Proceedings of the International Conference of Community Health and Medical Sciences

THE INFLUENCE OF SMOKING BEHAVIOR ON SOCIAL JETLAG, CHANGES IN BODY MASS INDEX, AND MENTAL HEALTH IN STUDENTS DURING AND AFTER THE COVID-19 PANDEMIC

2023-11-24T17:30:45+0530

Introduction: Smoking is a major public health problem globally and nationally in Indonesia. Smoking is a risk factor for various non-communicable diseases such as cancer, cardiovascular and other degenerative diseases. Social jetlag is a circadian rhythm phenomenon that has surfaced in the recent electricity era where social jetlag is a measure of accumulated daily sleep deficits. The impact of jetlag has a bad influence on health and is associated with bad health behavior. Obesity has recently become a global phenomenon, apart from being a risk for various non-communicable diseases, during the COVID-19 pandemic obesity was a determinant of the poor clinical condition of a person who was attacked by the COVID-19 virus. Mental health is also starting to emerge and become a phenomenon that is often found in late adolescents. The transition period of the learning system from online to offline is a phase that demands adaptability for students. Does smoking behavior in this group who experience changes from online to offline learning systems affect social jetlag, changes in body mass index, and mental health. Purpose: evaluate the effect of smoking on social jetlag, changes in body mass index and mental health in adolescents in the transition era of online to offline learning. Methods: a cross-sectional design study evaluating differences in average social jetlag, changes in body mass index, and levels of depression, anxiety and stress (Indonesian version of the DASS-21) between smoking and non- smoker students. Data from respondents were obtained by filling in a Google form which was distributed through social media networks with WhatsApp, Instagram, Facebook and Line platforms. Results: as many as 389 students voluntarily participated in this study. Student smokers have significantly higher body mass index during the pandemic, and lower BMI when offline. Social jetlag, levels of depression, anxiety and stress are increasing. Conclusion: Smoking increases the risk of social jetlag, significant changes in body mass index, and mental health disorders during the online-to-offline transition.

CORRELATION OF EDUCATION, KNOWLEDGE, AND FAMILY SUPPORT WITH COMPLIANCE PERFORMING ROUTINE CONTROL OF PATIENTS WITH TYPE 2 DM AT KALIORI HEALTH CENTER

2023-11-24T17:37:55+0530

Diabetes Mellitus sufferers who do not perform with routine control completely will increased the risk of complications and premature death. Education, knowledge, and family support can have an influence in undergoing treatment adherence. The purpose of the study was to analyzed the correlation of education, knowledge, and family support with compliance performing routine control of patients with type 2 DM. This is an observational analytic study with a cross sectional approach using consecutive sampling method. A total of 75 patients with type 2 diabetes mellitus eho are receiving treatment at the Kaliori Health Center were performed for the study. The data was obtained from interviews with patients of type 2 diabetes mellitus education, knowledge, and family support. Data analysis was performed using Fisher's Exact. The results showed that there was no correlation between the level of education and knowledge with compliance performing routine control of patients with type 2 DM at the Kaliori Health Center (p=0.631, p=0.696), and there was a correlation between family support with compliance performing routine control of patients with type 2 DM at the Kaliori Health Center (p=0.000). The level of education and knowledge will affect therapy adherence because patients would be able to prevent or treat the disease. Good family support can support patients in growing confidence in their ability to perform self-care. In addition, good family support can also increase and foster a comfort and secure feeling, in order to comply the routine controls.

ANXIETY AMONG PROSPECTIVE BRIDES AND GROOMS IN UNDERGOING TRIPLE ELIMINATION TESTING FOR HIV, SYPHILIS, AND HEPATITIS B AT LABUAPI HEALTH CENTER, WEST LOMBOK

2023-11-24T17:44:58+0530

HIV infection, Syphilis and Hepatitis B are disease contagious that arrived moment This Still become problem health in the world including Mataram City, West Nusa Tenggara. HIV transmission from Mother to child by 20-45%, transmission Syphilis from Mother to child by 69-80% and transmission of Hepatitis B to the mother pregnant to child by 90-95%. Control transmission of HIV/AIDS from partner endeavored through inspection Triple Elimination in the candidate’s bride, as completeness condition married. Objective in This study aims to explore the anxiety of candidate’s bride and groom in the Triple Elimination Test for HIV, Syphilis and Hepatitis B at the Health Center Pumpkin. Method: Research This use approach quantitative characteristic descriptive analytic with cross -sectional design. Data analysis includes bivariate analysis for expose distribution frequency each variable. Questionnaire worry use HARS scale. Result: Obtained results through statistical test analysis knowledge with worry using an alternative test Kolmogrov Smirnov with value ρ value = 0.004 if compared to with α = 0.05 then ρ value < 0.05. Attitude Results with worry using an alternative test Kolmogrov Smirnov with value ρ value = 0.037 if compared to with α = 0.05 then ρ value < 0.05. Conclusion: Conclusion in study This is exists candidate anxiety _ coming bride _ to public health center Pumpkin For check Triple Elimination, so There is connection knowledge and attitude with anxiety in HIV/AIDS patients. From the results study This suggested for researcher next to research other variables that have not researched like support deep psychological and social Triple Elimination check

THE RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND STRESS LEVEL WITH HYPEREMESIS GRAVIDARUM DEGREE AT TUGUREJO REGIONAL GENERAL HOSPITAL AND ROEMANI HOSPITAL SEMARANG

2023-11-24T17:48:48+0530

: Hyperemesis Gravidarum (HEG) is a pregnancy illness of long-term nausea and vomiting with weight loss, dehydration, and malnutrition that is potentially life-threatening to mother and baby. In 2013, the Ministry of Health of the Republic of Indonesia stated that 14.8% of 5,212,568 pregnant women experienced HEG. HEG is influenced by various factors, including physical activity and stress levels. The intensity of physical activity during pregnancy directly impacts maternal health. Conversely, stress disrupts the hormonal balance in the body. Therefore, this study analyzed the relationship between physical activity, stress levels, and the severity of HEG at Tugurejo Hospital and Roemani Hospital in Semarang. This type of research is an analytic observation with a cross-sectional approach. The study population was HEG patients at Tugurejo Hospital and Roemani Hospital who met the inclusion criteria totaling 45 people with total sampling, tested with Spearman Rank. The correlation test results showed that physical activity with HEG degree had a weak correlation coefficient (r) of 0.311 positive correlation direction with ρ-value 0.037 (ρ<0.05), and stress level with HEG degree had a weak correlation coefficient (r) of 0.398 positive correlation direction with ρ-value 0.007 (ρ<0.05). A significant relationship exists between physical activity and stress level and the degree of HEG in Tugurejo Hospital and Roemani Hospital Semarang. In conclusion, the higher the physical activity performed and the higher the level of stress experienced, the more severe the degree of HEG.

THE RELATIONSHIP BETWEEN MOTHER'S KNOWLEDGE AND ATTITUDES ABOUT EARLY STIMULATION AND LANGUAGE DEVELOPMENT IN CHILDREN AGED 1-3 YEARS

2023-11-24T17:57:11+0530

The age of toddlers is 1-3 years, and this period is very decisive for children to get optimal growth and development. Language ability is an important aspect that shows the overall development of children. Language disorder is a problem that is often found in children. The impact of these disorders can be detrimental to the child's development in the future. This study aims to analyze whether there is a relationship between knowledge and attitudes of mothers about early stimulation and language development in children aged 1-3 years at PAUD Nurul Huda, Grobogan Regency. This research is an analytic observational type with a cross sectional approach. The total sampling method was applied to obtain a sample of 30 respondents. Data were obtained from filling out questionnaires through interviews with mothers of students aged 1-3 years at PAUD Nurul Huda, and examination of language development using denver II. The chi-square test was used to analyze the data. The study's results showed a significant relationship between mother's knowledge and children's language development (p=0.037) and a significant relationship between mother's attitude and children's language development (p=0.031). There is a significant relationship between mother's knowledge and attitudes and the language development of children aged 1-3 years at PAUD Nurul Huda. In conclusion, the higher the level of mother's knowledge and attitude, the better the child's language development.

THE RELATIONSHIP BETWEEN FAMILY CHARACTERISTICS IN THE IMPLEMENTATION OF BASIC FEEDING RULES IN CHILDREN AGED 24-36 MONTHS IN KEDUNGMUNDU VILLAGE, SEMARANG CITY

2023-11-24T18:04:14+0530

Basic feeding rules are the basic rules for the feeding practice. Basic feeding rules consist of assigning the feeding schedule, the duration of eating, and the conducive environment for eating. However, children from 1-3 years which is the golden age growth period, still face several growth and development problems, one of these factors comes from the family. As the closest party to the children, the family is considered inadequate to play their optimal role as a motivator, facilitator, and educator. This study aims to analyze to analyze there is a relationship between family structure and application basic feeding rules in children aged 24-36 months in Kedungmundu Village. This research used 68 samples of children aged 24-36 months, taken by purposive sampling method. The study was quantitative research with a cross-sectional approach. The instrument used was a family characteristics questionnaire that has been analyzed for its validity and reliability. In this research, bivariate analysis was conducted. The Chi-Square correlation test was used to all independent variables other than age with basic feeding rules were applied. Meanwhile, the T-Test was used to the age of children when basic feeding rules were applied. The results showed 76.5% of respondents applied basic feeding rules and there was a significant relationship between income, parental education, family completeness with basic feeding rules. And there no significant relationship between races, food cultures, children, and child's age with the application of basic feeding rules. There is no significant relationship between certain races, food cultures, children, and child's age with application of basic feeding rules. Instead, applying basic feeding rules, there is a relationship between family income, parental education, and family structure.

HISTOLOGICAL EVIDENCE OF WOUND HEALING PROCESS IN CHRONIC WOUND TISSUE WITH MEDICAL PLASMA TREATMENT DURING PROLIFERATIVE PHASE

2023-11-24T19:30:55+0530

Chronic wounds are defined as acute wounds that fail to heal within the expected time. The proliferative phase is one of four major phases in healing physiology that occurs on days 8 to 11, characterized by epithelial cell contraction leading to the edges merging and the wound size decreased. New treatments for chronic wounds have been developed, including medical plasma. Plasma is an ionized gas. Plasma generates RONS molecules, which can be effective in healing chronic wounds but histological view has not been reported. The aim of this study was to calculate the number of inflammatory cells, blood vessels, fibroblasts, the percentage of re-epithelialization, and the thickness of necrosis of chronic wound tissue in mice skin treated with plasma in the proliferation phase. The sample used tissue slides of mice skin with chronic wounds on the 11th day which had been treated with plasma daily. A total of 18 samples were divided into 4 groups. Control (K) chronic wound tissue without treatment, Contact Plasma (CP) chronic wound tissue with 5mm distance of plasma treatment, Contact-Noncontact Plasma (CP-NCP) chronic wound tissue with combination plasma treatment, days 0-6 distance of 5 mm and days 7-13 distance of 20 mm, Non-contact Plasma (NCP) chronic wound tissue with 20mm distance of plasma treatment. The results showed that the highest mean number of fibroblast cells, blood vessels, and percentage re-epithelialization were found in CP-NCP. The highest number of inflammatory cells was in K and the highest thickness of necrosis 70.5µm was found in CP. The final conclusion, the highest average number of fibroblast cells, blood vessels, and percentage of re-epithelialization was found in CP-NCP group indicated the CP-NCP group had the fastest healing process compared to the others. Thus, contact-non-contact plasma medical treatment has potential as a new treatment for chronic wounds.

ANALYSIS OF NUTRITIONAL AND PSYCHOLOGY FACTORS OF FEEDING DIFFICULTY IN CHILDREN AGED 24-36 MONTHS

2023-11-27T05:47:45+0530

: Feeding difficulty was a condition where the child is unable to eat and refuses certain foods. Three factors influence the incidence of eating difficulties in children, namely organic factors, nutritional factors, and psychological factors. This study aims to analyze the relationship between nutritional factors and psychological feeding difficulty in children aged 24-36 months. This research was conducted in the area of Tlogosari Wetan Public Health Center with a total sof 8 respondents. This research is in the form of an analytical descriptive study to determine the nutritional and psychological factors of feeding difficulty in children aged 24-36 months. It was found that four children had difficulty eating which led to the classification of inappropriate feeding practice and two children lead to sensory food aversions. Four respondents gave exclusive breastfeeding while two respondents gave breast milk mixed with formula milk. One respondent introduced MPASI at the age of fewer than six months while the other five respondents gave MPASI at the age of six months. All parents have given MPASI according to the guidelines. Some parents have not applied the basic feeding rules properly and correctly. Five respondents did not force the child during the feeding process, while one respondent insisted on feeding when the child had difficulty eating. Difficulty eating can be influenced by the nutritional history of children before solid food, the time and giving of complementary foods as well as children's eating behavior which is a nutritional factor and a psychological factor. The incidence of difficulty eating in children aged 24-36 months leads to the classification of inappropriate feeding practices and sensory food aversions.

ANALYSIS OF FEEDING DIFFICULTY RISK FACTORS IN CHILDREN AGED 24-36 MONTHS

2023-11-27T15:19:19+0530

Feeding difficulty was a condition where the child was unable to eat and refuses certain foods. Feeding difficulties in children could be caused by organic factors related to health problems in children and non-organic factors related to nutritional factors and psychosocial factors. This study aimed to analyze non-organic risk factors including history of exclusive breastfeeding, time of initiation of complementary feeding, history of complementary feeding 6-24 months, pattern of child feeding as a cause of feeding difficulties in children aged 24-36 months. The research was conducted in Banyumanik Village with 39 respondents. This research method was an observational analytic study with a cross-sectional approach with a consecutive sampling method. Data regarding exclusive breastfeeding, time of initiation of complementary feeding, history of complementary feeding, pattern of child feeding, and children's eating difficulties were obtained from interviews with mothers who had children aged 24-36 months. Data analysis was performed using the chi-square statistical test. The results showed that there was no significant relationship between exclusive breastfeeding and the time at which complementary foods were given and the incidence of feeding difficulties in children aged 24-36 months (p=0.653, p=0.457) and there was a significant relationship between history of complementary foods and feeding patterns. with the incidence of eating difficulties in children aged 24-36 months (p=0.03, p=0.000). Giving complementary foods that were not suitable could cause difficulty eating in children. Provision of appropriate MPASI could help children in the process of learning to eat and getting used to good eating habits in children. Eating behavior that was not in accordance with the basic feeding rules caused eating difficulties in children. Data analysis was performed using the chi-square statistical test.

PARENTAL EMOTION CONTROL IN RELATION TO FEEDING PATTERN CHILDREN 24-36 MONTHS

2023-11-27T06:12:02+0530

: Innapropriate feeding practice is a feeding problem that is caused by incorrect eating behaviors that can impact a child's nutritional status. In previous research by Rahmi in 2019, obtained from 110 respondents, 55.5% of children had difficulty eating, 21.8% of children with malnutrition, 25.5% of children with short nutritional status and 10% with thin nutritional status. underweight. Emotional is one of the things that affects children's feeding patterns by 16.1%. This study aimed to analyze the relationship between parental emotional control and the application of feeding patterns in children aged 24-36 months in Kedungmundu Village. Quantitative method was applied with observational analytic design with cross sectional research design. The sample of this study were mothers with children aged 24-36 months in Kedungmundu Village, with the total of 68 people applied purposive sampling where the criteria included mothers who had children after 24-36 months in Kedungmundu Village as the main caregiver and exclude mothers who did not fill out the questionnaire completely. The data was analyzed using the Spearman Rank.The result obtained showed that the emotion control of parents were considered good (64.7%) and the diet of children was considered appropriate (76.5%) which in the Rank Spearman test obtained a p-value = 0.000 and r = 0.316 which indicated that there was a relationship accompanied by a positive correlation between parental emotional control and children's diet with sufficient correlation strength. The results of the analysis show that the emotional factors of parents are closely related to the diet of children aged 24-36 months in Kedungmundu Village, where if the emotional factors of parents are said to be good, it will be in line with a good child's eating pattern as well.

EFFECTIVENESS OF KLUWEK SEEDS (Pangium edule) AS NATURAL PRESERVATIVES MATERIAL IN SQUID (Loligo sp.) VIEWED FROM PROTEIN PROFILE BASED ON SDS-PAGE

2023-11-27T06:16:39+0530

Squid is a high source of protein that quickly decomposes, so efforts are needed to preserve it. One of the natural preservatives used is kluwek seeds. Kluwek contains flavonoid compounds that have antibacterial activity. This study aimed to determine the effectiveness of kluwek seeds as a natural preservative for squid in terms of protein profiles based on SDS-PAGE. The procedure begins with soaking the squid in kluwek seed suspension with concentrations of 10%, 15%, and 20% and then storing them for 24 hours. Protein content was calculated using the Bradford method and protein profiles were analyzed using the SDS-PAGE method. The molecular weight of protein bands is calculated by application GelAnalyzer 19.1. The data obtained were analyzed descriptively. The results showed that the total protein content of squid was highest at a concentration of 20% (17.86 µgµL^-1), then the concentration of 15% (17.03 µgµL^-1), and the lowest was the concentration of 10% (14.64 µgµL^-1). Based on its protein profile, squid soaked with 20% concentration of kluwek seed suspension was the most effective for natural preservatives. This is indicated by the composition of the protein bands which are almost the same as fresh squid and protein weights ranging from 30-100 kDa. The conclusion of the research is kluwek seed suspension concentration of 20% is effective as a natural preservative for squid.

RELATIONSHIP BETWEEN SLEEP HABITS AND SLEEP DISORDERS FOR 1-3 YEARS OLD CHILDREN AT POSYANDU LAWEN, PANDANARUM

2023-11-27T06:21:43+0530

Sleep is a basic need that is very important for humans, especially at the age of children to support the achievement of optimal growth and development. However, the age of children is the age where a person often experiences sleep disturbances. External factors in the form of sleeping habits such as the application of children's sleeping hours, the use of shady lights when sleeping at night, and the use of electronic goods can cause sleep disturbances in children. Therefore, this study is aimed to describe the incidence of sleep disorders and to determine the relationship between sleep habits and sleep disorders in children aged 1-3. This research used an observational analytic study with a cross sectional design. The sample used was selected based on inclusion criteria with 55 consecutive sampling. Data were collected using the guided interview method and children's sleep disturbances were measured using the Brief Screening Infant Sleep Questionnaire (BISQ) form. Children aged 1-3 years who experience sleep disorders were 36.4%. Based on the bivariate test, there was no significant relationship between the application of sleeping hours and children's sleep disorders (p-value = 0.102 ), there was a significant relationship between the use of shady lights when sleeping at night with children's sleep disorders (p-value = 0.010), and there was a significant relationship between the use of electronic goods before bed with sleep disturbances in children (p-value = 0.004). This study shows that there is no relationship between the application of sleeping hours and children's sleep disorders. However, use of shady lights at night and the use of electronic goods before bed have a relationship with children's sleep disorders.

A 71-YEAR-OLD MAN WITH UNSTABLE ANGINA PECTORIS AND DM TYPE 2

2023-11-27T06:31:45+0530

Angina pectoris is chest pain caused by insufficient blood and oxygen flow to the cor. Worsening chest pain that occurs at rest or with light activity without damage to the cor muscle is called unstable angina pectoris (UAP). According to the World Health Organization, in the United States every year there are one million patients hospitalized due to UAP where 6-8% of them have non-fatal infarction attacks or die within 1 year after the diagnosis is made. This case report describes a 71-year-old man who came to the emergency room with complaints of shortness of breath for the past 3 days and worsened when he was admitted to the hospital in the morning. Shortness of breath occurs when the patient is doing activities. Shortness of breath accompanied by pain like being crushed in the left chest and does not spread. Complaints accompanied by nausea and cold sweat. Physical examination found VAS 5 pain, percussion of the cor revealed cardiomegaly, auscultation of the chest revealed fine crackles at the bases of both lungs. Investigations revealed a random blood sugar test of 340 mgdL^-1, the EKG found T-wave inversion in leads V1-V5, while laboratory tests showed Troponin T of 0.21 ngmL^-1. Chest X-ray examination showed cardiomegaly and pulmonary edema. Echocardiographic examination revealed segmental hypokinetic impressions, left ventricular and right ventricular systolic function were good with an ejection fraction of 59.5%. Treatment of the patient in this case was given nasal cannula oxygen 3 liters per minute, Fondaparinux injection 2.5 mg once a day subcutaneously for five days, Furosemide injection 20 mg every 12 hours, Glimepiride 2 mg once a day, Metformin 500 mg every 12 hours, Ramipril 5 mg once a day, Bisoprolol 2.5 mg once a day, Clopidogrel 300 mg continued 75 mg once a day, Aspirin 160 mg continued 80mg once a day, Atorvastatin 20 mg once a day, and Nitrokaf retard 2.5 mg every 12 hours.

GASTRIC PERFORATION MANAGEMENT IN A 50-YEAR-OLD PATIENT: A CASE STUDY

2023-11-27T06:37:34+0530

Gastric perforation is one of the most common emergency conditions worldwide, with a mortality rate up to 30% and a morbidity rate up to 50%. World Health Organization data states that deaths due to gastric perforation in Indonesia reach 0.99%. Study is a case report, primary data obtained through anamnesis, physical examination, laboratory tests and x-ray examination. Assessment based on diagnosis holistic from the beginning, process and end of the study quantitatively and qualitatively. Subject case study was a 50-year-old man who came to the emergency room with pain all over stomach, especially in the upper left abdominal area. Pain was felt eight hours before entering the hospital. Abdominal pain felt like being stabbed, got worse when moving, coughing, or walking. Patients also complained of abdominal fullness and bloating. The patient has a personal and socioeconomic history which is a risk factor for gastric perforation, namely consumption of long-term non-steroidal anti-inflammatory pain relievers and smoking. Examination of the localized status of the abdomen found distention, muscular defans, tenderness throughout the abdominal field with dominant pain in the upper left abdomen, hepatic dullness disappeared, positive shifting dullness, and decreased bowel sounds. X-ray examination of the abdomen showed a picture of free air on the lateral side of the liver, suspicious for a pneumoperitoneum, preperitoneum fat line and psoas looked gloomy, suspicious for peritonitis. The patient was given pharmacological therapy in the form of injection of ceftriaxone 1 gram every 12 hours, infusion of metronidazole 500 mg every 8 hours, injection of omeprazole 40 mg every 12 hours, injection of ondansetron 4mg and sucralfate syrup 15 cc every 8 hours, followed by a laparotomy and closure of the perforated part. Postoperatively the patient was observed in the ICU for two days then transferred to a normal room after his condition stabilized.

A 44-YEAR-OLD MAN WITH BRONCHIAL ASTHMA: CASE REPORT

2023-11-27T15:12:02+0530

Bronchial asthma is a chronic disease characterized by shortness of breath, wheezing, chest tightness and coughing. Asthma cannot be cured, but it can be controlled to reduce and prevent asthma attacks. According to the World Health Organization, bronchial asthma affected around 262 million people in 2019 and caused 455.000 deaths. This case report describes a 44-year-old man, who came to the emergency room with complaints of shortness of breath and felt intermittent since the last two months and worsen one day before entering the hospital. Shortness of breath accompanied by complaints of coughing, fever, and wheezing. The patient has a history of asthma since he was a teenager. In the past month, asthma symptoms have been felt almost every day, often waking up at night, and there are limitations in doing activities when asthma relapses. Complaints of shortness of breath felt better after taking the fenoterol inhalation drug. On examination of vital signs obtained a temperature of 38.1^oC, 95% oxygen saturation, chest auscultation examination found wheezing during expiration. Routine blood laboratory examinations, normal results were obtained, whereas in chest X-rays, increased bronchovascular markings were found, suggesting a picture of bronchitis. The therapy given to the patient was in the form of oxygen nasal cannula 2 liters per minute, omeprazole IV injection 40 mg every 12 hours, ceftriaxone IV injection 2 grams every 24 hours, methylprednisolone IV injection 62.5 mg every 24 hours, acetylcysteine 1 capsule every 8 hours, paracetamol tablets every 8 hours if you have a fever, as well as nebulized Salbutamol – Ipratropium Bromide – Budesonide. During treatment the patient's condition improved. The patient was then allowed to be outpatient and given Formoterol – Budesonide inhalation therapy twice a day, one puff.

COMPLEXITY OF THE TUBERCULOSIS CHAIN IN EXTENDED FAMILIES WITH COLLECTIVIST CULTURE: A CASE REPORT

2023-11-27T06:57:04+0530

Indonesia is a country with the second rank of new tuberculosis cases in the world. One of Indonesia cultural that is collectivist culture, which is one of its characteristics, is gathering in a large family (extended family) in one house can pose a risk of spreading infectious diseases such as tuberculosis. The purpose of this report was to analyze tuberculosis cases with family medicine approach. The method used a holistic examination, namely anamnesis, observation and examination using a family medicine approach (genogram, Family APGAR and SCREEM, also home environment). The location took place at Gatak Primary Health Care, Sukoharjo Regency, Province of Central Java, Indonesia in June 2023. The result, we examined a 7-month-old girl and it was found that other family members also had tuberculosis (grandparents had a history of tuberculosis with completed treatment, the patient cousin was being treated at a type A hospital). The patient home environment was usually exposed to cigarette smoke. The patient lived in a house with a family consisting of 4 generations (extended family). APGAR Family showed very functional. SCREEM Family showed that the house was often used as a meeting place for residents and the illness was not shared because it was still a taboo subject. The family was good in formal education and there was health workers in family members, but it was a bad habit that if a family member was sick, the house would be the place to take care of them. The home environment had lack in sanitation hygiene. Conclusion: The management of each patient can be different, to achieve disease eradication we cannot just give therapy without taking a family approach.

THE IN-VIVO POTENTIAL OF AVOCADO JUICE (Persea americana Mill) ON CHOLESTEROL LEVELS

2023-11-27T07:03:53+0530

An increase in blood cholesterol levels is one of the triggers for atherosclerosis. The use of natural components, such as avocado fruit juice, is an alternative to lowering cholesterol levels. Avocados contain hypolipidemic agents such as beta-sitosterol, omega-9, oleic acid, pantothenic acid (vitamin B5), niacin (vitamin B3), vitamins A, C, and E, cysteine amino acid, selenium, and fruit fiber. The study's goal was to examine the potential effects of providing avocado juice on cholesterol levels. The pretest-posttest design with a control group is used in this type of experimental research. The research sample consisted of 36 male white rats aged 2-3 months which were divided into 3 normal, positive, and negative control groups, and 3 treatment groups with avocado juice doses of 3.5mL, 4mL, and 4.5mL. The research phase involved acclimatization and generation of hypercholesterolemic rats by inducing quail egg yolk orally and assessing the effectiveness of avocado juice orally once a day for 7 days. Cholesterol levels were tested three times: after acclimation, induction by oral quail egg yolk, and administration of avocado juice. After egg yolk induction, the average cholesterol level in all treatment groups was 139.1 mgdL-1, 164.5 mgdL-1, and 190.1 mgdL-1, respectively. Following the administration of avocado juice, there was a decrease in all treatment groups with mean cholesterol levels of P1, P2, and P3, or 68.7 mgdL-1, 64.1 mgdL-1, and 42 mgdL-1. These findings are supported by test results from One Way Anova, which showed that after the administration of avocado juice, there were variations in cholesterol levels between groups. The study's finding is that consuming avocado juice can lower cholesterol levels.

A 45-YEAR-OLD MAN WITH CHRONIC HEART FAILURE: CASE REPORT

2023-11-27T07:08:12+0530

Chronic heart failure is a disorder in which the heart muscle weakens and results in heart failure in pumping and supplying enough blood needed by the body. Factors that cause heart failure are very diverse, including smoking habits, diabetes mellitus, hypertension, hyperlipidemia, being overweight and stress. In this case, it was reported that a 45-year-old man came to the emergency room with complaints of shortness of breath since four days ago, aggravated by light activities such as walking to the bathroom, cold sweats, coughing at night, and swelling in both legs. The patient had the same complaint six months ago and was admitted to the hospital. However, the patient did not take the medication. History of hypertension recognized by the patient, but not controlled. Physical examination found Body Mass Index 27.7 (obese), blood pressure 178/104 mmHg, pulse rate 114 times/minute regular, respiratory rate 30 times/minute, Oxygen Saturation 92%. Jugular venous pressure increased 5+4 cm. Percussion of the heart reveals an enlarged heart border, auscultation of the heart reveals S3 Gallop, accompanied by heart murmurs. Lung examination revealed moist crackles in both lungs. Examination of the extremities revealed pitting edema in both legs. Electrocardiography examination found sinus tachycardia with and Couplet Ventricular Extra Systole. Chest X-ray examination showed cardiomegaly and early features of pulmonary edema. Echocardiography results showed global hypokinetic, decreased left ventricular and right ventricular systolic function, left ventricular ejection fraction 30.1%, left atrial and ventricular dilatation, concentric and eccentric left ventricular hypertrophy, moderate mitral regurgitation, moderate tricuspid regurgitation, severe pulmonary hypertension. Patients were given intravenous injections of Furosemide 40 mg every 8 hours, Ramipril tablets 1x10 mg, Digoxin tablets 1x0.25 mg, Nitrokaf Retard tablets 2 x2.5 mg, and Spironolactone tablets 1 x25 mg

CORRELATION BETWEEN MALARIA INFECTION AND HEMOGLOBIN LEVELS AND PLATELET COUNTS AT THE INDONESIAN NAVY HOSPITAL DR. SOEDIBJO SARDADI JAYAPURA

2023-11-27T07:12:14+0530

Malaria is an infection caused by Plasmodium through female Anopheles bites. Malaria affects almost all components of the blood cells. Decreased of hemoglobin levels in malaria infection caused by hemolysis of red blood cells and lack of ferrin due to the entry of Plasmodium sp. into the erythrocytes while the decrease in the number of platelets is due to the destruction of platelets by macrophages in the spleen. The aim of the study was to determine the correlation between malaria infection and hemoglobin levels and platelet counts at the dr. Soedibjo Sardadi Jayapura hospital. This type of research used analytic observational techniques by cross sectional design. The study sample were malaria sufferers who met the inclusion and exclusion criteria was then examined for hemoglobin levels and platelet counts of 48 respondents. Study result showed that the average hemoglobin level in malaria sufferers is 10.5 gdl^-1 with the Spearman correlation test result 0.171 (>0.05). The average number of platelets in malaria sufferers is 127,000/mm³ with Spearman correlation test result 0.003 (<0.05). The conclusion of the study was that there was no relationship between malaria infection and hemoglobin levels and there was a relationship between malaria infection and platelet counts.

CHARACTERISTICS OF SENSORINEURAL DEAF IN ORL-HNS CLINIC AT ROEMANI HOSPITAL

2023-11-27T07:18:12+0530

Sensorineural hearing loss (SNHL) is hearing loss caused by damage to the cochlea or retrochoclea. This hearing loss can affect any age with a variety of different etiologies. Common causes of SNHL include exposure to loud noises, genetic factors, or the natural aging process. WHO has launched the Sound Hearing 2030-Better Hearing for All program which is an initiative program in efforts to prevent and reduce hearing loss. This program aims to reduce hearing problems by 90% by 2030. The aim of this study was to analyze the characteristics of people with Sensorineural Deafness at the ORL-HNSClinic of Roemani Hospital. This study used a descriptive retrospective research method using secondary data from the patient's medical records. This study used a cross sectional approach research design with the sampling technique using purposive sampling technique. The most distribution of Sensorineural Deafness at Roemani Hospital is in the age group> 50 years 81.8%, men suffer more sensorineural deafness 57.6%, the group of people who do not work 84.8%, bilateral 76.8% than unilateral 23.2%, degree of severe hearing loss 65.7%, no history of comorbid disease 72.7%, no history of taking ototoxic drugs 100%, no history of trauma 100%. The most distribution of Sensorineural Deafness at Roemani Hospital is in the age group> 50 years, men, who do not work, in both ears or bilateral, severe degree, do not have a history of comorbid diseases, do not have a history of taking ototoxic drugs, do not have history of trauma.

IMPORTANT FACTORS IN ACHIEVING BASIC IMMUNIZATION COVERAGE: IN-DEPTH INTERVIEW OF INFANT AND CHILD’S FAMILIES

2023-11-27T14:14:16+0530

"Protect yourself, your family, and society with complete immunization" is the national motto of World Immunization Week 2023. This subject is meant to serve as a reminder and inspiration for everyone in society to get immunized in order to protect themselves, their families, as well as the local community. Immunization coverage increased once more to 94.9% in 2022 after falling to 84% during the COVID-19 epidemic. Although this is excellent, more work must be done to achieve the WHO goals of 99% (Ministry of Health 2023). As a result, a faster immunization program is required, especially in regions with low coverage levels. This study intends to examine the factors that affect immunization coverage, specifically in the Toddopuli Public Health Facility's (Pusat Kesehatan Masyarakat – Puskesmas) region, Makassar. Descriptive analytic methodology is applied by conducting in-depth interviews with informants. Choosing informants with the purposive sampling technique. The important informants are the immunization coordinators at the puskesmas, whereas the major informants are five families with infants or young children who provide vaccinations. According to the findings, the success of the immunization program is significantly influenced by family involvement and the work of immunization officers. Both of these variables are more significant than other factors including parental education level, income, and the distance from the home to immunization services. In order to expand immunization coverage in the upcoming years, it is desired that these two items can be further enhanced in the future.

THE EFFECT OF PERCEIVED BENEFIT AND PERCEIVED BARRIER ON ACTIVITY OF DAILY LIVING IN NON-HEMORRHAGIC STROKE POST PATIENTS

2023-11-27T07:29:28+0530

Stroke is one of the leading causes of death and disability worldwide. Stroke is classified into two, namely non-hemorrhagic stroke and hemorrhagic stroke. The incidence of non-hemorrhagic stroke is higher than hemorrhagic stroke. Non-hemorrhagic post-stroke events can lead to functional disability and decreased quality of life which can affect the physical, psychological, and social so as to reduce the quality of life of non-hemorrhagic post-stroke patients. This can be overcome if the patient has perceived benefits and perceived barriers which are aspects of the health belief model. The purpose of this study was to determine the effect of perceived benefits and perceived barriers on the activity of daily living in post-stroke non-hemorrhagic patients. This research is quantitative research with a cross-sectional study design. The samples were post-stroke non-hemorrhagic patients undergoing outpatient treatment at the geriatric clinic of KRMT Wongsonegoro Hospital from October-November 2022 who met inclusion and exclusion criteria as many as 80 respondents. The method used to measure the perceived benefit and perceived barrier variables is to use a questionnaire in the form of statements that are measured using an ordinal scale. Meanwhile, to measure the activity of daily living the researchers used the barthel index. Then the researcher tested the hypothesis using Spearman's rank correlation so that the results of the analysis of the perceived benefit variable were obtained (p=0.044) with a correlation coefficient of -0.225 and perceived barrier variables (p=0.865) with a correlation coefficient of -0.019. There was a significant effect between perceived benefit on the activity of daily living in non-hemorrhagic post-stroke patients and there was no effect between perceived barrier and activity of daily living in non-hemorrhagic post-stroke patients.

EARLY OPEN REDUCTION INTERNAL FIXATION OF IPSILATERAL "DISPLACED" SACRO-ILIAC FRACTURE PREVENT SHORTENING OF THE LIMB: RADIOLOGICAL EVALUATION

2023-11-27T07:35:53+0530

The Sacro-Iliaca is part of the pelvis. The prevalence of pelvic fractures due to high-energy injuries is 93.6%. 46.8% of all cases of pelvic fractures required surgery. Displaced sacro-iliac fractures can cause the pelvis to be vertically or rotationally unstable, including Tile's classification of type B or type C. Fractures of the ipsilateral “displaced” sacro-iliac often result in shortening of the involved limb or “Leg Length Discrepancy”. Inadequate and late treatment can cause shortening of the limbs that is difficult or cannot be corrected so that the patient is lame. Open Reduction Internal Fixation of the initial fracture is helpful for correction of “LLD”. Radiological evaluation through antero-posterior projection of the pelvic x-Ray is easy to do with a comparison of "reference points" on the right and left sides, namely: "Greater Sciatic Notch", "Articular Cartilage", "Greater Trochanter Femur", "Superior Lesser Trochanter Femur", “pubic arch”, before and after surgery. In the case of a male, bus attendant, colliding with a truck, was thrown off bus, unable to move his right leg. General condition, and vital sign are stable. Right gluteal edema, bruised, right leg exorotation and shortens (LLD). X-Ray Pelvis Antero-Posterior, showing the pelvis and proximal femur on the right side with "5 reference points" rotation and cranial shift. Comminuted fracture of the iliac bone with displacement of the sacro-iliac. Diagnosed with comminuted iliac fracture and sacro-iliac displacement. Open Reduction Internal Fixation with the plate screw was done within less than 48 hours. X-Ray Pelvis was conducted after the surgery, it was appeared that 5 reference points on the right and left sides were almost 100% identical.

THE CHOICE STRATEGY OF INTERNAL FIXATION IN BOXER FRACTURE: A LITERATURE REVIEW

2023-11-27T07:39:16+0530

A “Boxer” fracture is the fracture of the neck of the fifth metacarpal due to direct trauma to the fist. One of the most common causes is punching an object with a closed fist during a fight or punching a hard object. As many as 33% of patients with hand fractures are metacarpal fractures, the majority involving the fifth metacarpal. Men dominate the incidence of "boxer fracture". The peak incidence is at the ages of 10-29 years. Conservative management of "boxer fracture" tends to dislocate easily, causing flexion contractures in the finger joints and skin necrosis in the hands. Some researchers suggest surgical treatment because functionally and aesthetically the results look better. In addition, factors such as longitudinal shortening, angulation, malrotation, bone loss and soft tissue injury are indications for internal fixation. The population of boxer fracture patients mostly occurs in males of young age or productive age working with a high economic burden, so that faster recovery of hand activity is ensured. Internal fixation is an option so that the hands immediately function to work. The choice of internal fixation depends on the type and location of the fracture, soft tissue damage, age and occupation. Several internal fixation modalities for boxer's fractures such as percutaneous fixation with Krischner wire, cerclage with suture wire, intermedullary nail, plate screw to arthroplasty. By knowing the implant choice strategy according to the type and location of the fracture, soft tissue damage, age, and occupation, it is hoped that it will provide the best functional and aesthetic results in the treatment of boxer fractures.

MEDIAL MALLEOLUS FRACTURE WITH INFERIOR TIBIAL FIBULA LIGAMENT INJURY: CASE REPORT

2023-11-24T17:38:05+0530

The medial malleolus and Distal Inferior Tibia Fibula ligaments are part of the structure that supports the stability of the ankle. Medial malleolus fracture with an injury or rupture of the inferior tibial and fibular ligament have not been much discussed at this time. There is still debate about the management of medial malleolus fractures, as well as injuries to the inferior tibial and fibula ligaments. Some opinions tend to carry out surgical intervention for "displaced" medial malleolus fracture with an injury to the inferior tibial fibula ligament rupture because these two organs are supporters of ankle stability and as a nonoperative result that leaves symptoms of Chronic Ankle Instability (CAI). Open reposition internal fixation of medial malleolus fractures and injury or rupture of the inferior tibial and fibula ligaments are options for treatment ankle instability and arthritis. In this case, a 36-year-old man was crushed on his right ankle by a forklift machine. After a physical examination and X-Ray of the ankle, he was diagnosed with a displaced medial malleolus fracture with an injury to the dextra inferior tibia fibula ligament. Open reposition internal fixation were performed on the medial malleolus and distal tibia fibula. Post operation, deformity and alignment was corrected. X-Ray of ankle medial malleolus and distal tibia fibula well positioned.

CASE REPORT ON THE SUBJECTIVE EXPERIENCE OF YOUNG ADULT WOMEN LISTENING TO MUSIC WITH A QUANTITATIVE ELECTROENCEPHALOGRAPHY STUDY

2023-11-24T17:30:17+0530

Introduction: many studies have proven the positive effect of listening to music on health. So far there is still limited research evaluating how the brain plays a role in supporting cognitive activity listening to music and how it affects health. One method that can evaluate brain activity in listening to music and its effects on health is by measuring electroencephalography quantitatively associated with changes in heart rate. Objective: to subjectively measure mental activity in listening to music through quantitative EEG examination by looking at the size of event related de/re-synchronization (ERD) alpha wave power and its correlation to heart rate variations in real time, in young adult women. Methods: measuring the ERD power of the alpha of the 20 EEG electrodes with variations in heart rate when the subject listens to music. Results: when listening to music there is a decrease in left prefrontal cortex activity (F3 and F7). In general, there is a lateralized pattern of increasing right hemispheric alpha power, and there is a very dominant increase in the right auricular (A2), right temporal (T6) and right occipital (O2) areas. There is no difference in heart rate frequency during basal conditions with listening to music. Conclusion: the subjective experience of listening to music is followed by lateralization of the right hemisphere with a very dominant increase in the auricular, temporal and occipital areas.