The side effect of Hormonal contraception especially DMPA injection and implant is the changes of menstrual cycle. The changes include amenorrhea, spotting, duration of menstruation, amount of the blood loss etc. 8 of 10 DMPA acceptor has amenorrhea and all of implant acceptor has prolonged period. This research aimed to study the differences changes in menstrual cycle between DMPA Injection and implant acceptor at Puskesmas Karangan, Kecamatan Karangan, Kabupaten Trenggalek. Using cross sectional design and 90 respondents, 45 from DMPA acceptor and 45 from implant acceptor.The result showed that there was differences in menstrual cycle between DMPA injection acceptor with implant acceptor with p = 0,006, CI 95%, contingency coeffisient 0,378. The changes of menstrual cycle lighter for implant acceptor because of differences kind of ingredient.

AbstrakSalah satu tanaman herbal yang digunakan sebagai obat tradisional dan bersifat antibakteri adalah daun kemangi (ocimum sanctum) dengan bahan aktif minyak atsiri yang mengandung senyawa 1,8-cineole, b-bisabolene, methyl eugenol. Senyawa ini dapat mengakibatkan kerusakan pada membran sel bakteri sehingga menghambat pertumbuhan bakteri. Salah satu penyakit mulut yang umum terjadi adalah keradangan pada gingiva atau gingivitis. Tanda klinis gingivitis adalah kemerahan, hiperplasi, berkilat dan mudah berdarah. Penyebab utama adalah plak dan kalkulus. Tujuan penelitian ini adalah mempelajari pengaruh pemberian ekstrak daun kemangi (ocimum sanctum) terhadap kesembuhan gingivitis. Jenis penelitian true experiment, dengan rancangan pretest and postest control group design. Populasi sejumlah 450 mahasiswa kepaniteraan klinik Fakultas Kedokteran Universitas Wijaya Kusuma Surabaya dengan besar sampel 36 mahasiswa yang diambil secara acak  dan memenuhi kriteria sampel. Hasil penelitian membuktikan bahwa ada perbedaan yang bermakna Gingival Index antara kelompok yang berkumur dengan larutan ekstrak daun kemangi dan kelompok yang berkumur dengan larutan aquadest. Kelompok yang berkumur dengan ekstrak daun kemangi memiliki selisih penurunan nilai rata-rata Gingival index lebih besar dibanding kelompok yang berkumur dengan aquadest yaitu pada kelompok yang berkumur dengan daun kemangi sebesar 1 dan yang berkumur dengan aquadest sebesar 0. Dapat disimpulkan bahwa ekstrak daun kemangi dapat mempengaruhi kesembuhan gingivitis yang ditunjukkan dengan p value 0,000.Kata kunci: ekstrak daun kemangi (ocimum sanctum), gingivitis, Gingival Index     AbstractBasil (Ocimum sanctum) leaves are one of the herbal plants used as traditional medicine and an antibacterial. Essential oil, which comprises the molecules 1,8-cineole, b-bisabolene, and methyl eugenol, is the active component. These substances can harm bacterial cell membranes because they are soluble in ethanol. Bacterial growth is slowed down as a result. Gingivitis, or gingival inflammation, is one of the more typical dental illnesses. Gingivitis is characterized by redness, hyperplasia, shine, and bleeding easily. Plaque and calculus are the main contributors. This investigation's goal was to learn how basil leaf extract (Ocimum sanctum) supplementation affected gingivitis recovery. With a pretest and posttest control group design, the research is a legitimate experiment. The population is made up of 450 clinical clerks at the Faculty of Medicine, Wijaya Kusuma University, Surabaya, and the sample size was 36 students who were chosen at random and met the sample requirements.The results showed that there was a significant difference in the Gingival Index between the group that rinsed with a solution of basil leaf extract and the group that rinsed with aquadest solution. The group that gargled with basil leaf extract had a difference in the difference in the average value of the Gingival index that was greater than the group that rinsed with distilled water, namely the group that rinsed with basil leaves was 1 and those who rinsed with distilled water was 0. Basil leaf extract had a positive impact on gingivitis recovery with p value 0.000.Keywords: Basil (Ocimum sanctum) leaf extract, gingivitis, gingival index

During the Covid-19 pandemic, it affected many people's lives, one of which had an impact on the socio-economic community. the deflation of Income and outcome causes anxiety whicheventually leads to increased stress. Stress can affect changes in the function of the digestive system where stress reduces appetite thereby increasing stomach acid, causing pain in the stomach which causes GERD. The research design used a correlation analytic design using a cross sectional approach. Determination of the population in this study using purposive random sampling and obtained a suitable data source as many as 30 research samples. The data collection technique used is a questionnaire. The data analysis method used is the Contingency Coefficient Test using SPSS. The results showed that 53.3% of respondents had GERD, and 46.7% of those who did not have GERD. Respondents with normal stress with GERD were 2 respondents (6.7%). Respondents with mild stress conditions with GERD 4 respondents (13.3%). Respondents with moderate stress conditions with GERD 2 respondents (6.7%). Respondents with severe stress conditions with GERD 8 respondents (26.7%). From the chi-square statistical test, p = 0.00 (α < 0.05) and there is a relationship between stress and the incidence of GERD. Based on the contingency coefficient test, it shows C = 0.669, meaning that the level of relationship between the influence of stress and the incidence of GERD is in the strong category.

AbstrakDalam rangka mewujudkan Kecamatan Sehat maka Puskesmas Sukodono ingin mengevaluasi kinerja seluruh desa siaga yang ada di wilayah kerjanya serta berupaya meningkatkan desa siaga aktif yang ada menjadi peringkat yang lebih baik atau bila memungkinkan sampai pada tahap desa siaga peringkat mandiri. Hasil menunjukkan bahwa di tahun 2013 sudah tidak ada lagi desa siaga peringkat pratama. 52,63% desa telah meningkat dari pratama menjadi madya dan 10,53% desa peringkat madya meningkat menjadi peringkat purnama sementara peningkatan menjadi peringkat mandiri belum tercapai. Peningkatan menjadi mandiri terkendala jumlah kader yang belum mencukupi sehingga perlu dilakukan upaya pemberian reward dan pelatihan yang intensif supaya masyarakat tertarik untuk menjadi kader.Kata Kunci : Kecamatan sehat, kinerja desa siaga, peringkat desa siaga AbstractIn relation to be built "Healthy District". Sukodono Community Health Centre wanted to evaluate all of the Siaga Villages performance at the area and tried to be upgraded the rank , if possible to be at the best rank. The result showed that at 2013 there was no more first grade Siaga Villages, 52.63% became second grade and 10,53% became third grade but the highest grade was none. To achived the highest grade was very difficult due to limited human resources at the village, so Sukodono Community Health Centre has to do some workshops and gives some rewards to the villagers to attrack them to become the participants. PENDAHULUAN Dalam Sistem Kesehatan Nasional (SKN) ditetapkan bahwa pembangunan kesehatan bertujuan untuk meningkatkan kesadaran, kemauan dan kemampuan hidup sehat bagi setiap orang agar terwujud derajat kesehatan masyarakat

Abstrak Latar belakang:  Prevalensi TB paru dengan konfirmasi bakteriologis sebesar 759 (95% CI589-961) per 100.000 penduduk yang berumur 15 tahun ke atas. Petugas kesehatan yang bekerja di bagian paru rumah sakit, sangat rentan terpapar kuman Mycobacterium tuberculosis, dikarenakan setiap hari ada hubungan/ kontak dialog (anamnesis) dengan penderita tuberkulosis aktif yang sedang berobat. Tujuan penelitian ini adalah untuk mengetahui prevalensi TB Laten pada tenaga Kesehatan dengan metode IGRA Metode: Metode penelitian deskriptif dengan sample adalah seluruh tenaga kesehatan  di bagian paru RSI Jemur Sari terdiri dari 2 dokter, 2 analis dan 6 perawat, terutama yang telah bekerja lebih dari 5 tahun diambil darahnya untuk diperiksa antibodi interferon gamma dengan metode IGRA. Hasil: Hasil penelitian didapatkan dari 10 sampel yang berhasil dilakukan pemeriksaan didapatkan 70% tenaga kesehatan yang kontak dengan penderita positif antibodi interferon gammanya. Kesimpulan: Kontak dengan penderita Tuberkulosis yang terus menerus memungkinkan tertular, dimana imunitas yang baik dapat menyebabkan tenaga kesehatan tersebut tanpa gejala dan keluhan.Diperlukan penatalaksanaan administratif yang baik agar dapat menurunkan angka kejadian tuberculosis laten Kata Kunci : IGRA, Tenaga kesehatan, Tuberkulosis laten Abstract Background The prevalence of pulmonary TB with bacteriological confirmation was 759 (95% CI589-961) per 100,000 population aged 15 years and over. Health workers who work in the pulmonary section of the hospital are very susceptible to exposure to Mycobacterium tuberculosis, because every day there is a relationship/contact dialogue (anamnesis) with active tuberculosis sufferers who are being treated. The purpose of this study was to determine the prevalence of latent TB in health workers using the IGRA method Method Descriptive research method with samples were all health workers in the pulmonary section of RSI Jemur Sari consisting of 2 doctors, 2 analysts and 6 nurses, especially those who had worked for more than 5 years had their blood taken for examination of interferon gamma antibodies using the IGRA method. Results From 10 successfully examined sample, 70% of the health workers that has contact with the patients has positive interferon gamma antibody. Conclusion Prolonged contact with Tuberculosis patient raises the probability of contagion, whereas decent immunity allows the health workers to proceed without any symptoms. An excellent administrative governance is required to reduce the occurrence of latent tuberculosis. Keywords : Health workers, IGRA, Latent tuberculosis