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All Journal Global Medical and Health Communication Majalah Obstetri dan Ginekologi Health Notions Berdikari: Jurnal Pengabdian Masyarakat Indonesia Biomolecular and Health Science Journal Jurnal Karinov Pediomaternal Nursing Journal Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Layanan Masyarakat (Journal of Public Service) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Jurnal Ilmu Kesehatan dan Gizi JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia

Nuswantoro, Djohar

Department Of Public Health And Preventive Medicine, Faculty Of Medicine Universitas Airlangga, Surabaya, Indonesia - Dr. Soetomo General Hospital Surabaya

Author-ID : 2535918

Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Relationship Between Risk Factors of Coronary Heart Disease on The Amount of Lesioned Coronary Artery Monitrya Nababan; Achmad Lefi; Djohar Nuswantoro
Health Notions Vol 3, No 12 (2019): December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn31208

Objective: To determine the relationship of coronary heart disease traditional risk factors to the number of lesioned coronary arteries and calculate the relative risk. Methods: This study used an analytical research design with a retrospective cohort study design using patient catheterization report data. Data analysis was performed using the chi square test and relative risk in 449 individuals. Results: Based on the analysis results obtained p value 0.05 indicating no relationship between risk factors for coronary heart disease with the number of coronary arteries the lesions based on sex, history of hypertension and history of smoking. Conclusion: There is a relationship between age, history of diabetes mellitus, history of dyslipidemia and the number of coronary arteries that are lesions in patients with coronary heart disease and there is no relationship between sex, history of hypertension and smoking history with the number of coronary arteries that are lesions in patients with coronary heart disease. Keywords: single vessel disease; multivessel disease; coronary artery disease; risk factors CAD

TOT Penyakit Menular Pada Satgas WNI Migran Terdeportasi Di Tanjung Pinang Linda Dewanti; Sulistiawati Sulistiawati; Djohar Nuswantoro
Jurnal KARINOV Vol 4, No 2 (2021): Mei
Publisher : Institute for Research and Community Service (LP2M), Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um045v4i2p%p

AbstrakWNI migran (WNIM) menempati jumlah terbesar ke 3 setelah China dan Filipina. WNIM illegal terdeportasi berisiko besar menderita penyakit menular terutama setelah hidup di penjara. Sebagian besar dari mereka juga merupakan korban perdagangan orang (WNIM KPO). Tujuan pengabdian masyarakat ini adalah melaksanakan TOT (training of trainer) penyakit menular pada satuan tugas (satgas) yang melayani WNIM KPO di Tanjung Pinang agar satgas maupun WNIM KPO waspada dan menerapkan pencegahan penyakit menular bagi diri sendiri, keluarga dan masyarakat asal. Metode yang dilakukan adalah ceramah interaktif, diskusi, tanya jawab menggunakan berbagai media, pelatihan 6 langkah cuci tangan, dan FGD. Setelah TOT terjadi peningkatan pengetahuan secara bermakna tercermin dari jumlah soal yang dijawab benar sebelum (8,7 ± 1,5) dan sesudah TOT (12,5 ± 1,7) dari total 15 soal (paired t test, p<0,0001; dengan CI 95% 3,0 – 4,6). Peserta mampu melakukan 6 langkah cuci tangan standard WHO / Kemenkes. Hasil FGD menunjukkan selain peserta mampu menjelaskan secara benar tentang materi penyakit menular dan pencegahannya, peserta merasakan pentingnya mencegah penyebaran penyakit menular salah satunya dengan mengusulkan screening penyakit menular terhadap WNIM KPO. Satgas siap menerapkan hasil TOT kepada WNIM KPO. Kata Kunci: pekerja migran, penyakit menular

Passive smoker during pregnancy is a risk factor of low birth weight Kanda Izzatul Aini Ardelia; Gatut Hardianto; Djohar Nuswantoro
Majalah Obstetri dan Ginekologi Vol. 27 No. 1 (2019): April
Publisher : Universitas Airlangga

Objectives: to analyze the relationship between passive smoker of pregnant women with low birth weight (LBW).Materials and Methods: This study is an observational analytic research with case control design, which is LBW as case group and normal birth weight as control group. The location is in Wonokusumo Health Centre, Surabaya, period January 2016 – December 2017. Study sample was 68, consisting of 34 cases and 34 controls. The dependent variable is LBW, while the inde-pendent variable is passive smoking of pregnant women. Sample was excluded multiple births and congenital defects. To determine a significant level, the data collected will be tested with the statistical test Chi-square at significance level ?=0.05.Results: The results showed that a majority (61.5%) of passive smoker of pregnant women are cases. After Chi-square test obtained by value p=0.027 (p?0,05) and OR analysis obtained by 3.04 (CI 95% 1.117 – 8.274), which means there is a relationship between passive smoker of pregnant women with LBW.Conclusion: Passive smoker of pregnant women is relationship with decreased birth weight.

Anemia in the first trimester is associated with anemia during pregnancy in Sidotopo Wetan Community Health Center, Surabaya Putri Ancila Citra Prasetya; Baksono Winardi; Djohar Nuswantoro
Majalah Obstetri dan Ginekologi Vol. 28 No. 1 (2020): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I12020.16-19

Objective: To analyze association between anemia in the first trimester and preeclampsia during pregnancy in Sidotopo Wetan Community Health Center Surabaya.Materials and Methods: This study was a analytic case control study. The samples were 49 women with preeclampsia as case group and 49 women non-preeclampsia as control group. The data were secondary data collected from medical record of pregnancy women on Sidotopo Wetan Community Health Center Surabaya from January 2016 – Desember 2017. The analysis was done by Chi Square Statistics.Results: 79,6% women in preeclampsia group and 93.9% women in non-preeclampsia group was not anemia in the first trimester. There is association between anemia in the first trimester and preeclampsia during pregnancy in Sidotopo Wetan Community Health Center Surabaya (p = 0.037; OR = 3.932 (CI 95% = 1.010 – 15.303)).Conclusion: There is association between anemia in the first trimester and preeclampsia during preg-nancy in Sidotopo Wetan Community Health Center Surabaya.

Pengaruh Penggunaan Gadget terhadap Penurunan Kualitas Penglihatan Siswa Sekolah Dasar Andriana Kirana Puspa; Rozalina Loebis; Djohar Nuswantoro
Global Medical & Health Communication (GMHC) Vol 6, No 1 (2018)
Publisher : Universitas Islam Bandung

Layar gadget yang menggunakan tulisan kecil akan memunculkan gejala computer vision syndrome. Lebih dari 90% pengguna komputer dalam waktu lama mengalami mata lelah, penglihatan buram, penglihatan ganda, pusing, dan mata kering. Penelitian ini bertujuan mengetahui kualitas penglihatan siswa-siswi Sekolah Dasar yang menggunakan gadget dalam jangka waktu yang lama. Penelitian analitik observasional cross-sectional dengan 43 subjek di SD Muhammadiyah 4 Surabaya pada Maret–November 2015 dengan mengambil data primer, yaitu kuesioner serta pemeriksaan mata Snellen chart dan tear break-up time test. Hasil kuesioner diolah untuk mengetahui tingkat paparan. Hasil pemeriksaan mata dan tingkat paparan dihitung dengan rasio prevalensi dan uji hipotesis chi-kuadrat dengan tingkat kepercayaan 95%. Hasil kuesioner didapatkan kategori paparan ringan 56%, sedang 23%, dan berat 21%. Pemeriksaan Snellen chart diperoleh hasil tajam penglihatan menurun pada 47% dan normal pada 54%. Hasil tear break-up time test diperoleh mata kering sebanyak 88% dan tidak mengalami sebanyak 12%. Simpulan, seluruh tingkat kategori paparan mempunyai risiko kecil untuk mengalami penurunan atau gangguan tajam penglihatan, tetapi mempunyai risiko yang sama besar untuk mengalami mata kering. THE USING OF GADGET AND ITS EFFECT OF DECREASING THE QUALITY OF ELEMENTARY SCHOLLS STUDENTSThe small fonts in a gadget’s screen evokes the symptoms of computer vision syndrome. More than 90% computer users may experience eyestrain, blurred vision, diplopia, dizziness and dry eyes after prolonged use. The purpose of this study was to ascertain the vision quality in elementary students that has been using gadgets for long period. An observational analytic cross-sectional study in 43 subjects of SD Muhammadiyah 4 Surabaya on March until November 2015 by taking primary data, specifically questionnaire and eye examination Snellen chart and tear break-up time test. The questionnaire’s result will be calculated to acknowledge the level of exposure. The result of the eye examination and level of exposure will be calculated with prevalence ratio and chi-square hypothesis test by 95% confidence interval. The result from the questionnaire was 56% of subjects were light exposure category, 23% were moderate and 21% were severe. The examination with Snellen chart results in the decreasing of visual acuity in 47% subjects and normal in 54% subjects. The results of tear break-up time test was the incidence of dry eyes was 88% and no experience of dry eyes was 12%. In conclusion, all categories of exposure have a small risk of decreased or disorder of visual acuity, but have the similar high-level of risk in experiencing dry eyes.

Hubungan Antara Penggunaan Kontrasepsi Implan dengan Komunikasi, Informasi, Edukasi (KIE), dan Pengetahuan Nurul Alfiyah; Djohar Nuswantoro; Sunarsih Sunarsih
Pediomaternal Nursing Journal Vol. 5 No. 2 (2019): VOLUME 5 NO 2 SEPTEMBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v5i2.13398

Introduction: Contraception usage in Indonesia had not effective yet. The high usage of contraception not compensated by evenness on each type of contraception. Implant as a long acting reversible contraception with high effectiveness is rarely used because of negative perception in society. The existence of negative perception caused by lack of information and knowledge about implant contraception. The study analysed association between implant contraception usage with Education Information Communication (EIC) and knowledge.Methods: An observational analytic with a case control design. The population were 822 contraceptive acceptors. Study period on January-December 2018. Total samples were 70 with a sampling technique using purposive sampling. Divided into 2 groups, (35 non-implant acceptors as a case group and 35 implant acceptors as a control group). Data obtained through primary data and obtained from the results of guided interviews and questionnaires. Then analyzed through the chi square statistical test.Results: 60% of acceptors got a good EIC about implant contraception (p=0.001), 51.4% of acceptors had enough knowledge about implant contraception (p=0.94).Conclusion: There is an association between EIC with implant contraception usage, but there isn’t an association between knowledge of implant contraception usage.

Etiology Based on Clinical Manifestation of Acute Diarrhea Incidence of Children Hospitalized in Dr. Soetomo General Hospital Surabaya Period 2011-2013 Ashfahani Imanadhia; IGM Reza Gunadi Ranuh; Djohar Nuswantoro
Biomolecular and Health Science Journal Vol. 2 No. 1 (2019): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Introduction: Diarrhea is one of the most common causes of morbidity and mortality of children worldwide, especially in developing countries. Acute diarrhea can occur from a large number of causes. We aim to describe the clinical manifestation characteristics of acute diarrhea on pediatric patients that are presented to the hospital.Methods: A cross-sectional study from all pediatric patients treated in Dr. Soetomo General Hospital Surabaya in 2011-2013.Age, gender, nutritional status, length of hospital stay, duration of breastfeeding, clinical signs and symptoms, as well as laboratory results collected and analyzed descriptively.Results: One hundred and fifty patients were included with characteristics of male(54%), infant (55.3%)with a mean age of 6-7 month. History of being exclusively breastfed(54%) and lack of nutrition(48%). Vomiting is mostly present (72.7%) and commonly come with a combination of two symptoms (42%) which were vomiting and fever. Mild to severe dehydration degree could be found on the patient who had vomiting, seizure, and fever. The most length of stay was frequently >72 hours. The occurrence of acute diarrhea on a child who was treated in Dr. Soetomo General Hospital Surabaya is dominated by vomiting and it could be inferred that the most acute diarrhea has a tendency of being caused by a virus, where liquid acute diarrhea without blood, mucus, or fever is found.Conclusion: The etiology of acute diarrhea is mostly caused by viruses and symptoms dominated by a combination of vomiting, fever, and diarrhea without blood caused by villi damage.

PERAN LABORATORIUM MIKROSKOPIS TB DI PUSTU PULAU MANDANGIN SAMPANG MADURA Ni Made Mertaniasih; Eko Budi Koendhori; Deby Kusumaningrum; Pepy Dwi Endraswari; Djohar Nuswantoro; Soedarsono Soedarsono
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 1 No. 1 (2017): Jurnal Layanan Masyarakat
Publisher : Universitas Airlangga

Mandangin Island is one of the endemic areas of Pulmonary TB in Sampang. Island with an area of about 2 km2 and a population of more than 16 thousand inhabitants, has a high incidence of pulmonary TB. Based on reports from Head of Puskesmas, 57 of every 100 patients who came for treatment were Pulmonary TB patients. The problem is then required the role of TB laboratory for the diagnosis of TB in Pustu I. The method of implementation is done by FGD and mentoring. The results obtained in the implementation of community service is a feed back report and the proposed increase in the role of function of Pustu Mandangin I for the basic process can be PPM, and Pustu II as the preparation laboratory of sputum preparation of suspect tuberculosis patients. Both Pustu in TB laboratory network become the responsibility of Puskesmas Banyuanyar Sampang, as part of national TB laboratory network. It is important to maintain the quality of TB laboratories in TB diagnosis. AbstrakPulau Mandangin merupakan salah satu wilayah endemis TB Paru di Kabupaten Sampang. Pulau dengan dengan luas wilayah sekitar 2 km2 dan berpenduduk lebih dari 16 ribu jiwa, memiliki insidensi TB Paru yang tinggi. Berdasarkan laporan Kepala Puskesmas, sebanyak 57 dari tiap 100 pasien yang datang berobat adalah pasien TB Paru. Permasalahanya kemudian diperlukan peran laboratorium TB untuk penegakan diagnosis TB di Pustu I. Metode pelaksanaan dilakukan dengan cara FGD dan pendampingan. Hasil yang diperoleh dalam pelaksanaan pengabdian masyarakat ini adalah suatu laporan feed back dan usulan peningkatan peran fungsi Pustu Mandangin I untuk dasar proses dapat menjadi PPM, dan Pustu II sebagai laboratorium preparasi sediaan dahak pasien suspect TB. Kedua Pustu dalam jejaring laboratorium TB menjadi tanggung jawab Puskesmas Banyuanyar Sampang, sebagai bagian jejaring laboratorium TB nasional. Sangat penting menjaga mutu laboratorium TB dalam penegakan diagnosis TB.

Community empowerment through the practice of balanced nutrition diets for mothers of infants and toddlers in Mandangin Island, Sampang Regency, 3rd year Widati Fatmaningrum; Djohar Nuswantoro; Atika Atika; Patmawati Patmawati
Berdikari: Jurnal Pengabdian Masyarakat Indonesia Vol. 1 No. 1 (2018): Berdikari: Jurnal Pengabdian Masyarakat Indonesia
Publisher : Future Science

Community participation related to nutritional problems on Mandangin Island is caused by a lack of public appreciation of health because they think that if their babies / infants are fully immunized, they don't need to be weighed again like they were when they were babies. Busy mothers as housewives also affect the low participation of the community, so the nutritional problem in Mandangin is still a priority for health care. The purpose of this community service is to increase the knowledge of mothers of infants and toddlers about balanced nutrition because if the related knowledge is still lacking, then the practice of a balanced nutrition diet for infants and toddlers is not implemented properly which results in the nutritional status of infants and toddlers being less can even be bad. The stages of the method used in this activity are as follows: 1) Increasing cadre knowledge. 2) Increase knowledge of mothers of infants and toddlers. 3) Making media in the form of balanced nutrition games. 4) Simulation of balanced nutritional eating practices for infants and toddlers using a balanced nutrition game. 5) Evaluation of results in the form of an intelligent balanced nutrition mother race. The results of this activity are knowledge of cadres and mothers of infants / toddlers about nutrition before training is lacking but after being given training is sufficient. Training must be carried out on nutrition for mothers and cadres.

PENTINGNYA STATUS ANEMIA DALAM KEHAMILAN DENGAN PERDARAHAN POSTPARTUM PRIMER Nadia Taqiyya; Djohar Nuswantoro; Muhammad Ardian C.L
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.359-366

Abstrak Latar belakang : Kejadian perdarahan postpartum merupakan penyebab kematian ibu tertinggi ketiga di Kota Surabaya Provinsi Jawa Timur. Hal tersebut diiringi oleh kejadian anemia pada ibu hamil di Indonesia yang meningkat pada tahun 2018 sebesar 48.9% daripada tahun 2013 sebesar 37.1%. Penelitian ini bertujuan untuk menganalisis hubungan anemia dalam kehamilan dengan perdarahan postpartum primer di Rumah Sakit DKT Gubeng Pojok Kota Surabaya. Metode : penelitian ini menggunakan metode analitik observasional dengan rancangan penelitian case control design. Jumlah sampel sebanyak 60 ibu bersalin secara pervaginam yang sesuai dengan kriteria eksklusi dan inklusi. Variabel bebas anemia dalam kehamilan adalah sedangkan variabel terikat adalah perdarahan postpartum primer. Hasil : Sebagian besar ibu bersalin secara pervaginam 60% mengalami anemia dalam kehamilan dengan analisis uji chi square menunjukkan p value = 0.000 (p < 0.05), Odds Ratio sebesar 21.35, dan berdasarkan hasil uji T test didapatkan rata-rata kadar Hb pada kelompok anemia sebesar 9.058 g% dengan standar deviasi 0.9782 dan rata-rata kadar Hb pada kelompok non-anemia sebesar 12.063 g% dengan standar deviasi 1.13792 yang menunjukkan bahwa terdapat perbedaan yang signifikan. Kesimpulan : Terdapat hubungan yang signifikan antara anemia dalam kehamilan dengan kejadian perdarahan postpartum primer sehingga bidan sebagai tenaga kesehatan di lini utama harus memperhatikan kadar Hb pada masa kehamilan.Abstract Background : Primary postpartum hemorrhage was the third-highest cause of maternal death in the city of Surabaya, East Java Province. This was accompanied by the incidence of anemia in a pregnant women in Indonesia which increased in 2018 by 48.9% compared to 2013 at 37.1%. This study aimed to analyze the relationship anemia in pregnancy with primary postpartum hemorrhage in DKT Gubeng Pojok hospitals in Surabaya city East Java. Method : This study used analytic observational methods with a case-control study research design. The number of samples was 60 vaginal delivery mothers who were under the criteria of exclusion and inclusion. A sampling of this study used purposive sampling with independent variable is anemia in pregnancy and dependent variable is primary postpartum hemorrhage. Result : Most of mothers that gave birth pervaginally 60% had anemia in pregnancy with analysis chi-square test showing p-value =0.000 (p<0.05) , Odds Ratio of 21.35, and based on the results of the T-test it was found that the mean Hb level in the anemic group was 9.058 g% with standard deviation of 0.9782 and the mean Hb level in the non-anemic group was 12.063 g% with standard deviation of 1.13792 indicating that there were significant differences. Conclusion : There is a significant relationship between anemia in pregnancy with the incidence of primary postpartum hemorrhage , so that midwives as health workers in the mainline must pay attention to Hb levels during pregnancy.

Co-Authors Achmad Lefi Ahmad Maulana Ifan Akbas Aida Nur Aisyah Alkaff, Firas Farisi Andriana Kirana Puspa Anisah Sri Utami April Poerwanto Basuki Ardiany, Deasy Arfiputri, Veikha Fakhriya Ashfahani Imanadhia Atika Atika Azwin Mengindra Putra Lubis Baksono Winardi Budi Wicaksono Budiono, Perthdyatama Syifaq Danny Chandra Pratama Dayita Wedyasantika Deby Kusumaningrum Diani, Masyithoh Wahyu Eka Suci Wulandari Eko Budi Koendhori, Eko Budi En, Theophilus Tan Zhu Ernawati Ernawati Faizah, Novia Nurul Farah Adiba Binti Mohamad Jahari Fariza Nur Aini Widyani Fatihuddin, Mohammad Fata Fenska Seipalla Gatut Hardianto, Gatut Gunawan, Ayu Liana Heri S Widodo Hernalia Martadila Putri I Gusti Made Reza Gunadi Ranuh INDROPO AGUSNI Isna Mahmudah Ivon Diah Wittiarika Jongky Hendro Prajitno Kanda Izzatul Aini Ardelia Khoirunnisa, Auliai Ledy Martha, Ledy Linda Dewanti Maria Arni Stella Mochamad Nasir Mochamad Tito Aditya Moediarso, Bisyamsi Nawaijaya Mogi, Anjelina Kristina Monitrya Nababan Muhammad Ardian C.L Nadia Taqiyya Nanda Rizky Fitriani Syahrudin Ni Made Mertaniasih Niro, Agustin J Nanda De Notopuro, Pulus Budiono Nurul Alfiyah Patmawati Patmawati Pawitra, Annisa Pepy Dwi Endraswari, Pepy Dwi Prima Hapsari Wulandari Purwati, Cincin Hari Putra, Rendra Dwi Putri Ancila Citra Prasetya Rachmi, Shabrina Noor Rahmi, Koyuki Atifa Rani Nurvita Rantam, Berli Arfani Rarasati, Birgitta Vania RM Aditya Wisnu Wardhana Rozalina Loebis S. Soedarsono Septian Dwi Prabowo Sihombing, Renata Violia Steven Sandjaja Sugondo, Alexander Tikara Sulistiawati Sulistiawati Sunarsih Sunarsih Susilowati Andajani, Susilowati Tantri Adhiatama Lukitaningrum Subianto Tasalina Yohana Parameswari Gustam Widati Fatmaningrum

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