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All Journal Media Kesehatan Masyarakat Indonesia Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Abdimas Rekayasa: Jurnal Penerapan Teknologi dan Pembelajaran MEDISAINS Jurnal Manajemen Kesehatan Indonesia The Indonesian Biomedical Journal HIGEIA (Journal of Public Health Research and Development) Journal of Health Education Jurnal Kesehatan Masyarakat Journal of Public Health for Tropical and Coastal Region Journal of Epidemiology and Public Health Amerta Nutrition Jurnal Respirologi Indonesia Unnes Journal of Public Health Public Health Perspective Journal Jurnal Keperawatan dan Fisioterapi (JKF) Journal of Sport Coaching and Physical Education Indonesian Journal of Public Health and Nutrition Bookchapter Pendidikan Universitas Negeri Semarang Prosiding Seminar Nasional Pascasarjana Proceeding of International Conference on Science, Education, and Technology Jurnal Kesehatan Masyarakat Public Health Perspective Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Mahalul Azam
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Arts Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Peer Support Group as a Model for Improving Behavior of Hypertension Risk and Complication Control Azinar, Muhammad; Azam, Mahalul; Sugiharto, Sugiharto
Journal of Health Education Vol 4 No 1 (2019)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v4i1.24192

Abstract

Background: Based on Basic Health Research (Riset Kesehatan Dasar) 2013 data, the prevalence of hypertension in Indonesia was high (26.5%). It means that 1 in 4 people suffer from hypertension. Based on a preliminary study conducted by researchers in November 2017 at the Primary Healthcare Center (PHC) of Kalongan, it was found that 67% of hypertensive patients did not recognize risk factors, signs and symptoms of hypertension. Results of examinations and report at the PHC and Non-communicable Disease (NCD) Surveillance (Posbindu) in the working area of ​​ PHC of Kalongan in 2017, that Kawengen village was a village with the highest number of hypertension cases from 6 villages in their working area. Peer Support Group is a form of empowerment innovation that can be applied to. Methods: This study was pre-experimental with one group pretest-posttest design. The study population was all hypertensive patients in Kawengen village. Sample was determined purposively, obtained by 61 people. The research instrument was the pretest and posttest questionnaire. Data analysis was performed by McNemar test. Results: Peer Support Group model can improve knowledge (p value 0.031), behavior (p value 0.008), risk and complication control practices (p value 0.012). Risk and complication control behavior is an effort that can be implemented to reduce hypertension cases in the community. Conclusion: Peer Support Group is one of community empowerment models, especially for patients which can increase knowledge, change behavior, and improve risk and complication control practices among hypertensive patients as participant of Peer Support Group.
Factors Associated with the Incidence of Uncontrolled Hypertension in Prolanis Patients in Semarang City Astuti, Yuni; Azam, Mahalul; Rahayu, Sri Ratna
Public Health Perspective Journal Vol 6, No 3 (2021): December 2021
Publisher : Universitas Negeri Semarang

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Abstract

Hypertension is a serious medical condition that can increase the risk of heart failure, chronic kidney disease, brain disease and others. Hypertension is a major risk factor for global death. Uncontrolled hypertension was defined as a measure of systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg based on the mean of three measurements in hypertensive patients and with or without antihypertensive treatment. Chronic disease management (Prolanis) is a proactive and integrated program that involves participants, health facilities, especially health centers and the national health insurance called BPJS which aims to encourage patients with chronic diseases to achieve optimal quality of life. The purpose of this study was to analyze the factors associated with the incidence of uncontrolled hypertension in Prolanis patients in Semarang City. This study used case control method. The research sample consisted of 148 respondents (74 cases and 74 controls) with a purposive sampling technique. The technique of collecting data by interview using a questionnaire. Data analysis was performed using the chi-square  test and logistic regression. The results showed that there was a significant relationship between the variables of age (p = 0.003), education (p = 0.032), stress (p = 0.023) and cholesterol levels (p = 0.008) with the incidence of uncontrolled hypertension in Prolanis patients in Semarang City. The most related variable was age (p = 0.028. OR = 3.469). Increasing age related to risk factors for hypertension is supported by the presence of psychological problems such as stress, can be reduced by spiritual activity and the provision of health education about changes in the cardiovascular system and adaptation to lifestyle changes will be able to reduce uncontrolled hypertension factors.
Analisis Faktor-Faktor yang Berhubungan dengan Kejadian Stres Pasien TB Paru pada Masa Pandemi Covid-19 Bioladwiko, Bioladwiko; Azam, Mahalul; Rahayu, Sri Ratna
Public Health Perspective Journal Vol 7, No 1 (2022): April 2022
Publisher : Universitas Negeri Semarang

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Abstract

Stress is an unexpected reaction that arises as a result of the high demands of the environment on a person. Covid-19 causes fear and stress. Stress events also occur in pulmonary TB patients which are manifested physically, psychologically, and behaviorally due to the conditions they are experiencing.analyze Factors related to the incidence of stress in pulmonary TB patients during the Covid-19 pandemic.This research is an analytical survey research with a cross sectional approach. The population of this study were pulmonary TB patients at level II health facilities, namely Pantiwilasa General Hospital dr. Cipto which is a health facility with high category pulmonary TB patients as many as 204 patients.The sample that was successfully obtained as a whole was 189 respondents, The sampling technique used is total sampling. The research instrument used is a questionnaire. The data analysis in this study were univariate analysis (frequency distribution), bivariate analysis (rank Spearman correlation test) and multivariate analysis (ordinal logistic regression test). The results showed that there was a significant relationship between age, gender, knowledge, socio-culture and environment with the incidence of stress in pulmonary TB patients during the Covid-19 pandemic. Education, work and sources of information are not factors related to the incidence of stress in pulmonary TB patients during the Covid-19 pandemic. Gender, environment and age are the factors with the strongest relationshipwiththe incidence of stress in pulmonary TB patients during the Covid-19 pandemic.
Factors Associated with the Utilization of the Birth Waiting House in Fakfak Tengah District, Fakfak Regency Halibi, Maria Suzana; Azam, Mahalul; Rahayu, Sri Ratna
Public Health Perspective Journal Vol 7, No 1 (2022): April 2022
Publisher : Universitas Negeri Semarang

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Abstract

The birth waiting house is one of the efforts to bring pregnant and maternity mothers access closer to health services. As forThere are various factors that become obstacles to the use of RTK, one of which is the behavior of the community which is less related to the use of the birth waiting house. The purpose of this study is to analyzethe relationship between perceptions, reference groups, resources, and socio-culture with the use of the birth waiting house in Fakfak Tengah District, Fakfak Regency. This research is an analytic survey research with a cross sectional approach. The population of this study were all mothers who gave birth in January to December 2020, totaling 226 mothers.The sample that was successfully obtained as a whole was 215 respondents,The sampling technique used is total sampling based on predetermined inclusion and exclusion criteria. The research instrument used is a questionnaire. The data analysis in this study were univariate analysis (frequency distribution), bivariate analysis (rank Spearman correlation test) and multivariate analysis (ordinal logistic regression test). The results showed that there was a significant relationship between perceptions, reference groups, resources and socio-culturewith the use of a birth waiting house in Fakfak Tengah District, Fakfak Regency.Resource and socio-cultural variables are the factors with the strongest relationship with the use of a birth waiting house in Fakfak Tengah District, Fakfak Regency.
The Influential Factors of Anemia on Patients with Chronic Kidney Failures Receiving Hemodialysis in Sultan Agung Islamic Hospital Semarang Rukmana, Dewi; Azam, Mahalul; Farida, Eko
Public Health Perspective Journal Vol 7, No 1 (2022): April 2022
Publisher : Universitas Negeri Semarang

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Abstract

Anemia suffered by patients with kidney failures can be prevented with erythropoietin administration (EPO). The chronic kidney disease (CKD) is the global epidemic with an estimated prevalence of 14% in the United States of America and 5% in the world. This research analyzes the influential factors of anemia via erythropoietin administration (EPO) for kidney failure patients who also receive hemodialysis in Sultan Agung Islamic hospital, Semarang. This research used analytical observation with Cross Sectional design. The population and sample were from 162 participants (total sampling). The statistical results with path analysis showed the direct influences with significant value on erythropoietin, comorbid, creatine, and ureum. The result showed insignificant results on family support, obedience levels, and cognition levels. The result found indirect and significant influences on family support, levels of obedience, levels of cognition. The insignificant values were on the comorbid, creatine, and ureum. The results showed the influential matters for the patients with anemia and chronic kidney failures that received hemodialysis were creatine with p=0.000, family support with p=0.00, levels of obedience with p=0.000, and levels of cognition with p=0.000.
Post-traumatic Stress Disorder and Depression during COVID-19 Pandemic among Students: Study at Universitas Negeri Semarang Endika, Okta Mega Gres; Azam, Mahalul
KEMAS: Jurnal Kesehatan Masyarakat Vol 17, No 2 (2021)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v17i2.32589

Abstract

The high COVID-19 death rate has an impact on mental disorders. Based an online self-survey on mental health, found a percentage of 63%, 66% and 80% on anxiety, depression and stress, respectively. We aimed to determine factors related to students’ mental health during pandemic. A cross-sectional study was conducted yielding 407 students selected consecutively. Data was collected using a questionnaire on google form. Data were analyzed by logistic regression. The results showed that there was a significant relationship between age and stress symptoms (p= 0,038) and depression (p= 0,017), resilience with stress symptoms (p= 0,040) and depression (p0,001) sleep duration with stress symptoms (p=0,005) and social support with depression (p0,001) in student at State University of Semarang. The variable that is most strongly associated with symptoms of stress and depression is resilience. Based on this research, the government and universities must provide psychological services and interventions regularly to identify students who have mental health problems.
Pengembangan Model Pendidik Komunitas dalam Upaya Pencegahan Penyakit Menular Seksual (PMS) dan HIV/AIDS di Lokalisasi Banyu Putih Kabupaten Batang Azam, Mahalul; Azinar, Muhammad
Rekayasa : Jurnal Penerapan Teknologi dan Pembelajaran Vol 12, No 2 (2014): December 2014
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/rekayasa.v12i2.10308

Abstract

Tujuan yang ingin dicapai dari kegiatan ini adalah untuk meningkatkan pengetahuan, sikap dan keterampilan WPS dalam melakukan negosiasi kondom terhadap pelanggan serta Pendidik Komunitas mampu meningkatkan angka konsistensi penggunaan kondom di kalangan WPS dampingannya.Pengembangan model pendidik komunitas di lokalisasi dengan bentuk pelatihan ini efektif untuk meningkatkan pengetahuan WPS terkait kesehatan reproduksi, PMS dan HIV/AIDS, untuk merubah sikap WPS terhadap penggunaan kondom,  meningkatkan skill WPS dalam negosiasi kondom serta meningkatkan praktik penggunaan kondom pada WPS ataupun pelangggannya.
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PENYAKIT GINJAL KRONIK PADA PENDERITA HIPERTENSI DI INDONESIA Saniya Ilma Arifa; Mahalul Azam; Oktia Woro Kasmini Handayani
Media Kesehatan Masyarakat Indonesia Vol. 13 No. 4: DESEMBER 2017
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.291 KB) | DOI: 10.30597/mkmi.v13i4.3155

Abstract

Penyakit Ginjal Kronik (PGK) berkontribusi pada beban penyakit dunia karena prevalensinya terus meningkat dan menempati beban biaya kesehatan paling tinggi kedua di Indonesia setelah penyakit jantung. Hipertensi merupakan salah satu faktor dominan yang menyebabkan penyakit ginjal kronik. Penelitian ini bertujuan mengetahui prevalensi dan faktor-faktor yang berhubungan dengan kejadian PGK pada penderita hipertensi di Indonesia. Jenis penelitian ini adalah penelitian analitik observasional dengan pendekatan cross sectional. Data bersumber dari data sekunder hasil Riskesdas tahun 2013. Data dianalisis menggunakan chi square dan regresi logistik. Didapatkan prevalensi PGK pada penderita hipertensi di Indonesia sebesar 0,5%. Terdapat hubungan yang signifikan antara variabel usia kategori 45-54 tahun (OR=4,7; p<0,05; 95% CI=1,103-20,125), usia kategori 55-64 tahun (OR=4,7; p<0,05; 95%CI=1,094-20,434), jenis kelamin (OR=1,78; p<0,05; 95% CI=1,072-2,967), riwayat DM (OR=4; p<0,05; 95% CI=1,926-8,444), dan riwayat batu ginjal (OR=132,2; p<0,05; 95% CI=79,5- 219,9) dengan kejadian PGK pada penderita hipertensi di Indonesia. Riwayat DM, riwayat batu ginjal dan kadar kolesterol total merupakan variabel dominan kejadian PGK pada penderita hipertensi di Indonesia.
Pengembangan Aplikasi Monitoring Penyakit Hipertensi dan Diabetes Mellitus Terintegrasi Siti Minasari; Mahalul Azam; Sri Ratna Rahayu
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 1 (2022): April 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.10.1.2022.28-42

Abstract

Non-communicable diseases (NCDs) are a health development priority at this time. The increase in the prevalence of PTM over the last few years. Hypertension and diabetes mellitus are PTM that have increased cases. Changes in behavior and lifestyle are risk factors for hypertension and diabetes mellitus. The recording and reporting of officers related to PTM still experience difficulties in routine monitoring of treatment and patient visits. There is currently no integrated information system between Hypertension and Diabetes Mellitus to monitor patient compliance for treatment. The purpose of the study was to develop an integrated application system for monitoring hypertension and diabetes mellitus in the city of Semarang. The type of research conducted is rapid and development (RAD), with a qualitative approach. The research stage: is the identification of information system development needs, is database design and application interface, and implementation of android application model development on a small scale (three prolanis officers). The subjects of this study were three prolanis officers and five patients with primary hypertension and diabetes mellitus aged 46 to 55 years. Results: system development by analyzing user data needs of officers and patients include patient identity, patient examination results, follow-up on examination results, patient referrals, education on healthy menus and ways to prevent hypertension and diabetes mellitus, the reminders to take medication, and results of routine examinations. Database design and application interface described through DFD and ERD. Implementation and function tests carried out on fully developed applications.
Baseline and Post-exercise High-Sensitivity C-Reactive Protein Levels in Endurance Cyclists: The Indonesian North Coast and Tour de Borobudur 2017 Study Mahalul Azam; Susanti Lestari; Sri Ratna Rahayu; Arulita Ika Fibriana; Budhi Setianto; Nyoman Suci Widyastiti; Suhartono Suhartono; Hardhono Susanto; Martha Irene Kartasurya; Udin Bahrudin; Thijs Eijsvogels
The Indonesian Biomedical Journal Vol 11, No 1 (2019)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v11i1.560

Abstract

BACKGROUND: Inflammation plays an important role in the atherosclerotic process. High-sensitivity C-reactive-protein (hs-CRP) is commonly used as inflammatory biomarker. It is well known that regular physical activity lowers hs-CRP levels, while prolonged exercise induces hs-CRP elevations. However, the relationship of training and exercise characteristics with hs-CRP levels remains not well elucidated. We evaluated baseline and post-exercise hs-CRP levels and its association with training and exercise characteristics.METHODS: Eighty-eight male endurance cyclists were involved. Demographic data, health condition and training characteristics were collected. Baseline and postexercise blood-samples were collected to determine hsCRP concentrations. A hs-CRP cut-off point of 3 mg/L was used. Blood-cell count and biochemical parameters were measured at baseline. Heart rate (HR) was measured during exercise.RESULTS: Cyclists performed 7.3 hours (interquartilerange (IQR) = 5.4-7.5) of endurance exercise at intensity of 81.8 % (IQR = 74.9-85.8). Cyclists with baseline hsCRP ≥ 3 mg/L reported higher body mass, body mass index (BMI), waist-circumference and total-cholesterol. An increase in hs-CRP was following endurance exercise. Cyclists with any elevation of hs-CRP reported a higher BMI, HR during exercise and exercise intensity. Binary logistic regression analysis showed BMI (OR = 1.24, 95% CI = 1.04-1.48) and cycling distance (OR = 0.22, 95% CI = 0.06-0.76) were associated with post-exercise hs-CRP elevations.CONCLUSION: Body mass, BMI, waist-circumference, total- and HDL-cholesterol are associated with baseline hsCRP, whereas BMI and cycling distance were associated with hs-CRP elevations. These findings suggest that anthropometry parameters and lipid levels attributed to baseline hs-CRP, while anthropometry parameters and cycling intensity attributed to post-exercise hs-CRP elevations.KEYWORDS: C-reactive-protein, exercise, endurancecycling, inflammation, acute-phase-response 
Co-Authors A.A. Ketut Agung Cahyawan W Afifi, Sesaria Nisa Agus Kristyanto Kumbara Agus Raharjo Aldinda, Tharra Widadari Alfitri Alfitri Anik Setyo Wahyuningsih Arga Iman Malakani Ari Yuniastuti Artiyaningrum, Budi Arulita Ika Fibriana Ayu, Dhea Istiva Baharuddin Ali Bambang Budi Raharjo Bambang Priyono Bambang Widjanarko Bioladwiko, Bioladwiko Budhi Setianto Chandra Permana Daniswari, Aruna Dartini Dartini Dewi, Nila Prastiana Dina Nur Anggraini Ningrum Donny Kristanto Mulyantoro Donny Wira Yudha Elsa Yuniarti Endika, Okta Mega Gres Eri Barlian Eunike Raffy Rustiana Eunike Raffy Rustiana Evi Widowati Farida, Eko Fatihah, Ana Nur Fatimah Fatimah Fazriyah, La’elatul Ferdiani, Dhita Aulia Ferdiani, Dhita Aulia Fetty Nur Hidayati Firman Firman Fitri Indrawati Halibi, Maria Suzana Hardhono Susanto Hardhono Susanto heldi heldi Hendra Adinata Heny Setyawati Indah Septiani Indah Septiani Indang Dewata Innayah, Nurul Irawan Wibisono Irwan Irwan Isti Mulyawati Jeffri Ardiyanto Kamisih, Kamisih Kholifah, Siti Putri Nur Kristian, Samuel Kusuma, Donny Wira Yudha Lukman Fauzi M. Riski Adi Wijaya M.Jannah, Ajeng Ayu Maftukhah, Maftukhah Martha Irene Kartasurya Martha Irene Kartasurya Mohammad Arif Ali, Mohammad Arif Muhammad Azinar Navik Puryantini Netrawati, Netrawati Neviyarni, Neviyarni Ningrum, Trinanda Agustina Sapta Nisa, Alfiana Ainun Nugroho, Anan Nurfajriah, Nurfajriah Nurharsono, Tri Nurtanti, Ratna Nurul Dwi Astuti, Nurul Dwi Nyoman Suci Widyastiti Octarini, Dewi Oktia Woro Kasmini Handayani Qimamayah, Asih Satut Damul Rahayu, Rr. Sri Ratna Rahmawati, Siska Ricko Irawan Ricko Irawan Rihaliza, Rihaliza Rr. Sri Ratna Rahayu Rukmana, Dewi S. Sugiharto S.Pd. M Kes I Ketut Sudiana . Saefurrohim, Muhamad Zakki Salsabila, Alif Mazida Saniya Ilma Arifa Saputri, Indramala Yulmi Saputri, Meilinda Ayu Sari, Riska Permana Sekar, Anastasia Kinanti Sesaria Nisa Afifi Setya Rahayu Shofiyanah, Lina Shofiyanah, Lina Siti Fatimah Pradigdo Siti Minasari Soedjatmiko Soedjatmiko Soegiyanto Soegiyanto Soesanto . Sofwan Indarjo Sri Lestari Sri Sumarni Sri Sumartiningsih Sudiyono Sudiyono Suhartono, Suhartono Sungkowo Edy Mulyono Sungkowo Sungkowo Susanti Lestari Syed Mohamed Aljunid Tandiyo Rahayu Taufiq Arif Setyanto Thijs Eijsvogels TOMMY SUPIT, TOMMY Totok Triputrastyo Murwatono Tri Joko Raharjo Tri Tunggal Setiawan Udin Bahrudin Udin Bahrudin Udin Bahrudin, Udin Utami, Nur Lissa Utami, Nur Lissa Utomo, Ocbrivianita Mulyaningtyas Widya Hary Cahyati Yan Wisnu Prajoko Yani Istadi Yuni Astuti Yuni Wijayanti Zein, Ahmad