Publications of the Indonesian Scholars' Alliance
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Determinants of Pre-Diabetes on Teenagers in Palangka Raya City
Background: Pre-diabetes is a stage prior to diabetes mellitus (DM) and many studies in west countries found the risk factors of diabetes were mostly related to the nutritional status of being overweight and obese. Diabetes mellitus is not only experienced by adults but also by teenagers. They have the potential for pre-diabetes because they may have unhealthy lifestyles such as smoking, consuming alcohol, high-calories, and junk foods and lack of physical activity. This study aims to determine the risk factors of pre-diabetes among senior high school students in Palangka Raya, Central Kalimantan, Indonesia.
Methods: This study was a qualitative study using a questionnaire as an instrument for data collection. It consists of a set of questions on diabetes risk. This research conducted in four public senior high schools in Palangka Raya with the total sample was 131 respondents have participated in this research.
Results: 25 respondents (19.1%) from a total sample of 131 participants suffered from pre-diabetes and 30.5% of respondents had a family with DM. Some students (6.9%) had a smoking habit and 13% incidence of prediabetes in high school students related to these factors (R2: 0.13). Only less than half of the total respondents (43.5%) had a normal BMI. As many as 39.7% of respondents were undernourished while the rest were overweight.
Conclusion: Pre-diabetes factors on teenagers in Palangka Raya are female dominate had a history of DM, and being overweight. This study further leads to the importance of weight control that focusing on physical activity and dietary management as early precautions. Health education is required to suppress the number of risk factors for diabetes.
Keywords: Pre-diabetes, Palangka Raya High School Students, Indonesia
Received: 14 May 2019 Reviewed: 29 May 2019 Revised: 16 June 2019 Accepted: 6 July 2019
DOI: 10.35898/ghmj-3358
EFFECTIVENESS OF ORALLY USE CATFISH (Clarias gariepinus) SKIN AND MEAT ON WOUND LENGTH AND FIBROBLAST DENSITY IN INCISION WOUND OF WISTAR RAT (Rattus norvegicus)
Background: Treatment for wounds that are currently often given is use povidone-iodine. But, this antiseptics also kills fibroblast tissue which is useful for forming new tissue. One of the other ways to treatment for wounds is use catfish. The contents found in catfish (Clarias gariepinus) is albumin which is a globular protein that is useful in the formation of body tissues, such as postoperative wounds and burns. This study aims to determine the effect of skin and meat of catfish (Clarias gariepinus) on wound length and fibroblast density in incision wounds of Wistar rat (Rattus norvegicus).
Methodology: This study is an experimental study with Post Test Only Control Group Design using Wistar rats which are divided into five groups. The control group (aquadest) and treatment groups 1, 2, 3 and 4 are given the skin and meat of catfish (Clarias gariepinus) orally at a dose of 12.5 mg / 200 g BW, 25 mg / 200 g BW, 37.5 mg / 200 g BW, and 50 mg / 200 g BW. After 10 days, the rats are killed to take the wound tissue for histological preparations to observe fibroblast density. Then, it is analyzed by ANOVA test or the alternative.
Results: There is an effect of giving catfish skin and meat (Clarias gariepinus) orally at different dose. The administration of catfish skin and meat (Clarias gariepinus) at a dose of 37.5 mg / 200 g BW and 50 mg / 200 g BW is better than other doses assessed from wound length and fibroblast density in Wistar rat incision wounds (Rattus norvegicus).
Conclusion: The use of catfish for wound healing can be applied. This method can reduce wound length and increase fibroblast density at certain doses.
Keywords: Fibroblasts, incision wounds, catfish, Clarias gariepinus, wound healin
THE CORRELATION OF EDUCATION AND SOCIAL ECONOMIC LEVELS WITH ANTIBIOTIC SELF-MEDICATION IN THE COMMUNITY OF CIREBON
Background: People in developing countries, like Indonesia, often conduct self-medication. One of the most common drugs used in self-medication is antibiotics. Antibiotics should be used with caution since it can cause antibiotic resistance and possible unwanted side effects of the drug. There are several factors that influence self-medication behavior such as education and socio-economic levels. This research aims to find the correlation between education and social economic levels with antibiotic selfmedication in the community of Cirebon.
Method: This study was an analytical survey with cross-sectional method. This study was conducted from December 2018 to February 2019. A total of 300 respondents were recruited as samples using consecutive sampling technique. The respondents were recruited from 5 different pharmacies from each sub-district in Cirebon City and a validated questionnaire were used to obtain data. The collected data are analyzed using the Spearman correlation test.
Results: The results of this study show that there was a significant but weak positive correlation of education level (r=0.224, p=0.001) and socio-economic (r=0.210, p=0.001) with self-medication using antibiotics.
Conclusion: There is a significant positive correlation between education and socio-economic levels with antibiotic self-medication.
Keywords: self-medication, education level, socio-economic leve
CONTROLLING DIET EXPERIENCE OF DIABETIC PATIENTS IN BUKITTINGGI, INDONESIA
Background: In 2015, the International Diabetes Federation reported that there were 415 million adults aged 20 to 79 with diabetes. Indonesia is among the 10 countries with the high number of diabetic patients and is ranked 7th in the world with the number of patients reaching 10.2 million. Diabetes management can be done through controlling blood sugar through 4 pillars, namely education, diet, exercise, and medication. However, the current phenomena show that many diabetics have poor dietary control so they fail maintain their blood sugar within its normal limits and are at greater risk for diabetes complications.However, we can still find diabetic patients who are able to improve their diet and control their blood sugar. Therefore, getting information from them, especially related to their experience in controlling their diet, is expected to provide hope and motivation for others. Hence, this study aims to find out and expolore the experience of diabetics with controlled blood sugar and diet
Methods: This study uses a qualitative research method with a descriptive phenomenology approach. The selection of participants was carried out by using a purposive sampling technique. The number of participants in this study were 5 and data were processed through Colaizzi method.
Result:.There are four themes obtained in this study namely: Self-commitment to discipline and dietary compliance, Fruit as an alternative appetite suppresant, Controlling hunger as a habit, and Channelling hunger to activities. Controlling diet for participants has been succesfully done by created a new habit through controlling their hunger, so that they could keep their commitment dan disclipline for dietary compliance, choosing fruits as alternative suppresant and doing activity for channeling the hunger. Therefore it is important for the nurses to educate the diabetic patients about how to deal with diet issues through controlling a hunger as a habit
Keywords: Diabetes, Diet, Patients' Experienc
EFFECTIVENESS OF BROWN SEAWEED (Sargassum sp.) AS NATURAL ANTIOXIDANT FOR ENDOTHELIAL CELL PROTECTION IN PREECLAMPSIA: A LITERATURE REVIEW
Background: Seaweed as one of the natural resources has many potential bioactive ingredients. One of them is Phaeophyceae which shows the highest antioxidant activity among other seaweed. Sargassum sp has many potential bioactive ingredients in the pharmaceutical field which has been supported by several scientific studies. This study aims to expose all information related to abilities Sargassum sp as an antioxidant for endothelial cell protection in preeclampsia in a comprehensive and systematicmanner.
Methods: This study was a systematic review that used the prism protocol. Data obtained from Electronic databases Science Direct, Springer, DOAJ, NCBI and Google Scholar that published between 2009 and 2019. By using keywords such as an antioxidants of Sargassum sp, preeclampsia and antioxidants, as well as antioxidants and endothelial cells to find the relevant journal.
Results: The search found 963 articles, of which 215 articles were included in the inclusion and exlusion criteria. The final results obtained 8 articles that are suitable for this literature review. Majority of studies used the same method namely experimental, 3 other studies uses meta-analysis randomized controlled trials, and a case-control study. Analysis of the studies found out that Sargassum sp contains phenolic compounds which function as antioxidants in fighting free radicals and as protection againstendothelial cells in preeclampsia.
Conclusion: Sargassum sp is proven to have the value of high antioxidant effect that is able to fight free radicals and is able to protect endothelial cells in preeclampsia. Therefore, this study is presented to assist researchers in planning their future studies related to seaweed in preventing preeclampsia in the fields of obstetrics and gynecology and with the hope of potential future drug development.
Keywords: Sargassum sp, Antioxidants, Endothelial Cells, Preeclampsi
GUIDELINES USING POTENTIAL STAKEHOLDERS IN ENHANCING REPRODUCTIVE HEALTH AND IDEAL MARRIAGE AGE EDUCATION IN NATIONAL POPULATION AND FAMILY PLANNING BOARD'S YOUTH INFORMATION AND COUNSELLING CENTER
Background: Reproductive health education in school seemed less concerned by the Government in Indonesia. Reproductive health was not yet inserted in the curriculum, as a result, it was implemented through the youth center inside the school, like YICC. Participation of stakeholders may contribute for enhancing this YICC,moreover, in decentralisation era in Indonesia today. Furthermore, less research about stakeholder analysis made this research was necessary to do. Aims: To map stakeholders and explore guidelines from potential stakeholders in enhancing reproductive health and ideal marriage education in National Population and Family Planning Board of Indonesia (so-called BKKBN)'s Youth Information and Counselling Center in Jakarta Province, Indonesia.
Methodology: This research applied the descriptive qualitative method and used Power versus Interest grid mapping model. 27 organizations were asked in-depth interviewed and Focus Group Discussion with semi-structured questions about their power and interest to YICC in two cities in Jakarta: Center of Jakarta and East of Jakarta.
Result: The results were in mapping and guidelines. In mapping stakeholders, from the 27 stakeholders in the mapping model, most of the stakeholders were in the area 3 who were placed by stakeholders in provincial and local level with characterised low power and high interest, while stakeholders in national level placed in area 1 was in high power and low interest. The guidelines recommended actions based on the area on the mapping model. These findings were prominently recommended for inputting the appropriate YICC into the system of the school for the sustainability of the programs.
Conclusion: The power versus interest grid model pictured that the engagement of national stakeholders was less than provincial and local stakeholders in YICC. This program should be run under regulations between Ministry of Education and Culture for the sustainability of the YICC programs. Also, the YICC should be continuously monitored in the practical context.
Keywords: Reproductive health and ideal marriage education, stakeholders analysis, Youth Information and Counselling Cente
REVIEW OF THE BALANCED SCORECARD IMPLEMENTATION IN HEALTH SECTOR ORGANIZATION
Background: Several studies reported that performance measurement using balanced scorecard is better than using traditional performance measurements. Balanced scorecard approach has been used in many health service sectors, both profit and non-profit, including hospitals, health service system, center for mental health, pharmacy services and health insurance company. Thisstudy aims to review the balanced scorecard implementation in health sector organization of the published literature from 2012 to 2019.
Methods: This study was used literature review method by collecting data of the Balanced Scorecard in the health care sector and draws on the 6 years of published literature to January 2019. The literature were found from a search on Google Scholar as well as Thomson Reuters Web of Knowledge. The search terms were used "Balanced Scorecard”, "Health Balanced Scorecard” and "BSC” on English language only. The papers were classified by topics, research settings and research methods and data analysis techniques.
Results: From 1465 papers were examined, 12 pieces of literature met inclusion criteria. From 12 pieces of literature have been reviewed, were used case study research method, eleven papers with qualitative research and one paper using the Delphi method. Based on 12 papers found that The balanced scorecard in health sector organization has been implemented in ICO, primary health care, hematology department, hospitals, home care nursing, health facilities, health systems, nutritional therapy company and clinical nutrition. Moreover, the Balanced Scorecard approach was used for health service budgeting, developing key performance indicators, improving hospital performance, assessing the baseline status, as an indicator in conducting evaluations.
Conclusion: This study found that several studies consistently proved that Balanced scorecard is essential for performance and evaluation measurement in the health sector.
Keywords : Balanced Scorecard, , performance measurement, health care, health service
FACTORS INFLUENCING DELIVERY BY SKILLED BIRTH ATTENDANTS AND POSTNATAL HEALTH CHECK AMONG MOTHER IN HLAING-THARYAR TOWNSHIP, MYANMAR
Introduction: Complications during pregnancy and childbirth are the leading cause of death among women of reproductive age in Myanmar. It is generally believed by women in developing countries that pregnancy is a natural phenomenon and a part of women's reproductive functions. Problems or complications during pregnancy are also considered by such women as being natural to pregnancy. Low coverage of institutional deliveries, giving deliveries at homes without skilled provider and delays to reach to the health facilities are leading towards the vast majority of maternal deaths in Myanmar.
Methods: The purpose of this study is to identify percentage of skilled birth attendant's utilization among ever-married women (15-49 years) in Hlaing-Tharyar Township, Yangon, Myanmar. A quantitative cross-sectional survey was conducted. A total of 300 ever-married women who had delivered at least one child were selected by simple random sampling and face to face interviews were performed to them by using a pre-tested structured questionnaire. The structured questionnaire including socio-demographic background, history of last pregnancy, accessibility of health services, women's autonomy and male involvement during pregnancy.
Results: The study found that 65 percent of the sample used skilled birth attendants (SBAs) at delivery and the association between mother's education, place of residence, parity, number of antenatal care visits, women's autonomy and male involvement were significantly related with using skilled birth attendant at delivery and postnatal health check. About one-third (35%) were received care from non- SBAs during delivery and the postpartum period in that township. Accessibility to health services and availability of health care personnel were not significantly associated with the use of skilled birth attendants in the delivery and postpartum of the last child.
Conclusions: Findings from this study highlighted that the majority of SBAs were providing reproductive healthcare services with a certain level of quality within the limited resource setting at the study area. There was a need to increase health education activities by SBAs for the pregnant and lactating mothers especially for utilization of maternal health care services. Awareness raising activities on the contraceptive method used should also be enhanced for all lactating women.
Keywords: Skilled Birth Attendants, Postnatal health check mothers, Hlaing-Tharyar, Myanma