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Tumor Necrosis Factor-α sebagai Prediktor Terjadinya Anemia pada Ibu Hamil di Wilayah Endemis Malaria Flora, Rostika; Mukni, Mukni; Girsang, Bina Melvia; Purwanto, Sigit
Kesmas Vol. 9, No. 3
Publisher : UI Scholars Hub

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

Abstract

Ibu hamil yang berada di daerah endemis malaria sangat rentan terhadap infeksi malaria selama kehamilan. Gejala malaria pada kelompok ini sering asimptomatik atau bahkan tidak terdeteksi sama sekali karena adanya efek imunitas protektif melalui infeksi yang berulang. Adanya peningkatan kadar tumor necrosis factor-alpha (TNF-α) dapat dijadikan indikator terjadinya infeksi malaria. TNF-α berperan penting dalam respons imun pada malaria akut yang menghambat terjadinya eritropoesis. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar TNF-α dengan kejadian anemia pada ibu hamil didaerah endemik malaria vivax. Penelitian ini menggunakan desain potong lintang, dilakukan pada bulan Januari - Februari 2014 di lima wilayah kerja puskesmas Kota Bengkulu. Sampel penelitian adalah ibu hamil di daerah endemis malaria vivax yang diambil secara accidental sampling. Dilakukan pengambilan darah untuk pemeriksaan mikroskopis malaria, kadar TNF-α dan kadar hemoglobin (Hb). Hasil penelitian menunjukkan seluruh ibu hamil memiliki riwayat pernah terinfeksi malaria vivax, walaupun hasil pemeriksaan slide negatif. Terjadi peningkatan kadar TNF- α dengan rerata 6,90 ± 2,48 pg/mL dan penurunan kadar Hb dengan rerata 9,75 ± 0,88 g%. Uji korelasi Spearman didapatkan korelasi negatif yang kuat (r = -0,734) dan bermakna (nilai p < 0,05) antara Kadar TNF-α dengan kadar Hb. Terdapat hubungan yang bermakna antara kadar TNF-α dengan kejadian anemia. Pregnant mothers living in malaria - endemic area are very susceptible to malaria infection during pregnancy. Malaria symptoms in this group are often asymptomatic or even not detected at all due to protective immunity effect through repeated infections. Any elevation of tumor necrosis factor-alpha (TNF-α) level can be used as indicator of malaria infection. TNF-α takes an important role in immune response on acute malaria that hinders occurence eritropoesis process. This study aimed to find out relations between TNF-α level and anemia occurrence among pregnant women living in malaria vivax - endemic areas. The study used cross-sectional design conducted on January to February 2014 in five working areas in Bengkulu city. Sample of study was pregnant mothers in malaria vivax - endemic areas which was taken through accidental sampling. Blood was taken for malaria-microscopic examination, TNF-α and haemoglobine (Hb) level. The results showed that all of pregnant mothers have malaria vivax - infected record, although slide examination showed negative result. Any TNF-α level elevation with average 6.90 ± 2.48 pg/mL and decrease of Hb level with average 9.75 ± 0.88 g%. Spearman correlation test showed strong negative correlation (r = -0.734) and significant (p value < 0.05) between TNF-α level and Hb level. There was significant relation between TNF-α level and anemia occurrence.
UTILIZATION OF CORK AS COOLER BAG MAKING MATERIALS FOR DAIRY BREAST MILK AS AN EXCLUSIVE BREAST MILK COVERAGE ON WORKING MOTHER Bina Melvia Girsang; Farida Linda Sari; Nur Afi Darti
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (769.615 KB) | DOI: 10.32734/abdimastalenta.v4i1.2382

Abstract

Working mother factors, lack of knowledge about the benefits of breast milk, and the low support of assisting health workers are factors that influence the achievement of exclusive breast milk targets. The method of implementing community service activities was carried out with health counseling and assistance in the manufacture of milk bag milk milk cooler for 20 breastfeeding working mothers. Making cooler bags using cork as a material that is easily available and economical, is a breakthrough that can be made in helping to achieve exclusive breastfeeding programs. The purpose of this community service is to empower mothers through making cooler bags that are expected to improve the skills and confidence of working mothers in providing breast milk. The implementation of community service shows the results that mothers understand about the benefits of breast milk (80%), the statement of the attitude of mothers who are willing to milk breast milk in the workplace (80%), and all mothers are able to play a role in making cooler bags independently. Communities can learn independently (self learning) and can share experiences in preventing and tackling infant health, especially in fulfilling breast milk for infant growth and development
DEVOTION TO COMMUNITIES “POSYANDU” GROUP OF PREGNANT MOTHER THROUGH INTRODUCTION TO HAZARD SIGNS IN PREGNANCY SUB-DISTRICT MEDAN SUNGGAL Girsang, Bina Melvia; Karo, Evi Indriani; Sari, Farida Linda
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2018): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1048.879 KB) | DOI: 10.32734/abdimastalenta.v3i2.4042

Abstract

Recognition of pregnancy danger plays an important role in preventing and reducing maternal mortality. Pregnant women can identify the danger signs of pregnancy. Therefore, the danger signs during pregnancy need to be known by pregnant women, especially those that threaten the health of the mother and the fetus who are pregnant. The minimum needs to be known by pregnant women in the community to recognize pregnancy danger signs, namely bleeding out of birth canal, excessive nausea, preeclampsia and eclampsia , premature rupture of membranes, and fetal movements that are not felt. Medan Sunggal Health Center is one of the village areas assisted by the USU Nursing Faculty. Based on the results of previous studies of pregnant women, it was found that there were still many pregnant women who did not know about the signs and dangers during pregnancy. The main cause is the limited knowledge of mothers about the signs and dangers of pregnancy and the mother's skills to overcome the lack of information about the signs and dangers of pregnancy. Posyandu cadres who have played an active role have been felt to be weak in providing education about information on signs and harms of pregnancy. Posyandu cadres have the potential for their role as agents of change. Therefore to overcome the problem of lack of information about the signs and dangers of pregnancy, it is necessary to improve the method of delivering information on signs and dangers of pregnancy, by involving several parties who can later collaborate in dealing with information problems for pregnant women, involving KIA officers from Sunggal Health Center, cadres , and invite pregnant women.
Empowerment of Handwashing Education with Videos and Songs as a Prevention for Covid-19 Girsang, Bina Melvia; Sinulingga, Samerdanta; Ritonga, Fajar Utama
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2020): ABDIMAS TALENTA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.345 KB) | DOI: 10.32734/abdimastalenta.v5i2.4436

Abstract

Currently, there are still many people who do not care about the health conditions of themselves, their families, and the environment. Unhealthy lifestyle habits that they take for granted but can have a bad impact on society. Then, the lack of public awareness and willingness of the importance of maintaining health and implementing a healthy lifestyle by getting used to washing hands with soap. The purpose of this activity is an educational action to wash hands as a measure to prevent Covid-19 infection. The method of community service activities is carried out using video media and songs followed by 20 activity participants, the majority of whom are housewives. The results obtained from this activity were changes in the habit of washing hands using soap to 100%, variations in washing hands using soap under running water were also stated by 85% of the participants, and the response of washing hands every time they touched the surface was stated by 80% of the activity participants. The habit of washing hands using soap is expected to be a behavior that is applied every day as part of the habit adaptation in the new normal period.
The Application of Manut (Muscle Nutrition Management) in the Elderly in Increasing the Degree of Health During the Covid-19 Pandemic in the Region of Medan Sunggal District Eqlima; Girsang, Bina Melvia; Nurbaiti; Sitohang, Ance Marintan D
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1164.757 KB) | DOI: 10.32734/abdimastalenta.v7i1.6784

Abstract

Nutrition is a top priority in determining the health of the elderly. Nutritional disorders in the elderly are often difficult to detect and require careful nutritional assessment One of the factors that influence it is nutritional care which has a positive effect on the energy intake of the elderly, so that the role of the elderly themselves is needed in maintaining their healthy quality. The purpose of this community service activity is to assess nutritional status and train the elderly in muscle nutrition management in the form of a book listing the activities carried out and their explanations. This activity was carried out on August 12, 2021 in the area of ​​​​the Medan Sunggal sub-district. These activities provide important benefits for the regulation of elderly nutrition and provide motivation that the elderly are able to make changes in healthy living behavior.
The Role of Elderly Health Tests as Early Prevention of Chronic Diseases During the Covid-19 Pandemic in the Region of Medan Sunggal District Elfira, Eqlima; Girsang, Bina Melvia; Nurbaiti; Sitohang, Ance Marintan D.; Faswita, Wirda
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (821.464 KB) | DOI: 10.32734/abdimastalenta.v7i1.6786

Abstract

A health test is an examination carried out to determine a person's health standards. Priority checks are carried out on the elderly, where the elderly may experience health problemsHealth Checkup includes checking blood pressure, blood glucose, urine and cholesterol. The objective of this activity is to carry out early detection of the elderly to prevent chronic diseases. The activity was carried out on August 12, 2021 in the area of the Medan Sunggal sub-district. The examination gave positive results for the community. People who check him can know the condition of his body. This examination also provides input and recommendations for therapy that must be carried out by the elderly while health is still available. This condition is marked by a change in the value of the Health examination results which increases from the normal amount.
Skrining “GEMULEK” (Gigi, Mulut, dan KEK) pada Perempuan Usia Subur dalam Pencegahan Stunting Girsang, Bina Melvia; Sitohang, Ance Marintan D; Elfira, Eqlima; Sofyanti, Ervina
Prima Abdika: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Volume 4 Nomor 1 Tahun 2024
Publisher : Program Studi Pendidikan Guru Sekolah Dasar Universitas Flores Ende

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37478/abdika.v4i1.4043

Abstract

Prevention of dental and oral health problems in pregnant women can be done by increasing knowledge and changing the behavior of pregnant women. The target audience for this community service activity are women of childbearing age, pregnant women, and posyandu cadres. The partner in this community service is the head of the posyandu cadre in Ujung Rambung village. The partner's problem lies in the emergence of dental and oral health problems and KEK during pregnancy. Screening activities for women of childbearing age in Ujung Rambung village include 12 components of dental and mouth screening, as well as upper arm circumference screening as an observation of nutritional status, and also detects the average age of women of childbearing age who attend as participants. Based on the results of the screening tabulation, it was found that 61.5% of the activity participants had cavities, and 73.1% had tartar. This condition is a condition that is at risk of developing tooth and mouth infections. Apart from that, in a number of other problems, 26.9% found cases of bleeding teeth when brushing their teeth, and they often experienced food stuck in their teeth (53.8%). In the study of measuring upper arm circumference (LILA) as a monitoring of nutritional status and chronic energy deficiency (KEK), the average LILA was 30.08 cm. This was also followed by monitoring of reproductive age with an average age of 32.7 years. Nutritional status and maternal health before, during and after pregnancy affect the early growth and development of children, starting from the womb. Gingivitis of pregnancy is inflammation of the gums experienced during pregnancy. Oral screening and the incidence of CED are important components that can be complied with during the early trimester of pregnancy.
Pengembangan Potensi Ekstrak Buah Pandan Laut (Pandanus Tectorius) sebagai Wilayah Healthcare Tourism pada Hutan Mangrove Desa Sei Nagalawan Girsang, Bina Melvia; Nasution, Lisda Rimayani; Ginting, Kristiawan Hadinata; Elfira, Eqlima; Hia, Sonia Rospita; Nasution, Della Amelia; Nasution, Novri Rahmadani
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.15950

Abstract

ABSTRAK Jumlah Perempuan di desa Nagalawan 1.271 dengan sex ratio 101,5. Persentase jumlah pasangan usia subur di Desa Nagalawan. Penduduk desa Nagalawan dengan jumlah penduduk 2.561 berjenis kelamin perempuan 1.271 merupakan potensi yang seharusnya diberdayakan, Penerapan sistem ekowisata di ekosistem mangrove ini merupakan suatu pendekatan dalam pemanfaatan ekosistem tersebut secara lestari. Kegiatan ekowisata adalah alternatif vang efektif untuk menanggulangi permasalahan lingkungan di ekosistem ini seperti tingkat eksploitasi yang berlebihan oleh masyarakat dengan menciptakan alternatif ekonomi bagi masyarakat (Muhaerin, 2008). Wisata yang dilakukan dalam konteks ini memiliki bagian yang tidak terpisahkan dengan upaya upaya konservasi, pemberdayaan ekonomi lokal dan saling menghargai perbedaan kultur atau budaya. Pergeseran konsep kepariwisataan dunia ke model ekowisata, disebabkan karena kejenuhan wisatawan untuk mengunjungi obyek wisata buatan. Selain menjadi tempat wisata karena keindahan pantai mangrove nya ternyata desa Sei Nagalawan juga memiliki kekayaan alam berupa tumbuhan liar yang tumbuh di pesisir pantai yaitu pandan laut (Pandanus Tectorius). Tanaman ini merupalam tanaman yang ada di kawasan mangrove dengan karakteristik buahnya yang menarik karena warna nya mencolok seperti buah nanas, dan ternyata bukan hanya sekedar warna yang menarik tetapi kandungan – kandungan yang ada pada buah pandan laut ini antara lain fenolik total dan konstituen kimia yang tinggi (fenolik, flavonoid, steroid, triterpenoid, saponin dan glikosida) memiliki potensi sebagai antibakteri. Wisata mangrove di desa Nagalawan memiliki potensi pengembangan bukan saja sebagai agrowisata juga dapat dikembangkan menjadi healthcare tourism dengan memberdaya kelompok Perempuan, koperasi dan pemerintah setempat dalam mengolah potensi alam sebagai anti bakteri dengan membuat plester. Kata Kunci: Buah Pandan Laut, Healthcare, Nagalawan, Plester  ABSTRACT Total females in Nagalawan village 1,271 with a sex ratio of 101.5. Percentage of the number of couples of childbearing age in Nagalawan Village. The population of Nagalawan village with a total population of 2,561 female sexes 1,271 is a potential that should be empowered, the application of an ecotourism system in this mangrove ecosystem is an approach in the sustainable use of the ecosystem. Ecotourism activities are an effective alternative to overcome environmental problems in this ecosystem such as the level of overexploitation by the community by creating economic alternatives for the community (Muhaerin, 2008). Tourism carried out in this context has an inseparable part with conservation efforts, local economic empowerment and mutual respect for cultural differences or culture. The shift in the concept of world tourism to the ecotourism model is due to the saturation of tourists to visit artificial attractions. In addition to being a tourist spot because of the beauty of its mangrove beach, it turns out that Sei Nagalawan village also has natural wealth in the form of wild plants that grow on the coast, namely sea pandanus (Pandanus Tectorius). This plant is a plant in the mangrove area with interesting fruit characteristics because of its striking colour like pineapple fruit, and it turns out that it is not just an interesting colour but the content - the content in this sea pandan fruit includes total phenolics and high chemical constituents (phenolics, flavonoids, steroids, triterpenoids, saponins and glycosides) has potential as an antibacterial. Mangrove tourism in Nagalawan village has the potential for development not only as agro-tourism but can also be developed into healthcare tourism by empowering women's groups, cooperatives and local governments in processing natural potential as anti-bacterial by making plasters. Keywords: Sea Pandanus Fruit, Healthcare, Nagalawan, Plasters
Traumatic and Knowledge on Self Efficacy During The Postpartum Recovery Period Girsang, Bina Melvia; Eqlima Elfira; Evi Indriani Br Karo; Ismayadi
Caring: Indonesian Journal of Nursing Science Vol. 5 No. 1 (2023): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v5i1.11404

Abstract

Information provision and postpartum care that is less than optimal is a problem that is often overlooked. The number of respondents based on the calculation of the sample size was 150 people, while the number of samples in this study were 134 postpartum mothers. The sample selection was carried out according to the probability sampling technique. Postpartum mothers were surveyed using a questionnaire about the history of childbirth trauma, the knowledge of postpartum mothers about self-care during the postpartum period, and the level of self-efficacy of postpartum mothers. The results of the study showed several factors that could affect the mother's self-efficacy in postpartum recovery, namely age (26.14 (4.96); p = 0.00), traumatic experience during childbirth (1.86 (0.34); p = 0.000), and mother's occupation (1.597 (0.49); p = 0.02), and knowledge (4.38 (1.68); p = 0.000). Nurses need to provide prenatal health education to increase women's beliefs about their behavior during labor and postpartum recovery.
Hubungan Persepsi Pembelajaran Online dengan Prestasi Akademik pada Mahasiswa Eqlima; Pardede, Inggrid Pricilia; Girsang, Bina Melvia
Jurnal Keperawatan Mandira Cendikia Vol. 2 No. 2 (2023)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jkmc.v2i2.571

Abstract

Prestasi akademik yang tinggi hanya dapat dicapai melalui proses pembelajaran yang baik. Jika proses pembelajaran tidak optimal maka sangat sulit mendapatkan prestasi akademik yang baik. Dalam membentuk siswa yang berkualitas, kualitas Pendidikan sangat berkaitan karena hal itulah yang menjadi titik pusat dalam proses pembelajaran. Tujuan penelitian ini adalah untuk mengetahui hubungan persepsi pembelajaran online dengan prestasi akademik pada Mahasiswa Fakultas Keperawatan Universitas Sumatera Utara. Penelitian ini menggunakan metode penelitian kuantitatif dengan jenis penelitian deskriptif korelasi untuk melihat hubungan antara dua variable tersebut. Metode pengumpulan data ini menggunakan teknik sampling non probability dengan purposive sampling. Jumlah sampel dalam penelitian ini adalah 85 responden. Hasil penelitian menunjukkan bahwa data yang diperoleh dari mayoritas persepsi mahasiswa terhadap pembelajaran online adalah baik (56,5%), sedangkan prestasi akademik pada mahasiswa Fakultas Keperawatan Universitas Sumatera Utara sangat memuaskan (60,0%). Berdasarkan hasil uji korelasi pearson dengan α 0,05 didapatkan hasil koefisien korelasi (r =0,109), sehingga Ha dapat diterima. Maka dapat disimpulkan bahwa terdapat hubungan antara persepsi pembelajaran online dengan prestasi akademik mahasiswa Fakultas Keperawatan Universitas Sumatera Utara.