e-Jurnal Poltekkes Tanjungkarang
Not a member yet
1715 research outputs found
Sort by
Penyuluhan Kesehatan Mengenai Penyakit Hipertensi Pada Lansia di Desa Laden, Kecamatan Pamekasan, Kabupaten Pamekasan, Provinsi Jawa Timur
Full text linkLansia atau lanjut usia adalah seseorang yang berusia 60 tahun keatas. Salah satu penyakit degeneratif pada lansia yang sering timbul tanpa gejala adalah hipertensi. Hipertensi masih menjadi salah satu masalah yang ada di dunia kesehatan hingga saat ini. Faktor gaya hidup yang terkait pola makan yang tidak sehat, merokok dan kurang olah raga, adanya riwayat keluarga hipertensi serta juga bisa disebabkan faktor stress. Program kemitraan ini bertujuan untuk meningkatkan pemahaman kader terkait penyakit hipertensi khususnya dalam upaya pencegahan dan pengendalian penyakit hipertensi pada lansia. Dengan adanya pemberdayaan kepada kader kesehatan di Desa Laden terkait pencegahan dan pengendalian penyakit hipertensi. Banyak para lansia rata–rata menderita penyakit kronis seperti hipertensi. Hipertensi merupakan tekanan darah tinggi yang bersifat abnormal dan diukur paling tidak pada tiga kesempatan yang berbeda. Metode yang digunakan dalam kegiatan ini adalah dengan cara penyuluhan dan pemeriksaan. Memberikan penyuluhan dan pendampingan dalam meningkatkan kesadaran masyarakat. Setelah dilakukan pengabdian kepada masyarakat ini masyarakat mampu menerapkan gaya hidup dan pola makan yang sehat serta dapat mengedukasi pengetahuan penyakit hipertensi kepada lansia untuk mencegah serta meningkatkan kesadaraan dalam mengatasi masalah penyakit hipertensi ini
Activity of Karamunting Leaf Extract (Rhodomyrtus tomentosa (Aiton) Hassk) as an Antibiofilm on Klebsiella pneumoniae
Full text linkKlebsiella pneumoniae can cause serious infections. The use of antibiotics is often an option in treating infections, but bacteria can adapt by forming biofilms. Therefore, the search for alternative antibiofilms from natural sources is important. One potential plant is karamunting leaves (Rhodomyrtus tomentosa (aiton) hassk). This study aims to describe the potential of the ethanol extract of karamunting leaf as an antibiofilm against Klebsiella pneumoniae. This study is an in vitro descriptive laboratory test. A thick ethanol extract of karamunting leaves was then prepared in three concentration variations: 62.5µg/mL, 125µg/mL, and 250µg/mL. The positive control used was meropenem, and the negative control used was DMSO. The parameter measured for the inhibition and eradication test was biofilm thickness, which was read using a 590nm Microplate reader. In this study, the percentage of inhibition in the three concentrations was 90.65% at a concentration of 250 µg/ml, 86.69% at a concentration of 125µg/ml, and 87.22% at a concentration of 62.5µg/ml. During the eradication test, the percentages obtained were -10.67% at a concentration of 250µg/ml, 3.58% at a concentration of 125µg/ml, and 68.23% at a concentration of 62.5µg/ml. The ethanolic extract of karamunting leaves demonstrates good biofilm inhibitory activity against Klebsiella pneumonia at all tested concentrations. At a concentration of 62.5µg/ml, the extract exhibits good biofilm eradication activity, while at 125µg/ml and in the positive control, it shows poor activity. Interestingly, at a concentration of 250µg/ml, the extract acts as a biofilm promoter, enhancing biofilm formation
Hypolipidemic and Hypoglycemic Potentials of Garlic Extract in High-Fat Diet and Streptozotocin-Induced Wistar Rats
Full text linkDiabetes mellitus (DM) is a chronic metabolic disorder characterized by elevated blood glucose levels and often associated with hypercholesterolemia. Garlic (Allium sativum Linn.), rich in bioactive compounds such as allicin, saponins, and flavonoids, has been widely reported to possess lipid- and glucose-lowering properties. This study aimed to evaluate the hypolipidemic and hypoglycemic effects of garlic extract in Wistar rats subjected to a high-fat diet and streptozotocin (STZ) induction. A laboratory experimental design with a post-test-only control group was employed. For cholesterol assessment, hypercholesterolemic rats were administered garlic extract at doses of 0.05, 0.10, and 0.20g/head/day, while diabetic rats induced with STZ received doses of 100, 250, and 500 mg/kg body weight per day, with corresponding control groups. Garlic extract significantly reduced mean cholesterol levels in a dose-dependent manner (130.60mg/dL, 121.80mg/dL, and 112.00mg/dL for 0.05, 0.10, and 0.20g/head/day, respectively). In contrast, mean blood glucose levels showed a marginal decrease with increasing doses (282.80 mg/dL, 271.20mg/dL, and 269.27mg/dL at 100, 250, and 500mg/kgBW/day, respectively). However, no statistically significant differences were observed among groups (p=0.706, one-way ANOVA). These findings suggest that garlic extract exhibits a potent cholesterol-lowering effect in hypercholesterolemic rats but has a limited impact on blood glucose reduction under the tested conditions. Further studies are warranted to determine the optimal dosage and underlying mechanisms of action.
The Effect of Mulligan Mobilization with Movement Modality on Improving Joint Flexibility in Gout Arthritis Patients
Full text linkGout arthritis is a form of joint inflammation caused by the accumulation of monosodium urate crystals, leading to reduced joint flexibility, particularly in the knees. Non-pharmacological therapies such as the Mulligan Mobilization with Movement (MWM) technique provide a safe and effective alternative to enhance joint flexibility. However, the use of this therapy among patients with gout arthritis remains limited in primary healthcare settings. This study used a quasi-experimental design with 52 respondents divided into two groups: the intervention group (MWM) and the control group (Range of Motion exercises). Joint flexibility was measured before and after the intervention using a goniometer, and data were analyzed using statistical tests with a significance level of 0.05. The intervention group showed an increase in average joint flexibility from 123.85° to 140.19° (normal ≥140°), while the control group improved from 125.19° to 136.92°. The difference between the two groups was statistically significant (p=0.034), indicating that MWM therapy was more effective in improving joint flexibility than Range of Motion (ROM) exercises. The Mulligan Mobilization with Movement technique significantly improved joint flexibility in patients with gout arthritis and is recommended as a non-invasive rehabilitation method suitable for use in primary healthcare services
Analisis Profil Protein dan Total Protein Tempe Mendoan Asal Cilacap Dengan Berbagai Durasi Fermentasi Menggunakan SDS-PAGE
Full text linkDi Indonesia tanaman kedelai (Glycine max (L) Merill) banyak dibudidayakan, tetapi bukan tanaman asli Indonesia. Salah satu produk olahan kedelai yang gemar dikonsumsi oleh masyarakat adalah tempe, merupakan makanan tradisional dari Indonesia. Penelitian ini bertujuan untuk mengetahui total protein dan profil protein tempe mendoan dengan durasi fermentasi 24, 48, dan 72 jam, guna mengetahui waktu fermentasi terbaik dalam menghasilkan kandungan protein yang tinggi. Analisis profil protein dan total protein dilakukan secara deskriptif yang ditabulasi dalam bentuk tabel dan dihitung rata-rata menggunakan JASP serta Microsoft Excel untuk mengetahui nilai absorbansi kurva baku. Hasil penelitian menunjukkan bahwa total protein tertinggi pada fermentasi 48 jam sebesar 2,65 μg/μL, diikuti oleh fermentasi 72 jam (2,32 μg/μL) dan terendah pada fermentasi 24 jam (1,48 μg/μL). Hasil SDS-PAGE menunjukkan bahwa semua sampel memiliki pita protein minor dengan berat molekul 74 kDa, 70 kDa, 48 kDa, 40 kDa, 31 kDa, 26 kDa, dan 10 kDa. Pada fermentasi 48 jam terdapat pita protein mayor 40 kDa, mengindikasikan bahwa pita yang lebih tebal (Mayor) memiliki konsentrasi protein yang lebih tinggi. Hasil penelitian menunjukkan bahwa fermentasi 48 jam merupakan waktu yang optimal
Teknik Menyusui Berhubungan dengan Keberhasilan ASI Eksklusif
Full text linkABSSTRACT
Breast milk is the best nutrition for optimal growth and development in infants. It is essential for a child's growth and intelligence. Infants who are not exclusively breastfed until the first six months of life are at risk of developing infectious diseases such as severe diarrhea. This study was descriptive with a cross-sectional approach. The sample size was 38 respondents. The study was conducted in Bumi Waras Village, Bumi Waras District, Bandar Lampung City. Data collection took place in April 2024. Data analysis used chi square test. The results of the study showed that 10.5% of babies received exclusive breastfeeding. Mother who had low knowledge of exclusive breastfeeding was 63.2%, received rooming in care were 34.2%, carried out early breastfeeding initiation were 50%, found history difficulty in breastfeeding were 92.1%. Chi square test showed that there were no significant relationship between exclusive breastfeeding and early breastfeeding initiation (p = 0.113), rooming in (p = 0.207), mothers' knowledge (p = 0.788). There was a significant relationship between breastfeeding techniques exclusive breastfeeding and exlusive breastfeeding (p = 0.02). The Community Health Center can provide education to pregnant women to choose health facilities that provide Rooming In and Early Breastfeeding Initiation (IMD). Health workers should provide education on exclusive breastfeeding and breastfeeding techniques to mothers from pregnancy through integrated health posts, pregnancy classes, and community health centers.
ABSTRAK
Air Susu Ibu (ASI) merupakan nutrisi terbaik bagi pertumbuhan dan perkembangan optimal bayi. Air susu ibu sangat diperlukan untuk pertumbuhan dan kecerdasan anak. Bayi yang tidak diberikan ASI eksklusif hingga usia enam bulan pertama kehidupan akan berisiko terkena diare yang parah dan fatal. Jenis penelitian ini adalah jenis deskriptif dengan pendekatan cross sectional. Sampel berjumlah 38 responden. Lokasi penelitian ini dilaksanakan di Kelurahan Bumi Waras Kecamatan Bumi Waras Kota Bandar Lampung. Pengumpulan data dilaksanakan pada bulan April 2024. Analisis data menggunakan chi square. Hasil penelitian menunjukkan bahwa bayi yang mendapatkan ASI eksklusif 10,5% . Pengetahuan ibu tentang ASI eksklusif dengan kategori cukup 63,2%, Ibu yang mendapatkan perawatan rooming in 34,2%, melakukan Inisiasi Menyusu Dini (IMD) sebesar 50%, ditemukan riwayat kesukaran pada saat menyusui sebesar 92,1%. Hasil uji chi square didapat tidak ada hubungan yang signifikan antara ASI eksklusif dengan IMD (p= 0.113), rooming in (p= 0.207), pengetahuan ibu ( p= 0,788). Teknik menyusui berhubungan dengan ASI eksklusif (p= 0.02). Puskesmas dapat memberikan edukasi kepada ibu hamil untuk memilih fasilitas kesehatan yang menyediakan Rooming In dan Inisiasi Menyusu Dini (IMD). Petugas kesehatan agar dapat memberikan edukasi tentang ASI eksklusif dan teknik menyusui kepada ibu sejak kehamilan melalui posyandu dan kelas ibu hamil serta puskesmas
Higher Risk of Preeclampsia Among Overweight and Obese Pregnant Women Compared to Normal BMI Women
Full text linkPreeclampsia is a pregnancy complication characterized by hypertension and proteinuria, affecting 2–8% of pregnancies worldwide, with a prevalence of 24% in Indonesia. Its etiology remains unclear due to its complex, multifactorial nature, and several factors, such as age, obesity, pre-existing conditions, and multiple pregnancies, may influence its occurrence. This study aims to investigate the relationship between body mass index (BMI) and preeclampsia in pregnant women. An analytical observational study was conducted using purposive sampling, involving 18 participants in each group. Secondary data were obtained from medical records at Rumah Sakit Cipto Mangunkusumo, Rumah Sakit Budi Kemuliaan, and Puskesmas Senen. Statistical analysis was performed using the Chi-square test. Results show that 17 respondents (47.2%) with overweight or obesity had preeclampsia, whereas 8 respondents (22.2%) with normal BMI did not. The Chi-square test indicated a significant association between BMI and preeclampsia (p=0.007). Higher BMI is significantly associated with preeclampsia. Maintaining a healthy BMI during pregnancy may reduce the risk of this condition.
Measurement Accuracy of Foot Arcus in Children Aged 8-12 years: Mobile Application vs Goniometer
Full text linkFoot arch deformities are common in school-aged children and may interfere with posture and lower-limb biomechanics if left undetected. Preliminary observations at Madrasah Ibtidaiyah Muhammadiyah Gonilan indicated that several students showed signs of decreased medial longitudinal arch, suggesting the presence of foot arch abnormalities in the school environment. This study aimed to evaluate the accuracy of a mobile application compared to a conventional goniometer in measuring the Clarke angle. This quantitative research used a cross-sectional design with a population of 150 students aged 8–12 years. A total of 109 children were recruited using nonprobability purposive sampling, based on predetermined inclusion and exclusion criteria. Clarke angle measurements were taken using two instruments: the Quick Angle Physio mobile application and a standard goniometer. Data were analyzed using Spearman correlation because the measurement data were not normally distributed. The results showed a strong and significant correlation between the mobile application and the goniometer measurements (r=0.964–0.989, p<0.001). These findings indicate that the mobile application provides accurate measurements comparable to the conventional method. The mobile application may serve as an efficient and practical alternative for Clarke angle assessment, supporting early detection of foot arch abnormalities among school-aged children, particularly in school settings such as Madrasah Ibtidaiyah Muhammadiyah Gonilan
Complete Atrioventricular (AV) Block In 15-Year-Old Girl: A Diagnostic And Therapeutic Challenge In Resource-Limited Setting
Full text linkComplete atrioventricular (AV) block is a rare and life-threatening condition in children, characterized by complete electrical dissociation between the atria and ventricles. Its diagnosis and management can be particularly challenging in resource-limited settings. A 15-year-old girl presented with chest discomfort, dyspnea, nausea, and vomiting. On examination, she was hemodynamically unstable with bradycardia (heart rate 48–58 bpm). Electrocardiography revealed a complete AV block with junctional escape rhythm. Further evaluation, including echocardiography, showed no structural heart defects and preserved ventricular function. Management included fluid resuscitation and dopamine infusion, titrated up to 20 mcg/kg/min. During titration, the patient developed ventricular tachycardia–induced bradycardia that resolved spontaneously after dose reduction. Following stabilization, the patient was referred to a higher-level facility for permanent pacemaker implantation and further investigation of the underlying etiology. This case highlights the importance of early recognition and timely intervention in pediatric complete AV block. In settings with limited resources, dopamine infusion may serve as a temporary bridging therapy when transfer is delayed, but careful monitoring is essential due to the risk of arrhythmias. Prompt diagnosis, appropriate stabilization, and early referral are crucial to reducing morbidity and preventing fatal outcomes
THE CORRELATION BETWEEN THE IMPLEMENTATION OF DISCHARGE PLANNING AND THE LEVEL OF INDEPENDENCE OF INPATIENTS AT THE GENERAL REGIONAL HOSPITAL OF JEND. AHMAD YANI METRO
Full text linkbackground: Discharge planning is a continuous nursing activity that starts from the time the patient enters the hospital until after discharge. Proper implementation of discharge planning is very important to increase patient independence in performingdaily activities (ADL). However, some studies say that many patients in several hospitals do not get adequate health education so that it has an impact on the level of patient independence after discharge from the hospital. Objective: The purpose of this study was to determine the correlation between the implementation of discharge planning and the level of independence of hospitalized patients at Jend. Ahmad Yani Metro Hospital . Method: This type of research uses quantitative research with a correlation research design with a cross-sectional approach. The population in this study were inpatients at Jend. Ahmad Yani Metro Hospital as many as 726 elderly respondents, with a sample of 97 elderly respondents. The sampling technique used probability with the proportionate stratified random sampling method. This study uses the Gamma statistical test. This research was conducted on September 17-26, 2024. Results: Based on the results of the study, there is a correlation between the implementation of discharge planning and the level of independence of hospitalized patients at the General Regional Hospital Jend Ahmad Yani Metro shows a p-value = 0.001 <0.05. Conclusion: This study provides information and input to hospitals regarding the importance of implementing structured discharge planning, starting from the assessment when the patient is admitted to the discharge evaluation. Nurses are expected to assess the environmental factors of patients, especially the elderly, to modify home environmental conditions that support their independence and at the preparation stage before the patient's discharge day by providing health education using leaflet media is very important to help elderly patients understand self-care at home and increase their independence after discharge