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28,451 Article Results

Paternal breastfeeding self-efficacy in South Tangerang, Indonesia: a qualitative study

10.11591/ijphs.v14i1.24734
Mizna Sabilla , Ratu Ayu Dewi Sartika
Studies focusing on paternal confidence in supporting breastfeeding remain relatively scarce, especially in Indonesia. The purpose of this study was to explore paternal breastfeeding self-efficacy among fathers in Indonesia. This study used a qualitative approach with ten participants, including fathers and mothers with children aged 6-24 months who had experience in exclusive breastfeeding. It took place in South Tangerang City between May and July 2023. Fathers participated in focus group discussions, while mothers underwent in-depth interviews. The data analysis utilized content analysis, referring to the theme of the Self-efficacy framework. This study revealed that fathers felt less confident when dealing with issues such as the baby's low weight, breastfeeding refusal, and the mother returning to work. However, seeing the consequences of not exclusively breastfeeding and the support from health workers and the community helped them stay confident. These factors, along with a sense of pride and satisfaction, strengthened their ability to support exclusive breastfeeding. Paternal breastfeeding self-efficacy is dynamic. However, previous experience, observation of others, verbal persuasion, and positive emotions strengthen fathers' beliefs. Parents need to consult a lactation counselor when facing problems while breastfeeding. Counselors can provide assistance and motivation to remain confident and continue to exclusively breastfeed.
Volume: 14
Issue: 1
Page: 56-63
Publish at: 2015-03-01

The influence of caring-based character learning interventions on the practical competencies among nursing students

10.11591/ijphs.v14i1.24687
Bhakti Permana , Ah Yusuf , Abu Bakar , Dwi Indah Iswanti , I Made Moh. Yanuar Saifudin
This study aimed to assess the impact of an educational intervention centered on fostering a caring-based character on the practical nursing competency related to ethics, law, and cultural sensitivity. The research employed a quasi-experimental approach with a pre-post design, incorporating a control group. Purposive sampling was used to select 33 respondents for both the intervention and control groups (n=66). The competency measurement instrument was validated and deemed reliable. The intervention, carried out over 12 weeks, utilized a module. Data analysis involved the Wilcoxon match pairs test and Mann-Whitney U-test. The intervention group exhibited a significant improvement in practical nursing competency concerning ethics, law, and cultural sensitivity before and after the caring-based character learning intervention (p<0.001), whereas the control group showed no notable difference (p=0.065). Significant competency differences were observed between the intervention and control groups (p=0.023). The implementation of a caring-based character learning module has the potential to enhance nursing students' competency, particularly in practical aspects related to ethics, law, and cultural sensitivity. It is suggested that nursing education incorporates character learning modules into the curriculum, training programs, or extracurricular activities.
Volume: 14
Issue: 1
Page: 391-399
Publish at: 2015-03-01

Particulate matter 2.5 pollution, perception, and mental stress

10.11591/ijphs.v14i1.24587
Raabkwan Khanthavit , Anya Khanthavit
Multivariate mediation analyses were used to relate perceptions of particulate matter 2.5 (PM2.5) pollution level directly and indirectly to mental stress of residents in Bangkok, Thailand. PM2.5 induced concerns about respiratory and cardiovascular diseases, health, and unemployment served as mediators of the indirect effects. This study decomposed full perception into correct perception (actual PM2.5 level) and misperception so that the effects of perception and its components can be examined separately. The data were daily time series, beginning July 30, 2016, and ending September 30, 2023. Unobserved perception, PM2.5 induced concerns, and mental stress were proxied by Google’s relative search volume indexes. Correct perception was the actual PM2.5, whereas misperception was the regression residual of the full perception on the actual PM2.5. In the full sample, full perception and misperception had significant indirect effects, whereas correct perception had a significant direct effect. Respiratory disease was the main contributor to the significant indirect effect, although concern itself was not significant. For the COVID-19 subsample, full perceptions showed significant total, direct, and indirect effects. The significant indirect effect was explained by concerns regarding respiratory diseases and health. Correct perception had a significant direct effect; its indirect effect was small and nonsignificant. The results for misperceptions were similar to those for perceptions.
Volume: 14
Issue: 1
Page: 292-301
Publish at: 2015-03-01

Modeling determinants of stunting among children under five years in Urban Areas

10.11591/ijphs.v14i1.24721
Fibrianti Fibrianti , Fitria Hayu Palupi , Witri Dewi Mentari , Agung Setiyadi , Agung Sutriyawan
Child stunting remains a global public health problem. Compared to other middle-income countries, Indonesia is one of the countries with a high prevalence of stunting. This study aims to identify predictive indices and analyse the determinants of stunting in children under five in urban areas. Case control design was conducted on 420 (210 cases and 210 controls). Simple random sampling and side proportional techniques were used for sampling. Structured questionnaires were used to collect data through interviews and anthropometric measurements. Multivariable binary logistic regression analysis and statistical significance expressed at 95% CI, as well as receiver operating characteristic analysis were used. Mothers with low education (OR=1.6, 95% CI=1.0-2.6), fathers with no permanent job (OR=1.5, 95% CI=1.0-2.4), pregnancy interval less than 24 months (OR=1.6, 95% CI=1.0- 2.6), family size of five or more (OR=2.1, 95% CI=1.3-3.3), income below minimum household income (OR=1. 7, 95% CI=1.0-2.8), not exclusively breastfed (OR=2.1, 95% CI=1.1-3.7), not fully immunised (OR=2.1, 95% CI=1.0-4.4), low birth weight (OR=2.3, 95% CI=1.2-4.5), and a history of disease (OR=2.0, 95% CI=1.0-3.8) were determinants of stunting. The most dominant determinant of stunting in children under five years old is low birth weight. Therefore, strategies and programmes are aimed at early prevention efforts, by increasing awareness to change community behaviour regarding improving maternal nutrition since pregnancy.
Volume: 14
Issue: 1
Page: 27-36
Publish at: 2015-03-01

Determinants of caregiver burden in community-dwelling caregivers of patients with severe and persistent mental illness

10.11591/ijphs.v14i1.24074
Zamzaliza Abdul Mulud , John Goodwin , Norfidah Mohamad , Patimah Abdul Wahab
Loss of independence due to cognitive and functional ability is the main challenge experienced by individuals with severe mental illness. This study aimed to investigate the associated factors of caregiver burden among caregivers of individuals with severe and persistent mental illness living in the community. We used a cross-sectional design with open-ended questions to determine the contributing factors to caregiver burden. A self-administered questionnaire was used to measure caregiver burden and resilience (n=201). Caregiver burden and resilience were operationalised using the caregiver burden inventory scale (CBI) and connor-davidson resilience scale (CD-RS), respectively. The findings showed that the caregivers were experiencing a moderate level of caregiver burden (M=30.7, SD=20.3). Caregiving-related stressors are the most important predictor of caregiver burden, explaining 28.3% of the variance in caregiver burden. Finally, the hierarchical analysis found that resilience, caregiver-related stressors and socio-demographic factors contributed to 52.4% of the variance in caregiver burden. New factors that contributed to the burden, such as lack of support and knowledge deficit, emerged from the qualitative findings. The results highlighted the growing evidence of the role of caregivers' socio-demographic variables, caregiving-related stressors and resilience to caregiver burden.
Volume: 14
Issue: 1
Page: 493-501
Publish at: 2015-03-01

Nursing outcomes guideline in major post-floods communities in Indonesia

10.11591/ijphs.v14i1.24389
Agianto Agianto , Herry Setiawan , Novi Mustahdiati Nasri , Yulia Yunara , Muhammad Karunia , Muhammad Fasya Aminullah , Rezka Aulyan Noo , Dwi Wanda Yulianti
Health problems resulting from flooding have a very significant role in the sustainability of people's lives. Major floods hit South Kalimantan, Indonesia in 2021. The impact of the flooding will cause nursing problems in the community. There has been no research on nursing outcomes for communities affected by floods, although research has been conducted on identifying nursing diagnoses for post-flood communities. The aim of the research is to develop nursing outcomes for nursing diagnosis in post-flood communities in Indonesia. Descriptive analytics with a cross-sectional approach. The research sample was 140 people with a consecutive sampling technique using a questionnaire with 207 assessment items on nursing outcomes for nursing diagnoses that emerged in post-flood communities. Univariate analysis was used. The 14 nursing diagnoses that emerged in flood-affected communities, there are 33 nursing outcomes labels with 91 outcome indicators. Nursing diagnoses and nursing outcomes that have been obtained can be made into a guidebook for nursing care in post-flood communities. The quality of nursing services can be improved when a disaster occurs to reduce disability, complications and even death during and after a flood disaster.
Volume: 14
Issue: 1
Page: 400-408
Publish at: 2015-03-01

Efficacy of calcium lactate as a biodegradable coagulant for peat water purification: an experiment comparative study

10.11591/ijphs.v14i1.24650
Asmadi Asmadi , Zainal Akhmadi , Suharno Suharno , Yulia Yulia
Kalimantan relies significantly on peat water as a water source. However, due to its high organic content, acidic nature, and intense color, it is not safe to drink. To address this issue, researchers proposed an eco-friendly coagulant, calcium lactate, to remove suspended solids. To test its effectiveness, the coagulant was compared to membrane technologies, specifically nanofiltration (NF) and reverse osmosis (RO), at Rasau Jaya General Hospital in West Kalimantan between April and October 2022. Different pressures, 40, 60, and 80 Psi, were used to test both methods. Before and after treatment, the levels of total coliform, E. coli, pH, total dissolved solid (TDS), turbidity, color, and calcium were examined. The results showed that the best outcomes were achieved at 60 Psi. The combination of 0.8 mg/l calcium lactate and NF met all the standard values, except for color (29 TCU). Calcium lactate and RO, however, produced safe drinking water at 60 Psi from all analyzed parameters (E. coli=0, total coliform=0, pH=6.5, TDS=7.1, nephelometric turbidity units (NTU)=2.8 NTU, color=8.7 TCU, and calcium 7.6 mg/l). The reduction of bacteriological substances achieved 100% for both methods. Overall, the combination of calcium lactate and RO yielded slightly better results than NF.
Volume: 14
Issue: 1
Page: 285-291
Publish at: 2015-03-01

Exploring omentin-1 gene expression and insulin-resistance modulation in diabetic and obese male albino rats

10.11591/ijphs.v14i1.24253
Noorah Saleh Al-Sowayan , Aiesha Mohammed Almutawa
Omentin-1, a cytokine secreted by adipose tissue, plays a role in metabolic regulation and insulin sensitivity. However, there is a lack of understanding about the specific effects of high-intensity training (HIT) in diabetic and obese individuals. The present study investigates the effect of a 5-week HIT program on the omentin-1 gene expression and insulin resistance in diabetic and obese male albino rats. Thirty-two rats weighing between 100-120 grams, were procured and divided into groups: the control group (receiving a normal diet), the high-fat diet group (non-diabetic obese rats), the HIT diabetic group (induced diabetes through streptozotocin administration and subjected to HIT), and the diabetic control group (induced diabetes but not subjected to HIT). The HIT diabetic and HIT obese groups underwent a 5-week HIT protocol, involving treadmill running for 60 minutes at 34 m/min speed, five sessions per week. At the end of the experiment, various parameters including glucose, insulin, insulin resistance, LDL, HDL, TC, TG levels, and omentin-1 gene expression assessed using samples obtained from visceral tissue. SPSS version 25 was used to perform statistical analysis, results as mean±SE. One-way ANOVA identified group differences, with significance level (p-value) of less than 0.05. The findings revealed that omentin-1 gene expression significantly increased in the HIT diabetic group following five weeks of training. Both training groups exhibited reductions in insulin, glucose, and insulin resistance levels. It is concluded that a 5-week HIT program can lead to enhanced omentin-1 gene expression and improved insulin resistance in diabetic and obese male albino rats.
Volume: 14
Issue: 1
Page: 351-360
Publish at: 2015-03-01

The effectiveness of using ID broth in identifying the outer membrane protein of Salmonella typhi

10.11591/ijphs.v14i1.23912
Pestariati Pestariati , Suhariyadi Suhariyadi
Typhoid fever is an infection that affects the digestive system. It spreads through contaminated food and drinks due to the Salmonella bacteria. One way to develop immunity against Salmonella typhi is by using outer membrane protein (OMP), which activates the cellular immune system. This research aimed to determine the effectiveness of using ID Broth to identify OMP Salmonella typhi. The study was conducted experimentally at the Institute of Tropical Disease from April 2023 to May 2023. For the study, we obtained three samples of Salmonella typhi isolated from East Java, and each sample was replicated three times. We isolated the bacteria and extracted the OMP to measure its levels and perform electrophoresis with SDS-PAGE. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) is a standard protein analysis method. To address sample loading challenges due to stacking gel transparency, an acidic dye was added to improve visibility without affecting gel performance. In this study nutrient agar from MacConkey medium and ID broth were used as variables. We cultured Salmonella typhi and extracted OMP using the sonication technique. We measured protein levels through the nanodrop method. Salmonella typhi from ID broth produced higher protein levels than Salmonella typhi cultured from MacConkey Medium. It affected the identification of OMP using SDS-PAGE. Lower protein levels lead to fewer protein molecules in the same band zone, causing reduced visibility and readability of the protein bands. The ID broth stabilizes the bacteria's condition before being grown on nutrient agar media.
Volume: 14
Issue: 1
Page: 48-55
Publish at: 2015-03-01

Home fever management in children: a systematic review

10.11591/ijphs.v14i1.24554
Faiza Yuniati , Erwin Erwin , Sherli Shobur , Septi Ardianty , Sutrisno Sutrisno
Fever is a prevalent illness among children. Physical cooling interventions worsen the child’s condition as a result of parents’ anxiety and misconceptions about fever. This study aims to identify parental physical cooling intervention as fever management for feverish children in the scientific literature. The study adhered to the guidelines in the preferred reporting items for systematic reviews and meta-analyses (PRISMA). The investigations were conducted within scientific electronic databases: ProQuest, Pubmed, Scopus, EBSCO, Google Scholar, and Cochrane, published in English, from January 2013 to August 2023. Authors screened articles for inclusion. After exclusion, there were ten studies included in the analysis with 15,488 participants. The literature review demonstrated that the physical cooling methods employed for home fever management were taking off excess clothes, providing extra fluid, warm compresses, sponging, showering and environmental measures. Sponging techniques and cold compresses are popular among parents. However, the methods have negative effects and are not recommended. Effective fever management optimizes the body's physiological response by ensuring adequate hydration, nutrition, and a conducive environment. When the fever worsens, parents should consider seeking medical treatment.
Volume: 14
Issue: 1
Page: 529-538
Publish at: 2015-03-01

Informing compliance factors regarding hospitals waste management procedures in Indonesia: a scoping review

10.11591/ijphs.v14i1.24500
Markus Kaban , Tri Retnaningsih Soeprobowati , Suhartono Suhartono , Purwanto Adi Pireno , Alberta Widya Kristanti , Perigrinus Hermin Sebong
The hospital staff's non-compliance in managing hazardous waste can hurt the environment and public health. There are various practicals to mitigate the harmful effects of hazardous medical waste on the environment and public health. However, there needs to be evidence to provide accurate data regarding compliance with hazardous waste management at hospitals in Indonesia. This study aims to assess and map the determinants affecting hospital liquid medical waste management. This study examined electronic databases from 2017-2023. Studies were screened based on inclusion and exclusion criteria. The study was grounded in the scoping review to inform compliance factors regarding waste management in Hospitals. One article describes compliance with the regulation, and the other concerns supervising hospital waste management. Those articles are not detailed enough in describing supervision, so we suggest further research about supervision support to foster the management process and the result of hospital waste management. Regulation is essential for all processes and products that affect the environment. Compliance with guidelines needs to become a habit and improve over time.
Volume: 14
Issue: 1
Page: 219-226
Publish at: 2015-03-01

A scoping review of economic evaluations of post-traumatic stress disorder patients’ intervention

10.11591/ijphs.v14i1.23725
Veronica Dwarika , Amos Nnaemeka Amedu
Intervention programmes for patients with post-traumatic stress disorder (PTSD) have been extensively evaluated economically, and the related implementation costs are presumably high. This study reviewed the cost-effectiveness of PTSD intervention programmes and associated health benefits. The literature search was carried out between June and July 2023. The PRISMA guidelines for scoping review protocols were strictly followed. A literature search was conducted on the National Health Service (NHS) Economic Evaluation Database, PubMed, PsycInfo, and EconLit, this search yielded 16 studies. This review revealed that trauma-focused cognitive-behavioural therapy (+selective serotonin re-uptake inhibitor) (TF+CBT+SSRIs); prolonged exposure therapy; MDMA-assisted therapy (MDMA-AT); stepped care, screen and treatment; and the transmural trauma care model were cost-effective for PTSD treatment. The cost-effectiveness of intervention programmes that lasted 10 to 31 years was greater. In general, long-term intervention programmes have been associated with health benefits. It is also important to note that telemedicine, cognitive-behavioural therapy, biopsychosocial therapy, and individual therapeutic interventions are capital-intensive and inefficient. When disbursing funding for PTSD treatment around the world, the world health organisation (WHO) should keep in mind these identified interventions and the countries where they have been found to be cost-effective.
Volume: 14
Issue: 1
Page: 333-342
Publish at: 2015-03-01

Computer program in sign language for controlling mobile objects and communicating with people

10.11591/ijphs.v14i1.24544
Khuralay Moldamurat , Aigul Tulembayeva , Askhat Ryspaev , Niyaz Belgibekov , Lyudmila Peryakina , Makhabbat Bakyt
This article emphasizes the need for effective communication methods for people with disabilities, focusing on gestures and finger movements. The study aims to address the communication support gap for this group by creating a specialized Kazakh IT dictionary. It explores practical ways to facilitate communication for people with disabilities through gestures, utilizing computer software for the IT dictionary. The article presents key variables, study design, and data analysis procedures. Results show computer programs effectively enable communication for individuals with disabilities. The study's novelty lies in the IT vocabulary covering gestures, benefiting pedagogy, education, and related fields. Computational linguistics, like automatic language processing and machine translation, enhances communication facilitation for the disabled. Practical recommendations are offered for implementing research findings, improving communication and overall quality of life for people with disabilities. In conclusion, the article stresses the importance of effective communication methods, especially gestures, for the disabled. The IT vocabulary creation through computational linguistics offers innovative ways to enhance communication accessibility, prompting further research.
Volume: 14
Issue: 1
Page: 502-518
Publish at: 2015-03-01

Implementation of Maximum Power Point Tracking on Photovoltaic Using Fuzzy Logic Algorithm

10.12928/telkomnika.v13i1.131
Arton Johan; Telkom University Lubis , Erwin; Faculty of Electrical Engineering Susanto , Unang; Telkom University Sunarya
Most energy sources that are commonly used in the world today are from fossils. This kind of energy is unrenewable and limited. Use of solar panels (Photovoltaic, PV) to generate electricity is growing fast and it can be used as an alternative energy instead of fossils. The problem faced by use of solar panels is that the generated power is not optimum for a particular load. It is always changing and influenced by the level of light (irradiance) and temperature. Therefore we need a way to maximize the power output of solar panels. Maximum Power Point Tracking (MPPT) is a method for finding its maximum power point. In this research, the MPPT is designed to locate the point of generated maximum power on solar panels. MPPT controller designed in this research is using fuzzy logic. The voltage and current from the solar panels will be fed to the fuzzy logic controller. The output of fuzzy logic in the form of a pulse width modulation (PWM) signal regulates the process of switching boost converter. Experimental results show that output power from PV increase 15.9% and the efficiency of designed boost converter ranges in approximatelly 90.97 %
Volume: 13
Issue: 1
Page: 32-40
Publish at: 2015-03-01

Performance Analysis of Load Balancing Techniques in Cloud Computing Environment

https://ijeecs.iaescore.com/index.php/IJEECS/article/view/4239
Raviteja Kanakala , V.Krishna Reddy
Cloud computing is a forerunner among the technologies emerging today in the IT world. It has already been some years after the emergence of cloud technology but still the world didn’t get the complete fruits of cloud computing. Out of the many revolutionary results expected as outcomes from the cloud computing technology there were very few achieved and the rest of the expected are still under research. Two of the main obstacles in the usage of cloud computing are Cloud Security and Performance stability. Load Balancing is one of the elements that shows impact on the performance stability of cloud computing. In this paper we discuss about load balancing and different algorithms that are proposed for distributing the load among the nodes and also the parameters that are taken into account for calculating the best algorithm to balance the load. DOI: http://dx.doi.org/10.11591/telkomnika.v13i3.7237 
Volume: 13
Issue: 3
Page: 568-573
Publish at: 2015-03-01
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