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Health Belief Model Analysis with Perception and Behavior of Mothers of Children Under Five Years Old with Diarrhea
Full text linkDiarrhea is still a public health problem in Indonesia. Many children are victim of diarrheal diseases which are easily preventable and treatable. This study aimed to determine the perception and behavior of mothers of children under five years old with diarrhea based on the Health Belief Model (HBM). This research used qualitative with a phenomenological approach and analyzed based on the theory of the Health Belief Model (vulnerabilities, severity, benefits, barriers, cues to action). Collecting data from 12 informants through in-depth interview, observation, and documentation. The results showed that, based on the results of the HBM analysis with 5 indicators, the informants agreed on the susceptibility to diarrhea in children in the area. This is due to unqualified drinking water sources, poor waste management systems, and poor environmental and personal hygiene for each child. The main obstacle for informants is the absence of a strong will and the nature of not caring about the mother\u27s and her children’s living condition and personal hygiene. In conclusion, the informant\u27s perception of diarrheal disease is a harmless disease. The behavior of the informants did not care about living conditions which could cause repeated diarrhea for their children
Sleep Quality Profile of Mining Workers Based on Pittsburgh Sleep Quality Index (PSQI)
Full text linkThe number of work accidents in Indonesia and in the world is quite high, particularly in the mining sector. One of the factors that cause occupational accidents is poor sleep quality. Therefore good quality sleep is needed to reduce the risk of accidents. This study aims to describe the sleep quality of mining workers based on age, occupational category, and Body Mass Index (BMI). The research uses a descriptive design with a cross-sectional method. Data was collected from PT Borneo Indobara in 2020, as many as 120 workers. PSQI (Pittsburgh Sleep Quality Index) is used as an instrument. Then, sleep quality was reported in age, BMI, and occupational categories. The result shows that workers at PT Borneo Indobara are dominated by the age range of 21-40 years old (80%), working as operators (70.83%), and having normal BMI (56.67%). Most of the poor sleep quality is experienced by the worker with age range 18-20 years old (90.91%), working as a leader/officer (100%), and obesity as a BMI category (88.89%). Most of PT. Borneo Indobara employees have poor sleep quality based on the PSQI score, so that the management of PT. Borneo Indobara can use this research as employee evaluation data and can prepare treatment for the employees
The Correlation between Vitamin D Intake and Quality of Life in the 17-35 Age Group
Full text linkVitamin D testing increased significantly during the Coronavirus Disease-19 (COVID-19) pandemics due to its role in regulating the immune system. Therefore, vitamin D deficiency is associated with susceptibility to various diseases that may affect the quality of life regarding physical health, psychological well-being, social and environmental aspects. The study aimed to determine whether there is an association between vitamin D intake and quality of life in the 17 to 35-year-old age group. A cross-sectional study was conducted from April to November 2021. The sample consisted of students from the School of Medicine and Health Sciences Atma Jaya Catholic University of Indonesia, and their relatives in the same age group, who were selected using a consecutive sampling. Vitamin D intake was measured using Vitamin D Estimation Only - Food Frequency Questionnaire (VIDEO-FFQ). At the same time, the quality of life was assessed using the World Health Organization Quality of Life (WHOQOL)-BREF questionnaire. Data analysis was performed using the Chi-square test. Of the 127 respondents, the results showed that most of respondents had inadequate vitamin D intake and good quality of life (68.50%;59.10%). The highest mean of the four quality of life domains belongs to the environmental domain (3.94) with a standard deviation (SD) of ± 0.83. Data analysis showed no significant correlation between vitamin D intake and quality of life (p>0.05). The conclusion shows that there was no correlation between vitamin D intake and quality of life in the 17–35-year age group
Evaluation of the Quality of Pumpkin Seed Flour and Capsules as Food Supplements
Full text linkPumpkin seeds contain a variety of useful nutrients, so they become a food supplement. This study aimed to evaluate the quality of pumpkin seed flour and capsules. This study used the experimental method. The pumpkin used came from a local market in Makassar City. Cleaned pumpkin seeds-then dried in the sun for ± 7 hours. After that, put them in the oven at a temperature of 70-75°C for 3 hours. Next, blended them until they became smooth flour and sieved through a 70 mesh sieve. Put the flour into a capsule shell size 00. The quality of pumpkin seed flour and capsules is tested at the Neutraseutical Laboratory and the Integrated Laboratory of Hasanuddin University. The evaluation of flour quality was carried out with 3 indicators which are the moisture content test, the incompressible density test, and the flow time test. Meanwhile, the evaluation of capsule quality was also carried out with 3 indicators, which are the time disintegration test, the weight diversity test, and the shelf-life test. Based on the evaluation of flour quality, pumpkin seed flour meet the required standards for the moisture content test (3.57%) and the incompressible density test (0.2427 g/cm3), but did not meet the required standards for the flow time test. Furthermore, pumpkin seed capsules meet the required standards for the three indicators tested, namely, the weight diversity (according to Pharmacopeia 1 edition 3), the time disintegration (6 minutes) and the shelf-life (115 days). Pumpkin seed flour and capsules can be used as food supplements because they meet the required standards to evaluate quality
Insomnia Among Covid-19 Patients During Isolation Treatment in Inpatient Room of Indonesian Health Care Facilities
Full text linkInsomnia was a problem of Covid-19 patients often moaned because the physical and psychological condition of patients are weak. This study aims to analyze the association between respondent’s characteristics, social factors, and medication adherence with insomnia when Covid-19 survivor become isolated patients. This study used a descriptive and analytical cross-sectional design. The study was conducted in August 2021. The population of this study was all Covid-19 survivors. The sample of this study was part of Covid-19 survivors with a total number of 191. Data were collected by an online questionnaire via google form and analyzed by chi-square test. Almost all respondents (83.77%) were female, and most of the respondents (73.30%) worked as health workers. The age mean of the respondents was 31.51 (SD 8.82, min=18, max=60). Insomnia was experienced by almost half of the respondents (41.36%). There was no association between sex (OR = 1.92, 95% CI 0.89-4.17; p=0.113), type of work (OR = 1.11, 95% CI 0.58-2.11; p=0.868), medication adherence (OR = 0.47, 95% CI 0.05-4.56; p=0.644), and motivation (p=0.269) with insomnia. There was an association between optimism (p=0.043) and discrimination (OR=4.19, 95% CI 1.86-9.43, p=0.001) with insomnia. Insomnia was experienced by almost half of isolated patients in inpatient rooms of Indonesian health care facilities. Factors associated with insomnia were optimism and discrimination. Treatment for Covid-19 patients should pay attention to their physical care and give psychological care
Comparison of Reverse Osmosis and Non Reverse Osmosis Disinfection Methods for Drinking Water Depot
Full text linkDrinking Water Depot (DWP) offers cheap and affordable drinking water, so it becomes an option for the society. However, the large number of public interest is not accompanied by qualified water quality. The test result by Bandung Public Health Office on DWP quality indicated that 55.22% were not eligible. The study aimed to determine the effective disinfection method to reduce microbiology in Reverse Osmosis (RO) and Non-RO methods. It was an analysis with a cross-sectional design. The population was all DWPs in Bandung and obtained 659 DWPs as samples. Sampling used two different tests and obtained 30 samples consisting of 30 DWP using RO and 30 Non-RO in average. Data analysis was done through univariate and bivariate using Wilcoxon Rank Sum test. The analysis result showed that polluted water raw quality was 48.33%; the bacteria reduction by RO method was 100% and Non-RO was 43.33%. The bivariate analysis result indicated that p-value was 0.033 which means that there was a difference between disinfection method using RO and Non-RO with the coliform presence. The RO disinfection is the best method which was able to be used by DWP owners. Thus, the society is suggested to choose DWP using RO disinfection method which verified by Public Health Department
Measuring Performance of Padang Panjang Public Hospital in Achieving Its Targets Using the Balanced Scorecard Method
Full text linkThe Balanced Scorecard is widely used in various institutions, including hospitals because it can measure performance in a comprehensive, coherent, balanced, and measurable manner. Performance measurement at Padang Panjang Public Hospital so far focused on the financial aspect. This study aims to measure the performance of Padang Panjang Public Hospital in achieving its target with the Balanced Scorecard method. There are 14 indicators of performance that are measured in this study, namely economic ratio, efficiency ratio, and effectiveness ratio that describe performance from a financial perspective; customer satisfaction, complaint handling, customer retention, and market share that describe performance from a customer perspective; BOR (Bed Occupancy Rate), ALOS (Average Length of Stay), Bed Turn Over (BTO), and Turn Over Interval (TOI) which describe performance on the internal business process perspective and employee turnover, employee training, and employee productivity which describe performance from a learning and growth perspective. This is a mixed-method study, whereby the quantitative phase is followed by the qualitative phase. Quantitative data was taken and processed from hospital documents in 2018 and 2019. Each performance indicator is assessed by comparing it with its target. Interviews were conducted to get an explanation of the results obtained. Five of the fourteen performance indicator measurements have not reached the target, namely efficiency ratio, effectiveness ratio, BOR, employee training, and employee productivity. To improve performance, the hospital can focus on employee performance which will affect other performance indicators by providing education, training as well as employee job satisfaction
Monitoring Kidney Function Through the Use of Candesartan, Telmisartan or Valsartan Antihypertensive Therapy towards Patients CKD
Full text linkChronic Kidney Disease (CKD) lower kidney function caused by an irreversible reduction in normal nephron function. Globally, CKD contributes to the cause of death. Activation of the Renin-Angiotensin-Aldosterone system is involved in the pathogenesis. ARBs have a cardiorenal protective effect. The purpose of this study was to determine the changes in kidney function with the use of Candesartan, Telmisartan or Valsartan antihypertensive therapies in CKD patients. This research method was a prospective observational cohort study looking at changes in kidney function (BUN and Serum Creatinine) at 1 and 6 months of using Antihypertensive Drugs Valsartan, Telmisartan, and Candesartan and tested by statistical analysis. The number of samples in this study was 72 patients which are 24 patients (Candesartan), 27 patients (Telmisartan), and 21 patients (Valsartan). The results showed that the Candesartan group experienced a decrease in average BUN of 0.13±0.85 mg/dl and serum creatinine of 0.004±0.09 mg/dl with independent t-test p=0.479 (p>0.05), Serum Creatinine p= 0.809 (p>0.05). The Telmisartan group experienced a decrease in average BUN of 4.74±5.16 mg/dl and serum creatinine of 0.33±0.20 mg/dl with Wilcoxon BUN test results p=0.000 (p<0.05), Serum Creatinine p=0.000 (p<0.05). In contrast, in the valsartan group, there was no change. So, it can be said that telmisartan has the highest effectiveness in kidney function (BUN and Serum Creatinine)
Perceived Barriers and Needs of Dietary Macro Nutrient Intake in Adolescent Schoolgirls in Small Island
Full text linkAdolescence is an important period of rapid change in biological, psychosocial and cognitive growth and development marked by significant increases in nutrition and energy needs. The study aimed to explore perceived barriers and needs regarding dietary macronutrient intake in adolescent girls in Barrang Lompo Island in Makassar City, South Sulawesi Province, Indonesia. The qualitative design drew on constructs from social cognitive theory. The sample consisted of 18 adolescent girls and their mothers from grades 8 to 11 whose dietary macronutrient intake was less than the recommended dietary allowance. A semi-structured interview protocol was used to explore perceived barriers and needs regarding dietary macronutrient intake, and the data were subjected to thematic analysis and analytic generalization. To ensure adequate dietary intake, adolescent girls need support from family and friends and access to preferred foods. Barriers include laziness about eating key foods, feelings of fullness due to snacking, addiction to cellphones, and lack of raw foodstuffs for making their favorite dishes. Social cognitive theory used to identify needs and barriers showed environmental and individual factors from adolescents play important role in appropriate food consumption in teenage girls. The findings may help to improve future interventions to enhance dietary patterns in adolescent girls who live in small island
Analysis of Stunting Phenomenon in Sragen Regency During The COVID-19 Pandemic from Economic Perspective
Full text linkThe COVID-19 pandemic has hit all countries in the world including Indonesia. To prevent the spread of the virus, the PSBB and PPKM policies have been implemented and these policies have crippled economic activities which have an economy impact and food security. The purpose of this study was to analyze the effect of economic and food security during the COVID-19 pandemic on toddler stunting status including 1) knowing the relation of economy on food security, 2) knowing the effect of economic and food security. on toddler stunting. This research is an observational study with a cross-sectional design. The data in this study were data on children under five years old years old, family economic status, and family food security status. The population of this study was toddlers aged 0-5 in Sragen Regency in 2020. The sampling technique is cluster sampling. Data analysis used the Spearman correlation technique and binary logistic regression. The results of the study are 1) Economic status is related to food security (r = 0.637, p-value = 0.000), 2) Economic status affects stunting of children under five years old years old (B = 1.460; p-value = 0.006; OR = 4,307), 3) Food security affects the stunting of children under five years old years old (B = 5.028; p-value = 0.000; OR=152,660). Economic and food security affect toddler stunting in Sragen Regency during the COVID-19 pandemic. The incidence of stunting is still common in Indonesia, further research can be carried out to analyze other factors that influence stunting according to the conditions of the toddler area