http://localhost:8080/xmlui/handle/123456789/8350 2026-04-14T21:05:42Z http://localhost:8080/xmlui/handle/123456789/9627 Title: Correlation of Apo E Gene Polymorphism with Recurrent Acute Coronary Syndrome Authors: Robiul Fuadi, Muhamad; Nugraha, Jusak; Rurus Suryawan, I Gde Abstract: Background: Recurrent cardiovascular disease (CVD) incidence puts patients at higher risk for mortality and morbidity. One of the CVD symptoms is acute coronary syndrome (ACS). Many genetic polymorphisms are CVD risk factors. This study’s purpose was to investigate the correlation between recurrent ACS incidence and apolipoprotein E (ApoE) gene polymorphism. Method: Case-control design was used in this study. About 90 patients who visited the cardiology and internal medicine clinics at UNAIR Hospital in Surabaya, Indonesia, served as the study's subjects. There were 30 patients with recurrent ACS, 30 patients with a single ACS, and 30 patients with no history of cardiovascular disease. Afterward, using the polymerase chain reaction-restriction fragment length method, the ApoE gene polymorphism examination was carried out. The Tropical Disease Center UNAIR Laboratory conducted all laboratory testing. Results: In the recurrent ACS group, ApoE polymorphism genotype patterns were 5 subjects for ε2ε2 (16.67%), 23 subjects for ε3ε3 (76.66%), and 2 subjects for ε4ε4 (6.67%). Meanwhile, in the single ACS group, ApoE polymorphism genotype patterns were 6 subjects for ε2ε2 (20%), 22 subjects for ε3ε3 (73.4%), 1 subject for ε4ε4 (3.33%), and 1 subject for ε2ε3 (3.33%). And, in the non- ACS group, ApoE polymorphism genotype patterns were4 subjects for ε2ε2 (13.34%), 25 subjects for ε3ε3 (83.33%), and1 subject for ε4ε4 (3.33%). There was no correlation of ApoE gene polymorphism with recurrent ACS incidence by Chi-square analysis (p > 0.05). Conclusion: ApoE gene polymorphism cannot significantly affect recurrent ACS incidence. Key words: Acute Coronary Syndrome, ApoE gene, Polymorphism, PCR RFLP, Public Health 2022-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/9626 Title: The Effect of Service Quality and Patient Satisfaction Toward Patient Loyalty in Special Regional Hospitals of South Sulawesi Authors: Armita Arman, Rara; A Pasinringi, Syahrir; Rivai, Fridawaty Abstract: The improvement and guarantee of hospital Service Quality in Indonesia should always be in the best interest of any hospital as regulated in Article 40 of Hospital Law No. 44 of 2009. Adequate Service Quality in a hospital would result in emotional bonds and positive experiences felt by patients and family, eventually strengthening loyalty in the long run. Thus, Service Quality is a critical aspect and indicator to achieve patient satisfaction hence behavioral intention to build loyalty towards the hospital and future visits. The aim of this study is to identify the effect of Service Quality and patient satisfaction in relation to patient loyalty in Special Regional Hospitals of South Sulawesi. This is a quantitative study with a crosssectional model. The sample in this study were all patients who had been registered in the database, namely patients who had visited the outpatient service at Dadi Special Regional Hospital (RSKD), Siti Fatimah Regional Special Hospital for Mother and Child (RSKDIA), and Pertiwi Special Regional Hospital for Mother and Child (RSKDIA) in 2017-2019 with a total sample of 269 from the outpatient care, respectively. The inclusion criteria in this study are as follows: (1) Patients from the outpatient care. (2) Patients who had received hospital services twice. (3) Not suffering from any mental illness and sensory disturbances. (4) Patients who are willing to be respondents and consented to fill out research questionnaires. (5) The patient is conscious and is able to communicate. The results that were obtained show that Service Quality holds a significant effect on patient satisfaction. Service Quality has no significant effect on patient loyalty, while patient satisfaction has a significant effect on patient loyalty. The output of this study should be taken into consideration for hospitals to commit to improving the Service Quality in order to achieve patient satisfaction. Increased patient satisfaction in turn will develop loyalty, thereby accommodating the implementation of the hospital strategy and achieving hospital goals. Key words: Service Quality, Patient Satisfaction, Patient Loyalty, Regional Special Hospital. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/9625 Title: Health Behavior and Social Support in Postpartum Mothers Treatment in Ba'ukup Tradition in Maluku Authors: Asrina, Andi; Payapo, Rizal; Concerned Idris, Fairus; Palutturi, Sukri; Mallongi, Anwar Abstract: The maternal mortality rate is still high in Indonesia and one of the priorities of government agendas to decrease, one of them is giving good treatment to Postpartum Mothers. This is very important because in the Postpartum periode, there is a risk to get bleeding and infection that has an impact on maternal death. Many Postpartum Mothers' treatment is based on local wisdom, but not all give benefits to Postpartum Mothers. The aim of this study was to analyze Ba’ukup Tradition as a Postpartum Mothers Treatment Based on Local Wisdom in Negeri Luhu, Huamual, Maluku. This study used Qualitative method with ethnographic approach. The informants were 8 people which consisted of 1 supporting informant (Traditional Midwife/ Mama Biang), 1 Midwife as a key informant and 6 ordinary informants were selected purposively with the criteria of Mothers who are carrying out Ba'ukup. Thematic data analysis and data validity used triangulation technique. The results showed that Ba’ukup tradition is an ancestral heritage felt psychically and beneficially by Postpartum Mothers such as feeling more relaxed, sleeping better, sweating and helping to increase breast milk production. Meanwhile, Ba’ukup tradition is a local wisdom in Postpartum Mothers treatment so that in its implementation, it requires the assistance of health workers because during the Postpartum period, there is a risk to get bleeding and other complications. It is suggested that there are persuasive approach and communication between health workers and the society in order to build a harmonious trust in local traditions and health services. Key words: Postpartum, Tradition, Ba'ukup, Health 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/9624 Title: Tanacetum Parthenium (L.) Sch Bip From Peru: Antioxidant Profile and The Antinociceptive Effect in An Experimental Model Authors: Herrera-Calderon, Oscar Abstract: Background: Tanacetum parthenium (L.) Sch Bip known as “santa maría” (Asteraceae family) is used in Peru for inflammatory diseases and also in colic, stomachache, headaches, diarrhea, among other. Objective: The aim was to determine the antioxidant profile, and analgesic effect of ethanolic extract of flowers and leaves of T. parthenium Material and Methods: Leaves and flowers of T. parthenium were soaked in 96% ethanol and the obtained extract was analyzed using chemical reactions for identifying each secondary metabolite, 2,2-Diphenyl-1-picrylhydrazyl (DPPH) was used to determine the antioxidant capacity, and the antinociceptive effect was determined by using tail flick method. Results: Qualitative phytochemical study indicates the presence phenolic compounds, alkaloids, flavonoids, saponins and steroids in both extracts. In DPPH assay IC50 showed in leaves and flowers extract 452.10 ± 10.2 μg/mL and 270.70 ± 20.6 μg/mL respectively. The antinociceptive effect was better in leaves at doses 300 mg/ Kg than flower extract. Conclusions: The ethanolic extract of flowers of T. parthenium showed a high antioxidant activity and antinociceptive effect in mice. Key words: Tanacetum parthenium, Antioxidant, Polyphenols, Analgesic, Medicinal plants. 2023-01-01T00:00:00Z