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Beyond BMI in Community Health Promotion: An Integrated Anthropometric, Physiological, and Functional Screening Approach among Urban Women in East Jakarta, Indonesia Ichwan Baihaki; Taufiq Fredrik Pasiak; Afifa Radhina; Assyafiya Salwa; Bunga Anggreini Sari; Fransiskus Samuel Renaldi; Herera Rahajeng; Muhammad Fadhil; Niken Rahmah Ghanny; Ria Apriliani
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 4 No. 2 (2026): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v4i2.750

Abstract

Background: Community-based preventive screening is important for reducing non-communicable disease risk among adult women, particularly those who influence household health practices. However, screening activities frequently emphasize Body Mass Index (BMI), although BMI alone may not adequately describe central adiposity, elevated blood pressure, and functional health indicators. This community service article aimed to describe the implementation of health education and integrated screening involving anthropometric, physiological, and functional measurements among female guardians at Yayasan Tarbiyatul Yatim, East Jakarta, Indonesia.Aims: This study aimed to (1) implement a community-based health education and screening program for adult female participants, (2) assess anthropometric, physiological, and functional health indicators including blood pressure, BMI, waist circumference, and hand grip strength, and (3) identify the prevalence of potential cardiometabolic and functional risk markers beyond BMI.Methods: This activity was implemented on January 8, 2026 using a preventive-promotive community service framework with descriptive program evaluation. Thirty-two adult female participants joined health education, screening, and individual consultation. The community service dataset included blood pressure, pulse, oxygen saturation, body temperature, body weight, height, BMI, waist circumference, hand grip strength, health history, lifestyle profile, and current complaints. Data were analyzed descriptively using frequency, percentage, mean, median, standard deviation, and range.Result: The participants had a mean age of 49.8 years. Mean systolic and diastolic blood pressure were 129.2 mmHg and 78.8 mmHg, respectively. Mean BMI was 24.9 kg/m²; 16/32 participants (50.0%) were categorized as normal, 9/32 (28.1%) overweight, 4/32 (12.5%) obese, and 3/32 (9.4%) underweight. Mean waist circumference was 97.7 cm, and 29/32 participants (90.6%) had waist circumference >80 cm. Mean hand grip strength was 16.5 kg, and 21/32 participants (65.6%) had values <18 kg.Conclusion: Integrated screening beyond BMI is feasible in community service settings and can help identify potential cardiometabolic and functional risk indicators that require counseling or referral. Future activities should include documented repeat measurements for abnormal findings, structured pretest-posttest educational evaluation, biochemical testing, and referral follow-up.
HISTOPATHOLOGICAL IMAGE OF THE NUMBER OF NEURONS IN THE BRAIN OF MICE (MUS MUSCULUS) INDUCED BY LEAD HEAVY METAL Herera Rahajeng; Eka Sri Haryati; Ichwan Baihaki; Niken Rahmah Ghanny; Afifa Radhina; Assyafiya Salwa; Fransiskus Samuel Renaldi
Journal of World Future Medicine, Health and Nursing Vol. 4 No. 2 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v4i2.3677

Abstract

Lead is a known heavy metal from human history to date for various uses, abuses and toxicities. Lead poisoning has been recognized as one of the most serious environmental health issues worldwide, especially children living in developing countries. Lead can damage or affect the organs of the body, among others, the nervous system, kidneys, reproductive system, and heart, as well as disturbances in the brain so that intellectual and mental disorders in the brain. This study aims to see the effect of lead on the number of neurons in the hippocampus in mice experimental animals. The mice used amounted to 10 tails and divided into two for the control group and the treatment group. The control group, each of which was 5 tails, was then given unbleached drinking water while the treatment group was given drinking water mixed with acetate with concentration of 1000ppm for 17 days in adlibitum. The observations were taken from each of the 5 fields of view on each preparation with a magnification of 40x. The calculation of the number of neuron cells is then analyzed descriptive statistics and different test. The result showed that control group with mean ± SD were 127,6 ± 7,9, and for treatment group that was 80,0 ± 20,9. T independent test result showed p = 0,001 (p <0,05) which means that there was a significant difference between control and treatment group. The conclusion of this research is the existence of neuron cell damage in mice that get treatment. By showing the number of neurons less than the control mice. Suggestion to develop this research hence need to continue research to find neuro protector compound specially from lead work in brain.
OPTIMIZING THE USE OF ANTIMICROBIALS IN PEDIATRIC INFECTIONS: A SYSTEMATIC REVIEW OF CLINICAL AND NURSING STRATEGIES Susiana Jansen; Fransiskus Samuel Renaldi; Elfira Awalia Rahmawati
Journal of World Future Medicine, Health and Nursing Vol. 4 No. 3 (2026)
Publisher : Yayasan Adra Karima Hubbi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70177/health.v4i3.3764

Abstract

Antimicrobial resistance (AMR) is a global health threat that significantly impacts the pediatric population, which has unique physiological characteristics and high susceptibility to irrational antibiotic use. This systematic review aims to synthesize scientific evidence on clinical and operational strategies for optimizing antimicrobial use in pediatric infections. A literature search was conducted in major international databases following PRISMA guidelines, with the inclusion of studies evaluating antimicrobial stewardship interventions, diagnostic stewardship, pharmacokinetic/ pharmacodynamic (PK/PD)-based precision dosing, and standardized clinical pathways. Results indicate that an integrated approach consistently reduces antibiotic consumption, improves adherence to clinical guidelines, accelerates time to optimal therapy, and maintains or improves clinical outcomes without increasing mortality. Integration of rapid diagnostic tests and biomarkers supports faster de-escalation of therapy, while model-informed precision dosing improves achievement of therapeutic targets in critically ill populations. Operational factors such as institutional leadership, multidisciplinary collaboration, standardized metrics monitoring, and digital technology support have been shown to strengthen program sustainability. Overall, optimizing antimicrobial use in pediatric infections requires a holistic systems approach to improve the quality of therapy while suppressing the development of global resistance.
EVALUASI PENGELOLAAN OBAT PADA TAHAP PERENCANAAN DAN PENGADAAN OBAT DI RSUD. PROF. DR. W. Z. JOHANNES KUPANG PERIODE TAHUN 2022 Ivans Panduwiguna; Fransiskus Samuel Renaldi; Ahmad Sahlan Baniu; Novita Yanti Kasim; Ari Permana Putra; Luh Yesi Angga Natalia Dewi
Jurnal Kesehatan Sundaram Vol. 1 No. 1 (2024): JKS
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/6x3dtq50

Abstract

Tahap perencanaan dan pengadaan merupakan bagian dari pengelolaan obat yang sangat berpengaruh terhadappersediaan obat dan biaya yang dikeluarkan oleh rumah sakit. Penelitian ini bertujuan untuk mengetahui gambaranperencanaan dan pengadaan obat di Instalasi Farmasi RSUD. Prof. Dr. W. Z. Johannes Kupang tahun 2022. Penelitiandilakukan dengan membandingkan indikator pengelolaan obat riil terhadap indikator standar. Penelitian ini dilakukandengan pengumpulan data secara retrospektif berupa laporan keuangan, perencanaan, pengadaan, dan pemakaian obat. Analisa data dilakukan secara deskriptif. Hasil penelitian menunjukkan bahwa perencanaan dan pengadaan di InstalasiFarmasi RSUD. Prof. Dr. W. Z. Johannes Kupang belum sepenuhnya sesuai dengan indikator standar. Hal ini ditunjukkandari 7 indikator yang dapat diukur, dua indikator sesuai dengan standar yaitu tidak adanya kesalahan faktur dan frekuensipengambilan tiap item obat, sedangkan 5 indikator belum sesuai dengan standar yaitu persentase dana yang tersedia, persentase ketepatan perencanaan, persentase alokasi dana pengadaan obat, perbandingan jumlah item obat yang direncanakan dengan jumlah item dalam kenyataan pemakaian, dan frekuensi tertundanya pembayaran oleh rumah sakit.
TINGKAT KEPATUHAN PASIEN MENGENAI PENGGUNAAN OBAT ANTIBIOTIK AMOXICILLIN TABLET PADA PASIEN RAWAT JALAN DI PUSKESMAS II MENDOYO I Made Surya Widya Negara Surya; Lestari Nugrahini; Reza Ismail Abdul Rahman; Eric Kurnia Abdillah; Fransiskus Samuel Renaldi; Ahmad Sahlan Baniu
Jurnal Kesehatan Sundaram Vol. 2 No. 2 (2025): JKS
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/spjzsw11

Abstract

Pendahuluan: Penelitian ini bertujuan untuk mengevaluasi tingkat kepatuhan pasien dalam penggunaan antibiotik amoxicillin di Puskesmas II Mendoyo. Penggunaan antibiotik yang tidak bijaksana dapat menyebabkan resistensi, yang menjadi masalah kesehatan global. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain observasional analitik cross-sectional. Sebanyak 106 pasien rawat jalan berpartisipasi sebagai responden. Data dikumpulkan melalui kuesioner yang mengukur tingkat kepatuhan dan pengetahuan pasien mengenai penggunaan antibiotik. Hasil: Hasil penelitian menunjukkan bahwa 21.7% responden tergolong kurang patuh, 32.1% cukup patuh, dan 47.2% sangat patuh dalam menggunakan amoxicillin. Analisis statistik mengungkapkan adanya hubungan signifikan antara tingkat pengetahuan dan kepatuhan penggunaan antibiotik. Simpulan: Penelitian ini menekankan pentingnya edukasi yang lebih terarah untuk meningkatkan pengetahuan masyarakat mengenai penggunaan antibiotik yang benar guna mengurangi risiko resistensi antibiotik. Temuan ini diharapkan dapat menjadi dasar untuk merancang program intervensi yang efektif dalam meningkatkan kepatuhan penggunaan antibiotik di masyarakat.
UJI EFEKTIVITAS EKSTRAK DAUN SIRIH MERAH (Piper Crocatum) SEBAGAI ANTI DIARE TERHADAP HEWAN UJI MENCIT PUTIH JANTAN (Mus Muculus ) Komang Wisnu Satria Pranata; Ari Permana Putra; Luh Putu Desy Puspaningrat; Fransiskus Samuel Renaldi; Ahmad Sahlan Baniu
Jurnal Kesehatan Sundaram Vol. 2 No. 1 (2025): JKS
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/aqt2df16

Abstract

Diare adalah suatu penyakit dengan tanda-tanda adanya perubahan bentuk dan konsistensi  dari  tinja,  yang  melembek sampai mencair, dan bertambahnya frekuensi buang air besar biasanya tiga kali atau lebih dalam sehari. Daun sirih merah memiliki kandungan utama yang bermanfaat sebagai antidiare diantaranya flavonoid,tannin,minyak atsiri dan alkaloid. Tujuan penelitian ini adalah untuk menganalisis uji efeketivitas ekstrak daun sirih merah (piper crocatum) sebagai antidiare pada mencit putih jantan. Jenis penelitian ini adalah penelitian eksperimen laboratorium dengan uji One-Way ANOVA dilanjutkan dengan uji LSD. Pada penelitian ini menggunakan 24 ekor mencit putih jantan yang dibagi menjadi 4 kelompok perlakuan yaitu kelompok control positif, kelompok control negative, kelompok EEDSM 56 mg/gr bb, kelompok EEDSM 112 mg/gr bb. Hasil penelitian menunjukkan bahwa terdapat perbedaan antar kelompok (p<0.05). kelompok dosis EEDSM 112 mg/gr bb merupakan dosis yang paling bagus sebagai antidiare
EVALUASI PENGOBATAN PENYAKIT PARU OBSTRUKTIF KRONIK DI INSTALASI RAWAT JALAN RUMAH SAKIT UMUM XYZ JAKARTA BARAT Ivans Panduwiguna; Baniu, Ahmad Sahlan; Renaldi, Fransiskus Samuel; Hasan, Anisatu Farhana; Tasmin, Taufani
Jurnal Farmasi Kryonaut Vol 2 No 1 (2023): JFK
Publisher : LPPM STIKES BULELENG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.758 KB) | DOI: 10.59969/jfk.v2i1.20

Abstract

Telah dilakukan penelitian evaluasi penggunaan obat penyakit paru obstruktif kronik pada pasien di Instalasi Rawat Jalan Rumah Sakit Umum XYZ Jakarta Barat Periode Juli – Desember 2017. Tujuan penelitian ini untuk mengetahui pola penggunan obat PPOK dan mengetahui kesesuaian penggunaan obat PPOK di instalasi rawat jalan Rumah Sakit Umum XYZ Jakarta Barat dengan standar pelayanan medis dan pustaka. Jenis penelitian ini adalah menggunakan desain deskriptif, dengan melihat data rekam medis pasien PPOK sesuai dengan periode Juli – Desember 2017. Hasil penelitian ini menujukan bahwa pasien laki-laki sebanyak 44 pasien (65,67%) dan pasien perempuan sebanyak 23 pasien (34,33%). Golongan obat PPOK yang paling banyak digunakan adalah golongan beta- 2 agonis kerja singkat, terutama obat salbutamol yaitu digunakan oleh pasien 49 (21,30%). Terdapat 67 pasien yang mendapatkan dosis tepat (100%) dan tidak ditemukan adanya pasien yang menerima dosis kurang atau dosis lebih..
GAMBARAN SWAMEDIKASI PENDERITA SAKIT GIGI PADA MASYARAKAT KECAMATAN BOJONG GEDE Panduwiguna, Ivans; Baniu, Ahmad Sahlan; Renaldi, Fransiskus Samuel; Sutisna, Andri Anggara
Jurnal Farmasi Kryonaut Vol 2 No 2 (2023): JFK
Publisher : LPPM STIKES BULELENG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59969/jfk.v2i2.30

Abstract

Penyakit karies gigi dan penyakit gigi lainnya hampir dialami seluruh penduduk didunia. Karies gigi dan penyakit gigi lainnya umumnya disebabkan oleh kebersihan mulut yang buruk, sehingga terjadi akumulasi plak yang mengandung berbagai macam bakteri. Tujuan penelitian ini yaitu untuk mengetahui gambaran swamedikasi penderita sakit gigi pada masyarakat kecamatan bojong gede berdasarkan penanganan saat sakit gigi; bahan kimia obat yang banyak digunakan; obat tradisional yang banyak digunakan; alasan melakukan swamedikasi; sumber informasi tentang obat sakit gigi. Penelitian ini menggunakan metode survei deskriptif kuantitatif yang tujuan utamanya untuk membuat gambaran atau deskripsi tentang suatu keadaan secara objektif. Hasil dari penelitian ini lebih dari setengah masyarakat menangani sakit gigi menggunakan bahan kimia obat sebanyak 31 orang (51,7%); bahan kimia obat yang paling banyak digunakan masyarakat dalam swamedikasi sakit gigi adalah ponstan sebanyak 32 orang (62,7%); obat tradisional yang paling banyak digunakan masyarakat dalam swamedikasi sakit gigi adalah larutan garam sebanyak 15 orang (51,7%); alasan masyarakat dalam melakukan swamedikasi sakit gigi terbanyak adalah praktis sebanyak 41 orang (68,3%); sumber informasi tentang obat sakit gigi yang didapat masyarakat dalam melakukan swamedikasi adalah kerabat/tetangga sebanyak 36 orang (60%)
A SYSTEMATIC REVIEW OF THE USE OF ARTIFICIAL INTELLIGENCE (VOICE ASSISTANCE) TO IMPROVE MEDICATION COMPLIANCE IN BLIND PATIENTS WITH TUBERCULOSIS Renaldi, Fransiskus Samuel; Pangeran, Khrisna
Jurnal Farmasi Kryonaut Vol 5 No 2 (2026): JFK
Publisher : LPPM STIKES BULELENG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59969/jfk.v5i2.196

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Tuberculosis remains a major infectious disease worldwide, with medication non-adherence a critical barrier to successful treatment. Patients with visual impairments face additional challenges in medication management due to their inability to read medication labels, increasing the risk of medication errors and non-adherence. This systematic review analyzed 23 studies on the application of artificial intelligence (AI) to improve medication adherence in tuberculosis (TB) patients, with a particular focus on the potential of AI voice assistance for visually impaired patients. Results showed that AI such as machine learning (ML), natural language processing (NLP), and computer vision effectively improved the accuracy of drug resistance prediction (>90%) and adherence by up to 32%, although challenges such as algorithm bias, data privacy, and geographic accessibility remained significant. For visually impaired TB patients, voice technologies such as Google Assistant or Alexa offer non-visual solutions through personalized reminders, text-to-speech pill recognition (85-95% accuracy), and intake confirmation, overcoming the limitations of visual-dependent video-observed therapy (VDOT). Integrating voice AI with digital therapies (DTx) has the potential to improve autonomy and clinical outcomes in resource-limited settings, but requires empirical randomized controlled trials (RCTs) and user training. This study recommends the development of a culturally based hybrid voice therapy-VDOT for Indonesia
Pelayanan Farmasi untuk Daerah Tertinggal, Terdepan, dan Terluar (3T) Terkait Program Penyakit HIV Berdasarkan Integrasi Model Pemberi Layanan yang Terdiferensiasi (PLD): Sebuah Tinjauan Sistematis Fransiskus Samuel Renaldi; Khrisna Pangeran
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 1 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i1.1331

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Background: Differentiated Service Delivery (DSD) has been proposed to improve HIV treatment continuity in remote areas; however, its success depends on the integration of systemic supports. Objective: This review synthesizes evidence on the effectiveness of community-based DSD models and the determinants of their success in underdeveloped, frontier, and outermost (3T) areas, particularly concerning supply chain resilience, quality assurance, and aligned governance and financing. Methods: A systematic review with narrative synthesis was conducted following PRISMA guidelines. Literature searches were performed in PubMed, Scopus, Web of Science, and grey literature repositories (2010–2025). Out of 1,520 records, 32 studies met the inclusion criteria. Results: Community-based DSD models (ART groups, MMD) were effective in improving adherence, retention, and reducing visit burden. This success was strongly determined by: (1) ARV supply chain stability (minimal stock-out days, synchronization with MMD schedules); (2) quality assurance in storage–distribution (temperature control, FEFO); and (3) aligned governance and financing (pharmacist roles, community health worker incentives, last-mile funding). Qualitative findings identified service proximity, confidentiality, and logistical reliability as key facilitators. Conclusion: DSD is a systemic intervention whose effectiveness hinges on multidimensional readiness. Strengthening HIV pharmaceutical services in 3T areas requires an integrated approach that simultaneously builds supply resilience, service quality, and adaptive governance. This review proposes operational indicators and a phased implementation roadmap for contextual adaptation.