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Kreasiki Gymnastics in Reducing the Stress Level of Diabetes Mellitus Patients
No full textDiabetes mellitus is a chronic disease characterized by an increase in blood glucose levels due to a disruption of the pancreas in the production of the hormone insulin. One problem for people with diabetes is unstable glucose levels, which can trigger stress. One of the diseases\u27 management can be done with exercise that can be packaged in the form of gymnastics by combining exercise and relaxation movements. This study\u27s objective is to determine the effect of Kreasiki gymnastics (a combination of deep breathing relaxation and dhikr or pray) on stress levels in patients with type 2 diabetes mellitus. This study used a Pre-Experiment design with a one-group method of Pre-Post Test Design. The sample size in this study amounted to 27 respondents obtained by purposive sampling. Measurement of stress levels used the modified Depression Anxiety Stress Scale (DASS-42) questionnaire. The results of the analysis with the Wilcoxon Sign Rank Test showed a p-value of 0.008, which means that the Kreasiki gymnastics affected reducing the stress level of people with diabetes mellitus. Before the intervention, most respondents had moderate stress levels, and after the response, it showed all respondents with mild stress levels. Kreasiki gymnastics can reduce stress levels in patients with type 2 diabetes mellitus. It occurs through a mechanism with two pathways, which are psychologically and physically. Psychologically, stimulation of endorphin hormone secretion will result in a relaxed condition to activate insulin. Physically, the effect of contractile muscles will absorb glucose because the insulin works more actively so that it can reduce sugar levels.Diabetes mellitus is a chronic disease characterized by an increase in blood glucose levels due to a disruption of the pancreas in the production of the hormone insulin. One problem for people with diabetes is unstable glucose levels, which can trigger stress. One of the diseases\u27 management can be done with exercise that can be packaged in the form of gymnastics by combining exercise and relaxation movements. This study\u27s objective is to determine the effect of Kreasiki gymnastics (a combination of deep breathing relaxation and dhikr or pray) on stress levels in patients with type 2 diabetes mellitus. This study used a Pre-Experiment design with a one-group method of Pre-Post Test Design. The sample size in this study amounted to 27 respondents obtained by purposive sampling. Measurement of stress levels used the modified Depression Anxiety Stress Scale (DASS-42) questionnaire. The results of the analysis with the Wilcoxon Sign Rank Test showed a p-value of 0.008, which means that the Kreasiki gymnastics affected reducing the stress level of people with diabetes mellitus. Before the intervention, most respondents had moderate stress levels, and after the response, it showed all respondents with mild stress levels. Kreasiki gymnastics can reduce stress levels in patients with type 2 diabetes mellitus. It occurs through a mechanism with two pathways, which are psychologically and physically. Psychologically, stimulation of endorphin hormone secretion will result in a relaxed condition to activate insulin. Physically, the effect of contractile muscles will absorb glucose because the insulin works more actively so that it can reduce sugar levels
Quality of Visit and Fulfillment Needs after Childbirth: Study on Postpartum Maternal Mortality
No full textMost maternal deaths occur during the postpartum period so that childbirth health services play an important role in reducing maternal mortality rates from 6 hours to 42 days after giving birth. It is estimated that 69% of maternal deaths due to pregnancy occur after childbirth, and 50% of postpartum deaths occurred in the first 24 hours. The highest number of maternal deaths was found in East Sumba Regency which was 19 maternal deaths, 12 of which were maternal deaths during the puerperium. Maternal deaths in 2017 out of 9, there were 5 postpartum mothers whereas the 3rd postpartum visit was 91%. The objective of this study is to determine the quality of puerperal visits and the fulfillment of the needs of puerperal women in East Sumba Regency in 2015-2018. This type of research is qualitative research with a phenomenological study. Participants or informants in this study were the husband or family of all mothers who died postpartum in 2015-2018 and midwives who deal with these mothers during antenatal care, childbirth, and postpartum as well as data analysis which is content analysis. The results showed that the quality of puerperal visits was still irregular, systematic, and unfocused so that it was unable to detect postpartum problems early. Meeting the needs of mothers during childbirth is still incomplete, not detailed, and does not routinely conduct head-to-toe examinations during postpartum visits. The conclusion of the study shows that the quality of the visit and the fulfillment of the needs of the postpartum mothers are related to maternal mortality during the postpartum period in East Sumba Regency.Most maternal deaths occur during the postpartum period so that childbirth health services play an important role in reducing maternal mortality rates from 6 hours to 42 days after giving birth. It is estimated that 69% of maternal deaths due to pregnancy occur after childbirth, and 50% of postpartum deaths occurred in the first 24 hours. The highest number of maternal deaths was found in East Sumba Regency which was 19 maternal deaths, 12 of which were maternal deaths during the puerperium. Maternal deaths in 2017 out of 9, there were 5 postpartum mothers whereas the 3rd postpartum visit was 91%. The objective of this study is to determine the quality of puerperal visits and the fulfillment of the needs of puerperal women in East Sumba Regency in 2015-2018. This type of research is qualitative research with a phenomenological study. Participants or informants in this study were the husband or family of all mothers who died postpartum in 2015-2018 and midwives who deal with these mothers during antenatal care, childbirth, and postpartum as well as data analysis which is content analysis. The results showed that the quality of puerperal visits was still irregular, systematic, and unfocused so that it was unable to detect postpartum problems early. Meeting the needs of mothers during childbirth is still incomplete, not detailed, and does not routinely conduct head-to-toe examinations during postpartum visits. The conclusion of the study shows that the quality of the visit and the fulfillment of the needs of the postpartum mothers are related to maternal mortality during the postpartum period in East Sumba Regency
The Assay of Blood Plasma’s Malondialdehyde (MDA) Activity in Alloxan-Induced Diabetic Rat Given Yellow Velvet Leaf Extract (Limnocharis flava)
No full textIt has been well-known that Genjer or yellow velvet leaf (Limnocharis flava) has a potential as an alternative source to natural antioxidants. Antioxidants, such as flavonoids, alkaloids, phenols, tannins, and others are substances which can block the presence of free radicals coming into the body. It has also been examined to be beneficial in treating metabolic syndrome diseases such as diabetes, as it improves insulin’s performance. The objective of this study is to examine the antioxidant effect of yellow velvet leaf’s ethanolic extract (Limnocharis Flava) on blood plasma’s MDA activity in alloxan-induced diabetic rats (Rattus novergicus) in three different doses. The testing animals were randomly divided into five groups, each group consisted of 6 white rats. Group 1 was the negative control and given CMC Na 0.5%, while group 2 was a positive control and given glibenclamide 0.45 mg, group 3 was yellow velvet leaf’s ethanolic extract of 32.5 mg/kg, group 4 was yellow velvet leaf’s ethanolic extract of 65 mg/kg, group 5 was yellow velvet leaf’s ethanolic extract of 130 mg/kg. Previously, all groups were induced with alloxan through intra peritoneal injection. Ethanol extract was provided once on the day of 7th, 14th, and 21st. The observed parameters were blood plasma’s MDA activity in the alloxan-induced diabetic rats (Rattus novergicus). Blood plasma’s MDA activities were assessed by using Thiobarbituric Acid Reactive Substance (TBARs) method. Then, data were collected and analyzed by using One Way ANOVA followed by a Post hoc test. The results showed that the mean values of MDA levels in the testing groups of 1,2,3,4 and 5 were 9.30 ± 0.462, 2.17 ± 0.121, 6.11 ± 0.381, 4.07 ± 0.327, and 2.75 ± 0.121, respectively. One Way ANOVA test showed a significant difference in the blood plasma’s MDA levels among the groups (p = 0,000). It is concluded that the blood plasma’s MDA levels in alloxan-induced diabetic rats can be lowered by the yellow velvet leaf’s ethanolic extract (Limnocharis Flava). Therefore, it can be employed as a traditional treatment for diabetes
Antibacterial Mouthwash of Kesum Leaf (Polygonum Minus Huds) Essential Oil on Streptococcus Mutans and Sanguinis
No full textPolygonum Minus Huds methanol extract from several previous studies has antibacterial properties in bacteria in the mouth such as Streptococcus Mutans, Staphylococcus Aureus, Salmonella Typhi, Escherichia Coli, etc. The cause of gingivitis is Streptococcus Sanguinis and anaerobic bacteria in the subgingival, which is porphyromonas gingivalis. Polygonum Minus Huds has the potential to be an antibacterial mouthwash for bacteria that causes caries and gingivitis. This research aims to make a mouthwash based on the essential oil of Polygonum Minus Huds and determine its antibacterial properties in mouthwashes of 0.025% and 0.05% concentrations to find antibacterial activity on Streptococcus Mutans and Sanguinis. The research was conducted in June 2019 at the Chemistry Laboratory of Faculty of Mathematics and Natural Sciences, the University of Tanjungpura in Pontianak Lab and Health Polytechnique Pontianak Integrated Lab. Design Quasi-experimental research used post-test only control group design, mouthwash formulation with essential oil concentrations of 0.025% and 0.05%, positive control using non-alcoholic mouthwash, and negative control (Aquades). Statistical analysis was performed univariately. The results showed that the best mouthwash was 2.5 ml of Tween 80 and 2.5 ml of glycerin. The results showed the essential oil gargle of Kesum leaves (Polygonum Minus Huds) at concentrations of 0.05%, and 0.02%, which is the bacteria of Streptococcus Mutans and Streptococcus Sanguinis were not able to inhibit the growth of the two bacteria. Increasing the amount of concentration or making mouthwash in other forms is expected to increase its antibacterial effect.Polygonum Minus Huds methanol extract from several previous studies has antibacterial properties in bacteria in the mouth such as Streptococcus Mutans, Staphylococcus Aureus, Salmonella Typhi, Escherichia Coli, etc. The cause of gingivitis is Streptococcus Sanguinis and anaerobic bacteria in the subgingival, which is porphyromonas gingivalis. Polygonum Minus Huds has the potential to be an antibacterial mouthwash for bacteria that causes caries and gingivitis. This research aims to make a mouthwash based on the essential oil of Polygonum Minus Huds and determine its antibacterial properties in mouthwashes of 0.025% and 0.05% concentrations to find antibacterial activity on Streptococcus Mutans and Sanguinis. The research was conducted in June 2019 at the Chemistry Laboratory of Faculty of Mathematics and Natural Sciences, the University of Tanjungpura in Pontianak Lab and Health Polytechnique Pontianak Integrated Lab. Design Quasi-experimental research used post-test only control group design, mouthwash formulation with essential oil concentrations of 0.025% and 0.05%, positive control using non-alcoholic mouthwash, and negative control (Aquades). Statistical analysis was performed univariately. The results showed that the best mouthwash was 2.5 ml of Tween 80 and 2.5 ml of glycerin. The results showed the essential oil gargle of Kesum leaves (Polygonum Minus Huds) at concentrations of 0.05%, and 0.02%, which is the bacteria of Streptococcus Mutans and Streptococcus Sanguinis were not able to inhibit the growth of the two bacteria. Increasing the amount of concentration or making mouthwash in other forms is expected to increase its antibacterial effect
Differences of Preparation Examination Methods for the Number of Acid-Resistant Bacteria
No full textTuberculosis is an infectious disease caused by Mycobacterium tuberculosis which transmission is sputum less micro-discharge issued by an infected patient. The examination of tuberculosis in acid-resistant bacteria is recommended by WHO using the Ziehl Neelsen method. The objective of this study is to determine the differences in the way the preparations were examined for the number of acid-resistant bacteria. This research is a cross-sectional design laboratory experimental research. The study was conducted in June-July 2018. The examination was conducted microscopically using the Ziehl Neelsen method. The inspection procedure is performed on direct preparations and indirectly checked. The results of the study conducted showed that there was no significant difference in the number of acid-resistant bacteria (p-value = 0.758). It was concluded that the results of examining the number of positive acid-resistant bacteria in direct and indirect preparations examined did not affect the results of the number of bacteria on the microscopic examination of positive acid-resistant bacteria. It is recommended for further studies on the use of uniformed samples for the making of preparations using one of the samples at any time.Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis which transmission is sputum less micro-discharge issued by an infected patient. The examination of tuberculosis in acid-resistant bacteria is recommended by WHO using the Ziehl Neelsen method. The objective of this study is to determine the differences in the way the preparations were examined for the number of acid-resistant bacteria. This research is a cross-sectional design laboratory experimental research. The study was conducted in June-July 2018. The examination was conducted microscopically using the Ziehl Neelsen method. The inspection procedure is performed on direct preparations and indirectly checked. The results of the study conducted showed that there was no significant difference in the number of acid-resistant bacteria (p-value = 0.758). It was concluded that the results of examining the number of positive acid-resistant bacteria in direct and indirect preparations examined did not affect the results of the number of bacteria on the microscopic examination of positive acid-resistant bacteria. It is recommended for further studies on the use of uniformed samples for the making of preparations using one of the samples at any tim
Factors Influencing the Incident of Underweight Children Under Five Years in Sangihe Regency
No full textUndernutrition can make children under five years vulnerable to diseases and can even cause death. One indication of children under five years suffering from malnutrition in children under five years is below the red line on the weight chart (underweight). This study aims to identify the factors that most influence the incidence of underweight in Sangihe Regency, North Sulawesi. This research was a quantitative analysis using a research methodology of a cross-sectional sample. For this analysis, the sample was 165 respondents. These variables include education, jobs, income, and infectious diseases. The relationship between education levels, income, experience, and contagious diseases with underweight children was measured less using the chi-square test. In contrast, the determinants of underweight were identified using logistics regression. The results showed that the two most dominant factors that affected the incidence of underweight children under five years were occupational factors (p-value <0.001) and knowledge factor (p-value <0.001). The other factors that might influence the cases of underweight children under five years are knowledge of feeding patterns and the number of children. Conclusion this research is Good knowledge is needed by mothers of children under five years in determining optimal nutrition for children under five years. For this reason, the mother\u27s role is necessary for children under five to help the head of the family in finding additional income so that family nutrition, especially children under five, can be fulfilled.Undernutrition can make children under five years vulnerable to diseases and can even cause death. One indication of children under five years suffering from malnutrition in children under five years is below the red line on the weight chart (underweight). This study aims to identify the factors that most influence the incidence of underweight in Sangihe Regency, North Sulawesi. This research was a quantitative analysis using a research methodology of a cross-sectional sample. For this analysis, the sample was 165 respondents. These variables include education, jobs, income, and infectious diseases. The relationship between education levels, income, experience, and contagious diseases with underweight children was measured less using the chi-square test. In contrast, the determinants of underweight were identified using logistics regression. The results showed that the two most dominant factors that affected the incidence of underweight children under five years were occupational factors (p-value <0.001) and knowledge factor (p-value <0.001). The other factors that might influence the cases of underweight children under five years are knowledge of feeding patterns and the number of children. Conclusion this research is Good knowledge is needed by mothers of children under five years in determining optimal nutrition for children under five years. For this reason, the mother\u27s role is necessary for children under five to help the head of the family in finding additional income so that family nutrition, especially children under five, can be fulfilled
Total Suspended Particulate and Impaired Lung Function at Operators of Public Fuel Filling Stations in Mamuju Regency
No full textThe transportation sector plays a major role in air pollution in urban areas. Operators of Public Fuel Filling Stations are at risk of inhaling pollutants from motor vehicle emissions such as CO, NO, SO2 and dust particulates. The objective of this study is to determine the relationship of Total Suspended Particulate (TSP) to the occurrence of impaired lung function at SPBU operators. This type of research is observational with a cross sectional study design with sampling technique using total sampling on the entire population, which is performing lung function examinations on 34 operators at three gas stations in Mamuju Regency. Examination of lung function used spirometry while the measurement of total dust concentration used a High Volume Air Sampler (HVAS). Data analysis was performed using the Chi-square test. The results showed that there was no significant relationship between TSP levels and impaired pulmonary function. Even though TSP exposure levels did not have a significant relationship with lung pulmonary function, efforts to control dust exposure were still necessary because most respondents worked in a working environment with high TSP levels. The results of this study are expected to be a reference for the implementation of health and safety programs for workers and the implementation of working environment monitoring and occupational health surveillance.The transportation sector plays a major role in air pollution in urban areas. Operators of Public Fuel Filling Stations are at risk of inhaling pollutants from motor vehicle emissions such as CO, NO, SO2 and dust particulates. The objective of this study is to determine the relationship of Total Suspended Particulate (TSP) to the occurrence of impaired lung function at SPBU operators. This type of research is observational with a cross sectional study design with sampling technique using total sampling on the entire population, which is performing lung function examinations on 34 operators at three gas stations in Mamuju Regency. Examination of lung function used spirometry while the measurement of total dust concentration used a High Volume Air Sampler (HVAS). Data analysis was performed using the Chi-square test. The results showed that there was no significant relationship between TSP levels and impaired pulmonary function. Even though TSP exposure levels did not have a significant relationship with lung pulmonary function, efforts to control dust exposure were still necessary because most respondents worked in a working environment with high TSP levels. The results of this study are expected to be a reference for the implementation of health and safety programs for workers and the implementation of working environment monitoring and occupational health surveillance
Factors Affecting Nurse Caring Behavior
No full textCaring behavior is the center of nursing practice, a very dynamic technique, where nurses work with care for their patients. The better the nurse\u27s caring behavior in providing nursing services to patients, the better the level of patient satisfaction with nursing services. Currently, there are nurses and other health workers who are not friendly enough in providing services. The objective of this study is to determine the factors that influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province, which are age, gender, education, training, employment status, marital status, work stress, work motivation and respect for nurse caring behavior. This research is a type of quantitative research with a cross-sectional design. The population is all nurse administrators who work in 5 Regional Public Hospital of East Nusa Tenggara Province, amounting to 803 people. The number of samples of 161 nurses was taken by simple random sampling. Determination of the number of samples using the rule of thumb formula, namely 5 independent variables x 32 = 160 respondents. The instrument used was a questionnaire. Bivariate data analysis at a significant level of 5% (α = 0.05) using the Pearson Chi-Square test. Multivariate analysis using logistic regression test. The results showed that the factors that influence nurse caring behavior are employment status (p value 0.001) and motivation (p value 0.005). The results of the Odds Ratio (Exp. B) show that employment status is a determinant factor in the caring behavior of nurses in East Nusa Tenggara with an OR of 3,634, which means that nurses with civil servant status are 3.6 times more likely to behave in caring than nurses with contract employment status. It is suggested to examine other factors that can influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province
Supportive Postpartum Care Reduces Postpartum Anxiety in Mothers with Twins: A Pilot Study
No full textPostpartum mothers with twins are more prone to mental health problems, particularly anxiety. However, research regarding the appropriate interventions to overcome anxiety in postpartum mothers with twins is limited. Anxiety has an impact on the health of both mother and baby. We conducted a pilot study to minimize the risks to mothers and babies, which was supportive postpartum care (SPC). The study was performed to five postpartum mothers with twins during hospitalization. SPC was employed by providing physical support, which was in the form of breast care and oxytocin massage, psychological support in the form of relaxation techniques, information support in the form of education, and advocacy support in the form of husband involvement. This method was effective for postpartum mothers with twins in reducing anxiety, increasing breastfeeding effectiveness, increasing knowledge, and improving the husband’s involvement in care. This study showed that SPC can reduce postpartum anxiety among postpartum mothers with twins effectively. A very good increase of LATCH score and knowledge were reported in 3 out of 5 mothers. Families, especially husbands, were advised to continue providing care support through the role division at home
The Effect of Curfew Enforcement on Health Care Provision in COVID-19 Pandemic
No full textThe COVID-19 disease occurred in the final weeks of 2019. As part of the fight against COVID-19, countries have taken actions such as travel restrictions, suspension of border crossings and international flights, voluntary home isolation, public activities restriction, and curfews. The objective of this study is to identify the effect of curfew enforcement during the COVID-19 pandemic to determine and identify whether curfew has a positive effect on the health care workload. The number of patients admitted to Sakarya University Training and Research Hospital, their means of arrival, hospitalization-discharge, demographic characteristics were examined retrospectively for the period of curfew in April and May 2020 and the corresponding days in 2019. The significant statistical differences between the two periods were analyzed. The results of this research reveal that24.488 patients were admitted to our emergency department. Of these patients, 12813 (52.3%) were male, 11675 (47.7%) were female. The number of emergency department admissions of the pediatric age group decreased from 1822 (8.9%) to 33 patients (0.8%). Moreover, the number of patients admitted to the emergency service in the related period of 2019 was 20548 (83.9%), while this figure decreased to 3940 individuals (16.1%) during the curfew period. It was impliedthat curfew could reduce the unnecessary admissions to hospitals, the number of ambulance usage, and provide a positive contribution to the reduction in traumas, car accidents, work accidents, and forensic cases during pandemic