Background: Preterm birth defined as childbirth occurring at less than 37 completed weeks or 259 days of gestation. The causes of preterm birth are complex and multifactorial, many risk factors that contribute in it. Knowledge of risk factors is crucial for predicting the incidence of preterm births. This study aimed to determine the factors associated with preterm birth at the Hasan Sadikin General Hospital. Method: This study was a cross-sectional analytic using secondary data. Data derived from medical records maternity patients in the Department of Obstetrics and Gynecology Hasan Sadikin General Hospital taken in 2015. 1944 patients' medical records who gave birth met the inclusion criteria. Data analyses used were bivariate (chi square) and multivariate (logistic regression). Result: The result showed that the variables including age (p = 0.043, OR = 1.586), antenatal care (p < 0.001, OR = 1.865), history of preterm birth (p < 0.001, OR = 2.337), anemia (p < 0.001, OR = 1.307), hypertension (p < 0.001, OR = 3.969), and antepartum hemorrhage (p < 0.001, OR = 6.917) had significant result (p < 0.05). Among these variables, antepartum hemorrhage held the strongest correlation with the preterm birth. Conclusion: There is a significant relationship between age, antenatal care, preterm birth history birth, anemia, hypertension, and antepartum hemorrhage with preterm birth as risk factors.

Dokter adalah profesi yang luhur dan dibutuhkan untuk memberikan pelayanan kesehatan kepada masyarakat. Pendidikan kedokteran merupakan pendidikan yang tidak mudah dan membutuhkan motivasi yang kuat untuk menyelesaikannya. Motivasi internal maupun eksternal telah diketahui dapat memengaruhi proses belajar maupun hasil belajar mahasiswa. Dengan mengetahui motivasi mahasiswa maka program studi dapat merancang kegiatan pembelajaran yang dapat meningkatkan motivasi mahasiswa. Penelitian ini bertujuan untuk mengetahui motivasi mahasiswa kedokteran memilih pendidikan dokter dan persepsinya terhadap profesi dokter. Penelitian ini merupakan penelitian kualitatif dengan metode fenomenologi. Seluruh mahasiswa yang masuk tahun 2014, pada bulan pertamanya ditugaskan menuliskan motivasi memilih program pendidikan dokter. Esai tersebut lalu dianalisis untuk mendapatkan kesamaan tema. Seluruh mahasiswa sebanyak 281 orang (209 perempuan, 72 laki-laki) menyatakan bahwa motivasi menjadi dokter terutama adalah untuk menolong dan menjaga kesehatan masyarakat. Motivasi lain adalah ingin mempelajari tubuh manusia lebih mendalam. Yang lain menyatakan faktor agama dan dorongan keluarga. Hampir semua mahasiswa memandang profesi kedokteran adalah profesi yang selalu dibutuhkan. Beberapa mahasiswa memandang profesi dokter masih menjanjikan kesejahteraan secara finansial. Data ini menunjukkan bahwa mahasiswa tahun pertama masih memiliki motivasi yang luhur untuk menjadi dokter. Hal ini akan dapat membantu mereka dalam menempuh pendidikan. Penelitian lanjut perlu dilakukan untuk mengetahui perubahan motivasi mereka setelah lulus dokter.Kata kunci: motivasi, mahasiswa, profesi dokter

: Cardiovascular disease is ranked one as the majority cause of mortality globally, approximately 17.9 million lives each year. There are risk factors of cardiovascular disease such as: behavioural factors, like tobacco use, unbalance diets, alcohol misuse and lack of physical activities, and other underlying health-related factors, like hypertension, dyslipidemia and hyperglycemia which are connected to pathophysiology determinants, such as ageing, and poor overall quality of life. One of the main strategies to prevent those risk is by encouraging healthy life style, including consuming natural supplement as one of a safe way to support health. Recently, β-carotene has gained some attention to the researchers because of its natural antioxidant properties as it is found in fruits and vegetables compounds. In this article we review the effects of β-carotene as an antioxidants that counteract free radicals, as well as cytoprotective agents that have positive benefits as anti-inflammatory for preventing several age-related disease especially in heart muscle cell health.

Background: Snakebite is considered a global health issue, especially in the Southeast Asian region. However, data regarding snakebite cases in Indonesia are still very limited. This study aimed to explore the venomous snakebite cases and the serum anti bisa ular (SABU) antivenom effect in treating venomous snakebite caused by other than the snake species indicated in currently available SABU antivenom formulas. Methods: The analytical descriptive method with a cross-sectional study design was conducted in 2021 using a total sampling from the medical records of 63 patients diagnosed with snakebite at Dr. Hasan Sadikin General Hospital Bandung from 2015 to 2019. Characteristics of patients, clinical manifestation, and correlation between snakes species and outcomes after treatment with or without administration of SABU antivenom were collected. Results: Out of 63 patients, males (79%) were predominant with an average age of 39 years. Fifty-six patients arrived at the Emergency Room less than 24 hours after the occurrence (89%). Most cases were categorized as grade 2 (41.%) where the upper extremities were commonly bitten the body area (64%). Edema (83%) was the most common manifestation. There was no correlation between snake antivenom administered to a specific snake species and the stated outcome (p=0.053), meaning that SABU antivenom might be an effective alternative to treat more types of snakebites. Conclusions: Snakebites are most common in males, attack the upper extremities, categorized as grade 2 with edema. Administration of SABU antivenom provides the similar outcome compared to the group caused by the Javan spitting cobra, Banded krait, and Malayan pit viper.

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Childbirth is a natural occurrence experienced by every pregnant woman. Postpartum mothers have problems with uterine involution. One activity that is recommended for mothers after childbirth is the puerperal exercises Pelvic Floor Muscle Treatment (PFMT) or exercises specifically performed for pelvic floor muscles. The research method uses quasy experiment with one group post test design with control. The total sample is 36 people. Sampling technique is done by consecutive sampling with random permutation block. The instrument of data collection that is observational sheet is doing direct observation to the object of research to look closely at the activities carried out. Observation sheet which includes Pelvic floor muscle training. Pelvic Floor Muscle Training exercises affect the acceleration of decreased uterine fundus height (TFU) in Postpartum mothers compared to not doing gymnastics. Health workers should try to provide counseling and counseling about the importance of Pelvic floor muscle training.

Wound interferes with the equilibrium of skin functions. It disrupts a barrier function of the skin as external barrier of the internal organ from physical, chemical and biological environment. The wound can be easily treated but neglected wound can lead to several complications. Accelerate wound healing will prevent complications and reduce aesthetic problem in anti-aging treatment. Previous studies showed that physical modulation as electrical stimulation could enhance wound healing processes. This study purposed to compare three different modes of electrical stimulation on wound healing such as transcutaneous electrical nerve stimulation (TENS), high voltage pulse current (HVPC) and low-intensity direct current (LIDC). This in vivo study used incisional skin biopsy of albino rat (Rattus norvegicus). Qualitative and quantitative parameters were analyzed to compare three different electrical stimulations on the wound healing response on the epidermis, dermis, inflammation, and angiogenesis phase. The highest histological score on the epidermis and dermis was found on LIDC whereas the highest histological score on the inflammation and angiogenesis phase was found on HVPC. This result of this study may provide useful information for selecting additional treatment for wound healing.

Background: Coronavirus disease 2019 (COVID-19) is still becoming a problem in several countries with the emergence of new variants with the latest variant named Omicron. Studies show that patients with COVID-19 tend to have Acute Respiratory Distress Syndrome (ARDS) because of high pro-inflammatory cytokines and chemokines levels. Since its role as an antiviral agent, anti-cytokine, immunomodulator, antioxidant and has potential effect in maintaining body functions, vitamin C can be used as one of therapy. There is still arguable about giving treatment of COVID-19 patients with Intravenous Vitamin C (IVC). Previous research has not been discussed related to accelerating recovery and decreasing mortality. Purpose: To identify the impact of IVC intervention given to COVID-19 patients admitted in hospital by reviewing clinical outcomes particularly on complexity or mortality. Review: Literature information was sourced from PubMed, ScienceDirect, and Google Scholar databases through keywords to retrieve inclusion criteria published during 2019-2021. Result: We found that IVC influenced inflammatory biomarkers such as CRP, d-dimer, ferritin, and several inflammatory cytokines, mortality, length of stay, oxygenation, organ and immune system function but showed no significant difference between the control group. Conclusion: IVC treatment might be an essential adjuvant therapy in the aggravation of mild, severe, and critical COVID-19 patients, but did not understate complexity or mortality. Hence, further research and evaluation in clinical trials are needed.