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GAMBARAN SISTEM SURVEILANS TB DI PUSKESMAS WILAYAH KABUPATEN JEMBER BERDASARKAN KOMPONEN INPUT Wafiroh, Nabila Yunib Hibatu; Bumi, Candra; Kinanthi, Citra Anggun
Syifa'Medika Vol 14, No 2 (2024): Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v14i2.6680

Abstract

Tuberkulosis (TB) masih menjadi permasalahan kesehatan masyarakat. Sistem surveilans TB perlu didukung dengan suatu sistem pencatatan dan pelaporan yang baik dan terstandar. Sistem surveilans TB bertujuan sebagai upaya monitoring kejadian TB, sehingga dapat meminimalisir under-reporting/lost to follow up kasus TB. Pemeriksaan TCM TB sebagai alat diagnosis utama TB di Kabupaten Jember tersebar di 10 Puskesmas yang menjadi garda terdepan dalam menemukan TB secara langsung di masyarakat. Sebuah input diperlukan dalam sebuah sistem surveilans TB guna mendukung pelaksanaan (proses) sistem surveilans sehingga dapat menghasilkan data berkualitas (output). Tujuan penelitian ini untuk mengetahui gambaran sistem surveilans TB di Puskesmas wilayah Kabupaten Jember berdasarkan komponen input. Metode penelitian menggunakan penelitian deskriptif. Penelitian dilaksanakan di 10 Puskesmas yang memiliki laboratorium TCM TB. Variabel input yang diteliti meliputi sumber daya manusia, fasilitas, perlengkapan, dan pendanaan. Hasil menunjukkan bahwa sebagian besar (60%) SDM sistem surveilans TB puskesmas belum sesuai pedoman yakni pada pelatihan yang belum menyeluruh bagi semua komponen tenaga program, sebagian besar (70%) fasilitas sistem surveilans TB puskesmas belum sesuai pedoman yakni belum tersedia dan/atau tidak digunakannya timer, dan label/sticker, sebagian besar (80%) perlengkapan sistem surveilans TB puskesmas belum sesuai pedoman yakni pada tidak tersedianya pedoman pemeriksaan dahak dan form TB secara lengkap, dan sebagian besar (60%) pendanaan sistem surveilans TB puskesmas telah sesuai pedoman. Kesimpulan sebagian besar SDM, fasilitas dan perlengkapan sistem surveilans TB pada 10 puskesmas di Jember belum sesuai pedoman pada komponen input
Characterization of Classic Meningioma with Use of Conventional Magnetic Resonance and Diffusion Tensor Imaging Fatmawati, Heni; Adji, Novan Krisno; Bumi, Candra; Putri, Komang Yunita Wiryaning
Indonesian Journal of Cancer Vol 18, No 3 (2024): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v18i3.1133

Abstract

Introduction: The conventional magnetic resonance imaging (MRI) method is widely considered ‘with limited success’ in differentiating the meningioma types but may fail to localize the tumor occupation of white-matter fiber bundles accurately. Diffusion tensor imaging (DTI) is considered as an imaging modality that may elucidate the microstructure of brain tumors. We provide characteristics of meningioma using DTI-based-three-dimensional tracing of white matter to portray meningioma in a noninvasive approach and its structural contact to contiguous tumors and elucidate the influence of occupying lesions on white-matter fiber bundles. Case Presentation: A 28-year-old female presented with visuospatial disturbances and persistent headaches for 2 years. Conventional and advanced MRI studies were performed. Diffusion-weighted Images (DWI) and Apparent Diffusion Coefficient (ADC) values were measured in the lesion using routine MRI sequences. Advanced MRI using DTI was also performed. Conventional MRI outcomes showed tumor parenchyma, peritumoral edema, and compression on the circumnavigated brain tissue. There was hyperintense on DW trace image and isointense on ADC map. On T2-weighted image (T2WI) and Fluid-Attenuated Inversion Recovery (FLAIR) images, there was an increased signal intensity that demonstrated an extra-axial lesion, while T1-weighted imaging signals showed hypointensity. DTI fractional anisotropy (FA) marker is an unclear optic radiation in the concerned area, indicating the shift or destruction of the optic radiation. The mean FA values of solid-enhancing areas of meningioma were 0.28 ± 0.17. Mean ADC values (103 mm2/s) were 0.764 ± 0.172. Conclusions: Classic meningioma in this case has low intratumoral FA and high ADC. DTI displayed that intratumoral microscopic water motion is disorganized.
Epidemiology of Pulmonary Tuberculosis in Diabetes Mellitus Patients Syahputri, Siti Ananda Hardita; Mufida, Diana Chusna; Bumi, Candra
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3963

Abstract

Pulmonary Tuberculosis (pulmonary TB) and Type 2 Diabetes Mellitus (DMT2) are the leading causes of death worldwide. The prevalence of T2DM has increased worldwide as an aging result, urbanization, changes in diet, and reduced physical activity patterns, which have increased obesity. Pulmonary TB and T2DM often occur together and complicate each other during treatment. Pulmonary TB infection-DMT2 appears based on a low immunity state. When the body has low immunity, the reactivation of Mycobacterium tuberculosis bacteria can occur more easily. However, several factors can influence it. This study uses a case-control design. The researcher made observations on the subjects by comparing the case group and the control group. This study had 74 respondents in the case group and 74 respondents in the control group using quota sampling. This study has the results that the factors that influence the incidence of pulmonary TB-DMT2 are smoking behavior 0.000α, age 0.877>α, and alcohol consumption 0.998>α. (α=0.05). The factor that most influences the risk of pulmonary TB-DMT2 is smoking behavior with a wald value of 13.391. This research provides information regarding the problem of pulmonary TB-DMT2 in Jember. To increase public awareness of the risk for Pulmonary TB-DMT2.
Sosialiasi Pencegahan Penuaan Dini Pada Pekerja Perkebunan Desa Pakis Kecamatan Panti Kabupaten Jember 2022 Prasetyowati, Irma; Simanjuntak, Tri Damayanti; Bumi, Candra
UNEJ e-Proceeding 2023: Prosiding Kolokium Pengabdian kepada Masyarakat Fakultas Kesehatan Masyarakat
Publisher : UPT Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Premature Ageing can accelerate the emergence of degenerative diseases. Plantation workers or farmers are a group of workers who are very vulnerable to degenerative diseases and accidents in carrying out their work. This activity aims to socialize the prevention of premature aging among plantation workers. Method: This activity uses the counseling method with the target of plantation workers in Pakis Village, Panti District, Jember Regency. The stages of the activities start from the preparation, implementation, and evaluation of activities. The instrument used is a booklet. Results: The socialization contained definitions of premature aging and emerging degenerative diseases, CERDIK prevention, adherence to using personal protective equipment (PPE) while at work, hand washing with soap (CTPS) behavior, and increased knowledge and behavior paying attention to a healthy and balanced nutritional diet, especially foods that contain antioxidants. Participants actively participate through question and answer. Conclusion: socialization activities to increase the knowledge, understanding, and awareness of plantation workers are crucial to prevent premature aging and degenerative diseases.Keywords: prevention, premature aging, plantation workers
THE IMPLEMENTATION OF ADA SCREENING TOOLS TO DETERMINE THE BLOOD SUGAR TEST FLOW IN POSYANDU LANSIA Winarismasari, Khoirunnisa Yunita; Candra Bumi
Indonesian Journal of Community Health Nursing Vol. 9 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v9i1.46005

Abstract

Abstract Introduction: The high incidence of undiagnosed diabetes may increase the incidence of T2DM. Therefore, prediabetes screening activities are needed to detect prediabetes cases early to prevent them from developing into T2DM. Methods: A descriptive research analysis with a cross-sectional approach was conducted in Posyandu Lansia in the area of Sumbersari Health Centre, Jember. The population of this study was all people who visited the Sumbersari Health Centre aged 40 years and over. The number of samples obtained as many as 246 with the sampling technique is systematic random sampling. The Data processing was done descriptively and using the ROC (Receiver Operating Characteristic) test to see the results of the diagnostic test of the ADA Diabetes Risk Test instrument at the Sumbersari Health Centre with a random blood sugar test comparison. Results: From a total of 246 subjects, 159 had prediabetes. The sensitivity value at cut point 5 of 66% and specificity of 36% with a PPV value of 38% and NPV of 64%. While at the optimal cut-off point of 4, the sensitivity value is 90%, and the specificity value is 22%, with a PPV value of 40% and NPV of 77%. Moreover, the ROC curve has an AUC value that is statistically considered less effective, with a value of 56%. Conclusion: ADA Diabetes Risk Test shows promising results for prediabetes screening in the Sumbersari population with high sensitivity for determining disease. Keywords: ADA Diabetes Risk Test, Diabetes Mellitus Type 2, Prediabetes,
Tinjauan Sistematik: Hubungan Status Gizi dan Kualitas Hidup pada Lanjut Usia Yusri, Khalisa Nurima; Bumi, Candra
Muhammadiyah Journal of Geriatric Vol 4, No 1 (2023): Muhammadiyah Journal of Geriatric
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mujg.4.1.81-89

Abstract

Peningkatan populasi lanjut usia tidak diikuti dengan kualitas hidupnya. Status gizi menjadi salah satu faktor yang mempengaruhi kualitas hidup lansia dan keseluruhan domainnya. Penelitian ini bertujuan untuk mengetahui hubungan status gizi dengan kualitas hidup pada lansia di seluruh dunia. Penelitian ini menggunakan metode systematic literature review dengan sumber data yang digunakan yakni database Pubmed, Science Direct, Garuda, dan PlosOne dengan kriteria: tahun publikasi dari tahun 2017 hingga 2021, artikel open access dengan semua desain penelitian kuantitatif, berbahasa Inggris atau Indonesia, serta membahas tentang status gizi dan kualitas hidup pada lansia berusia ≥ 60 tahun. Penyeleksian studi dilakukan berdasarkan kata kunci dan kriteria yang telah ditetapkan. Hasil ekstraksi dari 156 artikel, diperoleh 13 artikel membahas hubungan status gizi dan kualitas hidup lansia. Status gizi berhubungan dengan kualitas hidup lansia dengan menyebabkan beberapa dampak seperti: peningkatan kesakitan, kelelahan yang berlebihan, lambatnya kecepatan berjalan, menghambat mobilitas dan menyebabkan gangguan tidur. Lemahnya kondisi fisik menyebabkan lansia mudah mengalami depresi dan kesulitan berinteraksi sosial. Selain itu, tingginya biaya perawatan kesehatan juga berkaitan dengan tingkat kemiskinan dan stres finansial pada lansia. Diketahui pula bahwa status gizi kurang menjadi faktor risiko penyebab terjadinya sindrom frailty yang mampu memperburuk kualitas hidup lansia dalam jangka panjang.
Factors Affecting The Quality of Life of Diabetes Mellitus Type 2 Patients: Literature Review: Quality of live of Diabetes Mellitus Type 2 Rifdatun Nurul Huwaidah Hasan Fahmi; Candra Bumi; Christyana Sandra
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 4 No. 2 (2022): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol4.Iss2/128

Abstract

Objectives: Patients with type 2 diabetes mellitus (T2DM) had experienced physical and psychological complications that affect their daily life, and contribute to poor the quality of life. This study aims to determine the factors that affect the quality of life of people withT2DM based on the SF-36 questionnaire, to improve the factors that can be changed to improve the quality of life of people with T2DM. Methods: This literature review search from 3 databases used including google scholar, PubMed, and the garuda portal with the year of publication of the article in 2015-2021. Some of the literature states similar factors that affect the quality of life of people with T2DM.. Results: Factors that affect the quality of life of people with T2DM, include age, gender, education, complications, and duration of diabetes. Influence is given aspect or the overall value of quality of life Conclusion: The education factor can be improved with the intervention given by peers, so that they can manage T2DM well, and have an impact on improving the quality of life of T2DM patients.
Bibiliometrics Menggunakan Analisis R-Bibiloshiny Resistensi Insulin pada Obesitas Kelompok Dewasa Database Scopus (2019-2025) Krish Naufal Anugrah Robby; Rachmad Gusti Irwansyah; Leersia Yusi Ratnawati; Candra Bumi; Irma Prasetyowati; Isa Ma’rufi; Dedek Sutinbuk; Farida Wahyu Ningtyias; Anita Dewi Prahastuti Sujoso; Dewi Rokhmah; Ida Srisurani Wiji Astuti
Jurnal Kesehatan Amanah Vol. 8 No. 2 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i2.678

Abstract

contributing to the global burden of type 2 diabetes, cardiovascular diseases, and other metabolic complications. This bibliometric study aims to analyze trends, thematic focuses, and collaborations in scientific publications related to insulin resistance in adult obesity, utilizing data from the Scopus database covering the period from 2019 to 2025. Bibliometric tools such as RStudio, Biblioshiny, and VoS Viewer were employed to extract and visualize findings from 8,037 publications. The results reveal that research activity peaked in 2021, followed by a decline in subsequent years. Dominant keywords, such as "insulin resistance," "obesity," and "metabolic syndrome," highlight the clinical and metabolic focus of current research. Biomolecular markers, such as "glycated hemoglobin" and the "triglyceride-glucose index," reflect a growing interest in more precise diagnostic tools. The United States, China, and Italy emerged as major contributors, with journals like Nutrients and Frontiers in Endocrinology leading in publications. Despite significant progress, there remains a considerable gap, particularly in exploring the role of epigenetics and the microbiota in insulin resistance. Additionally, cross-disciplinary collaboration and participation from institutions in developing countries remain limited. This study emphasizes the importance of global, interdisciplinary efforts to address these gaps and drive innovation in interventions, providing a foundation for future research aimed at reducing the impact of insulin resistance in adult obesity.
OPTIMASI KOMBINASI KAYU SECANG, JAHE, DAN STEVIA DALAM MENINGKATKAN KANDUNGAN TOTAL FENOL: OPTIMASI KOMBINASI KAYU SECANG, JAHE, DAN STEVIA DALAM MENINGKATKAN KANDUNGAN TOTAL FENOL Arum, Mentari Sekar; Bumi, Candra; Mualimin, Lulus; Mujayanah, Ani Rosa Putri Ayu
JURNAL BIOSENSE Vol 8 No 3 (2025): Edisi Juli 2025
Publisher : Program Studi Biologi, Fakultas Matematika dan Ilmu Pengetahuan Alam, Universitas PGRI Banyuwangi, Jalan Ikan Tongkol No 01, Telp (0333) 421593, 428592 Banyuwangi 68416

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36526/biosense.v8i3.5540

Abstract

Tanaman herbal telah lama dimanfaatkan dalam pengobatan tradisional karena kandungan senyawa bioaktifnya, terutama fenol yang berfungsi sebagai antioksidan alami. Di antara tanaman tersebut, kayu secang (Caesalpinia sappan), jahe (Zingiber officinale), dan stevia (Stevia rebaudiana) dikenal memiliki potensi aktivitas antioksidan. Penelitian ini bertujuan untuk mengoptimasi kombinasi ketiga bahan tersebut guna meningkatkan kandungan total fenol dalam formulasi minuman herbal. Pendekatan eksperimen menggunakan metode Response Surface Methodology (RSM) dengan rancangan Central Composite Design (CCD). Proses ekstraksi dilakukan melalui metode infusa pada suhu terkendali, dan kandungan fenol dianalisis menggunakan metode Folin-Ciocalteu dengan spektrofotometer UV-Vis. Hasil analisis statistik menunjukkan bahwa kayu secang memberikan pengaruh kuadratik yang sangat signifikan (p < 0,0001) terhadap peningkatan kadar fenol, sedangkan jahe dan stevia tidak menunjukkan pengaruh yang signifikan baik secara individu maupun interaksi. Model regresi yang dihasilkan signifikan (p = 0,0014) dan sesuai dengan data eksperimen. Grafik kontur menunjukkan bahwa kombinasi konsentrasi menengah antara kayu secang dan jahe menghasilkan kadar fenol tertinggi. Sementara itu, stevia lebih berperan sebagai pemanis alami tanpa kontribusi signifikan terhadap senyawa fenolik. Hasil ini menunjukkan bahwa pengoptimalan proporsi kayu secang dan jahe dapat secara signifikan meningkatkan potensi antioksidan minuman herbal, serta mendukung pengembangan produk fungsional berbasis bahan alami lokal.