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All Journal Jurnal Kesehatan Reproduksi Medula Juke Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Indonesian Journal of Obstetrics & Gynecology Science Jurnal Kesehatan Reproduksi SRIWIJAYA JOURNAL OF MEDICINE Community Development Journal JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal Abdimas ADPI Sains dan Teknologi Jurnal Pengabdian Kesehatan Masyarakat Majority JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Efriyan Imantika
Bagian Kebidanan Dan Kandungan, Fakultas Kedokteran, Universitas Lampung, Bandar Lampung
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Faktor-Faktor yang Meningkatkan Prognosis Fetal dan Maternal pada Kehamilan dengan Kanker Ovarium Imantika, Efriyan; Prawitasari, Shinta; Hadiati, Diah Rumekti
JURNAL KESEHATAN REPRODUKSI Vol 6, No 3 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.597 KB) | DOI: 10.22146/jkr.51766

Abstract

Background: Pregnancy complicated by ovarian cancer presents relation between controlled growth in pregnancy and uncontrolled growth in cancer. The management of pregnancy illustrate conflict between optimal maternal therapy and fetal life for best prognosis at all. The incidence was low but it occured in reproductive age women and most found in the first pregnancy. It is important to analyze factors that improve the prognosis of pregnancy and appropiate management to prevent fetal and maternal morbidity and mortality. Objectives: To analyze factor on pregnancy complicated by ovarian cancer that improve fetal and maternal prognosisMethods: This is descriptive analytic study with cohort retrospective design using medical records of pregnancy patient complicated by ovarian cancer that underwent treatment at Sardjito Hospital Yogyakarta on 2010, January till 2017, December. All statistical analysis were done by statistic software for computer.Results: There were 18 research subjek had been undergone treatment at Sardjito Hospital for 8 years. Factors on pregnancy related to prognosis of pregnancy complicated by ovarian cancer were late gestational age at the cancer diagnosis and epithelial histopathology type. That factors have better prognosis than early gestational age and non-epithelial histopathology clinically (p=0.18; CI 95% 0.4-104.2; OR 6,5) and (p=0.29; CI 95% 0.36-30.12; OR 3.28). Timing of surgery intervention improve prognosis of pregnancy statistically and clinically significant (p=0.02; OR=4.2). Conclusion: Factors on pregnancy complicated by ovarian cancer that is late gestational age at the cancer diagnosis, epithelial histopathology type and timing of surgery intervention type II-III improved fetal and maternal prognosis. Best management of pregnancy lead to better prognosis.Keywords: prognosis of pregnancy, ovarian cancer. 
The Raise of Blood Pressure as One of Metabolic Syndrome Parameter in Post Surgical Menopausal Women Imantika, Efriyan
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2206

Abstract

Background Natural menopause is the permanent cessation of menstrual period that is not caused by any type of surgical procedure or medical treatment, while post surgical menopause means surgical removal of both ovaries before the natural age of menopause.1 Its estimated number of menopausal women in Indonesia reached 30.3 million in 2020 except post surgical menopause women. Reduction of estrogen production in oophorectomized women causes early menopause problems such as physical and physiological aspects. Physical aspect causes many reproductive disorders such as vasomotor disturbances , osteoporosis and metabolic disease that affect to the activities of women experiencing menopause. Metabolic syndrome (MS) is accompanying many factors such as hypertension, insulin resistance, obesity and lipid abnormalities and all these factors cause cardiovascular disease and diabetes (10). The prevalence of metabolic syndrome in post menopausal women can change by the region or population but ovarian function is not well known. In this study we investigated blood pressure as one component of metabolic syndrome in post surgical menopause in our population based on indication of procedure. Method A cross sectional study using medical records of the post surgical menopause patient in Sardjito hospital Yogyakarta from January 2011- December 2016. It divided in to two groups based on the indication of surgical procedure. The first group was 31 women with history of bisalphingoooforectomy on indication ovarian cancer and second sub group was 31 women with history of bisalphingoooforectomy on indication endometriosis. Objective To analyse the raise of blood pressure as one of Metabolic Syndrome parameter in post surgical menopausal women. Result There was significant difference of systolic blood pressure between post surgical menopausal women statistically. The systolic blood pressure in malignancy group raised higher than benign group (141.9 ± 11.67 vs 129.67 ± 7.5; p=0.005). Diastolic blood pressure was not significant difference between post surgical menopause women based on indication of surgical procedure (74.5 ± 7.67 vs 72.9 ± 5.9; p=0.07) Conclusion The raise of systolic blood pressure in post surgical menopausal women due to ovarian malignancy was higher than benign then increased the risk of metabolic syndrome.Keyword: Blood pressure, metabolic syndrome, post surgical menopause
Diagnosis and Management of Achalasia in Children I Gede Sugiana Karaeng; Rasyidah; Efriyan Imantika
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.258

Abstract

Achalasia is a rare neurogenic motility disorder, occurring in around 0.11 cases per in 100,000 children. Changes morphology of the ganglion in the myenteric plexus can be identified at the LES(Lower Esophageal Sphincter)level. Some researchers have shown a decrease in vasoactive peptide (IVP) immunoreactivity in nerve fibers. In the pediatric, most achalasia was reported during adolescence, more often in boys. The combination of problems named (aperistaltic, LES hypertension, and lack of LES relaxation) results in patients experiencing symptoms of progressive dysphagia, weight loss, and regurgitation. A chest x-ray of a child with achalasia may show a dilated esophagus and air-fluid level. The use of barium swallow will show the esophagus is winding and wide, yet sometimes narrow on the cardia part like a bird's beak. Diagnosis is confirmed by esophageal manometry. Esophageal endoscopic examination is very important to get rid of stricture. Treatment modalities have developed over the past few decades from balloon dilatation and injection of botulinum toxin to laparoscopic Heller myotomy and endoscopic myotomy. Most data on achalasia management is extrapolated to children from adult experience. This article describes an understanding of pathogenesis and discusses newer therapeutic techniques and controversies in management.
Wanita 37 tahun P3A0 post-SSTP Atas Indikasi Hidrocephalus dengan Polihidramnion dan Presentasi Bokong veny anisya; Nurul Islamy; Efriyan Imantika; Rizki Dwi Prasetia; Caesaria Sinta Zuya; Imraatul Husniah; Maharani Amanulloh
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.298

Abstract

Hydrocephalus is an enlargement of the ventricle of the brain as a result of an increase in the amount of cerebrospinal fluid (CSS) caused by an imbalance between its production, circulation and absorption. Sectio caesaria can also be selected for fetal deformity in the form of hydrocephalus because itcan risk tearing of the uterus if the delivering is done by pervaginam. Sectio Caesarea is a surgicalprocedure that aims to deliver a baby by opening the abdominal wall and uterus of the mother. Sectio caesarean sectional is more commonly chosen compared to pervaginam delivery for breech presentation management, where the cause of the incidence of breech presentation is still unknown, but there are several risk factors other than prematurity, namely structural abnormalities of the uterus, polyhidramnion, placenta previa, multiparitas, fetal anomaly (anencephaly, hydrocephalus), and previous history of breech presentation. Hydrocephalus is a health problem that affects the retirement system. Polyhidramnions is a term used to describe the accumulation of excess amniotic fluid, this clinical condition is associated with a high risk of poor pregnancy outcomes. Mrs. S's 37-year-old patient came to give birth with contraction that felt increasingly frequent, 37 weeks pregnant, with the results of ultrasound are polyhydramnion and hydrocephalus. From the physical examination obtained general state: moderate pain; temperature: 36.7 oC; blood pressure: 120/80 mmHg; heart rate: 92x/min; respiratory rate: 18 x/min. On leopold I examination obtained a height of fundus uteri is 40 cm, palpable round, hard, head impression. Leopold II palpable flat long part on the right side of the back impression. Leopold III palpable soft round part, the breech impression. Fetal heart rate 155x/min, fetal estimated weight 4.300 grams. In patients performed secio caesarea on indications of hydrocepalus, polyhydroamnion and breech persentation, so that this patient is diagnosed with P3A0 post sectio caesarea on indications of hypocephalus with polyhidramnion and breech presentation. treatment in these patients post SC is seftriaxone, ketorolac and oxytocin drip.
The Correlation Of Age, BMI, FBS And Akt Protein Expression In Granulosa Cells Of Polycystic Ovarium Anovulatory Efriyan Imantika; Djaswadi Dasuki; Ita Fauziah Hanoum
JUKE Unila Vol 4, No 07 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (425.17 KB)

Abstract

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PENINGKATAN EFEKTIVITAS PROGRAM ‘SAFE MOTHERHOOD’ DI PUSKESMAS PONED DALAM MENURUNKAN AKI AKIBAT KEHAMILAN DAN PERSALINAN Efriyan Imantika; Rodiani Rodiani; Dian Isti Angraini
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I1.15159

Abstract

Angka Kematian Ibu (AKI) merupakan salah satu indikator kesehatan dan kemajuan pembangunan sebuah negara. Data SDKI tahun 2013 menunjukkan AKI di Indonesia 228/100.000 kelahiran hidup. Dari data Renstra Dinas Kesehatan Provinsi Lampung, dilaporkan oleh pemerintah dikabupaten/ kota selama 2009-2013 AKI berfluktuasi yaitu terdapat 152 pada 2011, meningkat 178 kasus tahun 2012 kemudian menurun 158 tahun 2013. Salah satu upaya pemerintah dalam menurunkan AKI ditetapkannya Program Safe Motherhood yang dimulai sejak 1997. Empat Pilar Safe Motherhood meliputi program Keluarga Berencana, Antenatal Care (ANC), Persalinan bersih dan aman, dan pelayanan Obstetri Essensial yang dilaksanakan di Pusat Kesehatan Masyarakat (Puskesmas) sebagai sarana pelayanan kesehatan tingkat pertama untuk dapat diakses seluruh lapisan masyarakat. Masih tingginya AKI di Indonesia khususnya di Provinsi Lampung menjadi perhatian khusus bagi pemerintah dalam memenuhi target pencapaian pembangunan dalam RPJM tahun 2015-2019. Tujuan kegiatan pengabdian ini diharapkan membantu mengevaluasi permasalahan yang dihadapi dalam pelaksanaan Program Safe Motherhood di Puskesmas Poned sehingga dapat lebih efektif dan berperan dalam menurunkan AKI di Indonesia khususnya Provinsi Lampung. Metode yang digunakan yaitu menetapkan tolak ukur penilaian pada evaluasi program Safe Motherhood yang belum memenuhi target di Puskesmas Panjang Tahun 2021 berdasarkan Permenkes No.4 tahun 2019. Hasil kegiatan menunjukkan bahwa Persentase capaian masing-masing pilar dalam program safe motherhood yaitu persalinan aman bersih oleh nakes di Puskesmas 79,5 %, antenatal care 72,9 %, pelayanan masa nifas 99,7 % dan program Keluarga Berencana 57,6 %.Ketercapaian program safe motherhood di wilayah kerja Puskesmas PONED Panjang meningkat sebesar 20 % dari tahun sebelumnya sehingga efektivitasnya dalam menurunkan AKI akibat kehamilan dan persalinan > 85 %.
MODEL “PIN SENJA” (PUSAT INFORMASI DAN KONSELING REMAJA) SEBAGAI UPAYA PENINGKATAN KESEHATAN REPRODUKSI REMAJA Dian Isti Angraini; Efrida Warganegara; Ety Apriliana; Novita Carolia; Merry Indah Sari; Efriyan Imantika
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I1.15011

Abstract

The PIN SENJA model (youth information and counseling center) is a model designed and modified for adolescent reproductive health and CIE activities, training on how to maintain the cleanliness and health of adolescent genital and reproductive organs and forming a PIN SENJA ambassador. This model is also designed in order to prepare family life for adolescents who are managed from, by and for adolescents in order to provide information and counseling services on reproductive health, how to protect and prevent reproductive health problems such as premarital sex, teenage pregnancy, early marriage, and genital infection. and sexually transmitted infections, HIV-AIDS, psychotropic narcotics and other addictive substances (drugs) and pornography. The aim of this program is to increase knowledge, attitudes and behavior of adolescents regarding reproductive health, improve adolescent skills to maintain personal hygiene and forming PIN SENJA ambassadors. The method that will be carried out is by providing counseling, training skills, and forming PIN SENJA ambassadors as CIE agents to 40 MA Dinniyah Putri Lampung students. The results of the evaluation of the implementation of community service showed that there was an increase in the participants' understanding by 90% which became a good understanding, and 10% of participants had sufficient understanding of reproductive health for adolescents. The CIE ability of MA Dinniyah Putri Lampung as a participant is also quite good, almost 95% of participants already understand and are able to do CIE through simulation evaluation and discussion. The mean pretest result was 57.87 and an increase in post-test results was 84. Based on the analysis using the Wilcoxon test, it was found that there was a statistically significant difference between the pretest and posttest scores of the participants regarding reproductive health (p = 0.000). Improving the ability of MA Dinniyah Putri Lampung students to conduct CIE on adolescent reproductive health in an effort to prevent adolescent health problems with the PIN SENJA model has proven effective.
Faktor-Faktor yang Meningkatkan Prognosis Fetal dan Maternal pada Kehamilan dengan Kanker Ovarium Efriyan Imantika; Shinta Prawitasari; Diah Rumekti Hadiati
JURNAL KESEHATAN REPRODUKSI Vol 6, No 3 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.597 KB) | DOI: 10.22146/jkr.51766

Abstract

Background: Pregnancy complicated by ovarian cancer presents relation between controlled growth in pregnancy and uncontrolled growth in cancer. The management of pregnancy illustrate conflict between optimal maternal therapy and fetal life for best prognosis at all. The incidence was low but it occured in reproductive age women and most found in the first pregnancy. It is important to analyze factors that improve the prognosis of pregnancy and appropiate management to prevent fetal and maternal morbidity and mortality. Objectives: To analyze factor on pregnancy complicated by ovarian cancer that improve fetal and maternal prognosisMethods: This is descriptive analytic study with cohort retrospective design using medical records of pregnancy patient complicated by ovarian cancer that underwent treatment at Sardjito Hospital Yogyakarta on 2010, January till 2017, December. All statistical analysis were done by statistic software for computer.Results: There were 18 research subjek had been undergone treatment at Sardjito Hospital for 8 years. Factors on pregnancy related to prognosis of pregnancy complicated by ovarian cancer were late gestational age at the cancer diagnosis and epithelial histopathology type. That factors have better prognosis than early gestational age and non-epithelial histopathology clinically (p=0.18; CI 95% 0.4-104.2; OR 6,5) and (p=0.29; CI 95% 0.36-30.12; OR 3.28). Timing of surgery intervention improve prognosis of pregnancy statistically and clinically significant (p=0.02; OR=4.2). Conclusion: Factors on pregnancy complicated by ovarian cancer that is late gestational age at the cancer diagnosis, epithelial histopathology type and timing of surgery intervention type II-III improved fetal and maternal prognosis. Best management of pregnancy lead to better prognosis.Keywords: prognosis of pregnancy, ovarian cancer. 
Pengaruh Status Gizi Terhadap Kejadian Anemia Pada Ibu Hamil Di Daerah Endemis Malaria Kabupaten Pesawaran Dian Isti Angraini; Efriyan Imantika; Reni Zuraida; Sofyan Musyabiq Wijaya
Jurnal Kedokteran Universitas Lampung Vol 4, No 2 (2020): JK UNILA
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v4i2.2871

Abstract

Malnutrisi dan anemia pada ibu hamil merupakan masalah gizi yang masih sulit diatasi di seluruh dunia. Malnutrisi dan anemia bukan hanya berdampak pada ibu, tetapi juga pada bayi yang dilahirkan. Tujuan penelitian ini adalah mengetahui pengaruh status gizi terhadap kejadian anemia pada ibu hamil di daerah endemis malaria kabupaten Pesawaran. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan desain cross sectional. Penelitian dilakukan di kabupaten Pesawaran pada  bulan Mei sampai November 2019.  Sampel adalah 70 orang ibu hamil yang bersedia untuk berpartisipasi dalam proses penelitian dan tidak menderita penyakit keganasan, diabetes melitus dan TBC, yang diambil dengan teknik purposive sampling. Data anemia ibu hamil diukur dengan pemeriksaan kadar haemoglobin darah ibu dandata status gizi diperoleh dari pengukuran lingkar lengan atas. Data dianalisis secara univariat dan bivariat menggunakan Uji Chi Square. Hasil penelitian menunjukkan bahwa 32,9% responden menderita anemia dalam kehamilan, dan 22,9% memiliki status gizi malnutrisi. Hasil penelitian menunjukkan bahwa status gizi berpengaruh terhadap kejadian anemia ketika ibu hamil (p=0,02).Kata Kunci: anemia, ibu hamil, status gizi
Pengaruh Pengetahuan Ibu dan Pendapatan Keluarga terhadap Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Gedongtataan Kabupaten Pesawaran Dian ISti Anggraini; Efriyan Imantika; Sofyan Musyabiq Wijaya
Jurnal Kedokteran Universitas Lampung Vol 3, No 2 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i2.2493

Abstract

Anemia pada ibu hamil merupakan masalah gizi mikro terbesar dan tersulit diatasi di seluruh dunia.Anemia bukan hanya berdampak pada ibu, bayi yang dilahirkan oleh ibu yang menderita defisiensi zat besi atau anemia kemungkinan besar mempunyai cadangan zat besi yang sedikit atau tidak mempunyai persediaan sama sekali di dalam tubuhnya walaupun tidak menderita anemia. Tujuan penelitian ini adalah mengetahui pengaruh pengetahuan ibu hamil dan pendapatan keluarga terhadap kejadian anemia pada ibu hamil di wilayah kerja Puskesmas Gedongtataan kabupaten Pesawaran.Penelitian ini merupakan penelitian observasional analitik dengan menggunakan desain cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Gedongtataan kabupaten Pesawaran pada bulan Mei sampai November 2019. Sampel adalah 70 orang ibu hamil yang bersedia untuk berpartisipasi dalam proses penelitian dan tidak menderita penyakit keganasan, diabetes melitus dan TBC, yang diambil dengan teknik purposive sampling. Data anemia ibu hamildiukur dengan pemeriksaan kadar haemoglobin darah ibu,data pengetahuan ibu dan pendapatan keluarga diperoleh dengan menggunakan kuesioner. Data dianalisis secara univariat dan bivariat menggunakan Uji Chi Square. Hasil penelitian menunjukkan bahwa 32,9% responden menderita anemia dalam kehamilan, 57,1% pengetahuan kurang, dan 67,1% memiliki pendapatan keluarga yang lebih dari upah minimum propinsi. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil dan pendapatan keluarga berpengaruh terhadap kejadian anemia ketika ibu hamil (p=0,04; p=0,048).Kata Kunci: ibu hamil, pengetahuan, pendapatan, anemia
Co-Authors Andi Rinaldi Arwan, Berriandi Asep Sukohar Aulia Ghina Sabila Caesaria Sinta Zuya Carolia, Imelda Desta Stallaza Alifka Diah Rumekti Hadiati Dian Isti Anggraini Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Djaswadi Dasuki Dwita Oktaria Edwin Armawan Efrida Warganegara Efrida Warganegara Efrida Warganegara Eppy Darmadi Achmad Ety Apriliana Ety Apriliana Ety Apriliana Farhanah, Aninda Yasmin Fitria Saftarina Ginting, Kristian Pieri Hasan Hasan Husniah, Imraatul I Gede Sugiana Karaeng Ita Fauziah Hanoum Kania, Susi Karyus, Aila Kristian Pieri Ginting M. Rizkar Arev Sukarsa Maharani Amanulloh Mayasari, Diana Ma’soem, Aria Prasetya Merry Indah Sari Merry Indah Sari Merry Indah Sari Merry Indah Sari Novita Carolia Novita Carolia Novita Carolia Novita Carolia Nurtanio, Setiawan Nurul Islamy Nurul Islamy Praharsini, Raden Kania Rasyidah Ratna Dewi Puspita Sari Reni Zuraida Rizki Dwi Prasetia Rodiani Rodiani, Rodiani Sari, Merry Indah Sasotya, R. M Sonny Selvi Rahmawaty Shinta Prawitasari Sofyan Musyabiq Wijaya veny anisya Zahara Ayu Destrianti