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Promosi Kesehatan Periksa Payudara Sendiri (SADARI) pada Ibu-Ibu Majelis Taklim Mesjid Baitul Chair Komplek Bea Cukai Teluk Bayur Kota Padang Nita Afriani; Biomechy Oktomalio Putri; Malinda Meinapuri; Sheila Diana; SM Rezvi; Eryati Darwin; Roza Silvia; YN Zuhal Chaisart Chaniago; Tegar Abdillah
Warta Pengabdian Andalas Vol 30 No 2 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.30.2.297-303.2023

Breast self-examination (BSE) is a breast examination carried out by the woman herself every month regularly. BSE as a step for early detection of breast cancer is highly recommended for women, especially those aged 40 years and over, because the higher the age, the greater the risk of developing breast cancer. This activity aimed to determine the level of knowledge and attitudes and carry out health promotion about BSE to the pilgrim women of the Baitul Chair Mosque, Teluk Bayur, Padang. 11 women of the society attended this activity. The level of knowledge and attitudes regarding BSE was assessed using a simple questionnaire consisting of five questions regarding knowledge and attitudes, respectively. The survey resulted in no history of breast cancer or family history of breast cancer; as many as 81.8% of mothers had never received information about BSE before. The level of knowledge showed that 63.6% of mothers have good knowledge and a good attitude about BSE, 55.5%. Health behaviour, knowledge and attitudes must be improved, including health promotion. Health promotion as one of the driving factors can increase the knowledge and attitudes that will manifest in BSE actions for early detection of breast cancer.

PENGUATAN PERAN IBU DALAM PERAWATAN HOLISTIK ANAK DENGAN CEREBRAL PALSY Pertiwi, Nisa Indah; Ranisa Kautsar Tristi; Raisa Karima; Maghfira Assyifa Amandinta Azzahra; Rahmadini Faricha Hakim; Annisa Rusdi; Siska Bradinda Putri Sudirman; Ridho Akbar Syafwan; Nia Ayuni Putri; Ikky Nabila Nandinanti; Sm Rezvi
Edukasi Masyarakat Sehat Sejahtera (EMaSS) : Jurnal Pengabdian kepada Masyarakat Vol. 7 No. 2 (2025): Juli
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37160/emass.v7i2.872

Anak dengan cerebral palsy (CP) membutuhkan perawatan jangka panjang dan dukungan dari orang tua, terutama ibu sebagai caregiver utama. Di Kota Padang, Sumatera Barat, Yayasan Rumah Gadang Cerebral Palsy (Raga CP) menjadi wadah pendampingan anak dengan cerebral palsy, tapi layanan yang tersedia masih memiliki keterbatasan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memperkuat peran ibu dalam perawatan secara holistik anak dengan cerebral palsy melalui pendekatan edukasi komprehensif berbasis komunitas. Metode pelaksanaan terdiri dari lima tahap, yaitu studi pendahuluan, identifikasi masalah, pengembangan program, penerapan program, dan evaluasi program menggunakan model evaluasi Kirkpatrick pada level 1 (reaction) dan level 2 (learning). Edukasi melibatkan tim multidisiplin dari Fakultas Kedokteran Universitas Andalas dan disampaikan melalui ceramah interaktif, diskusi, dan praktik relaksasi. Hasil evaluasi menunjukkan peningkatan pengetahuan peserta serta respon positif terhadap keseluruhan pelaksanaan kegiatan. Kegiatan pengabdian kepada masyarakat ini menunjukkan bahwa edukasi holistik berbasis komunitas dapat dilakukan untuk penguatan peran ibu dalam perawatan anak cerebral palsy serta kemitraan dengan komunitas dalam menjangkau sasaran secara tepat dan berkelanjutan.

The Uncoupling Phenomenon: Dissociation Between Albuminuria and Glomerular Filtration Rate in an Advanced Diabetic Kidney Disease Phenotype Naufal Fathi Ashari; Harun, Harnavi; Russilawati; Dinda Aprilia; SM Rezvi
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 2 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i2.1521

Background: The classical paradigm of diabetic kidney disease (DKD) assumes a synchronous, linear trajectory where increasing albuminuria predicts the decline of glomerular filtration rate (GFR). However, emerging epidemiology suggests these markers may dissociate in advanced disease stages, particularly under modern renoprotective pharmacotherapy. We aimed to investigate this uncoupling phenomenon by evaluating the correlation between urine albumin creatinine ratio (UACR) and estimated GFR (eGFR) in a specific cohort of advanced DKD patients in Indonesia. Methods: We conducted a cross-sectional analytic study from January to November 2025 at Dr. M. Djamil General Hospital Padang, a tertiary referral center. The study population comprised 30 patients with established DKD, predominantly in CKD Stages 3b and 4. The primary outcome was the Spearman rank correlation (r) between UACR and eGFR, reported with 95% Confidence Intervals (CI). An exploratory sub-analysis compared trends in patients receiving SGLT2 inhibitors (n=12) versus standard care (n=18). Results: The cohort was elderly (mean age 61.93 years) with critical renal reserve depletion (median eGFR 32.50 mL/min/1.73 m²). Median UACR was 403.90 mg/g, yet exhibited massive heterogeneity (IQR: 170.82–1779.27). Spearman analysis revealed a complete lack of linear correlation between albuminuria and filtration function (r = 0.041; 95% CI: -0.322 to 0.395; p = 0.830). While SGLT2 inhibitor users (n=12) demonstrated numerically lower median UACR than non-users (n=18), the dissociation from eGFR persisted in both subgroups. Conclusion: We demonstrate a distinct dissociation between albuminuria severity and filtration function in advanced DKD. This uncoupling suggests that in late-stage nephropathy, structural glomerulosclerosis and tubulointerstitial fibrosis progress independently of permeability changes. Consequently, albuminuria cannot serve as a sole surrogate for disease progression in this phenotype, supporting a dual-biomarker strategy where UACR and eGFR are monitored as independent risk factors.

The Uncoupling Phenomenon: Dissociation Between Albuminuria and Glomerular Filtration Rate in an Advanced Diabetic Kidney Disease Phenotype Naufal Fathi Ashari; Harun, Harnavi; Russilawati; Dinda Aprilia; SM Rezvi
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 2 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i2.1521

Background: The classical paradigm of diabetic kidney disease (DKD) assumes a synchronous, linear trajectory where increasing albuminuria predicts the decline of glomerular filtration rate (GFR). However, emerging epidemiology suggests these markers may dissociate in advanced disease stages, particularly under modern renoprotective pharmacotherapy. We aimed to investigate this uncoupling phenomenon by evaluating the correlation between urine albumin creatinine ratio (UACR) and estimated GFR (eGFR) in a specific cohort of advanced DKD patients in Indonesia. Methods: We conducted a cross-sectional analytic study from January to November 2025 at Dr. M. Djamil General Hospital Padang, a tertiary referral center. The study population comprised 30 patients with established DKD, predominantly in CKD Stages 3b and 4. The primary outcome was the Spearman rank correlation (r) between UACR and eGFR, reported with 95% Confidence Intervals (CI). An exploratory sub-analysis compared trends in patients receiving SGLT2 inhibitors (n=12) versus standard care (n=18). Results: The cohort was elderly (mean age 61.93 years) with critical renal reserve depletion (median eGFR 32.50 mL/min/1.73 m²). Median UACR was 403.90 mg/g, yet exhibited massive heterogeneity (IQR: 170.82–1779.27). Spearman analysis revealed a complete lack of linear correlation between albuminuria and filtration function (r = 0.041; 95% CI: -0.322 to 0.395; p = 0.830). While SGLT2 inhibitor users (n=12) demonstrated numerically lower median UACR than non-users (n=18), the dissociation from eGFR persisted in both subgroups. Conclusion: We demonstrate a distinct dissociation between albuminuria severity and filtration function in advanced DKD. This uncoupling suggests that in late-stage nephropathy, structural glomerulosclerosis and tubulointerstitial fibrosis progress independently of permeability changes. Consequently, albuminuria cannot serve as a sole surrogate for disease progression in this phenotype, supporting a dual-biomarker strategy where UACR and eGFR are monitored as independent risk factors.

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