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Review of Determinants of Nonmedical Caesarean Section in Indonesia: A Systematic Review Nurfianto, Sigit; Suhanda, Rachmad; Yuarta, Ferina Agustia; Refani, Priska; Sembiring, Thyrister Nina Asarya; Mellazulfa, Dhea Sofiana; Laurentina, Yoriko; Yeni, Yeni
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.9

Caesarean section (C-section) delivery has increased worldwide. The number of deliveries using the C-section procedure at the age of 10–54 years in Indonesia reached up to 17.6% of the total number of deliveries, due to the presence of medical and nonmedical indications. This study aims to analyze about nonmedical indications of C-section. This study uses a systematic review method. The inclusion criteria for the investigated studies were articles published in 2011–2021, written in English or Bahasa Indonesia, observational studies with case control or cohort as the design, and available to be downloaded in full text. In total, 12 articles were included in this systematic review. The nonmedical factors that influence the C-section procedure are antenatal care, the mother's level of education, residency, health insurance, socio-economics, occupation, previous birth histories, the mother's demand, the family's support and decision-making, and doctor's referral. The government, through the help of health practitioners, needs to increase the education to pregnant women and their families regarding the advantages and disadvantages of their preferred delivery methods.

Hubungan Pekerjaan Ibu dan Pemberian Asi Eksklusif Dengan Kejadian Ispa Pada Balita Wilayah Kerja Puskesmas Tewah Kabupaten Gunung Mas Aprilliana, Riska; Arifin, Syamsul; Permatasari, Silvani; Nurfianto, Sigit; Balyas, Abi Bakring
Barigas: Jurnal Riset Mahasiswa Vol. 3 No. 1 (2025): Barigas: Jurnal Riset Mahasiswa
Publisher : Fakultas Kedokteran Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37304/barigas.v3i1.12247

Acute Respiratory Tract Infection (ARI) is an acute infection that attacks the respiratory tract from the nose to the alveoli. There were 263 cases of ARI and in 2022, cases of ARI in toddlers increased to 540 in Tewah District, Gunung Mas Regency. This study aims to determine the relationship between maternal occupation and exclusive breastfeeding with the incidence of ARI in toddlers in the Tewah Health Center Work Area, Gunung Mas Regency. This study used an analytical observational method with a cross-sectional approach. Sampling was carried out using the purposive sampling method with the Slovin formula. A total of 30 samples that met the inclusion criteria were analyzed using the Spearman correlation test. This study was conducted in the Tewah Health Center Work Area in August-October 2023. The sample in this study were mothers who had toddlers and lived in the Tewah Health Center work area. The results of the study showed a relationship between maternal occupation and exclusive breastfeeding with ARI. There is no relationship between maternal occupation and the incidence of ARI in the Tewah Health Center Work Area. There is a relationship between Exclusive Breastfeeding and the incidence of ARI in the Tewah Health Center Work Area.

Comparison of D-dimer Levels Based on COVID-19 Severity Degree in Third-trimester Pregnant Women at dr. Doris Sylvanus Hospital Nurfianto, Sigit; Adnyana, I Gde Hary Eka; Suhanda, Rachmad; Evrillisa, Ghina Alya; Laurentina, Yoriko
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3601

Pregnant women are vulnerable to COVID-19 due to the physiological adaptive changes and immunosuppressive state during pregnancy. Various studies on COVID-19 patients have shown the prognostic value of elevated D-dimer. Pregnant women with COVID-19 experience hypercoagulability and hyperfibrinolysis, as indicated by the increased D-dimer levels that exceed normal limits during pregnancy. This study aims to determine the comparison of D-dimer levels based on the COVID-19 severity degree in third-trimester pregnant women at dr. Doris Sylvanus Hospital Palangka Raya. This research is an analytical observational study with a cross-sectional design. It used the medical record data of third-trimester pregnant women confirmed positive for COVID-19 who underwent D-dimer examination at dr. Doris Sylvanus Hospital, Palangka Raya, during November 2020–October 2021, and limited to be generalized to places that has similarity with this hospital. Descriptive analysis in this study used the Kruskal Wallis test and Mann Whitney test. There is a significant difference in D-dimer levels based on the severity of COVID-19 with mild and moderate severity as indicated by the p=0.000 value. In mild and severe severity, the value of p=0.001 means that there is a significant difference, whereas in moderate and severe severity showed a value of p=0.101 which means there was no significant difference. Mild severity has median 1.21, Moderate 2.71 and Severe 4.20. D-dimer and SpO2 data showed non-normally distributed data. It is an important topic to be studied because D-dimer levels can be the parameter for patients with COVID-19 severity status.

The Effectiveness of the Integrated Referral System (SISRUTE) on Obstetrics and Neonatal Referral Indicators at RSUD dr. Doris Sylvanus Palangka Raya Legawati, Legawati; Utama, Nang Randu; Purba, Maria Magdalena; Yeyentimalla, Yeyentimalla; Aryani, Vissia Didin; Nurfianto, Sigit
Formosa Journal of Science and Technology Vol. 3 No. 3 (2024): March 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v3i3.8617

This study aims to assess the effectiveness of SISRUTE on obstetric and neonatal referral indicators, at RSUD dr Doris Sylvanus Palangka Raya Raya. The research method used in this study is the mix method (qualitative and quantitative method). Data collection techniques are carried out by observation, in-depth interview, Focus Group Discussion (FGD), documentation and triangulation. This research will be conducted at RSUD dr Doris Sylvanus Palangka Raya and RSUD Mas Amsyar Kasongan. The study was conducted for 3 months (August to October 2023). As result, Obstetrics and Neonatal Referral Indicators can be assessed from the response of obstetrian and neonatal referral cases received treatment at the hospital. The Integrated Referral System (SISRUTE) has not made obtetry and neonatal referral cases a priority, so it still gets the same treatment (in response time).

Review of Determinants of Nonmedical Caesarean Section in Indonesia: A Systematic Review Nurfianto, Sigit; Suhanda, Rachmad; Yuarta, Ferina Agustia; Refani, Priska; Sembiring, Thyrister Nina Asarya; Mellazulfa, Dhea Sofiana; Laurentina, Yoriko; Yeni, Yeni
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.9

Caesarean section (C-section) delivery has increased worldwide. The number of deliveries using the C-section procedure at the age of 10–54 years in Indonesia reached up to 17.6% of the total number of deliveries, due to the presence of medical and nonmedical indications. This study aims to analyze about nonmedical indications of C-section. This study uses a systematic review method. The inclusion criteria for the investigated studies were articles published in 2011–2021, written in English or Bahasa Indonesia, observational studies with case control or cohort as the design, and available to be downloaded in full text. In total, 12 articles were included in this systematic review. The nonmedical factors that influence the C-section procedure are antenatal care, the mother's level of education, residency, health insurance, socio-economics, occupation, previous birth histories, the mother's demand, the family's support and decision-making, and doctor's referral. The government, through the help of health practitioners, needs to increase the education to pregnant women and their families regarding the advantages and disadvantages of their preferred delivery methods.

The Relationship Between the Level of Knowledge and Attitudes with Personal Hygiene Behavior During Menstruation in Adolescent Samosir, Angelika; Widodo, Tri; Nurfianto, Sigit; Trisia, Adelgrit; Jabal, Arif Rahman
Barigas: Jurnal Riset Mahasiswa Vol. 3 No. 2 (2025): Barigas: Jurnal Riset Mahasiswa
Publisher : Fakultas Kedokteran Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37304/barigas.v3i2.18318

It is very important for every individual, especially adolescents, to acquire knowledge about reproductive health. The general public still considers issues of reproductive health taboo, particularly concerning personal hygiene during menstruation. This results in a lack of knowledge and attitude regarding proper personal hygiene during menstruation. This study aims to determine the relationship between knowledge and attitude with personal hygiene behavior during menstruation among adolescent girls at SMP Negeri 1 Palangka Raya. This research is a quantitative study with a cross-sectional design. The sample used consisted of 91 students from grades VII, VIII, and IX at SMP Negeri 1 Palangka Raya. The instrument used in this study was a questionnaire. Data analysis was performed using the spearman correlation test. The research results showed that (p=0.000; r=0.624) and attitude (p=0.003; r=0.309) are associated with personal hygiene behavior during menstruation in adolescent girls. The strength of the relationship is considered strong between the level of knowledge and personal hygiene behavior, but the strength of the relationship is weak between attitude and personal hygiene behavior. The conclusion of the study is that there is a significant relationship between the level of knowledge and attitude towards personal hygiene behavior during menstruation in adolescent girls at SMP Negeri 1 Palangka Raya.

KARAKTERISTIK PASIEN DENGAN UROLITHIASIS DI RSUD DR.DORIS SYLVANUS PALANGKARAYA KALIMANTAN TENGAH PERIODE 2022-2023 Rinjani, Lalu Andika Surya; ambeng, Yudi; Nugrahini, Sinta; Patricia, Tisha; Nurfianto, Sigit
Barigas: Jurnal Riset Mahasiswa Vol. 3 No. 3 (2025): Barigas: Jurnal Riset Mahasiswa
Publisher : Fakultas Kedokteran Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37304/barigas.v3i3.17790

Urolithiasis is a common medical condition characterized by the formation of stones in the urinary tract, including the kidneys, ureters, bladder, and urethra. This disease can be caused by intrinsic factors such as age and genetics, as well as extrinsic factors including diet, dehydration, and environmental conditions. In Indonesia, urolithiasis cases are frequently encountered; however, comprehensive prevalence data remain limited, particularly at RSUD dr. Doris Sylvanus, Palangka Raya. This study aimed to identify the characteristics of patients with urolithiasis at RSUD dr. Doris Sylvanus during the 2022–2023 period, including age, gender, signs and symptoms, chief complaints, stone location, and applied management strategies. This was a retrospective descriptive study analyzing medical records of urolithiasis patients treated at RSUD dr. Doris Sylvanus from January 2022 to December 2023. The findings indicated that urolithiasis most commonly occurred in men aged 46–64 years. Prominent risk factors included gender and age. Most patients presented with flank pain as the main complaint, while the majority showed urinary retention as a clinical sign. Percutaneous nephrolithotomy (PCNL) was the most frequently applied treatment. Urolithiasis at RSUD dr. Doris Sylvanus predominantly affected elderly and middle-aged men, with flank pain as the chief complaint. This study provided essential insights for developing more effective treatment strategies for this condition

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