Body Mass Index, Sleep Quality, Stress Conditions Determine Menstrual Cycles Among Female Adolescents

Menstrual cycles are an important indicator of women's health. Menstrual cycles can be affected by body mass index (BMI), sleep quality, and stress. This study aimed to analyse the relationship between BMI, sleep quality, stress and the menstrual cycle. The subjects of this research were the female adolescents at the age of at least 15 years old that had experienced menstruation for at least 2 years. The dependent variable is the menstrual cycle while the independent variables are BMI, sleep quality, and stress conditions. Observational analytic research method with Cross sectional design was used in this research. The subjects were 148 female students. The BMI data were obtained through the anthropometric measurement. The sleep quality data were taken with PSQI questionnaire, and the stress condition data obtained from PSS-10 questionnaire which were then analysed using Chi-Square test and Logistic Regression. Results of study showed that there is a significant relationship between BMI, sleep quality, stress conditions and the adolescent menstrual cycle. The results of the multivariate analysis showed that the female adolescents with abnormal BMI are at risk of having menstrual cycle disorders 1.91 times. The adolescents with poor sleep quality are at risk experiencing menstrual cycle disorders 2.05 times, and the adolescents with stress conditions at risk of the menstrual cycle disorders 2.26 times. There is a relationship between BMI, sleep quality, stress conditions and the menstrual cycle. Stress conditions most influence the regularity of the menstrual cycle

Effectiveness of Ergonomic Chair Against Musculoskeletal Disorders in Female Batik Workers of Sragen District

The majority of female batik workers uses non-ergonomic chairs (dingklik) that pose risks of musculoskeletal disorders. This study aimed to design an ergonomic chair and evaluate its effectiveness in reducing musculoskeletal disorders among the workers. This is a quasi-experimental study (using one group pre and post-test design) on 50 female batik workers selected by quota sampling. Musculoskeletal disorders were measured among the samples before and after the use of the designed ergonomic chair which they were asked to use for two months. T-test, ANCOVA, Wilcoxon test, McNemar test and Chi Square test were used for the analysis. The study found statistical significant differences of risk factor against musculoskeletal disorders among the workers before and after their use of the designed ergonomic chair (p=0.000); and of musculoskeletal disorders before and after using the ergonomic chair (p= 0,035). Body Mass Index (BMI) was identified as a confounding factor, and statistical significant difference of musculoskeletal disorders were also found among the workers with <25 and >25 BMI even before and after using the ergonomic chair (p=0.033 and p=0.015 respectively). By ANCOVA statistical test, after controlling BMI, another statistical difference of musculoskeletal disorders was also identified before and after using the ergonomic chair (p=0.033). It is concluded that the designed ergonomic chair is effective to reduce the risk of musculoskeletal disorders

Path Analysis on the Factors Associated with Consistent Use of Female Condom Among Female Sex Workers in Surakarta

Background: Female condom is an alternative method to prevent HIV/ AIDS transmission. However, its utilization is low and scanty among female sex workers. It is important to have knowledge on the factors that determine female condom use. This study aimed to determine the factors associated with the acceptance and use of female condom among female sex workers in Surakarta.Subjects and Method: It was an analytic and observational study using case control design. The study was conducted at a prostitution area in Surakarta, Central Java, from August to September 2016. A total of 230 female sex workers consisting of 110 female sex workers who used female condoms and 120 female sex workers who did not use female condoms, was selected purposively in this study. The dependent variables were acceptance and use of female condom. The independent variables were sex partner support, peer educator support, and pimp support. The data were collected by a set of questionnaire and analyzed by path analysis model.Results: Acceptance of female condom was associated with its use among female sex workers (b = 0.30; p < 0.001). Peer educator support was associated with acceptance of female condom (b = 0.06; p < 0.001). Peer educator support (b = 0.03; nilai p = 0.012) and sex partner support (b = 0.05; p = 0.042). The association between acceptance of female condom and pimp support was not statistically significant (p = 0.133).Conclusion: Peer educator support and sex partner support have direct association with both acceptance and use of female condom among female sex workers. Keywords: path analysis, support, sex partner, peer educator, consistant use, female condom, female sex workersCorrespondence: Rizka Ayu Setyani. School of Midwivery, Respati University, Yogyakarta. Email: [email protected] of Health Promotion and Behavior(2016), 1(2): 120-126https://doi.org/10.26911/thejhpb.2016.01.02.0

Health Insurance Status and Perceived Quality of Health Service at Community Health Center, Sumenep, East Java

Background: Having health insurance is important for several reasons. As studies have shown, uninsured people receive less medical care and less timely care. They have worse health outcomes, and lack of insurance is a fiscal burden for them and their families. This study aimed to assess the relationship between health insurance status and perceived quality of health service at community health center, Sumenep, East Java. Subjects and Method: This was a cross-sectional study conducted at puskesmas (community health centers) in Sumenep, East Java. A total sample of 250 people who visited the puskesmas in Sumenep were selected for this study. The dependent variable was perceived quality of health services. The independent variables were health insurance status, sex, age, education, and job. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Member of health insurance (b= 6.21; CI 95% = - 2.75 to -9.68; p<0.001) and female (b= 1.35; CI 95%= -1.35 to -3.23; p<0.001) were associated with better perceived quality of health service. Age (b= 0.50; CI 95%= -2.24 to 3.25; p= 0.72), higher education (b= -0.94; CI 95% = -0.21 to 3.89; p= 0.53), and having a job (b= 0.94; CI 95% = -2.01 to 3.89; p= 0.52) were associated with poorer perceived quality of health services. Conclusion: Member of health insurance and female are associated with better perceived quality of health service. Age, higher education, and having a job are associated with poorer perceived quality of health services. Keywords: perceived quality of health service, national health insuranc

Effect of Captopril Rapid Uptitration to Plasma Aldosterone Level in Patients with Acute Myocardial Infarction

Background: Acute myocardial infarction is a myocardial necrosis associated with acute myocardial ischemia of which the incidence keeps increasing over time. Appropriate management of acute myocardial infarction is very important in order to determine the efficacy of the therapy and also to prevent further complications due to acute myocardial infarction. Captopril is essential in the management of acute myocardial infarction to inhibit the renin-angiotensin-aldosterone system whereby aldosterone may increase the probability of heart failure and increase mortality up to approximately 10 times compared to patients with acute myocardial infarction without heart failure. The administration of captopril should be uptitrated the doses in order to obtain optimal results, however there is no such fixed standard on how fast the doses of captopril should be uptitrated in order to obtain a more optimal effect, especially in order to suppress the plasma aldosterone level. This study examined the effect of rapid uptitration of captopril in the first 3 days of treatment of patients with acute myocardial infarction on plasma aldosterone levels compared to the increase in the captopril standard uptitration.Subjects and Method: This is an experimental research with Randomized Controlled Trial (RCT). 28 patients with Acute Myocardial Infarction on Cardiovascular Intensive Care Unit (ICVCU) and Cardiovascular wards of RSUD Dr. Moewardi hospital Surakarta were sequentially involved as research subjects and then randomly divided into a control group who received standard captopril uptitration and treatment group who received captopril rapid uptitration. The blood plasma was taken on the first day before the administration of captopril and on the last day of treatment. The plasma aldosterone level was tested by ELISA. Independent t-tests were carried out for data that qualified the normality test and mann whitney test if not qualified in the normality test with kolmogorov smirnov. It was considered statistically significant if the value of p < 0.05.Results: Plasma Aldosterone levels in treatment group was lower than control group and statistically significant (1133.54 ± 748.81 pg/dl vs 512.16 ± 444.81 pg/dl; p = 0.013 )Conclusion: Treatment with captopril rapid uptitration can decrease aldosterone plasma levels lower than captopril with standard uptitration in patient with acute myocardial infarction.Keywords: Acute myocardial infarction, plasma aldosterone, captopril, captopril rapid uptitation.Correspondence: Verry Gunawan Sohan. Master Program of Family Medicine, Sebelas Maret University, Surakarta.Indonesian Journal of Medicine (2016), 1(3): 160-168https://doi.org/10.26911/theijmed.2016.01.03.0

The Associations of Education Level and Health Status with Leisure Participation among The Elderly

Background: Leisure participation is important to make a pleasant event and to enhance the quality of life of the elderly. This study aimed to examine the associations of education level and health status with leisure participation among the elderly. Subjects and Method: This was a cross-sectional study carried out in Karanganyar and Surakarta, Central Java, from February to December 2017. A sample of 200 elderly was selected for this study. The dependent variable was leisure participation. The independent variables were education level and health status. The data were collected by questionnaire. The data were analyzed by a multiple linear regression. Results: Leisure participation among the elderly increased with higher education level (b=0.19; p= 0.006) and health status (b=0.16; p=0.022). Conclusion: Leisure participation increases with higher education and health status in the elderly. Keywords: leisure, participation, education level, health status, elderl