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Sleep Neurophysiology in the Elderly: The Potential of Brain Gym to Improve Quality of Life Dwirahayu, Yayuk; Mashudi, Sugeng; Irshada, Prima Mulqia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 2 (2026): February 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170207

Abstract

Sleep disturbances represent a common health problem among older adults due to physiological changes associated with aging, decreased melatonin production, and the presence of chronic diseases. Poor sleep quality has been associated with impaired cognitive function, weakened immune response, increased risk of falls, and reduced overall quality of life. Non-pharmacological interventions such as Brain Gym have been proposed as a potential strategy to improve sleep quality by stimulating the parasympathetic nervous system, enhancing cerebral blood flow, and regulating neurotransmitter activity. This study aimed to examine the effect of Brain Gym on sleep quality among older adults. A quantitative study with a quasi-experimental design using a pretest–posttest control group approach was conducted. The sample consisted of 20 elderly participants selected through purposive sampling based on predetermined inclusion criteria. Brain Gym intervention was administered three times per week for four weeks, with each session lasting 30 minutes. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data were analyzed using the Wilcoxon test to determine differences in sleep quality before and after the intervention. Prior to the intervention, all respondents (100%) were categorized as having poor sleep quality. Following the intervention, eight respondents (80%) demonstrated good sleep quality, while two respondents (20%) remained in the poor category, although their PSQI scores showed improvement. The Wilcoxon test produced a p-value of 0.000 (p < 0.05), indicating a statistically significant difference in sleep quality before and after the intervention. Brain Gym was found to be effective in improving sleep quality among older adults, with an effectiveness rate of 80%. This intervention is simple to implement, safe, and has the potential to be integrated into gerontological nursing care as a non-pharmacological alternative to enhance the quality of life among the elderly.Keywords: brain gym; elderly; neurophysiology; sleep quality; insomnia
Hiv Self Testing In Antenatal Care Services: A Systematic Literature Review Sulistyawati, Feni; Widarini, Ni Putu; Mashudi, Sugeng
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 14 No. 1 (2026): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v14i1.21449

Abstract

Background: HIV continues to pose a serious threat to world health. Gestational age is one of the indicators used to evaluate the success of HIV status because pregnant HIV-positive women are more likely to experience maternal and perinatal morbidity and mortality. In order to reach pregnant women and their partners for HIV testing, the World Health Organization is beginning to explore the use of the most recent HIV test, known as HIV self-testing (HIVST). Determining the utilization of HIVST in ANC services is the aim of this literature review. Method: This article was written using a literature study based on Google Scholar and Pubmed databases from 2016-2023. A total of 17 articles are reviewed in this paper. Result: The results showed that the use of HIVST in pregnant women and their partners in ANC services was an early prevention related to status and further treatment efforts. Conclusion: It is hoped that the government will focus more on HIVST counseling and secondary HIVST distribution strategies in ANC services. In addition, further development is needed in the form of research related to HIVST in ANC services so that the target of HIV testing for pregnant women and partners can be achieved.
DIET KETOGENIK: STRATEGI BARU PENANGANAN PENDERITA SKIZOFRENIA Sugeng Mashudi
Collaborative Medical Journal Vol 3 No 3 (2020): September
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/cmj.v3i3.1484

Abstract

Penggunaan antipsikotik dalam jangka waktu lama > 20 tahun memberikan efek negatif pada penderita Skizofrenia. Selain gejala skizofrenia munculnya sindrom metabolik perlu untuk diperhatikan. Sindrom metabolik sebagai efek negatif antipsikotik akan memberikan dampak pada gangguan jantung serta Diabetes Melitus (DM). Berbagai pendekatan dilakukan untuk mengurangi sindrom metabolik mulai dari diet mideteran, rendah gluten, dan diet ketogenik. Tujuan penelitian ini adalah untuk mengetahui diet ketogenik sebagai strategi baru penanganan penderita skizofrenia. Penelitiana ini merupakan literature review dengan menggunakan mesin pencari Pubmed dan Science direct. Karta kunci yang digunakan adalah diet ketogenic dan schizophrenia. Sebanyak 3 artikel dianalisis berdasarkan protokol PRISMA. Diperlukan penelitian pengaruh diet ketogenik terhadap perbaikan kondisi penderita skizofrenia.
Unveiling the Drivers of Anemia: A Multifactorial Analysis Eky Okviana Armyati; Sugeng Mashudi; Nurul Sri Wahyuni
Journal of Epidemiology and Public Health Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.02.03

Abstract

Background: Anemia remains a major public health concern, particularly in developing countries, due to its multifactorial causes and negative impact on individual productivity and quality of life. Identifying the determinants of anemia is essential for improving prevention strategies and targeted interventions. This study aimed to analyze factors associated with anemia among adult outpatients. Subjects and Method: The cross-sectional analytic study was conducted at Primary Health Care Ronowijayan, Ponorogo, Indonesia. The study population consisted of adult outpatients aged ≥18 years who visited the health center during the study period. A total of 100 participants were selected using an incidental sampling technique. The dependent variable was anemia, defined as hemoglobin level <12 g/dL in women and <13 g/dL in men, measured using a standardized spectrophotometric method. The independent variables included age, gender, body mass index (BMI), and economic status. BMI was calculated based on measured weight and height, while economic status was classified according to the regional minimum wage. Data were analyzed using Chi-square tests for bivariate analysis and multiple logistic regression for multivariate analysis, with a significance level of α = 0.05. Results: Most participants were aged <40 years (59.0%), female (54.0%), underweight (59.0%), and of low economic status (82.0%). Bivariate analysis showed that only economic status was significantly associated with anemia (OR = 4.87; p = 0.004). Multivariate analysis confirmed that economic status (OR = 6.77; 95% CI = 1.98–23.10; p= 0.002) and BMI (OR = 1.45; 95% CI = 0.78–2.68; p = 0.035) were significantly associated with anemia, while age (OR = 0.87; 95% CI = 0.27 to 1.24; p = 0.792) and gender (OR = 2.65; 95% CI = 0.07 to 0.33; p = 0.064). Conclusion: Low economic status was significantly associated with an increased risk of anemia among adult outpatients, while body mass index also showed a significant association. Age and gender were not significantly related to anemia. These findings highlight the importance of addressing socioeconomic disparities and nutritional status in anemia prevention and management at the primary health care level.
Corn Silk (Stigma maydis) Extract Successfully Reduces Blood Glucose Levels in Alloxan-Induced Diabetic Mice Rachel Indah Putri Ayu Erlisna; Amanulloh Naufal Said; Anni Fithriyatul Mas&#039;udah; Sugeng Mashudi
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 17, No 3 (2026): March 2026
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf170318

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder that requires effective therapeutic strategies with minimal adverse effects. The search for complementary antidiabetic agents derived from natural products has gained increasing attention, particularly those with potential antihyperglycemic activity and favorable safety profiles. Corn silk (Stigma maydis) contains bioactive compounds reported to influence glucose metabolism, making it a promising candidate for adjunctive therapy in T2DM management. This study aimed to evaluate the antihyperglycemic effect of the optimal dose of Stigma maydis ethanol extract (P3) compared with metformin (positive control, K+) in alloxan‑induced hyperglycemic male Swiss Webster mice. Male Swiss Webster mice were induced with alloxan at 150 mg/kgBW to establish a hyperglycemic model. The optimal dose of Stigma maydis extract (P3) and metformin (K+) were administered orally for 14 days. Blood glucose levels were measured before and after treatment. Paired t‑tests were used to assess within‑group changes, while independent t‑tests were applied to compare post‑treatment glucose levels between groups. The P3 group demonstrated a significant reduction in blood glucose levels (p = 0.003), with a post‑treatment mean of 111.40 mg/dL. Although the numerical decrease in the P3 group exceeded that of the metformin group, the difference between groups was not statistically significant (p = 0.576). These findings indicate that the antihyperglycemic activity of Stigma maydis extract is statistically comparable to metformin under the experimental conditions tested. In conclusion, the optimal dose of Stigma maydis ethanol extract produced a significant antihyperglycemic effect in alloxan‑induced mice, with efficacy comparable to metformin. These results support the potential of Stigma maydis as a complementary therapeutic option for T2DM management, warranting further investigation in larger preclinical and clinical studies.Keywords: Stigma maydis; metformin; antihyperglycemic activity
Co-Authors Afriani, Fany Risma Afriani, Fany Risma Afriani, Fany Risma Agne, Aulia Agus Supinganto Ah. Yusuf Aldi Purnomo, Rochmad Alfia Pradita Sari Alif Aulia Aliyadi Aliyadi Amaliah, Lili Amanah, Nuraini Khoirotun Amanulloh Naufal Said Andarmoyo, Sulistyo ANDRI KURNIAWAN Anggara, Bryan Anni Fithriyatul Mas&#039;udah Aripa, Lusyana Armyati, Eky Ocviana Armyati, Eky Okviana Armyati, Eky Okyana Aslan Alwi, Aslan Auliya Wanda Azzarin Azzarin, Auliya Wanda Bryan Anggara Putra Dian Laila Purwaningroom Dianita Rifqia Putri Dianita Rifqia Putri Dorce Sisfiani Sarimin Dwirahayu, Yayuk Eky Octaviani Eky Ocviana Armyati Eky Okviana Armyati Elisia Kumalasari Elmie Muftiana Elok Yulidaningsih Erlisna, Rachel Indah Putri Ayu Fadhilah Nurul Karimah Fany Risma Afriani Feni Sulistyawati Fitayani I.P. Ghulam Asrofi Buntoro Hariyatmi Ina Kusrini Irshada, Prima Mulqia Karimah, Fadhilah Nurul Kusuma Wardani, Shavira Kusumadewi, Septy Naurah Laily Isro&#039;in Laily Isroin, Laily Lukman Handoko Lulut Subekti Maghfiroh Maghfiroh Margareta, Fitria Mas’udah, Anni Fithriyatul Metti Verawati Muhammad Lukman Syafii Nanang Wiyono Nasriati, Ririn Ni Putu Widarini Nindyawati, Eliza Nugi Nurdin Nur Hidayati Nuraini Khoirotun Amanah Nurul Sri Wahyuni Puspitasari, Ririn Dwi Putra, Bryan Anggara Putra, Bryan Anggara Putra, Bryan Anggara Putri, Devi Kartika Putri, Dianita Rifqia Putri, Dianita Rifqia Rachel Indah Putri Ayu Erlisna Ririn Nasriati Ririn Nasriati Ririn Nasriati Riski Rahayu Harditasari Risma, Fany Said, Amanulloh Naufal Saiful Nurhidayat Salsabila, Rizki Kurnia Sansuwito, Tukimin bin Sansuwito, Tukimin bin Sansuwito, Tukimin Bin Sari, Alfia Pradita Sari, Alfia Pradita Sari, Alfia Pradita Satriawan Graha, Elan Seftiana Putri Widodo Seftiana Putri Widodo Shiwei Paramita M Siswahyudi, Jodi Siti Munawaroh Sri Susanti Sudarno Sudarno Sulistyo Andarmoyo Syafira Febi Larasati T.N. Saifullah Teuku Nanda Saifullah Sulaiman Tukimin Bin Sansuwito TUKIMIN BIN SANSUWITO Winda Frisha Permana Putri Yahya Sulthon Aziz Yani Fidi Astuti Yaya Sulthon Aziz Yayuk Dwi Rahayu Yayuk Dwi Rahayu, Yayuk Dwi Yayuk Dwirahayu Yuzana binti Mohd Yusop Zulkarnain, Ismail Abdurrozzaq