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Hubungan Antara Kebisingan dengan Gangguan Pendengaran pada Pekerja Penggilingan Beras Atang Kusman; Catur Setiya Sulistiyana; Sri Hendratno
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 2, No 1 (2015): Tunas Medika Jurnal Kedokteran & Kesehatan
Publisher : Tunas Medika Jurnal Kedokteran & Kesehatan

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Latar belakang: Proses penggilingan beras menggunakan mesin dan alat berat. Mesin dan alat berat tersebut menghasilkan kebisingan tinggi yang dapat menyebabkan resiko pendengaran bagi pekerjanya.Tujuan: untuk menentukan hubungan antara kebisingan dan gangguan pendengaran pada pekerja penggilingan beras di desa Situmekar, Sumedang.Metode: tipe penelitian yang digunakan adalah studi analitik deskriptif dengan pendekatan desain kroseksional. Jumlah sampel sebanyak 40. Pengumpulan data dilakukan dengan mengukur tingkat kebisingan di tempat kerja disertai dengan kuisioner dan dilanjutkan dengan penelusuran riwayat sakit dan pemeriksaan fisik telinga dari subjek.Hasil: menunjukan adanya hubungan antara kebisingan dan gangguan pendengaran. Hasil pengujian Rasio Prefalen (RP=3,793, 95%CI= 1,058-13,604)Simpulan: terdapat hubungan antara kebisingan dan gangguan pendengaranKata Kunci: Kebisingan, Gangguan Pendengaran  Background: Rice milling process using machines and working tools. Machines and work tools will accompanied by loud noises pose a hearing risk of danger to the workers.Purpose: To determine the relationship between noise with hearing interference in rice mill workers in Situmekar village, SumedangMethods: This type of research is a descriptive analytic study with a cross-sectional study design approach. Number of samples 40. Data collection was performed by measuring the sound pressure level of noise in the work environment with a questionnaire follwed by history and physical examination of the ear on the subjectResult: Shows that there is a relationship between noise with hearing disorders. The result of the Ratio Prevalence (RP=3,793; 95% CI=1,058-13,604)Conclusion: There is a relationship between noise with hearing disordersKeywords: Noise, hearing disorders. 
Hubungan Pengetahuan dan Sikap Keluarga Pasien Tuberkulosis Paru dengan Upaya Pencegahan Penyakit Tuberkulosis Paru di Wilayah Kerja Puskesmas Kesunean dan Pegambiran Kota Cirebon Catur Setiya Sulistiyana; Susi Susanti
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 2, No 3 (2015): Tunas Medika Jurnal Kedokteran & Kesehatan
Publisher : Tunas Medika Jurnal Kedokteran & Kesehatan

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Latar belakang : Tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh bakteri Mycobacterium tuberculosis. Prevalensi penyakit TB semakin meningkat tercatat di Puskesmas Kesunean pada tahun 2013 sebesar 1,5% dan di Kelurahan Pegambiran angkat kejadian Tuberkulosis paru tinggi. Hal ini terjadi karena upaya pencegahan TB paru belum dilaksanakan secara maksimal.  Tujuan  : Penelitian ini untuk mengetahui hubungan pengetahuan dan sikap keluarga Paien TB paru terhadap upaya pencegahan penyakit tuberkulosis.  Metode Penelitian: Menggunakan metode penelitian kuantitatif dengan pendekatan cross sectional, sampel dalam penelitian ini adalah 32 keluarga pasien TB paru yang berada di wilayah puskesmas Kesunean dan Pegambiran yang didapat dengan teknik simple random sampling . Pengumpulan data dilakukan dengan wawancara mendalam dan mengisi kuesioner. Analisis data yang digunakan adalah uji korelasi spearman dan uji regresi logistic Hasil : Analisis univariat menunjukan bahwa pengetahuan cukup didapatkan 17 responden (53,1%), sikap cukup 20 responden (62,5%) dan upaya pencegahan baik 23 responden (71,9%). Analisis bivariat dengan uji korelasi spearman. pada taraf kepercayaan 95%, pengetahuan memiliki hubungan dengan upaya pencegahan penyakit tuberkulosis (p= 0,010) dengan Correlation Coefficient : 0,446, sikap memiliki hubungan dengan upaya pencegahan penyakit tuberkulosis (p= 0,019) dengan Correlation Coefficient : 0,414. Analisis multivariat dengan analisis regresi logistik di dapatkan bahwa variabel yang paling mempengaruhi upaya pencegahan penyakit TB adalah pengetahuan dengan nilai p= 0,040 dengan nilai (OR = 0,096).Kesimpulan : Semakin baik pengetahuan dan sikap keluarga pasien TB paru maka akan semakin baik pula upaya pencegahannya.Kata Kunci :Pengetahuan, Sikap dan Upaya Pencegahan Penyakit TB  Background : Tuberculosis (TB) is an infection disease which it caused by Mycobacterium tuberculosis. Prevalence increased in 2013 at Kesunean primary health care reported 1,5% cases and also at  Pegambiran. This happen doe to the prevention hasn’t done optimally by citizen from Kesunean dan Pegambiran district. Purpose : The purpose of this research was determine the relationship of the level of knowledge and family TB patient’s attitudes due the effort from prevention tuberculosis disease. Methods       : This research is quantitative analysis with cross sectional design. The sample of this research was 32 respondents (family TB patient’s) from Kesunean region and Pegambiran primary health care with simple random sampling. The instruments use a questionnaire with deep interview. Bivariat Analysis used is Spearman Correlation Test and Ordinal Regression.  Result : The result of univariat analysis showed 17 respondents ( 53,1%) of have enough knowledge about the prevention of TB,  20 respondents (62,5%) of  have  enough attitude about the prevention of TB and 23 respondents(71,9%) have good effort  of preventing TB disease. Bivariat analysis with Spearman Correlation Test with 95% confidence level, the result found that there a relationship between knowledge and the prevention of TB (p = 0.010) with Correlation Coefficient = 0, 446, and there were a relationship between family TB patient’s attitude and (p = 0.019) with Correlation Coefficient: 0,414. The multivariate analysis with logistic regression showed that variables that most influence the prevention of TB disease is knowledge with (p=0,040) with (OR=0,096). Conclusion : the better of knowledge level and family tuberculosis patient attitude, the better of family’s effort about preventing tuberculosisKeywords: Knowledge, Attitude and Prevention Tuberculosis Disease 
Hubungan antara Jenis Persalinan dengan Kondisi Janin Saat Lahir pada Kejadian Preeklampsia pada Ibu Bersalin di RSUD Waled Kabupaten Cirebon Tahun 2017 Nurlita Fauziyyah Basri; Dadan Ramadhan Apriyanto; Catur Setiya Sulistiyana
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 6, No 1 (2020): Tunas Medika Jurnal Kedokteran & Kesehatan
Publisher : Tunas Medika Jurnal Kedokteran & Kesehatan

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ABSTRAKLatar Belakang: Preeklampsia adalah suatu penyakit yang dialami oleh ibu hamil yang ditandai dengan adanya tanda-tanda hipertensi (tekanan darah tinggi), edema (pembengkakan), dan proteinuria (kadar protein dalam urin meningkat). Dampak preeklampsia pada ibu adalah eklampsia, dan sindrom HELLP yaitu hancurnya sel darah merah, peningkatan enzim hati, dan jumlah trombosit yang rendah yang dapat menyebabkan kematian pada ibu bahkan janinnya. Sedangkan dampak preeklampsia pada janin adalah kekurangan nutrisi, yang dapat mengakibatkan gangguan pertumbuhan janin dalam kandungan, BBLR, asfiksia neonatorum, dan prematur yang dapat menimbulkan cacat janin yang lebih besar. Jenis persalinan pada ibu preeklampsia, dapat dilakukan dengan cara induksi persalinan agar dapat lahir dengan persalinan normal atau seksio sesarea. Tujuan: Menganalisis Hubungan antara Jenis Persalinan dengan Kondisi Janin Saat Lahir pada Kejadian Preeklampsia pada Ibu Bersalin di RSUD Waled Kabupaten Cirebon Tahun 2017. Metode: Jenis penelitian yang digunakan adalah penelitian observasional analitik dengan metode cross sectional. Teknik pengambilan sampel dengan cara Total Sampling. Data yang sudah dikumpulkan diolah metode analisis tabulasi silang (crosstabs) dengan uji chi-square. Hasil: Kejadian ibu preeklampsia sebanyak 236 responden dengan preeklampsia ringan terdapat sebanyak 65 responden (27,5%) mengalami persalinan normal dan sebanyak 17 responden (7,2%) mengalami persalinan caesar, sedangkan untuk  responden yang preeklampsia berat terdapat sebanyak 98 responden (41,5%) dan mengalami persalinan normal sebanyak 56 responden (23,7%)  mengalami persalinan caesar. analisis hubungan didapatkan bahwa nilai p sebesar 0,013 (p ≤0,05). Simpulan: Terdapat hubungan antara kejadian preeklampsia pada ibu bersalin dengan jenis persalinan dan kondisi janin saat lahir di RSUD Waled Kabupaten Cirebon.Kata Kunci: Preeklampsia, Jenis Persalinan, Kondisi Janin ABSTRACTIntroduction: Preeclampsia is a disease of pregnant women characterized by signs of hypertension (high blood pressure), edema (swelling), and proteinuria (increased urinary protein levels). Several effect of preeclampsia on the mother is eclampsia, and HELLP syndrome is the destruction of red blood cells, elevated liver enzymes, and low platelet counts that can cause death to the mother and even the fetus. Several effects of preeclampsia on the fetus are nutritional deficiencies, which can lead to impaired fetal growth in uterine, LBW, neonatal asphyxia, and prematures that can cause greater fetal deformities. The type of labor in the mother of preeclampsia, can be done by induction of labor in order to be born with a normal delivery or cesarean section. Objective: To analyze the relationship between preeclampsia incidence in maternal mothers with the type of childbirth in RSUD Waled Kabupaten Cirebon in 2017. Methods: The type of research used is observational analytic research with cross sectional method. Sampling technique by Total Sampling. The collected data was processed by cross-tabulation analysis method (crosstabs) with chi-square test. Results: The incidence of preeclampsia mothers was mild preeclampsia with experienced normal and Caesarean delivery delivery of 65 respondents (27.5%) and 17 respondents (7.2%), respectively. Meanwhile the incidence of preeclampsia mothers was severe preeclampsia with experienced normal and Caesarean delivery delivery of 98 respondents (41.5%)% and 56 respondents (23.7%), respectively. Relationship analysis found that the p value of 0.013 (p ≤0.05). Conclusions: There is a correlation between preeclampsia incidence in maternal mother with type of childbirth and condition of fetus at birth in RSUD Waled Kabupaten Cirebon.Keywords: Preeclampsia, Type of Labor, Fetal Conditions
Uji Efektivitas Ekstrak Buah Labu Siam (Sechium edule.) dalam Menurunkan Kadar Glukosa Darah Tikus Wistar Jantan yang Diinduksi Streptozotosin Febri Yudha Adhi Kurniawan; Uswatun Khasanah; Catur Setiya Sulistiyana
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 4, No 2 (2018): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Tunas Medika Jurnal Kedokteran & Kesehatan

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ABSTRAKDiabetes Mellitus adalah penyakit kronis yang terjadi karena pankreas tidak menghasilkan cukup insulin. Pengobatan alternatif yang sering digunakan untuk pengobatan diabetes mellitus salah satunya adalah buah labu siam karena memiliki kandungan flavonoid, niasin dan kalsium yang dapat menurunkan kadar glukosa darah. Penelitian ini dilakukan untuk menganalisis pengaruh pemberian ekstrak buah labu siam (Sechium edule.) terhadap penurunan kadar glukosa darah tikus wistar jantan yang diinduksi streptozotosin. Penelitian menggunakan eksperimental desain pre dan post test with control  group design. Sampel penelitian sebanyak 30 ekor tikus wistar jantan dibagi 6 kelompok yaitu 3 kelompok kontol (Kontrol Normal,Kontrol Negatif,Kontrol Positif) dan 3 perlakuan ekstrak buah labu siam (Sechium edule.) dengan dosis 21,42,84 mg/200grBB tikus. Analisa data yang digunakan yaitu paired t test dan one way annova . Hasil penelitian menunjukkan bahwa ekstrak buah squash (Sechium edule.) Dengan dosis 84 mg / 200grBB efektif dalam menurunkan kadar glukosa darah dengan mean penurunan 154,6. Kesimpulan yang dapat ditarik adalah Ekstrak squash (Sechium edule.) Efektif untuk menurunkan kadar glukosa darah dan ada perbedaan yang signifikan pada masing-masing kelompok dengan p <0,05.Kata Kunci:  Diabetes Melitus, Ekstrak Buah Labu Siam (Sechium Edule.), Kadar Glukosa Darah, Streptozotosin.ABSTRACTDiabetes Mellitus is a chronic disease that occurs because the pancreas does not produce enough insulin. Alternative medicine that is often used for the treatment of diabetes mellitus one of them is squash because it has flavonoid content, niacin and calcium that can decrease blood glucose levels. This study was conducted to analyzing the effect of chayote extract (Sechium edule.) to decrease the blood glucose level of male wistar induced by streptozotocin. This research used experimental design, pre dan post test with control  group design. 30 male wistar rats as the sample were divided into 6 groups i.e 3 control groups (normal, negative, and positive control) and 3 experimental groups that were given the chayote extract (Sechium edule.) which the dosage was 21,42,84 mg/200grBB rat. The data was analyzed by paired t test and one way annova . The results showed that fruit squash extract (Sechium edule.) With dose of 84 mg / 200grBB was effective in lowering blood glucose level with mean decrease 154,6. The conclusion is Squash extract (Sechium edule.) was effective to decrease blood glucose levels and there is a significant difference in each group with p <0.05.Key word:  Diabetes Melitus, chayote extract (Sechium Edule.), blood glucose level, Streptozotocin.
EFFECT OF TREE MARIGOLD (Tithonia diversifolia (HEMSL.) A. GRAY) LEAVES INFUSION AND ETHANOL EXTRACT ON BLOOD GLUCOSE LEVEL AND LIVER HISTOPATHOLOGY OF STREPTOZOTOCIN-INDUCED MALE WISTAR RATS Rachma Ayu Maulidiany; Eni Suhaeni; Catur Setiya Sulistiyana; Ariestya Indah Permata Sari
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Common Indonesians often use alternative therapy for Diabetes Mellitus (DM) due to its high prevalence. Tree marigold (Tithonia difersivolia (Hemsl.) A. Gray) leaves show its positive effect in decreasing blood glucose level. Thus, it is important to analyze the negative effect of consuming the proposing alternative including its toxicity level to vital organs. This study aims to observe the blood glucose level and liver histopathology in streptozotocin-induced diabetic male rats treated by infusion and ethanol extract of the tree marigold leaves. Methods: Pretest and posttest with control group design experiment was conducted to analyze effect on blood glucose level and posttest only with control group design was for determining liver histopathology. Twenty-four male white rats (Wistar strain) were randomly divided into 4 groups: normal control group (KN), positive control group (K+) treated with 0.45mg/kg of glibenclamid, treatment group 1 (P1) treated by 100 mg/kg of tree marigold leaves ethanol extract, and treatment group 2 (P2) treated by 1373 mg/kg of tree marigold leaves infusion. The rats at the groups of K+, P1, and P2 were induced by streptozotocin to reach hyperglycemic state. Comparison of blood glucose level effect between infusion and ethanol extract was analyzed by One-Way ANOVA continued by post-hoc test, while comparison of liver histopathology effect was determined by Kruskal-Wallis continued by Mann-Whitney test. Results: Significant differences of blood glucose level decrease were found in all groups. Group P2 significantly decreased blood glucose level more than P1 (p=0.000) as much as 124.97 mg/dl and 101.46 mg/dl respectively. Significant differences of liver histopathology were obtained between KN vs K(+), KN vs P2, K(+) vs P2, and P1 vs P2. Group P2 showed more severe of liver histopathology changes than P1 (p=0.025). Conclusion: Tree marigold leaves extract is more effective in lowering blood glucose level and has less toxic effect to liver histopathology than its infusion. 
BRINGING MEDICAL GENETICS TO THE PUBLIC: THE CHALLENGES FOR INDONESIAN MEDICAL FACULTIES Catur Setiya Sulistiyana
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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THE CORRELATION BETWEEN MOTHER’S KNOWLEDGE, EDUCATION AND FAMILY INCOME WITH NUTRITIONAL STATUS OF TODDLER (AGED 1-5 YEARS) Ika Rena Pratiwi; Ricardi W Alibasjah; Catur Setiya Sulistiyana
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The role of mothers in the growth and development of toddlers is very important. Mothers must know and understand what is needed for that process because this will affect the nutritional status of toddlers. This relates to knowledge, education, and mother’s income which will affect the provision of food intake for infants. Nutritional status of children is still one of the problems in the world. The incidence of malnutrition in the world reached 104 million children and malnutrition is one-third causes of child mortality worldwide. Basic Health Research in 2007, the prevalence of toddler malnutrition in Indonesia was 18.4%, an increase from 2013 to 19.6% and decreased again in 2018 to 17.7% in the year.Aims: To find out the correlation between mothers’ knowledge level, education and family revenue with nutritional status of toddler.Methods: This research used  Cross Sectional design, used Accidental sampling techniques. The samples were taken 289 toddlers (1-5 years). The data obtained were analysed using spearman test.Results: Spearman test results showed there is no significant correlation (p> 0.05) between mother’s knowledge level, education and family revenue with nutritional status of toddler.Conclusion: There is no correlation between mother’s knowledge level, education and family revenue with nutritional status of toddler in Kalitanjung Cirebon Health Center. Keywords: Knowledge level, Mother’s education, Revenue, Nutritional status of toddler
BRINGING MEDICAL GENETICS TO THE PUBLIC: THE CHALLENGES FOR INDONESIAN MEDICAL FACULTIES Catur Setiya Sulistiyana
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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THE CORRELATION BETWEEN MOTHER’S KNOWLEDGE, EDUCATION AND FAMILY INCOME WITH NUTRITIONAL STATUS OF TODDLER (AGED 1-5 YEARS) Ika Rena Pratiwi; Ricardi W. Alibasjah; Catur Setiya Sulistiyana
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The role of mothers in the growth and development of toddlers is very important. Mothers must know and understand what is needed for that process because this will affect the nutritional status of toddlers. This relates to knowledge, education, and mother’s income which will affect the provision of food intake for infants. Nutritional status of children is still one of the problems in the world. The incidence of malnutrition in the world reached 104 million children and malnutrition is one-third causes of child mortality worldwide. Basic Health Research in 2007, the prevalence of toddler malnutrition in Indonesia was 18.4%, an increase from 2013 to 19.6% and decreased again in 2018 to 17.7% in the year. Aims: To find out the correlation between mothers’ knowledge level, education and family revenue with nutritional status of toddler. Methods: This research used Cross Sectional design, used Accidental sampling techniques. The samples were taken 289 toddlers (1-5 years). The data obtained were analysed using spearman test. Results: Spearman test results showed there is no significant correlation (p> 0.05) between mother’s knowledge level, education and family revenue with nutritional status of toddler. Conclusion: There is no correlation between mother’s knowledge level, education and family revenue with nutritional status of toddler in Kalitanjung Cirebon Health Center. Keywords: Knowledge level, Mother’s education, Revenue, Nutritional status of toddler
EFFECT OF TREE MARIGOLD (Tithonia diversifolia (HEMSL.) A. GRAY) LEAVES INFUSION AND ETHANOL EXTRACT ON BLOOD GLUCOSE LEVEL AND LIVER HISTOPATHOLOGY OF STREPTOZOTOCIN-INDUCED MALE WISTAR RATS Rachma Ayu Maulidiany; Eni Suhaeni; Catur Setiya Sulistiyana; Ariestya Indah Permata Sari
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Common Indonesians often use alternative therapy for Diabetes Mellitus (DM) due to its high prevalence. Tree marigold (Tithonia difersivolia (Hemsl.) A. Gray) leaves show its positive effect in decreasing blood glucose level. Thus, it is important to analyze the negative effect of consuming the proposing alternative including its toxicity level to vital organs. This study aims to observe the blood glucose level and liver histopathology in streptozotocin-induced diabetic male rats treated by infusion and ethanol extract of the tree marigold leaves. Methods: Pretest and posttest with control group design experiment was conducted to analyze effect on blood glucose level and posttest only with control group design was for determining liver histopathology. Twenty-four male white rats (Wistar strain) were randomly divided into 4 groups: normal control group (KN), positive control group (K+) treated with 0.45mg/kg of glibenclamid,treatment group 1 (P1) treated by 100 mg/kg of tree marigold leaves ethanol extract, and treatment group 2 (P2) treated by 1373 mg/kg of tree marigold leaves infusion. The rats at the groups of K+, P1, and P2 were induced by streptozotocin to reach hyperglycemic state. Comparison of blood glucose level effect between infusion and ethanol extract was analyzed by One-Way ANOVA continued by post-hoc test, while comparison of liver histopathology effect was determined by Kruskal-Wallis continued byMann-Whitney test. Results: Significant differences of blood glucose level decrease were found in all groups. Group P2 significantly decreased blood glucose level more than P1 (p=0.000) as much as 124.97 mg/dl and 101.46 mg/dl respectively. Significant differences of liver histopathology were obtained between KN vs K(+), KN vs P2, K(+) vs P2, and P1 vs P2. Group P2 showed more severe of liver histopathology changes than P1 (p=0.025). Conclusion: Tree marigold leaves extract is more effective in lowering blood glucose level and has less toxic effect to liver histopathology than its infusion.