Media Gizi Kesmas 2023-12-01T14:30:26+07:00 Trias Mahmudiono Open Journal Systems <p>Media Gizi Kesmas abbreviated as MGK (<a href="">p-ISSN 2301-7392</a>, <a href="" target="_blank" rel="noopener">e-ISSN: 2745-8598</a> ) is a scientific journal under Universitas Airlangga that focus on the broad area of nutrition and public health. MGK is published twice a year every June and December. Articles published in MGK include original article, literature review, protocol, internship report or case study. The article could be written in Bahasa Indonesia or in English.</p> Front Matter 2023-12-01T14:30:26+07:00 Media Gizi Kesmas 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Media Gizi Kesmas Relationship between Dengue Hemorrhagic Fever with Population Density in East Java 2019-2020) 2023-10-16T15:05:25+07:00 Nely Sintia Lucia Yovita Hendrati <p><strong><em>Background: </em></strong><em>Dengue hemorrhagic fever (DHF) is a disease caused by the dengue virus. Indonesia has been an endemic country for dengue hemorrhagic fever since 1968. There are several factors related to the occurrence of dengue hemorrhagic fever, one of which is the human factor and that is population density.</em></p> <p><strong><em>Objective: </em></strong><em>The aim of this study is to analyze the relationship between dengue hemorrhagic fever cases and population density in East Java Province in 2019-2020. </em></p> <p><strong><em>Method: </em></strong><em>This study uses a cross-sectional design. The data used in this study are secondary data collected in 2019-2020from the province of East Java Health Profile. Data analysis used the Shapiro-Wilk test to determine the normality of the data and then the Spearman correlation test to determine the relationship between variables. </em></p> <p><strong><em>Result: </em></strong><em>The result of Spearman correlation test between cases of dengue hemorrhagic fever (DHF) and the population density showed a correlation with P = 0.033 in 2019 and p = 0.007 in 2020 where p &lt;0.05. The strength of the relationship shows a moderate relationship with a negative relationship direction, the correlation coefficient value = -0.348 in 2019 and the correlation coefficient = -0.429. If the population density increases, the case of dengue hemorrhagic fever will decrease. </em></p> <p><strong><em>Conclusion: </em></strong><em>As a result of the research, there is a relationship between cases of dengue hemorrhagic fever and population density in East Java province in 2019-2020.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nely Sintia, Lucia Yovita Hendrati Regulations Interpersonal Communication and Behaviour Changes Communication Strategies Related to Stunting Prevention Efforts in Magetan Regency, East Java: Action Research 2022-08-16T04:17:42+07:00 Ulfa Al Uluf Sri Sumarmi Setya Haksama <p><strong><em>Background:</em></strong><em> Stunting is a national priority. Some programs have been carried out including specific and sensitive nutritional interventions. This intervention program is an effort to accelerate the decline and prevention of stunting. Activities related to stunting prevention have been held, but in the process of planning and budgeting, implementation, monitoring, to evaluation are still experiencing obstacles. so that the process of torture until the evaluation can run well. The preparation of this strategy is done to improve the scope and quality of nutritional services. The National Strategy for The Acceleration of Stunting Prevention consists of five pillars. The second pillar of the National Strategy for The Acceleration of Stunting Prevention is the National Campaign and communication of behavior change. As the embodiment of pillar 2 of the National Strategy for The Acceleration of Stunting Prevention, each region must have a draft regulation and Communication Strategy Document. But in fact there are some districts / cities that do not have regulations and communication strategies related to stunting prevention, one of which is Magetan. Therefore, assistance is carried out in the draft drafting of Regulations and Communication Strategy Documents.</em></p> <p><strong><em>Objectives: </em></strong><em>in order to be able to prepare Draft Regulations and communication strategies for changes for stunting prevention in Magetan Regency</em><strong><em>.</em></strong></p> <p><strong><em>Methods:</em></strong><em> The method in this activity is to assist in the implementation of the Draft Regulation and Communication Strategy Document of behavior change in efforts to prevent Stunting with this method of mentoring using PAR (Participatory Action Research).</em></p> <p><strong><em>Results: </em></strong><em>The assistance activities of drafting KAP regulations and behavior change communication strategy documents in efforts to prevent stunting in Magetan Regency are carried out through several stages, namely: the implementation of mentoring and follow up of the results of mentoring. Mentoring is carried out 3 times from each activity both online and offline. then followed up the results of the assistance presented then given input for the improvement of the draft communication between personal and behavioral change communication strategies that have been made during mentoring.</em></p> <p><strong><em>Conclusions:</em></strong><em> Mentoring activities in the preparation of regulations resulted in a draft of KAP Regulation "Acceleration of Integrated Stunting Reduction and Prevention in Magetan Regency", addition of The Communication Strategy of Behavior Change paragraph 6 article 11 in the second section on the preparation of the activity plan 8 convergence actions. The Preparation of Strategy documents resulted in a draft document of Behavioral Communication Strategy in accelerating stunting prevention. The finalization and determination of Dokement Strakom was carried out in Magetan in December 2021 by the Regional Secretary of Magetan Regency.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Ulfa Al Uluf, Sri Sumarmi, Setya Haksama Factors Influencing the Incidence of Pneumonia in Toddlers in the East Java Region using Multiple Linear Regression Analysis 2023-05-30T14:07:08+07:00 Muhammad Riza Mahasin Mahmudah <p><strong><em>Background: </em></strong><em>Pneumonia is one of the leading causes of death in children worldwide. Pneumonia in East Java. is in second place with a total of 93,238 cases, as of 2014. The achievement of finding pneumonia cases requires attention from various parties, both the government and the health department. Some of the risk factors that cause it are maternal characteristics, factors in children under five and environmental factors.</em></p> <p><strong><em>Objective: </em></strong><em>This article aims to analyze the factors that influence the incidence of pneumonia in children under five in East Java using multiple linear regression analysis<strong>.</strong></em></p> <p><strong><em>Methods: </em></strong><em>The population in this study were families with under-fives with pneumonia spread over 38 cities / districts in the East Java region which were successfully recorded by the Central Statistics Agency per year 2018. The type of data used was secondary data which was analyzed using multiple linear regression methods.</em></p> <p><strong><em>Result:</em></strong><em> Mojokerto City is the city that has the highest percentage of children under five exposed to pneumonia in East Java. The results of the study found that there was no effect of education level, home condition and economic level on under-five pneumonia in East Java.</em></p> <p><strong><em>Conclusion: </em></strong><em>Factors that affect the level of pneumonia in East Java are the level of family education and healthy home conditions which have a significant effect on pneumonia under five in East Java, either simultaneously or partially.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Muhammad Riza Mahasin, Mahmudah Spatial Regression Application to Assess Factors Affecting the Event of DHF in East Java in 2018 2023-05-30T14:08:31+07:00 Sonny Adhiwanta Farmanda Putra Mahmudah <p><strong><em>Background: </em></strong><em>Dengue Hemorrhagic Fever (DHF) is still one of the main public health problems in Indonesia. In 2018 in East Java DHF cases reached 9,425 cases with an incident rate of 23.9 per 100,000 population. Dengue fever is classified as an infectious disease originating from animals, the transmission of which tends to be influenced by many regional factors such as population density, population mobility, urbanization, and community behavior. </em></p> <p><strong><em>Objective: </em></strong><em>this study was to apply spatial regression to determine the factors of the incidence of DHF in East Java in 2018.</em></p> <p><strong><em>Methods: </em></strong><em>This research that uses secondary data. The data was obtained from the 2018 East Java Health Office profile book and the East Java Central Statistics Agency. The variables taken are the incidence of dengue fever, population density, PHBS in the household, healthy homes, and availability of clean water. Analysis of the data used in this study is Spatial Regression.</em></p> <p><strong><em>Result: </em></strong><em>this study get the R-square results from the Spatial Error Model (SEM) regression model of 0.3921 and the R-square results from the Autoregressive Model (SAR) regression model of 0.03824.</em></p> <p><strong><em>Conclusion: </em></strong><em>this study is that there is a relationship between Population Density, PHBS, Healthy Homes, and Availability of Clean Water on the incidence of DHF. With the results of this study, the SEM method can estimate the effect of 39.21% on the incidence of DHF and the SAR model can estimate the effect of 38.24% on the incidence of DHF.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Sonny Adhiwanta Farmanda Putra, Mahmudah The Relationship between the Effect of Obesity and Smoking on the Incidence of Hypertension in the Elderly Age 2022-11-06T20:40:18+07:00 Sekanya Ardhia Rezkita Ari Mega Pratiwi Ririh Yudhastuti <p><strong>Background:</strong> The background for this work hypertension is the silent killer or the silent disease because the sufferer does not know that he has hypertension. The incidence of hypertension in Indonesia has increased from the 2013 Riskesdas data, aged 55-64 years by 45.9%, increasing to 55.2% from the 2018 Riskesdas data. </p> <p><strong>Objectives: </strong>State the objectives of this research This study aims to analyze the relationship between age, obesity and smoking with the incidence of hypertension in the elderly</p> <p><strong>Methods:</strong> The methods employ in this research The type of research used is analytic observational with cross sectional research design. This study uses secondary data from the Indonesian Family Life Survey (IFLS) 5. The research sample is the entire elderly population (age &gt; 60 years) totaling 1,050 respondents who have met the criteria. The variables studied obesity, and smoking. This study was univariate analysis and bivariate analysis using Chi-square.</p> <p><strong>Results: </strong>The results showed that there was a relationship betweenobesity (p value = 0.000; PR = 0.46; CI = 0.37 - 0.58), and smoking (p value = 0.001; PR = 1.25; CI = 1.09 - 1.44) with the incidence of hypertension in the elderly.</p> <p><strong>Conclusions:</strong> Obesity and smoking are variables associated with the incidence of hypertension in the elderly. Smoking are risk factors for hypertension, obesity is a protective factor for hypertension. Suggestions for this research are expected that the elderly community can implement healthy living behaviors, and the government can provide education regarding risk factors for hypertension in the elderly community.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Sekanya Ardhia Rezkita, Ari Mega Pratiwi, Ririh Yudhastuti Comparison of the Effectiveness of Podcast and Music in Knowledge of Quarter-Life Crisis on the Students of Universitas Airlangga Surabaya 2022-11-28T08:07:49+07:00 Nasytha Tristie Wardhani Sri Widati <p><strong><em>Background:</em></strong> <em>Quarter-life crisis is a phase of transition from adolescence to adulthood that occurs starting from the age of 20. In this transitional period, people are considered to be adults and be able to live independently with their own life choices, but emotionally and financially unstable. Health promotion is one of the prevention methods that can be used, one of the example is audio media. Podcasts and music as the medium of health promotion for the quarter-life crisis and the target were the students of Universitas Airlangga Surabaya</em></p> <p><strong><em>Objectives: </em></strong><em>To compare the effectiveness of podcasts and music as health promotion media in providing knowledge about quarter-life crisis.</em></p> <p><strong><em>Methods:</em></strong> <em>This study used a quasi-experimental methods and the target were students of Universitas Airlangga batch 2016-2020 with a total sample of 200 respondents. The sample was taken using Lemeshow by Stanley Lemeshow (1997). This study used paired-samples t test and independent sample t test measure. </em></p> <p><strong><em>Results: </em></strong><em>The result of this study showed that there was a difference in knowledge between podcast group and music group. The results of the effectiveness of the media showed that podcast is more effective than music in increasing knowledge.</em></p> <p><strong><em>Conclusions:</em></strong> <em>Podcast and music can be a stimulus in increasing knowledge, but podcast is more effective than music in providing knowledge about quarter-life crisis.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nasytha Tristie Wardhani, Sri Widati Evaluation of Environment Physical Quality of Workplace and The CVS Incidents on Staff of PT PELINDO III (Persero) 2022-12-05T18:50:14+07:00 Alfania Mei Larasati Ulfah Mu’amarotul Hikmah’ Ririh Yudhastuti <p><strong>Background:</strong> Computer Vision Syndrome (CVS) is an incident commonly reported and experienced by workers using computers. The Information and Communication Technology staff of PT Pelabuhan Indonesia III are one of those having a high risk of CVS incidents.</p> <p><strong>Objectives: </strong>The study aimed to evaluate the workplace's physical environment and the Computer Vision Syndrome (CVS) incidents on staff at the head office of PT Pelabuhan Indonesia III (Persero) under the applicable regulations.</p> <p><strong>Methods:</strong> This study employed primary data with the qualitative observational method with a cross-sectional study design. The study utilized two respondent groups, i.e., exposed, comprising 30 ICT staff, and control, comprising 30 HSSE and Port Equipment Engineering staff. The dependent variable of the study was the number of CVS incidents experienced by staff. The independent variable of the study was the workplace physical quality (lighting intensity, temperature, and humidity). </p> <p><strong>Results: </strong>The study result demonstrated that the lighting intensity and room temperature of the exposed group did not follow the standard, exposing staff to CVS. In the control group, lighting intensity did not follow the standard, and staff had CVS, the humidity did not follow the standard, and staff did not have CVS, and room temperature followed the standard, and staff did not have CVS.</p> <p><strong>Conclusions:</strong> The study concluded non-conformity in the physical environment variable of the workplace under the applicable regulations and is based on predecessor literature studies.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Alfania Mei Larasati, Ririh Yudhastuti, Ulfah Mu’amarotul Hikmah Diphtheria Distribution according to DPT-HB-Hib Immunization and Population Density in Surabaya 2022-12-19T10:20:35+07:00 Shindy Ayu Anggraini Lucia Yovita Hendrati <p><strong><em>Background:</em></strong><em> Diphtheria is a "re-emerging disease" because diphtheria cases had fallen in 1985 and increased again in 2005 when an outbreak occurred in East Java. Immunization coverage in the city of Surabaya has reached the target of &gt; 95%, the incidence of measles still exists and has doubled in 2018. </em><em>&nbsp;</em></p> <p><strong><em>Objectives: </em></strong><em>Analyzing the distribution map of diphtheria incidence according to DPT-HB-Hib immunization coverage and population density in the city of Surabaya.</em></p> <p><strong><em>Methods:</em></strong> <em>This study uses a descriptive analytic type with a correlation study design. The population is 31 districts in the city of Surabaya. Data was taken from the Health Profile of the City of Surabaya in 2017, 2018 and 2019. Data processing used the Health Mapper application version 4.3.2 to analyze data descriptively.</em></p> <p><strong><em>Results: </em></strong><em>The distribution of diphtheria incidence with immunization coverage and population density in the city of Surabaya in 2017, 2018 and 2019 shows that the incidence of diphtheria is fluctuating in 2019 with immunization coverage and population density increasing each year.</em></p> <p><strong><em>Conclusions:</em></strong><em> The incidence of diphtheria in the city of Surabaya shows that every time there is a decrease in immunization coverage it tends to cause new cases and an increase in diphtheria cases in the area. Population density is one of the factors for the rapid transmission of diphtheria bacteria.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Shindy Ayu Anggraini, Lucia Yovita Hendrati Relationship of Nutritional Knowledge and Consumption Patterns Iron Sources with Anemia Incidence in Female Student at Islamic Boarding School Al-Mizan Muhammadiyah Lamongan 2023-09-15T16:31:47+07:00 Dinda Ayu Lestari Basuki Fanti Septia Nabilla Lailatul Muniroh <p><strong><em>Background:</em></strong><em> Hemoglobin (Hb) is positioned lower than usual in the blood in the condition known as background anemia.</em> <em>Anemia can beget inadequate blood to bind and transport oxygen from the lungs throughout the body. Women suffer from anemia more frequently than men, especially pregnant women, youthful women and the poor. This is in agreement with the physiologica requirements of women who increase during gestation and also the factor of bleeding through period that occurs every month. Anemia can reduce individual work capacity. People who witness anemia generally frequently feel headaches and dizziness. The negative impact of anemia is that it can intrude with internal processes and reduce intelligence, bloodied impunity, and reduce the capacity to learn objects</em><strong><em>Objectives: </em></strong><em>The purpose of this study was to dissect the relationship between nutritive knowledge and consumption patterns of iron sources with the prevalence of anemia in adolescents, especially youthful women.</em><strong><em>Methods:</em></strong> <em>This research is an analytic observational study with a cross-sectional research design which was conducted on a sample of 50 female students from class X and XI at the Al-Mizan Muhammadiyah Lamongan Islamic Boarding School. Samples were selected by proportional random sampling method.</em><strong><em>Results</em></strong><strong><em>:</em></strong><em>The outcome from the study showed that </em><em>t</em><em>he level of nutritional knowledge of respondents is 50% in the less category. The pattern of consumption of Fe sources of respondents 64% never consumed Fe sources. There is a relationship between the level of nutritional knowledge (p=0.016) and consumption patterns of iron sources (p=0.036) with the incidence of anemia in female students.</em></p> <p><strong><em>Conclusions:</em></strong><em> Teenage girls with a good level of nutritional knowledge and a level of consumption of iron sources that are in accordance with needs effect on reducing the risk of anemia. It is hoped that young women can increase their intake of foods that are sources of iron and increase their knowledge about which foods have a large amount of iron and which foods are iron inhibitors to prevent anemia.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Dinda Ayu Lestari Basuki, Fanti Septia Nabilla, Lailatul Muniroh Characteristics of Pregnant Woman with Chronic Energy Deficiency in Puskesmas Gesang, Lumajang on 2020: Descriptive Analysis 2023-06-10T14:33:48+07:00 Mita Prisabela Siti Rahayu Nadhiroh Emyr Reisha Isaura <p><strong><em>Background: </em></strong><em>Basic Health Research conducted by Ministry of Health in 2018 stated that the prevalence of chronic energy deficiency pregnant women in Indonesia reached 17,3%. Chronic Energy Deficiency conditionsin pregnant women can have an impact to miscarriages, premature babies, babies born with disabilities, and also low birth weight babies which can affect stunting in the future. The prevalence of LBW in Indonesia is 6,2%, in East Java province is 3,7%, and in Lumajang is 4,9%.</em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of this study is to </em><em>obtain a description of t</em><em>he characeristics of pregnant women with chronic energy deficiency </em><em>in Gesang Health Center, Lumajang working area in 2020</em><em>.</em></p> <p><strong><em>Methods: </em></strong><em>This research is a descriptive analysis study that uses secondary data with a population of all pregnant women in the working area of Gesang Health Center, Lumajang in 2020 and the sampling technique is a total sample of 49 people pregnant women with chronic energy deficiency.</em></p> <p><strong><em>Results: </em></strong><em>The results </em><em>showed that 65,3% of pregnant women with chronic energy deficiency belonged to non-risk age category which is 20-35 years,the majority of CED pregnant women’s gestational age is in 2nd and 3rd trimesters each had a percentage of 38,8%, most of the pregnant women with CED do not experience anemia (87,8%), the gravida status of the highest CED pregnant women is primigravida (71,4%), most of CED pregnant women in the first pregnancy or in 0 months gestational distance (71,4%) and 61,2% CED pregnant women had normal </em><em>nutritional</em><em> status. </em></p> <p><strong><em>Conclusions: </em></strong><em>Based on </em><em>this research</em><em>, it </em><em>can be concluded</em><em> that the characteristics of pregnant women with chronic energy deficiency (CED) in the working area of Gesang Health Center, Lumajang are maternal age, gestational age, anemia status, gravida, pregnancy interval, and maternal nutritional status.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Mita Prisabela, Siti Rahayu Nadhiroh, Emyr Reisha Isaura Differences in the Amount of Milk Production for Breastfeeding Mothers Before and After Being Given SULAIKA (Katuk Soybean Milk) and Soy Milk in the Work Area of the Dupak Health Center in Surabaya 2023-06-10T14:37:21+07:00 Laurentia Civita Rahma Kusuma <p><strong><em>Background: </em></strong><em>The amount of breast milk production is the volume of breast milk that can be produced by a nursing mother every day. The actors that can influence include nutritional intake, psychological conditions, health conditions and history of disease, consumption of milk or breast milk supplements and infant sucking factors.</em></p> <p><strong><em>Objectives:</em></strong> <em>The purpose of this study was to analyze the differences in the amount of breast milk produced by breastfeeding mothers before and after being given SULAIKA (Katuk Soybean Milk) in the working area of the Dupak Health Center, Surabaya.</em></p> <p><strong><em>Methods: </em></strong><em>This research was a quasi-experimental research using pre-post control group design. The data were analyzed using the using the Chi-Square statistical test and the data difference test using the Paired t-Test.</em></p> <p><strong><em>Results: </em></strong><em>The normality test in this study indicate that the data to be used is normally distributed. The results of the different test between the volume of breast milk of breastfeeding mothers before and before being given SULAIKA (p = 0.002) and SULE (p = 0.004) showed a significant difference in the amount of milk production. However, there was no significant amount of breast milk production between before SULAIKA was given to SULE with a significant value (p=0.339).</em></p> <p><strong><em>Conclusion: </em></strong><em>There are differences in the amount of breast milk produced by breastfeeding mothers before and after being given SULAIKA or Katuk Soy Milk as well as the amount of milk production before and after being given SULE or Soy Milk. Selection of food ingredients that have the potential to increase the amount of breast milk production is suggested as an effort to increase milk production.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Laurentia Civita Rahma Kusuma Fiber Optimalization within Cookies Through Substitution of Black Rice Flour with Addition of Kidney Bean and Dates Combination Paste Fillings 2023-09-15T15:54:01+07:00 Damar Maulidina Nur Wening Annis Catur Adi <p><strong><em>Background:</em></strong><em> Optimal consumption of fiber has various benefits, one of which is related to obesity prevention. Out of many attempts to optimize fiber consumption is through the rich-fiber food formulation in the form of cookies. Black rice flour, kidney beans, and dates are the main ingredients chosen according to their nutritional content and benefits. </em></p> <p><strong><em>Objectives:</em></strong><em> The purpose of this study was to analyze the effect of the modification of cookies made from black rice flour and kidney bean-date paste combination within the organoleptic score and fiber content. </em></p> <p><strong><em>Methods: </em></strong><em>The method used in this research is quasi-experimental. Formula treatment was carried out 3 times (F1, F2, F3) along with 1 reference formula (F0). The organoleptic score was known within hedonic test, which involved 32 untrained panelists of women aged 18-40. The fiber content was analyzed empirically through T</em><em>abel </em><em>K</em><em>omposisi </em><em>P</em><em>angan </em><em>I</em><em>ndonesia (TKPI)</em> <em>and</em><em> U</em><em>nited </em><em>S</em><em>tates </em><em>D</em><em>epartment of </em><em>A</em><em>griculture (USDA) </em><em>database. Selected formula was analyzed its crude fiber through gravimetric method at Laboratory of Biochemistry, Nutrition Department, Airlangga University. </em></p> <p><strong><em>Results:</em></strong><em>The highest organoleptic scores of color, aroma, texture, and taste were F1 cookies. Based on empirically analysis, the fiber content between F0 and F4 cookies in 100 g ranges from 2.62 to 9.02 g. Analysis of the crude fiber content of the selected formula, F1 in 100 g is 46.55%. </em></p> <p><strong><em>Conclusion: </em></strong><em>Black rice flour substitute cookies filled with red bean and dates paste combination had a fairly good organoleptic score and appropriate fiber content.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Damar Maulidina Nur Wening, Annis Catur Adi Optimization of Dry Noodle Calcium Content with Substitution of Tempe Flour and Catfish Bone Meal 2023-06-10T14:36:17+07:00 Amilenia Nurlaila Annis Catur Adi <p><strong><em>Background: </em></strong><em>Adolescents need good nutrition for their physical growth, one of which is protein and calcium. In this study, dry noodle formulation was carried out by substituting tempeh flour and catfish bone flour. Noodles are a food that is much loved by teenagers because it contains high energy, carbohydrates, and fat but low content of other nutrients. </em></p> <p><strong><em>Objectives : </em></strong><em>This study aims to determine the effect of the substitution of tempeh flour and catfish bone meal on the acceptability and nutritional calcium value of dry noodles.</em></p> <p><strong><em>Methods : </em></strong><em>The experimental design used was a completely randomized design (CRD). The research carried out in the formula development stage was true experimental research (pure experimental) and in the acceptance testing stage, the formula was using quasi-experiments. This study used untrained panelists, namely teenagers totaling 25 people. The analysis in this study used descriptive analysis and statistical analysis by Kruskal Wallis.</em></p> <p><strong><em>Result : </em></strong><em>The percentages of substitution of tempeh flour and catfish bone meal were F1 (7.5% tempeh flour, 2.25% catfish bone meal), and F2 (15% tempeh flour, 1.5% catfish bone meal). Based on the test results for the acceptability of dry noodle products with the substitution of tempeh flour and catfish bone flour by untrained panelists, the results with the highest score were F1. The results of the Kruskal Wallis statistical test showed that there was a significant difference (p≤0.05) in the level of preference in the aspects of color, aroma, texture, and taste. The nutritional value for 100 grams of dry noodles with substitution of tempeh flour and catfish bone meal (Energy: 357.87 kcal; Calcium 139.8 mg) is able to meet 10-15% of the daily needs of adolescents.</em></p> <p><strong><em>Conclusion : </em></strong><em>Dried noodles with 15 grams of tempeh flour and 3 grams of catfish bone flour have good acceptability with high calcium content and are suitable as alternative snacks for teenagers.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Amilenia Amilenia Islah Nurlaila The Correlation of Gadget Use Intensity and Energy Consumption Rate with Overweight among High School Student in Sidoarjo 2023-10-16T09:44:10+07:00 Aghnia Ilmi Imani Siti Rahayu Nadhiroh <p><strong><em>Background: </em></strong><em>Excessive use of gadgets can lead to a decrease in physical activity and an increase in consumption of high-energy foods which if it occurs over a long period of time will lead to overweight. Overweight can cause reduction on physiological conditions and mental health.</em></p> <p><strong><em>Objectives: </em></strong><em>Knowing the relationship between intensity of using gadgets and level of energy consumption with overweight of high school students in Sidoarjo</em></p> <p><strong><em>Methods: </em></strong><em>This study was a case-control design. The research was conducted on high school students in Sidoarjo taken from SMA Negeri 1 Sidoarjo, SMA Negeri 2 Sidoarjo, and SMA Negeri 3 Sidoarjo. The total sample required was 92 students with each group, overweight group and normal nutrition group, was 46 students. Sampling using stratified random sampling with the population was 2582 students. Data collection through questionnaires using gadgets, 24H Food Recall, and measurements of height and weight by researchers. Data were analyzed using the Chi-Square test with a significance level of 95%.</em></p> <p><strong><em>Results: </em></strong><em>Majority of high school students in Sidoarjo, both with overweight (84.8%) and normal nutritional (73.9%), have moderate intensity of using gadgets. Level of energy consumption in the overweight group was more in the overcategory (54.3%), while in the normal nutrition group was in the sufficient category (87%). There was a relationship between level of energy consumption (p=&lt;0.001; OR=7.937) and there is no relationship between the intensity of using gadgets (p=0.303) with overweight of high school students in Sidoarjo</em><em>.</em></p> <p><strong><em>Conclusions: </em></strong><em>The level of over energy consumption will be more at risk of experiencing more nutritional status compared to the level of sufficient energy consumption.This research needs further research with the addition of other variables.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Aghnia Ilmi Imani, Siti Rahayu Nadhiroh Correlation between Pocket Money, Residence Status, Sleep Duration, and Physical Activity with Nutritional Status in Airlangga University Students 2023-06-10T14:32:21+07:00 Velina Mawadah Putri Velina Siti Rahayu Nadhiroh <p><strong><em>Background:</em></strong><em> Nutritional status is a parameter of health degree which describes the balance of nutrient intake with the body's needs. Unbalanced nutritional intake with body needs results in nutritional problems, one of which is excess nutrition. Nutrition is more due to the consumption of excessive calories in a long time. Caloric intake in food mostly comes from macronutrients such as fat, protein, and carbohydrates. The calories that enter the body are then balanced with the expenditure of calories through physical activity, so that physical activity is also one of the main factors in improving nutritional status. In addition, sleep duration can also be one of the factors causing over nutrition through indirect factors. The average college student is between 18-25 years old, which is an important decade for shaping or changing behavior and eating patterns. In general, college students are a population prone to sleep problems, poor dietary habits, weight gain, and reduced physical activity.</em></p> <p><strong><em>Purpose:</em></strong><em> This study aims to analyze the relationship between pocket money, residence status, sleep duration, and physical activity with overweight status in students at Universitas Airlangga.</em></p> <p><strong><em>Methods:</em></strong><em> This study is an observational analysis using a cross-sectional design. The population in this study are students of Airlangga University. The sample size in this study was 168 students who were selected based on accidental sampling. Data processing uses SPSS with univariate and bivariate analysis.</em></p> <p><strong><em>Results:</em></strong><em> There is a relationship between pocket money (p=0.013), residence status (p=0.012), sleep duration (p=0.002) and over nutrition in Airlangga University students. While physical activity (p = 0.406) has not found a significant association with overweight status in Airlangga University students.</em></p> <p><strong><em>Conclusion:</em></strong><em> There is a significant relationship between pocket money, residence status, sleep duration and overweight status, while there is no significant relationship between physical activity and overweight in Airlangga University students.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Velina Mawadah Putri Velina The Factors that Causing Teenagers to Access Pornography Content and Its Impact on Dating Behavior (Case Study on Senior High School in Surabaya City) 2023-11-22T23:38:31+07:00 Amalia Dwi Ningtyas Windhu Purnomo <p><strong><em>Background: </em></strong><em>Technological advances have negative and positive impacts on users, including teenagers. One of the most common negative impacts is accessing pornographic content. The availability of various applications that have various features is one of the reasons someone can more easily access pornographic content.</em></p> <p><strong><em>Objectives: </em></strong><em>This study aims to determine various factors influencing high school teenagers in Surabaya to access pornographic content and its impacts on dating behavior. </em></p> <p><strong><em>Methods:</em></strong><em> This study used a qualitative method with purposive sampling as a sampling technique. The study's data were obtained from in-depth interviews and documentation. Data analysis was carried out in three stages: (1) description, (2) interpretation, and (3) explanation. </em></p> <p><strong><em>Result:</em></strong><em> The study's result indicates that various factors influence high school teenagers in Surabaya to access pornographic content. These factors include the use of smartphones from childhood or teenagers-hood without parental supervision, friends circle or social life both at school and outside of school, and high curiosity among teenagers, as well as the absence of parental education that can encourage the need for information on that education. The study's result also showed that teenagers who access pornographic content experience changes in their dating behavior.</em></p> <p><strong><em>Conclusion:</em></strong><em> The conclusion in this study, there is a negative impact from the use of technology on high school youth in the city of Surabaya, namely accessing pornographic content. Accessing pornographic content also has an impact on how these teenagers date.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Amalia Dwi Ningtyas, Windhu Purnomo The Correlation between Frequency of Junk Food Consumption and Nutritional Status with Incidence of Dysmenorrhea in IT Ar-Rayyan Junior High School Students in Surabaya 2023-06-10T12:30:39+07:00 Rafita Fauziah Lailatul Muniroh Emyr Reisha Isaura <p><strong><em>Background:</em></strong><em> These days a lot of girls had menstrual problem. One of menstrual problems is painful menstruation, also known as dysmenorrhea. Dysmenorrhea is caused by eating junk food regularly and high fat content in junk food can promote increasing prostaglandins hormones. Other than that, abnormal body mass index impacts the hormonal imbalances.</em></p> <p><strong><em>Objectives: </em></strong><em>This study aims to analyze the correlation between frequency of junk food consumption, and nutritional status with dysmenorrhea among students of Ar-Rayyan Surabaya Junior High School.</em></p> <p><strong><em>Methods:</em></strong> <em>This study is cross sectional study with sample of female students who experienced menstruation as much as 35 female students that were selected by simple random sampling. Nutritional status were measured using anthropometric measurement, and frequency consumption junk food were measured using SQ-FFQ (Semi Quantitative Food Frequency Questionnaire), and dysmenorrhea status were measured using likert scale questionnaire (never – always). In this study, data analysis used Spearman correlation test.</em></p> <p><strong><em>Results: </em></strong><em>The results showed that 57.1% female students consumed junk food frequently and 51.4% of female students had fat in junk food intake ≥ 48.7 g, and 54.3% female students had normal nutritional status. There was no correlation between frequency of junk food consumption (p=0.099), and nutritional status (p=0.949) with dysmenorrhea among students of Ar-Rayyan Surabaya Junior High School.</em></p> <p><strong><em>Conclusions:</em></strong><em> The conclusion of this study are</em><em> there is no correlation between frequency of junk food consumption and nutritional status with incidence of dysmenorrhea. Therefore,</em><em> high or low intake fats junk food, and normal or abnormal nutrition status can experience painful menstrual periods (dysmenorrhea). It is recommended for students to limit their intake of junk food, achieve and maintain a normal weight.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Rafita Fauziah, Lailatul Muniroh, Emyr Reisha Isaura Relationship between Iron Tablets Consumption Adherence and Middle-Upper Arm Circumference of Pregnant Women with Stunting in East Nusa Tenggara Province 2023-01-12T19:06:06+07:00 Lulu'an Munirah Sri Sumarmi Emyr Reisha Isaura <p><strong><em>Background:</em></strong> <em>Stunting is the highest health problem in East Nusa Tenggara Province for the past decade. Several factors cause stunting are lack of energy and adherence to consume of iron supplement tablets in pregnant women.</em></p> <p><strong><em>Objectives: </em></strong><em>To analyze the relationship between compliance of taking supplementary blood tablets and the size of the upper arm circumference of pregnant women and stunting incidence in East Nusa Tenggara Province.</em></p> <p><strong><em>Methods:</em></strong> <em>This study used secondary data from basic health research (RISKESDAS) in 2018. The sample for this study used children aged 3-5 years and the biological mother as many as 1755 respondents. The test of the relationship using the Pearson Correlation test and the strength test of the relationship using the logistic regression test.</em></p> <p><strong><em>Results: </em></strong><em>The results of this study showed that 72.3% of pregnant women were not compliant to take iron tablets and 23.1% of pregnant women experienced chronic energy deficiency or an upper arm circumference of less than 23 cm. The results of the data analysis showed that there was no relationship between adherence to blood supplement consumption of pregnant women and the incidence of stunting (p=0.910) and there was a relationship between the size of the upper arm circumference of pregnant women and the incidence of stunting (p&lt;0.001).</em></p> <p><strong><em>Conclusions:</em></strong> <em>The conclusion of this study is that there is a relationship between the size of the upper arm circumference of pregnant women and the incidence of stunting in East Nusa Tenggara Province.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Lulu'an Munirah, Sri Sumarmi, Emyr Reisha Isaura Differences of Childcare Practices between Stunted and Non Stunted Childern in East Nusa Tenggara (Riskesdas 2018 Data Analysis) 2023-09-15T16:27:17+07:00 Khuriatun Nabillah Sri Sumarmi <p><strong><em>Background:</em></strong><em> Over the past decade, NTT has become a province with the highest prevalence of stunting in Indonesia with prevalence exceeding 40%. One of the underlying causes of stunting is inadequate childcare practices. </em></p> <p><strong><em>Objectives: </em></strong><em>This study was aimed to analyze the differences of childcare practices which consisted of early breastfeeding, exclusive breastfeeding, age of introduction of first complementary feeding, immunization status, and weighing between stunted and non-stunted children under five in NTT province. </em></p> <p><strong><em>Methods:</em></strong><em> This study was a quantitative study that used secondary data. The type of study was non-reactive study. The data used comes from 2018 Indonesian Basic Health Research (RISKESDAS). Sub-population observed in this study was 0-59 months old children that live in NTT province. The sample size in this study was 3557 children. Data was statistically analyzed by using Mann-Whitney for the bivariate test and binary logistic regression for the multivariate test. </em></p> <p><strong><em>Results: </em></strong><em>Most toddlers were given IMD (59.3%), not exclusively breastfed (69.9%), given complementary foods at the age of ≥ 6 months (64%), given immunizations (86.9%), and weighed (84.8%). Statistical Mann Whitney tests showed that there were differences in exclusive breastfeeding (p=0.001), immunization (p=0.006), weighing (p=0.000), and childcare practices (p=0.001) between stunted and non-stunted children under five in NTT province. However, there was no difference in early breastfeeding (p=0.405) and age of introduction of first complementary feeding (p=0.028) between stunted and non-stunted children under five in NTT province. Through multivariate tests, it was shown that there was a relationship between exclusive breastfeeding (p=0.003), and age of introduction of first complementary feeding (p=0.011) with stunting in NTT province.</em></p> <p><strong><em>Conclusions:</em></strong><em> There were differences in exclusive breastfeeding, immunization and weighing between stunted and non-stunted children under five in NTT province. Exclusive breastfeeding and age of introduction of first complementary feeding are factors that most influence the occurrence of stunting in NTT province. </em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Khuriatun Nabillah, Sri Sumarmi The Correlation between Snack Consumption and Diarrhea Incidences in Elementary School Students in Surabaya 2023-09-15T16:17:36+07:00 Berliandita Shabhati Annis Catur Adi <p><strong><em>Background:</em></strong><em> Gastrointestinal infections that are still found in the surrounding environment are diarrhea. Diarrhea can be affected by various factors, one of them is the consumption of snack foods that the safety is not guaranteed. Snacks are one of the foods that are often consumed by students. Until now, there are still many snacks that contain contaminants that can cause a disease</em></p> <p><strong><em>Objectives: </em></strong><em>This </em><em>research</em><em> aims to identify the correlation between the consumption of snacks and the incidence of diarrhea in elementary school students. </em></p> <p><strong><em>Methods:</em></strong><em> This research used a quantitative methods. This type of research was an observational study used cross sectional research design. Sampling in this study used a purposive random sampling technique which then obtained a total sample of 72 respondents. The data obtained in this study were analyzed using the bivariate analysis method, namely Spearman's rank.. </em></p> <p><strong><em>Results:</em></strong><em> The results of this study found that most of the respondents had moderate consumption of snacks (66,7%). T</em><em>he respondents who experienced diarrhea amounted to 22.2%.. </em><em>T</em><em>he results of the research </em><em>based on </em><em>data analysis shows that there is a </em><em>correlation</em><em> between snacks </em><em>consumption </em><em>and the incidence of diarrhea in </em><em>primary </em><em>school students with a p-value of 0.03 (&lt;α = 0.05).</em></p> <p><strong><em>Conclusions:</em></strong> <em>There is correlation between snack consumption and diarrhea incidences in elementary school students. </em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Berliandita Shabhati Risk Analysis of Deafness in Noise-Exposed Lawn Mow Workersi in The PT. Pertamina (Persero) Marketing Operation Region V Terminal Bahan Bakar Minyak Tanjung Wangi 2023-07-20T15:19:34+07:00 Olga Febriana Safitrie Abdul Rohim Tualeka <p><strong><em>Introductions: </em></strong><em>Lawn mow worker was at risk of deafness due to noise because the lawn mow worker was carried on the back. Continuous noise exposured can increase the risk of hearing loss. </em></p> <p><strong><em>Objectives: </em></strong><em>T</em><em>he purpose</em><em>d</em><em> of this study was to analyze the risk of deafness in lawn mower worker who were exposed to noise at</em> <em>PT. Pertamina (Persero) </em><em>Marketing Operation Region</em><em> V</em><em> Terminal Bahan Bakar Minyak</em><em> Tanjungwangi.</em></p> <p><strong><em>Methods:</em></strong> <em>This research is a quantitative study using a cross-sectional approach, </em><em>furthermore </em><em>the research is conducted at one time. Sampling used a total sampling technique with a total sample of 10 people as the unexposed group and 10 people as the exposed group. Retrieval of research data obtained by measuring environmental noise, measuring the threshold value of workers and questionnaires. As well as observing the work environment by researchers. Furthermore, data analysis was carried out on the strong relationship between noise and worker age, years of service, and use of Personal Protective Equipment (APT) on hearing status using the Pearson statistical test.</em></p> <p><strong><em>Results: </em></strong><em>The results showed that the average noise intensity received by grass cutter workers was 87.43 dB, and at office locations it was 61.9 dB. The average Hearing Threshold Value of the exposed group in the left ear was 17.5 dB and the right ear</em><em> was 19,5 dB</em><em>. As well as in the unexposed group, the left ear was 21 dB and the right ear was 20.75 dB.</em></p> <p><strong><em>Conclussion: </em></strong><em>Noise, age, years of service, and use of ear protection devices have a relationship to the hearing status of workers. Based on statistical tests, it showed that the value of p&gt; 0.005, and then noise had a weak relationship with age, years of service and use of ear protection devices. The advice given to PT. Pertamina (Persero) TBBM Tanjungwangi is to supervise the use of ear protection devices for workers so as to reduce the risk of workers' deafness due to exposure to lawn mowers</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Olga Febriana Safitrie Protein, Zinc Content, and Nutritional Economic Value of Muffins with Substitution of Germinated Cowpea Flour (Vigna unguiculata) Enriched with Sesame Powder (Sesamum indicum) 2023-11-24T21:58:10+07:00 Hisma Zauharotun Nisa Annis Catur Adi <p><strong><em>Background:</em></strong><em> Deficiency of macronutrients and micronutrients in school-age children is still a nutritional problem that is often found in Indonesia. Many Indonesian children with protein and zinc intake do not meet the recommended daily allowance. Cowpea is a source of protein and a type of legume that is often found in Indonesia. Sesame is a source of protein and zinc which is cheaper than other zinc sources. Both of these ingredients have the potential to be substitutes and additions to muffins as a nutrient-dense snack for school-age children.</em></p> <p><strong><em>Objectives: </em></strong><em>To develop muffins with germinated cowpea flour substitutes enriched with sesame powder to increase the nutritional content of protein and zinc muffins, as well as to determine the nutritional economic value of this product.</em></p> <p><strong><em>Methods:</em></strong><em> This study was an experimental study with a Completely Randomized Series design with three treatments: control formula (F0), formula F2 (15 grams of cowpea sprout flour and 15 grams of sesame powder), F3 formula (30 grams of cowpea sprouts flour and 20 grams of sesame powder). grams). Protein and zinc levels were obtained from nutritional analysis, while the economic value per unit of nutrition was obtained from calculating the food cost divided by nutrient content.</em></p> <p><strong><em>Results: </em></strong><em>The results of the nutritional analysis showed that there was an increase in nutrient levels in formulas F1 and F2, with the highest levels of protein and zinc obtained by F2 (7.64 grams of protein and 1.862 milligrams of zinc per 100 grams). All formulas except F0 were able to meet the adequacy of protein snack foods and all formulas were able to meet the adequacy of zinc in snack foods for school-age children. The economic value per unit of nutrient shows the cheapest protein and zinc prices obtained by formula F2 with a protein price of IDR 457/g and a zinc price of IDR 2057/mg</em></p> <p><strong><em>Conclusions:</em></strong><em> The substitution treatment of cowpea sprout flour and the addition of sesame powder was able to increase the protein and zinc content in muffins making them suitable as an alternative nutrient-dense snack for school-age children. This treatment also makes muffins have cheaper protein and zinc prices per unit of nutrition.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Hisma Zauharotun Nisa Nisa The Correlation between Nutritional Knowledge, Snack Fat Intake and Snack Consumption Patterns in the Nutritional Status of Adolescents at Surabaya 2023-10-20T15:16:07+07:00 Fikriyah Al'aliyyu Annis Catur Adi <p><strong><em>Background:</em></strong><em> Adolescents are a group that is vulnerable to nutritional problems because this period includes a period of growth and development with physical, psychological and cognitive changes. There are several factors that affect nutritional status, such as the level of knowledge about nutrition and food consumption </em></p> <p><strong><em>Objectives: </em></strong><em>Analyzing the co</em><em>r</em><em>relation between the level of nutritional knowledge, snack fat intake and snack consumption patterns with the nutritional status of adolescents in Surabaya</em></p> <p><strong><em>Methods:</em></strong><em> This research </em><em>is</em><em> a type of correlational research with a cross sectional study. The number of samples was 64 adolescents selected by proportional random sampling. Each variable studied was tested with the Spearman test. Adolescents' nutritional status were recorded with anthropometric measurements, nutritional knowledge with a questionnaire and snack consumption with the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ)</em></p> <p><strong><em>Results: </em></strong><em>there was a significant correlation between nutritional knowledge with nutritional status (p=0.042) and no significant correlation between nutritional status with snack fat intake (p=0.152) and snack consumption pattern (p=0.945)</em></p> <p><strong><em>Conclusions:</em></strong><em> The higher </em><em>level </em><em>of nutritional knowledge possessed by adolescents, the more likely they will have good nutritional status. </em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Fikriyah Al'aliyyu, Annis Catur Adi The Correlation between Feeding Practices with Stunting in Toddlers in the Puskesmas Plosoklaten, Kediri Regency 2023-09-15T16:08:04+07:00 Khusnatul Mar'atik Lailatul Muniroh <p><strong><em>Background:</em></strong><em> Stunting is a growth retardation as result of inadequate nutrition for a long time and recurrent infections during the first 1000 days of a child’s life. </em><em> One of the direct factors causing stunting is inadequate food consumption for a long time. Food consumption in toddlers is still highly dependent on their parents, so that feeding practices greatly affect the toddlers’ nutrition status.</em></p> <p><strong><em>Objectives: </em></strong><em>The study aims to analyze the correlation between feeding practices with stunting in toddlers aged 6-60 months in the Puskesmas Plosoklaten, Kediri Regency.</em></p> <p><strong><em>Methods:</em></strong><em> This study was an observational study with a cross sectional design. The number of samples in this study were 72 toddlers in the Puskesmas Plosoklaten, Kediri Regency. Data were collected by interviewing mothers and filling the Food Frequency Questionnaire (FFQ) to determine the type of food served and a 2x24 hour food recall form to obtain data of portion and frequency of food consumption. Then the collected data was analyzed using the Spearman's rho test.</em></p> <p><strong><em>Results: </em></strong><em>The results of this study showed that there was a correlation between feeding practices based on the suitability of food portion sizes and the incidence of stunting (p=0.013). However, no correlation was found between feeding practices based on a dietary diversity and meal frequency with the incidence of stunting (p=0.178 and p=0.381).</em></p> <p><strong><em>Conclusions:</em></strong><em> There were more stunted toddlers in mothers who gave &lt; 3 types of food with appropriate portions. Puskesmas needs to provide information regarding adequate food portions according to the age, so that adequate consumption is achieved and the nutritional needs can be met.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Khusnatul Maratik The Differences in Intake of Energy, Protein, Zinc, and Learning Achievement in Stunting and Non-Stunting Children of Elementary School Age in Soko District, Tuban 2023-10-16T15:32:55+07:00 Intan Nur Ayuni Sri Sumarmi <p><strong><em>Background:</em></strong><em> Stunting is identified as a chronic nutritional problem in Indonesia due to a lack of nutritional intake, which has implications for children's cognitive conditions. Stunting can affect achievement and learning abilities, impacting children's learning achievements at school. </em><em> </em></p> <p><strong><em>Objectives: </em></strong><em>To analyze differences in intake of energy, protein, zinc, and learning achievement in stunted and non-stunted children of primary school age in Soko District, Tuban.</em></p> <p><strong><em>Methods:</em></strong><em> This research was an analytic observational type with a cross-sectional design. A sample of 70 children with stunted nutritional status and 70 non-stunted children from 6 elementary schools in Soko District, Tuban, were taken randomly using a simple random sampling technique. Data were collected through anthropometric measurements, interviews with SQ-FFQ, and report cards for Mathematics and Indonesian. Data analysis used SPSS with independent sample t-test.</em></p> <p><strong><em>Results: </em></strong><em>There were differences in energy intake (p-value = 0.006), protein (p-value = 0.001), zinc (p-value = 0.001), learning achievement in Mathematics (p-value = 0.000) and Indonesian (p-value = 0.008) between stunting and non-stunting student groups in Soko District, Tuban.</em></p> <p><strong><em>Conclusions:</em></strong><em> The intake of energy and protein in the stunting group was mainly in the moderate deficit category, while zinc was in the less category. The intake of energy, protein and zinc in most non-stunting groups was in the sufficient category. Learning achievement for Mathematics and Indonesian subjects in the stunting group was mainly in the moderate category, while the non-stunting group was mostly in the adequate category. Overall, the two groups had differences in energy, protein, zinc intake, and learning achievement.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Intan Nur Ayuni Ayuni Correlation between Eating Behavior with Nutritional Status in Preschool Age Children 2023-10-16T15:34:13+07:00 Tsamara Alifia Ramadhani Lailatul Muniroh <p><strong><em>Background:</em></strong><em> The increase of self-autonomy causes preschool age children have varied eating behavior. Eating difficulties in children can be a factor that affect the amount of food</em><em>.</em><em>intake and nutritional</em><em>i</em><em>status in preschool age children.</em></p> <p><strong><em>Objectives: </em></strong><em>Analyzing the correlation</em>.<em>between</em>.<em>eating behavior and the nutritional status of preschool children.</em></p> <p><strong><em>Methods:</em></strong><em> It was an analytic observational study with a cross-sectional design. The samples were 41 students, selected by simple random sampling technique. Data were collected by measuring anthropometrics, filling out the Behavioral</em> <em>Pediatric Feeding</em> <em>Assessment</em> <em>Scale</em> <em>(BPFAS)</em> <em>and Semi-Quantitative Food</em> <em>Frequency</em> <em>Questionnaire (SQ-FFQ). The data were analyzed using SPSS v.20.0 software with the Pearson correlation test.</em></p> <p><strong><em>Results:</em></strong><em> There was no significant</em>.<em>correlation between</em>.<em>eating</em>.<em>behavior (Total Frequency Score) and children's nutritional status (p=0.069); eating behavior (Total Problem Score) with children's nutritional status (p=0.201).</em></p> <p><strong><em>Conclusions:</em></strong><em> Eating behavior is not correlated to nutritional status because there are intervening variables that can affect the dependent variable. Even though children are categorized as having abnormal eating behavior, intake of energy sources can be obtained from other than solid food, especially milk so that children can meet their energy and protein needs and affect the z-score of their nutritional status.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Tsamara Alifia Ramadhani, Lailatul Muniroh Geographic Information System on Cases of Dengue Hemorrhagic Fever in Kediri Regency in 2019 2023-01-19T12:31:54+07:00 Rochma Ashifa Affayani <p><strong><em>Background:</em></strong><em> Prevention of the spread of disease needs to be through various steps, one of which is to know the potential for the spread of the disease in question. One of the dangerous diseases that still occurs in high numbers in Indonesia is dengue hemorrhagic fever (DHF). There are still various deficiencies in DHF control, including an information guide system regarding DHF cases that has not been effective and has not accurately represented the distribution of DHF in various regions. In an effort to obtain geographic information related to the distribution of DHF cases, information technology can be utilized, namely the Geographic Information System (GIS).</em></p> <p><strong><em>Objectives:</em></strong><em> To utilize the Geographic Information System in describing the distribution of Dengue Hemorrhagic Fever (DHF) case data and analyzing the factors that influence the number of DHF cases in Kediri Regency in 2019.</em></p> <p><strong><em>Methods:</em></strong><em> This study used a quantitative method with a cross sectional design. The research population includes all sub-districts in Kediri Regency in 2019, namely 26 sub-districts. The research sample used the entire available population. The data source used comes from secondary data, namely in the form of a map of Kediri Regency and the Health Profile of Kediri Regency in 2019.</em></p> <p><strong><em>Results:</em></strong><em> The results of further testing related to the relationship between population density and the number of DHF cases did not have a significant effect with a p-value of 0.69076, the distribution variable for the percentage of drinking water facilities that met the requirements did not have a significant effect on the number of DHF cases with a p-value of 0.90729, the variable distribution of the number of public places meeting health requirements has no significant effect on the number of DHF cases with a p-value of 0.54618, and the variable distribution of the number of families with access to healthy latrines has a significant effect on the number of DHF cases with a p-value of 0.00013 .</em></p> <p><strong><em>Conclusion: </em></strong><em>The population density variable, the distribution variable for the percentage of drinking water facilities that meet the requirements, and the distribution variable for the number of public places meeting health requirements have no significant effect on the number of DHF cases that occur in Kediri Regency in 2019. Meanwhile, the variable distribution of the number of families with access to healthy latrines has a significant effect on the number of DHF cases in Kediri Regency in 2019.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Rochma Ashifa Affayani Relationship between History of an Exclusive Breastfeeding and Hygiene Sanitation with The Incidence of Stunting in Children Aged 6-36 Months in The Sidoarjo Health Center 2023-11-24T21:56:23+07:00 Rafi' Kunti Imamaturrodiyah Sri Sumarmi <p><strong><em>Background:</em></strong><em> Growth in children is an indicator to see the health status of children in the future and nutritional status of children. In the growth of the fetus until the age 2 years is a golden period of growth. One of the nutritional problems that many children experience when entering growth is body length or height thait is less than normal or called stunting. Stunting is a chronic malnutrition problem in toddlers which is characterized by low height. Stunting is influenced by various risk factors directly or indirectly. One of the direct risk factors for stunting is history of exclusive breastfeeding and one of the indirect risk factors for stunting is the practice of hygiene and sanitation in the family environment.</em></p> <p><strong><em>Objectives: </em></strong><em>Analyzing the history of exclusive breastfeeding and family sanitation hygiene on the incidence of stunting in children aged 6-36 months in the work area of the Sidoarjo Health Center. </em></p> <p><strong><em>Methods:</em></strong><em> This research is an observational study with a case control approach with a simple random sampling technique which obtained 90 respondents consisting of 45 stunted children and 45 non-stunted children. The research instrument used a questionnaire and microtoise.</em></p> <p><strong><em>Results: </em></strong><em>The results used the chi-square test and odd ratio test. The results of the chi-square test for the history of exclusive breastfeeding were obtained, p=0.000; p&lt;0.05, this explains that there is a significant relationship between a history of exclusive breastfeeding and the incidence of stunting with an OR value of 0.12&lt;1 that exclusive breastfeeding is at risk of 0,12 times experiencing stunting. In addition, the results of the chi-square test on family hygiene and sanitation obtained p value 0.000; p&lt;0.05 which indicates that there is a significant relationship between hygiene and sanitation that is not in accordance with the incidence of stunting and 22.48 times greater risk of experiencing stunting as seen from the results of the OR value.</em></p> <p><strong><em>Conclusions:</em></strong><em> There is a relationship between a history of exclusive breastfeeding and hygiene sanitation in the family environment with the incidence of stunting in children aged 6-36 months in the Sidoarjo Health Center Work Area.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Rafi' Kunti Imamaturrodiyah Description of Nutritional Status on History of Metabolic Syndrome in Elderly at UPTD Griya Werdha Surabaya 2023-01-30T14:03:44+07:00 Anisah Nur Fitria Farapti Farapti <p><strong><em>Background:</em></strong><em> Metabolic syndrome (SM) is a syndrome consisting of a number of symptoms including increased waist circumference, increased blood triglyceride levels, decreased levels of high-density lipoprotein (HDL)-blood cholesterol, high blood pressure, and glucose intolerance. The criteria for metabolic syndrome based on the National Cholesterol Education Program (NCEP) modified for the Asian region state that a person is diagnosed with SM if he has 3 of the 5 symptoms. The importance of managing the nutrition of the elderly in a group is expected to improve the quality of life of the elderly, including the elderly group in social institutions. Research data from the previous year, 80% of the elderly at UPTD Griya Werdha Surabaya experienced malnutrition and weight loss, and had insufficient intake. In addition, 64.8% had hypertension, 33% had gout, 27.8% had hypercholesterolemia, and 13% had diabetes mellitus, and more than 20% had multiple diseases.</em></p> <p><strong><em>Objectives: </em></strong><em>to describe of the nutritional status of the elderly on a history of metabolic syndrome in the elderly at UPTD Griya Werdha Surabaya and to analyze the relationship between nutritional status and a history of metabolic syndrome in the elderly at UPTD Griya Werdha Surabaya.</em></p> <p><strong><em>Methods:</em></strong><em> This research is an observational cross-sectional study to describe the nutritional status of a history of metabolic syndrome in the elderly at UPTD Griya Werdha Surabaya. The research variables were nutritional status and history of metabolic syndrome. The instruments used were a respondent characteristic questionnaire form containing name, gender, age, and education and the MNA (Mini Nutritional Assessment) form. The total sample is 60 elderly people selected using simple random sampling.</em></p> <p><strong><em>Results:</em></strong><em> The results showed that 26 elderly (43.3%) had a history of metabolic syndrome, that is 8 male elderly and 18 female elderly. According to the MNA, there are 36 elderly who are at risk of malnutrition and 2 suffer from malnutrition. Nutritional status based on BMI (Body Mass Index), that is 9 elderly people experiencing malnutrition, 31 normal nutrition, and 20 overweight. Malnutrition according to MNA showed no association (p=0.139) with a history of metabolic syndrome, while malnutrition based on BMI had an association (p&lt;0.001) with a history of metabolic syndrome.</em></p> <p><strong><em>Conclusions:</em></strong><em> The conclusion obtained in this study is that overweight status (BMI</em>³<em>25) has a relationship with a history of metabolic syndrome. </em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Anisah Nur Fitria Comorbid Diseases and History of Close Contact Factors of Covid-19 Incidence in South Surabaya 2023-07-20T15:29:16+07:00 Jessie Angeline Nathasya Septa Ria Agina Perangin Angin Fariani Syahrul Ratna Dwi Wulandari <p><strong>Background:</strong> Comorbid diseases are one of the risk factors that can worsen the condition of COVID-19 patients. Patients with confirmed COVID-19 with comorbid diseases need special care, therefore, it is necessary to receive treatment in a hospital. The human-to-human transmission rate of SARS COV-2 is very fast and easy. Close contact with confirmed cases of COVID-19 is very possible for transmission to occur because this virus can be easily spread through droplet sparks. Cases and death rates from Covid-19 continue to grow over time. On March 7, 2021, the highest proportion of confirmed cases of covid-19 in Surabaya was in South Surabaya and East Surabaya, the resulting proportion was 0.82%. South Surabaya has a higher severity than East Surabaya (death rate from COVID-19 = 6%).</p> <p><strong>Objectives: </strong>This study aims to analyze the magnitude of risk factors for comorbid diseases and close contact history the incidence of COVID-19 in South Surabaya. The benefit of this research is to assist the government in making policies to handle the surge in COVID-19 cases in South Surabaya.</p> <p><strong>Methods:</strong> This study uses the type of observational analytical research with cross sectional design and sampling techniques used are participatory sampling. The number of samples is calculated using the formula Murti (1997). The sample size was 89. Statistical analysis used Prevalence Ratio (PR).</p> <p><strong>Results: </strong>Respondents with negative PCR swab test result is 60,7% and positive result is 39,3%. Respondent with comorbid disease only as many as 17 respondents with the majority having comorbid hypertension. Respondent with close contact history is 71,9%. Comorbid diseases have a risk of covid-19 incidence in South Surabaya with PR = 2.06 while close contact history, PR = 2.34.</p> <p><strong>Conclusions:</strong> Comorbid diseases have a risk of 2.06 times with the incidence of COVID-19 in South Surabaya. As for close contact history, it has a risk of 2.34 times with the incidence of COVID-19 in South Surabaya. The close contact history factor has a higher probability value in incidence of COVID-19 in South Surabaya. The Surabaya city government can pay special attention to people with comorbid diseases and increase tracing of close contacts with COVID-19 patients.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Jessie Angeline Nathasya, Septa Ria Agina Perangin Angin, Fariani Syahrul, Ratna Dwi Wulandari The Relationship between Environmental Factors and the Incidence of Diarrhea in Toddlers in Java Island (2017 IDHS Data Analysis) 2023-11-22T23:53:40+07:00 Aditya Fika Maulana Hari Basuki Notobroto <p><strong><em>Background: </em></strong><em>Toddler diarrhea is still a problem both globally and in Indonesia. Diarrhea remains one of the main causes of death among children under five. Environmental factors are one of the factors that can influence the incidence of toddler diarrhea.</em></p> <p><strong><em>Objectives: </em></strong><em>To determine the relationship between environmental factors including sources of drinking water, toilet facilities and hand washing facilities in affecting the incidence of diarrhea in children under five in Java Island.</em></p> <p><strong><em>Methods:</em></strong><em> This study uses a cross-sectional research design. The data used comes from the 2017 Indonesian Demographic and Health Survey (IDHS).. The study population was children under five in all provinces on the island of Java. The analytical method used is multivariate analysis with logistic regression.</em></p> <p><strong><em>Result:</em></strong><em> There is a significant effect between the variable sources of drinking water (OR=2.188), toilet facilities (OR=1.848), and hand washing facilities (OR=2.040) with toddler diarrhea.</em></p> <p><strong><em>Conclusion: </em></strong><em>Environmental factors, namely sources of drinking water, toilet facilities, and hand washing facilities, affect the incidence of toddler diarrhea on the island of Java.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Aditya Fika Maulana, Hari Basuki Notobroto Relationship between Sexual Behavior and Early Menarche in Indonesian Adolescents 2023-11-22T23:41:39+07:00 Laura Nadya Damayanty Agusputri Cornelius Youwena Lutfi Agus Salim <p><strong>Background:</strong> Menstruation is one of the signs that a woman is entering adolescence. Menarche is the first menstrual event in women which generally occurs at the age of 12 to 15 years. An increase in the number of adolescents who experience menarche before the age of 12 years occurs in several countries. Sexual behavior in adolescents that can be positive or negative can be the reason for the increase and development of hormones in the human body.</p> <p><strong>Objectives: </strong>The study was conducted to determine the relationship between sexual behavior and the incidence of early menarche in adolescent girls in Indonesia in 2017.</p> <p><strong>Methods:</strong> The study is a quantitative descriptive study with a cross sectional research design using secondary data obtained from the 2017 Indonesian Demographic and Health Survey (IDHS) conducted in 34 provinces in Indonesia starting on July 24 and ending on December 30, 2017. The sample in this study was 1,494 adolescent girls in Indonesia with the age of 15 years, unmarried, and already experiencing menstruation. The variables involved in this study were sexual behavior and the incidence of early menarche in adolescent girls in Indonesia in 2017. Data analysis in this study used bivariate analysis by displaying frequency distribution tables along with analysis tables with chi-square tests.</p> <p><strong>Results: </strong>The majority of respondents (71.2%) in this study had high-risk sexual behavior, the incidence of early menarche in adolescents aged ≤13 years was 77.4% and the p-value &lt;0.05 on the relationship between sexual behavior and the incidence of menarche in adolescent girls in Indonesia in 2017.</p> <p><strong>Conclusions:</strong> This study shows that there is an association between sexual behavior and the incidence of early menarche in adolescent girls in Indonesia. Education and parental supervision of sexual relationships and behavior in adolescents need to be done to minimize the incidence of early menarche in adolescent girls in Indonesia.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Laura Nadya Damayanty Agusputri, Cornelius Youwena Types of Patient Safety Incidents in Public Health Centers 2023-10-16T15:24:32+07:00 Shinta Nuria Inge Dhamanti <p><strong>Background:</strong> Developing a patient safety culture in the public health center is less significant than in hospitals. According to WHO, primary care services can prevent up to 80% of injuries, which accounts for half the global burden of patient injury.</p> <p><strong>Objectives: </strong>This study aims to determine the type of patient safety incidents in public health centers in Surabaya.</p> <p><strong>Methods:</strong> This research is classified as descriptive-analytic research with a cross-sectional research design, used secondary data collected through the monthly reports of "Public Health Center X" located in Surabaya in the period from January to July 2022.</p> <p><strong>Results: </strong>The frequency of patient safety incidents was 65 cases consisting of order entry error (10.76%), administration error (24.61%), human error (10.76%), medical error (3.07%), healthcare-acquired infection (6.15%), patient falls (18.46%), medication error (13.84%) and technical error (12.3%). Most patient safety errors were considered preventable, and 29% of the errors from human error and patient falls were viewed as having the potential to cause serious harm to the patients.</p> <p><strong>Conclusions:</strong> The types of patient safety errors are mostly administration errors, that occur in the management of medical record documents.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Shinta Nuria Zero Waste Movement through Beach Sanitation, Ecobrick Greenhouse Development, and Marine Ecosystem Preservation in Efforts to Realize SDGs 2030 2023-07-20T15:59:28+07:00 Jayanti Dian Eka Sari Syifa'ul Lailiyah Diansanto Prayoga Izzato Millati Ayik Mirayanti Mandagi Faisal Fikri Ratih Novita Praja Diana Agustina Siti Nur Hilmin Yunika Tri Yulianti <p><strong><em>Background:</em></strong> <em>Banyuwangi Regency is one of the regions in Indonesia which is rich in beach tourism potential, one of which is Pulau Santen Beach which is located in Karangrejo Village, Banyuwangi District, Banyuwangi Regency. However, when the charm of this destination has decreased, the condition of the beach is dirty if left unchecked and no coastal vegetation is carried out, it can damage the marine biota in the vicinity. There is a need for a Santen Island community empowerment program that reviews conservation and sustainable use in order to meet the 14th Sustainable Development Goals (SDGs).</em></p> <p><strong><em>Objectives: </em></strong><em>Community Service entitled "Zero Waste Movement through Beach Environment Sanitation, Greenhouse Ecobrick Development, and Marine Ecosystem Preservation" aims to increase the knowledge, skills and economic independence of the Santen Island community regarding hiding santigi plants, MSME marketing strategies in tourist attractions, and waste management through making ecobricks.</em></p> <p><strong><em>Methods:</em></strong><em> The method used for the implementation of community service is through several stages including, the first stage in this community service program is the preparatory stage. This preparatory stage consists of three steps, namely an environmental survey, purchasing the right sources, and planning a community service program. The second stage of this community service program is the implementation stage and the third advanced stage of this community service program is evaluation.</em></p> <p><strong><em>Results: </em></strong><em>On the first day, there was an increase in the knowledge of the Santen Island community by 18.8%. On the second day there was an increase in public knowledge of 2.2%, and on the third day with ecobrick material there was an increase in public knowledge of 20.2%. This shows that the material can be well captured by the target of community service activities. </em></p> <p><strong><em>Conclusions:</em></strong> <em>This activity is later expected to be a provision for the community to revive the tourism potential on Santen Island, namely edutourism which includes aspects of knowledge about cultivating santigi plants, healthy coastal environments through processing inorganic waste into goods of high economic value (ecobricks) and community economic independence through increasing financial capacity</em> <em>new tourism products for edutourism on Santen Island.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Jayanti Dian Eka Sari, SKM., M.Kes, Syifaul Lailiyah , Diansanto Prayoga, Izzato Millati, Ayik Mirayanti Mandagi, Faisal Fikri, Ratih Novita Praja , Diana Agustina, Siti Nur Hilmin, Yunika Tri Yulianti Participatory Action Research to Prepare a Student-Community Partnership Model for Partnerships to Improve Children’s Welfare 2023-03-08T21:08:28+07:00 Astrid Prameswari Lestari Nuzulul Kusuma Putri <p><strong><em>Background:</em></strong> <em>Surabaya is one of the largest cities located in East Java with population of around 2.874 million in 2022 (Central Agency on Statistics of East Java). It can cause many problems that can affect children’s welfare in Surabaya such as the phenomenon of street children, juvenile delinquency, and the lack of guidance for children with social welfare problem. Unfortunately, this problem is not supported by the data collection of child problems in Surabaya. So that, solution is needed to solve this problem</em>.</p> <p><strong><em>Objectives: </em></strong><em>This community service called Spiritual Nurture Children (SNC) is aimed to (1) analyzing the potential of integrating student activities in partnership with practitioners to increase children’s welfare, and (2) formulating the student-community partnership to increase children’s welfare.</em></p> <p><strong><em>Methods:</em></strong><em> The method is </em><em>Participatory Action Research and Students-Community Partnership Model also used in integrating stakeholders to align the direction of the programs being carried out. This community service is carried out from June to September 2022 in 5 wards, there are Sidodadi, Simokerto, Tambakrejo, Tanah Kali Kedinding, and Bulak Banteng which is a supported area of Wahana Visi Indonesia.</em></p> <p><strong><em>Results: </em></strong><em>The result of this community service is an increase in children’s capacity in terms of spirituality and life skills as a first step to improve children’s welfare.</em></p> <p><strong><em>Conclusions:</em></strong><em> The community service Spiritual Nurture Children has been held in 16 times at all of the targeted area and reached the three outputs of this community service. Student-Community Partnership Model is used to integrate the whole stakeholders to equate the direction of programs. This community service can increase children’s capacity in terms of spirituality and life skills to improve children’s welfare. Evaluation is needed to improve the planning process to achieve better result in next year program.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Astrid Prameswari Lestari Relationship of Work Stress with Unsafe Action in Construction Workers at PT. X Surabaya City 2023-11-24T21:52:36+07:00 Achmad Helmi Nilam Puspitasari Tri Martiana Indriati Paskarini Yustinus Denny Ardyanto Wahyudiono Mitha Qurrota Ayuni <p><strong><em>Background</em></strong><em>: Each work, formal or non-formal, at ocean, on arrive, or within the discuss includes a chance of work mischances, counting development work at PT. X city of Surabaya. Risky activity is one of the things that causes push and work mischances as the most person viewpoints that cause work mischances.</em></p> <p><strong><em>Purpose</em></strong><em>: This investigate points to analyze the relationship of risky activity with work stretch in one of the development companies at PT. X City of Surabaya.</em></p> <p><strong><em>Methods</em></strong><em>: This investigate may be a quantitative investigate employing a expressive approach and a cross-sectional think about plan where the test is 30 specialists. The autonomous variable within the taking after investigate is risky activity whereas the subordinate variable is work stretch. Information investigation utilized the chi square factual test with a centrality constrain of α = 0.05.</em></p> <p><strong><em>Result</em></strong><em>: The comes about of the bivariate test clarified that there was a relationship between work stretch and risky activity (p-value = 0.001) in development specialists at PT. X in Surabaya City</em><strong><em>.</em></strong></p> <p><strong><em>Conclusion: </em></strong><em>It can be concluded that there's a relationship between work push and hazardous activities in development laborers at PT. X in Surabaya City.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nilam Puspitasari Correlation of Age, Long Time at Sea, Sodium and Potassium Intake with Incidents of Hypertension in Fishermen in Blimbing Village, Paciran, Lamongan 2023-11-22T23:57:07+07:00 Muhammad andy Dwi Purnomo Siti Rahayu Nadhiroh Qonita Rachmah <p><strong><em>Background: </em></strong><em>Hypertension on fishermen is a health problem characterized by blood pressure of over 140/90 mmHg. Hypertension conditions if not treated appropriately could result in complications of stroke, myocardium infarction, kidney failure, brain damage, blindness, to death in fishermen.</em></p> <p><strong><em>Objectives: </em></strong><em>In order to get a typical profile and analyze their sodium and potassium intake links with the incidence of hypertension in the village of blimbing, Paciran, Lamongan 2022.</em></p> <p><strong><em>Methods: </em></strong><em>The study is a descriptive analysis study that uses primary data with fishing populations in the village area of blimbing, the crop district. This research data retrieval technique through interviews of respondents and the sample retrieval technique used was from a total sample of 41 fishermen. Data analysis uses a chi-square correlation test.</em></p> <p><strong><em>Results: </em></strong><em>The study shows that the characteristics of fishermen reach an average age &gt;40 years, an average length of time of 11 days, and an average history of fishing for 18 years. The incidence of hypertension in fishermen is 58.5% and 22% have a history of hypertension. Fishermen with high levels of potassium (&gt;3000 mg) rise to 78% and fishermen with excess sodium intake (&gt;2300 mg) to 49% of the population sample. Statistical analysis shows that at age variables and a history of working in connection with the incidence of hypertension in fisherman blimbing village has a value of p-value.</em></p> <p><strong><em>Conclusions: </em></strong><em>Based on the study it may be concluded that the incidence of hypertension in the village of blimbing is affected by the age of those who responded to and long fishing that took place over the years and is most likely to change their eating habits on land.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Muhammad andy Dwi Purnomo The Relationship between Nutrition Facts Knowledge and Nutrition Facts Reading Habit among Al-Islam High School Krian Students 2023-11-22T23:59:31+07:00 Lutfia Puspaningtyas Islamiati Sri Sumarmi <p><strong><em>Background:</em></strong> <em>Just a few consumers who understand and use nutrition facts according to their function. This is due to lack of exposure and knowledge on consumer which is cause low level of awereness to read nutrition facts.</em></p> <p><strong><em>Objectives: </em></strong><em>This study was to analyze the relationship between students' knowledge related to nutrition facts and reading nutrition facts habit carried out by students of SMA Al-Islam Krian. This study was an observational method using cross sectional design.</em></p> <p><strong><em>Methods:</em></strong><em> Data collected through interviews using a questionnaire and analyzed using Kolmogorov Smirnov test and Spearman test. The sample was 250 students who were selected using a proportional random sampling from the student list. </em></p> <p><strong><em>Results: </em></strong><em>The results showed that majority of students were sufficiently exposed to information related to nutrition facts (54.8%), sufficient nutrition facts knowledge (66%), and sufficient reading's nutrition facts habit (68.8%). There was no significant relationship between knowledge related to nutrition facts and reading nutrition facts habits with p-value 0.124.<strong> </strong></em></p> <p><strong><em>Conclusions:</em></strong><em> It can be concluded that majority of students had been exposed to information related to nutrition facts, will had a good nutrition facts knowledge, and had a good reading nutrition facts habits, but there was no significant relationship between nutrition facts knowledge and reading nutrition facts habits. </em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Lutfia Puspaningtyas Islamiati, Sri Sumarmi Risk Assessment of Medical Solid Waste Management Gambiran Public Hospital Kediri City 2023-03-17T19:09:37+07:00 Doutti Shoshihandra Abdul Rohim Tualeka <p><strong><em>Background:</em></strong> <em>Hospital waste is waste generated from hospital activities and other supporting activities that could have an impact on public health and the surrounding environment. Problems that occurs due to medical solid waste which oftenly unseparated resulting in the occurrence of occupational disease and work-related accidents.</em></p> <p><strong><em>Objectives: </em></strong><em>The aim of this research is targeting the implementation of risk assessment of medical solid waste management at Gambiran Public Hospital, Kediri City. </em></p> <p><strong><em>Methods:</em></strong> <em>This study is a descriptive study with quantitative methods applying cross sectional design. The study was held at Gambiran Public Hospital on July 4th - August 5th 2022</em>.</p> <p><strong><em>Results: </em></strong><em>This results showed that the dangers of the medical solid waste management process at Gambiran Public Hospital, Kediri City, originate from collecting activities, sorting medical solid waste towards waste transportation, including needle punctured, contact with infectious materials and chemicals, inappropriate work postures such bending, squatting, lifting excess weight, as well as performing repetitive work. Other sources of threat arise from environment or construction including uneven pathways and slippery floors</em></p> <p><strong><em>Conclusions:</em></strong> <em>Based on the result of the medical solid waste management risk assessment, Gambiran Public hospital, Kediri City has a high risk of low back pain, back pain, hand pain, as well as being infected with infectious disease as an outcome of needle punctured accident. </em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 doutti29 handra Diphtheria’s Risk Factors: DPT-HB-Hib 3 Immunization and The Availability of Integrated Healthcare Center 2023-03-28T17:25:35+07:00 Naura Rahma Ashila Lucia Yovita Hendrati <p><strong>Background:</strong> Diphtheria is an infectious disease that attacks the throat and can be transmitted through droplets, direct contact with the secretions of the patient's respiratory tract or from carriers. The risk factors for diphtheria are the low coverage of DPT-HB-Hib 3 immunization and the availability of integrated healthcare center.</p> <p><strong>Objectives: </strong>To describe the distribution of diphtheria in East Java and analyze the relationship between diphtheria and its risk factors.</p> <p><strong>Methods:</strong> This research evaluated the incidence of diphtheria in 38 districts or cities in East Java. The Pearson correlation test was used to analyze secondary data from the East Java Health Profile 2019-2021. The data was processed using Health Mapper and SPSS.</p> <p><strong>Results: </strong>There were a correlation between DPT-HB-Hib 3 immunization and diphtheria incidence in 2019 (0.53), 2020 (0.27), and 2021 (0.34). Then there were a correlation between the availability of integrated healthcare center and diptheria incidence in 2019 (0.34), 2020 (0.25), and 2021 (0.29).</p> <p><strong>Conclusions:</strong> The coverage of DPT-HB-Hib 3 immunization and the availability of integrated healthcare center were related to diphtheria incidence in East Java in 2019 but not in 2020 and 2021.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Naura Rahma Ashila, Lucia Yovita Hendrati Risk Factors for Diphtheria Incidence in East Java: Underweight Status, Coverage of DPT-HB-HiB3 (2019-2021 Period) 2023-03-31T12:06:20+07:00 Shafa Ainunnissa Suratno Lucia Yovita Hendrati <p><strong>Background:</strong> One of the efforts to tackle diphtheria is by giving DPT-HB-HiB3 immunization and improving nutritional status, especially in increasing toddler weight. East Java Province has experienced a decrease in DPT-HB-HiB3 immunization coverage in 2020 and 2021 and has experienced an increase in the amount of underweight status in 2020.</p> <p><strong>Objectives: </strong>The purpose of this study is to describe the relationship between diphtheria incidence and underweight status and DPT-HB-HiB3 immunization coverage in 38 districts/cities in East Java Province in 2019-2021.</p> <p><strong>Methods:</strong> The method in this study used a population correlation study design to analyze secondary data from the 2019-2021 East Java Province Health Profile Book, which was processed using the Health Mapper and SPSS applications.</p> <p><strong>Results: </strong>In 2019, there was a relationship between underweight status and the incidence of diphtheria (0.479) and there was a relationship between DPT-HB-HiB3 immunization coverage and the incidence of diphtheria (0.531). In 2020, there is no relationship between underweight status and the incidence of diphtheria (0.065) and there is no relationship between DPT-HB-HiB3 immunization coverage and the incidence of diphtheria (0.275). In 2021, there is no relationship between underweight status and the incidence of diphtheria (0.050) and there is no relationship between DPT-HB-HiB3 immunization coverage and the incidence of diphtheria (0.258).</p> <p><strong>Conclusions:</strong> The coverage of DPT-HB-HiB3 immunization and the amount of underweight status were both associated with diphtheria incidence in 2019, while the coverage of DPT-HB-HiB3 immunization and the amount of underweight status were both not associated with the incidence of diphtheria in 2020 and 2021.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Shafa Ainunnissa Suratno Generalized Poisson Regression Application to Model Factors Affecting the Number of New Diphtheria Cases in East Java Province in 2018 2023-04-01T21:59:53+07:00 Muhammad Jefri Badriawan Soenarnatalina Melaniani <p><strong><em>Background: </em></strong><em>Diphtheria cases spread in almost all regions in Indonesia. In 2018 the highest number of diphtheria cases in East Java was 695 cases with a Case Fatality Rate (CFR) of 1.44%. Diphtheria is an acute infectious disease caused by Corynebacterium diphteriae bacteria. Environmental and behavior factors can be a cause of the spread of diphtheria.</em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of the study was to apply the Generalized Poisson regression to identify the factors that influence of diphtheria cases in 2018.</em></p> <p><strong><em>Methods:</em></strong><em> The study used secondary data that had been published by the Provincial Health Office through data from the health profile of East Java Province in 2018. The population was a population in East Java Province in 2018 whose region consisted of 38 districts/cities. The sample in the study was diphtheria sufferers in East Java Province in 2018. The variable used in the study was the number of diphtheria cases as a dependent variable. The independent variable is the density of the population, the percentage of healthy homes, the percentage of households in a clean and healthy life behavior (CHLB), and the percentage of complete basic immunization. The data analysis used in the study is Generalized Poisson Regression</em></p> <p><strong><em>Result:</em></strong><em> The results of the study get the best model of diphtheria case = Exp [2,995+ 0.01381 (CHLB household)].</em></p> <p><strong><em>Conclusion: </em></strong><em>The conclusion of the study is a significant variable affecting the diphtheria case in East Java Province in 2018 is a CHLB household.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Muhammad Jefri Badriawan, Soenarnatalina Melaniani Waste Management Design in Dusun Ngablak Rejo, Desa Gempolkurung, Kecamatan Menganti, Kabupaten Gresik 2023-04-04T11:42:14+07:00 Dwi Rizza Khaironi <p><strong>Background: </strong>Garbage is a difficult problem to control. Factors affecting the waste problem is the development of the era which is not followed by the waste management knowledge. In Kabupaten Gresik, garbage problems arise from lack of final disposal capacity and poor knowledge of the waste impact. Therefore people manage their waste by burning, stockpiling, or dumping it into rivers.</p> <p><strong>Objectives: </strong>This research aims to design the waste management system in Dusun Ngablak Rejo.</p> <p><strong>Methods: </strong>The type of research used was descriptive by using case sudy design. Total population of this research was about 936 people from Dusun Ngablak Rejo. Purposive sampling was used to determine the reserach subject.</p> <p><strong>Results:</strong> Based on analysis using system approach and community participatory, it was found that Dusun Ngablak Rejo had enough resources to do waste management properly. Counseling, advocacy, and FGD were conducted to improve awareness of residents in managing waste. The output of the process was the community leader had been chosen to be in charge in waste management of the community. Garbage transportation system will be handled by the residents with an agreed contribution amount of Rp 7,213 per month. The driver is a people of his own with a specified schedule. Karang Taruna participates as the person in charge of contribution fee collection. In August 2017, it has implemented 220 garbage bins, wheelbarrows with 2-wheeled motor vehicles, log books for each household and garbage bank. <strong>Conclusions:</strong> Continuous evaluation and monitoring needs to be done by the leader for the sustainability of the program.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Dwi Rizza Khaironi Assisting Food Household Industries in Implementation of Good Manufacturing Practice (GMP) on Frozen Meat Kebab in Sidoarjo District 2023-11-24T21:38:09+07:00 Yeda Rachma Ayu Malthufah Kusuma Scorpia Lestari <p><strong>Background:</strong> Good Manufacturing Practice (GMP) is a reference that explains the procedures to produce processed food so that it is of high quality, safe, and suitable for public consumption. The Food Safety Facilitator's role is to help register the processed products of SME (Small Medium Enterprise) X to obtain an NIE( <em>Nomor Izin Edar)</em> number.</p> <p><strong>Objectives: </strong>The SME assistance aims to improve the implementation of GMP so that it can meet the GMP level that meets the requirements of the Regulation of the Head of the Food and Drug Administration on Guidelines for Inspection of Processed Food Production Facilities.</p> <p><strong>Methods:</strong> Initial observations were made with a form based on the standards of the Food and Drug Administration to determine the score and value of SME X, then mentoring and training were carried out to correct GMP non-conformities.</p> <p><strong>Results:</strong> The first observation of SME X showed that there were aspects that did not comply with the GMP requirements. With several non-conformities obtained, SME X received a grade of D or very poor, so it needs improvement to get an NIE number from BPOM. The results of the final inspection indicated an improvement in the score from D (very poor) to B (good) so that SME X could obtain the NIE number.</p> <p><strong>Conclusions:</strong> Assistance and training to SMEs contributed to the improvement of SMEs' GMP implementation scores so that SME X was able to obtain a distribution license number for its food products</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Yeda Rachma Ayu Malthufah, Kusuma Scorpia Lestari Subjective Complaints of Photokeratitis as A Result of UV Exposure to Welders at PT. X 2023-11-24T22:05:55+07:00 Khusnul Khotimah Endang Dwiyanti <p><strong><em>Background:</em></strong> <em>Eye injuries can result from sparks produced during welding. Photokeratitis, commonly known as welders flash, is one of the eye injuries that commonly affect welders. At least half of all accidents and suffering that have happened have been caused by photokeratitis, an eye injury that frequently results in decreased vision.</em></p> <p><strong><em>Objectives: </em></strong><em>Finding out the general picture of subjective complaints of photokeratitis among welders at PT. X.</em></p> <p><strong><em>Methods:</em></strong> <em>A cross sectional technique was used to conduct this investigation in an analytical observational approach. The participants in this study were all PT. X welders. The complete population, or as many as 27 welders, serves as the study's sample. Data</em><em> processing is carried out with software SPSS 18 which is then carried out descriptive analysis with frequency distribution tables. </em></p> <p><strong><em>Results: </em></strong><em>Based on the criteria for classifying cases according to photokeratitis symptoms, it can be seen that, out of a total of 27 welding workers, 19 respondents (70.4%) are categorized as experiencing subjective complaints of photokeratitis, while the remaining 8 respondents (29.6%) are not included in the criteria for experiencing subjective complaints of photokeratitis. </em></p> <p><strong><em>Conclusions:</em></strong> <em>Based on the results The majority of the welders at PT. X reportedly complained of subjective photokeratitis</em><em>.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Khusnul Khotimah, Endang Dwiyanti Evaluation of Hypertension Surveillance System in Semarang City with Attribute Approach 2023-04-10T14:21:53+07:00 Najla Salsabila Noor <p><strong><em>Background:</em></strong><em> Surveillance is the activity of systematic and continuous collection, processing, analysis, and dissemination of appropriate information to interested parties so that appropriate action can be taken. Hypertension surveillance experienced dynamic upward changes in 2019. Although experiencing dynamic changes, the number of cases is getting bigger. Thus, the increasing prevalence of hypertension makes hypertension surveillance so important.</em></p> <p><strong><em>Objectives: </em></strong><em>To determine the results of the assessment of hypertension surveillance that has been carried out.</em></p> <p><strong><em>Methods:</em></strong><em> The research approach was qualitative-evaluative research. The variables in this study are simplicity, flexibility, acceptance, sensitivity, positive predictive value, representativeness, timeliness, stability, and data quality. The research design was an evaluation of hypertension surveillance, and the data collection methods were observation and interview.</em></p> <p><strong><em>Results: </em></strong><em>The data collected is limited to patients or sufferers who come to the community health center and from other agencies involved, not yet involving people with hypertension independently or individually; the data at the Puskesmas can be collected on time according to the deadline requested by the Semarang City Health Office; the hypertension surveillance system is still very simple; the fields in the hypertension surveillance system are also easily accepted by the agencies involved in data collection; the data have flexibility when related to changes in cost, energy, and time; and the hypertension surveillance system has stability based on the data collection mechanism itself.</em></p> <p><strong><em>Conclusions:</em></strong><em> Semarang City's hypertension surveillance system still relies on an officer-based data collection mechanism and is not yet community-based (with hypertension patients, and Data collection can be timely using a simple form, and surveillance outcomes in all attributes are of good quality.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Najla Salsabila Noor Correlation Analysis of LWB Neonatal Mortality: Iron-Folic Acid Tablet During Pregnancy and Four Antenatal Care Coverage in East Java (Period 2019-2021) 2023-04-18T14:07:47+07:00 Nabilla Nuraeni Lucia Yovita Hendrati <p><strong><em>Background:</em></strong> Neonatal death is a condition responsible for babies' deaths during the first month after birth (0-28 days). Low birth weight (LBW) conditions are the leading cause of neonatal death. Nutritional needs during pregnancy can reduce the risk of LWB neonatal death. One way to avoid it is to take iron-folic acid tablets during pregnancy. Health conditions must be monitored during pregnancy to reduce the risk of neonatal death by conducting four ANC. East Java is one of the largest contributors to LWB neonatal death in Indonesia 2019-2021.</p> <p><strong><em>Objectives: </em></strong>This study aimed to analyze the relationship of LWB neonatal death with the coverage of iron-folic acid tablet pregnancy and four ANC in East Java.</p> <p><strong><em>Methods:</em></strong> This study used an observasional analytic study design with 38 cities/regencies in East Java. The Pearson correlation test was used to analyze secondary data from the East Java Health Report for 2019-2021. Data processing was done using SPSS 18.</p> <p><strong><em>Results: </em></strong>The results of this study show that the neonatal death rate in East Java continues to decrease from 2091-2021. The the coverage of iron-folic acid tablet pregnancy was largest in 2019 (92%) and lowest in 2020 (88.5%). Four ANC coverage was the largest in 2019 (91.2%) and the lowest in 2020 (90%). There was no significant correlation between iron-folic acid tablets of pregnant women coverage and cases of neonatal death from LBW in 2019 (p = 0.504; r = -0.112), whereas there was a significant correlation between four ANC coverage and neonatal death cases due to LBW in 2019 (p = 0.001; r = -0.497).</p> <p><strong><em>Conclusions:</em></strong> The coverage of iron-folic acid tablets was not associated with the incidence of LWB neonatal death but with four ANC coverage. Educating people about the importance of four ANC during pregnancy is essential to prevent neonatal death.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nabilla Nuraeni, Lucia Yovita Hendrati Relationship between Workload with Fatigue on Vegetable Seller at The New City Market Bojonegoro 2023-04-18T22:07:30+07:00 Ni'matul Ulfa Abdul Rohim Tualeka <p><strong><em>Background:</em></strong><em> The Labor Law has regulated various aspects of the protection of workers, one of which is occupational health and safety (K3). There are several factors that can trigger work accidents, one of which is fatigue and the informal sector is one of the sectors that has a high risk of experiencing work fatigue. Work fatigue can occur due to several factors, such as an unergonomic sitting work position, namely the wrong and static working position for a long time, an unequal ratio of working time and rest time, taking workload based on will not individual ability and psychological factors. High workload triggers a decrease in endurance, work efficiency and effectiveness, as well as a reduction in work capacity.</em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of this research is to analyze the relationship between the workload of vegetable traders at Pasar Kota Baru Bojonegoro and complaints of fatigue.</em></p> <p><strong><em>Methods: </em></strong><em>A</em><em>n observational analytic design and used a cross sectional approach to 68 respondents. Physical workload can be assessed through pulse, mental workload is assessed through the NASA-TLX Questionnaire, and work fatigue is assessed using the SSRT Questionnaire issued by IFRC which was then analyzed using by Spearman correlation non-parametric test.</em></p> <p><strong><em>Results:</em></strong> <em>T</em><em>he majority of respondents were women (94.1%), aged in the early elderly category, namely 46 to 55 years (36.8%), had an elementary school education/MI/equivalent (42.6%), and had worked as a vegetable seller &gt; 5 years (95.6%), has a workload (mental) in the moderate category (67.6%), has a workload (physical) in the low category (100%) and experiences work fatigue in the moderate category (63.2%). The results of the relationship test using the Spearman test showed that there was no significant relationship between (physical) workload and work fatigue with a sig. α = 0.469 and there is a relationship between workload (mental) and work fatigue for vegetable traders at Pasar Kota Baru Bojonegoro with a sig. α 0.042 and there is a weak relationship between workload (mental) and work fatigue with sig. α = 0.247.</em></p> <p><strong><em>Conclusions: </em></strong><em>There is no relationship between workload (physical) and fatigue and there is a relationship between workload (mental) and work fatigue. Strong relationship is included in the weak category. Even so, these two factors must still be considered so that occupational diseases (PAK) and work-related accidents (KAK)</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Ni'matul Ulfa, Abdul Rohim Tualeka The Relationship between Handling Midwifery Complications and Health Services (K4) with Maternal Mortality Hypertension in East Java 2023-04-19T00:05:48+07:00 Fitri Atikasari Lucia Yovita Hendrati <p><strong>Background: </strong>One of the dangers of midwifery or pregnancy is the mortality of pregnant women with hypertension. By managing midwifery difficulties and health services for pregnant women, efforts may be made to prevent and manage the mortality of pregnant women with hypertension (<em>K4</em>). The management of midwifery difficulties and prenatal care services (<em>K4</em>) reduced in East Java Province in 2021.</p> <p><strong>Objectives: </strong>The purpose of this study was to map out the disease's spread and explain how maternal mortality is related to hypertension and its causes.</p> <p><strong>Methods:</strong> In 38 East Javan regions and cities, maternal mortality was examined. In order to assess the secondary data from the East Java Health Profile in 2019–2021, this study used the Pearson correlation test. Furthermore, SPSS applications were used to analyze the data.</p> <p><strong>Results:</strong> There was a relationship between maternal mortality with hypertension in 2021 and the coverage of midwifery complications (p = 0.000), as well as between the coverage of prenatal care services (<em>K4</em>) and the death of pregnant women with hypertension in 2021 (p = 0.000).</p> <p><strong>Conclusion:</strong> The treatment of midwifery problems and the availability of prenatal care services (<em>K4</em>) were factors in the deaths of pregnant women with hypertension. A program of interventional actions that must be carried out while paying more attention to pregnant women's health, particularly for those with hypertension, was required.</p> 2023-12-01T00:00:00+07:00 Copyright (c) 2023 Fitri Atikasari, Lucia Yovita Hendrati Sanitation Overview of Food Management Places in the Perimeter Area of Tanjungwangi Port, Banyuwangi 2022 2023-11-22T23:52:12+07:00 Septia Hilda Aisyaroh Ririh Yudhastuti <p><strong><em>Background:</em></strong><em> Food Management Place (TPP) is a place used as production for ready-to-eat processed food starting from preparation, processing, packaging, storage, presentation to transportation which is carried out under supervision, including in the port area. The port is a meeting place for many people from various regions because the port is the entrance to an area, so it can potentially spread diseases that can cause health emergencies.</em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of this study is to find out the description of TPP sanitation in the Tanjungwangi Port perimeter area, Banyuwangi.</em></p> <p><strong><em>Methods:</em></strong><em> The research method used is through observation and interviews. Sampling used the total population in the Tanjungwangi Port perimeter area, which was as many as 6 TPPs were observed. The variable assessment uses a score calculation of all variables with a minimum value of 80 in accordance with the Regulation of the Minister of Health of the Republic of Indonesia Number 14 of 2021 concerning Standards for Business Activities and Products in the Implementation of Health Sector Risk-Based Business Licensing. </em></p> <p><strong><em>Results: </em></strong><em>The results of this study are that 6 food stalls in the Tanjungwangi port area have met the minimum requirements for the Environmental Health Inspection, which is above a value of 80.</em></p> <p><strong><em>Conclusions:</em></strong><em> The conclusion of this study is that the food stalls in Tanjungwangi port have a low risk of disease transmission due to poor food sanitation. result in a health emergency.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Septia Hilda Aisyaroh, Ririh Yudhastuti Health Risk Analysis of Chemical Use in Pontianak Educational Laboratory Unit 2023-11-24T21:40:36+07:00 Astaman Sultan Lailatul Badriyah Noeroel Widjajati <p><strong><em>Background: </em></strong><em>Laboratory Occupational Health and Safety (K3) quality must be continuously improved. Efforts that can be made are to carry out a risk assessment to determine the level of risk of using chemicals, to determine whether the risk is at an acceptable level or not and to determine risk control efforts. Effective control efforts will increase work productivity and reduce work accidents and work-related diseases. </em><strong><em>Objective:</em></strong><em> To study the level of health risks of using chemicals in Pontianak Education Laboratory Unit <strong>Method:</strong> The type of research used is qualitative research to assess the health risks of using chemicals. The study used modified AS/NZS 4360:2004 standards and the 2007 University of Arizona chemical risk assessment. The study was conducted within 1 month. Samples amounted to 24 materials. Data were analyzed descriptively by recording and identifying chemicals based on health consequences, then analyzing the risk of </em><strong><em>Results: </em></strong><em>chemicals based on standards and determining the level of chemical risk. 21 (87.5%) chemicals fall into the extreme risk category and the smallest risk from chemicals is in high risk level of 3 (12.5%) chemicals. <strong>Conclusion:</strong> The level of health risk of using chemicals is in the extreme risk category. It is necessary to carry out risk control in the form of providing K3 facilities according to standards, arranging chemicals, standardizing the ability / suction power of exhaust fans in fume hoods, installing ventilation, completing MSDS of chemicals, forming first aid and emergency response teams, providing training for laboratory assistants, providing food menus for detoxification, preparation of safety induction, and submission of reports on risk analysis results to policy makers for follow-up.</em><em>&nbsp;</em><strong><em>Keywords: </em></strong><em>Health Risks, Chemicals, Laboratory</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Astaman Sultan, Lailatul Badriyah, Noeroel Widjajati Analysis of Food Waste on Food Service Satisfaction in Inpatients at the Jemursari Islam Hospital Surabaya 2023-11-22T23:49:14+07:00 Rizki Hayyu Lestari Putri Ramadhani Ayuningtyas Azizah Ajeng Pratiwi Agung Prasetyo <p><strong><em>Background:</em></strong> <em>The amount of food waste from patients in the hospital represents less than optimal feeding, so food waste can be used as one indicator to evaluate the success of nutrition services in the hospital. High scores of food waste can result in inadequate nutrition intake until malnutrition in hospitalized patients. </em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of writing this article is to analyze food waste and food service satisfaction in inpatients.</em></p> <p><strong><em>Methods:</em></strong><em> Descriptive research with cross sectional study design. The sampling method in this study was simple random sampling, with a total sample of 30 patients. This study used the dependent variable is food service satisfaction in inpatients and the independent variable is food waste in inpatients in the form of staple foods, animal side dishes, vegetable side dishes, vegetable. The data collection instruments for this research were observation of food waste, satisfaction survey questionnaires, and interviews with the head of the nutrition installation.</em></p> <p><strong><em>Results: </em></strong><em>This study found that the highest average percentage of food waste for inpatients was in staple foods (28%) and the least in animal side dishes (12.5%). Food waste in elderly patients (45.83%) and children (39.28%) is high when compared to the standard limit is ≤20%. Most of the patients complained that the food served at the hospital was less attractive, the portions were too large, the temperature was cold, and the food was less varied.</em></p> <p><strong><em>Conclusions:</em></strong> <em>The food waste of inpatients in the elderly and children at Islam Jemursari Hospital Surabaya is still relatively high, so efforts are needed to improve nutrition services. Evaluation and improvement in the quality of service for the provision of food in hospitals can reduce food waste and increase patient satisfaction.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Rizki Hayyu Lestari, Putri Ramadhani Ayuningtyas, Azizah Ajeng Pratiwi, Agung Prasetyo Epidemiological Overview of Tuberculosis Cases in Sidoarjo Regency in 2019-2021 2023-05-23T18:36:37+07:00 Prima Kartika Eny Qurniyawati <p><strong><em>Background:</em></strong><em> Tuberculosis is an infectious disease that is still a health problem with the highest number of deaths in the infectious disease group which ranks second after Covid-19. Sidoarjo Regency with its tuberculosis cases, always ranks third for the most contributors to issues in East Java during 2019-2021.</em></p> <p><strong><em>Objectives:</em></strong><em> This study aims to provide an overview of tuberculosis cases in Sidoarjo Recency from 2019 to 2021 based on epidemiological approach (person, place, and time).</em></p> <p><strong><em>Methods</em></strong><em>: A descriptive study was conducted by time series in certain time intervals. This study provided an overview of Tuberculosis cases in Sidoarjo Regency in 2019-2021 based on Sidoarjo Regency health profiles and other supporting data that has been published by the related institution. The variables studied included gender, place based on sub-district area, population density, and time.</em></p> <p><strong><em>Results:</em></strong><em> The result showed that the number of tuberculosis cases in Sidoarjo Regency during 2019-2021 has increased, except in 2021. Reports of the number of cases have decreased in line with several studies that show the influence of the Covid-19 pandemic that occurred in early 2020. Cases reported are predominantly male, which is influenced by factors such as differences in lifestyle and behavior. The high number of human immunodeficiency virus cases in Sidoarjo increased susceptibility to tuberculosis infection due to a weaker immune system condition compared to people with good health. Based on the density of the local area, Waru and Taman sub-districts are the most densely populated areas with the most tuberculosis cases compared to other sub-districts in Sidoarjo Regency.</em></p> <p><strong><em>Conclusion:</em></strong><em> The overview of tuberculosis cases in Sidoarjo Regency during 2019-2021 experienced an up-and-down trend. Some of the reasons that support this incident include gender differences, different conditions of vulnerability, location, population density, influence of health services, and the conditions of the Covid-19 pandemic.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Prima Kartika, Eny Qurniyawati The Relationship between Refractive Errors, Screen Viewing Duration, and Rest Duration with the Incidence of Computer Vision Syndrome in Minegem Operator Workers PT. F 2023-11-24T22:08:55+07:00 Armaniel Ababil J. Mukono <p><strong><em>Background:</em></strong><em> PT. F is an underground mining company that has a high level of risk in its work. With these conditions, PT. F uses a mining material retrieval system with remote LHD (load, haul, dump) truck control using a minegem system. Minegem operator workers have a work system of 1 shift of 12 hours per day with work support in the form of monitors (&gt;2 monitors for each operator) and also control minegems using joysticks. This condition increases the risk of the occurrence of computer vision syndrome in minegem operator workers.</em></p> <p><strong><em>Objectives:</em></strong><em> This study aims to find risk factors associated with the incidence of computer vision syndrome in minegem operator workers PT. F in 2023. </em></p> <p><strong><em>Methods:</em></strong><em> The research method used was observational analytical research with a cross-sectional approach. Data collection methods included observation and filling out validated questionnaires. The Slovin formula was used to calculate samples using the random sampling technique</em></p> <p><strong><em>Results:</em></strong><em> The study’s findings indicated that the variable refractive error (p-value =0,027) and length of time between computer uses (p-value =0,041) had a significant link with the incidence of computer vision syndrome</em></p> <p><strong><em>Conclusion:</em></strong><em> The study’s findings indicated that refractive abnormalities and the amount of time spent away from the computer had a significant impact on the incidence of computer vision syndrome in minegem operator workers in 2023. As a result, it was recommended that the company provide ergonomic information to minegem operator workers and implement 20-20-20 movements to reduce the risk of developing computer vision syndrome in PT. F minegem operator workers.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Armaniel Ababil, J. Mukono The Relationship between the Health Belief Model Components and the Behavior of Implementing the COVID-19 Health Protocol in RW 12 Bendul Merisi 2023-06-15T16:36:20+07:00 Fikri Hanif <p><strong><em>Background:</em></strong><em> The outbreak of the Covid 19 virus worldwide has caused many victims to fall, as well as residents of the Bendul Merisi sub-district who have been hit by 928 cases. The case was recorded as the area with the highest cases in Surabaya. This bad record is due to the habits of its citizens who do not comply with the COVID-19 health protocol.</em></p> <p><strong><em>Objectives: </em></strong><em>To analyze the factors from the Health Belief Model with the behavior of implementing the COVID-19 health protocol.</em></p> <p><strong><em>Methods:</em></strong><em> This research has used a cross-sectional method on the population of RW 12 Kelurahan Bendul Merisi Surabaya with a population of 6,125 and the use of the Lemeshow sampling method with a 95% confidence level has resulted in a sample of 191 people using a questionnaire instrument through the Google form.</em></p> <p><strong><em>Results: </em></strong><em>This research has resulted in a weak relationship between perceived vulnerability, perceived severity, perceived obstacles and perceived threats to the behavior of implementing the COVID-19 health protocol and a strong relationship between cues to take action on the behavior of implementing the COVID-19 health protocol.</em></p> <p><strong><em>Conclusions:</em></strong><em> This research has concluded that there is a significant correlation between factors from the theory of the Health Belief Model on health protocols in the era of the COVID-19 pandemic in residents of RW 12 Bendul Merisi Village, Surabaya.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Fikri Hanif Implementation of the Nutrition Care Process, Providing a High Calorie and High Protein Diet to Bronchopneumonia Patients: A Case Report 2023-06-16T10:53:15+07:00 Nurul Qomariyah Amila Nurdin Qonita Rachmah <p><strong><em>Background: </em></strong><em>Bronchopneumonia is a type of pneumonia that occurs in the bronchi and alveoli. Patients with infectious diseases, such as bronchopneumonia, need special nutritional care to speed up recovery and maintain their current weight. The nutrition care process is carried out by providing a high-calorie and high-protein diet to support the fulfillment of intake according to patient needs.</em></p> <p><strong><em>Objectives: </em></strong><em>To find out the implementation of the nutritional care process by administering a high-calorie and high-protein diet to bronchopneumonia patients.</em></p> <p><strong><em>Methods: </em></strong><em>This study was conducted in October 2022 for patients hospitalized at RS X Sidoarjo. Data collection are carried out by observation for 3 days in the domains of food intake, physical/clinical, biochemical, and anthropometry.</em></p> <p><strong><em>Results: </em></strong><em>After the nutrition intervention with the principle of a high-calorie, high-protein diet, the patient’s condition began to improve, marked by increased intake from day to day, even though on the first day of intervention there was fulfillment of protein, fat, and iron, which had not been able to reach the target (&lt;60%). The symptoms of cough and cold felt by the patient have decreased in scale, and no weight loss has occurred. However, during the intervention, laboratory tests were not repeated.</em></p> <p><strong><em>Conclusions: </em></strong><em>The patient’s recovery in this case was quite fast, the results of clinical physical monitoring slowly improved, no weight loss occurred, and food intake increased gradually towards the set target. Although biochemical values cannot be monitored and evaluated because there has been no re-examination, overall, the nutritional intervention provided was achieved.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nurul Qomariyah, Amila Nurdin, Qonita Rachmah Education and Cooking Demo in Pregnant and Breastfeeding Women about Exclusive Breastfeeding and Stunting at Rungkut Tengah Village, Surabaya City 2023-11-22T23:46:18+07:00 Diah Riski Hedianti Yolanda Eggy Varera Qonita Rachmah <p><strong><em>Background: </em></strong><em>Breast milk contains various nutrients needed for infants. The coverage of babies receiving exclusive breastfeeding in 2021 in Surabaya City is 72.91%. A high level of knowledge determines whether or not it is easy for mothers to understand and absorb information about exclusive breastfeeding. The higher the mother's level of knowledge, the higher the mother's ability to absorb information about exclusive breastfeeding.</em></p> <p><strong><em>Objectives: </em></strong><em>Provide support and build confidence to pregnant and breastfeeding </em><em>women</em><em>, and increase knowledge regarding the benefits of exclusive breastfeeding for children up to 2 years of age.</em></p> <p><strong><em>Methods: </em></strong><em>The implementation of this community service includes education with lecture methods using power point and leaflets media, followed by sharing/discussion, and cooking demonstrations with the menu Mustard Greens Rolls with Tofu Carrot Chicken. The success of the activity is marked by indicators of increased knowledge as measured by the results of pre and post tests.</em></p> <p><strong><em>Result: </em></strong><em>Data analysis showed that the average value of knowledge before (pre test) and after (post test) was given education increased, and the p</em><em>-</em><em>value result was 0.000 &lt;0.05, meaning that there was a significant difference in the level of knowledge of pregnant and breastfeeding </em><em>women</em><em> before and after education.</em></p> <p><strong><em>Conclusions: </em></strong><em>Providing education using the lecture method using power point media about exclusive breastfeeding and stunting leaflets can effectively increase the knowledge of pregnant and breastfeeding women, so that educational activities and cooking demonstrations can be carried out continuously and routinely. It is expected that pregnant and breastfeeding women can exclusively breastfeed their children until the age of 2 years as an effort to reduce the prevalence of stunting and prevent stunting in the future.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Diah Riski Hedianti, Yolanda Eggy Varera, Qonita Rachmah Analysis of Food Contamination with the Content of Yellow Methanyl in Banyuwangi 2023-11-22T23:36:31+07:00 Eka Zuristia Putri Ririh Yudhastuti <p><strong><em>Background</em></strong><em>: Food is the most basic human need for survival. Food contamination can also be in the form of contamination originating from Food Additives (BTP) and the addition of hazardous substances that are misused in food. Supervision of hazardous materials abused in food. Based on the Joint Regulations of the Minister of Home Affairs of the Republic of Indonesia and the Head of BPOM RI Number 43 of 2013 and Number 2 of 2013 concerning Control of Hazardous Substances Misused in Food, one of which is carried out on types of hazardous materials with yellow methanyl dye (methanyl yellow).</em></p> <p><em>Objectives: The study was conducted to determine the content of methanyl yellow used in food circulating in traditional markets and supermarkets in the city of Banyuwangi by random sampling.</em></p> <p><strong><em>Methods</em></strong><em>: The study was conducted using a qualitative test in which the researcher could identify the methanyl yellow dye contained in food ingredients by using a test by comparing the test color with the methanyl yellow color. Testing for food contamination was carried out in the SIKIA environmental health laboratory room, Airlangga University, Banyuwangi on Tuesday, 26 February 2019 at 11.00-14.40 with random sampling.</em></p> <p><strong><em>Results</em></strong><em> : Testing for methanyl yellow content in food samples obtained results from 15 samples tested including yellow jelly at the Banyuwangi market, yellow crackers at the Blambangan market, soto seasoning at the Blambangan market, turmeric powder at the Blambangan market, yellow crackers at the Blambangan market, soto seasoning at Blambangan market, yellow noodles at Blambangan park, “Floridina” brand drink, “Marimas Jeruk brand powder”, wet yellow noodles near Blambangan park, gule seasoning near Blambangan park, instant seasoning “Fried chicken mix”, packaged jelly at the shop groceries, yellow crackers at the Cungking market, “Finto” brand powder drinks at the grocery store.</em></p> <p><strong><em>Conclusions</em></strong><em>: The results of the sample testing obtained from 15 test samples explained that none of the samples experienced a change in color, or in another sense, all samples were free of methanyl yellow dye.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Eka Zuristia Putri, Ririh Yudhastuti Stress Level and Consumption Patterns on the Incidence of Hypertension in Adult Patients: A Cross-Sectional Study 2023-11-23T16:14:31+07:00 Belinda Widya Renda Sri Sumarmi <p><strong><em>Background:</em></strong><em> In Indonesia, hypertension is a very common disease. High and chronic stress levels can contribute to the risk of developing hypertension. Uncontrolled consumption patterns with excessive fat and salt content but very little fiber consumption can increase the risk of developing hypertension.</em></p> <p><strong><em>Objectives: </em></strong><em>To determine the association of stress level and consumption pattern with hypertension in adult patients.</em></p> <p><strong><em>Methods:</em></strong> <em>This study is a quantitative research. This study used a cross-sectional design, which was conducted on 365 adult patients, the sample was taken by accidental sampling. Statistical analysis using chi-square test and correlation contingency test. This study was conducted on a population of adult patients at the Sukodono Health Center, Sukodono District, Sidoarjo Regency. The research instrument used the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) for consumption patterns and the Depression Anxiety Stress Scale (DASS-21) for stress levels.</em></p> <p><strong><em>Results: </em></strong><em>The results showed that there was no significant relationship between stress level and hypertension (p=0.143; r=0.361) and there was a significant relationship between consumption pattern and hypertension.</em></p> <p><strong><em>Conclusions:</em></strong><em> Stress level is not the main factor causing hypertension in patients. Consumption patterns can be one of the factors causing hypertension in patients.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Belinda Widya Renda, Sri Sumarmi The Relationship between Genetic Factors and Energy Intake with Obesity 2023-11-23T16:12:47+07:00 Rizky Aulia Rachma Trias Mahmudiono <p><strong><em>Background:</em></strong> <em>Obesity occurs due to an imbalance between the amount of energy intake into the body and the energy needed by the body. Genetic factors and the amount of daily energy intake are some of the factors that cause obesity. </em></p> <p><strong><em>Objectives: </em></strong><em>This study aims to determine the relationship between genetic factors and energy intake with the incidence of obesity.</em></p> <p><strong><em>Methods:</em></strong> <em>This research method was descriptive quantitative. The population in this study were students of </em>SMP Negeri 24 Surabaya<em> who had overweight and obese status. Sampling using </em>Lemeshow<em> formula with a sample size of 27 students. The instruments used were questionnaires and 3x 24h recall.</em></p> <p><strong><em>Results: </em></strong><em>The results of the study using the Pearson test showed a relationship between genetic factors and the incidence of obesity p-value = 0.030 and a relationship between energy intake and the incidence of obesity p-value = 0.042</em></p> <p><strong><em>Conclusions: </em></strong><em>O</em><em>besity can occur due to genetic factors and excessive energy intake.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Rizky Aulia Rachma, Trias Mahmudiono Relationship between Sleep Quality and Stress on Adolescent’s Eating Patterns at Kota Kediri during Pandemic of COVID-19 2023-11-22T23:14:09+07:00 Alya Pradnyaparamita Lailatul Muniroh Dominikus Raditya Atmaka <p><strong><em>Background: </em></strong><em>The transition from face-to-face classes to online classes is part of the education sector's strategy to comply with health protocols during the COVID-19 pandemic. However, this affects the sleep quality and stress levels in students. As many as 70% of high school students in East Java have poor sleep quality and only 30% have good sleep quality. Stress in adolescents is aggravated by limited access to tourism places, shopping centers, places of worship, sports grounds, and also meeting peers which are places to release stress. Poor sleep quality and stress levels increase the risk of eating pattern. Research data shows that during the pandemic of COVID-19, adolescents's eating patterns were disrupted, such as frequent snacking and eating high-calorie foods. A good diet during a pandemic is not only to shape nutritional status in the future but more importantly to maintain and increase body immunity to avoid transmission of the COVID-19 virus.</em></p> <p><strong><em>Objective: </em></strong><em>This study aims to describe the quality of sleep, stress levels, and eating patterns of adolescents in Kota Kediri during pandemic of COVID-19 and to analyze the relationship between sleep quality and stress levels with eating patterns of adolescents in Kota Kediri during pandemic of COVID-19.</em></p> <p><strong><em>Methods:</em></strong> <em>This research was a cross-sectional observational study. The variables of this study were sleep quality, stress levels, and eating patterns. The instruments used were a respondent's characteristics questionnaire (gender, age, school, and address), sleep quality questionnaire, PSS-10 questionnaire to assess stress levels, and SQ-FFQ form with frequency of meals a day to assess eating patterns. The research locations were selected based on simple random sampling, that are SMAN 1, 3, and 4 Kediri City. The total sample is 101 students and divided based on proportional random sampling.</em></p> <p><strong><em>Results: </em></strong><em>The results showed that 55 students (54.5%) had poor sleep quality, 46 students (45.5%) were classified having a mild level of stress, and 71 students (70.4%) had an adequate diet during pandemic of COVID-19. The results of the relationship test showed that there is a relationship between sleep quality and adequate eating patterns (p value = 0.007), and there is also a relationship between stress levels and the respondent's eating pattern (p value = 0.020).</em></p> <p><strong><em>Conclusions: </em></strong><em>Poor sleep quality and mild stress levels have a relationship with adequate eating patterns in adolescents in the city of Kediri during pandemic of COVID-19.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Alya Pradnyaparamita, Lailatul Muniroh, Dominikus Raditya Atmaka Description of the Level of Knowledge, Attitudes, Behaviour, and Family Support for Hypertension Sufferers in Desa Mayangrejo, Kabupaten Bojonegoro in 2022 2023-06-22T14:16:48+07:00 Muhammad Dzaky Rizqi Muharram Leo Soedharmadji <p><strong><em>Background:</em></strong> <em>Hypertension often shows no complaints, but it will get complications from hypertension, such as heart and kidney risks. The prevalence of hypertension in Indonesia in 2018 was 8.4%. Non-communicable diseases (PTM) such as heart disease, stroke, cancer and other chronic diseases are the number one cause of death in Kabupaten Bojonegoro, East Java.</em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of this study was to find out the description of knowledge, attitudes, behaviour, and family support for hypertension sufferers in Desa Mayangrejo, Kabupaten Bojonegoro</em></p> <p><strong><em>Methods:</em></strong><em> This research is a quantitative analytic survey with a cross-sectional design. The research subjects were 65 people with hypertension in Desa Mayangrejo, Kabupaten Bojonegoro.</em></p> <p><strong><em>Results: </em></strong><em>From the four aspects of the questionnaire, namely knowledge, attitudes, behaviour, and family support, it shows that hypertension sufferers in Desa Mayangrejo are in the very good category of 79.8%.</em><em>.</em></p> <p><strong><em>Conclusions:</em></strong> <em>From the four aspects of the questionnaire, namely knowledge, attitudes, behaviour, and family support, it shows that hypertension sufferers in Desa Mayangrejo are in the very good category of 79.8%.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Muhammad Dzaky Rizqi Muharram, Leo Soedharmadji The Development of Recording and Reporting System for Dengue Surveillance at Tasikmalaya City Health Office in 2021 2023-06-28T14:50:41+07:00 Irinedian Sribudaya Arief Hargono Lucia Yovita Hendrati Gian Sugianto <p><strong><em>Background:</em></strong><em> The city of Tasikmalaya experienced a significant increase in cases of Dengue in 2020. This was evidenced by the incidence rate of Dengue, which was 229 per 100,000 people, and the Dengue mortality rate of 1.42%. The implementation of Dengue surveillance in the Tasikmalaya City Health Office faced delays in reporting suspects, cases, and Larva-free rates. Tasikmalaya City Health Office needs a surveillance system that can detect cases early to ensure timely reporting.</em></p> <p><strong><em>Objectives</em></strong><em> The aim of this study is to design the development of a recording and reporting system for Dengue surveillance in the Tasikmalaya City Health Office.</em></p> <p><strong><em>Methods: </em></strong><em>This study employed a qualitative research design with an action research approach for system development. Primary data were collected through in-depth interviews with officers and manager of Dengue surveillance. Secondary data were obtained through document studies on the surveillance forms used. The data analysis was conducted descriptively. The development design of the Dengue surveillance system was created using a Data Flow Diagram.</em></p> <p><strong><em>Results:</em></strong><em> The types of information needed for the development of Dengue surveillance include the number of suspects, cases, and deaths from Dengue Fever on a weekly basis based on person, place, and time; trends in suspects, cases, and deaths from Dengue on a weekly basis; as well as the monthly Larva-free rates. The required data consist of suspect/case data and Dengue death data from weekly reports by primary health centers; a recapitulation of the number of suspects, cases, and Dengue deaths; Larva-free rates; and the population reported monthly by the primary health centers.</em></p> <p><strong><em>Conclusions:</em></strong><em> The Tasikmalaya City Health Office aims to improve Dengue surveillance by implementing weekly data processing and analysis activities, weekly reports from primary health centers, and biweekly meetings. This will improve workflow procedures and monitor the increase in Dengue cases.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Irinedian Sribudaya, Arief Hargono, Lucia Yovita Hendrati, Gian Sugianto Relationship between Nutrition Literacy in High School Students Nutritional Status (Study on SMAN 1 Kota Tangerang) 2023-07-05T10:32:47+07:00 Dicky Andhyka Priambudi Farapti Farapti <p><strong><em>Background:</em></strong><em> Nutritional literacy is a measure of an individual's ability to obtain, process, and understand information related to nutrition to be used as a basis for decision-making related to nutrition. Individual decisions related to nutrition play a major role in determining eating patterns and physical activity.</em></p> <p><strong><em>Objectives: </em></strong><em>This study aimed to analyze</em> <em>the relationship between nutritional literacy level on the nutritional status of students at SMAN 1 Kota Tangerang.</em></p> <p><strong><em>Methods:</em></strong><em> This </em><em>was</em><em> an observational study with a cross-sectional research design. The research location was conducted at SMAN 1 Kota Tangerang with a sample size of 168 people selected randomly using a purposive random sampling technique. </em><em>Research data were collected by filling out a Google Forms questionnaire</em><em>. Data </em><em>were analyzed</em> <em>by</em><em> the chi-square test.</em></p> <p><strong><em>Results: </em></strong><em>The results showed that there was a relationship between mother's education level (p=0,031); pocket money (p=0,037); and gender (p=0,027) with nutritional status of students. Meanwhile, nutritional literacy which was divided into functional, interactive, and critical domains showed no relationship with nutritional status (p=0,054; p=0,687; and p=0,769).</em></p> <p><strong><em>Conclusions:</em></strong><em> There </em><em>was</em><em> no direct relationship between nutritional literacy with the nutritional status of SMAN 1 Tangerang students. Strengthening nutrition education through the curriculum and collaboration of various parties is needed to achieve a better level of nutritional literacy.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Dicky Andhyka Priambudi, Farapti National Health Insurance Participants’ Distribution at Primary Health Center in Gubeng District, Surabaya 2023-07-20T16:01:40+07:00 Aqmarina Adzkia Rahmani Nuzulul Kusuma Putri <p><strong><em>Background:</em></strong><em> The amount of capitation received by primary healthcare facilities under Indonesia National Health Insurance is based on the number of participants registered in the facilities. The imbalance in the number of participants per primary healthcare facilities causes disparities in the distribution of its capitation funds. The uneven distribution of participants also causes the imbalance of health risks managed by the primary healthcare facilities.</em></p> <p><strong><em>Objective:</em></strong><em> This study aims to describe the distribution of National Health Insurance participants at First Level Health Facilities in Gubeng District, Surabaya City based on the type of FKTP and the location of the health facility in the village.</em></p> <p><strong><em>Method:</em></strong><em> This study analyzes the Indonesia National Health Insurance membership data for 2021 at the BPJS Kesehatan KCU Surabaya. The case study in Gubeng Subdistrict, Surabaya was chosen to illustrate how the distribution of participants in the primary healthcare facilities is in an area that has relatively no problems with geographic access or the availability of referral health facilities.</em></p> <p><strong><em>Results:</em></strong><em> The number of private primary healthcare facilities (clinics and private medical practice) in Gubeng Subdistrict is higher than the government's primary healthcare facilities (Puskesmas, TNI/POLRI Clinics) but the largest ratio of participants is in government primary healthcare facilities. Kelurahan Mojo in Gubeng had the largest number of primary healthcare facilities, but the largest ratio of participants was in Kelurahan Airlangga. At least 43.7% of the primary healthcare facilities in Gubeng Subdistrict had a ratio of participants above the average ratio of participants per primary healthcare facilities in the sub-district.</em></p> <p><strong><em>Conclusion:</em></strong><em> The distribution of JKN participants to primary healthcare facilities in Gubeng District is uneven.</em></p> 2023-12-01T00:00:00+07:00 Copyright (c) 2023 Nuzulul Putri Factors that Affecting Patient Loyalty in Hospital 2022-11-07T01:14:53+07:00 Krishanda Rachma Setiawati Syifaul Lailiyah <div> <p><strong><span lang="EN-US">Background:</span></strong><span lang="EN-US"> Consumer loyalty has an important role in the progress of a company, both service and goods companies. Loyal customers are an important asset for companies to win the competition in doing business. One company that must always have loyal customers is a hospital. As a company that has a health orientation, hospitals need to pay attention to things that affect patient loyalty.</span></p> </div> <div> <p><strong><span lang="EN-US">Objectives: </span></strong><span lang="EN-US">this study was conducted to identify any factors related to or influencing patient loyalty in the hospital</span></p> </div> <div> <p><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> the method used is a literature review by applying the PRISMA protocol. Data sources and references are collected online through Google Scholar, SAGE, and ResearchGate. The inclusion criteria are articles published in the period 2017-2022, original research, full text, and open access.</span></p> </div> <div> <p><strong><span lang="EN-US">Discussion:</span></strong><span lang="EN-US"> Patient loyalty in hospitals can be influenced by several things, namely service quality factors, marketing mix factors consisting of price elements, product elements, promotional elements, process elements, and people elements, as well as patient satisfaction factors.</span></p> </div> <div><strong>Conclusions: </strong>Service quality, marketing mix and patient satisfaction have a significant relationship to patient loyalty in the hospital</div> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Krishanda Rachma Setiawati, Syifaul Lailiyah Literature Review: Effect of Vitamin D Deficiency in COVID-19 Patient 2022-10-12T01:19:49+07:00 Theresia Chrisanthy Kustiawan Siti Rahayu Nadhiroh <p><strong><em>Background:</em></strong><em> Sun exposure contains ultraviolet light is needed by humans in terms of the formation of active vitamin D. The Coronavirus Disease 2019 (COVID-19) pandemic implementing the “stay at home” order led to a reduction in sun exposure which may have exacerbated vitamin D deficiency.</em> <em>I</em><em>n COVID-19 patients, Low vitamin D levels are associated with disease severity</em><em>.</em></p> <p><strong><em>Objectives: </em></strong><em>This literature study aims to see the effect of vitamin D deficiency in COVID-19 patients. </em></p> <p><strong><em>Methods:</em></strong><em> A narrative study of literature is collected through several research articles published in the last two years (2020-2022) through the science web </em><em>such as Google Scholar, Pubmed, dan ProQuest.</em></p> <p><strong><em>Results:</em></strong><em> Vitamin D deficiency in COVID-19 patients causes a high risk of morbidity and mortality and vitamin D levels can be used as a predictor/prognosis of disease severity.</em></p> <p><strong><em>Conclusions:</em></strong><em> Based on the result of literature study of collected articles, there is an effect of vitamin D deficiency in COVID-19 patients.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Theresia Chrisanthy Kustiawan, Siti Rahayu Nadhiroh The Impact of Experiential Marketing to Customer Loyalty in Hospitals 2023-06-06T15:21:55+07:00 Nindya Arifani Nurseha Diansanto Prayoga <p><strong><em>Background:</em></strong><em> Studies on experiential marketing in various types of industries are proven to have an impact on customer loyalty. The increasing number of health care creates competition in the market. Hospitals are not spared from this competition so that the application of appropriate marketing is important to create customer loyalty.</em></p> <p><strong><em>Objectives: </em></strong><em>This study was conducted to identify the effect of experiential marketing based on the indicators: sense, feel, think, act, and relate to customer loyalty in hospitals.</em></p> <p><strong><em>Methods:</em></strong><em> Scoping Review was conducted using the guidelines from the JBI Manual for Evidence Synthesis. Searches were conducted on electronic databases including PubMed, Garuda, Indonesia Onesearch, and ScienceDirect.</em></p> <p><strong><em>Results:</em></strong><em> The results showed that experiential marketing based on its indicators, namely sense, feel, think, act, and relate in hospitals has an effect on customer loyalty.</em></p> <p><strong><em>Conclusions:</em></strong><em> Hospitals should be able to provide a pleasant experience for patients, one of which is by implementing experiential marketing.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nindya Arifani Nurseha, Diansanto Prayoga Literature Review: The Effect of Social Support, Social Exclusion, and Transportation on Husband's Participation in Family Planning Program 2022-11-07T14:22:29+07:00 Restiana Dhivana Julieta <p><strong>Background:</strong> The Family Planning Program is a national scale program to reduce birth rates and control population growth. The family planning program in Indonesia was initiated in the 1950s, but there were many obstacles in realizing the program so that the family planning program was only able to run in the 1970s.</p> <p><strong>Purpose:</strong> The purpose of this study was to see the effect of social support, social exclusion, and transportation on husband's participation in family planning programs</p> <p><strong>Method</strong>: the research was conducted by means of a literature review, namely searching for national and international journal articles based on keyword criteria, namely having a relationship with the topic of discussion, then obtaining 15 articles reviewed.</p> <p><strong>Results:</strong> Several studies have shown that motivational factors are indeed important in increasing husbands' desire to participate. Apart from support, men's participation is also influenced by factors of knowledge, attitude, economy, culture and religion.</p> <p><strong>Conclusion</strong>: Social support and transportation have a very big role to play in supporting husbands to be able to participate however, the existence of social exclusion or ostracism is also a factor in the low participation of husbands.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Restiana Dhivana Julieta Literature Review: The Relationship of Gestational Weight Gain with Low Birth Weight in Indonesia 2023-06-10T12:28:04+07:00 Nurul Aini Wurdi Ningsih Sri Sumarmi <p><strong><em>Background:</em></strong><em> Low Birth Weight (BBLR) is a case that occurs in baies after birth with indications of having a weight less than normal, which is less than 2500 grams. From Riskesdas data in 2018, stated that the incidence of LBW increased by 0,5% from 2013. Babies who has history of LBW have a chance of dying. Mother’s weight during pregnancy is one of the risk factor of LBW, so mother who have weight gain in acoordance with the recommendations can prevent the incidence of LBW. </em><em><br /><strong>Objectives: </strong></em><em>The objectives of this literature review is to describe the relationship of gestational weight gain with Low Birth Weight (LBW) in Indonesia.</em></p> <p><strong><em>Methods:</em></strong> <em>Literature Review is a method that author uses to compose this articel. This research uses database from Google Scholar with related keyword and found 1.240 articles. Those articles had screened based on itopic and nclusion criteria, anda 9 articles were obtained that used for this literature review.</em></p> <p><strong><em>Discussion:</em></strong> <em>Six of nine journals stated that there was a relationship of gestational weight gain with Low Birth Weight (LBW), while three of other journal stated that gestational weight gain have not related with Low Birth Weight (LBW). The relationship of both variables is indicated by p-value is p &lt; 0,05. Asniatin (2018), stated that risk factor of LBW is an abnormal mother weight gain, with 7,534 times greater chance of occurance. None of relationship of both variables is indicated by p value &gt; 0,05. However, the result of research of Mamidi et al (2022), have a contradictive result research with Asniatin (2018).</em></p> <p><strong><em>Conclusions:</em></strong><em> There are differences of opinion from several related studies. Prevention of LBW can be done early by monitoring health from pra conception until birth and paying attention to the factors of LBW.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nurul Aini Wurdi Ningsih Nurul Aini Wurdi Ningsih Association between Parents’ Education Level and Income and Children’s Nutritional Status: A Literature Review 2023-06-10T14:34:54+07:00 Olivia Sianturi Siti Rahayu Nadhiroh Qonita Rachmah <p><strong><em>Background:</em></strong><em> Monitoring children’s nutritional status is one of the factors that create qualified human resources. Children aged 0-59 months who are malnourished will experience growth disorder if not taken seriously. Several factors that associated with nutritional status of children are parent’s educational level and income. </em><em> </em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of this literature review was to analyze the relationship between parent’s educational level and income on child’s nutrition status.</em></p> <p><strong><em>Methods:</em></strong><em> This article is a literature review based on articles that was published within the last ten years. Electronic databases like PubMed and Google Scholar were used. There are 17 literatures that used in this article.</em></p> <p><strong><em>Discussion:</em></strong><em> Some articles show that child’s nutritional status is related to the parents’ income and education level. Educated parents are able to explain the nutritional value of food and comprehend more about the physical and mental development of their children. The availability of food and efforts to provide a balanced diet are influenced by parental income, and this will have an impact on the nutritional health of children. Nevertheless, there are still many factors that can affect the nutritional status of children. </em></p> <p><strong><em>Conclusions:</em></strong><em> Parents’ education level and income was not significantly associated with children’s nutritional status. This due to the development of information technology and human resources</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Olivia Sianturi Literature Review: Analysis of Experiential Marketing Application to Patient Satisfaction in Hospitals 2022-10-19T08:52:55+07:00 Arkaine Malvania Diansanto Prayoga <p><strong><em>Background:</em></strong> <em>Hospitals as health care provider organizations require specialized strategies in dealing with the challenges of increasingly competitive market competition. Marketing strategies are applied in order to achieve competitive advantage over their competitors. </em></p> <p><strong><em>Objectives: </em></strong><em>This journal has the aim to find out the application of experiential marketing as a form of marketing technique that management can apply in improving patient satisfaction in hospitals.</em></p> <p><strong><em>Methods:</em></strong> <em>The procedure for this research uses a literature review approach using the PRISMA flowchart</em><em>.</em></p> <p><strong><em>Discussion</em></strong><em>: The study showed varying results related to implementation of experiential marketing dimensions in hospitals. There are five dimensions implemented by hospitals namely sense, feel, think, act, and relate. Patient satisfaction in the application of experiential marketing can have impact on long term of the patient loyalty and the level of repeat buying over healthcare products and services in hospitals.</em></p> <p><strong><em>Conclusions:</em></strong><em> There is a positive influence between the application of five dimensions of experiential marketing with patient satisfaction in hospitals.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Arkaine Malvania, Diansanto Prayoga Relationship within Hot Work Climate and Worker’s Hydration Status: Literature Review 2022-12-23T12:17:51+07:00 Fedora Ivena Thom Annis Catur Adi <p><strong><em>Background</em></strong><em>: A hot working climate can result in excessive sweating so that it can cause dehydration in workers if it is not followed by adequate fluid intake. Workers with a hot work environment will interfere with the productivity of these workers. </em></p> <p><strong><em>Objectives</em></strong><em>: The focus of this literature review is to determine the relationship between hot work environments and workers' hydration status.</em></p> <p><strong><em>Methods</em></strong><em>: The journal articles reviewed were acquired from online databases such as science direct and google search without limitation of time and research results. The search for articles began on September 3 – September 15, 2022. Search for articles using the keywords “hot work climate, worker hydration status, heat exposure, hot work climate, hydration status”. </em></p> <p><strong><em>Results</em></strong><em>: Based on the selection process, 11 articles were found that were suitable and used a cross sectional design. The eleven research articles show link relationship between a hot work climate and the hydration status of workers covering various types of professions and employment opportunities, both indoor work and outdoor work. Most showed a significant relationship. </em></p> <p><strong><em>Conclusions</em></strong><em>: Therefore, it can be concluded that hot temperatures or hot working climates can be a risk of dehydration in workers. Therefore, work agencies are expected to be warry of the workers’s hydration level, especially those exposed to heat in an effort to increase work productivity.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Fedora Ivena Thom, Annis Catur Adi Literature Review: Indonesian Local Materials as Raw Materials for Optimizing the Content of Analog Rice as a Substitute for Rice 2023-11-24T21:34:27+07:00 Desy Sonya Putri Heny Kusumayanti <p><strong><em>Background:</em></strong><em> The majority of people in Indonesia make rice as a staple food. From the large consumption of paddy rice, there is an alternative to overcome dependence on rice by developing analog rice. Analog rice is artificial rice with raw materials that contain high carbohydrates. Raw materials for making analog rice must contain structural forming materials such as dispersed phases, thickeners, flavor enhancers, and leavening agents. Some of the main ingredients of analog rice include cassava, gembili, and sweet potatoes.</em></p> <p><strong><em>Objective:</em></strong><em> The purpose of this study was to determine the content and types of local ingredients that can be used to make analog rice as a substitute food for paddy rice</em></p> <p><strong><em>Method:</em></strong><em> This research uses </em><em>Systematic Literature Review </em><em>from national and international journals</em></p> <p><strong><em>Results:</em></strong><em> There are various materials with perfect nutritional content that must be contained in analog rice.</em></p> <p><strong><em>Conclusion:</em></strong><em> Analog rice is an alternative solution to the problem of the Indonesian people's dependence on rice. Analog rice must be considered a constituent material to have a perfect nutritional content. Indonesian local ingredients such as cassava, gembili tubers, and sweet potatoes can be used as analog rice staples</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Desy Sonya Putri Effect Vinyl Chloride to DNA Methylation: A Systematic Review 2023-03-16T17:43:39+07:00 Nabila Azzahra Alifia Abdul Rohim Tualeka <p><strong>Background:</strong> Vinyl chloride (VC) is a toxic chemical hazard which is characterized with colorless gas widely used in the plastics manufacturing industry. Vinyl chloride (VC) has various health threatening effects such as bothering deoxyribonucleic acid (DNA) methylation that can cause hepatocellular carcinoma (HCC) and cancer.</p> <p><strong>Objectives: </strong>The purpose of writing systematic review is to determine the effect vinyl chloride (VC) to deoxyribonucleic acid (DNA) methylation.</p> <p><strong>Methods:</strong> The research design is a systematic review article using PRISMA method (Preferred Reporting Items for Systematic Reviews and Meta-analyses) method. This question is structured by taking into account 4 stages, namely: Population, Intervention, Comparison, and Outcome (PICO). By searching for articles/journals that match the keywords in PICO, namely "vinyl chloride (VC)” and “DNA methylation” online via Google Scholar and PubMed. Through this search, 74 articles/ journals were obtained. Then an assessment of the suitability of the inclusion criteria that has been determined in the title, abstract, and content is carried out full text so that 8 articles/ journals were obtained.</p> <p><strong>Results: </strong>Based on the results systematic review, picture of cause and effect relationship vinyl chloride (VC) against deoxyribonucleic acid (DNA) methylation has been found in industrial workers who inhibit deoxyribonucleic acid (DNA) methylation which ultimately causes risk of cancer and hepatocellular carcinoma (HCC).</p> <p><strong>Conclusions:</strong> There is a connection between exposure vinyl chloride (VC) and deoxyribonucleic acid (DNA) methylation that cause health hazardous effects in the form of hepatocellular carcinoma (HCC) and cancer. It’s necessary to have efforts to prevent and control exposure vinyl chloride (VC), one of which is the use of Personal Protective Equipment (PPE). Results of this systematic review are very important to be used by the government as a reference in efforts to preventing and controlling chemical exposure vinyl chloride (VC) in the work environment.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Nabila Azzahra Alifia, Abdul Rohim Tualeka Systematic Review: Effect of Nanoplastics on DNA Methylation in Humans 2023-03-29T11:30:45+07:00 Anggit Wirama Siwidati Abdul Rohim Tualeka <p><strong><em>Background:</em></strong><em> Along with the times, plastic pollution is increasing and this is a problem throughout the world, especially in developing countries due to its very large amount, persistent nature and widespread use.</em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of this systematic review is to determine the effect of nanoplastics on deoxyribonucleic acid</em> (<em>DNA) methylation in humans</em></p> <p><strong><em>Methods:</em></strong> <em>The method used is PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Data search in the form of articles or journals is carried out using the keywords "nanoplastics" and "DNA methylation". The inclusion criteria used were human population, nanoplastic effect, type of nanoplastic, amount and time of exposure, and DNA methylation. The data source used comes from Google Scholar, with the publication year starting from 2017-2022, and the language used is English</em></p> <p><strong><em>Discussion: </em></strong><em>total data based on searches using the keywords "nanoplastics" and "DNA Methylation" (n=94), focusing on the study and research articles and free full text with the year of publication being the last 5 years (n=29), then adjusting the inclusion criteria (n=13).</em></p> <p><strong><em>Conclusions:</em></strong><em> According to the results of the systematic review, it was concluded that there is a relationship between nanoplastics and DNA methylation. However, these results have limitations so it is necessary to conduct research with subjects that focus on workers. In addition, this systematic review has not been able to explain the special effects on workers in the industrial field due to limited literature obtained.</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Anggit Wirama Siwidati, Abdul Rohim Tualeka Literature Review: Correlation the Incidence of Sedentary Lifestyle with Obesity during the Pandemic Covid-19 2023-04-08T13:17:30+07:00 Mochamad Zulfikar Assagaf Syahrul Ramadhan Septa Indra Puspikawati <p><strong><em>Background:</em></strong><em> During the Covid-19 pandemic, it caused various problems that affected human life. One of the influential problems is the pattern of life lived by humans. The decrease in physical activity encourages people to carry out sedentary lifestyle activities. Sedentary lifestyle is a lifestyle that doesn't move much outside of human sleep. Due to changing human lifestyles, this can increase the risk of weight gain and obesity in humans. </em></p> <p><strong><em>Objectives: </em></strong><em>Knowing the relationship between sedentary events and obesity during the Covid-19 pandemic</em></p> <p><strong><em>Methods:</em></strong><em> The research design is a literature review related to the incidence of sedentary lifestyle and obesity during the Covid-19 pandemic. The inclusion criteria are references from journal articles that are free access, in Indonesian, in the year of publication 2020-2022. In addition, using PICO which consists of the population, namely students and students in Indonesia, intervention, namely sedentary lifestyle, and Outcome, namely Obesity. While the exclusion criteria were not review articles, experimental studies, paid articles, and the year the article was published under 2020. Reference searches used the Google Scholar and Garuda journal search engines with the keywords "sedentary lifestyle", "sedentary lifestyle", and "obesity". </em></p> <p><strong><em>Discussion:</em></strong><em> There were 5 articles (83.3%) that had a significant relationship between sedentary behavior and nutritional status and 1 article (16.7%) did not have a significant relationship between sedentary behavior and nutritional status.</em></p> <p><strong><em>Conclusion:</em></strong> <em>Sedentary factors related to the incidence of obesity are watching television, playing gadgets, sitting watching television and eating, sitting relaxed, sleeping by listening to music, and playing laptops</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Mochamad Zulfikar Assagaf, Syahrul Ramadhan, Septa Indra Puspikawati Literature Review: Effect of ALDH2 Enzyme in Alcohol Detoxification to Liver Cirrhosis 2023-05-19T14:23:25+07:00 Anindia Istifara Abdul Rohim Tualeka Sahrir Sillehu <p><strong><em>Background:</em></strong> <em>Ethyl alcohol or also known as ethanol is organic compound and one of the active substances that is often abused by human. Currently alcohol misuse yhat cause health problems become a global issue. Alcohol has toxic effect to the body. Some disease caused by alcohol consumption such as alcoholic liver disease. The liver as main organ in the binding of chemical substances (detoxification) will occur fatty liver, cirrhosis, or even liver function damage if alcohol level that accumulate in the liver is excessive. </em></p> <p><strong><em>Objectives: </em></strong><em>The purpose of the study is to analyzed the effect of ALDH<sub>2 </sub>enzyme on alcohol detoxification process in alcoholics. </em></p> <p><strong><em>Methods:</em></strong><em> This research study used literature review method on previous studies with similar topic. The articles were obtained from Google Scholar, Science Direct, and PubMed that published in 2013-2023 by applying inclusion and exclusion criteria so the article that fulfilled criteria could be analyzed. </em></p> <p><strong><em>Results: </em></strong><em>The result of the literature review from 5 articles showed that the ALDH<sub>2</sub> enzyme had a role in alcohol detoxification process. This enzyme was inhibitor for the rate of acetaldehyde metabolism which had cytotoxic and carcinogenics effect. Excessive amount of alcohol, especially with ALDH<sub>2</sub> defficiency caused accumulation of acetaldehyde in human body that could increase the risk of liver cirrhosis</em></p> <p><strong><em>Conclusions:</em></strong> <em>ALDH<sub>2</sub> levels in human body have an influence on the occurrence of liver cirrhosis in alcoholic. </em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Anindia Istifara Causes and Impacts of Period Poverty in Indonesia 2023-11-24T21:31:21+07:00 Annisa Nur Faiqah Nunik Puspitasari <p><strong><em>Background: </em></strong><em>Menstruation is a normal biological process that happen in the female body. However, not all women have access to menstrual hygiene products. According to previous research, it shows that there is inequality menstrual hygiene management in low- and middle-income countries, including Indonesia.</em></p> <p><strong><em>Objectives: </em></strong><em>This study aims to review the period of poverty or in Indonesia, starting from the causes, impacts, and efforts to overcome it. </em></p> <p><strong><em>Methods:</em></strong><em> The method used in this research was literature review in descriptive form. The data used in the form of secondary data from articles/journals and books collected through the trusted websites such as Science Direct and Google Scholar, and through the university's official website that published in the last 10 years (2011-2021). <strong>Results: </strong>Based on the articles that have been collected, the results show that poverty, the lack of comprehensive education regarding health management, lack of access to clean water, soap, sanitation products, and the lack of adequate infrastructure make Indonesia and other developing countries still experience period poverty. The impact can be very detrimental such as limitation for going to school during menstruation, reproductive organs disease, and the risk of experiencing sexual harassment. Providing adequate menstrual hygiene management that is accessible to all women and girls is one of the steps to address this problem.</em></p> <p><strong><em>Conclusion: </em></strong><em>Factors affecting period poverty in Indonesia are poverty, the lack of comprehensive education regarding health management, lack of access to clean water, soap, sanitation products, and the lack of adequate infrastructure. The impacts are in the form of limitation for going to school during menstruation, reproductive organs disease, and the risk of experiencing sexual harassment</em></p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Annisa Nur Faiqah, Nunik Puspitasari Literature Review Hydration Assessment Methods in the Elderly Population: Advantages and Disadvantages 2023-11-24T21:27:31+07:00 Sheila Amara Putri Farapti Farapti <p><strong>Background:</strong> The elderly population is vulnerable to hydration problems, which can have adverse effects on their health. Accurate and reliable hydration assessment methods are crucial for effective detection, monitoring, and management of hydration status in the elderly. However, there is currently no consensus on the optimal method.</p> <p><strong>Objectives: </strong>This literature aims to analyze the hydration assessment methods used in the elderly population and evaluate their strengths and limitations.</p> <p><strong>Methods:</strong> This study gathered data from relevant literature and research articles obtained from journals in databases such as PubMed, Google Scholar, and Science Direct. Articles were searched using keywords such as Hydration Assessment, Hydration Markers, and (elderly OR older). Data sources included publications from official websites and research journals. The literature review process involved selecting the review topic, searching for relevant articles, and analyzing and synthesizing the available literature.</p> <p><strong>Discussion: </strong>Several hydration assessment methods in the elderly include biochemical parameters, clinical signs and symptoms, bioimpedance analysis (BIA), and ultrasonography. However, no single method can provide a comprehensive picture of dehydration status in the elderly.</p> <p><strong>Conclusions:</strong> When selecting an appropriate assessment method, factors such as assessment goals, strengths, limitations, sensitivity, specificity, cost, equipment availability, ease of use, and time required need to be considered. By considering these factors, researchers can choose the most suitable hydration assessment method for the elderly population, thereby obtaining accurate and relevant information for proper management and care.</p> 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Sheila Amara Putri, Farapti Back Matter 2023-12-01T12:18:59+07:00 Media Gizi Kesmas 2023-11-30T00:00:00+07:00 Copyright (c) 2023 Media Gizi Kesmas