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Meta-Analysis the Effectiveness of Isometric Relaxation and Laser Therapy in Reducing Myofascial Pain Syndrome on Musculus Upper Trapezius Indana, Alifiya Zulfa; Rahardjo, Setyo Sri; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Myofascial pain syndrome upper trapezius is a condition of neck pain caused by excessive muscle loading and can occur due to continuous activities with poor posture and ergonomics. There are many interventions that can be given to treat this MPS, such as Post isometric relaxation and laser therapy. This study aims to analyze the effect of post-isometric relaxation and laser therapy on pain reduction in cases of upper trapezius myofascial pain syndrome.Subjects and Method: This study is a syste
The Use of Insecticide Mosquito Nets and Insecticide Spraying on the Risk of Malaria in Children: A Meta-Analysis Azka, Arlina; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Malaria is a vector-borne disease caused by Plasmodium infection and there are more than 30 species of Anopheles which are important vectors of malaria. The main interventions recommended for controlling malaria vectors are the use of insecticide mosquito nets and indoor residual spraying. This study aims to estimate the effect of using insecticide mosquito nets and spraying insecticides on the risk of malaria in children.Subjects and Method: This was a meta-analysis study using PRISMA flow diagram guidelines. Article searches were carried out in the PubMed, Google Scholar, Science Direct, ResearchGate, and SpringerLink databases with the keywords
Mortality and Severity of COVID-19 Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis Amalin, Atika Mima; Rahardjo, Setyo Sri; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: COVID-19 has become a pandemic in all countries including Indonesia. The death rate from COVID-19 is concentrated in elderly patients and those with comorbidities. COPD is one of the comorbidities that can worsen and even cause death. COPD ranks in the top 3 leading causes of death in the world causing 2.3 million deaths in 2019. This study aims to analyze the effect of COPD comorbidities on mortality and severity of COVID-19 patients.Subjects and Method: This study used a systematic review and meta-analysis by following the PRISMA flow chart. Search articles through journal databases, namely: Google scholar, PubMed, Science Direct and Link Springer. The articles search was done by considering the eligibility criteria defined in the PICO model. P= COVID-19 patient; I= COPD participant; C= without COPD; O= need for mechanical ventilation, ICU admission, and death. Inclusion criteria were cohort full paper articles, in English, multivariate analysis with adjusted Odds Ratio. Articles analyzed with RevMan 5.3.Results: The 13 cohort study designs reviewed with a meta-analysis to estimate the risk of death showed that comorbid COPD increased the risk of death (aOR= 1.33; 95% CI= 1.08 to 1.64; p= 0.007). 9 cohort study designs were reviewed with a meta-analysis to estimate the risk of severity with indicators of mechanical ventilation need (aOR= 1.38; 95% CI= 1.05 to 1.82; p= 0.020). 7 cohort study designs were reviewed by meta-analysis to estimate the risk of severity with indicators of risk of ICU admission (aOR= 1.25; 95% CI= 1.04 to 1.50; p= 0.020).Conclusion: COPD comorbidities increase the risk of need for mechanical ventilation, ICU admission and death among COVID-19 patients.Keywords: COVID-19, COPD, death, severityCorrespondence:
A Meta-Analysis of Correlations between Chronic Obstructive Pulmonary Disease, Smoking, and Severity of COVID-19 Pambudi, Gigih Cita; Rahardjo, Setyo Sri; Sumardiyono, Sumardiyono
Journal of Epidemiology and Public Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Corona Virus Disease 2019 (COVID-19) is a respiratory disease that can progress to severe hypoxemia with cases reaching more than 235 million cases worldwide until November 2021. The association with Chronic Obstructive Pulmonary Disease (COPD) and smoking habits are both very common globally and may increase the severity of COVID-19. However, it has not been elucidated. Given the gaps in evidence and the increasing prevalence of COVID-19, this study aimed to examine the influence of COPD and smoking habits on the severity of COVID-19 patients.Subjects and Method: This meta-analysis study was conducted with PICO as follows: Popula
Meta-Analysis the Effects of Rotavirus Vaccine, Exclusive Breastfeeding, and Maternal Education on Diarrhea in Children Under Five Pratama, Genn Andrean; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public 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/jepublichealth.2023.08.03.02

Abstract

Background: Diarrhea is an infectious disease that can cause death in children under five years. Diarrheal disease is a disease with the highest mortality and morbidity after pneumonia. The purpose of this study was to analyze and estimate the effect of rotavirus vaccine, exclusive breastfeeding, and mother's education level on the incidence of diarrhea in toddlers, with a meta-analysis based on previously conducted primary studies. Subjects and Method: This article was prepared using a systematic review and meta-analytic study. This research was conducted using the PICO model. Meta-analytic studies were conducted by searching for articles from databases in electronic form using PubMed, Google Scholar, Sciencedirect, and Springer Link. Article searches were conducted from 1-28 February 2023. The keywords used were “Vacinnation” OR “Exclusive breastfeeding” OR “Educational Mother” OR “Infection” OR “Diarrhea Childhood”. The inclusion criteria for this study were complete articles using cross-sectional research, published years from 2013-2022. Analysis of the articles used RevMan 5.3 software. Results: A total of 24 cross-sectional studies from Africa and Asia were selected for systematic review and meta-analysis. The results of the meta-analysis showed that not given rotavirus vaccine had a 3.60 times the risk of experiencing diarrhea compared to those given rotavirus vaccine (aOR= 3.60; 95% CI= 2.31 to 5.64; p<0.001), not given exclusive breastfeeding had a risk of experiencing diarrhea 3.28 times compared with those who were given exclusive breastfeeding (aOR= 3.28; 95% CI= 2.24 to 4.80; p<0.001), and children who had mothers with low education levels had a 2.08 times higher risk of experiencing diarrhea compared to children who had mothers with low education levels which is higher (aOR= 2.08; 95% CI= 1.71 to 2.54; p<0.001). Conclusion: Not being given the rotavirus vaccine, not being given exclusive breastfeeding, and the mother's low education level are at risk of increasing the incidence of diarrhea in toddlers. Keywords: rotavirus vaccine, exclusive breastfeeding, mother's level of education, child diarrhea Correspondence: Genn Andrean Pratama. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: andreanpratama0077@gmail.com. Mobile: +6282278467441.
Meta-Analysis: Effects of Lession and Exposed to Risk Factor on Leptospirosis Infection Wicaksono, Satriyo Fajar; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public 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/jepublichealth.2023.08.04.03

Abstract

Background: Leptospirosis is a zoonotic disease that occurs due to interactions between agents, hosts, and the environment. Leptospira bacteria can infect humans through wounds on the skin and mucosa of the body. This study aims to examine the effect of injury history and contact risk factors on the incidence of leptospirosis by using meta-analysis. Subjects and Method: This was a systematic review and meta-analysis study carried out using the PICO model. P: Adults. Intervention: injury and contact. Comparison= no injuries and no contact with risk factors. Outcome: Leptospirosis. The meta-analysis was conducted by systematically reviewing articles from Google Scholar, PubMed, Springer Link, and Science Direct. Search keywords “Wound OR Lession AND Leptospira”, “Risk Factor Exposure AND Leptospira”, “Risk Factor AND Leptospira AND adjusted odds ratio”. The inclusion criteria used were full paper articles from 2002-2022 using Indonesian and English. The study design used was observational and the analysis used multivariate adjusted odds ratio results. Articles were collected using the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: Meta-analysis included 22 cross-sectional and case-control studies from Indonesia, India, Iran, Sri Lanka, Malaysia, Thailand, Laos, France, Germany, Kenya, Tanzania, Australia, Fiji, British Virgin Islands, Mexico, Jamaica, Peru, and Argentina. Leptospirosis increased with history of injury (aOR= 3.51; 95% CI= 2.94 to 4.19; p<0.001) and contact with risk factors (aOR=1.82; 95% CI=1.25 to 2.65; p=0.002). Conclusion: History of injury and contact with risk factors increases the risk of developing Leptospirosis. Keywords: history of injury, contact risk factors, leptospirosis, meta-analysis Correspondence:Satriyo Fajar Wicaksono. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dr.satriyofw@student.uns.ac.id. Mobile: +6285641711987.
Village as Contextual Factors and Other Risk Factors Related with the Incidence of Clinical Tuberculosis in Children in Wonogiri, Central Java: A Multilevel Analysis Hidayati, Khairina Nur; Murti, Bhisma; Rahardjo, Setyo Sri
Journal of Epidemiology and Public Health 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/jepublichealth.2024.09.03.02

Abstract

Background: Indonesia is in the second rank with the highest burden of tuberculosis (TB) in the world. Childhood is a period of rapid growth, the body still has a low immune system so it is susceptible to disease including tuberculosis in children which requires control efforts. This study aims to analyze the influence of risk factors and village contextual factors on the incidence of TB in children.Subjects and Method: Case-control study research was conducted in 82 villages in Wonogiri Regency, from November to December 2023. A sample of 200 children aged 0 to 4 years old was selected through fixed disease sampling. The dependent variable of this study was the incidence of TB in children. The independent variables in this study were stunting, contact history, exposure to cigarette smoke, home sanitation, gender, parental education, child age, parental income, BCG immunization status, and village contextual influences. Data on TB disease was obtained from the Tuberculosis Information System Application (SITB) at the Wonogiri District Health Service in 2023. Other data was collected through questionnaires. The data analysis was done through multilevel multiplelogistic regression.Results: The factors that increased the incidence of TB in children were stunting (OR= 10.94; CI 95%= 2.50 to 47.90; p= 0.001), contact history to TB (OR= 8.37; CI 95%= 1.60 to 43.83; p= 0.012), and exposure to cigarette smoke (OR= 7.36; CI 95%= 1.99 to 27.14; p= 0.003). The reducing factors were healthy sanitation (OR= 0.24; CI 95%= 0.08 to 0.78; p= 0.017), female children (OR= 0.40; CI 95%= 0.15 to 1.05; p= 0.062), and parents with ≥high school education (OR= 0.40; CI 95%= 0.15 to 1.05; p= 0.062). There was no relationship between age (OR= 0.93; CI 95%= 0.13 to 6.23; p= 0.940), parental income (OR= 1.14; CI 95%= 0.40 to 3.25; p= 0.807), and BCG immunization status (OR= 0.12; CI 95%= 0.00 to 105.98; p= 0.550). Village has a contextual influence on the incidence of clinical TB in children (ICC= 52.95%).Conclusion: The risk of clinical TB in children increased with stunting, a history of TB contact and exposure to cigarette smoke, it decreased with healthy home sanitation, female gender, parents with ≥high school education. There was no relationship between age, parental income, and BCG immunization status. The village has a contextual effect on the incidence of clinical TB in children.
Enhancing Anxiety Management in Post-Tuberculosis Patients through Psychoeducational Intervention in Baki Community Health Center Budinugroho, Agustaria; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health 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/jepublichealth.2024.09.03.09

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Background: Tuberculosis is an infectious disease caused by mycobacterium tuberculosis by air-borne transmission. TB patients are at risk of psychosocial disorders during treatment and post-treatment. This study aims to analyze the effect of psychoeducation on the level of anxiety experienced relapse in patients after Tuberculosis treatment.Subjects and Method: This study used a quasi-experimental design of a posttest pretest at the Baki Health Center, Sukoharjo Regency, Central Java, Indonesia from June to July 2023. The sample was 30 people in the treatment group, namely post-tuberculosis treatment patients, and 30 people in the control group by paying attention to the inclusion criteria, the sample was selected in total sampling. The dependent variable is anxiety and the independent variable is psychoeducation. Psychoeducation was provided with intervention for 3 sessions with a time of 25-30 minutes and anxiety was measured by the HALS questionnaire. The data was analyzed by the Mann-Whitney test.Results: After the intervention, the psychoeducational group had a decrease in anxiety scores (Mean = 7; SD= 4.68) than the control group (Mean= 4.07; SD= 3.14) with p=0.006.Conclusion: Psychoeducation for post-tuberculosis treatment patients can continue to be carried out to reduce the level of anxiety about tuberculosis recurrence and awareness of the impact of the disease.
Kondisi Lingkungan Rumah Sakit berdasarkan Angka Kuman Udara Ruang Rawat Inap Praptiwi, Juni; Rahardjo, Setyo Sri; Sunarto, S
Prosiding SNPBS (Seminar Nasional Pendidikan Biologi dan Saintek) 2020: Prosiding SNPBS (Seminar Nasional Pendidikan Biologi dan Saintek)
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Rumah Sakit sebagai sarana pelayanan kesehatan, tempat berkumpulnya orang sakit maupun orang sehat dapat menjadi tempat penularan penyakit, gangguan kesehatan serta memungkinkan terjadinya pencemaran lingkungan, sehingga upaya mewujudkan rumah sakit yang sehat, bersih, dan tertib harus dilakukan agar tidak terjadi penyebaran kuman patogen di lingkungan rumah sakit. Tujuan penelitian ini adalah untuk mengetahui kondisi lingkungan rumah sakit berdasarkan angka kuman udara ruang rawat inap RSUD dr. Tjitrowardojo Purworejo. Metode dalam penelitian ini merupakan penelitian survey analitik observasional dengan rancangan cross sectional. Pengumpulan data diperoleh dengan cara obsevasi di lapangan menggunakan alat laboratorium untuk pengukuran suhu, kelembaban, pencahayaan serta angka kuman udara ruang dan wawancara menggunakan kuesioner untuk mengetahui tingkat pengetahuan petugas. Berdasarkan hasil penelitian diketahui bahwa suhu berkorelasi positif dengan angka kuman udara ruang rawat inap (sig 0.032), kelembaban tidak ada hubungan dengan angka kuman udara ruang rawat inap, namun kelembaban mempunyai korelasi positif dengan suhu (sig 0.000), pencahayaan berkorelasi positif dengan angka kuman udara ruang (sig 0.010), dan pengetahuan petugas berkorelasi negatif dengan angka kuman udara ruang rawat inap (sig 0.001). Hasil uji T (T-Test) menunjukkan bahwa ada perbedaan jumlah angka kuman udara ruang perawatan sebelum jam kunjung (pre kunjungan) dan pada saat jam kunjung (sig 0.002). Kondisi lingkungan rumah sakit yang terdiri dari suhu, kelembaban, pencahayaan dan angka kuman udara ruang rawat inap di RSUD dr. Tjitrowardojo Purworejo sebagian besar masih belum memenuhi syarat sehingga perlu dilakukan upaya perbaikan dan pengendalian lingkungan yang lebih baik.
NUTRITION EDUCATION MEDIA FOR DIABETES MELLITUS PATIENTS: VIDEO OF DAFTAR BAHAN MAKANAN PENUKAR (DBMP) Nuswantari, Atika; Dewi, Yulia Lanti Retno; Rahardjo, Setyo Sri
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 4 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i4.2368

Abstract

Prevalensi penderita diabetes melitus (DM) di Jawa Timur menurut Survei Kesehatan Indonesia tahun 2023 meningkat (0,1%) dari sebelumnya tahun 2018, yakni 2,7%. Penelitian ini bertujuan untuk mengembangkan media daftar bahan makanan penukar sebagai media edukasi  diet DM pada penderita DM. Penelitian ini menggunakan metode Research and Development (R&D) dengan model Analyze, Design, Development, Implementation, Evaluation (ADDIE) untuk mengembangkan media edukasi dan pada tahap implementation dilakukan dengan metode quasy experimental dengan rancangan pre post-test with a control group. Penelitian ini melibatkan partisipasi tiga validator ahli dan 10 penderita DM sebagai calon pengguna. Pengumpulan data melalui wawancara dan kuesioner penilaian media. Jumlah subjek pada tahap implementation terdiri atas 40 penderita DM. Analisis data menggunakan teknik deskriptif. Hasil penilaian kelayakan media oleh ahli diperoleh skor rata-rata 91.03% dengan kategori sangat layak dan uji coba media pada kelompok calon pengguna diperoleh skor rata-rata 92.5% dengan kategori sangat layak. Video DBMP dapat digunakan sebagai media edukasi gizi diet DM pada penderita DM. Uji beda skor pengetahuan diet DM menggunakan analisis statistik Paired Sample T-Test. Dari hasil penelitian diperoleh nilai p=0.031 pada kelompok intervensi di tahap evaluation dan nilai p=0,648 pada kelompok kontrol. Hal ini menunjukkan bahwa terdapat perbedaan skor pengetahuan yang signifikan pada kelompok intervensi setelah 3 kali pemberian konseling gizi diet DM. Tahap akhir evaluasi dianalisis menggunakan post hoc Mann Whitney u test, menunjukkan bahwa ada perbedaan yang signifikan (p=<0.001) antara kelompok kontrol dan kelompok intervensi (video DBMP).
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