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Kegiatan Pengabdian Masyarakat dalam Rangka Edukasi Masyarakat mengenai Hiperlipidemia serta Deteksi Dini Hiperlipidemia dan Kaitannya dengan Kejadian Obesitas Robert Kosasih; Alexander Halim Santoso; Dean Ascha Wijaya; Fernando Nathaniel; Joshua Kurniawan; Hans Sugiarto; Margaretha Pramesthi Utari; Ribka Anggelline Hariesti Sitorus; Melkior Michael Fransisco
JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA Vol. 5 No. 2 (2023): Desember : Jurnal Pengabdian Kepada Masyarakat Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/pkmsisthana.v5i2.745

Hyperlipidemia is a metabolic disorder that indicates an increase in lipid levels in the body. Obesity, particularly central obesity, is correlated with hyperlipidemia and metabolic syndrome. Complications of hyperlipidemia such as coronary artery disease, type 2 diabetes, and high blood pressure can be fatal if left untreated. Education and early detection of hyperlipidemia are crucial to prevent serious complications and maintain good health. This community service involved 50 elderly at Santa Anna Elderly Care Facility. All respondents participated in a series of activities, including education through posters, physical examinations, and diagnostic tests. Results of the diagnostic tests indicated 2 respondents had LDL levels ? 135 mg/dL, 6 respondents had HDL levels < 40 mg/dL, and 12 respondents had total cholesterol levels ? 200 mg/dL. The results of the education activities are expected to increase public awareness, all of which can reduce the overall healthcare burden when applied correctly and properly.

Upaya Meningkatkan Kesadaran Masyarakat terhadap Hipertensi dan Pencegahannya pada Komunitas Lanjut Usia Alexander Halim Santoso; Triyana Sari; Joshua Kurniawan; Fernando Nathaniel; Brian Albert Gaofman; Geoffrey Christian Lo; I Made Satya Pramana Jaya
JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA Vol. 5 No. 2 (2023): Desember : Jurnal Pengabdian Kepada Masyarakat Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/pkmsisthana.v5i2.827

World Health Organization (WHO) approximates 1.28 billion individual suffers hypertension, with 46% of them does not realize it, and only 1 of 5 hypertensive individual has their blood pressure controlled. Hypertension prevalence is still relatively high in the elderly population who live in nursing home. This is one of the main health adversities that often happens and should not be underestimated due to its risk of complications. Uncontrolled blood pressure is one of the main risk factor to the global disease burden and total of global death, contributing up to 9,4 millions of deaths (8,5% of the global total) annually. This activity aims to increase the knowledge of the community about hypertension in elderly who lives in nursing home to increase the quality of life and reducing the cost burden of therapies and treatments. We use PDCA activity method to ensure the program could run smoothly and efficiently. This activity included 34 elderly respondents of the St Fransiscus Community with the mean age of 4 (11,8%) years. We found that 4 (11,8%) of the respondents have uncontrolled blood pressure. With the implementation of this program, it is hoped that the public awareness of elderly hypertension and its prevention is increased, so that there will be increase of quality of life for the elderly in the future and relieving the economical burden.

Kegiatan Skrining Indeks Massa Tubuh, Lingkar Pinggang, Dan Lingkar Pinggul Pada Usia Produktif Sebagai Deteksi Dini Obesitas Dan Komplikasi Terkait Obesitas Di Sekolah SMP Kalam Kudus Ernawati Ernawati; Joshua Kurniawan; Gunaidi, Farell Christian; Fernando Nathaniel; Ranindita Maulya Ismah Amimah; Raden Seliwat Agung Aditya
Perigel: Jurnal Penyuluhan Masyarakat Indonesia Vol. 3 No. 2 (2024): Juni: Perigel: Jurnal Penyuluhan Masyarakat Indonesia
Publisher : Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/perigel.v3i2.1711

Obesity, characterised by excessive or abnormal fat accumulation, poses significant health risks. The prevalence of obesity in Indonesia's adult population increased from 14.8% in 2013 to 21.8% in 2018, with central obesity rising from 26.6% to 31%. Contributing factors include genetics, lifestyle, psychological stress, and socioeconomic status. Although the Body Mass Index (BMI) is a standard measurement for assessing obesity, BMI does not accurately reflect the composition or distribution of body fat. Therefore, additional anthropometric measurements such as waist and hip circumference are essential. This activity uses the PDCA (Plan-Do-Check-Action) methodology to screen for obesity in adults at Kalam Kudus Middle School, West Jakarta. Of the 129 participants, 26 people (20.16%) were overweight and 35 people (27.14%) were obese. Waist circumference indicated central obesity in 61 women (47.29%) and 19 men (14.73%). Hip circumference showed that 9 men and women (6.98%) had a high risk of metabolic disease. Anthropometric measurements provide important insights into obesity and its health implications, emphasising the need for regular screening and lifestyle modification.

Mechanical Ventilation Management for Aneurysmal Subarachnoid Hemorrhage in ICU Settings: A Literature Review Jacoeb, Joseph Ivan; Bernadus Realino Harjanto; Tommy Nugroho Tanumihardja; Joshua Kurniawan; William Gilbert Satyanegara
Journal of Anesthesiology and Clinical Research Vol. 4 No. 2 (2023): Journal of Anesthesiology and Clinical Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/jacr.v4i2.394

Aneurysmal Subarachnoid Hemorrhage (aSAH) is one of the challenging neurologic emergencies with a high mortality rate along with various permanent disabilities. In order to provide the patient with the most appropriate and accurate treatment, as well as to prevent further complications, a multidiscipline approach is required. This study aimed to review the various mechanisms, indications, management, and sedation of mechanical ventilation in aSAH, along with a review of prone positioning and acute respiratory distress management in aSAH. Although the main injured organ is the brain, aSAH also affects the respiratory system through various mechanisms. The usage of mechanical ventilation plays an important part in brain oxygenation and perfusion and helps prevent related complications. Levels of oxygen and carbon dioxide in the blood might play some roles in aSAH patients. No significant difference was found in using various sedative regimens. Prone positioning is indeed beneficial for the oxygenation of aSAH patients, provided that continuous monitoring is done. Blood glucose and calcium levels might be able to help predict the outcome of aSAH patients. Mechanical ventilation plays an important part in aSAH management. Clinicians must be aware of the impact of mechanical ventilation on neurological organs and the cardiopulmonary system. Balancing between oxygenation, ventilation, and sedation must be in line with aSAH condition. Several prognostic factors and tools can help predict aSAH mortality that might be able to help the clinician tailor aSAH management to their patient's needs.

Kegiatan Pengukuran Antropometri Pada Populasi Lanjut Usia Sebagai Deteksi Dini Obesitas Dan Komplikasi Terkait Obesitas Robert Kosasih; Naufal Rayhan; Brian Albert Gaofman; Joshua Kurniawan; Fernando Nathaniel; Alexander Halim Santosa
Sejahtera: Jurnal Inspirasi Mengabdi Untuk Negeri Vol. 3 No. 2 (2024): Sejahtera : Jurnal Inspirasi Mengabdi Untuk Negeri
Publisher : Universitas Maritim AMNI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58192/sejahtera.v3i2.2163

Obesity, characterized by excessive accumulation of body fat, increases susceptibility to chronic disease and adversely impacts overall quality of life. Elderly people often exhibit higher fat mass and lower muscle mass and bone density, influenced by reduced physical activity, hormonal changes, and metabolic adjustments. Visceral fat accumulation is of particular concern because of its association with metabolic syndrome, insulin resistance, diabetes, hypertension, and cardiovascular disease. This activity uses the PDCA (Plan-Do-Check-Act) framework to screen for obesity in the elderly using Body Mass Index (BMI) and waist circumference measurements. Activities were held at St. Fransiskus Assisi, Jakarta involving 36 participants. The study revealed that 16 participants (44.5%) and 30 people (83.3%) were obese and centrally obese, respectively. Early detection and intervention through anthropometric measurements are very important in managing health risks related to obesity in the elderly, so as to improve their quality of life and reduce morbidity and mortality.

Pengaruh Kadar High Density Lipoprotein (HDL) dan Usia terhadap Kejadian Peripheral Arterial Disease (PAD) Daniel Ruslim; Edwin Destra; Joshua Kurniawan; Yohanes Firmansyah
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 3 (2023): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i3.2059

Peripheral arterial disease is a disease that will cause circulatory problem, causing reduction of blood flow inside the artery. This disease approximately has by 6.5 million people above 40 years of age in the United State, and is expected to double with each decade. There are many risk factors for this disease, which includes dyslipidemia and age. High-density lipoprotein (HDL) is one of the lipid component that affects dyslipidemia. This study aims to find out the effects of HDL and age to peripheral arterial disease incidence. The study was done in Yayasan Kalam Kudus, Jakarta on 02 June 2023, with the sample of people aged 18-60 years old, with non-randomized consecutive sampling method. The exclusion criteria on this study are respondents who refused to participate in the study, respondents who are amputated, respondents who has ulcer on the foot, and respondents with ankle-branchial index (ABI) above 1,3. The analysis done in this study are descriptive analysis as in proportion and distribution of centralized data, and analytic analysis using independent T-test and Mann Whitney test as an alternative test, with significance value of 5% (p-value = <0.05). Normality test was done before statistical analysis. From the study, we found out that age is significant role statistically in the incidence of peripheral arterial disease (p-value: 0.028), but levels of HDL are not statistically significant with the incidence of peripheral arterial disease (p-value: 0.084).

Hubungan Tekanan Darah yang Tidak Terkontrol dengan Kejadian Gangguan Kognitif pada Lansia Yuwono Yuwono; Fernando Nathaniel; Joshua Kurniawan; Noer Saelan Tadjudin
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v1i3.2160

Hypertension is one of the cardiovascular disease, defined by World Health Organization as blood pressure ≥140/90 mmHg. The high prevalence of hypertension has always been a problem globally. This disease could cause many complications, including cerebrovascular disease, and often associated with cognitive impairment. This study is done to find out the relation between uncontrolled blood pressure and cognitive impairment in geriatric people. This study is an observational analytic study with cross-sectional design. Samples are geriatric people with minimum of 60 years of age in Sasana Tresna Werda RIA Pembangunan in January 2019. Sample was taken with total sampling method. The hypertension criteria in study is previous history of hypertension or blood pressure ≥140/90 mmHg. MMSE score interpretations are: (1) score of 25-30: normal cognitive function; (2) score of <21: indication of mild to severe cognitive impairment. Statistical analysis used in the study are Pearson Chi Square with Yates Correction, with alternative of Fischer Exact, with parameter of expected count of 5%. Significant relation expected in the study is 5%. The study found that there are no significant relation between history of hypertension with cognitive impairment in geriatric people in Sasana Tresna Werda RIA Pembangunan (p-value=0.098), but it is predicted that the group of geriatric people with history of hypertension has 27.7% more risk of getting cognitive impairment. However, the elderly group who have a history of hypertension has a proportion of 27.7% experiencing cognitive impairment.

Perbedaan Indeks Massa Tubuh pada Ibu Hamil dengan Preeklamsi Ringan, Berat, dan Eklamsi di Rumah Sakit Umum Daerah (RSUD) Ciawi Syamsu Rijal; Fernando Nathaniel; Dean Ascha Wijaya; Joshua Kurniawan
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v1i3.2182

Background: Preclampsia is a one of complication in pregnancy characterised by systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and proteinuria (≥300mg/24hours in urine; protein/creatinine ≥0.3; dipstick protein +1; and/or with additional symptoms. Eclampsia is a severe form of preeclampsia where the mother experiences seizures and/or coma. There are various risk factors for preeclampsia and eclampsia, one of which is the mother's body mass index (BMI). Excessive maternal weight before pregnancy, as well as excessive weight gain during pregnancy are at risk for preeclampsia. Methods: This study used medical records from the Ciawi General Hospital in 2020, and cross-sectional observational study was carried out. Pregnant women with eclampsia and preeclampsia were the study's population. This study used total sampling as its sampling method, and body mass index measurements were made using information from medical records. The Kruskall Wallis alternative test was utilized in place of the One Way Anova as the hypothesis test in this investigation. In this investigation, a 5% level of significance is expected. Results: This study involved 190 respondents who met the inclusion criteria. The statistical test results showed no significant difference in mean body mass index between the eclampsia, severe preeclampsia, and mild preeclampsia groups (P-value: 0.688). This difference is expected due to the small number of samples and/or the high variability of the samples. Conclusion: Based on the results of the study, there was no significant association between body mass index and mild, severe, and eclampsia. Further research should be conducted and developed for prevention and lifestyle intervention in preeclampsia.

Cross-Sectional Study of Efficacy, Effectiveness, and Safety of Combination Creams (Tretinoin 0.05%, Clindamycin 3%, and Dexamethasone 0.05%) Anti-Acne – An Online Study Tan, Sukmawati Tansil; Yohanes Firmansyah; Hendsun Hendsun; Alicia Sarijuwita; William Gilbert Satyanegara; Joshua Kurniawan; Dean Ascha Wijaya
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 4 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i4.956

Background: Acne vulgaris is a common skin condition that causes blackheads, whiteheads, and pimples. It is caused by a number of things, like too much oil, clogged pores, and inflammation. Topical combination creams are an alternative treatment for acne. They can help reduce inflammation, kill bacteria that cause acne, and stop the skin from making too much oil. Topical combination creams like retinoids, antibiotics, and steroids are all mixed together in a single cream or gel. This study talks about the effectiveness and side effects of using combination creams (tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05%) to treat acne in the short and long term (local and systemic). Methods: This study is a survey that was done at the Sukma clinic with data from 2022 patients who were diagnosed with acne vulgaris. The survey was done on Google Forms, which is a website. In this study, different factors were looked at, such as demographics, efficacy (like reducing acne severity, making the skin brighter, getting rid of blackheads on the face, getting rid of acne scars, improving skin texture, hiding scars, minimizing facial pores, getting rid of wrinkles and dark spots), local adverse events (like burning, itching, stinging, eruptive papules, hypopigmentation, hyperpigmentation, erythema, scaling, and other), and systemic adverse events. Results: The results of this study show that a combination of tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05% is very effective and has minimal side effects. Local symptoms only show up during the first week of taking the drug (the "sensitization phase"), and then they tend to get less common over time. The only exceptions are hyperpigmentation and hypopigmentation, which show up later because they are caused by healing acne lesions. Conclusion: There was no direct link between the use of anti-acne combination cream drugs and the number of systemic side effects. This is because the patient had often had this happen before (constipation, GERD, and others).

Cross-Sectional Study of Efficacy, Effectiveness, and Safety of Combination Creams (Tretinoin 0.05%, Clindamycin 3%, and Dexamethasone 0.05%) Anti-Acne – An Online Study Tan, Sukmawati Tansil; Yohanes Firmansyah; Hendsun Hendsun; Alicia Sarijuwita; William Gilbert Satyanegara; Joshua Kurniawan; Dean Ascha Wijaya
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 4 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i4.956

Background: Acne vulgaris is a common skin condition that causes blackheads, whiteheads, and pimples. It is caused by a number of things, like too much oil, clogged pores, and inflammation. Topical combination creams are an alternative treatment for acne. They can help reduce inflammation, kill bacteria that cause acne, and stop the skin from making too much oil. Topical combination creams like retinoids, antibiotics, and steroids are all mixed together in a single cream or gel. This study talks about the effectiveness and side effects of using combination creams (tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05%) to treat acne in the short and long term (local and systemic). Methods: This study is a survey that was done at the Sukma clinic with data from 2022 patients who were diagnosed with acne vulgaris. The survey was done on Google Forms, which is a website. In this study, different factors were looked at, such as demographics, efficacy (like reducing acne severity, making the skin brighter, getting rid of blackheads on the face, getting rid of acne scars, improving skin texture, hiding scars, minimizing facial pores, getting rid of wrinkles and dark spots), local adverse events (like burning, itching, stinging, eruptive papules, hypopigmentation, hyperpigmentation, erythema, scaling, and other), and systemic adverse events. Results: The results of this study show that a combination of tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05% is very effective and has minimal side effects. Local symptoms only show up during the first week of taking the drug (the "sensitization phase"), and then they tend to get less common over time. The only exceptions are hyperpigmentation and hypopigmentation, which show up later because they are caused by healing acne lesions. Conclusion: There was no direct link between the use of anti-acne combination cream drugs and the number of systemic side effects. This is because the patient had often had this happen before (constipation, GERD, and others).

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