Makara Journal of Health Research
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Effectiveness of Ergonomic Chair against Musculoskeletal Disorders in Female Batik Workers of Sragen District
The majority of female batik workers uses non-ergonomic chairs (dingklik) that pose risks of musculoskeletal disorders. This study aimed to design an ergonomic chair and evaluate its effectiveness in reducing musculoskeletal disorders among the workers. This is a quasi-experimental study (using one group pre and post-test design) on 50 female batik workers selected by quota sampling. Musculoskeletal disorders were measured among the samples before and after the use of the designed ergonomic chair which they were asked to use for two months. T-test, ANCOVA, Wilcoxon test, McNemar test and Chi Square test were used for the analysis. The study found statistical significant differences of risk factor against musculoskeletal disorders among the workers before and after their use of the designed ergonomic chair (p=0.000); and of musculoskeletal disorders before and after using the ergonomic chair (p= 0,035). Body Mass Index (BMI) was identified as a confounding factor, and statistical significant difference of musculoskeletal disorders were also found among the workers with <25 and >25 BMI even before and after using the ergonomic chair (p=0.033 and p=0.015 respectively). By ANCOVA statistical test, after controlling BMI, another statistical difference of musculoskeletal disorders was also identified before and after using the ergonomic chair (p=0.033). It is concluded that the designed ergonomic chair is effective to reduce the risk of musculoskeletal disorders
Partly 5` Untranslated Region (5` UTR)-Based Phylogenetic Analysis of Three Hepatitis C Virus Isolates from Jakarta, Indonesia: A Preliminary Study
Currently, we reported results of a nested PCR assay specific 5` UTR region of HCV genome that showed three different patterns of DNA fragments (single expected specific DNA band, single DNA band higher in size than an expected band, and multiple DNA bands). Three isolates (Isolate A, B, and C), representing all the three DNA bands, were analyzed by using phylogenetic trees. The results showed that the Isolate A, B, and C were classified into HCV genotypes 2, 1, and 3, respectively. The Isolate A and B were very closely related to viral isolates from Madagascar and Brazil, respectively and were not closely related to other Indonesia isolates. In contrast with the Isolate A and B, the Isolate C was very closely related to another Indonesia isolate. Among all there isolates, the Isolate C was very closely related to an Indonesia isolate detected from a cirrhosis patient, indicating that the Isolate C might be more virulence than the Isolate B and C. However, a complete genome-based comprehensive genetic characterizationfor all the three isolates needs to be conducted in future research to confirm all findings in this study
Effect of Plectranthus amboinicus Extract on BUN and Creatinine Levels and Cellular Response Proinflammatory Factors TNF-α and IL-1β on Gout Arthritis Patients
The purpose of this research was to develop anti-cytokine-based treatment using extract of Plectranthus amboinicus applied to gout arthritis (GA) patients. The research was quasi experimental, with a pretest-posttest randomized control group design. The samples were GA patientsin the Outpatient Installation of Internal Medicine in General Hospital Haji,Surabaya. The sample was comprised of 30 respondents. The respondents were divided into a treatment group and a control group. The treatment group was asked to take medicine from the hospital, coupled with Plectranthus amboinicus extract capsules, for 7 days, during which time patients’ joint inflammation was observed. The control group was provided with only medication from the hospital, and their joint inflammation was likewise observed. Blood samples were taken before and after treatment, to measure the levels of blood urea nitrogen (BUN) and creatinine, as well as the concentrations of TNF-α and IL-1β. There was a decrease in BUN and creatinine levels in the control group, but it was not significant, decreasing by 3% and 8%, respectively. The treatment group also showed elevated levels of BUN and creatinine, which also was not significant at 3% and 7%, respectively. There was a decrease in the concentration of TNF-α in the control group by 9% and 22%. The concentration of IL-1β in the control group increased by 18%, whereas,in the treatment group,it decreased by3%; however,the decreases in bothgroups were not significant
Effectiveness of Indonesian Essential Oil Mixture of Lemongrass, Cananga, and Patchouli in Relaxation through Inhalation: A Clinical Test on Healthy Woman with High Potential for Stress
Relaxation is one of many mechanisms for coping with stress. One of the most widely used methods for relaxation is aromatherapy with the application of essential oils. Known for their therapeutic benefits, essential oils can be extracted from various Indonesian native herbs such as lemongrass (sereh wangi or Cymbopogon winterianus), cananga or ylang-ylang (kenanga or Canarium odoratum), and patchouli (nilam or Pogostemon cabin). This study aims to examine the effectiveness of a mixture of Indonesian essential oil made of lemongrass, cananga, and patchouli extracts. Experiment was conducted by asking a number of subjects to inhale the oil mixture and assessing its effectiveness in terms of psychological relaxation by using Visual Analog Scale or VAS) and of physical relaxation by examining the subjects’ blood pressure (MAP), pulse frequency, and breathing frequency. The result was then compared with that of lavender oil and with the control group. The study was conducted on 60 healthy women through single-blind clinical trials (before and after) using the “intent to treat” approach, followed by a startle test. Participants were divided into three groups: (1) 20 participants who were treated with Indonesian essential oil mixture, (2) 20 participants who were treated with lavender oil, and (3) 20 participants who served as the control group. Psychological relaxation measurement showed that Indonesian essential oil mixture produced the same degree of effectiveness as lavender oil and the control groups did, although both treatments tended to produce better results than the control group did. However, physical relaxation measurement showed that Indonesian essential oil mixture produced a higher degree of effectiveness than lavender oil and tended to produce a better result than the control group did, especially in terms of blood pressure based on MAP scores.  
Benefit Analysis of Implementation of Alternative SO2 Quality Standards on Acute Respiratory Syndrome (ARI) Incidence Reduction in Indonesia
Indonesia Quality Standard (QS) for ambient SO2 for 1 hour time average i.e. 900 μg/m3(equivalent to 360μg/m3in24 hour time average) regulated in the Government Regulation No. 41 of 1999 is the most loose compared to the ambient SO2 standards of other countries in the world including WHO QS guideline. This QS is not expected to guarantee the protection of public health in Indonesia. Therefore more stringent QS alternative for ambient SO2 is required. This research examines benefit values in public health aspect if Indonesia tightens its ambient SO2 QS. Two alternative QS for SO2 are used i.e196 μg/m3(equivalent to 78μg/m3in24 hour time average) referring to U.S. EPA and 750μg/m3(equivalent to 360μg/m3in24 hour time average) referring to PUSARPEDAL. First step is to map distribution of SO2 ambient concentrations in Indonesia. The result indicates that Provinces of Jakarta and Banten have exceeded both alternative QS while Provinces of Yogyakarta, West Java, Central Java, East Java, Bali, and North Sumatra only exceed the alternative QS of 196μg/m3. From the public health aspect, by attaining to the alternative QS of 750μg/m3, Jakarta and Banten will reduce incidence of ARI by 95% and 98%. By attaining to the alternative QS of 196μg/m3, East Java, Bali and North Sumatra will reduce the incidence of ARI by 59%, 51%, and 5%. 
The Influence of Family Empowerment on the Health Status of Low Birth Weight Infant in Jakarta
Low birth weight (LBW) infant is susceptible to health problems since the infant born, during in the hospital and continue after discharge. The purpose of this study was to identify the influence of family empowerment on the health status of LBW infant. Action research using qualitative and quantitative method was used in this study. Qualitative approach was used to identify the experience of mothers of LBW infants as a data based for intervention development, and quantitative approach was used to evaluate the influence of family empowerment program on the health status of LBW infants. There were 7 participants, 20 mothers and their infants in the intervention group and 27 in the control group involved in this study. The study showed that family empowerment was effective in improving the immunization status and follow- up care attendance, reducing the frequency of acute care visits, increasing mothers' knowledge and skill in providing care. In conclusion, mothers need information on providing a proper care for LBW, and family empowerment can significantly improve maternal knowledge and health status of LBW infants
Religious Activity Participation and Self-Rated Health among Older Population in Indonesia
A number of studies have documented a positive and robust relationship between religious activity and health outcomes. The purpose of the study was to examine the relationship between religious activity participation and self-rated health (SRH) among older population in Indonesia. Data were obtained from 2,915 respondents 60 years and older from the Indonesian Family Life Survey 4 (2007). SRH was assessed by a single-item health measure with four options: “very healthy,” “somewhat healthy,” “somewhat unhealthy,” and “unhealthy”. Logistic regression were used to examine the relationship of the religious activity participation and SRH. Bivariate analysis revealed that religious activity participation was significantly associated with SRH. Multivariate analysis shows that among participants who participated in religious activity, the likehood of a better SRH is increased (OR = 1.422; 95% CI = 1.203 to 1.682) after controlling for sociodemographic variables, socio-economic status (SES), health behaviour and number of Non Communicable Diseases (NCDs). This findings suggest that religious activity participation has an important effect on self-rated health status. Longitudinal studies are needed to help elucidate mechanisms and the order and direction of effects
Home Air Quality And Case Of Pneumonia In Children Under Five Years Old ((In Community Health Center of South Cimahi and Leuwi Gajah, City of Cimahi)
Pneumonia is the number one deadliest disease in the world with the prevalence of 44%. In Indonesia, pneumonia in to odler is the leading cause of death, after diarrhea, with proportion 15,5%. Pneumonia is a disease caused by a virus and bacteria influenced by physical and chemical contaminants. The purpose of this study is to analyze indoor air quality with the incidence of pneumonia in children under five years old with cross sectional method. The population in this study is the population living in the region of South Cimahi Public Health Center and Leuwi Gajah Public Health Center. The criteria of selection for the region are: region with the highest population, high pneumonia cases (in the red and yellow area), a coal-fired industrial area, and located near the toll Purbaleunyi. The sample of this research are respondents who live in the region of South Cimahi Public Health Center and Leuwi Gajah Public Health Center with inclusion criteria length of stay ≥1 year with a child under five years old. Significant correlation occur between PM10 and PM2,5 (p < 0.05) with odd ratio 4.40 and 3.24 while the density of dwelling house, room occupancy density, home ventilation, kitchen hole, a smoker in the home, use of mosquito coils, sulfur dioxide (SO2), nitrogen dioxide (NO2) and carbon monoxide (CO) did not show a significant relationship (p > 0.05) with pneumonia. Dominant factors that cause pneumonia in infants is PM10 (p 0.036) with a value of OR 4.09 after controlled PM2,5 (p 0.142; OR 2.78), the number of bacteria (p 0.004; OR 0.17) and ventilation the house (p 0.395; OR 0.58)
Women’s Experiences of Sexual Problems after Cervical Cancer Treatment: Lessons from Indonesian Women
Cervical cancer remains the most common cancer among women. It is the second major cause of women’s deaths in Asia as well as in Indonesia. Cervical cancer treatment also raises issues of long-term physical, psychological, sexual, and social adaptation. The purpose of the study was to describe and to interpret the experiences of Indonesian women who have experienced sexual dysfunction after cervical cancer treatment. Thirteen Indonesian women who were participated in this study described their experiences on the first to two years after cervical cancer treatment. Data were collected through in-depth interviews. Four themes were identified (1) physical and psychological sexual complaints after cancer treatment; (2) negative effects of cancer treatment towards intimate relationship with their spouse; (3) efforts to overcome sexual problems; and (4) women’s needs for help to improve their sexual health. These studyfindings offer providing new insights into the experiences of Indonesian women with sexual health problems following cervical cancer treatment. This study can provide nurses and other health care providers with better understanding of the experiences, concern and needs of the cancer survivors
Breastfeeding and Occupational Stress and Fatigue of Female Workers in Garment Manufacturing Companies
Female workers have not been clearly defined in the legislation that supports breastfeeding. Moreover, a significant number of them experience occupational stress and fatique, which may disturb productivity. The research aimed to reveal the stress and fatigue level of breastfeeding female workers from garment companies in Sobosukawonosraten area of Central Java. Using cross sectional approach, this analytical survey involved 210 female workers of six garment companies across six districts. Furthermore, cluster snowball sampling technique was used to sample the workers, and chi-square test was used to analyze the data. Research results indicated a significant correlation between breastfeeding and occupational stress (X2= 15.307, p= 0.000) with an effect of 26.1% (C= 26.1; OR= 3.124); and another significant correlation between breastfeeding and occupational fatigue (X2= 15.307, p= 0.000) with a 55.5% effect (C= 55.5; OR= 30.82). On the whole, breastfeeding female workers have special needs and require attention from the companies in order to continue supporting good breastfeeding for the babies, who will become the nation’s future generation