The Relationship Between Stress Levels With The Incidence Of Hypertension In Menopausal Women

Background: Menopause is the cessation of the last menstruation that occurs in the climacteric period and the hormone estrogen is no longer formed. The older the age, the more diseases suffered at the age of menopause, such as hypertension. Hypertension is a condition when a person experiences an increase in blood pressure either slowly or suddenly. The factors that cause hypertension are mostly due to stress. This study aims to determine the relationship between stress levels with the incidence of hypertension in postmenopausal women. Methods: The design of this research is correlational analytic. The sample is 50 respondents with the Stratified Random Sampling technique. The instrument used is a questionnaire. The results of the study were analyzed using the Spearman rank statistical test. Result: The results showed that there were 24 people (48.0%) with moderate stress levels and 18 people (36.0%) experiencing Stage I Hypertension. The results of the Spearman's Rank correlation test showed that the value of value = 0.000 was smaller than the value of = 0.05 so that H0 is rejected and H1 is accepted, meaning that there is a relationship between stress levels and the incidence of hypertension in postmenopausal women. Conclusion: It is expected that respondents will increase their knowledge about how to deal with stress so that they do not experience stress at a severe level so that it does not have a bad impact on them.

The Effectiveness of Consumption between Temulawak Extract (Curcuma xanthorrhiza) and Katuk Leaves (Sauropus androgynous) towards Breast Milk Launch in Postpartum Mothers

Breast milk is the natural first food for babies. Its provides all the energy and nutrients for babies in the first months of life. Breastfeeding is an excellent way of providing ideal food for the healthy growth and development of babies. Efforts to increase breast milk production are by consuming foods or ingredients that are believed to increase milk production. Temulawak (Curcuma xanthorrhiza) contains essential oils that can Temulawak contains essential oils that can stimulate breast milk production. In addition, katuk leaves (Saoropus androgynus) also have the same effect on milk production. The purpose of this study was to determine the difference in the effectiveness of consumption of temulawak extract and katuk leaves on the breast milk's flow in postpartum mothers. This research is a pre-experimental type with a two group pretest-posttest approach to 16 postpartum mothers who experience problems with the smooth flow of breast milk in each group. The results of the study were analyzed using the Mann Whitney test with p-value > (0.05), which means that there is no difference in the effectiveness of consuming temulawak extract and katuk leaves on the smooth flow of breast milk in postpartum mothers.

The Effect of Dates (Phoenix dactylifera) on Breast Milk Production in Post Partum Mother Day 3-9

Mother's Milk (ASI) is the best food for babies that is produced directly from the mother's breast to her newborn baby, because its composition is appropriate for every baby's growth and development, breast milk also contains protective substances that can prevent babies from various infectious diseases . Dates contain iron, protein, fiber, glucose, vitamins, biotin, niacin, folic acid, and minerals such as calcium, sodium, and potassium which can increase breast milk production . The purpose of this study was to determine the effect of dates on breast milk production in postpartum mothers on days 3-9 at PMB Binti Qoni'ah Nganjuk 2021. The design of this study was pre-experimental using a one-group pre-posttest design. In this study obtained a population of 15 people, with a sample of 15 people using total sampling technique. The data was collected using an observation sheet and the hypothesis test used was the Wilcoxon Signed Rank Test with a significance value = 0.05. The statistical test result from the Wilcoxon Sign Rank obtained p value = 0,01 with an error level (=0.05), it can be said that p < than it can be concluded that Ho is rejected and H1 is accepted. There is an effect of dates on breast milk production in postpartum mothers on days 3 - 9 at PMB Binti Qoni'ah Nganjuk 2021. Based on the results of the study, it is hoped that the research area can be used as input for using dates to increase breast milk production in the development of traditional medicine

The Effect of Green Bean Side Effect on Changes in Hemoglobin Levels in Pregnant Women with Anemia

Hemoglobin is an iron-carrying oxygen transport protein protein in red cells in the blood of mammals and other animals. Hemoglobin consists of iron which is the carrier of O2. High and abnormal hemoglobin levels occur due to hemoconcentration due to dehydration. The number of red blood cells and hemoglobin molecules is not always increasing and decreasing simultaneously, for example the decrease in red blood cells along with slightly elevated or normal hemoglobin levels occur in cases of pernicious anemia, as well as slightly elevated or normal hemoglobin levels of hemoglobin decreases, occurs in iron deficiency anemia. The purpose of this research is to know the effect of green bean extract on changes of hemoglobin (Hb) level in Pregnant Women. The research design used was pre experimental research. The population in detail is all Pregnant Women, with acidental sampling technique in obtaining a sample of 16 people. The research instrument used is observation sheet and digital hemoglobin gauge and statistic test used is T test. The result of research of hemoglobin level before giving of green bean has average value (mean) is 10,494 and hemoglobin level after giving of green bean has average value (mean) is 11.238 this indicates an increase of hemoglobin level in student result of research done shows that there is an increase of Hb level in get p value 0,756 and 0,89. Then the T.Test data distribution test can be concluded p value <0.05 which means H0 rejected and H1 accepted " The Effect Of Green Bean Side Effect On Changes in Hemoglobin Levels In Pregnant Women With Anemia". Based on the results of the study is expected people can consume green beans as an effort to prevent the occurrence of anemia and the fulfillment of nutrition, especially iron in Pregnant Women.

The Effect Referral Barriers to Barriers Delay in Perinatal Mortality in Karawang

Perinatal mortality is the biggest contributor to the death of infant mortality. Most of the causes of perinatal mortality can be prevented that the factors of patients, health professionals, referral and availability of health care facilities. Obstacles in the references often found in the delay in recognizing the danger, decision-making by women because it is influenced cultural issues, difficulty gaining access to health services because of problems with the distance. Karawang regency is part of West Java Province perinatal death must be completed. The purpose of this study is the referral process constraints that caused the delay referral perinatal mortality in Karawang. The study design using the sequential explanatory mixed method. Quantitative data were taken through Perinatal Maternal Audit document was tested with Fisher Exact, whereas qualitative research conducted by Focus Group Discussion and interview. The study showed no association with late referral process bottleneck references (p> 0.05 The results of the qualitative research shows that the delay in the referral is more due to the limitations of the tools for referral and indirect costs (meals, round trip hospital costs) causing late picking decision

The Association of Hygiene Sanitation Storing and the Presence of Escherichia coli Bacteria at Sambel Tumpang

Pecel tumpang is one of the typical traditional culinary of Kabupaten Kediri which has been known worldwide. The leftover sambel tumpang (kind of sauce) which is served in one day, usually be stored and be sold for the next day. The improper storing of it will result in the contamination of microorganisms in sambel tumpang. The occurrence of contamination in storing stage is caused by the cook/ chef hygiene, the storing sanitation treatment, the sanitation of the equipments, and the storing sanitation environment. This study aimed to analyze the association of Hygiene Sanitation Storing and the Presence of Escherichia coli Bacteria. This study used observational design with cross-sectional approach. It was conducted on 15 nasi pecel tumpang vendors in kampong Inggris. The analysis of the association between storing sanitation and the presence of E.coli used the contingency coefficient test (α=5%). The results of the association analysis between storing sanitation and the presence of E. coli were as follows: there was no association between cook/chef hygiene with the presence of E. coli, there was no association between storing treatment and the presence of E. coli, there was no association between sanitation of the equipment and the presence of E. coli , there was a significant association between storing sanitation environment and the presence of E. coli. The condition of storing sanitation environment of sambel tumpang in Kampung Inggris was very supportive to the growth and development of the microorganism, both bacteria and mold. The environmental conditions included moist air, non waterproof floor, the source of contaminants such as waste, and the presence of insects / flies. In order to prevent the contamination of E. coli, the vendors must pay attention to the state of the environment. The storing environment of sambel tumpang should always be freed from trash and insects / flies, and never forget to secure and close the sambal tumpang

Relationship Family Health Behavior with The Frequency of Occurrence of Children Upper respiratory tract infections In Puskesmas Banyu Urip Surabaya

Upper Respiratory Tract Infection (URTI) is the most common deadly disease of children in Indonesia. The disease is still underestimated by some families and still consider as harmless disease, so that it may suffered by the children repeatedly. Most parents do not understand that this disease can cause more dangerous diseases if not immediately handled, especially when the immune system is in bad condition. The purpose of this study was to determine the relationship between family health behavior with the incidence of URI of toddlers. The type of this research was analytic observational with cross sectional approach. The population was 53 mothers with sick and healthy toddlers who visited the Puskesmas Banyu Urip Surabaya. The sample was 47 respondents which taken by simple random sampling. Independent vURTIable was family health behavior while dependent vURTIable was incident of URTI. Instruments were questionnaire and interview sheet. The data analyzed by Mann-Whitney test with significance level α = 0,05. The result showed that most of the respondents (61,7%) had positive behavior and most of them (59,6%) rarely suffered URTI, whereas almost half (40,4%) of respondents had children often suffered URI. Mann-Whitney test analysis results show that ρ = 0.008 <0.05 then H0 was rejected means there was relationship of family health behavior with the incidence of URTI at infants at Puskesmas Banyu Urip Surabaya

Development of a Model of Asthma Management in Children Based on Beliefs by Parents in The Concept of The Health Belief Model

Introduction: Asthma in children causes loss of school days, and also causes growth in children. Parents have a responsibility to manage asthma, they need asthma management education for children who can increase their wisdom in managing it. The research objective was to develop a model of asthma management education in children based on beliefs in the concept of the Health Belief Model. Method: quasi-experimental research with 66 respondents, probability sampling method through simple random sampling. Using 3 HBM model development questionnaires belief, threat and behavior. Statistical analysis : using a paired t-test, Mann Whitney test, linear regression adjusted for each variable studied in developing HBM. Results and Analysis : education on trust (p <0.001), confidence in threats (p = 0.001), threats towards behavior (p <0.001), educational influence on behavior (p <0.001). Discussion and Conclusion: Parents' beliefs about their ability to discuss existing problems are very important to overcome recurrence. Increased confidence in skills, increased satisfaction and self-confidence, with an effective increase in good conditions by children with asthma.

Scope of Physiotherapy Practice in District Hospitals of the Semi-developed Barisal Division, Barisal, Bangladesh

In the developed nations physiotherapist are autonomously participating in the first line and already they are working in the second line treatment alongside with other professionals and the right for the mass population similar to the goal of the public health. The aim of the study was to sort out the real scenario of the development of physiotherapy services as a part of primary health care services including the knowledge and attitude of the general people. A multistage sampling method was selected for conducting the study in districts hospitals of the Barisal division. Result depicted that among the respondents mean age 36.86 ± 4.558 years and most 33.3% (n= 73) of them were younger age range 21-30 years and interestingly highest 41.55% (n= 91) were graduated with highly significant (x2= 1.196, P= 0.000). 65.3% (n= 143) of patients had knowledge about physiotherapy. Majority of case 41.1% (n= 90) orthopedic (x2= 86.175, P= 0.000) and medical condition stroke ware highest 30.1% (n= 66) statically significant (x2= 1.561, P= 0.000). Due to the awareness maximum, 39.70% (n= 87) came from self-reference and 88.4% (n= 176) received exercise therapy including other electrical modalities. Lowest 8.70% (n= 19) of patient expense > 300 BDT. Treatment right time 60.3% (n= 132). Treatment success rate 69.4% (n= 152). Difficulty to come physiotherapy center 43.8% (n= 96). Some limitation that causes insufficiency in treatment provide; 10.6% patient noted poor timing, 30.7% long witting time, 68.3% (n= 136) unpleasant, 78.9% (n= 157) absence of physiotherapist, 9.5% (n= 19) lack of cooperation. Although that 99.5% patient demand physiotherapy center as close as their range and 60.3% (n=132) satisfied with the treatment. Therefore it is strongly suggested to set up a modern physiotherapy department within the primary health care system with the qualified physiotherapist in community-level also District level hospital

The Relationship Between Exclusive Breast Feeding With Fine Motoric Development In Infants 6-12 Months Of Age In The Village Kebonsari Rw 02 Temple Sidoarjo

Baby village temple Kebonsari sidoarjo many are not exclusively breastfed because most mothers so busy working impaired fine motoric development. The purpose of this study was to determine the relationship of exclusive breastfeeding with fine motoric development in infants aged 6-12 months Kebonsari Candi Sidoarjo village. This study design was observational analytic. The study population was 35 pairs of mothers and infants village temple Kebonsari Sidoarjo and sample 32 pairs of respondents, taken by simple random sampling. The independent variables were exclusively breastfed and fine motoric development of babies as the dependent variable. Instrument data collection using questionnaires and observation sheets DDST then Spearman rank test with significance level α = 0.05. The results showed that a large part (71.9%) of mothers breastfeeding, and the bulk (62.5%) infants have normal fine motoric development. Spearman rank test results obtained value of ρ = 0.023 <α = 0.05, H0 denied, there is a relationship of exclusive breastfeeding with fine motoric development in infants aged 6-12 months Kebonsari Candi Sidoarjo village. The conclusions of this research are mothers who exclusively breastfed their babies and fine motoric development is normal. Nurses are highly recommended providing information about how and benefits of exclusive breastfeeding for the stimulation of the development of fine motoric skills