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All Journal Jurnal Kesehatan Andalas Proceedings of the International Conference on Applied Science and Health Interdental Jurnal Kedokteran Gigi (IJKG) Medika Kartika : Jurnal Kedokteran dan Kesehatan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Kedokteran Mulawarman Jurnal Medika: Karya Ilmiah Kesehatan Jurnal Sains dan Kesehatan Proceeding Mulawarman International Conference on Tropical Public Health
Ronny Isnuwardana
Laboratorium Ilmu Kesehatan Masyarakat Dan Kedokteran Komunitas, Fakultas Kedokteran, Universitas Mulawarman
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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HUBUNGAN KONSUMSI KOPI DAN MEROKOK TERHADAP KUALITAS TIDUR PADA PENGUNJUNG COFFEE SHOP DI KOTA SAMARINDA : THE RELATIONSHIP BETWEEN COFFEE CONSUMPTION AND SMOKING AND SLEEP QUALITY OF COFFEE SHOP VISITORS IN SAMARINDA CITY Puspa, Devi Renita; Isnuwardana, Ronny; Ramadhany, Candra
Jurnal Medika : Karya Ilmiah Kesehatan Vol 10 No 1 (2025): Jurnal Medika : Karya Ilmiah Kesehatan
Publisher : ITKES Wiyata Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35728/jmkik.v10i1.1747

Abstract

Sleep may have an important role in health, but many people experience sleep disturbances both in terms of duration and quality which are influenced by many factors such as changes in lifestyle and social needs. Coffee consumption is becoming a trend and is linked to sleep disorders because it contains caffeine. Apart from that, smoking also affects sleep quality because nicotine levels affect the central nervous system. The aim of this research is to determine the relationship between coffee consumption and smoking on sleep quality among coffee shop visitors in the city of Samarinda. The research design used in this study was cross sectional. The sample for this research is coffee shop visitors. The sampling technique used in this research was Accidental Sampling. The amount of data used in this research was 136 data. From the results of bivariate analysis using Fisher's exact test and chi-square test, the hypothesis test results for the variable coffee consumption and sleep quality (p=0.327) and cigarette consumption and sleep quality (p=0.004) were obtained. The conclusion of this study is that there is a relationship between cigarette consumption and sleep quality and there is no relationship between coffee consumption and sleep quality.
Early Loss of Primary Molars and Changes in Body Mass Index in Students Aged 7–9 Years Kaban, Luly Kartika Dewi Br.; Hanan, Nydia; Isnuwardana, Ronny; Munir, Musnar; Fitriany, Evi
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 21 No. 2 (2025): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v21i2.9909

Abstract

Introduction: The early loss of primary teeth denotes the loss of teeth in the oral cavity before the typical loss timeframe. The early loss of primary molars markedly impacts masticatory function. Children of elementary school age frequently encounter dental and oral health issues. This study aims to determine the correlation between the premature loss of primary molar teeth and variations in body mass index (BMI) among 7-9-year-old students at Public Elementary School (SDN) 003 Sungai Kunjang. Material and Methods: This study employed an analytical approach with a prospective cohort design. The demographic comprises students aged 7 to 9 years at SDN 003 Sungai Kunjang, Samarinda City, with 233 respondents. Sampling was conducted via a non-probability purposive sampling method. This study utilized oral diagnostic instruments, manual scales, stadiometers, stationery, identity questions, and examination forms. Results and Discussions: Bivariate data analysis employing the chi-square test on the early loss of primary molars and alterations in student BMI indicated that respondents with early loss of primary molars were 8.824 times more likely to exhibit a reduction in BMI than those without early loss of primary molars. Conclusion: The study finds that a correlation exists between the early loss of primary molars and alterations in BMI among 7-9-year-old students at SDN 003 Sungai Kunjang
Self Hand Manipulation Using Su-Jok For Heartburn in Adults Lu'Lu', Alvianita Ziinat; Billa, Azizah Salsa; Pertiwi, Alda Puspa; Fadhilah, Jihan; Dyaksa, Hadyan Marta; Yuliana, Rita; Isnuwardana, Ronny
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Functional dyspepsia affects 24–40% of adults in Indonesia and is frequently associated with heartburn. At the Lempake Community Health Center in Samarinda, heartburn ranked as the third most common outpatient complaint, with 765 reported cases between January and August 2024. This study aimed to evaluate the effectiveness of Su-Jok therapy as a complementary intervention for alleviating heartburn symptoms. A non-randomized trial without a control group was conducted among clinic patients. Data were collected through structured interviews and a Numerical Rating Scale (NRS) of pain, administered before and after the intervention in patients with non-complicated heartburn. The study included 22 respondents aged 19 to 55, of whom 75% were female. Analysis using the Wilcoxon test showed a statistically significant reduction in NRS scores following Su-Jok therapy (p < 0.001). These findings suggest that Su-Jok hand manipulation effectively reduces subjective heartburn symptoms and may serve as a practical initial or complementary treatment. Su-Jok therapy offers a non-invasive, accessible option for managing heartburn, potentially reducing symptoms before the need for further medical intervention.
SELF HAND MANIPULATION USING SU-JOK ON HEARTBURN IN ADULTS AT LEMPAKE COMMUNITY HEALTH CENTER Ziinat Lu'lu', Alvianita; Salsa Billa, Azizah; Puspa Pertiwi, Alda; Fadhilah, Jihan; Marta Dyaksa, Hadyan; Yuliana, Rita; Isnuwardana, Ronny
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background :Functional dyspepsia affects 24-40% of adults in Indonesia, frequently accompanied by heartburn. At the Lempake Community Health Center in Samarinda, heartburn are the third most common complaint in outpatient clinic, 765 reported cases between January and August 2024. Complaints of heartburn can be self-managed using hand manipulation through Su-Jok therapy. Objective : This study aimed to evaluate the effectiveness of Su-Jok complementary intervention for heartburn relief in adults. Research Methods/ Implementation Methods : We employed a non-randomized trial design without control group from patient visiting the clinic. Data was collected through structured interviews using questionnaire and Numerical Rating Scale (NRS) of pain before and after intervention to patients experiencing non-complicated heartburn. Results : The study involved 20 respondents aged 19 to 55, with 75% being female. Results were analyzed using the Wilcoxon test, revealing a statistically significant difference in NRS before and after the application of Su-Jok, with p-value <0.001. Conclusion/Lesson Learned : These findings indicate that hand manipulation through Su-Jok can significantly alleviate non-complicated heartburn symptoms. Therefore, Su-Jok therapy may be considered a viable initial or complementary treatment option for heartburn, potentially providing relief before patients seek further medical intervention.
KORELASI KADAR GLUKOSA DARAH SEWAKTU DENGAN OBESITAS SENTRAL: STUDI CROSS-SECTIONAL Saputra, Rudi; Salsabila, Naila Cantika; Pratiwi, Novita Eka Tyas; Dardi, Muhammad; Qahfi, Muhammad Andan; Nandita, Meylaliazka Rahma; Isnuwardana, Ronny
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 7 No 4 (2024): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Obesitas sentral adalah jenis obesitas yang sering terjadi. Obesitas sentral merujuk pada penumpukan lemak di bagian abdomen yang menyebabkan lingkar pinggang menjadi membesar. Kutai Kartanegara adalah salah satu kota penyumbang kejadian obesitas sentral yang tergolong tinggi. Obesitas sentral dapat menjadi faktor risiko dari berbagai macam masalah kesehatan. Tujuan penelitian ini adalah untuk mengetahui korelasi kadar glukosa darah sewaktu (GDS) dengan obesitas sentral. Penelitian dilakukan di Desa Loa Raya, Kutai Kartanegara pada 2 April-20 Agustus 2022 secara cross-sectional. Subjek penelitian ini ditentukan menggunakan voluntary response sampling. Pemeriksaan GDS dilakukan secara point of care testing (POCT). Uji Mann-Whitney dan uji korelasi Spearman Rank dengan tingkat kepercayaan 95% digunakan penelitian ini. Sebanyak 70 orang terlibat sebagai subjek penelitian. Hasil uji statistik menunjukkan adanya asosiasi yang signifikan antara jenis kelamin dan usia dengan obesitas sentral (p=0,002 dan p=0,028), sedangkan pada tingkat pendidikan dan pekerjaan tidak berasosiasi secara signifikan pada kejadian obesitas sentral (p=0,141 dan p=0,350). Selain itu, didapatkan juga adanya korelasi yang siginifikan antara kadar GDS dengan ukuran lingkar pinggang (p=0,018). Penelitian ini berkesimpulan bahwa terdapat korelasi signifikan antara kadar GDS dengan obesitas sentral. Jenis kelamin dan usia berasosiasi secara signifikan pada kejadian obesitas sentral. Kata kunci : glukosa darah sewaktu, lingkar pinggang, obesitas sentral DOI : 10.35990/mk.v7n4.p364-375
Gambaran Pasien Ulkus Kornea di Klinik Spesialis Mata SMEC Samarinda Tahun 2019-2022: Overview of Corneal Ulcer Patients at the Eye Clinic SMEC Samarinda from 2019-2022 Permana, Danang Biyan; Fatmawati, Nur Khoma; Isnuwardana, Ronny
Jurnal Sains dan Kesehatan Vol. 6 No. 4 (2024): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v6i4.2333

Abstract

Corneal ulcers are partial loss of corneal surface tissue from the epithelium to the stroma. This study aims to determine the description of corneal ulcer patients at the Eye Clinic SMEC Samarinda. This study used a descriptive observational with a cross sectional method. Total of 214 samples were obtained using total sampling technique with medical records as the instrument. This study found that the majority of corneal ulcer patients occurred at the age of 30-60 years (65.4%). Most of them were male (71.03%). Most worked as labourers or farmers (32.7%). Most occurred unilaterally (97.2%). Most experienced visual acuity in category 4 (<1/60) (35.5%) with no improvement in visual acuity (50%). The average length of treatment was 61 days ±168.19. Most of them did not perform surgery (78.97%). The most common surgery performed was Amniotic Membrane Transplant (62.7%). Most of the patients had complications (65.9%) with corneal scar being the most common complication (30.4%). Keywords:          Corneal Ulcer, Visual Acuity Improvement, Amniotic Membrane Transplant   Abstrak Ulkus kornea adalah hilangnya sebagian jaringan permukaan kornea dari epitel sampai stroma. Penelitian ini bertujuan untuk mengetahui gambaran pasien ulkus kornea di Klinik Spesialis Mata SMEC Samarinda. Penelitian ini menggunakan desain penelitian observasional deskriptif dengan metode cross sectional. Sebanyak 214 sampel yang diperoleh menggunakan teknik total sampling dengan rekam medik sebagai instrumen penelitian. Penelitian ini mendapatkan mayoritas pasien ulkus kornea terjadi di usia 30-60 tahun (65.4%). Sebagian besar berjenis kelamin laki-laki (71.03%). Sebagian besar bekerja sebagai buruh atau petani (32.7%). Paling banyak terjadi secara unilateral (97.2%). Paling banyak mengalami penurunan visus kategori 4 (<1/60) (35.5%) didominasi tidak mengalami perbaikan ketajaman penglihatan (50%). Rata-rata lama perawatan adalah 61 hari ±168.19. Sebagian besar tidak dilakukan operasi (78,97%). Tindakan operasi yang paling sering dilakukan adalah Amniotic Membrane Transplant (62.7%). Sebagian besar pasien mengalami komplikasi (65.9%) dengan sikatrik kornea menjadi komplikasi terbanyak (30.4%).   Kata Kunci:         Ulkus Kornea, Perbaikan Ketajaman Penglihatan, Amniotic Membrane Transplant
Time series analysis of outpatient visits at RSUD X In Samarinda using the ARIMA model Saputri, Deby Indah; Anggraeni, Ike; Isnuwardana, Ronny
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Efficient hospital resource planning, including staff allocation and pharmaceutical logistics, heavily relies on accurate patient visit volume forecasting. Daily outpatient visit data at Regional Hospital from January 2023 to February 2025 shows high volatility and a strong weekly pattern (5-day work cycle). Therefore, a forecasting method is needed that can describe the patterns and trends of patient visits based on historical data. Methods commonly used for time series forecasting is ARIMA (Autoregressive Integrated Moving Average). This model is capable of capturing seasonal patterns and trends within the data, making it useful for predicting the number of future visits with a high level of accuracy. Objective : This study aims to identify the most optimal time series forecasting model using internal seasonal SARIMA and external regression SARIMAX analysis. Research Methods/ Implementation Methods : This study design is repeated cross-sectional. Outpatient visit data was divided into training (2023-2024) and testing (January-February 2025) sets for accuracy validation, measured by Root Mean Squared Error (RMSE). Results : In the first stage, the seasonal ARIMA model without explanatory variables, namely ARIMA(0,0,1)(2,1,0)[5], passed the Ljung-Box diagnostic test (p>0.05) but showed low predictive accuracy (RMSE 281.01). The second stage involved using explanatory (exogenous) variables such as Monday, Friday, and Public Holidays. A regression model with ARIMA(0,1,1) errors was identified as the superior model with an RMSE of 194.39. Regression coefficients showed a significant impact from specific days: Monday (+50 visits, 95% CI 32, 68), Friday (-91 visits, 95% CI -73, -109), and Public Holidays (-489 visits, 95% CI -463, -516). ConclusioAlthough the Ljung-Box test resulted in p<0.05, indicating that there are still residuals not fully explained by the model, it still provides important insights for hospital operational planning.n/Lesson Learned :
Coffee consumption, hypertension, and sleep quality: a cross-sectional study in adult outpatients Wijayanti, Sakti Fadi’a; Nanda, Luthfiah; Hafiedz, Adzan Fajar Osceola; Seru, Rian Ananta Pasolang; Nugroho, Setyo; Isnuwardana, Ronny
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Hypertension is one of the most prevalent non-communicable diseases among the elderly population, while coffee consumption is often associated with increased blood pressure and impaired sleep quality. Objective : This study aimed to analyze the association between coffee consumption, hypertension status, and sleep quality among patients at the general–elderly outpatient clinic of Palaran Primary Health Center, Samarinda Research Methods/ Implementation Methods : This was an observational analytic study with a crosssectional design conducted in September 2025. A total of 137 respondents were selected using a convenience sampling technique, with data collected through questionnaires and analyzed using the Spearman Rank test. Results : The majority of respondents were female (62.8%), with a mean age of 44.47±15.74 years, and a hypertension prevalence of 62.8% (53.3% uncontrolled). The average coffee consumption was 3.21±2.1 cups per week, predominantly instant coffee. Spearman Rank analysis showed no significant association between coffee consumption and hypertension status (p = 0.679), nor with sleep quality (p = 0.525). Conclusion/Lesson Learned : This study concludes that low-to-moderate coffee consumption is not significantly associated with hypertension or sleep quality among adult patients at the outpatient clinic.
Co-Authors Alifia Auralia Amila, Dalila Nur Azmi Ammarin Thakkinstian Ammarin Thakkinstian Bakhtiar, Rahmat Bijukchhe, Sanjeev Billa, Azizah Salsa Cahya, Wahyuni Dwi Cicih Bhakti Purnamasari Dewi Guntar Rachmawatiningtyas Dyaksa, Hadyan Marta Ellina Martalina Endang Sawitri Evi Fitriany Fadhilah, Jihan Hafiedz, Adzan Fajar Osceola Hanan, Nydia Ike Anggraeni Kaban, Luly Kartika Dewi Br. Kunlawat Thadanipon Kunlawat Thadanipon Lu'Lu', Alvianita Ziinat Marta Dyaksa, Hadyan muhammad dardi Muhammad Khairul Nuryanto Munir, Musnar Muslimin, Nurhakiki Nanda, Luthfiah Nandita, Meylaliazka Rahma Nur Khoma Fatmawati Nuryanni Dihin Utami Nuryanni Dihin Utami, Nuryanni Dihin Nuryanto, Muhammad Khairul Permana, Danang Biyan Pertiwi, Alda Puspa Pratiwi, Novita Eka Tyas Prilandy Jayastri Puspa Pertiwi, Alda Puspa, Devi Renita Qahfi, Muhammad Andan Ramadhany, Candra Rattanasiri, Sasivimol Rita Yuliana Ruth Djalung Safitri, Wenda Salsa Billa, Azizah Salsabila, Naila Cantika Sanjeev Bijukchhe Sanjeev Bijukchhe Saputra, Rudi Saputri, Deby Indah Sasivimol Rattanasiri Sasivimol Rattanasiri Seru, Rian Ananta Pasolang Setyo Nugroho Sitinjak, Mariati Herlina Sjarif Ismail Swandari Paramita Thadanipon, Kunlawat Thakkinstian, Ammarin Wenda Safitri Wijayanti, Sakti Fadi’a Yadi Yasir Ziinat Lu'lu', Alvianita