Risk factors associated with rabies incidence in rabies endemic areas in West Kalimantan.

Introduction: Rabies remains a significant health problem in many parts of the world. The World Health Organization (WHO) states that rabies is a disease neglected in its management and has become a problem, especially in poor areas. It is estimated that 55,000 rabies deaths occurred worldwide in 2018. From 2015 to 2019, there were 404,306 cases of rabigenic wounds inflicted by animal bites in Indonesia, with 544 deaths. West Kalimantan Province is one of the areas endemic to rabies and one of the five provinces with the highest number of deaths due to rabies. Methods: This was a case-control study of patients who presented to the health service for potentially-rabigenic wounds inflicted by animal bites and being diagnosed with rabies exposure. The post-mortem examination was carried out to support the diagnosis of exposure to rabies. Cases were defined as those who had experienced dog bites from the health services medical register from 2015 to 2019. Controls were defined as those who lived in the same area as patients from the cases group and were owners of potentially rabigenic animals. The research was performed in Landak and Sanggau Regencies, West Kalimantan. Results: The results showed an association between the following risk factors and the incidence of rabies: animal care (p=0.033), rabies vaccine (p=0.006), and behavior (p=0.011), while other risk factors were knowledge (p=1.000) and attitude (p=0.840). Conclusions: The study's findings inform rabies prevention and eradication, particularly in the province of West Kalimantan, which has experienced issues related to the population power of rabies-transmitting animals, as well as the process of vaccinating rabies-transmitting animals and a lack of public awareness. These factors have a significant impact on the prevalence of rabies, as dogs in the province of West Kalimantan have rabies.

Waste treatment innovation for infusion bottles using soil solution.

The amount of medical waste, especially infusion bottles, is a problem for environmental pollution. Improper management of infusion bottle waste can have an impact on disease transmission. The medical waste treatment used high technology and high costs will be a financial burden, so simple and effective treatment innovations is needed. This study uses an experimental method of removing bacteria from infusion bottles using a mixture of water and Andoso soil as a solution for washing infusion bottle waste. The soil solution concentration used in washing was 45% with a contact time of 2 minutes. The experiment was carried out with two repetitions. The treatment effect on decreasing the number of bacteria using a multiple linear regression mathematical model. The results showed that the disinfection process of bacterial-contaminated infusion bottles using water required rinsing up to six times, whereas using 45% andosol soil solution only rinsed once. The effectiveness of the disinfection of infusion bottles contaminated with bacteria using soil solution reduces the number of bacteria by 98%.

Respiratory mask using a combination of spunbond, meltblown, and activated carbon materials for reducing exposure to CO: an in vivo study.

Air pollution is a serious health problem in almost all developing and developed countries around the world. One component of air pollution dangerous for health is carbon monoxide (CO). The largest source of carbon monoxide is the burning of fossil fuels and peatland fires. The government continues to control pollution through both environmental management and summer pollution control. However, the resulting impact is less than optimal. We conducted a study to test the material used as an alternative respiratory protector in absorbing CO gas. The protective material comprised of a combination of spunbond, meltblown, and activated carbon materials. We carried the study out on a laboratory scale using experimental animals that were subjected to different stages of treatment. The results showed that respiratory protective masks with a combination of activated carbon and spunbond/meltblown materials were better able to inhibit CO exposure (p ≤ 0.001) than respiratory masks without activated carbon. The combination material is thus effective in absorbing CO; it can carry further research out on other harmful gases such as NO and NO2.

Health Education to Reduce Helminthiasis: Deficits in Diets in Children and Achievement of Students of Elementary Schools at Pontianak, West Kalimantan.

Worms are still a serious problem for poor and developing countries. Children, especially school-age children, are more at risk of infection. Efforts need to be made to prevent the effects of worms. Prevention can be done through a promotive approach. This observational study with a pre-posttest and cross-sectional approach is aimed at evaluating the effectiveness of health education on healthy and helminthic behavior and analyzing the impact of helminthiasis on the deficit in the diet and children's learning achievement. The number of samples is 60 students from five grade 3 and 4 elementary schools in North Pontianak, West Kalimantan. The sampling technique was carried out by proportional random sampling. Worm infection in elementary school students was 16.7%, anemia was 55%, and learning achievement scores were less than the average grade of 55%. There was a significant difference in health counseling towards a decrease in the worm number (p = 0.046). There was a significant relationship between healthy living behavior and helminthiasis (p = 0.005). There was a significant relationship between helminthiasis and anemia (p = 0.017). There is a relationship between helminthiasis and learning achievement in elementary school children (p = 0.017). There is a relationship between anemia and learning achievement (p = 0.005). It is necessary for public health centers to provide treatment services for worms and health education about the effects of helminthiasis on health and learning achievement. The school should provide hand washing facilities in schools, and parents should play an active role in improving clean and healthy lifestyle habits at home.

Active Carbon Respiratory Masks as the Adsorbent of Toxic Gases in Ambient Air.

The air quality that is increasingly carrying out pollution as a result of pollution by human activities is of concern to the world, both developed and developing countries. The impact of air pollution is unavoidable, especially for health. Several efforts have been made to suppress the occurrence of pollution starting from the control of sources, media, and protective efforts in human beings. Focusing on protective efforts, this study was carried out by designed respiratory masks capable of adsorbing toxic gases in ambient air by utilizing mask materials on the market with the addition of activated carbon; the study was carried out with an experimental approach. Testing distinguishes the ability of cotton, spunbond, meltblown, and activated carbon as a respiratory mask to absorb toxic gases such as COx, NOx, and SOx. Test statistics are using the ANOVA test with a confidence level of 95%, α = 5%. The results show that combining activated carbon, spunbond, and meltblown is more effective compared to respiratory masks made from spunbond and meltblown (surgical masks) in absorbing toxic gases.

Education for working mothers uses leaflet and electronic media to increase exclusive breastfeeding.

BACKGROUND: The decrease in coverage of exclusive breastfeeding for mothers who work in Pontianak has an impact on the decline of the baby's immune system. Prevention efforts can be done by increasing knowledge about exclusive breastfeeding tips for mothers who work by providing health education. This study aims to examine the effectiveness of the use of health education media in increasing maternal knowledge about exclusive breastfeeding tips for working mothers. MATERIALS AND METHODS: This is a quasi-experiment study with a nonrandomized design pretest and posttest control group design. The population of nursing mothers who have children aged 0-6 months. The number of samples is 140, which is divided into four groups. Data collection use direct interviews. Respondents filled out the pretest questionnaire to measure knowledge before being given health education. Then, the first group was given treatment in the form of lectures, the second group using leaflets, and the third group was given lectures first then given leaflets. After that, his knowledge was measured again through a posttest. Data analysis were used to determine the increase in the score of knowledge about exclusive breastfeeding tips for mothers who worked on each media used repeated ANOVA and Kruskal-Wallis test, while one-way ANOVA continued with post hoc Bonferroni and Friedman followed by Mann-Whitney test used to compare score differences knowledge on all three media. RESULTS: there were significant differences in knowledge, before and after being given good health education without media, with leaflets, electronic media, and electronic leaflets before. statistical tests before and after used leaflets and electronic media without media 19.85 (P ≤ 0.001), leaflets without media 8.42 (P ≤ 0.001). Electronic without media at 8.14 (P ≤ 0.001). In the pre- and post-test study, the experimental study was pseudo, 140 individuals with each group 35 individuals. CONCLUSION: The most effective method in providing health education to increase the knowledge of breastfeeding mothers about tips on exclusive breastfeeding for working mothers is electronic leaflet media.