Window of Health (WOH) : Jurnal Kesehatan
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Controlling Model For Risk Factors Of Stunting Incident
Full text linkStunting is the condition where the children have stunted growth and development refers to weight/age (TB/U). In 2015-2017, there were 19,4%, 18,9% and 21,3% cases in West Sumatra. Pasaman district had the highest percentage of stunting from 19 Cities in West Sumatera, which is 21,1%, 25,7%, and 25% cases. The purpose of this study was to analyze the risk factor control model for stunting in toddlers in the Pasaman district. This study was an observational analytic study with an unmatched case-control design. The subject of this study was the 35 families who had children 12-59 months with stunting cases and another 35 group control in Pasaman district. Data were collected by using a questionnaire to measure stunting risk factors. Data was analyzed by using univariate, bivariate, and multivariate analysis with regression and backward methods. The result of the study showed that “father education level” as a stunting risk factor had a P value=0,048 and “family income” with P value = 0,015, while history of birth weight had a P value of 0,08. The final result (sixth step) showed that the baby's birth weight variable had the odds ratio eβ=31,578 when analyzed simultaneously with another variable (parenting and father’s education level). Conclusion: baby birth weight variable simultaneously with parenting and the father’s educational level affected the incident of stunting in toddlers (eβ=31,578). It is necessary to increase family empowerment to control the cases of stunting related to the nutrition of pregnant mothers by improved child care, parenting in feeding, and increased family income
Papaya Fruit Supply Chain System in Surabaya City: Towards a Better Food and Nutrition Urban Governance
Full text linkPapaya (Carica papaya Linn) is a tropical fruit with high economic and nutritional value. Indonesia was the fourth biggest papaya producer in the Asian continent from 2008 to 2018, and East Java was the primary contributor. Papaya has complex chemical components such as protein, carbohydrates, fat, fiber, minerals, and vitamins. However, its supply chain system faces challenges such as postharvest issues, processing and transportation, and low consumption. This study aimed to determine the papaya fruit supply chain system in Surabaya City to reform the existing food and nutrition action plan, which has not yet been fully implemented. With a toolkit from FAO called RUFSAT (Rapid Urban Food System Assessment Tool), the food system was developed with a primary concern on papaya commodities. Results indicated that the papaya supply chain in Surabaya is comprised of three channels: farmer to collector, wholesaler/distributor, retailer, and consumer. Acquisition and distribution of papaya still suffered from losses, food safety, transportation handling, packaging issues, and quality assurance practices. In terms of consumption, most households ingested papaya within 1-3 times per week, which is considered inadequate. Effective collaboration among city government agencies is pivotal for addressing supply chain complexities. In addition, integrating papaya with other fruits into urban farming initiatives can help to improve the nutritional status of Surabaya citizens
The Influence of the Information Motivation Behavioral Skills Model Approach on Increasing HIV/AIDS Prevention Information
Full text linkThe number of HIV/AIDS cases in Indonesia although it tends to fluctuate, data on HIV/AIDS cases in Indonesia continues to increase from year to year. The increase in the spread of HIV/AIDS is certainly very worrying because, in reality, it occurs in all levels of society in almost all provinces, especially within a community group or community. This research aims to analyze the influence of the Information Motivation Behavioral skills model approach on increasing HIV/AIDS prevention information for inmates at Sungguminasa Narcotics Prison. The type of research used is quantitative research with a quasi-experimental pre-post test approach with a control group design. This research was conducted at the Class IIA Sungguminasa Narcotics Prison with a sample size of 60 respondents consisting of 30 for the control and intervention groups. In the intervention group, based on the results of the Wilcoxon statistical test, a P-value of 0.004 < 0.05 was obtained, meaning that there was an influence of the IMB model approach on increasing HIV/AIDS prevention information among inmates at the Sungguminasa Class IIA Narcotics Prison. In the control group, based on the results of the Wilcoxon statistical test, a P-value of 0.132 > 0.05 was obtained, meaning that there was no effect of the IMB model approach on increasing HIV/AIDS prevention information among inmates at the Sungguminasa Class IIA Narcotics Prison. From this research, it can be concluded that the IMB Model influences increasing information for inmates. The IMB model can be an approach that can be applied in the Sungguminasa Class IIA Narcotics Prison
Epidemiological Determinants and Trend Analysis of Dengue Fever Disease
Full text linkBandung City is an endemic area for dengue fever, with 4,424 cases and 14 deaths. This research aims to analyze the epidemiological determinants and see the trend analysis to forecast dengue hemorrhagic fever cases. This research used a case-control design. The case population was those who suffered from dengue hemorrhagic fever, while the control population was those who did not suffer from dengue hemorrhagic fever. A sample of 510 respondents was taken. Sampling using a purposive sampling technique. Epidemiological determinants were analyzed using the chi-square test and logistic regression, while disease trends used exponential smooth analysis. The related results were education (p=0.036), presence of mosquito larvae (p=0.000), container material (p=0.002), water container (p=0.025), mosquito wire (p=0.010), presence of solid waste (p=0.002), mosquito repellent plants (p=0.041), mobility (p=0.004). The most dominant epidemiological determinant was the presence of mosquito larvae (OR=3.2). The incidence trend of dengue fever is increasing over the next 5 years. The research concluded that the epidemiological determinants of dengue fever were education, the presence of mosquito larvae, container materials, water collection objects, mosquito wires, the presence of solid waste, and mosquito repellent plants. The presence of mosquito larvae was the dominant factor. There is an increase in dengue fever cases over the next 5 years. It is recommended to increase the larva-free rate by optimizing Jumantik cadres and conducting epidemiological surveillance
Glomerular Filtration Rate in Prediabetic Subjects in Kendari City
Full text linkPrediabetes is a condition of impaired blood glucose metabolism. However, it does not yet meet the criteria for diabetes mellitus, characterized by impaired fasting blood glucose (FBG) levels and the Oral Glucose Tolerance Test (OGTT). Chronic glucose intolerance can increase the workload of the kidney glomerulus in the filtration process and the tubules in the reabsorption process. The research aims to assess the Glomerular Filtration Rate (GFR) in prediabetic subjects in Kendari. This type of analytical observational research with a case-control design. The total sample was 90 samples consisting of 45 non-diabetic samples as the control group and 45 prediabetic samples as the case group. Characteristic data is presented as a frequency distribution and test data for differences between the control group and cases using an independent t-test with statistical test results said to be significant if the p-value is less than 0.05. The research results showed that the frequency distribution of subjects in the control group and cases based on gender was dominated by women, with the most extensive age range being 36-55 years. The FBG variable in the control group had a mean of 94±5.31 mg/dL, and in the case group, 110±8.09 mg/dL. The OGTT value in the control group was 118±12.78 mg/dL, and the case group was 139±23.90 mg/dL. The results of the calculation of the GFR showed a mean of 98.63±14.28 mL/min/1.73 m2 in the control group and 50.10±16.34 mL/min/1.73 m2 in the case group, different significant (p equal 0.000). There was a significant difference between GFR in the control group and the prediabetes case group. The results of the GFR assessment in the prediabetes group showed a mild decrease in renal function
Telegram Chatbot as DASH Diet Education Media for Employees
Full text linkHypertension and prehypertension are a unity of diseases caused by various risk factors that can be experienced by employees. A diet known for patients who have high blood pressure is the DASH diet with one of the efforts to prevent the incidence of hypertension is through education. Research objectives: Determine the effect of providing nutrition education through Telegram Chatbot on increasing knowledge of the DASH diet in employees with hypertension. This type of research is Quasi Experimental research. Pre-test and post-test research design with control group design. Results of study, the number of male respondents was more, namely 18 people (58%), compared to female respondents, as many as 13 people (42%). The average post-test score was greater at 92.12, while the pre-test was 70.61. The difference between the average pre-test and post-test was 21.51. The results of the t-test analysis obtained a p-value of 0.000 (less than 0.05). Conclusions: There is an influence of Telegram Chatbot media on changes in DASH dietary knowledge in employees with hypertension in Padukuhan Purbosari
The Influence of Blue Butterfly Pea Flower (Clitoria Ternatea) Gel Extract on Interleukin-10 (IL-10) and Glutathione Peroxidase (GPx) Levels
Full text linkLong-term exposure to Ultraviolet B (UV-B) radiation causes increased skin darkening owing to a reaction to oxidative stress leading to elevated levels of nitric oxide (NO) and reactive oxygen species (ROS). Excessive ROS induces signal transduction and stimulates the transcription factor NF-kβ, an inflammatory mediator. Butterfly flower extract has high antioxidant levels, inhibiting ROS production and reducing inflammatory conditions, hindering MMP, preventing fibroblast cell apoptosis, and inhibiting collagen degradation. However, the role of butterfly pea flowers on IL-10 and GPx gene levels in melasma skin due to UV-B exposure is unclear. This research aims to assess the effectiveness of applying Blue Butterfly Pea Flower Extract Gel on the level of the IL-10 and GPx genes in Wistar rat strains exposed to UV-B. The UV-B-experimental research with the post-test control group. Groups K2, K3, and K4 were each exposed to UV-B at 302 nm with a MED of 160 mJ/cm2, while group K1 was the healthy group. K3 was given 5% butterfly pea flower gel, K4 was given 10% gel daily for 14 days, and K2 received base gel. On the 21st day, ELISA examined the tissue for IL-10 and GPx levels. The IL-10 gene level in the treatment group increased with higher dosages (K3=83.27±3.11, K4=90.66±4.00) compared to controls (K2=33.26±2.98, K1=104.7±3.26). The relative level of the GPx gene in the treatment group increased along with increasing dose (K3=44.90±1.44, K4=54.09±1.00) compared to the control group (K2=29.54±0.85, K1=62.43±0.85). Administration of butterfly pea flower gel can increase the level of the IL-10 gene and the level of the GPx gene in the skin tissue of mouse models of UV-B light-induced hyperpigmentation
The Relationship Between Health Service Support at Community Health Centers and Family Caregiver Coping for Patients with Type 2 Diabetes Mellitus
Full text linkType 2 Diabetes Mellitus (T2DM) is a chronic disease that requires long-term treatment and often necessitates the assistance of family caregivers. One of the challenges faced by family caregivers in caring for T2DM patients is the psychological pressure that can affect their ability to cope with the situation. Psychological stress demands external support, particularly from Community Health Center (Puskesmas) services, which becomes crucial. This study aims to explore the relationship between Community Health Center support services and the coping mechanisms of family caregivers for T2DM patients in Malang, Indonesia. This research employs an observational design with a cross-sectional approach involving 324 family caregivers selected through cluster random sampling technique from an average of 1,787 monthly visits, using the Lamesow sample size formula from 1997. Data collection was conducted using the Health Service Support Questionnaire (HSSQ) and the Family Coping Index (FCI). Data analysis utilized the Spearman Rank test. The data analysis indicated a p-value (0.000) < α (0.05), which shows a significant relationship between health service support (Puskesmas) and the coping mechanisms of family caregivers. In conclusion, there is an important relationship between primary health service support and the coping strategies of families caring for T2DM patients. The findings of this study recommend the implementation of special programs for family caregivers of T2DM patients, aiming to improve the skills and effectiveness of home care assistance
In vitro Hemostasis Activity Analysis of Ethanol Extract of Sappan Wood Administration Based on Clotting Time Lee and White Method
Full text linkHemostasis is a combination of events following vascular injury, including vasoconstriction, platelet aggregation, thrombus formation, recanalization, and debridement. Clotting time is an assessment to determine the time required for blood to clot in vitro. This study aimed to determine the effect of sappan wood ethanol extract on the outcome of the clotting time test using the Lee and White method. This study is experimental, with several samples of 32 divided into three groups, using the Lee and White method clotting time examination. Group C as a control group (1 mL of venous blood only), P1 and P2 as much as 1 mL of venous blood by adding 0.3 grams and 0.4 grams of sappan wood ethanol extract, respectively. The data analysis used was One-way ANOVA with Post hoc LSD test. One-way ANOVA test revealed significant differences between research groups (<0.05). Post hoc LSD results showed a significant difference between P1 and P2 compared to group C. It can be summarized that there is a difference in the results of the Lee and White method clotting time examination between blood with and without sappan wood ethanol extract
Total Flavonoid Content and Antioxidant Activity of Soursop Leaves from the Three Largest Producing Areas of South Sulawesi Province, Indonesia
Full text linkSoursop leaves (Annona muricata L.) have anticancer and antioxidant activities; soursop leaves contain substances with the potential as antioxidants, such as flavonoids. Antioxidant assays and total flavonoid content from the three largest producing regions in South Sulawesi Province, namely Gowa, Takalar, and Pinrang, were carried out to obtain data on the antioxidant activity and flavonoid content of soursop leaves (Annona muricata L.) three areas. Total Flavonoid content was determined by UV-Vis spectrophotometry, and antioxidant activity was measured by the DPPH (1,1-Diphenyl-2-picryl Hydrazyl) method. According to the study, soursop leaves (Annona muricata L.) from the Gowa, Takalar, and Pinrang regions have total flavonoid levels of 7,6484 mg QE/g, 3,74429 mg QE/g, and 3,3105 mg QE/g, respectively, and IC50 values of 70.509 g/mL, 102.159 g/mL, and 99.246 g/mL, respectively. The results showed that soursop leaves (Annona muricata L.) from the Gowa area had the highest flavonoid content and antioxidant activity. Gowa region could be the best source of soursop leaves for developing soursop as an herbal remedy