Global Medical Health Communication最新文献

{"title":"Profil Massa Lemak dan Lingkar Pinggang Dewasa Obes dan Nonobes di Cirebon","authors":"Stephanus Kristianto Witono, G. Nugraha, Hikmat Permana, Sudigdo Adi","doi":"10.29313/GMHC.V6I1.2192","DOIUrl":"https://doi.org/10.29313/GMHC.V6I1.2192","url":null,"abstract":"Kelebihan berat badan dan kegemukan mulai menjadi masalah terhadap kesehatan pada beberapa dekade terakhir. Hal ini menjadi masalah serius terhadap kesehatan karena dapat menyebabkan sindrom metabolik yang berujung kepada kematian sehingga kegemukan perlu kita cegah sedini-dininya. Deteksi dini khususnya massa lemak dan lingkar pinggang yang menjadikan faktor prediktor sindrom metabolik perlu dilakukan untuk mencegah perjalanan penyakit obesitas. Penelitian deskriptif ini dilakukan terhadap 116 pasien (47 pasien obes dan 69 nonobes) di Klinik Pasar Balong Cirebon, 14–21 April 2016 dengan rentang usia 35–60 tahun. Pengukuran berat badan, massa lemak, dan massa bebas lemak menggunakan professional octapolar body impedance analyzer Beurer BF100 , pengukuran tinggi badan menggunakan Stadiometer Seca 213 dan lingkar pinggang menggunakan body tape measure caliper Onemed . Tujuan penelitian ini adalah mengetahui persentase massa lemak dan lingkar pinggang dewasa obes dengan nonobes di Kota Cirebon sehingga dapat dijadikan acuan dalam mengatasi obesitas. Hasil massa lemak rata-rata pria dan wanita obes 30,98±4,24% dan 39,29±3,56%, serta lingkar pinggang 108,20±7,59 cm dan 93,46±8,91 cm yang berarti rata-rata dewasa obes di Cirebon mempunyai massa lemak jauh di atas klasisfikasi buruk dari American College of Sport Medicine dan lingkar pinggang jauh di atas batasan World Health Organization dan International Diabetes Federation untuk orang Asia. Hasil massa lemak rata-rata pria nonobes dalam klasifikasi rata-rata 17,81±5,21% dan wanita nonobes di bawah rata-rata 25,87±2,48%. Lingkar pinggang pria dan wanita nonobes 79,00±6,93 cm dan 74,72±5,44 cm, masih dalam klasifikasi normal. Simpulan, orang dewasa di Kota Cirebon baik obes maupun nonobes khususnya wanita mempunyai massa lemak masuk ke dalam klasifikasi buruk. Lingkar pinggang dewasa obes baik pria maupun wanita melebihi batasan World Health Organization dan International Diabetes Federation . FAT MASS AND WAIST CIRCUMFERENCE PROFILE OF ADULT OBESE AND NON-OBESE IN CIREBON Overweight and obesity are starting to become a serious health problems in the last few decades because it can cause metabolic syndrome that leads to death, so we need to prevent obesity as early as possible. We need to do early detection especially fat mass percentage and waist circumference that makes predictor factor of the occurrence of metabolic syndrome is needed to prevent or even to cut the course of obesity disease. This descriptive study was conducted on 116 patients (47 obese and 69 non-obese patients) at the Klinik Pasar Balong Cirebon, April 14–21, 2016 with age range of 35–60 years. Measurement of body weight, fat mass, fat free mass using professional octapolar body impedance analyzer Beurer BF100, while height measurement using Seca 213 Stadiometer and waist circumference using body tape measure caliper Onemed. The purpose of this research was to know fat mass and waist circumference of obese and non-obese in Cirebon,","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"6 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45222181","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":"Medical Student Career Choice’s Determinants: A Qualitative Study","authors":"Rizma Adlia Syakurah, Y. Prabandari, D. Widyandana, A. Kumara","doi":"10.29313/GMHC.V5I3.2799","DOIUrl":"https://doi.org/10.29313/GMHC.V5I3.2799","url":null,"abstract":"Choosing a career is an essential stage in medical students’ life. Previous researchers all across the world have been conducted studies to examine determinants of career choices in general and medical careers in sociodemographic and behavioral perspectives. While most of the studies centered on general career choices determinants and located mostly in western countries with general career choices as their topics, few studies explore about medical students’ career choices determinants in a collectivist culture like Indonesia. Hence, this study aimed to explore and describe determinants of medical students’ career choices in collectivist culture setting. Participants, 62 students in total, were recruited from all stages of undergraduate medical students in Sriwijaya University in November 2015 until January 2016. Each of focus groups was led by a facilitator to explore medical students’ career choices’ determinants. Transcripts encoded according to recurring topics and themes that came up during their discussions. Eight themes identified from the discussions were: four major, two intermediate and two minor issues. Major themes were financial gain, prestige, personal interest and family influence. In conclusion, some points can be used to increase medical students’ interest in various medical career fields. Exposure to medical career information should not target merely on medical students but also to their family and the community as well. Government roles in providing financial incentives as well as career opportunities to medical fields to increase the interest of medical students in the certain medical field. DETERMINAN KARIeER MAHASISWA KEDOKTERAN: SEBUAH STUDI KUALITATIF Pemilihan karier merupakan salah satu fase yang penting dalam kehidupan seorang mahasiswa kedokteran. Berbagai penelitian di seluruh dunia telah dilakukan dalam menemukan dan menganalisis determinan pemilihan karier seseorang, baik secara umum, maupun dalam dunia kedokteran secara khusus yang dilakukan pada perspektif sosiodemografi dan perilaku. Saat ini masih sedikit sekali penelitian yang dilakukan pada mahasiswa kedokteran yang bertujuan mengeksplorasi determinan pemilihan kariernya, terutama dalam lingkungan dengan kultur kolektivisme seperti di Indonesia. Penelitian ini ditujukan mengeksplorasi dan menjelaskan alasan pemilihan karier mahasiswa kedokteran pada lingkungan dengan kultur kolektivisme. Partisipan adalah semua mahasiswa kedokteran preklinik di Fakultas Kedokteran Universitas Sriwijaya yang berjumlah 62 orang. Penelitian dilakukan pada bulan November 2015–January 2016. Tiap kelompok diskusi terarah dipimpin oleh seorang fasilitator yang melakukan eksplorasi terkait alasan pemilihan karier mereka. Hasil diskusi dicatat dan transkrip dikelompokkan sesuai dengan tema yang sering muncul selama kegiatan diskusi berlangsung. Delapan tema teridentifikasi dalam diskusi, yaitu empat tema mayor, dua tema menengah, dan dua tema minor bergantung pada seringnya tema terseb","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"236-240"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42488495","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":"Identifikasi Virus Hepatitis A pada Sindrom Penyakit Kuning Akut di Beberapa Provinsi di Indonesia Tahun 2013","authors":"Eka Pratiwi, Triyani Soekarso, Kindi Adam, Vivi Setiawaty","doi":"10.29313/gmhc.v5i3.2386","DOIUrl":"https://doi.org/10.29313/gmhc.v5i3.2386","url":null,"abstract":"Penyakit kuning akut dapat disebabkan oleh infeksi virus hepatitis A, B, C, dan E dengan Hepatitis A dan E sebagai penyebab utama wabah. Gejala kuning pada kasus infeksi virus hepatitis A (HAV) muncul pada 2−6 minggu setelah pasien terinfeksi. Umumnya infeksi HAV tidak akan berkembang menjadi kronis, namun HAV dapat menyebabkan wabah. Pada tahun 2013 terjadi peningkatan penyakit kuning akut pada empat provinsi, yaitu Banten, Kepulauan Riau, Kalimantan Barat, dan Kalimantan Selatan. Penelitian ini bertujuan mengetahui penyebab penyakit kuning akut yang terjadi pada kejadian luar biasa di empat provinsi tersebut. Pengumpulan data dilakukan dari merebaknya kasus penyakit kuning akut selama tahun 2013 di empat provinsi di Indonesia. Spesimen dikumpulkan dan dikirim ke laboratorium Virologi di Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan (Puslitbang BTDK), Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. Spesimen diuji antibodi IgM HAV menggunakan metode enzyme immunoassay . Puslitbang BTDK menerima 102 spesimen dari tujuh kali laporan peningkatan kasus di empat provinsi, yaitu Banten, Kalimantan Selatan, Kalimantan Barat, dan Kepulauan Riau. Dari keseluruhan 102 spesimen, 38 spesimen (37%) positif IgM HAV, meliputi Banten 3 (2,9%), Kalimantan Selatan 7 (6,9%), Kepulauan Riau 4 (3,9%), dan Kalimantan Barat 24 (23,5%). Lebih banyak kasus perempuan dibanding dengan laki-laki dan dominan pada usia dewasa. Infeksi HAV adalah penyebab sindrom penyakit kuning akut di empat provinsi di Indonesia. HEPATITIS A VIRUS IDENTIFICATION ON ACUTE JAUNDICE SYNDROME IN  SOME PROVINCES IN INDONESIA IN 2013 Acute jaundice can be caused by hepatitis A, B, C and E virus. Hepatitis A and E are often as the main cause of the jaundice outbreak. The symptoms of Hepatitis A virus infection (HAV) appear 2−6 weeks after the patient infected. Generally HAV infection will not develop into chronic stages, but HAV can cause an outbreak. In 2013 there was an increase of acute jaudice syndrome in four provinces that are Banten, Riau Islands, West Kalimantan and South Kalimantan. The study aims to determine the cause of acute jaundice syndrome that occurs in extraordinary events in the four provinces. Data collection was conducted from outbreaks of acute cases of jaundice during 2013 in four provinces in Indonesia. Specimens were collected and sent to the Virology Laboratory at the Center for Research and Development of Biomedical and Basic Health Technology (Puslitbang BTDK), National Institute of Health Research and Development, Ministry of Health. The specimens tested using IgM HAV antibody enzyme immunoassay method. Puslitbang BTDK received 102 specimens from seven extraordinary reports in four provinces namely Banten, South Kalimantan, West Kalimantan and Riau Islands. From all 102 specimens, 38 specimens (37%) were positive IgM HAV, including Banten 3 (2.9%), South Kalimantan 7 (6.9%), Riau Islands 4 (3.9%) and West Kalimantan 24 (","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"199-204"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47878643","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":"Faktor-faktor yang Berhubungan dengan Perilaku Merokok pada Remaja Kampung Bojong Rawalele, Jatimakmur, Bekasi","authors":"Erlina Wijayanti, Citra Dewi, Rifqatussa’adah Rifqatussa’adah","doi":"10.29313/gmhc.v5i3.2298","DOIUrl":"https://doi.org/10.29313/gmhc.v5i3.2298","url":null,"abstract":"Salah satu perilaku berisiko yang memiliki prevalensi tinggi di usia remaja adalah merokok, sedangkan seseorang yang merokok pada usia lebih muda akan lebih sulit berhenti dibanding dengan yang mulai merokok pada usia lebih tua. Tujuan penelitian ini mengidentifikasi faktor-faktor yang berhubungan dengan perilaku merokok pada remaja. Penelitian yang dilakukan merupakan penelitian deskriptif dengan desain cross-sectional. Penelitian dilakukan di Kampung Bojong Rawalele, Pondok Gede, Bekasi, Jawa Barat periode Januari–Februari 2017. Populasi penelitian adalah remaja di kampung tersebut. Subjek penelitian adalah individu usia 10–19 tahun. Sampel yang diambil sebanyak 94 responden dengan teknik snowball sampling . Remaja yang terlibat berpendidikan belum tamat SD sampai sudah tamat SMA. Di antara 19 remaja perokok (20%), merokok rata-rata sebanyak 5–6 batang per hari dan sudah merokok rata-rata selama 2–3 tahun. Sebagian besar (95%) perokok tersebut ingin berhenti merokok. Analisis bivariat menunjukkan bahwa jenis kelamin, usia, pengalaman, pengetahuan, dan sikap berhubungan signifikan dengan perilaku merokok (p<0,05). Pendidikan tidak berhubungan dengan perilaku merokok (p≥0,05). Simpulan, prediktor perilaku merokok pada remaja di Kampung Bojong Rawalele adalah jenis kelamin, usia, pengalaman, pengetahuan, dan sikap. Disarankan kepada orangtua maupun sekolah untuk memperhatikan kelompok berisiko merokok pada remaja. FACTORS ASSOCIATED WITH TEENAGER’S SMOKING BEHAVIOR AT  BOJONG RAWALELE, JATIMAKMUR, BEKASI One among risky behaviors of teenager was smoking. Someone who smoked at younger age would be more difficult to stop than who started smoking at an older age. The purpose of this study was to identify factors associated with smoking behavior in teenagers. This is a cross-sectional study on 94 teenagers 10 to 19 years old using snowball sampling technique. The study conducted from January to February 2017 at Bojong Rawalele, Pondok Gede, Bekasi, West Java. Results showed respondents have primary school to senior high school education. Among 19 smokers, ciggaretes were consumed 5–6 stems per day and they had smoked for 2–3 years on average. Most of the smokers wanted to stop smoking (95%). The bivariate analysis showed that gender, age, experience, knowledge, and attitude significantly associated with smoking behavior (p<0.05). However, education was not associated with smoking behavior (p≥0.05). In conclusion, the predictors of smoking behavior were gender, age, experience, knowledge, and attitude. It was suggested to parents and schools to pay attention to risky groups on smoking behavior.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"194-198"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45947506","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":"Penggunaan Aplikasi Sayang ke Buah Hati (SEHATI) terhadap Asupan Zat Gizi Anak dan Pengetahuan Ibu Menerapkan Konsumsi Aneka Ragam Makanan Gizi Seimbang pada Anak Sekolah Dasar","authors":"Giyawati Yulilania Okinarum, I. Afriandi, Dida A. Gurnida, Herry Herman, Herry Garna, Tono Djuwantono","doi":"10.29313/GMHC.V5I3.2576","DOIUrl":"https://doi.org/10.29313/GMHC.V5I3.2576","url":null,"abstract":"Kesehatan dan gizi yang buruk pada anak usia sekolah dapat menghambat pertumbuhan fisik, perkembangan, dan kecerdasan. Konsumsi pangan masyarakat Indonesia belum sesuai dengan pesan gizi seimbang. Aplikasi Sayang ke Buah Hati (SEHATI) diharapkan dapat menjadi alat strategi promosi kesehatan untuk meningkatkan asupan zat gizi anak dan pengetahuan ibu menerapkan konsumsi aneka ragam makanan gizi seimbang. Tujuan penelitian ini menganalisis perbedaan asupan zat gizi anak dan pengetahuan ibu menerapkan konsumsi aneka ragam makanan gizi seimbang pada anak sekolah dasar sebelum dengan sesudah diterapkan aplikasi SEHATI. Periode penelitian 2–18 Maret 2017 di SDIT Jabal Nur Yogyakarta. Subjek adalah ibu yang memiliki anak usia sekolah dasar (8–12 tahun) dan anaknya yang memenuhi kriteria penelitian. Penelitian ini merupakan randomized controlled trial (RCT). Pengambilan sampel dilakukan secara acak. Kelompok intervensi mendapatkan pemasangan aplikasi SEHATI dan kontrol diberikan pendidikan kesehatan, tiap-tiap kelompok terdiri atas 30 responden. Data diolah dengan uji nonparametrik, yaitu uji t berpasangan pada data yang berdistribusi normal dan uji Mann-Whitney pada data yang tidak berdistribusi normal. Terdapat perbedaan bermakna penggunaan aplikasi SEHATI terhadap peningkatan pengetahuan ibu pada kelompok intervensi (25,9%; p≤0,001), terjadi peningkatan skor asupan zat gizi anak pada kelompok intervensi yang bermakna, yaitu karbohidrat (13,8%; p=0,038) dan vitamin A (51,5%; p=0,005). Simpulan, terdapat perbedaan peningkatan asupan zat gizi dan pengetahuan ibu menerapkan konsumsi aneka ragam makanan gizi seimbang pada anak sekolah dasar sebelum dengan sesudah penggunaan aplikasi SEHATI. SAYANG KE BUAH HATI (SEHATI) APPLICATION USAGE ON CHILDREN NUTRIENT INTAKE AND MOTHERS’ KNOWLEDGE IN IMPLEMENTING NUTRITIONALLY  BALANCED FOOD VARIETY AMONG PRIMARY SCHOOL CHILDREN Nutrient imbalance affects children growth and development. Sayang ke Buah Hati (SEHATI) was an application developed for health promotion strategies to increase children nutrient intake and mothers’ knowledge in implementing consumption on nutritionally balanced food variety. The purpose of this study was to analyze the differences of children nutrient intake and mothers’ knowledge in implementing consumption of a variety of nutritionally balanced food on primary school children before and after applying the SEHATI application. Subjects were 30 randomly selected mothers who have primary school age children (8−12 years) and their children. This study is a randomized controlled trial (RCT) conducted on 2–18 of March 2017 in SDIT Jabal Nur Yogyakarta. The intervention group got the SEHATI application installed and health education. The data collected is processed by the paired t test on normally distributed data and Mann Whitney tests on data that are not normally distributed. Results showed significant increased knowledge of mothers in the intervention group significantly (25.9%, p≤0.001). Inc","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"219-227"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43876928","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":"Efek Konsumsi Suplemen Kalsium dan Magnesium terhadap Dismenore Primer dan Sindrom Premenstruasi pada Perempuan Usia 19–23 Tahun","authors":"F. Tih, Cherry Azaria, Julia Windi Gunadi, R. T. Rumanti, Alfred Tri Susanto, Alissa Amelia Santoso, Firsty Tasya Evitasari","doi":"10.29313/gmhc.v5i3.2161","DOIUrl":"https://doi.org/10.29313/gmhc.v5i3.2161","url":null,"abstract":"Dismenore merupakan gangguan menstruasi dengan prevalensi terbesar diikuti gejala sindrom premenstruasi yang mencakup gejala fisik dan psikologis. Asupan mikronutrien kalsium dan magnesium dapat membantu mengatasi keluhan ini. Penelitian ini dilakukan untuk mengetahui pengaruh konsumsi suplemen kalsium dan magnesium terhadap dismenore dan gejala sindrom premenstrual pada perempuan berusia 19–23 tahun. Penelitian ini merupakan eksperimental kuasi dengan rancangan pretes dan postes. Penelitian dilakukan di Universitas Kristen Maranatha Bandung pada bulan Juli–Desember 2016. Subjek penelitian adalah 60 orang perempuan berusia 19–23 tahun, dibagi menjadi dua kelompok secara acak untuk pemberian bahan uji kalsium (1.000 mg/hari) atau magnesium (250 mg/hari) yang diberikan mulai hari kedua menstruasi sampai siklus menstruasi yang berikutnya. Kadar kalsium atau magnesium serum diukur dengan metode spektrofotometri. Dismenore diukur dengan skala nyeri visual analog scale (VAS), sedangkan skor sindrom premenstrual diukur dengan shortened premenstrual assessment form sebelum dan sesudah pemberian bahan uji. Konsumsi kalsium menurunkan skor skala VAS rata-rata pada dismenore dari 6,97 menjadi 3,80 (p=0,000) dan skor total gejala sindrom premenstrual rata-rata dari 15,07 menjadi 10,80 (p=0,000). Konsumsi magnesium mengurangi skor skala VAS rata-rata pada dismenore dari 7 menjadi 4 (p=0,000) dan skor total gejala sindrom premenstrual rata-rata dari 12,27 menjadi 9,87 (p=0,001). Simpulan penelitian ini adalah konsumsi suplemen kalsium atau magnesium mengurangi keluhan dismenore dan gejala sindrom premenstrual pada perempuan usia 19–23 tahun. EFFECT OF CALCIUM AND MAGNESIUM SUPPLEMENTS ON PRIMARY DYSMENORRHEA AND PREMENSTRUAL SYNDROME IN 19–23 YEARS OLD WOMEN Dysmenorrhea is a menstrual disorder with the greatest prevalence followed by premenstrual syndrome that includes physical and psychological symptoms. Micronutrients intake of calcium and magnesium can help overcome these complaints. This research was conducted to find out the effect of calcium and magnesium supplements consumption on dysmenorrhea and premenstrual syndrome symptoms in 19–23 years old women. This was quasi experimental research with pre- and post-test design. The research was conducted in Maranatha Christian University Bandung from July to December 2016. The subjects of research were 60 women aged 19–23 years old, divided into two groups randomly. One group given calcium (1,000 mg/day) or magnesium (250 mg/day), which was given at the second day of menstruation until the next menstrual cycle. Serum levels of calcium or magnesium were measured with spectrophotometry method. Dysmenorrhea was measured with visual analog scale (VAS), whereas score of premenstrual syndrome was measured with shortened premenstrual assessment form, before and after treatment. The consumption of calcium lowers the VAS score average on dysmenorrhea from 6.97 to 3.80 (p=0.000) and the mean score of premenstrual syndr","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"159-166"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46452467","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":"Faktor Pendukung dan Penghambat Penderita Diabetes Melitus dalam Melakukan Pemeriksaan Glukosa Darah","authors":"Rizana Fajrunni’mah, Diah Lestari, Angki Purwanti","doi":"10.29313/GMHC.V5I3.2181","DOIUrl":"https://doi.org/10.29313/GMHC.V5I3.2181","url":null,"abstract":"Diabetes melitus (DM) adalah sekelompok gangguan metabolisme bersifat kronik yang ditandai peningkatan kadar glukosa darah serta gangguan metabolisme karbohidrat, lemak, dan protein. Setiap tahun lebih dari empat juta orang meninggal akibat DM, dan jutaan orang mengalami efek buruk atau kondisi yang mengancam jiwa seperti serangan jantung, strok, gagal ginjal, kebutaan, dan amputasi. Kemampuan individu mengelola kehidupan sehari-hari serta mengendalikan dan mengurangi dampak penyakit yang dideritanya dikenal dengan self-management , yaitu mengikuti pola makan sehat, meningkatkan kegiatan jasmani, menggunakan obat DM dan obat pada keadaan khusus secara aman dan teratur, melakukan pemantauan kadar gula darah, serta perawatan kaki secara berkala. Beberapa penelitian melaporkan bahwa masih sedikit penderita DM melakukan pemantauan gula darah dengan baik. Penelitian ini bertujuan memperoleh pemahaman mendalam tentang pengalaman penderita DM dalam pemeriksaan kadar glukosa darah dengan menggunakan metode penelitian kualitatif pendekatan fenomenologi. Penelitian dilaksanakan pada bulan Juli–September 2016 di wilayah kerja Puskesmas Jatiwarna, Bekasi. Hasil analisis data teridentifikasi faktor pendukung pemeriksaan glukosa darah adalah faktor psikologis, sosial, edukasi, ekonomi, dan akses. Faktor penghambatnya adalah faktor psikologis, sosial, edukasi, penggunaan obat, sikap terhadap penyakit, dan persepsi terhadap jaminan kesehatan. Hasil penelitian diharapkan dapat menjadi masukan dalam meningkatkan kualitas edukasi dan pendampingan tenaga kesehatan kepada pasien sehingga pasien terbantu meningkatkan adaptasi dan kemampuannya memantau glukosa darah secara mandiri. SUPPORTING AND INHIBITING FACTORS OF DIABETES MELLITUS PATIENTS IN PERFORMING BLOOD GLUCOSE EXAMINATION Diabetes mellitus (DM) is a chronic metabolic disorder marked by an increase in blood glucose levels and impaired metabolism of carbohydrates, fats, and proteins. Every year more than four million people die because diabetes and millions of people experience the ill effects of diabetes or life-threatening conditions such as heart attack, stroke, kidney failure, blindness, and amputation. The individual's ability to manage life, control and reduce the impact of the disease known as self-management is to follow a healthy diet, increasing physical activity, using the drug safely and regularly, monitoring blood sugar levels as well as maintenance feet regularly. Several studies reported only small number of DM patients examined blood glucose levels routinely. This study aim to gain a thorough understanding of individual experience with DM in examining blood glucose levels. This study used qualitative research with a phenomenological approach from July to September 2016 at Jatiwarna, Bekasi. The results identified factors supporting blood glucose examination were: psychological factors, social, educational, economic, and access to health care. The inhibiting factors were psychological factors, ","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"174-181"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48735749","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":"Ekspresi Caspase-3 pada Kanker Payudara Tikus Setelah Pemberian Antikanker Brusein-A","authors":"Muhartono Muhartono, Subeki Subeki","doi":"10.29313/gmhc.v5i3.2263","DOIUrl":"https://doi.org/10.29313/gmhc.v5i3.2263","url":null,"abstract":"Brusein-A diduga menyebabkan apoptosis. Salah satu protein yang berperan dalam proses apoptosis adalah caspase-3 . Penelitian ini bertujuan mengetahui aktivitas antikanker brusein-A terhadap ekspresi caspase-3 pada kanker payudara. Penelitian menggunakan rancang acak lengkap. Sebanyak 27 ekor tikus betina berumur 12 minggu diberi dimethylbenzanthracene (DMBA) 20 mg/kgBB per oral selama 3 minggu sampai terbentuk kanker payudara. Selanjutnya, dibagi dalam 9 kelompok perlakuan brusein-A, yaitu 0; 2,5; 5; 7,5; 10; 12,5; 15; 17,5; dan 20 mg/L selama 28 hari. Parameter yang diukur adalah ekspresi caspase-3 yang dinilai berdasar atas persentase sitoplasma yang berwarna coklat. Penelitian ini dilakukan di Laboratorium Patologi-Anatomi dan Laboratorium Biokimia, Pusat Penelitian Ilmu Pengetahuan dan Teknologi (Puspiptek) Serpong tahun 2015–2016. Hasil penelitian menunjukkan ekspresi caspase-3 rata-rata pada dosis 0 mg/L sebesar 4%, 2,5 mg/L sebesar 15,3%, 5 mg/L sebesar 21%, 7,5 mg/L sebesar 25%, 10 mg/L sebesar 41%, 12,5 mg/L sebesar 65%, 15 mg/L sebesar 75,3%, 17,5 mg/L sebesar 84%, dan 20 mg/L sebesar 94,7%. Hasil uji one way ANOVA menunjukkan perbedaan ekspresi caspase-3 rata-rata yang signifikan antarkelompok perlakuan (p=0,0001). Uji korelasi Spearman menunjukkan hubungan yang sangat erat dan positif antara dosis brusein-A dan ekspresi caspase-3 (r=0,994). Simpulan, brusein-A meningkatkan ekpresi caspase-3 pada kanker payudara tikus yang diinduksi DMBA. CASPASE-3 EXPRESSION ON BREAST CANCER RATS  AFTER BRUSEIN-A ADMINISTRATION Brusein-A is thought to cause apoptosis. Caspase-3 is a protein that plays a role in the process of apoptosis. This study aims to determine anticancer activity of brusein-A on the expression of caspase-3 in breast cancer. This study uses a completely randomized control design. A total of 27 female rats, 12 week aged, were given 20 mg dimethylbenzanthracene (DMBA)/kgBW peroral for 3 weeks until they had breast cancer. They divided into 9 treatment group of brusein A, that were 0, 2.5, 5, 7.5, 10, 12.5, 15, 17.5, and 20 mg/L for 28 days. Parameter measured were caspase-3 expression, assessed on the percentage of brown cytoplasm. This research was conducted in Pathology-Anatomy Laboratory and Biochemistry Laboratory, Research Center for Science and Technology (Puspiptek) Serpong in 2015–2016. The results showed caspase expression rate of 4%, 15.3%, 21%, 25%, 41%, 65%, 75.3%, 84%, and 94.7% on the dosage of , 2.5, 5, 7.5, 10, 12.5, 15, 17.5, and 20 mg/L respectively. The one way ANOVA test results showed significant difference of caspase-3 expression between treatment group (p=0.0001). Spearman's rank correlation test showed that a very close and positive relationship between brusein-A dose and caspase-3 expression (r=0.994). In conclusion, brusein-A increased caspase-3 expression in DMBA induced breast cancer rats.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"189-193"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42518199","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":"Hubungan Stadium Hipertensi dengan Derajat Perlemakan Menggunakan Indeks Hepatorenal Sonografi","authors":"D. Marina, Harry Galuh Nugraha, Leni Santiana, Lanny Noor Diyanti","doi":"10.29313/GMHC.V5I3.2175","DOIUrl":"https://doi.org/10.29313/GMHC.V5I3.2175","url":null,"abstract":"Hipertensi merupakan prekursor perkembangan perlemakan hati nonalkoholik. Modalitas pencitraan USG paling banyak digunakan untuk menegakkan diagnosis perlemakan hati nonalkoholik. Saat ini dikembangkan teknik USG menggunakan parameter indeks hepatorenal sonografi yang dihitung dengan program software ImageJ dan digunakan untuk memprediksi derajat perlemakan hati. Penelitian ini bertujuan mengetahui hubungan antara stadium hipertensi dan derajat perlemakan hati nonalkoholik menggunakan indeks hepatorenal sonografi. Penelitian menggunakan studi observasional analitik dengan rancangan cross sectional, pengambilan sampel dilakukan secara consecutive admission . Penelitian dilaksanakan di Bagian Radiologi RSUP Dr. Hasan Sadikin Bandung periode Juni–Agustus 2016. Subjek penelitian 50 orang, laki-laki 22 orang, perempuan 28 orang, usia termuda 25 tahun, dan tertua 77 tahun. Hasil penelitian melalui uji statistik chi-square menunjukkan derajat perlemakan hati nonalkoholik ringan lebih banyak pada prehipertensi (9 dari 16), derajat sedang pada hipertensi stadium I (10 dari 19), dan derajat berat pada hipertensi stadium II (8 dari 15) dengan p<0,001. Perlemakan hati nonalkoholik derajat sedang dan berat lebih sering ditemukan pada perempuan dengan hipertensi (p=0,005) Simpulan, terdapat hubungan antara stadium hipertensi dan derajat perlemakan hati nonalkoholik menggunakan indeks hepatorenal sonografi. THE ASSOCIATION OF HYPERTENSION STAGE AND NON-ALCOHOLIC FATTY LIVER DEGREE USING HEPATORENAL SONOGRAPHY INDEX Hypertension is considered as a precursor to the development of non-alcoholic fatty liver disease (NAFLD). Ultrasonography techniques have been developed using sonography hepatorenal index parameter calculated by ImageJ, that can predict the degree of NAFLD. This study aim to determine the relationship between hypertension stage and the degree of NAFLD using sonography hepatorenal index. The research is an observational using cross sectional methods, with consecutive admission sampling method. The study was performed at Dr. Hasan Sadikin Hospital Bandung from June to August 2016. A total of 50 subjects, 22 men and 28 women, with the youngest 25 and the oldest 77 years old participated. Results  indicated that the mild degree of NAFLD were higher on prehypertension (9 of 16), the moderate degree on stage I hypertension (10 of 19), while the severe degree found on stage II hypertension (8 of 15), with p<0.001. Moderate and severe degree of NAFLD in hypertensive patient is more common in women (p=0.005). In conclusion, there was a relationship between hypertension stage and the degree of NAFLD.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"167-173"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45787589","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":"Efektivitas Latihan Penguatan terhadap Kemampuan Fungsional Anggota Gerak Atas pada Pasien Strok Iskemi Fase Subakut","authors":"Cice Tresnasari, Andi Basuki, Irma Ruslina Defi","doi":"10.29313/GMHC.V5I3.2231","DOIUrl":"https://doi.org/10.29313/GMHC.V5I3.2231","url":null,"abstract":"Stroke merupakan suatu penyakit dengan gejala utama kelemahan. Kelemahan anggota gerak atas menyebabkan penurunan kemampuan fungsional anggota gerak atas. Kekuatan adalah salah satu indikator performa fungsional anggota gerak atas. Tujuan penelitian ini adalah mengetahui efektivitas latihan penguatan anggota gerak atas dengan pita dan bola elastik terhadap peningkatan kekuatan dan kemampuan fungsional anggota gerak atas pada pasien stroke iskemi fase subakut. Rancangan penelitian adalah eksperimental, dilaksanakan di Rumah Sakit Hasan Sadikin periode Desember 2013-Juli 2014. Subjek terdiri atas 21 pasien stroke iskemi fase subakut berusia 40-59 tahun. Latihan penguatan dengan pita dan bola elastik dilakukan oleh semua subjek, 3 kali seminggu, selama 6 minggu, 2 set setiap latihan, 8 repetisi setiap set. Sebelum, setelah 2 minggu, 4 minggu dan 6 minggu latihan dilakukan penilaian kekuatan dan fungsi anggota gerak atas. Hasil menunjukkan bahwa latihan penguatan meningkatkan kekuatan anggota gerak atas (p<0,001) dan meningkatkan fungsi anggota gerak atas (p<0,001). Simpulan, latihan penguatan anggota gerak atas dengan pita dan bola elastik efektif meningkatkan kekuatan dan fungsi anggota gerak atas pada pasien stroke iskemi fase subakut. THE EFFECTIVENESS OF STRENGTHENING EXERCISES ON UPPER LIMBS FUNCTIONAL ABILITY OF SUBACUTE PHASE ISCHEMIC STROKE PATIENTS Stroke is a disease with the primary symptoms of weakness. The weakness of the upper limbs caused a decrease in functional ability. Strength is one indicator of upper limb functional performance. The purpose of this study was to determine the effectiveness of upper limb strengthening exercises to increase strength and functional ability of upper limbs in patients with subacute phase ischemic stroke using elastic band and balls. The study was conducted using experimental method, performed at the Medical Rehabilitation Division, Dr. Hasan Sadikin General Hospital Bandung from December 2013 to July 2014. Subjects consisted of 21 patients with ischemic stroke subacute phase aged 40–59 years. The strengthening exercises with elastic band and elastic ball were done by all subjects, 3 times a week, for 6 weeks. Each exercise consisted of 2 sets with 8 repetition of each set. Assessment of the strength and upper limbs function done before, after 2 weeks, 4 weeks and 6 weeks of strengthening exercises. Results showed that strengthening exercises increases the strength of the upper limbs (p<0.001) and increases the upper limbs function (p<0.001). Conclusions, upper limbs exercise strengthening with elastic band and elastic ball effectively increased the strength and upper limb function in ischemic stroke subacute phase patients.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"5 1","pages":"182-188"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43625990","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}