Abstract:Stunting remains a major public health issue in Pesisir Selatan Regency, where the prevalence reached 29.8% in 2023, affecting children’s physical growth and cognitive development. This study aimed to analyze the association…
iation between maternal characteristics (parity, maternal age during pregnancy, age at marriage, birth spacing, education level, occupation, and exclusive breastfeeding) and family income with stunting among children under five. A cross-sectional design was employed involving 30 mothers of young children selected from the working area of Kayu Gadang Public Health Center. Data were collected using structured questionnaires and anthropometric measurements, and analyzed using the Chi-Square test.The results showed that 66.7% of the children were stunted. Maternal characteristics—including parity, maternal age during pregnancy, age at marriage, birth spacing, educational level, and occupation—were not significantly associated with stunting (p>0.05). Significant associations were found between exclusive breastfeeding (p=0.019) and family income (p=0.026) with stunting. Children from families earning below the regional minimum wage and those not exclusively breastfed were more likely to be stunted.In conclusion, exclusive breastfeeding and family income are significant predictors of stunting. Therefore, interventions should emphasize improving exclusive breastfeeding practices and strengthening economic support for at-risk families. These findings are expected to guide evidence-based stunting prevention strategies in Pesisir Selatan Regency.
Abstract:Background: Cardiovascular disease (CVD) continues to be the predominant cause of global mortality. Polypill techniques that integrate various cardiovascular drugs into a single formulation have emerged as a potential method…
thod for primary prevention, especially in intermediate-risk populations.
Objective: To systematically review and synthesize evidence regarding the efficacy and safety of polypill formulations (comprising antihypertensive medications, statins, with or without aspirin) in comparison to standard care or placebo for the primary prevention of major adverse cardiovascular events (MACE) in intermediate-risk populations.
Methods: We conducted systematic review and meta-analysis in accordance with PRISMA 2020 standards (Systematic Review Registration: PROSPERO CRD420251184718). Various databases (PubMed, Cochrane Library, ScienceDirect, Scopus) were examined for original research published from January 2015 to October 2024. Studies were eligible if they assessed polypill therapies in individuals aged 30 to 70 years with intermediate cardiovascular risk (10-20% 10-year risk), reported composite major adverse cardiovascular events (MACE) outcomes, and included a minimum follow-up of 6 months. Two independent reviewers conducted screening, data extraction, and risk of bias evaluation utilizing the Cochrane RoB 2.0 tool.
Results: Of the 161 records discovered, 4 randomized controlled studies (HOPE-3, TIPS-3, PolyIran, PolyPars) with 31,501 people fulfilled the inclusion criteria. Polypill therapies showed a substantial decrease in composite MACE relative to control groups (pooled HR 0.67 (95% CI 0.60-0.75, p<0.001). Individual trial hazard ratios varied from 0.50 (PolyPars) to 0.66 (PolyIran) and 0.79 (TIPS-3) with moderate heterogeneity (I²=35.2%, p=0.20). Polypills were generally well- tolerated, with a safety profile consistent with the individual components. Medication adherence was enhanced with the polypill in comparison to multiple-pill regimens.
Conclusions: Polypill techniques markedly reduce major adverse cardiovascular events (MACE) in intermediate-risk patients for primary cardiovascular prevention, achieving around a 33% relative risk reduction. The fixed-dose combination strategy provides benefits in compliance and ease of use. These findings hold significant implications for healthcare systems in low-to-
middle-income nations, such as Indonesia, where the burden of cardiovascular disease is substantial and access to long-term cardiovascular drugs is frequently hindered by cost and complexity.
Abstract:This research was motivated by the scarcity of Indonesian language teaching materials for foreign speakers (BIPA). The large interest of foreigners in learning Indonesian is still hampered by the lack of availability of…
BIPA teaching materials. This limited teaching material is an important problem that teachers often face in BIPA learning activities. Therefore, the development of BIPA teaching materials is urgently needed. The problems studied in this research are (1) characteristics of BIPA 1 teaching materials currently used in BIPA learning, (2) development of BIPA 1 teaching materials based on the Animaker application as alternative teaching materials in BIPA learning, (3) feasibility of developing BIPA teaching materials 1 based on the Animaker application in BIPA learning, and (4) the effectiveness of developing BIPA 1 teaching materials based on the Animaker application based on BIPA learners' understanding. This research uses a Research and Development (R&D) approach. This research uses three data collection techniques, namely observation, questionnaires, and documentation to obtain data on the needs for developing teaching materials and evaluating teaching material prototypes. The data sources consist of BIPA teachers, BIPA students and expert lecturers. Data analysis in this research uses descriptive qualitative which consists of data presentation and data conclusions. The results of this research are that BIPA students often feel bored and confused by teaching materials that are only presented in the form of textbooks and very short material. Therefore, teaching materials need to be developed in accordance with Widodo and Jasmadi's theory of teaching material characteristics so that they can support independent learning, deeper understanding, contextualization of material, increased motivation, comprehensive language skills, adaptation to technological developments, learning flexibility, and strengthening skills. grammar. The development of teaching materials through Animaker shows the dominance of changes in substantial and visual aspects, which shows a comparison of characteristics between original and developed teaching materials. The teaching materials developed are more interactive and communicative, so that they can reduce boredom, increase understanding of the material, and increase enthusiasm for learning Indonesian for students
Abstract:This study aims to analyze and identify how the news of "Former Chicken Cage Becomes School" represents the inequality of access to education with the framework of Norman Fairclough's critical discourse analysis. This study…
udy adopts a descriptive qualitative method using Norman Fairclough's critical discourse analysis (AWK) as the main framework. Data is collected through documentation and recording of news texts from relevant online media. Data analysis was carried out sequentially covering Fairclough's three dimensions: microstructural analysis (word choice, sentence structure, rhetorical strategy), mesostructural analysis (the practice of production and distribution of news texts), and macrostructural analysis (social and ideological relationships that underlie discourse). The results of this study reveal the complex representation of inequality in access to education through critical discourse analysis (AWK) on the news "Former Chicken Cage Becomes School" with the Norman Fairclough approach. Microstructurally, word choice and sentence structure build a narrative of struggle and implicit criticism of the system. At the mesostructural level, local MATAMAROS.COM strategic media frame this issue as an urgent social issue, including publication during National Education Day 2025 to maximize impact. Macrostructurally, the news reflects structural inequality due to geographical/economic marginalization, reinforces the ideology of "unsung heroes," and highlights the power imbalance. This descriptive qualitative research concludes that the news is a strong linguistic construct, aiming to mobilize public opinion on inequality in access to education, while reflecting the issue of unequal development and the role of actors in social justice
Abstract:Early marriage remains a serious problem in Indonesia, impacting reproductive health, education, and the future of adolescents. One preventative measure is providing education about the risks of early marriage through engaging…
gaging learning media, such as educational videos. This study aims to determine the effect of educational videos on adolescents' knowledge and attitudes about the risks of early marriage at MAN 2 Padang City. This study used a pre-experimental, one-group pre-post test design. The population was 555 grade X students, with a sample size of 78. The sampling technique used systematic random sampling at MAN 2 Padang City was conducted from February to August 2025. Univariate and bivariate analyses used the Wilcoxon test. The results showed that the mean knowledge score before the program was 10.44. The mean knowledge score after the program was 13.47. The mean attitude score before the program was 31.23. The mean attitude score after the program was 34.15. There is an effect of educational video on knowledge (p=0.000). and attitudes in adolescents (p=0.000). Conclusion There is an effect of educational video on knowledge and attitudes in adolescents at MAN 2 Padang City. It is recommended that adolescents actively seek out and watch educational videos and that institutions implement BRUS programs in schools.
Abstract:Green betel leaves contain compounds that can treat vaginal discharge, especially those caused by bacteria. To determine the effect of green betel leaf extract on the growth of Bacteroides in vaginal secretion cultures,…
this study used a quantitative experimental method, where vaginal secretion samples were taken from the subjects and then tested quantitatively. There were two data collection techniques used in this study: using a questionnaire and testing vaginal secretion samples with green betel leaf extract. The test for using was diffusion (paper disc) for the antibacterial test. The media used was MHA. The positive control used was a blank disc, the extract concentration series used were 20%, 25% and 30%. The diameter of the inhibition zone was observed and then analyzed. The results of the t-test analysis showed that the significance value was 0.00 <0.05, so H0 was rejected Ha was accepted or it could be concluded that there was a difference in the effect of giving green betel leaf extract on the growth of Bacteroides in vaginal secretion culture. Antibacterial activity test of green betel leaves (Piper betle L) against Bacteroides bacteria that cause Bacterial Vaginosis, namely resistant at a concentration of 20%, intermediate at a concentration of 25% and sensitive at a concentration of 30%. Green betel leaf extract (Piper betle L) has inhibitory power against Bacteroides bacteria that cause Bacterial Vaginosis. Can increase the concentration series of methanol extract of green betel leaves, find the minimum bactericidal concentration (MBC) and the maximum inhibitory concentration (MIC) of green betel leaf extract against Bacteroides bacteria that cause Bacterial Vaginosis
Abstract:Inhaled corticosteroids (ICS) are commonly prescribed to manage asthma and chronic obstructive pulmonary disease (COPD) due to their local anti-inflammatory effects in the airways. However, prolonged or high-dose ICS use…
has been associated with systemic adverse effects, including decreased bone mineral density (BMD) and increased risk of osteoporosis. This review aimed to examine the association between ICS use and the risk of osteoporosis or fractures, and to identify modifying factors such as dose, duration, patient age, sex, and type of corticosteroid used. Literature review was conducted using databases including PubMed, Scopus, and Web of Science. Articles were selected using specific inclusion and exclusion criteria. The review focused on original studies published up to March 2025, resulting in 28 relevant articles, of which 6–8 high-quality studies were analyzed in depth. Most studies demonstrated that long-term or high-dose ICS use is associated with decreased BMD and increased risk of fractures, especially in elderly COPD patients. The greatest risk was linked to fluticasone and budesonide at doses ≥500 µg/day. Some studies found neutral or even protective effects in specific subgroups, indicating population-dependent variability. Meta-analyses revealed conflicting results due to heterogeneity in populations and methodologies. High-dose and long-term ICS use may increase the risk of osteoporosis. Clinicians should consider individualized risk assessments and adopt strategies such as using the lowest effective dose, monitoring BMD, and providing calcium and vitamin D supplementation in at-risk populations.
Abstract:The objective of this research was to prove whether using Choral Reading strategy can improve reading comprehension of the eight grade students of SMP Negeri 13 Palu. This research limited the use of Choral Reading strategy…
egy in improving students' reading comprehension, which focuses on literal meaning and descriptive text. This research used quasi-experimental research design involving an experimental class and a control class. The sample of this research were students of VII B as the experimental class, which consisted of 31 students, and the students of VIII A as the control class, which consisted of 31 students. The data was collected through pre-test and post-test. The results confirmed that the mean score of the experimental class had increased from 44.87 to 73.83. On the other hand, in the control class, it has increased from 48.29 to 62.64. The results of the test were analyzed statistically by applying 0.05 level of significance. The researcher found that the value of the t-count was higher than the t-table (4.59 > 1.67). In other words, the implementation of choral reading strategy can develop students' reading comprehension of the eighth-grade students of SMP Negeri 13 Palu. This strategy has a significant impact on the English learning process, especially helping students in reading comprehension to find information about the text and understand the entire meaning of the text, so that students can practice choral reading as their independent reading comprehension strategy in the future
Abstract:Obesity in mothers is a major worldwide health issue that significantly raises the need for obstetric procedures, especially cesarean sections. Numerous difficulties for both mothers and newborns have been linked to elevated…
ated pre-pregnancy and gestational body mass indexes (BMI). The purpose of this study is to characterize the distribution of delivery methods among pregnant women who are obese at Dr. H. Abdul Moeloek Regional Hospital in Lampung Province, Indonesia. Total sampling was used to perform a quantitative, descriptive retrospective analysis. 58 pregnant women with a BMI of 30 kg/m² or above who gave birth between 2017 and 2023 were included. SPSS version 27.0 was utilized for data analysis. Findings out of the 58 instances that could be analyzed, 69.0% of obese pregnant women gave delivery via cesarean section, 27.6% gave birth spontaneous vaginally, and 3.4% had a vacuum induction. The majority (31.0%) were between the ages of 35 and 39, and 77.6% were multiparous. The type of delivery was found to be strongly influenced by maternal age, parity, and obesity. Being obese greatly raises the risk of having a cesarean section, especially for older and multiparous women. Reducing needless cesarean rates and improving mother and newborn outcomes may be possible with early treatments such as lifestyle modification education, prenatal counseling, and BMI-based risk assessment.
Abstract:Choi Pan is a traditional dish originating from Singkawang City, West Kalimantan. This study aimed to analyze the gastronomic components of traditional Choi Pan food as a gastronomic tourism attraction in Singkawang City,…
y, West Kalimantan. This research adopted a qualitative methodology using observation, interviews, and documentation to determine many aspects of gastronomy. The results of the study showed that Choi Pan has significant allure due to its rich heritage and the innovative used of ingredients like as jicama, chives, taro, bamboo shoots, and young papaya, which provided a tender, chewy texture and a savory-sweet flavor. The unique consuming experience was enhanced by an addition of chili sauce and garlic oil, which intensify the sensory experience and strengthen the connection between entrepreneurs and Choi Pan lovers. The nutritional benefits of Choi Pan contributed to the survival of this dish within a healthy local culture. The results indicated that the success of establishing Choi Pan as a culinary tourist destination depended not just on its flavor and texture, but also on its sustainability of its fundamental philosophy and culture. Consequently, enhancing gastronomy qualities was anticipated to augment the appealing factor of gastronomic tourism, facilitated cultural preservation and regional economic growth via the promotion of culture-centric gastronomic tourism.