Claim Missing Document
Check
Articles

Found 4 Documents
Search

The Age as a Risk Factor for Advanced Stage in Cervical Cancer Patients at RSUPN Cipto Mangunkusumo 2019-2022: A Retrospective Multivariate Study Kusuma, Fitriyadi; Suryoadji, Kemal Akbar; Purwoto, Gatot; Wulandari, Anisa Saphira; Soloan, Garry; Sini, Kieran Pasha Ivan; Utami, Tofan Widya; Anggaraeni, Tricia Dewi; Putra, Andi Darma; Nuryanto, Kartiwa Hadi; Winarto, Hariyono
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 1 January 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i1.2366

Abstract

Abstract Introduction: In 2020, cervical cancer ranked as the fourth most common cancer in women globally, with an incidence of 604,000 cases. In Indonesia, cervical cancer holds the second position among the most prevalent cancers in women. This study aims to evaluate the relationship between age and the occurrence of advanced-stage cervical cancer as a step towards effective prevention, early detection, and management. Methods: This research adopts a retrospective study design based on the Cancer Registration database of RSUPN Cipto Mangunkusumo, focusing on cervical cancer patients from 2019 to 2022. Multivariate analysis was conducted with age as the primary independent variable, considering parity and employment status in the analysis. The FIGO classification of cervical cancer stages was used to categorize patients into early and advanced stages. Results: Out of 512 cervical cancer cases, 492 were included in this study. The distribution of cervical cancer stages and the age distribution of patients is depicted in Figure 1 and Figure 2. The analysis of the relationship between cervical cancer stage, age, parity, and employment status is presented in Table 2. The association between age and cervical cancer stage is statistically significant (p<0.05) with an odds ratio of 2.13, particularly in individuals aged >54 years. Conclusion: Age over 54 years is a significant risk factor for advanced-stage cervical cancer. Although there is no significant association with parity and employment history, these findings support preventive and early detection efforts in the older population. Increased screening programs and education are expected to reduce cases of advanced-stage cervical cancer in the future.
POTENSI PENGGUNAAN SMARTWATCH SEBAGAI ALAT PEMBERI UMPAN BALIK RESUSITASI JANTUNG PARU: SEBUAH KAJIAN SISTEMATIS Dirjayanto, Valerie Josephine; Soloan, Garry; Duindrahajeng, Bernadine Gracia
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 10 No 1 (2023): JIMKI (Jurnal Ilmiah Mahasiswa Kedokteran Indonesia) Volume 10 Nomor 1 Periode M
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.v10i1.514

Abstract

Introduction: Cardiac arrest is the first cause of mortality, causing 50% of all cardiovascular deaths. Previous studies have documented the potency of electronic devices such as smartwatch in increasing the quality of cardiopulmonary resuscitation (CPR). Thus, this review is made in order to evaluate the utility of smartwatches in increasing the quality of various CPR parameters. Methods: This review follows PRISMA guidelines, searching for studies from databases such as PubMed, Cochrane, Science Direct, Wiley Online Library, Scopus, and Google Scholar that evaluate the utility of smartwatches in increasing parameters of CPR quality, including depth or frequency, in adults and pediatric population. Quality of studies are assessed with Revised Cochrane Risk of Bias Tool for Randomized Trials (RoB) 2.0. Results and Discussion: Smartwatches are proven effective in guiding CPR both during in-hospital cardiac arrest (IHCA) and more so in out-of-hospital cardiac arrest (OHCA). Smartwatch can increase both the accuracy of frequency and depth of chest compressions significantly. In pediatric population, regardless of expertise of helper, smartwatches can help in achieving high quality CPR. Feedback feature from smartwatches can prevent over- and underventilation. With increase of confidence of helper in reducing patient injury, smartwatch is also potential for maintaining CPR quality, resulting in better patient survival. Conclusion: This review shows the effectiveness of smartwatches as CPR feedback devices that can increase quality, both in terms of depth and frequency. Further clinical studies are encouraged with greater samples to strengthen evidence.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEHAMILAN PASIEN HIPERPLASIA DAN KANKER ENDOMETRIUM: TINJAUAN SISTEMATIS DAN META-ANALISIS Kusuma, Fitriyadi; Suryoadji, Kemal Akbar; Wulandari, Anisa Saphira; Binathara, Geraldus Sigap Gung; Soloan, Garry; Sini, Kieran Pasha Ivan; Purwoto, Gatot; Utami, Tofan Widya; Anggaraeni, Tricia Dewi; Putra, Andi Darma; Nuryanto, Kartiwa Hadi; Winarto, Hariyono
Jurnal Ilmiah Kesehatan Vol 23 No 03 (2024): Jurnal Ilmiah Kesehatan terbitan Desember Volume 23 Nomor 03 Tahun 2024
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikes.v23i03.3405

Abstract

Hiperplasia endometrium dan kanker endometrium adalah kondisi yang memengaruhi kesuburan wanita. Tujuan dari tinjauan sistematis dan meta-analisis ini adalah untuk mengevaluasi faktor-faktor yang berhubungan dengan tingkat kehamilan pada pasien dengan kondisi tersebut. Pencarian dilakukan di lima database utama: PubMed, Science Direct, Scopus, Embase, dan Cochrane Library. Dari 2.742 studi yang awalnya ditemukan, 7 studi memenuhi kriteria inklusi dan dianalisis lebih lanjut. Meta-analisis dilakukan untuk mengevaluasi efek terapi kombinasi Levonorgestrel-Releasing Intrauterine System (LNG-IUS) dengan progestin dan pengaruh indeks massa tubuh (BMI) terhadap tingkat kehamilan. Analisis gabungan dari dua studi yang membandingkan kombinasi LNG-IUS dengan progestin terhadap LNG-IUS saja menghasilkan Odds Ratio (OR) sebesar 1,54 [95% CI: 0,74–3,24], tanpa signifikansi statistik (p = 0,25). Untuk BMI, gabungan dua studi memberikan Risk Ratio (RR) sebesar 1,40 [95% CI: 0,93–2,10], juga tidak signifikan (p = 0,11). Heterogenitas yang rendah (I² = 0%) pada analisis terapi dan sedang (I² = 53%) pada analisis BMI menunjukkan konsistensi antarstudi. Meskipun ada tren peningkatan angka kehamilan dengan terapi kombinasi LNG-IUS dan progestin serta BMI ≥ 25, hasil meta-analisis ini belum menunjukkan signifikansi statistik. Penelitian lebih lanjut diperlukan untuk memperjelas faktor-faktor yang berhubungan dengan kehamilan pada pasien dengan hiperplasia dan kanker endometrium.
Engaging Mothers and Community Health Workers: An Online Maternal and Children’s Health Education in Kampung Lio, Indonesia Aurelia, Shafira; Andini, Dheanita Nissrina; Soloan, Garry; Waladhiyaputri, Vahira; Friska, Dewi
ASEAN Journal of Community Engagement Vol. 7, No. 1
Publisher : UI Scholars Hub

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

Abstract

To raise awareness and understanding of maternal and children’s health, a team from Faculty of Medicine, Universitas Indonesia, Indonesia, conducted a program called Tinggi Cerdas. It is a community development program in Kampung Lio, Depok, West Java. This article evaluates the impacts of activity related to the participant’s awareness and knowledge about maternal and children’s health. The program was developed and conducted as an online program due to the COVID-19 pandemic situation, from September to December 2021. The program was developed with four different topics through online communication, equipped with an educational booklet for the mothers and a PrimaKu® application for health workers. Such approaches were employed to provide the community with better health awareness and understanding, as well as an instrument for the health workers to monitor the condition of the participants. Community health workers (CHWs) were given a workshop about the application to help them in raising mothers’ awareness to monitor their children’s growth and development. To examine the impacts of the program, pre- and post-tests were used to evaluate the impact on the participants’ knowledge—the mothers’ and CHWs’. The result of the program’s assessment suggests that mothers’ knowledge and awareness about children’s and maternal health are improved, particularly when the application was also utilized by the CHWs in Kampung Lio. The participants are satisfied with the program, implying the program should be repeated. Despite the limitations, health education for mothers and CHWs could be carried out successfully. Insights and reflections are provided in this study to encourage readers to develop a more effective program in the future.