PERBEDAAN KUALITAS JARINGAN TULANG PIPA TIKUS MENGGUNAKAN LARUTAN DEKALSIFIKASI ASAM NITRAT 3% DAN ASAM NITRAT 10% DENGAN PENGECATAN HE

Dekalsifikasi yaitu proses meghilangkan garam kalsium pada tulang. Proses dekalsifikasi dapat menggunakan larutan asam seperti asam nitrat 3% dan asam nitrat 10%. Asam nitrat 3% membutuhkan waktu 8 hari dan kurang efektif sedangkan pada larutan asam nitrat 10% memerlukan waktu 2 sampai 3 hari dengan hasil dapat diagnosis dan kualitas preparat baik. Tujuan penelitian mengetahui perbedaan kualitas dan kelunakan jaringan tulang pipa tikus menggunakan larutan dekalsifikasi asam nitrat 3% dan asam nitrat 10% dengan pengecatan HE. Jenis penelitian adalah Analitik. Subjek penelitian menggunakan jaringan tulang pipa tikus wistar (Rattus norvegicus) normal yang berusia 2 sampai 3 bulan dengan jenis kelamin jantan. Objek penelitian menggunakan jaringan tulang pipa tikus putih jantan dengan galur Wistar sebayak 15 sediaan yang didekalsifikasi dengan larutan asam nitrat 3% dan 15 sediaan dengan larutan asam nitrat 10%. Hasil kelunakan jaringan tulang pipa tikus menggunakan larutan asam nitrat 10% lebih cepat lunak dibandingkan dengan asam nitrat 3%. Hasil kualitas preparat jaringan tulang pipa menggunakan asam nitrat 10% mendapatkan skor (1+) yaitu tidak dapat didiagnosis sedangkan asam nitrat 3% mendapatkan skor (3+) yaitu dapat didiagnosis. Simpulan penelitian terdapat perbedaan antara jaringan tulang pipa yang direndam dengan menggunakan larutan asam nitrat 3% dan asam nitrat 10%

Path Analysis on the Biological and Social-Economic Determinants of Anemia in Pregnant Mothers in Bantul, Yogyakarta

Background: Anemia in pregnant women is one of the public health problems that is still considered as a serious problem. The most important things in handling cases of anemia in pregnant women is to pay attention to biological and socio-economic factors in pregnant women. This study aimed to determine the effect of biological and socio-economic factors on the incidence of anemia among pregnant women.Subjects and Method: This was a cross sectional study conducted in Bambanglipuro community health center, Bantul, Yogyakarta, from March to April 2019. A sample of 200 pregnant women was selected by fixed disease sampling. The dependent variable was anemia. The independent variables were age, gestational age, parity, birth spacing, education, income, adherence to iron tablet consumption, contraceptive use before pregnancy, dietary pattern, and body mass index (BMI). The data were collected by questionnaire and analyzed by path analysis.Results: The risk of anemia in pregnant women was directly and positively affected by education <Senior high school (b=1.92; 95% CI=0.67 to 3.17; p=0.003), age <20 or ≥35 years old (b=1.27; 95% CI= 0.09 to 2.46; p=0.036), parity ≥3 times (b=1.57; 95% CI= 0.42 to 2.72; p=0.007), birth spacing <2 years (b=2.58; 95% CI= 1.23 to 3.93; p<0.001), gestational age (II and III trimesters) (b=2.07; 95% CI=0.69 to 3.45; p=0.003), BMI <18.5 (b=3.21; 95% CI=1.98 to 4.44; p<0.001), and irregular iron tablet consumption (b=1.46; 95% CI=0.31 to 2.62; p=0.013). It was indirectly affected by education, history of contraceptive use, dietary pattern, and family income.Conclusion: The risk of anemia in pregnant women is directly and positively affected by education <Senior high school, age <20 or ≥35 years old, parity ≥3 times, birth spacing <2 years, gestational age (II and III trimesters), BMI <18.5, and irregular iron tablet consumption. It is indirectly affected by education, history of contraceptive use, dietary pattern, and family income.Keywords: anemia, iron tablet consumption, dietary pattern, path analysis Correspondence: Mulya Cunda Ratu Reso. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 08213­8095480Journal of Maternal and Child Health (2019), 4(6): 23-34https://doi.org/10.26911/thejmch.2019.04.06.03

The Effect of Folic Acid Adjuvant on Cognitive Function on Patients with Chronic Schizophrenia

ABSTRACT   Background: Schizophrenia is a severe mental disorder that associated with daily life and social function deterioration and could be accompanied with cognitive deficits. Meanwhile, hyperhomocysteinemia (HHcy) is the increasing homocysteine (Hcy) level which might be the one of biological factor in schizophrenia. In recent study with healthy subjects, it was known that there was a correlation between total Hcy level and cognitive function. Folic acid is part of water-soluble vitamin B and expected to have important role in oxidative stress by preventing hyperhomocysteinemia.Objective: This study aimed to elaborate the effect of folic acid adjuvant to improve cognitive function in chronic schizophrenia patients.Methods: This was a double-blinded randomized controlled trial with pre and post-test clinical trial design. This study included 32 patients in control group and 32 patients in treatment group. MOCA-INA score was examined in all subjects on the first day. Then, all subjects were given standard antipsychotic treatment plus folic acid adjuvant / placebo during 3 week of hospitalized treatment and 1 week of outpatient treatment. When the 4-week treatment finished, the subjects were followed by MOCA-INA post-test.Results: In this study, we had the significant difference of pre and post-test MOCA-INA score in the control group (p<0.001), significant difference of pre and post-test MOCA-INA score in the treatment group (p<0.001), and significant difference of post-test MOCA-INA score between the control and treatment group (p<0.001).Conclusion: Folic acid adjuvants significantly improved cognitive function in chronic schizophrenic patients. 

Antiviral treatment for acute retinal necrosis:A systematic review and meta-analysis

Acute retinal necrosis is a progressive intraocular inflammatory syndrome characterized by diffuse necrotizing retinitis that can lead to a poor visual outcome, mainly from retinal detachment. The antiviral treatment approach for acute retinal necrosis varies as there are no established guidelines. We summarize the outcomes of acute retinal necrosis with available antiviral treatments. Electronic searches were conducted in PubMed/MEDLINE, EMBASE, Scopus, and Google Scholar for interventional and observational studies. Meta-analysis was performed to evaluate the pooled proportion of the predefined selected outcomes. This study was registered in PROSPERO (CRD42022320987). Thirty-four studies with a total of 963 participants and 1,090 eyes were included in the final analysis. The estimated varicella-zoster virus and herpes simplex virus polymerase chain reaction-positive cases were 63% (95% CI: 55–71%) and 35% (95% CI: 28–42%), respectively. The 3 main antiviral treatment approaches identified were oral antivirals alone, intravenous antivirals alone, and a combination of systemic (oral or intravenous) and intravitreal antivirals. The overall pooled estimated proportions of visual acuity improvement, recurrence, and retinal detachment were 37% (95% CI: 27–47%), 14% (95% CI: 8–21%), and 43% (95% CI: 38–50%), respectively. Patients treated with systemic and intravitreal antivirals showed a trend towards better visual outcomes than those treated with systemic antivirals (oral or intravenous) alone, even though this analysis was not statistically significant (test for subgroup differences P = 0.83).</p

BURN INJURY: GENERAL CONCEPTS AND INVESTIGATION BASED ON ANTEMORTEM AND POSTMORTEM OF CLINICAL INJURY

Burn injury is a condition which catastrophic consequences can affect the sufferer physically, socially, as well as financially. Medicolegal aspect of a burn requires physicians to be able to examine burn injuries on both the living and the dead. Burn injury is defined as tissue damage due to contact with dry heat (fire), humid heat (vapor or hot liquid), chemicals (corrosive agents), electrical devices (lamp or electrical current), friction, as well as electromagnetic energy. Burn can be classified according to its breadth and degree. Death by burn injuries can be classified into 2 categories which are slow death and the fast one. The difference between antemortem and postmortem burn injury is that antemortem injury will show several intravital signs in the bullae and vesicles while postmortem injury will have none.Three main points exist in identifying antemortem and postmortem burn injuries, namely redness lines, vesication, and reparative processes. Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} <![endif]--

STRUKTUR KOMUNITAS TUMBUHAN SEMAK di DESA IBOIH KECAMATAN SUKA KARYA KOTA SABANG

Penelitan tentang Struktur Komunitas Tumbuhan Semak di Desa Iboih Kecamatan Suka Karya Kota Sabang telah dilakukan pada hari Kamis, 12 Agustus 2021. Penelitian ini bertujuan untuk mendapatkan informasi mengenai Struktur Komunitas Tumbuhan Semak di Desa Iboih Kecamatan Suka Karya Kota Sabang. Pengumpulan data dilakukan dengan cara observasi dengan menggunakan metode Kuadat dengan menggunakan petak contoh persegi empat. Ukuran petak contoh yang digunakan untuk tumbuhan semak 2 x 2 m2 dengan 5 plot pengambilan sampel. Hasil yang diperoleh menunjukkan bahwa tumbuhan semak di kawasan Hutan terdiri dari 9 spesies dari 7 famili

Diplomasi Publik Jepang (Studi Kasus : Budaya Pop Jepang Di Indonesia)

This thesis aims to discuss the importance of using Japanese pop culture in this case, Manga, Anime and Cosplay as part of Japanese public diplomacy in Indonesia. This discussion is divided into the MOFA (Japan Ministry of Foreign Affairs) program and the Japan Foundation as one of the actors who also carry out public diplomacy. The research in this thesis uses qualitative research methods with descriptive elaboration through the description of programs implemented such as the International Manga Award, World Cosplay Summit or even the appointment of anime or manga characters as Ambassadors (ambassadors) such as Doraemon as Anime ambassadors, the appointment of Kawaii Ambassadors and also The Cool Japan program is a program carried out to export pop culture and other commodities and content from Japan. This is intended to increase understanding and trust in Japan both in terms of politics between Indonesia and Japan, the economy and even a strategy to increase Japan's domestic tourism. From a political point of view, it can be seen through diplomatic relations with Indonesia which have existed for 60 years, and from an economic point of view between the two countries through the policy of granting broadcasting rights and licenses as well as expansion of investment by Japan which is expected to improve domestic welfare in Japan. tourism, namely increasing tourist visits to Japanese tourism which is now starting to be polished with a touch of pop culture elements such as Tokyo One Piece Tower, a theme park with the theme of the One Piece anime. So it can be said that Japanese pop culture is important for Japanese public diplomacy as a way to increase public trust and understanding outside Japan in general and especially the public in Indonesia regarding the image of Japan and gain prosperity for the Japanese domestic public

PENGARUH MUROTTAL DENGAN KECEMASAN PERSALINAN KALA I PADA IBU PRIMIPARA DI WILAYAH KERJA PUSKESMAS WAY DENTE KABUPATEN TULANG BAWANG

Background: Anxiety facing labor is felt by all pregnant women, especially primigravida. In Indonesia, it was found that primigravida mothers experienced severe anxiety reaching 83.4% and moderate anxiety by 16.6% while in multigravida mothers, severe anxiety was 7%, moderate anxiety was 71.5 %, and mild anxiety 21.5%. The purpose: this study is to know the effect of murottal with first stage labor anxiety in primiparous mothers in the working area of the Way Dente Health Center, Tulang Bawang Regency in 2021.Methods: This research was conducted with a quantitative approach. Non-equivalent quasi-experimental analytical research design. The population in this study were all mothers who were about to give birth in the work area of the Way Dente Health Center, Tulang Bawang Regency totaling 44. The sample in this study amounted to 15 respondents in the control group and 15 respondents in the intervention group. The object of this research is: Murotaal therapy for labor anxiety. The time of the research was carried out in March-July 2021. Data collection used an observation sheet. Analysis with univariate and bivariate (T-Test).Results: It is known that the average anxiety before being given murottal is 54.27 and after being given it is 27.00. It is known that the average anxiety before being given care is 51.67 and after being given care is 35.87. Conclusion: There is a Murottal Effect with First Stage Labor Anxiety on Primiparous Mothers in the Working Area of Way Dente Health Center, Tulang Bawang Regency in 2021 p-value 0.000. Suggestions: expected to make promotive efforts for midwifery services so that related institutions can pay more attention to techniques for reducing anxiety during childbirth. Keywords: Murottal, Anxiety, Labor, Primipara ABSTRAK Latar Belakang: Kecemasan mengadapi persalinan dirasakan seluruh ibu hamil khususnya primigravida, Di Indonesia didapatkan bahwa ibu primigravida mengalami kecemasan tingkat berat mencapai 83,4% dan kecemasan sedang sebesar 16,6% sedangkan pada ibu multigravida didapatkan kecemasan tingkat berat 7%, kecemasan tingkat sedang 71,5%, dan cemas ringan 21,5%.Tujuan penelitian: diketahui Pengaruh Murottal  Dengan Kecemasan Persalinan Kala I Pada Ibu Primipara Di Wilayah Kerja  Puskesmas Way Dente Kabupaten Tulang Bawang Tahun 2021.Metode: Penelitian ini dilakukan dengan pendekatan kuantitatif. Rancangan penelitian analitik quasi eksperimen non equivalen. Populasi dalam penelitian ini adalah seluruh ibu yang akan bersalin di Wilayah kerja Puskesmas Way Dente Kabupaten Tulang Bawang berjumlah 44. Sampel pada penelitian ini berjumlah 15 responden pada kelompok kontrol dan 15 responden pada kelompok intervensi. objek dalam penelitian adalah: terapi murotaal terhadap kecemasan persalinan. Waktu peneltian dilaksanakan pada bulan Maret- Juli 2021.Pengumpulan data menggunakan lembar observasi. Analisa dengan univariat dan bivariat (T-Tes).Hasil: Diketahui rata-rata kecemasan sebelum diberikan murottal adalah 54,27 dan setelah diberikan adalah 27,00. Diketahui rata-rata kecemasan sebelum diberikan asuhan adalah 51,67 dan setelah diberikan asuhan adalah 35,87.Kesimpulan: Ada Pengaruh Murottal  Dengan Kecemasan Persalinan Kala I Pada Ibu Primipara di Wilayah Kerja Puskesmas Way Dente Kabupaten Tulang Bawang Tahun 2021 p-value 0,000.Saran: diharapkan melakukan upaya promotif bagi pelayanan kebidanan sehingga institusi terkait bisa lebih memperhatikan teknik penurunan kecemasan pada saat persalinan. Kata Kunci : Murottal, Kecemasan, Persalinan, Primipar

Meta Analysis the Effect of Gestational Diabetes Mellitus on Macrosomia and Sectio Caesarea

Background: Gestational Diabetes Mellitus (GDM) is the degree of glucose intolerance that occurs during pregnancy. DMG is caused by damage to cells and insulin resistance, resulting in hyperglycemia and an increase in abnormal growth/macrosomia which causes cesarean delivery. This study aims to analyze the magni­tude of the effect of DMG on the incidence of macrosomia and caesarean section with a meta-analysis study.Subjects and Method: This research is a systematic review and meta-analysis conducted using PRISMA flow diagram. Article searches were conducted through journal databases including: PubMed, Science Direct, and Google Scholar by selecting articles published in 2000-2020. The keywords used were: "gestational diabetes mellitus" OR "diabetes in pregnancy" AND macrosomiaAND "sectio caesarean" OR "perinatal outcomes" OR "pregnancy outcome". The inclusion criteria in this study were full text articles with an observational study design, articles using English, analysis using multi­variate with adjusted odds ratio. Eligible arti­cles were analyzed using Revman 5.3 app.Results: A total of 22 articles were reviewed in this study with a cohort study design. Meta-analysis of 12 articles showed that pregnant women with gestational diabetes mellitus had a 1.36 times risk of giving birth to a macrosomic baby compared to those without gestational diabetes mellitus (aOR=1.36; 95% CI=1.15 to 1.60; p<0.003), while 10 articles showed preg­nant women with gestational diabetes mellitus had a 1.35 times risk for cesarean delivery than those without gestational diabetes mellitus (aOR=1.35; 95% CI=1.17 to 1.55; p<0.001).Conclusion: Gestational Diabetes Mellitus has a weak effect on macrosomia births and caesarean section.Keywords: gestational diabetes mellitus, macrosomia, sectio caesarean, meta analysisCorrespondence: Tantri Yunita Ratna. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082338868869.Journal of Maternal and Child Health (2021), 06(03): 376-387https://doi.org/10.26911/thejmch.2021.06.03.1

Peat Soil Improvement Method Using Woven Bamboo and Cerucuk

Most of the land in South Sumatera is the problematic soil, one of that is peat. Peat has low soil bearing capacity, and it becomes a problem when construction is built. Before the installation process, it is necessary to handle that soil. Soil improvement that can be done on peat to increase the bearing capacity value is the reinforcement method or physical stabilization. The results of research on woven bamboo and cerucuk are used as reinforcement material, which is expected to be an alternative to improve soil bearing capacity. The research methodology used was on the scale of the laboratory and analyzed by comparing the soil bearing capacity without reinforcement in bearing capacity ratio (BCR). The maximum bearing capacity with cerucuk reinforcement and without woven bamboo is 39.33 kPa with variations of the two outer rods of the left and right sides from 750 angle toward the foundation plane. However, using the 3 layers of reinforcement woven bamboo that is combined with cerucuk, which has diameter 1,5 cm and length 60 cm generates the highest soil bearing capacity value. The maximum of bearing capacity is 58 kPa. The BCR is 10,88 or in percentage is 988,2%, or 10 times greater than bearing capacity without reinforcement. So, it can be inferred that woven bamboo and cerucuk are used as an alternative to improve bearing capacity on peat soil