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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 14 Documents
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Search results for , issue "Vol. 17, No. 5" : 14 Documents clear
Evaluation of Vitamin D and Anti-Müllerian Hormone Levels inIraqi Infertile Women Mohialdeen, Sura Khairialdeen; Hasan, Zainab M Ali; Hussein, Ban Ali
Kesmas Vol. 17, No. 5
Publisher : UI Scholars Hub

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Abstract

Although the mechanism underlying the relationship between vitamin D insufficiency and reproduction is unknown, research suggests that it may have a direct deleterious impact on ovarian function. This is primarily because vitamin D insufficiency can affect gonadal function. The anti-müllerian hormone (AMH) is one of the most important biomarkers produced by granulosa cells and plays a key role in folliculogenesis. This study wanted to look at and compare vitamin D and AMH levels in infertile and fertile women, as well as the relationship between them in both groups. A hundred infertile and fertile women participated in the study. Anti-müllerian, prolactin, follicle-stimulating, and luteinizing hormones, as well as 25 hydroxyvitamin D, were estimated. Vitamin D deficiency was found in 72% of infertile women (n = 36), compared to 48% (n = 24) of the fertile group. There was no significant link between 25-hydroxyvitamin D and AMH in both groups. Infertile women exhibited a significantly lower serum AMH and higher body mass index. This study's findings suggested that the correlation between vitamin D and ovarian reserve markers was unlikely to present. However, the infertile group has a more significant vitamin D deficiency and insufficiency rate.
Maternal Coping Strategies for Premature Infant: A Systematic Review Kapti, Rinik Eko; Arief, Yuni Sufyanti; Triharini, Mira; Saidah, Qori'ila; Azizah, Nurona; Supriati, Lilik
Kesmas Vol. 17, No. 5
Publisher : UI Scholars Hub

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Abstract

A mother’s stress due to the birth of her premature baby results in obstacles to the mother’s role, hence it requires appropriate coping strategies. This review aimed to identify coping factors, explore coping strategies by mothers with premature babies, and identify interventions for enhancing maternal coping strategies. The article navigation utilized Boolean Operator of "or" and "and" with keywords of [preterm or premature or LBW, coping, and mother. Databases included ScienceDirect, EBSCOhost, PubMed, SAGE, ProQuest, and Scopus. The 529 articles obtained were screened by reading the focus of journals and addressing the topic and suitability of the journal content, selecting 10 articles. The first result reported factors influencing coping strategies: delivery method, income, available information, knowledge, support, and maternal self-efficacy. The second result presented maternal coping strategies for closely handling premature babies: belief in God, support-seeking, and the babies’ condition progress. The third result showed two interventions: mother’s empowerment program and group discussions with health workers. These two interventions to improve coping strategies play an important role in supporting mothers by facilitating their participation in caring for their babies.
The Significance of Trimester-Specific Thyroid Hormones Reference Intervals in Iraqi Pregnant Women Ahmad, Hani Moslem; Alabdaly, Moayad Aziz; Sulaiman, Khairaldeen Mohammed
Kesmas Vol. 17, No. 5
Publisher : UI Scholars Hub

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Abstract

In Iraq, there is no obvious considerable data regarding trimester-specific reference intervals of thyroid hormones despite documented multiple physiological hormonal changes during pregnancy. Thus, this study aimed to determine trimester-specific reference intervals for serum TSH, FT3, and FT4 and assess the incidence of thyroid function test misinterpretation and misdiagnosis among pregnant women using non-pregnant reference intervals. A thyroid function test was performed for 774 enrolled pregnant women. Reference intervals of TSH, FT3, and FT4 were ascertained in each pregnancy trimester. It was then compared to the adult non-pregnant values, and the incidence of misinterpretation was later calculated. TSH and FT4 reference interval values were lower than non-pregnant reference interval values. The application of non-pregnant women references values in pregnant women caused a serious misinterpretation and misdiagnosis in 66 (8.5%) pregnant women regarding TSH, and 34 (4.4%) pregnant women regarding FT4, while no misdiagnosis was noticed regarding FT3. The trimester-specific reference interval values of TSH, FT3, and FT4 in Iraqi pregnant women showed an obvious variation from non-pregnant reference intervals and the urgent advice to use the trimester-specific reference intervals to avoid misclassification of thyroid dysfunction during pregnancy.
Review of Different Methods of Abnormal Mass Detection in Digital Mammograms Bhattacharjee, Sangita; Poddar, Sandeep; Bhaumik, Amiya; Maitra, Indra Kanta; Susanna, Dewi; Ware, Andrew
Kesmas Vol. 17, No. 5
Publisher : UI Scholars Hub

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Abstract

Various images from massive image databases extract inherent, implanted information or different examples explicitly found in the images. These images may help the community in initial self-screening breast cancer, and primary health care can introduce this method to the community. This study aimed to review the different methods of abnormal mass detection in digital mammograms. One of best methods for the detection of breast malignancy and discovery at a nascent stage is digital mammography. Some of the mammograms with excellent images have a high intensity of resolution that enables preparing images with high computations. The fact that medical images are so common on computers is one of the main things that helps radiologists make diagnoses. Image preprocessing highlights the portion after extraction and arrangement in computerized mammograms. Moreover, the future scope of examination for paving could be the way for a top invention in computer-aided diagnosis (CAD) for mammograms in the coming years. This also distinguished CAD that helped identify strategies for mass widely covered in the study work. However, the identification methods for structural deviation in mammograms are complicated in real-life scenarios. These methods will benefit the public health program if they can be introduced to primary health care's public health screening system. The decision should be made as to which type of technology fits the level of the primary health care system.

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