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All Journal Sriwijaya Journal of Neurology Sriwijaya Journal of Otorhinolaryngology
Brian Edgar Wicaksana
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Neuroscience Public Health

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Oral Health Status and its Association with Disease Severity in Parkinson's Disease: A Longitudinal Study in Semarang, Indonesia Husin Sastranagara; Syaifudin Syaifudin; Tan Kiew Lee; Nurul Hanifah; Brian Edgar Wicaksana
Sriwijaya Journal of Neurology Vol. 3 No. 1 (2025): Sriwijaya Journal of Neurology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjn.v2i2.171

Abstract

Introduction: Parkinson's disease (PD) is a neurodegenerative disorder that affects motor and non-motor functions, including oral health. This longitudinal study aimed to investigate the oral health status of PD patients in Semarang, Indonesia, and its association with disease severity over time. Methods: A cohort of 100 PD patients diagnosed according to the UK Parkinson's Disease Society Brain Bank criteria were recruited from the Neurology Clinic of Private Hospital, Semarang. Oral health assessments, including Decayed, Missing, and Filled Teeth (DMFT) index, periodontal status, and oral hygiene habits, were conducted at baseline and annually for three years. Disease severity was assessed using the Hoehn and Yahr (H&Y) scale and the Unified Parkinson's Disease Rating Scale (UPDRS). Data were analyzed using descriptive statistics, correlation analysis, and regression models. Results: The majority of PD patients exhibited poor oral hygiene and a high prevalence of dental caries and periodontal disease. DMFT scores and periodontal indices worsened significantly over the three-year follow-up period. Disease severity, as measured by H&Y stage and UPDRS scores, was significantly correlated with poorer oral health status. Regression analysis revealed that higher UPDRS scores at baseline predicted a more rapid decline in oral health over time. Conclusion: PD patients in Semarang, Indonesia, experience significant oral health challenges that are associated with disease severity and progression. These findings highlight the need for integrated oral healthcare in the management of PD to improve patients' overall quality of life.
The Influence of Traditional Indonesian Practices (Jamu) on the Prevention and Management of Common Otorhinolaryngology Complaints: A Mixed-Methods Study Fifia Ardinanti; Brian Edgar Wicaksana; Rizki Ayu; Mohammad Arfin; Abd El Nasser
Sriwijaya Journal of Otorhinolaryngology Vol. 2 No. 2 (2024): Sriwijaya Journal of Otorhinolaryngology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjorl.v3i1.189

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Introduction: In Indonesia, jamu (traditional herbal medicine) is culturally significant for health maintenance, including managing common ear, nose, and throat (ENT) complaints. This study explored the influence of jamu on the prevention and management of these complaints by examining patient beliefs, usage patterns, perceived outcomes, and associations with conventional healthcare-seeking. Methods: A mixed-methods sequential explanatory design was used. A cross-sectional survey of 1200 Indonesian adults assessed demographics, ENT complaint prevalence, jamu use (type, frequency, perceived effectiveness), and healthcare seeking. Subsequently, semi-structured interviews were conducted with 30 survey participants who regularly used jamu for ENT issues to explore their beliefs and experiences. Quantitative data were analyzed using descriptive statistics, chi-square tests, and logistic regression. Qualitative data underwent thematic analysis. Results: Survey data showed 68.5% experienced ENT complaints in the past year, with sore throat (42.3%), cough (38.7%), and nasal congestion (31.2%) most common. Among them, 53.2% used jamu, primarily turmeric-based for sore throat and ginger-based for cough and congestion. Regular jamu use was associated with perceived symptom relief (p < 0.001) but also with a higher likelihood of delaying conventional care for persistent symptoms (OR = 1.85). Interviews revealed strong cultural beliefs in jamu's efficacy and safety for mild ENT issues, often used as a first-line treatment due to its natural origin, fewer perceived side effects, and affordability. However, some acknowledged its limitations for severe conditions. Conclusion: Jamu plays a significant role in managing common ENT complaints in Indonesia, driven by strong cultural beliefs and perceived benefits. While users report symptom relief, delayed access to conventional care for serious conditions is a potential concern. Further research is needed to scientifically evaluate specific jamu formulations and develop integrated usage guidelines in Indonesia.
Co-Authors Abd El Nasser Fifia Ardinanti Husin Sastranagara Mohammad Arfin Nurul Hanifah Rizki Ayu Syaifudin Tan Kiew Lee