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Night Shift Work Accelerates Menopausal Age in Health Workers Sri Ratna Dwiningsih; Samsulhadi Samsulhadi; Arif Tunjungseto; Monika Lijuwardi; Arsana Wiyasa
Biomolecular and Health Science Journal Vol. 4 No. 1 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i1.25361

Abstract

Introduction: Earlier menopause has been associated with increased risk of cardiovascular disease, osteoporosis, shorter life expectancy and even cognitive decline. There are many factors that cause differences in the age of menopause in women, one of these environmental factors is a history of night shift work as a consequence of a job. It is not yet known whether female medical workers, with a history of night shifts, get earlier menopause.Methods: This case control study was conducted among 57 female night workers of the Dr. Soetomo General Academic Hospital. Data collection was conducted from December 2019 - March 2020. The study sample was postmenopausal health workers (nurse and midwife) and administrators. The instrument used in this study was a list of interview questions. The data was processed using SPSS software release 23.Results: The results show that from 45 children diagnosed with ALL, 53% are of the age ≤ 5 years old, with 58% males and 42% females. 13% of the patients are in the high risk group and 87% are in the standard risk group. Nutritional statuses of patients are 2% of them obese experienced remission after induction phase therapy, 56% normal with 80% of them experienced remission. 40% underweight with 89% of them experienced remission and 11% not experienced remission, 2% malnutrition and experienced remission. There is no correlation between the nutritional status of children with acute lymphoblastic leukemia with the outcome of induction phase (p = 0.798).Conclusion: In conclusion, there is no correlation between nutritional status and remission outcome of patients with ALL in the induction phase of therapy. However, high percentage of underweight patients shows nutrition needs special attention to improve therapy outcomes. 
Pemberdayaan Remaja untuk Peningkatan Kesehatan Reproduksi Melalui Program SAMBA (Bersama Remaja Tuban Bangun Bangsa) Prasetyo, Budi; Prasetyo, Muhammad Rizkinanda; 'Izza, Alifina; Khairunnisa, Zalfa Dinah; Cahyaningtyas, Fabella Elisa; Rizal, M. Masrur; Poempida, Fayka Putri Poempida; Pranadyan, Rizki Pranadyan; Andriyanti, Andriyanti; Ningtyas, Woro Setia Ningtyas; Dharmayanti, Hanifa Erlin; Yusuf, Muhammad; Tunjungseto, Arif; Setianingrum, July; Rukmini, Rukmini
Jurnal Pengabdian Masyarakat Bangsa Vol. 2 No. 10 (2024): Desember
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v2i10.1770

Abstract

Pernikahan dini pada remaja memiliki dampak serius pada kesehatan, sosial dan ekonomi, dengan kelompok berpendidikan rendah atau status ekonomi rendah paling rentan. Remaja yang menikah dini berisiko tinggi mengalami komplikasi kehamilan, persalinan, serta masalah kesehatan mental. Kehamilan dini atau di luar nikah merupakan penyebab utama pernikahan dini pada remaja yang membawa risiko kesehatan dan memerlukan intervensi yang komprehensif. Tingginya pernikahan dini dan kehamilan remaja di pedesaan Indonesia berdampak negatif pada perkembangan fisik, hormonal, psikologis remaja, serta meningkatkan risiko komplikasi bagi ibu dan bayi. Kurangnya pengetahuan reproduksi dan kontrol seksual pranikah remaja memerlukan intervensi komunitas untuk mengatasi masalah ini. Kabupaten Tuban menjadi fokus program edukasi reproduksi karena tingginya pernikahan dini. Program ini memberikan edukasi komprehensif dan partisipatif kepada remaja, termasuk melalui modul GACHA yang interaktif dan pemilihan kader remaja untuk mencegah perilaku berisiko.
Successful management of an unruptured extrauterine pregnancy in a woman with a history of prior miscarriage in Indonesia: a case report Mukti, Achmad Fahrur Rozi; Tunjungseto, Arif
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 2 April 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i2.2111

Abstract

Objective: To describe the prompt and successful treatment of an extrauterine pregnancy case in a tertiary-level hospital in Indonesia. Methods: We report a case of prompt and successful management of unruptured tubal pregnancy in the dr. Soetomo General Hospital Surabaya. Results: Mrs. N (32 years old) presented with lower abdominal pain and vaginal bleeding several days before admission. She was sexually active, used no contraceptives, and had a history of miscarriage. On examination, she was hemodynamically stable. A bimanual exam revealed cervical motion tenderness and pain. A high human chorionic gonadotropin (hCG) level (1,725 IU/L) and a left-sided mass, highly suspected as an extrauterine gestational sac without sign of free fluid in the abdomen nor fetal heart rate on ultrasound, prompted diagnostic laparoscopy. We found a tubal pregnancy located on the ampullae of the left fallopian tube with minimal hemoperitoneum (50 ml). A chromopertubation test was done to ensure a patent right fallopian tube, so we did a salpingectomy. The patient recovered well and was discharged home on day 2 post-procedure. Conclusion: Early diagnosis is vital and feasible to prevent morbidity and mortality in women with ectopic pregnancy. All sexually active women complaining about painful abdomen or bleeding through the vagina must be examined for an ectopic pregnancy to enable early diagnosis and prompt treatment. A laparoscopic surgery done by a trained individual provided a safe and minimally invasive intervention to this case. Keywords: case report, ectopic pregnancy, laparoscopy, salpingectomy, tubal pregnancy