Steven Ridwan, Steven
Faculty of Medicine University of Hasanuddin/ Dr. Wahidin Sudirohusodo Hospital Makassar

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PENGARUH PENYULUHAN SADARI TERHADAP PENGETAHUAN WANITA USIA SUBUR UNTUK DETEKSI DINI TUMOR PAYUDARA Sudayasa, I Putu; Nurjannah, Siti Atikah; Ridwan, Steven
Prosiding Seminar Nasional Riset Kuantitatif Terapan 2017 Vol 1, No 1 (2017): Seminar Nasional Riset Kuantitatif Terapan 2017
Publisher : Prosiding Seminar Nasional Riset Kuantitatif Terapan 2017

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.482 KB)

Abstract

Kanker payudara adalah kanker yang paling sering didiagnosis sebagai penyebab utama kematian perempuan di seluruh dunia itu dan dipengaruhi oleh banyak faktor. Salah satu faktor adalah pengetahuan wanita usia subur (WUS) tentang sekitar Pemeriksaan Payudara Sendiri (SADARI). Penelitian ini bertujuan untuk mengetahui Pengaruh Penyuluhan Pemeriksaan Payudara Sendiri Terhadap Pengetahuan Wanita Usia Subur Untuk Deteksi Dini Tumor Payudara di Kelurahan Bungkutoko, Kecamatan Abeli, Kota Kendari.Penelitian ini merupakan studi eksperimental lapangan/kuasi dengan desain NonEquivalent Kelompok Kontrol. Populasi dalam penelitian ini adalah perempuan anak bantalan usia di Kelurahan Bungkutoko, dengan jumlah total sampel 80, dimana kelompok uji dari 40 orang dan kelompok kontrol 40 orang. Teknik pengumpulan data menggunakan kuesioner dan analisis data digunakan uji t data berpasangan uji t data berpasangan, hasil dianggap signifikan p-value < 0,05.Analisis data dengan uji Wilcoxon, mendapatkan p-value = 0,000 yang menunjukkan penyuluhan SADARI mempengaruhi pengetahuan Wanita Usia Subur Untuk Deteksi Dini Tumor Payudara. Analisis dengan uji Mann-Whitney pada kelompok uji dan kelompok kontrol diperoleh nilai p = 0,839 pada hasil Pre-Test dan nilai p = 0,002 pada Post-Test (CI = 95%), yang menunjukkan terdapat perbedaan pengetahuan antara wanita usia subur yang mendapatkan penyuluhan SADARI dan tidak mendapatkan penyuluhan SADARI.Ada pengaruh yang signifikan antara pemberian penyuluhan dengan pengetahuan wanita usia subur tentang SADARI untuk deteksi dini tumor payudara pada lelurahan Bungkutoko, Kecamatan Abeli, Kendari.Kata kunci— Deteksi Dini, Pengetahuan, Penyuluhan, SADARI, Tumor Payudara.
Helminth Infection in Pregnancy: Effect on Serum Albumin Level and Pregnancy outcome Ridwan, Steven; Wahyuni, Sitti; Chalid, Maisuri T
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 1, January 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.415 KB) | DOI: 10.32771/inajog.v3i1.21

Abstract

Objective: To determine the prevalence of helminth infection in pregnant women and its effect on albumin levels and pregnancy outcome. Method: A prospective cohort study was conducted on third trimester pregnant women presenting for antenatal care in several hospitals in Makassar. Information on subject demography was recorded using short questionnaire. Stool samples were collected to determine the presence of helminth infection. Albumin levels were measured from maternal blood and cord‐blood. Outcome of pregnancy was assessed upon delivery. Result: The prevalence of helminth infection in our subjects was 22.8%. Among 21 infected women, 17 were infected with Ascaris lumbricoides (80.9%), one with Trichuris trichiura and three with both Ascaris and Trichuris. The mean Ascaris lumbricoides intensity was 1769.3 epg (Range = 24‐11.688 epg). Helminth infections have no effect on either maternal or neonatal albumin levels (p=0.748 and p=0.480, respectively). Although it was not found to be significant (p>0.05), helminth infection seems to affect gestational age (OR 2.06, 95% CI 1.48‐2.86) and birth weight (OR 2.18, 95% CI 1.52‐3.14). Neonatal albumin level and pregnancy outcome were not affected by maternal albumin level. Conclusion: Helminth infection seems to affect pregnancy outcome in pregnant women in Makassar, but not through influence of albumin. Factors other than albumin level may responsible for such condition.
MENOPAUSAL SYMPTOMS AND FISH CONSUMPTION OF MENOPAUSAL WOMEN IN THE COASTAL AREAS OF SOUTHEAST SULAWESI, INDONESIA Saimin, Juminten; Ridwan, Steven; Yohanis, Mono Valentino; Lianawati, Lianawati; Arimaswati, Arimaswati; Hamliati, Hamliati
Public Health of Indonesia Vol. 6 No. 2 (2020): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v6i2.334

Abstract

Background: Menopausal symptoms are common problem in menopausal women. The severity of menopausal symptoms is influenced by the interaction of biological, genetic and nutritional factors.Objective: This study aimed to determine correlation between menopausal symptoms and fish consumption of postmenopausal women in the coastal areas.Method: This was a cross-sectional study conducted on 234 postmenopausal women in the coastal areas of Southeast Sulawesi. Severity of menopausal symptoms was assessed using Menopause Rating Scale (MRS). Quantity of fish consumption was calculated using 24-hour recall questionnaires. Frequency of fish consumption was evaluated using Food Frequency Questionnaires (FFQ). Data analysis used Chi-square test with a significance value of p=0.05.Results: The majority of fish consumption was sufficient in quantity (81.6%) and frequency (95.3%). Menopausal symptoms are found to be very mild (14.1%), mild (36.3%), moderate (38.5%), and severe (11.1%). There was a correlation between menopausal symptoms and the quantity of fish consumption (p=0.000), and between menopausal symptoms and the frequency of fish consumption (p=0.000).  Conclusion: There was a correlation between menopausal symptoms and fish consumption of postmenopausal women, both in the quantity and frequency. Therefore, increasing the quantity and frequency of fish consumption will reduce the severity of menopausal symptoms.
HALP and SII: Innovative Biomarkers for Diagnosing Ovarian Cancer in Both Epithelial and Non-Epithelial Subtypes Ridwan, Steven; Mantilidewi, Kemala Isnainiasih; A.W., Gatot Nyarumenteng; Kurniadi, Andi; Suardi, Dodi; Salima, Siti; Rauf, Syahrul; Hidayat, Yudi Mulyana
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 2 July 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i2.882

Abstract

Objective: To evaluate the diagnostic utility of PHAL (Platelet, Hemoglobin, Albumin, and Lymphocyte), SII (Systemic Immune Inflammation Index), and SIRI (Systemic Inflammatory Response Index) for both epithelial and non-epithelial ovarian cancer.Methods: A cross-sectional study of 156 patients with ovarian masses was conducted using preoperative laboratory data to calculate PHAL, SII, and SIRI scores. Histopathology confirmed diagnoses. Population I included all ovarian cancer types and benign tumors, while Population II included only non-epithelial ovarian cancer and benign tumors. Statistical analysis using SPSS 25.0, involved ROC curve and validity testing to assess diagnostic performance.Result: SII showed the best performance in the overall population (AUC 0.738; sensitivity 71.25%; specificity 72.37%; accuracy 71.79%; LR+ 2.58; LR– 0.40). In the subgroup of non-epithelial ovarian cancer versus benign tumors, PHAL had the highest diagnostic accuracy (AUC 0.819; sensitivity 81.81%; specificity 73.68%; accuracy 75.51%; LR+ 3.11; LR– 0.25).Conclusion: PHAL and SII are effective, accessible, and low-cost biomarkers that can support ovarian cancer diagnosis through routine blood tests.PHAL dan SII: Biomarker Inovatif untuk Diagnosis Kanker Ovarium Subtipe Epitel dan Non-Epitel Abstrak Tujuan: Penelitian ini bertujuan untuk mengevaluasi nilai diagnostik dari PHAL (Platelet, Haemoglobin, Albumin, dan Limfosit), SII (Systemic Immune Inflammation Index), dan SIRI (Systemic Inflammatory Response Index) pada kanker ovarium epitelial dan non-epitelial. Metode: Penelitian dengan metode potong lintang ini melibatkan 156 pasien dengan massa ovarium. Data laboratorium pra-operatif digunakan untuk menghitung skor PHAL, SII, dan SIRI. Diagnosis ditegakkan melalui pemeriksaan histopatologi. Populasi I mencakup semua jenis kanker ovarium dan tumor jinak, sedangkan Populasi II hanya mencakup kanker ovarium non-epitelial dan tumor jinak. Analisis statistik dilakukan menggunakan SPSS 25.0, termasuk analisis kurva ROC dan uji validitas untuk menilai kinerja diagnostik. Hasil: Hasil penelitian menyimpulkan bahwa SII memiliki performa terbaik pada seluruh populasi (AUC 0,738; sensitivitas 71,25%; spesifisitas 72,37%; akurasi 71,79%; LR+ 2,58; LR– 0,40). Pada subkelompok kanker ovarium non-epitelial dibandingkan dengan tumor jinak, PHAL menunjukkan akurasi diagnostik tertinggi (AUC 0,819; sensitivitas 81,81%; spesifisitas 73,68%; akurasi 75,51%; LR+ 3,11; LR– 0,25). Kesimpulan: PHAL dan SII merupakan biomarker yang efektif, mudah diakses, dan berbiaya rendah yang dapat mendukung diagnosis kanker ovarium melalui pemeriksaan darah rutin. Kata kunci: Kanker ovarium, Skor PHAL (Platelet-Hemoglobin-Albumin-Limfosit), Systemic Immune-Inflammation Index, Systemic Inflammatory Response Index