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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kedokteran Brawijaya MANDALA of Health Mandala of Health : A Scientific Journal Medical and Health Journal Linggamas: Jurnal Pengabdian Masyarakat
Madya Ardi Wicaksono, Madya Ardi
FK UNSOED
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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HUBUNGAN MAKROSOMIA DENGAN KEJADIAN OBESITAS PADA ANAK YANG LAHIR DI RSUD MARGONO SOEKARDJO PURWOKERTO PERIODE JANUARI – DESEMBER 2010 Sofia, Firda; Santosa, Qodri; Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Background : Obesity is one of nutritional problems which often encountered, and potentially cause health disturbance due to several complications and high risk of comorbidity. Thare are several factors that may contribute as etiology and risk factors of obesity, like macrosomia.Purpose : To investigate the association between macrosomia and obesity in children who were born at Margono Soekardjo hospital Purwokerto from January to December 2010.Method : A cohort retrospective was conducted since October 2013 to April 2014. The subjects are babies with macrosomia (≥4000g) and normal weight (2500-3999g) who were born at Margono Soekardjo hospital Purwokerto from January to December 2010 and resided in Banyumas. Total sampling was conducted. Birth weight of the subjects were seen in medical record. Body mass index was calculated and classified as obesity and normal using CDC curve by sex and age (≥ 95th percentile). Data were analyzed using Chi-square and logistic regression.Results : Total sampels were 82 respondents composed of 44 boys and 38 girls, and found nineteen respondents were obese. Macrosomia associated with obesity, with p-value=0,018 and RR=2,80 (95%CI; 1,11–7,06) by chi-square test. Macrosomia, formula feeding and timing of introduction of complementary food effect to obesity, with p value < 0,05 using logistic regression.Conclusions : Macrosomic newborns were significantly associated with obesity in children who were born at Margono Soekardjo hospital Purwokerto from January to December 2010.
PERBEDAAN TINGKAT AKTIVITAS FISIK ANTARA REMAJA DESA DAN KOTA DI KABUPATEN BANYUMAS Dicaraka, Benza Asa; Candrawati, Susiana; Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Background: Physical activity is movement of the body produced by skeletal muscle contraction that increase energy expenditure. Low levels of physical activity or sedentary behavior is one of the behavioral tendency of the current world population. The research on levels of physical activity in adolescents in rural and urban areas have never done before. Although many differences between rural and urban are indirectly affect the level of physical activity.Objective: The aim of this study is to knowing the different levels of physical activity between rural and urban adolescents at Banyumas Regency.Methods: This study was conducted by using observational analytic cross sectional design with 72 adolescents as respondents. The respondents were high school students derived from 4 high schools of urban and rural area, 2 schools each. Each respondents from school of rural and urban were 36 respondents. Physical activity level was assessed with GPAQ questionnaire.Results: Analysis for the differences of physical activity level was using paired T-test analysis. Univariate analysis showed a mean rate of rural adolescent’s physical activity 2272.78±3165.26 MET/week and a mean rate of urban adolescents’s physical activity 2321.89±2387.91. Bivariate analysis showed no significant differences of physical activity level between rural and urban adolescents (p=0,249).Conclusion: There was no different level of physical activity between rural and urban adolescents at Banyumas Regency
INTOLERANSI LAKTOSA Wicaksono, Madya Ardi
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Lactose intolerance is a condition caused by lactase deficiency in the brush border of the intestine, causing inability in digesting lactose into glucose and galactose. It is a mild metabolic disease with low morbidity, but often used interchangeably with cow’s milk allergy, resulting confusion in public understanding. Lactase deficiency keeps lactose not hydrolyzed, resulting increased osmotic pressure and fluid secretion of intestine lumen. In the colon, the result of fermentation from the undigested lactose is hydrogen gas.  The symptoms of lactose intolerance are abdominal bloating, distension, pain, flatulence, and diarrhea. Symptoms are alleviated by complete elimination or reduced consumption of lactose-containing foods. Meanwhile, dairy products which contain large amount of lactose also become the main source of calcium as well. Elimination of dairy products from daily diet may results low calcium level, osteopenia, until osteoporosis. People with lactose intolerance need calcium supplementation to maintain the calcium level in the body if lactose is restricted 
Examining the Relationship between Infection Control Practices and ESBL Bacterial Carriage in Healthcare Workers Ayunisih, Lintang Sekar; Krisniawati, Nia; Wicaksono, Madya Ardi; Hestiyani, Rani Afifah Nur; Widhi, Anriani Puspita Karunia Ning
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.9

Abstract

The Enterobacteriaceae family widely produces Extended Spectrum Beta-Lactamase (ESBL), and infection by ESBL-producing bacteria can significantly increase morbidity, complicate therapeutic difficulties, escalating healthcare costs, and increase mortality rates. Transmission of these bacteria within the hospital environment may lead to the prevalence of ESBL-producing bacterial carriers among healthcare workers. Health workers' infection prevention and control (IPC) behavior plays a role in transmitting these pathogenic bacteria. This study aimed to determine the relationship between IPC behavior and the incidence of ESBL-producing bacterial carriers in health workers at Banjarnegara Islamic Hospital. This research used an observational analytic approach with a cross-sectional method. The sampling technique involved purposive sampling, resulting in a total sample of 61 people. Data were obtained by completing an IPC behavior questionnaire and collecting rectal swab samples cultured on CHROM ESBL Agar media. Statistical analysis was done using the Mann-Whitney test. The research identified a prevalence of 13.1% (8/61) ESBL-producing bacterial carriers among health workers at Banjarnegara Islamic Hospital. However, based on statistical analysis, the p-value was 0.664, leading to the rejection of the hypothesis (accepted if p-value <0.05). In conclusion, there is no significant relationship between IPC behavior and the incidence of ESBL-producing bacterial carriers in health workers at Banjarnegara Islamic Hospital.
HUBUNGAN STATUS GIZI DENGAN KADAR HEMOGLOBIN PADA SISWI SMP DI WILAYAH KERJA PUSKESMAS PURWOKERTO TIMUR: STUDI CROSS SECTIONAL Hapsari, Ariadne Tiara; Nurusifa, Miska Qorinareta; Wicaksono, Madya Ardi
Medical and Health Journal Vol 4 No 1 (2024): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2024.4.1.12882

Abstract

Background: Anemia is a condition where the number of red blood cells or hemoglobin is less than normal. Lack of hemoglobin can be affected by nutritional status. Poor nutritional status can lead to reduced hemoglobin levels resulting in anemia. Objective: To identify the relationship between nutritional status and hemoglobin (Hb) levels in junior high school adolescent girls at Purwokerto Timur 2 Health Center. Methodology: Observational analytic research with a cross sectional approach. The sample in this study was 278 seventh grade junior high school students who were taken by total sampling method. Data taken in the form of hemoglobin levels and nutritional status values determined by Body Mass Index, both data recorded in medical records. Results: There is a median result of 18.13 for nutritional status with a minimum value of 10.84 and a maximum value of 41.20. While the median results for hemoglobin levels were 11.20 with a minimum value of 4.70 and a maximum value of 18.10. The number of Body Mass Index underweight majority had a value (53.2%), while for anemia the majority were in moderate anemia (36.7%). Conclusion: There is no relationship between nutritional status and hemoglobin levels in junior high school students in the working area of Puskesmas Purwokerto Timur. Latar Belakang: Anemia merupakan kondisi jumlah sel darah merah atau hemoglobin kurang dari normal. Kurangnya kadar hemoglobin dapat dipengaruhi oleh status gizi. Status gizi yang buruk dapat menyebabkan berkurangnya kadar hemoglobin hingga terjadi anemia. Tujuan: Mengidentifikasikan hubungan status gizi dengan kadar hemoglobin (Hb) pada Siswi Putri SMP di Puskesmas Purwokerto Timur 2. Metodologi: Penelitian analitik observasional dengan pendekatan cross sectional. Sampel pada penelitian ini sebanyak 278 siswi kelas VII SMP yang diambil dengan metode total sampling. Data yang diambil berupa nilai kadar hemoglobin dan nilai status gizi yang ditentukan oleh Indeks Massa Tubuh, kedua data tersebut tercatat dalam rekam medis. Hasil: Terdapat hasil median 18.13 untuk status gizi dengan nilai minimum 10.84 dan nilai maximum 41.20. Sedangkan hasil median untuk kadar hemoglobin 11.20 dengan nilai minimum 4.70 dan nilai maximum 18.10. Jumlah Indeks Massa Tubuh underweight mayoritas memiliki nilai (53.2%), sedangkan untuk anemia mayoritas masuk dalam anemia sedang (36.7%). Kesimpulan: Tidak ada hubungan antara status gizi dengan kadar hemoglobin pada siswi SMP di wilayah kerja Puskesmas Purwokerto Timur 2.
THE PREVALENCE OF HYPERTENSION AMONG YOUNG ADULT PATIENTS AT KLINIK SOEDIRMAN PURWOKERTO Sinensis, Rizki Amelia; Wicaksono, Madya Ardi; Nafiisah, Nafiisah; Firinda, Rizma Haidif; Kamal, Isran
Medical and Health Journal Vol 4 No 2 (2025): February
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.4.2.14926

Abstract

Hypertension is a growing public health problem, particularly among young adults. This study aims to determine the prevalence of hypertension among young adult patients at Klinik Soedirman Purwokerto. The study uses a quantitative descriptive design with a sample of all patients aged 18-24 years who accessed healthcare services at the clinic from March to September 2024. The results show that the majority of patients were female (72.51%), with the most frequent age group being 20 years (29.75%). Recorded diagnoses of hypertension included both essential and secondary hypertension, with one case of both types found in a 20-year-old female patient. Risk factors contributing to hypertension in young adults include unhealthy lifestyle factors such as high salt diet, lack of physical activity, alcohol consumption, and smoking habits. These findings indicate the need for more effective preventive programs among young adults, such as promoting healthy lifestyles and routine blood pressure screening. This study can serve as a basis for designing hypertension prevention measures among students, particularly at Jenderal Soedirman University
The Correlation of Infection Prevention and Control Knowledge and ESBL Carriage Rate among Healthcare Workers in a Hospital in Indonesia Fanani, Navalia Azkarifda; Krisniawati, Nia; Wicaksono, Madya Ardi; Hestiyani, Rani Afifah Nur; Widhi, Anriani Puspita Karunia Ning
Jurnal Kedokteran Brawijaya Vol. 33 No. 3 (2025)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2025.033.03.3

Abstract

Extended-spectrum beta-lactamase (ESBL) is an enzyme resulting from bacterial gene mutations that can restrict the activity of beta-lactam antibiotics, such as penicillin, the first, second, and third generation of cephalosporin, and monobactam, except cephamycin and carbapenem. ESBL can cause healthcare-associated infections (HAIs). Infection prevention and control (IPC) is a comprehensive effort to prevent HAIs in healthcare facilities. This research investigated the correlation between IPC knowledge level and the incidence of extended-spectrum beta-lactamase (ESBL) producing bacteria carriers in hospital healthcare workers. This research was conducted as observational analytical research using the quantitative and cross-sectional approaches. The research used purposive sampling, involving 61 healthcare workers at Banjarnegara Islamic Hospital. Research instruments included a 24-item questionnaire assessing IPC knowledge and rectal swabs intended to detect the incidence of ESBL carriers using the CHROMagar™ ESBL medium. Most respondents have a relatively good understanding of IPC, with a median score of 16 (25%). Of the 61 rectal swab samples, eight incidences of ESBL carriers were identified (13%). The isolates of the recognized carriers consist of five Escherichia coli (63%), two Klebsiella pneumoniae (25%), and one Acinetobacter baumannii (12%). Statistical analysis using the Mann-Whitney hypothesis test with the SPSS software showed a significant value of 0.493. Therefore, there is no correlation between IPC knowledge level and the incidence of extended-spectrum beta-lactamase-producing bacteria carriers in hospital healthcare workers.
Implementasi Edukasi Gizi Interaktif sebagai Upaya Pencegahan Komplikasi Penyakit Kronis pada Lansia di Posyandu Mawar IV Desa Purwosari Wisesa, Sindhu; Sari, Octavia Permata; Candrawati, Susiana; Wicaksono, Madya Ardi; Ihtiaringtyas, Suci; Soraya, Aristi Intan
Linggamas: Jurnal Pengabdian Masyarakat Vol 2 No 2 (2025): Linggamas: Jurnal Pengabdian Masyarakat
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.linggamas.2025.2.2.14367

Abstract

Hampir seluruh populasi lansia memiliki setidaknya satu penyakit kronis. Penyakit kronis dan komplikasinya menyebabkan penurunan produktivitas dan kualitas hidup, serta meningkatkan beban ekonomi. Asupan gizi seimbang terbukti mencegah komplikasi penyakit kronis. Program Pengabdian kepada Masyarakat (PKM) ini bertujuan untuk meningkatkan kesadaran asupan gizi seimbang pada lansia melalui edukasi interaktif menggunakan model makanan. Kegiatan dilaksanakan pada tanggal 2 Agustus 2024 di Desa Purwosari yang dihadiri oleh 40 lansia dan kader Posyandu. Hasil pretest dan posttest menunjukkan peningkatan pengetahuan secara signifikan pada lansia yang mengikuti kegiatan PkM. Edukasi gizi berperan krusial dalam mengubah pola pikir dan perilaku masyarakat terkait asupan makanan. Penggunaan model makanan membantu peserta memahami porsi yang tepat, serta meningkatkan minat dan retensi informasi, sehingga diharapkan melalui program ini, lansia di Desa Purwosari dapat memperbaiki pola makan dan mencegah komplikasi penyakit kronis.
Skabies di Antara Penyakit Kulit: Studi Prevalensi di Klinik Pratama Soedirman Tahun 2024 Firinda, Rizma Haidif; Wicaksono, Madya Ardi; Sinensis, Rizki Amelia; Nafiisah, Nafiisah; Kusdaryanto, Wahyu Dwi; Ihtiaringtyas, Suci
Jurnal Ilmu Kedokteran Vol 19, No 1 (2025): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v19i1.2025.84-89

Abstract

Scabies is a skin disease caused by infestation of the parasitic mite Sarcoptes scabiei, which penetrates the skin and reproduces by laying eggs. Although often regarded as a common and non-severe condition, scabies is classified as a neglected skin disease on a global scale. This study aims to determine the prevalence of scabies in relation to the total number of skin diseases diagnosed at the Soedirman Primary Outpatient Clinic. A descriptive research method was employed, utilizing patient medical records from March to September 2024. Data were collected based on ICD-10 diagnostic codes, including both scabies and other dermatological conditions. The results showed that there were 13 recorded cases of scabies (5.05%) out of a total of 257 diagnosed skin diseases. This prevalence closely aligns with the national prevalence of scabies in Indonesia. Variations in prevalence may be influenced by social and environmental factors, with higher transmission rates occurring in densely populated areas and among individuals with frequent close contact. Preventive measures include health education, personal hygiene, and improved environmental sanitation.
HUBUNGAN ANTARA DUKUNGAN KELUARGA DAN PENGENDALIAN HIPERTENSI PADA PESERTA PROLANIS JAMINAN KESEHATAN NASIONAL DI KABUPATEN BANYUMAS Ramadani, Jasmine Athaya; Krisnansari, Diah; Wicaksono, Madya Ardi
Mandala Of Health Vol 17 No 1 (2024): Mandala of Health
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2024.17.1.11245

Abstract

Latar belakang: Hipertensi merupakan penyakit kronis yang dapat menimbulkan terjadinya komplikasi dan meningkatkan mortalitas di Indonesia. Salah satu upaya pengendalian hipertensi yang dilakukan oleh pemerintah melalui Program Pengelolaan Penyakit Kronis (Prolanis). Dukungan keluarga diperlukan dalam pengendalian hipertensi karena pengobatannya yang lama. Belum ada penelitian mengenai hubungan antara dukungan keluarga dan pengendalian hipertensi peserta Prolanis di Kabupaten Banyumas. Tujuan: Mengetahui hubungan antara dukungan keluarga dan pengendalian hipertensi peserta Prolanis JKN hipertensi di Kabupaten Banyumas. Metode: Penelitian observasional analitik kuantitatif cross sectional pada 172 peserta Prolanis hipertensi di 9 fasilitas kesehatan tingkat pertama (FKTP) di Kabupaten Banyumas yang terpilih berdasar proportional cluster sampling bertingkat. Pengendalian hipertensi diukur berdasarkan tingkat dukungan keluarga, usia, jenis kelamin, pendidikan, lokasi tinggal peserta, pekerjaan, rutinitas kunjungan, dan rutinitas minum obat. Signifikansi yang digunakan dalam penelitian ini 95%. Analisis bivariat menggunakan uji Chi-Square dan analisis multivariat menggunakan analisis regresi logistik berganda. Hasil: Terdapat 175 peserta, (102) 58,3% memiliki hipertensi yang terkendali. Variabel dukungan keluarga (OR=1.44 (95% CI)) tidak berhubungan signifikan terhadap pengendalian hipertensi. Variabel usia (OR=0.93(95% CI)), jenis kelamin (OR=1.15 (95% CI)), pendidikan (OR=0.68 (95 CI)), lokasi tinggal peserta (OR=0.92(95% CI)), rutinitas kunjungan (OR=0.0.75(95% CI)), dan rutinitas minum obat (OR=0.96(95% CI)) tidak berhubungan signifikan terhadap pengendalian hipertensi. Variabel pekerjaan (OR=0.45(95% CI)) berhubungan signifikan terhadap pengendalian hipertensi. Kesimpulan: Dukungan keluarga tidak memiliki hubungan dengan pengendalian hipertensi pada peserta Prolanis hipertensi di Kabupaten Banyumas.
Co-Authors Ariadne Tiara Hapsari Ayunisih, Lintang Sekar Benza Asa Dicaraka, Benza Asa Diah Krisnansari Fanani, Navalia Azkarifda Firda Sofia, Firda Firinda, Rizma Haidif Ihtiaringtyas, Suci Kamal, Isran Krisniawati, Nia Kusdaryanto, Wahyu Dwi Nafiisah, Nafiisah Nurusifa, Miska Qorinareta Octavia Permata Sari, Octavia Permata Qodri Santosa Ramadani, Jasmine Athaya Rani Afifah Nur Histiyani Sinensis, Rizki Amelia Soraya, Aristi Intan Susiana Candrawati Widhi, Anriani Puspita Karunia Ning Wisesa, Sindhu