational analytic study using a cross-sectional approach. Data collection was conducted on January 2019 until July 2019 in RSUK Pesanggrahan and Atma Jaya Hospital Jakarta. The research data was obtained through interviews with diabetic foot patients and medical record reading. Data was analyzed using the chi-square method. There were 40 patients eligible to be the subject of this study. The smoker status with the most distribution was moderate smoker (27.5%) and severity degree of diabetic foot with most distribution was Wagner 3 (25%). Bivariate analysis showed that there was a significant association between smoking status and severity degree of diabetic foot (p < 0.001). In conclusion, there is a significant association between smoking status and the severity degree of diabetic foot. Therefore, education regarding the importance of smoking cessation to diabetic foot patients should be done in order to improve the prognosis of diabetic foot patients.

Determinant Factors of Cognitive Frailty in Elderly Patients Santoso, Valencia; Rensa, Rensa
Jurnal Penyakit Dalam Indonesia Vol. 9, No. 4
Publisher : UI Scholars Hub

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

Introduction. Physical frailty and cognitive impairment have a strong relationship and there are differences in factors associated with cognitive frailty. This research aimed to determine the prevalence of cognitive frailty and identify factors associated with cognitive frailty in the elderly population in hospital polyclinic. Methods. A cross-sectional study with secondary data on patients aged ≥60 years in the Internal Medicine Polyclinic of Atma Jaya Hospital, Jakarta, from May 2020 to May 2021. The independent variables of this study were age, cardiovascular disease, type 2 diabetes mellitus, dyslipidemia, risk of malnutrition, risk of depression, and functional status. The alternative criteria by Won et al. were used to classify cognitive frailt. Bivariate analysis (chi-square test) and multivariate analysis (logistic regression) were performed using SPSS program. Results. There were 343 subjects with a median age of 66 years, 35% had cardiovascular disease, 5.2% had a high risk of malnutrition, 9.3% had depressive symptoms, 20.4% had a low functional status (ADL-Barthel index), 55.7% were diagnosed with type 2 diabetes mellitus, and 36.4% were diagnosed with dyslipidemia. The prevalence of subjects with cognitive frailty is 1.2% and 98.8% without cognitive frailty. The determinant factor of cognitive frailty is the presence of cardiovascular disease [OR 10.17 (95% CI 0.97-106.54); p=0.05]. Conclusions. Prevalence of cognitive frailty in elderly outpatients is 1.2%. The determinant factor of cognitive frailty is cardiovascular disease.

Hubungan Hipertensi dan Depresi dengan Kualitas Hidup Pralansia dengan HIV Loviana, Bernadetta Belvania; Astri Parawita Ayu; Rensa; Alius Cahyadi
Bahasa Indonesia Vol 23 No 2 (2024): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v23i2.5064

Latar Belakang: Efektivitas pengobatan ARV membuat angka harapan hidup pada orang dengan HIV bertambah, sehingga populasi lansia dengan HIV akan terus meningkat. Inflamasi kronis HIV dapat merusak jaringan tubuh sehingga meningkatkan risiko penyakit fisik seperti hipertensi. Paparan HIV juga meningkatkan risiko terjadinya gangguan kesehatan mental seperti depresi. Penelitian ini mengevaluasi hubungan hipertensi dan depresi dengan kualitas hidup khususnya pada pralansia dengan HIV untuk menjadi bahan pertimbangan dalam merekomendasikan penaganan peningkatan kualitas hidup saat memasuki fase lansia. Metode: Penelitian ini merupakan studi crossectional terhadap 161 pralansia dengan HIV yang didampingi oleh beberapa yayasan ODHIV di DKI-Jakarta. Kriteria inklusi ialah ODHIV yang telah terdiagnosis dokter, menjalani ARV, berusia 45-59 tahun, dan menyetujui lembar informed consent. Kriteria eksklusi ialah dalam kondisi AIDS dan buta huruf. Alat ukur yang digunakan adalah sphygmomanometer, PHQ-9 dan WHOQOL-HIV BREF. Analisis data dilakukan dengan uji Mann-Whitney U dan uji Kruskal-Wallis. Hasil: Sebagian besar partisipan mengalami hipertensi (52,5%) dan depresi (51,6%). Tidak ditemukan hubungan yang bermakna antara hipertensi dengan keseluruhan domain kualitas hidup (p>0,05). Terdapat hubungan yang bermakna antara depresi dengan keseluruhan domain kualitas hidup antara lain domain hubungan sosial (p=0,028), lingkungan (p=0,006), kesehatan fisik, kesehatan psikologis, tingkat kemandirian dan spiritual (p<0,001). Simpulan: Proporsi hipertensi dan depresi pada pralansia dengan HIV cukup banyak ditemukan. Hipertensi tidak berhubungan dengan kualitas hidup pralansia dengan HIV, sedangkan depresi berhubungan dengan kualitas hidup pralansia dengan HIV.

RELATIONSHIP BETWEEN OVERWEIGHT AND OBESITY WITH LOWER URINARY TRACT SYMPTOMS (LUTS) DUE TO BENIGN PROSTATIC HYPERLASIA IN PRE-ELDERLY A PRELIMINARY STUDY Rusli, Bryant Agustino; Prihadi, Johannes Cansius; Rensa; Laurentius Aswin Pramono
Indonesian Journal of Urology Vol 30 No 3 (2023)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v30i3.778

ABSTRACT Objective: The purpose of this study is to find the relation between overweight and obesity with lower urinary tract symptoms due to benign prostatic hyperplasia in pre-elderly. Material & Methods: This analytical study was conducted in a cross sectional manner to 113 respondents. LUTS assessment uses the International Prostate Symptoms Score questionnaire. Measurements for overweight and obesity, this study uses the BMI and waist circumference methods. Fisher's exact test with SPSS v.25 was used for data analysis. Results: Results from data analysis showed that there was no significant relationship between overweight and obesity based on the BMI method on LUTS, p = 0.122. The results also showed a significant relationship between central obesity and LUTS, p = 0.003. Conclusion: Central obesity can be identified as a risk factor for LUTS while overweight and obesity based on the BMI method cannot be considered as a risk factor. These results can be used as education for pre-elderly to reduce the risk of LUTS due to BPH. Keywords: Overweight, obesity, lower urinary tract symptoms, benign prostatic hyperplasia, pre-elderly.

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