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Profil Zat Besi Ibu Hamil di Daerah Endemis Malaria Flora, Rostika; Melvia, Bina; Purwanto, Sigit
Kesmas Vol. 8, No. 5
Publisher : UI Scholars Hub

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Abstract

Pada saat kehamilan, terjadi peningkatan kebutuhan zat besi (Fe) yang diperlukan untuk meningkatkan jumlah sel darah merah ibu dan membentuk sel darah merah janin dan plasenta. Apabila kebutuhan zat besi ini tidak terpenuhi, akan terjadi anemia defisiensi besi. Ibu hamil yang tinggal di daerah endemis malaria rentan terinfeksi malaria, yang berdampak terhadap anemia pada kehamilan. Penelitian ini merupakan penelitian deskriptif dengan desain potong lintang yang bertujuan untuk mengetahui gambaran profil zat besi pada ibu hamil yang berada di daerah endemis malaria vivax kota Bengkulu. Pemeriksaan mikroskopis malaria dan pengambilan sampel darah dilakukan untuk pemeriksaan profil zat besi terhadap 55 orang ibu hamil trimester II dan III yang mempunyai riwayat malaria di 5 wilayah kerja puskesmas. Data yang diperoleh kemudian dilakukan analisis univariat. Pada ibu hamil yang tidak terinfeksi malaria tetapi mempunyai riwayat malaria, 90,5% mengalami anemia, 41,5% mengalami penurunan kadar Total Iron Binding Capacity (TIBC), dan 17% mengalami penurunan kadar Fe serum. Ibu hamil yang terinfeksi malaria vivax selain terjadi penurunan kadar hemoglobin juga disertai dengan penurunan kadar Fe serum dan kadar TIBC. Pada ibu hamil yang menderita malaria falsiparum, terjadi penurunan kadar hemoglobin (Hb) dan kadar TIBC tetapi tidak disertai dengan penurunan kadar Fe serum. Ibu hamil yang terinfeksi malaria maupun yang mempunyai riwayat terinfeksi malaria mengalami anemia pada kehamilan. During pregnancy, the need of iron increase significantly. Iron is needed for increasing the amount of mother’s red blood cell and form the red blood cell of fetus and placenta. If this iron needs is not fulfilled, it could cause iron deficiency anemia. Pregnant women who live in endemic malaria will be vulnerable to be infected malaria, and will cause anemia in pregnancy. This research was aimed to know iron profile in pregnant women that live in endemic malaria area. Malaria microscopic examination and blood sampling for examination of iron profile in 55 pregnant women trimester II and III who have a history of malaria in 5 working area health centers. The data obtained was then performed univariate analysis. The results showed pregnant women who have malaria history, 90.5% are suffering anemia, decreasing of Total Iron Binding Capacity (TIBC) level (41.5%) and 17% Fe serum level (17%). Pregnant women who are infected vivax malaria not only experiencing decrease of hemoglobin level but also experiencing decrease of Fe serum level and TIBC level, while pregnant woman who suffers from falciparum malaria haemoglobin (Hb) level and TIBC are decreasing but not in serum Fe levels. Pregnant women with history of malaria infection will suffer from anemia during pregnancy.
Tumor Necrosis Factor-α sebagai Prediktor Terjadinya Anemia pada Ibu Hamil di Wilayah Endemis Malaria Flora, Rostika; Mukni, Mukni; Girsang, Bina Melvia; Purwanto, Sigit
Kesmas Vol. 9, No. 3
Publisher : UI Scholars Hub

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Abstract

Ibu hamil yang berada di daerah endemis malaria sangat rentan terhadap infeksi malaria selama kehamilan. Gejala malaria pada kelompok ini sering asimptomatik atau bahkan tidak terdeteksi sama sekali karena adanya efek imunitas protektif melalui infeksi yang berulang. Adanya peningkatan kadar tumor necrosis factor-alpha (TNF-α) dapat dijadikan indikator terjadinya infeksi malaria. TNF-α berperan penting dalam respons imun pada malaria akut yang menghambat terjadinya eritropoesis. Penelitian ini bertujuan untuk mengetahui hubungan antara kadar TNF-α dengan kejadian anemia pada ibu hamil didaerah endemik malaria vivax. Penelitian ini menggunakan desain potong lintang, dilakukan pada bulan Januari - Februari 2014 di lima wilayah kerja puskesmas Kota Bengkulu. Sampel penelitian adalah ibu hamil di daerah endemis malaria vivax yang diambil secara accidental sampling. Dilakukan pengambilan darah untuk pemeriksaan mikroskopis malaria, kadar TNF-α dan kadar hemoglobin (Hb). Hasil penelitian menunjukkan seluruh ibu hamil memiliki riwayat pernah terinfeksi malaria vivax, walaupun hasil pemeriksaan slide negatif. Terjadi peningkatan kadar TNF- α dengan rerata 6,90 ± 2,48 pg/mL dan penurunan kadar Hb dengan rerata 9,75 ± 0,88 g%. Uji korelasi Spearman didapatkan korelasi negatif yang kuat (r = -0,734) dan bermakna (nilai p < 0,05) antara Kadar TNF-α dengan kadar Hb. Terdapat hubungan yang bermakna antara kadar TNF-α dengan kejadian anemia. Pregnant mothers living in malaria - endemic area are very susceptible to malaria infection during pregnancy. Malaria symptoms in this group are often asymptomatic or even not detected at all due to protective immunity effect through repeated infections. Any elevation of tumor necrosis factor-alpha (TNF-α) level can be used as indicator of malaria infection. TNF-α takes an important role in immune response on acute malaria that hinders occurence eritropoesis process. This study aimed to find out relations between TNF-α level and anemia occurrence among pregnant women living in malaria vivax - endemic areas. The study used cross-sectional design conducted on January to February 2014 in five working areas in Bengkulu city. Sample of study was pregnant mothers in malaria vivax - endemic areas which was taken through accidental sampling. Blood was taken for malaria-microscopic examination, TNF-α and haemoglobine (Hb) level. The results showed that all of pregnant mothers have malaria vivax - infected record, although slide examination showed negative result. Any TNF-α level elevation with average 6.90 ± 2.48 pg/mL and decrease of Hb level with average 9.75 ± 0.88 g%. Spearman correlation test showed strong negative correlation (r = -0.734) and significant (p value < 0.05) between TNF-α level and Hb level. There was significant relation between TNF-α level and anemia occurrence.
Pendampingan dan Permberdayaan Sekolah melalui Kegiatan UKS dalam Pengenalan Bahaya Hipertensi Pada Remaja melalui Novel “The Silent Killer” di Madrasah Aliyah Nurul Iman Latifin, Khoirul; Purwanto, Sigit; Effendi, Zulian; Zikran, Zikran
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.18416

Abstract

ABSTRAK Dewasa ini banyak kejadian hipertensi pada remaja, hipertensi yang terjadi pada usia remaja dapat berdampak pada berbagai ganggauna Kesehatan pada organ tubuh, salah satu gangguan pada sistem kardiovaskuler seperti serangan jatung atau infark miokard. Kejadian hipertensi di remaja cenderung tidak dideteksi sejak awal, sampai muncul gejala lain yang menjadi komplikasi dari hipertensi tersebut. Tujuan kegiatan ini adalah untuk meningkatkan pengetahuan siswa tentang hipertensi dan meningkatkan kemampuan siswa dalam mendeteksi masalah hipertensi. Kegiatan ini menggunakan metode Pendidikan Kesehatan dengan menggunakan cerita pendek berupa “Novel The Silent Killer’ untuk meningkatkan pengetahuan siswa dan melakukan pelatihan keterampilan dalam melakukan deteksi dini hipertensi dengan menggunakan alat tensi digital. Pemilihan peserta kegiatan yaitu dengan cara total sampling dari siswa kelas 11 yang berjumlah 24 siswa. Kegiatan pengabdian kepada Masyarakat ini dievaluasi dengan melakukan pre test dan post test. Respon peserta selama mengikuti kegiatan mulai dari pembukaan yang dilakukan oleh kepala sekolah sampai akhir kegiatan sangat antusias didbuktikan dengan adanya peningkatan pengetahuan siswa tentang hipertensi. Deteksi dini masalah Kesehatan dengan hipertensi pada remaja dapat menjadi pencegah terjadinya komplikasi pada sistem kardiovaskuler. Kata Kunci: Hipertensi, Pendidikan Kesehatan, Siswa.  ABSTRACT Nowadays, there are many cases of hypertension in teenagers. Hypertension that occurs in adolescence can have an impact on various health disorders in the body's organs, one of which is disorders in the cardiovascular system such as heart attacks or myocardial infarction. Hypertension in adolescents tends not to be detected early, until other symptoms appear which are complications of the hypertension. The aim of this activity was to increase students' knowledge about hypertension and improve students' ability to detect hypertension problems. This activity used the Health Education method using a short story in the form of "The Silent Killer Novel" to increase students' knowledge and conduct skills training in early detection of hypertension by using a digital blood pressure monitor. The selection of activity participants was done by means of total sampling from 24 students in grade 11. This community service activity was evaluated by conducting a pre-test and post-test. The response of participants during the activity starting from the opening by the principal until the end of the activity was very enthusiastic as evidenced by the increase in students' knowledge about hypertension. Early detection of health problems with hypertension in adolescents could prevent complications in the cardiovascular system.  Keywords: Hypertension, Health Education, Student.
Effectiveness of complementary nursing "wet cupping" on low-density lipoprotein (LDL) in palliative patients with hypertension Latifin, Khoirul; Purwanto, Sigit; Idriansari, Antarini
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 2 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(2).126-134

Abstract

Background: Nowadays, there are many people with hypertension who are not aware of it. Hypertension can be caused by various factors, based on secondary hypertension or primary hypertension. High cholesterol levels are one of the causes of increased blood pressure. Low-Density Lipoprotein (LDL) is a type of cholesterol that is not good for the body if it exceeds normal limits. Objectives: This study aimed to determine the effectiveness of complementary Wet Cupping nursing on changes in Low-Density Lipoprotein cholesterol levels in people with hypertension.  Methods: The research method used was experimental research with a pre-experimental design, namely one group pretest and posttest design. Respondents were selected using purposive sampling techniques, based on the specified inclusion criteria, totaling 16 respondents. Respondents received intervention in the form of complementary wet cupping nursing three times and this was done once a week. The instruments of this research are standard operational procedures and observation sheets for Low-Density Lipoprotein (LDL) measurement results.Results: The results of this study state that there is a less significant effect on Low-Density Lipoprotein in people with hypertension after being given complementary wet cupping treatment with a significant value of 0.717 or p-value> 0.05. Although the results of statistical tests did not show significant results, there were 56.25% of respondents who experienced a decrease in Low-Density Lipoprotein. Conclusions:. Wet cupping is a treatment method that has various benefits for the body's health and does not cause bad side effects after cupping. So wet cupping can be a recommended alternative therapy option for hypertension sufferers to control Low-Density Lipoprotein levels by doing cupping regularly.
Transmisi Musik Lokal-Tradisional Gondang Oguong oleh Salman Azis Habibullah, Reizki; Purwanto, Sigit; Aulia, Riza Alif
Sorai: Jurnal Pengkajian dan Penciptaan Musik Vol. 15 No. 2 (2022)
Publisher : Institut Seni Indonesia (ISI) Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33153/sorai.v15i2.4737

Abstract

Gondang Oguong is a local-traditional music ensemble of the community in the Limo Koto customary area of Kampar Regency. Until now, Gondang Oguong art is still being passed on to the next generation. This study aims to reveal and explain the transmission process of Gondang Oguong by artist Salman Azis, including objects, actors, and transmission mechanisms, using ethnographic methods. Salman Azis carried out the stages of the learning method, which began with efforts to attract children's interest, using close and distant communication patterns, as well as listening and imitating exercises. Transmission is one of the essential aspects of cultural inheritance related to enculturation, internalization, education, and socialization activities. For this reason, this research is expected to support the sustainable practices of local-traditional music as part of the culture.
PROTOTYPE ALAT PENDETEKSI GAS BERBAHAYA DI KAMAR MESIN UNTUK MENJAGA KESELAMATAN ABK BERBASIS WEMOS D1 DI KAPAL MT PLAJU Purnama Dewi, Nanda; Nasri, Nasri; Purwanto, Sigit; Retno Gunarti, Monika; Dai Robbi, Shofa
SIBATIK JOURNAL: Jurnal Ilmiah Bidang Sosial, Ekonomi, Budaya, Teknologi, Dan Pendidikan Vol. 5 No. 1 (2025)
Publisher : Penerbit Lafadz Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/sibatik.v5i1.4194

Abstract

Enclosed spaces in ship engine rooms pose significant risks due to toxic gas accumulation like carbon monoxide and carbon dioxide, contributing to maritime fatalities. This research aimed to develop a Wemos D1-based prototype for real-time hazardous gas detection to enhance crew safety on MT Plaju tanker. Experimental prototype development employed ADDIE model with static and dynamic testing on MQ-135 sensor, buzzer, LED, and WiFi web monitoring. Population comprised four main holes (A-D) in engine room enclosed spaces, sampled through 20 measurements during 12-month sea practice. Instruments included Arduino IDE for programming and Excel for regression linear analysis with <5% calibration error. Results showed average CO detection at 5.4 ppm and CO2 at 406 ppm, with alarm response under 6 seconds exceeding 30% threshold, achieving 95% accuracy in high humidity and vibration conditions. The prototype demonstrated superior WiFi connectivity over previous ATMega328P systems, reducing hazard zones by 40%. In conclusion, this cost-effective IoT solution validates hardware reliability for Indonesian maritime operations, recommending multi-gas sensor integration for industrial scaling.
Faktor Determinan yang Berhubungan dengan Kejadian Miopia Sigit Purwanto
Jurnal Ilmu Kesehatan Masyarakat Vol. 1 No. 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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Abstract

Latar Belakang: Miopia adalah kelainan refraksi yang paling umum dan dapat diatasi dengan mudah apabila penderita memakai kacamata. Secara umum miopia diklasifikasikan berdasarkan dari derajat keparahannya. Miopia ringan kekuatan lensanya d”3 Dioptri, miopia sedang antara > 3 – 6 Dioptri, sedangkan miopia berat nilainya > 6 Dioptri. Prevalensi global kelainan refraksi diperkirakan sekitar 800 juta sampai 2,3 milyar. Insidensi miopia dalam suatu populasi sangat bervariasi dalam hal umur, negara, jenis kelamin, ras, etnis, pekerjaan, kebiasaan, lingkungan, dan faktor lainnya. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor determinan yang berhubungan dengan miopia. Instrumen penelitian berupa kuesioner 14 pertanyaan.Metode: Jenis penelitian ini merupakan penelitian observasi cross sectional dengan variabel bebas adalah genetik, kebiasaan, lingkungan, pendapatan orangtua, dan pendidikan ayah sedangkan variabel terikat adalah tingkat miopia. Jumlah responden sebanyak 59 pelajar di SMA Negeri 2 Palembang. Analisis dilakukan dengan univariat dan bivariat menggunaka Chi-Square (X2).Hasil: Sebanyak 59 pelajar berpartisipasi dalam penelitian ini. Hasil penelitian dengan uji Chi-Square (á < 0,05) terdapat hubungan yang bermakna antara faktor lingkungan (p value= 0.031), kebiasaan (p value= 0,018) dengan miopia. Tidak adanya hubungan bermakna antara genetik (p value=0,347), pendidikan ayah (p value=0,088) dan pendapatan orangtua(p value= 0.145) dengan miopia.Kesimpulan : Faktor determinan yang berhubungan dengan kejadian miopia adalah faktor lingkungan dan kebiasaan.Kata kunci: Miopia, refraksi, kornea, lensa, kacamata
Utilizing Monopoly Game Media to Enhance Students' Motivation Acquisition about the Fulfillment of Balanced Nutrition Firnaliza Rizona; Fuji Rahmawati; Sigit Purwanto; Rijal Akbar Difa Padiana
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5096

Abstract

The limited knowledge and motivation of balanced nutrition among school children poses a significant challenge to their health and overall development. Inadequate motivation in fulfillmnet of balanced nutrition among school children contributes significantly to the triple burden of malnutrition, encompassing undernutrition, micronutrient deficiencies, and overnutrition. One such approach is the use of interactive educational tools, such as monopoly-based games, which combine learning with play to effectively enhance motivation retention. This study examines the potential of a monopoly game as a health education tool to improve students' understanding and motivation the fulfillment of balanced nutrition. This study was quantitative research which used pre-experimental with one group pre posttest design. A total of 30 students participated in the study, selected through purposive sampling. A pre-test and post-test design was employed to measure the motivation level before and after the intervention. Statistical analysis using the Wilcoxon test revealed a significant improvement in students' motivation, with a p-value of 0.000 (p < 0.05), indicating the effectiveness of the intervention by using monopoly games about balanced nutrition. Implementing educational media through games, such as the monopoly game, significantly enhances students' motivation in fulfillment of balanced nutrition.
Pemberdayaan Siswa dalam Mengenal Hipertensi Remaja melalui Video Adukasi Animasi Khoirul Latifin; Sigit Purwanto; Jaji Jaji; Zikran Zikran; Safa Tiara Kiani; Romy Suwahyu; Lisa Rizky Amalia; Desti Kurnia Utami
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24169

Abstract

ABSTRAK Hipertensi pada kelompok usia remaja kini menjadi perhatian kesehatan yang semakin signifikan akibat meningkatnya kebiasaan hidup sedentari, tingginya konsumsi makanan bergaram, serta rendahnya pemahaman remaja mengenai faktor-faktor risikonya. Lingkungan sekolah dipandang sebagai sarana yang strategis untuk pelaksanaan program pemberdayaan melalui kegiatan organisasi sekolah. Kegiatan ini bertujuan untuk memperluas wawasan siswa mengenai hipertensi serta meningkatkan kemampuan mereka dalam mengenali dan mendeteksi masalah terkait hipertensi. Kegiatan ini dilaksanakan melalui metode pendidikan kesehatan dengan memanfaatkan media video edukasi berbentuk animasi untuk meningkatkan pemahaman siswa, sekaligus memberikan pelatihan keterampilan dalam melakukan deteksi dini hipertensi menggunakan tensimeter digital. Pelaksanaan pengabdian kepada masyarakat dievaluasi melalui pemberian pre-test dan post-test. Hasil analisis statistik menggunakan uji Wilcoxon sign rank testmenunjukkan peningkatan pengetahuan yang bermakna setelah intervensi, dengan p-value sebesar 0,002. Temuan tersebut mengindikasikan bahwa edukasi berbasis video yang dipadukan dengan pelatihan pemeriksaan mampu memperkuat pemahaman remaja mengenai hipertensi serta urgensi deteksi dini. Oleh karena itu, program pemberdayaan sekolah melalui organisasi sekolah direkomendasikan untuk diimplementasikan secara berkesinambungan sebagai langkah preventif dalam pengendalian hipertensi sejak usia remaja. Kata Kunci: Video Edukasi Animasi, Hipertensi Remaja, Pemberdayaan Siswa.  ABSTRACT Hypertension in adolescents is becoming an increasingly significant health concern due to increasing sedentary lifestyles, high consumption of salty foods, and low understanding of risk factors. The school environment is seen as a strategic platform for implementing empowerment programs through school organization activities. These activities aim to broaden students' knowledge about hypertension and improve their ability to recognize and detect hypertension-related problems. These activities are implemented through health education methods, utilizing animated educational videos to enhance student understanding, while also providing skills training in early hypertension detection using digital blood pressure monitors. The implementation of community service was evaluated through pre- and post-tests. Statistical analysis using the Wilcoxon signed-rank test showed a significant increase in knowledge after the intervention, with a p-value of 0.002. These findings indicate that video-based education combined with screening training can strengthen adolescents' understanding of hypertension and the urgency of early detection. Therefore, the ongoing implementation of school empowerment programs through school organizations is recommended as a preventive measure in controlling hypertension starting in adolescence. Keywords: Animated Educational Videos, Adolescent Hypertension, Student Empowerment.
PENGEMBANGAN MEDIA KOMIK BERBASIS SOCIO SCIENTIFIC ISSUE (SSI) UNTUK MENINGKATKAN HASIL BELAJAR SISWA PADA PEMBELAJARAN IPAS KELAS V SEKOLAH DASAR Purwanto, Sigit; Trisnayanti, Yetty; Lontoh, Willy; Miterianifa; Suryani , Novi Ade
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 03 (2026): Volume 11 No. 03, September 2026 Processed
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i03.64763

Abstract

Integrated Natural and Social Sciences (IPAS) learning in elementary schools requires media that can contextually combine scientific and social concepts, yet observations at SD Negeri 2 Sidoharjo revealed that fifth-grade students reading interest remained low due to limited engaging materials and the absence of a socio-scientific issue-based medium capable of raising students awareness of environmental problems, particularly in the unit Bumiku Sayang, Bumiku Malang. This study aimed to develop a comic medium based on socio-scientific issues and to examine its validity, practicality, and effectiveness in fifth-grade IPAS learning. The research employed a Research and Development method using the ADDIE model, comprising analysis, design, development, implementation, and evaluation stages. Try-out subjects comprised three expert validators covering language, media, and content, three students in the one-to-one trial, six students in the small-group trial, and 26 students together with one class teacher in the large-group trial. Data were collected through validation questionnaires, practicality questionnaires, and learning outcome tests, then analyzed using Aiken's V formula for validity, percentage scores for practicality, and classical mastery for effectiveness. Results showed the comic medium was valid, with an average Aiken's V of 0.90 in the high category, comprising 0.96 for language, 0.84 for media, and 0.91 for content validation. The practicality test obtained an average percentage of 89.55 percent, categorized as very practical, while the effectiveness test showed a classical mastery of 89.23 percent, with 24 of 26 students meeting the mastery criteria, categorized as highly effective. Therefore, the comic medium is feasible for use as IPAS learning media to foster reading interest and raise fifth-grade students awareness of environmental issues around them