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FACTORS ASSOCIATED WITH TUBERCULOSIS-DIABETES MELLITUS COMORBIDITY: Faktor-faktor yang Berhubungan dengan Komorbiditas Tuberkulosis-Diabetes Mellitus Nugrahaeni, Dyan Kunthi; Kusumasari, Ika; Budiana, Teguh Akbar; Mauliku, Novie Elvinawaty
Jurnal Berkala Epidemiologi Vol. 13 No. 1 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I12025.75-84

Abstract

Background: The double burden disease refers to the increase of communicable and non-communicable disease, such as comorbidity tuberculosis (TB) with diabetes mellitus (DM). If not treated properly and managed, tuberculosis can lead to comorbidity with diabetes mellitus. Purpose: This research aims to determine factors associated with tuberculosis-diabetes mellitus comorbidity. Methods: Research design used case-control study, sample cases are TB patients with DM as many as 15 people, while sample control is TB patient without DM as many as 30 people. Independent variables include age, education, occupation, TB severity, body mass index, and quality of life, while the dependent variable is comorbidity TB-DM. The instrument used the World Health Organization’s Quality of Life Brief Version (WHOQOL-BREF). Data analysis was performed utilizing the Chi-Square test and Independent T-test. Results: This study’s findings indicated that the variable age (p= 0.011; OR= 6; 95% CI= 1.39-25.85), education (p=0.03; OR= 4.12; 95% CI= 1.06-16.03), TB severity (p= 0.02; OR= 4.57; 95% CI= 1.18-17.67), and quality of life domains were significantly related to TB-DM with comorbidity: physical (p=0.00; OR=42.25; 95%CI=6.82-261.61), psychological (p=0.03; OR=4; 95% CI=1.07-14.89) and environmental domain (p=0.01; OR=10.54; 95% CI=1.06-105.03). Conclusion: Factors influencing comorbidity between TB-DM include age, education level, TB severity and quality of life. Enhancing immunity in TB patients is essential to reduce the severity of TB and comorbidity of TB-DM, with recommendations for support from family, parents, children, and friends to improve the quality of life for those with TB-DM.
Senam Kaki Diabetes terhadap Derajat Diabetic Peripheral Neuropathy (DPN) pada Pasien Diabetes Mellitus Tipe 2 Karyati, Ida; Rumohorbo, Hotma; Mauliku, Novie E; Kosasih, Cecep Eli
Journal of Telenursing (JOTING) Vol. 7 No. 2 (2025): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v7i2.14633

Abstract

This study aims to determine the effectiveness of diabetic foot exercises on DPN values ​​in DMT-2 patients. The method used is a quasi-experiment with Pretest-Postest with a control group design. The study results showed that in the intervention group using Wilcoxon, 0.000 was obtained, and 0.001 in the control group. Still, if you look at the clinical results of a difference of less than 10, there is no significant difference in the degree of DPN before and after the intervention. The results of the study with the Mann-Whitney test showed that diabetic foot exercises are effective in reducing the degree of DPN (p = <0.05), where the intervention group had a lower degree of DPN (12.24) compared to the control group (30.76). There is a difference in the degree of DPN between the intervention and control groups, with a p = 0.001. In conclusion, foot exercises effectively reduce the degree of diabetic peripheral neuropathy in patients with type 2 diabetes mellitus at Dustira Hospital Cimahi. Keywords: Diabetes Mellitus, Diabetic Peripheral Neuropathy, Foot Exercises
Evaluasi Implementasi Program Pengendalian Kebisingan terhadap Penurunan Pendengaran pada Pekerja di PT “XYZ” Dwi Enggar Widi Saptana; Mauliku, Novie Elvinawaty; Suhat, Suhat; Nugrahaeni, Dyan Kunthi
INSOLOGI: Jurnal Sains dan Teknologi Vol. 4 No. 2 (2025): April 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v4i2.5090

Abstract

Noise is one of the physical hazard factors in the work environment. Workers who are exposed to noise exceeding the Threshold Value above 85 db can cause permanent hearing loss. This can be overcome by optimizing the efforts of elimination, substitution, isolation, administrative control, and the use of PPE. Therefore, it is necessary to apply the Hearing Conservation Program. The purpose is to evaluate the implementation of the noise control program on hearing loss in workers at PT “XYZ”. The research design used a qualitative with an evaluative approach. The informants who informan were management, HSE, electrical technician, mechanic topside, and marine pumpman. Data collection techniques used in-depth interviews, observation, and document review, with instruments in the form of interview sheets, observation sheets, and checklist sheets. Data analysis was done by triangulation and data reduction. The results showed the company has a commitment and policy in an effort to reduce noise levels, but it hasn’t been maximized because elimination and substitution efforts cannot be applied, and it was found that there are still employees who are not fully compliant in using PPE in the workplace. Based on the results, it is concluded that the evaluation of the implementation of the noise control program on hearing loss in workers at PT XYZ has been running well. PT. XYZ demonstrates strong commitment to noise control, but faces challenges in implementation, including suboptimal noise control measures and incomplete PPE compliance.
PENGARUH KOMBINASI SENYAWA ALFA-MANGOSTIN DAN OBAT ANTI TUBERKULOSIS (OAT) TERHADAP DERAJAT KERUSAKAN SEL HATI MENCIT (Mus musculus): THE EFFECT OF COMBINATION ALPHA-MANGOSTIN AND ANTI TUBERCULOSIS DRUGS AGAINST DEGREE OF DAMAGE ON LIVER’S CELL IN MICE (Mus musculus) Gunawan, Taufik; Mauliku, Novie Elvinawaty; Kunthi Nugrahaeni, Dyan
Jurnal Mitra Kesehatan Vol. 7 No. 2 (2025): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v7i2.391

Abstract

Pendahuluan : Pengobatan TB memerlukan waktu yang lebih lama sehingga menyebabkan kerusakan hati (hepatotoksik). Kulit buah manggis mengandung senyawa alfa-mangostin yang mempunyai manfaat sebagai antioksidan, antitumor, antiinflamasi, antialergi, antibakteri dan antijamur. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi senyawa alfa- mangostin dan obat anti tuberkulosis (OAT) terhadap derajat kerusakan sel hati mencit. Metode: Desain penelitian yang digunakan Post-test Only Control Group Design. Kelompok perlakuan dibagi menjadi 3 kelompok dengan masing-masing kelompok terdiri dari 6 mencit Balb/c jantan. Mencit kelompok (K1) diberi alfa-mangostin + OAT, kelompok (K2) mencit hanya diberi OAT dan kelompok (K0) kontrol mencit hanya diobservasi selama 14 hari. Hasil: Hasil penelitian menunjukkan derajat kerusakan sel hati mencit yang paling besar terjadi pada kelompok OAT dengan rata-rata skor derajat kerusakan yaitu 1.6 disusul dengan kelompok kombinasi alfa-mangostin dan OAT yaitu 1.4 dan yang paling kecil terdapat pada kelompok kontrol yaitu 1.2. Kesimpulan: Kesimpulan penelitian ini terdapat perbedaan yang bermakna derajat kerusakan sel hati antara kelompok perlakuan kombinasi alfa-mangostin dan OAT, kelompok OAT dan kelompok kontrol.
Video Media Health Education on Knowledge, Attitudes, and Personal Hygiene Practices During Menstruation Ulfah, Nadila Dewi; Nugrahaeni, Dyan Kunthi; Mauliku, Novie Elvinawaty
Jurnal Keperawatan Profesional (KEPO) Vol. 6 No. 1 (2025): Volume 6 Nomor 1 Mei 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v6i1.1484

Abstract

Poor personal hygiene during menstruation had a significant impact on morbidity and complications. Lack of menstrual hygiene awareness was influenced by knowledge and attitudes, as well as external factors such as parental, teacher, peer support, and exposure to information. This study aimed to determine the effect of video-based health education on knowledge, attitudes, and personal hygiene practices during menstruation. The study employed an experimental pre-posttest design. The study population consisted of 98 female students. The sample was divided into two groups: a control group and a treatment group. The results showed differences in the mean scores for knowledge (p-value=0,021), attitudes (p-value=0,000), and practices (p-value=0,000). Parental support (p-value=0,000), teacher support (p-value=0,000), and peer support (p-value=0,000) were identified as confounding factors affecting menstrual hygiene. There was a significant difference in the mean scores of knowledge, attitudes, and practices after the video education intervention. It is recommended that adolescent girls develop clean and healthy living habits by consistently maintaining genital hygiene, both during menstruation and outside of it.
PENGARUH PESTISIDA NABATI TERHADAP KEMATIAN LALAT RUMAH (MUSCA DOMESTICA) Mauliku, Novie Elvinawaty
Jurnal Ilmu Kesehatan Immanuel Vol. 13 No. 1 (2019): Jurnal Ilmu Kesehatan Immanuel
Publisher : Institut Kesehatan Immanuel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36051/jiki.v13i1.76

Abstract

House flies (Musca domestica) are a vector that caused diary so it needs to be controlled by using plant-based insecticide such as Lime (Citrus aurantifolia). Lime had active contains such as saponins, tannins, flavonoids and essential oils. This study was to impact of lemon juice to the death of house flies (Musca domestica). This study design is the True Experiment. The lime was defined  with three concentrations there are 25%, 27% and 29% of the death of house flies (Musca domestica) which is given three repetitions to 300 samples. Data was analyzed using univariate, bivariate used Kruskal Wallis and post hoc analysis used bonferonni tests to determine the effectiveness of concentration. The results found out that the percentage of dead houseflies (Musca Domestica) at a concentration of 25% on average by 53%, the concentration of 27% on average by 71% and 29% concentrations by an average of 92%. Statistical test results obtained that there are differences in various concentrations of lime juice to the death of house flies (Musca Domestica) with a p value (0.014). The effective concentration was at a 29% concentration against houseflies death 92%..
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN GANGGUAN POLA TIDUR PADA PERAWAT DI INSTALASI RAWAT INAP BAGIAN D3 RSUD CIBABAT TAHUN 2014 Mauliku, Novie Elvinawaty
Jurnal Ilmu Kesehatan Immanuel Vol. 14 No. 1 (2020): Jurnal Ilmu Kesehatan Immanuel
Publisher : Institut Kesehatan Immanuel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36051/jiki.v14i1.118

Abstract

Gangguan pola tidur merupakan suatu kondisi dimana seseorang mengalami resiko perubahan jumlah dan kualitas pola tidur yang menyebabkan ketiadanyamanan diantaranya Insomnia, Hypersomnia, Narkolepsi, Parasamnia, Suden Infant Death Syndrome. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan gangguan pola tidur pada perawat di Instalasi Rawat Inap bagian D3 RSUD X. Penelitian ini menggunakan desain penelitian cross sectional. Metode pengambilan sampel dengan teknik total sampling. Yang terdiri dari variabel shift kerja, masa kerja, konsumsi kafein, penggunaan obat tidur, dan kebiasaan merokok. Pengumpulan data dilakukan dengan menggunakan kuesioner dan data dianalisis secara Univariat dan Bivariat dengan uji chi square. Hasil analisis data didapatkan sebesar 50% perawat mengalami gangguan pola tidur, dan hasil uji statistik diketahui terdapat hubungan antara shift kerja (0.022), masa kerja (0.028), dan konsumsi kafein (0.0001) dengan gangguan pola tidur. Sedangkan variabel yang tidak berhubungan yaitu penggunaan obat tidur (0.109), dan kebiasaan merokok (1.000). Disarankan agar para perawat yang memiliki gangguan pola tidur agar berperilaku hidup sehat, perawat mendahulukan mengkonsumsi makanan yang bergizi, dan pihak rumah sakit mengadakan kegiatan olah raga rutin bagi perawat minimal 30 menit dalam seminggu.