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Mukhlidah Hanun Siregar
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INDONESIA
Tirtayasa Medical Journal
Published by Universitas Sultan Ageng Tirtayasa
ISSN : -     EISSN : -     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Nursing Public Health Other
Medical; Biomedical; Nursing; Nutrition and Food; Sport and health; Occupational Health; and Public Health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 57 Documents
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Knowledge, Awareness, and Practices of Nurses Regarding Occupational Musculoskeletal Disorders Ita Marlita Sari; Tazkia Nazla Hudzaifa; Imelda Rosalyn Sianipar; Mukhlidah Hanun Siregar
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.38978

Abstract

Musculoskeletal disorders (MSDs) are the second leading cause of non-fatal disability worldwide. This study assessed the relationship between nurse knowledge, awareness and practices regarding occupational diseases and the occurrence of MSDs at Banten Regional General Hospital, Indonesia. This study was an analytical observational study with a cross-sectional design that held from January to April 2024. A total of 134 nurses were selected through stratified random sampling. Eligible participants had ≥1 year of experience and completed validated questionnaires independently. Data were collected using the Nordic Body Map and a structured, reliable instrument adapted from previous studies. Associations between variables were analyzed using the Chi-square test. More than half of the respondents (53.7%) demonstrated insufficient knowledge, and 63.9% reported MSDs. Negative awareness were found in 61.2% of nurses, and 63.4% showed poor preventive practices. However, no significant associations were found between knowledge (p = 0.75), awareness (p = 0.55), or practices (p = 0.05) with MSD occurrence. Most nurses experienced MSDs, yet their awareness, and practices toward occupational diseases were not significantly related to these conditions. Regular ergonomic training and supervision are needed to enhance safe work practices and reduce the burden of musculoskeletal disorders among nurses.
Spontaneous Multifocal Endometriosis: Ovarian and Umbilical Involvement Without Prior Surgery Prilly Astari; Ong Tjandra; Airine Stefanie Lians
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.38682

Abstract

Umbilical endometriosis is a rare manifestation of extra-pelvic endometriosis and is frequently underdiagnosed, particularly in women without prior abdominal surgery or infertility. Its clinical presentation may mimic other umbilical pathologies, leading to delayed recognition. A 34-year-old multiparous woman presented with a 3-month history of cyclical bleeding from the umbilicus associated with a painful umbilical nodule, severe dysmenorrhea, deep dyspareunia, and right-sided pelvic pain. She had no history of abdominal or pelvic surgery. Physical examination revealed a firm, reddish umbilical nodule with active bleeding. Ultrasonography demonstrated a large right ovarian endometrioma with a ground-glass appearance. The patient underwent laparotomy with right salpingo-oophorectomy and complete excision of the umbilical lesion. Histopathological examination confirmed endometriosis in both sites. Complete symptom resolution was observed at two-week follow-up. This case highlights spontaneous multifocal endometriosis involving the ovary and umbilicus in a non-infertile, multiparous woman, emphasizing the need for heightened clinical suspicion. Limited access to advanced imaging such as MRI did not preclude accurate diagnosis when clinical, ultrasonographic, and pathological findings were integrated. Umbilical endometriosis should be considered in patients with cyclical umbilical symptoms regardless of parity or fertility status. Early recognition and surgical management are crucial to prevent misdiagnosis and prolonged morbidity.
Hubungan Asupan Energi, Zat Gizi Makro, dan Aktivitas Fisik terhadap Status Gizi pada Remaja MA Annajah Vivi Putri Rahmadani; Ratu Diah Koerniawati; Annisa Nuradhiani
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.34327

Abstract

Adolescents are a vulnerable group to nutritional problems. The prevalence of adolescents aged 16-18 years who experience nutritional problems based on BMI/U parameters is very thin (2.6%), thin (5%), overweight (14.4%), and obesity (4.8%). The vulnerability to nutritional problems in adolescents can be caused by direct factors (type of food consumed, including energy and macronutrient intake) and indirect (physical activity). The purpose of this study was to analyze the relationship between energy intake, macronutrient intake, and physical activity with the nutritional status of adolescents. This study used an observational analytical design with a cross-sectional approach. This study was conducted at Madrasah Aliyah Annajah with a sample of 78 people selected using a purposive sampling method. Data collection was carried out by filling out the Physical Activity Level (PAL) questionnaire, interviews using a 3x24-hour food recall questionnaire (2 weekdays and 1 holiday), and direct measurement of height and weight. Data were then analyzed using the Fisher's Exact test. The results of the study showed that most respondents had sufficient energy intake (43.6%), excess protein intake (43.6%), excess fat intake (60.3%), insufficient carbohydrate intake (73.1%), and light physical activity levels (94.9%). Some respondents' nutritional status was still abnormal, consisting of obesity (19.2%), overnutrition (16.7%), and malnutrition (3.8%). There was a significant relationship between energy, protein, fat, and carbohydrate intake with nutritional status (0.000; 0.000; 0.000; 0.000), but there was no significant relationship between physical activity and nutritional status in MA Annajah adolescents (0.534).
Implementasi Proses Asuhan Gizi Terstandar pada Pasien Diabetes Melitus dengan Berbagai Komorbiditas: Study Kasus Betty Yosephin Simanjuntak; Lydia Fanny; Derie Erawan; Titi Enyliana
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.39621

Abstract

Diabetes mellitus is a metabolic disorder characterized by chronic and sustained elevations in blood glucose levels. Type 2 diabetes mellitus is the most common type and is often accompanied by complications such as hypertension, anemia, and urinary tract infections. This study aims to assess the results of implementing a standardized nutritional care process in patients with type 2 diabetes mellitus with complications of hypertension, anemia, and urinary tract infections. This study used an observational design with a case study approach in an inpatient (Tn H, 56 years) at Harapan Doa Hospital in Bengkulu City for three days of observation. The nutritional care process included assessment, diagnosis, intervention, and monitoring and evaluation. Data collected included dietary intake, anthropometry, biochemistry, and the patient's clinical physical condition. The results showed a gradual increase in energy and protein intake during the intervention, as well as a decrease in random blood sugar levels from 363 mg/dL to 157 mg/dL. In addition, there was an improvement in clinical condition, characterized by stabilization of vital signs and a decrease in blood pressure to near normal. Thus, the implementation of standardized nutritional care through a diabetes mellitus diet and the DASH dietary approach is effective in helping improve the patient's metabolic and clinical conditions.
Infeksi Cacing dan Akses Jamban serta Air Bersih pada Anak Usia Sekolah Dasar Munirah Siregar; Silvia Fitrina Nasution; Minsarnawati Minsarnawati; Mukhlidah Hanun Siregar
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.38425

Abstract

Soil-transmitted helminthiasis (STH) remains a public health problem among school-aged children, particularly in marginalized urban settlements with inadequate sanitation. Objective: To describe the prevalence of helminth infection and household access to latrines and clean water among school-aged children in Yayasan Nanda Dian Nusantara, Ciputat Timur, South Tangerang. A descriptive cross-sectional study was conducted (October–December 2011). Consecutive sampling recruited 35 elementary-school-aged children. Data on sanitation and water were collected using questionnaires and household observations. Stool samples were examined using wet mount smear and Harada–Mori culture to identify helminth eggs/larvae. Overall, 9 of 35 children (25.7%) were positive for helminth infection. None of the participants had ever taken deworming medicine. Hookworm infection was the most common (5/9; 55.6%), followed by Fasciolopsis buski (1/9; 11.1%) and Strongyloides stercoralis (1/9; 11.1%). Two cases (22.2%) could not be identified to the species level. Most households lacked a private latrine (28/35; 80.0%) and reliable access to clean water (29/35; 82.9%). The prevalence of helminth infections was substantial and coincided with poor access to sanitation and clean water. Integrated school- and community-based strategies combining periodic deworming, hygiene promotion, and Water, Sanitation, and Hygiene (WASH) improvements are needed to reduce transmission and reinfection.
Hipoksia Intermiten sebagai Pemicu Disfungsi Mitokondria: Tinjauan Naratif Mekanisme Seluler Dwi Widyawati; Ghea Farmaning Thias Putri
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.39071

Abstract

Intermittent hypoxia is characterized by recurrent cycles of oxygen deprivation and reoxygenation, commonly observed in chronic diseases such as obstructive sleep apnea, respiratory disorders, and metabolic conditions. Compared to continuous hypoxia, it induces more dynamic cellular stress, particularly affecting mitochondrial function. This review aimed to analyze the cellular mechanisms by which intermittent hypoxia triggers mitochondrial dysfunction. A structured narrative literature search was conducted using PubMed, Scopus, ScienceDirect, and Google Scholar. A total of 104 articles were identified, of which 22 met the inclusion criteria and were included in the analysis. Selected studies were descriptively synthesized to identify key mechanisms. Intermittent hypoxia disrupts mitochondrial electron transport chain activity, especially at complexes I and III, leading to electron leakage and increased reactive oxygen species (ROS). Recurrent oxidative stress causes mitochondrial membrane damage, protein oxidation, mitochondrial DNA injury, reduced ATP synthesis, and impaired cellular bioenergetics. It also alters mitochondrial dynamics and weakens antioxidant defenses. Intermittent hypoxia is a major trigger of mitochondrial dysfunction through repetitive oxidative stress, contributing to metabolic disturbances and organ dysfunction.
Pengembangan Puding Sari Kacang Koro Pedang (Canavalia ensiformis) dan Sari Buah Naga Merah (Hylocereus polyrhizus Sebagai Makanan Tambahan Penyuluhan Balita Putri Faras Najibah; Rakhmi Setyani Sartika; Fahruddin Perdana
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.34991

Abstract

Balita dengan status gizi kurang perlu diberikan intervensi pemberian makanan tambahan seperti modisco. Pengembangan modisco dari kacang koro pedang serta pengembangan bentuk menjadi puding dengan penambahan pewarna alami untuk meningkatkan tingkat kesukaan dapat dijadikan pilihan sebagai makanan tambahan untuk balita gizi kurang. Penelitian ini bertujuan untuk mengetahui tingkat penerimaan terbaik dari formulasi puding modisco dengan substitusi kacang koro pedang dan penambahan buah naga merah. Metode penelitian ini adalah eksperimen dengan Rancangan Acak Lengkap (RAL) dengan empat kategori. Kategori tersebut ada F0, F1, F2, dan F3 dengan perbandingan susu dan kacang koro pedang pada masing-masing formula yaitu 1SS:0KKP, 3SS:1KKP, 1SS:3KKP, dan 1SS:1KKP. Tingkat kesukaan panelis berdasarkan parameter warna yang paling banyak disukai adalah F3, parameter aroma F0, parameter rasa F3, parameter tekstur F2 dan F3, serta untuk parameter keseluruhan F0. Berdasarkan uji De Garmo untuk menentukan formulasi terpilih dari parameter prioritas, F3 merupakan formulasi terpilih. Hasil uji proksimat pada F3 sebagai formula terpilih dari Puding Modisco dengan Substitusi Kacang Koro Pedang dan Penambahan Buah Naga Merah yaitu kadar karbohidrat by difference 11,75%, kadar protein 1,05% kadar lemak total 1,24%, kadar abu 0,15%, kadar air 85,82%, energi total per 100 gram berat pada Puding Modisco dengan Substitusi Kacang Koro Pedang dan Penambahan Buah Naga Merah adalah sebesar 62,32 kkal. Perbandingan kecukupan gizi makro dengan Acuan Label Gizi (ALG) kelompok 1-3 tahun dari formulasi terpilih produk puding modisco %ALG energi sebesar 5%, karbohidrat sebesar 5%, protein 5%, dan lemak 3%.

Page 6 of 6 | Total Record : 57

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