Ahmar Metastasis Health Journal

Intervention of Dark Chocolate Consumption on Complaints of Menstrual Pain in Adolescent Girls: Descriptive Case Study

2025-01-21T16:34:22+00:00

The incidence of dysmenorrhoea in North Kalimantan Province is reported at 72.89% for primary dysmenorrhoea and 27.11% for secondary dysmenorrhoea. The aim of this study was to determine the effectiveness of dark chocolate consumption in reducing pain levels among adolescents with dysmenorrhoea. This research employed a descriptive case study method with a midwifery care approach, evaluating two groups: the case group, consisting of adolescent girls with dysmenorrhoea who received an intervention in the form of dark chocolate therapy for menstrual pain complaints, and a control group of adolescent girls with dysmenorrhoea who received no such intervention. The research subjects were two 19-year-old adolescent girls experiencing primary dysmenorrhoea, selected using purposive sampling from midwifery students at the University of Borneo Tarakan. The midwifery care process, including assessment, intervention, and evaluation, was conducted from 1st to 3rd August 2022. The results showed that the adolescent with dysmenorrhoea who received dark chocolate therapy experienced a reduction in pain intensity to a level 2 (mild pain). In contrast, the control subject who only received counselling, without any intervention, reported a reduction in pain to level 5 (moderate pain). It can be concluded that the adolescent with dark chocolate intervention showed a significant decrease in pain level from 7 (severe pain) to 2 (mild pain), while the control subject without intervention showed a less significant decrease from level 7 to level 5. It is recommended that this form of complementary therapy be considered for integration into midwifery care practices as part of a holistic approach to menstrual pain management.

Contraceptive Method Selection in Reproductive Age Couples: A Literature Review

2025-03-10T02:31:31+00:00

Indonesia has the fourth-largest population in the world. Uncontrolled population growth can decrease the health status and quality of life of the population. Therefore, the government has an obligation to control the rate of population growth. One way to manage population growth is through family planning programs and the use of contraceptives by couples of reproductive age. The aim of this program is to regulate the number of births and control birth spacing. Hence, couples of reproductive age need to select appropriate contraceptive methods in order to help control population growth effectively. This study aims to examine the factors that influence couples of reproductive age in choosing contraceptive methods. The researcher used a literature review method. Relevant literature was collected from Google Scholar, comprising 10 articles published between 2020 and 2023, following the PRISMA framework. The results of the study show that there are both direct and indirect factors influencing contraceptive method selection. The direct influencing factor is the husband's support, while the indirect factors include health education and counseling, as well as the level of knowledge of couples regarding contraceptive use. It can be concluded that couples of reproductive age tend to choose appropriate contraceptive methods due to the support from their husbands, exposure to health education or having received counseling from healthcare providers, and having adequate knowledge or access to information about contraceptive tools.

The Effect of Gargling with Turmeric Solution on the Gingival Index in Patients with Gingivitis

2025-06-02T07:26:57+00:00

Women are generally more susceptible to dental and oral diseases, one of which is gum inflammation (gingivitis), caused by bacterial plaque infection. Untreated gingivitis in adolescents can lead to further complications in the periodontal tissues. Gingivitis treatment can be carried out by gargling with traditional ingredients that are safe for adolescents and do not cause harmful side effects. One natural traditional ingredient that can be used is a turmeric solution mouthwash, which contains antibacterial, anti-inflammatory, and antioxidant properties. This study aims to determine the changes in the gingival index of respondents suffering from gingivitis after gargling with turmeric solution at the Department of Dental Health, Poltekkes Kemenkes Padang. The research employed a quasi-experimental method by administering a turmeric solution gargle to respondents with gingivitis, and then examining their gingival index after three days of use. The study population consisted of all students at the Department of Dental Health, Poltekkes Kemenkes Padang. The sample was taken from students in the department using a judgement sampling technique. Data were analysed using a paired t-test. The results showed that before gargling with turmeric solution, the most common gingival index categories among respondents were moderate and severe (each 44.4%), whereas after gargling, the majority fell into the mild category (55.5%). The paired t-test yielded a p-value of 0.001. In conclusion, there is a significant effect of gargling turmeric solution on gingival index in patients with gingivitis. It is recommended for further research to research the optimal formulation and concentration of turmeric solution, as well as the safety of its long-term use for adolescents and other age groups.

Analysis of the Medical Device Maintenance System at Malahayati Islamic Hospital Medan

2025-05-31T14:53:20+00:00

Ensuring efficient maintenance of medical equipment is crucial to maintaining the quality of hospital services and patient safety. However, many hospitals have difficulty carrying out this maintenance consistently. This study aims to examine the medical device maintenance system at the Malahayati Islamic Hospital in Medan and to assess the extent to which the system complies with the Standard Operating Procedure (SOP). In addition, this study also aims to identify various obstacles that arise during the process of implementing the system maintenance. This study uses a qualitative descriptive approach by conducting in-depth interviews with three main informants, namely the head of the medical support section, electromedical technicians, and members of the Hospital Maintenance Unit (UPRS The results of the study revealed that several maintenance activities had been carried out in accordance with Standard Operating Procedures (SOPs), such as preventive maintenance scheduling, annual calibration, and recording of technical documentation. However, several obstacles were found, including the limited number of qualified personnel (only one technician was available), limited maintenance budget, unavailability of special work space, and SOP coverage that did not yet cover all medical devices. In order for the maintenance system to run more effectively and sustainably, improvements are needed in aspects of human resources, supporting facilities, and more mature budget planning.

The Influence of Video Media on Improving Knowledge and Attitudes of Adolescent Girls Regarding Chronic Energy Deficiency

2025-06-23T22:06:53+00:00

Adolescent girls are a vulnerable group to nutritional problems, particularly Chronic Energy Deficiency (CED), which can affect reproductive health and the quality of future generations. One of the main contributing factors to CED is the lack of knowledge and attitude toward nutrition. Video media is considered an effective educational tool as it combines engaging visual and audio elements. This study aimed to determine the effect of video media on improving the knowledge and attitudes of adolescent girls regarding CED at SMAN 4 Samarinda. The study employed a pre-experimental one-group pre-test post-test design with a sample of 39 eleventh-grade students selected through purposive sampling. The intervention consisted of a ±10-minute educational video on CED shown twice a week. Data were collected using questionnaires and analyzed using univariate and bivariate analysis with the Wilcoxon test. Results showed that most respondents were 16 years old (64.1%) and had a below-normal Body Mass Index (84.6%), indicating a risk of CED. The most common physical activity was participation in scouting (35.9%), followed by dance and volleyball. After the intervention, there was a significant increase in knowledge, from a median score of 10.00 to 13.00 (p = 0.002), and in attitude, from a median score of 31.00 to 33.00 (p = 0.001). These findings indicate that video media is effective in improving adolescents' understanding of CED. However, its effectiveness may also be influenced by age and prior access to information. Therefore, video media is highly recommended as a nutritional education tool in adolescent health programs.

Anxiety Among Juvenile Residents Prior to Release from the Class I A Special Child Development Institution in Kupang

2025-04-19T07:48:34+00:00

Children in conflict with the law who undergo rehabilitation in the Special Child Development Institution (LPKA) face not only physical confinement but also serious psychological pressure. One of the most common psychological conditions that emerges prior to their release is anxiety, which is triggered by various factors such as loss of self-control, fear of social rejection, and uncertainty about the future. Without appropriate intervention, this anxiety may hinder the process of adaptation and social reintegration after release. Therefore, understanding the psychological condition of juvenile inmates—particularly during the transition period toward freedom—is essential. This study aims to describe the causes, forms, responses, and impacts of anxiety experienced by juvenile inmates prior to release at LPKA Class I A Kupang. This research employed a descriptive qualitative approach. The study population consisted of 38 juvenile inmates, from which five were selected as primary informants using purposive sampling based on specific inclusion criteria, such as age and readiness for release. In addition, two rehabilitation officers were interviewed as triangulation informants to strengthen data validity and provide additional perspectives. Data were collected through in-depth interviews and analyzed using the Miles, Huberman, and Saldaña model, involving data reduction, data display, and conclusion drawing. The results indicate that the anxiety experienced by juvenile inmates before release is influenced by young age, low educational background, past traumatic experiences, weak self-concept, and introverted personality types. The most dominant form of anxiety found was neurotic anxiety. The most common response was moderate anxiety, characterized by behavioral and emotional symptoms such as restlessness, sleep disturbances, and excessive worry about the future. The most visible impact was mood-related symptoms, including irritability and social withdrawal. In conclusion, the most dominant cause of anxiety was the lack of knowledge and experience in preparing for the future, worsened by gender-related tendencies in boys to suppress emotions and their generally lower level of formal education. Therefore, further research and rehabilitation programs should focus on enhancing children's capacity through life skills training, sustained emotional support, and the provision of concrete information on post-release educational and employment opportunities to better equip juvenile inmates for reintegration into society.

Comparison of Temporary Waste Storage (TPS) Management at Community Health Centres (Puskesmas) with TPS Standards

2025-06-23T22:19:02+00:00

The condition of Temporary Waste Storage (TPS) facilities in community health centres (Puskesmas) across Tuban Regency still requires particular attention, as only 24% of them currently possess an integrated Environmental Management Statement Letter (SPPL) issued by the Department of Environment and Transportation (DLHP). This study aims to analyse the comparison of TPS management in Puskesmas against the applicable standards in 2024. It is an observational survey study using a quantitative approach. The study population consisted of 33 Puskesmas in Tuban Regency, with a sample of 8 inpatient Puskesmas and 6 outpatient Puskesmas that already have an integrated SPPL. The research instruments covered various stages of waste management, including waste segregation, storage, transportation, personal protection, and the volume of medical waste generated. Data were analysed using Fisher’s Exact Test. The results showed that the majority of inpatient Puskesmas (75%) met the TPS standards, as did most outpatient Puskesmas (83.3%). The highest amount of medical waste was found in inpatient Puskesmas, with an average of 139.38 kg, while outpatient Puskesmas produced an average of 68.83 kg. In conclusion, TPS management in Puskesmas within Tuban Regency in 2024 has generally complied with current regulations. Improving existing infrastructure and updating Standard Operating Procedures (SOPs) are essential to support more effective hazardous waste (B3) management and to reduce the volume of waste generated.

The Relationship Between Knowledge, Attitude, and Experience with Behaviour of Personal Protective Equipment (PPE) Use Among Fishermen

2025-06-23T22:16:15+00:00

Small-scale fishermen typically engage in fishing using traditional tools and methods, which carry a high risk of occupational accidents and work-related illnesses. This study aims to analyze the relationship between knowledge, attitude, and experience with the behaviour of personal protective equipment (PPE) use among fishermen in Tambakboyo Village, Tuban Regency. The research employed a survey design with a cross-sectional observational approach. The study population consisted of 200 rompok fishermen from Jetis Hamlet, Tambakboyo Village, Tambakboyo District, based on data provided by the local village administration. A total of 134 respondents were selected through simple random sampling. The independent variables in this study were knowledge, attitude, and experience, while the dependent variable was the behaviour of PPE application. Data collection instruments included questionnaires assessing knowledge, attitude, and experience, as well as a checklist form to evaluate PPE usage behaviour. The results showed a significant relationship between knowledge (p = 0.000 < 0.05) and attitude (p = 0.000 < 0.05) with PPE usage behaviour. However, no significant relationship was found between experience and PPE usage behaviour (p = 0.615 > 0.05). In conclusion, knowledge and attitude are associated with PPE use behaviour among fishermen, whereas experience is not. It is recommended that fishermen prioritise occupational safety and health by consistently and properly using PPE before and during fishing activities.

Factors Associated with Daily Prenatal Care Practices: A Cross-Sectional Study at Berangas Public Health Center

2025-05-31T14:43:09+00:00

Daily prenatal care plays an essential role in maintaining maternal and fetal health and preventing pregnancy complications. However, its implementation remains suboptimal due to several influencing factors. This study aimed to examine the relationship between maternal age, education level, parity, and family support with daily prenatal care practices. A cross-sectional study was conducted from May to June 2024 at Berangas Public Health Center, involving 74 pregnant women selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Spearman’s rank correlation test. The research study shows that the majority of respondents were aged 20–35 years (86.5%), had education equivalent to senior high school or higher (56.8%), were in the at-risk parity group with 0, 1, and 3 live births (82.4%), and received adequate family support (82.4%). A total of 70.3% of respondents demonstrated good daily prenatal care practices. Significant positive correlations were found between age (ρ = 0.435, p < 0.001), education (ρ = 0.506, p < 0.001), and family support (ρ = 0.321, p = 0.005), while parity showed a significant negative correlation (ρ = –0.321, p = 0.005). These findings indicate that maternal education and family support are key factors influencing daily prenatal care behavior.

Soaked Water of Rice Straw Ash and Ziziphus mauritiana Leaf Extract as Disinfectant: A Microbiological Assessment

2025-04-19T07:28:01+00:00

Commercial dishwashing liquids contain chemicals that are extremely toxic to humans and the environment, hence alternative dishwashing using natural compounds is urgent. The purpose of this study was to evaluate the effect of a combination formula of rice straw ash and Ziziphus mauritiana leaf extract (JEBI) in reducing germs colonies per food equipment. This experimental study has a pre-post-test design with a control group. The variations of the JEBI combination used are 1:1, 1:2, 1:3, 2:1, and 3:1. Another treatment is using a commercial dishwasher brand "X" and only running water. A total of 210 cutleries (plates and bowls) from 30 restaurants in six districts were taken randomly—calculation of bacterial colonies using the Total Plate Count Agar method. The results were analyzed using one-way ANOVA to compare the effect between treatment groups on germ counts. Overall, a significant difference between the JEBI combination and the number of germs on food equipment was present in this study (p<0.001). The 1:3 JEBI ratio reduced the highest number of germs (average 24.6 colonies/cm2), slightly better than using "X" dishwashing liquid (average 25.6 colonies/cm2). Additionally, all treatments gave a significant reduction of germs compared to washed cutleries without any disinfectant (p<0.001). These findings strengthen the potential disinfectant function of rice straw ash and Ziziphus mauritiana leaf extract (JEBI) against germs on cutleries. Further studies with different ratio formulas and better study designs are required to obtain better and more precise results.