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All Journal Jurnal Kesehatan Andalas Jurnal Berkala Epidemiologi Journal of Agromedicine and Medical Sciences Jurnal Kesehatan Jurnal Penelitian Kesehatan Suara Forikes The Southeast Asian Journal of Midwifery International Journal of Educational Dynamics (IJEDS) JURNAL KESEHATAN PERINTIS Human Care Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Andalas obstetrics and gynecology journal Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Women Midwives and Midwifery
Firdawati Firdawati
Departement Of Midwifery, Faculty Of Medicine, Andalas University
Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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The Main Casual Factors Associated with The Incidence of Asphyxia Neonatorum Anisa Ulfah; Defrin Defrin; Ulfa Farrah Lisa; Firdawati Firdawati; Erda Mutiara Halida
Women, Midwives and Midwifery Vol. 3 No. 2 (2023): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.3.2.57-67.2023

Abstract

  Background: Asphyxia is the second most common cause of neonatal death after babies with low birth weight (LBW). The factors that can cause asphyxia include preeclampsia, premature birth, prenatal anemia, antepartum bleeding and premature rupture of membranes. Purpose: This study aimed to determine the main causative factors associated with the incidence of asphyxia neonatorum at RSUP Dr. M. Djamil Padang in 2021. Methods: This research was a quantitative research with an analytic approach with a cross sectional design, was conducted in the Medical Record Sub-Division of RSUP Dr. M. Djamil Padang in December 2022. The sample in this study were babies who were diagnosed with asphyxia totaling 132 people obtained by total sampling technique. Collection data were taken from patient medical records and analyzed univariately, bivariately (test chi square), and multivariate (logistic regression analysis) with 95% CI. Results: The result showed that 77.3% of patients had moderate asphyxia. The result of this study showed that majority of patients with severe asphyxia with preeclampsia mothers 60.0% (p=0.001), premature birth 76,7% (p=0.044), anemia mothers 53,3% (p=0.035), did not experience antepartum hemorrhage 83,3% (p=0.390), and premature rupture of membranes 73,3% (p=0.000). The most dominant factor was premature rupture of membranes with OR=34.988). Conclusion: It was concluded that there was a relationship between preeclampsia, premature birth, prenatal anemia, premature rupture of membranes, and there was no relationship between antepartum bleeding and neonatal asphyxia. The factor that has the most dominant influence on the incidence of neonatal asphyxia is premature rupture of membranes. Suggestions for health workers to maintain and improve services to patients, especially asphyxia neonatorum.
Correlation of Neutrophil Lymphocyte Ration (NLR) Values with Severe Preeclampsia, HELLP Syndrome, and Eclampsia Indah Lisfi; Roza Sriyanti; Firdawati FIrdawati
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 2 (2023)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.2.379-390.2023

Abstract

Background: Preeclampsia (PE) is the leading cause of maternal and fetal morbidity and mortality. The disease is characterized by hypertension (≥140/90 mmHg), proteinuria, thrombocytopenia, renal failure, neurological complications, liver involvement, and fetal growth retardation. HELLP syndrome is a variant of preeclampsia that causes an increase in liver enzymes and a low platelet count. Eclampsia is the heaviest complication of preeclampsia. Neutrophil lymphocyte ratio (NLR) is part of the leukocyte type count examination which is an easy, available examination parameter and can be used as an index of the severity of systemic inflammation. This study aimed to determine the relationship of neutrophil-lymphocyte ratio (NLR) values with severe Preeclampsia, HELLP syndrome, and eclampsia.Method: This research is a comparative analytical study with a case control study approach. This research was conducted from April-November 2022. This study was conducted at the emergency room (ER) and inpatient department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Andalas – RSUP Dr. M. Djamil Padang. The study sample was part of the population that met the inclusion and exclusion criteria. The study required 108 samples, namely 27 from the severe preeclampsia group, 27 from the eclampsia group, 27 from the HELLP syndrome group, and 27 from the control group. Bivariate statistical analysis using Independent T-Test. Samples were taken by the method of consecutive sampling. The data were analyzed at a 95% confidence interval, if obtained p value<0.05 then there is a significant relationship. The Data was analyzed by the SPSS computer program.Results: The results of this study obtained neutrophil-lymphocyte ratio in eclampsia has the highest average value compared with HELLP syndrome, severe preeclampsia, and control. While HELLP syndrome has a higher mean value than severe preeclampsia and control and subsequently severe preeclampsia also has a higher mean value NLR than control. This study found a significant relationship between neutrophil-lymphocyte ratio (NLR) with severe Preeclampsia, HELLP syndrome, and eclampsia (all p values=0.000).Conclusion: This study proves that neutrophil-lymphocyte ratio (NLR) has a significant relationship with severe Preeclampsia, HELLP syndrome, and eclampsia so further research can develop this study by analyzing other factors that affect preeclampsia. For clinicians can make this study as a reference in monitoring the progression of inflammation that occurs in severe preeclampsia, HELLP syndrome, and eclampsia.
PELAKSANAAN KESELAMATAN DAN KESEHATAN KERJA RSUD Dr. MUHAMMAD ZEIN PAINAN TAHUN 2023 Enda Gusnita; Yuniar Lestari; Husna Yetti; Firdawati; Nelmi Silvia; Nizwardi Azkha
Jurnal Endurance Vol. 8 No. 3 (2023): Jurnal Endurance : Kajian Ilmiah Problema Kesehatan
Publisher : LLDIKTI Wilayah X

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22216/jen.v8i3.2502

Abstract

ABSTRAK Data laporan kecelakaan kerja RSUD Dr. Muhammad Zein Painan tahun 2019 hingga 2022 tercatat 18 kasus. Penyakit Akibat Kerja yang tercatat corona virus disease 2019, menginfeksi 213 petugas. Tujuan penelitian ini menganalisis pelaksanaan Keselamatan dan Kesehatan Kerja Rumah Sakit. Penelitian dilaksanakan Januari-Juni 2023. Metode penelitian kombinasi (mixed method) model concurrent embedded (campuran tak berimbang). Hasil penelitian kualitatif diketahui bahwa pelaksanaan manajemen risiko belum terlaksana semua ruangan RS, pengukuran lingkungan kerja dan pengukuran sampel personel belum optimal, metode Failure Modes and Effect Analysis belum disusun pada identifikasi risiko keselamatan petugas, untuk pelaksanaan keselamatan dan keamanan RS juga belum terlaksana dengan baik karena masih ditemukan beberapa kasus seperti tertusuk jarum, pasien jatuh, keluarga pasien jatuh, petugas tertimpa. Selain itu, pengawasan beberapa ruangan beresiko masih kurang karena tidak berfungsi kamera pengawas dan tidak memiliki scanner sidik jari. Pelaksanaan pelayanan kesehatan kerja masih belum optimal, hal ini disebabkan karena beberapa aspek kegiatan promotif, preventif, dan rehabilitatif belum terlaksana. Hal ini diperkuat hasil penelitian kuantitatif, ada 3 (tiga) standar dengan persentase yang dinilai tidak baik dari persepsi petugas RS yaitu manajemen risiko (65,9%), keselamatan dan keamanan pasien (63,6%) dan pelayanan kesehatan kerja (70,5%). Pelaksanaan keselamatan dan kerja Rumah Sakit belum terlaksana dengan baik dan belum optimal. Diharapkan Rumah Sakit perlu memenuhi semua standar pelaksanaan dan mengacu peraturan yang berlaku. Kata kunci : keselamatan; kesehatan; kerja; Rumah Sakit Daftar Pustaka : 57 (2018-2023) ABSTRACT Data on work accident reports at Dr. Muhammad Zein Painan Hospital from 2019 to 2022 recorded 18 cases. Occupational Disease recorded corona virus disease 2019, infected 213 hospital staff. The purpose of this study is to analyze the implementation of Hospital Occupational Safety and Health. The research was conducted from January to June 2023. Mixed method research method concurrent embedded model. The results of the qualitative research show that the implementation of risk management has not been carried out in all rooms of the hospital, the measurement of the work environment and the measurement of sample personnel has not been optimal, the Failure Modes and Effect Analysis method has not been prepared for identification of safety risks for officers, for the implementation of hospital safety and security it has also not been implemented properly because still found several cases such as needle sticks, patient falls, the patient's family falls, officers are crushed. In addition, surveillance of some rooms is at risk of still lacking because closed circuit television do not function and do not have fingerprint scanners. The implementation of occupational health services is still not optimal, this is because several aspects of promotive, preventive, and rehabilitative activities have not been carried out. This is reinforced by the results of quantitative research, there are 3 (three) standards with a percentage that is considered not good from the perception of hospital officers, namely risk management (65.9%), patient safety and security (63.6%) and occupational health services (70.5%). The implementation of safety and work of the Hospital has not been carried out properly and has not been optimal. It is expected that the Hospital needs to meet all implementation standards and refer to applicable regulations. Keywords : safety; health; work; hospital Bibliography : 57 (2018-2023)
ANALISIS KEDISIPLINAN PEGAWAI NEGERI SIPIL DI DINAS KESEHATAN KABUPATEN SOLOK TAHUN 2019 Ade Rahmadini; Firdawati Firdawati; Tuti Ernawati
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12 No 2 (2021): JURNAL KESEHATAN
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i2.395

Abstract

Latar Belakang Masalah: Dalam rangka mencapai tujuan nasional, diperlukan adanya Pegawai Negeri Sipil  (PNS) sebagai unsur aparatur negara yang memiliki rasa tanggung jawab dan disiplin yang tinggi untuk melaksanakan tugas sebagai abdi negara. Berdasarkan observasi di lapangan pada Dinas Kesehatan Kabupaten Solok menunjukkan bahwa masih terdapat beberapa PNS yang melanggar disiplin kerja.Tujuan : Penelitian ini bertujuan untuk mengetahui tingkat kedisiplinan PNS di Dinas Kesehatan Kabupaten Solok tahun 2019.Metode: Penelitian ini merupakan penelitian kombinasi (mixedmethods) dengan desain penelitian sequential explanatory. Penelitian ini dimulai sejak bulan Januari 2020 sampai bulan Desember 2020. Populasi dalam penelitian ini adalah seluruh staf PNS Dinas Kesehatan Kabupaten Solok yaitu sebanyak 58 orang dengan menggunakan teknik total sampling.Tahap selanjutnya adalah melakukan wawancara mendalam (indepth interview) dan telaah dokumen dengan responden untuk melakukan analisis melalui pendekatan sistemHasil: Hasil penelitian ini menunjukkan bahwa  hasil perhitungan indikator disiplin yang memiliki nilai kecenderungan tinggi dengan rincian absensi 89,91% (tinggi), kepatuhan 92,5% (sangat tinggi) dan komitmen 85,5% (tinggi). Hal ini juga didukung oleh hasil wawancara dan observasi.Simpulan: Dengan demikian dapat disimpulkan bahwa kedisiplinan PNS Dinas Kesehatan Kabupaten Solok sudah baik, namun masih perlu ditingkatkan lagi.
Pendekatan Berpikir Sistem dalam Pencegahan Penyimpangan Orientasi Seksual Pada Remaja Putri Azzahroh; Helmi Helmi; Arni Amir; Adang Bachtiar; Firdawati Firdawati
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk102

Abstract

The spread of LGBT groups is currently increasingly unstoppable and increasingly growing attacking Adolescent, where Adolescent are the nation's successor assets. If left unchecked, this crucial problem will trigger social change and trigger the emergence of a hedonic society that is immoral, permissive, and physically and psychologically ill. To fight sexual orientation deviation, a system thinking approach is needed as an effective control strategy, because the influence of system damage caused has an impact on various fields such as health, society, education, and religion. Through system thinking, a strategy is designed that is seen from the input, process, output, and feedback from the sexual orientation prevention system in the form of a sexual orientation prediction model to stem the flow of the massive LGBT movement and spread in Indonesia. The search for the root of the problem in screening adolescent sexual orientation deviations will use iceberg tools and mapped in Causal Loop diagrams. Knowing the root of the problem is an important key in screening, providing education, and therapy so that it suits the needs of each individual. This sexual orientation deviation prevention strategy is expected to be one of the KRR programs and to run effectively, it certainly requires the involvement of various parties, both families, community leaders, religious leaders, educators, health workers, and of course also control from the government as policyholders.Keywords: system thinking; adolescent; lgbt; sexual orientation deviations ABSTRAK Penyebaran kelompok LGBT saat ini semakin tidak terbendung dan semakin berkembang menyerang para remaja, dimana remaja merupakan aset penerus bangsa. Apabila dibiarkan, masalah krusial ini akan memicu perubahan sosial dan munculnya masyarakat hedonis yang amoral, permissif, dan sakit secara fisik maupun psikologis. Sebagai upaya melawan penyimpangan orientasi seksual dibutuhkan pendekatan berpikir sistem sebagai strategi pengendalian yang efektif, karena pengaruh kerusakan sistem yang ditimbulkan berdampak pada berbagai aspek seperti bidang kesehatan, sosial, pendidikan, dan keagamaan. Melalui berpikir sistem dirancang sebuah strategi yang dilihat dari input, proses, output, dan feedback dari sistem pencegahan penyimpangan orientasi seksual yaitu berupa model prediksi orientasi seksual untuk membendung arus massif gerakan dan penyebaran LGBT di Indonesia. Pencarian akar masalah dalam skrining penyimpangan orientasi seksual remaja akan menggunakan alat bantu iceberg tools dan dipetakan dalam Causal Loop Diagram. Diketahuinya akar masalah merupakan kunci penting dalam melakukan skrining, pemberian edukasi, dan terapi sehingga sesuai dengan kebutuhan masing-masing individu. Strategi pencegahan penyimpangan orientasi seksual ini diharapkan dapat menjadi salah satu program KRR dan agar dapat berjalan dengan efektif tentunya diperlukan keterlibatan dari berbagai pihak, baik keluarga, tokoh masyarakat, tokoh agama, tenaga pendidik, tenaga Kesehatan dan pastinya juga kontrol dari pemerintah sebagai pemegang kebijakan.Kata kunci: berpikir sistem; remaja; lgbt; penyimpangan orientasi seksual
Differences in Food Security Based on Family Income and Its Impact on Stunting Among Children Under Five in Padang Lawas Regency North Sumatera Province Bangun, Sri Melda Br; Lipoeto, Nur Indrawati; Nazir, Novizar; Rasyid, Rosfita; Yonariza, Yonariza; Hardisman, Hardisman; Masrul, Masrul; Firdawati, Firdawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23728

Abstract

Indonesia continues to face nutritional challenges, with a high prevalence of stunting.  incidence Padang Lawas Regency is one of the regions in North Sumatra Province with a relatively high of stunting. Stunting is influenced by several factors, one of which is food security. Food security depends on family income; inadequate family income leads to poor food security, making families unable to meet children's primary and secondary needs. This study aims to analyze differences in food security based on family income and its impact on stunting incidence among children under five in Padang Lawas Regency North Sumatera Province. This research is an analytical survey using a cross-sectional study design. The study was conducted in Padang Lawas Regency, specifically in six sub-districts with the highest number of children under five: Sosa, Hutaraja Tinggi, Barumun, South Barumun, Batang Lubu Sutam, and Sosa Julu. The research was carried out from October 2024 to February 2025. The study population consisted of all families with children aged 6–59 months across the six sub-districts, totaling 9,181 families. Using Slovin's formula, the sample size was determined to be 384 families. A multistage cluster sampling technique was employed for sample selection. Data collection was conducted through interviews and observations. Data analysis included univariate analysis and bivariate analysis using an independent t-test and simple logistic regression with a significance level of 95% (α = 0.05). The study results indicate a significant difference in food security based on family income (P-value = 0.001). Moreover, there is a significant impact of family food security on stunting incidence among children under five in Padang Lawas Regency (P-value = 0.001; Exp.B = 13.908). It is recommended that the Padang Lawas Regency Government improve the local economic system by facilitating job opportunities for the community. Keywords: Family income,  food security, stunting
Co-Authors Abdiana Abdiana, Abdiana Adang Bachtiar Ade Rahmadini Al Hafiz Aladin Aladin Amir, Arni Anisa Ulfah Antonius, Puja Agung Arde Hidayat Ariadi Ariadi Bangun, Sri Melda Br Bobby Indra Utama David Perdana Defrin Defrin Dewi Ayu Ningsih Dia Rofinda, Zelly Dia Dwiesfiza Muharawita Edison Edison Enda Gusnita Erda Mutiara Halida Erkadius Erkadius Esinelya Esinelya Eva Decroli Fauzan F Fauzan Junanda Putra Fika Tri Anggraini Genia Alda Fitria Gustina Lubis Hardisman Hasmiwati Helmi Helmi Husna Yetti Ilma Nuria Sulrieni Indah Lisfi Laras Surakusuma Laura Suciono Lipoeto, Nur Indrawati Lisma Evareny Marwis Marwis Masrul Masrul Masrul Masrul Masrul, Masrul Miftah Irrahmah Mohamad Reza Muhammad Luthfi Muhammad Zaldy Rasyid Putra Nelmi Silvia Nizwardi Azkha Novizar Nazir Nuzulia Irawati Pom Harry Satria Putri Azzahroh Putri, Biomechy Oktomalio Rahmadini Faricha Hakim Rasyid, Rosfita Ratu Fawwaz Efendi Rauza Sukma Rita Rina Gustia Rosfita Rasyid Salsabila Dhiyaa Syifa Teguh Widodo Tuti Ernawati Ulfa Farrah Lisa, Ulfa Farrah Wetra Fauza Yanti, Roza Sri Yonariza Yonariza Yosi Aguslida Yulia Fitriani Yuniar Lestari Zul'afiyati Huwaida