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Application of the Health Belief Model in Adherence to Iron Supplement Consumption Among Female Students at Universitas Diponegoro
Get PDFIntroduction: Anemia, a deficiency of red blood cells, is common in adolescent girls. The Indonesian government has an iron supplement program targeting school-aged girls. Female university students are not included. Consequently, iron supplement intake depends on individual choices. This study aimed to identify the factors associated with adherence to iron supplement consumption as a preventive measure against anemia among female students at Universitas Diponegoro.Methods: This was a quantitative study with a cross-sectional approach using interviews and questionnaires. The sample of this study was 384 respondents from 33,156 female students of Universitas Diponegoro in 11 faculties and one vocational school using the proportional sampling method, with the inclusion criteria being active diploma/undergraduate students who consented. This study employed univariate and bivariate analyses using chi-square tests.Results: The results indicated a significant relationship between iron supplement adherence and knowledge of anemia (p=0.001), knowledge of iron tablet consumption (p=0.001), perceived susceptibility (p=0.001), perceived severity (p=0.001), perceived benefits (p=0.001), perceived barriers (p=0.001), self-efficacy (p=0.001), and cues to action (p=0.001). However, no significant relationships were found between iron supplement adherence and age (p=0.570), level of study (p=0.127), allowance (p=0.958), or place of residence (p=0.793).Conclusion: Knowledge of anemia, knowledge of iron tablet consumption, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues to action are associated with iron supplement adherence among female students at Universitas Diponegoro in Semarang
An Epidemiological Management Approach to Stroke Disease in Coastal Communities: A Structural Model for Tertiary Prevention
Get PDFBackground: Stroke survivors in coastal areas face major challenges, such as limited access to health services, minimal post-stroke education, and inadequate monitoring. Without a targeted tertiary prevention strategy, the risk of recurrence and disability remains high. This study aimed to develop a stroke management model to enhance self-control and support community-based health policy planning.Methods: A cross-sectional study was conducted among 45 stroke survivors in the Puger Subdistrict, Jember Regency, using a total sampling approach. Data were collected through questionnaires and measurements of blood pressure, cholesterol, and random blood glucose using touch-based devices and digital sphygmomanometers. Path analysis was performed using Partial Least Squares structural equation modeling.Results: Clinical needs, such as elevated blood pressure and cholesterol levels, encouraged survivors to be more active in managing their conditions and increased their interactions with health services. However, paradoxically, poor self-management, such as infrequent blood pressure monitoring and unhealthy diets, places a greater burden on the health system. This indicates that an increased system response alone is insufficient without strengthening the individual roles. Family history and blood glucose levels also contribute to indirect pathways. Conclusion: Preventing stroke recurrence requires a comprehensive epidemiological management approach, including clinical control, dietary education, and sustainable, community-based interventions. This model can serve as a basis for designing health programs and policies that are more responsive to the needs of coastal communities in the future
When reality and fantasy merged: A magical realism perspective in A Kiss for Cinderella
Get PDFA Kiss for Cinderella is a literary work whose narrative combines elements of reality and fantasy, reflecting the characteristics of magical realism. Magical realism is essential in "A Kiss for Cinderella," as it intertwines reality and fantasy, making the extraordinary feel ordinary. The narrative centers on a young woman enduring difficulty, who finds solace in a dreamlike realm inspired by the Cinderella fairy tale. The novel tells the story of a young woman who experiences hardship while escaping to a dream world inspired by the fairy tale of Cinderella. Through the dream world that she creates, she not only escapes from the harsh reality, but also builds an inner space where she finds meaning, magnificence, and the strength to survive. This study is conducted by reading carefully and thoroughly to the text, and then begin to isolate the part which shows how magical realism exists in the text of the play. This study also highlights how the fusion of real and imagined elements deepens the emotional and thematic impact of the play. This article explores how the interaction between imagination and reality shapes the story's themes and character development. By analyzing key scenes, we examine how magical realism is used to blur the boundaries between the protagonist's struggles and her fantasies. By using this approach, it is hoped to be able to deeply reveal how magical realism plays an important role and is able to strengthen the messages and human values which are contained in the play
Prediksi Jarak Lemparan Flyrock pada Aktivitas Peledakan Overburden Tambang Batubara di PIT 110 IUP PT. Kemilau Rindang Abadi
Get PDFLokasi penelitian berada di Pit 110 IUP PT. Kemilau Rindang Abadi yang merupakan lokasi pertambangan batubara, dengan aktivitas peledakan sebagai metoda utama dalam memberai overburden. Namun, aktivitas peledakan berpotensi menyebabkan kerugian apabila flyrock mengenai alat atau manusia, sehingga perlu diperhitungkan prediksi lemparan flyrock. Tujuan penelitian untuk mengetahui nilai prediksi jarak lemparan flyrock, dan mengetahui korelasi parameter-parameter peledakan yang berpengaruh terhadap jarak lemparan flyrock. Metoda penelitian yang digunakan pada penelitian ini yaitu metoda kuantitatif dengan menghitung rumusan prediksi jarak lemparan flyrock yang dibandingkan dengan jarak aktual flyrock yang diukur menggunakan GPS handheld dan meteran. Berdasarkan perhitungan prediksi Richard dan Moore dihasilkan nilai deviasi yang sangat tinggi dengan hasil perhitungan metoda face burst memiliki penyimpangan sebesar 118,01 m (93%), cratering 90,60 m (69%), dan rifling 97,01 m (74%), kemudian perhitungan prediksi Ebrahim Ghasemi dengan perhitungan analisis dimensi dihasilkan nilai dengan tingkat keakuratan paling tinggi yaitu 77% dengan penyimpangan sebesar 28,7 m (23%) yang dijadikan rekomendasi perhitungan prediksi jarak flyrock. Berdasarkan hasil analisis regresi linier diketahui parameter yang dapat dikontrol dari tingkatan tertinggi hingga terendah yaitu kedalaman (R2=0,8024), burden (R2=0,7433), water content (R=0,6734), dan powder factor (R=0,6292), dan spacing (R2=0,0061)
Kombinasi Isometric Handgrip dan Pursed Lips Breathing dalam Menurunkan Tekanan Darah Pasien Hipertensi: Case Report
No full textAbstractHypertension is a global health problem that requires pharmacological and non-pharmacological treatment. A combination of non-pharmacological interventions such as isometric handgrip and pursed lips breathing has the potential to have synergistic effects in lowering blood pressure, but there is still little evidence evaluating both intervention simultaneously during several days. This study aims to evaluate the effectiveness of the combination of isometric handgrip and pursed lips breathing in lowering blood pressure in hypertensive patients during five days. This study used a case study design with two female respondents aged 53 and 65 years who suffered from 1st and 2nd degree hypertension. The intervention was carried out for 5 days with one daily session directly supervised by the researcher. Isometric handgrip and pursed lips breathing are done alternately in the same session. Blood pressure was measured before and after the intervention. The results showed a decrease in blood pressure in both respondents. Systolic blood pressure decreased by 30 mmHg and diastolic decreased by 15 mmHg after 5 days of intervention. Respondents also reported feeling more relaxed and comfortable. The combination of isometric handgrip and pursed lips breathing is effective in lowering blood pressure in hypertensive patients. This intervention can be used as an easy, cheap, and safe nurse self-therapy to support hypertension control in the community. Future experimental studies are required to examine the effect of intervention in larger populations.Keywords: Isometric Handgrip; Pursed Lips Breathing; HypertensionAbstrakHipertensi merupakan masalah kesehatan global yang memerlukan penanganan farmakologis dan non-farmakologis. Kombinasi intervensi non-farmakologis seperti isometric handgrip dan pursed lips breathing berpotensi memberikan efek sinergis dalam menurunkan tekanan darah, namun masih sedikit bukti yang mengevaluasi keduanya secara bersamaan beberapa hari berturut-turut. Penelitian ini bertujuan untuk mengevaluasi efektivitas kombinasi isometric handgrip dan pursed lips breathing dalam menurunkan tekanan darah pada pasien hipertensi selama lima hari. Penelitian ini menggunakan desain case report dengan dua responden perempuan berusia 53 dan 65 tahun yang menderita hipertensi derajat 1 dan 2. Intervensi dilakukan selama 5 hari dengan satu sesi harian yang diawasi langsung oleh peneliti. Isometric handgrip dan pursed lips breathing dilakukan secara bergantian dalam satu sesi yang sama. Tekanan darah diukur sebelum dan setelah intervensi. Hasil menunjukan penurunan tekanan darah pada kedua responden. Tekanan darah sistolik turun 30 mmHg dan diastolik turun 15 mmHg setelah 5 hari intervensi. Responden juga melaporkan perasaan lebih rileks dan nyaman. Kombinasi isometric handgrip dan pursed lips breathing efektif menurunkan tekanan darah pada pasien hipertensi. Intervensi ini dapat dijadikan sebagai terapi mandiri perawat yang mudah, murah, dan aman untuk mendukung pengendalian hipertensi di komunitas. Penelitian eskperimen lanjutan dibutuhkan untuk menguji efektivitas pada skala populasi yang lebih luas.Kata kunci: Isometric Handgrip; Pursed Lips Breathing; Hipertens
COMPARATIVE STUDY OF LAND SURFACE TEMPERATURE ON LANDSAT 8 AND HLS-L30 USING MONO WINDOW AND SPLIT WINDOW ALGORITHMS (CASE STUDY: WKP MOUNT UNGARAN)
Get PDFAdvancements in remote sensing technology have enabled the use of satellite imagery, such as Landsat 8 and HLS-L30, for the spatial and temporal estimation of Land Surface Temperature (LST) with improved resolution. In the context of geothermal exploration, the availability of thermal infrared bands in these datasets facilitates more efficient and cost-effective mapping and identification of surface temperature anomalies, particularly across large and inaccessible areas. This study aims to compare LST estimations derived from Landsat 8 and HLS-L30 imagery using the Mono Window Algorithm (MWA) and Split Window Algorithm (SWA) at 18 geothermal manifestation points within the Mount Ungaran Geothermal Working Area (WKP). A Focal Statistic process was applied to 20 LST datasets, resulting in a total of 100 LST layers. From each layer, LST values were extracted at the 18 manifestation points, producing a total of 1,800 data points. A binary logistic regression analysis was conducted using these LST values alongside those from 20 randomly selected comparison points. The results indicate that the median LST derived from HLS-L30 imagery using the Split Window Algorithm with the minimum Focal Statistic yielded the most optimal performance in classifying geothermal manifestation presence. This method achieved statistical significance (p = 0.028), indicating its capability to effectively distinguish between manifestation and non-manifestation points. However, the pseudo-R² value of 0.107 suggests that the model explains approximately 11% of the variance in the data. These findings underscore the potential application of satellite-based LST analysis in the early detection and assessment of geothermal surface anomalies within WKPs.Keywords : Geothermal, LST, Landsat, HLS-L30, Ungara
Evaluating the Fulfillment of Health Rights for Persons with Disabilities in Jakarta’s Community Health Centers
Get PDFAccess to equitable health services is a priority in guaranteeing human rights, especially for persons with disabilities, which is implemented in the primary health service systems of developing countries. Although there is a comprehensive legal framework, structural and institutional barriers are essential in the fulfillment of inclusive health services. This study provides an analysis of the obstacles and implementation of the fulfillment of health rights of persons with disabilities at the Jatinegara Kaum Health Center. Puskesmas are at the forefront of providing health services, in line with the goals of Law Number 8 of 2016. The Jatinegara Kaum Health Center is the object of research because there is the highest population of people with disabilities in DKI Jakarta. The research was conducted by combining a legal framework with empirical data in the form of interviews, field observations, and document analysis, to evaluate systemic health service delivery practices. This study found a gap in the fulfillment of health rights with positive legal regulations that apply. Obstacles include limited infrastructure, limited medicines, supporting equipment, and lack of competence of medical personnel and the involvement of families of people with disabilities. This research provides recommendations for improving inclusive health facilities, the competence of health workers through special training, maximum allocation of funds, and cross-sectoral collaboration, in order to fulfill the health rights of persons with disabilities in a comprehensive and comprehensive manner
Efektivitas Jetty sebagai Pengendali Sedimentasi di Muara Sungai Bogowonto, Daerah Istimewa Yogyakarta
Get PDFMuara Sungai Bogowonto di Kabupaten Kulon Progo, Daerah Istimewa Yogyakarta, merupakan kawasan pesisir yang rawan sedimentasi akibat influks sedimen melalui aliran sungai dan transport sejajar pantai, sehingga memicu pendangkalan muara. Kondisi ini kerap menimbulkan banjir, terutama di sekitar Bandara Internasional Yogyakarta. Untuk mengatasinya, sejak 2021 hingga 2023 dibangun jetty sepanjang 300 meter di kedua sisi muara. Penelitian ini bertujuan mengevaluasi efektivitas jetty dalam mengendalikan sedimentasi melalui analisis perubahan laju sedimentasi setelah pembangunan. Hasil menunjukkan laju sedimentasi menurun signifikan, dari 0,0032821 cm/tahun menjadi 0,00006023 cm/tahun di Stasiun 3, serta dari 0,0000201 cm/tahun menjadi 0,00000657 cm/tahun di Stasiun 4 yang terletak di belakang jetty. Kecepatan arus sejajar pantai meningkat dari 0,89 m/s (2019) menjadi 1,52 m/s (2023), sedangkan tinggi gelombang signifikan (Hs) menurun di setiap musim. Pada musim Barat, Hs turun dari 1,86 meter menjadi 1,22 meter. Volume angkutan sedimen tertinggi tercatat pada musim Barat sebesar 2.729.015 m3/tahun, dan terendah pada musim Peralihan II sebesar 780.311,4 m3/tahun. Arah distribusi sedimen bergeser serta terkonsentrasi di luar mulut muara, menjaga alur tetap terbuka. Dengan demikian, jetty dinilai efektif menahan sedimen dan memperlancar aliran air, meski pemantauan dan pemeliharaan tetap diperlukan
Tuta Sindina: The Way Forward in Managing Academia at Escuela Superior Politenica De Chimborazo
Get PDFThis paper addresses the acute, interconnected socio-ecological challenges facing the Chimborazo province of Ecuador, a region characterized by high rates of poverty, chronic child malnutrition, and severe environmental degradation. These challenges demand a systemic, university-led response that transcends traditional models of outreach and knowledge transfer. The institutional model proposed herein was developed using a Participatory Action Research (PAR) methodology, which integrates a Quintuple Helix framework to engage stakeholders from academia, industry, government, civil society, and the natural environment. The primary result is the Tuta Sindina ecosystem, a novel organizational model for the Escuela Superior Politécnica de Chimborazo (ESPOCH) designed to foster a regional socio-ecological transition. Key features of this model include the creation of interdisciplinary research institutes targeting regional crises, comprehensive curriculum reform based on the principles of Education for Sustainable Development (ESD), and the deep integration of ancestral Kichwa knowledge, particularly the philosophy of Sumak Kawsay (Good Living). This paper concludes that the Tuta Sindina model offers a robust and potentially replicable framework for universities, particularly in the Global South, to function as anchor institutions for regional sustainability, thereby contributing a unique perspective to the global discourse on the role of higher education in achieving the Sustainable Development Goals
Perkembangan Publikasi Literasi Kesehatan Mental: Tinjauan Bibliometrik Data Scopus tahun 2019-2023
Get PDFPenelitian ini bertujuan untuk mengetahui perkembangan publikasi ilmiah literasi kesehatan mental, tren penelitian literasi kesehatan mental, pemetaan kata kunci dan pemetaan kepengarangan berdasarkan nama pengarang dan negara. Pengumpulan data melalui penelusuran database Scopus dengan kata kunci ”mental health literacy” tahun terbit 2019 – 2023. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan pendekatan bibliometrik. Hasil penelitian menunjukkan 965 artikel yang terpublikasi di Scopus. Perkembangan publikasi terus mengalami kenaikan dari tahun 2019 hingga 2023 dan tahun 2022 merupakan tahun terproduktif dengan 253 artikel (26,20%). Kata kunci yang sering muncul sekaligus memiliki kekuatan link terbesar adalah ‘mental health’ (9.473), ‘health literacy’ (7.098), ‘mental health literacy’ (5.311), ‘controlled study’ (4.714), dan ‘mental disease’ (4.362). Peneliti terproduktif adalah Wei, Yifeng dan Wang, Cixin dengan masing-masing publikasi 11 artikel. Negara United States menjadi negara kolaborator teratas sekaligus memiliki link terbesar yaitu 212 publikasi dan 126 pertemuan. Hasil penelitian menunjukkan perkembangan artikel penelitian literasi kesehatan mental mengalami kenaikan yang stabil. Adapun hasil pemetaan kata kunci VOSviewer menunjukkan tren penelitian literasi kesehatan mental terbagi menjadi sembilan kluster