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DETERMINANT OF CHRONIC ENERGY MALNUTRITION OF PREGNANT WOMEN AT KARANG BANDAR LAMPUNG HEALTH CENTER
Get PDFBackground: The most common nutritional problem experienced by pregnant women is Chronic Energy Deficiency (CED), which may be caused by nutritional intake consumed, socio-economic and history of disease / infection before becoming pregnant. But the cause of CED is not only a problem of lack of food but also due to the influence of lifestyle, workload and nutritional status of the mother during pregnancy. This study aims to determine the relationship between lifestyle during pregnancy, workload during pregnancy, nutritional status during pregnancy with Genesis CED in Pregnant Women.
Methodology: Quantitative research method with cross sectional design. The population of this study were all pregnant women who checked their pregnancy at the Public Health Center Karang City Bandar Lampung. Sampling technique using total population sampling is as much as 40 people. Data was collected through primary (questionnaire) and secondary (KIA book) data collection. Data analysis was performed using chi-square test.
Results: Results of this study showed that there was no significant relationship between lifestyle with the CED incidence in pregnant women. Meanwhile, the results showed that workload and nutrition were significantly associated with the CED incidence in pregnant women.
Conclusion: This study recommends that there is a need for coordination between puskesmas and city health offices to provide supplementary food for pregnant woman and provide education to woman about the importance of nutrition during pregnancy before marriage, such as counseling in order to prevent CED occurrence during pregnancy.
Keywords: Chronic Energy Deficiency, lifestyle, workload, pregnanc
UNIVERSAL PRECAUTION OF SECTIO CAESARIA IN SURGICAL ROOM
Get PDFBackground:Nosocomial infection is the presence of an infection seen in patients while in the hospital or while in other health facilities, currently this is are known as Health-care Associated Infections (HAI). One of useful strategy in controlling HAI is to improve the ability of health workers in the universal precautions method. To succeed in this strategy, we need a material briefing on universal precautions so that good knowledge is obtained between healthcare staff. Therefore it is necessary to know the relationship between knowledge about universal precautions with universal precautions attitude and safety skills on healthcare staff.
Methods:Article research was limited to articles from internet databases, such as ASMR, Elsevier Journal, IJCMPH, Sage Journals with the keywords universal precaution, knowledge, safety skills, attitude, and healthcare staff. Inclusion criteria, such as English articles and published from 2008- 2018,were collected and reviewed. The searching process obtained 6 articles that met requirement for inclusion and exclusion criteria.
Results: There were two articles that found positive correlation between knowledge of universal precautions and safety skills or attitude, but the others showed otherwise. It shows inconsistent findings in all articles.
Conclusions:Knowledge of universal precaution is not the only factor that influences the safety skills or attitude of healthcare staff. It might be other factors that influence safety skill or attitude beside knowledge of universal precaution.
Keywords:Knowledge, Universal precaution, Safety Skills, Attitude, Health-care staf
Cost awareness analysis on acute appendicitis treatment with social security agency for health (BPJS in health sector) at Budi Kemuliaan Hospital Batam
Get PDFBackground: Financial costs are recognized as one of the causes of lack of access to adequate health services, not least in the treatment of Acute Appendicitis with Social Security Agency for Health (BPJS in Health) in Budi Kemuliaan Hospital, Batam. Data describing health workers' awareness of costs is still limited. Increasing awareness of health workers can encourage increased treatment efficacy and reduce wasteful spending costs. This research aims to analyze the cost awareness of health workers' in the efficiency of Acute Appendicitis treatment.Methods: This research was a qualitative descriptive study accompanied by direct observation on the implementation of clinical pathways and SOP in cases of Appendicitis Acute in Budi Kemuliaan Hospital, Batam. In this study also conducted interviews involving nine main informants and three triangulation informants.Results: The average loss value Budi Kemuliaan Hospital in 2017 was Rp. 3,898,635, - and increased in 2018 to Rp.5,597,241,-. Low knowledge of health workers about case-mix which causes low cost awareness behavior. There was a low awareness of costs identified in the implementation of clinical pathways and SOP in cases of Appendicitis Acute in general surgeons, resulting in high financing. There was also low management monitoring. This has the potential to be a source of financial loss for hospitals.Conclusion: The lack of cost efficiency for Appendicitis Acute due to lack of cost awareness and monitoring of hospital management, so that it is necessary to carry out periodic monitoring related to the Cost awareness behavior of health workers.
Keywords: cost awareness, Appendicitis Acute, Social Security Agency for Health, BPJS in Health, cost efficiencyReceived: 7 February 2019; Reviewed: 29 April 2019; Revised: 29 June 2019; Accepted: 29 June 2019
DOI: 10.35898/ghmj-3254
A modified gentle human touch (GHT) to increase oxygen saturation levels on low birth weight infants: A study at a Private and Public Hospital in Central Java, Indonesia
Get PDFBackground: Low birth weight (LBW) care in hospitals often causes discomfort and stress which affect changes in physiological function. Modification of gentle human touch with the left lateral position is described as a treatment for developmental care that supports the comfort and supportive position of the lungs which is expected to have a positive effect on oxygen saturation and respiratory frequency for infants.Aims: This study aimed to find the effect of gentle human touch modification with a left lateral position on oxygen saturation in LBW infants.Methods: This study used a quasi-experimental design study. The population in this study was 36 LBW babies who received care, selected at a private and public hospital in Central Java, Indonesia, using a consecutive sampling technique. The infants were then divided equally to: (i) a group who received a standard human touch given at the hospital, with a supine position (control), and (ii) a group where the infants have been provided with a modified gentle human touch with left lateral position (intervention). The statistical test used was Mann Whitney and Wilcoxon test.Results: From this study, it is acknowledged that modification gentle human touch with the left lateral position was more effective in increasing oxygen saturation than the control group when viewed from clinical changes. The oxygen saturation levels after intervention reached 98 to 99%. However, from the statistical analysis, it has been noted that the mean difference between the two groups is not significantly different at a level of 0.05.Conclusions: A modified gentle human touch with the left lateral position proposed in this study presents a positive contribution to the oxygen saturation of low birth weight infants. Thus, the findings may recommend the modification as a procedure in a hospital care unit for low birth weight infants at hospitals or at home.
Keywords: Gentle human touch, Left lateral position, Low birth weight babies, Oxygen saturation.
Received: 25 August 2018, Reviewed: 04 September 2018, Received: in revised form 26, February 2019, Accepted: 28 February 2019
DOI: 10.35898/ghmj-31549
FACTORS AFFECTING GRADE 11 STUDENTS' ACHIEVEMENT IN LEARNING POPULATION EDUCATION IN SCHOOL POPULATION AWARENESS, INDONESIA
Get PDFBackground: School population awareness program (SSK) is a school program of teaching and learning strategies of population education developed at school level with the pilot project in Sukabumi, Indonesia. Prior this study, there was no research had been conducted to see the effectiveness of the program from the perspective of the students, on how the students perceived, their learning achievement, and whether the teaching and learning population under the SSK program contribute as the factor affecting learning achievement, which all of this could draw a conclusion whether the SSK program effective for students. Further, it would also give a valuable input for teacher and school sectors on how to improve the students' learning achievement. This study has a purpose to investigate the attitude of student toward five aspect of learning situation of population education, which are the subject, method of teaching, activity of teaching, media of instruction, and class environment. Students' learning achievement was also assessed in this study including the factors that affecting the students' learning achievement in population education
Methods: A descriptive cross-sectional study was applied using a quantitative research method. The sample size was 188 of eleventh grade students studying at three pilot projects of School Population Awareness in Sukabumi, Indonesia. Data were collected through a survey using close-ended questionnaire which distributed purposively.
Results: Students' attitudes were at high level, and their learning achievements were also high. Three predictive factors of learning achievement in population education were found: the attitude towards subject, activity of teaching, and method of teaching.
Conclusion: From the result it was reveal that all of the predictive factors found were associated with the teaching and learning strategies of population education under the SSK program which draw a conclusion that the program is effective for the students. For BKKBN as the government institution who developed the SSK program it is recommends to advocate the Ministry of Education and Culture of Indonesia and other senior high schools to implement the SSK program based on the model of SSK implemented in Sukabumi. For the respective teachers and school sectors it is suggested to emphasize the students with the importance of learning population education, adding more real-life activities, and provide more group work in the learning process in order to improve the students' learning achievement in population education.
Keywords: Students' attitude, population education, learning achievement, school population awareness program/ Sekolah Siaga Kependudukan (SSK
THE EFFECT OF LEMON JUICE (Citrus limon) IN LIVER HISTOPATHOLOGIC APPEARANCE OF MALE MICE (Mus musculus L.) EXPOSED BY MONOSODIUM GLUTAMATE (MSG)
Get PDFBackground: Excessive consumption of MSG can cause the formation of free radicals in the body. Continuous use of MSG will cause free radical accumulation and oxidative stress in the liver. An antioxidant is one of the substances that has an ability to eliminate free radicals and protect the liver from oxidative stress. Lemon is a fruit that has benefits as a natural antioxidant. This study aims to determine the effect of administering lemon juice on the histopathological appearance of the liverexposed by MSG.
Methodology: This post-test only control group design experimental study used 30 male white mice which were randomly divided into five groups: NC group, C(-) group, D1 group, D2 group, and D3 group. After 7 days of adaptation and randomized grouping, the mice were treated differently based on their group. All groups, except the NC group, were exposed to 4mg/gBW dose of MSG orally for 14 days. On the 15th day, MSG exposure was stopped and after that D1 group, D2 group, and D3 group were given lemon juice with a dose of each group 3.33ml/kgBW, 6.67 ml/kgBW, 13.33 ml/kgBW. The lemon juice was given once a day for 14 days using the gastric sonde. Histopathology examination was analyzed by pathologist in Gunung Jati Hospital, Cirebon, Indonesia.
Results: Significant differences of liver histopathology were obtained between the normal control group with the dose 3 group (p = 0.005), the normal control group with the dose 2 group (p = 0.019), the normal control group with the dose group (p = 0.019) and between the negative control groups with dose 3 group (p = 0.027). Dose 3 group has higher liver damage compared to a normal control group and negative control group characterized by the form of parenchymatous degeneration.
Conclusion: Lemon juice has a negative effect on the histopathology appearance of male white mice's (Mus musculus L.) liver exposed by monosodium glutamate (MSG). Further studies are needed to validate the effect of the active compound and toxicity of lemon juice and to reveal the precise mechanisms on how lemon juice affects the hepatocytes.
Keywords: Monosodium Glutamate (MSG), Citrus lemon, Histopathology Live
EFFECTIVENESS OF ORALLY USE TILAPIA (Oreochromis niloticus) ON WOUND LENGTH AND FIBROBLAST DENSITY ON INCISION WOUND OF WISTAR RAT (Rattus norvegicus)
Get PDFBackground: The incidence of a wound in Indonesia has increased from 7.5 percent in 2007 to 8.2 percent in 2013 according to Riskesdas. Wound care that widely used is povidone-iodine, but in case, it has a toxic effect on healthy cells around the wound. The albumin, amino acids, and fatty acids in Tilapia (Oreochromis niloticus) are the potential substances to accelerate the wound healing process. This study aims to investigate the efficacy of Tilapia (Oreochromis niloticus) on wound length and fibroblast density on the incision wound of Wistar rat (Rattus norvegicus).
Methods: The study was conducted in the Food and Nutrition PAU Laboratory and Pathology Anatomy Laboratory of Universitas Gadjah Mada, Yogyakarta. This post-test only control group design experimental study used 30 male white rats that randomly divided into five groups, i.e. control group K, and treatment group P1, P2, P3 and P4 that were each given Tilapia with a dose of 12.5 mg/200gBW, 25 mg/200gBW, 37.5 mg/200gBW dan 50 mg/200gBW. The length of the wound was measured by a ruler each day. The rats were terminated on the 10th day to obtain wound tissue for H&E stained histopathological sections to observe fibroblast density. One Way ANOVA, Tamhane, Kruskal-Wallis and Mann Whitney tests were used to compare the wound length and fibroblasts density.
Results: Incision wounds in this study showed the best wound healing on the 10th day. Based on the theory, on the 10th day, a proliferation and remodeling phase occurs. There is an effect of giving Tilapia (Oreochromis niloticus) orally at a different dose. Tilapia at dose 37.5mg/200gBW is more effective compared with the dose of 12.5mg/200gBW, 25mg/200gBW, and 50mg/200gBW to accelerate wound healing for wound length and fibroblast density in Wistar rat (Rattus norvegicus).
Conclusion: Consuming Tilapia (Oreochromis niloticus) could be a new alternative for wound healing treatment. The antimicrobial ability of Tilapia should be analyzed.
Keywords: wound healing, wound length, fibroblast density, Tilapia, Oreochromis niloticu
THE INHIBITION TEST OF FLAVONOID AND TANNIN IN NONI FRUIT (Morinda citrifolia Linn) COMPARED TO CEFTRIAXONE TOWARDS Escherichia coli IN VITRO
Get PDFBackground: Escherichia coli is one of the causatives of infection agents. Noni fruit that contains the antibacterial ingredients was predicted as an alternative medicine to reduce the resistance of antibiotics. Noni fruit extract can inhibit the growth of Escherichia coli. The absence of research on the active substances contained in this fruit which plays a role in inhibiting the growth of Escherichia coli encourages the researcher to conduct this research.
Methodology: The research was an experimental laboratory with post-test only control group design. The Escherichia coli grown on Mac conkey agar. Flavonoid and tannin in noni fruit (Morinda citrifolia Linn.) diluted with 3 concentrations, 50%, 70%, 100% and 2 control groups, positive control with ceftriaxone and negative control with Dimethylsulfoxide 10% (DMSO). The treatment group were incubated for 24 hours, then the inhibitory zone formed was measured in mm.
Results: The Kruskall-Wallis test showed significant difference in all concentration. The results obtained from this research showed that the average of inhibition towards Escherichia coli on positive control (22.83 mm) had the largest inhibition zone among flavonoid 100% (18.83mm), flavonoid 70% (14.67 mm), flavonoid 50% (6 mm), tannin 100% (17.33 mm), tannin 70% (10.83 mm), tannin 50% (7.50 mm), and negative control (2 mm).
Conclusion: Flavonoid and tannin in noni fruit (Morinda citrifolia Linn) were effective for inhibiting the growth of Escherichia coli. The 100% concentration is the most effective concentration that can be promoted as an alternative medicine.
Keywords: Noni fruit, Flavonoid, Tannin, Escherichia coli, Inhibition tes