{"title":"The Elderly Expectations of the Caregiver’s Sociodemographic Preferences: a Qualitative Approach","authors":"Sharon Gondodiputro, Dahlia Santika Hutasoit, Lina Rahmiati","doi":"10.29313/gmhc.v7i2.4653","DOIUrl":"https://doi.org/10.29313/gmhc.v7i2.4653","url":null,"abstract":"Prevalence of chronic diseases and disability will increase at the advancing age. In the future, the need for the caregiver will increase. Only few studies about the expectations of the elderly towards the sociodemographics status of the caregiver found. Unfulfilled expectations of the elderly towards their caregivers may cause both health and non-health issues. The purpose of this study was to explore the elderly expectations of the caregiver’s sociodemographic preferences. A qualitative study was carried out to 7 elderly aged 64–77 years old from July to August 2018 in Bandung city. These elderly selected from 7 integrated care posts (pos pembinaan terpadu/posbindu) that met the inclusion criteria: aged 60 years old and above; male or female; capable of communicating adeptly, and no dementia by undergoing the mini-mental state examination (MMSE). A one-on-one interview was conducted at the residence of the elderly using an interview guide consisted of several opened questions related to the caregiver’s sociodemographic preferences. A content analysis was carried out. This study discovered that the elderly preferred their family members or relatives whom they can trust to become their caregivers (their children and grandchildren). Most of these elderly also preferred daughters who live with them and has a decent income. If the family members could not become their caregiver then their neighbor or a community volunteer/cadre, they knew well, and trust to be their caregiver. It concluded that the elderly prefer their daughters who live with them and has a decent income to be their caregivers. EKSPEKTASI USIA LANJUT TERHADAP STATUS SOSIODEMOGRAFI CAREGIVER: SUATU PENDEKATAN KUALITATIFPrevalensi penyakit kronis dan disablilitas akan meningkat dengan pertambahan usia. Hal ini berdampak pada kebutuhan terhadap caregiver akan meningkat pula. Penelitian tentang ekspektasi usia lanjut terhadap status sosiodemografi caregiver belum banyak dilakukan. Ekspektasi usia lanjut merupakan faktor penting karena bila ekspektasi tersebut tidak terpenuhi maka akan berisiko timbul masalah kesehatan dan nonkesehatan. Tujuan penelitian ini mengeksplorasi ekspektasi usia lanjut terhadap status sosiodemografi caregiver. Studi kualitatif dilakukan terhadap 7 orang usia lanjut berusia 64–77 tahun pada Juli hingga Agustus 2018 di Kota Bandung. Para usia lanjut berasal dari 7 pos pembinaan terpadu (posbindu) yang memenuhi kriteria inklusi, yaitu usia ≥60 tahun, laki-laki atau perempuan, dapat berkomunikasi dengan baik, dan tidak demensia dengan dilakukan mini-mental state examination (MMSE). Wawancara dilakukan di kediaman informan masing-masing menggunakan panduan wawancara terkait pertanyaan dengan preferensi sosiodemografi caregiver. Analisis konten dilakukan. Studi ini menemukan bahwa usia lanjut lebih memilih anggota keluarga mereka yang dapat dipercaya untuk menjadi caregiver terutama anak dan cucu. Anak perempuan yang tinggal bersama usia lanjut dan memiliki penghasil","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"18 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":"125584941","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}
Mia Kusmiati, R. Bahari, Noor Aini Abdul Hamid, S. Sanip, O. Emilia
{"title":"Validation of Patient Perception Instruments for Junior Doctor Performance: a Factor Analysis","authors":"Mia Kusmiati, R. Bahari, Noor Aini Abdul Hamid, S. Sanip, O. Emilia","doi":"10.29313/GMHC.V7I1.4611","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.4611","url":null,"abstract":"The patient is an essential stakeholder within the medical healthcare system and an important stakeholder of the medical education program. The patients should be able to assess the performance of junior doctors in general practitioner residency to ensure their competency. Some instruments of patient assessment are available, but they do not adapt to local needs and context. This study aims to validate newly developed evaluation instruments from the patient’s perspective against the performance of a junior doctor in a teaching hospital. Fifty patients from outpatient clinics of internal medicine of two teaching hospital Faculty of Medicine Universitas Islam Bandung were selected to fill out the questionnaire in September–October 2018. The tool consists of 20 items and used a 4-point Likert scale of strongly disagree, disagree, agree, and strongly agree. The SPSS version 21 have used to extract the data as the principal axis factoring of analysis. Oblimin rotation method was applied with Kaiser normalization to simplify and describe the data structure. The detailed analysis identified five factors based on the initial eigenvalue >1. Patient perception instruments of junior doctor performance (PIJDP) showed that five constructs extracted explained 81.27% of the variance of them. Constructs were namely: humanism, responsibility-accountability, communication-empathy, altruism, and pleasant manner. Construct validity achieved after the PIJDP run fifteen times, and consistency internal with Cronbach’s alpha was 0.95. In conclusions, the PIJDP could be used to assess the performance of junior doctors and could make a novel contribution to the development of medical education. VALIDASI INSTRUMEN PERSEPSI PASIEN TERHADAP KINERJA DOKTER MUDA: SEBUAH ANALISIS FAKTORPasien merupakan stakeholder kunci dalam sistem pelayanan kesehatan dan stakeholder penting dalam program pendidikan kedokteran. Pasien dapat menilai kinerja dokter muda dalam pemagangan umum untuk memastikan kompetensi mereka. Beberapa instrumen penilaian pasien sudah dibuat, namun mereka tidak diadaptasi terhadap kebutuhan dan konteks lokal. Penelitian ini bertujuan memvalidasi instrumen evaluasi yang baru dikembangkan menurut perspektif pasien terhadap kinerja dokter muda di rumah sakit pendidikan. Lima puluh pasien dari klinik rawat jalan penyakit dalam dua rumah sakit pendidikan Fakultas Kedokteran Universitas Islam Bandung dipilih untuk mengisi kuesioner pada September–Oktober 2018. Kuesioner berisi 20 item yang menggunakan Skala Likert empat poin dari sangat tidak setuju, tidak setuju, setuju, dan sangat setuju. SPSS versi 21 digunakan untuk menganalisis data melalui principal axis factoring. Metode rotasi oblimin dengan normalisasi Kaiser diaplikasikan untuk menyederhanakan dan menjelaskan struktur data. Hasil analisis mengidentifikasi lima faktor berdasar atas eigenvalue awal >1. Instrument persepsi pasien terhadap kinerja dokter muda (PIJDP) menggambarkan 5 construct yang diekstraksi se","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128560944","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":"Soyghurt Supernatant on Mouse Embryonic Fibroblast (MEF) Cell","authors":"U. A. Lantika, A. Khairani","doi":"10.29313/GMHC.V7I1.3245","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.3245","url":null,"abstract":"Yogurt is a functional food developed with various modifications in the fermentation process. Replacing animal milk into soymilk as raw material is one approach. Yogurt has a good effect on human health. Probiotic and bioactive compounds in yogurt can inhibit cell proliferation and stimulate apoptosis on the cancer cell line. However, there is no report about the effect of yogurt on a normal cell. This research was conducted to examine the impact of soyghurt supernatant intervention toward the viability of mouse embryonic fibroblast (MEF) cell. The is an in vitro study using MEF cell isolated from 10 th days gestational age mice embryo conducted at Microbiology Laboratorium and Cell Culture and Cytogenetic Laboratory, Universitas Padjadjaran, Bandung in November 2018–January 2019. Soyghurt made from soymilk fermented by Lactobacillus bulgaricus ATCC 11842. The number of the bacterial colony calculated by total plate count (TPC) method and pH calculated by pH meter. Soyghurt supernatant was made from soyghurt and then intervened into MEF cells by 1–20% concentration. The cell viability showed in the 50% inhibitory concentration (IC 50 ) analysis. The intervention of soyghurt supernatant at 1–20% concentration showed there was no proliferation inhibition until 50% population (IC 50 ). However, from the morphology analysis, there was MEF cell morphology alteration on the group given soyghurt supernatant with >12.5% concentration. Counter mechanism effect from soymilk fermentation by probiotic could be the driver for this result. In conclusion, soyghurt supernatant intervention at 1–20% concentration did not have a cytotoxic effect on MEF cell, but enhancement of soyghurt supernatant concentration can increase cytotoxic potential. SUPERNATAN SOYGHURT PADA SEL MOUSE EMBRYONIC FIBROBLAST (MEF) Yoghurt merupakan functional food yang dikembangkan dengan berbagai modifikasi dalam proses pembuatannya. Mengganti susu hewan dengan susu kedelai sebagai bahan baku adalah salah satunya. Yoghurt memiliki efek yang baik bagi kesehatan manusia. Senyawa probiotik dan bioaktif pada yoghurt dapat menginhibisi proliferasi sel dan menstimulasi apoptosis pada sel lini kanker. Akan tetapi, tidak terdapat laporan mengenai efek yoghurt pada sel normal. Penelitian ini dilakukan untuk menguji pengaruh intervensi supernatan soyghurt terhadap viabilitas sel mouse embryonic fibroblast (MEF). Ini adalah penelitian in vitro menggunakan sel MEF yang diisolasi dari embrio tikus hari ke-10 usia kebuntingan yang dilakukan di Laboratorium Mikrobiologi dan Laboratorium Kultur Sel dan Sitogenetika, Universitas Padjadjaran, Bandung pada November 2018–Januari 2019. Soyghurt dibuat dari susu kedelai yang difermentasi oleh Lactobacillus bulgaricus ATCC 11842. Jumlah koloni bakteri dihitung dengan metode total plate count (TPC) dan pH diukur dengan pH meter. Supernatan soyghurt dibuat dari soyghurt dan kemudian diintervensi ke dalam sel MEF dengan konsentrasi 1–20%. Viabilitas sel ditunjukk","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115852649","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}
N. Atik, A. Nandika, E. Avriyanti, Tryando Bhatara, R. A. Kartiwa
{"title":"Primary Hippocampal Cell Culture and Its Application in Medical Researches","authors":"N. Atik, A. Nandika, E. Avriyanti, Tryando Bhatara, R. A. Kartiwa","doi":"10.29313/GMHC.V7I1.4245","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.4245","url":null,"abstract":"Studies in neuroscience can be performed in vitro and in vivo. In vivo studies will show significant results, but it is difficult to do and time-consuming. Primary hippocampal cell culture widely has used in neurobiological studies such as identifying the cellular mechanism of proteins, neuronal activity, and characteristics. The results of studies conducted on this cell culture will be very useful in discovering pathogenesis of a disease, the effect of a substance on the neuron, and neural basis of memory and learning. However, currently in Indonesia, primary hippocampal cell culture is still rare and difficult to do. The purpose of this study was to demonstrate that primary hippocampal cell culture can be done and developed in Indonesia and to review the application of it in medical researches. The study was an experimental study by obtaining neurons from animal’s hippocampus was conducted in 2015–2018 at Department of Cell Biology, Graduate School of Medicine Osaka University and Faculty of Medicine Universitas Padjadjaran. The experimental animal was mice embryo gathered 17.5-days postcoitus. Enzymatic and mechanical methods collected primary hippocampal cells. The cells counted and cultured, which later were observed to see neuron differentiation. The average number of culture cells from 3 embryonic’s hippocampus were 2.39×106. Neuron differentiation observed on the first day and more visible and numerous on the third day after plating. In conclusion, primary hippocampal cell culture using hippocampus from one hemisphere of embryonic mice brain showed a sufficient number of cells to carry out research and showed neuron differentiation. KULTUR SEL PRIMER HIPOKAMPUS DAN PENGGUNAANNYA DALAM RISET KEDOKTERANPenelitian dalam neurobiologi dapat dilakukan secara in vitro dan in vivo. Penelitian secara in vivo sangat berdampak hasilnya, namun sulit dan memakan waktu yang lama. Kultur sel primer hipokampus banyak digunakan dalam penelitian neurobiologi seperti melihat mekanisme protein seluler, serta aktivitas dan karakteristik neuron. Hasil penelitian yang dilakukan pada kultur sel ini akan sangat bermanfaat dalam menemukan proses suatu penyakit, efek suatu zat terhadap sel saraf, dan kemampuan belajar serta memori. Akan tetapi, saat ini di Indonesia kultur sel primer hipokampus masih jarang dan sulit dilakukan. Tujuan penelitian ini adalah menunjukkan bahwa kultur sel hipokampus primer dapat dilakukan dan dikembangkan di Indonesia, serta meninjau penerapannya dalam riset kedokteran. Penelitian ini merupakan studi eksperimental dengan mengoleksi neuron dari hipokampus hewan coba yang dilakukan pada tahun 2015–2018 di Department of Cell Biology, Graduate School of Medicine Osaka University dan Fakultas Kedokteran Universitas Padjadjaran. Hewan coba berupa embrio mencit hari ke-17,5 pascakoitus. Sel primer hipokampus dikoleksi untuk dihitung dan dikultur menggunakan metode enzimatik dan mekanik. Observasi neuron pada kultur dilanjutkan dengan mengamat","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133693040","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}
N. Hanum, Ismalayani Ismalayani, Rahmad Aswin Juliansyah, Syokumawena Syokumawena, Marta Pastari, H. Kusuma, Yukko Arinta
{"title":"The Effect of Kerokan to Liver Function of Hepatitis B Patients","authors":"N. Hanum, Ismalayani Ismalayani, Rahmad Aswin Juliansyah, Syokumawena Syokumawena, Marta Pastari, H. Kusuma, Yukko Arinta","doi":"10.29313/GMHC.V7I1.3397","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.3397","url":null,"abstract":"Kerokan is an alternative therapy done by rubbing and pressing the skin surface using oil and a blunt object. This treatment has a hepatoprotective effect as it increases heme oxygenase-1, an essential enzyme in heme catabolism. In hepatitis B, heme oxygenase-1 plays a vital role to fight oxidative stress. Hence the damage on liver cells can be reduced or even prevented. Damaged cells indicate by the production of aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) enzymes that accumulated in the bloodstream. This study aimed to investigate the effect of kerokan to liver function by analyzing SGOT and SGPT levels in hepatitis B patients. These were an experimental study with a pre-test post-test control group design conducted in the public health center in Palembang in October 2016. Statistical analysis used the unpaired t test and paired. The research subjects were 30 patients with inactive carrier and chronic hepatitis B. The levels of SGOT and SGPT were determined using the IFCC method. The levels of SGOT in control (19.53±3.44 U/L) and treatment group (20.46±4.53 U/L, Δ=0.93) after 24–48 hours were not statistically different (p=0.53). Also, the levels of SGPT in control (18.66±5.40 U/L) and treatment group (19.80±9.25 U/L, Δ=1.13) after 24–48 hours were also not statistically different (p=0.68) as well. In conclusion, the liver cells of inactive carrier and chronic hepatitis B patients were not damaged (necrosis) after kerokan therapy, and the levels of SGOT and SGPT were still in the normal range. EFEK KEROKAN TERHADAP FUNGSI HEPAR PASIEN HEPATITIS BKerokan merupakan terapi alternatif yang dilakukan dengan menggosok dan menekan permukaan kulit menggunakan minyak dan benda tumpul. Pengobatan ini bersifat hepatoprotektif, yaitu meningkatkan produksi enzim heme oxygenase-1 dalam katabolisme heme. Pada hepatitis B, heme oxygenase-1 berperan penting dalam menangkal radikal bebas sehingga dapat mengurangi atau mencegah kerusakan sel hepar. Kerusakan sel hepar diindikasikan oleh produksi enzim aspartate aminotransferase (AST/SGOT) dan alanine aminotransferase (ALT/SGPT) yang terakumulasi dalam pembuluh darah. Penelitian ini bertujuan mengetahui pengaruh kerokan pada fungsi hepar dengan menganalisis kadar SGOT dan SGPT pada pasien hepatitis B. Penelitian eksperimental ini menggunakan desain pre-test post-test control group yang dilakukan di puskesmas di Palembang pada Oktober 2016. Analisis statistik menggunakan uji t berpasangan dan tidak berpasangan. Subjek penelitian meliputi 30 pasien inactive carrier dan kronik hepatitis B. Kadar SGOT dan SGPT diukur dengan menggunakan metode IFCC. Kadar SGOT pada kontrol (19,53±3,44 U/L) dan grup perlakuan (20,46±4,53 U/L; Δ=0,93) setelah 24–48 jam tidak terdapat perbedaan signifikan (p=0,53). Selain itu, kadar SGPT pada kontrol (18,66±5,40 U/L) dan grup perlakuan (19,80±9,25 U/L; Δ=1,13) setelah 24–48 jam tidak menunjukkan perbedaan signifikan (p=0,68). Simpulan, sel hepar pada pasi","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132464088","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}
Bellia Loranthifolia Martasari, W. Cahyadi, G. Nugraha, Farid Husin, H. Susiarno, Y. Hidayat, M. Satari
{"title":"The Effect of Mixed-Fruit Juice on Uterine Contractions and Cervical Dilatation During the First Stage of Delivery","authors":"Bellia Loranthifolia Martasari, W. Cahyadi, G. Nugraha, Farid Husin, H. Susiarno, Y. Hidayat, M. Satari","doi":"10.29313/GMHC.V7I1.2908","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.2908","url":null,"abstract":"Energy imbalance in delivery can inhibit the action of glycolytic enzymes and interfere with chemical reactions in muscle cells. These nuisances may interfere with uterine contractions that obstruct cervical dilatation. Therefore, mothers require a nutritional alternative which is practical, generates energy quickly and supplies glucose needed for uterine contractions. These can be fulfilled with a mixed-fruit juice beverage. Mixed-fruit juice consists of fruits, Tunisian dates, honey, and red beans. This study aims to analyze the effect of the mixed-fruit extract on uterine contraction and cervical dilatation during the first stage of delivery. This study used a randomized controlled trial design. The target population was all the mothers who would give birth in Bandung city in March−April 2017. The samples of this study were the gravida <4 who would give birth at the Pelayanan Obstetri Neonatal Emergensi Dasar /PONED (Basic Emergency Obstetric and Neonatal Care/BEONC) Puskesmas (Public Health Center) Ibrahim Ajie, Puter, Garuda, Pagarsih, and Padasuka, consisting of 30 subjects as the treatment group and other 30 subjects as the control group. Uterine contractions and cervical dilatation were measured clinically and recorded on partograph. The analysis of data was done using the chi-square test, independent t test, and Mann-Whitney test. The results showed that there was the effect of mix-juice on the frequency, the duration and the intensity of uterine contractions and cervical dilatation with p value<0.05 and relative risk (RR) values respectively of 1.3, 3.3, 2.6, 1.7. In conclusion, consuming mixed-fruit juice during the first stage of delivery give a significant impact on the progress of uterine contractions and cervical dilatation. PENGARUH PEMBERIAN MINUMAN MIX JUICE TERHADAP KONTRAKSI UTERUS DAN PEMBUKAAN SERVIKS SELAMA KALA I PERSALINAN Ketidakseimbangan energi saat persalinan dapat menghambat kerja enzim glikolitik dan mengganggu reaksi kimia dalam sel otot sehingga dapat menghambat kontraksi otot dan pembukaan serviks. Perlu alternatif nutrisi ibu bersalin yang praktis, cepat menghasilkan energi, dan memberikan asupan glukosa yang dibutuhkan untuk kontraksi uterus dalam bentuk minuman mix juice . Mix juice ini mengandung buah-buahan, kurma tunisia, madu, dan kacang merah. Penelitian ini bertujuan menganalisis pengaruh pemberian minuman mix juice terhadap kontraksi uterus dan pembukaan serviks selama kala I persalinan. Penelitian ini menggunakan desain randomized controlled trial . Populasi target adalah semua ibu yang akan melahirkan di Kota Bandung pada bulan Maret−April 2017. Sampel dalam penelitian ini adalah gravida <4 yang akan melahirkan di Puskesmas Pelayanan Obstetri Neonatus Emergensi Dasar (PONED) Ibrahim Ajie, Puter, Garuda, Pagarsih, dan Padasuka, yaitu 30 subjek pada kelompok perlakuan dan 30 subjek pada kelompok kontrol. Kontraksi uterus dan pembukaan serviks diukur secara klinis dan dicatat pada partograf. Analisis dat","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123052865","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}
R. V. Suryadinata, Amelia Lorensia, Elisabeth Carolina Tangkilisan
{"title":"Effect of Physical Activity and Vitamin D Status on Geriatrics Obesity","authors":"R. V. Suryadinata, Amelia Lorensia, Elisabeth Carolina Tangkilisan","doi":"10.29313/GMHC.V7I1.2916","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.2916","url":null,"abstract":"Vitamin D levels in the body are decreased in tropical countries. This may be due to a decrease in physical activity, age and obesity to be a risk factor for decreased vitamin D levels. This study aims to determine differences in the level of physical activity in geriatrics obesity and non-obesity to vitamin D. This research method is observational with case-control study design. The study was conducted at Public Health Center Taman, Sidoarjo district, East Java in March–July 2017. Geriatric were grouped into 2 groups of obese and non-obese by using body mass index (BMI) calculations. Respondents were given a questionnaire to assess the level of physical activity and vitamin D status. Furthermore, an assessment of physical activity and vitamin D status were performed on each respondent. The first questionnaire was given to 30 people for the validity test (r>0.361) and reliability test (Cronbach alpha=0.731). The results showed no significant differences in physical activity levels between the two groups (chi-square, p=0.883). The assessment of vitamin D status can be seen as a significant difference (chi-square, p=o.o42). In conclusion, geriatrics with obesity and non-obesity had similar levels of physical activity, but vitamin D status in obesity tended to be lower than non-obese. PENGARUH AKTIVITAS FISIK DAN STATUS VITAMIN D TERHADAP OBESITAS GERIATRI Kadar vitamin D dalam tubuh semakin menurun di negara yang beriklim tropis. Hal ini dapat disebabkan oleh penurunan aktivitas fisik, usia, dan obesitas menjadi faktor risiko penurunan kadar vitamin D. Penelitian ini bertujuan mengetahui perbedaan tingkat aktivitas fisik pada geriatri obesitas dan nonobesitas terhadap status vitamin D. Metode penelitian ini adalah observational dengan desain penelitian kasus kontrol. Penelitian dilakukan di Puskesmas Taman, Kabupaten Sidoarjo, Jawa Timur pada bulan Maret–Juli 2017. Responden geriatri dilakukan penimbangan berat badan dan pengukuran tinggi badan untuk dikelompokkan menjadi 2 kelompok, yaitu kelompok obesitas dan nonobesitas dengan menggunakan perhitungan indeks massa tubuh (IMT). Responden diberikan kuesioner untuk menilai tingkat aktivitas fisik dan status vitamin D. Selanjutnya, dilakukan penilaian aktivitas fisik dan status vitamin D pada tiap-tiap responden. Kuesioner telah diberikan kepada 30 orang untuk dilakukan uji validitas (r>0,361) dan uji reliabilitas (Cronbach alfa=0,731). Hasil penelitian memperlihatkan tidak terdapat perbedaan tingkat aktivitas fisik yang signifikan antara kedua kelompok (chi-kuadrat, p=0,883). Pada penilaian status vitamin D dapat terlihat perbedaan yang signifikan (chi-kuadrat, p=0,042). Simpulan, geriatri dengan obesitas dan nonobesitas memiliki tingkat aktivitas fisik yang sama, sedangkan kadar vitamin D pada obesitas cenderung lebih rendah dibanding dengan nonobesitas.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121601271","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}
S. Rahimah, Y. Kharisma, E. Nurhayati, Y. Yuniarti, Shenny Dianathasari Santoso, M. Faridza
{"title":"Community Knowledge and Behavior in the Utilization of Medicinal Plants in Cikoneng Village Bandung District","authors":"S. Rahimah, Y. Kharisma, E. Nurhayati, Y. Yuniarti, Shenny Dianathasari Santoso, M. Faridza","doi":"10.29313/GMHC.V7I1.3214","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.3214","url":null,"abstract":"The industry of the traditional medicinal made from medicinal plants was currently growing. Effortless cultivation and utilization of medicinal plants were an important step to preserve the traditional medicine of Indonesia. Cikoneng village had abundant natural potential and is an assisted village of the researchers' institution located at the foot of Manglayang mountain Bandung district. Therefore, the researchers implemented the intervention program to educate and socialize the use of medicinal plants to the community of Cikoneng village. After the intervention program, the assessment of the level of knowledge and perceptions of people in the behavior of treatment by medicinal plants utilized was carried out. This study aims to assess the increase in knowledge and perceptions of people in the behavior of cultivation and treatment by using medicinal plants in Cikoneng village. The study used an intervention program and questionnaire with 35 respondents conducted on 22 August–23 September 2016. The results showed that after the intervention program, the level of knowledge of the Cikoneng village community regarding medicinal plants was right. The entire people of Cikoneng village is willing to take advantage of medicinal plants in maintaining family health and will begin to cultivate them in the smallest scope (family). In conclusion, there is an increase in people's knowledge and perception of the behavior of cultivation and treatment by utilizing medicinal plants in Cikoneng village. PENGETAHUAN DAN PERILAKU MASYARAKAT DALAM PEMANFAATAN TANAMAN OBAT DI KAMPUNG CIKONENG KABUPATEN BANDUNG Industri obat tradisional berbahan baku tanaman obat saat ini semakin berkembang. Upaya budidaya dan pemanfaatan tanaman obat yang optimal merupakan langkah penting untuk menjaga kelestarian obat tradisional Indonesia. Kampung Cikoneng mempunyai potensi alam yang melimpah dan merupakan desa binaan institusi peneliti yang terletak di kaki Gunung Manglayang Kabupaten Bandung. Oleh karena itu, peneliti melaksanakan program intervensi untuk mengedukasi dan menyosialisasikan pemanfaatan tanaman obat kepada masyarakat Kampung Cikoneng. Pada akhir program intervensi, dilakukan penilaian tingkat pengetahuan dan persepsi masyarakat tentang perilaku pengobatan dengan tanaman obat. Penelitian ini bertujuan menilai peningkatan pengetahuan dan persepsi masyarakat tentang perilaku budidaya dan pengobatan dengan memanfaatkan tanaman obat di Kampung Cikoneng. Penelitian menggunakan program intervensi dan kuesioner dengan jumlah responden 35 orang yang dilaksanakan pada 22 Agustus–23 September 2016. Hasil memperlihatkan bahwa setelah program intervensi, tingkat pengetahuan masyarakat Kampung Cikoneng mengenai tanaman obat adalah baik. Seluruh masyarakat Kampung Cikoneng bersedia memanfaatkan tanaman obat dalam menjaga kesehatan keluarga dan akan mulai membudidayakannya dalam lingkup yang paling kecil (keluarga). Simpulan, terdapat peningkatan pengetahuan dan persepsi masyarakat","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116176155","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":"Effectiveness of Various Mosquito Repellent Solutions to Control Mosquito Population","authors":"L. Faridah, C. Albert, N. Fauziah","doi":"10.29313/GMHC.V7I1.2974","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.2974","url":null,"abstract":"The vector-borne disease is a disease caused by an organism that can transmit disease between human or animal to human. In Indonesia, several vector-borne diseases are a burden of the government including dengue fever, chikungunya, filariasis, and malaria. The attractive baited lethal ovitrap (ALOT) is a novel strategy to alleviate mosquito populations in three main actions: attraction, an adulticide, and larvacide. Research using plant infusion can attract mosquitoes to lay their eggs is needed. This study aims to compare the effectiveness of the mosquito repellent solution using materials from organic waste in Bandung. This study was a quantitative analytic study with a quasi-experimental design conducted in the Faculty of Medicine Universitas Padjadjaran area in October 2016–July 2017. Research subjects are mosquito eggs in a solution which placed at 25 different places for every solution. The analysis was performed using Kruskal-Wallis test followed by the Dunn test. The result of the Kruskal-Wallis test indicates the difference of effectiveness of each solution (p<0.05). Based on the results of the Dunn test, the most significant difference found in the solution of wood shavings with the vegetable waste solution and the solution of wood shavings with corn straw (p<0.05). In conclusion, there is a difference in the effectiveness of the mosquito repellent solutions and the most attractive solution for mosquitoes to oviposit is the corn straw solution. EFEKTIVITAS BERBAGAI LARUTAN PENARIK NYAMUK UNTUK MENGONTROL POPULASI NYAMUK Penyakit tular vektor adalah penyakit yang disebabkan oleh organisme yang dapat mentransmisikan penyakit antarmanusia atau hewan ke manusia. Di Indonesia, terdapat beberapa penyakit tular vektor yang masih menjadi beban pemerintah, di antaranya demam berdarah, chikungunya , penyakit kaki gajah, dan malaria. Attractive baited lethal ovitrap (ALOT) merupakan strategi baru untuk menurunkan populasi nyamuk dalam tiga aksi utama, yaitu attraction , adulticide , dan larvacide . Penelitian terkait larutan dari tanaman yang dapat menarik nyamuk sangat diperlukan. Penelitian ini bertujuan membandingkan efektivitas larutan penarik nyamuk dengan menggunakan bahan dari limbah organik yang ada di Kota Bandung. Penelitian ini adalah penelitian analitik kuantitatif dengan desain quasi-eksperimental yang dilakukan di lingkungan Fakultas Kedokteran Universitas Padjadjaran pada bulan Oktober 2016–Juli 2017. Subjek penelitian merupakan telur nyamuk yang ada pada larutan yang diletakkan pada 25 titik untuk setiap larutan. Analisis dengan Uji Kruskal-Wallis yang dilanjutkan dengan Uji Dunn. Hasil penelitian dengan Uji Kruskal-Wallis menunjukkan perbedaan efektivitas tiap-tiap larutan (p<0,05). Berdasar atas hasil Uji Dunn, perbedaan yang paling signifikan terdapat pada larutan serutan kayu dengan larutan sampah sayur dan larutan serutan kayu dengan jerami jagung (p<0,05). Simpulan, terdapat perbedaan efektivitas larutan penarik nyamuk dan la","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131760528","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":"Prescription Writing Errors in Clinical Clerkship among Medical Students","authors":"R. A. Indriyanti, F. A. Yulianto, Y. Andriane","doi":"10.29313/GMHC.V7I1.4069","DOIUrl":"https://doi.org/10.29313/GMHC.V7I1.4069","url":null,"abstract":"Prescription is an instruction written by a medical practitioner to give a drug or device for a patient. The proper prescription will contribute to speedy recovery or healing process for the patient. Clinical clerkship must have an excellent competency to choose the right medication and prescribe the appropriate drugs or therapy. This study aims to analyze the common error in prescription's writing in clinical clerkship among medical students at their final examination to be a medical doctor. This study used the analytic method to 609 sheets of prescription from 180 clerkship students in their last try out on objective structured clinical examination (OSCE) at the Faculty of Medicine Universitas Islam Bandung in March 2018. Analyzed the component that every prescription should have, which consists of patient identity, superscription, inscription, subscription, and signatures. The result showed that more than half of the clerkship students made an error in subscription (50.25%) and signatures items (55.83%), while most of them had written down properly the patient identity (77.5%), superscription (83.74%), and inscription (78.98%). As a result, with more than half error in a prescription written in subscription and signature item, the failure of giving adequate therapy will cause a low recovery or healing process to the patients. Moreover, it may harm or cause death to the patients. In conclusion, more than half of medical students made common errors in prescription's writing. KESALAHAN PENULISAN RESEP PADA MAHASISWA KOASISTENSI FAKULTAS KEDOKTERANResep merupakan instruksi yang ditulis oleh tenaga medis untuk memberikan obat atau seperangkat alat kepada pasien. Peresepan yang tepat akan membawa proses pemulihan dan penyembuhan terhadap pasien. Mahasiswa kedokteran yang menjalankan masa koasisten harus memiliki kompetensi yang baik untuk memilih dan menuliskan terapi yang sesuai. Penelitian ini bertujuan menganalisis kesalahan umum dalam penulisan resep pada mahasiswa kedokteran yang akan menghadapi ujian akhir untuk menjadi seorang dokter. Penelitian ini menggunakan metode analitik terhadap 609 lembar resep dari 180 mahasiswa kedokteran yang sedang melaksanakan try out akhir objective structured clinical examination (OSCE) di Fakultas Kedokteran Universitas Islam Bandung pada Maret 2018. Dianalisis setiap komponen yang harus ada dalam penulisan resep, yaitu identitas pasien, superskripsi, inskripsi, subskripsi, dan signature. Hasil penelitian menunjukkan bahwa lebih dari setengah mahasiswa melakukan kesalahan pada item subskripsi (50,25%) dan signature (55,83%), sedangkan sebagian besar sudah menulis dengan baik pada item identitas pasien (77,5%), superskripsi (83,74%), dan inskripsi (78,98%). Akibatnya, dengan lebih dari setengah jumlah kesalahan dalam penulisan item subskripsi dan signature maka kegagalan dalam memberikan terapi yang adekuat dapat menyebabkan angka kesembuhan yang rendah, terlebih lagi dapat menimbulkan bahaya bahkan kematian te","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121861341","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}