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Destra, Edwin

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Deteksi Dini Penurunan Fungsi Ginjal Melalui Pemeriksaan eGFR dan Kreatinin pada Masyarakat Kelurahan Tanjung Duren Selatan Soni, Yulfitra; Santoso, Alexander Halim; Destra, Edwin; Wijaya, Bryan Anna; Setiawan, Fiona Valencia
Jurnal Masyarakat Mengabdi Nusantara Vol. 4 No. 2 (2025): Jurnal Pengabdian Kepada Masyarakat
Publisher : STIPAS Tahasak Danum Pambelum Keuskupan Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58374/jmmn.v4i2.341

Kidney dysfunction often remains undetected in its early stages due to minimal clinical symptoms. Serum creatinine and estimated glomerular filtration rate (eGFR) examinations are the main parameters to assess kidney filtration function. Lifestyle factors such as a high-sodium diet play a role in accelerating the decline in kidney function. Creatinine and eGFR examinations were performed by taking venous blood from 104 adult participants. Samples were analyzed in the laboratory, while education was provided directly to all participants after blood sampling, focusing on reducing sodium consumption and improving diet. The examination showed that the average creatinine level was still within normal limits, but the eGFR value of some participants showed a decline in kidney function. The agreement between the two parameters reinforces the importance of laboratory examinations in detecting the risk of declining kidney function. Education successfully conveyed information about the effect of salt consumption on kidney health. eGFR and creatinine examinations are effective steps to detect the risk of kidney dysfunction in asymptomatic populations. Education about reducing sodium and improving diet plays an important role in preventing progressive kidney damage.

KYPHOPLASTY FOR MANAGING COMPRESSION, PAIN, AND DIAGNOSTIC CONFIRMATION OF THORACOLUMBOSACRAL METASTASES FROM AXILLARY APOCRINE ADENOCARCINOMA: A CASE REPORT Sim, Alfred Sutrisno; Uinarni, Herlina; Destra, Edwin
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.43974

Metastasis tulang belakang merupakan komplikasi umum pada keganasan lanjut, yang sering kali menyebabkan nyeri hebat dan ketidakstabilan struktural. Adenokarsinoma apokrin aksila jarang bermetastasis ke tulang belakang, sehingga perjalanan klinisnya kurang dipahami. Kyphoplasty, teknik pembesaran tulang belakang minimal invasif, menawarkan penghilangan nyeri yang cepat, stabilisasi struktural, dan konfirmasi diagnostik lesi metastasis. Seorang pria berusia 72 tahun dengan riwayat adenokarsinoma apokrin aksila kiri datang dengan nyeri punggung dan pinggang yang progresif. Pencitraan menunjukkan metastasis torakolumbosakral dengan stenosis kanal, dan histopatologi mengonfirmasi adenokarsinoma metastasis. Kyphoplasty dilakukan pada vertebra L2-L4 untuk mengatasi nyeri dan kompresi. Pascaprosedur, pasien melaporkan penghilangan nyeri yang signifikan, peningkatan mobilitas, dan tidak ada komplikasi. Prosedur ini juga memfasilitasi pengambilan sampel jaringan untuk konfirmasi diagnostik. Kyphoplasty secara efektif mengatasi nyeri, kompresi tulang belakang, dan tantangan diagnostik dalam kasus metastasis torakolumbosakral yang langka ini dari adenokarsinoma apokrin aksila. Laporan ini menekankan pentingnya kyphoplasty sebagai alat terapi dan diagnostik untuk penyakit tulang belakang metastasis dan menyoroti perlunya penelitian lebih lanjut tentang kemanjurannya dalam jangka panjang.

Gambaran Estimasi Laju Filtrasi Glomerulus (eGFR) dan Kreatinin sebagai Indikator Fungsi Ginjal di Yayasan Baptis Cengkareng Indah Hendrawan, Siufui; Santoso, Alexander Halim; Destra, Edwin; Hartono, Eric; Soeltanong, Dianova; Khoto, Anthon Eka Prayoga
SEWAGATI: Jurnal Pengabdian Masyarakat Indonesia Vol. 4 No. 2 (2025): Juni : SEWAGATI: Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/sewagati.v4i2.2355

The number of cases of kidney disorders continues to rise, often going unnoticed due to the absence of symptoms in the early stages. Examination of creatinine levels and estimation of glomerular filtration rate (eGFR) can identify impaired kidney function before permanent damage occurs. The habit of drinking enough water is one simple way to maintain kidney function. The activity was carried out using the Plan-Do-Check-Act (PDCA) approach. Officers took venous blood samples aseptically for analysis in the laboratory to assess creatinine levels and calculate eGFR. Participants received the results of the examination along with education about the role of hydration in supporting kidney excretion. The examination involved 62 participants aged 23 to 76 years. The median eGFR value was recorded as 97.0 mL/minute, and creatinine levels ranged from 0.60 to 3.77 mg/dL. Kidney function screening identified participants at risk of decreased excretory capacity. Education about the importance of drinking water regularly needs to be provided to prevent further kidney damage and maintain optimal filtration function.

Kegiatan Edukasi Kesehatan Dan Skrining Komposisi Tubuh Dengan Bioelectrical Impedance Analysis Dalam Upaya Pencegahan Obesitas Pada Usia Produktif Santoso, Alexander Halim; Destra, Edwin; Edbert, Bruce; Gaofman, Brian Albert
Journal of Community Service and Society Empowerment Том 3 № 02 (2025): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v3i02.1775

Obesity during productive age significantly increases the risk of various metabolic complications, including diabetes, hypertension, and cardiovascular diseases. Body composition assessment, particularly through Bioelectrical Impedance Analysis (BIA), plays a crucial role in early detection and provides accurate measurement of fat and muscle distribution. BIA enables the identification of body fat percentage and muscle mass, which are key indicators in evaluating health risks and planning appropriate lifestyle interventions. This community health activity employed the Plan–Do–Check–Act (PDCA) approach, focusing on health education and body composition screening using BIA for early obesity detection. A total of 40 participants of productive age groups were involved in this initiative. The average body fat percentage was 26.88%, and the average muscle mass was 25.44%, reflecting a notable risk of obesity in this population. Health education combined with BIA-based screening has proven effective in raising awareness and promoting early identification of obesity-related risks. Through BIA, participants gained a better understanding of their body composition, which motivated positive lifestyle changes. Regular monitoring of body composition is recommended to help reduce obesity prevalence among productive age groups and to enhance community health and quality of life.

Skrining Kekuatan Genggaman Tangan: Langkah Awal Cegah Sarkopenia untuk Populasi Dewasa di SMP Kalam Kudus Sim, Alfred Sutrisno; Santoso, Alexander Halim; Destra, Edwin; Putra, Feri Yanto; Felicia, Ivana
Journal of Community Service and Society Empowerment Том 3 № 02 (2025): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v3i02.1776

Sarcopenia is a degenerative condition characterized by decreased muscle mass and strength, significantly affecting quality of life and functional ability, especially in the adult and elderly population. This community service activity was conducted at SMP Kalam Kudus, West Jakarta, involving 87 productive age participants. Screening was conducted using handgrip strength measurement, a non-invasive, practical, and effective method for early detection of sarcopenia risk. The results showed that 8.05% of participants had low handgrip strength, indicating an early risk of sarcopenia. Education on the importance of maintaining muscle strength through physical exercise and a healthy lifestyle was provided to participants. Handgrip strength screening has been shown to be an effective early detection tool and can be used as an indicator of chronic disease risk, including stroke. This activity contributes to increasing public awareness of the importance of muscle health and prevention of related complications. Routine implementation of screening and education is expected to improve quality of life and reduce the risk of disability in the adult population.

Peran Edukasi dan Evaluasi Handgrip Strength sebagai Upaya Deteksi Dini Sarcopenia pada Usia Produktif di Cengkareng Sidarta, Erick; Santoso, Alexander Halim; Destra, Edwin; Wijaya, Bryan Anna; Setiawan, Fiona Valencia
Journal of Community Service and Society Empowerment Том 3 № 02 (2025): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v3i02.1777

Hydrated skin is an important indicator of overall skin health, as water content in the stratum corneum plays a vital role in maintaining the skin barrier function. Insufficient hydration can lead to dry skin, increase the risk of infections, and reduce quality of life. This activity aimed to assess skin water and oil levels among the elderly residents at Hana Nursing Home to prevent dry skin conditions. The PDCA (Plan–Do–Check–Act) approach was applied, which included planning the screening activities, measuring skin water and oil levels, evaluating the results, and providing skin care education for participants with abnormal findings. A total of 36 elderly individuals participated in this activity at Hana Nursing Home, South Tangerang. The results showed that 20 participants (55.56%) had low oil levels, while 24 participants (66.67%) had low water levels. These findings underscore the importance of maintaining skin hydration through adequate fluid intake, regular use of moisturizers, and adopting a healthy lifestyle. Early detection of skin hydration status, combined with targeted education, is effective in preventing dry skin and improving quality of life in the elderly population.

Peran Skrining Indeks Massa Tubuh Dan Rasio Lingkar Pinggang-Pinggul Dalam Edukasi Pencegahan Risiko Metabolik Di Jakarta Selatan Wijaya, Christian; Santoso, Alexander Halim; Destra, Edwin; Putra, Feri Yanto; Valdes, Angeline Florencia
Journal of Community Service and Society Empowerment Том 3 № 02 (2025): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v3i02.1778

Body mass index (BMI) and waist-to-hip ratio (WHR) are key indicators in evaluating metabolic risk. A high distribution of abdominal fat is closely associated with insulin resistance and various metabolic disorders. Mealtime-based interventions, such as time-restricted eating (TRE), are considered promising preventive strategies. This community education and anthropometric assessment were conducted at St. Francis of Assisi Church, South Jakarta, using the Plan–Do–Check–Act (PDCA) framework. Parameters evaluated included BMI and WHR, accompanied by visual educational materials on daily mealtime structuring. Among the 65 adult participants, the average BMI was 25.74 kg/m² and the average WHR was 0.9. A total of 56.92% were categorized as obese, and 83.08% exhibited a high WHR. These findings reflect a predominance of central adiposity, which is strongly associated with elevated metabolic risk. The high proportion of individuals with overweight and central fat accumulation highlights the urgency of preventive and promotive efforts. Educational interventions, particularly through poster-based delivery of information on time-restricted eating, present a feasible approach to raising public awareness on the importance of structured mealtimes as a preventive measure against metabolic disorders.

Pemeriksaan Profil Asam Urat Sebagai Cerminan Risiko Gangguan Metabolik Di Kelurahan Tanjung Duren Selatan Gunawan, Paskalis Andrew; Santoso, Alexander Halim; Destra, Edwin; Philo, Andrew; Mahendri, Ryan Daffano Putra
Perigel: Jurnal Penyuluhan Masyarakat Indonesia Vol. 4 No. 2 (2025): Juni: Perigel : Jurnal Penyuluhan Masyarakat Indonesia
Publisher : Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/gq08qd20

Hyperuricemia contributes to various metabolic disorders, including gout and kidney disease. Detection of uric acid levels through simple screening is important for early risk identification. One non-pharmacological approach that can help reduce uric acid levels is maintaining adequate fluid intake. Uric acid level examination was performed by taking capillary blood from 104 adult participants. Results were obtained directly using the Point-of-Care Testing (POCT) instrument. Education was provided to all participants using a leaflet discussing the role of hydration in supporting uric acid excretion. The average uric acid level was recorded at 4.08 ± 1.00 mg/dL. A total of 103 participants (99.0%) were in the normal range, and 1 participant (1.0%) had high levels. Most participants have not experienced excessive urate accumulation, but still need education to maintain this status. Uric acid level screening is useful as an effort to detect the risk of metabolic disorders early. Education about the importance of fluid intake is the main strategy to maintain uric acid levels within normal limits and prevent complications due to hyperuricemia.

PERAN PROTEKTOR RASIO APOLIPOPROTEIN A DAN APOLIPOPROTEIN B PADA LANJUT USIA DENGAN INSOMNIA Hawari, Irawati; Hendrawan, Siufui; Gunaidi, Farell Christian; Setiawan, Fiona Valencia; Hariesti, Ribka Anggeline; Destra, Edwin; Firmansyah, Yohanes
Jurnal Muara Medika dan Psikologi Klinis Vol. 4 No. 1 (2024): Jurnal Muara Medika dan Psikologi Klinis
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmmpk.v4i1.34314

Insomnia, yang diklasifikasikan sebagai gangguan tidur-bangun dalam DSM-V, secara signifikan memengaruhi kualitas dan kuantitas tidur dan umum terjadi pada wanita serta lansia. Prevalensi insomnia berkisar antara 2,3% hingga 25% dan didominasi oleh kelompok wanita dan lansia. Studi ini meneliti korelasi antara rasio apolipoprotein A (ApoA) dan apolipoprotein B (ApoB) sebagai faktor protektif terhadap insomnia pada populasi lansia. Hasil menunjukkan bahwa kadar ApoA yang lebih tinggi berkorelasi positif dengan rasio ApoA/ApoB, sementara rasio ApoA/ApoB yang lebih tinggi berkorelasi signifikan dengan penurunan tingkat keparahan insomnia. Sebaliknya, peningkatan kadar ApoB menunjukkan korelasi positif yang mendekati signifikan dengan keparahan insomnia. Temuan ini menunjukkan bahwa ApoA dan rasio ApoA/ApoB berperan sebagai faktor protektif terhadap insomnia, serta menekankan pentingnya pemantauan profil lipid dalam penanganan insomnia pada lansia.

Peningkatan Kesehatan melalui Penapisan Kadar Hemoglobin dan Hematokrit di Yayasan Baptis Cengkareng Wijaya, Christian; Santoso, Alexander Halim; Destra, Edwin; Soebrata, Linginda; Setia, Nicholas; Pratama, Aditya
Jurnal Pengabdian Bidang Kesehatan Vol. 3 No. 2 (2025): Jurnal Pengabdian Bidang Kesehatan
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jpbidkes.v3i2.190

Hemoglobin and hematocrit levels are fundamental hematological screening parameters that are relevant for identifying potential erythropoiesis disorders. An imbalance in these two parameters often reflects undiagnosed anemia, especially in adults and the elderly. The activity was carried out at the Cengkareng Baptist Foundation using the Plan–Do–Check–Act (PDCA) approach. The examination was carried out using the capillary method based on Point-of-Care Testing (POCT). Nutrition education was provided using leaflets containing information about the importance of micronutrients for blood formation. A total of 62 participants took part in this activity, with an age range of 23–76 years. Most participants were female (74.2%). Hemoglobin values ranged from 7.4 to 17.3 g/dL, with a median of 11.9 g/dL. A total of 64.5% of participants had anemia. Hematocrit values ranged from 22.0 to 51.0%, with a median of 35.0%. The high prevalence of anemia identified through this screening underscores the importance of preventive efforts through targeted nutritional education. Emphasis should be placed on the adequate intake of iron, vitamin B12, and folate to promote behavior change and reduce anemia risk in the community.

Co-Authors Adhim, Laudza Al Aditya Pratama Aditya, Vincent Adjie, Eko Kristanto Kunta Afladhanti, Putri Mahirah Alexandro, Cristian Alifia, Khalisya Alvianto, Fidelia Alwini, Muhammad Rifat Umar Amanda, Shelma Tria Amertha, Anak Agung Ngurah Putrayoga Andria Priyana Anggraeni, Natasha Angtoni, Miranda Anthony, Louis Ashil , Rafidah Hanina Averina, Friliesa Averina, Frilliesa Bachri, Fiqi Afrizal Biromo, Anastasia Ratnawati Cahyadi, Stanley Surya Christian, Farell Dewanto, Naomi Esthernita F. Dewanto, Paulus Gegana Thery Edbert, Bruce Edbert, Juan Emilda, Emilda Enike, Syilvia Cendy Ernawati , Ernawati EVELYN EVELYN Fadhila, Arni Ismi Fajarivaldi, Kresna Bambang Febriastuti, Abebi Felicia, Ivana Frisca Frisca Gaofman, Brian Albert Ghina, Andini Goh, Daniel Gracienne Gracienne Gracienne, Gracienne Gunaid, Farell Christian Gunaidi, Farell Christian Gunawan, Paskalis Andrew Hari Sutanto, Hari Hariesti, Ribka Anggeline Harjono, Johan Lucas Harsono, Axsel Hartono, Eric Hartono, Vincent Aditya Budi Hawari, Irawati Hendsun Herdiman, Alicia Herdiman, Julia Herlina Uinarni Ismi, Arni Istikanto, Ferdian Harum Jamaludin , Jamaludin Jamaludin . Jap, Ayleen Nathalie Jaya, I Made Satya Pramana Jeffrey ., Jeffrey Jeffrey Jeffrey Johan Johan Johan, Richver Framanto Juliastina , Mika Jaya Kasvana Khatimah, Gita Khusnul Khoto, Anthon Eka Prayoga Kosasih, Robert Kurniawan, Joshua Kurniawan, Junius Kusuma, Kanaya Fide Lontoh, Susy Olivia Lumintang, Valentino Gilbert Mahendri, Ryan Daffano Putra Martin, Alfianto Mashadi, Fladys Jashinta Mayvians, Tizander Moniaga, Catharina Sagita Permatasari, Nabila Jingga Peter Ian Limas Philo, Andrew Prakoso, Ariel Bagoes Pranata, Catherine Christiana Pratama, Muhammad Kevin Dava Pratomo, Farhan Purnomo, Yonathan Adi Putra, Feri Yanto Putra, Muhammad Dzakwan Dwi Rafi, Muhammad Adam Abizar Ramadhani, Kenzie Rafif Ramadhanty, Prajnya Kamila Rayhan , Naufal Riadi, Seravin Janet Ruslim, Daniel Ruslim, Welly Hartono Santoso, Alexander Halim Sari, Anna Rahmania Sarijuwita, Alicia Sartono, Stefanny Satyanagara, William Gilbert Satyanegara, William Gilbert Satyo, Yovian Timothy Septrisya, Shiera Setia, Nicholas Setiawan, Fiona Valencia Sidarta, Erick Sim, Alfred Sutrisno Singh, Arwinder Sitorus, Ribka Angeline Hariesti Sitorus, Ribka Anggelline Hariesti Siufui Hendrawan Soebrata, Linginda Soeltanong, Dianova Soni, Yulfitra Sugiarto, Hans Sugiharto, Hans Sukianto, Louise Audrey Suros, Angel Sharon Susilo, Muhammad Farhan Pratama Sutedja, Gina Triana Syarifah, Andini Ghina Tamaro, Anggita Tan, Sukmawati Tansil Tara, Audina Alianda Dimas Teguh, Stanislas Kotska Marvel Mayello Triyana Sari Ulinuha, Ulinuha Valdes, Angeline Florencia Waltoni, Bobby Marshel Ancheloti Warsito, Jonathan Hadi Wijaya, Bryan Anna Wijaya, Christian Wijaya, Dean Ascha Wijayadi, Linda Julianti yanto, heri Yogie, Giovanno Sebastian Yohanes Firmansyah Yulishaputra, Muhammad Daffa Alghifari Yunita, Fenny

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