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All Journal Jurnal Kedokteran Diponegoro PREPOTIF : Jurnal Kesehatan Masyarakat Ahmad Dahlan Medical Journal Cermin Dunia Kedokteran
Tira Alfiani Laariya
Universitas Ahmad Dahlan, Yogyakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Gambaran Perilaku Pencegahan Demam Berdarah Dengue di Masyarakat: Literatur Review: Behavioral Overview of Dengue Hemorrhagic Fever Prevention in the Community: Literature Review Chairunnisa.Aulia.Astiti; Chila Permata S; Muhammad Bayu Sastra Wiguna; Dewi Yuniasih; Tira Alfiani Laariya; Suyatmi Suyatmi; Nurul Fauziyah Rahmawati
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Demam Berdarah Dengue banyak ditemukan di daerah tropis dan sub-tropis. Data profil kesehatan indonesia tahun 2015-2021 untuk penyakit DBD mengalami peningkatan dan penurunan. Hal ini menunjukkan kasus DBD menjadi salah satu masalah utama di Indonesia sehingga perlu upaya untuk mencegah DBD. Peranan masyarakat dalam upaya pencegahan dan penanggulangan demam berdarah ini sangat penting dengan meningkatkan pengetahuan, sikap, perilaku seperti PSN 3M, PHBS dan sanitasi lingkungan yang sehat. Tujuan penulisan artikel ini untuk mengetahui Gambaran Prilaku Pencegahan Demam Berdarah Dengue di Masyarakat. Artikel ini menggunakan metode Literatur review dengan menggunakan kata kunci “Prevention, Dengue Fever, dan Behavior” Pencarian dengan menggunakan database antara lain Science Direct, NCBI dan Google Scholar. Pencarian dibatasi dengan rentang waktu tahun 2013-2023. Hasil dari 6 artikel terdapat beberapa gambaran perilaku pencegahan demam berdarah di masyarakat, mulai dari pengetahuan, sikap, perilaku kesehatan, sanitasi, PHBS, dan PSN 3M. Kesimpulan penelitian ini adalah upaya pengendalian dan pencegahan demam berdarah tidak hanya dilakukan oleh perorangan tetapi peran masyarakat sangat penting.
Prevalensi Kejadian TB Paru di Wilayah Kerja Puskesmas Sanden Tahun 2020-2022: Relationship Of Parenting Pattern And Parental Attitude With Acute Respiratory Infections In Children Under 5 Years Naufal Zuhdi Rabbani; Okti Susilowati; Dewi Yuniasih; Fitriana Fitriana; Tira Alfiani Laariya; Suyatmi Suyatmi; Nurul Fauziyah Rahmawati
Ahmad Dahlan Medical Journal Vol. 4 No. 1 (2023): May 2023
Publisher : Universitas Ahmad Dahlan

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Tuberkulosis (TB) merupakan penyakit yang disebabkan oleh infeksi bakteri mycobacterium tuberculosis pada paru-paru. Indonesia masuk dalam negara dengan jumlah penderita TB terbanyak kedua setelah India. Tujuan penelitian ini adalah untuk melihat prevalensi kejadian TB dan menilai keberhasilan poli batuk dalam penurunan kasus di Puskesmas Sanden. Penelitian ini adalah penelitian deskriptif dilakukan di Puskesmas Sanden, dengan pengambilan data rekam medis pasien TB tahun 2020 hingga 2022. Variabel yang diteliti adalah jenis kelamin dan usia pasien TB. Hasil penelitian ini adalah mayoritas pasien TB berjenis kelamin laki-laki dan usia produktif atau berusia 16 hingga 59 tahun. Kesimpulannya adalah adanya poli batuk memiliki pengaruh dalam penurunan kejadian TB di Puskesmas Sanden serta Puskesmas Sanden dapat memaksimalkan peran promotif dan preventif agar dapat mencegah terjadinya TB paru dan menurunkan angka kejadian TB paru di Puskesmas Sanden.
The Characteristics of Pregnant Women with Anemia at Puskesmas Sanden Working Area in 2022-2023 Dewantari, Aulia Yasmin; Sistharani, Naila; Yuniasih, Dewi; Laariya, Tira Alfiani; Mawardi, Fitriana; Suprabandari, Suprabandari; Rahmawati, Nurul Fauziyah
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Anemia in pregnancy is a public health problem especially in developing countries and is associated to adverse pregnancy outcomes. The prevalence of anemia in Indonesia is relatively high. In 2018, the prevalence of anemia reached 32%. While the prevalence of anemia in pregnant women was 48.9% in the same year. Reducing the incidence of anemia in pregnant women is included in efforts to reduce maternal mortality (MMR) and morbidity or mortality in babies born. Puskesmas Sanden has a program to reduce MMR and infant mortality with one of the efforts made is to reduce the number of anemias in pregnant women. The purpose of this study was to determine the prevalence and characteristics of pregnant women who experience anemia in the working area of Puskesmas Sanden. This research was conducted using a descriptive method. The data were taken from secondary data, namely register data for pregnant women who carried out examinations at the Mother and Child Health Polyclinic in Puskesmas Sanden. The research respondents were all pregnant women who experienced anemia from January 1st, 2022 to June 30th, 2023, in which, there were 120 research respondents. Research variables include mother's age, number of parities, and upper arm circumference (UAC). The results showed that the prevalence of anemia in pregnant women was 254 people. The characteristics of pregnant women who experience anemia based on age showed that there were 97 people (80.83%) pregnant women who experience anemia are dominated by women aged 21-34 years old, while there are 3 (2.5%) pregnant women with anemia aged ≤ 20 years old, and 20 pregnant women with anemia aged ≥ 35 years (16.67%). Meanwhile, based on the number of parities, in this study, the total parity of all pregnant women who were included in the research respondents was ≤ 3, which were 120 people (100%), and none of the pregnant women who had parity > 3. Then, based on UAC, there were 94 (78.33%) pregnant women with anemia had more UAC ≥ 23.5 cm, and as many as 26 pregnant women with anemia had UAC < 23.5 cm (21.67%). The conclusion of this study is that the prevalence of pregnant women at Puskesmas Sanden is still relatively high, which is 39.69%.
Teenage Pregnancy and Its Outcome: A Scoping Review Shalsabila, Dhea; Pamungkas, Ade Tia Bintang; Yuniasih, Dewi; Laariya, Tira Alfiani; Mawardi, Fitriana; Suprabandari, Suprabandari; Fauziyah Rahmawati, Nurul
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Pregnant teenagers are deemed high risk and detrimental to motherhood and birth, as well as one of the world's major health issues, contributing to maternal and infant mortality and migration. Pregnancy Teenagers account for 11% of all births worldwide, with some large occurrences occurring in countries with intermediate income levels due to a variety of circumstances. Study The goal of this study is to learn about the effects of pregnancy on teenagers. Study This is a study scoping review that uses search tactics utilizing the keywords "teenage pregnancy, maternal, outcome, complications" in PubMed, Scopus, and other search databases for the time period 2018—2023. This study involves 19 publications with results risk maternal complications in pregnant teenagers like preeclampsia, eclampsia, anemia, postpartum hemorrhage, perineal tear, hyperthyroidism, oligohydramnios, infection channel urinary tract infection, condylomatosis, vaginal infection, HIV infection, infection syphilis, childbirth congestion, amniotic fluid broke premature birth, abortion, premature birth, and degree of maternal morbidity heavy. In newborns, outcomes included IUGR, low birth weight, preterm, needed bag valve mask resuscitation at birth, stillbirth, and neonatal mortality. Finally, pregnant teenagers have negative outcomes _ good for the mother or kid. That can become a vicious circle of negative consequences for health and the economy, so we must make an effort to reduce the impact of unfortunate pregnancies on youths.
Needle Stick Injury among Medical Students: Scoping Review Laariya, Tira Alfiani; Fauzan Achmad Maliki; Dewi Yuniasih; Fitriana Mawardi
Ahmad Dahlan Medical Journal Vol. 4 No. 2 (2023): November 2023
Publisher : Universitas Ahmad Dahlan

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Abstract

Needle stick injury (NSI) is one of the occupational hazards in the healthcare sector. Needle stick injury refers to the accident of a percutaneous piercing wound caused by a potentially contaminated instrument with a person’s body fluid. Medical students are high-risk people who contact with needles and body fluids. This study aims to assess the prevalence, incidence, knowledge, awareness, and level of NSI reporting among medical students. Systematic searches were conducted with specific keywords in 4 databases: PubMed, ScienceDirect, Scopus, and Google Scholar databases from 2018 to 2023. A total of eight articles were selected for analysis. They presented descriptively. The study revealed that the prevalence of NSI was varied, ranging from 2,7% to 8%. The incidence rate of NSI was 1,26% to 9,6%. The majority of the studies showed that the knowledge level of medical students was not satisfactory, but they had good awareness and good practice toward needle stick injury prevention. Contrarily, it was found that medical students had a low level of NSI reporting. Hence, it is important to make the medical students understand and aware of NSI, have good practice, and stick to the standardized protocol for NSI, including how to report it correctly.
Birth Defect as Teenage Pregnancy Complication: Narrative Review Maliki, Fauzan Achmad; Laariya, Tira Alfiani
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Background: Due to its complexity in terms of psycho-social factors as well as maternity and maternal outcomes, teenage pregnancy is still a global issue that receives constant attention. The rate of adolescent fertility (AFR) in Indonesia is 26.64 births per 1000 women who are fertile. Objective: This review article aims to explore the issues of teenage pregnancy, particularly as they relate to congenital abnormalities or birth defect as complications of teenage pregnancy. Method: Database searches were conducted on Pubmed and Google Scholar. Results: We gathered 27 articles with a wide variety of research designs in this review article. Conclusion: Anemia, preeclampsia, and eclampsia are the most frequent maternal complications, while low birth weight (LBW) and preterm labor are the most frequent fetal complications in teenage pregnancy. Gastroschisis is the most prevalent birth defect associated with teen pregnancy, but there is little research on the subject and even fewer comprehensive reviews
Holistic Management of Tuberculosis in 49 Years Old Woman with Complex Problems through A Family Medicine Approach : Case Report Dewantari, Aulia Nissa; Yuniasih, Dewi; Alfiani Laariya, Tira; Nuraga, Hega Fitri; Puspa Sari , Ade
Ahmad Dahlan Medical Journal Vol. 6 No. 1 (2025): May 2025
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v6i1.12893

Abstract

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, transmitted through airborne droplets when an infected person coughs, sneezes, or talks. Environmental conditions, such as poor ventilation and lack of sunlight, can facilitate the persistence of TB bacteria indoors. Sunlight and good air circulation play key roles in reducing bacterial survival. Health cadres are vital in detecting and managing TB cases in their communities. The Sanden Community Health Center runs a TB prevention and control program (P2TB) to help reduce TB incidence. A 49-year-old woman presented with a persistent cough for approximately two months, accompanied by fatigue, significant weight loss, and decreased appetite. The cough was intermittent, sometimes with phlegm, and unresponsive to cough medication. About a month prior, a Rapid Molecular Test (TCM) at a lung hospital in Yogyakarta confirmed TB. She had a history of unhealthy sexual behavior and was previously diagnosed with syphilis but tested negative for HIV. The patient also has metabolic syndrome. On physical examination, she appeared mildly ill but alert (E4M6V5), with a respiratory rate of 16/min. Lung and skin examinations were normal. Abdominal circumference was 112 cm. The patient received education on TB recognition, prevention, and intervention. Interventions were tailored to be patient-centered, family focused, and community-oriented. She was classified as a bacteriologically confirmed TB case, with no previous history of TB treatment and a negative HIV result..
Hubungan Tingkat Stres Akademik dan Kejadian Gastroesophageal Reflux Disease (GERD) pada Mahasiswa S1 Program Studi Kedokteran, Fakultas Kedokteran Universitas Ahmad Dahlan: Hasil Penelitian Nirwani, Rr Syifa Aurora; Arifin, Zainul; Laariya, Tira Alfiani
Cermin Dunia Kedokteran Vol 52 No 8 (2025): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i8.1594

Abstract

Introduction: Gastroesophageal reflux disease (GERD) is a digestive system disorder characterized by recurrent reflux of stomach contents into the esophagus, leading to symptoms or complications. Academic stress is one of the risk factors for GERD. This research aims to determine the relationship between academic stress levels and the incidence of GERD among undergraduate students in the Medical Study Program, Faculty of Medicine, Ahmad Dahlan University. Methods: This study uses a quantitative observational analytical research method with a cross-sectional approach, employing total sampling based on inclusion and exclusion criteria. GERD is measured using the GERD-Q, and stress levels are assessed with the MSSQ questionnaire. Results: GERD was suffered by 26 respondents (14.8%), the majority were female. The majority of respondents, 85 in total (48.3%) experienced moderate stress; academic stress was the most common cause. The results of the chi-square analysis test between the level of academic stress and the incidence of GERD obtained a p-value of 0.052 (p>0.05). Conclusion: There is no significant relationship between academic stress levels and the incidence of GERD among undergraduates in the Medical Study Program at Ahmad Dahlan University Faculty of Medicine.
ANALISIS IMPLEMENTASI KEBIJAKAN PROGRAM KESELAMATAN PASIEN DI PUSKESMAS X KABUPATEN BANTUL Syam, Nur Syarianingsih; Siti Kurnia Widi Hastuti; Tira Alfiani Laariya
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.25713

Abstract

Keselamatan pasien menjadi prinsip dasar dalam pelayanan kesehatan baik pelayanan tingkat primer, tingkat skunder dan tingkat tersier. Keselamatan pasien perlu diimplementasikan oleh seluruh profesional kesehatan dan menjadi dasar kualitas pelayanan yang aman dan efisien. Tujuan dari penelitian ini adalah menganalisis Implementasi (Komunikasi, Disposisi/Sikap, Struktur Birokrasi, dan Sumberdaya) kebijakan program keselamatan pasien untuk emmbangun budaya keselamatan pasien di salah satu Puskesmas di Kabupaten Bantul.  Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan studi kasus. Teknik identifikasi objek penelitian menggunakan purposive sampling. Subjek penelitian meliputi kepala puskesmas, penanggungjawab laboratorium, penanggungjawab farmasi, penanggung jawab Upaya kesehatan perorangan, penanggung jawab program keselamatan pasien, pelaksana program. Lokasi penelitian salah satu Puskesmas di Kabupaten Bantul. Variabel dalam penelitian ini menggunakan variabel tunggal yaitu implementasi Langkah keselamatan pasien. Pengumpulan data menggunkan metode wawancara mendalam dan observasi. Analisis data menggunakan metode Milles dan Hubberman. Hasil penelitina menunjukkan, pada faktor komunikasi sudah ada proses transmisi informasi dalam bentuk apel pagi, loka karya mini dan juga rapat tinjauan manajemen. Faktor sumber daya sudah sesuai dari sisi SDM mencukupi namun belum semua mendapatkan pelatihan, prasarana dan sarana sudah sesuai dengan standar akreditasi, dan sudah ada anggaran untuk program keselamatan pasien. Faktor disposisi/sikap tim keselamatan pasien sudah memiliki komitmen untuk memberikan palayanan yang aman untuk pasien. Faktor struktur birokrasi sudah sesuai karena sudah ada SOP dan struktur organisasi tim keselamatan pasien. Kesimpulan dari penelitian ini implentasi sudah berjalan dengan baik namun perlu ada upgrade pengetahuan dan ketrampilan terkait program keselamatan pasien.
Hubungan Obesitas terhadap Mortalitas Pasien Gagal Jantung : Hasil Penelitian Dewi, Annisa Oktrivia; Laariya, Tira Alfiani; Arliono, Tri Yunanto
Cermin Dunia Kedokteran Vol 52 No 11 (2025): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i11.1524

Abstract

Introduction: Obesity is a condition of excessive accumulation of body fat. Obesity has a greater risk of death from cardiovascular diseases. Heart failure is a clinical syndrome caused by structural and functional defects of the myocardium that result in impaired ventricular filling or blood ejection. This study was conducted to determine the relationship between obesity and mortality in heart failure patients at a teaching hospital in Yogyakarta. Methods: A cross-sectional quantitative study with an observational analytical research design from the secondary data from medical records of heart failure patients in January 2018–March 2024. Data was analyzed using Fisher’s exact test. Results: A total of 108 patients met the inclusion and exclusion criteria. Data analysis showed a p-value = 0.216 (>0.05). In this study, 61.1% of heart failure patients were male. The results showed that the mortality rate was higher in obese patients (11.1%) compared to non-obese patients (5.55%). Conclusion: There was no relationship between obesity and mortality among heart failure patients.
Co-Authors Arliono, Tri Yunanto Chairunnisa.Aulia.Astiti Chila Permata S Dewantari, Aulia Nissa Dewantari, Aulia Yasmin Dewi Yuniasih Dewi Yuniasih Dewi, Annisa Oktrivia Fauzan Achmad Maliki Fauzan Achmad Maliki Fauziyah Rahmawati, Nurul Fitriana Fitriana Fitriana Mawardi Leonny Dwi Rizkita Maulana Faris Ikhzul Haq Mawardi, Fitriana MH. Muflihatul Ulfa Muhammad Bayu Sastra Wiguna Naufal Zuhdi Rabbani Nirwani, Rr Syifa Aurora Nuraga, Hega Fitri Nurul Fauziyah Rahmawati Okti Susilowati Pamungkas, Ade Tia Bintang Puspa Sari , Ade Rachma Greta Perdana Putri Rahmawati, Nurul Fauziyah Shalsabila, Dhea Sistharani, Naila Siti Kurnia Widi Hastuti Suprabandari, Suprabandari Suyatmi Suyatmi Yuniasih, Dewi Zainul Arifin