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"Diabetes mellitus is a serious longstanding disease, which will cause chronic complications in several target organs throughout the body if left untreated. Subsequently, death might ensue. Prevention againts the occurrence of such a grave outcome should be done in the first priority at all levels of health authority. Several large-scale epidemiological studies (Diabetes Complication Control Trial = DCCT in Type 1 DM and United Kingdom Prospective Diabetes Survey = UKPDS in Type 2 DM) have given proof that chronic complications of diabetes could be prevented through an effort to keep blood glucose within desirable optima) levels. In UKPDS, the incidence of retinopathy, neuropathy and nephropathy were significantly lower in the intensively treated group (HbAl c 7.1 %) as compared to the conventionally treated group (HbAlc 7.9%)."

"Diabetes melitus merupakan salah satu penyakit kronis yang menjadi penyebab kematian. Kualitas pelayanan prolanis sangat penting dalam menangani penderita diabetes melitus. Kualitas pelayanan kesehatan yang rendah dan masih banyak penderita diabetes melitus belum mendapatkan pelayanan kesehatan sesuai standar dapat menjadi indikator bahwa kualitas pelayanan prolanis masih belum optimal. Penelitian ini bertujuan untuk mengetahui gambaran praktik kolaborasi interprofesi dalam penanganan klien diabetes melitus pada pelayanan prolanis di wilayah Jakarta Utara. Penelitian ini menggunakan pendekatan cross sectional dan teknik purposive sampling dengan jumlah 144 tenaga kesehatan yang terlibat dalam pelayanan prolanis di enam Puskesmas Kecamatan Jakarta Utara. Instrumen yang digunakan adalah Assesment of Interprofessional Team Collaboration Scale (AITCS) II. Hasil penelitian dikategorikan menjadi dua yaitu kolaborasi baik (52,1%) dan kurang baik (47,9%). Sosialisasi yang lebih luas serta seminar kepada tenaga kesehatan mengenai pentingnya kolaborasi interprofesi perlu ditingkatkan sehingga pemberi pelayanan kesehatan mampu mengoptimalkan pelayanan kesehatan dengan pendekatan kolaborasi interprofesi.

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Diabetes mellitus is a chronic disease that is the cause of death. The quality of prolanis treatment is very important in dealing with people with diabetes mellitus. The low quality of health treatment and there are still many people with diabetes mellitus who have not received health treatment according to standards can be an indicator that the quality of prolanis treatment is still not optimal. This study aims to describe the practice of interprofessional collaboration in handling diabetes mellitus clients at prolanis treatment in the North Jakarta area. This study used a cross sectional approach and purposive sampling technique with a total of 144 health workers involved in prolanis treatment in six North Jakarta Area Health Centers. The instrument used is the Assessment of Interprofessional Team Collaboration Scale (AITCS) II. The results of the study were categorized into two, namely good collaboration (52.1%) and poor collaboration (47.9%). Wider socialization and seminars to health workers regarding the importance of interprofessional collaboration need to be improved so that health service providers are able to optimize health services with an interprofessional collaboration approach."

"Interprofessional Rehabilitation: a Person-Centred Approach is a concise and readable introduction to the principles and practice of a person-centred interprofessional approach to rehabilitation, based upon a firm scientific evidence base. Written by a multi-contributor team of specialists in physiotherapy, occupational therapy, nursing, psychology and rehabilitation medicine, this text draws together common themes that cut across the different professional groups and the spectrum of health conditions requiring rehabilitation, and sets out a model of practice that is tailored to the specific ne"

"Up to this moment, there urn various oral anti-hypergly-cemic (OAH) known, such ax the insulin secretagogue group of drugs, which in essence aims to increase insulin secretion by (J pancreatic culls, and the group of drags thai increases tissue sensitivity to insulin. Administration of a single drug from one of these two groups will eventually fail to achieve euglycemic control level. Instead, a combination of two kinds of OAH with different mechanism of action has been proven to significantly achieve glycemic control compared to administration of a .single agent. In addition to reducing side effects, administration of a combination nj two kinds of OAH can also postpone, the need for insulin, which is generally disliked by patients. Sulphonilurea and metformin art; among the most common drugs to be combined, but other combinations could also produce the same satisfactory effect. Combination of sulphonilurea and troghiatone does not produce expected euglycemic effect, even though ii can reduce the Hh Ah-level.Administration of 3 types of OAH is not advisable, since generally, a combination of 2 kinds oj drugs at maximum dose could no longer achieve glycemic control, even with the addition of another OAH. In addition to more side effects and higher cost, such treatment is not practical, and insulin secretion bv beta cells generally can no longer be increased Patients that fail lo demonstrate satisfactory results with a combination of 2 types of 0.4 fix are advised to be treated wilh moderate-acting insulin at night ax an additional treatment, with a dose titered to achieve euglycemic control Patients receiving single treatment that could not achieve euglycemic control may receive combined treatment before reaching the maximum dose, since at maximum dose, there is generally more side-effects."

"Pada tahun 2021 dari 25 Puskesmas di Kota Bogor hanya sekitar 12 puskesmas yang mencapai target keberhasilan SPM 100%. Penderita diabetes melitus yang mendapatkan pelayanan kesehatan sesuai standar sebanyak 17.431 sekitar (88,5%) saja. Pendekatan kolaborasi interprofesional dalam pelayanan DM di puskesmas menjadi sangat penting untuk keterpaduan lintas program, sehingga meningkatkan kualitas pelayanan dan hasil kesehatan pasien DM. Tujuan dari penelitian ini adalah untuk menganalisis praktik kolaborasi interprofesional pada petugas kesehatan pemberi pelayanan diabetes melitus di Puskesmas Kota Bogor. Metode penelitian ini deskriptif analitik menggunakan desain mixed method sequential explanatory, populasi seluruh petugas kesehatan pelayanan DM, sampel dengan total sampling. Data kuantitatif didapatkan menggunakan kuesioner Collaborative Practice Assessment Tool (CPAT) dan data kualitatif didapatkan dengan wawancara mendalam. Didapatkan 144 petugas kesehatan pemberi pelayanan DM yang berprofesi dokter PTM, perawat PTM, petugas obat atau apoteker, petugas laboratorium medis, dan ahli kesehatan masyarakat (ahli gizi, kesehatan lingkungan, promosi kesehatan). Analisis data menggunakan analisis univariat, bivariat dengan uji statistik chi-square, dan analisis multivariat menggunakan uji regresi logistik ganda. Hasil persepsi kolaborasi interprofesional pada petugas kesehatan pemberi pelayanan diabetes melitus di Puskesmas Kota Bogor cukup baik dengan nilai rerata 75,65. Terdapat 3 variabel yang berhubungan dengan praktik kolaborasi interprofesional, yaitu niat berbagi ilmu, iklim tim dan konflik tim. Iklim tim merupakan variabel yang dominan berhubugan dengan praktik kolaborasi interprofesional. Petugas dengan persepsi iklim tim yang positif berpeluang 3,48 kali untuk melakukan praktik kolaborasi interprofesional yang baik dibandingkan responden dengan iklim tim yang negatif (aOR=3,28 95% CI 1,345-9,018). Kesimpulan salah satu strategi meningkatkan capaian target SPM pelayanan DM dengan mengembangkan praktik kolaborasi interprofesional pada petugas kesehatan pelayanan DM di Puskesmas Kota Bogor melalui penguatan program IPE (Interprofessional Education), mengadakan capacity building, dan meningkatkan apresiasi atau penghargaan pada setiap pencapaian anggota tim sehingga termotivasi untuk memberikan pelayanan kesehatan DM yang sesuai standar.

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Only 12 of the 25 at Bogor City public health center can achieve 100% success by 2021. Approximately 17,431 people with diabetes mellitus (88.5%) receive standard health services. The interprofessional collaborative approach in diabetes services at community health centers is critical for cross-program integration, which improves service quality and health outcomes for diabetes patients. The objective of this study was to examine the practice of interprofessional collaboration among health workers at the Bogor City Public Health Center that provide diabetes mellitus services. The research method was descriptive analytic with a mixed method sequential explanatory design, the population was all DM health service officers, and the sample was obtained from a random sample. The Collaborative Practice Assessment Tool (CPAT) questionnaire was used to collect quantitative data, and in-depth interviews were used to collect qualitative data. There were 144 doctors, nurses, drug officers or pharmacists, medical laboratory staff, and public health experts (nutritionists, environmental health, and health promotion) providing DM services. Univariate analysis was used to analyze the data, bivariate analysis was used with the chi-square statistical test, and multivariate analysis was used with multiple logistic regression tests. The results with an average score of 75.65, the perception of interprofessional collaboration among health workers who provide diabetes mellitus services at the Bogor City Public Health Center was quite good. The intention to share knowledge, team climate, and team conflict were three variables related to the practice of interprofessional collaboration. The dominant variable in interprofessional collaboration practices was team climate. Officers who perceived a positive team climate were 3.48 times more likely to engage in good interprofessional collaboration than those who perceive a negative team climate (aOR=3.28 95% CI 1.345-9.018). Conclusion one strategy for increasing DM service target achievement was to strengthen the IPE (Interprofessional Education) program, held capacity building, and increased appreciation for each achievement of team members so that they were motivated to provide DM health services in accordance with standards."

"ABSTRAKLatar Belakang: Pencapaian target glikemik pada pasien DM tipe2 yang masih rendah khususnya di Indonesia mengakibatkan berbagai komplikasi termasuk gangguan fungsi kognitif.. Padahal untuk menerapkan manajemen mandiri pada pasien DM, dibutuhkan fungsi kognitif yang kompleks. Pada berbagai penyakit kronis, fungsi kognitif khususnya domain memori yang buruk telah dihubungkan dengan ketidakpatuhan penggunaan obat. Meskipun demikian, belum ada studi yang mencari hubungan keduanya pada pasien DM tipe 2.Tujuan: Mengetahui hubungan gangguan fungsi kognitif dengan ketidakpatuhan penggunaan obat pada pasien DM tipe 2Metodologi: Desain studi ini adalah potong lintang terhadap 96 subjek penelitian dengan DM tipe 2 berusia >18 tahun di unit rawat jalan RSUD Tebet. Karakteristik demografi, parameter klinis, penilaian fungsi kognitif, dan kepatuhan penggunaan obat didokumentasikan secara lengkap. Penilaian fungsi kognitif menggunakan Montreal Cognitive Assessment versi Indonesia (MoCA-Ina). Penilaian kepatuhan penggunaan obat dinilai menggunakan penghitungan pil. Studi ini menggunakan analisis distribusi frekuensi dan proporsi, analisis bivariat dengan uji Chi-Square.Hasil: Terdapat 69,8% subjek penelitian dengan gangguan fungsi kognitif dengan faktor tingkat pendidikan sebagai faktor yang mempengaruhi. Analisa mendapatkan kejadian penurunan fungsi domain memori 96,9%;, eksekutif 78%, visuospasial 78%; atensi 30%; bahasa 26%; dan orientasi 4,2%. Ketidakpatuhan penggunaan obat didapatkan pada 26% subjek penelitian. Analisa bivariat tidak menunjukkan adanya hubungan antara gangguan fungsi kognitif dengan ketidakpatuhan penggunaan obat (OR 0,757 95% CI [0,280-2,051] p=0,58).Kesimpulan: Gangguan fungsi kognitif didapatkan pada 69,8% pasien DM tipe 2, dan ketidakpatuhan ditemukan pada 26% pasien. Tidak ada hubungan yang didapatkan antara gangguan fungsi kognitif dengan ketidakpatuhan penggunaan obat pada pasien DM tipe 2

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ABSTRACTBackground: Poor glycemic control in Type 2 Diabetes Mellitus patients, especially in Indonesia, results in a variety of complications including a cognitive impairment. In fact, to implement self-management in DM patients, intact cognitive function is necessary. In a variety of chronic diseases, cognitive impairment, especially the memory domain has been associated with medication nonadherence. Nonetheless, no studies have looked for the relationship between the two in type 2 DM patientsObjective: This study aims to determine the relationship of cognitive impairment with medication nonadherence in type 2 DM patients.Methodology: The design of this study was cross-sectional with 96 study subjects with type 2 DM, > 18 years old in the outpatient unit at RSUD Tebet. Demographic characteristics, clinical parameters, cognitive function assessment, and medication adherence use were fully documented. Cognitive function assessed with the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina). Medication adherence was assessed using pill count. This study uses the analysis of frequency and proportions distribution, and bivariate analysis with the Chi-Square test.Results: There were 69.8% of the research subjects with cognitive impairment with education level as an associated factor. Analysis of the occurrence of impairment of the function of memory domain 96.9%; executive 78%, visuospatial 78%; attention 30%; language 26%; and 4.2% orientation. Oraal medication nonadherence was found in 26% of the study subjects. Bivariate analysis did not show an association between cognitive impairment and medication nonadherence (OR 0.757 95% CI [0.280-2.051] p=0.58).Conclusion: Cognitive impairment was found in 69.8% Type 2 DM patients, and medication nonadherence was found in 26% patients. Cognitive impairment was not associated with medication nonadherence in type 2 DM patients."

"Latar Belakang: Pencapaian target glikemik pada pasien DM tipe2 yang masih rendah khususnya di Indonesia mengakibatkan berbagai komplikasi termasuk gangguan fungsi kognitif.. Padahal untuk menerapkan manajemen mandiri pada pasien DM, dibutuhkan fungsi kognitif yang kompleks. Pada berbagai penyakit kronis, fungsi kognitif khususnya domain memori yang buruk telah dihubungkan dengan ketidakpatuhan penggunaan obat. Meskipun demikian, belum ada studi yang mencari hubungan keduanya pada pasien DM tipe 2.Tujuan: Mengetahui hubungan gangguan fungsi kognitif dengan ketidakpatuhan penggunaan obat pada pasien DM tipe 2Metodologi: Desain studi ini adalah potong lintang terhadap 96 subjek penelitian dengan DM tipe 2 berusia >18 tahun di unit rawat jalan RSUD Tebet. Karakteristik demografi, parameter klinis, penilaian fungsi kognitif, dan kepatuhan penggunaan obat didokumentasikan secara lengkap. Penilaian fungsi kognitif menggunakan Montreal Cognitive Assessment versi Indonesia (MoCA-Ina). Penilaian kepatuhan penggunaan obat dinilai menggunakan penghitungan pil. Studi ini menggunakan analisis distribusi frekuensi dan proporsi, analisis bivariat dengan uji Chi-Square.Hasil: Terdapat 69,8% subjek penelitian dengan gangguan fungsi kognitif dengan faktor tingkat pendidikan sebagai faktor yang mempengaruhi. Analisa mendapatkan kejadian penurunan fungsi domain memori 96,9%;, eksekutif 78%, visuospasial 78%; atensi 30%; bahasa 26%; dan orientasi 4,2%. Ketidakpatuhan penggunaan obat didapatkan pada 26% subjek penelitian. Analisa bivariat tidak menunjukkan adanya hubungan antara gangguan fungsi kognitif dengan ketidakpatuhan penggunaan obat (OR 0,757 95% CI [0,280-2,051] p=0,58).Kesimpulan: Gangguan fungsi kognitif didapatkan pada 69,8% pasien DM tipe 2, dan ketidakpatuhan ditemukan pada 26% pasien. Tidak ada hubungan yang didapatkan antara gangguan fungsi kognitif dengan ketidakpatuhan penggunaan obat pada pasien DM tipe 2

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Background: Poor glycemic control in Type 2 Diabetes Mellitus patients, especially in Indonesia, results in a variety of complications including a cognitive impairment. In fact, to implement self-management in DM patients, intact cognitive function is necessary. In a variety of chronic diseases, cognitive impairment, especially the memory domain has been associated with medication nonadherence. Nonetheless, no studies have looked for the relationship between the two in type 2 DM patients

Objective: This study aims to determine the relationship of cognitive impairment with medication nonadherence in type 2 DM patients.

Methodology: The design of this study was cross-sectional with 96 study subjects with type 2 DM, > 18 years old in the outpatient unit at RSUD Tebet. Demographic characteristics, clinical parameters, cognitive function assessment, and medication adherence use were fully documented. Cognitive function assessed with the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina). Medication adherence was assessed using pill count. This study uses the analysis of frequency and proportions distribution, and bivariate analysis with the Chi-Square test.

Results: There were 69.8% of the research subjects with cognitive impairment with education level as an associated factor. Analysis of the occurrence of impairment of the function of memory domain 96.9%; executive 78%, visuospatial 78%; attention 30%; language 26%; and 4.2% orientation. Oraal medication nonadherence was found in 26% of the study subjects. Bivariate analysis did not show an association between cognitive impairment and medication nonadherence (OR 0.757 95% CI [0.280-2.051] p=0.58).

Conclusion: Cognitive impairment was found in 69.8% Type 2 DM patients, and medication nonadherence was found in 26% patients. Cognitive impairment was not associated with medication nonadherence in type 2 DM patients"

"Pasien diabetes memiliki risiko yang lebih besar terhadap penyakit periodontal yang dapat berakibat pada kualitas hidup terkait kesehatan gigi dan mulut. Penelitian ini bertujuan untuk mengevaluasi status kesehatan rongga mulut dan kualitas hidup terkait kesehatan gigi dan mulut pada pasien diabetes mellitus. Studi potong lintang ini dilakukan dengan memberikan kuesioner OHIP-20 dan pemeriksaan klinis untuk evaluasi kesehatan gigi dan mulut pada pasien diabetes mellitus di RSCM. Dari 70 orang responden sebanyak 97.1% memiliki kualitas hidup yang baik. Kualitas hidup terkait kesehatan gigi dan mulut tidak dipengaruhi oleh diabetes mellitus pada responden yang dilakukan pemeriksaan.

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Diabetic patients have more risk factor for periodontal disease which can affect their oral health related quality of life (OHRQoL). The aim of this study was to evaluate oral health status and oral health related quality of life in diabetes mellitus patients. This cross sectional study was conducted by giving OHIP-20 questionnaire and clinical examination to evaluate oral health in diabetic patient in RSCM. The result showed from 70 patients 97.1% had good quality of life. Oral health related quality of life is not affected by the presence of diabetes mellitus among the respondents."