Global Medical Health Communication最新文献

{"title":"The Effect of Health Education with Flashcard Media on Improvement of Knowledge and Reduction of Anxiety Degree in Adolescents Primigravida","authors":"Dwie Yunita Baska, T. Madjid, P. Idjradinata","doi":"10.29313/GMHC.V8I1.5192","DOIUrl":"https://doi.org/10.29313/GMHC.V8I1.5192","url":null,"abstract":"The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9.2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately. PENGARUH EDUKASI KESEHATAN DENGAN MEDIA FLASHCARD TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN DERAJAT KECEMASAN PADA PRIMIGRAVIDA REMAJA The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9,2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and red","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"59-66"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42981369","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":"A Comparative Evaluation of Community Periodontal Index (CPI) and the Presence of Nicotine Stomatitis among Smokers after Oral Hygiene Instruction","authors":"M. M. Damayanti, Y. Kharisma, Fajar Awaliya Yulianto, S. Rahimah, W. Maharani, M. Rachmawati, H. Sastramihardja, Muhammad Alief Abdul ‘Aziiz, Muhammad Ilham Halim","doi":"10.29313/GMHC.V8I1.5915","DOIUrl":"https://doi.org/10.29313/GMHC.V8I1.5915","url":null,"abstract":"Smoking can cause periodontal disease as well as lesions in the oral mucosa. Nicotine stomatitis is inflammation caused by heat stimuli injury on the hard and soft palate of the oral cavity; smokers commonly suffer from this condition. Knowledge of how oral hygiene affects the health of dental and oral cavity. The purpose of this study was to describe the differences in community periodontal index (CPI) and nicotine stomatitis in smokers after oral hygiene instruction. The study subjects were 54 men who have a history of active smoking for more than five years. The experiment was carried out in the Biomedical Laboratory of Faculty of Medicine Universitas Islam Bandung in September 2018–January 2019. Dental examination initiated before and after dental health instructions. CPI and nicotine stomatitis tests performed on all subjects by dentists using dental instruments. After six weeks of information about oral hygiene, all subjects re-examined. The results show that there is a statistically significant difference in the average CPI value in smokers before and after dental instruction with a p value<0.001 (p≤0.05). In contrast, the condition of nicotine stomatitis remains the same. CPI value influenced by oral and dental hygiene showed that dental health instruction is very effective. However, stomatitis has not healed as long as the cause is not eliminated. EVALUASI KOMPARATIF COMMUNITY PERIODONTAL INDEX (CPI) DAN STOMATITIS NIKOTIN DI KALANGAN PEROKOK SETELAH INSTRUKSI KEBERSIHAN MULUT Merokok dapat menyebabkan penyakit pada periodontal maupun lesi pada mukosa mulut. Stomatitis nikotin merupakan inflamasi yang disebabkan oleh panas yang terdapat pada palatum keras dan lunak; perokok umumnya menderita kondisi ini. Pengetahuan mengenai tata cara kebersihan mulut memengaruhi kesehatan gigi dan rongga mulut. Tujuan penelitian ini menilai perbedaan community periodontal index (CPI) dan stomatitis nikotin pada perokok setelah instruksi kebersihan mulut. Subjek penelitian adalah 54 pria yang memiliki riwayat merokok aktif selama lebih dari lima tahun. Penelitian dilakukan di Laboratorium Biomedik, Fakultas Kedokteran, Universitas Islam Bandung pada bulan September 2018–Januari 2019. Pemeriksaan dental dilakukan sebelum dan setelah instruksi kesehatan gigi. Pemeriksaan CPI dan stomatitis nikotin dilakukan kepada seluruh subjek oleh dokter gigi menggunakan instrumen gigi. Setelah enam minggu mendapatkan penyuluhan mengenai kebersihan mulut, seluruh subjek diperiksa kembali. Hasil penelitian menunjukkan bahwa terdapat perbedaan bermakna secara statistik nilai CPI rerata pada perokok sebelum dengan setelah dilakukan instruksi kesehatan gigi dengan p<0,001 (p≤0,05). Sebaliknya, kondisi stomatitis nikotin tetap sama. Nilai CPI dipengaruhi oleh kebersihan gigi dan mulut sehingga instruksi kesehatan gigi sangat efektif. Akan tetapi, stomatitis tidak dapat sembuh selama penyebabnya tidak dihentikan.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"78-82"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44506327","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":"Dermatoglyphics Pattern on Breast Cancer Patients in Dharmais Cancer Hospital","authors":"Faras Qodriyyah Sani, Mirfat Mirfat, I. Iskandar","doi":"10.29313/GMHC.V8I1.4470","DOIUrl":"https://doi.org/10.29313/GMHC.V8I1.4470","url":null,"abstract":"Dermatoglyphics is a study of the epidermal ridge in fingers, palms, soles, toes, and formed under genetic control at the beginning of the development of the fetus around 6–7 weeks and continues until 20–21 weeks. The development of the breast begins in a 6-week-old fetus in the epidermis and at the bottom of the mesenchyme. The development of the finger ridges and breast occurs at six weeks of gestation, and the abnormal genomes can be detected at this period and observed through dermatoglyphics. The purpose of this study was to determine the dermatoglyphic patterns of breast cancer patients in Dharmais Cancer Hospital from 12 December 2018 to 1 January 2019. The study was a descriptive study with a purposive sampling method for the determination of the sample. The quantitative data collected using questionnaires while the prints of dermatoglyphic patterns were from the fingertips of the respondent. From 100 respondents, the left-hand fingers and right-hand fingers dominated by radial loop pattern with the most significant percentage on the middle finger 62% and 77%, respectively. While the ring finger dominated by the plain whorl pattern 43%. In conclusion, the dermatoglyphics pattern on breast cancer patients in Dharmais Cancer Hospital dominated by a radial loop pattern. POLA DERMATOGLIFI TANGAN PASIEN KANKER PAYUDARA DI RUMAH SAKIT KANKER DHARMAIS Dermatoglifi merupakan ilmu yang mempelajari tentang pola sulur pada jari, telapak tangan, telapak kaki, dan jari kaki yang terbentuk di bawah kontrol genetik pada awal perkembangan usia janin sekitar 6–7 minggu serta terus berkembang sampai usia 20–21 minggu. Perkembangan payudara dimulai pada janin berusia 6 minggu dalam bentuk gumpalan padat yang berada di epidermis dan di bagian bawah mesenkim. Perkembangan sulur dermal dan payudara terjadi pada usia kehamilan enam minggu dan genom tidak abnormal dapat dideteksi pada periode ini dan dapat teramati melalui dermatoglifi. Tujuan penelitian ini mengetahui pola dermatoglifi pada pasien kanker payudara di Rumah Sakit Kanker Dharmais dari tanggal 12 Desember 2018 hingga 1 Januari 2019. Penelitian ini merupakan studi deskriptif dengan metode purposive sampling untuk penentuan sampel. Data kuantitatif diperoleh dengan menggunakan kuesioner, sedangkan cetakan pola dermatoglifi berasal dari ujung jari tangan responden. Dari 100 responden, jari tangan kiri dan jari tangan kanan didominasi oleh pola radial loop dengan persentase terbesar pada jari tengah sebesar 62% dan 77% masing-masing. Sementara jari manis didominasi oleh pola plain whorl sebesar 43%. Simpulan, pola dermatoglifi pada pasien kanker payudara di Rumah Sakit Kanker Dharmais didominasi oleh pola radial loop .","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45041109","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":"Comparative Study Gallbladder Contractility Index Using Ultrasound in Patients with and without Liver Cirrhosis","authors":"H. Soekersi, Leni Santiana, Fetty Fatmawaty","doi":"10.29313/GMHC.V8I1.3744","DOIUrl":"https://doi.org/10.29313/GMHC.V8I1.3744","url":null,"abstract":"Liver cirrhosis leads to impairment of gallbladder contractility resulting in bile stasis and facilitate the development of gallstones that will aggravate the clinical symptoms of the patients. The gallbladder contractility index is an indicator of gallbladder motility measured using ultrasound as the radiological choice of modality. This study aims to determine differences in the gallbladder contractility index using ultrasound in patients with and without liver cirrhosis. This study was an observational study of comparative analytic with cross-sectional design with sampling conducted by consecutive admissions sampling at Dr. Hasan Sadikin General Hospital Bandung from December 2017 to February 2018. Statistical analysis than performed by using an independent t test to find out the difference of gallbladder contractility index in patients with and without liver cirrhosis. A total of 22 subjects, 12 men, 10 women, with the youngest 37 years old and the oldest 70 years old. The result of the study was obtained mean fasting gallbladder volume (35.56±22.16 mL) and postprandial (21.25±16.08 mL) in patients with liver cirrhosis higher than without liver cirrhosis with mean fasting gallbladder volume (16.50±4.14 mL) and postprandial (5.44±2.10 mL). The average gallbladder contractility index on patients with liver cirrhosis (41.64±24.52%) smaller than without liver cirrhosis (66.73±9.19%). The result of the statistical test showed that there was a significant difference in the gallbladder contractility index on patients with liver cirrhosis than without liver cirrhosis (p=0.007, p≤0.05). In conclusion, there was a significant difference in the gallbladder contractility index that measured by using ultrasound between the patients with and without liver cirrhosis. PERBEDAAN INDEKS KONTRAKTILITAS KANDUNG EMPEDU MENGGUNAKAN ULTRASONOGRAFI PADA PENDERITA SIROSIS HATI DAN TANPA SIROSIS HATI Sirosis hati menyebabkan gangguan indeks kontraktilitas kandung empedu yang mengakibatkan stasis cairan empedu dan memudahkan kejadian batu empedu yang akan memperberat gejala klinis pasien. Indeks kontraktilitas kandung empedu merupakan indikator motilitas kandung empedu yang diukur menggunakan ultrasonografi (USG) sebagai modalitas pilihan radiologi. Penelitian ini bertujuan mengetahui perbedaan indeks kontraktilitas kandung empedu menggunakan ultrasonografi pada pasien sirosis hati dan tanpa sirosis. Penelitian ini menggunakan studi observasional analitik komparatif dengan rancangan cross-sectional dan pengambilan sampel dilakukan secara consecutive admissions sampling di RSUP Dr. Hasan Sadikin Bandung dari bulan Desember 2017 hingga Februari 2018. Uji statistik menggunakan independent t test . Subjek penelitian berjumlah 22, laki-laki 12 dan perempuan 10, serta usia termuda 37 tahun dan tertua 70 tahun. Hasil penelitian didapatkan volume rerata kandung empedu puasa (35,56±22,16 mL) dan pascaprandial (21,25±16,08 mL) pada pasien sirosis hati lebih besar daripada tanpa ","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47677909","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":"Relationship of Soil-transmitted Helminth and Enterobius vermicularis Infection with Anemic in Students in Aceh Besar","authors":"Faisal Heri, A. Depari, M. Panggabean","doi":"10.29313/GMHC.V8I1.4375","DOIUrl":"https://doi.org/10.29313/GMHC.V8I1.4375","url":null,"abstract":"Helminthiasis is a disease caused by parasites in the form of worms, one of which is the type of soil-transmitted helminth (STH),   A. lumbricoides ,  T. trichiura ,  N. americanus , and A. duodenale  which infect humans through soil transmission.  Enterobius vermicularis  is the most common intestinal parasite in the whole world. Worms that live in the human intestine can cause malnutrition and anemic. This study aims to determine the relationship STH and  Enterobius vermicularis  infection with anemic of students in several elementary schools in Aceh Besar regency, Aceh province. This study was an analytical study using a cross-sectional study design conducted from May to November 2015. The sample consisted of the total sampling of 736 elementary school students, as well as using the inquiry method of Kato with stool specimens, cellophane tape anal swab, and hemoglobin. The correspondents who suffered from anemia and STH type helminthiasis, namely ancylostomiasis 7/7 students (100%, p=0.000); trichuriasis 30/58 students (51.7%, p=0.000) and 28 students not anemic (48.3%); and ascariasis 13/22 students (59.9%, p=0.002) and 9 students not anemic (41.1%). In enterobiasis infection, anemic students were 46/146 students (31.5%) and nonanemic students were 100 students (68.5%, p=0.634). In conclusion, all STH types related to the anemic status of the correspondent, and no correlation between anemic and infection of enterobiasis. HUBUNGAN INFEKSI SOIL-TRANSMITTED HELMINTH DAN ENTEROBIUS VERMICULARIS DENGAN ANEMIA PADA SISWA DI KABUPATEN ACEH BESAR PROVINSI ACEH Kecacingan adalah penyakit yang disebabkan oleh parasit berupa cacing, salah satunya jenis soil-transmitted helminth (STH), yaitu A. lumbricoides , T. trichiura , N. americanus , dan A. duodenale yang menginfeksi manusia melalui transmisi tanah. Enterobius vermicularis adalah parasit usus yang paling umum di seluruh dunia. Cacing yang hidup di usus manusia ini dapat menyebabkan kurang gizi dan anemia. Penelitian ini bertujuan mengetahui hubungan infeksi STH dan Enterobius vermicularis dengan anemia pada siswa sekolah dasar di Kabupaten Aceh Besar, Provinsi Aceh. Penelitian ini merupakan penelitian analitik menggunakan rancangan cross-sectional study yang dilaksanakan dari bulan Mei sampai November 2015. Sampel berupa total sampling 736 siswa sekolah dasar, serta menggunakan metode pemeriksaan Kato dengan spesimen feses, cellophane tape anal swab , dan hemoglobin. Koresponden yang menderita anemia dan kecacingan jenis STH, yaitu ancylostomiasis 7/7 siswa (100%, p=0,000); trichuriasis 30/58 siswa (51,7%; p=0,000) dan 28 siswa tidak anemia (48,3%); serta askariasis 13/22 siswa (59,9%; p=0,002) dan 9 siswa tidak anemia (41,1%). Pada infeksi enterobiasis, siswa yang anemia adalah 46/146 siswa (31,5%) dan tidak anemia 100 siswa (68,5%; p=0,634). Simpulan, semua kecacingan jenis STH berhubungan erat dengan status anemia pada koresponden, serta tidak terdapat hubungan antara anemia dan infeksi enterobi","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"42-46"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44210073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Phaleria macrocarpa (Scheff.) Boerl Dry Extract to the Level of Malondialdehyde","authors":"Meiyanti Meiyanti, E. Margo, Juni Chudri","doi":"10.29313/gmhc.v8i1.5415","DOIUrl":"https://doi.org/10.29313/gmhc.v8i1.5415","url":null,"abstract":"Increased age causes an increase in degenerative diseases. Antioxidants in the body unable to neutralize the increased concentration of free radicals. The flesh of the  Phaleria macrocarpa (Scheff.) Boerl contains flavonoids which have antioxidant effects. At present, there are still very limited clinical trials of  Phaleria macrocarpa (Scheff.) Boerl. This study was an experimental pretest and posttest involving 30 healthy volunteers receiving glucose loads in November 2018–February 2019 in Jakarta. This study aimed to assess the antioxidant effect of   Phaleria macrocarpa (Scheff.) Boerl dry fruit extract in various dosage ranges. Subjects of this study aged 30–55 years. The data collection included anthropometric examination and malondialdehyde levels before and after administration of dry fruit extract doses of 62.5 mg, 125 mg, and 250 mg at 150 minutes after oral glucose induction. Data analysis using a paired t test with p<0.05. Decreased levels of malondialdehyde in the administration of  Phaleria macrocarpa (Scheff.) Boerl with a dose of 62.5 mg, 125 mg, and 250 mg by 40.9%, 22.9%, and 18.3% compared to the baseline malondialdehyde level (1,608 nmol/mL). Statistical analysis using a paired t test showed p=0.000 for all three doses compared with baseline levels. Dry fruit extract of Phaleria macrocarpa (Scheff.) Boerl has an antioxidant effect; the antioxidant effect of the extract is not directly proportional to the dose. EFEK ANTIOKSIDAN EKSTRAK KERING PHALERIA MACROCARPA (SCHEFF.) BOERL TERHADAP KADAR MALONDIALDEHID Pertambahan usia menyebabkan peningkatan penyakit degeneratif. Antioksidan dalam tubuh tidak mampu menetralkan peningkatan konsentrasi radikal bebas. Daging buah Phaleria macrocarpa (Scheff.) Boerl mengandung flavonoid mempunyai efek antioksidan. Saat ini masih sangat terbatas uji klinis Phaleria macrocarpa (Scheff.) Boerl. Penelitian ini merupakan uji eksperimental sebelum dan sesudah perlakuan pada 30 sukarelawan sehat yang diinduksi dengan glukosa yang dilaksanakan pada bulan November 2018–Februari 2019 di Jakarta. Penelitian ini bertujuan menilai efek antioksidan ekstrak kering buah Phaleria macrocarpa (Scheff.) Boerl dalam beberapa kisaran dosis yang diberikan. Subjek penelitian berusia 30–55 tahun. Pengumpulan data meliputi pemeriksaan antropometri serta kadar malondialdehid sebelum dan sesudah pemberian ekstrak kering dosis 62,5 mg, 125 mg, dan 250 mg pada menit 150 setelah dilakukan induksi glukosa oral. Analisis data menggunakan uji t berpasangan dengan p<0,05. Penurunan kadar malondialdehid pada pemberian ekstrak Phaleria macrocarpa (Scheff.) Boerl dosis 62,5 mg, 125 mg, dan 250 mg sebesar 40,9%, 22,9%, dan 18,3% dibanding dengan kadar malondialdehid sebelum pemberian (1.608 nmol/mL). Analisis statistik menggunakan uji t berpasangan didapatkan p=0,000 untuk ketiga dosis dibanding dengan kadar awal. Ekstrak kering buah Phaleria macrocarpa (Scheff.) Boerl mempunyai efek antioksidan; efek antioksidan ekstrak tidak ber","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41849429","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":"Eel Cookies Supplement and Incidence of Diarrhea in Children Aged 12–24 Months","authors":"Nur Eva Aristina, D. Rachmadi, D. M. D. Herawati, H. Susiarno, D. A. Gurnida, D. Sunjaya","doi":"10.29313/GMHC.V8I1.3885","DOIUrl":"https://doi.org/10.29313/GMHC.V8I1.3885","url":null,"abstract":"Diarrhea is one of the main causes of death in infants and toddlers in Indonesia. The Indonesian eel is a source of animal protein that contains high nutrients, including vitamin A and zinc, so it can be used to boost immunity. The objective of this study was to analyze the effect of eel cookies on the incidence of diarrhea in children. This was a double-blind randomized control trial (RCT) post-test study on 44 children aged 12–24 months at Garuda Public Health Center, Bandung city, who were selected using the simple random sampling method. The study was conducted for 2 months from January to February 2017. Data were analyzed using the Wilcoxon test. Results showed that there was an effect of eel cookies in reducing diarrhea incidence in toddlers (p<0.001), with no diarrhea condition seen among the toddlers among 18 children who had a history of diarrhea in the past and among 20 other children with no history of past diarrhea. In conclusion, eel cookies can reduce the incidence of diarrhea in children aged 12–24 months. Hence, it can be used as a functional food to improve child immunity as one of the efforts to prevent infectious diseases, especially diarrhea. SUPLEMENTASI COOKIES IKAN SIDAT TERHADAP KEJADIAN DIARE PADA BALITA USIA 12–24 BULAN Penyakit diare merupakan salah satu penyebab kematian utama pada bayi dan balita di Indonesia. Ikan sidat merupakan salah satu sumber protein hewani yang banyak mengandung vitamin A dan seng sehingga dapat meningkatkan kekebalan tubuh. Tujuan penelitian ini adalah menganalisis pengaruh pemberian cookies ikan sidat terhadap kejadian diare pada balita. Desain penelitian dengan randomized controll trial (RCT) posttest group design dengan double blind . Subjek penelitian adalah balita usia 12–24 bulan di Puskesmas Garuda Kota Bandung sebanyak 44 responden. Penelitian dilakukan selama 2 bulan mulai Januari–Februari 2017. Pengambilan sampel dilakukan secara acak sederhana. Analisis data menggunakan Uji Wilcoxon. Hasil penelitian menunjukkan pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita (p<0,001), yaitu tidak ada perubahan kondisi balita dari tidak diare menjadi diare, dan terdapat 18 balita yang pernah memiliki riwayat penyakit diare mengalami perubahan setelah diberikan perlakuan sehingga tidak mengalami diare, sedangkan 20 orang di antara yang tidak memiliki riwayat penyakit diare setelah mendapatkan perlakuan tetap tidak mengalami diare. Simpulan, terdapat pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita usia 12–24 bulan. Oleh karena itu, cookies ikan sidat dapat digunakan sebagai makanan fungsional untuk meningkatkan imunitas anak sebagai upaya pencegahan terhadap penyakit infeksi terutama diare.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"8 1","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45043375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Pseudoephedrine Administration in Early Gestation on Female Mouse Heart","authors":"A. R. Furqaani, L. H. Siswanti, A. K. Sari","doi":"10.29313/GMHC.V7I3.5276","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.5276","url":null,"abstract":"The pseudoephedrine in pregnant women associated with an increased risk of hypertension and increased heart rate. These conditions force the heart to work harder and cause changes in heart structure, such as left ventricular hypertrophy due to an increase in the number and size of muscle cells. This study aims to determine pseudoephedrine administration in early pregnancy on mice hearts histological features. This study was pure in vivo with a completely randomized design conducted at Medical Biology Laboratory, Faculty of Medicine, Universitas Islam Bandung, from January to August 2017. Subjects were 18 pregnant adult female mice randomly divided into four groups. One control group and three test groups were given oral pseudoephedrine every day at 0.312 mg/24 hours (P1); 0.624 mg/24 hours (P2); and 1.248 mg/24 hours (P3) for seven days starting from the age of pregnancy on day 1. On the 18 th day of gestational age, mice sacrificed, then the heart organ was processed into microscopic preparations and stained by Harris’ hematoxylin-eosin (HE) staining. Microscopic observations made using a microscope equipped with an optilab viewer with raster image 3. The results showed that the P3 group had a thicker left ventricular wall and significantly more heart muscle nuclei per mm 3 than the control group (p<0.05). The results show that the administration of high doses of pseudoephedrine in early pregnancy can affect the structure of the heart. PENGARUH PEMBERIAN PSEUDOEFEDRIN PADA MASA AWAL KEBUNTINGAN TERHADAP GAMBARAN HISTOLOGI JANTUNG MENCIT BETINA Aktivitas vasokontriksi pseudoefedrin pada ibu hamil diduga kuat berkaitan dengan peningkatan risiko hipertensi dan denyut jantung. Kondisi tersebut memaksa jantung bekerja lebih berat dan dapat menyebabkan perubahan struktur jantung seperti hipertrofi ventrikel kiri akibat peningkatan jumlah dan ukuran sel-sel otot. Tujuan penelitian ini mengetahui pengaruh pemberian pseudoefedrin pada masa awal kebuntingan terhadap gambaran histologi jantung mencit betina. Penelitian ini merupakan eksperimental laboratorium murni in vivo menggunakan rancangan acak lengkap yang dilaksanakan di Laboratorium Biologi Medik, Fakultas Kedokteran, Universitas Islam Bandung dari bulan Januari hingga Agustus 2017. Subjek penelitian adalah 18 mencit betina dewasa bunting yang dibagi secara acak menjadi empat kelompok. Satu kelompok kontrol dan tiga kelompok uji yang diberi pseudoefedrin oral setiap hari dengan dosis 0,312 mg/24 jam (P1); 0,624 mg/24 jam (P2); dan 1,248 mg/24 jam (P3) selama 7 hari dimulai dari umur kebuntingan hari ke-1. Pada hari ke-18 umur kebuntingan, mencit dikorbankan kemudian organ jantung diproses menjadi sediaan mikroskopis dan dilakukan pewarnaan Harris’ hematoxylin-eosin (HE). Pengamatan sediaan mikroskopik dilakukan dengan menggunakan mikroskop yang dilengkapi dengan optilab viewer dengan image raster 3 . Hasil penelitian menunjukkan kelompok P3 memiliki dinding ventrikel kiri yang lebih tebal dan jumla","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"232-236"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45655462","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":"Stunting Determinant on Toddler Age of 12–24 Months in Singaparna Public Health Center Tasikmalaya Regency","authors":"Erwina Sumartini, D. A. Gurnida, E. Fadlyana, H. Susiarno, Kusnandi Rusmil, J. Effendi","doi":"10.29313/GMHC.V7I3.3673","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.3673","url":null,"abstract":"Stunting is a physical growth failure condition signed by height based on age under −2SD. The research goal is knowing the dominant factor associated with stunting on toddler age of 12–24 months in the working area of Singaparna Public Health Center Tasikmalaya regency. The research applies to the cross-sectional design of gender, weight, exclusive breastfeeding history, completeness immunization, and clinically healthy variables, while case-control is for nutrition intake variable. The sample was a total sampling of 376 toddlers, then 30 for case and control group with the simple random method from December 2017 to February 2018. The instrument is a questionnaire, food frequency questionnaire (FFQ), and infantometer. Data analyzed in several ways; univariable, bivariable with chi-square, and multivariable with logistic regression. Research result shows stunting prevalence was 22.5%, next pertain factor of stunting are gender (POR=0.564, 95% CI=0.339–0.937, p value=0.011), exclusive breastfeeding giving history (POR=1.46, 95% CI=1.00–2.14, p value=0.046), and clinically health (POR=1.47, 95% CI=1.00–2.16, p value=0.044). Moreover, dominant factor were gender (OR=0.56, 95% CI=0.339–0.937, p value=0.027) and clinically health (OR=1.68, 95% CI=1.022–2.771, p value=0.041). Thus, gender and clinical health are stunting determinant factors. Children’s health should increase to create maximum growth. DETERMINAN STUNTING PADA ANAK USIA 12–24 BULAN DI PUSKESMAS SINGAPARNA KABUPATEN TASIKMALAYA Stunting merupakan kondisi kegagalan pertumbuhan fisik yang ditandai dengan tinggi badan menurut usia berada di bawah −2SD. Penelitian ini bertujuan mengetahui faktor determinan stunting pada anak usia 12–24 bulan di wilayah kerja Puskesmas Singaparna Kabupaten Tasikmalaya. Penelitian menggunakan desain cross-sectional untuk variabel jenis kelamin, berat badan lahir, riwayat ASI eksklusif, kelengkapan imunisasi, dan  sehat secara klinis, sedangkan desain case-control untuk variabel asupan nutrisi. Pengambilan sampel secara total sampling sejumlah 376 anak, selanjutnya diambil 30 anak untuk kelompok kasus dan kontrol dengan metode random sederhana periode Desember 2017 hingga Februari 2018. Instrumen menggunakan kuesioner, food frequency questionaire (FFQ), dan infantometer. Analisis data dilakukan secara univariabel, bivariabel dengan chi-square , dan multivariabel dengan regresi logistik. Hasil penelitian menunjukkan prevalensi stunting sebesar 22,6%, faktor yang berhubungan dengan stunting di antaranya jenis kelamin (POR=0,564; IK95%=0,339–0,937; p=0,011), riwayat pemberian ASI eksklusif (POR=1,46; IK95%=1,00–2,14, p=0,046), dan sehat secara klinis (POR=1,47; IK95%=1,00–2,16; p=0,044). Faktor dominan yang berhubungan dengan stunting adalah jenis kelamin (OR=0,56; IK95%=0,339–0,937; p=0,027) dan sehat secara klinis (OR=1,68; IK95%=1,022–2,771; p=0,041). Jenis kelamin dan sehat secara klinis merupakan faktor determinan stunting . Kesehatan anak perlu ditingkatkan un","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"224-231"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69901245","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":"Phylogenetic Analysis of Culex tritaeniorhynchus and Culex vishnui Vector of Japanese Encephalitis Virus","authors":"Raden Roro Upiek Ngesti Wibawaning Astuti, R. W. Nurcahyo, R. Soesilohadi, S. Hadisusanto, Budi Mulyaningsih","doi":"10.29313/GMHC.V7I3.4051","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.4051","url":null,"abstract":"Culex tritaeniorhynchus and Culex vishnui are medically essential mosquitoes that transmit the Japanese encephalitis (JE) virus. There is less information about the recording data and research due to genetic character differences among them. The objective of this study was to examine the genetic variation of Cx. tritaeniorhynchus and Cx. vishnui in 3 sites of Central Java using polymerase chain reaction randomly amplified polymorphic DNA (PCR-RAPD). The study was done in January to November 2017 in Pekalongan city, Pekalongan regency, and Semarang regency. Adult female mosquitoes collected by human bite method. DNA of ten Cx. tritaeniorhynchus samples and fifteen samples of Cx. vishnui purified using DNA extraction kit. Furthermore, PCR amplification was conducted with 5 RAPD primers (OPA 11, 12, 15, 16, and 20) and would run into 2% gel electrophoresis for 45 minutes. Cluster analysis was using MVSPTM software (version 3.1). The results showed 213 genetic characters of Cx. vishnui , while 142 characters shown by Cx. tritaeniorhynchus . The dendrograms showed three distinct groups of Cx. vishnui from 2 sites of Pekalongan and one site of Semarang, while Cx. tritaeniorhynchus showed two distinct groups, which were 1 group from Pekalongan and 1 group from Semarang. Low genetic similarity (<10%) shown Cx. vishnui from Pekalongan city and Pekalongan district, and there was no genetic similarity in Cx. tritaeniorhynchus from Pekalongan and Semarang. It concluded that the polymorphism of Cx. tritaeniorhynchus and Cx. vishnui reached 100%. ANALISIS FILOGENETIK CULEX TRITAENIORHYNCHUS DAN CULEX VISHNUI VEKTOR VIRUS JAPANESE ENCEPHALITIS Nyamuk Culex tritaeniorhynchus dan Culex vishnui memiliki peran penting di bidang medis terutama dalam penularan virus Japanese  encephalitis (JE). Sampai saat ini data dan riset tentang karakter genetik vektor JE masih sangat terbatas. Penelitian ini bertujuan menjelaskan variasi genetik Cx. tritaeniorhynchus dan Cx. vishnui di 3 lokasi di Jawa Tengah berdasar polymerase chain reaction randomly amplified polymorphic DNA (PCR-RAPD). Studi ini dilakukan dari bulan Januari sampai November 2017 di Kota Pekalongan, Kabupaten Pekalongan, dan Kabupaten Semarang. Metode human bite digunakan untuk koleksi nyamuk. Ekstraksi DNA nyamuk dilakukan pada 10 ekor Cx. tritaeniorhynchus dan 15 ekor Cx. vishnui menggunakan kit ekstraksi DNA. Selanjutnya, diamplifikasi dengan 5 macam primer RAPD (OPA 11, 12, 15, 16, dan 20), serta dielektroforesis pada 2% agar selama 45 menit. Analisis klaster dilakukan menggunakan program MVSPTM (versi 3.1). Ditemukan 213 dan 142 karakter genetik masing-masing pada Cx. vishnui dan Cx. tritaeniorhynchus . Analisis dendogram menunjukkan 3 grup yang berbeda untuk Cx. vishnui , sedangkan untuk Cx. tritaeniorhynchus terdapat 2 grup yang berbeda, yaitu 1 grup dari Pekalongan dan 1 grup dari Semarang. Similaritas genetik yang rendah (<10%) ditunjukkan Cx. vishnui dari Kota Pekalongan dan Kabupaten Pekalongan, bah","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"189-196"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49459243","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}