Publications of the Indonesian Scholars' Alliance
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THE ASSOCIATION OF MOTHERS' PERCEPTION AND HEALTH STATUS ON SUSTAINABLE MATERNAL HEALTH UTILIZATION IN TLOGOWUNGU REGENCY OF PATI, INDONESIA
Get PDFBackgrounds: Indonesia is part of the contributing countries of maternal mortality (8800, 3%) (WHO, 2014). Indonesia cannot reach the Millennium Development Goal target by 2015 while the utilization of maternal health services in Tlogowungu is low compared to other regions. The objective of this research is tantamount the influence of mother's perception about self-health and health status toward sustainable utilization of maternal health services.
Method: Quantitative research type, cross sectional design, postpartum mothers in districts Tlogowungu Pati Regency as many as 140 people. Statistical analysis using logistic regression.
Results: Utilization of sustainable maternal health services by 15%. Respondents mostly used the services of pregnancy (K1 = 87.9%, K4 = 83.6%) and delivery of 99.3% but dropped out during the puerperium (16.4%).
Conclusion: There is a significant effect of perception on personal health and health status on the sustainable utilization of maternal health services. Dissemination of information on sustainable utilization of maternal health services needs to be improved as well as partnering with educational institutions in the improvement of sustainable services
CORRELATION OF AGE AND PARITY WITH HYPERTENSION INCIDENCE AMONG PREGNANT WOMEN
Get PDFBackground: Hypertension in pregnancy is the second cause of maternal death and complicates about 5- 10% of pregnancies. Hypertension in pregnancy is associated with an increased risk of intracerebral hemorrhage, placental abruption, intrauterine growth retardation, occurs in prematurity, and intrauterine death. The incidence of hypertension occurs in women aged over 45 years.
Aims: To determine the correlation between age and parity with the incidence of hypertension in pregnant women.
Methods: This type of research is a quantitative approach with Case Control design. For statistics, this study used chi-square test. The sample of this research is 200 pregnant women with purposive sampling technique. The data used are secondary data. Research instrument using checklists. The technique of collecting data using observation sheet.
Results: The statistic test found that the proportion of age <20 years -> 35 years experienced hypertension that is 60.5% (72 pregnant women) and the proportion of primipara parity experienced hypertension that is 63.8% (90 pregnant women). The result of the statistical test of chi-square analysis relation between maternal age and hypertension with p-value = 0.001 and relationship between parity and hypertension with p-value = 0.000.
Conclusion:There is a relationship between age and parity of pregnant women with the incidence of hypertension
RISK FACTORS ASSOCIATED WITH PRECANCEROUS LESION
Get PDFBackground: Visual inspection acetic acid (VIA) can be a substitute method for early detection of Precancerous lesion of cervical cancer. Therefore, efforts should be made for prevention to increase community awareness in recognizing the risk factors of cervical cancer so that it can determine the steps of prevention and early detection.
Aims: This research is to determine the risk factors associated with precancerous lesion, a study casecontrol in Health Center of Semarang City Year 2016).
Methods: This research is an observational analytic study with case-control design with retrospective study. The sample selection was using a simple random sampling method. The number of respondents is 98 people from 474 people doing the VIA inspection in January 2016 to December 2016, which passed the inclusion and exclusion criteria and divided into two groups, 13 people in case and 86 people in control group.
Results: There is a relationship between the results of the examination of the precancerous lesion with the risk factor of the number of respondent marriages (P- 0.038), husband historical marriage (P-0.000), smoking exposure (P-0.000).
Conclusion: Risk factors associated with the results of the examination precancerous lesion are the number of responden marriages, husband historical marriage, smoking exposure
The UN Sustainable Development Goals; using World Health Organization's ‘Health Promoting Schools' to create change
Get PDFAccepted: 23 May 2017. Published: 22 June 2017.
DOI: https://doi.org/10.35898/ghmj-1190
Abstract is not required for photo essay. Below are the summary and keywords the journal provides for insight to our reader.
Summary: The article highlights the global epidemiological significance of the United Nations Sustainable Development Goals (SDGs), particularly in addressing poverty. It proposes an innovative approach using the World Health Organization's (WHO) Health Promoting School (HPS) model to address factors affecting children's health and well-being. The HPS approach focuses on multi-disciplinary strategies within school communities, aiming to generate lifelong awareness and positive behaviors that influence the social determinants of health. School-based programs, especially in low and middle-income countries, often include activities like planting school gardens, contributing to improved nutrition, academic achievement, and skill development. The article emphasizes the relevance of these initiatives to specific SDGs (1-6) and underscores the role of schools in reaching a large population to address social determinants of health.
Keywords:
Sustainable Development Goals (SDGs)
World Health Organization (WHO)
Health Promoting School (HPS) model
Multi-disciplinary strategies
School-based health promotion
Social determinants of health
School gardens
Nutrition
Academic achievement
Skill development
Low and middle-income countries
Micronutrients
Food security
Sustainable agriculture
BODY WEIGHT EFFECT ON JOINT SPACE WIDTH AND TIBIO FEMORAL ANGLE OF KNEE JOINT MEASUREMENT FOR OSTEOARTHRITIS DETECTION USING IMAGEJ
Get PDFBackground: Radiograph of knee joint with Kellgren and Lawrence classification system is the gold standard for assessing knee osteoarthritis. However, these grades are still obstacles. It is sometimes not appropriate to assess the progress of osteoarthritis and very long time to see the results of such progress. Osteoarthritis diagnosis and classification have been relying on qualitative visual interpretation by a radiologist. Probably difficult to determine whether there OA in the knee or not. Image quantification of digital radiography is done by measuring the joint space width and tibio femoral angle of the knee joint using the ImageJ software, with body weight variance as one factor that could affect it.
Aims: This research aims to get information of body weight effect on the measurement of the joint space width and tibio femoral angle of knee joint in OA detection.
Methods: This is a cross-sectional study. Subjects were digital images of the knee joint anteroposterior (AP) projection using Computed Radiography (CR) from 21 respondents with specific criteria. Image is then quantified using ImageJ software to measure the joint space width and tibio femoral angle. Print out of examination visually evaluated by one radiologist to confirm the diagnosis of OA of the knee joint.
Results: The value of the right knee joint space width lateral and medial (3.81 ± 1.18 and 2.42 ± 0.77), while the left lateral and medial (3.49 ± 1.11 and 2.69 ± 0.83). Tibio femoral angle range 168.44 to 178.39 with the average tibiofemoral angle right knee 175.18 ± 2.04 and 173.80 ± 2.44 left knee. Body weight has a significant correlation to the tibiofemoral angle of knee joint (p value < 0,03).
Conclusion: The joint space width values that taken from digital quantificationcan be baseline data of respondents, especially for those respondents who had grade 2 or indicated osteoarthritis, to be observed or compared in the next examination.The tibio femoral angle can be addition information in relation with knee pain to detect osteoarthritis.
 
INFLUENCE OF KEGEL GYMNASTICS ON PRIMIGRAVIDA PREGNANCY TOWARDS THE INCIDENCE OF A PERINEAL RUPTURE IN BASIC ESSENTIAL OBSTETRIC CARE NEONATES SURAKARTA, INDONESIA
Get PDFBackground: Kegel gymnastics can strengthen pelvic floor muscles and improve blood circulation and posture so that the perineal muscles and the perineal floor muscles become elastic. Perineal rigidity is the maternal factor which can lead to perineal rupture.
Aims: The objective of the study is to determine the effect of Kegel gymnastics for primigravidas on the incidence of perinealrupture.
Method: This study employed the quasi-experimental method with the control group design. Its samples were determined through the quota sampling technique. The subjects of the research were primigravidas as many as 40. They were divided equally into two groups – intervention group and control group. The data of the research was collected through observation sheet for evaluation of Kegel gymnastics for at least three weeks and pantograph sheet. They were analyzed by statistical analysis with the Chi-square formula aided with the computer program of SPSS Version 16 for Windows.
Result: Only 40% mothers experienced a perineal rupture if excercised kegel gymnastics. It was significantly lower compared to their counterpart in the control group with no exercise (p-value = 0.001).
Conclusion: Kegel gymnastics may lower the incidence of perineal rupture among the primigravidas.
 
THE EFFECT OF STUDENTS' RESPONSE IN USING PROBLEM BASED LEARNING WITH SIMULATION TOWARD STUDENTS' ACHIEVEMENT (LIGHT CONCEPT)
Get PDFBackground: In many circumstances, students' alternative conception on light concepts have encountered in previous studies. One of the causes factor is the lack of students' response, and it may allow student to have a low achievement. According to Educational Unit Level Curriculum (KTSP), an active learning such as Problem Based Learning (PBL) can help students meet high achievement. In addition, learning through simulation is also increased students' response.
Aims: Based on rationale of this study, we concern to see the effect of students' response toward students' achievement in learning physics through PBL with simulation.
Methods: There were 27 grades eighth students had been involved as participants. This study had been conducted by posttest only control design, and quantitative analysis had been used to analyze the data. Twenty items of questioner of students' response, and twenty item of posttest of light concept had been applied to gather data.
Results: Our findings revealed that students who have learned by PBL with simulations have shown a great response with score 76.37 %. The students' achievements have exceeded the minimum completeness criteria (KKM) with the score 73.15 > 70. However, the correlation of students' response towards students' achievement is very low with the correlation value 𔑟 = 0.1801.Moreover, it merely 3.2 % of students' achievement is influenced by learning trough PBL with simulations.
Conclusion: In short, leaning through PBL with simulation allows students to have a great response, but they aren't giving a significant effect to the students achievement, and it should be another factor that we missed.
 
MEDICAL DOCTORS' PROCEDURAL SKILL PERFORMANCE AND ATTITUDE TOWARD ULTRASOUND-GUIDED PERICARDIOCENTESIS MODEL
Get PDFBackground: Pericardiocentesis is regarded as a procedure that has the potential for saving lives. This procedure is indicated in patients with the diagnosis of cardiac tamponade and hemodynamic shock and should be done urgently to such cases. There would be severe complications if this procedure is not performed properly and skillfully. In this study, a newly developed ultrasound-guided pericardiocentesis model was used for training procedural skill with the aim to allow undergraduate medical students experience the procedure with the cheap and easily built model.
Aims: The objectives of the study were to develop ultrasound-guided pericardiocentesis model, to determine its usefulness for training the procedural skill, and to evaluate the medical doctors' attitude toward training with the model.
Methods: This pilot study was conducted to try out the model with medical doctors. The practical workshop plan for the trying out the model was developed. Video recording during the procedure, the questionnaire, and the semi-structured interview were conducted after the participants performed the procedure to assess their perception regarding with the efficacy and usefulness of the model.
Results: According to results, the participants could recognize the free fluid, pericardium, and heart of the model in ultrasound screen (4.2 ± 0.45, 4.6 ± 0.55, and 4.4 ± 0.55 respectively). The model was suitable for training ultrasound-guided pericardiocentesis (4.4 ± 0.55). The model was perceived to be good and useful for training ultrasound-guided pericardiocentesis. The participants also wanted to use the model for teaching the procedural skill to medical students before performing with the real patients.
Conclusions: The model was considered to be useful and appropriate for training the procedural skill. Therefore, the model could be used as the effective training tool for training ultrasound-guided pericardiocentesis.
 
CORRELATION BETWEEN PRENATAL YOGA AND DELIVERY PROCESS AMONG MOTHERS IN INDEPENDENT MIDWIFE CLINIC "HARTI MUSTAQIM SUMOWONO”, SEMARANG, INDONESIA
Get PDFBackground: Childbirth is the culmination of a human pregnancy with the emergence of a newborn infant from its mother's uterus. Factors that may extend or influence the duration of labor are uterine contraction, pelvic bone, pelvimetry, and presentation. Focusing on muscle control, breathing techniques, relaxation, and peace of mind, yoga played a key role in preparing the delivery process.
Aims: The purpose of this study is to determine the relationship of prenatal yoga with the delivery process among mothers at Independent Midwife Clinic "Harti Mustaqim Suwono”, Semarang, Indonesia.
Methods: The research method was correlative analytical with cross sectional approach. A total of 43 mothers who follow prenatal yoga in Independent Midwife Clinic "Harti Mustaqim Suwono” was involved in this study. Respondents were asked to fill the registration book for their visiting at the prenatal yoga facility, and their delivery process. The collected data was then analyzed statically using the Chi-square test.
Result: Among the 43 pregnant mothers who registered yoga class at Harti Mustaqim Suwono clinic, the majority (81.4%) attended the class regularly, and 38 mothers experienced normal delivery. Among the mothers who join the class routinely, only 2.9% mothers were giving birth by cesarean section. The data shown the possibility requiring C-sections for delivery increased when the pregnant mothers skipped the class. From 8 mothers who not regularly presented in the prenatal yoga class, only 50% of them experienced normal delivery. The Chi-square test shows that the correlation between prenatal yoga and delivery process among mothers in Independent Midwife Clinic "Harti Mustaqim Sumowono”, Semarang, Indonesia, was significant (p value = 0.003).
Conclusion: The results highlight that attending yoga class routinely will affect significantly to the delivery process. Mothers who practiced prenatal yoga are more likely to experience normal labor. The study suggested the needs of yoga practice during the pregnancy and childbirth