e-Journal Badan Penelitian dan Pengembangan Kesehatan / National Institute of Health Research and Development
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KARAKTERISTIK, PENGETAHUAN DAN SIKAP PASANGAN USIA SUBUR TENTANG PENYAKIT MENULAR SEKSUAL DI KLINIK “Y” KABUPATEN INDRAGIRI HULU
Background: The sexually transmitted diseases in merried couples of reproductive age are one of problem reproductive health until now still occurred. Objective: This study aimed to analyze the independent variables (characteristics, knowledge, and attitudes of respondents) who are more involved (dominant) related to sexually transmitted diseases in clinic “Y”, Indragiri Hulu. Methods: This research is a quantitative study with cross-sectional design. The sample consist of 30 respondens selected by accidental sampling. The research was conducted in May-June 2015 in clinic “Y” in Indragiri Hulu. The data were analyzed with univariate, bivariate, and multivariate methods. Results: The merried couples of reproductive age with high knowledge were 0.020 times more than high in old adult age compared with young adult age; marital status were 17.295 times more than high compared with non-marital status. The dominant variables on attitude is age and marital status. Conclusion: This study showed that there was a relationship between age and marital status with attitude in couples of reproductive age in clinic “Y” in Indragiri Hulu.
DOES BREASTFEEDING INTENTION AMONG PREGNANT MOTHERS ASSOCIATED WITH EARLY INITIATION OF BREASTFEEDING?
Background: Early initiation of breastfeeding is defined as breastfeed started immediately after birth delivery up to one hour , and it will lead to successfull exclusive breastfeeding. Skin-to-skin contact during early initiation of breastfeeding gives positive health impact to both mother dan baby. However, national coverage of early initiation of breasfeeding in Indonesia was 34,5% in 2014 which was lower than global coverage (50%). Objective: To examine the relationship of of breastfeeding intention among pregnant mothers towards early initiation of breastfeeding in two Mother and Child Hospitals, in South Tangerang. Methods: A prospective study conducted in August-November 2016. A sample of 152 third trimester pregnant mothers were from the 2 selected hospitals, taken by purposive sampling. Early breastfeeding initiation (EBI) was measured by interview based structured questionnaire and breastfeeding intention measured by The Infant Feeding Intention scale (IFI). Results: A total of 56.6% of mothers breastfeed during 1 hour after delivery. EBI was done by 71.1% of mothers with high breastfeeding intention. It was the most dominant variable related to early breastfeeding (p = 0.000; OR=5.249;95%CI:2.321-11.870) after controlling other variables. Conclusion: Mother with high breastfeeding intention 5 times more likely to initiate breastfeeding, than those having the low ones. Early promotive, preventive and intervention can be done by measuring breastfeeding intentions during pregnancy. Further research is needed to analyze breastfeeding initiation towards exclusive breastfeeding.
Saluran Air Tertutup Sebagai Faktor Penekan Populasi Tikus di Daerah Bekas Fokus Pes Cangkringan Sleman Yogyakarta
ABSTRACT Sub-district Cangkringan of Sleman District is an focus area of Plague surveillance at the slopes of Merapi Mountains. Eruption montains was interested alert of rats to insert surrounding villages mountain. Surveillance such as monitoring of rats population was doing for early warning Plague and other disease such as Leptospirosis disease. Sub-district Cangkringan consist of five villages, Wukirsari village is one of former focus. The purpose of study was to determine home environment conditions contributed to trap success. Study design was observational with cross sectional, size of sample as 66 samples (home). Data analyzed with univariat and bivariate. The number of rats caught in the village of Wukirsari are 36 rats with 27.7% trap success with type of rats by Rattus rattus diardi with number of “Xenopsylla cheopis” are 5. Index flea was calculated of 0.13. based on bivariat analysis just closed water channel variabel was significantly correlated with trap success. Kecamatan Cangkringan Kabupaten Sleman merupakan wilayah fokus pengamatan pes yang letaknya berada di lereng Gunung merapi. Setelah erupsi Gunung merapi perlu diwaspadai dugaan tikus hutan masuk ke dalam perkampungan penduduk. Pengamatan dan pemantauan tikus dilakukan untuk kewaspadaan pes dan penyakit lain dari keberadaan tikus seperti leptospirosis. Kecamatan Cangkringan memiliki lima desa salah satunya yaitu Desa Wukirsari yang merupakan daerah bekas fokus. Tujuan kegiatan adalah menentukan kondisi lingkungan rumah yang berperan dalam keberhasilan penangkapan tikus. Jenis penelitian deskriptif metode observasional dengan pendekatan cross sectional, jumlah sampel sebanyak 66 sampel rumah. Analisis data secara univariat dan bivariat. Jumlah tikus yang tertangkap di Desa Wukirsari semuanya berada di dalam rumah sebanyak 36 tikus dengan hasil trap success sebanyak 27,7%, jenis tikus yang tertangkap Rattus rattus diardi dengan jumlah pinjal khusus Xenopsylla cheopis sebanyak 5 ekor. Hasil perhitungan indeks pinjal khusus sebesar 0,13. Hasil analisis bivariat hanya variabel keberadaan saluran air tertutup yang signifikan ada hubungan dengan kesuksesan dalam penangkapan tikus
Uji Aktivitas Antioksidan dan Penghambatan Tirosinase serta Uji Manfaat Gel Ekstrak Kulit Batang Taya (Nauclea subdita) terhadap Kulit
Dayak women in Borneo treat their skin with natural ingredients, one of which is taya cortex (Nauclea subdita). Flavonoids that can be found in natural ingredients have antioxidant effect and can inhibit the activity of tyrosinase in melanogenesis process. The research objectives were to measure the antioxidant activity and the inhibition of tyrosinase of taya cortex extract, to obtain a stable formulation of taya cortex extract gel, and to determine the safety and efficacy on human skin. The method used for antioxidant activity test was DPPH method. The inhibition of tyrosinase was conducted with kojic acid as control. The safety and efficacy test were conducted to healthy women ages 35-50 with healthy and normal skin. The results show IC50 value of 568.58 µg/mL in L-tyrosine and 1374.69 µg/mL in L-DOPA for inhibiton of tyrosinase. Antioxidant activity assay of the extract shows IC50 value of 48.78 µg/mL and can be categorized as a powerful antioxidant (<50 µg/mL). The formulation of gel containing taya cortex extract was physically stable for 12 weeks. Safety test and efficacy test of the gel show the gel is safe to use topically and show an increase in skin elasticity
Isolasi, Identifikasi, Karakterisasi, dan Uji Antibiofilm Derivat Asam Galat dari Kulit Batang Sterculia quadrifida R.Br
Faloak (Sterculia quadrifida R.Br) is used empirically by residents of Timor island to treat hepatitis, typhoid, ulcers, and to restore stamina. Information of active compound contained in the bark of faloak specifically unpublished. This study aims to determine the active compound contained in faloak bark that can be used as antibiofilm. The extraction was performed by soxletation method, the isolation was performed by gradient isolation method, the elusidation was performed by merging information from NMR and LC-MS spectra analysis. The biofilm inhibition activity test was performed by microdilution method formed on flat bottom flexible microplate U-bottom PVC 96 wells with staining using 1% crystal violet. The isolation process obtained 3 gallic acid derivatives, named isolate 1, isolate 2, and isolate 3. Test of inhibition of biofilm formation showed isolate 1 has IC50 of 46,87 µg/mL, isolate 2 has IC50 of 45,87 µg/mL, and isolate 3 has IC50 42,65 µg/mL.The biofilm test results showed that isolates 1-3 had high biofilm inhibition potency
SENI USIK WIWITAN: INTERVENSI KESEHATAN BERBASIS BUDAYA LOKAL TERHADAP IBU HAMIL TRIMESTER III DI KOTA BANDUNG, JAWA BARAT
Latar Belakang: Permasalahan kematian ibu akibat persalinan hingga saat ini masih menjadi perhatian banyak pihak. Berbagai upaya telah dilakukan, namun angka kematian ibu masih tetap tinggi. Kesehatan fisik dan psikis ibu sangat menentukan terjadinya persalinan yang aman dan tidak beresiko. Senam hamil yang telah menjadi salah satu program di tingkat pelayanan dasar dapat dikombinasikan dengan aktivitas lain untuk meningkatkan ketenangan psikologis ibu. Seni Usik Wiwitan yang terdiri dari olah nafas dan olah tubuh (ngajurus) dan olah rasa (tumekung) dapat mempengaruhi kesehatan fisik dan psikis ibu. Tujuan: Penelitian ini ingin mengetahui pengaruh kombinasi senam hamil dan seni Usik Wiwitan terhadap kesehatan ibu hamil. Metode: Penelitian ini dilaksanakan di wilayah binaan Puskesmas Ibrahim Adjie Kota Bandung, yaitu Kelurahan Kebon Gedang dan Cibangkong, dengan total sampel 41 orang ibu hamil trimester III yang dalam kondisi sehat. Penetapan kelompok intervensi dan kontrol dilakukan dengan pengundian. Intervensi yang diberikan adalah senam hamil kombinasi dengan latihan seni Usik Wiwitan berupa ngajurus dan tumekung selama 16 kali pertemuan dalam 8 minggu, sedangkan kelompok kontrol hanya melakukan senam hamil saja dalam waktu yang sama. Parameter yang diukur adalah kondisi fisik dan psikis ibu berdasar pemeriksaan tekanan darah, kadar protein urine, kondisi edema pada tubuh ibu dan instrumen kecemasan yaitu State-Trait Anxiety Inventory (STAI). Hasil: Hasil uji pre dan post test pada kelompok kontrol dan intervensi menunjukkan bahwa ada beda antara kelompok ibu hamil yang diintervensi dengan senam hamil kombinasi seni Usik Wiwitan. Pada kelompok intervensi di pertemuan ke-8 dan ke-16 mengalami penurunan tekanan darah, protein urine dan tingkat kecemasan yang lebih signifikan dibandingkan dengan kelompok kontrol. Kesimpulan: Seni usik wiwitan yang merupakan kesenian asli Sunda memberikan pengaruh yang positif pada kondisi kesehatan fisik dan psikis ibu hamil trimester III hingga pada saat menjelang proses kelahiran. Saran: Seni usik wiwitan dapat dijadikan rujukan bagi program dinas kesehatan sebagai model intervensi berbasis budaya lokal untuk kehamilan yang sehat dan persalinan yang aman dan tidak beresiko. Background: The problem of maternal deaths due to childbirth is still a concern because even though many parties have made various efforts but maternal mortality remains high. Physical and psychological maternal health determine safe delivery. Pregnancy exercise that has become one of the programs at the level of basic services can combine with another activity that influence psychological health of pregnant women. The art of Usik Wiwitan consist of bodywork and breathing excercise, (ngajurus) and meditation (tumekung) can affect of maternal physical and psychological health. Objectives: This study investigated the effect of pregnancy exercise and Usik Wiwitan art to the pregnant women’s health. Methods: This study was conducted in two (2) PHC Ibrahim Adjie target area of Bandung, which is Kebon Gedang and Cibangkong, with a total sample of 41 third trimester pregnant women in a healthy condition. The participants grouped into the intervention group and the control group randomly. The intervention group practiced pregnancy exercise combined with Usik Wiwitan art form (tumekung and ngajurus) during 16 sessions in 8 weeks, while the control group only practiced pregnancy exercise alone in the same time. Parameters measured were physical and psychological condition based on the mother's blood pressure, urine protein levels, the condition of edema in the mother's body and the instrument anxiety that the State-Trait Anxiety Inventory (STAI). Results: The results of the pre and post-test in the control group and the intervention showed that there is difference between the intervention and control group. In the intervention group at the meeting of the 8th and the 16th decline in blood pressure, urine protein and anxiety levels are more significant compared to the control group. Conclusions: Usik Wiwitan art which is from native Sundanese arts have a positive influence on the physical and psychological health conditions of third trimester pregnant women up to the time before the birth process. Recommendation: The art of Usik Wiwitan can be used as a reference for the Government’s health department unit as a model of intervention program based on local wisdom for health pregnancy and safe deliver
Utilization of Gedi Merah Leaf (Abelmoschus manihot L. Medik) Mucilage Native from North Sulawesi as Emulsifier in Emulsion Preparations
Gedi Merah (Abelmoschsus manihot L. Medik) is a "native plant" of North Sulawesi, and used as one of the main ingredients of Manado local food, Manado Porridge or known by the term "Tinutuan" to increase viscosity. Increased viscosity is associated with gum content (mucilage or slime) consisting of polysaccharides in the gedi merah leaves. Polysaccharides can be dispersed in water and swelling, therefore mucilage can be used as emulsifiers. The fish oil emulsion is made using mucilage emulsifier from the gedi merah leaves resulting from liquid extraction as well as the water phase. Mucilage from gedi merah leaves can be used as emulsifiers to produce stable emulsion preparations