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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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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMERIKSAAN PAYUDARA SENDIRI SEBAGAI METODE DETEKSI DINI KANKER PAYUDARA DI PUSKESMAS TEGINENENG KABUPATEN PESAWARAN Bajuri, Annisa Nur Oktavia; Sari, Ratna Dewi Puspita; Soleha, Tri Umiana
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1069

Abstract

Breast cancer is the uncontrolled growth of cells in the lobules, ductus and supporting tissue of the breast that surrounds them. An examination for early detection of breast cancer is breast self-examination (BSE) which can reduce the mortality rate by 25-30%. Pesawaran District in 2018 had a coverage of the PTM indicator for BSE examination of 16,20%, with the highest achievement at the Gedong Tataan Community Health Center of 27,83% and the lowest in Tegineneng Community Health Center of 4,17%. This research was conducted to determine the factors associated with BSE behavior in women of childbearing age (WUS) in Tegineneng Community Health Center, Pesawaran Regency. The research used an analytical observational method with a cross sectional approach. The sampling technique was cluster sampling. Data was collected using a questionnaire and analyzed with chi-square test. The results showed that there was a significant correlation between knowledge (p-value 0.003) and media information (p-value 0.000) on BSE behavior. There was a significant relationship between knowledge and information media on BSE behavior. Meanwhile, there was no significant relationship between age, motivation, and the role of health workers on BSE behavior.
A 32-Year-Old Woman (G2P1A0) with Partial HELLP Syndrome and Severe Preeclampsia in a Term Pregnancy Arwin, Leonardo; Sari, Ratna Dewi Puspita
Medula Vol 14 No 6 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i6.1157

Abstract

Preeclampsia and HELLP syndrome are cases of obstetric emergencies that are still serious problems and have a high level of complexity. Preeclampsia is characterized by hypertension and proteinuria after 20 weeks of gestation, while HELLP syndrome is characterized by hemolysis, elevated liver enzymes, and thrombocytopenia. A 32 year old woman, term pregnant, G2P1A0, presented with a history of hypertension since pregnancy. The results of the physical examination, blood pressure was 165/120 mmHg, laboratory results showed that platelets were 150,000/µL, LDH 731 U/L, SGOT/SGPT 84/46 U/L and urine excretion showed proteinuria 500. The importance of knowing the risk factors for preeclampsia include the mother's age at the time. pregnant for more than 35 years, obesity, history of preeclampsia in a previous pregnancy, multiple pregnancies, and a history of certain diseases such as chronic hypertension, diabetes, kidney disease or degenerative diseases such as rheumatoid arthritis or lupus. Regular antenatal examinations and recognizing signs of preeclampsia as early as possible can prevent severe preeclampsia and its complications. Management of these patients includes stabilization, fluid management, preventing eclampsia, administering antihypertensive drugs and corticosteroids. Appropriate management in this case can prevent further complications and reduce maternal mortality. Diagnosis is based on anamnesis, physical examination and supporting support in patients given medical therapy in accordance with the theory and termination of pregnancy by caesarean section.
Spatial Analysis of Nearest Neighbors in Dengue Disease in Metro City sutarto, sutarto; Sari, Ratna Dewi Puspita; Utama, Winda Trijayanthi; Indriyani, Reni
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 3 (2024): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i3.2338

Abstract

Dengue Hemorrhagic Fever (DHF) poses a significant public health challenge in Metro City, Lampung Province, characterized by fluctuating case numbers. This study aims to analyze the spatial patterns of DHF using Geographic Information System (GIS) techniques and identify associated risk factors. Data were collected from DHF patients recorded between January and April 2024, revealing geographic variations in case distributions, with Iring Mulyo village reporting the highest incidence. The analysis indicates that most cases occur in individuals aged 6-59, although children aged 1-5 are notably at higher risk. Additionally, the distribution of cases shows a higher prevalence among females, likely due to environmental and behavioural factors. Vulnerability mapping highlights areas with elevated risk, particularly in densely populated regions. The findings underscore the necessity for targeted interventions, including community empowerment and vector control efforts. Recommendations are made for health authorities to employ data-driven strategies tailored to each area's unique demographic and environmental contexts. This study emphasizes the importance of continuous monitoring and adaptive strategy to control and prevent DHF effectively across different population segments.
Renewable Therapy Potential of Allogeneic Bone Marrow-Derived Mesenchymal Stem Cells for Idiopathic Pulmonary Fibrosis Bawono, Aloysius Krishartadi Damar; Balqis, Gasela Zalianti; Haq, Rais Amaral; Sari, Ratna Dewi Puspita; Utama, Winda Trijayanthi; Daulay, Suryani Agustina
Journal Medical Informatics Technology Volume 2 No. 2, June 2024
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v2i2.34

Abstract

Idiopathic pulmonary fibrosis (IPF) is a rare chronic respiratory disease characterized by progressive fibrotic changes in lung tissue of unknown origin, resulting in severe decline in lung function and poor prognosis with a median survival of 3 to 5 years. Current pharmacological therapies, including nintedanib and pirfenidone, aim to slow disease progression but are limited by side effects and lack of efficacy in reversing established fibrosis. This literature review explores emerging therapeutic approaches for IPF using data from PubMed, Google Scholar, and ScienceDirect databases. The review highlights mesenchymal stem cell (MSC) therapy, specifically allogeneic bone marrow-derived MSCs, as a promising option. MSC therapy demonstrates superior efficacy in improving forced vital capacity (FVC) by 3.7%, surpassing the effects of nintedanib (3.3%) and pirfenidone (-4.8%), while exhibiting minimal adverse effects. The findings underscore the potential of MSC therapy as a renewable treatment option for IPF, suggesting a paradigm shift towards addressing both disease progression and lung function restoration in affected individuals.
PEMANFAATAN LAHAN PEKARANGAN UNTUK PENINGKATAN GIZI BALITA DI DESA BANJAR AGUNG Trijayanthi Utama, Winda; Puspita Sari, Ratna Dewi; Sutarto, Sutarto; Indriyani, Reni
BUGUH: JURNAL PENGABDIAN KEPADA MASYARAKAT Vol. 3 No. 4 (2023): Desember 2023
Publisher : Badan Pelaksana Kuliah Kerja Nyata Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/buguh.v3n4.2157

Abstract

Stunting merupakan gangguan pertumbuhan yang bersifat irreversibel yang dapat dipengaruhi oleh banyak faktor salah satunya dipengaruhi oleh asupan nutrisi yang tidak adekuat. Prevalensi stunting di Provinsi Lampung masih cukup tinggi, berbagai upaya dilakukan pemerintah untuk menanggulangi masalah stunting. Salah satu upaya yang dilakukan adalah dengan mensosialisasikan pemanfaatan lahan pekarangan sebagai salah satu upaya pencegahan dan penanganan stunting. Terdapat perbedaan signifikan sumbangan energi, protein, dan lemak dari pekarangan rumah terhadap kejadian stunting, namun tidak terdapat perbedaan yang signifikan sumbangan karbohidrat dari pekarangan rumah terhadap kejadian stunting.
Hubungan Paparan Debu Kayu dengan Permasalahan Sistem Respirasi pada Pekerja Industri Mebel Ferdian, Ruben; Sirait, Naomi Elfriede; Situmorang, Cindy Miranda; Sari, Ratna Dewi Puspita; Utama, Winda Trijayanthi; Daulay, Suryani Agustina
Media Ilmiah Kesehatan Indonesia Vol. 2 No. 3 (2024): SEPTEMBER
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v2i3.358

Abstract

Penyakit Paru Akibat Kerja (PPAK) adalah kondisi kesehatan yang timbul sebagai akibat dari pajanan berbagai bahan berbahaya di tempat kerja. Debu kayu, yang dihasilkan oleh proses penggergajian dan pengamplasan di industri mebel, adalah salah satu contoh bahan yang dapat menyebabkan PPAK. Paparan debu kayu dapat menyebabkan gangguan pada sistem pernapasan, termasuk penurunan persentase kapasitas vital (VEP1/KVP), batuk, mengi, bronkitis kronis, sesak dada, dan asma. Kajian literatur ini membahas tentang hubungan paparan debu kayu dengan permasalahan sistem respirasi pada pekerja industri mebel. Hasil penelitian menunjukkan bahwa debu kayu dapat menyebabkan peradangan dan iritasi pada sistem pernafasan, serta dapat menimbulkan risiko kesehatan yang signifikan bagi pekerja yang terpapar debu tersebut. Debu kayu yang terbawa udara ini mempunyai dampak yang besar terhadap kesehatan hidung individu di lingkungan tersebut, khususnya karyawan. Dalam industri mebel, debu kayu dapat dihasilkan oleh berbagai proses, termasuk penggergajian dan pengamplasan. Debu kayu yang terbawa udara ini mempunyai dampak yang besar terhadap kesehatan hidung individu di lingkungan tersebut, khususnya karyawan. Oleh sebab itu, penting untuk meningkatkan kesadaran dan perhatian terhadap PPAK serta melakukan upaya pencegahan yang efektif untuk mencegah timbulnya penyakit ini. Pencarian dilakukan dalam rentang waktu tahun 2018-2023 melalui pangkalan data seperti Google Scholar, Pubmed, dan ScienceDirect, dengan menggunakan kata kunci yang mewakili seperti "debu kayu", "pekerja mebel", dan "sistem respirasi”. Proses penelitian melibatkan beberapa langkah, dimulai dengan pencarian dan pengumpulan artikel dari jurnal-jurnal ilmiah dan referensi dari buku yang dapat dijadikan landasan atau pedoman penelitian.
Potensi Tanaman Obat Untuk Mengatasi Tuberkulosis Resisten Obat: Kajian Literatur Prayogi, Norbertus Marcell; Hafizh, Ahmad Fauzan; Widjaja, Jovan; Sari, Ratna Dewi Puspita; Utama, Winda Trijayanthi; Daulay, Suryani Agustina
Jurnal Medika Malahayati Vol 8, No 3 (2024): Volume 8 Nomor 3
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v8i3.15091

Abstract

Tuberkulosis (TB) adalah penyakit infeksi kronis yang disebabkan oleh kompleks Mycobacterium tuberculosis. Indonesia berkontribusi secara signifikan terhadap beban TB global, dengan Organisasi Kesehatan Dunia (WHO) memperkirakan terdapat 969.000 kasus TB di negara ini. Pengobatan utama untuk TB adalah menggunakan beberapa antibiotik yang dikenal sebagai obat anti-tuberkulosis (OAT). Namun, penggunaan antibiotik dalam pengobatan meningkatkan risiko resistensi antibiotik. Resistensi terhadap antibiotik merupakan masalah yang dihadapi dunia dalam pengobatan infeksi bakteri, termasuk TB. Penggunaan ekstrak tanaman sebagai terapi alternatif untuk TB telah menjadi fokus penelitian. Tanaman obat tradisional telah digunakan untuk berbagai penyakit di banyak budaya di seluruh dunia. Tanaman-tanaman ini mengandung senyawa aktif yang memiliki potensi untuk melawan bakteri dan memiliki sifat-sifat yang mendukung penyembuhan serta meminimalkan efek samping. Tinjauan literatur ini bertujuan untuk merangkum berbagai penelitian ekstrak tanaman dari seluruh dunia untuk memahami potensi ekstrak tanaman sebagai terapi alternatif untuk TB, khususnya TB yang resisten terhadap obat. Studi ini menggunakan pencarian komprehensif dari tiga basis data (Pubmed, Google Scholar, dan Science Direct) dari tahun 2018 hingga 2023. Hasil menunjukkan bahwa berbagai ekstrak tanaman telah ditemukan memiliki aktivitas antimikroba terhadap M. tuberculosis, termasuk Lophira lanceolata, Zanthoxylum Leprieurii, Echinops Amplexicaulis, Acacia hockii, Albizia coriaria, Combretum molle, Warburgia ugandensis, dan Aphloia theiformis. Nilai Konsentrasi Minimum Inhibitor (MIC) dari ekstrak ini berkisar dari 0,0488 hingga 1.500 mg/mL.
Perbandingan Berbagai Airway Clearance Therapy Yang Paling Efektif Dalam Pengeluaran Sputum Pada Pasien Pneumonia Prianti, Vreyza; Natasha, Messya; Sabrina, Michelle; Sari, Ratna Dewi Puspita; Utama, Winda Winda Trijayanthi; Daulay, Suryani Agustina
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 10 (2024): Volume 11 Nomor 10
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i10.15506

Abstract

Pneumonia adalah penyebab kematian terbesar di dunia, dengan 15 negara memiliki angka kematian yang paling tinggi diakibatkan pneumonia, termasuk Indonesia yang menempati posisi kedelapan dengan jumlah kematian mencapai 22.000 jiwa. Pneumonia bisa terjadi kepada anak-anak, orang dewasa, ataupun lansia dan kejadian pneumonia tersering berada di negara bagian Asia Selatan dan Afrika. Fisioterapi dada dan pernapasan bibir (pursed lip breathing) adalah dua teknik yang sering digunakan dalam fisioterapi respirasi untuk membantu pengeluaran sputum yang efektif. Hasil penelitian menunjukkan bahwa fisioterapi dada sama efektifnya dengan pernapasan bibir (pursed lip breathing) dalam pengeluaran sputum pada pasien pneumonia. Fisioterapi dada melibatkan serangkaian gerakan dan manipulasi pada dada dan area toraks yang dirancang untuk merangsang pengeluaran sputum, serta memberikan stimulasi fisik yang lebih aktif pada dada dan paru-paru. Pengawasan fisioterapis yang terlatih memungkinkan untuk penyesuaian yang tepat sesuai dengan kondisi pasien, yang dapat meningkatkan efektivitasnya. 
Sepsis neonatal atau biasa dikenal dengan sepsis neonatorum merupakan infeksi yang melibatkan seluruh aliran darah dan semua organ-organ pada bayi baru lahir yang berusia kurang dari 28 hari. Penyakit ini masih menjadi penyebab utama morbiditas dan mort Sabila, Ghina; Apriliana, Ety; Islamy, Suryadi; Sari, Ratna Dewi Puspita
Medula Vol 14 No 7 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i7.1258

Abstract

Neonatal sepsis is a systemic infection that involves the entire bloodstream and organs of newborns, making it one of the leading causes of neonatal morbidity and mortality, particularly in low- and middle-income countries. Neonatal sepsis is classified into early-onset sepsis (EOS) and late-onset sepsis (LOS), with varying etiologies involving gram-positive bacteria, gram-negative bacteria, and fungi. This article aims to provide a comprehensive review of the etiology, risk factors, diagnosis, and management of neonatal sepsis using an evidence-based approach. This article is based on an analysis of current literature relevant to the epidemiology, pathogenesis, and treatment of neonatal sepsis. EOS is primarily caused by vertical transmission of infection during delivery, with Group B Streptococcus (GBS) as the leading cause, while LOS is often associated with nosocomial infections caused by Staphylococcus epidermidis. Risk factors include prematurity, low birth weight, invasive procedures, and poor infection control. Management involves the administration of broad-spectrum empirical antibiotics within one hour of suspected sepsis, tailored to culture results. A holistic approach, including NICU care, family education, and optimization of infection prevention, has been shown to effectively reduce morbidity and mortality. Neonatal sepsis remains a significant challenge in perinatology, necessitating comprehensive management with an evidence-based approach encompassing timely antibiotic therapy, nosocomial infection control, and family education to improve neonatal outcomes. Preventive efforts, such as enhancing perinatal hygiene and neonatal care, must be optimized to reduce the incidence of neonatal sepsis.
Review Literature: Relationship of Food Intake and the Incidence of Dyspepsia Syndrome in Medical Students Napitupulu, Cindy Cecilia Anasthasya; Rahmanisa, Soraya; Happy, Terza Aflika; Sari, Ratna Dewi Puspita
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1443

Abstract

Dyspepsia syndrome is a digestive disorder characterized by symptoms such as epigastric pain, burning, bloating and nausea. In Indonesia, the prevalence is high, with most cases classified as functional dyspepsia. In medical students, poor and irregular diets are common due to academic pressure, busy schedules, and unhealthy lifestyles, which are thought to be the main risk factors for dyspepsia. These habits are further exacerbated by the consumption of unhealthy foods, such as fast food, as well as the habit of eating at irregular times. This study aimed to evaluate the relationship between diet and the incidence of dyspepsia syndrome in medical students in Indonesia through a literature review. A literature search was conducted online using Google Scholar with the keywords “dyspepsia syndrome,” “medical student dyspepsia syndrome,” and “medical student diet.” Of the 635 articles found, 16 were screened based on relevance of content, availability of full text, use of Indonesian language, and time of publication within the last 5 years. Five relevant articles were selected for further review. The review showed a significant association between disordered eating patterns and the incidence of dyspeptic syndrome. Habitual skipping of breakfast, consumption of fast food, eating under stressful conditions, and lack of balanced nutritional intake contributed to the risk of dyspepsia. This conclusion emphasizes the importance of health education on regular diet, stress management, and healthy lifestyle to prevent dyspepsia syndrome and improve the quality of life of medical students.
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