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Dominant Risk Factors in Stroke Cases at A Young Age: A Systematic Review And Meta Analysis Adriani, Rita Benya; Sulistyowati, Dwi; Hapsari, Happy Indri
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 2 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: April 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i2.3706

Abstract

Stroke in young adults is a significant global health concern, with multiple risk factors contributing to its incidence. Identifying these risk factors is crucial for prevention and early intervention. However, limited studies focus on young stroke patients, making a systematic review and meta-analysis necessary to synthesize available evidence. Objective: This study aims to systematically review and analyze the association between hypertension, smoking, alcohol consumption, and waist-to-hip ratio with the incidence of stroke in young adults through a meta-analysis of observational studies. Method: A systematic review and meta-analysis were conducted following PRISMA guidelines. Literature searches were performed in Google Scholar, ProQuest, and PubMed from January 1, 1990 up to January 31, 2024, using predefined keywords. Eligible studies included case-control studies employing logistic regression analysis. Quality assessment was conducted using the Newcastle-Ottawa Scale. Odds ratios (OR) with 95% confidence intervals (CI) were calculated using a random-effects or fixed-effects model depending on heterogeneity levels. Statistical analyses were performed using Review Manager (RevMan) software. Results: Three studies were included in the meta-analysis. Hypertension (OR 4.24, 95% CI: 2.12–8.48, p=0.0001, I²=69%) and alcohol consumption (OR 6.29, 95% CI: 2.27–17.45, p=0.0004, I²=0%) were significantly associated with stroke. Smoking also showed a significant association (OR 2.04, 95% CI: 1.40–2.97, p=0.0002, I²=0%). However, waist-to-hip ratio was not significantly associated (OR 3.64, 95% CI: 0.57–23.10, p=0.17, I²=76%). Conclusions: Hypertension, alcohol consumption, and smoking are significant risk factors for stroke in young adults, while waist-to-hip ratio shows no clear association. These findings emphasize the importance of targeted preventive strategies to reduce stroke incidence in younger populations.
PEMBERDAYAAN MASYARAKAT PENCEGAHAN DINI PENYAKIT ASAM URAT DI POSBINDU DESA PELEMAN GEMOLONG Sulistyowati, Dwi; Rita Benya Adriani; Suryanti, Suryanti
Jurnal Indonesia Mengabdi Vol. 4 No. 2 (2025): Jurnal Indonesia Mengabdi (JIM)
Publisher : Tahta Media Grup

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/jim.v4i2.1497

Abstract

Gout as a type of inflammatory arthritis caused by the deposition of monosodium urate crystals contained in synovial fluid. Gout can cause a decrease in the quality of life for sufferers, because people who experience gout will feel pain that interferes with activity and comfort. Early prevention is an important step to reduce the incidence of this disease, especially through a community empowerment approach. Community empowerment activities aim to determine the description of the quality of life of the elderly who experience gout. This community service uses a descriptive type that aims to determine the description of the quality of life of the community / elderly who experience gout with a survey approach. This approach was carried out at Posbindu Peleman Village, Gemolong District, Sragen Regency. Community service was carried out during July December 2024. The results of community service show that 70% of the community has done the right diet, and 30% of the community still has difficulty living a healthy life. The conclusion of community service shows a significant increase in the understanding and skills of the community in early prevention of gout.
Intervensi Berg Balance Test (BBT) Terhadap Penurunan Risiko Jatuh Pada Lansia Dengan Hipertensi Sedang Pridani Tio Kumala Jati; Adriani, Rita Benya; Tarnoto, Koko Wahyu; Sulistyowati, Dwi
Jurnal Riset Kesehatan Nasional Vol. 9 No. 2 (2025)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v9i2.653

Abstract

Abstrak Lansia yang memiliki hipertensi sering mengalami gejala pusing, mudah lelah, dan mata berkunang-kunang. Hal tersebut mengakibatkan penurunan kontrol keseimbangan yang berisiko jatuh. Untuk mencegah terjadinya jatuh pada lansia salah satunya melalui latihan keseimbangan. Tujuan dari penelitian ini untuk mengetahui pengaruh latihan keseimbangan BBT terhadap penurunan risiko jatuh pada lansia dengan hipertensi di Desa Joton Jogonalan Klaten. Metode penelitian menerapkan Quasy Experiment pre-post-test with control groups design. Sejumlah 36 responden sampel penelitian dibagi atas kelompok intervensi beserta kontrol. Uji statistik independent-t test diperoleh nilai Sig. <0.001 (p-value < 0.05) artinya setelah dilakukan latihan keseimbangan BBT terdapat penurunan risiko jatuh pada lansia dengan hipertensi sedang di Desa Joton Jogonalan Klaten Hasil penelitian ini membuktikan bahwa latihan keseimbangan BBT bisa meminimalisir risiko jatuh pada lansia dengan hipertensi sedang dan diharapkan lansia dapat mengaplikasikan latihan keseimbangan BBT ini secara berkesinambungan.   Kata Kunci: Lansia, Hipertensi, Risiko Jatuh, Latihan Keseimbangan Berg Balance Test (BBT).
PREVALENSI URINARY SYMPTOMS PADA LANSIA Suryanti, Suryanti; Sulistyowati, Dwi
Medical Journal of Nusantara Vol. 2 No. 3 (2023): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

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

Abstract

Background: The aging process causes health problems in the elderly, including urinary system disorders. Urinary symptoms in the elderly are caused by decreased bladder function and decreased muscle tone around the urinary tract. Bladder sphincter effect or neurological dysfunction that causes loss of control over urination. Research objective: to determine the prevalence of Urinary Symptoms in the elderly. Research Method: analytical observational research with a cross sectional approach. Data collection was carried out using a questionnaire. Respondents were all elderly people who lived in the DPK Nursing Home. The instrument used is the International Consultant Incontinence Questionnaire-Urine Incontinence Short Form (ICIQ-UISF) using a diagnostic measuring tool for Urinary Symptoms, which is the ICIQ-UISF questionnaire which consists of 3 questions and has a total score of 21. Urinary Symptoms Score: 0-7, Urinary Symptoms score 8-14, Urinary Symptoms score: score 15-21. The analysis test used is with the help of the SPSS program. Research results: Residents of the DBK Surakarta Nursing Home based on the level of incontinence and female gender, the level of mild incontinence was 9 out of 31 respondents (29%), moderate was 15 out of 31 respondents (48%) and severe was 7 out of 31 respondents (23%). This is because with increasing age or the aging process, the urinary muscles will weaken and bladder capacity will decrease, and this is also supported by a weakening of the anal sphincter. Conclusions and Suggestions: The majority of elderly people in the DPK Nursing Home experience moderate levels of incontinence, so nurses and nursing home staff are expected to carry out further research, for example by providing interventions that can strengthen the pelvic muscles and strengthen the anal sphincter.
The Effect of Vasten Puki Yoga on Reduction of Incontinence in the Elderly Sulistyowati, Dwi; Adriani, Rita Benya
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.v7i2.5453

Abstract

Urinary incontinence is defined by the international continence society as a condition where uncontrollable urine output is a social or hygienic problem in the elderly and can be objectively proven. This study is looking for a model of gymnastic movements that are suitable for overcoming incontinence in the elderly, in the first year looking for gymnastic movements and getting a Vasten Puki Yoga gymnastics model that can be used as one of the effective interventions to control incontinence, which has been tested on elderly people in 5 elderly homes and get significant results without finding difficulties, which means that the Vasten Puki Yoga gymnastics movement can be used in the elderly. and in the second year the Vasten Puki Yoga gymnastics movement was used for research at Dr. Moewardi Surakarta Hospital. This study used a pre-experimental research design, namely one group pretest-postest. The population of this study were elderly people who experienced incontinence in nursing homes and poly Geriatric Hospital Dr. Moewardi Surakarta A total of 80 respondents with total sampling technique. The results of the Paired Sample T-test showed an average difference between pre-test and post-test of 8.30 with a significance value (2-tailed) of 0.000 <0.05. Yoga Vasten Puki exercise is an exercise designed with light movements for the elderly to reduce the frequency of micturition, because it can enable or activate the pelvic muscles. Yoga Vasten Puki exercise can be effective if done regularly at least twice a day and the movement is repeated 3 times for 4 weeks to reduce the frequency of micturition.
PENDAMPINGAN GIZI LANSIA DI DESA PELEMAN sulistyowati, Dwi; Suryanti, Suryanti; Adriani, Rita Benya
Jurnal Indonesia Mengabdi Vol. 2 No. 2 (2023): Jurnal Indonesia Mengabdi (JIM)
Publisher : Tahta Media Grup

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/jim.v2i2.363

Abstract

Asupan makanan akan mempengaruhi proses menua karena seluruh aktivitas sel atau metabolime dalam tubuh memerlukan zat-zat gizi yang cukup. Sementara itu perubahan biologis pada lanjut usia merupakan faktor internal yang pada akhirnya dapat mempengaruhi status gizi. Upaya pelayanan kesehatan paripurna bagi para lanjut usia perlu dikembangkan dalam rangka meningkatkan kesejahteraan lanjut usia, termasuk di dalamnya upaya pelayanan gizi pada lanjut usia. Hal ini juga berkaitan dengan meningkatnya angka kesakitan akibat penyakit degeneratif, disamping penyakit infeksi dan kurang gizi. Targer capean Lansia, keluarga, dan tokoh masyarakat, memahami Gizi untuk lansia. Setelah dilakukan praktek ketrampilan pendampingan gizi pada lansia, masyarakat memaham cara menyajikan dan memahami nilai gizi bagi lansia dengan benar.
PENYULUHAN TATALAKSANA DAN PENCEGAHAN OBESITAS PADA ANAK DAN REMAJA Sulistyowati, Dwi; Suryanti, Suryanti; Rita Benya Adriani
Jurnal Indonesia Mengabdi Vol. 3 No. 2 (2024): Jurnal Indonesia Mengabdi (JIM)
Publisher : Tahta Media Grup

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/jim.v3i2.1010

Abstract

Health development aims to increase awareness, willingness and ability to live healthily for everyone in order to achieve the highest level of public health. Management means structured and interrelated activities that produce output according to needs, so obesity prevention management is a structured program to prevent obesity. The increase in obesity is accompanied by an increase in comorbidities which have the potential to become degenerative diseases in the future, for example coronary heart disease, hypertension, Type 2 DM, etc. The difficulty of managing obesity makes prevention a top priority. The competence of pediatricians in detecting early adiposity rebound and managing immediate treatment with a healthy diet and activity approach needs to be possessed by all pediatricians in Indonesia. The target is to achieve children, adolescents and the community, and health cadres to understand obesity prevention management. Result: After providing assistance in the management and prevention of obesity, the community understands how to carry out and implement the theories regarding obesity prevention that have been given in everyday life.
Utilization Of Livestock Waste As A Realization Of Green Economy Of The Village Community Of Kesik, Masbagik District, East Lombok Maolida, Santia; Arrosid, Ibadurrahman; Turmuzi, Turmuzi; Sulistyowati, Dwi; Kholisah, Mutia Nur; Ningrum Ma’idah Putri, Cahya; Khaerdiansyah Putra, Arzam; Maulana, Adam; Jupina Ranti, Ketrin; Wartina, Salmia
Jurnal Wicara Vol 3 No 2 (2025): Jurnal Wicara Desa
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/wicara.v3i2.6766

Abstract

Program Kuliah Kerja Nyata (KKN) Universitas Mataram periode 2024/2025 dilaksanakan di Desa Kesik, Kecamatan Masbagik, Nusa Tenggara Barat (NTB), dengan fokus pada pemanfaatan limbah hewan ternak sebagai perwujudan ekonomi hijau masyarakat setempat. Mayoritas masyarakat Desa Kesik bekerja sebagai petani dan peternak, namun desa ini menghadapi permasalahan terkait pengolahan limbah hewan ternak yang berdampak negatif pada lingkungan dan kesehatan masyarakat. Program ini bertujuan memberikan edukasi dan pelatihan kepada masyarakat untuk mengolah limbah hewan ternak, khususnya limbah sapi, menjadi pupuk padat organik. Kegiatan meliputi sosialisasi, pelatihan praktis, serta monitoring dan evaluasi berkelanjutan. Hasil kegiatan ini menunjukkan keberhasilan dalam mengajarkan masyarakat cara pengolahan limbah ternak menjadi pupuk kandang organik. Pemantauan rutin dilakukan untuk memastikan proses fermentasi dan produksi pupuk kandang organik berjalan sesuai prosedur yang ditetapkan. Dengan adanya program ini, diharapkan dapat memberdayakan masyarakat Desa Kesik untuk mengolah limbah ternak menjadi pupuk yang bermanfaat bagi sektor pertanian serta mengurangi dampak negatif limbah terhadap lingkungan.
Comorbid Description and Neutrophil Lymphocyte Ratio in COVID-19 Patients (Suspect and Confirmed Patients) Widada , Subrata Tri; Martsiningsih, Marta Atik; Supriyanta, Bambang; Sistiyono; Suyana; Nuryani, Siti; Setiawan, Budi; Sulistyowati, Dwi; Muji Rahayu
JURNAL INFO KESEHATAN Vol 20 No 2 (2022): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol20.Iss2.1002

Abstract

Neutrophil Lymphocyte Ratio (NLR) is a laboratory available as a marker used for the evaluation of systemic inflammation, NLR is a significant predictor and is a critical prognosis for COVID-19 infection and can serve as a useful factor to reflect the intensity of the imbalance of inflammation and immune response in COVID-19 patients. This study aims to determine the difference in NLR values in negative and confirmed COVID-19 patients and description for comorbid for both. This study is an analytic observational study with a cross-sectional design. The study sample was 423 suspected COVID-19 patients at hospitals in Cilacap district for the period in March – October 2020. The data obtained were analyzed descriptively and using the fisher-exact test. In these results from suspected patients with negative COVID-19, lung illness were present 31.8%, viral infections 22.9%, other respiratory disorders 6.1%, diabetes mellitus 4.7%, and anemia 4.7%. Whereas suspected patients with confirmed COVID-19 were, without comorbid diseases (40.2%), lung disease (12.4%), diabetes mellitus (7.7%), hypertension (6.2%), and other respiratory illnesses (5.2%). The mean of NLR in confirmed patients is 3.57 but not any difference between negative and confirmed patients COVID-19, but there’s any a relationship between NLR and ARDS conditions.
Implementasi Asesmen Formatif Berbasis Web pada Pembelajaran Fikih di MAN 1 Boyolali Dwi Sulistyowati; Purnomo
Jurnal Inovasi Pendidikan dan Teknologi Informasi (JIPTI) Vol. 6 No. 2 (2025): Jurnal Inovasi Pendidikan dan Teknologi Informasi (JIPTI)
Publisher : Information Technology Education Department

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52060/jipti.v6i2.3797

Abstract

This study aims to analyze the implementation and impact of web-based formative assessment in Fiqh learning at MAN 1 Boyolali. The research employs a qualitative approach using a case study design. Data were collected through observations, interviews, and documentation involving Fiqh teachers, the school principal, and nine students from grades X, XI, and XII. The findings indicate that teachers design web-based formative assessments by aligning them with learning outcomes, students’ characteristics, and the digital context of the school. The assessments are conducted continuously through a web system that facilitates evaluation, reflection, and real-time feedback. The implementation of web-based assessments has been shown to enhance students’ motivation, engagement, and conceptual understanding of Fiqh, while simultaneously fostering values of honesty and responsibility.