Journal of Agromedicine and Medical Sciences
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The Effect of Zumba Exercise to Women's Waist Hip Ratio
Abdominal obesity is a global public health problem. The high prevalence of abdominal obesity triggers an increase in morbidity and mortality in chronic diseases such as diabetes mellitus, cardiovascular, and cancer. One of the causes of the high prevalence of abdominal obesity is the lack of physical activity. Prevention efforts are needed through the identification of risk factors such as measurement of waist hip ratios. The respondents of this study were divided into two groups: 28 respondents who did zumba exercise for four weeks and 28 control respondents. The statistical test performed was a paired t-test comparison test. The results of this study indicate the value of t-count > t-table value (7.184 > 2.052) and the significance of 0.000 < 0.05. These results indicate that there is a decrease in the waist hip ratio after doing zumba exercise for four weeks
The Effectiveness of Vitamin C Addition to Blood Glucose Levels of Hyperglycemic Mice with Glimepiride Treatment
In people with diabetes mellitus (DM) there is a decrease in basal vitamin C levels which is thought to be a result of oxidative stress in the condition of hyperglycemia that it needs to increase vitamin C as an antioxidant. Hyperglycemia in DM needs to be lowered by pharmacological therapy, named glimepirid so the purpose of this study is to determine the effectiveness of vitamin C addition to the reduction of KGD hyperglycemic mice with glimepirid treatment. This study is true experimental with a sample of 25 mice 20-30 grams and divided into five groups, first the control group (K0); STZ induction group (K1); STZ induction group with glimepirid treatment (K2); STZ induction group with the treatment of vitamin C (K3); STZ induction group by treatment of a combination of glimepirid and vitamin C (K4). STZ is injected intraperitonially 150 mg / kgBB. All groups were measured for KGD 1 after induction of STZ and KGD 2 after treatment for fourteen days. The results of the STZ induction group with the treatment of a combination of glimepirid and vitamin C (K4) experienced a smaller and not significant decrease in BSL in the STZ induction group with a single glimepirid (K2) treatment. These results are thought to have an influence from interactions between drugs that cause one drug to not work optimally. The conclusion of this study is that administration of glimepirid, vitamin C, or both can reduce blood glucose levels in hyperglycemic mice with the greatest decrease occurring in the glimepirid group
Association Between Risk Factors with The Event of Nasopharynx Carcinoma in Soebandi Hospital Period Of January 2017- March 2019
Abstract
Nasopharyngeal carcinoma is the highest malignancy in the head and neck regio. The cause of nasopharyngeal carcinoma is unknown, but there are several risk factors that can trigger nasopharyngeal carcinoma which include age, gender, genetics, occupation, geographical location, consumption of salted fish, consumption of grilled fish / grilled meat, consumption of canned foods and smoking. This study aims to determine the risk factors that influence the incidence of nasopharyngeal carcinoma. The type of this study is a obervasional analysis with a case control design carried out on 40 samples that fulfilled the inclusion and exclusion criteria. The instrument of this research is in the form of medical record recapitulation and structured interviews. The bivariate test results were age (p=0.043), sex (p=1,000), genetics (p=0.044), occupation (p=0.740), geographical location (p= 1,000), consumption of salted fish (p = 0.004) , consumption of grilled fish / grilled meat (p=0.007), consumption of canned foods (p = 0.106) and smoking (p = 0.527). The multivariate test results were the consumption of salted fish with a value (p = 0.004), consumption of salted fish / grilled meat (p = 0.023), genetic (p = 0.062), and age (p = 0.264). The conclusion of this study is the consumption of salted fish, consumption of grilled fish / grilled meat, genetics and age have a significant relationship with the event of nasopharyngeal carcinoma and the most influential relationship is the consumption of salted fish.
Keywords: nasopharyngeal carcinoma, risk factor, dr. Soebandi hospita
Leprosy Patients Behavior In The Working Area of Puskesmas Umbulsari, Jember Regency
East Java is the province with the highest prevalence of leprosy in Indonesia in 2018. Jember Regency has the third highest prevalence of leprosy and Umbulsari sub-district is the district with the highest cases. Knowledge, attitudes and practices are the three domains that determine human behavior. This study aims to understand the knowledge, attitudes and practice of patients of leprosy. This research is a descriptive study conducted at Puskesmas Umbulsari in November 2019. The population and sample of this study were all leprosy patients who lived in the working area of ​​Puskesmas Umbulsari from January 2018-October 2019 and who were still in treatment with a total of 14 people. The data obtained are primary data from interview using a door to door questionnaire and secondary data from the Puskesmas register book. The analyzed data are displayed in tables and narrative form. Based on the results of research on 14 respondents, it was found that the distribution of diseases by sex was the same, mostly occur to people aged 41-50 years, 79% of patients’ education was elementary school, and 50% occurred in patients who work as farmers. The results and conclusions of the behavior of leprosy patients in this study from the aspect of respondents' knowledge about leprosy are mostly good (64.3%), the respondents' attitude towards leprosy are also good (100%), and the respondents' practice towards leprosy are mostly good (50%).
Keyword : attitude, knowledge, leprosy, practice
Risk Factor Analysis of Recurrent Diarrhea on Toddlers in Sumberjambe Health Center Jember Regency
Recurrent diarrhea is diarrhea that occurs repeatedly within one to three months. Toddler is the highest group suffering of diarrhea. Diarrhea is the second leading cause of death on toddler. This research aims to analyze the effect of risk factors of recurrent diarrhea on toddler in Sumberjambe Health Center Jember Regency. This type of research is observational analytic with case control design. The sample is 50 cases and 50 controls. The sampling technique used consecutive sampling method. The research was conducted in December 2018 to January 2019 using a questionnaire. Data analysis using Chi Square test and Logistic Regression test. Chi Square analysis results are child’s age (p= 0.003), gender (p= 1,000), exclusive breastfeeding (p= 0.044), measles immunization (p= 0.387), nutritional status (p= 0.840), hand nail hygiene (p= 0.395), mother’s age (p= 0.435), mother’s education level (p= 0.263), mother’s knowledge (p= 0.494), hand washing habit (p= 0.684), and family income (p= 0.773). Logistic Regression analysis results are child’s age (p= 0.002) and exclusive breastfeeding (p= 0.499). The conclusions of this study are child’s age and exclusive breastfeeding have influence of recurrent diarrhea on toddler and child's age is the most influential risk factor of recurrent diarrhea on toddler. The suggestion of this research is that it needs to research other risk factors and mothers are required to give exclusive breastfeeding.
Keywords: risk factors, recurrent diarrhea, toddle
Effect of Cigarette Smoke Exposure Status on Pregnant Women as Passive Smokers with Birth Weight in Arjasa Health Center, Jember Regency
In Indonesia, there are around 65.6 million women and 43 million children exposed to cigarette smoke and thus act as passive smokers. If pregnant women act as passive smokers, then it can increase the risk of pregnancy complications, including LBW. Babies with LBW are one of the public health problems that must be considered because LBW is a major predictor of infant mortality, especially in the first month of life. The purpose of this study was to determine the effect of exposure to cigarette smoke on pregnant women as passive smokers on the incidence of LBW in Arjasa Health Center, Jember Regency. This type of research uses an observational analytic method with a retrospective case control study design. The sample of this study amounted to 60 people. The bivariate analysis using the chi square test stated that there was a significant relationship between exposure to 2x3 cigarette smoke (p = 0.031), exposure to 2x2 cigarette smoke (p = 0.030; OR = 4) and age of pregnant women (p = 0.033; OR = 5.2) with birth weight at Arjasa Community Health Center, Jember Regency. While the results of bivariate analysis using the chi square test stated that there was no significant relationship between jobs (p = 0.422; OR = 1.78), history of parity (0.784; OR = 1.3), and ANC frequency (p = 1,000; OR = 1.17). the results of multiple logistic regression analysis revealed that there was a significant effect between exposure to cigarette smoke (p = 0.050; OR = 3.39) and age (p = 0.037; OR = 4.6) on birth weight at Arjasa Health Center, Jember Regency. The conclusion of this study is that exposure to cigarette smoke has a significant relationship with birth weight and age is the most influential risk factor for birth weight in Arjasa Health Center, Jember Regency.
Keywords: Birth weight, LBW, cigarette smoke exposur
The Correlation between Wearing High Heels and Pain Intensity on Calcaneus Area and Range of Motion Ankle Changes
High heeled shoes or commonly called high heels, is a type of shoe with high sole designed. Wearing high heels can make women more beautiful and attractive. But, the use of high heels are not appropriate with public’s knowledge about how to wear these shoes properly and correctly. It is proved by so many musculosceletal injuy cases because of wearing high heels. Injury cases that mostly appear is pain on calcaneus area as a result of plantar fasciitis and achilles tendinitis. Besides causing injury, the use of high heels also can cause the range of motion ankle become changed due to body postural adaptation during wearing high heels. The aim of this study is to determine the correlation between wearing high heels and pain Intensity on calcaneus area and range of motion ankle changes. This is an analytical survey study with cross sectional study design. This study using women workers in Matahari Departement Store Johar Plaza Jember and Roxy Square Jember who met inclusion and exclusion criteria. Pain intensity on calcaneus area was measured with visual analog scale (VAS) questionnaire and the large of range of motion ankle was measured with goniometer. Spearman correlation test result between wearing high heels and pain intensity on posterior and medial calcaneus area is p<0,05, this result indicates that there is significant correlation between wearing high heels and pain intensity on posterior and medial calcaneus area. While correlation between wearing high heels and range of motion ankle changes has result>0,05, this result indicates that there is no significant correlation between wearing high heels and range of motion ankle canges.
Keywords: High heels, pain intensity on calcaneus area, range of motion ankle change
The Correlation of Family and Household Factors on The Incidence of Stunting on Toddlers in Three Villages Sumberbaru Health Center Work Area of Jember
Stunting is a condition of the child's length or height according to his age compared to the WHO standard, the z-score is less than -2SD. Stunting is caused by multifactorial which can affect directly or indirectly and causes various adverse effects. The purpose of this study was to determine the correlation of family and household factors on the incidence of stunting (especially sex of toddler, age of toddler, father's education, mother's education, mother's employment status, number of children, birth distance, family income, and mother's height) in three villages Sumberbaru Health Center Work Area of Jember. This type of research is observational analytic research with cross-sectional research design. A sample of 130 people who met the inclusion and exclusion criteria. The sampling technique uses purposive sampling technique. Bivariate analysis using chi-square test and multivariate analysis using binary logistic regression. The results of the bivariate analysis of this study showed p <0.05 on sex of toddler, number of children, family income, mother’s height, and p > 0.05 on age of toddler, father's education, mother's education, mother's employment status, birth distance. Multivariate analysis showed mother's height <147cm (p = 0,007; OR = 3,345), family income below UMK Jember (p = 0,045; OR = 2,344), and male sex (p = 0,044; OR = 0,456 ). Based on these results it can be concluded that the incidence of stunting is directly affected by mother's height <147cm, family income below UMK Jember, and male sex of boys. While indirectly affected by the number of children >2. Factors that did not affect the incidence of stunting were the age of the toddler, father's education, mother's education, mother's employment status, and birth distance. Mother's height <147cm is the most influencing factor
Description of Leukocytes Differential Count in Coffee Plantation Workers Silo Subdistrict that Infected by Soil-transmitted Helminths
Helminthiasis caused by soil transmitted helminths (STH) are still a serious health problem in the world and in Indonesia. Indonesia has a prevalence that varies between 2.5%-62%. This infection can cause blood disorders such as leukocytosis, eosinophilia, and changes in hemoglobin levels. The purpose of this study was to describe the leukocyte count of coffee plantation workers that infected by STH. This research was an observational descriptive study, using a cross sectional design and was conducted at the coffee plantation in Silo subdistrict. Stool examination was conducted by the concentration method (sedimentation and flotation) to determine the presence of STH infection, while for leukocyte count, we used the differential count method. The results of examination on 101 feces samples showed 26.7% (27/101) of workers were positively infected with STH, with details of the STH type of hookworm by 92.6% (25/27), and the remaining were double infections by Ascaris lumbricoides and hookworm as much as 7.4 % (2/27). Examination of leukocyte count showed, 17 workers with hookworm infection had abnormal leukocyte count i.e eosinophilia and neutrophilia, while 8 workers were normal. All workers with double infection (2 workers) had abnormal leukocyte count i.e eosinophilia and neutrophilia. These results can be influenced by the chronicity of the infection or the intensity of the infection.
Keywords: Chronic Kidney Disease, sodium, re-use hemodialyze
The Effect of Red Spinach Extract (Amaranthus tricolor L.) on Serum Malondialdehyde of Male Rattus Novergicus Fracture Model
Fracture is a musculoskeletal injury with a high incidence rate. The healing process of fracture is disturbed by the oxidative stress, because of imbalance quantity of Reactive Oxygen Species (ROS) and antioxidant capacity in the body that neutralizes it. Antioxidants in red spinach have the potential to suppress the level of oxidative stress. The study aimed to determinate the effect of red spinach ethanolic extract on decreasing oxidative stress by measuring malonaldialdehyde (MDA) concentration in fracture healing process. The study used thirty rats and divided into five groups; negative control group, positive control group,and three treatment groups of red spinach ethanolic extract in a dose of 35,4 mg/150gBB, 70,8 mg/150gBB, and 141,6 mg/150gBB manually fractured on right femur under anaesthesia and immobilized by leucodur plaster. Each group was treated orally respectively one week. The result of One Way Anova showed a significance of 0,000 (p<0,05) in which there was a significant difference in serum MDA levels between the treatment groups and the control groups. The result of LSD test between P1 group and P3 group showed significantly different in which decreased serum MDA levels were consistent with increasing doses of red spinach ethanolic extract. The study concluded that red spinach ethanolic extract had a positive effect on supression of oxidative stress in fracture healing process.
Keywords: Red spinach ethanolic extract, fracture healing process, MDA, RO