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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
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Pemberian Tokolitik pada G1P0A0 Hamil 28 Minggu Belum Inpartu dengan KPD dan Oligohidramnion Alvira Balqis Soraya; Dinda Annisa Fitria; Ratna Dewi Puspita Sari
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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

Abstract

Premature rupture of membranes is a rupture of the amniotic membrane before delivery. It occurs in 3% of pregnancies and carries a risk of preterm delivery. Each year there are 15 million babies born and more than 1 in 10 babies born prematurely (gestation less than 37 weeks). Obtained patient Mrs. IR, 36 years old, came with complaints of preterm pregnancy accompanied by water-discharge. This complaint was felt since two days before entered the hospital, clear color, odor less and changed sanitary napkins three times a day. The patient appeared to be moderately ill, consciousness compos mentis, blood pressure 118/87 mmHg, pulse 83x/minute, breathing 23x/minute and, temperature 36 ° C. The generalist status of the patient was within normal limits. On obstetric examination, there was a TFU of 3 fingers above the umbilicus (24 cm). The lower part of the mother's fetus was round, bouncy, hard with the impression of the head, not yet in PAP. His (-), fetal heart rate 148x/minute. Inspeculo examination found closed OUE, fluorine -, fluxus: +, amniotic (+) inactive, erosion / laceration / poly (-), red litmus (+) to blue. The patient was diagnosed as 28 weeks pregnant G1P0A0 with promiscuity of single live fetal head presentation and oligohydramnios. To prevent preterm labor in this case, conservative therapy is given in the form of antibiotics (prevent in increase dinfection), corticosteroids (fetal lung maturation), and tocolytics (suppress in uterine contractions). To assess the success of tocolytic therapy, the tocolytic index was used.  
Hubungan Tingkat Pengetahuan Gizi Ibu Hamil dengan Taksiran Berat Janin di Wilayah Kerja Puskesmas Kedaton Kota Bandar Lampung Desta Stallaza Alifka; Reni Zuraida; Efriyan Imantika; Ratna Dewi Puspita Sari
MAJORITY Vol 12 No 1 (2023): MAJORITY
Publisher : Majority

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59042/mj.v12i1.175

Abstract

One of the activities routinely carried out in antenatal care is the measurement of Fundus Uterine Height (FUH) to determine Estimated Fetal Weight (EFW). Fetal weight growth can be indirectly affected by the basic nutritional knowledge of  pregnant  women  about the  importance of  fulfillinf nutrition during pregnancy to  support the  health  and development  of the  fetus. The aim of the study was to determine the relation between the level of nutritional knowledge of pregnant women and the estimated fetal weight at Kedaton Primary Health Center Bandar Lampung City. The research design used was analytic observational with cross sectional approach using primary data by measuring the knowledge of pregnant  women  using  a  questionnaire  consisting of 28 question  items  and  secondary  data  in  the   form  of uterine fundal height in the KIA book. Sampling was conducted at the Kedaton Primary Health Center in 2020. The sample was taken using purposive sampling with a total sample of 46 samples that met the inclusion and exclusion criteria. Data analysis used Chi Square with α = 0.05 and CI = 95%. The results  showed  that  there  were  8.7%  mothers with good nutritional knowledge, 71.7% mothers with moderate nutritional knowledge and 19.6% mothers with poor nutrition knowledge. Then pregnant women with small EWF during pregnancy and large EFW during pregnancy consisted of 10.9% and 78.3% respectively of mothers with EFW according to gestational age. Bivariate analysis showed that there was a relationship between the level of nutritional knowledge in pregnant women and the estimated fetal weight at Kedaton Health Center with a value of p = 0.003. There is a correlation between the level of nutritional knowledge of pregnant women with the estimated fetal weight.
Faktor-Faktor yang Memengaruhi Efektivitas Manajemen Program Imunisasi HPV dalam Pencegahan Kanker Serviks Rafa Habiba Sono; Ratna Dewi Puspita Sari; Rika Lisiswanti; Ari Irawan Romulya
Action Research Literate Vol. 8 No. 4 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i4.290

Abstract

Kanker serviks merupakan masalah kesehatan yang serius bagi perempuan di Indonesia. Beberapa faktor yang dapat memengaruhi efektivitas program ini meliputi aspek kebijakan publik, aksesibilitas pelayanan kesehatan, partisipasi masyarakat, kerjasama lintas sektoral, dan pendekatan komprehensif dalam implementasi program. Tujuan penelitian ini adalah mengidentifikasi potensi permasalahan, memastikan efektivitas program dalam jangka panjang, dan mendukung perbaikan strategis untuk mencapai target pemerintah dalam meningkatkan layanan imunisasi. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Data dikumpulkan melalui wawancara mendalam dan telaah dokumen. Penelitian ini berlangsung dari bulan November 2023 hingga Januari 2024. Fokus penelitian ini adalah pada instansi Dinas Kesehatan Bandar Lampung, Puskesmas Panjang, Puskesmas Pasar Ambon, dan Puskesmas Labuhan Ratu. Teknik pengambilan sampel yang digunakan adalah purposive sampling dan maximal variation sampling. Hasil penelitian menunjukan jumlah informan sebanyak 10 orang, dengan melibatkan satu informan dari Dinas Kesehatan berperan sebagai Koordinator Fungsional Surveilens dan Imunisasi, serta dari masing-masing Puskesmas Panjang, Labuhan Ratu, dan Pasar Ambon, terdiri dari tiga informan, yaitu Kepala Puskesmas, Koordinator Imunisasi, dan paramedis yang terlibat dalam pelaksanaan kegiatan. Faktor-faktor yang memengaruhi efektivitas manajemen program imunisasi HPV adalah sumber daya manusia, pendanaan, sarana dan prasarana,  tahapan perencanaan dan pra-implementasi, tahapan pendistribusian dan pelaksanaan Imunisasi, tahapan monitoring dan evaluasi, penerimaan program imunisasi, dan upaya keberlanjutan. Kesimpulan penelitian ini sumber daya manusia, pendanaan, infrastruktur, tahapan perencanaan dan pra-implementasi, tahapan distribusi dan pelaksanaan imunisasi, tahapan pemantauan dan evaluasi, penerimaan program imunisasi, serta usaha untuk kelangsungan program, semuanya merupakan faktor-faktor yang memiliki pengaruh terhadap efektivitas manajemen program imunisasi HPV.
Hubungan Antara Indeks Massa Tubuh (Imt), Lemak Tubuh, Dan Siklus Menstruasi Pada Remaja Putri Sman 10 Bandar Lampung Maulana Irfan Hazairin Siregar; Ratna Dewi Puspita Sari; Winda Trijayanthi Utama; Reni Zuraida
Action Research Literate Vol. 8 No. 4 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i4.293

Abstract

Menstruasi merupakan proses fisiologis pada remaja putri, dengan siklus normal minimal 21 hari dan maksimal 35 hari. Terdapat beberapa faktor risiko yang dapat mempengaruhi siklus menstruasi seperti Indeks Massa Tubuh (IMT) dan persentase lemak tubuh. Penelitian ini bertujuan untuk menyelidiki hubungan antara indeks massa tubuh (IMT), persentase lemak tubuh, dan siklus menstruasi pada remaja putri di SMAN 10 Bandar Lampung. Penelitian ini menggunakan pendekatan cross sectional, dengan teknik pengambilan sampel cluster random sampling. Data variabel IMT didapatkan dengan perhitungan rumus IMT, variabel persentase lemak tubuh diukur dengan Bioelectrical Impedance Analyze (BIA), dan variable siklus menstruasi diperoleh dengan teknik wawancara responden. Data yang terkumpul dianalisis secara univariat dan bivariat Chi-Square. Berdasarkan hasil univariat didapatkan gambaran IMT  tidak normal sebesar 85,1% dan IMT normal sebesar 14,9%. Pada persentase lemak tubuh, didapatkan 76,6% tidak normal dan 23,4% normal. Pada siklus menstruasi diperoleh responden dengan siklus tidak normal sebesar 26,4%, dan normal sebesar 73,6%. Berdasarkan analisis bivariat antara IMT dengan siklus menstruasi menunjukkan p-value = <0,001, dan sedangkan pada persentase lemak tubuh dengan siklus menstruasi menunjukkan p-value = 0,482. Kesimpulan penelitian ini menunjukan bahwa terdapat hubungan antara IMT dengan siklus menstruasi pada remaja putri di SMAN 10 Bandar Lampung. Tidak terdapat hubungan antara persentase lemak tubuh dengan siklus menstruasi pada remaja putri di SMAN 10 Bandar Lampung.
HUBUNGAN AKTIVITAS FISIK TERHADAP FLEKSIBILITAS LUMBAL PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS LAMPUNG Hafshah, Hafshah; Fiana, Dewi Nur; Puspita Sari, Ratna Dewi
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 4 (2024): Volume 11 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i4.13508

Abstract

Mahasiswa kedokteran cenderung memiliki tingkat aktivitas fisik yang ringan. Penurunan tingkat aktivitas fisik dapat memengaruhi fleksibilitas. Gaya hidup yang cenderung kurang aktif akan menimbulkan terjadinya kekakuan pada otot atau jaringan ikat pada sendinya. Hal ini disebabkan oleh adanya pemendekan atau atrofi otot karena otot tersebut kurang aktif digunakan. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat aktivitas fisik terhadap fleksibilitas lumbal. Penelitian cross sectional dilakukan terhadap 42 orang mahasiswa Fakultas Kedokteran Universitas Lampung angkatan 2017 berjenis kelamin laki-laki. Penelitian dilakukan dengan melakukan pengukuran terhadap tingkat aktivitas fisik menggunakan Global Physical Activity Questionnaire (GPAQ) dan fleksibilitas lumbal menggunakan metode toe touch test dengan alat standing trunk flexion meter. Penelitian ini menunjukkan hasil berupa 19 responden (45,2%) memiliki tingkat aktivitas fisik rendah, 17 responden (40,5%) memiliki tingkat aktivitas fisik sedang dan 6 responden (14,3%) memiliki tingkat aktivitas fisik tinggi. Nilai rerata fleksibilitas lumbal responden sebesar 3,676 cm dengan standar deviasi 9,0734. Tingkat aktivitas fisik tidak memengaruhi fleksibilitas lumbal dengan nilai p = 0,628. Tidak terdapat hubungan antara tingkat aktivitas fisik terhadap fleksibilitas lumbal pada mahasiswa Fakultas Kedokteran Universitas Lampung.
Epidemiologi Dan Diagnosis Preeklamsia Rahmatullah, Muhammad Rayza; Sutarto, Sutarto; Sari, Ratna Dewi Puspita; Romulya, Ari Irawan
Medula Vol 14 No 2 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.964

Abstract

Preeclampsia is a serious pregnancy complication characterized by high blood pressure and organ damage. This condition poses a health risk for both the mother and the fetus. This article reviews the epidemiology and diagnosis of preeclampsia. Its epidemiology is complex with varying global prevalence. Risk factors include maternal age, history of preeclampsia and family, multiple pregnancies, obesity, diabetes, and kidney disease. Common diagnostic methods include blood pressure measurement, urine analysis, laboratory tests, and Doppler ultrasonography to assess the placenta and fetus. Prevention and early detection are the major priorities to reduce maternal and infant mortality rates. Further research is needed to develop better diagnostic and prevention strategies. Increasing understanding of the epidemiology and diagnostic methods of preeclampsia, more mothers and babies can be protected from the risks of this condition in the future.
Efektivitas Vaksin Human Papillomavirus Pada Anak Perempuan dalam Upaya Pencegahan Kanker Serviks Sono, Rafa Habiba; Ratna Dewi Puspita Sari; Rika Lisiswanti; Ari Irawan Romulya
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i2.994

Abstract

With high mortality rates worldwide, cervical cancer is a major threat to women's health. The World Health Organization (WHO) has set a global strategy for elimination through HPV vaccination. Indonesia has implemented the HPV Immunization Introduction Program, including its implementation in the School Children Immunization Month, aimed at grade 5 and 6 elementary schools. The prevalence of cervical lesions has been reduced by HPV vaccination, but screening and adapting to changing epidemiology remain challenging. The influence of socioeconomic factors on risk highlights the need for prevention strategies that address social disparities. Successful vaccination not only protects individuals but also contributes to overall public health. Therefore, it requires adaptation and collaboration across sectors to address cervical cancer globally.
Literature Review : Tatalaksana Mioma Uteri Fatahillah, Fatahillah; Hanriko, Rizki; Septiani, Linda; Sari, Ratna Dewi Puspita
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.996

Abstract

Myoma or uterine fibroids are benign tumors that often occur in the uterine wall. Myomas can be asymptomatic or cause symptoms such as abnormal bleeding, pelvic pain, and disorders of the urinary tract. Risk factors include age, race, age of menarche, parity, family history, hormonal contraceptive use, and obesity. Diagnostic examination involves pelvic examination, ultrasound, hysteroscopy, and MRI. Medical therapies used such as NSAIDs, oral contraceptives, Levonorgestrel-releasing intrauterine system (Mirena), tranexamic acid (cyclocapron), GnRH agonists and SPRMs and surgeries such as myomectomy, hysterectomy, uterine artery embolization, and MRgFUS. Management of Myoma must consider various factors, namely tumor size, patient age, symptom and the desire to maintain fertility in order to provide optimal treatment according to the patient's needs and preferences.
Hubungan Antara Kualitas Ridur dan Aktivitas Fisik dengan Siklus Menstruasi pada Remaja Putri di SMAN 5 Bandar lampung Amir, Anzela; Sari, Ratna Dewi Puspita; Utama, Winda Trijayanthi; Berawi, Khairun Nisa
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.1003

Abstract

Menstruation is a natural process in which the inner uterine lining of the uterus is regularly released every month in women. The most vulnerable period for a person to experience menstrual disorders is during the first year, about 75% of adolescent girls experience menstrual disorders. According to the World Health Organization (WHO), 75% of adolescent girls experience menstrual cycle disorders. Risk factors that can cause disruptions in the menstrual cycle include hormonal imbalances due to environmental stressors and excessive physical activity and low energy intake. In addition, exposure to pollutants such as cigarette smoke, stress, depression, short sleep, Body Mass Index (BMI), and certain medical conditions can also affect the menstrual cycle. This study is an analytical study with cross-sectional design. The study was conducted at SMAN 5 Bandar Lampung in October - December 2023. The research instruments used in this study were questionnaires to assess sleep quality, namely PSQI, questionnaires from who, namely GPAQ to measure physical activity, and menstrual cycle questionnaires to assess menstrual disorders in respondents. Chi-square test results with a confidence level of 95% showed a p-value of 0.265 (p-value > 0.05) on sleep quality variables and p-value of 0.006 (p-value < 0.05) on physical activity variables. There is no relationship between sleep quality and physical activity with the menstrual cycle in adolescent girls at SMAN 5 Bandar Lampung in 2023. There is a relationship physical activity with the menstrual cycle in adolescent girls at SMAN 5 Bandar Lampung in 2023.
Gangguan Siklus Menstruasi Alghani, Sulthan Rafi; Sari, Ratna Dewi Puspita; Septiani, Linda; Utama, Winda Trijayanthi
Medula Vol 14 No 3 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i3.1048

Abstract

The female reproductive system undergoes regular cycles in preparation for pregnancy and fertilization, known as the menstrual cycle. This cycle involves hormonal changes and complex physiological processes, with the follicular phase dominated by estrogen and the luteal phase dominated by progesterone. Menstrual cycle disorders, such as amenorrhea, polymenorrhea, and oligomenorrhea, can be caused by various factors including hormonal imbalances, unhealthy lifestyles, and certain medical conditions. Management of menstrual disorders varies depending on their causes, which may require a holistic and individualized approach. A good understanding of the menstrual cycle and its disorders is crucial for accurate diagnosis and appropriate treatment. It is also important to promote overall women's reproductive health.
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