Jurnal Proteksi Kesehatan merupakan jurnal ilmiah nasional yang memuat artikel penelitian (research article) di bidang kesehatan, meliputi kebidanan, keperawatan, kesehatan masyarakat, kesehatan lingkungan, farmasi, laboratorium medis dan gizi. Jurnal Proteksi Kesehatan diterbitkan pertama kali pada bulan November 2012 dan kemudian diterbitkan 6 bulan sekali yaitu bulan April dan November. Jurnal Proteksi Kesehatan diterbitkan oleh Unit Penelitian dan Pengabdian kepada Masyarakat Poltekkes Kemenkes Riau.
Kajian Kepatuhan Terapi dan Kualitas Hidup Terkait Kesehatan Pasien DM Tipe II di Poli Penyakit Dalam RSUD HA Thalib Kota Sungai Penuh
Diabetes melitus merupakan penyakit kronis yang membutuhkan tatalaksana dalam jangka waktu panjang. Kepatuhan menjadi faktor penentu keberhasilan terapi karena berdampak pada Health Related Quality of Life (HRQoL). Tujuan penelitian ini mengkaji kepatuhan terapi dan kualitas hidup pasien DM tipe II, hubungannya dengan faktor sosiodemografi dan klinis, serta hubungan antar keduanya. Metode penelitian ini cross sectional, dilakukan selama bulan Juni 2024 dengan sampel 144 responden di Poli Penyakit Dalam RSUD HA Thalib Kota Sungai Penuh. Menggunakan kuesinoer MARS-5 untuk tingkat kepatuhan terapi dan DqoL untuk kualitas hidup pasien. Hasil menunjukan tidak terdapat hubungan antara karakteristik sosiodemografi dan klinis dengan tingkat kepatuhan terapi, namun terdapat hubungan antara pekerjaan, penyakit penyerta dan komplikasi terhadap kualitas hidup. Analisis hubungan tingkat kepatuhan terapi dengan kualitas hidup menggunakan uji chi square menunjukan adanya hubungan yang signifikan dengan p-value 0,001. Dapat disimpulkan terdapat hubungan signifikan kepatuhan terapi pasien dengan kualitas hidup pasien diabetes melitus tipe II.
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Faktor Yang Mempengaruhi Deteksi Dini Resiko Tinggi Kehamilan
Deteksi dini risiko tinggi kehamilan penting untuk mencegah komplikasi pada ibu dan janin. Namun, masih rendahnya angka deteksi dini di beberapa daerah menjadi tantangan, yang diduga dipengaruhi oleh tingkat pendidikan, pengetahuan, dan akses layanan kesehatan. Penelitian ini bertujuan menganalisis pengaruh faktor-faktor tersebut terhadap deteksi dini risiko kehamilan. Metode yang digunakan adalah kuantitatif dengan desain cross- sectional pada 103 ibu hamil di Puskesmas Tirto I, Kabupaten Pekalongan, menggunakan uji chi-square. Hasil menunjukkan hubungan signifikan antara tingkat pengetahuan (p=0,001), pendidikan (p=0,021), dan kepemilikan asuransi kesehatan (p=0,017) dengan deteksi dini risiko kehamilan. Berdasarkan temuan tersebut, peningkatan edukasi kesehatan serta kemudahan akses layanan perlu dioptimalkan oleh tenaga kesehatan untuk meningkatkan kesadaran ibu hamil dalam melakukan deteksi dini. Oleh karena itu, disarankan agar tenaga kesehatan lebih proaktif dalam memberikan edukasi yang berkelanjutan serta memperluas jangkauan layanan kesehatan, sehingga ibu hamil memiliki pemahaman yang memadai dan akses yang lebih baik dalam melakukan deteksi dini risiko kehamilan.
The Effect of Health Promotion using Audio Visual Media on Knowledge about Personal Hygiene in Class VI
Currently, the problem that occurs in school age children is lack of Personal Hygiene. Lack of Personal Hygiene can be overcome by promoting health. This research aims to determine the effect of health promotion using audio-visual media on students' knowledge at SDN 020 Rambah Hilir. This research uses a pre-experimental method with a one group pre-test and post-test research design. With a sampling technique, namely total sampling, where the population and sample are the same, namely 56 people. The research results from data analysis mean students' knowledge about Personal Hygiene before health promotion was carried out was 74.91 while the average knowledge of students about Personal Hygiene after health promotion was carried out was 86.44. Based on the results of the T-Dependent statistical test data, a value (P-value 0.000) < 0.005 was obtained, which means that there is an influence of Health Promotion with audio visual media to increase students' knowledge about personal hygiene.
The Effectiveness of Avocado Leaf Ethanol Extract Ointment (Persea americana Mill.) on Incision Wound Healing in White Mice
Avocado leaves (Persea americana Mill.) contain bioactive compounds that can aid in the wound healing process by reducing the number of neutrophils. This study aims to determine the effect of avocado leaf ethanol extract ointment on healing cuts on the back skin of white mice (Mus musculus ) strain Balbc. The study was based on a laboratory experimental design with a post-test control group. The research subjects included 5 male white mice for each treatment group. The treatment groups used extract concentrations in ointment preparations of K15%, K35%, and K45%, with a negative control (Vaseline) and a positive control (Gentamicin). The cuts were made by injuring the back skin along a length of 15 mm and a depth of 2 mm. Observations of wound length measurements were conducted from day 0 to day 14. The research data were analyzed statistically using One-Way ANOVA, followed by Duncan's Post Hoc test. The results showed that the most effective group was K45%, , which achieved complete wound healing within 12 days.
Analysis of Pixel Values in Lateral Os Sacrum Radiographic Examinations Using Various Virtual Grid Ratios
Lumbosacral lateral projection radiography, particularly of the fifth lumbar vertebra (L5) and Sacrum, often experiences a decrease in contrast due to exposure factors and object thickness. This study aims to analyze the variation in the Virtual Grid ratio of 8:1, 10:1, and 12:1 in lateral projection sacrum examinations using the Pixel Value indicator. This descriptive quantitative study was conducted in May–June 2025 at the Radiography and Physics Laboratory, Department of Radiodiagnostic and Radiotherapy Technology, Jakarta II Polytechnic. The sample consisted of lateral sacrum images with three grid ratio variations. Analysis was performed on the average Pixel Value, followed by statistical testing using SPSS 27 with the One-Way ANOVA method. The results showed the average Pixel Value: 8:1 ratio at 150.94; 10:1 ratio at 150.46; and 12:1 ratio at 152.75 with P>0.05, indicating no significant difference between the grid ratio variations.
Family Coping Mechanisms in Response to Stunting Events in Toddlers in the Working Area of Pekanheran Health Center
Stunting remains a public health issue in Indonesia, with an estimated 27.7% of children under five years old experiencing stunting. The role of parents and family is very important in meeting the needs of children and providing them with good growth and development, so that children can live well. A positive family coping approach is very important. Without effective family coping mechanisms, the family's functions cannot be adequately achieved. Desa Air Jernih is a Stunting Locus Village in 2024. The purpose of this study is to determine the relationship between family coping mechanisms and the incidence of stunting in toddlers, using a total population technique involving 89 families with toddlers and employing three types of questionnaires: a respondent characteristic questionnaire, a toddler height measurement, and a parental coping mechanism questionnaire using the F-COPES instrument. Based on statistical testing using the chi-square method, a p-value of 0.282 was obtained, indicating that there is no relationship between family coping mechanisms and the incidence of stunting.
Antibacterial Properties of Turmeric Oil Nanoemulsion
Turmeric oil is an essential oil extracted from Curcuma domestica rhizome, containing active compounds like turmerone, atlantone, and zingiberone, with various pharmacological activities. This study aimed to evaluate the antibacterial activity of turmeric oil nanoemulsion formulations (F1, F2, F3) against Staphylococcus aureus and Escherichia coli. The nanoemulsions were characterized for organoleptic properties, pH, viscosity, stability, homogeneity, droplet size, and zeta potential. All formulas appeared as thick, yellow, aromatic liquids with good homogeneity, pH of 6.8–7.0, and showed no separation upon centrifugation. Droplet sizes were 23.2 nm (F1), 203.8 nm (F2), and 298.7 nm (F3), with zeta potentials of –18.5 mV, –13.4 mV, and –8.5 mV, respectively. Antibacterial tests using the diffusion method showed moderate activity with inhibition zones ranging from 5.0–9.8 mm. These findings indicate that turmeric oil nanoemulsions are physically stable and exhibit moderate antibacterial activity.
The Relationship between Knowledge of Oral Health Maintenance with the Incidence of Gingivitis in Traders
Gingivitis is a periodontal disease involving the gingival tissue, caused by bacterial invasion. The emergence of gingivitis problems in society can be caused by individual behavioral factors that neglect oral hygiene due to lack of individual knowledge about the importance of oral health maintenance. This study aims to see the relationship between knowledge of oral health maintenance and the incidence of gingivitis in traders at Tanjungsari Square, Tanjungsari Village, Sumedang Regency. This analytic study with a cross sectional design took samples with purposive sampling technique as many as 31 respondents. Data were collected through questionnaires and modified gingival index (MGI) examination. The results showed that as many as 13 (41.9%) respondents still had a level of knowledge in the lack category and as many as 12 (38.7%) respondents still had gingivitis with moderate inflammation. The Spearman test obtained a p-value of 0.037 <0.05 with r count -0.377, which means that there is a relationship between knowledge of oral health maintenance with the incidence of gingivitis in traders. The lower the knowledge of oral health maintenance, the higher the incidence of gingivitis in traders.
An Analysis of Filling Completeness and Return Punctuality of Inpatient Medical Record Document at Hospital
The completeness of the form, accuracy, accuracy of the records, and timeliness of returns are indicators of quality medical records and have not yet been achieved. This research aims to obtain information about the completeness of filling in and the timeliness of returning inpatient medical records at Bina Kasih Hospital Pekanbaru. This type of research is qualitative, with a case study approach, with thematic analysis by conducting interviews with 6 informants, conducting observations, and reviewing documents. It was found that the results of the input mechanism were that the high workload caused the open assessment of medical records to not be carried out properly, the skills of the staff were in line with the job description, the forms still used paper on patient status, this affected the incompleteness of filling in medical records, the filling method was carried out after an action had been taken on the patient. weak control and no sanctions for those who are not disciplined, in the aspect of the process of filling out the equipment in stages, the level of indiscipline is high. The output has not produced the expected results with a value of 60%, this result is below the hospital's minimum standard value of 80%.
Characteristic Associated with Perineal Rupture in Multiparous Delivery Mother
In 2017, 566 mothers in Indonesia experienced perineal rupture, while in Lampung in 2022, there were 24 cases of bleeding triggered by perineal rupture. This study aims to identify characteristics associated with perineal rupture in multiparous mothers at PMB Midwife Ketut Dani, SST, in 2023. The research design was cross-sectional with a sample of 45 multiparous mothers, where 30 experienced perineal rupture and 15 did not. Simple random sampling was used, and data were analyzed using univariate and bivariate methods with the chi-square test. Results showed 66.7% of multiparous mothers experienced perineal rupture, while 33.3% did not. Significant factors associated with perineal rupture were maternal age (p-value 0.015) and birth spacing (p-value 0.019). However, infant birth weight (p-value 0.800) had no significant relationship with perineal rupture. This study emphasizes the importance of maternal age and birth spacing in the prevention of perineal rupture and encourages the practice of perineal massage and Kegel exercises for multiparous pregnant women.
Feeding Practices and Nutritional Status of The Toddler
Complementary feeding practices that are not optimal are one of the causing factors of stunting. The purpose of this study was to determine the relationship between complementary feeding practice and stunting among children in Kampar Districts. Complementary feeding practices include early age of giving complementary feeding, texture, frequency, portion, hygiene, and responsive feeding. Kampar is a high contributor to fish resources but has also been a locus for stunting for several years. The cross-sectional study with a population of all children aged 6-23 months. The proportionate stratified random sampling technique was used with a total sample is 100 children. Body length was measured using a length board, feeding practices were obtained through observation using a checklist sheet, and nutritional intake through food recall for 1x24 hours. Data analysis was univariate and bivariate using the chi-square test. There are 17% stunted and 83% non-stunted. As many as 29% received early complementary feeding, 70% texture was inappropriate, 66% frequency was inappropriate, 69% portion was inappropriate, 83% menu did not vary, 95% was not hygienic, 38% was unresponsive and inadequate intake. There was a significant relationship between responsive feeding and nutritional status (p<0.05)
Optimizing Addition of Africal Catfish to the Level of Preferences and Nutritional Content of Cassava Rengginang
Rengginang cassava has a high carbohydrate content while the protein content is low so it is necessary to add other ingredients such as the addition of catfish. This type of research is an experimental study with a completely randomized design (CRD) consisting of four treatments, namely 0% (control), 10%, 20% and 30%, and using 25 semi-trained panelists. Based on the results of the highest average level of preference for the color, aroma, taste and texture of cassava rengginang with the addition of Africancatfish at aconcentration of 10%. The One-Way Anova test indicated a significant effect (р<0,05) in terms of color, aroma, taste, and texture. This study provides an innovation in traditional rengginang products by adding dumbo catfish as an additional protein source. This innovation transforms rengginang from merely a carbohydrate source into a highly nutritious snack rich in protein.
Bilingual Android App for Early Nutrition Education
This study investigates the implementation and effectiveness of NutriPlay, an Android-based application designed to enhance understanding of balanced nutrition among early childhood students in Pekanbaru, Indonesia. NutriPlay features interactive, visually engaging, and bilingual content aimed at enriching children’s vocabulary while promoting nutrition education. The study involved 30 students from PAUD Lily Jaya and PAUD Al-Fatah, with data collected on usage duration, interest level, ease of use, and improvement in nutrition understanding. The results indicate that 70% of the students used NutriPlay for less than 5 minutes per session, while 30% used it for 5-10 minutes per session, and none of the students used it for more than 10 minutes. Despite the short usage periods, 85% of the students reported increased interest in the application, and 90% showed significant improvement in their understanding of nutrition concepts. These findings suggest that NutriPlay is effective in delivering educational content within short usage periods, sustaining children’s interest through repeated use, and significantly improving their understanding of nutrition concepts.
Diet and Menstrual Disorders in Women of Fertile Age
Menstrual disorders are caused by diet and sedentary life, stress, disease, genetic. The purpose of the study was to determine the relationship between the frequency of junk food consumption and menstrual cycle disorders. This study used a cross sectional design with respondents involved were WUS visiting the catin clinic at Puskesmas Duren Sawit, East Jakarta. The number of respondents was 55 people. Data analysis using chi square test. The results of the study respondents whose menstrual cycle was not normal as much as 23.6%. The youngest age of menarche was 12 years. The frequency of junk food consumption in the category of frequent consumption (7 times / week) is a group of foods / drinks containing a lot of sugar, fried foods, processed meat foods by 81.8%, 67.3%, 36.4%. The results of the chi square test showed that there was a significant relationship between the frequency of junk food consumption and menstrual cycle disorders with P <0.05. In conclusion, junk food consumption is a cause of menstrual cycle disorders and further research is needed to see the causes of menstrual cycle disorders as a whole.
Evaluation of Drug Use in Gastroesophageal Reflux Disease (GERD) Patient at the Outpatient Installation
Gastroesophageal Reflux Disease (GERD) is a disorder in which stomach contents reflux repeatedly into the esophagus, causing disturbing symptoms or complications. Heartburn and regurgitation are the hallmark symptoms of GERD. This study aims to determine the evaluation of drug use which includes the right indication, the right dose, the right drug and the right interval. The subjects in this study were GERD patients who met the inclusion criteria and were determined based on the slovin formula. The research method used is observational with a cross-sectional approach with a purposive sampling technique where this study describes and examines drug use in GERD patients at Aulia Hospital Pekanbaru in 2022. The results show drug use in GERD patients at the Outpatient Installation at Aulia Hospital Pekanbaru namely 100% right indication, 100% right dose, 100% right drug, and 100% right interval.
The Relation Between Consumption Patterns Snacks, Sugary Drinks and Physical Activity With Body Mass Index
Nutritional status reflects condition body resulting from consumption of food and nutrients that function as a source of energy, growth, development, tissue repair, and regulators of the body's metabolism. Nutritional status influenced various factors as daily diet, intake and lifestyle, types of drinks consumed, and physical activity. Purpose study determine relationship between consumption patterns snacks, sweet drinks and physical activity with body mass index D3 students majoring in nutrition at Poltekkes kemenkes bengkulu in 2024. Study used analytical descriptive design crossectional design. Sample of 46 people was selected random sampling technique. Data were analyzed univariately and bivariately using Chi-Square a significance level α=0.05. Consumption pattern of snacks, sugary drinks and physical activity with body mass index was significant. Relationship between consumption snacks with BMI p-value 0.001, consumption sugary drinks with BMI p-value 0.004, physical activity and BMI p-value 0.002.
Operational Efficiency and Accuracy in Forecasting Drug Demand: The Application of Technology in Stock Management
Despite the critical role of medicine stock management in ensuring drug availability in health facilities, existing practices often suffer from inefficiencies and inaccuracies, particularly in predicting drug demand. This study addresses these gaps by integrating information technology (IT) into medicine stock management, examining its impact on operational efficiency and predictive accuracy. Employing a mixed-methods approach, data were collected from surveys, interviews, and case studies across various healthcare facilities and analyzed using the MERISE methodology. Findings reveal that IT implementation significantly enhances efficiency, reduces human errors, and improves decision-making speed. Furthermore, capacity building for stock management staff is crucial in sustaining performance improvements. The study underscores the necessity of robust policies and cross-sector coordination to optimize stock management. Its contribution lies in offering a practical framework for IT-driven stock management, with broader implications for global healthcare efficiency, ensuring accurate medicine availability, and improving service quality in diverse health settings.
The Relationship Between Protein, Iron, Vitamin C and Vitamin B12 Intake and The Incidence of Anemia
Anemia is a condition when hemoglobin is lower than normal levels. The purpose of this study was to determine the relationship of protein intake, iron, vitamin C and vitamin B12 in adolescent girls of SMKN 3 majoring in culinary. This research method uses analytical observation with a cross sectional method. the sample used in this study was 60 young women majoring in cosmetology taken using simple random sampling. Intake of protein, iron, vitamin C, vitamin B12 using the 3x24 hour Food Recall form and measurement of Hb levels using the Earsy touch GcHb tool. Univariate and bivariate data analysis were processed using the chi-square test with a significance level of a=0.05. Conclusion most of the respondents had insufficient intake of protein, iron and there was a significant relationship, while vitamin c and vitamin B12 with the incidence of anemia did not have a significant relationship.
Effectiveness Test of Gel Preparations from Ethanol Extract of Gotu Kola Leaves (Centella asiatica L.) for Wound Healing in Mice (Mus musculus)
Pegagan leaves (Centella asiatica L.) are reported to have potential as an anti-oxidant, anti-microbial agent, collagen synthesizing agent, and wound healing agent. Pegagan has components namely triterpenoids and essential oils. Triterpenoids can help wound healing, increase anti-oxidant levels, and increase blood supply to the wound area. The purpose of this study was to determine the difference in the level of wound healing between mice given a gel preparation from ethanol extract of gotu kola leaves, untreated mice and with povidone iodine. Assessment of wound healing was done by macroscopic observation by comparing wound healing between negative control, positive control, 5% formula, 10% for-mula, and 15% formula. The sig value on day 3 was 0.082, day 5 was 0.052, day 7 was 0.240 showing p>0.05 so it can be concluded that there was no significant difference in each group on days 3, 5 and 7. Whereas on day 11 the sig value was 0.011 and day 14 the sig value was 0.006 in the ANOVA test showing p<0.05 so it can be concluded that on days 11 and 14 each group had significant differences.
Breastfeeding Mothers' Knowledge About Breast Care In Increasing Breast Milk Production
WHO data in 2018 The rate of exclusive breastfeeding according to international figures is 50%. Indonesia's health data in 2021, the rate of exclusive breastfeeding in 2021 is 56.9%. Based on an initial survey conducted from 4 breastfeeding mothers, 3 breastfeeding mothers who do not understand about breast care to increase milk production. The purpose of this study was to describe the knowledge of breastfeeding mothers about breast care in increasing breast milk production at PMB Rosita Pekanbaru City in 2022. This study used a quantitative type with a descriptive design. The population in this study amounted to 44 people. The number of samples in this study amounted to 44 people who were taken by total sampling technique. The results of this study found that the majority of breastfeeding mothers' knowledge about breast care in increasing breast milk production was sufficient for 20 respondents (45.5%). Breastfeeding mothers are expected to seek more information about breast care to increase milk production from health workers, journals, and print media and increase good knowledge about breast care. Keywords : Knowledge, Breast Care, Breast Milk Production
Self Medication Drugs During The Covid-19 Pandemic At Pharmacy
Corona Virus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-Cov2) with a high mortality rate. Self-medication is the behavior of taking self-medication based on a diagnosis of the symptoms of illness that occurs. This study aims to determine the profile of the use of self-medication drugs that are often used to treat symptoms similar to COVID-19 during the COVID-19 pandemic at the Pekanbaru City Pharmacy, Riau Province in the period of July 2021. The type of research is observational with a descriptive design and concurrent data collection. The population is the respondent who self-medicates in a pharmacy in Pekanbaru. The sample is 100 respondents who have met the inclusion criteria with a purposive sampling technique. The results showed that the most used drugs were for fever symptoms (27.8%), the most pharmacological class of drugs purchased by patients were antipyretics-analgesics (32.5%), the most used dosage forms were tablets (58, 7%). During the self-medication process, patients most often received information from health workers (35.4%). Based on gender, the most patients who self-medicated were women (56%), the age of the most patients was around 17-25 years (46%), while from the last education level the most patients were high school/equivalent (44%) with the type of work as private employees (48%). Drugs that are often purchased during the Covid-19 pandemic are analgesics-antipyretic.
The Effect of Dagusibu (Get, Save, Use and Dispose of Medicine) Education in Increasing The Knowledge of Cadres Empowering Family Welfare (PKK) in Pematang Ibul Village, Rokan Hilir District
Dagsibu (Get, Use, Store and Dispose of Medicines) is an educational program about health to create the Drug Aware Family Movement (GKSO). The aim of this research is to determine the effect of Dagusibu medicine education using leaflet media in increasing the knowledge of cadres Empowering Family Welfare (PKK) in Pematang Ibul Village, Rokan Hilir Regency. This research used a quasi experimental design method by dividing it into 2 groups, namely control and treatment. Sampling used saturated sampling techniques and statistical analysis of the Independent T-Test. Based on the results of research, providing Dagsibu medicine education without using leaflets can increase the knowledge of PKK mothers on post test scores with good knowledge of 42.1%, sufficient 36.8%, and poor 21.1%. Providing Dagusibu medicine education using leaflet media can increase the knowledge of PKK mothers on post test scores with good knowledge of 78.9%, sufficient 15.8%, and poor 5.3%. the results of the T-Independent test obtained a Sig value. 0.026 < 0.05, which means that Dagusibu medicine education using leaflet media can increase knowledge.
Collaborative Waste Management at Tuah Serumpun Market
Waste management in traditional markets, particularly in Pasar Tuah Serumpun, is a challenge that requires attention from local government and the community. This study aims to analyze and identify the implementation of the Collaborative Waste Management approach in waste management at Pasar Tuah Serumpun. The method used is qualitative research with a case study design. The research informants consist of three main informants, three supporting informants, and one key informant. The research instrument employs in-depth interview guidelines. The results show that the waste separation process at Pasar Tuah Serumpun is not conducted, and the existing waste collection is inadequate. Although waste transport is carried out three times a day, the limited number of transport vehicles owned by the Siak Environmental Agency poses a major obstacle. Additionally, the temporary waste storage sites are insufficient, worsening cleanliness conditions and causing waste piles. It is hoped that relevant parties will conduct outreach on the importance of waste separation to traders and the community, build adequate and strategic temporary storage sites, increase the number of waste transport vehicles to ensure effective collection, and involve the community in waste management through collaborative programs that can enhance participation and environmental awareness.
Preparation And Evaluation Of Hydrogel From Super Red Dragon Fruit Skin Extract (Selenicereus costaricensis)
Dragon skin is a waste that is rarely used and often discarded. The dragonfruit skin has antioxidant activity related to the anthocyanin content that protects the skin from oxidation damage to prevent premature aging. This study introduces a new approach to utilizing super red dragon fruit skin waste often thrown away, by formulating it into a hydrogel preparation with potential as a cosmetic product. An experimentally used method with a true-experimental design. There are 7 formulas, F1 (base), F2, F3, and F4 (with ultrasonic extract 1%, 2%, 3.). The evaluations included organoleptic tests, homogeneity tests, viscosity testing, pH tests, swelling ratio, freeze and thaw. The results of this study show that super red dragonfruit leather extracts can be formed in hydrogel preparations and have good physical quality properties.
Dosimetry Evaluations in Breast Cancer Using 3D-CRT Technique
Several previous studies have shown that without dose evaluation and monitoring, there is a potential for deterministic radiation effects in 3D-CRT procedures. This study is expected to close the gap by conducting a more comprehensive evaluation of the 3D-CRT technique for breast cancer patients. The research method is quantitative analysis with a study sample of 20 breast cancer patients. Data processing was carried out by conducting statistical tests for the distribution value of organs at risk (OAR) against the Radiation Therapy Oncology Group (RTOG) guidelines and analyzing the conformity index (CI) and homogeneity index (HI) values according to the values recommended by the International Commission Radiation Unit (ICRU). The results of this study obtained OAR doses for the lungs and heart are still within the tolerance value limits set by RTOG p-value <0.05. then for CI and HI there is a deviation p-value <0.05 that there is a difference between the values obtained and the ICRU recommended value. This is due to the location of the target or tumor adjacent to the OAR, to keep the OAR value in accordance with the specified limit value.
Effectiveness of “GUCHIRO” as an Alternative Food to Prevent Anemia in Pregnant Women
Anemia in pregnant women can have serious impacts, including stunted fetal growth and the risk of bleeding. This study developed an innovative product “GUCHIRO”, a sago mocha with rosella flower jam (Hibiscus sabdariffa L.), to prevent non-pharmacological anemia. This study aims to evaluate the effectiveness of GUCHIRO in increasing the hemoglobin level of pregnant women. The method used was quantitative analytic with a sample of 25 pregnant women, carried out from January to October 2024 at the Riau Health Ministry Poltekkes Laboratory and PMB Dince Safrina Pekanbaru. The results showed that the average hemoglobin level increased from 10.281 mg/dL before consumption of GUCHIRO to 11.014 mg/dL after consumption. The difference in hemoglobin levels was significant with a value of p=0.000. This study shows that GUCHIRO is effective in increasing the hemoglobin level of pregnant women and can be a non-pharmacological alternative for the prevention of anemia. Keywords: GUCHIRO, anemia, pregnant women
Relationship between Nutrition Knowledge, Breakfast Habits, Snack Practices with Students' Nutrition Status
Good nutritional status is obtained from fulfilling the need adequate food intake. Children's nutritional needs can be met with 3 main meals a day and healthy snacks. But the fact is that there are still many children who leave the breakfast habit. School children cannot be separated from snacks. One of the factors that influence the selection of snacks and breakfast is nutritional knowledge. Children who have good breakfast and snack habits can fulfill their nutritional needs so that there is no deficiency or excess of nutritional status. The purpose of this study was to determine the description of nutritional knowledge, breakfast practices and snacks for students at SDN 11 Bathin Solapan, Bathin Solapan District. The sample of this research were grade IV and V students totalling 55 people with proportional random sampling. This study uses primary data by interview method. The results obtained were 69.1% of respondents nutritional knowledge in the moderate category, 36.4% never had breakfast in a week, 80% of respondents snacked 3 times a day, and 70.9% of respondents had good nutritional status.
Comparison of Pregnancy Exercise Modifications in Improving the Functional Capability of Pregnant Women
Hormonal changes in pregnant women result decreased muscle elasticity and flexibility, changes in static posture. Lower back pain in pregnant women can hinder daily functional activities. To find out physiotherapy interventions that can improve the functional abilities of pregnant women in conditions of low back pain. This research design uses randomized pre and post group design. This research used 20 subjects, divided into 2 groups. Analytical tests used paired sample t-test and independent sample t-test. Functional ability was measured using Pain Disability Index. Results of the analysis mean difference are p<0.05, which means that modified pregnancy exercise and gym ball are better than conventional pregnancy exercise in improving the functional abilities of pregnant women in NPB conditions. Pregnancy exercise and Gym ball can reduce the degree of lower back pain by training the tone of the inner transverse abdominal muscles, this can overcome NPB thereby increasing daily functional activities.
Effect of Anticoagulant Use on Coagulation Parameters in Covid-19 Comorbid Diabetic Patients
Coagulation disorders, one of the causes of death of severe Covid-19 patients and comorbidities that also affect coagulation is Diabetes Mellitus. In the guidelines, it is recommended to use prophylactic anticoagulants, namely Unfractionated Heparin (UFH) and Low Molecular Weight Heparin (LMWH) to overcome the problem of this coagulation disorder by paying attention to the value of coagulation parameters, namely, D-Dimer, PT, APTT and platelet values. The purpose of this study was to see the relationship between the use of prophylactic anticoagulants with a decrease / increase in the value of the coagulation parameter. The research design was retrospective pre-post test cohort study with research subjects of comorbid Covid-19 Diabetes patients treated in the ICU of RSUP Dr.M Djamil Padang. As a result, in the group of patients using UFH there was a significant decrease in D-Dimer values (p = 0.001) while the LMWH group was not significantly related (p = 0.05). For the association of anticoagulants with PT values, APTT in both groups was not significant. As for platelet values, there was a significant decrease in the UFH group. Conclusion for severe Covid-19 patients with comorbid Diabetes The use of UFH is recommended as a therapeutic option.