Journal of Widya Medika Junior
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CORRELATION BETWEEN SOCIAL SUPPORT AND THE QUALITY OF LIFE ELDERLY IN PRAWIRODIRJAN SUB-DISTRICT YOGYAKARTA
Get PDFBackground: The largest percentage elderly population in Indonesia in 2017 was in the province of Yogyakarta (13.81%). Increased life expectancy leads to changes in population, namely the higher percentage of elderly people. The increased number of elderly makes efforts to improve the quality of life of the elderly become important.Objective: To assess the correlation between social support and the quality of life of the elderly in the Prawirodirjan Sub-district, Gondomanan District, Yogyakarta Municipality.Methods: This is a cross-sectional study with a sample of 50 people. Measurement of social support was done using the MOS Social Support Survey questionnaire. Measurements for quality of life was done using the WHOQOL-BREF questionnaire. Data was analysed using Pearson correlation analysis.Results: Respondents were 50 people consisting of 10 men (20.0%) and 40 women (80.0%). Age of respondents ranged from 60-81 years. The statistical analysis results showed significant correlations between social support (MOS Social Support Survey) and quality of life (WHOQOL-BREF) in the Physical Health (r=0,771, p= 0,001), Psychological (r=0,550, p=0,001), Social Relationship (r= 0,664, p=0,001), Environment (r= 0,455, p = 0,001).Conclusion: There is a significant correlation between social support (MOS Social Support Survey) and quality of life (WHOQOL-BREF) in the elderly living in Prawirodirjan Sub-district, Gondomanan District, Yogyakarta Municipality.
THE EFFECT OF CREAM-BASED APPLICATION OF MORINGA LEAF (MORINGA OLEIFERA) EXTRACT ON THE INCISION WOUND HEALING ON WHITE RAT MANUSCRIPT
No full textBackground: High injury incidence is a consideration of wound prevention with the prevalence of iris/torn/puncture injuries 20.1% in 2018. Indonesian people have a high level of confidence in traditional medicine and one of them is Moringa. Moringa phytochemical content has the potential to speed up the healing process of incision wounds.Purpose: This study aims to determine the effect of moringa leaf extract cream with concentrations of 5%, 15%, and 45% on the healing process of white rat incision wounds (Rattus norvegicus) by assessing the healing phase and using the Bates-Jensen Wound Assessment Tool (BWAT).Method: This research is experimental with a post-test-only control group design. Sampling by simple random sampling method and calculated using Federer's formula with the number of samples of 30 white rats divided into five groups, namely two groups of control and three treatment groups with 6 white rats in each group for 21 days.Results: In the analysis of BWAT score data with the MANNOVA test, there were insignificant results on day 1 (p=0.840) and day 7 (p=0.888), then there were significant results on day 14 (p=0.001). Post-hoc results showed significant differences between the negative control group and positive control over the 45% moringa leaf extract creaming group. In the analysis of healing phase data with the Kruskal-Wallis’s test, significant results were obtained in the coagulation phase (p=0.000) and the proliferation phase (p=0.001). The results of the Mann-Whitney test in the coagulation phase showed significant differences between the control and treatment groups while in the proliferation phase there were significant results between the control group and the treatment and there were no meaningful differences between the treatment groups.Conclusion: There is no significant difference in effectiveness between the administration of moringa leaf extract cream to accelerate the healing process of incision wounds
THE EFFECT OF PERORAL POLYVINYL CHLORIDE MICROPLASTIC ON ALKALINE PHOSPHATASE AND GAMMA-GLUTAMYL TRANSFERASE LEVELS IN RATTUS NORVEGICUS WISTAR STRAIN
Get PDFIntroduction: Human exposure to microplastics continues to rise. Microplastics are harmful and are suspected of contributing to various health problems in humans, including reduced liver function.Purpose: This study aimed to determine the effect of oral polyvinyl chloride microplastic consumption on alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT) levels in Rattus norvegicus Wistar strain.Method: Male Rattus norvegicus Wistar strain experiments were separated into control and experimental groups, with the experimental group receiving a 0.5 mg/day dose of polyvinyl chloride microplastic. The experimental animals' blood was taken using the cardiac puncture technique, and the ALP and GGT levels were determined using the kinetic photometric test method.Result and Discussion: The Shapiro-Wilk normality tests showed that the ALP variable from the control group (P=0.342) and the experimental group (P=0.727) was significantly different from the GGT variable from the control group (P=0.482) and experimental group (P=0.099). Thus, the data for the ALP and GGT variables are claimed to be normally distributed. The ALP variable (P = 0.237) and the GGT variable (P = 0.839) both passed the significant homogeneity test, indicating that the ALP and GGT variable data were homogeneous. The independent comparison test T-test findings indicated that the ALP variable (P=0.602) and the GGT variable (P=0.161) were not statistically significant.Conclusion: The oral administration of polyvinyl chloride microplastic had no significant influence on the ALP and GGT levels in the blood of Rattus norvegicus Wistar strain in the experimental group compared to the control group
CORRELATION STUDY BETWEEN BURDENS AND THE QUALITY OF LIFE IN CAREGIVERS OF DEPENDENT ELDERLY IN PRAWIRODIRJAN VILLAGE
Get PDFBackground: Aging is synonymous with decreased body function due to natural factors (aging process) and diseases. The elderly who are unable to do their activities can cause dependence on the caregiver. In carrying out its role, the caregiver has burdens that can affect their life quality. Objective: To measure the correlation between the burden and the quality of life in caregivers of dependent elderly in Prawirodirjan Sub-district, Gondomanan District, Yogyakarta Municipality.Materials and Methods: This study used a cross-sectional method with a total sample of 33 participants. Caregiver burden was measured using the Zarit Burden Interview (ZBI) and Caregiver Reaction Assessment (CRA) questionnaires. Measurements of quality of life were conducted using the WHO QoL BREF questionnaire. Spearman rank correlation analysis was administered to conduct statistical analysis.Results: There were very significant negative correlations between the caregiver’s burden (ZBI) and WHO QoL BREF physical health domain, psychological domain, social relations domain, and environment domain. There were very significant positive correlations between the caregiver’s burden self-esteem caregiver’s domain (CRA) and WHO QoL BREF psychological domain. There was a significant negative correlation between the caregiver's burden of the family support domain (CRA) and WHO QoL BREF physical health domain, psychological domain, social relations domain, and environment domain. There was a significant negative correlation between the caregiver’s burden impacts on the financial domain (CRA) and WHO QoL BREF environment domain. There was a very significant negative correlation between the caregiver’s burden of daily schedule impact domain (CRA) and WHO QoL BREF environment domain as well as there was a very significant negative correlation between the caregiver’s burden of health impact domain (CRA) and WHO QoL BREF physical health domain.Conclusion: There is a significant correlation between burden and the quality of life of dependent elderly caregivers in Prawirodirjan Village, Gondomanan District, Yogyakarta Municipality. The higher the burden of a caregiver, the lower the caregiver's quality of life, and conversely
CORRELATION DEGREES OF TUMOR INFILTRATING LYMPHOCYTES (TILs) WITH GLEASON SCORE IN PROSTATE ADENOCARCINOMA
Get PDFIntroduction: One of the abnormalities in the prostate gland is prostate adenocarcinoma. Prostate adenocarcinoma expresses tumor antigen in the form of Prostate Specific Antigen (PSA) which will then be recognized by the immune system. The immune system then responds by infiltrating the tumor tissue. Tumor Infiltrating Lymphocytes (TILs) are defined as the infiltration of lymphocytes into the tumor microenvironment. T lymphocytes have a role in recognizing and killing tumor cells. The Gleason grading system together with serum PSA assessment and clinical staging are key in determining appropriate therapy and prognosis in prostate adenocarcinoma. The Gleason grading system is used to assess the degrees of glandular differentiation in prostate adenocarcinoma. An increase in the gleason score indicates poor gland differentiation.Purpose: To assess the correlation between the degrees of Tumor Infiltrating Lymphocytes (TILs) with gleason score in prostate adenocarcinoma.Method: This retrospective study used a correlation analytic method with a cross sectional study design that measured the degrees of Tumor Infiltrating Lymphocytes (TILs) in each gleason score of prostateadenocarcinoma that was observed once at a time. The research samples obtained from the patient's medical records included the gleason score and histopathological slides of the Transurethral Resection of Prostate (TURP) with hematoxylin eosin (HE) staining which were diagnosed as prostate adenocarcinoma according to the inclusion criteria using the non-probability total sampling method at Dr.RamelanNavy’s Central Hospital and analyzed using SPSS version 25 application.Result: Spearman correlation test to assess the correlation between the degree of stromal TILs with gleason score obtained p-value = 0.345 (p >0.05) which indicates there is nocorrelation.Conclusion: There is nocorrelation between high grade stromal TILs and high Gleason Score in prostate adenocarcinom
ASSOCIATION BETWEEN THIRD TRIMESTER MID-UPPER ARM CIRCUMFERENCE (MUAC) AND ANEMIA IN NEONATUS
Get PDFIntroduction: Nutritional problems in pregnant women in Indonesia reach 50%, this is still a concern. Based on Basic Health Research (Riskesdas) 2018, 17.5% CED pregnant women in Central Java. Mid-Upper Arm Circumference (MUAC) is an examination to determine nutritional status of pregnant women. Poor nutritional status can cause anemic neonates. According to research at RSUP Dr. Hasan Sadikin Bandung 2018, prevalence of anemic neonates is 14.5% which is still a problem.Objectives: This study aimed to determine relationship between MUAC in third trimester and incidence of anemic neonates.Methods: This study used a cohort study of pregnant women and neonates at Dr. Oen Solo Baru. The sampling technique was purposive sampling. The samples were 80 respondents with the independent variable being MUAC in third trimester and the dependent variable being anemic neonates. Data were analyzed using Spearman's correlative test.Results: In 40 (50%) respondents with normal MUAC which is 23.5 – 28.5 cm, there were 31 (77.5%) normal haemoglobin (Hb) neonates and 9 (22.5%) anemic neonates. In 40 people (50%) were malnourished which is <23.5 cm, there were 13 (32.5%) normal Hb levels neonates and 27 (67.5%) anemic neonates. Based on statistical tests, there is a relationship between third trimester MUAC and incidence of anemic neonates with p = 0.000 (<0.05) and the correlation coefficient value is 0.452 which indicates a sufficient correlation.Conclusions: The conclusion is there is a relationship between MUAC for pregnant women in third trimester and incidence of anemic neonates
HEMORRHAGIC STROKE PROFILE ON SALATIGA REGIONAL PUBLIC HOSPITAL PATIENTS
Get PDFABSTRACTIntroduction: There is an increasing number of new hemorrhagic stroke cases from 2017 to 2018 on The Province of Central Java and Salatiga. A study of demographics, laboratory examination, radiology, outcome, risk factor, and clinical presentation on hemorrhagic stroke patients are rarely done at Salatiga Regional Public Hospital. Objectives: This study aims to describe the hemorrhagic stroke profile on Salatiga Regional Public Hospital patients. Materials and Methods: Hemorrhagic stroke inpatient of Salatiga Regional Public Hospital in the period between October 2018 and October 2019 is studied. Demographic, laboratory examination, radiology, outcome, risk factor, and clinical presentation data are reported. Results: From a total of 192 data gathered, 120 meet the inclusion and exclusion criteria. 47,5% male and 52,5% female with highest age range (55-64) 33%. The majority of patients came from outside of Salatiga city 71,7%. Patients with blood pressure classification stage 1 11,7%; stage 2 80%. Laboratory examination data shows 52,5% high leucocyte count; normal thrombocyte count; normal lymphocyte count; normal monocyte count; 72,5% high neutrophil count; 71,7% high Neutrophil-Lymphocyte Ratio; 89,2% high ureum level; normal creatine serum; 80% not at risk based on eGFR. Types of hemorrhages are ICH, IVH, and SAH with percentages 68,7%; 25,3%; 6% respectively. Basal Ganglia (48,1%) are the most common location for ICH and lateral ventricle (61,9%) are the highest for IVH. Clinical presentation for GCS (14-15) are the highest 58%. Patients with mortality are dominant in males with mean age 59,61 (year); followed by high counts of leucocyte, neutrophil, NLR, and ureum. Conclusion: Hemorrhagic stroke patients at Salatiga Regional Public Hospital are mainly female with the age range of 55-64 are the highest, came from outside of Salatiga city. The most frequent risk factor is hypertension. Most patients have GCS of 14-15 and stage 2 blood pressure classification. Most of the patient have leucocytosis, neutrophillia, high NLR and ureum level. ICH is the highest stroke subtype with the most frequent location of basal ganglia. More patients with good outcomes compared with a bad outcome
CORRELATION BETWEEN TOTAL NASAL SYMPTOM SCORE AND CLASSIFICATION OF RHINITIS ALLERGY BASED ON ARIA-WHO WITH ASTHMA COMORBIDITY AT PHC HOSPITAL IN SURABAYA
Get PDFIntroduction: The prevalence of Rhinitis Allergy (RA) is quite high, reaching 32%. The incidence of RA is often associated with asthma, as many as 45% of asthmatics occur after RA, and as many as 20-50% of RA occur after asthma. If RA occurs together with asthma, it can exacerbate clinical symptoms for the patient. According to ARIA-WHO, RA is classified according to time, into intermittent and persistent, and based on the severity of symptoms and quality of life, divided into mild and moderate-severe. Currently, there is a short questionnaire, namely the Total Nasal Symptom Score (TNSS). TNSS is the sum of individual scores for each nasal symptom. Each symptom was measured using a score of 0 to 3.Purpose: To determine the correlation between TNSS and RA classification based on ARIA-WHO with asthma comorbidity at PHC Hospital in Surabaya.Method: This study used an observational analytic research design with a cross-sectional study design, with a sample size of 39. Statistical analysis was carried out using the Spearman Correlation test.Result: From 39 samples, female (59%) and male (41%), the highest age group was 46-55 years (28.2%), the most allergy history was allergy to cold and dust (67.9%), the highest degree of TNSS was mild (43.6%) followed by moderate (33.3%), then severe (12.8%) and very mild (10.3%). The highest degree of RA was persistent moderate-severe (51.3%), followed by mild persistent (17.9%), followed by intermittent mild and intermittent moderate-severe (15.4%). Based on the analysis results that have been carried out using the Spearman correlation test, the results are p = 0.000 (α = <0.05) and r = 0.566, showing a strong significant correlation.Conclusion: There is a strong significant correlation between TNSS and RA classification based on ARIA-WHO in RA patients with asthma comorbidity
DEPRESSION RELATIONSHIP WITH BLOOD PRESSURE IN THE ELDERLY AT THE TRESNA WERDHA KHUSNUL KHOTIMAH SOCIAL HOME PEKANBARU IN 2018
Get PDFBackground: Depression is a common mental disorder characterized by constant sadness and loss of interest in activities that are usually liked, accompanied by an inability to carry out daily activities. The Elderly group experiences depression due to physical changes and environmental social conditions. Other risk factors that can cause depression in the elderly include biological factors, marital status, and psychosocial factors. Biological and psychosocial factors have a relationship with changes in the levels of hormones and neurotransmitters in the body. Changes in hormone levels and neurotransmitters can cause changes in blood pressure. Blood pressure is normal if the systolic blood pressure is less than 120 mmHg and the diastolic blood pressure is less than 80 mmHg and high blood pressure if the systolic blood pressure is more than 140 mmHg and the diastolic blood pressure is more than 90 mmHg. Objective: To determine the relationship of depression to blood pressure in the elderly at the Tresna Werdha Social Home Khusnul Khotimah Pekanbaru in 2018. Research Methods: The method used in this study is analytic observation with a cross-sectional design. The sampling technique used the total sampling method, where in this study, the population was a sample, but after the exclusion, the number of samples obtained was 41 respondents. Data collection was carried out by observations made by interviewing respondents using questionnaires and blood pressure measurements using a Sphygmomanometer and stethoscope. Results: Obtained p values (Sig.) Systolic blood pressure and diastolic blood pressure showed several 0.021 and 0.019. This p (Sig.) The value is small of 0.05, and this indicates a significant relationship of depression to blood pressure in the elderly at the Tresna Werdha Khusnul Social Home Khotimah Pekanbaru in 2018. Conclusion: There is a significant relationship between blood pressure depression in the elderly at PSTW Khusnul Khotimah Pekanbaru in 2018