This study aims to describe behaviour and roles of community leaders in the Covid-19 prevention at Jayaraga Village, Garut District. This study applied qualitative method. Data were collected through discussion with community leaders who joined whatsapp group. This study reveals that the behaviour of community leaders is the product of their knowledge and attitude. They have sufficient knowledge about Covid-19 which in turns construct their attitude towards it. They worry about the disease its rapid contagion and its negative impact to the community. Having this attitude, they decided to start actions for prevention, and invited community members to join them in the action. They promoted healthy life behaviour, which is known effective in prevent the Covid-19 contagion, and initiated actions which aims to assist members of the community whose socioeconomic condition devastated by the pandemic. The behaviour of these community leaders describes their roles in the community in the context of Covid-19 pandemic. This behaviour also enhances empowerment of the to Covid-19 pandemic.
The problem of malnutrition remains overlooked in Indonesia, especially on children, caused by various factors. Indonesia is the 17th country with 3 nutrition problems, including stunting (short body), wasting (skinny body), and overweight (obesity). This research aims to analyze factors affecting nutrition status on children in the area of West Java Province, including the mother’s and the child’s socio-demographics factor, and the child’s health status. The research method was descriptive quantitative with cross-sectional approach. The number of samples is 810. The research was conducted in 6 districts that support Family Planning (KB), including Bandung District, Bandung City, West Bandung District, Subang District, Sumedang District, and Garut District. The quantitative analysis consisted of univariates using percentage and frequency distribution, as well as bivariate analysis using chi square test. The result of the research shows that nearly all toddlers have good nutrition status as much as 87.9%, and toddlers with malnutrition as much as 10.6%. The analysis factor shows that there is a relationship between the mother’s age (p = 0.048; OR = 1.583), family income (p = 0.010; OR = 1.803), delivery complications (p = 0.008; OR = 2.091), provision of exclusive breastfed milk (ASI) at the age of 0 - 6 years old (p = 0.000; OR = 2.321), provision of exclusive breast milk and complementary feeding given to babies before 6 months old (MPASI) at the age of 6 months to 2 years old (p = 0.002; OR = 2.037), and the child’s history of hospitalization (p = 0.008; OR = 2.055), while other factors are considered irrelevant. This research suggests that healthcare staff collaborate in providing knowledge to mothers on the provision of exclusive breast milk and complementary feeding as well as the prevention of illness on their children.
AbstrakKanker payudara memberi pengaruh pada status emosional perempuan, terutama pada usia reproduksi. Selama pengobatan, mereka mendapatkan pengalaman individu yang unik. Studi kasus ini bertujuan untuk mengeksplorasi pengalaman hidup pasien kanker payudara pada pemilihan terapi dan situasi lingkungan yang mendorong promosi kesehatan. Studi ini melibatkan 17 partisipan yang dipilih dengan purposive sampling. Pengumpulan data melalui wawancara mendalam dan penelusuran catatan arsip. Terdapat empat tema dominan, yaitu (1) Kanker merupakan konsep dan bagian dari legalitas sosial budaya yang berifat subjektif; 2) Pemilihan jenis terapi harus diterima/disepakati oleh keluarga dan sistem dukungan sosial; 3) Kondisi sakit kanker memberikan arti dalam kehidupan pasien; dan (4) Harapan untuk sembuh. Pasien seharusnya dipahami sebagai sebuah hubungan antara tubuh sebagai entitas fisik dan aspek-aspek lain seperti psikologis, sosial dan spiritual. Oleh karena itu, pembangunan semua aspek (fisik, psikologis, sosial, spiritual) sudah menjadi bagian dari pengalaman hidup perempuan dengan kanker payudara. (physical, psychological, social, spiritual) has become part of the life experience of women with breast cancer. Keywords: breast cancer patients, choice of treatments, the life of experience of illness
The nutritional status of pregnant women greatly determines their newborn outcome. Deficiencies of several micronutrients are associated with stunting in early childhood, affecting health into adulthood. However, apart from the systemic disease that has been a concern so far, fetal undernutrition can also be associated with dental caries in a child's early life, especially since the primary teeth begin to form during the mother's gestation period. The important thing to underline regarding the intrauterine formation of primary teeth is especially in terms of enamel formation. One of the causes of developmental enamel defects that will contribute to the emergence of early childhood caries is the malnutrition of the pregnant mother. This mini-review aims to understand the linkage mechanism behind neonatal stunting to early childhood caries. This concept is expected to generate further research to help prevent both growth stunting and early childhood caries. In addition, with some evidence-based research, the importance of the first dental visit can be further promoted.
AbstrakKeberadaan Human Immunodeficiency Virus (HIV) di dalam tubuh secara terus menerus menyebabkan gangguan pada hampir semua sistem tubuh yang berdampak pada munculnya gejala kelelahan (fatigue). Fatigue banyak dilaporkan pada penderita HIV/AIDS dengan prevalensi berkisar antara 20% sampai 60%. Penelitian ini bertujuan menguji hubungan antara fatigue dengan jumlah CD4 dan kadar Hb pada pasien HIV/AIDS. Sebanyak 77 responden direkrut secara purposif di sebuah Klinik Rawat Jalan Rumah Sakit di Kota Bandung. Fatigue diukur menggunakan kuesioner HIV Related Fatigue Score (HRFS). Data yang terkumpul dianalisis menggunakan uji pearson correlation. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara fatigue dengan jumlah CD4 dalam darah (r = -.289, p< 0.05) dan kadar Hb (r = -.349, p< 0.05). Selain itu, kadar Hb memiliki hubungan yang bermakna dengan jumlah CD4 pada pasien HIV/AIDS (r = .360, p < .01). Hasil penelitian ini mengindikasikan perlunya monitoring kadar CD4 dan Hb secara berkala dan melakukan intervensi untuk mengatasi penurunan Hb dan CD4 sesegera mungkin sehingga dapat mencegah agar fatigue tidak berkelanjutan.Kata kunci: CD4, fatigue, hemoglobin, HIV/AIDS. The Correlation of Between Fatigue, CD4 Cell Count, and Hemoglobin Level among HIV/AIDS Patients AbstractThe existence of Human Immunodeficiency Virus (HIV) in the body continuously causes disruption in almost all body systems that impact on the emergence of symptoms of fatigue. Fatigue was widely reported in HIV/AIDS patients with prevalence ranging from 20% to 60%. This study examined the relationship between fatigue and CD4 cell count and hemoglobin levels in HIV/AIDS patients. A total of 77 respondents were recruited purposively in Outpatient Clinic, General Hospital Bandung City. Fatigue was measured using the HIV Related Fatigue Score (HRFS) questionnaire. The collected data were analyzed using pearson correlation product moment. The results showed there were significant relationship between fatigue and CD4 count in blood (r = -.289, p< 0.05) and hemoglobin level (r = -.349, p< 0.05). In addition, CD4 had significantly correlation with Hb (r = .360, p < .01). The results of this study indicated that nurses or health care providers need to periodically monitor the CD4 and Hb levels and provide early intervention to manage the hemoglobin and CD4 cell count at optimum levels to prevent prolonging fatiguel.
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