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Giant Cell Tumor Of Small Bone: Kasus Tumor Tangan yang langka Yuni Prastyo Kurniati
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Pendahuluan : Tumor Sel Raksasa atau sering disebut Giant Cell tumor (GCT) adalah tumor jinak dengan potensi perilaku yang agresif dan memiliki kemampuan bermetastasis. Angka kejadian kelainan ini sekitar 4-5 % dari semua tumor primer tulang. Sembilan puluh persen GCT berlokasi daerah epifiseal. Lokasi yang paling umum adalah tulang paha distal, tibia proksimal, radius distal, dan sacrum. Lima puluh persen muncul di sekitar lutut. Lesi kelainan kasus ini pada tulang kecil tangan dan kaki adalah tumor yang sangat langka. Sehingga kasus ini memperbanyak informasi tentangnya. Tujuan: Melaporkan kasus langka tentang Giant cell tumor of Small bone.Metode :Pelaporan kasus ini menggunakan pendekatan studi pustaka ditinjau dari bidang Patologi Anatomi. Hasil :Wanita,60 tahun, mengeluh 6 bulan ini pergelangan tangan kanannya membengkak, tumbuh hingga sebesar bola tenis. Benjolan tersebut terasa nyeri. Pemeriksaan radiologi memperlihatkan lesi tersebut lebih ke arah proses infeksi kronis. Ahli Orthopedi mencurigainya sebagai tumor. Pemeriksaan mikroskopis didapatkan kelompok sel sel tumor yang tersusun padat, diantara keping matriks tulang yang terpecah-pecah dan banyak ditemukan mutinukleated giant cell. Tak ditemukan sel-sel ganas pada sediaan ini. Hal ini sesuai dengan Giant Cell tumor of Small Bone.Rangkuman: Kasus ini memperbanyak pengetahuan kasus langka tumor pada tangan yaitu Giant cell tumor Of small Bone.
Study of Education Level as Determinant of Knowledge and Attitude Mother about 'SADARI' as Early Detection Efforts of Breast Cancer Yuni Prastyo Kurniati; Celina Rizki Annisa
Prosiding University Research Colloquium Proceeding of The 14th University Research Colloquium 2021: Bidang Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Latar Belakang: Kanker payudara adalah kanker paling umum dan menjadi salah satu penyebab kematian pada wanita. Indonesia sebagai negara ASEAN memiliki angka kematian akibat kanker payudara tertinggi sekitar 36,2 / 100.000 penduduk pertahun. Faktor penyebab kanker payudara adalah karena terbatasnya pengetahuan masyarakat tentang bahaya dari kanker payudara. SADARI merupakan salah satu metode skrining kanker payudara yang dapat dilakukan sendiri dan tidak memerlukan biaya. Tujuan: Menganalisis pengaruh tingkat pendidikan terhadap pengetahuan dan sikap ibu tentang SADARI sebagai upaya deteksi dini kanker payudara. Metode: Metode Penelitian ini menggunakan desain penelitian cross sectional. Subjek penelitian adalah 124 responden yang diambil dengan teknik purposive sampling. Data dianalisis menggunakan uji chi-square dan regresi logistik. Hasil: sebagian besar ibu memiliki tingkat Pendidikan yang baik (75%). Ibu yang memiliki pengetahuan yang baik tentang deteksi dini kanker payudara sebanyak 81,55%, sedangkan yang bersikap positif untuk melakukan kegiatan deteksi dini sebanyak 82,5%. Analisis uji regresi logistik pengaruh tingkat pendidikan terhadap pengetahuan didapatkan nilai OR sebesar 0.363 dengan nilai p-value sebesar 0.000. Sementara, analisis bivariat tentang pengaruh tingkat pendidikan terhadap sikap ibu tentang SADARI, didapatkan nilai Odds Ratio sebesar 3.214 dengan p; 0.018. Hasil multivariat dengan p-value sebesar 0.000 pada variabel pendidikan, maka variabel tersebut berpengaruh signifikan terhadap pengetahuan dan sikap ibu tentang SADARI sebagai upaya deteksi dini kanker payudara. Kesimpulan: Terdapat pengaruh tingkat pendidikan terhadap pengetahuan dan sikap ibu tentang SADARI sebagai upaya dini deteksi kanker payudara.
The Influence of Family Income Level to Mother's Knowledge and Attitude About Papsmear as Early Detection of Cervical Cancer Yuni Prastyo Kurniati; Reza Ika Meliani
Prosiding University Research Colloquium Proceeding of The 14th University Research Colloquium 2021: Bidang Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Pendahuluan : Kanker servik merupakan penyebab kematian utama kanker wanita di dunia. Penyakit ini menempati urutan ke-10 dunia dengan 569.847 orang penderita dan angka rata-rata kematian sebesar 3,3%, sehingga termasuk kelompok penyakit yang mematikan. Faktor yang mempengaruhi terjadinya kanker ini karena para ibu sering enggan memeriksakan diri, disebabkan masih rendahnya tingkat pendidikan dan pengetahuan masyarakat serta ketiadaan biaya. Pap smear dapat mendeteksi kanker serviks dengan hasil yang akurat mencapai 90% dan spesifitas 90%-95%. Namun, cakupan deteksi dini kanker ini di Indonesia, masih sangat rendah yaitu sekitar 5%. Tujuan : menganalisis pengaruh tingkat pendapatan keluarga terhadap pengetahuan dan sikap ibu tentang papsmear sebagai deteksi dini kanker servik. Metode : Desain penelitian cross sectional, dengan tehnik purposive sampling memperoleh sebanyak 148 responden. Analisis data menggunakan uji chi-square dan regresi logistik. Hasil: Sebanyak 66,2% keluarga responden berpendapatan tinggi. Uji Chi-square mendapatkan nilai Odds Ratio sebesar 2.130 dengan nilai p-value 0.044. Hasil analisis bivariat tentang pengaruh tingkat pendapatan keluarga terhadap sikap tentang pap smear sebagai upaya deteksi dini kanker serviks, didapatkan nilai Chi-square hitung Odds Ratio (OR) sebesar 0.359 dengan nilai p-value 0.023. Uji regresi logistik pengaruh tingkat pendapatan keluarga terhadap pengetahuan didapatkan OR sebesar 0.526 dengan nilai p-value sebesar 0.033. Nilai OR pendapatan keluarga 2.068, maka apabila pendapatan keluarga meningkat, maka sikap responden tentang pap smear akan meningkat 2.068 kali lipat dibandingkan tingkat pendapatan rendah yang secara statistik signifikan (p-value 0.000). Kesimpulan: Terdapat pengaruh tingkat pendapatan keluarga terhadap pengetahuan dan sikap ibu tentang pap smear.
Distribusi Benign Soft Tissue Tumor berdasarkan Gender dan Usia Tri Kurnia Ahmad Islamuddin; Yuni Prastyo Kurniati
Prosiding University Research Colloquium Proceeding of The 15th University Research Colloquium 2022: Mahasiswa (Student Paper Presentation) A
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Soft tissue tumor is a disorder that occurs in non-epithelial tissue including fatty tissue, fibrous tissue, neurovascular tissue and muscle tissue. This disease is more common in women than men. While the age that is often diagnosed with this lesion is found in the age range of 15-25 years and 35-54 years. This study aims to analyze whether there is an influence between gender and age with the distribution of benign soft tissue tumors. This study uses a cross sectional study with a retrospective approach. The research sample was histopathological preparations taken from 161 patients with medical record data according to the inclusion criteria. Sampling using purposive sampling technique. Data were analyzed using fisher test. Based on gender, the highest frequency of samples was female as much as 51.6%. Based on age, it was found more in the age range of 17-25 years. The results of the chi-square test of the effect of gender on the distribution of benign soft tissue tumors showed p 1.000, while the effect of age on the distribution of benign soft tissue tumors showed p 0.407. There is no significant effect between the distribution of benign soft tissue tumors on gender and age.
Analysis of Adenomyosis Incidence based on Age and Neutrophil-lymphocyte Ratio Factors Kurniati, Yuni Prastyo; Romadhon, Yusuf Alam; Parawansa, Karmila Indar Parawansa
JHeS (Journal of Health Studies) Vol. 8 No. 1 (2024): Maret
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.3536

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Adenomyosis is a type of disorder which endometrial glands and stroma grow in the myometrium. This disease causes a very high burden of health care, which  82.0% of patients undergoing hysterectomy and 37.6% on chronic pain medication. There is research on the neutrophil-lymphocyte ratio (NLR) which is increased in this disease. However, there is still very limited research on this matter. Analytical observational research method with a cross sectional approach. A total of 135 samples using the consecutive sampling method. Data from Anatomical Pathology medical records from 2018 to 2023. Analysis using univariate, chi square test, and multivariate logistic regression. The results showed that the incidence of adenomyosis was highest in reproductive age (86.8%) and the NLR value at risk was 64.7%. The chi square test and logistic regression obtained the same findings, namely that there was a significant relationship between age and NLR on the incidence of adenomyosis (p<0.001). The prevalence ratio of age and NLR factors is 16.17 and 19.01. This means that NLR at risk has a 19.01 times on the incidence of adenomyosis, rather than age. Negelkerke R-square shows that age and NLR influence the incidence of adenomyosis by 54.9%. In conclusion, there is a significant relationship between the incidence of adenomyosis based on age and NLR. The implications of this study show that NLR can be a simple predictor for the incidence of adenomyosis. This can be done especially in women of reproductive age with a history of dysmenorrhea with complaints of chronic pain.
Analysis of the effect of age and residence on the incidence of Giant Cell Tumors Kurniati, Yuni Prastyo; Zahro, Ikhya' Izatus; Romadhon, Yusuf Alam
International Journal of Health Science and Technology Vol. 5 No. 2 (2023): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v5i2.3259

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Giant cell tumors are benign neoplasms that damage bone and often recur and have aggressive lesions. Benign tumors that can transform into malignant, aggressive, and able to metastasize to other organs.These tumors range from 3-8% of primary bone tumors in Western populations and as many as 20% in Asian countries. Risk factors for this disease are more common in women and at the age of the second to fourth decade. However, there are differences about the distribution of rural and urban areas between countries, as well as the age distribution of patients with these tumors in some countries. The purpose of this study was to analyze the effect of age and residence on the occurrence of Giant Cell Tumor. This study used a cross-sectional research design. The study sample was a histopathology preparation taken from 107 patient medical record data according to inclusion criteria using purposive sampling techniques. The results of the study found subjects with the most GCT were found in the high-risk age group (age range 20 to 50 years) of 67.3% and most of them lived in urban areas as much as 81.3%. Fisher's test showed an influence of age on the incidence of giant cell tumors (p = 0.007) and no influence between residence and the incidence of giant cell tumors (p = 0.262). The conclusion of this study is that age has a significant effect on the occurrence of Giant cell tumors. Meanwhile, residence does not affect the occurrence of Giant cell tumors.
HUBUNGAN PERAN KELUARGA TERHADAP KUALITAS HIDUP PASIEN POST OPERASI KATARAK DI KOTA SRAGEN Fathanita, Abiyya; Ermawati, Sahilah; Kurniati, Yuni Prastyo; Alfajri, Asri
Jurnal Medika Malahayati Vol 8, No 2 (2024): Volume 8 Nomor 2
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v8i2.14070

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Katarak adalah kondisi dimana lensa mata yang semula transparan dan jernih mengalami perubahan menjadi kabur. Di Indonesia, hasil Rapid Assessment of Avoidable Blindness (RAAB) pada 15 provinsi menunjukkan tingkat prevalensi gangguan penglihatan nasional sebesar 3%, dengan Jawa Tengah memiliki prevalensi kebutaan 73,8% diantaranya disebabkan oleh katarak. Katarak berdampak pada penurunan kualitas hidup pasien, yang tercermin dalam berkurangnya kemampuan mereka dalam melakukan aktivitas sehari-hari. Tujuan penelitian ini adalah untuk menganalisis hubungan Peran Keluarga terhadap Kualitas Hidup Pasien Post Operasi Katarak. Metode yang digunakan pada penelitian ini adalah desain penelitian kuantitatif jenis observasional analitik dengan pendekatan cross sectional. Pengambilan sampel sebanyak 47 responden yang sudah melakukan operasi katarak di Rumah Sakit Sarila Husada Sragen dengan metode purposive sampling. Pengambilan data primer kemudian dianalisis menggunakan uji chi-square. Hasil uji statistic menggunakan Chi square didapatkan bahwa tidak terdapat hubungan peran keluarga terhadap kualitas hidup pasien post operasi katarak dengan nilai P>0,647.
PENINGKATAN KAPABILITAS KADER POSYANDU LANJUT USIA DALAM SKRINING HIPERTENSI DI TINGKAT MASYARAKAT : Capacity Improvement of Elder Posyandu Cadres in Hypertension Screening At The Community Level Romadhon, Yusuf Alam; Sintowati, Retno; Lestari, Nining; Kurniati, Yuni Prastyo; Wahyuni, Sri; Salsabila, Naura; Almansyah, Wanda Emdia; Aryati, Mandarini Dwi Putri; Handayani, Alya Nurkinasih Putri; Arismar, Fiqi Rahardian
Jurnal Pengabdian Masyarakat Medika Vol 3. No. 1, Maret 2023
Publisher : Universitas Muhamamdiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jpmmedika.v3i1.1050

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ABSTRAK Selama pembatasan kegiatan sosial masyarakat karena pandemic Covid-19 yang berlangsung dua tahun, kegiatan posyandu lansia di desa Trangsan kecamatan Gatak kabupaten Sukoharjo berhenti aktivitas pelayanannya. Penyakit hipertensi merupakan penyakit terbanyak yang dihadapi kelompok lanjut usia di desa tersebut. Karena itu perlu dilakukan sebuah program pelatihan yang ditujukan kepada kader posyandu lansia di desa tersebut, untuk lebih meningkatkan kapabilitasnya sehingga mampu melakukan skrining dan mengupayakan lebih lanjut derajat kesehatan yang lebih baik bagi kelompok lanjut usia di desa tersebut. Hasil dari pelatihan ini terdapat peningkatan pengetahuan dan sikap positif dari kader posyandu lansia desa Trangsan dalam upaya mereka untuk mengelola penyakit hipertensi di tingkat masyarakat. ABSTRACT During the restrictions on community social activities due to the Covid-19 pandemic that lasted for two years, the activities of the elderly posyandu in Trangsan village, Gatak district, Sukoharjo district, stopped their service activities. Hypertension is the most common disease faced by the elderly in the village. Therefore, it is necessary to conduct a training program aimed at the elderly posyandu cadres in the village, to further improve their capabilities so that they are able to carry out screening and further seek better health status for the elderly group in the village. The results of this training showed an increase in knowledge and positive attitudes of the elderly posyandu cadres in Trangsan village in their efforts to manage hypertension at the community level.
Neurological Deafness Prevalence Based on Diabetes Mellitus and Gender Wirayudha, Yan; Kurniati, Yuni Prastyo; Nugraheni, Fladea Eka
Journal La Medihealtico Vol. 5 No. 2 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i2.1115

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Neurological deafness or sensorineural hearing loss is a hearing loss caused by damage to the cochlea, vestibulocochlear nerve (N.VIII), or the nerve pathways that connect the ear to the brain. Indonesia is part of 4 countries in Asia that have a high prevalence of sensorineural hearing loss, namely 4.6%. Neurological deafness is caused by several factors, including age, genetic factors, and environmental factors. Some studies also show that hypertension, diabetes, and hypercholesterolemia can predispose to neural deafness. One of the complications caused by diabetes mellitus is hearing loss caused by microangiopathy. Gender has also been linked as a risk factor that causes neural deafness. This study aims to determine the relationship between diabetes mellitus and gender with the incidence of neurological deafness in adult patients in the city of Surakarta. This study used secondary data from adult neurologically deaf patients aged >18 years who had diabetes mellitus. This research design uses cross sectional. The total sample size was 67 respondents. The data obtained were analyzed using the chi-square test and logistic regression test. The results of this study stated that there was a relationship between diabetes mellitus and the incidence of neural deafness (p=0.000), there was a relationship between gender and the incidence of neural deafness, namely male gender (p=0.025). A significant relationship was found between diabetes mellitus and gender and the incidence of neurological deafness in adult patients in the city of Surakarta.
Analyzing the Determinants of the Willingness to Receive and Pay for COVID-19 Vaccines Prior to the Commencement of Vaccination in Indonesia Using a Mixed-method Study Romadhon, Yusuf Alam; Lestari, Nining; Firdausi, Nida Faradisa; Kurniati, Yuni Prastyo
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 9, No 2 (2022): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.9.2.2022.155-174

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Background: The occurrence of various deceptive news on COVID-19 vaccines adversely impact public mindset. Prior to the mass vaccination of Indonesian government, perception of the willingness to be vaccinated and its determinant were not widely explored.Objectives: This study is aimed at evaluating the determinants of willingness to receive and pay for COVID-19 vaccines, prior to the commencement of widespread vaccination in Indonesia.Method: This study applied a cross-sectional design to assess the inhibiting factors of both the willingness to receive and pay for COVID-19 vaccines. Statistical analysis was conducted using bivariate and multivariate methods. Furthermore, a qualitative approach was also adopted to categorize open-ended themes on the determinant of willingness to pay for COVID-19 vaccines.Results: Based on the determinants of willingness to be vaccinated, the following results were obtained, including the occupation of health workers (OR=3.638; p=0.000), civil servants (OR=1.776; p=0.030), perception on COVID-19 as dangerous (OR=2.161; p=0.010), perception on the vaccines as effective (OR= 13,156; p=0.000), perception on vaccine as safe (OR=15,769; p=0.000). In terms of the determinants of willingness to pay, the following results were recorded, including respondents’ age of 40 years (OR=2.048; p=0.000), income of IDR.2,500,000 (OR=1.631;p=0.002), experience from the interaction with COVID-19 patients (OR=1.422; p=0.013), perception on the virus as dangerous (OR=2.211; p=0.000), perception on health protocol discipline (OR=1.834; p=0.014), and perception on the vaccine as effective (OR=1.760; p=0.011). Furthermore, 6 concerns were raised on the willingness/reluctance to pay for the vaccine, such as the perception of the vaccines’ effectiveness and safety, equity, suspicion surrounding the pandemic and vaccine, optional measures in combating the outbreak, personal circumstances and nationalism. Conclusion: The determinants of willingness to receive the COVID-19 vaccine included the occupation of health workers and civil servants, perception of the disease as dangerous, perception of the vaccine as effective and safe. Meanwhile, the factors of willingness to pay included the age range of 40 years, high income, interaction with COVID-19 patients, perception of health protocol discipline and the vaccines’ effectiveness.