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ANALYSIS OF FACTORS THAT RELATED MATERNAL SEVERE PREECLAMPSIA TO THE ASPHYXIA OF NEW BORN BABY IN SOEBANDI HOSPITAL JEMBER REGENCY Ida Srisurani Wiji Astuti
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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An American study (Nawal,M. 2008) saidthat“Approximately 529,000 women die frompregnancy-related causes annually and almost all(99%) of these maternal deaths occur indeveloping nations. One of the United Nations’Millennium Development Goals is to reduce thematernal mortality rate by 75% by 2015. Causes ofmaternal mortality include postpartumhemorrhage, eclampsia, obstructed labor, andsepsis. Many developing nations lack adequatehealth care and family planning, and pregnantwomen have minimal access to skilled labor andemergency care. Basic emergency obstetricinterventions, such as antibiotics, oxytocics,anticonvulsants, manual removal of placenta, andinstrumented vaginal delivery, are vital to improvethe chance of survival.”Nationally, East Java province occupies the top fivethe rising trend in maternal mortality continues tooccur in East Java. There were 487 cases in 2008,535 cases in 2009, 598 cases in 2010 and 627 casesin2011. The area of ‘Tapal Kuda’ contributes thehighest maternal mortality rate, particularlyJember, Banyuwangi, Situbondo, Bondowoso, andLumajang. Based on data from Health Profile ofEast Java Province in 2011, Jember occupied thetop rank of 38 regencies/cities in East Java. 54cases of maternal death illustrate the poor state. Itcan be said that for four consecutive years (2008-2011), Jember Regency had not shifted from thefirst rank (Dinkes Propinsi Jatim, 2012).In 2012, from January 1st until December 31thSoebandi hospital noted that 423 mothers withpreeclampsia which 319 were severe preeclampsia(Adawiyah, 2014).Perinatal outcome assessment could be done byusing Apgar Score (AS). Less value AS which babydetected in the first minute did not endorse theout come in the future. A retrospective researchconcluding that AS in the early five minute stillbeing important predictor for neonatal deaths, butit cannot use to know about long life outcome. Inother data, amount 13.399 the premature baby(less than 26-36 week) revealed neonatal deathshigher ( 315/ 1000) with AS 0-3 in the first minutethan ( 5/1000 ) with AS 5-7 in the early fiveminutes (Brian, M, et al. 2014).Equal to the imunologic theory by Sudhaberata(2001), due to the mother on the first pregnant willbe formed blocking antibodies. In other side, in thefirst pregnant being performed Human LeucocyteAntigen Protein G (HLA) which conducted maternalimunity. This can make mother rejects product ofconception (placenta) or being intoleratedbetween mother and placenta wich can conductpreeclampsia. Beside that, Desfauza (2008)claimed that any relationship significantly betweenquantity of give birth with asphyxia of the newbornbaby. Data showed mother with 1 - >3 times givebirth ( 60,5% asphyxia) more higher risk than 2 – 3times give birth (36,7% asphyxia).Gestational nutritional status very important toreach well being health status for mother andbaby. Women with low body mass index can getnegative effect when labor such as preterm andlow weight body of the baby (Papathakis, 2005).Conversely, the women with over BMI gets morehigh risk in gestational such as abortion, labor withsectio caesare, preeclampsia, trombosis, perinataldeaths, and macrosomia (Yu, 2006).

Perbedaan Kualitas Pelayanan Berdasarkan Waktu Tunggu Serta Rasio Rujukan Pasien Dokter keluarga Wiji Astuti, Ida Srisurani; Murti, Bhisma; Probandari, Ari Natalia
STOMATOGNATIC- Jurnal Kedokteran Gigi Vol 1, No 1 (2015)
Publisher : Fakultas Kedokteran Gigi Universitas Jember

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Quality services doctor are represented by referral ratio and waiting time. In fact, the referral ratio in Jember shows higher than national value (15%). This study will analiyze the difference between payment system method, fee for service and capitation in family doctorâs quality services. This is an observasional study with cross sectional approach. Knowing the level of satisfaction, 214 patients who visited family doctor as both general and health insurance patients are testing by questionnare. In otherwise, 21 family doctors in Jember are represented referrals ratio by using referrals data. Using KolmogorofÂ Smirnov and Man Whitney data analysis, the results showed a significant number.In addition, physicians with capitation payment method referred more patients by 3 times in average compared to physicians with fee for service payment method. This was seen from the p-value (0.002) < Î±(0,05). Similarly, waiting time variable with p-value (0,028) less than Î± (0,05). Capitation patients need more time Â± 3,77 minute thanfee for service.This mean there is significant different between capitation and fee for service patient in waiting time. Â Keywords :payment method, waiting time, referral ratio

The Correlation between Occupational Stress and Job Performance of Healthcare Workers at the University of Jember Medical Center Arista Nur Isnaini; Inke Kusumastuti; Ida Srisurani Wiji Astuti
Journal of Agromedicine and Medical Sciences Vol 7 No 1 (2021)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v7i1.20401

Healthcare professionals are prone to experiencing stress and burnout due to their responsibility to care for one’s life and mistakes in the care delivery might lead to dire consequences for the patient. Occupational stress in the healthcare service could reduce the job performance of healthcare workers. This study was therefore conducted to determine the effect of occupational stress on the performance of healthcare workers in the University of Jember Medical Center. This study employed a cross-sectional design. The research sample was 28 healthcare workers at the University of Jember Medical Center. The results of the Pearson test showed a significance value of p = 0.725, indicating no significant correlation between occupational stress and job performance of health workers at the University of Jember Medical Center. Occupational stress might be experienced by healthcare workers at University of Jember Medical Center because University of Jember Medical Center as the first level of healthcare facilities acts as a gatekeeper with significant workload and functions. However, this occupational stress didn’t affect the work performance of the healthcare workers at University of Jember Medical Center due to their excellent stress management. Future studies might benefit from utilizing other more objective stress-related measurements and recruiting larger sample size. Keywords : Occupational stress, Job Performance, Healthcare Worker

The Correlation between Service Quality of Maternal and Child Healthcare/Family Planning Clinic and Degree of Maternal and Child Health at Two Primary Health Care Centers in Jember Makayasa Putri, Kunthi Kencana; Wiji Astuti, Ida Srisurani; Sugiyanta, Sugiyanta
Journal of Agromedicine and Medical Sciences Vol 2, No 1 (2016)
Publisher : Medical Faculty of Jember University (Fakultas Kedokteran Universitas Jember)

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The high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) is still a major health problem in Indonesia. As an one of indicator to assess the quality of maternal and child healthcare is MMR and IMR. Service quality consists of five dimensions i.e., tangible, responsiveness, reliability, assurance, and empathy. The aim of this research was to determine the correlation between service quality of maternal and child healthcare/family planning polyclinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. This research used cross-sectional design with 144 respondents. Service quality was measured using ServQual questionnaire and degree of maternal and children health were measured using MMR and IMR. The results of statistical test with Spearman correlation test showed that the significance (p) = 0.000 and correlation coefficients (r) = 0.690. Thus, it can be concluded that there were a strong correlation between service quality of maternal and child healthcare/family planning clinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. Keywords: Maternal Mortality Rate, Infant Mortality Rate, ServQual.Â

Risk Factors Affecting Carpal Tunnel Syndrome in Women Laborer of Tobacco Warehouse Ajung District, Jember Dasarina Rizqi Amalia; Ida Srisurani Wiji Astuti; Yudha Nurdian
Journal of Agromedicine and Medical Sciences Vol 5 No 2 (2019)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v5i2.6489

Carpal Tunnel Syndrome frequently experienced by workers whose daily activities always use repetitive movements on the wrist. Carpal Tunnel Syndrome is a syndrome that can actually be prevented because there is no risk factor that can’t be changed except the age factor. Previous research has shown a fairly high prevalence about 42%-93% in factory workers. This study aims to determine the factors that affect the occurence of Carpal Tunnel Syndrome in women workers warehouse tobacco. This is an analytical observational study with cross sectional study design which using 50 samples who met inclusion and exclusion criteria. Instrument in this research is clinical questionnaire to diagnose CTS and Phalen test. Spearman correlation test result obtained long working p=0,036, r=0,298 and pain intensity p= <0,01, r=0,635 which means there is significant correlation with moderate strength between length of work with CTS and strong correlation between the intensity of pain with CTS. Keywords: Carpal Tunnel Syndrome, risk factor, women laborer

KORELASI PROGRAM PENGELOLAAN PENYAKIT KRONIS BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN TERHADAP KUALITAS HIDUP PASIEN di UNEJ MEDICAL CENTER Ida Srisurani Wiji Astuti; Adhang Isdyarsa; Cicih Komariah
Jurnal Ilmu Kesehatan Masyarakat Vol 14 No 1 (2018)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v14i1.10403

Prolanis BPJS (the program of Chronic Disease Management by Social Security Health Agency) was launched for financing efficiency for chronic disease in Indonesia. The efficiency has made a noticeable impact.This study aims to observe the correlation between the program and the increase of patients’ quality of life as a result of the implementation of Prolanis BPJS. The research deployed cross sectional analytic approach in which data was collected in January 2017.During the research, 2 (two) types of questionnaire such as questionnaire of service quality based on the SERVQUAL (Service Quality) and the SF-36 questionnaire related to the quality of life were distributed. A total of 22 respondents were involved through total sampling method to identify both the value of perception and expectations of each respondent towards the quality of primary health care facilities in Unej Medical Center. Spearman method was implemented for data analysis reportingthe findings that in general the quality of service provided by PROLANIS BPJS indicated no correlation with the patients’ quality of life at UMC (p) 0,072,and (r) 0,391. Eight dimensions of life quality were examined, and only two of them were showed correlation with the quality of service provided, namely: the dimensions of physical function and bodily pain

Comparison of the Effectiveness of 10% Sulfur Soap and 2-4 Ointment as Single Treatment Alief Ilman Zaelany; Ida Srisurani Wiji Astuti; Ika Rahmawati Sutejo
Journal of Agromedicine and Medical Sciences Vol 3 No 3 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i3.6145

Scabies disease caused by Sarcoptes scabiei var. hominis mites has become a problem in a whole world especially in developing countries like Indonesia. Scabies has a very contagious nature especially in places with dense population levels like Islamic boarding school. Permethrin which is a drug of choice for scabies has a fairly expensive price so it is less effective when used in mass treatment. In Indonesia, sulfur preparations, especially 10% sulfur soap and 2-4 ointment are easy to obtain because the price is affordable and available at the community health clinic. The purpose of this study is to know the difference in effectiveness of 10% sulfur soap and 2-4 ointment as a single treatment and combination on scabies disease. In this clinical trial study, treatment was performed on 3 groups, 10% sulfur soap group (n=36), 2-4 ointment group (n=36) and combination group (n=36). The examination was done on days 8, 15 and 22. Data analysis using SPSS version 23 with chi-square test. The results showed that the highest recovery rate was in combination group (week-1 (22,22%), week-2 (63,89%) and week-3 (94,44%)) followed by 2-4 ointment group (week-1 (11,11%), week-2 (72,22%) and week-3 (88,89%)) and 10% sulfur soap group (week-1 (2,78%), week-2 (52,78%) and week-3 (75,0%). The results of the analysis comparing the 10% sulfur soap group with the combination group showed p value on all consecutive examinations p=0,013, p=0,339 and p=0,022. In the comparison 2-4 ointment group to the combination group obtained p value on all examinations respectively p=0,206, p=0,448 and p=0,394. The conclusion is combination therapy had the highest cure rate and statistically significant (p=<0,05) was obtained in comparison of 10% sulfur soap to combination at week-1 and week-3 examination. Keywords: scabies, comparison of the effectiveness, 10% sulfur soap, 2-4 ointment, combination, Islamic boarding school

Analysis of Varicose Vein in Lower Extremities Risk Factors on Woman Laborers of Tobacco Picker at Ajung District Jember Regency Muhammad Faizal Akbar; Ida Srisurani Wiji Astuti; Desie Dwi Wisudanti
Journal of Agromedicine and Medical Sciences Vol 5 No 1 (2019)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v5i1.6787

Varicose vein (VV) in lower extremities are common diseases in the clinic but there is little concern from clinicians as they are considered mild and low mortality. The complications of VV can be ulcers or worst like Congestive Heart Failure (CHF). Several risk factors that can affect the occurrence of VV are women, age, long standing, overweight, pregnancy multiparity, and hormonal contraception. The general purpose of this research is knowing the relationship between risk factors mentioned above and the prevalence of VV on female laborers of tobacco picker at Ajung District Jember District. This research use observational analytic method with cross sectional study design to 72 people who meet the inclusion criteria by purposive sampling method. The sample were given questionnaire, informed consent, then measured by weight scales and microtoise staturemeter. The diagnosis of VV was obtained from the photos that been consulted to cardiothoracic surgeon at dr. Soebandi Hospital Jember. The result of contingency coefficient C correlation test said that only age has significant relation to VV occurrence states (p = 0,044; r = 0,231; OR = 3,053), while others are not significant (p> 0,05 and r < 0.2). The conclusion of this study is that only the age factor has a statistically significant relationship and the positive correlation with the weak correlation to the occurrence of lower extremities VV on woman laborers of the tobacco picker of Ajung District, Jember Regency. Keywords: Varicose Vein, Lower Extremities

The Correlation between Service Quality of Maternal and Child Healthcare/Family Planning Clinic and Degree of Maternal and Child Health at Two Primary Health Care Centers in Jember Kunthi Kencana Makayasa Putri; Ida Srisurani Wiji Astuti; Sugiyanta Sugiyanta
Journal of Agromedicine and Medical Sciences Vol 2 No 1 (2016)
Publisher : Faculty of Medicine, University of Jember

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The high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) is still a major health problem in Indonesia. As an one of indicator to assess the quality of maternal and child healthcare is MMR and IMR. Service quality consists of five dimensions i.e., tangible, responsiveness, reliability, assurance, and empathy. The aim of this research was to determine the correlation between service quality of maternal and child healthcare/family planning polyclinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. This research used cross-sectional design with 144 respondents. Service quality was measured using ServQual questionnaire and degree of maternal and children health were measured using MMR and IMR. The results of statistical test with Spearman correlation test showed that the significance (p) = 0.000 and correlation coefficients (r) = 0.690. Thus, it can be concluded that there were a strong correlation between service quality of maternal and child healthcare/family planning clinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. Keywords: Maternal Mortality Rate, Infant Mortality Rate, ServQual.

Correlation Analysis of Food Consumption Pattern that Induced Hypertension on Farmer in Rural Areas of Jember Regency Ida Srisurani Wiji Astuti
Journal of Agromedicine and Medical Sciences Vol 3 No 3 (2017)
Publisher : Faculty of Medicine, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ams.v3i3.6056

Food consumption pattern has been suspected as a factor that cause hypertension, whereas other than that it may also induced by another life style. Farmers’ hypertension prevalence is growing up in rural areas. This fact shows that the activity of farm as heavy as how farmers facing their problem in daily live. The aim of the study is explaining how the food consumption pattern of farmers induced hypertension meanwhile they are living in the rural areas, as the firsthand customer of the fresh product from farming and agroindustry. An observational analytic study by using asymmetry association of lambda was conducted to prove the correlation between hypertensive pattern consumption and prevalence hypertension of farmers. One hundred respondents (from Mayang and Ledokombo districts) were given food frequency questionnaire. The results showed the food pattern with high level of cholesterol, dairy milk and the product of it and using high mono sodium glutamate,were having a significant level of p value (< 0,05). It means there are strong correlation between them to hypertension prevalence. Keywords: farmer, consumption pattern, hypertension

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