bluuebunny/crossref_metadata_2025 huggingface dataset:
Maternal Knowledge and Practices towards Sanitation and Their Relationships with Occurrence of Diarrhoea in Children
Authors: Seksaria Shriya Ankit , Sheth Mini K
Published: November 2019

Diarrhoea, a major contributor of childhood morbidity and mortality is mostly caused by poor hygiene and sanitation. Literature reveal that hygiene practices at household levels greatly affects the occurrence of diarrhoea among children. A cross sectional study was conducted to determine association between hygiene knowledge and practices of mothers with occurrence of diarrhoea in young children below 3 years in the tribal villages of Gujarat. Structured questionnaire was used to elicit information on personal hygiene (PH), food Hygiene (FH), and environmental Hygiene (EH) practices of 536 mothers with children between 6-36 months of age. Past one month diarrhoeal episodes were recorded using the recall method. The mean percent scores for FH, PH and EH practices were 77%, 88% and 80% respectively. Almost 35% children suffered from diarrhoea in the past one month of which 10 were admitted to the hospital. Diarrhoeal incidences were associated with FH and EH practices (p<0.001) and not with PH practices. Improvement in the environmental and personal hygiene practices of the mothers can contribute largely in reducing the prevalence of diarrhoea among children in Chikhli taluka of Gujarat.
Factors associated with Institutional delivery in Boricha district of Sidama zone, southern Ethiopia
Authors: Gudura Tafese Tadele , Debiso Alemu Tamiso , Gudura Tariku Tadele
Published: November 2019

Every year, 40 million women give birth at home without the help of a
skilled birth attendant. In 2011, 287,000 women died during pregnancy or childbirth. Almost all these deaths occur in developing countries where mothers and children lack access to basic health care. Reports showed the low utilization of health facility for delivery service in Ethiopia. This study aimed to determine the utilization and factors influencing institutional delivery. Community based cross sectional study was conducted from January to February 2013/14 in Boricha District of Southern Ethiopia among mothers who gave birth in the last 1 year. Multistage sampling techniques were used to collect data from 546 mothers. Taking in to account place of birth for the last child, only 4.9% women gave birth in a health facility. Women’s education level (AOR=4.4 (95% CI=1.36-14.33)), timing of firstANC visit (AOR= .03 (95% CI=0.004 - 0.205)), women’s advice to deliver in a health facility during ANC (AOR = 31.15 (95% CI=2.02-479.52)), women’s knowledge of birth related complications (AOR= 12.4 (95% CI=2.67-57.16)) and decision making power (AOR=0.2 (95% CI=0.060.82)) showed significant association with institutionional delivery. Institutional delivery in the study area was found to be very low. Raising awareness on institutional delivery to maximize delivery service utilization and strengthening provision of education and counseling to deliver in health facility during antenatal care visits at individual and community level should be given due emphasis.
Using Data Mining to Predict Possible Future Depression Cases
Authors: Daimi Kevin , Banitaan Shadi
Published: November 2019

Depression is a disorder characterized by misery and gloominess felt over a period of time. Some symptoms of depression overlap with somatic illnesses implying considerable difficulty in diagnosing it. This paper contributes to its diagnosis through the application of data mining, namely classification, to predict patients who will most likely develop depression or are currently suffering from depression. Synthetic data is used for this study. To acquire the results, the popular suite of machine learning software, WEKA, is used.
Forgiveness, Gratitude, and Happiness among College Students
Authors: Safaria Triantoro
Published: November 2019

Wellbeing is the ultimate goal for everyone, not only for adolescence. Present study explore the relationship between gratitude and forgiveness with happiness among college student. A total of 81 undergarduate psychology students were recruited in this study from a private university in Jogjakarta. 29.6% (24) of the sample were males and 70.4% (57) were females Regression analysis was used to predict the model. This model regression predict relationship between gratitude and forgiveness with happiness, explaining 28.9% of the variance (Adjusted R2= 0.289).Gratitude give the biggest contribution to happiness (b= .536 p= .000), but forgiveness has no significance relationship to happiness (b= .078, p= .414). This result means that gratitude is an important factor contribute to happiness among undergraduate student in this sample. The implication of study are discussing further.
Anxiety and Family Support on Infected TORCH Patients
Authors: Valevi Eirene Shinta , Handayani Lina
Published: November 2019

TORCH is an acronym of Toxoplasmosis, Rubella, Cytomegalovirus, and Herpes simplex diseases. These diseases can cause abnormalities in the brain, impaired psychomotor and cognitive function, fertility, miscarriage, birth defects, etc. Infected TORCH patient tend to experience anxiety and worry after discovering he/she was diagnosed infected TORCH. For infected TORCH patient, family support is external factors that influence the treatment TORCH process. The purpose of this study was to describe the anxiety and family support on infected TORC patients in Klinik Utama Thursina Husada,Yogyakarta, Indonesia. The design of this study was descriptive qualitative with case study approach. All subjects in this study had worries on costly medical expenses TORCH. TORCH symptoms that asymptomatic made informants and family ever thought that it was a non-medical disease. Each informant can overcome the anxiety that they face because of emotional support, esteem support, instrumental support, and informational support from family. Infected TORCH caused the patient had anxiety and worries. Family support was very helpful in the process of TORCH treatment.
Factors Affecting Adherence to Pediatrics Antiretroviral Therapy in Mekelle Hospital, Tigray Ethiopia
Authors: Gultie Teklemariam , G/Amlak Tesfay , Sebsibie Girum
Published: November 2019

The most important factor in the success of HIV treatment is adherence to antiretroviral therapy (ART).The challenge to adherence to ART is particularly serious in Sub-Saharan Africa as the high rates of HIV/AIDS lead to greater numbers of affected individuals. Although long-term good ART adherence has been observed in certain settings of public sectors the magnitude of this challenge in Sub-Saharan Africa remains large and there is evidence for high rates of patient’s poor adherence. Study aimed to assess the factors affecting adherence to pediatrics antiretroviral therapy (ART) among children in Mekelle hospital, Tigray, Ethiopia. A Hospital based cross-sectional study was conducted on 226 children on antiretroviral therapy from May 01 to 30/2014 at Mekelle hospital. Data was collected from care givers of children under 15 years old who are on ART. Of the 226 children under 15 years, 90.3 % reported complete adherence to antiretroviral therapy medications at the regular schedule over the past 7 days. Factors associated with adherence were having male care giver (AOR=2.10[1.01, 7.22]), age of the child (AOR=1.43[1.16, 3.98]) below 5 years and use of first line ART drugs (AOR=2.86[1.54, 3.67]). Over all the adherence of children on ART to their medication in this study is relatively higher as compared to others. However, complete adherence is expected in order to make the drugs effective. Different strategies have to be designed to improve the adherence level.
Malaria Disease Distribution in Sudan Using Time Series ARIMA Model
Authors: Musa Mohammed Ibrahim
Published: November 2019

Malaria is widely spread and distributed in the tropical and subtropical regions of the world. Sudan is a sub-Saharan African country that is highly affected by malaria with 7.5 million cases and 35,000 deaths every year. The auto-regressive integrated moving average (ARIMA) model was used to predict the spread of malaria in the Sudan. The ARIMA model used malaria cases from 2006 to 2011 as a training set, and data from 2012 as a testing set, and created the best model fitted to forecast the malaria cases in Sudan for years 2013 and 2014. The ARIMAX model was carried out to examine the relationship between malaria cases and climate factors with diagnostics of previous malaria cases using the least Bayesian Information Criteria (BIC) values. The results indicated that there were four different models, the ARIMA model of the average for the overall states is (1,0,1)(0,1,1)12. The ARIMAX model showed that there is a significant variation between the states in Sudan.
Comparative Antioxidant Activity on The Ficus benjamina and Annona reticulata Leaves
Authors: Saptarini Nyi Mekar , Herawati Irma Erika
Published: November 2019

Antioxidants can prevent free radical formation. Natural antioxidants found in many plants, such as Ficus benjamina and Annona reticulata. The study aimed to compare the antioxidant activity of extracts and fractions of Ficus benjamina and Annona reticulata leaves against 1,1-diphenyl-2-picrilhydrazyl. The steps of this study consist of extraction, fractionation with n-hexane, ethyl acetate and water, phytochemical screening, antioxidant activity determination, and comparing the IC50 values. Percentage scavenging activity of the extracts and fractions against DPPH was calculated to determine the antioxidant activity. The IC50 value of Ficus benjamina was 127.86 ppm for ethanolic extract, 94.01 ppm for water fraction, 115.48 ppm for ethyl acetate fraction, and 335.50 ppm for n-hexane fraction. The IC50 value of Annona reticulata was 274.31 ppm for ethanolic extract, 211.42 ppm for water fraction, 367.91 ppm for ethyl acetate fraction, and 741.08 ppm for n-hexane fraction. The results showed that the Ficus benjamina water fraction was the best antioxidant compared to other extract and fraction.
Public Health Promotion: Autonomy of the Emergency Nurse Practitioner
Authors: Alexander Cheryl Ann , Wang Lidong
Published: November 2019

The purpose of this paper is to examine several key issues in health care reform. From the Patient Protection and Affordable Care Act of 2010 to the cholera epidemic in Haiti, global health care reform is necessary to promote health and wellness among all nations. There is an international shortage of nurses and nursing faculty. Among the providers, it is also necessary to examine autonomy of the most up and coming nurse provider: the emergency nurse practitioner.
Association of Men's Awareness of Danger Sign of Obstetric Complication and Male Involvement’s in Birth Preparedness Practices at South Ethiopia
Authors: Debiso Alemu Tamiso , Merdekios Behailu , Tilahun Marelign
Published: November 2019

The Ethiopian Demographic and Health Survey (EDHS) indicate that maternal mortality in Ethiopia is one of the highest in the world. This death toll can be prevented partially through increasing awareness on danger sign of obstetric complications and birth preparedness practices for mother, husbands and other family members. Community based cross sectional study was done. Adult males with a wife or partner who had been through childbirth in the preceding 36 months were included in the study. Data was collected by pretested structured questionnaires and multi stage cluster sampling was used to reach 845 samples which were calculated by using StatCalc program of Epi Info 7. Collected data was cleaned and entered in to Epi Info 7 and exported to SPSS (IBM-20) for further analysis. Hierarchical logistic regression model and adjusted odds ratio with 95% confident interval were used to show association between men awareness and birth preparedness practices. The total numbers of men interviewed were 836 that makes response rate of 98.9%. Severe abdominal pain (87%) was the most recognized danger sign during pregnancy and 17.9% men involve in saving money.  Forty two point two percent of men had awareness of danger sign and 9.4 %( 95% CI: (7.42, 11.4) of men involved in birth preparedness practice. Strong association between men awareness of danger sign of obstetric complications and involvements in birth preparedness practices persisted after adjusting for probable confounders. Thus respondents who had awareness of danger signs were two times (AOR: 1.91, 95% CI: 1.06, 3.41) more likely to involve in preparedness practice than respondents who had no awareness of danger signs of obstetric complication. The prevalence of men awareness of danger sign & involvement in birth preparedness practice was very low.
The Relationship between Emotional Violence and Learning Achievement of Female Students
Authors: Aulia Reski , Ayu Suci Musvita
Published: November 2019

Violence is a phenomenon social happened and inclined for women as a sacrifice. There are still a few people who know the violence that is happened in relationship. It is because they assume that relationship is amazing time in young age. It is one of ignorance from citizens that they are less of information and data report of violence victim in the relationship. Learning achievement is measured of the success of students in learning activities. Influence factors achievement of study can be classified into two groups, namely the internal self sourced from students and external factors included factors of family, school and community environment factors. The aim of the research was to investigate the relationship between emotional violence and learning achievement of female students in SMK Negeri 6 Yogyakarta, Indonesia. This study was observational analytic employing cross sectional design. The subject of research was 85 students of SMK Negeri 6 Yogyakarta. The results showed that there was no relationship between emotional violence with learning achievement.
Sexual Self-schema, Perceptions of Breast Talk, and Physical Self-concept in Breast Cancer Survivor
Authors: Abraham Juneman , Puteri Miranti Ayu
Published: November 2019

The quality life of breast cancer survivors has been the psychology’s focus of attention. However, studies discussing their sexuality highlighted from the social psychology perspective are still not very much, especially in Indonesia. This study aimed to predict sexual self-schema of breast cancer survivors based on their perceptions of the breast talk and physical self-concept. This study used a predictive-correlational design and employed psychological scales measuring instruments, multiple linear regression data analysis technique as well as purposive sampling method. This study was conducted on 130 women breast cancer survivors (Mage = 39.45 years old; SDage = 3.542 years; all been married) in Special Capital Region of Jakarta - the capital city of Indonesia, and its surrounding areas (Bogor, Tangerang, and Bekasi). The study results showed that the perception of functional breast talk and physical self-concept are able to predict sexual self-schema in positive directions. Other perceptions of breast talk (medicalized, gendered, and sexualized breast talk) are not able to predict it. This study has important implications in order to improve the life quality of the survivors, namely by managing fair discourses about breast in the public and keeping the proper physical self-concept since the early stage of life.
Javanese Muslim with Diabetes in Yogyakarta Managing The Daily Self-Care Activity
Authors: Harbiyan Muflikh Try
Published: November 2019

Self-care, capability in performing certain activity in maintaining well-being in daily life, was regarded important especially among people with long-term condition such as diabetes. Locus of control and self-efficacy are among the self-agency factors that might influence how people engage with daily self-care activity in diabetes management. While, Javanese and Islamic values and norms are other parts of structure that support the effort. This study aimed to seek further into the experiences and perceptions among the Javanese Muslim on how they managed to do self-care in diabetes management. The study was done utilizing a mixed method approach with the usage of the Summary of Diabetes Self-care Activity (SDSCA) questionnaire to measure the level of self-care and followed by further interview to dig deeper into the perception and experiences and what are the opportunity or obstacle in performing daily self-care. A convenient sample of 100 participants has filled the questionnaires, with further 24 interviews. The study identified the moderate self-care practices as a separate notion, instead of an integrated and comprehensive concept amid the unavailability of a structured education program. Five themes were generated from the interviews, those are: education and knowledge, being in or out of control, Javanese way – sensitivity and surrender, peace of mind and role of Allah or God, and poor access to health care.
A Case Study of Modern Medical Practice and Islamic Complementary Therapy on a Patient with Over 2000 Embedded Nails
Authors: Ab Rahman Nor Azian , Sukardi Sagiran , Husin Supyan
Published: November 2019

In South East Asia, patients often resort to various forms of complementary therapy apart from utilizing mainstream modern medicine in Hospitals. Islamic-based complementary therapy employs various forms of bio-physical, psychological, social, cultural, and spiritual interventional methods based on the prevailing belief and cultural system to provide a holistic Syariah compliant approach in patient management. The concept of diseases caused by sorcery and paranormal means using intermediaries like Jinn and evil spirits that have been in existence since time immemorial across religions, cultures and societies around the world, for example, Homer in Ancient Greece, the legendary Medea, and Witch of Endor in the Bible. Currently, the practice of black magic and the belief in the paranormal still widely exist in the midst of modern civilization in this region.  Modern medical practice has no definitive answer for a person with an unusual medical illness who is believed to have been afflicted by black magic because of its non-specific clinical presentation and non-response to conventional management paradigm which defies medical logic. In this paper, we describe a true case of a lady, 25 years-of-age, who suffered from more than 2000 nails embedded inside her body for one and a half years. Upon admission to a Hospital in Indonesia, she underwent a surgical procedure to remove all of the nails but to no avail; the nails re-appeared at other parts of her body. The surgical team later decided to conduct an Islamic complementary therapy on the patient, and subsequently, managed to extract all of the remaining nails without further bleeding. In conclusion, unusual or mysterious medical illness, sometimes referred to as idiopathic in etiology, not responding to conventional medical or surgical intervention, may potentially benefit from the use of Islamic complementary therapy.
Barriers to Males Involvement in Family Planning Services in Arba Minch Town, Southern Ethiopia: Qualitative Case Study
Authors: Tamiso Alemu , Tassew Admasu , Bekele Henok , Zemede Zale , Dulla Admasu
Published: November 2019

Effective utilization of family planning services are major contributors of improved maternal health. This, in turn, needs adequate involvement of male partners through direct uptake the services and approval of the spouses’ usage. Yet the family planning method utilization as well as male involvement is indicated to be low in Ethiopia. Qualitative case study was conducted in August 2015 in Arba Minch town to identify barriers to male involvement in uptake of family planning services. Open ended, semi-structured questionnaire was used to interview the participants. Four men and four women are purposively selected. Interviews were conducted in audibly private location after verbal consent was obtained from the recruited individuals. All interviews were recorded and transcribed verbatim. The narratives were then translated to English and the responses are aggregated in to nine concepts. The final aggregated data were analyzed using OpenCode 3.4 software based on thematic framework analysis. Total of eight participants (four men and four women) were interviewed where seven are married and one is single. Participants identified that, Perception (or opinion) towards family planning as women’s issue, Sex preference for inheritance and considering children as measure of blessing of and Fear of partner sexual promiscuity and to reduce women’s attractiveness were barriers for male involvement in modern family  planning method. Future interventions aimed at improving family planning services and methods utilization in Arba Minch town and similar settings need to consider these bottlenecks for male involvement.
Association between Non-Cigarette/Smokeless Tobacco and Hypertension in the National Health Interview Survey: A Pseudo-Panel Analysis
Authors: Obisesan Olawunmi , Thompson Emmanuel , Obisesan Adekunle , Akinola Olubusayo , Commodore-Mensah Yvonne
Published: November 2019

This study sought to examine assumption between having ever used non-cigarette tobacco or smokeless tobacco, and a diagnosis of hypertension among a sample of 13, 086 United States adults participating in the National Health Interview Series from 2012-2014. A pseudo-panel analysis of data extracted from the Integrated Health Interview Series Survey was conducted. The generalized linear mixed model was used to quantify the effect of a history of non-cigarette tobacco, smokeless tobacco, and socio-demographic predictor variables on the response variable, a diagnosis of hypertension. The transformed data, based on the pseudo-panel technique, resulted in fifty-seven (57) birth cohorts and followed in 2012, 2013, and 2014. The mean age was 51.6 years (±12.4). The findings of this study revealed that the odds of hypertension diagnosis for non-cigarette tobacco users was 0.8846 times lower (95% CI: 0.7907, 0.9896) than non-users after adjusting for possible confounders such as age, language, education, income and years of smoking. Our study suggested that the association between the use of non-cigarette tobacco and the diagnosis of hypertension among the sample population is consistent enough to assume a less plausible association between the two variables.
The Effort to Decrease Maternal and Child Mortality Rates through Cultural Transformation
Authors: Triratnawati Atik , Ditya Kristianti Rani , Putra Aldo Pandega , Bagas Setyaji Pandu
Published: November 2019

Maternal and infant mortality in Ende is still high, but research related a social science is rare. The cultural aspect and medical factors such as the lack of primary health care services are also play a role. This study aims are to identifying and formulate the local cultural transformation as a way to solve maternal and infant mortality. This ethnographic research was conducted in 2013. The study carried not only interviews, but also observation towards reproductive-age women, heads of family, traditional birth attendants, doctors, midwives, local leaders, adat leaders, pastors and sisters, local government officials, and head of health district at Ende. Data is analysed phenomenologically. The strong belief to adat and local tradition has implication to people’s attitude towards traditional birth attendants. Traditional birth attendants hold superior position in the community. They also have strong influence due to their ability to massage, correctly guess infant’s sex, reposition infant in the womb, and stop bleeding during labor. Maternal and/or infant mortality has nothing to do with traditional birth attendants because local people believe that such case happens as a result of hex or black magic called ru’u. Anemia, bleeding, food taboo, and incorrect diet pattern worsen the overall condition of pregnant women. Cultural transformation is done by alternating TBAs practices in massaging pregnant women. TBAs are encouraged to massage pregnant women’s back instead of stomach since pregnant women often have to deal with low back pain during pregnancy.
Social Capital Capacity as Prediction of Dengue Control
Authors: Subaris Heru , Subiyanto Subiyanto , Tri Kartono Drajat , Lestary Eny
Published: November 2019

The program of elimination of mosquito breeding places is still low since there is no public participation effort in vector control. Social capital is key factor for sustaining any health programs implemented. This study was aimed to analyze the effectiveness of social capital impact on participation and environmental based dengue prevention programs. Study design was cross sectional. Population study was community around Bantul district. Sample was collected as 600 house hold devide on two categories endemic and potential areas. Data was collected with interviews and observation. Data were analyzed with person corelation, confirmatory analyzed and path way analyzed. There were significantly relationships between social capital and family perseption, disease perception, individual perception, environment perception and larva density p < 0,05. Relationship between perception of counselling and family perception, dengue programs and family perception p < 0,05, and the strongest factor is environment participation (r=0.296). Based on the path analysis for potential areas, social capital was effectively for increased larvae free index through family perception. Theoretically, model for social capital is more efficient in increasing the number of free larvae index through community environment participation. In potential areas, social capital is concluded to be more effectively increase of larva index through participation of individuals. In endemic areas, that dengue programs increase larva index more effectively, compared with social capital does. Strengthening of social capital is important because it effectively the coverage of larva index through environment participation both areas.
The Effect of Ethanolic Extract of Roselle (Hibiscuss sabdariffa L) on Increasing SOD Activity
Authors: Rahman W Abdul , Nurkhasanah Nurkhasanah , Sulistyani Nanik
Published: November 2019

Free radicals were reactive species caused oxidation of lipids membrane and DNA. Superoxide dismutase (SOD) is one of the primary antioxidants to inhibit free radicals. The purpose of this study was to determine the effect of ethanol extract of roselle calyx on SOD enzyme activity of the Sprague Dawley (SD) rats induced by 7.12-dimethylbenzen[a]anthracene (DMBA). The animals age of four weeks divided in to five groups, groups I were normal group. Group II is the negative control group only induced by DMBA 75 mg/kgBW; and group III ,IV , and V were treatment groups that treated by ethanolic extract of roselle calyx at dose of 10, 50 and 100 mg/kgBW/day for 7 days. After treatment with roselle, animals were induced by DMBA 75 mg/kgBW. On day 8 after DMBA induction, animals were fasted for 16 hours and blood was collected to measured SOD activity. Data were analyzed using One Way Analysis Of Variance (ANOVA) and LSD (P <0.05). The result showed the significancies on increasing of SOD activity at 10 mg/kgBW (50.87±1.98), 50 mg/kgBW (69.98±3.58) and 100 mg/kgBW (73.01±6.95) compared with DMBA (43.74±1.95) (p<0,05).
Differences in Physical Activity and Built Environment Perceptions between Younger and Older Adults Living in The Same Rural
Authors: Papadopoulos Charilaos , Twaddle Brent J
Published: November 2019

This study examined associations between perceptions and physical activity of younger and older adults residing in the same rural/small town community.  Thirty-two adults completed interviews about their community and their physical activity.  Both groups perceived their neighborhood as pleasant and safe to be active. Fewer older adults perceived their neighborhood as having sidewalks. Younger adults reported being more vigorously active and they were more often utilizing private membership clubs for physical activity. Older adults utilized more public recreational facilities. These results suggest that higher perceived quality of the neighborhood built environment can enhance participation in moderate exercise in older adults.
Model of Empowerment to Improve Autonomy Directly Observed Treatment (DOT) Tuberculosis Patients
Authors: Khariroh Syamilatul , Soedirham Oedojo , Hamidah Hamidah , Abdullah Endang
Published: November 2019

Empowerment as not yet optimal health promotion efforts done to enhance the autonomy of Directly Observed Treatment (DOT), which affect the success of the recovery of patients with pulmonary tuberculosis. The purpose of research was to develop a model empowerment based on Health Promotion and Health Literacy with approach to nursing intervention in an effort  enhance the autonomy of the DOT - pulmonary TB patients. The method was an observational analytic with cross sectional approach. Multistage random sampling was DOT-pulmonary TB patients to decide the district and simple random sampling was assigned to choose the participants, a total of 253 DOT- pulmonary TB patients new case with acid resistant bacilli positive on the advanced phase in this study. The study conducted in five districts in Surabaya City (center, north, south, east and west). Data were collected by questionnaire on variables namely personal, cognitive and affective, nursing intervention, commitment, family supports, health literacy and DOT- autonomy. Structural Equation Modeling (SEM) with LISREL is used for constructing predictive model. Result : This study found a new model which was developed based on combination of Health Promotion Model (HPM) and Health Literacy (HL). Statistical result confirm that personal, cognitive and affective, health literacy and family support considered as important factors in improving DOT-autonomy. Conclusion : DOT- autonomy will improve by considering four main factors, personal, cognitive and affective, health literacy, family support. This model can be adapted by District Health Office Surabaya City as the main actor regional health development. In addition, this model may become a reference for other district in improving their nursing intervention in community setting.
Performance Model of Nurse Community Approach to Organizational Culture in Indonesia
Authors: Suhartono Suhartono , Sulistiawati Sulistiawati , Yunitasari Esty
Published: November 2019

National problem faced by Indonesia today is the handling of the low quality of Human Resources (HR). HR issues that need attention is the issue of performance. Performance is the rate of success in carrying out the task, as well as the ability to achieve the goals set. The aim of this study was to determine the influence of individual factors, organizational factors, organizational and cultural factors on the Performance of Nurses. This study used a cross sectional study approach. The population used in this study were nurses ponkesdes Tuban and Lamongan district in accordance with the inclusion criteria as much as 55, with a sample size of 48 respondents specified research using simple random sampling technique. The independent variable in this study is the individual factors (abilities and skills), organizational cultural factors and organizational factors, dependent variable is the performance of nurse ponkesdes. Instruments used in the collection of data in the form of questionnaires and performance evaluation sheet. Research analysis using simple linear regression test. Simple linear regression analysis showed variable organizational cultural factors were not statistically significant effect on the performance of the p-value (0.000), organizational factors also significantly influence the performance of the pvalue (0.027). While the variable factors of individual (skills and abilities) does not significantly influence the performance of the p-value (0.103).
Acute and Chronic Toxicity of Mercury Exposure in Seafood and Human Populations near a Small-Scale Gold Mining Area
Authors: Sofia Sofia , Husodo Adi Heru , Sugiharto Eko
Published: November 2019

Gold amalgamation processes using mercury were practiced in small scale gold mining activities in Krueng Sabee, Aceh Province. Seafood (fish, mollusc, shrimp) and human hair samples were collected to assess mercury concentrations.  Acute and chronic toxicity symptoms which arise among the populations were observed as well as personal protective equipment used by gold miners. The range of mercury concentrations varied among fish, shrimp, and molluscs. The highest mercury levels were recorded in fish Puntius latristriga (172.299 ± 10.626 µg/g wet wt.), followed by mollusc, Polymesoda caroliniana  (160,032 ± 0,522 µg/g wet wt.), fish R.kanagurta (149 ±2,000 µg/g wet wt.), shrimp Penaeus monodon (116.975 ± 4.807 µg/g wet wt.).  The variation of mercury concentrations in hair samples of 72 respondents were detected from 5.7 µg/g to 88.1 µg/g. The most frequent acute and chronic intoxication symptoms documented were headache, muscle cramps, cough, and aphthous ulcers. Personal protective equipment which has correlation with high mercury levels in gold miners were respirator/mask, gloves, and apparel (p < 0.05). All seafood samples exceeded 0.5 µg Hg/g MoH Food and Drug Administrasion threshold level and hair samples over 10 µg/g as set by WHO tolerance limit.
Dealing with the Daily Emergency Care: A Case among the Waste Pickers in Surabaya
Authors: Rahariyani Loetfia Dwi , Fadilah Nikmatul , Windi Yohanes Kambaru , Nursalam Nursalam
Published: November 2019

Waste pickers are those who collect, sort and sell recyclable waste for a living. Waste pickers are vulnerable to various health problems, particularly high risk of occupational health. This study intended to overview the capability of the waste picker to manage the emergency care due to their unsafe working condition. It is a descriptive study involving 48 waste pickers. The study revealed the poor knowledge and practices of the waste pickers in handling their emergency care. Therefore, it exacerbates their health and become riskier to diseases and illness. Improving the knowledge of the waste pickers regarding the emergency care and the provision of health programs accommodating the waste pickers is necessary.
Determinants Levels of Urinary 8-Hydroxydeoxyguanosine among Chromium Electroplating Workers
Authors: Setyaningsih Yuliani , Astuti Indwiani , Husodo Adi Heru
Published: November 2019

Electroplating workers were exposed by particulate and fog of chromium from electrolysis process during work. Chromium is highly carcinogenic when inhaled.  Chromium can be reduced in the cells in the body. This process may generate Reactive Oxygen Species (ROS) causing lipid peroxidation and oxidative DNA damage. This research was aimed to analyse the influence of chromium to the levels of urinary 8-OHdG as an indicator to support early diagnosis of occupational disease. 66 electroplating workers in Tegal District were taken purposively as samples for this research. There were association between chromium level in urine, malondialdehyde (MDA) level, Body Mass Index, smoking habit, alcohol and supplement drink consumption and urinary 8-OHdG (p<0.05). There was not association between BMI and urinary 8-OHdG (p>0.05). Multivariate analysis using logistic regression showed the alcohol consumption had the most powerful influence to the level of urinary 8-OHdG. The levels of urinary 8-OHdG could be used as an indicator of oxidative DNA damage and early diagnosis of occupational disease among electroplating workers who were exposed by chromium.
Arsenic Exposure to Fish and Shellfish Consumption among Community in Makassar, Indonesia
Authors: Musfirah Musfirah , Damayanty Sri
Published: November 2019

Fish and shellfish contaminated by Arsenic (As) heavy metals from people activity discharge into the coast. Coastal community was exposure risk by As due to consumption of marine products. This study aimed to determine of  human health risks level who consume fish and shellfish that contain As in Kaluku Bodoa and Untia coastal, Makassar. This research designed by observational and Environmental Health Risk Analysis (EHRA) approach. Human sample were 49 people and 8 environmental samples that selected based on certain criteria. Data collected through environmental assestment, interview and anthropometric data measurement. Data analyzed with EHRA methods. The results showed that the highest mean As levels found in Leiognatus equulus fish i.e. 1.589 mg/kg and Gafrarium tumidum shellfish i.e. 4.244 mg/kg of Untia coastal. The mean level of the carcinogenic risk for fish and shellfish consumption were unacceptable  because they  contain  As that demonstrated value of more than exponent 4 (ECR > E-4) and non-carcinogenic risk mean level was value of more than 1 (RQ > 1). Fish and shellfish consumption considered unsafe and will impact health problems for the community. Community should be restrict the frequency and amount of fish and shellfish consumption.
Ageing and Secular Social Involvement: Exploring to Subjective Wellbeing
Authors: Indawati Rachmah , Kuntoro Kuntoro , Notobroto Hari Basuki , Qomaruddin Mochammad Bagus
Published: November 2019

Religion and Spirituality can provide a unique perspective on life outcomes. The study to deepen subjective well being by exploring its relationships with religious and spirituality (secular values) and characteristics individu by the graph. Data were obtained from survey. The sample was drawn from the population aged 70 or more years in Surabaya by simple random sampling. The instrument using the Philadelphia geriatric center morale scale (PGCMS) and the self spirituality and religious. Most respondents reported being 'low of religiousity and spirituality’ in their lives. The mean PGCMS score was 7.89. The median PGCMS score was 8, 57.4% (139) score PGCSM above the median and 42.6% (103) score PGCSM under the median. Among elderly who were included the high well being category (PGCSM≥10) was 27.2% and most of elderly 72.7% didn’t have good well being. The elderly people who describe themselves as religious are showed graph constant. The graph of self religious is equal according to characteristic individu (age, men and women, marital status). The elderly who describe themselves as spiritual are likely to report greater or lower perceived well being. Exploring using the graph showed different according to characteristic individu. Elderly who demonstrated subjective well being were more likely to male and not married. Elderly’s perception of spirituality depends on characteristic individuals and experience in which individuals live.
The Influence of Lavender Aroma Therapy on Decreasing Blood Pressure in Hypertension Patients
Authors: Gultom Agustina Boru , Ginting Surita , Silalahi Elni Lorensi
Published: November 2019

The objective of this research was to determine the influence of lavender aromatherapy on decreasing blood pressure in hypertension patients. The research employed quantitative method with quasi experiment design. The samples were 32 patients either in the treatment group or in the non-treatment group. They were selected by consecutive sampling technique. The result of the research showed that the decrease in systolic and diastolic blood pressure of the treatment group was 9.7299 mmHg and 4.3237 mmHg while without treatment was 7.0461 mmHg and 3.51152 mmHg. Paired t-test resulted the probability value of systolic blood pressure was α (0.000) <0.05, the probability of diastolic blood pressure was α (0.000) <0.05. It could be concluded that there was the influence of lavender aromatherapy on the decrease in systolic and diastolic blood pressure. Inhalation with lavender aromatherapy method can become one of the considerations in nursing intervention to decrease blood pressure in hypertension patients. It can be an alternative of therapy complement besides medication.
The Application of the IMB Model as Primary Prevention on Adolescent’s Premarital Sexual Intention
Authors: Suwarni Linda , Selviana Selviana , Ruhama Ufi , Arfan Iskandar
Published: November 2019

Previous studies showed the information, motivation, and behavioral skills (IMB) model could be used to predict and prevent reducing sexual risk behaviors. This paper examines the effectiveness of IMB interventions in reducing adolescent’s premarital sexual intentions. A quasy experimental nonequivalent pretest-posttest control group design was conducted among 250 students in 20 secondary schools in Pontianak with intervention IMB models and 100 students in the control group. There was a significant differences of information (delta mean = 3.008; 95% CI = 2.329 to 3.687; p value = 0.0001), motivation (delta mean = 1.532; 95% CI = 0.846 to 2.218; p value = 0, 0001), and skills to refuse or delay premarital sexual behavior (delta mean = 1.604; 95% CI = 0.629 to 2.579; p value = 0.001) on adolescents between before and after the application of the IMB model in secondary students in pontianak, Indonesia. In addition, there were significant differences intention adolescents in the control group and the experimental between before and after the IMB intervention (p value < 0.05). IMB model could be applied as primary prevention on adolescent’s premarital sexual intention through integration in school subjects. It is needed a support and debriefing skills in teachers.
Prevention of Nosocomial Infection through Application of Housekeeping
Authors: Sholihah Qomariyatus , Hanafi Aprizal Satria
Published: November 2019

The hospital has a high risk of nosocomial infection. Nosocomial infection can infect patients in hospital and can inhibit the patient's recovery, even worsen a patient. The purpose of this study was to determine the relationship of the application of housekeeping with the total number of germs floor as prevention nosocomial infection in the treatment room Roses in Ulin Hospital Banjarmasin, Indonesia. The study design was observational analytic. The study population was all Roses class treatment rooms. The samples were taken from the floor germs 4 point class treatment rooms in hospitals Rose Ulin. Sampling was conducted in the first week and the second week in November 2015. Paired t-test results showed no relationship between the applications of housekeeping with the total number of germs floor with a p-value 0.015.This study found there was decreasing the total number of germ on the floor in all rooms. It is hoped that the hospital to continue to pay attention to the condition of the hospital, especially in terms of hygiene in order to avoid transmission of germs or nosocomial infections due to bacteria originating from the floor.
The Level of Malondialdehyde in People Exposed to Air Pollution
Authors: Aguscik Aguscik , Ikob Ridwan , Putra Sumitro Adi
Published: November 2019

Air pollution cannot be avoided by people especially those living in big cities.  Rubber factories and landfill sites are two examples of activities that can trigger air pollution. H2S gas produced from rubber factories and landfill sites can create unpleasant smells and air contamination and increase free radicals in environment. This study was to assess the level of oxidative stress in people living near rubber factories and landfill sites. This was cross-sectional study involving 60 people as the study sample. The level of H2S gas was measured to determine the presence of air pollution. Blood collected from vena mediana cubiti was drawn to determine the level of malondialdehyde (MDA) as a marker of oxidative stress. Data obtained from this study were analyzed using independent t-test. The levels of H2S gas from landfill site were higher than those from rubber factory (0.482 ppm vs. 0.332 ppm). On the other hand, the average level of MDA in people living near the rubber factory was higher than that living near the landfill site (0.847 ± 0.269 nmol/mL vs 0.748 ± 0.253 nmol/mL). It was found no significant difference (p <0.05) in the average levels of MDA between people living near the rubber factory and those living near the landfill site.  There was no significant difference in the average levels of oxidative stress between people living near rubber factory and those living near landfill site.
Data accuracy and completeness of monthly midwifery returns indicators of Ejisu Juaben Health Directorate of Ghana
Authors: Boadu Richard Okyere , Agyei-Baffour Peter , Edusei Anthony Kwaku
Published: November 2019

The broad range of activities contained in the provision of Primary Health Care (PHC) places a burden on providers to make optimal use of limited resources to achieve maximal health benefit to the population served. All too often, ad hoc decisions and personal preferences guide PHC resource allocations, making accountability for results impossible. Problems constraining Routine Health Information System (RHIS) performance in low-income countries include: poor data quality; limited use of available information; weaknesses in how data are analyzed and poor RHIS management practices. This study sought to investigate these constraints. A non-experimental before and after study involving bassline assessment of data accuracy and completeness, application of innovative strategies such as mentoring and coaching of Health Information Officers in data quality improvement process. Coincidentally, the intervention improved both data accuracy and completeness performance significantly among the participating facilities. The outstanding performance may be attributed to management’s new orientation and growing interest towards quality data. Engaging frontline staff in data quality improvement work and provision of regular feedback leads to improvement in data accuracy and completeness. This has implications for decision-making and resource allocation, especially in low-income countries, where the routine health information management system relies heavily on paper work.
Micronutrient intake and fundal height determine birth weight
Authors: Aghadiati Faradina , Hanim Diffah , Dewi Yulia Lanti Retno
Published: November 2019

The birth weight (BW) are utilized as indicators of the healthy and term newborns. Factor that affects the weight of a newborn are micronutrient intake and fundal height. Folic acid and iron (Fe) were associated with newborn birth weight. Fundal height in centimeters (cm) is the same as the gestational age of the week, the fundal height that is not in accordance with the gestational age is leading to stunted fetal growth. The purpose of this study was to analyze the relationship between intake of folic acid, iron (Fe) and fundal height with newborn birth weight. This research method was an analytic observational using a cross-sectional approach. The sample in this study were 114 pregnant women living in Yogyakarta. Statistical test results proved a significant relationship between the intake of folic acid and iron (Fe) with the newborn birth weight (p < 0.05). There was a significant relationship between the fundal height with the newborn birth weight (p < 0.05). The concludes of this study, pregnant women with adequate folic acid intake, adequate iron intake and normal fundal height tended to give birth newborns with normal birth weight.
Effects of self-help groups intervention on coping strategies of parents of children with Autism Spectrum Disorder (ASD)
Authors: Hidayah Ridhoyanti , Lestari Retno
Published: November 2019

Coping strategies were significant predictors of psychosocial adaptation in parents of children with autism spectrum disorder (ASD). Self-help groups could be effective resources for parents in dealing with problems wile caring for children with ASD. The purpose of this study was to analyze the effects of self-help groups on coping strategies in parents of children with ASD. This study used pre and post quasi-experimental tests without a control group using self-help group interventions. There were thirty-three participants taken from the Malang City Autism Service Center using purposive sampling. Coping strategies based on cognitive and psychomotor abilities were measured using a questionnaire. The results showed paired t-test in all groups, at 5% significance level, statistically significant difference between mean score before and after self-help group interventions. Coping strategies in groups that received two supervised sessions and four times independently reached higher score compared to other groups. It can be concluded that it is important to implement self-help groups for parents who care for children with special needs.