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Marufi, Isa
Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Influence of Knowledge, Motivation, Leadership, and Workload toward Public Health Center Midwives’ Performance in Facilitative Supervision of MCH Program in Lumajang District Mardiyanti, Mardiyanti; Marufi, Isa; Ningtyias, Farida Wahyu
Health Notions Vol 2 No 4 (2018): April 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

Facilitative supervision by coordinator midwife of Public Health Center (PHC) to the midwife of village in Lumajang District carried out since 2009, but until now the implementation has not been effective. This can be seen from the secondary data Lumajang District Health Office 2016 are 56% of PHC reported results late facilitative supervision MCH program. Preliminary study shows the results of 70% of midwives in the villages do not get facilitative supervision by a midwife of PHC regularly; 60% of midwife of PHC did facilitative supervision visits to the midwife in accordance with the agreement stipulated period; and 60% expressed no real follow-up from the supervisors to the problems faced. This study was conducted to determine the variables that affect the implementation of facilitative supervision MCH program in Lumajang. The study design was an observational analytic. The sampling technique study determined through proportional cluster sampling. Based on the survey results revealed knowledge (r = 0.625), motivation (r = 0.658), perceptions of leadership (r = 0.711) had a strong relationship to the performance center midwife in the implementation and supervision facilitative MCH programs, while the workload (r = 0.585) had moderate level relationship to the dependent variable. Keywords: Supervision, Midwives, Performance
Major Risk Factors for Gestational Glucose Intolerance and Gestational Diabetes Mellitus in Urban Areas of Jember Wirapraja, Aristha Dwi; Marchianti, Ancah Caesarina Novi; Marufi, Isa
Health Notions Vol 2 No 3 (2018): March 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Gestational Glucose Intolerance (GGI) and Gestational Diabetes Mellitus (GDM) is condition in which someone who leads to abnormally higher blood glucose levels. High glucose level on pregnant can influence mother itself and her fetus if it doesn’t get prevention and right treatment. The purpose of this research was to know modified risk factors related with incidence of GGI and GDM in urban areas of Jember. This research was observational with cross sectional approach. Non probability sampling using purposive sampling was used in this research as sampling technique. Data were collected by interview and questionnaire that was distributed for 96 pregnant women who have been checked their blood glucose level in urban areas of Jember. The result of this research showed that over weight (p value= 0.001, OR= 16.15), less physical activities (p value = 0.000, OR=4.91) and unhealthy diet (p value = 0.000 OR=5.3) have significant correlation with GGI and GDM, while less physical activity (p value = 0.000 OR=0.176) as major risks with incidence of GGI and GDM. Pregnant women should do physical activities, like doing light exercises in accordance with their condition are offset by keeping dietary habits, so the blood glucose level during pregnancy could be controlled. Keywords: GGI, GDM, High glucose level, Overweight, Less physical activities, Unhealthy diet
The Improvement of TNF- α and Inflamation Cell on the Lungs Hypersensitivity Reaction becauses of Wood Dust Exposure Marufi, Isa; Prahastuti, Anita Dewi; Hartanti, Ragil Ismi
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

This research aimed to analyze the effect of wood dust on TNF-α on Mice blood (MusMusculus) BALB / C and to analyze the influence of wood dust on the number of inflammatory cells, ie macrophage, lymphocyte, neutrophil and mast cell in lung tissue of mice BALB / C, as well as explain the mechanism of lungs hypersensitivity reaction due to wood furniture dust exposure. The experimental laboratory research was conducted, and mice was become the animal experiment. The research design used was Randomized the post-test only control group design. Exposure was performed 4 hours a day with 2 hours length of exposure in the morning with 1 hour rest period in 6 times a week for 4 weeks at exposure space in a glass-shaped cube with a size of 20x20x20 cm3. Concentrations of wood furniture dust exposed were 0.50 mg / m3, 0.75 mg / m3, 1.00 mg / m3. The findings showed that: (1) wood furniture dust exposure increased between experimental group compared with control group in mice (Musmusculus) BALB / C; (2) wood furniture dust exposure increased TNF, in lung tissue between experimental group compared with control group in mice (Musmusculus) BALB / C; and (3) wood furniture dust exposure increased mast cells, neutrophils, lymphocytes, and macrophages in lung tissue between experimental group compared with control group in mice (Musmusculus) BALB / C.
Co-Authors Ancah Caesarina Novi Marchianti Farida Wahyu Ningtyias, Farida Wahyu Mardiyanti Mardiyanti Prahastuti, Anita Dewi Ragil Ismi Hartanti Wirapraja, Aristha Dwi