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All Journal Indian Journal of Forensic Medicine & Toxicology International Journal of Community Services
Riri Handayani
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Clinical Finding, Diagnosis, and Management of Tuberculous Mastoiditis in 4 Cases Sally Mahdiani; Lina Lasminingrum; Bambang Purwanto; Riri Handayani
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.15944

Abstract

Background: Tuberculous mastoiditis is a rare case of chronic otitis media disease and extrapulmonary tuberculosis, caused by Mycobacterium tuberculosis. Case Presentation: Four cases of tuberculous mastoiditis were reported, ranging in age from 16 to 66 years. All patients presented with chronic discharge with signs of mastoiditis with intra and extratemporal complications. Two patients only manifested in the mastoid and two other patients had symptoms of tuberculosis in other organs, especially the lungs. All patients underwent radical mastoidectomy and histopathological examination showed tuberculosis. All patients received category 1 and category 2 antituberculosis drugs. Conclusion: The clinical features of tuberculous mastoiditis vary. Diagnosis of tuberculous mastoiditis can be done by histopathological examination and geneXpert. Surgical therapy and administration of antituberculosis are the main options in the management of tuberculous mastoiditis.
“Coco Dragon Fruit Pujuksu” (Date Milk Pudding with Dragon Fruit) To Overcome Anemia in Pregnant Women Usu; Nuning; Mimi Nanda Sari; Riri Handayani; Jeni Purba; Rukmaini
International Journal of Community Services Vol. 3 No. 1 (2025): InJCS Vol 3 No 1 (2025)
Publisher : Rajaki of Tulip Medika Publisher

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Abstract

Anemia in pregnant women is still one of the significant public health problems in Indonesia. Iron and vitamin C deficiencies are the primary causes of anemia, particularly during the second and third trimesters of pregnancy. Nutritional interventions based on local food are one of the effective and sustainable preventive solutions. This study aims to examine the effectiveness of providing date milk pudding with dragon fruit sprinkled with cheese as an alternative functional food in preventing anemia in pregnant women. The research method employed is a quantitative descriptive approach with an intervention component. The subjects of the study consisted of 12 pregnant women who were the targets of nutrition education and intervention for 7 days at Posyandu (Integrated Health Service Post) Anggrek 2, Pasir Muncang Village, Subang. The results showed that pudding consisting of a combination of dates, dragon fruit, milk, and cheese was well received by all respondents. As many as 91.6% of pregnant women said they liked the taste, texture, and appearance of the pudding, and 83.3% said they wanted to try making it themselves at home. The nutritional content in one serving of pudding includes iron ±2.3 mg, vitamin C ±18 mg, protein ±8 g, and calcium ±175 mg, which have the potential to increase hemoglobin levels. In addition to being a nutritious food intervention, this activity also includes nutrition education and demonstrations of making it that foster community nutritional awareness and independence. In conclusion, date milk and dragon fruit pudding sprinkled with cheese is an innovative, affordable, and potentially replicable nutritional intervention alternative in community-based anemia prevention efforts. Further research is needed to test the biochemical effects on hemoglobin levels.
Co-Authors Bambang Purwanto Jeni Purba Lina Lasminingrum Mimi Nanda Sari Nuning Rukmaini Sally Mahdiani Usu