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TIDAK BEROLAHRAGA, OBESITAS, DAN MEROKOK PEMICU HIPERTENSI PADA LAKI-LAKI USIA 40 TAHUN KE ATAS Wahyuddin, Dedy; Andajani, Susilowati
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 3, No 2 (2016)
Publisher : Institut Ilmu Kesehatan Bhakti Wiyata Kediri

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Abstract

Latar Belakang: Hipertensi menjadi faktor penyebab kematian paling tinggi di Indonesia yang menyebabkan kematian pada sekitar 7 juta penduduk. Tujuan: Menganalisis pengaruh antara aktivitas fisik, obesitas, merokok terhadap kejadian hipertensi pada laki-laki usia 40 tahun ke atas di Puskesmas Medokan Ayu Surabaya. Metode: Desain penelitian case control study dengan menggunakan 92 sampel (46kasus : 46 kontrol). Pengumpulan data melalui wawancara dengan kuesioner terstruktur dan sekunder catatan medis pasien. Teknik sampling menggunakan consecutive sampling. Analisis data bivariat dengan chi-squered test. Hasil: Hasil analisis bivariat, olahraga tidak ideal p = 0,014 (OR: 4,64; 95% CI: 1,29-17,36), tidak olahraga = 0,000 (OR: 18,06; 95% CI: 4,44-80,25). Kebiasaan merokok p = 0,000, (OR: 6,633; 95% CI: 2,420-17,884). Faktor obesitas tidak terbukti sebagai faktor risiko dengan nilai p = 0,440. Simpulan dan saran: Kurang Olahraga dan kebiasaan merokok berpengaruh terhadap kejadian hipertensi. Faktor obesitas tidak terbukti sebagai faktor risiko kejadian hipertensi pada laki-laki usia 40 tahun ke atas. Penelitian lebih lanjut sebaiknya dibuktikan dengan intervensi terkait faktor risiko hipertensi baik melibatkan hewan coba atau manusia.
Determinants of HIV provider-initiated testing and counseling screening service used by pregnant women  in primary health centers in Surabaya Handayani, Samsriyaningsih; Andajani, Susilowati; Djuari, Lilik
Medical Journal of Indonesia Vol 26, No 4 (2017): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (482.929 KB) | DOI: 10.13181/mji.v26i4.1398

Abstract

Background: Offering free HIV screening service for pregnant women in primary health center in Surabaya has become obligatory since 2014, but only 70% used the service. Prior studies on HIV screening mostly focused on Voluntary Counseling and Testing.Methods: This was a cross-sectional study. Interviews were conducted with 150 pregnant women attending antenatal care in 1 of 9 public health centers (PHCs) in Surabaya and offered HIV screening within the same PHC. The eligibility criterium was pregnant women attending antenatal care in PHCs. The exclusion criteria were having been counseled for HIV prior to the interviews and/or experiencing an obstetric emergency. Using PRECEDE Framework with the concept of a comprehensive framework, this study focuses on identifying determinants of HIV PITC service use in PHCs in Surabaya. Binary logistic regressions and multiple binary logistic regressions were used in analyses.Results: The service use was associated with self-confidence of getting blood drawn for the test (p<0.001, adjusted OR=12.368, 95% CI=3.237–47.250) and past use of midwife private service for current pregnancy (p=0.029, adjusted OR=3.902, 95% CI=1.150–13.246). Self-confidence of getting blood drawn for HIV test mediated the effect of past use of midwife’s private service on HIV screening use.Conclusion: Past use of midwife’s private service affected self-confidence of getting blood drawn for HIV test on HIV screening use, and self-confidence affected the use of HIV PITC. This study results suggest that more midwives’ private practices are needed to increase the use of HIV PITC screening in PHC.
Determinant of Latent Pulmonary Tuberculosis Incidence among Health Workers in Community Health Centers in Surabaya, Indonesia Andajani, Susilowati
Folia Medica Indonesiana Vol 55, No 2 (2019): June
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (198.868 KB) | DOI: 10.20473/fmi.v55i2.14348

Abstract

About 2 billion people in the world are infected with latent TB, and 5-10% of them will develop into active TB. The purpose of this study was to analyze the relationship between nutritional status, behavior, duration of work, comorbidities, and workplace ventilation with the incidence of latent pulmonary TB. This type of research is an observational cross sectional analytic, a sample of research of poly TB analysts and nurses from 13 health centers in Surabaya, a sample of 30 people. Statistical analysis with Chi Square and t-2 test samples were free with a=0.05. The results of this study are: The proportion of latent TB incidence is (46.70%) and 85.71% of them are women. None of the respondents detected DM, and none of the history had HIV, silicosis or hepatitis. All workplace ventilation is not good. There was no relationship between nutritional status, behavior, duration of work and the incidence of latent pulmonary TB. The conclusions from the study are, 1) The proportion of health center health workers affected by latent pulmonary TB infection is 46.70%, 2) There is no relationship between nutritional status, length of work, and behavior of health center health workers in Surabaya with latent pulmonary TB incidence. The highest incidence of latent pulmonary TB occurred in those with a working period of five years or more, with the highest education in D3 medical analysts/akper. All workplace ventilation is not good. The highest incidence of latent pulmonary TB (42.86%) in employees at the PRM Health Center (microscopic referral health center).
BODY HEIGHT ESTIMATION BASED ON PERCUTANEOUS FOOT LENGTH AND BREADTH OF JAVANESE FEMALES Mochtar, Nur Mujaddidah; Gunawan, Ari; Artaria, Myrtati Dyah; Andajani, Susilowati
Folia Medica Indonesiana Vol 53, No 1 (2017): JANUARY - MARCH 2017
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.04 KB) | DOI: 10.20473/fmi.v53i1.5493

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Body height estimation is one of important parameters used for establishing the individuality in cases of mutilated bodies or found body parts. It is not rare that in the cases of mutilation the police authority would only give the body parts or remaining skeletons of the victims. The aims of the study were to find body height estimation formula based on percutaneous of foot length and foot breadth in Javanese females at Surabaya Muhammadiyah University. The type of research design was cross-sectional observational study. Samples were Javanese females student at Muhammadiyah University of Surabaya , which was selected as the sample unit . The samples are in this study was Two-hundred and twenty-two people.The variabel independent of this research are foot length and foot breath, the variabel dependent is body height. Data were analyzed using normality test with Kolmogorov Smirnoff (a>0,05), Pearson correlation test (a<0,05) and linear regression test (a <0,05) to get body height estimation formula. The results of this study is, 1) A significant correlation between foot length and body height (r = 0,731), 2) A significant correlation between foot breadth and body height (r-0,323), 3) A significant correlation between foot length, foot breadth and body height (r=0,732), 4) The body height estimation formula based on foot length is 688,435 +3,745*foot length, 5) The body height estimation formula based on foot breadth is = 1273,002 + 2,942*foot breadth, and 6) The body height estimation formula based on foot length and foot breadth is 695,227 + 3,805*foot length – 0,229*foot breadth. As a conclusion of this study is the obtained estimation formula of body height based on foot length and foot breadth of Javanese females is 695,227 + 3,805*foot length – 0,229*foot breadth.
THE EFFECT OF SOURSOP LEAF EXTRACT ON PANCREATIC BETA CELL COUNT AND FASTING BLOOD GLUCOSE IN MALE WISTAR RATS EXPOSED TO A HIGH-FAT DIET AND STREPTOZOTOCIN Agung Alit Suka Astini, Dewa Ayu; Gunawan, H Ari; Wirono Aman Santoso, R Mochamad; Andajani, Susilowati; Basori, Ahmad
Folia Medica Indonesiana Vol 53, No 1 (2017): JANUARY - MARCH 2017
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.371 KB) | DOI: 10.20473/fmi.v53i1.5484

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Based on some researches known that soursop leaf extract can improve beta cell injury. The aims of this study was to analyze the effect of soursop leaf extract on fasting blood glucose (FBG) and pancreatic beta cell number in male Wistar rats wich were exposed to a high-fat diet and streptozotocin. This study design is the only randomized posttest control group design. The total sample size is 50 male Wistar rats. The independent variable: high-fat diet, STZ, and soursop leaf extract; the dependent variable: pancreatic beta cells number, and FBG3. Data tested for normality with Kolmogorov-Smirnov (a=0.05) and tested of homogeneity with Levene (a =0.05). Comparison test between groups with Kruskal-Wallis (a=0.05), followed by Mann Whitney. Correlation test with Pearson (a=0.05) between dose of the soursop leaf extract and FBG3, and between dose and the number of pancreatic beta cells. The results of this study showed that the soursop leaf extract at a dose of 100 mg/kg and 150 mg/kg have an effect on fasting blood glucose levels and panreatic beta cells number;2)There is a significant negative correlation between the orograstric lavage of soursop leaf extract with FBG3 (r=-0.647;p<0.001), the increasing doses of soursop leaf extract, further lowering fasting blood glucose levels;3)There is a significant positive correlation between the orograstric lavage of soursop leaf extract with the number of pancreatic beta cells (r=0,759;p<0,001), the increasing doses of soursop leaf extract, further increasing pancreatic beta cells number. In conclusion, increasing doses of soursop leaf extract, further lowering fasting blood glucose and increasing the number of pancreatic beta cells.
Lung Cancer Patients’ Profile in Dr Soetomo General Hospital Surabaya 2016 - 2017: Newest Report Aini, Sita Ro'yul; Wulandari, Laksmi; Andajani, Susilowati
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol 10, No 1 (2019): VOL X, NO.1 (2019) : Journal of Aesculap Medical Science
Publisher : Faculty of Medicine Universitas Airlangga

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Abstract

A B S T R A C TMethods: This research was a descriptive observational study. The samples were 240 patients of lung cancer in Poly Oncology Dr. Soetomo General Hospital Surabaya 2016-2017. Sampling technique was non-random sampling (consecutive sampling). The variables were: age, sex, smoking habits, type of lung cancer, type of mutation, stage, symptoms, Vena Cava Superior syndrome, and therapy. The data analyzed were analyzed descriptively.Results: Patients mostly at age 51-55 and 56-60 years old (18% each). Ratio men and women are 1,7:1. In all type of lung cancer, men are dominant than women and mostly patients is active smoker. Ephidermal Growth Factor Receptor (EGFR) mutation found in adenosquamous (75%) and adenocarcinoma (65%). Most patients diagnosed at advance stage. Most symptoms are cough (70.4%), dyspnoea (50%), and chest pain (49.2%). Vena Cava Superior Syndrome (VCSS) found in adenocarcinoma (75%) and squamous cell carcinoma (25%). In adenocarcinoma and adenosquamous, patients commonly got targeted therapy.Conclusion: Lung cancer patients: 1) Men tend to be exposed to younger than women, 2) ratio men and women is 1.7:1 and most type in lung cancer is adenocarcinoma 3) mostly patients is active smoker, 4) EGFR mutation tent to be in women with adenocarcinoma, 5) most stage is stage IV, 6) most symptoms is cough, 7) Vena Cava Superior Syndrome is in adenocarcinoma (75%) and carcinoma cell squamous (25%), 8) patients’ therapy mostly with targeted therapy followed by chemotherapy.
The Influence of Health Education on Diabetes Mellitus on Knowledge Improvement of Diabetes Mellitus Cadres in the Working Area of Medokan Ayu Health Center, Surabaya, Indonesia Andajani, Susilowati
Folia Medica Indonesiana Vol 55, No 3 (2019): September
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.609 KB) | DOI: 10.20473/fmi.v55i3.15507

Abstract

This study aimed to analyze the influence of health education on improcing health cadres' knowledge about Diabetes Melitus (DM) at Ayu Medokan Health Center, Surabaya, Indonesia. The type and design of this study was non-randomized pretest-posttest design, with samples of DM cadres in the working area of Medokan Ayu Health Center, Surabaya, Indonesia. Sample size was 24 persons. The treatment variable was health education, while the dependent variable was the increase of the cadres' knowledge about DM. Normality test was performed with Kolmogorov Smirnov (a=0.05) and data analysis with Paired t-test (a=0.05). This study found that DM cadres were mostly female (23 people), with the youngest age 24 years, and the oldest 61 years. The highest age group (45.80%) was 40-49 years with a mean age of 44.37 + 9.27 years. Most of DM cadres' education (62.5%) was senior high school, then junior high school (25%). Most (58.3%) of the DM cadres did not work or as housewives. Besides being a DM cadre, most of them also posyandu and bumantik cadres, 2) There was a significant difference (p<0,0001) between the level of knowledge before and after health education. In conclusion, cadres' knowledge about DM can be improved, among others, by providing health education.