Hubungan Konsumsi Herbal dengan Kepatuhan Minum Obat Standar pada Pasien Hipertensi di Wilayah Kerja Puskesmas Lempake Samarinda

It is crucial for patients with hypertension to always control their blood pressure by consuming medicines for hypertension, the morbidity and mortality rates will be hopefully reduced. Medication adherence is necessary in order to reach the target of controlling blood pressure. There are a lot of causes affecting medication adherence, one of which is the consumption of herbal remedies. Objective: To investigated the correlation between the consumption of herbal remedies and medication adherence among patients with hypertension at Lempake Public Health Centre in Samarinda. Methods: The research design was analytical observational with a cross-sectional approach. The statistical analysis used Chi-Square test. The data were collected through interviews with 94 respondents. They were selected using convenience sampling and also asked to fulfill the identity form and MMAS-8 questionnaire. Results: Most respondents at Lempake Public Health Centre in Samarinda consumed herbal remedies (42.6%), but their medication adherence was low (82.9%). The significant p-value was 0.008 based on the statistical analysis. Conclusion: There is a significant correlation between the consumption of herbal remedies and medication adherence among patients with hypertension at Lempake Public Health Centre in Samarinda.Keywords:  herbal, hypertension, medication adherence, MMAS-

HUBUNGAN ADIKSI INTERNET DENGAN MASALAH PERILAKU PADA SISWA SMP DI KOTA SAMARINDA

Adiksi internet merupakan Perilaku individu yang berlebihan atau tidak terkontrol dalam menggunakan Internet yang mengarah pada gangguan. Adiksi internet memiliki dampak negatif berupa gangguan psikologis dan fisik. Pada remaja adiksi ini dapat menimbulkan masalah emosional dan perilaku. Penelitian ini bertujuan untuk mengetahui hubungan adiksi internet dengan masalah perilaku pada siswa SMP di Kota Samarinda. Desain penelitian ini adalah observasional analitik dengan metode cross sectional. Data yang diperoleh dari kuesioner Internet Addiction Test (IAT) dan kuesioner Difficulties Questionnaire (SDQ) dengan teknik consecutive sampling. Sampel pada penelitian ini berjumlah 135 orang responden. Hasil penelitian ini menunjukkan bahwa 56 orang responden (41,5%) mengalami adiksi internet ringan dan 15 orang responden (11,1%) mengalami adiksi internet sedang, sedangkan untuk masalah perilaku sebanyak 56 orang responden (41,5%) mengalami masalah perilaku kategori abnormal dan 40 orang responden mengalami masalah perilaku kategori borderline. Uji analisis bivariat dengan uji Spearman menghasilkan nilai p-value < 0,001 dengan r = 0,370. Hal ini menunjukkan bahwa terdapat hubungan positif yang signifikan antara adiksi internet dengan masalah perilaku, artinya semakin tinggi tingkat adiksi internet maka semakin tinggi pula tingkat masalah perilaku. Kata kunci: Adiksi internet, Masalah perilaku remaja, IAT, SD

One-month Progress of COVID-19 Cases in East Kalimantan, Indonesia

BACKGROUND: East Kalimantan, Indonesia, will play a significant geopolitical role as the province has been selected as the location of the future capital city of Indonesia. As a buffer zone to the capital city, there is urgent attention on the preparedness of the cities and regencies in East Kalimantan to respond to emergent infectious disease events such as coronavirus disease-19 (COVID-19). AIM: The aim of the present study was to descriptively convey information about COVID-19 cases in East Kalimantan during the period of March 18, 2020–April 18, 2020, in terms of the isolation, testing, and tracing mechanisms used. METHODS: The initial distribution of COVID-19 was identified in 5 of 10 districts and is now present in almost all districts except for one very remote regency. RESULTS: The tracing performance of the fast response teams in East Kalimantan during this period was considered satisfactory with a mean of 0.7% of people under observation testing positive for severe acute respiratory syndrome coronavirus 2, and a mean of 14.4% patients under investigations testing positive. The use of rapid tests since March 30, 2020 has improved the detection ability, with confirmed positive cases as a percentage of confirmed negatives increasing from 20.2% to 31.8%. The use of the COVID-19 rapid test was cross-checked with a dengue rapid test to prevent false-positive identification. Confirmed clusters were announced to the public, urging people to respond and report. CONCLUSION: The 1-month progress of COVID-19 cases in East Kalimantan showed a total case fatality rate (CFR) of 1.85%, a closed CFR of 8.3% and a closed case recovery rate of 91.7%

THE RELATIONSHIP OF ORAL HEALTH AND QUALITY OF LIFE FOR ELDERLY AT THE TRESNA WERDHA NIRWANA SOCIAL ORGANIZATION PURI SAMARINDA

Introduction: Elderly is the final stage of the aging process, usually followed by cumulative changes in human that create changes in the oral cavity as well. Oral Health plays a crucial role in general health and quality of life. Material and Methods: : This research used analytical observational study with cross-sectional design, using purposive sampling as its sampling method. The respondents were 81 elderly people. This research used oral health Levin questionnaire and Oral Health Impact Profile (OHIP-14). The data from this research were analyzed using Spearman correlation test. Results and Discussions: The correlation between dental and oral health and quality of life showed significant with the p value &lt;0.001 and correlation coefficient R= 0.657. Conclusion: There was a significant correlation between dental and oral health and the quality of life of elderly people in Tresna Werdha Nirwana Puri Samarinda Nursing home

ASSOCIATION AMONG STATIN, TELOMERE LENGTH AND CARDIOVASCULAR DISEASES

Background: Recent evidence has shown associations between cardiovascular diseases (CVDs) and telomere length (TL). Many factors affect telomerase activity (TA) and TL, and statin was recently found to be associated with TA and TL. This systematic review and meta-analysis was conducted to summarize the evidence on the effect of statin on TA and TL, and update the knowledge of association between TL and CVDs. Primary objective is to determine the effect of statin on TA and TL; Secondary objective, to assess the associations between TL and CVDs. Methods: The MEDLINE and Scopus databases were searched to identify eligible studies and extracted data. Meta-analysis was done to see effects of statin on TA/TL [i.e., standardized/unstandardized mean difference (SMD/USMD)] and TL on CVDs using random-effects and fixed-effects model according to heterogeneity assessed by Q test and I2. Results: Five and 18 studies were selected for the primary and secondary objectives, respectively. Pooled TA showed effect of statin on TA with SMD [95% confidence interval (CI)] of 1.90 (1.16, 2.64) TA. However, no significant effect on TL was seen. Increased risk of CHD among participants with shorter TL was estimated by a pooled risk ratio of 1.58 (1.19, 2.09). However, pooled hazard ratios (HRs) for CHD and stroke were non-significant; but shorter TL was significantly increased risk for unspecified CVDs with pooled HR of 1.33 (1.04, 1.70). Conclusions: Our study showed association between statin and TA, but not for TL. In addition, shorter TL is more likely to be higher risk for CHD and unspecified CVDs. However, results were still inconclusive based on different pooled parameters. More studies are required to confirm the association of statin with TL, possibly to elucidate its protective effect on CVDs. Keywords: Telomere, Telomerase, Statin, Cardiovascular disease

PENGARUH PENYIMPANAN DAN PEMANASAN TERHADAP STABILITAS FISIK DAN AKTIVITAS ANTIOKSIDAN LARUTAN PEWARNA ALAMI DAGING BUAH NAGA (Hylocereus costaricensis)

Tujuan penelitian ini adalah untuk mengetahui pengaruh penyimpanan dan pemanasan terhadap stabilitas fisik dan aktivitas antioksidan larutan pewarna alami dari daging buah naga (Hylocereus costaricensis). Penelitian dilakukan secara eksperimental menggunakan desain Post Test Only Control Group dengan 7 kelompok penyimpanan, yaitu tanpa penyimpanan, suhu kamar 1 hari, suhu kamar 3 hari, suhu kamar 5 hari, suhu kulkas 1 hari, suhu kulkas 3 hari, suhu kulkas 5 hari; 6 kelompok pemanasan, yaitu tanpa pemanasan, 63°C 30 menit, 100°C 0 menit, 100°C 15 menit, 100°C 30 menit, 100°C 60 menit. Setiap perlakuan dilakukan dengan 3 pengulangan. Parameter yang diamati adalah pH, intensitas warna, dan aktivitas antioksidan. pH stabil pada kelompok tanpa penyimpanan dan tanpa pemanasan. Intensitas warna stabil pada kelompok tanpa penyimpanan, penyimpanan suhu ruang 1 hari, penyimpanan suhu kulkas 1 hari, dan tanpa pemanasan. Persentase peredaman radikal DPPH tertinggi pada kelompok tanpa penyimpanan dan tanpa pemanasan. Hasil penelitian menunjukkan penurunan pH, intensitas warna, dan aktivitas antioksidan seiring meningkatnya suhu dan lama pemanasan serta lama penyimpanan. Hal tersebut menandakan adanya pengaruh penyimpanan dan pemanasan terhadap stabilitas fisik dan aktivitas antioksidan larutan pewarna alami daging buah naga

POLA PENGGUNAAN OBAT BAHAN ALAM SEBAGAI TERAPI KOMPLEMENTER PADA PASIEN HIPERTENSI DI PUSKESMAS

Hypertension is a major health problem throughout the world, including Indonesia. The use of traditional medicine as part of the treatment of hypertension is increasing in the last decade. This is due to several factors, especially traditional medicine is a cheaper alternative with fewer undesirable side effects. This study tried to look at the pattern of use of natural medicine as a complementary therapy in hypertensive patients at the health center. The study is a descriptive study conducted in Puskesmas Sempaja Samarinda in the period September 2016, interviewing 62 hypertension patients with the use of natural medicine. The results showed 70.9% of patients with hypertension in the health center also uses natural medicines. All patients using herbal medicine which in theory is proven to lower blood pressure. However, there is no natural medicines used include standardized herbal medicine or phytopharmacy. Only 15.2% of patients using herbal medicine in accordance with the criteria BPOM regulation on herbal medicine. For conclusions, this study shows the patients still need to be educated for the use of natural medicine in the management of hypertension

Convalescent Plasma Therapy in Severe-Critical COVID-19 Patients at North Kalimantan Regional Public Hospital: Survival Analysis.

Background: Convalescent plasma therapy (CPT) is one of the methods used in treatment in COVID-19, but the administration of CPT to COVID-19 patients is still controversial. This study aims to assess the difference in survival between CPT administration in severe-critical COVID-19 patients and standard therapy. Methods: This research was a retrospective cohort observational research. Survival analysis was carried out on the factor and outcome variables by estimating the median survival time and Kaplan-Meier survival curve