A. Masyita, Arwinda Alitsia Hasyim, Yuliet Yuliet, Ritha Pratiwi
People in Pamona Puselemba Subdistrict in Poso Regency have used various plant species to maintain health and prevent various diseases, one of which is metabolic disorders. This study aims to determine the types and parts of plants, processing methods, use, duration of treatment, frequency of use, and chemical content contained in plants that are efficacious as drugs for metabolic disorders. The research was conducted descriptively using qualitative methods and the technique of taking informants (Hattra and sufferers) with the purposive sampling method. The results obtained were 32 types of plants, consisting of 24 families, for the treatment of metabolic disorders. The plant parts used were 49% leaves, 12% stems, 21% fruit, 6% tubers, 3% flowers, 3% rhizomes, 3% seeds, and 3% hair. Processing method: 77%, blended, brewed 13%, without processing 77%. How to use: drink 89%, eat directly 11%, duration of treatment 1 week, and frequency of use 2 times a day. The content of compounds contained in medicinal plants is very diverse, such as flavonoids, terpenoids, saponins, tannins, alkaloids, allisin, and other chemical compounds that can be used in the treatment of metabolic disorders. People in Pamona sub-district still use traditional medicine to treat metabolic diseases.
{"title":"Study of Traditional Drug Ethnopharmacology Used for The Treatment of Metabolic Disorders in Pamona Puselemba District","authors":"A. Masyita, Arwinda Alitsia Hasyim, Yuliet Yuliet, Ritha Pratiwi","doi":"10.52365/jond.v3i1.662","DOIUrl":"https://doi.org/10.52365/jond.v3i1.662","url":null,"abstract":"People in Pamona Puselemba Subdistrict in Poso Regency have used various plant species to maintain health and prevent various diseases, one of which is metabolic disorders. This study aims to determine the types and parts of plants, processing methods, use, duration of treatment, frequency of use, and chemical content contained in plants that are efficacious as drugs for metabolic disorders. The research was conducted descriptively using qualitative methods and the technique of taking informants (Hattra and sufferers) with the purposive sampling method. The results obtained were 32 types of plants, consisting of 24 families, for the treatment of metabolic disorders. The plant parts used were 49% leaves, 12% stems, 21% fruit, 6% tubers, 3% flowers, 3% rhizomes, 3% seeds, and 3% hair. Processing method: 77%, blended, brewed 13%, without processing 77%. How to use: drink 89%, eat directly 11%, duration of treatment 1 week, and frequency of use 2 times a day. The content of compounds contained in medicinal plants is very diverse, such as flavonoids, terpenoids, saponins, tannins, alkaloids, allisin, and other chemical compounds that can be used in the treatment of metabolic disorders. People in Pamona sub-district still use traditional medicine to treat metabolic diseases.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"19 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89830609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salah satu upaya penemuan obat baru untuk mengobati nyeri yang sering terjadi di masyarakat adalah dengan penapisan senyawa bioaktif yang berasal dari alam. Flavonoid merupakan salah senyawa bioaktif alami yang memiliki berbagai khasiat dalam pengobatan seperti sebagai antibakteri, antijamur, antivirus, antioksidan, antiinflamasi, antialergi, antinyeri dan antitumor. Senyawa bioaktif yang terdapat di flavonoid yang memiliki aktivitas sebagai antinyeri seperti gingerol, linalool, limonen, zingeron, zingiberol, anthocyanin, dan melatonin. Untuk mengetahui besarnya interaksi senyawa bioaktif dengan target dilakukan dengan penapisan virtual melalui Protox II Web Server untuk mengetahui toksisitas dan PkCSM untuk mengetahui ADMET. Dari penelitian ini diperoleh seluruh senyawa uji sangat aman, terbukti dengan hasil dari toksisitas, kesamaan dan organ target.One of the efforts to find new drugs to treat pain that often occurs in the community is by screening bioactive compounds derived from nature. Flavonoids are natural bioactive compounds that have various medicinal properties such as antibacterial, antifungal, antiviral, antioxidant, anti-inflammatory, antiallergic, anti-pain, and antitumor properties. Bioactive compounds contained in flavonoids that have anti-pain activity, such as gingerol, linalool, limonen, zingeron, zingiberol, anthocyanins, and melatonin, To determine the magnitude of the interaction of bioactive compounds with targets, virtual screening was carried out through the Protox II Web Server to determine toxicity and PkCSM to determine ADMET. From this research, it was determined that all test compounds were very safe, as evidenced by the results of toxicity, similarity, and target organs.
一种用于治疗社会中常见疼痛的新药的尝试之一，就是从自然中提取一种生物活性化合物。黄酮是一种天然的生物活性化合物，具有抗菌、抗真菌药、抗病毒药、抗氧化剂、抗氧化药、抗过敏药、过敏药和镇定剂等治疗功效。在类黄酮中发现的一种生物活性化合物，如姜醇、二醇、柠檬醇、锌、锌、苯酚和褪黑素。要了解通过模态II Web服务器进行的虚拟合成作用的强度，了解毒性和PkCSM (ADMET)。从这项研究中获得了一种高度安全的化合物试验，可以证明其毒性、相似性和目标器官的结果。寻找一种新的药物来缓解社区中十次发生的疼痛的努力是通过筛选出大自然的生物活性化合物。黄麻黄素是一种天然的生物活性化合物，具有多种药物性质，如抗菌、抗fungal、抗病毒剂、抗氧化剂、抗炎药、抗过敏药、抗痛苦药和抗疼痛药等。由具有抗疼痛耐药性的物质组成的flavonoids, such as gingerol, linalool, limonen, zingiberon, zingiberin，从这项研究来看，所有的测试都是非常安全的，因为这些测试被毒性、模拟和有机微生物的结果所证明。
{"title":"Prediksi Toksisitas dan Farmakokinetika untuk mendapatkan Kandidat Obat Analgesik","authors":"Okta Nursanti, Abdul Aziz, Ginayanti Hadisoebroto","doi":"10.52365/jond.v3i1.654","DOIUrl":"https://doi.org/10.52365/jond.v3i1.654","url":null,"abstract":"Salah satu upaya penemuan obat baru untuk mengobati nyeri yang sering terjadi di masyarakat adalah dengan penapisan senyawa bioaktif yang berasal dari alam. Flavonoid merupakan salah senyawa bioaktif alami yang memiliki berbagai khasiat dalam pengobatan seperti sebagai antibakteri, antijamur, antivirus, antioksidan, antiinflamasi, antialergi, antinyeri dan antitumor. Senyawa bioaktif yang terdapat di flavonoid yang memiliki aktivitas sebagai antinyeri seperti gingerol, linalool, limonen, zingeron, zingiberol, anthocyanin, dan melatonin. Untuk mengetahui besarnya interaksi senyawa bioaktif dengan target dilakukan dengan penapisan virtual melalui Protox II Web Server untuk mengetahui toksisitas dan PkCSM untuk mengetahui ADMET. Dari penelitian ini diperoleh seluruh senyawa uji sangat aman, terbukti dengan hasil dari toksisitas, kesamaan dan organ target.One of the efforts to find new drugs to treat pain that often occurs in the community is by screening bioactive compounds derived from nature. Flavonoids are natural bioactive compounds that have various medicinal properties such as antibacterial, antifungal, antiviral, antioxidant, anti-inflammatory, antiallergic, anti-pain, and antitumor properties. Bioactive compounds contained in flavonoids that have anti-pain activity, such as gingerol, linalool, limonen, zingeron, zingiberol, anthocyanins, and melatonin, To determine the magnitude of the interaction of bioactive compounds with targets, virtual screening was carried out through the Protox II Web Server to determine toxicity and PkCSM to determine ADMET. From this research, it was determined that all test compounds were very safe, as evidenced by the results of toxicity, similarity, and target organs.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"10 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82623462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Penyakit hipertensi merupakan penyakit tidak menular peringkat pertama terbanyak di Provinsi Gorontalo selama empat tahun berturut-turut dengan 29.391 kasus pada tahun 2020. 60% penderita hipertensi mengalami komplikasi stroke, penyakit ginjal, dan kebutaan. Hal ini disebabkan kurangnya kemampuan pasien hipertensi dalam melakukan manajemen diet. Salah satu jenis pendekatan diet yang dapat diterapkan pada pasien hipertensi adalah diet DASH (Dietary Approach to Stop Hipertension) . Tujuan kegiatan pengabdian masyarakat ini adalah meningkatkan pengetahuan pasien hipertensi terkait penerapan metode DASH dalam mengatur diet pasien hipertensi. Kegiatan pengabdian masyarakat ini dilakukan dengan metode edukasi terstruktur terhadap 20 orang pasien hipertensi. Sebelum dan setelah kegiatan, dilakukan pengukuran tekanan darah pada pasien hipertensi. Setelah kegiatan, didapatkan penurunan tekanan darah sistolik dari 159 mmHg menjadi 18 mmHg dan tekanan darah diastolik dari 91 mmHg menjadi 80 mmHg . Metode diet DASH dapat dijadikan sebagai alternatif pendekatan diet dalam menurunkan tekanan darah pada pasien hipertensi.Hypertension has been the top-ranked non-communicable disease in Gorontalo Province for four consecutive years, with 29,391 cases in 2020. 60% of hypertension sufferers experience complications from stroke, kidney disease, and blindness. This is due to the patients' lack of ability to carry out diet management. One type of dietary approach that can be applied to hypertensive patients is the DASH (Dietary Approach to Stop Hypertension) diet. The purpose of this community service activity is to increase the knowledge of hypertensive patients regarding the application of the DASH method in managing their diet. This community service activity was carried out using a structured educational method for 20 hypertension patients. Before and after the activity, blood pressure was measured in hypertensive patients. After the activity, there was a decrease in systolic blood pressure from 159 mmHg to 128 mmHg and diastolic blood pressure from 91 mmHg to 80 mmHg. The DASH diet method can be used as an alternative dietary approach to lowering blood pressure in hypertensive patients.
{"title":"Edukasi Diet DASH dalam menurunkan Tekanan Darah pada Pasien Hipertensi di Wilayah Kerja Puskesmas Kabila","authors":"Fakhriatul Falah, Rista Apriana","doi":"10.52365/jond.v3i1.640","DOIUrl":"https://doi.org/10.52365/jond.v3i1.640","url":null,"abstract":"Penyakit hipertensi merupakan penyakit tidak menular peringkat pertama terbanyak di Provinsi Gorontalo selama empat tahun berturut-turut dengan 29.391 kasus pada tahun 2020. 60% penderita hipertensi mengalami komplikasi stroke, penyakit ginjal, dan kebutaan. Hal ini disebabkan kurangnya kemampuan pasien hipertensi dalam melakukan manajemen diet. Salah satu jenis pendekatan diet yang dapat diterapkan pada pasien hipertensi adalah diet DASH (Dietary Approach to Stop Hipertension) . Tujuan kegiatan pengabdian masyarakat ini adalah meningkatkan pengetahuan pasien hipertensi terkait penerapan metode DASH dalam mengatur diet pasien hipertensi. Kegiatan pengabdian masyarakat ini dilakukan dengan metode edukasi terstruktur terhadap 20 orang pasien hipertensi. Sebelum dan setelah kegiatan, dilakukan pengukuran tekanan darah pada pasien hipertensi. Setelah kegiatan, didapatkan penurunan tekanan darah sistolik dari 159 mmHg menjadi 18 mmHg dan tekanan darah diastolik dari 91 mmHg menjadi 80 mmHg . Metode diet DASH dapat dijadikan sebagai alternatif pendekatan diet dalam menurunkan tekanan darah pada pasien hipertensi.Hypertension has been the top-ranked non-communicable disease in Gorontalo Province for four consecutive years, with 29,391 cases in 2020. 60% of hypertension sufferers experience complications from stroke, kidney disease, and blindness. This is due to the patients' lack of ability to carry out diet management. One type of dietary approach that can be applied to hypertensive patients is the DASH (Dietary Approach to Stop Hypertension) diet. The purpose of this community service activity is to increase the knowledge of hypertensive patients regarding the application of the DASH method in managing their diet. This community service activity was carried out using a structured educational method for 20 hypertension patients. Before and after the activity, blood pressure was measured in hypertensive patients. After the activity, there was a decrease in systolic blood pressure from 159 mmHg to 128 mmHg and diastolic blood pressure from 91 mmHg to 80 mmHg. The DASH diet method can be used as an alternative dietary approach to lowering blood pressure in hypertensive patients.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"112 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78112935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Irmawan, Septaria Yolan Kalalinggi, Y. Nainggolan
Indonesia merupakan negara kepulauan di kawasan Asia Tenggara dengan sumber daya alam yang melimpah. Salah satu sumber daya alam hayati yang memiliki potensi bernilai tinggi adalah lahan gambut. Lahan gambut merupakan lahan yang terbentuk dari sisa-sisa bahan organik yang tertimbun dalam jangka waktu yang lama sehingga hanya tumbuhan tertentu yang dapat hidup di lahan tersebut. Tanah lahan gambut berbeda dengan tanah mineral, dimana lahan gambut memiliki karakteristik tersendiri sehingga hanya beberapa tumbuhan yang dapat hidup di kawasan lahan gambut. Review ini bertujuan untuk mengeksplorasi potensi tumbuhan kelakai, bajakah dan bawang dayak dari lahan gambut yang memiliki bioaktivitas untuk bahan baku obat, dengan menggunakan metode literature review. Hasil yang diperoleh menunjukkan bahwa tumbuhan tersebut memiliki bioaktivitas seperti antioksidan, antikanker, antibakteri, larvasida, afrodisiaka dan berpotensi dalam mengurangi gejala anemia. Kedepannya dilakukan penelitian lebih lanjut mengenai bioaktivitas spesifik yang dimiliki oleh tumbuhan tersebut.Indonesia is an archipelagic state in Southeast Asia with abundant natural resources. One of the biological natural resources that has high potential value is peat land. Peatland is formed from the remains of organic matter that has accumulated over a long period of time, so only certain plants can live on the land. Peatland soil is different from mineral soil peatland has its own characteristics, so only a few plants can live in peatland areas. This review aims to explore the potential of peatland peat plants, which have bioactivity as medicinal raw materials, using the literature review method. The results obtained indicate that these plants have bioactivities such as antioxidants, anticancer, antibacterial, larvicidal, and aphrodisiac properties. These plants also have the potential to reduce the symptoms of anemia. In the future, further research will be carried out regarding the specific bioactivity possessed by these plants.
{"title":"Review: Potensi Bioaktivitas Tumbuhan Alam Gambut Sebagai Bahan Baku Obat","authors":"Muhammad Irmawan, Septaria Yolan Kalalinggi, Y. Nainggolan","doi":"10.52365/jond.v3i1.673","DOIUrl":"https://doi.org/10.52365/jond.v3i1.673","url":null,"abstract":"Indonesia merupakan negara kepulauan di kawasan Asia Tenggara dengan sumber daya alam yang melimpah. Salah satu sumber daya alam hayati yang memiliki potensi bernilai tinggi adalah lahan gambut. Lahan gambut merupakan lahan yang terbentuk dari sisa-sisa bahan organik yang tertimbun dalam jangka waktu yang lama sehingga hanya tumbuhan tertentu yang dapat hidup di lahan tersebut. Tanah lahan gambut berbeda dengan tanah mineral, dimana lahan gambut memiliki karakteristik tersendiri sehingga hanya beberapa tumbuhan yang dapat hidup di kawasan lahan gambut. Review ini bertujuan untuk mengeksplorasi potensi tumbuhan kelakai, bajakah dan bawang dayak dari lahan gambut yang memiliki bioaktivitas untuk bahan baku obat, dengan menggunakan metode literature review. Hasil yang diperoleh menunjukkan bahwa tumbuhan tersebut memiliki bioaktivitas seperti antioksidan, antikanker, antibakteri, larvasida, afrodisiaka dan berpotensi dalam mengurangi gejala anemia. Kedepannya dilakukan penelitian lebih lanjut mengenai bioaktivitas spesifik yang dimiliki oleh tumbuhan tersebut.Indonesia is an archipelagic state in Southeast Asia with abundant natural resources. One of the biological natural resources that has high potential value is peat land. Peatland is formed from the remains of organic matter that has accumulated over a long period of time, so only certain plants can live on the land. Peatland soil is different from mineral soil peatland has its own characteristics, so only a few plants can live in peatland areas. This review aims to explore the potential of peatland peat plants, which have bioactivity as medicinal raw materials, using the literature review method. The results obtained indicate that these plants have bioactivities such as antioxidants, anticancer, antibacterial, larvicidal, and aphrodisiac properties. These plants also have the potential to reduce the symptoms of anemia. In the future, further research will be carried out regarding the specific bioactivity possessed by these plants.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"17 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89244931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hypertension is a non-communicable disease that poses a threat to people in developing countries. Hypertension is a cause of death, called the silent killer, and is mostly suffered by the elderly. This is caused by physiological factors, namely decreased body function due to the aging process, so that non-communicable diseases attack many elderly people. The global health standard does not only rely on curative measures because most diseases can be prevented by healthy lifestyles and avoiding risky lifestyles. This study aims to determine the effect of murottal therapy on blood pressure in the elderly with hypertension. This study used a quasi-experimental research design using a one-group pre-post test design and a sample size of 34 elderly with the sampling technique of purposive sampling and bivariate analysis using the Wilcoxon test. The result is that murottal therapy has an effect on reducing blood pressure in elderly people with hypertension, with a Wilcoxon signed rank test p-value of 0.000 (P <0.05), so there is an effect of murottal therapy on blood pressure in the elderly with hypertension.
{"title":"The Effect of Murottal Therapy on Blood Pressure in Elderly Patients With Hypertension at Jambidan Posyandu, Banguntapan 1 Community Health Center","authors":"Arita Muwarni, S. Anggoro","doi":"10.52365/jond.v3i1.440","DOIUrl":"https://doi.org/10.52365/jond.v3i1.440","url":null,"abstract":"Hypertension is a non-communicable disease that poses a threat to people in developing countries. Hypertension is a cause of death, called the silent killer, and is mostly suffered by the elderly. This is caused by physiological factors, namely decreased body function due to the aging process, so that non-communicable diseases attack many elderly people. The global health standard does not only rely on curative measures because most diseases can be prevented by healthy lifestyles and avoiding risky lifestyles. This study aims to determine the effect of murottal therapy on blood pressure in the elderly with hypertension. This study used a quasi-experimental research design using a one-group pre-post test design and a sample size of 34 elderly with the sampling technique of purposive sampling and bivariate analysis using the Wilcoxon test. The result is that murottal therapy has an effect on reducing blood pressure in elderly people with hypertension, with a Wilcoxon signed rank test p-value of 0.000 (P <0.05), so there is an effect of murottal therapy on blood pressure in the elderly with hypertension.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"282 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76823788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stunting merupakan salah satu masalah yang dapat menghambat perkembangan manusia. Prevalensi stunting di Indonesia pada tahun 2022 yaitu 21,6%. Penelitian ini dilakukan untuk menggambarkan pelaksanaan program promosi kesehatan sebagai salah satu upaya penanggulangan kejadian stunting yang terjadi di Puskemas Gladak Pakem Kabupaten Jember. Jenis penelitian ini adalah deskripstif kualitatif. Informan penelitian ini adalah Kepala Puskemas serta penanggung jawab progam promosi kesehatan di Puskemas Gladak Pakem. Teknik pengumpulan data menggunakan metode wawancara, observasi serta dokumentasi. Instrumen penelitian ini adalah lembar panduan wawancara, lembar observasi dan lembar dokumentasi. Teknik analisis data penelitian ini menggunakan teknik triangulasi. Hasil penelitian ini diperoleh bahwa pelaksanaan program promosi kesehatan sebagai upaya penanggulangan kejadian stunting yang ditinjau dari beberapa aspek menunjukkan bahwa komunikasi serta penyampaian informasi yang dilakukan pimpinan kepada para pelaksana program telah dilaksanakan dengan baik dan benar, meskipun tidak jarang terjadi kesalahpaham informasi yang disebabkan penyampaian informasi yang kurang maksimal. Para pelaksana program juga berkomitmen dengan baik dalam melaksanakan tugas yang didukung oleh sarana prasarana serta pembiayaan program yang cukup. Meskipun belum terdapat Standar Operasional Prosedur (SOP) yang menjadi pedoman pelaksanaan program tetapi Puskesmas Gladak Pakem tetap memiliki petunjuk teknis sebagai pedoman dalam melaksanakan kegiatan promosi kesehatan sebagai upaya penanggulangan kejadian stunting.Stunting is a problem that can hinder human development. The prevalence of stunting in Indonesia in 2022 will be 21.6%. This research was conducted to describe the implementation of a health promotion program as an effort to overcome stunting that occurred at the Gladak Pakem Health Center, Jember Regency. This type of research is quanlitative and descriptive. The informants of this study were the head of the public health center and the person in charge of the health promotion program at the Gladak Pakem health center. Data collection techniques using interviews, observation, and documentation. The research instruments were interview guide sheets, observation sheets, and documentation sheets. The data analysis technique used in this research is a triangulation technique. The results of this study found that the implementation of the health promotion program as an effort to overcome stunting was successful in several aspects, including the communication and delivery of information by the leadership to program implementers, although it was not uncommon for misunderstandings to occur due to misinformation not maximal. The program implementers are also well committed to carrying out their duties, supported by adequate infrastructure and program funding. Even though there is no standard operating procedures (SOP) to guide the implementation of the program, the Gladak Pakem He
替身是阻碍人类发展的问题之一。2022年印度尼西亚的特技流行是21.6%。本研究将卫生促进计划的实施描述为应对Jember区的Gladak Pakem区的任何特技活动的对策之一。这种研究是描述性的定性。本研究的线人是首席猫，也是格拉达帕克猫的健康促进计划负责人。采用访谈法、观察和文档收集数据的技术。本研究工具为采访指南、观察表和文件表提供了研究工具。用三角法分析研究数据的技术。这项研究结果,实施健康促进项目(united nations high commissioner for refugees)表示作为发育事件的对策的努力表明,某些方面传递这一信息的沟通和管理对执行者的做这个项目已经执行的善良和真诚,虽然不是罕见的kesalahpaham最大信息传递这一信息的缺乏造成的。项目执行人员还很好地完成了由基础设施支持的任务和足够的项目资金。虽然目前还没有标准的操作程序程序指导方针，但Gladak Pakem Puskesmas作为指导方针，在执行卫生促进活动，以应对特技。这一特技是一个可以实现人类发展的问题。2022年印尼特技表演的发生率将是21.6%。这项研究的目的是描述美国努力促进美国健康促进计划的实施，该计划将在剑兰Pakem健康中心的风险增加。这是研究的性质是共性和描述的。这项研究的信息是公共卫生中心的负责人，也是格兰达帕克健康中心(Gladak Pakem health center)健康推广项目的负责人。数据收集技术使用面试、观察和文档。研究工具是访谈指南，观察表和文件表。研究中使用的技术分析数据是一个技术三角分析。The results of The implementation》这个研究发现那个美国卫生项目景观发育努力to overcome是成功的在好几个aspects, communication and分娩》在内的信息由implementers项目的领导,虽然是音符》misunderstandings to occur帐款来说misinformation不是最高。执行计划还得到了adequate基础设施和funding计划的支持。尽管没有标准操作程序(SOP)来指导该计划的实施，但Gladak Pakem Health Center仍然有技术工具作为指导，以将健康促进作为努力捕获特技。
{"title":"Gambaran Implementasi Program Promosi Kesehatan Sebagai Upaya Penanggulangan Kejadian Stunting di Puskesmas Gladak Pakem","authors":"Erin Arifah Wijaya, Yennike Tri Herawati","doi":"10.52365/jond.v3i1.541","DOIUrl":"https://doi.org/10.52365/jond.v3i1.541","url":null,"abstract":"Stunting merupakan salah satu masalah yang dapat menghambat perkembangan manusia. Prevalensi stunting di Indonesia pada tahun 2022 yaitu 21,6%. Penelitian ini dilakukan untuk menggambarkan pelaksanaan program promosi kesehatan sebagai salah satu upaya penanggulangan kejadian stunting yang terjadi di Puskemas Gladak Pakem Kabupaten Jember. Jenis penelitian ini adalah deskripstif kualitatif. Informan penelitian ini adalah Kepala Puskemas serta penanggung jawab progam promosi kesehatan di Puskemas Gladak Pakem. Teknik pengumpulan data menggunakan metode wawancara, observasi serta dokumentasi. Instrumen penelitian ini adalah lembar panduan wawancara, lembar observasi dan lembar dokumentasi. Teknik analisis data penelitian ini menggunakan teknik triangulasi. Hasil penelitian ini diperoleh bahwa pelaksanaan program promosi kesehatan sebagai upaya penanggulangan kejadian stunting yang ditinjau dari beberapa aspek menunjukkan bahwa komunikasi serta penyampaian informasi yang dilakukan pimpinan kepada para pelaksana program telah dilaksanakan dengan baik dan benar, meskipun tidak jarang terjadi kesalahpaham informasi yang disebabkan penyampaian informasi yang kurang maksimal. Para pelaksana program juga berkomitmen dengan baik dalam melaksanakan tugas yang didukung oleh sarana prasarana serta pembiayaan program yang cukup. Meskipun belum terdapat Standar Operasional Prosedur (SOP) yang menjadi pedoman pelaksanaan program tetapi Puskesmas Gladak Pakem tetap memiliki petunjuk teknis sebagai pedoman dalam melaksanakan kegiatan promosi kesehatan sebagai upaya penanggulangan kejadian stunting.Stunting is a problem that can hinder human development. The prevalence of stunting in Indonesia in 2022 will be 21.6%. This research was conducted to describe the implementation of a health promotion program as an effort to overcome stunting that occurred at the Gladak Pakem Health Center, Jember Regency. This type of research is quanlitative and descriptive. The informants of this study were the head of the public health center and the person in charge of the health promotion program at the Gladak Pakem health center. Data collection techniques using interviews, observation, and documentation. The research instruments were interview guide sheets, observation sheets, and documentation sheets. The data analysis technique used in this research is a triangulation technique. The results of this study found that the implementation of the health promotion program as an effort to overcome stunting was successful in several aspects, including the communication and delivery of information by the leadership to program implementers, although it was not uncommon for misunderstandings to occur due to misinformation not maximal. The program implementers are also well committed to carrying out their duties, supported by adequate infrastructure and program funding. Even though there is no standard operating procedures (SOP) to guide the implementation of the program, the Gladak Pakem He","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"253 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79553905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The association between parity and breast cancer has been widely investigated in high-income countries. However, in sub-Saharan African (SSA) region, only a few studies have investigated this association. The aim of this study was to critically review the available evidence, highlighting their strength and weakness, thereby providing a basis for more studies in SSA on the topic. A literature search in MEDLINE, Scopus, PubMed, Google Scholar, and reference list of published studies was conducted. Key case control and cohort studies published between 2000 and 2018 were selected for detailed review based on sample size, geographical distributions, and relevance of the findings. Nonanalytical studies were excluded. The findings were summarized using the tables and forest plots based on R Statistical Software version 3.4.0 (2017). This was primarily to provide visual overview of the reviewed studies and not necessarily to provide a pooled estimate. The conclusion was drawn by comparing the number of observed significant findings (assessed based on confidence intervals) with the number of nonsignificant findings across countries and SSA taking into considerations their strengths and weaknesses. Twenty-six case − control studies and 12 cohort studies across the four regions of the world North America, Europe, Asia, and Africa were reviewed. A reduced risk of breast cancer (especially estrogen receptor [ER] positive breast cancer) was observed in most studies, especially studies from high-income countries. While several studies that reported a nonsignificant observation in SSA were limited in sample size, the few that observed a reduced risk of breast with parity among all women were subject to confounding. Nevertheless, recent studies suggest that the role of parity may be modified by ER status and menopausal status. Further investigation of these suggestions will be needed for a clearer understanding of the relationship between parity and breast cancer in SSA.
{"title":"Relationship between parity and breast cancer risk: A critical review of evidence (with focus on sub-Saharan Africa)","authors":"S. Azubuike","doi":"10.4103/jncd.jncd_6_23","DOIUrl":"https://doi.org/10.4103/jncd.jncd_6_23","url":null,"abstract":"The association between parity and breast cancer has been widely investigated in high-income countries. However, in sub-Saharan African (SSA) region, only a few studies have investigated this association. The aim of this study was to critically review the available evidence, highlighting their strength and weakness, thereby providing a basis for more studies in SSA on the topic. A literature search in MEDLINE, Scopus, PubMed, Google Scholar, and reference list of published studies was conducted. Key case control and cohort studies published between 2000 and 2018 were selected for detailed review based on sample size, geographical distributions, and relevance of the findings. Nonanalytical studies were excluded. The findings were summarized using the tables and forest plots based on R Statistical Software version 3.4.0 (2017). This was primarily to provide visual overview of the reviewed studies and not necessarily to provide a pooled estimate. The conclusion was drawn by comparing the number of observed significant findings (assessed based on confidence intervals) with the number of nonsignificant findings across countries and SSA taking into considerations their strengths and weaknesses. Twenty-six case − control studies and 12 cohort studies across the four regions of the world North America, Europe, Asia, and Africa were reviewed. A reduced risk of breast cancer (especially estrogen receptor [ER] positive breast cancer) was observed in most studies, especially studies from high-income countries. While several studies that reported a nonsignificant observation in SSA were limited in sample size, the few that observed a reduced risk of breast with parity among all women were subject to confounding. Nevertheless, recent studies suggest that the role of parity may be modified by ER status and menopausal status. Further investigation of these suggestions will be needed for a clearer understanding of the relationship between parity and breast cancer in SSA.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"8 1","pages":"66 - 74"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45765177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Poddar, Suresh Selvam, A. Saroch, A. Pannu, P. Mathen, Mohan Kumar, D. Dhibar, N. Sharma
Objective: Older patients are rapidly increasing in the emergency department in low-middle-income countries and have poor outcomes. The present study aimed to find the spectrum of comorbidities, medical emergencies, and prognosis in geriatric patients and compare the elderly with very elderly patients in North India. Methodology: A prospective cohort study was conducted on patients aged ≥60 years admitted at Postgraduate Institute of Medical Education and Research, Chandigarh (India). The elderly and very elderly age was defined as 60–74 years and ≥75 years, respectively. Results: Of 935 enrolled patients, 763 (81.6%) were elderly, and 172 (18.4%) were very elderly. Very elderly more frequently required admission in the red area (65.7% vs. 57.4%, P = 0.045). 85.2% (n = 796) of patients had preexisting comorbidities, hypertension (44.5%) and diabetes (34.8%) being the most common. The most comorbidities and the Charlson comorbidity index score distribution were similar to the two age groups; however, hypertension was more in the elderly (52.3% vs. 42.7%, P = 0.022). Overall, gastrointestinal (25.7%), neurological (20.7%), and cardiovascular (19.0%) emergencies were common; however, the very elderly patients more frequently had neurological illnesses (30.8% vs. 18.5%, P < 0.001). Pulmonary infections were the most prevalent infections in both age groups. The frequency of urinary tract infections was higher in the very elderly (17.5% vs. 6.1%, P = 0.023). In-hospital survival was 82.7% (n = 773) and significantly low in the very elderly (76.7% vs. 84.0%, P = 0.023). The survival was predicted by quick sequential organ failure assessment but not by the Charlson comorbidity index. Conclusion: Very elderly patients more frequently have hypertension, neurological emergencies, urinary tract infections, and poor outcomes.
目的:中低收入国家急诊科老年患者数量迅速增加，且预后较差。本研究旨在发现老年患者的合并症、医疗紧急情况和预后，并将老年患者与印度北部的老年患者进行比较。方法:对印度昌迪加尔医学教育与研究研究生院收治的年龄≥60岁的患者进行前瞻性队列研究。老年和极老年年龄分别定义为60-74岁和≥75岁。结果:935例入组患者中，763例(81.6%)为老年人，172例(18.4%)为非常老年人。非常高龄患者在红色区域就诊较多(65.7% vs. 57.4%， P = 0.045)。85.2% (n = 796)的患者既往存在合并症，其中高血压(44.5%)和糖尿病(34.8%)最为常见。两组患者的合并症及Charlson合并症指数得分分布相似;老年人高血压发生率较高(52.3%比42.7%，P = 0.022)。总的来说，胃肠道(25.7%)、神经系统(20.7%)和心血管(19.0%)急症很常见;然而，老年患者更常出现神经系统疾病(30.8%比18.5%，P < 0.001)。肺部感染是两个年龄组中最常见的感染。中老年患者尿路感染发生率较高(17.5%比6.1%，P = 0.023)。住院生存率为82.7% (n = 773)，高龄患者的住院生存率较低(76.7% vs. 84.0%， P = 0.023)。通过快速序贯器官衰竭评估来预测生存，而不是通过Charlson合并症指数。结论:高龄患者高血压、神经系统急症、尿路感染发生率高，预后差。
{"title":"Medical emergencies and comorbidities in the elderly and very elderly patients in North India","authors":"A. Poddar, Suresh Selvam, A. Saroch, A. Pannu, P. Mathen, Mohan Kumar, D. Dhibar, N. Sharma","doi":"10.4103/jncd.jncd_15_23","DOIUrl":"https://doi.org/10.4103/jncd.jncd_15_23","url":null,"abstract":"Objective: Older patients are rapidly increasing in the emergency department in low-middle-income countries and have poor outcomes. The present study aimed to find the spectrum of comorbidities, medical emergencies, and prognosis in geriatric patients and compare the elderly with very elderly patients in North India. Methodology: A prospective cohort study was conducted on patients aged ≥60 years admitted at Postgraduate Institute of Medical Education and Research, Chandigarh (India). The elderly and very elderly age was defined as 60–74 years and ≥75 years, respectively. Results: Of 935 enrolled patients, 763 (81.6%) were elderly, and 172 (18.4%) were very elderly. Very elderly more frequently required admission in the red area (65.7% vs. 57.4%, P = 0.045). 85.2% (n = 796) of patients had preexisting comorbidities, hypertension (44.5%) and diabetes (34.8%) being the most common. The most comorbidities and the Charlson comorbidity index score distribution were similar to the two age groups; however, hypertension was more in the elderly (52.3% vs. 42.7%, P = 0.022). Overall, gastrointestinal (25.7%), neurological (20.7%), and cardiovascular (19.0%) emergencies were common; however, the very elderly patients more frequently had neurological illnesses (30.8% vs. 18.5%, P < 0.001). Pulmonary infections were the most prevalent infections in both age groups. The frequency of urinary tract infections was higher in the very elderly (17.5% vs. 6.1%, P = 0.023). In-hospital survival was 82.7% (n = 773) and significantly low in the very elderly (76.7% vs. 84.0%, P = 0.023). The survival was predicted by quick sequential organ failure assessment but not by the Charlson comorbidity index. Conclusion: Very elderly patients more frequently have hypertension, neurological emergencies, urinary tract infections, and poor outcomes.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"8 1","pages":"75 - 83"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42761536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sundhareshwaran Chandrasekaran, R. Mookambika, Vishnu Ashok, Priya Panicker, G. Nithya
Background: Nonpharmacological management of chronic kidney disease (CKD) by dietary modifications is an integral part in preventing the disease progression into renal failure. Fish has been recommended as a substitute protein instead of meat in renal diets. However, sardines and dried fish which are a staple diet in coastal areas may cause more harm than benefit. Hence, this study was designed to analyze dietary patterns of sardines, dried fish, meat and salt consumption and its impact among CKD patients. Materials and Methods: This longitudinal study was carried out among 100 CKD patients in Nephrology department, excluding seriously ill patients or those on hemodialysis. Dietary patterns were assessed using food frequency questionnaire. Renal parameters and clinical staging were estimated at the beginning of the study and after 2 months. Results: The mean age of the CKD patients was 55.29 years. The mean quantities of sardines, dried fish, meat, and salt consumed per week were 375 g, 70.1 g, 115.7 g, and 39.54 g, respectively. There was a statistically significant increase in the mean values of all renal parameters. Patients who had elevated creatinine and potassium levels had a statistically significant higher mean consumption of sardines and salt, respectively. Conclusion: The consumption of sardines, meat and salt was very high among the CKD patients. Worsening of disease was seen in almost half the study population. Culturally appropriate dietary guidelines are required for diet modifications in CKD patients.
{"title":"Dietary patterns among chronic kidney disease patients and their impact on their clinical course: A longitudinal study from rural Kanyakumari","authors":"Sundhareshwaran Chandrasekaran, R. Mookambika, Vishnu Ashok, Priya Panicker, G. Nithya","doi":"10.4103/jncd.jncd_48_22","DOIUrl":"https://doi.org/10.4103/jncd.jncd_48_22","url":null,"abstract":"Background: Nonpharmacological management of chronic kidney disease (CKD) by dietary modifications is an integral part in preventing the disease progression into renal failure. Fish has been recommended as a substitute protein instead of meat in renal diets. However, sardines and dried fish which are a staple diet in coastal areas may cause more harm than benefit. Hence, this study was designed to analyze dietary patterns of sardines, dried fish, meat and salt consumption and its impact among CKD patients. Materials and Methods: This longitudinal study was carried out among 100 CKD patients in Nephrology department, excluding seriously ill patients or those on hemodialysis. Dietary patterns were assessed using food frequency questionnaire. Renal parameters and clinical staging were estimated at the beginning of the study and after 2 months. Results: The mean age of the CKD patients was 55.29 years. The mean quantities of sardines, dried fish, meat, and salt consumed per week were 375 g, 70.1 g, 115.7 g, and 39.54 g, respectively. There was a statistically significant increase in the mean values of all renal parameters. Patients who had elevated creatinine and potassium levels had a statistically significant higher mean consumption of sardines and salt, respectively. Conclusion: The consumption of sardines, meat and salt was very high among the CKD patients. Worsening of disease was seen in almost half the study population. Culturally appropriate dietary guidelines are required for diet modifications in CKD patients.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"8 1","pages":"104 - 109"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46913252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and Aims: In Tamil Nadu, India, the government has launched a home-based noncommunicable diseases (NCDs) care scheme to deliver health services at the doorstep of the beneficiaries. Hence, this study aimed to determine patient satisfaction and the factors associated with home-based care for diabetes and hypertension. Methodology: This community-based cross-sectional study was conducted from April to May 2022. The sample size was 427, and the participants were selected by a simple random sampling method. We used the Patient Satisfaction Questionnaire-18 to assess satisfaction. Results: The overall satisfaction score was 3.63 (0.44). Mean (standard deviation) satisfaction was highest in the financial aspect and the lowest in accessibility and convenience. The prevalence of adequate satisfaction with home-based care was 57% (95% confidence interval [CI]: 51.8%–61.4%). Participants belonging to social class 2 (adjusted prevalence ratio [aPR] = 1.5, 95% CI: 1.15–1.96), P = 0.002), having a duration of NCD between 1 and 5 years (aPR = 1.45, 95% CI: 1.10–1.92, P = 0.008), and not delivering all drugs for NCDs (aPR = 1.37, 95% CI: 1.05–1.80, P = 0.021) were significantly associated with inadequate satisfaction. However, 90% of the participants were willing to continue home-based NCD care. Conclusion: Overall, patient satisfaction was 57%. Measures to distribute all the medication and routine monitoring of the scheme are necessary.
{"title":"Home-based care for noncommunicable diseases and patient satisfaction: A community-based cross-sectional study from Tamil Nadu, India","authors":"Ganga Ravichandran, J. Olickal","doi":"10.4103/jncd.jncd_16_23","DOIUrl":"https://doi.org/10.4103/jncd.jncd_16_23","url":null,"abstract":"Background and Aims: In Tamil Nadu, India, the government has launched a home-based noncommunicable diseases (NCDs) care scheme to deliver health services at the doorstep of the beneficiaries. Hence, this study aimed to determine patient satisfaction and the factors associated with home-based care for diabetes and hypertension. Methodology: This community-based cross-sectional study was conducted from April to May 2022. The sample size was 427, and the participants were selected by a simple random sampling method. We used the Patient Satisfaction Questionnaire-18 to assess satisfaction. Results: The overall satisfaction score was 3.63 (0.44). Mean (standard deviation) satisfaction was highest in the financial aspect and the lowest in accessibility and convenience. The prevalence of adequate satisfaction with home-based care was 57% (95% confidence interval [CI]: 51.8%–61.4%). Participants belonging to social class 2 (adjusted prevalence ratio [aPR] = 1.5, 95% CI: 1.15–1.96), P = 0.002), having a duration of NCD between 1 and 5 years (aPR = 1.45, 95% CI: 1.10–1.92, P = 0.008), and not delivering all drugs for NCDs (aPR = 1.37, 95% CI: 1.05–1.80, P = 0.021) were significantly associated with inadequate satisfaction. However, 90% of the participants were willing to continue home-based NCD care. Conclusion: Overall, patient satisfaction was 57%. Measures to distribute all the medication and routine monitoring of the scheme are necessary.","PeriodicalId":52935,"journal":{"name":"International Journal of Noncommunicable Diseases","volume":"8 1","pages":"84 - 90"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44717917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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