International Journal of Public Health Excellence (IJPHE)

Factors affecting Bangladeshi high school students' practices of sanitation and hygiene

Bithe Saha — 2024-06-03

Background: Better sanitation and hygiene standards are beneficial for preventing infections, limiting the spread of pathogens, and fostering overall health in educational environments. On the other hand, not much is known about school-student's hygiene and sanitation habits. The purpose of this study is to identify and comprehend the variables that affect students' behavior related to sanitation and hygiene in classrooms. Method: This study was carried out at the Katiadi Government High School, a high school in a Bangladeshi upazilla town. An exploratory qualitative study design, based on the Integrated Behavioral Model for Water, Sanitation, and Hygiene (IBM-WASH) was used. Before utilizing them, the effectiveness and clarity of the semi-structured interview guides were tested, which included questions about behavior, access, and practices related to sanitation and hygiene. Result: The students had quite low sanitation and hygiene practices despite having a reasonable level of awareness and knowledge. Sanitation and hygiene practices were influenced by a wide range of interrelated factors, which also affected one another. Contextual factors (lack of upkeep and cleanliness, availability of sanitary products), socio-behavioral factors (norms, peer influence), and individual factors (gender awareness, perception, and sense of health benefits). Conclusion: To advance improved sanitation and hygiene practices among school students, multi-level interventions such as regular delivery of WASH-related materials and agents, promotion of low-cost WASH interventions, quality cleaning services improvement, close observation of cleaning activities, individual hygiene behavior promotion, and introduction of gender-sensitive WASH infrastructure and construction may be helpful.

Influence Green Bean Extract in Increasing Hemoglobin (Hb) Levels in Trimester II Pregnant Motherat Pratama Clinic of bunda Tessa Dusun 1A Sidourip Sub-District Beringin Deli Serdang Regency in 2023

Willhelmina Wahara — 2024-06-13

Introduction: Pregnant women with anemia are still many in Indonesia, including in North Sumatra which reached 39%. Pregnancy is very susceptible to anemia that can cause bleeding in pregnant women. Purpose: The purpose of this study was find out the influence Green Bean extract in increasing Hemoglobin Levels in Trimester II Pregnant Women in Pratama Clinic of Bunda Tessa Dusun IA Sidourip Subdistrict Beringin District Deli Serdang in 2023. Method: Types of Quasy Experiment with the design of One Group Pretest Posttest. The population was 20 people. Sampling technique with purposive sampling was a selection of samples based on certain characteristics as many as 10 people, the statistic test used wilcoxon test. Result: Based on the result showed that the data obtained was pre-test minimum value of 8.4 maximum 11.9 while post-test minimum 10.8 maximum13.7. From the results of statistical tests thatwas with wilcoxon test known value P-value= .11 <. 05. Conclusion: The ability in this study is the effect of green bean extract on increasinghemoglobin levels in trimester II pregnant women in Pratama Clinic of Bunda Tessa Dusun IA Sidourip Subdistrict Beringin District Deli Serdang in 2023. It is suggested to be an evaluation and reference material for health workers to be applied and can inform pregnant women who have anemia in a natural way that is by consuming green bean juice as much as 200 ml.

Risk Factors of Death in the Decision to Install Artificial Intelligence Systems in the Management of Diabetes

Asbath — 2024-06-24

Diabetes represents a significant public health concern, affecting millions of individuals worldwide. Its prevalence is increasing, driven in part by lifestyle factors and the aging of the global population. This systematic review explores the potential of artificial intelligence (AI) in enhancing diabetes prevention, diagnosis, and management. The review highlights the promise of personalized and proactive healthcare enabled through AI. The research methodology employed an exhaustive review of the literature, the formulation of specific inclusion and exclusion criteria, a data extraction process from selected studies that focused on the role of AI in diabetes, and a comprehensive analysis to identify the specific domains and functions in which AI makes a significant contribution. The results of the conducted literature review indicate that artificial intelligence (AI) can be regarded as a transformative force in the following eight key areas within the field of diabetes care: 1) Management and Care of Diabetes, 2) Diagnostic and Imaging Technologies, 3) Health Monitoring Systems, 4) Development of Predictive Models, 5) Public Health Interventions, 6) Lifestyle and Dietary Management, 7) Enhancement of Clinical Decision Making, and 8) Engagement and Self-Management of Patients. Additionally, the utilization of AI may result in a reduction in the risk of mortality from diabetes.

The Influence of Education and Mental Health on the Choice of Sports Recreation by Adolescents

Budi Sulistiyo Nugroho — 2024-06-24

The present study aimed to investigate the relationship between participation in sport and mental health through a literature review. While sport has long been recognized for its physical benefits, its impact on mental health has recently attracted greater attention. In order to analyze the literature addressing how sport affects mental health, both negatively and positively, a comprehensive search was conducted using data from journal articles, books as well as research reports published in the last two decades. It is crucial to maximize the benefits of exercise while minimizing the risks. This review reaffirms the significance of exercise as an efficacious intervention for mental health, underscoring the necessity for a balanced and informed approach to managing risks. Further research recommendations include longitudinal investigations of the long-term effects of exercise on mental health and studies of the psychological mechanisms behind its benefits. It is crucial to optimize exercise benefits while minimizing risks. This review corroborates the efficacy of exercise as an effective intervention for mental health and emphasizes the need for a balanced and informed approach to risk management. Further research is warranted to examine the long-term effects of exercise on mental health and to elucidate the underlying psychological mechanisms associated with its benefits.

Vitamin K Supplementation for Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review

Kevin Liora — 2024-07-07

This study was conducted to analyze the hSIL of Vitamin K Supplementation in Reducing Cardiovascular Events in End-Stage Chronic Kidney Disease: A Systematic Review. Cardiovascular disease (CVD) is the leading source of morbidity and mortality worldwide, and chronic kidney disease (CKD) is a major contributor to this matter. Kidney disease is estimated to affect over 850 million people worldwide. The present systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We searched studies from electronic databases (PubMed Central, ScienceDirect, PLoS One, Google Scholar, Nature). Studies were considered eligible if they met the following criteria : (1) the study is a randomized controlled trial (RCT), (2) the study was published in the last 5 years (2018– 2022), (3) the study participants were adult patients with kidney disease from stage III to end-stage who were given vitamin K supplementation, (4) the study reported coronary artery calcium scores pre- and post- vitamin K supplementation, (5) the study was published in English. Risk of bias of each study was evaluated using Cochrane Risk of Bias (RoB) 2 tool. Data were descriptively examined and narratively reported. In conclusion, our results do not suggest that vitamin K supplementation may affect vascular calcification as measured by the CAC score. Up till now there is no treatment to reverse vascular calcification in ESKD patients. The current clinical practice should focus on prevention and retardation of its progression.

Description of HbA1c Levels in Fatty Liver Disease Patients in a West Jakarta Private Hospital in 2018-2019

Steven Junius Chandra — 2024-07-07

Fatty liver disease is a chronic disease that is very often found in the community and is often called "silent" liver disease because there are no specific symptoms in patients. The incidence of fatty liver disease in Indonesia is quite high by 30 percent and this disease can develop into liver cirrhosis. The high incidence of fatty liver disease can be caused by various factors such as obesity, dyslipidemia, hypertension, unhealthy lifestyles and insulin resistance. Insulin resistance can be characterized by an increase in HbA1c levels in the blood. This study aims to determine the description of HbA1c levels in patients with fatty liver disease. This research is an observational descriptive study using a cross-sectional approach by using medical record data of fatty liver disease patients who have been on radiologic examination and doing HbA1c examination. Fatty liver disease affects more male sex groups by 55.4 percent, with the most age range at 51-60 years by 34.9 percent. Diabetes HbA1c levels (59%) are more than prediabetes (25.3%) and normal HbA1c levels (15.7%). Abnormal HbA1c levels (prediabetes and diabetes) were found to be higher in men (47 % vs 47,3%). The most accompanying diseases in patients with fatty liver disease are diabetes mellitus (51.8%), hypertension (33.7%), dyslipidemia (26.5%), dyspepsia (28.9%), and hyperuricemia (15.7%). Fatty liver disease patients were also found to have metabolic syndrome by 54.2% which was dominated by female sex by 53.3% with 91.1% having 3 components of metabolic syndrome and 8.9% having 4 components of metabolic syndrome

Factors Relating to the Activity of Mother’s Visits to the Posyandu

Yeti Trisnawati — 2024-07-07

A significant indicator that contributes to lessening efforts is the number of toddler trips to Posyandu. In the operational area of Tanjungpinang City's Mekarbaru Health Center, 36.40% of visitors are Posyandu visits in 2023. This coverage continues to fall well short of both national and provincial statistics, as well as the government's accomplishment goals. The purpose of this study is to determine the characteristics that influence toddler visits to Posyandu, Batu IX Village, Mekar Baru Health Center Working Area, Tanjungpinang City, in the province of the Riau Islands. With a cross-sectional methodology and a purposive sample strategy, 191 mothers of toddlers between the ages of 13 and 59 months make up the sample size for this kind of quantitative study. Surveys were used to collect measurements. The statistical test of chi-square was applied in data analysis. The findings of the study indicate that moms of toddlers who visit Posyandu have a relationship with perceptions of Posyandu services (p=0.001; OR=2.735) and family support (p = 0.000; OR=3.237). The mother's age, education, occupation, knowledge, and attitude have little bearing on how frequently she visits Posyandu. It was determined that the frequency of posyandu visits by mothers of toddlers at the Posyandu in the Mekar Baru Community Health Center Working Area was highly correlated with family support and perceptions of posyandu services.

The Relationship Between Flat Foot and Dynamic Balance in Basketball Players

Vida Nanda Chattalia — 2024-07-07

Basketball players always engage in highly mobile physical activities that need to be supported by normal foot anatomy. Most important parts influencing musculoskeletal and biomechanics in the foot is the arch of the foot. Flat foot, is one of the most common conditions encountered. It refers to a medical condition where the arch of the foot becomes flat. Balance is one of the most crucial coordination skills in basketball. Good dynamic balance can be achieved if athletes have normal foot arches. If the normal arch is lost, can lead to dynamic balance disturbances. This research method uses a cross-sectional analytical observational design to examine the relationship between flat foot and dynamic balance in basketball players. In this study, 26 individuals participated as research subjects. Dynamic balance measurements using the Y Balance Test (YBT). Arch of foot measurements using the wet footprint test. Data analysis in this study using the Pearson Correlation test. This research concludes that there is a significant relationship between flat foot and dynamic balance in junior high school basketball players in Denpasar. The findings of this study indicate a statistically significant relationship, as evidenced by p-values of 0.045 and 0.003 (p <0.05).

The Relationship Between Smartphone Usage and Student Achievement at SMP 21 Pekanbaru

Hamidah Sari Batubara — 2024-07-07

Morgan's research results (2015) in Indonesia, people aged 14-24 years who are dominated by 77% of students have and become the most active smartphone users compared to other ages. Smartphones have a certain impact on students. One of the impacts caused if used when learning activities are taking place is that it can lower students achievement. This study aims to determine the relationship of smartphone usage with student achievement in SMP Negeri 21 Pekanbaru 2019.Conducted in 25 february-28 february 2019 using primary and secondary data. This research is a quantitative analytic design with cross sectional approach with population of many as 770 people with a sample of 90 people using stratified proportionate random sampling technique. Processing data by using SPSS 17.0 then presented in tabular form. of research that from The results of the study revealed that the majority of smartphone use included in the medium category as many as 77.8% (70 people) and had good achievements much as 70.0% (63 people). Research shows that P Value ≥ α 0.388 ≥ 0.05, mean there is no relationship between smartphone usage with student achievement in SMP Negeri 21 pekanbaru 2019. This is due to the still high role of parents in paying attention to their children. Through this research, it is expected that educational institutions can use smartphones wisely so that they can improve learning achievement.

Misperception of the benefits and working mechanism of the National Health Protection in the District of Sumba Timur, Indonesia

Asnani — 2024-07-27

The National Health Insurance (NHI) of Indonesia covers the health care of nearly the whole population of Indonesia. However, misunderstandings of the benefits and the healthcare access mechanism are still evident. The study aims to identify misperceptions regarding the benefits and working mechanisms of the NHI in Waingapu, Sumba Timur District, Indonesia. A qualitative inquiry identifies the misperception about NHI's benefits and working mechanism. Thirty residents were recruited using the consecutive procedure to participate in the study. The data collections are semi-structured interviews, casual conversations, and inductively analyzed. The qualitative analysis identifies that people perceive that the administrative procedure of health care under NHI is complicated, has unlimited drugs and health care coverage, and the premium contribution is claimable. People perceive the management of NHI to treat them as debtors when they delay paying their contributions. People feel they are being treated unfairly because NHI does not provide all health services, but they ask for a guarantee if NHI does not cover health services. It is concluded that the people are underinformed about NHI's benefits and working mechanism. The management of NHI and associated stakeholders should implement ongoing educational programs and promotional efforts to increase awareness and understanding of the NHI system.

Food poisoning causes and prevention and what to know about hygiene

Md Mamunur Roshed — 2024-07-27

Food-borne diseases are the most common health problems globally, and they are particularly common in Third World countries like India due to poor public sanitation and hygiene. Broadly speaking, food poisoning refers to any illness brought on by eating food that contains bacteria or non-bacterial substances. Stated differently, it's an acute instance of gastroenteritis caused by ingesting chemicals-contaminated food or drink, animal or plant-derived poisons, or living microbes and their toxins. Acute gastroenteritis is one of the leading causes of morbidity and mortality. The most vulnerable are newborns and young children. The clinical symptoms of a foodborne infection are determined by the pathogenic mechanisms that underlie it. The main symptoms are headache, nervousness, intense thirst, abrupt vomiting, diarrhea, colicky discomfort, cold, clammy skin, slow heartbeat, rigours, and cramps. The provision of clean, drinkable water, appropriate disposal of human and animal sewage with isolation from water supplies, and fundamental food hygiene standards are all very effective ways to prevent the development of these disorders.

Intensity of Instagram Related Fear of Missing Out in Medical Student Community

Ira Aini Dania — 2024-07-27

Introduction: It is estimated that there are 175.4 social media users in Indonesia and around 160 million people are active on social media. It was found that around 64% of teenagers interacted with social media excessively, causing internet addiction, especially Instagram..Method This study is an observational analytic study with a cross sectional design. Sampling purposive sampling, data analysis with Somer's correlation test Results: There is a significant relationship between the intensity of using Instagram and Fear of Missing Out with a value of p=0.001, p<0.005. The intensity of Instagram users is moderate (41.7%), FoMO is in the low category (56.7%) and is found more in women (58.3%). Conclusion: There is a relationship between the intensity of Instagram usage and FoMO, even though the strength is weak but has a positive correlation

Identification of Injuries in Amateur Boxing Athletes in Gorontalo City: Study for Developing Prevention and Treatment Strategies

Ibrahim Suleman — 2024-07-31

Injuries in boxing athletes often occur in the upper extremities of the body, especially the head and face, which can result in concussions, cuts and bruises. This research aims to identify the types of injuries experienced by boxing athletes in Gorontalo City and explore their causes. The method applied is a survey using questionnaires as the main data collection technique. The population of this study consisted of 50 active female boxing athletes from Gorontalo City. The results showed that the most common injuries occurring in boxing were injuries to the head and face (44%), followed by injuries to the wrist (29%), shoulders (29%), knuckles (22%), knees (16%), and ankle (16%). The main factors causing injury include conditions during training or competition (36%) and the time of injury (32%). Based on the results of this research, it can be concluded that the parts of the body most frequently injured are the head and face with a percentage of 44%. These findings emphasize the importance of developing injury prevention and treatment strategies, especially to the head and face, to improve the safety and health of amateur boxing athletes in Gorontalo.

Factors Influencing the Risk of Early Marriage Among Adolescents at SMPN 5 Panyabungan, Mandailing Natal Regency in 2024

Rahmi Wahida Siregar — 2024-07-31

Indonesia is the country with the second highest early marriage rate in the ASEAN after Cambodia. Almost 10% of girls become mothers at the age of 16 in poor and developing countries with the highest rate, one of which is in Southeast Asia. The researcher's aim: to analyze of Factors That Influence Adolescents on the Risk of Early Marriage at SMPN 5 Panyabungan Mandailing Natal Regency 2024. Research method: namely a correlational method, the sample size is 55 people. The instrument used was a questionnaire. The results of the analysis prove that the majority of teenagers with poor knowledge are 27 people (49%), while the minority are teenagers with good knowledge as many as 6 people (10.9%). The results of the research show that there is a relationship between knowledge based on age (pvalue=0.021), and knowledge based on sources of information (pvalue=0.014) for young women regarding maturing marriage age and the risk of early marriage at SMP Negeri 5 Panyabungan, Mandailing Natal Regency. The conclusion of the research results was that there was a relationship between knowledge based on age and knowledge based on information sources for young women regarding early marriage at SMP Negeri 5 Panyabungan, Mandailing Natal Regency in 2024.

Breastfeeding Knowledge and Colostrum Provision at South Tapanuli Regional Hospital

Rya Anastasya Siregar — 2024-07-31

Colostrum is needed by newborns as an early nutrient that affects the development and growth of babies, besides colostrum also plays a role in the initial formation of the baby's immune system. The purpose of this study was to determine the relationship between the level of knowledge of breastfeeding mothers and the provision of first breast milk (colostrum) in the midwifery room at the South Tapanuli District Hospital in 2022. The sample in this study amounted to 45 people with total sampling technique. Data analysis used univariate and bivariate. The results showed that there was a significant relationship between knowledge of breastfeeding mothers and the provision of first breast milk (colostrum) in the obstetrics room of the South Tapanuli District Hospital as indicated by the Spearman correlation test value, the value of = 0.000 was obtained. The results of this study are to increase the knowledge of breastfeeding mothers about the first breastfeeding (colostrum).

The Influence of Postpartum Exercise on Uterine Involution Speed in Postpartum Mothers

Fatimah — 2024-07-31

The postpartum period begins a few hours after the birth of the placenta and continues until approximately 6 weeks after childbirth. According to the World Health Organization (WHO), an estimated 830 women die every day due to complications from pregnancy and childbirth. In 2015, approximately 303,000 women died during pregnancy, childbirth, or in the postpartum period. The theme of this study is to investigate the influence of postpartum exercise on the speed of uterine involution among postpartum mothers at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. This study utilized a quasi-experimental design with a pretest-posttest only design. The research was conducted at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. The population consisted of 10 postpartum mothers, with a sample size of 10. Data analysis included univariate and bivariate analyses. The results of the study showed a significant decrease in uterine fundus height among the 10 respondents, with a percentage of 2.70%. None of the respondents experienced subinvolution after the postpartum exercise intervention. However, 10 respondents faced challenges in decreasing uterine fundus height both before and after the intervention. The Wilcoxon ρ-value test of 0.004 indicates that postpartum exercise influences the speed of uterine involution among postpartum mothers. The implications of this study suggest that implementing postpartum exercise therapy can accelerate uterine involution among postpartum mothers. It is recommended that these findings be used to develop counseling programs related to postpartum exercise at BPM Mona Durryah Siregar, SKM.

The Effectiveness of Infant Massage on Weight Gain of Preterm Infants

Tika Ayu Pratiwi — 2024-08-09

A preterm birth is a high-risk event occurring when the gestational age is less than 37 weeks. This can result in adverse outcomes, such as a low birth weight (LBW). The immaturity of the lungs in premature infants increases the likelihood of developing respiratory distress syndrome (RDS). To address this, it is essential to enhance nutritional fulfillment in premature babies with LBW and RDS through targeted intervention. This can be achieved through techniques like massage therapy and nesting installation, which have been shown to stimulate infants' growth and development. The objective of this case study is to determine the effectiveness of combined massage therapy and nesting in increasing the weight of premature babies with LBW accompanied by RDS. The research employed a case study approach. The subjects were premature babies with LBW accompanied by RDS in the perinatology room of the National Referral Hospital in Indonesia. This case study revealed that combined massage and nesting therapy resulted in a 6.1%–7.8% increase in body weight and a stabilization of oxygen saturation from days one to three of therapy. This outcome can be attributed to the fact that massage stimulates the release of gastrointestinal hormones that contribute to weight gain, and that nesting encourages the production of growth hormones resulting from restorative sleep. The integration of these two therapies has been found to significantly enhance body weight and maintain oxygen saturation levels within an optimal range. It is therefore evident that the role of nurses as nursing care providers must be enhanced in order to provide the necessary stimulation interventions for premature babies with LBW accompanied by RDS.

Benefits of Inggir-Inggir Fruit (Solanum Sanitwongsei Craib.) for Reducing Hypertension Pressure

Taufiq Qurrohman — 2024-08-09

Hypertension is one of the silent killer diseases known as cardiovascular disease. Increased blood pressure and an unbalanced lifestyle can increase the risk factors for the emergence of various diseases such as coronary arteries, heart failure, stroke, and kidney failure. The purpose of this research is to determine the blood pressure lowering effect of inggir-inggir fruit ethanol extract on normotensive Wistar rats and to determine the blood pressure lowering effect of inggir-inggir fruit ethanol extract on hypertensive Wistar rats. This study uses an experimental method that is to determine the effect of the independent variable on the dependent variable with the research stages. The results of statistical analysis showed that the EEBI group doses of 50 mg / kg bw, 100 mg / kg bw and 150 mg / kg bw were not significantly different (p> 0.05) with the control group (CMC-Na 0.5%) or the positive comparison group (bisoprolol) in reducing TDS, TDD, DJ and TAR of normotensive Wistar rats. The results of statistical analysis showed that EEBI doses of 50 mg / kg bw, 100 mg / kg bw and 150 mg / kg bw can reduce TDS, TDD, and TAR of hypertensive Wistar rats significantly (p < 0.05) compared to the normal group without any administration and the CMC-Na 0.5% control group but could not reduce the DJ of hypertensive Wistar rats significantly (p> 0.05) with the normal group without any administration and the CMC-Na 0.5% group. EEBI dose of 50 mg/kg bw is the best group to reduce TDS, TDD and TAR.

The Impact of Directly Observed Therapy of Weekly Iron Supplementation Program in Female Adolescent Hemoglobin Status

Lilin Turlina — 2024-08-12

In adolescents, nutrition is an important factor in the growth and development process, especially during the growth spurt period that occurs in early adolescence and is characterized by physical, cognitive, and reproductive organ growth and maturation of reproductive organs. Inadequate nutrition during adolescence will cause various problems, one of which is anemia. Anemia has negative impacts, including impaired growth and development, decreased learning achievement, and impaired immunity, thus increasing the occurrence of infections and reproductive disorders. This research is quasi-experimental with a one-group pretest-posttest approach. The research was conducted at Muhammadiyah I Lamongan Vocational School with a total of 44 female students. The sampling technique used in this research was total sampling. Research data analysis was carried out using the paired T-test statistical test. The results of the study showed that carrying out Directly Observed Therapy (DOT) while administering Fe tablets for 12 weeks was able to significantly increase Fe levels in adolescents, with a p-value of 0.000 (p<0.05).

The Recovery from Grade II Burns in Test Mice (Mus Musculus Linn) After Using Iodine Leaf Latex Gel (Jatropha Multifida Linn)

Saelan Saelan — 2024-08-27

Burn injuries are emergencies that pose a severe threat and require immediate action to save lives. The saponins, tannins, alkaloids, and flavonoids in iodine leaf latex gel (Jatropha multifida Linn) are known to speed up the healing process for burn wounds. The research aimed to investigate the effect of iodin leaf latex gel on the recovery of grade II burn wounds in male mice (Mus musculus Linn). The research employed a true-experimental laboratory method with-a-post-test-only control design group at the Kusuma Husada University Laboratory in Surakarta. A total of 24 test mice were manipulated and divided into three groups: the positive control group, the negative control group, and the iodine leaf latex gel group. Burn wounds utilized a 1,5 cm superheated mental surface applied to the backs of the mice for 5-10 seconds to induce burn injuries. The observed parameters included the burn wound area, the percentage of burn wound healing, and the duration of burn wound healing. Data analysis operated One-Way ANOVA. The research revealed that iodine leaf latex gel had a restorative time of 8 days and healing percentage of 30,75%. It was better than the other control groups. The statistical analysis indicated significance (<0,05) in the burn wound recovery percentage. In conclusion, a 6% concentration of iodine leaf latex gel had a more favorable effect on burn wound healing than other control groups.

A study of the teenage population in the Portibi subdistrict of the North Padang Lawas Regency

Nurhaslinda — 2024-08-16

The percentage of teenage pregnancies in Indonesia is 0.02% at the age of <15 years and 1.97% at the age of 15-19 years in Portibi sub-district, North Padang Lawas District. Adolescent mothers are known to have low exclusive breastfeeding coverage rates. The purpose of this study was to determine the factors that influence exclusive breastfeeding in adolescent mothers in Portibi sub-district, North Padang Lawas Regency. This study used a survey method with a cross-sectional design. The study population was teenage mothers who had babies aged 6-24 months in Portibi sub-district, North Padang Lawas Regency. Data collection using questionnaires. Bivariate analysis used chi square and fisher's exact test while multivariate analysis used logistic regression. The results showed 46.7% of teenage mothers provided exclusive breastfeeding. Bivariate analysis showed that pregnancy status (p=0.029), perceived birth experience (p=0.045), perceived breastfeeding (p=0.005), husband support (p=0.009), family support (p=0.000) were associated with exclusive breastfeeding, education level (p=0.143) and employment status (p=0.352) were not associated with exclusive breastfeeding. Multivariate analysis showed that family support (p=0.014; RP=7.637) and breastfeeding perception (p=0.015; RP=9.746) were associated with exclusive breastfeeding. Family support was the most dominant factor in exclusive breastfeeding among adolescent mothers. Adolescent mothers who received support from their family and had a positive perception of breastfeeding had a 72.7% probability of exclusive breastfeeding.

Thyroid imbalance and hypothyroidism: A review

Afrida Hasan — 2024-09-03

Hypothyroidism, which occurs when the thyroid gland in the neck is unable to produce enough thyroid hormone to fulfill the body's demands, is one of the most common disorders in the world. This can lead to heart problems, infertility, and poor brain development in infants. A person's quality of life may be impacted by hypothyroidism if they have depressed symptoms, weariness, weakness, and weight fluctuations. An inadequate consumption of iodine through diet is the main cause of hypothyroidism in developing countries. Therefore, iodizing salt is a common approach made by many countries to increase iodine consumption. This review discuss about the gland, position, hormone, features of hypothyroidism.

Overview of Heart Disease Patients' Lifestyle in Sidikalang Regional General Hospital, Dairi District in 2024

Roberth Harnat Silalahi — 2024-08-30

Background: Heart disease is not only a threat of pain but also a disease that lurks with the threat of death. This disease can cause a high death rate. According to WHO 2018, around 31% of all deaths in the world, and the majority or around 8.7 million, are caused by heart disease. According to Riskesdas 2018, the prevalence in Indonesia reached 1.5%. Heart disease can be triggered by various lifestyle factors, including a lifestyle with smoking habits, consuming alcohol, exercise habits, the habit of consuming pickled and preserved foods, and a history of obesity. Objective Objective: find out the description of the lifestyle of heart disease sufferers at the Sidikalang Regional General Hospital, Dairi District in 2024. Method: This type of research was descriptive, and carried out from January to April 2024. The population in this study is 235 people with heart disease, using an accidental sampling technique, the total sample was 70 people. Results: Lifestyle after suffering from heart disease, the majority did not smoke as much as 61.42% and were heavy smokers as much as 10%, the majority did not have the habit of consuming alcohol as much as 68.51% and had the habit of consuming alcohol frequently alcohol 12.85%, the majority do exercise enough as much as 22.4% and do not exercise 14.7%, the majority sometimes consume pickled and preserved foods as much as 37.14%, and those who do not consume salted and preserved foods as much as 21.42% , the majority were not obese as much as 37.1% and obesity was 11.9%. Better health services are expected to provide education about the lifestyle of heart disease sufferers.

Influencing Factors on Nurses' Hand Washing Compliance

Linda Amalia — 2024-09-15

Poor hand washing of nurses and unhealthy hospital environments contribute to the occurrence of nosocomial infections. Nurses who do not wash their hands before and after the procedure can become an intermediary for infection in patients at the service site or hospital and spread various multi-resistant organisms. This research aims to identify nurses' hand washing compliance and related factors. A descriptive correlation design was conducted in a hospital in West Java. Data on nurse characteristics and hand washing compliance were taken using a five moments test questionnaire cross-sectionally among nurses using the total sampling method and analyzed univariately and bivariately using descriptive analysis and the chi square test. A total of 67 nurses were involved in this research, the majority of respondents were aged 25-35 years (43/64.2%), women (42/62.7%), had a bachelor's degree (36/53.8%), had worked less than 5 years (42/62.7%) , lack of knowledge (35/52.2%), and have a positive attitude (38/56.7%), generally do not comply with hand washing protocols (34/50.7%). The nurse's age is related to hand washing compliance (p 0.002 < α 0.05), while gender (p 0.242), education (p 0.534), length of work (p 0.874), knowledge (p 0.907), and attitude (p 0.397) have α value > 0.05. Nurses' hand washing compliance is still less than the target. Age is related to nurses' compliance in implementing hand hygiene. Meanwhile, gender, education, length of work, knowledge and attitudes are not related to nurse compliance. Efforts are needed to increase nurses' knowledge to increase nurses' compliance in washing hands.