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Salutogenic Approach to Early Kidney Health Promotion: Comparing Deep Learning Facial Analysis and Questionnaire Screening in Adolescents Nurjannah, Uun; erlena, Erlena; wahyudi; Suryana, Iham
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.50-58

Abstract

Background: Chronic kidney disease (CKD) is increasingly reported in adolescents and is driven by modifiable lifestyle factors such as inadequate hydration, frequent consumption of processed foods, obesity, and poor sleep quality. Because early CKD is typically asymptomatic, routine laboratory screening is often impractical in school or community settings. Self-reported questionnaires can help estimate lifestyle-related risk but rely on subjective recall. Objective: To compare the effectiveness of a DL-based facial analysis model with self-reported questionnaire screening for early CKD risk in adolescents. Methods: A cross-sectional study was conducted among 100 adolescents aged 16–19 in Karawang, Indonesia. Participants completed validated questionnaires assessing hydration, dietary habits, and sleep quality using the Pittsburgh Sleep Quality Index (PSQI). Standardized facial photographs were analyzed using a convolutional neural network (CNN) trained to detect CKD-related facial markers. Agreement between methods was assessed using Cohen’s kappa, and diagnostic performance was evaluated using ROC analysis. Results: Questionnaire screening classified 88% of adolescents as low-risk, 10% moderate-risk, and 2% high-risk, while the AI model classified 95%, 4%, and 1%, respectively, demonstrating moderate agreement (κ = 0.61, p < 0.001). The AI model achieved 91.0% accuracy, 88.0% sensitivity, 92.0% specificity, and an AUC of 0.904. Overweight adolescents had higher odds of being at risk (OR = 2.35). Conclusion: Combining AI-based facial analysis with questionnaire assessment provides a rapid, scalable, and non-invasive strategy for early CKD risk screening in adolescents, particularly in resource-limited settings.
Implementation of CERDIK Model on the Knowledge Level of Adolescents About Hypertension Prevention in pandemic Area of East Telukjambe Center of Public Health (PUSKESMAS) Karawang Regency in 2021 erlena, erlena
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 6, No 2 (2022): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v6i2.86

Abstract

One of the problems that contributed to the largest numbers of mortality and maternal morbidity was anemia during the postpartum period. It is estimated that 50-80% of women suffer from anemia 48 hours after birth. Anemia in women is associated with increased birth Infant Low Birth Weight (LBW), prematurity, maternal and child deaths, and infections. This study aims to identify the relationship between dietary patterns and the incidence of iron deficiency anemia in post Partum mothers at dr. Zainoel Abidin hospital Banda Aceh. This research is a quantitative study with a cross-sectional study design. This research was conducted from June to September 2019 with 102 respondents selected through the non-probability sampling method. Respondents were postpartum mothers who were treated in room 2 (obstetric inpatient room). The study technique was carried out by giving a questionnaire and a hemoglobin check has been carried out using an HB meter.  The data obtained were analyzed using the chi-square statistical test with a confidence level of 95%. This study found that the prevalence of anemia was  49,0% of respondents had mild anemia (Hb levels 9-10,9 gr/dl), 10,8% had moderate anemia (Hb levels 7-8,9 gr/dl), and 40,2% not having anemia (Hb levels >11gr / dl). Overall, there is a significant relationship between dietary patterns and the incidence of anemia in postpartum mothers at dr. Zainoel Abidin Banda Aceh (p-value 0,032).