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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Medula Jurnal Pengabdian Kepada Masyarakat Sakai Sambayan Belitung Nursing Journal Jurnal Kreativitas PKM Jurnal Kesehatan JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research Journal of Public Health Concerns Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Nemui Nyimah
Dyah Wulan Sumekar Rengganis Wardani
Bagian Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Lampung
Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Hubungan Faktor Sosial Ekonomi dan Ketahanan Pangan terhadap Kejadian Stunting pada Balita Wardani, Dyah Wulan Sumekar Rengganis; Wulandari, Marita; Suharmanto, Suharmanto
Jurnal Kesehatan Vol 11, No 2 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i2.2230

Abstract

Indonesia ranks third as a country with the highest stunting prevalence in Southeast Asia in 2017. Bandar Lampung, is one of the cities with a high prevalence of stunting; and Teluk Betung Selatan Subdistrict is an area with the highest prevalence of stunting in Bandar Lampung. This study aims to analyze the relationship between socioeconomic factors and food security on the incidence of stunting in children under five years. This study is a case-control study, with a case sample of 50 families who have stunted children under five years and the control sample is 50 families who have normal children under five years. The research variables included socioeconomic factors (education and income), food security factors (family food insecurity and food diversity), and the incidence of stunting, which were then analyzed by Chi-Square. The results showed that there was a relationship between socioeconomic factors and family food insecurity to the incidence of stunting. Therefore, stunting control programs need to involve these two factors in the intervention to reduce stunting in children under five years.
THE DIFFERENCES OF COMMUNITY KNOWLEDGE BETWEEN BEFORE AND AFTER HEALTH EDUCATION OF MALARIA Sa'diyah, Isma Fadlilatus; Wardani, Dyah Wulan Sumekar Rengganis; Kurniawan, Betta; Soleha, Tri Umiana
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 8 No. 2 (2020): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (187.22 KB) | DOI: 10.22437/jmj.v8i2.10209

Abstract

Background: Sukajaya Lempasing village is a malaria-endemic area with the increasing of Annual Parasitic Incident from 2015, which is 1.7 per 1,000 population to 2.2 per 1,000 population in 2016. The village has a higher Annual Parasite Incidence with a national Annual Parasite Incidence in Indonesia of 0.84 per 1,000 population. Various efforts have been made to prevent malaria, such as early diagnosis, prompt treatment, vector surveillance and control. However, the program has not been effective in reducing the number of malaria due to the lack of society’s knowledge about Malaria. Methods: This research uses the quasi-experimental method. The sampling technique is a total sampling. The study was conducted from April to June 2017, located in Sukajaya Lempasing Village, Pesawaran, Lampung. The samples obtained were 25 people. Data obtained from questionnaires. Results: The results of univariate analysis obtained abnormal distribution data with the p-value of pretest = 0.03 and p posttest = 0.00. Because the data is abnormally distributed, the bivariate analysis of the non-parametric Wilcoxon test is used which shows the value of p = 0.00. Conclussion: The conclusion of this research is the difference in knowledge about malaria before and after health education in the community of Sukajaya Lempasing Village. Keywords: Malaria, Health Education, Knowledge.
Pengaruh Ekstrak Etanol Daun Rhizophora apiculata terhadap Kolesterol Total dan Trigliserida Rattus norvegicus Galur Sprague dawley yang Diinduksi Diet Tinggi Lemak Mustofa, Syazili; Adli, Farhan Kamali; Wardani, Dyah Wulan Sumekar Rengganis; Busman, Hendri
Jurnal Kesehatan Vol 13 No 3 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i3.3178

Abstract

Dyslipidemia is a lipid metabolism disorder in the form of an increase and decrease in the lipid fraction which is one of the high-risk factors for coronary heart disease and other non-communicable diseases. Rhizophora apiculata contains secondary metabolites in the form of flavonoid, tannin, alkaloid, saponin, and terpenoid which are thought to have the effect of preventing an increase in total cholesterol and triglyceride. This research is an experimental study with a posttest-only control group design carried out for 30 days using 30 experimental animals of Rattus norvegicus Sprague Dawley. There were 6 treatment groups, KN which was only given standard feed, K+ which was given quail egg yolk induction, simvastatin 10 mg/day, and K- which was given quail egg yolk induction. On the other hand, P1, P2, and P3 were given quail egg yolk induction, respectively. and leaf extract of Rhizophora apiculata with doses of 56mg/KgBW,m28mg/KgBW, and 14mg/KgBW. Then the rats were terminated using ketamine xylazine and blood was taken through the heart to be examined for total cholesterol and triglyceride using spectrophotometry. The results of the normality Shapiro-Wilk and Levene test p-value>0.05. In the One-way Anova test, cholesterol levels were 0.006 and triglyceride 0,002 (p-value
The Relationship between House Conditions and the Household Contacts with the Incidence of Children's Pulmonary Tuberculosis Nasution, Rizqiani Astrid; Wardani, Dyah Wulan Sumekar Rengganis; Pramesona, Bayu Anggileo; Saputra, Oktadoni
Jurnal Kesehatan Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i1.4431

Abstract

Tuberculosis (TB) is a high risk in vulnerable groups with low immunity, such as children. Environmental factors and household contacts influence the high incidence of tuberculosis. This study aimed to analyze the relationship between housing conditions and the presence of household contacts with the incidence of pulmonary tuberculosis in children. This study used a case-control design. This study used a case-control design at the Puskesmas Kedaton Bandar Lampung from December 2023 to January 2024. The total sample was 58 children (29 cases and 29 controls), selected using Simple Random Sampling. The variables of this study were residential density, humidity, lighting, floor type, ventilation area, and the presence of household contacts. This study used univariate analysis, bivariate analysis with chi-square, and multivariate with multiple logistic regression. This study shows that there is a relationship between lighting (p=0,008), ventilation area (p=0,032), and the presence of household contacts (p<0,001) with the incidence of pulmonary TB in children. The factor most associated with the incidence of pulmonary TB in children was lighting (OR=6.061; 95% CI=1.768-20.777), which means children with home lighting that does not meet the requirements have a 6.061 times higher risk of experiencing childhood pulmonary TB than those who meet the lighting requirements. There is a relationship between lighting, ventilation area, and the presence of household contacts with the incidence of pediatric pulmonary tuberculosis in the Puskesmas Kedaton, Bandar Lampung working area.
Predisposing, enabling, and reinforcing factors for the success of antiretroviral (ARV) treatment among people living with HIV Atmajaya, Yudhi; Wardani, Dyah Wulan Sumekar Rengganis; Susianti, Susianti
Holistik Jurnal Kesehatan Vol. 18 No. 6 (2024): Volume 18 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i6.321

Abstract

Background: The Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) epidemic is now growing rapidly and becoming one of the biggest challenges, despite various efforts to control and suppress its transmission. Globally, HIV/AIDS is a health problem that can cause a multidimensional crisis. The HIV/AIDS control program is aimed at reducing morbidity and hospitalization rates, mortality due to AIDS, and improving the quality of life of HIV sufferers. Purpose: To determine the effect of predisposing, enabling, and reinforcing factors on the success of antiretroviral (ARV) treatment in people with HIV/AIDS. Method: A Quantitative research of cross-sectional analytical survey conducted at the Bandar Lampung City Health Center for 2 months in January-February 2024. The number of samples in this study was 122 respondents taken using purposive sampling technique. The instrument used was a questionnaire that had been declared valid in the validity and reliability tests. Data analysis used univariate and bivariate chi-square tests with confidence intervals (CI), significance level p <0.05. Results: Several factors that influence success include clinical stage (p-value=0.014), comorbidities (p-value=0.000), and treatment adherence (p-value=0.000). Conclusion: There is a significant influence between clinical stage, comorbidities, and adherence to the success of ARV treatment. Meanwhile, there is no significant relationship between the duration of ARV treatment and the combination of ARV therapy with the success of treatment. In increasing the success of treatment, people with HIV/AIDS must maintain their health so that opportunistic infections (HIV comorbidities) do not occur and remain in the early clinical stage.   Keywords: Antiretroviral (ARV); Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS); People Living with HIV (PLHIV); Threatment.   Pendahuluan: Epidemi Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) kini semakin berkembang cepat  dan menjadi salah satu tantangan terbesar, meskipun telah dilakukan berbagai upaya untuk mengendalikan serta menekan penularannya. Secara global HIV AIDS merupakan masalah kesehatan yang dapat menyebabkan krisis multidimensi. Program pengendalian HIV/AIDS ditujukan untuk menurunkan angka kesakitan dan rawat inap, angka kematian yang berhubungan dengan AIDS, dan meningkatkan kualitas hidup orang terinfeksi HIV. Tujuan: Untuk mengetahui pengaruh faktor predisposing enabling dan reinforcing terhadap keberhasilan pengobatan ARV pada ODHIV. Metode: Penelitian kuantitatif survei analitik cross sectional yang dilakukan di Puskesmas Kota Bandar Lampung selama 2 bulan pada bulan Januari-Februari 2024. Jumlah sampel pada penelitian ini sebanyak 122 responden yang diambil menggunakan teknik purposive sampling. Instrumen yang digunakan berupa kuesioner yang telah dinyatakan valid pada uji validitas dan reliabilitas. Analisis data yang digunakan univariat dan bivariat uji chi square dengan confidence interval (CI), tingkat kemaknaan p<0.05. Hasil: Beberapa faktor yang memengaruhi keberhasilan antara lain, stadium klinis (p-value=0.014), penyakit penyerta (p-value=0.000), dan kepatuhan pengobatan (p-value=0.000). Simpulan: Terdapat pengaruh yang bermakna antara stadium klinis, penyakit penyerta, dan kepatuhan terhadap keberhasilan pengobatan ARV. Meskipun tidak terdapat hubungan yang bermakna antara lama pengobatan dan paduan terapi ARV dengan keberhasilan pengobatan. Dalam meningkatkan keberhasilan pengobatan ODHIV harus menjaga kesehatan agar tidak terjadi infeksi oportunistik (penyakit penyerta HIV) dan tetap pada stadium klinis awal.   Kata Kunci: Antiretroviral (ARV); Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS); Pengobatan.
RISK FACTORS FOR PULMONARY TUBERCULOSIS COINFECTION IN HIV/AIDS PATIENTS Ildha Rosendy Kurnianda; Apriliana, Ety; Putri, Giska Tri; Wardani, Dyah Wulan Sumekar Rengganis
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1318

Abstract

Tuberculosis and HIV co-infection is a major public health problem in many parts of the world. In Indonesia, tuberculosis (TB) is an opportunistic infection that most often occurs in people living with HIV/AIDS (PLWHA). HIV infection increases susceptibility to Mycobacterium tuberculosis, thereby increasing the risk of developing TB. The World Health Organization (WHO) estimates that TB causes 13% of deaths in AIDS sufferers. Tuberculosis (TB) and HIV co-infection occurs when a person is infected with Mycobacterium tuberculosis and HIV at the same time. People with HIV have a 30 times greater risk of suffering from TB than people who are not infected with HIV. There is a significant relationship between these two infections, where each infection accelerates the development of the other infection. HIV infection can trigger reactivation of latent TB into active TB, while TB infection can worsen the clinical condition of patients who have been infected with HIV. The aim of this study was to determine various risk factors for pulmonary tuberculosis co-infection in HIV/AIDS patients. The method used is qualitative with literature study as a data collection technique. The results obtained were alcohol consumption and extra-pulmonary TB, education level, monthly income, occupation, family history of PTB, lack of appetite, balanced diet, maintaining healthy nutrition, smoking, and stopping taking medication if you felt the condition was under control and the incidence of PTB were factors associated with an increase in pulmonary tuberculosis co-infection..
The Effect of Focus Group Discussions on Enhancing Adolescent Knowledge of Reproductive Health Salsabila, Karina Adra; Wardani, Dyah Wulan Sumekar Rengganis; Kusumaningtyas, Intan; Saftarina, Fitria
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1331

Abstract

Adolescents are individuals who have a great sense of curiosity, which can increase the risk of sexual and reproductive health issues. Adolescence is also experience puberty, in which the reproductive organs mature significantly. If these organs are not properly taken care, they can lead to various reproductive health issues. To prevent these issues, Various efforts are needed to increase adolescents' knowledges about reproductive health. One such effort can be giving health education using a method like Focus Group Discussion (FGD). This study aims to examine the impact of health education using the FGD method on improving knowledge about reproductive health among adolescents. The method that used in this study is a literature review. several literatures such as journals collected and analyzed them based on the findings from those studies. This research uses 8 journals, which consist  7 experimental research journals and 1 non-experimental research journal. The results, based on the analysis of these 8 previous studies, showed an improvement in the mean, median, as well as the minimum-maximum values before and after the intervention using the FGD method. The conclusion of this study is that there is a significant difference in the improvement of adolescents' knowledge about reproductive health before and after receiving health education through the FGD method.
Manifestasi Klinis Infeksi Parasi Usus pada Anak: Literature Review Nirwan, Qurratul Aina; Mutiara, Hanna; Suharmanto, Suharmanto; Wardani, Dyah Wulan Sumekar Rengganis
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1394

Abstract

Intestinal parasitic infection is a disease that still neglated, more likely found in developing countries. This infection is caused by a group of intestinal protozoa and worms, generally intestinal nematodes. In children, the STH group is the most common cause of infection. Infection often occurs via the fecal-oral route. Children more often consume infective stages to other age groups due to their poor hygiene behavior.  Intestinal parasitic infections in children can cause high mortality and mobility. This infection causes a decline in health conditions, nutritional absorption, intelligence and productivity. This can simultaneously cause disruption of growth and development in children. These manifestations are related to the virulence of the parasite strain, the number of infective stages consumed, the age of the patient, and the state of the immune system at the time of infection. Apart from that, the manifestations that arise are widespread, asymptomatic to chronic. The manifestions are related to the digestive tract as the target organ of infections. However, manifestations can also be found outside the digestive tract. This is because organisms move to other organs through blood vessels. Manifestations that arise in the digestive tract are usually nausea, vomiting, abdominal pain, constipation, and diarrhea which is sometimes accompanied by blood. Not only that, weakness, fatigue, lethargy, and eating disorders are the manifestation of these infections. This is what causes growth and development disorders in children. Meanwhile, the extraintestinal mainifestations are liver abscess due to amoeba infection, Loeffler syndrome due to Ascaris lumbricoides infection and other manifestations. Usually, the intestinal nematoda infections caused have their own characteristics.
Diagnosis dan Penatalaksanaan Trigeminal Neuralgia Zefanya, Ezekial; Berawi, Khairun Nisa; Septiani, Linda; Wardani, Dyah Wulan Sumekar Rengganis
Medula Vol 15 No 1 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v15i1.1411

Abstract

Trigeminal Neuralgia (TN) is a sudden pain in the facial area, short duration for about one second to two minutes, being-stabbed feels like, and occurs repeatedly in one or more branches of the trigeminal nerve. Type 1 (one) as intermittent pain and type 2 (two) as constant pain with different clinical, pathological, and prognostic complaints. The causes of Trigeminal Neuralgia involve peripheral pathology in the roots (compression or traction), brainstem dysfunction, basal ganglia, and cortical pain modulation mechanisms, but the most common is due to neurovascular factors. The diagnosis of Trigeminal Neuralgia is basically clinical, to rule out secondary causes, detect pathological changes in the affected roots and neurovascular compression (NPC), Magnetic Resonance Imaging (MRI) may be used. The choice of first-line drug therapy is carbamazepine, and for the second line patient may use oxcarbazepine, baclofen, lamotrigine, phenytoin, and topiramate. Microvascular decompression (MVD) is the surgical treatment of choice for TN that is resistant to medical management. Patients with significant medical comorbidities, without neurovascular compression and multiple sclerosis are generally advised to undergo gamma knife radiosurgery, percutaneous balloon compression, glycerol rhizotomy, and radiofrequency thermocoagulation procedures. The most effective medical therapy is with carbamazepine with a reported reduction in facial pain after taking it as much as 47 percent. For patients who do not respond to medical treatment, microvascular decompression surgery is performed with an effectiveness rate in patients as much as 90 percent.
Hubungan Pengetahuan dan Sikap Dokter dengan Kesesuaian Peresepan Obat Berdasarkan Indikator WHO Saputra, Magdalena Yosefin; Oktarlina, Rasmi Zakiah; Wardani, Dyah Wulan Sumekar Rengganis; Larasati, TA
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6626

Abstract

Resep merupakan dokumen yang harus ditulis secara akurat dan jelas untuk mencegah salah baca. Resep yang salah dapat menyebabkan kerugian atau bahkan kematian bagi pasien. Pengetahuan merupakan pemahaman teoretis dan praktis yang dimiliki manusia. Sikap adalah konsistensi perasaan dan gagasan seseorang, serta perilakunya dalam berinteraksi sosial. Pengetahuan dan sikap memiliki peran yang penting dalam proses pengambilan keputusan yang rasional. Tujuan penelitian ini adalah untuk mengetahui apakah ada hubungan antara pengetahuan dan sikap dokter dengan kesesuaian peresepan obat berdasarkan indikator WHO. Jenis penelitian ini adalah analisis deskriptif dengan pendekatan cross-sectional. Sampel penelitian adalah 40 dokter umum di Puskesmas Kota Bandar Lampung. Variabel bebas penelitian ini merupakan pengetahuan serta sikap dokter. Variabel terikat adalah kesesuaian peresepan obat berdasarkan indikator WHO. Data yang dikumpulkan berupa data primer dan sekunder, yaitu kuesioner yang dibagikan ke dokter umum serta lembar resep. Data dianalisis secara univariat dan bivariat, serta uji chi-square dilakukan untuk uji statistik. Hasil penelitian didapati adanya pengaruh pengetahuan (p=0,011) dan sikap (p=0,004) terhadap kesesuaian peresepan obat berdasarkan indikator WHO.
Co-Authors Adli, Farhan Kamali Ari Wahyuni Atmajaya, Yudhi Bagus Sapto Mulyatno Bagus Sapto Mulyatno Bayu Anggileo Pramesona Betta Kurniawan, Betta Dewi Nur Fiana Dian Isti Angraini Eka Putri Rahmadhani Endro Prasetyo Wahono Ety Apriliana Fahlefi, Muhammad Reza Firdausy, Daniatul Fitria Saftarina Giska Tri Putri Habsari, Maharani Kusuma Hafizah Hafizah Hanna Mutiara, Hanna Hari Kusnanto Hendri Busman Ildha Rosendy Kurnianda Indriyani, Reni Intan Kusumaningtyas Khairun Nisa Larasati, Ratri Mauluti Lutfan Lazuardi Mahli, Razki Alfatah Khairu Muhammad Saipuddin Muhartono Muhartono Mulyasari, Rahmi Nainggolan, Hotman Natama Nasution, Rizqiani Astrid Nirwan, Qurratul Aina Novianty, Detty Oktadoni Saputra, Oktadoni Pratama, Maulana Ramadhan Rahmi Mulyasari Ramadhan, Yasmine Aulia Ramadhana Komala Ramdini, Dwi Aulia Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Rekha Nova Iyos, Rekha Nova Reni Zuraida Rizki Hanriko Sa'diyah, Isma Fadlilatus Salsabila, Karina Adra Saputra, Magdalena Yosefin Septiani, Linda Shinta Nareswari, Shinta Sianturi, Rizky J. SITI MAHMUDAH Soemarwoto, Retno Ariza S Sofyan Musyabiq Wijaya Suharmanto Suharmanto Suharmanto Susianti Susianti Sutarto Sutarto Syazili Mustofa TA Larasati Taneepanichskul, Surasak Tri Umiana Soleha Wahidah, Putri Kamila Winda Trijayanthi Utama, Winda Trijayanthi Wulandari, Marita Yuningrum, Hesti Zefanya, Ezekial