<p>Perilaku merokok adalah bentuk nyata yang dilakukan individu terhadap kebiasaan merokok. Determinan perilaku merokok dapat disebabkan oleh banyak faktor baik internal dan eksternal individu. Perilaku merokok pada karyawan di Rumah Sakit Umum Zainoel Abidin di Banda Aceh merupakan suatu fenomena perilaku merokok karyawan. Strategi pengurangan perilaku merokok karyawan dilakukan dengan upaya promosi kesehatan. Penelitian ini merupakan penelitian tindakan yang dimaksudkan untuk menganalisis perubahan perilaku merokok pada karyawan. Sampel untuk penelitian ini adalah staf perokok laki-laki sebanyak 152 orang. Data dianalisis dengan Uji Wilxocon Rank, Chi Square Test, t-dependent, dan Uji Regresi Multi Logistik pada tingkat kepercayaan 95%. Hasil penelitian menunjukkan bahwa intervensi promosi kesehatan terdiri dari pemberdayaan, dukungan sosial, dan advokasi untuk meningkatkan pengetahuan, sikap, dan secara statistik berpengaruh secara signifikan terhadap meningkatnya perilaku merokok pada karyawan dan mengembangkan konsep perilaku berhenti merokok. Intervensi promosi kesehatan, pengetahuan dan sikap karyawan mempengaruhi perilaku karyawan berhenti merokok. Intervensi promosi kesehatan melalui program konseling (perorangan, kelompok dan massa), pemberian leaflet, pemasangan poster di dalam Rumah Sakit, dan pemasangan tanda dilarang merokok terbukti efektif meningkatkan pengetahuan, sikap positif dan dapat mengurangi perilaku merokok karyawan. Teruslah evaluasi, pantau dan perkuat kebijakan pelarangan merokok di Rumah Sakit, serta peningkatan promosi kesehatan melalui pemberdayaan karyawan, membangun kemitraan, advokasi dan partisipasi semua elemen Rumah Sakit.</p><p> </p><p><strong>Kata Kunci:</strong> Intervensi Promosi Kesehatan, Perilaku Merokok Karyawan.</p>

Objective: To find out the relation between stunting and the dental and oral status of toddlers. Materials and Methods: An analytic observational study with a cross-sectional approach in Pidie district, Aceh. The subject consists of 70 stunting and normal toddlers. The method used is by measure the deft index and OHIS (Oral Hygiene Index Simplified) in toddlers, and also giving questionnaires patterns of dental and oral health behavior. Processing of research data using SPSS 24.0 with Pearson Correlation test and Kendall tau test, also significant value p<0.05. Results: Based on questionnaire results, many parents of stunted no attention to his oral hygiene of their toddlers. The results of measurements with deft index in stunting and normal toddlers show stunting toddlers at 6.13 (very high category) and normal toddlers 3.7 (Moderate category). Analytic with Pearson correlation test between nutritional status (stunting and normal) and deft results were 0.023<0.05 and OHIS were 0.010<0.05. Kendall's tau test results showed a value of 0.020<0.05. There is a relationship between nutritional status variables with deft and there is a relationship between nutritional status variables and OHIS. Conclusion:There was a significant relationship between stunting with the dental and oral status in toddlers, the strength of the correlation is sufficient.

BACKGROUND፡ Patients experience first-hand quality services from nurses who are directly responsible for their welbeing. However, patient dissatisfaction with nursing services remains a problem in most developing countries. Therefore, this study aims to explore patient satisfaction with nursing care services in an Indonesian hospital.METHOD: A qualitative study with a descriptive phenomenology method was employed. Also, in-depth interviews were conducted with 15 informants, and thematic analysis was adopted to analyze the data.RESULTS: The results of this study are described in the following themes and sub-themes: (1) hospital existence in public eyes: a) service commitment b) accessibility; (2) patients’ background: a) religious aspect, b) cultural influence on perceiving health and sickness.CONCLUSION: Hospital management needs to enhance the quality of nursing services through sustainable education programs and continuous training. These are important to improve nurses’ cognition and skills, and further to ensure patient satisfaction and hospital quality.

Vaccines are urgently needed to control the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to determine the acceptance of and willingness to purchase a hypothetical COVID-19 vaccine in the general population of Aceh, a holistic Shariah law implementation province in Indonesia. An online cross-sectional study was conducted using a quota sampling technique between 1 to 24 September 2021. To determine hypothetical vaccine acceptance, respondents were asked if they were willing to accept vaccines with combinations of either 50% or 95% effectiveness and either 5% or 20% risk of adverse effects. Willingness to purchase was assessed by asking whether the participants would pay for such vaccines at certain price points. Logistic regression analysis was used to assess the associated determinants. Out of 377 respondents included in the final analysis, 86.5% were willing to accept a COVID-19 vaccine with 95% effectiveness and 5% adverse effects. The acceptance rate dropped to 45.1% if the risk of adverse effects was 20%. Vaccines with 50% effectiveness and 5% adverse effects were acceptable to 42.2% but the acceptance went down to 17.2% if the risk of adverse effects increased to 20%. Multivariate analysis found that men were twice as likely to accept a vaccine with 95% effectiveness and 5% adverse effects compared to females (aOR: 2.01; 95% CI 1.05–3.86). We found that 156/377 (41.3%) of respondents were willing to purchase a COVID-19 vaccine and of these participants 71.1% were willing to pay between Indonesian Rupiah (IDR) 50,000–150,000 (US$ 3.33–10.00). In conclusion, the acceptance rate of a hypothetical COVID-19 vaccine varied based on effectiveness and the risk of adverse effects.

Abstract. Masyudi, Hanafiah M, Rinidar, Usman S, Marlina. 2022. Phytochemical screening and GC-MS analysis of bioactive compounds of Blumea balsamifera leaf extracts from South Aceh, Indonesia. Biodiversitas 23: 1344-1352. Blumea balsamifera is a traditional herbal medicine that has been used worldwide. It is also known as Capa leaf in Aceh, Indonesia. B. balsamifera has been used by the local community for wound healing, anti-bacterial, and anti-inflammation. However, there is no study so far attempting to identify the chemical compounds of B. balsamifera leaves from Aceh. The present study thus aimed to analyze the chemical compounds of B. balsamifera leaves from Aceh. In this study, the B. balsamifera leaves were collected from Gunongpulo village, South Aceh, Indonesia. The extraction process was performed using the maceration method. The active chemical compounds in the B. balsamifera leaf extracts with n-hexane, ethyl acetate, and ethanol solvents were analyzed through phytochemical screening, Fourier Transform Infrared (FTIR) Spectroscopy Analysis and GC-MS. The results showed that B. balsamifera leaf extracts with ethanol and ethyl acetate solvents contain saponins, flavonoids, phenolics, tannins, and steroids, identified through the phytochemical screening. Meanwhile, the extract of B. balsamifera leaves with n-hexane solvent was found to contain steroids, phenolics, and tannins. Twenty-four chemical compounds in the B. balsamifera leaf extract with ethanol were identified using GC-MS. Twenty-eight and twenty-seven chemical compounds were also identified in the B. balsamifera leaf extracts with ethyl acetate and n-hexane solvents, respectively. The most abundant compounds found in the B. balsamifera leaf extracts with ethanol, ethyl acetate, and n-hexane solvents were 2,5-Dimethoxyacetophenone (11.61%), Borneol (14.48%), and Jasmoline (14.32%), respectively. These compounds are members of the flavonoid group which are effective for antibacterial, anti-inflammation, and wound healing applications.

Indonesia memiliki prevalensi stunting sangat tinggi menurut WHO. Indonesia merupakan negara kepulauan terbesar di dunia dengan keanekaragaman suku bangsa. Perbedaan kondisi geografis dan budaya memberikan kontribusi yang berbeda-beda terhadap prevalensi stunting di setiap daerah. Penelitian ini bertujuan untuk menganalisis hubungan antara determinan langsung dan tidak langsung dengan persentase stunting di Indonesia pada tingkat provinsi melalui pendekatan Sistem Informasi Geografis. Data dikumpulkan dari data publik resmi, yang kemudian dilakukan uji korelasi Pearson dan regresi linear berganda. Pemetaan dilakukan dengan menggunakan software ArcGIS 10.7 sehingga dihasilkan peta tematik yang mewakili variabel terikat dan variabel bebas. Hasil meneunjukkan bahwa persentase populasi di bawah kemiskinan (r = 0,431, p = 0,011), persentase imunisasi dasar lengkap (r = -0,485, p = 0,004), persentase ibu hamil dengan tablet tambah darah (r = -0,341, p = 0,048), dan rasio puskesmas (r = -0,439, p = 0,009) memiliki hubungan negatif terhadap stunting kecuali kemiskinan. Hasil uji multivariat menunjukkan bahwa cakupan imunisasi dasar lengkap dan rasio puskesmas per kecamatan merupakan faktor determinan yang paling berpengaruh terhadap stunting. Peta tematik yang dihasilkan menunjukkan adanya variasi di setiap provinsi. Studi ini membuktikan bahwa stunting berhubungan dengan banyak faktor. Maka, pemerintah perlu mempertimbangkan faktor determinan yang menjadi karakteristik dari masing-masing provinsi dalam upaya pencegahan stunting, sehingga program pencegahan stunting dapat berjalan dengan maksimal.

The purposes of this research are to analyze and to identify the factors influencing the farmers’ Willingness to Pay (WTP) in reducing the impact of the critical land. The research method used to calculate the farmers’ WTP on the land restoration is the Willingness to Pay (WTP) Method, and The Ordinal Logistic Regression Method is used to analyze WTP’s influencing factors. The result showed that the farmers’ average of maximum WTP was IDR 21,196. This means that the farmers’ average of maximum WTP is lower than the average cost incurred by the farmers for the land restoration activity that was IDR 58,000. This indicated the low of farmers’ awareness in the efforts of doing critical land restoration. The independent variable with significant influence is the OWN (status of the land ownership) variable. The other variables that are positive and significant are income, age, education, long stay, and family numbers. The significant variables with negative impact are marital status, occupation, and land restoration activity. In general, farmers thought that the activities of repairing the degraded land were the role of the government. So that the efforts of farmers in recovering land are almost non-existent.

Background: Suicide is one of the ten leading causes of death in the world, it ranks 8th leading cause in America and 4th as years of lost life. It accounts for more than 400,000 deaths annually. Different countries have different incidence rate and suicidal patterns, which are in accordance to their cultural, religious and social values. Suicide, a major global public health problem, is an under-studied and under researched subject in Pakistan, a conservative Islamic and developing country, with severe, legal, social and religious sanctions against it. Basic epidemiological data including national suicide rates are neither known nor reported to the World Health Organization. Despite this there is strong suggestive evidence that suicide not only occurs regularly but there has been an increase in the incidence over the last few years. Objective: The purpose of this study was to evaluate all the cases that presented in Mayo hospital Lahore from the duration 1st January 2004-31st December 2004, of attempted suicide. We wanted to find out what area they belonged to, which age group had an increased incidence, what was the male to female ratio, What method of suicide was adopted and during which season was the incidence the greatest. Materials and methods: All people who attempted suicide (medico-legal cases) from 1st January 2004 to 31st December 2004 were included in the study. Detailed information was provided by forensic department in Mayo Hospital, about age, sex, date of attempt and area they belonged to. Results: showed a male dominance, also the age group of 21-30 years showed the greatest frequency. Greater number of cases belonged to the urban area, the most common mode of suicide was by poisoning and contrary to international studies the greatest number of attempts was during the summer season. Conclusion: The results in our study show that attempted suicidal rate has rapidly increased since 1995. In 2004 almost 4/day of attempted suicide (medico-legal) cases presented in the emergency department of Ma yo hospital compared to less than 0.4/day in 1995. Our study also shows male dominance in number of attempted suicide. It also showed that in our population 21-30years had the highest number of attempts. . Our study also shows a greater number of attempts during summer months where as in the western countries a greater number is shown during spring and winter.