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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

RISK FACTORS FOR ESTROGEN EXPOSURE IN VARIOUS GRADES OF ENDOMETRIOID CARINOMA Ma’rifatu Ulfa Hidayati; Pungky Mulawardhana; Nila Kurniasari
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 1 (2020): Indonesian Midwifery and Health Sciences Journal, January 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i1.2020.40-50

Abstract

AbstractBackground: Incidence endometrial cancer in Southeast Asia it is estimated that 41% of new cases emerge. The incidence of endometrial cancer in Dr. Soetomo General Hospital has increased every year. In 2016 there were 119 new cases of endometrial cancer and in 2017 there were 160 cases. 75%-80% is type I endometrial cancer (endometrioid carcinoma). Risk factors for estrogen exposure (early menarche, parity, obesity) are risk factors for endometrial cancer. The prognosis of endometrial cancer depends on the grade. This study aims to determine differences in risk factors for estrogen exposure in various grades of  type I endometrial cancer (endometrioid carcinoma) in the Poli Onkologi Satu Atap Dr. Soetomo General Hospital Surabaya. Methods: the research method was analytic observational with cross-sectional design. Sample size of 40 medical records was taken by total sampling technique. Research variables include age of menarche, parity, BMI, and grade of endometrial cancer. The instrument used was a data collection sheet and medical records. Data analysis using chi-square test. Results: The results showed 52%  patients were grade 1-2, there were 95% of menarche patients in the age range of 12-14 years,  62.5% patients had parity of 1-2 and 52% patients, BMI was underweight-normal category. Test results based on early menarche did not show significant differences between grades 1-2 and grade 3 in endometrioid carcinoma (p = 0.168). Likewise, parity in various grades of endometrial cancer type I (endometrioid carcinoma) there was no significant difference (p = 0.220) and BMI also no significant difference (p = 0.987). Conclusions: risk factors for estrogen exposure which include menarche, parity, obesity do not make a significant differences to the grades of endometrioid carcinoma.
RELATIONSHIP OF AGE, MENOPAUSE STATUS, AND BMI WITH THE EVENT OF BACTERIAL VAGINOSIS IN NEW PATIENTS OF PELVIC ORGAN PROLAPSE Atmi Marmiati; Pungky Mulawardhana; Zakiyatul Faizah
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.109-120

Abstract

AbstractBackground and Purpose : The prevalence of Bacterial Vaginosis (BV) among Asian women in India and Indonesia is 32% while in the case of BV in 2018 the obstetric clinic of Dr. Soetomo Regional Hospital is 181 BV sufferers. The impact of BV on Pelvic Organ Prolapse (POP) patients, namely the delay in POP treatment such as BV pessaries can be influenced by age, menopausal status, and BMI. This study aims to analyze the relationship of age, menopausal status, and BMI with the incidence of BV in POP patients. Methods: This study used observational analytics with a retrospective and cross sectional approach. The number of samples used was 86 patients. Samoel taking technique with total sampling. The independent variable is the incidence of BV, while the dependent variable is age, menopause status, BMI. Bivariate data analysis using chi square, fisher's exact test and multivariate test using multiple logistic regression tests. Results: The results showed a positive BV prevalence of 76.7% with the majority of patients aged over 60 years at 44.2%, having menopause at 81.4%, and having a BMI of 18.5-24.5 at 47.7%. Fisher's exact test analysis test showed p value of maternal age = 0.003 (RR = 6.398) and p value of BMI = 0.767 (p> 0.005). Chi square analysis test showed p value of menopause status = 0.009 (RR = 4.833). The multiple logistic regression analysis test showed that maternal age was the most dominant factor with a value of p = 0.006 (OR = 6.398 (1,711-23,929)). Conclusion: There is a relationship between age and menopausal status with the incidence of BV. Age is the most dominant independent factor in the incidence of BV.
THE RELATIONSHIP BETWEEN BSE KNOWLEDGE AND BREAST TUMOR SIZE DURING SURGICAL CENTER VISIT AT UNAIR HOSPITAL Eva Silvia Yahya; Pungky Mulawardhana; Nila Kurniasari
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 1 (2022): Indonesian Midwifery and Health Sciences Journal, January 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i1.2022.66-73

Abstract

AbstractBackground: Breast tumor is a group of abnormal cells and continue growing multiply in the breast. In Indonesia, it is known that 8,1% of 38.749 women have tumor in the breast. One way to detect it early is to do the Breast Self Examination (SADARI). The purpose of the research was to know the correlation of SADARI knowledge with the size of the breast tumor at admission to surgery outpatient clinic. Methods: This type of research is observational analytic, cross sectional design. The sample were 36 tumor patients. The sampling technique was a convenient sampling. The independent variable was the knowledge SADARI and the dependent variable was the size of the breast tumor. The secondary data was taken in the form of USG and the primary data was a questionnaire. The data was tested with Spearman Rank. Results: The results of the bivariate analysis showed 0,328 (p>0,05) probability score (p value) and 0,168 R score which meant the correlation was very weak. Conclusion : there is no correlation of SADARI knowledge with the size of breast tumor at admission of surgery outpatient clinic. Keywords: Knowledge, SADARI, The size of breast tumor at admission
RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDES TOWARDS ADHERENCE IN DETECTION OF CERVICAL CANCER Fadhilah Sari; Pungky Mulawardhana; Lestari Sudaryanti
Indonesian Midwifery and Health Sciences Journal Vol. 7 No. 3 (2023): Indonesian Midwifery and Health Sciences Journal, July 2023
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v7i3.2023.258-266

Abstract

Background: Cervical cancer is an uncontrolled cell growth that occurs in the cervix caused by the Human Papilloma Virus (HPV) virus.  Early detection programs for cervical cancer can be done in several ways, including Visual Inspection of Acetic Acid (IVA), pap smear, colposcopy, cervicography, and pap net. This method has been shown to reduce the incidence of invasive cervical cancer by the amount and mortality of cervical cancer. The purpose of this study was to determine the relationship between knowledge and attitudes towards Women of Childbearing Age (WCA) compliance in early detection of cervical cancer at the Ulak Karang Health Center in Padang City. Method: Cross Sectional. The population in this study was all WCA mothers (19-69 years old) in the working area of the Ulak Karang Health Center in Padang City as many as 2,916 people with a total sample of 97 people taken using quota sampling. This research was carried out in the working area of the Ulak Karang Health Center, Padang City in May-July 2023. The variables in this study are knowledge, attitudes and compliance with IVA examination. Data were analyzed univariately, bivariately (chi square) and multivariate. Results: There was a significant association between knowledge and WCA compliance in early detection of cervical cancer (p value 0.000). There was a significant relationship between attitude and WCA compliance in early detection of cervical cancer (p value 0.000). The relationship between knowledge and attitudes towards adherence is that there is a significant relationship between knowledge and attitudes towards WCA adherence in early detection of cervical cancer (p value 0.000). Conclusion: There is a relationship of knowledge and attitudes towards WCA compliance in early detection of cervical cancer.
DIFFERENCES IN CHANGES IN KNOWLEDGE OF WOMEN ABOUT EARLY DETECTION OF CERVICAL CANCER BETWEEN USING PRESENTATION MEDIA COUNSELING AND LEAFLET COUNSELING Yuliana, Baiq Ade Herna; Purwanto , Bambang; Euvanggelia Dwilda Ferdinandus; Mulawardhana , Pungky
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 3 (2024): Indonesian Midwifery and Health Sciences Journal, July 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i3.2024.300-311

Abstract

Background: Encouraging early detection and prompt treatment of precancerous lesions is the key to preventing cervical cancer in women who are fertile. IVA examinations are used to detect precancerous lesions early on. Thus far, both nationally and at Mojo Health Center, the IVA examination has been achieved. Women of reproductive age may not be as aware of early diagnosis of precancerous lesions as they should be, which could contribute to the low IVA examination achievement. Due to a lack of understanding regarding the early diagnosis of precancerous lesions, women of reproductive age have low awareness. Method: A lecture and leafleting approach were used to conduct this health counseling. This kind of study uses a quasi-experimental pretest-posttest one group design, which is experimental in nature. carried out in Surabaya City at the Mojo Health Center. A straightforward random sampling methodology was used to choose the sample of 84 WUS, who were then split into two groups: the treatment group, which received an intervention counseling lecture style, and the control group, which received a leaflet intervention. A questionnaire was utilized to collect the data, and the Wilcoxon signed rank test was used to evaluate it. Independent Samples Test (p<0.05) and Wilcoxon signed Rank test. Results: The test results showing variations in both groups' knowledge levels produced the result p = 0.000 (p <0.05). P = 0.268 (p>0.05) was the outcome of the test to determine the value of differences in knowledge factors between the treatment group and the control group. Conclusion: There is no difference in WUS knowledge between the lecture method and leaflet media distribution when it comes to counseling, but there is a shift in the outcomes of WUS knowledge about early detection of cervical cancer before and after receiving counseling.