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Abstrak :

Pendahuluan: Gangguan tidur merupakan salah satu gangguan kesehatan dengan prevalensi tinggi di dunia. Salah satu contoh gangguan tidur dengan prevalensi terbanyak adalah obstructive sleep apnea. OSA diketahui dapat menyebabkan kantuk pada siang hari, sementara konsentrasi diperlukan dalam proses pembelajaran. Oleh karena itu, penelitian ini bertujuan untuk mengetahui pengaruh risiko sleep apnea berdasarkan kuesioner Berlin terhadap performa akademik mahasiswa fakultas kedokteran. Metode: Penelitian ini dilakukan menggunakan desain penelitian potong lintang. Penelitian dilakukan pada 135 mahasiswa preklinik Fakultas Kedokteran Universitas Indonesia pada periode November 2018-2019. Risiko sleep apnea diukur menggunakan kuesioner Berlin, sementara performa akademik diukur melalui indeks prestasi semester. Analisis data menggunakan chi-square dan regresi logistik. Hasil: Risiko tinggi sleep apnea didapatkan pada 26% responden, dengan rincian risiko tinggi pada laki-laki sebesar 14.81% dan pada perempuan sebesar 5.92%. Performa akademik kurang baik ditemukan pada 30.3% responden. Terdapat hubungan antara risiko sleep apnea dengan performa akademik (p=0.00), dimana sebanyak 13.3% responden dengan risiko tinggi sleep apnea memiliki performa akademik kurang baik. Pada analisis multivariat ditemukan bahwa risiko tinggi sleep apnea merupakan faktor risiko dari performa akademik kurang baik (OR=4.6; p= 0.002). Kesimpulan: Terdapat hubungan antara risiko sleep apnea yang diukur dengan Kuesioner Berlin dengan performa akademik Mahasiswa Fakultas Kedokteran.     

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Introduction: Sleep disorder is one of the most prevalent health problem in the world. Ironically, medical student is one of the most vulnerable group in society to acquire sleep disorder. One example of the most prevalent sleep disorder is obstructive sleep apnea. OSA is known to cause daytime sleepiness which can affect concentration; meanwhile concentration is needed in a learning process. Therefore, the aim of this study is to assess the association of sleep apnea risk based on Berlin’s questionnaire towards the academic performance of medical student. Method: This study is done by using cross-sectional method to assess 135 preclinic medical student from Universitas Indonesia over the period of November 2018-January 2019. The risk of sleep apnea is assessed using Berlin Questionnaire, meanwhile academic performance is assessed by indeks prestasi (IP). Data analysis is done by chi-square and logistic regression test. Result: High risk of sleep apnea is found on 26% of the subject, with the details of 14.81% male and 5.92% female. There are 30.3% respondent who had poor academic performance. There is an association between the risk of sleep apnea and academic performance (p=0.0), where 13.3% respondents who have high risk of sleep apnea also have poor academic performance. On multivariate analysis, high risk of sleep apnea is proven to be a risk factor of poor academic performance (OR=4.6; p=0.02). Conclusion: There is an association between the risk of sleep apnea according to Berlin’s questionnaire and academic performance of medical students.

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Latar Belakang. Multipel sklerosis merupakan penyakit kronik progresif dimana selain dari berbagai gejala neurologis yang ada, gangguan tidur merupakan masalah yang juga memiliki dampak terhadap penyandang penyakit multipel skeloris. Beberapa penelitian telah menunjukkan bahwa prevalensi gangguan tidur ditemukan lebih tinggi pada penyandang penyakit multipel skeloris dibandingkan populasi normal. Penelitian ini bertujuan untuk mengetahui prevalensi serta pola gangguan tidur pada penyandang penyakit multipel sklerosis di Indonesia. Metode. Penelitian ini merupakan studi deskritptif potong lintang. Populasi penelitian merupakan pasien dengan penyakit multiple sklerosis yang berobat di RSCM Jakarta yang memenuhi kriteria inklusi, dan dilakukan pengambilan data klinis dan pengambilan sampel dengan mengisi kuesioner Pittsburgh Sleep Quality Assessment (PSQI) dan STOP-BANG Sleep Apnea Questionnaire, serta The Mini International Neuropsychiatric Interview ICD-10 (MINI ICD-10). Data yang didapat kemudian dilakukan pengolahan dan analisis data. Hasil. Dari empat puluh dua subjek MS yang diikutsertakan pada penelitian ini, 32 (76,2%) subjek berusia kurang dari 35 tahun, 34 (81,0%) berjenis kelamin perempuan, 23 (54,8%) subjek tidak bekerja, 9 (21,4%) mengalami depresi, dan 9 (21,4%) memiliki EDSS 6 ke atas. Insomnia ditemukan pada 32 (76,2%) subjek, dengan proporsi yang lebih besar ditemukan pada subjek berusia 35 tahun ke atas (80% vs 75%, p=0,556), berjenis kelamin laki-laki (87,5% vs 73,5%, p=0,374), kelompok yang tidak bekerja (78,3% vs 73,7%, p=0,504), kelompok dengan depresi (77,8% vs 75,8%, p=0,638), dan kelompok dengan EDSS lebih dari sama dengan 6 (77,8% vs 75,8%, p=0,638). Seluruh subjek memiliki risiko OSA dengan 39 (92,9%) subjek memiliki risiko ringan-sedang dan 3 (7,1%) subjek memiliki risiko berat. Hanya laki-laki yang memiliki risiko terhadap kejadian OSA (37,5% vs 0%, p=0,005), tetapi tidak berkaitan terhadap kejadian insomnia. Kesimpulan. Prevalensi gangguan tidur pada penyandang penyakit multipel skeloris di Indonesia sangat tingi. Untuk itu perlu dilakukan evaluasi dan pemeriksaan lebih lanjut guna menunjang diagnosis.

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Background. Multiple sclerosis (MS) is a chronic progressive disease in which sleep disorder, besides various neurologic manifestations, highly impacts the patients but is often neglected in clinical settings. Several studies had discovered that sleep disorder was more prevalent in MS than general population. This study aimed to investigate the prevalence and characteristics of sleep disorder in MS patients in Indonesia. Methods. A descriptive cross-sectional study involving MS patients was conducted at Dr. Cipto Mangunkusumo National General Hospital Jakarta. In addition to clinicodemographic data collection, data regarding sleep quality, obstructive sleep apnea (OSA), and depression state were assessed using Indonesian previously-validated Pittsburgh Sleep Quality Index, STOP-BANG Sleep Apnea Questionnaire, and The Mini International Neuropsychiatric Interview ICD-10, respectively. Results. Of forty MS participants included in this study, 29 (72.5%) aged less than 35 years, 32 (80.0%) were women, 20 (50.0%) were unemployed, 10 (25.0%) had depression, and 10 (25.0%) had Expanded Disability Scoring Scale (EDSS) of ≥6. Insomnia was found in 33 (82.5%) participants, of which larger proportion were male (100.0% vs 78.1%, p=0.309. Three (7,1%) participants had moderate risk of OSA. Only male had significant risk of OSA (moderate risk 25.0% vs 0%, p=0.036), but it did not associate with insomnia. Conclusion. Sleep disorder in MS patients in Indonesia is prevalent. There was potencies of the risk of OSA in MS, especially in male. Detection of insomnia and risk OSA is important in MS comprehensive care.

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Latar Belakang. Apnea tidur obstruktif (ATO) banyak tidak disadari oleh klinisi dan prevalensinya di Indonesia cukup tinggi. Stroke merupakan penyebab kematian ke-2 di dunia dan Indonesia. ATO meningkatkan risiko kejadian stroke. Karakteristik klinis pasien ATO dengan stroke masih belum banyak diteliti. Tujuan. Mengetahui karakteristik klinis pasien kecurigaan tinggi ATO dengan stroke di RSCM. Metode. Penelitian potong lintang dengan metode consecutive dilakukan pada bulan Maret - Juni 2019 di RSCM (dari Poliklinik Neurologi dan data pencatatan pasien ATO Divisi Respirologi dan Penyakit Kritis Departemen Ilmu Penyakit Dalam). Kecurigaan tinggi ATO ditegakkan berdasarkan kuesioner Berlin-ID. Pasien dibedakan menjadi stroke dan bukan stroke. Pasien yang tidak kooperatif atau menolak penelitian dieksklusi dari penelitian. Usia, jenis kelamin, Indeks Massa Tubuh (IMT), tekanan darah, kadar HbA1c, dan lingkar leher dinilai pada setiap pasien. Ketebalan tunika intima media arteri karotis (CIMT) dinilai pada 23 subyek. Analisis data dilakukan dengan SPSS 24. Hasil Utama. Sebanyak 103 pasien kecurigaan tinggi ATO diikutsertakan dalam penelitian (34 dengan stroke dan 69 bukan stroke). Proporsi pasien kecurigaan tinggi ATO dengan stroke di RSCM adalah 33%. Pasien kecurigaan tinggi ATO dengan stroke dan bukan stroke di RSCM memiliki rerata usia 58,5 dan 57 tahun, 82,4% dan 94,2% mengalami gangguan mendengkur, 61,8% dan 36,2% laki-laki, 20,6% dan 10,1% overweight, 61,8% dan 63,8% obese, 58,8% dan 49,3% hipertensi (80% dan 85,3% tidak terkontrol), rerata CIMT kanan-kiri 0,66-0,71 mm dan 0,59-0,66 mm, 26,5% dan 34,8% diabetes melitus/DM (77,8% dan 64,7% memiliki HbA1c terkontrol), dan median lingkar leher 35,5 dan 34 cm (laki-laki 38 dan 39 cm, perempuan 33,5 dan 35 cm). Simpulan. Proporsi pasien stroke pada kecurigaan tinggi ATO di RSCM adalah 33%. Dibandingkan dengan bukan stroke, pasien kecurigaan tinggi ATO dengan stroke di RSCM memiliki rerata usia yang lebih tinggi, proporsi overweight lebih tinggi, proporsi hipertensi lebih tinggi, rerata CIMT lebih tinggi, proporsi DM dalam terapi dengan HbA1c terkontrol lebih tinggi, dan median lingkar leher lebih tinggi. ......Background. Obstructive sleep apnea (OSA) is not recognized by clinicians and its prevalence in Indonesia is quite high. Stroke is the second leading cause of death in the world and Indonesia. OSA increases the risk of stroke events. The clinical characteristics of OSA patients with stroke have not been widely studied. Objective. To know the clinical characteristics of high suspicious OSA patients with stroke in RSCM.. Method. A cross-sectional study using the consecutive method was carried out in March - June 2019 at RSCM (from Neurology Polyclinic and OSA patient record data of Respirology and Critical Illness Division of Internal Medicine Department). High suspicious OSA was diagnosed based on Berlin-ID questionnaire. Subjects were divided into stroke and not stroke. Subjects who were not cooperative or refuse the study were excluded. Age, gender, Body Mass Index, blood pressure, HbA1c levels, and neck circumference were assessed in each patient. The thickness of the carotid artery tunica intima (CIMT) was assessed in 23 subjects. Data analysis was performed with SPSS 24. Result. A total of 103 high suspicious OSA patients were included in the study (34 with stroke, 69 not stroke). The proportion of high suspicious OSA patients with stroke is 33%. Patients with high suspicious OSA with stroke and non-stroke in RSCM had an average age of 58.5 and 57 years, 82.4% and 94.2% experienced snoring disorders, 61.8% and 36.2% men, 20.6 % and 10.1% overweight, 61.8% and 63.8% obese, 58.8% and 49.3% hypertension (80% and 85.3% uncontrolled), mean right-left CIMT 0.66- 0.71 mm and 0.59-0.66 mm, 26.5% and 34.8% diabetes mellitus/DM (77.8% and 64.7% had controlled HbA1c), and the median neck circumferences were 35.5 and 34 cm (males 38 and 39 cm, females 33.5 and 35 cm). Conclusion. The proportion of stroke in high suspicious OSA patients is 33%. Compared with non-stroke, high suspicious OSA patients with stroke in RSCM had a higher mean age, higher overweight proportion, higher hypertension proportion, higher CIMT mean, higher DM in therapy with controlled HbA1c proportion, and higher median neck circumference.

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ABSTRAK
Latar Belakang Obstructive Sleep Apnea (OSA) merupakan faktor risiko stroke yang belum lama diketahui dan salah satu metode skrining OSA adalah kuesioner STOP-Bang. Penelitian ini bertujuan untuk mengetahui prevalensi risiko OSA menggunakan kuesioner STOP-Bang dan melihat hubungannya dengan faktor risiko stroke lain. Metode Studi secara potong lintang. Sebanyak 202 subjek berusia ≥ 35 tahun non stroke, dari lima wilayah Jakarta bulan April hingga Juni 2013, diwawancara tentang kuesioner STOP-Bang dan faktor resiko vaskular lain, kemudian dianalisa. Hasil Sebanyak 100 subjek (49.5%) memiliki risiko tinggi OSA, dimana 70% diantaranya adalah pria dan risiko meningkat seiring dengan peningkatan usia. Item pertanyaan dengan nilai estimasi kemungkinan risiko paling tinggi adalah lingkar leher (p=0.000, OR 23.5; 95%CI 5.5-101.5), diikuti dengan berhenti bernapas saat tidur (p=0.000, OR 22.9; 95%CI 6.8-77.4), mendengkur (p=0.000, OR 19.1; 95%CI 9.3-38.9), jenis kelamin (p=0.000, OR 5.9; 95%CI 3.2-10.8), kelelahan di siang hari (p=0.000, OR 4.3; 95%CI 2.4-7.7), usia (p=0.000, OR 4.1; 95%CI 2.3-7.3) dan riwayat pengobatan tekanan darah (p=0.000, OR 3.9; 95%CI 1.9-8). Item indeks massa tubuh tidak dapat dianalisa. Faktor-faktor risiko stroke lain berhubungan dengan risiko tinggi OSA dengan kontribusi secara berturutan dari yang paling tinggi adalah aritmia (p=0.000, OR 9.5; 95%CI 2.1-42.6), diabetes melitus (p=0.000, OR 4.5; 95%CI 1.9-11), merokok (p=0.000, OR 3.7; 95%CI 1.9-6.9), hipertensi (p=0.000, OR 3.6; 95%CI 2-6.5), obesitas sentral (p=0.002, OR 2.6; 95%CI 1.4-4.7), dan dislipidemia (p=0.046, OR 2.1; 95%CI 1- 4.1). Kesimpulan Semua item pertanyaan kuesioner, kecuali indeks massa tubuh, menunjukkan perbedaan yang bermakna antara risiko tinggi dan risiko rendah OSA. Faktor risiko stroke lain yang memiliki estimasi risiko OSA dari yang paling tinggi adalah aritmia, diikuti dengan diabetes melitus, merokok, hipertensi, obesitas sentral, dan dislipidemia

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ABSTRACT
Background Obstructive Sleep Apnea (OSA) is one of the recent stroke risk factor to be discovered. One screening method is the STOP-Bang questionnaire. The purpose of this study is to know the prevalence of high risk OSA using the STOP-Bang questionnaire and analyze its correlation to other stroke risk factors. Methods As much as 202 subjects age ≥ 35 years old who never had a stroke, were analysed cross sectionally, from five regions of Jakarta, between April 2013 until June 2013. Each subject was interviewed using the STOP-Bang questionnaire, and other stroke risk factors, and then analysed Results As much as 100 subjects (49.5%) had high risk OSA, whereas 70% of them were male and the risk of developing OSA increases with age. Questionnaire’s item with the highest odds ratio were neck circumference (p=0.000, OR 23.5; 95%CI 5.5-101.5), followed by observed of not breathing(p=0.000, OR 22.9; 95%CI 6.8- 77.4), snoring (p=0.000, OR 19.1; 95%CI 9.3-38.9), sex (p=0.000, OR 5.9; 95%CI 3.2-10.8), daytime sleepiness (p=0.000, OR 4.3; 95%CI 2.4-7.7), age (p=0.000, OR 4.1; 95%CI 2.3-7.3) and history of hypertensive treatment (p=0.000, OR 3.9; 95%CI 1.9-8). Body mass index could not be analysed. Other stroke risk factors that correlate with high risk OSA from the greatest likelihood were arrhytmia (p=0.000, OR 9.5; 95%CI 2.1-42.6), diabetes melitus (p=0.000, OR 4.5; 95%CI 1.9-11), smoking (p=0.000, OR 3.7; 95%CI 1.9-6.9), hypertension (p=0.000, OR 3.6; 95%CI 2-6.5), central obesity (p=0.002, OR 2.6; 95%CI 1.4-4.7), and dyslipidemia (p=0.046, OR 2.1; 95%CI 1-4.1). Conclusions All of the questionnaire items, except body mass index, revealed significant difference between high risk and low risk OSA. Other stroke risk factors from the greatest likelihood to coincide with high risk OSA were arrhtmia, diabetes mellitus, smoking, hypertension, central obesity, and dyslipidemia

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ABSTRAK Latar Belakang: Obstructive Sleep Apnea (OSA) merupakan kelainan tidur yang terjadi secara periodik dan disertai henti napas. OSA pada anak dapat menyebabkan gangguan perilaku, prestasi sekolah yang buruk, komplikasi kardiovaskular atau disfungsi metabolik endokrin. Tatalaksana kasus OSA anak dapat berupa pembedahan ataupun medikamentosa. Perbaikan kualitas hidup OSA pada anak secara subjektif dapat diukur dengan kuesioner OSA 18 dan secara objektif dengan pemeriksaan polisomnografi. Tujuan: Mengetahui efektivitas terapi tonsiloadenoidektomi pada OSA anak dibandingkan dengan terapi Mometasone Furoate. Metode: Penelitian ini merupakan uji klinis dengan alokasi acak dua kelompok melibatkan 20 subjek, dengan 10 subjek terapi tonsiloadenoidektomi dan 10 subjek menggunakan Mometasone furoate. Analisis dilakukan berdasarkan perubahan skor OSA 18 dan polisomnografi sebelum dan sesudah terapi 6 minggu. Hasil: karateristik jenis kelamin lebih banyak perempuan, dengan rentang usia terbanyak pada kelompok usia 5 hingga 7 tahun, mayoritas tingkat pendidikan sekolah dasar, dengan status gizi subjek berat badan normal (P5%-P85%), rerata lingkar leher adalah 25,28 cm (SB 2,28). Karakteristik pemeriksaan fisik terbanyak adalah hipertrofi tonsil (T3), posisi palatum derajat 2 dan hipertrofi adenoid derajat III berdasarkan pemeriksaan nasoendoskopi serat lentur. Faktor predisposisi alergi pada subjek penelitian didapatkan hasil uji tusuk kulit positif. Pada penelitian ini didapatkan perbedaan perubahan skor OSA 18, Skala Analog Visual (SAV) dan Apnea Hypopnea Index (AHI) sebelum terapi dan 6 minggu setelah terapi, baik pada kelompok intervensi bedah maupun kelompok Mometasone furoate. Tidak ditemukan perbedaan bermakna nilai saturasi oksigen terendah (Sat O2) sebelum terapi dan 6 minggu setelah terapi pada kedua kelompok. Kesimpulan: Pada OSA anak, kuesioner OSA 18, SAV dan parameter AHI dari polisomnografi dapat digunakan sebagai penilaian efektifitas terapi OSA. Tonsiloadenodektomi dapat menjadi pilihan tatalaksana pembedahan, disamping pemberian Mometasone furoate pada pasien OSA anak yang disertai alergi.

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ABSTRACT Background: Obstructive Sleep Apnea is a sleep disorder that occurs periodically and accompanied by respiratory rest. OSA in children can cause behavioral disorders, poor academic perfomance, cardiovascullar, endocrine metabolic complications. Management of OSA in children were operatif and non operatif. Subjectively improvement quality of life can be measured with a questionnaire OSA 18 and objectively by polysomnography examination. Objectives: To determine the effectiveness of the adenotonsilectomy in children with OSA compared with Mometasone furoate therapy. Methods: This study was a clinical trial with random allocation involves two groups of 20 subjects, i.e. 10 subject in adenotonsilectomy group and 10 subjects with Mometasone furoate. The analysis was perfomed based on the changes of OSA 18 scoring and polysomnography before and after 6 weeks therapy. Result: The subject characteristic in this research was more girls, with average age of 5 to 7 years old, education level at primary school, normal body weight, mean neck circumference was 25.28 (2.28). Physical examination characteristic were tonsilar hypertrophy (T3), 2nd stage palatum position, 3rd stage adenoid hypertrophy based on the flexible nasoendoscopy. Allergy predisposing factor in this research showed positive result from skin prick test. There was statistical significant in OSA 18, Visual Analog Scale (VAS), and AHI at before and 6 weeks after treatment, either in surgical group or intranasal corticosteroid group. But there was no significant difference of the lowest oxygen saturation at before treatment and 6 week after treatment in both groups. Conclusions: In children, OSA 18 Questionare, VAS, and AHI from polysomnography parameters can be used as evaluation effectiveness of treatment of OSA. Adenotonsilectomy can be treatment of choice as a surgical option along with intranasal corticosteroid as a treatment consideration for patient OSA with allergic. Keywords: Children OSA, OSA 18 Questionare, AHI, adenotonsilectomy, intranasal corticosteroid.

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Tesis ini disusun untuk menilai pengaruh latihan penguatan otot-otot ekspirasi dalam mengurangi gejala sleep apnea pada pasien Obstructive Sleep Apnea dengan obesitas menggunakan metode penelitian Evidence-Based Case Report (EBCR). Pencarian literatur dilakukan pada Pubmed, ProQuest, EBSCOHost, Scopus dan Cochrane sesuai dengan pertanyaan klinis. Penelitian ini menggunakan Randomized Controlled Trial pada satu jurnal yang didapat untuk menilai kualitasnya berdasarkan validitas, kepentingan dan aplikabilitasnya. Dari hasil Randomized Controlled Trial didapatkan bahwa subjek penelitian adalah pasien Obstructive Sleep Apnea dengan obesitas. Kesimpulan penelitian ini adalah latihan penguatan otot-otot ekspirasi dapat mengurangi gejala sleep apnea dengan menurunkan nilai Apnea-Hypopnea Index pada pasien Obstructive Sleep Apnea ......This thesis was designed to assess the effect of expiratory muscle strengthening exercises in reducing sleep apnea symptoms in Obstructive Sleep Apnea patients with obesity using an evidence-based case report (EBCR) research method. A literature search was performed on Pubmed, ProQuest, EBSCOHost, Scopus and Cochrane according to clinical questions. This study uses a Randomized Controlled Trial in one journal obtained to assess its quality based on its validity, importance and applicability. From the results of the Randomized Controlled Trial, it was found that the research subjects were Obstructive Sleep Apnea patients with obesity. The conclusion of this study is that expiratory muscle strengthening exercises can reduce sleep apnea symptoms by reducing the Apnea-Hypopnea Index value in Obstructive Sleep Apnea patients

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Latar belakang: Profesi pengemudi taksi merupakan profesi yang unik, lingkungan kerja luas, jam kerja panjang, sistem pcnggajian yang fluktuatif, dan risiko kecelakaan di jalan raya. Pada PT X 60% kccelakaan dikarenakan mengantuk. Salah satu penyebab kondisi mengantuk adalah adanya kemungkinan obstructive sleep apnea (OSA). Bcbcrapa faktor risiko kemungkinan OSA seperti kegemukan dan hipertensi dijumpai pada pengemudi PT X. Metode: Penelitian ini menggunakan desain cross sectional pada pengemudi taksi X Mampang Jakana Selatan, pada bulan November»Desember 2008. Pengumpulan dilakukan dengan pengisian Kuesioner Berlin, dan pemeriksaan fisik (tekanan darah, bcrat, badan, tinggi badan, dan lingkar leher) pada 280 orang pengemudi. Hasil: Jumlah responden sebanyak 280 orang, didapatkan 70 orang (25%) kemungkinan OSA. Kemungkinan OSA pada pengemudi dipcngaruhi olch bcbcrapa faktor yaitu: IMT 325 (acyusred OR 4.29, p <0.001, 95% Cl 2.04 - 9.05) riwayat keluarga mendengkur (aafiusled OR 2,34, p <0.00l, 95% Cl 1.45 - 3.78), lingkar leher 3 40 cm (afyusred OR 3.37, p 0.002, 95% Cl 1.58 - 7.19), umur 3 36 tahun (argusted OR 2.47, p 0.027, 95% CI I.ll - 5.48) dan jadwal keija tinggi (ac§usted OR 3.07, p 0.0l6, 95% Cl L23 - 7.66). Kesimpulan: Didapat prevalensi kemungkinan OSA pada pengemudi Taksi X sebesar 25%. Kemungkinan OSA pada pcngcmudi Taksi X dipengaruhi oleh faktor indeks massa tubuh 325, riwayat keluarga mendengkur, Iingkar leher 540 cm, umur 336 tahun serta jadwal kerjatinggi. ......Background: Taxi Driver is an unique profession because of the wide environment, the long hours working duration, the fluctuation wages, and the accidental risks. About 60% taxi's accidents in Company X were caused by sleepy conditions. Sleepy conditions may be caused by obstructive sleep apnea (OSA). Some factors that increase the prevalence of suspected OSA, like obesity and hypertension were founded among the taxi drivers in this company. Method: This study was conducted with cross sectional design. The data was collected from November until December 2008 in Mampang, Jakarta Selatan. Data collection used Berlin's Questionnaire and Physical examinations (blood pressure, weight, height, neck circumference) to 280 drivers. Result: This research showed that there are 25%, it?s mean 70 respondents from 280 respondents have OSA prevalence. Prevalence of OSA among taxi?s drivers is caused by several factors. The factors are Body Mass index (BMI) 3 25 (adjusted OR 4.29, p < 0.00l, 95% Cl 2.04 - 9.05), snoring historical in family (adjusted OR 2.34, p < 0.001 , 95% CI 1.45 - 3.78), neck circumference 3 40 cm (adjusted OR 3.37, p 0.002, 95% CI 1.58 - 7.l9), age 2 36 years old (adjusted OR 2.47, p 0.027, 95% Cl 1.ll - 5.48) and high work schedule (adjusted OR 3.07, p 0.0l6, 95% Cl 1.23 - 7.66). Conclusion: This research has founded that there are 25%, it?s mean 70 respondents from 280 respondents have suspected OSA. Prevalence of suspected OSA among taxi?s drivers is caused by BMI 2 25, snoring historical in family, neck circumference 5 40 cm, age 3 36 years old and high work schedule.

Abstrak :
ABSTRAK
Gaya hidup memberikan pengaruh terhadap kejadian obstructive sleep apnea (OSA), diantaranya kebiasaan merokok, mengonsumsi kafein dan obesitas. Apabila kejadian OSA tidak ditangani, maka penderita OSA dapat mengalami tekanan darah tinggi, irama jantung ireguler, serangan jantung, stroke hingga gagal jantung. Penelitian dilakukan untuk melihat gambaran gaya hidup terhadap kemungkinan kejadian obstructive sleep apnea (OSA) ini menggunakan desain deskriptif dengan pendekatan cross-sectional terhadap 63 responden yang berada di komunitas. Hasil penelitian sebanyak 46 warga (73,01%) mengalami kemungkinan kejadian OSA dan 17 warga (26,98%) tidak mengalami kemungkinan kejadian OSA. Berdasarkan kebiasaan yang dijalani, sebagian besar warga (36,95%) mengalami kemungkinan OSA dengan kebiasaan mengonsumsi kafein serta obesitas. Berdasarkan hasil penelitian diharapkan dapat meningkatkan kesadaran masyarakat agar menghindari faktor-faktor yang dapat menimbulkan terjadinya OSA.

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ABSTRACT
Lifestyle such as smoking habits, consumption of caffeine, and obesity, are influencing to occurrence of an obstructive sleep apnea (OSA) event. When OSA event is not well taken care of, then person with OSA can suffer to multiple health problems i.e high blood pressure, irregular heart beat, heart attack, stroke and heart failure. This study aimed to describe illustration of lifestyle that may lead to the possibility of obstructive sleep apnea occurrences. It was using a descriptive design with cross-sectional study toward 63 respondents in community. The result showed that 46 respondents (73,01%) have positive possibility of having OSA and 17 respondents (26,98%) have negative signs. Referring to types of habit, 36,95% respondents with caffeine-consumption and obesity have showed positive possibility of having OSA. Based on the findings, this study is expected to be able to increase people's awareness to avoid factors that may lead to the occurrence of OSA.

Abstrak :
Bruxism merupakan aktivitas pergerakan otot rahang yang dapat menyebabkan berbagai dampak negatif baik bagi kondisi intraoral maupun ektstraoral. Aktivitas ini memiliki beberapa kemungkinan etiologi, salah satunya adalah gangguan tidur. Penelitian sebelumnya menunjukkan tingginya prevalensi kualitas tidur buruk pada mahasiswa Rumpun Ilmu Kesehatan Universitas Indonesia. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara sleep bruxism dengan kualitas tidur, sleep bruxism dengan jenis kelamin, dan kualitas tidur dengan jenis kelamin pada mahasiswa program sarjana Rumpun Ilmu Kesehatan Universitas Indonesia. Metode: Sebanyak 152 mahasiswa program sarjana Rumpun Ilmu Kesehatan Universitas Indonesia memenuhi kriteria inklusi dan eksklusi. Responden mengisi kuesioner secara onlinemelalui google form mengenai Sleep Bruxism Questionnaire dan Pittsburgh Sleep Quality Index. Data dianalisis secara univariat dan bivariat (Chi-Square) menggunakan perangkat lunak Statistical Package for the Social Sciences (SPSS). Hasil Penelitian: Hasil uji Chi-Square menunjukkan tidak ada hubungan antara sleep bruxism dengan kualitas tidur (p=1,00), sleep bruxism dengan jenis kelamin (p=0.525), dan kualitas tidur dengan jenis kelamin(p=0.201). Kesimpulan:Penelitian ini menunjukkan tidak terdapat hubungan antara sleep bruxism dengan kualitas tidur, sleep bruxism dengan jenis kelamin, dan kualitas tidur dengan jenis kelamin pada mahasiswa program sarjana rumpun ilmu kesehatan Universitas Indonesia TA 2022/2023 ......Bruxism is a jaw muscle activity that can cause various negative impacts on intraoral and extraoral conditions. This activity has several possible etiologies, one of which is sleep disturbance. Previous study has found a high prevalence of poor sleep quality in students of health sciences cluster Universitas Indonesia. Objectives: The aim of this study was to determine the relationship between sleep bruxism and sleep quality, sleep bruxism and gender, and sleep quality and gender among students of the health sciences cluster Universitas Indonesia. Method: A total of 152 students from the health sciences cluster Universitas Indonesia met the inclusion and exclusion criteria. Respondents then filled out online questionnaires via the Google form regarding the Sleep Bruxism Questionnaire and the Pittsburgh Sleep Quality Index. The data were analyzed univariately and bivariately (Chi-Square) using the Statistical Package for the Social Sciences (SPSS) software. Results: The results of the Chi-Square test showed that there is no relationship between sleep bruxism and sleep quality (p=1.00), sleep bruxism and gender (p=0.525), and sleep quality and gender (p=0.201). Conclusion: This study shows that there is no relationship between sleep bruxism and sleep quality, sleep bruxism and gender, and sleep quality and gender among undergraduate students of the Health Sciences Cluster Program Universitas Indonesia during 2022/2023 academic year.