Jurnal Ilmiah Kesehatan Sandi Husada

Correlation between stress and primary dysmenorrhea at SMAN 4 Kediri

2024-10-19T12:55:40+07:00

Introduction: The physiological disorder experienced by most women in Indonesia every month is primary dysmenorrhea (60-70%). The incidence of primary dysmenorrhea was experienced by female students at SMAN 4 Kediri City, as many as (90.8%) of all female students. One factor is stress.

Objective: Determine the relationship between stress and the incidence of primary dysmenorrhea at SMAN 4 Kediri City.

Methods: This research used the Analytical research design correlation with a cross-sectional approach, a population of 258 students, and a simple random sampling with a sample of 39 female students. The instrument used was questionnaires, with Spearman rank correlation analysis.

Result: The results of this study were moderate stress 28.2% and moderate pain dysmenorrhea 53.8%. Statistical tests showed the correlation coefficient of Spearman rank sig value was 0.030; there was a significant relationship with a reasonably strong relationship strength of 0.347. Stress is the cause of dysmenorrhea to prevent dysmenorrhea can be minimized by preventing stress.

Conclusion: the higher the stress, the higher the risk of dysmenorrhea in female students at SMAN 4 Kediri City. The higher the stress level experienced by female students, the greater their risk of experiencing dysmenorrhea (menstrual pain). This suggests that psychological factors such as stress can affect physical health conditions, particularly related to menstrual disorders in adolescent girls. To reduce the risk of dysmenorrhea, it is important to pay attention to stress management in students.

The The relationship of accessibility, ownership of health security and family support with the behavior of III trimester pregnant women in choosing a delivery help

2024-11-06T21:47:59+07:00

Introduction: One of the aspects that causes the high MMR in Indonesia and in several regions is that the coverage of assistance by health workers is still low. The reason why people decide to give birth to non-health workers (quacks) is because of the low level of education in society, culture, and the economy. Factors that influence the choice of birth attendants include areas where coverage is still not close to health facilities, ownership of health insurance, and family support, which is still the predominant reason mothers do not choose birth attendants by professionals in health facilities.

Objective: The general aim of this research is to understand the relationship between accessibility and ownership. Health insurance and family support with the behavior of TMT III pregnant women in choosing birth attendants.

Methods: This research method is quantitative research with a cross-sectional design.Result: The chi-square test results show a relationship between accessibility, ownership of health insurance, family support, and the behavior of TMT III pregnant women in choosing birth attendants.

Result: The chi-square test results show a relationship between accessibility, ownership of health insurance, family support, and the behavior of TMT III pregnant women in choosing birth attendants.

Conclusion: It is hoped that this can increase the role of the community in helping all mothers who are about to give birth to choose professional health workers to assist them in giving birth so that it is hoped that all mothers in labor can be assisted in giving birth through a safe delivery process so that the mother and baby are healthy and safe.

Drug resistance of tuberculosis patients at the makassar city community lung health center hospital: Case Study

2024-10-19T14:25:44+07:00

Introduction: Drug-resistant tuberculosis (TB-RO) is still a health problem because of its rapid transmission with an increasing number of cases.

Objective: This study aims to discover in-depth patient knowledge about tuberculosis and the family's role in treating drug-resistant tuberculosis patients.

Methods: This research uses a qualitative case study approach with nine informants. The selection of informants was determined using a purposive sampling technique. Data collection was obtained through interviews and observations. Data analysis was carried out qualitatively.

Result: The research shows that informants' knowledge about drug-resistant tuberculosis depends on their educational history. In contrast, informants with low educational backgrounds only know the term tuberculosis but do not know the causes and dangers of drug-resistant tuberculosis. Another thing that was found was that the family also played a role in the patient's treatment by providing support and encouragement for the informant during the treatment period.

Conclusion: This research concludes that the informant's knowledge about tuberculosis plays an essential role in the occurrence of drug-resistant tuberculosis. The role of the family does not contribute to the occurrence of drug-resistant tuberculosis in the informant. It can be concluded that the earlier the age of menarche increases the risk of uterine myoma later in life. In contrast, slower menarche may be associated with a reduced risk of myomas. Other factors such as genetic, environmental, and lifestyle factors also influence the incidence of uterine myomas, but menarche age is one of the significant hormonal indicators of risk.

Vaginal cleansing soap causes pathological vaginal discharge: a case study

2024-10-19T21:11:17+07:00

Introduction: Vaginal discharge or another name is flour albus or leukorrhea, which occurs in women who are teenagers or of childbearing age. 75% of women will experience vaginal discharge at least once in their lives. Abnormal vaginal discharge is caused by infection from various microorganisms. In Indonesia alone, 90% of women are at risk of experiencing pathological vaginal discharge due to the tropical climate. Women often do vaginal cleaning or vaginal douching. Usually, this activity uses vaginal cleansing fluid.

Objective: This study aims to dig deeper into the relationship between the use of vaginal cleansing soaps and pathological vaginal discharge in women, hoping to provide better insight into the effects of using these products and provide appropriate health recommendations.

Method: The research design uses a descriptive case study method which aims to describe the relationship between two things experienced by the patient, namely vaginal discharge and the habit of cleaning the vagina with vaginal cleansing soap.

Results: A 30-year-old woman came to the clinic with complaints of vaginal discharge coming out of her vagina. The vaginal discharge also feels thick, smells fishy, and feels very itchy in the vaginal area. On physical examination, mucopurulent vaginal discharge with a fishy odor was found. The labia majora looks swollen and red. By using a speculum, the cervix appears reddish. No abrasions or blood spots were found on the cervical neck.

Conclusion: There is a relationship between the use of vaginal cleansing soap and the emergence of pathological vaginal discharge. Changes in the acidity of the vagina influence the emergence of pathological flora. There is a need to increase Knowledge of how to maintain vaginal cleanliness, not just using vaginal cleansing fluids. With this study, it is further proven that the use of vaginal cleansing soap can cause pathological vaginal discharge. It is necessary to have good education for women with pathological vaginal discharge so that there is no recurrence of similar cases. In the case study above, it is essential to carry out additional examinations to find out the cause of the vaginal discharge, whether it is fungus, bacteria, or protozoa so that it can speed up the healing of the patient. With this research, it is also hoped that it can be an example of health care about pathological vaginal discharge and increase women's Knowledge of what kind of good vaginal cleaning behavior.

Physical quality test of jamblang fruit ethanol extract antioxidant cream (syzygium cumini (l.) Skeels)

2024-10-19T22:26:13+07:00

Background: Antioxidants are compounds that can protect against oxidative stress caused by free radicals, both from inside the body (endogenous) and outside (exogenous). Many plants have antioxidant properties, including gambling (Syzygium cumini (L.) Skeels). This plant is known to have various bioactive components that can capture and neutralize free radicals; Jamblang fruit has antioxidant activity caused by the content of flavonoid compounds in it. These compounds can be utilized as topical preparations for skin care products.

Objective: This study aims to determine the effect of ethanol extract concentration of jamblang fruit (Syzygium cumini (L.) Skeels) on the physical stability of the cream.

Methods: This research is conducted in an experimental laboratory. Jamblang fruit extract was obtained using the maceration method using 96% ethanol. The extract was then formulated in the form of a m/a type cream preparation with concentration variations of 1% (FI), 2% (F2), and 3% (F3). The physical stability test of the cream includes viscosity, spread, adhesion, and pH value tests. The data is analyzed to determine the effect of adding extracts and the storage time on the physical stability of the cream.

Results: The test showed that an increase in the concentration of ethanol extract from jamblang fruit led to a decrease in pH value, viscosity value, and adhesion and could increase dispersion. It was concluded that the variation in the concentration of ethanol extract from jamblang fruit influenced the physical properties of M/A cream.

Conclusion: It can be concluded that the variation in the concentration of ethanol extract of jamblang fruit affects the physical properties of the oil cream in water (M/A). The effects caused include a decrease in pH value, a reduction in viscosity, a decrease in adhesion, and an increase in dispersion. These changes will ultimately affect the physical stability of the cream preparation.

Public health nurses' caring behaviour can increase homecare patients' satisfaction

2024-10-25T09:07:30+07:00

Background: Caring behavior plays a vital role in the nursing profession, especially in public health settings. In-home care services, where patients receive medical attention in the comfort of their homes, the quality of care and patient satisfaction depends heavily on the nurse's ability to exhibit caring behavior.

Objective: This study aims to analyze and identify the relationship between the caring behavior of public health nurses and the level of patient satisfaction in homecare services.

Methods: In this study, the design used is a quantitative research design with a cross-sectional study approach. According to the formula found by Isaac and Micheal, the population in this study amounted to 402 respondents, so a sample of 162 respondents was obtained. The sampling technique was Probability Sampling with a proportional random sampling type.

Results: Based on the results of the cross-tabulation that has been carried out between caring behavior and patient satisfaction using the Fisher Exact test statistical test, the result is in the form of a p-value of 0.001 with a significant level of <0.05 and with this value (0.001) means less than the value a (0.05). It can indicate that Ha is accepted and Ho is rejected, and it can be concluded that caring behavior can increase patient satisfaction.

Conclusion: Researchers suggest that the caring behavior of public health nurses has a vital role in increasing patient satisfaction with homecare services. Nurses can help patients feel more comfortable and supported in their home environment through more personalised attention, effective communication, and emotional support. This contributes directly to increased patient satisfaction, which feels valued and cared for holistically in home care.

Relationship between menarche age and parity with the incidence of uterine myomas

2024-12-04T16:08:04+07:00

Background: Uterine myomas, or fibroids, are one of the most common benign tumors that occur in women of reproductive age, with a reasonably high prevalence worldwide. However, rarely, potentially malignant uterine myomas can cause a variety of health problems, including excessive menstruation, pelvic pain, fertility disorders, and pregnancy complications.

Objective: This study aims to analyze the relationship between menarche age and parity with the incidence of uterine myoma.

Methods: Types and design of research the plan used in this exploration is quantitative exploration with a case control approach. The sample consisted of 138 respondents, 102 of whom were mothers who experienced uterine myoma and 36 mothers who did not experience the adverse effects of uterine myoma.

Results: The test results measured using the chi-square test were obtained with p-value menarche age = 0.004 and parity p-value = 0.000, meaning that there was a very large relationship between menarche age and parity with the incidence of uterine myomas.

Conclusion: It can be concluded that the earlier the age of menarche increases the risk of uterine myoma later in life. In contrast, slower menarche may be associated with a reduced risk of myomas. Other factors such as genetic, environmental, and lifestyle factors also influence the incidence of uterine myomas, but menarche age is one of the significant hormonal indicators of risk

Determinants of knowledge regarding self-medication among professional students of the apothecary

2024-10-25T23:29:46+07:00

Background: Self-medication or the use of over-the-counter drugs by the general public, including among professional students, is becoming an increasingly common practice. However, this practice can carry risks if done without adequate knowledge, especially for pharmacist students who will later play a role in providing education related to drug use.

Objective: This study aims to identify factors that affect the level of knowledge of pharmacist program students regarding self-medication.

Methods: This study was a cross-sectional survey using an online questionnaire, and the recorded data were analyzed using Logistic regression models. In total, 100 (66.7%) of 150 students practised self-medication at least once recently.

Results: We observe that female students were more likely to have a higher level of knowledge about self-medication than male students—aOR = 4.52, 95 % CI = 1.41-14.42. Meanwhile, students living alone were less likely to have a higher level of self-medication knowledge than those staying with somebody else —aOR = 0.47, 95 % CI = 0.23-0.97.

Conclusion: The effect of students who practised self-medication on a higher level of knowledge about self-medication was significant among students who live with somebody else—aOR =2.85, CI = 1.01-8.01 but not among students who live alone. There are more attempts to educate the students about self-medication and the possible risks of doing self-medication. We suggest a similar study can be observed among students during their bachelor study or in their Professional Program.

Video media is more effective to improve balanced nutrition knowledge

2024-10-26T10:42:03+07:00

Introduction: Providing appropriate nutrition information is important to increase public knowledge about balanced nutrition. One proven effective method is using video media as a means of education.

Objective: Analyze the effectiveness of video media in increasing knowledge about balanced nutrition.

Methods: This study uses a quasi-experimental study design without group controls. The population of this study is all students, with a sample of 52 people who meet the inclusion and exclusion criteria. The sampling technique used stratified random sampling.

Result: The study showed that the use of video increased the average knowledge score (mean) by 85.96 video (p=0.003). This study shows that providing nutrition education with video media is more effective in increasing balanced nutrition knowledge.

Conclusion: Video media has been proven more effective in increasing knowledge about balanced nutrition. Video media can present information more interesting, interactive, and visually, making it easier for the audience to understand and remember the material conveyed. A significant increase in knowledge in the group receiving the video media intervention showed that this method is an effective educational tool in balanced nutrition campaigns. Therefore, video media is recommended as a nutrition counseling strategy to expand the reach and impact of health education in the community.

Analysis of social determinants with quality of life in people with HIV/AIDS at the voluntary counseling test clinic

2024-10-30T21:28:53+07:00

Introduction: HIV and AIDS are known to have become an emergency problem around the world, where infection transmission, morbidity rates, and mortality rates are still high. The existence of the HIV/AIDS epidemic is one of the scary scourges among the community because of its unexpected transmission by HIV due to human behaviour.

Objective: This study aims to analyze social determinants with quality of life in people with HIV/AIDS in the Voluntary Counseling and Testing Clinic.

Methods: This study is an analytical study using a cross-sectional study research design. The population in this study is all HIV/AIDS patients domiciled in Kendari City. The number of samples was 177 respondents which was determined by simple random sampling. Data analysis uses the chi-square test and the multiple logistics test.

Result: The results of the study showed that there was a stigma relationship with Odhiv's quality of life at the VCT Clinic of Kendari City Hospital (p = 0.000) and there was a relationship between social support and Odhiv's quality of life at the VCT Clinic of Kendari City Hospital (p = 0.000). The variable that has the greatest influence on the quality of life of ODHIV is the social support variable with an OR of 0.353.

Conclusion: The variable that has the greatest influence on the quality of life of People with HIV/AIDS (ODHIV) is social support. Social support has proven to be a very significant factor in improving the quality of life of people living with HIV. Individuals with strong social support, whether from family, friends, or the community, tend to have a better quality of life than those who receive less social support. Social support plays a role in helping people with HIV cope with stigma, reduce psychological pressure, and provide a sense of security and comfort that can have a positive impact on their physical and mental well-being.

Decoction of bay leaf (syzygium polyanthum) against the reduction of high blood pressure in 3-month injectable birth control receptors

2024-10-30T22:32:50+07:00

Introduction: Hypertension or high blood pressure is a serious health problem and has the potential to trigger various complications, such as heart disease and stroke. Bay leaf (Syzygium polyanthum), which is traditionally used as an herbal medicine, is known to contain bioactive compounds such as flavonoids, tannins, and saponins, which have the potential to lower blood pressure. However, research on the effectiveness of bay leaf decoction in 3-month injectable birth control receptors is still limited.

Objective: This study aims to evaluate the effect of bay leaf decoction (Syzygium polyanthum) on the reduction of high blood pressure in 3-month injectable birth control receptors.

Methods: This study uses a quasi-experimental method with a pre-test and post-test design in one group. A total of 60 respondents who were long-term acceptors of 3-month injectable birth control with high blood pressure were selected purposively. The respondents were given a decoction of bay leaves every day. Blood pressure was measured before and after the intervention using a digital sphygmomanometer. Data were analyzed using a paired t-test to determine the significant difference between blood pressure before and after the intervention.

Result: The study showed a significant decrease in systolic and diastolic blood pressure after administering bay leaf decoction. The average decrease in systolic blood pressure was 12 mmHg, and diastolic blood pressure was eight mmHg after 14 days of consumption. The paired t-test showed a p< value of 0.05, indicating a significant difference between blood pressure before and after the intervention.

Conclusion: Bay leaf decoction (Syzygium polyanthum) significantly lowers high blood pressure in 3-month injectable birth control receptors. These results suggest that bay leaf can be a potential complementary therapy in the management of hypertension, especially for those who use long-term hormonal contraceptives. Although the results of this study are promising, more research with larger sample sizes and extended intervention periods is needed to confirm these findings and assess the long-term safety of using bay leaf decoction

Analysis of factors related to the incidence of hypertension in the elderly

2024-11-02T20:03:31+07:00

Introduction: Hypertension or high blood pressure is one of the main health problems in the elderly population in various parts of the world. The elderly are more susceptible to hypertension due to the ageing process that affects the elasticity of blood vessels, as well as increased peripheral resistance. In addition, various risk factors, such as an unhealthy lifestyle, poor diet, and certain medical conditions, can worsen the condition of hypertension in the elderly.

Objective: This study aims to analyze factors related to the incidence of hypertension in the elderly.

Methods: This research uses a cross-sectional design, an analytical study that studies the causes of incidents or incidents. Data collection uses a questionnaire. The sample in this study was 64 elderly hypertensive patients in the working—data analysis using the chi-square test.

Result: The results of this study indicate that there is a relationship between physical activity (p=0.000), obesity (p=0.000), diet (p= 0.029), smoking habits (p=0.000) and work (p=0.020) with the incidence of hypertension in the elderly in working.

Conclusion: The incidence of hypertension in the elderly with the variables studied shows that there is a relationship, and the most related variable is obesity. So, it is hoped that the elderly, especially those who are obese, should be given intervention to maintain their diet so that complications do not occur and can reduce the risk of hypertension.

Analysis of factors related to stunting prevention behavior in toddlers

2024-11-02T21:13:18+07:00

Introduction: Stunting or failure to grow is a condition that describes the nutritional status of a child with a chronic nature during the growth and development of the child from the beginning of life, characterized by a child's height that is shorter than the age.

Objective: This study analyzes factors related to stunting prevention behavior in children under five.

Methods: This type of research is an observational study with a Cross-Sectional Study approach, where the researcher only observes a phenomenon at a certain point in time that explains the relationship between one variable and another variable in the studied population. Data collection was carried out using a questionnaire. The sample of this study is 20 mothers under five. Data analysis was carried out using Fisher's Exact Test.

Result: The results of the Fisher's Exact Test statistic test obtained a value of p-value = 0.018; family support obtained a value of p-value = 0.004; sociocultural obtained a value of p-value = 0.004; Knowledge obtained a value of p-value = 0.000 < an alpha value (α = 0.05).

Conclusion: This study shows a significant relationship between Education, family support, socio-culture, Knowledge, and stunting prevention behavior in children under five. Maternal Education, family support, sociocultural aspects, and mothers' Knowledge are essential in stunting prevention efforts.

Analysis of determinant factors affecting treatment compliance of hypertensive patients

2024-11-03T14:57:26+07:00

Introduction: Hypertension requires regular and controlled treatment to stabilize blood pressure and prevent complications. Many hypertensive patients do not comply with hypertension treatment procedures, including medication.

Objective: This study aimed to analyze the determinant factors influencing medication compliance in hypertensive patients.

Methods: The research method used was observational analytic with a cross-sectional design. Data collection using a questionnaire. The sample in this study was 67 hypertension patients. Data analysis used the chi-square test.

Result: The results of this study indicate that there is an influence of the level of knowledge (p = 0.045), motivation to seek treatment (p = 0.000), and family support (p = 0.000) on medication compliance in hypertensive patients.

Conclusion: Motivation to seek treatment is the most dominant variable on compliance with the treatment of hypertension patients. Health workers must develop an educational strategy focusing on increasing patient motivation.

Analysis of blood calcium levels in calcium water consumers

2024-11-03T20:59:17+07:00

Introduction: Water is a primary and basic human need. One of the chemical parameters that must be met for drinking water needs is mineral content, such as calcium and magnesium. Water hardness is a condition in which there is excessive calcium and magnesium content, which is commonly known as calcareous water. If consumed long-term, high-water hardness that exceeds normal limits can interfere with body health. Specifically, excess calcium in the body can cause hypercalcemia, hyperparathyroidism, kidney stones, and muscle tissue damage (muscle weakness).

Objective: This study aims to determine blood calcium levels in individuals who consume calcareous healthy water.

Methods: The type of research used is descriptive-analytical, with blood calcium level analysis carried out using the Ion Selective Electrode (ISE) method through the Electrolyte Analyzer (CBS400).

Result: Based on the results of the study, it was obtained that blood calcium levels in 30 community respondents in Ranomeeto District (100%) were above the reference value, indicating high blood calcium levels.

Conclusion: blood calcium levels in people who consume lime juice indicate high blood calcium levels. Consuming water with a high lime content can hurt health. Therefore, people need to consider the quality of the drinking water they drink, especially those that have a high lime content, to maintain heart and kidney health in the long term.

Molecular characterization of selected endophytic fungi isolate IDGG 3 leaf galing galing (cayratia trifolia L.) with the polymerase chain reaction method

2024-11-06T14:30:47+07:00

Background: Endophytic fungi live in plant tissues and are usually not harmful to their host plants. One of the host plants for endophytic fungi is bush grape leaves (Cayratia trifolia L.).

Objective: The research aimed to determine the molecular characteristics of the endophytic fungi isolates selected IDGG 3 of bush grape leaves.

Methods: The test used the polymerase chain reaction method to determine the species-level characteristics using internal transcribed spacers (ITS) 1 and 4. The DNA band was successfully amplified with 500 base pairs with 3000 markers.

Results: The fungi isolates selected IDGG 3 of bush grape leaves in molecular identification based on the Basic Local Alignment Search Tool (BLAST) analysis on Genebank NCBI that the IDGG 3 samples of bush grape leaves had a similarity level of 99%, namely Fusarium incarnatum JL5-2, Fusarium incarnatum JL3-4- 1, Fusarium incarnatum CBB-2, Fusarium incarnatum JL3-3, Fusarium incarnatum CBA-3, Fusarium incarnatum CBB-1, Fusarium incarnatum CBA-2, Fusarium chlamydospore, Fusarium cf. Incarnatum, and Fusarium sp.

Conclusion: The results of the molecular characteristics of the selected endophytic fungi isolate IDGG 3 galing-galing leaves (Cayratia trifoliata L.) have the closest degree of kinship with the species Fusarium incarnatum JL3-4-1. The importance of the PCR method in the molecular characterization of endophytic fungi, as well as opening opportunities for further exploration of the biotechnological potential of endophytic fungi from Cayratia trifolia L.

The Relationship between nutritional status and menstrual cycle and anemia

2024-11-09T21:30:20+07:00

Introduction: Adolescence is a period of growth and puberty; adolescents are very concerned about appearance, so they pay attention to their diet until they are strict. This causes the intake needed to be unmet, then impacts the menstrual cycle and anemia.

Objective: This study aims to analyze the relationship between nutritional status, the menstrual cycle, and the incidence of anemia in adolescent girls.

Method: This research is an analytic observational study. The approach in this research is cross-sectional. The population is 447 female students aged 13-15; the sample is 83. Sampling using consecutive sampling. The data collection instrument used a questionnaire to determine the menstrual cycle, measure height and weight, and measure Hb levels with digital tools.

Results: This study uses the Spearman Rank test formula value 0.05. The results of nutritional status with menstrual cycles were 0.016 < 0.05, and then significant results were obtained; on nutritional status with anemia, the results were 0.00 < 0.05, then substantial results were obtained, and the results of menstrual cycles with anemia were 0.06 > 0.05 then the result is not essential.

Conclusion: It can be concluded that there is a relationship between nutritional status and the menstrual cycle and anaemia, but there is no relationship between the menstrual cycle and anaemia. Optimal nutritional status, including adequate iron intake, is essential for maintaining menstrual health and preventing anemia. Nutrition interventions and health education on the importance of balanced nutrition can be a practical step in supporting women's reproductive health

The effectiveness of reproductive midwifery care with the flour albus approach: A Case Study of handling vaginal discharge in women of childbearing age

2024-11-09T21:37:18+07:00

Introduction: Women of childbearing age have a higher risk of vaginal discharge than adolescents because of the frequent occurrence of pelvic inflammatory disease (PID). One of the symptoms of reproductive organ infections in women is vaginal discharge.

Objective: This study aims to apply midwifery care to cases of vaginal discharge (flour albus).

Methods: A descriptive method with a case study approach is used. Data was collected through primary data, including assessment and observation of the patient's health status, interviews to obtain subjective data, and direct examination for objective data. Secondary data was obtained through patient records, registered books in the KIA room, and literature studies.

Result: The results showed that the symptoms of vaginal discharge in patients included thick white mucus, unpleasant odor, and itching in the genital area. The care provided uses red betel leaf water decoction as a treatment effort. After obstetric care was carried out from July 16 to 20, 2024, the results were obtained that the patient's vaginal discharge improved without signs of genetic infection.

Conclusion: The success of this care is also marked by an increase in patients' understanding of good personal hygiene, how to properly clean the feminine area from front to back, and the effective use of red betel leaf boiled water. Thus, the management of obstetric care applied to this case of vaginal discharge is quite successful and practical, with a decoction of red betel leaves providing a positive effect in reducing the incidence of pathological vaginal discharge.

The physical quality test formulation of ethyl acetate extract of kawista fruit peel (Limonia Acidissima L.) Ointment as an antibacterial against propionibacterium acnes

2024-11-09T21:48:00+07:00

Introduction: Using medicinal plants in Indonesia still needs to be optimized. Almost all parts of the Kawista plant have been traditionally used to treat various ailments such as antioxidants, antidiabetic, wound healing, and controlling uric acid levels. Existing research on Kawista fruit peel as an acne antibacterial includes studies on the ethyl acetate extract of Kawista fruit peel against Propionibacterium acnes, which falls into the moderate to strong category. In Indonesia, Kawista fruit is limited to the flesh and is used to make syrup and dodol (a traditional sweet). In contrast, the fruit's peel remains a waste product.

Objective: This study aims to develop a formula for an ethyl acetate extract ointment of Kawista fruit peel (Limonia acidissima L.) as an antibacterial agent against Propionibacterium acnes with good physical quality.

Methods: The fruit peel extract was obtained using the maceration method with 96% ethanol. The extract was then formulated into ointment preparations with concentration variations of 6.25% (F1), 12.50% (F2), and 25% (F3). The physical stability tests for the ointment included organoleptic parameters, homogeneity, spreadability, and pH value tests. The data were analyzed to determine the effect of the extract concentration and storage time on the ointment's physical stability.

Result: The test results showed that the ointment formulation of Kawista fruit peel extract (Limonia acidissima L.) could be successfully formulated into an ointment form and met the required evaluation criteria, including organoleptic testing, homogeneity testing, pH testing, and spreadability testing.

Conclusion: Based on the study, it can be concluded that the Kawista fruit peel extract ointment (Limonia acidissima L.) can be successfully formulated into an ointment and meets the required evaluation criteria, including organoleptic testing, homogeneity testing, pH testing, and spreadability testing. A skin irritation test is required to determine whether any irritation occurs after applying the ointment.

The effectiveness of giving young coconut water in reducing dysmenorrhea symptoms: A case study of midwifery care

2024-11-16T14:47:37+07:00

Introduction: Dysmenorrhea is a common condition in women during menstruation, characterized by severe pain that can interfere with daily activities. The administration of medical therapy is often used to treat these symptoms, but natural approaches such as giving young coconut water are also starting to be considered.

Objective: This study aims to analyze the effectiveness of giving young coconut water in reducing pain intensity in dysmenorrhea patients and provide an overview of the application of natural therapy-based obstetric care in patients with menstrual complaints.

Methods: This study uses a case study design with a qualitative approach. The subject of the study was an adult woman who experienced primary dysmenorrhea. Data were collected through in-depth interviews, direct observation, and assessment of pain intensity using the VAS (Visual Analog Scale) scale before and after administering young coconut water.

Result: The study showed a significant decrease in the intensity of dysmenorrhea pain after administering young coconut water. Before the administration of therapy, patients reported pain intensity at level 8 (scale 0-10), and after three days of administration of young coconut water, pain intensity decreased to level 3. Patients also reported feeling more comfortable and being able to continue their daily activities better. No significant side effects were found related to the consumption of young coconut water. I am injuring kei three mestiuia such does not feel jealous, the nature of the blood of meirah can bioactivity deingan good to know the absence of the current suidah in the absence of good.

Conclusion: Giving young coconut water can be effective in reducing the symptoms of dysmenorrhea in patients who experience it. This therapy can be a safe and natural alternative to help relieve menstrual pain. It can be applied in obstetrics as part of a comprehensive approach to reproductive health care. Further research with larger samples is needed to reinforce these findings and explore the mechanism of action of young coconut water in dysmenorrhea

Sexual behavior factors that influence the incidence of HIV/AIDS in men's groups’ male sex

2024-12-01T09:51:16+07:00

Introduction: HIV/AIDS remains a significant public health problem in the world, including in Indonesia. The disease is spread through various pathways, but one of the groups most vulnerable to infection is Men Who Have Sex with Men (MSM). This study aims to analyze the influence of sexual behavior on the incidence of HIV/AIDS in the Men Having Sex with Men (MSM) group.

Research Methodology: This type of research is quantitative research with a case-control research design. The population in this study consisted of cases and a control population. The population of cases in this study were all groups of Men Who Have Sex with Men (MSM) who had undergone an HIV test with positive (+) HIV test results and had taken ARV treatment at the Kendari City Regional Hospital for the last 6 (six) months and were domiciled as many as 349 people.

Result: The results of the study showed that there was an influence of condom use (OR = 7.154), number of sexual partners (OR = 21,000), anal sex (OR = 7.042), and oral sex (OR = 3.367) on the incidence of HIV/AIDS in the Men Sex Men group.

Conclusion: The conclusion is that the sexual behavior of using condoms, number of sexual partners, anal sex, and oral sex are risk factors for the occurrence of HIV/AIDS in the group of men having sex with men. Therefore, individuals in this group need to receive education about the risks, as well as effective prevention methods, such as consistent condom use, routine HIV testing, and open communication with sexual partners.

Implementation of effective communication in interprofessional collaboration to improve inpatient services

2024-12-01T09:56:30+07:00

Introduction: Interprofessional Collaboration (IPC) is an interprofessional collaboration between people with different professional backgrounds who work together to solve health problems and provide health services. This research aims to analyze the implementation of effective communication in interprofessional collaboration to improve inpatient services.

Research Methodology: The research is qualitative with a phenomenological design. Six people were the research informants: hospital leadership, PMKP, medical committee, medical service element, nursing element, and medical support element. Data will be collected using observation, FGD, in-depth interviews, and document study. Data processing and analysis use the Miles and Huberman method.

Result: The study's results indicate that the implementation of IPC still needs improvement. Lack of practical communication skills is the leading cause of IPC being less than good. Management efforts to improve helpful communication skills include providing training related to effective communication, forming an evaluation team, and giving rewards and punishments.

Conclusion: Management is making efforts to improve effective communication skills by providing training related to effective communication, forming an evaluation team, and giving rewards and punishments. Health workers are making efforts to comply with all rules that have been given by management to support an effective communication program for patients and between health workers

Factors that influence the use of voluntary counseling and testing (VCT) clinics by people living with HIV/AIDS in MSM group

2024-12-01T10:02:04+07:00

Introduction: The VCT Clinic service program is one of the early detection efforts to find out whether someone has been infected with HIV or not through Voluntary Counseling and Testing (VCT). Risky sexual behavior with HIV/AIDS is the MSM group. This study aimed to determine the factors that influence the utilization of VCT services in the MSM group.

Research Methodology: This study is a type of quantitative research with an approach using a cross-sectional study design. The population in this study were all HIV/AIDS sufferers who were undergoing ARV treatment at the Kendari City Hospital in 2023, totaling 349 people. Data were analyzed using SPSS to determine the frequency distribution and the chi-square statistical test to determine the variables' relationship.

Result: The results showed a relationship between knowledge and the utilization of VCT clinics by the MSM group with a closeness level of 0.517, which indicated a moderate closeness of the relationship. There was a relationship between actions and the utilization of VCT clinics by the MSM group with a closeness level of 0.343, which indicated a weak closeness of the relationship. There is a relationship between family support and the use of VCT clinics by the MSM group, with a closeness level of 0.262, indicating a weak closeness of the relationship. There is a relationship between social support and the use of VCT clinics by the MSM group, with a closeness level of 0.300, indicating a weak closeness of the relationship.

Conclusion: The analysis results show a significance value of <0.05, meaning there is a relationship between knowledge, attitudes, actions, social support, and family support with the use of VCT clinic services. Suggestions: It is hoped that the Kendari City Health Office will make policies in carrying out HIV/AIDS prevention activities, especially for the MSM group, by maximizing socialization about HIV/AIDS in hotspots where the group carries out activities. In addition, it is coordinating with the Education Office to provide education and socialization to students and the community to limit and avoid factors that cause risky sexual behavior.

Overview of Emotional Intelligence (EI) of implementing nurses in providing nursing services in inpatient wards at hospitals

2024-12-01T10:06:20+07:00

Introduction: Emotional intelligence is an important skill that health professionals such as nurses must possess. Emotional intelligence leads to mental health, self-care, and job satisfaction. The purpose of this study was to determine the level of emotional intelligence of nurses in the hospital, which consists of components of self-awareness, emotional management, motivation, empathy, and skills.

Research Methodology: The research method was a quantitative survey involving 111 associate nurses from 10 treatment rooms selected using a purposive sampling technique. The research instrument used a nurse characteristics questionnaire and an emotional intelligence questionnaire.

Result: The results showed that the characteristics of the respondents were primarily female. Namely, 70 nurses (63.1%) and the level of education in the nursing profession was higher than the Diploma but not much different, namely 59 and 50 respondents, respectively. The average age of respondents is 31 years, and the average length of work is 6.54 years. The results of nurses' emotional intelligence are at a high level, namely as much as 70.3%; high emotional intelligence can support the ability of nurses to provide nursing services. Nurses must consider emotional intelligence development.

Conclusion: This can have a good impact on the nursing services provided. Nurses will reach bio-psycho-social and spiritual well-being. Implementing EI in nursing practice within inpatient wards is essential for enhancing the quality of care provided to patients and the well-being of nursing staff. Investing in training programs that foster emotional intelligence could significantly improve healthcare outcomes, reduce burnout, and create a more supportive work environment

Analysis of risk factor microflora colonization on pregnancy vagina in makassar

2024-12-01T20:15:11+07:00

Introduction: Worldwide infection rates based on estimated 20-30 % colonization at 35 weeks gestation. During normal pregnancy colonization transient, intermittent, or chronic infection and the spectrum varies from asymptomatic colonization to the sepsis. Intrapartum transmission of bacteria from mother to neonatal, will cause the infection develops into neonatal sepsis during childbirth. This study aimed to determine the proportion of the colonization of gram positive and negative bacteria in pregnant women over 31 weeks of age.

Research Methodology: This research uses vaginal swab samples from pregnant women and blood samples from babies who are born, then these samples will be examined in the Unhas Hospital laboratory. Vaginal swab samples via transport medium will be placed in BHIB medium then incubated at 270 C for 24 hours.

Result: Prevalence of gram-positive bacterium identified Streptococcus species (0.9%), S. Aureus (11.8%) and S. Epidermidis (78.4%). For gram-negative bacteria had identified; Enterobacter Sp (32.3%), Providencia Sp (12.7%), Proteus Sp (8.8%), Acinetobacter sp (5.9%) and E. Coli (6.9%). Candida Sp obtained on SDA culture and gram staining followed by a number of 54 samples (55.1%). The symptom was to be is Discharge Vagina over 30% cases. Among 76.6% with habitually antiseptic usual. Based on data statistical analysis can be concluded that the age have a significance level 0:01 (ρ < 0.05) .and contraceptive used have a significance level of 0.038 (ρ < 0.05), had a relationship with a potential fetomaternal infection to infant.

Conclusion: that maternal age and history of contraceptive use are significantly associated with bacterial colonization in pregnant women. These findings underscore the need to consider demographic and behavioral factors when assessing and managing vaginal health during pregnancy. Effective educational interventions focusing on proper hygiene practices and the risks associated with antiseptic soap use, coupled with targeted monitoring of older pregnant women and those with a history of contraceptive use, are recommended to reduce the risks associated with vaginal microbial colonization

Environment that causes diseases: article review

2024-12-03T23:09:36+07:00

Introduction: Environmentally induced diseases have become a global concern due to their significant impact on public health. The environment plays a significant role in increasing or decreasing the risk of disease through various factors, such as air, water, and soil pollution and exposure to hazardous chemicals. This review aims to analyze the literature on environmental factors that trigger diseases, including infectious diseases, chronic diseases, and mental health disorders, and to understand the mechanisms and impacts caused.

Research Methodology: This study used a systematic literature review of scientific articles, research reports, and other reliable sources published in the last two decades. Data were collected, analyzed, and grouped based on the type of environmental factors and their association with various diseases.

Result: Studies have shown that air pollution is a major cause of chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease (COPD), while water pollution and poor sanitation trigger outbreaks of infectious diseases such as diarrhea and cholera. Exposure to hazardous chemicals, such as pesticides and heavy metals, also contributes to increased risks of cancer and neurological disorders. In addition, environmental degradation, such as deforestation and climate change, exacerbate the spread of vector-borne diseases, such as malaria and dengue fever.

Conclusion: An unhealthy environment is key in triggering various diseases that endanger public health. Mitigation efforts, such as reducing pollution, improving water quality, and protecting ecosystems, are essential to minimize adverse health impacts. The study recommends increasing cross-sector collaboration and strengthening environmental policies to create an environment that supports public health.

Analysis of factors affecting pulmonary tuberculosis incidence

2024-12-08T09:44:11+07:00

Introduction: Pulmonary Tuberculosis is an infectious disease caused by bacteria that can affect the lungs and other organs, specifically Mycobacterium tuberculosis. Mycobacterium belongs to a group of acid-fast bacteria commonly known as AFB (Acid-Fast Bacilli). To this day, pulmonary tuberculosis remains one of the most dangerous infectious diseases worldwide. This study aims to analyze the factors influencing the incidence of pulmonary tuberculosis.

Research Methodology: This research employs an observational study with a case-control study design. The sample consists of 69 individuals diagnosed with pulmonary tuberculosis. The sampling technique used is purposive sampling. Data collection was conducted using questionnaires, and data analysis was performed using the chi-square test.

Result: The results of this study indicate that occupation (p=0.000), income (p=0.000), housing conditions (p=0.000), and smoking (p=0.018) significantly influence the incidence of pulmonary tuberculosis. All variables examined in this study showed an impact on individuals affected by pulmonary tuberculosis.

Conclusion: This study concludes that occupation, income, housing conditions, and smoking are significant factors influencing the incidence of pulmonary tuberculosis. Improving these factors may help reduce the prevalence of pulmonary tuberculosis in the community. Therefore, individuals are expected to adopt healthier lifestyles by maintaining cleanliness and a healthy home environment, making it a habit to cover their mouths when sneezing or coughing, and avoiding spitting indiscriminately. Additionally, they are encouraged to actively seek information about pulmonary tuberculosis and participate in educational sessions on the disease.

The effectiveness of health promotion (audiovisual and leaflet) on adolescents' behavior regarding breast self-examination

2024-12-08T09:51:40+07:00

Introduction: Breast cancer is a leading cause of mortality among women worldwide. Early Breast Self-Examination (BSE) detection can be crucial in reducing late-stage diagnosis and improving survival rates. This study aims to evaluate the effectiveness of audiovisual media and leaflet-based health promotion on adolescents' knowledge, attitudes, and practices regarding breast self-examination.

Research Methodology: This type of research is quantitative. The design used is the pre-test-posttest control group design, which is considered relevant to the assessment of health education or training initiatives. The sampling method used is random sampling. The paired t-test was used for data analysis, and the independent t-test was used to compare the variation in knowledge scores between the two treatments.

Result: Paired tests showed that the average knowledge score of the V2 group was higher than that of the V1 group (20.934 vs. 10.208) in the pre-test to post-test-1, with a significant increase in knowledge (p<0.05) between the two groups. Similarly, the average knowledge score of the V2 group was higher than that of the V1 group (19.646 vs. 7.183) in the pre-test to post-test-2, and their attitude change was more significant than that of the V1 group (7.980 vs. 2.765). However, in the pre-test to post-test-1, the attitude change between the V1 and V2 groups was insignificant (p>0.05). Likewise, the average attitude change score of the V2 group in the pre-test to post-test-2 was higher than that of the V1 group (6.555 vs. 2.009), although the difference was not statistically significant (p>0.05).

Conclusion: This study concludes that the leaflet approach to adolescents' behavior regarding breast self-examination (BSE) substantially impacts improving knowledge and attitudes about the effectiveness of health promotion before and after its implementation.