International Journal of Public Health Science (IJPHS)
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Maternal hair lead and cytokine pro-inflammatory effects in preterm birth
This case-control study analyzed the lead (Pb), interleukin 6 (IL-6), and tumor necrosis factor alpha (TNF-α) levels in pregnant women with preterm birth (PTB) in Central Java, Indonesia. Hair samples from 72 pregnant women were collected non-invasively. The prenatal exposure to Pb was determined with the total reflection X-ray fluorescence (TXRF) method. Serum IL-6 and TNF-α were examined using enzyme-linked immunosorbent assays (ELISA). The Pb concentration in hair was slightly higher in women with PTB than those without PTB; however, this difference was not statistically significant. An elevated hair Pb level was not associated with increased PTB risk (OR 24.69, 95% CI 0.93–653.82, p>0.05). A serum TNF-α level ≥27 pg/ml, a serum IL-6 level ≥9 pg/ml, and the spouse’s smoking frequency were significantly associated with increased PTB risk (TNF-α OR 42.25, 95% CI 5.26–339.61; IL-6 OR 22.33, 95% CI 3.12–158.54; spouse’s smoking frequency OR 1.28, 95% CI 1.09–1.5), while the maternal hemoglobin concentration significantly decreased PTB risk (OR 0.43, 95% CI 0.2–0.927). This study demonstrates that maternal hair Pb concentration has no significant relationship with PTB. Serum TNF-α, IL-6, and the spouse’s smoking frequency potentially increased PTB risk, while the maternal hemoglobin level is a protective factor
Variability and pharmacological potential of bajakah (Spatholobus sp.) as an indigenous medicinal plant: a review
Bajakah (Spatholobus sp.) is an indigenous Indonesian plant that has been traditionally used as medicine, especially in Kalimantan Island, Indonesia. The variability and potential of bajakah as a traditional Indonesian medicinal plant have attracted research attention. This review article describes the traditional use, distribution, and pharmacological activity of bajakah. An integrative review method was employed, following procedures such as literature search, data analysis, and result presentation. Understanding the variations is important to understand the therapeutic potential and differences in active compound content among different types of bajakah. Furthermore, the chemical composition of bajakah has been identified, including alkaloids, flavonoids, tannins, saponins, and triterpenoids, which can potentially exhibit pharmacological effects and mechanisms of action associated with its traditional use. This review provided additional insights into the potential of bajakah as an herbal medicinal in the future. Therefore, this review article provides an overview of the traditional use distribution, and pharmacological activity of bajakah as a promising traditional medicine. Further research, including clinical studies, is needed to scientifically validate the therapeutic potential of bajakah and further understand the mechanisms of action and potential side effects associated with it
Food waste warriors: Indonesian communities engage through workshops and social media education
Food waste is food appropriate for human consumption but discarded in the retail or consumption process. In 2022, food waste accounts for 40.9% of Indonesia’s waste composition. Therefore, food waste community education is critical for reducing food waste. Community education can reach the young generation through workshops and social media. This research aims to evaluate various workshops and social media content in educating teenagers about food waste through community. The PRISMA guidelines become the foundation as a contribution to Sustainable Development Goals. We utilized databases such as EBSCO Host, SAGE, Taylor & Francis, and Wiley Online Library to search for relevant studies. This study’s approach is normative research including secondary data, comprehensive literature review such as workshops, social media, and food waste education journals in Indonesia. This systematic review examines food waste education content of workshops and social media in Indonesia also further content recommendations. This systematic review collected 52 papers, including journals and proceedings. The community education content in Indonesia focuses on recycling with 28.57%. Seminars/online campaigns dominate the education form with sustainable development goals (SDGs) achieved: climate action and zero hunger. This systematic review showed that it is essential to add actions toward food waste in the form of actual activities
The relationship between depression and self-compassion with non-suicidal self-injury among university students
The non-suicidal self-injury (NSSI) has been reported among university students which must be taken into consideration because it can have a negative impact on students’ well-being and lives. Therefore, this study was conducted to investigate the relationship between depression and self-compassion with NSSI among university students. This study was to identify the levels of depression, self-compassion, and NSSI. Purposive sampling was used in this correlational study and quantitative research design. This study included 73 NSSI reported year 1 and 2 undergraduate students from one of the programs at a Malaysian university. The instruments used in this study were the depression anxiety stress scale-21 (DASS-21) depression subscales, selfcompassion scale (SCS), and inventory of statements about self-injury (ISAS). Findings show that respondents had a moderate level of depression and self-compassion, as well as a low level of NSSI. Findings also demonstrate that there was a significant positive relationship between depression and NSSI. Self-compassion and NSSI had a significant negative relationship. There were also different findings for the relationship between the dimensions of self-compassion and NSSI. In conclusion, NSSI is a risky behavior that has negative consequences among university students
The effect of empowerment to improve patient safety culture among hospital nurses
A decline in the quality of services provided to patients and an increase in patient care costs are caused by a decline in their ability to work. Patient safety culture is a product of individual and group values, attitudes, competencies, and behavioral patterns that determine the commitment, style, and capabilities of a health service organization towards patient safety programs. This study examined the effects of empowerment on patient safety culture and employed descriptive, cross-sectional, analytical methodology. Proportionate random sampling was the sample method used at a hospital in Samarinda, Indonesia, with 119 respondents. Hospital surveys regarding patient safety culture and empowerment were used to gather data. Partial least squares and structural equation modeling were used for data analysis. Regarding opportunity indications for activities, the empowerment average had the highest score, 15.8 (SD=2.987). For teamwork within the unit, the patient safety culture had the highest average score of 13.3 (SD=1.777). The initial sample estimate value of 0.677 indicated that empowerment had a positive impact on patient safety culture. The T-Test result was 15.180, indicating that the value was greater than 1.98. Nurses’ autonomy in their work can be supported through empowerment. The stronger the empowerment, the more patient-safety culture the hospital will have
Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis
Self-management in regulating diet, fluids, activities, and medication in chronic renal failure patients which getting hemodialysis is still worse. This research aimed to develop the theory of compliance based on self-regulation to increase patient obedience and awareness. A cross-sectional approach of 130 respondents was recruited using simple random sampling. Structural equation modeling partial least square (SEM-PLS) was the statistical analysis for this study. All indicators in the outer model showed outer loading value >0.7, it declared feasible to predict each of the latent variables. The R-square value of appraisal latent was 0.576, Coping was 0.897, and self-care compliance was 0.713. The model was relevant when applied in other research studies with a Q-Square value=0.832. The goodness of fit (GoF) was 0.832>0.36, which means that the model was applied well. The appraisal variable is the strongest variable that influences coping, based on the hypothesis test. The self-regulation-based compliance model for blood pressure, interdialytic weight gain (IDWG), sodium levels, and functional independence can be developed through analysis of the structural model
The effectiveness of moringa leaf jelly on mother's prolactin level and baby's outcome
The failure of exclusive breastfeeding and the increased use of milk formulas is one of the results of a shortage of breast milk production. Moringa leaf contains phytosterol to increase milk production. Fortification of moringa leaf with jelly will increase the nutritional value of moringa leaf so that the prolactin increases and the production and quality of breast milk get better for babies. This study aimed to determine the effect of moringa leaf jelly on increasing milk production (prolactin, breast milk volume), and the outcome for the baby. Quasi-experimental research using pre-postest with control group design. The study respondents were taken with a purposive sampling technique of 58 people. Outcome indicators for babies are seen from the baby’s weight, the baby's urination frequency, the baby's defecation, and the baby's sleep duration. There was a significant effect on the increase in prolactin score by 23.3%, breast milk volume by 47%, and outcome babies by 3.3% in respondents given moringa leaf jelly. Meanwhile, respondents who were not given Moringa leaf jelly had a risk of decreasing prolactin levels 10.5 times, breast milk supply was 3.8 times lower and the outcomes for babies were 15 than those given Moringa leaf jelly. The moringa leaf jelly significantly effects increasing milk production and outcomes for babies compared to standard interventions
Comparative analysis of deep learning models for various nonalcoholic fatty liver disease datasets
Fatty liver disease is caused by increased liver buildup or weight above 5-10%. This disorder is widespread in people with diabetes, overweight persons, and metabolic syndrome patients. Clinical decision support systems can improve liver failure diagnosis and prediction to reduce this situation. Many liver failure models have drawbacks, and liver failure prediction is still a problem. This work uses four large open-access critical care patient datasets to create and verify liver failure risk prediction models. This study aims to construct a clinically applicable diagnostic and predictive model that evaluates the probability or risk of liver failure in intensive care unit (ICU) patients using extreme gradient boosting (XGBoost), artificial neural networks (ANN), multi-layer perceptron (MLP), Modular Neural Network (MNN), and generalized feed forward (GFF). We evaluated performance metrics using these models: accuracy, sensitivity, specificity, and predictive accuracy
Correlation of learning engagement and social support affecting the academic stress of Thai high school students
High school students face an elevated risk of psychological problems, with multiple determinants contributing to this vulnerability. This cross-sectional study aimed to investigate the relationship between academic stress, social support, and learning engagement among Thai high school students. A total of 109 high school students were recruited from one school located in Bangkok, Thailand. The academic stress, social support questionnaires, and learning engagement questionnaires were completed and analyzed for the correlation using Pearson’s and Spearman’s analysis. Multiple linear regression was done to determine variables influencing on academic stress. Medium level of academic stress was found (mean±SD=3.21±0.73). Academic stress was significantly correlated with social support (r=0.252, p<0.01) in a positive direction; however, the negative correlation with learning engagement did not reach statistical significance (rho=-0.108, p>0.05). Positive influence on academic stress was also found in social support (B=0.119, p<0.007), but not the learning engagement (B=-0.089, p=0.393). Thai high school students had medium level of academic stress, which correlated with and be positively influenced by social support. Our findings emphasize the importance of appropriate social support system to reduce stress and promote well-being among Thai high school students
Determinant of adherence with health protocols of COVID-19 among market traders
Amid the COVID-19 pandemic, extensive restrictions were imposed on public facilities, including markets. Market traders and visitors were required to adhere with the health protocols government-established. This study's objective is to identify the factors influencing adherence with health protocols among traders. A cross-sectional survey was carried out in traditional and modern market located in Bogor Regency, Indonesia, from March to June 2022. The study encompassed all registered traders belonging to the traditional and modern market association. A total of 240 traders were chosen through a systematic random sampling method based on a hypothesis 2 test of population proportion. Primary data was gathered using a questionnaire and the research data were analyzed using binary logistic regression. In traditional markets, the majority of traders, about 65.0%, did not adhere with the health protocols, whereas in modern markets, approximately 71.7% of traders adhered to the protocols. The determinants of adherence to health protocols were knowledge (p=0.007; OR=3.311; 95% CI=1.395-7.857) in traditional markets and perceived susceptibility (p=0.001; OR=10.377; 95% CI=2.494-43.180) in modern markets. Knowledge and perceived susceptibility are determinant of market traders' adherence with health protocols. Enhanced adherence to health protocols can be achieved by boosting traders' understanding and awareness of COVID-19