Indonesian Journal of Global Health Research <p><strong>Indonesian Journal of Global Health Research</strong>&nbsp;<strong> (IJGHR)</strong> is a open access, peer reviewed and refereed international journal. <strong>IJGHR</strong>&nbsp;aim to publish original research paper devoted to various area of all health sciences.&nbsp;<strong>IJGHR</strong> provides a forum for sharing timely and up-to-date publication of scientific research, health care and promoting the development of nursing, public health, community, environmental and occupational health. The journal publishes original research papers of health sciences. High priority will be given to articles on public, nursing, adolescent, community, environmental and occupational health, pharmaceutical technology, social pharmacy, traditional medicine, pharmacology, and so on. The topics related to this journal include but are not limited to: public health, health promotion, environmental health, occupational health, clinical aspects related to health, healthcare services, health policy and management, school health, food health, remote health, rural health, community health, mental health, adolescent health, industrial health, circumpolar health, drug health, equity in health, reproductive health care, urban health, health geographics, women's health, paediatrics and child health.</p> <p><img src="/public/site/images/admin/COVER_TUNGGAL_IJGHR_11.jpg"></p> GLOBAL HEALTH SCIENCE GROUP en-US Indonesian Journal of Global Health Research 2714-9749 The Analysis of Chitosan Granules of Polymesoda Erosa on Catfish <p>These abundant polymesoda erosa are only a waste for the community and have not been widely used by the community. Polymesoda erosa waste can be used because it includes local raw materials that are easily available and often found as waste for the community. The compounds contained in the shells of polymesoda erosa are chitin, calcium carbonate, calcium hydroxyapatite and calcium phosphate. This research was conducted to utilize the waste of polymesoda erosa as a granule supplement for catfish feed. The purpose of this study was to determine the most optimal concentration of chitosan waste granules from polymesoda erosa shells as catfish feed. This research is a laboratory experimental study using a completely randomized design with 5 treatments. The treatment applied was the difference in the concentration of chitosan shells from polymesoda erosa shells by 15%, 25%, and 35%, with negative control and positive control. The parameter in this study was the increase in weight of catfish. Observations were made for 1 month by feeding 3 times. To determine the existence of a comparison, a statistical test was carried out using One Way Anova test. The results showed that the optimal concentration of chitosan granules from polymesoda erosa waste was at the concentration of 35% by observing the development of fish weight.</p> Ariyanti Ariyanti Eni Masruriati Lina Lisiana Pasha Dina Arlidina ##submission.copyrightStatement## 2021-01-12 2021-01-12 3 1 1 8 10.37287/ijghr.v3i1.315 Gay's Self-Acceptance Process on HIV Positive Status <p>Men with a homosexual orientation are more likely to experience depression than women who have a homosexual orientation<strong>. </strong>The purpose of this study was to conclude and examine the literatures related to the process of self-acceptance of Gays who were HIV positive. The method used was literature review by searching indexed articles from several database sources such as from PubMed, Proquest Disbursement of databases, scanning, and screening. In the search for the articles, 832 articles were identified. In addition, after filtering the titles, abstracts, and research methods, 103 articles were obtained to be taken and reviewed independently based on the inclusion and exclusion criteria. Then, a further article screening was carried out to find accurate and complete references regarding the self-acceptance process for ga&nbsp; MSM who were HIV positive and obtained 10 articles for a critical appraisal. The author filtered the articles based on the critical appraisal results and obtained 4 articles for a final review based on the period of 2013 to 2018, and identified using an electronic database.The findings showed the process of self-acceptance of gay people who are HIV positive. The responses when they first found out that they were HIV positive mostly showed the same response, namely experiencing anxiety, shock, distrust and rejection of the HIV test results in the form stress and depression. Over time, the informants accepted themselves as HIV positive sufferers in a resigned and strong form. Most of them had not disclosed their HIV status, especially to their partners and families because they were afraid of rejection and stigma.</p> Popy Apri Yanti Dhesi Ari Astuti ##submission.copyrightStatement## 2021-01-13 2021-01-13 3 1 9 14 10.37287/ijghr.v3i1.292 Change in White Male Rats’ Weight and Epididimic Histology Due to the Provision of White Turmeric Extract and Fraction <p>The low participation of Men in the family planning program is due to the limited choice of male contraceptives that can be used. This makes experts trying to find a way that is safe for men, one way is to switch plants that can inhibit the spermatogenesis. One of the traditional medicines that has been studied and has anti-fertility effectiveness is the white turmeric plant. This study aimed to determine the effect of extracts and fraction of white turmeric on changes in weight and histology of white male rats (Rattus norvegicus) epididymis. This research was an experimental study using a completely randomized design (CRD). The samples in this study were 25 white male rats that met the inclusion criteria which were divided into 5 groups, each group consisting of 5 rats obtaining a dose of 300 mg/kgBW/day, treated for 48 days and stopped for surgery on the day 49. After that, the analysis was carried out using One Way Anova test and continued with Duncan's test. The provisions of extracts and fractions of white turmeric can reduce the weight and histological structure of the epididymis of the head, corpus, and cauda.</p> Rinda Lamdayani Aryanti Aryanti ##submission.copyrightStatement## 2021-01-14 2021-01-14 3 1 15 28 10.37287/ijghr.v3i1.301 The Effect of Fraction and Active Compounds of Momordica Balsamina L. on Bacteria Salmonella Typhi Causing Salmonellosis <p><em>Salmonella typhi </em>is one of the bacteria that causes typhus. The handling of typhus by bacteria generally requires the provision of antibacterial substances, namely antibiotics. Excessive and irrational use of antibiotics causes bacteria to be resistant so that over time the benefits of using antibiotics will decrease. Pare leaves are an alternative treatment for various diseases, one of which is antibacterial. The purpose of this study was to determine the ability of bitter melon leaf fractions and active compounds against Salmonella typhi bacteria with various concentrations. This study was a laboratory experimental study through in vitro. The subjects in this research were Salmonella typhi bacteria. The results of this study indicated that the concentration of ethyl acetate fraction is a strong fraction between n-hexane and water methanol fractions in inhibiting Salmonella typhi bacteria. The determination of the active compound group from the purification of the ethyl acetate fraction of forest bitter melon leaves obtained flavonoid active compounds with an Rf value of 0.1 in the eluent n-hexane: ethyl acetate (7:3). The minimum inhibitory concentration (MIC) of ethyl acetate fraction was 125 μg/ml, while the MIC of flavonoid compounds was 62.5 μg/ml against Salmonella typhi bacteria. From the results of the equivalence test of the ethyl acetate fraction with ampicillin against Salmonella typhi bacteria, it showed that the concentration of the active fraction of ethyl acetate 1 μg/ml was equivalent to 0.007 μg/ml ampicillin, while the equivalence of flavonoid compounds was obtained 1 μg/ml concentration of active compounds equivalent to 0.011 μg/ml ampicillin.</p> Aryanti Aryanti Rinda Lamdayani ##submission.copyrightStatement## 2021-01-14 2021-01-14 3 1 29 42 10.37287/ijghr.v3i1.291 ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review <p>Hemiparesis and hemiplegia are motor deficits found mostly in stroke patients. If the deterioration in muscle strength that occurs is not handled properly, it will cause permanent disability. ROM therapy is a therapy to increase muscle strength which has undergone various developments according to the research that has been done. The aim of this article was to identify interventions using ROM therapy to improve muscle strength in post-stroke patients. The databases used were JCS, PMC, Science Direct, and PubMed. The search was limited to articles published in 2014 to 2019. The study criteria was for adult, quantitative comparisons between before and after intervention ROM therapy and full text article, published in peer-reviewed journal and written in English and Indonesian. This article used the methodological framework by Arksey and O'Malley for the scoping review. The research has conducted a study of 4 articles, in which all of the items discussed the application of ROM therapy to increase muscle strength in post-stroke patients. The results from each articles showed that ROM therapy has helped improve muscle strength in post-stroke patients.</p> Muliyani Yamlean Chandra Bagus Ropyanto Fitria Handayani ##submission.copyrightStatement## 2021-01-14 2021-01-14 3 1 43 50 10.37287/ijghr.v3i1.314 The Implementation of Family Centered Care in Postpartum Mothers <p>Health service is a complex social implementation because it engages in services that involve various professional groups. In realizing a healthy paradigm, health services with a family approach are developed. The family approach is an approach that empowers the potential of the family in dealing with family health problems independently by paying attention to physical, biological, social, economic and cultural aspects, especially on the health and well-being of mothers, infants, toddlers, adolescents, PUS, and the elderly. The purpose of this study was to explore the implementation of family centered care by health workers in postpartum mothers. Method: This research was a qualitative research with a case study approach. Semi-structure interview was used to interview 12 informants. Results: Based on the thematic analysis of the results of in-depth interviews and processed with NVIVO 12 Plus, 3 (three) main themes were obtained which were supported by the categories explaining the implementation of family centered care by health workers in postpartum mothers. The first theme is the responses from health workers regarding the implementation and benefits of family centered care in health services for postpartum mothers which are supported by two sub-themes, namely; (a) the form and principles of implementing family centered care by hospitals according to health workers and (b) the benefits of family centered care according to the opinion of health workers. The second theme is the opinions of patients and families about the implementation of family centered care by health workers in postpartum mothers supported by two sub-themes, namely: (a) responses and (b) the benefits of family centered care. The third theme is the obstacles to the implementation of family centered care supported by two sub-themes, namely: (a) internal barriers and (b) external impacts. Conclusions: Overall, the implementation of family centered care by health workers in postpartum mothers had a good response from health workers, the patient and the patient's family.</p> Guriti Guriti Elsye Maria Rosa Herlin Fitriana Kurniawati ##submission.copyrightStatement## 2021-01-14 2021-01-14 3 1 51 56 10.37287/ijghr.v3i1.295 The Relationship Between Bullying Experience and Self-Concept among Adolescents <p><em>Bullying </em>is a situation where an abuse of power is committed by a person or group of people. Bullying behavior experienced by adolescents can result in teenage self-concept being disrupted so that it can result in self-withdrawn or inferior. The results of the study showed that 58.4% of adolescents had high bullying experiences and 41.6% of adolescents had moderate bullying experiences at Junior High School in 2019. The purpose of this study was to determine the relationship between bullying experiences and self-concept in adolescents at Junior High School. This research method used a non- experimental quantitative design with a descriptive-analytic design. The sampling technique used was purposive sampling with a total sample of 89 respondents. Data collection was carried out after the result of the screening from 5 classes matched the inclusion criteria. Data analysis was performed using Rank Spearmen correlation showed that the p-value was 0.000, which means that there was a relationship between bullying and self-concept in adolescents in Junior High School. This study concluded that there was a significant relationship between the experience of bullying and self-concept in adolescents of Junior High School.</p> Retno Yuli Hastuti Devi Permatasari Sita Novia Rahmawati ##submission.copyrightStatement## 2021-02-11 2021-02-11 3 1 57 64 10.37287/ijghr.v3i1.327 Pregnant Women Satisfaction with the Service of the Health Surveillance Officers for KIA Program <p>In the last two years, the maternal mortality rate in Semarang City has increased. In improving the quality of early detection of pregnancy, Semarang City Government has appointed the Health Surveillance Officers of KIA Program/Gasurkes KIA to assist pregnant women. Results of a preliminary survey on pregnant women found problems in the accompaniment process for pregnant women by Gasurkes KIA including lack of arrival frequency, clarity of the meeting time contract, the media used, and the completeness of the materials presented. This study aimed to describe the pregnant women satisfaction with Gasurkes KIA services. This research was conducted using a qualitative approach. The research subjects were seven pregnant women representing seven districts in Semarang City. The data were collected using in-depth interviews and were analyized using content analysis. Gasurkes KIA program seemed neat, confident, had medical records, provided clear health counseling and had good ethics. It is recommended for Gasurkes KIA to increase the use of extension media, make time contracts before mentoring, provide opportunities for questions regarding pregnant women, and increase the confidentiality of pregnant women personal data. Gasurkes Kia has sufficient tangibility, good reliability, good responsiveness, good assurance, and good empathy.</p> <p>&nbsp;</p> Rinayati Rinayati Ambar Dwi Erawati Sri Wahyuning ##submission.copyrightStatement## 2021-02-11 2021-02-11 3 1 65 72 10.37287/ijghr.v3i1.361 Stress Management on Senior High School Students in Semarang <p>Stress is a mental emotional disorder faced by a person due to pressure. Such pressure arises from the failure of individuals to fulfill their needs or wants. The pressure felt by someone can come from within or from outside of themselves. Individuals who experience stress need proper management, so as not to cause further harmful effects. One of the stress management method is by providing 5-finger technique therapy. The purpose of this study was to determine the effect of the 5-finger technique on the high school students’ stress level in Semarang. This study used a Quasi-Experiment Pretest-Posttest design without a control group. The instrument used was a 5-finger technique therapy worksheet, while the stress level was measured using the DASS-42 (Depression Anxiety Stress Scale). Approximately 90 respondents were chosen through simple random sampling and met the including criteria. The data analysis was conducted by using Mann Whitney statistical test, obtaining p-value &lt;0.05 (0.00) was obtained with a decrease in the respondents’ stress level. The results showed that the 5-finger technique reduced the respondents’ stress level.</p> Dwi Heppy Rochmawati Wigyo Susanto Hetty Catur Ellyawati ##submission.copyrightStatement## 2021-02-11 2021-02-11 3 1 73 80 10.37287/ijghr.v3i1.373 The Effect of Suture-Mediated Closure Device on Hemostasis in Patients after Transfemoral Cardiac Procedures - an Evidence-Based Practice <p>Patients who used manual compression after transfemoral cardiac procedures could suffer from several problems. The suture-mediated closure device may be proven as an effective alternative, offering earlier sheath removal, and potentially a reduction in vascular complications. The aim of this study was to discover empirical bases and clinical application of suture-mediated closure devices on hemostasis in patients after transfemoral cardiac procedures. This study was applied on evidence-based practice in the clinical setting. The search process for evidence-based practices used 3 databases such as MEDLINE, PubMed, and Web of Science, obtaining 14 studies published between 2000 and 2016. The studies selected were assessed by two reviewers for their methodological quality and level of evidence prior to inclusion in the review. Research subjects were patients at the age of ≥ 20 years old who suffered from coronary artery disease and required transfemoral cardiac procedures. This study was implemented in a Medical Intensive Care Unit, Changhua Christian Hospital. The hemostasis status was evaluated based on two categories of, bleeding or not bleeding. Six patients were included in this study. Most of the patients were male with average age of 69.33 ± 11.70 years old. Hypertension, diabetes mellitus, and hyperlipidemia were their common history of diseases. Based on the evaluation outcome, five patients showed hemostasis status and only one patient had bleeding after the compression procedures. This study concludes that the suture-mediated closure device is effective for patients after transfemoral cardiac procedures to reach hemostasis status quickly based on clinical evaluation.</p> Arif Nur Akhmad Ching-I Liou Li-Wen Su Fifi Alviana Candra Dewi Rahayu ##submission.copyrightStatement## 2021-02-12 2021-02-12 3 1 81 90 10.37287/ijghr.v3i1.375 Adolescent’ Experiences Using Pornography <p>The experience of teenagers using pornography in Semarang City has greatly increased. Many teenagers don’t understand what the harm use pornography harm. The impacts that occur include difficulty concentrating, not focusing while studying, daydreaming, hallucinations, increased sexual appetite with masturbation and masturbation. Adolescents become more precocious and they had sex before marriage. This study aims to explore the experiences of adolescents who access pornography at SMA Setia Budhi Semarang City. The sampling technique used purposive sampling to determine the appropriate sample, namely adolescents who accessed pornographic media for more than 2 months. This type of research is qualitative with a descriptive phenomenology approach. Obtained data saturation in the fifth participant. Data collection through in-depth interviews (in depth interviews) and field notes (field notes). Researcher's data analysis was carried out after and during the study and the validity of the data by using member checking. This study resulted in 4 themes, namely the supporting factors for adolescents in using pornography, increasing the frequency of using pornography, the response of adolescents when using pornography, and the perceived impact of using pornography. The main reason why teenagers access pornography is due to the invitation of their friends and their own desires, so that the desire to access pornography appears continuously. This results in adolescents having difficulty concentrating, learning problems, difficulty sleeping and the desire to try and imitate seen sexual behavior.</p> Mariyati Mariyati Eva Zuliana Arifianto Arifianto ##submission.copyrightStatement## 2021-02-21 2021-02-21 3 1 91 100 10.37287/ijghr.v3i1.384 Management of Discharge Planning Implementation on Chronic Renal Failure Patients <p>Patients with Chronic Renal Failure experience an inability of the body to remove metabolic waste. Hemodialysis and regulation of nutritional intake are efforts to maintain their health condition. The information provided so that patients understand and comply with the therapy is very important to prevent emergency conditions. Therefore, Discharge Planning is very important on patients with Chronic Renal Failure to provide information concerning the sustainable health needs after patients’ discharge, implementing evaluation and directing the self-care. This study aimed to determine the management of Discharge Planning implementation for clients with chronic renal failure in the Hemodialysis Room at Ungaran General Hospital. The research design used was a case study with an embedded single case study. Participants in the study were nurses and patients with Chronic Renal Failure who were selected using purposive sampling. The data were collected through semi-structured interviews and discharge planning documentation studies. The number of participants in the study were three nurse executors of hemodialysis and 3 patients who received hemodialysis therapy. Informant consent was submitted for the informants' approval prior to the interview. The data collected from the interviews were analyzed using pattern matching techniques<strong>. </strong>Based on the research, it shows that the role of nurses in the hemodialysis room is the most important in implementing Discharge Planning as educator executor, and managerial role is carried out by the head of the ward.</p> Rahayu Winarti Dwi Retnaningsih Priharyanti Wulandari ##submission.copyrightStatement## 2021-02-28 2021-02-28 3 1 101 108 10.37287/ijghr.v3i1.354