Ahmad Fuady
Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta

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Effectiveness of permethrin standard and modified methods in scabies treatment Sungkar, Saleha; Agustin, Triana; Menaldi, Sri L.; Fuady, Ahmad; Herqutanto, Herqutanto; Angkasa, Hansen; Santawi, Victor; Zulkarnain, Hirzi
Medical Journal of Indonesia Vol 23, No 2 (2014): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.121 KB) | DOI: 10.13181/mji.v23i2.594

Abstract

Background: Permethrin is the drug of choice for scabies with side effects such as erythema, pain, itching and prickling sensation. Whole-body (standard) topical application of permethrin causes discomfort; thus, modified application of permethrin to the lesion only, followed with baths twice daily using soap was proposed. The objective of the study is to know the effectiveness of standard against lesion-only application of permethrin in scabies treatment.Methods: An experimental study was conducted in pesantren in East Jakarta and data was collected in May-July 2012. Diagnosis of scabies was made through anamnesis and skin examination. Subjects positive for scabies were divided into three groups: one standard method group (whole-body topical application) and two modified groups (lesion-only application followed by the use of regular soap and antiseptic soap group). The three groups were evaluated weekly for three consecutive weeks. Data was processed using SPSS 20 and analyzed by Kruskal-Wallis test.Results: Total of 94 subjects was scabies positive (prevalence 50%) but only 69 subjects were randomly picked to be analyzed. The cure rate at the end of week III of the standard method group was 95.7%, modified treatment followed by the use of regular soap was 91.3%, and modified treatment followed by the use of antiseptic soap was 78.3% (p = 0.163). The recurrence rate of standard treatment was 8.7%,  modified treatment followed by the use of regular soap was 13% and modified treatment followed by the use of antiseptic soap was 26.1% (p = 0.250).Conclusion: The standard scabies treatment was as effective as the modified scabies treatment.
The social determinants of knowledge and perception on pulmonary tuberculosis among females in Jakarta, Indonesia Fuady, Ahmad; Pakasi, Trevino A.; Mansyur, Muchtaruddin
Medical Journal of Indonesia Vol 23, No 2 (2014): May
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.132 KB) | DOI: 10.13181/mji.v23i2.651

Abstract

Background: Indonesia has not resolved tuberculosis burden since its prevalence and incidence has remained high. As the capital of Indonesia with a large population and a high number of tuberculosis cases, Jakarta has a distinctive condition of tuberculosis burden. This study aimed to obtain social determinants of knowledge and perception of pulmonary tuberculosis in an urban community.Methods: This study used 2,323 samples taken by random sampling in Jakarta during February-May 2011. Questionnaires were delivered to assess respondents’ knowledge and perception about pulmonary tuberculosis. Levels of knowledge were categorized into ‘poor’ and ‘good’. Perceptions about tuberculosis were measured by whether respondents perceived tuberculosis as a humiliating disease and a shunned disease.Results: Most respondents (88.7%) had good level of knowledge about tuberculosis, but misperception remained high (45.9%) in the community. Education level determined level of knowledge. The higher the education level the lower the risk of lack of knowledge. Tuberculosis perceptions were determined by family income and education level. Higher family income and education level were protective factors of misperception about tuberculosis as a humiliating disease and tendency to shun tuberculosis patients.Conclusion: People in urban area of Jakarta have good level of knowledge about tuberculosis, but it does not necessarily lead to proper perception of tuberculosis. Age, education level and having health insurance determined level of knowledge, while tuberculosis perceptions were determined much more by education level and family income. Tuberculosis control program should consider these determinants prior to developing a comprehensive strategy.
Effect of Smoking on Advanced Stage Cervical Cancer Patient Survival Pradipta, Bram; Andrijono, Andrijono; Fuady, Ahmad
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (144.045 KB) | DOI: 10.32771/inajog.v3i3.49

Abstract

Objective: The researchers aim to investigate the relationship between smoking habit and other factors as prognostic factors of cervical cancer. Method: We performed a retrospective and prospective cohort study with subjects that are stage IIB-IVB cervical cancer patients in Dr. Cipto Mangunkusumo Hospital followed up from August 2009 to April 2014. The subjects’medical records were reviewed, and patients were interviewed about their current condition by telephone. Questions asked include smoking habit, spouse’s smoking habit, and mortality status. Patients that could not be contacted by phone were excluded from the study. Statistical analysis was done using Stata 10. Result: Out of 390 cervical cancer patients stage IIB-IVB in 2009, there were 270 patients (69.2%) that were included in the inclusion criteria. Most of the patients are 40-59 years old (82.2%) and are nonsmokers (91.8%). The most frequent clinicopathological characteristic is IIIB (63.3%) and squamous cell carcinoma (71.9%). The 5- year survival rate is 22.6%. There is no statistical significance between advanced stage cervical cancer survival with the patients’ or patients’ husbands’ smoking habit. Conclusion: In our study, smoking habits do not aggravate survival rate of advanced stage cervical cancer patients but further research must be done with more sample. Stage, and tumor size both by physical examination and ultrasound can be used as the prognostic factor. [Indones J Obstet Gynecol 2015; 3: 170-176] Keywords: Brigmann Index, cervical cancer, smoking, survival
Effect of Smoking on Advanced Stage Cervical Cancer Patient Survival Pradipta, Bram; Andrijono, Andrijono; Fuady, Ahmad
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (144.045 KB) | DOI: 10.32771/inajog.v3i3.49

Abstract

Objective: The researchers aim to investigate the relationship between smoking habit and other factors as prognostic factors of cervical cancer. Method: We performed a retrospective and prospective cohort study with subjects that are stage IIB-IVB cervical cancer patients in Dr. Cipto Mangunkusumo Hospital followed up from August 2009 to April 2014. The subjects’medical records were reviewed, and patients were interviewed about their current condition by telephone. Questions asked include smoking habit, spouse’s smoking habit, and mortality status. Patients that could not be contacted by phone were excluded from the study. Statistical analysis was done using Stata 10. Result: Out of 390 cervical cancer patients stage IIB-IVB in 2009, there were 270 patients (69.2%) that were included in the inclusion criteria. Most of the patients are 40-59 years old (82.2%) and are nonsmokers (91.8%). The most frequent clinicopathological characteristic is IIIB (63.3%) and squamous cell carcinoma (71.9%). The 5- year survival rate is 22.6%. There is no statistical significance between advanced stage cervical cancer survival with the patients’ or patients’ husbands’ smoking habit. Conclusion: In our study, smoking habits do not aggravate survival rate of advanced stage cervical cancer patients but further research must be done with more sample. Stage, and tumor size both by physical examination and ultrasound can be used as the prognostic factor. [Indones J Obstet Gynecol 2015; 3: 170-176] Keywords: Brigmann Index, cervical cancer, smoking, survival
Analysis of Knowledge of Hospital Manager about Occupational Tuberculosis and Associated Factors Prasetyo, Aditya Agung; Wibowo, Suryo; Ilyas, Muhammad; Fuady, Ahmad; Taufik, Feni Fitriani
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction.Knowledge of hospital managers about occupational tuberculosis can affect occupational tuberculosis services in the hospital. This study aims was to identify associated factors with knowledge of hospital manager about occupational tuberculosis in order to improve occupational tuberculosis services in hospitals as seen in the four management functions. Method.Concurrent embedded mixed approaches are used in this cross-sectional study. Focus group discussions (FGD) are used in qualitative research, whereas questionnaires are used in quantitative research. The questionnaire was evaluated using the difficulty level and discriminating index tests. The ten questions were examined both univariate and bivariate. Thematic analysis was used to analyze qualitative research. The quantitative and qualitative data were then integrated. Result.Age and years of service are related to question about definition of occupational diseases and occupational diseases regulation. Education level, occupational health training, and managed occupational disease are related to question about reporting occupational tuberculosis cases. Educational background is related to question about time reporting occupational tuberculosis. Four questions have a correct response frequency of less than 50%, while six questions have a correct answer frequency greater than 50%. Conclusion.No important factor affects knowledge of hospital managers about occupational tuberculosis. Hospital managers require occupational health training to understand occupational tuberculosis.