Global Medical & Health Communication (GMHC)最新文献

{"title":"Elastic Band Training Effect to Parameters of Sarcopenia in Elderly Community-Dwelling","authors":"Vitriana Biben, I. R. Defi, Derry Suselo","doi":"10.29313/gmhc.v7i2.4468","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.4468","url":null,"abstract":"Physiologically aging causes the decreased of muscle mass, strength, and or limited activity known as sarcopenia in the elderly. The decrease in muscle capacity occurs in all elderly, active, or sedentary. Exercise for the elderly is considered not enough to prevent the decrease of function that will occur. Therefore, it is necessary to add strength training to the elderly, such as elastic band exercise. The effect of strength training in 12 weeks with elastic band strengthening exercise on muscle mass, muscle strength, and physical performance as sarcopenia parameters measured in this study. The interventional study design was conducted in elderly community-dwelling in Bandung city, West Java, from May to July 2016. Thirty elderly (60–81 years old) muscle mass measured using bioelectrical impedance analysis (BIA), handgrip strength using hand dynamometer and walking distance as the parameter of physical performance, using 6-minute walking test. Significant differences found in hand muscle strength (p=0.007), walking distance (p=0.000) after elastic band strengthening exercise, but there were no significant changes in muscle mass (p=0.236) even though the muscle mass increased after 12 weeks of strengthening exercise. In conclusion, additional elastic band strength exercise for regular elderly exercise can increase muscle strength and physical performance. PENGARUH LATIHAN DENGAN PITA ELASTIK TERHADAP PARAMETER SARKOPENIA PADA USILA DI KOMUNITASPenuaan secara fisiologis menyebabkan penurunan massa, kekuatan otot dan/atau keterbatasan aktivitas pada usia lanjut (usila). Penurunan kemampuan otot ini terjadi pada semua usila, baik yang aktif maupun nonaktif sehingga senam usila yang ada dianggap tidak mencukupi untuk mencegah penurunan fungsi yang akan terjadi. Oleh karena itu, diperlukan penambahan latihan kekuatan pada usila seperti latihan kekuatan menggunakan pita elastik. Penelitian ini bertujuan mengetahui pengaruh latihan kekuatan dengan pita elastik selama 12 minggu terhadap massa otot, kekuatan otot, dan performa fisik yang merupakan parameter sarkopenia pada usila. Desain penelitian intervensi dilakukan pada usila di komunitas Kota Bandung, Jawa Barat periode bulan Mei sampai Juli 2016. Sebanyak 30 partisipan (usia 60–81 tahun) diukur massa otot menggunakan bioelectrical impedance analysis (BIA) dan kekuatan otot menggunakan dinamometer tangan, serta uji jalan 6 menit untuk mengukur performa fisik. Perbedaan bermakna ditemukan pada kekuatan otot tangan (p=0,007) dan jarak tempuh jalan (p=0,000) setelah dilakukan latihan kekuatan dengan pita elastik, tetapi tidak didapatkan perbedaan bermakna pada massa otot tangan dan kaki (p=0,236) walaupun terjadi peningkatan massa otot setelah dilakukan latihan selama 12 minggu. Simpulan, penambahan latihan kekuatan dengan pita elastik pada program senam usila meningkatkan secara bermakna kekuatan otot dan performa fisik usila.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":" 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113950450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Android-Based Sayang ke Buah Hati (SEHATI) Application towards Mothers’ Knowledge and Children’s Skill on Hand Washing with Soap","authors":"Y. S. Pratiwi, H. Nataprawira, B. Noegroho, Farid Husin, D. M. D. Herawati, J. Djais","doi":"10.29313/gmhc.v7i2.2756","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.2756","url":null,"abstract":"Hand washing with soap is the most straightforward skill that elementary school-aged children should have to avoid infectious disease transmission. Rapid development of today’s technology has led to efforts to develop android-based applications for smartphones to improve health-related knowledge. Sayang ke Buah Hati (SEHATI) application is an android-based application for improving mother’s knowledge on health-related issues. The objective of this study was to analyze the effects of SEHATI application in improving mothers' knowledge regarding hand washing and the relationship between mothers' knowledge and children's skills improvement in hand washing with soap. This was a quasi-experimental study with pretest-posttest one group design conducted in the period of February to March 2017 on 33 mothers and students of grades 1 and 2 of Uchuwwatul Islam Elementary School in Bandung city who met the inclusion criteria, not met exclusion criteria, and are willing to participate as respondents. Knowledge data were analyzed using paired t test while skill data were analyzed using Spearman rho. Results showed that SEHATI application improved mothers' knowledge on hand washing with soap (p<0.001). A relationship was observed between mothers' knowledge and improved children's skill in hand washing with soap (p<0.001). It is concluded that SEHATI application can be used as a guide for parents to find health-related information, which improves mother's knowledge on hand washing with soap and indirectly improves children's skill in hand washing with soap . PENGARUH APLIKASI SAYANG KE BUAH HATI (SEHATI) BERBASIS ANDROID TERHADAP PENGETAHUAN IBU DAN KETERAMPILAN ANAK TENTANG CUCI TANGAN PAKAI SABUN Mencuci tangan menggunakan sabun merupakan keterampilan paling sederhana yang harus dimiliki anak usia sekolah dasar untuk mencegah penyakit menular. Perkembangan teknologi yang berkembang pesat saat ini merupakan salah satu upaya meningkatkan pengetahuan ibu, yaitu dengan memanfaatkan aplikasi Sayang ke Buah Hati (SEHATI) yang tersimpan dalam smartphone android. Tujuan penelitian menganalisis pengaruh penerapan aplikasi SEHATI berbasis android pada ibu terhadap peningkatan pengetahuan tentang cuci tangan pakai sabun dan hubungan antara pengetahuan ibu dan keterampilan anak tentang cuci tangan pakai sabun. Penelitian menggunakan metode quasi-experiment dengan pretest-posttest one group design . Subjek penelitian adalah 33 ibu dan anak kelas 1 dan 2 SD Uchuwwatul Islam di Kota Bandung yang telah memenuhi kriteria inklusi dan tidak termasuk kriteria eksklusi serta bersedia menjadi responden. Penelitian ini dilakukan pada bulan Februari sampai Maret 2017. Analisis data pengetahuan menggunakan uji t berpasangan, sedangkan analisis data keterampilan menggunakan Spearman ro. Hasil penelitian menunjukkan bahwa aplikasi SEHATI meningkatkan pengetahuan ibu tentang cuci tangan pakai sabun (p<0,001). Terdapat hubungan antara pengetahuan ibu dan keterampilan anak tentang cuci tang","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"55 1-2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123468465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mothers Knowledge and Perception of Toddler Growth Monitoring Using iPosyandu Application","authors":"A. Susanti, F. Rinawan, I. Amelia","doi":"10.29313/gmhc.v7i2.3892","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.3892","url":null,"abstract":"Growth monitoring of toddler in Indonesia is an essential thing that should be done by a mother using the Child Health Card (Kartu Menuju Sehat/KMS). This card purpose is also to detect the growth interference of a toddler. However, the KMS cannot be directly filled by working mother because sometimes it is not her who takes the toddler to integrated service posts (pos pelayanan terpadu/posyandu). The iPosyandu application is an application that makes it easy for mothers at any time and anywhere to monitor their children growth. The iPosyandu application can be downloaded at Play Store for free. This research aims to see the knowledge and perception of the mothers in growth monitoring of the toddlers using iPosyandu. The descriptive study with cross-sectional approach conducted in October 2017 in Pasawahan Kidul village, Purwakarta regency. The subjects were 81 mothers with toddler recruited using purposive sampling technique. Results showed that 56% of mothers in 20–35 years old group and 42% of mothers with 2–3 children had only moderate knowledge. Thirty-eight percent of mothers 20–35 years old, 25% with 2–3 children and mostly had junior high school education level agreed that iPosyandu is beneficial. In conclusion, mothers who have sufficient knowledge would agree to use iPosyandu to monitor the growth of toddlers. PENGETAHUAN DAN PERSEPSI IBU DALAM MEMANTAU PERTUMBUHAN BALITA MENGGUNAKAN APLIKASI IPOSYANDUPemantauan pertumbuhan balita di Indonesia merupakan hal yang penting dilakukan oleh ibu dengan menggunakan Kartu Menuju Sehat (KMS) yang bertujuan mengetahui gangguan pertumbuhan balita secara dini. Akan tetapi, KMS tersebut tidak dapat secara langsung dilihat oleh ibu yang sedang bekerja karena terkadang bukan ibu yang mengantar balita ke posyandu. Oleh karena itu, aplikasi iPosyandu merupakan suatu aplikasi yang memudahkan ibu setiap saat dan di mana pun berada untuk memantau pertumbuhan berat badan balita berdasar atas usia. Aplikasi iPosyandu dapat diunduh pada Play Store secara gratis. Penelitian ini bertujuan mengetahui pengetahuan dan persepsi ibu dalam memantau pertumbuhan balita menggunakan aplikasi iPosyandu. Penelitian ini menggunakan metode deskriptif dengan pendekatan cross-sectional. Penelitian ini dilaksanakan pada bulan Oktober 2017 pada ibu yang memiliki balita di Desa Pasawahan Kidul, Kabupaten Purwakarta. Subjek penelitian adalah 81 ibu dengan balita yang diambil menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa 56% ibu dalam kelompok 20–35 tahun dan 42% ibu dengan 2–3 anak hanya memiliki pengetahuan sedang. Tiga puluh delapan persen ibu berusia 20–35 tahun, 25% dengan 2–3 anak, dan sebagian besar berpendidikan sekolah menengah pertama setuju bahwa iPosyandu bermanfaat. Simpulan, ibu yang memiliki pengetahuan cukup setuju menggunakan iPosyandu untuk memantau pertumbuhan balita.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116428221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Topical Noni (Morinda citrifolia L.) Leaf Extract Paste in Carrageenan-induced Paw Edema on Wistar Rats","authors":"I. Sabirin, E. R. Yuslianti","doi":"10.29313/gmhc.v7i2.4087","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.4087","url":null,"abstract":"The inflammatory response is one of natural process in the body to protect itself following tissue injury, but it can cause discomfort. Noni (Morinda citrifolia L.) leaf known as a traditional medicament to help reduce the inflammatory effect. The leaves empirically applied as a wrapping on fever or wound. The purpose of this study was to identify the anti-inflammatory effect of topical noni leaf extract paste in 5% and 10% concentration by examination of Wistar rat paw edema induced by λ-carrageenan. Twenty-four Wistar rats divided into four groups, which were negative control, positive control with diclofenac sodium 1% gel, 5% noni leaf, and 10% noni leaf paste groups. Paw edema was induced by intraplantar injection of 1% λ-carrageenan to every rat. Every treatment subsequently applied in the plantar area before injection, and the changed paw volume measured with plethysmometer at minutes 0, 30, 60, and 90. This study was at the Animal Laboratory, Faculty of Medicine, Universitas Jenderal Achmad Yani, Cimahi city in October–December 2017. The result displayed that the minimum volume after 90 minutes was on 5% and 10% noni leaf paste group, which is 1.00 mL. Kruskal-Wallis test result of inflammatory percentage was significantly different among every group in each examination time (p<0.05). Post-hoc test showed that inflammatory reduction on paw edema with noni leaf paste application on both concentrations were significantly different compared to the negative control. However, it was not different from the positive control group. This study showed that application of noni leaf paste in 5% and 10% concentration could help reduce inflammatory response on skin possibly by the active anti-inflammatory ingredients of noni leaf. EFEK PASTA EKSTRAK DAUN MENGKUDU (MORINDA CITRIFOLIA L.) TOPIKAL TERHADAP EDEMA KAKI TIKUS GALUR WISTAR YANG DIINDUKSI KARAGENANInflamasi adalah proses alami tubuh untuk melindunginya setelah cedera, namun hal tersebut dapat menyebabkan ketidaknyamanan. Daun mengkudu (Morinda citrifolia L.) dikenal sebagai obat tradisional untuk menurunkan efek inflamasi yang secara empiris digunakan untuk mengobati demam dan luka. Tujuan penelitian ini adalah mengetahui efek anti-inflamasi pasta ekstrak daun mengkudu melalui pemeriksaan edema kaki tikus yang diinduksi karagenan-λ. Dua puluh empat tikus galur Wistar dibagi menjadi 4 kelompok, yaitu kontrol negatif dengan akuades, kontrol positif (aplikasi gel Na diklofenak 1%), serta perlakuan pasta daun mengkudu 5% dan 10%. Edema dibuat dengan menginjeksi intraplantar tikus dengan 1% karagenan-λ pada tiap kelompok. Tiap-tiap perlakuan diaplikasikan sebelum tikus diinjeksi dan perubahan volume kaki tikus diukur dengan pletismometer di menit ke-0, 30, 60, dan 90. Penelitian ini dilakukan di Laboratorium Hewan, Fakultas Kedokteran, Universitas Jenderal Achmad Yani, Kota Cimahi pada Oktober–Desember 2017. Hasil pengukuran memperlihatkan penurunan volume edema kaki terkecil setelah 90 menit pada k","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"298 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134421152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors of Intra-familial Hepatitis B Virus Transmission among Hepatitis B Patients in Kupang, Indonesia","authors":"N. Kambuno, Meylani Fernanda Bessie, Marni Tangkelangi, A. W. Djuma","doi":"10.29313/gmhc.v7i2.4149","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.4149","url":null,"abstract":"Hepatitis B is caused by acute or chronic hepatitis B virus infection. It is the most dangerous liver disease compared to other liver diseases due to its lack of apparent symptoms. The symptoms include slight jaundice in the eyes and skin accompanied by lethargy. This study aimed to determine the risk factors for intra-familial transmission of hepatitis B virus for household contacts of hepatitis B patients. The analytical correlation study with a cross-sectional design was conducted from June to July 2018 in Alak subdistrict, Kupang, Indonesia. Venous blood was collected from 45 subjects consisting of 12 patients and 33 family member. Examination was then performed using HBsAg test strip, resulting in the percentage of transmission of 15.15%. Statistical analysis revealed p>0.05. In conclusions, no relationship between gender, age, education, marital status, occupation, and HBsAg status. These characteristics are not risk factors for conversion of HBsAg status. FAKTOR RISIKO PENULARAN VIRUS HEPATITIS B KONTAK SERUMAH DI ANTARA PASIEN HEPATITIS B DI KUPANG, INDONESIAHepatitis B disebabkan oleh infeksi virus hepatitis B yang bersifat akut atau kronik. Penyakit ini termasuk penyakit hati yang paling berbahaya dibanding dengan penyakit hati yang lain karena tidak menunjukkan gejala yang jelas. Gejalanya hanya sedikit warna kuning pada mata dan kulit disertai lesu. Penelitian ini bertujuan mengetahui faktor risiko penularan virus hepatitis B pada kontak serumah pasien hepatitis B. Penelitian korelasi analitik dengan desain cross-sectional ini dilaksanakan pada bulan Juni sampai Juli 2018 di Kecamatan Alak, Kupang, Indonesia. Darah vena diambil dari 45 subjek yang terdiri atas 12 pasien dan 33 anggota keluarga. Pemeriksaan kemudian dilakukan menggunakan strip tes HBsAg menghasilkan persentase penularan 15,15%. Analisis statistik didapatkan p>0,05. Simpulan, tidak terdapat hubungan antara jenis kelamin, usia, pendidikan, status pernikahan, pekerjaan, dan status HbsAg. Karakteristik ini bukan faktor risiko untuk konversi status HBsAg.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116636192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Folic Acid Usual Doses Decrease the Buccal Micronucleus Frequency on Smokers","authors":"Y. Kharisma, M. M. Damayanti, Fajar Awaliya Yulianto, S. Rahimah, W. Maharani, M. Rachmawati, H. Sastramihardja, Muhammad Alief Abdul ‘Aziiz, Muhammad Ilham Halim","doi":"10.29313/gmhc.v7i2.4414","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.4414","url":null,"abstract":"Cigarette contains toxic chemical compounds that trigger DNA instability. Initial genotoxic oral cavity characterized by the appearance of micronucleus (MN) in the buccal mucosa. Folate is needed in maintaining DNA stability. This study aimed to compare the effects of folic acid usual doses (400 mcg and 1.000 mcg) on the MN frequency of buccal mucosa in active smokers. It is a clinical trial conducted in November 2018 in the Laboratory of the Faculty of Medicine, Universitas Islam Bandung of 53 active smokers who divided into two treatment groups. Group A was administered by 400 mcg and group B 1,000 mcg folic acid supplementation within three weeks. The buccal mucosa smear stained with hematoxylin-eosin (HE) and observed through a light microscope with 100× and 400× magnification. Data were analyzed by the Wilcoxon test statistically. The results showed that there was a significant decrease (p=0.00) in MN frequency in folic acid supplementation for three weeks, namely group A=6.39±3.92 and group B=6.93±5.82 in pre-supplementation, and group A=3.80±2.66 and group B=3.31±2.71 post-supplementation of folic acid. Giving a dose of 400 mcg and 1,000 mcg for three weeks did not provide significant results (p=0.94) with Kruskal-Wallis test. In conclusion, administration of folic acid at usual dose give results to a decrease in the buccal mucosa MN frequency in active smokers. ASAM FOLAT DOSIS LAZIM MENURUNKAN FREKUENSI MIKRONUKLEUS MUKOSA BUKAL PADA PEROKOKAsap rokok mengandung senyawa kimia toksik yang memicu ketidakstabilan DNA. Deteksi genotoksik awal  rongga mulut ditandai dengan kemunculan mikronukleus (MN) pada mukosa bukal. Folat diperlukan dalam menjaga kestabilan DNA. Penelitian ini bertujuan mengetahui efek asam folat dosis lazim (400 mcg dan 1.000 mcg) terhadap frekuensi MN mukosa bukal pada perokok aktif. Penelitian ini merupakan uji klinis yang dilakukan pada bulan November 2018 di Laboratorium Fakultas Kedokteran, Universitas Islam Bandung terhadap 53 perokok aktif yang dibagi ke dalam dua kelompok perlakuan. Kelompok A mendapatkan suplementasi asam folat 400 mcg dan kelompok B mendapatkan suplementasi asam folat 1.000 mcg selama tiga pekan. Apus mukosa bukal diwarnai dengan hematoxylin-eosin (HE) dan diamati melalui mikroskop cahaya dengan pembesaran 100× dan 400x. Data dianalisis dengan uji Wilcoxon secara statistik. Hasil penelitian menunjukkan bahwa terdapat penurunan frekuensi MN yang signifikan (p=0.00) terhadap suplementasi asam folat selama tiga minggu, yaitu kelompok A=3,80±2,66 dan kelompok B=3,31±2,71 pada pre-suplementasi, serta kelompok A=6,39±3,92 dan kelompok B=6,93±5,82 pascasuplementasi asam folat. Pemberian dosis 400 mcg dan 1.000 mcg selama tiga minggu tidak memberikan hasil yang bermakna (p=0,94) berdasar atas Uji Kruskal-Wallis. Simpulan, pemberian asam folat dosis lazim memberikan hasil baik terhadap penurunan frekuensi MN mukosa bukal pada perokok aktif.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128818560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Integrated Reproductive Health Learning Module Application on Student’s Motivation and Learning Satisfaction in Junior High School","authors":"F. Fitria, B. Purwara, V. Tarawan","doi":"10.29313/gmhc.v7i2.2875","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.2875","url":null,"abstract":"One of the potential public health issues in Indonesia is adolescent reproductive health (ARH) issue, particularly premarital sex and promiscuity behaviors which create the risk for unwanted pregnancies and sexual transmitted diseases such as HIV and AIDS. This study aimed to increase in student’s motivation and learning satisfaction through the application of integrated reproductive health learning module in junior high school. This was a pre- and post-test quasiexperimental study with control group design on 358 seventh grade junior high school students in Bandung city. Sampling was performed using multistage random sampling method and subjects were divided equally into treatment group (n=179) and control group (n=179). Data collected were analyzed using chi-square test, Wilcoxon test, and Mann-Whitney test. Results showed that the application of integrated reproductive health learning module influenced motivation and satisfaction, which was evident from the increase in motivation and learning satisfaction scores in the treatment group (21.9% and 6.23%) when compared to the control group (2.2% and 6.1%). In conclusions, the use of integrated reproductive health learning module significantly influences student’s motivation and learning satisfaction among seventh grade junior high school students. PENGARUH PENERAPAN MODUL PEMBELAJARAN KESEHATAN REPRODUKSI TERINTEGRASI TERHADAP MOTIVASI DAN KEPUASAN BELAJAR SISWA DI SEKOLAH MENENGAH PERTAMA Salah satu permasalahan kesehatan masyarakat yang potensial di Indonesia adalah masalah kesehatan reproduksi remaja (KRR) khususnya perilaku seks pranikah dan pergaulan bebas yang berisiko kehamilan yang tidak diinginkan dan penyakit infeksi menular seksual (IMS) seperti HIV dan AIDS. Penelitian ini bertujuan meningkatkan motivasi dan kepuasan belajar siswa dengan menerapkan modul pembelajaran kesehatan reproduksi terintegrasi di sekolah menengah pertama (SMP). Penelitian ini menggunakan pre- and post-test quasi-experimental study dengan desain kelompok kontrol pada 358 siswa kelas tujuh SMP di Kota Bandung pada Maret–April 2017. Pengambilan sampel dilakukan menggunakan metode multistage random sampling dan subjek dibagi secara merata menjadi kelompok perlakuan (n=179) dan kelompok kontrol (n=179). Data yang dikumpulkan dianalisis menggunakan uji chi-square , uji Wilcoxon, dan uji Mann-Whitney. Hasil penelitian menunjukkan bahwa penerapan modul pembelajaran kesehatan reproduksi terintegrasi memengaruhi motivasi dan kepuasan belajar yang terbukti dari peningkatan motivasi dan skor kepuasan belajar pada kelompok perlakuan (21,9% dan 6,23%) bila dibanding dengan kelompok kontrol (2,2% dan 6,1%). Simpulan, penerapan modul pembelajaran kesehatan reproduksi terintegrasi secara signifikan memengaruhi motivasi dan kepuasan belajar siswa kelas tujuh SMP.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130703972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity Test of the Indonesian Version of the Nordic Musculoskeletal Questionnaire (NMQ) to Measure Musculoskeletal Disorders (MSD) in Traditional Women Weavers","authors":"I. M. Ramdan, K. Duma, D. Setyowati","doi":"10.29313/gmhc.v7i2.4132","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.4132","url":null,"abstract":"Musculoskeletal disorder remains to be a health and safety problem. One of measuring instrument often use to assess musculoskeletal disorders worldwide is the Nordic musculoskeletal questionnaire (NMQ). This questionnaire translated into various languages and tested for its validity and reliability. However, it has limitations, such as the difficulty of application in countries that do not speak English. This study aims to test the validity and reliability of the Indonesian version of NMQ in women weavers working using traditional handlooms in East Kalimantan Indonesia from March to May 2018. The validity of items obtained ranges 0.501 (min.) to 0.823 (max.), and Cronbach's alpha reliability was 0.726. In conclusion, the NMQ in Indonesian version has satisfactory psychometric properties with adequate validity and reliability. UJI VALIDITAS DAN RELIABILITAS NORDIC MUSCULOSKELETAL QUESTIONNAIRE (NMQ) VERSI INDONESIA UNTUK MENGUKUR GANGGUAN MUSKULOSKELETAL PADA PENENUN TRADISIONAL WANITAGangguan muskuloskeletal masih menjadi masalah kesehatan dan keselamatan kerja. Salah satu alat ukur yang sering dipakai untuk mengkaji gangguan muskuloskeletal di seluruh dunia adalah Nordic musculoskeletal questionnaire (NMQ). Kuesioner ini telah diterjemahkan ke berbagai bahasa di dunia dan terbukti valid serta reliabel, tetapi memiliki keterbatasan di antaranya sulit diaplikasikan di negara yang tidak menggunakan bahasa Ingris sebagai bahasa sehari-hari. Penelitian ini bertujuan menguji validitas dan reliabilitas NMQ versi bahasa Indonesia pada penenun tradisional wanita di Kalimantan Timur periode Maret sampai Mei 2018. Didapatkan hasil uji validitas item berkisar antara 0.501 (min.) sampai 0.823 (maks.) dan indeks reliabilitas Cronbach's alpha sebesar 0.726. Simpulan, NMQ versi bahasa Indonesia cukup valid dan reliabel untuk mengukur gangguan muskuloskeletal.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126634455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Fibroblast Growth Factor Receptor 3 (FGFR3) and Androgen Receptor (AR) in a Non-invasive Urothelial Carcinoma Recurrences","authors":"Oki Meilani Dewi, S. Suryanti, B. Hernowo","doi":"10.29313/gmhc.v7i2.3956","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.3956","url":null,"abstract":"Urothelial carcinoma is a bladder carcinoma that took place in the urinary tract. Non-invasive urothelial carcinoma patients have high recurrence rates (50–70%). The recurrences took so many years that may lead to the high-cost treatment and low survival rate. Fibroblast growth factor receptor 3 (FGFR3) and androgen receptor (AR) known to play a role in non-invasive urothelial carcinoma and potentially act as a prognostic marker to predict recurrences. This study aimed to discover the role of FGFR3 and AR in recurrences of non-invasive urothelial carcinoma. This research used a case-control study design. Samples took from patients diagnosed with non-invasive urothelial carcinoma registered at Dr. Hasan Sadikin General Hospital Bandung 1 January 2010–30 December 2015 period. Sixty samples consisted of 30 recurrent groups, and 30 non-recurrent groups individually fixated and embedded to paraffin block for FGFR3 and AR immunohistochemistry analysis. Analysis chi-square performed with a level of confidence 95% and statistical power 95%. p values<0.05 were considered to be statistically significant. Statistical analysis showed that FGFR3 immunoexpression was found significantly low on the recurrence group (p=0.002, OR=5.50). While AR immunoexpression was found insignificant (p=1.000, OR=1.00). FGFR3 immunoexpression from samples in the recurrent group with multiple tumors found to be significantly low (p=0.031, OR=6.067). This study showed that recurrences took place when FGFR3 lowly expressed within non-invasive urothelial carcinoma samples with multiple tumors. This finding may raise a candidate to early-predict the recurrence, thus will suggest early therapy.PERANAN FIBROBLAST GROWTH FACTOR RECEPTOR 3 (FGFR3) DAN RESEPTOR ANDROGEN (RA) TERHADAP KEJADIAN REKURENSI PADA KARSINOMA UROTELIAL BULI NON-INVASIFKarsinoma urotelial merupakan karsinoma buli yang sering terjadi pada saluran kemih. Karsinoma urotelial dibagi menjadi karsinoma urotelial non-invasif dan invasif. Pasien karsinoma urotelial non-invasif mempunyai kejadian rekurensi tinggi (50–70%) dan membutuhkan waktu lama untuk memantau kejadian rekurensi sehingga membutuhkan biaya tinggi dengan angka ketahanan hidup rendah. Fibroblast growth factor receptor 3 (FGFR3) dan reseptor androgen (RA) berperan dalam terjadinya karsinoma urotelial non-invasif dan berpotensi sebagai penanda prognostik yang memprediksi rekurensi secara akurat. Tujuan penelitian ini mengetahui peranan FGFR3 dan RA terhadap kejadian rekurensi pada karsinoma urotelial non-invasif. Penelitian menggunakan rancangan case-control study. Sampel berupa blok parafin yang diagnosis sebagai karsinoma urotelial non-invasif di RSUP Dr. Hasan Sadikin Bandung periode 1 Januari 2010–30 Desember 2015. Sebanyak 60 sampel dievaluasi terdiri atas 30 sampel kelompok rekurensi dan 30 kelompok tidak rekurensi. Pemeriksaan imunohistokimia menggunakan antibodi FGFR3 dan RA. Analisis menggunakan uji chi-square dengan taraf kepercayaan 95% dan kuasa ","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130625318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Friedman Tongue Position with the Obstructive Sleep Apnea Syndrome (OSAS) Correlation on Patient with Ischemic Stroke","authors":"Y. Yuniarti, Alya Tursina, Shenny Dianathasari Santoso, Ahda Febiyanti, P. Nissa","doi":"10.29313/gmhc.v7i2.3359","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.3359","url":null,"abstract":"Stroke is the number one cause of disability in the world. Sleep disturbances exacerbate post-stroke disabilities in addition to physical disorders. Sleep disorder breathing (SDB), especially obstructive sleep apnea syndrome (OSAS) is the most commonly found in stroke patients (more than 50%). Sleep disorders in patients with ischemic stroke may occur because of obstruction in the upper airway. To facilitate the assessment of the upper airway, Friedman set up a standard naso-velo-oropharyngeal examination area. There are four degrees of Friedman tongue position. This check can predict the presence or absence of OSAS. Obstructive sleep apnea syndrome can be assessed using STOP-BANG questionnaire, an instrument designed to rapidly detect obstructive sleep apnea (OSA) disorder, with an indication of score 5–8 is high-risk, 3–4 is moderate-risk, and 0–2 is low-risk. The method of this study was observational with cross-sectional design in acute phase ischemic stroke patient based on head CT-scan in RSAU dr. M. Salamun Bandung from August–December 2016. Statistical analysis using non-parametric Kruskal-Wallis test and Spearman's rank correlation test. The total subjects of this study were 38 people. The results showed that there was a significant relationship between Friedman tongue position and OSAS in stroke patients at RSAU dr. M. Salamun with p value=0.007. In conclusion, the tongue is an important anatomical structure in OSA patients, so evaluation of the position of the tongue is important to predict the severity of OSA . HUBUNGAN DERAJAT FRIEDMAN TONGUE POSITION DENGAN KEJADIAN OBSTRUCTIVE SLEEP APNEA SYNDROME (OSAS) PADA PENDERITA STROK ISKEMIK Strok merupakan penyebab disabilitas nomor satu di dunia. Disabilitas pascastrok selain gangguan fisik diperburuk dengan gangguan tidur. Sleep disorder breathing (SDB) terutama obstructive sleep apnea syndrome (OSAS) paling sering ditemukan pada pasien strok (lebih dari 50%). Gangguan tidur pada penderita strok iskemik dapat terjadi karena obstruksi pada saluran napas atas. Untuk memudahkan penilaian saluran napas atas, Friedman membuat standar pemeriksaan daerah naso-velo-orofaring. Terdapat empat derajat Friedman tongue position . Pemeriksaan ini dapat memprediksi ada tidaknya OSAS. Obstructive sleep apnea syndrome dapat dinilai menggunakan STOP-BANG questionnaire , suatu instrumen yang dibuat untuk dapat secara cepat mendeteksi obstructive sleep apnea (OSA), dengan indikasi skor 5–8 risiko tinggi, 3–4 risiko sedang, dan 0–2 risiko rendah. Metode penelitian ini adalah observasional dengan rancangan cross-sectional pada pasien strok iskemik fase akut berdasar atas hasil CT- scan kepala di RSAU dr. M. Salamun pada Agustus–Desember 2016. Analisis statistik menggunakan uji nonparametrik Kruskal-Wallis dan uji korelasi rank Spearman’s. Total subjek penelitian 38 orang. Hasil penelitian menunjukkan bahwa terdapat hubungan bermakna antara derajat Friedman tongue position dan kejadian OSAS pada pasien strok d","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130495888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}