http://localhost:8080/xmlui/handle/123456789/11581 Thu, 09 Apr 2026 08:49:31 GMT 2026-04-09T08:49:31Z http://localhost:8080/xmlui/handle/123456789/11592 Title: Nitric Oxide Levels in Primary Hypertension Patients Receiving Wet Cupping Therapy Authors: Nurhayani, Nurhayani; Pudjonarko, Dwi; Nurahmi, Nurahmi; Misriyani, Misriyani Abstract: ABSTRACT Wet cupping has been shown in several studies to lower blood pressure in hypertensive patients. However, the mechanism of action remains unknown, limiting its use as a complementary non-pharmacological treatment. This study aims to examine the effect of wet cupping on systolic blood pressure, diastolic blood pressure, and nitric oxide levels in hypertensive patients. The study employed a quasi-experimental method with a pretest and post-test design, including a control group. The sample consisted of 40 individuals, they were diagnosed with primary grade I hypertension. The participants were divided into two groups (treatment and control). The intervention group received wet cupping therapy twice, at a 28-day interval, while continuing their antihypertensive medication. The control group only consumed antihypertensive medication. The study revealed a significant decrease in systolic and diastolic blood pressure but no significant increase in nitric oxide levels. After the intervention, the systolic blood pressure in the intervention group decreased by 17.69 mmHg (p=0.010), compared to a decrease of 5.87 mmHg (p=0,108) in the control group, with a difference of (p=0.010). The diastolic blood pressure in the treatment group decreased by 11.56 mmHg (p=0.000), compared to a decrease of 0.73 mmHg (p0.570) in the control group, with a difference of (p=0.001). The nitric oxide levels in the intervention group increased by 2.5 µmol/L (p=0.530), compared to a decrease of 0.47 µmol/L (p=0.116), in the control group, with a difference of (p=0.539). It can be concluded that wet cupping therapy reduces systolic and diastolic blood pressure but does not significantly increase nitric oxide levels in the blood of hypertensive patients. Sun, 01 Sep 2024 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/11592 2024-09-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11591 Title: Nurse Managers' Experiences in Managing Inpatient Wards During a Crisis: Lessons from the COVID-19 Pandemic Authors: Baso Tombong, Andi; Auli Ilmi, Ani Abstract: ABSTRACT The COVID-19 pandemic has provided valuable lessons for all parties, including nursing services in hospitals. To date, literature has been lacking on the role of nurse managers in managing inpatient wards for COVID-19 patients, especially in Indonesia. This study aims to explore the experiences of, and the challenges encountered by nurse managers in managing inpatient wards during the crisis. This is a qualitative study with a phenomenology design. The study used a purposive sampling technique involving four nurse managers from several hospitals in South Sulawesi Province, Indonesia. Data were obtained through semi-structured interviews and were analyzed using thematic analysis. This study yielded three themes and nine sub-themes. Nurse managers experienced panic and fear but carried out inpatient management immediately. There was also a solid commitment to protect the fellow nurses from infection. Valuable lessons include the availability of human resources, strong commitment from all lines, management support, and teamwork. Meanwhile, nurse managers encountered challenges such as the lack of personal protective equipment, frequently changing service procedures and the psychological needs of nurses. Nurse managers obtained numerous lessons from the COVID-19 pandemic related to their capabilities in managing inpatient wards. The findings suggest the adaptability of nurse managers to similar challenging crisis encounters in the future by analysing the effects of frequent workflow changes on care quality and staff adaptation, examining the long-term psychological impact of pandemic work on nurses developing strategies to enhance organizational support for nurses including coping mechanisms and well-being related trainings and services, and to build dynamics of effective teamwork during crisis. Sun, 01 Sep 2024 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/11591 2024-09-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11589 Title: Foodborne Outbreak Investigation in Elementary School Students in Bantul, Yogyakarta, 2023 Authors: Isfandiary Iskandar, Soraya; Janah, Miftakhul; Aryanto, Samsu; Satria Wiratama, Bayu Abstract: ABSTRACT Bantul District Health Office received notification that 75 students in elementary school were sick with symptoms of nausea, vomiting, and dizziness after they consumed snacks from the school canteen. An epidemiological investigation was conducted to confirm the outbreak, identify additional cases, determine risk factors and causes, and recommend preventive measures. This investigation conducted active case finding followed by a retrospective cohort study. Individuals who experience one or more symptoms, such as nausea, vomiting, diarrhea, stomach pain, dizziness, fever, and malaise after consuming snacks were defined as cases. Data was collected through direct interviews with students, teachers, staff, and food sellers. Samples of food and vomit were collected and sent to the health laboratory. Data were analyzed using chi-square and multiple binomial regression. There were 150 cases. Most cases were found in the female group (53.22%), 9-year-old group (55.32%), and third-grade students (65%). Dizziness (66.67%), vomiting (56.67%), and nausea (46%) were the most common symptoms. The epidemic curve was a common source, with incubation periods ranging from one to 26 hours. Meatballs were associated with the increased risk of becoming a case in this outbreak (aRR = 1.49; 95% CI = 1.22-1.81). The causative agent was suspected to be Salmonella spp, but the laboratory analysis results were inconclusive due to contamination. Potential risk factors were large storage in the refrigerator, insufficient reheating, and cross-contamination. Improvements in food safety monitoring for schools and food handlers, along with appropriate sampling by healthcare facilities, are required to control outbreaks. Sun, 01 Sep 2024 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/11589 2024-09-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11587 Title: Effect of Citrus sinensis and Musa textilia Consumption on Lactic Acid Levels and Muscle Tension in Fish Auction Workers Authors: Kurniawan, Bina; Zen Rahfiludin, Mohammad; Setyaningsih, Yuliani; Nurjazuli, Nurjazuli Abstract: ABSTRACT Potassium deficiency is known to induce muscle fatigue, necessitating the inclusion of potassium-rich foods, such as orange (Citrus sinensis) and banana (Musa textilia) in diet. Previous studies have shown that consuming 150 g and 300 g of banana is effective in preventing muscle fatigue, with orange containing 237.4 mg of potassium per 300 ml. Therefore, this study aims to examine the relationship between lactic acid concentration and muscle tension reduction in fish auction workers after the administration of orange and banana. The study procedures were carried out with a quasi-experimental pre-test and post-test group design, and the samples were divided into 4 groups. Group 1 received both orange and banana, 2 was given only orange, 3 received only banana, while 4 was not given any intervention. Supplemental observations were then conducted over 3 consecutive days, followed by data analysis using Two-Way Analysis of Variance (ANOVA) and Multivariate Analysis of Variance (MANOVA) to compare lactic acid levels (independent variable) with muscle tension and strength (dependent variables). The results showed that banana significantly affected lactic acid levels but did not influence muscle tension. The combination of orange and banana produced varying levels of lactic acid and muscle tension, indicating the ineffectiveness of only banana. The intake of both fruits was also reported to influence lactic acid levels but did not affect muscle strength, suggesting the ineffectiveness of orange. These results indicated that while orange and banana could reduce lactic acid levels, the fruits did not significantly affect muscle strength or tension. Sun, 01 Sep 2024 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/11587 2024-09-01T00:00:00Z