HUBUNGAN PENGALAMAN INTERAKSI DENGAN PENDERITA KANKER SERVIKS, DUKUNGAN SUAMI DAN PERSEPSI DIRI TENTANG KANKER SERVIKS DENGAN KEINGINAN MELAKUKAN SKRINING METODE IVA DI WILAYAH PUSKESMAS TEGALREJO, YOGYAKARTA

Cervical cancer caused 10,3 % of 92.000 death on woman in Indonesia but it was the only one ofthe type of cancer that could be prevented. Primary prevention was done with VIA. Only 2,45% woman had checked VIA test. According to other research in Iran and Malaysia, psychosocial barrier was the most influential caution. Therefore we conducted a study to know relationship between interaction experience with cervical cancer patient, husband support, self perception on cervical cancer disease and woman’s desire for checking VIA test. Method of the research was analytic researchwithcross sectional design. Population of woman with age 25-60 years in Tegalrejo Public Health Centre territory was 4.323.There were 4 urban villages. Sample size was 188 samples. Sampling was taken by cluster sampling. The independent variables were characteristic, perception,interaction experience with cervical cancer patient and husband support. The dependent variable was woman’s desire for checking VIA test. Data source used primary data that taken by questionnaire. Data were analyzed by chi-square, fisher exact, mann whitney and logistic regression test. The result of this research showed that most of the woman with age 25-60 years had desire for checking VIA test (57%). Data were analyzed with looking at p-value in chi-square result.There were p-value score ; age (0.008), parity (0.710), education level(0.06), economic status (0.53) and work (0.308). Perception variables were known by cervical cancer related to woman’s died (0.01), first sexual activity < age 20 risk to cervical cancer (0.07), always changed sexual partner (0.01), the benefit of VIA test (0.00), Checked VIA test although didn’t have symptom (0.00), not shame/afraid check VIA test (0.00) and VIA test spend long time(0.03) interaction experience with cervical cancer patient were family (0,590), neighbour (0,470), and friend (0,595). Husband support is looked from giving advice (0.001), reminding VIA test schedule (0.007), giving motivation (0.002), giving money for checking VIA test (0.000), giving money for transportation/deliver to health facility (0.002) and giving praise (0.003). Factors related to woman’s desire for checking VIA test wereage, all type of perception except first sexual activity < age 20 risk to cervical cancer and all type of husband support. The most influential dominant factor with woman’s desire for checking VIA test was age. So we recommended to involve husband for giving all type of support and give attention to self perception and age aspect

Direct Experience with Cervical Cancer Patient, Husband Support, and Self-Perception as Determinant Factors of Women’s Desire to Take VIA Screening Test

Cervical cancer causes 10.3% women mortality in Indonesia. Visual Inspection of Acetic Acid (VIA) had been used for screening program since 2014, but only2.45% women took the test in 2015. In the place of this study, the coverage was at less than 1%. Previous studies revealed that psychosocial was animportant factor, but less studies analyzed the role of husband support and direct experience with cervical cancer patient. The aim of the study was to learncorrelation between direct experience with cervical cancer patient, husband support, self-perception and women’s desire to take VIA screening. Crosssectionalstudy was applied randomly on women aged 25-55 years old at four villages in Yogyakarta. All data were taken by questionnaire. Most of 188 respondentshad right perception of cervical cancer and the importance of VIA, but they did not receive adequate support from their husband. Few of them haddirect experience with cervical cancer patient. Statistical results showed that age, right perception and husband support were correlated with women’s desireto take VIA test (p value< 0.05), while direct experience with cervical cancer patient was not correlate. Women with right perception and husband support aremore willing to take VIA test.AbstrakKanker serviks menyebabkan 10.3% kematian pada perempuan di Indonesia. Inspeksi visual asam asetat (IVA) telah digunakan untuk program skrining sejaktahun 2014 tetapi hanya 2,45 % perempuan yang melakukan pemeriksaan pada tahun 2015. Di tempat penelitian, cakupan skrining metode IVA kurang dari1%. Penelitian sebelumnya menyebutkan faktor psikososial sebagai satu faktor penting, tetapi sedikit penelitian yang menganalisis peran dukungan suamidan pengalaman langsung dengan penderita kanker serviks. Penelitian ini bertujuan mempelajari hubungan antara pengalaman langsung dengan penderitakanker serviks, dukungan suami, persepsi diri dan keinginan perempuan melakukan skrining IVA. Penelitian potong lintang dilakukan secara acak padaperempuan berusia 25-55 tahun di empat kelurahan di Yogyakarta. Seluruh data dikumpulkan melalui kuesioner. Sebagian besar dari 188 responden memilikipersepsi yang benar mengenai kanker serviks dan pentingnya pemeriksaan IVA, tetapi mereka tidak menerima dukungan yang cukup dari suami. Sebagiankecil memiliki pengalaman langsung dengan penderita kanker serviks. Uji statistik menunjukkan bahwa usia, persepsi yang benar, dan dukungan suamiberhubungan dengan keinginan perempuan untuk melakukan skrining IVA (nilai p < 0.05), sedangkan pengalaman langsung dengan penderita kanker servikstidak berhubungan dengan keinginan melakukan skrining. Perempuan dengan persepsi yang benar dan dukungan suami lebih bersedia melakukan skriningIVA

Medical education versus exposure to SARS COV-2: how is the achievement of doctor resident competence in the field of urogynecology?

The spread of SARS CoV-2 impacts medical education. Patients with urogynecological cases are mostly elderly patients who are at risk of exposure to the virus. This paper aims to review resident education in the urogynecology field during the pandemic and how residents can achieve appropriate competence. This study examines the views of several previous research articles and then compiled them in a narrative review. New recommendations such as services at health facilities, as well as scheduled visits or virtual services, have an impact on reducing the number of cases, limited contact with patients, virus exposure from practice locations, online learning, and the involvement of resident doctors in handling SARS CoV-2 case for other units. Resident doctors need to achieve competence to become professionals in their fields. What needs to be realized is that direct practice with patients, conducting examinations, making diagnoses, and providing therapy with real cases cannot be replaced with online learning. Medical education for residents must ensure safety in obtaining education and practice in the hospital to fulfill the task of caring for patients, access to mental health in a pandemic, and simulation-based training. All of these interventions are designed to ensure that the competence of graduates achieved before or during COVID-19 is the same: doctors who are professional and competent intheir fields. Keywords: Resident doctors, Medical education, Competence, Urogynecology, SARS CoV-

Regenerative Medicine in Urogynecological Services: Opportunities in Cases of Stress Urinary Incontinence

Stress urinary incontinence (SUI) is a case that often occurs in women. The handling of this case is not yet fully effective, even though the challenge of health care is to provide quality services and adjust to the needs of the patient. The purpose of this study was to examine the effectiveness of regenerative medicine applied in urogynecology especially in stress urinary incontinence cases as a preliminary study. A selective database search of PubMed, and Google Scholar was conducted to validate the effectiveness of regenerative medicine in urogynecology especially urinary stress incontinence. The search included experimental research, written in English, and has Leak Point Pressure assessment data in the results analysis. Research involves both animals and humans. The search used the following keywords in various combinations: 'stem cell therapy', 'cell-based therapy for SUI', 'regenerative medicine for SUI', and 'tissue engineering'. LPP is an assessor of the success of SUI's services. Most of the studies explored the success and potential of stem cell utilization in cases of stress urinary incontinence even with different types of stem cells. Future studies need to test or experiment the manufacture of stem cell products that can be applied more easily and in the long term. Keywords: Stress urinary incontinence, stem cell, regenerative medicin

Records of antibodies in breast milk in postpartum women who have been vaccinated or exposed to COVID-19: A systematic review

Abstract Background: Breast milk is a critical element in developing a baby's immunity through immune transfer. Antibodies are an essential unit of immunity against infection with the SARS-CoV-2 virus. This paper explores antibodies in breast milk in postpartum women who have been vaccinated or exposed to coronavirus disease 2019 (COVID-19). Duration of antibody appearance was studied to determine the adequate time in transferring antibodies by breastfeeding. Methods: : Three databases, PubMed, Google Scholar, and ScienceDirect, were used as sources of articles. Inclusion criteria applied in selecting articles were prospective observational study or experimental design study in English, evaluating antibodies in breast milk, and conducted between 2019–2021. Article quality and risk of bias were assessed with Critical Appraisal Skills Programme (CASP). The data found were synthesized in a narrative manner. Results: : This systematic review included 20 articles. A total of 306 postpartum women who were infected with COVID-19, 20 postpartum women who had viral symptoms and 495 postpartum women who had been vaccinated were studied. Immunoglobulin A (IgA) and immunoglobulin G (IgG) antibodies were found in the breast milk of infected and vaccinated postpartum women. SARS CoV-2 infection is associated with the presence of IgA dominant, whereas vaccination is related to the presence of IgG dominant. Antibodies persisted from day 10 of onset to 10 months in infected postpartum women and started from three days to six weeks in vaccinated postpartum women. Meta-analysis could not be carried out due to the variety of articles. Conclusions: : Antibodies found in breast milk in infected and vaccinated postpartum women have different dominant types. Further research needs to be done regarding the mechanism of antibody transfer in breast milk, longer research duration and studies that directly examine the comparison of antibodies in breast milk in vaccinated and infected postpartum women. Registration: PROSPERO ( CRD42022340859 , 23 June 2022)

The Role of Regenerative Medicine in Wound Healing in Cases of Vesicovaginal Fistulae

Background: Post-surgical wound healing in cases of vesicovaginal fistulae is a challenge because it is related to infection prevention and the long-term well-being of women. Aim: The aim of this research was to critically review the application of regenerative medicine in wound healing. The next aim was to look in depth to see whether regenerative medicine strategies have a place in the future of wound healing in a clinical setting. More specifically, to see if these strategies would apply for vesico vaginal fistulae case in the field of urogynecology. Method: A narrative literature review examines several previous research published at the last 5 years, containing keywords, namely vesicovaginal fistulae, regenerative medicine, wound healing. We used databases from Google Scholar, PubMed and Scopus Database. Results: A vesicovaginal fistula is an abnormal communication between the bladder and the vagina. There are currently no precise guidelines for the postoperative management of patients after fistula repair. Transvaginal surgical procedures are a common solution for vesicovaginal fistulas. In wound healing, more attention is needed because of the risk of infection especially wound healing in the area of ​​​​the reproductive organs. It should also be noted that stress urinary incontinence is a common complication. Several studies have initiated the trial process of regenerative medicine for using in urogynecological cases. Conclusion: In the management of vesico vaginal fistula cases, regenerative medicine can be a solution in postoperative care but still needs further development and standardization. Keywords: placenta, urogynecology, regenerative medicin

Considering Role of Probiotic on Respiratory Disease: Is Probiotic Possible to Treat COVID-19?

Abstract Background: COVID-19 is a new variant of the corona virus known as a pandemic disease. The number of cases has increased every day around the world. Unfortunately, treatment in management has not been satisfactory. Purpose: This study aims to examine the role of probiotics in respiratory disease and the possibility of managing COVID-19 through an analysis of its function. Method: This study is a review. Quality journals until 2020 were searched in the Pubmed database for the keywords ‘respiratory’ or ‘asthma’ or ‘pneumonia’ or ‘lung’ or ‘influenza’ and ‘COVID-19’. Compiled data includesthe author, type of study, type of probiotic, duration of intervention, target population, results, conclusion and side effects that occurred Results: We analyzed 9 experimental studies. Some studies related to respiratory disorders used the Lactobacillus Sp as probiotic. One research used Fructooligosacharide as additional ingredient. The research use different doses and timing of interventions 14 days - 6 months. The diseases covered in this report are asthma, pneumonia, and influenza. Probiotics can reduce symptomps, duration in hospitality risk, and quality of life. Conclusion: The ability of probiotics in the management of respiratory diseases provides hope for the management of COVID-19, of course, it is balanced with further research that is able to analyze clear dosages, types and roles

Production Risk Analysis for Organic Cabbage Farming in Semarang District, Central Java

There is some risk and uncertainty involved with purchasing organic cabbage. Farming is highly susceptible to natural phenomena such as high rainfall and pest infestations. It will have consequences for the development of the harvested area, and fluctuations in production can indicate a risk to agricultural production. This study aims to determine the factors that influence organic cabbage production and to determine the factors that affect the risk of organic cabbage production in Getasan District. The Semarang Regency, where this study was conducted, is the largest cabbage market. A total of 73 farmers were selected using a census-based sample from four INOFICE-certified organic farmer groups: Batur Village, Wates Village, Tajuk Village, and Kopeng Village. The analysis method utilized the Just and Pope production risk function and the Cobb-Douglass type production function. The Cobb-Douglass production function analysis revealed that land area, seeds, manure, and cropping patterns all positively and substantially affected organic cabbage production, but only to a limited extent. According to the Just and Pope production risk function, the risk associated with farming organic cabbage could be mitigated by increasing land area and diversity in cropping patterns

Examination and Treatment Scenario in Urogynecology Case During COVID-19 Pandemic: A Review

Abstract The number of COVID-19 cases continues to increase therefore health services in hospitals must adapt to the COVID-19 pandemic. One of the services that must be affected is urogynecology services. This study aims to examine scenarios in the examination and treatment of patients with urogynecological cases in hospitals during a pandemic. A non-systematic review examines several scientific articles related to recommendations. The articles were searched through the PubMed and Google Scholar databases with the keywords “urogynecology patient” or “hospital” or “treatment” or “urogynecology care” and “COVID-19”. Data is arranged in the form of scenarios and narrative reviews. The scenario carried out is telemedicine, except for certain severe cases, so one must go to the hospital with a record of patient protection against COVID-19. It is possible to use online to prevent the accumulation of patients in the hospital. Management emphasizes non-surgical solutions such as lifestyle, nutritional patterns, behavioral concepts, and periodic drug administration. Implementation is carried out with preconditions, namely patient safety, an integrated system related to payment and prescription of drugs. Things that need to be underlined in telemedicine governance are the need for adequate counseling and good cooperation between doctors and patients because this will affect diagnosis and management. This effort makes it possible to break the chain of infection in urogynecology services and the need for further research related to a complete and comprehensive application syste

PELATIHAN MANAJEMEN EMOSI PADA GURU DALAM MENDAMPINGI ANAK PESERTA DIDIK DI KELAS (Emotion Management Training for Elementary School Teachers in Guiding Students in the Classroom)

The training program on emotional management for Elementary School (SD) teachers aims to enhance their understanding and skills in managing emotions while guiding students in the classroom. The training is conducted over one day and involves twenty-six teachers from SD IT Diana As-Saffa Islamic, Lhokseumawe, as participants. The implementation methods encompass lectures, group discussions, group tasks, and presentations, along with pre-test and post-test evaluations to measure the knowledge gained from the training. The training covers understanding teacher competencies, the developmental stages of children aged 7-11, challenges in interacting with students, as well as techniques for managing emotions in various situations. The results of the training demonstrate active participation and enthusiasm from participants throughout the various stages of the program. Teachers gain a deeper understanding of competencies and challenges encountered while guiding students. Such training is highly recommended as it aids teachers in effectively managing emotions to foster a positive learning environment, thereby enhancing the psychological well-being of both teachers and students