Journal of Widya Medika Junior
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CORRELATION BETWEEN NUTRITIONAL STATUS AND SIMPLE FEBRILE SEIZURE IN CHILDREN AGED 6 MONTHS – 5 YEARS AT PHC HOSPITAL SURABAYA
Get PDFBackground: Around 2 – 3% of children in Indonesia experience febrile seizures. Factors that can increase the risk of febrile seizures is viral infection and nutritional status. Malnourished in children increase the incidence of febrile seizures in children.Objective: To analyze the relationship between nutritional status and simple febrile seizures in children aged 6 months to 5 years at PHC Hospital in Surabaya.Method: The study utilized a retrospective observational analytical design with a case control research method on inpatients with fever at PHC Hospital in Surabaya from January 2019 to September 2023, involving a total of 2,464 patients. Data were extracted from medical records and selected based on inclusion and exclusion criteria, resulting in 105 samples in the case group and 758 samples in the control group, meeting the inclusion and exclusion criteria. Thirty-seven samples were randomly selected from each group using simple random sampling. Statistical analysis employed the C contingency coefficient test.Results: Among patients with simple febrile seizures at PHC Hospital in Surabaya, 8,1% were severe thinness, 29,8% were thinness, 48,6% had normal, 8,1% were at risk of overweight, 2,7% were overweight, and 2,7% were obese. The fever without seizures group showed no severe thinness, 5,4% were thinness, 86,5% had normal, 2,7% were at risk of overweight, 5,4% were overweight, and no obese. Based on the statistical analysis using the C contingency coefficient test, the p-value was 0,008 (p<0,05), indicating a correlation between nutritional status and simple febrile seizures in children aged 6 months to 5 years at PHC Hospital in Surabaya.Conclusion: There is a correlation between nutritional status and simple febrile seizures in children aged 6 months to 5 years at PHC Hospital in Surabaya
PHAGO: DIGITAL MEDIA FOR COGNITIVE STRENGTHENING IN THE FIELD OF PHARMACOLOGY
Get PDFBackground: In the world of education, studying and learning is required. To keep up with technological advances, learning methods and media are needed that can help students learn. In this research, PHAGO is an interactive learning media which aims to help students understand pharmacology material better and to determine student attitudes and understanding. In this study, the field of urology in geriatrics was chosen because geriatrics is the flagship of FK UKWMS and urology is one of the fields of medicine where geriatric patients often experience disorders.Purpose: To study the influence of geriatric pharmacology digital interactive learning media in the field of urology on the understanding and attitudes of students at the Widya Mandala Faculty of Medicine, Surabaya class of 2020.Method: This research method is pre-experimental research with a One Group PrePost Design research design, namely a research design that provides pre- initial test and questionnaire before administering PHAGO and administering the post-test and final questionnaire after administering PHAGO. The sampling technique in this research is simple random sampling. Sampling was the result of random student pre-tests and post-tests by researchers as well as initial questionnaires and final questionnaires. Statistical analysis for this study used the Wilcoxon Test because the data was not distributed normally.Results: Samples were taken on 21 August 2023 and 11 September 2023 with a total sample of 50 students from the class of 2020 who had never used PHAGO before. The research results obtained are that PHAGO can help students understand pharmacology material and change students’ attitudes from being lazy to being more diligent and an increase in the average value from 25.20 to 55.60 also confirmed the effect of PHAGO on student understanding. Wilcoxon test also gives meaningful results (p = 0.000).Conclusion: It can be concluded that PHAGO has had a good influence on FK UKWMS students’ class of 2020
LITERATURE STUDY: CORRELATION NUTRITION STATUS WITH WOUND HEALING
Get PDFBackground: Perineal rupture is the most common complication of vaginal delivery. Similar to the wound healing process in general, the perineal wound healing process is influenced by nutritional factors. Nutritional factors that are known to be related to the wound healing process are protein levels which are reflected in albumin levels. In Indonesia, serum protein levels are not a variable that is routinely monitored in pregnant women. With a high prevalence of perineal wounds, measurement of serum albumin levels can be a means of early detection of maternal nutritional factors that can affect wound healing outcomes.Objective of this study was to determine the relationship between serum albumin levels and the degree of post-salary perineal wound healingMethods: The study was originally a prospective analytic observational study with a cross-sectional design. In response to the pandemic, the research design was changed to a literature study by searching for scientific publications during the last 5 years in Pubmed, Google Scholar, Sciencedirect, Researchgate, and Mendeley with the keywords Perineum, wounds, postpartum, albumin, nutrition and exclusion for literature studies. is inaccessible PDF and Publication not in the last 10 years .Results: There were 10 literatures regarding wound healing and nutritional status of which 6 literatures were perineal wounds and 4 literatures were wounds related to malignancy. From the literature, it was concluded as many as 10 literatures showed that there was a relationship between nutritional status and wound healing.Conclusion: : After reviewing the ten literatures, it can be concluded that there is a relationship between nutritional status and wound healing in mothers with perineal wounds.Keywords: Perineum, wound, postpartum, albumin, nutrition
CORRELATION OF WAIST HIP CIRCUMFERENCE RATIO WITH FASTING BLOOD GLUCOSE CONSENTRATION AT THE AGE OF 30-65 YEARS IN THE DISTRICT OF KEDIRI
Get PDFBackground: The World Health Organization (WHO) stated that obesity is a world epidemic. According to basic health research in 2018, the prevalence of central obesity in the population aged 15 years in Kediri Regency/City has a higher prevalence compared to the average prevalence in East Java Province. The waist hip circumference ratio is one of the anthropometric calculations that can be used to assess central obesity. The high prevalence of central obesity in Indonesia is closely related to the incidence of non-communicable diseases, including diabetes mellitus. However, only 25% of people with diabetes mellitus know that they have diabetes. Routine blood sugar checks for residents in districts/cities, especially in the city of Kediri, are also at a low level of 3.6%, so this is the reason for conducting this study.Objective: To study the correlation between waist hip circumference ratio with fasting blood glucose concentration at the age of 30-65 years in the District of Kediri.Method: Cross sectional observational analytical research approach. Sampling using consecutive sampling. Testing the correlation between two variables using the Spearman correlation test. The correlation between variables is considered significant if the p value <0.05 is obtained.Result: This research was conducted in Sonorejo Village, Grogol District, Kediri Regency, East Java on August 10 – August 12, 2021. Otained 40 respondents with an age range of 30-65 years. The correlation between waist hip circumference ratio with fasting blood glucose consentration was not statistically significant (p=0,453). The correlation value of 0.122 indicates a very weak correlation strength and is not clinically significant.Conclusion: There is no correlation between waist hip circumference ratio with fasting blood glucose concentration at the age of 30-65 years in the District of Kediri. Keywords:Waist hip circumference ratio, fasting blood glucose, Kediri
EFFECTIVENESS OF CHATBOT TO REDUCE THE RISK OF CORONARY HEART DISEASE WITH DOKTERKIT MOBILE APPLICATION
Get PDFBackground: An innovative approach in the form of a discussion platform designed to help users deal with health issues related to coronary artery disease. Chatbot platforms allow the collection of users' data, which is analyzed through natural language processing and behavioral analysis to provide each user with a customized solution based on their current situation. The data collected and analyzed is accessible. The platform is developed using chatbot technology. Users can interact with chatbots to generate personal chat data stored on the platform.Conflicting information and sensitivity to Coronary heart disease (CHD) issues hinder effective communication. Recent technological solutions to maintain weight loss are limited. A chatbot would be suitable to support weight loss as it requires no human intervention, is available 24 hours a day, and supports natural communication while maintaining anonymity. CHD is a non-communicable disease with increased mortality in both developed and developing countries. It is a major public health problem worldwide. There are many risk factors for coronary heart disease, divided into primary risk factors (age, gender, genetics) and secondary risk factors (hypertension, smoking, dyslipidemia, diabetes, obesity, physical inactivity), and other risk factors (stress, alcohol, diet, and nutrition).The health system needs an effective and low-cost way to provide optimal health outcomes. Conversational Artificial Intelligence (AI) capabilities in the form of a fully automated and self-contained text-based mobile tutoring service. CHD is a serious health problem worldwide with multiple and interrelated causes. At the same time, chatbots are becoming more popular for interacting with users in mobile health apps.Objective: Dokterkit mobile application (available on the Google Play Store) prevents lifestyle-related diseases that are a risk for CHD, which has been considered to be at risk for multiple coronary artery disease (CAD), with the overarching goal of gaining compassion through mobile health improvements Opportunities for the healthcare of the heart. The insights gained in this preview article are used to plan future healthcare systems and design a system embedded with artificial intelligence to advance healthcare, chronic disease prevention, and self-treatment.Results: The Role of Artificial Intelligence in preventing Coronary Heart Disease (CHD) is to routinely carry out health screenings, make users aware of exercising regularly, and maintain food intake by reducing foods that are high in calories and adding foods that are high in fiber.Conclusion: Using AI in healthcare is associated with preventing CHD, which alters healthy lifestyles. It can also encourage a change in attitude, a high level of user concern for health, and obtain complete health information. Research on artificial intelligence and its use in telemedicine needs to be continued, with clinical trials examining the impact on blood pressure, body mass index, smoking, diabetes mellitus, and user engagement and feedback
THE CORRELATION BETWEEN LOW BIRTH WEIGHT AND STUNTING IN 2-5 YEARS OLD CHILDREN
Get PDFBackground: The WHO defines stunting as a growth and development failure of infants and toddlers due to poor nutrition, especially in the first 1,000 days of life, so the child's height is too low for the age. Epidemiologic data shows the prevalence of stunting in children under five years in 2018 reached 30,8%. Since conception, growth, and development greatly affect babies' growth and development at birth and throughout their lives. Low birth weight indicates the fetus's growth and development since the period of conception is inhibited, which results in the non-optimal formation and maturation of the organs in infants, which can chronically appear as stunting. Purpose: This research aims to determine the correlation between low birth weight and stunting in children 2-5 years old. Method: This study uses an observational analytic method with a case-control study design and purposive sampling. There are 60 subjects in this study. Data used in this research were obtained from medical records. The WHO chart analyzed height. This research was analyzed with the Chi-Square test with the alpha standard value 1,96 (α=0,05). Result: There's a significant correlation between low birth weight and stunting in children 2-5 years old (P-value = 0,001, OR = 19,3). Conclusion: Low birth weight history significantly correlates with the incidence of stunting in 2-5 years old children
AGE AND GENDER WITH DEGREE OF HYPERTENSION IN ADULTS AT THE CARDIOLOGY CLINIC OF GOTONG ROYONG HOSPITAL IN SURABAYA
Get PDFBackground : Hypertension is a condition that blood pressure in a person increases with systolic 140 mmHg and/or diastolic 90 mmHg, either based on clinical measurements or health care facilities. Hypertension is often called a "silent killer". Risk factors associated with the incidence of hypertension include age and gender. Goals : To examine the correlation between age and degree of hypertension in adults and the correlation between gender and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong Hospital in Surabaya.Method : This research used an analytical observational method with a cross-sectional design. Data accumulation was obtained through medical records from the Cardiology Clinic of Gotong Royong Hospital in Surabaya. This research used simple random sampling as the sampling technique. Meanwhile, the expected analysis results from this research are p-value ≤ 0.05 and r value = 0.8 – 1.00.Result : The result of analysis after the Spearman test about the correlation between age and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong Hospital in Surabaya this research found p value = 0.938 which is interpreted as a non-significant correlation and r value= -0.012, which is interpreted as a very weak correlation. Then, the result of the analysis of the correlation between gender and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong Hospital in Surabaya had a p-value = 0.632, which is interpreted as a non-significant correlation and an r value = -0.072, which is interpreted as very weak correlation.Conclusion : There is no correlation between age and degree of hypertension in adults, nor between gender and degree of hypertension in adults at the Cardiology Clinic of Gotong Royong in Surabaya
EFFECT OF MICROPLASTIC ORAL INTAKE ON FATTY DEGENERATION AND NECROSIS OF HEPATOCYTES IN WISTAR RATS
Get PDFIntroduction: In the human body, microplastics are considered toxic agents. Low-density polyethylene (LDPE) has very high chemical resistance, making it very difficult to be degraded by microorganisms. LDPE plastic would be degraded to a smaller size and could not be completely degraded by microorganisms. Plastic packaging made from LDPE is the most commonly found plastic waste. Microplastics may cause cell injury, especially cells in the liver, the primary organ for detoxification. Microplastic induces reactive oxygen species, which leads to oxidative stress. Prolonged exposure to microplastics leads cells unable to cope with the toxic effects. Furthermore, this process triggers fatty degeneration and necrosis. This study aims to explain the correlation between microplastic oral intake with fatty degeneration and necrosis of hepatocytes in animal models. Methods: Forty-two Wistar rats were involved and assigned to one control and five experimental groups. The experimental groups were given microplastic exposure starting from 0.0375 mg/day to 0.6 mg daily for 90 days. Results: Fatty degeneration and necrosis were observed using a light microscope with hematoxylin-eosin staining. There was a significant correlation between microplastic oral intake and hepatocyte necrosis (p<0.05). The higher the exposure dose, the more hepatocyte necrosis. In contrast, there was no correlation between microplastic exposure and fatty degeneration. Ingestion of microplastics leads to hepatocyte necrosis. Conclusion: Oral intake of LDPE microplastics with <20 µm in size for 90 days in Wistar rats leads to hepatocellular injury. Based on histopathological images, hepatocyte necrosis was more prominent than hepatocyte fatty degeneration
STRESS LEVELS AND SLEEP QUALITY OF NURSES AT GOTONG ROYONG SURABAYA HOSPITAL
Get PDFBackground: Stress is a condition that requires individuals to react physically, psychologically, and behaviorally to a change. Sleep quality is a measure of how well a person sleeps. Increased stress and poor sleep quality can affect nurses' health conditions (physical, psychological, behavioral) and work performance.Objective: To determine the correlation between stress levels and the sleep quality of nurses at Gotong Royong Hospital Surabaya.Methods: Cross-sectional method was carried out with a purposive sampling technique. Data collection was done online using Jotform. The stress level questionnaire used was the Perceived Stress Scale (PSS) and sleep quality with the Pittsburgh Sleep Quality Index (PSQI). PSS results consist of mild, moderate, and severe stress, while PSQI results are good and bad sleep quality.Results: 72 people (92.3%) experienced moderate stress, and 64 (82.1%) had poor sleep quality. From the Spearmancorrelation test results, a significance value of 0.069 (p>0.05) was obtained, which means it was not significant.Conclusion: There is no correlation between stress levels and the sleep quality of nurses at Gotong Royong Hospital Surabaya
DIFFERENCE OF BREAST CANCER ESTROGEN RECEPTOR (ER) BETWEEN OBESE PRE-MENOPAUSE WOMEN AND OBESE POST-MENOPAUSE WOMEN
Get PDFBackground: One of the risk of breast cancer is Obesity (BMI > 23Kg/m2) related to estrogen production between pre-menopause and post-menopause.Aim: To investigate the difference of breast cancer estrogen receptor (ER) in obese women based on menopausal status.Methods: This study was retrospective cross-sectional from secondary data (Medical Records) from Poliklinik Onkologi Satu Atap (POSA) RSUD Dr. Soetomo (ICD-10 C50) from 2013-2017 with inclusion criteria was BMI >23Kg/m2. Data were analyzed using Chi-Square. Results: There were 138 patient medical records collected which is 63 were obese pre-menopause and 75 were obese post-menopause. There were statistically a significant difference (p<0,05) based on Chi square test of breast cancer estrogen receptor for obese post-menopause women (66,7%) to obese pre-menopause (39,7%). Obese post-menopause women have 1,68 times greater risk factor to become estrogen receptor positive (ER+) compared to obese pre-menopause women. (PR = 1,68; 95% CI = 1,191-2,370) Conclusion : There is a significant difference of breast cancer estrogen receptor in obese post-menopause women more frequent than obese pre-menopause women