Multiple Logistic Regression Tests Research Articles

Analysis of Factors Influencing Maternal Intentions in Exclusive Breastfeeding of Infants in The Perinatology

Introduction: Breast milk is the main source of nutrition in infants 0-6 months. The behavior of the mother in exclusively breastfeeding is influenced by the intentions possessed by the mother, especially in babies in perinatology. Objective: The purpose of this study was to determine the factors that influence the mother's intention in exclusive breastfeeding of infants treated in perinatology. Methods: The method used is cross-sectional with a non-probability sampling technique with total sampling within 1 month of as many as 54 responders. Data analysis using Chi-Square Test and multiple logistic regression. Results: The results showed a significant relationship between maternalknowledge (p = 0.000) and husband support (p = 0.001). Meanwhile, family support (p = 0.114) and nurse support (p = 0.924) were not related to the mother's intention to provideexclusive breastfeeding. The results of multiple logistic regression tests found that the dominant factor that influenced the mother's intention to exclusively breastfeed was husband support (OR=9,754). Conclusion: Husband support is the most dominant factor in influencing the mother's intention to exclusively breastfeed the baby treated in perinatology. Husband support consists of instrumental, informational, judgmental, and emotional support. In this study, the husband was able to provide emotional and instrumental support, for other support still needs to be improved. It is recommended that efforts be made to increase the role of husbands in motivating mothers to provide exclusive breastfeeding, health workers are required to provide health education about the importance of husband's support in providing exclusive breastfeeding.

Personal Hygiene as Scabies Factors Incidence in the Institute Rehabilitation Center of the Vagrants, Scrounger and Mental Disabilities in South Sumatra Region

Introduction: Scabies, caused by the mite Sarcoptes scabiei, is a highly contagious skin infestation. Poor personal hygiene often contributes to its prevalence. This study aims to identify specific aspects of personal hygiene that influence the incidence of scabies among residents of the Institute Rehabilitation Center of The Vagrants, Scroungers, and Individuals with Mental Disabilities in the South Sumatra Region. Methods: This observational-analytic study employed a case-control design. Data collection involved clinical records, observations, and questionnaire-based interviews. A total of 160 occupants, comprising 80 cases and 80 controls, were selected through simple random sampling. Data analysis utilized chi-square test and multiple logistic regression tests. Results and Discussion: Chi-square analysis revealed significant associations (p-value = 0.000) between scabies incidence and bathing habits, cleanliness of mattresses and bed linen, cleanliness of clothing, and open defecation behavior. Multiple logistic regression indicated that open defecation behavior (OR = 56.336; 95% CI = 17.281 – 158.500) was the primary personal hygiene factor influencing scabies incidence. Thus, maintaining proper open defecation practices is crucial for residents' hygiene and health. Conclusion: Poor personal hygiene practices, including inadequate bathing habits, unclean bedding, dirty clothing, and open defecation behavior, contribute to the occurrence of scabies. Effective education and counseling by healthcare professionals are essential for promoting better hygiene practices among residents.

Self-esteem as a risk factor of anxiety in senior high school students

BackgroundAdolescence is a dynamic period of significant physical, emotional, and cognitive development, where individuals shape their identities and influence their mental health. Being vulnerable to various risk factors, including anxiety, adolescents often face mental disorders that can affect their overall well-being. With anxiety being a major concern in the global context as well as in Indonesia, this study aimed to determine self-esteem as a risk factor of developing anxiety among senior high school students. MethodsA cross-sectional study was conducted involving 162 senior high school students, using proportionate stratified cluster simple random sampling. Data were collected through the Rosenberg Self Esteem Scale and the Hamilton Anxiety Rating Scale questionnaires to measure self-esteem and anxiety levels, respectively. The full score for self-esteem was 10–40 points. The higher the score, the greater the self-esteem. Data was analyzed using multiple logistic regression. ResultsThe research findings indicate that adolescents experiencing anxiety amount to 51.9% and most of them indicated high self-esteem (61.1%). Multiple logistic regression test showed that low self-esteem (OR=2.21; 95% CI: 1.15-4.24) was the most influential risk factor of anxiety. However, there were no significant associations between anxiety and demographic factors such as gender, grade level, major of study, and parental income. ConclusionMost senior high school students experience anxiety, and lower self-esteem was the most influential risk factor of anxiety. The findings highlight the need for targeted interventions to boost self-esteem as a preventive measure against anxiety among senior high school students.

Analysis of adherence and factors affecting insulin therapy outcomes in outpatients with Diabetes Mellitus

Background: Insulin is an effective diabetes treatment for outpatients with Diabetes Mellitus (DM) to maximize medication therapy. However, the level of insulin adherence is still low. This study aims to analyze adherence, glycemic control, and factors that influence the achievement of insulin therapy in Type 2 Diabetes Mellitus (T2DM) outpatients. Methods: This study was a cross-sectional study conducted on T2DM outpatients. Adherence to Refills and Medications Scale (ARMS) and Diabetes Knowledge Questionnaire (DKQ) were used to assess patients’ adherence and knowledge of insulin use. Multiple logistic regression tests were carried out to measure the effect of factors on adherence and insulin therapy outcomes. Results: Of the 141 patients adherence to insulin treatment was found to be 33.3%. Patients who achieved glycemic control assessed by Glycosylated Haemoglobin (HbA1c), Fasting Blood Glucose (FBG), and Two hours of Postprandial Blood Glucose (2hPPBG) were 36.2%, 39%, and 43.3%. The duration of insulin use had a significant effect on adherence (p-value 0.013) and 2hPPBG target (p-value 0,049), while other factors had no significance. Conclusion: Adherence to insulin therapy and glycemic control targets were found to be low. The duration of insulin use was associated with medication adherence and insulin therapy outcomes.

Factors Relating To The Choice Of Delivery Place In Coastal Communities In The Working Area Of The Bonegunu Health Center, Uatara District

Background: Delivery assistance by health personnel in North Buton Regency in 2022 is still very low, namely 89.7% and deliveries in non-health facilities at 10.3%. At the Bonegunu Health Center, the coverage of deliveries in health facilities was 61.4%, and deliveries in non-health facilities were as much as 38.6%. The low coverage of deliveries in health facilities is influenced by several factors. Purpose: To analyze the factors related to the choice of place of delivery in North Buton Regency. Methods: This study used a cross-sectional study design with a total sample of 127 respondents. The research sample was taken by using total sampling technique. The research data were analyzed using multiple logistic regression tests. Results: test of the relationship between access and the choice of place of delivery obtained values (p = 0.000), socio-cultural (p = 0.002), family support (p = 0.010), knowledge (p = 0.028), and income (p = 0.000). Conclusion: access, socio-culture, familu support, knowledge, and income are related to the choice of place of delivery in the coastal community in the working area of the Bonegunu Health Center

The Correlation Between Behavioral and Psychological Factors with Booster Immunization Adherence for Children Aged <24 Months

Background: Immunization status is considered complete when children receive all antigens types as recommended, including booster immunization, ensuring optimal protection. The high level of non-adherence is the main obstacle to immunization programs, further added by the fact that the number of children who receive partial or no immunization remains high. This study aims to analyze the correlation between behavioral and psychological factors with booster immunization adherence in children aged <24 months.Method: A quantitative study with a cross-sectional approach. The population consists of parents with children aged 18-23 months, totaling a sample of 522 children. The data were collected through interviews using structured questionnaires, and observations using MCH-Book to measure booster immunization adherence. The collected data was analyzed through univariate, bivariate, and multivariate approaches with multiple logistic regression tests to identify the dominant variables.Results: Only 25.9% of children received two types of recommended booster vaccines (DPT/HB/HiB-4 and MR-2). Partially, behavioral factors that correlate with booster immunization adherence are knowledge, attitudes, and perceptions about multiple injections, while psychological factors that correlate are motivation and basic immunization status. Experience with previous basic immunization status is the most dominant factor influencing booster immunization adherence. The fear of disease infection and trust in healthcare providers are the keys to a successful immunization. Need to increase motivation through strengthening literacy and improving access to and health service system to reduce hesitation about, distrust, and refusal of immunization, while also providing a positive immunization experience.

Association between nutritional status of Filipino preschool children and participation in government programmes at the household and individual levels

Introduction: Health and nutrition interventions in developing countries have been linked to better thriving and survival of children. Identifying programmes with significant effect on the nutritional status of Filipino preschool children may aid in identifying impactful interventions in addressing malnutrition. This study evaluated the association between nutritional status of preschool children and government programme participation based on the 2018 Expanded National Nutrition Survey (ENNS) results. Methods: Secondary data analysis of 12,949 preschool children was performed from the 2018 ENNS. The selected data included socioeconomic, anthropometric, and self-reported household-level and individual-level government programme participation. Chi-square test for association and multiple logistic regression were conducted using Stata version 16. Results: Participation in immunisation programme, growth monitoring, household food production, and awareness and usage of iodised salt were negatively associated with at least one type of undernutrition. Consequently, participation in deworming programme was positively associated with both underweight and stunting. Regression analysis showed that preschool children who underwent growth monitoring were less likely to be stunted (OR=0.58), while those who underwent newborn screening were less likely to be underweight (OR=0.53) and stunted (OR=0.62). On the contrary, dewormed children were more likely to be stunted (OR=1.63) and those from 4Ps households were more likely to be wasted (OR=2.24). Conclusion: There is a need to re-evaluate programme strategies to maximise the benefits provided. Programmes showing significant associations with nutritional status including immunisation, growth monitoring, deworming, household food production, and awareness and usage of iodised salt should be continued and sustained with updated policies.

The Relationship Between Human Host and Environmental Factors on the Severity of Pneumonia Among Under-Five Children in West Java Province

Pneumonia cases in West Java Province 2018 were ranked first as the province with the highest number of cases in Indonesia with a prevalence of 58.80%. About 7-13% of severe pneumonia patients with an increased risk of death in children require intensive care. This study aims to determine the relationship between host and environmental factors on the severity of pneumonia in children under five years. The research method used cross-sectional study design approach. Data analysis techniques used chi-square, fisher's exact, and multiple logistic regression tests. The population in this study was 2,338 children under five years aged 12-59 months in West Java Province for the 2018 period, while the sample consisted of 132 respondents who met the inclusion criteria and were recorded in RISKESDAS 2018. The results showed that there was a significant relationship between host factors and the severity of pneumonia, namely prematurity (aOR= 2.446; 95% CI=1.113-5.376), while environmental factors that have a significant relationship on the severity of pneumonia, namely the habit of opening windows (aOR= 2.963; 95% CI=1.342-6.544). There is no relationship between Low Birth Weight (LBW), home ventilation conditions and lighting intensity. The most dominant factor in the severity of pneumonia is that the habit of opening windows does not meet the risk of 2.9 times higher severity of pneumonia in children under five years. This study concludes a relationship between prematurity and the habit of opening windows on the severity of pneumonia.

Factors Related to Pregnant Women’s Satisfaction with Antenatal Care Services at Puskesmas Purwokerto Utara II

Background: The maternal mortality rate is increasing along with the increasing number of pregnant women who experience health problems or even die during pregnancy. One of the causes of these health problems is the irregularity of pregnant women in antenatal care examination visits because pregnant women have unfulfilled expectations regarding satisfaction with the services they receive. Objective: to determine the correlation between satisfaction factors, which include empathy, assurance, responsiveness, facilities, reliability, and responsibility, with the satisfaction of pregnant women, and to determine the most dominant factor related to the satisfaction of pregnant women. Method: This quantitative research with a cross-sectional approach had 33 respondents. The sampling technique used consecutive sampling. The research instrument used a questionnaire, the bivariate analysis used the Spearman Rhos test, and the multivariate analysis used multiple logistic regression tests. Results: it is known that the empathy factor (p-value 0.029), the responsiveness factor (p-value 0.001), the facility factor (p-value 0.011), and the responsibility factor (p-value 0.009) have a significant correlation with the satisfaction of pregnant women, while the assurance factor (p-value 0.095) and the reliability factor (p-value 0.370), have no significant correlation with the satisfaction of pregnant women. The most dominant factor related to the satisfaction of pregnant women is the responsibility factor (p-value 0.024). Conclusion: factors significantly related to the satisfaction of pregnant women are empathy, responsiveness, facilities, and responsibility. The most dominant factor related to the satisfaction of pregnant women is the responsibility factor of health workers.

Pengaruh Mutu Pelayanan Kesehatan Terhadap Kepuasan Pasien Di Ruang Rawat Inap Rumah Sakit Umum Melati Perbaungan Tahun 2024

Hospitals are a comprehensive part of social and media organizations whose function is to provide complete health services to the community, both curative and rehabilitative, hospital services reach family and environmental services. The aim of the research is to analyze the influence of health service quality on patient satisfaction in the inpatient room of Melati Perbaungan Hospital. Analytical survey research design with a cross sectional design. The total population of patients treated from June 2023 to August 2023 in the Inpatient Room at Melati Perbaungan Hospital is 167 people. The number of samples was 62 people. The results of the chi square test research show that there is an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort, which have a p-value <α 0.05, meaning that technical competence, human relations, effectiveness, efficiency, continuity, safety, human relations and comfort influence patient satisfaction in the Melati Perbaungan Hospital inpatient room. The results of the multiple logistic regression test are the most dominant comfort variable with an odds ratio (OR) of 18.455, meaning that it influences patient satisfaction 18 times. The conclusion is that the comfort variable is the dominant variable that has the most influence on patient satisfaction in the Melati Perbaungan Hospital inpatient room. It is recommended for hospitals to adopt policies to increase patient comfort in treatment rooms in order to produce optimal satisfaction for patients.

Analisis Pengaruh Mutu Pelayanan IGD Terhadap Kepuasan Pasien Di RUMKIT TK II Iskandar Muda Banda Aceh

It can be said that patient satisfaction is an abstract thing and the results vary greatly because basically it really depends on each individual's perception. Patient satisfaction can be said to be fulfilled if the services provided are in accordance with their expectations. The aim of the research is to analyze the Quality of Emergency Room Services on Patient Satisfaction at RUMKIT TK II Iskandar Muda Banda Aceh. The research design used in this research is an analytical survey with a cross sectional design. The population in this study was all 2,058 emergency room patients. The number of samples to be studied is 95 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used are the chi square test and logistic regression. The results of the chi square test research show that there is an influence of 5 variables, namely reliability, responsiveness, assurance, empathy and physical evidence, which have a p-value <α 0.05, meaning that reliability, responsiveness, assurance, empathy and physical evidence influence patient satisfaction in the RUMKIT TK ER. II Iskandar Muda Banda Aceh and the multivariate test shows that the 5 variables of reliability, responsiveness, assurance, empathy and physical evidence influence the results of the multiple logistic regression test showing that the responsiveness variable is the most dominant with an odds ratio (OR) of 15,104, meaning 15 times influencing patient satisfaction. The conclusion was that the dominant responsiveness variable had the most influence on patient satisfaction at the RUMKIT TK II Iskandar Muda Banda Aceh emergency room. It is recommended for hospitals to adopt policies to increase patient responsiveness in the ER in order to produce optimal patient satisfaction.
 
 

The Effect of Obesity, Carbohydrate, and Fat Intake on the Incidence of Type 2 Diabetes Mellitus at the Age of 30-50 Years in Medan

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Diabetes Mellitus (DM) is a disease that is synonymous with elevated blood glucose levels that have an impact on vascular and nervous system disorders. In 2013, the prevalence of DM in Indonesia was 6.8 percent and increased to 8.5 percent in 2018. North Sumatra is in the twelfth position of provinces in Indonesia with a prevalence of 2 percent and Medan is the city with the highest cases with a total of 249.000 cases. In 2022 in Medan, the number of DM cases is known to be 21,515 cases. This study aims to analyze the effect of obesity, carbohydrate, and fat intake on the incidence of type 2 DM at the age of 30</em><em>–</em><em>50 years in Medan. The research method used a case-control unmatching design. The study subjects were aged 30-50 years consisting of 65 DM cases and 65 non-DM as controls. Data analysis was carried out univariate, bivariate, and multivariate with SPSS software using multiple logistic regression tests. The results showed that there was an effect between overweight (p=0.014), carbohydrate intake (p= 0.013), and fat intake (p= 0.032) on the incidence of type 2 DM. Multivariate analysis shows that carbohydrate intake is the most influential variable in the incidence of type 2 DM with an Odds Ratio value of 5.696. It is recommended for the community to carry out a healthy lifestyle by maintaining a diet, and an ideal weight, and exercising regularly. It is hoped that the Posbindu and Prolanis programs can be implemented massively at the community health center.</em></p><p><em> </em></p></td></tr></tbody></table></div><p><strong><em>Keywords: Carbohydrate, Fat, Obesity, Type 2 Diabetes Mellitus</em></strong></p>

The dominant factors associated with stunting among two years children in five provinces in Indonesia

Stunting is a significant malnourishment problem in Indonesia. The 2021 Indonesian Nutritional Status Study (SSGI) reported that there are five provinces with a high prevalence of stunting (>30%). Age under two years (old age) is the golden period during which children overgrow, and malnutrition during this period can still be corrected. This study analyzed the dominant factors associated with stunting in two-year-old children from five provinces: Aceh, NTB, NTT, West Sulawesi, and Southeast Sulawesi. This cross-sectional study used secondary data from the SSGI 2021. The subjects were 4,554. Children (0-23 months) under five. The 2021 SSGI study was conducted in 34 provinces and 514 regencies/cities from January to December 2021. Data were collected through interviews using the SSGI 2021 questionnaire and anthropometric measurements. Statistical applications were used for data processing. Data analysis was performed using multiple logistic regression tests with the criteria of p<0,05 and a confidence interval (CI) of 95%. The risk factors associated with stunting in children from the five provinces were underweight (OR=9,367), age 6-11 months (OR=1,386), age 12-23 months (OR=1,386), diagnosis of measles (2,5681 CI), male sex (OR=1,400), family size ≥ 8 people (OR=1,612), poor sanitation (OR=1,273 CI 95% 1,041-1,556), and the father's occupation as a farmer/occupation/fisherman/driver (OR=1,278). In conclusion, being underweight is the dominant factor associated with stunting in toddlers.

Determinants of body fitness in youth Wushu Athlete Saburai Lampung

In addition to having good technique, a wushu athlete who wants to achieve optimal performance must also have a high level of body fitness. One component that can be used to measure fitness is endurance (Endurance). VO2Max is a measure that can be used to assess endurance, which is the body's ability to be able to breathe oxygen optimally during strenuous physical activity. Research results (Zawawi, 2021)in wushu athletes in Kediri city showed that 42.86% of wushu athletes turned out to have (VO2Max) with less category. This study aims to determine the most dominant factors related to the body fitness of Saburai Lampung wushu adolescent athletes. The research design used was cross sectional with a total sample of the population, which was 20 people. Data collection was conducted by means of interviews to determine age, sex, smoking habits, and supplement use, while measurements were used to determine nutritional status, body type, and VO2Max. Bivariate analysis using correlation test Rank Spearman and multivariate analysis using multiple logistic regression tests. The results of this study showed that there were 6 people (30%) wushu athletes who had body fitness with less categories. Then there is a very strong relationship between age and VO2Max (p = 0.007; correlation coefficient = 0.728), there is a strong relationship between nutritional status and VO2Max (p = 0.004; correlation coefficient = 0.655), there is a very strong relationship between smoking and VO2Max (p = 0.009; correlation coefficient = -0.800), and there is a sufficient relationship between body type (somatotype) and VO2Max (p = 0.016; correlation coefficient = 0.480). Sex was not associated with VO2Max (p = 0.160), and supplement use was not associated with VO2Max (p = 0.124). Nutritional status is known to be the most dominant factor associated with VO2Max (p = 0.001; OR = 7.025). To increase VO2Max, Saburai Lampung wushu athletes need to maintain good nutritional status through the consumption of nutritious, diverse, and balanced foods every day.

Analisis Faktor Yang Memengaruhi Kepuasan Kerja Tenaga Medis Di RSU Sinar Husni Deli Serdang

Human resources are a very important factor in an organization. Medical personnel are human resources to achieve hospital goals. In order for hospital goals to be achieved effectively and efficiently, management is required to be able to provide job satisfaction to its medical personnel. The aim of the research is to determine and analyze the factors that influence the job satisfaction of medical personnel at RSU Sinar Husni Deli Serdang in 2023. The research design used in this research is an analytical survey with a cross sectional design. The population in this study was all medical personnel at RSU Sinar Husni Deli Serdang, totaling 138 people, the number of samples to be studied was 102 people, the sampling technique used was purposive sampling, data analysis was carried out using univariate, bivariate and multivariate analysis. . The statistical tests used are the chi square test and logistic regression. The results of the chi square test research show that the independent variables, namely salary p= 0.001, coworkers p= 0.001, supervision p= 0.002, promotion p= 0.003 and job characteristics p= 0.008 have a p-value of 0.001 < α 0.05, meaning salary , colleagues, supervision, promotions and job characteristics influence job satisfaction of medical personnel at RSU Sinar Husni Deli Serdang and the results of the multiple logistic regression test show that the salary variable has an odds ratio (OR) of 3.188. The conclusion is that salary, co-workers, supervision, promotion and job characteristics influence medical personnel at RSU Sinar Husni Deli Serdang. It is recommended that efforts that need to be made by hospital management are to increase the provision of incentives and rewards for those who are better so that they can motivate them to provide maximum service to patients.
 

A Study on the Effectiveness of Interprofessional Collaborative Training in Enhancing Interprofessional Communication and Teamwork Among Nurses at X Hospital Jakarta

The establishment and maintenance of effective relationships between professionals is referred to as interprofessional collaboration. This study aimed to assess the effectiveness of multidisciplinary collaborative practice training in improving communication and teamwork among professionals at RSIA X Jakarta. The study used a quasi-experimental design with a sample size of 35 nurses who were given Interprofessional Collaborative Practice training and 35 nurses as controls, with the criteria of having held the positions of Supervisor, Nurse on Duty and Head of Nursing department. Collaborative Practive Assesment Tool (CPAT) questionnaire was used to collect data. For data analysis, chi-square tests and multiple logistic regression tests were used to answer the research hypotheses. The study results showed that Interprofessional Collaborative Practice Training was found to improve nurse interprofessional communication (p=0,029) and nurse teamwork (p=0,000). Nurses who received IPCP training increased their chances of teamwork 13.1 times higher compared to nurses who did not receive training (control). This study recommends the need to conduct additional study involving respondens from various professions and the need to provide Interprofessional Collaborative Practice Training to all professional teams in the hospital. Mapping the career path is necessary to ensuring that the achievement of each level of clinical nurse structure are well balanced. A strategic plan is necessary to be implemented in order to achieve nurse education level up to the baccalaureate level and regulation must be reinforced to create interprofessional collaboration culture in the hospital

The Relationship between Psychosocial and Work Stress among Construction Professionals during the COVID-19 Pandemic

Many aspects of society were impacted by the COVID-19 pandemic, including physical health, psychological well-being, social dynamics, and the economy. The construction sector experienced a significant influence from the pandemic. This research aimed to analyze the relationship between psychosocial factors (individual, home, and work factors) and the level of work distress among construction sector workers during the COVID-19 pandemic. This study employed a quantitative analytical approach with a cross-sectional design. Data collection took place in November–December 2021, and the total sample that met the inclusion criteria was 110 respondents. Work distress and psychosocial data were collected using a questionnaire that had undergone validity and reliability tests. Univariate analyses (frequency distribution), bivariate analyses (chi-square test), and multivariate analyses (multiple logistic regression tests) were conducted to analyze the data. The research revealed that the most closely related variables to the work distress levels were work duration, followed by employment status and career opportunities. This study underscores the importance of regulating working hours and providing opportunities for permanent employment and career advancement for the mental health of construction workers.

Determinants of child stunting in the dryland area of East Nusa Tenggara Province, Indonesia: insights from a national-level survey.

Stunting remains a critical public health issue in Indonesia, particularly in the province of East Nusa Tenggara. This region, characterized by its archipelagic dryland geography, has reported the highest prevalence of stunting among children under five from 2007 to 2021. The study aimed to examine the relationship between various characteristics of children under five and household factors with the occurrence of stunting. This observational study, with a cross-sectional design, used secondary data from the 2021 Indonesian Nutrition Status Survey, covering 7,835 children under five. We analyzed the data to identify patterns and relationships, using univariate analysis to display percentage distributions and bivariate analysis through multiple binary logistic regression tests. The results of the multiple logistic regression test showed that indicators of family characteristics such as age, gender, low birth weight, body length, possession of birth certificates, and receiving complementary feeding were all related to stunting. Additionally, household factors such as toilet type, National Health Insurance coverage, ownership of a Prosperous Family Card, and residential area were significant determinants. Factors contributing to stunting in dryland areas include a range of elements from both family characteristics-such as age, gender, birth certification, low birth weight, and initial body length, to the introduction of supplementary feeding-and household indicators, including the use of specific types of latrines (Plengsengan and Cemplung types without covers), health insurance coverage, possession of Prosperous Family Cards, and the family's residential area.

Caries risk assessment by Caries Management by Risk Assessment (CAMBRA) Protocol among the general population of Pakistan-a multicenter analytical study.

Caries risk (CR) assessment tools are used to properly identify individuals with caries risk and to improve preventive procedures and programs. A tool such as CAMBRA determines the precise protective factors of caries and identifies an individual's specific therapeutic intervention. The purpose of this study was to assess the caries risk using the CAMBRA protocol among the general population of Pakistan. This multicentre analytical study was conducted in ten dental hospitals in different provinces of Pakistan and the caries risk assessment was carried out using a questionnaire that was designed using the Caries Management by Risk Assessment (CAMBRA) protocol. All 521 participants were intra-orally examined to assess oral hygiene status and the presence of disease. Multiple logistic regression test was performed for analysis. A higher number of participants (61.2%) were found to be in the moderate risk category of caries risk assessment. The males are 51% less likely to have caries compared to the females (AOR = 0.49, P = 0.081). The majority of participants (71.3%) had one or more disease indicators, with white spots and visible cavities. Those with visible, heavy plaque were 13.9 times more likely to have caries compared to those without (AOR = 13.92, P < 0.001). Those using calcium and phosphate during the last 6 months were 90% less likely to have caries compared to those not using them (AOR = 0.10, P < 0.001). There was no significant interaction between all eight risk factors retained in the final model (P > 0.05), the Hosmer and Lemeshow Test P < 0.001, classification accuracy = 87.1%, and AUC = 91.2%. The caries risk among the general population of Pakistan is moderate, with significant variation among age groups, education levels, and socioeconomic status.

The Influence of Dhikr on Anxiety in Acute Coronary Syndrome (ACS) Patients at Dr. Chasbullah Abdulmadjid Hospital, Bekasi City

Aims: This study was to determine the effect of dhikr on anxiety in ACS patients at Dr. Chasbullah Abdulmadjid General Hospital, Bekasi City. Methods: The research method used pre- and post-quasy experiments in the control group and the intervention group. This study used the HARS questionnaire and family support for 76 respondents. Result: Data analysis using multiple logistic regression tests The results showed that the proportion in the control group with mild-moderate anxiety was 31.6% and severe anxiety was 18.4%; the proportion in the intervention group with mild-moderate anxiety was 46.1% and severe anxiety was 3.9%. Dhikr (p = 0.006) and history of heart disease (p = 0.023) significantly influence anxiety after being controlled by age (p = 0.244) (p = 0.001 omnimbus). The dominant factor that influences anxiety is dhikr (OR 10.674). Conclusions : Dhikr is an act of remembering Allah that can be used to reduce anxiety in SKA patients. This can be done independently by reading istigfar, tasbih, hauqalah, and takbir for 15 minutes in the morning and evening. Therefore, nursing services using dhikr as an effort to reduce anxiety in ACS patients.