Organoleptic Test of Boba Flour Substitution of Pumpkin Seeds High in Fiber and Protein

In 2013, the obesity rate in Indonesia for people over the age of 18 was 14.8 percent; by 2018, the obesity rate had risen to 21.8% (Riskesdas, 2018a). The significant number of fat people in Indonesia is caused by high sugar consumption and low fiber consumption regularly. One hundred grams of pumpkin seeds contain 6 grams of fiber, 30.23 grams of protein, 7.2 mg/100 zinc, polyunsaturated fatty acids, and phytosterols (Nurhasim, Tamrin, and Wahab, 2017). The purpose of this study is to identify the panelists' level of preference for four formulations of pumpkin seed flour boba using assessment factors such as taste, color, texture, and aroma. The procedural model was used in this research and development. This development study utilizes an opinion-based process (Borg and Gall, 1984), which is then modified based on research needs. Organoleptic testing on boba products without added milk drinks on untrained panelists revealed a significant difference in color and texture parameters. There was no significant difference in panelist acceptability of aroma and taste characteristics. The findings of the untrained panelist's appraisal of boba added to a milk companion drink were then presented, revealing significant changes in the color and texture parameters. Furthermore, there were no statistically significant changes in the aroma and taste indices.

The Correlation between Anxiety and Insomnia Levels to Families of Health Workers during COVID-19

There are 5,197 positive confirmed cases of COVID-19 in Banjarbaru. It is known that the COVID-19 pandemic causes essential problems related to basic needs such as economic, social, shelter and nutrition, as well as the physical effects of the disease. Not only health workers but also families of health workers experience psychological pressure. In a preliminary study, it was found that the family feel worried and anxious about their families members who work in a hospital to take care of patients. This research aims to investigate the correlation between anxiety levels and insomnia in family members of health workers at Idaman Hospital, Banjarbaru, during the COVID-19 pandemic. This research uses a Cross-Sectional approach using social media with the google form platform taking 125 correspondence as a sample. The research instrument used the DASS-21 and Insomnia Severity Index. The data were analyzed using the SPSS program, with the Spearman rank correlation test working by testing the associative hypothesis of two ordinal scale variables (ranking). A total of 70.4% of family members of health workers at Idaman Hospital Banjarbaru have a very severe level of anxiety. In addition, 46.4% of the families of health workers at Idaman Hospital Banjarbaru experienced severe insomnia. The correlation for state anxiety-insomnia is 0.846 with a p-value = 0.000 (p < 0.05). This indicates that the two variables have a significant relationship with moderate correlation strength. The direction of the positive correlation indicates that these two variables move in the same direction, meaning that the higher the anxiety, the higher insomnia is experienced. Due to the COVID-19 pandemic, the population was limited. It is necessary to conduct further and comprehensive research on the psychological impact on family members of health workers. It is very limited to find research that examines the psychological condition of the family of health workers because, as we know, that not only affects the health workers themselves, but the family also experiences psychological impacts.

Relationship Between Dietary Approach to Stop Hypertension (DASH) Knowledge and Hypertension

The prevalence of non-communicable hypertension in Indonesia in 2007, 2013, and 2018 tends to increase. This phenomenon is predicted to continue. Riskesdas shows that the prevalence of hypertension in 2018 shows the number in the population aged over 18 years based on national measurements of 34.11%. Based on the annual report of the Cinunuk Public Health Center, it shows that hypertension is the largest non-communicable disease pattern in the Cinunuk Public Health Center in 2020, reaching 2672 cases of disease from 12517 cases of other diseases with a percentage of 21.34%. Hypertension is still a major public health problem associated with considerable morbidity and mortality. Hypertension can be controlled consistently by modifying a healthy lifestyle. The DASH (Dietary Approach To Stop Hypertension) dietary intervention recommended in national guidelines can substantially lower blood pressure in both people with hypertension and those without hypertension. This study aims to determine the relationship between knowledge of DASH (Dietary Approach To Stop Hypertension) and hypertension in Cinunuk village in 2021. This study was conducted using a quantitative method with a cross-sectional approach using primary data obtained through google form distribution. The research subjects were the people of Cinunuk Village, Cimekar, a total of 103 respondents who met inclusion and exclusion criteria. The results of this study indicate that there is a relationship between Knowledge of DASH and Hypertension in Cinunuk Village (P 0.049), where the hypertension proportion was significantly smaller (2.6%) than the no-hypertension percentage (15.6%) in the group who familiar with DASH. Lifestyle modification, including DASH, play an important role in controlling hypertension.

The Most Influential Factor to Pass Rate of Modified OSCE Exam on Student Batch 2 during Pandemic Period

The Objective structure clinical examination is an assessment tool to evaluate clinical skills. There are many factors that influence to pass rate of modified OSCE. Moreover, during online learning implementation, there are some barriers. The aim of the study is to determine the most influential factor that contributing to achieving the learning outcome in terms of passing rate modified online OSCE. An observational study was chosen involving 87 medical students batch 2. Sample size calculation used the formulation of an estimated proportion population with a simple random strategy. This study employed a questionnaire of online skill learning that was made by the researcher through analysis of factor exploratory. The participants were asked to score their agreement on the five-Likert scale. Using SPSS version 24 and software of AMOS 26, we analyzed the data for simple linear regression and structural equation modeling (SEM). Results were summarized following 2 factors that influencing pass rate of modified OSCE online, in terms of transactional distance (p value=0.001, r=0.235) and learning platform availability ((p value=0.013, r=0.087). Our finding highlights that self-reflection and student access to resources have significant contributions toward independent learner characteristics. This study has contributed to solving the problem regarding the foundational concept for the requirement of online learning. The theoretical concept of a learning platform also enhances online teaching. Foremost and utmost that self-reflection and student access to resources have become two important factors to autonomy learning. The major strength of this study is the systematic manner in which it was conducted.

The Relationship Between Mother's Education Level, Mothers Knowledge and Breastfeeding Status with Toddler Motor Skills and Nutrition Status In Diwek Sub-District, Jombang Regency, East Java, Indonesia

The predominant breastfeeding coverage rate in Jombang Regency is 9 percent, which is the highest in the province of East Java. Furthermore, according to the Jombang Health Profile in 2019, the exclusive breastfeeding rate was 82.9 percent. The exclusive breastfeeding coverage rate is 0.23 percent lower than the rate of 83.03 percent in 2018. Mother's knowledge, mother's education level, environment and family, and socio-cultural support are all factors that contribute to the lack of exclusive breastfeeding. According to several researchers, a mother's level of education and knowledge has the greatest direct influence on breastfeeding. The purpose of this study was to determine the relationship between education level, mother's knowledge, and breastfeeding status with motor skills and nutrition status of toddlers in Diwek District, Jombang. This study used a cross-sectional study design with an observational analytic approach. The total population of this study, which included all children aged 0-4 years in Diwek District, Jombang Regency, was 9,264 children, with 200 samples obtained from calculations using the S. Lemeshow. The findings of this study from three independent variables (x) revealed that only one had a p-value greater than 0.05 or had a significant relationship with toddler motor skills. At the same time, the dependent variable nutritional status demonstrates that all factors in the independent variable have a p-value greater than 0.05 or indicate a link.

Relationship of Access to Clean Water with Prevalence of Stunting in Puskesmas Cicalengka in 2020

Bandung Regency was ranked the 4th highest in terms of the prevalence of stunting in West Java Province. District of Cicalengka was ranked as the 6th highest in terms of the prevalence of stunting in Bandung Regency as much as 33,7%. These numbers did not reach the World Health Organization (WHO) target, which is to reduce stunting numbers to less than 20%. It also did not reach the Bandung Regency Strategic Plan 2016-2021 target to reduce stunting prevalence to less than 14 %. Stunting was considered to be related to access to clean water. The aim of this study was to measure the relationship between access to clear water and the prevalence of stunting in Puskesmas Cicalengka in 2020. This study was analytic research using a cross-sectional design. Data that was used in this research was data of height per age in children under five years and data of access to clean water. Data were extracted from the annual report of Puskesmas Cicalengka 2020. The number of the subject which appropriate with the inclusion criteria was 5.179. The sampling technique used in this study was the whole sampling. Data were analyzed using univariate analysis to describe the characteristic of subjects and chi-square test to measure the relationship between the two variables using software statistical product and service solution (SPSS) for windows version 18.0. Chi-square test reveals that the p-value is lower than 0,05 (p=0.000). It can be concluded that access to clean water is related to the prevalence of stunting. Improved collaboration between environmental health programs and maternal and child health programs in Puskesmas Cicalengka is needed to find the solution.

Contested Perspective from Undergraduate Students and Teachers on Formative Assessment: A Qualitative Study

Background: The concept of "assessment for learning" has been widely defined as a form of assessment that facilitates students' learning. In an undergraduate setting, the concept is mostly applied on formative assessment as a form of repeated measurement followed by direct feedback. This study aims to explore the student's and teacher's perspectives about undergraduate formative assessment. Methods: We conducted a qualitative study with a phenomenological approach. Data collection saturated in six FGDs (N=44) from undergraduate students, two FGDs (N=15), followed by five in-depth interviews of teachers. The data transcripts were categorized and determined to the themes from teachers and students and a contested themes from teachers and students. Results: The subthemes interpreted from students such as (1) high concern on final scores, (2) no impact for next learning activities, (3) negative feedback is accepted as a consequence, (4) instructive feedback and explanation of material are preferable. The subthemes interpreted from teachers namely: (1) difficulty in determining individual scores; (2) students always need guidance; (3) feedback delivered related to the mastery of content. Finally, we interpreted the contested themes from students and teachers, namely (1) A "summative perception" of formative assessment, 2) The hierarchical relationships in providing feedback, and 3) The "teacher-centered" feedback delivery. Conclusion: We found that the contested perspective of students and teachers represents the score-based mindset as well as hierarchical and teacher-centered feedback in the Indonesian context of undergraduate formative assessment. Further research should be considered in the adaptation of a new paradigm in formative assessment.

Physicians' Satisfaction with The Service Quality of A Clinical Laboratory in Calapan City, Oriental Mindoro

Clinical laboratory service assessment is essential in improving the quality of care and guaranteeing that quality standards are achieved. Physicians are their primary clients as physicians rely extensively on laboratory findings to make reliable diagnoses. Thus, the study aimed to assess physicians' satisfaction at a clinical laboratory in Calapan City, Oriental Mindoro, Philippines, based on the quality of service they provide, by identifying which factors greatly influence physicians' satisfaction and the physicians' concerns and recommendations. The laboratory accessibility, report format, information system, turnaround time, and service provision are the five factors evaluated in this study. A mixed-method approach was utilized wherein an online survey consisting of a 5-point Likert scale, and open-ended questions were deployed using Google forms and answered by 42 physicians. IBM SPSS Statistics 22 and the MAXQDA system were used to evaluate the responses. Overall, the physicians were satisfied with the clinical laboratory's services (X=3.9762). The laboratory report format has the most significant impact on physicians' overall satisfaction and is the factor with which physicians are most satisfied. Improvement of the turnaround time is advised. Future studies, including more laboratories and participants, are suggested.

Physical and Blood Examining Characteristics of Shift Workers Nurses in Pandemic COVID-19

Shift work is a rotating work time outside normal working hours, either rotating with the shift work division method; this shift work can cause changes in metabolism, immunological status, and oxidative status, which will cause inflammation due to changes in circadian rhythms. During this Covid-19 pandemic, nurses who are mostly women in providing 24-hour service also continue to do shift work. There are several risk factors that might be in the Covid- 19 pandemics, such as age, hypertension, obesity, and diabetes. The purpose of this study was to look at the physical characteristics of female workers who worked shifts during the Covid-19 pandemic. The results of the study on 40 nurses who worked at Al Ihsan and Muhamadiyah Hospitals West Java showed that 50% were over 31 years old, 97.5% of people had worked >5 years, 80% of people worked in the room, the results were as follows: 97.5% systolic blood pressure normal, diatolic 97.5% normal, BMI less 1.5%, normal 40%, excess 32.5%, 25% fat; Fasting blood sugar 92.5% normal, normal ESR 31 people 97.5%, normal cholesterol as much as 100%, normal triglycerides 95%, aerobic capacity (Vo2max) average 35.15±3.18, while cGMP levels 14.28( 1.4-67.7). These results indicate that there are risk factors for COVID-19, such as high BMI and abnormal fasting blood sugar.

Literature Review: Transplacental Transmission of COVID-19 and Its Teratological Aspect

Coronavirus disease 2019 (Covid-19) pandemic affects all populations, including pregnant women. Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) infection in pregnancy needs to be a concern because of the risk of transplacental transmission to the fetus and the potential to interfere with fetal development. The objective of this study is to review the transplacental transmission of COVID-19 and the teratological aspects of the event. This article is a literature study. Based on the literature obtained, placental infection, vertical transmission, and fetal infection have been identified in some cases. However, there is still no consistent and enough scientific evidence to show that those condition causes fetal damage or causes congenital anomalies. Virus and host characteristics are thought to explain why SARS-Cov-2 infection has not shown a teratological effect. SARS-CoV-2, similar to severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS) infection, does not indicate maternal-fetal transmission. The low-level expression of angiotensin-converting enzyme 2 (ACE2) and S protein priming proteases type II transmembrane serine protease (TMPRSS 2) in the placenta is also considered to be the factor that plays a role in inhibiting the vertical transmission of COVID-19. Adverse outcome of fetal death is more due to pathophysiological conditions of maternal health caused by SARS-CoV-2 infection during gestation.