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                        Perceived Benefits and Intakes of Protein, Vitamin C and Iron in Preventing Anemia among Pregnant Women 
                    
                    Mira Triharini; 
Nursalam Nursalam; 
Agus Sulistyono; 
Merryana Adriani; 
Pei-Lun Hsieh                    
                     Jurnal Ners Vol. 13 No. 2 (2018): October 2018 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/jn.v13i2.7712                            
                                            
                    
                        
                            
                            
                                
Introduction: Nutritional adequacy is essential in ensuring the normal growth and development of the fetus. Perceived benefits will be able to strengthen pregnant women to meet optimum nutritional intake to prevent anemia. Adequacy of protein, vitamin C and iron will reduce the risk of iron deficiency anemia in pregnancy. This study aims to examine the association between perceived benefits with protein, vitamin C, and iron intake in preventing pregnancy anemia.Methods: This study used a cross-sectional design and was conducted in August-October 2017 among105 pregnant women. This study used the multistage random sampling method. The population of this study was pregnant women who had antenatal care in four Community Health Centre in Surabaya namely Jagir, MedokanAyu, SidotopoWetan, and Gundih. Results: The average daily protein intake was 76.34 (SD = 35.88) gram/day. There was a significant association between perceived benefits with protein intake (r = 0.272; p = 0.005). The average daily vitamin C intake was 90.67 (SD = 116.54) mg/day. There was no significant association between perceived benefits and vitamin C intake (r = 0.175; p = 0.074). The average daily iron intake was 64.73 (SD = 23.13) mg/day. There was a significant association between perceived benefits and iron intake (r = 0.219; p = 0.025).Conclusion: The knowledge of pregnant women about the benefits of nutrition will affect the adequacy of pregnancy nutrition. Health workers need to provide health education on the importance of nutrition for pregnant women to prevent anemia during pregnancy.
                            
                         
                     
                 
                
                            
                    
                        The Effect of Health Promotion Model and Self Determination Theory Based Intervention on Anemia Prevention Behavior and Haemoglobin Level in Pregnant Women 
                    
                    Mira Triharini; 
Agus Sulistyono; 
Merryana Adriani; 
Shrimarti Rukmini Devy                    
                     Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/jn.v14i1.15213                            
                                            
                    
                        
                            
                            
                                
Introduction: Anemia during pregnancy has an impact on pregnancy and fetus. The low status of prenatal iron in pregnant women may also affect neurodevelopment and behavior in children. Many pregnant women still do not have good behaviors in preventing anemia. The objective of the study was to analyze the effect of Health Promotion Model and Self Determination Theory Based Intervention on anemia prevention behaviors and haemoglobin level in pregnant mothers.Methods: This research was a quasi-experiment research with a pre- and post-test using a control group design. The samples were 30 pregnant women who did antenatal care in Community Health Center of Tanah Kali Kedinding Surabaya. Data were collected using questionnaires, food recall in 2x24 hours, and haemoglobin level examination using the cyanmethaemoglobin method.Results: There was an effect of Health Promotion Model and Self Determination Theory Based Intervention to anemia prevention behaviors and haemoglobin level (p = 0.013; p = 0.040).Conclusion: Health Promotion Model and Self Determination Theory Based Intervention improve the anemia prevention behaviors and haemoglobin level. Health workers can use Health Promotion Model and Self Determination Theory Based Intervention to improve anemia prevention behavior
                            
                         
                     
                 
                
                            
                    
                        The Affirmation – Tapping on Pain Perception and Serotonin Serum Level of Post – Caesarian Section patients 
                    
                    Joko Suwito; 
Suhartono Taat Putra; 
Agus Sulistyono                    
                     Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/jn.v14i2.16421                            
                                            
                    
                        
                            
                            
                                
Introduction: Affirmation - tapping interventions have been shown to reduce pain complaints in post-operative patients completing conventional treatment. This is thought to be due to serotonin performance but clinical studies have not been conducted. The aim was to compare the mean perception of the pain reported by post-operative patients given affirmation- tapping treatment with another treatment as a complementary nursing intervention. This was to see if the performance of the serotonin serum level is different from in other treatments.Methods: We used a randomized post-test only control group design carried out in parallel in post-caesarean section patients. The sample totaled 40 patients divided into four groups (10 in affirmation, 10 in tapping, 10 in affirmation-tapping and 10 in the control). They were obtained through simple random sampling. The instruments included affirmation-tapping guidelines, Elisa kits and the McGill - Melzack Pain Questionnaire short-form (MPQsf). The independent variable was the intervention of affirmation-tapping and the dependent variables were pain perception and serotonin level. The data was analyzed using simple linear regression.Results: The average variant of the serotonin levels in the affirmation-tapping treatment group was higher and thus differed significantly from the other groups.Conclusion: Affirmation-tapping as a complementary nursing intervention can increase the serotonin serum levels of the post-caesarean section patients by complementing conventional treatments. Participant pain complaints were lowest in the affirmation-tapping group with the highest serotonin levels present and these were significantly different to the other groups. Affirmation – tapping was recommended as a complementary intervention in nursing post-operative patients that complements conventional treatment.
                            
                         
                     
                 
                
                            
                    
                        The Effect of a Combination of Autogenic and Benson Relaxation on Sleep Quality among Pregnant Women with Hypertension 
                    
                    Esa Rosyida Umam; 
Agus Sulistyono; 
Esti Yunitasari                    
                     International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 4 (2020): International Journal of Nursing and Health Services (IJHNS) 
                    
                    Publisher : Alta Dharma Publisher 
                    
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                                DOI: 10.35654/ijnhs.v3i4.257                            
                                            
                    
                        
                            
                            
                                
Physical changes, such as changes in body habitus, and hormonal changes, including dramatic increases in estrogen and progesterone, are recognized contributors to sleep disturbance in pregnancy. The study aimed to examine the effect of combined Autogenic and Benson relaxation on sleep quality in pregnant women with hypertension. A quasi-experimental, pre-test, and post-test with a control group was applied in this study. Forty-six samples were recruited using a non-probability sampling such as consecutive sampling and assigned to the intervention group (n=23) and the control group (n=23). The intervention group did the relaxation two times per day for two weeks, then no intervention for the control group. Significant findings were analyzed using chi-square. There was a statistically significant difference between groups regarding daily sleep time, Pittsburgh Sleep Quality Index (PSQI) score, and sleep quality after the intervention. The results (p<0,05) showed that the mean intervention group PSQI score decreased from indicating significant differences in the decline PSQI score between the intervention and the control group. It was found that combined autogenic, and Benson relaxation as one of the non-pharmacological interventions effectively improved participants' sleep quality. Instruct pregnant women about appropriate non-pharmacological interventions which have no side-effects to enhance the quality of sleep Results: there was a statistically significant difference between groups regarding daily sleep time, Pittsburgh Sleep Quality Index (PSQI) score and sleep quality after intervention. The results (p<0,05) showed that the mean intervention group PSQI score decrease from indicating that there were significant differences in the decrease PSQI score between the intervention and the control group. Conclusion: It was found that combined autogenic and benson relaxation as one of the non-pharmacological interventions was effective in improving participants sleep quality. Instruct pregnant women about appropriate non-pharmacological interventions which have no side-effects to improve sleep quality.
                            
                         
                     
                 
                
                            
                    
                        ICP MONITOR PLACEMENT STEPWISE EARLY DECOMPRESSIVE CRANIECTOMY FOR THE MANAGEMENT OF SEVERE TBI PATIENTS: A CASE REPORT 
                    
                    Dirga Rachmad Aprianto; 
Achmad Kurniawan; 
Andhika Tomy Permana; 
Fadillah Putri Rusdi; 
Akbar Wido; 
Bagus Sulistyono; 
Made Gemma Daniswara Maliawan; 
Tedy Apriawan; 
Abdul Hafid Bajamal                    
                     Molucca Medica VOLUME 11, NOMOR 2, OKTOBER 2018 
                    
                    Publisher : Pattimura University 
                    
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                                DOI: 10.30598/molmed.2018.v11.i2.35                            
                                            
                    
                        
                            
                            
                                
Pendahuluan. Peningkatan tekanan intrakranial (ICP) merupakan kejadian sekunder yang sering terjadi setelah cedera otak traumatis (TBI) dan berkorelasi dengan hasil yang buruk pada pasien. Beberapa penelitian menunjukkan bahwa kraniektomi dekompresif awal (DC) (dalam 48 jam setelah cedera) direkomendasikan untuk pasien dengan TBI berat yang membutuhkan evakuasi perdarahan intrakranial dan DC awal mampu mengurangi komplikasi TBI yang disebabkan oleh peningkatan TIK. Namun, meskipun DC awal telah dilakukan, peningkatan TIK masih dapat berlangsung karena terjadi edema otak yang masif. Metode. Sebuah kasus pasien yang dirawat dengan TBI berat dan perdarahan intrakranial. Pasien kemudian menjalani DC dan pemasangan ICP monitor setelah evakuasi perdarahan intrakranial. Selama observasi pasca operasi di ICU, cairan serebrospinal (CSF) pasien secara bertahap akan dikeluarkan jika ICP lebih dari 15mmHg. Hasil. ICP sesaat setelah dilakukan DC awal yaitu 30cm H20 (22 mmHg). Hari pertama setelah operasi, hemodinamik pasien stabil dan GCS 2X5 dengan ICP pasien sekitar 18 cmH2O. Pada hari ke 2-5, pasien hemodinamik stabil dengan GCS membaik (3X5) dengan penurunan ICP (sekitar 13-15 cmH2O). Pada hari ke-6, ICP monitor dilepaskan dan pasien dipulangkan pada hari ke 19 setelah pulih sepenuhnya. Kesimpulan. Penempatan ICP monitor dan aplikasi pelepasan CSF secara bertahap setelah DC mungkin membantu mengurangi peningkatan ICP pada pasien dengan TBI berat, dan dengan demikian mengurangi morbiditas dan mortalitas.
                            
                         
                     
                 
                
                            
                    
                        Risk Factor Prevalence of Late Onset Preeclampsia in Dr. Soetomo General Hospital Surabaya 
                    
                    Fajrinka Pralampito; 
Agus Sulistyono; 
Sri Purwaningsih                    
                     JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 12 No. 2 (2021): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga 
                    
                    Publisher : Faculty of Medicine Universitas Airlangga 
                    
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                                DOI: 10.20473/juxta.V12I22021.54-56                            
                                            
                    
                        
                            
                            
                                
Introduction: Preeclampsia is a condition of hypertension that occurs after 20 weeks of gestation, followed by the detection of protein in the urine sample, and is one of the major causes of maternal mortality. It is categorized, based on time of gestation, into 2-stage are early and late-onset. One of the more accessible tools in diagnosing and also preventing preeclampsia is by its risk factors. The aim of this study was to observe the appearance of some of the risk factors in patients with late-onset preeclampsia and to allow a better approach in patients with said comorbidities.Methods: This was a descriptive observational study. The sample used was 35 patients diagnosed with late-onset preeclampsia in Dr. Soetomo General Hospital Surabaya from January to December 2016.Results: Among 35 patients diagnosed with late-onset preeclampsia, obesity (65.71%) appeared the most. Maternal age (37.15%) and primigravida (28.57%) appeared in second and third places. Chronic hypertension appeared only in 6 (17.14%) patients, whereas multiple pregnancies appeared in 3 (8.57%). Both patients with a history of previous preeclampsia and diabetes mellitus only appeared once (2.86%).Conclusion: Obesity has the most appearance in patients with late-onset preeclampsia, followed by maternal age and primigravida. 
                            
                         
                     
                 
                
                            
                    
                        Diagnostic Value of IGFBP-1 Rapid Test and Combined IGFBP-1-AFP in Vaginal Fluid from Premature Rupture of Amniotic Membranes 
                    
                    Aryati Aryati; 
Lulut Kusumawati; 
Agus Sulistyono                    
                     Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015 
                    
                    Publisher : Indonesian Socety of Obstetrics and Gynecology 
                    
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                                DOI: 10.32771/inajog.v3i3.42                            
                                            
                    
                        
                            
                            
                                
Objective: To compare the diagnostic value of IGFBP-1 and combined IGFBP-1-AFP rapid tests in diagnosing premature rupture of membranes (PROM). Method: This study was conducted in Dr. Soetomo Hospital in Surabaya from July to November 2013. The subjects were 52 pregnant women with presumed PROM diagnosis, which was recorded by clinical data and sampling of vaginal discharge swab. The diagnostic value was obtained by comparing the results of IGFBP-1 and combinated IGFBP-1-AFP rapid tests by standard PROM examination namely vaginal pooling, litmus paper test and ferning test. Result: A difference between the diagnostic value of IGFBP-1 and combined IGFBP-1-AFP rapid tests in diagnosing PROM was shown, where the sensitivity and specificity of IGFBP-1 rapid test was 85% and 95%, compared to combined IGFBP-1-AFP rapid test, which was 91% and 95%. The correlation coefficient of combined IGFBP-1-AFP rapid test with standard PROM examination (r=0.841, p=0.000) was higher than the correlation coefficient of IGFBP-1-AFP rapid test with standard PROM examination (r=0.772, p=0.000). Conclusion: Combined IGFBP-1-AFP rapid test has a better diagnostic value than IGFBP-1 rapid test alone. Keywords: combined IGFBP-1-AFP, IGFBP-1, PROM
                            
                         
                     
                 
                
                            
                    
                        Pereira Suture: an Alternative Compression Suture to Treat Uterine Atony 
                    
                    Agung B Setiyono; 
Alamsyah Aziz; 
Agus Sulistyono; 
Johanes C Mose                    
                     Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 3, July 2015 
                    
                    Publisher : Indonesian Socety of Obstetrics and Gynecology 
                    
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                                DOI: 10.32771/inajog.v3i3.50                            
                                            
                    
                        
                            
                            
                                
Objective: To evaluate the use of Pereira suture as a conservative surgical management in postpartum hemorrhage due to uterine atony. Methods: The study was performed in the Department of Obstetrics and Gynecology, Temanggung General Hospital, Central Java, Indonesia. Data was retrieved retrospectively from medical records, from January 2011 until December 2013. Results: Pereira suture was done in four cases of uterine atony with failed conservative management, and the procedure was found to be successful in all cases. Conclusion: Pereira suture is an alternative surgical procedure for the treatment of uterine atony after failed conservative management. [Indones J Obstet Gynecol 2015; 3: 177-182] Keywords: pereira suture, postpartum hemorrhage, uterine atony
                            
                         
                     
                 
                
                            
                    
                        Conservative Surgical Management of Postpartum Hemorrhage (PPH) Using ’Surabaya Method’ (Modified B-Lynch Compression Suture) 
                    
                    Agus Sulistyono                    
                     Indonesian Journal of Obstetrics and Gynecology Volume. 34, No. 3, July 2010 
                    
                    Publisher : Indonesian Socety of Obstetrics and Gynecology 
                    
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Objective: To evaluate the efficacy of PPH management by conservative surgical management using B-Lynch Method and Surabaya method (Modified B-Lynch compression suture) as an alternative to hysterectomy in PPH due to uterine atony. Method: Eighty-four cases of PPH from 2786 deliveries were recruited in period of July 1, 2007 - August 31, 2008. The study was perfomed in Ob/Gyn Dept. Dr. Soetomo Hospital Surabaya, Indonesia. Its management consisted of 72 cases succeed with medical (uterotonics) and mechanical technique (tamponade technique) and the remain of 12 failed cases was done by conservative surgical technique that preserving uterus. The surgically therapy on these 12 cases were proceeded by B-Lynch technique on 4 cases and another 8 cases with Surabaya Method in which the technique was done by performing brace suturing way with 3 longitudinally stitches using chromic catgut no 2 and round needle. Result: From 12 cases showed that all 8 cases with Surabaya Method technique were success to stop bleeding, but 2 cases were failed from B-Lynch Method and hysterectomy were done. Two out of 8 cases Surabaya Method and 1 B-Lynch technique case were ended with death which possible causes were HELLP syndrome, DIC and multiple organ failure complication in severe preeclampsia, although actually the bleeding had already been stopped. Conclusion: The present study showed that Surabaya Method was effective to stop bleeding in PPH conservative surgical management with uterus preserving. Beside simple, effective and easy to implement, the advantage of Surabaya Method was quick. [Indones J Obstet Gynecol 2010; 34-3: 108-13] Keywords: PPH conservative management, Surabaya Method, B-Lynch technique
                            
                         
                     
                 
                
                            
                    
                        KAJIAN DOSIS PUPUK PHONSKA PADA DUA VARIETAS SEMANGKA TERHADAP PERTUMBUHAN DAN HASIL BUAH SEMANGKA 
                    
                    Suwandi Suwandi; 
Agus Sulistyono                    
                     AGRITROP Vol 11, No 1 (2013): Agritrop: Jurnal Ilmu-Ilmu Pertanian 
                    
                    Publisher : Universitas Muhammadiyah Jember 
                    
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                                DOI: 10.32528/agr.v11i1.669                            
                                            
                    
                        
                            
                            
                                
Penelitian ini bertujuan untuk mengetahui dan mengkaji dosis pupuk majemuk phonska pada dua varietas semangka yaitu varietas New Dragon dan varietas Quality terhadap pertumbuhan dan hasil buah semangka. Penelitian ini merupakan percobaan faktorial yang terdiri dari dua faktor dan diulang tiga kali. Rancangan yang digunakan adalah Rancangan Petak Terbagi (RPT) dengan petak utama adalah dosis pupuk phonska dan anak petak adalah varietas tanaman semangka. Dosis pupuk phonska terdiri dari 5 level, yaitu P1 : 600 kg/ha, P2 : 900 kg/ha, P3 : 1200 kg/ha, P4 : 1500 kg/ha dan P5 : 1800 kg/ha. Varietas terdiri dari dua level yaitu V1 : varietas New Dragon dan V2 : varietas Quality.Penentuan dosis pupuk phonska yanng tepat pada dua varietas semangka diharapkan dapat meningkatkan pertumbuhan dan hasil buah semangka. Perlakuan kombinasi antara dosis pupuk phonska dan varietas semangka berpengaruh nyata terhadap jumlah daun pada umur 30 dan 48 hari setelah tanam, berat buah per tanaman dan kadar gula buah.  Kata kunci : Pupuk Phonska, varietas New Dragon, dan varietas Quality.