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Analysis of Lead (Pb) Levels in Mojokerto, East Java Province Alamudi, Mohammad Yusuf; Sudianto, Henry; Anggraeni, Dhonna; Wardini, Sri; Lestari, Putri; Priyanti, Sari; Diana, Sulis; Mafticha, Elyana; Kartiningrum, Eka Diah; Fardiansyah, Arief
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : Lead (Pb) is a heavy metal that is carcinogenic and takes a long time to decompose. Heavy metals in the environment can enter the human body through the food chain. Objective : The aim of this study is to analyze Lead (Pb) levels in the Mojokerto environment, East Java Province. Research Methods/ Implementation Methods : The method used was a literature study through a Google search engine search using the keywords lead (Pb) and Mojokerto, followed by analysis using Vosviewer Results : From the results of the research conducted, lead heavy metals were found in humans (hair and nails), aquatic plants, soil and fish. In addition, based on Vosviewer, it was found that the majority were carried out in 2022. Conclusion/Lesson Learned : Further research is needed to update data on lead levels in biotic and abiotic environments.
Effect of Diabetes Self-Management Education on Self-Care Management Among Patients with Type 2 Diabetes Mellitus in Gedangan Endah Palupi; Kartiningrum, Eka Diah; fardiansyah, Arief; Pratiwi, Revi Ekasetya
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025 (On Progress)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.9085

Abstract

Introduction: Patients with diabetes mellitus continue to face difficulties in performing self-care management based on the information they receive. Diabetes Self-Management Education (DSME) can serve as a reference for health education programs to improve patients’ knowledge and self-care management skills. This study aimed to analyze the effect of DSME on self-care management among patients with type 2 diabetes mellitus. Methods: This study employed a quasi-experimental two-group pre–posttest control design. The sample was 102 patients with type 2 diabetes mellitus selected using simple random sampling. The instrument utilized was the Diabetes Management Self-Efficacy Scale (DMSES). Data were analyzed using Wilcoxon test and multivariate ANOVA. Results: The results of the multivariate analysis showed a p-value < 0.001, indicating that Diabetes Self-Management Education (DSME) had a significant effect on self-care management, including dietary patterns (R² = 0.313), physical activity (R² = 0.737), blood glucose monitoring (R² = 0.430), foot care (R² = 0.427), and medication adherence (R² = 0.349) among patients with type 2 diabetes mellitus. Physical activity demonstrated the most significant effect attributable to DSME. Conclusion: Diabetes Self-Management Education (DSME) effectively improves self-care management in patients with type 2 diabetes mellitus, with the greatest impact on physical activity. These findings support DSME as an evidence-based strategy to promote independent self-care and as a standard operating protocol in Gedangan Community Health Center.
Analysis Of Factors Related To Delay Time of Ischaemic Stroke Patients at dr. R.Koesma Hospital, Tuban Regency Sudiyanto, Henry; Prasetyo, Sudigdo Dwi; Fardiansyah, Arief; Kartiningrum, Eka Diah
Journal of Nursing Management Innovations Vol. 1 No. 1 (2025): Journal of Nursing Management Innovations
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/jnmi.v1i1.4

Abstract

Background of study: Delay time in arrival of ischemic stroke patients to the hospital is a special concern because the "golden period" for receiving thrombolysis therapy is missed.Aims and scope of paper: The purpose of this study was to analyze the relationship between knowledge, residence status, distance of residence and use of ambulances with delays time in arrival of ischemic stroke patients.Methods: The design of this study was correlational analytic with a cross-sectional design. The total population was 79 ischemic stroke patients in May 2025. The number of samples was 66 patients taken using the simple random sampling technique. Data collection using questionnaires, data analysis using the Spearman test.Result: The results of the study based on the Spearman statistical test with a significance level = 0.05, obtained the results that there was a relationship between the knowledge factor and delays time in arrival (0.001 <0.05), there was a relationship between the residence status factor and delays time  in arrival (0.001 <0.05), there was a relationship between the ambulance use factor and delays time in arrival (0.002 <0.05) and there was no relationship between distance of residence factor and delays time in arrival (0.160>0.05).Conclusion: There are many factors that cause delays time in the arrival of ischemic stroke patients. The researcher hopes that further researchers can continue research on factors that influence the delay time in arrival of ischemic stroke patients so that they can find the right solution to overcome the problem of late arrival of ischemic stroke patients.
Determinan Kepatuhan Kunjungan Antenatal Care Pada Ibu Hamil Mukhammad Himawan Saputra; Syurandhari, Dwi Helynarti; Tjiptania , Firlana Fajr Arsyad; Fardiansyah, Arief
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 18 No. 1 (2026): FEBRUARI
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v18i1.1207

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain major public health challenges in Indonesia. Improving compliance with antenatal care (ANC) visits is essential to reduce pregnancy-related complications and prevent maternal and neonatal mortality. This study aimed to examine the association between maternal age, educational level, and parity with compliance to ANC visits at Puskesmas Sidotopo Wetan, Surabaya City. This study employed an analytical correlational design with a cross-sectional approach. A total of 312 pregnant women who utilized ANC services in 2024 were included using total sampling. Data were obtained from secondary records and analyzed using the Spearman Rho correlation test with a significance level of ? = 0.05. The results showed that educational level was significantly associated with ANC compliance (p = 0.038), indicating that higher education was related to better adherence to recommended ANC visits. Parity also showed a significant relationship with ANC compliance (p = 0.023), suggesting that pregnancy experience influences maternal compliance behavior. In contrast, maternal age was not significantly associated with ANC compliance (p = 0.097). Most respondents were aged 20–35 years (80.4%), had a senior high school education (55.1%), were multiparous (69.2%), and overall ANC compliance remained low (38.1%). In conclusion, educational level and parity are important determinants of ANC compliance, while maternal age does not significantly influence adherence. Targeted health education and counseling interventions, particularly for pregnant women with lower educational levels and specific parity characteristics, are needed to improve ANC compliance and support maternal and neonatal health outcomes