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THE CORRELATION BETWEEN EDUCATION, WORK, AND MATERNAL KNOWLEDGE ON COMPLEMENTARY FEEDING WITH 6-24 MONTHS' NUTRITIONAL STATUS Dina Alfiana; Witri Pratiwi; Muhammad Edial Sanif
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Indonesian Basic Health Research in 2018 reported that the prevalence of malnutrition in Indonesia was 17.7% which consists of 13.8% malnutrition and 3.9% severe malnutrition. In West Java Province, the prevalence of malnutrition and severe malnutrition is still high at 15.6%. The aim of this study is to examine the correlation between education, work, and maternal knowledge about complementary feeding with baby nutrition status aged 6-24 months. Methodology: This was a cross sectional study. The sample of this study was 100 mothers of infants aged 6 to 24 months in the Tegalgubug Health Center, in Cirebon City which selected by cluster sampling. Data have been collected from questionnaires and anthropometric measurement of weight for age Z (WAZ). Nutritional status was categorized into malnutrition status if z score <-2 SD up to <-3 SD, and good nutrition status if z score -2 SD to 2 SD. The analysis of the study was tested by Spearman correlation. Results: From 100 respondents,51% of them were low educated mother, 55% were working mother, 51% had good knowledge, and 83% had good nutrition’s babies. The bivariate analysis showed that education, working status, and mother’s knowledge about complementary feeding were statistically significant correlated with nutritional status of infants (p=0.021, p=0.020, p=0.013, respectively). Conclusion: Education, working status, and knowledge were significant correlated with nutritional status of infants aged 6 to 24 months. Malnutrition of infants can be greatly reduced by educating maternal about complementary feeding and given accurate information about nutritional status of infants. Keywords: Education, complementary feeding knowledge, nutritional status
THE CORRELATION OF EDUCATION AND SOCIAL ECONOMIC LEVELS WITH ANTIBIOTIC SELF-MEDICATION IN THE COMMUNITY OF CIREBON Tridaya Putri Handayani; Muhammad Duddy Satrianugraha; Witri Witri Pratiwi; Ruri Eka Maryam Mulyaningsih
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: People in developing countries, like Indonesia, often conduct self-medication. One of the most common drugs used in self-medication is antibiotics. Antibiotics should be used with caution since it can cause antibiotic resistance and possible unwanted side effects of the drug. There are several factors that influence self-medication behavior such as education and socio-economic levels. This research aims to find the correlation between education and social economic levels with antibiotic selfmedication in the community of Cirebon. Method: This study was an analytical survey with cross-sectional method. This study was conducted from December 2018 to February 2019. A total of 300 respondents were recruited as samples using consecutive sampling technique. The respondents were recruited from 5 different pharmacies from each sub-district in Cirebon City and a validated questionnaire were used to obtain data. The collected data are analyzed using the Spearman correlation test. Results: The results of this study show that there was a significant but weak positive correlation of education level (r=0.224, p=0.001) and socio-economic (r=0.210, p=0.001) with self-medication using antibiotics. Conclusion: There is a significant positive correlation between education and socio-economic levels with antibiotic self-medication. Keywords: self-medication, education level, socio-economic level
CHANGING COSMETIC BRANDS INCREASE RISK OF FREQUENCY AND DEGREE OF ACNE VULGARIS IN FEMALE UNDERGRADUATE STUDENTS Annida P Maharani; Witri Pratiwi; Donny Nauphar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Acne vulgaris is a skin disease caused by chronic inflammation of the follicular pilosebacea marked by the presence of blackheads, papules, pustules, nodules, and cysts in place of healthy skin. One of the risk factors for Acne vulgaris is changing cosmetic brands which may contain comedogenic and acnegenic ingredients. The aim of this study is to find out the relationship of changing cosmetic brands and the prevalence of Acne vulgaris in female undergraduates. Methods: This was an observational study with cross sectional design. The subjects were 344 female undergraduates who used two out of four types of cosmetics, recruited by total sampling. Data were analyzed to see the relationship of changing cosmetic brands with the degree and the frequency of acne. Results: Based on Spearman correlation test, changing cosmetic brands has a strong positive correlation (r2= 0.762) with the degree of acne and a mild positive correlation (r2=0.461) with acne frequency. Chi-square test showed statistical significance (p<0.05) between changing cosmetic brands and the degree and frequency of acne. Subjects who frequently changes cosmetics has a 66 times higher risk of having bad acne (PR= 66.994; CI 95% = 32.099–139.320) and 8 times higher risk of having more frequent acne (PR= 8.432; CI 95% = 4.969-14.308) compared to subjects that do not frequently change cosmetics. Conclusion: Changing cosmetic brands increased the risk for both the degree of acne and the frequency of acne.
COMPARISON OF EFFECTIVENESS BETWEEN CELERY JUICE (Apium graveolens L.) AND 2% MICONAZOLE TOWARDS THE GROWTH OF Malassezia furfur Ronaa Hammada; Witri Pratiwi; Shofa Nur Fauzah; Donny Nauphar; Amanah Amanah
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: Pityriasis versicolor is caused by the fungi Malassezia furfur with a worldwide prevalence of 50%, including tropical countries, second only to dermatitis in Indonesia. Pityriasis versicolor is difficult to treat and requires long-term treatment. The disease has high recurrence risk and may cause drug resistance. 2% Miconazole is known to have long-term side effects; therefore, alternative treatment is needed. Several studies suggested that celery (Apium graveolens L.) contains active substances with anti-fungal properties. This paper aims to investigate the comparison of effectiveness between celery juice and 2% Miconazole towards the growth of Malassezia furfur. Methods: This is an in-vitro experimental study with post-test only control group design. The subjects were split into 5 groups which were given celery juice in 10% DMSO with the concentration of 10%, 20%, 30%, 40%, and 50%. A negative control group was given only 10% DMSO and the positive control group was given 2% Miconazole. The data were then analyzed using Kruskall-Wallis followed by Mann-Whitney test. Results: The Kruskall-Wallis test showed all concentration of celery juice had antifungal effect with p=0.000 (p<0.05) and were effective in inhibiting the growth of Malassezia furfur. The Mann-Whitney test showed that the 50% celery concentration was as effective as 2% Miconazole in inhibiting the growth of Malassezia furfur (p=0.495). Conclusion: Celery juice (Apium graveolens L.) was effective in inhibiting the growth of Malassezia furfur with 50% concentration as the most effective concentration.
EFFECT OF PHYSICAL ACTIVITY AND FAST FOOD CONSUMPTION FREQUENCY ON OVERWEIGHT LEVEL AMONG HIGH SCHOOL ADOLESCENT Lita Harlianti; Witri Pratiwi; Donny Nauphar; Eni Suhaeni
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Obesity was believed to be one of the risk factors of degenerative diseases, such as diabetes mellitus, hypertension, and coronary heart disease. Obesity occurred gradually that started with overweight. Risk factors for overweight are lack of physical activity, and consumption of high caloric fatty food which may cause accumulation of fats inside the body. This research aims to examine the effect of physical activity and fast food consumption frequency on overweight level among high school adolescent in Cirebon. Methods: It was a cross-sectional study conducted among 262 high school students aged 15-17 years using stratified random sampling. Results: The result based on Spearman correlation test showed negative correlation between physical activity and overweight level with p= 0,001 (p< 0,05) and correlation coefficient of -0,627. There was positive correlation between consumption fast food frequency with overweight with p=0,037 (p=0,05) and correlation coefficient of 0,423. Conclusions: Physical activity and fast food consumption frequency have effects on overweight level in high school adolescent in Cirebon.
EFEKTIFITAS PENYULUHAN UNTUK MENINGKATKAN PENGETAHUAN DAN SIKAP MENGHADAPI DISMENORE PADA REMAJA PUTRI Febriyana Intan Aryati; Witri Pratiwi; Ricardi W. Witjaksono Alibasjah
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 8, No 1 (2022): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Tunas Medika Jurnal Kedokteran & Kesehatan

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ABSTRAKLatar Belakang: Dismenore merupakan nyeri haid yang umum dialami oleh remaja putri dan berpengaruh terhadap kualitas hidup. Pengetahuan remaja mengenai dismenore serta sikap menghadapinya berperan penting dalam kesehatan reproduksi remaja. Penelitian ini bertujuan untuk menganalisis efektifitas penyuluhan untuk meningkatkan pengetahuan dan sikap menghadapi dismenore pada remaja putri. Metode: Penelitian ini merupakan penelitian pre-eksperiment menggunakan desain one group pre-test post-test. Sampel merupakan siswi kelas X dan XI SMAN 1 Kota Cirebon yang berusia 15-17 tahun. Teknik pengambilan sampel menggunakan simple random sampling. Data dikumpulkan melalui kuesioner tervalidasi yang berisi pertanyaan mengenai pengetahuan dan sikap menghadapi dismenorea. Penyuluhan diberikan menggunakan media slide show power point. Hasil: Sebelum dilakukan penyuluhan, mayoritas sampel penelitian memiliki tingkat pengetahuan yang baik (51%) dan tingkat sikap yang kurang (48%) tentang dismenore. Setelah dilakukan penyuluhan, semua sampel memiliki tingkat pengetahuan dan sikap yang baik tentang dismenore. Penyuluhan meningkatkan pengetahuan sebesar 27.37% (p=0.0001) dan sikap menghadapi dismenore sebesar 76.01% (p=0.0001). Simpulan: Penyuluhan efektif dalam meningkatkan pengetahuan dan sikap menghadapi dismenore pada remaja putri. Kegiatan penyuluhan mengenai dismenore pada remaja dapat ditingkatkan dan dilakukan secara rutin untuk meningkatkan derajat kesehatan reproduksi remaja.Kata Kunci: dismenore, penyuluhan kesehatan, pengetahuan, sikap, remaja putri
HUBUNGAN USIA IBU HAMIL DAN RIWAYAT ANTENATAL CARE (ANC) DENGAN KEJADIAN KEKURANGAN ENERGI KRONIS (KEK) Febriyana, Silva; Suhaeni, Eni; Pratiwi, Witri
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.38382

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Indonesia menempati urutan keempat dengan prevalensi Kejadian kekurangan energy kronik (KEK) sebesar 35,5%. Kejadian kekurangan energi kronik (KEK) pada ibu hamil akan berdampak pada kondisi janin yang dikandungnya salah satunya resiko bayi mengalami stunting. Kejadian kekurangan energi kronik pada ibu hamil dapat dipengaruhi oleh usia ibu hamil dan riwayat ANC. Maka dari itu Penelitian ini dilakukan agar agar mengetahui hubungan usia ibu, riwayat ANC dengan kejadian kekurangan energy kronis (KEK) pada ibu hamil di wilayahh kerja Puskesmas Talun Kabupaten Cirebon. Penelitian ini merupakan penelitian observasional dengan pendekatan poton lintang dan pengambilan sampel menggunakan metode total sampling. Data yang digunakan yaitu data sekunder berupa rekam medis dan buku kohort dari ibu hamil yang melakukan pemeriksaan ANC ke puskesmas Talun periode Januari-Desember 2023  dengan total 726 sampel. Data yang diperoleh akan dianalisi dengan analisis univariat dan analisis bivariate dengan  spearman. Berdasarkan penelitian didapatkan Usia terbanyak ialah usia hamil tidak bereesiko (20-35 tahun) sebanyak 85,8% dengan nilai p-value = 0,006 maka terdapat hubungan usia ibu terhadap kejadian kekurangan energi kronis sedangkan riwayat ANC didapatkan hasil terbanyak pada pemeriksaan <4 kali sebesar 75,6  % dengan nilai p-value = 0,704 maka tidak terdaoat  hubungan riwayat anc terhadap kejadian kekurangan energi kronis. Maka terdapat hubungan usia ibu dengan kejadian kekurangan energi kronis namun riwayat anc tidak berhubungan dengan kejadian kekurangan energi kronis pada ibu hamil.
Profile Of Congenital Heart Disease (CHD) Patients In Cirebon, Indonesia: Maternal Passive Smoking Risk : Maternal Passive Smoking Risk Witri Pratiwi; Yogi Puji Rachmawan
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 6 No. 1 (2024): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol6.Iss1/196

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Background: Congenital heart disease (CHD) is the most common congenital disorder and a leading cause of infant mortality. Maternal pregnancy history is considered a potential risk factor for CHD. This cross-sectional study aimed to investigate the patient and maternal profile of CHD cases in Cirebon, Indonesia. Methods: The study was conducted at Hasna Medika Cardiovascular Hospital from November 2019 to March 2020, and data were collected through questionnaires and medical records. The study included 28 CHD patients, of whom 57.1% were female, and most had acyanotic CHD (82.1%). Results: None of the mothers had a history of active smoking, but all were exposed to passive smoking. Additionally, 17.9% of the samples had a history of fever during the first trimester, 17.9% took medication during pregnancy, and all consumed vitamins and supplements. Hormonal contraceptive failure accounted for 17.9% of CHD cases, while 7.1% of mothers had gestational hypertension. None of the mothers had gestational diabetes mellitus. Conclusions: The study suggests that passive smoking may be closely related to CHD, but further research is needed to confirm this association. Therefore, it is crucial for pregnant women to avoid exposure to cigarette smoke. Health promotion programs that educate the public about the risks of smoking during pregnancy and infancy are highly encouraged.
Hipertensi Resisten: Diagnosis dan Tatalaksana: RESISTANT HYPERTENSION: DIAGNOSIS AND MANAGEMENT Rachmawan, Yogi Puji; Pratiwi, Witri
JURNAL TERAS KESEHATAN Vol 8 No 1 (2025): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v8i1.161

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Resistant hypertension is still one of the problems faced by clinicians in daily practice. The diagnosis of resistant hypertension requires the exclusion of pseudo-resistance. This literature review aims to determine the criteria of resistant hypertension and its management so that it can be reference of optimal management. The method used was through literature review of scientific articles published in journals, ministry of health data, and guidelines, both national and international. The literature collected was related to data on the epidemiology of hypertension, resistant hypertension, diagnosis and therapeutic management. Data searches were conducted through Google Scholar, PubMed and Scopus databases by entering keywords. Resistant hypertension is diagnosed when blood pressure has not been controlled despite receiving more than 3 types of antihypertensive drugs with one of them is diuretics or the blood pressure is only controlled after receiving ³4 types of antihypertensive drugs. Therapeutic management includes non-pharmacological, pharmacological and device intervention.
The Quality of Life in Heart Failure Reduced Ejection Fraction (HFrEF) Patients: A Phenomenon of Obesity Paradox Yogi Puji Rachmawan; Witri Pratiwi; Helda Helda
GHMJ (Global Health Management Journal) Vol. 8 No. 1 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-811151

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Background: Obesity place patients at risk of cardiovascular disease (CVD). There may be an inverse relationship between obesity and CVD prognosis-a phenomenon known as the “obesity paradox”. Obese HF patients might have a better prognosis, especially in terms of quality of life (QoL). Aims: The purpose of this study was to examine the QoL of HF patients based on obesity classification. Methods: This cross-sectional study was conducted at the HF clinic of Hasna Medika Cardiovascular Hospital, Cirebon, Indonesia. Samples were HFrEF patients who had received medication at the HF clinic for at least 6 months and the patient must have received optimal guidelines directed medical therapy (GDMT) with at least 3 pillar drugs according to Indonesian heart failure guidelines. Inclusion criteria were HF patients with ejection fraction <40% on echocardiographic examination. Exclusion criteria were HF patients with motor impairments, such as post-stroke, severe osteoarthritis, paralysis, and patients who did not receive optimal GDMT. Results: A total of 40.3% sample were obese, 9.7% were underweight and 67.5% had central obesity. Coronary artery disease (89.6%), smoking (67.5%) and hypertension (49.4%) were the most common comorbidities and risk factors found. About 12.3% of sample experienced rehospitalization 3 times a year. Based on Kansas City Cardiomyopathy Questionnaire (KCCQ)-12, about 3.2% of the sample had poor QoL, 55.8% had good QoL and 9.7% had excellent QoL. HFrEF patients with excellent QoL had a proportion of 66.7% obese and 20% overweight. While there were no obese patients in HFrEF patients with poor QoL. The proportion of HFrEF patients with excellent QoL who had central obesity was 80%. Meanwhile, 65.1% of HFrEF patients with good QoL were obese. Conclusion: Obese HF patients have better QoL outcomes. This phenomenon is called obesity paradox. A good quality of life in HF patients is an important goal of HF management in addition to reducing mortality.   Received: 02 December 2024 | Reviewed: 17 December 2024 | Revised: 24 December 2024 | Accepted: 10 January 2025.