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Raden I. Ismail

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Author-ID : 289454

Medicine & Pharmacology

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Oral health related quality of life in Indonesian middle-aged and elderly women Kusdhany, Lindawati S.; Sundjaja, Yuliana; Fardaniah, Sitti; Ismail, Raden I.
Medical Journal of Indonesia Vol 20, No 1 (2011): February
Publisher : Faculty of Medicine Universitas Indonesia

Background: To assess oral health-related quality of life in Indonesian middle-aged and elderly women. Middleâaged women between 45-59 years old were included in this study, because this stage of life is important to prepare themÂ entering the old age. Prevention could be done earlier in order to achieve optimum quality of life for the elderly. The purpose of writing this paper is to inform the policy maker to develop a framework in oral health prevention.Method: Cross-sectional study was done at East Bekasi district, West Java on 236 women 45-82 years of age. Measurement of health related quality of life was performed using the Oral Health-Related Quality of Life (OHRQoL) questionnaire. This questionnaire has already been translated to Indonesian language and has already been validated.Result: About 86.4% of subjects had a good oral health-related quality of life. Number of missing teeth and oral health-related quality of life have a weak correlation (correlation coeffi cient= -0.133, P= 0.041).Conclusion: Oral health-related quality of life did not depend on the number of missing teeth. These fi ndings may have implication for promoting education to middle-aged and elderly women in Indonesia about the importance of oral health.This policy frame work will be recommended to be implemented in hospitals, clinics, community care and institutional care. (Med J Indones 2011; 20:62-5)Keywords: chewimg difficulties, number of missing teeth, tooth ache

Is gluten free and casein free (GFCF) diet effective for individuals with autism? Widyahening, Indah S.; Ismail, Raden I.
Medical Journal of Indonesia Vol 20, No 2 (2011): May
Publisher : Faculty of Medicine Universitas Indonesia

Background: Even though the etiology of autistic spectrum disorder (ASD) has not been clearly known, various types ofÂ therapies have been offered. One of the most popular therapies is Gluten Free and Casein Free Diet â GFCF diet.Methods: A structured internet literature search was conducted using Pubmed and Cochrane library. Titles andÂ abstracts were screened using predetermined selection criteria. Critical appraisal was conducted based on standardÂ criteria for relevance, validity, and levels of evidence.Results: Based on relevance, only four out of twelve selected articles can be used; one is a systematic review andÂ three randomized controlled trials (RCTs). Several methodological problems which could lead to over-estimation ofÂ the effect were found in the studies including poor randomization and selective drop-out. Risk of under-estimation ofÂ report due to small number of participants and in-adequate duration of intervention was also found. Small to moderateÂ improvement were found in some outcome measured including overall autistic traits, social isolation, and the abilityÂ in communication and interaction. However, insignificant differences also found in some area such as individualâsÂ behavior, cognitive and motor function.Conclusion: Available studies fail to provide sufficiently credible and strong evidence to recommend the practice ofÂ GFCF diet in treating autism. (Med J Indones 2011; 20:114-8)Keywords: autism, gluten free and casein free diet

Co-Authors Indah S. Widyahening Lindawati S. Kusdhany Sitti Fardaniah Yuliana Sundjaja

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