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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN ASUPAN CAIRAN DAN NATRIUM PADA PASIEN GAGAL GINJAL KRONIK (Studi Kasus pada Pasien yang Menjalani Hemodialisis di RSUD Prof. Dr. Margono Soekarjo Purwokerto) fitriani, eka; Krisnansari, Diah; Winarsi, Hery
Jurnal Gizi dan Pangan Soedirman Vol 1 No 01 (2017): Jurnal Gizi dan Pangan Soedirman
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.784 KB) | DOI: 10.20884/1.jgps.2017.1.01.344

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ABSTRACT This observational study using cross sectional design. Sampling method using purposive sampling and got 35 participants who were CKD patients undergoing hemodialysis in Prof. Dr. Margono Soekarjo Hospital, Purwokerto. The data of participant characteristic, length of time since the initiation of hemodialysis therapy, knowledge, attitude, and social support were collected by using questionnares. Patient’s compliance to fluid and natrium intake was collected by calculating fluid and natrium intake level. Data were analyzed using Fisher test. Most participants did not comply with fluid restriction, but complied with natrium restriction. All factors that have been analized had no correlation to fluid and natrium intake compliance (p > 0,05), except gender and social support factor that had correlation to fluid intake compliance (p < 0,05). Male patients needed an intensive assistance so that fluid intake compliance increased. Moreover, social support from family and others needed to achieve this goal.   Keywords: Fluid and natriumi intake compliance, gender, hemodialyss, social, support  ABSTRAK  Penelitian observasional ini menggunakan desain cross sectional. Metode pengambilan sampel menggunakan purposive sampling dan didapatkan 35 peserta penderita CKD yang menjalani hemodialisis di Rumah Sakit Prof. Dr. Margono Soekarjo, Purwokerto. Data karakteristik peserta, lamanya waktu sejak dimulainya terapi hemodialisis, pengetahuan, sikap, dan dukungan sosial dikumpulkan dengan menggunakan kuesioner. Ketaatan pasien terhadap asupan cairan dan natrium dikumpulkan dengan menghitung tingkat asupan cairan dan natrium. Data dianalisis dengan menggunakan uji Fisher. Sebagian besar peserta tidak mematuhi pembatasan cairan, namun sesuai dengan batasan natrium. Semua faktor yang telah dianalisis tidak memiliki korelasi dengan kepatuhan asupan cairan dan natrium (p> 0,05), kecuali faktor pendukung gender dan sosial yang memiliki korelasi terhadap kepatuhan asupan cairan (p <0,05). Pasien laki-laki membutuhkan bantuan intensif agar kepatuhan asupan cairan meningkat. Apalagi dukungan sosial dari keluarga dan orang lain perlu untuk mencapai tujuan ini.  Kata kunci: Kepatuhan cairan dan natrium, jenis kelamin, hemodialisis, dukungan sosial    
High serum iron and zinc decrease glutathione S-transferase among women with breast cancer Roestijawati, Nendyah; Ernawati, Dwi Arini; Krisnansari, Diah
Universa Medicina Vol 37, No 1 (2018)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2018.v37.25-30

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BACKGROUNDBreast cancer in Indonesia ranks second as the most common cancer found in women after cervical cancer. Tumor cells express increased levels of antioxidant proteins to detoxify reactive oxygen species (ROS). Glutathione S-transferase (GST) is known to play a key role in the detoxification and reduction of ROS. Trace elements have nutritional benefits as essential cofactors for physiologic processes, but some can be toxic to humans. Accumulated evidence suggests that deficiency or excess of certain trace elements may be associated with risk of chronic diseases including cardiovascular diseases, diabetes and cancer. The aim of this research was to determine the correlation of the trace elements iron and zinc with the oxidative stress level of GST activity in women with breast cancer.METHODSAn observational analytic study with cross sectional design was conducted involving 35 breast cancer women. Research subjects were women with breast cancer diagnosed by biopsy. Measurements of iron and zinc levels were performed using atomic absorption spectrometry, GST activity was measured using spectrophotometry. Data analysis was done with the Pearson correlation test.RESULTSThe results showed that there was a significant relationship of serum iron with GST (r=-0.487; p<0.05) and serum zinc with GST (r=-0.409; p<0.01).CONCLUSIONOur study demonstrated that the higher zinc and iron level, the lower GST level among breast cancer women. It is recommended to use zinc, iron and GST levels as biomarkers for breast cancer and its progression.
SPATIAL MODELING OF THE SPREAD OF SCABIES AND ENVIRONMENTAL SANITATION AS A RISK FACTOR AMONG SCHOOLCHILDREN: A CASE-CONTROL STUDY Wibowo, Yudhi; Roestijawati, Nendyah; Krisnansari, Diah; Purnomo, Agoes Y
Universa Medicina Vol 39, No 1 (2020)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (742.625 KB) | DOI: 10.18051/UnivMed.2020.v39.55-62

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BACKGROUND Scabies is a World Health Organization neglected tropical disease common in children in low-and middle-income countries. The prevalence of scabies, especially in tropical countries, is still quite high at more than 200 million cases per year. Transmission of scabies is predominantly via skin-to-skin contact. The purpose of the study was to determine the epidemiology of clinical scabies among schoolchildren and spatial modeling using geographic information systems (GIS).METHODSA study of unmatched case-control design with a ratio of 1: 1 was performed to identify specific risk factors of scabies. Cases were patients with clinical scabies and controls were healthy people in the area. A total of 100 students were involved in the study. Simple and multiple logistic regression was used to test any association between the variables. Geographical Information Systems (GIS) modeling was used to determine the spatial distribution of clinical scabies based on 69 cases.RESULTThere was a significant association between the level of environmental sanitation and the prevalence of clinical scabies (OR = 2.53;95% C.I. 1.11-5.74). Multivariate analysis showed that the level of environmental sanitation was significant (AOR = 3.05;95% C.I. 1.19-7.81). Risk factors for developing clinical scabies increased to 3 times after considering other risk factors, namely gender, age group and respondent education level. Analysis of average nearest neighbor distance showed that the spatial distribution of clinical scabies was clustered. CONCLUSIONSThe distribution of clinical scabies was spatial clustering, and prediction of transmission in a clockwise direction with Southeast and Northwest ellipses.
Pengaruh Pemberian Kopi yang Diformulasikan dengan Antioksidan dan Gula Kelapa terhadap Tekanan Darah, MDA, dan SOD Serum Tikus Obesitas Hidayah Dwiyanti; Retno Setyawati; Siswantoro Siswantoro; Diah Krisnansari
agriTECH Vol 42, No 1 (2022)
Publisher : Faculty of Agricultural Technology, Universitas Gadjah Mada, Yogyakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.086 KB) | DOI: 10.22146/agritech.50944

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Pengembangan kopi mix tinggi antioksidan dengan pemanis gula kelapa adalah salah satu alternatif untuk mensuplai antioksidan pada individu obese guna menekan stress oksidatif. Minyak sawit merah (MSM) yang kaya antioksidan ditambahkan dalam proses pembuatannya. Tujuan penelitian untuk mengetahui pengaruh pemberian minuman kopi mix gula kelapa terhadap tekanan darah, kadar SOD, dan MDA tikus obesitas. Penelitian eksperimental menggunakan 18 ekor tikus yang diinduksi menjadi obese dengan diet tinggi lemak (indeks Lee>0,3). Dibagi 3 kelompok (n=6), masing-masing mendapatkan perlakuan: (1) kopi mix gula tebu tanpa MSM = 0,45 g/200 g BB/ hari (P1); (2) kopi mix gula kelapa dengan MSM= 0,45 g/200 g BB/hari (P2); dan (3) kopi mix gula kelapa dengan MSM= 0,90 g/200 g BB/hari (P3). Intervensi dilakukan selama 2 minggu. Pengamatan terhadap perubahan berat badan, tekanan darah, kadar SOD, dan MDA serum (pre-post). Hasil penelitian menunjukkan bahwa pemberian kopi mix gula kelapa dengan MSM pada tikus obese (P2 dan P3) secara nyata menurunkan tekanan darah (26,9% dan 40,6%), dan kadar MDA serum (35,3% dan 61,8%), serta menaikkan SOD serum (28,79% dan 53,66%), sebaliknya pada kelompok kopi mix gula tebu tanpa MSM terjadi peningkatan tekanan darah (2,9%) dan kadar MDA (1,9%), serta menurunkan kadar SOD (16,6%). Peningkatan berat badan pada kelompok kopi mix gula tebu non MSM secara nyata lebih tinggi (P1=7,8%), dibandingkan kelompok kopi gula kelapa dengan MSM (P2=6,7%; P3=4,4%). Kopi mix tinggi antioksidan dengan pemanis gula kelapa berpotensi sebagai pangan alternatif untuk menekan stress oksidatif pada tikus obesitas.
Suplementasi Vitamin E dan Profil Lipid Penderita Dislipidemia: Studi pada Pegawai Rumah Sakit Profesor Dokter Margono Soekarjo Purwokerto Diah Krisnansari; Martha Irene Kartasurya; M. Zen Rahfiludin
MEDIA MEDIKA INDONESIANA 2011:MMI Volume 45 Issue 1 Year 2011
Publisher : MEDIA MEDIKA INDONESIANA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.198 KB)

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ABSTRACT Vitamin E supplementation and lipid profile in patients with dislipidemia Background: The prevalence of dislipidemia in Indonesia increase lately. Vitamin E has important role in cholesterol metabolism and protecting low density lipoprotein cholesterol against oxidation. This study was to investigate the effect of vitamin E supplementation on lipid profile.Method: The study was a randomised controlled clinical trial. Subjects were the employees of Professor Doctor Margono Soekarjo hospital aged 30-50 years who suffered from dislipidemic. The supplementation groups received 400 IU vitamin E and the control group received placebo once a day for 30 days. Lipid profile was examined using vitros system chemistry analyser 250 dan 350. Nutritional intake were gathered using food recall method and processed with nutrisurvey. Analyses were conducted using T-test, Mann Whitney, Wilcoxon and Chi square tests.  Result: There were no differences in total (p=0.910), LDL (p=0.457) and HDL cholesterol levels (p=0.809) as well as trigliseride level (p=0.687) between the two groups before suplementation. There were differences in total (p=0.004) and LDL (p=0.002), there were no differences in HDL cholesterol level (p=0.332) and trigliseride level (p=0.940) between the two groups after supplementation. There were differences on the changes in total cholesterol (p=0.001) and LDL cholesterol (p=0.000) and no differences on the changes in HDL cholesterol level (p=0.197) as well as trigliserida level (p=0.438). There was no difference in nutritional intake between the two groups. Conclusion: That supplementation of vitamin E 400 IU once daily for 30 days improve lipid profile. Keywords: Dislipidemia, vitamin E, total cholesterol, LDL cholesterol, HDL cholesterol, trigliseride   ABSTRAK Latar belakang: Angka kejadian dislipidemia di Indonesia semakin meningkat. Vitamin E merupakan antioksidan penting dalam metabolisme kolesterol, melindungi kolesterol LDL terhadap oksidasi dan meningkatkan kolesterol HDL. Penelitian ini bertujuan mengetahui pengaruh suplementasi vitamin E terhadap profil lipid penderita dislipidemia. Metode: Desain studi adalah acak buta ganda terkontrol dengan subyek 42 orang karyawan RS Profesor Dokter Margono Soekarjo penderita dislipidemia yang berusia 30-50 tahun, dibagi menjadi dua kelompok yaitu 22 orang memperoleh vitamin E 400 IU dan 20 orang memperoleh placebo sekali sehari selama 30 hari. Karakteristik subyek diperoleh melalui wawancara, berat badan dan tinggi badan diperoleh melalui pengukuran. Profil lipid diukur sebelum dan sesudah suplementasi dengan vitros system chemistry analyser 250 dan 350. Asupan gizi diperoleh melalui food recall dan dianalisis dengan program nutrisurvey. Data dianalisis dengan uji T, Mann Whitney, Wilcoxon dan Chi square. Hasil: Tidak ada perbedaan kolesterol total (p=0,910), kolesterol LDL (p=0,457), kolesterol HDL (p=0,809) dan trigliserida (p=0,687) antara kedua kelompok sebelum suplementasi. Ada perbedaan kolesterol total (p=0,004) dan kolesterol LDL (p=0,002), tidak ada perbedaan kolesterol HDL (p=0,332) dan trigliserida (p=0,940) antara kedua kelompok sesudah suplementasi. Ada perbedaan perubahan kolesterol total (p=0,001) dan kolesterol LDL (p=0,000), tidak ada perbedaan perubahan kolesterol HDL (p=0,197) dan trigliserida (p=0,438) antara kedua kelompok. Tidak ada perbedaan asupan gizi antara kedua kelompok. Simpulan: Suplementasi vitamin E 400 IU sekali sehari 30 hari dapat memperbaiki kolesterol total dan kolesterol LDL penderita.  
Hepatoprotective Potential of Propolis toward Hepar Injury Rats (Rattus norvegicus) Induced by Carbon Tetrachloride Diah Krisnansari; Hidayat Sulistyo; Wahyu Dwi Kusdaryantoi
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3117.9 KB) | DOI: 10.20473/jn.v9i2.2575

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Introduction: The prevalence of chronic liver disease continues to increase. One potentially hepatotoxic substances that cause chronic liver disease is carbon tetrachloride. The process of liver damage can be prevented by the antioxidant role of propolis. The aims of this research was to study the hepatoprotective potential of propolis toward hepar injury rats induced by carbon tetrachlorida.Method: This was an experimental study with pre-post test. Twenty five male Wistar rats aged 12–16 week old, weighing 125–200 gr were allocated into 5 groups. Group I: standard meal + aquadest-gavage; group II: standard meal + CCl4 1% 1 mL + aquadest-gavage, group III: standard meal + CCl4 1% 1 mL + 0,054 gr propolis-gavage, group IV: standard meal + CCl4 1% 1 mL + 0,108 gr propolis-gavage and group V: standard meal + CCl4 1% 1 mL + sylimarin 50 mg/kg-gavage. IL-6, SOD, NAS score+fibrotic were measured after treatment. Analysed of IL-6 and NAS score+fibrotic with Kruskal Wallis to Mann Whitney and analysed of SOD with One-Way ANOVA to LSD.Results: The study showed that there were significant differences in IL-6, SOD and NAS score + fibrotic between groups.Discussion: Provision of 0,054 gr and 0,108 gr have hepatoprotective potential toward hepar injury rats induced by carbon tetrachlorida. Further research need to identify antioxidants and hepatoprotective potential of propolis on human with liver disease.
FORMULASI MINUMAN FUNGSIONAL TINGGI ANTIOKSIDAN BERBASIS GULA KELAPA DENGAN VARIASI JENIS DAN KONSENTRASI EKSTRAK RIMPANG Hidayah Dwiyanti; Retno Setyawati; Siswantoro Siswantoro; Diah Krisnansari
Media Pertanian Vol 4, No 2 (2019)
Publisher : Program Studi Agroteknologi Universitas Siliwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37058/mp.v4i2.1362

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Pengembangan minuman fungsional ekstrak rimpang dengan pemanis gula kelapa, merupakan salah satu alternatif penyediaan minuman fungsional kaya antioksidan berbasis potensi lokal.  Tujuan penelitian untuk mengkaji konsentrasi dan jenis ekstrak rimpang terhadap kadar dan aktifitas antioksidan minuman fungsional yang dihasilkan.  Merupakan penelitan eksperimental, menggunakan Rancangan Acak Kelompok, dengan faktor yang dicoba adalah: konsentrasi ekstrak rimpang (10% ,15% dan 20%), dan jenis Rimpang (Jahe, Kencur dan Kunyit).  Parameter yang diamati yaitu: kadar air, tokoferol, beta karoten, fenol, DPPH, gula reduksi dan gula total.  Hasil penelitian menunjukkan bahwa semakin tinggi penambahan ekstrak, kadar beta karoten, jumlah fenol dan DPPH semakin meningkat, sebaliknya tokoferol semakin menurun. Minuman kunyit mempunyai kadar beta karoten, jumlah fenol dan tokoferol tertinggi (805,66 mg / 100 g, 0,26% dan 3,26%) dibandingkan dengan minuman kencur (792,19 mg / 100 g, 0,24% dan 2,68%) dan jahe (768,45 ug / 100 g, 0,25% dan 3,06%). Sejalan dengan itu minuman kunyit memiliki aktivitas antioksidan DPPH tertinggi (84,61%) dibandingkan dengan minuman kencur (82,48%) dan minuman jahe (82,89%). 
Pengaruh propolis terhadap profil lipid plasma tikus model hiperkolesterolemia Krisnansari Diah; Ariadne Tiara Hapsari; Evy Sulistyoningrum; Agus Prastowo
Jurnal Gizi Klinik Indonesia Vol 8, No 3 (2012): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17600

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Background: Nowadays, cardiovascular disease caused by hypercholesterolemia has become the main cause of death. Propolis has been used widely to reduce plasma cholesterol levels.Objective: The aims of this research was to study the effect of propolis on lipid profile of hypercholesterolemic Sprague Dawley rats.Method: This was an experimental study with pre-post test. Twenty four (24) male Sprague Dawley rats aged 12-16 week old, weighing 125-200 g were allocated into 4 groups. Group I received standard meal + aquadest-gavage; group II received high cholesterol meal + PTU 0,01 + aquadest gavage; group III received high cholesterol meal + PTU 0,01 + 0,027 g propolis gavage; group IV received high cholesterol meal + PTU 0,01 + 0,054 g propolis gavage. Total cholesterol, triglycerides, HDL cholesterol and LDL cholesterol levels before and after treatment were measured. The data were then analyzed with One Way Anova.Results: The study showed that there were no significant differences in changes of body weight. There were significant differences in total cholesterol levels between all groups of treatment. Triglyceride levels were significantly different among all groups, except between group I and IV. Furthermore, the HDL cholesterol levels of group I vs III and group I vs IV were significantly different. However, there were no differences found in LDL cholesterol levels among all groups of treatment.Conclusion: Provision of 0,027 g and 0,054 g propolis improve lipid profile (total cholesterol, triglyceride and HDL cholesterol levels) of hypercholesterolemic rats.
The Correlation of Oral Health Knowledge and Affective with Caries Rate in Rural Communities Christiana Cahyani Prihastuti; Fitri Diah Oktadewi; Mahindra Awwaludin Romdlon; Amilia Ramadhani; Haris Budi Widodo; Diah Krisnansari; Fitranto Arjadi
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol 12, No 1 (2023): May
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v12i1.15681

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The results of Riskesdas (Baseline Health Research) by the Indonesian Ministry of Health in 2018 revealed that the caries rate in rural areas was higher than in urban areas. However, the number of villagers receiving dental and oral health care was lower than in urban communities. Karangtengah Village was located in the Baturraden District, Banyumas Regency, which is socio-demographically rural. This study aims to determine the correlation between knowledge and affective of oral health on the caries rate in Karangtengah Village. The study was observational analytical research. Subjects were selected using a purposive sampling technique. The total subjects were 388 residents. The knowledge and affective data were collected using a questionnaire, and the caries rate was scored using DMF-T. Data were analyzed using the Pearson correlation test (SPSS 22). The results revealed that the oral health knowledge and affective of the majority of Karangtengah Village residents were in the moderate category (48.7% and 66.8%, respectively), while the average DMF-T score was 13.12 (very high). The statistical analysis demonstrated no significant correlation between knowledge and DMF-T score and between the affective aspect of oral health and DMF-T score (p0.5).  The moderate category of oral health knowledge and affective aspect in rural areas may not have been applied as oral health behaviors contribute to high dental caries rates.
PENGETAHUAN DAN PERSONAL HYGIENE DENGAN KEJADIAN PEDICULUS HUMANUS CAPITIS DI PONDOK PESANTREN NAHDATUL ULAMA BUMIAYU Lieza Dwianasari Susiawan; Imam Agus Faisal; Diah Krisnansari
Mandala Of Health Vol 16 No 2 (2023): Mandala of Health
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2023.16.2.8478

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Latar Belakang Pedikulosis kapitis cukup umum dijumpai pada komunitas padat hunian seperti pondok pesantren. Diperlukan identifikasi faktor risiko predisposisi kejadian pedikulosis untuk mencegah transmisi tungau. Tujuan Mengetahui hubungan personal hygiene dan tingkat pengetahuan terhadap kejadian pedikulosis kapitis pada santri di Pondok Pesantren di Bumiayu. Metode Penelitian ini adalah observasional analitik dengan rancangan potong lintang terhadap santri di salah satu pondok pesantren di Bumiayu. Pengambilan sampel menggunakan metode total sampling yang memenuhi kriteria penelitian, yakni menyetujui informed consent serta mengerti bahasa Indonesia. Analisis bivariat menggunakan uji chi-sqaure dengan taraf signifikansi 0,05. Hasil Sebanyak 51 santri dilibatkan dalam penelitian ini. Usia rerata yang didapatkan 13,6±1,61 tahun dan 34 santri (66,7%) diantaranya perempuan. Prevalensi pedikulosis pada seluruh populasi sebesar 49% (25 orang). Tingkat kejadian pedikulosis pada kelompok pengetahuan cukup-buruk tidak berbeda bermakna dengan kelompok pengetahuan baik (44,8% vs 54,5%; p=0,686). Tingkat kejadian pedikulosis pada kelompok hygiene baik berbeda bermakna dengan kelompok hygiene buruk (59,5% vs 21,4%; p=0,035). Kesimpulan Terdapat hubungan yang signifikan antara perilaku personal hygiene dengan kejadian pedikulosis kapitis. Tidak terdapat hubungan yang signifikan antara pengetahuan dengan kejadian pedikulosis kapitis di Pondok Pesantren di Bumiayu.