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Bagian Biologi Fakultas Kedokteran Universitas Sebelas Maret Surakarta Jl. Ir. Sutami No 36 A, Surakarta, 57126
Articles
42
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Relationship of micronutrient intake (folic acid, iron) and fundal height with fetal birth weight

International Journal of Public Health Science (IJPHS) Vol 8, No 1: March, 2019
Publisher : Institute of Advanced Engineering and Science

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Abstract

The birth weight (BW) are utilized as indicators of the healthy and term newborns. Factor that affects the weight of a newborn are micronutrient intake and fundal height. Folic acid and iron (Fe) were associated with newborn birth weight. Fundal height in centimeters (cm) is the same as the gestational age of the week, the fundal height that is not in accordance with the gestational age is leading to stunted fetal growth. The purpose of this study was to analyze the relationship between intake of folic acid, iron (Fe) and fundal height with newborn birth weight. This research method was an analytic observational using a cross-sectional approach. The sample in this study were 114 pregnant women living in Yogyakarta. Statistical test results proved a significant relationship between the intake of folic acid and iron (Fe) with the newborn birth weight (p < 0.05). There was a significant relationship between the fundal height with the newborn birth weight (p < 0.05). The concludes of this study, pregnant women with adequate folic acid intake, adequate iron intake and normal fundal height tended to give birth newborns with normal birth weight.

Hubungan antara Stres Psikologis pada Siswi kelas 3 Menjelang Ujian Nasional dengan Angka Kejadian Dysmenorrhea Primer di SMA Negeri 2 Magelang

Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Upon approaching a menstruation or during the on-going menstruation phase, primary dysmenorrhea disorders are frequently found, particularly the pain in the lower abdomen, spreading to waist and thigh area which emerges without being accompanied by any gynecological anomalies. There are some factors assumed to play role in the occurrence of primary dysmenorrhea disorders. One of them is the psychological stress. The objective of this research is to investigate whether or not there is a correlation between the psychological stress of the students in Grade 3 upon approaching the National Test and the number of primary dysmenorrhea episodes at State Senior Secondary School 2 of Magelang. Method: This research used the observational analytical method with the cross-sectional approach. The research was conducted in March 2013. The samples of the research consisted of 95 students in Grade 3 of State Senior Secondary School 2 of Magelang and were taken by using the purposive sampling technique based on the inclusive criteria determined. The data of the research were gathered through in-depth interview and questionnaire. They were then analyzed statistically by using the Chi Square test and Lambda test. Result:The Chi Square test shows that the value of X2count is 9.342. This value is greater than that of X2table at the significance level of 5% with the independence level of 1, namely: 3.481 (p < 0.05). The result of the Lambda test is 0.118 with the p value = 0.436. Conclusion: Based on the result of the research, a conclusion is drawn that there is a very weak correlation between the psychological stress of the students in Grade 3 uponapproaching the National Test and the number of primary dysmenorrhea episodes at State Senior Secondary School 2 of Magelang. Keywords: primary dysmenorrhea; psychological stress 

Pengaruh Penggunaan Kontrasepsi Depo Provera terhadap Timbulnya Melasma di Puskesmas Ngoresan Surakarta

Nexus Kedokteran Komunitas Vol 2, No 3 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: One side effect of Depo Provera Contraceptive usage is the emergence of melasma on the face. Research about the influence of Depo Provera contraceptive usage on the incidence of melasma has never existed in Ngoresan Public Health Center Surakarta. Therefore, the authors are interested to know whether a speckling of hyperpigmentation / melasma on the face can be caused due to the usage of contraceptive Depo Provera. Methods: This study used analytic observational with a retrospective cohort study approach. This study was conducted in March-April of 2013. Subjects in this study were women aged 20-40 years in Ngoresan Public Health Center Surakarta. The sampling technique used was fixed exposure sampling to the sample size of 60 people. Data collection used questionnaires and direct observations. Then, data were analyzed using the chi square test at 95% confidence level (p > 0.05). Results: Based on the calculation, obtained p value = 0.010 < limit value of significance p = 0.05 level. So H0 is rejected and H1 is accepted. Means there is a significant effect on the Depo Provera contraceptive usage on the incidence of melasma on the face at the Ngoresan Public Health Center Surakarta. Conclusions: From the research it can be concluded that the obtained statistically significant results on the effect of Depo Provera contraceptive usage on the incidence of melasma on the face at the Public Health Center Ngoresan Surakarta. The longer the usage of contraceptive Depo Provera more likely arise melasma. Keywords: Depo Provera Contraception, Melasma  

MENGAPA GONDOK ENDEMIK SULIT DIBERANTAS?

Prosiding Seminar Biologi Vol 11, No 1 (2014): Seminar Nasional XI Pendidikan Biologi
Publisher : Prodi Pendidikan Biologi FKIP UNS

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Abstract

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Multilevel Analysis on the Determinants of Exclusive Breastfeeding at Gunung Anyar Community Health Center, Surabaya, Indonesia

Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding is provision of breast milk for infants from 0 to 6 months of age with no additional food or drink intake. Provision of medicine, vitamin, and mineral is allowable during the period of exclusive breastfeeding. There is a lack of studies examining factors associated with exclusive breastfeeding in Surabaya using multilevel analysis. This study aimed to examine factors associated with exclusive breastfeeding in Surabaya using multilevel analysis.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was carried out at Gunung Anyar community health center (puskesmas), Surabaya, East Java, Indonesia. A total of 25 puskesmas was selected by stratified random sampling, covering both accredited and non-accredited puskesmas. A total of 8 lactating mothers from each puskesmas were selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were subjective norm, leisure time for breastfeeding, attitude, husband support, family support, and health personnel support. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Exclusive breastfeeding was positively affected by positive subjective norm (b=4.31; 95% CI= 1.63 to 6.99; p=0.002), leisure time for breastfeeding (b=3.97; 95% CI= 1.12 to 6.81; p=0.006), positive attitude (b=3.01; 95% CI= 0.57 to 5.45; p=0.016), strong husband support (b=2.39; 95% CI= 0.29 to 4.51; p=0.026), strong family support (b=2.71; 95% CI= 0.46 to 4.97; p=0.018), and strong health personnel support (b=4.13; 95% CI= 1.28 to 6.99; p=0.005). Posyandu showed strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 69.47%.Conclusion: Exclusive breastfeeding is positively affected by positive subjective norm, leisure time for breastfeeding, positive attitude, strong husband support, strong family support, and strong health personnel support.Keywords: exclusive breastfeeding, subjective norm, attitude, husband support, health personnel supportCorrespondence:Zummatul Atika. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, Indonesia. Email: atikaprayogi6@gmail.com.Mobile:+6289656280307.Journal of Maternal and Child Health (2018), 3(3): 176-183https://doi.org/10.26911/thejmch.2018.03.03.02

Senyawa Goitrogenik dalam Bahan Makanan

Prosiding Seminar Biologi Vol 12, No 1 (2015): Seminar Nasional XII Pendidikan Biologi
Publisher : Prodi Pendidikan Biologi FKIP UNS

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Abstract

It has been known for a long time that iodine deficiency results in enlarged thyroid gland (goiter). However, iodine supplementation alone frequently fails to eliminate goiter in particular area. At present, experts realized that many agents interact with iodine deficiency in producing goiter. Agents that cause goiter are known as goitrogens. Several goitrogens are found in the foodstuff. Our study in Ngargoyoso sub-district revealed that several foods containing suspected such substances are consumed by school children. They are soybean cake, tofu, onion, tomato, cassava leaves, cabbage, cassava tuber and broccoli. Soybean cake and tofu are made from soybean containing isoflavone which exerts anti-thyroid activity in rats. Onion contains allyl-sulfides. Tomato, cassava leaves, and broccoli contain pigments with antioxidant moiety and anti thyroid activity. Cabbage contains isothyocyanat, a potent anti thyroid in rats and rabbits. Cassava contains linamarin. The study was a recalled study using food frequency questionnaire. In order to prove the goitrogenic activity in those foods an In-Vitro Assay or In-Vivo Assay should be carried out. Since plants grown in certain areas are influenced by soil and water, it is reasonable to measure anti thyroid activity using plants grown locally. This paper will describe those assays and suggest the most applicable in Indonesia.Keywords : goitrogens, foodstuffs, in vitro assays, in vivo assays

Senyawa Goitrogenik dalam Bahan Makanan (Goitrogenik Substances in Foodstuffs)

BIOEDUKASI Vol 8, No 2 (2015): BIOEDUKASI
Publisher : BIOEDUKASI

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Abstract

It has been known for a long time that iodine deficiency results in enlarged thyroid gland (goiter). However, iodine supplementation alone frequently fails to eliminate goiter in particular area. At present, experts realized that many agents interact with iodine deficiency in producing goiter. Agents that cause goiter are known as goitrogens. Several goitrogens are found in the foodstuff. Our study in Ngargoyoso sub-district revealed that several foods containing suspected such substances are consumed by school children. They are soybean cake, tofu, onion, tomato, cassava leaves, cabbage, cassava tuber and broccoli. Soybean cake and tofu are made from soybean containing isoflavone which exerts anti-thyroid activity in rats. Onion contains allyl-sulfides. Tomato, cassava leaves, and broccoli contain pigments with antioxidant moiety and anti thyroid activity. Cabbage contains isothyocyanat, a potent anti thyroid in rats and rabbits. Cassava contains linamarin. The study was a recalled study using food frequency questionnaire. In order to prove the goitrogenic activity in those foods an In-Vitro Assay or In-Vivo Assay should be carried out. Since plants grown in certain areas are influenced by soil and water, it is reasonable to measure anti thyroid activity using plants grown locally. This paper will describe those assays and suggest the most applicable in Indonesia. Keywords:     goitrogens, foodstuffs, in vitro assays, in vivo assays

The Effect of Dietary Intake and Social Economic Factors on the Risk of Stunting in Primary School Children in Surakarta, Central Java

Journal of Epidemiology and Public Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: It is estimated there are 156 million of children or as much as (23%) all over the world who endure stunting. Stunting prevalence in Indonesia reaches 29%, the figure is the highest among South East Asia countries. Whereas stunting can cause the escalating mortality and morbidity rate on children, delayed mental development, and reduced intellectual capacity. The study aimed to elaborate the effect of nutrient intake and socioeconomic factor toward stunting incidence among primary school students.Subjects and Method: The study used analytic observational study with cross sectional design. The location of the study was in the city of Surakarta in February up to March 2017. There was a total of 145 subjects of the study. The sampling technique used was multi stage random sampling. Independent variables of the study were protein intake, energy intake, maternal education, maternal occupational status and family income. Dependent variable was stunting. The study used questionnaires and body height measurement for data collection. The data processing used was path analysis.Results: Statistical result showed that Stunting Incidence was affected by energy intake (b=0.02,p<0.001), protein intake (b=0.02; p<0.001), maternal education (b=0.23; p=0.187), family income (b=0.01; p=0.051).  Energy intake was affected by maternal education (b=9.56; p=0.77) and family income (b=1.81; p=0.0.05). Protein intake was affected by maternal education (b=1.75; p=0.051), maternal occupational status (b=-2.30; p=0.33) and family income (b=0.12; p=0.11).Conclusion: Height per age was affected by energy intake, protein intake, maternal education and family income. Energy intake was affected by maternal education and family income. Protein intake was affected by maternal education, maternal occupational status, and family income.Key words : Primary school students, Nutrient Intake, StuntingCorrespondence: Agustina Dwi Utami. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: agustinadwiutami@gmail.com. Mobile: +6282312719036.Journal of Epidemiology and Public Health (2017), 2(1): 1-10https://doi.org/10.26911/jepublichealth.2017.02.01.01

Multilevel Analysis on the Bio-psychosocial and Environment Factors Affecting the Risk of Pneumonia in Infants

Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:Pneumonia is an illness of the maincauses of pain and death in toddler in the world. The incidence of pneumonia in Indonesia has increased, from 2007 about 2.1% and in 2013 about 2.7%. Pneumonia in toddler in Indonesia is an issue that is important to do the actions of prevention and control of pneumonia. This study was aimed to investigate the factors bio-psychosocial to the risk of pneumonia in toddlers.Subject and Methods: This was an analytical observational study with case control design, carried out on 2 August to 16 September 2016. A total of 140 subjects in Banjarnegara, Central Java, were selected by fixed disease sampling. The dependent was pneumonia in infants. The independent variables were exposure to CO, H2S, family income, maternal education, householdsmoke exposure, sanitary home, chain-smoking family activity, anxiety. The data was collected by using a questionnaire, check list and recording and analyzed by using Logistic regression.Results: There was influence of exposure of CO (OR = 1.46; 95% CI = 0.17 to 21; p = 0.970), H2S (OR = 0.53; 95%CI = 0.98 to 2.92; p = 0.412), family income (OR = 1.90; 95% CI = 0.78 to 4.65; p= 0.365), maternal education (OR = 1.75; CI = 0.72 to 4.25; p= 0.474), household smoke exposure (OR = 5.63; CI = 2.27 to 13.95; p = 0.001), home sanitation (OR = 6.23; 95% CI = 2.61 to 14.84; p = 0.001),  smoking activity (OR = 3.19; 95% CI = 1.33 to 7.66; p = 0.020) and the incidence of pneumonia toddlers. There was the influence of anxiety to pneumonia in toddler (OR = 16; 96% CI = 6.87 to 37.75; p < 0.001). There was the influence of contextual conditions to pneumonia in toddler (ICC = 36.97%; role of thumb 5 to 8% likelihood ratio p = 0.008; 95% CI = 0.45 to 8.17).Conclusion: There is the influence of exposure to CO, H2S, family income, maternal education, household smoke exposure, home sanitation, smoking activity. There is the influence of anxiety of pneumonia in toddler. The condition has influence contextual variations toddler pneumonia incident, so it is noteworthy.Keywords: bio-psychosocial, environmental factor, pneumonia toddlersCorrespondence: Astri Yunita Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: astriyunita07@yahoo.co.idJournal of Epidemiology and Public Health (2016), 1(1): 1-10https://doi.org/10.26911/jepublichealth.2016.01.01.01 

Biopsychosocial Factors Associated with Mental Retardation in Children Aged 6-17 Years in Tulungagung District, East Java

Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: According to WHO, 15% of the world population, or 785 million people, suffer mental or physical disorders. Mental retardation is a serious problem socially and medically. Mental retardation affects child development in various forms: physical, self-care, communication, social, emotional, and mental. The objective of this study was to determine biopsychosocial factors associated with mental retardation in children aged 6-17 years.Subjects and Method: This study was observational analytic with case control design. It was conducted at Kauman and Tulungangung community health centers in Tulungangung District, East Java, from April to May, 2017. A sample of 100 parents of children aged 6 to 17 years old were selected for this study by fixed disease sampling. This sample consisted of 25 parents of children with mental retardation and 75 parents of children without mental retardation. Children with mental retardation were identified and sampled at a disability special school in Tulungagung, East Java. The dependent variable was mental retardation. The independent variables were prenatal history, perinatal history, maternal stress during pregnancy, maternal education, and family income. The data were collected by a pre-tested questionnaire. Maternal stress was measured by Holmes and Rahe stress scale. The data was analyzed by path analysis.Results: Mental retardation was directly associated with prenatal history (b= 1.17; 95%­ CI= 0.65 to 2.27; p= 0.038), perinatal history (b=­ 1.41;­ 95% CI= 0.87 to 2.73; p= 0.037), and maternal stress during pregnancy (b= 1.84; 95% CI = 0.59 to 3.09; p= 0.004). Prenatal history was associated with maternal education (b= -1.16; 95% CI= -2.17 to -0.15; p= 0.025) and maternal stress during pregnancy (b= 1.48; 95% CI= 0.43 to 2.54; p= 0.006). maternal stress during pregnancy was associated with maternal education (b= -1.65; 95% CI= 2.62 to -0.69; p=0.001) and family income (b=-1.35; 95% CI= 2.29 to -0.41; p=0.005). Family income was associated with maternal education (b= 1.70; 95% CI=­­ 0.82 to 2.57; p<0.001).Conclusion: Mental retardation is directly associated with prenatal history, perinatal history, and maternal stress during pregnancy.Keywords: mental retardation, biopsychosocial factors, childrenCorrespondence: Yani Ikawati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Su­ra­kar­ta, Central Java.  Email: yaniikawati@gmail.com. Mobile: +6285655730050.Journal of Epidemiology and Publich Health (2017), 2(2): 119-129https://doi.org/10.26911/jepublichealth.2017.02.02.03