Faktor-Faktor Yang Mempengaruhi Ibu Memijatkan Bayi Ke Dukun Bayi Di Desa Tunggul Sragen

Baby massaging done regularly will improve the katekolamin hormone (epinefrin dan norepinefrin) able to trigger growth and development stimulation because could be improve the eating passion, improving body weight, and stimulus of structure growth and also brain function. The infant massage which was done by midwife or phsiotherapy. At the research find the phenomenon of role of traditional birth attendants which still big. The cultural was representing the factor having an effect on big to choice the baby massaging to traditional birth attendants. This research was purpose to identify factors affecting the mother seek traditional birth attendants to massage their baby in Tunggul Village Sragen. This research was quantitative research with cross sectional design. Population taken in this research was mother having age baby 0-12 month was the baby massaging to traditional birth attendants of last 3 month in Tunggul Village Sragen. Sample in this research was all population members. The questioner was used as research instrument. The data analyze was using multiple linear regressions analyze for 5% significant level. The multiple linear regressions analyze result with coefficient regression value for knowledge variable equal to +0,001, coefficient regression value for cultural variable equal to +0,249, coefficient regression value for perception variable equal to +0,064, coefficient regression value for attitude variable equal to +0,127, coefficient regression value for family support equal to +0,011, coefficient regression value for information variable equal to +0,285, coefficient regression value for economy variable equal to +0,012, and coefficient regression value for social environment equal to +0,642. Variable which significant have an effect on was cultural, information and social environment. All of variable with the positive parameter so that all variable improve risk. The conclusion for this research was Simpulan dari penelitian most having an effect on factor to the baby massage behavior to traditional birth attendants that was social environment (44,14%), Information (22,10%), cultural (19,81%), attitude (7,85%), perception (4,42%), economy (0,91%), family support (0,61%), knowledge (0,10%)

Asuhan Keperawatan Pada An. D dengan Gangguan Sistem Hematologi : Thalasemia di Ruang Melati 2 Rumah Sakit Umum Daerah Dr. Moewardi Surakarta

LatarBelakang: Gen thalasemia sangat luas tersebar, dan kelainan ini diyakini merupakan penyakit genetik manusia yang paling prevalen. Distribusi utama meliputi daerah- daerah perbatasan Laut Mediterania, sebagian besar Afrika, timur tengah, sub benua India, dan Asia Tenggara. Dari 3 % sampai 8 % orang Aerika keturunan Itali atau Yunani dan 0,5% dari kulit hitam Amerika membawa gen untuk thalasemia β. Dibeberapa daerah Asia Tenggara sebanyak 40% dari populasi mempunyai satu atau lebih gen thalasemia. Tujuan: Untuk mengetahui gambaran asuhan keperawatan pada pasien dengan thalasemia meliputi pengkajian, intervensi, implementasi, dan evaluasi keperawatan. Hasil: Setelah dilakukan asuhan keperawatan selama 3x24 jam didapatkan hasil pada pemenuhan nutrisi, pasien makan ¾ porsi makanan rumahsakit. Pada resiko infeksi, pasien masih lemas, Hb 6,5 gr/dL, suhu membaik dari 366C menjadi 360C, leukosit 12,4 kL 103/uL. Pertahanan regimen terapeutik dapat diatasi Kesimpulan: Observasi keadaan umum pasien, pemberian tindakan keperawatan mandiri, kolaborasi dengan tim kesehatan lain dalam pemberian terapi dan diit yang tepat dapat mengurangi masalah yang muncul

HUBUNGAN PENGETAHUAN DENGAN PERILAKU PERAWAT DALAM PENGGUNAAN ALAT PELINDUNG DIRI (APD) DI RS PKU MUHAMMADIYAH YOGYAKARTA

Latar Belakang: Pengetahuan penggunakan APD harus dimiliki oleh perawat agar dapat memahami potensi risiko bahaya infeksi, tidak hanya pengetahuan tetapi perawat juga harus memiliki perilaku penggunaan APD yang baik untuk meningkatkan kualitas pelayanan yang baik. Tujuan Penelitian: Mengetahui hubungan pengetahuan dengan perilaku perawat dalam penggunaan APD di RS PKU Muhammadiyah Yogyakarta. Metode Penelitian: Desain penelitian yang digunakan adalah deskriptif korelatif dengan pendekatan cross sectional. Instrumen yang digunakan adalah kuesioner pengetahuan APD dan lembar observasi dengan sampel 60 responden. Analisis data menggunakan Kendall tau. Hasil: Perilaku perawat sebagian besar baik (53,3%). Pengetahuan perawat sebagian besar baik (81,7%). Hasil penelitian menunjukkan bahwa tidak ada hubungan antara pengetahuan perawat dan perilaku dalam penggunaan APD, ditunjukkan dengan nilai signifikansi 0,918 (> 0,05). Simpulan: Tidak ada hubungan yang signifikan antara pengetahuan dengan perilaku perawat dalam penggunaan APD di Rumah Sakit PKU Muhammadiyah Yogyakarta. Saran: Perawat lebih meningkatkan meningkatkan kesadaran bahwa penggunaan APD yang tidak sesuai dapat membahayakan diri sendiri maupun pasien

Pengaruh edukasi CA Mammae menggunakan komik digital terhadap minat sadari pada mahasiswi fakultas sains dan teknologi di Universitas ‘Aisyiyah Yogyakarta

Latar Belakang: Ca mammae dapat dideteksi secara dini menggunakan SADARI pada kelompok usia remaja.Minat SADARI perlu ditingkatkan agar ca mammae dapat ditemukan pada stadium dini. Mahasiswi Fakultas Sains dan Teknologi di Universitas ‘Aisyiyah Yogyakarta belum mengetahui tentang ca mammae maka edukasi ca mammae diperlukan agar mengetahui tentang ca mammae termasuk SADARI sehingga berminat melakukan SADARI secara rutin. Tujuan Penelitian: Diketahui pengaruh edukasi ca mammae menggunakan komik digital terhadap minat SADARI pada Mahasiswi Fakultas Sains dan Teknologi di Universitas ‘Aisyiyah Yogyakarta. Metode Penelitian: Quasi eksperiment design dengannon equivalent control group. Teknik sampel menggunakan purposive sampling. Sampel berjumlah 34 Mahasiswi yang belum pernah mendapatkan penyuluhan kanker payudara. Instrumen penelitian menggunakan kuesioner minat SADARI. Analisis data menggunakan Paired Sample TTest dan Independent Sample T-Test. Hasil Penelitian: Diketahui minat SADARI pada kelompok intervensi sebelum diberikan edukasi ca mammae menggunakan komik digital berada dalam kategori minat sedang 12 (66.7%) dan setelah diberikan edukasi ca mammae dalam kategori minat tinggi 9 (50%). Minat SADARI pada kelompok kontrol sebelum diberikan edukasi ca mammae menggunakan powerpoint berada dalam kategori minat sedang 12 (66.7%) dan setelah diberikan edukasi ca mammae dalam kategori minat tinggi 9 (50%). Simpulan dan Saran: Tidak ada perbedaan pengaruh edukasi ca mammae antara kelompok intervensi menggunakan komik digital dan kelompok kontrol menggunakan powerpoint terhadap minat SADARI pada Mahasiswi Fakultas Sains dan Teknologi di Universitas ‘Aisyiyah Yogyakarta dengan Sig. (2-tailed) 0,538 > 0,05. Disarankan untuk dapat mengembangkan media komik digital dan menggunakan metode edukasi yang lebih efektif sehingga mendapatkan hasil penelitian yang lebih baik

Distress, anxiety, and depression in cancer patients undergoing chemotherapy

BACKGROUND: Chemotherapy for cancer is an intense and cyclic treatment associated with number of side-effects. The present study evaluated the effect of chemotherapy on distress, anxiety and depression. PATIENTS AND METHODS: A total of 117 patients were evaluated by using distress inventory for cancer (DIC2) and hospital anxiety and depression scale (HADS). Majority of the patients were taking chemotherapy for solid tumors (52; 44.4%). RESULTS: The mean distress score was 24, 18 (15.38%) were found to have anxiety while 19 (16.23%) had depression. High social status was the only factor found to influence distress while female gender was the only factor found to influence depression in the present study. CONCLUSION: The study highlights high psychological morbidity of cancer patients and influence of gender on depression. Construct of distress as evaluated by DIC 2 may have a possible overlap with anxiety

Effect of vitamin E (Tri E®) on antioxidant enzymes and DNA damage in rats following eight weeks exercise

<p>Abstract</p> <p>Background</p> <p>Exercise is beneficial to health, but during exercise the body generates reactive oxygen species (ROS) which are known to result in oxidative stress. The present study analysed the effects of vitamin E (Tri E^®) on antioxidant enzymes; superoxide dismutase (SOD), glutathione peroxidase (GPx), catalase (Cat) activity and DNA damage in rats undergoing eight weeks exercise.</p> <p>Methods</p> <p>Twenty four <it>Sprague-Dawley </it>rats (weighing 320-370 gm) were divided into four groups; a control group of sedentary rats which were given a normal diet, second group of sedentary rats with oral supplementation of 30 mg/kg/d of Tri E^®, third group comprised of exercised rats on a normal diet, and the fourth group of exercised rats with oral supplementation of 30 mg/kg/d of Tri E^®. The exercising rats were trained on a treadmill for 30 minutes per day for 8 weeks. Blood samples were taken before and after 8 weeks of the study to determine SOD, GPx, Cat activities and DNA damage.</p> <p>Results</p> <p>SOD activity decreased significantly in all the groups compared to baseline, however both exercised groups showed significant reduction in SOD activity as compared to the sedentary groups. Sedentary control groups showed significantly higher GPx and Cat activity compared to baseline and exercised groups. The supplemented groups, both exercised and non exercised groups, showed significant decrease in Cat activity as compared to their control groups with normal diet. DNA damage was significantly higher in exercising rats as compared to sedentary control. However in exercising groups, the DNA damage in supplemented group is significantly lower as compared to the non-supplemented group.</p> <p>Conclusions</p> <p>In conclusion, antioxidant enzymes activity were generally reduced in rats supplemented with Tri E^®probably due to its synergistic anti-oxidative defence, as evidenced by the decrease in DNA damage in Tri E^®supplemented exercise group.</p

The Characterization of Helicobacter pylori DNA Associated with Ancient Human Remains Recovered from a Canadian Glacier

Helicobacter pylori is a gram-negative bacterium that colonizes the stomach of nearly half of the world's population. Genotypic characterization of H. pylori strains involves the analysis of virulence-associated genes, such as vacA, which has multiple alleles. Previous phylogenetic analyses have revealed a connection between modern H. pylori strains and the movement of ancient human populations. In this study, H. pylori DNA was amplified from the stomach tissue of the Kwäday Dän Ts'ìnchi individual. This ancient individual was recovered from the Samuel Glacier in Tatshenshini-Alsek Park, British Columbia, Canada on the traditional territory of the Champagne and Aishihik First Nations and radiocarbon dated to a timeframe of approximately AD 1670 to 1850. This is the first ancient H. pylori strain to be characterized with vacA sequence data. The Tatshenshini H. pylori strain has a potential hybrid vacA m2a/m1d middle (m) region allele and a vacA s2 signal (s) region allele. A vacA s2 allele is more commonly identified with Western strains, and this suggests that European strains were present in northwestern Canada during the ancient individual's time. Phylogenetic analysis indicated that the vacA m1d region of the ancient strain clusters with previously published novel Native American strains that are closely related to Asian strains. This indicates a past connection between the Kwäday Dän Ts'ìnchi individual and the ancestors who arrived in the New World thousands of years ago

Supporting Goal-Oriented Primary Health Care for Seniors with Complex Care Needs Using Mobile Technology:Evaluation and Implementation of the Health System Performance Research Network, Bridgepoint Electronic Patient Reported Outcome Tool

BACKGROUND: Older adults experiencing multiple chronic illnesses are at high risk of hospitalization and health decline if they are unable to manage the significant challenges posed by their health conditions. Goal-oriented care approaches can provide better care for these complex patients, but clinicians find the process of ascertaining goals “too complex and too-time consuming,” and goals are often not agreed upon between complex patients and their providers. The electronic patient reported outcomes (ePRO) mobile app and portal offers an innovative approach to creating and monitoring goal-oriented patient-care plans to improve patient self-management and shared decision-making between patients and health care providers. The ePRO tool also supports proactive patient monitoring by the patient, caregiver(s), and health care provider. It was developed with and for older adults with complex care needs as a means to improve their quality of life. OBJECTIVE: Our proposed project will evaluate the use, effectiveness, and value for money of the ePRO tool in a 12-month multicenter, randomized controlled trial in Ontario; targeting individuals 65 or over with two or more chronic conditions that require frequent health care visits to manage their health conditions. METHODS: Intervention groups using the ePRO tool will be compared with control groups on measures of quality of life, patient experience, and cost-effectiveness. We will also evaluate the implementation of the tool. RESULTS: The proposed project presented in this paper will be funded through the Canadian Institute for Health Research (CIHR) eHealth Innovation Partnerships Program (eHIPP) program (CIHR–143559). The expected completion date of the study is November, 2019. CONCLUSIONS: We anticipate our program of work will support improved quality of life and patient self-management, improved patient-centered primary care delivery, and will encourage the adoption of goal-oriented care approaches across primary health care systems. We have partnered with family health teams and quality improvement organizations in Ontario to ensure that our research is practical and that findings are shared widely. We will work with our established international network to develop an implementation framework to support continued adaptation and adoption across Canada and internationally