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Makara Journal of Health Research
Published by Universitas Indonesia
ISSN : 23563664     EISSN : 23563656     DOI : https://doi.org/10.7454/msk
Core Subject :
Makara Journal of Health Research (MJHR) is a peer-reviewed and scientific journal published by Universitas Indonesia. Starting from 2019 onwards, MJHR is redirecting its scope, focusing on publishing research articles relevant to non-communicable diseases (NCDs) addressing issues of surveillance, disease management and health policy in the Asia Pacific and Mediterranean countries. Relevant academic articles regarding NCDs analyzed from an integrated perspective including individual and population level, experimental and clinical approaches, epidemiology, public health, disease prevention and health promotion, diagnosis, treatment, prognosis and palliative care are welcome.
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Articles 270 Documents
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Pterygium recurrence and corneal stabilization point after pterygium excision using the controlled partial avulsion fibrin glue technique Hilmi, Mohd Radzi; Kamal, Khairidzan Mohd; Azemin, Mohd Zulfaezal Che
Makara Journal of Health Research Vol. 24, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: This study aimed to evaluate the pterygium recurrence rate and corneal stabilization point after pterygium excision via the controlled partial avulsion fibrin glue technique using multiple corneal parameters. Methods: One hundred eyes of 100 patients who had undergone primary pterygium excision surgery via the controlled partial avulsion fibrin glue technique were retrospectively reviewed. Corneal stabilization points were determined over four follow-up sessions (i.e., the 1st, 3rd, 6th, and 12th months after surgery) based on changes in Simulated-K, corneal irregularity measurement, shape factor, and toric mean keratometry. Post-operative courses were followed for 12 months after surgery. Recurrence was defined as the regrowth of fibrovascular tissue 1 mm past the corneoscleral limbus. Results: No sign of pterygium recurrence and the corneal stabilization point were observed at the third month post-operation. Significance improvements in all corneal parameters were noted between the 1st and 3rd months (both p < 0.001); however, insignificant changes were noted at the following 6th- and 12th-month visits (both p > 0.05). Conclusion: The controlled partial avulsion fibrin glue technique may improve surgical outcomes with long-term recurrence rates equal to or lower than those previously reported. Corneal surface recovery is completed after the third month of the excision procedure.
CD34+ UCB stem cells attenuate TGF-β signaling and inhibit liver fibrosis: A new avenue for liver cirrhosis-carcinogenesis prevention Septiana, Wahyunia Likhayati; Antarianto, Radiana Dhewayani; Louisa, Melva; Jusuf, Ahmad Aulia; Barasila, Atikah Chalida; Pawitan, Jeanne Adiwinata; Fasha, Iqbal
Makara Journal of Health Research Vol. 24, No. 2
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Background: The liver microenvironment plays a key role in liver fibrosis and carcinogenesis. This study aimed to fill the gap in knowledge on the interaction between hepatic stellate cells and endothelial progenitor cells with biomarkers of liver fibrosis and/or carcinogenesis, including Col1A1, TGF-β, and tenascin-C. Methods: CD34+ stem cells were isolated from umbilical-cord-blood mononuclear cells. 2D and 3D co-culture of CD34+ UCB SCs and LX2 was performed. The cells were incubated in a CO2 incubator for three days. Morphological observation, qRT-PCR of TGF-β1 and COL1A1, and immunocytochemistry of tenascin-C were performed. Results: CD34+ UCB SCs were viable in the 2D and 3D co-culture for 24 h. 3D co-culture of CD34+ UCB SCs and LX2 inhibited in vitro liver fibrosis by lowering Col 1A1 expression as compared to control. We observed lower TGF-β expression in 3D co-culture on days 1 and 2 followed by higher expression of TGF-β on day 3. 2D co-culture of CD34+ UCB SCs and LX2 showed a different level of COL1A1 and TGF- β expression compared with 3D co-culture. Spheroids from 2D co-culture of CD34+ UCB SCs and LX-2 showed immunoreactivity against tenascin-C. Conclusion: Interaction between LX-2 and CD34+ UCB SCs in 3D co-culture inhibits in vitro liver fibrosis. The viability of CD34+ UCB SCs is essential for attenuation of TGF-β signaling in LX-2.
Health-related quality of life and work ability of smallholder rice farm workers in San Jose, Occidental Mindoro, Philippines Gonzales, Artemio Morado, Jr; Ambong, Ryan Mark Aloro; Bais, Leoniel Salibio; Macaspac, Lendon Perez
Makara Journal of Health Research Vol. 24, No. 2
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Background: Health is an integral form of human capital that can positively influence agricultural worker productivity in the physical, mental, and social domains. Poor health usually represents a burden to farm workers because a failure to meet scheduled tasks on the farm can later affect the dependents who rely on it for food nourishment and sustained livelihood. This study aims to determine the association between health and the work capabilities of smallholder rice farm workers in San Jose, Occidental Mindoro, Philippines. Methods: A cross sectional study was conducted among 100 farm workers. The SF-36 (HRQoL) and Work Ability Index (WAI) questionnaires were used to determine health status and work abilities of the respondents. The association of every health domain was investigated using one-way analysis of variance (ANOVA). Results: The results show that work ability was more associated with physical functioning and vitality scales compared to physical role limitations, bodily pain, general health perceptions, social functioning, emotional role limitations, and mental health in the health dimensions. Conclusion: Given the influence of health-related quality of life, any intervention program for the safeguarding and promotion of work ability among farmers should be based on balancing and optimizing the physical and psychosocial work environments.
Organizational empowerment among Nursing Faculty in the Northwestern Region of Saudi Arabia Alsaqri, Salman Hamdan; Pasay-an, Eddieson; Villacorte, Liza; Madjid, Fredezwinda; Pacis, Carmencita; Al-Sadi, Ahmad Khalil Ahmad
Makara Journal of Health Research Vol. 24, No. 2
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Background: This study aimed to determine the differences in the workplace empowerment of nursing faculty as it relates to their demographic information. Methods: A comparative cross-sectional study was conducted among 65 nurse educators at the College of Nursing, University of Hail, Saudi Arabia. The data were collected through a survey questionnaire between January and March 2019. Results: Significant differences were found regarding gender and opportunity (p < 0.017), support (p < 0.020), resources (p < 0.022), job activities scale (JAS; p < 0.005), organizational relationship scale (ORS; p < 0.011), and marital status on resources (p < 0.031). In comparison, gender to information and all of the other demographic variables such as marital status (except resources), years of experience, age, nationality, educational qualifications, and specialization were found insignificant to opportunity, support, resources, information, JAS, and ORS, where all of their p-values were more than 0.05. Conclusion: Male nursing faculty were found to be more empowered in terms of opportunity, support, resources, JAS, and ORS but not to information. Married nursing faculty were found more empowered only to resources. This study supports that gender and information, marital status (except resources), years of experience, age, nationality, educational qualifications, and specialization are not determinants for job empowerment.
Indonesian health professions students’ perceptions toward an interprofessional education program: Findings after five years of implementation Sari, Santi Purna; Soemantri, Diantha; Ayubi, Dian; Martha, Evi; Handiyani, Hanny; Findyartini, Ardi
Makara Journal of Health Research Vol. 24, No. 2
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Background: The Interprofessional Education (IPE) program is important for preparing health professions students to provide future interprofessional collaborative practice. The Universitas Indonesia Health Sciences Cluster has been implementing the IPE program since 2013. A comprehensive evaluation is required following the implementation of the IPE program. The aim of the study was to evaluate the IPE course based on perceptions of undergraduate students at the Universitas Indonesia from 2013 to 2017. Methods: A mixed-methods study utilizing a semi-structured questionnaire was conducted with first year students following the completion of the first stage of the IPE course. A total of 2355 students (56.35%) from the 2013–2017 academic years completed the questionnaire. Results: The results showed that students’ perceptions of the IPE course improved each year on the domains of clear and relevant learning objectives, student-centered teaching methods, staff support, and supporting infrastructures. However, some room for improvement was identified, such as the need for tutors to have a more neutral attitude toward every student despite their background differences. Conclusion: The IPE course has been well perceived by students because of its comprehensive instructional design and principles of IPE that are implemented in the curriculum. The continuous cycles of improvement to maintain the quality of the IPE program will remain a challenge.
Effect of the SIMS program on oral hygiene levels of 5–6-year-old children in the Kampar District, Malaysia: A cluster-randomized controlled trial Anwar, Nurul Hayati; Nor, Nor Azlida Mohd; Yusof, Zamros Yuzadi Mohd
Makara Journal of Health Research Vol. 24, No. 2
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Background: This study evaluated the effect of the “Senyuman Indah Milik Semua” program (SIMSP) versus the existing preschool oral healthcare program (POHP) on children’s oral health and parents’ oral health literacy (OHL) in Kampar district, Malaysia. Methods: This was a cluster-randomized, matched pair, examiner-blind, controlled trial. Using computer-generated random tables, 14 preschools were allocated to the SIMSP intervention over 6 months and another 14 were allocated to the POHP, which was concealed at the cluster level. Healthy 5–6-year-old children and parents who understood the Malay language were recruited. The SIMSP was comprised of preschool visits by dental therapists (DTs) who provided oral health education for children and parents. The POHP received visits from DTs only. The primary outcome was the dental plaque score. The secondary outcomes were children’s oral health behaviors and the parents’ OHL. Data were collected during February and October 2019 and analyzed using SPSS software. Results: Overall, 653 children were recruited (intervention: 344 vs. control: 309). At 6-months, 83.4% and 76.4% completed the study, respectively. The mean decrease in the plaque score was higher in the SIMSP than the POHP [p = 0.027, effect size (ES) = +0.51]. Significantly more SIMSP children consumed carbonated drinks ≤ 1–3 times/week (p = 0.033). Parents in the SIMSP had more knowledge (p = 0.024) with higher OHL scores (ES = +0.97) than parents in the POHP. Conclusion: The SIMSP was effective for reducing children’s plaque scores, soft drink intake, and improving parents’ OHL than POHP.
Association between sociodemographic factors and estrogen receptor-positive, progesterone receptor-positive breast cancer subtypes: A cross-sectional study Mugada, Vinodkumar; Kolakota, Raj Kiran; Mahato, Varsha
Makara Journal of Health Research Vol. 24, No. 2
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Background: The presence of risk factors have a high risk of developing breast cancer. Our study aimed to find an association between sociodemographic factors and the risk of estrogen receptor (ER)-positive, progesterone receptor (PR)-positive breast cancer among women. Methods: A cross-sectional study was conducted on 200 women with breast cancer. Association between sociodemographic factors and hormone receptor subtypes of breast cancer was found using the Chi-square test. Multiple logistic regression analysis was used to know the strong predictors of hormone receptor subtypes. Results: The mean age was 50.08 (10.67) years. Comorbidities had a statistically significant association with ER-positive subtype (p = 0.007). Body mass index had a statistically significant association with PR-positive subtype (p = 0.042). Comorbidities was found to be the strong independent predictor for ER-positive (OR 2.28; 95% CI: 1.28–4.05, p = 0.003) and PR-positive subtypes (OR 1.78; 95% CI: 1.01–3.13, p = 0.03). Conclusion: We conclude that in our study, body mass index was associated with PR-positive subtype, and comorbidities were associated with ER-positive subtype of breast cancer among the women. Comorbidities remained to be a strong independent predictor of ER-positive and PR-positive subtypes of breast cancer.
Prevalence and Associated Factors of Urinary Incontinence among Elderly in Pekanbaru, Indonesia Sari, Wulan
Makara Journal of Health Research Vol. 25, No. 1
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Background: The proportion of the elderly in Riau Province was 4.8% higher than that (4.2%) in 2011. Urinary incontinence (UI) is a common health problem among the elderly. This study aims to determine the prevalence and associated factors for UI among the elderly (≥60 years). Methods: This cross-sectional study was conducted in 20 public health centers in Pekanbaru City in 2018. A total of 351 elderly meeting the inclusion criteria were enrolled. Gender, age, education, occupation, marital status, obesity, depression, cognitive impairment, smoking status, history of chronic cough, and history of lower abdominal surgery served as the independent variables and UI as the dependent variable. Data were collected through interviews facilitated by staff trained by the research team. Data were analyzed using multiple logistic regression with a predictive factor model to assess the relationship between the independent and dependent variables. Results: The prevalence of UI was 6%, and the associated factors were chronic cough (prevalence odds ratio = 17.661; 95% CI: 6.380–48.884). Gender, age, education, and lower abdominal surgery were the confounding factors. Conclusions: Health workers at the public health center of Pekanbaru should educate the community and the elderly about the potential causes, prevention, and treatment of UI.
Perceived need and utilization of dental health care services in Indonesia: A secondary analysis using the national socioeconomic data Malik, Normaliza Ab; Rosalien, Robbykha; Khalissya, Nadine; Badruddin, Iwany Amalliah; Maharani, Diah Ayu
Makara Journal of Health Research Vol. 24, No. 2
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Background: Perceived needs and utilization of oral health services are important to ensure improvements in oral health outcomes and to allocate resources for the continuous provision of the services. This study aimed to determine the factors influencing the perceived needs and utilization of oral health services in Indonesia. Methods: Secondary data from the 2013 Indonesian National Socioeconomic Survey (n = 260,925) was used. Descriptive analysis and logistic regression were employed to describe the relationship between perceived needs and utilization of oral health services. Results: The proportions of Indonesians who had a perceived need for oral health services and utilized the services in 2013 were 1.64% and 2.30%, respectively. A higher probability of perceived need and utilization of dental health care services was observed in the respondents who wereold, females, unmarried, and living in rural areas and in those who had a higher level of education and health insurance. Conclusion: The proportions of individuals who presented with perceived needs and utilization of dental health care services were low and were associated with age, gender, marital status, geographic location, level of education, and insurance status. Appropriate strategies and policies are warranted to improve oral health in Indonesia.
Dental caries among 12-year-old children after discontinuation of water fluoridation in Pahang, Malaysia Abdul Karim, Faizah; Mohd Yusof, Zamros Yuzadi; Mohd Nor, Nor Azlida
Makara Journal of Health Research Vol. 24, No. 3
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Background: Water fluoridation (WF) has been a national caries prevention program in Malaysia since 1972. However, between July 2012 and December 2013, WF was discontinued in Pahang. This study aimed to compare caries prevalence and mean caries experience among Malaysian children in WF and WF-ceased areas and determine its associated risk factors. Methods: This cross-sectional study was conducted among 12-year-old schoolchildren in two Malaysian states: Pahang (WF-ceased) and Perak (WF-continued). Dental caries was examined using ICDAS criteria, and a questionnaire was used to collect relevant data. Associations between independent variables and dental caries were analyzed by simple logistic regression and general linear model analyses. Results: Dental caries (D4-6MFT) was significantly higher among children in WF-ceased areas than in communities where WF continued. Multivariate analysis demonstrated that exposure to WF remains a strong predictor of low caries experience among the study population. Moreover, children with irregular toothbrushing frequency before sleep and whose parents have lower educational attainment are associated with higher caries experience. Conclusion: Caries prevalence and mean caries experience were significantly higher among children in WF-ceased areas than in communities where WF continued. Multivariate analysis revealed that several factors were associated with caries experience.

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