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Relationship Between Anxiety Levels and Delayed Breast Milk Let-Down in Postpartum Mothers at Prof. Dr. R.D Kandou General Hospital Manado Noviani Polohoon; Sulistiyah Sulistiyah
Journal of Educational Innovation and Public Health Vol. 4 No. 1 (2026): Januari: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i1.8661

Abstract

Background: Anxiety in postpartum mothers is a psychological problem that can negatively impact maternal mental health, marital relationships, and the lactation process. This psychological disorder can inhibit the production and let-down of breast milk, which, if not addressed promptly, can lead to physical complications such as breast engorgement or mastitis, as well as hinder the fulfillment of the infant's nutritional needs. Objective: This study aimed to determine the relationship between anxiety levels and delayed breast milk let-down in postpartum mothers at Prof. Dr. R.D. Kandou General Hospital Manado. Methods: This research is an analytical survey with a cross-sectional design. The sample consisted of 30 postpartum mothers selected using non-probability sampling. Research instruments included questionnaires and interviews, with data analysis using the chi-square test. Results: The majority of respondents experienced moderate anxiety (60.0%) and had non-smooth breast milk let-down (53.3%). Statistical test results showed a p-value = 0.030, indicating a significant relationship between anxiety levels and delayed breast milk let-down. Conclusion: High anxiety levels in postpartum mothers contribute to delayed breast milk let-down. Psychological support for postpartum mothers is needed to maintain the smoothness of the breastfeeding process.
Dynamic Causality Relationship between Bitcoin and Global Islamic Equity Markets: A Pre- and Post-COVID-19 VECM Analysis Dhani, Rifqi Rama; Oktaviana, Helmalia; Sulistiyah, Sulistiyah; Subagiyo, Rokhmat; Aswad, Muhammad
Indonesian Interdisciplinary Journal of Sharia Economics (IIJSE) Vol 9 No 1 (2026): Sharia Economics
Publisher : Universitas KH. Abdul Chalim Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study explores the dynamic interactions between Bitcoin (BTC), the Dow Jones Islamic Market Index (DJIMI), and the FTSE SGX Shariah 100 Index (FTSGS100) from 2015 to 2025, employing the Vector Error Correction Model (VECM) to analyze both short- and long-term relationships. The Johansen cointegration test indicates a long-term equilibrium among the three variables, with DJIMI showing a stronger connection to Bitcoin compared to FTSGS100. In the short run, Bitcoin exhibits a strong response to its own shocks, whereas the Sharia indices are more stable and less responsive to short-term fluctuations in Bitcoin’s volatility. The findings underscore the weak integration between global Sharia equity markets and digital assets, positioning Bitcoin as a speculative asset largely independent of Sharia-compliant markets. These results suggest the importance of enhanced risk management and portfolio diversification strategies for investors navigating the rapidly changing financial landscape. Additionally, this research enhances our understanding of the interactions between cryptocurrency markets and traditional financial markets, particularly Sharia-compliant indices, during times of global financial uncertainty.
The Role of Midwives in Increasing Participation in IUD Family Planning at the Bone Pantai Community Health Center Meta Aquarista Syamsi; Sulistiyah Sulistiyah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i4.660

Abstract

Background: Family planning is a critical public health strategy to control population growth and improve maternal and child health. Among the available contraceptive methods, the Intrauterine Device (IUD) is highly effective and long-term, yet its uptake remains low in many communities. Midwives play a pivotal role in promoting IUD adoption through counselling, education, and community engagement, but their effectiveness in specific local contexts requires further investigation. Objective: This study aimed to examine the role of midwives in increasing women’s participation in IUD family planning at the Bone Pantai Community Health Center. Methods: A quantitative descriptive-analytical study with a cross-sectional design was conducted. The population included women of reproductive age (15–49 years) eligible for IUD contraception and midwives providing family planning services. A purposive sampling technique was used to select participants. Data were collected through structured questionnaires, interviews, and observation checklists. Statistical analysis was performed using SPSS software, with descriptive statistics to summarize participant characteristics and inferential tests, including the Chi-square test, to examine relationships between midwife interventions and IUD uptake.
The Relationship Between Sexually Transmitted Infections (STIs) and Preterm Birth at Tomalou Primary Health Care Center Aisyah Fatma Elhartin; Sulistiyah Sulistiyah
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.661

Abstract

Preterm birth remains a significant public health concern due to its contribution to neonatal morbidity and mortality worldwide. Among the various risk factors, maternal infections—particularly sexually transmitted infections (STIs)—have been identified as preventable yet critical determinants of premature delivery. This study aimed to examine the relationship between STIs and preterm birth among mothers receiving care at Tomalou Primary Health Care Center. A cross-sectional analytical design was employed, involving 30 postpartum mothers whose medical records and antenatal care data were available. Data on STI status and birth outcomes were collected from health center records and laboratory results, while maternal demographic and obstetric characteristics were also documented. Results indicated that 40% of participants were diagnosed with STIs during pregnancy, and 33.3% experienced preterm birth. Chi-square analysis revealed a significant association between maternal STI status and preterm delivery (p = 0.003). Logistic regression demonstrated that mothers with STIs were sixteen times more likely to deliver prematurely compared to uninfected mothers (OR = 16.0; 95% CI: 2.45–104.3; p = 0.002). These findings suggest that STIs represent a substantial risk factor for preterm birth, even among mothers with adequate antenatal care attendance. Early detection, timely treatment, and comprehensive reproductive health education are recommended to reduce infection-related adverse outcomes. Strengthening STI screening and management within primary healthcare settings is essential to improve maternal and neonatal health outcomes. This study provides evidence for the importance of integrating infection prevention strategies into routine antenatal care to mitigate the risk of premature delivery.
The Relationship Between Duration of Labor and Talking Hold in Post-Partum Mothers in The Working Area of The Akelamo Inpatient Community Health Center Novlany Ayuba; Sulistiyah Sulistiyah
Observasi : Jurnal Publikasi Ilmu Psikologi Vol. 3 No. 4 (2025): November: Observasi: Jurnal Publikasi Ilmu Psikologi
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/observasi.v3i4.2129

Abstract

Background: Constipation is a common functional gastrointestinal problem in infants aged 6–12 months, causing discomfort, hard stools, and reduced quality of life. Non-pharmacologic interventions, such as abdominal massage, have shown promise in improving bowel function, but evidence regarding the effectiveness of the I Love You massage technique in community settings remains limited. Objective: This study aimed  examine the effectiveness of I Love You massage in reducing constipation among infants aged 6–12 months attending South Bulango Health Center. Methods: A quasi-experimental design with a pretest-posttest control group was employed. Thirty infants with functional constipation were purposively selected and divided into an intervention group (n=15) receiving daily I Love You massage for 10 minutes over seven days, and control group (n=15) receiving standard care, including dietary guidance and hydration. Data were analyzed using SPSS version 25 with paired t-tests for within-group comparisons and independent t-tests for between-group differences. Results: The intervention group exhibited a significant increase in bowel movement frequency (2.1 ± 0.7 to 5.6 ± 0.9 per week) and improvement in stool consistency (1.2 ± 0.4 to 2.8 ± 0.5), along with a notable reduction in abdominal discomfort (6.5 ± 1.2 to 2.1 ± 0.8). In contrast, the control group showed minimal improvements. Statistical analysis confirmed significant differences between groups (p < 0.05). Conclusion: I Love You massage is an effective, safe, and low-cost intervention reduce constipation in infants aged 6–12 months. Its implementation in primary healthcare settings may enhance gastrointestinal function, relieve discomfort, and promote caregiver-infant interaction.
The Effect of Back Massage on Reducing Back Pain in Third-Trimester Pregnant Women at Adow Community Health Center Ancella Impe; Sulistiyah Sulistiyah
Observasi : Jurnal Publikasi Ilmu Psikologi Vol. 4 No. 1 (2026): February: Observasi: Jurnal Publikasi Ilmu Psikologi
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/observasi.v4i1.2134

Abstract

Background: Discomfort in third trimester pregnant women often arises due to physiological changes, with back pain being the most common complaint, occurring in 70% to 90% of cases. If left untreated, this pain can interfere with daily activities, cause insomnia, and even affect the childbirth process. Objective: This study aimed to determine the effect of back massage on reducing the intensity of back pain in third trimester pregnant women at Adow Community Health Center. Methods: The research design used a pre experimental approach with a one group pretest posttest design. The sample consisted of 40 third trimester pregnant women experiencing back pain at Adow Community Health Center. Data were analyzed using the paired t test statistical method. Results: Before receiving back massage, the majority of respondents (57.5%) experienced moderate scale pain. After the intervention, the majority of respondents (70%) reported a reduction in pain to a mild scale. The statistical test results showed a p value of 0.000 (p < 0.05) with an average pain reduction of 1.125. Conclusion: Back massage has a significant effect on reducing the intensity of back pain in third trimester pregnant women at Adow Community Health Center.
The Effect of Deep Breathing Relaxation on Reducing Preoperative Anxiety in C-Section Patients Nurningsih S.A Karim; Sulistiyah Sulistiyah
Jurnal Siti Rufaidah Vol. 3 No. 3 (2025): :Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v3i3.315

Abstract

Preoperative anxiety is common among women scheduled for cesarean section (C-section), affecting surgical outcomes, recovery, and bonding. This study investigated the effect of guided deep breathing relaxation on reducing preoperative anxiety in C-section patients. A quasi-experimental design with a pretest-posttest control group was conducted with 30 participants from [Name of Hospital]. Participants were randomly assigned to an intervention group (n = 15), which practiced deep breathing exercises 30 minutes before surgery, and a control group (n = 15) receiving standard care. Preoperative anxiety was assessed using the State-Trait Anxiety Inventory (STAI) before and after the intervention. Results showed a significant decrease in anxiety scores in the intervention group (from 45.2 ± 6.3 to 33.5 ± 5.8, p < 0.001), while the control group showed minimal change (44.8 ± 5.9 to 43.6 ± 6.1, p = 0.124). Post-intervention comparisons revealed a significant difference between groups (t = 7.21, p < 0.001). These findings indicate that guided deep breathing effectively reduces preoperative anxiety in C-section patients, suggesting it as a simple, safe, and cost-effective intervention that can improve maternal psychological well-being and surgical readiness. This non-pharmacological approach may also contribute to better postoperative outcomes.
Relationship Between Mother's Parity and Knowledge of Care ror Newborn Baby of Primitary Mothers at Tumpunglaung Public Health Center Nunik Suhartyny; Sulistiyah Sulistiyah
Journal of Educational Innovation and Public Health Vol. 3 No. 4 (2025): Oktober: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v3i4.8607

Abstract

Maternal knowledge of newborn care plays an important role in maintaining neonatal health and preventing early complications. Parity is considered one of the factors that affect the mother's level of knowledge, as previous childbirth experiences can improve the understanding and skills of caring for the baby. However, primipara mothers often face challenges due to limited experience. This study aims to analyze the relationship between parity and newborn care knowledge in primipara mothers at the Tumpunglaung Health Center. The research method uses an analytical quantitative design with a cross-cutting approach. The study population was mothers who had just given birth at the Tumpunglaung Health Center, with a sample of 30 primipara mothers selected through purposive sampling. Data were collected using a structured questionnaire that included maternal characteristics and newborn care knowledge, including breastfeeding, hygiene, thermoregulation, and red flags. Data analysis was carried out by Chi-square test using SPSS at a significance level of p < 0.05. The results showed that most primitive mothers had moderate to low levels of knowledge, with a significant relationship between parity and newborn care knowledge. The conclusion of the study confirms the importance of strengthening education and counseling for primitive mothers to improve infant care practices and support neonatal health.
Perancangan Sistem Informasi Posyandu Remaja Berbasis Web Menggunakan Metode User-Centered Design (UCD) Pada Posyandu Seruni Kota Tangerang jenie sundari; Sulistiyah Sulistiyah; Asep Sayfulloh
Reputasi: Jurnal Rekayasa Perangkat Lunak Vol. 6 No. 1 (2025): Mei 2025
Publisher : LPPM Universitas Bina Sarana Informatika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31294/reputasi.v6i1.8932

Abstract

Posyandu Remaja merupakan program pelayanan kesehatan yang ditujukan bagi remaja untuk meningkatkan pengetahuan dan kesadaran terhadap kesehatan fisik dan mental. Namun, pelaksanaan kegiatan Posyandu Remaja sering mengalami kendala dalam pengelolaan data, penyampaian informasi, dan pelibatan aktif remaja. Oleh karena itu, penelitian ini bertujuan untuk merancang sistem informasi Posyandu Remaja berbasis web dengan pendekatan User-Centered Design (UCD) guna memastikan sistem yang dikembangkan sesuai dengan kebutuhan dan harapan pengguna. Metode UCD diterapkan melalui enam tahapan, yaitu identifikasi kebutuhan pengguna, spesifikasi kebutuhan, perancangan desain awal (low-fidelity), pembuatan prototipe (high-fidelity), evaluasi pengguna, serta perbaikan desain. Data kebutuhan pengguna dikumpulkan melalui wawancara dan kuesioner kepada remaja, kader Posyandu, dan petugas puskesmas. Hasil perancangan sistem menghasilkan prototipe antarmuka yang mudah digunakan, informatif, dan responsif terhadap perangkat mobile. Evaluasi usability menggunakan System Usability Scale (SUS) menunjukkan bahwa sistem memperoleh nilai dalam kategori "baik", yang menandakan sistem mudah digunakan dan diterima oleh pengguna. Dengan adanya sistem ini, pengelolaan data Posyandu menjadi lebih terstruktur, partisipasi remaja meningkat, dan penyampaian informasi kesehatan dapat dilakukan secara efektif dan efisien.
Comparative Analysis of Transfer Learning-Based Deep Learning Models for Jatropha Leaf Disease Classification Sarifah Agustiani; Sulistiyah; Agus Junaidi; Cucu Ika Agustyaningrum; Yoseph Tajul Arifin
SMATIKA JURNAL : STIKI Informatika Jurnal Vol 16 No 02 (2026): SMATIKA Jurnal : STIKI Informatika Jurnal
Publisher : LPPM Universitas Bhinneka Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32664/smatika.v16i02.2325

Abstract

Plant disease identification is essential for enhancing agricultural productivity and promoting sustainable crop management practices. Jatropha curcas has considerable potential as a biofuel-producing plant; however, its growth and productivity can be significantly affected by various leaf diseases. Conventional disease diagnosis often requires substantial time and relies heavily on expert knowledge, creating a need for automated solutions based on deep learning techniques. Although deep learning has been widely applied in plant disease recognition, comparative studies focusing on transfer learning models for Jatropha leaf disease classification remain limited, particularly for datasets characterized by distinctive visual features and relatively small sample sizes. This research conducts a comparative assessment of several deep learning architectures to determine the most effective model for classifying Jatropha leaf diseases. The evaluated architectures include MobileNetV2, EfficientNetB0, ResNet50, DenseNet121, and VGG16. All models utilized ImageNet pre-trained weights and were adapted through fine-tuning of the final classification layers to accommodate a dataset containing healthy and diseased Jatropha leaf images. Experimental findings reveal that ResNet50 achieved the highest classification accuracy of 93.81%, followed by VGG16 at 93.58% and EfficientNetB0 at 90.49%. In comparison, DenseNet121 and MobileNetV2 attained accuracies of 85.40% and 74.56%, respectively. Model effectiveness was assessed using accuracy, training duration, confusion matrix analysis, and ROC curve evaluation to examine classification capability across categories. The results demonstrate that ResNet50 offers the most balanced combination of predictive accuracy and performance stability. Overall, the study confirms that transfer learning-based deep learning models are highly effective for Jatropha leaf disease classification, with ResNet50 emerging as the most suitable architecture among those investigated. These findings may serve as a valuable reference for the development of reliable and efficient plant disease detection systems in agricultural environments.
Co-Authors Agus Junaidi Agustiani, Sarifah Ahmad Sinnun Aina Izzati Zuhria Aisyah Fatma Elhartin Alfia, Siti Nur Ancella Impe Anik Sri Purwanti Asep Sayfulloh Cucu Ika Agustyaningrum Deisylia Karim Dhani, Rifqi Rama Dhea Nazlyta Rusman Dimas Hogie Sei Naga Djalinalbun Kalunalr Eka Lestari Duwila Elfa Rahmawati Rifamad Erdi Yani Estetika, Estetika Esti Pravitasari Isak Fadholi , Arief Fanimah Hi Yusup Faroha, Kuni Fatmawati Fatmawati Febrina Idas Wara Halwani, Horidatul Haryanto Haryanto Haryanto Haryanto Ifyan, Rhenda Ainkarisma Iif Wahyu Kusumawati Ika Yuniva Imron Imron Indriani Hippy Jannah, Siti Nurul Jenie Sundari Keswara, Nila Widya Lestari Ayu Lina Trisnawati Maulina, Rifzul Mauludiah, Putri Meta Aquarista Syamsi Miftah Nur Afidah Mudhofir, Luthfi Mutiara Fitri Mufidah, Afidatus Titik Zahrotul Muhammad Aswad Mukti Rahajeng Nila Nafisatul Bashiroh Noviani Polohoon Novlany Ayuba Nunik Suhartyny Nur Ali Farabi Nurhayati, M Sinta Nurningsih S.A Karim Nurwijayanti Oktaviana, Helmalia Pratiwi, Nanda Anastasya Purwoko, Agus Putri, Yofa Hemalia Rachmat Hidayat Rachmat Hidayat Rachmawati, Wardah Raden Maria Veronika Widiatrilupi Reny Retnaningsih Rokhmat Subagiyo Rosmiati, Mia Rosyidah Alfitri Ryan Juska Pratama Sari Dewi Siwi, Clairine Limpad Rosa Soleha, Lailatul Badriatus Sri Maryati Ahmad Sulima, Sulima Sunarya Sunarya Susanti Susanti tut rayani aksohini Tut Rayani Aksohini Wijayanti Widia Shofa Ilmiah Widia, Raden Maria Veronika Yanasein, Yanasein Yoseph Tajul Arifin Zangga, Mardiana Ina