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Dengue Control Model, Abate Sowing and Larvitrap Installation in Dengue Endemic Areas of Kupang City
No full textThe bite of the Aedes sp mosquito causes nearly 0 million people to be infected with the dengue virus annually, one of areas declared as an endemic area is East Nusa Tenggara Province. 5669 cases and 58 deaths due to dengue hemorrhagic fever (DHF) were found in East Nusa Tenggara Province in 2020 (CFR 1.02%). Highly influential external factors include the availability of clean water, the crisis of drinking water and clean water, and poor condition of water container that do not meet the requirements. This study aims to manage Larvitrap installation movement and abatezation of the water containers in the community/households in Kupang City. This was a observational study with survey design regarding the installation of Larvitrap tool. The density of mosquito larvae was measured based on the House Index (HI), Container Index (CI), and Breteau index (BI). 383 families were involved as the study samples who were selected using the accidental sampling technique. The results showed that there were 866 units of water resevoir (47.8%). Fatululi Village had the highest percentage of indoor water container by 15.7% (140 units), and Oesapa Village had the highest percentage of outdoor water container by 15.5% (143 units). The highest percentage of positive indoor water container was found in TDM and Kelapa Lima by 30.4%, while the highest percentage of positive outdoor water container was found in TDM village by 48.4%. Aedes aegypti larvae and Aedes albopictus larvae were identified in the indoor and outdoor water containers in TDM Village, while that were only aedes aegypti larvae found in six other villages. The positive larvitrap larvae found in Oebufu Village was 15%, 10% was found in Oesapa Village, while there were no larvae found in 5 other villages. The flick density index obtained the highest House Index (HI) in Kelapa Lima village by 58.33%, the highest Container Index (CI) was found in TDM village by 44.03% and the highest Breteau Index (BI) was found in TDM village by 218.75%. It can be concluded that it is necessary to conduct education on mosquito larvae control that involves active community participation and supervision towards weekly draining of community water containers. In addition, abate sprinkling and dengue vector control activities should be carried out simultaneously throughout Kupang City at the beginning of the rainy season, at the peak of case incidence and at the end of the rainy season.
Comorbid Description and Neutrophil Lymphocyte Ratio in COVID-19 Patients (Suspect and Confirmed Patients)
No full textNeutrophil Lymphocyte Ratio (NLR) is a laboratory available as a marker used for the evaluation of systemic inflammation, NLR is a significant predictor and is a critical prognosis for COVID-19 infection and can serve as a useful factor to reflect the intensity of the imbalance of inflammation and immune response in COVID-19 patients. This study aims to determine the difference in NLR values in negative and confirmed COVID-19 patients and description for comorbid for both. This study is an analytic observational study with a cross-sectional design. The study sample was 423 suspected COVID-19 patients at hospitals in Cilacap district for the period in March – October 2020. The data obtained were analyzed descriptively and using the fisher-exact test. In these results from suspected patients with negative COVID-19, lung illness were present 31.8%, viral infections 22.9%, other respiratory disorders 6.1%, diabetes mellitus 4.7%, and anemia 4.7%. Whereas suspected patients with confirmed COVID-19 were, without comorbid diseases (40.2%), lung disease (12.4%), diabetes mellitus (7.7%), hypertension (6.2%), and other respiratory illnesses (5.2%). The mean of NLR in confirmed patients is 3.57 but not any difference between negative and confirmed patients COVID-19, but there’s any a relationship between NLR and ARDS conditions
Analysis of the Readiness of Primary Health Center Nurses in Encountering Community Stigma during the COVID-19 Pandemic
No full textThe COVID-19 outbreak has resulted in public fear of transmitting infection. Nurses in dealing with the COVID-19 outbreak also obtained stigmatized due to discrimination received by COVID-19 sufferers. The objective of the study is to identify the dominant factor to determine the occurrence of stigma experienced by nurses when caring for COVID-19 patients. The research design was qualitative and quantitative, with a sample of 121 Primary Health Center nurses who were performed by convenience sampling. Data analysis with Multiple Linear Regression presented that overall, there was a significant correlation between knowledge in preventing COVID-19, Personal Ability and Organizational Ability to stigma from society experienced by nurses with ANOVA or F test results (229.427) with p = 0.000. Morever, there is a strong and significant relationship between knowledge, self-efficacy and organizational ability to community stigma (R Square = 0.964). The dominant factor that affects stigma as seen from the t-test is self-ability = 14,828 (p=0.001) followed by organizational ability= -8,790 (0.001) and knowledge = 5.050 (p=0.001). It was concluded that the limitations of human resources and special infrastructure for people with COVID-19 were the trigger for the occurrence of stigma. It is hoped that the maintenance of well-being among health workers is at the forefront by beginning at the policy-making level to offer enhanced support for health workers who play a critical role during large-scale disease outbreaks. The psychological implications are mostly negative and urgently need greater attention to be mitigated, potentially through the involvement of psychologists, given better awareness and education. It is expected that further researchers can explore the phenomenon of the experience of nurses who suffer from COVID-19 in dealing with the stigma that occurs to them.The COVID-19 outbreak has resulted in public fear of transmitting infection. Nurses in dealing with the COVID-19 outbreak also obtained stigmatized due to discrimination received by COVID-19 sufferers. The objective of the study is to identify the dominant factor to determine the occurrence of stigma experienced by nurses when caring for COVID-19 patients. The research design was qualitative and quantitative, with a sample of 121 Primary Health Center nurses who were performed by convenience sampling. Data analysis with Multiple Linear Regression presented that overall, there was a significant correlation between knowledge in preventing COVID-19, Personal Ability and Organizational Ability to stigma from society experienced by nurses with ANOVA or F test results (229.427) with p = 0.000. Morever, there is a strong and significant relationship between knowledge, self-efficacy and organizational ability to community stigma (R Square = 0.964). The dominant factor that affects stigma as seen from the t-test is self-ability = 14,828 (p=0.001) followed by organizational ability= -8,790 (0.001) and knowledge = 5.050 (p=0.001). It was concluded that the limitations of human resources and special infrastructure for people with COVID-19 were the trigger for the occurrence of stigma. It is hoped that the maintenance of well-being among health workers is at the forefront by beginning at the policy-making level to offer enhanced support for health workers who play a critical role during large-scale disease outbreaks. The psychological implications are mostly negative and urgently need greater attention to be mitigated, potentially through the involvement of psychologists, given better awareness and education. It is expected that further researchers can explore the phenomenon of the experience of nurses who suffer from COVID-19 in dealing with the stigma that occurs to them
Prediction Model of Related Factors with Youth Fertility in Kalimantan
No full textAdolescent fertility is an essential issue because it is associated with the level of morbidity and mortality of mothers and children. Kalimantan provinces own fertility problems. Teenagers are still complex, including Age Specific Fertility Rate 15-19 years is still significant. It is recorded that 4.6% of children aged 10-17 years in Kalimantan have got married. The objective of this study is to identify the predictive model of factors correlated with provincial youth fertility in Kalimantan. The analysis was conducted by employing descriptive and inferential methods and binary logistic regression. The results of the study were among 433 adolescents in Kalimantan, 11% were married, 9.9% had given birth or were pregnant with their first child, 14.1% experienced sexual relations and 3.1% encountered sex at <15 years of age. The data employed was the 2017 Indonesian Health Demographic Survey with a unit of analysis for adolescents aged 15-19 years in 5 provinces in Kalimantan totaling 433 respondents. The sampling technique employed total sampling. Statistically, it is discovered a significant relationship between age, marital status, adolescent sexual behavior, contraceptive use status, education level, economic status, and access to the internet with youth fertility in Kalimantan. The results of logistic regression analysis displayed that the variable of family planning use possess the most effect on adolescent fertility simultaneously with the strength of the relationship OR (Expβ) = 0.2. Suggestions for further research to further scrutinize relevant programs such as maturing age at marriage and parenting skill to suppress adolescent fertility.Adolescent fertility is an essential issue because it is associated with the level of morbidity and mortality of mothers and children. Kalimantan provinces own fertility problems. Teenagers are still complex, including Age Specific Fertility Rate 15-19 years is still significant. It is recorded that 4.6% of children aged 10-17 years in Kalimantan have got married. The objective of this study is to identify the predictive model of factors correlated with provincial youth fertility in Kalimantan. The analysis was conducted by employing descriptive and inferential methods and binary logistic regression. The results of the study were among 433 adolescents in Kalimantan, 11% were married, 9.9% had given birth or were pregnant with their first child, 14.1% experienced sexual relations and 3.1% encountered sex at <15 years of age. The data employed was the 2017 Indonesian Health Demographic Survey with a unit of analysis for adolescents aged 15-19 years in 5 provinces in Kalimantan totaling 433 respondents. The sampling technique employed total sampling. Statistically, it is discovered a significant relationship between age, marital status, adolescent sexual behavior, contraceptive use status, education level, economic status, and access to the internet with youth fertility in Kalimantan. The results of logistic regression analysis displayed that the variable of family planning use possess the most effect on adolescent fertility simultaneously with the strength of the relationship OR (Expβ) = 0.2. Suggestions for further research to further scrutinize relevant programs such as maturing age at marriage and parenting skill to suppress adolescent fertility
The Administration of Dutch Teak Leaf Tea Extract (Guazama Ulmifolia lamk) in Reducing Cholesterol Levels in Depo Acceptors
No full textDepo hormonal contraceptives are significantly effective contraceptives with a low failure rate. Women who apply this contraceptive may experience several side effects on fat metabolism, which is an increase and decrease in total cholesterol (TC), triglycerides (TG), and low-density lipoprotein cholesterol (LDL-C). The objective of this study was to identify the influence of Dutch teak leaves (Guazuma Ulmifolia Lamk) on the cholesterol levels in the Depo acceptors. Quasi-experiment research design with one group pretest posttest design model. The pretest was completed first by the total number of samples which is 60 respondents. Furthermore, 250 ml of Dutch teak tea is consumed every morning and evening after eating. The intervention lasted two weeks, followed by a retest (posttest). Dutch tea pre and post results were analyzed employing t-test statistics on variable body weight (p = 0.706), systolic blood pressure (p = 0.322), and cholesterol (p = 0.001), and the Wilcoxon test on diastolic pressure variables (p = 0.043) and triglycerides (p = 0.417). With a p-value of 0.001, it demonstrates that there is a significant difference in cholesterol levels after being treated with Dutch teak tea. With a p-value greater than 0.05, there was no difference in triglycerides, weight, or blood pressure after receiving Dutch teak tea treatment. An increase in cholesterol levels is one of the side effects of DMPA acceptors. Therefore, consuming Dutch teak leaves is an alternative treatment option
The Effect of Promotion with Flipchart Media on Toothbrush Knowledge Levels of Maintaining Dental and Oral Health in Children
No full textElementary school children possess a high risk of dental caries. Based on the Basic Health Research 2018 data, the percentage of dental and oral health problems in the 10–14 year age group is 41.4%. Efforts to reduce dental and oral health problems in children are conducted by health promotion which can be implemented with flipchart media. Flipchart media can be an alternative; hence, elementary school children are able to better understand the importance of knowledge on maintaining oral health. The objective of this study is to determine the effect of promotion with flipcharts on the level of toothbrush knowledge of maintaining oral and dental health in children. This type of research was a quasi-experimental with a pretest-posttest design with control group. The research location is at SD Muhammadiyah Banyuraden, Gamping, Sleman, Yogyakarta. The research sample is 80 children aged 8 to 12 years. The sampling technique employed purposive sampling. The influence variable is promotion with flipchart, and the affected variable is the level of knowledge in maintaining oral health. The treatment and control groups performed pretest and posttest to determine the level of knowledge of dental and oral care in elementary school children. The results of the Wilcoxon Signed Rank Test analysis demonstrated that before and after promotion, the two groups owned a significant difference in toothbrush knowledge level (p=0.00). The results of the Mann Whitney test analysis display that the mean rank of children\u27s toothbrush knowledge level using flipchart media is greater than PowerPoint media, which is 58.03> 20.98 so that it can be stated that the use of flipchart media is more effective than PowerPoint media. The conclusion of the study is that promotion by employing flipchart media can increase the level of toothbrush knowledge on maintaining oral and dental health in children.
The Relationship of Mother\u27s Role in Stimulation with Motor Development in Toddler
No full textToddler period is an important phase in the growth and development of children. The role of parents, especially mothers, is needed to help children develop motor skills so that children\u27s development can be maximized. The objective of this study is to analyze the mother\u27s role in stimulating the child\u27s motor development. The research method is cross sectional. The population in this study were mothers who had children aged 1-3 years in the work area of the Mangasa Primary Health Center, Makassar, amounting to 45 people. The sample in this study was 45 people, taken with a saturated sampling technique or the total population. The statistical test used the chi square test. The results presented that 95.7% of mothers who played a role in stimulating children\u27s motor development had children whose development was appropriate. The results of the chi square test obtained p value <0.001. The conclusion is that there is a relationship between mother\u27s role in stimulation and the motor development of toddler. It is expected that the Primary Health Center or midwives will provide training to mothers about providing developmental stimulation so that mothers can independently assess their child\u27s development and pay attention to their child\u27s development according to age.Toddler period is an important phase in the growth and development of children. The role of parents, especially mothers, is needed to help children develop motor skills so that children\u27s development can be maximized. The objective of this study is to analyze the mother\u27s role in stimulating the child\u27s motor development. The research method is cross sectional. The population in this study were mothers who had children aged 1-3 years in the work area of the Mangasa Primary Health Center, Makassar, amounting to 45 people. The sample in this study was 45 people, taken with a saturated sampling technique or the total population. The statistical test used the chi square test. The results presented that 95.7% of mothers who played a role in stimulating children\u27s motor development had children whose development was appropriate. The results of the chi square test obtained p value <0.001. The conclusion is that there is a relationship between mother\u27s role in stimulation and the motor development of toddler. It is expected that the Primary Health Center or midwives will provide training to mothers about providing developmental stimulation so that mothers can independently assess their child\u27s development and pay attention to their child\u27s development according to age
Personal Hygiene and Soil Transmitted Helminth Incidence in Elementary School Students Amanuban Barat District, South Central Timor
No full textSoil-transmitted helminth infection remained a significant public health problem in many developing countries. Elementary school-age children dominated the cases in Indonesia due to poor personal hygiene. South Central Timor had the top three poverty and the highest stunting rates in East Nusa Tenggara. Research to examine the relationship between personal hygiene and the incidence of Soil-Transmitted Helminth infection had never been conducted in South Central Timor. The study population consisted of 279 elementary school students selected from Inpres Nulle Elementary School, Inpres Neonmat Elementary School, and GMIT Nulle Elementary School through the Multistage Random Sampling technique. It was obtained 160 children as the study samples. The study found that 46 children (29.0%) were positive for STH, and 114 (71.0%) were negative for STH. Furthermore, 30 (65.2%) were positive for hookworm, 14 (30.4%) were positive for Ascaris lumbricoides, and 2 (4.4%) children had mixed infections. Multiple Logistic Regression Tests showed a significant effect of washing hands with soap after defecating with p = 0.031 and OR = 7.158. Thus, if a child did not wash his hands with soap after defecating, he had a risk of STH infection by 7.158 times. Furthermore, the effect of eating habits obtained a p = 0.038 and an OR value = 0.133 with the possibility of eating habits that did not protect against STH infection. In addition, the effect of dirty nails obtained a p=0.064 and an OR=5.264, which indicated the risk of contracting STH by 5.264 times. The effect of snacking habit obtained a p = 0.005 and an OR=0.121. It can be concluded that the incidence of STH was simultaneously influenced by the habit of defecating on the ground, washing hands without soap after defecation, eating raw food, having dirty nails, and having poor snacking habits
Plugging the Gap and Niching the NICHE: Nursing Informatics Competencies for Higher Education
No full textDespite the rapid advancement and evolution of nursing informatics applications in healthcare, the incorporation and refurbishing of undergraduate informatics competencies in the curriculum has been organized. the integration of informatics in the Philippine curriculum began decade ago. However, it is still not identified whether these initiatives are successful in enhancing NI skills among graduates considering the low rate of technology utilization by most hospitals in the country. As a result, it requires a global need for nursing informatics competencies to be updated and revisited into the nursing curriculum. The objective of this study is to gather accord from the literature and to determine the definition of fundamental nursing informatics competencies for baccalaureate nursing programs in the Philippines. A review of related studies and corroboration of related literature such as different nursing curricula, perspectives of nursing informatics competencies in every country and to the resource organizations standards providing trainings, conducts research and guide HEIs was performed. International and local organizations were preparing the advancement of informatics through research, trainings, continuous quality improvement, and innovations in HIT. The identified common ground plugging the gap in nursing informatics competencies were nursing care and management proficiencies, information literacy and management, computer skills, health facilities’ technology resources, and ethics and legal understanding in HIT (NICHE). The prior competencies (basic computer skills, information literacy, and information) should be adaptable to local differences and consulted to industry partners and stakeholders. These attempts at competency standardization have to be balanced with suppleness to account for local variations and conditions.Despite the rapid advancement and evolution of nursing informatics applications in healthcare, the incorporation and refurbishing of undergraduate informatics competencies in the curriculum has been organized. the integration of informatics in the Philippine curriculum began decade ago. However, it is still not identified whether these initiatives are successful in enhancing NI skills among graduates considering the low rate of technology utilization by most hospitals in the country. As a result, it requires a global need for nursing informatics competencies to be updated and revisited into the nursing curriculum. The objective of this study is to gather accord from the literature and to determine the definition of fundamental nursing informatics competencies for baccalaureate nursing programs in the Philippines. A review of related studies and corroboration of related literature such as different nursing curricula, perspectives of nursing informatics competencies in every country and to the resource organizations standards providing trainings, conducts research and guide HEIs was performed. International and local organizations were preparing the advancement of informatics through research, trainings, continuous quality improvement, and innovations in HIT. The identified common ground plugging the gap in nursing informatics competencies were nursing care and management proficiencies, information literacy and management, computer skills, health facilities’ technology resources, and ethics and legal understanding in HIT (NICHE). The prior competencies (basic computer skills, information literacy, and information) should be adaptable to local differences and consulted to industry partners and stakeholders. These attempts at competency standardization have to be balanced with suppleness to account for local variations and conditions
The Effect of Service and Satisfaction of Pregnant Women on Antenatal Visits to Midwives
No full textThe utilization of antenatal services for pregnant women can be determined based on the achievements of K1 (first contact) and K4 (4 times contact) during pregnancy with competent and authorized health workers. The World Health Organization asserts that the attitude and performance of health workers are an essential elements of service quality as it affects the understanding and satisfaction of women, partners, and families in seeking ANC, delivery, and postnatal services. The objective of this research is to examine the effect of antenatal care by midwives and the satisfaction of pregnant women on antenatal visits. The type of this research is analytic observational with a cross-sectional design, performed from March - June in Kupang City. The research subjects were 120 pregnant women with a gestational age of 36 weeks. Data collection employed questionnaires and MCH Handbook. The analysis conducted was univariate and bivariate by employing the Chi-square test with Alpha = 0.05. The results of the study on 120 pregnant women demonstrated that most of the pregnant women received good service (98.3%) and most of whom (60%) were satisfied with the services they experienced. Seventy-one people (59.2%) possessed complete visits. The Chi-square test results revealed relationship between service and satisfaction of pregnant women with antenatal visits (p = 0.652, p = 0.324). The majority of pregnant women had thorough consultations, received adequate antenatal care, and were pleased with the services they received. In addition to satisfaction, health services and programs must be performed in accordance with local culture and language in order to be accepted by the community, encompassing a decision-making culture that can influence pregnant women\u27s visits to health facilities. Distance, education, profession, parity, and the husband\u27s support can all have an impact on the mother\u27s adherence to antenatal visits