bluuebunny/crossref_metadata_2025 huggingface dataset:
INDIRECT PULP CAPPING TREATMENT WITH CLASS I COMPOSITE RESTORATION FOLLOW-UP IN SECOND RIGHT MANDIBULLARY MOLAR
Authors: Gracesheila Thanya , Fatriadi Fajar
Published: October 2024

Pulp capping adalah perawatan proteksi kompleks dentin-pulpa yang dilakukan dengan mengaplikasikan material spesifik diantara bahan restorasi dan dentin untuk mencegah terbukanya pulpa secara iatroganik, toksisitas material restorasi, dan penetrasi bakteri. Perawatan indirect pulp capping dapat mempertahankan vitalitas pulpa dengan memfasilitasi terjadinya penyembuhan dan perbaikan jaringan pulpa dengan minginduksi terbentuknya dentin reparatif. Penelitian ini mengeksplorasi keberhasilan penanganan pulpitis reversibel melalui perawatan indirect pulp capping menggunakan Kalsium Hidroksida. Pasien laki-laki berusia 22 tahun memiliki keluhan nyeri tajam dan intermiten pada gigi molar kanan mandibula sejak 3 bulan yang lalu, tanpa riwayat nyeri spontan. Temuan klinis menunjukkan adanya lesi karies dalam yang mencapai dentin dan meninggalkan lapisan tipis dentin pada gigi 47. Uji vitalitas pulpa menunjukkan pulpa vital. Diagnosis yang ditegakkan adalah pulpitis reversibel dengan jaringan apikal normal. Perawatan indirect pulp capping dengan restorasi komposit kelas I lanjutan dilakukan dalam 3 kali kunjungan dan pada kunjungan ketiga pemeriksaan subjektif dan objektif menunjukkan hasil yang baik dan pasien merasa puas dengan perawatan yang diberikan. Laporan kasus ini menggarisbawahi keberhasilan perawatan indirect pulp capping dengan Kalsium Hidroksida dalam menangani pulpitis reversibel, meskipun demikian, penelitian di masa depan dan tindak lanjut yang lebih lama sangat disarankan.
EFEKTIVITAS ENDORPHIN MASSAGE TERHADAP TINGKAT KECEMASAN PADA IBU POSTPARTUM SECTIO CESAREAN
Authors: Sukmawati Sukmawati , Lestari Dian Rosmala
Published: October 2024

Anxiety can result in emotional instability, which can cause baby blues. Baby blues causes a lack of interest and interest in the baby. It is characterized by symptoms of the mother being often irritated, blaming herself, crying easily, and having trouble sleeping. Postpartum maternal anxiety can be prevented with several things, such as pharmacological and non-pharmacological therapy. One of the non-pharmacological therapies for dealing with anxiety levels in postpartum mothers is endorphin massage. This research aimed to determine the effectiveness of endorphin massage on anxiety levels in postpartum cesarean section mothers. The type of research is quantitative with a pure experimental research design using a pre-test-post-test experimental design without control group design. The total sample was 100 respondents using the accidental sampling method. Data analysis used the Wilcoxon rank test. This research found that the significance of the p-value was 0.000<0,05, meaning that Ha was accepted and H0 was rejected. So, it can be concluded that there is a difference before and after endorphin massage on the level of anxiety in postpartum cesarean section mothers at the Kendari City Regional Hospital. Midwives are advised to be able to apply non-pharmacological methods to postpartum mothers who experience anxiety, such as endorphin massage, which is very good at reducing anxiety levels.
PENGARUH VICARIOUS LEARNING TUI NA MASSAGE TERHADAP KENAIKAN BERAT BADAN ANAK USIA 12-47 BULAN
Authors: Wuna Wa Ode Sri Kamba , Andriyani Andriyani
Published: October 2024

The nutrition issue is closely related to meeting the nutritional needs of toddlers. Toddlers aged one to three years are in the 'food jag' stage, where they often eat only foods they like and may have difficulty eating. The eating difficulties in toddlers can be addressed through non-pharmacological methods such as massage. Toddler massage is a tactile stimulation technique that can stimulate muscles, bones, and organ systems to function optimally, increase the body's metabolism, and, consequently, promote weight gain in infants. Tui Na Massage is a massage technique that can improve blood circulation in the spleen and digestive system through acupressure modification, specifically designed to address feeding difficulties in toddlers. One strategy to enhance Tui Na Massage's practice is through video-based learning. This study aimed to examine the influence of Vicarious Learning Tui Na Massage through video media on the weight gain of children aged 12-47 months. The research method used is a quasi-experimental design with a control group. The sample in this study consists of toddlers in the Poasia Community Health Center area, selected using purposive sampling, totaling 32 toddlers, with 16 in the control group and 16 in the intervention group. The result showed the Paired T-Test yielded a p-value of <0.05, indicating that Vicarious Learning Tui Na Massage has an impact on the weight gain of children aged 12-47 months. It is recommended that the Tui Na Massage video be promoted to parents as a non-pharmacological approach to improving children's weight.
HUBUNGAN BEBAN KERJA DENGAN KINERJA TENAGA KEPERAWATAN
Authors: Ridwan Junaina , Hartono Budi , Devis Yesica , Susmaneli Herlina , Herniwanti Herniwanti
Published: October 2024

Workload is an important concern for the nursing profession which will have an impact on the performance of nursing staff in providing nursing services. This study aims to determine the results of measuring workload and performance of nursing staff in the Outpatient Installation of Dumai City Regional Hospital. The research method was quantitative with a cross-sectional study design. The research was conducted at the Dumai City Hospital Outpatient Installation from June-July 2023. The population of this study was 33 people, the sample used was 33 respondents taken using the total sampling technique. Workload measurement is carried out using the work sampling method through observation. Performance is obtained using secondary data. The data analysis used was univariate analysis and bivariate analysis with Pearson correlation, chi-square and linear regression on work sampling variables only. The research results showed that the calculation of heavy workload in orthopedic and neurosurgery clinics was 93.75%. With direct productive activities in wound care (19.23%) and indirect productive activities in completing the SPPK (Proof of Health Services) (13.01%). Nursing staff with a heavy workload was 27.28%, and a light workload was 72.72%. Nursing staff with good performance was 75.8% and very good 24.2%. There is no relationship between workload and the performance of nursing staff (p-value= 1.000, OR=0.750). Research Ethics Pass Letter Number: 145/KEPK/UHTP/VI/2023 dated June 19 2023. Evaluation and restructuring of work systems include reducing unproductive workloads, adjusting working hours, or allocating resources more efficiently and training and competency development of nursing staff.
THE RELATIONSHIP BETWEEN MICRONUTRIENT INTAKE AND HAEMOGLOBIN LEVELS IN MALE ADOLESCENT FOOTBALL ATHLETES
Authors: Kristiana Irma , Kristiyanto Agus , Muthmainah Muthmainah
Published: October 2024

Atlet sepak bola dituntut memiliki stamina yang baik saat latihan maupun bertanding untuk mencapai prestasi yang baik. Kadar haemoglobin yang baik dapat membuat atlet tidak mudah mengalami kelelahan, sehingga kadar hemoglobin merupakan aspek yang perlu diperhatikan oleh atlet sepak bola. Selain itu, asupan zat besi dan vitamin C seorang atlet juga perlu diperhatikan. Hal ini dikarenakan, asupan zat besi dan vitamin C merupakan komponen yang sangat berpengaruh terhadap pembentukan kadar hemoglobin. Penelitian ini bertujuan untuk menganalisis hubungan antara asupan zat besi dan vitamin C dengan kadar hemoglobin pada atlet sepak bola remaja putra. Desain penelitian yang digunakan pada penelitian ini adalah cross-sectional. Jumlah sampel pada penelitian ini yaitu sebanyak 65 atlet sepak bola di tempat pelatihan Pendidikan Sepak Bola Bonansa UNS Solo. Penelitian ini dilakukan pada bulan Oktober-November 2021 di Surakarta. Data asupan zat besi dan vitamin C diukur menggunakan Semi-Quantitative Food Frequency Questionnaire (SQFFQ). Data kadar haemoglobin diukur dengan metode spektrofotometer. Data dianalisis dengan menggunakan uji Spearman Rank dan Product Moment Pearson. Hasil penelitian ini menunjukkan bahwa asupan zat besi (r = 0,699 dan p < 0,001) dan vitamin C (r = 0,643 dan p < 0,001) terdapat hubungan positif dengan kadar haemoglobin. Asupan zat besi dan vitamin C memiliki hubungan yang signifikan dengan kadar haemoglobin. Pada penelitian selanjutnya disarankan untuk menentukan faktor apa saja yang dapat mempengaruhi kadar haemoglobin atlet remaja laki-laki.
PENGARUH KONSUMSI EKSTRAK KALDU AYAM TERHADAP PERTUMBUHAN TINGGI BADAN ANAK 12 - 48 BULAN
Authors: Pascoal Meildy E. , Sahelangi Olvie , Ranti Irza Nanda
Published: October 2024

One intervention to prevent stunting in toddlers is to provide local foods that are highly nutritious.  The study aimed to determine effect of consumption of chicken feet extract broth on height growth of children aged 12-48 months. The research design is a quasi-experimental design with a pre test-post test design. Sampling was carried out using simple random sampling and a sample of 30 was obtained. The research was carried out in May-June 2023 in Mopusi Village, Bolaang Mongondow. Comparing changes in toddlers' height before and after intervention using the Paired t-Test. Proximate test results of chicken feet broth extract moisture content 68.2%, ash content 0.44%, carbohydrate content 6.12, protein content 6.46%, fat content 18.72%, calcium content 314.25 mg/kg, phosphorus content 0.005 mg/kg, potassium content 262.20 mg/kg, iron content 4.78 mg/kg. The average height of children in the intervention group of chicken feet extracts broth flour pre-test 86.91 cm and post-test 88.44 cm with a difference of 1.53 cm and the control group pre test 88.84 cm and post-test 89.84 cm with a difference of 1.01 cm. The results showed that there was a significant difference in the pre post-test of giving chicken feet extract broth on children's height (p = 0.00 <0.05). The study conclude that giving Chicken Claw Broth Extract can increase children height. It is recommended to consult health professional before introducing chicken claw extract broth into a child's diet. Additionally, further research is needed to fully understand the long-term impacts and potential risks associated with these interventions.
RELATIVE FAT MASS AND BIOELECTRICAL IMPEDANCE ANALYSIS TO MEASURE BODY FAT PERCENTAGE IN ADOLESCENTS
Authors: Firdaus Nais Volum , Ardyanto Tonang Dwi , Qadrijati Isna
Published: October 2024

Relative Fat Mass (RFM) adalah metode pengukuran persentase lemak tubuh yang ditemukan oleh para peneliti di Cedars-Sinai Medical Center di California, Amerika Serikat pada tahun 2018 dengan memasukkan tinggi badan dan lingkar pinggang seseorang ke dalam rumus dan dapat digunakan pada remaja usia 15-19 tahun. Bioelectrical impedance analysis (BIA) adalah alat yang menggunakan empat elektroda, dua di antaranya digunakan untuk menghantarkan arus sinusoidal 50 kHz ke tubuh dan sisanya digunakan untuk mengukur tegangan yang dihasilkan oleh tubuh untuk analisis impedansi. Tujuan penelitian ini untuk menganalisis hubungan Relative Fat Mass (RFM) dan Bioelectrical Impedance Analysis (BIA) untuk pengukuran persen lemak tubuh pada remaja. Penelitian yang digunakan merupakan penelitian kuantitatif dengan desain penelitian studi cross-sectional. Jumlah responden sebanyak 117 orang terdiri dari 40 laki-laki dan 77 perempuan. Pengukuran persen lemak tubuh menggunakan Relative Fat Mass (RFM) dengan memasukan pengukuran tinggi badan dan lingkar pinggang ke dalam rumus. Pengukuran persen lemak tubuh menggunakan Bioelectrical Impedance Analysis (BIA), body composition monitor, Model HBF-375. Analisis data menggunakan uji Rank Spearman. Penelitian ini menemukan signifikasi p-value sebesar 0,000<0,05. Dapat disimpulkan bahwa RFM dan BIA memiliki hubungan yang signifikan terhadap pengukuran persen lemak tubuh remaja. Dengan demikian, Relative Fat Mass (RFM) dapat digunakan untuk pengukuran persen lemak tubuh selain menggunakan Bioelectrical Impedance Analysis (BIA) pada remaja.
EFFECT OF BLACK GLUTINOUS TAPE BEVERAGE ON MALONDIALDEHYDE IN METABOLIC SYNDROME RATS
Authors: Khoirunnisa Rahmi , Putranto Wachid , Nurwati Ida
Published: October 2024

Sindrom Metabolik (SM) dikenal sebagai sindrom resistensi insulin, juga dikenal sebagai faktor risiko DMT2. Diperlukan kombinasi perubahan gaya hidup dan pengobatan dalam penanganan SM. Sari tape ketan hitam (BGTB) sebagai pangan lokal mengandung tinggi kandungan antosianin sebagai sumber antioksidan dan Lactobacillus spp., yang berpotensi sebagai sumber probiotik yang dapat memperbaiki stres oksidatif pada pasien SM. Studi ini dirancang untuk mengevaluasi efek BGTB dalam menangani stres oksidatif, dengan melakukan pengukuran pada kadar MDA. Sebanyak 30 tikus Sprague Dawley digunakan dalam penelitian ini dan mereka dibagi menjadi lima kelompok. Kelompok normal (KN) akan diberikan diet standar, sedangkan keempat kelompok akan diberikan high-fat diet (HFD) selama 2 minggu dan kemudian diinduksi menggunakan Streptozotocin (STZ) dan Nicotinamide (NA); kontrol negatif (KN) akan diberikan standar diet; kontrol positif (KP) akan diberikan metformin 9 mg; kelompok perlakuan 1 (P1) dan perlakuan 2 (P2) akan diberikan BGTB sebanyak 0,9 ml 200 gr-1 BB dan 1,8 ml 200 gr-1 BB, diberikan selama 28 hari. Hasil menunjukan adanya perbedaan sginifikan (p=0.000) pada kadar malondialdehid, dengan perbandingan tertinggi pada kelompok P2. Penelitian ini menunjukkan BGTB dapat menjadi makanan fungsional dan berpotensi menjadi sumber probiotik untuk pasien SM.
STUDY ON IMPLEMENTATION OF NON-COMMUNICABLE DISEASE PREVENTION AND CONTROL POLICY BASED ON POSBINDU PTM IN WEST BANDUNG DISTRICT
Authors: Rumahorbo Hotma , Waluya Nandang Ahmad , Fathudin Yogasliana , Rahmawati Mutiara
Published: October 2024

Kebijakan Pengendalian Penyakit Tidak Menular (PTM) telah ada sejak tahun 2015 dengan salah satu program andalannya adalah Posbindu PTM. Posbindu PTM diharapkan  dapat meningkatkan perilaku pencegahan PTM di Masyarakat. Kajian kebijakan Posbindu PTM di Kabupaten Bandung Barat (KBB) bertujuan untuk mengetahui gambaran implementasi kebijakan Posbindu PTM dengan menggunakan pendekatan konsep EDWARD III. Kajian kebijakan dilakukan di 2 lokus Posbindu PTM di wilayah  Puskesmas Cimareme dan Puskesmas Cisarua. Kajian dilakukan dengan studi kualitatif menggunakan indepth interview, focus group discussion dan observasi. Informan data dari pihak implementator kebijakan yaitu Dinas Kesehatan KBB dan pihak Puskesmas dan diskusi dengan kader dan masyarakat. Hasil kajian menunjukan bahwa struktur birokrasi di KBB sesuai dengan Organisasi dan Tata Laksana Kemenkes namun perlu penyesuaian, SOP pelayanan Posbindu PTM di lapangan perlu disediakan, komunikasi antara implementator tingkat Dinkes KBB dengan Puskesmas  dan Masyarakat  belum optimal, dan sumber daya  manusia yang terbatas sehingga tenaga kesehatan tidak selalu ada saat Posbindu PTM serta kader ada dalam jumlah yang cukup namun tidak mendapat pelatihan serta kepatuhan masyarakat untuk datang ke Posbindu PTM rendah. Implementator memandang posbindu PTM sebagai program yang masih relevan saat ini dan dibutuhkan solusi atas permasalahan ketenagaan. Masyarakat membutuhkan Posbindu PTM dan memerlukan penjelasan dan sosialisasi ke Masyarakat dari petugas kesehatan. Posbindu PTM perlu dioptimalkan pelaksanaannya sesuai dengan pedoman manajemen Posbindu PTM.
A COMBINATION OF APPLE AND CINNAMON EXTRACTS REDUCES BLOOD GLUCOSE AND INCREASES INSULIN LEVELS OF T2DM MODEL RATS
Authors: Hamka Dwi Wulandari Aaas , Harioputro Dhani Redhono , Febrinasari Ratih Puspita
Published: October 2024

Prevalensi penyandang penyakit diabetes melitus (DMT2) terus meningkatan akibat kenaikan kadar glukosa darah dan resisten insulin oleh sel β pancreas. Hiperglikemia pada DMT2 dapat menyebabkan stress oksidatif. Pemberian kombinasi ekstrak apel dan kayu manis memiliki potensi untuk menurunkan kadar glukosa darah karena mengandung senyawa flavonoid dan antioksidan yang mencegah stress oksidatif. Penelitian ini bertujuan untuk menganalisis pengaruh pemberian Kombinasi Ekstrak Apel dan Kayu manis (KEAK) terhadap kadar GDP dan insulin pada tikus DMT2. Jenis penelitian ini adalah eksperimental laboratorik dengan rancangan randomized pre-post test control group design. Penelitian ini menggunakan 36 tikus Rattus norvegicus Jantan, dibagi menjadi 6 kelompok: KN tikus dikondisikan normal, K- tikus DMT2 tanpa perlakuan, K+ tikus DMT2 yang diberikan obat metformin, kelompok KP1 (9,14+45 mg/200 gramBB), KP2 (18,36+30 mg/200 gramBB) dan KP3 (27,42+15mg/200gramBB) yaitu tikus DMT2 yang di berikan KEAK selama 21 hari. Analisis data menggunakan uji One-way Anova. Setelah 21 hari intervensi KP1 mengalami penurunan kadar GDP (Δ -177,88 ± 4,61) dan kenaikan kadar insulin tertinggi (Δ 81,83 ± 9,37) dibandingkan dengan perlakuan yang lain. KP2 mengalami penurunan kadar GDP (Δ -167,41 ± 4,13) dan kenaikan kadar insulin (Δ 62,82 ± 9,37) yang hampir sama dengan kelompok perlakuan yang diberikan obat metformin (K+) dengan penurunan kadar GDP (Δ -167,80 ± 4,96) dan kadar insulin (Δ 56,23 ± 8,54). Pemberian kombinasi ekstrak apel dan kayu manis berpengaruh dalam menurunkan kadar GDP dan meningkatkan kadar insulin. Kombinasi ekstrak apel dan kayu manis dapat dipertimbangkan untuk menurunkan GDP dan meningkatkan kadar insulin.
PENGEMBANGAN MEDIA VIDEO EDUKASI GIZI SEIMBANG SEBAGAI UPAYA DALAM PENCEGAHAN PENYAKIT TIDAK MENULAR PADA REMAJA
Authors: Mahmudah Umi , Priawantiputri Witri
Published: October 2024

Teenagers are a group vulnerable to obesity. Obesity is one of the main causes of non-communicable diseases (NCDs). Diet is the most influential risk factor for obesity. Nutrition education is one way to prevent obesity. Educational media is the key to the success of nutrition education. Video is an audio-visual media that displays material that can provide students with real experiences. The research aimed to develop balanced nutrition video nutrition education media for teenagers and determine the suitability of nutrition education video media to be applied as educational media. This research was development research using steps (1)analysis: analyzing problems, needs, goals (2)design: making scripts and storyboards. (3)development: producing videos. (4)implementation: testing feasibility by media and material experts and teenagers in SMAN 1 Cimahi has 30 students as a potential user, review, revision. (5)evaluation: evaluate the results, and carry out revisions. The research results obtained 2 series of animated videos, namely series 1 regarding prevention of non-communicable diseases and series 2 regarding balanced nutrition. The average validation results on animated video 1 by media experts were 95.26%, material were experts 87.85%, while the average validation results on animated video two by media experts were 92.26%, material experts 92.14%. The validation results by material experts and media experts on animated video series 1 and 2 were declared very valid. The results of student trials as users showed that animated video media 1 and 2 can be well received by potential users. The animated video media series 1 and 2 can be used as media for nutrition education, especially for teenagers.
ORAL NUTRITION SUPPLEMENT (ONS) BERBASIS BAHAN PANGAN LOKAL UNTUK PASIEN MALNUTRISI RUMAH SAKIT
Authors: Fitria Mona , Dewi Maryati , Wulandari Dieni
Published: October 2024

Hospitalized patients with malnutrition are at risk of experiencing prolonged healing processes, extended hospital stays, and a decline in quality of life. One effort to enhance energy and protein intake is through oral administration using Oral Nutrition Supplements (ONS). ONS can be developed as a liquid food formula based on local ingredients, such as tilapia fish and sweet potato. This research aimed to determine the impact of tilapia fish flour and sweet potato flour formulations on the quality of ONS, including organoleptic properties, nutritional value, physical quality, microbiology, and shelf life. The experimental design involves three formulations of tilapia fish and sweet potato flour: 80%:20% (F1), 60%:40% (F2), and 40%:60% (F3). Organoleptic properties are analyzed using hedonic tests by 30 semi-trained panelists. The results showed that ONS with the best organoleptic properties was F2, with an average hedonic score of 5.60 (overall). Kruskal-Wallis test results showed that the formulation significantly influences the taste, aroma, color, and overall of ONS. Nutritional analysis revealed that ONS F2 per 100 mL contains 112 Kcal of energy, 5.4 g of protein, 3.8 g of fat, and 14.1 g of carbohydrates. The viscosity of ONS F2 was 226.5 cP, and the osmolality was 589 mOsmol/kg H2O. ONS F2 also complied with microbiological quality standards. The shelf life of ONS F2 at 2°C was estimated to be 24 days, with an expected selling price of Rp. 23,000 per serving. The research results are expected to apply to malnourished patients in hospitals.
IMPELEMENTASI POTENTIAL HAZARDS PELAYANAN RUMAH SAKIT DENGAN MENGGUNAKAN METODE JOB SAFETY ANALYSIS
Authors: Katiandagho Dismo , Layuk Semuel , Rokot Agus , Kabuhung Anselmus , Jusran Mokoginta , Suwarja Suwarja
Published: October 2024

Potential dangers in hospitals, apart from infectious diseases, there are also other potential dangers, namely accidents, radiation, anesthetic gasses, psychosocial and ergonomic disorders. The study aimed to analyze the implementation of potential dangers of hospital services using the method Job Safety Analysis at the Regional Hospital X. This type of research is descriptive. a sample of 7 people who work in the Emergency Unit, through an approach accidental sampling. The research variable is the potential for danger in the UGD Regional Hospital X. The instrument used is the JSA instrument. The data obtained is presented in the form of a narrative and a matrix of in-depth interview results. Respondents who carry out potentially dangerous work according to the JSA method are doctors and nurses who provide services in the Emergency Unit. The work carried out is lifting and moving patients, giving injections, using ventilators, using EKGs, using monitor units, using section units and workload. Respondents who carry out potentially dangerous work according to the JSA method are doctors and nurses. Potentially dangerous facilities are syringes, ventilators, sections, masks, stethoscopes, cuffs, EKGs, ventilators, section units. For the  Regional Hospital X to provide outreach about occupational safety and health management in the hospital to all employees so that they know the risk of work accidents and make an analysis of potential hazard methods according to the JSA method so that doctors and nurses know the level of risk of work accidents when providing services.
SENAM ASIK DAPAT MENURUNKAN NYERI MUSKULOSKELETAL PADA KELOMPOK WANITA TANI
Authors: Sumardiyono Sumardiyono , Fajariani Ratna , Chairunisa Nabila Dian , Yasmine Amalia , Avrilla Syafina Nadya , Zakaria Rais Athfal , Anugraeni Devitasari , Mudrikah Halimatul , Azzahra Nirwana Putri , Kamil Izzan , Daffa Muhammad , Raihan Raihan , Novrihaedi Dziad
Published: October 2024

Work-related musculoskeletal pain is a serious occupational health problem worldwide. Farmers are one of the groups of people who are most at risk of developing this condition. To help reduce musculoskeletal pain, farmers can participate in a exercise program called "Anti Sakit Ibu Kelompok wanita tani" (ASIK). The purpose of this study is to analyze the effect of ASIK-exercise on musculoskeletal pain in a group of women farmers in Karanganyar. The study used a pre-test and post-test design. The sampling technique used was purposive sampling, with a sample (respondents) of 19 women farmers who met the inclusion and exclusion criteria. The inclusion criteria were active members of the women farmers' group, in good health, and living in the village of Bolon. The exclusion criteria were respondents who could not read or write, and who were unable to do exercises due to physical constraints. The independent variable was ASIK gymnastics, the dependent variable was musculoskeletal pain, and the control variable was age. The analysis of the difference in musculoskeletal pain scores before and after ASIK-exercises without controlling age used a paired samples t-test, and the analysis of the difference in musculoskeletal pain scores before and after ASIK-exercises with age as a covariate was performed using ANCOVA at α = 5%. The test results stated that with controlling age, ASIK-exercises can significantly reduce musculoskeletal pain (F = 7.540; p = 0.009) with a large effect size category (d = 1.68).
HUBUNGAN ANTARA AKTIVITAS FISIK DAN POLA TIDUR DENGAN KEJADIAN HIPERTENSI
Authors: Nasution Andreanda , Nauli Humaira Anggie , Anggraini Sevrima , Alfaeni Siti Walidaturrahmah , Dahliawati Anis
Published: October 2024

Hypertension is a non-communicable disease which is currently the main cause of health problems. The research aimed to determine the relationship between physical activity and sleep patterns and incidence of hypertension in the Pancasan Community Health Center Area, Bogor City. This research was quantitative research with observational methods using a cross-sectional design. This research used the Chi square analysis test. This research was conducted in the working area of the Pancasan Health Center in Bogor City for 4 months from April to July 2023. Sample inclusion criteria are domiciled in the Pancasan Community Health Center working area, hypertensive and non-hypertensive patients aged 21-60 years, hypertensive patients with systolic blood pressure of 140-179 mmHg and diastolic blood pressure of 90-109 mmHg, and who are willing to be respondents by signing the information consent when collecting data for both patients with hypertension and without hypertension. Sampling in this study was done using the simple random sampling technique. The sample size in this study used the Lemeshow Formula so 57 samples were obtained. The results showed an association between the level of physical activity and the incidence of hypertension (P=0.028) and a relationship between hypertension and poor sleep patterns (P=0.003). In conclusion, low physical activity increases the risk of hypertension, while moderate activity has four times the chance of not developing hypertension. Sleep patterns are significantly related to the incidence of hypertension where respondents who have good sleep patterns have a lower chance of developing hypertension compared to respondents who have poor sleep patterns.
ANALISIS FAKTOR RISIKO DISMENORE PRIMER DAN DISMENORE SEKUNDER PADA MAHASISWI
Authors: Putra Amrullah Syah , Saputra Nicko Pisceski Kusika , Noviardi Noviardi , Ismawati Ismawati
Published: October 2024

While the incidence of dysmenorrhea is relatively high worldwide, the prevalence of dysmenorrhea reported in the literature varies substantially. This study aimed to analyze the risk factors for primary dysmenorrhea and secondary dysmenorrhea. This research is a cross analytical design. The sample in this study was all medical faculty students at Riau University in 2019-2022, namely 410 people. From the research results, it was found that there was a relationship between menstrual blood volume, history of food allergies and stress with the incidence of primary dysmenorrhea. Meanwhile, the incidence of secondary dysmenorrhea was related to age, menstrual cycle, history of the sample's gestational age at birth, history of low birth weight (LBW), history of emotional violence, stress and birth history of samples from preeclamptic mothers at the time of delivery. This research concluded that there were several significant findings regarding factors related to the occurrence of dysmenorrhea in Riau University medical students in 2019 - 2022. The research showed the importance of paying attention to factors such as the length of the menstrual cycle, history of food allergies, history of emotional violence, stress, and history of maternal preeclampsia in efforts to prevent and manage dysmenorrhea in the population. It is recommended that future research further explore the association between the identified risk factors and the incidence of dysmenorrhea, potentially revealing additional insights to guide clinical practice and public health initiatives.
NUTRITION EDUCATION MEDIA FOR OVERWEIGHT EARLY ADOLESCENTS: THE HEALTHY SNACKS QUARTET
Authors: Sa’pang Ferliani Fransisca , Andayani Tri Rejeki , Muthmainah Muthmainah
Published: October 2024

Remaja merupakan kelompok usia yang rentan terhadap masalah gizi seperti kelebihan berat badan dan diperkirakan pada tahun 2030 akan ada 49,5 juta remaja dengan status gizi overweight. Penelitian ini bertujuan untuk mengembangkan media kuartet sebagai media edukasi tentang jajanan sehat untuk remaja usia 12-15 tahun dengan status gizi overweight. Penelitian ini menggunakan metode Research and Development (R&D) dengan model ADDIE (Analyze, Design, Development, Implementation, Evaluation) untuk mengembangkan media edukasi dan pada tahap implementation dilakukan dengan metode Quasy Experimental dengan rancangan pre post-test with a control group. Penelitian ini melibatkan partisipasi tiga validator ahli dan 15 remaja sebagai calon pengguna. Pengumpulan data melalui wawancara dan kuesioner penilaian media. Jumlah sampel pada tahap implementation terdiri dari 36 remaja awal overweight. Analisis data menggunakan teknik deskriptif. Hasil penilaian kelayakan media oleh ahli diperoleh skor rata-rata 80% dengan kategori layak dan uji coba media pada kelompok calon pengguna diperoleh skor rata-rata 84,7% dengan kategori sangat layak. Kuartet jajanan sehat dapat digunakan sebagai media edukasi gizi jajanan sehat pada remaja usia 12-15 tahun dengan status gizi overweight. Uji beda skor pengetahuan jajanan sehat menggunakan analisis statistik Wilcoxon pada kelompok intervensi di tahap evaluation diperoleh nilai p=<0,001 sedangkan nilai p=0,618 pada kelompok kontrol. Hal ini menunjukkan bahwa terdapat perbedaan skor pengetahuan yang signifikan pada kelompok intervensi setelah 21 hari diberikan edukasi kuartet jajanan sehat.
KUALITAS TIDUR DAN ASUPAN GIZI SEBAGAI FAKTOR RISIKO OVERWEIGHT REMAJA PUTRI
Authors: Novitasari Maryam , Anantanyu Sapja , Lestari Anik
Published: October 2024

Overweight in female adolescence can disrupt growth and increase the risk of non-communicable diseases. Many determinants of overweight include sleep quality and nutritional intake. Late-night sleep can reduce sleep quality, trigger imbalances in leptin and ghrelin hormones, increase appetite, and lead to excessive nutritional intake. The aim of this study was to determine the relationship and the magnitude of the risk between sleep quality and nutritional intake on overweight in female adolescence. This research employs a case-control design and multistage sampling technique. 160 female students participated in the study who were divided base on normal nutritional status and overweight. The research was conducted in the city of Jambi in May 2023. Sleep quality measurement used the IPAQ (Pittsburgh Sleep Quality Index) questionnaire, and nutritional intake was assessed using a 3x24-hour recall form. BMI screening was conducted before interviewing the respondents. Data analysis utilized chi-square tests and logistic regression. The chi-square test results showed a significant relationship between sleep quality, energy intake, carbohydrate intake, and protein intake with overweight (p<0.05). Sleep quality, energy intake, and carbohydrate intake simultaneously influenced overweight occurrence in female adolescence by 11.1%. Adolescents are advised to diversify carbohydrate types and increase protein portions. Physical activities should be adjusted to optimize sleep quality.
KAJIAN TENTANG KARAKTERISTIK KELUARGA DAN POLA PEMBERIAN MPASI DAN HUBUNGANNYA DENGAN STATUS GIZI ANAK BALITA
Authors: Wahyuni Sri , Djamilus Fauzia , Samsiah Samsiah , Mulyati Sri , Astuti Maya , Sasnitiari Ni Nyoman , Permanik Novita Dewi , Widiawati Ida , Handayani Ida Farida
Published: October 2024

The introduction of solid, semi-solid or soft foods is positively associated with nutritional status and reduces the likelihood of stunting. The results of the Indonesian Nutrition Status Survey in 2022 showed that the prevalence of stunting in Indonesia still reached 21.6%. West Java Province has a stunting prevalence of 20.2%, while in Bogor City it is still 19.3%. The purpose of the study was to analyze the relationship between family characteristics, complementary feeding patterns and the nutritional status of toddlers. The research design used a mix method (quantitative and qualitative). Quantitative research with a cross-sectional approach and qualitative research with indepth interviews (exploring complementary feeding patterns, problems, handling and educational needs related to complementary feeding). The qualitative exploration result were analyzed using deductive thematic. The study population was all toddlers aged 12-60 months in Bogor City, the sample size was 120 with purposive sampling. Statistical tests used chi-square test and Mann-whitney test. The results showed a significant relationship between family characteristics and patterns of complementary feeding with the children’s nutritional status under five. The results of qualitative exploration showed there were four themes, namely First, social and cultural and adverse beliefs. Second, lack of knowledge, Third, the environment (home and residence) is less supportive. Fourth, poor economy. The research concluded that there was a relationship between family characteristics and patterns of complementary feeding with the nutritional status of children under five. Efforts are needed to overcome the problem of stunting through education about complementary feeding.
STRATEGI INTERVENSI KEPERAWATAN UNTUK MENGURANGI KECEMASAN IBU POSTPARTUM KARENA PERAWATAN TERPISAH: SYSTEMATIC REVIEW
Authors: Chairunisa Navira , Rachmawati Imami Nur , Rahmah Hayuni
Published: October 2024

Separate care between mother and newborn in the postpartum period often has an impact on the psychological condition of the postpartum mother. This psychological condition is not only caused by the health condition of the newborn but is also affected by the loss of the role of a mother. This study aimed to examine the effectiveness of nursing interventions to reduce postpartum maternal anxiety due to separate treatments. The design of this research is a systematic review. This study systematically reviewed RCT studies using the electronic databases PubMed, EMBASE, Scopus, Proquest, Sage, Clinical Key, and a reference list of articles for RCT studies published from January 2013 to October 2023 on nursing interventions against postpartum maternal anxiety that were not hospitalized, assessment of article quality using JBI Critical Appraisal Tools for RCT. A total of 11 research articles met the criteria and were assessed for quality. Consistent results in this review showed that overall, three categories of maternal empowerment and education interventions (p 0.001), music (p <0.05), and relaxation (p 0.003) were shown to be effective in reducing postpartum anxiety due to separate treatments. The main findings of this study showed that nursing interventions that are effective in reducing maternal anxiety are maternal empowerment and education programs, relaxation, and music therapy that are carried out gradually and continuously.
EFEK EKSTRAK BAYAM MERAH VARIETAS MIRA TERHADAP GLUKOSA DARAH PUASA DAN MALONDIALDEHID TIKUS MODEL DMT2
Authors: Nilasari Aprilina Citra Ayu , Wiboworini Budiyanti , Listyawati Shanti
Published: October 2024

Persistent hyperglycemia in type 2 diabetes mellitus (T2DM) increases the risk of lipid peroxidation that produces malondialdehyde (MDA). Red spinach mira extract (RSME) contains anthocyanins and beta carotene, both of which have the potential as antioxidants in reducing fasting blood glucose (FBG) and MDA levels. The purpose of the study was to determine the effect of RSME administration on FBG and MDA levels in T2DM. The research method was true-experimental with pretest-posttest. The study used 30 male Wistar rats, and divided into 5 groups, namely the normal group and given  standard diet, K- T2DM rats and given a standard diet, K+ T2DM rats and given acarbose drug therapy 1.8 mg/200g/day, P1 T2DM rats and given a dose of RSME 688 mg/200g Body weight (BW) and P2 T2DM rats and given a dose of RSME 1376 mg/200g BW for 14 days. Statistical analysis of FBG and MDA using One Way Anova test and continued with Post Hoc test to determine the difference between groups, while to determine the effect using Paired t-test. The results of the study after intervention for 14 days, all groups given RSME experienced a decrease in FBG levels P1 by 158.60 mg/dl (p=0.000), KP2 by 180 mg/dl (p=0.000) and MDA KP1 decreased by 6.01 nmol/mL (p=0.000) and KP2 by 7.75 nmol/mL (p=0.000) and there was significant value (p<0.05). The study concluded that the best dose is KP2, which reduces FBG levels by 180.84 mg/dl and MDA by 7.75 nmol/ml, the highest decrease compared to the other doses.
OPTIMAL COMBINATION OF TOLUENE AND CLOVE OIL (Syizigium aromaticum) IN THE PROCESS OF CLEARING THE PERMANENT PREPARATION PEDICULUS HUMANUS CAPITIS
Authors: Ihsan Bagus Muhammad , Liesvia Vira , Armal Hadits Lissentiya , Supriyanto Supriyanto , Hanif Muhammad Ifham
Published: October 2024

Clearing is a vital process in microscopy, aimed at enhancing the transparency of tissue preparations for clearer observation of insect structures. Despite its effectiveness, Toluene poses safety concerns due to its explosive nature. Therefore, clove oil (Syzygium aromaticum) has been explored as a safer alternative. This study evaluates the quality of permanent preparations of Pediculus humanus capitis using both toluene and clove oil. Comparative tests were conducted, treating adult head lice specimens with each solvent for three repetitions. Permanent preparations were assessed for clarity, color quality, and morphological integrity. Results indicate a significant difference in quality between the two methods. Toluene yielded mainly poor-quality preparations, while clove oil resulted in a higher proportion of preparations of good quality. The Mann-Whitney test confirmed the significance of this difference (p = 0.002). This study highlights the efficacy of clove oil as a safer alternative to toluene in the clearing process, contributing to entomological practices and chemical safety.
LITERATURE REVIEW: SENSITIVITAS OKSIMETRI NADI DALAM MENGENALI GEJALA PENYAKIT JANTUNG BAWAAN KRITIS
Authors: Darwanty Jundra , Yulifah Rita , Astutik Heny , Rosmalawati Ni Wayan Dwi , Yuliani Ita , Dumilah Retno
Published: October 2024

Early detection of Critical Congenital Heart Disease (CCHD) in newborns is crucial to the success of treatment. This underlies the need for pulse oximetry screening as the basis for establishing the diagnosis of CCHD that is not recognized on physical examination. This study aimed to analyze the accuracy of pulse oximetry as a CCHD screening method in newborns. The research method was literature review, data is obtained from the PubMed database with the keywords Critical Congenital Heart Disease (CCHD), Newborn, Screening. The inclusion criteria are that the article is published in 2018-2023, discussing the accuracy of pulse oximetry screening, speaking English, and observational analysis research design. Articles according to the criteria were obtained 80 articles. After going through the selection process, 15 articles were selected. An analysis of 15 articles concluded that pulse oximetry has a high accuracy in assisting in the establishment of the diagnosis of CCHD, indicating the need to include it in routine screening procedures for newborns. However, it must be carried out according to regular procedures, by competent health workers, equipped with adequate facilities and it is necessary to educate prospective parents about CCHD screening during pregnancy to anticipate refusal to undergo treatment if abnormalities are found in the results of pulse oximetry.
FAKTOR INTERNAL DAN PERSEPSI IBU TENTANG PERAN PETUGAS KESEHATAN TERHADAP PEMBERIAN ASI EKSKLUSIF
Authors: Hinisa Fariha Nuzulul , Wardani Diadjeng Setya , Andarini Sri , Simanjuntak Roganda
Published: October 2024

During the first 6 month period, newborns who are exclusively breastfed consume solely breast milk and abstain from any other form of nourishment, such as food or liquids, including water. The government Indonesia has pledged to attain a target proportion of exclusive breastfeeding, with a goal of reaching up to 80%. The X Community Health Centre in Malang City achieved a relatively low level of exclusive breastfeeding coverage in 2022, with only 51.18%. This falls far short of the established target. Internal variables and the mother's opinion of the involvement of health personnel are influential in determining exclusive breastfeeding. The aims of this research were to analyses the influence of internal factors and maternal perspectives on the role of healthcare providers in promoting exclusive breastfeeding. This cross-sectional study was conducted in January-March 2024 at the X Health Centre Working Area in Malang City. The study utilized observational analytics. The study's sample consisted of one hundred moms with children older than six months. Chi-square test yields identify there wasn't significant association between employment also having multiple children (p-value>0.05). However, various factors related to exclusive breastfeeding, like as age, education, family support, and mother's intellectual and perception about the role of health workers, were found to be significantly associated (p-value <0.05). The multivariate analysis using multiple logistic regression revealed that family support has a significant impact on exclusive breastfeeding. The p-value of 0.006 and an odds ratio of 26,595 indicate that family support increased the likelihood of exclusive breastfeeding by 26-fold.
THE ROLE OF SLEEP IN INFANT AND EARLY CHILDHOOD COGNITIVE DEVELOPMENT: A SCOPING REVIEW
Authors: Martin Novia , Mose Johanes Cornelius , Iskandar Shelly
Published: October 2024

Tidur adalah periode terjadinya perubahan aktivitas otak, berkurangnya aktivitas sensorik dan daya tanggap terhadap rangsangan eksternal. Penelitian telah membuktikan banyaknya manfaat tidur bayi dan balita terhadap perkembangan kognitif serta dampaknya pada anak usia sekolah. Bayi yang memiliki pengaturan tidur yang baik diyakini memberikan dampak positif pada kemampuan kognitif. Sebaliknya, gangguan tidur pada masa kanak-kanak berhubungan dengan volume otak yang lebih kecil. Bukti dalam 20 tahun terakhir menunjukkan bahwa tidur sangat penting untuk perkembangan sistem sensorik pada janin dan bayi, menjaga plastisitas otak, penciptaan memori dan pembelajaran jangka Panjang. Oleh karena itu, scoping review ini bertujuan mengidentifikasi bukti yang tersedia tentang peran tidur pada bayi dan balita terhadap perkembangan kognitifnya. Pencarian sistematis dilakukan di PubMED, ScienceDirect, SCOPUS, The Lancet, dan Oxford Academic Journal dengan menggunakan istilah dan kata kunci yang telah ditentukan. Artikel yang dijadikan rujukan adalah artikel yang publish pada 10 tahun terakhir, berbahasa inggris, merupakan artikel penelitian, dan dapat diakses, sedangkan artikel yang berupa buku, tesis, surat, review dikecualikan. Dari hasil seleksi diperoleh total akhir 7 artikel untuk di review. Hasilnya, tidur memiliki banyak manfaat bagi perkembangan kognitif bayi dan balita yakni mereka dengan tidur yang cukup memiliki kemampuan memperhatikan, memproses, dan berkomunikasi dengan lebih baik dibandingkan mereka yang tidak cukup tidur. Diperlukan adanya penelitian lebih lanjut mengingat keterbatasan dari sebuah tinjauan sistematis yakni rentan terhadap bias dalam seleksi artikel dan heterogenitas statistik.
UTILIZATION OF DIGITAL-BASED EDUCATIONAL MEDIA TO INCREASE ADOLESCENT REPRODUCTIVE HEALTH KNOWLEDGE: A LITERATURE REVIEW
Authors: Yana Elly , Prasetyo Dwi , Zulvayanti Zulvayanti
Published: October 2024

Seks pra nikah, aborsi, serta HIV (human immunodeficiency virus) dan AIDS (acquired immunodeficiency syndrome) pada remaja disebabkan oleh kurangnya kesadaran akan masalah kesehatan reproduksi dan stigma seputar seksualitas. Terbatasnya akses terhadap informasi yang sesuai dengan kebutuhan remaja merupakan salah satu faktor penyebabnya. Informasi tentang kondisi medis regeneratif sangat penting untuk membantu upaya mengembangkan status kesejahteraan konseptual. Edukasi media digital merupakan strategi baru yang mudah diakses, dapat diandalkan, sesuai, dan ramah remaja. Tujuan dari tinjauan pustaka ini adalah untuk menganalisis implementasi dan pemanfaatan media edukasi berbasis digital untuk meningkatkan pengetahuan kesehatan reproduksi remaja Struktur  penelitian  ini  merupakan  analisis  terinci  yang menggunakan  diagram alir  PRISMA.  Peneliti  menerapkan  metode  PICO  dan mencari artikel  dalam  bahasa  Inggris  yang  dipublikasikan  antara  tahun 2019-2024 dengan mengumpulkan artikel melalui pencarian di beberapa database yaitu Google Cendekia, Springer, PubMed, Sage dan Science Direct, serta menghasilkan 15 jurnal yang relevan. Dari penelusuran literature media edukasi yang digunakan baik melalui mHealth , video, jejaring sosial, ponsel, chatbot AI dan aplikasi. Hasilnya menunjukkan bahwa penggunaan berbagai jenis media edukasi digital terbukti bermanfaat untuk mengajarkan tentang promosi kesehatan, khususnya dalam meningkatkan pengetahuan, perspektif, dan mendukung remaja untuk berperilaku sehat.
EFEKTIVITAS SEDUHAN DAUN ASAM JAWA TERHADAP KADAR HOMA-IR DAN HOMA-β PADA PASIEN DIABETES MELLITUS TIPE 2
Authors: Nopriantini Nopriantini , Purba Jonni Syah R , Desi Desi , Petrika Yanuarti , Novia Devi , Ihsan Bagus Muhammad
Published: October 2024

This study assessed the impact of tamarind leaf tea on HOMA-IR and HOMA-β levels in patients with Type 2 Diabetes Mellitus (DM). Thirty-two patients aged 20-50 years from Sungai Ambawang District Health Center, who were not using any DM medication, participated. They were divided into control (KN) and treatment (KP) groups, with KP receiving a tamarind leaf tea infusion for 7 days. HOMA-IR and HOMA-β levels were calculated using standardized formulas based on fasting insulin and glucose levels. The Wilcoxon signed-rank test revealed a significant decrease in HOMA-IR levels in the KP group (p<0.05), while no significant change was observed in the KN group. Although no significant difference in HOMA-β levels was found between the two groups, the KP group showed a notable increase by 4. These findings suggest that a 7-day tamarind leaf tea infusion effectively reduced HOMA-IR levels in patients with type 2 DM, although it did not significantly affect HOMA-β levels. This study highlights the potential of tamarind leaf tea as a complementary approach for managing insulin resistance in Type 2 DM patients. Further research is needed to explore the long-term effects and mechanisms of action for improving β-cell function. The conclusion of this study is that steeping tamarind leaves for seven days can reduce HOMA-I levels and slightly increase HOMA-β levels in patients with type 2 Diabetes Mellitus.