PENGARUH PANDEMI COVID-19 TERHADAP PENINGKATAN ANGKA KEHAMILAN TIDAK DIRENCANAKAN DI PUSKESMAS MADE TAHUN 2021

Covid-19 merupakan suatu sindrom pernafasan akut yang menular dan disebabkan oleh virus SARS-CoV-2. Covid-19 muncul pertama kali di Kota Wuhan, China. Di Indonesia sendiri, Covid-19 membawa banyak dampak buruk salah satunya yaitu munculnya permasalahan layanan KB. Hal tersebut menyebabkan adanya peningkatan angka kejadian kehamilan tidak direncanakan. Penelitian ini bertujuan untuk mengetahui pengaruh pandemi Covid-19 terhadap peningkatan angka kejadian kehamilan tidak direncanakan di Puskesmas Made tahun 2021. Penelitian ini merupakan penelitian observasional analitik untuk mengetahui bagaimana suatu fenomena dapat terjadi dengan cara menguji hubungan antara faktor sebab dan akibat melalui analisa statistik. Rancangan penelitian ini dilakukan dengan pendekatan case control. Total sampel sebanyak 41 orang yang terbagi atas 20 kelompok control dan 21 kelompok kasus. Variabel dalam penelitian ini yaitu pengetahuan, keterbatasan akses, dan masalah KB. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh antara pengetahuan, keterbatasan akses ke layanan kesehatan, dan penurunan angka cakupan KB selama masa pandemi Covid19 memengaruhi peningkatan angka kejadian kehamilan tidak direncanakan

Pemberdayaan Kelompok Keluarga Berdaya (KKB) melalui Pelatihan Menjahit, Craft untuk Mempersiapkan Entrepreneur Pemula di Perumahan Griya Candramas Desa Pepe, Kecamatan Sedati, Kabupaten Sidoarjo, Jawa Timur

Tujuan pengabdian masyarakat ini adalah mengembangkan model suksesi bisnis UKM, mempersiapkan entrepeneur sejati melaui pelatihan menjahit, memproduksi berbagai macam craft, serta memotivasi Kelompok Keluarga Berdaya (KKB). Memotivasi anggota Kelompok Keluarga Berdaya (KKB) dilakukan mengingat pendidikan nonformal seperti pelatihan ini sangat perlu dan urgent untuk memacu semangat agar tidak kendor dalam mengikuti pengembangan kelompok dan kemajuannya. Kegiatan ini berfokus pada satu kelompok KKB dan diharapkan akan berkembang kepada kelompok, wilayah yang lain dengan tetap melakukan inovasi-inovasi dalam bidang entrepreneur. Dengan adanya dukungan dari perangkat desa atau lurah setempat menjadikan kegiatan ini lebih spesifik dan sangat bermanfaat, serta mempermudah penyebaran informasi.  Adanya pelatihan menjahit, pembuatan berbagai macam craft ini diharapkan akan mampu meningkatkan prekonomian keluarga, yang pada gilirannya di samping meningkatkan prekonomian keluarga juga dapat memberikan kebahagian dan kesehatan bagi anggota kelompok anggota Kelompok Keluarga Berdaya (KKB) secara umum dan secara khusus

Erythrocyte Sedimentation Rate and Hemoglobin Levels in Pesticide Poisoning-Farmers

Pesticides are chemicals used to control insects, fungi, weeds, and others. Unrestrained use of pesticides leads to poisoning that has an impact on inflammation and anemia. To provide evidence for this notion, acetylcholinesterase enzyme levels, blood sedimentation rates, and blood hemoglobin levels of farmers exposed to pesticides have been studied. The study design was quantitative in a cross-sectional manner. The participants of the study were all members of the Kurnia Makmur farmer group in Landasan Ulin Utara District, Banjarbaru with a total sample of 60 people. An examination of acetylcholinesterase, erythrocyte sedimentation rate (ESR), and hemoglobin enzyme levels was carried out at the Banjar Regency Health Lab. The blood sample was withdrawn from the cubital vein. Spectrophotometry was used to determine acetylcholinesterase enzyme levels, while ESR was determined by the automatic method. Hemoglobin levels are measured by the cyanmethemoglobin method. T-tests were used to compare acetylcholinesterase, ESR, and hemoglobin levels in the normal group and the poisoning group. The study concluded that exposure to a pesticide in farmers' pesticide poisoning may cause inflammation characterized by an increase in ERS. However, there was no decrease in hemoglobin levels

KEHAMILAN DENGAN COVID – 19

Peningkatan kasus temuan COVID-19 di Indonesia per tanggal 17 Agustus 2020 masih meningkat, dengan jumlah kasus sebanyak 141.370 kasus (0,6% dunia). Bentuk gejala klinis COVID disebabkan oleh karena bentukan dari virus corona yang dapat berikatan pada reseptor angiotensin converting enzyme (ACE) 2 yang terdapat di hampir di seluruh jaringan tubuh. Pada kehamilan terjadi upregulasi dari reseptor ACE2, yang akan menyebabkan peningkatan kadar angiotensin II dalam tubuh yang kemudian menyebabkan vasokonstriksi dan gambaran disfungsi vaskular yang menyerupai preeklamsia atau lebih berat lagi. Penularan COVID-19 pada wanita hamil sama dengan COVID seperti umumnya, dengan penyebaran terbesar melalui droplet (97.9%). Identifikasi kasus baru, saat ini menggunakan ketentuan revisi 5 Kemenkes (Kementerian Kesehatan RepublikIndonesia), di mana terbagi menjadi 3 kelompok yaitu kasus suspek, kasus konfirmasi dan kasus probable. Menurut National Institutes of Health (NIH), pembagian gejala pada ibu hamil dengan COVID, dibagi menjadi 5 tingkat: asimtomatik, ringan, sedang, berat dan kritis. Saat ini pada ibu hamil, pengkategorian risiko seorang pasien COVID menggunakan sistem early warning score (EWS). Pemeriksaan antibodi masih merupakan cara penegakan diagnosis yang digunakan di lapangan, menurut Revisi 5 Kemenkes, pasien OTG (orang tanpa gejala)/ODP (orang dalam pantauan) dan PDP (pasien dalam pengawasan) dilakukan rapid test di awal, apabila rapid test menunjukkan positif atau pasien menunjukkan gejala COVID-19 (batuk, panas, dan sesak) maka dilakukan pemeriksaan polymerase chain reaction (PCR) swab untuk penegakkan diagnosis pasti COVID-19. International society of ultrasound in obstetrics & gynecology (ISUOG) juga membuat kriteria untuk penegakan diagnosis pneumonia COVID-19, dengan 1 kriteria mayor dan 3 atau lebih kriteria minor. Pemeriksaan antenatal dibagi per trimester, trimester 1, pemeriksaan tidak dianjurkan, trimester ke 2 melalui tele konsultasi klinis, dan trimester ke 3 pasien harus hadir. Manajemen perawatan di rumah sakit juga memperhatikan fetal well-being. Manajemen persalinan sesuai dengan indikasi obstetrik. Pemberian medikamentosa sesuai dengan regimen tatalaksana COVID. Pemberian air susu ibu (ASI) dapat diberikan kepada bayi baru lahir dengan memperhatikan protokol kesehatan

Effectiveness of Moringa Leaf Extracts (Moringa Oleifera) on Testosterone Levels in Wistar Rats (Rattus Norvegicus)

<p><strong><span>Background: </span></strong><em><span>Moringa oleifera</span></em><span> is most notable for its potent antioxidant properties that neutralize harmful free radicals within the body. Free radicals are produced as natural by products of metabolic processes during aging. Testosterone, a crucial hormone in male development experiences a gradual decline as men age associated with various physiological and psychological changes. One of the factors that contribute to this decline is oxidative stress which impairs the function of leydig cells that synthesize testosterone. Therefore, this study aims to identify the effectiveness of different doses of Moringa oleifera extract on testosterone levels in aged male Wistar rats.</span></p> <p><strong><span>Methods: </span></strong><span>This is an experimental study with a post-test-only control group design. The data was collected from the total samples of 27 rats and randomized into 3 groups. 9 samples of a control group, 9 samples of a group given a dose of 250mg/kg, and 9 samples of a group given a dose of 500mg/kg of Moringa oleifera extract. The extract was given through oral gavage for 21 days and blood was collected to analyze the total testosterone levels. </span></p> <p><strong><span>Results: </span></strong><span>The results of the study showed the mean value of the treatment group tends to be lower than the control group. Testosterone levels between the 3 groups obtained a p-value of 0.598 where the value was > 0.05, which means there was no significant difference between the 3 groups based on testosterone levels.</span></p> <p><strong><span>Conclusions: </span></strong><span>Moringa leaf extract was not significantly effective on testosterone levels in aging male Wistar rats. The effectiveness of Moringa leaf extract at a dose of 500mg/kg was not significantly different from a dose of 250mg/kg on testosterone levels in male Wistar rats.</span></p&gt

The Effect of Docosahexaenoic Acid (DHA) on Changes in Insulin in Underweight Pregnant Woman

<p><strong>Background: </strong>According to the Ministry of Health in 2020, the percentage of underweight pregnant women in Indonesia is 9.7%. Underweight is a condition of low body weight for age which is related to height. The condition of being underweight during pregnancy must be addressed immediately because influence fetal development. Insulin is an important factor in pregnant women for fetal development, such as the brain and eyes. Underweight conditions can cause pregnant women to experience insulin resistance since the beginning of pregnancy. This study identified the effect of DHA on changes in insulin in underweight pregnant women at the Made Surabaya Community Health Center.</p> <p><strong>Methods: </strong>This research includes pre-experimental research with one group pre-test post-test using 21 samples of underweight pregnant women who were examined physical, obstetrics, ultrasonography, and venous blood collection procedures were carried out for examination before and after DHA supplementation. Testing was carried out using the paired t-test and Wilcoxon test.</p> <p><strong>Results: </strong>The research results show that there was a significant difference between before and after DHA supplementation was given to underweight pregnant women. The difference is body weight (p=0.001), body mass index (p=0,002), upper arm circumference (p=0.000), body height (p<0.001), and insulin (p<0.001).</p> <p><strong>Conclusions: </strong>The research results showed that there was a significant effect of giving DHA on body weight, body mass index, upper arm circumference, height, and insulin.</p&gt

Corelation of Giving Dha (Docosahexaenoic Acid) Supplements to Underweight Pregnant Women On Hba1c

<p><strong><span>Background:</span></strong><span> Pregnancy is a physiological process in which the fetus develops in the body.<span>  </span>Where underweight pregnancies are those with a Body Mass Index of <18.5kg/m<sup>2</sup>.<span>  </span>In pregnant women there will be many changes in the systems in the body.<span>  </span>Apart from that, pregnant women need sufficient nutrition to consume.<span>  </span>Nutritional status in the body can be obtained and obtained from food intake, and apart from food intake, pregnant women also need additional nutrition in the form of macronutrients and micronutrients such as omega 3 fatty acids, namely DHA. This research aims to find out whether there is an influence<span>  </span>between HbA1c and DHA administration to pregnant women.<span>  </span></span></p> <p><strong><span>Method:</span></strong><span> This research uses an experimental type of research with a cohort research design, using one group pretest-posttest. By providing treatment to pregnant women at community health centers who meet the inclusion and exclusion criteria.<span>  </span></span></p> <p><strong><span>Results:</span></strong><span> Underweight pregnant women who were researched at the Made Surabaya Community Health Center with an age range of 21 to 36 years and a Body Mass Index ranging from 17.3 kg/m<sup>2</sup> to 18.80 Kg/m<sup>2</sup> were given supplementation in the form of DHA in this study. (Docosahexanoid acid) for one full month to be consumed by pregnant women.<span>  </span></span></p> <p><strong><span>Conclusion:</span></strong><span> this study was that there was a decrease in HbA1c levels in underweight pregnant women</span></p&gt