bluuebunny/crossref_metadata_2025 huggingface dataset:
A Review of The Anti-diabetic Activity of Andrographis paniculata (Burm. f.) Nees based in-vivo Study
Authors: Komalasari Titi , Harimurti Sabtanti
Published: November 2019

Diabetes mellitus (DM) is ricing nowadays. DM is a metabolic deasease characterized by increasing of glucose blood level for prolonged time. Patient with DM must take medicine for lowering glucose levels in whole life. Synthetic anti-diabetic agent is commonly used and significantly able to maintain the glucose blood levels. However, many side effects will occur during the treatment. Further, people is trying to find an alternative medicine for DM treatment. This paper will discuss about an alternative medicine for anti-diabetic agent that is called Andrographis paniculata (Burm. f.) Nees based in-vivo study. Search data obtained from PubMed, PMC (PubMed Central), International Food and Research Journal, and Google search engine. Inclution and exclution criteria were used for selection of journals. Inclution criteria were taken is in-vivo study of Andrographis paniculata as anti-diabetic, published in 2000-2014, and free full text journal or PubReader (full text journal in PubMed Central) in English or Indonesian language. Base on reviewed journals that was conducted, anti-diabetic agent of Andrographis paniculata was found in extract, in fractional coumpund (i.e. andrographolide or its analogue AL-1: andrographolide-lipoic acid), and in combination with synthetic drug or other herbal. Therefore, Andrographis paniculata is potentially developed as an alternative anti-diabetic agent.
The Effects of Probiotic Lactobacillus casei Shirota Strain in Patients with Allergic Rhinitis Symptoms
Authors: Widuri Asti , Suryani Lilis
Published: November 2019

Allergic rhinitis is inflammatory reactions mediated by immunoglobulin E, after exposure to allergens. The symptoms are sneezing, runny nose and nasal congestion. Allergic rhinitis can be alleviated by the use of specific probiotics selected to confer immune effects, which can be demonstrated in the intestinal tract prior to an allergic reaction. The specific strains used in this study were selected based on their anti-inflammatory properties and an expected effect in promoting a Th1 type of immune response. To review the benefits of probiotics of Lactobacillus casei L Shirota strain in preventing allergy attacks that inhibit the production of IgE, IL-4 and reduce the symptoms. To review the benefits of probiotics of Lactobacillus casei L Shirota strain in preventing allergy attacks that inhibit the production of IgE, IL-4 and reduce the symptoms. The study design was quasi-experimental with pre and post test design. The subject were 45 patients who had a history of allergic rhinitis and positif skin prickt test result and filled out the questionnaires to get the allergic symptoms. The blood samples were taken for examining the IgE and IL-4 levels then after giving milk containing probiotics for 1 month, the researcher did the same examination. The mean IgE and IL-4 levels decrease before and after supplementation probiotics from 291.88 IU / L and 22.48 pg/ml to 141.43 IU / L and 17.83 pg/ml. The result of the statistical analysis paired t-test test was p = 0.00 on IgE level and p=0,056 on IL-4 level. The allergic rhinitis symptoms decreased significantly, the presentage of patients who had persistent and moderate 17.78% to 0% , who had persistent and mild 44.44% to 4.44%, who had intermittent and moderate 13.33% to 2.22%,and who had intermittent and mild 24.44% to 93.33%. Based on the Wilcoxon signed rank test showed a significance value of P = 0.00. Conclusion Probiotics is useful in preventing allergy attacks that inhibit the production of IgE, IL-4 and reduce the symptoms.
A Case Report of Marfan Syndrome with Literature Review
Authors: Kumar Kalla Hemanth , Kumari Swarna , Rama rao CH , Parthasarathy MKR , Reddy S Surya prakash , Revathi M
Published: November 2019

Marfan syndrome(MFS) is a connective tissue disorder that affects multiple organ systems. Cardiovascular, ocular, and skeletal abnormalities are cardinal features of the syndrome. Its incidence is among the highest of any heritable disorder.Most patients who have Marfan syndrome are usually diagnosed incidentally when they present for a routine physical examination for various reasons. The purpose of this paper is to provide a review of the literature, as well as describe a 22-year-old male with MFS and right hydroureteronephrosis diagnosed incidentally when he attended our hospital for complaints of fever and right loin pain. This case report emphasizes importance of “Revised Ghent criteria” for the diagnosis of MFS and highlights various clinical signs of MFS.
Medical Students Perception about Doctor's Body Image Using Stunkard Figure Rating Scale (FRS) Method
Authors: Tejoyuwono Agustina Arundina Triharja , Riedha Muhammad
Published: November 2019

Doctor as health workers are obliged to be role models, especially in healthy and active life stlyle projected as having an ideal body image. It beneficial to increase self confidence, improve sucess in counceling and health service satisfaction and as well as gaining patient’s trust. Body image sometimes considered unnecessary, however it could be quite disturbing in health service.Therefore, this study aims to describe medical student’s perception on doctor’s body images as health workers in Tanjungpura University. This resarch used survey in descriptive study with quantitative data. The subject was medical students from medical, pharmacy and nursing grade 2011 to 2014. Triangulation data collected from doctor working in medical school, and Tanjungpura University Hospital. Sample was choosen by purposive sampling and analyzed by descriptive statistic. This research had been approved by medical faculty ethic research admission at Untan no. 3986/UN22.9/DT/2014. A total of 576 medical students were enrolled in this research. 93.06% stated that body image is important for doctor and it will influence the theraphy. 67.2% chose picture 4 (normal nutritional status) in Stunkard Figure Rating Scales the ideal body images for doctors. Nevertheless,17.01% chose picture < 3 (underweight) and 15.8% choose picture > 5 (overweight and obesity) as the doctor’s ideal body images. Doctors that work in Educational field were the most important field that needs a good body image (42.88%0, followed by doctor in hospital (24.83%). Based on triangulation data from 16 medical school doctors, and 7 Tanjungpura University Hospital doctors, suggested that body image will not impact the therapy (82.6%) and the most important field that needs ideal body images was in hospital (43.5%). Body image is very important and it will influence doctor theraphy. Doctor in educational field should have a ideal body image with normal nutrition status.
Serum Level Changes of Neurotrophin-3 after Performing Diabetic Foot Exercise in Diabetic Neuropathy
Authors: Wahyuliati Tri , Pranoto Agung , Wibowo Samekto
Published: November 2019

The research aimed to determine the pattern of changes in serum levels of NT-3 in the improvement of diabetic neuropathy, after doing diabetic foot exercise. A true experimental study with randomaized pre – post test control trial. A total of 36 subjects meeting the inclusion and exclusion criteria were included in the exercise group or the control one with age matched systematic random sampling method. Exercise group had a significant improvement on the score of ABI (p.0.002), systolic blood pressure (p.0.014), diastolic blood pressure (p.0.055), DNS (p.0.01), DNE (p.0.001) and increased of serum level of NT-3 (p.0.049). Control group had result respectively on ABI (p.0.131), systolic blood pressure (p.0.668), diastolic blood pressure (p.0.216), DNS (p.1.00), DNE (p.0.543), and increase of NT-3 (p.0.264). The comparation results of the two groups had a significant different on the score of ABI (p.0.01), systolic blood pressure (p.0.01), diastolic blood pressure (p.0.01), DNS (p.0.01), DNE (p.0.01), and increased of NT-3 (p.0.01). Diabetic foot exercise had a peripheral affect on a clinically significant improvement based on ABI scores, systolic and diastolic blood pressure, DNS and DNE, and increase of serum level of NT-3.
Evaluation of Medical Officers’ Certificate Programme (MOCP) Course Competency Based Learning
Authors: Phadke Mrudula A
Published: November 2019

Medical Officers’ Certificate Programme (MOCP) is a 6 months training programme in Pediatrics/Medicine at Medical colleges wherein doctors work like postgraduate students, learn various OPD, IPD, (Out Patients and In Patient Department) procedures, attain hands on skills, perform day and night duties, attend postgraduate training programmes and specialty clinics. This is a course unique to Maharashtra. It has been designed to overcome shortage of Pediatrians & Physicians in the state. Public Health Dept deputed 28 Medical Officers of Primary Health Centers to various Medical Colleges. At the end of 6 months training course they were evaluated during 2012-2013.It was done by questionnaire used before and after training. It was observed that OPD increased by 24% and IPD by 54%. There was a decrease in the number of cases referred to tertiary centers by 24%, post MOCP training. Infant immunization increased by 35% after training. Number of children with severe acute malnutrition/moderate acute malnutrition treated increased by 22%, neonatal emergencies, resuscitation, sepsis, jaundice patients treated, increased by 36%. No of adults with diarrhoea and snake bite treated increased by 40% & 63% respectively. No. of ECGs taken and myocardial infarctions managed also has shown rising trend. Thus, there was tremendous benefit to the patients after MOCP training. Skill of doctors was found to have enhanced. It is therefore recommended that such novel trainings should be imparted in other states of India too.
Knowledge and Behaviour about Adolescent Reproductive Health in Yogyakarta, Indonesia
Authors: Solikhah Solikhah , Nurdjannah Sitti
Published: November 2019

Lack of knowledge about reproductive health in adolescent, making teens easily influenced by misinformation and harmful to their reproductive health. Health education plays an important role in increasing their knowledge and behavior of young people in order to maintain good reproductive health.  The purpose of the research was to see the impact of health education on the knowledge and behavior of adolescents in reproductive health. Paired t test analysis results indicate that counseling on reproductive health effect on both knowledge about reproductive health (mean difference: 10.216, 95% CI: 6.622 to 13.809) and attitudes about reproductive health in adolescents (mean difference: 65.417, 95% CI: 11,176 to 61.690). Knowledge of adolescents about reproductive health would be beneficial in preparing the young people in good reproductive health issues so expect teenagers do not conflict with the norms prevailing in the community.
Magnitude of Out of Pocket Health Expenditures and Associated Factors among Civil Servants
Authors: Geremew Mekuanenet , Gedefaw Molla , Tsegay Girmay , Kassa Getachew Mullu
Published: November 2019

In Ethiopia, as other developing countries, public health care is provided at nominally low prices and free to those that does not afford to pay. But the health care consumer population is still to make considerable amount of out-of-pocket health expenditure for various reasons. A cross sectional quantitative study from January to May 2013 was done. Study population was civil servants in Debre Markos town. A total of 467 study participants were selected by using simple random sampling method. Data were collected by trained high school graduates and then the collected data were entered into a computer by using Epi-Data version 3.1 and analysis was performed by using SPSS version 16 for windows. Possible associations between out of pocket health expenditure and its predictors were analyzed by using both bivariate and multivariate analysis. The mean age of the study participants were 41 years. Majorities were between 25 and 44 years of age, 258 (55.2%). The level of education among the study participants indicated that most 380 (81.4%) were graduates of higher education (HE) and majority were Orthodox Christian which accounted 446 (95.5%) followed by Muslims 13 (2.8%). To put it briefly, the study identified that the median of out of pocket health care expenditure accounted 8.26% of total household income. Health status of the household (with or without chronic illness), debt on any of the household, house on construction owned by any household member, educational fee for at least one member of the household and predominantly used health institution were the associated factors that have significant impact on household out of pocket health expenditure. There is economic burden as a result of health care at household level.   Based on the results, the recommendation was introducing social health insurance for all civil servant employees in the study area.
Cardiac Rehabilitation on Health Behaviors and Clinical Outcomes Among Myocardial Infarction Patients
Authors: Herliani Yusshy Kurnia , Matchim Yaowarat , Kritpracha Charuwan
Published: November 2019

The lack of adherence to health behaviors in cardiac rehabilitation (CR) is the leading cause of recurrent myocardial infarction (MI) in Indonesia. This randomized control trial (RCT) study was conducted to examine the effect of a family based self-efficacy enhancing cardiac rehabilitation program on self-efficacy in cardiac health behaviors, health behaviors, and clinical outcomes among MI patients in Indonesia. Sixty MI patients who met the inclusion criteria were randomized by the modified stratified-block method and assigned into either the control group or the experimental group. The patients in the experimental group received the program during phase I over two days and continued to phase II of CR with weekly follow-up sessions. Patients were asked to complete the Self-Efficacy in Cardiac Health Behaviors Scale (SECHBS) and the Modified Myocardial Infarction Health Behaviors Questionnaire (Modified MIHBQ). The results revealed that self-efficacy, health behaviors, and clinical outcomes such as fasting blood glucose, total cholesterol, LDL, triglyceride, and BMI of the patients after receiving the intervention were significantly better than before receiving the intervention, except for blood pressure, and HDL levels. Self-efficacy, health behaviors, and clinical outcomes such as total cholesterol, LDL, and triglyceride were significantly better in patients in the experimental group than those in the control group (p < .05), except for blood pressure, HDL, BMI, and blood glucose levels (p > .05). In conclusion, the family based self-efficacy enhancing cardiac rehabilitation program shows evidence of effectiveness in enhancing self-efficacy, health behaviors, and some clinical outcomes in MI patients.
The Difference of Satisfaction Level in BPJS Health Insurance Patient and Non Insurance Patient toward Health Service
Authors: Dewi Arlina , Ramadhan Naufal Kurnia
Published: November 2019

National Health Insurance (JKN) developed in Indonesia is part of the National Social Insurance System (SJSN). One way to assess the services quality is to measure the patient satisfaction level. This research is a quantitative research with the cross sectional research design. The subjects of this research were the BPJS health insurance patients and non insurance patients with 200 people as the samples. The data was analyzed by the independent t-test, gap analysis, CSI (Customer satisfation index) and IPA (Importance performance analysis). The result showed that significant (ρ value >0,05) in all dimensions which mean that there is no difference of patient satisfaction level in Social Security Organizing Body (BPJS)  participants and non insurance patients toward health services in Negara General Hospital. The biggest satisfaction in non insurance patients is on the Assurance variable (-1,002) and the smallest satisfaction is on the Tangibles variable (-1,357) and the biggest satisfaction of BPJS health insurance patients is on Assurance variable (-1,085) and their smallest satisfaction is on Responsiveness variable (-1,367). The non insurance patients gap is (-0,217) and the BPJS health insurance patients gap is (-1,206), both of them were classified into low satisfaction level. The result of Importance performance analysis value of non insurance patient showed Responsiveness attributes that should be prioritized and improved while in BPJS health patients showed Responsiveness and Reliability attributes that should be prioritized and improved by Negara General Hospital.
Microbial Analysis of Biomedical Wastes from Selected Health Facilities in Parts of Edo South and its Public Health Implication
Authors: Osagie Rachael Ngozi , Eyaufe Aidevbo Aibuovbo , Ireye Faith
Published: November 2019

This study, aimed at the microbial analysis of biomedical waste (BMW) was carried out using 100 samples of 10 different BMW collected in duplicates from 5 busy primary healthcare centers (PHCs).The research findings showed a high prevalence of E.coli (39%) and S.aureus (32%) which were both statistically significant at P≤0.05, while the least isolated organisms were K. pnuemoniae (10%) and B. subtilis (4%) and were statistically not significant at P≥0.05. Samples from dressings and beddings were found to contain the highest microbial loadof 25 and 13 respectively while the least number of isolates were from expired cytotoxic drugs (2) and lancets (1).The biochemical tests showed the presence of Gram positive and negative organisms with record of both aerobic and anaerobic isolates from the BMW. The investigation revealed that BMW contains mixed bacterial community with some being pathogenic and pose a public health hazard to both health workers and other community members, therefore adequate treatment measures should be given to all BMW before disposal.
The Effectiveness of Audit Guideline Using Directive Discourse for Control and Prevention of Methicillin Resistant Staphylococcus aureus Infection
Authors: Kusbaryanto Kusbaryanto , Kuntaman K. , Pudjirahardjo WJ.
Published: November 2019

Methicillin Resistant Staphylococcus aureus (MRSA) infection is one of the major problems in the hospital, due to its increasing of prevalence. The aim of this study was to analyze the effectiveness of the Audit Guideline for control and prevention of MRSA infection, using directive discourse on nurses in hospitals. The Audit Guideline was focused on its effectiveness in improving the situation awareness of the nurses. This study was a quasi-experimental study using a pretest-posttest control group design. The population was ward nurses in a hospital. The samples were taken from four medical wards, two wards as the treatment group (25 nurses) and two wards as the control group (28 nurses). The two groups get the training of MRSA infection control and prevention. The training of the guideline of MRSA infection control and prevention using directive discourse was only applied in the treatment group. The analysis of the results of the situation awareness action was conducted, and the result of situation awareness action was improved from 0.8 response to 1.8 response (p = 0.014). This result was significantly difference because of the training using Audit Guideline for MRSA infections control and prevention with directive discourse become a positive reinforcement, the positive driven to stimulate behavior change of the nurses.
Recycling Waste of Rice Husk to Improve Entrepreneurship Motivation
Authors: Tentama Fatwa , Asti Mulasari Surahma , Maulana Muchsin , Anggraeni Rini
Published: November 2019

The farmers in Indonesia have not maximally taken advantage of the existence of rice husk; therefore the huge number of the husk becomes disturbing waste, which spoils environment. The waste of rice husk is potentially capable of improving the farmers’ economy amidst the people’s lack of knowledge about its potential to commercially produce charcoal briquettes from it, make it a plant growing medium, and change it into manure. This research aims at knowing if the training of recycling waste of rice husk can improve the farmers’ entrepreneurship motivation. The subjects of the research were farmers in groups at Bimomartani village, Ngemplak district, Sleman regency. They were 60 participants divided into experintal and control groups. The planned experiment used untreated control group design with dependent pretest and posttest samples. The paired sample t-test and independent sample t-test were used as the techniques of analysis in this research. The result of t-test on paired sample t-test for the experimental group resulted in the value of t = -6.659 with p = 0.000 (p<0.01), which means there was a significant difference of entrepreneurship motivation before and after the training of recycling rice husk. The analysis for Independent sample t-test resulted in the value of t = 7.411 with p = 0.000 (p<0.01), which means there was a significant difference of entrepreneurship motivation between experimental and control groups. It can be concluded that the training of recycling waste of rice husk was effective in improving the farmers’ entrepreneurship motivation.
The Correlation between Occupational Health with Job Performance at Woman Worker with Dual Role
Authors: Sumekar Ariana , Soebijanto Soebijanto , Sutarmanto Hadi
Published: November 2019

Work environment and workload factors in terms of occupational safety and health aspects may lead to health problems that have an impact on decreasing the ability of the workforce to work physically and debilitating mental acuity to think so will degrade performance. Performance degradation is also influenced by the presence of an unbalanced workload and work motivation. The purpose of this research was to know the relationship between occupational health with a performance that is controlled by the workload and motivation of working in a dual role those women workers at PT. Mataram Tunggal Garment Yogyakarta.This study was conducted at PT. Mataram Tunggal Garment Yogyakarta with cross-sectional design. The samples in this study were 86 female workers were taken by simple random sampling. Uses data collected questionnaires and interviews. Data analysis was performed with the Pearson product moment test, whereas the partial correlation analysis and multivariate linear regression with a significance of p < 0.05. The Results showed there was a significant relationship between occupational health with a performance that is controlled by the workload and work motivation. The motivation of working has the most effective contribution to performance. While the burden of households does not affect the performance of the woman worker with a double role in PT. Mataram Tunggal Garment Yogyakarta.
The Impact of Surgical Site Infection to the Health Care Cost
Authors: Marwati Triani , Subiyanto A.A. , Mardikanto Totok , Priyambodo Priyambodo , Wibowo Marsiana , Qomariyah Nurul
Published: November 2019

Surgical Site Infection (SSI) is the most common cause of nosocomial infections. The incidence of SSI is ranging between 14 - 16% of the entire incident of nosocomial infections in hospitalized patients. The objectives of this study were to determine the relationship between knowledge, attitude, infrastructure and behavior of health personnel to prevent SSI and to determine the amount of additional costs for hospital care as a result of SSI. This study used a mixed method research. Quantitative research conducted with descriptive analytic design with cross sectional approach. Quantitative data was analyzed by univariate and bivariate analysis. Qualitative research was used to measure additional cost due to SSI. Health personnel showed good knowledge about SSI prevention (89.6%), good attitude towards SSI prevention (57%), assessed good for hospital infrastructure (93.8%), but only 55.2% showed good behavior to prevent SSI. There were no relationship between knowledge and attitudes of health personnel, and hospital infrastructure with health personnel behavior to prevent SSI. Additional cost due to SSI was IDR 18,375,000 for each patient.
Investigations of Latrine Coverage and Associated Factors Among Debretabor Town, Amhara Region North West Ethiopia
Authors: Tafere Yilkal , Woldie Mirkuzie , Assefa Henok
Published: November 2019

<span style="color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 10px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">Studies in a number of countries have shown that wherever inappropraite waste disposal morbidity and mortality rates are high. Although latrine coverage is an important indicator for measuring success of the health service program; data on latrine coverage scarce in the study area. Objective: To investigate latrine coverage and associated factors in among households of Debretabor town, Amhara region, Ethiopia. <span style="color: #000000; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 10px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">Methods: A community based cross sectional study was conducted in Debretabor town from September 1-30, 2013. A total of 422 households were included in the study using systematic sampling technique. Data were collected using structured questionnaire and analyzed using SPSS version 16.0. Degree of association between independent and dependent variables was assessed with a 95% confidence level and p-value less than 0.05 was used to detect statistical significance. Result: In this study. Ninety three point five percent of households have latrine. Graduated as model family was predictor for availability of latrine (AOR= 3.18,). Income and house ownership were also found to be predictors for availability of latrine (AOR=3.70), (AOR=8.46), respectively. Educational status of respondents was found to be predictors for availability of latrine (AOR= 2.65). Conclusion:  latrine coverage was relatively lower from the national target of 100%, still there are households that use open defication. Educational status, house owner shipe, income and graduated as model family were main factors affecting latrine availability. Improving socio economic status of households, provision of continuous advice and technical support at household level on the availability of latrine are recommended.
Organizational Commitment Can Improve Compliance of Blood Transfusion Procedure
Authors: Murwani Edi , Supriyanto Stefanus , Suharto Suharto
Published: November 2019

The purpose of this research was to improve compliance of nurses and midwives on blood transfusion procedures through increased organizational commitment. The study used observational analytic with cross sectional approach. 156 nurses and midwives who meet the inclusion and exclusion criteria agreed to participates respondents and 46 observers agrees involved in the collection of data through informed consent. The sampling technique was simple random sampling. Data instrument collectors in the form of checklists and questionnaires. Analysis of the data used in the form of descriptive analysis, correlation, and Structural Equation Modeling (SEM). Based on the findings of a new model, a model compliance nurses and midwives on blood transfusion procedures, organizational commitment can improve compliance procedure of blood transfusion if affective commitment and normative commitment improved.
The Empowerment of Integrated Development Post of Non-Communicable Diseases in Efforts to Prevent and Control Non- Communicable Diseases
Authors: Yandrizal Yandrizal , Machmud Rizanda , Noer Melinda , Hardisman Hardisman , Afrizal Afrizal , Lipoeto Nur Indrawati , Rahajeng Ekowati , Pramudho P.A Kodrat
Published: November 2019

Non-Communicable disease has already been the main cause of death in many countries, as many as 57 million death in the world in 2008, 36 million (63 percent) is because of un-infectious disease, specifically heart illness, diabetes, cancer, and chronic respiratory diseases. Prevention and controlling efforts of un-infectious diseases developing in Indonesia is non-communicable disease integrated development post (Pospindu PTM). This research used combination method approach with exploratory design. Exploratory design with sequential procedure used combination consecutively, the first is qualitative and the second is quantitative method. Public Health Center formed Posbindu PTM has not disseminate yet to all stakeholders. Posbindu PTM members felt benefit by following this activity. Some of them did not know follow the activity because of unknown about it. There was  connection between coming behavior to Posbindu PTM to preventing behavior of non-communicable disease.Percentage for high blood pressure risk indicated 20-25 percent from all visitors. Formulation of its policy implementation started with stakeholder analysis; head of sub district, head of urban village, head of health department in regency/city, head of public health service, head of neighborhood Association, and the head of family welfare development.  Analysis of perception, power and authority found that every stakeholder had authority to manage the member directly or indirectly. It was not implemented because of the lack knowledge of stakeholders about the Posbindu PTM function.They would play a role after knowing the aim and advantage of the post by motivate the people to do early detection, prevention and control the non-communicable disease. The members were given wide knowledge about  early detection, preventing  and control the un-infectious disease, measuring and checking up their healthy continuously so that keep feeling the advantage of coming to the post.
Deep Breathing Relaxation Techniques Improve Emotional Control on Tuberculosis Patients
Authors: Namuwali Domianus , Mendrofa Fery Agusman , Dwidiyanti Meidiana
Published: November 2019

Tuberculosis is an infectious disease caused by Tuberculosis Mycobacterium. Based on  WHO report in 2014, the world population suffering from tuberculosis were 9.6 million people while in Indonesia it was amounted 324 539 people. Tuberculosis patients have a tendency to experience emotional disturbance due to the illness. A deep breathing relaxation is a nursing action for controlling emotions of tuberculosis patients. The study design is quasi-experimental design with one group pre-test-post-test. Data were collected by using a questionnaire adapted from Gross and John (2003). Data were analyzed using paired t test. The results of this research is deep breathing relaxation technique is effective to control emotions of tuberculosis patients with p value = 0,001.
Analysis of Cooperation and Motivation Nurse in Implentation Nursing of Family
Authors: Kholifah Siti Nur , Nursalam Nursalam , Meriyana Meriyana , Ahsan Ahsan , Minarti Minarti , Wibrata Dwi Ananto , Saudah Noer
Published: November 2019

Cooperation of nurses needed in helping to resolve the client's problem. Cooperation was an important element in developing quality of human resources and improving performance. The general objective of this study was to identify cooperation-relation nurse with motivation in implementing the family nursing care at Surabaya city. The research method was analytical observational with cross sectional approach. The population of this study was 175 nurses at local government clinic at Surabaya city. The sample size of this study was 122 gained by probability sampling. The research variables include the cooperation of nurses and motivation in implementing family nursing care. Instrument used questionnaire. Bivariate analysis of the data was done by Spearman correlation test. Limit the test of significance is 0.05. The test resulted that there was a relationship of cooperation with the motivation of nurses in implementing family nursing care (p = 0.03). Nurses should develop cooperative relationships in order to increase their motivation to carry out the nursing care of the family.
The Formulation of High-Calorie and Rich-Fe Biscuits for Pregnant Women with Chronic Energy Malnutrition
Authors: Sunarti Sunarti , Hanim Diffah , Ahda Mustofa , Mudayana Ahid , Kusnandar Kusnandar
Published: November 2019

Supplementary food distribution for pregnant women still depends on the local policy. This program is funded using Health Operational Funds and distributed in form of milk, eggs, raw materials such as green beans and others. The field constraints of this program were acceptability and willingness of pregnant women to process the raw materials. This study aims to address the problems of providing supplementary food for pregnant women who suffer from chronic energy malnutrition and anemia by making the formulation of high protein biscuits and Fe using soybean flour substitution catfish eggs and flour as a source of protein and Fe.  Biscuits produced is expected to be one of the snacks and nutritions for women who suffer from chronic energy deficeincy. The ingredients were flour, fish powder, soy flour, eggs,  milk powder, sugar, and maize flour. The method used was pure experimental approach completely randomized design with three times repetition. The formulation of the biscuits proportion between fish and soy flour as much as 2:1, 1:1, and 1:2. Proximate test shows that the proportion of fish and soy flour 1:2 has the highest energy value (496.81 kcal) with a value of 17.74% protein. Organoleptic test indicates that the most favorable taste and tekstur was the formulation with the proportion of fish flour and soy flour 1:2. The formulation of high protein and Fe biscuits for women with chronic energy malnutrition and anemia in Boyolali favoured by third trisemester pregnant women is the one with the proportion of 1:2.
Rapid-Acting Antidepressants and Underlying Mechanisms
Authors: Wilson Samuel E , Chen Meta , Darji Hiren
Published: November 2019

Loss of glial cells with resulting atrophy of the medial prefrontal cortex (mPFC) as well as the hippocampal area is demonstrated in depressed patients by brain imaging and postmortem studies. The mPFC is the master control of mood and emotional response. The hippocampus is part of the limbic system, the main function of which is to regulate emotions. The mPFC depends on the hippocampus for rapid learning and memory consolidation. Unlike monoamine reuptake inhibitor antidepressants, which take 6 to 8 weeks to exert their full effects, and with 30 - 40% unresponsive rate, ketamine acts rapidly, within a couple of hours, and has higher responsive rates. It suggests that in theory, due to its rapid effect, Ketamine could well serve as a bridging remedy to lower the rate of suicidal risk before Selective serotonin re-uptake inhibitors (SSRIs) reach their full effect for long-term depression management. Yet, ketamine has long been linked with abusive potential and possible neurotoxicity if used in large doses over a prolonged period. Even though there are no collected data to prove the associated adverse effects, awareness of this negative aspect of ketamine is sufficiently widespread to propel the psychiatric community to look for other rapidly acting antidepressant alternatives. Recent studies have shown that scopolamine, the Yueju pill, and magnesium are rapid-onset antidepressants that have mechanisms comparable to that of ketamine. These rapid-acting antidepressant agents promise to be effective and safer choices for depression management in the future, providing that further studies and investigations to produce a better and fuller understanding of their effects and limitations.
The Support to Improve Self Efficacy and Healing of Drugs Addict
Authors: Rosdiana Rosdiana , Murti Bhisma , Wijaya Mahendra , Suwarto Suwarto
Published: November 2019

Appropriate counseling and education can be adopted to achieve a change in attitude, knowledge and perception. Still there is a wrong perception of a given intervention. Peer support through a process of social learning, the process of growing understanding of how to process information from experience, observational include: attention (attention), given (retention), reproduction of motion (reproduction), motivation (motivation), and communication. The purpose of this study was to analyze resident self-efficacy to regardless of drug addiction through family support. This study employed qualitative approach with case study design. Subjects in this study were residents, ex drugs user, peer support, and resident family. The results showed that peer support from fellow residents and the support of the major on duty (MOD) very meaningful and helpful for resident in the healing process.
Knowledge and Attitude of Students on Antimicrobial Resistance at Debre Markos University, Ethiopia
Authors: Zelellw Desalegne Amare , Bizuayehu Habtamu Mellie
Published: November 2019

Irrational use of medicines is a key reason for the increase and spread of antimicrobial resistance and it is a global concern. It is a fast mounting universal crisis. The main of this study of this study was to assess knowledge, attitude and practice of university students on antimicrobial resistance at Debre Markos University. Institutional based comparative cross-sectional survey was conducted from June to July with total sample size of 670. Participants were selected using simple random sampling method using random number table. Data clerk double entered the data into Epi data version 3.1 and transferred to SPSS Windows software version 21.0. Those variables that had associations at binary stage with p-value < 0.1, not collinear and biologically important variables were entered in to multiple logistic regression models. The cut off point for association was p-value < 0.05. About 14.8% study participants had adequate knowledge towards drug resistance.  Rural residences of the participants were significantly associated with drug resistance as compared to urban residence. Knowledgeable participants were significantly protective to self- medication and drug resistance as compare to those who had inadequate knowledge and participants who had positive attitude were positively associated with self-medication as compare to those who had negative attitude. The overall knowledge of participants regarding to antimicrobial resistance was low. In the other hand, majority of participants had positive attitude. Those participants who had positive attitude were significantly associated with antimicrobial resistance as compared to who had negative attitude.
Availability of Adequately Iodized Salt at Household Level and Associated Factors in Dire Dawa, Eastern Ethiopia
Authors: Yaye Anteneh Berhane , Baraki Negga , Endale Birhanu Seyum
Published: November 2019

In Ethiopia, Iodine Deficiency Disorder has been recognized as a serious public health problem for the past six decades. In 2011, an estimated 12 million school-age children were living with inadequate iodine, and 66 million people were at risk of iodine deficiency. One out of every 1000 people is a cretin mentally handicapped, due to a congenital thyroid deficiency, and about 50000 prenatal deaths are occurring annually due to iodine deficiency disorders. Only 5.7% of the households were using iodized salt in Dire Dawa city Administration, which is below the legal requirement.This study assessed availability of adequately iodized salt at household level and associated factors in Dire Dawa town, East Ethiopia. Community based cross-sectional study was carried out among households in Dire Dawa town during March 16-26, 2015. Multistage sampling technique was used. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique. Bivariate and multivariate analyses were performed to check associations and control confounding. A total of 694 participants were participated. The availability of adequately iodized salt (≥15 parts per million) in the study area was 7.5% (95% CI; 5.6-9.5). Multivariate result showed that health information about iodized salt (AOR=8.96, 95% CI; 4.68-17.16) (p=0.03), good knowledge about iodized salt (AOR=9.23, 95% CI; 3.34-25.5) (p=0.01) and using packed salt (AOR=3.99, 95% CI; 1.48-10.73) (p=0.006) were associated with availability of adequately iodized salt at household level. Availability of adequately iodized salt at household level was very low.  Hence, households should be sensitized about importance of iodized salt and its proper handling at the household level.
Relaxation Progressive Muscle Program on Exercise Behavior and Clinical Outcomes among Hypertension Patients
Authors: Pamungkas Rian Adi , Kirana Wahyu , Florensa Florensa
Published: November 2019

The objective of this study was to examine the effect of relaxation progressive muscle program on exercise behavior and clinical outcomes among Patients with Hypertension in a Community Setting, in Indonesia. A quasi-experimental, two group, pre-test and post-test design was used in this study. The experimental group received relaxation progressive muscle program, whereas the control group did not receive the program. 30 subjects in the experimental group and 30 subjects in the control group completed the program, respectively. The results of this study indicated that significantly differences on exercise behavior (p = 0.000), blood pressure level (p = 0.000) and cholesterol total level (p = 0.000) between the experimental group and control group. The relaxation progressive muscle program was absolutely effective to improve the exercise behavior, blood pressure level and cholesterol total level among patients with hypertension. Further studies should be recognized by using larger groups over a longer time frame and Health care providers also should focus in promoting this program among patients with hypertension.
Association of Physical Activity with Co-morbid Conditions in Geriatric Population
Authors: Hisam Aliya , Rahman Mahmood Ur , Khan Rimsha , Ilyas Sundus , Jabbar Anosha , Kazmi Syed Awais , Mushtaq Umer
Published: November 2019

To find out association of physical activity with co-morbid conditions in geriatric population, a cross-sectional study was conducted in different cties of Pakistan in 2015. A total of 114 participants were inducted by non-probability convenience sampling technique. Data was collected after informed verbal consent by a validated questionnaire that is Rapid Assessment of Physical Activity (RAPA). Participants were categorized into two groups i.e. physically active and physically inactive.  Data was entered and analyzed in SPSS version 20. There were 66 (57.9%) males and 48 (42.1%) females with mean age of 57.04±7.348 years. Among hypertensive individuals (n=43, 37.7%) there were 39 (90.7%) physically inactive, among individuals having angina (n=17, 14.9%) there were 15 (88.2%) physically inactive. Out of 37 (32.5%) diabetics, 35 (94.6%) were physically inactive. Among individuals suffering from arthritis (n=40, 35.1%), there were 38 (95%) physically inactive. A significant association was found between physical activity and diabetes and arthritis with p-value of 0.048 and 0.029 respectively. Physical activity is significantly associated with diabetes and arthritis in geriatric population. Adequate physical activity should be performed to reduce the risk of co-morbid conditions and improve the quality of life in geriatric population.
Job Satisfaction among the Nurses of Makueni District Hospital, Kenya
Authors: Mathulu Anthony Wambua , Mbithi Benard Wambua
Published: November 2019

The purpose of the study was to evaluate the level of job satisfaction among the nurses of Makueni District Hospital. This was necessitated by the high nurse staff turnover from the facility and a myriad of complains from various departments. The study was a cross sectional descriptive survey involving about 50 nurses that was carried out between 15 and 19th July 2013. The study employed mixed method approach. Tests of significance were through use of Chi-square, Fishers exact test and logistic regression. The key results were that overall job satisfaction was low (36%). There were significant relationships between job satisfaction and cordial relationship with the nurse manager (c2 12.131 df 4 p=0.016<0.05. Logistic regression p=0.018<0.05). The plans to quit the hospital and work elsewhere indicates a relationship with job satisfaction (c2 12.749 df 4 p=0.013<0.05). The findings of this study suggest that there is no enabling working environment for the nurses and this could be a barrier to service delivery in the Hospital. These findings suggest that the Nurse Managers should build up effective relationship with the staff and other departments and should identify negative working conditions which affect staff and appropriately delegate authority to them.
Pain and Suffering: The Reality of Being Positive with HIV/AIDS
Authors: Lestari Retno , Carsita Wenny Nugrahati
Published: November 2019

HIV/AIDS remains a global health problem and affects the overall quality of life. People living with HIV/AIDS are at risk for developing mental health problems, such as depression and anxiety. This condition can fuel additional problems, such as non-compliance in taking HIV medications. This study aimed to explore the meaning in life while living with HIV/AIDS among people in West Java.This study used an interpretive phenomenological approach. Data were collected by in-depth interviews among 7 participants who experienced HIV-positive. The results were analyzed by Van Manen method. Four themes were identified in this study: (1) experiencing mental suffering, (2) be free from mental suffering, (3) trust the HIV/AIDS disease is not contagious and there is a hope to liveand (4) performing activities to improve the quality of life. Participantsfeels that living with HIV/AIDS is not easy. They suffered from fear and anxiety, on the other hand it emerged as a hope and decision to seek support, treatment, and performing activities to improve the quality of life.
Subchronic Toxicity of Green Algae (Spyrogyra sp.) Ethanolic Extract on Hematologic Parameters
Authors: Salamah Nina , Widyaningsih Wahyu , Susanti Hari , Devi Anggita , Sejati Anita Wening , Putri Zahra Alya
Published: November 2019

Green Algae, an organism with active substance such as phytomelatonin, has potential to be developed as Indonesian traditional medicine. As the long term addition of Green Algae ethanol extract (Ekstrak etanol ganggang hijau, EEGH) influences the hematology system, in this paper, the safety test was done to ensure the safety of its use through subchronic toxicity test of EEGH on the hematology parameters of Wistar rats. The test group consisted of three groups treated with EEGH 100 mg/kg, 200 mg/kg, and 400 mg/kg, while the control group was given by 0.5% CMC-Na, with 8 rats each respectively. By using blood samples taken from orbital sinus on the 29th day, common hematologic parameters (erythrocytes, leukocytes, and hemoglobin level), the parameters of hemostasis (platelets, pT, aPTT, BT) and immune parameters (Differential Leukocytes Counts include neutrophils segment, lymphocytes, monocytes, and eosinophils) were finally observed and showed that the 28 days-addition of EEGH increase the hematological parameters of Wistar rats.