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ANALYSIS OF HEAT EXPOSURE PREVENTION ONSTREET VENDORS WORKERS AROUND DIPONEGORO UNIVERSITY CAMPUS SEMARANG
Get PDFBackground: Climate change impacts on the increase in ambient temperature. This condition affects human health and environmental conditions. Street vendors have the risk of heat stress because of suffered direct sunlight. Efforts to prevent the effects of heat exposure in developing countries are not optimal. Semarang is residential with the hot climate. The aim of this study was to describe how street vendor prevent them from heat stress
Method: The research was a descriptive with a qualitative approach. Data obtained from an in-depth interview with 35 street vendors who work around Diponegoro Univesity Campus. The in-depth questioner consists of how about their process of work, clothe, meal, beverage, and symptom of dehydration. The checklist was used to observed their clothe and shading. Data was analyzed with content analysis
Results: Street vendors work under the tree. They suffered heat stress from direct sunlight. They wear loose and clear color of clothing. They have a meal with boullion and much water. They use the tree for shading from direct sunlight. The symptom dehydration that appears was dry throat and feel fatigue. But their urine color was still clear. It's showed that dehydration has not suffered the street vendors
Conclusion: Street vendors have good behavior to prevent heat stress so they are not suffered dehydratio
HOME BASED CARE BY PROVIDING PREVENTION OF MOTHERTO- CHILD TRANSMISSION (PMTCT) HANDBOOK ON WOMEN'S PERCEPTION OF HIV/AIDS PREVENTION IN MOTHER TO CHILD IN PURWOKERTO
Get PDFBackground: Previous research, surveillance, and epidemic data of HIV/AIDS in Indonesia show the number of women and infants infected HIV/AIDS increases. Pregnant women with HIV/AIDS may transmit to their child. This is known as mother to child transmission (MTCT). Women with HIV/AIDS face several problems, such as physical, psychological, cognitive, social, cultural, and spiritual problems. Previous literatures, home based on care is a family approach to care for women with HIV/AIDS and handbook of preventive MTCT helps women improve their perception of HIV/AIDS prevention in mother to child.
Aims: The research aimed to evaluate women's perception of HIV/AIDS prevention in mother to child in Banyumas District in intervention and control group.
Methods: The research was a two group pre-post quasi-experimental design. The research was conducted in Margono Soekarjo hospital and "Mandiri” shelter of HIV/AIDS in Purwokerto. The samples were recruited by purposive sampling method. The number of samples were 30 subjects; 15 subjects in intervention group in the shelter and 15 subjects in control group in the hospital. Home Based Care with PMTCT handbook was applied for a month with twice visit. Data were collected with Questionnaires of Perception of HIV/AIDS prevention in mother to child at pre and post intervention. Data were analyzed by paired and independent t-test.
Results: The findings show that the scores of perception of HIV/AIDS prevention in mother to child within intervention increased significantly (p<0,00). There were significant differences of perception scores of HIV/AIDS prevention in mother to child between intervention and control group (p<0,00). The Home Based Care with PMTCT handbook could improve women's perception of HIV/AIDS prevention in mother to child.
Conclusion: The Home Based Care with PMTCT handbook can be implemented in home care or public health center and women with HIV/AIDS can follow the handbook to prevent infection from mother to child.
 
COST EFFECTIVENESS AND EFFICIENCY ANALYSIS OF HOSPITAL WASTEWATER TREATMENT PLANT: A SYSTEMATIC REVIEW
Get PDFBackgrounds: Hospital waste management had become an international attention. One of the first meeting by Solid Hazardous Waste was related to domestic waste and medical waste. The previous study showed that nationally hospital solid waste expectedly reach 376.089 ton per day and the volume of wastewater was 48.985,70 ton per day.
Aims: The purpose of this study is to examine the literatures on analysis of the cost effectiveness and efficiency hospital Wastewater Treatment Plant.
Methods: This systematic review was based on Protocol Prisma. Literature searches were conducted using the electronic databases Google Scholar (2011 to present), SpringerLink, and Proquest.Over a total of 3.834 potential articles, 9 met all inclusion criteria.
Results: Cost problems were founded due to there was no good financial planning, maintenance costs, and the wastewater quality supervision. The budget of wastewater treatment only focuses to the cost of damage, but only enough for one time laboratory examination. Moreover, we also highlighted another factors affected to effectiveness and efficiency where there was no regular training for sanitarian, and as the results, sanitarian cannot determine the best effective method, finally the budgets were only for authoritarian system. This paper also reviews methods and applications to reduce the cost in electrical, chemical, and maintenance, by new wastewater treatment alternatives. If compared the two techniques, extended aeration and sequencing batch reactors, evidently, sequencing batch reactor had lower cost than extended aeration.
Conclusions: The cost effectiveness and efficiency of wastewater management can be achieved by good management systems, good knowledge about waste, and different methods result different efficiency too.
 
POTENTIAL CHEMOPREVENTIVE AGENT: STUDY OF APOPTOSIS IN THE EXTRACTS OF SPONGE-ASSOCIATED FUNGI FROM YOGYAKARTA AGAINST CERVICAL CANCER HeLa CELL LINE
Get PDFBackground: Cervical cancer is one of the leading-cancers affecting women. Cancer drugs that do not originate from natural ingredient, chemotherapy drugs, have side and resistant effects. Thus study about the natural products treating cancer cells is needed. Secondary metabolites isolated from sponge-associated fungi are expected to have a potency to fight cancer cells. In addition, the production of anticancer compounds from microorganisms has several advantages, including rapid growth and can be manipulated to increase productivity. The isolation and testing cytotoxicity against 3 fungal isolates from Yogyakarta have been done on the previous research. All three isolates have a potential candidate as anticancer drug.
Aims: The purpose of this advanced study was studying bioactive compounds induced apoptosis pathway of sponge-associated fungi against cervical cancer HeLa cells.
Methods: This study has been carried out for approximately 5 months. The method conducted in this research including the sponge cultivation (covers growth and isolation of secondary metabolites), the mycelium extraction of fungi, the cytotoxicity assay against HeLa cells using MTT Assay and Apoptosis Staining was to see the induction of apoptosis pathway.
Results: Based on the research showed that ethyl acetate extract from mycelium is 0.22 grams. The cytotoxicity assay from mycelium extract showed IC50 value of 164 μg/mL against HeLa cell line.
Conclusion: The findings is carrying to a possibility to develop the extracts of sponge-associated fungi as candidate of anti-cancer compound. By apoptosis staining, showed the cells coloured green are still alive, and cells undergoing apoptosis have nucleus that appears orange to red. We assuming that the apoptosis was caused by the possibility of peptide compounds that induce apoptosis through the mitochondrial pathway, by increasing the activity of the protein expression of apoptosis, whichare Bcl-2 and Bcl-xl
POSTPARTUM CARE IN CENTRAL JAVA TRADITION
Get PDFBackground: The puerperal period is a critical period. 60% of maternal deaths occur after delivery and 50% of them occur in the first 24 hours. The high rate of maternal and child mortality in Indonesia is closely related to social and cultural factors, particularly the Java community. During the postpartum, Abstinence / or postnatal care suggestion is usually associated with the physical condition of the recovery process.
Aims: This study aims to determine postpartum care is based on the tradition of Central Java.
Methods: This study is a combination of quantitative and qualitative study (Mixed Methods). The samples is 81 postpartum mothers. Data collection instrument was a structured questionnaire and indepth interview guidelines. Quantitative data with a frequency distribution. The results of qualitative data in narrative form.
Results: Postpartum care based on the traditions of Central Java obtained: (1) 96.3% Capital postpartum do massage after delivery, when the foot bed to be straightened out, and not allowed to leave the house for 40 days, (2) 95.1% Capital postpartum Wearing pilis, ( 3) Wear stagen (88.9%), (4) There should be a nap (84%), (5) Do not eat eggs, meat, shrimp, fish (82.7%), (6) When themorning shower should to be shampoo (60.5%), and (7) Always drink herbal medicine (59.3%).
Conclusion: The majority of postpartum care is based on the tradition of Central Java is still detrimental to the health of postpartum mothers so that they can affect the recovery process in the post-partum period.
 
RELATIONSHIP BETWEEN EARLY MOBILIZATION AND FIRST URINARY ELIMINATION ON MOTHER POSTPARTUM
Get PDFBackground: Early mobilization presents the ability to move freely on postpartum woman less than 4 hours postpartum with the motion of sitting, standing, and then get up to bed.However, in fact generally, postpartum mothers tend to hold urine to avoid pain in wounds on birth canal. Meanwhile, the first urine can be done with early mobilization
Aims: This is to analyse the relationship between early mobilization with the first elimination urine on mothers postpartum.
Methods: This was a cross-sectional study that involved 48 respondents, selected through a purposive sampling method. Data collection was done using observation sheet and fisher's exact test for statistical analyse.
Result: Of the 29 puerperal women who show early mobilization less than 4 hours postpartum, there were 23 puerperal women (53.5%) with normal urinary elimination (≤ 6 hours postpartum). While from 14 postpartum mothers who did early mobilization ≥ 4 hours postpartum mothers there are 10 (23.25%) with abnormal urinary elimination (≥ 6 hours postpartum. By fisher's exact test we found a relationship between early mobilizations with first urinary elimination on mothers postpartum (p value = 0.002)
Conclusion: It can conclude the faster the first postpartum mothers mobilise, the faster the mothers can do urinary elimination. Otherwise, the longer postpartum mothers did early mobilization lasts longer than the first urinary elimination.
 
COMPARISON TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION KINESIO TAPING AND DECREASING TO SCALE BACK PAIN IN PREGNANT WOMEN UNDER THIRD TRIMESTER IN PUBLIC HEALTH DISTRICT JUWIRING KLATEN, INDONESIA
Get PDFBackground: The changes of soft tissues and connective buffer that able to decrease elasticity and flexibility of muscles can cause low back pain in the third trimester of pregnancy. Dissemination percentage of pregnancy low back pain at first trimester (16.7%), second trimester (31.3%), and third trimester (53%). It can cause long term back pain and increase the trend of back pain in post-partum and chronic back pain that can be more difficult to be cured, if the back pain is not handled well immediately. Management of low back pain can be done both by pharmacologically and nonpharmacologically.
Aims: The present study aimed to compare the efficacy between transcutaneous electrical nerve stimulation (TENS) and Kinesio taping to the decreasing of low back pain on third trimester pregnant women in Public Health District Juwiring Klaten, Indonesia.
Methods: This research is a quasi-experimental research with non-equivalent design and pretest and posttest control group design. There were 18 postpartum, selected by purposive sampling method, and divided into 2 groups equally – intellect TENS and Kinesio taping "Spol Kinematics Tex” group. The therapy was done for 6 times (twice a week). The pain was measured by NRS scale. Data was then analyzed by Wilcoxon and Mann-Whitney test to find the mean differences.
Result: This research highlight that effectiveness of interact TENS to decrease low back pain on third trimester pregnant women then the application of Kinesio taping therapy (p value = 0,007)
Conclusion: Transcutaneous Electrical Nerve Stimulation is more efficient to reduce low back pain scale in third-trimester of pregnancy compared to Kinesio taping. This present study suggests a promotion of ergonomics in the form of counseling and poster display to the public, especially pregnant women to reduce low back pain patient. Further research with a larger number of subjects with pure experiment is necessary to avoid the subjectivity factor measurements using a pain scale plasma levels of endorphins
IMPLEMENTATION AND EVALUATION OF BREAST CARE TO THE CHILDBED MOTHER IN COMBINED WARD OF PUSKESMAS TEGALREJO YOGYAKARTA, INDONESIA
Get PDFBackground: Breast care is an act carried out at the time pregnant and nursing mothers. It aimed to improve blood circulation and to prevent problems that often arise at the time of breastfeeding includingthe frequent occurrence of mastitis (inflammation of the breast) in postpartum mothers. Breast care is often overlooked by mothers who are breastfeeding because after giving birth they have no knowledge to breast care.
Aims: This study aims to investigate the implementation of the breast treatment by health workers and to examine the implementation by the breast care postpartum mothers at health centers Tegalrejo.
Methods: This research is a descriptive nonexperimental with cross sectional. Out of 104 puerperal women in health centers Tegalrejo, a total of 20 puerperal women who gave birth in June 2016 was selected followed 10-15 % of total population by Arikunto's formula. There were 15 health providers also involved in the study. Analysis of the data in this study used a computerized system with Excel program, after the data was collected in the tabulation, then both of the officer and postpartum mother sought to see the picture at the health center Evaluation of Breast Care Tegalrejo using frequency distribution.
Results: The results of this study showed that through the implementation of Breast Care, implemented by health personnel at health centers Tegalrejo, of 15 health providers obtained good results, and of 20 respondents obtained medium result.
Conclusion: The conclusion that the breast care Implementation according to the perception of puerperal women and health workers, the fact that there is in the assessment indicate the category of no good, only seven people puerperal women (35%) who received breast care
RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE, AND PRACTICE WITH APPLICATION DOCUMENTATION PARTOGRAPH BY MIDWIFERY STUDENTS OF BUNGA KALIMANTAN BANJARMASIN
Get PDFBackground: Partograph is one of the useful tools in monitoring the progress of labor as the recommendation of the Ministry of Health and WHO (World Health Organization) to prevent delays in handling. Midwives as caregiver and monitoring in labor must be skilled in the use of partograph. Results of preliminary study that involved 8 midwifery students of Bunga Kalimantan Banjarmasin who were observing labor,shows none of them had initiative to make partograph.
Aims: The purpose of this study is to find the relationship between knowledge, attitude, and practice of midwifery students of Bunga Kalimantan Banjarmasinto the partograph documentation.
Methods: This research was an analytical study with cross-sectionalapproach.There were 80 respondents of Level II Midwifery students of Bunga Kalimantan Banjarmasin selected randomly and involved in this study.
Results: The result showed that the respondents has good knowledge and positive attitudes to partograph documentation, but never experienced on it. We found that there were positive correlation between the partograph documentation with students' knowledge (p value < 0.001), attitudes (p value < 0.01), and practices (p value < 0.01).
Conclusion: The data suggests that students' knowledge and attitudes to partograph documentation are not enough to increase their initiative to make partograph during observation in labor room. Practice to the partograph documentation will higher their performance.
 
PROMOTING FUTURE HEALTH. Why are our children and what they learn in school so important?
Get PDFThis conference celebrates advances in applied science and health research intended to benefit all sections of society, from the very young to the very old. This is the nature and strength of research inquiry. Each of us brings our own interests, expertise and experience to the research we do, and as a children's doctor my focus in naturally on the health and future wellbeing of children. However, there are compelling practical and scientific reasons why children should be the focus for much health sciences research. And one of these is the strong economic argument that governments should invest in children as they are the future of our society, and the benefits from initiatives that improve their health will last throughout their lifetime.
Often a strong economic argument is the best way to translate your research into a practical reality. Some of the best examples come from injury prevention where, because of an intervention, the cost to society of long term handicap is avoided. And now research indicates that intervening with children and young people to prevent chronic non-communicable diseases (NCDs), like Type 2 diabetes, coronary artery disease, high blood pressure and stroke, can have strong health and economic benefits. Treatment of NCDs in adult life is placing a huge financial burden on most countries. This area of research is called the Developmental Origins of Health and Disease (DOHaD); and it provides compelling evidence that fetal wellbeing in utero and growth and nutrition during infancy determine in large part, whether or not an individual goes on to develop a NCD in adult life.
However, an obvious challenge for intervening with DOHaD-derived prevention strategies is how to engage and educate the ‘at risk' population in a way that promotes healthy behaviors. Because effective intervention requires that fetal micronutrient provision and growth throughout pregnancy are optimal, and care and nutrition during infancy sustains normal growth, there is an implicit requirement that young people are engaged. Traditionally, youth are not a sub-set of the population who prioritize or even seriously consider their future health or that of their potential partners, let alone their offspring. Yet to reduce the burden of NCDs, children need to learn the facts necessary to adopt healthy behaviors before they become pregnant and give birth to children of their own.
The WHO Health Promoting School (HPS) model has proven success engaging youth in the context of improving health, disseminating knowledge effectively and positively impacting future behaviors, particularly in low resource settings. The HPS model is flexible, based on a process of community engagement, and represents an avenue for health promotion aimed at impacting a range of health and lifestyle issues; so it is promising as a way to begin youth engagement regarding the DOHaD agenda. Schools provide the most efficient and effective way to reach large portions of the population, and WHO now recommends HPS strategies in low and middle income countries, as the burden of disease, disability and premature death is disproportionately high, and many of the causes are preventable. There
are many examples of how imaginative school-based programs have successfully improved health issues that range from poor oral health, through loss of school due to malaria, to promoting condom use and knowledge about HIV.
Challenges exist worldwide over how to educate the next generation in the context of health. Using school-based programs offers a flexible and inexpensive avenue. With informed political action, broad participation and inspired advocacy, initiatives that share ‘knowledge' and teach ‘healthy practices' using the WHO HPS model have great potential to offer