DESCRIPTION ON THE PATIENTS’ CHARACTERISTICS OF ABNORMAL UTERINEBLEEDING BASED ON STRUCTURAL AND NON-STRUCTURAL ETIOLOGY

Abnormal uterine bleeding (AUB) is a problem frequently experienced by women in the world. AUB is not a disease but a symptom that indicates a problem in the female reproductive system or organs. The purpose of research was to determine the description of the patients’ caracteristics of AUB with structural (PALM) and non-structural (COEIN) etiologies. This analytical description study used medical record data from AUB patient in Dr. Soetomo District General Hospital Surabaya in January-December 2019. The number of samples of this study was 65 data, with 36 data for structural etiologies (PALM) and 29 data for non-structural etiologies (COEIN). Caracteristic of patient were seen from 3 categories, i.e., age, parity status, and body mass index (BMI) from 2 etiological categorie

THE FIRST 6TH-MONTH NUTRITIONAL STATUS OF A FULL-TERM CHILD IN EXCLUSIVE BREASTFEEDING: A LITERATURE REVIEW

Background: The first six months after birth are part of the first 1000 days, a golden period for child development. In this period, the child needed proper nutrition to support optimal development and as nutrition programming. WHO recommends exclusive breastfeeding (EBF) for the first 6th-month. Adequacy of nutrition and optimal growth can be assessed using the nutritional status. Aim: This study analyzes the relationship between EBF for the first 6 months with the nutritional status of a full-term infant aged 0-6 months. The nutritional status assessed using anthropometric measurements and child growth standards. Methods: This type of literature review research uses the PRISMA, PICO, and Boolean Operator methods. The research question with PICO standard "What is a relationship between exclusive breastfeeding practice and nutritional status of children aged 0-6 months?". Relevant literature was obtained from 8 databases: Scopus, Portal Garuda, Proquest, Mendeley, Pubmed, Oxford, Science Direct, and Sage. Literature was limited to the last 10 years. There are 6 relevant pieces of literature included for review. The literature quality assessment uses a quantitative study quality assessment tool released by the EPHPP (Effective Public Health Practice Project) and produces 5 pieces of literature worthy of review. Results: From 5 kinds of literature, there were various indicators of nutritional status such as weight-for-age (WAZ), length-for-age (LAZ), weight-for-length (WLZ), Body Mass Index (BMI)-for-age, and head circumference (HC)-for-age. The results were dominated by insignificant results, except the HC-for-age indicator stated that there were significant results. The author explores the causes of insignificant results. Explores based on the indicators that include in studies, the information based on studies, and the possible consequences that adjusted to the data based on the studies. The Author found that the mother plays an important role in the production and provision of breast milk. The quality of breastmilk depends on the mother, also how she gives it to their infant. It has to be based on the WHO recommendation. Conclusion: The result of these studies affirms that EBF didn't significantly affect the indicators of WAZ, LAZ, WLZ, and BMI-for-age, but significantly affected the head circumference-for-age indicator.

CENTRAL OBESITY ASSOCIATED WITH CHARACTERISTICS OF VASOMOTOR SYMPTOMS IN MENOPAUS WOMEN

Vasomotor complaints are common on postmenopausal women. Most women feel these complaints within 2 years after entering menopause; some of them will even feel up to a decade. In addition to vasomotor complaints, the incidence of central obesity also increases in menopause. The poor adipocyte system in central obesity that affects the central nervous system, body temperature and excessive sympathetic nerve activity have been suspected to be a cause of vasomotor syndrome at menopause. The purpose of this study was to analyze the relationship between central obesity and the characteristic of vasomotor symptoms in postmenopausal women. Method: this observational analytic study used a cross sectional design. The number of samples were 86 women aged 45-55 years who had been in postmenopausal period. Sampling technique was consecutive sampling. The independent variable was central obesity while the dependent variable was vasomotor symptoms. The data was taken using modified MENQOL questionnaire and direct measurements waist circumference to determine central obesity in the respondents. Data was tested using contingency coefficient test with α 0.05. Results: There were 59.3% respondents who experienced central obesity. More than eighty percent respondents with central obesity also experienced vasomotor symptoms which were considered disturbing. There was a significant relation between central obesity and the characteristic of vasomotor symptoms in postmenopausal women (p=0.00; r=0.513). Conclusion: The presence of central obesity leads to disturbing vasomotor symptoms in postmenopausal women

The DIFFERENCES IN NUTRITIONAL STATUS OF INFANTS AGED 4-6 MONTHS WHO WERE EXCLUSIVELY BREASTFED AND THOSE WERE GIVEN NONEXCLUSIVE BREASTFEEDING : LITERATURE REVIEW

World Health Organization (WHO) recommends that babies remain given exclusive breast milk for the first six months of a baby's life. However, there were some obstacles that cause the mother to be unable to give exclusive breast milk to her baby. By the time the baby becoming 4 to 6 months, the opportunity to provided exclusive breast milk is reduced because of many factor such as working mother can be an obstacle to providing exclusive breast milk. Often for mothers prefer to provide formula milk or complementary food for their babies to make it simply.This literature review aims to determine the differences in nutritional status of infants who were exclusively breastfed and those who were not exclusively breastfed at the age of 4 to 6 months. This literature review is semi-quantitative using the narrative review method. The search for articles accessed from the PubMed, Google Scholar, and Science Direct database found 40 articles that met the criteria. There were differences in the nutritional status of infants who were exclusively breastfed and those who were given non-exclusive breastfeeding. Babies who were exclusively breastfed at the age of 4 to 6 months had a better nutritional status than babies who were given nonexclusive breastfeeding.

The RELATIONSHIP OF PREGNAN WOMEN’S CHARACTERISTICS TO THEIR PERCEPTION OF THE MCH BOOK, BENDA KEREP UB-VILLAGE, ARGASUNYA VILLAGE, CIREBON CITY

in Indonesia, breast cancer is the second leading cause of death for women after cervical cancer. Based on data from the Cirebon City Health Office in 2015, the number of maternal deaths was 4/5400 live births, the number of infant deaths was 25/5455 live births, and the number of under-five deaths was 8/5378 live births. Aspects of maternal and child health can be seen from several indicators of achievement, one of which is Infant Immunization. In 2015, of 22 urban villages in the city of Cirebon, there was only one village that had not reached the target, namely in the Argasunya village. Meanwhile, the coverage of deliveries by health workers in Argasunya was 52.64% and the highest delivery assistance by traditional birth attendants in the city of cirebon was in Argasunya Village at 4.63%. The purpose of this study was to determine the relationship between characteristics and perceptions of pregnant women on the MCH Handbook. This study used a cross sectional design. The population of all pregnant women in Benda Kerep Sub-Village, Argasunya Village, Cirebon City. Sampling used total sampling. The data taken were primary data obtained through questionnaires given to 23 pregnant women. The correlation test used Chi-Square. The results of the study showed that the majority of pregnant women had a bad perception of the MCH handbook (69.56%), were aged 20-35 (87%), graduated from elementary school (78%), were with 14-27 weeks in gestation (48%), and had a plan to deliver at home (73.92%). Based on occupation, all pregnant women did not work (100%). There was no relationship between age and perception of the MCH handbook, between education and perception of the MCH handbook, between occupation and perception of the MCH handbook, and between planned place of delivery and perception of the MCH handbook.

RELATIONSHIP OF RISK FACTORS WITH HISTOPATHOLOGICAL TYPES IN CERVICAL CANCER PATIENTS IN DR SOETOMO HOSPITAL

Cervical cancer is a process of changing into malignancy in the cervix. Based on studies and previous research, cervical cancer is the third female cancer in terms of incidence (527,600 new cases) and mortality (265,700 deaths) in the world. Cervical cancer has histotopathological types in the form of squamous cell carcinoma, adenocarcinoma, and other types. This study aimed to analyze the relationship of risk factors with histopathological types in cervical cancer patients in Dr. Soetomo Hospital. Method: This analytical descriptive study used a cross sectional research design. The number of samples were 300 patients collected by total sampling. Independent variables were risk factors including age, marital age, parity, smoking, oral contraceptives, and education while dependent variables were histopathological types including squamous cell carcinoma, adenocarcinoma, and other types. Instruments used documentation. Data analysis used chi square, fisher and contingency coefficient tests. Results: There was a relationship of cervical cancer risk factors of age to histopathological type (p= 0.000 and contingency coefficient = 0.170) and no relationship of risk factors to number of parity (p= 0.321 and contingency coefficient = 1000 0.064 ), marriage age (p = 0.720 and contingency cofience = 0.038), smoking (p = 0.711 and contingency cofience = 0.036), oral contraceptive (p = 0.655 and contingency comfience = 0.042), education (p = 0.744 and contingency co-efficiency = 0.089) to histopathological type. Conclusion: There is a relationship between risk factors and histopathological types in cervical cancer patients at Oncology Polyclinic at Dr Soetomo Hospital of Surabaya.

The RELATIONSHIP OF CLEAN AND HEALTHY LIFE BEHAVIOR TO ILLNESS IN TODDLERS

Background: Childhood is susceptible to disease. One cause of illnesses in infants is due to unhealthy environmental conditions. Therefore, health efforts need to be done to prevent the emergence of diseases caused by the environment by behaving clean and healthy (PHBS). Method: observational analytic case control design. The number of samples was 142 toddlers with 71 respondents each in the case and control groups selected by consecutive sampling technique. Data were collected using questionnaires and illness reports from the health center. Data analysis used Chi Square with. Results: Chi Square test results with 5% α indicated delivery assisted by health workers (cannot be analyzed), exclusive breastfeeding (p=0.00), washing hands with soap and water (p=0.00), eradicating larvae once a week (p=0.00), not smoking at home (p=0.00), and healthy life behavior (p=0.00). Conclusion: there was a relationship of exclusive breastfeeding, washing hands with soap and water, eradicating larvae once a week, and not smoking in the house to the incidence of illness in infants

THE RELATIONSHIP OF DISTANCE TO HEALTH FACILITIES AND PHYSICAL ACTIVITIES IN RELATION TO THE QUALITY OF LIFE OF POSTMENOPAUSAL WOMEN

Quality of menopaused women’s life is influenced by several factors such as age, education level, occupation, and physical activity. Quality of life has concepts such as physical well-being, functional ability, and emotional or social well-being which ultimately lead to changes in individuals. Objective: to analyze factors related to the quality of postmenopausal women’s life. Methods: This observational analytic study used a cross sectional design. The population was all postmenopausal women who filled out online questionnaires using google forms distributed through social media with a sampling technique of convenience sampling with a total of 56 respondents. The instruments used in this study were the MENQoL (Menopause Specific Quality of Life) questionnaire and the husband's support questionnaire. Data were analyzed by using Chi Square Test. Results: This study showed that there was a relationship of physical activity which had a significant value of (p= 0.001) and the distance to health facilities (p= 0.043) to the quality of life of postmenopausal women. Conclusion: Physical activity and distance to health facilities affect the quality of life of postmenopausal women.

UTILIZATION OF SOCIAL MEDIA ON REPRODUCTIVE HEALTH KNOWLEDGE AMONG ADOLESCENTS

Social media is currently very popular and is routinely used by teenagers. There are 98% of children and adolescents who know about the internet and 79.5% of them are internet users. Adolescents need to understand information about their reproductive health properly and correctly. With the existence of technology and high utilization of social media, teenagers should be able to access reproductive health information easily. It was a descriptive quantitative study using a cross sectional study design. The population was all students of a high school with a study sample of 100 respondents and the sample technique was stratified random sampling. As many (91%) respondents used social media to find information about reproductive health. More (94%) male respondents used social media to increase knowledge of reproductive health than female respondents who only 88%. Most respondents had sufficient knowledge, namely (40%). The type of social media that was often used by students was the website (36%). The majority of the respondents therefore had sufficient knowledge about reproductive health by utilizing social media as a source of information.

LABORATE TEST FOR FE LEVELS IN KELAKAI BISCUITS

As one of the causes of anemia, iron deficiency must be overcome immediately, one of which is by finding taste-friendly food sources that can be consumed easily by anyone who is prone to anemia. This research was conducted in laboratory to determine the levels of iron in Kelakai biscuits which are assumed to be a source of food to treat anemia in adolescent girls or pregnant women. Qualitative and quantitative test were used to obtain the desired results. Based on the research results, it was found that each Kelakai biscuit contained an Fe level of 245 mg/g, which means that the formulation of the Kelakai biscuit could meet the daily needs of iron when consumed 3-4 chips per day based on the absorption of Fe in adults. Therefore, to further prove the effectiveness of these biscuits in preventing anemia, studies involving samples, either small or large scale, are highly recommended.