Jurnal Online Universitas Muhammadiyah Surabaya
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Terapi Musik Dalam Mengurangi Depresi Pada Lansia di Panti Werdha Hargodedali Surabaya
Get PDFBackground :The aging process is a natural process accompanied by a decrease in physical condition with a visible decrease in the function of the body's organs. An increase in one's age will be accompanied by various physical, psychological and social setbacks. Depression is a common illness worldwide and more than 300 million people are affected by it. Depression is different from ordinary mood fluctuations and short-term emotional responses to challenges in everyday life. Elderly depression has an impact including shortening life expectancy by exacerbating physical decline in the elderly, hindering the fulfillment of elderly developmental tasks, reducing the quality of life of the elderly, emotionally and financially draining the affected person as well as their family and social support systems. Method The design used in this study is descriptive with a case study approach. Analysis: The unit of analysis in this case study is an individual, namely the elderly who experience depression at the Hargodedali Nursing Home, Surabaya. Results and Discussion: The results were obtained before classical music therapy was carried out on the first day, the first respondent's level of depression was at a mild level, while the respondents both are at moderate level. After doing classical music therapy for three times, the first and second responders experienced a decrease which was at the level of not being depressed and mild. The results were obtained before classical music therapy was carried out on the first day, the first respondent's level of depression was at a mild level, while the second respondent was at a moderate level. After doing classical music therapy for three times, the first and second responders experienced a decrease which was at the level of not being depressed and mild. The results were obtained before classical music therapy was carried out on the first day, the first respondent's level of depression was at a mild level, while the second respondent was at a moderate level. After doing classical music therapy for three times, the first and second responders experienced a decrease which was at the level of not being depressed and mild
Pemanfaatan Aplikasi Satu Data Kesehatan (ASDK) Untuk Implementasi Pencatatan Integrasi Pelayanan Kesehatan Primer (ILP) Di Kabupaten Nganjuk
Get PDFThe integration of primary healthcare services (ILP) is a strategic effort to enhance access and quality of healthcare services in Indonesia. However, the implementation of ILP is often hindered by the lack of integrated and accurate data recording systems, particularly in Nganjuk Regency. To address this issue, the Health Single Data Application (ASDK) was introduced as an innovative solution aimed at integrating health data from various healthcare facilities, including community health centers (puskesmas) and hospitals. ASDK is designed to facilitate coordination and monitoring of primary healthcare services, improve efficiency, and ensure that patients receive timely and appropriate care.
This community service activity was conducted on January 13, 2025, at the Nganjuk Community Health Center, involving 50 healthcare workers. The methods employed included training on the use of ASDK, data recording simulations, and evaluation through pre-test and post-test assessments. The evaluation results indicated a significant improvement in the healthcare workers' ability to use ASDK, with a 40% increase in data recording efficiency, a reduction in data duplication, and enhanced reporting accuracy. Additionally, ASDK enabled real-time access to patient data, minimized recording errors, and improved reporting speed.
The primary challenges in implementing ASDK were the lack of awareness and skills among healthcare workers in using information technology, as well as uneven technological infrastructure. Therefore, intensive training and improvements in technological infrastructure are essential. Consequently, ASDK not only facilitates data integration but also enhances the overall quality of healthcare services. This initiative is expected to serve as an effective model for improving health data integration in Nganjuk Regency and can be replicated in other regions
Bioremediasi Cemaran Tanah Menggunakan Biostimulant
Get PDFSemakin meningkatnya perhatian dalam bioremediasi adalah penggunaan biostimulan yang dapat meningkatkan aktivitas mikroorganisme dalam tanah dan mempercepat proses degradasi kontaminan. Bioremediasi adalah proses biologis yang melibatkan penggunaan mikroorganisme, tanaman, atau enzim untuk mendekomposisi, menetralkan, atau menghilangkan kontaminan dari lingkungan tercemar, terutama dari tanah, air, dan udara. Bioremediasi secara in-situ adalah biodegradasi oleh mikroba pada kontaminasi dalam matriks tanah bawah permukaan dan dapat diolah di lokasi terjadinya cemaran. Bioremediasi secara ex-situ memerlukan penggalian tanah yang terkontaminasi dan dilakukan di luar lokasi terjadinya cemaran. Teknik ex-situ tidak digunakan pada tanah yang berada di pusat kota ataupun di bawah bangunan, karena membutuhkan ruang penggalian yang cukup besar. Cemaran tanah dapat didefinisikan sebagai suatu zat dalam tanah pada konsentrasi yang lebih tinggi dari biasanya oleh bahan limbah yang memiliki dampak merugikan kesehatan manusia dan ekosistem. Bahan limbah umumnya dibuang ke perairan sebagai cairan, di mana sebagian dapat larut, sementara yang lainnya dapat mengendap di permukaan tanah, kemudian meresap ke dalam dan mencemari tanah. Cemaran kemudian dapat bergerak lebih dalam ke lapisan tanah melalui proses perkolasi, yang bergerak dari lokasi dengan konsentrasi tinggi ke konsentrasi lebih rendah. Pergerakan cemaran melalui perkolasi dapat menyebabkan pencemaran air tanah, yang merupakan sumber vital bagi banyak ekosistem dan pemukiman manusia. Biostimulan Organic Waste (BOW) berbahan baku sampah organik pasar memiliki nilai unsur-unsur C-organik, N, P dan K yang tinggi. Nilai unsur-unsur telah memenuhi persyaratan teknis minimal pupuk cair organik dan pembenah tanah
Antidepressant Activity Study of Keruing (Dipterocarpus grandiflorus) Oleoresin Candle Aromatherapy on Male Mice (Mus musculus) Balb/C Strain
No full textDepression represents a manifestation of prolonged stress, which, if left untreated, may lead to severe mental disorders. For depression treatment therapy, it can be carried out based on evidence-based treatment for depression and anxiety. Aromatherapy candles can be used as a non-pharmacological medium for depression therapy, where keruing has active compounds are phthalic acid di(3-methoxybenzyl) ester and phthalic acid, 5-ethyl-1,3-dioxan-5-yl octyl ester, causing keruing oleoresin to have a distinctive fragrance. This study aims to evaluate the pharmacological potential of keruing as an antidepressant for non-pharmacological therapy. Aromatherapy candles were formulated with keruing oleoresin at concentrations of 0%, 2.5%, 5%, 7.5%, and 10%, followed by testing their antidepressant activity using the Conditioned Place Preference (CPP) method. The results of the Paired T-test for groups F0, F2, and F4 or formulas containing 0%, 5%, and 10% of keruing oleoresin have a significant effect (sig. values <0.05) between pre and post-test being given aromatherapy and induction. In the One-way ANOVA test, between their groups, it can be seen there was no significant difference in test activity, namely for the pre-treatment test (sig. 0.445 > 0.05) and for the post-treatment test (sig. 0.065 > 0.05). Results indicated that while the candles met physical quality standards outlined by the Indonesian National Standard (SNI), no significant antidepressant effects were observed in mice. Further refinement in methodology, including the concentration of active compounds and delivery methods, is recommended to enhance the pharmacological potential of keruing oleoresin
Pemanfaatan Suplemen Makanan Secara Tepat Guna untuk Menjaga dan Meningkatkan Daya Tahan Tubuh
Get PDFKomponen makanan telah dikenal memberikan fungsi perlindungan terhadap benda asing yang mengakibatkan masalah kesehatan bagi masyarakat. Mikronutrien seperti vitamin dan mineral sangat penting bagi tubuh manusia dan kebutuhan hariannya harus dipenuhi melalui sumber makanan. Jika kebutuhan harian tidak terpenuhi karena beberapa kondisi, maka diperlukan tambahan suplemen makanan. Beberapa vitamin dan mineral berfungsi sebagai imunomodulator dan melindungi respons imun inang, sehingga mencegah penurunan daya tahan tubuh akibat serangan patogen. Berdasarkan acuan berbagai penelitian, artikel ini membahas fungsi suplemen vitamin dan mineral sebagai imunomodulator dalam meningkatkan daya tahan tubuh melalui sistem imun dan mekanisme kerja yang memperantarai fungsi ini. Kekurangan vitamin dan mineral dapat menyebabkan penurunan kinerja sistem imun, yang menjadi penyebab utama keadaan patologis dan imunologis yang tidak menguntungkan. Dari berbagai hasil penelitian secara in vitro dan in vivo dapat disimpulkan bahwa mikronutrien utama yang berperan dalam respons imun, yaitu: vitamin A, C, D, E, B6, B12, folat, dan mineral seng, zat besi, tembaga, dan selenium, dapat meningkatkan daya tahan tubuh terhadap infeksi. Kekurangan asupan harian mikronutrien dari makanan dapat diatasi dengan memanfaatkan suplemen makanan
Management of anterior ST-elevation myocardial infarction presenting more than 48 hours from symptom onset without reperfusion therapy in the cardiac care unit
No full textST-elevation myocardial infarction is a form of acute coronary syndrome that is the leading cause of death worldwide. Treatment with reperfusion therapy in the form of primary percutaneous intervention is the main treatment to reduce morbidity and mortality. However, reperfusion therapy is not recommended for patients presenting with symptoms onset of more than 48 hours. A 62-year-old male patient was diagnosed with anterior STEMI with symptoms onset of more than 48 hours based on complaints of anginal chest pain and shortness of breath. ST-segment elevation in V1-V4 and pathological Q in V1-V3 on ECG and increased hs-Troponin I was reported. The patient was not treated with reperfusion therapy based on treatment recommendations. The patient was given vasodilators, beta-blockers, statins, heparinization, and comorbid infection control in the cardiac care ward. Clinical improvement was obtained, and the patient was discharged after seven days of hospitalization and then was planned for Dobutamine Stress Echo during the follow-up visit. Conservative management and viability testing are the main options for patient management in STEMI with symptom onset of more than 48 hours without any complaints of chest pain, stable hemodynamics, and no life-threatening arrhythmia
english
No full textIndonesia is located on the Pacific Ring of Fire with various disasters occurring frequently and causing tremendous impacts. Recently, Mamuju Regency in West Sulawesi was hit by an earthquake during the COVID-19 pandemic, making primary health care (PHC) a major community health care provider facing several issues. This study aims to explore the challenges and supporting factors of the recovery of PHC after the earthquake during the COVID-19 pandemic using a descriptive phenomenology grounded in Edmund Husserl's philosophy. The Bamboo PHC (Puskesmas Bambu) was selected as the only PHC in Mamuju which was most affected by the earthquake. A focus group discussion method was conducted by involving 15 participants selected using purposive sampling and divided into three groups (health workers, health cadres, and community members). As a result, the community members acknowledged that the Bamboo PHC services programs in general were favorable before the pandemic, there were several basic and superior health service programs that the community felt were valuable. Yet, the COVID-19 pandemic worsened the situation and the use of healthcare facilities decreased. Coupled with the occurrence of natural disasters in vulnerable areas, it is increasingly causing fatalities. Therefore, disaster preparedness and community empowerment are the key to successful disaster management.Indonesia terletak di the Pacific Ring of Fire dengan berbagai bencana yang sering terjadi dan menimbulkan dampak yang luar biasa. Baru-baru ini Kabupaten Mamuju di Sulawesi Barat dilanda gempa bumi di masa pandemi COVID-19, sehingga pelayanan kesehatan primer (Puskesmas) sebagai penyedia layanan kesehatan masyarakat utama menghadapi beberapa permasalahan. Penelitian ini bertujuan untuk mengeksplorasi tantangan dan faktor pendukung pemulihan Puskesmas pasca gempa pada masa pandemi COVID-19 dengan menggunakan fenomenologi deskriptif yang berlandaskan filosofi Edmund Husserl. Puskesmas Bambu (Puskesmas Bambu) terpilih sebagai satu-satunya Puskesmas di Mamuju yang paling terkena dampak gempa. Metode diskusi kelompok terfokus dilakukan dengan melibatkan 15 peserta yang dipilih secara purposive sampling dan dibagi menjadi tiga kelompok (tenaga kesehatan, kader kesehatan, anggota masyarakat). Hasilnya, masyarakat mengakui bahwa program pelayanan Puskesmas Bambu secara umum sudah berjalan baik sebelum pandemi, terdapat beberapa program pelayanan kesehatan dasar dan unggulan yang dirasa bermanfaat oleh masyarakat. Namun, pandemi COVID-19 memperburuk situasi dan penggunaan fasilitas kesehatan menurun. Ditambah lagi dengan terjadinya bencana alam di daerah rawan semakin banyak menimbulkan korban jiwa. Oleh karena itu, kesiapsiagaan bencana dan pemberdayaan masyarakat merupakan kunci keberhasilan penanggulangan bencana
Exploring cytokine levels in pregnancy, preeclampsia, and sepsis-complicated preeclampsia
No full textAround the world, preeclampsia (PE) influences five to eight percent of pregnancies and contributes significantly to maternal mortality. This study applies a scientific observational cross-sectional review to examine how TNF-α, TNF-R1, and TNF-R2 play their roles in normal pregnancy, preeclampsia, and preeclampsia associated with sepsis. Blood tests were gathered from subjects at a local medical clinic in Malang, Indonesia, and TNF-α, TNF-R1, and TNF-R2 levels were surveyed utilizing the Enzyme-linked Immunosorbent Assay (ELISA) strategy. The results demonstrate raised TNF-α levels in both preeclampsia and preeclampsia with sepsis, along with expanded TNF-R1 and TNF-R2 receptor levels, signifying their association in these circumstances. Validation through bigger scope studies is basic, possibly situating TNF-α as an early indicative biomarker for sepsis. This study highlights the importance of TNF-α in pregnant mothers with preeclampsia and preeclampsia muddled by sepsis, uncovering possible analytic and remedial avenues.
 
Medical education in clerkship: From here and out
No full textThe COVID-19 pandemic has changed many things in the medical education system. This change requires adaptation and modification from education providers, teachers, and students. A virtual learning system has been implemented instead of a face-to-face learning system. However, this makes several challenges and issues that must be considered. Virtual learning is considered less attractive and interactive and not effective in teaching clinical skills. For student clerks, the reduced time to undergo education in the hospital leads to fewer case exposures. Another problem is the facilities and infrastructure. Several ways to solve this problem have been implemented while minimizing risk and taking strict precautions. Some institutions modify and innovate to maximize the effectiveness of learning activities. In addition to technical and effectiveness issues, changes in the education system also have an impact on the mental health of medical students, therefore it is important for institutions to be sensitive to changes and risks to students' mental health during the pandemic.Pandemi COVID-19 telah mengubah banyak hal dalam sistem pendidikan kedokteran. Perubahan ini membutuhkan adaptasi dan modifikasi dari penyelenggara pendidikan, pengajar, dan mahasiswa. Sistem pembelajaran virtual telah diterapkan sebagai pengganti sistem pembelajaran tatap muka. Namun, hal ini memunculkan beberapa tantangan dan masalah yang harus diperhatikan. Pembelajaran virtual dianggap kurang menarik dan interaktif serta tidak efektif dalam mengajarkan keterampilan klinis. Bagi mahasiswa kepaniteraan, berkurangnya waktu untuk menjalani pendidikan di rumah sakit menyebabkan berkurangnya eksposur kasus. Masalah lainnya adalah sarana dan prasarana. Beberapa cara untuk mengatasi masalah ini telah diterapkan dengan tetap meminimalkan risiko dan melakukan tindakan pencegahan yang ketat. Beberapa institusi melakukan modifikasi dan inovasi untuk memaksimalkan efektivitas kegiatan pembelajaran. Selain masalah teknis dan efektivitas, perubahan sistem pendidikan juga berdampak pada kesehatan mental mahasiswa kedokteran, oleh karena itu penting bagi institusi untuk peka terhadap perubahan dan risiko terhadap kesehatan mental mahasiswa di masa pandemi
IMPLEMENTASI METODE MIND MAPPING PADA PEMBELAJARAN SEJARAH KEBUDAYAAN ISLAM DALAM MENINGKATKAN EFEKTIVITAS BELAJAR SISWA KELAS VII DI MTs YKUI MASKUMAMBANG GRESIK
Get PDFThe research was motivated by educational problems, which is the weak interest and motivation of students in accepting Islamic Cultural History subjects. This fact affects so that the low grades achieved in Islamic Cultural History subjects. Given the importance of SKI subjects, these subjects should be accepted by students effectively. For this reason, the problems above must be anticipated as much as possible. The formulation of the problem of this thesis, First: How is Islamic Cultural History learning at MTs YKUI Maskumambang Gresik? Second: How is the implementation of the Mind Mapping method in SKI learning in increasing the learning effectiveness of class VII students at MTs YKUI Maskumambang Gresik? Third: What are the supporting and inhibiting factors in the implementation of the Mind Mapping method in class VII SKI learning at MTs YKUI Maskumambang Gresik? This type of research is a field research that collects primary data through interviews with the principal, teachers, and students of MTs YKUI Maskumambang. Besides, secondary data was used from literature and documents of MTs YKUI Maskumambang. After all the data collected were analyzed qualitatively, in descriptive form. From the results of the study it can be concluded that: The implementation of the Mind Mapping Method in Islamic Cultural History Learning in Improving the Learning Effectiveness of Class VII Students at MTs YKUI Maskumambang Gresik has been applied in 3 stages. The first stage is the planning stage by making a learning implementation plan (RPP). The second stage, namely the implementation stage, is the core activity in making mind mapping, either individually or in groups. The third stage, is the evaluation of learning by assessing the results on students' cognitive (knowledge) through doing practice questions. From the results of the study found that there was an increase in the learning effectiveness of class VII MTS YKUI Maskumambang Gresik students when the mind mapping method was applied.Penelitian dilatarbelakangi masalah pendidikan, yaitu lemahnya minat dan motivasi siswa dalam menerima mata pelajaran Sejarah Kebudayaan Islam, Sehingga hal ini dapat berdampak pada rendahnya nilai yang diraih pada materi pelajaran Sejarah Kebudayaan Islam. Mengingat pentingnya mata pelajaran SKI, seharusnya mata pelajaran tersebut bisa diterima oleh siswa secara efektif. Untuk itu problem-problem di atas harus diantisipasi semaksimal mungkin. Rumusan masalah tesis ini, Pertama: Bagaimana pembelajaran Sejarah Kebudayaan Islam di MTs YKUI Maskumambang Gresik? Kedua : Bagaimana implementasi metode Mind Mapping pada pembelajaran SKI dalam meningkatkan efektivitas belajar siswa kelas VII di MTs YKUI Maskumambang Gresik? Ketiga : Bagaimana faktor pendukung dan penghambat dalam implementasi metode Mind Mapping pada pembelajaran SKI kelas VII di MTs YKUI Maskumambang Gresik? Jenis penelitian ini adalah penelitian lapangan yang menghimpun Data Primer melalui wawancara pihak kepala madrasah, guru, dan siswa MTs YKUI Maskumambang. Data sekunder dari literatur dan dokumen MTs YKUI Maskumambang. Setelah semua data terkumpul dianalisis secara kualitatif, dalam bentuk deskriptif. Dari hasil penelitian dapat disimpulkan bahwa: Implementasi Metode Mind Mapping pada Pembelajaran Sejarah Kebudayaan Islam dalam Meningkatkan Efektivitas Belajar Siswa Kelas VII di MTs YKUI Maskumambang Gresik telah diwujudkan dengan 3 tahap. Tahap pertama yaitu tahap perencanaan dengan pembuatan rencana pelaksanaan pembelajaran (RPP). Tahap kedua, yaitu tahap pelaksanaan, yaitu kegiatan inti dalam membuat mind mapping ada yang individu maupun berkelompok. Tahap ketiga, yaitu evaluasi pembelajaran dengan penilaian hasil pada kognitif (pengetahuan) siswa melalui mengerjakan latihan soal. Dari hasil penelitian menemukan bahwa adanya peningkatan efektivitas belajar siswa kelas VII MTS YKUI Maskumambang Gresik ketika diterapkan metode mind mapping