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FAKTOR RISIKO PENGGUNAAN KONTRASEPSI HORMONAL PADA KEJADIAN KANKER PAYUDARA DI RSUD DR.SOETOMO SURABAYA Fakhira, Avisha; Wihandono, Asdi; Umiastuti, Pirlina
Mitra Raflesia (Journal of Health Science) Vol 16, No 1 (2024)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang : Berdasarkan data terbaru dari Global Cancer Observatory 2020, sekitar 65 ribu wanita Indonesia telah dan masih berjuang melawan kanker payudara. Dengan demikian, dapat dikatakan bahwa kanker payudara merupakan salah satu jenis masalah kesehatan yang membutuhkan perhatian lebih, terutama oleh para Wanita. Terdapat faktor-faktor risiko yang dapat meningkatkan angka kejadian kanker payudara di Indonesia. Walaupun belum diketahui secara pasti, penggunaan kontrasepsi hormonal merupakan salah satu penyebabnya. Penelitian ini bertujuan untuk menentukan faktor risiko penggunaan kontrasepsi hormonal pada kejadian kanker payudara di RSUD Dr. Soetomo Surabaya.Metode : Penelitian ini menggunakan rancangan penelitian jenis penelitian analitik. Rancangan penelitian observasional dengan pendekatan case control. Studi ini dilakukan dengan membandingkan kelompok kasus pasien dengan kanker payudara dan kelompok kontrol yaitu pasien tanpa kanker payudara. Perhitungan sampel penelitian menggunakan perhitungan Fleiss dengan CC (Continuity Correction), diperoleh total besar sampel sebanyak 114 (kelompok kasus yakni penderia kanker payudara sebanyak 57 dan kelompok kontrol yakni bukan penderita kanker payudara sebanyak 57). Variabel yang diamati yaitu penggunaan jenis kontrasepsi hormonal oral, AKDR, injeksi, implan, lama penggunaan kontrasepsi hormonal, serta kejadian riwayat kanker payudara. Analisis dilakukan secara univariat, bivariat, dan multivariat.Hasil : Berdasarkan hasil analisis diketahui jika dari keempat KB hormonal yakni oral, AKDR, injeksi, dan implan, yang memiliki faktor risiko terhadap kejadian kanker payudara adalah KB hormonal jenis injeksi. Hal tersebut dibuktikan dengan nilai p value dari hasil analisis bivariat dan multivariat (0,015, 0,013, dan 0,021) < 0,05, serta nilai OR 3,041, 3,306, dan 2,756Simpulan : Dapat dikatakan bahwa penggunaan kontrasepsi hormonal jenis injeksi dapat meningkatkan risiko terjadinya kanker payudara sebesar 3 kali (ada peningkatan risiko penyakit dengan adanya peningkatan paparan) dibandingkan dengan responden yang tidak menggunakan kontrasepsi hormonal jenis injeksi Kata Kunci : Kontrasepsi Hormonal, Kejadian Kanker Payudara
Giving Birth By Caesarean Section in Women Infected With Covid-19 and The Incidence of Covid-19 in Newborn. A Systematic Review Pratama Mahardika, Nandha; Umiastuti, Pirlina; Nisa', Ayu Imamatun; Suropati, Bagus Meurah; Hasanah, Rizka Uswatun; Dirda Prasasta, Reka Elvia; Fairuz, Jihan Jauza; Kalishah, Jihan
Journal of Community Medicine and Public Health Research Vol. 4 No. 1 (2023): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v4i1.41512

Abstract

Labor method by caesarean section in Covid-19 infected pregnant women had higher ratio than vaginal delivery. The use of Caesarean section is adjusted to the condition of the mother or/and the baby. However, the literature on labor method and its relation to Covid-19 infection in newborn is rare. We conducted a review about association between giving birth by caesarean section in women infected with Covid-19 and the incidence of Covid-19 in the newborn. This research was an analytic systematic review and guided by PICO. Studies from NCBI and ScienceDirect were used to locate full text articles, written in English, published from 2019-2021. The search strategy included terms for (Cesarean Section or Delivery, Obstetric) and (Covid-19 or Sars-Cov-2) and infant, newborn and infectious disease vertical transmission. Articles were included when met the inclusion and exclusion criteria, then analysed with RevMan 5.4. The search yielded 205 records. After full text screening, 3 studies were found to meet all criteria and 3 studies were obtained from manual search. Six studies using cohort designs were based in the United States, China, Morocco, Spain, and Turkey. Sample sizes ranged from 15 to 125 participants. Overall effect z=0.81 (p value=0.42) showed that the caesarean section had no significant protective factor from Covid-19 infection in newborn. Our finding indicated that babies who were born from mothers with Covid-19 infection. However, there was possible publication bias and samples collected were minimum. More studies are needed to advance this emerging literature.
The Relationship Between Anemia in Pregnant Women and The Incidence of Preeclampsia in Indonesia : A Systematic Review Pirlina Umiastuti; Sri Umijati; Raissa, Safira; Muhammad Fadhil; Khansa Raihani; Emyrazel Fahdizar; Neissya Nastiti; Mariska Nuriana; Siti Aria; Shabrina Nur Imanina
Journal of Community Medicine and Public Health Research Vol. 5 No. 1 (2024): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v5i1.50098

Abstract

Preeclampsia is the biggest cause of morbidity and mortality worldwide and the second most common cause of maternal death in Indonesia. One of the highest risk factors for preeclampsia is anemia, so this study aimed to conduct a systematic review of the relationship between anemia in pregnant women and the incidence of preeclampsia. This research was an analytic type with a systematic review method from previous research with an observational case-control approach design with secondary data sources. The data were obtained from the results of previous research with a literature time limit of the last 5 years (2018–2022). This study used databases from Google Scholar, Pubmed, ScienceDirect, Garuda, and Summon Universitas Airlangga. The search yielded 2161 studies; after eliminating 439 duplicates, 1732 remained. After exclusion based on titles and abstracts, 36 studies remained, which were screened in full text. Finally, 8 studies were eligible and included in the review. Four studies showed a relationship between anemia in pregnant women and the incidence of preeclampsia, while four other studies showed no relationship. The prevalence of anemia in pregnant women in Indonesia ranges from 13.27% to 80.8%, with an average of 44.1%. Ages at risk for preeclampsia in Indonesia are pregnant women aged <20 years and >35 years. There is a relationship between anemia in pregnant women and the incidence of preeclampsia in Indonesia. Therefore, anemia can be a risk factor for preeclampsia.
Hubungan Peran Teman Sebaya dengan Kejadian Kehamilan Remaja di Wilayah Kupang Tengah Kabupaten Kupang NTT Mali, Veronika Fia; Umiastuti, Pirlina; Amalia, Rize Budi
Malahayati Nursing Journal Vol 6, No 10 (2024): Volume 6 Nomor 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i10.13768

Abstract

ABSTRACT Teenage pregnancy is a pregnancy that occurs in girls aged 11-19 years (WHO 2021). Data on the health profile of NTT Province in 2021, the percentage of teenagers who have ever married and given birth aged 15-19 years is 14.17%, and teenage pregnancies in 2022 will reach 20.4%. The Health Service noted that the proportion of teenage pregnancies in Kupang Regency in the last three years has fluctuated. Even though in 2020 it decreased to 11.95%, in 2021 it increased again to 13.61%, namely 392 cases of pregnant teenagers, and contributed to the highest incidence of teenage pregnancy in Central Kupang, namely 45 cases. To determine the relationship between the role of peers and the incidence of teenage pregnancy in Kupang Tengah, Kupang Regency, NTT. This research is an observational analytical research with a cross-sectional approach. The sample of this study was 138 teenagers aged 11-19 years who met the inclusion and exclusion criteria. There is a significant relationship between the role of peers (p-value < 0.001) with the incidence of teenage pregnancy in Central Kupang, Kupang Regency, NTT. Conclusion: there is a significant relationship between the role of peer education and the incidence of teenage pregnancy in Central Kupang, NTT Regency. There is a significant relationship between the role of peer education and the incidence of teenage pregnancy in Central Kupang, NTT Regency. Keywords: Role of Peers, Teenage Pregnancy, Central Kupang, Kupang   ABSTRAK Kehamilan remaja adalah kehamilan yang terjadi pada perempuan yang berusia 11-19 tahun (WHO 2021). Data profil kesehatan Provinsi NTT tahun 2021, persentase remaja yang pernah kawin dan melahirkan usia 15–19 tahun adalah 14,17 % dan kehamilan remaja tahun 2022 mencapai 20,4 %.  Dinas Kesehatan mencatat proporsi kehamilan remaja di Kabupaten Kupang pada tiga tahun terakhir mengalami fluktuasi. Meskipun pada tahun 2020 mengalami penurunan menjadi 11,95%, pada tahun 2021 kembali meningkat menjadi 13,61% yaitu sebanyak 392 kasus remaja hamil dan penyumbang angka kejadian kehamilan remaja terbanyak di Kupang Tengah yakni 45 kasus. Memgetahui hubungan antara peran teman sebaya dengan kejadian kehamilan remaja di Kupang Tegah Kabupaten Kupang NTT. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Sampel dari penelitian ini adalah 138 remaja umur 11-19 tahun yang memenuhi kriteria inklusi dan eksklusi.  Ada hubungan yang signifikan peran teman sebaya (p value < 0,001) dengan dengan kejadian kehamilan remaja di Kupang Tengah Kabupaten Kupang NTT. Terdapat hubungan yang signifikan antara pendidkan Peran teman sebaya dengan kejadian kehamilan remaja di Kupang Tengah Kabupaten NTT. Kata Kunci: Peran Teman Sebaya, Kehamilan Remaja, Kupang Tengah Kabupaten Kupang NTT
The Relationship between Family's Assessment Support and MDR TB Patient's Adherence on Treatment in RSUD Dr. Soetomo Surabaya Ainiyah, Safira Nur; Soedarsono, Soedarsono; Umiastuti, Pirlina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 10 No. 2 (2019): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (420.779 KB) | DOI: 10.20473/juxta.V10I22019.75-78

Abstract

Introduction: Multi Drug-Resistant Tuberculosis (MDR TB) is caused by Mycobacterium tuberculosis and has been resistant to isoniazid and rifampicin. Its treatment needs long time and causes some side effects which can make the patients non-adherent so that family support is needed. This study aims to know the relationship between family's assessment support and MDR TB patient's adherence on treatment in RSUD Dr. Soetomo Surabaya. Methods: This was an analytic observational cross-sectional study, to know the frequency distribution of family's assessment support, MDR TB patient's adherence, and the relationship between them in 24 MDR TB patients, recruited from MDR TB Clinic, RSUD Dr. Soetomo, Surabaya, from October 2017 to June 2018 and their family. The analysis was descriptive statistic and inferential statistic using Fisher Exact Test. Results: The results of this study showed that 83.3% of MDR TB patients' family give high assessment support and 58.3% of MDR TB patients in RSUD Dr. Soetomo from October 2017 to June 2018 have high adherence on treatment. There is significant (p = 0.020), moderate (c = 0.468), and direct relationship between family's assessment support and MDR TB patient's adherence on treatment in RSUD Dr. Soetomo Surabaya. Conclusion: To improve MDR TB patient's adherence on treatment, family must give high assessment support.
Duration of Gadget Use and Severity of Dry Eye Syndrome based on the Ocular Surface Disease Index (OSDI) Questionnaire in Final-Year Students of the Faculty of Medicine, Universitas Airlangga Subagiono, Arya Agung Hari; Komaratih, Evelyn; Umiastuti, Pirlina; Loebis, Rozalina
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.36-42

Abstract

Highlights: Screen time is one of the risk factors for dry eye disease (DED). Therefore, students are at high risk for DED. The ocular surface disease index (OSDI) is one method used to assess dry eye disease based on subjective symptoms. However, the correlation between screen time and the incidence of dry eye and/or its severity based on OSDI produces varying results. The majority of respondents had dry eyes based on OSDI. There was no correlation between screen time and dry eye incidence or severity based on OSDI parameters. Females had higher mean OSDI scores than males.   Abstract Introduction: People’s screen time surged during and after the COVID-19 pandemic. Screen time was a risk factor for dry eye disease (DED). This study examined the correlation between screen time and DED severity based on an ocular surface disease index (OSDI) questionnaire in final-year undergraduate students of the Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. Methods: This was a cross-sectional study. Respondents were recruited via a total sampling method. One hundred eight students participated in this study. Independent variables were sex, average duration of device use per day, and degree of daily gadget usage time. Dependent variables were OSDI score, degree of dry eye based on OSDI score, and dry eye incidence. Chi-Square, Spearman, Kruskal-Wallis, and Mann-Whitney tests were used in data analysis. Results: There was no significant relationship between daily gadget use duration and OSDI score (p=0.497; r=-0.066) and between the degree of daily gadget usage time and dry eye severity (p=0.609; r=0.050). Sex was unrelated to dry eye incidence (p=0.072) nor severity (p=0.125). There were no significant differences in daily gadget use duration between dry eye vs non-dry eye respondents (p=0.926) and across dry eye severity (p=0.934). There were no significant differences in OSDI scores between degrees of screen time (p=0.978). There was no significant correlation between the incidence of dry eye and the degree of daily gadget usage time (p=0.640). Female respondents had higher mean OSDI scores than males (p=0.009). Conclusion: Screen time was not related to the incidence and severity of dry eye based on OSDI. However, many respondents had dry eyes based on OSDI.
The Relationship Between Breastfeeding Patterns And Incidence Of Diarrhea In Children Aged 7–23 Months Filipus Michael Yofrido; Hanung Aryana; Jessica Hoetama Jaya; Rachmat Ageng Prastowo; Rynda Kirana Satwikaputri; Pirlina Umiastuti; Indawan Setyono Hadi
JURNAL WIDYA MEDIKA Vol. 5 No. 2 (2019)
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v5i2.2207

Abstract

Breastmilk is the main source of nutrition for infants, giving protection through its immunity properties. Indonesian Ministry of Health targeted 80% coverage 6-months-exclusive-breastfeeding. However, it is very difficult to achieve, even the prevalence of exclusive-breastfeeding trends to decline from year to year. In Baturetno Village, Singosari District, Malang Regency, exclusive-breast feeding proportion is 59%. This research is aimed to analyze the relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Method: This was analytic-observational study with cross-sectional design. Sixty children aged 7 – 23 months were randomly included. 32 children (53%) were male. Their parent were interviewed based on questionaire about their breastfeeding patterns and last two weeks incidence of diarrhea. Results: The proportion of exclusive breastfeeding was 58.33% and the incidence of diarrhea in last 2 weeks was 31.67%. Chi-Square test result illustrates there was association between breastfeeding patterns and incidence of diarrhea (p=0.004, PR 0.33, 95%CI 0.145-0.748). Based on contingency coefficient, a strong relationship between breastfeeding patterns and the incidence of diarrhea in the last 2 weeks was 0.347 (moderate). Conclusion: There was relationship between breastfeeding patterns and incidence of diarrhea in children aged 7-23 months. Exclusive-breastfeeding children have 67% lower incidence of diarrhea.
Peningkatan Kemampuan Pelatih Kesehatan dan Gizi Santri Akan Gizi Remaja : Suatu Upaya Dini Mencegah Masalah Gizi Kurang Umijati, Sri; Fatmaningrum, Widati; Umiastuti, Pirlina; Jayanata, Muhammad Gita; Imanina, Shabrina Nur; Swanjo, Julian Benedict
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 6 (2025): Agustus
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i6.2816

Abstract

Angka kejadian santri kurus dan obesitas di Pondok Pesantren Assalafi Al Fithroh Surabaya, Indonesia, masih tinggi (35,6% dan 11,36%). Faktor penyebabnya adalah perilaku dan gaya hidup gizi yang rendah. Pelatih gizi yang dibentuk pada tahun 2020 diharapkan mampu mengatasi masalah ini. Kemampuan pelatih perlu ditingkatkan. Peningkatan kemampuan pelatih dilakukan terhadap 18 santri dalam kurun waktu satu bulan. Materi yang diberikan adalah kesehatan dan gizi remaja, anemia, 1000 Hari Pertama Kehidupan dan penilaian gizi IMT menurut usia. Peningkatan pengetahuan, sikap dan praktik pelatih terhadap materi tersebut dinilai melalui tes sebelum dan sesudah pelatihan. Penilaian kemampuan sebagai pelatih dilakukan berdasarkan penampilan, teknik komunikasi, penguasaan materi dan inovasi dalam menyampaikan materi. Selanjutnya, dilakukan penilaian kemampuan pelatih di hadapan 64 santri lainnya. Dukungan keberlanjutan pelatihan oleh para pemangku kepentingan sangat dibutuhkan dan dapat diperoleh dengan menyelenggarakan seminar. Peningkatan kemampuan pelatih terjadi pada seluruh materi pada aspek pengetahuan (p<0,05) demikian pula kemampuan psikomotorik terkait kesehatan remaja (p=0,008). Pada sikap dan aspek praktik belum terjadi perubahan secara bermakna walaupun secara deskriptif menunjukkan peningkatan. Sebanyak 88,9% santri dapat berperan sebagai pelatih dengan baik dan mampu membuktikan kemampuannya dengan meningkatkan pengetahuan santri tentang Kesehatan dan gizi remaja, serta anemia dan 1000 HPK (p<0,05). Pelatih mampu meningkatkan perilaku gizi remaja sehingga diharapkan dapat mencegah masalah gizi.
The Relationship between Knowledge Level and Attitude About Leucorrhoea with Vaginal Prevention Behavior in Adolescents Nita Yulia, Eli; Umiastuti, Pirlina; Sudaryanti, Lestari
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 5 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i5.62

Abstract

Background: Adolescents are a population group aged 10-19 years. Knowledge and attitudes of young women about vaginal discharge affect the behavior of preventing vaginal discharge which aims to maintain the cleanliness of the genital organs. Normal physiological vaginal discharge is white or clear. Abnormal vaginal discharge is characterized by changes in color, consistency, volume, odor, and may be associated with symptoms of itching, pain, dysuria, pelvic pain, or intermenstrual or postcoital bleeding. Methods: This research method is an analytic observational cross-sectional. The number of samples was 107 students of class XI with a sampling technique using total sampling. The independent variable used is the level of knowledge and attitudes about vaginal discharge in SMA Negeri 1 Umbulsari, the dependent variable is the behavior of preventing vaginal discharge in adolescents at SMA Negeri 1 Umbulsari. The instrument used is a questionnaire. Data analysis includes univariate and bivariate analysis using the chi square test. Results: The results showed that most of the students' knowledge had a pretty good category of 64.5%. The attitude variable in the category of moderately agrees is 65.4%. The behavior of preventing vaginal discharge as much as 56.1% had good vaginal discharge prevention behavior. The results of thetest of the chi square relationship between knowledge and attitude towards whiteness p = 0.00 (p < 0.05). The relationship between vaginal discharge attitudes and vaginal discharge prevention behavior was p = 0.031 (p < 0.05). Conclusion: These data indicate that there is a relationship between the level of knowledge and the attitude of vaginal discharge and there is a relationship between attitudes and behavior to prevent vaginal discharge. Keywords: knowledge; attitude; behavior to prevent vaginal discharge
Co-Authors Ainiyah, Safira Nur Aldika Akbar, Muhammad Ilham Amalia, Rize Budi Ambang Kurnia Amelia Rahmah Kartika Amirah Jasmine Arya Ivan Mahendra Aryana, Hanung Asdi Wihandono Atika Atika Audi Salman Faza Ayu Pisita Wulandari Berghan Yusta Kumila Besse Ramlah Dirda Prasasta, Reka Elvia Eighty Mardiyan K, Eighty Emyrazel Fahdizar Erwin Astha Triyono Fairuz, Jihan Jauza Fakhira, Avisha Filipus Michael Yofrido Firdausiyah Firdausiyah Hadi, Indawan Setyono Hanung Aryana Hasanah, Rizka Uswatun Imaniar Indraswara Imanina, Shabrina Nur Inar Melati , Feras Indawan Setyono Hadi Irma Irma Ivan Sofian Wibowo Jaya, Jessica Hoetama Jayanata, Muhammad Gita Jessica Hoetama Jaya Kalishah, Jihan Kezia Arung Palobo Khansa Raihani Komaratih, Evelyn Mali, Veronika Fia ManikRetno Wahyunitisari Mariska Nuriana Muhammad Fadhil Nabila Putri Wardhani Nadhilah Putri Ghaisani Neissya Nastiti Ninik Sriwijayanti Nisa', Ayu Imamatun Nita Yulia, Eli Nur Milati Bani Mostavan Prastowo, Rachmat Ageng Pratama Mahardika, Nandha Purwanto , Bambang R Yuvasanghar A/L Ravindra Rachmat Ageng Prastowo Raissa, Safira Retno Asih Setyoningrum Rizqi Handi Prayata Rozalina Loebis, Rozalina Rynda Kirana Satwikaputri S. Soedarsono Safira Nur Ainiyah Salsabila Nurulnisa Satwikaputri, Rynda Kirana Sawitri Sawitri Shabrina Nur Imanina Siti Aria Soedarsono Soedarsono Sri Umijati Subagiono, Arya Agung Hari Sudaryanti, Lestari Suropati, Bagus Meurah Swanjo, Julian Benedict Teddy Ontoseno Vemaniarti Lian Pravitasari Wega Yusan Wira Perdana Widati Fatmaningrum Wiharjo Hadisuwarno Yofrido, Filipus Michael Zahra Sabrina Setyarto