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The Relationship Between Body Mass Index and Smoking History on the Incidence Rate of Hypertension in the Elderly at Rendeng Public Health Center Detti Nur Irawati; Muhammad Azharul Hamdzi; Irma Kartikasari
MAGNA MEDIKA: Berkala Ilmiah Kedokteran dan Kesehatan Vol 9, No 2 (2022): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.9.2.2022.175-182

Abstract

Background: Hypertension in the elderly is a chronic disease that is resulted from various risk factors. The incidence of hypertension increases in the elderly, with a prevalence of 60-80% per year from the entire elderly population. A total of 1311 elderly who suffers from hypertension have a history of smoking and abnormal body mass index, so this research was conducted to determine how significant the risk of these two factors is.Objective: To analyze the relationship between body mass index and smoking history on the incidence of hypertension in the elderly in the Public Health Center of Rendeng.Methods: This research design was cross-sectional with a purposive sampling technique in elderly hypertensive patients in the Public Health Center of Rendeng by checking blood pressure and conducting interviews to fill out questionnaires. The data were analyzed by using the Spearman correlation test, and the test was strengthened using the C contingency correlation test.Results: This research used samples of 99 people. The results of the Spearman correlation test on body mass index obtained a significant value (p) of 0.001 (p<0.05), and a history of smoking obtained a significant value (p) of 0.330 (p>0.05).Conclusion: There was a relationship between body mass index and the incidence of hypertension in the elderly in the Public Health Center of Rendeng. However, there was no significant relationship that existed between smoking history. 
Pulmonary Embolism in the Post-partum Period: A Case Report Irma Kartikasari; Syafarinah Nur Hidayah Akil
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 13, No 2 (2024): September 2024
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v13i2.3246

Abstract

Background: One well-known hypercoagulable state that raises the risk of venous thromboembolism is pregnancy and it is more common in cesarean delivery. Pulmonary embolisms are difficult to identify based solely on postpartum symptoms. Most of the symptoms are non-specific, therefore they are typically underdiagnosed throughout pregnancy and the postpartum period. Objective: This work presented information on the treatment of high-risk pulmonary embolism in the postpartum phase. Case presentation: This paper reported the case of a 33-year-old female, admitted to the emergency room for shortness of breath. Her personal history showed that she had just given birth to her sixth child by caesarian section a month ago and had a history of hysterectomy due to severe infection. Result: She suffered a high-risk pulmonary embolism in the post-partum period. It takes a strong index of suspicion to diagnose and treat patients in a timely manner. Conclusion: Echocardiography and Multislice Computerized Tomography are the best diagnostic methods. Venous thromboembolism prophylaxis should be taken into account, particularly in patients who have risk factors.
Diversi Sebagai Alternatif Penyelesaian pada Tindak Pidana yang Dilakukan oleh Anak : Studi Kasus pada Polres Madiun Kota Revinta Irma Kartikasari; Subekti Subekti
Majelis: Jurnal Hukum Indonesia Vol. 2 No. 3 (2025): Agustus : Majelis : Jurnal Hukum Indonesia
Publisher : Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/majelis.v2i3.1014

Abstract

Protection of children's rights in the Indonesian legal sistem has received serious attention with the enactment of Law Number 11 of 2012 concerning the Juvenile Criminal Justice Sistem (UU SPPA). This law emphasizes that imposing sanctions on children is not the primary goal, but rather a means to achieve child welfare through a restorative justice approach. The SPPA Law regulates two channels for resolving cases: formal justice and diversion. Diversion is a process for resolving children's cases outside the court system, aiming to prevent children from experiencing formal justice processes that have the potential to have long-term negative impacts on their psychological and social development. This study focuses on the implementation of diversion efforts during the investigation stage within the jurisdiction of the Madiun City Police. The method used in this study is an empirical method, namely by examining the implementation of the law in social realities in the field through observation and interviews with relevant parties. The results of the study indicate that the Madiun City Police have implemented diversion efforts quite well and in accordance with the provisions of the SPPA Law. The implementation of diversion is carried out by considering the principles of restorative justice and involving various parties, including child perpetrators, victims, families, and the police. However, several obstacles to implementing diversion exist, including a lack of public understanding of the concept and benefits of diversion, and frequent debates between perpetrators and victims, particularly regarding compensation issues within diversion forums. Therefore, increased public outreach and legal education, as well as stronger coordination between the institutions involved, are needed to optimally achieve the primary goals of the juvenile criminal justice system.
Pengaruh Penggunaan Model Pembelajaran Guided Discovery Berbantuan Phet Arithmetic Terhadap Aktivitas Belajar dan Kemampuan Pemahaman Konsep Matematis Siswa Sekolah Dasar Irma Kartikasari; Sugilar; Adi Suryanto
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 10 No. 04 (2025): Volume 10 No. 04 Desember 2025 Build
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v10i04.34346

Abstract

Pembelajaran matematika di sekolah dasar sering menghadapi kendala berupa rendahnya aktivitas belajar siswa dan kurang optimalnya kemampuan pemahaman konsep matematis. Salah satu alternatif solusi adalah penggunaan model pembelajaran Guided Discovery yang dipadukan dengan media PhET Arithmetic untuk menciptakan pembelajaran yang lebih interaktif dan bermakna. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan model pembelajaran Guided Discovery berbantuan PhET Arithmetic terhadap aktivitas belajar dan kemampuan pemahaman konsep matematis siswa sekolah dasar. Metode penelitian yang digunakan adalah kuantitatif dengan desain kuasi eksperimen Nonequivalent Control Group Design. Sampel penelitian berjumlah 172 siswa kelas IV yang dibagi menjadi dua kelompok, yaitu kelompok eksperimen dan kelompok kontrol, masing-masing 86 siswa. Instrumen yang digunakan berupa lembar observasi aktivitas belajar dan tes pemahaman konsep. Analisis data dilakukan melalui uji normalitas, homogenitas, paired sample t-test, independent sample t-test, dan MANOVA. Hasil penelitian menunjukkan bahwa penggunaan model pembelajaran Guided Discovery berbantuan PhET Arithmetic berpengaruh signifikan terhadap aktivitas belajar dengan peningkatan rata-rata 15,105 dan perbedaan posttest sebesar 9,198 (Sig. = 0,000 < 0,05). Selain itu, terdapat pengaruh signifikan terhadap kemampuan pemahaman konsep matematis dengan peningkatan rata-rata 53,477 dan perbedaan posttest sebesar 28,965 (Sig. = 0,000 < 0,05). Secara simultan, hasil uji MANOVA juga menunjukkan pengaruh yang signifikan (Sig. = 0,000 < 0,05). Dengan demikian, model pembelajaran Guided Discovery berbantuan PhET Arithmetic efektif dalam meningkatkan aktivitas belajar dan kemampuan pemahaman konsep matematis siswa sekolah dasar.
The Relationship Between Severe Preeclampsia and the Incidence of Small for Gestational Age (SGA) Babies at Fatimah Lamongan Hospital Rafi Abhipraya Nurlistyo; Eko Nur Sucahyo; Irma Kartikasari; Rewina Intan Asmarani
MESINA (Medical Scientific Journal) Vol 6, No 2 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v6i2.11216

Abstract

Babies born weighing less than the 10th percentile for their gestational age are considered Small for Gestational Age (SGA), which increases the risk of health problems and death. Preeclampsia, a condition marked by high blood pressure after 20 weeks of pregnancy, is linked to SGA by reducing blood flow to the placenta, affecting the baby's growth. This study aimed to explore the relationship between preeclampsia and SGA infants at Fatimah General Hospital in Lamongan using observational analysis with a cross-sectional approach. The study included mothers with certain medical records from January to December 2024. Out of 1,536 mothers, 239 had preeclampsia, and 242 infants were SGA. The majority of babies from mothers with preeclampsia were SGA, compared to those without preeclampsia. The study found a strong connection between preeclampsia and SGA and highlighted the need for better education for pregnant women, regular check-ups, and improved teamwork among healthcare providers to manage high-risk pregnancies.
Perbandingan Rate Pressure Product (RPP) Pre dan Post Rehabilitasi Jantung Fase I pada Pasien Gagal Jantung di Rumah Sakit Siti Khodijah Sepanjang Abdullah Abubakar Al Hadad; Muhammad Perdana Airlangga; Irma Kartikasari; Nur Aisah Ibrahimiyah
JurnalMU: Jurnal Medis Umum Vol 3 No 1 (2026): JurnalMU : Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v3i1.32616

Abstract

Latar Belakang : Gagal jantung adalah suatu sindrom klinis yang disebabkan oleh kelainan pada struktur jantung yang ditandai dengan tanda dan gejala yang berhubungan dengan tanda objektif kongesti paru maupun sistemik. Rate pressure product (RPP) adalah produk dari denyut nadi dan tekanan darah sistolik, yang biasa digunakan sebagai penanda fungsi jantung. Tujuan : Mengetahui perbandingan rate pressure product (RPP) pre dan post rehabilitasi jantung fase I pada pasien gagal jantung di Rumah Sakit Siti Khodijah Sepanjang. Metode : Menggunakan metode kuantitatif analitik observasional. Sampel dari penelitian ini terdiri dari 40 pasien gagal jantung yang menjalani rehabilitasi jantung fase I di Rumah Sakit Siti Khodijah Sepanjang. Data yang diambil berupa tekanan darah sistolik atau systolic blood pressure (SBP) dan denyut nadi atau heart rate (HR), kemudian menghitung rate pressure product (RPP) dengan rumus RPP = SBP x HR. Analisis data menggunakan paired t test. Hasil : Uji statistik menunjukkan p-value = 0,325 (p>0,05), yang berarti tidak terdapat perbandingan yang signifikan antara RPP sebelum dan sesudah rehabilitasi jantung fase I. Kesimpulan : Rehabilitasi jantung fase I tidak menunjukkan adanya perbandingan yang signifikan terhadap peningkatan RPP pada pasien gagal jantung. Diperlukan penelitian lebih lanjut dengan mempertimbangkan faktor lain yang dapat mempengaruhi nilai RPP.
THE RELATIONSHIP BETWEEN BLOOD PRESSURE LEVELS AND THE INCIDENCE OF DIABETIC NEUROPATHY IN TYPE-2 DIABETES MELLITUS PATIENTS. Putri Indriyani; Nurma Yuliyanasari; Irma Kartikasari; Laily Irfana
Biomedika Vol 17, No 2 (2025): Biomedika August 2025
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v17i2.11121

Abstract

Diabetic neuropathy (DN) is microvascular complications in people with type 2 diabetes that can significantly affect patients’ quality of life. Higher levels of blood pressure are known to be associated with an increased occurrence of diabetic neuropathy in type 2 diabetes patients. This study aimed to determine the risk factors for blood pressure levels with the incidence of diabetic neuropathy. This approach used purposive sampling with a cross-sectional methodology. SPSS version 26 with the chi square test was used to analyze the data. This study involved 68 patient. Patient with diabetic neuropathy mostly female (23.8%), aged of 51-60 years (16.2%), have had diabetes for > 5 years (22.1%), consumed insulin or anti-diabetic medications orally (35.5%), have a history of hypertension (20.6%), and do not take antihypertensive drugs (20.6%). ccording to the findings of the ci-squre analysis, there was a significant correlation between the incidence of diabetic neuropathy and the level of blood pressure (p < 0.04). Patients who suffer from neuropathy diabetic had the most hypertension grade 1. Meanwhile, patients who do not had diabetic neuropathy mostly have optimal, normal and normal-high blood pressure. In conclusion, there is a correlation between the incidence of blood pressure levels and diabetic neuropathy.
RELATIONSHIP OF OBESITY WITH HYPERTENSION DISEASE IN PUSKESMAS LEGUNG, SUMENEP REGENCY Safera Dewi Agustini; Nur Mujadiddah Mochtar; Muhammad Perdana Airlangga; Irma Kartikasari
PROCEEDING UMSURABAYA Vol 1 No 3 (2023): Proceeding Series Fakultas Kedokteran
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/ps.v2i1.19424

Abstract

Hypertension is defined as an increase in systolic and diastolic blood pressure >140/90 mmHg in adults over the age of 18 years with at least 2 examinations. Obesity is overweight which is characterized by the results of a body mass index that is above normal. Measurement of body mass index can be done by measuring height, weight, upper arm circumference, as well as waist and hip circumference. The results of measurements of excess body mass index (obesity) are one of the factors that can trigger hypertension. Based on this, it is important to conduct research related to the relationship between obesity and hypertension. Objectives: To determine the relationship between obesity and hypertension at the Legung Health Center, Batang-Batang District, Sumenep Regency. Methods: Using an observational analytic method with a cross sectional approach. From 133 research populations, 100 samples were selected using the Slovin formula calculation. Simple random sampling technique was used for sampling to be used in a random sample of hypertensive patients. Research Results: The number of respondents who are obese is 75 people. A total of 87 respondents had grade II hypertension and 13 respondents had grade I hypertension. Statistical analysis using the Chi-Square method obtained p value = 0.626 (p>0.05) so it can be interpreted that there is no significant relationship between body mass index and hypertension. Conclusion: From the results of Chi-Square analysis, it is known that there is no significant relationship between body mass index and hypertension. Respondents with hypertension patients who are not obese may be due to the fact that patients always control their blood pressure by maintaining their diet by avoiding coconut milk and not eating fried foods.Keywords: hypertension, obesity, body mass index, chi-square
Penatalaksanaan Hipertensi di Era Pandemi COVID-19 Irma Kartikasari; Muhammad Afif
PROCEEDING UMSURABAYA Vol 1 No 1 (2023): PROSIDING WEBINAR FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH SURABAYA
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/ps.v1i1.13708

Abstract

AbstractHypertension is the leading risk factor for adverse cardiovascular disease outcomes. Coronavirus disease 2019 (COVID-19) has become a worldwide pandemic responsible for millions of deaths around the world. Hypertension has been identified as one of the most common comorbidities and risk factors for severity and adverse outcome in these patients. Concern has been expressed that treatment with ACEIs or ARBs might increase the risk of infection, or developing the severe consequences of infection with COVID-19. Numerous original studies and meta-analysis reported no relationship with severity or mortality in COVID-19 patients or even benefit of taking renin-angiotensin-aldosterone inhibitors in COVID-19 patients. The goal of the various hypertension guidelines is to provide easily accessible information to healthcare providers and public health officials, which is key for optimal clinical practice. However, the COVID-19 pandemic has challenged the ability to provide safe care to the most vulnerable hypertensive populations throughout the world. The aim of this review article is to provide an overview of the current evidence on hypertension management in Covid-19 pandemic era. Keywords: Hypertension, COVID-19, Anti-Hypertensive Drugs, Cardiovascular DiseaseAbstrak
Efektivitas Essential Oil Ylang-Ylang Terhadap Penurunan Tekanan Darah pada Penderita Hipertensi Dian Novita Andriati; Annisa Nurida; Nova Primadina; Irma Kartikasari
JURNAL IMPLEMENTA HUSADA Vol 3, No 1 (2022)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v3i1.10641

Abstract

Abstrak: Hipertensi merupakan suatu penyakit tidak menular yang berupa gangguan pada sistem sirkulasi. Banyak orang tidak terdiagnosis hipertensi karena hipertensi jarang menimbulkan gejala pada tahap awal. Terapi secara farmakologis menggunakan obat-obatan seperti diuretik, beta-blocker, simpatolitik sentral, alfa-blocker, vasodilator arteri, penghambat kanal kalsium, inhibitor ACE, dan antagonis reseptor tipe 1 angiotensin II. Terapi non-farmakologis antara lain : aromaterapi, akupuntur tanpa jarum, pengobatan herbal dari cina, terapi jus, terapi herbal, pijat, yoga, pernafasan dan relaksasi, pengobatan pada pikiran dan tubuh; biofeedback meditasi, hipnosis, dan perawatan di rumah. Essential oil atau aromaterapi adalah suatu istilah untuk proses penyembuhan yang menggunakan sari tumbuhan aromatik murni yang bertujuan untuk meningkatkan kesehatan tubuh, mental dan emosional. Tujuan untuk mengetahui efektivitas essential oil Ylang-ylang terhadap penurunan tekanan darah penderita hipertensi.Metode: Menelaah beberapa artikel ilmiah terpublikasi tentang pengaruh essential oil Ylang-ylang terhadap penurunan tekanan darah penderita hipertensi. Hasil: Didapatkan hasil bahwa essential oil ylang-ylang efektif dalam menurunkan tekanan darah baik dengan pencampuran essential oil lain seperti lavender, lemon dan marjoram ataupun murni essential oil ylang-ylang saja.Kesimpulan: Essential oil ylang-ylang memiliki efektivitas menurunkan tekanan darah, meredakan palpitasi dan eksitasi sistem saraf, dan meningkatkan relaksasi emosional.