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Heavy metals in water and sediment of Way Ratai River due to small-scale gold mining activities in Pesawaran Regency, Lampung Province (Part I: mercury, cyanide, lead, and arsenic) Istighfarah, Vedelya; Dermiyati, Dermiyati; Rinawati; Prasetia, Hendra; Fasya, Muhammad Rizki Firdaus
Journal of Degraded and Mining Lands Management Vol. 12 No. 3 (2025)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15243/jdmlm.2025.123.7389

Abstract

The use of mercury and cyanide in the gold separation process at small-scale gold mining in Pesawaran Regency can carry mercury (Hg), cyanide (CN-), lead (Pb), and arsenic (As) as other heavy metals that are also harmful to the environment. This study aimed to determine the concentration and distribution of some heavy metals (Hg, CN-, Pb, As) found in the water and sediment of the Way Ratai River. Water and sediment samples were taken at 5 points along the Way Ratai River. The heavy metal analysis method used a Mercury Analyzer, Inductively Coupled Plasma Optical Emission Spectroscopy (ICP-OES), Atomic Absorption Spectrophotometry, and X-ray fluorescence. Mapping the distribution of heavy metal concentrations uses ArcGIS with the Inverse Distance Weighting (IDW) method. The results showed that the average concentration of Hg in water was 0.006 ppm, As was 0.023 ppm, and CN- was 0.003 ppm; Pb was not detected in river water. Meanwhile, in the river sediments, the average Hg was 11.83 ppm, As was 449.10 ppm, Pb was 450.88 ppm, and CN- was 0.38 ppm. It can be concluded that the concentration of heavy metals in the sediment of Way Ratai River is in the high category; the heavy metal content in river sediment is higher than that in water. For this reason, it is necessary to manage waste from gold processing activities, such as coagulation and absorption, to reduce the potential for environmental pollution.
PENGARUH SENAM KAKI TERHADAP SENSITIVITAS KAKI PADA PENDERITA DIABETES MELLITUS TIPE II Tarigan, Almina Rospitaria; Nainggolan, Elfrida; Saragih, Nurlela Petra; Laily, Eka Isranil; Basri; Rinawati
Jurnal Online Keperawatan Indonesia Vol 7 No 2 (2024): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v7i2.5463

Abstract

Diabetes Melitus merupakan penyakit kronis dengan hyperglikemia dan intoleransi glukosa yang  terjadi karena kelenjar pancreas  yang tidak memproduksi insulin secara adekwat yang diakibatkan tubuh tidak dapat  menggunakan insulin yang diproduksi secara efektif. Penelitian ini menggunakan desain quasi experimental dengan dibagi dua kelompok yaitu kelompok control dan kelompok perlakuan, Metode Uji statistic dengan uji Wilcoxon Rank Test. Latihan senam kaki dengan pasien Diabetes Melitus terdapat perubahan  sensitivitas yang  significan. Nilai sensitivitas kaki sebelum dilakukan terapi senam kaki diabetik dalam kategori sensitivitas kaki sedang yaitu sebanyak 7 responden (38,8%) dan setelah senam kaki didapatkan paling banyak dalam kategori sensitivitas kaki baik yaitu sebanyak 12 responden (66,7 %). Latar belakang: Penyakit Diabetes Melitus merupakan penyakit kronis yang dapat mengakibatkan komplikasi seperti Neuropati DM yang berefek kepada kerusakan sel saraf sensorik dan terganggaunya sensitivitas pada kaki. Tujuan: untuk mengetahui pengaruh senam kaki terhadap sensitivitas kaki pada penderita diabetes mellitus tipe 2. Metode: Quasy experimental dengan dua kelompok kontrol dan perlakuan, dengan uji statistikWilcoxon Rank Test. Hasil: terdapat pengaruh senam kaki terhadap sensitivitas kaki sebesar 66,7%. Kesimpulan: Penelitian ini dapat dikembangkan dan dilakukan edukasi serta praktik senam kaki kepada penderita diabetes mellitus tipe 2 untuk meningkatkan sensitivitas kaki penderita.
Literature Review : Faktor –Faktor yang Mempengaruhi Pola Makan Anak Usia 2-7 Tahun Ninda Azifati Nurfitri; Rinawati; Vera Yunita; Luvi Dian Afriyani
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

Suboptimal feeding practices and food intake in childhood are associated with poor health outcomes in adulthood. This literature review study aims to profile feeding practices, parental perceptions, and dietary diversity in children aged 2-7 years. The type of research is a study using the Literature Review Study method with the aim of analyzing factors that influence the eating patterns of children aged 2-7 years. The search was conducted electronically using a database from 2020 to 2024. The keywords used were "factors", "PMBA", "ASI", "dietary patterns". The search used the keywords above with the ProQuest Direct database according to the inclusion and exclusion criteria. The inclusion criteria were articles in Indonesian and English, articles that could be accessed in full text in PDF format and articles published in 2022-2024. The exclusion criteria were articles other than in English, could not beaccessed in full text PDF and secondary articles (such as review articles). The search results obtained 9 articles and 4 English articles were selected that could be accessed in full text in PDF format. The framework used is PICO (Population, Intervention, Comparison, Outcome). The research sample of children aged 2-7 years then the articles obtained were reviewed, systematically arranged, comparing one article with another, then discussed with other literature and linked so that they can produce appropriate results. The results of the review of 4 journals showed that in general 27.6% of children were exclusively breastfed until the age of 6 months and 62.1% of children were introduced to solid foods before the age of 6 months. More than 60% of children achieved minimum dietary diversity. Thematic analysis identified four themes, including, Mothers' perceptions of their children's diets, External Influences, Personal Experiences and Choices and Feeding Behavior. In conclusion, based on the results of the literature review that we obtained from the 4 articles, it can be concluded that the factors that influence feeding in children aged 2-7 years are Mothers' Perceptions of Their Children's Diets, external influences, personal experiences, choices and feeding behavior. For health workers, namely midwives, nurses and doctors, it is hoped that they can provide education to mothers and child care providers from an early age so that they can provide a diet appropriate to the age of 2-7 year.   Abstrak Praktik pemberian makan dan asupan makanan yang kurang optimal pada masa kanak-kanak dikaitkan dengan hasil kesehatan yang buruk di masa dewasa. Penelitian metode literatur review ini bertujuan untuk membuat profil praktik pemberian makan, persepsi orang tua, dan keragaman makanan pada anak 2-7. Jenis penelitian merupakan penelitian dengan menggunakan metode Studi Literatur Review dengan tujuan menganalisa faktor-faktor yang mempengaruhi pola makan anak usia 2-7 tahun.Pencarian dilakukan secara elektronik dengan menggunakan database dari 2020 sampai 2024. Keyword yang digunakan adalah “faktor-faktor/factors”, “PMBA”, “ASI”,”pola makan”,. Pencarian menggunakan keyword di atas dengan database ProQuest Direct sesuai dengan kriteria inklusi dan ekslusi. Kriteria inklusi adalah artikel berbahasa Indonesia dan inggris, artikel dapat diakses full text dalam bentuk pdf dan artikel terbitan tahun 2022-2024 Kriteria ekslusi artikel selain berbahasa inggris, tidak dapat diakses full text pdf dan artikel sekunder (seperti artikel ulasan review). Hasil penelusuran diperoleh 9 artikel dan dipilih sebanyak 4 artikel  bahasa inggris yang dapat diakses full text dalam format pdf. Kerangka kerja yang digunakan adalah PICO (Populasi, Intervensi, Comparasion, Outcome). Sampel penelitian anak usia 2-7 tahun selanjutnya artikel yang diperoleh di review, disusun sistematis, membandingkan artikel yang satu dengan uang lain, kemudian dibahas dengan literatur lainnya dan dikaitkan sehingga dapat menghasilkan hasil yang sesuai. Hasil tinjuan dari 4 jurnal menunjukkan bahwa secara garis besar 27,6% anak disusui secara eksklusif hingga usia 6 bulan dan 62,1% anak diperkenalkan dengan makanan padat sebelum usia 6 bulan. Lebih dari 60% anak mencapai keragaman makanan minimum. Analisis tematik mengidentifikasi empat tema, termasuk, Persepsi ibu tentang pola makan anak-anak mereka, Pengaruh Eksternal, Pengalaman Pribadi dan Pilihan dan Perilaku Pemberian Makanan. Kesimpulanya berdasarkan hasil literature review yang kami dapat dari 4 artikel tersebut dapat disimpulkan bahwa faktor-faktor yang mempengaruhi pemberian makan pada anak usia 2-7 tahun adalah Persepsi Ibu terhadap Pola Makan Anaknya, pengaruh eksternal, pengalaman pribadi, pilihan dan perilaku pemberian makanan. Bagi Tenaga kesehatan yaitu bidan, perawat dan dokter, diharapkan dapat memberikan edukasi kepada ibu,pengasuh anak sejak dini agar mereka dapat memberikan pola makan sesuai usia mulai 2-7 tahun.
PENGARUH PROGRAM EDUKASI PERAWATAN KAKI DIABETES MELITUS TERHADAP PENGETAHUAN KELUARGA rinawati
SAINS INDONESIANA Vol. 1 No. 1 (2023): Vol. 1, No. 1 Edisi Februari 2023
Publisher : Gamma Publishing

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Abstract

Diabetes Mellitus (DM) dikenal dengan penyakit kencing manis/penyakit gula merupakan penyakit kronis yang sering berujung pada komplikasi vaskular. Hal ini terjadi pada area distal paling sering terjadi ditandai dengan diabetic foot (kaki diabetes). Komplikasi kaki diabetes karena kurangnya informasi dan pemahaman dari pasien dan keluarga dalam mengenali tanda dan gejala yang dapat menyebabkan masalah kaki diabetes sehingga terjadi keterlambatan penanganan atau perawatan. Tujuan penelitian adalah untuk menganalisis pengaruh program edukasi perawatan kaki diabetes melitus terhadap pengetahuan keluarga. Jenis penelitian adalah quasi experiment design. Hasil uji statistik paired t-test pengetahuan keluarga tentang perawatan kaki diabetes melitus didapatkan bahwa nilai p = 0,000 < α = 0,05. Kesimpulan ada pengaruh program edukasi perawatan kaki diabetes melitus terhadap pengetahuan keluarga.
THE INFLUENCE OF CAREER DEVELOPMENT AND MOTIVATION ON EMPLOYEE PERFORMANCE AT BHAYANGKARA HOSPITAL Lubis, Ria; Rinawati
UTSAHA: Journal of Entrepreneurship Vol. 4 Issue 2 (2025)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/joe.v4i2.765

Abstract

This study aims to analyze the effect of career development and work motivation on employee performance at Polri Training Center Bhayangkara Hospital. The background of this study is based on the importance of human resource performance in ensuring the quality of health services, which is influenced by internal factors such as career development and work motivation. The approach used in this study is quantitative, with a survey method of the entire population of 165 hospital employees, consisting of medical and non-medical personnel. Data collection was conducted using a Likert scale closed questionnaire that had been tested for validity and reliability. Data analysis was conducted with multiple linear regression to test the simultaneous and partial effects between variables. The results showed that career development positively and significantly affects employee performance, with a significance value of 0.000 and a decisive contribution (β = 0.834). In contrast, work motivation did not show a statistically significant effect on employee performance (significance 0.122), although the direction of the relationship remained positive. The regression model has an R² value of 0.732, which means the career development and motivation variables together explain 73.2% of the variation in employee performance. This study emphasizes the importance of career development strategies in hospital HR management systems and the need for new approaches to improve the effectiveness of work motivation.
Hubungan Antara Brand Awareness, Brand Association, Perceived Quality dan Brand Loyalty Dengan Brand Equity di Rumah Sakit Umum Kartini Lampung Beni Nugroho, Dionysius; Rohendi, A.; Rinawati
Jurnal sosial dan sains Vol. 5 No. 4 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i4.32112

Abstract

Dalam sektor layanan kesehatan seperti rumah sakit, kepercayaan dan loyalitas pasien terhadap merek memainkan peran krusial. Merek yang tangguh tidak sekadar berupa nama atau logo, melainkan mencerminkan mutu pelayanan, citra positif, dan kedekatan emosional dengan pasien. Untuk mewujudkan merek seperti ini, rumah sakit perlu mengembangkan berbagai aspek dari brand equity. Proses ini tidak dapat dilakukan secara instan, melainkan membutuhkan dedikasi jangka panjang, pelayanan yang konsisten, serta penerapan strategi pemasaran yang efektif. Brand equity adalah ukuran tendensi konsumen untuk setia pada suatu merek berdasarkan pengalaman mereka sebelumnya. Elemen-elemen pembentuknya adalah kesadaran merek, persepsi kualitas, asosiasi merek, dan loyalitas merek. Di antara elemen-elemen ini, kesadaran merek adalah aset kunci (key of brand asset) yang krusial bagi perkembangan elemen lainnya. Oleh karena itu, rendahnya kesadaran merek hampir selalu berimplikasi pada rendahnya brand equity secara keseluruhan. Tujuan penelitian ini adalah untuk mengetahui hubungan antara “brand awaresness, brand association, perceived quality dan brand loyalty” terhadap “brand equity di Rumah Sakit Umum Kartini Lampung”. Penelitian ini diawali dengan populasi sebanyak 166 orang. Kemudian, teknik purposive sampling digunakan untuk menyeleksi sampel hingga mencapai 117 orang. Jenis penelitian yang diterapkan adalah deskriptif analitik dengan pendekatan cross sectional, dan data dianalisis menggunakan instrumen statistik berupa analisis regresi linier berganda. Penelitian ini menyimpulkan bahwa setiap elemen variabel independen berkorelasi positif dengan brand equity. Menariknya, peningkatan pada brand association dan perceived quality terbukti enam kali lebih efektif dalam meningkatkan brand equity dibandingkan dengan fokus pada brand awareness dan brand loyalty.
EFFECT OF BREWING BHEE FRUIT POWDER (Melastoma sp) AGAINST THE WEIGHT OF DIABETIC MICE Rinawati; Sri Wahyuni Muhsin; Siti Maisyaroh Fitri Siregar
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 2 (2025): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i2.188

Abstract

Diabetes is a metabolic syndrome that causes hyperglycemia. Diabetes can lead to weight loss. Glucose level control can indirectly restore weight. Glucose levels can be controlled using synthetic drugs and herbal drugs. Bhee fruit (Melastoma sp) is an herbaceous plant with antidiabetic effects. This study aims to determine the effect of Bhee fruit (Melastoma sp) infusion on weight changes in diabetic mice. The research method was a laboratory experiment using 24 mice which were divided into 6 treatment groups and four replicates, namely normal control, drug control, diabetes control, Treatment 1 (dose 100 mg/kgBB), Treatment 2 (dose 200 mg/kgBB) and treatment 3 (dose 400 mg/kgBB). The results showed that the weight in normal control increased slowly. The diabetes control group experienced weight loss until the last week of observation. The drug control group experienced a weight gain of 31.25%. Weight gain in the treatment group reached 6% (P1), 14.87% (P2), and 25% (P3). Conclusion: The higher the dose, the higher the ability to help restore body weight.
Studi Etnografi Persepsi Label Halal terhadap Keputusan Konsumen: Studi Kasus Masyarakat Muslim Bali Hafifah, Nur; Abrori, Faizul; Rinawati; Mustaqim Makki
ARBITRASE: Journal of Economics and Accounting Vol. 6 No. 1 (2025): July 2025
Publisher : Forum Kerjasama Pendidikan Tinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/arbitrase.v6i1.2437

Abstract

Indonesia, as the country with the largest Muslim population in the world, places great importance on the need for halal products, particularly in food and beverage consumption. The halal label is now seen not only as a religious requirement but also as a symbol of trust, quality, and cleanliness. However, in minority Muslim communities such as in Candikuning Village, Bedugul, Bali, challenges arise in ensuring the halalness of daily consumption amidst the dominance of non-Muslim business operators. This study aims to understand how the Muslim community in Candikuning Village interprets the halal label, both in its formal form (MUI certification) and symbolic form (Islamic identity of food stalls), and how these perceptions influence their consumption decisions. This research uses a qualitative approach with ethnographic methods. An ethnographic approach is used to explore the meaning behind halal consumption practices within the local socio-cultural context. The findings are expected to contribute conceptually to the study of Muslim consumer behavior and serve as a foundation for business actors and certification bodies in formulating more contextual and inclusive halal labeling and education strategies, particularly in multicultural regions such as Bali. This research employs a qualitative approach with ethnographic methods to explore perceptions of the halal label in the consumption practices of the Muslim minority in Candikuning Village, Bali. The results show that the Muslim community in Candikuning interprets the halal label not only as a religious requirement but also as a symbol of trust, cleanliness, and moral responsibility. Both official halal labels and informal Islamic symbols are used as consumption guidelines, reflecting religious awareness and caution in a multicultural environment.
RELATIONSHIP BETWEEN PARENTING PATTERNS AND FOOD INTAKE WITH THE INCIDENCE OF WASTING IN TODDLERS IN THE WORK AREA OF PADANG RUBEK COMMUNITY HEALTH CENTER Lestari Nadiah; Marniati; Rinawati
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 2 (2025): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i2.197

Abstract

Wasting is one of the indicators of nutrutional status in children. Wasting or thin toddlers is a combination of the trms wasted and severe wasted which is based on the weight index according to height (BB/TB) with a treshold (Z-score) <-2 SD. Based on the table, the study is the high number of wasting toddlers in the padang rubek health center work area in the last 3 years, namely in 2022, wasting toddlers reached 20 people (8,4%). In 2023, the number of wasting toddlers reached 24 people (8,8%) and inceased again in 2024 to 35 people (10,7%), this is figure is considered high because based on the WHO target the wasting figure is <5%. The purpose of this study was to analyze the relationship between maternal parenting patterns and food itake with the incidence of wasting in toddlers in the padang rubek health center work area. The research design used was cross-sectional. The number of samples was 35 people. This study focuses children under five years of age who are malnourished at the padang rubek community health center. Data analysis used the Chi-square statistical test, with a signivicant value of 95%. The results of this study indicate that there is a relationship between parenting patterns and wasting events (p = 0.020), there is a relationship between energy intake and wasting events (p = 0.003), and there is a relationship between protein intake and wasting events (p = 0.009). conlusion, there is a relationship between parenting patterns and food intake whit wasting events in toddlers in the padang rubek health center work area. Sugestions are to provide educatio about nutritious food and good parenting patterns to mothers of toddlers.
How Female Adolescents Exposed To Pornography? Sari, Rita Kartika; Anggara, Andhika Dwi; Intan, Yulice Soraya Nur; Mayangsari, Citra Primavita; Yusuf, Iwang; Trisnadi, Setyo; Rinawati
Public Health of Indonesia Vol. 11 No. 3 (2025): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i3.1008

Abstract

Background: The digital era has markedly increased adolescents’ exposure to explicit content, including pornography, raising significant concerns regarding its impact on sexual and reproductive health. This is particularly critical among female adolescents in Indonesia, where access to comprehensive sexual education remains limited. Objective: This study aims to examine the exposure of female adolescents to pornographic content, with a focus on patterns of media consumption and their implications for reproductive health. Methods: A descriptive cross-sectional study was conducted among 58 female adolescents aged 13 to 18 years in Karanganyar, Indonesia. Data were collected using a validated questionnaire and analyzed through descriptive statistical methods to identify patterns of media usage and exposure to pornography. Results: The findings indicated that the internet and handheld devices were the predominant sources of media consumption (96.6%), significantly contributing to exposure to pornographic material (86.2% and 96.6%, respectively). Television and print media also played contributory roles, particularly through soap operas and Western films. Exposure to pornography was associated with limited awareness of reproductive health, especially among younger participants. The exposure was further linked to distorted perceptions of sexual behavior, negative body image, and potential psychological consequences such as anxiety and low self-esteem. Conclusion: This study highlights the urgent need for targeted interventions to enhance critical media literacy and provide comprehensive sexual education for adolescents. Addressing these issues is essential to mitigate the adverse effects of pornography exposure on reproductive health, while taking into account cultural and contextual factors. Future research should investigate the longitudinal effects and gender-specific outcomes to inform the development of tailored preventive strategies. Keywords: adolescents; pornography; media exposure; reproductive health; sexual education
Co-Authors A. Rohendi A. Rohendi, A. Abrori, Faizul Adryan Rachman Afriyani, Luvi Dian Agus Suharyono Agus Suwanto Akmaludin Akmaludin, Akmaludin Ana, Lili Andreas Andoyo Anggara, Andhika Dwi Angkasawati Arnita Arnita Basri Beni Nugroho, Dionysius Dafenta, Hadi Dermiyati, Dermiyati Dewi, Linda Sari Djamaluddin, Ismail Efawati, Yen Eka Putri, Suci Eko Suhartono Erene Gernaria Sihombing, Erene Gernaria Ester Arisawati Fanisha, Yunda Fasya, Muhammad Rizki Firdaus Friyuanita Lubis Hafifah, Nur Hana hana lestari Hapsari Windayanti Henny Henny, Henny Herwina Ihsan, Muzhir Ika Verina Ima Rahmawati Imanullah Akbar Izza Patria Intan, Yulice Soraya Nur Isfani, Rizka Iskandar, Wardah Istighfarah, Vedelya Iwang Yusuf Jayawarsa, A.A. Ketut Kasmuri, Mudiono Khairunnas Kurniati , Yeni Laila Apriani Hasanah Harahap Laily, Eka Isranil Lestari Nadiah Lubis, Ria MARNIATI Marsela, Lara Mayangsari, Citra Primavita Miftha Churochman Mukri, Rusdiono Muliadi, Teuku Mulyani, Itza Munir, M.Misbahul Mursyidah, Azizah Mustaqim Makki Nadia Oktaviana Nainggolan, Elfrida Nana Supriatna Ninda Azifati Nurfitri Novi Ridianti Novita Andriayani Novita Andriyani Nur Lela Nurlela Nurlela Petra Saragih Nurrida Ritonga Rahma, Cukri Rara Maselina Jupon Rian Andriani, Rian Rismia Agustina Rita Kartika Sari Safrida Saputra, Ahmad Nurhadi Setyo Trisnadi Silfitri, Yunia Siswadi Siti Maisyaroh Fitri Siregar Slamet Budijanto Sri Wahyuni Muhsin Stasha Diva Sudijanto Suci Eka Putri Sudewi Sugiaman, Helga Audelia Susi Herlinda Susilawati, Ucu Tarigan, Almina Rospitaria Teuku Mulyadi Thontowi Djauhari Nur Subchi Tiatulrami Tri Susilowati Tri Susilowati Vera Yunita Veranita, Mira Wahyu Muhsin, Sri Wijayanti, Desi Wulandari, Desti Yatim, Hertasning Yatim, Herwin Yuli Dwi Bina Margarini