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All Journal Medical and Health Science Journal Unram Journal of Community Service (UJCS) Medicosphere
Ardian, Laurentius Johan
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology 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
Jurnal Ilmu Kesehatan dan Kesehatan Vol 9 No 2 (2025): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v9i2.7974

Abstract

Background: The global population is aging rapidly, with older adults increasingly affected by chronic conditions such as 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<0.001p<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.
Co-Authors Fahma, Hilmia Gusyono, Anoraga Mona Cinta Gadis Cantika Marcela, Zevy Santoso, Aktaruddin Arief Verbimanto, Satria Fudi