Knowledge, Attitudes, and Healthy Feeding Behavior of Mothers on the Nutritional Status of Elementary School Students

Background: Some children aged 6-9 years have started to enter the pre-pubertal rapid growth period. Therefore, the need for nutritious food has begun to increase significantly. The role of mothers in providing food is very much needed. This study aimed to discover the relationship between knowledge, attitudes, and behavior of mothers in healthy feeding on the nutritional status of children.Methods: This study was a cross-sectional study conducted in July–August 2019. The sample was mothers and their children who were in grades I to III of public and private elementary schools in Penjaringan, Jakarta. The total sampling method was conducted, and data collected included age, gender, height, weight, and mother’s knowledge, attitudes and behavior in healthy feeding Data was analyzed using Chi-square. The nutritional status of the students was calculated using the 2010 anthropometric standards of the Ministry of Health.Results: Of the 348 mothers included, there were 310 mothers (89.1%) with high level of knowledge, 86.5% of mothers had a positive attitude, and 75.3% had good behavior in healthy feeding. The nutritional status of the children was predominantly normal (46.2%) and overweight (34.8%). There was a significant relationship between maternal behavior in giving healthy food and children nutritional status (p=0.046).Conclusions: There is a significant relationship between the mother's behavior in offering healthy food and the children nutritional status. Therefore, parents should pay more attention to behavior in providing healthy food to children

Antioxidant Gel from Brown Algae (Ascophyllum nodosum) and Binahong Leaves for Diabetic Wound Healing

Background: Diabetic wounds are difficult to treat, causing persistent infections and often leading to limb amputation. One convenient way to manage diabetic wounds is by applying wound dressings. This study aimed to develop a wound dressing in form of a gel containing brown algae and binahong leaf extract for diabetic wound dressings.Methods:  This study was an experimental study conducted in the Organic Chemistry Laboratory of Universitas Pendidikan Indonesia from June to September 2022. As many as 33 mice induced by alloxan were divided into 9 groups consisting of application of brown algae extract gel, binahong lead extract gel and a mixture of brown algae, and binahong leaf extract gel with the concentration of 2.5%, 5%, and 10% respectively. All treatments were given within 7 days. Laboratory data collected included phytochemical screening, total phenolic compound, antioxidant activity and organoleptic test.Results: Brown algae and binahong leaf extracts had a high total phenolic content of 331.25 mg GAE/g and 207.01 mg GAE/g, respectively with antioxidant activity of IC50 = 327.33 µg/mL and 209.30 µg/mL, respectively. It was found that brown algae and binahong leaf extracts could accelerate wound closure in a diabetic mouse model. Gel formulation with 10% w/w brown algae extracts presented 91.66% of wound closure, two times greater than treatment with commercial drugs.Conclusion:  The developed gel containing brown algae and binahong leaf extracts can be a promising wound dressing for healing diabetic wounds

Thawing Time Difference between Fresh Frozen Plasma Using Ziplock Plastic and non-Ziplock Plastic in Blood Transfusion Unit Dr. Hasan Sadikin General Hospital Bandung, Indonesia

Background: The quality of fresh frozen plasma (FFP) in a clinical setting depends on thawing time. Thawing using a water bath is often used in blood transfusion units because it is easy to perform, affordable, and easy to look for. Protective plastics (Ziplock and non-Ziplock) are used to reduce the risk of contamination,. This study aimed to determine whether there is a difference in thawing time between FFP using Ziplock plastic and non-Ziplock plastic.Method: This experimental design was conducted in the Blood Bank Unit of Hasan Sadikin Hospital from June-August 2021. Samples were divided into two groups, namely thawing using Ziplock and non-Ziplock. Each group consisted of volume 160-200 ml and 201-240 ml.Results: The total samples were 24 FFP bags. In the group of the bag 160-200 ml, the median thawing time using Ziplock plastic was 8 minutes (8-16 minutes), non-Ziplock was 15 minutes (8-16 minutes) (p value 0,111), whereas in a group of bags with volume 201-240 ml, the median thawing time using Ziplock was 15 minutes (8-28 minutes), non-Ziplock was 20 minutes (14-30 minutes) (p- value 0,332). Although there was a time difference in both groups, the difference was non-significant.Conclusion: The thawing time between the small bag with a volume of 160-200 ml and the larger volume of 201-240 ml shows no difference. Ziplock plastic can be used to reduce the risk of contamination

Relationship between Clean, Healthy Living Behaviour, and COVID-19 Infection at the Parigi Public Health Center, West Java, Indonesia

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). One form of prevention is implementing Clean and Healthy Living Behaviour (Perilaku Hidup Bersih dan Sehat, PHBS) at the household level. This study aimed to analyze the association between PHBS at the household level and COVID-19 cases at the Parigi Public Health Center, West Java, Indonesia.Methods: This was an unmatched case control study carried out in September–October 2021 with respondents from Parigi Public Health Center, Pangandaran Regency, involving 63 people for each case and control group. Sampling was conducted by the non-probability method. Data were collected using a checklist to measure the implementation of PHBS at the household level. Data were analyzed by statistical analysis, using the Chi-square or Fisher Exact test and Odds Ratio.Results: There was no statistically significant difference between the implementation of PHBS at the household level and the incidence of COVID-19 (p=0.668).Conclusions: The implementation of PHBS at the household level is not related to the incidence of COVID-19. Further studies are needed with  larger population, looking for causal relationship, and controlling for confounding variables

Low Bone Mineral Density, Sedentary Lifestyle, and Depression as Risk Factors for Frailty Syndrome at a Home Care Facility in West Jakarta, Indonesia

Background: The life expectancy in Indonesia is increasing. The rising number of the elderly people plays a vital role for a country to achieve development success. However, it has many consequences in the health sector, including a frailty syndrome. This study aimed to explore the association between frailty and related factors.Methods: This cross-sectional study was conducted at a home care facility in West Jakarta between September and October 2019, using a simple random sampling method. Data were analyzed using the chi-square test and multivariate logistic regression. The inclusion criteria were members of the home care aged ≥60 years and had signed a written informed consent.Results: In total, 97 respondents were included. Female gender and bone mineral density (BMD) were associated with frailty syndrome (p=0.018 and p=0.05, respectively). Multivariate logistic regression analysis showed the odds ratio of frailty for the female gender (OR= 3.319; 95% CI 1.045–10.543), low bone mineral density (OR= 4.939; 95% CI 1.516–16.090), depression (OR= 7.622; 95% CI 1.246 – 46.621), and low physical activity (OR = 3.639; 95% CI 1.096 – 12.079).Conclusions: There is a relationship between female gender and bone mineral density with frailty syndrome with the risk factors for frailty syndrome in this study are female gender, low bone mineral density, depression, and low physical activity

Determinant of Hypertension among Adults in West Java, Indonesia: Analysis of National Basic Health Research Data 2018

Background:  Hypertension is a serious health problem worldwide. Many studies on the determinants of hypertension have been done, however studies in West Java are still very minimal. This study aimed to determine the risk factors for hypertension among adults in West Java, Indonesia.Methods: This study used a cross-sectional method with a quantitative approach using secondary data from the National Basic Health Research 2018. The final number of individuals sampled was 46,186 people. Data analysis was performed using simple logistic regression and multiple logistic regression methods.Results: The mean age of the sample was 42.97 years (SD=15.37), and females were the predominant (52.95%). The majority of samples consumed sweet beverages (31.06%) and salty foods more than once a day (29.22%), did not smoke (59.17%), had a normal body mass index (BMI) (53.78 %), and had experienced gum disease and dental problems in the last year (56.75 %). Physical activity in metabolic equivalent task (MET) was 5,917.79 minute. There was a significant positive association between age and hypertension, with an odds ratio (OR) of 1.06 and a 95% confidence interval (CI) of 1.05-1.06. Furthermore, the analysis found a significant negative correlation between physical activity and hypertension, with an OR of 0.999 and a 95% CI of 0.9999874-0.9999962.Conclusion: Hypertension is significantly associated with age, whereas physical exercise is negatively associated. Priority should be given to elderly individuals and people with a high BMI for interventions such as routine blood pressure monitoring and education

Intervention of Kusuma Milk-Shake Drink on Cervical Dilatation and Duration of Labor: Experience from Bengkulu, Indonesia

Background: Labor processes require energy consumption regulated by a complex nervous system and hormonal response. Thus, the intensity of maternal nutritional intake since pregnancy should be highly considered for physiological delivery. Nutrients that are high in energy and provide fast-decomposing glucose intake should be chosen by the mothers. Kusuma is a kind of drink made from dates, milk, and honey. This study aimed to analyze the effect of Kusuma milk-shake drink implementations on cervical dilatation and duration of labor.Methods: An experimental study was conducted by post-test only with a controlled group design, including 34 mothers with term pregnancy, which was intervention groups and controls. A completely randomized design in two different places was conducted. Data were analyzed using Shapiro-wilk, independent sample T-test, and Mann-Whitney. Results: There was a significant effect of Kusuma milk-shake implementation on cervical dilatation (p=0.000). The dilatation process was found to be 5.5 times faster, and the duration of labor (p=0.000) was observed to be 9.7 hours faster than the control group.Conclusions: Implementation of the Kusuma milk-shake has a significant effect on the acceleration of cervical dilation and the duration of labor. This research is expected to improve the quality of midwifery services as an effort to realize the concept of a Continuum of Obstetric Care

Antibacterial Activity of Terminalia mantaly Stem Ethanol Extract as Hand Sanitizer Gel

Background: Hand sanitizers generally contain alcohol. However, it can cause dry and irritated skin. Therefore, it is necessary to find antibacterial alternatives that are safe for the skin. One of the plants that has antibacterial activity is Terminalia mantaly (T. mantaly). This study aimed to investigate the antibacterial activity of ethanol extract and hand sanitizer gel of T. mantaly.Methods: The antibacterial activity test against gram-positive (Staphylococcus aureus and Streptococcus pyogenes) and gram-negative bacteria (Escherichia coli and Shigella dysenteriae) was carried out using the liquid micro dilution method. The phytochemical tests were also performed. This study was conducted at the Chemistry Laboratory, Faculty of Sains and Informatics, Universitas Jenderal Achmad Yani in April-June 2022.Results: The ethanol extract of T. mantaly stem contained secondary metabolites of alkaloids, tannins, quinones, saponins, steroids, and flavonoids. The minimum inhibitory concentration (MIC) values of T. mantaly stem ethanol extract against Escherichia coli, Shigella dysenteriae, Staphylococcus aureus, Streptococcus pyogenes were 0.63%, 0.63%, 0.16%, and 0.16%, whereas the hand sanitizer gel gave MIC values of 0.63%; 0.31%; 0.16%; and 0.16% respectively. The minimum bactericidal concentration (MBC) values of T. mantaly stem ethanol extract and hand sanitizer gel had the same results, namely 2.50%, 0.16%, 1.25%, and 1.25%. The physical stability of the hand sanitizer gel from the ethanol extract of T. mantaly stem met the physical stability standards of the gel. Conclusions: The ethanol extract of the T. mantaly stems has stronger antibacterial activity against gram-positive bacteria than against gram- negative bacteria.     

Penile Length of Prepubertal Children in Surabaya

Background: Early recognition of phallic size abnormalities is essential to identify underlying endocrine and genetic disorders. Parents are concerned regarding their son’s penis length, especially obese and short-stature boys. This study aimed to investigate the factors of penile length in prepubertal boys aged 9-11 in Surabaya.Methods: A cross-sectional analytic observational study was conducted between October and November 2021 during the community services program of the Andrology Study Program, Universitas Airlangga. One hundred forty-eight healthy boys aged 9-11 years were enrolled in this study. Penile parameters and anthropometric measures were recorded. Data were analyzed with Spearman Rho’s formula to correlate the variables studied.Results: The average penile lengths and penile circumference of the penis were 6.3±1.4 and 5.2±1.0 cm, respectively. This study found two boys with micropenis (1.35%) with normal and overweight body mass index (BMI). The penile length was positively correlated with height but not with BMI.Conclusion: Androgen and growth hormones significantly influence penile length. Children with abnormal BMI tend to have smaller penile sizes, associated with increasing androgen aromatization

Monitoring Obstacles of Toddlers Growth in Public Health Center Margahayu Raya Bandung City during the COVID-19 Pandemic: From Cadre Perspective

Background:Toddler growth monitoring is one of the specific nutritional interventions used to accelerate stunting reduction. The COVID-19 pandemic has reduced various ‘Minimum Service Standards‘coverages, including toddler growth monitoring. This study aimed to explore the obstacles of toddler growth monitoring at the Integrated Service Center (Pusat pelayanan terpadu, Posyandu) during the COVID-19 pandemic. Methods: This was a qualitative study with an interpretivism paradigm. The unit of analysis was Posyandu of Margahayu Raya Public Health Center, Bandung City, West Java. Primary data were obtained through in-depth interviews with 10 cadres from different Posyandu from September-December 2021. The data were collected using a semi-structured interview guide and a recorder, and analyzed using NVivo software.Results: During the COVID-19 pandemic, toddler weighing had been suspended for several months. Starting in August 2020, cadres and public health center officers worked to ensure that toddlers’ weight, body length, and height could be monitored despite the numerous obstacles.Conclusion: The obstacles to toddler growth monitoring are inadequate instruments of toddler body height measuring during home visits, minimum cadre skills, a lack of toddlers’ mother awareness to bring their toddlers to Posyandu, and a lack of public awareness to follow health protocols.