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All Journal International Journal of Public Health Science (IJPHS) E-Jurnal Medika Udayana Jurnal Kedokteran Jurnal Biologi Tropis Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Pengabdian Magister Pendidikan IPA Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Kesehatan Jurnal Gema Ngabdi PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Abdi Insani Cardiovascular and Cardiometabolic Journal (CCJ) Prosiding Konferensi Nasional PKM-CSR JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Jurnal Pepadu Jurnal Adijaya Multidisiplin Women Midwives and Midwifery Gema Bidan Indonesia (e- Journal). Detector: Jurnal Inovasi Riset Ilmu Kesehatan JIP (Jurnal Intervensi Psikologi) Promotor: Jurnal Mahasiswa Kesehatan Masyarakat GEMASSIKA: Jurnal Pengabdian kepada Masyarakat Jurnal Ilmiah Kebidanan dan Kesehatan (JIBI) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Global Ten Public Health and Nursing Journal Gema Bidan Indonesia (e-Journal)
Deasy Irawati
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Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Dinamika Epidemiologi Demam Berdarah Dengue dalam Perspektif Kesehatan Masyarakat: Tren Satu Dekade dan Variabilitas Iklim di Nusa Tenggara Barat Eva Hikmatul Damayanti; Nurhidayati Nurhidayati; Deasy Irawati; Marisa Syavitri
Malahayati Nursing Journal Vol 8, No 9 (2026): Volume 8 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i9.25916

Abstract

ABSTRACT Dengue hemorrhagic fever remains a pressing public health concern in tropical regions, although the influence of climatic factors varies across local settings. This study aims to describe the epidemiological patterns of dengue over a ten-year period in West Nusa Tenggara (NTB), Indonesia, and to examine its association with climate variability. Secondary annual data from 2015 to 2024 were analyzed, including dengue incidence, mortality, and case fatality rate (CFR), along with meteorological indicators such as average and maximum temperature, relative humidity, rainfall, number of rainy days, and duration of sunshine. Descriptive statistics were performed, followed by simple linear regression to explore potential relationships. Time series modeling was applied to assess predictive capacity. Dengue incidence ranged from 10.7 to 88.9 per 100,000 population (mean 51.7/100,000), with CFR consistently below 2%. Annual variations coincided with major disruptive events, including the 2018 earthquake and the COVID-19 pandemic. Linear regression analysis demonstrated consistent patterns: relative humidity showed a positive association with incidence (B ≈ +9.8, R² up to 0.45, p = 0.071 when pandemic years were excluded), whereas average temperature and sunshine duration exhibited inverse relationships. Rainfall and number of rainy days showed weak and inconsistent associations. Time series analysis using Holt’s exponential smoothing captured short-term variability (stationary R² = 0.82) but produced relatively high prediction error (MAPE 44%). In NTB, dengue incidence fluctuates annually and is influenced by climatic variability as well as extraordinary events such as earthquakes and the COVID-19 pandemic. Relative humidity appears to be the most consistent climatic determinant. Time series modeling reflects short-term trends but lacks precision, underscoring the importance of strengthening local surveillance systems. Keywords: Dengue Hemorrhagic Fever, Climate Variability, Epidemiology, Humidity, West Nusa Tenggara.  ABSTRAK Demam berdarah dengue masih menjadi masalah kesehatan masyarakat yang mendesak di wilayah tropis, namun pengaruh iklim bervariasi antar konteks lokal. Penelitian ini bertujuan untuk menggambarkan epidemiologi demam berdarah dengue selama satu dekade di Nusa Tenggara Barat (NTB), Indonesia, dan mengkaji hubungannya dengan variabilitas iklim. Data tahunan sekunder dari tahun 2015–2024 dianalisis, meliputi insiden demam berdarah, mortalitas, dan tingkat fatalitas kasus (CFR) beserta indikator meteorologi (suhu rata-rata dan maksimum, kelembapan relatif, curah hujan, hari hujan, dan durasi sinar matahari). Statistik deskriptif dilakukan, dilanjutkan dengan regresi linier sederhana untuk mengeksplorasi hubungan. Pemodelan deret waktu diterapkan untuk menilai potensi prediktif. Insiden dengue berkisar antara 10,7 dan 88,9 per 100.000 penduduk (rata-rata 51,7/100.000), dengan CFR secara konsisten di bawah 2%. Fluktuasi tahunan bertepatan dengan peristiwa anomali seperti gempa bumi tahun 2018 dan pandemi COVID-19. Regresi linier menunjukkan tren yang konsisten: kelembapan relatif berkorelasi positif dengan insiden (B ≈ +9,8, R² hingga 0,45, p = 0,071 ketika tahun pandemi tidak termasuk), sementara suhu rata-rata dan durasi sinar matahari berkorelasi terbalik. Curah hujan dan hari hujan memberikan kontribusi asosiasi yang lemah dan tidak konsisten. Analisis deret waktu (pemulusan eksponensial Holt) menangkap variabilitas jangka pendek (R² stasioner = 0,82) tetapi menunjukkan kesalahan prediksi yang tinggi (MAPE 44%). Di NTB, insiden demam berdarah berfluktuasi setiap tahun, dipengaruhi oleh variasi iklim serta kejadian luar biasa seperti gempa bumi dan wabah COVID-19. Kelembapan menunjukkan hubungan paling konsisten dengan insiden. Pemodelan deret waktu mencerminkan pola jangka pendek tetapi kurang presisi, sehingga menyoroti pentingnya sistem pengawasan lokal. Kata Kunci: Demam Berdarah, Perubahan Iklim, Epidemiologi, Kelembaban, Nusa Barat Tenggara.
Case Report pada Ibu Multigravida Trimester III dengan Anemia di PMB “V” Tanah Merah Bangkalan Alisa Syafira Adimiarti; Sri Wayanti; Deasy Irawati; Anis Nur Laili
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2026): Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v4i3.6734

Abstract

Anemia during pregnancy remains a maternal health problem that requires attention, particularly among third-trimester multigravida women who experience increased iron requirements approaching delivery. In Bangkalan Regency, 2,505 cases of anemia were recorded among 19,305 pregnant women (12.98%). This case report aims to describe the assessment, midwifery analysis, management, and clinical progress of a third-trimester multigravida woman with anemia at Midwifery Independent Practice V, Tanah Merah, Bangkalan. A descriptive design with a single case report approach was applied to Mrs. L, aged 31 years, G2P1A0, through three home visits conducted on June 19, June 25, and July 2, 2026. Data were obtained through interviews, observations, physical and obstetric examinations, hemoglobin measurement, the Maternal and Child Health (MCH) Handbook, and SOAP documentation. At the first visit, the mother had no major complaints but presented with pale conjunctiva, a hemoglobin level of 10.8 g/dL, irregular iron tablet consumption, and suboptimal dietary patterns. Management included education on anemia and nutrition, appropriate consumption of iron and calcium tablets, increased intake of iron and vitamin C, moringa leaf tea as complementary therapy, adherence monitoring, management of third-trimester discomfort, birth planning and complication prevention (P4K), and family involvement. At the third visit, hemoglobin increased to 11.6 g/dL, the conjunctiva appeared pink, adherence improved, and physiological complaints decreased. Clinical improvement occurred following continuous care; however, the single-case design and concurrent interventions prevent determination of the contribution of each intervention. Continued monitoring of hemoglobin, iron tablet adherence, dietary patterns, and antenatal visits is recommended through the postpartum period.
Co-Authors Abdyah Fayza Lainunnabila Abdyah Fayza Lainunnabila Addien Hidayat Aena Haviana Aisya Nur Abida Ajeng Sulistianing Utami Alisa Syafira Adimiarti Anak Agung Ayu Niti Wedayani Andini Putri Anis Nurlaili Anisak, Siti Annisay Amalia Anom Josafat Anom Josafat Anom Yosafat Anthony, Lalu Muhammad Anugra, Lalu Rifal Hadi Ardiana Ekawanti Ario Danianto, Ario As’ad, Suryani Ayunda, Rahmah Dara Baik Mardiati Basuki Rahmat Budhiarko Pramana Putra Catarina Budyono, Catarina Dewi Suryani Dian Puspita Sari Efrianto Ekawati, Ardiana Elisa, Siti Nur Elma Shari Pagehgiri Esyuananik, Esyuananik Eva Hikmatul Damayanti Fifi Rilasti Gede Palgunadi Gede Wirabuana Yuda Hadiyatur Rohmani Hasbuandi Firman Sakti Herlina, Lenny Herpan Syafii Harahap Herpan Syafii Harahap I Gede Yasa Asmara I Gusti Agung Ngurah Rai Kusuma Wardan Ida Ayu Eka Widiastuti Ida Ayu Ngurah Trisna Noviani Ananda Putri Ida Ayu Putu Sri Widnyani Ima Arum Lestarini Indrayana, Yanna Jaya Putra, Rian Akka Jurnal Pepadu Kadriyan, Hamsu Laili, Anis Nur Laili, Anis Nur Laili Lalu Ahmad Gamal Arigi Lazuardi Arsy Lina Nurbaiti Lina Nurbaiti Lina Nurbaiti Lina Nurbaiti, Lina Luqyandini Rifqih Salsabilla Madinah, Ali Marisa Syavitri Muhammad Abdurrosyid Muhammad Fadhil Mulyanto Mulyanto Natsir, Rosdiana Ni Putu Emi Januantari Nilam Puspitasari Nintyastuti, Isna Kusuma Nisa Suriani Novrita Padauleng Nurhidayati Nurhidayati Nyoman Adnyana Putra Octavia Putri Salsabilla Pebi Alisiyah Pebrianti Purwaningsih, Ni Wayan Desi Putra, Hendra Susana Putu Ayu Puji Laksmi Dewi Qonytha Maulyda Qurniadi, Margian Tri Qurrotu Aini Cesari Rahmah Dara Ayunda Rifana Cholidah Rifana Cholidah Rifana Cholidah Rifana Cholidah Rodiyatun Sari, Baiq Merna Merta Seto Priyambodo Shentya Fitriana Sherly Agustina Siti Laelatul Azizah Sri Wayanti Sri Wayanti, Sri Sriwayanti Subandi suryaningsih Syahril Ramdhan Syandria Mayangsari Titi Pambudi Karuniawaty Umar, Husaini Utami, Herdiana Nurul Wahyu Sulistya Affarah Wayanti, Sri Widya Ningrum Willa Follona Yanna Indrayana Yunita Sabrina Yunus T. Yanseda Zubaidi, Fitriannisa Faradina