Menstrual Hygiene Management (MHM) is the management of hygiene and health when women experience menstruation. The main problem in adolescents related to menstruation is the lack of knowledge about MSM and poor water sanitation. Many girls don't have the right understanding that menstruation is a normal biological process. Community service aims to improve students' knowledge and attitudes about menstrual health management. The method used is socializing; identify the state of menstrual health service facilities in schools: bathrooms, water, information; carry out bathroom renovations; provide educational media about menstrual health management in the form of posters, videos, leaflets, modules and flip sheets. Pre-test and post-test aims to identify students' knowledge and attitudes about menstrual health management. Analysis of the data used is the dependent t test. The knowledge of students before being given health education majority was in the sufficient category and thereafter increased to good. Likewise, students' attitudes increase to be positive. The statistical test results obtained mean difference of 7.72 and P Value = 0.001, it can be concluded that there is a significant effect of health education on knowledge. For attitudes the mean difference is 1.62 and the P value = 0.001, it can be concluded that there is a significant influence on health education on student attitudes. Therefore it is suggested to the school to include this topic in the subject matter. So students can apply it early and their reproductive health can be maintained.
Cervical cancer in Indonesia ranks first, 65% of the patient's condition is in an advanced stage. In research in thirteen anatomical pathology laboratories in Indonesia, the frequency of cervical cancer patients was around 18.5%. This community service aims to: (1) provide communication, education and information (IEC) about cervical cancer and the benefits of IVA Test; (2) conduct IVA Test; (3) measure WUS's knowledge about cervical cancer and IVA test. Performed at the maternity clinic, namely SAM maternity clinic (20 people) and Sari (20 people). Data analysis using dependent t test. The results of the activity were data from 26-30 years old (40%), Batak tribes (13%), Islamic religion (95%), first marriage (77.5%), high school / diploma / undergraduate education (80%), IRT (77.5 %), the work of husband's employee (52.5%), first age married 26-30 years (40%) and not smoking (80%); using injection contraception (42.5%); the obstetric history of the majority of WUS giving birth twice (42.5%) , never checked (80%), no brother is sick (75%), breast cancer (10%), not much vaginal discharge (65%), no pain under the abdomen (70%), no bleeding during intercourse (90%) and did not experience irregular menstruation (55%); results of IVA WUS Test were negative (80%), inflammation (17.5) and positive (2.5); WUS knowledge before being given Information Education Communication (IEC) about cervical cancer and the IVA Test averages = 13.58, SD = 3.012 and after being given health education on average = 14.30, SD = 3.275. The results of statistical tests obtained different mean = 0.725 and P value = 0.016, it can be concluded that there was a significant effect of IEC on WUS knowledge about cervical cancer and IVA Test. Keywords: Cervical cancer, fertile age women (WUS), IVA Test
ABSTRAK Pendahuluan: Tidur merupakan kebutuhan esensial dalam kehidupan sehari-hari yang memiliki banyak fungsi, terutama proses pemulihan neuron di neokorteks setelah berbagai aktivitas. Kualitas tidur yang buruk sering ditemukan sebagai akibat dari tuntutan pekerjaan, akademis, gaya hidup, dan budaya sosial. Hal ini dapat mengganggu fungsi kognitif sehingga berdampak pada kualitas hidup sehari-hari. Oleh karena itu, penelitian ini ditujukan untuk menilai faktor risiko kualitas tidur buruk dan hubungannya dengan fungsi kognitif terutama pada mahasiswa Fakultas Kedokteran Universitas Sumatera Utara. Metode: Penelitian ini menggunakan metode analitik dengan desain potong-lintang dimana pengambilan data dilakukan secara serentak dalam satu waktu. Data diperoleh dari wawancara dengan menggunakan kuesioner yang telah divalidasi, Pittsburgh Sleep Quality Index (PSQI) untuk kualitas tidur dan Montreal Cognitive Assessment (MoCA) untuk fungsi kognitif, dengan teknik stratified random sampling. Hasil: Insidensi kualitas tidur buruk pada sampel adalah 69% dengan dominasi laki-laki, usia 17-19 tahun, indeks massa tubuh lebih tinggi, dan konsumsi minuman berkafein. Sedangkan insidensi gangguan kognitif ringan sebesar 42%. Uji Chi-Square dan Spearman Rank menunjukkan hubungan yang signifikan (p=0,009) dan korelasi lemah (r=0,262, p=0,008) antara kelompok usia dengan kualitas tidur, sedangkan tidak ada hubungan antara jenis kelamin (p=0,517) dan indeks massa tubuh (p=0,322) dengan kualitas tidur. Uji Fisher's Exact tidak menunjukan hubungan antara konsumsi kafein (p=0,778) dengan kualitas tidur. Menurut uji Chi-Square, kualitas tidur juga tidak berhubungan dengan fungsi kognitif (p=0.993). Kesimpulan: Tidak ditemukan hubungan antara kualitas tidur dengan fungsi kognitif, namun terdapat hubungan yang signifikan dan korelasi lemah antara kelompok usia dengan kualitas tidur.
Adolescent reproductive and sexuality health in Indonesia is still low, this can be seen from the many cases of pregnancy out of wedlock, violence during courtship and abortion with high-risk drugs. The understanding of adolescents about reproductive health is the provision of adolescents in healthy and responsible behavior. But not all teenagers get information about reproductive health. This limitation of knowledge and understanding can bring teenagers towards risky behavior. This is a lack of information about sexuality and reproduction. Cadres health has a big role in realizing the optimal level of community health. Community service is carried out in two (2) junior high schools, namely Dharma Pancasila Private Junior High School (260 students and 21 cadres trained) and Al-Fhatiyan Private Middle School Medan (199 students and cadres trained by 16 students). The method used is by: 1. counseling with material on adolescent reproductive health; 2. cadre training; 3. Cadre mentoring. Evaluation of program success: pre test and post test cadres and student participants. Based on the results of the questionnaires distributed to students, the majority of data was 13 years old (47.5%), male sex (54%), high school parents education (62%) and entrepreneurial work (96.6%). The results of the dependent test obtained data, average knowledge before health education 26.23 and after health education39.58. The mean difference is 13,349 and the standard deviation is 3,911 and 95% CI 13,707-12,990. Based on the results of statistical tests obtained P = 0.001, it can be concluded that there is an influence of adolescent reproductive health cadres on student knowledge. For attitudes obtained data on average attitudes before counseling 27.57 and after counseling 39.58. The mean difference is 13,349 and the standard deviation is 3,802 and 95% CI 12,362 - 11,664. P value = 0.001 it can be concluded that there is an influence of adolescent reproductive health cadres on student attitudes. This PKM activity is useful in increasing knowledge and attitudes towards adolescent reproductive health. With increased knowledge of the behavior of adolescents to risky sexual behavior, and if the attitudes of adolescents towards sexual behavior are good, it is expected that sexually well and adolescents are expected to be responsible for their reproductive healthKeywords: cadres, education, health, reproduction, adolescents
Introduction: Nowadays, acute respiratory infection (ARI) is the most common cause of high morbidity and mortality rate in children. ARI is defined as an infection either in the upper or lower respiratory tract that lasts for 14 days and caused by either viruses or bacteria. The incidence of ARI in 2017 is 20.54%, with the most prominent characteristic in children aged 1 to 4 years. Factors that affect ARI frequency are gender, birth weight, nutritional status, immunization status, vitamin A status, exclusive breastfeeding, smoke exposure, family income, and mother’s formal education. Aim: This study aims to find out risk factors that potentiate ARI among children from age 1 to 5. Materials and methods: This study used a descriptive-analytical method with a cross-sectional study approach. The data is taken by consecutive sampling method with a questionnaire as the tool. Results: The bivariate analysis result using Fisher’s exact test shows that there is no relation between sex (p=0.642), birth weight (p=0.683), completion of immunization (p=0.195), vitamin A supplementation (p=1.000), exclusive breastfeeding (p=0.157), crowding (p=1.000), family income (p=0.658), knowledge (p=1.000), attitude (p=0.156), and behavior (p=1.000) with the frequency of ARI. The bivariate analysis result using Kruskal-Wallis test shows that there is no significant difference between groups in each factor of smoke exposure (p=0.988) and mother’s formal education (p=0.899) with the frequency of ARI. Conclusions: There is no relation between each factor with ARI frequency and there is no significant difference between groups in each factor with ARI frequency.
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