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All Journal Jurnal Kesehatan Masyarakat Indonesia Medula Juke jurnal niara Biomedical Journal of Indonesia Jurnal Pengabdian Pada Masyarakat Holistik Jurnal Kesehatan Jurnal Dunia Kesmas Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati JURNAL ILMIAH KESEHATAN SANDI HUSADA Bioscientia Medicina : Journal of Biomedicine and Translational Research NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) Essential: Essence of Scientific Medical Journal MAHESA : Malahayati Health Student Journal Jurnal Kesehatan Saintika Meditory Archives Pharmacia Bioscientia Medicina : Journal of Biomedicine and Translational Research Buguh: Jurnal Pengabdian Kepada Masyarakat Action Research Literate (ARL) Jurnal Ilmu Medis Indonesia Asian Journal of Health and Applied Sciences Journal Medical Informatics Technology Media Ilmiah Kesehatan Indonesia Majority Jurnal Ilmiah Kesehatan Sandi Husada JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Ratna Dewi Puspita Sari
Faculty Of Medicine, Universitas Lampung
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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KOMITMEN STOP STUNTING DALAM KEGIATAN KEMITRAAN DUKUN BERANAK, BIDAN DESA, PAMONG DESA DAN IBU BALITA DI DESA BINAAN FAKULTAS KEDOKTERAN, UNIVERSITAS LAMPUNG Sutarto Sutarto; Ratna Dewi Puspita Sari; Winda Trijayanthi Utama; Reni Indriyani
BUGUH: JURNAL PENGABDIAN KEPADA MASYARAKAT Vol. 2 No. 3 (2022)
Publisher : Badan Pelaksana Kuliah Kerja Nyata Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (714.445 KB) | DOI: 10.23960/buguh.v2n3.1083

Abstract

Introduction: Stunting is a condition of chronic malnutrition in children. There are many causes of stunting factors, among them the behaviour of pregnant women and child care patterns. Prevention of stunting is very important so it takes commitment together by convergence, taking into account maternal and child health services. With this joint commitment, it will assist maternal and child health services, in the context of preventing stunting in Cipadang village. The purpose of this activity is to establish a partnership relationship and commitment to stunting mothers under five, traditional birth attendants, health cadres and health midwives in the context of STOP Stunting. Method: Executor devotion by method counselling lecture group and continue the discussion. On a different day conducted an Interview depth and delivery of staples needs family. Data analysis using different test statistics in pairs. Results and Discussion: counselling and discussion there is an increase in the knowledge of extension participants in Cipadang village to establish a partnership relationship and commitment to stunting mothers under five, traditional birth attendants, health cadres and health midwives in the context of STOP Stunting through signing the commitment banner of village officials and mothers of children under five
Pemanfaatan Isoflavon Dengan Bahan Dasar Kulit Kopi Robusta Dengan Penanda BMD (Bone Marrow Density) Pada Wanita Peri/Post Menopause Ratna Dewi Puspita Sari; Samsul Bakrie
Biomedical Journal of Indonesia Vol. 5 No. 3 (2019): Vol 5, No 3, 2019
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v5i3.8684

Abstract

Peningkatan usia harapan hidup perempuan di Indonesia yang mencapai usia 72 tahun menyebabkan hampir sepertiga masa hidupnya dijalani pada saat menopause. Populasi perempuan menopause di Indonesia akan meningkat dengan segala dampak akibat penurunan hormon estrogen berupa keluhan klimaterik dan peningkatan risiko terjadinya kekeroposan tulang/osteoporosis. Pilihan yang terbaik dan merupakan pengobatan standar untuk keluhan klimaterik dan osteoporosis adalah terapi hormonal (Estrogen+Progesteron/Estrogen). WHO tahun 2004 menyatakan bahwa terapi hormon pada perempuan menopause meningkatkan risiko kanker payudara. Di Indonesia, Fitoestrogen banyak beredar di pasaran dengan kategori sebagai suplemen dan telah digunakan oleh masyarakat untuk mengatasi keluhan klimaterik dan osteoporosis. Fitoestrogen ini belum terbukti secara ilmiah bermanfaat untuk mengatasi keluhan-keluhan klimaterik maupun osteoporosis pada perempuan menopause. Fitoestrogen di pasaran yang digunakan sebagai pil Permi III mengandung Red Clover, Black Cohosh dan kalsium. Beberapa penelitian menyebutkan bahwa fitoestrogen untuk terapi osteoporosis dapat diperoleh dari isoflavon yang berasal dari kulit kopi robusta. Isoflavon ini dapat mempengaruhi densitas mineral tulang pada wanita peri/post menopause. Penggunaan fitoestrogen (isoflavon) dari kulit biji kopi berpengaruh terhadap wanita peri/post menopause serta membantu pemeliharaan dan pembentukan massa tulang.
Rutinitas Senam Hamil dengan Melahirkan Spontan Ratna Dewi Puspita Sari; Sutarto Sutarto; Winda Trijayanthi Utama; Dian Pratiwi
Jurnal Ilmu Medis Indonesia Vol. 2 No. 2 (2023): Maret
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jimi.v2i2.1376

Abstract

Purpose: The length of labor can be caused by many factors, including inadequate contractions, fetal factors and birth canal factors. Factors that affect labor include: power, passage, passenger, psychic, and helper. Pregnancy exercise is an exercise to train the muscles so that they function optimally in normal delivery. The purpose of this study is to provide knowledge, benefits, and preparation for childbirth in pregnant women. Method: The method used in this study is a literature review using Publish or Perish (PoP) databases, Scopus, and Google Schooler. The purpose of using this method is to analyze the articles that have been obtained. Results: Exercise for pregnant women can reduce discomfort or anxiety during pregnancy and prepare physically and psychologically during the process of waiting to give birth. Sports that can be done by pregnant women during pregnancy are pregnancy exercise, pregnancy yoga, and other sports, of course, with assistance from health workers. Limitations: This article is only for analysis and does not carry out direct research. Contribution: With knowledge, preparation for childbirth and accompanied by the right health personnel, pregnant women will be able to give birth smoothly, safely and is expected to reduce the Maternal Mortality Rate and Infant Mortality Rate.
Pemberdayaan Skill dan Pengetahuan Kader Kesehatan Mengenai Penanganan Kegawatdaruratan Obstetri sebagai Upaya Menurunkan Nilai Angka Kematian Ibu (AKI) di Desa Cipadang Kecamatan Gedong Tataan Kabupaten Pesawaran Ratna Dewi Puspita Sari; Sutarto Sutarto; Winda Trijayanthi Utama
Jurnal Ilmu Medis Indonesia Vol. 2 No. 2 (2023): Maret
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jimi.v2i2.1405

Abstract

Purpose: The objectives of the implementation of this service activity are: maximizing the role and function of pregnant women cadres in Cipadang Village, Pesawaran Regency, strengthening the implementation of supervision of pregnant women cadres at the Pesawaran Regency level, and improving the quality of service and care in managing the anxiety of pregnant women during the COVID-19 pandemic in Pesawaran District. Method: The method used in the implementation of this activity is to provide counseling to the people of Cipadang Village which is carried out in two stages, namely the preparation stage and the implementation stage. The preparatory stage includes determining the target area, surveying the target area, partnering with partners, licensing the place, making the design of extension materials, and preparing the needs of cadres. While in the second stage, namely conducting a pre-test which aims to determine how far the knowledge of the participants about the topic to be given and a post-test to determine the increase in public understanding of the extension activities carried out. Results: Shows that the p-value is 0.000. This shows that there is a difference in the knowledge of the counseling participants before being given education and after being given education. Limitations: The article is only done in Cipadang Village, so socialization is needed in other villages in Pesawaran Regency. Contribution: This service activity is expected to provide scientific knowledge and skills to maternal cadres regarding the management of anxiety for pregnant women during the COVID-19 pandemic at the Pesawaran Regency community level.
Hubungan Tingkat Kecemasan Ibu Hamil pada Masa Pandemi Covid-19 Kepatuhan Melakukan Antenatal Care di Rumah Sakit Abdul Moeloek Bandar Lampung Ratna Dewi Puspita Sari; Sutarto Sutarto; Winda Trijayanthi Utama
Jurnal Ilmu Medis Indonesia Vol. 2 No. 2 (2023): Maret
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jimi.v2i2.1431

Abstract

Purpose: The COVID-19 pandemic has had a negative impact on physical and mental health. During this pandemic, there has been an increase in stress and anxiety in individuals who experience it. Individuals who are susceptible to stress and anxiety, one of which is pregnant women. Maternal compliance in undergoing antenatal care is one of the efforts made to determine the health of the mother and fetus during pregnancy. This pandemic is one of the reasons that make pregnant women delay starting ANC services. Based on the background of the problem, this study was conducted to find out whether there is a relationship between the level of anxiety of pregnant women during the COVID-19 pandemic with compliance with ANC at the Cipadang Village Health Center, Pesawaran Regency. Method: This study uses an observational analytic method with a cross sectional approach. Respondents were taken using total sampling technique. The data used in this study is primary data. The independent variable in this study was the level of anxiety which was assessed using the Hamilton Anxiety Rating Scale. The dependent variable of this study is the number of ANC visits obtained through the MCH book. Results: A total of 54 pregnant women with an age range of 19-42 years, a minimum score of 0 and a maximum score of 36, the number of ANC visits at least 1 time and a maximum of 16 ANC visits. The results showed that there were 6 pregnant women (11.1%) working with a junior high school education level of 22 people (40.7%). A total of 40 (74.1%) pregnant women were multigravida. The number of ANC visits was found to be the same in each group with complete and incomplete ANC visits, with an anxiety level of 36 people (66.7%). p-value is 0.013 so that there is a significant relationship between anxiety levels and ANC compliance. Limitations: The number of subjects involved in the study was still small and subjects were not involved in each trimester. Contribution: The results of this study are expected to provide information about the importance of ANC and maintain mental health for pregnant women and be input for health agencies to pay more attention to anxiety management education related to concerns of pregnant women in conducting ANC visits during the COVID-19 pandemic.
Multigravida Preterm dengan IUGR pada Preeklampsia Berat: Sebuah Laporan Kasus Febrina Halimatunisa nisa; Ratna Dewi Puspita Sari
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.409

Abstract

Intrauterine growth restriction (IUGR) is a baby born at term but has a low birth weight (LBW) due to impaired fetal growth while in the mother's womb. Intrauterine growth restriction (IUGR) is closely related to severe preeclampsia (PEB). In PEB there is interference with placental implantation, thereby reducing blood flow to the fetus. Reduced blood flow causes inadequate nutrition for fetal growth. Intrauterine growth restriction (IUGR) is a fairly common complication, where the prevalence reaches 3-7% of all pregnancies in developing countries. This study is a case report where Mrs. Ni, 41 years old with G3P2A0 34 weeks pregnant came to PONEK with clear discharge and heartburn up to the waist. On the os, it was found that the conjunctiva was anemic and the height of the uterine fundus did not match the gestational age. Laboratory examinations showed hemoglobin 10.4 g/dL, Hematocrit 32%, erythrocytes 3.7 million/ul, proteinuria ++. Based on the data above, the patient was diagnosed as Mrs. Ni, G3P2A0, 41 years old, 34 weeks gestation, single live fetus, intrauterine, breech presentation, right back, not yet inpartu with IUGR.
Faktor Risiko dan Manajemen Mirror Syndrome Muhammad Hasbi Sahbani; Nurul Islamy; Citra Yuliyanda Pardilawati; Ratna Dewi Puspita Sari
Jurnal Ilmiah Kesehatan Sandi Husada Vol 11 No 2 (2022): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v11i2.800

Abstract

Introduction: Mirror syndrome is a rare prenatal clinical condition associated with significant fetal death and maternal morbidity. Objective: To Know more about Mirror Syndrome comprehensively. Methods: The literature review study combines the essence of several relevant sources from national and international sources. Results: Mirror syndrome is defined by the presence of a clinical trial that includes fetal hydrops, placental hydrops, and maternal oedema. Several fetoplacental diseases are also associated with MS, which can be classified into diverse groups based on: different etiologies. Conclusion: There are many things still unknown about Mirror Syndrome. Early diagnosis is essential to determine the etiology of Mirror Syndrome and the appropriate treatment according to its type.
Wanita G2P1A0 Hamil 39 Minggu Belum Inpartu dengan Eklampsi Janin Tunggal Hidup dan Suspek Pertumbuhan Janin Terhambat Karina Azlia Amanda; Karunia Santi; Ratna Dewi Puspitasari
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.548

Abstract

Eclampsia is a syndrome characterized by hypertension and proteinuria after 20 weeks of gestation and can be accompanied by organ damage and seizures. Preeclampsia and eclampsia are the causes of 30-40% of perinatal deaths and are one of the obstetric complications that cause a lot of morbidity and mortality in addition to bleeding and infection. The female patient, 21 years old, was taken to Abdul Moeloek Hospital by her family at the referral of Bumi Waras Hospital with complaints of pregnancy with high blood pressure and a history of seizures before hospital admission. From the examination of an obgyn specialist outside, an ultrasound was performed with the results of intauterine growth restriction. The gestosis index in this patient is 10. The diagnosis in this patient Gravida 2 Partus 1 Abortion 0 (G2P1A0) 39 weeks pregnant and not yet parturition with eclampsia of a live singleton fetus with cephalic presentation and suspect IUGR (intrauterine groth restriction). The patient received active management after receiving medical and observative therapy. Medical therapy consists of MgSO4, nifedipine and dexamethasone. The diagnosis and management in this case have been adjusted according to the reference.
Sarkoma Ewing: Diagnosis dan Tatalaksana Hisbul Waton; Helmi Ismunandar; Oktadoni Saputra; Ratna Dewi Puspita Sari
Medula Vol 13 No 2 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i2.657

Abstract

Ewing's sarcoma (ES) is the second most common bone malignancy. It is accompanied by osteosarcoma. Ewing's sarcoma is most common in people between the ages of 10 and 20, or becomes more common in their 20s, and most cases affect males. The exact cause of Ewing's sarcoma is unknown, but it is currently associated with a translocation of chromosomes 11 and 12 which results in fusion of the EWS and FL-1 genes in 90% of cases. Ewing's sarcoma is often diagnosed with an extensive lesion and metastases, so the patient's prognosis is poor. Complaints that are often found in patients with Ewing's sarcoma are pain, fever, mass and fracture pathology. In addition, laboratory tests found an increase in blood sedimentation levels (ESR), anemia followed by an increase in white blood cells, lactate dehydrogenase (LDH). Radiographs show ill-defined, punctate, penetrating, or moth-eaten lesions, onion-like periosteal reaction, and abundant soft tissue around the diaphysis or metaphysis. Treatment of Ewing's sarcoma is a multimodal approach that combines chemotherapy, physical therapy, and radiation therapy. This combination has been shown to increase the 5-year survival rate of patients with Ewing's sarcoma to over 50%.
Morbidity and Mortality Factors Analysis of Caesarean Section Ratna Dewi Puspita Sari; Winda Trijayanthi Utama; Ratu Nirmala Wahyunindita
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.41 KB) | DOI: 10.37287/ijghr.v3i3.563

Abstract

Caesarean Section is the most common obstetric surgery performed today. CS delivery without medical indication increases the risk of maternal morbidity and mortality 3-5 times higher than vaginal delivery techniques. The increased risk of morbidity and mortality in CS delivery is due to complications caused, during intraoperative or postoperative. Lampung Province is one of the provinces with the highest MMR value in Indonesia (148 per 100,000 live births) with a CS birth selection of 13.18%. The aim of this research is to analyze the characteristics of factors associated with maternal morbidity and mortality in CS delivery. Both morbidity groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.01), education (p<0.02) and the incidence of maternal deaths. Meanwhile, parity and delivery complication variables did not show significant. correlations to maternal deaths (p>0.05). Both mortality groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.05), education (p<0.03), delivery complication (p<0.04) and the incidence of maternal deaths. Meanwhile, maternal age and parity variables did not show significant. corelations to maternal deaths (p>0.05).
Co-Authors Alghani, Sulthan Rafi Alvira Balqis Soraya Aminuyati Amir, Anzela Ananda, Amallia Ari Irawan Romulya Ari Irawan Romulya Arif Yudho Prabowo Arli Suryawinata Arwin, Leonardo Asep Sukohar Bajuri, Annisa Nur Oktavia Bakrie, Samsul Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Budiman, Dicky Citra Yuliyanda Pardilawati Daulay, Suryani Agustina Dedy Miswar Desta Stallaza Alifka Dewi Nur Fiana Dian Isti Angraini Dian Novita Dian Pratiwi Diana Mayasari Dinda Annisa Fitria Dwi Rani Sukma Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Ety Apriliana Ety Apriliana Evi Kurniawati, Evi Evriana Citra Fakhri Wisa Amrulloh Fatahillah, Fatahillah Fauzia, Nikma Syalsabiela Febrina Halimatunisa nisa Ferdian, Ruben Fiana Deswita Fitriani Antika Dhamayanti Hafizh, Ahmad Fauzan Hafshah, Hafshah Happy, Terza Aflika Haq, Rais Amaral Hardiyanti, Rahma Helmi Ismunandar Hisbul Waton Indah Salsabila Indriyani, Reni Intanri Kurniati Islamy, Suryadi Jeffrey Surya jefri irawan Jezmy, Beby Kelidia JM Seno Adjie Karina Azlia Amanda Karunia Santi Khairun Nisa Kurniati, Intan Mallarangeng, Andi Nafisah Tendri Adjeng Maulana Irfan Hazairin Siregar Meilisa Hidayah Putri Muchtiar, Mulyadi Muhammad Hasbi Sahbani Muhartono Muhartono Muslikh Muslikh Napitupulu, Cindy Cecilia Anasthasya Natasha, Messya Naza Tsasbita Hayuning Adila Nirfandi, Haikal Nurul Islamy Nurul Islamy Nurul Utami Oktadoni Saputra Prayogi, Norbertus Marcell Prianti, Vreyza Putri, Tiara Triwansa Putu Ristyaning Ayu Rachmi Lestari Rukmono Rafa Habiba Sono Rahmatullah, Muhammad Rayza Rani Himayani Rasmi Zakiah Oktarlina Ratna, Maya Ganda Ratu Nirmala Wahyunindita Regina Pingkan Reni Indriyani Reni Indriyani Reni Indriyani Reni Indriyani Reni Zuraida Retno Arienta Sari Rika Lisiswanti Rika Lisiswanti Ringgi Tantra Setiawan Risti Graharti Rizki Hanriko Rodiani Rodiani, Rodiani Romulya, Ari Irawan Sabila, Ghina Sabrina, Michelle Sahputra, Rahmat Tridhandy Samsul Bakri Samsul Bakrie Sangging, Putu Ristyaning Ayu Saragih, Reynhard Saragih, Reynhard Theodorus Septia Eva Lusina Septiani, Linda Sirait, Naomi Elfriede Situmorang, Cindy Miranda Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Sono, Rafa Habiba Soraya Rahmanisa Suharyani Susan Yulia Laura Howay Sutarto Sutarto Sutarto Sutarto Sutyarso TA Larasati Taufiqurrahman Rahim Tesya Agustin Tiara Cornela Azqinar Tri Lamtiur Pakpahan Tri Umiana Soleha Trijayanthi Utama, Winda Utama, Winda Winda Trijayanthi Widjaja, Jovan Winda Trijayanthi Utama, Winda Trijayanthi Winda Trijjayanthi Utama Wulansari, Rifda Zahra Dewi Difa