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The Effect of Post-Traumatic Stress Disorder on Women After The Earthquake in Central Sulawesi Andini Rizki Amanda; Atik Choirul Hidajah; Chatarina Umbul Wahyuni
Jurnal Berkala Epidemiologi Vol. 9 No. 3 (2021): Jurnal Berkala Epidemiologi (PERIODIC EPIDEMIOLOGY JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I32021.303-309

Abstract

Background: Posttraumatic stress disorder (PTSD) is a psychological disorder caused by uncommon occurrences such as threats or catastrophic events. Women are particularly susceptible to developing PTSD, as they have a range of threat perceptions. Purpose: The aim of this study was to examine the effect of PTSD on women survivor of the earthquake in the Sigi Biromaru sub-district of Central Sulawesi. Methods: This was a descriptive study conducted using a cross-sectional design. The population for this study were housewives who have been displaced by the earthquake and are currently residing in temporary shelters (Huntara) in a village located in the Sigi Biromaru sub-district. The instrument used in this study was the PTSD measurement questionnaire sheet. It was conducted from March to April 2020 and included a total of 115 participants. Univariate analysis was used to determine the respondents’ characteristics, including their age, education, occupation, income, and a description of the PTSD condition. Results: The results show that the majority of respondents experienced severe PTSD (70.43%). Most of the respondents (35.65%) were between the ages of 37 and 46, were senior high school graduates (40%), were unemployed (74%), and had earnings of < 2,500,000 (85.22%). Three variables that affect PTSD are education with a p-value of 0.03 < 0.05, job/occupation with a p-value of 0.02 < 0.05, and income with a p-value of 0.03 < 0.05. Conclusion: Women who are elderly, have a low level of education, are unemployed, and have low income are more vulnerable to experiencing PTSD.
THE RELATIONSHIP OF DIABETES MELLITUS AND HYPERTENSION WITH MORTALITY IN COVID-19 PATIENTS Yasmin Nihayatun Nadzifah; Atik Choirul Hidajah
Jurnal Berkala Epidemiologi Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I22022.219-226

Abstract

Background: Coronavirus disease 2019 (COVID-19) can infect the human respiratory system and causes 6.93% of all deaths in East Java Province. Comorbid diabetes mellitus and hypertension can exacerbate COVID-19 patients. Purpose: This study aims to analyze the relationship between diabetes mellitus and hypertension with mortality in COVID-19 Patients in Lamongan District. Methods: This study used an analytic observational study with a cross-sectional design. The study population was patients diagnosed with COVID-19 and registered at Lamongan District Health Office from April to August 2020, as many as 412 patients. The study sample was 93 patients who were taken by simple random sampling. The dependent variable in the study was the incident of mortality in COVID-19 patients. The independent variables in the study were gender, age, hypertension, and diabetes mellitus. Data analysis was using the chi-square test. Results: The variables studied that had a relationship with mortality in COVID-19 patients were age ≥ 60 years (p = 0.02; PR = 3.23; 95% CI = 1.29 <PR <8.10) and diabetes mellitus (p = 0.03; PR = 3.20; 95% CI = 1.23 <PR <8.36). The variables studied that did not have a relationship with mortality in COVID-19 patients were gender (p = 0.30; PR = 1.72; 95% CI = 0.74 <PR <4.03) and hypertension (p = 0.72; PR = 1.37; 95% CI = 0.34 <PR <5.48). Conclusion: Age and diabetes mellitus are significantly associated with mortality in COVID-19 patients, but sex and hypertension are not significantly associated with mortality in COVID-19 patients.
Faktor Risiko KLB Keracunan Makanan Pasca Gempa Bumi di Kabupaten Sumbawa Atik Choirul Hidajah; Febriyanti Febriyanti; Debri Rizki Faisal
Jurnal Kesehatan Vol 14 No 2 (2021): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/juke.v14i2.381

Abstract

Latar Belakang: Gempa bumi yang terjadi pada bulan Juli dan Agustus di Lombok menimbulkan beberapa masalah kesehatan, salah satunya adalah keracunan makanan yang disebabkan oleh penurunan kualitas lingkungan. Pada tanggal 9 September 2018 dilaporkan kasus keracunan makanan di Kecamatan Alas Barat Kabupaten Sumbawa akibat mengkonsumsi makanan pada saat kegiatan trauma healing. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor risiko dan etiologi penyebab keracunan makanan di Kecamatan Alas Barat Kabupaten Sumbawa. Metode : Penelitian ini bersifat deskriptif dengan metode investigasi dan observasi data sekunder KLB keracunan makanan Hasil : Gejala awal keracunan makanan pada pukul 16.00. Puncak tertinggi dirasakan pada pukul 19.00-19.59 dengan jumlah 65 orang. Penduduk yang paling banyak mengalami keracunan makanan adalah perempuan sebanyak 59 orang (50,43%) dan kelompok umur 5-11 tahun sebanyak 62 orang (53%). Gejala yang paling umum adalah muntah (95%). Jenis makanan yang diduga menyebabkan keracunan makanan adalah ayam (AR = 81,19%), nasi (AR = 75,21%) dan sayuran (AR = 67,52%). Agen yang diduga sebagai penyebab keracunan makanan adalah Staphylococcus, Clostridium Perfringens dan Eschericia Coli.Kesimpulan: Keracunan makanan yang terjadi di Desa Mapi Rea merupakan sumber penularan umum yang berasal dari satu sumber penularan yaitu makanan yang dimakan pada saat kegiatan trauma healing. Makanan yang dianggap memiliki risiko tinggi adalah ayam, nasi, dan sayuran. Hasil laboratorium menunjukkan bahwa Eschericia Coli merupakan bakteri penyebab keracunan makanan.
Characteristics, Behavior, and Environmental Conditions Residence of Leptospirosis Patients in the District of Probolinggo Fransisca Putri Intan Damalia; Atik Choirul Hidajah; Agus Ardiyansyah
Journal of Health Science and Prevention Vol. 5 No. 1 (2021): JHSP Vol 5 No 1 - 2021
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v5i1.425

Abstract

Leptospirosis is a zoonotic disease caused by Leptospira sp. and carried by rats as the main source of transmission through its urine. Risk factors for the sufferer are the condition and activity of daily individuals. Probolinggo Regency became one of the regencies/cities in East Java that had been infected by Leptospirosis and as of 20 January 2020 the case amounted to 4 and 2 of which died. This research aims to illustrate the characteristics, behaviors, and environmental conditions of the Leptospirosis in Probolinggo Regency. The research was conducted by describing four cases of Leptospirosis found in Probolinggo Regency from 1 – 20 January 2020. The cases found are depicted according to characteristic variables, behaviors, and environmental conditions. Data analysis is done in a descriptive, namely describing the distribution and presentation of each variable. Data is presented in a table or narrative form. The results showed that 75% of the patients of Leptospirosis are male-gender with an age range of 45-59 years old. Work of some sufferer (50%) is a risky job, namely farmers and builders. No sufferers use gloves during contact with puddle, the use of footwear to the yard and the habit of washing hands and feet after the activity is only done by some sufferers (50%). Almost all sufferers (75%) using well water as a source of clean water. 50% of sufferers do not have sewers. Most sufferers (75%) have pets or livestock and be aware of the presence of rats in the house. Bins owned by most sufferers (75%) is a type of open trash can. Half of the number of sufferers residing in flood prone areas. Therefore, it takes a disciplined attitude in the implementation of clean and healthy life during activities to prevent the occurrence of Leptospirosis.
Hubungan antara Paparan Asap Rokok dan Pola Makan dengan Kejadian Penyakit Jantung Koroner pada Perempuan Usia Produktif Devit Dewi Anggraini; Atik Choirul Hidajah
Amerta Nutrition Vol. 2 No. 1 (2018): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (724.502 KB) | DOI: 10.20473/amnt.v2i1.2018.10-16

Abstract

Background: Non-communicable diseases that become the main problem of public health today is one of them is Coronary Heart Disease (CHD). Lifestyle and behavior of someone plays an important role in CHD. Passive smokers who are exposed to cigarette smoke continuously for a long time can have a negative effect on heart health. Eating fruits and vegetables is a protective factor. That is, the more eating fruits and vegetables it will provide benefits as a protective factor for the heart.Objective: This study aims to analyze the effect of exposure to cigarette smoke and eating patterns on the incidence of CHD in reproductive age females who received ambulatory care at RSUD Dr. M. Soewandhie Surabaya.Methods: This was a case-control study. Samples were taken by simple random sampling. Number of cases were 41 women who diagnosed as CHD. The ratio of case and control was 1:1. Data analysis used multiple logistic regression test.Results: exposure to cigarette smoke and diet associated with CHD events in women of reproductive age with p values of 0.03 and 0.00 respectively. Women who were exposed to cigarette smoke with weight category had an 11.78 times risk of developing CHD (OR=11.78), while those with less vegetable and fruit consumption had a risk of 5.03 times having CAD than the consumption of vegetables and fruits (OR= 5. 03).Conclusion: severe exposure to tobacco smoke and lack of consumption of vegetables and fruits affect the incidence of CHD in childbearing females in RSUD Dr. M. Soewandhie Surabaya. Based on that, optimalization of non-smoking area regulation is needed. And, the women in productive ages need consume lots of vegetables and fruits.ABSTRAKLatar Belakang: Penyakit tidak menular yang menjadi masalah utama kesehatan masyarakat saat ini salah satunya adalah Penyakit Jantung Koroner (PJK). Gaya hidup dan tingkah laku seseorang memegang peranan penting dalam PJK. Perokok pasif yang terpapar asap rokok secara terus-menerus dalam jangka waktu lama dapat memberi pengaruh negatif pada kesehatan jantung. Makan buah dan sayur merupakan faktor protektif. Artinya, semakin banyak mengonsumsi buah dan sayur maka akan memberikan manfaat sebagai faktor protektif bagi jantung.Tujuan: penelitian ini bertujuan untuk menganalisis hubungan antara paparan asap rokok dan pola makan dengan kejadian PJK pada perempuan usia produktif yang mendapatkan perawatan ambulatori di RSUD Dr. M. Soewandhie Surabaya.Metode: penelitian ini merupakan penelitian kasus kontrol. Sample diambil dengan simple random sampling. Jumlah kasus adalah 41 perempuan yang didiagnosa menderita PJK. Rasio kasus dan kontrol adalah 1 : 1. Analisis data menggunakan uji regresi logistik berganda.Hasil: paparan asap rokok serta konsumsi sayur dan buah berhubungan dengan kejadian PJK pada perempuan usia produktif dengan nilai p berturut-turut sebesar 0,03 dan 0,00. Perempuan yang terpapar asap rokok dengan kategori berat berisiko 11,78 kali untuk mengalami PJK (OR=11,78), sedangkan yang kurang konsumsi sayur dan buah memiliki risiko 5,03 kali mengalami PJK dibanding yang cukup konsumsi sayur dan buah (OR=5,03).Kesimpulan: paparan asap rokok yang berat serta kurang konsumsi sayur dan buah berhubungan dengan kejadian PJK pada perempuan usia produktif di RSUD Dr. M. Soewandhie Surabaya. Berdasarkan hal tersebut, optimalisasi regulasi area bebas rokok sangat dibutuhkan. Dan, perempuan usia produktif perlu banyak mengkonsumsi sayur dan buah.
EVALUATION OF TUBERCULOSIS PROGRAM SURVEILLANCE IN THE DEPARTMENT OF HEALTH IN BLITAR DISTRICT 2018 Harni Utari Nennong; Atik Choirul Hidajah; Lucia Yovita hendrati
Journal of Public Health Research and Community Health Development Vol. 5 No. 1 (2021): OCTOBER
Publisher : Sekolah Ilmu Kesehatan Dan Ilmu Alam (SIKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v5i1.26067

Abstract

Latar Belakang: Tuberkulosis (TB) masih terus menjadi endemik di berbagai wilayah di dunia, termasuk di India, penilaian klinis, pengujian, pelacakan kontak, konfirmasi diagnosis dengan rejimen pengobatan yang diawas. Pemberantasan yang efektif menjadi salah satu penyakit yang penanggulangannya menjadi komitmen global dalam SDGs. Menunjang keberhasilan program penanggulangan TB diperlukan adanya data epidemiologi penyakit TB yang dapat diperoleh melalui kegiatan surveilans epidemiologi TB. Tujuan: mengetahui gambaran dan evaluasi komponen system dan atribut surveilans TB di Dinas Kesehatan Kabupaten Blitar tahun 2018. Metode: penelitian ini merupakan penelitian kualitatif dengan rancang studi evaluasi. Evaluasi sistem surveilans di Dinas Kesehatan Kabupaten Blitar di lakukan dari April – Juni 2018 dan data. Evaluasi system surveilans program TB dilakukan dengan wawancara untuk memperoleh informasi. Hasil: Berdasarkan komponen sistem surveilans diperoleh bahwa Pengumpulan data yang dilakukan petugas kesehatan dianggap mudah mulai dari alur pengumpulan data, pengisian formulir hingga alur pelaporan walaupun dalam pengiriman laporan masih ada Puskesmas yang terlambat dalam proses pengiriman ke aplikasi SITT. Proses analisis hanya dilakukan ditingkat Dinas Kesehatan, sedangkan ditingkat Puskesmas tidak dilakukan analisis. Pada komponen output, umpan balik yang dilakukan Dinas Kesehatan Kabupaten adalah dengan melakukan monitoring mengenai pengumpulan data serta pengiriman laporan melalui aplikasi Whatssapp dan melakukan miniloka setiap 3 bulan.Kesimpulan: Sistem surveilans TB di Kabupaten Blitar masih memerlukan perbaikan dalam pelaksanaannya dalam hal pengumpulan data, analisis data, ketersediaan pedoman surveilans TB hingga pengetahuan petugas terkait dengan surveilans TB.
Gambaran kualitas sistem surveilans TB di Dinas Kesehatan Kabupaten Gresik berdasarkan pendekatan sistem dan penilaian atribut Arina Mufida Ersanti; Agung Nugroho; Atik Choirul Hidajah
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 1, No 3 (2016)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.9871

Abstract

Latarbelakang : Program pengendalian TB yang efektif membutuhkan dukungan sistem surveilans yang baik. Tujuan dari penelitian ini adalah untuk menggambarkan kualitas sistem surveilans TB berdasarkan analisis komponen sistem dan penilaian atribut, untuk memberikan rekomendasi yang tepat.Metode Penelitian : Merupakan penelitian evaluasi pada sistem surveilans TB yang diimplementasikan di Dinas Kesehatan Kabupaten Gresik selama tahun 2014. Responden adalah Kepala seksi pemberantasan penyakit dan pengelola program TB di tingkat dinas kesehatan, serta petugas surveilans yang ada di 14 puskesmas terpilih. Penentuan lokasi puskesmas dilakukan dengan systematic cluster  pada 4 zona wilayah kerja Dinas Kesehatan Kabupaten Gresik. Pada setiap zona diambil semua puskesmas yang berstatus Puskesmas Rujukan Mikroskopis (PRM). Pada setiap PRM diambil secara acak 1 puskesmas yang berstatus Puskesmas Satelit (PS). Analisis data dilakukan dengan menggambarkan komponen sistem dan atribut sistem surveilans, serta membandingkan dengan buku pedoman pengendalian TB tahun 2014, Kepmenkes RI No.1116/SK/VIII/2003, dan Guidelines for Evaluation Public Health Surveillance System dari CDC. Informasi yang diperoleh disampaikan dalam bentuk tabel dan anrasi.Hasil: Pada tingkat puskesmas, petugas yang terlatih dalam program TB berkisar 76-81% (80,67% di PRM dan 76% di PS). Pemeriksaan laboratorium diperlukan untuk diagnosis dan hanya puskesmas dan beberapa rumah sakit yang terlibat dalam penemuan kasus TB. Implementasi sistem yang berubah menjadi SiTT membutuhkan peningkatan biaya, waktu, dan kualitas pekerja. Kesalahan SiTT dikeluhkan oleh 55% responden. Meskipun ketepatan waktu adalah 92,97% tapi masih ada kesalahan besar dalam diagnosis kasus.Kesimpulan : Penilaian menurut atribut sistem surveilans menunjukkan sistem tidak sederhana, tidak fleksibel, tidak akseptabel, tidak stabil, dengan kualitas data yang buruk, meskipun predictive positive value tinggi dan ketepatan waktu pengumpulan data sudah baik. 
Isolation of Native Plant-Derived Exosome-like Nanoparticles and Their Uptake by Human Cells Diah Ratnadewi; Christofora Hanny Widjaja; Anggraini Barlian; Rizka Musdalifah Amsar; Ika Dewi Ana; Atik Choirul Hidajah; Hari Basuki Notobroto; Triati Dewi Kencana Wungu
HAYATI Journal of Biosciences Vol. 30 No. 1 (2023): January 2023
Publisher : Bogor Agricultural University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4308/hjb.30.1.182-192

Abstract

The exosome is a nano-sized vesicular particle commonly secreted from eukaryotic cells to extracellular space. Exosome functions in cellular communication, nutrients or bioactive compounds delivery, and cellular immunity. It is believed that plant-derived exosome-like particle (PDEN) potential to deliver nano-bioactive compounds to the human body. As Indonesia is one of the herbal centers of the world, we are encouraged to develop natural richness for human welfare. The study aimed to verify various methods to isolate exosomes from the fresh ginger rhizome and quina cells and examine the ginger PDENs' capacity to internalize in vitro human cells. The PDENs isolation was carried out by centrifugation and precipitation. The particles were observed through a transmission electron microscope, dynamic light scattering, and particle size analysis. Differential ultracentrifugation combined with PEG6000 provided a better size range of particles. Nanoparticles tracking analysis performed the concentration of particles within a specific size range. Ginger and quina PDENs size ranged from 40-650 nm, and the concentration was 3.6 × 107 and 2.8 × 106, respectively. The PKH67-labelled ginger PDENs were taken up by human dermal fibroblast and human Wharton's jelly mesenchymal stem cells after 30 minutes and 21 hours. DPPH assays revealed that ginger PDENs have antioxidant activity, indicating the presence of some nano-molecules in those particles. This study would be the baseline for developing ginger PDENs as a functional food with nano-ingredients, or as an effective vehicle of nano-drug, for human health.
Improving Knowledge, Attitudes and Skills of Wani Ngandani Cadres on Effective Communication Dissemination of Health Protocols and Continuous Monitoring (Surveillance) for Covid 19 Management in Surabaya Shrimarti Rukmini Devy; Sri Widati; Mochammad Bagus Qomaruddin; Muji Sulistyowati; Oedojo Soedirham; Santi Martini; Atik Choirul Hidajah; Isma Faridatus Sholihah; Dayu Marista; Alfi Makrifatul Azizah; Eni Purwaningsih
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 10 No. 2 (2022): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V10.I2.2022.171-178

Abstract

Background: COVID-19 preventive behavior plays a role in reducing infection rates and controlling the spread of the disease. In order to optimize the behavior of preventing COVID-19 in the Pacar Keling Sub-district, Tambaksari District, a health promotion program is needed by involving the active participation of the community, so that the community is able to overcome health problems with their existing potential. Objectives: This study aimed to determine the increase before and after being given knowledge and skills on how to communicate effectively when socializing the 5M health protocol, planning and evaluating in conducting socialization activities and how to carry out continuous surveillance on Wani Ngandani cadres as well as increasing knowledge related to health protocols during the COVID-19 pandemic for webinars. Methods: In each activity, 1-3 and RTL Webinar, Pre-test, and Post-test data are collected to measure the level of knowledge of participants. A paired t-test is used as the data analysis to determine the difference before and after being given training. The methods applied in measuring cadre skills are presentation and role play. Meanwhile, RTL activities are held online in the form of Community Service Webinars. The materials provided in training activities 1-3 are in the form of PPT materials and manuals. Results: Based on the results of the paired t-test, it is known that there were significant differences (sig <0.05) in the results of the pre-test and post-test on the four training activities. Conclusion: This program was effective and its implementation has succeeded in achieving the expected target and there has been a strengthening of knowledge in the community.
ANALYSIS OF DIARRHEA MANAGEMENT IN CHILDREN UNDER TWO YEARS OLD IN INDONESIA: Analisis Penatalaksanaan Diare pada Anak Kurang Dari 2 Tahun di Indonesia Atik Choirul Hidajah; Erni Astutik
Jurnal Berkala Epidemiologi Vol. 11 No. 2 (2023): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V11I22023.198-204

Abstract

Background: Diarrhea in children under two is still a severe problem in Indonesia, affecting achieving SDG target 3. Providing good care will reduce the risk of death in children caused by diarrhea. Purpose: This study aimed to analyze the relationship between socio-demographic characteristics, place of residence, and access to media in mothers with children under two years old and diarrhea management in children in Indonesia. Methods: This study used secondary data from the 2017 Indonesian Health Demographic Survey (DHS) with a cross-sectional study design. Analyzed were the responses of 1,061 mothers whose children under two had diarrhea in the two weeks before the survey. Samples were taken using two-stage sampling methods. The data were analyzed by chi-square and multiple logistic regression. Multiple logistic regression was adjusted for the complex sampling designs of DHS for data analysis. Results: 59.50% of children received inappropriate treatment. Older mothers (AOR 20–24 = 2.03, 95% CI = 1.03–3.98) who lived in rural areas (AOR = 1.41, 95% CI = 1.03–1.94), had access to several media (AOR = 2.03, 95% CI = 1.01–4.10), and all media (AOR = 2.23, 95% CI = 1.07–4.64), had higher odds of having a child whose diarrhea treatment was not appropriate after controlling for other variables. Conclusion: Mothers' age, residence, and access to media have a significant relationship with inappropriate diarrhea care for their children. Therefore, interventions need to focus on women who live in rural areas and have access to the media.