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Full-Text Articles in Medicine and Health Sciences

Kepatuhan Pengobatan Pada Pasien Tuberkulosis Dan Faktor-Faktor Yang Mempengaruhinya: Tinjauan Sistematis, Shania Adhanty, Syahrizal Syarif Jun 2023

Kepatuhan Pengobatan Pada Pasien Tuberkulosis Dan Faktor-Faktor Yang Mempengaruhinya: Tinjauan Sistematis, Shania Adhanty, Syahrizal Syarif

Jurnal Epidemiologi Kesehatan Indonesia

Tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh bacillus mycobacterium tuberculosis. Ketidakpatuhan dalam pengobatan kerap menjadi masalah secara global, karena jika tidak mengikuti rangkaian pengobatan secara benar dapat menyebabkan resistensi obat, kambuhnya kembali penyakit, bahkan sampai kematian. Tujuan artikel ini adalah untuk mengetahui kepatuhan pengobatan pasien TB paru dan faktor-faktor yang mempengaruhinya pada studi observasional. Terdapat empat database (PubMed, Scopus, EMBASE dan MEDLINE) yang digunakan untuk menulusuri artikel. Kata kunci yang digunakan untuk pencarian diantaranya: (tuberculosis) OR (TB) AND (treatment adherence) OR (treatment compliance) OR (medication adherence) OR (medication compliance) AND (directly observed treatment shortcourse) OR (DOTS). Ditemukan sebanyak lima …


Evaluasi Kegiatan Uks Di Sekolah Dasar X Dalam Penerapan Program Sekolah Sehat Tahun 2022, Frisca Ajeng Agustina, Yuri Nurdiantami, Agustina Agustina, Laily Hanifah, Acim Heri Iswanto Jun 2023

Evaluasi Kegiatan Uks Di Sekolah Dasar X Dalam Penerapan Program Sekolah Sehat Tahun 2022, Frisca Ajeng Agustina, Yuri Nurdiantami, Agustina Agustina, Laily Hanifah, Acim Heri Iswanto

Jurnal Epidemiologi Kesehatan Indonesia

Pada tahun 2022, pemerintah mengkampanyekan ‘Sekolah Sehat’ yang bertemakan Revitalisasi Usaha Kesehatan Sekolah (UKS) dengan salah satu targetnya adalah Sekolah Dasar (SD), yang didasari oleh kekhawatiran terkait masalah kesehatan anak Indonesia. Berangkat dari hal tersebut, penelitian ini bertujuan untuk mengevaluasi kegiatan UKS di SD X. Penelitian ini menggunakan metode kualitatif melalui observasi dengan form ceklis dan wawancara mendalam terhadap kegiatan yang terkait dengan tujuan dari Sekolah Sehat, yakni penjaringan kesehatan dan pemeriksaan kesehatan berkala, pendidikan gizi, aktivitas fisik, dan imunisasi. Hasil penelitian menunjukkan bahwa pelaksanaan kegiatan UKS dalam penerapan program Sekolah Sehat tahun 2022 di SD X secara keseluruhan telah …


Analisis Survival: Hubungan Konversi Sputum Dengan Keberhasilan Pengobatan Pasien Tuberkulosis Resistan Obat Di Indonesia, Shena Masyita Deviernur, Nurhayati Adnan Jun 2023

Analisis Survival: Hubungan Konversi Sputum Dengan Keberhasilan Pengobatan Pasien Tuberkulosis Resistan Obat Di Indonesia, Shena Masyita Deviernur, Nurhayati Adnan

Jurnal Epidemiologi Kesehatan Indonesia

Angka keberhasilan pengobatan Tuberkulosis Resistan Obat (TB RO) di Indonesia masih rendah. Konversi sputum dapat menjadi monitoring awal untuk memantau keberhasilan pengobatan. Penelitian ini bertujuan untuk melihat hubungan antara konversi sputum <3 bulan dengan keberhasilan pengobatan. Penelitian ini menggunakan desain studi kohort retrospektif dengan data yang bersumber dari sistem informasi tuberkulosis Kementerian Kesehatan RI. Populasi pada penelitian ini adalah pasien TB RO yang memulai pengobatan tahun 2020-2021 di Indonesia dengan jumlah sampel sebanyak 8.025 kasus dan participation rate sebesar 88,6%. Kurva Kaplan Meier dengan uji log-rank dibuat untuk analisis deskriptif, sedangkan analisis regresi Cox digunakan untuk melihat hubungan antara konversi sputum dengan keberhasilan pengobatan. Hasil analisis menunjukkan bahwa 45,9% pasien konversi sputum < 3 bulan pengobatan dengan 74,6% memiliki keberhasilan pengobatan. Secara keseluruhan median time untuk keberhasilan pengobatan berdasarkan konversi sputum < 3 bulan adalah bulan ke-18. Hasil analisis multivariat menunjukkan konversi sputum < 3 bulan 1,25 (95% CI 1,18-1,34) lebih tinggi peluangnya untuk mencapai keberhasilan pengobatan dibandingkan pasien yang tidak konversi < 3 bulan setelah dikontrol oleh status HIV dan paduan pengobatan. Berdasarkan hasil penelitian ini dapat disimpulkan bahwa monitoring konversi sputum dapat menjadi cara untuk melakukan monitoring keberhasilan pengobatan sedini mungkin. Konversi sputum merupakan standar yang dilakukan untuk pemantauan pengobatan pasien TB RO. Namun jumlah laboratorium yang dapat melakukan pemeriksaan untuk konversi pada pasien TB RO masih terbatas. Perlu adanya perluasan layanan dan peningkatan mutu layanan untuk melakukan pemeriksaan konversi sputum pada pasien TB RO.


Time Is Ticking For Cervical Cancer, Vijay Kumar, Caitlin Bauer, John H. Stewart Jun 2023

Time Is Ticking For Cervical Cancer, Vijay Kumar, Caitlin Bauer, John H. Stewart

School of Medicine Faculty Publications

Cervical cancer (CC) is a major health problem among reproductive-age females and comprises a leading cause of cancer-related deaths. Human papillomavirus (HPV) is the major risk factor associated with CC incidence. However, lifestyle is also a critical factor in CC pathogenesis. Despite HPV vaccination introduction, the incidence of CC is increasing worldwide. Therefore, it becomes critical to understand the CC tumor immune microenvironment (TIME) to develop immune cell-based vaccination and immunotherapeutic approaches. The current article discusses the immune environment in the normal cervix of adult females and its role in HPV infection. The subsequent sections discuss the alteration of different …


Counting Every Death When Every Death Counts: A Mixed-Methods Study Of Hurricane Michael Excess Mortality, Blake L. Scott Jun 2023

Counting Every Death When Every Death Counts: A Mixed-Methods Study Of Hurricane Michael Excess Mortality, Blake L. Scott

USF Tampa Graduate Theses and Dissertations

Vulnerable populations have been shown to be disproportionately impacted by natural disasters, such as hurricanes. Hurricane Michael, a Category 5 storm, in October of 2018 hit the rural and socioeconomically vulnerable area of the Florida Panhandle, causing 50 fatalities in Florida, massive destruction to area including the healthcare infrastructure, and led a prolonged recovery period. The purpose of the research was to examine long-term impacts to health in Florida Panhandle after Hurricane Michael; changes to mortality trends, changes to health of survivors, and changes to their access to health care using a mixed-methods, sequential, explanatory study design.

The initial phase …


Sars-Cov-2 Covid-19 Infection During Pregnancy And Differential Dna Methylation In Human Cord Blood Cells From Term Neonates, Pedro Urday, Suhita Gayen Nee' Betal, Rochelle Sequeira Gomes, Huda B. Al-Kouatly, Kolawole Solarin, Joanna S.Y. Chan, Dongmei Li, Irfan Rahman, Sankar Addya, Rupsa C. Boelig, Zubair H. Aghai Jun 2023

Sars-Cov-2 Covid-19 Infection During Pregnancy And Differential Dna Methylation In Human Cord Blood Cells From Term Neonates, Pedro Urday, Suhita Gayen Nee' Betal, Rochelle Sequeira Gomes, Huda B. Al-Kouatly, Kolawole Solarin, Joanna S.Y. Chan, Dongmei Li, Irfan Rahman, Sankar Addya, Rupsa C. Boelig, Zubair H. Aghai

Department of Obstetrics and Gynecology Faculty Papers

Background:

The global pandemic of coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). About 18.4% of total Covid-19 cases were reported in children. Even though vertical transmission from mother to infant is likely to occur at a low rate, exposure to COVID-19 during fetal life may alter DNA methylation patterns with potential long-term effects.

Objective:

To determine if COVID-19 infection during pregnancy alters the DNA methylation patterns in umbilical cord blood cells from term infants and to identify potential pathways and genes affected by exposure to COVID-19 infection.

Methods:

Umbilical cord blood was collected …


Vascular And Auditory Changes After Repetitive Traumatic Brain Injury, Courtney Lynn Penn Jun 2023

Vascular And Auditory Changes After Repetitive Traumatic Brain Injury, Courtney Lynn Penn

USF Tampa Graduate Theses and Dissertations

Traumatic brain injury (TBI) affects over 2.87 million people in the US each year. The large majority of these injuries can be classified as mild. However, evidence suggests that even mild TBIs can lead to long-lasting symptoms that greatly impact quality of life. This is particularly true when an individual sustains multiple TBIs (repetitive TBI, rTBI). Much of the damage caused by rTBI is due to secondary injury mechanisms that cause the initial injury site to spread and worsen over time. No therapies currently exist which can mitigate secondary injury, and monitoring this phase of rTBI is difficult. Development of …


Reframing Resistance, Resilience, And Racial Equity In Maternal Health: A Mixed Methods Exploration Of Paternal Involvement And The Racial Disparity In Severe Maternal Morbidity, Marshara G. Fross Jun 2023

Reframing Resistance, Resilience, And Racial Equity In Maternal Health: A Mixed Methods Exploration Of Paternal Involvement And The Racial Disparity In Severe Maternal Morbidity, Marshara G. Fross

USF Tampa Graduate Theses and Dissertations

Background: The preventable, persistent racial inequity observed in maternal and infant death has lasting impacts on African American communities and families. Fathers, partners, and co-parents are important supports during the sensitive and vulnerable perinatal period. Emerging research has begun to demonstrate a concerted effort to move beyond the sphere of medicine and quality improvement, towards exploring and integrating social factors into targeted intervention strategies to address racial inequality in health outcomes. However, sparse literature concentrates on understanding the role of fathers and partners in peripartum care and maternal health outcomes. This study aimed to explore, understand, and describe the role …


Understanding How Cancer Adapts To Stress And Therapy Using Evolutionary Game Theory, Mariyah Pressley Jun 2023

Understanding How Cancer Adapts To Stress And Therapy Using Evolutionary Game Theory, Mariyah Pressley

USF Tampa Graduate Theses and Dissertations

Adaptive responses in cancer promote disease initiation, progression, and resistance to treatment. Understanding the underlying evolutionary dynamics behind these adaptive responses is crucial for developing effective therapeutic strategies. Evolutionary game theory (EGT) has proven a useful tool in analyzing how different cellular behaviors and evolutionary forces shape the dynamics of tumor growth, response to therapy, and the emergence of resistance. In this dissertation, we utilize EGT to understand the adaptive responses of cancer through the lens of ecology and evolution. By employing fitness-generating models and exploring various ecological contexts, we aimed to unveil critical factors influencing aggressive cell phenotypes, treatment …


Innovations In Cell Therapy In Pediatric Diseases: A Narrative Review, Razan El Sayed, Karan Michael Shankar, Atharwa Rajan Mankame, Charles S Cox Jun 2023

Innovations In Cell Therapy In Pediatric Diseases: A Narrative Review, Razan El Sayed, Karan Michael Shankar, Atharwa Rajan Mankame, Charles S Cox

Faculty, Staff and Student Publications

BACKGROUND AND OBJECTIVE: Stem cell therapy is a regenerative medicine modality that has the potential to decrease morbidity and mortality by promoting tissue regeneration or modulating the inflammatory response. An increase in the number of clinical trials investigating the efficacy and safety of stem cell therapy in pediatric diseases has led to advancements in this field. Currently, multiple sources and types of stem cells have been utilized in the treatment of pediatric diseases. This review aims to inform researchers and clinicians about preclinical and clinical stem cell therapy trials in pediatric patients. We discuss the different types of stem cells …


Atoh1 Drives The Heterogeneity Of The Pontine Nuclei Neurons And Promotes Their Differentiation, Sih-Rong Wu, Jessica C Butts, Matthew S Caudill, Jean-Pierre Revelli, Ryan S Dhindsa, Mark A Durham, Huda Y Zoghbi Jun 2023

Atoh1 Drives The Heterogeneity Of The Pontine Nuclei Neurons And Promotes Their Differentiation, Sih-Rong Wu, Jessica C Butts, Matthew S Caudill, Jean-Pierre Revelli, Ryan S Dhindsa, Mark A Durham, Huda Y Zoghbi

Faculty, Staff and Students Publications

Pontine nuclei (PN) neurons mediate the communication between the cerebral cortex andthe cerebellum to refine skilled motor functions. Prior studies showed that PN neurons fall into two subtypes based on their anatomic location and region-specific connectivity, but the extent of their heterogeneity and its molecular drivers remain unknown. Atoh1 encodes a transcription factor that is expressed in the PN precursors. We previously showed that partial loss of Atoh1 function in mice results in delayed PN development and impaired motor learning. In this study, we performed single-cell RNA sequencing to elucidate the cell state–specific functions of Atoh1 during PN development and …


Microrna-145 And Microrna-486 Are Potential Serum Biomarkers For Vascular Calcification, Sara Fernández-Villabrille, Beatriz Martín-Carro, Julia Martín-Vírgala, Cristina Alonso-Montes, Carmen Palomo-Antequera, Raúl García-Castro, Susana López-Ongil, Adriana S Dusso, José Luis Fernández-Martín, Manuel Naves-Díaz, Jorge B Cannata-Andía, Natalia Carrillo-López, Sara Panizo Jun 2023

Microrna-145 And Microrna-486 Are Potential Serum Biomarkers For Vascular Calcification, Sara Fernández-Villabrille, Beatriz Martín-Carro, Julia Martín-Vírgala, Cristina Alonso-Montes, Carmen Palomo-Antequera, Raúl García-Castro, Susana López-Ongil, Adriana S Dusso, José Luis Fernández-Martín, Manuel Naves-Díaz, Jorge B Cannata-Andía, Natalia Carrillo-López, Sara Panizo

2020-Current year OA Pubs

INTRODUCTION: MicroRNAs (miRs) regulate vascular calcification (VC), and their quantification may contribute to suspicion of the presence of VC.

METHODS: The study was performed in four phases. Phase 1: miRs sequencing of rat calcified and non-calcified aortas. Phase 2: miRs with the highest rate of change, plus miR-145 [the most abundant miR in vascular smooth muscle cells (VSMCs)], were validated in aortas and serum from rats with and without VC. Phase 3: the selected miRs were analyzed in epigastric arteries from kidney donors and recipients, and serum samples from general population. Phase 4: VSMCs were exposed to different phosphorus concentrations, …


Stimulatory Effects Of Lycium Shawii On Human Melanocyte Proliferation, Migration, And Melanogenesis: In Vitro And In Silico Studies, Karen E Gerlach, Kanchan Ashok Phalak, Ethan O Cohen, Kiran N Chang, Roland Bassett, Gary J Whitman Jun 2023

Stimulatory Effects Of Lycium Shawii On Human Melanocyte Proliferation, Migration, And Melanogenesis: In Vitro And In Silico Studies, Karen E Gerlach, Kanchan Ashok Phalak, Ethan O Cohen, Kiran N Chang, Roland Bassett, Gary J Whitman

Faculty, Staff and Student Publications

Rationale and objectives: Information evaluating the efficacy of 2D synthesized mammography (2Ds) reconstructions in microcalcification detection is limited. This study used stereotactic biopsy data for microcalcifications to evaluate the stepwise implementation of 2Ds in screening mammography. The study aim was to identify whether 2Ds + digital breast tomosynthesis (DBT) is non-inferior to 2D digital mammography (2DM) + 2Ds + DBT, 2DM + DBT, and 2DM in identifying microcalcifications undergoing further diagnostic imaging and stereotactic biopsy.

Materials and methods: Retrospective stereotactic biopsy data were extracted following 151,736 screening mammograms of healthy women (average age, 56.3 years; range, 30-89 years), performed between …


Penggunaan Whole Body Vibration Training Pada Kasus Chronic Ankle Instability Terhadap Peningkatan Keseimbangan Pada Atlet: Studi Literatur, Aditya Denny Pratama, Muhamad Nabiel Jun 2023

Penggunaan Whole Body Vibration Training Pada Kasus Chronic Ankle Instability Terhadap Peningkatan Keseimbangan Pada Atlet: Studi Literatur, Aditya Denny Pratama, Muhamad Nabiel

Jurnal Vokasi Indonesia

Manusia mempunyai foot and ankle yang berfungsi sebagai permukaan utama antara tanah dan tubuh selama manusia melakukan aktivitas sehari-harinya. Hal tersebut mengharuskan foot dan ankle complex mampu menahan tumpuan tubuh, beradaptasi dengan permukaan yang tidak rata, dan sebagai penggerak yang efisien. Ankle sprain merupakan salah satu cedera di bidang muskuloskeletal yang paling sering terjadi. Cedera ankle sprain umumnya paling sering terjadi dialami oleh atlet kompetitif. Cedera ankle sprain juga memiliki tingkat kekambuhan yang tinggi. Cedera ini dapat menimbulkan masalah terkait dengan perkembangan Chronic Ankle Instability (CAI). CAI adalah suatu kondisi pengulangan cedera Ankle yang bertahan selama lebih dari 1 …


Efektivitas Vaksinasi Terhadap Tingkat Keparahan Covid-19, Diah Adni Fauziah, Dewi Nurlaela Sari Jun 2023

Efektivitas Vaksinasi Terhadap Tingkat Keparahan Covid-19, Diah Adni Fauziah, Dewi Nurlaela Sari

Jurnal Epidemiologi Kesehatan Indonesia

Vaksin COVID-19 terbilang efektif untuk mengendalikan pandemi, namun pemberian vaksinasi belum tentu dapat 100% menjamin seseorang terhindar dari COVID-19, vaksin COVID-19 bisa mencegah dari tingkat keparahan COVID-19. Tujuan penelitian ini untuk melihat besaran risiko faktor prediktor yang mempengaruhi derajat keparahan COVID-19. Penelitian ini menggunakan desain studi crossectional dengan purposive sam pling. Sampel berjumlah 1530 responden, diambil dari seluruh kasus positif COVID-19 yang berada di 4 puskesmas di Kabupaten Bandung pada Desember 2021 hingga Mei 2022 dan memiliki ketersediaan data lengkap. Data dianalisis dengan menggunakan software analisis dengan Regresi Logistik. Hasil penelitian didapatkan bahwa odds responden yang belum mendapat vaksin sebesar …


Hubungan Stunting Dengan Anemia, Morbiditas Dan Perkembangan Anak Usia Batita Di Puskesmas Kebondalem Pemalang, Arwinda Nugraheni, Ani Margawati, Firdaus Wahyudi, Aras Utami Jun 2023

Hubungan Stunting Dengan Anemia, Morbiditas Dan Perkembangan Anak Usia Batita Di Puskesmas Kebondalem Pemalang, Arwinda Nugraheni, Ani Margawati, Firdaus Wahyudi, Aras Utami

Jurnal Epidemiologi Kesehatan Indonesia

Kejadian stunting merupakan masalah kesehatan anak di Indonesia yang berdampak pada anemia, perkembangan dan sistem imunitas. Pada balita anemia, peningkatan morbiditas dan gangguan perkembangan dapat menyebabkan gangguan pada struktur dan fungsi tubuh dalam kemampuan anak menuju kematangan yang bersifat tetap dan berpengaruh pada kesehatan di masa mendatang. Penelitian ini bertujuan untuk mengetahui hubungan stunting dengan kadar hemoglobin, morbiditas dan perkembangan batita. Penelitian ini menggunakan desain penelitian cross-sectional dan dilakukan pada bulan Juli 2019 di wilayah kerja Puskesmas Kebondalem di Kabupaten Pemalang dengan sampel batita usia 6-26 bulan. Variabel penelitian yang dinilai adalah kadar hemoglobin (Hb), morbiditas, perkembangan yang diukur melalui …


Determinan Kematian Bayi Ditinjau Dari Perilaku Kesehatan Ibu: Tinjauan Literatur, Imelda Aliska, Ade Suzana Eka Putri, Amir Su’Udi Jun 2023

Determinan Kematian Bayi Ditinjau Dari Perilaku Kesehatan Ibu: Tinjauan Literatur, Imelda Aliska, Ade Suzana Eka Putri, Amir Su’Udi

Jurnal Epidemiologi Kesehatan Indonesia

Angka Kematian Bayi (AKB) di Indonesia masih belum mencapai target SDGS tahun 2030 dan RPJMN tahun 2020-2024 pada bidang kesehatan. AKB perlu diperhatikan karena merupakan indikator sensitif untuk mengukur keberhasilan pencapaian pembangunan kesehatan dan juga mengukur pencapaian indeks modal manusia. Tujuan dari penelitian ini adalah untuk mereview determinan perilaku kesehatan ibu terhadap kejadian kematian bayi dengan metode literature review. Penelusuran literature dilakukan di database PubMed, Portal Garuda, Semantic Scholar, dan Google Scholar. Kriteria inklusi pada penelitian ini adalah artikel penelitian yang terbit pada 2016-2022, menggunakan bahasa Indonesia dan bahasa Inggris, serta menggunakan desain studi observasional.Hasil akhir dari proses pencarian studi …


Prediktor Kepuasan Mahasiswa Profesi Kesehatan Dalam Melaksanakan Praktik Klinik Selama Pandemi Covid-19 Di Rsd Mangusada : Studi Potong Lintang, I Nengah Suarmayasa, I Ketut Swarjana Jun 2023

Prediktor Kepuasan Mahasiswa Profesi Kesehatan Dalam Melaksanakan Praktik Klinik Selama Pandemi Covid-19 Di Rsd Mangusada : Studi Potong Lintang, I Nengah Suarmayasa, I Ketut Swarjana

Jurnal Epidemiologi Kesehatan Indonesia

Pandemi coronavirus disease 2019 (COVID-19) tidak hanya berdampak pada ekonomi dan kesehatan, tetapi juga aspek pendidikan termasuk praktek klinik mahasiswa profesi kesehatan di rumah sakit. Berbagai perubahan dan penyesuaian jumlah mahasiswa yang melaksanakan praktik klinik, peralatan praktik dan juga metode bimbingan dapat berpengaruh terhadap kepuasan mahasiswa. Penelitian ini bertujuan untuk mengidentifikasi kepuasan mahasiswa profesi kesehatan dan prediktornya dalam melaksanakan praktik klinik selama pandemi COVID-19 di Rumah Sakit Daerah (RSD) Mangusada, Kabupaten Badung. Penelitian ini adalah sebuah studi potong lintang yang melibatkan 341 mahasiswa profesi kesehatan (Mahasiswa Koas, Profesi Ners, Profesi Bidan dan Profesi Fisioterapis) yang melaksanakan praktik klinik di RSD …


Sindrom Metabolik Dan Kejadian Stroke Pada Penduduk Berusia > 15 Tahun Di Indonesia: Analisis Data Riskesdas 2018, Muhammad Farhan Dwi Yulianto, Tri Yunis Miko Wahyono, Helda Helda Jun 2023

Sindrom Metabolik Dan Kejadian Stroke Pada Penduduk Berusia > 15 Tahun Di Indonesia: Analisis Data Riskesdas 2018, Muhammad Farhan Dwi Yulianto, Tri Yunis Miko Wahyono, Helda Helda

Jurnal Epidemiologi Kesehatan Indonesia

Prevalensi global stroke dan sindrom metabolik, sebagai kumpulan faktor risiko utama yang mempengaruhi stroke terus mengalami peningkatan. Penelitian ini bertujuan melihat hubungan antara sindrom metabolik dan kejadian stroke di Indonesia. Desain studi ini adalah cross-sectional dan menggunakan data survei skala nasional. Responden berusia >15 tahun yang mengalami stroke dengan data lengkap terkait pengukuran lingkar perut, tekanan darah, kadar glukosa darah, trigliserida, dan kadar high-density lipoprotein akan masuk dalam studi ini. Model regresi logistik digunakan dalam analisis kami. Dari 24.451 responden, studi kami menunjukkan mayoritas berusia <55 tahun (73,9%), perempuan (62,2%), dengan proporsi penderita stroke serta proporsi sindrom metabolik adalah 1,2%, dan 24,4%. Studi ini memperlihatkan adanya hubungan antara sindrom metabolik dan kejadian stroke (adj POR: 2,4; 95% CI: 1,9-3,1). Dengan menangani sindrom metabolik pada penduduk > 15 tahun di Indonesia, diharapkan pengendalian stroke dapat optimal


Korelasi Faktor Risiko Usia Pasien Dengan Kasus Dan Biaya Rawat Inap Penyakit Jantung Di Indonesia (Analisis Serial Waktu Program Jaminan Kesehatan Nasional 2015-2021), Syarif Rahman Hasibuan, Sabarinah Prasetyo, Ede Surya Darmawan Jun 2023

Korelasi Faktor Risiko Usia Pasien Dengan Kasus Dan Biaya Rawat Inap Penyakit Jantung Di Indonesia (Analisis Serial Waktu Program Jaminan Kesehatan Nasional 2015-2021), Syarif Rahman Hasibuan, Sabarinah Prasetyo, Ede Surya Darmawan

Jurnal Ekonomi Kesehatan Indonesia

This study analyzes the correlation between patient age with hospitalization cases and cost in Indonesia. The design of this study was cross-sectional quantitative using open sources data from Indonesia National Health Insurance Agency (BPJS Kesehatan). The sample units in this study were hospitalization cases from 2015-2021 of National Health Insurance program member. Sample size of this study are 43,921 that weighted to get 3,901,373 hospitalization cases. This study show an uptrend in cases and the total cost of cardiovascular disease hospitalization in 2015-2019, while it show downtrend during the Covid-19 pandemic. The average cost of cardiovascular disease hospitalization per case …


Hubungan Karakteristik Pasien, Prosedur, Dan Penyakit Penyerta Dengan Biaya Langsung Medis Pada Pasien Rawat Inap Jantung Koroner, Rita Tri Wahyuni, Eri Witcahyo, Yennike Tri Herawati Jun 2023

Hubungan Karakteristik Pasien, Prosedur, Dan Penyakit Penyerta Dengan Biaya Langsung Medis Pada Pasien Rawat Inap Jantung Koroner, Rita Tri Wahyuni, Eri Witcahyo, Yennike Tri Herawati

Jurnal Ekonomi Kesehatan Indonesia

Coronary heart disease is a catastrophic disease that causes a high burden of medical costs. At Dr.Iskak Tulungagung hospital, coronary heart disease is the disease with the highest cost. The number of coronary heart patients who are hospitalized is also increasing every year. Several Previous studies have shown that the amount of direct medical costs of coronary heart patients reach more than 50% of the total costs of treatment. Therefore, it is necessary to do research on the factors associated with the increasing direct medical costs of coronary heart patients. The purpose of this study was to analyze the factors …


Dampak Guncangan Kesehatan Terhadap Konsumsi Rumah Tangga Di Indonesia: Adakah Peran Asuransi Kesehatan Dan Kredit Mikro?, Rodhiah Umaroh, Listiono Listiono Jun 2023

Dampak Guncangan Kesehatan Terhadap Konsumsi Rumah Tangga Di Indonesia: Adakah Peran Asuransi Kesehatan Dan Kredit Mikro?, Rodhiah Umaroh, Listiono Listiono

Jurnal Ekonomi Kesehatan Indonesia

This paper aims to analyze the impact of health shock on household consumption and estimate the role of health insurance and microcredit in tackling the shock impact. The primary variable used in this study as a proxy for health shock is the impairment of activity in daily living (ADL) experienced by household heads. The impact evaluation method of Propensity Score Matching (PSM) was employed to estimate the impact of health shock on Indonesian household consumption using data from Indonesian Family Life Survey (IFLS-5). This study's result reveals that health shock significantly reduces household consumption of both food and non-food consumption. …


Evaluasi Penerapan Pilot Project Global Budget Sebagai Sistem Pembayaran Klaim Pada Rsud Wates, Mega Handayani, Laili Rahmatul Ilmi, Zennul Mubarrok1 Mubarrok Jun 2023

Evaluasi Penerapan Pilot Project Global Budget Sebagai Sistem Pembayaran Klaim Pada Rsud Wates, Mega Handayani, Laili Rahmatul Ilmi, Zennul Mubarrok1 Mubarrok

Jurnal Ekonomi Kesehatan Indonesia

Claims payment for health services is one of the factors that affect the financial health of a hospital. Indonesia itself has experienced several changes to the existing payment system. BPJS-K started an operational study on the implementation of the INA-CBGs and the Global Budget mixed-method payment system since 2018 with three stages in five districts/city in Indonesia. This study aims to evaluate the implementation of the Global Budget system at RSUD Wates in Kulon Progo Regency that appointed as a BPJS-K pilot project. This research is qualitative research and data collection was carried out by studying documents and interviews. As …


Faktor Yang Berkontribusi Pada Keikusertaan Sektor Formal Dalam Skema Asuransi Kesehatan Sosial: Narrative Review, Haerawati Idris Jun 2023

Faktor Yang Berkontribusi Pada Keikusertaan Sektor Formal Dalam Skema Asuransi Kesehatan Sosial: Narrative Review, Haerawati Idris

Jurnal Ekonomi Kesehatan Indonesia

Countries worldwide have been working towards achieving universal health coverage target, including countries with low and middle incomes. Even though it is mandatory, the formal sector does not automatically become a participant in social health insurance. This study describes the factors contributing to formal sector participation in social health insurance. This study uses a narrative review approach. This study focuses on the factors that contribute to the participation of the formal sector in social health insurance schemes. We identified articles selected according to the inclusion criteria covering the formal sector, English and Indonesian, adopting social insurance, and open access articles. …


Analisis Kinerja Fktp Pemerintah Di Era Jkn Dengan Metode Balanced Scorecard: Studi Kasus Di Puskesmas Bandar Baru Tahun 2022, Hanifah Hasnur Jun 2023

Analisis Kinerja Fktp Pemerintah Di Era Jkn Dengan Metode Balanced Scorecard: Studi Kasus Di Puskesmas Bandar Baru Tahun 2022, Hanifah Hasnur

Jurnal Ekonomi Kesehatan Indonesia

The health efforts at health facilities have entered a new phase in the current era of Indonesian National Health Insurance (NHI). The Bandar Baru Health Center (Puskesmas), one of the largest Puskesmas in Pidie Regency with the most significant income from the NHI, is required to have quality health services, which at the same time also needs to be efficient in using its resources. This study uses the Balanced Scorecard method to determine the performance of the government's FKTP, in this case, the Bandar Baru Health Center, in the current NHI era. This quantitative descriptive research collects primary and secondary …


The Potential Of Economic Loss Due To Stunting In Indonesia, Esty Asriyana Suryana Jun 2023

The Potential Of Economic Loss Due To Stunting In Indonesia, Esty Asriyana Suryana

Jurnal Ekonomi Kesehatan Indonesia

Stunting cases continue to increase, along with the high risk of undernutrition, the increasing prevalence of malnutrition, and decreasing productivity. If this condition is not handled correctly, it can affect Indonesia's development performance, inequality, and poverty. Stunting can hinder economic growth and labor productivity, affecting 11% of GDP (gross domestic product) and reducing the income of adult workers by up to 20%. Based on this, it is necessary to make prevention and control efforts in nutrition intervention activities an economic investment. Therefore, this study estimates the economic potential lost due to stunting in children under five. This descriptive study is …


Co-Targeting Fasn And Mtor Suppresses Uveal Melanoma Growth, Anna Han, Dzmitry Mukha, Vivian Chua, Timothy J Purwin, Manoela Tiago, Bhavik Modasia, Usman Baqai, Jenna L Aumiller, Nelisa Bechtel, Emily Hunter, Meggie Danielson, Mizue Terai, Philip B Wedegaertner, Takami Sato, Solange Landreville, Michael A Davies, Stefan Kurtenbach, J William Harbour, Zachary T Schug, Andrew E Aplin Jun 2023

Co-Targeting Fasn And Mtor Suppresses Uveal Melanoma Growth, Anna Han, Dzmitry Mukha, Vivian Chua, Timothy J Purwin, Manoela Tiago, Bhavik Modasia, Usman Baqai, Jenna L Aumiller, Nelisa Bechtel, Emily Hunter, Meggie Danielson, Mizue Terai, Philip B Wedegaertner, Takami Sato, Solange Landreville, Michael A Davies, Stefan Kurtenbach, J William Harbour, Zachary T Schug, Andrew E Aplin

Faculty, Staff and Student Publications

Uveal melanoma (UM) displays a high frequency of metastasis; however, effective therapies for metastatic UM are limited. Identifying unique metabolic features of UM may provide a potential targeting strategy. A lipid metabolism protein expression signature was induced in a normal choroidal melanocyte (NCM) line transduced with GNAQ (Q209L), a driver in UM growth and development. Consistently, UM cells expressed elevated levels of fatty acid synthase (FASN) compared to NCMs. FASN upregulation was associated with increased mammalian target of rapamycin (mTOR) activation and sterol regulatory element-binding protein 1 (SREBP1) levels. FASN and mTOR inhibitors alone significantly reduced UM cell growth. Concurrent …


Exploratory Genome-Wide Analyses Of Cortical Inhibition, Facilitation, And Plasticity In Late-Life Depression, Rafae A Wathra, Xiaoyu Men, Samar S M Elsheikh, Victoria S Marshe, Tarek K Rajji, Jennifer I Lissemore, Benoit H Mulsant, Jordan F Karp, Charles F Reynolds 3rd, Eric J Lenze, Zafiris J Daskalakis, Daniel J Müller, Daniel M Blumberger Jun 2023

Exploratory Genome-Wide Analyses Of Cortical Inhibition, Facilitation, And Plasticity In Late-Life Depression, Rafae A Wathra, Xiaoyu Men, Samar S M Elsheikh, Victoria S Marshe, Tarek K Rajji, Jennifer I Lissemore, Benoit H Mulsant, Jordan F Karp, Charles F Reynolds 3rd, Eric J Lenze, Zafiris J Daskalakis, Daniel J Müller, Daniel M Blumberger

2020-Current year OA Pubs

Late-life depression (LLD) is a heterogenous mood disorder influenced by genetic factors. Cortical physiological processes such as cortical inhibition, facilitation, and plasticity may be markers of illness that are more strongly associated with genetic factors than the clinical phenotype. Thus, exploring the relationship between genetic factors and these physiological processes may help to characterize the biological mechanisms underlying LLD and improve diagnosis and treatment selection. Transcranial magnetic stimulation (TMS) combined with electromyography was used to measure short interval intracortical inhibition (SICI), cortical silent period (CSP), intracortical facilitation (ICF), and paired associative stimulation (PAS) in 79 participants with LLD. We used …


Validation Of A Farsi Version Of The Eating Disorder Examination Questionnaire (F-Ede-Q) In Adolescents And University Students From Iran, Reza N Sahlan, Jessica F Saunders, Patrycja Klimek-Johnson, Alexandra D Convertino, Jason M Lavender, Ellen E Fitzsimmons-Craft, Jason M Nagata Jun 2023

Validation Of A Farsi Version Of The Eating Disorder Examination Questionnaire (F-Ede-Q) In Adolescents And University Students From Iran, Reza N Sahlan, Jessica F Saunders, Patrycja Klimek-Johnson, Alexandra D Convertino, Jason M Lavender, Ellen E Fitzsimmons-Craft, Jason M Nagata

2020-Current year OA Pubs

BACKGROUND: Although the Farsi version of the Eating Disorder Examination-Questionnaire (F-EDE-Q) is frequently utilized to assess disordered eating in Iran, its factor structure, reliability, and validity have not been investigated in Iranian samples, which is the aim of the current investigation.

METHOD: Using convenience sampling, this study recruited 1112 adolescents and 637 university students to complete disordered eating and mental health-focused questionnaires, including the F-EDE-Q.

RESULTS: Confirmatory factor analyses of the 22 attitudinal items in the F-EDE-Q indicated that a brief seven-item, three-factor model (i.e., Dietary Restraint, Shape/Weight Overvaluation, Body Dissatisfaction with Shape and Weight) was the only factor structure …


A Review On Antibiotic Resistance And The Use Of Medicinal Plants In The Management Of Uropathogenic Bacteria, Hubza Ruatt Khan, Mehvish Javeed, Iqra Batool, Rabeea Anwar, Asma Ashraf, Sara Janiad Jun 2023

A Review On Antibiotic Resistance And The Use Of Medicinal Plants In The Management Of Uropathogenic Bacteria, Hubza Ruatt Khan, Mehvish Javeed, Iqra Batool, Rabeea Anwar, Asma Ashraf, Sara Janiad

Journal of Bioresource Management

UTIs are the most prevalent infections and are caused by uropathogenic microbes such as Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Pseudomonas aeruginosa, Staphylococcus aureus, and Enterococcus spp. Antibiotic resistance has hampered the management of UTIs over the years, with direct repercussions on the treatment cost, the infection severity, and the duration of hospitalization. This review discussed the route of infections, risk factors connected to UTIs, antibiotic resistance issues as well as an alternative therapy to overcome the problem of antibiotic resistance. The medicinal plants, which have been utilized for thousands of years to cure a variety of ailments, represent a …