Pengaruh Beban Kerja Fisik terhadap Tingkat Disabilitas Pasien Nyeri Punggung Bawah di RSD dr. Soebandi Jember (Influence of Workload Level on Low Back Pain Patient’s Physical Disabilities at RSD dr. Soebandi Jember)

Disability is a condition that the patient loss of opportunities to take a part in normal life due to physical, mental and social barrier. Disability is commonly caused by low back pain. Physical workload is the one of risk factors of low back pain. The purpose of study was to measure the influence of physical workload and disability caused by low back pain at RSD dr. Soebandi Jember. This research was analytic observational study with cross sectional approach. Physical workload was measured by Self Measured Quistionere Physical Demand and disability was measured by Oswestry Disability Index. Physical workload was divided into manual handling and work postures. As many as 32 samples were collected during May-June 2016. The data were analyzed by Spearman correlations test and showed there were no significantly influence between manual handling (α=0,769), work postures (α=0.763) and disability. Spearman correlation test also showed there were no relationship between manual handling (r=0,055), work postures (r=-0,054) and disability. Thus it, can be concluded that there were no influence between physical workload and disability caused by low back pain in RSD dr. Soebandi Jember. Keywords: Low back pain, physical workload, disability &nbsp

Uji Efektivitas Beras Herbal Forte terhadap Penurunan Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2 (Study of the Herbal Rice Forte Effectiveness on Decreasing Blood Glucose of Diabetes Mellitus Type 2 Patient)

Diabetes mellitus is metabolic diseases characterized by hyperglycemia caused by disturbances in insulin secretion or insulin activity. Herbal Forte Rice is rice synthetic material composed of main purple sweet potato and corn flour. It contains antioksidan, fiber, resistant starch and having moderate glycemic index. This study aimed to determine the effectivity of Herbal Forte Rice on decreasing blood glucose levels of patients type 2 DM. It used a cross-over design, the role of research subjects was both as control and treatment groups. Total sample of this research consisted of 60 samples. The treatment group was given Herbal Forte Rice for 7 days in 2 consecutive meals, while the control group did not receive any intervention. The results showed the average level of Fasting Blood Glucose (FBG) beginning and end of the treatment group 179.76 mg/dL and 138.7 mg/dL; FBG beginning and end of the control 180.87 mg/dL and 187.63 mg/dL; 2 hours post prandial Blood Glucose (2hppBG) levels of beginning and end of the treatment group 284.37 mg/dL and 183.8 mg/dL; 2hppBG levels beginning and end of the control 280.57 mg/dL and 284.13 mg/dL. This study concludes that Herbal Forte Rice effective on decreasing blood glucose levels of patients type 2 DM.   Keywords: diabetes mellitus, Rice Herbal Forte, GDP and GD2PP &nbsp

Good Knowledge of COVID-19 Increased Preventive Behavior on Last Year Undergraduate Medical Students at University of Jember, East Java, Indonesia

Background: Indonesia is in first place in ASEAN regarding the high number of confirmed cases and deaths of Covid-19 on November 9, 2020. This can be caused by a lack of preventive behavior related to Covid-19, one of which is influenced by knowledge. The purpose of this study was to determine the relationship between knowledge level of Covid-19 and Covid-19 preventive behavior in last year undergraduate medical students at University of Jember. Subjects and Method: A cross sectional study was conducted online through a questionnaire that will be distributed using Google form in May 2021. A total of 121 last year undergraduate medical students at University of Jember were enrolled using a total sampling technique. The dependent variable is level of knowledge related to Covid-19 and the independent variable is Covid-19 preventive behavior. The data obtained through Google form will be analyzed using the SPSS version 26.0 application and using the Spearman Rho Correlation method. Results: Based on univariate analytic, 97.5% students have a good knowledge and 90.9% students perform high preventive behavior of Covid-19. Bivariate analytic by testing correlation ¬between one’s knowledge of Covid-19 and the preventive behavior obtained p <0.001 correlation coefficient of 0.504. Conclusion: The good knowledge of Covid-19 increased preventive behavior on last year undergraduate medical students at University of Jember. Keywords: Physical distancing, Covid-19, online questionnaire. Correspondence: Ancah Caesarina Novi Marchianti. Faculty of Medicine, University of Jember. Jl. Kalimantan Tegalboto 37, Jember, East Java, Indonesia. Email: [email protected]. Mobile Phone:+62331-337877. Journal of Health Promotion and Behavior (2021), 06(02): 97-103 https://doi.org/10.26911/thejhpb.2021.06.02.02

Effects of Herbal Forte Rice as Replacement of Carbohydrate to Insulin Resistance in Patients with Type 2 Diabetes in Sumbersari Health Center Jember

The population of type 2 diabetes mellitus sufferer continuously increases due to the increase of insulin resistance characterised by the rise of the secretion insulin. Insulin resistance is affected by several factors such as the lack of physical activity, obesity, and unhealthy diet. One of the characteristics of the unhealthy diet is the high consumption of carbohydrates.Whereas Indonesian prefers to have carbohydrate sources from food which has high glycemic index such as rice so thatit makes the glucose in the blood increased rapidly. This condition causes more and faster insulin secretion and can affect insulin resistance. The purpose of this study is to know the effectiveness of herbal forte rice as a substitute of the main carbohydrate in the state of hyperinsulinemia suffered by 15 patients of type 2 diabetes mellitus in Puskesmas (community health center) Sumbersari Jember. This study is a clinical trial with a quasi experimental method and crossover design. In this study, the sample is interviewed by characteristics (age, gender) and the early consumption patterns using 24-hour food recall three times at different times. Samples acted as a control group once the experimental group. The control group did not receive any treatment, while the experimental group received the herbal forte rice as much as 100 grams for 7 consecutive days in the morning (at 06.30 am). After washing out period for 9 days, experimental group switched into control group. At the end of the period (7 days), data of fasting blood glucose and fasting insulin were collected then counted by HOMA-IR formula. The result of the study based on the paired t test p=0.001 in comparison to the state of the control and experimental group. The conclusion of this study is there is a changing state of insulin resistance with the replacement of food based on glycemic index

The Effectiveness of Nutrition Counseling on The First Thousand Days of Life Group in Improving Knowledge and Attitude on Nutrition Awareness

Nutrition status in the first thousand days of life (FTDL) of 270 days during pregnancy and 730 days in the infant's first life is a critical period, since the resulting consequences are permanent and irreparable. There are still many problems in the group of FTDL around the campus of University of Jember which require intensive handling, such as stunting, low energy protein, anemia, underweight and etc. Methods of improving the quality of nutrition for the FTDL group can be done by increasing knowledge about nutrition through counseling by utilizing various media (posters, brochures, videos, demos and presentation slides). This study aims to determine how far is the effectiveness of nutrition counseling in improving knowledge and attitude awareness on nutrition problems. The method used was to give counselling on nutrition in the target groups (members of Posyandu Catleya A and B) and assessed changes by comparing the level of nutritional knowledge and attitude before and after receiving counseling. The results showed there were significant differences in the level of nutritional knowledge and attitude between before and after the counseling about nutrition and food processing technology. It can be concluded that this method is quite effective to raise awareness of FTDL group on nutrition problems. Keywords:&nbsp;food insecurity, nutrition counseling, nutrition awarenes

The Effectivenes of Red Rice to Decrease Total Cholesterol in Type 2 DM Patients

Diabetes mellitus (DM) is a group of metabolic diseases with hyperglycemia characteristic that happens because anomaly of insulin secretion or insulin activity. Insulin deficiency in type 2 DM caused dislipidemia. Red rice are contain fiber, essential fatty acid and Gamma Amino Butiric Acid (GABA). This research intended to know the effectiveness of red rice to decrease total cholesterol levels of patient with type 2 DM. Clinical test with quasi experimental and research design non randomized control-group pretest-postest design was used for the research method. Total samples of this research are 36 samples. The treated group was given the red rice during 6 days on breakfast and dinner, while the control group did not have any intervention. The research showed that average cholesterol levels in the beginning and finale of treated group was 235,69 mg/dL and 198,56 mg/dL, while average cholesterol levels in the beginning and finale of control group was 235,72 mg/dL and 256,50 mg/dL. From this research, red rice has effective to decrease  total cholesterol levels of patients with type 2 DM.Keywords: Diabetes mellitus, Red Rice, Cholesterol total level

Risk Factor Analysis of Recurrent Diarrhea on Toddlers in Sumberjambe Health Center Jember Regency

Recurrent diarrhea is diarrhea that occurs repeatedly within one to three months. Toddler is the highest group suffering of diarrhea. Diarrhea is the second leading cause of death on toddler. This research aims to analyze the effect of risk factors of recurrent diarrhea on toddler in Sumberjambe Health Center Jember Regency. This type of research is observational analytic with case control design. The sample is 50 cases and 50 controls. The sampling technique used consecutive sampling method. The research was conducted in December 2018 to January 2019 using a questionnaire. Data analysis using Chi Square test and Logistic Regression test. Chi Square analysis results are child’s age (p= 0.003), gender (p= 1,000), exclusive breastfeeding (p= 0.044), measles immunization (p= 0.387), nutritional status (p= 0.840), hand nail hygiene (p= 0.395), mother’s age (p= 0.435), mother’s education level (p= 0.263), mother’s knowledge (p= 0.494), hand washing habit (p= 0.684), and family income (p= 0.773). Logistic Regression analysis results are child’s age (p= 0.002) and exclusive breastfeeding (p= 0.499). The conclusions of this study are child’s age and exclusive breastfeeding have influence of recurrent diarrhea on toddler and child's age is the most influential risk factor of recurrent diarrhea on toddler. The suggestion of this research is that it needs to research other risk factors and mothers are required to give exclusive breastfeeding.&nbsp; Keywords: risk factors, recurrent diarrhea, toddle

The Effectiveness of Merremia mammosa (Lour.) Extract Fractions as Diabetic Wound Healers on Diabetic Rat Model

Introduction: Prevalence of diabetic ulcers in Indonesia ranges from 17.3 to 32.9% of hospitalized diabetes patients. Approximately 14-24% of them cannot be healed and require amputation. Treatment of diabetic ulcers is quite difficult, because of the failure of blood vessels and bacterial infection. Merremia mammosa (Mm) (Lour.) that contains flavonoids are thought to have potential antioxidant that helps the wound healing process. This study aimed to determine the effect of Mm (Lour.) extract fractions in wound healing process of diabetic rat model and searching the most potent fraction in 25 mg effective dose. The dose was proven effective in other plant fraction and smaller dose in our preliminary study was ineffective. Method: This experimental study used twenty-five male Wistar rats that were made diabetic by intraperitoneal injection of 40 mg/kg body weight streptozotocin. Rats divided into five groups, which consist of positive control (gentamicin 0.1%), negative control (aquadest) and Mm (Lour.) dose 25 mg each of n-hexane, ethyl acetate and water fraction. Wound was made by Morton method and treatment applied on the wound every other day for 10 days. Wound healing process were observed by calculating the percentage of reduction in wound size. Data were described and analyzed further using appropriate statistic tools. Results : The percentage of reduction in wound size comparison at day 11 of the excision showed n-hexane fraction group has 90,1% , ethyl acetate fraction group has 88,5% water fraction group has 93,4%, positive control group has 92,2% and negative control grup has 81,8%. It showed significant different in every fraction when compared with negative control and no significant different when compared with positive control. This study showed that among the three factions, water fraction showed the fastest healing rate (93.4 %). Conclusion: Mm (Lour.) extract fractions significantly accelerated the process of wound healing in diabetic rat model and the most effective fraction was water fraction. Therefore, it is potential to be developed further as a topical drug.The authors are grateful to the Ministry of Research, Technology and Higher Education for financial supporting this research

The Dose Dependence Analysis of the Water Fraction of merremia mammosa (lour.) Extract on Diabetic wound Healing Enhancement

Introduction: Diabetic wounds or ulcers happened in Indonesia’s hospitalized diabetes patients range from 17.3 to 32.9%. The high cost of treatment, the high risk of amputation and the difficulty of handling diabetic wounds, make it necessary to look for alternative medicine derived from plants e.g. Merremia mammosa (Mm). This study aimed to analyze the potential dose of the water fraction of Mm (Lour.) extract on diabetic wound healing enhancement. Method: This study used fifty-seven male wistar rats that were made diabetic by intraperitoneal injection of 40 mg/kg body weight streptozotocin. Rats divided into six groups equally, which consist of positive control (gentamicin 0.1%), negative control (aquadest) and water fraction of Mm (Lour.) extract dose 12.5 mg, 25 mg, 50 mg and 100 mg. Wound was made by Morton method and treatment applied on the wound every other day for 21 days. Wound healing process were observed by percent wound healing and histopathological changings on day 0, 3, 10 and 25, representing each healing phase. Results: The percentage of reduction in wound size comparison at day 10 showed no significant different when compared with positive control started from dose 50 mg. This result is consistent with the histopathological changings parameter (angiogenesis, macrophage, fibroblast and collagen density). Conclusion: Water fraction of Mm (Lour.) extract was dose-dependently enhanced the process of wound healing in diabetic rat model and the most effective dose was 100 mg, which looks similar with positive control. Therefore, it is potential to be developed further as a topical drug.This research was supported by Research Grants from the Ministry of Research, Technology and Higher Education for funding period of 2017

THE ENHANCEMENT OF COLLAGEN SYNTHESIS PROCESS ON DIABETIC WOUND BY MERREMIA MAMMOSA (LOUR.) EXTRACT FRACTION

Objective: This research aimed to evaluate the effect of fractionation of Merremia mammosa Lour. (Mm (Lour.)) extract on diabetic wound healing by observing the collagen synthesis process and to search the most potent fraction. Methods: Wistar rats were divided into five groups (n=5), i.e., K-(negative control), K+(positive control), K1 (ethyl acetate fraction), K2 (water fraction), and K3 (n-hexane fraction). The Mm (Lour.) was extracted with ethanol 70%, then fractionated by using three solvents which have different polarity. The rats were adapted in 7 d, then induced into diabetic by streptozotocin dose 40 mg/kg body weight. The wound was made by Morton excision method. Treatment was given every two days and a skin biopsy was done on day 11. Analysis of collagen density was done by photomicrograph of histopathology preparations in Masson’s trichome stained by using trinocular microscope with 400x magnification in 6 fields of view, then processed by imageJ software and analyzed by appropriate statistic tool. Results: The results of this research showed that fractionation of Mm (Lour.) extract significantly enhanced diabetic wound healing based on macroscopic (percentage of wound healing) and collagen density with p-value&lt;0.05 when compared with negative control, especially the water fraction (p=0.000). The follow-up post hoc analysis showed that there was no­ significant (p=0.989) or there was no meaningful difference in the group of water fraction when compared to positive control. Conclusion: Water fraction is the extract fraction of Mm (Lour.) which has the most significant influence on diabetic wound healing showed by enhancement of collagen synthesis