Journal of Widya Medika Junior
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Anxiety Levels Of Primipara Mother With The Length Of Labor Progress In The First Active Phases At Community Health Centre Mataram City
Get PDFIntroduction: According to data from the Department of Health (2018) , infant mortality rate(IMR) in the first semester was as many as 10.294 cases, and the maternal mortality rate(MMR) in the first semester was as many as 1712 cases. Continuity and Duration of labor areessential factors in determining the number of IMR and MMR. Several factors affecting laborduration are power, passenger, passage, and maternity mother psychological. Purpose: To understand the correlation between primipara mothers' anxiety levels with thelength of labor progress in the first active phases. Method: This research used observational analytic method with a cross-sectional design anda purposive sampling technique. The research period was two months, with total respondentswere 40 people. Statistical analysis was done using Spearman rank correlation test. Results: 40 pregnant primipara mothers underwent labor at Mataram City CommunityHealth Centre in June - August 2019. We found about four respondents have heavy levels ofanxiety, in which all of them had no progress in delivery labor. Based on the statistical testsusing the spearman rank, there is a strong, positive (π = 0.714) and significant correlation (P =0,000) between anxiety level of primipara mothers with the length of labor progress in thefirst active phase. Conclusion: There is a significant correlation between primipara mother anxiety levels withthe period length of labor progress in the early active phases at Babakan community healthcenter Mataram City. Researchers have shown that the higher the anxiety level, the longer thelabor progress, and vice versa. This result must be explored further because of anxiety thataffects mothers' condition during labor and affects uterine contractions and cervical dilatationthat determine the smooth labor process
Acute Diarrhea Duration Between Children With Probiotic Therapy And Without Probiotic Therapy At Gotong Royong Hospital
Get PDFIntroduction: Diarrhea is one of the leading causes of mortality and morbidity in childrenthroughout the world. Based on Basic Health Research data (Riskesdas), the highest diarrheaprevalence occurs in children aged 1-4. One of the supportive therapies given to children whohave acute diarrhea is probiotic therapy. Probiotic therapy in children with acute diarrhea canreduce the frequency and duration of diarrhea. Purpose: To analyze the differences in acute diarrhea duration between children withprobiotic therapy and without probiotic therapy, a case study in Gotong Royong Hospital. Method: An experimental study with Cohort approach. The sampling technique used in thisresearch was consecutive sampling. The procedure of this research was carried out bycollecting primary data, recording probiotic therapy given to the acute diarrhea children whocome to Gotong Royong Hospital at Surabaya and doing outpatient care, then continued withmonitoring to the patient's parents everyday to find out the duration of acute diarrhea in thechildren after probiotic therapy. This research used the Mann Whitney analysis test. Results: We found that there were significant differences between the duration of acutediarrhea in the children with probiotic therapy and the children without probiotic therapy witha value of p < 0,001 (p<0.05). The average duration of acute diarrhea in children withoutprobiotic therapy is 3.25 days. Meanwhile, the average duration of acute diarrhea in childrenwith probiotic therapy is 1.25 days. The average difference between children with andwithout probiotic therapy was two days. Conclusion: There is a difference in the duration of acute diarrhea in the children withprobiotic therapy and the children without probiotic therapy at Gotong Royong Hospital inSurabaya.
ANTIBACTERIAL EFFECT OF EUGENIA POLYANTHA WIGHT WITH CORYNEBACTERIUM DIPHTHERIAE NON-TOXIGENIC
Get PDFIntroduction: Corynebacterium diphtheriae is a bacteria that causes diphtheria. In recentyears, the bacterium is resistant to antibiotics. Eugenia polyantha wight might be a suitableantibiotic alternative as it has antibacterial effect against Staphylococcus aureus. The contentof the antibacterial compound in Eugenia polyantha wight at specific concentrations isexpected to be able to kill the Corynebacterium diphtheriae.Purpose: This study aimed to examine the antibacterial effect of Eugenia polyantha wight toCorynebacterium diphtheriae non-toxic.Method: Bay leaf extract (Eugenia polyantha wight) made with maceration method. Thisresearch is an experimental study conducted in vitro using a microdilution test on 96 wellplates then count value with the streaking method to find out MBC.Results: bactericidal power was quite effective at the concentration of 40%, while at the concentrationof 80%-100% has very strong bactericidal power that could destroy the growth of bacteria 99.9%. Thehigher the concentration of bay leaves extract, the higher the bactericidal power of bacteria Conclusion: Eugenia polyantha wight has an antibacterial effect against Corynebacteriumdiphtheriae non-toxic
THE EFFECT OF ADMINISTERING AFRICAN BITTER LEAF EXTRACT ON SPERMATOGENIC CELLS OF HYPERGLYCEMIC WISTAR RATS
Get PDFIntroduction: Diabetes is still a world health problem that can cause many complications. Male infertility is one of the diabetic complications. This condition is caused by oxidative stress in diabetic patients. African bitter leaf is believed to contain an antioxidant compound that can repair male infertility. Purpose: This study aims to determine the effect of administering African bitter leaf extract on spermatogenic cell count in hyperglycemic Wistar rats. Method: This study use Rattus norvegicus as an animal model, which was administrated with alloxan to induce hyperglycemic. P0 group were given Na CMC 0,1%, Control group were given glibenclamide 0,63/kg bodyweight for 14 days. 100mg/kg bodyweight (P1), 200mg/kg (P2), and 400mg/kg (P3) of African bitter leaf extract were administrated for 14 days. In the end, the animals were sacrificed, and testicle histopathologic sections were made. Results: Significant result (P<0,05) comparing spermatogonium, primary spermatocyte, and spermatid count between groups. Post-hoc test shows the significant result on comparison ofprimary spermatocyte and spermatid count between P0 and P1.Conclusions: There is an effect of bitter leaf extract administration on spermatogenic cell count in hyperglycemic Wistar rats. The best improvement can be observed in the P1 group, administered with 100mg/kg bodyweight African bitter leaf
STUDY CORRELATION BETWEEN BURDEN AND QUALITY OF LIFE OF DEPENDENT ELDERLY CAREGIVERS IN KLITREN, YOGYAKARTA
Get PDFIntroduction: Elderly with disabilities need caregiver’s assistance in their activities of dailyliving. The caregiver can experience a burden during caring for dependent elderly. The burden can affect the caregiver’s quality of life. Purpose: To measure and test the correlation between dependent elderly’s caregiver burdenand quality of life in Klitren Kampong, Gondokusuman District, Yogyakarta Municipality.Method: The subjects were primary informal caregivers aged ≥ 18 years with an excellent cognitive function caring for the elders with an ADL score <12. Respondents were selected using the consecutive sampling technique. This is quantitative research with a cross-sectional study design. Zarit Burden Interview and Caregiver Reaction Assessment were used to assessing the caregiver’s burden. WHO Quality of Life-BREF was used to assess caregiver’s quality of life. Data were analyzed using spearman’s rank correlation.Results: There were 21 female study subjects. The caregivers ' burden tended to be low in each of the CRA and ZBI domains (mean=8.63±10.730–72.42±10.983). Caregivers’ quality of life tended to be low (mean=49.76±11.962–60.76±11.726). There was a strong and statistically significant correlation between the impact on finance (p=0.000, ρ=-0.678) and the impact on health (p=0.002, ρ=-0.602) on CRA with the environmental domain of WHOQoLBREF. There was a strong and statistically significant correlation between the impact of the schedule domain on CRA with the psychological domain of WHOQoL-BREF (p=0,000, ρ=0.683). Conclusion: There are significant correlations between caregivers’ burden and quality of life, especially in specific domains. Caregivers with a higher burden have a lower quality of life.
Acute Limb Ischemia (Ali): An Overview Of Clinical Diagnosis And Treatment
Get PDFAcute limb ischemia (ALI) is one of vascular emergency. It is defined as a rapid and sudden decrease in limb blood flow due to acute occlusion It is considered to be acute if it occurs within 14 days after the first symptom onset. The incidence of ALI is around 1.5/10.000 people per year. It has reported a mortality rate of 15%-20% in 30 days and high amputation rates 10%-15% if appropriate treatment not administered. The causes of ALI are
divided into embolism and thrombosis. Thrombosis can occurred due to atherosclerotic lesion while most cases of embolism are cardiogenic one. Classic features of ALI are known as 6Ps: pain, pallor, paralysis, paraesthesia, pulselessness, poikilothermia. A good history taking and
physical examination are needed to assess further treatment needed. Severity of ALI also need to be set based on Rutherford Classification. If the limb was diagnosed as irreversible damage, amputation should be taken as treatment choice without hesitation. ALI can be treated with administered of heparin, endovascular and open surgical. Post treatment follow up also needed to rule out any possible complication such as compartment syndrome and ischemic-reperfusion injury
Uric Acid Concentration With Risk Factors For Hypertensionwith Coronary Heart Disease Patients Who Do Moderaty Intensity Physical Exercise
Get PDFIntroduction: Complication of hypertension causes 45% of deaths from heart disease. Programs for improving quality of life in heart disease patients such as Cardiovascular Prevention and Rehabilitation program, usually includes one component, which is to do moderate-intensity physical exercise. previous study suggested that moderate-to-high intensity physical exercise could increase uric acid. Aim: To examine the correlation between uric acid concentration and risk factors for hypertension in patients with coronary heart disease who do moderate intensity physical exercise. Method: This was a retrospective study using data from medical records with cross-sectional design. The sampling method used purposive sampling based on subjective consideration and the availability of certain criteria. Analysis used chi-square analysis Results: The data were taken from medical records from 2012 until July 2019. Sampling, which appropriates for inclusion and exclusion criteria in Husada Utama Hospital, was 30 samples, 25 male, and 5 female. The majority of subjects in this research was 56-65 years old. The youngest was 40 years old while the oldest was 77 years old. Data analysis results showed that patients who had hypertension risk factors and increased uric acid were 17 patients (85%) and who did not have hypertension risk factors1. They did not experience an increase were seven people (70%) from the chi-square test. significant with p = 0.003 (
Peak Expiration Flow Prediction Value In The Elderly With The Tai Chi Training
Get PDFIntroduction: With increasing age, the elderly is more vulnerable to various physical disorders. One of them is a decrease in respiratory system function due to decreased respiratory muscle mass. Tai Chi training can be used as a health facility to maintain an excellent respiratory system. Purpose: Find out the difference between peak expiration flow prediction values in the elderly who do and do not participate in Tai Chi training. Method: This research used an observational analytic method with a cross-sectional design and used purposive sampling technique. The sample of this research was the elderly aged 6075 years who meet the inclusion criteria APE measurements were carried out three times, and the highest value was taken. Data were analyzed using the Mann-Whitney test with a computer program. Results: The data showed that APE value in the elderly who participated in Tai Chi training was 319.3 ± 91.42 while the elderly who did not take Tai Chi training was 265.6 ± 67.04. Statistical test results showed significant difference Conclusion: Based on Mann Whitney's statistical calculations, it can be seen that the significance value or p-value is 0.036 <0.05. It means that there is a significant difference in the average predicted value of peak expiratory flow between elderly who take Tai Chi training with elderly who do not take Tai Chi training, where APE in the elderly who practice Tai Chi is greater than the elderly who do not practice Tai Chi.
Behavior of Eradicating Mosquito Nests and Larva Index With Incidence Rate of Dengue Infection at Kupang City
Get PDFIntroduction : Dengue infection occurs at a large scale in Indonesia, especially in Kupang City. The incidence rate of dengue infection in January 2019 was 245 cases and caused 15 deaths. The number of cases and mortality at Kupang City increased in 2019. In 2018, dengue infection attacked 210 persons, and one person died due the infection. Thus Kupang City was determined to have extraordinary incidents of dengue infection by the government. Aim : This research was conducted to determine whether there is a relationship between larvae index and the behavior of eradicating mosquito nest with the incidence of dengue infection in the city of Kupang. Method: This study used a cross-sectional design and data collection was carried out by random sampling with a total sample of 60 samples divided into three working areas of the health center and secondary data in the form of the incidence of dengue infections obtained from the health center in January-June 2019 period. Results: there was a significant relationship between the behavior of eradicating mosquito nest with the incidence rate of dengue infection in Kupang City (p=0,006). A significant correlation between larva existence with the incidence rate of dengue infection (p=0,006) and significant correlation between the behavior of eradicating mosquito with larva existence (p=0,000). Conclusion: there is a significant relationship between the behavior of eradicating mosquito nests and larva existence with the incidence rate of dengue infection at Kupang City