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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."

"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."

"Penyakit kardiovaskular terutama Penyakit Jantung Koroner (PJK) dan Stroke merupakan penyebab kematian paling umum dan menempati urutan teratas penyebab kematian secara global. PJK memiliki dampak yang signifikan terhadap pekerja dan perusahaan yang dapat menyebabkan penurunan produktivitas, peningkatan absensi, dan bahkan kematian dini pada pekerja. Penelitian ini bertujuan untuk menganalisis penurunan faktor risiko Penyakit Jantung Koroner (PJK) setelah dilakukan tindakan intervensi program kesehatan pencegahan pada pekerja lapangan di Perusahaan Migas X Tahun 2023. Penelitian ini adalah kuantitatif dengan desain quasi eksperimen (one group pre and post test design). Metode intervensi yang digunakan adalah penyuluhan kesehatan dan olahraga. Hasil penelitian menunjukkan terjadi perbedaan signifikan (p<0,05) pada indeks massa tubuh (p<0,001), tekanan darah diastolik (p=0,015), kadar lemak darah (p<0,001) dan gula darah (p<0,001). Sebaliknya tidak ada perbedaan signifikan (p>0,05) pada tekanan darah sistolik (p=0,181) dan tingkat risiko PJK (p=0,585). Disarankan perusahaan agar melakukan evaluasi terhadap program yang dijalankan dan pelaksanaan program berkelanjutan lebih komprehensif tidak hanya sebatas penyuluhan kesehatan dan olahraga namun program seperti berhenti merokok, pola makan sehat, manajemen stres dapat dilakukan sehingga keberhasilan program dapat dirasakan manfaatnya baik untuk pekerja dan perusahaan.

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Cardiovascular diseases, especially coronary heart disease (CHD) and stroke, are the most common causes of death and rank among the world's leading causes of death. CHD has a significant impact on workers and companies that can lead to reduced productivity, increased absences, and even premature deaths in workers. The aim of study is to analyze the reduction in risk factors for Coronary Heart Disease (CHD) following the intervention of preventive health programs in field workers at Oil and Gas X Company in 2023. This research is quantitative with a quasi-experimental design (one group pre and post test design). The intervention methods used are health care and exercise. Analysis results showed significant differences (p<0,05) in body mass index (p <0,001), diastolic blood pressure (p=0,015), blood fat levels (P<0,001) and blood sugar (p>0,001). On the other hand, there was no significant difference (p >0.05), in systolic blood pressure (p =0,181) and the level of PJK risk (P=0,585). It is advised that the company to carry out an evaluation of the program carried out and the implementation of a more continuous, comprehensive program not only the limits of health and exercise but programs such as smoking cessation, healthy diet, stress management can be done so that the success of the program can feel the benefits for both employees and the company."

"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."

"Continuity of breastfeeding process when mothers return to work is a serious issue that immediately must be followed up, so that exclusive breastfeedingprogram within the first six months can be achieved. Beside providing many benefits for babies, breastfeeding is also beneficial for mothers and entrepreneurs.This study aimed to determine relation of working mothers to exclusive breastfeeding. This study used was cross-sectional design with secondary dataof Indonesia Demographic and Health Survey 2012 with samples as many as 1,193 mothers aged 15 – 49 years who had 0 – 5-month-old babies. Basedon multivariate analysis, working mothers could decrease opportunity of exclusive breastfeeding in which mother who worked all the time were 1.54 timesmore likely not to give exclusive breastfeeding than mothers who did not work after controlled by maternal age at childbirth, household wealth index, and antenatalcare frequency (p = 0.038; 95% CI = 1.0 to 2.3). Fulltime working mothers are twofold more likely to not be able to give exclusive breasfedding thanunemployed mothers after being controlled by counfounder variable.Keberlangsungan proses menyusui pada saat ibu kembali bekerja merupakan isu serius yang harus segera ditindaklanjuti agar program pemberian Air SusuIbu (ASI) eksklusif selama enam bulan pertama kehidupan dapat tercapai. Selain memberikan banyak manfaat bagi bayi, ASI juga bermanfaat bagi ibu danpengusaha. Penelitian ini bertujuan untuk mengetahui hubungan ibu bekerja terhadap pemberian ASI eksklusif. Desain penelitian yang digunakan adalah potonglintang dengan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dengan sampel berjumlah 1.193 ibu berusia 15 – 49 tahunyang memiliki bayi berusia 0-5 bulan. Berdasarkan analisis multivariat, ibu bekerja dapat menurunkan peluang pemberian ASI eksklusif dimana ibu yang bekerjasepanjang waktu lebih berisiko 1,54 kali untuk tidak memberikan ASI eksklusif dibandingkan ibu yang tidak bekerja setelah dikontrol oleh usia melahirkanibu, indeks kesejahteraan rumah tangga dan frekuensi pemeriksaan kehamilan (p = 0,038; CI 95% = 1,0 - 2,3). Ibu bekerja dua kali memiliki peluang untuktidak dapat memberikan ASI eksklusif daripada ibu yang tidak bekerja setelah dikontrol oleh variabel perancu."