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"Latar Belakang: Lansia rentan terhadap penyakit gigi dan mulut maupun sistemik. Sampai saat ini, belum ada penelitian mengenai laju alir saliva (LAS) dan profil Candida sp pada lansia di Panti Sosial Tresna Werdha (PSTW) Binaan Dinas Sosial Provinsi DKI Jakarta. Tujuan: mengetahui profil saliva dan Candida sp pada lansia di PSTW. Metode: Dilakukan pengukuran LAS dengan dan tanpa stimulasi pada subjek lansia. Kemudian sampel saliva tanpa stimulasi dikultur menggunakan media CHROMagar^TM yang selanjutnya dilakukan identifikasi dan perhitungan koloni Candida sp. Hasil: Subjek yang memenuhi kriteria inklusi berjumlah 279 orang, yaitu 107 laki-laki, dan 172 perempuan. Sejumlah 160 subjek tidak memiliki penyakit sistemik, sedangkan subjek dengan 1, 2 dan ≥3 penyakit sistemik masing-masing adalah 70, 18 dan 31 subjek. Terdapat 226 subjek yang memiliki LAS normal dan 53 subjek hiposalivasi; 225 subjek memiliki LAS terstimulasi normal dan 74 subjek hiposalivasi.  Dari 48 sampel saliva ditemukan C. albicans, C. tropicalis, C. krusei, dan C. glabrata dengan 153, 84, 72, dan 100 koloni. Kesimpulan: Subjek penelitian ini didominasi oleh perempuan, kebanyakan subjek tidak memiliki penyakit sistemik dan tidak mengalami hiposalivasi. Candida albicans merupakan spesies yang paling sering ditemukan pada penelitian ini.

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Background: Elderly is susceptible to systemic and oral disease. Until to now, there has been no research that discuss salivary flow rate (SFR) and Candida sp profiles in elderly at Panti Sosial Tresna Werdha (PSTW) Binaan Dinas Sosial Provinsi DKI Jakarta. Objective: To determine the profiles of saliva and Candida sp in elderlies of PSTW. Methods: Stimulated and unstimulated SFR were measured. Then, unstimulated saliva samples were cultured using CHROMagar^TM kit and the Candida colonies were counted and identified. Results: There were 279 elderly subjects composed of 107 males and 172 females. There were 160 subjects without systemic disease whereas subjects with 1, 2 and ≥3 systemic diseases were 70, 18, and 31 subjects respectively. There were 226 subjects with normal SFR and 53 hyposalivation subjects. Subjects with normal and hyposalivation in stimulated SFR were 53 and 74 subjects respectively. The saliva culture resulted with 153, 84, 72, and 100 colonies of C. albicans, C. tropicalis, C. krusei and C. glabrata. Conclusion:In this study, female subjects were dominant. Most subjects were without systemic disease and with normal SFR. Candida albicans was the most common species found in this study."

"Latar belakang: Pendamping lanjut usia (lansia) di panti sosial dalam menjalankan perannya sebaiknya memiliki Oral Health Literacy (OHL) dan pengetahuan terkait kanker mulut yang baik, sehingga dapat memberikan pelayanan terkait kesehatan gigi dan mulut yang baik bagi lansia yang didampinginya. Saat ini belum ada penelitian mengenai OHL dan pengetahuan tentang kanker mulut pada pendamping lansia yang dilakukan di Panti Sosial Tresna Werdha (PSTW) DKI Jakarta. Tujuan: Menganalisis faktor sosiodemografi terkait OHL dan pengetahuan tentang kanker mulut pada pendamping lansia di PSTW binaan Dinas Sosial DKI Jakarta. Metode: Penelitian ini adalah studi observasional potong lintang pada pendamping lansia di PSTW binaan Dinas Sosial DKI Jakarta menggunakan kuesioner HeLD-ID dan kuesioner pengetahuan tentang kanker mulut yang sudah digunakan pada penelitian sebelumnya. Hasil: 129 dari 196 pendamping lansia dengan rerata usia 35,12±10,97 tahun di 6 PSTW binaan Dinas Sosial DKI Jakarta bersedia mengikuti penelitian (Respon rate 65,8%). Total skor OHL responden adalah 3,08±0,65. Domain Understanding mempunyai skor tertinggi dan domain dan Communication mempunyai skor terendah. Skor OHL tidak dibedakan oleh usia, jenis kelamin, jenis pekerjaan, kebiasaan merokok, minum alkohol, mengunyah tembakau dan menyirih (p>0,05). Skor OHL dibedakan oleh tingkat pendidikan dan pengalaman kunjungan ke dokter gigi (p<0,05). Tingkat pengetahuan tentang faktor risiko dan tanda awal kanker mulut pada responden penelitian masih rendah. Kesimpulan: Disimpulkan bahwa tingkat pendidikan dan pengalaman kunjungan ke dokter gigi membedakan skor OHL pada pendamping lansia. Tidak ada faktor yang membedakan tingkat pengetahuan tentang faktor risiko dan tanda awal kanker mulut. Namun, perlu dilakukan upaya perbaikan tingkat pengetahuan terkait kanker mulut pada kelompok populasi ini.

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Background: It is important for the elderly caregivers who work in the nursing homes to have good Oral Health Literacy (OHL) and oral cancer awareness to give optimal service to related oral health to the elderly whom they are working with. Until now, study related to OHL and oral cancer awareness among elderly caregiver is lacking. Objective: To analyze sociodemographic factors related to OHL and oral cancer awareness in the elderly caregiver of nursing homes in DKI Jakarta. Methods: This is a observative cross-sectional study on the elderly caregivers of nursing homes in DKI Jakarta, using previously validated questionarre of HeLD-ID and oral cancer awareness. Results: 129 out of 196 elderly caregivers (mean age 35.12±10.97 score) participated in the study. The OHL total score was 3.08±0.65 with Understanding domain had the highest and Communication domain had the lowest score. The score of OHL was not significantly differed by age, gender, occupation, smoking habit, alcohol habit, betel and tobacco chewing (p> 0.05). The score of OHL was significantly differed by level of education and experience of dental visit (p<0.05). There were 116 (89.9%) participant who had heard about oral cancer, however the level of knowledge on oral cancer risk factors and early sign of the caregiver was still low. None of the sociodemographic factors, habits or dental visits significantly differed the level of both a aspects of oral cancer (p>0.05). Conclusion: This study showed that OHL of elderly caregiver was significantly differed by level of education and experiences of dental visits. No factors influence the level of oral cancer knowledge on risk factors and early signs. However, there is to improve the knowledge of oral cancer in this population."

"Salah satu masalah kesehatan yang sering dikeluhkan oleh lansia adalah sakit gigi. Gigi merupakan salah satu bagian dalam rongga mulut. Proses penuaan pada lansia mempengaruhi perubahan fungsional pada rongga mulut. Masalah keperawatan yang menggambarkan penurunan kesehatan rongga mulut yaitu kerusakan gigi. Salah satu intervensi keperawatan untuk megatasi masalah kerusakan gigi pada lansia kelolaan adalah Program Perawatan Kesehatan Mulut dengan pasta gigi dan obat kumur yang mengandung ekstrak daun sirih. Program Kesehatan Mulut dilakukan dua kali dalam enam hari selama lima minggu. Tujuan dari penulisan ini yaitu memaparkan hasil asuhan keperawatan pada lansia kelolaan di PSTW Budi Mulia 1 Cipayung, DKI Jakarta dengan instrumen evaluasi berupa OHAT Oral Health Assessment Tools dan OHIP-14 Oral Health Impact Profile-14 . Hasil yang didapatkan menunjukan bahwa klien mengalami penurunan skor OHAT dan OHIP-14 dalam beberapa komponen penilaian. Hal ini mengindikasikan adanya peningkatan status kesehatan mulut lansia. Program Perawatan Kesehatan Mulut dilakukan selama 5 minggu 30 hari dengan durasi 15-20 menit tiap harinya untuk meningkatkan status kesehatan mulut klien

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One of common health problems that often complained by the elderly is toothache. Teeth are a part of the oral cavity. The aging process in the elderly affects functional changes in the oral cavity. Nursing problem that describe oral health derivation is impaired dentition. One of the nursing interventions which adress to the problem of impaired dentition in elderly is the Oral Health Care Program with toothpaste and mouthwash contained of betel leaf extract. Oral Health Care Program is done twice a day in six days for five weeks. The purpose of this research is to describe the results of nursing intervention in the elderly at PSTW Budi Mulia 1 Cipayung, DKI Jakarta with evaluation instruments in the form of OHAT Oral Health Assessment Tools and OHIP-14 Oral Health Impact Profile-14 . The result shows a derivation in OHAT and OHIP-14 scores for some assessment components. It indicates there is an improvement in oral health status. Oral Health Care Program is conducted for 5 weeks 30 days with a duration of 15-20 minutes each day to improve the client rsquo;s oral health status"

"Tujuan: Tujuan dari penelitian ini digunakan untuk menentukkan validitas dan reliabilitas kuesioner C-OIDP pada anak SMP dengan rentang usia 12-15 tahun di Wilayah DKI Jakarta. Metode: Versi Bahasa dari C-OIDP dibentuk sesuai dengan pedoman proses adaptasi cross-cultural. Penelitian dilakukan pada 502 anak usia 12 - 15 tahun dari enam SMP Negeri di Jakarta yang dipilih secara acak. Tes psikometrik mencakup konsistensi internal, reliabilitas test-retest, validitas diskriminan, dan validitas konvergen. Hasil: mean usia subyek penelitian adalah 13.3 tahun (SD ± 0.9) dan 54% subyek penelitian merupakan perempuan. Mean C-OIDP dari peserta adalah 3.49, (SD ±5.61). Konsistensi internal dan reliabilitas test-retest C-OIDP dengan nilai Chronbach’s alpha 0.72 dan intra-class correlation coefficient (ICC) 0.61. anak-anak dengan decay aktif, PUFA positif, rongga mulut tidak bersih, atau gingivitis memiliki skor C-OIDP yang lebih rendah secara signifikan (P ≤ 0.001). Dua per tiga (64.9%) dari sampel memiliki paling sedikit satu dampak oral yang berpengaruh pada performa keseharian. Kesimpulan: C-OIDP versi Bahasa Indonesia berhasil dibuat untuk digunakan sebagai instrumen OHRQoL pada anak-anak usia 12-15 di Indonesia.

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Obejctives: The aim of this study is to assess validity and reliability an Indonesian Version of C-OIDP in among 12-15 years old high-school-children in Jakarta.

Method: The Indonesian version of C-OIDP was developed according to the guidelines for the cross-cultural adaptation process. The Indonesian version was tested for reliability and validity on random sample of 502, 12–15 years old school children in Jakarta. Psychometric analysis of the Indonesian Child-OIDP involved construct validity tests as well as internal and test-retest reliability.

Result: Mean age of the participants was 13.3, (SD± 0.9) and 46% of the student are males, 54% are females. Crohnbach’s alpha value was 0.72. In terms of test-retest reliability, the intraclass correlation coefficient (ICC) was 0.61. Two-third (64.9%) of the sample had oral impact affecting one or more performances in the past 3 months. The mean of C-OIDP score was 3.49 (SD±5.61). The construct validity was confirmed by C-OIDP scores being significantly associated with oral health condition.The Spearman’s correlation coefficients significant (all p<0.001).

Conclusion: This study indicates that the Indonesian Child-OIDP index is a valid and reliable measure to be used as an OHRQoL index among 12–15 years old children in Indonesia."

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Latar belakang: Populasi lansia di Indonesia meningkat, sebagian ada yang hidup di PSTW binaan Pemerintah Provinsi DKI Jakarta. Pemerintah memiliki wewenang untuk menjamin ketersediaan fasilitas kesehatan dan pendampingan bagi lansia. Namun hanya sedikit penelitian mengenai lesi mulut pada lansia di Indonesia. Tujuan: Untuk menganalisis kondisi rongga mulut dan penyakit sistemik pada lansia di PSTW DKI Jakarta. Metode: Subjek penelitian didapat melalui metode consecutive sampling pada populasi lansia di 5 PSTW di 3 wilayah DKI Jakarta. Dari 1185 penghuni PSTW diperoleh 273 yang memenuhi kriteria inklusi. Data sosiodemografi dan riwayat penyakit sistemik diambil dari rekam medis di panti. Semua subjek dilakukan pemeriksaan oral, yaitu Oral Hygiene Index-Simplified (OHI-S), Papilary Bleeding Index (PBI), Decay, Missing, Filling-Teeth (DMF-T), Skor Indeks Mukosa Plak (MPS), dan pemeriksaan laju alir dan pH saliva, lesi mulut dan topografi lesi mulut. Subjek diwawancarai tentang kebiasaan yang berhubungan dengan kesehatan mulut. Hasil: Prevalensi lesi mulut terbanyak adalah gingivitis dan prevalensi penyakit sistemik terbanyak adalah hipertensi. Kategori OHI-S buruk, kategori PBI baik, kategori DMF-T sangat tinggi, kategori indeks MPS baik. Terdapat hubungan antara jenis kelamin dan jenis pekerjaan dengan penyakit sistemik pada lansia. Lansia dengan kebiasaan merokok, menyirih, dan minum alkohol cenderung memiliki penyakit sistemik. Lansia dengan penyakit sistemik cenderung memiliki lesi mulut. Kesimpulan: Kondisi mulut dan penyakit sistemik pada lansia yang tinggal di PSTW DKI Jakarta dalam keadaan tidak baik. 

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Background: The population of elderly in Indonesia is increasing, some are living on government institutions in Jakarta. The government has the authority to ensure the availability of health facilities and assistance for the elderly. There are only a few studies on oral lesions of elderly in Indonesia. Objective: To analyze the condition of the oral lesion and systemic disease of elderly on government institutions in Jakarta. Method: Subjects were obtained through consecutive sampling method of elderly population in 5 governent institutions in 3 areas of Jakarta. Of the 1185 residents, 273 were obtained inclusion criteria. Sociodemographic data and history of systemic diseases were taken from medical records in the institution. All subjects had oral examinations, which are Simplified Oral Hygiene Index (OHI-S), Papilary Bleeding Index (PBI), Decay, Missing, Filling-Teeth (DMF-T), Mucosal Plaque Index Score (MPS), and examination of flow rate and salivary pH, oral lesions and oral lesions topography. Subjects were interviewed about oral health related habits. Results: The most common oral lesions was gingivitis and most common systemic diseases was hypertension. OHI-Scategory is bad, PBI category is good, DMF-T category is very high, MPS index category is good. There is a relationship between gender and type of work with systemic diseases in the elderly. Elderly with the habit of smoking, snacking, and drinking alcohol tend to have systemic diseases. Elderly with systemic diseases tend to have oral lesions. Conclusion: Oral conditions and systemic diseases in elderly who living in institution in Jakarta are not good.

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"ABSTRAKLatar Belakang: Penyakit periodontal dapat terjadi sebagai bentuk manifestasi oral selama masa kehamilan. Penyakit ini diketahui merupakan salah satu faktor risiko terjadinya hasil kehamilan bayi dengan berat badan lahir rendah (BBLR) dan prematur. Untuk mencegah hal tersebut, kunjungan ke dokter gigi diperlukan sehingga kesehatan rongga mulut serta kesehatan bayi dan kehamilan dapat dijaga. Kondisi pengetahuan diketahui berhubungan dengan kunjungan ibu ke dokter gigi selama masa kehamilan. Untuk melihat bagaimana kondisi pengetahuan dan perilaku ibu hamil terkait kesehatan gigi mulut selama masa kehamilan, dibutuhkan sebuah instrumen penelitian yang valid dan reliabel. Namun sayangnya, instrumen seperti itu belum ada di Indonesia. Tujuan: Menganalisis nilai validitas dan reliabilitas kuesioner Knowledge and Behavior towards Oral Health during Pregnancy (KBOHP) versi Indonesia. Metode: Metode penelitian analisis deskriptif dengan rancangan potong lintang dan metode pemilihan sampel dengan convinience sampling menggunakan kuesioner KBOHP. Proses adaptasi lintas budaya dilakukan dengan pendekatan simetris. Analisis psikometrik yang dilakukan adalah validitas isi, validitas konstruksi, dan reliabilitas tes ulang. Hasil: Kuesioner KBOHP berhasil diadaptasi lintas budaya kedalam Bahasa Indonesia menggunakan pendekatan simetris. Sebanyak 167 orang bersedia berpartisipasi dalam penelitian. Nilai koefisien validitas isi I-CVI sebesar 0.8, namun nilai validitas konstruksi domain pengetahuan dan perilaku 0,05. Uji reliabilitas tes ulang menunjukkan nilai Intraclass Correlation 0,89-1. Kesimpulan: Kuesioner KBOHP versi Indonesia berhasil diadaptasi lintas budaya dari Bahasa Inggris. Kuesioner KBOHP valid dan reliabel untuk digunakan pada populasi Indonesia, namun untuk dapat meningkatkan validitas konstruksi, dibutuhkan penyempurnaan pada pertanyaan kuesioner.

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ABSTRACTBackground: Periodontal disease may occur as an oral manifestation during pregnancy, it is known to be one of the risk factor for low birth weight and premature pregnancy outcomes. To prevent those situations, a visit to the dentist is needed, so that oral health, the health of the baby and also pregnancy could be maintained. Knowledge is known to be associated to womens visit to the dentist during pregnancy. To determine the condition of knowledge and behavior of pregnant women related to oral health during pregnancy, a valid and reliable instrument is needed. Unfortunately, such instrument is lacking in Indonesia. Objective: To analyze the validity and reliability value of the Indonesian version of Knowledge and Behavior towards Oral Health during Pregnancy (KBOHP) questionnaire. Method: This was analytic descriptive crossectional study with convinience sampling design using previously published KBOHP questionnaire. Cross-cultural adaptation of the questionnaire is done using Symmetrical approach. Psychometric analysis of the questionnaire were analyzed using content validity, construct validity, and test retest reliability. Result: The KBOHP questionnaire was successfully cross-adapted culturally into Indonesian using Symmetrical approach. There were 167 people agreed to participate in this study. The value of content validity index (I-CVI) was 0.8 but the construct validity of the knowledge and behavior domain was 0.05. The test and retest reliability showed the Intraclass Correlation Coefficient (ICC) value of 0.89-1. Conclusion: The KBOHP Indonesian version questionnaire was successfully cross-culturally adapted from the English version. The KBHOP Indonesian version was valid and reliabel to be used in Indonesian population. However, improvement is still needed on the items of the questionnaire in order to improve the construct validity."

"Gangguan produktivitas kerja pada kalangan pekerja akibat masalah kesehatan dapat berupa absenteisme dan presenteisme. Kuesioner World Health Organization-Health and Work Performance Questionnaire (WHO-HPQ) merupakan kuesioner lapor mandiri yang dibuat untuk menilai dampak yang dihadapi oleh pemberi kerja akibat penurunan produktivitas kerja yang disebabkan oleh presenteisme, absenteisme, dan cedera/kecelakaan akibat kerja. Studi ini bertujuan untuk melakukan validasi dan reliabilitas dari kuesioner WHO-HPQ bahasa Indonesia versi pendek. Adaptasi transkultural dilakukan dengan adaptasi transkultural dan uji reliabilitas terhadap kuesioner WHO-HPQ versi pendek. Proses adaptasi transkultural dilakukan melalui berbagai tahap termasuk penerjemahan, peninjauan ahli, pretesting dan wawancara kognitif, dan pengujian kuesioner versi final serta dokumentasi. Penilaian validitas pertanyaan menggunakan nilai inter-item correlation dengan minimal nilai 0.2 dan untuk uji reliabilitas, nilai Cronbach alpha dengan minimal nilai 0.7. Kuesioner WHO-HPQ bahasa Indonesia versi pendek telah valid dalam bahasa Indonesia baik pada bagian absenteime dan presentasi. Hasil uji reliabilitas menunjukkan nilai Cronbach’s alpha 0.328 untuk item bagian absenteisme dan 0.878 pada bagian presenteisme. Kuesioner WHO-HPQ bahasa Indonesia versi pendek dapat digunakan sebagai alat identifikasi absenteisme dan presenteisme pada pekerja di Indonesia.

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Reduction of work productivity among workers due to health problems can take in the form of absenteeism and/or presenteeism. The World Health Organization-Health and Work Performance Questionnaire (WHO-HPQ) is a self-report questionnaire instrument was created to assess the cost faced by employers due to decreased efficiency caused by presenteeism, absenteeism, and work-related accidents/injuries. This study aims to carry out validity and reliability of the short Indonesian version of the WHO-HPQ questionnaire. We conducted transcultural adaptation and reliability testing the short version of WHO-HPQ questionnaire. This method employs multiple phases including translation, experts review, pretesting and cognitive interviewing, testing the final version and documentation. In order to determine if a question item is valid, item-correlation value must be greater than 0.2, and for the reliability, internal consistency with Cronbach's alpha value must exceed a minimum threshold of 0.7. The short version of the WHO-HPQ questionnaire is valid in Indonesian version, for the absenteeism and presenteeism aspects. The results of the reliability test showed a Cronbach's alpha value of 0.328 for the absenteeism section and 0.878 for the presenteeism section. The short Indonesian version of the WHO-HPQ can be used as a tool to identify absenteeism and presenteeism among workers in Indonesia."