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Risk Factors for Malaria in Pregnant Women Sutarto, Sutarto; Wardani, Dyah Wulan S.R.; Oktarlina, Rasmi Zakiah; Aryanti, Sri; Indriyani, Reni
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.13443

Abstract

Malaria is a major worldwide contagious disease, including Indonesia, and is an important public health issue. Prevalence of malaria among pregnant women and its risk factors in Pesawaran, Lampung Province are currently unknown. This study was a cross-sectional study using rapid survey method. Data was analyzed with chi square and logistic regression. Malaria prevalence was 47.6 per mile, spread over 5 out of 11 sub-districts. One important information was the discovery of pregnant women with malaria in non-endemic districts. The result of bivariate analysis proved a relationship between knowledge and malaria with p-value 0.007 and Odds Ratio (OR) 10. Maternal behavior had p-value of 0.009, OR 9, while usage of mosquito nets had p-value of 0.01, OR 5. The multivariate analysis model formula found was Y (pregnant woman with malaria) = -7.546 + 2.353 (knowledge) + 2.270 (usage of mosquito net) + 2.250 (house condition), and pregnant woman probability of malaria 33.9%. Prevention efforts should be done through strengthening of integrated maternal class groups into malaria programs in all areas. 
Analysis Of Antihypertensive Use In Pregnant Women With Severe Preeclampsia At Inpatient Ward of Dr.H. Abdoel Moeloek Hospital Bandar Lampung Period January-September 2016 Reffilia Irfa; Rasmi Zakiah Oktarlina; Ety Apriliana; Tri Umiana Soleha
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.9

Abstract

Hypertension in pregnancy plays a major role in maternal and perinatal morbidity and mortality. Half to two-thirds of women with hypertension are diagnosed with preeclampsia and even eclampsia. One way to overcome hypertension is by antihypertensive pharmacological therapy. This study aims to analyze the use of antihypertensives in pregnant women with severe preeclampsia in the inpatient installation of RSUD Dr. H. Abdoel Moeloek for the period January-September 2016. Researchers used a cross-sectional approach and secondary data collection through 96 medical records of pregnant women with severe preeclampsia given antihypertensive drugs at RSUD Dr. H. Abdoel Moeloek during the period January-September 2016 based on dose accuracy, the accuracy of indication and accuracy of frequency is in accordance with the 2015 Queensland Health (Hypertensive Disorders of Pregnancy) and BNF (British National Formulary) 61 in 2011, with an exact indication of 83.3 %, the dose accuracy is 100%, and the frequency is 100%.
Penatalaksanaan Tuberkulosis Paru Putus Obat Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Sukaraja Chyntia Saputri; Sahab Sibuea; Rasmi Zakiah Oktarlina
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.98

Abstract

A holistic and comprehensive family medicine approach in detecting internal-external factors, prioritizing family-approached and patient centers is hoped to be able to improve the quality of life of patients. In this case, diagnosis and management were carried out with the concept of family medicine. Primary data were obtained through history taking, physical examination and home visits. Secondary data comes from patient medical records. The case of the patient, Mrs. 26 years old, had drug withdrawal TB (ICD X A15.0). The complaint was felt to have reappeared since three months ago, but the patient still had functional degree 2 in carrying out daily activities. Patients have internal risk factors, namely the patient's lack of knowledge of the disease, inappropriate lifestyle, curative treatment behavior and lack of medication adherence. External factors possessed by the patient are a family with low income (ICD10 – Z59.6), poor lighting, poor ventilation in the house, a densely populated home environment, inadequate cleanliness of the home environment and contact with patients with prolonged coughs. Handling and treatment efforts in a holistic and comprehensive manner using a family medicine approach in the form of education on causes, transmission, treatment and prevention of disease.
Terapi Farmakologis Tinea Korporis pada Anak Fernandya Sylvia Nurindi; Rasmi Zakiah Oktarlina; Roro Rukmi WP
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.215

Abstract

Tinea corporis is a superficial fungal infection that attacks glabrous skin except the palms, soles of the feet and between thighs. Tinea corporis occurs in all age, but the highest incidence is in children and adolescents. The incidence of tinea corporis also depends on various factors, such as geographic conditions, climate, population, lifestyle, migration, culture, education and socioeconomic levels. The clinical features include the reddish spots with squama or central healing on its central accompanied by itching that is especially felt when sweating. The management of tinea corporis is divided to non-pharmacologic and pharmacologic. Pharmacologic therapy used for tinea corporis is a topical antifungal group imidazole, allylamine or benzylamine. The use of systemic antinfungal for tinea corporis only if the lesion is widespread and topical treatment is unsuccessful.
Effect of Vitamins B1, B6, and B12 Supplements on Work Fatigue in Shift Workers at Oil Packing Factory Josua Tumpal Haloman; Rasmi Zakiah Oktarlina; T.A. Larasati
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.239

Abstract

Kelelahan kerja merupakan keluhan yang sering dijumpai pada pekerja, terutama pada pekerja shift. Kondisi fisik dan mental pekerja yang mengalami kelelahan berdampak negatif kepada pekerja itu sendiri dan hasil pekerjannya. Kombinasi multivitamin dengan kandungan vitamin B efektif mengatasi kelelahan fisik dan memperbaiki mood serta kemampuan kognitif. Penelitian ini bertujuan untuk mengetahui pengaruh suplemen multivitamin B1, B6, dan B12 terhadap kelelahan kerja khususnya pada pekerja shift. Penelitian ini merupakan penelitian eksperimental semu dengan sampel sebesar 31 orang pekerja shift di pabrik pengemasan minyak goreng yang sesuai dengan kriteria restriksi. Seluruh subjek diukur kelelahan kerjanya sebelum dan sesudah suplementasi dengan tablet kombinasi vitamin B1, B6 dan B12 selama 7 hari. Kelelahan kerja diukur dengan kuisioner Chalder Fatigue Scale (CFS) dan reaction timer. Data yang diperoleh dianalisis dengan uji statistik untuk melihat perbedaan nilai tengah sebelum dan sesudah suplementasi. Rata- rata skor kuisioner CFS sebelum dan sesudah suplementasi adalah 12,13 dan 8,52. Terdapat penurunan rata- rata skor kuisioner CFS sesudah suplementasi (p=0,001). Rata- rata waktu reaksi sebelum dan sesudah suplementasi adalah 209,45 dan 193,67. Terdapat penurunan rata-rata waktu reaksi sesudah suplementasi (p=0.028). Terdapat pengaruh suplementasi multivitamin B1, B6 dan B12 terhadap kelelahan kerja.
Hubungan Persepsi Pasien terhadap Peresepan Elektronik dengan Kepuasan Pasien di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung Oktarlina, Rasmi Zakiah; Anggraini, Dwi Indria; Carolia, Novita; Zetira, Zihan
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2199

Abstract

Rumah Sakit Imanuel Bandar Lampung merupakan rumah sakit yang telah menggunakan sistem peresepan elektronik. Penelitian tentang manfaat dan kelemahan peresepan elektronik sudah banyak dilakukan, namun persepsi pasien tentang peresepan elektronik masih jarang dilakukan. Persepsi pasien perlu diketahui untuk mengetahui kualitas pemberian pelayanan kesehatan yang menggunakan sistem peresepan elektronik. Tujuan pada penelitian ini adalah untuk mengetahui hubungan persepsi pasien terhadap peresepan elektronik dengan kepuasan pasien di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung. Metode penelitian ini adalah cross-sectional dengan rancangan studi deskriptif, melibatkan 190 responden yang dilaksanakan pada bulan Agustus sampai Desember 2018, di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung. Data penelitian didapatkan melalui pengisian kuesioner yang telah diuji validitas dan reliabilitas. Analisis data yang digunakan adalah uji Fisher’s Exact Test. Hasil analisis data pada penelitian ini mendapatkan hasil p-value 0,031. Kesimpulan yang didapatkan bahwa terdapat hubungan antara persepsi pasien terhadap peresepan elektronik dengan kepuasan pasien di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung. Kata kunci: instalasi farmasi, kepuasan, persepsi, resep elektronik
Diabetes Mellitus akibat Anti Psikotik pada Pasien Skizofrenia Danang hafizfadillah; Rasmi Zakiah Oktarlina
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.121

Abstract

Schizophrenia is a mental illness with complex pathophysiology and covers various aspects such as behavioral, nerve, perception, and senses that can affect social life even disfunction at work. Schizophrenia requires a long-term treatment with anti-psychotic. The use of antipsychotics among adults and older has increased. Recent information regarding the use of antipsychotics in schizophrenic patients is associated with risk factors of cardiovascular and metabolic syndrome such as obesity, hypertension, insulin resistance, low HDL levels and high triglyceride levels. Diabetes mellitus is a syndrome of metabolic diseases characterized by chronic hyperglycemia either because the body does not produce enough insulin or because the cells do not respond to the insulin that has been produced. The numbers of type 2 diabetes mellitus is estimated to be two to three times higher in people with schizophrenia than in the general population, with a prevalence of 10% to 15%. The risk of diabetes is caused by antipsychotics which cause chronic effects of weight gain and systemic inflammation that will lead to insulin resistance, the direct effect of antipsychotic drugs on insulin action and drug-induced apoptosis of pancreatic beta cells. This article is a literature study to discuss the effects of using antipsychotic drugs in schizophrenic patients who have a role in the development of diabetes mellitus, direct and indirect effect of antipsychotics on the incidence of diabetes mellitus.
Hubungan Tingkat Pengetahuan Wanita Usia Subur (WUS) dan Dukungan Suami dengan Pemeriksaan Inspeksi Visual Asam Asetat (IVA) sebagai Metode Deteksi Lesi Prakanker Serviks di Puskesmas Kalibalangan Kabupaten Lampung Utara Tahun 2019 M. Rizky Fathurrohim; Rasmi Zakiah Oktarlina; Nurul Islamy4
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.260

Abstract

Cervical cancer is the fourth most common cancer in women with an estimated 530,000 new cases, representing 7.9% of all female cancers. Cervical cancer events can be detected by the Visual Inspection Method of Acetic Acid (IVA). The relationship between the level of knowledge of women of childbearing age and husband's support to the visual inspection of acetic acid as an early detection of cervical pre-cancerous lesions. This type of quantitative research with cross sectional design. This research has been carried out at the Kalibalangan Main Health Center. The target of this study is all women of childbearing age who have been married, a sample of 196 people with convenience sampling technique. The object taken is the husband's knowledge and support with data collection by questionnaire. Data analysis used univariate and bivariate (chi square). As many as 151 (77.0%) respondents had never had an IVA examination. Based on the results of the study, most of the respondents with poor knowledge were 121 (61.7%) and there were no husband's support around 144 (73.5%). There is a correlation between knowledge of women of childbearing age and husband's support to the Acetic Acid Visual Inspection Examination as an early detection of cervical pre-cancerous lesions in Induk Health Center, Kalibalangan Village, North Lampung Regency in 2019 (p-value 0,000 and OR 13,707).
Thr Usage Comparison of Chloramphenicol and Levofloxacin as Therapy for Bacterial Conjunctivitis Alfina Indah Nabila; yusran; rasmi zakiah oktarlina
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.305

Abstract

Conjunctivitis is one of the most common eye diseases. Bacterial conjunctivitis ranks second after viral conjunctivitis as the most common cause of infectious conjunctivitis. Bacterial conjunctivitis can affect anyone of all ages, both men and women. One of the non-gonococcal bacteria that often causes eye infections is Staphylococcus aureus. Staphylococcus aureus generally affects adults more often than children Although rarely causes severe complaints, bacterial conjunctivitis can interfere with daily activities such as work or school. Bacterial conjunctivitis usually resolves on its own within 7 days but may continue for up to 2 weeks. Prescribing antibiotics in bacterial conjunctivitis can reduce complaints in patients and can also speed up healing. Selection of the right antibiotic is very important in order to obtain the desired treatment results. Chloramphenicol and levofloxacin are antibiotics with a broad spectrum that can be an option for the treatment of bacterial conjunctivitis caused by Staphylococcus aureus bacteria.
Pemanfaatan Gerakan Salat Sebagai Upaya Mencegah dan Mengatasi Hipertensi Rr Astri Nur Azizah Utama Utama; Rasmi Zakiah Oktarlina; Oktafany
Medula Vol 12 No 1 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i1.320

Abstract

Hypertension is defined as systolic blood pressure> 140 mm Hg and diastolic blood pressure> 90 mm Hg. Hypertension is a major risk factor for cardiovascular disease and metabolic syndrome, which is influenced by aging, but hypertension is a preventable disease. One of the preventions of hypertension is lifestyle modification such as physical activity, diet, and emotional management. In another study also mentioned that the combination of physical activity and meditation has the same effectiveness in reducing and preventing increased blood pressure compared to only low-salt food diets. Salat is a kind of meditation that involves physical movements consisting of standing, bowing, prostration, and sitting. During salat, parasympathetic activity is increased which is marked by a decrease in heart rate, especially when the prostration position (69 bpm) and a decreased of systolic blood pressure by 2.5% and diastolic by 2.8%. It shows that salat has a positive effect on the cardiovascular system. Another study showed that salat also effects on musculoskeletal so salat can be used as physical therapy in geriatric rehabilitation. Study about the benefit of salat in the cardiovascular system is still limited, so further research is needed to prove the effectiveness of the use of salat as an alternative method in reducing the prevalence of hypertension in Indonesia.
Co-Authors Adela Putri Agata Afra Rahmania Santi oktarlina Agung Abadi Kiswandono agustyas tjiptaningrum Alfina Indah Nabila Ali Hasymi Romanov Alvira Balqis Soraya Ambarwati, Yuli Andi Nafisah Annisa Nurul Sa'diah Ari Wahyuni ari wahyuni Aryanti, Sri Asnah Tarigan Aspita Laila Asyraf Vivaldi Wardoyo Aulia Nur Fadilah Axcellia Theresa Bayu Anggileo Pramesona Bayu Anggileo Pramesona Chyntia Saputri Citra Yuliyanda Pardilawati Citra Yuliyanda Pradilawati Danang hafizfadillah Dheti Efrilia - Dika Pratiwi Adifa Dwi Aulia Ramdini Dwi Indria Anggraini Dyah Wulan Sumekar Rengganis Wardani dyah wulan sumekar rw Ebti Rizki Utami Ety Apriliana Exsa Hadibrata Exsa Hadibrata Fathia Sa'adah Fatimah Azzahra Femmy Andrifianie Fernandya Sylvia Nurindi Helmi Ismunandar Helmi Ismunandar High Boy Karumulborg Hutasoit Inas Salsabila Indriyani, Reni Intanri Kurniati Jeffrey Surya Josua Tumpal Haloman Letifa Rahmadani Letifa Rahmadani Lia Qelina Lina Marlina M. Bintang Al Farrel M. Fitra Wardhana M. Rizky Fathurrohim Magdalena Yosefin Saputra Magdalena Yosefin Saputra Melia Megawati Mirza Junando Muhammad Iqbal Mukhlis Imanto Mulyono Mulyono Nara Safitri Nathasya Karren Zeta Nathasya Karren Zeta Naza Tsasbita Hayuning Adila Noldy Masyitha Novita Carolia Novita Carolia Novita Carolia Nurmasuri Nurmasuri Nurul Islamy4 Oktafany Patricia Cristina Wati Pius Ave Rafael Silalahi Rani Himayani Ratna Dewi Puspita Sari Reffilia Irfa Reni Indriyani Reva Dwi Yanty Rika Lisiswanti Risal Wintoko Roro Rukmi WP Roviq Umam S Rr Astri Nur Azizah Utama Utama Sahab Sibuea Salsabila Dzakiyyah Zahra Salsabila Nurislami Salsabila Nurislami Siti Khalimatus Sa'diah Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Sutarto Sutarto Sutarto Sutarto Sutarto Sutarto Sutyarso Syaiful Bahri Syazili Mustofa T.A. Larasati Tri Umiana Soleha Wardani, Dyah Wulan S.R. Winda Trijayanthi Utama, Winda Trijayanthi yusran Zada Amalia Agatha Sari Zada Amalia Agatha Sari Zahra Wafiyatunisa Zetira, Zihan