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All Journal Medical Journal of Indonesia The Indonesian Journal of Public Health Universa Medicina Paediatrica Indonesiana Journal of Medicine and Health Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) The New Ropanasuri Journal of Surgery JK Unila (Jurnal Kedokteran Universitas Lampung) The Indonesian Journal of Community and Occupational Medicine eJournal Kedokteran Indonesia The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Tirtayasa Medical Journal

Indah S. Widyahening

Unknown Affiliation

Author-ID : 416425

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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High level of work stressors increase the risk of mental-emotional disturbances among airline pilots Widyahening, Indah S.
Medical Journal of Indonesia Vol 16, No 2 (2007): April-June
Publisher : Faculty of Medicine Universitas Indonesia

Civilian airline pilots have one of the most stressful occupations. The aim of this study was to identify the effect of work stressors and other factors on mental-emotional disturbances among airline pilots. A cross-sectional study was done by interviewing selected pilots of an airline using appropriate questionnaires, during their routine medical examination from May to July 1999 in Jakarta. Five aspects of work stressor were assessed: working conditions, physical conditions of working environment, career development, organization and interpersonal relationship. Mental-emotional disturbances were determined by using the Symptom Checklist 90 (SCL 90) questionnaire. Data analysis was carried out using relative risk by Cox regression with constant time. From 128 subjects interviewed, 109 could be analyzed. Most of the subjects were married (73.4%) and college graduates (91.7%). The number of captains and first officers were almost equal. The prevalence of mental-emotional disturbances was 39.4%. Mental-emotional disturbances were significantly related to work stressors and moderately related to household tension (P = 0.184). Compared to pilots with low levels of work stressors, those with high or very high levels of work stressors had a risk of 4.6 times of mental-emotional disturbances [adjusted relative risk (RRa) = 4.64; 95% confidence interval (CI) = 1.01 â 19.65]. Adequate guides to cope work stressors and household tension which related to mental-emotional disturbance is recommended. (Med J Indones 2007; 16:117-21)Keywords: mental-emotional disturbance, work stressors, household tension, airline pilots

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

Comparison of Studentsâ Characteristics, Self-Motivation, and Readiness of Self-Directed Learning Implementation among Medical Students at Maranatha Christian University Gunanegara, Rimonta F; Wahid, Mardiastuti H; Widyahening, Indah S
Journal of Medicine and Health Vol 1, No 5 (2017)
Publisher : Maranatha Christian University

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Self-Directed Learning (SDL) is an important skill that must be achieved by medical students.The aim of this study is to identify the level of self-motivation and SDL readiness in the medicalstudents as well as to identify factors affecting SDL. This is is a mixed method research,involving first-year and clinical year medical students. A quantitative research is conducted bydistributing self-motivation (MSLQ) and SDL questionnaire (SDLRS). A total sampling isapplied to select the respondents. Furthermore, focus group discussion (FGD) on students andtutors/preceptors is carried out. Informants are chosen by purposive sampling method. Thisresearch reveals that most of medical students have a good level of self-motivation but a lowlevel of SDL readiness. Nevertheless, the mean scores of SDL readiness in both groups showsno significant differences. The research also identifies four major factors affecting the SDLreadiness, namely the studentsâ characteristics, learning process, the role of tutors/preceptorsand supporting facilities for learning. There is no significant difference between SDL readinessof the first-year and clinical year of medical students. Unprepared studentsâ characteristics,sub-optimal learning process, unsupported role of tutors/preceptors and inadequate learningresources are found to be the mayor factors influencing SDL readiness.Keywords: self-directed learning readiness; self-motivation; problem-based learning

Perubahan Densitas Mineral Tulang Lumbal Perempuan Pengguna Kontrasepsi Suntik Depo Medroksi Progesteron Asetat (DMPA) selama 6 Bulan di Puskesmas Tebet, Jakarta Selatan KASMARA, E.; SUMAPRAJA, K.; SANTOSO, S. S.I.; WIDYAHENING, I. S.
Indonesian Journal of Obstetrics and Gynecology Volume. 31, No. 4, October 2007
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Tujuan: Untuk mengetahui densitas mineral tulang (DMT) lumbal perempuan Indonesia berusia 20 - 35 tahun sebelum dan setelah pemberian kontrasepsi suntik DMPA selama 6 bulan, dan mengetahui hubungan antara faktor asupan kalsium dan aktivitas fisik perempuanperempuan tersebut dengan DMT lumbal. Tempat: Puskeskmas Kecamatan Tebet, Jakarta Timur, Departemen Obstetri dan Ginekologi RSUPN Dr. Cipto Mangunkusumo dan Klinik Imunoendokrinologi Yasmin, Jakarta Pusat. Rancangan/rumusan data: Penelitian ini bersifat eksperimental self-controlled dengan rancangan pra-intervensi dan pasca-intervensi pada kelompok subyek. Bahan dan cara kerja: Sembilan-belas responden perempuan paritas satu berusia antara 20-35 tahun menjalani pemeriksaan densitas mineral tulang (DMT) lumbal 1-4 dengan menggunakan densitometri DEXA (dual energy x-ray absorptiometry). Para responden adalah akseptor KB suntik depo medroksi progesteron asetat (DMPA) pertama kali, dengan jadual pemberian sebesar 150 mg DMPA intramuskular tiap tiga bulan. Selain itu, didapatkan data mengenai berat badan, tinggi badan, indeks massa tubuh (IMT), asupan kalsium per hari dan aktivitas fisik responden. Kemudian dilakukan pemeriksaan DMT lumbal 1-4 yang kedua setelah 6 bulan penggunaan kontrasepsi DMPA. Hasil: Didapatkan rata-rata usia subyek (n = 11) adalah 25,0 Â± 4,2 tahun (rentang 20 - 33 tahun). Rata-rata berat badan, tinggi badan dan indeks massa tubuh berturut-turut adalah sebesar 49,7 Â± 6,2 kg (41 - 60 kg); 151,8 Â± 6,2 cm (142 - 163 cm) dan 21,61 Â± 2,74 kg/m2 (17,69 - 26,67 kg/m2). Densitas mineral tulang (DMT) L1-L4 awal menunjukkan rata-rata 0,958 Â± 0,023 g/cm2 (0,876 - 1,080 g/cm2), rata-rata nilai T awal sebesar -1,26 Â± 0,61 (-1,85 sampai dengan -0,25). Nilai rata-rata asupan kalsium per hari sebesar 329,01 Â± 228,22 mg (78,25 - 784,55 mg). Rata-rata DMT L1-L4 akhir adalah sebesar 0,969 Â± 0,078 g/cm2 (0,844 - 1,084 g/cm2), rata-rata nilai T akhir sebesar -1,17 Â± 0,65 (-2,21 sampai dengan -0,22). Rata-rata pengeluaran energi total (Total Energy Expenditure [TEE]), laju metabolik basal (Basal Metabolic Rate [BMR]) dan faktor aktivitas (Activity Factor [AF]) berturut-turut adalah sebesar 2157,51 Â± 342,55 kkal (1679,58 - 2753,49 kkal); 1288,05 Â± 69,64 kkal (1189,20 - 1411,30 kkal) dan 1,68 Â± 0,24 (1,4 - 2,1). Rata-rata persentase perubahan DMT adalah sebesar 1,13 Â± 2,86% (-3,76 sampai dengan 6,74%). Terdapat korelasi yang sangat lemah dan tidak bermakna statistik antara faktor aktivitas dengan persentase perubahan DMT (r = 0,066, p = 0,846), antara IMT dengan persentase perubahan DMT (r = 0,098, p = 0,774). Sedangkan korelasi antara asupan kalsium per hari dengan persentase perubahan DMT adalah lemah (r = 0,457) dengan tingkat kemaknaan 0,158 (tidak bermakna). Analisis multivariat menunjukkan tidak ada perubahan yang bermakna secara statistik antara persentase perubahan DMT dengan IMT, asupan kalsium dan faktor aktivitas (p = 0,515). Kesimpulan: Pada sebelas responden yang diteliti, tidak terdapat perubahan bermakna DMT lumbal 1-4 setelah pemberian DMPA selama 6 bulan pertama dan tidak terdapat korelasi yang bermakna antara penggunaan DMPA selama 6 bulan pertama dengan indeks massa tubuh, asupan kalsium dan aktivitas fisik. [Maj Obstet Ginekol Indones 2007; 31-4: 243-50] Kata kunci: densitas mineral tulang (DMT), depo medroksi progesteron asetat (DMPA), indeks massa tubuh (IMT), asupan kalsium, faktor aktivitas.

Does the establishment of universal health coverage drive the foundation of postgraduate education for primary care physicians? Widyahening, Indah S.; Tanoto, Rodri; Rinawan, Fedri; Setiawati, Elsa P.; Leopando, Zorayda E.
Medical Journal of Indonesia Vol 26, No 2 (2017): June
Publisher : Faculty of Medicine Universitas Indonesia

Background: Studying the formation of postgraduate training in primary care within countries which has attained Universal Health Coverage (UHC) is important to support the development of similar training in low-and middle-income countries aiming to achieve UHC by 2030. This review aims to describe the state of postgraduate training for primary care physicians in UHC-attaining countries.Methods: A literature review of published literature and official documents from the websites of regional and global health/primary care organizations or societies such as World Health Organization (WHO), World Organization of Family Doctors (WONCA), European Forum for Primary Care, European Union of General Practitioners (GP)/Family Physicians (FP), European Academy of Teachers in GP/Family Medicine (FM), as well as the websites of GP/FP organizations in each of the respective countries. The list of UHC attained countries were identified through WHO and International Labor Organization databases.Results: A total number of 72 UHC-attained countries were identified. Postgraduate education for primary care physicians exists in 62 countries (86%). Explicit statements that establish primary care postgraduate training were corresponded with the policy on UHC is found in 11 countries (18%). The naming of the program varies, general practice and family medicine were the commonest. In 33 countries (53%), physicians are required to undertake training to practice in primary level. The program duration ranged from 2–6 years with 3 years for the majority.Conclusion: Although UHC is not the principal driving force for the establishment of postgraduate training for primary care physicians in many countries, most UHC-attaining countries make substantial endeavor to ensure its formation as a part of their health care reform to improve national health.

Association between Helicobacter Pylori Infection and Graves’ Disease: A Meta-Analysis Darmawan, Guntur; Simadibrata, Marcellus; Widyahening, Indah Suci
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 18, No 2 (2017): VOLUME 18, NUMBER 2, August 2017
Publisher : The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy

Background & Aims: Helicobacter pylori (H. pylori) infection is proposed to be related with autoimmune diseases, such as Graves’ Disease (GD). This study aimed to assess the association between H. pylori infection and GD. Methods: A systematic literature review was conducted using Pubmed and Cochrane library. The quality of enrolled studies was assessed by the Critical Appraisal Skills Program Oxford. A fixed-effect model approach was used if there was no heterogeneity; otherwise, a random-effect model was used. Heterogeneity was assessed using I2. Publication bias was assessed by funnel plot. All data were analyzed using REVIEW MANAGER 5.3. Results: Six studies from Europe and Asia involving 983 patients were included. Overall H. pylori infection was significantly associated with GD (OR 2.7; 95% CI: 1.47-4.99; p < 0.001). In subgroup analysis of 3 studies using non-serological diagnostic method, the prevalence rate of H. pylori infection was higher in GD group (78.26% VS 42.42%) with significant relationship (OR 4.93; 95% CI: 3.16-7.69; p < 0.00001; I2 = 0%). The CagA antibody prevalence was significantly higher in GD group (46.57% VS 20.29%; OR 4.41; 95% CI: 2.65-7.33; p < 0.00001; I2 = 56%). No publication bias was observed. Conclusion: Our study showed association between H. pylori infection and GD. It might suggest the need of H. pylori examination in GD patients and the impact of H. pylori eradication in the treatment of GD.

Epidemiology of Microorganisms in intraabdominal infection/complicated intraabdominal infections in six centers of surgical care in Indonesia: A preliminary study Moenadjat, Yefta; Lalisang, Toar JM.; Saunar, Rofy S.; Usman, Nurhayat; Handaya, Adeodatus Y.; Iswanto, J.; Nasution, Safruddin; Karuniawati, Anis; Loho, Tony; Widyahening, Indah S.
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Data of complicated intraabdominal infections (cIAI) and the epidemiology of causative microorganisms which is Indonesian characteristics is required to develop a guideline. Thus, a preliminary study run to find out such characteristics. Method. Data of subjects with cIAI managed in six centers of teaching hospital in Indonesia in period of 2015–2016 were collected. Those data of source of infection, the epidemiology of microorganism and susceptibility of antibiotics were descriptively provided. Results. Source of infection were perforated appendicitis (26.64%), perforated gastric and duodenal ulcer (22.70%), small bowel perforation (11.84%), large bowel perforation (13.16%), postoperative (9.54%), and others (16.2%). Escherichia coli and Klebsiella pneumonia were the most microorganisms found in the pus specimen. The sensitivity of Escherichia coli and Klebsiella pneumonia to cephalosporins were in range of 14.1– 42% and 28.7–35.6%, respectively. Conclusion. Perforated appendicitis, perforated gastric and duodenal ulcer, small bowel perforation, large bowel perforation, and postoperative in sequent are the main causal of cIAIin Indonesia. The epidemiology predominated by Gram negative, particularly Escherichia coli and Klebsiella pneumonia.

Extracoporeal shockwave treatment decreases pain, functional limitations and medial collateral ligament thickness in subjects aged 50-70 years with knee osteoarthritis Kokok, Andwi Setiawan; Tamin, Tirza Z; Murdana, Nyoman; Widyahening, Indah Suci
Universa Medicina Vol. 40 No. 2 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.121-132

BackgroundPain from knee and hip osteoarthritis (OA) can have a significant impact on the physical function and quality of life of affected individuals worldwide. The objective of this study was to evaluate the effect of extracorporeal shockwave therapy (ESWT) on pain, flexibility, function, and medial collateral ligament (MCL) thickness in knee osteoarthritis (KOA). MethodsA study of quasi experimental design was performed involving 15 subjects aged 50 â€“ 70 years with Kellgren-Lawrence grade 2-3 KOA. All subjects were evaluated regarding baseline -pain using visual analogue scale (VAS), range of motion (ROM), functional outcome using Western Ontario and McMaster Universities Arthritis Index (WOMAC), and MCL size. Extracorporeal shock wave therapy was given 3 times, at baseline, and 4 and 8 weeks after intervention. All subjects were given 4000 shocks at intensities of 1.5 â€“ 4 Bar (raised gradually) per session. The shocks were given in the supine position, knee flexed 90o, without topical anesthetic. Statistical analyses were conducted using a dependent t-test. ResultsAfter 8 weeks of intervention, ESWT significantly improved pain score (p<0.01), WOMAC (p<0.01) and MCL thickness (p<0.01) in patients with OA of the knee. However, there was no significant difference in knee ROM, both for degree of flexion and extension (p>0.05). ConclusionThe use of ESWT for treatment of knee OA had a beneficial effect on pain relief, function outcome and MCL thickness. However, there remains a lack of clarity regarding the frequency and dosage levels of ESWT required to achieve maximum improvement.

LUNG CANCER ASSOCIATED WITH CARBON BLACK EXPOSURE ON BRICK WORKERS Anna nasriawati; Muhammad Ilyas; Indah S Widyahening
The Indonesian Journal of Public Health Vol. 16 No. 1SP (2021): SUPPLEMENTARY
Publisher : Universitas Airlangga

ABSTRACTCarbon black aerosol has potential risks to human health. It has been acknowledged to cause cardiovascular and respiratory diseases in humans. International Agency for Research on Cancer (IARC) 2010 stated that carbon black classification is 2b, which is carcinogenic. This research explains a case of lung cancer due to carbon black exposure and reviews the literature of occupational cases to get the answers about the effects of carbon black exposure and the increasing risk of lung cancer for workers exposed to carbon black. The literature review was performed to answer the clinical question via electronic databases: PubMed and Google Scholar. The keywords used were ‘carbon black’ and ‘lung cancer’ and 'workers'. The inclusion criteria of this searching strategy were the workers which exposed to carbon black, meta-analysis, randomized controlled trial, systematic reviews, cohort. The exclusion criteria of this article were inaccessible articles, RCTs that have been used in the recent systematic reviews. The selected articles were then critically appraised using relevant criteria by the Oxford Center for Evidence-based Medicine. This study reviews the literature by Rota Matteo; The epidemiological evidence on the polyaromatic hydrocarbon (PAH) high exposed, perspective cohort study by Delli LD, and the control case study by Marie EPt. All the researches above showed that carbon black carcinogenic potential is the same as the IARC monograph statement that the epidemiological studies of carbon black provide possible carcinogenicity (Group of 2B). Keywords: carbon black, lung cancer, workers

The Role of Primary Health Care in the Prevention of Noncommunicable Diseases Indah S Widyahening
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 2, No 1 (2019): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Noncommunicable diseases (NCDs) currently cause more deaths than all other causes combined. Cardiovascular diseases, cancer, chronic respiratory diseases and diabetes are the four major NCDs that are responsible for 82% of NCD deaths. Approximately 42% of all NCD deaths globally occurred before the age of 70 years; 48% of NCD deaths in the low- and middle-income countries and 28% in high-income countries were in individuals aged under 70 years.(1) Because of its chronic nature and the complications that arisen, NCDs bring devastating social, economic and public health impact. The management of its various long-term complications accompanied by the typical existence of multimorbidity will give rise to an increased complexity of care in the future. Aging, improved medical therapies, demographic transition, life-style changes, globalization and urbanization are factors that are contributing to the increased prevalence, severity and complexity of NCDs.........

Co-Authors Ade Mutiara Aji B Widodo Ambar W Roestam Andrijono Andrijono Anis Karuniawati Anna nasriawati Annang Giri Moelyo Arnold Fernando Bambang Tridjaja Bernath Siagian Brodjonegoro, Sakti R Danarto, Raden Denta Aditya Episana Dewi Friska Dewi S. Soemarko Dewi Sumaryani Soemarko Dewi Sumaryani Soemarko Dewi Wulandari Dicky Mahardhika Dina Tri Amalia Fedri Rinawan, Fedri Guntur Darmawan Handaya, Adeodatus Y. Hariwibowo, Rinto Hendri, Ahmad Z Indrawarman Soeroharjo Indriastuti Soetomo Iswanto, J. KASMARA, E. Kokok, Andwi Setiawan Lalisang, Toar JM. Leopando, Zorayda E. Marcellus Simadibrata Marcellus Simadibrata Mardiastuti H Wahid Mardiastuti H Wahid Muhammad A Aufa Muhammad F Alhas Muhammad Ilyas Muhammad Ilyas Murdana, Nyoman Nasution, Safruddin Neni Nurainy Nur Rasyid Nuri Purwito Adi Nuri Purwito Adi Ponco Birowo Prahara Yuri Raden I. Ismail Rakhmi Savitri Hoesein Revata Utama Rimonta F Gunanegara Rimonta F Gunanegara, Rimonta F Rini Mulia Sari SANTOSO, S. S.I. Saunar, Rofy S. Setiawati, Elsa P. Siti Darifah Sudadi Hirawan SUMAPRAJA, K. Tanoto, Rodri Tirza Z Tamin Tony Loho Usman, Nurhayat Wibowo, Suryo Yefta Moenadjat

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