International Journal of Health and Pharmaceutical (IJHP)

The Experience Of Breastfeeding Exclusively In Primapara Mothers In The District Of Lintang Kanan, Empat Lawang South Sumatra

Sukarni Stya Ningsih, Junika Repolita — Fri, 17 Feb 2023 00:00:00 +0000

Breastfeeding is a scientific process of providing breast milk (ASI) to babies optimally from at least six months to two years. Breastfeeding is a decision that is instinctively realized by a mother for the benefit of the child's growth and development in the future. The aim of the study was to obtain in-depth information about the exclusive breastfeeding experience for primiparous mothers in Lintang Kanan District, Empat Lawang Regency, South Sumatra. The research method used in this study uses a qualitative descriptive method. The sample in this study were primiparous mothers who had babies aged more than 6 months and gave exclusive breastfeeding to their babies as many as 5 participants. The results of this study can provide an overview to the public regarding the experiences of primiparous mothers in exclusive breastfeeding. Further research is needed regarding in-depth exploration of cultural aspects in exclusive breastfeeding because the behavior inherent in the mother is influenced by the cultural aspects owned and the application of the theory of maternal role attainment-becoming a mother to primiparous mothers in exclusive breastfeeding.

Analysis Of The Influence Of Leader Behavior And Public Health Center Management Processes On Immunization Program Performance At Kuala Bali Public Health Center, Serdang Bedagai

Syafrina Rachmi Yuana, Ermi Girsang, Liani Ginting — Fri, 17 Feb 2023 00:00:00 +0000

There are still deficiencies in the achievement of UCI (Universal Child Immunization) in villages/wards.
This is due, among other things, to the lack of attention and support from various parties towards the
immunization program. This study aims to analyze the influence of leader behavior and management of the
health center on the performance of the immunization program at the Kuala Bali Health Center Serdang
Bedagai. This type of research is a quantitative researchwith a cross sectional design. The location of this
research was conductedinKuala Bali Health Center, Serdang Bedagai. The research population is all121
midwives in 17 sub-districts of the Kuala Bali Serdang Bedagai Health Center, and 1 person in charge of
immunization services so that it consists of 122 people.The sample in the study amounted to 122 patients.
Survey data were analyzed using the chi-square test and logistic regression. The results showed that there
was an effect of decision making on performance, there was an effect of leadership style on performance,
there was an effect of delegation of tasks on performance, there was an influence on how to communicate on
performance, there was an influence on planning on performance, there was an effect on organizing on the
performance of the immunization program, there was an influence on implementation on the performance of
the immunization program, there is an influence of supervision on the performance of the immunization
program at the Kuala Bali Serdang Bedagai Health Center. The variable that has the most influence on the
performance of the immunization program at the Kuala Bali Serdang Bedagai Health Center is the
organizing variable.The results of this study suggest thatThe results of this research are used as input for
evaluating the implementation of the immunization program, in order to provide guidance to the leaders of
the Public Health Center to improve their abilities in leader behavior and management processes, especially
in organizing so that the performance of the midwives becomes even better.

Analysis Of The Effect Of The Process Of Issuing Health Personnel Licenses Using The Sipandu Medan Application On Health Worker Satisfaction In Dpmptsp Medan City

Syarifah Nurunnisa, Ermi Girsang, Sri Lestari Ramadhani Nasution — Fri, 17 Feb 2023 00:00:00 +0000

In the era of global reform and information, public services by government officials today still have many weaknesses so that they have not been able to meet the quality expected by the community. This is indicated by the existence of various public complaints submitted through the mass media and social networks as well as the results of a community satisfaction survey which stated that the permit issuance process took a long time, the information conveyed was not clear and not transparent.

The purpose of this study was to analyze the effect of the process of issuing health worker permits using the Medan Sipandu Application on Community Satisfaction in Dpmptsp Medan City

This type of research is Quantitative Analytical research, namely the method in the form of numeric data using a cross sectional approach, with a sample of 200 people.

The results of this study are that the variable that has the most influence on the satisfaction of health workers regarding the use of the Sipandu Medan Application is complaint handling. statistical test resultsearned valuep significance is 0.000 <0.05. So it can be concluded that there is an effect of handling complaints on the satisfaction of health workers regarding the use of the Sipandu Medan Application.SIPANDU is here to make it easier for the public to submit related complaints.

The Effect Of Breastfeeding Counseling On Breastfeeding Practices In Postpartum Mothers At RSIA Tiara Cikupa In 2022

Tetin Rismayanti, Muniroh Muniroh — Fri, 17 Feb 2023 00:00:00 +0000

According to the Health Profile of Banten Province in 2019, the number of babies who
were exclusively breastfed was 56.1%, while the City of Tangerang itself was 64.5%. This
figure is still below the government target that has been set for the success of breastfeeding
by 80%. Research objectives is the effect of breastfeeding counseling on breastfeeding
practices for postpartum mothers at RSIA Tiara Cikupa in 2022. Research method used
preexperimental with one group pre test post test design. Sampling in this study used a total
sampling technique and the sample size in the study was 30 postpartum mothers who had
babies aged less than 6 months at RISA Tiara Cikupa. The research instrument used leaflets, teaching aids on how to breastfeed, and the LATCH questionnaire. Bivariate analysis
used the Wilcoxon Signed Rank Test because the data were not normally distributed. The
results showed that before being given counseling on how to breastfeed the respondents
had an average value of breastfeeding practice of 2.63, while after being given counseling
on how to breastfeed the respondents had an average value of breastfeeding practice of
6.57. There are differences in breastfeeding practices for postpartum mothers before and
after being given breastfeeding counseling at RSIA Tiara Cikupa in 2022 with a p value of
0.001 0.05. It is hoped that they will further increase knowledge and skills about correct
breastfeeding by following consultations with health workers, so that they can carry out
correct breastfeeding practices effectively. independently and properly to improve the
health status of mothers and babies.

Assessing Equality In Hospital Bed Distribution In North Sumatra Of June 2022

Karina Datitha Alodia Br Kaban, Chrismis Novalinda Ginting, Linda Chiuman — Fri, 17 Feb 2023 00:00:00 +0000

At the end of 2019, an outbreak of a respiratory infection occurred in the city of Wuhan, Hubei
province, People's Republic of China. The disease was later named Coronavirus disease19/COVID-19, becoming a global pandemic. The unpreparedness of the government and health
facilities in dealing with the presence of this pandemic exposed problems in the health care
system in various parts of the world, namely equality of access to health. Problems in the health
care system also affect Indonesia. Apart from the COVID-10 pandemic, in Indonesia research on
the equivalence of the distribution of hospital beds and the health care system as a whole has
never been conducted or at least has not been published. This research oversight does not only
occur in Indonesia, not a single ASEAN member country has ever published research on the
equality of the distribution of hospital beds. This research is a descriptive study that aims to
assess the equivalence of the distribution of hospital beds in the province of North Sumatra.
Almost all regencies/cities in North Sumatra have hospitals, except for Gunungsitoli City, with the
majority of hospitals being in Medan City.

The Effect Of Nesting On The Behavior Of Low Birth Weight Babies At Medi Medika Clinic, Tangerang Regency Year 2022

Nikhla Arvina, Maryati Sutarno — Sat, 04 Mar 2023 00:00:00 +0000

Low birth weight babies (LBW) are babies with a birth weight of less than 2500 grams regardless of
gestational age. Birth weight is the weight of a baby who is weighed within 1 (one) hour after birth
(Amin & Hardhi, 2016). LBW can occur because the gestational age is less than normal, namely 37
weeks and the baby's weight is lower than babies in general (Ministry of Health, 2018). To determine
the effect of nesting on the behavior of low birth weight newborns at the Medi Medika Clinic, Tangerang Regency. Using quai experimental design with one group pretest posttest involving one group of
subjects. The research sample was 30 low birth weight newborns who were treated at the Medi Medika
Clinic in Tangerang Regency and were selected by purposive sampling technique. Research data were
analyzed using paired t-test and Wilcoxon test. The results of the analysis showed that there was a
significant effect of the use of nesting on the behavior of low birth weight newborns (p = 0.000). The
use of nesting as a form of developmental care can facilitate the achievement of better rest (which is
characterized by the regularity of physiological functions and the achievement of quiet sleep behavior),
so it needs to be implemented in the care of low birth weight newborns at the Medi Medika Clinic,
Tangerang Regency. There is a significant effect of the use of nesting on the behavior of low birth
weight newborns. Pregnant women are advised to seek more information regarding pregnancy care
through health workers, especially midwives, posyandu officers, the mass media and others, so they can
recognize the low risk of newborns.

Evaluation Of The Implementation Of Primary Care (P-Care) Application At Puskesmas Onolalu Nias Selatan In 2022

Ohito Laia, Sri Lestari Nasution, Johanes Ginting — Sat, 04 Mar 2023 00:00:00 +0000

Primary Care (P-Care) is a patient information service using the internet and computer-based provided by BPJS
Health for primary health facilities to provide easy access to data to the BPJS server for both registration and
medical services. The purpose of this study was to evaluate the implementation of the Primary Care (P-Care)
application at the Onolalu Health Center UPTD South Nias Regency in 2022. This research is qualitative
research with a phenomenological approach. The informants in this study were all officers holding the P-Care
application, totaling 5 officers. The data analysis method used in this research is descriptive qualitative with the
stages of data reduction, data display, and conclusion or verification. The results of the study show that the
production implementation of the p-care application makes all processes from registration to the referral process
easier, the efficiency implementation of the p-care application makes all patient handling to get health services
much easier and saves time and the implementation of the satisfaction of the p-care application making officers,
patients and the puskesmas itself very satisfied. Based on the research results, it is hoped that the puskesmas will
always improve the quality of services related to the use of p-care applications such as strengthening the internet
network, so that each patient visit data can be input on time, as well as increasing the workforce of graduates
from D-III Medical Records so that the application of primary care ( p-care) to be more optimal.

Effect Of Giving Virgin Coconut Oil And Physical Exercise On Leukocyte Levels In Non-Athlete Students

Rika Nailuvar Sinaga, Fajar Apollo Sinaga, Ayu Elvana — Sat, 04 Mar 2023 00:00:00 +0000

In recent years there has been an increase in the prevalence of viral infections worldwide with the outbreak of
the Coronavirus Disease. Various attempts have been made to find new drugs and vaccines against the
viruses that cause it, but there are no effective preventive and curative drugs yet, so boosting the immune
system is one of the most important things to do. One of the natural ingredients that are believed to increase
the body's immunity is Virgin Coconut Oil (VCO), but it still needs more intense research. In addition to the
use of natural ingredients, exercise is also important to maintain and increase immunity. One indicator that
is sensitive to impaired immune response is leukocytes. This study aims to see the effect of giving VCO and
physical exercise on immune function by measuring leukocyte levels. This is an experimental study with a
randomized control group pretest-posttest design. The sample in this study were 12 people who were divided
into two groups. During the exercise with an intensity of 70-80% in two weeks with a frequency of three times
a week, the experimental group was given 15 ml of VCO every day while the control group was given a
placebo. Leukocyte levels were measured before and after treatment. Leukocyte levels in the control group
increased significantly while the experimental group decreased insignificantly. Giving virgin coconut oil in
this study significantly reduced leukocyte levels.

The Effectiveness Of The Administration Of Beet Juice And Honey Against Increased Hemoglobin Levels In Nursing Mothers

Samsa Qomariyah, Novita Novita — Sat, 04 Mar 2023 00:00:00 +0000

WHO in 2020, said some 295,000 women worldwide lost their lives during and after pregnancy and childbirth. Africa, sub-Saharan and South Asia account for around 86% of all maternal deaths worldwide. MMR in Indonesia in 2020 is 230 per 100,000 live births. Causes of maternal death are bleeding, hypertension, infection, prolonged labour, abortion, CED and anemia (Hb <11gr). The prevalence of anemia in pregnant and lactating women in Indonesia is 48.9%. The impact of anemia on pregnant women will occur during pregnancy, childbirth and the postpartum period. Knowing the effectiveness of giving beetroot juice and honey to increase hemoglobin levels in nursing mothers. Quasy Experiment with Pretest Posttest With Control Group Design The sample in this study were lactating mothers with anemia who were registered at the KIA PMB Samsa Qomariyah register in May-October 2022 as many as 40 people, the sampling technique was total sampling. The average HB level in the intervention group was 10.175 gr/dl pretest and 10.865 gr/dl posttest. The average HB level in the control group was 11.250 gr/dl pretest and 11.275 gr/dl posttest. Beetroot juice and honey are effective in increasing hemoglobin levels in lactating mothers with a p.value of 0.000 (p <0.005). Beetroot juice and honey are effective in increasing hemoglobin levels in nursing mothers. It is expected that breastfeeding mothers consume vegetables and fruit that contain lots of iron and vitamin C to increase HB levels and prevent anemia.

Risk Factor Analysis Of Low Birth Weight Events (Lbw) At Kartika Husada Hospital

Santi Herawati, Feva Tridiyawati — Sat, 04 Mar 2023 00:00:00 +0000

WHO and UNICEF data, in 2013 around 22 million babies were born in the world, of which 16% of them were born with low birth weight babies. Indonesia ranks third as a country with the highest prevalence of LBW (11.1%), after India (27.6%) and South Africa (13.2%). In addition, Indonesia is also the second country with the highest prevalence of LBW among ASEAN countries, after the Philippines (21.2%). The impact of LBW on babies is at risk for degenerative diseases, and babies will experience mental disabilities if the baby experiences a lack of nutrition for a long time. Knowing the analysis of risk factors for low birth weight events. Analytical with a cross-sectional design. The sample in this study was 95 babies born at Kartika Husada Hospital Bekasi in January-June 2021 (systematic random sampling). Most pregnant women did not give birth to low birth weight babies (69.5%), aged 20-35 years (89.5%), did not have preeclampsia (94.7%), gestational age 37-42 weeks (76.8%), and did not KPD (84.2%). There is a relationship between maternal age, pre-eclampsia, gestational age and KPD with the incidence of LBW at Kartika Husada Bekasi Hospital in 2022 (p. value <0.005).There is a relationship between maternal age, pre-eclampsia, gestational age and KPD with the incidence of LBW at Kartika Husada Bekasi Hospital in 2022. It is hoped that pregnant women will try to prevent the occurrence of KPD which can cause the birth of LBW babies.

Antiaging Cream Formula From Lemongrass Leaf Extract (Chymbopogon Citratus)

Sat, 04 Mar 2023 00:00:00 +0000

This study aimed to determine the formula of anti-aging cream using lemongrass leaf extract. The
treatment by giving respondents lemongrass leaf extract and using moisture, evenness, pore, spot, and
wrinkle as parameters. Human skin provides protection on the surface of the body against the
influence of the surrounding environment. Skin can experience aging, especially in areas that are often
exposed to direct sunlight such as the face, neck, upper arms, and hands. Aging is a process
experienced by humans in their 30s whose functions in the human body are decreasing, for example,
thinning skin, wrinkles, rough skin, and dark spots on the face. Treatment to prevent aging of the skin
by using an antioxidant product such as flavonoids because it has the function of preventing or
neutralizing free radicals. In Indonesia, several species of plants can be found that function as food
and cosmetic ingredients. The lemongrass leaf extract which contains antiaging are Alkaloids,
Flavonoids, and Tannins. The data were analysed by using the Kolmogorov-Smirnov method to
determine homogeneity and normality. Then, if the data is normal, it is continued to be analysed using
the One-Way ANOVA method to determine the average difference between groups. There is a
difference between treatments, and it is continued with the Post-hoc Tukey HSD test. The higher the
concentration of extract used, the greater the anti-aging productivity formed. It is concluded, the best
anti-aging effect is a concentration of 9% with increase in moisture, evenness, pore reduction,
reducing spots and wrinkles.

Improving Knowledge Of The Impact Of Early Marriage Among Adolescent: Podcast and Flipchart Methods

Siti Julaeha, Dian Priharja Putri — Sat, 04 Mar 2023 00:00:00 +0000

Health promotion through reproductive health education can help increase adolescent girls’ knowledge about the impact of early marriage. Indonesia is one of the countries with the highest number of early marriages. Selection of effective health education media is an urgency as an effort to reduce the number of early marriages. This study aims to evaluate the effectiveness of health education using the podcast and flipchart methods. This study used a quasi-experimental with non-equivalent control group design which was carried out from December 2021 to January 2022 on 106 adolescent girls in Cibatur Keusik Village, Lebak Regency. Research respondents were divided into podcast groups and flipchart groups. In the podcast group, adolescent girls received health education using the audio method from the podcast while the flipchart group received the visual method from the flipchart. The analysis used in this study is univariate and bivariate. The results showed that the average value of the podcast group (32.49) was lower than the flipchart group (69.25). Statistically, it can be concluded that health education using the flipchart method is more effective than the podcast method (p=0.000; t=-6.21; df=104). Health education using the flipchart method is more effective than the podcast method. The method can be used by health promoters to improve adolescents' understanding of the impact of early marriage.

Activity Based Costing Method As The Basis For Determining Service Rates In The Radiology Unit At Royal Prima Hospital Medan

Tricya Merrina Arts, Chrismis Novalinda Ginting, Rapael Ginting — Sat, 04 Mar 2023 00:00:00 +0000

Determining the tariff for radiology examination services is a very important decision, because it can affect the profitability of a hospital. Activity Based Costing is a system of accumulating costs and charging costs to products using various cost drivers by tracing the costs of each activity and then tracing the costs from activities to products. The purpose of this study was to determine the application of the activity based costing method as an alternative to CT Thorax service rates in the radiology unit at RSU Royal Prima Medan. The data analysis technique used in this study is a non-statistical quantitative analysis technique. Data in the form of numbers obtained from RSU Royal Prima Medan which contains the calculations are then analyzed using the ABC (Activity Based Costing) Implementation theory. The results showed that the unit cost for CT Thorax examination in the radiology unit of RSU Royal Prima Medan using the activity based costing method was Rp. 1,646,693. The real cost of a CT Thorax examination at the radiology unit of the Royal Prima Medan General Hospital is Rp. 1,897,500. There is a difference in the cost of CT Thorax examination at the radiology unit of RSU Royal Prima Medan with unit costs using the activity based costing method and using real cost calculations at RSU Royal Prima Medan with a cost difference of Rp.250,809. The results showed that the unit cost for CT Thorax examination in the radiology unit of RSU Royal Prima Medan using the activity based costing method was Rp. 1,646,693. The real cost of a CT Thorax examination at the radiology unit of the Royal Prima Medan General Hospital is Rp. 1,897,500. There is a difference in the cost of CT Thorax examination at the radiology unit of RSU Royal Prima Medan with unit costs using the activity based costing method and using real cost calculations at RSU Royal Prima Medan with a cost difference of Rp.250,809. The results showed that the unit cost for CT Thorax examination in the radiology unit of RSU Royal Prima Medan using the activity based costing method was Rp. 1,646,693. The real cost of a CT Thorax examination at the radiology unit of the Royal Prima Medan General Hospital is Rp. 1,897,500. There is a difference in the cost of CT Thorax examination at the radiology unit of RSU Royal Prima Medan with unit costs using the activity based costing method and using real cost calculations at RSU Royal Prima Medan with a cost difference of Rp.250,809.

Effectiveness Of Supplementary Feeding (PMT) Against Height And Weight Gain Of Stunted Toddlers

Endah Nurilah, Elfira Sri Futriani — Sat, 04 Mar 2023 00:00:00 +0000

WHO in 2020 stated that the prevalence of stunting under five worldwide was 22 percent or as many as
149.2 million. The prevalence of stunting in Indonesia (24.4%) is better than Myanmar (35%), but still
higher than Vietnam (23%), Malaysia (17%), Thailand (16%) and Singapore (4%). The prevalence of
stunting in West Java in 2021 is 24.5%, while in Bekasi Regency it is 21.3%. The impact of stunting is
intelligence, impaired physical growth, high risk of diabetes, obesity, cancer, stroke, and low economic
productivity. Knowing the effectiveness of giving supplementary food to the increase in height and
weight of stunting toddlers. Quasi experimental with one group pretest-posttest design. The sample in
this study were all 18 toddlers who experienced stunting at the Setiamekar Health Center in 2021 and
2022. The sampling technique used the total sampling technique. The average height of stunted toddlers
before being given the Supplementary Feeding Biscuits was 74.06 kg and afterward was 89.51 kg. The
average body weight of stunted toddlers before being given the Supplementary Feeding Biscuits was
9.05 kg and after that it was 13.22 kg. There is the effectiveness of giving supplementary food to the
increase in height and weight of stunted toddlers with a p value of 0.000. There is the effectiveness of
giving additional food to the increase in height and weight of stunted toddlers. It is hoped that health
workers will provide counseling more often about the importance of providing balanced nutrition to
toddlers to avoid stunting Reading List: 39 readings (2015-2021).

Evaluation Of Waste Management Of Covid-19 Health Service Facilities In Public Health Center X West Jakarta

veza azteria — Wed, 03 May 2023 00:00:00 +0000

Health Facilities Waste Management Evaluation Covid-19 in Public Health Center X Central
Jakarta. Health facility waste management is one of the essential things in handling the pandemic
(Covid-19). Public Health Center X Central Jakarta is one of the health service facilities
designated by the Health Service as a place for early detection of Covid-19 symptoms. This
research is qualitative research with a descriptive case study design. This research was conducted
in April 2022. The key informants in this study were sanitarians, nurses, and Covid-19 tracers.
Health facility waste management at Public Health Center X Central Jakarta includes sorting,
transportation, weighing, temporary storage, and handing over waste to third parties. Health
facility waste management during a pandemic is similar to before. The number of patients visiting
during the pandemic has decreased, but the waste generated has increased from the tracer waste
of Covid-19 patients. Health facilities' waste in Covid-19 services includes needle waste, PPE
waste such as masks, hazmat, gloves, alcohol swabs, and used rapid equipment. Covid-19 health
facility waste increased in July and September, 642 Kg and 849 Kg. This differs from the increase
in new Covid-19 cases, namely 56,757 cases, but less waste is generated. Public Health Center X
Central Jakarta has collaborated with third parties in waste treatment with government permits to
manage health facility waste.

The Effectiveness Of Using Corsets On Reducing Pain Scale In Post SC Patients At Eka Hospital, South Tangerang In 2022

Amy Akiria Santi, Sukarni Sukarni — Wed, 03 May 2023 00:00:00 +0000

The use of a corset is something that is done by post partum mothers both in normal delivery and sectio
caesarea, where the corset can help the process of uterine involution and in post SC delivery can help reduce
pain when mobilizing. To determine the Effectiveness of Using Corsets on Reducing Pain Scale in Post SC
Patients. Research Methods: This research was experimental (quasi-experimental) with The Nonrandomized
Control Group Pretest Posttest Design with a quantitative approach. In this study, it was divided into 2
groups: the control group did not use corsets while the intervention group used corsets. After that the
researchers assessed the decrease in pain scale in post SC patients. The number of samples was 20 people. It
is known that the average value of the statistical test results obtained a p value = 0.000 (<α 0.05), meaning
that there is an Effectiveness of Using Corsets on Reducing Pain Scale in Post SC Patients at Eka Hospital,
South Tangerang in 2022. Advice to health workers to be able to provide health education or information. to
patient about wearing a corset as non farmacologic methode to reduce post caecarea pain.

Analysis Of Consumer Perceived Value To Quality Service Healthcare During The COVID-19 Pandemic At Tanjung Balai City Hospital

Charles Manurung, Yolanda Eliza Putri Lubis, Karmila Kaban — Tue, 09 May 2023 00:00:00 +0000

Background:Perception is a person's process of knowing several things through his five senses. Perception
does not appear to exist because it occurs outside of awareness, but perception depends on the complex
functions of the nervous system. Health service facilities, during the COVID-19 period, became something
terrible for the community, where people who were sick were afraid to come to health services because they
were worried about being diagnosed positively with COVID-19, whether health services during COVID-19
increased or decreased. Objective: to analyze the quality of health services on public perception at Tanjung
Balai General Hospital during the Covid-19 Pandemic. Method: This type of research is observational
analytic research. The research location was at the Tanjung Balai General Hospital which was carried out in
November 2022. Results: Most respondents were in the 45–54-year-old age category (32.2%). Based on
gender, the most were women as many as 208 people (77%). Based on work, the most were in the PNS
category, with 105 people (38.9%). Based on education at most S1 as many as 63 people (23.3%). Most
people's perceptions of the quality of Tanjung Balai General Hospital were in the good category with 144
people (53.3%) and those who said they were not good were 126 people (46.7%). There is a significant
relationship between people's perceptions of tangible quality (p=0.000), reliability (p=0.000), responsiveness
(p=0.000), assurance (p=0.000), and attention (p=0.000) at Tanjung Balai Hospital to health services during
the Covid-19 pandemic. Conclusion: There is a significant relationship between public perception of quality
at Tanjung Balai General Hospital for health services during the Covid-19 pandemic.

The Effectiveness Of Providing Torbangun Leaf Extract (Coleus Ambonicus Lour) On Breast Milk Production For Postpartum Mothers At PMB Nalom Tangerang In 2022

Engelin P Sembiring, Ita Herawati — Tue, 09 May 2023 00:00:00 +0000

The present study reports the first comprehensive study on the freshwater macroinvertebrates and its habitat
preferences in Bilah River, the largest riverin the Northern Sumatra. The riverside is characterized by the
presence of anthropogenic and industrial activities which may alter the macroinvertebrate assemblage and
biodiversity. Five months of investigation on 10 sampling stations from December 2016 to October 2017 was
conducted based on the river flow in Bilah River. Principal component analysis indicated a decrease in
trophic status from upstream to downstream of the river. A total of 27 taxa were recorded, with the most
abundant group were members of Odonata, Gastropoda, and Decapoda. The highest density of
macroinvertebrate was observed from station 1 (160 ind m-2), while the lowest density was observed from
station 9 (38.64 ind m-2
). Based on species distribution and similarity, two groups of habitats may be
distinctively recognized based on the Bray-curtis similarity coefficient. Group 1 consisted of station 1, 2, 3
and 4 while group 2 consisted of station 5, 6, 7, 8, 9, and 10. Based on the diversity indices as ecological
parameters, the habitat condition in Bilah River is categorized from low to moderately polluted. Spatial
patterns in both environmental conditions affecting the macroinvertebrate assemblage was observed using
canonical correspondence analysis (CCA) revealed the preferences from each macroinvertebrate species
towards environmental conditions.

The Influence Of Mozaic Techniques On Development Fine Motor In Children Aged 3-4 Years In Early Childhood Education Programs (ECEP) Family Planning (FP) Pancasila Serang Banten July Period 2022

Fitri Afrilyani, Maryati Sutarno — Tue, 09 May 2023 00:00:00 +0000

Background: The high number of children who have fine motor skills that are not appropriate for their age is 38.9%
in PAUD KB Pancasila because there are still many parents who do not understand fine motor skills that are
appropriate for their child's age and also they do not stimulate their children's abilities. The first five years of
growth are usually called the golden age, the window of opportunity, and the critical period. Children aged 0-5
years, the development of intelligence increases by about 50% and in children aged 6-8 years it increases by up to
80%. Objective: To find out the effect of mosaic technique on fine motor development of preschool children 3-4
years old at PAUD Ciomas, Serang Regency, Banten, for the period of July 2022. Methodology: The research
design used was quasi-experimental with one group pretest and posttest design. The population in this study were
children aged 3-4 years who attended PAUD Ciomas totaling 126 respondents. This research will be conducted in
PAUD Ciomas Serang. The time of the research will be carried out in July 2022. Result of research: It is known that
the average result of fine motor development of children aged 3-4 years before being given the mosaic technique is
5.4. The average result of fine motor development of children aged 3-4 years after being given the mosaic technique
is 9.5. There was an increase in the fine motor development of children aged 3-4 years after being given the mosaic
technique as much as 3.9. Conclusion: Based on the different test results of fine motor development of children aged
3-4 years before and after doing the mosaic technique, a significant value was obtained 0.000 <0.05, meaning that
there were changes in the fine motor development of children aged 3-4 years before and after doing the mosaic
technique. Suggestion: It is hoped that all health workers will provide more counseling about the development and
growth of children according to their age. And it is hoped that routinely in holding posyandu.

The Effectiveness Of Using Coconut Oil, Aloe Vera And Sirih Kapur To Prevent Striae Gravidarum In Third Trimester Pregnant Women In The Working Area Of The Cilograng Health Center In 2022

Fitri Awal Permata, Rahayu Khairiah — Tue, 09 May 2023 00:00:00 +0000

Background : The prevalence of pregnant women with Striae Gravidarum generally ranges from 50-90%.
Striae Gravidarum gives itchiness, heat, and dryness, as well as emotional disturbances, causing serious
self-confidence problems (Sharon, Salter M, Alexa B, Kimball M, 2006 in Lubis research, Thaufik
Wydiawati Suhartono. 2015) Based on research conducted by Uddin SS and Asimas on 80 samples of
pregnant women in Pakistan in 2015, various physiologic skin changes were found during pregnancy, the
majority of which were changes in pigmentation (70%), linea nigra (54.3%), and striae gravidarum
(51.9%). The etiology of Striae Gravidarum is unknown, predispositions include hormonal, skin elasticity,
and mechanical stretching. This is why there is no effective method to protect or treat Striae Gravidarum.
Writing purpose : This study aims to determine the Effectiveness of the Use of Coconut Oil, Aloe Vera and
Kapur Sirih to Prevent Striae Gravidarum in the Work Area of the Cilograng Health Center in 2022.
Research methods : This research was carried out because the number of pregnant women who
experienced striae gravidarum was 40 people, of the 3rd trimester pregnant women there were 65 people.
This research will be conducted at the Cilograng Health Center, Lebak Regency. The subjects to be studied
are mothers at the Cilograng Health Center, Lebak Regency. This research was carried out by Quasi
Experiment with the Nonequivalent Control Group Design having two groups. Research result : It shows
that from 10 respondents, the results of the analysis were obtained after the Strae Gravidae intervention
using coconut oil, aloe vera, and whiting was 10.667 with a standard deviation of 714 and a standard
error of 292. And the interval estimation results can be concluded that it is believed to be 95%.
Conclusions and recommendations : It can be concluded that the effectiveness of coconut oil, aloe vera
and whiting has an effect on striaee gravidarum. It is hoped that this research will provide socialization
about the prevention of striae gravidarum in third trimester pregnant women so that the prevention of
striae gravidarum can be resolved quickly and does not cause striaee gravidarum to become more severe
in the Cilograng Health Center Work Area.

The Influence Of The Trend Of Childbirth Using The Blowing Method With Perineal Rupture Incidents At TPMB Ika Fatmawati In 2022

Ika Fatmawati, Nursitiyaroh Nursitiyaroh — Tue, 09 May 2023 00:00:00 +0000

Background: The trend of giving birth using the blowing method is used in a repetitive pattern for breathing exercises.
There are many advantages of this steady, rhythmic breathing pattern during labor one of which is that the abdominal
cavity can grow in size as a result of the increased relaxation of the abdominal muscles caused by breathing exercises.
Purpose of Writing: To Influence the Trend of Childbirth Using the Blowing Method with Perineal Rupture Events at TPMB
Ika Fatmawati in 2022. Research Methods: In this study, it was an experimental (quasi-experimental) design with The
Nonrandomized Control Group Pretest Posttest Design with a quantitative approach. Sampling in this study is the total
sampling of 30 people. divided into 2 groups, namely 15 people in the intervention group and 15 people in the control
group. The sampling technique used was a strategy to identify the sample by taking respondents who happened to be
available or the time available at the location according to the needs of the study. The inclusion criteria were women who
gave birth normally, while the exclusion criteria were TBBJ counts of more than 3800 grams. Results: Results of statistical
test analysis independent sample t test obtained Asymp. Sig (2 – Talled), namely 0.004 < α (0.05) it can be concluded that
there is an influence of the trend of blowing births with perineal rupture events at TPMB Ika Fatmawati in 2022.
Conclusions and suggestions: The results of this study are expected that midwives can carry out the trend of giving birth by
blowing and making the mother's mood calm so that it can reduce the incidence of perineal rupture.

The Effect Of Pregnancy Massage On The Movement Of The Fetus In The Womb In The Second And Third Trimesters Of Pregnancy At TPMB Novi Salim Rajeg In 2022

Irliana Anggraini, Nur Sitiyaroh — Tue, 09 May 2023 00:00:00 +0000

Background : The body of a pregnant woman experiences many changes that can be stressful and painful. Pregnant women may experience discomfort due to skin changes, back discomfort, cramps, fatigue, swelling in the legs, varicose veins and nausea. Purpose of Writing: The Effect of Pregnancy Massage on the Movement of the Fetus in the Womb in the Second and III Trimesters of Pregnancy at TPMB Novi Salim Rajeg in 2022. Research Method : Quantitative research using experimental design. the overall sample in this study. Those who examined at TPMB Novi Salim Rajeg who met the research criteria included inclusion criteria, namely being willing to be a respondent, pregnant women in the second or third trimester, while the exclusion criteria were pregnant women experiencing skin allergies, pregnant women having complications in pregnancy. As for the sample in this study, there were 20 people, namely 10 participants getting pregnancy massage in the intervention group (10 in the control group) (pregnant women were not given pregnancy massage. Results: The findings of the paired sample t test in the intervention group showed the difference between before and after pregnancy massage on fetal movements in the womb during the second and third trimesters of pregnancy, with a value of p = 0.000 ( 0.05), indicating no difference before and after pregnancy. However, the intervention group was more active for 24 hours compared to the control group with a P value of 0.000 which indicated that pregnancy massage had an impact on fetal movements in the womb during the second and third trimesters of pregnancy at Novi Salim Rajeg TPMB 2022. Conclusions and Suggestions: It is hoped that the results of this research can be applied by making SOPs for complementary therapy, especially in giving massage to pregnant women or pregnancy massage, which has been proven to be very helpful for pregnant women's discomfort during the second and third trimesters so that it helps mothers feel relaxed and comfortable.

The Effect of the Rebozo and Effleurage Techniques on Reducing Contraction Pain During Labor at TPMB Lina Maryati in 2022

Lina Maryati, Nursitiyaroh Nursitiyaroh — Tue, 09 May 2023 00:00:00 +0000

Pain that lasts from the first stage to the third stage of labor is referred to as labor pain. Apart from being a subjective experience, labor pain is also the result of physical sensations caused by uterine contractions, cervical dilatation and effacement, and fetal descent. Purpose of Writing: to determine the Effectiveness of the Rebozo and Effleurage Techniques in Reducing Contraction Pain During Labor at TPMB Lina Maryati in 2022. Research Methods: In this study it was experimental (quasi-experimental) with a control group design and an experimental group with a quantitative approach. Sampling in this study was a total sampling of 15 people. The sample technique used was accidental sampling. Research results: between using the rebozo and effleurage techniques before and after the mean rank was 8.00 and the sum rank was 120.00. A value of 15 means that this result indicates a decrease (reduction) from the value before and after meaning that all respondents who experienced contraction pain during labor had a reduction in contraction pain using rebozo and effleurage so that it was concluded that there was a significant difference in the pain scale of contractions before and after the rebozo technique was carried out and effleurage, thus it can be concluded that the rebozo and effleurage techniques are effective in reducing contraction pain or in other words, there is effectiveness of the rebozo and effleurage techniques in reducing contraction pain during labor. Conclusions and Suggestions: can be a guideline for health workers, especially midwives in applying this technique to mothers in labor in an effort to reduce or eliminate pain experienced by mothers during contractions.

Analysis Of The Process Of Evaluation, Work Supervision, Policy, Supervision And Monitoring Of Puskesmas Heads Of Logistic Provision At UPTD Puskesmas Lahusa

Lurusan Hati Harefa, Wienaldi Wienaldi, Ermi Girsang — Tue, 09 May 2023 00:00:00 +0000

Logistics management is the science and/or art of planning and determining needs, procurement, storage,
distribution, maintenance, disposal and control of medical devices. Provision of logistics at the Puskesmas is a
matter that needs to be considered for its provision through a good and orderly management system. This
management system can be carried out in several ways, namely through supervision, supervision, monitoring and
evaluation related to the implementation of logistics provision. The purpose of this study was to analyze the
evaluation process, supervision work, policies, supervision in health and health monitoring of the Head of the
Puskesmas regarding the provision of logistics at the UPTD Puskesmas Lahusa. This type of research is
descriptive analytic, quantitative approach with a cross sectional design. The sample in this study were all staff
involved in implementing logistics provision at the Lahusa Health Center. The sampling technique is the total
population, that is, the entire population is used as a research sample totaling 112 people. The results showed
that all variables had a significant effect between evaluation, supervision work, policy, supervision in health and
health monitoring of the Head of the Puskesmas on the provision of logistics at the UPTD Puskesmas Lahusa. The
results of this study are expected to be input for the puskesmas management services to pay more attention to the
implementation of logistics provision.

Analysis Of Factors And Influence Of The Covid-19 Pandemic On The Completeness Of Basic Immunization In Under-Fives In The Working Area Of Cibuaya Puskesmas 2020 – 2021

Mianita Rahayu, Titin Eka S — Tue, 09 May 2023 00:00:00 +0000

Background: Immunization is the most effective and efficient public health effort in preventing several dangerous
diseases. History has recorded the enormous role of immunization in saving the world's people from illness, disability
and even death due to diseases such as Smallpox, Polio, Tuberculosis, Hepatitis B which can result in liver cancer,
Diphtheria, Measles, Rubella and Congenital Rubella Syndrome. Syndrome/CRS), Tetanus in pregnant women and
newborns, Pneumonia (pneumonia), Meningitis (inflammation of the lining of the brain), to Cervical Cancer caused
by Human Papilloma Virus infection. Research Objectives: to find out the Factor Analysis and Influence of the
Covid-19 Pandemic on the Completeness of Basic Immunization in Toddlers in the Working Area of the Cibuaya
Health Center in 2020 – 2021. Research Method : Analytical with cross sectional approach. The sample in this study
at the Cibuaya Health Center in November 2022 was 75 people (total sampling). Research results: The influence of
educational factors (p value = 0.021), employment factors (p value = 0.002), availability of facilities (p value =
0.000), health facility support factors (p value = 0.014), family factors (p value = 0.011) with the completeness of
basic immunization on toddlers. Conclusions and Suggestions: It is hoped that the puskesmas will provide more
intensive education, for example health programs through posyandu. For respondents with low education, they are
not preoccupied with household work.

Use Of Herbal Medicine Materials In Healing Perineal Rupture Wounds In Baros Health Center, Serang, Banten 2022

Mudiyati Mudiyati, Maryati Sutarno — Tue, 09 May 2023 00:00:00 +0000

Introduction: Indonesia has many regions that still use plants as traditional medicines which are a hereditary inheritance which until now has been widely used in treating various diseases, both acute and chronic. At the Baros Health Center, data obtained on the healing of perineal wounds that experienced complications were 27% in 2020, increasing to 45% in 2021. The use of wound healing plants is widely used, including betel leaves and gotu kola leaves. In this study, it was tested which one was more effective in healing wounds among the herbal medicinal plants. Research Method: The design of this research is an analytic survey using cross sectional with chi square statistical test. Sampling was carried out by total sampling method from all samples of 30 respondents. Results: Obtained a cure rate in the group using betel leaf decoction of 68.7%, this is greater than the use of gotu kola leaves which only has a cure rate of 31.2%. The analysis obtained a p-value of 0.028 and an Odds ratio: 5.500, which means that the healing rate when using betel leaf is 5x faster than gotu kola leaves. Conclusion: Betel leaf is a plant that grows in Indonesia and is effective in helping accelerate the healing process of grade 2 perineal wounds compared to using gotu kola leaves.

The Effectiveness of Local Plants Katuk Leaves and Papaya Leaves as Galactagogues in Increasing Breast Milk Production at TPMB Badriah Susilawati in 2022

Nofi Herawati, Nursitiyaroh Nursitiyaroh — Tue, 09 May 2023 00:00:00 +0000

Background: The main source of food and nutrition for newborns is breast milk (ASI). The nutrients that newborns need to meet their nutritional needs during the first six months of life are found in breast milk. Purpose of Writing: to find out the Effectiveness of Local Plants Katuk Leaves and Papaya Leaves as Galactagogues in Increasing Breast Milk Production at TPMB Badriah Susilawati in 2022. Research Methods: The research methodology used in this research is a quasy experimental research design used is a Nonequivalent Control Group Design with a quantitative approach. Researchers wanted to know the effectiveness of local plants katuk leaves and papaya leaves as a galactagogue to increase breast milk production. Research Results: Independent statistical test results sample t test value Sig. (2-tailed) namely 0.189 which is 0.189 > 0.05, so it can be concluded that there is no difference between giving katuk leaves and papaya leaves to increase milk production so that there is a similarity in the effectiveness of loka katuk leaves and papaya leaves as a galattagogue for increasing milk production in TPMB Badriah Susilawati Year 2022 Conclusions and Suggestions: The results of this study are expected to be a guide for female students who are interested in learning more about how to increase milk production by consuming foods that act as galactagogues, especially papaya and katuk leaves.

The Effectiveness of Tuina Massage in Overcoming Feeding Difficulties in Toddlers Aged 1-2 Years at Posyandu Mekar in the Talaga Village Area

Nur Azizah Laksono, Nursitiyaroh Nursitiyaroh — Tue, 09 May 2023 00:00:00 +0000

Background : Toddlers are still completely dependent on their parents to perform the necessary tasks such as bathing, urinating, and eating. Purpose of Writing: to determine the effectiveness of tuina massage in overcoming eating difficulties in toddlers aged 1-2 years at TPMB X Talaga Village Region in 2022. Research Methods: This research was an experimental study designed with One – group pre test – post test design. The number of samples in this study were 40 people. The sampling technique was used by accidental sampling. Research Results: Statistical tests using the non-parametric Wilcoxon test obtained the result that the majority of 40 respondents were in positive ranks or the (positive) difference between before and after the Tuina Massage was carried out with the mean ranks being 20.50 and the sum of ranks being 820.00. Asymp research results. Given Sig (2 - Talled) = 0.001 and 0.000 <0.05, the hypothesis can be considered accepted. This shows that the Mekar Posyandu in the Talaga Village area has been successful in using Tuina Massage to help toddlers aged 1-2 years overcome the challenges of eating at the Mekar Posyandu in the Talaga Village Area. Conclusions and Suggestions: it is hoped that the parents of their children can find out a lot about their involvement in doing tuini massage as a form of alternative medicine so that mothers can do the Tuina Massage technique to overcome the problem of difficulty eating in toddlers 1-2 years.

The Effectiveness of Tea Tor Bangun With the Level of Breast Milk Production in Breastfeeding Mothers at the Ciledug Health Center

Olivia Nency, Humairoh Humairoh — Tue, 09 May 2023 00:00:00 +0000

Background: In general, newborns will breastfeed 10-12 times every 24 hours or even 18 times, which is very important for their growth and development. Purpose of Writing: To find out the effectiveness of Tea Tor Bangun With the Level of Milk Production in Breastfeeding Mothers at the Ciledug Health Center . Research Methods: This study used a pre-experimental method with a one group pre-posttest design approach. This study used an experimental methodology with a posttest-only and non-equivalent groups design. The research sample consisted of 40 participants who were divided into two groups: the intervention group who received torbangun tea with 20 participants, and the control group who did not receive torbangun tea with 20 participants. The sample selection technique was not based on purposive sampling probability. Results: The results of the Asimp study showed that Sig (2-Talled) in the intervention group was 0.000 and 0.034 in the control group. The hypothesis is accepted because 0.000 < 0.05 and 0.034 < 0.005. This shows that the increase in milk production of breastfeeding mothers in the intervention group and the control group is different. However, the P-values were higher when the intervention and control groups were compared. According to statistical findings, Tea Tor Bangun was more effective in the intervention group when compared to the control group in terms of the level of milk production in breastfeeding mothers at the Ciledug Health Center. one of the non-pharmacological types by giving torbangun tea leaves.

Relationship Between Personal Hygiene During Breastfeeding And Oral Thrush In Infants 0-6 Months

Rahmadiyanti Rahmadiyanti, Halimatussadiah Halimatussadiah — Tue, 09 May 2023 00:00:00 +0000

Background: Oral thrush is the infection of the mucous membranes of the baby's mouth by the Candiasis
fungus which is characterized by the appearance of whitish spots and the formation of flaky plaques in the
mouth so that treatment can be carried out with personal hygiene. Trush The research conducted was
observational-analytic in nature. The research method used is a research method that is a type of research
carried out in a case control manner, the number of samples is 60 mothers who have babies 0-6 months. In
taking samples using the Lemeshow formula. Research Results: There is a relationship between education
and personal hygiene with oral thrush in infants 0-6 months at the Cimarga Health Center, Lebak Regency.
The OR calculation results show that mothers who have babies 0-6 months who perform personal hygiene
5.167 times do not experience oral thrush compared to experiencing oral thrush (95% CI 1.390 - 19.210)
and there is no relationship between knowledge and parity with the occurrence of oral thrush. Conclusions
and Suggestions: There is a relationship between personal hygiene and oral thrush, so suggestions are
addressed to health workers to provide information or education about personal hygiene to nursing mothers.

The Effectiveness of Mung Beans and Katuk Leaves on Increasing Hemoglobin Levels in Maternity at TPMB Rennie Yuwitasari in 2022

Rennie Yuwitasari, Nursitiyaroh Nursitiyaroh, Budi Ermanto — Tue, 09 May 2023 00:00:00 +0000

Background : An iron-rich protein called hemoglobin has an affinity for oxygen, which causes it to produce oxyhemoglobin in red blood cells. O2 (oxygen) will be transported from the lungs to the body's tissues as a result of this function. Purpose of Writing: to determine the Effectiveness of Mung Beans and Katuk Leaves on Increased Hemoglobin Levels in Mothers Giving Birth at TPMB Rennie Yuwitasari Year 2022”. Research Method : This research is an experiment designed One – group pre test – post test design. A sample of 15 people with a quantitative approach. The study population was 20 postpartum mothers who attended TPMB Rennie Yuwitasari. The sampling method used consisted of a total sample of 20 people who were divided into two groups, namely 10 groups receiving green beans and 10 groups receiving katuk leaves. The sampling technique used was accidental sampling. Research results: It is known that the Hb assessment before giving katuk leaves obtained an average value of 10.300 and a standard deviation of 0.7832 with a minimum Hb rating of 8.8 and a maximum of 11.4 while after giving katuk leaves , the mean value was 11.230, with a standard deviation of 0.5877, and the Hb value ranged from 9.8 to 12.0. We got Asimp. The Sig (2-Sided) value is 0.169, and because 0.169 > 0.05 the hypothesis is not proven. This means that there is no difference in giving katuk leaves or green beans to increase hemoglobin levels. So that it can be concluded that bivariate data analysis, namely green beans and katuk leaves have the same effectiveness value in increasing Hb levels in postpartum mothers at TPMB Rennie Yuwitasari. Conclusions and Suggestions: The findings of this study are expected to increase postpartum mothers' understanding of increasing Hb levels by consuming green beans and katuk leaves which have been proven to increase Hb levels.

Effect Of Giving Virgin Coconut Oil And Physical Exercise On Leukocyte Levels In Non-Athlete Students

Rika Nailuvar Sinaga, Fajar Apollo Sinaga, Ayu Elvana — Sun, 06 Aug 2023 00:00:00 +0000

In recent years there has been an increase in the prevalence of viral infections worldwide with the outbreak of
the Coronavirus Disease. Various attempts have been made to find new drugs and vaccines against the viruses
that cause it, but there are no effective preventive and curative drugs yet, so boosting the immune system is one
of the most important things to do. One of the natural ingredients that are believed to increase the body's
immunity is Virgin Coconut Oil (VCO), but it still needs more intense research. In addition to the use of natural
ingredients, exercise is also important to maintain and increase immunity. One indicator that is sensitive to
impaired immune response is leukocytes. This study aims to see the effect of giving VCO and physical exercise
on immune function by measuring leukocyte levels. This is an experimental study with a randomized control
group pretest-posttest design. The sample in this study were 12 people who were divided into two groups.
During the exercise with an intensity of 70-80% in two weeks with a frequency of three times a week, the
experimental group was given 15 ml of VCO every day while the control group was given a placebo. Leukocyte
levels were measured before and after treatment. Leukocyte levels in the control group increased significantly
while the experimental group decreased insignificantly. Giving virgin coconut oil in this study significantly
reduced leukocyte levels.

Determinants Of Pulmonary Tuberculosis Incidence In Sintang District

Wed, 03 May 2023 00:00:00 +0000

Pulmonary tuberculosis is an infectious disease that is still endemic in society. The research sites
were in the villages of Tanjung Ria, Tanjung Hulu and Sungai Raya, Sepauk District, Sintang
District, with a total of 78 cases of tuberculosis, consisting of old cases and new cases.The purpose
of this study was to determine the factors causing the incidence of pulmonary tuberculosis in the
community. This type of research is quantitative with a case control approach method retrospective.
The sample in the study for the case group used the total sampling technique and the accidental
sampling control group. Analysis using chi square significance level of 0.05. The results showed
that there was a relationship between house ventilation and the incidence of pulmonary
tuberculosis (OR=4.521), there was a relationship between the humidity of the house and the
incidence of pulmonary tuberculosis (OR=4.343), there was a relationship between the floor of the
house and the incidence of pulmonary tuberculosis (OR=4.000), there was a relationship between
lighting and the incidence of pulmonary tuberculosis (OR=4.169), there is a relationship between
house occupancy density and the incidence of pulmonary tuberculosis (OR=4.640), there is a
relationship between work and the incidence of pulmonary tuberculosis (TB) (OR=3.571), there is
a relationship between income and the incidence of pulmonary tuberculosis (TB) ( OR=9,277).
Recommended for Communities in Tanjung Ria, Tanjung Hulu and Sungai Raya Villages, Sepauk
District, Sintang District need to maintain compliance with housing sanitation standards and
increase their economic level so that they become examples for communities in other villages.

Effect Of Ramadhan Fasting On Apolipoprotein B And Small Dense Ldl In Type 2 Diabetes Mellitus Patients

Joseph Partogi Sibarani — Sun, 06 Aug 2023 00:00:00 +0000

This study's objective was to ascertain how type 2 Diabetes Mellitus patients' apolipoprotein B and small dense LDL were affected by Ramadan fasting. On 19 patients who had been diagnosed with type 2 DM at H. Adam Malik General Hospital Medan, a longitudinal prospective study from the fasting month of Ramadan until the end of the 2015 Ramadan fast was employed as the research methodology. The information was gathered by obtaining blood samples at the start and end of the Ramadan fast, after which the levels of apolipoprotein B and small dense LDL were determined. The T-Test and Wilcoxon tests were then used to assess the data. According to the study's findings, 13 respondents (68.4%) of the 19 patients with type 2 diabetes were men, and their average age was 57.26 years. Apoliprotein B (p=0.0001), small dense LDL (p=0.022), 2-hour PPG DGD (p=0.039), and mean body weight (p0.001) all indicated statistically significant changes. According to the study's findings, type 2 DM patients' apolipoprotein B and small dense LDL are significantly affected by Ramadan fasting.

Description Of Stress Levels In Pulmonary Tuberculosis Patients Undergoing The Intensive Phase Of Treatment In Hospital And Puskesmas

Joseph Partogi Sibarani — Sun, 06 Aug 2023 00:00:00 +0000

The purpose of this study is to characterize the amount of stress experienced by tuberculosis patients receiving intensive phase therapy in hospitals and healthcare facilities. This study has a cross sectional design and is a descriptive observational study. 100 samples of tuberculosis patients who were receiving intense phase treatment were used in this investigation. With the consecutive sampling technique, how to choose the sample. Direct interviews with the research sample were used to gather data. Utilizing univariate analysis, research data were examined. According to the study's findings, 75% of the research sample's participants were men and 25% were women. The majority 26% are between the ages of 56 and 65. Up to 42% of people are receiving treatment for 6 to 8 weeks. The majority of pulmonary tuberculosis patients (33%) were found to have moderate levels of stress. Patients with pulmonary tuberculosis who were male, aged 36 to 45, and receiving treatment for the disease for six to eight weeks were found to have the most mild levels of stress. The study's findings indicate that the most mild levels of stress are felt by tuberculosis patients who are undergoing the intensive phase of therapy.

The Relationship Between Smoking And The Formation Of Lung Cavity Lesions In Tuberculosis Patients At H Adam Malik General Hospital

Joseph Partogi Sibarani — Sun, 06 Aug 2023 00:00:00 +0000

The purpose of this study is to ascertain whether smoking has any connection to the development of lung cavity lesions in tuberculosis patients at H Adam Malik General Hospital. This study is an observational, analytical, case-control investigation. In this investigation, 80 samples total 40 individuals who smoked and 40 non-smokers were used. How to choose a sample using the purposive sampling method. Information was gleaned from the medical files of H Adam Malik General Hospital's tuberculosis patients in 2021. The Chi Square test was used to examine the research data. According to the study's findings, 62.5% of the research sample's participants were men and 37.5% were women. The majority 28.7% are in the 46 to 55-year-old age range. According to the Brinkman Index, up to 28.8% of the sample's participants were heavy smokers. Lung cavity lesions are present in 46.25 percent of patients, as may be shown. Up to 30% of patients who smoke have lung cavity lesions. According to the analysis's findings, smoking was associated with the development of lung cavity lesions in tuberculosis patients at Adam Malik General Hospital with a value of p = 0.014 (p 0.05), and those patients who smoked had a risk of developing lung cavity lesions that was 3.115 times higher (OR = 3.115). This study's findings suggest that smokers with tuberculosis are three times more likely to develop lung cavity lesions.