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"This book aims to present the first comprehensive synthesis of the context and impact of non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) and to offer insights on successful and sustainable interventions and policies that work for at-risk populations. It includes 12 chapters divided into 3 parts. Part I focuses on the state of the problem and state of knowledge on the epidemiology and burden of the major NCDs. Three chapters review the epidemiology and burden of cardiovascular diseases and diabetes (Chapter 1), cancers (Chapter 2) and neurodegenerative diseases such as dementia and Parkinson's disease (Chapter 4). Two chapters focus on the co-morbid and multi-morbid interactions between the major NCDs and infectious diseases like HIV, tuberculosis and malaria (Chapter 3) and mental health disorders (Chapter 5). Part II focuses on best practices and innovation in research and intervention. Four chapters discuss key issues on this theme including health systems strengthening (Chapter 6), population surveillance (Chapter 7), community-based interventions (Chapter 8) and self-help approaches to NCD care (Chapter 9). Part III focuses on policy development and implementation. Three chapters offer a comprehensive analysis of existing policies relevant to NCD prevention and control. They focus on policies that work, as well as discussing the lessons that can be learned from infectious disease control (Chapter 10), NCD control in high-income countries (Chapter 11) and the current policy issues and activities arising from the 2011 UN High Level Meeting on NCDs and leading to a post-2015 global health agenda (Chapter 12)."

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"Indonesian Journal of Dentistry 2006; Edisi Khusus KPPIKG XIV: 12-16A case of chronic bullous type mucocutaneus disease involving oral mucosa was reported from a 56 years old man with never healed oral ulcers and wound on the perianal skin for three years. There were also red and black sports on the limb and back skin and a lesion on nail. Painful oral lesion consisted of mucous erosion, desquamative gingivitis, and sloughing area on palate and tongue. The patient is diabetic. The first perianal skin diagnosis was granulomatous candidiasis with differential diagnosis pemphigus vegetans and acuminatum condiloma. However, the histopathologic examination did not support those diagnosis. After several histopathologic examinations, the latest perianal skin diagnosis was lichen planus with differential diagnosis granulomatous vasculitis, bowenoid papulosis and pyoderma gangrenosum. Other skin diagnosis was erythema multiforme. Oral diagnosis was mucous membrane pemphigoid with differential diagnosis lichen planus, Behcet's syndrome and erythema multiforme oral histopathologic examination showed a sub-epithelial blister, which supported mucous membrane pemphigoid. A lip balm, prednisone 5 mg oral rinse and multivitamins were given but oral improvement started after blood sugar level controlled. Conclusion: lt is not yet known whether skin and oral mucous lesions are from the same disease or not."

"ABSTRAKPendahuluan: Prevalensi pasien dengan penyakit gagal ginjal yang menjalani hemodialisis (HD) pada usia kerja cukup tinggi. Berdasarkan data Indonesian Renal Registry 2017 terdapat 85,73% pasien dengan HD kronik berada pada usia produktif. Dengan menjalani HD, diharapkan sebagian besar pekerja masih dapat bekerja secara produktif. Di Indonesia belum terdapat studi mengenai status kerja pada pekerja dengan HD kronik. Penelitian ini bertujuan untuk untuk mengetahui proporsi status kerja, pekerja yang menjalani HD, faktor-faktor yang berhubungan dan status kelaikan kerjanyaMetode: Penelitian ini menggunakan desain studi potong lintang. Sebanyak 79 pekerja yang telah menjalani HD minimal tiga bulan diikutsertakan dalam penelitian. Data didapat dari wawancara umum, kuisioner Skala Kepuasan Kerja, rekam medis dan penilaian kelaikan kerja oleh dokter spesialis kedokteran okupasi.Hasil: Proporsi pekerja dengan hemodialisis kronik yang tidak aktif bekerja lagi adalah 38%. Hanya 3,8% membuat keputusan untuk berhenti atau lanjut bekerja berdasarkan nasihat dokter. Status kepegawaian dan sektor usaha tempat kerja dan sektor usaha tempat kerja merupakan faktor determinan status kerja pada pekerja yang menjalani HD, dengan nilai p keduanya < 0,01. Proporsi pekerja yang tidak kerja namun laik kerja dengan catatan setelah dilakukan penilaian kelaikan kerja oleh dokter spesialis kedokteran okupasi adalah sebanyak 76,7%.Kesimpulan: Sebanyak 38% pekerja yang menjalani HD kronik sudah tidak kerja. Faktor pekerjaan seperti status kepegawaian dan sektor usaha memengaruhi status kerja pekerja yang menjalani HD.

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ABSTRACT

Introduction: The prevalence of End-Stage Renal Disease patients who need hemodialysis (HD) at productive age is quite high. Based on 2017 Indonesian Renal Registry data, 85.73% of of patients with chronic HD, are at productive age. With HD it is expected that most of the patients can still be actively engaged in their daily life, including work. In Indonesia no study exists on the work status of workers with chronic HD. This study aims to identify the proportion of work status, in workers receiving chronic hemodialysis treatment, its associated factors and their fit to work status.

Method: This study used a cross sectional study design. Seventy nine workers who are receiving HD treatment for at least three months were involved in this study. Data was gathered from questionnaires, Job Satisfaction Survey, medical records and Fit to Work Assessment by occupational medicine specialists.

Result: The proportion of workers with chronic hemodialysis who have stopped working is 38%. Only 3.8% of the respondents, made the decision to stay or stop working based on advise by the doctor. Employee status and work sector are determinants of work status in workers with chronic HD, with both p values <0.01. Results of Fit to Work Assessment showed, that 76.7% of those workers, who have stopped working are actually still fit to work with note.

Conclusion: Thirty eight percent of workers with chronic HD stopped working. Employee status and work sector are associated with employment status of workers who with chronic HD."