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Father\u27s Role in Exclusive Breastfeeding in Developing Countries: Scoping Review
No full textThe father is the closest person after the baby\u27s mother, who plays a role in exclusive breastfeeding. The interventions of dads attempt to improve breastfeeding knowledge, positive attitudes, and fathers\u27 engagement in providing practical, physical, and emotional support to mothers, which can improve breastfeeding behaviors. The purpose of this study is to map current information about the role of fathers in exclusive breastfeeding in developing countries by including relevant sources of evidence from each article that has been found. The research method uses a Scoping review with the Arkey and O\u27Malley approach. It consists of 5 steps, namely: (1) identifying each scoping review question, (2) identifying relevant articles, (3) selecting articles, (4) charting data (5) compiling, summarizing and reporting results. Article search uses three databases, PubMed, ScienceDirect and Wiley, published between 2018-2022. Keywords used in the search process are (Father Role* OR Partner Role*) AND (Exclusive Breastfeeding* OR Lactation* OR Breast Milk*). There are 14 articles found, including several developing countries from various continents, nine articles from Thailand, Vietnam, Iran, India, Philippines, and China from the Asian continent, and five articles from the countries Tanzania, Ethiopia, and South Africa from the African continent. The results of the study show that the father\u27s role in exclusive breastfeeding in developing countries is to provide emotional support, practical support and informational support so that mothers have a greater chance of producing breast milk more effectively. Husband’s support towards breastfeeding mothers positively affects the mother\u27s psychological condition and success, especially in exclusive breastfeeding. The next author is expected to help make the policy if health workers are required, especially the policy for husbands to be involved in giving counseling while accompanying their wives in health facilities.
The Effectiveness of Web-Based Education Women Health (E-WoHealth) on The Level of Skills of Pregnant Women About Breast Care
No full textThe report from the Bone Bolango District Health Office shows that the prevalence of exclusive breastfeeding for the last 3 years has decreased, namely in 2019 by 28.3%, in 2020 by 16%, and in 2021 it has decreased by 12.7%. Many factors cause the low rate of exclusive breastfeeding in children, one of which is caused by poor knowledge about breastfeeding. Based on these problems, media is needed to increase the skills of pregnant women regarding breast care. This research aims to create a web platform called E-WoHealth which can improve pregnant women\u27s skills regarding breast care. This research used Research and Development (R&D) methods. Then to see the difference before and after the use of Web-based E- WoHealth on the skill level of pregnant women in performing breast care using the Pre-Experimental Design (One group pretest-posttest design). This study was carried out in the working area of the Kabila Health Center, Oluhuta, Kec. Kabila, Bone Bolango Regency, Gorontalo. Population in research tian namely third-trimester pregnant women in the working area of the Kabila Health Center, Bone Bolango Regency, as many as 60. Data collection techniques, documentation, questionnaires, tests, and observations. The results showed that the results of the web-based E-WoHealth feasibility test were in the very feasible category, and the statistical test results showed that the web-based E-WoHealth was effective in increasing pregnant women\u27s skill regarding breast care with a p-value of 0.000 (p<0.05). Thus, education on breast care using web-based E-WoHealth is feasible and effective in increasing the skills of pregnant women before and after the intervention. It is hoped that the health office can socialize this platform with pregnant women to raise awareness about breast care
Application of Self-Reflection Using Reflective Journal on Oxytocin Massage Skills in Diploma Three Midwifery Students
No full textMidwifery is a profession based on women-centered and evidence-based care through the provision of mutually respectful professional relationships and partnerships. To train students\u27 skills, repeated learning is needed, learning can be sourced from experiences such as doing self-reflection by keeping a reflective journal. This research aims to analyze the effect of applying self-reflection using a reflective journal on oxytocin massage skills. This research is an experimental research using a one-group pretest-posttest group design approach, taking samples using a simple random sampling technique. The research population was all level III students in a bivariate analysis using the Friedman ANOVA test. The results showed that the pretest mean value was 59.28 increasing to 79.50 in the first posttest and 83.38 in the second posttest with a p-value <0.05, which means that there is an effect of applying reflective journals using reflective journals on oxytocin massage skills. Having students write reflective journals is a great way for them to learn new concepts. This approach is also useful for lecturers to get feedback on the concepts being studied by students. The use of reflective journals will guide students to analyze what they have and do not know about the material being studied and how to overcome the obstacles encountered so that learning goals are achieved and foster independent learning in students
The Correlation of D- Dimer and Neutrophil Lymphocyte Ratio (NLR) Levels on COVID-19 Mortality
No full textCoronavirus disease 2019 (COVID-19) is a disease caused by a novel coronavirus or a new type of corona virus, namely severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). D-dimer and Neutrophil Lymphocyte Ratio are parameters that can be used as a predictor of mortality in COVID-19, so this study aims to determine the relationship between D-dimer levels and NLR with mortality in COVID-19 patients. The study used an analytic observational method with a cross sectional approach from medical record data at UNS Hospital. The population in this study were COVID-19 patients at UNS Hospital who had their D-dimer and NLR levels checked in the period November 2020-January 2021. The sample was taken using a simple random sampling technique. Bivariate data analysis with Spearman Rank Correlation Test. Obtained 72 samples. 46 male patients and 26 female patients with the highest age range of 40-59 years as many as 34 patients. Patients who experienced mortality as many as 24 people while the rest survived. Spearman\u27s Rank test obtained p-values of D-dimer and neutrophil lymphocyte ratio (NLR) with mortality of COVID-19 patients 0.009 and <0.001, respectively. While the correlation coefficients for D-dimer and NLR on mortality were 0.308 and 0.515, respectively. There is a relationship between D-dimer and NLR levels with mortality in COVID-19 patients with a positive correlation
Comparison of Macronutrient and Micronutrient Adequacy Among Pregnant Women in Urban and Rural Areas
No full textAdequate macronutrients and micronutrients during pregnancy can support optimal fetal growth and development in addition to meeting the needs of the mother to ensure a healthy pregnancy. The region of residence is one of the factors that contribute to determining how nutrition is fulfilled in groups of pregnant women. This study aims to compare the adequacy of macronutrients and micronutrients between pregnant women in urban and rural areas. This study involved 50 pregnant women, 25 in urban areas and 25 in rural areas. Nutritional information was obtained using a food recall questionnaire that was assessed for 3 days, namely on 2 working days (not consecutive) and 1 day off and also using a food frequency questioner (FFQ). Data was analyzed using Chi Square and Results showed a difference in carbohydrate (p=0.049) and protein (p=0.045) consumption between urban and rural pregnant women, while energy (p=0.053) and fat (p=0.056) showed no difference in adequacy. For micronutrients, Vitamin A (p=0.043) and B12 (p=0.042) consumption showed differences between urban and rural pregnant women, while for vitamin C (p=0.065), vitamin B1 (p=0.078), vitamin B2 (p=0.084), B3 (p=0.056), B6 (p=0.075), E (p=0.088), Iron (p=0.052), Folic acid (p=0.067), Calcium (p=0.054), Phosphorus (p=0.055), fiber (p=0.079), showed no difference in consumption between urban and rural pregnant women. The consumption of micronutrients and macronutrients of pregnant women in rural and urban areas showed less intake than recommended. Nutrition education needs to be improved not only focusing on pregnant women but also on adolescent groups, pre-conception period so that early on good consumption patterns have been formed which will always be applied throughout life.
Revolution of Bone and Teeth Health: Study of Aloe Barbadensis Instant Powder Formulation
No full textAloe barbadensis is a plant with many applications such as anti-inflammatory, anti-fungal, anti-bacterial, and aiding in cell regeneration. Understanding aloe barbadensis\u27 phytochemical profile and pharmacological action is essential since it is believed to have an impact on the formation of teeth and bones. The stability and bioavailability of Aloe barbadensis can be improved by formulating it as an instant powder. The research\u27s objectives are to ascertain the Aloe barbadensis instant powder\u27s qualitative and quantitative phytochemical profile, dosage formulations, and activity testing on hemoglobin, cholesterol, and red blood cell parameters. Samples of aloe barbadensis were washed, and they were then dried for 72 hours at 50°C. Following a maceration process using a 70% ethanol solvent, the extract was dried. Phytochemical screening, TLC profile, and extract description were employed to test the extract qualitatively. The quantities of total flavonoids, total anthraquinones, and total phenolics were determined to quantitatively test the extract. The formulation of the instant powder was then completed and evaluated on female mice using metrics associated with red blood cells, hemoglobin, and cholesterol levels. Furthermore, observations were made on the mice\u27s liver organs. The study\u27s findings revealed a qualitative profile of Aloe barbadensis extract, which included a tasteless, unique odor, milky white hue, and liquid shape. Aloe barbadensis has been demonstrated to contain flavonoids, phenolics, tannins, saponins, and anthraquinones, according to the results of phytochemical screening. Three spots, identified as Rf 3.2 and Rf 8.5 in the Rf 2.3 area, are visible in the chromatographic pattern. Total anthraquinones were discovered to be 4.59%, total flavonoids to be 0.24%, and total phenolic content to be 1.42%. The third formula of instant Aloe barbadensis pollen has been demonstrated through preclinical examinations to have the capacity to reduce cholesterol, boost hemoglobin, and enhance red blood cell count—all of which are associated with the growth of teeth and bones. An SPSS statistical study demonstrating statistically significant differences with other groups supports this. Mice liver histopathological examinations revealed no liver damage in any of the test groups
Maternal Parity, History of Obesity and History of Maternal GDM Risk a Macrosomia Baby
No full textGestational diabetes mellitus (GDM) is a carbide tolerance disorder that occurs or is first recognized during pregnancy (usually at 24 weeks gestation). For some patients, this complication returns to normal after delivery. The incidence of macrosomic infants or infants weighing >4000 grams is approximately 5% of all births. Maternal GDM is a significant risk factor in the development of fetal macrosomia. This study aimed to determine the risk factors for macrosomia in newborns. The design of this research is cross-sectional design. The population of this study was macrosomic babies born at Dr. Kariadi Semarang from 2015 until 2021. The formula for estimating the sample size using a hypothesis on the mean of two independent populations obtained a total sample of 60 respondents. The sampling technique is convenience sampling. The type of data used is secondary data. This study was analyzed using the Chi-Square test. The results indicated a relationship between parity and a history of obesity and macrosomia incidence in infants with a p-value < 0.05. In contrast, there was no relationship between maternal age, gestational age, and a history of diabetes in the mother and the incidence of macrosomia in infants with a p-value > 0.05. Therefore, it is essential to educate the mother about the risk factors that can cause complications for both the mother and the fetus, including macrosomia
The Effect of Sombere Education on Stress Levels in Primigravida Pregnant Women
No full textMental health problems during pregnancy are major public health issues that require immediate attention. Anxiety and stress can have an impact on pregnancy and childbirth. This study examines the impact of Sombere education on the stress levels of pregnant women. A quasi-experimental design with a pre-test and post-test design and a control group was employed in this study. This study\u27s sample consisted of 80 primigravida pregnant women who met the sample criteria. Purposive sampling was utilized in this study. The chi-square test and the Wilcoxon rank test were implemented to analyze the data. The findings of this study revealed that there was a difference in stress in the intervention group after treatment (p=0.000<0.005), as well as a difference in stress in the control group during the post-test (p=0.001<0.005). Sombere education has an effect on stress levels in primigravida pregnant women (p=0.016<0.005). The requirement Midwives provide education on maternal mental health, particularly the stress of pregnancy. In addition, midwives must conduct stress assessments or collaborate with psychologists to ensure pregnant women\u27s mental health.
Compliance Level of PAUD Students in Brushing with the Interactive Calendar Guide
No full textBrushing teeth properly and correctly must be instilled in children from an early age so that they become accustomed to living a clean and healthy lifestyle. Dental health education can help people develop good brushing habits. Brushing your teeth in the morning and evening for 21 days is an interactive calendar designed to control the implementation of brushing your teeth in the morning and evening. The objective of this study was to assess PAUD (Pre-School) students\u27 compliance with morning and night toothbrushing using an interactive calendar guide to brushing their teeth in the morning and evening for 21 days. The research method used is pre-experimental. Simple random sampling method was also administered. The research intervention was conducted on 32 PAUD Bahagia Sukapura and Al Abror students. A questionnaire and an interactive calendar sheet were used as research instruments. The results showed that before the intervention, the average score of PAUD children\u27s compliance with brushing their teeth in the morning and evening was 46.9063, but after the intervention, it increased to 79.0313. Before the intervention, the level of adherence to brushing teeth in the morning and evening was in the less compliant category (40.6%), but after the intervention with an interactive calendar, it increased to (96.9%). The Wilcoxon Sign Rank Test analysis revealed a difference in pre- and post-intervention scores on children\u27s compliance data in brushing their teeth using the morning and evening brushing calendar for 21 days, with a p-value (0.000) <0.05. Brushing their teeth twice a day in the morning and evening for 21 days is effective in increasing PAUD children\u27s adherence to brushing their teeth twice a day in the morning and evening.
Bioactive Compounds of the Ethanol Extract of Butterfly Pea Petals (Clitorea ternatea L.) on Gastric Proton Pump: In-Silico Analysis
No full textThe biodiversity of medicinal plants in Indonesia reflects the potential to be used to treat non-communicable diseases such as cancer. Gastritis is a kind of symptom felt in the stomach that may trigger severe abnormalities leading to a state of cancer. This study aims to determine the potential of bioactive compounds derived from the ethanol extract of butterfly pea petals (Clitoria ternatea L.) as an in-silico anti-gastritis drug candidate. This study was a descriptive study with a qualitative approach. The molecular docking method applied specific docking using PLANTS software. The results of molecular docking indicated that there might be a similar potential as the control drug in inhibiting the gastric proton pump. Based on the analysis of the LCHRMS results, flavonoid compounds in the extract of butterfly pea petals were found to be used for docking analysis. Each flavonoid compound and the docking score from highest to lowest were Rutin (-87.05), Quercetin-3β-D-glucoside (-79.30), Quercetin (-79.28), Kaempferol (-74.80), Trifolin (-74.22), Genistein (-69.70), Kaempferol-3-glucoside-3\u27\u27rhamnoside (-67.79), Biochanin A(1−) (-67.64), and Mauritianin (-58.26). The flavonoid compound named Rutin had the highest docking score above the two control drugs of Omeprazole (-66.27) and Vonoprazan (-84.45). It can be concluded that based on the in-silico study, the flavonoid compound of Rutin in the ethanol extract of butterfly pea petals (Clitoria ternatea L.) had the potential to inhibit the gastric proton pump to prevent gastritis. The chemical structure of Rutin differs from the two control drugs because it has a more complex structure consisting of five benzene rings. Further dynamic molecular tests are recommended to find out which flavonoid compounds have the most stable affinity for the target protein. Based on the in-silico test, in vivo and in vitro studies should be performed to find out more information about the potential of the flavonoid compounds in butterfly pea extract to inhibit the action of the gastric proton pump