Publication Search

Pseudomonas aeruginosa is a major nosocomial pathogen known for its multidrug resistance, including carbapenems. This study aimed to investigate the prevalence of carbapenem resistance in P. aeruginosa of clinical sources and sequencing of 16S rRNA and blaOXA-50 genes Methods: A total of 53 P. aeruginosa isolates from burn, wound, urinary tract, and ear infections were analyzed. Antibiotic susceptibility testing identified carbapenem-resistant isolates. Polymerase Chain Reaction (PCR) detected 16S rRNA and blaOXA-50 genes, followed by DNA sequencing and phylogenetic analysis of 16S rRNA. Results: Among the isolates, 20 (37.73%) originated from wounds, 16 (30.19%) from burns, 10 (18.9%) from urinary tracts, and 7 (13.20%) from ears. Notably, 12 isolates (22.64%) exhibited carbapenem resistance. All carbapenem-resistant isolates harbored both 16S rRNA and blaOXA-50 genes. 16S rRNA sequencing demonstrated 99.66% homology to known P. aeruginosa strains, further confirmed by phylogenetic analysis. The blaOXA-50 gene displayed high sequence identity (98%-100%) with isolates from Russia, suggesting a potential clonal relationship. Conclusion: A moderate prevalence of carbapenem-resistant P. aeruginosa was revealed by this study and based on 16S rRNA and blaOXA-50 genes sequencing, these strains offered a high genetic similarity compared to the global strains. Further investigation is required to determine the role of blaOXA-50 carbapenem resistance in this bacterium.

Stunting is a chronic nutritional problem that impacts the growth and development of children, posing a serious challenge to public health in Indonesia. One strategic approach to addressing this issue is through intensive training of health cadres. Health cadres play a crucial role in educating the community about the importance of balanced nutrition and good health practices, especially for pregnant women and young children. Structured and continuous intensive training for health cadres is expected to enhance their knowledge and skills in early detection of stunting cases, providing nutritional education, and implementing appropriate interventions. This training program covers various topics such as healthy eating patterns, infant and young child feeding (IYCF), and prevention of diseases contributing to stunting. Additionally, the training includes simulations and field practices that allow health cadres to apply their acquired knowledge in real-life situations. Results from this training show significant improvements in the competencies of health cadres and a reduction in stunting prevalence in the intervention areas. Therefore, intensive training of health cadres has proven to be an effective strategy for stunting prevention and needs to be widely implemented in various regions of Indonesia.

Stunting is a growth disorder due to malnutrition that occurs in children under five years old. Stunting in children under five is a consequence of several factors that are often associated with poverty, including nutrition, health, knowledge and social and cultural factors. The aim of this research is to look at the factors that cause stunting in toddlers. The research method uses Scoping Review to map literature and identify problems or shadows in the research area to be studied. The results of the research show that data obtained that the number of stunting cases in Jorong Lubuk Sao can be worrying, the results of the data show that there is an average for each stunting indicator (TB, BB, LK) which indicates stunting. The intervention that has been carried out from the data above is by providing outreach and counseling regarding healthy food as well as introducing the electronic application ready for marriage and pregnancy (elsimil) to the local community, this is an accompanying screening application for prospective brides (catin), prospective couples of childbearing age (CaPUS) , pregnant women, postpartum mothers, and families with babies aged 0-59 months. The conclusion of this research is that the stunting prevalence rate in Indonesia is still above 20%, meaning it has not reached the WHO target. Influencing factors are low levels of exclusive breastfeeding, low protein energy intake, poor provision of MP-ASI, low family income, completeness of immunizations.

Obesity in children and adolescents is a global health problem, with increasing prevalence in low- and middle-income countries and consistently high obesity rates in high-income countries. Obesity, characterized by excessive lipid accumulation, is primarily caused by an energy imbalance resulting from high caloric intake and inadequate expenditure. This activity uses the PDCA (Plan-Do-Check-Act) methodology, involving 167 participants for obesity screening. The results of measuring Body Mass Index and waist circumference showed that 14 (8.39%) people were obese level II, 22 (13.18%) people were obese level I, 13 (7.79%) people were overweight, and 53 ( 31.74%) people have a risk of central obesity. Early detection through routine anthropometric assessments allows timely intervention, including lifestyle modifications to prevent obesity and related comorbidities, thereby improving overall health outcomes.

There are still many students who do not fully understand the ethics of digital communication, as can be seen from the way digital communication is not ethical for students to lecturers through WhatsApp shared by private campuses in Mataram City. On the other hand, the concern of campus institutions about this is still not optimal, causing the increasing prevalence of unethical digital communication between students and lecturers. The purpose of the research is to explore and examine the integration of ethno-digital ethic values that can be applied in campus habituation, as well as its influence on strengthening communication ethics and social trust of students in Mataram City. The research method to be used is a mixed method with a concurrent triangulation design. The location of the research is in Mataram City. This research was conducted by involving 157 informants and respondents consisting of 132 students, 10 education staff, 10 lecturers, and 5 campus leaders from five universities in Mataram City. This research was carried out in several stages, initial and follow-up observation, tests, and analysis. The results of the study show that ethno-digital ethic values integrated into campus habituation through academic and non-academic activities have a positive impact on strengthening communication ethics and social trust among Mataram City students. The integration of traditional ethical values with digital norms not only provides a strong moral framework for students but also creates a more inclusive and trusting social climate.

The prevalence of active smokers in Indonesia continues to increase. Efforts to prevent smoking behavior in adolescence are very important to reduce long-term health risks. The purpose of this community service is to increase knowledge about the dangers of smoking. This community service was given to 50 students with counseling using leaflets and power points. In general, the implementation of this community service was categorized as successful and went well. There was an increase in knowledge about the content of cigarettes and the dangers of smoking after counseling.  

This research describes cases of bullying among students, especially in Tanjungpinang City, which are of serious concern because of their damaging impact both emotionally and physically on the victims. This phenomenon continues and forms a cycle that is difficult to break, starting from social pressure to aggressive actions carried out both verbally, physically and relationally. Of course, this cannot be separated from the role of education and educators. This research aims to examine the prevalence, forms and impacts of bullying in the school environment, as well as exploring available legal protection measures. The research used is a normative legal approach by referring to statutory regulations and a conceptual approach in the analysis of legal materials. The results of the analysis show that bullying, whether verbal, physical, or relational, has a significant impact on victims, such as mental health disorders, decreased academic achievement, and sleep disorders. On the other hand, bullies are also vulnerable to psychological problems and serious legal risks.

Aging is associated with significant changes in body composition, specifically a decrease in lean body mass and an increase in fat mass. These changes contribute to the prevalence of obesity and sarcopenia in the elderly population, impacting quality of life, morbidity and mortality. A complex interaction between hormonal decline, chronic inflammation, nutritional deficiencies, and reduced physical activity underlies these changes. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for obesity and sarcopenia in the elderly at St. Mary's Church, Francis of Assisi. We use Bioelectrical Impedance Analysis (BIA) to measure body composition, which includes total body fat, visceral fat, subcutaneous fat, and muscle mass. Among 32 participants, the average total body fat, visceral fat, subcutaneous fat, and muscle mass were 36.5% each; 9.6%; 9.68%; and 21.5%. Body composition assessment using BIA is very important in managing the elderly's health. Preventive strategies, including tailored exercise programmes, nutritional counselling, and lifestyle modifications, are essential to maintain muscle mass and prevent excessive fat deposition, thereby improving quality of life and reducing morbidity and mortality. Keywords: Body Composition, Obesity, Sarcopenia, Elderly, Bioelectrical Impedance Analysis

This research aims to determine the prevalence of cases of violence against children based on hadith and law no. 35 of 2014. Violence against children is a serious problem that affects children's welfare and development. This article presents an analysis of violence against children based on the hadith perspective and Law no. 35 of 2014 concerning Child Protection. Through a literature review, this article describes the concept of violence against children according to Islamic teachings as well as the legal perspective regulated in Law no. 35 of 2014. Apart from that, this article also discusses the impact of violence on children and prevention efforts that can be taken from both a religious and legal perspective. It is hoped that this article can provide deeper insight into child protection in the context of violence and provide a basis for efforts to overcome violence against children in society.

Stunting is a condition of failure to thrive in children, in Indonesia it is still a serious problem with a fairly high prevalence. The government is trying to reduce stunting rates with various health programs, and early detection through routine measurements is very important. This research uses the Extreme Gradient Boosting (XGBoost) algorithm to classify stunting status in children under five years. This study uses a relevant dataset containing anthropometric information on children, such as gender, age, birth weight and length, current weight and length, and breastfeeding status. The research stages include dataset search, preprocessing, classification, evaluation, and implementation in a local web-based prediction program. The XGBoost algorithm was chosen because of its advantages in speed, scalability, and efficiency. After preprocessing and data sharing, the model was trained and tested, resulting in 86% accuracy, 89% precision, 95% recall, and 92% F1-score. Evaluation using the confusion matrix and classification report shows that this model is quite effective in classifying stunting status.  

Hyperglycemia is the main characteristic of diabetes mellitus (DM) disease characterized by an increase in blood sugar levels above the normal threshold (200 mg/dL) which can be caused by relative or absolute insulin deficiency, or by cellular resistance to insulin action. Hyperglycemia is one of the metabolic disorders with a high risk of hospitalization and disability, especially in patients with diabetes mellitus with an increasing prevalence. To provide an overview of the implementation of health education through leafleat media to improve the stability of blood glucose levels in patients with diabetes mellitus at the GPM Ambon Source of Life Hospital. Subject Research Patient was Mrs. R in the Atalia Room of Sumber Hidup Hospital on May 16-17, 2022. The research found that Mrs. R did not understand several things about the stability of blood glucose levels. The nursing diagnosis raised in the patient is the risk of blood glucose instability. Nursing action is to provide health education about the lack of exposure to information about Hyperglycemia, Mrs. R can understand the stability of blood glucose levels. Based on the results of research conducted in the Atalia room at the GPM Ambon Living Source Hospital on May 16-17, 2024 in patient "Mrs.R" with DM, it can be concluded that providing health education using Leaflet media in overcoming the lack of exposure to information regarding Hyperglycemia in Diabetes Militus patients is very important.

Dysmenorrhea is menstrual pain that occurs in the lower abdomen and spreads to the back, waist, pelvis, upper thighs, and calves. The cause of dysmenorrhea is an increase in prostaglandin levels so that the contractility of the uterine muscle is ischemic as a result of the vasoconstrictive effect produced by prostaglandins. According to data from the World Health Organization (WHO) the prevalence of dysmenorrhea in adolescents is 90% consisting of  75% -80% primary dysmenorrhea and 10% - 15% experiencing secondary dysmenorrhea, while data from the Association of Southeast Asian Nations (ASEAN) prevalence of primary dysmenorrhea in Malaysia (69.4%), Thailand (84.2%), and Indonesia (65%). The prevalence of dysmenorrhea in Indonesia in 2018 was 64.25% consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. This study aims to determine the effectiveness of administering avocado juice (Persea americana Mill) on reducing the rate of primary dysmenorrhea in first-level students of applied undergraduate study programs at the Indonesian Ministry of Health Polytechnic in Medan in 2023.The type of research used was Quasi Experiment with One Group Pretest and Posttest design. The sample in the study amounted to 30 people. The results of the research on the experimental group obtained a decrease in menstrual pain scale with an average of 2.66. The results of the analysis using the Wilcoxon test with a 95% level of confidence show a Sig (2-tailed) value of <0.05, which means that there is an effect of giving avocado juice on a decrease in primary dysmenorrhea in first level female students of the Bachelor of Applied Midwifery Study Program, Poltekkes Kemenkes Medan in 2023. It is expected that Poltekkes Kemenkes Medan to be able to utilize avocado fruit which is processed into juice in reducing menstrual pain in female students and for future researchers to be able to use my thesis as a reference.

Serum uric acid (SUA) is the end product of purine metabolism in humans. When the body makes too much uric acid and the kidneys don't get rid of it quickly enough, this is called hyperuricemia. This leads to gouty arthritis because monosodium urate crystals build up in the joints. Normal SUA levels are 3.5–7.0 mg/dL in men and 2.6–6.0 mg/dL in women, influenced by diet, genetics, kidney function and medications. The prevalence of hyperuricemia is increasing globally, both in developed and developing countries. Although often asymptomatic, elevated SUA can cause tissue damage and increase the risk of hypertension, dyslipidemia, obesity, metabolic syndrome, type 2 diabetes, cardiovascular disease, and chronic kidney disease (CKD). This activity uses the PDCA (Plan-Do-Check-Action) method for early detection of hyperuricemia in the elderly at Hana Nursing Home, South Tangerang. Blood test results revealed hyperuricemia in 16 people (26.23%). Routine SUA screening helps identify individuals at risk and allows for preventive measures such as dietary changes and regular exercise.

Stunting is a nutritional problem caused by insufficient nutritional intake for a long time. The condition of failure to thrive in children under five is a result of chronic malnutrition so that the child is too short for his age. Indonesia is among the highest in stunting cases with a prevalence of 37.2% compared to other neighboring countries. Indonesia targets the stunting rate to fall to 14% in 2024, while the stunting rate in 2021 will reach 24%. The impact of stunting is an increase in morbidity and mortality rates in children, growth in body posture or height that is not optimal compared to the child's age, disruption of motor development, increasing the incidence of degenerative diseases, less than optimal learning performance so that children's cognitive and productivity are affected and that furthermore is the increase in Health costs. The Kupang City Government, in an effort to reduce the prevalence rate of stunting below 10% in 2024, is carrying out convergence work or cross-sectoral collaboration within the scope of Pentahelix (Government, PT, Private, Community and Mass Media). The foster parent program is a form of care and effort made by involving all sectors in accelerating the prevention and handling of stunting in toddlers. The sub-districts that are used as places for community service activities are Penfui and Oesapa Selatan Subdistricts, Kupang City. The foster parent program aims to help families who really need health care for children suffering from stunting and malnutrition, and this is based on a sense of care and responsibility. The Kupang Ministry of Health Polytechnic, as one of the implementations of health transformation, supports the government's program in strengthening primary health services, especially stunting, and is expected to be involved and become a team in accelerating the prevention and handling of stunting in Kupang City. The method for implementing this community activity is the Peekaboo Psychoeducational method, namely the Kiss, Hug and Give Feed method as well as providing nutritious food to children aged 6-24 months for 90 days. The results of this community service are the achievement of measurement data on children's body weight, improvements in nutritional value/body weight of children suffering from stunting and increased knowledge of the psychoeducational parenting style of the Peekaboo method to increase parents' knowledge about stunting.

Obesity, characterised by excessive or abnormal fat accumulation, poses significant health risks. The prevalence of obesity in Indonesia's adult population increased from 14.8% in 2013 to 21.8% in 2018, with central obesity rising from 26.6% to 31%. Contributing factors include genetics, lifestyle, psychological stress, and socioeconomic status. Although the Body Mass Index (BMI) is a standard measurement for assessing obesity, BMI does not accurately reflect the composition or distribution of body fat. Therefore, additional anthropometric measurements such as waist and hip circumference are essential. This activity uses the PDCA (Plan-Do-Check-Action) methodology to screen for obesity in adults at Kalam Kudus Middle School, West Jakarta. Of the 129 participants, 26 people (20.16%) were overweight and 35 people (27.14%) were obese. Waist circumference indicated central obesity in 61 women (47.29%) and 19 men (14.73%). Hip circumference showed that 9 men and women (6.98%) had a high risk of metabolic disease. Anthropometric measurements provide important insights into obesity and its health implications, emphasising the need for regular screening and lifestyle modification.

Fatty liver is a medical condition in which fat builds up in liver cells, which can develop into steatohepatitis, fibrosis, cirrhosis and liver cancer if not treated properly. Fatty liver in the elderly causes an increased risk of serious complications due to the high prevalence of metabolic risk factors such as hypertension, diabetes, hyperlipidemia and obesity which are more common in the elderly. The importance of education and understanding risk factors so that the elderly community can adopt a healthy lifestyle is the main focus of this community service activity. Through the Plan-Do-Check-Act (PDCA) method, initial assessment, education, implementation of healthy eating and exercise patterns, and evaluation of the effectiveness of the intervention are carried out. The results showed that the majority of elderly people had cholesterol levels and liver function within normal limits, although 9.7% had hypercholesterolemia and 43% had SGOT levels that were not optimal. Continuous education and support are key in preventing and managing fatty liver and dyslipidemia in the elderly, thereby improving their quality of life.

Abstract: Obesity is a global epidemic and a significant public health problem. In the elderly population, obesity is defined as a BMI ≥ 25 kg/m². In the United States, the prevalence of obesity among the elderly is 37.1% in men and 33.6% in women over the age of 60. Obesity increases the risk of chronic diseases such as type 2 diabetes, hypertension and cardiovascular disease, and can cause psychological problems such as sleep disorders and lack of self-confidence. Accurate obesity risk assessment involves measuring Body Mass Index (BMI) and waist circumference. This activity uses the Plan-Do-Check-Act (PDCA) methodology to screen for obesity in the elderly at Hana Nursing Home, South Tangerang. The screening includes anthropometric measurements of BMI and waist circumference, followed by evaluation and nutritional counseling for at-risk individuals. 9 people (14.75%) had overweight nutritional status, 3 people (4.92%) had obese nutritional status, and 35 people (57.38%) were at risk of central obesity. Routine anthropometric measurements are critical for monitoring obesity and implementing preventive measures to improve overall health outcomes, improve quality of life, and reduce obesity-related morbidity and mortality rates. Keywords: Obesity, Central Obesity, Elderly, Body Mass Index, Waist Circumference

In Indonesia, tuberculosis is ranked third in terms of prevalence among countries with the highest tuberculosis burden. Radiological examination, such as X-rays or X-rays, is a method generally used to detect tuberculosis. Chest X-ray examination is one method used to detect tuberculosis. To achieve these goals, the research will combine two powerful data processing techniques. First, the K-Means algorithm will be used to group x-ray image data based on similar characteristics, making it easier to identify typical patterns from images infected with tuberculosis. The research results show the highest accuracy of 93% using data division with a ratio of 80 : 20 with parameter K = 1. These results show that the combined model of the two algorithms can be applied to identify tuberculosis in the lungs.    

This study aims to explore the role of nutrition in disease prevention and identify the factors influencing the nutritional status of the population in Indonesia. Using a qualitative descriptive approach, this research analyzes scientific literature and secondary data from official sources such as the Central Statistics Agency (BPS) and the Indonesian Ministry of Health. The analysis results indicate that macro and micronutrients, such as complex carbohydrates, plant-based proteins, healthy fats, and vitamins and minerals, play a significant role in reducing the risk of chronic diseases such as type 2 diabetes, heart disease, and cancer. The Mediterranean diet and plant-based eating patterns have proven effective in improving health and preventing disease. However, Indonesia faces complex nutritional challenges, including a high prevalence of stunting in children and rising obesity rates in adults. Stunting is primarily caused by limited access to nutritious food and lack of nutritional knowledge, while obesity is associated with high-calorie diets and low physical activity. This study suggests increasing nutrition education, access to nutritious food, and promoting healthy lifestyles as essential steps to address nutritional problems in Indonesia and improve the overall quality of life.  

The implementation of the No Smoking Area is important in the campus environment because the campus is one of the places that should implement the No Smoking Area. In addition, the campus is a place of learning, where people in it are not only people who smoke, but there are also many passive smokers. Student smoking behavior that is carried out every day inside and outside the lecture hall causes the prevalence of cigarette smoke in the campus environment. With several reasons, there are many male students who smoke. This study aims to determine the implementation of the KTR policy by academics within the scope of the Faculty of Sport and Health Sciences, Makassar State University. This research uses a qualitative study design with data collection methods in this study, namely interviews and participatory observation. The results of this study, namely the implementation of academics regarding communication, resources, bureaucratic structure, and disposition towards KTR policies in the FIKK UNM environment become an obstacle to the enforcement of policy compliance. The conclusion of the results of interviews with observations of research variables in the campus environment is not in line in its implementation. It is recommended to the Faculty of Sport and Health Sciences UNM to increase compliance with KTR policies in the campus environment by increasing communication variables, disposition, resources and bureaucratic structures so that it will reduce the prevalence of smoking rates in the campus environment.