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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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Severe Pre-Eclampsia with Partial Hellp Syndrome in Multigravida Preterm Pregnancy Ratu Nirmala Wahyunindita; Ratna Dewi Puspita Sari
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.264 KB) | DOI: 10.37287/ijghr.v4i1.706

Abstract

Preeclampsia is the second highest cause of maternal death in Indonesia. The incidence of preeclampsia in Indonesia is very high at 24%. West Java is a province in Indonesia with a high preeclampsia rate of 25%.Pre-eclampsia is a vascular endothelial dysfunction and vasospasm that occurs at gestational age above 20 months and is characterized by hypertension and proteinuria, with or without pathological edema. Severe preeclampsia (PEB) is characterized by a minimum of systolic blood pressure 160 mmHg or diastolic blood pressure 110, impaired liver function, progressive renal insufficiency, pulmonary edema, brain and visual disturbances, or thrombocytopenia. This research is descriptive observational with a case report approach. The aim of this research is to discuss updates on the occurrence, concept, pathophysiology, and management of preeclampsia. In the case reported, a female patient, aged 29 years G3P2A0, 36 weeks gestational age with severe pre-eclampsia, partial hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in a multigravida preterm pregnancy with grade I obesity and a history of cesarean section 5 years ago. After evaluation, the patient complained of headache and heartburn. After confirmation, the fetus has IUGR, then active management with Transperitoneal Sectio Caesarea is chosen.
Diabetes mellitus tipe 1: Literature Review Ringgi Tantra Setiawan; Ratna Dewi Puspita Sari; Andi Nafisah Tendri Adjeng; Ety Apriliana
Jurnal Kedokteran Universitas Lampung Vol 7, No 1 (2023): JURNAL KEDOKTERAN UNIVERSITAS LAMPUNG
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila71%p

Abstract

Diabetes mellitus tipe 1 adalah penyakit kronis kedua yang paling umum dan gangguan endokrin-metabolik pada masa kanak-kanak yang ditandai dengan defisiensi insulin dan hiperglikemia yang dihasilkan. Ini semakin banyak didiagnosis pada anak-anak, karena spektrum skrining yang luas. Diperkirakan prevalensi antara 1,1 sampai 1,4/1000 anak di bawah usia 15 tahun. Diabetes mellitus tipe 1. membutuhkan penanganan yang hati-hati untuk menghindari komplikasi jangka panjang yang serius, termasuk penyakit jantung dan ginjal, stroke, dan kehilangan penglihatan. Saat ini, pengobatan “one-size-fts-all” untuk diabetes tipe 1 adalah terapi substitusi insulin eksogenik, namun pendekatan ini gagal mencapai kontrol glukosa darah yang optimal pada banyak individu. Situasi seperti itu dapat mempengaruhi kualitas hidup anak dan anggota keluarga. Faktor lingkungan dapat mempengaruhi faktor ini. Usia, jenis kelamin, jenis asuransi kesehatan memiliki hubungan yang signifikan secara statistik dengan kualitas hidup yang lebih baik. Pendidikan ibu, status perkawinan ibu, rejimen insulin dan kontrol glikemik mengubah kualitas hidup ibu-bayi. Usia rata-rata timbulnya penyakit adalah 8,8 tahun, memulai debutnya dengan ketoasidosis diabetik. Hemoglobin glikosilasi (HbA1c) adalah titik perubahan lainnya. Tingkat tinggi diperoleh dalam kepatuhan dan kualitas hidup. Kualitas hidup dikaitkan dengan penggunaan sistem pemantauan glukosa terus menerus untuk menghindari hipoglikemia yang tidak terlalu parah dan komplikasi ginjal. Menghadapi situasi seperti itu, tujuannya adalah untuk melakukan tinjauan literatur tentang subjek untuk menilai dampak diabetes tipe 1 dan akibatnya pada kehidupan anak.Kata Kunci: DM Tipe 1, Kompikasi, Tatalaksana
Pengaruh Pemanfaatan Lahan Pekarangan Rumah terhadap Kejadian Stunting di Kabpaten Tanggamus, Provinsi Lampung sutarto sutarto; Ratna Dewi puspita Sari; Winda Trijayanthi Utama; Reni Indriyani
Jurnal Kesehatan Masyarakat Indonesia Vol 18, No 2 (2023): Volume 18. No. 2 Tahun 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkmi.18.2.2023.14-21

Abstract

Stunting merupakan kondisi kurang gizi kronis disertai dengan komplikasi penyakit. Prevalensi stunting anak balita di Indonesia 29,9% dan provinsi Lampung 27,4% serta terbanyak di pedesaan. Kondisi prevalensi stunting di Lampung pada posisi di bawah angka nasional tetapi masih di atas 20% (target WHO kurang dari 20%). Kabupaten Tanggamus angka sunting turun menjadi 3,3%, namun demikian terdapat 25 desa yang mempunyai angka prevalensi stunting di atas 10%. Desa dengan lahan pekarangan yang rata rata cukup luas dapat dimanfaatkan secara maksimal sebagai lahan ekonomis dan perlu penanganan, sehingga dapat menjadi program percepatan pencegahan stunting. Tujuan penelitian ini menjelaskan pengaruh pemanfaatan lahan pekarangan rumah terhadap kejadian stunting di Kabupaten Tanggamus.Motode menggunakan disain case control dengan lokasi di 16 desa wilayah kerja kabupaten Tanggamus sebanyak 200 responden, menggunakan analisa regresi logistik ganda.Terdapat 2 variabel dari 12 variabel secara simultan berpengaruh terhadap kejadian stunting yaitu motivasi kepala keluarga dalam memanfaatkan lahan pekarangan rumah, pengalaman kepala keluarga dalam memanfaatkan lahan pekarangan rumah.  Motivasi pengalaman memanfaatkan lahan pekarangan yang kurang baik secara tidak langsung berpengaruh terhadap kejadian stunting di Kabupaten Tanggamus sebesar 27,6% dan 73,4% dipengaruhi oleh faktor lain.
PEMBERDAYAAN KELOMPOK WANITA USIA PRODUKTIF TENTANG PENTINGNYA TABLET TAMBAH DARAH SEBAGAI PENCEGAHAN ANEMIA SAAT MENSTRUASI DI DESA GEDUNG CAHAYA KUNINGAN KECAMATAN NGAMBUR KABUPATEN PESISIR BARAT LAMPUNG Ratna Dewi Puspita Sari; Sutarto Sutarto; Winda Trijayanthi Utama
BUGUH: JURNAL PENGABDIAN KEPADA MASYARAKAT Vol. 3 No. 2 (2023): Juni 2023
Publisher : Badan Pelaksana Kuliah Kerja Nyata Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/buguh.v3n2.2158

Abstract

Indonesia memiliki permasalahan kesehatan berupa anemia yang paling banyak diderita oleh wanita usia produktif. Kejadian anemia pada wanita usia produktif setiap tahunya mengalami peningkatan. Salah satu penyebab anemia adalah kekurangan zat besi pada tubuh yang berpengaruh terhadap produksi sel darah merah terganggu. Kegiatan pengabdian ini berguna untuk meningkatkan pengetahuan dan keterampilan dalam pengelolaan anemia pada wanita usia produktif di tingkat masyarakat. Kegiatan ini terdiri dari penyuluhan dan pemberian informasi kepada wanita usia subur terkait pentingnya tablet tambah darah sebagai pencegahan anemia
Hubungan Konsumsi Kafein dengan Kejadian Depresi Indah Salsabila; Putu Ristyaning Ayu Sangging; Intanri Kurniati; Ratna Dewi Puspitasari
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.488

Abstract

Depression is a mood disorder. Depression is characterized by a feeling of sadness that lasts continuously and for a long time, which can interfere with a person's physical condition and social life. Around 121 million people in the world suffer from depression. It is estimated that only 30% of people with depression get proper treatment. This number does not include people who have clinical symptoms of depression but are not actually diagnosed. Some patients are also considered not to get proper treatment. The number of Indonesian populations aged more than 15 years and diagnosed with depression is 12 million sufferers. Pharmacological therapy in depressed patients is antidepressants such as serotonin and noradrenaline reuptake inhibitors (SNRIs), and selective serotonin reuptake inhibitors (SSRIs). However, there are side effects that can result from long-term use of these drugs. Therefore, other treatments such as giving herbal medicines are needed to reduce symptoms in people with depression. Giving caffeine with the right dose can reduce the risk of depression, because of its ability to block the adenosine receptor subunit. However, caffeine consumption with doses above 68mg and below 509mg per day is assessed to have the opposite effect that increases the risk of developing depression.
The Influence of Nutrition in Pregnant Women on Breaking Postpartum at Puskesmas Inpatient Working Area in Bandar Lampung City Sari, Ratna Dewi Puspita
Asian Journal of Health and Applied Sciences Vol. 2 No. 1 (2023): Asian Journal of Health and Applied Sciences (AJHAS)
Publisher : Lighthouse Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53402/ajhas.v2i1.271

Abstract

Indonesia as a developing country still has nutritional problems, especially pregnancy nutrition. Malnutrition in pregnant women increases the risk of bleeding postpartum. This study was conducted to determine the effect of maternal nutritional status during pregnancy on the incidence of bleeding postpartum at the Bandar Lampung Inpatient Health Center. This research is an observational analytic by design case control. Samples, taken using the technique purposive sampling, divided into 61 cases and 122 controls at the Bandar Lampung Inpatient Health Center. The analysis was carried out using chi square and logistic regression test. The highest proportion of mothers giving birth at the Bandar Lampung Inpatient Health Center were mothers who were not at risk of CED (84.7%) and were not anemic (71.6%). There is a significant effect between the risk of chronic energy deficiency (CED) (p=0.001; OR=8.62) and anemia status (p=0.001; OR=9.54) on the incidence of bleeding postpartum. Anemia status (p=0.001; OR=11.41) is the variable with the strongest relationship to bleeding events postpartum. The highest proportion of mothers giving birth at the Bandar Lampung Inpatient Health Center were mothers who were not at risk of CED and were not anemic. The nutritional status of pregnant women including the risk of CED and anemia status affect the incidence of bleeding postpartum in birthing mothers. Variable with the strongest relationship to bleeding events postpartum is anemia status.
Hubungan Ketuban Pecah Dini dengan Kejadian Kala II Lama pada Ibu Bersalin di RSUD Abdul Moeloek Provinsi Lampung Tri Lamtiur Pakpahan; Ratna Dewi Puspita Sari; Sutyarso; Rodiani
MAJORITY Vol 10 No 1 (2021): MAJORITY
Publisher : Majority

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Abstract

Prolonged second-stage labor is one causes of the maternal mortality rate (MMR) in the world. The average lenght of labor in the world causes maternal mortality by 8% and in Indonesia by 9%. Maternal mortality is most often occurs during childbirth, one of the causes is the long second stage (37%) and perinatal death itself is one of the causes is asphyxia in infants (28%). The purpose of this study was to determine the relationship of Premature Ruptur of Membrane with the events of the old stage II of maternity mothers. The method used in this study uses observational analytic methods with cross sectional design. A total of 69 patients were selected by consecutive sampling technique. The date was collected from medical records of patients in the midwifery room Dr. H. Abdul Moeloek Lampung Province. The inclusion criteria of this study were mothers aged 18-40 years with term gestational age and having KPD. Patients who were accompanied by birth defects, fetal abnormalities and parturition with conditions of sectiocesarea were excluded from the study sample. The results showed that as many as 37 patients (72.6%) who experienced premature rupture of membrane at the time of the inpartu showed an old stage II event and as many as 8 patients (44.4%) patients who experienced premature rupture of membrane when not before the party showed the event of the old stage II. Based on the Chi-square test, the value of p = 0.031 (p
Faktor-faktor yang Mempengaruhi Prolaps Organ Panggul di RSUD DR. H. Abdul Moeloek Provinsi Lampung Periode 1 Januari 2014 – 31 Desember 2018 Fiana Deswita; Ratna Dewi Puspita Sari; Ety Apriliana; Nurul Islamy
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

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Abstract

Pelvic organ prolapse (POP) is a condition that affects a woman's quality of life. Pelvic organ prolapse can include uterine prolapse, cystocele and rectocele. POP occurs due to weakness of the muscles, ligaments and fascia that support the pelvic organs. This condition can be influenced by factors such as age, parity, menopause, body mass index and occupation. This study aims to determine the relationship of these factors to the incidence of POP. The study is an observational analytic with cross sectional approach, using secondary data from the medical records of gynecological patients at H. Abdul Moeloek Hospital in the period 1 January 2014 to 31 December 2018 with a total sampling technique. Then univariate and bivariate analyzes were performed using the chi-square test. The incidence of POP in the period of 1 January 2014 to 31 December 2018 in the H. Abdul Moeloek Hospital was 33 cases. Factors that had a relationship with the highest risk sequence are parity (p = 0.000; OR 7,959), age (p = 0.002; OR 7,250), menopause (p = 0.014; OR 5.019), body mass index (p = 0.036; OR 3.297) and type of work (p = 0.036; OR 3.297).All factors studied is parity, age, menopause, body mass index and type of work were associated with the incidence of pelvic organ prolapse in patients at H. Abdul Moeloek Hospital, Lampung Province January 2014 to 31 December 2018
Pengaruh Faktor Usia Ibu Hamil Terhadap Jenis Persalinan di RSUD DR. H. Abdul Moeloek Provinsi Lampung Dwi Rani Sukma; Ratna Dewi Puspita Sari
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Labor has its risks for both mother and fetus, such as illness until death risk. There is two types of labor: vaginal labor and abdominal labor. The optimal productive age for a healthy reproduction is between 20 – 35 years old. The risk will increased at the age below 20 years old and above 35 years old. This research is an quantitative research with an observational analytic design. The population of this research is the women in labor at RSUD Dr. H. Abdul Moeloek Lampung Province between July 2017 – September 2017. The sample of this research is all the women in labor between July – September 2017, in total of 191 sample. Sample is taken with purposive sampling. Research data collection was obtained from medical record. Bivariate analysis using Chi Square. The result of this research showed that pregnant women below 20 years old and above 35 years old who gave birth by vaginal labor is 52,5%. While abdominal labor is 47,5%. For pregnant woman between 20 – 35 years old who gave birth by vaginal labor is 69,7% and abdominal labor is 30,3%. The result of Chi Square analysis showed that there are effects of age factor of pregnant women and the types of labor at RSUD Dr. H. Abdul Moeloek Lampung Province with p = 0,034. OR score obtained at OR = 2,007 thus pregnant woman in risk age (below 20 and above 35 years old) has twice abdominal labor risk compared with woman with reproductive age (20-35 yearls old). There is effect of age factor of pregnant women with an type of labor at RSUD Dr. H. Abdul Moeloek Lampung Province
Hubungan Penyakit Jantung pada Kehamilan dengan Kematian Maternal di RSUD Abdul Moeloek Bandar Lampung periode 2016—2019 Regina Pingkan; Ratna Dewi Puspita Sari; Diana Mayasari; Taufiqurrahman Rahim
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Maternal mortality is maternal deaths during pregnancy, childbirth, and puerperium but not due to other causes such as accidents or falling in every 100,000 live births. One of the important risk factors for maternal mortality is Peripartum Heart Disease. Peripartum Heart Disease (PPHD) is the highest cause of maternal death in 2018 at Abdul Moeloek Hospital in Bandar Lampung. This study aims to determine the relation between PPHD and maternal mortality. This research was a retrospective cohort study design and conducted in October—November 2019 at Abdul Moeloek Hospital in Bandar Lampung. The research sample was 96 respondents obtained using simple random sampling technique. The data used are secondary data from medical records from January 2016 to September 2019. The case group consisted of 48 pregnant women suffering from cardiac disease and the control group consisted of 48 pregnant women who did not suffer from cardiac disease. Data were analyzed by univariate and bivariate tests using the chi-square statistical test with α = 0.05.There were 9 respondents (18.75%) in the case group who experienced maternal death and 1 respondent (2.1%) in the control group who experienced maternal death. Statistical test results obtained there is a relation between Peripartum Heart Disease with maternal mortality in RSUD Abdul Moeloek Bandar Lampung period of 2016—2019.
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