Pimpinella pruatjan Molkis a local indegineuos plant speciescommonly used  aphrodisiac.This studywas performed to analyze the effect of acute administration of purwoceng (Pimpinella pruatjan Molk.) roots ethanol extract to liver and kidney histological damagein rats. The study used an experimental approachusing post test only with control group design. Rats were randomly divided into five groups; 3 rats in each group. Group A as a control group received aquadest, group B, C, D, and E were given purwoceng roots ethanol extract dose of 5 mg/kgBW, 50 mg/kgBW, 300 mg/kgBW, and 2000 mg/kgBW respectively.Liver histological damage was assessed by a modification of the Roenigk score, whereaskidney damage was by the semiquantitative scoring of proximal tubular necrosis. UV test was used to quantify the AST and ALT levels, the measurement of blood urea levels was using the Urease-GLDH method, and Jaffe methodwas used to access the creatinine levels.Kruskal-Wallis test showed that liver and kidney histologicalparameterswere not significantly affected, as well as theblood urea and creatinine levels (p>0.05).Meanwhile,ALT level wasonly parameters which showed the significant test (p <0.05)among groups. Study concluded that the liver and kidney histological appearance, AST, blood urea, and creatinine levels in the male albino rat were not significantly affected by acute administration of Purwoceng roots in various dosesbut  the ALT level was significantly affected

Background In the current healthcare delivery system funded by National Health Insurance (NHI) in Indonesia, the gatekeeper role of primary care services is critical to ensuring equal healthcare access for the population. To be effective, gatekeeping relies on the performance of general practitioners (GPs). However, the perceptions held by Indonesian GPs about their gatekeeper role are not yet well documented. This study describes the self-perceived knowledge, attitudes and performance of Indonesian GPs with respect to the gatekeeper role and explores associated factors. Methods We conducted a cross-sectional study of all primary care facilities (N = 75) contracted by the regional NHI office in the Banyumas district. The 73 participating GPs completed a written questionnaire that assessed their knowledge, attitudes and performance in relation to the gatekeeper role. Personal and facility characteristics were analysed in a generalised linear model as possible associating factors.ResultsGPs scored relatively high in the domains of knowledge and performance but scored lower in their attitudes towards the gatekeeper role of primary care. In the full-adjusted model, no factors were significantly associated with the knowledge score. Work experience as GPs, private or civil service employment status and rural or urban location of the primary care facility were linked to attitude scores. Full- or part-time employment and type of facility were factors associated with the performance score. Conclusion GPs in Indonesia are knowledgeable and report that they adequately perform their function as gatekeepers in primary care. However, their attitudes towards the gatekeeper function are less positive. Attitudes and performance with respect to the primary care gatekeeper role are likely influenced more by contextual factors such as location and type of facility than by personal factors. Efforts to address contextual issues could include improvements in practice standards for privately practising physicians and public information campaigns about gatekeeping regulations. Such efforts will be crucial to improving the gatekeeper role of primary care in Indonesia and assuring efficient access to high-quality care for all.

Background In the current healthcare delivery system funded by National Health Insurance (NHI) in Indonesia, the gatekeeper role of primary care services is critical to ensuring equal healthcare access for the population. To be effective, gatekeeping relies on the performance of general practitioners (GPs). However, the perceptions held by Indonesian GPs about their gatekeeper role are not yet well documented. This study describes the self-perceived knowledge, attitudes and performance of Indonesian GPs with respect to the gatekeeper role and explores associated factors. Methods We conducted a cross-sectional study of all primary care facilities (N = 75) contracted by the regional NHI office in the Banyumas district. The 73 participating GPs completed a written questionnaire that assessed their knowledge, attitudes and performance in relation to the gatekeeper role. Personal and facility characteristics were analysed in a generalised linear model as possible associating factors, as well as for the association between GPs’ knowledge and attitude with performance as gatekeepers. Results GPs scored relatively high in the domains of knowledge and performance but scored lower in their attitudes towards the gatekeeper role of primary care. In the full-adjusted model, no factors were significantly associated with the knowledge score. Work experience as GPs, private or civil service employment status and rural or urban location of the primary care facility were linked to attitude scores. Full- or part-time employment and type of facility were factors associated with the performance score. Attitude scores were positively associated with performance score. Conclusion GPs in Indonesia are knowledgeable and report that they adequately perform their function as gatekeepers in primary care. However, their attitudes towards the gatekeeper function are less positive. Attitudes and performance with respect to the primary care gatekeeper role are likely influenced more by contextual factors such as location and type of facility than by personal factors. Efforts to address contextual issues could include improvements in practice standards for privately practising physicians and public information campaigns about gatekeeping regulations. Such efforts will be crucial to improving the gatekeeper role of primary care in Indonesia and assuring efficient access to high-quality care for all.

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Background: In Banyumas, as of 27 June 2021, there were 15,809 confirmed cases and 669 deaths. Social restrictions with forced quarantine to fight the spread of diseases that have psychosocial impacts such as acute panic, anxiety, obsessive behavior, buildup, paranoia, depression and post-traumatic stress disorder. Community knowledge and attitudes affect compliance with the prevention and control of COVID-19. This study aimed to examine knowledge, Attitudes, Anxiety & Perception of Mental Health Service Needs during the Covid-19 Pandemic. Subjects and Method: This was a cross sectional study, conducted in Banyumas, Central Java, from July to August 2021. A total of 687 subjects was selected by snowball sampling. The dependent variable was anxiety. The independent variables were demographic data (initials, age, gender, home location, occupation, education level), marital status, pregnancy status, history of COVID-19, knowledge, attitudes, and perceptions of mental health service needs. The data were collected by questionnaire and analyzed using a multiple logistic regression. Results:The anxiety level increased with age >60 years

Acute otitis media (AOM) remains a disease that cause major public health problem worldwide. Less information about its prevalence in Indonesia, especially in Java.  The most common bacterial causes of AOM are Streptococcus pneumoniae, non-typeable Haemophilus influenzae, and Moraxella catarrhalis. There is increasing evidence that the predominant causative pathogen in AOM is changing from Streptococcus pneumoniae to non-typeable Haemophilus influenza since the introduction of pneumococcal conjugate vaccines. This study aims to determine the prevalence of Streptococcus pneumonia and Haemophillus influenzae in AOM in primary school children in Banyumas Regency. The design of this study was cross sectional and we conducted multistage random sampling to recruit the subject. Approximately 3,574 school children in Urban Banyumas Regency were screened based on the diagnose of AOM by Otolaryngologist. The resultof this study showed that the prevalence of AOM was 4,64 % (166 children were diagnosed with AOM).  In AOM samples, the prevalence of  Streptococcus pneumonia  was found in 78,4 % by optochin test, while that of Haemophillus influenzae was found in 70,4% based on the need of  X and V factor

BACKGROUNDMalaria is re-emerging because of imported cases and the presence of potential vectors that can transmit and spread malaria. Malaria is a health problem in Banyumas District. Mapping the spread of infectious diseases is epidemiologically important. The purpose of this study was to determine the relationship between the variables and the epidemiology of malaria that were spatially modeled using the geographic information system (GIS).

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