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All Journal Unram Journal of Community Service (UJCS) CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal Journal of Diverse Medical Research: Medicosphere Glosains: Jurnal Sains Global Indonesia
Laurentius Johan Ardian
Universitas Pembangunan Nasional Veteran Jawa Timur
Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences

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A Comprehensive Analysis of the Journey, Factors, and Challenges of HIV/AIDS from a Global Perspective: A Literature Review Marcela, Zevy; Ardian, Laurentius Johan
Journal of Diverse Medical Research: Medicosphere Vol. 2 No. 5 (2025): J Divers Med Res 2025
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v2i5.92

Abstract

Abstract Background. HIV/AIDS remains one of the most significant global health challenges, particularly in developing regions such as Africa and Southeast Asia. Despite significant advances in treatment and prevention, the epidemic continues to be fueled by complex interactions between mental health, socio-economic, cultural, and behavioral factors. Objective: The objective of this study is to explore and analyze the various factors that contribute to the ongoing spread of HIV/AIDS, with a specific focus on the role of mental health, socio-economic status, and cultural practices. Method. This study employed a comprehensive literature review approach, analyzing data from peer-reviewed journals, WHO reports, and national health statistics. The review included articles published between 2019 and 2024, sourced from databases such as PubMed and Google Scholar, with a focus on studies that address the intersection of mental health and HIV, as well as the socio- cultural dynamics influencing the epidemic. Discussion. The results indicate that poor mental health significantly elevates the risk of engaging in high- risk behaviors associated with HIV transmission. Additionally, socio- economic disparities and cultural practices, such as stigma and discrimination, continue to exacerbate the prevalence of HIV, particularly in vulnerable populations. Conclusion: The findings underscore the critical need for integrating mental health services into HIV prevention and treatment programs. Furthermore, addressing the socio-cultural determinants of health is essential for reducing the global burden of HIV/AIDS and achieving more effective control of the epidemic.
Implementing a Dual Screening Protocol for Diabetes and Frailty in a Community-Dwelling Older Adults Ardian, Laurentius Johan; Santoso, Aktaruddin Arief; Fahma, Hilmia; Gusyono, Anoraga Mona Cinta Gadis Cantika; Verbimanto, Satria Fudi
Unram Journal of Community Service Vol. 6 No. 3 (2025): September
Publisher : Pascasarjana Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ujcs.v6i3.1157

Abstract

Frailty, a significant geriatric syndrome, is a major complication of diabetes and is associated with adverse health outcomes. Indonesia, with its rapidly aging population, faces a substantial burden from these conditions. Community-based screening is essential for early detection and intervention. A community engagement program was conducted in Gunung Anyar District, Surabaya, involving 189 elderly participants. Simultaneous screenings for diabetes (via random blood glucose test) and frailty (using the validated FRAIL questionnaire) were performed. The study revealed a high dual burden of disease: 42.0% of participants had blood glucose levels indicative of diabetes, while 11.6% were classified as frail and 39.7% as pre-frail. About 30% of them were both unfit and poor glycemic control. This program demonstrates a high prevalence of diabetes and frailty among community-dwelling older adults in Surabaya, underscoring the urgent need for integrated geriatric care. The successful implementation of dual screening highlights the feasibility of incorporating these measures into primary care and the critical role of training community health workers to enable sustainable, early detection and management strategies.
Improving Diabetic Neuropathy Knowledge in an Urban Elderly Population: A Community-Based Intervention Study Ardian, Laurentius Johan; Santoso, Aktaruddin Arief; Fahma, Hilmia; Gusyono, Anoraga Mona Cinta Gadis Cantika; Verbimanto, Satria Fudi
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 2 (2025): October
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v6i2.308

Abstract

Background. As the global population ages quickly, older individuals are facing a rising burden of chronic diseases, particularly diabetes mellitus. In Indonesia, diabetes among the elderly poses a significant public health concern, often complicated by under-recognized conditions like diabetic neuropathy. Aim. This study aimed to assess the effectiveness of a community-based intervention focused on targeted health education on diabetic neuropathy among elderly residents in urban area. Methods. A pre- and post-test design was used to assess the intervention's effectiveness. In collaboration with local health cadres and facilities, participants completed identical questionnaires on diabetic neuropathy before and after the health education session to measure improvements in knowledge. Results. A total of 143 elderly participants (median age: 65 years) were enrolled, with 73.4% being female. Post-education test scores showed a statistically significant improvement compared to pre-test scores (p < 0.001, Wilcoxon test). Of the participants, 22.4% were newly identified as having diabetes, and another 22% fell into the prediabetes range. Despite some variations in learning outcomes, 84.6% showed improved scores, indicating high effectiveness of the health education session. Conclusion. This study demonstrates that a community-based approach combining early diabetes screening and health education significantly improves elderly participants' knowledge about diabetes and diabetic neuropathy.
The Role of Procalcitonin to Determine Infection in Diabetic Foot Ulcer: An Evidence-Based Case Report Ardian, Laurentius Johan
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 4 (2024): J Divers Med Res 2024
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i4.18

Abstract

Introduction: Early diagnosis infection in diabetic foot patients remains challenging. Several biomarkers have been used as a diagnostic tool, including procalcitonin. However, the performance of this examination is still questioning. Aim: This evidence-based case report aims to assess the performance of procalcitonin level to distinguish between infected and non-infected diabetic foot. Method: Literature searching was performed in Medline, Cochrane, EBSCO, Scopus, and also hand searching. Only articles with cuts off outcome were included. Result: Patients with diabetic ulcer infection has a higher procalcitonin level compare with those who did not have a disease. Several cuts off provide to diagnose infection in the diabetic ulcer. Uzun et al. found 0.08 and 0.1 as a cut off which performed good specificity and sensitivity. Conclusion: Procalcitonin helps us to distinguish non-infected and infected diabetic ulcers. The best cut-off value was 0.5 with the 54 % sensitivity and 100 % specificity.
A Comprehensive Review of Gastroesophageal Reflux Disease (GERD): Dynamic Mechanisms, Pathophysiology, Pharmacotherapeutic Management, and Psychosocial and Lifestyle Factors: A Literature Review Aura Cinta Jihada; Ardian, Laurentius Johan
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 1 (2024): J Divers Med Res 2024
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i1.51

Abstract

Abstact Background: Gastroesophageal Reflux Disease (GERD) is a complex gastrointestinal disorder affecting millions of people. This review discusses the dynamic mechanisms, pathophysiology, pharmacotherapy management, and psychosocial and lifestyle factors influencing GERD. The disease is characterized by acid reflux into the esophagus, causing symptoms such as chest pain, regurgitation, and difficulty swallowing. The management of GERD involves pharmacological therapy and lifestyle modifications. Psychosocial factors such as stress and anxiety exacerbate the symptoms. This review provides a comprehensive overview of GERD to assist healthcare professionals in delivering optimal care. Method: This study employed a literature review method to analyze various data related to Gastroesophageal Reflux Disease (GERD). Information was collected from several scientific databases, including Google Scholar, PubMed, Scopus, and ScienceDirect, using keywords relevant to the topic of GERD. Only articles meeting the inclusion criteria, such as being published within the last five years, providing an in-depth discussion on GERD, and written in English or Indonesian, were included in the review. Result: Gastroesophageal Reflux Disease (GERD) is a complex condition involving physiological, psychosocial, and lifestyle mechanisms. Its management requires a holistic approach that includes pharmacological therapy, lifestyle modifications, and stress management to reduce symptoms and improve patients' quality of life. Conclusion: Overall, Its management requires a holistic approach involving pharmacological therapy, lifestyle modifications, and stress management to alleviate symptoms and improve patients' quality of life. Psychosocial factors like stress and anxiety exacerbate symptoms, making it crucial to consider these aspects in treatment. By understanding the mechanisms, pathophysiology, and the impact of lifestyle factors on GERD, optimal care can be tailored to provide the greatest benefit to patients.
Dysmenorrhea on Mental Health, Quality of Life, and Its Factors among Women in Different Countries: A Literature Review Carissa Aulia Ramadhani Sutopo; Ardian, Laurentius Johan
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 3 (2024): J Divers Med Res 2024
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i3.54

Abstract

Background. Dysmenorrhea for many women is a burden in their lives. The high prevalence of dysmenorrhea among adolescents often receives less attention from the medical world because many consider that this dysmenorrhea is a normal thing even though doing activities during menstrual pain that comes every month makes women affected by dysmenorrhea feel disadvantaged because they cannot carry out their activities properly as usual. Taking time off is an option that helps relieve women who suffer from dysmenorrhea so that they can rest. In addition, sufferers usually do hot compresses and aromatherapy to relieve the pain. However, dysmenorrhea itself has not been confirmed so the treatment is still being developed today. Method. The journals were used by selecting a topic, then determining keywords to search for journals in English and conducting searches using several websites such as Google Scholar, Elsevier, and Taylor and Francis. Discussion. Considering that the prevalence of dysmenorrhea is quite high, it is really affecting a good percentage of young females, university students, through their regular academic, social, and psychological activities. Several underlying factors are there that determine its intensity, including hormonal imbalance, psychologic issues, endometriosis and adenomyosis, female genital mutilation, etc., cultural, and religious practices aggravating the intensity of menstrual pain. Yet, despite its impact, access to healthcare for many women is impeded by either financial constraints, lack of awareness, or societal normalization of pain, as was shown in Korea, where the utilization of healthcare for dysmenorrhea is poor. Further, the condition has several long-term implications, including possible implications for brain health and heightened levels of stress associated with premenstrual syndrome. Effective treatments include Dienogest and uterine artery embolization, which have relieved symptoms and improved quality of life, thus indicating the need for greater awareness, better access to care, and comprehensive management strategies. Conclusion. Dysmenorrhea is a disease that affects physically and mentally because it is usually caused by the menstrual period in every woman. Therefore, it is necessary to provide physical and mental treatment due to dysmenorrhea.
Stroke Prevention with Lifestyle Modification: A Literature Review Syafrizal, Raina Alexandriana Putri; Ardian, Laurentius Johan; Seto, Andreas Aryo Bayu
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 1 (2024): J Divers Med Res 2024
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i1.66

Abstract

Background : Stroke is one of the common caused of death in the world. Lifestyle modification is to prevent the stroke occurred and to reduce the risk of new stroke events. Method: method used is a literature review through international journals. Discussion : This literature review shows that there is a poor correlation between increased knowledge about stroke and changes in lifestyle behavior. Modification of risk factors is very important for primary and secondary stroke prevention. Long-term lifestyle modification is difficult to maintain and require comprehensive and individualized intervention. Increasing the understanding of stroke risk will prevent a significant number of strokes before they lead to death and disability. In this way, two major strategies could be applied: the high-risk strategy and the mass (population-based)strategy. The high-risk one deals with individuals with a higher risk of developing stroke and includes lifestyle changes (i.e., reduced salt and alcohol intake, physical activity, weight loss, smoking cessation, etc.) and pharmacological interventions (i.e BP and lipid lowering agents, antiplatelet medications, etc.). Conclusion: Lifestyle modifications should address not single but multiple cardiovascular risk factors to effectively reduce the risk of stroke. Lifestyle modifications on a personal level should include adequate physical activity, a healthy diet, the cessation of smoking and alcohol consumption, and stress reduction. Physical activities should be performed in a healthy environment without air pollution.
Sarcopenia Associated with Cognitive Frailty in Adults Diagnosed with Diabetes: Evidence from Primary Healthcare Centers Laurentius Johan Ardian; Fitria Kusuma Wardhani; Bisarda Kanira; Aura Cinta Jihada; Tia Maya Affrita
Glosains: Jurnal Sains Global Indonesia Vol. 7 No. 3 (2026): Glosains: Jurnal Sains Global Indonesia
Publisher : Sekolah Tinggi Agama Islam Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59784/glosains.v7i3.757

Abstract

Background: Recent clinical investigations have drawn attention to cognitive frailty as a composite syndrome that occurs with increasing frequency in populations affected by chronic metabolic disorders, most notably type 2 diabetes mellitus. Despite this recognition, empirical data characterizing its prevalence and predisposing determinants among younger, community-dwelling adults with diabetes remain insufficient. Objective: The aim of this investigation was to determine whether sarcopenia independently contributes to the occurrence of cognitive frailty in adults with diabetes managed within the primary care system. Methods: Adopting a cross-sectional design, the study recruited 281 adults living with diabetes from two community-based health facilities. The Mini-Mental State Examination (MMSE) served as the primary cognitive assessment tool, and the SARC-F questionnaire—a validated self-report screening instrument rather than a direct physiological measure of muscle mass or handgrip strength—was used to assess sarcopenia risk. Chi-square analysis tested bivariate associations, and adjusted prevalence ratios (PRs) were computed using modified Poisson regression with robust variance, an approach suited for cross-sectional data in which outcomes are not rare. Results: The overall prevalence of cognitive frailty in the study cohort was 3.2%. In multivariate models, sarcopenia was associated with a significantly higher likelihood of cognitive frailty (adjusted PR = 6.84; 95% CI: 1.55–30.19). Conclusion: Sarcopenia is a clinically meaningful, independent risk factor for cognitive frailty in community-dwelling adults with diabetes. Integrating parallel assessments of sarcopenia and cognitive function into routine primary care diabetes management may improve early detection and help reduce downstream adverse health outcomes.
Co-Authors Aura Cinta Jihada Aura Cinta Jihada Bisarda Kanira Carissa Aulia Ramadhani Sutopo Fitria Kusuma Wardhani Gusyono, Anoraga Mona Cinta Gadis Cantika Hilmia Fahma Marcela, Zevy Santoso, Aktaruddin Arief Seto, Andreas Aryo Bayu Syafrizal, Raina Alexandriana Putri Tia Maya Affrita Verbimanto, Satria Fudi