Liver Function, Leucocyte, and Blood Pressure Levels with Acute Stroke Functional Outcomes

Several studies have shown that there is an increase in bilirubin levels, leukocytes, and blood pressure in acute phase strokes. The purpose of this study was to determine the relationship between liver function levels, leucocytes, and blood pressure with the functional outcome of acute stroke. The method was a cross-sectional study with a sample size of 30 people who were selected by consecutive non-random sampling method, clinically proven acute stroke patients, and computed tomography (CT) scan. They were studied at the General Hospital of the Adam Malik Center. Demographic data were analyzed using descriptive statistics. The results showed that all subjects did not differ in terms of demographic characteristics. This study concluds that there is no relation between liver function (total bilirubin, direct bilirubin, indirect bilirubin, serum glutamic oxaloacetic transaminase [AST], serum glutamic pyruvic transaminase [SGPT], alkaline phosphatase [ALP]), leukocytes, and blood pressure with acute stroke functional outcome. The functional outcome in acute hemorrhagic stroke is worse than acute ischemic stroke. Higher levels of liver function, leucocytes, and blood pressure were found in patients with the worse functional outcome though not significantly associated.

Improving Health Behavior Standard Through Modern Islamic Boarding School

The purpose of this study is to explain health behavior standard of modern Islamic boarding school. The sample was determined purposively in Modern Islamic Boarding School in Banten Province, of Indonesia and respondents were 90 people with simple random techniques. This research uses descriptive quantitative method and data from the questionnaires. The results of this research showed that health behavior residents of Islamic boarding schools can be improved by predisposing factors such as (category of fairly good education and good income category), enabling factors (facilities for clinic/poskestren included: room/place, the medical and non-medical equipment and medicines in the good category) and strengthening factors (cadres of Poskestren, management aspect of clinic/poskestren, aspect of observation on the health and from the aspect of healthy behavior in the good category). A dominant factor to improving health behavior residents of Islamic boarding schools is the reinforcing factor.

Socioeconomic Status in Relation to Stunting and Motor Skill Development of Toddlers in Urban and Rural Areas

The development of child motor skills is closely related to nutritional status. Stunted children generally experience delays in motor development. The objective was to determine the relationship between stunting, socioeconomic status, and children’s motor skill development. This research was conducted in 2018 using a cross-sectional method. Respondents were 80 children aged 48-60 months in urban and rural areas of West Java. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. The researcher used a simple random technique data collection on anthropometric, socioeconomic, and motor skills development. Then it was analyzed using chi-square and Fisher exact methods. We found that stunting prevalence in rural areas was higher than in urban areas. As much as 30 % of children in rural areas and only 12.5 % of children in urban areas were categorized as stunted. There is no significant association between stunting with the family’s socioeconomic status and motor skill development. The weight for the age variable showed a significant association with stunting. Children who are malnourished have a stunting risk of 10.9 times greater than normal children (OR 10.9 p < 0.001).

Parental Monitoring and Risk Behavior in Middle Adolescents

Friends played significant role due to middle adolescents tended to imitate behaviour of their friends including the risk behaviour. Parental monitoring could minimize the risk. However, the excessive unreasonable parental monitoring tended to increase risk behaviour of middle adolescents. Therefore, the purpose of this study was to know whether perceived parental monitoring had a significant relationship with risk behaviour among middle adolescents. This study used quantitative method with two measuring instruments in the form of a questionnaire, Parental Monitoring Questionnaire which consisted of 25 items to measure parental monitoring and Adolescence Risk Behaviour Questionnaire which consisted of 15 items to measure risk behaviour. The participants in this study were 105 male senior high school student age 15-17 years, who lived with both of their parents in Jakarta. Correlation test results showed that there was a significant relationship between perceived parental monitoring and substance use, premarital sex, and criminal behaviour among middle adolescents. Based on these results, the researcher presented some discussion materials and the suggestions that needed to be considered for further research.

Knowledge & Attitudes towards Family Use of Maternal Child Health Handbook

The use of the Maternal and Child Health (MCH) handbook requires family support, but the utilization of the MCH Handbook by the family is still low. The objectives of this research are to know the extent MCH Handbook used by the family and the factors related to it. This is an explanatory research with a cross-sectional design. The study sample is the total population in Kemawi Village, which is 60 families who have pregnant woman or baby or toddler. The results of rank-spearman correlation showed that there is a strong and positive relation between knowledge with the use of MCH Handbook (rs = 0.571, p = 0.0001) and between attitude and the use of MCH Handbook (rs = 0.468, p = 0.0001). Multivariate analysis with binary logistic regression showed that the knowledge (OR =4.9) and attitude (OR=11.9) variables had a significant influence together on the use of the MCH handbook with probability is 74.3% . It is suggested to village midwives to increase counseling to the community about MCH Handbook related to mother’s health in the postpartum period, especially regarding family attitudes towards the MCH Handbook.

Factors of Organophosphate Pesticide Exposure on School Children in An Agricultural Area, Indonesia

Organophosphate is widely used in agriculture in Indonesia and contributes to a public health problem. However, the risk factors of organophosphate exposure, particularly in children living in the agricultural area, have not been described. The research aimed to assess the risk factors associated with organophosphate pesticide exposure on school children living in the agricultural area. This work was a cross-sectional study in 2017 with 166 school children were selected by simple random sampling. Structured questionnaires identified risk factors. Organophosphate metabolites detected by using LC-MS/MS. While chi-square and binary logistic tests as statistical analysis (α=0.05; 95%CI). In 28.9% of subjects, organophosphate metabolites were detected. Cut the onion leaves (p=0.002, OR=3.33, 95% CI:1.55−7.15), the onion, pesticide equipment, or pesticide in their neighbors (p=0.007; OR=2.67; 95%CI:1.31−5.46) was associated with organophosphate pesticide exposure. Involvement in agriculture activities and the onion, pesticide equipment, or pesticide in the neighbor.

Linking ASI-Mobile Android-Based App on Mothers’ Attitude and Behavior on Exclusive Breastfeed

Exclusive breastfeeding within the Palangka Raya municipality is far below target, on which 14,99% (2016) and 16,76% (2017), respectively. There were several primary health has the feeding bout, only cover 2,58%. Due to a lack of mothers’ knowledge, regarding beneficial and proper breastfeeding practices. Todays technology presumably has the advantages as promotional media. The study was aimed to quantify the android-based application, so-called ASI-Mobile, towards mothers’ attitude and behavior, on exclusive breastfeeding within Jekan Raya district, Palangka Raya Municipality, Central Kalimantan. The Research was conducted in March – October 2019, using a quasi-experimental design, and the sample was 60 pregnant women, in the third trimester period, over the Jekan Raya District areas. ASI-Mobile was subjected to 30 pregnant women, while others 30 mothers by counseling, the conventional promotion type. Purposive sampling was used, their socio-economic was collected, descriptive analysis was conducted. Bivariate analysis, Wilcoxon ranked test was used to analyzed the effect of the treatments. We’ve have found a significant link on ASI-Mobile application toward mothers’ attitudes (p-value 0.046) and behavior (p-value 0.018). We concluded that the ASI-Mobile, an android-base application, is more effective towards shifting mothers’ attitudes and behavior on exclusive breastfeeding within our study area.

Environmental Sanitation, Personal Hygiene, STH Co-infection in TB Patients

Globally, helminthiasis is one of the infectious diseases that are often associated with the incidence of tuberculosis. Helminth co-infection modulates the immune system of TB patients by reducing Th-1 response that functions as protector against Mycobacterium tuberculosis. This condition disrupts the process of eliminating bacteria so that its development becomes more progressive. The impact is the activation of latent TB and the success of TB treatment. A Soil-transmitted Helminth (STH) is a group of intestinal worms that often infect humans. Previous studies prove that environmental sanitation and personal hygiene are risk factors associated with STH infection. The study to determine the relationship of environmental sanitation and personal hygiene with the incidence of STH co-infection in TB patients at Puskesmas Puger, Jember in September until December 2019. This study uses a cross-sectional design. The sampling technique uses total sampling. A total of 32 TB patients met the criteria as study sample. The data analysis uses Fisher Test. Results showed the prevalence of STH co-infection was relatively low (18.8%); most of the respondents had good environmental sanitation and personal hygiene conditions. Bivariate analysis showed p-value (0,476) for environmental sanitation and p-value (1,000) for personal hygiene. This study concludes that there is no correlation between environmental sanitation, personal hygiene, and STH co-infection in TB patients at Public health center in Puger.

Risk of Pesticide Exposure on Impaired Level of Intelligence (IQ) of Children

The shallot cropping pattern applied by farmers in the village of Pasir Demak is very likely to cause pollution. Pesticide contamination in pregnant women in the first trimester (3 months) can result in fetal death, low birth weight, and impaired intelligence (IQ). Preliminary research conducted in 2016 found that elementary schooler who came from Pasir Village, Demak had low learning achievement. It was an observational study with a cross-sectional approach; the respondents were Elementary Schooler grades 4, 5, and 6 (107 people) and the mothers of the students (107 people). Thus, the total respondents were 214 people. The IQ assessment instrument used the SPM and CPM instruments. The level of pesticide poisoning from the mother was to measure blood Cholin Esterase levels using a tintometer, the data were then statistically analyzed using Chi Square and Odd Ratio for risk factors. There were significant differences on the level of intelligence of children including the planting system p=0.002; room area p=0.047; ventilation area p=0.041; type of pesticide p=0.001; spraying before harvest p=0.007; spraying after harvest p=0.008; storage place for crop yields p=0.039, while the variables that did not show significant difference were the playing environment p=0.848; gestational age p=0.190; contact to pesticides p=0.105 and age p=0.418. Pesticide contamination in pregnant women in the 1st trimester which the time to process formation and development of the brain in the Temporal lobe and Frontal lobe will experience impaired learning and memory (IQ). Keywords : Elementary schooler; Pesticide exposure; Level of intelligence.

Fertility in North Sumatera: Why is it not declining?

The results of the Indonesia Demographic and Health Survey (IDHS) in 2017 confirm that although the prevalence of contraception is quite high, the fertility rate in North Sumatera Province is still high. Fertility decomposition analysis has been used extensively to identify changes in fertility in various countries. This study was conducted to determine the pattern of changes in fertility decomposition in North Sumatra by using IDHS data in 2002/03 and 2017. The total fertility rate (TFR) from 2002 to 2017 in this province relatively remains the same, which is around 3 children per woman. There was a change in the proximate contribution of the determinant of fertility. Contraceptive use and effectiveness are the main contributors affecting the fertility rate in North Sumatra Province. The contribution of breastfeeding patterns has increased and marital patterns have decreased over a period of 15 years. The implementation of population and family planning programs in North Sumatra Province needs to be continuously improved to reach a TFR of 2.1 children per woman by 2024. Promotion of exclusive breastfeeding needs to be encouraged to extend the birth interval and reduce natural fertility. Prevention programs for child marriage and teenage pregnancy should be promoted.