Window of Health : Jurnal Kesehatan

The Relationship between Visceral Fat and Cognitive Function in Medical Students

Anisa Novita Budiman, Nurfitri Bustamam, Lisa Safira, Feda Anisah Makkiyah — Wed, 24 Apr 2024 20:40:49 +0000

During COVID-19, there was a change in student lifestyle, which triggered visceral fat accumulation. The accumulation of visceral fat is one of the causes of systemic inflammation, which is dangerous for the integrity of the brain and can potentially reduce cognitive function. This study aimed to determine the relationship between visceral fat and cognitive function among medical students. This study used a cross-sectional design towards 73 Faculty of Medicine Universitas Pembangunan Nasional “Veteran” Jakarta students who met the criteria and were selected using a simple random sampling technique. The measurement of visceral fat was done using the Tanita Body Composition Analyzer, while the measurement of cognitive function was done using the Digit Symbol Substitution Test questionnaire. The study showed differences in sex and body mass index between normal and high visceral fat groups. There were no differences in age, consumption of junk food, and physical activity between the visceral fat groups. The Spearman test results showed a relationship between visceral fat and cognitive function (p-value equal 0.000; r equal -0.561). The higher the visceral fat, the lower the cognitive function.

The Effectiveness of a Combination of Swallowing Exercises with Benson Relaxation and Aromatherapy on the Swallowing Ability of Stroke Patients

Yanti Cahyati, Mara Ipa, Ida Rosdiana — Wed, 24 Apr 2024 20:49:34 +0000

Stroke patients with dysphagia require proper initial screening so as not to cause severe complications. More optimal efforts are needed to improve swallowing ability to avoid complications. Swallowing exercises combined with Benson Relaxation and Aromatherapy are expected to provide better results in increasing the swallowing ability score of stroke patients with dysphagia. This study aims to determine the effect of the combination of Swallowing Exercise with Benson Relaxation and Aromatherapy on the swallowing ability of stroke patients. This type of research is a quasi-experimental pre and post-test. Researchers intervened in two groups of respondents. One group intervened with a combination of swallowing exercises with Benson relaxation, and one group combined swallowing exercises with aromatherapy. The sampling technique was consecutive sampling. The number of samples was 44 people: 20 people in Intervention Group I and 25 in Intervention Group II. Statistical analysis used a dependent t-test (paired t-test) to test the difference in the average score of swallowing ability before and after the intervention and an independent t-test to test the difference in the average score after the intervention in intervention groups I and II. This research showed a significant difference in the average score of swallowing ability before and after the intervention in the intervention group I and II, and there is no difference in the average score of swallowing ability after the intervention in the intervention group I and II. Swallowing exercise combined with Benson relaxation and aromatherapy can improve the swallowing ability score of dysphagia patients due to stroke.

The The Antioxidant Effect of Ajwa Dates (Phoenix dactylifera L.) to Inhibit the Progression of Preeclampsia Threats on Pregnant Women through Malondialdehyde as Prooxidant Serum Marker

Ida Royani -, Nasrudin Andi Mappaware, Nur Rezki Nur Rezki, Suryani As’ad — Wed, 24 Apr 2024 21:12:33 +0000

Hypertension in pregnancy, including preeclampsia, is still a significant problem worldwide and is one of the top three causes of maternal death in Indonesia. The pathophysiology of the disease is unclear yet, but vascular dysfunction due to oxidative stress is thought to play a role. Ajwa dates are known for their antioxidant effects due to their higher phenolic and flavonoids than other dates. The study aimed to determine the impact of consuming seven Ajwa dates each day on the progression of preeclampsia as assessed by changes in malondialdehyde (MDA) levels. Forty pregnant women with gestational age more than 20 weeks were randomly assigned into two groups: the samples of the control group were 10, who were encouraged to consume lots of fruits and vegetables, and the samples of the intervention group were 30, who consumed seven pieces of Ajwa dates every day for eight weeks. MDA measurements were carried out pre-and post-intervention. The intervention group showed a significant reduction in MDA levels following the 8-week intervention period. Consumption of seven Ajwa dates every day can reduce MDA levels significantly and, thus, has the potential to inhibit the progression of preeclampsia in pregnant women who are at risk of preeclampsia based on stress oxidative mechanism.

Telegram Chatbot as DASH Diet Education Media for Employees

Annisa Salsabila, Susilo Wirawan, Almira Sitasari — Wed, 24 Apr 2024 21:25:34 +0000

Hypertension and prehypertension are a unity of diseases caused by various risk factors that can be experienced by employees. A diet known for patients who have high blood pressure is the DASH diet with one of the efforts to prevent the incidence of hypertension is through education. Research objectives: Determine the effect of providing nutrition education through Telegram Chatbot on increasing knowledge of the DASH diet in employees with hypertension. This type of research is Quasi Experimental research. Pre-test and post-test research design with control group design. Results of study, the number of male respondents was more, namely 18 people (58%), compared to female respondents, as many as 13 people (42%). The average post-test score was greater at 92.12, while the pre-test was 70.61. The difference between the average pre-test and post-test was 21.51. The results of the t-test analysis obtained a p-value of 0.000 (less than 0.05). Conclusions: There is an influence of Telegram Chatbot media on changes in DASH dietary knowledge in employees with hypertension in Padukuhan Purbosari.

Effectiveness Of Clittoria Ternatea And Zingibers Officinale Concoction On The Reduction Of Dysmenorrhea In Adolescent Girls

Yuliana, Yustina Ananti, Indah Fitri Agustina — Thu, 25 Apr 2024 05:22:45 +0000

Dysmenorrhea or menstrual pain is abdominal pain originating from uterine abdominal cramps, occurring during menstruation due to sloughing of the endometrial layer. The prevalence of dysmenorrhea varies widely in various countries, ranging from 16-91%; the incidence in Indonesia ranges from 45-95%, while in the Special Region of Yogyakarta, as much as 52%, and in Sleman district, as much as 88.64%. The purpose of the study was to determine the effectiveness of steeping butterfly pea (Clitoria Ternatea) and ginger concoction(Zingibers Officinale) on reducing menstrual pain (dysmenorrhea) in adolescent girls. The research method used was Quasi Experiment Two Group Pretest-Posttest design. The subjects in this study were 90 respondents who experienced menstrual pain and met the criteria. Data analysis using the Wilcoxon test and Mann-Whitney test. The results of this study showed that the average menstrual pain before being given butterfly pea brew was 5.97. After being given Butterfly Pea Brew, the average menstrual pain was 0.51 with a P-Value 0.000 less than 0.05, meaning that there was a difference in menstrual pain felt before and after being given Butterfly Pea Brew. The mean value of menstrual pain before being given a ginger concoction is 6.02. After being given a ginger concoction, it decreased to 0.44 with a P-Value of 0.000 less than 0.05, meaning that there is a difference in menstrual pain felt before and after a ginger concoction. This study concludes that butterfly pea brew and ginger concoction effectively reduce menstrual pain (dysmenorrhea).

The The Association Between the Characteristics of Pregnant Women with Knowledge and Attitudes Toward Midwifery Care Based on Gender Sensitivity

Maryanah, Sri Sukamti, Aticeh — Thu, 25 Apr 2024 05:25:16 +0000

Respectful maternity care must be ensured that all pregnant women can accept it. It is necessary to understand all pregnant women receiving midwifery care with a gender-sensitive approach to prevent the possibility of mistreatment, harassment, or violence during midwifery practice. This study aimed to assess the association between the characteristics of pregnant women and the knowledge and attitudes regarding gender-sensitive midwifery care. This was a cross-sectional study on 200 pregnant women who came to get antenatal care services at independent practice midwives. The sample was selected using a purposive sampling technique. Multivariate logistic regression analysis was performed to obtain the odds ratio, 95% confidence interval, and p-value for the trend to assess the strength of the association. Data was collected using a questionnaire that was developed and has been assessed for validity and reliability. Pregnant women who actively participate in community activities are associated with good knowledge of midwifery care with a gender sensitivity approach (OR equal 1.51, OR equal 1.16-1.97, p-value equal 0.03). Pregnant women with higher education levels are associated with a good attitude toward midwifery care with a gender sensitivity approach (OR equal 2.02, 95% CI equal 1.01-4.05, p-value equal 0.04). Pregnant women participating in community activities are associated with good knowledge about midwifery care with a gender sensitivity approach, and pregnant women with higher education levels are associated with good attitudes about midwifery care with a gender sensitivity approach (p-value less than 0.001). Midwives and other health workers educate pregnant women in all health facilities at every antenatal visit and community activities such as the village community health center.

Obesity Incidence with Body Image in Female Adolencence

Eriyono Budi Wijoyo, Listia Ardiani, Popy Irawati — Thu, 25 Apr 2024 05:27:37 +0000

Adolescence is when individuals explore their identities and increase their self-understanding regarding self-image. Body image increases with the individual's satisfaction, who can accept the state of the adolescent's body. One thing that can affect adolescents' body image is obesity. This study aims to determine the relationship between obesity and body image in young women at Health Vocational School, Tangerang City. The research design used is a descriptive correlation with a cross-sectional approach—data collection using the BSQ-34 questionnaire and obesity observation sheet. A total sampling technique was used to take a sample of 35 respondents. The analysis technique used in this study is Chi-Square. This study shows a relationship between obesity and body image among young women in Health Vocational School, Tangerang City. This study shows that obesity is related to body image in young women. Adolescents are expected to behave positively towards their bodies not to cause a negative body image.

Survival Analysis and Risk Factors for COVID-19 Patients at Koja Hospital

Thu, 25 Apr 2024 05:28:32 +0000

The COVID-19 pandemic impacts global health, and no specific drug has proven effective in curing SARS-CoV-2 infection. This study aimed to analyze the survival characteristics of COVID-19 patients in Koja Hospital. This research method is analytically observational with a cross-sectional design. The study population was 1080, and the research sample was 284 patients. The sampling used a purposive sampling method with a retrospective approach from the medical records of confirmed COVID-19 inpatients from May to October 2020. The analysis uses SPSS software version 26. Categorical variables were analyzed using the chi-square test or Fisher’s exact test. Kaplan Meier, Log Rank, and Cox Regression were used for the probability of survival analysis and mortality risk ratio in COVID-19 patients. The case fatality rate (CFR) of 284 COVID-19 patients was 20.4%. The mean age of the patients was 49 years (IQR 37–57). The most common comorbidity was hypertension, 34%. The average probability of survival of COVID-19 patients was above 60%. In addition to gender, predictors including age, comorbidities, type of intensive care, and use of antivirals had significant differences and affected the chances of survival of COVID-19 patients. Patients given oseltamivir monotherapy had the highest survival rate of about 80% after undergoing treatment for about 38 days (p equal 0.000). The mortality risk ratio of COVID-19 patients with comorbid diabetes mellitus was 8.7 times higher than that of those without comorbidities (95% CI 1,02–75.82, p less than 0.048). Patients with intensive care had an 11.43 times increased mortality risk ratio compared to usual care (95% CI 6,34–20,62, p less than 0.000). The conclusion of this study is intensive care and a history of diabetes mellitus are associated with the risk of death. There needs to be an increase in COVID-19 control measures, especially in populations prone to comorbid diabetes with severe and critical degrees.

Glomerular Filtration Rate in Prediabetic Subjects in Kendari City

Thu, 25 Apr 2024 05:30:17 +0000

Prediabetes is a condition of impaired blood glucose metabolism. However, it does not yet meet the criteria for diabetes mellitus, characterized by impaired fasting blood glucose (FBG) levels and the Oral Glucose Tolerance Test (OGTT). Chronic glucose intolerance can increase the workload of the kidney glomerulus in the filtration process and the tubules in the reabsorption process. The research aims to assess the Glomerular Filtration Rate (GFR) in prediabetic subjects in Kendari. This type of analytical observational research with a case-control design. The total sample was 90 samples consisting of 45 non-diabetic samples as the control group and 45 prediabetic samples as the case group. Characteristic data is presented as a frequency distribution and test data for differences between the control group and cases using an independent t-test with statistical test results said to be significant if the p-value is less than 0.05. The research results showed that the frequency distribution of subjects in the control group and cases based on gender was dominated by women, with the most extensive age range being 36-55 years. The FBG variable in the control group had a mean of 94±5.31 mg/dL, and in the case group, 110±8.09 mg/dL. The OGTT value in the control group was 118±12.78 mg/dL, and the case group was 139±23.90 mg/dL. The results of the calculation of the GFR showed a mean of 98.63±14.28 mL/min/1.73 m2 in the control group and 50.10±16.34 mL/min/1.73 m2 in the case group, different significant (p equal 0.000). There was a significant difference between GFR in the control group and the prediabetes case group. The results of the GFR assessment in the prediabetes group showed a mild decrease in renal function.