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DIABETES MELLITUS PREVENTION EDUCATION AND BLOOD SUGAR SCREENING AT JATIRAYA COMMUNITY HEALTH CENTER, KENDARI CITY Yusran, Sartiah; Ekaputri, Rista; Widarni, Widarni; Listian, Ayu; Ningsih, Sri Ratna; Nirwidiarni, Hikma Sri; Rabbihim, Inda
PEDAMAS (PENGABDIAN KEPADA MASYARAKAT) Vol. 3 No. 04 (2025): JULI 2025
Publisher : MEDIA INOVASI PENDIDIKAN DAN PUBLIKASI

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Abstract

Diabetes Mellitus (DM) is one of the chronic diseases whose prevalence is increasing worldwide. Approximately 537 million adults worldwide live with diabetes, and this number is projected to rise to 643 million by 2030 if no effective preventive measures are taken. The objective of this Community Service Program (PKM) is to enhance public knowledge and attitudes toward Diabetes Mellitus (DM) and to conduct blood sugar level screenings among the community in the service area of the BLUD UPTD Jatiraya Kendari Health Center, Southeast Sulawesi. The methodology for implementing this Community Service Program (PKM) includes two main components: education and awareness-raising activities related to Diabetes Mellitus (DM) and health examinations in the form of blood sugar level measurements. The target audience for the activities is the local community in the service area of the Jatiraya Health Center, using purposive sampling to select 25 respondents. To measure the effectiveness of the educational activity, qualitative feedback was used through brief question-and-answer sessions before and after the educational activity. Health screenings were conducted using a glucometer. Based on the results of the PKM activities, which included health education and early detection of DM at the Jatiraya Health Center, it can be concluded that 25 participants successfully gained good knowledge about DM. From the blood sugar level measurements conducted, it was found that 4% of the participants were diagnosed with diabetes, and 28% were indicated as pre-diabetic.
Breastfeeding Knowledge and Behavior in Lactational Amenorrhea Method (LAM) as a Natural Contraceptive Mufdlilah, Mufdlilah; Johan, Reza Bintangdari; Ningsih, Sri Ratna
Kesmas Vol. 16, No. 4
Publisher : UI Scholars Hub

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Abstract

The lactational amenorrhea method (LAM) is a natural contraceptive that is highly effective after the three essential criteria are fulfilled. However, there is a significantly low adoption resulting from poor knowledge and correct practices. This study aimed to determine the correlation between knowledge and behavior of breastfeeding mothers on breastfeeding as a natural contraceptive. This was an analytic observational study with a cross-sectional design involving 89 breastfeeding mothers and was performed from January to March 2018. Furthermore, data were collected using a questionnaire, and the results showed knowledge of breastfeeding mothers to be good (59.6%) and not good (51.7%). However, the individual’s behavior towards the implementation of LAM was not good (48.3%) and good (40.4%). Based on the statistical test, there was a correlation between knowledge and behavior of breastfeeding mothers, with a p-value of 0.006 (OR = 3.463; 95% CI = 1.411 – 8.498). In brief, knowledge of LAM amongst the participants is good, despite the poor application in terms of behavior. Also, a relationship was also established between the knowledge and behavior of breastfeeding mothers as a natural contraceptive.
Liposome-based Nanoparticles Encapsulating Vitamin D3 Attenuate IL-6 and TNF-α in a Menopausal Mouse Model Kusuma, Baskara Wiku Adi; Dwiningsih, Sri Ratna; As’adi, Ashon; Wahyuningsih, Sri Puji Astuti
The Indonesian Biomedical Journal Vol 17, No 5 (2025)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v17i5.3796

Abstract

BACKGROUND: Vitamin D3 is an essential regulator of immune function, however its bioavailability is limited. Liposomes as nanocarriers can enhance vitamin D3 absorption and delivery, however the application of liposomal vitamin D3 in postmenopausal remains underexplored, particularly in preclinical models. Estrogen deficiency during menopause promotes immune dysregulation and elevates proinflammatory cytokines, including interleukin (IL)-6 and tumor necrosis factor (TNF)-α. This study was conducted to evaluate the effects of liposomal vitamin D3 supplementation on serum vitamin D3, IL-6, and TNF-α levels in an ovariectomy-induced menopausal mouse model.METHODS: Mice were randomly divided into four groups comprising non-surgical control (N), ovariectomized without treatment (D−), conventional vitamin D3-treated (D+), and liposomal vitamin D3-treated (LD). Treatments were administered daily via oral gavage for two months. Serum vitamin D3, IL-6, and TNF-α levels were measured by enzyme-linked immunosorbent assay (ELISA). IL-6 and TNF-α data were analyzed by ANOVA with Duncan’s post-hoc test, while vitamin D3 data were analyzed using the Brown-Forsythe test with Games-Howell post-hoc test (p<0.01).RESULTS: Ovariectomy significantly decreased vitamin D3 levels and increased IL-6 and TNF-α levels in the D− group. Conventional vitamin D3 supplementation (D+) significantly decreased serum vitamin D3 levels and slightly decreased IL-6 and TNF-α levels. Liposomal vitamin D3 (LD3) significantly increased vitamin D3 levels and decreased TNF-α, only slightly decreasing IL-6. Correlation analysis showed a negative association between serum vitamin D3 levels and both cytokines.CONCLUSION: Administration of vitamin D3 liposomes was able to increase vitamin D3 levels and suppress IL-6 and TNF-α towards normal levels. LD3 offers enhanced bioavailability and anti-inflammatory effects, making it a promising therapeutic strategy for managing menopause-associated inflammation and related systemic disorders.KEYWORDS: menopause, liposomal VD3, inflammation, IL-6, TNF-α
Analisa Hubungan Kualitas Udara (Pm2.5, Pm10, Pm1 Dan No2) Terhadap Angka Kejadian Bayi Berat Badan Lahir Rendah (Bblr) di Surabaya Tahun 2022-2024 Faradila, Naura Annisa; Prasetyo, Budi; Sulistiawati, Sulistiawati; Dwiningsih, Sri Ratna; Jaelani, Lalu Muhamad
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51144

Abstract

Berat Badan Lahir Rendah (BBLR) tetap menjadi masalah kesehatan masyarakat yang penting di Indonesia. Salah satu faktor utama yang berkontribusi adalah polusi udara, terutama di daerah perkotaan seperti Surabaya. Kualitas udara yang buruk akibat emisi kendaraan bermotor, aktivitas industri, dan tempat pembuangan limbah dapat meningkatkan risiko LBW. Studi ini bertujuan untuk mengkaji hubungan antara polusi udara dan insiden LBW di Surabaya. Studi ini menggunakan desain analitik cross-sectional untuk menyelidiki hubungan antara polusi udara dan Berat Badan Lahir Rendah (LBW) di Surabaya. Data sekunder dari pusat kesehatan masyarakat (Puskesmas) dan catatan kualitas udara akan dikumpulkan. Analisis statistik akan dilakukan menggunakan SPSS versi 25 untuk menilai korelasi antara tingkat polusi udara dan insiden LBW. Analisis menunjukkan hubungan yang signifikan antara kualitas udara dan insiden Berat Badan Lahir Rendah (LBW). Paparan terhadap PM2.5 (r = 0.740; p = 0.000), PM10 (r = 0.762; p = 0.000), PM1 (r = 0.605; p = 0.000), dan nitrogen dioksida (NO2) (r = 0.614; p = 0.000) semuanya memiliki korelasi yang kuat dengan insiden LBW. Semua parameter kualitas udara memiliki nilai p < 0.05, menunjukkan hubungan yang signifikan secara statistik dan menyebabkan penolakan hipotesis nol (H1) demi hipotesis alternatif (Hₐ). Kualitas udara di Surabaya menunjukkan tingkat yang baik untuk PM2.5, PM10, dan PM1, tetapi tingkat NO2 yang berbahaya. Insiden LBW di Benowo berfluktuasi, mencapai puncaknya pada tahun 2023. Hubungan yang signifikan antara kualitas udara dan LBW ditemukan, dengan faktor lingkungan berperan.
Hubungan Pola Asuh Orang Tua Dengan Kejadian Stunting Pada Balita Diwilayah Kerja Puskesmas Tegalrejo Kota Yogyakarta Zahara, Emi Laksmi; Ningsih, Sri Ratna
JURNAL BIDANG ILMU KESEHATAN Vol 15, No 3 (2025): Jurnal Bidang Ilmu Kesehatan
Publisher : Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jbik.v15i3.5792

Abstract

Background : Stunting is a condition where a baby is shorter than children of the same age. Stunting is a chronic nutritional problem that can affect a child's growth and development, and parenting plays an important role in determining a child's nutritional status. Objective : This study aims to determine the relationship between parenting patterns and the incidence of stunting in toddlers in the Tegalrejo Health Center work area, Yogyakarta City. Method : This study used a descriptive analytical design with a cross-sectional approach. A sample of 92 parents who have toddlers aged 1-5 years with a sampling method using accidental sampling and quota sampling. Data analysis to see the relationship between variables using the Spearman rank test. Results : Based on the results of the study, it showed that most respondents applied good parenting patterns (88%), while 12% were in the sufficient category. Of the 92 toddlers studied, 18 children experienced stunting, with 2 very short children (2.2%) and 16 short children (17.4%). There is a significant relationship between parenting patterns and stunting incidence, with a p-value of 0.000 (p
The relationship between overweight and stress towards the premenstrual syndrome in undergraduate students of midwife education, Airlangga University Kharisma, Binta Ulfatul; Dwiningsih, Sri Ratna; Al Farizi, Sofia
Science Midwifery Vol 11 No 5 (2023): December
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i5.1380

Abstract

Premenstrual syndrome is one of the menstrual disorders that appear 7-10 days before menstruation comes and can disappear during menstruation, but can also continue afterwards. Indonesian women who experience premenstrual syndrome (PMS) are 80-90%. Adolescents aged 18-21 years (44.5%) and 22-25 years (22.5%) experience moderate to severe PMS. The purpose of this study was to analyze the relationship between overweight and stress on the incidence of premenstrual syndrome in undergraduate midwifery education students at Airlangga University. This research used observational analytic study method with cross sectional approach. The population was 283 people with a sample size of 138 people conducted by purposive sampling. The independent variables in this study were overweight and stress, while the dependent variable was the incidence of premenstrual syndrome. The instruments in this study used the SPAF questionnaire, DASS-42, and BMI calculation using body weight and height. The data were analyzed using Spearman correlation with α = 0.05. The results of this study found that 32.6% of female students had overweight and obese BMI, 74% of female students experienced high to moderate stress, and 63% of female students experienced mild premenstrual syndrome. In the Spearman correlation test results, it was found that overweight and the incidence of premenstrual syndrome had a p value = 0.000 (p < 0.05) and the level of stress and the incidence of premenstrual syndrome with a p value = 0.000 (p < 0.05). There is an association between overweight and stress with the incidence of premenstrual syndrome (PMS).
DUET THIS: STORYTELLING THROUGH SOCIAL MEDIA VIDEO FOR TEACHING ENGLISH Damayanti, Ika Lestari; Nurlaelawati, Iyen; Amalia, Lulu Laela; Dharma, Nindya Soraya; Ratnaningsih, Sri
English Review: Journal of English Education Vol. 11 No. 3 (2023)
Publisher : University of Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25134/erjee.v11i3.7706

Abstract

This case study aimed to investigate the use of the social media video application, TikTok, to support ten EFL teachers in Indonesia to develop videos for storytelling with their students. During the emergency remote teaching, these teachers found difficulty in designing learning materials easy to share on various online platforms. In this study, a two-week training program consisting of face-to-face and online sessions was conducted to facilitate the teachers to explore TikTok affordances and tell stories in the form of TikTok’s Duet. The data were collected from TikTok videos produced during the program and the teachers’ pre- and post-training reflective notes. The findings show the teachers’ shifted view of TikTok as non-educational entertainment to an educational platform that could facilitate interactive and interesting storytelling with students. The teachers were aware that while the short duration of the TikTok video was beneficial for easy sharing and engagement with students, it affected the length of the unfolding stages of the story. In creating a TikTok video for storytelling, the teachers found modifying original stories into a one-minute interactive video challenging. More support is thus required to provide teachers with pedagogical, technological, and language content knowledge that allows them to develop teaching resources relevant to their student’s language learning needs and social and economic backgrounds.
Hubungan Budaya Patriarki dan Faktor Demografis Terhadap Pemilihan Jenis Kontrasepsi Pada Wanita Usia Subur di Kota Surabaya Maheswari Hastoyo, Roro Patricia; Utomo, Budi; Jayanti, Ratna Dwi; Dwiningsih, Sri Ratna
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2124

Abstract

The choice of contraceptive methods among women of reproductive age is influenced by various factors, including patriarchal culture and demographic characteristics such as age, education, and occupation. In urban areas like Surabaya, shifting social values and the accessibility of information and health services may affect reproductive decision-making patterns. This study aimed to analyze the relationship between patriarchal culture and demographic factors with the choice of contraceptive methods among women of reproductive age at Bulak Banteng and Pacarkeling Public Health Centers in Surabaya. This research employed an analytical observational design with a cross-sectional approach. A total of 96 respondents were selected using consecutive sampling. Data were collected through questionnaires and analyzed using the chi-square test with a significance level of p < 0.05. The results showed no significant relationship between patriarchal culture (p = 0.235), age (p = 0.156), education (p = 0.109), and occupation (p = 0.076) with contraceptive method choice. Most respondents had a low level of patriarchal culture, moderate education, were over 35 years old, and unemployed. In conclusion, patriarchal culture and demographic factors did not directly influence contraceptive choice. The decision to use contraception may be more affected by other factors beyond socio-demographic characteristics, such as service availability and access to reproductive health information.
Familial Factors Associated with Age at Menarche: Evidence from Mothers, Sisters, and Female Students in Elementary School in Surabaya Putri, Ananda Wilda Sofiana Permata; Amalia, Rize Budi; Dwiningsih, Sri Ratna
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

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Abstract

Age at menarche is an important marker of reproductive health and varies widely among individuals. Familial factors, especially maternal and sibling age at menarche, have been identified as strong predictors that influence the onset of puberty in girls. This study aimed to analyze the association between familial factors and the age at menarche among students, their mothers, and older sisters. A cross-sectional study was conducted on 52 female students from an elementary school in Surabaya who had already experienced menarche. Data were collected using structured questionnaires and analyzed using the Chi-square test. The results showed a significant association between the students’ age at menarche and the age at menarche of their mothers and/or older sisters (p = 0.008). Students whose mothers and/or older sisters experienced menarche at an earlier age tended to reach menarche earlier as well. This pattern suggests a hereditary influence within families, indicating that maternal and sibling menarcheal history contributes substantially to determining menarcheal timing among female elementary students. These findings reinforce the role of familial factors in the biological regulation of pubertal onset.
The Practice Of Interprofessional Collaboration On Childbirth With Hepatitis B Case Study At Rsu Imelda Pekerja Indonesia Medan samosir, yohana; Sulistyaningsih, Sulistyaningsih; Ratnaningsih, Sri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 2 (2025): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i2.3198

Abstract

Penularan hepatitis B dari ibu ke janin dapat menimbulkan risiko lebih dari 90% bayi mengalami hepatitis B kronis. Praktik kolaborasi interprofesional dapat mencegah dan mengurangi risiko penularan serta meningkatkan keselamatan pasien. Tujuan: untuk mengeksplorasi lebih dalam dan memahami praktik kolaborasi interprofesional pada ibu melahirkan dengan Hepatitis B di RSU Imelda Buruh Indonesia. Penelitian kualitatif ini menggunakan desain embedded single case study dengan 10 informan: 1 dokter spesialis kandungan, 1 teknolog laboratorium medik (ATLM), 1 apoteker, dan 6 bidan. Wawancara mendalam dilakukan untuk memperoleh informasi, dan data dianalisis menggunakan perangkat lunak NVivo 12 Plus. Penelitian ini menggunakan triangulasi data dari dokter, bidan, ATLM, apoteker, dan ibu bersalin dengan Hepatitis, dianalisis menggunakan analisis tematik, analisis matriks, dan analisis pencocokan pola. Hasil penelitian ini mengidentifikasi alur kolaborasi dari Instalasi Gawat Darurat Obstetri, apotek, ruang bersalin, dan ruang nifas hingga pemberian serum imunoglobulin Hepatitis B pada bayi di ruang neonatus. Budaya kerja menunjukkan kepatuhan terhadap PPI dan pemberian serum tepat waktu kepada bayi untuk mencegah penularan. Dukungan institusional dan lingkungan mencakup penyediaan APD tanpa batas dan ketersediaan alat kesehatan. Nilai-nilai dan etika kolaboratif telah menjunjung tinggi hak atas privasi pasien dan saling menghormati antar profesi. Kendalanya meliputi kurangnya pelatihan bagi bidan dan tidak adanya SOP khusus untuk persalinan Hepatitis B. Harapannya adalah hal ini dapat meningkatkan pemahaman bidan tentang pendidikan dan pelatihan.