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Destra, Edwin

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Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Screening And Education For Prevention Of Cervical Cancer At Kupu Health Center, Tegal District Anggraeni, Natasha; Destra, Edwin; Jamaludin, Jamaludin; Ulinuha, Ulinuha
Medicor : Journal of Health Informatics and Health Policy Vol. 1 No. 1 (2023): October 2023
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v1i1.3

Cervical cancer, or what is often referred to as cervical cancer, is one of the most common types of cancer in the gynecological cancer category throughout the world. Education about cervical cancer and the implementation of VIA examinations have a very important role in increasing public awareness of the importance of maintaining cervical health and encouraging early detection of cervical cancer disorders. This outreach activity provides accurate information about cervical cancer, how important it is to maintain cervical health, as well as factors that can influence the risk of developing cervical cancer. In addition, examination using the IVA method makes it possible to carry out an objective evaluation of the condition of each individual's cervix. By increasing public knowledge and understanding of the importance of cervical health, it can encourage the implementation of appropriate preventive measures, such as undergoing regular VIA examinations, avoiding risk factors that can increase the risk of cervical cancer, and supporting early detection efforts. Early detection of cervical cancer through IVA examination allows early identification of cervical disease, so that treatment can be started early to control and slow the progression of the disease. VIA counseling and examination in the context of cervical cancer prevention is a long-term investment in improving people's quality of life and reducing the burden of cervical cancer in society as a whole.

Exploring the Connection Between Facial Skin Cleansing Habits and Acne Vulgaris: A Comprehensive Review Sari, Anna Rahmania; Ramadhanty, Prajnya Kamila; Anggraeni, Natasha; Destra, Edwin; Firmansyah, Yohanes
Medicor : Journal of Health Informatics and Health Policy Vol. 1 No. 1 (2023): October 2023
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v1i1.42

Acne Vulgaris (AV) is a chronic inflammatory condition affecting the pilosebaceous follicles, characterized by multifactorial causative factors and clinical manifestations such as cysts, pustules, comedones, nodules, and papules. While AV is not life-threatening, it can significantly impact an individual's well-being by reducing self-esteem, increasing anxiety, and affecting their economic and social life. This paper conducts a comprehensive analysis of existing literature, synthesizing information from multiple reputable sources. The main objective of this review is to explore the implementation of treatments related to the relationship between skin cleansing habits and Acne Vulgaris. The connection between facial skin hygiene and the occurrence of Acne Vulgaris is of significant interest. One key aspect is the potential reduction in Acne Vulgaris when individuals maintain good facial skin hygiene practices. When facial skin is cleaned appropriately, it hinders the accumulation of excess sebum, one of the contributing factors to the development of Acne Vulgaris. It is essential to acknowledge the variability in research outcomes. While certain studies propose that excessive facial cleansing may worsen Acne Vulgaris due to potential skin irritation and glandular complications, others recommend a minimum of twice-daily facial cleansing with a gentle cleanser to maintain skin well-being. The optimal cleansing frequency may depend on individual skin conditions and the presence of comedonal lesions.

The Influence of Education on Improving Adolescent Girls' Knowledge Regarding Anemia in the Gembong Public Health Center Area Khatimah, Gita Khusnul; Destra, Edwin
Medicor : Journal of Health Informatics and Health Policy Vol. 1 No. 1 (2023): October 2023
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v1i1.45

existence of a problem by systematically collecting data within a community. Anemia is a health issue that commonly arises, characterized by a condition in which the body's hemoglobin levels fall below the normal range. According to the 2018 Riskesdas data, the prevalence of anemia among adolescent girls reaches approximately 32%, meaning that 3 to 4 out of every 10 adolescent girls experience anemia. Anemia in adolescent girls has the potential to result in various negative consequences, such as reduced immunity, decreased academic performance, and diminished productivity. These observations emphasize the necessity of conducting a community diagnosis to enhance awareness and reduce cases of anemia among adolescent girls in the Puskesmas Gembong working area. The primary objectives include improving knowledge about anemia and decreasing the number of anemia cases among adolescent girls in the Puskesmas Gembong working area. An intervention plan in the form of educational sessions about anemia was developed. Following the intervention, there was an improvement in knowledge, with post-test scores exceeding 60% for over 50% of the participants. Therefore, this community diagnosis serves to enhance knowledge about anemia among adolescent girls and has resulted in the identification of anemia cases among them, leading to appropriate referrals for treatment.

Lasting Power Of Attorney - Provision Contemplating Help To Die West And East (Indonesia) Perspective Destra, Edwin; Firmansyah, Yohanes; Hendsun; Afladhanti, Putri Mahirah
Medicor : Journal of Health Informatics and Health Policy Vol. 1 No. 1 (2023): October 2023
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v1i1.61

The enactment of legislation governing decision-making for incapacitated individuals serves a crucial purpose, primarily enabling individuals to proactively plan for future incapacity by appointing trusted agents to make decisions on their behalf. In the context of England and Wales, adults can achieve this through the utilization of a lasting power of attorney, as stipulated in the Mental Capacity Act 2005 (sections 9-14). Specifically, a health and care lasting power of attorney grants authority to an appointed agent to make day-to-day care decisions in situations where the individual is unable to do so. It is imperative for district nurses to obtain the consent of the appointed attorney before administering treatment to the donor. Furthermore, a district nurse should conduct a comprehensive review of the actions taken by the donor's attorney, involving consultation with the donor, the general practitioner (GP), and the attorney. Should conflicts regarding care persist, legal intervention by the courts may be necessary. Notably, life-sustaining or necessary therapies would continue in such instances. It is essential to emphasize that lasting health and care powers of attorney are not subject to illegality, encompassing situations where the donor expresses wishes for euthanasia or assisted dying. District nurses are required to obtain a copy of the health and care enduring power of attorney, respecting the authority of the appointed attorney to make decisions in cases where the donor lacks capacity. In the Eastern context, considerations of human rights, religion, ethics, and law collectively categorize euthanasia as a criminal act. Conversely, while Indonesia lacks specific regulations addressing euthanasia, various legal sources indicate that both seeking and performing euthanasia are deemed criminal activities.

Skrining dan Edukasi Pencegahan Frambusia Puskesmas Kupu di SDN 01 Lawatan Kabupaten Tegal Destra, Edwin; Anggraeni, Natasha; Prakoso, Ariel Bagoes; Ashil , Rafidah Hanina; Jamaludin , Jamaludin; Juliastina , Mika Jaya
Jurnal Pengabdian kepada Masyarakat STIE AKA Semarang Vol 2 No 2 (2023): Agustus : Jurnal Pengabdian kepada Masyarakat (Abdimas)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Institut Teknologi dan Bisnis (ITB) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/abdimas.v2i2.287

Frambusia, also known as yaws, patek, pian, buba, or ambalo, is a tropical disease categorized as a Neglected Tropical Disease (NTD). The diagnosis of frambusia is established through clinical examination and serological testing. Occasionally, there are cases of frambusia that lack clear clinical lesions, leading to undiagnosed instances. The disease is primarily attributed to unhygienic living conditions, and if left untreated, it can result in various complications in the future. TPHA-RDT testing can be employed for early frambusia detection. Educational activities and disease screening involve 12 pediatric respondents. Frambusia is commonly observed among children aged two to fifteen years, with transmission occurring during play and interaction with peers of the same age group. Therefore, effective preventive measures, such as frambusia screening, need to be implemented. Societal awareness campaigns contribute to enhancing public knowledge of frambusia and educating individuals about effective preventive actions. With an improved understanding of this disease, it is expected that individuals will take necessary preventive steps, such as seeking healthcare when frambusia symptoms or signs arise. Thus, accurate knowledge of frambusia serves as a foundation for adopting effective preventive behaviors and safeguarding the overall health of both individuals and communities.

Penelusuran Profil Kadar Gula Darah Sewaktu pada Pria dan Wanita Usia Produktif di SMA Kalam Kudus II, Duri Kosambi, Jakarta Sari, Triyana; Satyo, Yovian Timothy; Mashadi, Fladys Jashinta; Destra, Edwin
Jurnal Suara Pengabdian 45 Vol. 3 No. 2 (2024): Juni Jurnal Suara Pengabdian 45
Publisher : LPPM Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/pengabdian45.v3i2.1630

Temporary blood sugar is the level of glucose in the blood that measured without considering the time of the last meal, and often used to detect diabetes mellitus or impaired glucose tolerance. This community service activity aims to describe the distribution of blood sugar levels in 68 men and women of productive age at Kalam Kudus II High School, Jakarta. This community service activity is carried out using the Plan-Do-Check-Action method. The results showed that the majority of respondents had normal fasting blood sugar levels (97.1%), with an average of 113.26 mg/dL and a median of 104 mg/dL. Lifestyle factors, nutrition, genetics, and chronic medical conditions can affect blood sugar levels at any time. Regular monitoring of blood sugar levels is essential for early detection and management of diabetes mellitus, which can prevent serious complications such as cardiovascular disease and nephropathy. Prevention strategies include a healthy diet, physical activity, patient education, and appropriate medical interventions. Comprehensive public health programs are needed to increase awareness and management of diabetes, as well as improve the quality of life of individuals affected by this disease.

Edukasi dan Skrining Pentingnya Pemantauan Obesitas Terhadap Terjadinya Resistensi Insulin Pada Lanjut Usia Sari, Triyana; Sitorus, Ribka Angeline Hariesti; Destra, Edwin; Gunaidi, Farell Christian
Jurnal Suara Pengabdian 45 Vol. 3 No. 3 (2024): September : Jurnal Suara Pengabdian 45
Publisher : LPPM Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/pengabdian45.v3i3.1762

Obesitas adalah kondisi di mana seseorang memiliki berat badan melebihi batas normal akibat penumpukan lemak berlebih dalam tubuh. Obesitas berhubungan erat dengan terjadinya resistensi insulin, yaitu suatu kondisi dimana tubuh tidak dapat memberikan respon kepada insulin secara efektif. Oleh sebab itu, edukasi dan skrining rutin pada kelompok lanjut usia dalam rangka mendeteksi dan mengelola resistensi insulin pada tahap awal merupakan hal yang sangat penting. Kegiatan pengabdian ini dilakukan dengan metode PDCA (Plan-Do-Check-Act), yang mencakup edukasi tentang pola makan sehat, aktivitas fisik, dan manajemen berat badan, serta skrining kadar insulin. Berdasarkan kegiatan ini, edukasi dan skrining terbukti penting dalam mencegah komplikasi lebih lanjut dan meningkatkan kualitas hidup lanjut usia.

Kegiatan Deteksi Dini Pemeriksaan Komposisi Tubuh pada Populasi Usia Produktif Ruslim, Daniel; Destra, Edwin; Gunaidi, Farell Christian; Yulishaputra, Muhammad Daffa Alghifari
Jurnal Suara Pengabdian 45 Vol. 3 No. 3 (2024): September : Jurnal Suara Pengabdian 45
Publisher : LPPM Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/pengabdian45.v3i3.1941

Body composition refers to the distribution of fat, muscle, bone, and other tissues in the human body, which is often expressed as a percentage of total body weight consisting of fat mass and lean body mass. Obesity, characterized by excess fat in adipose tissue, poses a significant health risk and is increasing in countries with low and medium mortality rates, especially in metropolitan areas. Factors contributing to this include genetics, a lack of physical activity, socioeconomic status, unhealthy eating patterns, psychosocial factors, smoking, and alcohol consumption. Excess body fat significantly contributes to morbidity and mortality. Although optimal body fat levels vary, excess fat increases the risk of health issues such as joint problems and cardiovascular disease. People widely use bioimpedance analysis (BIA), an efficient, non-invasive method, to assess nutritional status and body composition. This activity uses the PDCA (Plan-Do-Check-Action) method, which is carried out at PT. Narindo, North Jakarta, in the productive age population. The examination results showed that the average levels of total body fat, visceral fat, total subcutaneous fat, total muscle mass were 28.6%; 11%; 22.2%; 28.3%. Early detection of body composition is critical for assessing nutritional and health status as well as diagnosing disease, potentially reducing obesity-related morbidity and mortality.

Efektivitas Terapi Kombinasi Microneedling dan Vitamin C Terhadap Perbaikan Parameter Kulit Wajah Tan, Sukmawati Tansil; Yogie, Giovanno Sebastian; Destra, Edwin; Afladhanti, Putri Mahirah; Sarijuwita, Alicia; Tamaro, Anggita
Jurnal Ners Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i1.22054

UV rays can affect various skin physiology, including changes in skin thickness and skin color. Vitamin C acts as an antioxidant to reduce melanin and skin damage caused by the sun, but it requires a combination with other therapies to get optimal results. This research focuses on the effectiveness of microneedling with vitamin C against pigmentation and skin damage due to sun exposure. The design of this research is quasi experimental. Patients who have atrophic acne scars who meet the inclusion criteria and are treated at Sukma Cliniq Tangerang are the population in this study. The intervention in this study was microneedling with a mixture of 10% vitamin C serum to improve the skin (given when the intervention was carried out and used at home for 21 days). The intervention will be carried out on day 0 according to the procedure previously explained and measured again on day 42. The variable measurements in this study aim at the value of UV damage and skin pigmentation before and after the combination therapy. Results: There were 36 respondents who met the inclusion criteria for this study with an average age of 33.03 years and 69.4% of respondents were women. There were changes and improvements in roughness, porphyrin, and pigmentation parameters (p value <0.001), but there was no change in UV damage parameters (p value 0.500) both before and after the intervention. There were changes and improvements in roughness, porphyrin, and pigmentation parameters after microneedling and vitamin C therapy before and after 42 days of therapy. However, there are no changes and improvements to the UV damage parameters.

Korelasi Kadar Gula Darah Sewaktu dengan Nilai Fecal Incontinence Severity Index (FISI) pada Kelompok Lanjut Usia Jeffrey, Jeffrey; Firmansyah, Yohanes; Kurniawan, Joshua; Satyanagara, William Gilbert; Yogie, Giovanno Sebastian; Destra, Edwin
MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i11.11402

ABSTRACT Physiological changes occur to every organ systems along with age. Fecal incontinence (FI) is one of them. FI should not be underestimated. There are a lot of risk factors for FI in elderly, including age, obesity, gender, and comorbidities like dementia and diabetes melitus. High prevalence of FI and diabetes mellitus will affect clinical and managements in elderly care. To find out the correlation between blood sugar level and fecal incontinence severity index (FISI) score in elderly patients. This is an analytic study with cross sectional design. Samples are elderly patients in Santa Anna Nursing Home in July 2023 that met the criteria. Data obtained through questionnaire interview and blood examination. Statistical analysis used in the study are Pearson or Spearman correlation test. Data distribution is tested with Kolmogorov-Smirnov test. Level of significance in the study is 5%. There are 60 respondents with the mean age of 76,30 (±7,88) years, dominated by female (66,7%). High blood sugar level obtained in 11,7% of the respondents. There is a significant correlation between blood sugar level and FISI score (p-value = 0,041; r-correlation : 0,264). From the R square evaluation we found a value of 0.091, which indicates that 9.1% of FISI score is influenced by blood sugar level. There is a correlation between elevated blood sugar and fecal incontinence. Fecal incontinence in older adults requires attention due to its adverse impact on their quality of life. Keywords: Blood Sugar Level, Elderly, Fecal Incontinence ABSTRAK Perubahan fisiologis terjadi pada seluruh sistem organ seiring dengan bertambahnya usia. Salah satu hal yang dapat terjadi pada lansia adalah fecal incontinence (FI). Hal ini tidak dapat dipandang sebelah mata. Terdapat berbagai faktor risiko untuk FI pada lansia, termasuk bertambahnya usia, obesitas, jenis kelamin, dan berbagai jenis penyakit penyerta, seperti demensia dan diabetes melitus. Tingginya prevalensi FI dan diabetes melitus akan berdampak pada klinis dan manajemen perawatan lansia. Mengetahui korelasi kadar gula darah sewaktu dengan nilai fecal incontinence severity index (FISI) pada kelompok lanjut usia. Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional. Sampel merupakan pasien lanjut usia di Panti Lansia Santa Anna pada Juli 2023 serta memenuhi kriteria. Data diperoleh melalui wawancara kuesioner dan pemeriksaan darah. Analisa statistik pada penelitian ini menggunakan korelasi Pearson atau korelasi Spearman. Distribusi data diperiksa menggunakan uji Kolmogorov-Smirnov. Nilai kemaknaan dalam penelitian ini adalah sebesar 5%. Didapatkan 60 responden dengan rerata usia adalah 76,30 (±7,88) tahun, yang didominasi jenis kelamin perempuan (66,7%). Kadar gula darah sewaktu yang tergolong tinggi didapatkan pada 11,7% responden. Terdapat korelasi yang bermakna antara kadar Gula Darah Sewaktu dengan nilai FISI (p-value = 0,041; r-correlation : 0,264). Penelusuran dari nilai R square didapatkan nilai sebesar 0,091, yang menunjukkan bahwa 9,1% nilai FISI dipengaruhi oleh kadar gula darah sewaktu. Terdapat korelasi antara peningkatan gula darah sewaktu dengan inkontinensia fekal. Inkontinensia fekal pada usia lanjut perlu mendapat perhatian karena dapat menurunkan kualitas hidup. Kata Kunci: Gula Darah Sewaktu, Fecal Incontinence, Lanjut Usia

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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