International Journal of Public Health Excellence (IJPHE)

The Effect of Hypnobirthing on Maternal Anxiety Levels and Length of Labor in Independent Practicing Midwives in the Panyabungan Area, Mandailing Natal Regency

Kiki Khoiriyani, Seri Wahyuni Harahap, Sri Rezeki, Ayu Ulfah Nur Lubis — Sat, 13 Jan 2024 00:00:00 +0000

The birth process is a natural event of conception in the form of a baby and placenta from the uterus which can cause anxiety. Anxiety in pregnant women, if not managed properly, will have an impact on the physical and psychological health of the mother and baby. This research uses a descriptive method. The research will take place in December 2021–May 2022 at PMB Lutfiana. A total of 40 mothers in active phase I labor were obtained using total sampling techniques. The data collection technique uses the STAI scale. Data analysis uses descriptive analysis. The age characteristics of respondents aged 20–35 years included 34 respondents (85%). The majority of elementary-middle school students with low education amounted to 21 respondents (52.5%). The majority of respondents did not work, 27 respondents (67.5%), and the majority of multiparous respondents, 31 respondents (77.5%). The majority of maternal anxiety during the active phase was at the severe anxiety level, namely 28 respondents (70%). The average anxiety score was 46.43, with a 95% CI of 43.01-49.84. The majority of mothers' anxiety levels in the active phase of labor are severe anxiety levels.

The Influence of Peer Group Education on Menstrual Hygiene on Knowledge of Pruritusvulvae Prevention in Adolescent Girls at SMP Muhammadiyah 4 Medan

Heni Triana, Lilis Pujiati, Suherni Suherni — Sat, 13 Jan 2024 00:00:00 +0000

The importance of education and health reproduction at SMP Muhammadiiyah 4 Medan is often neglected. Whereas prevalence problems in health reproduction in adolescents at SMP Muhammadiiyah 4 Medan are still high, including anemia, vaginal discharge, dysmenorrhea, syndrome premenstrual, and hygiene problems. Difficulties can have an impact, like school absenteeism, wasting, and infertility. Peer education seen as capable of overcoming problemsThis is because teenagers at SMP Muhammadiiyah 4 Medan more often interact with friends and peers than with family, teachers, or officers. Purpose of activity: This is to increase knowledge, attitudes, and skills of participants about education, peers, and health reproduction among teenagers. Health education for teenagers, peer education training, and mentoring activities are potential extracurriculars that help the realization of healthy madrasas. A number of activities are performed. Activity This is followed by three to ten students who want to become peer educators. Results of activities evaluated use pre-test and post-test questionnaires, as well as practice education, health, and counseling. Result of activity: This is an enhancement knowledge participant about health reproduction among teenagers of 8.28 and peer education of 5.17 after the follow-up activity. Participants are also capable of recognizing health problems, common reproduction that appears in adolescence, and manner prevention.

Nutritional Status on the Cognitive Development of Early Childhood (5-6 Years) at TKQ/TPQ Al hafiz Medan

Maimunah. R, Wilda Yunita, Yuni Ramadhani — Sat, 13 Jan 2024 00:00:00 +0000

Research purposes are analyzing nutritional status, stimulation, psychosocial factors, and influencing factors in cognitive development in preschool children. Study This was carried out in Babakan Village, District Dramaga, Bogor Regency, West Java. Study This cross-sectional design was done with respondents mothers who have children ages 3–5 years old. Fifty-eight children are involved. Spread-level education Mother Of the various percentages, the largest (44.8%) had a high school education. About 78% of per capita income families are classified as not poor and 22.4% are in the poor category. The average score of knowledge nutrition for mothers amounted to 76.7 ± 2.5 (the category currently). Most of the child preschools (84.4%) have score stimulation psychosocial in category medium (30-45). Nutritional status of toddlers showed that 15.5% of toddlers were underweight, 5.2% were underweight, 3.4% were severely underweight, and 19% of children entered the categories of short and very short (stunted). Regression results gradually show that stimulation psychosocial (P<0.001), participation in early childhood education (P = 0.002), and nutritional status based on index height against age (P = 0.028) had an effect positive and significant on the development of cognitive child preschool (adjusted R2, 0.434; P = 0.028).

The Effect of Yoga Therapy on Premenstrual Syndrome in Adolescent Girls at SMP Swasta Muhammadiyah 1 Medan

Alfi Laili, Desi Handayani Lubis, Yulia Safitri — Sat, 13 Jan 2024 00:00:00 +0000

A teenage daughter often suffers from painful menstrual moments (premenstruation syndrome). The prevalence of premenstruation syndrome in Central Java is 56%. Although painful, it is not dangerous; however, it can bother activity daily. Possible non-pharmacological therapy used to overcome premenstrual syndrome is yoga practice. A study introduction found that 24 out of 30 female students suffer painful periods. Research purposes This is to know the influence of yoga practice on the level of painful menstruation in students of Muhammadiyah 1 Medan Private Middle School. Types of research This is a quantitative study with a pseudo-design experiment. Consecutive sampling was used to collect data from 20 respondents with the use of a painful numeric scale. As for the analysis using the Wilcoxon test, the scoring scale for painful numeric before and after yoga practice shows a scale of 5.15 and 3.00. A bivariate test shows the p-value is 0.000. There is an influence of yoga practice on the level of painful menstruation in students of Muhammadiyah 1 Medan Private Middle School.

Behavior of Pregnant Women in Using Posyandu to Check ANC (Anteatal Care) at Eka Sriwahyuni Clinic Medan 2023

Kamaliah — Fri, 19 Jan 2024 00:00:00 +0000

Antenatal care is crucial for the survival of both the mother and fetus during pregnancy and childbirth. ANC services consist of observation, education, and treatment for pregnant women. The objective of this research is to identify the factors that affect maternal compliance with Antenatal Care Visits at the Eka Sriwahyuni Clinic in Medan. The research design is analytical observation. The study population comprised of 17 pregnant women who attended Posyandu Klinik Eka Sriwahyuni Medan. The sample was selected using total sampling technique. Data was collected through a questionnaire and analyzed using the Chi Square test (p value <0.05). The study found that 64.7% of respondents had sufficient knowledge, 70.6% had attitudes in the sufficient category, and 52.9% had husband support in the sufficient and partial categories. Additionally, 64.7% of respondents had good compliance with visits. The chi-square test results indicate a relationship between knowledge, attitudes, and husband's support factors and compliance with Antenatal Care Visits at the Eka Sriwahyuni Clinic in Medan. To further explore factors that may influence ANC visit compliance, future researchers should consider economic factors and distance from health facilities. This research involved visiting respondents individually, which may have been less effective.

The Role of Family Support Towards Perinatal Depression in Medan

Nopitayanti Sitorus, Pratiwi Syah Putri, Nurhaida br Kaban — Fri, 19 Jan 2024 00:00:00 +0000

Perinatal depression, commonly known as postpartum depression, is a serious complication of childbirth that can have significant adverse effects on both the mother and baby. It typically occurs 4-6 weeks after giving birth. Mothers require family and social support to cope with stress during the postpartum period, which is caused by sudden hormonal changes that affect mood swings, the burden of household work, and caring for the baby and mother. This can result in fatigue and lack of sleep. The research aims to analyze the impact of family and social support on the occurrence of depression. The study employed an analytical observational method with a cross-sectional approach to examine the population of postpartum mothers aged 0-6 weeks in the Sukoharjo District Health Service work area. The sample size consisted of 160 respondents selected through Multistage Random Sampling. The study utilized family support questionnaires, social support, and EPDS (Edinburgh Postnatal Depression Scale) as instruments. Logistic regression and Odd Ratio were used for data analysis. The data analysis results for family support yielded a P-value of 0.027 < (0.05) and an OR value of 5.787. The analysis for social support resulted in a P-value of 0.025 < (0.05) and an OR value of 5.693. These results indicate a significant influence of family and social support on the occurrence of DEPRESSION. Mothers who lack family and social support are at a higher risk of experiencing DEPRESSION, with a risk 5.787 and 5.693 times higher, respectively. Healthcare professionals should prioritize the significance of family and social support for postpartum mothers, providing both emotional and technical assistance. This includes aiding mothers in caring for their babies, self-care, and household tasks to mitigate the risk of postpartum depression.

Public Health Center Emergency Referral Quality Analysis: Based on National Standard

Wed, 24 Jan 2024 00:00:00 +0000

The referral quality will affect the outcome of referred patients. The quality of emergency referrals from the Public Health Center (PHC) in Banten Province has not been examined. This study aims to analyze the quality of emergency referrals from PHC and the factors that influence it. Observational analytics with a retrospective approach to a PHC in Banten Province, Indonesia. The reference data for March-May 2023 is taken consecutively. Data on the demographics of referrers and referral cases are recorded. The quality of referrals is analyzed using national personal referral standards. A total of 52 referral cases were involved in the study. Referrals were made by nurses with an average age of 28.2 years with a range of 23-43 years, men (38/73.1%), and with diploma education (30/57.7%). Most of the referring nurses have a valid Basic Life Support (BLS) certificate (46/88.5), are non-civil servants, and work for an average of 3.3 years. Most of the referred cases are surgical (28/53.8) and urgency cases (32/61.5). Forty-four referral cases (84.6%) did not meet national referral standards. The referring nurse's educational background and the urgency of the case had a significant relationship with the quality of referrals with p values < α values of 0.05 (0.000 and 0.000 respectively). There was no significant relationship between referral quality and patient/family satisfaction. Conclusion: Most PHC's emergency referrals to hospital emergency departments (ED) have not complied with national standards. There was a significant relationship between the education of the referring nurse and the level of urgency of the case with the quality of PHC referrals. There is no relationship between referral quality and patient/family satisfaction. National technical guidelines for individual referrals for emergency cases are needed.

Analysis of Risk Factors for Stunting Incidents in Posyandu, Hanopan Puskesmas Area, Arse District, South Tapanuli Regency, 2022

Mediawaty Siregar, Achmad Angga Satria — Wed, 31 Jan 2024 00:00:00 +0000

Stunting is a chronic nutritional problem caused by insufficient nutritional intake over a long period of time due to providing food that is not in accordance with nutritional needs (Millennium Challenge Account – Indonesia, 2018). Prevalence of stunting in Indonesia, the aim of this research is to analyze risk factors for stunting, such as: LBW. Maternal Education, Family Income, Environmental Sanitation Hygiene, further research can identify methods for promoting stunting prevention in Arse District. This research was conducted from August 2022 to August 2023 at the Posyandu in the Hanopan Community Health Center, Arse District, South Tapanuli Regency. The research design used a cross-sectional approach. The population in this study was 130 people. The sampling technique uses total sampling. Data was collected using height and weight measurements as well as questionnaires and analyzed using chi square with a significant value of <0.05. The results of this research show that there is an influence of education, family income, LBW, provision of clean water and healthy latrines on the risk of stunting at the Posyandu in the Hanopan Community Health Center area. The most dominant risk factor is LBW in related agencies, it is necessary to increase education regarding nutrition in children's growth and development, provide training on processing nutritious foods and foods that are unique and attractive to children.

Determinants of Reusing Implant Contraception Through The Safari KB Program in Surakarta

Indarwati, Annisa Andriyani, Maryatun, Sri Handayani, Tri Susilowati — Wed, 31 Jan 2024 00:00:00 +0000

Purpose This research analyzes the characteristics and determinants of repeat users of Implan contraception in Surakarta. Method This is a quantitative-research using a cross-sectional survey approach with 117 purposively selected samples. Data was collected using a questionnaire that has been tested for validity and reliability using the Cronbach's Alpha formula, with a reference value of ≥ 0.07. The data was analyzed through univariate and bivariate analyses using the chi-square test and multivariate analysis with logistic regression. The analysis was developed through a three-stage backward conditional modeling process. The first stage involved screening variables that met the criteria for inclusion in multivariate analysis. The second stage analyzed variables that were significantly related to the dependent variable. In the third stage, the variables contributing the most to the dependent variable were determined. Results: In the first stage of modeling analysis, it was found that the education level variable could not be included in the multivariable analysis. In the second stage, six variables were analyzed, and only three variables showed a strong and significant relationship, which were employment status with an Odds Ratio (OR) of 3.05, parity with an OR of 4.62, and the age of the last child with an OR of 2. In the third stage, by examining the magnitude of the Odds Ratio, it was determined that the parity variable with an OR of 4.62 was the strongest variable related to the dependent variable. Conclusion; The characteristics of repeated Implan method users are working mothers, having children aged at least three years, having at least two children, being married for more than 10 years, and having both male and female children.

Antidiabetic Effectiveness Test of Ethanol Extract of Brown Leaves (Theobroma Cacao L.) Against Mice (Mus Musculus)

Muhammad Gunawan, Safriana, Siti Aisyah Tanjung, Andilala — Sun, 04 Feb 2024 00:00:00 +0000

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia that occurs due to abnormalities in insulin secretion, insulin action or both. DM sufferers are increasing from year to year, accompanied by increasing costs of therapy, therefore, as an alternative to controlling blood glucose levels, use natural ingredients such as cocoa leaves. The aim of this research was to determine the effectiveness of ethanol extract of cocoa leaves (Theobroma cacao L.) in reducing blood glucose levels in mice that had been induced by Aloxan. The research method used was experimental research. The research stages were sample collection, sample identification, making simpilicia, examining the characteristics of simpilicia, making extracts using maceration using 96% ethanol solvent, and testing the antidiabetic effect of EEDC in mice induced by alloxan at a dose of 175 mg/kg. bb intraperitoneally. Diabetic mice were divided into 5 groups, each group consisting of 5 mice that were given the test material 50 mg/KgBB of ethanol extract of brown leaves; 100 mg/KgBB; and 200 mg/KgBB, Metformin 65 mg/KgBB, and CMC 0.5%. Next, blood glucose levels were measured on days 3, 6, 9, 12, and 15, the percentage reduction in blood glucose levels was calculated, then the data was analyzed using the One-Way ANOVA method and Duncan's test, to see real differences between treatments. The research results showed that simplicia, the ethanol extract of brown leaves contains flavonoids, alkaloids, tannins, steroids/triterpenoids, saponins and glycosides. Cocoa leaf ethanol extract has effectiveness in lowering glucose levels, at the 5th and 6th hours it shows good effectiveness at a dose of 200 mg/KgBW of (72.16 ± 0.1.51)% and (82.80 ± 0.73 )%, not significantly different from metfromin 65 mg/KgBB of (74.45 ± 1.51)% and (83.29 ± 1.01).

Satisfaction Level of Inpatient Food Services for Patients at RSUD Meuraxa Hospital in Banda Aceh

Fadyassyifa Nurhafidza, T. Alamsyah, Muhammad Nur — Mon, 05 Feb 2024 00:00:00 +0000

Hospitals are one of the crucial healthcare facilities that play a vital role in supporting healthcare efforts. Patient satisfaction or dissatisfaction is significantly influenced by the expected quality of services, particularly in hospitals. One of the success indicators in nutritional services is the satisfaction level of patients with the food they receive, as it positively contributes to the patients' healing process. These efforts also play a crucial role in supporting the recovery of patients. This research aims to assess the level of satisfaction with food services in terms of taste, presentation, and serving among inpatients at RSUD Meuraxa in Banda Aceh. The research method employed is descriptive quantitative research, aiming to provide an overview of patient satisfaction with food services at RSUD Meuraxa. Data were collected from 50 randomly selected respondents using an instrument that utilized a Likert scale with four options. The results of this study indicate that the majority of respondents are highly satisfied with the food services. A total of 90.0% of respondents stated that the food served at the hospital is delicious. Additionally, 70.0% of respondents found the food presentation to be appealing, and 96% of respondents considered the food serving to be excellent for inpatients at RSUD Meuraxa. Of all the satisfaction aspects measured, 86.0% of respondents expressed their satisfaction with the food services provided to inpatients at the hospital.

Obesity Model in White Male Wistar Rats: The Impact of Moringa (Moringa Oleifera) Flower Extract on Pancreatic Function as Deduced from Serum Amylase and Lipase Levels and the Histopathological Image of the Pancreas

Devy, Jansen, Herlina Yani — Mon, 05 Feb 2024 00:00:00 +0000

Diabetes and obesity go hand in hand. Antidiabetic drugs are effective in treating diabetes. However, currently available antidiabetic drugs are too expensive, do not work, and cause major side effects. A significant therapeutic option for Diabetes Mellitus and obesity is using bioactive chemicals produced by plants. This compound is efficacious, easily accessible, safe, and affordable. The main aim of this study was to determine whether pancreatic extract from Moringa oleifera flowers affected blood amylase and lipase levels, as well as the histological appearance, of obese male Wistar white rats (Rattus norvegicus). This is a True experimental study, with the research design used as a test control Group Design. The research data was then analyzed with the help of SPSS using ANOVA and Post Hoc Test with LSD technique. This researcher used 24 male rats. Treatment with Moringa oleifera flower extract improves pancreatic function in obese Wistar white rats by reducing serum lipase and amylase levels. The results of research on serum lipase and amylase levels showed that a dose of 600mg/Kg BW improved pancreatic function in white rats of the Wistar strain that were obese.

The Effect of Administration of Rosella Flower (Hibiscus Sabdariffa) Extract Gel on The Expression Of TNF-α And Caspase-3 Expression in An In Vivo Study of Wistar Strain Rats Exposed to Ultraviolet B-Lights

Mon, 05 Feb 2024 00:00:00 +0000

UV rays are oxidative because they can produce Reactive Oxygen Species and free radical compounds. The dangers of sun exposure can cause skin disorders such as aging at an early age (photoaging). Rosella flower petals can be used in medicine, jams, and natural food coloring because they contain flavonoids as antioxidants or free radical scavengers. The research aimed to determine the effect of administering Rosella (Hibiscus sabdariffa L.) flower extract gel on TNF-α expression and Caspase-3 expression in an in vivo study of Wistar mice exposed to UVB. This research is an experimental study. The sample for each treatment group consisted of 6 individuals, so the total research sample was 24. Data analysis used descriptive, normality, and homogeneity tests with data analysis processing using SPSS 25.0 for Windows. The study found that administration of rosella flower extract gel with a concentration of 15% effectively reduced the expression of TNF-α and Caspase-3 in mice exposed to UVB light and produced filled and dense collagen. So, it can be concluded that rosella flower extract gel can act as an antioxidant that inhibits the growth of TNF-α and Caspase-3 expression.

The Effectiveness of Giving Binahong (Anredera cordifolia) Leaf Extract on Granulation Tissue Thickness in Healing White Rat (Rattus novergicus) Cut Wounds

Putri Raina Damayanti, Andy William, Gary Wijaya — Mon, 05 Feb 2024 00:00:00 +0000

Wounds result in loss of epithelial continuity with or without loss of underlying connective tissue. The dynamic and complex wound-healing process restores tissue integrity and balance. Medicinal plants in herbal medicine, namely Binahong, help heal wounds. This study tested binahong (Anredera cardifolia) leaf extract ointment on the thickness of granulation tissue in white rat (Rattus novergicus) incision wounds. Binahong leaf extract was applied at 15%, 25%, and 35%, then the wound was examined macroscopically and histopathologically. The type of research was a true experiment with a sample of 24 male Wistar rats, six per group, in four groups (control, treatment 1, treatment 2, treatment 3). The histopathological image of granulation tissue thickness shows that the P0 group (blue) has less collagen density. Treatment group 3 (P3) with 35% binahong leaf extract showed thick collagen. Analysis of the Shapiro-Wilk normality test and significant paired t-test values greater than p>0.05 for all groups. The Shapiro-Wilk normality test shows that the data is regularly distributed. Paired T-test showed significant differences in incision wound healing between groups (p-value <0.05). The research concludes that binahong leaf extract has antiseptic, antibacterial, and ascorbic acid properties and protects against oxidation, so it is helpful for wound healing.

The Effect of Telang Flower Extract (Clitoria Ternatea) on Reducing Total Cholesterol Levels in Male Wistar Rats (Rattus Norvegicus) with Obesity

Aprillia Sri Haryati, Claudia Tanamal, Fransiskus Aryo Pratomo — Fri, 09 Feb 2024 00:00:00 +0000

Several health problems can arise from obesity, including an increased risk of diabetes mellitus, heart disease, high blood pressure, and high cholesterol. High cholesterol levels are associated with obesity, which is a health risk in and of itself. Achieving excellent health requires careful monitoring of cholesterol levels, and one way to do this is to eat foods rich in antioxidants. Specifically, this study used a laboratory experimental design, a true of experimental quantitative research. The research used twenty-four male Wistar rats (Rattus norvegicus). This study set out to compare the pre-and post-administration of Telang flower extract (Clitoria ternatea) to total cholesterol levels in the blood of rats (Rattus norvegicus). The tests were administered for homogeneity, one-way ANOVA, and normality. After that, SPSS was used to examine the study data. Researchers observed that compared to other methods, a 600mg/KgBW dose of butterfly pea flower extract (Clitoria ternatea) significantly reduced total cholesterol levels in obese male Wistar rats (Rattus norvegicus) from 65.06mg/dl to 37.46mg/dl. The study found that the phytochemical content of Telang flowers helped obese people lower their cholesterol levels.

The Effect of Administering Kelor Flower (Moringa Oleifera) Extract on Reducing Cholesterol Levels and Histopathological Features of The Testis of White Rats (Rattus norvegicus) Male Wistar Strain Obesity

Muhammad Andi Irawan, Antje Irmella Tarigan, Siti Aisyah Dalimunthe — Fri, 09 Feb 2024 00:00:00 +0000

Obesity and high cholesterol levels have garnered clinical attention for male infertility. The numerous compounds in Kelor flowers or Moringa make it a potential cholesterol medication. The research data were analyzed using SPSS, and the study was conducted as a true experiment using test animal samples of twenty-four male Wistar rats (Rattus norvegicus). The purpose of this study was to examine the histopathological features of obese male Wistar rats (Rattus norvegicus) and to determine whether or not the administration of Kelor flower extract (Moringa ternatea) reduced cholesterol levels and improved testicular function. Obese white Wistar rats had their total cholesterol levels decreased by 400 mg/kgBW and 600 mg/kgBW of Kelor flower extract, respectively, according to the study's results. The group that received 600 mg/kgBW of Kelor flower extract showed the most improvement and was the most similar to the control group in testicular histopathology studies. The substances found in Kelor or Moringa flowers have been found to improve testicular function and lower total cholesterol levels in people who suffer from obesity, according to the research.

The Effect of Giving Salak (Salacca Zalacca) Bark Extract on Liver Function and Histopathological Features of the Liver of Male Wistar White Rats Obesity Model

Ade Arhami, Lina Tantoso Djohan, Horas Rajagukguk — Fri, 09 Feb 2024 00:00:00 +0000

Nonalcoholic fatty liver disease (NAFLD) Lifestyle factors contribute to fatty liver disease. Physical activity, weight loss, and antioxidant-rich components like Salak herb are used to minimize liver disease. The study examined how Salak bark extract affected liver function in white male Wistar rats, an obesity model, and histopathology. An actual experiment or laboratory experimental design is used in this quantitative research. Four experimental groups of 24 mice were employed. Research data was analyzed with SPSS 25.0. Normality test findings reveal 2-tailed significance of 0.991 > 0.05. The One-Way ANOVA test at a 95% confidence level for the SGOT liver function analysis data showed the same variance, 0.233 (p>0.05) and 0.718 (p>0.05) for the SGPT liver function analysis. Histopathological studies showed snake fruit extract at 300mg/BW scored 3 (Hydropic degeneration), 500mg/BW scored 2 (Parenchymatous degeneration), and 700mg/BW scored 1 (Normal). The phytochemical screening of alkaloids, flavonoids, saponins, tannins, and glycosides demonstrated that Salak bark extract's secondary metabolite concentration contains antioxidant-effective active components. The study demonstrated no inflammation, cell improvement, necrosis, or fat at 700 mg/BW.

Case Report: 18 Year Old Male Patient with Lupus Nephritis

Kurnia Halim — Tue, 13 Feb 2024 00:00:00 +0000

Systemic lupus erythematosus is a chronic autoimmune disease that can affect various organs of the body, one of the most commonly affected complications is the kidneys and results in lupus nephritis, the percentage of disease occurrence is more than 50% of patients in the first 5 years. Male patients tend to have more aggressive disease with renal, vascular, and cardiac involvement. Based on the criteria of Systemic Lupus International Collaborating Clinics in 2012 defines lupus nephritis if there is proteinuria in 24 hours ≥ 0.5 g / day, there is urine sediment, and there is a decrease in renal filtration function. Although the disease can be diagnosed based on these three things kidney biopsy remains the gold standard of diagnosis. In this case report, an 18-year-old male with lupus history came to the emergency room with the main complaint of fever accompanied by shortness of breath, from the results of supporting examinations obtained anemia, thrombocytopenia, high creatinine, and eGFR of 4 mL/minute, complete urine showed proteinuria, cylinders, and erythrocytes, AP thorax photos showed cardiomegaly, bronchopneumonia, and bilateral pleural effusions. Based on history, physical examination, lab, and imaging, the patient was diagnosed with systemic lupus erythematosus, lupus nephritis, chronic kidney disease, normocytic normochromic anemia, and community acquired pneumonia. The patient received glucocorticoids, immunosuppressants, diuretic, antihypertensives, antibiotics, and other supportive therapy, The patient also received renal replacement therapy in the form of hemodialysis and a kidney biopsy will be done after the condition improves

Community Diagnosis Activities in Efforts to Reduce Hypertension Cases in the Working Area of Legok Health Center, Legok District, Tangerang District, Banten Province

Hansen Hansen, Novendy Novendy — Tue, 13 Feb 2024 00:00:00 +0000

Background: Hypertension is one of the most common causes of heart disease, stroke, and kidney failure. Hypertension cases in Indonesia until 2018 were recorded at around 34.1%. There was an increase compared to 2013 which was 25.8%. The number of new cases of hypertension during July to September 2023 at the Legok Health Center is known to increase every month, from 63 to 77 cases with the highest cases in Babakan Village. From the mini-survey, it was found that knowledge about hypertension was still lacking. Objective: To increase public knowledge about hypertension as a whole in the working area of the Legok Health Center. Methods: A community diagnosis approach was used to identify problems using Blum's Paradigm. Problem prioritization was determined using non-scoring Delphi technique and the root cause of the problem was determined through fish-bone diagram. Data on intervention outcomes were obtained through pre and post test questionnaires. Monitoring was conducted using the plan-do-check-action (PDCA) cycle. Results: Based on the results of the analysis using the fishbone diagram, the main problem is lifestyle. The results of the activity obtained all participants scored ≥70 points on the post-test and blood pressure screening ≥140 and / or ≥90 was obtained in 10 people (35.71%). The nutritional status of under-weight was found in 2 people (7.14%), normal in 5 (17.86%), overweight in 3 (10.71%), obesity level 1 in 12 people (42.86%), and obese level 2 in 6 people (21.43%) and abdominal circumference ≥80 cm in 21 people (75%). Conclusion: Based on our intervention, it can be stated that our intervention is successful so that it is expected to reduce hypertension cases at the Legok Health Center

Analysis of Needs and Weaknesses of The Maternal and Child Health Surveillance System

Asni Hasanuddin — Tue, 13 Feb 2024 00:00:00 +0000

The maternal and child health program in Sukoharjo district includes several reports on childbirth, postpartum, immunization reports, nutritional counseling, midwife courses, home visit reports, and family planning services, both in hospitals, health centers, maternity homes, and midwives. The maternal and child health surveillance that has been carried out so far has only been carried out to fill in data reports to health agencies at the central level. It has not been presented and analyzed properly, let alone disseminated the information to those who need it. Therefore, efforts are needed to improve the quality of epidemiological data and information so that planning and evaluation are well coordinated to improve the quality of the analysis results of surveillance data studies in terms of timeliness and sensitivity of reports. This research aims to determine the weaknesses in the need for a maternal-child health surveillance system and a maternal-child health surveillance system. The intervention method used is through on-the-job training. Meanwhile, district officers who have been trained previously (tiered training) train maternal and child health workers at community health centers. From the results of the analysis, it can be concluded that the maternal and child health program surveillance system is generally running well.

Fat Emboli with Thrombocytopenia in A Patient Undergoing Operation for A 1/3 Medial Humerus Oblique Fracture

Son Ardianto, Devin Alexander, Budi Wahono — Tue, 13 Feb 2024 00:00:00 +0000

Fat embolism is a clinical syndrome characterized by the systemic spread of fat emboli which often occurs due to fractures in long bones. We report a 29 year old man with a diagnosis of a fracture of the medial third of the right humerus accompanied by thrombocytopenia which could be one of the clinical manifestations of pulmonary embolism. A 29 year old man came to the emergency room at RAA Soewondo Pati Regional Hospital with complaints of pain in his right hand 2 hours before entering the hospital. The patient felt pain after falling and slipping at home. Physical examination revealed tachycardia and tachypnea. Humeral x-ray revealed discontinuity in the medial 1/3 of the right humerus. The patient then underwent treatment for the fracture and the day after a routine blood test was carried out. Routine blood tests revealed thrombocytopenia.Fat embolism is a dangerous complication of long bone fractures. Often this fat embolism is not recognized until the patient shows symptoms in several systems, especially the respiratory system such as respiratory distress and neurological system disorders ranging from motor disorders to seizures. Apart from that, fat embolism can also disrupt the coagulation system so that thrombocytopenia can occur. In this patient there was tachypnea and thrombocytopenia which could be early symptoms of fat embolism. Fat embolism is a complication of long bone fractures that is rare but dangerous if not properly recognized. Immediate management of fractures and collaboration with anesthesiologists and internists are important to prevent fat embolism.

A Systematic Review: Early Warning System for Hospital Wards

Sun, 18 Feb 2024 00:00:00 +0000

Most of the unexpected events occur in the hospital wards. An Early Warning System (EWS) is a system created to identify worsening patients outside the Intensive Care Unit (ICU). EWS is one of the requirements that must be met to get hospital accreditation. Hospitals have to choose the appropriate EWS to get optimal outcomes. This study aims to describe some of the EWS in the wards that have been researched and developed, as well as their performance in predicting severe adverse events (SAE). This study is a literature review design, conducting a systematic review by selecting relevant articles on Pub Med and Science Direct using the keyword "Early Warning Systems" in the 2018-2023 period. Out of 269 articles, only 12 articles that met the criteria. The selected articles are then systematically reviewed and analyzed. Based on the extraction results of 12 articles, 9 EWS were grouped into National Early Warning Score (NEWS) and its variants, Modified Early Warning Score (MEWS) and its variants, and EWS integrated with Electronic Medical Record (EMR). In choosing an EWS, hospitals must consider the complexity of the cases being managed and the capabilities of existing resources. The recommended EWS in hospital wards with limited resources is weighted EWS or EWS with combinations, such as NEWS and MEWS with variants. Meanwhile, hospitals that have used EMR can choose EWS integrated with EMR to increase their predictive value for SAE, as well as improve protocol compliance.

Knowledge of Postpartum Mothers about Kegel exercises for Perineal Wound Healing

Mon, 19 Feb 2024 00:00:00 +0000

The World Health Organization reported 2.7 million perineal injuries in women giving birth in 2009, reaching 6.3 million in 2020. A study was conducted to determine postpartum mothers' knowledge about kegel exercises to prevent perineal wounds. The study involved 30 respondents, with 83% having less knowledge than others. The majority had less knowledge of housework, tertiary education, and health workers. The study suggests that more knowledge is needed from health workers, electronic media, and print media. Respondents' knowledge about Kegel exercises for healing perineal wounds was based on information sources, the majority had little knowledge with health workers as many as 15 people (50%) and the minority had enough knowledge with electronic media as many as 2 people (7%).

Determinants of Stunting Among Children Under Five Years in Indonesia: Evidence from the 2021-2022 Demographic and Health Survey

Rahmah Juliani Siregar, Maryam Latifah Harahap, Elvi Suryani — Tue, 20 Feb 2024 00:00:00 +0000

At the global level, the prevention of stunting is one of the Sustainable Development Goals (SDGs). Indonesia is currently working towards achieving the second Sustainable Development Goal, which entails ending hunger, ensuring food security, improving nutrition, and supporting sustainable agriculture. As a part of this objective, efforts are being made to decrease the prevalence of stunting in children by 2025. Attention towards stunting is crucial as it can adversely affect children's physical and cognitive development well into adulthood if not addressed appropriately. This paper conducted a literature review from various sources, with a focus on google scholar and prioritizing sources from the last five years, as well as research on the population in Indonesia. It was determined through the analysis of several sources that maternal, child, and environmental factors pose various risks for stunting in Indonesia. Maternal factors that may play a role in child development include the mother's age, upper arm circumference, height, breastfeeding or complementary feeding practices, early initiation of breastfeeding and food quality during pregnancy. A history of low birth weight or prematurity, male sex, neonatal illness, frequent and recurrent diarrhea, infectious diseases, and lack of immunization are among the child factors associated with developmental outcomes. Factors such as living in a low socio-economic environment, limited family education, especially maternal education, insufficient household income, open defecation in rivers, gardens or inadequate latrines, consumption of untreated drinking water and high exposure to pesticides are also associated with the prevalence of stunting.

Navigating the High Seas of Mental Health: Exploring the Prevalence of Depression, Stress, Anxiety, and Burnout Among Indian Seafarers

Kavita Sharma — Tue, 16 Apr 2024 00:00:00 +0000

The primary objective of this study is to investigate the extent to which depression, stress, anxiety, and burnout in Indian seafarers. The study collected data from 109 Indian seafarers through Google Forms from March 2023 to April 2023. Descriptive statistics and inferential statistics were used to summarize the data based on selected demographic factors. The results showed that Indian seafarers suffered from mild depression (Mean =13.54) Seafarers also suffer from moderate levels of anxiety (Mean= 10.81). The levels of stress are found to be of normal level (Mean=13.28). The average scores for the components of burnout, namely Disengagement, and Exhaustion, among seafarers are 20.03 (SD= 3.673) and 20.43 (SD= 4.051) respectively. These findings suggest that seafarers exhibit moderate levels of burnout. Also, the correlational analysis shows a positive moderate correlation between total scores of depression, anxiety, stress, and components of Burnout with a value of 0.392 at a 1 % level of significance. The study highlights the need for mental health interventions and support services for seafarers to prevent and manage mental health issues in this population.

Cycle Threshold (CT) and Neutrophil-To-Lymphocyte (NLR) Values As Predictors of Clinical Symptoms in Pediatric Covid-19 Cases: A Systematic Literature Review

Sabar Hutabarat, Wahyu Indah Dewi Aurora — Fri, 19 Apr 2024 00:00:00 +0000

Background: The COVID-19 epidemic has impacted persons across all age demographics, including children. An opposing viewpoint is that despite the extensive discussion surrounding the neutrophil-to-lymphocyte ratio as a potential indicator of clinical symptoms in pediatric COVID-19 cases. This systematic literature review aims to explores the correlation between CT readings, neutrophil-to-lymphocyte ratio, and clinical symptoms in pediatric cases with COVID-19. Method: This systematic review examined the existing research on Cycle Treshold (CT) and Neutrophil-To-Lymphocyte Ratio (NLR) values as indicators of the clinical progression in children with COVID-19. An extensive search of databases Scopus revealed studies that satisfied our inclusion criteria. They utilized CT valuess and the neutrophil-to-lymphocyte ratio as indicators for predicting clinical symptoms. The inclusion criteria for this study were specifically centered around juvenile patients with COVID-19 from scopus databased. The chosen studies underwent a thorough evaluation to determine their quality and relevance. Various nations, including Korea, China, Italy, the United States, Egypt, South Africa, India, Japan, Brazil, and others. Result: The papers included in the analysis demonstrate a noteworthy correlation between CT readings and clinical symptoms in children with COVID-19 Pediatric COVID-19 cases with elevated CT values demonstrated a greater propensity for severe clinical manifestations, including respiratory distress and pneumonia. Upon reviewing the available research, it is evident that hematological parameters, specifically the neutrophil-to-lymphocyte ratio, significantly impact forecasting the severity and clinical prognosis of juvenile COVID-19 cases. Conclusion: The neutrophil-to-lymphocyte ratio and CT values were identified as dependable indicators of illness severity in pediatric patients. The results emphasize the significance of hematologic measures, specifically the neutrophil-to-lymphocyte ratio, as helpful markers for evaluating the clinical symptoms and outcomes of juvenile COVID-19 patients.