Health Center Research Articles

CIC 2023: Enhancing Referrals to the Supplemental Nutrition Assistance Program (SNAP) through Clinical Integration of a Standards-Based Decision Support System.

The Supplemental Nutrition Assistance Program (SNAP) is one of the most successful national programs to reduce poverty and improve health outcomes, but millions of Americans who qualify still do not have access to SNAP, and limited data is available to determine how referrals to the program can be completed successfully. We aimed to design and develop a standards-based digital care coordination platform to support closed-loop social services referrals between patients and social and health care providers; and demonstrate the feasibility to screen, diagnose, plan, and complete interventions with selected patients in real-settings. We partnered with community members to design the platform through Community Engagement Studios and with a Federally Qualified Health Center, Local Mental Health Authority, and Food Bank to determine the features and workflow requirements of the platform design. We customized currently available systems to use Fast Healthcare Interoperability Resources (FHIR) Application Programming Interfaces (APIs) that could exchange information in real-time across providers and participants. The platform was successfully demonstrated through a pilot where patients were recruited in clinical settings and referred to a Food Bank that provided SNAP application assistance to study participants. We translated the requirements of the platform to national standards and required workflows of providers and patients. Study participants were notified electronically of the specific steps to follow to complete their SNAP applications while receiving support from specialists from the Food Bank. The pilot demonstrated the feasibility of collecting granular social service referral information that can be used to better address gaps in social care. The pilot also highlighted the importance of further coordination on the usage and harmonization of needs assessment nationally and that current digital systems are still not ready to fully utilize national Social Determinants of Health (SDOH) data standards.

Routine uptake of prenatal iron-folic acid supplementation and associated factors among pregnant women in peri-urban areas of Dodoma City, Tanzania: a cross-sectional study

BackgroundThe physiological requirements for iron and folic acid in pregnancy are a significant challenge to achieve through normal dietary intake, especially in low resource settings. The World Health Organization recommends daily oral iron and folic acid supplementation (IFAS) to prevent maternal anaemia and related adverse effects in community settings where the prevalence of anaemia during pregnancy is > 40%. The objective of this study was to assess the routine uptake of prenatal iron-folic acid supplementation and associated factors among pregnant women at peri-urban areas of Dodoma City, Tanzania.MethodsA cross-sectional study was conducted in peri-urban areas. Data was collected through face-to-face interviews and review of records from maternal clinic card (RCH 4 card). Routine uptake of iron-folic acid supplementation was defined as pregnant woman who reported taking iron-folic acid supplements at least once within the past seven days prior to data collection. Frequency and percentage were used to report respondents’ characteristics and uptake of prenatal iron-folic acid supplementation. Chi-square test and logistic regression were conducted to determine the relationship and association of routine uptake of iron-folic acid supplementation with respondents’ characteristics.ResultsThe total respondents were 452. Overall routine uptake of iron-folic acid supplementation was 35.6% (161). The majority of the respondents (66.5%) initiated iron-folic acid supplementation during the second trimester of pregnancy. Most of the respondents (86.3%) obtained IFA supplements at the health centers where they were receiving antenatal care. The prevalence of routine uptake of iron-folic acid supplementation was significantly higher among women in the third trimester of pregnancy (54.9%), those with more than a five-year interval since last pregnancy (40.6%), those with at least four antenatal care (ANC) visits (73.7%) and women who had undergone haemoglobin testing in the current pregnancy (63.0%). Factors associated with routine uptake of iron-folic acid supplementation were; frequency of ANC visits (AOR = 1.69) and haemoglobin testing (AOR = 3.02).ConclusionApproximately one third of the pregnant women took iron-folic acid supplementation at least once a week. The current frequency for intake of iron-folic acid supplementation can be described as intermittent. This practise is unacceptable for prevention of maternal anaemia and associated adverse pregnant outcomes. Frequency of ANC visits and haemoglobin testing during pregnancy were found to be associated with routine uptake of iron-folic acid supplements. Stakeholders are urged to consider novel systems for provision of prenatal IFAS in community settings with limited access to health-care professionals to ensure a timely and continuous supply of supplements.

Providing Cataract Surgeries at a Rural Primary Health Centre through Non-governmental Organisation Collaboration: An 8-year Experience

Abstract The National Programme for Control of Blindness and Visual Impairment aims to reduce blindness and visual impairment in India. Despite these efforts, rural areas still have high numbers of cataract patients due to inadequate healthcare services. Leveraging non-governmental organisation (NGO) networks to provide rural eye care camps has been proposed to address these challenges. This article shares an 8-year collaboration with an NGO in rural Haryana, delivering cataract surgeries. Initially, surgeries were conducted in temporary locations; however, due to complications, they were shifted to hospitals, increasing travel difficulties. In 2016, collaboration with ICARE Eye Hospital began, involving screening camps and transporting patients for surgery. This reduced patient expenses and referral burdens, performing 1690 surgeries with high satisfaction. Authors recommend similar collaborations to achieve the national blindness reduction goal.

Training and mentoring of Health Workers and Cadres of Bengkulu City Health Center in Monitoring The Growth and Development of Toddlers with The SDIDTK Application

Monitoring children's growth and development is one of the basic programs implemented by Community health center (Puskesmas) to ensure a healthy life and improve children's welfare. The Bengkulu City Health Office identified limited human resources and a lack of supporting tools as inhibiting factors in achieving SDIDTK service targets. The service was carried out through training on Growth and Development Monitoring with the Android-based SDIDTK Application and field assistance. The training was held on July 24-25, 2024 with 36 participants consisting of 17 health workers, 17 cadres from 17 health centers, and 2 staff from the Family Welfare Division of the Bengkulu City Health Office at the Campus 4 Hall of Bengkulu University. The results of the pre and post-test of the training showed that 94% of participants increased their knowledge. The results of the assessment of skills in using the application showed that 100% of participants were able to do as directed. SDIDTK Kit assistance was delivered to 17 Puskesmas with the signing of the Minutes by the Head of Service implementer and staff of the Health Division of the Bengkulu City Health Office. Field assistance was carried out for 2 weeks after the training in 17 Puskesmas working areas.

'Oevaru' 2023: Ocean currents and the journey of an inaugural mental health conference in the Maldives.

This paper describes an important mental health initiative in Maldives - the inaugural national mental health research conference. Amid socio-cultural challenges in the background of climate change, amplified by COVID-19, mental health issues in Maldives surged. National Centre for Mental Health (NCMH), acknowledging data gaps, has prioritized evidence-based care since 2019 with a vision of building a research culture. Oevaru 2023, Maldives' inaugural mental health research conference, was convened by NCMH and held on October 15-16, 2023, addressing holistic care, prevention, innovation, and investment in mental health as sub-themes. Pre-conference sessions provided skill-building, followed by workshops on specialized topics. Oevaru featured keynotes, expert talks, panel discussions, and poster presentations, including a hybrid session with the Creating Futures Conference. It culminated in a white paper, emphasizing research-driven strategies for a resilient mental health system in Maldives.

Field-Applicable Loop-Mediated Isothermal Amplification for the Detection of Seven Common Human Papillomavirus Subtypes

Persistent HPV infection is a major risk factor for the subsequent development of cervical cancer. LAMP is simple and suitable for field detection in the resource-limited settings. In this study, hydroxy naphthol blue (HNB)-based visual LAMP and evagreen-based fluorescent LAMP coupled with a microfluidic chip (LAMP-chip) were established for the field detection of seven subtypes of HPV. The analytical sensitivity was 19–233 copies/reaction. The overall clinical sensitivity was 97.35% for visual LAMP and 98.23% for LAMP-chip. Both LAMP assays exhibited 100% specificity and were completed in less than 50 min. Additionally, both assays did not require complicated nucleic acid extraction and purification steps. A complete quality control monitoring system (including internal control, positive quality control and negative control) in the LAMP assays further ensured the credibility of the results. Our findings demonstrated that the proposed LAMP assays have the potential to be applied in the testing of common HPV DNA in field investigations (visual LAMP) or within communities and primary health centers (LAMP-chip).

Modern Family Planning Utilization and Associated Factors among Hiv Women of Reproductive Age Attending at Care and Treatment Clinics (CTC) in Mwanza City,tanzania

Background: In Sub-Saharan Africa HIV/AIDS prevalence remains high and makes it the world’s most severely affected region. The use of family planning helps to prevent unplanned pregnancies among HIV positive women of reproductive age. There is a dearth of evidence on the preferred methods, reasons for use and non-use and discontinuation of the use of family planning among HIV positive women of reproductive age appearing at HIV Care and Treatment Clinics (CTCs) in Mwanza City. Therefore this study was conducted to determine family planning uptake, methods preferred and the reasons for discontinuation of the use of family planning among HIV positive women of reproductive age appearing at HIV Care and Treatment Clinics (CTCs) in Mwanza City. Objective: To determine family planning uptake, methods preferred and reasons for discontinuation among HIV positive women of reproductive age appearing at HIV Care and Treatment Clinics (CTCs) in Mwanza City. Methodology: This is a hospital based cross-sectional study involving 440 HIV positive reproductive age women (18 – 49 years) who were attending Bugando Medical Centre, Sekou Toure Regional Referral Hospital and Buzuruga Health Centre HIV Care and Treatment Clinics was carried out. A structured pre tested questionnaire was used to collect data on socio-demographic characteristics, information on current family planning use, health service related factors, family factors, disclosure and ART status, and factors associated with modern family planning use. Data analysis was done using STATA version 13 according to objectives. Results: A total of 440 participants were enrolled in the study and their median age was 36 [IQR 30 – 42] years. Majority, 246(56.2%) of the participants were aged 35 to 49 years. Majority 279 (63.4%) of women attained primary education. Factor associated with family planning discontinuation were not been counseled on FP(AOR 5.5; 95% CI 2.0 – 15.1; p-value 0.001), Partner has desire of children AOR 0.3; 95% CI 0.1 – 0.8;p-value=0.029), Advanced stage of HIV(AOR13.4; 95% CI 5.1 – 35.0; p-value<0.001 ), Divorced women(AOR 3.2; 95% CI 1.1 – 9.7; p-value=0.038) and women’s age ≥35 years(AOR 6.8; 95% CI 2.2-20.9 p-value=0.001). Conclusion: The overall uptake of modern family planning methods was low. Integration of modern family planning services within the CTCs was low too in all the facilities. Furthermore, the proportions of HIV positive women using dual family planning methods were very low. Factor associated with family planning discontinuation were not been counseled on FP, Partner has desire of children, Advanced stage of HIV, Divorced women and women’s age ≥35 years.

Mortality Risk for Individuals With Cocaine Use Disorders: Clients and Non-Clients of Public Treatment Centres for Drug Addiction

BACKGROUND: This study targeted individuals who turned for the first time to health services following problems caused by cocaine use (CUD). Our aim was to estimate mortality risk for individuals who were clients of PATS (public addiction treatment services) and never-PATS (those who were not). METHOD: Follow-up study. People resident in Emilia Romagna Region (Northern Italy), aged 18 years and older who for the first time turned to a HOS (hospital ward), an ED (emergency department), a MHS (community mental health centre) or to a PATS for cocaine use disorder were selected. The reference period was between 01/01/2009 and 31/12/2019 and the territory was the metropolitan area of Bologna. CMR (Crude mortality rates) per 1000 PY (Person Years) and SMRs (standardized mortality ratios) were calculated. RESULTS: The cohort was made up of 3,196 subjects. CMR was 4.5 (95% CI 3.6-6.6) per thousand patient/years, SMRs were 4.3 (95% CI 3.5-5.4). The results highlight high CMRs (5.5, 95% CI 3.8-8.1) and SMRs (4.7, 95% CI 3.2-6.9) for individuals who never accessed PATS. Higher and statistically significant incidence rate ratios were found from the multivariate analysis among females and natives, in patients never accessed to PATS, aged more than 35 years and reporting using alcohol or opioids at first admission. CONCLUSIONS: Innovative strategies to facilitate the reduction of barriers to access and to facilitate taking charge in PATS for people with cocaine use disorders must be identified.

IMPLEMENTATION OF K-MEANS AND FUZZY C-MEANS CLUSTERING FOR MAPPING TODDLER STUNTING CASES IN GUNUNGKIDUL DISTRICT

Gunungkidul Regency has the highest prevalence of stunted toddlers in the Special Region of Yogyakarta. This study aims to describe the optimal clustering results of toddler stunting cases using the k-means and fuzzy c-means methods and to describe the characteristic of the mapping results of stunting-prone areas for toddlers in Gunungkidul Regency for the years 2020 – 2022. This study maps stunting-prone areas for toddlers across 30 community health centers in Gunungkidul Regency from 2020 to 2022, with variables including the percentage of babies with low birth weight, babies born stunted, babies receiving health services, stunted toddlers, toddlers receiving health services, babies given exclusive breastfeeding, poor couples of reproductive ages, and families with adequate drinking water. The k-means clustering method determines cluster membership using the distance between objects and centroids, while the fuzzy c-means method uses the degree of membership. Cluster evaluation uses the silhouette coefficient, Calinski-Harabasz index, Davies-Bouldin index, and Dunn index to obtain optimal clustering results. The mapping results are presented as a stunting vulnerability map. The findings indicate that the optimal number of clusters is two, with the fuzzy c-means method proving more optimal than the k-means method based on evaluation scores. In 2020, there were 23 community health centers in cluster 0 and 7 in cluster 1. In 2021, there were 21 community health centers in cluster 0 and 9 in cluster 1. In 2022, there were 18 community health centers in cluster 0 and 12 in cluster 1. Generally, community health centers in cluster 0 are less optimal in specific nutrition interventions, such as for infants and toddlers. In contrast, those in cluster 1 are less optimal in sensitive nutrition interventions, such as poverty and water adequacy.

Perceptions of adults in selected family health centers in Samsun Çarşamba District towards breast milk: A regional study

Objective: This study was carried out to determine the educational needs of not only the mothers but also the whole society about breast milk and breastfeeding. Methods: The study was conducted in three family health centers at similar socio-economic levels between March and June 2015. The sample of the study consist of 1750 adult individuals. The research data were collected by a questionnaire and a 5-point Likert scale titled “Perception Scale of Adults About Breast Milk” prepared by the researchers in line with the literature. Kruskal - Wallis H Test and Mann - Whitney U Test was used in the evaluation. Results: It was determined that the total score average of the adults participating in the study was 120.94 ± 16.74. According to the results of the total score averages obtained from the "Perception Scale of Adults About Breast Milk" and the age variable; The scores in the 33-39 age group were significantly higher than the scores in the 19-25, 26-32 and 47-53 age groups. Conclusions: It was concluded that the scores obtained by the participants from scale were above the average, but their perceptions about breast milk should be improved.

Pengaruh Capacity Building dan Motivasi Kerja terhadap Produktivitas Kerja Pegawai Puskesmas Limo

UPTD Puskesmas Limo is a regional public health center for Limo sub-district which is underpinned by the health department and health facilities managed by the local government. The health Dcenter has the responsibility of providing primary health services to the people of Limo city. With these demands and types of work, training or employee self-development is needed to hone employees' abilities and work motivation. To find out how much influence capacity building and work motivation have on the productivity of UPTD Puskesmas Limo employees, this title was raised. This study uses quantitative methods using non-probability sampling techniques, namely saturated sampling techniques. The sample of this study amounted to 50 people. Then tested quantitative statistical analysis, multiple linear regression analysis and coefficient of determination analysis using a data processing program, namely SPSS 25 software. This study found the results using the t test stated that Capacity Building partially has a significant effect on work productivity with a significant level of 0.02 <0.05 and the t test results of 3.021> 2.008. and work motivation partially has a positive and significant effect on work productivity with a significant value of 0.01 <0.05 and a t test value of 3.146> 2.008 Capacity Building d is a positive and significant effect on work productivity.

Maternity waiting home utilization and associated factors in the rural community of Dangur District, Northwestern Ethiopia: results from a community-based cross-sectional household survey

BackgroundApproximately 80% of people in Ethiopia live in rural areas, where poor access to maternity services, accounts for the majority of maternal and perinatal deaths. Maternity waiting homes are residential facilities for women who come from remote areas to stay and wait before giving birth at health facilities, particularly in hospitals and health centers. It is a new initiative and one of the strategies that increase skilled care utilization at birth. However, there is no evidence on the status of maternity waiting home utilization in the study area. Therefore, this study aimed to generate evidence on the status of maternity waiting home utilization and its associated factors.MethodsA community-based cross-sectional household survey was conducted from June 5–30, 2022. The sample size was calculated using the single population proportion formula, which resulted in 354 participants. The study population included mothers who gave birth within 12 months before the survey were selected by using a systematic sampling method. The data were coded, edited, cleaned, and entered into Epi Data version 3.1. The data were subsequently exported to SPSS version 25 for analysis. Descriptive, bivariable, and multivariable binary logistic regression analyses were performed. The results are presented in the text, figures, and tables. Finally, variables with a p value < 0.05 in the multivariable analysis were reported as significantly associated with the independent variables and outcome variable.ResultsThe magnitude of maternity waiting home utilization was 36.4% (95% CI = 31.4, 41.8). Being knowledgeable about the presence of maternity waiting home (AOR = 3.9; 95% CI: 1.0-15.2), being able to afford transportation (AOR = 2.4; 95% CI: 1.01–5.9), being home delivery (AOR = 0.007; 95% CI: 0.002–0.031) and being acess to transportation services (AOR = 3.0; 95% CI: 1.2–7.5) were significantly associated with maternity waiting home utilization.ConclusionThe magnitude of maternity waiting home utilization in the study area was found to be low. Access to and affordability of transportation services, being knowledgeable and being home delivery were associated factors for the use of maternity waiting homes. Therefore, increasing maternal knowledge, economically empowering women and respecting care while waiting at maternity homes are important for improving the utilization of maternity waiting homes.

Personal and Environmental Hygiene Practices of Mothers in Selected Primary Health Centers in Ekiti State, Nigeria: A Cross-Sectional Study

Personal and Environmental Hygiene Practices of Mothers in Selected Primary Health Centers in Ekiti State, Nigeria: A Cross-Sectional Study

Exploring predictors of interaction among low-birth-weight infants and their caregivers: a machine learning–based random forest approach

BackgroundQuality caregiver-infant interaction is crucial for infant growth, health, and development. Traditional methods for evaluating the quality of caregiver-infant interaction have predominantly relied on rating scales or observational techniques. However, rating scales are prone to inaccuracies, while observational techniques are resource-intensive. The utilization of easily collected medical records in conjunction with machine learning techniques offers a promising and viable strategy for accurate and efficient assessment of caregiver-infant interaction quality.MethodsThis study was conducted at a follow-up outpatient clinic at two tertiary maternal and infant health centers located in Shanghai, China. 68 caregivers and their 3-15-month-old infants were videotaped for 3–5 min during playing interactions in non-threatening environment. Two trained experts utilized the Infant CARE-Index (ICI) procedure to assess whether the caregivers were sensitive or not in a dyadic context. This served as the gold standard. Predictors were collected through Health Information Systems (HIS) and questionnaires, which included accessible features such as demographic information, parental coping ability, infant neuropsychological development, maternal depression, parent-infant interaction, and infant temperament. Four classification models with fivefold cross-validation and grid search hyperparameter tuning techniques were employed to yield prediction metrics. Interpretable analyses were conducted to explain the results.ResultsThe score of sensitive caregiver-infant interaction was 6.34 ± 2.62. The Random Forest model gave the best accuracy (83.85%±6.93%). Convergent findings identified infant age, care skills of infants, mother age, infant temperament-regulatory capacity, birth weight, positive coping, health-care-knowledge-of-infants, type of caregiver, MABIS-bonding issues, ASQ-Fine Motor as the strongest predictors of interaction sensitivity between infants and their caregiver.ConclusionsThe proposed method presents a promising and efficient approach that synergistically combines rating scales and artificial technology to detect important features of caregiver-infant interactions. This novel approach holds several implications for the development of automatic computational assessment tools in the field of nursing studies.

The first AI-based Chatbot to promote HIV self-management: A mixed methods usability study.

We developed MARVIN, an artificial intelligence (AI)-based chatbot that provides 24/7 expert-validated information on self-management-related topics for people with HIV. This study assessed (1) the feasibility of using MARVIN, (2) its usability and acceptability, and (3) four usability subconstructs (perceived ease of use, perceived usefulness, attitude towards use, and behavioural intention to use). In a mixed-methods study conducted at the McGill University Health Centre, enrolled participants were asked to have 20 conversations within 3 weeks with MARVIN on predetermined topics and to complete a usability questionnaire. Feasibility, usability, acceptability, and usability subconstructs were examined against predetermined success thresholds. Qualitatively, randomly selected participants were invited to semi-structured focus groups/interviews to discuss their experiences with MARVIN. Barriers and facilitators were identified according to the four usability subconstructs. From March 2021 to April 2022, 28 participants were surveyed after a 3-week testing period, and nine were interviewed. Study retention was 70% (28/40). Mean usability exceeded the threshold (69.9/68), whereas mean acceptability was very close to target (23.8/24). Ratings of attitude towards MARVIN's use were positive (+14%), with the remaining subconstructs exceeding the target (5/7). Facilitators included MARVIN's reliable and useful real-time information support, its easy accessibility, provision of convivial conversations, confidentiality, and perception as being emotionally safe. However, MARVIN's limited comprehension and the use of Facebook as an implementation platform were identified as barriers, along with the need for more conversation topics and new features (e.g., memorization). The study demonstrated MARVIN's global usability. Our findings show its potential for HIV self-management and provide direction for further development.

Utilizing intricate care networks: An ethnography of patients and families navigating palliative care in a resource-limited setting.

The increase in non-communicable disease burdens and aging populations has led to a rise in the need for palliative care across settings. In resource-limited settings such as Indonesia, however, notably in rural areas, there is a lack of professional palliative care. Little is known about specific palliative care navigation, as previous studies have mostly focused on cancer care navigation. A locally tailored approach is crucial. To explore how patients and families navigate palliative care and the problems they experience. An ethnographic study using in-depth interviews and observations, analyzed using reflexive thematic analysis. Interviews with 49 participants (patients, family caregivers, and health professionals) and 12 patient-family unit observations in Banyumas, Indonesia. Patients and families navigated palliative care through different strategies: (1) helping themselves, (2) utilizing complementary and alternative medicine, (3) avoiding discussing psychological issues, (4) mobilizing a compassionate and advocating community, and (5) seeking spiritual care through religious practices. Our participants used intricate care networks despite limited resources in navigating palliative care. Several problems were rooted in barriers in the healthcare system and a lack of palliative care awareness among the general public. Local primary health centers could be potential palliative care leaders by building upon pre-existing programs and involving community health volunteers. Cultivating a shared philosophy within the community could strengthen care collaboration and support.

Investigating the relationship between self-efficacy and quality of life in Iranian women

BackgroundWomen’s quality of life and self-efficacy play pivotal roles in task accomplishment and overall health improvement within families and society. This study determination the intricate relationship between quality of life and self-efficacy among women utilizing care services from Mashhad health centers.MethodsA cross-sectional study involving 366 women accessing Mashhad health centers in 2023 was conducted. Clustering sampling was employed, and data were gathered using the Schwartz self-efficacy questionnaire and the short form of quality of life. Statistical analysis utilized Spearman correlation coefficient, Kruskal-Wallis test, Mann-Whitney U-test, Wilcoxon test, and Chi-square test in SPSS25, with a significance level set at 0.05.ResultsParticipants’ mean age was 36.42 ± 11.13 years. A statistically significant relationship was observed between self-efficacy and total quality of life score, as well as its dimensions (physical health, psychological health, social relationships, social environment and quality of life, and general health) (P < 0.001).ConclusionThe study underscores a significant association between self-efficacy and both the overall quality of life and its specific dimensions among women. These findings highlight the reciprocal influence of self-efficacy and quality of life. Consequently, tailored interventions aimed at enhancing self-efficacy and quality of life are recommended.

The Relationship Between the Percentage of Skeletal Muscle (SMP) and the Emergence of Degenerative Diseases (Hypertension) in Posyandu for the Elderly Mugi Sehat

Degenerative disease is a condition of continuous decline in body function with increasing age. Hypertension is a degenerative disease that is often suffered by the elderly. The aging process results in changes in body composition, often without being accompanied by weight changes. Increasing age in the elderly will experience functional limitations caused by changes in body composition, one of which is the Percentage of Skeletal Muscle. The purpose of this study was to determine the relationship between the percentage of skeletal muscle and the emergence of degenerative diseases (hypertension) in the elderly at the Mugi Healthy Elderly Posyandu. The instruments in this study used a Digital Sphygmomanometer to measure blood pressure and an Omron Karada Scan Body Composition Monitor Model HBF-375 to measure Skeletal Muscle Percentage. This research method uses a cross-sectional research design. The sample in this study is 58 people. The research was conducted at the Mugi Sehat Elderly Posyandu in the working area of the 2022 UPTD Kembar I health center in May-June 2023. The sampling technique in this study uses total sampling and data analysis using the Spearman Rank test. The results of this study from the bivariate analysis showed that there was no relationship between the Percentage of Skeletal Muscle and the emergence of degenerative diseases (hypertension) in the elderly at the Mugi Healthy Elderly Posyandu, namely the Percentage of Skeletal Muscle with hypertension P value = 0.576 (CC=-0.075).

Developing Data Mining Prediction System for Health Center Medicine Inventory using Naïve Bayes Classifier Algorithm

Public health centers mostly use conventional methods in managing drug supply, usage, and demand data, without a system that can predict the number of drug requests. This research aims to develop a data mining solution by implementing a prediction system using the Naïve Bayes Classifier algorithm to predict drug supplies from the Koni Health Center, Jambi, to the Health Office Pharmacy Installation. The method applied in this research is a quantitative approach through the experimental method. The research data includes inventory, usage, and remaining stock of various types of drugs from 2017 to 2021 which are divided into four quarters. The results of this study show that the classification system using the Naïve Bayes Classifier method is able to classify data quickly and efficiently according to drug supply. The system test results show an accuracy of 73.91%, recall of 85.71%, and precision of 54.54%. These findings can help Puskesmas in optimizing drug inventory management, reducing errors in inventory estimates, and increasing accuracy in meeting patient drug requests.

Associations of nutritional status and dietary habits with the development of female infertility. A case–control study

IntroductionFemale infertility is a multifactorial condition influenced by lifestyle and dietary factors. Understanding the relationship between nutritional status, dietary habits, and infertility could provide insights for targeted interventions.MethodsA case-control study was conducted in health centers and hospitals in Alicante, Spain. The study included 60 infertile and 30 fertile women aged 18–40, selected through consecutive sampling. Data on body composition and dietary intake were collected and analyzed.ResultsInfertile women exhibited significantly lower muscle mass (p = 0.005) and larger hip circumference (p = 0.034) compared to fertile women. Additionally, a significant association was found between high red meat consumption and an increased risk of female infertility (p = 0.011).DiscussionThese results suggest that body composition and dietary habits, particularly muscle mass and red meat intake, play a key role in female fertility. Interventions aimed at improving muscle mass, reducing localized body fat, and limiting red meat consumption may enhance fertility outcomes. Further longitudinal research is needed to confirm these findings across diverse populations.