Media Kesehatan Politeknik Kesehatan Makassar

Indonesia Bahasa Indonesia

Yemima Hasianna, Astri Widiarti, Agnes Immanuela Toemon — Tue, 24 Jun 2025 00:00:00 +0800

Sleep is an essential physiological need for growth, physical development, and intellectual function. However, many students experience sleep deprivation due to academic workloads that induce stress and reduce sleep duration. Sleep hygiene is a non-pharmacological alternative that can help achieve better sleep by implementing behavioral and environmental modifications, such as exercising before bed, adjusting lighting, and avoiding nicotine, caffeine, and alcohol. The aim of this study is to determine the correlation between sleep hygiene and sleep quality among preclinical seventh-semester medical students at the Faculty of Medicine, Palangka Raya University. The methodology used in this research is an analytical observational cross-sectional approach. A total of 63 respondents were selected through purposive sampling, using the Sleep Hygiene Index (SHI) to assess sleep hygiene and the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality. The study results showed that 9.5% of participants had good sleep hygiene, 46% moderate sleep hygiene, and 44.4% poor sleep hygiene. In terms of sleep quality, 84.1% experienced poor sleep quality, while 15.9% had good sleep quality. Data analysis revealed a positive correlation between sleep hygiene and sleep quality, with a p-value of 0.001 (<0.05) and r = 0.401. Based on the study, it is concluded that there is a positive relationship between sleep hygiene and sleep quality among preclinical seventh-semester medical students at the Faculty of Medicine, Palangka Raya University.

Evaluation of the Implementation of Pharmaceutical Service Standards at the Bambu Mamuju Community Health Center in Mamuju Regency Based on Indonesian Minister of Health Regulation No. 26 of 2020

Agust Dwi Djajanti, Rusli, Febriyanti, A. Tenri Ugi, Sainal Edi Kamal — Tue, 24 Jun 2025 00:00:00 +0800

In order to improve the quality of health services available to the community, pharmaceutical services at community health centers are an important component in the implementation of health initiatives. Minister of Health Regulation No. 26 of 2020 concerning Standards for Pharmaceutical Services at Community Health Centers, which includes (management of pharmaceutical supplies and disposable medical supplies, clinical pharmacy services, and the facilities or infrastructure required to support pharmaceutical services at community health centers) represents the latest update to the standards for pharmaceutical services at community health centers, which have undergone several revisions to support these objectives. Determining the feasibility of implementing pharmaceutical service standards at the Bambu Mamuju Community Health Center in Mamuju Regency is the objective of this study. Using a checklist and in-depth interviews, this study combines a descriptive approach with an observational strategy. The study was conducted from December 2024 to January 2025. The population in this study was the pharmaceutical services at the Bambu Community Health Center in Mamuju District. The informants used in this study were the pharmacists in charge of the pharmacy at the Bambu Community Health Center. Based on the results of the study, the Bambu Mamuju Community Health Center in Mamuju Regency has implemented pharmaceutical services in accordance with the Bambu Mamuju Community Health Center standards with an average score of 84.2% in the good category, in accordance with Minister of Health Regulation No. 26 of 2020. Clinical pharmacy services at the health center still need improvement, but the management of pharmaceutical supplies, single-use medical devices, facilities, and infrastructure is in line with the technical guidelines for pharmacy service standards.

Keywords: Pharmacy Service Evaluation, Health Center, Ministry of Health Regulation No. 26 of 2020, Checklist Sheet

ZINC AND SYNBIOTICS: A RAY OF HOPE FOR ELDERLY HEALTH

Rudy Hartono, Rusli, Aswita Amir, Agustian Ipa, Mira Andini, Hikmawati Mas’ud — Tue, 24 Jun 2025 00:00:00 +0800

As life expectancy increases, the aging population faces challenges related to immune function and digestion. Zinc and synbiotics (a combination of probiotics and prebiotics) are promising nutritional interventions for elderly health. This review examines the effects of zinc, synbiotics, and their combination on immune response, sarcopenia, and fatigue. A review of ten recent studies (2018–2024) indicates that zinc supplementation enhances immune function and reduces inflammation, improving the elderly's quality of life. Synbiotics are effective in improving gut health and restoring microbiota balance, which supports immune function. The combination of zinc and synbiotics shows synergistic effects in boosting overall health, enhancing immune response, and alleviating age-related issues such as sarcopenia and fatigue. However, study limitations such as design and sample size should be considered. Further research with stronger methodologies is needed to validate these findings.

Keywords: zinc, synbiotics, elderly, immune response

Perilaku Pengambilan Keputusan tentang Kesehatan Ibu dan Anak dalam Tradisi Perkawinan Nyentana: Studi Kasus di Desa Gadungan Tabanan Bali

Tue, 24 Jun 2025 00:00:00 +0800

Background: The tradition of nyentana marriage has implications for aspects of family life, including decision-making regarding family health. Decision-making behavior regarding maternal and child health is an important aspect in determining the quality of life of the community. Traditions and customary norms can influence the way individuals make decisions related to health. This study aims to explore information about the factors that influence decision-making behavior regarding maternal and child health in the tradition of nyentana marriage in Gadungan Village, Tabanan, Bali. Method: This study used a qualitative design with a case study design. Participants in this study were husbands or wives who had practiced the nyentana marriage tradition for at least one year. Data collection was conducted through interviews using a semi-structured guide. Data analysis was conducted thematically and data validation was conducted with triangulation and member checking. Key informants in this study were village midwives and community leaders. Results: Factors that influence decision making about maternal and child health in the nyentana marriage tradition in Gadungan Village, Tabanan, Bali are: 1) Cultural norms and traditions; 2) Knowledge and access to health information; 3) Family economy; 4) Family support; and 5) Social environment. Conclusion: Decision-making behavior about maternal and child health in the nyentana marriage tradition is greatly influenced by the active role of women. Factors related to decision-making about maternal and child health are cultural norms and traditions, knowledge and access to health information, family economy, family support and social environment.

Combination of Coagulation-Filtration Made from Local Islands in Reducing Turbidity Levels in Dug Well Water on Barrang Caddi Island, Makassar City

Tue, 24 Jun 2025 00:00:00 +0800

Small islands often face challenges in providing clean water, including the quality of dug well water that does not meet the standards on Barrang Caddi Island. This study aims to evaluate the effectiveness of coagulation methods using moringa seeds and filtration using pumice and mangrove wood-activated charcoal in reducing turbidity and improving water quality. The research design was a quasi-experiment with a one-group pretest-posttest approach. Samples of dug wells were purposively selected based on the criteria of active use, location close to seawater, and initial TDS value >1500 mg/L. The filtration process used a 60 cm thick layer of pumice and activated charcoal with three replications. Results showed significant differences in all methods applied (p = 0.016). Moringa seed coagulation reduced turbidity by 26.85%, pumice filtration by 68.72%, activated charcoal filtration by 79.96%, and coagulation-filtration combination by 74.80%. Filtration with activated charcoal showed the highest adsorption capacity. This study concludes that combining coagulation and filtration is an applicable practical solution to overcome clean water problems in coastal and island areas

Audio-Visual Based Prenatal Yoga Combination And Lavender Balm To Reduce Low Back Pain In Pregnant Women In The Third Trimester

Tue, 24 Jun 2025 00:00:00 +0800

ABSTRACT

The most common complaint experienced during the third trimester of pregnancy is lower back pain. Lower back pain during pregnancy is described as pain in the lumbar area, above the sacrum, and the pain can radiate to the legs. This pain is often dull and exacerbated by lumbar flexion towards the anterior. Efforts to minimize complaints of lower back pain in pregnant women in the third trimester include relaxation and breathing techniques, hydrotherapy, Transcutaneous Electrical Nerve Stimulation (TENS), massage, behavioral techniques, hypnotherapy, therapeutic touch, yoga, and applying balm. The aim of this study is to determine the effectiveness of the combination of audio-visual-based prenatal yoga and lavender balm to reduce lower back pain in pregnant women in the third trimester. The type of research is analytical with a two-group with control group design, with a sample of 60 people. Purposive sampling technique. The data analysis used was paired t test and independent t test. The results showed a mean value of low back pain before intervention in the intervention group of 6.25 and a mean value of low back pain in the control group of 6.01 with a p value of 0.345. The mean value of low back pain after intervention in the intervention group was 3.45 and the mean value of low back pain in the control group was 7.65 with a p value of 0.00. Based on bivariate analysis, the results of p. value = 0.000 were obtained. The combination of audio-visual-based prenatal yoga and lavender balm is effective in reducing low back pain in pregnant women in the third trimester. Recommendations include the practice of routine prenatal yoga for pregnant women and the use of balms to reduce complaints of low back pain in pregnant women.

The Effectiveness of Storytelling Play Therapy in Reducing Anxiety in Preschool Children During Hospitalization at Sumber Hidup Hospital, Ambon

Vernando Yanry Lameky, Nenny Parinussa — Tue, 24 Jun 2025 00:00:00 +0800

Hospitalization can cause significant anxiety in preschool-aged children because of cognitive and emotional limitations in their understanding of the medical environment. This study aimed to evaluate the effectiveness of storytelling play therapy in reducing anxiety levels in children aged 3–5 years who were hospitalized at Sumber Hidup Hospital Ambon. The study employed a pre-experimental design with a one-group pre-test–post-test approach. A total of 38 children were selected through total sampling and received storytelling therapy interventions for five consecutive days over two weeks. The instrument used was the preschool version of the Spence Children’s Anxiety Scale (SCAS), which was completed by parents before and after the intervention. The results showed a significant decrease in average anxiety levels after the intervention. Most children who initially experienced moderate-to-severe anxiety improved to the mild anxiety category. Storytelling therapy has proven effective as a psychosocial intervention that is enjoyable, easy to implement, and developmentally appropriate for children. This intervention supports atraumatic care practices, and can be integrated into pediatric nursing services in local healthcare facilities.

Hubungan Metode Pencucian dan Penyimpanan dengan Angka Kuman Peralatan Makan pada Warung Ayam Geprek di Pontianak Timur

Abdul Syukur, Fitriani, Yulia — Tue, 24 Jun 2025 00:00:00 +0800

Peralatan makan yang tidak higienis berpotensi menjadi media penularan penyakit berbasis makanan (foodborne diseases), terutama akibat kontaminasi bakteri. Berdasarkan Peraturan Menteri Kesehatan RI Nomor 14 Tahun 2021, jumlah bakteri pada peralatan makan tidak boleh melebihi 1,1 CFU/cm². Penelitian ini bertujuan untuk menganalisis hubungan antara cara mencuci dan menyimpan peralatan makan dengan angka kuman pada tempat pengelolaan pangan (TPP) di wilayah kerja UPT Puskesmas Saigon, Kecamatan Pontianak Timur. Penelitian dilakukan secara observasional dengan desain cross sectional terhadap 30 TPP yang dipilih secara simple random sampling. Data diperoleh melalui observasi menggunakan lembar ceklist dan untuk mengukur angka kuman dengan uji bakteriologi dengan metode Angka Lempeng Total (ALT). Data yang didapat dianalisis menggunakan uji Chi-Square dengan taraf signifikansi 95%. Hasil menunjukkan bahwa 53% responden memiliki cara mencuci yang baik, dan 47% kurang baik; sedangkan cara penyimpanan yang termasuk kategori baik dan kurang baik masing-masing 50%. Angka kuman pada peralatan makan tergolong tinggi pada 50% sampel, dan rendah pada 50%. Uji statistik menunjukkan tidak ada hubungan antara cara mencuci dengan angka kuman (p = 0,066), namun cara penyimpanan dengan angka kuman terdapat hubungan yang signifikan (p = 0,027). Temuan ini mengindikasikan bahwa praktik menyimpan peralatan makan yang tidak sesuai standar dapat meningkatkan risiko kontaminasi mikrobiologis. Disarankan agar pengelola TPP meningkatkan higienitas peralatan makan, serta dinas kesehatan memperkuat pengawasan dan edukasi rutin dalam rangka pencegahan penyakit bawaan makanan. Temuan ini menunjukan pentingnya ntervensi yang sistematis dalam bentuk pelatihan teknis dan pembinaan rutin bagi petugas pengelola makanan mengenai prosedur standar penyimpanan alat makan yang higienis. Terutama mencakup cara menyusun alat secara benar (misalnya piring dibalik), penggunaan rak anti karat yang tertutup, serta perawatan laci dan ruang penyimpanan agar tidak menjadi sarang kecoa, tikus, atau vektor penyakit lainnya. Selain itu, dinas kesehatan perlu memperkuat pengawasan berkala serta mengembangkan program edukasi berbasis risiko yang disesuaikan dengan kapasitas sumber daya di lapangan. Dengan penerapan langkah-langkah ini, diharapkan angka kejadian penyakit bawaan makanan dapat ditekan secara signifikan, seiring meningkatnya kesadaran dan kepatuhan terhadap prinsip higiene sanitasi di lingkungan pengelolaan pangan.

Kata Kunci : Angka Kuman, Alat Makan, Cara Pencucian, Cara Penyimpanan.

Faktor Risiko Mortalitas Pasien Sepsis di Instalasi Gawat Darurat: Tinjauan Sistematis

Anugerah Hardianti, Ahsan, Heri Kristianto — Tue, 24 Jun 2025 00:00:00 +0800

ABSTRACT

The primary challenge in managing sepsis in the Emergency Department (ED) lies in delayed identification and intervention, which often occurs only after the patient has reached a critical condition. This systematic review aims to identify potential risk factors associated with mortality among sepsis patients in the ED. The review was conducted using three relevant databases: PubMed, ProQuest, and ScienceDirect. Appropriate keywords were applied in the article search using Boolean operators (“AND” and “OR”) with the terms “Risk factor,” “Sepsis,” “Mortality,” and “Emergency Department.” The systematic review identified of 23,917 relevant articles were found across the three databases—ScienceDirect (9,599), ProQuest (14,287), and PubMed (31). A total of 450 articles were screened based on titles, abstracts, and inclusion criteria, resulting in 9 articles that met the eligibility criteria. Based on the findings of this review, it can be concluded that the potential factors contributing to mortality risk among sepsis patients include elevated serum lactate, SOFA scores, gender, age, and comorbid conditions

Keywords : Emergency department; Mortality; Risk factor; Sepsis

Habitat of Mansonia Spp. Larvae in Henda Village, Pulang Pisau Regency as a Vector of Filariasis in Kalimantan

Aqilah Az Zahra, Arini Ratnasari, Arif Rahman Jabal, Indria Augustina — Tue, 24 Jun 2025 00:00:00 +0800

The number of filariasis cases in Central Kalimantan increased in 2021, with 49 cases of chronic filariasis reporte to determine the distribution of Mansonia spp. larval habitats and to identify Mansonia spp. larvae species in Henda Village, Pulang Pisau Regency. This study used a descriptive method with a cross-sectional sampling technique to identify Mansonia spp. larvae in Henda Village, Pulang Pisau Regency. The findings showed that the habitat of Mansonia spp. larvae was found in fish ponds characterized by abundant aquatic plants. A total of 35 larvae were found, divided between two locations: location A = 33 larvae and location B= 2 larvae. The habitat of Mansonia spp. larvae can be found in fish ponds characterized by the presence of aquatic plants. The presence of Mansonia spp. larvae needs attention in efforts to control vectors, particularly in relation to the transmission of filariasis in Central Kalimantan.

Predisposing Factors, Subgroups, Biomarkers and Mechanisms of Obesity Prevention: Literature Review

Mira Andini, Budirman, Besse Uswatun Hasanah — Tue, 24 Jun 2025 00:00:00 +0800

Obesity is becoming a serious public health problem. The most common obesity predisposing factors are sociodemographic, behavioral, genetic, and obesogenic environment. There are many biomarkers in assessing obesity, including microRNAs, adipocytes, oxidative stress, and microbiota. As the consequences of obesity are extensive and interrelated, simultaneous prevention strategies are mandatory.

Paparan Pestisida melalui ASI: Implikasi terhadap Kesehatan Bayi dan Risiko Stunting

Tue, 24 Jun 2025 00:00:00 +0800

The extensive use of chemical fertilizers and pesticides in modern agriculture has significantly increased crop yields. However, increasing concerns about the potential health implications of these agrochemicals have prompted extensive research. This literature review examines the extent to which exposure to these substances during pregnancy and lactation may contaminate breast milk. By synthesizing findings from multiple studies, this study aims to assess the potential adverse effects of pesticide and fertilizer residues in breast milk on infant health and development. Specific focus areas include prevalence of contamination, potential health risks, and effectiveness of interventions to reduce exposure. Design: A systematic review was conducted. Data Sources: This systematic review used online databases: PubMed, Scopus, and Google Scholar. The search was conducted in early 2017-2024. Review Methods: Medical Subject Headings (MESH) were used for keyword selection along with other target keywords, such as “Chemical Fertilizers”, “Pesticides”, “Breast Milk”, “Lactation”, “Contamination”, “Human Health”, “Infant Health”, and “Residues”. We reviewed and included all English language publications. Results: The keyword search yielded a total of 130 studies. Each result was further screened according to the inclusion and exclusion criteria, resulting in a final total of 10 studies to be included in the systematic review. Conclusions: Pesticide residues, especially organochlorines, are consistently found in breast milk, especially in agriculture, which pose significant health risks to infants such as hormonal disruption, growth retardation, and neurodevelopmental delays. Dietary habits and environmental exposure play a major role, and the potential impact of chemical fertilizers, although understudied, remains a concern. Strengthening promotion, encouraging safer agricultural practices, and raising public awareness are essential to mitigate this.

Keywords: Chemical Fertilizers; Pesticides; Breast Milk

Efektifitas Penerapan Metode Family Centered Care Terhadap Kepuasan Keluarga Pada Anak Dengan Hospitalisasi

Tue, 24 Jun 2025 00:00:00 +0800

Pelayanan keperawatan diruang perawatan Anak diukur berdasarkan kepuasan orang tua. Kepuasan orang tua diperoleh karena terpenuhinya kebutuhan anak akan pelayanan keperawatan yang diberikan selama Hospitalisasi. Jika kinerja berada dibawah harapan maka pelanggan kurang puas, namun jika kinerja melebihi harapan maka pelanggan akan merasakan puas atau senang. Untuk dapat meningkatkan kualitas, salah satu cara yang dapat dilakukan adalah dengan mengukur tingkat kepuasan pasien dan keluarga terhadap penerapan Family Centered Care di rumah sakit. Menjadikan kepuasan pasien dan keluarga sebagai orientasi merupakan salah satu ciri pelayanan kesehatan bermutu. Tujuan dari penelitian ini ialah untuk mengetahui Efektifitas penerapan Family Centered Care terhadap kepuasan keluarga pada anak dengan hospitalisasi di RSU Andi Makkasau Parepare.Survei ini merupakan penelitian kuantitatif yang menggunakan desain analitik dengan pendekatan Cross Sectional. Teknik pengambilan sampel menggunakan Accidental Sampling . Polpulasi Responden yaitu 60 responden Penentuan jumlah sampel yaitu menggunakn rumus slovin dengan sampel 53 Responden . Instrumen yang digunakan yaitu kuesioner family centres care dan kuesioner kepuasan keluaraga dengan menggunakan skala likert.Analisis data menggunakan uji statistik Chi-Square Correlation dan diuji menggunakan Analitik statistik .Hasil penelitian ditemukan bahwa terdapat pengaruh penerapan Family Centered Care terhadap kepuasan keluarga pada anak dengan hospitalisasi di RSU Andi Makkasau Parepare dengan nilai signifikansi p value = 0,000< 0,05.Kesimpulan dari penelitian adalah ada pengaruh signifikan antara Family Centered Care terhadap tingkat kepuasan keluarga pada anak dengan hospitalisasi di RSU Andi Makkasau Parepare. Untuk itu diharapkan perawat dapat mempertahankan penerapan Family Centered Care untuk dapat meningkatkan pelayanan dan kepuasan melalui Asuhan Keperawatan.

Kata Kunci : Anak, Hospitalisasi, Family Centered Care, Kepuasan Keluarga

Identifikasi dan Distribusi Kutu Busuk (Cimex sp.) di Beberapa Pesantren Kota Palangka Raya

Elza Widya Putri, Astri Widiarty, Arif Rahman Jabal — Tue, 24 Jun 2025 00:00:00 +0800

Bed bugs (Cimex sp.) are insects that can cause dermatitis, allergic reactions, and potential anemia through their blood-feeding bites. Their spread is closely related to environmental cleanliness and the condition of bedding. This study aims to determine the presence and identify the species of bed bugs (Cimex sp.) found in Islamic boarding schools (pesantren) in Palangka Raya. This descriptive quantitative study with a cross-sectional design was conducted in January 2024 at several Islamic boarding schools in Palangka Raya to identify the presence and types of bed bugs (Cimex sp.) in students' dormitories. The study samples included mattresses, bolsters, pillows, carpets, and sofas located in dormitories with damp conditions and limited sunlight, using purposive sampling techniques. The equipment used included non-sterile gloves, flashlights, masks, head coverings, small bottles (100 cc urine pots), and label papers for visual inspections and the collection of Cimex sp. samples.Findings from six Islamic boarding schools in Palangka Raya revealed the presence of bed bugs (Cimex sp.) on mattresses, pillows, stuffed toys, and wooden cupboards. Macroscopic characteristics, such as black spots, were notably found at Nurul Solihin and Hidayatul Insan Islamic Boarding Schools. Nurul Solihin recorded the highest number of Cimex sp., with 71 eggs, 32 nymphs, and 36 adult bugs. These findings suggest that the sleeping environment in some boarding schools potentially supports bed bug development. The study identified Cimex lectularis at Nurul Solihin and Hidayatul Insan Islamic Boarding Schools, with life cycle stages found, including eggs, nymphs, and adult bugs, and their habitats distributed in both schools.

Cakupan Perlindungan Sosial Dan Ketahanan Pangan Kunci Penanganan Stunting : Analisis Deskriptif Di Jeneponto Dan Barru, Sulawesi Selatan

Dien Abdul Munir, Sumardiyono, Nur Hafidha Hikmayani — Tue, 24 Jun 2025 00:00:00 +0800

Background : Food security and social protection are two variables that contribute to stunting prevalence and are critical points to prevent the incidence of stunting. Programs related to food security and social protection as efforts to prevent the incidence of stunting have been implemented in all districts/cities in Indonesia, including Jeneponto and Barru Districts, but comprehensive information regarding these programs has not been studied. Objective : This study aims to descriptively explain the opportunities for stunting prevention through social protection programs for the families with food insecurity in Jeneponto and Barru Districts. Method : The design of this study is descriptive, using data on children aged 0–23 months from the 2022 Indonesian Nutrition Status Study in Jeneponto and Barru Districts. Data analysis was conducted using IBM SPSS Statistics 25, presenting data percentages and variables in categorical form. Results : The percentage of children with normal nutritional status is higher compared to those with stunting among family that received social protection. Families that received social protection do not experience food insecurity in both districts. The percentage of children who are stunted in Barru District is higher compared to Jeneponto District. Conclusions : Social protection has been effectively implemented not only among households with food insecurity but also among the household with food insecurity, which contributing positively to stunting prevention. With integrated social protection and food security, the leverage for stunting prevention will be significantly greater.

Plant-Based Nanoemulsions: Harnessing Antioxidant Potential in Pharmaceutical and Cosmetic Applications

Nur Aisyah, Sriwidodo, Patihul Husni, Santi Sinala — Tue, 24 Jun 2025 00:00:00 +0800

The development of nanoemulsion technology has emerged as a significant breakthrough in the pharmaceutical and cosmetic industries, particularly in enhancing the efficacy and stability of bioactive compounds derived from natural sources. Plant-based antioxidant compounds, such as flavonoids, terpenoids, and polyphenols, exhibit potent biological activities in combating oxidative stress, which plays a critical role in the pathogenesis of various degenerative diseases, including cancer, cardiovascular disorders, and neurodegenerative conditions. However, the optimal utilization of these compounds remains challenging due to their low water solubility, instability under environmental conditions, and poor bioavailability in biological systems. This review aims to analyze the potential application of plant-based nanoemulsions as delivery systems for antioxidant compounds in biomedical and cosmetic contexts. The method employed is library research, involving the selection and review of scientific literature published between 2019 and 2024, including both national and international journals focusing on nanoemulsions, antioxidants, and medicinal plants. The findings reveal that nanoemulsion formulations can significantly enhance the stability of antioxidant compounds against exposure to high temperatures, oxygen, and light, as well as improve the solubility of lipophilic compounds in aqueous media. The antioxidant activity levels of nanoemulsion formulations derived from various plant sources show considerable variation. The most favorable IC50 values were recorded for rosehip seed oil nanoemulsion (15.684±2.106 ppm), turmeric (31.16 ppm), and Curcuma xanthorrhiza extract (approximately 25.3%), indicating high potential as natural antioxidants. Conversely, the highest IC50 value was observed in a formulation combining green tea extract and calendula oil (50502.14±0.01 ppm), which may be influenced by factors such as the extraction method and the type of surfactant used. In addition to their antioxidant properties, plant-based nanoemulsions have demonstrated effectiveness in various medical applications, including targeted drug delivery, cancer therapy, wound healing, and neuroprotection. With additional attributes such as transparency, high stability, and the use of natural components—such as non-ionic surfactants and plant-based oils—nanoemulsions are regarded as safe and environmentally friendly. This review concludes that plant-based nanoemulsions not only enhance the functional performance of natural antioxidant compounds but also hold substantial promise for the development of more effective, efficient, and sustainable therapeutic and cosmetic products.

Indonesia

Feggy Yustika Sitinjak, Arif Budiman, Diah Lia Aulifa, Santi Sinala — Tue, 24 Jun 2025 00:00:00 +0800

The cosmetics industry has swiftly evolved in tandem with the growing public consciousness of the significance of skincare and aesthetic presentation. In this context, cosmetic goods serve not only to enhance appearance but also to deliver additional functional advantages, including UV protection, antioxidant properties, skin whitening, anti-aging effects, and more. To achieve these functional claims, suitable formulations must have active substances with significant biological efficacy. One of the primary issues encountered is the instability of these active components, which are susceptible to deterioration from environmental conditions such as pH variations, temperature fluctuations, light exposure, and oxygen, ultimately diminishing the product's efficacy. Microencapsulation is a method that mitigates this problem by encasing active substances within a protective shell to safeguard them from external deterioration. This method has multiple advantages, including prolonging the shelf life of active substances, improving their absorption into the skin, and facilitating regulated release. Diverse microencapsulation techniques, including spray drying, ionic gelation, solvent evaporation, and nanoencapsulation, can be utilized in cosmetic product formulation to enhance the stability and efficacy of both hydrophilic and lipophilic active compounds. This study seeks to deliver a thorough examination of microencapsulation's applicability in the cosmetics sector, emphasizing the improvement of active component efficacy and stability. The literature review indicates that microencapsulation enhances the stability of active ingredients, safeguards them against oxidation and degradation from external influences, and improves controlled release in cosmetic goods, including sunscreens, anti-aging creams, and moisturizers. The paper analyzes several prevalent microencapsulation techniques and their advantages, such as improving user comfort via more aesthetically pleasing formulations, concealing unpleasant odors or colors, and minimizing irritation risk for sensitive skin. Consequently, microencapsulation provides solutions for extending shelf life and enhancing stability while also improving the user experience of cosmetic items. This technology facilitates the creation of safer, more stable, effective, and sustainable cosmetic products, enhancing the overall value of the cosmetics sector.

Faktor Risiko Kesiapan Kehamilan, Perilaku Nurtisi, dan Perilaku Pencegahan sebagai Prediktor Hipertensi Kehamilan

Tue, 24 Jun 2025 00:00:00 +0800

Hipertensi dalam kehamilan merupakan kondisi tekanan darah tinggi yang muncul selama masa kehamilan atau disebabkan oleh kehamilan itu sendiri, dan umumnya terjadi setelah usia kehamilan mencapai 20 minggu. Kondisi ini menjadi salah satu komplikasi kehamilan yang cukup umum, dengan prevalensi sekitar 5–15%. Kesiapan ibu menghadapi kehamilan, perilaku nutrisi dna perilaku pencegahan dinilai sangatlah penting untuk membantu mengurangi angka kematian ibu dan bayi salah satunya dengan menjaga kehamilan tanpa disertai hipertensi. Penelitian ini bertujuan untuk menganalisis kesiapan kehamilan, perilaku nutrisi dan perilaku pencegahan terhadap kejadian hipertensi kehamilan. Metode penelitian menggunakan analitik observasional dengan rancangan cross sectional study. Sampel dalam penelitian adalah 71 ibu hamil menggunakan accidental sampling. Instrumen penelitian menggunakan kuesioner dan tensimeter dan data yang dikumpulkan diuji menggunakan uji statistic spearman rank. Hasil penelitian menunjukkan kesiapan kehamilan dengan kejadian hipertensi kehamilan ditemukan p value 0,039 dan nilai kooefisien korelasi -0,246 , pada perilaku nutrisi dengan kejadian hipertensi kehamilan menunjukkan p value 0,010 dan nilai kooefisien korelasi -0,306 serta perilaku pencegahan dengan kejadian hipertensi kehamilan menunjukkan p value 0,046 dan nilai kooefisien korelasi -0,238. Kesimpulan penelitian ini ada pengaruh kesiapan kehamilan terhadap kejadian hipertensi kehamilan, ada pengaruh perilaku nutrisi dengan kejadian hipertensi kehamilan serta ada pengaruh perilaku pencegahan dengan kejadian hipertensi kehamilan

Kata Kunci : Hipertensi; Kehamilan; Nutrisi; Pencegahan; Perilaku.

Effectiveness of Continuum of Care on Mothers' Ability to Care for Babies in Makassar City

Siti Mukarramah, Afriani, Amanda Damayanti, Marhaeni, Wirawati Amin — Tue, 24 Jun 2025 00:00:00 +0800

Every child has the right to live, grow, develop and be protected. For this reason, it is necessary to carry out comprehensive, integrated and sustainable efforts for children's health from the fetus to the age of 18 years. The aim is to ensure the survival and quality of life of children through reducing mortality rates, improving nutrition, and fulfilling minimum service standards for babies. This study aims to assess the relationship of Continuum of Care (COC) to mothers' ability to care for babies in Makassar City. Method: used is quantitative with analytical observational method with case control design. The research sample consisted of 76 mothers, with 38 mothers receiving COC services and 38 mothers not receiving these services. Data were analyzed using the chi-square test and Odds Ratio (OR) calculations. The results of the study showed that mothers who received COC services had better ability to care for their babies compared to those who did not receive them. Of the 38 mothers who received COC, 89.4% were able to care for their babies well, while only 34.2% of mothers who did not receive COC were able to care for their babies. A p value of 0.000 indicates this difference is statistically significant. The Odds Ratio shows that mothers who do not receive COC services are 16 times more likely to be unable to care for their babies compared to mothers who receive COC (OR = 16.346). This research concludes that the implementation of the COC program significantly increases mothers' abilities in caring for babies. Therefore, it is recommended that the COC program be implemented widely to improve the quality of infant care and maternal and child health.

Faktor-faktor yang Mempengaruhi Komunikasi Orang Tua-Remaja dalam Isu Kesehatan Seksual dan Reproduksi: Tinjauan Literatur Sistematis

Nurul Fatimah Susanti, Hasrita Octaliana, Endah Purda Listya — Tue, 24 Jun 2025 00:00:00 +0800

Adolescence is transition between children and adults, in this phase physiological, psychological and social changes occur. The teenage age group is 10-18 years old. Adolescents who have sufficient knowledge about reproductive health and sexual health are expected make responsible decision about sexual behavior and avoid reproductive health problems such as early marriage, unwanted pregnancies, abortion, STIs including HIV/AIDS. Parents are the closest people and have access to guide and encourage teenagers in thinking about reproductive health. The research was created to update and provide a comprehensive picture of the factors that influence the way parents and adolescents communicate about reproductive health issues. The literature review was carried out using the Pubmed and ScienceDirect databases. Inclusion criteria are articles published in 2020-2024, written in English, and all articles are free and accessible. Factors that influence communication between parents and teenagers about sexual health and reproductive health include the level of education of parents, knowledge of adolescence about sexual and reproductive health, positive attitudes of parents towards sexual and reproductive health issues, gender where female teenagers are more open to communicating about sexual and reproductive health.

Remote Patient Monitoring Pada Pasien Kanker: Analisis Konsep

Ashar Prima, Dewi Gayatri, Yati Afiyanti, Christantie Effendy — Tue, 24 Jun 2025 00:00:00 +0800

ABSTRACT

Remote Patient Monitoring (RPM) has emerged as an innovative approach in healthcare, particularly for monitoring patients with chronic conditions such as cancer. Variations in approaches across research and clinical practice can lead to differing interpretations among healthcare professionals and researchers. This study aims to explore the concept of remote patient monitoring. The concept analysis follows Walker and Avant’s eight-step approach: Selecting the concept, Determining the aims of analysis, identifying all uses of the concept, determining defining attributes, identifying a model case, identifying borderline and contrary cases, identifying antecedents and consequences, and defining empirical referents. A literature search was conducted using Google Scholar, Scopus, ScienceDirect, EBSCOhost, and ProQuest databases to identify articles published between 2018 and 2024. The study identified key attributes of remote patient monitoring, including continuous symptom and side effect monitoring, technology integration, multidisciplinary collaboration, accessibility and affordability, and patient-centered care. The antecedents of RPM include the availability of digital technology and infrastructure, the healthcare needs of cancer patients, challenges in healthcare accessibility, and patient digital literacy and readiness. The consequences of RPM include improved patient outcomes, enhanced quality of life, cost-effectiveness, and patient empowerment. Remote patient monitoring is a key innovation that enables real-time monitoring, early detection of complications and improved care coordination. Nurses play a key role in interpreting data and communicating with healthcare teams. However, ambiguity in the definition of RPM can be a barrier to its effective implementation.

Utilization of Eco Enzyme as an Innovation in Bacteriological Control of Indoor Air

Zaenab, Nurfitriani Azizah — Tue, 24 Jun 2025 00:00:00 +0800

Indoor air contaminated by microorganisms, such as bacteria, can cause health issues, particularly respiratory infections. The use of eco enzyme as a natural disinfectant presents an environmentally friendly alternative for controlling airborne germ counts. This study aims to examine the effectiveness of eco enzyme at concentrations of 15%, 20%, and 25% in reducing indoor airborne germ counts. The research utilized a Quasi-Experimental method with a Pre-Post Test Control Group design. Samples were collected from three classrooms at SMA Negeri 12 Makassar using random sampling. The eco enzyme concentrations tested were 15%, 20%, and 25%, with a contact time of 1 hour. Data were analyzed using a One-Way ANOVA test. The results showed a significant reduction in airborne germ counts at all eco enzyme concentrations: 15% resulted in a 14% reduction, 20% in a 24% reduction, and 25% in a 76% reduction. The control group experienced a 27% increase in germ counts. Statistical analysis revealed a significant difference, with the 25% concentration being the most optimal, as indicated by a p-value of 0.0001 (< 0.05). The use of eco enzyme at a 25% concentration was proven to effectively and significantly reduce airborne germ counts, making it a promising environmentally friendly disinfectant alternative. It is recommended to apply methods such as dry mist to enhance the distribution of eco enzyme. Further studies with higher concentrations and longer contact times are needed to maximize its effectiveness.

Keywords : Eco Enzyme; Disinfectant; Airborne Germ Count; Indoor Air

Potential Laboratory Test Biomarkers in Screening, Diagnosis, and Monitoring of Dengue Fever Patients: A Research Perspective in South Sulawesi Province, Indonesia

Tue, 24 Jun 2025 00:00:00 +0800

Background: Dengue fever is at risk of dengue shock syndrome which can cause death if not diagnosed and treated early. In addition to taking anamnesis laboratory tests are needed. Laboratory tests that can be performed include dengue NS1 examination, dengue IgG IgM, total platelet count, and platelet index. This study aims to see the correlation between the results of dengue NS1 and dengue IgG IgM examinations on the results of total platelet count and platelet index (MPV, PDW, P-LCR, and PCT) in patients with dengue fever.

Methods: This study is a correlative research method with an analytic cross sectional approach, which was conducted at the Clinical Pathology Laboratory of Hasanuddin University Hospital Makassar on December 1, 2024 to February 28, 2025.

Results: The results showed that there was a significant relationship between the results of dengue IgG examination to the total count of platelets p=0.032 (p<0.05) and PDW p=0.031 (p<0.05), while there was no significant relationship to the results of PCT examination p=0.788 (p>0.05). For the results of dengue IgM and dengue NS1 examinations respectively there was no significant relationship to the total platelet count p=0.565 p=0.624 (p>0.05), PDW p=0.728 p=0.188 (p>0.05), and PCT p=0.841 p=0.454 (p>0.05). The MPV and P-LCR examination results showed constant results, so statistical tests were not carried out.

Conclusions: It was concluded that the examination of total platelet count and PDW platelet index could be potential laboratory biomarkers for screening, diagnosis, and monitoring of dengue infection patients based on dengue IgG test results.

Potensi Biji Nangka (Artocarpus heterophyllus) Sebagai Media Alternatif Pertumbuhan Jamur Aspergillus sp

Zulfian Armah, Rezi Anggreani, Herdiana, Muhammad Nasir, Rahman — Tue, 24 Jun 2025 00:00:00 +0800

Jackfruit seeds are organic waste that has not been utilized optimally, even though jackfruit seeds have quite high nutritional value, one of which is the carbohydrate content. Jackfruit seeds can be used as an alternative medium for mushroom growth because they have a high nutritional content, namely carbohydrates. Alternative media is natural media where the elements in it are not clearly known. Alternative media for jackfruit seeds is an alternative media made from jackfruit seed juice. The aim of this research is to analyze the growth of the fungus Aspergillus sp on alternative media for jackfruit seeds. This research was carried out using laboratory observation methods and laboratory experiments by looking at differences in the growth of Aspergillus sp in 3 types of concentrations, namely 20% concentration, 40% concentration and 60% concentration in terms of the size of the colony diameter. This research was conducted at the Microbiology Laboratory, Department of Technology, Medical Laboratory, Health Polytechnic, Ministry of Health, Makassar, from 18 to 26 April 2024. The sample in this research was jackfruit seed juice which was used as the main ingredient for an alternative medium for fungal growth of jackfruit seeds. Based on this research, the results obtained were the average diameter of Aspergillus flavus for 5 days on jackfruit seed media with concentrations of 20% 33.7 mm, 40% 33.9 mm, and 60% 41.7 mm. The most effective media concentration is a concentration of 60%. It is recommended that further research be carried out regarding fungal growth media with other variations in concentration, using boiled water from jackfruit seeds, and not adding dextrose to the alternative media composition.

Kadar Protein dan Zat Besi Churros Dengan Substitusi Tepung Daun Kelor Dan Tepung Ikan Teri Tawar

Adriyani Adam, A. Tia Mutiara Ihsan, Retno Sri Lestari, Fatmawati Suaib — Wed, 25 Jun 2025 00:00:00 +0800

Adolescent girls are at risk of anemia due to lack of iron intake. Data from the Makassar City Health Office (2024) found that anemia sufferers in adolescent girls amounted to 3.98% of 4788 people. One of the alternative snacks that can help prevent anemia is churros developed with the substitution of moringa flour and anchovy flour. This study aims to determine the acceptability of churros with the substitution of moringa flour and anchovy flour based on aspects of color, aroma, texture, and taste, as well as analyzing protein and iron levels. This type of research is pre-experimental research. The research design used was Post-test Only Design. This research was conducted in the organoleptic laboratory in January 2025 with 30 untrained panelists, while the test of protein and iron levels was analyzed at the Makassar Health Laboratory Center using the micro kjehdal method for protein and iron levels using the Atomic Absorption Spectrophotometer (AAS) method. The results of the study of the acceptability of churros substituted with moringa flour and fresh anchovy flour from the aspects of color, aroma, texture, and taste were most liked by F2 with a concentration of 10:10. The results of the analysis of protein content showed that the protein content of churros was 0.4186 grams / 4 grams or 10.465 grams / 100 grams. It is recommended to further study the processing of churros to maintain protein levels so as not to decrease and to test other nutrients for the development of churros products.

Keywords: Churros, Iron, Protein

The Relationship Between Marketing Mix And Outpatient Patient Loyalty In Hospital Tk II 14.05.01 Pelamonia Makassar

Mon, 30 Jun 2025 00:00:00 +0800

Background, Marketing mix is the main effort of the hospital which is closely related to patient behavior to utilize services. Marketing mix elements consist of: product, price, promotion, place, people, process, and physical facility. However, in current developments, the marketing mix is further detailed into 10 P or often referred to as mega marketing mix. The decision on the marketing mix from 4 P to 10 P is the result of a discussion with dr. Samsi Jacobalis, namely People, Public, Power, Pressure and Performance. The purpose of the study is to determine the relationship between marketing mix and outpatient loyalty at Class II Hospital 14.05.01 Pelamonia Makassar. The method, this study is quantitative with a cross-sectional approach. The population in this study was 8,134 people and the sample in this study was 269 people. Results and Conclusions, There is a significant relationship between the dimensions of product (p = 0.0027), promotion (p = 0.002), physical evidence (p = 0.027), process (p = 0.000), performance (p = 0.007), public relations (p = 0.026) and power (p = 0.000) with the loyalty of outpatients at Class II Hospital 14.05.01 Pelamonia Makassar. And there is no relationship between the dimensions of price (p = 0.180), place = 0.664), and people (p = 0.713) with the loyalty of outpatients at Class II Hospital 14.05.01 Pelamonia Makassar. Suggestions, for hospitals to further improve marketing efforts that can be done to continue to increase patient loyalty.

Keywords : Marketing Mix, Loyalty, Hospital, Outpatient

Karakteristik Siswi Dengan Kejadian Anemia Pada Remaja Putri di Kota Makassar

Ruqaiyah, Ayatullah Harun, Fatmawati Amir, Ali Imran — Mon, 30 Jun 2025 00:00:00 +0800

Anemia is a global health problem that is commonly found among adolescent girls, especially in developing countries. Anemia occurs when the hemoglobin level in the blood falls below normal, disrupting the transport of oxygen to body tissues. Makassar City, as a major urban center with diverse socioeconomic backgrounds, continues to face unresolved issues of anemia among female students. Several local surveys have found that adolescents from lower-middle economic backgrounds and those with poor nutritional knowledge tend to have a higher risk of developing anemia. This study aimed to identify the characteristics of students that contribute to the incidence of anemia among adolescent girls in Makassar City. This research employed an analytical design with a cross-sectional approach, conducted in March 2023 on 60 female students at SMP Negeri 16 Makassar. The variables studied included father's education, mother's education, parental income, nutritional knowledge, and hemoglobin levels. Data collection was carried out using questionnaires and hemoglobin measurements, and the data were analyzed using the chi-square test. The results showed that there were no significant associations between the father's and mother's education, family income, or nutritional knowledge and the incidence of anemia among students. The conclusion of this study emphasizes the need for strengthening behavior-based nutritional interventions and practical nutrition literacy. While education and nutritional knowledge are important, the findings indicate that knowledge alone is not sufficient to prevent anemia unless it is followed by appropriate dietary practices.

Keywords : adolescent, anemia, characteristics, haemoglobin