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Gema Lingkungan Kesehatan
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : 16933761     EISSN : 24078948     DOI : 10.36568
Core Subject : Health, Science, Social,
Environmental Science Health Professions Immunology & microbiology Public Health
Jurnal GEMA Lingkungan Kesehatan [e-ISSN: 2407-8948 | DOI: 10.36568] is a journal aims to be a leading peer-reviewed platform and an authoritative source of information. We publish original research papers, review articles and case studies focused on environmental health or public health as well as related topics that has neither been published elsewhere in any language, nor is it under review for publication anywhere. This following statement clarifies ethical behavior of all parties involved in the act of publishing an article in this journal, including the author, the editor, the reviewer, and the publisher (Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya).
Arjuna Subject : Ilmu Lingkungan (semua ketegori) - Kesehatan, Toksikologi dan Mutasi Gen
Articles 172 Documents
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The Effectiveness of Beetroot and Date Juice as Phytopharmaceuticals in Treating Anaemia in Pregnant Women Azkiya, Fadhila; Fairuza, Filda
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.387

Abstract

Anaemia during pregnancy is a health problem that has serious implications for the condition of both mother and foetus. Treatment efforts should not only rely on iron supplementation, but can also involve natural approaches that are more acceptable and safer, such as administering beetroot juice and dates. This study aims to determine the effectiveness of a combination of beetroot juice and dates in increasing haemoglobin levels in pregnant women with mild anaemia. The study design used a quasi-experimental pretest–posttest control group design involving 32 pregnant women in their third trimester who were divided evenly into a control group and a treatment group. The control group only received iron tablets, while the treatment group received iron tablets along with beetroot and date juice intervention administered daily for 14 consecutive days, with a composition of 100 grams of beetroot and 50 grams of dates in each serving. The results showed that the combination of beetroot juice and dates was able to increase haemoglobin levels in pregnant women with mild anaemia compared to iron supplementation alone. This intervention proved to be safe, well-tolerated, and has the potential to be developed as a complementary phytopharmaceutical to support efforts to prevent and treat anaemia in pregnancy.
Correlation Between TNF-α Levels and APRI Score with Ejection in Hepatic Cirrhosis Thaher , Muslim; Yuli Pramana, Triyanta; Sulastomo , Heru; Redhono , Dhani; Pamungkasari , Eti Poncorini
Gema Lingkungan Kesehatan Vol. 24 No. 1 (2026): Gema Lingkungan Kesehatan (on progress)
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i1.454

Abstract

Cirrhotic cardiomyopathy is a condition of heart dysfunction characterized by impaired myocardial contractility, left ventricular hypertrophy, diastolic dysfunction, chronotropic dysfunction, and electrophysiological disturbances of the heart. One of the complications in patients with hepatic cirrhosis is influenced by several factors, particularly TNF-α levels and the APRI score. This study aimed to analyze the effect of TNF-α and APRI score on ejection fraction in Child-Pugh C hepatic cirrhosis. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 40 inpatients with Child-Pugh C hepatic cirrhosis at the dr. Moewardi Surakarta Regional General Hospital. Samples were selected using consecutive sampling. Data analysis was performed using Spearman’s correlation test and linear regression. Results: The correlation between TNF-α levels and ejection fraction in Child-Pugh C hepatic cirrhosis is r = -0.559, p<0.001 (moderate correlation). The correlation between APRI score and ejection fraction in Child-Pugh C hepatic cirrhosis is r = -0.445, p<0.001 (moderate correlation). There is a significant correlation between TNF-α levels and APRI score with ejection fraction in Child-Pugh C hepatic cirrhosis. The implication is that clinicians may incorporate TNF-α levels and the APRI score into clinical algorithms to monitor cirrhotic patients who are at high risk of developing cardiovascular complications.

Page 18 of 18 | Total Record : 172

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