Background: The prevalence of exclusive breast feeding was 39.05% in Sukoharjo in 2015, which is far bellow the national target of 80%. A study has shown that massage oxytocin increases oxytocin (OT) hormone release, and eventually decreases adrenocorticotropin hormone (ACTH), nitric oxide (NO), and beta-endorphin (BE). This OT hormone release will increase milk ejection, which facilitate milk production. This study aimed to investigate the effect of breast care and oxytocin massages on breast milk production in post-partum mothers. Subjects and method: This was a Randomized Controlled Trial (RCT), conducted at Sukoharjo Hospital, Central Java 19 October to November 18, 2016. A total of 90 post -partum mothers were selected at random and then allocated into breast care group and oxytocin massage group. The dependent variable was breast milk production. The independent variable was breast care and oxytocin massage. Changes in breast milk production before and after intervention between the two groups were tested by Mann-Whitney test. Results: The increase in breast milk production in breast care and oxytocin massage group (mea = 17.37, SD= 9.70) was larger than that of the control group (mean= 1.58, SD= 1.69), and it was statistically significant (p<0.001). Conclusion:Breast care and oxytocin massage can significantly increase breast milk production. Post-partum mothers are recommended to practice breast care and oxytocin massage, in order to increase breast milk production.

Background: Cervical cancer is the fourth most common malignant cancer among women after breast, colorectal, and lung cancers. Pap smear has been recognized as an effective strategy for reducing the incidence and mortality rate of cervical cancer. This study aimed to investigate the determinants of Pap smear utilization for cervical cancer early detection in women of reproductive age using path analysis model. Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted in Cilongok and Ajibarang Sub-districts, Banyumas, Central Java, from January 3 to February 3, 2018. A total sample of 200 women reproductive age was selected for this study by fixed disease sampling. The dependent variable was Pap smear utilization. The independent variables were education level, attitude, perception on the quality health care, access to the health center, family support, peer support, and health personnel support. The data were collected by questionnaire and analyzed by path analysis. Results: Pap smear utilization was positively and directly associated with education (b = 2.63; 95% CI= 1.77 to 3.48 p<0.001), perception on quality of health care (b= 1.04; 95% CI= 0.22 to 1.86; p= 0.012), attitude (b= 1.48; 95% CI= 0.51 to 2.44 p= 0.003), access to health center (b=1.02; 95% CI= 0.20 to 1.84 p= 0.015), family support (b= 1.29; 95% CI= -0.22 to 2.61; p= 0.029), and health personnel support (b= 2.02; 95% CI= 0.60 to 3.45 p= 0.005). Pap smear utilization was indirectly associated with peer support through perception on quality health care (b = 0.66; 95%= -0.01 to 1.33 p = 0.031). Conclusion: Education, perception on quality of health care, attitude, access to health center, family support, and health personnel support are directly associated with Pap smear utilization.

No abstract

No abstract

No abstract

Background: Cervical cancer ranks second among the top ten leading causes of death in women in the world, especially in developing countries. Cervical cancer can be cured if detected early. A simple and common method in early detection of cervical cancer is a visual inspection acetatic-acid (VIA) test. This study aimed to analyze the biopsychosocial factors associated with use of VIA test, using health belief model and a path analysis model. Subjects and Method:This was an analytic observational study with a cross-sectional design. The study was carried out in Sragen, Central Java, from October 2017 to May 2018. A sample of 200 women was selected by fixed disease sampling. The dependent variable was utilization of VIA test. The dependent variables were intention, self-efficacy, perceived benefit, perceived barrier, attitude, subjective norm, knowledge, education, perceived susceptibility, perceived seriousness, and number of children. Data on VIA test were obtained from medical record. The other variables were measured by questionnaire and analyzed by path analysis. Results: Use of VIA test was directly and positively affected by intention (b= 3.50; 95% CI= 1.20 to 5.79; p=0.003), perceived benefit (b= 5.21; 95% CI= 1.98 to 8.44; p= 0.002), and number of children (b= 4.23; 95% CI= 1.61 to 6.86; p<0.001). Use of VIA test was directly and negatively affected by perceived barrier p<0.001). Use of VIA test was indirectly affected by attitude, subjective norm, self-efficacy, knowledge, education, perceived susceptibility, and perceived seriousness. Conclusion: Use of VIA test is directly and positively affected by intention, perceived benefit, and number of children, but negatively affected by perceived barrier.

Background: Asthma is a chronic inflammatory disease that affects millions of people worldwide. Chronic asthma is commonly resistant to steroid therapy. Acupuncture has an anti-inflammatory effect and has been widely used as an add-on therapy for asthma. Objective: To evaluate the effects of acupuncture on the inflammatory response and airway remodelling in the bronchioles of an asthma mouse model. Methods: A chronic asthma model was produced in female BALB/c mice by ovalbumin (OVA) sensitisation. 32 mice were randomised into four groups: control; asthma (OVA); OVA+BL13; and OVA+BL13+ST36. OVA was administered by intraperitoneal injection on days 0 and 14 followed by aerosol exposure of 1% OVA three times a week for 6 weeks. Manual acupuncture (MA) was performed three times a week for 6 weeks at BL13 alone, or BL13 in combination with ST36, in the two MA-treated groups. At the end of the experiment, blood samples were collected to determine eosinophil and neutrophil counts and lung tissue was prepared for histological examination. Results: A pronounced reduction in the neutrophil count was achieved after MA at BL13+ST36 (P=0.005) while the eosinophil count was lowered after MA both at BL13 (P=0.007) and BL13+ST36 (P=0.006). Reduction in the bronchiolar epithelial and smooth muscle thickness and the number of goblet cells was observed after MA at BL13 (P=0.001, P=0.001 and P=0.002, respectively) and BL13+ST36 (P=0.001, P=0.002 and P=0.001, respectively). Conclusion: Acupuncture can reduce the inflammatory response and prevent airway remodelling in a chronic asthma mouse model.

No abstract