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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 928 Documents
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Patients' Experiences in Using Diabetes Self-Management Application: A Scoping Review Kamillah, Siti; Panduragan, Santhna Letchmi; Poddar, Sandeep; Abdullah, Bibi Florina
Kesmas Vol. 17, No. 5
Publisher : UI Scholars Hub

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Abstract

Diabetes cases continue to increase and burden the nursing system worldwide. Diabetes Self-Management application software (DSM apps) can enable patients to manage their disease independently while simultaneously reducing the burden of the system. These apps are already available, yet global patients’ interests in using them are still low. This study aimed to describe the global tendencies of diabetes apps usage as an effort to manage diabetes cases by exploring the perceptions of diabetes patients on the use of DSM apps. This study summarized journal searches from the Elsevier, Wiley, BMC, and JMIR database with the search terms “web-based and mobile technology,” “digital health intervention,” “diabetes management mobile application,” “mobile health for diabetes self-management,” “tablet-based self-management,” and “diabetes self-management qualitative.” A total of nine journals published between January 1, 2018, to December 31, 2020, that meet the inclusion and exclusion criteria were selected. The study concludes diabetic patients in Asia, Africa, Europe, Australia, and America stated that the DSM apps used was helpful in managing diabetes. Other demographic factors such as age, level of education, and economic status have influenced the perception and tendency to use the DSM apps.
Evaluation of Vitamin D and Anti-Müllerian Hormone Levels inIraqi Infertile Women Mohialdeen, Sura Khairialdeen; Hasan, Zainab M Ali; Hussein, Ban Ali
Kesmas Vol. 17, No. 5
Publisher : UI Scholars Hub

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Abstract

Although the mechanism underlying the relationship between vitamin D insufficiency and reproduction is unknown, research suggests that it may have a direct deleterious impact on ovarian function. This is primarily because vitamin D insufficiency can affect gonadal function. The anti-müllerian hormone (AMH) is one of the most important biomarkers produced by granulosa cells and plays a key role in folliculogenesis. This study wanted to look at and compare vitamin D and AMH levels in infertile and fertile women, as well as the relationship between them in both groups. A hundred infertile and fertile women participated in the study. Anti-müllerian, prolactin, follicle-stimulating, and luteinizing hormones, as well as 25 hydroxyvitamin D, were estimated. Vitamin D deficiency was found in 72% of infertile women (n = 36), compared to 48% (n = 24) of the fertile group. There was no significant link between 25-hydroxyvitamin D and AMH in both groups. Infertile women exhibited a significantly lower serum AMH and higher body mass index. This study's findings suggested that the correlation between vitamin D and ovarian reserve markers was unlikely to present. However, the infertile group has a more significant vitamin D deficiency and insufficiency rate.
Maternal Coping Strategies for Premature Infant: A Systematic Review Kapti, Rinik Eko; Arief, Yuni Sufyanti; Triharini, Mira; Saidah, Qori'ila; Azizah, Nurona; Supriati, Lilik
Kesmas Vol. 17, No. 5
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Abstract

A mother’s stress due to the birth of her premature baby results in obstacles to the mother’s role, hence it requires appropriate coping strategies. This review aimed to identify coping factors, explore coping strategies by mothers with premature babies, and identify interventions for enhancing maternal coping strategies. The article navigation utilized Boolean Operator of "or" and "and" with keywords of [preterm or premature or LBW, coping, and mother. Databases included ScienceDirect, EBSCOhost, PubMed, SAGE, ProQuest, and Scopus. The 529 articles obtained were screened by reading the focus of journals and addressing the topic and suitability of the journal content, selecting 10 articles. The first result reported factors influencing coping strategies: delivery method, income, available information, knowledge, support, and maternal self-efficacy. The second result presented maternal coping strategies for closely handling premature babies: belief in God, support-seeking, and the babies’ condition progress. The third result showed two interventions: mother’s empowerment program and group discussions with health workers. These two interventions to improve coping strategies play an important role in supporting mothers by facilitating their participation in caring for their babies.
The Significance of Trimester-Specific Thyroid Hormones Reference Intervals in Iraqi Pregnant Women Ahmad, Hani Moslem; Alabdaly, Moayad Aziz; Sulaiman, Khairaldeen Mohammed
Kesmas Vol. 17, No. 5
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Abstract

In Iraq, there is no obvious considerable data regarding trimester-specific reference intervals of thyroid hormones despite documented multiple physiological hormonal changes during pregnancy. Thus, this study aimed to determine trimester-specific reference intervals for serum TSH, FT3, and FT4 and assess the incidence of thyroid function test misinterpretation and misdiagnosis among pregnant women using non-pregnant reference intervals. A thyroid function test was performed for 774 enrolled pregnant women. Reference intervals of TSH, FT3, and FT4 were ascertained in each pregnancy trimester. It was then compared to the adult non-pregnant values, and the incidence of misinterpretation was later calculated. TSH and FT4 reference interval values were lower than non-pregnant reference interval values. The application of non-pregnant women references values in pregnant women caused a serious misinterpretation and misdiagnosis in 66 (8.5%) pregnant women regarding TSH, and 34 (4.4%) pregnant women regarding FT4, while no misdiagnosis was noticed regarding FT3. The trimester-specific reference interval values of TSH, FT3, and FT4 in Iraqi pregnant women showed an obvious variation from non-pregnant reference intervals and the urgent advice to use the trimester-specific reference intervals to avoid misclassification of thyroid dysfunction during pregnancy.
Review of Different Methods of Abnormal Mass Detection in Digital Mammograms Bhattacharjee, Sangita; Poddar, Sandeep; Bhaumik, Amiya; Maitra, Indra Kanta; Susanna, Dewi; Ware, Andrew
Kesmas Vol. 17, No. 5
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Abstract

Various images from massive image databases extract inherent, implanted information or different examples explicitly found in the images. These images may help the community in initial self-screening breast cancer, and primary health care can introduce this method to the community. This study aimed to review the different methods of abnormal mass detection in digital mammograms. One of best methods for the detection of breast malignancy and discovery at a nascent stage is digital mammography. Some of the mammograms with excellent images have a high intensity of resolution that enables preparing images with high computations. The fact that medical images are so common on computers is one of the main things that helps radiologists make diagnoses. Image preprocessing highlights the portion after extraction and arrangement in computerized mammograms. Moreover, the future scope of examination for paving could be the way for a top invention in computer-aided diagnosis (CAD) for mammograms in the coming years. This also distinguished CAD that helped identify strategies for mass widely covered in the study work. However, the identification methods for structural deviation in mammograms are complicated in real-life scenarios. These methods will benefit the public health program if they can be introduced to primary health care's public health screening system. The decision should be made as to which type of technology fits the level of the primary health care system.
Evaluating the COVID-19 Pandemic Responses Susanna, Dewi
Kesmas Vol. 16, No. 5
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Abstract

Strengthening the Strategic and Operational Response for Reducing COVID-19 Transmission in Indonesia Sutomo, Sumengen; Sagala, Salord; Sutomo, Bebi; Liem, William; Al Hamid, Hamzah
Kesmas Vol. 16, No. 5
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Abstract

Indonesia reported the first two cases of COVID-19 from Depok City, West Java, on March 2, 2020. This study aimed to evaluate the strategic response for reducing the COVID-19 transmission which mainly comprised case management, large-scale social restrictions, including micro-scale social restrictions, and the development of drugs and vaccines. The data were collected from the Indonesian Government’s official websites and the latest information from March 2020 to May 2021. A logical framework approach and a theory of change were used to describe, evaluate, and strengthen the strategic response. The current strategic response has not reduce the COVID-19 transmission. As of May 30, 2021, 1,879,730 confirmed cases with 101,639 active cases, 1,663,998 recovered, and 50,404 deaths have been reported from 34 provinces. The case management faced a high positive rate and case fatality. The large-scale social restrictions have not increased public awareness and behavior practice on the prevention and control. Currently, there is no cure, and the vaccination needs more time to complete. Strengthening the current strategic response needs more testing, contact tracing, better quality treatment, community education for behavior change, and effective vaccination.
Epidemiological and Clinical Features of COVID-19 Patients at National Emergency Hospital Wisma Atlet Kemayoran, Jakarta, Indonesia Susanto, Agus Dwi; Rozaliyani, Anna; Prasetyo, Budi; Agustin, Heidy; Baskoro, Hario; Arifin, Arief Riadi; Pratama, Satria; Zaini, Jamal; Hasto, Bambang Dwi; Ratmono, Tugas; Savitri, Ary Indriana; Samoedro, Erlang; Husain, Bahtiar; Nawas, Arifin; Burhan, Erlina
Kesmas Vol. 16, No. 5
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The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study re-viewed data of patients treated at the National Emergency Hospital Wisma Atlet Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/ oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and mod-erate cases. The patient’s overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.
Epidemiological Patterns and Spatial Distribution of COVID-19 Cases in DKI Jakarta (March–December 2020) (March–December 2020) Das, Rajesh Kumar; Sudaryo, Mondastri Korib
Kesmas Vol. 16, No. 5
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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) is the causative agent of COVID-19 that began in Wuhan, Hubei Province, China. In Indonesia, the first two cases were reported on March 2, 2020; the first major response to block transmission of the virus was the declaration of large-scale social restrictions (LSSR) or Pembatasan Sosial Berskala Besar (PSBB). This study aimed to identify the epidemiology patterns and spatial distribution of the COVID-19 pandemic in five municipalities of DKI Jakarta. The research design comprised an ecological and case-series study uncovering the epidemiological trends and distribution of COVID-19 in DKI Jakarta based on secondary surveillance data. The results from the data analyzed between March-December 2020 showed an increasing epidemiological trend due to COVID-19, and Central Jakarta was the municipality most affected due to pandemic during this period. The implementation of the first PSBB in DKI Jakarta reduced the average number of daily cases during the first month, although the decrease was not statistically significant. There was a spatial autocorrelation of COVID-19 with the neighboring urban villages. There were fifteen COVID-19 hotspots all over DKI Jakarta based on the data analyzed in December 2020.
Epidemiological Pattern of COVID-19 Infection from March to November 2020 in Situbondo District, East Java, Indonesia Gesmalah, Mohmed; Hidajah, Atik Choirul
Kesmas Vol. 16, No. 5
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Abstract

The COVID-19 pandemic continues to pose a global threat. As of March 31, 2020, there were 1,528 confirmed COVID-19 cases with 136 deaths in Indonesia. This study aimed to describe the epidemiological features and clinical course of COVID-19 in Situbondo District, East Java Province, Indonesia, to facilitate understanding of the epidemiological situation and the spread of infection in the community to improve the control and prevention measures. This study examined the epidemiological features of COVID-19 cases in Situbondo using descriptive analysis. The results revealed that from March to November 2020, there were 1,622 suspected cases and 816 confirmed cases. Moreover, females (total case 470%) were more likely to be infected than males (total case 346%). Mainly, the cases of COVID-19 infection were in the age group of 19-37 years old (36.8%), and almost half of the confirmed cases (41 cases) were caused by the infection from close contact to confirmed cases, based on the epidemiological investigation report. People with comorbidities were more susceptible to being infected. Hypertension (8.7%), diabetes (8.6%), heart disease (3.7%), kidney failure, and COPD, each by (1%) were the highestreported comorbidities in COVID-19 patients. There was another disease with a low percentage like asthma, pulmonary TB, and cancer. This study opens the gate to further studies, which are needed to understand more about the epidemiological COVID-19 situation in the community.

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