Journal of Agromedicine and Medical Sciences
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The Correlation of Coping Strategies and Burnout Syndrome among Health Workers in Regional Hospital Dr. Soebandi Jember
No full textThe Covid-19 pandemic significantly impacts the mental health of health workers, including leading to the occurrence of burnout syndrome. Health workers in Dr. Soebandi Regional Hospital, as a regional referral hospital for Covid-19, were potentially exposed to the risk of experiencing burnout syndrome. Effective coping strategies might alleviate burnout syndrome symptoms. Therefore, this study was conducted to analyze the correlation of coping strategies and burnout syndrome level among health workers at Dr. Soebandi Regional Hospital. This cross-sectional study conducted from November to December 2021 included 88 physicians and nurses of Dr. Soebandi Regional Hospital. Data were collected using the Brief Cope Inventory and the Maslach Burnout Inventory Questionnaires. The SPSS spearman rho analysis showed a weak significant positive correlation of maladaptive coping strategies and burnout syndrome level (r=0.263; p=0.0013). The self-blame coping strategy had a weak significant positive correlation with burnout syndrome level (r=0.267; p=0.0012). We recommend to develop programs to protect health workers from becoming secondary victims of various adverse events and counseling provision to doctors and nurses regarding appropriate coping strategies for stress management at work.
Keywords: Burnout Syndrome; coping strategy; RSD Dr. Soebandi; Mental Health
Water PH Correlates With The Number of Mosquito Larvae in Nature Tourism Park
Full text linkMosquitoes go through four development phases: egg, larva, pupa and adult. The growth, survival, and adaptation of mosquito larvae are strongly influenced by the physical and chemical characteristics of the waters. Nature tourism parks have ecological and environmental potential for the development and spread of mosquitoes and vector diseases. This study aims to look at the correlation of the physical and chemical elements of water to the number of mosquito larvae. The study design was cross-sectional analytic observational. In TWA, 57 containers were found with 10 indoor and 47 outdoor locations. The container contains water with a salinity of 0-0.3, pH 4.5-8.3, TDS 3-899 ppm, and a temperature of 26 - 34℃. A total of 423 mosquito larvae consisting of Culex and Aedes species. Ae. albopictus is the dominant larval species found. Based on the Spearman test, there was no significant correlation between temperature, total dissolved solids and salinity with the number of mosquito larvae (p>0.05), while PH was positively correlated with the number of mosquito larvae (p = 0.019).
Keywords: Chemical, Physical, Water, Mosquito larv
Case Report Of Transverse Myelitis: Rare Neurological Complications Of Herpes Zoster Virus
Full text linkIntroduction: Transverse myelitis is a rare disease that accured by incident 0,3%-1% Though it rare happened transverse myelitis deserve to diccus because the variant presentation that make clinical challenge to dianosis to pre-observation for upgrade’s prognosis.
Case Report: we reported case of transverse myelitis that was neurology complication to rare herpes zoster virus. Woman 27 years old came by early complaint of tingling fever, pain, shiver continue on foot and the right hand. After got well, patient cameback to her disease bacause of the worst condition that cold not mover her left foot. Diagnosis transverse myelitis could stand through clinical sympton and magnetic resonance imaging (MRI) patient that came by her skin of hipopigment have to always considere the happening of transverse myelitis and lost control of defecate on neurologi observation being got paraplegi, monoparese extremitas superior, and hipoanesthesia dermatom C5 on low grade. We got observation of MRI to the level cervicothoracal that show long segment hipeintensity introdural intra medullary to the level craniovertebral junction so C5 and T2 so on that involved 2/3 spinal cord that strength described transverse myelitis.
Discussion: Varicella zoster virus cou caused neurologis complication, the of transverse myelitis, of it is sign and sympton like pain, sencoric trouble, weakness on arm and foot, and the problem bladder and intestines. This symptom often occured unilaterally , Ipsilateral toward rash then become bilaterally. Intervention should the customize with pattient complaint: The implement combination asiklovir and high close steroid’s inject significantly relieve the pattient complaining but still occured paraplegi.
Keywords: Transverse myelitis, HZV, neurological complicatio
Analysis Qualitative of Bioactive Compounds of Chromolaena odorata Leaves from Aceh Besar District
Full text linkChromolaena odorata leaves have been used by the people of Aceh Besar as herbal medicine. The chemical compounds in the leaves of this plant act as antioxidants, anti-inflammatories, antibacterials and wound healers. The research objective was to determine the phytochemical content of C. odorata leaves through qualitative methods. The extraction method used is maceration and testing of bioactive compounds using a color test. The results showed that the yield percentage was 6.05%. The results of the analysis of phytochemical compounds obtained seven phytochemical compounds contained in C. odorata, namely compounds belonging to the class of flavonoids, phenolics, alkaloids, terpenoids, saponins, steroids and tannins. It is recommended to identify chemical compounds using the GC-MS test to obtain specific compounds that play an active role in anti-inflammatory, antioxidant and antibacterial activities.
Keywords: C. odorata, Rendemen, Maceration, Color Test, GC-M
Lethal Dose Determination of Larvacide Effect of Citrus suhuinensis Peel Extract on Aedes Aegypti Larvae
Full text linkDengue hemorrhagic fever (DHF) is an endemic infectious disease in Indonesia. This disease is caused by dengue virus and transmitted by Aedes aegypti as a vector. Vector control is an important approach to control DHF. Citrus suhuinensis contains active compounds such as saponins, tannins, flavonoids, and D-limonene that can kill Ae aegypti larvae. This study aimed to determine the effectivity and lethal dose of C. suhuinensis peel extract against Ae aegypti larva. This was an experimental study using randomized control-group posttest design on Ae aegypti instar III and IV larvae which were divided into 10 groups, i.e., positive control, negative control, 8 treatment groups of serial doses of 0.01, 0.02, 0.04, 0.06, 0.25, 0.50, 0.75 and 1 %. Each group consisted of 25 larvae. Observations on the larvae were conducted after 24 and 48 hours of treatment. The results showed that C. suhuinensis peel extract has larvicide effect as shown by the Lethal Dose value, i.e., LD50, LD95 and LD99 were 5.77, 9.34 and 11.39%, respectively. In conclusion, the C. suhuinensis peel extract has potential as an Ae. aegypti larvacide
The role of thread embedding acupuncture in the management of nasolabial fold: A Case Report
No full textBackground: Aging occurs in all organs, including the skin. As the largest organ of the body, wrinkles on the skin show signs of aging that are visible and affect appearance. Thread embedding acupuncture (akupunktur tanam benang/ATB) is one of acupuncture methods used in various cases, including aesthetics. This case report describes the role of ATB in the management of nasolabial folds (NLF).
Case Illustration: A 45-year-old woman came complaints of deep and long smile lines. On physical examination, the NLF length (measured with digital vernier caliper) right/left: 34.15/30.3 mm; Wrinkle severity rating scale (WSRS) right/left: 3/3. ATB was given once and the results were observed until week 12. The best results were obtained at week 12 of follow-up (NLF: 22.00/21.46 mm; WSRS: 2/2)
Conclusion: NLF improvement in ATB is getting better over time. Further clinical trials are needed to determine the effectiveness of ATB in improving NLF.
Keywords: Thread embedding acupuncture; Wrinkle; Aesthetic acupunctur
Mortality Rates Of Adult Pulmonary Tuberculosis With Malnutrition: A Case Report And Comprehensive Literature Review
No full textTuberculosis (TB) and malnutrition are still major public health problems in the world. These two clinical conditions can occur simultaneously and create a vicious cycle that worsens TB infection or nutritional status. This case report aims to examine the relationship between low nutritional status (malnutrition) of patients and death due to pulmonary TB. A 31 year old woman came to the pulmonary clinic of a tertiary hospital in Jakarta for her third month of drug-sensitive anti-TB drug (OAT) treatment control. Three months earlier, the patient underwent a rapid diagnostic test (RDT) to determine OAT resistance. The conclusion of her anthropometric examination was body mass index (BMI) of 15.6 kg/m2. Before being diagnosed with pulmonary TB, she always had difficulty gaining weight. During the course of disease, her weight decreased by 5 kg per month. After undergoing treatment for 6 months, the patient was declared complete after 6 months of therapy, without any improvement in nutritional status. At 1 year follow-up, the patient experienced a relapse of pulmonary TB with a BMI of 13.2 kg/m2. She died 2 months after diagnosis of relapse TB. Improvement in clinical complaints and conversion to bacteriological examination are indications of successful therapy, including improvement in nutritional status. To analyze the relationship between malnutrition and pulmonary TB and death, the authors conducted a comprehensive literature search in the journal databases PubMed, Cochrane, and Scopus, followed by analysis according to the PRISMA 2020 flowchart, for a prognostic cohort study of cases of death in pulmonary TB patients with malnutrition. There is a relationship between BMI and the risk of death in TB patients. Anthropometric measurements, especially BMI, need to be carried out during every physical examination of pulmonary TB cases.
Keywords: Body mass index; Malnutrition; Mortality; Tuberculosi
Coverage and Factors Related to Early Breastfeeding Initiation in Nusa Tenggara
No full textThe Infant Mortality Rate (IMR) is an indicator to assess the degree of public health in a country. One of the efforts to reduce infant mortality is through the promotion of breastfeeding practices. The purpose of this study is to analyze the scope and determinants of IMD implementation in Nusa Tenggara. The design of this study uses a cross-sectional approach. This study analyzed secondary data from the 2017 Indonesian Health Demographic Survey (IDHS). The sample used in this study was women of childbearing age (15-49 years) who have given birth in the last 2 years, have their last child under 6 months old who is still alive, and live with their child with with a total of 603 respondents. Binary logistic regression was used to analyze the data. The results of this study show that 70.8% of respondents carried out the Early Breastfeeding Initiation. Normal delivery has a relationship with the implementation of early breastfeeding initiation in Nusa Tenggara. Socialization and education regarding normal childbirth need to be optimized as an effort to increase early initiation of breastfeeding.
Keywords: infant; female; breast feeding; Indonesia; health surve