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Pregnancy-related Complications in Relation with Delivery Complication in Urban Public Health Center in 2019-2020: an Analytic Comparative Study Abiyyu Didar Haq; Cut Warnaini; Muhammad Rizkinov Jumsa; Deasy Irawati
Journal of Community Empowerment for Health Vol 6, No 2 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77441

Abstract

Introduction: With a huge gap of knowledge and understanding created by the current pandemic, especially regarding maternal health, this research aimed to compare and analyze the correlation between pregnancy-related complications and delivery complications in an urban public health center before and during the pandemic. Methods:This is an analytic comparative study utilizing a retrospective cohort approach. Medical records of pregnant women during 2019-2020 were obtained from Pagesangan public health center with approved ethics from Mataram University and related government agencies. Collected data were then analyzed for each year and then compared between 2019 and 2020 to see if there were any significant differences between maternal health before and during the COVID-19 pandemic. Results: Medical records of 653 pregnant women were collected in this study. Twenty-two of 311 and 27 of 342 pregnancyrelated complications were recorded in 2019 and 2020, respectively. In contrast, 68 of 311 and 70 of 342 delivery complications were recorded in 2019 and 2020, respectively. Analysis was done to obtain each year’s relative risk (RR), and then we compared the obtained RR of both years. In 2019, the RR of pregnancy-related complications to delivery complications was 0,398 (95% CI 0,104-1,518); in 2020, the obtained RR was 0,522 (95% CI 0,176-1,550). Conclusion: Pregnancy-related complications were not the risk factor for delivery complications in both years. However, a significant correlation was found between maternal age and pregnancy-related complications in 2020, while in 2019, gravidity was also significantly related to delivery complications.
The Effect of Food on the Incident of Hypertension Restia; Yusra Pintaningrum; Cut Warnaini
Jurnal Biologi Tropis Vol. 23 No. 1 (2023): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v23i4b.5814

Abstract

Hypertension is the condition of a person whose blood pressure is above the normal limit according to medical regulations, namely greater than 140/90 mmHg. Hypertension is a major risk factor for cardiovascular disease, stroke, kidney failure and the main cause of death throughout the world. Consuming foods that are high in fat, carbohydrates, fiber and sodium can increase the occurrence of hypertension. This study aims to determine the effect of food on the incidence of hypertension. This research uses several relevant literature from various references and focuses on risk factors for hypertension, one of which is food. The references used came from searches on NCBI, Pubmed, Google Scholar, and Science Direct and 25 data-based sources were obtained. The results of this research are that there is an influence between food sources such as carbohydrates, fat and sodium which can increase the occurrence of hypertension and high fiber consumption which helps to reduce the occurrence of hypertension. Excessive sodium consumption causes the sodium concentration in the extracellular fluid to increase. And consuming excess carbohydrates can cause triglyceride levels in the blood to increase, causing carbohydrates to be converted into fat. High fat levels can cause atherosclerosis which will ultimately lead to hypertension. The conclusion is that consuming foods high in carbohydrates, fat and sodium can cause hypertension and high fiber consumption can help minimize the occurrence of hypertension.
Age and Parity as Risk Factors for Childbirth Complications: A Systematic Review Erdira Natasya Putri; Cut Warnaini
Jurnal Biologi Tropis Vol. 23 No. 1 (2023): Special Issue
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v23i1.5979

Abstract

Maternal deaths result from complications during, after pregnancy and childbirth. Factors affecting maternal mortality in Indonesia are 4 too and 3 too late. The main causes that account for nearly 75% of all maternal deaths are postpartum hemorrhage, infection, high blood pressure during pregnancy, complications from childbirth and unsafe abortion. This study aimed to analyze, synthesize, summarize and compare the results of one study with another on "The Relationship of Age and Parity to the Incidence of Complications of Childbirth. The method used in this study was to search various online data centers namely PubMed, Science Direct, Directory of Open Access Journals, Wiley, Cochrane Library, Google Scholar, Scopus. It was found that advanced maternal age and parity status was associated with an increased risk of delivery or obstetrics complication.
Hubungan Karakteristik Pasien terhadap Derajat Keparahan Covid-19 pada Pasien Diabetes Melitus di Rumah Sakit Universitas Mataram I Ketut Wisnuaji Jayawardhana; Indah Sapta Wardani; Cut Warnaini; Indana Eva Ajmala
Lombok Medical Journal Vol. 1 No. 2 (2022): Lombok Medical Journal Volume 1 Nomor 2 Tahun 2022
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v1i2.1514

Abstract

Latar Belakang: Infeksi conoravirus disease 2019 (Covid-19) di Indonesia sangat tinggi. Diabetes melitus (DM) merupakan salah satu komorbid paling banyak pada pasien Covid-19. DM berhubungan dengan meningkatnya keparahan dan mortalitas pada beberapa penelitian sebelumnya. Penelitian ini bertujuan untuk mengetahui karakteristik pasien dan hubungan usia, jenis kelamin, status gizi, dan komorbid selain DM terhadap keparahan pasien Covid-19 dengan DM. Metode: Penelitian dilakukan di Rumah Sakit Universitas Mataram periode bulan Januari-Desember 2021. Desain penelitian menggunakan cross sectional. Data dianalisis dengan chi-square. Hasil: Data yang memenuhi kriteria inklusi dan ekslusi sebanyak 37 sampel. Karakteristik yang paling banyak ditemukan adalah pasien bukan lansia sebanyak 22 (59,5%), berjenis kelamin laki-laki sebanyak 20 (54,1%), tidak mengalami obesitas sebanyak 21 (56,8%), dan memiliki komorbid selain DM sebanyak 27 (73%). Nilai p semua variabel >0,05 yang berarti tidak terdapat hubungan signifikan antara karakteristik pasien terhadap derajat keparahan Covid-19 dengan DM. Nilai p usia (p=0,414), jenis kelamin (p=0,338), status gizi (p=0,796), dan komorbid selain DM (p=0,517). Kesimpulan: Karakteristik yang paling banyak ditemukan adalah pasien bukan lansia, berjenis kelamin laki-laki, tidak mengalami obesitas, dan memiliki komorbid selain DM. Tidak terdapat hubungan yang signifikan antara karakteristik pasien yang meliputi usia, jenis kelamin, status gizi, dan komorbid selain DM terhadap derajat keparahan Covid-19 dengan DM.
Pengaruh Aktivitas Fisik terhadap Status Gizi Mahasiswa Tahun Kedua Fakultas Kedokteran Universtias Mataram selama Daring Tomy Dwi Refandy; Ardiana Ekawanti; Cut Warnaini
Lombok Medical Journal Vol. 1 No. 3 (2022): Lombok Medical Journal Volume 1 Nomor 3 Tahun 2022
Publisher : Faculty of Medicine, Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/lmj.v1i3.1999

Abstract

Latar Belakang: Pandemi COVID-19 menyebabkan perubahan pola hidup dalam masyarakat. Pembelajaran dalam jaringan (Daring) merupakan salah satu upaya pemerintah dalam memutus rantai penyebaran COVID-19. Selama menjalani pembelajaran daring, mahasiswa lebih banyak menghabiskan waktu untuk bermain smartphone atau laptop yang dapat mengakibatkan mahasiswa mengalami kekurangan gerak. Aktivitas fisik yang ringan dapat meningkatkan risiko berat badan berlebih. Oleh karena itu, penelitian ini bertujuan untuk mengetahui pengaruh aktivitas fisik terhadap status gizi pada mahasiswa tahun Fakultas Kedokteran Universitas Mataram selama pembelajaran daring. Metode: Penelitian ini menggunakan desain penelitian cross sectional dengan teknik proportional random sampling menggunakan uji statistik korelasi spearman. Pengambilan data dilakukan dengan pengukuran secara langsung, yakni mengukur tinggi badan menggunakan microtoise, berat badan menggunakan timbangan serta aktivitas fisik dihitung berdasarkan pengisian kuesioner International Physical Activity Questionnaire (IPAQ). Hasil: Diketahui penelitian ini didominasi oleh perempuan (80%) dan usia 20 tahun (50%). Sebanyak 36 (51,4%) responden memiliki aktivitas fisik sedang dan 45 (64,3%) responden memiliki status gizi normal. Pada penelitian ini sebanyak 65 orang (92,9%) mengalami perubahan aktivitas fisik, 43 orang (61,4%) perubahan pola makanan pokok, dan 60 orang (85,7%) perubahan pola makan. Hasil analisis data dari uji spearman dengan α < 0,05 didapatkan nilai koefisien korelasi -0,046 dan nilai p sebesar 0,705. Kesimpulan: Tidak terdapat hubungan antara aktivitas fisik dengan status gizi pada mahasiswa tahun kedua Fakultas Kedokteran Universitas Mataram selama daring.
Faktor – Faktor Terkait Tingkat Keparahan Infeksi Coronavirus Disease 2019 (COVID-19): Sebuah Kajian Literatur Abiyyu Didar Haq; Adli Putra Nugraha; I Komang Gede Andhika Wibisana; Febbi Anggy; Fiana Damayanti; R.R. Ditya Mutiara Syifa; Ni Putu Visty Widhiani; Cut Warnaini
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 9 No 1 (2021): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 9.1 Edisi Maret - Juli
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v9i1.338

Abstract

Background: COVID-19 pandemic that started in the early 2020 triggers the declaration of Public Health Emergency of International Concern (PHEIC) by WHO. Caused by SARS-CoV-2 virus, COVID-19 mainly infects the respiratory tract by binding to the ACE2 receptor. COVID-19 infection can cause many clinical manifestation from no symptom to severe life-threatening symptom depending on many factors. Factors that can determine the severity of clinical manifestation is urgently needed to be recognized by our clinician in order to be able to anticipate patient’s condition before the severe clinical manifestation even begins. This literature review is aimed to summarize and discuss some factors that are most often showed up and determined the severity of COVID-19 infection. Methods: This literature review uses journal article that are sourced from online databases such as PubMed and Google Scholar. The type of article that will be chosen are research article, systematic review and meta-analysis, narrative review, and literature review with the topic of transmission, clinical manifestasion, pathogenesis, immune response, and severity risk factor of COVID-19. Discussion: From our literature search, it is concluded that the factors that are most likely to determine the severity of COVID-19 infection is age, comorbid disease, vitamin D deficiency, and obesity. These four factors are not four independent factors but rather overlapping and interconnecting factors that determines the severity of COVID-19 infection. Conclusion: Most of the factors that determined the severity of COVID-19 mainly are easily preventable factors. Therefore, the knowledge and awareness of our clinician about these factors will really helps anticipating the severe clinical manifestation among COVID-19 patients before the manifestation even starts to appear.
HIPERTENSI, DIABETES MELLITUS, DAN OBESITAS SEBAGAI FAKTOR KOMORBIDITAS UTAMA TERHADAP MORTALITAS PASIEN COVID-19: SEBUAH STUDI LITERATUR Luh Ade Dita Rahayu; Jannatul Cahya Admiyanti; Yumna Iftinan Khalda; Fatikha Rudia Ahda; Nur Feby Febiana Agistany; Sastraningsih Setiawati; Nabila Indah Shofiyanti; Cut Warnaini
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 9 No 1 (2021): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Volume 9.1 Edisi Maret - Juli
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v9i1.342

Abstract

Background: COVID-19 patients with comorbid diseases have a higher mortality rate than patients without congenital diseases. The most common comorbids found in COVID-19 patients are diabetes mellitus, hypertension, and obesity. The prevalence of COVID-19 patients with diabetes mellitus reached 41.7%, hypertension reached 56.6%, and obesity reached 41.7%. Methods: The method used in this paper is literature review from various references and focused on the correlation of comorbid with the risk of death in COVID-19 patients. The references are being retrieved from NCBI and Google Scholar. Overall, 21 sources were used which were obtained from various data bases including PubMed, ScienceDirect, Researchgate, and WHO. Discussion: There is an increase in ACE-2 expression which causes a high susceptibility to SARS-CoV-2 infection on COVID-19 patient with hypertension. Impaired T-cell function and increased levels of interleukin-6 (IL-6) also play an important role in increasing the severity on COVID-19 patient with diabetes. Obesity can cause abnormalities in the secretion of cytokines, adipokines, and inferferon which will disrupt the immune system in the human body. Conclusion: The complex pathophysiological mechanisms of hypertension, diabetes mellitus, and obesity as comorbid in COVID-19 patients increase the severity and mortality risk.
KUIS SEBAGAI SARANA EDUKASI YANG EFEKTIF DAN MENYENANGKAN UNTUK MENINGKATKAN LITERASI GIZI PADA APARATUR SIPIL NEGARA (ASN) PUSAT YANG DITEMPATKAN DI DAERAH Warnaini, Cut; Suryantini, Ni Kadek Mega
Jurnal Abdi Insani Vol 11 No 4 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i4.1373

Abstract

The higher number of placements of the central State Civil Apparatus  and families in new areas that have never been recognized or visited before, can trigger changes experienced, especially adjustments in meeting the nutrients obtained by adjusting to the typical culture of the region. This will be a challenge for both the central State Civil Apparatus  itself or  with his family, because adaptation is needed again to the new area and environment. Increase knowledge and awareness related to nutrition for central State Civil Apparatus and Families stationed in the regions. The implementation method used was the “Family 100” quiz. The implementation of the “Family 100” quiz is divided into two groups of four people in each group. The quiz is divided into three rounds, namely the general round, quiz, and bonus round which will be guided by a moderator. The task of each group was to collect as many scores as possible from each round to find the winner. Participants enthusiastic in participating in this activity in obtaining information about nutrition. The scores of the two groups that played were high. The accumulated score of the 3 rounds received by group 1 amounted to 2,830 and group 2 amounted to 2,160. In general, the participants' knowledge in nutrition is good, but from the specific knowledge of nutritional information and the benefits contained in food ingredients is still lacking, this can be seen from some questions that cannot be answered by each group.Through this activity participants can increase knowledge and awareness regarding nutrition and change behavior to live a healthy life.
Factors Related to Maternal COVID-19 Vaccination Status in Mpunda Public Health Center Warnaini, Cut; Rahma, Jaini
Jurnal Biologi Tropis Vol. 24 No. 4 (2024): Oktober - Desember
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v24i4.7851

Abstract

Pregnant women were among the vulnerable population for COVID-19 infection. Therefore, it is important for pregnant women to carry out a complete COVID-19 vaccination. Complete COVID-19 vaccination status for pregnant women is when the pregnant woman has received two doses of the vaccine, where the first dose of vaccination begins in the second trimester of pregnancy and the second dose is given according to the interval of the type of vaccine. Even though the Covid-19 vaccination program has contributed to reducing death rates and infectious diseases, there will still be concerns and doubts among pregnant women and women of reproductive age. Therefore, this research is aimed to observe and analyze factors related to Maternal COVID-19 Vaccination Status specifically in Mpunda Public Health Center, Bima. This study employs a mixed-method analysis and was conducted in Mpunda Public Health Center involving 136 pregnant women. We found that socioeconomic factor such as income level, prior vaccination status, and vaccination history was significantly associated with COVID-19 vaccination status among pregnant women, but not history of adverse events. We also concluded that fear of vaccine was significantly associated with COVID-19 vaccination status among pregnant women. Results of this research hopefully can add to the growing body of evidence regarding maternal COVID-19 vaccination status and aid the policy-making process regarding this topic.
PROMOSI KESEHATAN TERKAIT IMUNISASI DASAR DALAM RANGKA MENINGKATKAN PEMANFAATAN PELAYANAN IMUNISASI ANAK PADA MASA PANDEMI Warnaini, Cut; Nurbaiti, Lina; Buana, Belva Bhadranitya
Jurnal Abdi Insani Vol 11 No 1 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i1.924

Abstract

The COVID-19 pandemic has caused various aspects of life in the world to experience quite drastic changes, especially health aspects. Studies show that there has been a decrease in the number of immunization services in health facilities by 84% as a result of the pandemic and the Large-Scale Social Restrictions (PSBB) policy implemented by the government. In many countries, low immunization coverage can be caused by several factors, including geographic barriers that cause disparities between urban and rural areas. A study found much lower vaccination rates in children living in rural areas compared to urban areas. This inequality in vaccine coverage rates can be overcome, one of the ways is by increasing knowledge about vaccines. This activity aims to increase community capacity regarding basic immunization programs during the pandemic. It is hoped that the results of this activity can act as a basis for consideration for regional and national policy making regarding health promotion and education in order to increase community capacity in the context of basic immunization programs. The outreach activity was held at the Narmada Community Health Center, West Lombok Regency in September 2021. Participants in the activity were the local community consisting of mothers of productive age who were either pregnant or planning to become pregnant, midwives and local community leaders. However, due to the second wave of COVID-19, the activity mechanism was facilitated through digital media. The enthusiasm of the activity participants was so good that the number of participants exceeded the initial target. Activity participants watched educational videos and were able to master the material presented well. This is proven by an increase in the post test scores obtained by participants compared to the pre test scores. Apart from that, through this activity five educational video episodes were produced with various themes related to basic immunization during the pandemic which were distributed via the YouTube channel. The activity succeeded in increasing community capacity regarding basic immunization programs during the pandemic. This will be the basis for the team's consideration in making recommendations for regional and national policies regarding health promotion and education in order to increase community capacity in the context of basic immunization programs.