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Published by Humanistic Network for Science and Technology

ISSN : 25804936 EISSN : - DOI : -

Core Subject : Health,

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

"Health Notions" is a media for the publication of articles on research and review of the literature. We accept articles in the areas of health science and practice such as public health, medicine, pharmaceutical, environmental health, nursing, midwifery, nutrition, health technology, clinical laboratories, health education, and health popular.

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Articles 29 Documents

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Search results for , issue "Vol 2, No 2 (2018): February" : 29 Documents clear

Profiles of Early Childhood Education Program and Children Attending Them Lisa Pangemanan; Mira Irmawati; Irwanto Irwanto; Ahmad Suryawan
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Early childhood education (ECE) in Indonesia is growing with many variations in programs among the ECE. Children’s profile in those places were varied in terms of growth and development.This research aims to study the profiles in ECE in terms of program’s variation, growth and development of children attend it. This research uses a cross-sectional study was done in 3 ECE centers in Surabaya, which are varied in total effective hours, the use of language, and teacher-student ratio. The growth outcome was assessed by anthropometric measurement. The developmental outcome was assessed using Denver II. Statistical analysis was done by Kruskal-Wallis test. A total of 52 children from three ECE centers were enrolled. Program variations among 3 ECE were as follow: total effective hours per day (3, 2.5 and 3.5), the use of language (1, 1, and 2); and teacher-student ratio (1:7, 1:19, 1:15) respectively. Anthropometric measurements of those ECE were as follow: body weight in kg (16.9 (SD 5.10); 17 (SD 2.46); 17.9 (SD 4.62) (p ≥ 0.05)); body height in cm (100.7 (SD 5.72); 105 (SD 5.89); 104.7 (SD 6.31) (p ≥ 0.05)); head circumference in cm (49.5 (SD 1.75); 50.5 (SD 1.74); 50.6 (SD 1.59) (p ≥ 0.05)) respectively. Suspected developmental delays were 11, 9, 11 children (p ≥ 0.05) respectively. Development problem found was mainly in language and personal social. There are program’s variation among ECE but the growth and development profiles of children attend it were similar. Keywords: Variation, ECE program, Growth, Development

The Effect of Internal and External Factors to The Number of Visits in Sanitation Clinic of Public Health Center of Poncol Magetan Regency Djoko Windu P. Irawan; Denok Indraswati; Trimawan Heru Wijono; Bejo Utomo; Suprijandani Suprijandani
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

The Sanitation Clinic program has been introduced and implemented since 2003. But in many places the program does not run well, and is not managed properly, leaving a lot of problems. In some places sanitation clinic activities are conducted without any purposes, and merely administration activity without doing real action. The objectives of the study were to analyze the internal and external factors of the tangible, reliable, responsive, assurance, and emphathy together, and and to find which factor is the most dominantly in influencing the number of sanitation clinic visits. The study was an analytic survey research, it was focused to explain how and why of certain situation. Based on the period of data collection, this study belongs to cross sectional study. Methods of data analysis was using multiple regression method to see whether there is a relationship and the closeness of the relationship of each independent variable to dependent variable, and the relationship between variables in the study. The result of standardized Coefficients Beta from the five dimensions of service quality stated that the assurance dimension (X4) has the largest standardized Coefficients Beta value of -0.007. There was a significant influence jointly between internal and external factors (tangible, reliable, responsive, assurance, and emphathy) on the number of visits. Insurance dimension is the most dominant dimension of the number of visits in Sanitation Clinic in Public Health Center of Poncol, Magetan Regency. Keywords: Internal factors, External factors, Sanitation clinic

The Service Compensation of National Health Insurance and The Performance of Health Workers Robiatud Daniyah; Ancah Caesarina Novi Marchianti; Sebastiana Viphindrartin
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Public health center is primary facilities service which owned by a government. Complains which occurs in society, such as the procedures of National Healthcare Insurance (JKN) that more complicated, start from gradual administration, participants data validation that need much time was though more convoluted and customer services that given by health workers wasn’t done in a good standard and unsatisfied, so the patients will not willingly come back in public health center. The result data of performance measurement of public health in 2016 showed was less; under 80%. The aim of this research was to analyze the influence of service compensation of JKN on health worker performance. This research was quantitative with observational analytical approach. Sample of this research were 36 health workers in Kalisat, 32 health workers in Jelbuk, and 32 health workers in Andongsari public health center who taken by simple random sampling. Partial Least Square (PLS) using smart PLS software was used as method to analyze data. Based on the test result there was positive influence of service compensation on performance, T statistic was 7.730 (t statistic > t table significant 1.96) it meant that the higher an expected performance, it will produce optimal health care service for society. Health workers can do some efforts in improving performance, so it can improve service compensation that given for society. Government need to review about performance assessment that is currently used, such as SKP so the performance assessments were more effective in evaluating. Keywords: National Health Insurance, Service compensation, Performance, Public Health Center

Prediction of Blood Pressure by Waist Circumference, Waist Pelvic Ratio and Body Mass Index Wrahathinggih, Angesti Widipinasti; Wisnu, Nurwening Tyas; Sumasto, Hery
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Hypertension cases in Yogyakarta are above the average cases of hypertension Indonesia. Hypertension can be prevented by controlling weight. Obesity indicators include; waist circumference, waist circumference ratio and Body Mass Index (BMI). The objectives of the study were to predict blood pressure based on the size of the waist circumference, waist lumbar ratio and body mass index (BMI). The cross-sectional study method. Samples of GKJ Gondokusuman Yogyakarta congregation, male and female, age 20-39 and 40-59 years old. Sampling proportionate stratified random sampling. Data analysis with Pearson test. The result showed that there was a relationship of waist circumference with systolic blood pressure and diastole, there was a relationship between body mass index with systolic and diastolic blood pressure. In the female group, there was no relationship between waist circumference, waist lumbar ratio, and BMI with systolic or diastolic blood pressure. Keywords: Waist circumference, Waist lumbar ratio, BMI, Blood pressure, Obesity

The Improvement of TNF- α and Inflamation Cell on the Lungs Hypersensitivity Reaction becauses of Wood Dust Exposure Isa Ma’rufi; Anita Dewi Prahastuti; Ragil Ismi Hartanti
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

This research aimed to analyze the effect of wood dust on TNF-α on Mice blood (MusMusculus) BALB / C and to analyze the influence of wood dust on the number of inflammatory cells, ie macrophage, lymphocyte, neutrophil and mast cell in lung tissue of mice BALB / C, as well as explain the mechanism of lungs hypersensitivity reaction due to wood furniture dust exposure. The experimental laboratory research was conducted, and mice was become the animal experiment. The research design used was Randomized the post-test only control group design. Exposure was performed 4 hours a day with 2 hours length of exposure in the morning with 1 hour rest period in 6 times a week for 4 weeks at exposure space in a glass-shaped cube with a size of 20x20x20 cm3. Concentrations of wood furniture dust exposed were 0.50 mg / m3, 0.75 mg / m3, 1.00 mg / m3. The findings showed that: (1) wood furniture dust exposure increased between experimental group compared with control group in mice (Musmusculus) BALB / C; (2) wood furniture dust exposure increased TNF, in lung tissue between experimental group compared with control group in mice (Musmusculus) BALB / C; and (3) wood furniture dust exposure increased mast cells, neutrophils, lymphocytes, and macrophages in lung tissue between experimental group compared with control group in mice (Musmusculus) BALB / C.Keywords: Hypersensitivity pneumonitis (HP), TNF-α, Inflamation cell, Dust, Paddy Milling

Stimulation Model Growth and Social Personal Development of Children Autism in Health Promotion Atik Badi’ah; Ravik Karsidi; Ahmad Arman Subijanto; Diffah Hanim
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Background: Autism is a developmental disorder caused organic brain damage, difficulty communicating verbal, nonverbal. Need supervision and parental attention. The stimulation helps stimulate the brain to produce hormones in its development. Purpose: (1) analyze the internal factors, external influences growth and social personal development of autistic children (2) analyze the relationship between nutritional status and the growth and social personal development of autistic children (3) analyze the effect of stimulation of the growth and social personal development of children with autism (4) formulate a stimulation model of growth and social personal development of children with autism in health promotion. Method: This type of research is a Research and Development (R & D) research and quasi experimental method, time series design. The study was conducted in 7 autism school in Yogyakarta. The total sample of 90 children with autism. Conducted in November 2015 and April 2016. Data were analyzed using multiple linear regression, ods ratio, Mann Whitney and Wilcoxon. Results: (1) Internal factors (race) affects Weight and external factors (intranatal) and internal (genetic) influence growth and social personal development of children with autism p<0.05, (2) there is a relationship with the nutritional status of growth and social personal development of children with autism p <0.05, (3) There is a stimulation effect on the growth and development of social personal development of children with autism with p <0.05, (4) the drafting of a stimulation model of growth and social personal development of children with autism. Conclusion: Establishment of stimulation model of growth and social personal development of children autism in the form of manual stimulation of growth and social personal development of children with autism in health promotion.Keywords: Stimulation model, Growth, Social personal development, Autism, Health promotion

"KelPUS-Gendang Beleq" Model as A Strategy to Improve Knowledge and Attitudes of Couples of Childbearing Age against Long Term Contraception Method Awan Dramawan; Moh. Arip; Desty Emilyani
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

The "KelPUS-GENDANG BELEQ" model design is an intervention given to couples of childbearing age, by making a model of the couples of child-bearing age combined with traditional "Gendang Beleq" art, as a media for counseling and a strategy for improving knowledge and attitude of the couples of child-bearing age against Long Term Contraception Methods. The aim of this research was to know the characteristic of couples of childbearing age, to increase knowledge and attitude of couples of childbearing age to long term contraception method through model design of "Kelpus-Gendang Beleq" in Darek Village, Praya Barat Daya Subdistrict, Lombok tengah Regency, NTB Province. Subjects were couples of child-bearing age who were registered as family planning acceptors in January 2015 to May 2016 in Darek Village, Praya Barat Daya Sub-district, Lombok Tengah. The sample size was 60 couples of childbearing age, consisting of: 30 people as control group and 30 people as intervention group. After the data collected, data analysis was done using Wilcoxon Signed rank test and Mann Whitney-U test. The result of the research shows that traditional music art of Sasak tribe "KelPUS Gendang Beleq" proved effective to increase knowledge and attitude of fertile couples about the use of long term contraception method. Key words: Gendang Beleq, Counseling, Long-term contraception method

Development of Instruments to Detect Disaster Risk in Children Under Five Hery Sumasto; Nurwening Tyas Wisnu; N. Surtinah
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

The research that has been conducted is aimed to develop disaster risk instruments for children under five. So that can do disaster mitigation, reduce the risk of disaster in children under five, through awareness based on community empowerment.Variables that have been shown to affect disaster risk: the level of threat, vulnerability, and community capacity. These three factors need to be developed specifically in order to be used to assess the level of disaster risks for toddlers. Development of the instrument has been done through 4 stages: 1) conducted preliminary study 2) developed the instrument, 3) conducted data analysis and 4) given the recommendation of the research results. Of the 32 items of disaster risk instrument items, 2 invalid items have been discarded. Of 30 valid instrument items, all significant values have been indicated> 0.700, all instrument items accepted. Keywords: Disaster risk, Instruments, Toddlers

Factors Affecting Menopause Rijanto Rijanto; Sherly Jeniawaty
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Background: The age of menopause between woman and other women is not similar and it depends on the factors that influence it. Some opinions suggest that menopause occurs at the age of 48-50 years, including in the climacteric period which is a syndrome of endocrine, somatic, and psychic changes at the end of the fertile / reproductive period (40-65 years). Objective: Analyze factors affecting menopause to woman. Methods: The type of this conducted research was survey research that was descriptive analytic. Population in this research was all women who aged 45-50 years at BPS Media in Surabaya, and there were 46 women. Multivariate analysis was conducted by utilizing multiple logistic regression in order to predict how far the value of dependent variable when the value of independent variable changed. Results: Multiple logistic regression analysis was performed to determine the effect of independent variables simultaneously to the dependent variable. The variable of menarcheage, job status, number of children, age in childbirthing for last child, contraception use, smoking, alcohol consumption, and disease history had p <0.25 and treated simultaneously by using forward stepwise method with 95% of confidence level. From the result of multiple logistic regression analysis, it turned out that the variable of menarche age (p = 0.762), the last childbirth age (p = 0.231), alcohol consumption (0.659), and disease history (p = 0.711) had no significant influence which p value was greater rather than α value (0.05), thus, it was excluded from the multiple logistic regression analysis model. Based on the result of multiple logistic regression analysis, the employment status, the number of children, the use of contraception, and smoking correlated with the occurrence of menopause with the probability value was smaller than α value (0.05), which work status was p = 0.033, p = 0.003, and smoking was p = 0.003. Conclusion: From the result of multiple logistic regression analysis, it was found that job status, number of children, contraception use, and smoking were simultaneously correlated with the occurrence of menopause, which each variable had a smaller probability value than α value (0.05), employment status (p = 0.033), number of children (p = 0.000), contraception use (p = 0.004), and smoking (p = 0.003). From the results of logistic regression equations, it was known that the probability of premature menopause was occurred if woman who worked, had children less than 4 children, never used contraception, and ever smoked were 0.95 or 95%. Keywords: Factors, Menopause, Women

Comparison of MICE and Regression Imputation for Handling Missing Data Berliana Devianti Putri; Hari Basuki Notobroto; Arief Wibowo
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Data collection activities have a higher risk of missing data. Missing data may produce biased estimates and standard errors increased, so imputation method is needed. The purpose of this study was to investigate which imputation method is the most appropriate to use for handling missing data. The strategies evaluated include complete case analysis, Multivariate Imputation by Chained Equation (MICE), and Regression Imputation. This study was non-reactive study and used raw data RPJMN 2015 Survey from BKKBN East Java Province. There were three incomplete data sets were generated from a complete raw dataset with 5%, 10%, and 15% missing data. Incomplete data sets were made missing completely at random. Based on Friedman Test, both of imputation methods produced estimates which was no different with complete raw data set. Based on Mean Square Error analysis, MICE provided MSE values less and more stable than Regression Imputation in all scenarios. Conclusion: Multivariate Imputation by Chained Equation (MICE) was the most recommended method to use for handling missing data less than 15%. Keywords: Missing data, MICE, Regression imputation

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