The Effect of Guided Imagery and Health Education on Heart Failure Patient Anxiety During The Covid-19 Pandemic At Hospital X

There are conditions that increase an individual's risk of having a poor prognosis if infected with the COVID-19 virus, including heart disease. This condition can cause anxiety in heart failure patients and reduce the body's resistance. This study aims to identify the effect of guided imagery and health education on the anxiety of heart failure patients during the COVID 19 pandemic. The study used a Quasi Experiment. The number of samples was 62 respondents, given guided imagery relaxation and health education through booklets for 14 days. Statistical tests used Wilcoxon test and Ordinal Logistic Regression. The results showed that the level of anxiety before the intervention 61.3% moderate anxiety level and after the intervention 83.9% were not anxious. There was a significant effect between guided imagery and health education with anxiety levels (0.000). In conclusion, guided imagery relaxation and health education have an effect on decreasing the anxiety level of heart failure patients. This study recommends the need for further research on other therapies as nurse interventions in heart failure nursing care. Key words: Anxiety; COVID-19; health education; heart failure; guided imagery

Knowledge and Anxiety Levels about the Spread of Covid-19 Cases in the Community in Patihan Village, Madiun City

Coronavirus is a disease that can cause respiratory tract infections. The addition of cases that are increasing every day makes people more worried about their health. The purpose of this study was to analyze the relationship between knowledge and the level of anxiety about the spread of Covid-19 cases in Patihan Village, Madiun City. The researcher used quantitative research with observational survey method with cross sectional approach. In analyzing the data, the researcher used univariate analysis as a frequency measurement tool and bivariate analysis used Kendall's tau-b test statistics. The population in the study was 1373 families, the sample was 32 families. The method used is purposive sampling. The results of the bivariate test showed that there was a significant relationship between the independent variable and the dependent variable, which obtained a value (Sig. = 0.034). The level of knowledge is sufficient to have a moderate level of anxiety as many as 5 respondents (55.5%), the level of knowledge is sufficient with a level of severe anxiety as many as 4 respondents (44.5%), while the level of knowledge is good with a moderate level of anxiety as many as 4 respondents (17.4% ), and the level of knowledge is good with the level of severe anxiety as many as 19 respondents (82.6%). There is a significant relationship between knowledge and the level of anxiety about the spread of Covid-19 cases in the community in Patihan Village, Madiun City. Suggestions for further researchers can conduct qualitative research methods with a case control approach on respondents who have comorbidities.

Individual Characteristics And The Gateway Hypothesis Among Drug User Patient In Indonesia

Drug abuse has become severe not just in the world but also in Indonesia. To address this problem, public policies and researcher try to understand the drug use pattern. One of the famous concept in drug use pattern is gatheway hypothesis. The gateway hypothesis refers to the pattern of substance use initiate softer drug lead to the harder drug. However, many literature shows drug use pattern is not just gateway pattern, there is reversal pattern and using both gateway and reversal pattern. Many studies have discussed the relationship between drug use and individual characteristics. However, few of them are relatively link between individual characteristics and the sequential order in drug use. The purpose of this study is to evaluate how individual characteristics are associated with the gateway pattern and other pattern for different types of drugs. We use a secondary dataset of individual drug user patients from the Rehabilitation Center of National Narcotics Board aged 14–67 years assessed using the Addiction Severity Index (ASI), employing probit and multinominal logit model. Duration are associated with initial soft drug user with gateway pattern. While alcohol use and have high education level related with initial hard drug user with reversal pattern. Interestingly, duration and alcohol use correlated with initial intermediate drug user with all kind of pattern. Prevention and intervention efforts should be targeting high-risk characteristics of people at an initial stage of drug use and progression to the next stage.

Father's Support and Mother's Behavior in Stunting Prevention Efforts

Stunting is the nutritional quality of infants under five years of age according to age compared to the usual benchmarks according to the World Health Organization's Multicentre Growth Reference Study in 2006. The incidence of stunting in infants under five years of age is a problem that exists in Indonesia and is a major nutritional problem. Data from the results of monitoring the quality of nutrition in the previous three years period has the highest prevalence compared to other nutritional problems such as malnutrition, thinness, and obesity. The purpose of this study was to analyze the correlation of the father's support and mother's behavior in Stunting Prevention Efforts in Tuntung 2 Village, Pancur Batu District, Deli Serdang Regency using a cross-sectional design. This study was done on 135 mothers who have infants aged 6-59 months as respondents. The variables in this study were father's support related to stunting prevention and the dependent variable in this study is the behavior of the mother in preventing stunting. The results showed that there was a significant correlation of the father's support and mothers’ behavior in preventing stunting (p <0.038). To increase efforts of prevent stunting, it is hoped that fathers who have not supported their wives should be more concerned about their toddler's growth and health.

Health Risk in Hot Springs: A Literature Review

Natural hot spring is one of the recreational water. The public used it for recreation, relaxation, and therapy. The water quality should meet standards, such as free from microorganisms to prevent the onset of health complaints. This paper aimed to identify the pathogenic microorganisms and recreational water illness in natural hot spring users from worldwide studies. Method: This systematic review analysis use PRISMA Protocol as a guide to provide this article and PEO Framework to specified the criteria. Various database used to find those article is NCBI, Google Scholar, and Science Direct. In total of 10 eligible articles to analyse from 2010 -2020. Discussion: The result showed that hot spring users experienced health complaints after using hot springs contaminated with pathogenic microorganisms. The microorganisms identified were Naegleria spp, Naegleria fowleri, Legionella pneumophila, Vittaforma corneae, Mycobacterium avium-intracellulare Complex (MAC), Pseudomonas aeruginosa, and Mycobacterium phocaicum. Recreation water illnesses identified were Primary Amebic Meningoencephalitis (PAM), Legionella pneumonia, Pseudomonas foliculitis, Pseudomonas mastitis, Microsporidial keratitis, Hot tub lung (HTL), and P. aeruginosa pneumonia. Besides the water quality, age, comorbid, and frequency of visiting hot springs were risk factors of recreational water illness. Conclusion: The onset of recreational water illness in users of hot springs was influenced by the quality of water microbiology and age.

Hypertension Associated with Poor Sleep Quality in The Elderly Population in Batu City

Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.

Ship Sanitation: Controlling and Preventing Risk Factors of Disease Transmission

The spread of infectious diseases globally has been a threat to public health and national economies for many centuries. One of the undeniable sectors that contributed to the spread of disease is maritime transport. This research aimed to examine ship sanitation for controlling and preventing the potential risk of disease transmission. This study used an observational survey method, with a sample of 24 ships that anchored in the port of Kendari by using an accidental sampling technique. Findings from this research revealed that there were ships with high-risk sanitation categories or have unqualified levels of sanitation. The main determinants that contribute to accelerating the global transmission of many infectious diseases on the ship are the sign and presence of vectors. Outbreaks associated with the presence of vectors on board are usually related to inadequate control and sanitation along with insufficient attention to preventing contamination. Therefore, the crewmember on board needs to increase their knowledge through various ship sanitation training, develop sanitation programs and integrate sustainable monitoring and evaluation programs of vectors toimprove sanitation as an effort to prevent risk factors for disease transmission.

Factors Associated with The Incidence of Low Birth Weight

Low birth weight (LBW) is one of the causes of infant mortality. LBW babies can be caused by internal and external factors. This research aims to determine the factors associated with the incidence of low birth weight. This research is a retrospective study with a case control approach. The population is all mothers who gave birth in Puskemas Kayu Kunyit in South Bengkulu Regency throughout 2019, as many as 129 people, consisting of 14 babies with LBW and 115 babies with normal birth weight. The sample of this study was 28 people consisting of 14 babies who experienced LBW and 14 babies who were not LBW. Secondary data were obtained from maternal cohort and infant cohort and cases of data the incidence of low birth weight and the risk of pregnant women. Analysis of data using statistical test Chi-Square with a 95% confidence level. The analysis shows that the factors of low birth weight are maternal age (?=0.002), maternal parity (?=0.006), and pregnancy distance (?=0.02). In conclusion, factors associated with the incidence of low birth weight are maternal age, maternal parity, and pregnancy distance in the Puskesmas Kayu Kunyit.

Environmental Conditions and COVID-19 Incident

COVID-19 merupakan penyakit menular baru yang disebabkan oleh virus SARS-CoV-2. Ditetapkan sebagai pandemi pada 12 Maret 2020 karena memiliki sebaran kasus yang tinggi dan cepat dibeberapa negara. Pada 1 Februari 2021 total kasus COVID-19 mencapai 103 juta di dunia, sedangkan di indonesia mencaoai 1,09 juta. Banyak faktor yang mempengaruhi terhadap penularan dan kematian COVID-19, seperti kondisi lingkungan. Penelitian ini bertujuan untuk memberikan gambaran kondisi lingkungan yang dapat menjadi faktor penularan dan kematian akibat COVID-19. Metode dalam penelitian ini adalah literature review, merupakan kajian pustaka dengan kajian data sekunder diperoleh melalui jurnal penelitian yang kemudihan disintesis sehingga didapatkan 23 jurnal sebagai acuan penyusunan kajian pustaka. Hasil kajian pustaka, COVID-19 dan degradasi lingkungan memiliki penurunan pencemaran udara, air, kebisingan, dan pencemaran laut akibat lockdown. Namun, terjadi peningkatan volumen limbah B3 dari pasien COVID-19. Kemudihan COVID-19 dan pencemaran udara didapatkan hasil, karbon monoksida (CO), NO2, dan materi partikulat berdiameter kecil atau sama dengan 10 ?m' (PM10) mengalami penurunan signifikan selama lockdown global. Sedangkan untuk COVID-19 dan Klimatologi-Meteorologi didapatkan hasil, Setiap kenaikan suhu 1oC dari suhu rata-rata dapat menurunkan kasus harian COVID-19 sebesar 36% dan 57% ketika rata-rata kelembaban pada 67% dan 85,5% (%). Demikian juga kelembaban, setiap kenaikan 1oC relatif menurunkan kasus harian COVID-19 sebesar 11% hingga 22% dengan rentang suhu 5,04oC hingga 8,2oC. Simpulan penelitian ini adalah, kondisi lingkungan pada saat pandemi COVID-19 memiliki polemik tersendiri. Kerusakan lingkungan seperti pencemaran udara, laut mulai berkurang dengan adanya kebijakan lockdown sebagai upaya pencegahan dan pengendalian COVID-19. Namun beberapa polutan seperti PM2,5 , PM10, CO, NO2 dan O3 memiliki hubungan yang signifikan dengan transmisi COVID-19. Selain itu, faktor klimatologi dan meteorologi seperti suhu dan kelembaban memiliki nilai asosiasi yang kuat terhadap kasus harian COVID-19COVID-19 is a new infectious disease caused by the SARS-CoV-2 virus and was designated a pandemic on March 12, 2020, because it has spread cases in several countries. On February 1, 2021, the total number of COVID-19 cases reached 103 million in the world, and in Indonesia it reached 1.09 million. Many factors influence the transmission and death of COVID-19, for example environmental conditions. This study aims to provide an overview of environmental conditions that can be a factor for transmission and death due to COVID-19. The method in this research is literature review, which is a literature review with secondary data obtained through research journals which are then synthesized and obtained 23 articles as a reference for preparing literature reviews. COVID-19 and environmental degradation have decreased air, water, noise and marine pollution due to the lockdown, but there has been an increase in the volume of hazardous and toxic waste from COVID-19 patients. Then from air pollution, the results of decreases in CO, NO2, and PM10 during lockdown. Meanwhile, for climatology and meteorology, the result is that every 1oC increase in temperature from the average temperature can reduce daily cases of COVID-19 by 36% and 57% when the average humidity is at 67% and 85.5%. Likewis,e humidity each 1oC increase relatively reduces daily cases of COVID-19 by 11% to 22% with a temperature range of 5.04oC to 8.2oC. The conclusion of this research is that the environmental conditions at the time of the COVID-19 pandemic had their own polemic. However, several pollutants such as PM2,5, PM10, CO, NO2 and O3 have a significant relationship with the transmission of COVID-19. This literature review can provide recommendations regarding a holistic model policy for governments globally in efforts to prevent and control environmental pollution, and recycle medical waste.COVID-19 is a new infectious disease caused by the SARS-CoV-2 virus and was designated as a pandemic since March 12, 2020, because there are a lot of case in several countries. On February 1, 2021, the total number of COVID-19 cases reached 103 million in the world, and in Indonesia it reached 1.09 million. Many factors influence the transmission and death of COVID-19, for example environmental conditions. This study aims to provide an overview of environmental conditions that can be a factor for transmission and death due to COVID-19. The method in this research is literature review, which is a literature review with secondary data obtained through research journals which are then synthesized and obtained 23 articles as a reference for preparing literature reviews. COVID-19 and environmental degradation have decreased air, water, noise and marine pollution due to the lockdown, but there has been an increase in the volume of hazardous and toxic waste from COVID-19 patients. Then from air pollution, the results of decreases in CO, NO2, and PM10 during lockdown. Meanwhile, for climatology and meteorology, the result is that every 1oC increase in temperature from the average temperature can reduce daily cases of COVID-19 by 36% and 57% when the average humidity is at 67% and 85.5%. Likewis,e humidity each 1oC increase relatively reduces daily cases of COVID-19 by 11% to 22% with a temperature range of 5.04oC to 8.2oC. The conclusion of this research is that the environmental conditions during a pandemic had their own polemic. However, several pollutants such as CO, NO2, O3, PM2,5, and PM10 is closely related to the spread of COVID-19. This literature review can provide recommendations for an overall global government demonstration policy in the prevention and control of environmental pollution and recycling of medical waste.

The Dominant factor of metabolic syndrome among office workers

The prevalence of metabolic syndrome in workers is high. Its impact can lower health status and disrupt work productivity. This research aimed to identify the dominant factor of metabolic syndrome among workers in government agencies of the Tanjung Priok port, Jakarta. The research method used descriptive- analytic with a cross-sectional design. The study used secondary data from medical check-up records of 256 workers in Port of Tanjung Priok. The inclusion criteria was all employees who had a medical check-up. Exclusion criteria was pregnancy and individuals with too much missing or poorly recorded information. The chi-square test and binary logistic regression were applied for analysis. The study found that metabolic syndrome prevalence was quite high in workers (38.7%). The results of a multivariate analysis showed physical activity (p = 0,003, OR = 2,238), total energy (P = 0,038, OR = 1,960), and carbohydrate intake (p = 0,014, OR = 0,490), together became the risk factor of the metabolic syndrome among workers. The dominant factor of metabolic syndrome was physical activity. The worker was susceptible to low physical activity so that the risk of metabolic syndrome was quite high. The company should improve the health promotion program in the workplace with regular screening, improved physical activity and provide a healthy meal to prevent metabolic syndrome in workers.