The COVID-19 pandemic has turned into a global public health emergency, followed by several changes in the situation. Change is occurring in healthcare where doctors are reducing hours of practice and people are anxious about coming into contact with infected patients or contaminated objects in healthcare. Medical students are one of the most frequently used self-medication practitioners. This study examines whether there are differences in behavior related to self-medication before and during the COVID-19 pandemic. This research is a comparative descriptive study with a cross sectional research design. This study took a population of students from the Faculty of Medicine, University of Lampung. Samples were taken using a non-probability sampling technique, in the form of consecutive sampling. This study compared self-medication behaviors before and during the COVID-19 pandemic. There were six self-medication-related behaviors that were compared in this study using frequency comparison tables and charts. There is a difference in the average self-medication behavior, from 3.00 before the COVID-19 pandemic, to 3.48 during the COVID-19 pandemic. There are several behaviors related to self-medication that were carried out for the first time during the COVID-19 pandemic, which were not previously carried out. There are various reasons for refraining from visiting the doctor when exposed to health problems before and during the pandemic, namely the emergence of reasons for fear of visiting clinics or homes because they could come in contact with infected patients or contaminated objects during the COVID-19 pandemic. There are differences in behavior related to self-medication before and during the COVID-19 pandemic by students of the Faculty of Medicine, University of Lampung.

The purpose of this programme is to revitalize the role of health cadres in stunting prevention and control programs. The methods used in this programme are focus group discussions as the basis for making training modules, training health cadres with interactive lectures and discussion techniques, as well as simulating how to educate and assess toddler growth using maternal and child health books (KIA). This programme was carried out for 2 days and took place at the Tanjung Sari Natar Health Center, South Lampung Regency. The participants were 30 people who were health cadres in the Tanjung Sari Natar Health Center work area, South Lampung Regency. The results of the evaluation of the implementation of the programme found that there was an increase in participants' understanding of 93.33% to a good understanding, 6.67% of participants had a fairly good understanding, and none of the participants had a poor understanding of balanced nutrition in the first 1000 days of life (nutrition of pregnant women, breastfeeding mothers, infants and toddlers), stunting prevention, assessing the growth and development of toddlers and educational-information-communication techniques. The average pretest result was 59.5 and an increase in the posttest result was 85.5. Based on the analysis using the Wilcoxon test, it was found that there was a statistically significant mean difference between the pretest and posttest values of the participants regarding of balanced nutrition in the first 1000 days of life (nutrition of pregnant women, breastfeeding mothers, infants and toddlers), stunting prevention, and assessing the growth (p=0.000).

The programme to increase the effectiveness of the anemia prevention program in pregnant women is an effort to empower the community, namely health cadres to increase the scope of the program for giving iron tablets to pregnant women. Empowerment of health cadres through training and health education to increase the ability to persuade pregnant women to want and comply with taking blood-added tablets as recommended can help increase the scope of the program for giving blood-added tablets to pregnant women. The purpose of this programme is to train health cadres and health workers to carry out persuasive communication to pregnant women to want and obediently take blood-added tablets (empowered cadres). The method that will be used is persuasive communication training for health cadres through interactive lectures and discussions, video screenings and exercise simulations. This activity was carried out for 1 day and took place at the Panjang City Health Center in Bandar Lampung. The participants were 30 people who were health cadres, health workers and pregnant women. The results of the evaluation of the implementation of the programme found that there was an increase in participants' understanding as much as 90% became a good understanding, 10% of participants had a fairly good understanding, and none of the participants had a poor understanding of anemia in pregnancy, prevention of anemia in pregnancy, persuasive communication to pregnant women so willing and obedient in taking blood-added tablets. The average pretest result was 55.1 and an increase in the posttest result was 83.7. Based on the analysis using the Wilcoxon test, it was found that there was a statistically significant difference in the pretest and posttest scores of the service participants (p=0.000). This programme to increase the effectiveness of the anemia prevention program in pregnant women has proven to be effective.

Tujuan: Menganalisis pengaruh sindrom metabolik terhadap kekuatan otot dasar panggul dan risiko terjadinya prolaps organ panggul dan disfungsi seksual pada wanita pralansia sehingga dapat dipergunakan sebagai acuan dalam menghadapi masa menopause Metode: Penelitian ini merupakan bagian dari penelitian potong lintang terhadap 33 orang wanita kelompok usia reproduktif dan 33 orang wanita pralansia anggota PERSIT KODIM 0410 Kota Bandarlampung pada bulan Maret–Mei 2022 yang meneliti tentang efek sindrom metabolik terhadap fungsi reproduksi dan fungsi seksual wanita pralansia. Hasil: Hasil analisis bivariat dengan uji Fisher menunjukkan terdapat hubungan antara terjadinya sindrom metabolik terhadap kekuatan otot dasar panggul yang dinilai dengan skala Brink (nilai p=0,001 dengan nilai r/ interval kepercayaan 1,28 (0,58-2,57)) dan hasil pemeriksaan POP-Q dengan nilai p=0,001 dengan nilai r/ interval kepercayaan 1,16 (0,6-2,2) pada kelompok usia pralansia dibandingkan usia reproduktif dan risiko terjadinya disfungsi seksual yang dinilai dari hasil pengisian kuisioner FSFI dengan (nilai p=0,001 dengan nilai r/ interval kepercayaan 2,6 (0,5-12,7)) pada kelompok usia pralansia dibandingkan usia reproduktif. Kesimpulan: Sindrom metabolik berpengaruh terhadap penurunan kekuatan otot dasar panggul dan meningkatkan risiko disfungsi seksual pada kelompok usia pralansia dibandingkan kelompok usia reproduktif. The Impact of Metabolic Syndrome on Pelvic Floor Muscle Strength Reduction and The Risk of Pelvic Organ Prolaps And Sexual Dysfunction in Premenopausal Women Abstract Objective: Analyzing the impact of metabolic syndrome on pelvic floor muscle strength and the risk of pelvic organ prolapse and sexual dysfunction in premenopausal women that can be used as a reference in dealing with menopause stage Methods: This is a part of research on impact of metabolic syndrome on reproduction and sexual function. A cross sectional research using 33 women of reproductive and 33 premenopausal women in PERSIT KODIM 0410 Bandarlampung in March–May 2022. Result: The results using Fisher test showed that there was significant association between metabolic syndrome and pelvic floor muscle strength as assessed by the Brink scale (p value = 0.001 r value / confidence interval 1.28 (0.58-2.57)) and the results of the POPQ examination with p=0.001 (1.16 (0.6-2.2)). The risk of sexual dysfunction as assessed from FSFI questionnaire has p value=0.001 (2.2 (0.5-9.02)) in the premenopausal compared to reproductive age grup. Conclusion: Metabolic syndrome affects the decrease of pelvic floor muscle strength and increases the risk of sexual dysfunction in the pre-elderly age group compared to the reproductive age group Keyword: Metabolic syndrome, pelvic floor muscle strength, sexual disfunction

Background: Pregnancy complicated by ovarian cancer presents relation between controlled growth in pregnancy and uncontrolled growth in cancer. The management of pregnancy illustrate conflict between optimal maternal therapy and fetal life for best prognosis at all. The incidence was low but it occured in reproductive age women and most found in the first pregnancy. It is important to analyze factors that improve the prognosis of pregnancy and appropiate management to prevent fetal and maternal morbidity and mortality. Objectives: To analyze factor on pregnancy complicated by ovarian cancer that improve fetal and maternal prognosisMethods: This is descriptive analytic study with cohort retrospective design using medical records of pregnancy patient complicated by ovarian cancer that underwent treatment at Sardjito Hospital Yogyakarta on 2010, January till 2017, December. All statistical analysis were done by statistic software for computer.Results: There were 18 research subjek had been undergone treatment at Sardjito Hospital for 8 years. Factors on pregnancy related to prognosis of pregnancy complicated by ovarian cancer were late gestational age at the cancer diagnosis and epithelial histopathology type. That factors have better prognosis than early gestational age and non-epithelial histopathology clinically (p=0.18; CI 95% 0.4-104.2; OR 6,5) and (p=0.29; CI 95% 0.36-30.12; OR 3.28). Timing of surgery intervention improve prognosis of pregnancy statistically and clinically significant (p=0.02; OR=4.2). Conclusion: Factors on pregnancy complicated by ovarian cancer that is late gestational age at the cancer diagnosis, epithelial histopathology type and timing of surgery intervention type II-III improved fetal and maternal prognosis. Best management of pregnancy lead to better prognosis.Keywords: prognosis of pregnancy, ovarian cancer.