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All Journal International Journal of Public Health Science (IJPHS) Journal of Epidemiology and Public Health Indonesian Journal of Medicine Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health Poltekita : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Nusantara Science and Technology Proceedings Proceedings of the International Conference on Nursing and Health Sciences Prosiding SNPBS (Seminar Nasional Pendidikan Biologi dan Saintek) Media Penelitian dan Pengembangan Kesehatan
Rahardjo, Setyo Sri
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Meta Analysis the Effect of Body Mass Index on the Flat Foot Incidence Kurniagung, Philipus Prihantiko; Indarto, Dono; Rahardjo, Setyo Sri
Journal of Epidemiology and Public Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.024 KB)

Abstract

Background: Musculoskeletal disorders in the form of flat foot, back pain and knee pain are often found in people who are obese. Flat foot is a musculoletal disorder characterized by a decrease or decrease in the height of the medial arch as a parameter, especially those that can be observed and measured in height. This study aims to estimate the average size of the effect of BMI on the risk of flat foot.Subjects and Method: Meta-analysis study and systematic reviews were applied to this study using the electronic database Pubmed, Science Direct, Google Scholar and Springer Link. Keywords to search for articles are as follows: "flat foot", "adult flat foot", "Flexible Flat Foot", "Body Mass Index", "Pediatric flat foot", "pes planus", "obesity", "overweight", "Ado
Meta-Analysis the Effect of Complementary Feeding Practice on Stunting in Children Aged 6-59 Months Babys, Isna Yuswella; Dewi, Yulia Lanti Retno; Rahardjo, Setyo Sri
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.567 KB) | DOI: 10.26911/thejmch.2022.07.04.10

Abstract

Background: A child's ability to achieve growth standards is determined by the adequacy of food intake. Malnutrition in toddlers increases the risk of stunting, which is a serious problem. Stunting is closely related to neurocognitive development, risk of non-communicable diseases, and decreased productivity. Appropriate complementary feeding is an important milestone in efforts to improve survival and promote healthier child growth and development and can significantly reduce stunting. This study aims to estimate the magnitude of the effect of poor complementary feeding practices on the incidence of stunting in toddlers using a meta-analysis study. Subjects and Method: The meta-analysis was carried out with the initial step of formulating the research problem using the PICO technique. The study population were children aged 6-59 months with poor complementary feeding, compare with good complementary feeding. The study outcome was stunting. Articles were selected from Google Scholar, PubMed, Springer Link, and Research Gate databases. The keywords used were "complementary Feeding practice" OR "meal frequency" OR "dietary diversity" AND "Stunting". The inclusion criteria were full text, observational studies, and the results reported in Adjusted Odds Ratio (aOR). Analysis of articles using RevMan 5.3. Results: A meta-analysis involved 16 articles. The results showed that the low variety of complemen­tary feeding increased the incidence of stunting 1.72 times compared to various types of complementary feeding (Aor= 1.72; 95% CI= 1.54 to 1.92; p < 0.001). Infrequent complementary feeding increased the incidence of stunting by 1.85 (aOR= 1.85; 95% CI 1.34 to 2.55; p <0.001). Conclusion: The diversity of types of complementary foods and low frequency of giving complementary foods increase the incidence of stunting in children aged 6-59 months. Keywords: complementary feeding practice, feeding frequency, food diversity, stunting. Correspondence: Isna Yuswella Babys. Master’s Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: isnababys@gmail.com. Mobile: 082354707563.
Meta-Analysis the Effect of Cord Clamping Time on Hemoglobin Elevation in Newborn Infants Dilafa, Rynda Arum; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.03.09

Abstract

Background: Fulfillment of iron needs is very important in the first 1000 days of human life, with sufficient amounts of iron can determine the quality of life in the future, to produce a healthy and quality generation. Delaying clamping and cutting the umbilical cord for about 1-2 minutes can increase the amount of blood flowing to the newborn so as to prevent low hemoglobin in the neonatal period. This study aims to analyze the effect of delayed cord cutting on hemoglobin levels in newborns. Subjects and Method: This study was a systematic study and meta-analysis, with the following PICO Population= term newborn at 48 hours after birth. Intervention= Time delay of clamping the umbilical cord (≤60 seconds). Comparison= Immediate cord clamping time (≤15 seconds). Outcome= Hemoglobin Level. The articles used in this study were obtained from several databases including PubMed, Science Direct and Google Scholar. The keywords used were: “umbilical cord and infant”, “Delayed Cord Clamping”, “Delayed Cord Clamping and Immediate Cord Clamping” “DCC and Hemoglobin “DCC and Anaemia”. Inclusion criteria were full-text articles of randomized controlled experimental study design. trial (RCT) Articles were collected using PRISMA flow diagrams Articles were analyzed using the Review Manager 5.3 application. Results: Based on the results of a meta-analysis of 9 primary studies on the effect of cord clamping time on increasing newborn hemoglobin levels originating from Pakistan, China, Thailand, India, Bangladesh, the United States, and Nigeria, it can be concluded that delayed cord clamping in newborns birth increased the hemoglobin level by 0.81 units compared to clamping the cord immediately after birth, and this result was statistically significant (SMD= 0.81; 95% CI= 0.30 to 1.32; p=0.002). Conclusion: Delay in cutting the umbilical cord can increase hemoglobin in full-term newborns without indications. Keywords: delayed cord clamping, hemoglobin. Correspondence: Rynda Arum Dilafa. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ryndaarumd@gmail.com. Mobile: +6285­852358033  
Meta-Analysis: Effects of Exclusive Breastfeeding, Antenatal Care Visit, and Maternal Education on Stunting in Toddlers Tari, Putri Inrian; Rahardjo, Setyo Sri; Setiyadi, Noor Alis
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.10

Abstract

Background: Stunting is a condition in which toddlers have less height according to their age. WHO reports that there are around 149.2 million toddlers experiencing stunting worldwide. This study aims to analyze and estimate the magnitude of the effect of exclusive breastfeeding, antenatal care visits, and maternal education level on the incidence of stunting among toddlers based on the results of similar previous studies. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: toddlers. Intervention: exclusive breastfeeding, the mother often visits antenatal care, and high maternal education. Comparison: not exclusive breastfeeding, mothers rarely visit antenatal care, and low maternal education. Outcome: stunting. The databases used were Google Scholar, PubMed, ScienceDirect, Elsevier, Scopus, SpringerLink, BioMed Central, PLOS ONE, and Emerald with the keywords (“Exclusive Breastfeeding” OR “Antenatal Care” OR “Mother's Education”) AND “Stunting” AND “Children” AND “aOR”. There were 15 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis data were RevMan 5.3. Results: A meta-analysis of 15 articles with a cross-sectional study design was carried out from Ethiopia, India, Tanzania, Rwanda, Pakistan and Indonesia in under-fives with a sample size of 285,221. The results of the meta-analysis showed that toddlers who were exclusively breastfed experienced stunting by 0.54 times compared to toddlers who were not exclusively breastfed (aOR= 0.54; 95% CI= 0.35 to 0.85; p<0.001), toddlers born to mothers who had frequent antenatal visits care experienced stunting by 0.81 times compared to toddlers born to mothers who rarely visited antenatal care (aOR= 0.81; 95% CI= 0.72 to 0.90; p= 0.001), and toddlers born to mothers with higher education experienced stunting by 0.72 times compared to toddlers born to mothers with low education (aOR= 0.72; 95% CI=0.61 to 0.86; p=0.003). Conclusion: Toddlers who get exclusive breastfeeding, mothers who often visit antenatal care, and a high level of maternal education can reduce the risk of stunting in toddlers. Keywords: Exclusive breastfeeding, antenatal care, maternal education, stunting. Correspondence:Putri Inrian Tari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: putriindriantari@gmail.com. Mobile: +62822­824­32594
The Relationship between Body Mass Index with Knowledge and Energy Intake in Diabetic Patients in Prolanis Club Nuswantari, Atika; Dewi, Yulia Lanti Retno; Rahardjo, Setyo Sri
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 1 (2024): January-June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.3886

Abstract

The prevalence of diabetes mellitus in Indonesia is 2.0%, while East Java ranks 5th, higher than the national prevalence. According to data from the Jombang Regency Health Office, the outpatient diabetes mellitus cases at the Community Health Centers presented on the Indonesia Statistics of Jombang Regency website were 10,133 in 2013, 12,765 in 2014, and 21,992 in 2015, indicating an upward trend in the number of diabetes mellitus patients each year. Insulin resistance is the main cause of diabetes mellitus as a degenerative disease. Information on proper diabetes mellitus health management is expected to enhance knowledge as a means of improving individual behavior and actions. The prevention of diabetes mellitus can be achieved through a healthy lifestyle, which includes regulated and measured eating patterns and physical activity. The objective of this study is to determine the relationship between body mass index with knowledge and energy intake in diabetic patients. This correlational study employed a cross-sectional method involving 60 subjects from three Community Health Centers in Jombang Regency, comprising 54 female and 6 male subjects. Data collection was conducted using a questionnaire instrument with interview techniques and analyzed using the Kolmogorov-Smirnov normality test. Data did not have a normal distribution and were subsequently tested with Spearman correlation. The study shows a significant relationship between body mass index and knowledge p = 0.041 with a moderate correlation strength (r = -0.265*) relationship between the variables. The relationship between body mass index and energy intake shows a significant correlation p = < 0.01 with a correlation coefficient of 0.695*, indicating a strong relationship. Conclusion: Body mass index (BMI) has a significant relationship and a moderate correlation strength with knowledge of diabetes diet. The correlation between BMI and the dietary intake of individuals with diabetes mellitus is significant and strong correlation strength. Periodic and easy implement diabetes mellitus diet education is recommended and is expected to increase knowledge so that energy intake is adequate and appropriate to their needs.
Prevention and control of diabetes mellitus complications in productive population in rural Nurlatif, Rr. Vita; Sumardiyono, Sumardiyono; Rahardjo, Setyo Sri
International Journal of Public Health Science (IJPHS) Vol 13, No 1: March 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i1.23424

Abstract

In Pekalongan Regency, Central Java, Indonesia, cases of productive population with diabetes mellitus have rapidly increased over the past three years. With regard to individual-based problems prevention and management, this is not sufficiently balanced. From the standpoint of the provider, this study examines attempts to prevent and control diabetes mellitus in productive population, including obstacles and limitations. With a focus on three rural areas (Wiradesa, Tirto I and Kedungwuni I Sub-Districts), qualitative study included 75 productive-age diabetics and 30 breadwinners. In-depth interviews and focus group discussions were used to gather data, which was then thematically analyzed. Three rural locus with the highest prevalence of diabetes mellitus in productive population were found in the results. Through screening for non-communicable diseases at integrated service post (Posyandu), chronic disease management programs and cross-sectoral activities, there are numerous initiatives for the prevention and management of complications. The challenges include constantly changing programmers, programmers with many assignments, inadequate target awareness and low motivation, as well as a worse recording and reporting system. Such that fundamental information on both individual and public health cannot be accessed. Based on individual emphasis, recording and reporting, several programs for complication prevention and management are required to identify the range of non-communicable diseases.
Formulation of Soygurt Mung Bean with Date Juice as Adjuvant Therapy for Diabetes Mellitus Jannah, Miftakhul; Rahardjo, Setyo Sri; Febrinasari, Ratih Puspita
Nusantara Science and Technology Proceedings The 1st International Conference Muhammadiyah Yogyakarta – Hospital & Healthcare Management
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2024.4210

Abstract

One innovative nutritional therapy approach for diabetic mellitus (DM) is modulating the gut microbiota by administering probiotics. Soygurt is a probiotic functional food made from fermenting soy milk with lactic acid bacteria (LAB), which includes bioactive peptides and antioxidants. The use of soybean, mungbean, and date juice as sweeteners is expected to increase the product's physicochemical quality as well as the presence of lactic acid bacteria, maximizing its benefits as a functional meal for DM. This study was an experiment that used a completely randomized design with three treatment formulas comparisons of soybeans and mungbean's (% : %) as follows F1 (25:75), F2 (50:50), and F3 (75:25). Protein content was determined using the biuret method, fat content was identified using the mojonieur method, the reduced sugar content was analyzed using the Nelson Smogyi method, crude fiber content was identified using the gravimetric, and LAB were determined using the Total Plate Count (TPC). The best formula was continued for clinical trials on animals. The result of F3 produced protein of 5.46%, fat of 2.36%, reduced sugar of 4.66%, crude fiber of 3.81%, and a pH of 4.139. The lactic acid bacteria (LAB) count in F1 was 1.9 x 108 CFU/mL. It concluded that soygurt mung bean with date juice can potentially control blood glucose levels due to its high protein and low-fat content.
Meta-Analysis the Effect of Pharmaceutical Care on Blood Glucose Level in Type 2 Diabetes Mellitus Patients Syafira, Muthia; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Policy and Management Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.031 KB)

Abstract

Background: Pharmaceutical care is a patientoriented program carried out by pharmacists. In the management of type 2 diabetes mellitus (T2DM) several parameters have been determined as targets for the success of pharmaceutical care such as HbA1c and the level of patient compliance. This paper aims to evaluate the role of pharmaceutical care in improving clinical outcomes and compliance of patients with T2DM.Subjects and Method: This study was conducted using a Systematic Review and Metaanalysis study design using PICO, population: Diabetes mellitus type 2 patients, Intervention: Obtaining pharmaceutical care. Comparison: Did not receive pharmaceutical care, Outcome: Hba1c. The articles used in this study came from 4 databases, namely Pubmed, ScienceDirect, ProQuest and Google scholar. Article keywords are Diabetes Mellitus, Type 2 OR T2DM OR Type 2 diabetes AND Pharmaceutical care OR Clinical pharmacy OR Community pharmacy OR Pharmacist* OR Pharmaceutical services OR Education OR Intervention OR Medication Management AND Knowledge OR adherence OR HbA1c OR glycemic control” Included articles in this study is a full paper article, RCT study design for 20112021.Results: A total of 12 RCT studies with 1,746 T2DM patients in Asia (Jordan, Hong Kong, Northern Cyprus, Thailand, China, Malaysia and Indonesia), Americas (Brazil) and Europe (France and England). From the data processing, it was found that the provision of pharmaceutical care reduced HbA1c levels by 0.81 in patients with type 2 diabetes mellitus compared to those without pharmaceutical care. (SMD= 0.81; 95% CI= 1.11 to 0.52 p<0.0001).Conclusion: The provision of pharmaceutical care can improve clinical outcomes in the form of decreasing HbA1c values.Keywords: Pharmaceutical Care, Type 2 Diabetes Mellitus, HbA1c, Glycemic Control.Correspondence: Muthia Syafira. Masters Program in Public Health Sciences, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email mutsyaf@student.ac.id. Mobile: +6285920660180.Journal of Health Policy and Management, (2022), 07(02): 112-124https://doi.org/10.26911/thejhpm.2022.07.02.03
Meta-Analysis: Effect of Tuberculosis Infection Control Training on Work Performance among Health Staff in Health Facilities Rahmawati, Rahmawati; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Health Policy and Management Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.03.03

Abstract

Background: Tuberculosis is a public health problem both in Indonesia and internationally. Tuberculosis is an infectious disease that can affect anyone and is one of the 10 leading causes of death worldwide. TB ranks second with the highest cases in Indonesia after India. Tuberculosis Infection Control (TBIC) is a form of TB prevention which is the core of safe and high-quality health services. TBIC is often neglected in patient management practice. This study aims to analyze and estimate the effect of tuberculosis infection control training on improving the performance of staff in health facilities. Subjects and Method: The meta-analysis was carried out using the PICO format including: (1) Population: Health personil; (2) Intervention: TBIC Training; (3) Comparison: No TBIC training; and (4) Outcome: Performance. Article searches were carried out using several databases such as Google Scholar, PubMed, and Elsevier. Search for articles from 20 October 2022 to 21 January 2023. Keywords used: “Tuberculosis infection control training” OR “Performance” AND “Health personel” AND “Health facility” AND “Multivariate” AND “Cross-sectional”. The inclusion criteria for the included articles were full text articles, relationship measures using multivariate analysis (aOR), English articles with a cross-sectional design, and article publications in 2012-2022. Articles are collected using PRISMA flow diagram guidelines. Data were analyzed using the Review Manager 5.3 application. Results: A total of 13 cross-sectional studies, from the continents of Asia and Africa. Nine articles from East Africa (Ethiopia), 2 articles from West Africa (Nigeria), 1 article from Central Africa (Cameroon), and 1 article from South Asia (Nepal). The results showed that health personil who received TBIC training had a 2.35 times better chance of performance compared to health personil without training, and this result was statistically significant (aOR= 2.35; 95% CI= 1.96 to 2.81; p <0.001). Conclusion: Tuberculosis infection control training can improve the performance of workers in health facilities. Key words: Health personil, tuberculosis infection control training, and health facilities
PENGARUH PEMBERIAN SERBUK DAUN SALAM (Syzygium polyanthum) TERHADAP KADAR FERITIN PADA TIKUS WISTAR MODEL ANEMIA Devi, Rhisma Mutiara; Nuhriawangsa, Adi Magna Patriadi; Rahardjo, Setyo Sri
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 3 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i3.2080

Abstract

Anemia is a global health problem with the prevalence of anemia in women of reproductive age ranging from 27% to 32.8%. In Indonesia, the prevalence of anemia reached 48.9% in adolescent girls, and 46.9% in pregnant women. Iron deficiency is one of the main causes of anemia, which can be triggered by inadequate nutrient intake or problems with iron absorption in the body. Bay leaves powder/BLP (Syzygium polyanthum), which are rich in iron, have not been fully utilized in anemia treatment. The study aimed to analyze BLP administration on ferritin levels in female Wistar rats with anemia. Ferritin research with a Pre and Post Control Group experimental design was conducted at LPPT UGM and UPT UNS for 45 days (August–October 2023). Female white rats (Rattus norvegicus strain Wistar) aged 6 weeks with weight range of ±100–200 g were obtained from UD Wistar Yogyakarta. During acclimatization, they were given comfeed and AIN-93M diets without iron. Anemia in rats was induced by a low-iron diet for 15 days before treatment. BLP was administered for 28 days with different doses of bay leaf powder (3 dose groups) P1 18,6mg/200gr BB, P2 36 mg/200grBB, P3 55,6 mg/200grBB. Ferritin were obtained by taking blood from mice to obtain blood serum using the centrifuge method.  Group P3 (SDS 55.6mg/100BB), there was a significant change in ferritin during the treatment. The study concluded was an influence of administering SDS at a dose of 55.6 mg/100BB on changes in ferritin in the anemia rat model.
Co-Authors Adi Magna Patriadi Nuhriawangsa Afifah Noer Agus Kristiyanto Akbar, Muh. Syaiful Ambarsari, Anggraini Anggara, Feri Yuda Anggriani, Atika Febri Arlina Azka Arum Nuryati Atika Mima Amalin Babys, Isna Yuswella Bhisma Murti Budinugroho, Agustaria Chasanah, Eka Siti Ciptaningtyas, Wahyu Agustin Dwi Daniyar, Pamogsa Ratri Adha Devi, Rhisma Mutiara Dewi, Patria Sari Didik Gunawan Tamtomo Dilafa, Rynda Arum Dilma’aarij, Dilma’aarij Dono Indarto Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Fadhilah, Azzahra Nur Fatati, Muhibbah Firdausi Nuzula FIRDAUSI NUZULA Fitriyani, Ayu Laela Habibi, Mustainu Hapsari, Faricha Indra Hidayati, Khairina Nur Ichsan, Burhannuddin Ida Nurwati Inayati, Rizqi Indana, Alifiya Zulfa Karmany, Putu Anggi Widia Khoirunnisa' Maftuch, Atiqoh Kumala, Yovita Eka Ratna Kun'ain, Utin Ilma Agni Kurniagung, Philipus Prihantiko Lilik Wijayanti Mariyana, Anna Maya Ayu Riestiyowati MIFTAKHUL JANNAH Mujiran, Mujiran Narulita, Danti Noor Alis Setiyadi Novika, Revi Gama Hatta Nurhayati, Farida Nuriza, Rizky Alfiqi Nurkhairani, Nurkhairani Nuswantari, Atika Pambudi, Gigih Cita Pardosi, Firman Pawito Pawito Prabowo, Puspita Mayangsari Praptiwi, Juni Prasetya, Hanung Pratama, Genn Andrean Rahmawati, Rahmawati Ratih Puspita Febrinasari Retyono, Sugeng Rita Adriani Benya Adriani ROHMAH, LAILATUL Rr. Vita Nurlatif Safitri, Denanda Agnes Saputra, Rizki Kurniawan Sari, Niken Kartika Sari, Victoria Husadani Permata Septiani, Anissa Eka Sukandriani Utami Sulistyani, Retno Sumardiyono Sumardiyono Sunarto, S Syafira, Muthia Tari, Putri Inrian Tri Yonita, Maria Regina Vitri Widyaningsih Wicaksono, Satriyo Fajar Widiantoro, Reza Wijaya, Veronica Fenny yulia lanti retno dewi Yumafita, Tiara Yusuf Ryadi Zahra, Fathia Mutiara