https://journal.unnes.ac.id/nju/kemas/issue/feedJurnal Kesehatan Masyarakat2024-02-02T13:37:09+07:00Prof. Dr. dr. Oktia Woro Kasmini Handayani, M.Keskemas@mail.unnes.ac.idOpen Journal Systems<div><strong><span>Jurnal Kesehatan Masyarakat</span> starting in 2024 migrates from OJS 2 to OJS 3 to better secure from various unwanted things, including journal hacking and so on.</strong></div><div><strong><br /></strong></div><div><strong>To submit, the author please visit the new website page of our journal at the link <a href="/journals/kemas" target="_blank">https://journal.unnes.ac.id/journals/kemas</a></strong></div><div><strong><strong><br /></strong></strong></div><div><strong><strong>MIGRATION OFFICIAL STATEMENT <a href="https://drive.google.com/drive/folders/1980A0R8NA3En1577jOx6NI3mWJxsNawB?usp=sharing" rel="noopener" target="_blank">HERE</a></strong></strong></div><p>KEMAS: Jurnal Kesehatan Masyarakat [<a href="http://u.lipi.go.id/1180427039" target="_blank">P-ISSN </a><a href="http://u.lipi.go.id/1180427039" target="_blank">1858-1196</a> | <a href="http://u.lipi.go.id/1389880853" target="_blank">E-ISSN </a><a href="http://u.lipi.go.id/1389880853" target="_blank">2355-3596</a><a href="https://doi.org/10.15294/kemas.v14i2.8000" target="_blank">]</a> publised by Universitas Negeri Semarang in collaboration with <a title="SK IAKMI" href="https://drive.google.com/open?id=1rZ5bQufR6HlWMg8QUnQDkdqi2__yRXuW" target="_blank">Ikatan Ahli Kesehatan Masyarakat Indonesia</a> (IAKMI Tingkat Pusat) and <a title="SK JNPK" href="https://drive.google.com/open?id=13_Yc2iaWK2ZCYKnkOX5Ck96FW2ngIWqs" target="_blank">Jejaring Nasional Pendidikan Kesehatan</a> (JNPK). KEMAS publishes the article based on research or equivalent to research results in public health or other disciplines related to public health that has not been loaded/published by other media. The journal contains articles about epidemiology and biostatistics, health policy and administration, public health nutrition, environmental health, occupational health and safety, health promotion, reproductive health, maternal and child health, and other related articles in public health. The journal can be used by health practitioners, health caregivers, teachers, medical students, and people who are interested in public health issues. The journal was first published in July 2005. Since 2022, the journal were published quarterly a year in July, October, January, and April. Starting October 2022, articles in KEMAS Journal have been accepted for indexing to <a title="Scopus" href="https://www.scopus.com/sourceid/21101119588#tabs=2" target="_blank">Scopus</a>.</p><p><a title="Sertifikat" href="https://drive.google.com/u/0/uc?id=1jpxYDr3vTJJnetRjbMrvvndA0GeKQ6Pa&export=download" target="_blank"><span class="Apple-converted-space"><img src="/nju/public/site/images/efa_nugroho/Press1.jpg" alt="" /></span></a></p><p style="text-align: left;"><strong><a href="https://www.scopus.com/sourceid/21101119588#tabs=2" rel="noopener" target="_blank"><img src="https://ijain.org/files/scopus.png" alt="" width="145" height="53" /></a></strong><a title="ACI" href="https://asean-cites.org/aci_search/journal.html?b3BlbkpvdXJuYWwmaWQ9MTE0MzU" target="_blank"><img src="/nju/public/site/images/widiyanto/aci_logo.png" alt="" /></a> <a title="DOAJ" href="https://doaj.org/toc/2355-3596" target="_blank"><img src="/nju/public/site/images/widiyanto/doaj-150-px-2.png" alt="" /></a> <a title="Dimensions" href="https://app.dimensions.ai/discover/publication?and_facet_source_title=jour.1151224" target="_blank"><img src="/nju/public/site/images/widiyanto/DIMENSIONS_INDEX1.png" alt="" /></a> <a title="Sinta 2" href="http://sinta.kemdikbud.go.id/journals/detail?id=776" target="_blank"><img src="/nju/public/site/images/widiyanto/sinta1.png" alt="" width="150" height="50" /></a> <a title="GARUDA" href="http://garuda.kemdikbud.go.id/journal/view/5652" target="_blank"><img src="/nju/public/site/images/widiyanto/garuda_logo.png" alt="" /></a> </p>https://journal.unnes.ac.id/nju/kemas/article/view/34093Promotion of Exclusive Breastfeeding through Drinking “Uyup-Uyup” Herbal2024-02-02T12:55:32+07:00Colti Sistiaranicoltisistiarani@yahoo.co.idErna Kusuma Watiernakusuma@gmail.comSetiyowati RahardjoRahardjo@gmail.com<p class="Body"><span lang="IN">Tradition mother after delivery baby ussually drinks uyup-uyup herbal. Uyup-uyup herbal is believed to smooth milk, so many mothers do traditional drink called uyup-uyup herbal in the postpartum period. This study aims treatment role of herbalist to be agents of change in promoting exclusive breastfeeding. This study intervension train uyup-uyup herbalist. Uyup-uyup herbalist who have been trained and then required to practice the promotion of exclusive breastfeeding to lactating mothers. Quantitative study used quasi-experimental research design to determine the effect of treatment exclusive breastfeeding promotion. The treatment group was located in the Bojongsari District and the control group in the Padamara district. The number of samples the treatment group and the control group respectively by 40 lactation mothers The results showed the differences knowledge and attitudes about exclusive breastfeeding in the treatment group. From these results exclusive breastfeeding promotion efforts can be done through intermediaries uyup-uyup herbalist to mothers.</span></p>2024-02-02T12:44:46+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/40698Stunting and Head Circumference Growth in The First 3 Years of Life2024-02-02T13:33:17+07:00Sri Priyantinisripriyantini@gmail.comMohamad Nuhamohamadulin25@gmail.comPerez Purnasariperezpurnasarimd@gmail.comAA Masyhudidr.masyhudi.am@gmail.com<p>The prevalence of stunting in Indonesia still exceeds WHO recommended standards. Stunting increases the risk of inhibition of brain growth. Head circumference is one of the parameters of brain growth. The study aimed to prove the mean head circumference growth difference between the stunted and non-stunted groups in the first 3 years of life. Another goal was to prove the relationship between zinc intake and zinc levels in toddlers on head circumference. The cohort study involved 50 subjects who were observed from birth to the age of 3 years and were born at Sultan Agung Islamic Hospital and Bangetayu Health Center Semarang City. The mean head circumference growth in the stunting group was lower than in the non-stunting group (4.1 v.s 4.6), p=0.043. The mean head circumference of stunted toddlers was smaller than that of non-stunted toddlers (44.9 vs. 47.2 ), p=0.000. There was no relationship between daily zinc intake and zinc levels of toddlers with stunting, p>0.05. The growth of the head circumference of stunted toddlers was lower than in the non-stunted group, as well as the head circumference was smaller than in the non-stunted group.</p><div> </div>2024-02-02T12:44:47+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/41661The Economic Evaluation of Rare Disease Medicines2024-02-02T12:59:25+07:00Oskar Skarayadioskar.skarayadi@lecture.unjani.ac.idEka Kartika Untariekakartika@gmail.comPeppy Octavianipepy@gmail.comNiken Larasatiniken@gmail.com<p>Economic evaluation of rare diseases and orphan drugs has gained prominence among scientists, managers, and the general public. This challenging problem requires evaluation and analysis from a variety of perspectives.<strong> </strong>Economic assessment of technologies can support decision-making and resource allocation.<strong> </strong>The research objective describes and discusses several important issues when addressing economic evaluation in rare diseases and orphan drugs. The method used in this article review is to search the Pubmed, Scopus, and ScienceDirect databases using specific keywords for research articles published in English between 2016 and 2021. We found 537 studies that economically evaluated the cost of treating rare diseases. The selected studies met the eligibility criteria that had been established. To assess the quality of the selected papers, we used a 10-point checklist derived from Drummond's criteria for economic evaluation. Seven papers were reviewed from the initial 20 articles that met the eligibility criteria, and 537 records were initially found across the three databases. The quality of the selected papers ranged from 70% to 100% in meeting Drummond's 10-point checklist. The conclusion of this research is to consistently and continuously identify cost-effective and cost-saving solutions that may help achieve good clinical outcomes and reduce the burden of disease. Future research should focus on the clinical implementation of interventions along with accompanying economic evaluations.</p>2024-02-02T12:44:49+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/44079Long-Term Effects of Exercise on Balance and Fear of Falling in Elderly2024-02-02T12:44:50+07:00The Maria Meiwati Widagdomaria_widagdo@staff.ukdw.ac.idClaudia Bella Laurentiabellalaurentiaa@gmail.comBagus Anggawaisna Anggawaisna Suryadiningratbagusanggawaisna10@gmail.comTeguh Kristian Perdamaianteguh.kristian@staff.ukdw.ac.id<h1>Falls is the main cause of injuries in elderly. Studies on the long-term effects of balance training are still limited. This study aimed to assess the long-term impact of a physical exercise on the balance and fear of falling in community dwelling elderly. This was a quasi-experimental study with pre-post design. The participants were older people ≥60 years with balance problems. They received a one-month physical exercise. The instruments included Functional Reach Test (FRT) to assess balance and Falls Efficacy Scale-International (FES-I) to assess fear for falling. Assessment was conducted at pre- and post-intervention and two years later. Data were analysed using Wilcoxon Signed-Rank Test and linear mixed model regression. Data of 23 participants were analysed. There were significant differences inn FRT and FES-I between pre-and post-intervention, pre-intervention and two years later. There was no significant difference in FRT and FES-I between post-intervention and two years after. There was significant improvement in the balance and fear of falling one month and two years after the program. The balance program had long-term effect that lasted at least for two years. Inclusion of the balance program in community-based health program for elderly can improve balance and prevent falls.</h1>2024-02-02T12:44:50+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/44138The Exploratory Study on Antecedents of Online Medical Consultation Continuous Usage Intention2024-02-02T12:44:51+07:00Andini Larasatiandnni.larasati@gmail.comFerdi Antonioferdi.antonio@gmail.comDewi Wuisandewi.wuisan@uph.edu<table width="636" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="457"><p>The purpose of this study is to find and analyze factors that can affect Intention to Recommend in online medical consultation field. The research model is adapted from a previous study and then modified. Data were collected from women that are >17 years old and who have ever used the online medical consultation application, Halodoc. The research’s method is a quantitative survey, with cross-sectional data. Respondents’ data were taken by purposive sampling and questionnaires were distributed online. As many as 202 participants have fulfilled the requirements to be analyzed with PLS-SEM. The results showed that five antecedents had a significant influence on Intention to Recommend. Antecedents that were worth noting were Helpfulness Trust, Perceived Benefit, and Reliability Trust, where these factors show a positive impact on Intention to Recommend. Factors that could potentially influence users not using online medical consultation applications were also found, such as Performance Risk and Privacy Risk. From the findings of this study, it can be concluded that there are factors that may need to be considered by online medical consultation service providers to maintain or even to better their quality of care.</p><p> </p></td></tr></tbody></table>2024-02-02T12:44:51+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/45857Mastitis Pain in Postpartum Mothers Using Plumeria Rubra L Ointment2024-02-02T13:26:09+07:00Rabia ZakariaZakaria@gmail.comSiti Choirul Dwi AstutiSitichoirul13@yahoo.co.idRahma Dewi AgustiniAgustini@gmail.comSukmawati A. DamitiDamiti@gmail.comHarlyanti Muthmai’nnah MasharMashar@gmail.com<p class="Abstract"><span lang="EN-US">Treatment of mastitis is usually carried out pharmacologically by giving antibiotics, but the content of antibiotics can enter breast milk, so an alternative solution is needed for the problem of using herbal plants. Plumeria rubra L is processed into an ointment so that it is easy to use. The aim of this study was to determine the intensity of postoartum maternal mastitis pain in the use of 5% Plumeria rubra L ointment. The research design is true experiment pre post test control group design. Respondents were divided into 2 groups, namely intervention and control totaling 32 people. The intervention was given by 5% Plumeria rubra L ointment applied to the breasts of postpartum mothers who were given twice a day in the morning and evening for seven days with a size of 5 grams for each using. The result is the intensity of postpartum mastitis pain in the previous control group, most of the percentage was severe pain as much as 66.7% and after most of the presentations, namely moderate pain as much as 60.0%. The intensity of mastitis pain for postpartum mothers before using red frangipani ointment is mostly the percentage, namely severe pain 73.3% and the intensity of mastitis pain for postpartum mothers after using red frangipani ointment, most of the percentages are moderate pain 53.3%. The conclusion obtained is a p value of 0.004 which indicates a significant difference. To reduce mastitis pain, postpartum mothers can use red frangipani ointment for 7 days.</span></p>2024-02-02T12:44:53+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/45992Effects of Exposure to the Hormone Cortisol in Pregnant Women on Body Weight and Length at Birth of Babies: A Prospective Study2024-02-02T12:44:54+07:00Jumrah Sudirmanjumrah.mega.rezky@gmail.comNurqalbi Samparanurqalbisr@gmail.comMuzakkir Muzakkirmuzakkirnani@gmail.comHairuddin Khairuddink@unimerz.ac.idDarmiati Darmiatidarmiati.iikp@gmail.comRahayu Eryanti Krahayueryanti@gmail.comKhalidatul Khair Anwarkhalidatul.megarezky@gmail.comHasriani Salenghasriani.asni863@gmail.com<p><em>Other mental disorders with a reasonably high prevalence are pregnancy stress of 92.8% and anxiety of 32.6%. Pregnancy pressure can potentially cause low birth weight and small head circumference. In addition, stress during pregnancy will affect neurobehavioral development, ACTH, cortisol, norepinephrine, and epinephrine levels in neonates. This study aims to assess cortisol exposure in pregnancy with birth weight and birth length in infants. This study uses a cohort study approach. The sample in this study was the third-trimester pregnant women many as 152 respondents. The research instrument used checklist sheets and laboratory tests using the ELISA method. The resulting data were processed using the unpaired t-test and the Pearson correlation test. The results showed a correlation between cortisol levels and birth weight with a value of p = 0.004 <0.05 and a value of r = -0.230, indicating that both variables had a low correlation and a negative relationship. This means the higher the cortisol level, the lower the baby's birth weight. There is a correlation between cortisol levels and the baby's birth length with a value of p = 0.003 <0.05 and r = -0.239, showing that both variables have a low correlation and a negative relationship. The higher the cortisol level, the shorter the baby's birth length. Maintaining the mental health of pregnant women, primarily through family support and health workers, is essential to avoid excessive stress and depression during pregnancy</em><em>.</em></p>2024-02-02T12:44:54+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/46504Mapping the Sociocultural Implication on Tuberculosis Management and Control Programs: A Scoping Review2024-02-02T12:44:55+07:00Sri Handayanisri.handayani@dsn.dinus.ac.idZahroh Shaluhiyahshaluhiyah.zahroh@gmail.comBagus Widjanarkobagoes62@gmail.comHenry Setyawan Susantohenrysmg@gmail.comFarid Agushybanaagushybana@gmail.com<p>The effectiveness of tuberculosis (TB) management and control programs is influenced by several factors, including sociocultural problems that affect delays in diagnosis and treatment and increased transmission risk in the community. How people viewed diseases and seeking behavior was socially constructed. The scoping review aims to understand the extent and type of evidence about the sociocultural implications of TB management and control programs. To address the research questions, a scoping review was conducted following PRISMA ScR as a guideline. Articles were searched in PubMed, Scopus, Science Direct, and Google Scholar databases. Searches were conducted in October 2022. The CASP checklist was used to measure the article's quality before being reviewed. A total of 15 articles were included, nine (9) studies conducted in Africa, two (2) studies in Papua New Guinea, one (1) study in India, one (1) study in Brazil, one (1) study in Yemen, and one (1) study in Nepal. Most studies were based on individual interviews (7), and three (3) studies included traditional/faith healer perspectives. Three main themes have been identified; sociocultural factors affected TB prevention, sociocultural factors affected TB-seeking behavior, and sociocultural factors affected treatment adherence. The review discovered that community practices, norms, and attitudes regarding perceived sickness impact TB care and control. To be effective and meaningful for the target population, the intervention must be attentive to cultural differences. </p>2024-02-02T12:44:55+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/46612Portrait of Periodontal Disease Risk Factors among Adults2024-02-02T12:44:57+07:00Rieski Prihastutirieski.prihastuti@gmail.comDibyo Pramonodibyo_pramono@yahoo.com<span lang="EN-US">Periodontal disease is still a common oral disease all over the world. The yearly report from the Wonosobo District Health Office revealed that 17,807 out of 780,667 people had dental problems, with 5,422 of them having periodontal disease. This number was higher compared to the national number in Central Java Province. The aim of the study was to identify periodontal disease risk factors. Cross-sectional study was conducted using subjects aged 20-50 years old and resided in Wonosobo District. Data were analyzed using chi-square and logistic regression. A total of 440 subjects were included in the study. Independent variables consisted of demographic and oral condition namely sex, age group, education level, economic status, smoking, salivary flow rate, plaque accumulation, crowded tooth, and oral hygiene. The result of the study indicated that higher education level (OR 2.09; 95% CI 1.266-3.463) and lower plaque accumulation (OR 3.61; 95% CI 2.310-5.640) were found to be significant risk factors, whereas uncrowded teeth (OR 0.54; 95% CI 0.342-0.852) and good oral hygiene (OR 0.07; 95% CI 0.036-0.152) and fair oral hygiene (OR 0.28; 95% CI 0.142-0.572) were found to be significant protective factor for the occurrence of periodontal disease among adults in Wonosobo District.</span>2024-02-02T12:44:57+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/46823The Effect of Smoking Habit on Vitamin D Status in Adults in Indonesia2024-02-02T12:44:58+07:00Amelia Lorensiaamelia.lorensia@gmail.comRivan Virlando Suryadinatarivan.virlando.suryadinata@gmail.com<p class="Abstract">Smoking will reduce the metabolism of vitamin d in the body. Indonesia, as a tropical country that has a high level of sun exposure, is one with a high prevalence of smokers. Early identification of vitamin D status can be used as a preventive measure for risks associated with vitamin D deficiency. This study aimed to determine the smoking behaviour with vitamin D status. This research was conducted in April -November 2021. The research design was cross-sectional, using purposive sampling method. <span lang="EN-US">Variable was smoker behaviour, vitamin D status, and vitamin D deficiency. The differences between vitamin D status and smoker behaviour in smoker and non-smoker group used chi-square test and the relationship used contingency coefficient.</span> This study involved 144 subjects, consisting of 73 non-smokers and 71 smokers. The groups at risk for vitamin D deficiency were 17 non-smokers (23.29%) and 31 smokers (43.66%). The smokers group had 2,553 times higher risk of vitamin d deficiency than non-smokers. There was a significant difference between smokers and non-smokers on 25(OH)D level vitamin D status. And there was a significant relationship between vitamin D status in smokers and non-smokers. There was a weak relationship between smokers and non-smokers on vitamin D status.</p>2024-02-02T12:44:58+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/47597Effect of Accompaniment Trained Peer Neighbor on Exclusive Breastfeeding Duration and Prevalence: A Quasi-Experimental Study2024-02-02T13:37:09+07:00Irmawati Irmawatiirmaartikel@gmail.comSri Achadi Nugraheninugraheni.sa@gmail.comSulistiyani Sulistiyanisulistiyani@live.undip.ac.idAyun Sriatmiayunsriatmi@lecturer.undip.ac.idIntroduction: Postpartum care in the hospital was very short, while the breastfeeding period was very long. On returning home, mother need the closest, affordable and ongoing supporting of trained neighbors for exclusive breastfeeding up to 6 months. This study aimed to examine the effect of accompaniment by trained peer neighbor (ATPN) on exclusive breastfeeding (EBF) duration and prevalence. Methods: The experimental quasi-design was used to compare duration of EBF in the intervention group (n=49) and the control group (n=49). The intervention group received ATPN by scheduled home visits 15 times with providing informational and practical support. The control group received the postpartum care-standard. Duration of EBF was measured weekly to 24th week postpartum. Survival analysis was used to compare duration of EBF between groups. A Cox proportional hazards regression analysis was used to estimate adjusted hazard ratios for cessation of EBF. Results: The intervention increases the duration of EBF. Median duration of EBF in the intervention and control group were 21.63 weeks and 15.85 weeks respectively (p<0.001). The prevalence of EBF at 12, 20, 24 weeks for the intervention versus control groups were (93.8% vs 69.3 %) (79.5% vs 44.8%), (59.1% vs 12.2%) respectively. Mothers in the control group were four times more likely to cessation EBF each of time than were mothers in the intervention group (HR 4.24; 95% CI: 2.56, 6.99)<em>. </em>Conclusion: The ATPN effectively increases exclusive breastfeeding duration. It was easy to implement at a lower cost, sustainable, and effective.2024-02-02T12:45:00+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/37856Analysis of Sociodemographic Factors Affecting Diabetic Dietary Behavior in People with Type 2 Diabetes Mellitus2024-02-02T12:45:01+07:00Rondhianto Rondhiantorondhianto@unej.ac.idAkhmad Zainur Ridlaakhmadzainur.fkep@unej.ac.idHafifah Hasanafah726@gmail.com<p class="root-block-node">Dietary behavior is one of the components of self-care that is difficult for people with type 2 diabetes mellitus (T2DM) to perform. The study aimed to determine the sociodemographic factors that influence the dietary behavior of people with T2DM. The study method is an analytic observational study with a cross-sectional design. The subjects of this study were people with T2DM in Jember Regency, with a sample size was 130 respondents using a multistage random sampling technique. This study had two variables: dietary behavior as a dependent variable, measured using Self-Management Dietary Behavior Questionnaire (SMDBQ, and sociodemographic factors (age, gender, marital status, income level, education level, ethnicity, and family type) as an independent variable measured using a sociodemographic questionnaire. Data were analyzed using a multiple logistic regression test (α = 0.05). The results of the study showed that most of the respondents were 55 – 65 years old (51.5%), female (71.5%), married (85.4%), a primary education level (50.8%), low-income level (73.1%), Madurese (54.6%), and nuclear family type (37.7%). Most of the respondents had dietary behavior in the medium category (66.9%), and the sociodemographic factors that influenced diabetes diet behavior were education level (p = 0.001) and family type (p = 0.001) with R<sup>2</sup> = 0.241. Efforts to improve self-care regarding adherence to diabetes diet behavior must pay attention to sociodemographic factors to prevent complications and improve the quality of life of people with T2DM.</p>2024-02-02T12:45:01+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/42151Kencur Supplementation for Attenuating Exercise-Induced Muscle Damage and Delayed-Onset Muscle Soreness2024-02-02T12:45:03+07:00Roy Januardi Irawanroyjanuardi@unesa.ac.idSoni Sulistyartosonisulistyarto@unesa.ac.idNanda Rimawatinandarimawati@unesa.ac.id<p>Delayed Onset Muscle Soreness (DOMS) is a pain that occurs after uncustomized eccentric exercise and can happen to anyone, both those who are athletes and other individuals. DOMS is usually felt 24-72 hours after exercise or activities that use eccentric movements, which interfere with the athlete’s training activities and other individuals’ daily activities. This study aimed to determine the effectiveness of kencur extract supplementation (kaempferia galanga linn) on DOMS and creatine kinase (CK) plasma levels after eccentric exercise. This research is quasi-experimental, using a randomized control group design as the design in this study. Research subjects (n = 28) were randomly divided into 2 groups, namely the kencur extract group (200 mg/day) and the placebo group (corn flour). The supplementation process in both groups was carried out for 5 days (3 days before and 2 days after) the eccentric exercise. DOMS pain (VAS) and blood samples (CK plasma) were taken 24 hours (pre) and 48 hours (post) after eccentric exercise. The destructive drill uses the 5 x 20 Eccentric depth jump drill. The data obtained in the form of changes in DOMS pain and CK plasma were then analyzed using ANOVA with sig. <0.005. Supplementation of galingale extract was effective in reducing DOMS pain with p = 0.008 (<0.05) and CK plasma value p = 0.000 (<0.05) compared to placebo after eccentric exercise. Supplementation of galingale extract (Kaempferia Galanga Linn) for 5 days is effective as an effort to reduce the risk of DOMS pain sensation and reduce the increase in muscle damage with CK as a marker after eccentric exercise.</p>2024-02-02T12:45:03+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/43554Improving Pandemic Integrated Care Using Digital Technology for Health Care Organisation: A Qualitative Study2024-02-02T12:45:04+07:00Tris Eryandotris@ui.ac.idSandra Hakiem Afrizalsandra.hakiem@binawan.ac.id<span lang="EN-GB">Study for exploring the pandemic integrated care through the implementation of health information system using digital technology is very limited. Thus, the research findings provide genuine information regarding the system integration assessment for the regulators and provide an integrated COVID-19 as the system design sample as a robust solution. The authors evaluated the implementation of the current COVID-19 information system to explore and describe the barriers and challenges from the perspective of the COVID-19 Task Force Team of the South Tangerang District, Indonesia and to propose an effective design of COVID-19 functional integrated system. A qualitative form of research was conducted in the South Tangerang District during May 2020. The area was selected as it was the only red zone in Banten Province during the Coronavirus pandemic in Indonesia. In-depth interviews were applied to explore the barriers during the implementation of functional integrated system for the COVID-19 pandemic. Three (3) themes of barriers were identified as involved in functional integration through the implementation of the COVID-19 information system, namely individual behavior, data governance in the organisation, and communication and networks.</span>2024-02-02T12:45:04+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/45813Education with Animation Video and Flyer Improving Pregnant Women Behavior of Sleep Hygiene: Which One More Effective?2024-02-02T12:45:05+07:00Fransisca Retno Asihdavisaputra90@gmail.comMytha Febriany Pondaangdavisaputra90@gmail.comFauzah Cholashotul I’anahdavisaputra90@gmail.com<p><em>No study related to sleep hygiene education with digital technology for pregnant women in Indonesia has been conducted. This study aims to determine the differences in the effect of education with animated videos and digital flyers on increasing pregnant women's sleep hygiene behavior. This quasi-experimental study was conducted on 108 who pregnant women were selected and assigned consecutively to the animation video and flyer groups and received education on sleep hygiene for 18 days. The validated behavior questionnaires was completed by both groups. Mann-Whitney U and Wilcoxon tests were used for the analysis. The mean (SD) behavior score was 69 (13.3) and 86.2 (11) in the video group and 68 (8.7) and 76.8 (10.5) in the flyer group on the first and 19th days, so there was a significant difference in terms of sleep hygiene behavior between the animation video and flyer group on the 18th day (p 0.000). Pregnant women who had sleep hygiene education with an animation video had more behavioral enhancement than flyer (20.5 > 11.5). Sleep hygiene education with an animation video as a first-line strategy is important and more effective in preventing insomnia.</em></p>2024-02-02T12:45:05+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/46447Vaccination with the Incidence of Post-Acute Sequelae COVID-192024-02-02T12:45:06+07:00Daisy Aureliadaisyaurelia2910@gmail.comNur Upik En Masrikanurupik@unkhair.ac.idIsmail Rahmanismailrahman@unkhair.id<p>Post-acute sequelae COVID-19 (PASC) symptoms are present in the vast majority of COVID-19 survivors, even those who have received the COVID-19 vaccine. Until now, vaccines against PASC are still controversial. Some previous findings suggest that vaccines can reduce or worsen PASC symptoms. In addition, there has been no related research in North Maluku Province, especially in Ternate City. This study aims to determine the relationship between vaccine administration and PASC based on the total dose and type of vaccine obtained using a questionnaire-based cross-sectional design questionnaire. The study population was COVID-19 patients diagnosed with RT-PCR or RDT-Ag in 2020–2022, domiciled in Ternate City. The respondents were 133 people. Bivariate analysis showed no effect of vaccine dose administration on the incidence of PASC (P=0.111). Similarly, the type and dose of vaccine based on the did not affect (first dose, P = 1.000), (second dose P = 0.732), and (booster P = 0.434) PASC. In terms of the timing of booster doses, pre- and post-COVID-19, there was no significant effect (P=0.384). However, there was a higher incidence of PASC in responders who received the booster dose post-COVID-19. There is no association between vaccine administration and the incidence of PASC.</p>2024-02-02T12:45:06+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/47405Smoking and Alcohol Consumption Behavior Among Male Senior High School Students2024-02-02T12:45:08+07:00Niken Meilaninikenbundaqueena@gmail.comSunarru Samsi Hariadisunarru_sh@ugm.ac.idFransiskus Trisakti Haryaditrisakti-h@ugm.ac.idSmoking and alcohol consumption behavior prevailed greater among adolescents period. These behavior could cause health risks. About 1 of every 4 adolescents in Indonesia were smokers and 3% of adolescents were drinking alcohol. This study aimed to analyze the association between self-efficacy with smoking and alcohol consumption among adolescents. This was a cross-sectional study carried out in July-September 2022. The study population was high school male students in Yogyakarta. A multistage random sampling technique was employed, involving 163 respondents. The instrument used was a questionnaire that has been tested. Data was analyzed in chi-square. Almost half of males had smoking behavior (39,3%). Males who were smoking started their behavior at the mean age of 15 years old. Most of them had low self-efficacy (70,6%). All male adolescents who had high self-efficacy do not have alcohol drink behavior. There was a relationship between self-efficacy with smoking behavior (p=0,001) and alcohol consumption (p=0,004). Strengthening self-efficacy is essential for adolescents. The government, family, and peers have an important role in increasing self-efficacy2024-02-02T12:45:08+07:00Copyright (c) 2024 https://journal.unnes.ac.id/nju/kemas/article/view/49965Nutritional Literacy as An Effect Modifier on Undernutrition Incidence among Poor Urban Family in Semarang City2024-02-02T13:15:25+07:00Irwan Budionoirwan_budiono@mail.unnes.ac.idBertakalswa Hermawatibertakalswa@mail.unnes.ac.idDewi Sari Rochmayanidewisari.srg@gmail.comLukman Fauzilukman.ikm@mail.unnes.ac.id<p class="Abstract">Kemiskinan merupakan akar dari penyebab masalah gizi kurang. Wilayah Gunung Brintik Kelurahan Randusari Kota Semarang merupakan wilyah kantung kemiskinan di pusat Kota Semarang dengan jumlah penduduk miskin sebesar 28.48% serta prevalensi gizi kurang sebesar 60%. Penelitian ini dilakukan untuk menganalisis faktor risiko gizi kurang serta menganalisis literasi gizi ibu sebagai efek modifikasi kejadian gizi kurang pada balita. Penelitian dilakukan dengan desain cross sectional melibatkan 97 balita di wilayah Gunung Brintik RW III dan IV Kelurahan Randusari Kota Semarang. Pengumpulan data dilakukan dengan observasi dan wawancara responden ibu balita. Analisis bivariat dilakukan menggunakan uji chi square, sedangkan analisis multivariat menggunakan multiple logistic regression. Hasil penelitian menunjukkan terdapat 12 variabel yang memiliki asosiasi dengan kejadian gizi kurang pada balita, yaitu jenis kelamin, riwayat IMD, riwayat imunisasi, riwayat penyakit infeksi, asupan energi, asupan protein, asupan lemak, asupan karbohidrat, pendidikan ibu, pendidikan ayah, pendapatn keluarga, dan literasi gizi. Hasil analisis multivariat menunjukkan adanya interaksi antara pendapatan keluarga dengan literasi gizi sebagai variabel interaksi (nilai p: 0,044). OR adjusted pendapatan keluarga dan literasi gizi terhadap kejadian gizi kurang diperoleh OR = 2,37 (1,07-9,38). Keluarga yang mampu secara ekonomi, tetapi memiliki literasi gizi yang kurang berisiko sebesar 2,37 kali lebih besar untuk memiliki balita yang mengalami gizi kurang daripada keluarga yang mampu secara ekonomi dan memiliki literasi gizi yang baik. Dengan demikian, efek risiko pendapatan keluarga yang kurang terhadap kejadian gizi kurang termodifikasi oleh literasi gizi sebagai effect modifier.</p>2024-02-02T12:45:09+07:00Copyright (c) 2024