Open Access Macedonian Journal of Medical Sciences 2020-11-26T15:43:01+00:00 Prof. Dr Mirko Spiroski Open Journal Systems Open Access Macedonian Journal of Medical Sciences (OAMJMS) is an international peer reviewed journal published four times per year by the ID Design 2012/DOOEL Skopje on behalf of Foundation Macedonian Donor Registry (MKDR), Skopje Identification of Active Compounds of Ethanol Extract of Citrus amblycarpa leaves by Analysis of Thin-layer Chromatography and Gas Chromatography-Mass Spectrometry as Bioinsecticide Candidates for Mosquitoes 2020-10-02T12:59:57+00:00 Kasman Kasman Nuning Irnawulan Ishak Poedji Hastutiek Endang Suprihati Anwar Mallongi <p><strong>BACKGROUND: </strong>The use of active compounds from plants becomes an alternative to control mosquitoes nowadays and in the future because they are environmentally-friendly and do not cause health problems. <em>Citrus amblycarpa </em>is a local orange of South Kalimantan potential as bioinsecticidal, which commonly used for controlling mosquitoes. Therefore, research needs to be done to find out the benefits of <em>C. amblycarpa </em>leaves as bioinsecticidal.</p> <p><strong>AIM: </strong>The research aimed to identify active compounds contained in the extract ethanol of <em>C. amblycarpa </em>leaves as bioinsecticidal against mosquitoes.</p> <p><strong>RESULTS: </strong>Based on thin-layer chromatography test, there were some secondary metabolite compounds found such as terpenoids/steroids, flavonoids, polyphenols, and saponins. Gas chromatography-mass spectrometry (GC-MS) test revealed that there were ten primary components of the fraction. The components were Maragenin I (18,82%), 1,3-benzenedicarboxamide (12.28%), 2,3,8-trioxocephalotaxane (10.39%), aristolone, 2H-cyclopropa[a] naphthalene-2-one, noruns-12-ene (7.46%), palmitic acid, n-hexadecanoic acid (7.21%), stigmasterol, demecolcine (7.03%), alpha-tocopherol (5.88%), 2,4,5-trimethylphenol, pseudocumenol (4.21%), germacrene-D (3.45%), and 9-octadecenoic acid (3.36%).</p> <p><strong>CONCLUSION: </strong>These active compounds possess biological activity as bioinsecticidal. It was expected that those active compounds in <em>C. amblycarpa </em>leaves could be applied for controlling mosquitoes by replacing the use of resistant temephos.</p> 2020-09-20T00:00:00+00:00 Copyright (c) 2020 Kasman Kasman, Nuning Irnawulan Ishak, Poedji Hastutiek, Endang Suprihati, Anwar Mallongi (Author) The Effect of Celery Therapy and Abdominal Stretching Exercise on Pain Intensity in Adolescent with Dysmenorrhea at the Soppeng High School 2020-11-26T12:54:59+00:00 Sri Rezkiani Kas Nur Nasry Noor Muh Tahir Abdullla Anwar Mallongi Erniwati Ibrahim <p class="Pa6"><strong><span lang="EN-US">BACKGROUND: </span></strong><span lang="EN-US">Reproductive health is an important issue and needs to get more attention, especially among adolescents because adolescents are the nation’s next generation so adolescents should have excellent reproductive health because adolescents will later marry and become parents, so the quality of life of adolescents must improve to better direction.</span></p> <p class="Pa6"><strong><span lang="EN-US">AIM: </span></strong><span lang="EN-US">This study aimed to determine the effect of celery therapy and abdominal stretching exercise on pain intensity in adolescents with dysmenorrhea in Soppeng District High School.</span></p> <p class="Pa6"><strong><span lang="EN-US">METHODS: </span></strong><span lang="EN-US">This research uses quasi-experimental. A sample of 30 was selected by consecutive sampling that met the inclusion criteria. Samples taken are non-randomized pre-posttest one-group design with accidental sampling method. Data collection using numeric rating scale measurement tools. Data were not normally distributed by analyzing the Wilcoxon test.</span></p> <p class="Pa6"><strong><span lang="EN-US">RESULTS: </span></strong><span lang="EN-US">The results showed that the characteristics of respondents for age were 14–15 years as many as 16 (53.3%). Based on grade level, the average respondent in class one also had details of 16 (53.3%). The average pain intensity before and after intervention, where the mean value + SD is 0.67 + 0.479–0.27 + 0.450 with p value (<em>P </em>= 0.001 &lt;0.05) which means that there is a difference in the average pain intensity significant before and after therapeutic interventions were given. Celery therapy and abdominal stretching exercise need to be recommended to be used as therapy to treat primary dysmenorrhea in young women at SMAN 1 Watan Soppeng.</span></p> <p><strong>CONCLUSION: </strong>Based on the results of research and hypotheses, it can be concluded that there are significant differences after therapy which means that the administration of celery therapy and abdominal stretching exercise 3 times before menstruation is more effective in reducing pain.</p> 2020-07-23T00:00:00+00:00 Copyright (c) 2020 Sri Rezkiani Kas, Nur Nasry Noor, Muh Tahir Abdullla, Anwar Mallongi, Erniwati Ibrahim (Author) Correlation of Age, Gender, and Employment Status with Quality of Life Glaucoma Patient 2020-11-26T12:27:58+00:00 Andi Hardianti Nur Nasry Noor Lalu Muhammad Saleh Andi Nur Utami Iva Hardi Yanti Muliati Muliati Anwar Mallongi <p class="Pa6"><strong><span lang="EN-US">BACKGROUND: </span></strong><span lang="EN-US">People with glaucoma sometimes do not feel the symptoms of glaucoma until the end of the stage, so the risk of blindness will be even greater. Glaucoma is a form of visual impairment, also the second cause of blindness after cataracts. However, in contrast to cataracts, glaucoma cannot be cured through surgery so that the blindness experienced is permanent.</span></p> <p class="Pa6"><strong><span lang="EN-US">AIM: </span></strong><span lang="EN-US">This study aimed to determine the relationship between the characteristics of respondents (age, gender, and occupational status) and the quality of life of glaucoma patients.</span></p> <p class="Pa6"><strong><span lang="EN-US">METHODS: </span></strong><span lang="EN-US">This study used quantitative research with cross-sectional method. Interviews were conducted on 250 glaucoma patients at community eye health centers. To determine age, sex, and employment status related to quality of life, the data were analyzed using Chi-square and logistic regression.</span></p> <p class="Pa6"><strong><span lang="EN-US">RESULTS: </span></strong><span lang="EN-US">The age with p-value 0668 and gender with p-value employment status in 0237 and 0105 with p values were not related to the quality of life of glaucoma patients. The results of logistic regression analysis showed that the employment status with a significance of 0046 was a factor related to the quality of life.</span></p> <p><strong>CONCLUSION: </strong>No relation to gender, age, and income with the quality of life of patients with glaucoma in Makassar Community Eye Health Centers in 2018 was found.</p> 2020-07-23T00:00:00+00:00 Copyright (c) 2020 Andi Hardianti, Nur Nasry Noor, Lalu Muhammad Saleh, Andi Nur Utami, Iva Hardi Yanti, Muliati Muliati, Anwar Mallongi (Author) The Improvement of Experiential Learning Model-Based Management in Public Health Center (Puskesmas) of Indonesia 2020-11-23T20:33:48+00:00 Andi Mansur Sulolipu Ridwan Amiruddin Sukri Palutturi Ridwan M. Thaha A. A. Arsunan <p><strong>BACKGROUND: </strong>Indonesia, to date, has been conducting ineffective and inefficient training model for health workers in Public Health Center. Suitable training model needs to be developed in accordance with the issue in the workplace or public health center. Experiential learning training model is one of the alternatives to emphasize experience and interactive based learning.</p> <p><strong>AIM: </strong>This study aimed to test the effectiveness of experiential learning model by improving the health center management competence.</p> <p><strong>METOHDS: </strong>This research was conducted using quasi-experimental research through pre-post-test control design involving 30 heads of public health center and 30 heads of administration of public health center from various health centers in South Sulawesi. The data were collected using pre-post-test with reliability α Cronbach coefficient of 0.870.</p> <p><strong>RESULTS: </strong>The research found that the competence of group taught using experiential learning and Metaplan (mean=75.06) was better than the competence of the group taught using direct learning method (mean=61.89). Thus, it showed that there was a significant difference between the experimental and control groups (p = 0.000). There was a significant and positive correlation coefficient between the participants taught by experiential learning and direct learning (p = 0.000).</p> <p><strong>CONCLUSION: </strong>The materials discussed in the experiential learning were Planning, Implementation, and Assessment of Public Health Center Management, which was then resulting in increased competence of the participants of Education and Training for Health Workers of Public Health Center in South Sulawesi.</p> 2020-08-30T00:00:00+00:00 Copyright (c) 2020 Andi Mansur Sulolipu, Ridwan Amiruddin, Sukri Palutturi, Ridwan M. Thaha, A. A. Arsunan (Author) Effectiveness of Audiovisual Media Intervention Aku Bangga Aku Tahu on Knowledge in Practices in Prevention of Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome Transmission in Adolescents 2020-11-26T12:39:51+00:00 Nuramalia Nuramalia Ida Leida Maria Nurhaedar Jafar Aminuddin Syam <p class="Pa6"><strong><span lang="EN-US">BACKGROUND: </span></strong><span lang="EN-US">Educational media is a very important component as a means of interaction, one of which is audiovisual media. Health education through audiovisual media, I am proud I know (ABAT) is expected to be able to increase knowledge comprehensively about human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS).</span></p> <p class="Pa6"><strong><span lang="EN-US">AIM: </span></strong><span lang="EN-US">This study aimed to determine the effect of ABAT audiovisual media on HIV and AIDS knowledge of school adolescents in Makassar City.</span></p> <p class="Pa6"><strong><span lang="EN-US">METOHDS: </span></strong><span lang="EN-US">The research design uses quasi experimental approach with the design of the nonequivalent control group design. Sampling using a random sampling technique, as many as 96 adolescents.</span></p> <p class="Pa6"><strong><span lang="EN-US">RESULTS: </span></strong><span lang="EN-US">The results showed that the majority of respondents were in the age group of 17 years (49%), female sex (52%), and grade 12 level (51%). Based on the results of the Mann–Whitney U Test, there were differences in knowledge before and after the intervention of ABAT audiovisual media playback with a frequency of playback three times and once in the intervention group and the control group (p = 0.001).</span></p> <p><strong>CONCLUSION: </strong>There are significant differences in adolescent knowledge about HIV and AIDS before and after the intervention. ABAT audiovisual media with playback frequency 3 times are more effective than once. Some comparison of counseling media is needed in order to better know the effectiveness of a media. Based on the research that has been done, it can be concluded that the effectiveness of ABAT audiovisual media on the knowledge of school adolescents can significantly improve HIV and AIDS before and after the intervention is given three times and one in Makassar City.</p> 2020-07-23T00:00:00+00:00 Copyright (c) 2020 Nuramalia Nuramalia, Ida Leida Maria, Nurhaedar Jafar, Aminuddin Syam (Author) Impact Evaluation of Healthy City Implementation in Makassar City 2020-11-03T20:31:25+00:00 Inayyah Nur Fitry Sukri Palutturi Ridwan M. Thaha Aminuddin Syam <p><strong>BACKGROUND: </strong>Healthy city is one of the health development strategies in Indonesia that has been started since 2007. Implementation of healthy city in Makassar has entered its 12<sup>th </sup>year.</p> <p><strong>AIM: </strong>This study aimed to evaluate the impact of the implementation of healthy cities based on aspects of the level of involvement.</p> <p><strong>METOHDS: </strong>This research method uses a qualitative design with a phenomenological approach where research departs from phenomena found in the field and then is developed in depth. Informants in this study were 13 people. Data collection techniques are in-depth interviews and documentation.</p> <p><strong>RESULTS: </strong>The results showed that the involvement of women in the implementation of healthy cities in Makassar was shown from the large number of female workers who were directly involved in various programs launched by the city government related to healthy cities. In addition, many women play an important role by being the head of a healthy subdistrict program in nine subdistricts in the city of Makassar. Whereas the political commitment indicator shows the results that the Makassar city government’s political commitment to the implementation of the healthy city is seen from the achievement of the Makassar city government which has succeeded in getting the highest award in the healthy city, Swasti Saba Wistara 4 times since 2007. After interviews and document review, the evaluation of the impact of the implementation of healthy cities based on women’s involvement and political commitment of the government shows quite good and significant results since the implementation of healthy cities.</p> <p><strong>CONCLUSION: </strong>However, coordination at the government level is expected to be further improved, because there is still frequent miss communication between several Satuan Kerja Pemerintah Daerah in the implementation of tasks to achieve healthy city indicators.</p> 2020-08-25T00:00:00+00:00 Copyright (c) 2020 Inayyah Nur Fitry, Sukri Palutturi, Ridwan M. Thaha, Aminuddin Syam (Author) Economic Status of Community Interest in Membership of BPJS Health in Duampanua District, Pinrang Regency 2020-11-23T20:33:46+00:00 Sri Nurul Kur’aini Amran Razak Anwar Daud Anwar Mallngi <p><strong>BACKGROUND: </strong>Starting from 2017 until 2019, the number of patient visiting public health centers Lampa is always more than the number of patient visits BPJS, it indicates that the public interest in District Duampanua, Pinrang Regency on BPJS Health membership is still lacking.</p> <p><strong>AIM: </strong>This study aimed to determine the effect of economic status on community interest in BPJS health membership.</p> <p><strong>METOHDS: </strong>This study used a quantitative research with cross-sectional study approach. The location of this research was in the District Duampanua, Pinrang Regency. The population in this study is the community in Duampanua District Pinrang Regency with 51.593 people. The sampling technique in this study used a purposive sampling technique with 100 sample size. Data analysis performed was univariate and bivariate with Chi-square test.</p> <p><strong>RESULTS: </strong>The results showed that there are influence of economic status variables (p = 0.016) to community interest in BPJS Health membership in Duampanua District, Pinrang Regency. The conclusion of this study is that there is an influence of economic status on community interest in BPJS Health membership because the higher the economic status of the community, the higher their interest in BPJS Health membership.</p> <p><strong>CONCLUSION: </strong>It is expected that stakeholders in each village in the Duampanua District can find out the income of the community by conducting data collection evenly as proof of their worthiness of being members of JKN-KIS participants.</p> 2020-08-30T00:00:00+00:00 Copyright (c) 2020 Sri Nurul Kur’aini, Amran Razak, Anwar Daud, Anwar Mallngi (Author) Implementation of the National Health Insurance Referral System at the Public Health Center in the Pangkajene Kepulauan District in 2019 2020-11-23T20:33:47+00:00 Nurul Fajriah Istiqamah Darmawansyah Darmawansyah Muhammad Syafar Anwar Mallongi <p><strong>BACKGROUND: </strong>The health service referral system is the organization of health services that regulate the mutual assignment of tasks and responsibilities of health services both vertically and horizontally.</p> <p><strong>AIM: </strong>The purpose of this study was to determine the appropriateness of referral service operational standards at the Kalabbirang Public Health Center in Pangkajene Kepulauan district.</p> <p><strong>METOHDS: </strong>This research method uses a qualitative with a phenomenological. The location of this study is in the Kalabbirang Public Health Center. The informants in this study were the Head of Medical Records Installation, the medical records installation staff of registration, doctors, and nurses. Data collection techniques using in-depth interviews, document review, and observation. The data obtained analyzed using the content analyze.</p> <p><strong>RESULTS: </strong>The results showed that the Kalabbirang Public Health Center, no operational service standards were governing the procedures of the Public Health Center when receiving patients to be referred back. In addition, doctors do not explain in full to patients information about the referral. The conclusion of this research is the implementation of the referral system at the Kalabbirang Public Health Center in terms of the requirements for referring to be in accordance with the national referral system.</p> <p><strong>CONCLUSION: </strong>We need socialization to understand more deeply about the referral system and equate perceptions among health workers about the referral mechanism in the Kalabbirang Public Health Center.</p> 2020-08-30T00:00:00+00:00 Copyright (c) 2020 Nurul Fajriah Istiqamah, Darmawansyah Darmawansyah, Muhammad Syafar, Anwar Mallongi (Author) The Legislative Role of Universal Health Coverage Achievement in Kolaka Regency 2020-11-23T20:33:46+00:00 Rahmat Anzari Sukri Palutturi Aminuddin Syam <p><strong>BACKGROUND: </strong>The legislative role intended in accordance with the mandate of law number 17 of 2014 concerning the MPR, DPR, DPD, and DPRD in article 365 mentions three functions of the DPRD, namely, legislation, budgeting, and supervision.</p> <p><strong>AIM: </strong>This study aimed to determine the legislative role in the achievement of Universal Health Coverage (UHC) in Kolaka Regency.</p> <p><strong>METOHDS: </strong>This research method uses a qualitative with four informants selected by accidental sampling. Data obtained through in-depth interviews, observation, and document review. Data triangulation analysis is used to obtain data validity.</p> <p><strong>RESULTS: </strong>The results showed that the role of the legislature in the legislative function had not been carried out properly because there were no regional regulations issued by the district government of Kolaka who supports the achievement of UHC and will only conduct academic studies related to JKN, the budgeting function has been carried out well because of Commission III of the District Parliament of Kolaka has provided full support regarding budgeting in the health sector and the oversight function is also well implemented. Parliamentary budget oversight in Kolaka is carried out 3 times a year/per quarter by the DPRD in collaboration with the inspectorate, BPK and APIP by comparing planning with reality on the ground. It was concluded that the legislative role in the achievement of UHC in Kolaka was not fully functioning properly.</p> <p><strong>CONCLUSION: </strong>It is expected to immediately formulate and issue regional regulations that support the implementation of the JKN program as a manifestation of the achievement of UHC in Kolaka and involve academic experts in UHC/JKN in formulating the regional regulation.</p> 2020-08-30T00:00:00+00:00 Copyright (c) 2020 Rahmat Anzari, Sukri Palutturi, Aminuddin Syam (Author) Analysis of Factors Affecting the Unmet Need Incidence in Couples of Childbearing Age in the West Bulotadaa Village Gorontalo City in 2019 2020-11-26T14:54:00+00:00 Mayangsari Kau Andi Ummu Salmah Anwar Mallongi Muhammad Arif Tiro <p class="Pa6"><strong><span lang="EN-US">BACKGROUND: </span></strong><span lang="EN-US">Population that continues to increase is a big problem for countries in the world, especially developing countries. One of the problems in the management of family planning programs is the high level of unmet need for family planning in Indonesia. Unmet need is the number of couples of childbearing age who want to postpone pregnancy or do not want additional children but do not use birth control methods.</span></p> <p class="Pa6"><strong><span lang="EN-US">AIM: </span></strong><span lang="EN-US">The aim of the study was to determine the determinants of the occurrence of unmet need in fertile age couples in the West Bulotadaa Village, Gorontalo City.</span></p> <p class="Pa6"><strong><span lang="EN-US">METHODS: </span></strong><span lang="EN-US">The study design was cross-sectional with a sample of 146 fertile age couples selected by systematic random sampling. Data collection was made, using questionnaires containing questions from the research variables. Data were analyzed by multiple logistic regression analysis through the SPSS for windows program.</span></p> <p class="Pa6"><strong><span lang="EN-US">RESULTS: </span></strong><span lang="EN-US">The visit of KB officers affected the unmet need with p = 0.032 (p &lt; 0.05) with OR = 2.893, and there were some variables that were not significant such as the age variable p = 0.766 (p &gt; 0.05), family income p = 0.189 (p &gt; 0.05), distance of family planning services p = 0.057 (p &gt; 0.05), and cost of contraception p = 0.632 (p &gt; 0.05).</span></p> <p class="Pa16"><strong><span lang="EN-US">CONCLUSION: </span></strong><span lang="EN-US">It was concluded that the visit of family planning officers affected the unmet need and age, family income, distance to the place of family planning services and the cost of contraceptives did not affect the incidence of unmet need in West Bulotadaa, Gorontalo City.</span></p> 2020-09-08T00:00:00+00:00 Copyright (c) 2020 Mayangsari Kau, Andi Ummu Salmah, Anwar Mallongi, Muhammad Arif Tiro (Author) Correlation Study between Elevation, Population Density, and Dengue Hemorrhagic Fever in Kendari City in 2014–2018 2020-11-26T14:32:42+00:00 Siti Nurul Ainun Istiqamah Arsunan A. Arsin Andi Ummu Salmah Anwar Mallongi <p class="Pa16"><strong><span lang="EN-US">BACKGROUND:</span></strong><span lang="EN-US"> The incidence of dengue hemorrhagic fever (DHF) has experienced rapid development throughout the world in recent decades. Indonesia was reported as the 2nd country with the largest DHF cases among 30 endemic countries. Dengue virus can develop properly based on certain regional conditions. The elevation is an important factor that can affect the presence of dengue vector mosquitoes. High population density contributes to dengue transmission by increasing the contact between infected mosquitoes and human hosts.</span></p> <p class="Pa16"><strong><span lang="EN-US">AIM:</span></strong><span lang="EN-US"> This study aimed to determine the correlation between elevation and population density with the incidence of dengue in Kendari City in 2014–2018.</span></p> <p class="Pa16"><strong><span lang="EN-US">METHODS:</span></strong><span lang="EN-US"> This research is an observational analytic study with ecological study design. Data incidence of DHF in 2014–2018, elevation and population density were respectively obtained from the Health Office of Kendari City, Meteorology, Climatology and Geophysics Agency of Kendari City, Statistics Agency of Kendari City. The analysis of the data used in the study is univariate and bivariate analysis. Bivariate analysis using Pearson correlation test was performed.</span></p> <p class="Pa16"><strong><span lang="EN-US">RESULTS:</span></strong><span lang="EN-US"> The results showed that the correlation between elevation and DHF (p = 0.014, r = 0.339) and the correlation between population density and DHF (p = 0.186).</span></p> <p><strong>CONCLUSION:</strong> It can be concluded that there is significant correlation with positive direction between elevation and the DHF, and there is no significant correlation between population density and DHF incidence in Kendari City in 2014–2018.</p> 2020-07-23T00:00:00+00:00 Copyright (c) 2020 Siti Nurul Ainun Istiqamah, Arsunan A. Arsin, Andi Ummu Salmah, Anwar Mallongi (Author) Workplace Stretching Exercise toward Reduction Job Burnout among Workers Pt. X International, Indonesia 2020-11-03T20:31:28+00:00 Atjo Wahyu Stang Stang Syamsiar Russeng Andi Ummu Salmah Nur Alam Dahlan Anwar Mallongi Muhammad Restu <p><strong>BACKGROUND: </strong>Occupational safety and health are health sciences that are applied through work and the work environment to obtain the highest degree of health both physically, mentally, and socially through preventive and curative efforts in the workplace. The emergence of work fatigue in workers is evidence of a decrease in bodily functions caused by both individual factors and the work environment so that precautions are needed.</p> <p><strong>AIM: </strong>This study aimed to see the effect of workplace stretching exercise on work fatigue in workers at PT. X International, Indonesia.</p> <p><strong>METHODS: </strong>This study used a quasi-experimental study with one group pre-test and post-test design. Respondents were 30 people selected by purposive sampling and met the study inclusion criteria. The provision of workplace stretching exercises was carried out for 15 working days and is given every 10 am after workers work for 2 h.</p> <p><strong>RESULTS: </strong>The mean of work fatigue before intervention (pre-test) is 454.8133 and the average work fatigue after an intervention (post-test) is 321.9133 so that there are differences in the average work fatigue before and after the intervention.</p> <p><strong>CONCLUSION: </strong>Workplace stretching exercise intervention affects reducing work fatigue in production workers of PT. X International Indonesia.</p> 2020-08-20T00:00:00+00:00 Copyright (c) 2020 Atjo Wahyu, Stang Stang, Syamsiar Russeng, Andi Ummu Salmah, Nur Alam Dahlan, Anwar Mallongi, Muhammad Restu (Author) Water, Sanitation Dan Hygiene Analysis, and Individual Factors for Stunting among Children Under Two Years in Ambon 2020-11-23T20:33:47+00:00 Uswatun Hasanah Ida Leida Maria Nurhaedar Jafar Andi Hardianti Anwar Mallongi Aminuddin Syam <p><strong>BACKGROUND: </strong>Nutrition problem is a problem that is still a threat in various countries around the world, one of which is stunting that occurs since the baby is in the womb and in the early period after the baby is born, but only appears after the child is 2 years old.</p> <p><strong>AIM: </strong>This study aimed to analyze the water, sanitation and hygiene (WASH), and individual factors for the incidence of stunting in children aged 7–24 months in the slums of Ambon City.</p> <p><strong>METHODS: </strong>The research was an analytical observational study using a case control study design. The population in this study was all children aged 7–24 months who suffered from stunting in Ambon. The samples were 150 child with a ratio of 1:1 for the case and control groups.</p> <p><strong>RESULTS: </strong>The results showed that WASH (OR=2.7, CI 95%: 1.379–5.566) dan status Berat Badan Lahir Rendah (OR=5.1; CI 95%: 2.279–11.445) was a stunting risk factor. Meanwhile, diarrhea status (OR=2.4; CI 95%: 0.793–7.302), immunization (OR=1.4; CI 95%:0.622–3.260), and smoking history of household members (OR=1.1; CI 95%: 0.540–2.086) are risk factors, but statistically not significant. Maternal education (OR=1.0) is not a risk factor for stunting in children aged 7–24 months.</p> <p><strong>CONCLUSION: </strong>The conclusion of this study is that the WASH condition and low birth weight status are risk factors for stunting in children aged 7–24 months in Ambon.</p> 2020-08-30T00:00:00+00:00 Copyright (c) 2020 Uswatun Hasanah, Ida Leida Maria, Nurhaedar Jafar, Andi Hardianti, Anwar Mallongi, Aminuddin Syam (Author) Risk Factors Analysis and Mapping of Pulmonary Tuberculosis in Community Health Centre Tamalatea of Jeneponto District 2020-11-26T13:27:26+00:00 Irnawati Nur Nur Nasry Noor Andi Ummu Salmah Anwar Mallongi Hasnawati Amqam <p class="Pa6"><strong><span lang="EN-US">BACKGROUND: </span></strong><span lang="EN-US">Tuberculosis (TB) remains a global health problem, and in Indonesia, although TB control efforts have been carried out since 1995. TB is ranked 9</span><sup><span lang="EN-US">th </span></sup><span lang="EN-US">as the leading cause of death worldwide. The increase in the number of TB cases caused by risk factors triggering include a decrease in the immune system caused by HIV infection, nutritional status, education, sex, occupation, air humidity, house ventilation, temperature, occupancy density lighting, and contact history.</span></p> <p class="Pa6"><strong><span lang="EN-US">AIM: </span></strong><span lang="EN-US">This study aimed to analyze the relationship of nutritional status, contact history, and smoking to the incidence of pulmonary TB in Community Health Centre Tamalatea of Jeneponto District.</span></p> <p class="Pa6"><strong><span lang="EN-US">METOHDS: </span></strong><span lang="EN-US">This type of research is analytic observational with a case–control design with a total sample of 147 samples consisting of 49 cases and 98 controls. Data collection was conducted from August to October 2019. Data analysis used in the study was univariate and bivariate analysis with Chi-square test.</span></p> <p class="Pa6"><strong><span lang="EN-US">RESULTS: </span></strong><span lang="EN-US">The results showed that nutritional status (OR=5.403 95% CI: 2.547–11.461), contact history (OR=13.971 95% CI: 3.807–51.262), and smoking (OR=2.782 95% CI: 1.370–5.648) are related to the incidence of pulmonary in Community Health Centre Tamalatea of Jeneponto District. TB officers are expected to intensify the home visit program, especially for pulmonary TB sufferers with a considerable distance from the community health center, with transportation constraints and relatively poor economic conditions so that the health status of pulmonary TB sufferers can be monitored properly.</span></p> <p class="Pa12"><strong><span lang="EN-US">CONCLUSION: </span></strong><span lang="EN-US">TB officers are expected to intensify the home visit program, especially for pulmonary TB sufferers with a considerable distance from the Puskesmas, with transportation constraints and relatively poor economic conditions so that the health status of pulmonary TB sufferers can be monitored properly.</span></p> 2020-07-23T00:00:00+00:00 Copyright (c) 2020 Andi Ummu Salmah, Irnawati Nur, Nur Nasry Noor, Anwar Mallongi, Hasnawati Amqam (Author) Association of Gender, Triglyceride/HDL Ratio, and Physical Activity of Obese Adolescents in Makassar 2020-11-26T15:43:01+00:00 Nurhaedar Jafar Aminuddin Syam Yessy Kurniati Een Kurnaesih Reza Aril Ahri Nurlela Jamaluddin <p><strong>BACKGROUND: </strong>Obesity may cause the increase of triglyceride and decrease of high-density lipoprotein (HDL) levels. Triglyceride/HDL ratio is associated with metabolic disorders. Physical activity is one of the important aspects in preventing obesity. Gender is known to have a relationship with these factors, but it has been inconsistent.</p> <p><strong>AIM: </strong>This study aimed to evaluate the relationship between sex and triglycerides, levels of HDL, triglycerides/HDL ratio, and physical activity of obese adolescents in Makassar.</p> <p><strong>METHODS: </strong>This study used a cross-sectional design involving 93 samples of obese adolescents from three high schools. Measurement of triglyceride and HDL levels was performed by the Prodia laboratory, while physical activity was measured using the International Physical Activity Questioner. Data analysis was performed with Chi-square and Fisher’s exact tests.</p> <p><strong>RESULTS: </strong>The results showed that there is a relationship between gender and triglyceride levels (p = 0.006) and HDL (p = 0.034), but no relationship between the ratio of TG/HDL (p = 0.109) and physical activity was found (p = 0.339).</p> <p><strong>CONCLUSION: </strong>Efforts should be made to reduce the level of risk adolescent obesity on the risk of metabolic syndrome and cardiovascular disease, including increase physical activity. Physical activity is important to maintain the physical and mental of obese adolescents.</p> 2020-09-25T00:00:00+00:00 Copyright (c) 2020 Nurhaedar Jafar, Aminuddin Syam, Yessy Kurniati, Een Kurnaesih, Reza Aril Ahri, Nurlela Jamaluddin (Author)