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All Journal Global Health Management Journal Jurnal Teras Kesehatan Jurnal Sehat Indonesia (JUSINDO) Jurnal Pengabdian Masyarakat Bangsa
Rachmawan, Yogi Puji
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Journal : Global Health Management Journal

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The Quality of Life in Heart Failure Reduced Ejection Fraction (HFrEF) Patients: A Phenomenon of Obesity Paradox Rachmawan, Yogi Puji; Pratiwi, Witri; Helda, Helda
GHMJ (Global Health Management Journal) Vol. 8 No. 1 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-811151

Abstract

Background: Obesity place patients at risk of cardiovascular disease (CVD). There may be an inverse relationship between obesity and CVD prognosis-a phenomenon known as the “obesity paradox”. Obese HF patients might have a better prognosis, especially in terms of quality of life (QoL). Aims: The purpose of this study was to examine the QoL of HF patients based on obesity classification. Methods: This cross-sectional study was conducted at the HF clinic of Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia. Samples were HFrEF patients who had received medication at the HF clinic for at least 6 months and the patient must have received optimal guidelines directed medical therapy (GDMT) with at least 3 pillar drugs according to Indonesian heart failure guidelines. Inclusion criteria were HF patients with ejection fraction <40% on echocardiographic examination. Exclusion criteria were HF patients with motor impairments, such as post-stroke, severe osteoarthritis, paralysis, and patients who did not receive optimal GDMT. Results: A total of 40.3% sample were obese, 9.7% were underweight and 67.5% had central obesity. Coronary artery disease (89.6%), smoking (67.5%) and hypertension (49.4%) were the most common comorbidities and risk factors found. About 12.3% of sample experienced rehospitalization 3 times a year. Based on Kansas City Cardiomyopathy Questionnaire (KCCQ)-12, about 3.2% of the sample had poor QoL, 55.8% had good QoL and 9.7% had excellent QoL. HFrEF patients with excellent QoL had a proportion of 66.7% obese and 20% overweight. While there were no obese patients in HFrEF patients with poor QoL. The proportion of HFrEF patients with excellent QoL who had central obesity was 80%. Meanwhile, 65.1% of HFrEF patients with good QoL were obese. Conclusion: Obese HF patients have better QoL outcomes. This phenomenon is called obesity paradox. A good quality of life in HF patients is an important goal of HF management in addition to reducing mortality.   Received: 02 December 2024 | Reviewed: 17 December 2024 | Revised: 24 December 2024 | Accepted: 10 January 2025.
The Features of Children with Tuberculosis at Sidawangi Pulmonary Hospital in Indonesia: Interactions within the Home as a Potential Transmission Risk Pratiwi, Witri; Toipah, Iip; Rachmawan, Yogi Puji; Reki, Winarto
GHMJ (Global Health Management Journal) Vol. 8 No. 1 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-811203

Abstract

Background: Tuberculosis (TB) is an infectious disease that can infect children. The prevalence of pediatric TB in Indonesia has increased in recent years, causing a major burden on children's health. Aims: To determine the characteristics of pediatric TB patients at Sidawangi Pulmonary Hospital, West Java Province, Indonesia. Methods: A cross-sectional study was conducted at Sidawangi Pulmonary Hospital, West Java Province, Indonesia. The samples were new cases of pediatric TB from January 2020 to July 2023. Data were collected and analyzed from outpatient and inpatient medical records. Logistic regression was used to analyze the association between age and household contact. Results: There were 190 pediatric TB patients collected during the study period. Most of them were less than 5 years old (37.9%). The proportion of male and female was almost same. Most pediatric TB patients had household contacts (73.7%), especially those <1 year old. TB patients aged <1 year had an AOR of 31.94 (95%CI 3.8­­­–268.35) for household contact compared to those aged 10-17 years. Conclusion: Pediatric TB patients at Sidawangi Pulmonary Hospital are mostly less than 5 years old. Compared to older age groups, pediatric TB patients aged <1 year had the highest proportion of household contacts. The government needs to pay attention to the risk of TB transmission to children through household contact, especially in younger children. Received: 27 January 2025 | Reviewed: 11 February 2025 | Revised: 22 February 2025 | Accepted: 23 February 2025.
Co-Authors Helda Helda Reki, Winarto Toipah, Iip Witri Pratiwi