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All Journal Proceedings of the International Conference on Applied Science and Health Global Health Management Journal Jurnal Teras Kesehatan Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Health Sains Tunas Medika Jurnal Kedokteran & Kesehatan Indonesian Journal of Health Sciences Research and Development (IJHSRD) Jurnal Sehat Indonesia (JUSINDO) Jurnal Pengabdian Masyarakat Bangsa JI-KES (Jurnal Ilmu Kesehatan)
Witri Pratiwi
Universitas Swadaya Gunung Jati
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Analgesics Self-Medication Among Community In Cirebon District, Indonesia Marfuati, Sri; Pratiwi, Witri; Khasanah, Uswatun
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.305

Abstract

Background: Self-medication with analgesics may cause inappropriate medication and potentially dangerous side effects. However, data on analgesic self-medication profiles in Cirebon, Indonesia, is still limited. Aims: This research aims to analyze the profile of self-medication with analgesics among the Cirebon District, Indonesia community. Methods An observational study with a cross-sectional approach was conducted in 5 pharmacies in the Cirebon District. The sample in this study was people who bought analgesics without a doctor's prescription at the pharmacy. Primary data were obtained through a questionnaire regarding sociodemographic characteristics, reasons for self-medication, and sources of information in choosing analgesics. Results: 470 respondents participated in this study, consisting of 35.96% male and 64.04% female. The majority of samples were 31-55 years old (54.9%), worked as housewives (36.60%), senior high school graduates (39.15%), married (74.68%), and had low income (60.43%). Only 13.83% of the sample has health insurance (private or national health insurance). Most of the samples performed self-medication with analgesic because they were used to doing it (34.25%). Most of the samples received information about analgesics they consumed from health workers (39.79%). Conclusion: Self-medication with analgesics among community in Cirebon Regency, Indonesia, is mainly carried out by low-income people because they are used to treating themselves. They get information about analgesics purchased from health workers. Prevention needs to be done through promotion and education to the public regarding the side effects of self-medicated analgesics so that they do not use them without consulting a doctor.
HUBUNGAN ANTARA POLA PEMBERIAN MAKAN PADA ANAK USIA 12–59 BULAN DENGAN KEJADIAN STUNTING DI PUSKESMAS TALUN Pratisara, Regina; Syakhruddin, Imam; Pratiwi, Witri; Zaidah, Niklah; Komala, Ika; Rahayu , Intan Dwi
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 11 No 2 (2025): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v11i2.11009

Abstract

Latar Belakang : Stunting merupakan masalah pertumbuhan yang disebabkan oleh kekurangan gizi kronis, yang dapat menyebabkan pertumbuhan anak terganggu yaitu tinggi badan anak lebih rendah daripada seusianya. Stunting dapat terdeteksi bila dilakukan pengukuran tinggi badan menurut umur (TB/U) dengan indikator kurang dari -2 SD menurut standar WHO. Tujuan : Tujuan dalam penelitian ini adalah untuk mengetahui hubungan antara pola pemberian makan dengan kejadian stunting pada anak usia 12-59 bulan di Puskesmas Talun. Metode : Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik menggunakan pendekatan case control. Populasi pada penelitian ini adalah ibu yang memiliki anak usia 12-59 bulan di Puskesmas Talun, Kabupaten Cirebon. Responden dalam penelitian ini berjumlah 200 responden yang diambil dengan teknik Total Sampling untuk stunting (kasus) dan Accidental Sampling untuk yang tidak stunting (kontrol). Variabel independen dalam penelitian ini adalah pola pemberian makan dan variabel depeden adalah stunting. Data diperoleh melalui kuesioner dan penggukuran tinggi badan menggunakan microtoise. Data diolah menggunakan aplikasi komputer (SPSS), data dianalisa menggunakan uji Chi-Square. Hasil : Hasil penelitian menunjukkan terdapat hubungan antara pola pemberian makan dengan kejadian stunting pada anak usia 12-59 bulan di Puskesmas Talun, yang didapatkan nilai P 0,001 (P<0,005) dan didapatkan OR 34.784(4,62-262,18). Simpulan : Terdapat hubungan antara pola pemberian makan dengan kejadian stunting pada anak usia 12-59 bulan di Puskesmas Talun. Kata Kunci : Stunting, Pola Pemberian Makan, Anak usia 12-59 Bulan ABSTRACT Background: Stunting is a growth problem caused by chronic malnutrition, which can cause children's growth to be disrupted, namely lower height than their age. Stunting can be detected when measuring height-for-age (HAZ) with an indicator of less than -2 SD according to WHO standards. Aim: The purpose of this study was to determine the relationship between feeding patterns and the incidence of stunting in children aged 12-59 months at the Talun Health Centre. Methods: This study is a quantitative study with an analytical observational design using a case control approach. The population in this study were mothers who had children aged 12-59 months at Puskesmas Talun, Cirebon Regency. Respondents in this study totalled 200 respondents who were taken by Total Sampling technique for stunting (case) and Accidental Sampling for non-stunting (control). The independent variable in this study was feeding patterns and the dependent variable was stunting. Data were obtained through questionnaires and height measurements using a microtoise. Data were processed using computer application (SPSS), data were analysed using Chi-Square test. Results: The results showed that there was an association between feeding patterns and the incidence of stunting in children aged 12-59 months at the Talun Health Centre, which obtained a P value of 0.001 (P <0.005) and obtained an OR of 34.784 (4.62-262.18). Conclusion: There is a relationship between feeding patterns and the incidence of stunting in children aged 12-59 months at the Talun Health Center.
The Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia Ivanka, Muhammad Nabil Prawira; Pratiwi, Witri; Kusnandang, Agus
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741111

Abstract

Background: Stroke is a non-communicable disease whose prevalence continues to increase in both young and old age groups. Stroke patients require immediate treatment at the hospital to prevent disability and death. Delayed treatment may result in a worse prognosis. Aims: To analyze the relationship between family knowledge and response with pre-hospital delay in stroke patients in Cirebon Regency, Indonesia. Methods: This cross-sectional study was conducted at Waled General Hospital, Cirebon Regency, Indonesia. The sampling technique used was consecutive sampling of patients hospitalized with stroke diagnosis from May 2024 to July 2024. Patients with recurrent stroke were excluded. Data were collected from medical records and questionnaires administered to the patient's families. The Indonesian version of Stroke Recognition Questionnaire (SQR) was used to explore family knowledge, while family responses were explored using the Stroke Action Test (STAT). Results: There were 61 stroke patients recruited in this study. Majority of the sample were delivered to hospital late (78.7%). Most of the patients’ families had poor knowledge (47.5%) and inadequate attitudes (85.2%). In the bivariate analysis, there was a strong correlation between family knowledge of stroke symptoms and pre-hospital delay (p=<0.001; r=0.746). Inadequate family response was associated with pre-hospital delay [p= 0.002; PR 2.596 (95%CI 1.024-6.581)]. Conclusion: There is a positive correlation between family knowledge and response with pre-hospital delay in stroke patients in Cirebon Regency, Indonesia.   Received: 26 September 2024  |  Reviewed: 19 October 2024  |  Revised: 24 November 2024  |  Accepted: 30 November 2024.
Hipertensi Resisten: Diagnosis dan Tatalaksana 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

Abstract

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 Rachmawan, Yogi Puji; Pratiwi, Witri; 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

Abstract

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.
The Features of Children with Tuberculosis at Sidawangi Pulmonary Hospital in Indonesia: Interactions within the Home as a Potential Transmission Risk Pratiwi, Witri; Toipah, Iip; Rachmawan, Yogi Puji; Reki, Winarto
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-811203

Abstract

Background: Tuberculosis (TB) is an infectious disease that can infect children. The prevalence of pediatric TB in Indonesia has increased in recent years, causing a major burden on children's health. Aims: To determine the characteristics of pediatric TB patients at Sidawangi Pulmonary Hospital, West Java Province, Indonesia. Methods: A cross-sectional study was conducted at Sidawangi Pulmonary Hospital, West Java Province, Indonesia. The samples were new cases of pediatric TB from January 2020 to July 2023. Data were collected and analyzed from outpatient and inpatient medical records. Logistic regression was used to analyze the association between age and household contact. Results: There were 190 pediatric TB patients collected during the study period. Most of them were less than 5 years old (37.9%). The proportion of male and female was almost same. Most pediatric TB patients had household contacts (73.7%), especially those <1 year old. TB patients aged <1 year had an AOR of 31.94 (95%CI 3.8­­­–268.35) for household contact compared to those aged 10-17 years. Conclusion: Pediatric TB patients at Sidawangi Pulmonary Hospital are mostly less than 5 years old. Compared to older age groups, pediatric TB patients aged <1 year had the highest proportion of household contacts. The government needs to pay attention to the risk of TB transmission to children through household contact, especially in younger children. Received: 27 January 2025 | Reviewed: 11 February 2025 | Revised: 22 February 2025 | Accepted: 23 February 2025.
Public Knowledge about Wolbachia-Aedes Technology: A Survey among Cirebon City Residents, Indonesia Herawati, Herawati; Pratiwi, Witri; Gasem, Muhammad Hussein
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831220

Abstract

Background: Wolbachia-Aedes technology is one of the innovations in reducing dengue fever incidence in Indonesia. Its implementation may be limited by insufficient public knowledge, as low awareness can reduce community acceptance and participation in Wolbachia-Aedes technology, both of which are essential for the technology’s effectiveness. Aims: To determine the public knowledge about Wolbachia-Aedes technology and the associated factors in Cirebon City residents, Indonesia. Methods: This is an observational study with a cross-sectional approach that was conducted in Cirebon City Health Centers (Puskesmas) between June and July 2024, using a cluster random sampling technique. Cirebon City residents who visited Puskesmas and met the inclusion and exclusion criteria were recruited as samples. Data were collected through self-administered validated questionnaires. Results: There were 600 respondents, consisting of female (68%) who participated in the study. Most of the sample were senior high school graduates (68.2%). The results showed that 39.5% of respondents had poor knowledge, while 51.5% had moderate knowledge and 9% had good knowledge. Age [adjusted OR 1.86 (95%CI 1.32-2.63)] and education level [adjusted OR 2.12 (95%CI 1.38-3.27)] were the factors that related to public knowledge about Wolbachia-Aedes technology in Cirebon City, Indonesia. Conclusion: Most Cirebon City residents had moderate knowledge, with a substantial proportion still having poor knowledge regarding Wolbachia-Aedes technology. Older age and lower education levels were associated with poorer knowledge. The government needs to improve public knowledge about Wolbachia-Aedes technology before implementation through targeted health promotion, particularly for older populations and those with lower education levels.
Profile Of Congenital Heart Disease (CHD) Patients In Cirebon, Indonesia: Maternal Passive Smoking Risk : Maternal Passive Smoking Risk Pratiwi, Witri; Puji Rachmawan, Yogi
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

Abstract

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.
Gender Differences in Rheumatic Heart Disease: Data from a District Hospital in Cirebon, Indonesia Alia Hikmayani, Airin; Puji Rachmawan, Yogi; Pratiwi, Witri
Jurnal Health Sains Vol. 6 No. 1 (2025): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i1.1464

Abstract

Rheumatic heart disease (RHD) has a high prevalence in low- and middle-income countries, including Indonesia. Gender is among the sociodemographic factors that can influence RHD prevention and management strategies. This study aims to describe the clinical profile of RHD patients, with a focus on gender differences. This cross-sectional study was conducted at Hasna Medika Cardiovascular Hospital in Cirebon, Indonesia. This study included RHD patients in the outpatient clinics, either who came for routine treatment or were newly diagnosed with RHD. Patients’ demographic and clinical data were collected through medical records from January 2023 to December 2023. A total of 157 patients’ data were analyzed. RHD was more common in women (70.7%) than men (29.3%). The incidence of RHD in women was higher (27.9%) in the age group 60 years old and above than in men (19.6%). The most common valve involved in RHD was the mitral valve, more frequently in women (100%) than men (97.8%), with severe mitral stenosis being the most prevalent valve abnormality in both genders (52.3% in women, 47.8% in men). Women have a higher prevalence of RHD than men. This study emphasises the importance of education and the needed improvement of RHD management strategies, specifically for women, as they have a higher burden of RHD.
HUBUNGAN STUNTING DENGAN OVERWEIGHT DAN RANGE OF MOTION (ROM) EKSTREMITAS BAWAH PADA BALITA Pratiwi, Witri; Dharmansyah, Mohamad Irwan; Qolbi, Zeha Nur
JI-KES (Jurnal Ilmu Kesehatan) Vol. 7 No. 2 (2024): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/jikes.v7i2.740

Abstract

Abstrak Stunting merupakan masalah kesehatan balita yang dapat menyebabkan dampak besar baik dalam jangka pendek maupun jangka panjang. Penelitian ini bertujuan menganalisis hubungan antara stunting dengan berat badan berlebih dan obesitas serta terbatasnya Range of Motion (ROM) pada balita. Penelitian potong lintang dilakukan pada balita di wilayah kerja Puskesmas Perumnas Utara Kota Cirebon ditentukan melalui teknik insidental sampling. Data primer dikumpulkan melalui pemeriksaan fisik dan dianalisis uji Fisher dengan batas signifikansi 0,05. Terdapat 120 balita mengikuti penelitian, terdiri dari 47,5% laki-laki dan 52,5% perempuan. Proporsi gizi lebih dan obesitas sebesar 15% sedangkan stunting sebesar 35%. Tidak ada hubungan yang signifikan antara stunting dan status gizi berlebih (p=0,288; POR= 0,481; 95%CI 0,148–1.568). Didapatkan hubungan stunting dengan terbatasnya ROM pada sendi panggul untuk gerakan fleksi [p<0,0001; POR 9,37 (95%CI 3,95–22,21)], abduksi [p<0,0001; POR 7,77 (95%CI 3,23–18,69)] dan adduksi [p<0,001; POR 4,78 (95%CI 2.14–10.70)]. Didapatkan hubungan stunting dengan terbatasnya ROM pada fleksi lutut [p<0,0001; POR 10,16 (95%CI 4,09–25,28)], dorsofleksi [p<0,0001; POR 5,95 (95%CI 2,29–15,438)] dan plantarfleksi [p<0,0001; POR 5,32 (95%CI 2,32–12,22)]. Balita stunting mengalami keterbatasan ROM pada ekstremitas bawah. Rehabilitasi medis perlu dilakukan pada balita stunting untuk mengembalikan fungsi gerakan sendi secara optimal. Kata kunci: obesitas, overweight, range of motion (ROM), stunting, persendian   Abstract Stunting is health problem of toddlers that can cause major impacts both in short and long term. This study aims to analyze the correlation between stunting and overweight or obesity as well as limited ROM in children under 5 years. A cross-sectional study was conducted on children aged 1-5 years in Perumnas Utara Public Health Center, Cirebon City which were recruited using incidental sampling technique. Primary data was collected through physical examination. There were 120 respondents who participated (47.5% boys and 52.5% girls). The proportion of overweight and obesity was 15%, while stunting was 35%. There was no significant correlation between stunting and overweight (p=0.288; POR= 0.481; 95%CI 0.148–1.568). There was a correlation between stunting and limited ROM in hip joint for flexion [p<0.0001; POR 9.37 (95%CI 3.95–22.21)], abduction [p<0.0001; POR 7.77 (95%CI 3.23–18.69)] and adduction [p<0.001; POR 4.78 (95%CI 2.14–10.70)]. There was correlation between stunting and limited ROM in knee flexion [p<0.0001; POR 10.16 (95%CI 4.09–25.28)], dorsiflexion [p<0.0001; POR 5.95 (95 %CI 2.29–15.438)] and plantarflexion [p<0.0001; POR 5.32 (95%CI 2.32–12.22)]. Stunting toddler have limited lower extremities ROM. Medical rehabilitation needs to be carried out to maintain optimal joint movement. Keywords: obesity, overweight, range of motion (ROM), stunting, joints
Co-Authors Ahmad Fariz Malvi Z Zein Alfiana, Dina Alia Hikmayani, Airin amanah amanah Amanah Amanah Amelya Chandra Pitriani Annida P Maharani Arni Annisa Rochmaniah Dewi Sukmawati Dharmansyah, Mohamad Irwan Dina Alfiana Donny Nauphar Donny Nauphar Edial Sanif Eni Suhaeni Fauzah, Shofa Nur Febriyana Intan Aryati Febriyana, Silva Gasem, Muhammad Hussein Hammada, Ronaa Handayani, Tridaya Putri Harlianti, Lita Helda Helda Herawati Herawati Hery Widijanto Ivanka, Muhammad Nabil Prawira Komala, Ika Kusnandang, Agus Lita Harlianti Maharani, Annida Malvi, Ahmad Fariz Marfuati, Sri Mulyaningsih, Ruri Eka Maryam Naufal Nabila Faruq Permana, Irman Pratisara, Regina Pratiwi, Suci Rahmah Puji Rachmawan, Yogi Qolbi, Zeha Nur Rachmawan, Yogi Puji Rahayu , Intan Dwi Reki, Winarto Ricardi W. Witjaksono Alibasjah Risnandya Primanagara Ronaa Hammada Ruri Eka Maryam Mulyaningsih Satrianugraha, Muhammad Duddy Shidqi, Muhammad Daffa Shofa Nur Fauzah Syakhruddin, Imam Toipah, Iip Tridaya Putri Handayani Yundari, Yundari Zaidah, Niklah