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KEJADIAN LUAR BIASA KERACUNAN âCUMI-CUMIANâ DI SEKOLAH DASAR NEGERI 1 TRASAN BANDONGAN KABUPATEN MAGELANG Ahmad, Nasir; Isworo, Adi; Indriani, Citra
Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i2.280

Background: On May 4th, 2016, at 12:30 district surveillance officer of Magelang Health Department received reports from Public Health Center of Bandongan about 21 students of SDN 1 Trasan who suffered from the same food-poisoning symptoms. Objective: Investigation was carried out to identify the source, how it spread and how to control it. Methods: This study used descriptive analytic and mapping the cases distribution location. The case was people experiencing symptoms of dizziness or abdominal pain or nausea or vomiting. Data analysis was done by using bivariate analysis. Data collection were done through interviews, observations and laboratory tests on the food samples. Results: The case was 50 students (from 1-6 grade students). The perceived symptoms were dizziness (77%), nausea (42%), abdominal pain (40%) and vomiting (8%). Attack rate found ranged from 14.3% to 60% with the highest Attack rate found on class three (60%). The incubation period of 15-240 minutes (mean 72.3 minutes). Calamari like positive Bacillus cereus and Rhodamine-B 10 mg/kg. Conclusion: The outbreak of food poisoning because calamari like contaminated Bacillus cereus. We suggested the school committee to provide the socialization of harmful food for the students. The teachers should restrict the permission for the food vendor to sell at school. Keywords: Bacillus cereus, , Food Poisoning, Outbreak, Rhodamine B, School Food

Analysis of Malaria Control Situation in Magelang Regency and Obstacles to Maintain Malaria Elimination Status Ahmad, Nasir; Isworo, Adi; Indriani, Citra
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 2 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i2.14208

Magelang Regency received malaria elimination certificate in April 2014, however, the epidemic signal was received back in April 2015. Malaria epidemic had occurred for two months and until the end of December, indigenous cases could still be found. The purpose of this study was to find out description of situation regarding malaria, malaria control, and obstacles to malaria control in Magelang Regency. Rapid assessment method was conducted by adopting the methodology in the protocol and methods for malaria situation analysis from WHO (2003) and by using desk review as the reference for the research process in malaria control method in a region with similar condition to Magelang regency. Data collection was performed through interview and observation. This study found that in April 2015, the number of indigenous cases was 2 which was increased to 37 cases in May and the peak prevalence was 56 cases in June. Previously, import cases were found in March. Up until December, malaria cases were dominated by indigenous cases (97%). Village regulation regarding malaria migration surveillance was still not available in most receptive villages. In area which had eliminate malaria, there should be regulation that govern malaria migration surveillance. Therefore, the Regent should advise the village chief through a circulatory letter to form a new regulation regarding malaria migration surveillance in order to reduce outbreak potential.

The Domestic Violence Screening Through The Empowerment of Mental Health Cadres Erawati, Erna; Triredjeki, Hermani; Sunarmi, Sunarmi; Isworo, Adi; Sarwono, Bambang
KOMUNITAS: International Journal of Indonesian Society and Culture Vol 10, No 2 (2018): Komunitas, September 2018
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v10i2.12542

Domestic violence spans across cultures and many countries include Indonesia. In the women and children perspectives, it is taboo to report the domestic violence because it is a private matter, not for the public domain. Therefore domestic violence screening through the empowerment and mentoring of mental health cadres is needed to raise awareness of domestic violence in rural community. The aim of this study is to explore the influence of the empowerment and mentoring of mental health cadres on screening domestic violence. A quasi experimental was conducted among mental health cadres. The total sampling derived from six sub district of Kalegen village. Data were analyzed by using SPSS (version 19). A total sample of 22 mental health cadres aged between 28 years to 49 years. There is a high significant screening capability in pretest-posttest after empowerment andÃ‚Â mentoring of mental health cadres (p> .001). The empowerment and mentoring of mental health cadres on screening domestic violence could strengthen support and raising domestic violence awareness. This intervention should become a part of community health program in community. A longitudinal study can be carried out to prevent domestic violence.

KEJADIAN LUAR BIASA KERACUNAN â€œCUMI-CUMIANâ€ DI SEKOLAH DASAR NEGERI 1 TRASAN BANDONGAN KABUPATEN MAGELANG Ahmad, Nasir; Isworo, Adi; Indriani, Citra
MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: On May 4th, 2016, at 12:30 district surveillance officer of Magelang Health Department received reports from Public Health Center of Bandongan about 21 students of SDN 1 Trasan who suffered from the same food-poisoning symptoms. Objective: Investigation was carried out to identify the source, how it spread and how to control it. Methods: This study used descriptive analytic and mapping the cases distribution location. The case was people experiencing symptoms of dizziness or abdominal pain or nausea or vomiting. Data analysis was done by using bivariate analysis. Data collection were done through interviews, observations and laboratory tests on the food samples. Results: The case was 50 students (from 1-6 grade students). The perceived symptoms were dizziness (77%), nausea (42%), abdominal pain (40%) and vomiting (8%). Attack rate found ranged from 14.3% to 60% with the highest Attack rate found on class three (60%). The incubation period of 15-240 minutes (mean 72.3 minutes). Calamari like positive Bacillus cereus and Rhodamine-B 10 mg/kg. Conclusion: The outbreak of food poisoning because calamari like contaminated Bacillus cereus. We suggested the school committee to provide the socialization of harmful food for the students. The teachers should restrict the permission for the food vendor to sell at school. Keywords: Bacillus cereus, , Food Poisoning, Outbreak, Rhodamine B, School Food

EFEKTIVITAS PSIKOEDUKASI TERHADAP PERUBAHAN PERILAKU PADA PASIEN HIPERTENSI DI PUSKESMAS MAGELANG UTARA Kusumaningtias, Yosie Maulida; Supriyatno, Heru; Isworo, Adi
Jurnal Kesehatan Karya Husada Vol 12 No 1 (2024): Jurnal Kesehatan Karya Husada
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v12i1.685

Hipertensi merupakan masalah kesehatan yang kian berkembang di Indonesia. Jika hipertensi tidak ditangani teapt waktu, maka prevalensi hipertensi kemungkinan akan meningkat setiap tahunnya. Perubahan perilaku dapat diatasi dengan cara nonfarmakologis, salah satunya dengan psikoedukasi. Tujuan penelitian ini adalah untuk mengetahui adanya perbedaan perilaku pasien hipertensi sebelum dan sesudah diberikan terapi psikoedukasi. Jenis penelitian yang digunakan pre eksperimental dengan rancangan penelitian one-group pretest-posttest design dan melibatkan 46 orang yang diambil dengan purposive sampling. Instrument penelitian ini berupa kuesioner perubahan perilaku dan SOP psikoedukasi. Hasil penelitian ini menyimpulkan bahwa terdapat perbedaan rerata pemberian psikoedukasi terhadap perubahan perilaku pada penderita hipertensi yaitu 0,92 (p=0.000). Penelitian ini merekomendasikan psikoedukasi sebagai suatu terapi untuk meningkatkan perubahan perilaku pasien hipertensi dalam mengontrol tekanan darah. Kata Kunci: Efektivitas, Psikoedukasi, Perubahan perilaku, Tekanan Darah, Hipertensi.

Self Stigma and Burden Among Caregivers of Persons with Schizophrenia in Community: Cross Sectional Study Suharsono; Isworo, Adi; Faidah, Noor
Oshada Vol. 2 No. 3 (2025): Oshada Journal - June
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/gdyvh618

Background: Caregivers of individuals with schizophrenia often experience significant psychological and emotional challenges, including self-stigma and caregiver burden. Understanding these phenomena is essential to develop supportive interventions. Objective: This study aimed to examine the levels of self-stigma and caregiver burden among caregivers of persons with schizophrenia living in the community and to explore the relationship between these two variables. Methods: A cross-sectional study design was employed involving 100 caregivers selected through purposive sampling. Data were collected using validated self-report questionnaires: the Self-Stigma of Family Members Scale (SSFS) and the Zarit Burden Interview (ZBI). Descriptive statistics and Pearson correlation analysis were conducted to assess the relationship between self-stigma and caregiver burden. Results: The findings indicated that a majority of caregivers experienced moderate to high levels of both self-stigma and caregiver burden. A significant positive correlation was found between self-stigma and caregiver burden (p < 0.01), indicating that higher levels of self-stigma were associated with greater caregiver burden. Conclusion: Self-stigma contributes to the burden experienced by caregivers of individuals with schizophrenia in the community. Interventions aimed at reducing stigma may help alleviate the psychological burden among caregivers and improve their well-being.

Psikoedukasi Pada Pasien Diabetes Mellitus di Wilayah Kerja Puskesmas Magelang Utara Kota Magelang Isworo, Adi; Suharsono, Suharsono; Susanto, Abiyyu Naufal
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 6 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i6.953

Psychoeducation for cadres, families and diabetes mellitus patients in North Kramat Village, North Magelang District, Magelang City is needed as a promotive and preventive effort for non-communicable disease programs. Community participation through empowering health cadres in optimizing reducing the level of family burden, strengthening family support, regularity in measuring glucose levels, and adherence to medication and diet. This service aims to determine the practice of implementing health cadre empowerment in screening and efforts to optimize cadres in families with diabetes mellitus patients. The methode used is structured counseling, focus group discussions. The activities were carried out for one year, carried out in North Kramat Village, North Magelang District, Magelang City, the working area of the North Magelang Community Health Center. Empowerment is observed by community health center nurses and health cadres during early detection of glucose levels, compliance with taking medication and diet. The results of empowerment in providing psychoeducation to families with diabetes mellitus patients showed that the average practice assessment result was an increase of 79,23 (79,23%) from the previous 70,8 (70,8%) and there was an increase 8,43%. Through empowerment we can increase optimization in screening for families and diabetes mellitus patients. Greater outreach of screening to the community. Extensive and supports the performance of community health center services to carry out non-communicable disease programsABSTRAKPsikoedukasi pada kader, keluarga serta pasien diabetes melitus di Kelurahan Kramat Utara, Kecamatan Magelang Utara, Kota Magelang diperlukan sebagai upaya promotif dan preventif program penyakit tidak menular. Partisipasi masyarakat melalui pemberdayaan kader kesehatan dalam mengoptimalkan penurunan tingkat beban keluarga, menguatkan dukungan keluarga, keteraturan dalam mengukur kadar glukosa, dan kepatuhan minum obat dan diet. Pengabdian ini bertujuan untuk mengetahui praktik pelaksanaan pemberdayaan kader kesehatan dalam skrining dan upaya optimalisasi kader pada keluarga dengan pasien diabetes melitus. Metode yang digunakan berupa penyuluhan terstruktur, fokus group discussion. Pelaksanaan kegiatan selama satu tahun, dilaksanakan di Kelurahan Kramat Utara, Kecamatan Magelang Utara, Kota Magelang wilayah kerja Puskesmas Magelang Utara. Pemberdayaan diobservasi oleh perawat puskesmas dan kader kesehatan saat deteksi dini kadar glukosa, kepatuhan minum obat dan diet. Hasil pemberdayaan dalam memberi edukasi psikoedukasi pada keluarga dengan pasien diabetes melitus didapatkan hasil rata-rata penilaian praktik adalah 79,23 (79,23%) dari yang sebelumnya 70,8 (70,8%) dan terdapat kenaikan 8,43%. Melalui pemberdayaan maka dapat meningkatkan optimalisasi dalam skrining kepada keluarga dan pasien diabetes melitus. Jangkauan skrining ke masyarakat lebih luas dan mendukung kinerja layanan puskesmas untuk menjalankan program penyakit tak menular.

Efektivitas Pemberian Kombinasi Tempe Kedelai Daun Kelor dan Tablet Fe Dibandingkan dengan Pemberian Tablet Fe terhadap Peningkatan Kadar Hemoglobin pada Remaja Putri dengan Anemia Olgaliana, Deswimar Olgaliana; Handayani, Lulut; Rahmawati, Wiwin Renny; Isworo, Adi
Ranah Research : Journal of Multidisciplinary Research and Development Vol. 7 No. 6 (2025): Ranah Research : Journal Of Multidisciplinary Research and Development
Publisher : Dinasti Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/rrj.v7i6.1816

Anemia is a condition where the number of red blood cells is insufficient to meet the body's physiological needs. Anemia is prone to occur in adolescence. The prevalence of anemia in the world ranges from 40-88% of 600,000,000, while in Indonesia it is 48.9% of 25,000,000. Anemia in adolescent girls has a negative impact not only on academic achievement but can also increase the risk of pregnancy complications and disrupt fetal growth and development. Symptoms of anemia are characterized by 5L (Weak, Tired, Lethargic, Exhausted, Negligent). Efforts are made to overcome this condition by consuming nutritious foods (containing iron) in the form of moringa leaf soybean tempeh and taking Fe tablets. This study aims to determine the effectiveness of administering a combination of moringa leaf soybean tempeh and Fe tablets or Fe tablets alone on hemoglobin levels in adolescent girls with anemia. This study is a quasi-experimental study with a two-group pretest-posttest design. The population is 95 adolescent girls with a sample size of 24 respondents. This study was conducted in May 2025 at the Al Itqon Islamic Boarding School in Semarang City. The instrument in this study used a digital hemoglobin device that has been tested for validity and reliability. Hypothesis testing used the Independent t-test. The average hemoglobin level in the intervention group increased from 10.6 gr/dl before treatment to 14.6 gr/dl after treatment, while in the control group it increased from 10.5 gr/dl to 12.6 gr/dl after treatment. Both treatments showed an effect between the combination of moringa leaf soybean tempeh and Fe tablets with the administration of Fe tablets alone, but the administration of the combination of moringa leaf soybean tempeh and Fe tablets proved more effective in increasing hemoglobin levels in adolescent girls with anemia compared to the administration of Fe tablets alone.

Efektivitas Pelatihan Pencegahan dan Pengendalian Penyakit Tidak Menular terhadap Efikasi Diri Kader Posyandu: The Effectiveness of Training on Non-Communicable Disease Prevention and Control toward the Self-Efficacy of Posyandu Cadres Suharsono, Suharsono; Isworo, Adi; Ashar N, Novema
Jurnal Abdi Keperawatan dan Kedokteran Vol 4 No 2 (2025): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v4i2.89

Non-Communicable Diseases (NCDs) are the main causes of morbidity and death in Indonesia. Prevention and control of PTM requires the active role of Pos Pelayanan Terpadu (Posyandu) cadres. However, low self-efficacy of cadres often becomes an obstacle in carrying out these tasks. Therefore, the aim of this community service is to increase the capacity and self-efficacy of cadres in efforts to prevent and control NCDs. This community service uses a participatory training approach aimed at increasing cadres' self-efficacy. A total of 30 cadres were selected as respondents through purposive sampling techniques. Inclusion criteria include active cadres in posyandu, aged 20–60 years, and willing to take part in the entire series of training. Activities were carried out in the form of intensive training which includes material delivery, group discussions, simulations and evaluation. Self-efficacy measurements were carried out before and after the intervention using the General Self-Efficacy (GSE) questionnaire. Data analysis was applied to see changes in cadre self-efficacy categories before and after training. The results of this activity showed that at the time of the pretest, most of the cadres were in the medium category, 21 people (70%) and 4 people low (13.3%). After the training, there was a significant increase in the good self-efficacy category, namely to 20 people (66.7%) and there were no cadres in the low category with a p value = 0.001. It can be concluded from this community service activity that participatory-based training can increase the self-efficacy of Posyandu cadres in preventing and controlling NCDs.

Epidemiology investigation of typhoid incidence in senior high school X in Magelang District Ahmad, Nasir; Isworo, Adi; Indriani, Citra
BKM Public Health and Community Medicine Vol 37 No 03 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i03.1718

Purpose: This study aimed to determine the magnitude and cause of the outbreak, describe the outbreak based on person, place, and time, and implement control measures. Methods: This study uses descriptive epidemiology and looks for active cases to find additional cases. Cases included students with fever with or without further symptoms: dizziness, nausea, vomiting, headache, stomachache, diarrhea, and chills from September 28 to November 28. Data collection was carried out through interviews using a standard questionnaire. We took clean water, drinking water, and blood samples. The water sample was sent to the Environmental Health Laboratory, and the blood sample to a private laboratory in Magelang for an IgM anti-Salmonella typhi test. Results: The number of cases was 150 students. The highest attack rates were among women, 72/359 (20.1%), and first-year students, 139/381 (36.48%). The onset of the disease starts from 28 September to 26 October 2016. There are outbound activities on the river on 26 September, attended by all first-year and second- and third-year students, as part of the activity committee. This activity is followed by eating together before and after washing hands with soap. All cases attended outbound activities. IgM was positive in 51 students, and water samples were negative for Salmonella typhi. Conclusion: There was an outbreak of typhoid fever with 150 cases in schools from 28 September to 28 November 2016. The outbreak was caused by the lack of hand-washing with soap when eating. We provide medical and health education to students about typhoid fever. The recommendation is to make school rules about the behavior of washing hands with soap, and if you take a bath in the river, before eating, it is necessary to wash your body and hands with soap.

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