Makara Journal of Health Research
Not a member yet
289 research outputs found
Sort by
The Role of Perceived Uncertainty, Ego Identity, and Perceived Behavioral Control in Predicting Patient’s Attitude toward Medical Surgery
No full textMedical surgery has sometimes become the only best choice for a patient's well-being. Unfortunately, not all patients have the willingness to live it. Often, therapeutic failure is caused by uncooperative attitudes of the patients which originate from their negative attitudes toward the surgery. This research is aimed at finding a theoretical model to explain psychological factors forming the patient's attitudes. This predictive correlational research was conducted on 99 patients suffering heart disease and cancer continuum who require medical surgery in DKI Jakarta, Indonesia. Research results showed that a commitment aspect of ego identity is able to indirectly predict attitude toward medical surgery through mediation of perceived uncertainty. Perceived behavioral control directly predicts the attitude in a negative direction. This research concludes that patients' commitment towards their identity plays a significant role as they deal with medical surgery
Energy Consumption of Lactating Mothers: Current Situation and Problems
No full textRecommendations on the adequacy of nutrient intake indicate that lactating mothers have higher nutritional needs than do pregnant mothers. High nutrient intake is necessary to help mothers recover after childbirth, produce milk, and maintain the quantity and quality of breast milk. It also prevents maternal malnutrition. Research has shown, however, that the dietary energy consumption of mothers during lactation was significantly lower than that during pregnancy. The current study explored the factors associated with decreased nutritional intake during maternal lactation. The study was conducted in March–April 2013, and the subjects were mothers with infants aged >6 months. Results revealed that the factors causing low dietary energy consumption among breastfeeding mothers were poor nutritional knowledge and attitude toward high energy intake requirements during lactation, lack of time to cook and eat because of infant care, reduced consumption of milk and supplements, dietary restrictions and prohibitions, and suboptimal advice from midwives/health personnel. Beginning from the antenatal care visit, health personnel should conduct effective counseling on the importance of nutrient intake during lactation. Advice should be provided not only to mothers, but also to their families to enable them to thoroughly support the mothers as they breastfeed their infants
Physical Quality of Air and Sick Building Syndrome in Office Employees of “X” Company in Jakarta
No full textPhysical symptoms had led to the suggestion that a disease called Sick Building Syndrome (SBS) occured to the office of “X” Company in the city of Jakarta. This research that used a random sampling technique examined the physical air quality of the “X” Company, such as indoor temperature and humidity aspects, the SBS cases of 90 workers. Research results on the Company “X” office workers showed that, (1) 47.8% workers had cases of SBS; and, (2) a value of 0.714 was acquired from the result of bivariate analysis using Chi square statistics program with p value of 0.325 and RP of 95 percent. This signifies that there were no relations between indoor temperature and humidity with the SBS cases of the Company “X” workers in Jakarta City. Possibilities of other factors were found to trigger the SBS symptoms such as chemical and microbiological factors (from work tools and facilities), and psychosocial factor (from the workers themselves)
Correlation of Lipopolysaccharide Endotoxin Level in Cotton Dust with the Increase of TNFα Level and the Decline of Lung Function in Cotton Spinning Factory Workers
No full textLipopolysaccharide (LPS) endotoxin contained in cotton dust may cause airway inflammation and decline of lung function when inhaled, which eventually leads to respiratory symptoms. The objective of this research is to analyze the correlation of the exposure of LPS endotoxin in cotton dust with the increase of TNFα level and the decline of lung function after one day’s work. This study applies analytical observation method and prospective cohort approach. Main participants of this study were the workers of a cotton spinning factory located in Tulangan District, Sidoarjo Regency, East Java Province. Sixteen samples from cotton factory were taken as study group, and twenty three samples from village administrators were taken as control group. Data collection involves several techniques: spirometry, laboratory test, and interview. Results showed that concentration of personal dust has a significant relationship with the decline of FVC, %FVC, FEV1, and %FEV1, with Pearson correlation test showing p<0.05. LPS endotoxin in personal dust samples has a significant relationship with the increase of blood serum TNFα and the decline of FEV1 and %FEV1, with Pearson correlation test showing p>0.05. The research concludes that the level of LPS endotoxin was strongly related to the increase of blood serum TNFα and the decline of lung function. Development of more effective preventive measures such as stronger enforcement of worker’s health maintenance regulations and use of personal protective equipment is needed to ensure the best protection of cotton workers’ health
Sleep Disturbances and Fatigue in Adolescents with Cancer Receiving Chemotherapy
No full textSleep disturbances and fatigue are frequently complained by adolescents with cancer. These problems will lead to a variety of changes that may affect adolescents’ development. However, there is very limited data concerning adolescents with cancer in Indonesia. The research aims to explore sleep disturbances and fatigue in adolescents with cancer who are receiving chemotherapy. The research applies a qualitative design with phenomenology approach. Data were collected using in-depth interviews with seven adolescents with cancer in Jakarta, Bogor, and Bekasi. The interviews involved open questions on seven aspects, consisting of level of fatigue, responses to psychological drives, sleep disturbances, sleep disruption due to illness and chemotherapy, disruptions in some aspects of daily life, responses to problematic situations, and general perspective on life. Participants stated that chemotherapy induced sleep disturbances and fatigue, and this situation greatly influenced their overall quality of life. These problems are interrelated to each other and may affect the success of chemotherapy program. In terms of nursing, this research also shows the importance of developing a more effective system for managing sleep disturbances and fatigue during chemotherapy program
Psychosocial Need Analysis of Patients with Pulmonary Tuberculosis.
No full textPulmonary tuberculosis (TB) is a chronic pulmonary disease impacted on physical and psychosocial of the patients. However, to date, the goverment’s programs has not address the psychososial problem of the patients yet. The existing programs are still focused on the treatment and prevention of disease transmission This descriptive correlational study aims to analyze determinant factors related to the fulfillment of psychosocial needs of TB patients in the city of Cirebon. 171 pulmonary TB patients involved in this study were selected by consecutive sampling from 10 health centers in Cirebon. Instrumen used in this study was developed by the researchers. Before using the instrument, it was tested for validity and reliability. The results showed that there are three dominant factors associated with the patient satisfaction level to meet the needs of their psychosocial. These factors are the psychological conditions in the past week, duration of treatment and support services. Demographic factors have no influence on their satisfaction toward the fulfillment of their psychosocial needs. The study suggested that the government should provide support services in health centers so that pulmonary tuberculosis psychosocial needs can be met and drop out cases can be prevented
Inhibition Effect of Mahkota Dewa (Phaleria macrocarpa) on Benzo(a)pyrene Induced Cytotoxicity in CCRF-CEM Cell Lines
No full textMahkota Dewa as a traditional plant has been commonly used as traditional cancer medication. However, the mechanism of usage is not yet clear. The objective of this study is to know the mechanism of the protection effect of Mahkota Dewa on Benzo(a)pyrene (BaP) induced cytotoxicity in CCRF-CEM cell line. The result show BaP induced cell death with in CCRF-CEM cell line is dose-dependent but not based on time-course. Exposure of this cell for 24 h with variation of dose between 5-20 μM increased the percentage of apoptosis to about 15%. On the other hand, Mahkota Dewa itself has dose-dependently induced cytotoxicity and has no effect in the inhibition of BaP exposure. Phosphorylation of p38 MAPK in both BaP and Mahkota Dewa induced cytotoxicity has been seen but the involvement of oxidative stress is unclear. However, in other cancer cell line SH-SY5Y human neuroblastoma cells, the inhibition efffect of Mahkota Dewa in BaP exposure has been seen and no cytotoxicity effect appeared in this cell line. In conclusion, Mahkota Dewa has induced apoptosis in CCRF-CEM cancer cell line but not in SH-SY5Y cell line, so it has a potential anticancer effect; Mahkota Dewa, however, requires more researches on DNA level using other type of cancer to observe the mechanism
The Relationships between Selection and Processing Food with Escherichia coli Contaminant on Food Stall Serving
No full textEscherichia coli in food stalls surrounding the X Campuss in Depok, year 2012. The research conducted to examine food safety, which were served in surrounding the campus X in Depok. Escherichia coli (E. coli) existence was used to indicate the quality of hygiene and sanitation of the food that was served. Using the cross sectional method, the research examined the persons who served the food to be sold in the food stalls in the campus. There were 173 food servers chosen as the respondents from 10 different food stalls around the university. The existence of E. coli examined in the microbiology laboratory in the Faculty of Public Health. Using the most probable number (MPN) method found that 59.54% of the food served in the campus were contaminated E. coli. Factors affecting the existence of E. coli were the raw materials (vegetables) treated and the length of cooking of the materials (rice/beens). The improper treatment such as washing with no running water or even unwashed vegetables had 5 times risk of the E. coli contamination. Cooking less than 15 minutes was also more risky than cooking more than 15 minutes. As a result, this is very important to find a method to improve knowledge and to increase practical skills in food safety. Furthermore, in this research area may give contribution to avoid E. coli contamination which will prevent unnecessary illness among students in the campus. 
The Potential of Local Chitinolitic Bacteria Isolates as Larvacide of Aedes aegypti L.
No full textThe purpose of the research is to identify the potential of the local chitinolitic bacteria as biocontrol of Aedes aegypti L. This research has been conducted in the Microbiology Laboratory of Mathematics and Science Faculty, University of Syiah Kuala. The chitinolitic bacteria were isolated from water that taking in some area in Banda Aceh and Big Aceh. The method used is an experimental method using completely randomize factorial designed (CRFD) with two factorial and consists of 6 isolates of chitinolitic bacteria and 4 concentrations of bacteria (0.0 mL, 0.5 mL, 1 mL dan 1.5 mL). The results show that the isolates bacteria do not have any effect on the Aedes aegypti L. Larvae death in the transformation from larvae to pupa until the seventh observation day. The concentration of the bacteria influences the Aedes aegypti L. larvae death during the transformation larvae to pupa
Factors Related to Overweight in Kindergarten School Children
No full textObesity has become a significant public health problem of the twenty first century. An increasing number of preschool children are becoming overweight. Although many risk factors have been identified for school-age children, less is known about this young age group. This study was aimed to determine factors associated with overweight among preschool children. Study design was a cross sectional survey. Sample in this study was 90 children aged 3–6 years old in Bina Putik Kindergarten School in Cempaka Putih District (total sampling). The prevalence of overweight and obesity in this sample were 24.4% and 13.3% respectively. There were significant relationships between overweight and some variables using chi-square test such as: age of the children, having overweight parents, nutritional knowledge of the mother, duration of breast feeding, frequency of fast food consumption (p<0.05). In Cox Regression analysis, only the age of children and nutritional knowledge of mothers were found as determinant factors influencing childhood overweight after adjusting other variables. Younger aged children (<5 years) had a greater risk of being overweight than older children (>5 years old). It could be concluded that mother’s knowledge on nutrition played an important role in preventing overweight children. Suggested recommendation in order to prevent overweight since childhood was by increasing mother’s knowledge through optimizing relevant programs in the Puskesmas