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Impact of BMI on Knee Osteoarthritis WOMAC Severity in Adults: A Cross-Sectional Study Rajanagara, Arya Satya; Amru, Basra Ahmad; Putra, Aditya; Djajawiguna, Hafidz Naeriansyah; Iqra, Mohammad Alief; Shafira, Syifa; Putra, ⁠I Putu Wirasatya Eka; Mangun, Dhea JRN
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 2 (2025): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.2 (2025)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i2.992

Abstract

Background: Knee osteoarthritis (OA) is a degenerative joint disease that most often causes pain and disability in adults and the elderly. Risk factors for OA progression include age, gender, physical activity, and body mass index (BMI). Increased BMI is known to contribute to increased mechanical load on the knee joint and trigger inflammation, which can exacerbate OA severity. Objective: To assess the relationship between body mass index (BMI) and the severity of knee osteoarthritis in adult patients. Methods: This is a cross-sectional analytical study conducted at Rheumatology Clinic of Dr. Soetomo General Hospital, Surabaya, in 2019. A total of 42 patients diagnosed with knee OA who met the inclusion and exclusion criteria were enrolled. OA severity was assessed using the WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) score, while BMI was calculated based on WHO standards and categorized into normal and high (overweight/obese). Analysis of the relationship between BMI and the severity of OA was carried out using the Fisher's Exact Test, with a p value < 0.05 considered significant. Results: Most patients with normal BMI had moderate-severe OA (77.8%), while patients with high BMI were more likely to have very severe OA (58.3%). Fisher's Exact Test showed a significant association between BMI and OA severity (p = 0.0285). Patients with high BMI were more likely to have very severe OA compared to patients with normal BMI (OR ? 4.9; 95% CI ? 1.1–21.5). Conclusion: There was a significant association between increasing BMI and the severity of knee osteoarthritis. These findings emphasize the importance of weight control as part of the prevention and management strategy for knee OA in adult patients.
Pengembangan Limbah Tulang Ikan Bandeng menjadi Tepung Bergizi dalam Mendukung Ketahanan Pangan Putra, Aditya; Ferial, Linardita; Assyfa, Diva Putri
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 2 (2026)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v7i2.15806

Abstract

Ketahanan pangan menjadi salah satu aspek penting dalam pembangunan berkelanjutan dengan memproduksi ikan bandeng yang tinggi menghasilkan limbah tulang ikan, dimana tulang ikan mengandung nutrisi penting seperti kalsium, fosfor, dan protein yang berpotensi diolah menjadi produk bernilai tambah, salah satunya adalah tepung tulang ikan. Tujuan dari dilaksanakannya pengabdian ini yaitu mengembangkan teknologi pengolahan limbah tulang ikan bandeng menjadi tepung bergizi yang layak konsumsi. Kegiatan pengabdian ini dilaksanakan pada bulan Agustus 2025 dengan peserta nelayan dan petani di Desa Sawah Luhur, Kota Serang. Metode yang digunakan meliputi pelatihan dan penyuluhan mengenai teknik pengolahan limbah tulang ikan bandeng. Hasil pengabdian didapatkan proses pengolahan limbah tulang ikan bandeng meliputi pencucian, pengeringan, penggilingan, penyaringan, dan pengemasan yang menghasilkan tepung tulang dengan kandungan mineral tinggi, khususnya kalsium dan fosfor, yang bermanfaat untuk meningkatkan nilai gizi produk pangan. Peningkatan signifikan pada nilai post-test dan kemampuan praktik menunjukkan kesiapan peserta untuk menerapkan teknologi ini secara mandiri, yang berkontribusi pada pengembangan usaha dan ketahanan pangan di masyarakat. Disarankan untuk melakukan penelitian lebih lanjut mengenai metode pengolahan yang lebih efisien dan ramah lingkungan, pengembangan varian produk olahan yang lebih beragam
The rise of reformist strongman: statutory executive aggrandizement and performative legitimacy in decentralized Indonesia Putra, Aditya; Farid, Muh.; Akbar, Muh.; Unde, Andi Alimuddin
Otoritas : Jurnal Ilmu Pemerintahan Vol. 16 No. 1 (2026): April 2026
Publisher : Department of Government Studies, Universitas Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/ojip.v16i1.20316

Abstract

This study examines a key paradox in decentralization in Southeast Asia: the emergence of strong local figures who drive policy innovation while simultaneously consolidating executive power. Focusing on the city of Parepare, Indonesia, during the 2018–2023 period, this study addresses the urgent need to explain how decentralized governance can simultaneously enable reform while undermining democratic accountability. Based on qualitative case studies, this article introduces the concept of the mayor’s entrepreneurial mechanism, understood as a form of sequential entrepreneurship in which a mayor moves from narrative framing toward policy institutionalization. Findings show that this mechanism operates through the expansion of executive power based on legislation, where the autonomy mandate is used to centralize administrative authority, as well as through political co-optation that neutralizes legislative oversight. This study contributes to the governance and decentralization literature by demonstrating that reformist executive dominance may accelerate local development, yet also erodes the system of checks and balances. This tension raises critical concerns regarding the democratic sustainability of decentralized governance in Indonesia and the broader region.