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Does Effleurage Massage Reduce Dysmenorrhoea Pain in Adolescents?
No full textDysmenorrhea, commonly known as menstrual pain or cramps, affects some women and hampers their ability to carry out daily activities. In Indonesia, the incidence of dysmenorrhea among women is reported to be 64.25%, with a significant proportion lacking knowledge regarding its management. Non-pharmacological methods, such as effleurage massage, have been suggested as a viable approach to alleviate dysmenorrhea pain. This study aimed to investigate the impact of effleurage massage on the pain scale associated with dysmenorrhea in adolescents. A quasi-experimental approach utilizing a pre- and post-test for a two-group design was employed. The study population consisted of young women experiencing dysmenorrhea, with a total sample size of 44 respondents divided into intervention and control groups. The research findings revealed a decrease in the mean pain score in the intervention group from 5.1±2.4 to 2.5±1.8 with a p-value of <0.001. Thus, it can be concluded that effleurage massage effectively reduces the intensity of dysmenorrhea pain in adolescents. As a recommendation, adolescents are advised to consider non-pharmacological therapies like effleurage massage as an alternative to pharmacological drugs, and to learn the technique to perform effleurage massage independently at home
MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence
No full textMRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. MRI imaging offers some advantages, especially in showing the area of spesi and secondary dilatation. Both have a high recurrence rate after surgery and an important role in determining surgical outcomes and minimizing complications. This study aims to evaluate pelvic MRI examination of perianal fistulas using the T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with Inversion Recovery) sequence. Research design used a qualitative descriptive method with participatory observation through a case study approach to Perianal Fistula using T2 TSE_SPIR. It was carried out at the Radiology Department of Mayapada Hospital in South Jakarta from August to December 2022. The MRI equipment Philips Achieva 1.5 Tesla with Sense Body Coil. MRI contrast agent of gadoteric acid, Vitamin E capsule, was attached to the perianal fistula location to make it easier for the radiologist to see the path of the perianal fistula. The results of Pelvis MRI images in perianal fistulas using the T2 TSE SPIR sequence shown with clear boundaries of perianal fistulas with anal organs, sigmoid colon, bladder, and prostate between one organ and another. Implementing the selection of the T2 TSE SPIR sequence to visualize fluid images becomes hyper-intensive by suppressing fat signals so that only fluid is visible in the perianal abscess and fistula images
The Implementation of Telepharmacy in Bangka Belitung Islands Province
No full textTelepharmacy is a telemedicine health service in the pharmaceutical sector that uses telecommunications to assist patients located far away during the Covid-19 pandemic. Furthermore, professional organizations are responsible for continuously providing information to pharmacists, ensuring they stay updated with the latest developments in the field. Mobile applications have emerged as the primary medium through which information can be accessed. Therefore, this research aimed to determine the implementation of telepharmacy in the Bangka Belitung Islands Province using observational research with a qualitative approach. The participants comprised a total of 11 individuals and the technique employed was purposive sampling. Subsequently, the collected data were subjected to analysis using the Miles and Huberman model. The results showed that the utilization of telepharmacy commenced within Bangka Belitung Islands Province and the community pharmacy service implemented the concept in the form of Drug Information Services, drug consultation or patient counseling, and prescription services through e-prescribing. Additionally, field observations highlighted the presence of services such as home delivery of medicines, patient education, and online non-cash payments. The implementation of telepharmacy within hospitals remains absent, despite the widespread adoption of digital services facilitated by the SIMRAS application. Pharmacists also ensured the administrative compliance of their colleagues through the utilization of the SIAP application. The preliminary stages of the implementation commenced in the Bangka Belitung Islands Province.
Development of Local Foodstuff-Based Complementary Food Porridge MP-ASI "SITOLE" Products as an Effort to Manage Stunting
No full textOne of the causes of stunting is poor nutritional intake in infancy and recurrent illnesses due to an unhealthy environment. Mothers of under-five children are the potential strategic target to be empowered to manage stunting. They have to be empowered to meet nutritional needs during infancy. Complementary breast milk food containing calcium, zinc, selenium, iodine, Fe, protein, and phosphorus can be developed using local foodstuffs. This study aimed to investigate the impact of community empowerment training on the knowledge improvement of mothers regarding the development of locally sourced complementary feeding products (MP-ASI) as an intervention to address stunting issues and to formulate a nutrient-rich complementary food product for infants aged 6-12 months. The research design employed was a quasi-experimental study with a pre-and post-test with a control group design. The study subjects were mothers with infants aged 6-12 months residing in Triharjo Village, Kapanewon Pandak, who met the inclusion criteria and were willing to participate. Mothers who were unable to read and write were excluded from the study. The study was conducted in Triharjo Village, Kapanewon Pandak, Bantul, from April to July 2022. A total of 54 respondents, selected through simple random sampling, were included as the study sample out of 100 families population. Knowledge data were collected using a questionnaire as the data collection instrument and analyzed using the Dependent T-Test and Independent T-Test at a 95% confidence level. The results indicated a significant difference in knowledge improvement (delta) between the treatment and control groups. A locally sourced complementary food product for infants aged 6-12 months, named "SITOLE" porridge, was developed as an outcome. The development data of the MP-ASI product (Sitole porridge) were compiled using a group discussion method
Prenatal Covid-19 on Toddler Development
No full textAlong with the spread of the COVID-19 pandemic, there has been an increase in reports of confirmed cases of pregnant women with COVID-19. Exposure to the virus in pregnancy can affect the fetus and result in long-term vulnerability to abnormalities in the child\u27s brain development. This study aimed to determine the impact of prenatal Covid-19 on the development of toddlers. The research method uses observational cross-sectional analysis. Secondary data on confirmed Covid-19 mothers were obtained from Prof. RD Kandou General Hospital, Wolter Monginsidi Hospital, and Manado Adventist Hospital. Primary data on toddler development using the KPSP Development Questionnaire instrument were obtained from 10 Community Health Centers in Manado City with a total of 92 respondents for two, 46 respondents were born to mothers with Covid-19 during the prenatal period and 46 toddlers were born to mothers who were not confirmed to have Covid-19 during the prenatal period. The results showed that there was no significant effect with a p-value of 0.562 for toddlers born to Covid-19 mothers on impaired gross motor, fine motor, socialization, and independence, speech, and language development. Based on the results of the study it can be concluded that both toddlers born to Covid-19 mothers and toddlers who were not born to Covid-19 mothers are at risk of experiencing growth disturbances, especially toddlers born during the Covid-19 pandemic because there could be long-term effects that could occur in infants who are exposed to the virus during the prenatal/intrauterine period
Prediction Model of Prolonged and Obstructed Labor in East Nusa Tenggara: A Multivariate Adaptive Regression Splines Analysis
No full textProlonged and obstructed labor are the type of abnormal labor that may lead to maternal and fetal mortality. This study established the model for predicting prolonged and obstructed labor in East Nusa Tenggara. A health facilities-based case-control study was conducted in November 2017 among 570 women who gave birth at public health facilities in East Nusa Tenggara. Data were obtained by reviewing antenatal records, the mother\u27s card, and partographs. In bivariate analysis, all variables with a p-value less than 0.25 determined by chi-square for categorical and independent t-test for numerical variables were included in multivariate analysis. Multivariate Adaptive Regression Splines (MARS) analysis was used to establish the final prediction model. The present study found that women <22, >26, and >34, with Hb levels of <12.5 gr%, and had nulliparity or multiparity (4 times) were reported as a higher risk of prolonged and obstructed labor. Meanwhile women with a fundal height of <34 cm, a height of >156 cm and >149 cm, a history of normal labor, presentation of the fetus behind the head, gestational weight gain of <12.3 kg, and pre-pregnancy BMI of <28.9 kg/m2 were identified as factors decreasing the risk of prolonged and obstructed labor. In conclusion, significant predictors of the outcome were maternal characteristics (age, parity, height, and history of labor method), maternal nutrition status (BMI pre-pregnancy, gestational weight gain, and hemoglobin levels), and fetal status (fundal height and fetal presentation)
Immunological Profile of Patients with Controlled and Uncontrolled Type 2 Diabetes Melitus in Mataram City, West Nusa Tenggara
No full textThe prevalence of DM disease in West Nusa Tenggara Province is not much different from that in Indonesia. DM cases in NTB are included in the ten most non-communicable illnesses suffered by the community and the incidence continues to increase from year to year. An increase in the levels of pro-inflammatory cytokines in the body is one of the causes of insulin resistance in cells which can further develop into type 2 diabetes. This study involved diabetic patients at the Mataram Community Health Center, who were assigned into 2 groups, namely the controlled diabetes group and the uncontrolled diabetes group and involved a standard group which was a group consisted of healthy people. Each group was examined for Fasting Blood Glucose (FBG) and HbA1c levels. The results of the examination in the standard group, controlled diabetes group and uncontrolled diabetes group obtained the FBG levels of 89.22 mg/dl, 110.0 mg/dl, and 245.80 mg/dl, respectively. Furthermore, the results of the HbA1c test in the standard group, controlled diabetes group and uncontrolled diabetes group were 5.44%, 6.03%, and 10.49%, respectively. The results of the examination of IL-6 levels in the standard group, controlled diabetes group and uncontrolled diabetes were 329.36 pg/ml, 331.52 pg/ml, and 320.33 pg/ml, respectively. The results of the IL-10 test in the standard group, controlled diabetes group and uncontrolled diabetes were 71.80 pg/ml, 116.60 pg/ml, and 128.10 pg/ml, respectively. Based on the results of the study, there was no significant difference in the levels of interleukin 6 and interleukin 10 between respondents with diabetes mellitus and healthy respondents (p>0.05). It can be concluded that there were no differences in interleukin 6 and 10 levels between healthy people with patients with controlled and uncontrolled diabetes
Attitude Factor in Increasing Intention to Come to The Integrated Service Post
No full textIntegrated Healthcare Center (integrated service post) is the government\u27s effort to make it easier for the Indonesian people to obtain maternal and child health services. The main problem of this research is the low number of visits by toddlers to Integrated Healthcare Center service posts. This study analyses the relationship between attitudes about the Integrated Healthcare Center and intention to come to the Integrated Healthcare Center. The researcher wants to apply the theory of planned behaviour that intentions influence behaviour while attitudes towards an object, subjective norms and behavioural control influence intentions. Rangacanga correlation research, with a cross-sectional approach. The population of mothers under five is 135 people, and the sample size is 101 people. The sampling technique used is simple random sampling. The data collection instrument was in the form of attitude and intention questionnaires. The independent variable is attitude, and the dependent variable is the intention to visit the Integrated Healthcare Center. In statistical analysis with the Pearson product-moment statistical test, the error rate is set at 0.05. The results showed that 51.28% of mothers under five had a positive attitude, and 51.28% had positive intentions. Statistical test results obtained p: 0.00 <α 0.05 concluded that there is a relationship with the correlation coefficient value of 0.670. This study concludes that the mother\u27s positive attitude positively impacts Integrated Healthcare Center visits by mothers of toddlers. So, it is suggested that community leaders or health workers motivate and empower the community to participate in Integrated Healthcare Center activities
Comparison of Indicators of Families at Risk of Stunting in High-Income Regencies and Low-Income Regencies in East Nusa Tenggara Province
No full textStunting is a condition of failure to thrive in children due to chronic malnutrition. Early detection of various indicators of families at risk of stunting is an important effort in preventing stunting in the community. This research aims to analyze the comparison of indicators of families at risk of stunting in districts with high per capita income and districts with low per capita income. The Method is secondary data research. The data source is the results of the 2021 National Population and Family Planning Agency (BKKBN) Survey of East Nusa Tenggara Province. The sample size is 878 families divided into 439 families at risk of stunting from high-income districts per capita, and 439 families at risk of stunting from low-income districts. Sampling was carried out by stratification sampling technique or layered sampling. The independent variable is an indicator of a family at risk of stunting, namely the age of the mother, education, fixed income, number of children, sources of drinking water, proper latrines, and habitable houses, and the dependent variable is income per capita in the district where the family lives. The data were identified and statistically analyzed using bivariate Chi-Square test and multivariate logistic regression with a significant p-value <0.05. The result show that the chi-square test mother\u27s age (p = 0.31), mother\u27s education (p=0.77), fixed family income (p=0.00), number of children (p=0.17), availability of water sources clean (p=0.67), healthy latrine ownership (p=0.82), and healthy home ownership (p=0.03). Logistic regression test results for family fixed income (p=0.00), healthy home (p=0.07). The Conclusion is mother\u27s age, mother\u27s education, number of children, availability of clean water sources, ownership of latrines, and healthy homes are the main indicators of the risk of stunting in families. This indicator has no difference between families living in areas with low per capita income, and families living in areas with high incomes
Perception and Educational Needs in the Self-Management Type 2 Diabetes Mellitus Patients: A Phenomenological Study Based on Local Wisdom
No full textLack of knowledge, misperceptions, and the absence of a diabetes management culture pose challenges to providing social support, particularly within families. This is a qualitative phenomenological study aimed at identifying factors contributing to self-management, unearthing the influence of a patrilineal culture, and uncovering the educational needs for local wisdom-based diabetes mellitus self-management in type 2 patients. Data were collected through in-depth interviews and analyzed thematically. The study population consisted of type 2 diabetes mellitus patients living within patrilineal families. The sample size was 10 female individuals aged between 40 and 60 years. The duration of type 2 DM ranged from 6 to 15 years. Four themes emerged from the research: (1) Insufficiency in self-management, (2) Beliefs and perceptions about type 2 diabetes mellitus, (3) The influence of patrilineal families on self-management, and (4) The need for the development of educational programs for self-management type 2 DM management rooted in local culture. According to the results, people with Type 2 Diabetes Mellitus may not be capable of managing their health. Though there are many different opinions and views regarding Type 2 DM, there are frequently gaps in our knowledge. The management of diabetes is greatly impacted by patrilineal family systems. Participants express a significant need for educational programs that are culturally sensitive and improve their ability to control their diabetes