Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus and is able to spread rapidly in humans. Preventive behavior is important for every individual to maintain their health during the COVID-19 pandemic. This study aims to determine the relationship between social support (family, friends, health workers), perceptions of the response to COVID-19, and exposure to social media for COVID-19 prevention behavior. This cross-sectional study was conducted in the Jabodetabek area in May 2020 with a voluntary sampling technique. The participants were 424 respondents. The proportion of respondents with good COVID-19 prevention behavior was 45.2%. The results of the multivariate analysis showed family support (OR = 2.736; 95% CI = 1.654 - 4.517), peer support (OR = 2.035; 95% CI = 1.205 - 3,436), support from health professionals (OR = 1.729; 95% CI = 1.023 - 2,923); and sources of information regarding COVID-19 (OR = 1,692; 95% CI = 1,036 - 2,764) had a significant relationship with COVID-19 prevention behavior (P <0.05). It can be concluded that family support has dominant influence on COVID-19 prevention behavior in Jabodetabek community. For this reason, social support from the smallest scale (family) and reliable sources of information related to COVID-19 are needed so that community can implement COVID-19 prevention behavior properly in daily life. Abstrak Coronavirus disease 2019 (COVID-19) merupakan penyakit menular yang disebabkan oleh virus SARS- CoV-2 dan mampu menyebar dengan cepat pada manusia. Perilaku pencegahan penting dilakukan oleh setiap individu demi menjaga kesehatannya di masa pandemi COVID-19. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial (keluarga, teman, dan tenaga kesehatan), persepsi penanggulangan COVID-19, dan keterpaparan terhadap media sosial terhadap perilaku pencegahan COVID-19. Penelitian cross-sectional dilakukan pada bulan Mei 2020 di wilayah Jabodetabek dengan teknik voluntary sampling. Responden berjumlah 424 responden. Proporsi responden dengan perilaku pencegahan COVID-19 yang baik sebesar 45,2%. Hasil analisis multivariat menunjukkan dukungan keluarga (OR= 2,736; CI 95%= 1,654 - 4,517), dukungan teman (OR=2,035; CI 95%= 1,205 - 3,436), dukungan tenaga kesehatan (OR=1,729; CI 95%= 1,023 - 2,923); dan sumber informasi mengenai COVID-19 (OR= 1,692; CI 95%= 1,036 - 2,764) memiliki hubungan yang signifikan terhadap perilaku pencegahan COVID-19 (P<0,05). Dapat disimpulkan bahwa dukungan keluarga memiliki pengaruh dominan terhadap perilaku pencegahan COVID-19 pada masyarakat Jabodetabek. Oleh karena itu, dukungan sosial dari skala terkecil (keluarga) dan sumber informasi terpercaya sangat dibutuhkan agar masyarakat mampu menerapkan perilaku pencegahan COVID-19 dengan baik dalam kehidupan sehari-hari.

Adapting New Habits (ANH) is a new way of life  to maintain productivity during the COVID-19 pandemic by implementing COVID-19 prevention behaviors. The ANH  implemented in stages according to specific regional conditions. This study aims to determine the factors influencing the people of DKI Jakarta in implementing ANH readiness behavior. This cross-sectional study was conducted from September-October 2020 in Jakarta by a voluntary sampling technique. The questionnaire was distributed by online form via social media and achieved total 424 respondents. The proportion for respondents with good ANH readiness behavior was 57.10%. The multivariate analysis showed gender (OR = 2.29; 95% CI = 1.38-3.80), attitudes towards ANH (OR = 4.41; 95% CI = 2.78-6.98), infrastructure for IMR (OR = 1.97; 95% CI = 1.27-3.10), the frequency of seeking ANH information (OR = 1.94; 95% CI = 1.24-3.03) was significantly related to ANH behavior (P <0.05). Gender, attitudes towards ANH, infrastructure for ANH, and frequency of seeking ANH information had contribution in encouraging ANH readiness behavior among people in Jakarta. The Provincial Government and Health Office of Jakarta need to strengthen optimum health promotion and to design strategies to influence people's attitudes towards ANH. Abstrak  Adaptasi Kebiasaan Baru (AKB) merupakan tindakan menerapkan tatanan hidup baru guna menjaga produktivitas selama masa pandemi COVID-19 dengan menerapkan perilaku pencegahan penularan COVID-19. Pemberlakuan AKB dilakukan bertahap sesuai kondisi wilayah. Penelitian ini bertujuan untuk menganalisis perilaku AKB masyarakat DKI Jakarta dan  faktor yang mempengaruhinya. Penelitian potong lintang ini dilakukan pada bulan September—Oktober 2020 di DKI Jakarta dengan teknik voluntary sampling. Kuesioner disebarkan secara online melalui media sosial dan sebanyak 424 responden berpartisipasi. Proporsi responden dengan perilaku AKB yang baik adalah 57,10%. Hasil analisis multivariat menunjukkan gender (OR= 2,29; CI 95%= 1,38—3,80), sikap terhadap AKB (OR= 4,41; CI 95%= 2,78—6,98), sarana prasarana untuk AKB (OR= 1,97; CI 95%= 1,27—3,10), frekuensi pencarian informasi AKB (OR= 1,94; CI 95%= 1,24—3,03) berhubungan signifikan dengan perilaku AKB (P<0,05). Gender, sikap terhadap AKB, sarana prasarana untuk AKB, dan frekuensi mencari informasi AKB berperan untuk mendorong perilaku AKB pada masyarakat DKI Jakarta. Pemerintah Provinsi dan Dinas Kesehatan DKI Jakarta disarankan untuk memperkuat promosi kesehatan secara masif dan merancang strategi guna mempengaruhi sikap masyarakat terhadap AKB.

ABSTRACT Coronary heart disease (CHD) is a leading cause of death in Indonesia. The prevalence of coronary heart disease shows an increase over time and with increasing age. Coronary Heart Disease has a long developmental period so it can be prevented by modifying lifestyle from an early age. This systematic review aimed to assess the influence of lifestyle on the incidence of CHD among Indonesian adults. Four databases (Google Scholar, Sinta, Pubmed, and Science Direct) were searched for studies with Indonesian participants, published from 2010 to 2020, and outcomes on CHD and its relationship to lifestyle factors. The search was carried out in October-November 2020. Forty-three studies met inclusion criteria, of which 32 studies on smoking, 15 studies on physical activity, 11 studies on diet, and 1 study on alcohol consumption. The results showed that dietary patterns with excessive consumption of carbohydrates and fats increased the risk of CHD, but consumption of vegetables and coffee could potentially lower the risk of CHD. Low physical activity increased the risk of developing CHD. Risks of CHD among smokers were affected by age at initiation of smoking, duration of smoking, number of cigarettes, how to smoke cigarettes, and type of cigarettes. This systematic review concluded that lifestyle factors that increase the risks of CHD among Indonesian adults were dietary patterns high in carbohydrate and fat consumption, low physical activity, and smoking.    ABSTRAK Penyakit Jantung Koroner (PJK) merupakan penyakit kronis penyebab kematian nomor satu di Indonesia. Prevalensi PJK menunjukkan peningkatan seiring bertambahnya usia. Penyakit Jantung Koroner memiliki masa perkembangan yang panjang sehingga dapat dicegah dengan memodifikasi gaya hidup sejak dini. Tinjauan sistematis ini bertujuan untuk menilai pengaruh gaya hidup terhadap kejadian PJK pada orang dewasa Indonesia. Empat database (Google Scholar, Sinta, Pubmed, dan Science Direct) digunakan untuk mencari studi dengan peserta Indonesia, diterbitkan dari 2010 hingga 2020, dan hasil pada PJK dan hubungannya dengan faktor gaya hidup. Pencarian dilakukan pada Oktober—November 2020. Empat puluh tiga penelitian memenuhi kriteria inklusi. Jumlah artikel yang digunakan untuk setiap variabel gaya hidup yaitu 32 artikel mengenai merokok, 15 artikel mengani aktivitas fisik, 11 artikel mengenai pola makan, dan 1 artikel mengenai konsumsi alkohol. Hasil penelitian menunjukkan bahwa pola makan dengan konsumsi karbohidrat dan lemak berlebihan meningkatkan risiko PJK. Namun, konsumsi sayur dan kopi berpotensi menurunkan risiko PJK. Aktivitas fisik yang rendah meningkatkan risiko PJK. Risiko PJK pada perokok dipengaruhi oleh usia mulai merokok, lama merokok, jumlah rokok, cara merokok, dan jenis rokok. Tinjauan sistematis ini menyimpulkan bahwa faktor gaya hidup yang meningkatkan risiko PJK pada orang dewasa Indonesia adalah pola makan tinggi konsumsi karbohidrat dan lemak, aktivitas fisik rendah, dan merokok. [Penel Gizi Makan 2021, 44(1):45-58]

Approximately 60%–70% of breast cancer patients in Indonesia are diagnosed in the locally advanced stage. The stage carries a higher risk of lymph node metastasis which increases susceptibility to lymph obstruction. Hence, breast cancer‐related lymphedema (BCRL) could present before axillary lymph node dissection (ALND). The purpose of this case report is to describe immediate‐delayed lymphatic reconstructions with lymphaticovenous anastomosis in two subclinical lymphedema cases that present before ALND. There were 51 and 58 years old breast cancer patients with stage IIIC and IIIB, respectively. Both had no arm lymphedema symptoms, but arm lymphatic vessel abnormalities were found during preoperative indocyanine green (ICG) lymphography. Mastectomy and ALND were performed and proceeded with lymphaticovenous anastomoses (LVA) in both cases. One LVA at the axilla (isotopic) was done in the first patient. On the second patient, 3 LVAs at the affected arm (ectopic) and 3 isotopic LVAs were created. The patients were discharged on the second day without complications during the follow‐up. The intensity of dermal backflow was reduced, and no subclinical lymphedema progression occurred during 11 and 9 months follow‐up, respectively. Based on these cases, BCRL screening might be recommended for the locally advanced stage before cancer treatment. Once diagnosed, immediate lymphatic reconstruction after ALND should be recommended to cure or prevent BCRL progression.