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"Cardiovascular disease causes 8.6 million deaths of women every year, which is the major cause of death by one-third of all deaths of women in the world.Half of all deaths of women older than 50 years old is caused by cardiovascular and stroke diseases. This study aimed to analyze risk factors related to coronaryheart disease among women aged older than 45 years at Dody Sarjoto Makassar Air Force Hospital 2016. The total of sample was 76 consisting of 64cases of coronary heart disease and 12 non-coronary heart disease. Determination of sample used purposive sampling. Primary data were obtained throughinterview to respondents using questionnaire and direct interview. Data were analyzed by using contingency correlation coefficient (Exp (B)) test to identifysignificant relation between dependent and independent variables. Results found were hypertension (Exp (B) = 0.309), obesity (Exp (B) = 0.140), diabetesmellitus (Exp (B) = 0.164) and dyslipidemia (Exp (B) = 0.185), as proven having relation with coronary heart disease among women aged older than 45 years,and the factor which had the most significant relation was dyslipidemia.Penyakit kardiovaskuler menyebabkan 8.6 juta kematian pada perempuan setiap tahun, yang merupakan penyebab kematian terbanyak, yaitu sepertiga dariseluruh kematian perempuan di seluruh dunia. Setengah dari seluruh kematian perempuan berusia di atas 50 tahun disebabkan oleh penyakit jantung danstroke. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan penyakit jantung koroner pada perempuan usia > 45 tahun di RumahSakit TNI AU Dody Sarjoto Makassar. Besar sampel sebanyak 76 sampel yang terdiri dari 64 kasus penyakit jantung koroner dan 12 kasus non penyakit jantungkoroner. Penentuan sampel menggunakan metode purposive sampling. Data primer diperoleh melalui wawancara terhadap responden dengan menggunakankuesioner dan wawancara langsung. Data dianalisis menggunakan uji koefisien korelasi kontingensi (Exp (B)) terhadap variabel independen dandependen. Adapun hasil yang ditemukan adalah obesitas (Exp (B) = 0.140), diabetes mellitus (Exp (B) = 0.164), dan dislipidemia (Exp (B) = 0.185) terbuktimemiliki hubungan dengan kejadian penyakit jantung koroner pada perempuan usia > 45 tahun dan faktor yang memiliki hubungan paling besar adalah dislipidemia."

"Placental morphology and cellular arrangement can be altered in maternal diseases. Rheumatic heart disease (RHD) is a chronic heart condition that can lead to death in pregnant women. The aim of this study is to determine the histological changes of the placenta in pregnant women suffering from RHD. Methods: Placentae were collected from 10 healthy pregnant women, and 31 pregnant women with heart conditions (26 with RHD and 5 with NRHD) who had been admitted to the Baghdad Teaching Hospital. Placental tissues were fixed in10% formal-saline and were processed for light microscopy. Measurements including the placental weight and diameter of the chorionic villi capillaries were recorded. Results: The results indicate that there are many histological changes in pregnant women with RHD such as hyalinisation, fibrosis of the chorionic villi, proliferation of trophoblastic cells, and thickening of its membrane. Additionally, expectant mothers with RHD experience a reduction in capillary diameter and thickening of the capillary walls, and decreased size and weight of their placenta when compared with the control. Conclusions: Heart diseases, especially RHD, are associated with developmental damage of the placenta in pregnant women by injuring the endothelial cells of the placentas capillaries."

"Based on our knowledge, the study of gastrointestinal reflux disease (GERD) among certain profession has never been conducted. The aim of this study is to determine the prevalence and risk factors of GERD among Indonesian doctors.

Methods: A consecutive study involving 515 doctors was conducted in October 2015.The GerdQ score was used to the diagnosis of GERD and determined its impact on daily life. All possible risk factors were also analyzed.

Results: A total of 515 subjects completed the questionnaire. The mean age of them was 41.37±11.92 years old. Fifty-five percent of them were male and 60.6% general practitioners. The prevalence of GERD was 27.4% of which 21.0% was had GERD with low impact on daily life, and 6.4% was GERD with high impact on daily life. The statistically significant risk factors of GERD was found in age >50 y.o (p = 0.002; OR 2.054), BMI >30kg/m2 (p = 0.016; OR 2.53), and smokers (p = 0.031; OR 1.982). Sex and education level were not found significant statistically as the risk factors of GERD.

Conclusions: The prevalence of GERD among Indonesian physician was 27.4%. We found that age over 50 y.o, obesity and smoking habit were the risk factors of GERD in Indonesian doctors."

"Background: Each kidney injury may develop into chronic kidney disease (CKD) and end stage renal disease (ESRD) that associates with high mortality and socio-economic burden. There is limited data about clinical characteristics of children having CKD in developing countries, espesially in Indonesia.Objective: To describe clinical profiles and characteristics of kidney diseases in adolescents aged 15-18 years.Methods: This study was a cross-sectional study which used data from National Basic Health Survey (Riskesdas) 2013. There were 2 data groups. The first data group included questionnaires about history of kidney stone disease, hypertension, chronic renal failure, antihypertension administration, and blood pressure measurement. The second data group included subsamples of the first group which had laboratory test results, i.e. hemoglobin and serum creatinine levels. All of the data were classified by nutritional status, estimated glomerulofiltration rate (eGFR), blood pressure classification, and hemoglobin level.Results: Among 52,454 adolescents in the first data group, 20,537 (39%) had kidney diseases with female predominance and good nutritional status. Other findings found were history of kidney stone disease (0.2%), chronic renal failure (0.1%), history of hypertension (0.6%), antihypertensive agents consumption (0.1%). Prehypertension and hypertension were found in 51% and 48.3% of adolescents, respectively. Adolescents with decreased eGFR were accounted for 1.4%.Conclusion: The proportion of prehypertension and hypertension in adolescents aged 15-18 years in Indonesia is high. Hence, routine blood pressure measurement is important for early detection and prevention of kidney disease progression."

"ABSTRAKEfektifitas dari suatu program komunikasi kesehatan yang berkelanjutan ditentukan oleh banyak faktor, di antaranya adalah kebutuhan yang tinggi dari khalayak akan informasi kesehatan. Kebutuhan yang tinggi akan informasi kesehatan pada hakekatnya merupakan resultante dari minat, kebutuhan, masalah diri dan peta pengetahuan. Di lihat dari perspektif perluasan peta pengetahuan, kebutuhan informasi erat hubungannya dengan keterpaparan khalayak terhadap beragam saluran komunikasi, di antaranya pemaparan media komunikasi massa dan pemaparan komunikasi interpersonal. Namun penelitian yang mengupas hubungan antara keterpaparan terhadap informasi dengan kebutuhan informasi, terutama di Jawa Barat masih kurang. Oleh karena itu penelitian ini memusatkan perhatian pada upaya untuk memperoleh gambaran bagaimana hubungan antara dua variabel tersebut.Penelitian ini menggunakan hasil Studi Jaringan Informasi Kesehatan di Jawa Barat tahun 1994, yang merupakan kerjasama Bagian Pendidikan Kesehatan dan Ilmu Perilaku Fakultas Kesehatan Masyarakat, Universitas Indonesia dengan Sub Pinas PKM Jawa Barat. Dengan demikian tahap penetapan disain penelitian dan pengumpulan data tidak dilakukan.Hasil penelitian ini menunjukkan bahwa pemaparan media komunikasi massa dan pemaparan komunikasi interpersonal memiliki hubungan yang bermakna dengan tingkat kebutuhan informasi kesehatan. Namun keterpaparan terhadap informasi kesehatan melalui komunikasi interpersonal memiliki nilai OR (4-5.0) yang lebih besar dari pada OR pemaparan media komunikasi massa (1.3-2.0). Adapun model hubungan antar dua variabel tersebut menunjukkan bahwa kebutuhan informasi adalah fungsi dari pemaparan komunikasi interpersonal, pemaparan media elektronik (televisi, radio), media cetak (poster-poster kesehatan, surat kabar) dan karakteristik tempat tinggal.Dari hasil penelitian ini disarankan agar dalam upaya meningkatkan kebutuhan informasi kesehatan dilakukan pendekatan kepada pengelola program untuk mendayagunakan potensi jaringan informasi setempat, sekaligus meningkatkan upaya komunikasi massa melalui televisi, poster, radio, dan surat kabar.

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ABSTRACT

Effectivity of the sustainable health communication program depend on any factors, such as high information need among the audience. High information need is the resultance of attention, need, self problem and cognitive map. If seen the expanding on the cognitive map, information need have strong relation with audience exposed of the any communication channels, such as mass communication and interpersonal communication exposure. But the research that studying on the relationship between information exposed and information need, especially of the pregnant women and under five years children mother on West Java is minimally. Thus, focusing the research is making the description on the relationship between two variables.

This research used the data of the Health Information Network Study, in West Java, 1994. The study is cooperation among Department of Health Education and Behavioral Science, Faculty of Public Health, University of Indonesia with Health Community Education Affairs, Province of West Java. Just the research design fixing and data collection not doing.

The result from this research give me the description that mass communication exposure and interpersonal communication exposure have the significance relationship with health information need among the audience. But the interpersonal communication exposed have the Odds Ratio (4-5.0) bigger than the mass communication exposed (1.3-2.0). Information need model is the function of interpersonal communication exposure, electronic media exposure (television and radio), printed media (posters, newspapers) and residential characteristic. From the result, I am proposing, if we are improving the health information need, we must approaching to program mangers to use the local information network, and similarly launching the mass communication effort via television, posters, radio and newspapers."

"AbstrakUpper Respiratory Infection (URI) is a major cause of morbidity and mortality of infants and toddlers in developing countries. The high infant morbidity and mortality rates in Indonesia are associated with the low exclusive breastfeeding ability. Breast milk is a natural drink for newborns in the first month of life that is beneficial not only for the babies, but also for mothers. The aim of study was to determine exclusive breastfeeding and decrease in incidence of URI among infants aged 6-12 months. This study was conducted by using case control design. Samples were taken by using cluster random sampling. Subject of study consisted of 162 cases and 162 control with infants aged 6-12 years. Cases were 162 infants aged 6-12 months suffering from URI within one last month and taken by mothers to primary health care that was selected location of study, while control was mothers who took their infants aged 6-12 months who did not suffer from URI within one last month to the selected primary health care. Data analysis included univariate, bivariate, stratification, and multivariate analysis with logistic regression. Results of study found that infants who were not exclusively breastfed were 1.69 times (95% CI: 1.02-2.80) more at risk of increasing URI incidence compared to infants who were breastfed exclusively after controlled by smoker in house and immunization variables. Health promotion of 6-month exclusive breastfeeding, provision of immunization, and anti-smoking program need to be implemented continuously to decrease the rates of morbidity and mortality due to URI disease."

"This review examines telemedicine practices, which are separated into teleconsultations and telemonitoring, that have applied information and communication technologies (ICT) for the delivery of health-care services to older persons in the Republic of Korea, Japan, Australia and China. The practices featured from the Republic of Korea and Japan are telemedicine pilot projects to manage chronic disease patients more efficiently and at lower cost. The projects included a health management curriculum, with emphasis on nutrition and exercise guidance. The participants in each pilot project found the services to be helpful in managing their health; the project evaluation findings also indicated several meaningful medical improvements. In Australia, a Home Monitoring of Chronic Disease for Aged Care Project was designed in 2014 to manage ageing patients with chronic diseases at home through various telemedicine devices. In China, the Ningbo Cloud Hospital was established in 2015 to control increasing health-care expenses and to resolve difficulties for individuals to see a doctor. More than 2,000 patients are now registered for online video consultations and prescriptions. The featured examples illustrate how the application of telemedicine to a health-care system not only promotes accessibility between doctors and patients but can save on construction costs for new facilities and the cost of supplying medical personnel in remote areas, which thus can help reduce national medical expenses. However, to initiate ICT-based health-care service delivery, governments in Asia and the Pacific need to first establish related policies that promote telemedicine."

"Graves disease is an autoimmune disorder which affect thyroid gland. Graves disease is the most common cause of hyperthyroidism and thyrotoxicosis. Understanding of disease pathophysiology, diagnostic and treatment strategies, and prevention of disease relapse are important for all clinicians especially internal medicine specialist to give optimal and comprehensive management for Graves disease patients. This article highlights clinical points to treat Graves disease patients from reviews and latest guidelines from American Thyroid Association (ATA), European Thyroid Association (ETA), and Japan Thyroid Association/ Japan Endocrine Society."