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Correlation between leptin level with lipid profile and free fatty acid in liver cirrhosis patients Maryani, Siti; Ratnasari, Neneng; Nurdjanah, Siti
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 46, No 03 (2014)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.354 KB) | DOI: 10.19106/JMedScie004603201404

Abstract

Malnutrition is a common condition in liver cirrhotic patients. Leptin regulates body weightphysiologically by suppressing appetite and increasing energy expenditure. Leptin is higher in femalethan male. Studies have shown correlation between leptin with metabolic factors like body massindex (BMI) and lipid profile in cirrhotic patients. This study was conducted to investigate thecorrelation between serum leptin levels with lipid profile and free fatty acid in male patients with livercirrhosis. This was a cross sectional study that conducted at Gastroentero-Hepatology Clinic andInternal Ward at Dr. Sardjito General Hospital, Yogyakarta. The inclusion criteria were patients withliver cirrhosis > 18 years old, male, with Child-Pugh classification B and C, and provided informedconsent. The exclusion criteria were liver cirrhotic patients with comorbidity chronic kidney disease,chronic heart failure, diabetic, cancer, infection/septic, pregnancy, breast feeding, and steroid use.Data collecting was performed by anamnesis, physical examination, abdominal ultrasonographyexamination, and blood chemistry test. Pearson test was used to evaluate the correlation betweenthe serum leptin level with the lipid profile and free fatty acid. The results showed that no significantnegative correlation was observed between the serum leptin level with the total cholesterol (r= -0.052; p=0.766), high-density lipoprotein/HDL (r= -0.078; p=0.658) and triglyceride (r= -0.170; p=0.328) in male patients with liver cirrhosis. Furthermore, no significant positive correlationwas observed between the serum leptin levels with the low-density lipoprotein/LDL (r= -0.013; p=0.942) and free fatty acid/FFA (r= 0.007; p=0.968). In conclusion, there was no correlationbetween serum leptin levels with lipid profile and FFA in male patients with liver cirrhosis.
Association Between Pregnant Woman Class and Pregnancy Complication in Tegal District, Central Java Maryani, Siti; Respati, Supriyadi Hari; Astirin, Okid Parama
Journal of Maternal and Child Health Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.507 KB)

Abstract

Background: Maternal mortality amounted to 33 cases in Tegal, Central Java, in 2015. The leading cause of maternal mortality rate in Indonesia was obstetric complication, i.e 46.8%. Pregnancy complication may be affected by maternal age, parity, education, and maternal employment status. Various efforts have been implemented by the government to reduce maternal mortality rate, including pregnant woman class. The objective of the pregnant mother class is to increase maternal knowledge in risk factor detection and to increase their willingness to use antenatal care. This study aimed to estimate the association between pregnant woman class and pregnancy complication, while controlling for confounding factors.Subjects and Method: This was an analytical observational with case control design. This study was conducted at Pagerbarang, Pangkah and Dukuhwaru Health Centers, Tegal, Central Java. A total of 90 study subjects, consisting of 30 laboring women with complication and 60 without complication. The dependent variable was pregnancy complication. The independent variables were maternal age, parity, education, employment status, and participation in pregnant woman class. The data were collected by a set of questionnaire. The data on pregnancy complication was obtained from the obstetric record at the health center. The data were analyzed by multiple logistic regresion.Results: Parity ≥3 (OR = 3.47; CI 95% = 0.95 to 12.69; p=0.060) and maternal education <senior high school (OR= 8.58; CI 95% = 1.7 to 43.33; p= 0.009) increased the risk of pregnancy complication. Maternal age 20 to 35 years (OR= 0.26; CI 95% = 0.08 to 0.81; p=0.020), employed  mother (OR= 0.21; CI 95% = 0.06 to 0.71; p = 0.012), and participation in pregnant woman class (OR =0.35; CI 95% = 0.12 to 1.05; p = 0.061), decreased the risk of pregnancy complication.Conclusion: Participation in pregnant woman class is associated with decreased risk of pregnancy complication. Parity ≥3 and maternal education <senior high school are associated with increased risk of pregnancy complication. Maternal age 20 to 35 years and employed  mother are associated with decreased risk of pregnancy complication. It is suggested that pregnant women plan their pregnancy in order to prevent pregnancy complication.Keywords: pregnant woman class, pregnancy complication.Correspondence: Siti Maryani. Academy of Midwifery Siti Fatimah, Slawi, Central Java. Mobile: 085741950488.Journal of Maternal and Child Health (2016), 1(4): 214-219https://doi.org/10.26911/thejmch.2016.01.04.02
POTENSI WISATA ALAM AIR TERJUN BONESOMPE DI DESA TINDAKI KECAMATAN PARIGI SELATAN KABUPATEN PARIGI MOUTONG Maryani, Siti; Sudhartono, Arief
Jurnal Warta Rimba Vol 8, No 2 (2020)
Publisher : Universitas Tadulako

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Abstract

In the South Morning area particularly in Tindaki Village there is the Bonesompe waterfall, with its waterfall height of approximately 15 meters and it has three levels. Access to this location is good enough although it must pass through a sizable river but can use what two-wheeler when the river water is not too heavy and passes through the community plantation heading to the waterfall site. So it is necessary for this study to know the potential value of Bonesompe waterfalls to be developed as a natural tourist destination area. The special purpose of the study is to find out the natural tourism potential of Bonesompe waterfall in Tindaki Village South Parigi Subdistrict of Parigi Moutong County. Research was carried out for two months, from April 2019 to May 2019, located in Tindaki Village South Parigi Subdistrict of Parigi Moutong County. The tools used in the study were Hp cameras. Whereas the materials used are interview guide sheets (attached), administrative region maps of research sites (attached), reports and past research theses and various support libraries as secondary data sources to help complement direct observations in the field. The method used in this study was qualitative descriptive. As for the results of the study obtained that potential feasibility analyzers result obtained value for each criterion was Attractiveness (86.11%), accessibility (79.16%), accommodation (50%), means and infrastructure (100%). Results showed that the Bonesompe waterfall was worth developing as one of the tourist destination areas with general feasibility presentage of 80.14%.Keywords: nature tourism potential, waterfalls
Effectiveness Aromatic Ginger With Lemongrass Hydrotherapy On Reducing Blood Pressure In Mild Preeclampsia Pregnant Women sukini, tuti; Rahmawati, Ulya; Maryani, Siti; Idhayanti, Ribkha Itha
Midwifery and Nursing Research Vol 6, No 1 (2024): MARET 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v6i1.11249

Abstract

Background: The third leading cause of maternal death in Indonesia is preeclampsia, with 1,077 cases, a 2-fold increase from the previous year. Several interventions were carried out to reduce high blood pressure in pregnant women non-pharmacologically including aromatic ginger hydrotherapy and lemongrass. This therapy is easy to do independently and ingredients are easy to find in society.Research Objectives: The aims of this study were to identify blood pressure before and after intervention and to determine the effectiveness of kencur hydrotherapy with lemongrass in reducing blood pressure in pregnant women with mild preeclampsia.Research Methods: This research was conducted in the district of Magelang. This type of quantitative research with Quasy Experimental designs using a two group pretest posttest approach. The sample in this study were pregnant women with mild preeclampsia at the Muntilan 1 Public Health Center. The sampling technique used total sampling.Research Results: The results of the Independent t-test analysis, systolic blood pressure before and after treatment obtained p value (0.000) α (0.05), while diastolic blood pressure obtained p value (0.033) α (0.05) means there is significant difference between the kencur group and the lemongrass group. From the results of the analysis, the mean difference was 5,750, thus kencur hydrotherapy was more effective than lemongrass hydrotherapy.Conclusion: The results of this study are expected that health workers can provide socialization to pregnant women with mild preeclampsia to apply non-pharmacological treatment, namely with aromatic ginger hydrotherapy so that it can reduce blood pressure.
PSYCHOEDUCATION ON STUNTING ISSUES Sugiarto, Angga; Sukini, Sukini; Maryani, Siti
Midwifery and Nursing Research Vol 6, No 2 (2024): September 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v6i2.12104

Abstract

Background: Stunting, defined as inadequate height for age, is a severe public health issue that affects millions of children worldwide, particularly in low and middle-income countries. It leads to long-term impacts on physical health, cognitive development, and economic productivity. Psychoeducation has been identified as a potential intervention to mitigate the effects of stunting by enhancing community and parental practices.Methods: This research is a pre-experimental study with a pre-post design. Measurements are conducted before and after the intervention. The population consists of all cadres in the Candiroto Community Health Center work area, and the sample size is 22 people. Statistical testing used the Wilcoxon test to determine the statistical differences before and after the psychoeducation.Results: The results indicate that there is a difference in knowledge and affective of the cadres regarding stunting issues.Conclusion: Psychoeducation is an effective intervention used as an approach for health cadres to understand and address stunting issues.
PENGARUH PENDAMPINGAN KESEHATAN WUS TERHADAP PERILAKU WUS DALAM PEMERIKSAAN IVA Idhayanti, Ribkha Itha; Sari, Nita Melia; Maryani, Siti; Masini, Masini
Juru Rawat. Jurnal Update Keperawatan Vol 4, No 2 (2024): Desember 2024
Publisher : Prodi D3 Keperawatan Tegal Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v4i2.12490

Abstract

Kasus kanker leher rahim menepati urutan kedua setelah kanker payudara yaitu sebanyak 36.633 kasus atau 9,2 % dari total kasus kanker di Indonesia. Cara sederhana mendeteksi kanker leher rahim sedini mungkin yaitu dengan melakukan IVA. Saat ini cakupan deteksi dini kanker leher rahim di Indonesia melalui pap smear dan IVA masih sangat rendah(sekitar 5%). Di Kabupaten Temanggung cakupan pemeriksaan IVA 5,6% dan di Kecamatan Bejen 13,6% dari sasaran 1012Tujuan Umum:Untuk mengetahui pengaruh pendampingan kesehatan WUS terhadap pemeriksaan IVA di Desa Prangkokan Kecamatan Bejen Kabupaten Temanggung. Jenis penelitian ini adalah Quasy Eksperimen dengan rancangan yang digunakan yaitu One Group Pre Test-Post Test Design. jumlah sampel sebesar 40 orang. Pada saat kegiatan sosialisasi tanggal 04 Oktober 2023 sesuai kriteria inklusi. Dalam penelitian ini d menggunakan uji Wilcoxon.Hasil penelitian ini adalah: Perilaku pemeriksaan IVA sebelum di lakukan pendampingan kesehatan WUS masih rendah yaitu 12,5% dari 40 responden. Perilaku pemeriksaan IVA sesudah di lakukan pendampingan kesehatan WUS meningkat menjadi 80% dari 40 responden. Ada pengaruh yang signifikan pendampingan kesehatan WUS terhadap pemeriksaan IVA yaitu adanya peningkatan 27 responden dalam pemeriksaan IVA.Diharapkan responden yang belum pernah melakukan pemeriksaan IVA agar segara mungkin melakukan pemeriksaan IVA untuk mendeteksi resiko kanker leher rahim. Hasil penelitian ini diharapkan dapat dijadikan pedoman dalam penelitian selanjutnya dan dikembangkan oleh peneliti lain dengan menggunakan variable yang berbeda serta analisi yang lebih mendalam.  
Students’ Mathematical Literacy Skills Through Contextual Teaching and Learning and Problem-Based Learning Models Sofyan, Deddy; Puspitasari, Nitta; Maryani, Siti
Plusminus: Jurnal Pendidikan Matematika Vol. 5 No. 1 (2025): March
Publisher : Department of Mathematics Education Program IPI Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31980/plusminus.v5i1.2619

Abstract

Kemampuan literasi matematis siswa merupakan salah satu kemampuan kognitif yang penting untuk dikuasai oleh siswa. Berdasarkan PISA 2022 menunjukkan Indonesia masih tergolong rendah. Tujuan penelitian untuk mengetahui apakah ada perbedaan kemampuan literasi matematis siswa antara siswa yang mendapatkan model Contextual Teaching and Learning (CTL) dan Problem Based Learning (PBL). Metode yang digunakan dalam penelitian ini adalah kuasi eksperimen dengan populasi yaitu siswa SMP kelas VIII pada salah satu sekolah di kabupaten Garut. Teknik pengambilan sampel pada penelitian ini adalah purposive sampling. Teknik pengumpulan data yang digunakan yaitu tes dan observasi. Teknik analisis data menggunakan uji t dan gain ternormalisasi. Hasil penelitian ini yaitu: Terdapat perbedaan kemampuan literasi matematis siswa antara yang mendapatkan model CTL dan PBL; Kualitas peningkatan kemampuan literasi matematis siswa kelas CTL termasuk pada kategori sedang; Kualitas peningkatan kemampuan literasi matematis siswa kelas PBL  pada materi termasuk pada kategori sedang. Students' mathematical literacy skills is one of the important cognitive skills that students need to master. According to PISA 2022, Indonesia is still categorized as having a low level of performance. The purpose of this study is to determine whether there is a difference in students' mathematical literacy abilities between those who received the Contextual Teaching and Learning (CTL) model and those who received the Problem-Based Learning (PBL) model. The method used in this study is a quasi-experiment with the population being 8th-grade junior high school students at a school in Garut Regency. The sampling technique used in this study is purposive sampling. The data collection techniques used are tests and observations. Data analysis techniques include the t-test and normalized gain. The results of this study are: There is a difference in students' mathematical literacy skills between those who received the CTL model and those who received the PBL model; The improvement in mathematical literacy skills of students in the CTL class is in the medium category; The improvement in mathematical literacy skills of students in the PBL class is also in the medium category.
Analisis Minat Belajar Siswa Kelas X pada Pembelajaran Akidah Akhlak Pendidikan Agama Islam Maryani, Siti; Sitika, Achmad Junaedi; Syarief, Ceceng
Permata : Jurnal Pendidikan Agama Islam Vol. 2 No. 2 (2021): Permata : Jurnal Pendidikan Agama Islam
Publisher : Lembaga Publikasi Ilmiah Universitas Islam Bunga Bangsa Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47453/permata.v2i2.423

Abstract

In the context of the analysis of the learning process of aqidah akhlaq Islamic religious education in class X students, the interaction process of students experienced a decrease who were less motivated in learning aqidah. This study reveals that if you want to increase students' interest in learning in class X, and the spirit of students' learning activities, the teacher's ability to provide learning motivation and also student learning responses through class lessons. This research also aims to be able to regenerate interest in student learning, to find out how students' learning activities are, the teacher's ability to provide development and direction about interest in learning, and also to know the learning responses of students through classroom learning. The strategy that can be applied as a teacher is through classroom learning so that the effectiveness of students in being interested in learning Aqidah Akhlah & PAI is better than before. However, teachers as teachers are also required to have creativity and interesting innovations if they want to create a conducive and effective learning atmosphere. Abstrak Dalam konteks analisis proses pembelajaran aqidah akhlaq pendidikan agama Islam pada peserta didik kelas X proses interaksi peserta didik mengalami penurunan yang kurang termotivasi dalam belajar aqidah. Penelitian ini mengungkapkan bahwa jika ingin meningkatkan minat belajar peserta didik di kelas X ini, dan jiwa aktivitas belajar peserta didik, kemampuan guru pun dalam memberikan motivasi belajar dan juga respon belajar peserta didik melalui pelajaran di kelas. Penelitian ini pula bertujuan untuk dapat menumbuhkan kembali minat pada pembelajaran peserta didik, untuk mengetahui bagaimana aktivitas belajar peserta didik, kemampuan guru dalam memberikan pengembangan dan arahan tentang minat belajar, dan juga mengetahui responsi belajar peserta didik melalui pembelajaran di kelas. Strategi yang dapat diterapkan sebagai guru ialah melalui pembelajaran di kelas sehingga efektivitas peserta didik dalam berminat untuk belajar Aqidah Akhlah & PAI menjadi lebih baik daripada sebelumnya. Namun juga demikian, guru sebagai pengajar juga dituntut untuk memiliki kreativitas serta inovasi yang menarik jika ingin menciptakan suasana pembelajaran yang kondusif dan efektif.
The Impact of Pulmonary Rehabilitation on Advanced Stage Lung Cancer Patients Receiving Chemotherapy or Radiotherapy: A Systematic Review and Meta-analysis Putri, Yelsa Yulanda; Suyastri, Suyastri; Maryani, Siti
Majalah Kedokteran Andalas Vol. 48 No. 3 (2025): MKA July 2025
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i7.p1229-1242.2023

Abstract

Objective: This study aims to analyze the efficacy of pulmonary rehabilitation on exercise capacity, lung function, and quality of life (QoL) in advanced lung cancer. Method: This Systematic Review and meta-analysis were conducted based on Randomized Clinical Trials and Prospective articles obtained through searches in PubMed, Google Scholar, Europe PMC, and Cochrane Library. The review focuses on the predetermined topic. The quality of the study was assessed by the Jadad scale for clinical trial studies and Newcastle Ottawa Scale for Cohort. Statistical analysis was done using Review Manager 5.4 software. Result: A total of 6 RCT studies with 251 participants were included in this meta‐analysis. Patients with lung cancer who have received chemotherapy and or radiation therapy and undergo pulmonary rehabilitation programs have a significant impact on exercise capacity The Six Minute Walk Test (MD=72.06  [95% CI 25.45, 118.67], p=0.002), Forced Expiratory Volume (MD=13.03 [95% CI 0.18,25.89], p= 0.05), Forced Vital Capacity (MD=12.44 [95% CI 0.58, 24.30], p= 0.04) dan HRQoL Functional Assessment of Cancer Therapy-Lung Cancer Subscale (MD=1.64  [95% CI 0.07,3.21], p= 0.04). Conclusion: Our study suggests that pulmonary rehabilitation impact exercise capacity (6MWT), improvement in lung function, and quality of life.Keywords: Lung cancer; Pulmonary Rehabilitation; Chemotherapy; Radiotherapy