Journal La Medihealtico

Evaluation of TNF-α Concentration Level in Al-Najaf Hospitals Patients Infected with Hydatid Cysts

Raad Ajam Sayal, Haider Malik Mohammed — Wed, 30 Oct 2024 00:00:00 +0700

Human echinococcosis is a zoonotic disease caused by a species of medical importance, the Echinococcus granulosus , an etiological agent of cystic echinococcosis (CE). A radiological examination will be performed for these patients to diagnose Echinococcus granulosus parasite by find echinococcal cysts. All of these patients were involved in this study and during the period starting from October 2023 to the end of January 2024, from all ages of patient from both sex (Males and Females At Al-Sader Medical City, AL-Hakeem General Hospital, AL-Haidarya general Hospital and Al-Hayat Hospital. The mean level of TNF-α in patients is 163.27 pg/ml, which is significantly higher than the mean level of 38.58 pg/ml in controls (p-value < 0.001). The prevalence of hydatid disease in Al-Najaf Al-Ashraf in this study was 33%. Levels of the cytokines IL-6, TNF-α, IL-1ß, and IL-4 are more important in patients with Echinococcus granulosus under 40 years of age than in those over 40 years of age.

Anesthesia Management of Patients with Esophageal Atresia/Traceoesophageal Fistula undergoing Thoracostomy and Esophagostomy Procedures

Triade Marthendro, Dino Irawan, Vera Muharrami, Nopian Hidayat, Pratama Ananda — Thu, 31 Oct 2024 14:46:16 +0700

Esophageal atresia is a congenital disorder characterized by a disruption in the continuity of the esophageal lumen. Esophageal atresia may be accompanied by tracheoesophageal fistula, which is a lumen connection between the proximal and or distal part of the esophagus and the airway (trachea). Type C atresia is the most prevalent, which is approximately 88.5% to 90% of cases, where there is proximal esophageal atresia with distal tracheoesophageal fistula. In this case, a 9-day-old infant was admitted to Arifin Ahmad Hospital for thoracostomy and esophagostomy surgery due to continuous mucus discharge. The patient underwent awake intubation and was positioned intraoperatively, with a tilt to the right when an orogastric tube was placed. During surgery, the patient maintained stable hemodynamic and was subsequently admitted to the NICU using a ventilator. Infants with esophageal atresia often show symptoms of hypersalivation and shortness of breath caused by aspiration pneumonia. When the nasogastric tube cannot pass through the esophagus, atresia can be suspected. Radiology studies play an important role in diagnosing esophageal atresia, confirming esophageal atresia with or without fistula and diagnosing other anomalies associated with VACTERL.

In Vitro Anti-inflammatory Effect of Secretome from Umbilical Cord-derived Mesenchymal Stem Cells in COVID-19 Patient Blood: A Study on sIL-6R, sgp130, IL-1RA and Anti/pro Inflammatory Cytokines

Thu, 31 Oct 2024 14:59:47 +0700

COVID-19 exhibits a wide range of clinical manifestations which severity of the disease is linked to uncontrolled escalation of inflammatory mediators. Ongoing research has identified the immunomodulatory effects of the MSC-derived secretome as a potential therapy for COVID-19. However, the precise mechanism by which the secretome exerts its therapeutic effect on COVID-19 remains unclear. This study aims to investigate whether the components of the UC-MSC-derived secretome can alter the inflammatory characteristics of immune cells. To achieve this, an in vitro study will be conducted involving co-incubation of whole blood with secretomes, followed by LPS stimulation. A total of 12 blood samples from severe COVID-19 and healthy subjects were cultured into three groups (RPMI control, 3μl and 9μl secretome group) incubated for 24 hours. Then, the cultures were exposed to LPS for 48 hours. The levels of sIL-6R, sgp130, IL-1RA, IL-6, TNF-α, IFN-γ, and IL-10 were measured. Results showed that LPS increased IL-6, TNF-α, and IL-10 production, while reducing sIL-6R, and sgp130, but no changes seen in IFN-γ in secretome-incubated blood cultures. The post-LPS/pre-LPS ratio analysis was conducted to investigate the anti-inflammatory potential of secretome. It was found that the secretome provides its anti-inflammatory effects through the role of IL-1RA.

Factors Influencing the Implementation of the Hospital Management Information System on the Quality of Service

Markus Sastra Eli Zebua, Asriwati Amirah, Juliandi Harahap — Tue, 05 Nov 2024 13:21:36 +0700

An information system serves as a formal mechanism that supplies management with precise and timely data essential for decision-making, facilitating successful planning, oversight, and operational functions. This research employs a quantitative methodology with a cross-sectional design. The research population comprises employees utilizing computer systems in units linked to SIiMRS, with a sample size of 125 individuals. This research indicates that human resources significantly influence the implementation of SIMRS on service quality at RSU Bethesda Gunungsitoli, with a p-value of 0.000, which is less than 0.05. The hardware significantly influences the implementation of SIMRS on service quality at RSU Bethesda Gunungsitoli, evidenced by a p-value of 0.001, which is less than 0.05. The implementation of software in SIMRS affects the quality of service at RSU Bethesda Gunungsitoli, evidenced by a p-value of 0.014, which is less than 0.05. Data management significantly influences the implementation of SIMRS on service quality at RSU Bethesda Gunungsitoli, evidenced by a p-value of 0.035, which is less than 0.05. The LAN conditions significantly influence the implementation of SIMRS on the quality of service at RSU Bethesda Gunungsitoli, evidenced by a p-value of 0.023, which is less than 0.05. The findings of the multivariate analysis indicated that human resource factors exerted the most significant impact on service quality at RSU Bethesda Gunungsitoli. The continuity variable is indicated as 7.807, signifying that respondents with proficient human resources possess a 7.807 likelihood of enhancing the quality of service at RSU Bethesda Gunungsitoli.

Evaluation of Sectio Cesaria Response Time to Maternal and Neonatal Outcomes in Severe Preeclampsia - Eclampsia Patients

Wed, 06 Nov 2024 13:18:14 +0700

This research is finding out an overview of the response time evaluation of Sectio Cesaria in patients with severe Pre-eclampsia - Eclampsia at Sitti Khadijah 1 Muhammadiyah Hospital Makassar Branch. Severe preeclampsia and eclampsia are complications in pregnancy and childbirth that increase maternal and infant morbidity and mortality rates. To prevent the problem of eclampsia, early management of preeclampsia must be carried out properly. Cesarean sections are classified into two categories, namely SC categories 1 and 2. Category 1 Caesarean sections are SCs that must be carried out as soon as possible and most decisions must be taken within 30 minutes, namely in cases that immediately threaten the lives of the mother and baby, such as fetal distress, non-reassuring fetal status, antepartum hemorrhage, and the threat of uterine rupture. While SC category 2 is one that endangers the mother and fetus but not immediately, such as two previous CS, dystocia, hypertension in pregnancy, premature rupture of membranes, breech position, failed induction, bad obstetric history, macrosomia, cephalopelvic disproportion, facial presentation, and most decisions must be taken within 75 minutes. This research method is observational research using a cross sectional approach. The results of this research is maternal outcome most affected by SC response time <75 minutes is postoperative ICU care, and the most influential neonatal outcome is the APGAR Score. Based on the research results, it can be concluded that response time has a significant influence on maternal and neonatal outcomes in patients with severe preeclampsia - eclampsia.

Analysis of The Incidence of Uterine Leiomyoma Based on Body Mass Index and Neutrophil-Lymphocyte Ratio

Aufa Faza Fauzan Farma, Yuni Prastyo Kurniati — Tue, 12 Nov 2024 10:24:15 +0700

Leiomyoma is the most common benign uterine tumor in the female with an incidence rate of 70-80%. The cause of these tumors is still unknown, but one of the known causes is that they grow in response to hormonal stimulation. Lymphocytic infiltration in this disease has been identified as an unusual finding. This suggests a potential role for lymphocytes in the development of such tumors. A bibliometric analysis of various sources found minimal research on the Neutrophil-Lymphocyte Ratio (NLR) in uterine leiomyoma, especially in Indonesia. This study analyzed the incidence of uterine leiomyoma based on Body Mass Index (BMI) and Neutrophil-Lymphocyte Ratio (NLR). This study used an observational analytic method with a case-control design. The sampling technique used was consecutive sampling and 129 samples were obtained in the form of 65 uterine leiomyoma case groups and 64 adenomyosis control groups. BMI variable parameters were obesity (>25kg/m2) and not obese (≤25kg/m2), while NLR was at risk (>3.53) and not at risk (≤3.53). Data analysis consisted of univariate, bivariate with a Chi-Square test, and continued with multivariate using logistic regression analysis. There was a significant relationship between BMI and uterine leiomyoma incidence (p = 0.028). There was also a significant relationship between NLR and uterine leiomyoma (p = 0.017). NLR had a 3,688-fold more association with the incidence of uterine leiomyoma than BMI. In conclusion, a relationship exists between BMI and NLR in the incidence of uterine leiomyoma. NLR can be a predictor of uterine leiomyoma, especially in women of reproductive age.

The The Influence of Breastfeeding Education on the Effectiveness of Breastfeeding in the Bajoe Community Health Center Work Area, Bone Regency

Tue, 19 Nov 2024 10:25:26 +0700

The effectiveness of the breastfeeding process is defined as an interactive process between mother and baby that results directly in the transfer of milk from the mother's breast to the baby, in a behavior that reflects the fulfillment of the needs of the mother and baby. This research was conducted in the Bajoe Community Health Center, Bone Regency, with a research time design starting from June-September 2020 which aims to determine the effect of breastfeeding education on the effectiveness of postpartum maternal breastfeeding. This research method uses a pre-experimental design approach with one group pre-post test design approach. In this study, before the intervention was given, a pre-test was given which aimed to assess the effectiveness of breastfeeding. After the intervention was given, a post-test was given with a total sample of 46 people. The sampling technique used total sampling. The data analysis used was univariate and bivariate analysis presented in the frequency distribution table. For statistical tests, the level of significance used was p <0.05. The analysis used to determine the effect of breastfeeding education on the effectiveness of breastfeeding was a paired statistical test with a nonparametric test, namely the Wilcoxon test. Based on the results of statistical tests, it was found that the p value was 0.001 <0.05, which means that there was a significant effect of breastfeeding education on the effectiveness of breastfeeding for postpartum mothers in the working area of the Bajoe Community Health Center, Bone Regency.

Clay-Shoveler Fracture in a Golfer: A Rare Sports Injury Case Report

Yunus Abdul Bari, Muhammad Rafif Amir — Tue, 19 Nov 2024 10:33:38 +0700

Clay-shoveler's fracture is a relatively rare stress-type avulsion fracture of the lower cervical or upper thoracic spinous processes, most commonly occurring at C7 and T1. The term of this injury comes from its historical association with manual laborers who lifted and threw big objects, as well as with scooping huge loads of clay in the early 20th centuryThe case report describes A 29 year old male experienced severe back pain after playing golf. at the time of the golf swing, the golf swing did not hit the ball but hit the ground. the patient experienced radiculopathy pain to both hands. A "pop" sound was audible in the spine at the moment of the hitting fault, and there was no paralysis in the lower limbs.The primary method for managing a clay-shoveler fracture is conservative. In most cases, traction of the rhomboid and trapezius muscles on the spinous process leads to nonunion. In rare cases if the pain persists, surgically removing the bone fragment may be a possibility.

Model of the Relationship between Workload and Motivation to Employee Performance and Job Satisfaction

Alfina Widyatara, Minto Waluyo — Tue, 19 Nov 2024 10:42:14 +0700

A significant increase in visits, visitor complaints about employees, and turnover rates that exceed the established standards indicate problems related to workload and motivation that will impact employee performance. The purpose of this study was to determine the relationship model of workload and motivation to employee performance and job satisfaction. The method of conducting this research is using a questionnaire with a Google form. The data analysis technique uses Structural Equation Modeling with maximum likelihood estimation (MLE) so that the sample requirements used must meet a minimum of 100 data. Research results at the final stage, namely model modification, obtained the goodness of fit value and cut-off value at chi-square = 176.653, Significance Probability = 0.054, Cmin/df = 1.194, RMSEA = 0.044, GFI = 0.868, AGFI = 0.794, TLI = 0.975, and CFI = 0.982. From the model test results compared to the cut-off value, all indicators have achieved good results, except AGFI. Indicators reach good results (marginal) so that the next analysis test can be continued. Based on the results of hypothesis testing, the results show that workload has a significant effect on employee performance, work motivation has an insignificant effect on employee performance, workload has a significant effect on job satisfaction, work motivation has a significant effect on job satisfaction, and job satisfaction has a significant effect on employee performance.

The Influence of Age Factor and Industrial Area on The Malignancy Rate of Bone Tumours

Namira Aisya Devi, Yuni Prastyo Kurniati — Tue, 19 Nov 2024 10:54:11 +0700

Bone tumour is a term for a group of tumours located in the bones. World Health Organization data in 2020 stated that the incidence rate of bone sarcoma in the Americas and Europe was 0.8 per 100,000 population. Industrial development, especially in areas with high population density, has environmental impacts such as air pollution and contamination of water sources. This has been associated with an increase in the prevalence of bone tumours in children. However, studies on this matter are still limited. This study aims to analyze the effect of industrial areas and age factors on the level of bone tumour malignancy. This study used observational analytics with a case-control design. Osteosarcoma as the case variable and GCT as the control variable. The sample used was 106, consisting of 53 osteosarcoma tumours and 53 GCT tumours. Age classification is divided into 0-18 years and 319 years. Industrial area classification is divided into <2.5 km and 32.5 km. Bivariate analysis using the chi square test. Has obtained approval from the Health Research Ethics Commission (KEPK) of RSUD dr. Moewardi with Number: 1.557/VI/HREC/2024. Results found no significant effect of age factor on the level of bone tumour malignancy (p-value=0.204). Meanwhile, an insignificant effect was also found between the proximity of residence to industrial areas on the level of bone tumour malignancy (p-value=0.121). This study shows that age factor and proximity of residence to industrial areas do not affect the level of bone tumour malignancy.

Anxiety Score in Anxiety Patients Using Slow Deep Breathing Relaxation Therapy

Firmawati Firmawati, Nur Uyuun, Sri Rahayu — Tue, 19 Nov 2024 11:10:02 +0700

Anxiety problems experienced can be caused by situations or conditions that a person will face that are considered threatening and endangering themselves so that pharmacological treatment is needed, namely in the form of antianxiety and non-pharmacological. Nonpharmacological therapy in generalist nurses that can be given to anxiety patients includes slow deep breathing. The purpose of this study was to determine the effect of slow deep breathing relaxation therapy on anxiety scores in anxiety patients in the Limboto Health Center working area. The research method used pre-experimental with one group pre-post test design. The study population was patients with anxiety who were in the Limboto Puskesmas working area. The sample in this study was the total population of 15 people. Based on the results showed that the average score of symptoms before slow deep breathing relaxation was 25.73 with a standard deviation of 1.668 and the average score after slow deep breathing relaxation was 15.33 with a standard deviation of 3.222, and the p-value obtained was 0.001 (<α 0.05), meaning that there was an effect of slow deep breathing relaxation therapy on anxiety scores in anxiety patients in the Limboto Puskesmas Working Area.

Evaluation and Proposal Repair Safety Culture Maturity Use Safety Model Canvas in Manufacturing Companies

Yuda Ardiansyah, Tranggono Tranggono, Rizqi Novita Sari — Tue, 19 Nov 2024 11:16:25 +0700

PT. Rajawali Sumber Rejeki is one of the manufacturing companies that produces cigarettes in Indonesia. The cigarette production process involving large machines has a high potential risk of accidents for employees. This study assesses and proposes improvements to the company's safety culture maturity as a material for evaluating the company's K3 policy so that the number of work accidents in the production process can be minimized. The safety culture maturity assessment involves safety culture variables, namely commitment, leadership, responsibility, competence, engagement & involvement, information & communication, risk, and organizational learning. Data collection was carried out by distributing questionnaires to 60 employees working in the company. Three expert judgments were also involved as determinants of the weight of the safety culture maturity variable using the AHP (Analytical Hierarchy Process) method. In addition, fuzzy theory is also used to reduce the subjectivity of the company's safety culture maturity assessment results. Then the improvement proposal is given with a safety model canvassing based on the results of the safety culture maturity assessment. The results of the study showed that the safety culture maturity of PT. Rajawali Sumber Rejeki is 3.5 which is included in the Complaint level. Based on the safety canvassing model that has been created, the priority for improving the safety culture maturity variables from the first to the last is organizational learning, competence, commitment, information & communication, risk, engagement & involvement, responsibility, and finally the leadership variable.

The Effect of Listening to Murotal Al-Quran on Anxiety of Pregnant Women with Preeclampsi

Maratun Ulaa, Riska Marlin, Yuniza Yuniza, Khusnu Tisa Azmi , Feby Puryanti — Wed, 27 Nov 2024 14:23:55 +0700

Preeclampsia is a special condition of pregnancy characterized by hypertension and proteinuria after 20 weeks of gestation in women who had normal blood pressure before pregnancy. Pregnancy with preeclampsia can cause anxiety due to fear and worry felt by pregnant women towards themselves and their babies. This study aims to analyze the effect of listening to murottal Al-Quran on the anxiety of pregnant women with preeclampsia. The research method used was pre-experiment with one group pre-post design to determine the effect of listening to Murottal Al-Quran on the anxiety of pregnant women with preeclampsia. The population in this study were pregnant women in the third trimester who experienced mild and severe preeclampsia at the Muhammadiyah Hospital in Palembang. The sample in this study was pregnant women in the third trimester who experienced mild preeclampsia at the Muhammadiyah Hospital in Palembang as many as 11 people. The instruments used in this study were questionnaires to measure anxiety Stai-Y1 and Stai-Y2, observation sheets and murottal Al-Quran. Results of the study. Conclusion: listening to murottal Al-Quran can reduce the anxiety of pregnant women with mild and severe preeclampsia.

Sunscreen: Assessing Knowledge and Attitudes Towards Sunscreen Usage Among Students for Skin Cancer Prevention

Muhammad Imam Arya, Mutiara Nabilla Jusuf, Fitri Utami — Tue, 03 Dec 2024 10:06:56 +0700

Sunlight contains Ultraviolet Radiation (UVR) which can damage the skin layer and become a risk factor for skin cancer. The increase of ultraviolet index in Indonesia and the incidence of skin cancer encourages the use of sunscreen to maintain skin health. This study aims to determine the level of knowledge and attitude categories related to the use of sunscreen in students at SMA Negeri 2 Padalarang in 2023 as an effort to prevent skin cancer. This research is a descriptive categorical non-experimental quantitative approach with a cross sectional study design. The data collection technique used a questionnaire containing 18 knowledge measurement items and 12 attitude measurement items. Results of the 286 respondents only 11.19% of respondents had knowledge in the good category, 44.06% of respondents were in the sufficient category, and respondents who had a poor level of knowledge were 44.76% of respondents. The use of sunscreen in 286 respondents showed that 64.34% of respondents had a positive attitude, while 35.66% of respondents had a negative attitude in using sunscreen. The majority of respondents have insufficient knowledge about sunscreen as a prevention of skin cancer. Although the average attitude towards using sunscreen is positive, the main reason for using it is to prevent sunburn, dark spots, and facial aesthetics, not specifically for skin cancer prevention.

Habits of Drinking Herbal Medicine in Postpartum Mothers in the Working Area of PD 'Aisyiyah Bangkalan Regency

Fulatul Anifah, Syuhrotut Taufiqoh, Firdausi Nuzula — Tue, 03 Dec 2024 10:26:42 +0700

The aim of this study is to find out what factors encourage mothers to take herbal medicines and what are the effects after taking herbal medicin. This research method is qualitative descriptive with a case study approach. The research subjects in this study are postpartum mothers who drink herbal medicine with inclusion criteria who do not experience complications during puerperal and are in the postpartum period. The main informants in this study were 5 people with triangulation informants of 4 people consisting of midwives, cadres, families and shamans. The methods used in this study are interviews, FGDs, and observations. The instruments used are interview guidelines and observation sheets.the data obtained is processed, analyzed and presented textually. The results of the study showed that all informants consumed jau for postpartum mothers. All of them consume instant herbal medicine in powder form. Drinking herbal medicine begins at 7 days after giving birth until 40 days of the postpartum period. The driving factor for postpartum mothers to drink herbal medicine is orders from parents and the surrounding community. The efficacy of postpartum herbal medicine felt by the informant was that the body felt healthy, increased breast milk production, tightened muscles, while the negative impact obtained was constipation. The behavior of consuming herbal medicine for postpartum mothers is seen from a medical point of view as not harmful to the health of the postpartum mother's body.

The Effect of Residential Altitude and Body Mass Index on the Incidence of Hypertension

Edgina Khairunnisa, Yusuf Alam Romadhon — Tue, 03 Dec 2024 12:51:29 +0700

Non-communicable diseases (NCDs) are diseases that are not transmitted from one individual to another, but these diseases develop slowly and have long episodes. One of the most common non-communicable diseases (NCDs) is hypertension. The number of adults aged 30-79 years experiencing hypertension is around 1.28 billion worldwide. The prevalence of hypertension in Indonesia is estimated at 34.1%, showing an increase from 2013 of 25.85%. The prevalence of hypertension in Central Java is the largest case of all non-communicable diseases, which is 76.5%. The prevalence of hypertension in Kendal Regency always increases every year. In 2019 it was around 9.74%, in 2020 it was around 18.21%, and in 2021 it was around 32.32. Objective: This study aims to analyze the effect of residential altitude characteristics and body mass index (BMI) on the incidence of hypertension. This study uses observational analytics with a cross-sectional research design. The sampling technique uses purposive sampling technique. Statistical analysis with univariate analysis using Chi-square and multivariate analysis using logistic regression. Based on the results of the regression model equation show that the probability value ( predicted ) is 0.408. This shows that the sample in this study who have a residence with a residential altitude of 650 meters above sea level ++ and have a BMI with the Overweight/obese category will be predicted to experience hypertension with a predicted value of 0.408. It was found that the characteristics of being left behind are more significant in influencing the incidence of hypertension compared to body mass index, although both are considered risk factors.

Analysis of Compliance Factors of Chronic Kidney Failure Patients Undergoing Hemodialysis

Tue, 03 Dec 2024 13:05:49 +0700

The aim is to determine the factors associated with compliance of chronic renal failure patients undergoing hemodialysis in RSUD Brigjend. H. Hasan Basry Kandangan Hospital. This type of research is analytic observational with a cross-sectional survey approach. The results of the bivariate analysis showed that there is a correlation between motivation and compliance in chronic renal failure patients undergoing hemodialysis with a Pvalue (0.000) < 0.05 and an OR of 22.222, a correlation between satisfaction and compliance in chronic renal failure patients undergoing hemodialysis with a Pvalue (0.000) < 0.05 and an OR value of 16.667, and a correlation between therapeutic communication and compliance in chronic renal failure patients undergoing hemodialysis with a Pvalue (0.004) < 0.05 and an OR value of 9.118. Based on the results of this study, it can be concluded that there is a correlation between motivation, satisfaction and therapeutic communication with compliance with undergoing hemodialysis in RSUD Brigjend. H. Hasan Basry Kandangan Hospital.

Analysis of Factors Associated with Utilization of Posyandu Elderly Health Services

Tue, 03 Dec 2024 13:11:47 +0700

Puskesmas Panarung is the coverage of elderly health services with the lowest utilization of 559 elderly (25.0%) data on the number of elderly visits from both the Health Office and the health center has not reached the target of 70%. To determine the relationship between motivation, family support, accessibility, and service quality with the utilization of oral health services at the Panarung City Health Center. This study used a cross sectional design. The study subjects consisted of 94 people at the Panarung City Health Center. Data analysis chi square test and multiple logistic regression test. The results of the analysis is the most dominant variables related to the Utilization of Posyandu Elderly Health Care Services in the working area of Puskesmas Panarung are motivation (17.767), family support (15.046), service quality (10.797), and accessibility (7.956). There is a relationship between motivation, family support, accessibility, and service quality with the utilization of posyandu health services for the elderly. The most dominant variable is motivation.

Analysis of Factors Associated with the Incidence of Stunting in Toddlers: Factor Analysis of Family Support, Health Worker Support, Insurance Participation, and Income

Tue, 03 Dec 2024 13:17:22 +0700

Indonesia shows a high stunting rate among middle-income countries, with the World Health Organization reporting in 2020 that 149.2 million children under five worldwide (22%) experienced stunting, and Southeast Asia contributing 30.01%. Indonesia ranks third in Southeast Asia for stunting, with an average rate of 36.4% from 2005 to 2017. In 2023, South Kalimantan reported a stunting prevalence of 24.6%, and the Liang Anggang health facility showed the highest incidence in Banjarbaru City at 20.75%, underscoring a substantial occurrence of short and very short newborns. This study conducts a bibliometric analysis of literature from 2019 to 2024 on stunting risk factors among children under five. Using Google Scholar and the Garuda Portal, relevant articles were collected and analyzed for type, citation count, origin, publisher, and year. Findings underscore several prominent risk factors, including family support, health worker assistance, insurance coverage, and income level. Four articles met the inclusion criteria and were evaluated with the Critical Appraisal Approach, focusing on stunting prevalence in toddlers; of these, two examined family support, three highlighted health worker support, and two investigated insurance's impact on stunting. All articles indicate a strong correlation between household income and stunting prevalence, suggesting low-income families are particularly vulnerable. The study recommends that Puskesmas provide comprehensive education on stunting prevention, especially targeting low-income families.

The Relationship Between Mothers' Knowledge Level About Exclusive Breastfeeding and the Incidence of Stunting in Children Aged 24-59 Months

Irman Permana, Dini Norviatin, Hasna Nuha Arumtara — Fri, 06 Dec 2024 10:27:24 +0700

Children under five years-old (toddlers) were very vulnerable to nutritional deficits and one of the most common was stunting. Indonesia has the third highest prevalence in Southeast Asia. Stunting incidence often occurs in toddlers aged 24-59 months with one of the risk factors, namely unbalanced food intake, including not giving exclusive breastfeeding. Lack of maternal knowledge can cause poor parenting, especially exclusive breastfeeding. The aim of the study was to discovered the relationship between maternal knowledge and exclusive breastfeeding with the incidence of stunting in toddlers aged 24-59 months in work area of Kersana Public Health Center, Brebes Regency. This study used an observational analytic approach with sectional cross design. The number of research samples used in this study was 85 selective people with a technique of concecutive sampling. Data was taken using questionnaire and the analytical technique used Spearman correlation test. Most of respondents were aged 31-40 years (53,7%), elementary school education level (47,1%), maternal status (82,4%), and who had daughters (56,5%). The results of the Spearman correlation test showed that there was a significant relationship between the maternal knowledge (p = 0.000, r = -0.886), and exclusive breastfeeding (p = 0.000, r = -0.661) with the incidence of stuntin. The study concluded that there was a significant relationship between maternal knowledge and exclusive breastfeeding with the incidence of stunting in toddlers aged 24-59 months in work area of Kersana Public Health Center, Brebes Regency, with a negative correlation direction.

The Effect of Residential Proximity to the Beach and Industrial Area on the Incidence of Hypertension in Kendal District

Nyovita Ayuningrum, Yusuf Alam Romadhon — Fri, 06 Dec 2024 10:55:05 +0700

The hospital is one of the institutions engaged in health services. The Hypertension is when the results of systolic blood pressure (SBP) measurements are ≥140 mmHg and/or diastolic blood pressure (DBP) are ≥90 mmHg. According to the World Health Organization, hypertension in 2015 was around 1.13 billion and is estimated to be 1.5 billion in 2025. The prevalence in Indonesia in 2023 was around 30.8% and in Kendal it continues to increase every year. People living in coastal areas have risk factors for hypertension such as salt consumption, consumption of foods high in sodium (shrimp, dried fish and salted fish), and lack of physical activity. Various types of air pollutants such as particulate matter (PM) are widely recorded as being associated with cardiovascular disease, especially in industrial areas and big cities. Objective: This study is to analyze the effect of proximity to the beach and industrial areas on the incidence of hypertension in Kendal Regency. Method: This study uses observational analytics with a cross-sectional research design. The sampling technique used is purposive sampling. Univariate and bivariate analysis using the Chi-Square test. Results: Significant results were obtained based on the Chi-Square test on the effect of residence in coastal areas and industrial areas on the occurrence of hypertension with a p-value of 0.000 ( p-value <0.05). Conclusion: This study shows the effect of proximity to the beach and industrial areas on the incidence of hypertension in Kendal Regency.

Implementation of the Dengue Fever Surveillance System at the Klungkung District Health Office

Ni Luh Ayu Sukmawathi, Anak Agung Sagung Sawitri, Ida Ayu Megawati — Fri, 06 Dec 2024 14:31:57 +0700

This evaluation aims to find out how to implement and analyze problems in the dengue surveillance system. The evaluation was carried out in March-June 2023 using the concepts of input, process, output and surveillance attributes. Data collection was carried out on 1 health service officer, 4 community health center officers by interviewing and observing using a questionnaire. The health centers were selected based on the criteria for accuracy in collecting reports. Data is presented in the form of graphs, tables and narratives. According to interviews and observations, the findings relate to input, process, output and surveillance attributes. All health center and health service officers (100%) have never received training/orientation. There are (25%) community health center officers who are late in collecting reports, this is an obstacle to data collection by the Health Service. Health Service officers rarely carry out monitoring related to the collection of reports by the Puskesmas, but the reasons for delays are still communicated. 100% of community health centers have investigated risk factors, but the community health center network does not report suspect cases. As many as (100%) officers do not know how to analyze data based on person, place and time and all officers (100%) have not presented the results of data analysis as a form of information about dengue fever. This causes the type, components and attributes of surveillance, namely representative implementation, to not be optimal. The implementation of the surveillance system is not in accordance with the types, components and attributes of surveillance.

Meningitis Streptococcus Suis Outbreak Investigation in Blimbing Sari Village, Jembrana Bali

I Putu Aditya Anggriawan, I Wayan Gede Artawan Eka Putra, Putu Dwi Adi — Fri, 06 Dec 2024 14:37:24 +0700

The aim of this outbreak investigation is to prevent the spread of the disease, prevent the recurrence of similar cases in the future, ensure that the situation is truly an outbreak, identify the source and method of disease transmission and identify vulnerable areas or populations at risk. The investigation was conducted with interviews to seek related information with the hospital's staff, the patient's family, the health center, the village staff and the animal welfare officer. We examined the medical records of patients and interviewed the doctor on duty and the health center officer, followed by interviewing the patient's family who was hospitalized. Interview with the head of the and the animal health officer was to find out the possible source of infection, pig farming in the village and related condition that enable MSS transmission. There were 5 cases residing in the same village. The patient's medical record indicated acute bacterial meningitis, but no laboratory diagnosis was performed due to limited equipment. The head of the village confirmed the history of processed pork products such as "lawar merah" consumption, which the meat was coming from the local pig farm in the village. The pig was slaughtered by themselves without checking the health condition of the pigs beforehand. This is not the first case of MSS in Bali Province, with cases dating back to 2015. This condition leads to conclude a suspected outbreak.

Comparison of Pain Scale and Duration of Early Mobilization after Cesarean Section Surgery Using Eracs Tap Block Method with Eracs without Tap Block

Tissa Priscillya Deabitha Br Siburian, Boyke Marthin Simbolon, Muhammad Chairul — Fri, 06 Dec 2024 14:47:56 +0700

One of the problems for pregnant women is dealing with pain and recovering quickly after surgery. This research focuses on observing pregnant women after surgery to compare the pain scale and duration of early post-operative mobilization using ERACS tap blocks and ERACS without tap blocks. This quantitative research was designed using a cross-sectional approach. The research sample was 40 respondents selected by purposive sampling. The pain scale was measured using the Visual Analog Scale (VAS) and Early Mobilization was measured using an observation sheet. Based on the results of statistical analysis. The p value in the results of the Mann-Whitney test analysis on the pain scale for both variables is VAS5 (24 hours) which has a p value of 0.028 which is lower than 0.05. Early mobilization shows that catheter removal has a p value of 0.002, lower than 0.05. It can be concluded that there is a significant difference between the pain scale and the duration of early mobilization using ERACS tap block and ERACS without tap block.