Global Medical & Health Communication (GMHC)最新文献

{"title":"Mixed Juice Consumption During Labor to the Mother's Blood Lactate Levels","authors":"R. Andriani, M. Satari, Y. Hidayat, Farid Husin, G. Nugraha, H. Susiarno, W. Cahyadi","doi":"10.29313/GMHC.V6I3.2907","DOIUrl":"https://doi.org/10.29313/GMHC.V6I3.2907","url":null,"abstract":"Maternal nutritional needs aim to prevent fatigue marked by lactate accumulation. Mix juice is made for the needs of the mother's energy quickly and reduces the accumulation of lactate. The objective of this study was to find out the influence of mix juice during labor to the mother's blood lactate levels. This study used a randomized controlled trial pretest-posttest group design. This research was carried out at the Pelayanan Obstetri Neonatal Emergensi Dasar /PONED (Basic Emergency Obstetric and Neonatal Care/BEONC) Puskesmas (Public Health Center) Garuda, Puter, Pagarsih, Padasuka, and Ibrahim Aji in Bandung city in March–April 2017. The population was all mothers who gave birth in Bandung. Sampling was carried out randomization, the number of samples of 60 people in treatment and control group. The treatment group received mix juice during labor, while the control group was free to eat and drink. The result was analyzed using comparative-numerical categorical analysis test, and the mean difference was analyzed using unpaired t test. The results showed the average increased in blood lactate levels in the treatment group (1.9 mmol/L) was lower than in the control group (4.0 mmol/L). Statistically, there was a significant difference in elevated blood lactate levels after intervention between the treatment and control group. Mothers who did not receive the mix juice in labor have a risk of elevated blood lactate levels 4 times higher than the mothers who received the mix juice. Conclusion, giving mix juice to the labor process affects the prevention of maternal blood lactate levels. KONSUMSI MINUMAN MIX JUICE PADA PERSALINAN UNTUK KADAR LAKTAT DARAH IBU Kebutuhan nutrisi ibu bersalin bertujuan mencegah kelelahan yang ditandai dengan akumulasi laktat. Mix juice dibuat untuk memenuhi kebutuhan energi ibu bersalin secara cepat dan mengurangi penumpukan laktat. Penelitian ini bertujuan menganalisis pengaruh pemberian mix juice terhadap kadar laktat darah ibu. Penelitian ini menggunakan desain randomized controlled trial pretest-posttest group . Penelitian dilaksanakan di Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) Garuda, Puter, Pagarsih, Padasuka, dan Ibrahim Aji di Kota Bandung pada Maret–April 2017. Populasi penelitian adalah semua ibu yang akan melahirkan di Kota Bandung. Penarikan sampel dilakukan secara acak yang berjumlah 60 orang pada kelompok perlakuan dan kontrol. Kelompok perlakuan mendapatkan mix juice selama persalinan, sedangkan kelompok kontrol dibebaskan untuk makan dan minum. Hasil dianalisis menggunakan uji analisis komparatif kategorik numerik dan perbedaan rerata dianalisis menggunakan uji t tidak berpasangan. Hasil penelitian didapatkan rerata kenaikan kadar laktat darah pada kelompok perlakuan (1,9 mmol/L) lebih rendah dibanding dengan kelompok kontrol (4,0 mmol/L). Secara statistik terdapat perbedaan bermakna dalam kenaikan kadar laktat darah setelah intervensi antara kelompok perlakuan dan kontrol. Ibu yang ","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124493546","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 Effect of the BC-MK15 Birth Chair on the Labor Pain Intensity in Multipara","authors":"Yetti Purnama, J. Mose, Herry Herman","doi":"10.29313/GMHC.V6I3.2841","DOIUrl":"https://doi.org/10.29313/GMHC.V6I3.2841","url":null,"abstract":"Labor pain causes worry, anxiety, increases the secretion of the adrenaline, adrenocorticotropic hormone (ACTH), cortisol serum levels, catecholamines and the perception of pain. One method to decrease labor pain is through the mobilization and upright position during labor which is facilitated by the BC-MK15 birth chair to relax, decrease catecholamines, increase the release of β-endorphins and block the transmission of pain stimulus. This study aims was analyze the difference of the effect of using the BC-MK15 birth chair and the conventional bed on the intensity of labor pain in multipara. The design of this study was the posttest-only control group design in 60 samples of the first active phase of multipara at Public Health Centers Garuda, Ibrahim Adjie and Puter of Bandung city in April–May 2017. Each group consisted of 30 for treatment (using BC-MK15 birth chair) and control (using the conventional bed). Assessment of pain scores using the visual analogue scale (VAS) in cervical dilations of 4 cm (post 1), 7–9 cm (post 2) and 10 cm (post 3). The statistical test analysis uses the Mann-Whitney test and the chi-square test. There were significant differences among groups which are obtained by the treatment and control of post 2 and post 3 (p<0.05, RR=0.69 [0.531–0.896]). In conclusion, there is an effect of using the BC-MK15 birth chair and the conventional bed on the intensity of labor pain in multiparous mothers. PENGARUH KURSI PERSALINAN BC-MK15 TERHADAP INTENSITAS NYERI PERSALINAN PADA MULTIPARA Nyeri persalinan menimbulkan rasa khawatir, kecemasan, meningkatkan sekresi adrenalin, adrenocorticotropic hormone (ACTH), kadar kortisol serum, katekolamin, dan persepsi nyeri. Salah satu metode menurunkan nyeri persalinan adalah mobilisasi dan posisi tegak saat persalinan difasilitasi dengan kursi persalinan BC-MK15 sehingga menimbulkan relaksasi, menurunkan katekolamin, meningkatkan pelepasan β-endorfin, dan mengeblok transmisi stimulus nyeri. Penelitian ini bertujuan menganalisis perbedaan pengaruh penggunaan kursi persalinan BC-MK15 dan tempat tidur konvensional terhadap intensitas nyeri persalinan pada multipara. Desain penelitian eksperimen posttest-only control group design  dengan jumlah sampel 60 multipara kala I fase aktif di Puskesmas Garuda, Ibrahim Adjie, dan Puter Kota Bandung pada bulan April–Mei 2017. Tiap-tiap kelompok berjumlah 30 untuk perlakuan (menggunakan kursi persalinan BC-MK15) dan kontrol (menggunakan tempat tidur konvensional). Penilaian skor nyeri menggunakan visual analogue scale (VAS) pada dilatasi serviks 4 cm ( post 1), 7–9 cm ( post 2), dan 10 cm ( post 3). Pengujian statistik menggunakan analisis Uji Mann-Whitney dan uji chi-square . Didapatkan perbedaan bermakna antara kelompok perlakuan dan kontrol pada post 2 dan post 3 (p<0,05; RR=0,69 [0,531–0,896]). Simpulan, terdapat pengaruh penggunaan kursi persalinan BC-MK15 dan tempat tidur konvensional terhadap intensitas nyeri persalinan pada ibu multipara.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"229 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121214121","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 Effectiveness of Ultraviolet, Ozonization and Reverse Osmosis as Disinfection Method in Drinking Water Refill Stations","authors":"S. Y. Sari, Muhamad Iqbal, Adi Imam Cahyadi, T. Respati, A. Raksanagara, R. Agoes","doi":"10.29313/GMHC.V6I3.3427","DOIUrl":"https://doi.org/10.29313/GMHC.V6I3.3427","url":null,"abstract":"The number of drinking water refill stations (DWRS) was increased rapidly because high of mid-low urban community need to get affordable drinking water. Water treatment methods in DWRS are varying even many DWRS uses more than one disinfection method to increase the effectiveness. The quality of many DWRS productions was reported unstandardized, however not yet the study to evaluate the effects of the water treatment method used. This study aimed to compare the effectiveness of various water treatment methods in DWRS to identify which method is the most effective. The study used a cross-sectional approach conducted in 3 groups of water treatment methods, namely ultraviolet, ultraviolet + ozonization, and a combination of ultraviolet + ozonization + reverse osmosis with each group consisted of 40 DWRS. The survey was conducted in July–September 2017 in Bandung municipality by structured interview. Examination of microbiological parameters of raw and processed drinking water samples using membrane filter method. Water samples from raw water and drinking water from treatment process were taken from each DWRS to be tested for the microbiological parameter by using the membrane filter method. Comparison of the effectiveness was analyzed using the Wilcoxon rank sum test and assessment of log removal reduction. The result showed that there was significantly different in the effectiveness of coliform removal between the three groups. The improvement for controlling and training particularly for the procedure and maintenance of water treatment equipment to the owners/workers in DWRS is urgently needed as the concern of related authority. In conclusion, the water treatment method using reverse osmosis and ultraviolet is the most effective disinfection method compared to the ozonization method. The usage of more that one method of water treatment at the same time relate to the lower percentage of the effectiveness compares to the usage of only one method. EFEKTIVITAS ULTRAVIOLET, OZONISASI, DAN REVERSE OSMOSIS SEBAGAI METODE DESINFEKSI DEPOT AIR MINUM ISI ULANG Perkembangan depot air minum isi ulang (DAM) melaju dengan pesat karena masyarakat menengah ke bawah perkotaan membutuhkan air minum dengan harga yang terjangkau. Metode pengolahan air baku menjadi air minum di DAM bervariasi bahkan tidak jarang digunakan lebih dari satu metode desinfeksi untuk meningkatkan efektivitasnya. Kualitas produksi DAM banyak yang dilaporkan tidak sesuai dengan standar, namun belum terdapat penelitian yang mengevaluasi pengaruh metode pengolahan air yang digunakan. Penelitian ini bertujuan membandingkan efektivitas berbagai metode pengolahan air di DAM sehingga dapat diketahui metode apa yang paling efektif. Penelitian ini menggunakan pendekatan cross-sectional yang dilakukan pada 3 kelompok metode pengolahan air, yaitu ultraviolet, ultraviolet + ozonisasi, dan kombinasi ultraviolet + ozonisasi + reverse osmosis dengan tiap-tiap kelompok terdiri atas 40 DAM. Survei dilakukan","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115066806","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":"Reproductive Health Game (KEPO Game) to the Self-Concept and Adolescent Reproductive Health Motivation","authors":"Melly Damayanti, F. Wirakusumah, Ruswana Anwar","doi":"10.29313/GMHC.V6I3.2897","DOIUrl":"https://doi.org/10.29313/GMHC.V6I3.2897","url":null,"abstract":"The problem of adolescent reproductive health has not been adequately addressed, although there have been many tried attempts both formally and informally. Adolescents aged 12–15 years old are suitable for early reproductive health education, so the needed media that suits their needs and developments. Reproductive health/ kesehatan reproduksi (KEPO) game contains information about reproductive health and moral messages in the formation of self-concept, healthy reproduction, health motivation, and responsibility. The purpose of this study was for knowing the effect of using the KEPO game to the self-concept and motivation of adolescent reproductive health. The study layout uses a quasi-experiment with a pretest-posttest with control group design. The treatment group received a KEPO game, while the control group received the Young Health Programme (YHP). This study uses a sampling technique using simple random sampling with a sample of 42 students for each group. The analysis used is the nonparametric test. This research was implemented in the work area of the Public Health Center Ujungberung in Bandung city on the April–May 2017. The results showed that there was an effect of using the KEPO game to self-concept and motivation of adolescent reproductive health (p<0.001). The increase in self-concept in the treatment group was 8.2%, while in the control group it was 2.2%. For reproductive health motivation, the treatment group experienced an increase of 9.5%, while the control group experienced an increase of only 0.8%. Conclusion, the KEPO game increased self-concept and reproductive health motivation in adolescents. GIM KESEHATAN REPRODUKSI (KEPO) UNTUK KONSEP DIRI DAN MOTIVASI KESEHATAN REPRODUKSI REMAJA Masalah kesehatan reproduksi remaja belum teratasi dengan baik, meskipun telah banyak upaya yang dilakukan baik secara formal maupun informal. Remaja usia 12–15 tahun merupakan masa yang tepat untuk pendidikan kesehatan reproduksi secara dini sehingga dibutuhkan media yang sesuai dengan kebutuhan dan perkembangannya. Gim kesehatan reproduksi (KEPO) berisikan informasi tentang kesehatan reproduksi dan pesan moral dalam pembentukan konsep diri dan motivasi kesehatan reproduksi yang sehat serta bertanggung jawab. Tujuan penelitian mengetahui pengaruh penggunaan gim KEPO terhadap konsep diri dan motivasi kesehatan reproduksi remaja. Rancangan penelitian menggunakan quasi-experiment dengan pretest-posttest with control group design . Kelompok perlakuan mendapatkan gim KEPO, sedangkan kelompok kontrol mendapatkan Program Pelayanan Kesehatan Peduli Remaja (PKPR). Teknik pengambilan sampel menggunakan simple random sampling dengan jumlah sampel 42 siswa untuk setiap kelompok. Analisis yang digunakan adalah tes nonparametrik. Penelitian ini dilakukan di wilayah kerja Puskesmas Ujungberung Kota Bandung pada bulan April–Mei 2017. Hasil penelitian menunjukkan terdapat pengaruh penggunaan gim KEPO terhadap konsep diri dan motivasi kesehatan reproduksi remaja","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120950134","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}