Journal of Public Health Research (PAGEPress Publications)
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Mother's knowledge and attitudes towards Visual Acetate Acid Inspection test in Surabaya
Get PDFBackground: The incidence of cervical cancer in Indonesia is still high due to the poor awareness of married women about the necessity to check themselves with a pap smear/IVA test for early detection and possible cure. The implementation of the IVA examination still experiences obstacles due to lack of knowledge and fear. Design and Methods: This study aims to determine the relationship between knowledge and attitudes of mothers with IVA test, using the analytical and cross-sectional study. Data were obtained from mothers that visited the family planning section of the Maternal and Child Health (MCH) Center. Out of a total of 184 mothers, 126 samples were chosen by purposive sampling technique. Results: The results showed that 59.5% of respondents had scarce knowledge on IVA tests, 66.7% had unsupportive attitudes towards it, and 54.8% were not willing to carry out the tests. This study explains that there is a significant relationship between knowledge and attitude with a P-value of 0.000.Conclusions: In conclusion, various factors influence the participation of IVA examination, namely lack of knowledge, inability to access information, and fear
Analysis of health risk and respiratory complaints on footwear craftsman exposed to Toluene vapour
Get PDFBackground: The primary effect of toluene on the respiratory tract following inhalation is irritation. This study was conducted to analyze the level of health risks and respiratory complaints due to toluene exposure by footwear craftsmen, in order to get scientific reference for Maximum Contaminant Level and working tenure restriction. Design and Methods: A total of 51 footwear craftsmen from eight factories participated in this study. The toluene concentration in the work environment was measured according to National Institute of Occupational Safety and Health 1501. Moreover, data were collected using an American Thoracic Society standardized questionnaire to assess respiratory health effects. A characterization of risk model was to analyze the toluene exposure risk and suggest improvements. Results: The results showed toluene levels were over the Threshold Limit Value 20 ppm (138.88 ppm). The most commonly observed respiratory symptoms included coughing by 81.3% and cold by 85.7%, Symptoms of respiratory irritation by 72.7%, higher among workers who were highly exposed to toluene above the median. This is observed from the opportunity value (P-value) of toluene exposure with the characteristics the workers of each variable which was less than 0.05 work station and working tenure. Maximum Contaminant Level of toluene is 4.59 ppm, a safe working tenure restriction for toluene exposure is maximum 25 years. Conclusions: The recommended risk control measures include ventilation improvements, personal hygiene and protection of workers through periodic physical examinations
Factors affecting hardiness in cancer patients: A case study of the Indonesian Cancer Foundation
Get PDFBackground: Cancer patients are usually filled with fear and anxiety but hardiness is a personal characteristic that makes them stronger, resistant, and optimistic in dealing with the pressures related to the disease. There are, however, several factors influencing hardiness and those include social support, parenting, and selfconfidence. Therefore, the objective of this study was to identify these factors in cancer patients at the Indonesian Cancer Foundation in Surabaya. Design and Methods: The study made use of observational design with a population of 70 and a total sample of 64 cancer patients were selected as respondents using simple random sampling. The research instrument used for data collection was a questionnaire and results were analyzed using Spearman statistical test. Results: The results showed social support was 0.009, parenting patterns was 0.035, and confidence was 0.647. Therefore, H1 was accepted and this means there was a relationship between support and hardiness, as well as parenting patterns and hardiness. Moreover, H0 was also accepted and this indicates self-confidence did not have any influence on hardiness. Conclusions: In conclusion, providing adequate support and good parenting have the ability to increase hardiness
Development of sweet potato (Ipomoea batatas Lamk.) as excipient in tablet formulation
Get PDFBackground: Sweet potato has a potential to be used as a raw material for tablets. However, it needs chemical modifications to produce derivatives with excellent pharmaceutical characteristics. The primary purpose of this research was to use sweet potato starch (Ipomoea batatas Lamk.) as a tablet excipient modified through a chemical process. Design and Methods: This study is experimental and is divided into three stages. The first stage is the extraction process to obtain sweet potato starch. The second stage is the chemical modification of sweet potato starch using pentanol-1 and glacial acetic acid. The third step is the analysis of the pharmaceutical properties of the mutated lab model compared to the control sample and Amprotab. Results: The descriptive-comparative analysis showed sweet potato starch modified with panthenol-1 had a higher hardness value (=2.55±0.34) compared to native starch (1.00±0.08). The particle size distribution of the modified sample with acetate acid (=15.20±1.79) was higher than the others. Conclusions: In conclusion, modified sweet potato starch has better pharmaceutical properties than native starch. Further research needs to be conducted on the magnitude of the potential of sweet potato starch as an excipient, both as filler, a binder, and a crushing agent on tablet preparations
Recovery time period and quality of life after hysterectomy
Get PDFBackground: Women who had undergone hysterectomy have to overcome problems related to sexual and reproductive health. They often suffer a decline in self-esteem due to sexual dysfunction and the inability to give birth, along with their quality of recovery. This study aims to describe the relationships between recovery time and the components of quality of life after hysterectomy. Design and methods: 103 women post-hysterectomy from several community-integrated health center in Surabaya were selected using the total sampling technique. Results: Findings show that there is relationship between recovery time period and sexual activity (P=0.000). However, no significant relationship exists between recovery time period personal relationships and social support. Conclusions: It is recommended that nurses should improve their social support for women and families during recovering, to avoid pathological stress and improve quality of life
Health insurance literacy: discussion and reaction of Facebook users’ towards the National Health Insurance in Indonesia
Get PDFUniversal Health Coverage always persevered as a pro poor policy in many countries, characterized by a major impact on higher out-of-pocket healthcare costs, with low-cost alternative prescription drugs and capitation payments made to physicians, in order to reduce inequity. These concerns have been discussed widely on social media, including Facebook, but social media are consistently neglected as a source of scientific information. The purpose of this study, therefore, is to analyze the thought process or feelings of individuals about the policies, also focusing on the possible reactions. Hence, a systematic review in the form of discussion forums on the Facebook page of the National Health Insurance Agency, Indonesia was conducted from 2015 to 2016, with regards to the implementation of National Health Insurance, within a year and half after the policy was launched. In addition, the contents of 148 discussions were deductively analyzed, and the findings showed the pragmatic disposition of most Facebook users towards health care utilization, the costs of Insurance, and the possible benefits of payment. Furthermore, the debate conducted in social media related with the policy and its practice issues ought to be countered through appropriate modification
The influence of monitoring activities on maternal weight gain among pregnant women
Get PDFBackground: The relationship between nutritional status in early life and the risk of chronic diseases in the future development of the child is a critical factor that needs to be considered. The basic factors that can help in this case include thrifty phenotype hypothesis, developmental plasticity, fetal programming and weight gain regulation. This study aims to determine the average increase in weight gain before and after mentoring program. Design and methods: The sample was taken randomly from 191 pregnant women. From number of women mentored, 106 that met the inclusion criteria. Wilcoxon Signed Ranks Test then was used in the data analysis.Results: The results show that the average body weight of women increased 18.94%, while the BMI rose by 7.46%. Mentoring program led to an increase in maternal body weight, indicated with a P-value of 0.000.Conclusions: In conclusion, mentoring program influences bodyweight in pregnant women. Therefore, it is vital to maintain a high nutritional status during pregnancy
Don't forget about syphilis: sexually transmitted diseases during COVID-19 pandemic
Get PDFA great heterogeneity of skin manifestations has been increasingly associated with SARS-CoV2 infection, and especially exanthematous eruptions are considered among early presenting signs in symptomatic patients. In this report, a 58-year-old patient presented with fever, generalized rash and systemic symptoms as urgent consultation to the Dermatology Clinic of Cagliari amidst the Italian outbreak in late March 2020. After a negative nasopharyngeal swab for SARS-CoV-2, secondary syphilis was confirmed by serological tests and skin biopsy, underlining that, even during a global pandemic, other common and important diseases should not be overlooked. The case also suggests thought on the ineffectiveness of distancing and social containment measures when dealing with sexually transmitted diseases
Elevated blood pressure and its relationship with bodyweight and anthropometric measurements among 8–11-year-old Indonesian school children
Get PDFObjective: Increased prevalence of elevated blood pressure in children and adolescents was associated with increased body weight and measures. Also, prevalence of elevated blood pressure varies between countries. This study is to investigate the prevalence of elevated blood pressure in Indonesian children and its relationship with bodyweight and anthropometric measures.Methods: This cross-sectional study involved 1010 elementary students aged 8–12 years (479 girls, 531 boys). The anthropometric measures and blood pressure were assessed. Elevated blood pressure (EBP) was determined if at the 90th percentile or above for gender, age, and height. Independent t-test, Chi-square, Pearson correlation, and multivariate logistic regression were applied. Significance was determined at p<0.05.Results: Overall prevalence of EBP was 28.8% (35.9% in girls, 22.4% in boys). BMI, waist circumference (WC), waist to height ratio (WHtR), and abdominal skinfold had significant correlation with EBP. Elevated BP was higher in overweight and obesity than in normoweight (60.5% vs 39.5%, p=0.00). In girls, the OR of EBP for overweight and obesity were 2.33 (95% CI 1.40 - 3.87, p=0.03) and 3.44 (95% CI 1.98 - 5.99, p=0.00) whereas in boys were 4.26 (95% CI 2.20 - 8.28, p=0.00) and 8.82 (95% CI 5.10 - 15.38, p=0.00).Conclusions: Prevalence of EBP in Indonesian school children aged 8-11 years was higher and more prevalent in overweight/obesity and in girls. Anthropometric measures were correlated with EBP.  
Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations
Get PDFBackground: We examined paradoxical and barrio advantaging effects on cancer care among socioeconomically vulnerable Hispanic people in California.Methods: We analyzed a colon cancer cohort of 3,877 non-Hispanic white (NHW) and 735 Hispanic people between 1995 and 2005. A third of the cohort was selected from high poverty neighborhoods. Hispanic enclaves and Mexican American (MA) barrios were neighborhoods where 40% or more of the residents were Hispanic or MA. Key analyses were restricted to poor neighborhoods.Results: Hispanic people were more likely to receive chemotherapy (RR = 1.18), especially men in Hispanic enclaves (RR = 1.33) who were also advantaged on survival (RR = 1.20). A survival advantage was also suggested among MA men who resided in barrios (RR = 1.80).Conclusions: The findings were supportive of Hispanic paradox and barrio advantage theories, further suggesting that such advantages are greater for men due to their greater familial supports