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Incidence of congenital hypothyroidism in special region of Yogyakarta in 2018-2020 Sabella Rahmawati, Rhea; Ratnaningsih, Tri; Windarwati, Windarwati; Yudha Patria, Suryono
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.24091

Abstract

Congenital hypothyroidism (CH) is an inadequate thyroid hormone in newborns and is one of the most common causes of preventable mental retardation. It is crucial to do CH screening in newborns aged a few days to detect early occurrences of CH so that intervention can be done immediately. Screening for CH was introduced in Indonesia in 2000, and by 2014, the percentage of newborns screened remained less than 1% of the total. The Special Region of Yogyakarta, one of Indonesia's provinces, has not been the subject of any research regarding the incidence of CH. Hence, this study aimed to investigate the incidence of CH in the Special Region of Yogyakarta during the period from 2018 to 2020. This study, conducted from January 2018 to December 2020, investigated CH incidence in Yogyakarta using data from 23,787 screened newborns. Nine were diagnosed with primary CH. Incidence of CH in this study was higher in males than females, small for gestational age (SGA) than appropriate for gestational age (AGA), and preterm than term, with no significant differences between the variables and CH incidence. Therefore, the incidence in the Special Region of Yogyakarta in 2018-2020 was found to be 1:2,643.
Profile of appendicitis patient: epidemiology, clinical, and laboratories evaluation in rural-urban area Heriyanto, Moch Junaidy; Ratnaningsih, Tri; Fatimah, Bunga; Putri, Rona Hafida Heriyanto; Nisa, Afifah Khairu
International Journal of Public Health Science (IJPHS) Vol 12, No 4: December 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i4.22986

Abstract

Appendicitis is one of the most common abdominal inflammations in daily emergency cases. The diagnosis of appendicitis is often delayed because the symptoms resemble other abdominal emergencies. The present research aimed to describe the clinical and epidemiological profile of acute appendicitis patients. The research design is a cohort retrospective study employing appendicitis patients' medical record data at PKU Muhammadiyah Hospital from January 1, 2016, to December 31, 2020. The variables obtained through the patient records were age, gender, domicile location, vital signs, physical examination, blood laboratory, ultrasound, histopathology, postoperative diagnosis, the incidence of peritonitis, and length of stay. The median age value in patients with appendicitis was 27 years (0-95), and the largest group was young adults (19-44 years). Abdominal pain was found in almost all research subjects. The median of leukocytes was 10.1 (3.32-65.80)×106/ml and the neutrophil-lymphocyte ratio (NLR) was 3.52 (0.47-30.57)/μl. The median percentage of the neutrophil count was 70.7 (27.90-94.81). The final diagnosis of complicated appendicitis was more than uncomplicated appendicitis (51.2% vs. 48.8%). We conclude that several detailed parameters, such as the location of abdominal pain, leukocyte count, and NLR can help the physician diagnose appendicitis and guide surgeons in deciding the type of surgery.
The Correlation of Environment and Smoking Habit of Family Members with Smoking Habit of School Age Children Tri Ratnaningsih; Tri Peni; ADAM FERDIANSYAH
Journal of Scientific Research, Education, and Technology (JSRET) Vol. 2 No. 1 (2023): Vol. 2 No. 1 2023
Publisher : Kirana Publisher (KNPub)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/jsret.v2i1.56

Abstract

The smoking habit of school-age children is a phenomenon that is easily found in various regions in Indonesia. Smoking habit in school-age children is not only uncomfortable to look at but also has the potential to trigger an increasing health problems caused by smoking habit. Some of the factors that influence smoking habit in school-age children are the environment and smoking behavior of family members. This study was using analytic research design with a cross sectional approach. The sample in this study were school-age children (grade V and grade VI) in Mangelo Village, Mojokerto Regency who met the research criteria as many as 51 respondents who were taken using a purposive sampling technique. The independent variables in this study were the environment and smoking habits of family members. The dependent variable in this study is the smoking habits of school-age children. The research instrument used in this study was a modified questionnaire using a Google form to implement health protocols during the Covid-19 pandemic. In order to determine the correlation between the environment and the smoking behavior of family members with the smoking habits of school-age children in Mangelo Village, Mojokerto Regency, the chi square test was used with a significance of α : 0.05. There was an environmental correlation to the smoking habits of school-age children in Mangelo Village, Mojokerto Regency with a sig (2-tailed) value of 0.003 <α (0.05) and there was a correlation between the smoking behavior of family members with the smoking habits of school-age children in Mangelo Village, Mojokerto Regency with sig value (2-tailed) of 0.020 <α (0.05). Parents' affection which was manifested in the form of good parenting for school-age children would provide positive support to school-age children in dealing with any negative influences such as smoking behavior.  
Hubungan Perilaku Jajan dengan Kerusakan Gigi pada Anak di Sekolah Dasar Ratnaningsih, Tri; Laili, Siti Indatul; Andini, Yusria
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 4 (2023): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i4.1699

Abstract

Latar belakang: Anak usia sekolah (kelas 1-3) membutuhkan perawatan intensif, karena pada usia ini masih mengalami perubahan pertumbuhan baru. Karena meningkatnya karbohidrat olahan, atau bisa juga disebut permen,coklat dan makanan lain dengan kandungan sukrosa yang tinggi. Makanan ini banyak dimakan oleh anak-anak dan biasanya mudah menempel di permukaan gigi, maka bakteri yang ada di mulut anak akan mengubah sisa makanan menjadi asam yang dapat menyebabkan kerusakan gigi. Tujuan: untuk mengetahui hubungan perilaku jajan dengan kerusakan gigi terhadap anak usia sekolah dasar di SDN Pucuk 2 Kecamatan Dawarblandong Mojokerto. Metode: Desain penelitian yang digunakan adalah cross sectional. Populasi penelitian ini adalah anak kelas 1-3 di SDN Pucuk 2 Dawarblandong Mojokerto. Sampel yang diambil dalam penelitian yaitu total sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner dan data sekunder. Pengumpulan data dengan menggunakan kuesioner kemudian data diolah menggunakan SPSS dengan menggunakan analisis univariat bivariat dan multivariat. Hasil: Berdasarkan hasil tabulasi silang hasil penelitian menunjukkan perilaku jajan mengkonsumsi makanan seperti pewarna dan pemanis buatan yang banyak mengandung sukrosa dalam kategori negatif atau konsumsi secara berlebih 22 (48,9 %) mengalami kerusakan gigi dan perilaku jajan dengan kategori positif 12 (26,7 %) ada kerusakan gigi.
APPLICATION OF CURIOSITY TOWARD TODDLER POSITIVE THINKING ATTITUDE IN FACING THE ERA SOCIETY 5.0 Laili, Siti Indatul; Peni, Tri; Ratnaningsih, Tri
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 3 (2023): VOLUME 7 ISSUE 3 DECEMBER 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss3/529

Abstract

Era 5.0 is an era of digitalization technology that can influence the development of toddlers because the development of cognitive function, the immune system, and physical growth occur rapidly. Including toddlers' high curiosity about technology, one of which is using mobile devices. The purpose of this research was to prove the influence of applying curiosity on toddlers' positive thinking attitudes in facing the era society 5.0 in East Wonoayu Hamlet, Dukuhmojo Village, Mojoagung District, Jombang Regency. The design of this research used a one-group pra-post test design. The population in this research were all mothers and toddlers in East Wonoayu Hamlet, Dukuhmojo Village, Mojoagung District, Jombang Regency totaling 47 children. The sampling technique used was total sampling. The samples in this research were all mothers and toddlers in East Wonoayu Hamlet, Dukuhmojo Village, Mojoagung District, Jombang Regency totaling 47 children. The instrument used to assess positive thinking attitudes is a questionnaire. Data processing starts from editing, coding, scoring, and data analysis was carried out using the cross table. The research results showed that there was an increase before the implementation of curiosity as many as 47 (100%) respondents had a moderate positive thinking attitude. And after implementing curiosity 17 (36%) respondents had a high positive thinking attitude. curiosity will motivate a person to continue looking for and knowing new things so that they can increase their knowledge and experience in the learning process.
Revolutionizing Anemia Classification with Multilayer Extremely Randomized Tree Learning Machine for Unprecedented Accuracy Saputra, Dimas Chaerul Ekty; Muryadi, Elvaro Islami; Futri, Irianna; Win, Thinzar Aung; Sunat, Khamron; Ratnaningsih, Tri
International Journal of Robotics and Control Systems Vol 4, No 2 (2024)
Publisher : Association for Scientific Computing Electronics and Engineering (ASCEE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31763/ijrcs.v4i2.1379

Abstract

Anemia is a prevalent global health issue that is characterized by a deficit in red blood cells or low levels of hemoglobin. This condition is influenced by various causes, including nutritional inadequacies, chronic diseases, and genetic predisposition. The incidence of the phenomenon exhibits variation across different geographical regions and demographic groups. This pioneering research investigates the identification and classification of anemia, potentially leading to transformative advancements in the discipline. The classification of anemia encompasses four distinct groups, namely Beta Thalassemia Trait, Iron Deficiency Anemia, Hemoglobin E, and Combination. This comprehensive categorization offers clinicians a more refined and detailed comprehension of the condition. The integration of deep learning and machine learning in the Multilayer Extremely Randomized Tree Learning Machine (MERTLM) model represents a departure from traditional approaches and a significant advancement in the field of medical categorization accuracy. The MERTLM approach integrates randomized tree with multilayer extreme learning machine (M-ELM) representation learning, hence emphasizing the possibility of interdisciplinary collaboration in the field of diagnostics. In addition to its impact on anemia, artificial intelligence (AI) is playing a significant role in revolutionizing medical diagnosis by emphasizing the integration of innovative methods. This study utilizes the combined capabilities of machine learning and deep learning to improve accuracy. Notably, recent developments have resulted in an exceptional accuracy rate of 99.67%, precision of 99.60%, sensitivity of 99.47%, and an amazing F1-Score of 99.53%. This study represents a significant advancement in the field of anemia research, providing valuable insights that may be applied to intricate medical issues and enhancing the quality of patient care.
HNIHA: Hybrid Nature-Inspired Imbalance Handling Algorithm to Addressing Imbalanced Datasets for Improved Classification: In Case of Anemia Identification Saputra, Dimas Chaerul Ekty; Ratnaningsih, Tri; Futri, Irianna; Muryadi, Elvaro Islami; Phann, Raksmey; Tun, Su Sandi Hla; Caibigan, Ritchie Natuan
Buletin Ilmiah Sarjana Teknik Elektro Vol. 6 No. 3 (2024): September
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/biste.v6i3.11306

Abstract

This study presents a comprehensive evaluation of three ensemble models designed to handle imbalanced datasets. Each model incorporates the hybrid nature-inspired imbalance handling algorithm (HNIHA) with matthews correlation coefficient and synthetic minority oversampling technique in conjunction with different base classifiers: support vector machine, random forest, and LightGBM. Our focus is to address the challenges posed by imbalanced datasets, emphasizing the balance between sensitivity and specificity. The HNIHA algorithm-guided support vector machine ensemble demonstrated superior performance, achieving an impressive matthews correlation coefficient of 0.8739, showcasing its robustness in balancing true positives and true negatives. The f1-score, precision, and recall metrics further validated its accuracy, precision, and sensitivity, attaining values of 0.9767, 0.9545, and 1.0, respectively. The ensemble demonstrated its ability to minimize prediction errors by minimizing the mean squared error and root mean squared error to 0.0384 and 0.1961, respectively. The HNIHA-guided random forest ensemble and HNIHA-guided LightGBM ensemble also exhibited strong performances.
HUBUNGAN POLA MAKAN DENGAN KEJADIAN KARIES GIGI PADA ANAK USIA 7 –9 TAHUN DI SD NEGERI MINDU GADING KECAMATAN TARIK KABUPATEN SIDOARJO Tri Ratnaningsih
Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Vol 7 No 2 (2016)
Publisher : UNIVERSITAS BHAMADA SLAWI

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

Abstract

Karies adalah penyakit jaringan keras gigi disebabkan oleh jasad renik dalam suatu karbohidrat yang dapat diragikan. Salah satu faktor yang mempengaruhi karies gigi adalah pola makan.Penelitian ini bertujuan untuk menganalisis hubungan pola makan dengan kejadian karies gigi pada anak usia 7-9 tahun. Jenis penelitian yang digunakan adalah analitik korelasional dengan pendekatan cross sectional. Populasi pada penelitian ini adalah 32 siswa yang menderita karies gigi di SDN Mindu Gading Kecamatan Tarik Kabupaten Sidoarjo. Teknik sample menggunakan total sampling. Pengumpulan data dilakukan dengan menggunakan lembar kuesioner untuk pola makan, sedangkan untuk karies gigi menggunakan lembar observasi. Pengolahan dan analisa data menggunakan program SPSS dengan menggunakan cross tabulasi dan selanjutnya disajikan dalam bentuk tabel dan narasi.Hasil penelitian terhadap responden dengan pola makan baik sebanyak 1 anak (3,1%), pola makan sedang 7 anak (21,9%), pola makan kurang 10 anak (31,2%), dan pola makan defisit sebanyak 14 anak (43,8%). Karies gigi dengan hasil yaitu karies gigi ringan sebanyak 7 anak (21,9%), karies sedang 9 anak (28,1%),dan karies gigi berat sebanyak 10 anak (50,0%). Pada uji cross tabulasi diperoleh hasil pola makan defisit cenderung memiliki karies gigi berat yaitu 13 anak (40,6%), sedangkan pola makan baik cenderung memiliki karies gigi ringan 1 anak (10% ) yang berarti terdapat hubungan pola makan dengan kejadian karies gigi pada anak usia 7-9 tahun. Dalam hal ini petugas kesehatan bersedia memberikan penyuluhan maupun konseling secara mendetail tentang karies gigi dan pola makan yang baik agar anak terhindar dari karies gigi. Untuk orang tua juga lebih memperhatikan dan menjaga pola makan dan kesehatan gigi dan mulut anak.
Factors that Affect Coping Mechanisms in Chemotherapy Patients with the Approach of Callista Roy Adaptation Theory Roifah, Ifa; Meilinawati, Elies; Ratnaningsih, Tri; Hidayati, Rina Nur
Journal of Ners and Midwifery Vol 6 No 2 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i2.ART.p235-240

Abstract

Chemotherapy could cause pain in the patient, thus causing the condition of the body would gradually weaken. This condition would make the patient delay the therapy due to physical symptoms and emotional pressure (psychological), which affected the seriousness of patients in the treatment and strong coping mechanism required to maintain good conditions One of the empirical evidence of conceptual model theory "Holistic Adaptif System", Callista Roy put it, this model was used in chronic illnesses undergoing treatment, because theoretically successful handling by conducting adaptive coping mechanism behavior was an important variable in the physiological and psychological adaptation process to the stimulus that occurs. This study aimed to identify the behavior of patients using Callista Roy adaptology. This study aimed to analyze factors that influenced coping mechanisms in chemotherapy patients with the Callista Roy adaptation theory approach. This research design is analytical with a cross sectional approach. The population in this study were 95 patients. This research sampling technique was Consecutive Sampling. The sample size in this study was 78 respondents who met the criteria of the researcher. The research instrument used CAPS with an adaptation theory approach. The results showed that educational factors (p = 0.031) and job (p = 0.023) influenced the coping mechanism with the theory approach of Callista Roy adaptation to chemotherapy patients. The higher the level of education, the tolerance and control of stressors is better so that coping mechanisms become adaptive. Those who worked were more stress because they had to combine their work with scheduled care.
The Effect of Classical Music Therapy on Sleep Disorders of Children Hospitalized at Sakinah Islamic Hospital Mojokerto Regency Ratnaningsih, Tri; Arista, Desi
Journal of Ners and Midwifery Vol 7 No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p338-345

Abstract

The general response that occurs when hospitalized children included regression, anxiety separation, apathy, fear, and sleep disorders. One method for improving sleep was music therapy. This research aimed to prove the effect of classical music therapy on sleep disorders at children who have experienced hospitalization at Sakinah Islamic Hospital, Mojokerto Regency. This research design was pre-experimental with one group pretest-post test design approach. The population at this research were all children who experienced hospitalization at Sakinah Islamic Hospital at Mojokerto Regency on February 26th-March 21th 2019 as many as 43 children. The sampling technique of this research was purposive sampling. The sample size that met the research criteria were 30 children. The research instrument used SOP music therapy and questionnaires. The results of this research suggested that before being given music therapy almost all respondents had lacked sleep needs as many as 23 respondents (76.7%), and after being given music therapy almost entirely had equal sleep needs as many as 26 respondents (86.7%). Wilcoxon Signed Rank Test suggested that pvalue = 0,000 or <α (0,05), which meant that there was an effect of music therapy on sleep disorders at children who have been hospitalized at Sakinah Islamic Hospital Mojokerto Regency. Music therapy would provide a relaxing effect where when children like music would stimulate endorphins to provide a sense of calm and easier to sleep.