The Legal Consequences of Informed Consent for Doctors and Patients in Theurapeutic Agreements

Informed consent is a requirement for the occurrence of therapeutic agreements between doctors and patients. Therapeutic agreements are agreements where healing effort (inspanningverbittenes) is constituted as legal object. A patient who has given a consent is considered to understand the benefits and risks of medical treatment he would receive. However, the existence of informed consent does not make any doctor immune to the law. If a doctor works outside the professional standards and operational standards that apply and is proven by the professional association, then a doctor could be sanctioned according to applicable regulations. On the other hand, the patient is required to be cooperative in providing information and complying with the medical procedures. The existence of a therapeutic agreement results in both doctor and patient being bound to each other's rights and obligations. Keywords: informed consent; therapeutic agreement; doctor; patient

The Role of Nurse in the Form of Palliative Care on the Quality of Life of Patients with Cervical Cancer

The diagnosis of cervical cancer has become a big burden for both patients and families. Most patients with advanced stage cancer have a low quality of life score which indicates they have a problem. while the family may not be ready to carry out its role in the quality of life of patients with cervical cancer. The objective of this research was to identify the correlation of nurse support in the form of palliative care on the quality of life of patients with cervical cancer. This research employed cross-sectional design. Population in this research was all patients with cervical cancer in gynecology ward in Banjarmasin. Participant for this research were patients with cervical cancer and nurses. Data were taken by structured interview and task question form. Linear regression analysis was applied with level of significance ≤0.05. The results shown that most nurses ha good level of their role in the form of palliative care while most patients also have moderate level of quality of life. Also there are significance correlations of nurse role in the form of palliative care on the quality of life of patients with cervical cancer. Keywords: cervical cancer; quality of life; palliative care; nurse; role

The Quality Life of Matriarch and Program of Poverty Reduction in Jember Regency

Introduction: Poverty was regarded as a common problem existed in many countries, either in developed countries or developing countries, even, the poverty was still a priority problem in SDGs era. In 2018 East Java was positioned on the first rank of highest level of poverty in Java, particularly Jember Regency was ranked in the second. The government of East Java has observed this poverty phenomenon on female society, which was then called as poverty feminization. Therefore, the government of East Java established a program of poverty alleviation on women, it was known as a feminization program of poverty reduction. This program aimed to provide job or job, so the matriarch would have access to several sectors, as economic, education, or health. The easy access given to the matriarch was expected to realize more quality of life. Methods: This research was categorized into quantitative research and exerted cross sectional approach. The total population in this research was taken from all women who got help from the feminization program of poverty reduction in Jember, specifically the total were about 1227 respondents. The method of sampling was purposive sampling by employing representative of data sampling in each sub-regency. The total sample in this research were 302 respondents. Further, the data was collected through instrument of WHOQOL-BREF questionnaire, while the data was analyzed through Spearman correlation method. Results: According to the result of data analysis on factor of job to the life quality, it was obtained p-value of 0.000, which referred the correlation between job and life quality of matriarch. Moreover, the data analysis on factor of income to the life quality, it was obtained p-value of 0.000, which referred the relation between income and life quality of matriarch. Conclusion: There was a relation between job as well as income and the life quality of matriarch. Keywords: matriarch; feminization of poverty; job; income; life quality

Satisfaction of Pregnant Women Toward Integrated Antenatal Care Service in Senduro Health Center, Lumajang in Decreasing MMR and IMR Based on Pregnant Mother’s Characteristics

Maternal Mortality Rate becomes a global issue because it is an important indicator in determining public health degree, so each country has responsibility to avoid maternal death. An effort in accelerating the decrease of MMR with pregnancy checkup program is well known as Integrated ANC service program. Integrated ANC service is a comprehensive and quality antenatal provided to all pregnant mothers temporally during pregnancy. This research was aimed to analyze the satisfaction level on pregnant mothers on Integration of ANC service decreasing MMR and IMR based on characteristic of pregnant mothers in Senduro Health Center of Lumajang Regency on 2019. Type of this research was descriptive analysis using quantitative approach. Questionnaire about satisfaction level of ANC service in Senduro Health Center of Lumajang Regency on September to October in 2019 was applied. It also took 670 populations of pregnant mothers coming to Senduro Health Center of Lumajang Regency. Samples were taken by using systematic random sampling. Samples taken were 109 respondents based on specified criteria. Data collection results were processed by employing Chi Square statistical test with a significant level of 0.05. The result of this research showed that most patients about 58 pregnant mothers (53.2%) were quite satisfied, 45 pregnant mothers or about 41.3% were very satisfied and 6 pregnant mothers or about 5.4% were still unsatisfied on the service provided. It could be concluded that 53.2% patients were quite satisfied to the Integrated ANC service in Senduro Health Center of Lumajang Regency. Keywords: satisfaction; pregnant mother; ANC service

The Influence of Bioinsecticide Granules of Srikaya (A. Squamosa) and Betel Leaves (P. Beetle) Extract Extracts on Kidney Histopathology in Mice (Mus musculus)

The use of chemical insecticides in the long term and high frequency will suppress insects (mosquitoes) and vectors to be tolerant until resistant. Reports of resistance from various species of mosquitoes found in multiple countries even occur in Indonesia in Surabaya. This study aimed to analyze the effect of granules bioinsecticides on the mixture of srikaya seeds (A. squamosa) and betel leaf (P. beetle) on the histopathology of mice (M. musculus) using true-experimental (the post-test only group design). Sample taken by simple random sampling and grouped into each control group and the treatment group totaling 25 mice. Data were analyzed using simple linear regression test. The results showed an overall p-value >0.05, meaning that there was no bioinsecticide effect of a mixture of betel leaf granules (Piper beetle) and srikaya seeds (Annona squamosa) on the histopathology of the kidney of mice (Mus musculus). Required safety testing of target animals in addition to mice and a preliminary examination is needed before the research is conducted so that the results are valid Keywords: bioinsecticide; histopatology; Mus musculus

The Factors of the Contraceptives Selection at the Sumbersari Public Health Center, Lumajang

Side effects of the use of contraceptives have always been a problem complained by family planning acceptors. The side effects of family planning such as irregular menstruation, weight gain, nausea, dizziness, and vaginal discharge. This research was conducted in July-August 2019 to determine the factors causing the selection of contraceptives by family planning acceptors at the Sumbersari Public Health Center in Lumajang Regency. Researchers used a cross-sectional design. The sample were 98 family planning acceptors at the Sumbersari Public Health Center, Lumajang Regency, selected using cluster random sampling technique. Researchers used statistical regression tests to data analyze process. Statistical test results of factors that had a positive influence on the selection of contraceptive devices for family planning acceptors in the working area of Sumbersari Public Health Center were the number of children, knowledge of family planning, availability of tools, attitudes and husband's support; counseling performance in the majority of acceptors was good, and the majority of acceptors had a negative family planning history. Husband support and the number of children were the strong influence on the selection of contraception. Keywords: family planning; acceptor; contraceptive selection; factors

Determinants of Dysmenorrhea Pain Levels of in Adolescents

Menstrual pain sometimes makes women unable to move normally so that quality deteriorates in their daily lives. Complaints that appear vary in intensity and are different for each person. Some women only feel mild pain, but others feel very severe pain, stomach like squeezing, vomiting, discomfort in the stomach, pain in the breast, even fever and headaches. The design of this study was cross-sectional. The population used in this study were all middle school and vocational high school students who experienced dysmenorrhea every time menstruation in the last 2 months period as many as 190 students and a sample of 130 female students. Sampling used was a simple random technique, namely the determination of samples taken randomly. The dependent variable was dysmenorrhea pain levels, while the independent variable were anxiety, activity, age, and nutritional status. The instrument used was a questionnaire and checklist. The analysis technique used was the multiple linear regression test. From the results of the study, there was a strong influence of anxiety, age, and nutritional status on the dysmenorrhea pain levels. Whereas there was no influence of activity on dysmenorrhea pain levels. Keywords: dysmenorrhea; pain; anxiety; nutrtional; activity; age

An Analysis of Integrated Occupational Health Effort Posts (Pos UKK) Policy In Fishermen’s Group in Lumajang RegencyAn Analysis of Integrated Occupational Health Effort Posts (Pos UKK) Policy in Fishermen’s Group in Lumajang Regency

The present study analyzes the suboptimal implementation of the Integrated Occupational Health Effort Post (Pos UKK) Policy in Fishermen’s Group in Lumajang Regency. The purpose of the study was to analyze the health policy in the form of Regent Regulation no. 18 of 2018 on Integrated Occupational Health Effort Post. This study applied qualitative approach with case study design. The data were collected through in-depth interview with the actor of the policy, triangulated with field observation and documentation. The present study employed Delphi method, it was aimed at formulating, prioritizing, and designing resolution strategy of policy problems. The result of the analysis found four variables affecting performance and impact of the decentralized policy. Study on these four variables was useful for understanding the suboptimal implementation of integrated pos UKK policy in fishermen’s group. Keywords: policy analysis; Occupational Health Effort (UKK) Post; Delphi method

Effects of Environment Sanitation on Early Neonatal Death (0-7 days) in Situbondo District

Environment sanitation was closely related to clean and health living behavior of society to keep cleanliness and health of surrounding environment. The failure of environment sanitation affected to incident of disaster and disease epidemic which was an indirect factor of neonatal death. This research aimed to analyze the effects of environment sanitation to the incident of early neonatal death (0-7 days) in Situbondo District. This research was categorized into descriptive analytic research which exerted case control approach. The population size was 206 respondents, while the sample size was 170 respondents, selected using simple random sampling. The sample was comprised of case group of 85 mothers whose babies died in the age (0-7 days) and the control group of 85 mothers whose babies alive in the age 0-28 days. Data were analyzed using logistic regression test. This research findings showed that it was found relationship between the waste water disposal and early neonatal death, with p-value of 0.091. Keywords: environment sanitation; early neonatal death

The development of Nursing Curiculum in Thailand

-