e-Jurnal Poltekkes Tanjungkarang
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Pendampingan Anak dalam Upaya Mengembangkan Potensi dan Penerapan Pola Hidup Sehat (PHBS) pada PAUD AL BINA Kota Ternate
Full text linkPAUD memiliki peran penting dalam meningkatkan mutu pelayanan pendidikan anak usia dini, sebab dinilai sebagai simbol dalam gerakan nasional PAUD berkualitas. PHBS merupakan salah satu cara pokok dalam mendirikan pondasi yang menjadikan anak sehat dan tidak mudah sakit. Minimnya pengetahuan dan kurangnya kesadaran akan pentingnya penerapan PHBS. Metode pendekatan yang digunakan untuk mengatasi persoalan yang dihadapi mitra adalah melalui kegiatan pendampingan dan penyuluhan. Berdasarkan hasil pre-test, ditemukan bahwa masih kurangnya tingkat pengetahuan, sikap dan pendampingan tentang PHBS pada orang tua, dengan rincian sebanyak 5 orang (10%) pernah mendapatkan pendampingan tentang PHBS, dan 47 orang (90%) belum pernah mendapatkan pendampingan, sedangkan sebanyak 13 orang (25%) memiliki tingkat pengetahuan di atas 50%, dan 34 orang (65%) memiliki pengetahuan dibawah 50%. Hasil post-test, terjadi peningkatan pengetahuan, sikap dan pendampingan tentang PHBS pada orang tua dengan rincian sebanyak 36 orang (69%) memiliki tingkat pengetahuan diatas 90%, dan 14 orang (27%) yang memiliki pengaetahuan di atas 70%, sedangkan sebanyak 2 orang (7%) masih di bawah 70%. Hasil peningkatan pengetahuan orang tua tentang PHBS dapat dilihat dengan hasil analisis n-gain ternormalisasi, rata-rata perolehan nilai pre-test dan post-test mengalami peningkatan sebesar 41%, selain itu rata-rata perolehan nilai n-gain sebesar 0,80 dengan kategori “Tinggi”. Hal ini membuktikan bahwa terjadi peningkatan dalam pemanfaatan video animasi untuk meningkatkan pengetahuan, sikap dan pendampingan kepada orang tua tentang PHBS. Pembiasaan perilaku hidup sehat di PAUD Al Bina Kota Ternate memerlukan konsistensi dalam pelaksanaannya. Sasaran pembiasaan sebaiknya diperluas, tidak hanya kepada siswa PAUD tetapi juga kepada orang tua yang ikut mendampingi anak. Pada pengabdian kepada masyarakat ini yaitu dilakukan pendampingan terhadap orang tua tetapi belum secara langsung/ tatap muka. Diharapkan pengetahuan terkait PHBS dapat diterapkan lebih masif dalam ranah keluarga
The Effect of Massage Therapy on Preventing Delayed Onset Muscle Soreness (DOMS) in Sprinters
Full text linkSports significantly contribute to students' physical and mental development, enhancing fitness and social skills. However, high-intensity training, such as sprinting, often results in Delayed Onset Muscle Soreness (DOMS), which can impair athletic performance and motivation. Massage manipulation therapy is a physiotherapeutic approach aimed at preventing and alleviating DOMS symptoms while increasing the Range of Motion (ROM) and reducing muscle pain in sprinter athletes at SMAN 91 Jakarta. This quasi-experimental study employed a pre-test and post-test design with three groups: ESK (effleurage, shaking, kneading, n=15), ESH (effleurage, shaking, hacking, n=16), and a control group (n=13). Interventions were administered once weekly over four weeks. ROM was measured using a goniometer, and muscle soreness was assessed via the Visual Analog Scale (VAS). Data were analyzed using the Kolmogorov-Smirnov and Shapiro-Wilk tests for normality, the Friedman test, and further analysis using the Kruskal-Wallis test for within-group differences. The ESK group showed a significant reduction in muscle soreness from a mean of 3.48 to 1.91 (p<0.005), while the ESH group exhibited a significant improvement in ROM from a mean of 1.56 to 3.06 (p<0.005). The control group showed no statistically significant changes in either variable. Massage manipulation therapy was effective in reducing muscle pain and enhancing ROM. ESH was more effective for improving ROM, whereas ESK was more effective for reducing pain. These findings emphasize the importance of combining multiple Massage techniques for comprehensive physiotherapy benefits in school-based athletic training
The Combination of Slow Deep Breathing and Qur’anic Murottal Therapy in Reducing Blood Pressure in Hypertension: A Case Study
No full textHypertension is a non-communicable disease that often occurs without symptoms and is a leading cause of premature death. In addition to persistently elevated blood pressure, hypertensive patients frequently experience unstable blood pressure variability (BPV), both short- and long-term. While antihypertensive medications are effective, they often cause undesirable side effects. Therefore, a safe and practical non-pharmacological approach is needed, such as slow deep breathing techniques and Qur'anic murottal therapy. This study aims to explore the effect of combining slow deep breathing and Qur'anic murottal therapy on blood pressure in hypertensive patients. This research used a descriptive approach with a case study method involving one hypertensive patient who met the inclusion criteria, namely having a blood pressure >140/90 mmHg, no hearing impairment, and having provided informed consent. The intervention was carried out once daily for 30 minutes over three consecutive days. The intervention followed the SOP for slow deep breathing combined with Qur'an murottal therapy. Blood pressure was measured before and after each session. There was a consistent decrease in blood pressure, pulse rate, and respiratory rate over the three-day period. These findings suggest that the combined therapy promotes relaxation and lowers blood pressure. The stable reduction also indicates its potential in managing blood pressure fluctuations. Further research with a quantitative design and a larger sample size is recommended to strengthen the generalization of results and support the broader application of this therapy in various healthcare settings
Utilization of Oil Palm Shell Waste (Elaeis guineensis Jacq) into Activated Charcoal
Full text linkOil palm shells are solid waste generated from the palm oil industry. The processing of oil palm shells into activated charcoal has not yet been optimized, despite the high demand for activated charcoal in various industries, such as desulfurization in gas purification and LNG processing, as well as filtration processes. Therefore, the quality of activated charcoal depends on the carbonization and activation process. This study aims to determine whether oil palm shells can be converted into activated charcoal using H₃PO₄ as an activating agent at concentrations of 8%, 9%, and 10%, and soaking times of 20, 22, and 24 hours, by the Indonesian National Standard (SNI) for activated charcoal. This study employs a pre-experimental, one-shot case study design. The treatment applied includes the independent variables of H₃PO₄ concentrations (8%, 9%, 10%) and soaking durations (20, 22, 24 hours). The carbonization temperature for all samples was 450–500°C for 0.5 hours. The dependent variable is the resulting activated charcoal powder that meets SNI standards. Activated charcoal with an 8% H₃PO₄ concentration and a 20-hour soaking time yielded the following results: a moisture content of 10.64%, an ash content of 2.66%, and a calorific value of 3,678.43 cal/g. With 9% H₃PO₄ and 20-hour soaking: 9.88% moisture, 2.95% ash, and 4,955.1 cal/g. With 10% H₃PO₄ and 20-hour soaking: 8.21% moisture, 3.53% ash, and 6,190.58 cal/g. The best result, according to SNI 1683-2021 "Wood Charcoal", was achieved at 24 hours of soaking and a 10% H₃PO₄ activator concentration, with the following values: 8.21% moisture, 3.53% ash, and 6,190.58 cal/g calorific value. It is therefore recommended for activated charcoal production
Patient Satisfaction with Prolanis Services at Pulau Panggung Health Center
Full text linkHypertension is one of the most common non-communicable diseases (NCDs) whose prevalence continues to increase and has become a leading cause of death in Indonesia. To address this issue, the government, through BPJS Kesehatan, launched the Chronic Disease Management Program (Prolanis), which is implemented in first-level health facilities, such as health centers. The success of this program depends greatly on patient satisfaction with the services provided. This study aims to identify factors associated with the satisfaction of patients with hypertension who use Prolanis services at the Pulau Panggung Health Center. A quantitative approach with a cross-sectional design was applied, involving 131 hypertensive patients registered as Prolanis participants. Data were collected using a structured questionnaire that referenced the five dimensions of service quality outlined in the SERVQUAL model: reliability, responsiveness, assurance, empathy, and tangibles. Data were analyzed using the chi-square test to examine the relationship between service quality dimensions and patient satisfaction. The findings revealed that all five dimensions of service quality had a significant association with patient satisfaction (p≤0.05). Among them, the tangible evidence dimension was identified as the most dominant factor influencing satisfaction. In conclusion, Prolanis' service quality plays a crucial role in determining patient satisfaction. Therefore, improving the quality of services, particularly in tangible aspects such as facility cleanliness, comfort, availability of medical equipment, completeness of infrastructure, and the professional appearance of healthcare workers, is expected to enhance the effectiveness of Prolanis implementation at health centers
Colon in Loop Examination Technique in CA Recti Cases at Radiology Installation RSPAU Dr. Suhardi Hardjolukito Yogyakarta
Full text linkBackground: The colon in loop (CIL) examination at the Radiology Department of RSPAU Dr. Suhardi Hardjolukito employs the following projections: single-contrast AP, lateral, RPO, and LPO, followed by double-contrast AP, RPO, LPO, and post-evacuation AP. The procedure utilizes water-soluble contrast media without the use of a balloon to secure the catheter. Methods: This study adopts a qualitative approach using a case study method. Subjects include one radiology specialist and three radiographers. The research was conducted from August 2024 to September 2025. Data were collected through direct observation, interviews, and documentation, followed by data processing, analysis, and conclusion drawing. Results: Findings from the Radiology Department of RSPAU Dr. Suhardi Hardjolukito indicate that the use of water-soluble contrast media is safer for patients at risk of perforation, as it is easily absorbed by the body and carries a low risk of complications. Additionally, the use of a catheter without a balloon proves effective, as it does not interfere with rectal visualization and reduces the risk of irritation or excessive pressure in the area. Conclusion: The CIL examination using water-soluble contrast media and a catheter without a balloon is a safe and effective method, especially for patients suspected of having a risk of perforation. The choice of contrast media should be tailored to the patient's clinical condition, and the use of fluoroscopy is recommended to enhance efficiency and accuracy in the examination procedure
Upaya Peningkatan Pengetahuan Tentang Komplementer Pijat Oksitosin Pada Ibu Menyusui Wilayah Puskesmas Rumbia
Full text linkAir Susu Ibu (ASI) eksklusif sangat penting untuk mendukung pertumbuhan dan perkembangan bayi, namun cakupannya di Indonesia masih belum mencapai target nasional. Puskesmas Rumbia cakupan ASI eksklusif belum mencapai target nasional sebesar 76,3%, keluhan ASI tidak lancar sebesar 23,8%, dan minimnya dukungan keluarga. Penyebabnya adalah kurang pengetahuan manfaat ASI, pengaruh susu formula, atau mitos menyusui. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu menyusui serta keluarga dalam menerapkan pijat oksitosin sebagai metode komplementer non-farmakologis untuk memperlancar ASI. Metode yang digunakan meliputi penyuluhan, demonstrasi, dan praktik langsung dengan pendekatan edukatif dan partisipatif, serta evaluasi melalui pre-test dan post-test. Hasil kegiatan menunjukkan peningkatan signifikan pada pengetahuan peserta tentang ASI dan teknik pijat oksitosin, dengan 85% peserta mampu mempraktikkannya dengan benar. dilaporkan adanya peningkatan produksi ASI sebesar 58%, menurunnya keluhan ASI tidak lancar sebesar 67%, serta meningkatnya praktik pemberian ASI eksklusif dan keterlibatan keluarga sebesar 62%. Disimpulkan bahwa pijat oksitosin merupakan intervensi sederhana namun efektif dalam mendukung keberhasilan menyusui, dapat terus dikembangkan melalui pelatihan kader, integrasi dalam program kelas ibu hamil, serta penyediaan media edukatif yang mudah diakses masyarakat
Bersinergi Menangani Stunting (BERGISI) untuk Menangani Masalah Keperawatan Manajemen Kesehatan Tidak Efektif di RW 009 Dusun Krajan Desa Sukorambi
Full text linkStunting merupakan masalah kesehatan serius yang dapat mempengaruhi perkembangan fisik dan kognitif anak, yang disebabkan oleh kekurangan gizi dalam periode awal kehidupan. Penanganan stunting di tingkat masyarakat, khususnya di RW 009 Dusun Krajan, Desa Sukorambi, masih menghadapi tantangan terkait manajemen kesehatan yang tidak efektif. Penelitian ini bertujuan untuk mengembangkan suatu model intervensi berbasis sinergi antara berbagai elemen masyarakat dan sektor kesehatan yang dapat menangani permasalahan stunting secara lebih efektif. Program Bersinergi Menangani Stunting (BERGISI) diusulkan sebagai solusi untuk meningkatkan kolaborasi antara pemerintah, tenaga kesehatan, masyarakat, dan keluarga dalam pencegahan dan penanganan stunting. Metode penyuluhan dilakukan dengan ceramah, diskusi, dan demonstrasi. Peningkatan manajemen kesehatan tentang stunting dilakukan dengan media booklet, poster, dan pengolahan komoditas lokal. Sasaran kegiatan adalah agregat ibu hamil, bayi, dan balita dengan target komunitas balita dengan stunting di RW 009 Dusun Krajan, Sukorambi sebanyak 20 orang. Hasil kegiatan didapatkan peningkatan status gizi dari kegiatan pre-test didapatkan 16 balita pendek, 4 balita sangat pendek, 7 dari 20 balita telah mendapatkan 8 aneka kelompok pangan, dan 9 dari 20 keluarga balita telah memenuhi syarat sanitasi lingkungan yang sehat. Sedangkan setelah dilaksanakan post-test didapatkan hasil 3 sesuai, 13 pendek, 4 sangat pendek, 16 dari 20 balita telah mendapatkan 8 aneka kelompok pangan, dan 15 dari 20 sanitasi lingkungan keluarga balita telah memenuhi syarat sanitasi yang sehat. Hal ini menunjukkan bahwa terdapat peningkatan dalam pengetahuan, perilaku, dan kebiasaan keluarga dengan balita dengan stunting dan risiko stunting. Dengan demikian dapat dikatakan bahwa kegiatan BERGISI ini berhasil dengan tujuan dan target yang diharapkan
Narrative Literature Review on MC4R rs17782313 Gene-Nutrient Interaction and Obesity Risk
Full text linkThe Melanocortin 4 Receptor (MC4R) gene plays a critical role in appetite regulation and energy balance. The single nucleotide polymorphism (SNP) rs17782313, located near the MC4R gene, has been widely associated with an increased risk of obesity, primarily through its influence on appetite control and energy homeostasis. Understanding how this genetic variant interacts with dietary intake can offer valuable insights into the pathophysiology of obesity and inform personalized nutritional strategies. This study aims to investigate the role of SNP rs17782313 in dietary factors and obesity risk, with a particular focus on the underlying molecular mechanisms. A narrative literature review was conducted, synthesizing findings from molecular, genetic, and epidemiological studies. The review highlights how rs17782313 may influence MC4R function and how macronutrient intake, particularly carbohydrates, proteins, and fats, modulates this effect. Evidence suggests that nutritional factors can affect gene expression or interact directly with the MC4R pathway, influencing energy intake, metabolic responses, and body weight regulation. Observational studies in various populations confirm the global relevance of these gene-diet interactions. The findings highlight the need for an integrative approach that combines genetics and nutrition to develop individualized interventions for obesity prevention and treatment. Understanding these interactions may contribute to more effective management of obesity and related metabolic disorders by tailoring dietary recommendations to genetic profiles
Antibacterial Potential of Gynura procumbens Against UTI Pathogens
Full text linkCases of urinary tract infections (UTIs) in Indonesia continue to increase. According to data from the Ministry of Health (2014), UTI cases reach 90–100 per 100,000 population annually. The incidence of UTI is mainly caused by bacterial infections, particularly Escherichia coli and Klebsiella pneumoniae. One of the medicinal plants with pharmacological potential is the connected leaf (Gynura procumbens (Lour.) Merr.). This research aims to determine the effectiveness and impact of Gynura procumbens leaf extract at concentrations of 25%, 50%, 75%, and 100% in inhibiting the growth of E. coli and Klebsiella pneumoniae. This research employed an experimental and completely randomized design (CRD). The independent variables were the concentrations of Gynura procumbens extract, and the dependent variables were the UTI-causing bacteria (E. coli and Klebsiella pneumoniae). Each concentration treatment (25%, 50%, 75%, and 100%) was repeated six times. The results showed that the average inhibition zone for E. coli was 6.33 mm at 25%, 6.91 mm at 50%, 9.39 mm at 75%, and 13.24 mm at 100% concentration. For Klebsiella pneumoniae, the average inhibition zone was 6.56 mm at 25%, 7.53 mm at 50%, 12.50 mm at 75%, and 15.54 mm at 100%. One-way ANOVA analysis resulted in a p-value of 0.000, indicating that Gynura procumbens leaf extract significantly inhibits the growth of UTI-causing bacteria (Klebsiella pneumoniae and Escherichia coli).Cases of urinary tract infections (UTIs) in Indonesia continue to increase. According to data from the Ministry of Health (2014), UTI cases reach 90–100 per 100,000 population annually. The incidence of UTI is mainly caused by bacterial infections, particularly Escherichia coli and Klebsiella pneumoniae. One of the medicinal plants with pharmacological potential is the connected leaf (Gynura procumbens (Lour.) Merr.). This research aims to determine the effectiveness and impact of Gynura procumbens leaf extract at concentrations of 25%, 50%, 75%, and 100% in inhibiting the growth of E. coli and Klebsiella pneumoniae. This research employed an experimental and completely randomized design (CRD). The independent variables were the concentrations of Gynura procumbens extract, and the dependent variables were the UTI-causing bacteria (E. coli and Klebsiella pneumoniae). Each concentration treatment (25%, 50%, 75%, and 100%) was repeated six times. The results showed that the average inhibition zone for E. coli was 6.33 mm at 25%, 6.91 mm at 50%, 9.39 mm at 75%, and 13.24 mm at 100% concentration. For Klebsiella pneumoniae, the average inhibition zone was 6.56 mm at 25%, 7.53 mm at 50%, 12.50 mm at 75%, and 15.54 mm at 100%. One-way ANOVA analysis resulted in a p-value of 0.000, indicating that Gynura procumbens leaf extract significantly inhibits the growth of UTI-causing bacteria (Klebsiella pneumoniae and Escherichia coli)