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The Characteristics of Pregnant Women with Anemia at Puskesmas Sanden Working Area in 2022-2023 Dewantari, Aulia Yasmin; Sistharani, Naila; Yuniasih, Dewi; Laariya, Tira Alfiani; Mawardi, Fitriana; Suprabandari, Suprabandari; Rahmawati, Nurul Fauziyah
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Anemia in pregnancy is a public health problem especially in developing countries and is associated to adverse pregnancy outcomes. The prevalence of anemia in Indonesia is relatively high. In 2018, the prevalence of anemia reached 32%. While the prevalence of anemia in pregnant women was 48.9% in the same year. Reducing the incidence of anemia in pregnant women is included in efforts to reduce maternal mortality (MMR) and morbidity or mortality in babies born. Puskesmas Sanden has a program to reduce MMR and infant mortality with one of the efforts made is to reduce the number of anemias in pregnant women. The purpose of this study was to determine the prevalence and characteristics of pregnant women who experience anemia in the working area of Puskesmas Sanden. This research was conducted using a descriptive method. The data were taken from secondary data, namely register data for pregnant women who carried out examinations at the Mother and Child Health Polyclinic in Puskesmas Sanden. The research respondents were all pregnant women who experienced anemia from January 1st, 2022 to June 30th, 2023, in which, there were 120 research respondents. Research variables include mother's age, number of parities, and upper arm circumference (UAC). The results showed that the prevalence of anemia in pregnant women was 254 people. The characteristics of pregnant women who experience anemia based on age showed that there were 97 people (80.83%) pregnant women who experience anemia are dominated by women aged 21-34 years old, while there are 3 (2.5%) pregnant women with anemia aged ≤ 20 years old, and 20 pregnant women with anemia aged ≥ 35 years (16.67%). Meanwhile, based on the number of parities, in this study, the total parity of all pregnant women who were included in the research respondents was ≤ 3, which were 120 people (100%), and none of the pregnant women who had parity > 3. Then, based on UAC, there were 94 (78.33%) pregnant women with anemia had more UAC ≥ 23.5 cm, and as many as 26 pregnant women with anemia had UAC < 23.5 cm (21.67%). The conclusion of this study is that the prevalence of pregnant women at Puskesmas Sanden is still relatively high, which is 39.69%.
The Relationship Between Anxiety and Compliance of Swab Officers in Using Masks During the Covid-19 Pandemic Assyifa Oktavia Wiraningtyas; Yuniasih, Dewi; Rossi Desvita, Widea; Rokhmayanti, Rokhmayanti
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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The Covid-19 has spread in Indonesia, including Kulon Progo, causing casualties. Symptomatic patients will interact with swab officers at Wates and Nyi Ageng Serang Regional Public Hospital it can cause anxiety for the swab officers on duty. Coping with the spread of Covid-19 is by obediently wearing a mask. Anxiety is a factor that can affect a person's compliance. This study aims to determine the relationship between anxiety levels and compliance with the use of hospital swab masks. This study used an observational analytic method with a cross-sectional study approach. The sample of this study was swab officers who served at Wates and Nyi Ageng Serang Regional Public Hospital in August-September 2022 and who had met the inclusion criteria. The sampling technique of this study used total sampling with a sample of 27 people. Of the 27 samples, only 26 respondents were appropriate with inclusion criteria. Data analysis used the Chi-Square test to test the hypotheses obtained from the answers to the questionnaire as a research instrument. From the results of the analysis, it was obtained sig (2-tailed) of 0,236 (sig> 0.05), so there was no relationship between anxiety and compliance with the use of masks for swab officers at Wates and Nyi Ageng Serang Regional Public Hospital. The conclusion is the majority of respondents were female, and there was no correlation between anxiety and compliance with swab officers' use of masks at Wates Hospital and Nyi Ageng Serang Hospital.  At Wates Hospital and Nyi Ageng Serang Hospital, there is no gender difference in swab workers' compliance with mask use.
Systematic Review and Meta-Analysis: Effect of Zinc Levels in COVID-19 Patients on Their Clinical Severity Annisa, Ika Nur; Yuniasih, Dewi; Sukirto, Novi Wijayanti
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Background: COVID-19 is a new type of Coronavirus that can cause ARDS and make it a worldwide pandemic. Treatment for COVID-19 is based on the clinical severity of COVID-19. Zinc has anti-inflammatory, antiviral, and antioxidant effects given as an adjuvant therapy for the treatment of COVID-19. Prolonged zinc deficiency is a risk factor for severe COVID-19. Methods: This systematic review and meta-analysis study used 4 databases namely ScienceDirect, Cochrane Library, ProQuest, and PubMed. The keywords used are “Zinc” OR “Severity COVID-19” AND “Zinc Deficiency” OR “Mortality COVID-19” AND “Zinc” OR “Clinical Severity COVID-19” AND “Zinc Deficiency” OR “Clinical Severity COVID- 19”. The articles identified are articles that are relevant to the title of research, published internationally, accessed free of charge, published between 2019-2021, published in accredited journals Results: Out of 8,330 article titles, 944 were excluded due to double counting in each database. A total of 7,371 articles were excluded because they did not match the title of the study, did not match the research method, used another language, did not match the year of publication. A total of 15 articles were included in the qualitative synthesis. Five studies were included in the meta-analysis. Three studies were analyzed with the results that the average zinc level of COVID-19 patients was not much different from that of healthy patients with a mean difference of 1.73 (95% CI -39.14-42.60). Two studies were analyzed with low zinc levels in patients with severe COVID-19 associated with the need to enter the intensive care unit with an OR of 3.62 The SARS-CoV-2 virus spreads through droplets that are expelled while coughing or sneezing. Conclusion: The average zinc level of COVID-19 patients is not different from that of healthy patients, but low zinc levels in patients with severe COVID-19 are associated with the need to enter the intensive care unit.
Risk Factors of Stunting in Posyandu Serasih Puskesmas Ciptodadi Musi Rawas Susilawati, Okti; Umam, Nurcholid; Yuniasih, Dewi
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Stunting is a growth failure in children caused by chronic malnutrition for a long time. The average prevalence of stunting in Indonesia from 2005 to 2017 was 36.4% and ranked third in Southeast Asia. The stunting prevalence in South Sumatra province reached 28.98% in 2019. The study was carried out to determine the factors influencing stunting in Serasih integrated healthcare center Ciptodadi Public Health Center Musi Rawas district. The study used a descriptive observational method with data collection through primary and secondary data. It was conducted from October to November 2021 at Serasih Integrated Healthcare Center Ciptodadi Public Health Center Musi Rawas district. The populations were toddlers in Serasih integrated healthcare center with samples of 37 stunting toddlers meeting the inclusion criteria. The analysis used was univariate and presented a frequency distribution table.  From the entire population, 40.2% of toddlers suffered from stunting with males (75,7%) and females (24,3%). In addition, stunting toddlers owned a normal birth weight (91.9%) and the highest education level of mothers was senior high school (64.9%). Furthermore, stunting toddlers did not get exclusive breastfeeding (56.8%) as well the average of feeding pattern for stunting toddlers (91.9%). The conclusion is that the biggest factors influencing stunting were male toddlers, mothers with the highest education level of senior high school, and toddlers who did not get exclusive breastfeeding.
Factors Affecting the Anxiety Levels of Health Workers at Budi Kemuliaan Hospital in Managing Covid-19 Patients Astiti, Chairunnisa; Yuniasih, Dewi; Desvita, Widea Rossi; Safaria, Triantoro
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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This study aims to determine the factors that influence the level of anxiety of health workers in handling COVID-19 patients at Budi Kemuliaan Hospital, Batam City. This study uses an observational analytic method and a cross-sectional design with data collection through primary data. The study was conducted in December 2021 – January 2022 at Budi Kemuliaan Hospital Batam City with a research population of 99 health workers who were directly involved in handling COVID-19 patients with a total sample of 91 health workers who met the inclusion criteria and the sampling technique used was total sampling. The research data was taken using a questionnaire and then processed using SPSS. Of 91 respondents, 43 respondents (47.3%) did not experience anxiety, 41 respondents (45.1%) experienced mild anxiety, and 7 respondents (7.7%) experienced moderate anxiety. Based on the results of Kendall's Tau-b analysis, there was no relationship between age, gender, family status, level of knowledge, and availability of PPE on the anxiety level of health workers at Budi Kemuliaan Hospital Batam City (p>0.05). The conclusion is no factors that affect the anxiety level of workers' health. Further research is needed to analyze other factors that influence anxiety with different methods and measuring instruments.
Teenage Pregnancy and Its Outcome: A Scoping Review Shalsabila, Dhea; Pamungkas, Ade Tia Bintang; Yuniasih, Dewi; Laariya, Tira Alfiani; Mawardi, Fitriana; Suprabandari, Suprabandari; Fauziyah Rahmawati, Nurul
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Pregnant teenagers are deemed high risk and detrimental to motherhood and birth, as well as one of the world's major health issues, contributing to maternal and infant mortality and migration. Pregnancy Teenagers account for 11% of all births worldwide, with some large occurrences occurring in countries with intermediate income levels due to a variety of circumstances. Study The goal of this study is to learn about the effects of pregnancy on teenagers. Study This is a study scoping review that uses search tactics utilizing the keywords "teenage pregnancy, maternal, outcome, complications" in PubMed, Scopus, and other search databases for the time period 2018—2023. This study involves 19 publications with results risk maternal complications in pregnant teenagers like preeclampsia, eclampsia, anemia, postpartum hemorrhage, perineal tear, hyperthyroidism, oligohydramnios, infection channel urinary tract infection, condylomatosis, vaginal infection, HIV infection, infection syphilis, childbirth congestion, amniotic fluid broke premature birth, abortion, premature birth, and degree of maternal morbidity heavy. In newborns, outcomes included IUGR, low birth weight, preterm, needed bag valve mask resuscitation at birth, stillbirth, and neonatal mortality. Finally, pregnant teenagers have negative outcomes _ good for the mother or kid. That can become a vicious circle of negative consequences for health and the economy, so we must make an effort to reduce the impact of unfortunate pregnancies on youths.
Characteristics of Schizophrenia Patients at Kasihan II Bantul Public Health Center in 2022 Elistiana, Dinda Ian; Aristiani, Windy; Adnan; Yuniasih, Dewi
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
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Mental health problems are still a significant problem throughout the world. Schizophrenia is a form of chronic mental disorder that affects a person's ability to think, behave, manage emotions and interact with other people. Sociodemographic factors in individuals can be one of the risk factors for someone experiencing mental disorders, including schizophrenia. Therefore, knowing the sociodemographic factors of schizophrenia patients can be a way of early detection and preventive measures against the high rate of schizophrenia recurrence. This study aimed to determine the sociodemographic characteristics of schizophrenia patients at Kasihan II Bantul Public Health Center. This research is quantitative research with a descriptive observational research design. Data collection was carried out retrospectively using medical record data from 91 schizophrenia patients at Kasihan II Bantul Public Health Center in 2022. Sociodemographic data was taken and analyzed by presenting the results using frequency and proportion distribution tables. The results of the study showed that the incidence of schizophrenia at Kasihan II Bantul Public Health Center occurred most frequently in the adult age group as many as 79 subjects (86.8%), 57 subjects (62.6%) were males, 37 subjects (48.4%) had secondary education, 65 subjects (71.4%) had jobs, and 51 subjects (56%) were unmarried.
Overview of Tuberculosis Epidemiology at PKU Muhammadiyah Bantul Hospital in 2021-2023 Sukirto, Novi; Yuniasih, Dewi; Prisilla, Elvina; Umam Kurniawan, Nurcholid; Budi Rahayu, Ana; Awisarita, Wiwara; Ariani, Rizka
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
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The number of tuberculosis cases reported in Bantul Regency in 2022 was 732 cases. Aims this study to determine the epidemiological picture of tuberculosis in PKU Muhammadiyah Bantul Hospital in 2023. Research method: The research method applied in this study was the analytical observational method. The design in this study was cross-sectional. Tuberculosis cases at PKU Muhammadiyah Bantul Hospital in 2021-2023 experienced fluctuations and based on gender, the most cases were 54% males, the most tuberculosis patients were in the age group of 55-64 years, 86% of patients resided in Bantul Regency, the classification of tuberculosis was more in pulmonary tuberculosis, namely 72%, based on the results of the thoracic examination, 68% were known to be positive for tuberculosis, 17% of tuberculosis patients were accompanied by diabetes mellitus and 2% of tuberculosis patients were confirmed HIV positive. The conclusion is Patients at PKU Muhammadiyah Bantul Hospital were more male than female. Most of the patients in the age group of 55-64 years, and resided in Bantul. The TB diagnosis is most pulmonary tuberculosis, with more positive thoracic examination results, fewer patients with diabetes mellitus, and fewer HIV-positive tuberculosis patients. Keywords: epidemiology, characteristics, tuberculosis
Level of physical fitness of member of Indonesian Medical Association in Bantul, Yogyakarta Ihsana, Nuni; Yuniasih, Dewi; Putri, Rachma Greta Perdana; Annisa, Annisa; Tejosukmono, Ario; Heriyanto, Mochammad Junaidy; Pamungkasih, Wahyu; Rokhmah, Budi Nur; Murdiyanto, Joko
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
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Physical inactivity contributed to 7.2% of all-cause mortality. Many research demonstrates that the integration of physical activity and exercise into daily routine prevents chronic disease and lowers mortality. This study aims to assess the physical fitness of members of the Indonesian Medical Association in the Bantul region using a descriptive from secondary data. The subjects were 38 members of the Indonesian Medical Association. Physical fitness data was obtained using the Rockport One Mile Walking Test. Body Mass Index (BMI) is also calculated to describe excessive body fat. The majority of participants are female (52.63%) and participants dominant age ranged between 19 and 44 years old (50%). The participants aged 18 years old showed good physical fitness. The results in participants aged 19 to 44 years were more varied, there were 8 participants, 7 participants, 3 participants 1 participant had fair, good, poor, and very poor physical fitness, respectively. Physical fitness in participants aged 45 to 59 years were 9 and 5 participants showed good and fair physical fitness, respectively. The subjects aged >59 years old have 2 people with good physical fitness and 1 person with fair physical fitness. None of the participants with BMI status underweight, normal weight, or overweight showed poor physical fitness, while participants with obesity had poor and very poor physical fitness. Physical fitness is a multidimensional concept and is related to regular activity.
Length of Hospitalization and Clinical Outcomes for Pneumonia Patients at PKU Muhammadiyah Hospital, Bantul Umam Kurniawan, Nurcholid; Sukirto, Novi Wijayanti; Prisilla, Elvina; Rahayu, Ana Budi; Yuniasih, Dewi; Ari Mulyani, Dewi; Ulfa, MH Muflihatul
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
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Pneumonia is a lower respiratory tract infection that was the leading cause of death in developing countries in 2020, it was shown that pneumonia was the largest contributor to post-neonatal (14.5%) and under-five deaths (5.05%). The timing of hospital discharge for patients with pneumonia is determined primarily by the attending physician and is based on an assessment of the patient's clinical stability and the appropriate duration of inpatient medical therapy. The patient's discharge decision determines the length of hospital stay. Objective: To determine the length of hospitalization and clinical outcome improvement of pneumonia patients at PKU Muhammadiyah Bantul Hospital. Methods: This study was a cross-sectional descriptive study using a retrospective study conducted by taking medical record data at PKU Muhammadiyah Bantul Hospital Results: Pneumonia patients at PKU Muhammadiyah Bantul Hospital were dominated by the age group of 2 years old while by gender the majority were boys. Length of Stay (LOS) of pneumonia patients was highest with three days of treatment as many as 136 patients or 54.2%. Conclusion: Cumulatively within seven days, 98.80% of pneumonia patients showed good clinical outcomes and were allowed to leave the hospital. it is not known for certain that patient outcomes are related to the patient's length of stay because all patients returned home in improved condition after treatment at the hospital.
Co-Authors Adnan Alfiani Laariya, Tira Ananda, Dhiaksa Adhi Ananda, Vidya Annisa Annisa Annisa, Ika Nur Ari Mulyani, Dewi Ariandi, Tifanny Rizka Ariani, Rizka Ario Tejosukmono Aristiani, Windy Arrafi Pratama, Rheycado Asmadi Alsa Asqy Dendy, Eureka Raihan Assyifa Oktavia Wiraningtyas Astiti, Chairunnisa Awisarita , Wiwara Awisarita, Wiwara Budi Rahayu, Ana Chairunnisa Ramadhani, Salsabila Dewantari, Aulia Nissa Dewantari, Aulia Yasmin Elistiana, Dinda Ian Fauziyah Rahmawati, Nurul Helfi Agustin Heriyanto, Mochammad Junaidy Hikmawan Yuliarto Benni Sambada, Taufiek Husna, Maratul Hutari, Andri Ihsana, Nuni Ilham Rahmatullah, Andika Iman Permana, Iman Kurniawan, Nurcholid Umam Laariya, Tira Alfiani Laksana, Zen Adi Mansur, Auliya Azisah Mawardi, Fitriana Miftahulhaq murdiyanto, joko Nuraga, Hega Fitri Nurcholid Umam, Nurcholid Nurulita, Febrianti Putri Pamungkas, Ade Tia Bintang Pamungkasih, Wahyu Pirman Abdul Aziz, Adinda Prisila, Elvina Prisilla, Elvina Puspa Sari , Ade Putri Nurulita, Febrianti Putri, Rachma Greta Perdana Putri, Rachmagreta Perdana Rahayu, Ana Budi Rahma, Shafa Sabilla Rahmawati, Nurul Fauziyah Rendra Widyatama Rokhmah, Budi Nur Rokhmayanti, Rokhmayanti Rossi Desvita, Widea Sabirin, Rahmaningsih Mara Selohandono, Andrianto Septianingsih, Lia Shalsabila, Dhea Sholikhah, Amanatus Sistharani, Naila Siti Fatimah Suhendra Sukirto, Novi Sukirto, Novi Wijayanti Sumarno, Andhira Setya Yudha Suprabandari, Suprabandari Susilawati, Okti Triantoro Safaria Ulfa, MH Muflihatul Umam Kurniawan, Nurcholid Widea Rossi Desvita Wijayanti Sukirto, Novi Wira Okta Viana