Window of Health (WOH) : Jurnal Kesehatan
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Effectiveness Of Clittoria Ternatea And Zingibers Officinale Concoction On The Reduction Of Dysmenorrhea In Adolescent Girls
Full text linkDysmenorrhea or menstrual pain is abdominal pain originating from uterine abdominal cramps, occurring during menstruation due to sloughing of the endometrial layer. The prevalence of dysmenorrhea varies widely in various countries, ranging from 16-91%; the incidence in Indonesia ranges from 45-95%, while in the Special Region of Yogyakarta, as much as 52%, and in Sleman district, as much as 88.64%. The purpose of the study was to determine the effectiveness of steeping butterfly pea (Clitoria Ternatea) and ginger concoction(Zingibers Officinale) on reducing menstrual pain (dysmenorrhea) in adolescent girls. The research method used was Quasi Experiment Two Group Pretest-Posttest design. The subjects in this study were 90 respondents who experienced menstrual pain and met the criteria. Data analysis using the Wilcoxon test and Mann-Whitney test. The results of this study showed that the average menstrual pain before being given butterfly pea brew was 5.97. After being given Butterfly Pea Brew, the average menstrual pain was 0.51 with a P-Value 0.000 less than 0.05, meaning that there was a difference in menstrual pain felt before and after being given Butterfly Pea Brew. The mean value of menstrual pain before being given a ginger concoction is 6.02. After being given a ginger concoction, it decreased to 0.44 with a P-Value of 0.000 less than 0.05, meaning that there is a difference in menstrual pain felt before and after a ginger concoction. This study concludes that butterfly pea brew and ginger concoction effectively reduce menstrual pain (dysmenorrhea)
Risk Factors for Hypertension in the Coastal Area of Tarakan City
Full text linkHypertension is a severe medical condition and is the leading cause of premature death worldwide, significantly increasing the risk of heart, brain, kidney, and other diseases. However, not all people with hypertension are aware of their disease, and it is only discovered after complications occur. Therefore, hypertension must be prevented and controlled. Prevention and control of hypertension aims to prevent and reduce the probability of morbidity, complications, and death. Hypertension can be prevented by controlling risky behaviors. This study aims to analyze the risk factors for hypertension in coastal communities in Tarakan City. This research is quantitative research with a cross-sectional study design. The study sampled people in the working area of the Amal Beach Health Centre, Tarakan City, and met the sample criteria obtained using a purposive sampling technique. The data obtained will be processed univariate and bivariate. The results showed that there was a significant relationship between obesity (p-value 0.001), family history (p-value 0.013), and sports activity (p-value 0.009) with the incidence of hypertension. Smoking habits did not show a significant relationship (p-value 0.230) with the incidence of hypertension. This study concludes that obesity, family history, and exercise activity are risk factors for the incidence of hypertension in coastal areas of Tarakan City. Therefore, it is hoped that health promotion efforts in the form of scheduled counseling on risk factors for hypertension and preventive efforts in the form of early detection so that people can prevent or control hypertension to avoid complications
The Effect of Physical Activity on the Prevention of Degenerative Diseases of the Cardiovascular System
Full text linkAtherosclerotic plaque, which forms in blood arteries due to a lack of blood flow to the cells that produce blood flow, is a disease that causes a continuous decline in the function of body cells that characterizes degenerative diseases of the cardiovascular system. Through physical exercise, this study seeks to prevent several degenerative diseases of the cardiovascular system by reducing indicators of metabolic symptoms. The type of research applied is Action Research with the Spiral Model of Kemmis and Taggart, which is realized through the stages of Plan, Action, Observation, and Reflection. The sample used in this study has purposive sampling criteria, namely participant techniques based on age, namely 15-25 years old, who is studying at Bina Guna College of Sports and Health, and who has healthy body conditions and has symptoms of degenerative diseases of the cardiovascular system. The number of participants obtained was 30 people. 75% of participant data came from obesity measurements, 50% from hypertension, 45% from above-normal cholesterol levels, 20% from above-normal sugar measurements, and 50% from uric acid. The following metrics were used to assess the success of the physical activity model: (1) Body Mass Index (BMI) measurements were used to determine obesity levels; (2) blood pressure devices were used to measure hypertension; and (3) Autocheck was used to measure uric acid, sugar, and cholesterol. The implementation of two cycles led to a 30% decrease in obese patients, a 13% decrease in hypertension, a 13% decrease in cholesterol, a 10% decrease in blood sugar levels, and a 10% decrease in uric acid. The concept of physical fitness in the form of a movement activity concept developed as physical activity in the form of gymnastics based on structured and systematic movements, physical activity in the form of a daily activity schedule, and physical education as a diet as an example of a diet in carrying out activities, the prevention model through physical activity influences reducing the symptoms of degenerative diseases in the cardiovascular system
Physical Fitness Leads to Risk of Delayed Onset Muscle Soreness in the Lower Extremities of Sangsekarta Dancers, Malang
Full text linkLow physical fitness and high dance intensity cause eccentricity, leading to microscopic damage to muscle fibers. That condition leads to an inflammatory response, pain, or Delayed Onset Muscle Soreness (DOMS). It is a condition in which muscle soreness occurs after a high-intensity activity that occurs after 24-48 hours. This study aims to see the relationship between physical fitness and the risk of lower extremity DOMS in dancers registered in KEPK-FKUMM with the ethical number E.5.a/042/LEPK-UMM/II/2024. The research method used an analytical observational design with a cross-sectional study approach. The research respondents consisted of 62 dancers out of a total of 120 based on the purposive sampling technique. Inclusion criteria included traditional and modern dancers who had practiced 2 days before the study. Meanwhile, the exclusion criteria were dancers in the rehabilitation or injury phase. Data testing using correlation analysis with a p-value of <0.001 (p<0.05) means a significant relationship exists between physical fitness and the risk of lower extremity DOMS in dancers. The coefficient value of -0.731 indicates a strong relationship. The coefficient value means that the higher a person's physical fitness, the lower the level of DOMS
The Relationship of Workload with the Quality of Nursing Services in Hemodialysis Installations
Full text linkThe quality of nursing services for hemodialysis patients is determined by the role and performance of nurses. High workloads are often the reason nurses leave work, which can disrupt the continuity of patient care. A high workload can have a negative impact on the quality of nurses' work, while a balanced workload can improve the quality of work. This study used a cross-section design with a sample of 35 hemodialysis nurses at RSUD Dr. Soetomo. The research was carried out in the Hemodialysis room at Dr Soetomo Hospital, Surabaya. Research data regarding workload and service quality variables was collected through questionnaires. Research data was processed using Spearmen rho with a p-value ≤ 0.05. The statistical test results show that the p-value is 0.000, so it can be interpreted that H0 is rejected. This indicates a relationship between nurses' workload and the quality of hemodialysis services. The workload creates optimal nurse performance in carrying out actions. The performance of nurses in hemodialysis tasks, which are quite complex, with the number of patients being disproportionate to the number of nurses, has an effect on the quality of nursing services
The Relationship Between Nutritional Status And Insulin-Like Growth Factor-1 Levels In Stunted Children In Cirebon Regency
No full textInsulin-like Growth Factor-1 (IGF-1) is a growth hormone mediator that acts as a growth-promoting factor in the growth process and is also an indicator of the adaptive immune system. Children who experience stunting will experience obstacles to growth and cognitive and motor development, affecting their productivity as adults. This research aims to determine IGF-1 levels and their relationship with stunted children's nutritional status. The research method used was observational, with a cross-sectional research design. The population of stunted children in the Tegalwangi locus area, Cirebon Regency, a sample of children aged 24-60 months who met the inclusion criteria of not being disabled and not being sick, was 50 children. The research began with parents filling in informed consent. Continue to fill in data on date of birth, measure height and weight, take @1ml of the child's blood, and analyze IGF-1 using the ELISA method. The research results were that the average IGF-1 level for men was 16,812 ± 5,164 ng/ml and for women 13,810 ± 5,111 ng/ml. Average IGF-1 levels aged 24-36 months were 14,777 ± 4,742 ng/ml, 36–48 months 17,050 ± 4,280 ng/ml, and 48–60 months 15,214 ± 6,248 ng/ml. Data analysis using the Pearson correlation test obtained a value of p=0.871 based on age, p=0.047 based on gender, p=0.643 based on Height for age, and p=0.245 based on Weight for age (95% CI). The conclusion is that there is a relationship between the age of a stunted child and IGF-1 levels, and there is no relationship with nutritional status. All stunted children have IGF-1 values below the standard value for normal children based on the literature, namely ≥ 28.54 ng/ml.
 
Outpatient Registration Staff Performance Assessment Model Using Ongoing Professional Practice Evaluation Method
Full text linkEnsuring patient safety and improving hospital quality begins with the patient admission process. Patient misidentification can significantly contribute to patient safety incidents; therefore, monitoring the performance of patient admission staff is crucial in preventing adverse events. Staff performance assessment includes evaluation of attitude, professional development, and service performance. This study aims to develop a performance assessment model based on the Ongoing Professional Practice Evaluation (OPPE) method. This study utilized a qualitative approach with an exploratory design. Data were collected through observations, interviews, document reviews, and surveys. Four staff members from outpatient admissions participated in the study. The study outlined assessment components consisting of attitude (7 aspects), professional development (3 aspects), and service performance (23 aspects). Self-assessment results showed all staff demonstrated competence in attitude and service delivery, while a minority lacked competence in professional development. The outpatient admission staff performance assessment model, based on the Ongoing Professional Practice Evaluation (OPPE) method, integrates three aspects (attitude, professional development, and service performance) and can be effectively implemented in hospitals to evaluate and monitor service quality
Formulation of Body Odor Bacteria Inhibiting Deodorant Spray from Ethyl Acetate Extract of Klika Kesambi
Full text linkAcne is one of the skin damages caused by acne-causing bacteria. Flavonoids, saponins, and tannins in taro tubers can potentially have activity against acne-causing bacteria. This study aims to determine the formulation of extract transparent solid soap preparation that meets the characteristics and assess the activity of soap preparation as anti-acne against acne-causing bacteria. Taro tubers were extracted by maceration method. The extract was formulated as transparent solid soap preparations with variations in extract concentration, namely F0 0%, F1 2%, F2 4%, and F3 8%. The soap was evaluated for characteristics including organoleptic test, pH, moisture content, free fatty acids and alkali, mineral oil test, and foam stability test. Antibacterial activity testing of transparent soap extracts was carried out against acne-causing bacteria. The extraction results obtained an extract yield of 10.86%, the three extract formulas have transparent solid soap characteristics that meet the requirements. Soap preparation formula 1 has an inhibition zone of 21.66 ± 0.31 mm against P. acnes bacteria, 19.11±0.53 mm against S. epidermidis, 21.74±0.34 mm against S. aureus. Soap preparation formula 2 has an inhibition zone of 18.53±0.26 mm against P. acnes bacteria, 18.71±0.49 mm against S. epidermidis, 20.16±0.34 mm against S.aureus and soap preparation formula 3 has an inhibition zone of 19.03±0.68 mm against P. acnes bacteria, 19.93±0.86 mm against S. epidermidis, 22.75±0.59 mm against S.aureus. In conclusion, formula 2 with 2% extract concentration has the best soap characteristics and has the most optimal inhibition zone
The Relationship between Visceral Fat and Cognitive Function in Medical Students
Full text linkDuring COVID-19, there was a change in student lifestyle, which triggered visceral fat accumulation. The accumulation of visceral fat is one of the causes of systemic inflammation, which is dangerous for the integrity of the brain and can potentially reduce cognitive function. This study aimed to determine the relationship between visceral fat and cognitive function among medical students. This study used a cross-sectional design towards 73 Faculty of Medicine Universitas Pembangunan Nasional “Veteran” Jakarta students who met the criteria and were selected using a simple random sampling technique. The measurement of visceral fat was done using the Tanita Body Composition Analyzer, while the measurement of cognitive function was done using the Digit Symbol Substitution Test questionnaire. The study showed differences in sex and body mass index between normal and high visceral fat groups. There were no differences in age, consumption of junk food, and physical activity between the visceral fat groups. The Spearman test results showed a relationship between visceral fat and cognitive function (p-value equal 0.000; r equal -0.561). The higher the visceral fat, the lower the cognitive function
Kelas Edukasi Menyusui Ibu Hamil (KEMIH): Its Correlation to The Improvement of Knowledge, Self-Efficacy, and Breast Milk Production of Post-Partum Mothers
Full text linkThere have been many educational programs or media used to introduce exclusive breastfeeding. However, the reality in the field shows that many people, especially mothers, still do not understand exclusive breastfeeding. Moreover, many mothers who have been educated continue to give formula milk because of misunderstandings, such as myths. For this reason, strengthening mothers’ self-efficacy needs to be carried out since it is one of the determining factors for the success of exclusive breastfeeding. Therefore, it is highly necessary to have a maternal assistance program that starts during pregnancy to strengthen the mother’s self-efficacy and continues to guide the mother after giving birth in exclusive breastfeeding. The objective of this study was to assess the effectiveness of Kelas Edukasi Menyusui Ibu Hamil (KEMIH) (English: The Breastfeeding Education Class for Pregnant Women) to increase knowledge, self-efficacy, and breast milk production of post-partum mothers. In this study, the researchers applied a quasi-experimental design. In addition, the employed approach was two groups with control. The number of samples was 61 respondents who met the pre-defined criteria (29 respondents in the intervention group and 31 respondents in the control group). The instruments in this study were modules, self-efficacy questionnaires, and electric breast pumps. The results showed that there were significant differences in the three variables, in which the obtained p-values were 0.000 (less than 0.05) for the increase in knowledge, 0.012 (less than 0.05) for the increase in mother’s self-efficacy, and 0.000 (less than 0.05) for the increase in breast milk production. This indicates that the KEMIH program is effective in increasing the knowledge, self-efficacy, and breast milk production of mothers. In addition to education programs, mothers need to have strong support from their families and health workers for the success of the breastfeeding process