Poverty and Women Status among the Fishers Community in Contemporary Era

There is a significant change in how people see fishers these days, as previously this particular profession was tightly related to poverty, and had the tendency to be subsistence. This includes the role of female fishers. Now they do not necessarily have to stay at home waiting for the return of their husband from fishing, but actually, participate in the act of fishing on the sea along with their husband. Today, women already acknowledged by the government. There is even a success story of female fishers in Juwana, Pati, Central Java. In the eighties, fishers in that area lived in poverty. Now they thrive and leading life in prosperity. Does this mean poverty is not so tightly related to the fishers anymore? How fishers of Juwana answer the question? How is the fate of female fishers now that their status is already acknowledged as a legit profession

Efektivitas Pelaksanaan Praktek Pembangunan Kesehatan Masyarakat Sekolah (Pkms) Tahun Akademik 2009/2010 Terhadap Peningkatan Skill Mahasiswa D3 Keperawatan

EFEKTIVITAS PELAKSANAAN PRAKTEK PEMBANGUNAN KESEHATAN MASYARAKAT SEKOLAH (PKMS) TAHUN AKADEMIK 2009/2010 TERHADAP PENINGKATAN SKILL MAHASISWA D3 KEPERAWATANThe Effectiveness Of Community Health Practice (Pkms) To The Skill Increasing Of Diploma Nursing Student Muhammadiyah University Of Malang 2009Sri Sunaring Ika WardojoProgram Studi Ilmu Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah MalangJl. Bendungan Sutami 188A Malang 65145e-mail: [email protected] praktek pembangunan kesehatan masyarakat sekolah (PKMS) yang diikuti oleh seluruh mahasiswa program Diploma (D3) Keperawatan semester VI Fakultas Ilmu Kesehatan Universitas Muhammadiyah Malang bertujuan agar mahasiswa memiliki pengalaman untuk memberikan pelayanan keperawatan kepada keluarga, lansia dan masyarakat sekolah dengan masalah kesehatan baik yang aktual, resiko maupun potensial dengan menggunakan pendekatan asuhan keperawatan keluarga, gerontik, dan komunitas dengan berbagai agregat (berdasarkan setting tempat, penyakit, usia) dengan pendekatan komunitas sebagai mitra (community as partner). Penelitian ini bertujuan untuk mengetahui tentang efektivitas pelaksanaan program praktek pembangunan kesehatan masyarakat sekolah (PKMS) terhadap peningkatan skillmahasiswa. Penelitian ini termasuk dalam cross sectional study dengan menggunakan desain deskriptif komparatif. Pengambilan sample dilakukan dengan teknik accidental sampling. Populasi dalam penelitian ini adalah mahasiswa D3 Keperawatan FIKES UMM semester VI, sedangkan sample dalam penelitian ini adalah mahasiswa D3 Keperawatan yang mengikuti program praktek pembangunan kesehatan masyarakat sekolah (PKMS) baik sebanyak 69 orang. Penelitian dilaksanakan sejak bulan Desember 2009-Mei 2010. Instrumen yang digunakan dalam penelitan ini adalah menggunakan kuesioner soal pre test dan post test yang masing-masing berisi 10 item pertanyaan yang sama. Untuk mengetahui efektivitas pelaksanaan program ini terhadap peningkatan pengatahuan mahasiswa dapat dibandingkan skor pada pre test dengan post test kemudian dianalisis menggunakan uji t berpasangan (paired t test). Hasil uji statistik didapatkan nilai p = 0,00 (p < á), sehingga dapat diambil kesimpulan bahwa terdapat perbedaan yang signifikan antara nilai pretes dengan posttest. Dengan kata lain, pelaksanaan program ini efektif terhadap peningkatan skill mahasiswa D3 Keperawatan dalam bidang keperawatan komunitas, keperawatan keluarga dan keperawatan gerontik.Kata kunci: efektivitas, PKMS, skill, mahasiswa D3 keperawatanABSTRACTThis community practical study, which was attended by all of the 3hd grade Nursing Diploma\u27s students of University of Muhammadiyah Malang, aims to enable the students having experience to provide family health care with actual and potential health problem using the approach of family nursing careplan, provide nursing services to elderly family members who have health problems due to aging (degenerative process) using the approach of gerontology nursing careplan, and conduct community nursing careplan with a variety of aggregate (based on spot settings, disease, age) with community as a partner. This study aimed to find out about the effectivity of community practical study related with increasing of the student\u27s knowledge and skills. This is a cross sectional study using a comparative descriptive design. Sampling is done by accidental sampling technique. The population were the Nursing Diploma\u27s students of University of Muhammadiyah Malang, while the samples were 69 students. Research conducted since December 2009-May 2010. The instrument used in this research is pretest and post test quesstionnaire. To examine the effectiveness of this program related with increasing of the students\u27s knowledge, can be analyzed using paired t test (paired t test). Results of statistical test p value = 0.00 (p < á), so it can be concluded that there are significant differences between the pretest and posttest. In othe

Pengaruh Pendidikan Ibu UNTUK MENGATASI Kematian Bayi Di Asia Tenggara

Pengaruh Pendidikan Ibu UNTUK MENGATASI Kematian Bayi di Asia Tenggara(The Effect of Mother Education to Reduce Infant Mortality in South East Asia)Sri Sunaringsih Ika WardojoProgram Study Ilmu Keperawatan, Fakutas Ilmu Kesehatan Universitas Muhammadiyah Malange-mail. [email protected] yang terdiri dari 11 negara-negara berkembang , seperti Bangladesh , Bhutan , Korea Utara , India , Indonesia , Maladewa , Myanmar , Nepal , Sri Lanka , Thailand dan Timor Leste , memiliki masalah kesehatan masyarakat yang sama masalah sehubungan dengan tingginya angka kematian bayi di wilayah ini , dan sudah terjadi selama sepuluh tahun terakhir. Bagaimanapun ibu memainkan peran ganda dalam keluarga yang mempengaruhi kesehatan dan kesejahteraan semua anggota keluarga, termasuk anak-anak. Namun, pendidikan ibu dianggap salah satu kemungkinan kendala utama untuk promosi kesehatan bangsa , yang mempengaruhi peningkatan prevalensi kematian bayi di wilayah tersebut. Mendukung pernyataan tersebut, Commision on The Social Determinants of Health ( 2008) mengatakan pendidikan ibu diasumsikan menjadi salah satu penentu sosial utama masalah kesehatan anak . Berdasarkan hasil review artikel dari 25 artikel dan 3 literatur umum, itu diketehui bahwa ketidaksetaraan pendidikan perempuan , yang terjadi di sebagian besar negara-negara Asia Tenggara , telah secara signifikan mempengaruhi masalah kesehatan bayi di wilayah ini , karena menjadi penghalang utama bagi ibu untuk memperbarui informasi tentang pengetahuan kesehatan anak, kurang diberdayakan untuk otonomi keuangan , kurang pengambilan keputusan kekuasaan, dan akses dan kontrol atas sumber daya dalam rumah tangga , di mana aspek-aspek secara signifikan berkontribusi terhadap kurang kelangsungan hidup anak dalam keluarga. Oleh karena itu, untuk menutup kesenjangan pendidikan perempuan di negara-negara Asia Tenggara akan menjadi program yang sangat berguna karena tidak hanya untuk mengurangi angka kematian bayi di wilayah ini , tetapi juga meningkatkan kualitas kesehatan penduduk secara umum.Kata kunci: Pendidikan ibu, kematian bayi, South East Asia RegionABSTRACTSEAWHO which comprises of 11 developing countries , such as Bangladesh, Bhutan, North Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor Leste, has similar public health issue regarding to the high infant mortality rate in this region, and it happened over the last ten years . However, mothers play multiple roles in the family that affect health and well being of all family members, including children. However, maternal education assumed to be one possibilities of the primary obstacles to the promotion of the nation's health, which escalated the prevalence of infant mortality in those region. Supporting with that statement, Commision on The Social Determinants of Health (2008) said maternal education assumed to be one of the major social determinant of child health problems. Based on narrative review from 25 articles and 3 grey literature, it was knowen that inequality of women education, which occurred in most of South East Asian countries, has significantly influenced the infant health problem in this region, since it became major barrier for mothers to update information about child health knowledge, less empowered to the financial autonomy, less decision making power, and access and control over resources within household, in which those aspects significantly contributes to the less child survival within family. Therefore, closing the gap of women education in South East Asian countries will be a useful program not only reducing infant mortality in this region, but also increasing quality of population health

Peningkatan Range of Motion (ROM) Pada Lansia Dengan Kasus Knee Osteoarthitis Dengan Menggunakan Latihan Retrowalking di Puskesmas Kendal Kerep

Latar Belakang: Nyeri  sendi atau arthritis merupakan  penyakit  yang  umum terjadi  pada  lansia dan paling banyak menyebabkan kecacatan. Intervensi Fisioterapi yang ada hingga saat ini hanya berfungsi untuk mengurangi nyeri dan mempertahankan fungsi dari sendi yang terkena. Retrowalking atau yang dikenal dengan jalan mundur merupakan salah satu terapi yang dapat digunakan untuk lansia dengan osteoarthritis knee. Metode: Penelitian ini menggunakan desain pre eksperimental dengan rancangan pre dan post test bertujuan untuk mengetahui efektifitas retrowalking untuk peningkatan ROM pada lansia dengan osteoarthritis knee. Populasi penelitian ini adalah lansia di puskesmas Kendal Kerep dengan jumlah sampel 13 orang. Tehnik pengambilan sampel menggunakan purposive sampling dengan protokol intervensi menggunakan standart operating procedure. Data yang diperoleh akan dianalisis menggunakan uji T berpasangan (α = 0,05).Hasil: Hasil analisis uji T berpasangang didapatkan hasil nilai P = 0,001 dapat ditarik kesimpulan bahwa terdapat efektifitas retrowalking terhadap peningkatan ROM lansia dengan osteoarthritis knee  di puskesmas Kendal Kerep.Kesimpulan: Retrowalking memberikan manfaat latihan serta rehabilitasi yang unik. Pada saat berjalan mundur, pada fase swing fleksi lutut cenderung lebih kecil dari pada saat berjalan biasa, hal tersebut mengurangi gerakan lutut saat retrowalking. Penelitian ini diharapkan menambah pengetahuan tenaga kesehatan mengenai manfaat retrowalking untuk knee osteoarthritis. Sehingga dapat dimanfaatkan sebagai home program

Determinant factors affecting adolescent fruit and vegetable consumption in Indonesia

Adolescence is a critical period for getting used to eating fruit and vegetables for their health because it can affect health in adulthood. The behavior of adolescents in Indonesia who eat vegetables and fruit is still not in line with expectations. This study examined the factors influencing adolescent fruit and vegetable consumption in Indonesia. METHODS: The cross-sectional study used secondary data from the Indonesia Global School-Based Student Health Survey (IGSHS). The IGSHS sample comprises 75 schools, with 11.142 students representing three regions (Sumatra, Java-Bali, Outer Sumatra, and Java-Bali) in 26 provinces and 68 districts/cities in Indonesia. RESULTS: Age, soft drinks, and identified fast food consumption as determinants of fruit and vegetable consumption (p=0.001). Sex also affected fruit consumption (p=0.023). Adolescents who did not consume fast food were three times more likely to consume fruit than adolescents who did (OR=3.087, 95% CI=2.508-3.800). Meanwhile, adolescents who did not consume fast food were twice as likely to consume vegetables as those who did (OR=1.723,95% CI=1.395-1.731). DISCUSSION AND CONCLUSION: Age, soft drinks, and fast food consumption are determinants of fruit and vegetable consumption. These findings may provide meaningful recommendations for developing policies and health promotion programs to improve community nutrition by increasing the consumption of fruits and vegetables among adolescents to achieve a better nutritional status

Analysis of Patient Satisfaction Levels According to the SERVQUAL Method on Post-Stroke Services at the Physiotherapy Clinic Muhammadiyah University Hospital Malang

One of the primary services at the physiotherapy clinic of UMM Hospital is post-stroke rehabilitation. The hospital is fully equipped with the infrastructure that supports these services, including the availability of static cycles, IR, and diathermy. Post-stroke rehabilitation services have been conducted since June 2013, however, since the establishment of the clinic, levels of patient satisfaction have not been evaluated. Assessment of client satisfaction is important because, in the future, the clinic will be a place of reference for physiotherapy students about post-stroke rehabilitation and providing excellent service to clients. This study used the SERVQUAL (Service Quality) method which involves the assessment of the aspects of tangibility, reliability, responsiveness, assurance, and empathy, to assess the level of patient satisfaction with different services. The study was conducted on all patients who come to the clinic between March and May 2015. The sample size was 20 patients. We identified the patient’s expectations and perception of clinic physiotherapy at the clinic and compared it to the results of the SERVQUAL performance assessment. Based on the results of the study, it was found that the majority of respondents were unsatisfied with the services at the physiotherapy clinic, due to the limitations of the physiotherapists’ abilities, long waiting times for services, and lack of on-call physiotherapists. In addition, there are patient complaints about the lack of equipment at the clinic. However, patients were very satisfied with the safety and comfort of the therapy services, this is influenced by the abilities of qualified physiotherapists who are able to resolve complaints We suggest that the clinic needs to increase the number of physiotherapists in this clinic, and it is necessary to make updates to the existing physiotherapy equipment. Keywords: Service quality, physiotherapy, strok

Some factors relating to the larval growth of the Colorado potato beetle, Leptinotarsa decemlineata Say (Coleoptera: Chrysomelidae), on artificial diets

A brief account of the history of the development of artificial diets for phytophagous insects is given. Some conceptions with regard to terminology are discussed (chapter 3).Artificial diets for the larvae of the Colorado potato beetle, Leptinotarsa decemlineata Say, were developed and in addition some factors determining the feeding and rate of growth of the larvae have been brought to light.Larvae of the four consecutive instars reared on a diet were compared concerning their feeding and growth response (chapter 4). From the increased feeding activity of the larvae of the successive instars it appeared that an advance in tolerance towards the diet was observed as the larvae grew older. In addition it was noticed that as being in an advanced instar, the larvae were better able to accomplish their development on the diet.Because of the above mentioned phenomenon diets for the third instar larvae were based on the results of tests on the effects of various substances on larval growth (chapter 5). The nature of the substances tested as well as the concentration ratios of the dietary constituents appeared to be the most critical factors. Macro-molecular substances had to be included in the diet in view of the physico-chemical requirements for feeding and growth.First instar larvae reared on the best diets formulated so far for the third instar, could only attain the third instar.Non-aseptic rearing of newly hatched larvae on an autoclaved diet revealed that although palatability remained unchanged, the nutritive value of the diet was increased remarkably by heat treatment (chapter 6, section 6.5). Further experiments, however, are required to determine the factors causing this positive effect of autoclaving.In many cases during subsequent experiments 50 % or more of the individuals reared on an autoclaved diet from the time of hatching attained maturity. Addition of potato leaf powder appeared to promote feeding; however, it has no effect on growth. Inclusion of fresh potato leaves in the diet at a level of 10 % led to an increased feeding activity as well as an improved growth rate. However, growth ceased after two generations on diets with or without crude material from the host plant.In the present study it has been shown that ascorbic acid is required for larval growth. Commercial β-sitosterol, stigmasterol, cholesterol and ergosterol proved to be equally effective as sterol sources.An aseptic rearing technique for studies of the nutritional requirements was also developed, however, without satisfactory results.The improved quality of the diet by means of autoclaving enabled a mass rearing of larvae under non-aseptic conditions.In the general discussion (chapter 7) it was concluded that in principle the Colorado potato beetle could be reared on an artificial diet without addition of specific substances from the host plant. The results of the present study support the general opinion that the nutritional requirements for phytophagous insects are qualitatively more or less similar, but differ to a great extent quantitatively between species

INFLUENCE OF GRAPE SEED EXTRACT SOLUTION ON MICROLEAKAGE BETWEEN COMPOSITE RESIN AND DENTIN

Objectives: The purpose of this study is to evaluate the influence of grape seed extract (GSE) solution as dentin biomodification on microleakagebetween composite resin and dentin.Methods: A total of 52 dentin specimens were divided into two groups. Group 1 involved the application of GSE solution for 30 seconds after etching.Group 2 served as the control group.Results: The GSE solution group significantly increases microleakage between the composite resin and dentin compared to the control group.Conclusions: The application of GSE solution after etching can increase microleakage between composite resin and dentin