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All Journal Jurnal Kedokteran Brawijaya Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Pharmaciana: Jurnal Kefarmasian Media Farmasi : Jurnal Ilmu Farmasi (Journal Of Pharmaceutical Science) Jurnal Farmasi Sains dan Komunitas (JFSK)

Christianus Heru Setiawan

Faculty Of Pharmacy, Sanata Dharma University, Yogyakarta

Author-ID : 615899

Chemistry Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience

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RISIKO KARDIOVASKULAR BERDASARKAN FAKTOR JAMINAN KESEHATAN PADA MASYARAKAT PEDESAAN DI KABUPATEN SLEMAN YOGYAKARTA Suhadi, Rita -; Linawati, Yunita; Virginia, Dita Maria; Setiawan, Christianus Heru
Jurnal Kedokteran Brawijaya Vol 29, No. 4 (2017)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2017.029.04.10

Penyakit kardiovaskular merupakan risiko kesehatan terbesar di Indonesia. Penelitian survei cluster random sampling tahun 2015, program jaminan kesehatan berhasil meningkatkan kesadaran dan terapi pada subjek dengan tekanan darah ?140/90mmHg di Kabupaten Sleman Yogyakarta. Penelitian ini bertujuan untuk mengevaluasi risiko kardiovaskular terkait program jaminan kesehatan. Penelitian ini merupakan survei potong lintang analitik dan subanalisis pada subjek yang dapat dihitung risiko kardiovaskular 10 tahun ke depan menggunakan skor Framingham. Penelitian dilakukan pada subjek berumur 30-74 tahun dan menandatangani informed-consent. Subjek dikelompokkan berdasarkan dengan atau tanpa jaminan kesehatan. Data rerata umur, body mass index (BMI), tekanan darah, dan skor Framingham dianalisis dengan uji-t (p<0,05), sedangkan tingkatan risiko kardiovaskular 10 tahun ke depan dianalisis menggunakan statistik chi-square. Dari penelitian ini ditemukan sebanyak 64,6% dari 429 subjek memiliki jaminan kesehatan dalam beberapa sistem jaminan. Parameter observasi kelompok dengan dan tanpa jaminan kesehatan tidak berbeda bermakna (p>0,05) untuk variabel umur, gender, merokok, pendidikan, tekanan darah, hiperglikemia, dan BMI. Subjek dengan dan tanpa jaminan kesehatan berturut-turut memiliki tekanan darah sistolik 156,5 (22,2) mmHg berbanding 156,4 (20,0) mmHg dan skor Framingham 18,4 (9,3)% berbanding 19,2 (9,3)% (p>0,05) yang termasuk kategori risiko kardiovaskular sedang. Pada subkelompok subjek dengan tekanan darah ?140/90 mmHg (n=347, 80,9%) subjek dengan jaminan kesehatan (n=277, 53,2%) dan tanpa jaminan kesehatan memiliki skor Framingham yang tidak berbeda bermakna, namun berbeda kategori risikonya yaitu 19,8 (8,9)% kategori risiko sedang berbanding 21,1 (8,3)% kategori risiko tinggi. Kesimpulan, jaminan kesehatan belum terbukti menurunkan secara bermakna risiko kardiovaskular subjek di pedesaan di Sleman-Yogyakarta.

Sayur Bukan Menjadi Preferensi Makanan Remaja di Indonesia Hendra, Phebe; Suhadi, Rita; Virginia, Dita Maria; Setiawan, Christianus Heru
Jurnal Kedokteran Brawijaya Vol 30, No 4 (2019)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Remaja dan perilaku akan makanan dan kesehatannya perlu mendapat perhatian utama. Perilaku tersebut akan berlanjut hingga usia dewasa. Penelitian ini bertujuan untuk melihat preferensi makanan pada remaja di Indonesia. Penelitian dengan desain potong lintang menggunakan kuesioner untuk melihat preferensi makanan remaja siswa sekolah menengah atas. Informasi yang diperoleh adalah preferensi makanan utama, minuman dan perilaku snack serta karateristik responden. Responden yang terlibat dalam penelitian sejumlah 774 orang. Ayam merupakan makanan utama yang disebutkan remaja di Indonesia dari 3 jenis makanan utama. Air putih dan biskuit merupakan preferensi minum dan dan snack yang dikonsumsi remaja di Indonesia, sedangkan sayur hanya dipilih oleh sebagian kecil remaja.

EFFECTS OF INTERPROFESSIONAL COLLABORATION PROGRAM IN COMMUNITY ON THE PERCEPTION OF PHARMACY AND MEDICAL STUDENTS Christianus Heru Setiawan; Rita Suhadi; Phebe Hendra; Fenty Fenty; Dita Maria Virginia; Gregorius Bhaskara Wikanendra
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 17, No 2 (2020)
Publisher : Sanata Dharma University

Cardiovascular disease is the highest cause of mortality in Indonesia. One of the factors that causes the disease is low level of health awareness, including healthy lifestyle and health control. Improving public health awareness can be done by providing health education in collaboration with interprofessional health services. A collaboration involving students from various health-related disciplines aims to build good collaboration in the future after the corresponding students become health workers. This study is quasi-experimental. Students from health-related disciplines, especially pharmacy and medical students, were authorized to work directly in health screening and to provide education to the community. Students perceptions on the Interprofessional Collaboration (IPC) program were explored through Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE) questionnaire, which were given before and after the community project. Among 87 SPICE questionnaires, 78 questionnaires filled in completely were collected from pharmacy and medical students. The results of the questionnaire showed good perceptions before and after activities in the community with mean scores of 4.46 (0.35) and 4.5 (0.37) respectively. Wilcoxon test results found no significant difference on the total SPICE scores before and after the activity (P .05). One item from the SPICE questionnaire, which was the seventh item related to understanding the role of other professionals in the interdisciplinary team, had a significant increase (P .05).

PENGARUH PEMBERIAN ANGKAK TERHADAP KENAIKAN JUMLAH TROMBOSIT TIKUS JANTAN Christianus Heru Setiawan
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 12, No 1 (2015)
Publisher : Sanata Dharma University

Abstract: The research has purpose to get information about the effect of water-boiled red yeast rice for raising the platelet levels so that it can be used as a supplement for patients of Dengue Hemorrhagic Fever (DHF). The research was pure experimental with direct sampling design. The research used Wistar male rats, age 2-3 months, and weight + 150-250 grams. Rats randomly divided into five treatment groups. First group (negative control) given CMC Na 1% 0.72 g/KgBW for 7 days followed by 2.5 mL of distilled water for 5 days. Second group (positive control) given chloramphenicol 0.72 g/KgBW for 7 days followed by distilled water for 5 days. Fourth-fifth group (treatment) given chloramphenicol dose 0.72 g/KgBW for 7 days followed by water-boiled red yeast rice dose 2; 1; and 0.5 g/KgBW orally for 5 days. Blood sampling taken on day 0 and day 12, blood taken from the sinus orbitalis eyes for measuring levels of platelet count. Platelet concentration data that got were analyzed by Shapiro-Wilk test to see the distribution of data. If data are normally distributed then continue the analysis with paired-samples t test analysis, if data is not normal distributed then followed by Wilcoxon test analysis to know the difference levels of platelets experiment by treatment and duration of the test. The results of this research showed that water-boiled red yeast rice has effect to increase platelet levels in male rats induced by chloramphenicol at a dose of 2; 1; and 0.5 g/KgBW and gived platelet levels increasing effect at rate of 18.78, 14.02, and 5.45%. Keywords : red yeast rice, platelets, chloramphenicol

CORRELATION AMONG SLEEP DURATION, BLOOD PRESSURE, AND BLOOD GLUCOSE LEVEL OF MORANGAN PEOPLE, SINDUMARTANI, NGEMPLAK, SLEMAN Gregorius Bhaskara Wikanendra; Rita Suhadi; Christianus Heru Setiawan; Dita Maria Virginia; Phebe Hendra; Fenty Fenty
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 17, No 2 (2020)
Publisher : Sanata Dharma University

Sleep deprivation is a risk factor for cardiovascular and metabolic diseases. There was a high prevalence of high blood pressure and type 2 diabetes in Morangan, Yogyakarta Province. This study aims at studying the correlation between sleep duration, systolic blood pressure and fasting blood glucose levels of people in Morangan. This study was a cross-sectional study conducted in cooperation with a public health care program for people in Morangan. Data collection was done using a questionnaire and health screening procedure during the public health care program. Collected data were covering aspects of systolic blood pressure, fasting blood glucose, sleep duration, and sleep habit. There was a high prevalence of high systolic blood pressure (130mmHg; 66.04%) and high fasting blood glucose level (100mg/dL; 39.62%) in Morangan people. There was a significantly positive correlation between sleep duration and systolic blood pressure (p:0.024; r:0.31) but no significant correlation between sleep duration and fasting blood glucose level. The major contributing habits towards sleep deprivation were caffeine consumption and medium pre-sleep routine. The result of this research will provide help in designing an education program for people of Morangan in preventing and treating high blood pressure and type 2 diabetes.

Distribution and clinical characteristic of malaria patients in Weoe Public Health Center, Malaka District, East Nusa Tenggara in 2019 Maria Seraphine Agusta; Ni Putu Inna Ariani; Christianus Heru Setiawan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 53, No 2 (2021)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Malaria remains a health problem in Indonesia including in East Nusa Tenggara (ENT) Province where its incidence is high. Weoe Public Health Center located in Malaka District, ENT Province has an important role as the front-line in the malaria control. The high number of malaria cases in this area may induce an economic burden due to unproductiveness at workplaces even death. This study aimed to overview the distribution and clinical characteristics of malaria patients in Weoe Public Public Health Center, Malaka District. This was a descriptive cross sectional study with saturated sampling method using secondary data of patient’s medical record from January-December 2019. Malaria patients treated at the Weoe Public Health Center from eight villages were selected in this study. The data of the time of ill, patient’s residence, gender, age, complaints, temperature, type of malaria, therapy, treatment results, and follow up blood smear tests result were collected. Among 815 patients suspected malaria, 198 (24.3%) were confirmed malaria positive caused by Plasmodium falciparum (41.4%) and P. vivax (58.6%). The highest cases occurred in February which reached 36.4% of the total cases. The highest incidence of malaria was found in Weoe Village (2.33%), dominated by male patients (57.6%), and mostly occurred at age 6-12 years (29.3%). Patients presented with fever (100%) followed by non-classical malaria complaints such as nausea and vomiting (46%), headache (33%), chills (30.8%), and flu symptoms (14.1%). All malaria patients were treated with combination of dihydroartemisinin-piperaquine (DHP) and primaquine (PQ) with a 100% cure rate and follow up blood smear test are negative from malaria parasite.

The association between knowledge and cardiovascular risk in high school students in Bali Indonesia Preiffer Agus Prasojo; Yohana Helenora Desy Lopez; Christianus Heru Setiawan
Pharmaciana Vol 12, No 2 (2022): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Cardiovascular disease is one of the health problems that cause significant health, economic, and social burdens. Generally, cardiovascular disease starts to appear clinically at the age of 40 years and over. Currently, diabetes can appear early because of an unhealthy lifestyle since childhood. Senior high school students, the nation's next generation, are essential assets for the country. The school-age intervention is expected to increase student awareness for anticipating cardiovascular disease. This study focused on evaluating the relationship between the level of knowledge related to cardiovascular disease and the risk of cardiovascular disease in high school students. This study is an analytic observational with a cross-sectional design with purposive sampling. The instruments used in this study to measure the level of knowledge and cardiovascular risk are a closed-ended questionnaire, digital sphygmomanometer, scale, height meter, body measuring tape, and blood glucose self-test device. The total study population was 207 students from two senior high schools in Bali. Almost one-third of the subjects have high blood pressure. Nearly a quarter of the subjects are overweight-obese and have waist circumference above normal. The result showed no significant difference relationship between the level of knowledge and cardiovascular risk (P >0.05). Therefore, further education is needed to instil healthy behaviors to control cardiovascular risk factors as early as possible. In conclusion, there is no relationship between the level of knowledge on cardiovascular risk in two senior high schools in Bali.

Sleep quality and duration during pandemic uninvolved to impaired fasting glucose and hyperuricemia among health care practitioners Phebe Hendra; Fenty Fenty; Christianus Heru Setiawan; Leonardo Susanto Utomo; Gregorius Bhaskara Wikanendra; Putu Dyana Christasani; Dita Maria Virginia
Pharmaciana Vol 12, No 2 (2022): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Sleep quality and sleep duration might be more disturbed throughout the pandemic of Covid-19 among health care practitioners (HCPs). It could influence impaired fasting glucose (IFG) and hyperuricemia. Therefore, the objective of this study was to assess the association between sleep with IFG and hyperuricemia among HCPs throughout the pandemic of Covid-19. We conducted a cross-sectional study that enrolled 58 HCPs in the tertiary hospital. Self-reported questionnaire related to their sleep quality and duration using the Pittsburg Sleep Quality Index (PSQI) were performed by participants. Fasting plasma glucose (FPG) and uric acid (UA) were examined after 10-12 hours of fasting to define IFG and hyperuricemia. A total of 58 HCPs detected 34.5% had IFG and 24.1% had hyperuricemia. We could not identify any statistically significant participants characteristic based on IFG. HCPs who shift workers were 21.4% hyperuricemia compared to 54.4 non-hyperuricemia (p=0.03). There were no different characteristics according to the quality and duration of sleep, where 72.4% HCPs had good quality and duration of sleep. However, we found that sleep medication used scores were higher in IFG group (0.30 ± 0.57) than non-IFG (0.03 ± 0.16) (p<0.01). This study could not detect a significant relationship between quality and/or duration of sleep, with IFG and hyperuricemia. Shift worker significant associated with hyperuricemia (p<0.05). The association between quality and duration of sleep with IFG and hyperuricemia was not found among HCPs, especially during the Covid-19 pandemic. An alert where the IFG group had high sleep medication used scores, and shift workers had a lower risk of hyperuricemia.

High Frequency of CYP2A6*4, CYP2A6*7, and CYP2A6*9 Alleles Detected Among Patients with Type 2 Diabetic: Genetic Study in The Private Hospital in Yogyakarta Christine Patramurti; Dita Maria Virginia; Fenty Fenty; Christianus Heru Setiawan; Jeffry Julianus; Phebe Hendra; Nicholas Adi Perdana Susanto
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 19, No 2 (2022)
Publisher : Sanata Dharma University

Smoking is a risk factor for type 2 diabetic (T2DM), since the nicotine in cigarettes can cause insulin resistance and increase lipolysis. Both of these can worsen the condition of patients with T2DM and increase treatment failure. Nicotine is metabolized to cotinine by the CYP2A6 enzyme encoded by the CYP2A6 gene. This gene is highly polymorphic, with several inactive alleles, which are CYP2A6 *4, CYP2A6 *7, and CYP2A6 *9. Someone who has an inactive gene will experience being a slow or poor metabolizer. Therefore, the nicotine metabolism will decrease, nicotine blood levels will increase, causing therapy failure among patients with T2DM. This study aims to determine the distribution of CYP2A6*4, CYP2A6*7, and CYP2A6*9 among patients with T2DM who have been routinely treated using oral antidiabetics. We also investigated whether HbA1c levels is a predictor for the success of the treatment. This observational study was conducted with a cross-sectional design. Polymerase chain reaction was used to analyze the three inactive alleles with specific primers. Based on our study, there is a high frequency of the inactive alleles, i.e., CYP2A6*4, CYP2A6*7, and CYP2A6*9, among the patients with T2DM. The presence of these inactive alleles will worsen and reduce the effectiveness of the therapy. Smoking cessation programs are needed to increase the effectiveness of the anti-diabetic therapy.

Effect of Antihypertensive Therapy Compliance Using Medication Possession Ratio Method on Blood Pressure in Patients with Hypertension Afriani Ireineldis Anugera; Christianus Heru Setiawan
Jurnal Farmasi Sains dan Komunitas (Journal of Pharmaceutical Sciences and Community) Vol 19, No 1 (2022)
Publisher : Sanata Dharma University

Hypertension is a circulatory system disorder that causes an increase in blood pressure, specifically systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg. Hypertension can cause serious medical conditions such as damage to various organs. The complications caused by hypertension can be prevented with treatment regularly to achieve controlled blood pressure. This study determines the relationship between antihypertensive therapy compliance to blood pressure in hypertensive patients. This type of research is analytical observational with retrospective cohort design and purposive sampling techniques. The data were obtained from patients’ medical records, including demographic data, blood pressure, and prescribed drugs. The subject's compliance was measured using the Medication Possession Ratio (MPR). A total of 124 subjects met the inclusion criteria. The data were analyzed using a chi-square test with Yates correction. Most patients had uncontrolled blood pressure as much as 101 patients. The statistical analyses show that antihypertensive therapy compliance affects controlled blood pressure in patients with hypertension (p= 0.00). More efforts to support adherence to hypertensive treatment should be initiated to have greater effect on therapy compliance.

Co-Authors Afriani Ireineldis Anugera Christine Patramurti Dita Maria Virginia Dita Maria Virginia Fenty Fenty Fenty Fenty Fenty Fenty Fenty Fenty Fenty Fenty Gregorius Bhaskara Wikanendra Gregorius Bhaskara Wikanendra Gregorius Bhaskara Wikanendra Jeffry Julianus Leonardo Susanto Utomo Maria Seraphine Agusta Mensiana Ayu Maju Ni Putu Inna Ariani Nicholas Adi Perdana Susanto Phebe Hendra Phebe Hendra Phebe Hendra Phebe Hendra Phebe Hendra, Phebe Preiffer Agus Prasojo Putu Dyana Christasani Rita Suhadi Yohana Helenora Desy Lopez Yunita Linawati

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