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Puskesmas adalah tempat pelayanan kesehatan utama dalam sebuah kota. Dalam kesehariannya, puskesmas harus sering berinteraksi dengan masyarakat, fasilitas kesehatan, dan dinas kesehatan lokal. Saat ini di Puskesmas Tamangapa belum ada aplikasi sistem informasi yang memediasi komunikasi di antara mereka secara efektif. Karena itu, kami sebagai dosen pengabdi berusaha mengembangkan satu aplikasi yang berbasis website untuk menyelesaikan masalah tersebut. Metode yang kami pakai dalam pengabdian ini yaitu pembuatan aplikasi menggunakan program PHP dan Bootsrap dan sosialisasi penggunaan aplikasi tersebut di Puskesmas Tamangapa. Adapun hasilnya adalah sebuat aplikasi bernama Laporkes dan bisa diakses di www.laporkes.com. Kesimpulan yang kami dapat adalah aplikasi ini cukup baik dan disambut baik oleh seluruh peserta sosialisasi dan diharapkan bisa diluncurkan dalam waktu dekat.

Anemia merupakan indikator kesehatan gizi buruk yang dapat mempengaruhi pembangunan ekonomi suatu negara, sehingga anemia dikatakan masalah kesehatan global dunia. Prevalensi anemia tahun 2019 secara global 29.9%, Asia tenggara 41,9% dan di Indonesia (Usia 15-49 tahun) sebesar 30.6%. Adanya peningkatan prevalensi anemia remaja; dari 22.7% (Riskesdas 2013) meningkat menjadi 32% pada survei Riskesdas 2018. Tujuan penelitian ini untuk mengetahui berbagai faktor risiko anemia pada remaja putri di beberapa negara. Metode penelitian dengan literatur riview, sumber data sekunder (google scholar,pubmed, Sciencedirect. Hasil: dari review artikel dalam penelitian ini didapatkan prevalensi anemia berkisar 20 % hingga 47.7% Penelitian di Utar Paradesh India sebesar 20%, di Ethiopia sebesar 29.4% dan yang paling tinggi di Pakistan (2019) sebesar 47.9% yang terdiri dari anemia ringan 47.7%, anemia sedang 51.7% dan anemia berat 5.7%. Di Jordan prevalensi anemia 4,9% pada laki-laki, 19,3% pada wanita tidak hamil, dan 27,4% pada wanita hamil. Kesimpulan: pada penelitian literatur ini didapatkan bahwa faktor yang mempengaruhi anemia remaja putri lebih tinggi pada fase remaja akhir, mereka yang tinggal dipedesaan, pendidikan orang tua, tingkat sosial ekonomi rendah, jumlah anggota keluarga, gangguan menstruasi serta asupan rendah akan zat gizi (mikronutrien).Untuk itu peningkatan edukasi kesehatan berbasis pendidikan di sekolah efektif dalam meningkatkan pengetahuan, sikap dan perilaku dalam mencegah anemia yang dapat berkontribusi nyata dalam mengatasi prioritas masalah kesehatan masyarakat.

Stunting is a condition of growth failure due to accumulated nutritional inadequacies from prenatal until two years old. Individuals' perceptions of perceived benefits influence exclusive breastfeeding and thus reduce the risk of stunting. This study aimed to analyze the perception of the benefits of breastfeeding in preventing stunting in Tuah Negeri District, Musi Rawas Regency. The research method used a quantitative approach with a cross-sectional design. Sampling using purposive sampling technique resulted in 154 respondents aged 6-36 months. Data analysis used frequency distribution, chi-square test, and logistic regression test. Univariate results, good attitude (perceived benefits) 58.4%, high knowledge 66.2%, not good practices 57.1%, age

North Musi Rawas Regency, based on the results of the 2021 SSGI, is in 5th place for the Regency with the highest stunted toddler prevalence in South Sumatra, which is 28.3%. The results of the situation analysis based on PK21 data show that 12.8% of people there are at high risk of experiencing stunting. One of the efforts that can be made to accelerate the reduction of stunting rates is through university assistance. By the mandate of Presidential Regulation Number 72 of 2021, Musi Rawas University assists in the form of family assistance. This program has carried out by students for one month using counseling and mediation methods. The education provided is in the form of sensitive interventions, including environmental hygiene, using healthy latrines, the importance of clean and healthy water sources, and the importance of parenting patterns in the family. This mentoring activity increased 15% number of visits by toddlers to posyandu, which means that the community is starting to understand the importance of routinely monitoring children's health to prevent stunting

Traditional phenotyping relies on experts visually examining plants for physical traits like size, color, or disease presence. Measurements are taken manually using rulers, scales, or color charts, with all data recorded by hand. This labor-intensive and time-consuming process poses a significant obstacle to the efficient breeding of new cultivars. Recent innovations in computer vision and machine learning offer potential solutions for accelerating the development of robust and highly effective plant phenotyping. This study introduces an efficient plant recognition framework that leverages the power of the Segment Anything Model (SAM) guided by Explainable Contrastive Language–Image Pretraining (ECLIP). This approach can be applied to a variety of plant types, eliminating the need for labor-intensive manual phenotyping. To enhance the accuracy of plant phenotype measurements, a B-spline curve is incorporated during the plant component skeleton extraction process. The effectiveness of our approach is demonstrated through experimental results, which show that the proposed framework achieves a mean absolute error (MAE) of less than 0.05 for the majority of test samples. Remarkably, this performance is achieved without the need for model training or labeled data, highlighting the practicality and efficiency of the framework.

Bamboo-based composite has been used widely for building components and furniture. Oriented flattened bamboo board (OFBB) is a composite board consisting of oriented structure sheets of flattening bamboo. This study aimed to analyze the physical and mechanical properties of the OFBB from ater (Gigantochloa atter) and betung (Dendrocalamus asper) bamboo. A three-layer flattened bamboo board using the isocyanate resin with a density target of 0.6 g/cm3 was applied. The characteristics of raw bamboo, the contact angle of OFBB, and board properties of density, moisture content, thickness swelling, and water absorption, as well as bending, internal bonding (IB), and compressive strength properties were determined to evaluate the quality of the OFBB. Based on the findings, the thin wall thickness of ater bamboo enhanced the physical and mechanical properties of the OFBB compared to the higher wall thickness of betung bamboo. Therefore, further development in bamboo composite products with those anatomical properties seems promising. The dimensional stability and bending properties of OFBB from ater bamboo met the quality of first grade of the Canadian Standard for OSB and waferboard, except for the IB strength. Keywords: Bamboo wall thickness, contact angle, Dendrocalamus asper, Gigantochloa atter, oriented flattened bamboo board

Background: HIV is a chronic disease with a profound social impact due to its strong ties with sexual and societal stigmatized behavior, such as illegal drug use and sexual promiscuity. Depression is one of the major disabling factors in chronic illnesses. Depression and anxiety disorders are more common among people living with HIV than the non-infected individuals. This study aimed to determine the prevalence of depression and its associated factors among people living with HIV/AIDS in Bangladesh. Methods: This cross-sectional study, which took place in Dhaka, Bangladesh, from July to December 2020, included 338 HIV-positive people. The method used was a simple random sampling technique. The Beck Depression Inventory assessed depression in HIV-positive people (BDI). Results: More than 62 percent of the 338 people surveyed had severe depression, 30.5 percent had moderate depression, 5.6 percent had mild depression, and 1.8 percent had no depression. Age, being a male, being married, and having a low monthly income were all significant predictors of depression. Conclusions: This study found that depressive symptoms are highly prevalent among HIV-positive patients in Bangladesh. The authors recommend that health care providers address depressive disorders for people with HIV/ AIDS comprehensively.

The purpose of this study is to optimize the electrical energy cost (EC) of air conditioning (AC) with consideration of different wall characteristics. The type of wall characteristics is based on the varying composition of the wall. For example: Styrofoam, soil, calcium carbonate and iron. There are three kinds of wall that have been evaluated to design an economical building. To fulfill the goal of this research, a cooling model of building has been designed to optimize the electrical EC of the AC considering to temperature room. Under numerical optimization the electrical EC can be computed by considering thermal conductivity (K) and outside temperature (Tout). Consequently, the electrical EC for Building-1, Building-2, and Building-3 can be reduced to IDR 25,000, IDR 23,000, and IDR 20,000, respectively. In addition, this model is tested considering the value of Tout in Barru South Sulawesi-Indonesia during the entire day of July 17th, 2021 in dry session with geographical coordinates are 4° 24′ 20″ South, 119° 36’ 23” East and Latitude −4.436417.

Secara global, malnutrisi paling sering bermanifestasi sebagai kegagalan untuk mencapai pertumbuhan linier. Stunting terjadi ketika pertumbuhan seseorang dibatasi. Stunting merupakan masalah kesehatan masyarakat yang utama karena mempengaruhi sekitar 165 juta anak di bawah 5 tahun, dan tujuan utamanya adalah untuk mengurangi prevalensi pengerdilan sebesar 40% antara tahun 2010 dan 2025. Stunting terkait dengan masalah air dan lingkungan serta yang bergizi. kebersihan. Tujuan dari tinjauan pustaka ini adalah untuk mengetahui hubungan antara ketersediaan air bersih dengan angka stunting pada anak balita. Google Cendekia, PlosOne, SpringerLink, Perpustakaan Online Wiley, dan PubMed hanyalah beberapa dari basis data elektronik yang digunakan dalam tinjauan pustaka/tinjauan naratif/metode penelitian ini. "water + sanitation + child + stunting" adalah istilah pencarian yang digunakan untuk mengungkap dasar artikel ini. Artikel yang menjelaskan hubungan antara air yang buruk dan sanitasi dan pengerdilan pada anak di bawah lima tahun dan diterbitkan antara 2015 dan 2021 dipertimbangkan untuk dimasukkan. Sebuah tinjauan terhadap 20 artikel menemukan bahwa akses ke layanan air bersih dan sanitasi (seperti ketersediaan toilet, frekuensi orang buang air besar di tempat terbuka, dan cara mereka membuang kotoran balita) semuanya terkait dengan pengurangan tinggi dan berat badan pada anak balita. Para peneliti menemukan bahwa akses ke air bersih dan toilet merupakan faktor risiko stunting pada anak di bawah lima tahun. Stunting dapat dihindari dengan lebih banyak kampanye kesadaran kesehatan dan kolaborasi lintas sektor dalam intervensi gizi.

Background: COVID-19 in Diabetes Mellitus (DM) patients are at higher risk for severe complications than people without DM. Preventive behaviour is the best way to avoid COVID-19 infection for DM patients due to its bad impact, such as severe symptoms requiring intensive care, leading to death. Objective: This study aims to analyse the COVID-19 preventive behaviour among DM comorbidity patients in Palembang. Method: The cross-sectional study was conducted from April 2021 to May 2021 using a questionnaire to diabetic patients at six community health centres in Palembang. The questionnaire has four sections: patient characteristics, knowledge, attitude, and COVID-19 prevention behaviour. A proportional random sampling technique was used to determine the number of samples according to the data on diabetic patients in each health centre. The total sample was 183 respondents from 1.266 total population diabetic patients in six community health centres. Respondents were diabetic patients aged ³ 18 years old and willing to fill out the questionnaire. Univariate, bivariate, and multivariate statistical analyses were used to analyse the data. Results: More respondents have good knowledge (50.3%), negative attitude (57.3%), and poor COVID-19 preventive behaviour (53.0%). The findings revealed a statistical significance between knowledge (P-value = 0.0001), attitude (P-value = 0.0001), and educational status (P-value = 0.0001) with COVID-19 preventive behaviour. Furthermore, knowledge is the most determinant factor of COVID-19 preventive behaviour (PR= 7.597, 95% CI: 3.701 – 15.597). Conclusion: According to this study, diabetic patients with poor knowledge are at greater risk of having poor COVID-19 prevention behaviours. COVID-19 prevention programs, especially health education programs at the community health centre, need to be improved to ensure that diabetic patients adopt reasonable and appropriate COVID-19 prevention practices.

Background: Greenhouse gas emissions are changing the Earth's climate, most directly by modifying temperatures and temperature variability (TV). Residents of low- and middle-income countries (LMICs) are likely more adversely affected, due to lack of air conditioning to compensate. To date, there is no local epidemiological evidence documenting the cardio-respiratory health effects of TV in Dhaka, Bangladesh, one of the most climate change vulnerable cities in the world. Objectives: We assessed short-term TV associations with daily cardiovascular disease (CVD) and respiratory emergency department (ED) visits, as well as effect modification by age and season. Methods: TV was calculated from the standard deviations of the daily minimum and maximum temperatures over exposure days. Time-series regression modeling was applied to daily ED visits for respiratory and CVD from January 2014 through December 2017. TV effect sizes were estimated after controlling for long-term trends and seasonality, day-of-week, holidays, and daily mean relative humidity and ambient temperature. Results: A 1 °C increase in TV was associated with a 1.00% (95 %CI: 0.05%, 1.96%) increase in CVD ED visits at lag 0–1 days (TV0-1) and a 2.77% (95 %CI: 0.24%, 5.20%) increase in respiratory ED visits at lag 0–7 days (TV0-7). TV-CVD associations were larger in the monsoon and cold seasons. Respiratory ED visit associations varied by age, with older adults more affected by the TV across all seasons. A 1 °C increase in TV at lag 0–7 days (TV0-7) was associated with a 7.45% (95 %CI: 2.33%, 12.57%) increase in respiratory ED visits among patients above 50 years of age. Conclusion: This study provided novel and important evidence that cardio-pulmonary health in Dhaka is adversely affected year-round by day-to-day increases in TV, especially among older adults. TV is a key factor that should be considered in evaluating the potential human health impacts of climate change induced temperature changes.

Penelitian ini telah berhasil melakukan perancangan alat untuk memilah kualitas air minum dalam kemasan botol 600ml di WTP PNJ. Air minum yang sangat dibutuhkan oleh tubuh manusia adalah air minum yang bersih, sehat dan higienis. Saat ini mayoritas air minum yang ada khususnya di wilayah Jakarta adalah air minum dalam kemasan. Air sumur yang ada saat ini mayoritas telah tercemar oleh bakteri maupun unsur lain dari berbagai sumber antara lain; dari limbah pabrik, pom bensin, maupun berasal dari limbah rumah tangga lainnya. Politeknik Negeri Jakarta sebagai Perguruan Tinggi Negeri yang saat ini sedang menuju visi unggul berkelas dunia, telah mempersiapkan beberapa fasilitas pembelajaran yang bertujuan untuk meningkatkan kompetensi dosen dan mahasiswa dalam mengembangkan keunggulannya. Salah satu keunggulan tersebut yaitu adanya Pusat Unggulan Teknologi Otomasi Industri (PUTOI). Keunggulan di PUTOI saat ini yang dikembangkan adalah pusat teknologi dan riset mengenai bidang teknologi otomasi industri. PUTOI telah memiliki sistem teknologi otomasi yang canggih yaitu dalam bidang teknologi otomasi Water Treatment Plant (WTP). Dengan demikian sebelum beredar dalam bentuk air minum maka dibutuhkan lagi sebuah alat otomasi untuk memeriksa kualitas dari produk air minum tersebut. Saat ini dibutuhkan sebuah mesin untuk bekerja sebagai Quality Control dari produk air minum WTP PNJ. Peneliti telah berhasil membuat sebuah rancangan mesin pemilah kualitas produk air minum dari WTP PNJ berbasis Machine Vision. Mesin vision ini merupakan metode baru yang sangat diperlukan dalam penentuan kualitas suatu produk secara otomatis. Dimana mesin vision ini dapat memilah kualitas suatu produk air minum berdasarkan level air, kualitas kemasan, kejernihan air, maupun kualitas segel dan barcodenya.

Social, economic factors, and utilization of posyandu towards stunting among toddlers of poor families of PKH recipients in Palembang Background: Stunting is a nutritional problem caused by chronic malnutrition. Stunting can result in decreased concentration, memory damage, decreased learning, and school performance, decreased cognitive function, impaired motor development, and has a long-term impact on reducing productivity, thus inhibiting economic growth and causing intergenerational poverty. Stunting can be influenced by social, economic, and access to health services factors. Objective: To analyze the correlation of social, economic, and utilization of integrated services post (pos pelayanan terpadu/posyandu) with the incidence of stunting of under-fives in poor families in Palembang. Methods: This study used a quantitative method with a cross-sectional design in March-April 2019. The population was toddlers aged 24-59 months from poor families in Palembang, with the criteria receiving the cash transfer program from the Indonesian Government, called Program Keluarga Harapan (PKH). Samples were 100 people were chosen by proportional sampling. Data were analyzed by using the Chi-Square test and regression logistic test. Results: The proportion of stunting among toddlers in poor families of PKH recipients in Palembang was 29%. Multiple logistic regression test shows 4 (four) independent variables have a significant correlation to the incidence of stunting simultaneously. Those variable are maternal education (p=0.003, OR=7.278, 95% CI: 1.928-27.474), birth order (p=0.013, OR=0.144, 95% CI: 0.031-0.664), number of family members (p=0.013, OR=10.809, 95% CI: 1.639-71.278),irregular utilization of Posyandu (p=0.041, OR=3.524, 95% CI:1.055-11.768), and never using Posyandu (p=0.019, OR=5.282, 95% CI: 1.313-21.239). Low maternal education, huge family members (more than 4), irregularly and never use Posyandu increase risk of stunting 7.2 times, 10.8 times, 3.5, and 5.2 times, otherwise first or second birth order was a protective factor of stunting. Conclusions: Maternal education and utilization of Posyandu are protective factors, meanwhile huge family members (more than 4) and third or more birth order can increase stunting incidence among toddlers of poor families of PKH recipients.

Abstract Context Cuscuta reflexa (C. reflexa) Roxb. (Convolvulaceae) has medicinal properties for the effective management of several aliments including diabetes mellitus, inflammation, and gastric ulcer. Objective The present investigation focuses on the antidiabetic potential of C. reflexa leaves methanol extract in alloxan-induced diabetic rats. Materials and methods The antidiabetic activity of C. reflexa leaves methanol extract (CRME) was evaluated using alloxan-induced diabetes in Wistar albino rats. The duration of the study was 45 days. Diabetic model was developed by i.p. administration of alloxan monohydrate (120 mg/kg). Ingestion of CRME (100, 200, and 400 mg/kg/day) and standard (gliclazide, 10 mg/kg/day) was done via oral route from the day of diabetes induction and continued up to 45 days. The effect of CRME was investigated by evaluating the blood glucose concentrations, HbA1C, insulin, lipid profile and liver function test. Further, the protective potentials of CRME were studied by histopathology of the pancreas, liver, and kidney tissues from experimental rats. Results CRME showed significant (p

Background: Nutritional problems do not always occur in poor families, in fact many of under five years in poor families in good nutritional status which have normal height (not stunting) based on the parenting in the family. The positive parenting in poor families are feeding habit, parenting habit, hygiene habit and health services habit. Objectives: This research aim to observe the parenting of feeding habits, parenting habits, hygiene habits and health services habits on the incidence of toddler’s stunting on poor families in the city of Palembang. Methods: This research was an observational study which using a quantitative approach with a Cross Sectional Study design. It took 100 mothers who have children aged 24-59 months from poor families in the city of Palembang were chosen by proportional random sampling.Data taken regarding feeding habits, parenting habits, hygiene habits, and health services habits obtained through questionnaires, and the incidence of child stunting obtained from measurements of children's height using a toddler's height measurement tool. Data analysis to observe the relationship between variables using the Chi-Square test. Results: The results showed the proportion of toddler stunting in poor families in the city of Palembang was 29%. There was a significant correlation between feeding habits (p-value = 0.000); parenting habits (p-value = 0.001; hygiene habits (p-value = 0.021) and health services habits (p-value = 0.000) on the incidence of toddler’s stunting. Conclusion: Normal height (not stunting) toddlers have positive deviance of feeding habits, parenting habits, hygiene habits and health services habits better than stunting under five years with same economic backgrounds family

Fluctuation in production on farm of seaweed Eucheuma cottonii could be affected by climate, pests and diseases, input factors, management and socio-economic conditions of farmers. The objectives of this study were (1) analyzed determinants of productivity, (2) analyzed the factors that affected the risk of production, and (3) analyzed the factors that affected productivity after considering the risk of production. The samples used in this study were 210 seaweed farmers selected by using proportional random sampling method. Multiple linear regression model with Cobb-Douglas and Just-Pope production functions were used to analyze the data. The results showed that (1) Productivity of seaweed E. cottonii positively influenced by number of seeds, bond distance of seeds and labor; (2) area of lots, seeds and bond distance of seeds negatively effected the risk of production; and (3) area of lots, seeds, bond distance of seeds, labor, and experience of farmers positively effected the productivity after considering of risks whereas age of farmers affected negatively. Values of regression coefficient had significant affected the productivity of seaweed E.cottonii (Cobb-Douglas model) tended to decline after considering the risk of production (Just-Pope model). This implies that in analyzing seaweed productivity, it needs to consider the risks in the model.

Seks pranikah pada remaja merupakan suatu fenomena yang semakin marak terjadi. Keluarga khususnya orangtua ikut berperan dalam upaya mencegah hubungan seksual pranikah. Penelitian ini bertujuan untuk mengetahui peran fungsi keluarga dalam upaya mencegah perilaku Seks Pranikah Remaja di Kota Palembang. Penelitian ini merupakan studi kausal kompartif. Subyek yang digunakan adalah siswa/siswi dari SMA dan SMK swasta X yang ada di kota Palembang. Jumlah subyek yang digunakan adalah 144 orang, subyek dipilih dengan menggunakan teknik pengambilan sampel purposive sampling. Pada penelitian ini, alat ukur yang digunakan ada dua yaitu fungsi keluarga dan perilaku seksual. Pada penelitian ini, peneliti melakukan uji regresi dengan menggunakan simple regression dan menunjukkan nilai F hitung sebesar 0,001 dengan nilai p sebesar 0,971 > 0,05, artinya tidak terdapat peranan fungsi keluarga terhadap perilaku seksual pranikah remaja. Dengan demikian dapat sarankan agar diteliti lebih lanjut mengenai faktor lain yang berperan terhadap perilaku seksual yang dilakukan oleh remaja.

The COVID-19 pandemic is a global concern. In this case, Health Care Workers (HCW) are at the front lines in dealing with the pandemic as they provide diagnosis, care, and treatment. However, their duties have directly placed them at the most at risk of infection. Mitigation and risk reduction are crucial for safeguarding HCWs' health as it prevents the spread of COVID-19. This research aimed to find out the practice of COVID-19 prevention and the correlation among practice and knowledge, attitudes, and personality traits of HCW in Palembang. A cross-sectional study was conducted between May and July 2021 on 255 HCW who have direct contact with patients. The number of respondents per hospital is taken proportionally according to the portion of HCW in each selected hospital. The instrument consisted of demographic variables, knowledge, attitudes, and practices. It proves that it is reliable with Cronbach's alpha value of 0.7. The researchers used descriptive statistics, chi-square, and logistic regression. Overall, 65.2% of participants had good knowledge, 60% had a positive attitude, and 53.3% had good practice. Education (p-value 0.022) and attitude (p-value 0.000) of HCW were all influencing factor in practice. HCW who have a negative attitude are 5.413 times more to have bad practices than those who have a positive attitude (p-value

Diarrhea is still a public health problem in developing countries such as Indonesia because morbidity and mortality rates are still high in these areas. A morbidity survey conducted by the Diarrhea Department of the Ministry of Health in Indonesia between 2000 and 2010 shows rising incidences of diarrhea in children. In 2000, Incidence Rate (IR) diarrhea incidents occurred in 301/1000 members of the population, and this increased to 411/1000 in 2010. Cases of diarrhea have become dangerous when suffered by infants because the mortality rate will increase because weaker immunity than olders. Environmental factors such as water, waste, and toilet contribute greatly to cases of diarrhea; therefore, in this research, we analyze environmental characteristics’ effects on the incidence of diarrhea in infants in Palembang. This study uses a mixed-method design combining quantitative data collection using secondary data from the Department of Health with qualitative data collection using in-depth interviews of Palembang’s local government and health center personnel in the districts with the highest and lowest cases of diarrhea. Quantitative data analysis are visualized in the form of a map, while qualitative data are analyzed using content analysis. The results show that Ilir Timur I has the highest incidences of diarrhea while the Sako district has the lowest. Based on the results of the analysis, Ilir Timur I has more cases of diarrhea largely because of its non-working area health centers. Sako has the fewest cases of diarrhea because the clinics, doctors, and midwives in private practice in the region of Sako do not report the cases, as well as because of factors related to access remote health centers. Therefore, interventions based on health data for diarrhea need to be restyled for a drastic reduction of diarrhea cases. Keywords: Area, diarrhea, children, characteristic, environment, data

Leprosy Hospital of dr. Rivai Abdullah Palembang in the last 3 (three) years found data on visitors who came to the Outpatient Polyclinic showed a downward trend every year since 2015. This study aims to determine the influence of patient perceptions of the marketing mix to the patient’s loyalty at Outpatient Polyclinic of Leprosy Hospital of dr. Rivai Abdullah Palembang. The study design used a cross-sectional approach, where the population in this study was outpatients in 2017. Data collection using a questionnaire that had previously been tested for validity in 30 respondents on inpatients of RSK. dr. Rivai Abdullah Palembang, samples were taken accidentally as many as 152 respondents in September - October 2018 that met the inclusion and exclusion criteria at Outpatient Polyclinic of RSK of dr. Rivai Abdullah Palembang. Data analysis used chi-square and multiple logistic regression. The results of the study showed that the 7 variables (product, price, promotion, place, people, process and physical evidence) there were 3 variables that were significant relationship with patient loyalty, namely promotion (p-value=0.005, OR=6.491), process (p-value=0,000, OR=8,796), and physical evidence (p-value=0,000, OR=12). While the product (p-value=0.335, OR=4,556), price (p-value=1, OR=0,807), place (p-value=1, OR=0,815), people (p-value=1, OR=0.815) showed there was no significant relationship with patient loyalty. The most dominant variable relationship with outpatient loyalty at Leprosy Hospital of dr. Rivai Abdullah Palembang was a physical evidence variable (OR=19,867, 95% CI 4,010 98,429).

Abstrak. Hidup sehat merupakan salah satu program pemerintah untuk peningkatan taraf hidup masyarakat. Agar masyarakat hidup sehat maka salah satu program pemerintah adalah menjamin ketersediaan sumber gizi bagi masyarakat. Salah satu makanan yang bergizi tinggi adalah telur. Telur merupakan sumber protein yang banyak dikonsumsi masyarakat. Telur bebek merupakan jenis telur yang memiliki protein tinggi dan dapat dijadikan berbagai bahan dalam beberapa panganan dan juga obat. Telur bebek saat ini masih dibudidayakan dengan metode konvensional oleh petani. Oleh karena itu telur bebek perlu proses pemilahan kualitas secara cepat dan tepat. Metode yang tepat dalam pemilahan kualitas telur bebek berdasarkan normal/abnormal adalah dengan metode image processing. Dengan metode ini maka tidak perlu lagi telur bebek itu dilihat dengan cara tradisional yaitu diterawang dengan bantuan cahaya matahari atau lampu. Dengan metode image processing maka telur dapat dilihat dan dianalisa dengan bantuan kamera dan software. Metode ini memiliki tingkat keakuratan hingga 98%. Dari sepuluh sampel telur bebek yang diuji, didapat hasil bahwa antara hasil image processing dibandingkan dengan hasil dilihat langsung telur tersebut maka hasilnya sama dan akurat. Terdapat 8 butir telur bebek dengan kondisi normal dan 2 butir telur bebek abnormal. Dengan demikian proses pemilahan kualitas telur bebek dapat dilakukan dengan otomatis, cepat dan efektif.

Latar Belakang: Pemberian ASI eksklusif secara nasional pada tahun 2010-2012 hanya 33,6-35% yang dipengaruhi oleh interaksi dari berbagai faktor sosial, demografi, biologi, pre dan postnatal, dan psikologi. Meskipun berbagai studi menunjukkan bahwa Pemberian ASI Eksklusif dapat memberikan manfaat kesehatan pada bayi maupun ibunya, namun hasilnya belum sesuai dengan yang harapkan. Kemajuan modernisasi merupakan salah satu penyebab terjadinya perubahan sosial, budaya maupun ekonomi, sehingga dampaknya berpengaruh terhadap menurunnya dukungan pada ibu menyusui. Data Survei Demografi Kesehatan Indonesia Tahun 2007 menunjukkan bahwa pemberian ASI eksklusif mengalami penurun sebesar 30,2% dan peningkatan pemberian susu formula sebesar 11% pada tahun 2013. Penelitian ini bertujuan untuk menjelaskan hubungan perilaku Pemberian ASI Eksklusif berdasarkan perspektif sosial budaya di Kota Palembang. Metode: Penelitian ini menggunakan analisis cross sectional yang bertujuan menjelaskan hubungan perilaku Pemberian ASI Eksklusif berdasarkan perspektif sosial budaya di Kota Palembang. Hasil Penelitian: Sampel penelitian ini berjumlah 220 responden. Hasil analisis tersebut menunjukkan bahwa jumlah anak (p-value=0,003) dukungan ibu atau mertua (p-value=0,001) memiliki hubungan signifikan dengan pemberian ASI Eksklusif pada bayi, sedangkan jenis pekerjaan, pendidikan istri, pendidikan suami, komposisi keluarga, pengetahuan ASI eksklusif dan sikap ibu tidak memiliki hubungan yang signifikan (p>0,005) terhadap pemberian ASI eksklusif pada bayi. Kesimpulan: Hasil analisis hubungan menunjukkan responden yang memiliki jumlah anak ≤ 2 orang, dukungan suami dan dukungan mertua, tidak mencari informasi berhubungan secara signifikan terhadap pemberian ASI eksklusif pada bayi. Sedangkan ibu yang berhubungan,tingkat pengetahuan ibu, jenis pekerjaan ibu dan sikap ibu tidak menunjukkan adanya hubungan terhadap pemberian ASI eksklusif pada bayi.

Diarrhea cases in children under five are still one of the causes of the death of most children. Based on reports from the Palembang City Health Office, there is an increase in the number of diarrhea cases in urban areas between 2015-2016. There is one health center in urban areas that has a 4-fold increase between 2015-2016. The purpose of this study was to investigate the causes of an increase in diarrhea cases in the working area of Punti Kayu health center which included urban areas. This research is a qualitative descriptive study using secon-dary data, interviews with 3 health center staff and regional observations. The research was conducted in the working area of Punti Kayu Palembang Health Center. The results will be analyzed using the GIS approach to produce a map of the spatial distribution of diarrhea cases in children between 2015-2016 in the city of Palembang. In addition, the Content Analysis method to investigate the causes of increased cases. After analysis, it was found that between 2015-2016 the highest increase in cases was in Alang-alang sub-district where there was the Punti Kayu Health Center. The cause of the increase in the number of cases is due to the presence of non-working areas in Punti Kayu health centers such as Sukarame, Talang Kelapa, and Social along with the widespread use of National Health Insurance. In addition, health promotion to the homes of most residents was rejected. The need for innovation in raising awareness about the importance of private sanitation and the need for separation of reporting between patients in the work area and non working areas so that it is clear how many cases in the area need to be intervened by the health care

Children living in rural areas are prone to nutritional deficiencies. Low-income levels impact people’s purchasing power so that the intake of most nutrients comes from plant-based foods and consumes less animal food. Nutritional intake greatly affects the development of children’s cognitive function. Brain-derived neurotrophic factor (BDNF) is a group of neurotrophins that contribute greatly to the learning process and memory. This study aims to analyze the relationship between levels of BDNF with the level of intelligence in elementary school children in rural areas of Seluma Regency. This was a cross-sectional study involving 70 elementary school children aged 9-12 years were taken by multi-stage random sampling, who came from 5 districts of Seluma Regency. Blood was collected for measurement of BDNF levels, and stool samples were examined to detect intestinal parasites. The data on respondent characteristics were derived from questionnaires. Data analysis were done by using the chi-square test. The results of BDNF measurements found 31 children (44.3%) had BDNF levels below the average (

There is currently a global high market demand for soft-shell crabs, which are priced much higher than crabs in hard-shell conditions. In order to harvest crabs in soft-shell conditions, they are reared and collected as soon as they molt, and limb autotomy is commonly used to hasten the molting process. In this study, we compared full limb autotomy (the removal of all the appendages except for the swimming legs), partial limb autotomy (the removal of the walking legs), and traditional rearing methods (control) using immature mud crab (Scylla olivacea) juveniles. The longest and shortest molt cycle duration was observed in the control group and the full limb autotomy group, respectively. The molting percentage was the highest in the full limb autotomy group (females) and in the partial and full limb autotomy groups (males; no significant difference between the groups). The survival rate was unaffected by limb autotomy. Post-molting, the carapace length (CL) and body weight (BW) increments of both sexes, and the carapace width (CW) increment of males were the highest in the control group. The average BW after molting was the highest in the control group, followed by the partial and then the full limb autotomy group. The average total harvest weight, however, was lowest in the control group, while no significant difference was observed between the limb autotomy treatments, owing to their low molting percentage and resulting weight gain per animal. Thus, although limb autotomy (partial or full) significantly shortened the duration of the molt cycle, it may not be as efficient as traditional rearing methods as it resulted in soft-shell crabs of lower aesthetic value (with missing limbs or uneven limb sizes), body size, and weight, all of which are important criteria for determining crab prices.

Temperature is a parameter that becomes a convenience factor for building users. In addition to temperature, a factor that is very influential on the building maintenance process is moisture. Smart sensors designed and manufactured in this study have been successfully tested. Smart sensors made this has many advantages that is small size, easy to be placed in the corner of the room, as well as smart sensor is controlled and data monitoring results can be read via LabView, android and web. Software used in this research is Arduino IDE and also LabView. The results of this study have obtained data measurement and monitoring of temperature and humidity in real time through LabView software from building that is Building C PNJ. Temperature and humidity monitoring is done in real time at three times, ie morning, noon and afternoon. The results of temperature monitoring and humidity in the building can be monitored in real time and the data can be stored through notepad or excel format. The results of this temperature and humidity monitoring have also been calibrated with a benchmark. Calibration results occur a difference of 0.5 to 1 point, this becomes a measure in increasing the sensitivity of the smart sensor.

Here, we present the draft genome (377.3 Mbp) of Corchorus olitorious cv. JRO-524 (Navin), which is a leading dark jute variety developed from a cross between African (cv. Sudan Green) and indigenous (cv. JRO-632) types. We predicted from the draft genome a total of 57,087 protein-coding genes with annotated functions. We identified a large number of 1765 disease resistance-like and defense response genes in the jute genome. The annotated genes showed the highest sequence similarities with that of Theobroma cacao followed by Gossypium raimondii. Seven chromosome-scale genetically anchored pseudomolecules were constructed with a total size of 8.53 Mbp and used for synteny analyses with the cocoa and cotton genomes. Like other plant species, gypsy and copia retrotransposons were the most abundant classes of repeat elements in jute. The raw data of our study are available in SRA database of NCBI with accession number SRX1506532. The genome sequence has been deposited at DDBJ/EMBL/GenBank under the accession LLWS00000000, and the version described in this paper will be the first version (LLWS01000000).

RSUD Tenriawaru menerapkan sistem Indonesian Case Based Groups (INA-CBGs) sebagai sistem pembayaran layanan kesehatan bagi pasien JKN-BPJS. Penelitian inimenggambarkan pelaksanaan sistem INA-CBGs di bagian rawat inap RSUD Tenriawaru.Penelitian ini adalah penelitian kualitatif dengan pendekatan case study. Pemilihan sampel menggunakan teknik snowball sampling. Hasil penelitian menunjukkan bahwa sistem INA-CBGs yang diterapkan oleh rumah sakit meliputi proses (1) planningyaitu persiapan SDM, fasilitas, penyusunan strategis serta rencana anggaran; (2) organizing meliputi pembagian, pelatihan dan koordinasi antar pegawai; (3) actuating meliputi penentuan tarif INA-CBGs dan kendalanya; (4) controlling meliputi pembentukan tim verifikasi dan antifraud; (5) evaluating yaitumelihat kedisiplinan dokter mengisi rekam medis, melihat keuntungan dan kerugian rumah sakit. Secara keseluruhan pelaksanaan sistem INA-CBGs di RSUD Tenriawaru sudah berjalan cukup teratur dan efektif. Kedisiplinan dokter dalam mengisi rekam medis belum terealisasi dengan baik, sehingga menghambat prosedur penginputan data pasien. Perlu adanya pengecekan kembali kelengkapan dokumen rekam medis pasien oleh koder.

The Tunggu Pampang Reservoir is one of the reservoirs located in the city of Makassar. The functions of the reservoir area was tourist attractions and fish farming locations so that the local community uses them for swimming, fishing, selling, and gardening. The existence of various types of freshwater snails in the reservoir has the potential to act as intermediate hosts for trematodes in animals and humans. This study aimed to analyze the type of cercariae in freshwater snails. This research is a descriptive survey to determine the distribution of trematode larvae. The stages of this research began with the snails were collected from Tunggu Pampang Reservoir, Makassar City. Freshwater snails were collected at several points in the reservoir. Freswater snail collection using hand collecting method. The snails were put into a plastic bag with different types of snails and site of collection. The collected samples and cercariae were examined in the Tropical Disease Laboratory of the Study Program of DIII Medical Laboratory Technology, Megarezky University, South Sulawesi, Indonesia. Freshwater snails are placed on a petri dish and gently crushed by the snail shells using a stamper. Dropped with aquadest on the crushed snail shell. The next step was observed using a microscope to determine the presence of cercariae. Cercariae found then identified according to morphological classification as previously study. A total number of 500 freshwater snail were collected in Tunggu Pampang Reservoir. The results showed that overall snails infected with cercariae was 33,4%. The highest prevalence of cercariae in Indoplanorbis exustus was 94.3%. Total of echinostome cercariae found (n=224) compared to furcocercous cercariae (n=5). This cercariae potential for establishment of zoonosis diseases, such as Echinostoma sp, Fasciola gigantica, Fasciolopsis buski in human and animal in Tunggu Pampang Reservoir. Larval trematodes can be controlled in snails using reducing parasite contamination, monitoring surveillance, information dissemination, and preventive education.

Exposures to environmental arsenic (As) and polycyclic aromatic hydrocarbons (PAH) have been shown to independently cause dysregulation of immune function. Little data exists on the associations between combined exposures to As and PAH with immunotoxicity in humans. In this work we examined associations between As and PAH exposures with lymphoid cell populations in human peripheral blood mononuclear cells (PBMC), as well as alterations in differentiation and activation of B and T cells. Two hundred men, participating in the Health Effects of Arsenic Longitudinal Study (HEALS) in Bangladesh, were selected for the present study based on their exposure to As from drinking water and their cigarette smoking status. Blood and urine samples were collected from study participants. We utilized multiparameter flow cytometry in PBMC to identify immune cells (B, T, monocytes, NK) as well as the T-helper (Th) cell subsets (Th1, Th2, Th17, and Tregs) following ex vivo activation. We did not find evidence of interactions between As and PAH exposures. However, individual exposures (As or PAH) were associated with changes to immune cell populations, including Th cell subsets. Arsenic exposure was associated with an increase in the percentage of Th cells, and dose dependent changes in monocytes, NKT cells and a monocyte subset. Within the Th cell subset we found that Arsenic exposure was also associated with a significant increase in the percentage of circulating proinflammatory Th17 cells. PAH exposure was associated with changes in T cells, monocytes and T memory (Tmem) cells and with changes in Th, Th1, Th2 and Th17 subsets all of which were non-monotonic (dose dependent). Alterations of immune cell populations caused by environmental exposures to As and PAH may result in adverse health outcomes, such as changes in systemic inflammation, immune suppression, or autoimmunity.

Arsenic and polycyclic aromatic hydrocarbons (PAH) are environmental pollutants to which people around the world are exposed through water, food and air. In mouse and in vitro studies of human cells, both of these chemicals have been shown to modulate the immune system. In some experimental studies, a synergistic disruption of immune function was observed by a combined exposure to arsenic and PAH. However, a joint effect of arsenic and PAH on immune function has not been studied in humans. We have conducted an epidemiological investigation to examine effects of chronic arsenic and PAH exposures on immune function. We assessed T-cell proliferation (TCP) and cytokine production of anti-CD3/anti-CD28 stimulated lymphocytes in human peripheral blood mononuclear cells (HPBMC) among 197 healthy men enrolled to the Health Effects of Arsenic Longitudinal (HEALS) cohort in Bangladesh. By design, approximately half were active smokers and the rest were never smokers. Our analyses demonstrated that IL-1b, IL-2, IL-4 and IL-6 were significantly stimulated as a function of urinary arsenic levels in models adjusted for age, body mass index (BMI), smoking status and PAH-DNA adducts. After correcting for false detection rate (FDR), only IL-1b remained statistically significant. We found a U-shaped dose response relationship between urinary arsenic and IL-1b. On the other hand, PAH-DNA adducts were associated with an inhibition of TCP and appeared as an inverted U-shape curve. Dose response curves were non-monotonic for PAH-DNA adduct exposures and suggested that cytokine secretion of IFNg, IL-1b, IL-2, IL-10 and IL17A followed a complex pattern. In the majority of donors, there was a trend towards a decrease in cytokine associated with PAH-DNA adducts. We did not observe any interaction between urinary arsenic and PAH-DNA adducts on immune parameters. Our results indicate that long-term exposures to arsenic and PAH have independent, non-monotonic associations with TCP and cytokine production.

BACKGROUND:Cholera remains a substantial health burden in Asia and Africa particularly in resource poor settings. The standard procedures to identify the etiological organism V. cholerae are isolation from microbiological culture from stool as well as Polymerase Chain Reaction (PCR). Both the processes are highly lab oriented, labor extensive, time consuming, and expensive. In an effort to control for outbreaks and epidemics; an effective, convenient, quick and relatively less expensive detection method is imperative, without compromising the sensitivity and specificity that exists at present. The objective of this component of the study was to evaluate the effectiveness of a locally produced rapid diagnostic test (RDT) for cholera diagnosis. METHODS:In Bangladesh, nationwide cholera surveillance is ongoing in 22 hospitals covering all 8 divisions of the country since June, 2016. In the surveillance, stool samples have been collected from patients presenting to hospitals with acute watery diarrhea. Crystal VCTM (Span diagnostics, India) and Cholkit (locally produced RDT) have been used to detect V. cholerae from stool samples. Samples have also been sent to the main laboratory at icddr,b where the culture based isolation is routinely performed. All the tests were carried out for both direct and enriched stool samples. RDT sensitivity and specificity were calculated using stool culture as the gold standard. RESULTS:A total of 7720 samples were tested. Among these, 5865 samples were solely tested with Crystal VC and 1355 samples with Cholkit whereas 381 samples were tested with both the RDTs. In comparison with culture, direct testing with Crystal VC showed a sensitivity of 72% (95% CI: 50.6% to 87.9%) and specificity of 86.8% (95% CI: 82.8% to 90.1%). After enrichment the sensitivity and specificity was 68% (95% CI: 46.5% to 85.1%) and 97.5% (95% CI: 95.3% to 98.8%) respectively. The direct Cholkit test showed sensitivity of 76% (95% CI: 54.9% to 90.6%) and specificity of 90.2% (95% CI: 86.6% to 93.1%). CONCLUSION:This evaluation has demonstrated that the sensitivity and specificity of Cholkit is similar to the commercially available test, Crystal VC when used in field settings for detecting V. cholerae from stool specimens. The findings from this study suggest that the Cholkit could be a possible alternative for cholera endemic regions where V. cholerae O1 is the major causative organism causing cholera.

An amendment to this paper has been published and can be accessed via the original article.

The objectives of the study were to determine the physical-chemical and organoleptic properties of Palu fried onions at the varying utilization frequency of cooking oil, i.e. F0 : fresh oil , F1 : 1 time of using , F2 : 2 times of using , F3 : 3 times of using , F4 : 4 times of using , F5 : 5 times of using and F6 : 6 times of using , the each level was replicated three times. The frequency of cooking oil utilization was significantly affected to decreasing color, texture, moisture content, oil content and panelist preference level on the crispness of Palu fried onions as well as increasing oxidation rate of unsaturated fatty acids at the cooking oil. Physical - chemical and organoleptic quality of Palu fried onions were obtained of the best fresh frying utilization cooking oil, 1, 2, and 3 times of using cooking oil , respectively. The use of cooking oil more than 3 times oxidized free fatty acids, so it is less feasible to use based on the life time and health aspects of fried onions. Keywords: Fried onion, physical-chemical and organoleptic properties, frequency of utilization cooking oil. ABSTRAK Telah dilakukan penelitian untuk mengetahui sifat fisik-kimia dan organanoleptik bawang goreng Palu yang digoreng pada berbagai taraf frekuensi pemakaian minyak goreng yaitu F0: minyak segar, F1 : 1 kali pemakaian, F : 2 kali pemakaian, F 3 : 3 kali pemakaian, F4 : 4 kali pemakaian, F 5 : 5 kali pemakaian dan F : 6 kali pemakaian, setiap taraf diulang tiga kali. Frekuensi pemakaian minyak goreng pengaruhnya sangat nyata menurunkan warna, tekstur, kadar air, minyak dan tingkat kesukaan panelis terhadap kerenyahan bawang goreng Palu serta meningkatkan laju oksidasi asam lemak tidak jenuh pada minyak goreng. Mutu fisik-kimia dan organoleptik bawang goreng Palu secara berturut-turut terbaik diperoleh dari penggorengan menggunakan minyak goreng segar, 1, 2 dan 3 kali pemakaian. Pemakaian minyak goreng > 3 kali, asam lemak bebas telah teroksidasi sehingga kurang layak untuk digunakan jika ditinjau dari aspek daya tahan simpan bawang goreng dan kesehatan. Kata kunci: Bawang goreng, sifat fisik-kimia dan organoleptik, frekuensi pemakaian minyak goreng

Metal⁻organic framework (MOF)-based derivatives are attracting increased interest in various research fields. In this study, nano-cellulose MOF-derived carbon-doped CuO/Fe3O4 nanocomposites were successfully synthesized via direct calcination of magnetic Cu-BTC MOF (HKUST-1)/Fe3O4/cellulose microfibril (CMF) composites in air. The morphology, structure, and porous properties of carbon-doped CuO/Fe3O4 nanocomposites were characterized using SEM, TEM, powder X-ray diffraction (PXRD), X-ray photoelectron spectroscopy (XPS), and vibrating sample magnetometry (VSM). The results show that the as-prepared nanocomposite catalyst is composed of Fe3O4, CuO, and carbon. Compared to the CuO/Fe3O4 catalyst from HKUST-1/Fe3O4 composite and CuO from HKUST-1, this carbon-doped CuO/Fe3O4 nanocomposite catalyst shows better catalytic efficiency in reduction reactions of 4-nitrophenol (4-NP), methylene blue (MB), and methyl orange (MO) in the presence of NaBH4. The enhanced catalytic performance of carbon-doped CuO/Fe3O4 is attributed to effects of carbon preventing the aggregation of CuO/Fe3O4 and providing high surface-to-volume ratio and chemical stability. Moreover, this nanocomposite catalyst is readily recoverable using an external magnet due to its superparamagnetic behavior. The recyclability/reuse of carbon-doped CuO/Fe3O4 was also investigated.

In this research article, we present exact solutions with parameters for two nonlinear model partial differential equations(PDEs) describing microtubules, by implementing the exp(−Φ(ξ))-Expansion Method. The considered models, describing highly nonlinear dynamics of microtubules, can be reduced to nonlinear ordinary differential equations. While the first PDE describes the longitudinal model of nonlinear dynamics of microtubules, the second one describes the nonlinear model of dynamics of radial dislocations in microtubules. The acquired solutions are then graphically presented, and their distinct properties are enumerated in respect to the corresponding dynamic behavior of the microtubules they model. Various patterns, including but not limited to regular, singular kink-like, as well as periodicity exhibiting ones, are detected. Being the method of choice herein, the exp(−Φ(ξ))-Expansion Method not disappointing in the least, is found and declared highly efficient.