Bastaman Basuki
Department of Community Medicine, Universitas Indonesia Faculty of Medicine, Jakarta.

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Combine proper exercise and regular taking antihypertensive medicine was better to lower diastolic blood pressure among diastolic prehypertensive and hypertensive subjects Ilyas, Ermita I.; Basuki, Bastaman; Kusmana, Dede
Medical Journal of Indonesia Vol 19, No 3 (2010): August
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.52 KB) | DOI: 10.13181/mji.v19i3.404

Abstract

Aim To prove that proper exercise and taking antihypertensive medicine may reduce diastolic blood pressure (DBP) by ≥ 5 mmHg.Method A quasi-experimentation study was done on employees of a government bureau in Jakarta, for 8 weeks from March to August 2008. All prehypertensive and hypertensive subjects were detected through a survey prior to the quasi-experimentation study. A talk was given at the beginning of the quasi-experimentation study, and weekly counseling sessions on exercise, taking medications, and other related topics continued for 8 weeks. Cox regression was used for calculating relative risk.Results A total 1,016 employees out of 1,300 were involved in this blood pressure survey. Of these, 318 subjects had a DBP of 80 mmHg or more. Out of 120 subjects who voluntarily participated, 104 subjects completed the quasi-experimentation study. Compared to those who did not exercise properly and did not take antihypertensive medicines, subjects who did exercise properly and took medicines regularly had a lower diastolic blood pressure DBP ≥ 5 mmHg by more than 12-fold [adjusted relative risk (RRa) = 12.32; 95% confidence interval (CI) = 0,65-234,54; P = 0.095. However subjects who exercised properly or took antyhypertensive medicines irregularly were found to lower their DBP ≥ 5 mmHg by almost 11 fold [adjusted relative risk (RRa) = 10.94; 95% confidence interval (CI) = 2.04-58.74]; P = 0.005. Subjects with DBP = 90-99mmHg had a decrease of DBP ≥ 5 mmHg 4.8 fold (RRa = 4.75; 95% CI = 1.19-18.65) compared to those with DBP = 80-89mmHg. Compared to the normal subjects, the obese, resting pulse rate bradycardia, and high average pulse pressure subjects had less probability of lowering DBP ≥ 5mmHg, by 87%, 90%, and 65%, respectively.Conclusion Combine proper exercise and taking antihypertensive medicine was reduce DBP by ≥5 mmHg among DBP (pre-) hypertensive subjects. The obese, bradycardia, or high pulse pressure subjects failed to lowering their DBP ≥5 mmHg by proper exercise and taking antihypertensive medicine. (Med J Indones 2009;19:191-8)Key words: decreased diastolic blood pressure, exercise, medicine intake
Editorial note Basuki, Bastaman
Medical Journal of Indonesia Vol 17, No 1 (2008): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.066 KB) | DOI: 10.13181/mji.v17i1.568

Abstract

[No abstract Available]
Helicopter vibration and risk of reversible myopia among military air crews Basuki, Bastaman; Soemardoko, T.
Medical Journal of Indonesia Vol 11, No 2 (2002): April-June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (571.958 KB) | DOI: 10.13181/mji.v11i2.58

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We assessed to what extend the risk of reversible myopia of the different degree of helicopter vibrations and other risk factors among military helicopter pilots and flight engineers. The study was a nested case-control design using medical record at the Institute of Aerospace Medicine of the Indonesian Air Force and Medical Directorate of the Indonesian Army (Flying Wing). Cases and controls were military helicopter pilots and flight engineers who had ametropic visual acuity at the time of entry into military service from 1972 until 1992. Reversible myopia means visual acuity corrected of - 0.50 dioptri or less. The final model indicates there was a relationship between vibration level, duration of work and risk of reversible myopia. Helicopter crews exposed to high vibration level had 4.5 times to develop reversible myopia [adjusted odds ratio (OR) = 4.47; 95% confidence intervals (CI) = 1.48 - 13.55] relative to those who exposed to weak vibration level. There was noted a healthy workers survivor effect. Those who remain work for a longer peiod had less a chance to be myopia. Those who worked for 10 years or more had a lowered risk of 85% to be myopia compared with those who worked for 14 years (adjusted OR = 0.15; 95% CI = 0.03 - 0.87). Helicopter crews exposed to high helicopter vibration had 4.5 times to develop reversible myopia, and a higher risk occurred during the first four years of employment. (Med J Indones 2002; 11: 93-6)Keywords: helicopter vibration, reversible myopia, air crews
Septal deviation and other factors increase the risk of barotitis media in high altitude high opening training Sastranegara, Yanuar T.; Basuki, Bastaman; Mulijadi, Herman
Medical Journal of Indonesia Vol 17, No 1 (2008): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.225 KB) | DOI: 10.13181/mji.v17i1.300

Abstract

Barotitis media (BM) frequently occurr in High Altitude High Opening (HAHO) training simulation as a result from rapid change of pressure. The aim of this study was to investigate septal deviation and other risk factors that increase the risk of BM. This experimental study was conducted at the Indonesian Center for Aviation Medicine and Health (Lakespra Saryanto) during May – July 2007 involving Indonesian Armed Forces (TNI) HAHO training. Medical examinations were performed before and after training. An otolaryngologist confirm the diagnosis of BM. Cox regression analysis using STATA 9.0 program was performed to identify dominant risk factors for BM. A number of 177 subjects participated in this study. We found 56.5% had BM after training. Septal deviation was found in 28.8% of the subjects and it moderately increased the risk of BM by 23% than normal septum [adjusted relative risk (RRα) = 1.23; 95% confidence interval (CI) = 0.95 – 1.60; p=0.123]. Those who have been smoking for 1-3 years had 70% increase risk for BM than non-smoking subjects (RRα= 1.68; 95% CI = 1.17 – 2.42). Those who have been in the force for 5 years or longer were 50% more at risk for BM than those who have been in the force less than 5 years. In addition, trainees had 40% higher risk than subjects with special qualifications for HAHO (RRα = 1.40; 95% CI = 0.99 – 1.97; p = 0.051). Special caution need to be applied for those who had septal deviation, longer working period, habit of smoking for 1-3 years, and trainees to minimize the risk of BM. (Med J Indones 2008; 17: 37-42)Keywords: barotitis media, septal deviation, HAHO training simulation
Delayed stool specimen collection during the early and late stages of the Polio outbreak increase the risk of negative Wild Poliovirus laboratory results in some districts in Indonesia Utami, Antonia R.T.; Basuki, Bastaman; Sjahrurahman, Agus
Medical Journal of Indonesia Vol 16, No 2 (2007): April-June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (192.8 KB) | DOI: 10.13181/mji.v16i2.266

Abstract

In 2005, a wild poliovirus (WPV) outbreak occurred in Indonesia. Some stool specimens from acute flaccid paralysis (AFP) subjects, showed negative laboratory results for WPV. The aim of this study was to identify several risk factors associated with negative WPV laboratory results. A cross-sectional study was conducted on all AFP surveillance stool specimens taken from the three districts where 58.9% of the outbreak cases occurred. Data were obtained from Bandung and Jakarta National Polio Laboratory regarding identity of cases; onset of paralysis; data on specimen collected (timing, dispatched, received, and tested); and results of the tests. In addition, field visits were conducted to the three districts for confirmation of data collecting methods, facilities, and field personnel. The Cox regression method for relative risk (RR) was used for analysis. The prevalence of negative results was 31.5%. Negative results at the beginning of the outbreak (February–April) were 60%, at the end of the outbreak (July–December) were 66.2%, and at the height of the outbreak (May–June) were 15.5%. Negative WPV results were related to delayed specimen collection, origin of district specimen, and the period of specimen collection. Delayed versus on-time stool collection increased the risk of negative results by 70% (adjusted relative risk = 1.70; 95% confidence intervals = 1.01 - 2.88). In conclusion, inappropriate timing of specimen collection, in particular during the early and late stages of the polio outbreak, needs special attention to minimize the risk of negative WPV laboratory results. (Med J Indones. 2007;16:122-6)Keywords: polio, surveillance, specimen collection, risk of negative result
Age, body posture, daily working load, past antihypertensive drugs and risk of hypertension: A rural Indonesian study Basuki, Bastaman; Setianto, Budhi
Medical Journal of Indonesia Vol 10, No 1 (2001): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.464 KB) | DOI: 10.13181/mji.v10i1.5

Abstract

Indonesia has about 210 million inhabitans and most of them live in rural areas, therefore in rural community it is estimated that a big number of hypertensive people can be found. However, few rural community-based studies have been conducted to identify hypertensive risk factors. This study aims to identfy some risk factors related to hypertension in rural areas. The data for this study came from the result of the field study done by the second year medical students of the Faculty of Medicine, University of Indonesia, Jakarta. The study was conducted on July 12, 2000 at 10:00 AM to 1:00 PM in a rural area, the Cijeruk subdistrict in Bogor regency. The subjects were selected randomly using neighborhood cluster. Interviews and blood pressure were taken at the houses of the subjects. The results of this study showed that people aged 40 years or over had an increase risk to suffer hypertension compared to the 17-39 year old group, and the risk was most prominent among the 55-59 year group (adjusted odds ratio = 21.62; 95% confidence intervals (CI) = 4.10-113.97). Compared to the subjects with normal body posture, those who were obese had more than 6.3-folds increase in the risk to be hypertensive (adjusted OR = 6.33: 95% CI = 2.62-15.29). In addition, those who discontinued antihypertensive drugs had almost 12-fold increase in the risk to be hypertensive relative to subjects who never take antihypertensive drugs (adjusted OR = 11.92; 95% CI = 4.61 -30.80). This study concluded that special attention should be taken to the elderly aged 40 years and over, to some one who discontinued antihypertensive drugs, and whom had light daily working load to prevent hypertension. (Med J Indones 2001; 10:29-33)Keywords: hypertensive, risk factor, adjusted odds ratio, elderly.
The prevalence of female sexual dissatisfaction and the dominant risk factors that may impair sexual satisfaction in Malaysian women Sidi, Hatta; Puteh, Sharifah E.W.; Abdullah, Norni; Midin, Marhani; Basuki, Bastaman
Medical Journal of Indonesia Vol 16, No 3 (2007): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.937 KB) | DOI: 10.13181/mji.v16i3.277

Abstract

The study aims were to investigate the prevalence of sexual dissatisfaction and the potential risk factors. This was a cross-sectional study on women attending primary care setting in Malaysia over a period of March to June 2005, and used a non-probability sampling method. A validated questionnaire for sexual function was used. A total of 230 married women aged 21 – 62 years old participated in this study. The ressults show that the majority of the respondents were less than 45 years old, predominantly Malays, and with higher academic achievement. We noted that 52.2% (120/230) study subjects had sexual dissatisfaction. Race, salary, education level, medical problems, dysmenorrhea, and menacrhe were likely not correlated with sexual dissatisfaction. The dominant risk factor related to sexual dissatisfaction was age of husband. In additional, sexual dissatisfaction was moderately (P = 0.077) related to sexual per month. The subjects who had their husbands aged 43-75 years compared with 24-42 years had 68% increased risk to experience sexual dissatisfaction [adjusted relative risk (RRa = 1.68; 95% confidence interval (CI) = 1.15 - 2.44]. In term of sexual frequency per month, those who had 1-3 times per month than 4-5 times per month had two-fold increased risk to experience sexual dissatisfaction (RRa = 2.03; 95% CI = 0.93-4.42; p = 0.077). In conclusion, the prevalence of sexual dissatisfaction was very high in Malaysian primary care population and it was strongly associated with women who married to an older husband and with infrequent sexual activity. (Med J Indones 2007; 16:187-94) Keywords: sexual dissatisfaction, age of husbands, malaysian women
Low physical activity work-related and other risk factors increased the risk of poor physical fitness in cement workers Diana, Ditha; Basuki, Bastaman; Kurniarobbi, Jull
Medical Journal of Indonesia Vol 18, No 3 (2009): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.249 KB) | DOI: 10.13181/mji.v18i3.362

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Aim Low physical activity causes poor physical fitness, which leads to low productivity. The objective of this study was to determine the effects of low work-related physical activity and other risk factors on physical fitness.Methods This study was done in February 2008. Subjects were workers from 15 departments in PT Semen Padang, West Sumatera (Indonesia). Data on physical activities were collected using the questionnaire from the Student Field Work I Guidebook and Hypertension – Geriatric Integrated Program of the Faculty of Medicine, Universitas Indonesia2003. Physical fitness was measured using the Harvard Step Test.Results A number of 937 male workers aged 18 – 56 years participated in this study. Poor physical fitness was found in 15.9% of the subjects. Low work-related physical activity, smoking, lack of exercise, hypertension, diabetes mellitus, and asthma were dominant risk factors related to poor physical fi tness. Subjects with low compared to high work-related activity had a ten-fold risk of poor physical fitness [adjusted odds ratio (ORa) = 10.71; 95% confidence interval (CI) = 4.71–24.33]. In term of physical exercise, subjects who had no compared to those who had physical exercise had a six-fold risk of poor physical fitness (ORa = 6.30; 95%CI = 3.69-10.75).Conclusion Low work-related physical activities, smoking, lack of exercise, hypertension, diabetes mellitus, and sthma were correlated to poor physical fi tness. It is, among others, therefore necessary to implement exercises for workers with poor physical fitness. (Med J Indones. 2009;18:201-5)Key words: exercise test, occupational healths, physical fitness
Duration of works, flight hours, and blood pressure related to noise-induced hearing loss among Indonesian Air Force helicopter pilots Hanum, Kholidah; Haksono, Hari; Basuki, Bastaman
Medical Journal of Indonesia Vol 15, No 3 (2006): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.843 KB) | DOI: 10.13181/mji.v15i3.235

Abstract

Helicopter pilots exposed to high intensity noise and other risk factors had increased risk to be noise-induced hearing loss (NIHL). Therefore, it is beneficial to study several risk factors related to NIHL. This study was a nested case-control. Data was extracted from available medical records among helicopter pilots who performed routine aerophysiology training indoctrination (ILA) during 1980 through March 2004 at Saryanto Institute for Aviation and Aerospace Medicine (Lakespra), Jakarta. Case was those who had audiogram with a notch of 40 dB or more and of 4000 Hertz on one site or bilateral ears. A case was matched by two controls who free from NIHL up to 2004. All risk factors for cases and controls were counted as of reference date of cases diagnosed. There were 187 medical records available for this study. A number of 32 cases and 64 controls were identified. The final model reveals that NIHL was related to total duration of works, flight hours, and blood pressure. Those who had 500 hours or more than less 500 hours had a moderate increased risk for 2.5 to be NIHL [Adjusted odds ratio (ORa)= 2.50; 95% confidence intervals (CI) = 0.66-9.29; p = 0.180]. Those who had total duration works 11-24 years had a moderate increased to be NIHL for 2.7 times (ORa = 2.71; 95% CI=0.90-8.10; p = 0.075). Furthermore, prehypertension and hypertension stage 1 subjects than normal blood pressure had moderate trend increased risk to be NIHL. In conclusion total flight hours for 500 hours or more, total duration works 11-24 years, or prehypertension and hypertension stage 1 increased risk NIHL. (Med J Indones 2006; 15:185-90) Keywords: noise induced hearing loss, flight hours, working duration, blood pressure
Air movement, gender and risk of sick building headache among employees in a Jakarta office Winarti, Margaretha; Basuki, Bastaman; Hamid, Abdulbar
Medical Journal of Indonesia Vol 12, No 3 (2003): July-September
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (761.619 KB) | DOI: 10.13181/mji.v12i3.109

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Even though office buildings are usually equipped with ventilation system or air conditioning to create a comfortable working environment, yet there is still found a number of sick building syndrome (SBS) symptoms. One of the symptoms of SBS is SBS headache. Therefore, it is crucial to identify risk factors related to SBS headache. Cases were subjects who have suffered SBS headache, and controls were subjects who did not suffered headache for the last one month. Cases and controls were selected through a survey on all of employees in the said office during the period of May to August 2002. Total respondents were 240 employees including 36 people suffered SBS headache (15%). Compared to the normal air movement, faster air movement decreased the risk of SBS headache by 57% [adjusted odds ratio (OR) = 0.43; 95% confidence intervals (CI): 0.19-0.95]. Female employees, compared to the males ones, had a higher risk of getting SBS headache by almost three times (adjusted OR = 2.96: 95% CI: 1.29-6.75). Employees who had breakfast irregularly, had a lower risk to SBS headache than those who have breakfast regularly (adjusted OR=0.31; 95% CI: 0.09-0.84). Temperature, humidity and smoking habits were not noted correlated to SBS headache. Female workers had greater risk of suffering SBS headache. In addition slower air movement increased the risk of SBS headache. Therefore, it is recommended to improve the progress of air in order to reduce the risk of SBS headache, especially for female workplace. (Med J Indones 2003; 12: 171-7)Keywords: sick building syndrome headache, gender, air movement