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Profile of Diarrheal Patients Aged Less than Five Years Old Hospitalized in Dr. Soetomo General Hospital Surabaya in 2016-2018 Nathanael Jordan; I Gusti Made Reza Gunadi Ranuh; Gadis Meinar Sari
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 11 No. 2 (2020): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V11I22020.45-50

Abstract

Introduction: Diarrhea is a collection of symptoms in the form of decreased stool consistency accompanied by more than normal frequency of defecation. Diarrhea is the second largest cause of death in children under five years old. In 2010, East Java was ranked first in the frequency of outbreaks in Indonesia. This study described the profile of diarrhea patients in children less than 5 years old in the Children's Ward of Dr. Soetomo General Hospital Surabaya in 2016-2018. Dr. Soetomo General Hospital Surabaya was chosen for data collection because it is one of the main referral hospitals in Indonesia, thus it has diverse cases. This study aimed to describe the profile of diarrhea patients in children less than 5 years old in the Children's Ward of Dr. Soetomo General Hospital Surabaya in 2016-2018.Methods: This study was a retrospective study by assessing the patient's medical record and analyzed descriptively.Results: There were 650 patients (425 male and 225 female), at most 6-11 months (34.6%). Most patients were classified as malnourished (45.4%). The type of diarrhea was dominated by acute watery diarrhea (94.8%). Mild-to-moderate dehydration (84.2%) was found in most patients. The comorbidities were found in 83.4% of patients, with malnutrition (45.4%) and febrile seizures (30.3%) as the most common contributors. The therapy used was intravenous rehydration (99.7%), antibiotics (45.7%), zinc (98.2%), and probiotics (96.3%).Conclusion: Most diarrhea patients in this study were male, aged 6-11 months, mild-to-moderate dehydration, malnourished, suffering from acute water diarrhea, accompanied by comorbidities, and treated with intravenous rehydration. 
THE RELATIONSHIP OF DISTANCE TO HEALTH FACILITIES AND PHYSICAL ACTIVITIES IN RELATION TO THE QUALITY OF LIFE OF POSTMENOPAUSAL WOMEN adella wahyuningsih; Tiyas Kusumaningrum; Gadis Meinar Sari
SEAJOM: The Southeast Asia Journal of Midwifery Vol 7 No 1 (2021): SEAJOM: The Southeast Asia Journal of Midwifery
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/seajom.v7i1.102

Abstract

Quality of menopaused women’s life is influenced by several factors such as age, education level, occupation, and physical activity. Quality of life has concepts such as physical well-being, functional ability, and emotional or social well-being which ultimately lead to changes in individuals. Objective: to analyze factors related to the quality of postmenopausal women’s life. Methods: This observational analytic study used a cross sectional design. The population was all postmenopausal women who filled out online questionnaires using google forms distributed through social media with a sampling technique of convenience sampling with a total of 56 respondents. The instruments used in this study were the MENQoL (Menopause Specific Quality of Life) questionnaire and the husband's support questionnaire. Data were analyzed by using Chi Square Test. Results: This study showed that there was a relationship of physical activity which had a significant value of (p= 0.001) and the distance to health facilities (p= 0.043) to the quality of life of postmenopausal women. Conclusion: Physical activity and distance to health facilities affect the quality of life of postmenopausal women.
Correlation between FEV1% Predicted and Blood Eosinophils in Patients with Exacerbations of Chronic Obstructive Pulmonary Disease (COPD) Alfian Nurfaizi; Isnin Anang Marhana; Gadis Meinar Sari; Arief Bakhtiar
Jurnal Respirasi Vol. 7 No. 2 (2021): May 2021
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.865 KB) | DOI: 10.20473/jr.v7-I.2.2021.59-64

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) exacerbations are still the leading causes of mortality. Eosinophil counts were recommended in assessing the risk of exacerbations. This additional examination was preferred rather than the pulmonary function test (PFT), which was considered less precise and had vast differences. Therefore, an analysis of the correlation between the FEV1% predicted and blood eosinophil counts were needed as a reference in the diagnosis of COPD exacerbation. This study aimed to determine the correlation between FEV1% predicted and blood eosinophils counts in patients with COPD exacerbations.Methods: This was a retrospective cross-sectional study by analyzing medical records of patients with COPD exacerbations at Dr. Soetomo General Hospital, Surabaya, from 2017 to 2018.Results: The characteristics of patients with exacerbations of COPD consisted of 91.7% male patients. Most of them were in the age group of 61-70 years old, 58.3% were in the private sector, 75% had a high school diploma, and 41.7% had normal body mass index (BMI). The percentage of the FEV1% predicted is directly proportional to the percentage of blood eosinophils with weak and statistically insignificant strength.Conclusion: The FEV1% predicted and blood eosinophil counts had a very weak correlation and statistically insignificant strength. Thus, it could not be used as a reference for diagnosis using one of the variables. Further research is needed with sputum eosinophils and biopsy as consideration for more accurate results.
PENGARUH EXERCISE INTENSITAS TINGGI TERHADAP KETEBALAN ENDOMETRIUM MENCIT (MUS MUSCULUS) Aizah Ari Setyana Yuli; Gadis Meinar Sari; Ashon Sa’adi
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.24-29

Abstract

Abstrak Latar Belakang : Exercise dapat menyebabkan terbentuknya reactive oxygen species (ROS). Ketidakseimbangan antara antioksidan endogen dan ROS dapat menyebabkan stres oksidatif. Stres oksidatif dapat menyebabkan infertilitas pada wanita melalui berbagai mekanisme. Endometrium yang tidak sempurna karena ROS tidak dapat mendukung embrio dan perkembangannya. Penelitian ini bertujuan untuk menganalisa perbedaan ketebalan endometrium pada mencit yang exercise intensitas tinggi. Metode : Penelitian ini true experimental dengan rancangan randomized posttest only design. Besar sampel adalah 7 ekor tiap kelompok, yang terdiri dari 2 kelompok. Kelompok kontrol dan  kelompok exercise intensitas tinggi. Data yang didapatkan adalah ketebalan endometrium mencit. Hasil : hasil uji mann-whitney menunjukkan hasil yang signifikan dengan P=0,006. Kesimpulan : exercise intensitas tinggi dapat mempengaruhi ketebalan endometrium.. Abstract Background: Reactive Oxygen Species (ROS) is formed by exercise. Oxidative stress is caused by an imbalance between endogenous antioxidants and ROS. Oxidative stress  causes infertility in women through mechanisms. Because of  ROS, endometrium can not support the embryo and its development. This research aim to analyze different of endometrial thickness mice with high intensity exercise. Methods: This research is true experimental researh with randomized posttest only design. The sample size is 7 female mice each group, devided into 2 groups. The control group, and the high-intensity exercise group. Data obtained from mice endometrial thickness Results: mann-whitney  gave significant result at level p=0.006. Conclusion: high intensity exercise can effect the thickness of the endometrium.
THE DIFFERENCESS OF DISCONTINUITAS IUD IN POST PLACENTAL AND INTRA-CESAREAN IN MADIUN Melynda Trilamsari Putri; Ashon Sa'adi; Ivon Diah Wittiarika; Gadis Meinarsari
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 3 (2021): Indonesian Midwifery and Health Sciences Journal, July 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i3.2021.299-306

Abstract

 AbstractBackground: Intra Uterine Device (IUD) which is placed after delivery of the placenta is an attempt to reduce the rate of population growth. However, the achievement is still very low, especially in the post-placental IUD insertion. It is this high expulsion rate that continues to be a concern for service providers, so this method is acceptable. The purpose of this study is to compare the sustainability of IUD acceptors in post-placental and intra-cesareann placement. Methods: The design of this study was cross sectional with an observational analytic method. Location of this research  in the family planning clinic of Dr. Soedono Madiun Hospital, Banjarejo Health Center, Tawangrejo Health Center, and PMB Ny. “P” Madiun City in 2019.The sample used consecutive sampling as many as 114 acceptors. The independent variable was the time of IUD insertion. The dependent variable is the discontinuity of the IUD acceptor. The instrument used was the 2019 IUD acceptor medical record. The Fisher Exact Test on SPSS was used to perform data analysis. Results: From 114 acceptors, there was no difference in the discontinuity of IUD acceptors in post-placental and intra-cesarean placement (p=0.1). The incidence of expulsion was found in post-placental insertion (p=0.02). In intra-cesarean IUD acceptors more confirmed using ultrasound examination (p = 0.03). There was no perforation in both. Conclusion: There is no difference in IUD acceptor discontinuity in post-placental and intra-cesarean placement. 
HUBUNGAN DISMENOREA PRIMER DENGAN AKTIVITAS BELAJAR PADA SISWI SMAN 8 SURABAYA Anggreini Wahyu Prastika; Gadis Meinar Sari; Gatut Hardianto
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.107-113

Abstract

Abstrak Latar Belakang : Aktivitas belajar merupakan proses belajar, baik kegiatan fisik maupun psikis. Aktivitas belajar siswa dipengaruhi oleh beberapa faktor. Keluhan yang sering dirasakan oleh remaja putri yaitu nyeri saat menstruasi (dismenorea). Dismenorea adalah rasa nyeri perut bagian bawah yang menjalar ke kaki ataupun punggung yang timbul saat atau menjelang haid. Pada anak remaja usia sekolah, dismenorea dapat mengganggu aktivitas belajar sehari-hari. Saat seorang remaja putri mengalami dismenorea, hal tersebut dapat membuat mereka tidak masuk sekolah. Penelitian ini bertujuan untuk mengetahui hubungan antara dismenorea primer dengan aktivitas belajar. Metode : Penelitian ini adalah analitik observasional dengan desain cross sectional di SMAN 8  Surabaya yang dilakukan bulan maret sampai juni 2019. Sampel yang digunakan sebanyak 58 siswi SMAN 8 Surabaya yang diambil dengan metode Purposive Sampling. Data dianalisa menggunakan analisis bivariat menggunakan uji Chi Square. Hasil : Hasil uji statistik menunjukkan tidak ada hubungan yang bermakna antara dismenorea primer dengan aktivitas belajar pada siswi SMAN 8 Surabaya dengan (P 0,834). Kesimpulan : Tidak terdapat hubungan antara dismenorea primer dengan aktivitas belajar.Abstract Background: Learning activities are a learning process both in physical and psychological activities. Student learning activities are influenced by several factors. Complaints that are often felt by female adolescents are menstrual pain (dysmenorrhea). Dysmenorrhea is a pain in the lower abdomen that spreads to the legs or back that arises during or before menstruation. In adolescents, dysmenorrhea can interfere with daily learning activities. When a female adolescents experiences dysmenorrhea, it can make them not attend school. This study aims to determine the relationship between primary dysmenorrhoea and learning activities. Method: This study was an observational analytic with cross sectional design at SMAN 8 Surabaya conducted in March to June 2019. The sample used were 58 female students of SMAN 8 Surabaya taken by purposive sampling method. Data were analyzed using bivariate analysis using the Chi Square test. Result : The results of the statistical test showed there is no significant relationship between primary dysmenorrhea and learning activities in female students of SMAN 8 Surabaya with (P 0.834).Conclusion : There is no relationship between primary dysmenorrhoea and learning activities. 
DIFFERENT SEXUAL FUNCTION OF UTERIC PROLAPSE PATIENTS BETWEEN OPERATIVE AND NON-OPERATIVE Mei Indarti; Eighty Mardiyan Kurniawati; Gadis Meinar Sari; Gatut Hardianto
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 3 (2021): Indonesian Midwifery and Health Sciences Journal, July 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i3.2021.317-324

Abstract

 Abstract Background: The prevalence of pelvic organ prolapse (POP) increases as the age increment. Uterine prolapse is the most common type of POP cases. Although uterine prolapse is not a life-threatening condition, it can affect a woman's quality of life. Either operative or non-operative therapy can affect reproductive or sexual function. The purpose of this study was to analyze differences in sexual function scores in uterine prolapse patients between operative and non-operative therapy. Methods: This is an analytic observational study with a cross-sectional design.  Sampling technique used convenience sampling and data were analyzed by Mann-Withney test using SPSS. Results: There were 30 samples, 14 of them did operative therapy and 16 of them did non-operative or pesarry therapy. Data analysis using Mann-Withney test shown that the operative group had median score  of 16,6 while the non-operative group had median score of 19,9 with p=0,124 (p>0,05). Conclusion: There was no significant difference of sexual function scores between patients with operative therapy and non-operative therapy.
MIDWIVES’ PERCEPTIONS OF THE CONCEPT OF THIRD STAGE OF LABOUR IN DI RS DR TADJUDDIN CHALID MAKASAR Irdayanti Irdayanti; Dwi Izzati Budiono; Gadis Meinar Sari
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 1 (2021): Indonesian Midwifery and Health Sciences Journal, January 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i1.2021.38-52

Abstract

 AbstractBackground: Active management of third stage of labour is an intervention that is considered to reduce the risk of post partum hemorrhage which is the leading cause of maternal mortality. The results of a preliminary study conducted in the labour ward of Dr.Tadjuddin Chalid Makassar hospital it was found that active management was a midwifery care during third stage of labour, besides catheterization and exploration of the uterus routinely carried out in all normal childbirth as part of midwifery care during third stage of labour. This routine interventions can increase the risk of infection and not suitable with the midwives philosophy which states that childbirth is normal physiological processes. Objectives: This study aimed to explore the influence of midwives’ perceptions toward attitudes and behaviour during third stage of labour. Method: A descriptive research study using qualitative methods was conducted in Dr.Tadjuddin Chalid Makassar Hospital. A purposive sample of 5 midwives’ who represent different characteristics participated in this study. Data collection was carried out through in-depth interview and observations. The data analysed according to thematic analysis methods. Findings: The findings included three main themes, 1) Midwives believe that third stage of labour is the most risky phase for all women during childbirth,  2) Midwives’ efforts to minimize the risk of post partum haemorrhage by implementing active management of third stage of labour, 3) Midwives’ perceptions influence attitudes and behaviors in providing care by using risk management approach. Conclusion: Midwives’ perceptions have a pivotal role in attitudes and behaviour during third stage of labour. The application of medical models identified as a result of this perception. Midwives’ need to understand the philosophy of midwifery care to avoid unnecessary medical interventions in all normal childbirth.  
FACTORS INFLUENCING MAKERS IN LONG ACTING REVERSIBLE CONTRACEPTIVES IN BAJAWA SUB DISTRICT Agustina Yasinta Yami; Gadis Meinar Sari; Atika Atika
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.129-136

Abstract

ABSTRACTLong-Acting Reversible Contraceptives (LARCs) is a contraceptive method recommended by the government which has long-term protection and high effectiveness with a failure rate of 0.5 to 2 pregnancies / 100 women in the first year of usage.  The use of LARCs are influencing by the role of health officers and decision-makers. This study aimed to analyze relationship between the role of health officers and decision-makers with the use of LARCs. Methode used is an observational analytic study using a cross-sectional approach. with 92 samples respondents. The technique used in sampling was consecutive sampling. The independent variables were  the role of health officer and decision-makers while , the dependent variable was LARCs usage. The bivariate analysis test used the chi-square test and fisher’s exact. The Result shows the most common of contraceptive usage was non-LARCs. The results of chi-square analysis showed p-value <0.05 stated statistically associated between  the role of health officers and LARCs usage (0.017). In contrast, the result of fisher’s exact analysis showed p-value > 0,05 stated non statistically associated between decision makers and LARCs usage (0,793). Conclusions: Concluded that the role of health officers associated with LARCs while decision makers aren’t associated with LARCs usage.
The Effect of MST 1 Inhibition through Hippo Pathway on Diabetes Mellitus (DM) Induced Osteoporosis Kintan Adelia Farahannisa; Gadis Meinar Sari; Heri Suroto
Indonesian Andrology and Biomedical Journal Vol. 3 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (409.348 KB) | DOI: 10.20473/iabj.v3i1.35874

Abstract

Osteoporosis is a chronic metabolic disorder of the musculoskeletal system associated with reduced bone strength. One of the causes of secondary osteoporosis is diabetes mellitus (DM). The prevalence of both disorders keeps increasing with time. Therefore, this review is conducted to find a possible solution to prevent DM-induced osteoporosis. Diabetes mellitus mainly affects the bone through glucose uptake during the bone remodeling process. Glucose uptake through GLUT 1 is regulated by MST 1, which is an upstream kinase of the Hippo signaling pathway. MST 1 is responsible for regulating cell growth, proliferation, and apoptosis. In the bone remodeling process, MST 1 plays a role by regulating actin ring structures and the integrin signaling pathway. Moreover, DM is also associated with increased oxidative stress. Increased oxidative stress will activate Hippo signaling pathway. This will trigger cellular apoptosis as the Hippo signaling pathway plays a role mainly as a tumor suppressor. Increased cellular apoptosis will cause an imbalance in the bone remodeling process, disrupting bone quality. Inhibition of MST 1 through the Hippo signaling pathway will increase cell growth and reduce cellular apoptosis. Increased cell growth might increase osteogenesis during the bone remodeling process, thus resulting in better bone quality in DM-induced osteoporosis.