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The Effect of Exposure to Carbon Monoxide (Co) Gas in Pregnant Women on The Incident of Weight Infants Born in Makassar City
No full textExposure to vehicle emissions, particularly carbon monoxide (CO), during pregnancy has been identified as a potential factor contributing to low birth weight in infants. CO\u27s impact on the body involves binding with hemoglobin (Hb) in red blood cells, leading to placental dysfunction and alterations in oxygen flow efficiency to the uteroplacental. Such disruptions can adversely affect fetal growth. This study focuses on Makassar City, a rapidly developing urban area experiencing substantial growth in infrastructure and transportation. This research aims to assess the impact of carbon monoxide exposure on birth weight in pregnant women residing in Makassar City. The method of this study is a quantitative approach employing a descriptive cross-sectional design, which was adopted for this study. The research sample consisted of 120 pregnant women categorized based on their CO exposure levels—30 with low exposure, 60 with moderate exposure, and 30 with high exposure. Simple random sampling was utilized for participant selection. CO levels were measured using the Adalog 7000 multi-gas monitor. Data analysis included One Sample ANOVA and Linear Regression. The results show that data analysis indicated that pregnant women with low CO exposure had an average birth weight of 3110.83 grams. In contrast, those with moderate and high CO exposure exhibited average birth weights of 2840.33 grams and 2667.33 grams, respectively. The regression coefficient for CO exposure was -221,750, indicating that a 1 µm increase in carbon monoxide gas correlated with a decrease in birth weight by -221,750. The conclusion is that pregnant women who are exposed to high and moderate carbon monoxide gas during pregnancy had an effect on birth weight than mothers who are exposed to low carbon monoxide gas. Future research is needed to measure CO levels in the blood of pregnant women about birth weight
Work Fatigue Due to the Use of High Heels on Promotion Girls Workers
No full textDuring working hours, Sales Promotion Girl (SPG) is standing in a shopping center, which can cause work fatigue. The objective of this study was to examine the work fatigue of SPG who wore high heels in various variations. The research design was cross-sectional, with the research subjects being 60 employees from the SPG in Pontianak Indonesia Mall. The L 77 reaction timer was employed to measure fatigue before and after work. The findings revealed that workers who wore 7 cm heels experienced higher levels of fatigue than those who wore 5 cm or 3 cm heels. The study results revealed no significant difference in fatigue before and after working various variations of high heels (p ≤ 0.001). When wearing high heels, the average level of fatigue increases. However, there was no statistically significant difference in heel height variation on fatigue level (p=0.173). When working in a standing position, wearing shoes with low heels increases comfort and reduces worker fatigue. The results of this study can be used as a starting point for future research by other researchers. Moreover, the findings of this study can also serve as a starting point for other researchers to conduct additional research.
The Impact of Visfatin Level Against Blood Pressure Among Pregnant Women
No full textVisfatin, a protein with a molecular weight of 52 kDa, has been demonstrated to increase in the bloodstream. Visfatin has been shown in several studies to be a potential marker of preeclampsia. The objective of this study was to describe visfatin levels in pregnant women in Gianyar, Bali. An observational design was employed in this study to describe visfatin levels in 41 pregnant women in Ubud, Gianyar regency, Bali. Visfatin levels were determined by examining EDTA blood samples using the Elisa method and reading them at 450 nm on a microplate reader. The average value of visfatin levels was 6.49 ng/ml, according to the results. The average visfatin level based on hypertension blood pressure respondents was 3.74 ng/ml. This result was lower than that of normal blood pressure respondents. This study\u27s decrease in visfatin levels may have a smaller effect on physiological insulin resistance. The average visfatin level in second trimester respondents was 7.9 ng/ml higher than 5.7 ng/ml in third trimester respondents. The increase in visfatin levels suggests that visfatin may play a role in the pathogenesis of preeclampsia. Visfatin has the potential to be used as a biomarker to detect preeclampsia earlier, allowing pregnant women with preeclampsia to receive appropriate treatment
The Impact of Stigma on Medication Compliance for Tuberculosis Patients at the Health Center in Bandar Lampung City
No full textTuberculosis, a lethal infectious illness, is known as the ninth leading cause of mortality worldwide. Self-stigma might emerge from the social stigma that Tuberculosis patients experience in their social environment. Stigma is triggered by five factors: self-isolation, supportive views, discrimination experiences, social withdrawal, and stigma resistance. The purpose of this study was to see how Tuberculosis stigma affected medication adherence at Bandar Lampung City Health Center. This study is a quantitative study employing a case-control technique. The simple random sampling technique was utilized with a total sampling of up to 54 respondents who fulfilled the inclusion criteria. Data collection through the completion of the questionnaire. A bivariate chi-square test and a multivariate logical regression test were utilized to analyze the data. The findings indicated age, sex, marital status, education, occupation, self-isolation, views of support, experience of discrimination, social withdrawal, and rejection Stigma: p-value of self-isolation = 0.000, views of support = 0.000, experience of discrimination = 0.007, social withdrawal = 0.001, resistance to stigma = 0.000. The value of the logistic regression equation is Y = a + b1 X + b2 X + b3 X. This study concludes that stigma resistance is the most influential factor impacting medication adherence. This study suggests that tuberculosis sufferers do not withdraw, may contribute to society, socialize more, get along conveniently, and overcome stigma by thinking positively
The Impact of Mental Health on the Job Performance of Medical and Non-Medical Workers
No full textIn terms of their impact on the workforce, mental disorders in the workplace are a major concern. Poor mental health and stress can have a negative impact on worker performance and productivity, job attachment, collegial communication, physical performance, and daily functioning. The objective of this study is to investigate the relationship between mental health and job performance in medical and non-medical workers at general region hospital X. A quantitative cross-sectional study was conducted on 222 respondents, two of whom were medical and two of whom were non-medical workers, using a DASS-21 questionnaire and a job performance questionnaire. The findings show a relationship between age and job performance among medical and non-medical employees at General Region Hospital X. There is no significant relationship between mental health and job performance among medical workers. Gender, age, employment status, and work period all had a significant relationship with non-medical workers\u27 job performance. Anxiety, gender, and age all have a significant relationship in non-medical workers. The conclusions is 44.1% reported poor job performance, 14.5% reported depression, 30.7% reported anxiety, and 11.3% reported stress. In both medical and non-medical workers, there was a significant interaction between anxiety and gender on job performance. Anxiety, gender, and age all had an impact on non-medical workers\u27 job performance. It is critical to develop new health policies to prevent and treat mental health issues while also improving job performance. intervene and assist workers suffering from mental illnesses. Training and management on mental health, a conducive workplace, and social support can enhance productivity and decrease mental problems
HBsAg Status, Molecular Detection and Therapy Evaluation of Hepatitis B Patient
No full textThe management of chronic hepatitis B involves various therapeutic approaches, including nucleotide analogs (NUCs) and pegylated-interferon alpha (peg-IFN), either in isolation or in combination. Reverse transcriptase enzyme is competitively inhibited by NUCs, which effectively suppresses HBV replication and lowers viral load. Concerning their cost-effectiveness, high response rates, low side effects, and oral administration, NUCs are recommended. Prolonged use, particularly of NUCs with a low genetic barrier or as monotherapy, can, however, lead to resistance, long-term safety issues, and the need for ongoing treatment. Physicians and other healthcare professionals are extremely concerned about the emergence of resistance and possible safety concerns related to the long-term use of NUCs. Moreover, the requirement for continuous therapy presents notable obstacles concerning patient adherence, distribution of healthcare resources, and overall economic viability. To clarify these problems and direct the creation of more potent and long-lasting treatment plans for chronic hepatitis B, urgent research is required. Hepatitis B surface antigen (HBsAg) detection is frequently accomplished via the use of the Chemiluminescent Microparticle Immunoassay (CMIA), which is a crucial early serologic marker for screening and diagnosis. Polymerase chain reaction (PCR) molecular testing is employed to confirm the presence of HBsAg. Polymerase Chain Reaction (PCR) was the technique we utilized to verify the outcomes. Twenty-eight of the HBsAg-positive patients at W.Z. Johannes Kupang Hospital had positive PCR results, highlighting the significance of molecular confirmation. The results of this study emphasize the value of precise HBsAg testing and the supplementary function of molecular confirmation in the treatment of patients with chronic hepatitis B. Furthermore, it clarifies the current therapeutic approaches applied to this patient population, highlighting the necessity of customized therapeutic approaches based on each patient\u27s unique profile and potential complications
The Effectiveness of Ladder Climbing Games on The Knowledge, Attitude, and Practice of Sorting Waste
No full textStudents\u27 environmental knowledge is strongly related to environmental attitudes and behavior changes, which impact environmental sustainability. Game media is one of the student environmental learning methods. The study aims to evaluate two types of games (Ladder climbing and Trash trees) to increase elementary school students\u27 knowledge, attitudes, and practices (KAP) in waste sorting. The study used a non-equivalent control group design involving 156 elementary school students in grades 4 and 5. All participants were grouped into ladder climbing games/LCG (n=156) and trash trees/TTG (n=156), then an assessment of knowledge, attitude, and practice (KAP) before and after the trial. All data were analyzed with statistical software (Alpha=0.05), with the Wilcoxon and Mann-Whitney tests. The N-Gain scores test is also applied to get the effectiveness value. The study found that most participants were aged 10 and 11 years (88.8%), and there were more female students (55.2%) than males. LCG intervention improves KAP (135.45%, 47.71%, and 92.59%) more than TTG (54.39%, 21.95%, and 54.51%). Significantly, there were differences in KAP values before and after the intervention and between the two types of intervention (p-value <0.05). Study has also found that the LCG method is more effective than the TTG (N-Gain score > 70%). The study has proven that the game method (LCG and TTG) can improve students\u27 KAP in waste sorting. However, the LCG method is more effective than the TTG. The game method is a wise choice to apply to elementary school education so that it is expected to shape environmental behavior
Factors Affecting the Meaning of Life in Breast Cancer Patients at Malang City, Indonesia
No full textThe meaning of life is considered to affect breast cancer patients positively. Finding meaning in life is key to improving well-being during and after experiencing a traumatic event such as cancer. Previous research was still rare to explore the factors affecting the meaning of life in breast cancer patients. The study aimed to analyze the factors influencing the meaning of life of breast cancer patients. This study was an analytical observational method with a cross-sectional design. The inclusion criteria of the respondents were breast cancer patients who had obtained at least one cycle of chemotherapy. We used purposive sampling, and the total sample in this study was 135 respondents. Questionnaires were used to collect the data. Data were analysed by multivariate test, namely a linear regression test with a significance level of p ≤ 0,05. The result showed only two variables affect the meaning of life, communication of health workers and spirituality, respectively. The strongest variable was the communication of health workers. The equation from the analysis showed that 11 % explained the phenomenon. The spirituality and communication of health workers positively affected the meaning of life. Application of therapeutic communication as well as spiritual support are needed in nurses to patients while undergoing therapy. Therefore, nurses must pay attention to spirituality and good therapeutic communication when providing patient services.
Is Infection Prevention and Control Training Can Increase Knowledge and Compliance of Nurses?
No full textOne of the indicators of service quality at the hospital is Healthcare-Associated Infections (HAIs) that can be prevented by hand hygiene, which is a procedure for cleaning hands with soap water, or alcohol-based liquids. This study aimed to identify the effect of Infection Prevention and Control (IPC) training on the level of knowledge and compliance of five moments for hand hygiene in nurses at the Dharma Yadnya Hospital in Denpasar. This study used a pre-experimental one-group pre-post test without a control group design. The number of samples was 42 nurses with purposive sampling techniques that met the inclusion and exclusion criteria. The results showed that before training 26 nurses (61.9%) had a good level of knowledge, and after training, 41 nurses (97.6%) had good knowledge. With regard to compliance with five moments for hand hygiene, before training 22 nurses (52.4%) were not compliant, and after training 29 nurses (69%) imperfectly adhered to the procedure. Mandatory training in IPC influences the level of knowledge and adherence to the five moments for hand hygiene among nurses. Suggestions for hospitals to provide continuity of education related to IPC, monitor nurses\u27 compliance behaviors of the five moments for hand hygiene, either by direct observation or electronically, and provide rewards and punishments for behavioral evaluations
What Makes Woman Afraid of Their Childbirth?: A Qualitative Study
No full textFear generally fills the minds of pregnant women as they enter the third trimester of gestation. The older the gestational age, the more attention and thoughts of pregnant women are drawn to the approaching climax of childbirth, intensifying their anxiety and fear. This study aimed to assess the knowledge of birth preparedness and fear of childbirth. A qualitative facility-based descriptive study design and client exit interview questionnaire were utilized, conducted in Primary Health Care Mondokan, Sragen, from April until June 2023 with 33 pregnant women. Study participants were selected through purposive sampling. Three categories highlighted the preparedness for childbirth, including finding primary sources of information, the importance of birth companions, and reminding about the natural process of childbirth. The fear of childbirth was associated with fear of the childbirth process, fear of the tools used during childbirth, and the condition of the unborn baby. The findings suggest that pregnant women should prepare for childbirth and increase their knowledge of delivery by participating in antenatal classes to reduce fear about the childbirth process. Therefore, family healthcare providers, health facilities, other partners, program-level managers, and policymakers must take responsibility for improving health education and increasing preparedness and complication readiness through easily accessible health education strategies