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Increasing knowledge about nutrition and health in the elderly and cadres in Banguntapan Village, Bantul Mae Sri Hartati Wahyuningsih; Dwi Aris Agung Nugrahaningsih; Probosuseno Probosuseno
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.44880

Increase the number of elderly is one of the social problems that require the attention of all involved parties. Health care efforts are now aimed at keeping the elderly healthy, active, independent, and productive socially and economically for themselves, their families and the community. Elderly is an age group where a person has experienced various decreases in body functions that can affect appetite, which ultimately leads to malnutrition. We designed community service-based study to increase the elderly health in the Banguntapan Village through increasing the awareness of the elderly about managing their health, the knowledge and skill to take care elderly of the families who have elderly on their care in Banguntapan Village. The method applied in this activity is counseling with pre-test and the first post-test and distribution pocket of about nutrition and elderly health. To be able to measure the retained knowledge after the activities, we also carried out the second post-test four weeks after the first meeting. The data were analyzed by descriptive analysis, and a paired t-test was performed to test the pre-test and post-test data. The total participants who participated in this activity were 144 people consisting of all cadres in Banguntapan Village, plus the elderly and families who have elderly in Karangbendo Hamlet. This research showed that there was an increase in knowledge about health and nutrition between the 1st pretest-posttest; between the 1st post-test and 2nd post-test; and between the second pretest and posttest (11.14; 14.86; 28.03)%. The counseling, discussion, and distribution of pocketbooks can increase the knowledge of the elderly, family and volunteer in Banguntapan and Karang Bendo Village.

Efek Pemberian Aromaterapi Jeruk Masam terhadap Intensitas Nyeri pasca Bedah Sesar S Sulastri; Mae Sri Hartati Wahyuningsih; Elsi Dwi Hapsari
Prosiding University Research Colloquium Proceeding of The 7th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (868.856 KB)

Tindakan SC dapat menyebabkan nyeri danmengakibatkan terjadinya perubahan kontinuitas jaringan karenaadanya pembedahan. Dampak nyeri terhadap ibu, yaitu terbatasnyaADL, bonding attachment dan mobilisasi karena adanya peningkatanintensitas nyeri apabila ibu bergerak. Dampak nyeri terhadap bayiyaitu dalam pemberian ASI, dan kurangnya perawatan bayi yangdilakukan oleh ibunya. Manajemen non farmakologi yang biasadigunakan salah satunya adalah dengan menggunakan aromaterapi.Tujuan: Mengetahui efek antara aromaterapi Jeruk Masam terhadapintensitas nyeri pasca SC di RSUI YAKSSI Gemolong. Metode:Rancangan penelitian quasi experiment dengan pendekatan pre-testdan post-test with control group. Waktu pengambilan data Agustus-Oktober 2015 di RSUI Yakssi Gemolong Sragen Jawa Tengah.Populasi dalam penelitian ini adalah ibu pasca SC di Rumah SakitUmum Islam (RSUI) Yakssi Gemolong pada bulan Agustus-Oktober2015 sejumlah 97 orang. Sampel sejumlah 34. Teknik samplingdengan consecutive sampling. Variabel independen yaitu JerukMasam, variabel dependen yaitu penurunan intensitas nyeri pascaSC. Instrumen yang digunakan Numerical Rating Scale. Analisis datamenggunakan Wilcoxon dan uji Mann Whitney. Hasil: Intensitasnyeri sebelum dan sesudah intervensi 6,00±1,044 vs 4,91±1,379,P=0,00. Penurunan nyeri 1,09. Ada perbedaan yang signifikanantara nyeri sebelum dan sesudah diberikan aromaterapi jerukmasam. Kesimpulan: Aromaterapi Jeruk Masam mempunyai efekdalam menurunkan intensitas nyeri pasca SC.

The effect of Tithonia diversifolia extract against the level of nitric oxide in streptozotocin-nicotinamide-induced rats model Dita Ayu Dewi Laras Sati; Hajid Rahmadianto; Prasetyo Tri Kuncoro; Catharina Widiartini; Fitranto Arjadi; Nia Krisniawati; Yulia Fauziyah; Mae Sri Hartati Wahyuningsih
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 13, No 3, (2022)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol13.Iss3.art4

Background: One indication of microvascular dysfunction in diabetes mellitus (DM) is decreased nitric oxide (NO) levels. Tithonia diversifolia leaves (TDL) extract has been scientifically demonstrated to decrease glucose levels in diabetic rats.Objective: This study aims to examine the effect of TDL extract on NO levels in diabetic rats.Methods: True experimental with pre-post test control group design used 25 Sprague-Dawley rats. Its were divided into 5 groups: healthy control (K.1); diabetic control (K.2); diabetes rats with ethanol extract of TDL at a dose of 25 (K.3); 50 (K.4); and 100 mg/kg BW (K.5) for 28 days. We use a combination of nicotinamide (230 mg/kg BW) and streptozotocin (65 mg/kg BW) to induce diabetes mellitus. The blood serum was taken before and after extract administration. NO level was assessed using spectrophotometry. Paired T-test, Wilcoxon, one-way ANOVA, and post hoc LSD were performed for statistical analysis.Results: There were significant differences in NO levels before and after treatment in all groups unless K.5 (100 mg/kg BW). Furthermore, there was no significant difference in NO levels in the healthy control and the K.5 group but significant differences in other groups.Conclusion: TDL extract can prevent the decrease in NO level in diabetic rats model with the effective dose of 100 mg/kg BW.

Kelancaran Produksi ASI Pasca Bedah Cesar Dengan Pijat Punggung Menggunakan Virgin Coconut Oil Venny Vidayanti; Mae Sri Hartati Wahyuningsih; Akhmadi Akhmadi
Window of Health : Jurnal Kesehatan Vol 3 No 4 (Oktober 2020)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

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Penundaan rawat gabung, rendahnya frekuensi menyusui dan kesulitan dalam posisi menyusui pada ibu pasca bedah cesar dapat menyebabkan keterlambatan laktogenesis II. Hal ini menyebabkan ketidaklancaran produksi ASI pada hari-hari pertama pasca pembedahan. Intervensi pijat punggung menggunakan Virgin Coconut Oil (VCO) merupakan terapi komplementer yang dapat membantu meningkatkan kelancaran produksi ASI pasca bedah cesar. Penelitian ini bertujuan untuk mengidentifikasi perbedaan kelancaran produksi ASI ibu pasca bedah cesar dengan intervensi pijat punggung menggunakan Virgin Coconut Oil. Desain penelitian menggunakan”quasi experiment post test-only with control group design”. Teknik pengambilan sampel menggunakan consecutive sampling yang melibatkan 50 ibu pasca bedah cesar dalam kelompok intervensi dan kelompok kontrol. Analisis yang digunakan dalam penelitian adalah uji chi-square untuk mengetahun perbedaan kelancaran produksi ASI dan uji regresi logistik berganda untuk mengidentifikasi variabel dominan yang berhubungan dengan kelancaran produksi ASI. Hasil uji chi-square menunjukkan bahwa terdapat perbedaan kelancaran produksi ASI pada kelompok intervensi dibandingkan dengan kelompok kontrol (p-value 0.023; OR=3.85). Hasil analisis regresi logistik menunjukkan frekuensi menyusui (p=0.028;OR=5.74) merupakan variabel dominan bersama dengan pijat punggung (p=0.030;OR=4.47) dan paritas (p=0.060;OR=3.59) dalam mempengaruhi kelancaran produksi ASI. Intervensi pijat punggung bersama dengan frekuensi menyusui dan paritas berpeluang meningkatkan kelancaran produksi ASI pada ibu pasca bedah cesar. Ibu yang diberikan intervensi pijat punggung menggunakan Virgin Coconut Oil berpeluang 3.85 kali mengalami kelancaran produksi ASI. Edukasi untuk ibu dalam meningkatkan frekuensi menyusui juga penting dalam upaya peningkatan produksi ASI pada ibu pasca bedah cesar.

Bioassay Guided Fractionation of Ciplukan (Physalis angulata L.) Monitored by Glucose Consumption Assay and Thin Layer Chromatography on Myoblast Cells Mae Sri Hartati Wahyuningsih; Ketut Shri Satya Wiwekananda; Aurelia Priscilla Regita Putri; Dwi Aris Agung Nugrahaningsih; Mia Munawaroh Yuniyanti
Majalah Obat Tradisional Vol 28, No 1 (2023)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/mot.79783

Ciplukan (Physalis angulata Linn.) has been used by the community as an anti-diabetic drug. The antidiabetic effect is due to ingredients such as unsaturated fatty acids, alkaloids, flavonoids, saponins, polyphenols, steroids, triterpenoids, monoterpenoids, and sesquiterpenoids. Part of the fruit of P. angulata contains many active substances of flavonoids with the proportion of fruit extract 300 μg/ml is 84%. Therefore the exploration for compounds responsible for antidiabetic activity in P. angulata needs to be done to ensure empirical evidence. The purpose of this study was to find the active fraction of P. angulata L. which has anti-hyperglycemic properties. This study used Myoblast cells as subjects and the Bioassay Guided Fractionation method for separating compound groups through three stages of the extraction, partitioning, and fractionation processes which were monitored using TLC and the Glucose Consumption Assay test. The results showed that the chloroform extract (CHCl3) was more active in lowering glucose levels compared to the methanol extract (MeOH) (4.86% vs -8.74%). MeOH insoluble extract was more active than MeOH soluble extract (5.14% vs -8.52). The fractionation results showed that Fraction I was the most active in lowering glucose levels compared to FII, III, and IV (26.47%; 13.18%; 0.15%; 13.76%). Therefore Fraction 1 which contains a class of flavonoid compounds is a potential candidate to be developed as an antidiabetic agent.

Asupan zat gizi makro dan kepatuhan minum obat antidiabetik terhadap kadar HbA1c pada penyandang diabetes melitus tipe 2 Rakhmi Aulia; Mae Sri Hartati Wahyuningsih; Emy Huriyati
Jurnal Gizi Klinik Indonesia Vol 19, No 2 (2022): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.70259

Macronutrient intake and adherence to antidiabetic drugs on HbA1c levels in type 2 diabetes mellitusBackground: Diabetes mellitus is a disease whose prevalence continues to increase worldwide, including in Indonesia, due to lifestyle changes; DI Yogyakarta Province has the 2nd highest prevalence in Indonesia, and Sleman Regency is the largest. In the current era, the increasing number of diabetes mellitus and uncontrolled blood sugar levels or HbA1c levels are closely related to lifestyle changes, unhealthy eating patterns, and non-regularly taking medicine. Therefore, controlling blood sugar levels is vital in treating type 2 diabetes mellitus.Objective: This study aims to analyze the relationship between macronutrient intake and antidiabetic medication adherence on HbA1c levels in people with type 2 diabetes mellitus.Methods: A cross-sectional survey of 78 respondents using purposive sampling by filling out the SQ-FFQ and MMAS-8 questionnaires. The analysis used the Chi-Square test and logistic regression test.Results: There was a significant relationship between carbohydrate intake, fat intake, and antidiabetic medication adherence with HbA1c (p<0,05), but there was no significant relationship between protein intake with HbA1c levels in type 2 diabetes mellitus prolanis participants (p>0,05). The multivariate test results showed that carbohydrate intake, fat intake, antidiabetic medication adherence, and body mass index were simultaneously associated with HbA1c (p<0,05).Conclusion: Carbohydrate, fat, and antidiabetic medication adherence were significantly associated with HbA1c levels in type 2 diabetes mellitus.

Education on Legality, Quality Assurance and Sustainability of 'Jamu Jogorogo' Production in Empowering Women Farming Groups Wicaksono, Arko Jatmiko; Wahyuningsih, Mae Sri Hartati; Syarif, Rul Afiyah; Padmawati, Retna Siwi; Lestari, Beni; Ranti, Imaniar
Media Karya Kesehatan Vol 7, No 2 (2024): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v7i2.58490

Production of ‘Jamu Jogorogo’ herbal medicine product by the Group of Women Farmers (KWT Singosaren), in Kab. Bantul, Yogyakarta is stagnant after receiving a Dana Keistimewaan Provinsi (Yogyakarta Province’s Special Fund), and has passed a halal certificate. Based on the Ishikawa fishbone analysis, basic knowledge of legal aspects, quality, and marketing strategy. This study was designed to evaluate the effectiveness of an educational strategy applied to the members of KWT Singosaren. This strategy was implemented through a ‘one-day training’ that began with a Pretest, Post-test I, and Post-test II. A total of 80 members of KWT Singosaren were involved in this training, and 59 met the eligible criteria. A Pretest was conducted before the training to get the initial. After the training, participants worked on the Post-test I. Before leaving the training location, all participants were given a pocketbook containing training material for self-learning. Two weeks (14 days) later, they were asked to take the Post-test II, so the participant’s final knowledge could be investigated. As a result, it was found that there is a rising knowledge of 113.56 % and 71.96 % regarding the understanding of ‘quality’ and ‘legality’, respectively. Interestingly, the marketing strategy (product appeal) and sustainable production knowledge rose by 15.25%. Even so, after Post-test II an increase in scores still occurred. This indicates that participants successfully conducted the self-learning process. Post actualization period, we found that the SPP-IRT permits (legal permits for food production for the Home Industry) of 3 (three) herbal products were successfully issued. Keywords: Empowerment, women, effectiveness, knowledge, training.

Antikeloid Activity and Irritation Test of Combination Extract of Tithonia diversifolia A. Gray and Nerium indicum Mill in vivo Yuliani, Fara Silvia; Wahyuningsih , Mae Sri Hartati
Jurnal Tumbuhan Obat Indonesia Vol. 17 No. 2 (2024): December 2024
Publisher : Universitas Tidar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31002/jtoi.v17i2.2046

Keloids, marked by overgrowth of fibrous tissue beyond wound boundaries, present therapeutic challenges due to recurrence and the side effects of current treatments. Conventional methods, including surgery and radiotherapy are often costly and carry risks such as recurrence, pain, and infection. This has led to increasing interest in natural alternatives. This study investigates the antikeloid potential of a combination extract from Nerium indicum Mill (N. indicum) and Tithonia diversifolia A. Gray (T. diversifolia) in an in vivo rabbit ear hypertrophic scar model. The efficacy of the extract was evaluated using the Scar Elevation Index (SEI), while irritation tests assessed its potential for localized skin reactions. Five groups were tested: three groups receiving different doses of the combination extract, a negative control (aquadest), and a positive control (triamcinolone acetonide). The results showed that SEI values in all treatment groups were significantly reduced compared to the negative control (p<0.05), indicating reduced scar prominence. The Draize test further classified the extract as a minimal irritant, supporting its safety for topical application. These findings suggest that the combination extract of N. indicum and T. diversifolia is a promising, safer, and natural alternative for keloid treatment, particularly in managing hypertrophic scars.

Antikeloid Activity and Irritation Test of Combination Extract of Tithonia diversifolia A. Gray and Nerium indicum Mill in vivo Yuliani, Fara Silvia; Wahyuningsih , Mae Sri Hartati
Jurnal Tumbuhan Obat Indonesia Vol. 17 No. 2 (2024): December 2024
Publisher : Universitas Tidar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31002/jtoi.v17i2.2046

Keloids, marked by overgrowth of fibrous tissue beyond wound boundaries, present therapeutic challenges due to recurrence and the side effects of current treatments. Conventional methods, including surgery and radiotherapy are often costly and carry risks such as recurrence, pain, and infection. This has led to increasing interest in natural alternatives. This study investigates the antikeloid potential of a combination extract from Nerium indicum Mill (N. indicum) and Tithonia diversifolia A. Gray (T. diversifolia) in an in vivo rabbit ear hypertrophic scar model. The efficacy of the extract was evaluated using the Scar Elevation Index (SEI), while irritation tests assessed its potential for localized skin reactions. Five groups were tested: three groups receiving different doses of the combination extract, a negative control (aquadest), and a positive control (triamcinolone acetonide). The results showed that SEI values in all treatment groups were significantly reduced compared to the negative control (p<0.05), indicating reduced scar prominence. The Draize test further classified the extract as a minimal irritant, supporting its safety for topical application. These findings suggest that the combination extract of N. indicum and T. diversifolia is a promising, safer, and natural alternative for keloid treatment, particularly in managing hypertrophic scars.

Efek Pemberian Aromaterapi Jeruk Masam terhadap Intensitas Nyeri pasca Bedah Sesar Sulastri, S; Wahyuningsih, Mae Sri Hartati; Hapsari, Elsi Dwi
Prosiding University Research Colloquium Proceeding of The 7th University Research Colloquium 2018: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Tindakan SC dapat menyebabkan nyeri danmengakibatkan terjadinya perubahan kontinuitas jaringan karenaadanya pembedahan. Dampak nyeri terhadap ibu, yaitu terbatasnyaADL, bonding attachment dan mobilisasi karena adanya peningkatanintensitas nyeri apabila ibu bergerak. Dampak nyeri terhadap bayiyaitu dalam pemberian ASI, dan kurangnya perawatan bayi yangdilakukan oleh ibunya. Manajemen non farmakologi yang biasadigunakan salah satunya adalah dengan menggunakan aromaterapi.Tujuan: Mengetahui efek antara aromaterapi Jeruk Masam terhadapintensitas nyeri pasca SC di RSUI YAKSSI Gemolong. Metode:Rancangan penelitian quasi experiment dengan pendekatan pre-testdan post-test with control group. Waktu pengambilan data Agustus-Oktober 2015 di RSUI Yakssi Gemolong Sragen Jawa Tengah.Populasi dalam penelitian ini adalah ibu pasca SC di Rumah SakitUmum Islam (RSUI) Yakssi Gemolong pada bulan Agustus-Oktober2015 sejumlah 97 orang. Sampel sejumlah 34. Teknik samplingdengan consecutive sampling. Variabel independen yaitu JerukMasam, variabel dependen yaitu penurunan intensitas nyeri pascaSC. Instrumen yang digunakan Numerical Rating Scale. Analisis datamenggunakan Wilcoxon dan uji Mann Whitney. Hasil: Intensitasnyeri sebelum dan sesudah intervensi 6,00±1,044 vs 4,91±1,379,P=0,00. Penurunan nyeri 1,09. Ada perbedaan yang signifikanantara nyeri sebelum dan sesudah diberikan aromaterapi jerukmasam. Kesimpulan: Aromaterapi Jeruk Masam mempunyai efekdalam menurunkan intensitas nyeri pasca SC.

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