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DIFFERENCES INDICATORS IN CLINICAL EPIDEMIOLOGY AND LABORATORY FOR SUSPECT DENGUE HEMORRHAGIC FEVER IN KEBUMEN DISTRICT 2023: Perbedaan Indikator Epidemiologi Klinis dan Laboratoris Pada Dugaan Penyakit Dengue Hemorrhagic Fever di Kabupaten Kebumen 2023 Susanto, Nugroho; Ratna Hidayani, Wuri; Subaeti, Tri
Jurnal Berkala Epidemiologi Vol. 13 No. 1 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I12025.49-57

Abstract

Background: The study in Asian and American-based surveillance data between Oct 18, 2011, and Aug 4, 2016 required 7428 patients with an estimated 2694 (36%) diagnosed laboratory-confirmed dengue, 2495 (34%) non-dengue and 2237 (30%) not inclusion criteria. The clinical signs and suspected dengue symptom address a few other diseases, thus laboratory confirmatory is best solution for diagnosis of dengue. Purpose: To determine the difference between clinical epidemiological and laboratory diagnosis of dengue hemorrhagic fever in Kebumen District. Methods: The study design was cross-sectional with 395 samples of suspected dengue disease during the 2023 period, such as DHF and DD in Kebumen District area health services. The DHF diagnostic was confirmed with positive laboratory test and studied to see differences of the clinical epidemiology and laboratory data. The data collection was carried out by reviewing medical documents from health centers and hospitals. Data were analyzed with chi square test and independent t test. Results: Clinical indicators proportion was higher for fever, 95.40% and much lower for bleeding 13.20%. The dominant contribution significant for clinical epidemiology indicator of DHF is muscle pain compared to bleeding and rash. The laboratory indicator   for platelet is low, hemoglobin normal and hematocrit   normal. The variable contributing significantly for DHF is platelet (β = 0.19) and comparison of hemoglobin (β = -0.09) and hematocrit (β = -0.06). Conclusion: Clinical indicators of DHF are higher for fever (95.40%), with muscle pain being the dominant factor. Laboratory indicators include low platelet count and normal hemoglobin and hematocrit.
Pengabdian Masyarakat: Screening Status Gizi dan Edukasi pada Remaja di Bimbingan Belajar X Kota Tasikmalaya Panji Raraswati, Rhela; Ratna Hidayani, Wuri; Ifah Latifah, Ade
JURNAL ABDIMAS KESEHATAN TERPADU Vol. 4 No. 2 (2025): Jurnal Abdimas Kesehatan Terpadu
Publisher : Fakultas Kedokteran Gigi, Universitas Trisakti bekerjasama dengan Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/jakt.v4i2.25039

Abstract

Adolescents are a vulnerable group to nutritional problems due to increased nutritional needs during growth. The 2018 Basic Health Research (Riskesdas) reported a prevalence of undernutrition at 12.8% and overweight at 16% among Indonesian adolescents. Similar conditions were also found in West Java and Tasikmalaya City, indicating the need for early detection and nutrition education. This community service activity aimed to assess the nutritional status of adolescents at Learning Center X in Tasikmalaya City and to improve their knowledge of healthy eating patterns. The methods included anthropometric measurements (weight, height, body mass index, and mid-upper arm circumference) and nutrition education through interactive counseling using QR-based media. The target participants were 10 adolescents aged 13–18 years enrolled at the learning center. The results showed that 30% of adolescents were undernourished based on BMI-for-age, while 50% experienced Chronic Energy Deficiency (CED) based on MUAC. Nutrition education was conducted after the screening, and participants demonstrated enthusiasm and improved understanding of the importance of breakfast, balanced diet, and stunting prevention. This activity highlights that simple screening can identify adolescents at risk of undernutrition and serves as an effective medium for nutrition education. In conclusion, nutritional problems among adolescents remain high and may impact long-term health. It is recommended to conduct regular monitoring through adolescent health posts or school health units and strengthen collaboration with schools and primary health centers to ensure program sustainability.