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IMPROVING KNOWLEDGE ON CHILD MARRIAGE THROUGH SYNCHRONOUS LEARNING IN TANJUNGAN VILLAGE, MOJOKERTO, INDONESIA Doman, Zahras Azimuth; d'Arqom, Annette; Nasution, Mhd Zamal
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 2 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i2.2025.271-280

Abstract

Child marriage remains a prevalent issue in many regions, including Indonesia. This practice is associated with significant adverse outcomes, such as interrupted education, elevated maternal morbidity and mortality rates, and prolonged the cycle of poverty. Synchronous learning can foster critical thinking, enabling audience to challenge harmful social norms and traditions that perpetuate child marriage. Thus, to this study aims to improve knowledge about child marriage among residents of Tanjungan Village, Mojokerto, through synchronous learning interventions. By employing a mixed-methods research design, a survey and interview following a synchronous learning from six experts on child marriage, the study explores the current understanding of respondents' knowledge of the minimum marriage age, the effects of child marriage, and evaluates the effectiveness of synchronous learning programs in enhancing knowledge towards delaying marriage. Sixty-five adolescents and adults from Tanjungan Village, Mojokerto District, East Java, participated in synchronous learning on regulation of child marriage and its consequences. A questionnaire is distributed to assess their knowledge of government regulations on the minimum age of marriage, minimum and maximum age of marriage, and age disparity during marriage before and after the activity followed by interviews with five participants, whom willing to be interviewed, to further explore their understanding of child marriage. The results show an increase in knowledge of the legal age for marriage (from 89.23% to 100%), with females demonstrating a higher level of understanding of this regulation. Interestingly, after the intervention, respondents' understanding of the maximum age limit for marriage varied more, with the majority suggesting ages between 21 and 26. These findings suggest that direct learning interventions can be effective in increasing awareness about child marriage, particularly regarding legal age limits. However, further research is needed to explore the long-term impact of these interventions and to develop strategies to address the underlying social and cultural factors that contribute to child marriage.
THALASSEMIA LITERACY: INCREASING KNOWLEDGE OF ORPHAN ADOLESCENTS ON THALASSEMIA Indiastuti, Danti Nur; Doman, Zahras Azimuth; Fatimah, Nurmawati; Nasution, Mhd Zamal; d'Arqom, Annette
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 8 No. 1 (2024): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v8i1.2024.086-095

Abstract

Thalassemia is the most common monogenic disease in Asia, including Indonesia that causes burdens for the government, patients, and families. As the sixth most non-communicable disease, thalassemia utilized IDR 600 billion in 2022 for more than 300 thousand cases. With, 3.8% of Indonesians carrying a mutation of thalassemia on their globin gene, this economic burden is projected will increase if no actions are taken. On the other hand, child marriage is reported to increase every year, including among orphans. Without proper knowledge and genetic testing on thalassemia, child marriage might contribute to the increasing of thalassemia patients. Thus, increasing knowledge on thalassemia among orphan adolescents is important. This community development uses several methods, including seminar, discussion, book, and poster, targeting the orphan adolescents (n= 40) in Mojokerta, East Java. A questionnaire on thalassemia was used to measure the knowledge, before and after the activity. The results show that the respondents have a moderate knowledge about thalassemia (median= 4 (0-9)), and increase to median=9 (3-10)) after the activities (p< 0.001). Even though overall knowledge is increased, several information including thalassemia is a genetic disease, not similar to blood cancer, not the only type of anemia (Q6), and how to diagnose thalassemia (Q9) still need to be emphasized. Taken together, direct and indirect approaches, such as seminar, discussion, book, and poster are effective in increasing thalassemia knowledge among orphan adolescents. These activities are more effective in targeting late adolescents, compared to early and middle adolescents. However, more effective methods are necessary to target Generation Z who are more familiar with the internet.
A systematic review and meta-analysis of drug-coated balloons versus drug-eluting stents in de novo and in-stent restenosis coronary bifurcation lesions Dzikrul Haq Karimullah, Muchammad; Saputra, Pandit Bagus Tri; Alkaff, Firas Farisi; Oktaviono, Yudi Her; Nugraha, Ricardo Adrian; Faizah, Novia Nurul; Widiarti, Wynne; Aufazhafarin, Nadhifa Tanesha; Doman, Zahras Azimuth; Sahara, Rendy Asmaradhana; Niazta, Nisa Amnifolia
Heart Science Journal Vol. 7 No. 3 (2026): Predicting Restenosis in Coronary Artery Disease
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.03.6

Abstract

Background: Coronary bifurcation lesions are notoriously difficult to treat percutaneously and may require advanced techniques. Drug-eluting balloons (DCBs) have several advantages over drug-eluting stents (DESs), including the ability to maintain arterial physiology, reduce the risk of stent thrombosis, and eliminate the need for permanent metal implants. However, it remains uncertain which treatment will work best. Objective: This study evaluated DCBs and DESs in coronary bifurcation lesions using subgroup analyses based on lesion type and location. Methods: We searched scientific databases for relevant publications up until May 31, 2025. In order to synthesise the results, a random-effects model was employed. To determine the possibility of bias, the ROBINS-I was utilized, and to measure the level of heterogeneity across the studies, the I³ statistic was used. Results were analyzed clinically and angiographically. This subgroup analysis focused on the position of the bifurcation and the kind of lesion (new, internal, or all sites). Result: Eleven research were deemed eligible for inclusion. There was a trend toward fewer major adverse cardiac events (MACE) with DCB compared to DES in the whole cohort, however the trend was not statistically significant (OR0.77, 95% CI0.58-1.02; p=0.07; I²=0%). Both major adverse cardiac events (MACE) and target lesion revascularization (TLR) were significantly reduced in de novo bifurcations when DCB was used (OR0.61, 95% CI 0.41-0.89; p=0.01). Myocardial infarction, target vessel revascularization, in-stent thrombosis, and cardiac mortality were not significantly different among groups. Both the early and late lumen loss and gain seen on angiograms were within the normal range. Conclusion: In de novo bifurcation lesions, DCB demonstrates reduced MACE and TLR versus DES, supporting its role as a stent-free alternative. Randomized controlled trials with greater sample sizes and prolonged follow-up are warranted.