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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN MEDIA MEDIKA INDONESIANA Indonesian Journal of Urology Journal of Biomedicine and Translational Research JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) AcTion: Aceh Nutrition Journal Media Keperawatan Indonesia Jurnal Ilmu Keperawatan Maternitas The Shine Cahaya Dunia Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Pasopati : Pengabdian Masyarakat dan Inovasi Pengembangan Teknologi The Shine Cahaya Dunia Ners

Achmad Zulfa Juniarto

Departemen Kedokteran, Fakultas Kedokteran, Universitas Diponegoro

Author-ID : 293828

Aerospace Engineering Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Earth & Planetary Sciences Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Veterinary Other

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PENGUATAN KOMODITI UNGGULAN MASYARAKAT MELALUI DIVERSIFIKASI PRODUK OLAHAN IKAN DI DESA ASINAN KECAMATAN BAWEN KABUPATEN SEMARANG Vivi Endar Herawati; Lintang Dian Saraswati; Achmad Zulfa Juniarto
Jurnal Pasopati : Pengabdian Masyarakat dan Inovasi Pengembangan Teknologi Vol 2, No 4 (2020)
Publisher : Fakultas Teknik Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar

Kegiatan pengabdian masyarakat ini bermitra dengan dua UMKM. Lokasi mitra berada di Desa Asinan, Kecamatan Bawen, Kabupaten Semarang, yaitu Putri Rawa Sejati dan Mina Mas. Selain kurangnya kapasitas produksi, kedua mitra ingin meningkatkan nilai tambah dari produk olahan ikan yang mereka hasilkan, dengan menjadikan olahan ikan menjadi berbagai produk diantaranya bakso ikan, nugget ikan, kaki naga, keripik kulit dan dawet ikan. Mitra menyatakan bahwa hal ini akan dapat menjadi suatu daya tarik dan keberlanjutan usaha dimasa mendatang. Oleh karena itu dalam kegiatan ini di berikan pelatihan tentang diversifikasi hasil olahan ikan. Pendampingan setelah pelatihan untuk produksi diversifikasi hasil olahan ikan juga dilakukan. Metode penyelesaian yang digunakan pada program ini adalah melakukan evaluasi terhadap hasil pelatihan pendampingan dan membuat modul cara pembuatan masing-masing olahan produk ikan. Hasilnya sekarang kedua mitra dapat membuat produk-produk olahan ikan.

Efek tepung ulat sagu (Rhynchophorus ferrugineus) terhadap penurunan kadar malondialdehyde (MDA) pada tikus Wistar dengan diet rendah protein Lara Ayu Lestari; M. Sulchan; Anang M Legowo; Kusmiyati Tjahjono; Achmad Zulfa Juniarto
AcTion: Aceh Nutrition Journal Vol 6, No 2 (2021): November
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v6i2.537

Kwashiorkor is protein-energy malnutrition (PEM) caused by protein deficiency. Sago worm flour (Rhynchophorus ferrugineus) can reduce malondialdehyde (MDA) caused by the high content of the amino acids glycine, lysine, and phenylalanine. The study aimed to prove the effect of sago worm flour on MDA levels in Wistar rats with a low protein diet. A true experimental-pre-post control group. The intervention was given for 28 days to 28 Wistar rats, divided into four groups with each group of seven rats. The dose of sago starch was 0,36 g/100 g rat body weight/day (P1), and a dose of 1,36 g/100 g rat body weight/day (P2) for rats fed a low diet protein. The treatment group was compared with a group of mice given a low diet protein (K +) and a group of healthy mice (K-). Serum MDA levels were measured by the TBARs method. Statistical analysis used paired t-test or Wilcoxon test and one-way ANOVA/Kruskal Wallis test. The results of decreasing MDA levels were in the P1 and P2 groups (p= 0,000). There was a difference in MDA levels in the P1 and P2 groups compared to the K + group (P= 0,000). There was a difference that decreased MDA levels between P1 and P2 (p= 0,000). In conclusion, sago worm flour at a dose of 0,36 g/100 g of rats/day and a dose of 1,36 g/100 g of body weight of rats/day can reduce MDA levels

Descriptive study of anxiety among chronic kidney disease patients underwent hemodialysis: Pilot study R Rokhmat; Achmad Zulfa Juniarto; Chandra Bagus Ropyanto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 1: June 2020
Publisher : Universitas Aisyah Pringsewu

Chronic kidney disease is a kidney organ disease that cannot be cured, has been suffering for the whole life of the patient and must depend on a kidney function replacement device to maintain the sufferer life. Patients who have experienced chronic kidney disease undergoing hemodialysis are difficult to cure and become a major problem for the world, especially the problem of the treatment costs are relatively expensive. Health conditions that are experienced is a crisis situation that can cause psychological disorders. Psychological problems which often arise in patients with chronic kidney disease is anxiety. This study aims to determine the anxiety of chronic kidney patients undergoing hemodialysis at Batang Regional Public Hospital (RSUD). This research type is qualitative research with a descriptive method of phenomenology. The subjects in this study were patients with chronic kidney disease who underwent hemodialysis at Batang Regional Public Hospital (RSUD). The technique used in taking participants using purposive sampling with the number of 5 participants. Data collection techniques in this study used structured interviews about anxiety in 3 aspects, namely physiological, psychological and affective aspects. Data analysis was performed by data reduction, triangulation and drawing conclusions. The results obtained in this study there are 3 aspects of anxiety experienced by participant namely physiological, psychological, and affective aspects. In the physiological aspects of patients complaining that it was difficult to sleep, in the psycho-psychological aspect, the patient still felt afraid of the affective aspects of the patient complaining of decreased patience and tension before hemodialysis.Studi deskriptif kecemasan pasien penyakit ginjal kronik yang menjalani hemodialisa: Pilot studyAbstrak: Penyakit ginjal kronis merupakan penyakit pada organ ginjal yang tidak dapat disembuhkan, diderita seumur hidup pasien dan harus bergantung dengan alat pengganti fungsi ginjal guna mempertahankan kehidupan penderitanya. Pasien yang sudah mengalami penyakit ginjal kronis yang menjalani hemodialisa sulit untuk disembuhkan dan menjadi masalah besar bagi dunia, terutama masalah biaya perawatan dan pengobatannya yang relatif mahal. Kondisi kesehatan yang di alami merupakan sebuah krisis situasi yang dapat menyebabkan gangguan psikis dan psikologis. Permasalahan psikologis yang sering muncul pada pasien penyakit ginjal kronis adalah kecemasan. Penelitian ini bertujuan untuk mengetahui kecemasan pasien ginjal kronik yang menjalani hemodialisa di RSUD Batang. Jenis penelitian yang digunakan adalah penelitian kualitatif dengan metode deskriptif femomenologi. Subjek dalam penelitian ini adalah pasien penyakit ginjal kronik yang menjalani hemodialisa di RSUD Batang. Teknik yang digunakan dalam pengambilan partisipan menggunakan purposive sampling dengan jumlah partisipan adalah 5 partisipan. Teknik pengambilan data dalam penelitian ini menggunakan wawancara terstruktur tentang kecemasan dalam 3 aspek yaitu aspek fisiologis, psikologis dan afektif. Analisa data dilakukan dengan melakukan reduksi data, triangulasi dan menarik kesimpulan. Hasil yang diperoleh dalam penelitian ini ada 3 aspek kecemasan yang dialami partispan yaitu aspek fisiologis, piskologis, dan aspek afektif. Pada aspek fisiologis pasien mengeluhkan sulit untuk tidur, pada aspek psikoogispasien masih merasa takut pada aspek afektif pasien mengeluhkan penurunan kesabaran dan tegang sebelum tindakan hemodialisa.

The Effect of Coffee on Spermatozoa Motility and Morphology of BALB/c Mice Exposed to Electric Mosquito Repellent Mulyono, Yehezkiel Andrew; Prihasna, Septika Nuri; Wibowo, Dhega Anindita; Johan, Andrew; Ngestiningsih, Dwi; Juniarto, Achmad Zulfa
Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 12, No 1 (2021): January - June 2021
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Introduction: Electric mosquito repellent which contains d-allethrin producing free radicals, affects the quality of sperm motility and morphology. Antioxidants contained in coffee can counteract the free radicals in the body. Objective: To evaluate the effect of coffee on sperm motility and morphology of BALB/c mice exposed to electric mosquito repellent. Methods: In this experimental study was conducted with post-test only control group design, 24 BALB/c mice randomized into 4 groups. The negative control group was a group without treatment. The positive control group was exposed to electric mosquito repellent. Group P1 and P2 were exposed to electric mosquito and given the coffee solutions with the doses respectively 52 mg/0.5 mL and 78 mg/0.5 mL. The treatment was given for 35 days. On the 36th day, all mice were terminated and their sperm motility and morphology were examined. The data were then analyzed with the non-parametric test of Kruskal-Wallis. Differences were considered significant when the value of p<0.05 with confidence interval 95%.Results: The result of pairwise comparison test progressive sperm motility shows that there was a significant difference between positive control group with P2 group (p=0.006), positive control group with negative control group (p<0.001), and P1 group with negative control group (p=0.004). The result of Kruskal-Wallis test for sperm morphology shows that there was no significant difference between those four groups (p=0.885).Conclusion: Coffee can significantly increase the sperm motility but didn’t significantly increase the normal sperm morphology percentage of BALB/c mice exposed by electric mosquito repellent.

Effect Of Dragon Fruit Juice (Hylocereus Polyrhizus) On Xanthine Oxidase Activity And Blood Nitric Oxide Levels On Rats With Hyperuricemia Pratiwi, Riska Yulia; Juniarto, Achmad Zulfa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

Hyperuricemia, the condition when serum uric acid level is above normal value, is not only a risk factor for the occurrence of gout, but also the incidence of cardiovascular disease. Red dragon fruit (Hylocereus polyrhyzus) are rich in flavonoids which have the potential as antihyperuricemia. This study aims to prove the effect of red dragon fruit to hyperuricemic rats on the activity of the xanthine oxidase enzyme and the levels of nitric oxide (NO). The method used is a true-experimental randomized pre-post with control group design. The hyperuricemic rats treating with broth blocks and potassium oxonate. The sample in this study consisted of thirty Wistar rats (Rattus norvegicus) were divided into 6 groups: healthy control (K0), hyperuricemic control (K1), and treatment groups (K2, K3, K4, K5). The intervention was given for 28 days with allopurinol 1.8 mg.200g-1 rat’s BW and red dragon fruit juice intervention dose of 6 gr.200g-1 rat’s BW, 12 gr.200g-1 rat’s BW and 18 gr.200g-1 rat’s BW. Uric acid levels, XO activity, and NO levels were measured using FS TBHBA method, Xanthine Oxidase Chekinetm Assay Kit, and Nitric Oxide (NO) Colorimetric Assay Kit. The difference in increased UA levels and the smallest XO activity indicated by the K2 group (p less than 0.05), the smallest degree of decreasing the small number is shown by the K5 group (p less than 0.05) compared to the K0 and K1 groups (p less than 0.05). The K5 group has the most effective dose in preventing hyperuricemia and maintaining NO levels 140 mg.200g-1 rat’s body weight. Abstrak: Hiperurisemia, suatu kondisi di mana kadar serum asam urat darah di atas normal, tidak hanya menjadi faktor resiko arthritis gout, namun juga faktor resiko penyakit kardiovaskuler. Buah Naga Merah / BNM (Hylocereus polyrhyzus) kaya akan flavonoid yang berpotensi sebagai antihiperurisemia. Penelitian ini bertujuan untuk membuktikan pengaruh pemberian jus BNM (Hylocereus polyrhizus) pada tikus hiperurisemia, dilihat dari aktivitas enzim xanthine oxidase dan kadar nitric oxide (NO). Metode yang digunakan ialah a true-experimental randomized dengan pre-post control group design. Tikus diinduksi dengan kaldu blok dan potasium oksonat. Sampel pada penelitian ini berjumlah tiga puluh ekor tikus Wistar (Rattus norvegicus) yang dibagi menjadi 6 kelompok perlakuan, yaitu kontrol negatif (K0), kontrol positif (K1), dan kelompok intervensi (K2, K3, K4, K5). Intervensi diberikan selama 28 hari dengan allopurinol 1,8 mg/200 g BB/hari dan intervensi jus BNM (Hylocereus polyrhizus) dosis 6 gr/200 gr BB, 12 gr/200 gr BB dan 18 gr/200 gr BB. Kadar asam urat serum, aktifitas XO, dan kadar NO diukur dengan metode FS TBHBA, CheKineTM Xanthine Oxidase Assay Kit, dan Nitric Oxide (NO) Colorimetric Assay Kit. Peningkatan kadar AU dan aktifitas XO paling kecil ditunjukkan oleh kelompok K2 (p kurang dari 0,05), selisih penurunan kadar NO paling kecil ditunjukkan oleh kelompok K5 (p kurang dari 0,05) dibandingkan kelompok K0 dan K1 (p kurang dari 0,05). Kelompok K5 memiliki dosis yang paling efektif dalam mencegah terjadinya hiperurisemia dan menghambat penurunan kadar NO.

The Development of Yogurt Powder is High in Minerals, Rich in Antioxidants from Tempeh as a Synbiotic Drink Amala, Nur; Legowo, Anang M; Juniarto, Achmad Zulfa; Noer, Etika Ratna; Al-Baarri, Ahmad Ni’matullah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 3: September 2022
Publisher : Universitas Aisyah Pringsewu

The habit of consuming ultra-processed foods with high calories and low in nutrients increases the prevalence of obesity and mineral deficiencies, such as calcium (Ca), magnesium (Mg), and iron (Fe). The purpose of this study was to determine the content of Ca, Mg, and Fe and antioxidant activity in synbiotic tempeh yogurt powder. This study consisted of three treatments, with the addition of tempeh as much as 0% (YT 0%), 50% (YT 50%), and 95% (YT 95%). The mineral content was analyzed by the permanganometric titration method, while antioxidant activity used the 2,2-diphenyl-1-picrylhidrazyl (DPPH) method. The addition of tempeh in the manufacture of yogurt powder to the content of Ca, Mg, and Fe was significantly different in all treatment groups with a value of (p less than 0.05). The best treatment group with the highest mineral content in YT (0%) and YT (95%) with values of 895.53 + 0.04 and 858.83 + 0.01 mg (Ca), 78.83 + 0.01 and 72.20 + 0.00 mg (Mg) as well as 25.87 + 0.28 and 25.85 + 0.28 mg (Fe) were significantly different from YT (50%). However, the highest antioxidant content in the YT treatment (50%) was 78.12+0.10%. The addition of tempeh in the manufacture of yogurt powder is very significantly different from the value (p less than 0.001) of antioxidant content. The development of yogurt powder high in minerals and rich in antioxidants from tempeh as a synbiotic drink can be an alternative in the management of obesity. Abstrak: Kebiasaan mengkonsumsi makanan ultra-olahan berkalori tinggi dan rendah zat gizi, meningkatkan prevalensi obesitas dan defisiensi mineral, seperti : kalsium (Ca), magnesium (Mg) dan zat besi (Fe) . Tujuan penelitian ini, untuk mengetahui kandungan Ca, Mg, dan Fe dan aktivitas antioksidan dalam bubuk yogurt tempe sinbiotik. Penelitian ini terdiri dari tiga perlakuan, dengan penambahan tempe sebanyak 0% (YT 0%), 50% (YT 50%) dan 95% (YT 95%). Kandungan mineral dianalisis dengan metode titrasi permanganometri, sedangkan aktivitas antioksidan menggunakan metode 2,2-diphenyl-1-picrylhidrazyl (DPPH). Penambahan tempe dalam pembuatan bubuk yogurt terhadap kandungan Ca, Mg, dan Fe secara signifikan beda nyata pada semua kelompok perlakuan dengan nilai (p kurang dari 0,05). Kelompok perlakuan terbaik dengan kandungan mineral tertinggi pada YT (0%) dan YT (95%) dengan nilai 895.53 + 0.04 dan 858.83 + 0.01 mg (Ca), 78.83 + 0.01 dan 72.20 + 0.00 mg (Mg) serta 25.87 + 0.28 dan 25.85 + 0.28 mg(Fe) secara signifikan beda nyata dengan YT (50%). Namun, kandungan antioksidan tertinggi pada perlakuan YT (50%) sebesar 78.12+0.10%. Penambahan tempe dalam pembuatan bubuk yogurt sangat signifikan beda nyata dengan nilai (p kurang dari 0,001) terhadap kandungan antioksidan. Pengembangan bubuk yogurt tinggi mineral dan kaya antioksidan dari tempe sebagai minuman sinbiotik dapat menjadi alternatif dalam manajemen obesitas.

THE EFFECT OF OXYTOCIN MASSAGE AND AROMATHERAPY ON REDUCING ANXIETY AMONG PRIMIPARA POSTPARTUM Denis Mulanita Pratiwi; Achmad Zulfa Juniarto; Sri Rejeki
Jurnal Ilmu Keperawatan Maternitas Vol. 6 No. 1 (2023): Mei 2023
Publisher : Indonesian National Nurses Association (INNA) of Central Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikm.v6i1.2002

Post partum is a critical period, especially for primiparous mothers. Mothers are faced with various changes, both physically and psychologically and in their social life. In the post partum phase, the mother will experience fatigue, changing roles, changing moods such as feelings of sadness and anxiety. Most postpartum mothers feel very anxious in adapting to their post-partum life. Previous research has shown that oxytocin massage can increase milk production and make mothers relax so that the feeling of tension is reduced. Aromatherapy also affects the level of anxiety of post partum mothers in milk production. This study aims to determine the effect of oxytocin massage and aromatherapy on reducing anxiety in primiparous postpartum mothers. This study uses a quasi-experimental design in the form of a pre-posttest design with a control group. The population of this study were all primiparous post partum patients who were in the inpatient room. The sampling technique used in this research is purposive sampling. The sample in this study were primiparous post partum patients on the first day (24 hours post partum), totaling 60 respondents, consisting of 30 respondents in the control group and 30 respondents in the intervention group. Based on statistical tests using the Wilcoxon test, the results were p = 0.000 <0.05, namely there was a difference in anxiety in primiparous postpartum mothers in the intervention group before and after being given the oxytocin massage and aromatherapy intervention. given the intervention (p = 0.000 < 0.05) with the mean rank of the intervention group (24.17) smaller than the mean rank of the control group (36.83) and there was a difference between the intervention group and the control group (p = 0.000 < 0 0.05) with the mean rank of the intervention group (39.43) greater than the mean rank of the control group (15.57). The conclusion obtained is that oxytocin massage and aromatherapy are effective in reducing anxiety in primiparous postpartum mothers. Key words : anxiety, oxytocin massage, aromatherapy, post partum, primipara

Media Edukasi Berbasis Aplikasi terhadap Kemampuan Ibu Menyusui Surtania Surtania; Anggorowati Anggorowati; Achmad Zulfa Juniarto
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5655

This study examines research results in the last ten years on the effect of application-based educational media on mothers' breastfeeding ability. The method used in this literature review is to search for several articles through Pubmed, Proquest, Scopus, Science Direct, and Google Scholar. The results showed that the application of media in breastfeeding education could increase mothers' knowledge, attitudes, and skills in breastfeeding compared to ordinary care. The use of applications as educational media has ease in accessing information; it can be done anytime and anywhere. In conclusion, application-based educational interventions have proven effective in improving mothers' breastfeeding ability. Keywords: Application, Breastfeeding Ability, Educational Media

PENGARUH TERAPI AKUPRESUR DALAM MENURUNKAN TINGKAT NYERI : LITERATUR REVIEW Muh Firman Yudiatma; Nana Rochana; Achmad Zulfa Juniarto
The Shine Cahaya Dunia Ners Vol 6, No 1 (2021): The Shine Cahaya Dunia Ners
Publisher : Universitas An Nuur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v6i1.272

Latar belakang; Nyeri merupkan pengalaman sensori dan emosional yang tidak menyenangkan karena kerusakan jaringan yang aktual ataupun potensial. Penatalaksanaan nyeri dapat dilakukan baik secara farmakologi ataupun non farmakologi. Penatalaksanaan nyeri secara farmakologi diketahui memiliki efek samping seperti adanya ketakutan pasien akan adiksi dan ketergantungan, depresi pernafasan, dispepsia, pendarahan lambung dan kerusakan saluran cerna serta gangguan pada ginjal. Oleh karena itu, penting artinnya untuk melakukan terapi non farmakologi sebagai terapi komplementer dan alternatif terhadap penatalaksanaan nyeri. Akupresur merupakan tehnik non farmakologi yang telah terbukti berdasarkan penelitian dapat mengurangi tingkat nyeri pada berbagai keluhan nyeri.Tujuan dari penulisan artikel ini ini adalah untuk mengetahui pengaruh akupresur sebagai manajemen nyeri non farmakologis untuk menurunkan tingkat nyeriMetode; Metode pada penulisan artikel ini adalah literature review dari data based pubmed, scientdirect dan google scholar. Artikel dengan bahasa Inggris full text dan batasan penerbitan artikel dari tahun 2009-2019.Hasil; Terdapat penurunan tingkat nyeri pada subjek yang diberikan terapi akupresur pada berbagai keluhan nyeri seperti nyeri disminore, nyeri post SC, nyeri pada persalinan, nyeri kepala, nyeri post TKR, Low back pain, nyeri kanker payudara. Kata kunci : Pain Management, Non Farmachological Therapy, Acupressure

Co-Authors - Anggorowati Al-Baarri, Ahmad Ni’matullah Amala, Nur Anang M Legowo Andrew Johan Ardy Santosa Ardy Santosa Ardy Santosa Chandra Bagus Ropyanto Denis Mulanita Pratiwi Denis Mulanita Pratiwi DEWI WIJAYANTI Dhega Anindita Wibowo, Dhega Anindita Dimas Sindhu Wibisono Djuara P Lubis Etika Ratna Noer Ilham Saptia Nugraha Indah Saraswati Kusmiyati Tjahjono Lara Ayu Lestari Legowo, Anang M Lintang Dian Saraswati M. Sulchan Mahayu Dewi Ariani Muh Firman Yudiatma Mulyono, Yehezkiel Andrew Nana Rochana Nurin Aisyiyah Listyasari Nurin Aisyiyah Listyasari Pratiwi, Riska Yulia Prihasna, Septika Nuri R Rokhmat RANIDA ARSI Sri Rejeki Sri Rejeki Sri Rejeki Sultana MH Faradz Surtania Surtania Untung Sujianto Vikawati, Nura Eky Vivi Endar Herawati Ziske Maritska

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