e-Jurnal Poltekkes Tanjungkarang
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Persepsi Masyarakat terhadap Vaksinasi Booster Covid-19 di Wilayah Tanjung Priok Jakarta Utara
Get PDFCovid-19 is a group of viruses that cause disturbances in the respiratory tract organs. Indonesia's government has promoted various interventions, known as health protocols, to prevent the spread of Covid-19, such as using masks, washing hands, and vaccinations. The emergence of different perceptions from the public makes the Covid-19 vaccination problem. Doubts arose about the safety and usefulness of Covid-19 vaccines, resulting in a poor perception of this vaccination program. This study aims to identify the public's perception of the Covid-19 booster vaccination in the Tanjung Priok area, North Jakarta. This research design is descriptive and quantitative. The population study is residents of RW 015 Tanjung Priok, North Jakarta, with a total of 6500 people. The number of samples is determined by the solving formula as many as 119 respondents. The selection of the samples in this study used convenience sampling. The research instruments have been tested for validity and reliability. The analysis used is descriptive quantitative. The results showed that most respondents in the Tanjung Priok area of North Jakarta negatively perceived the Covid-19 booster vaccination. The conclusion from this study is that the people of the Tanjung Priok area in North Jakarta have a negative perception of the Covid-19 booster vaccination, so it is expected that the public will continue to seek information regarding the Covid-19 booster vaccination to increase a more positive perception of the Covid-19 booster vaccination
Implementasi Kawasan Tanpa Rokok di Sekolah Menengah Atas Swasta Wilayah Perkotaan
Get PDFThe large number of smokers in Indonesia needs coordinated and integrated action to address, especially since the number of smokers among students continues to rise. One of the measures to address this issue is the no smoking area policy, including at school. However, no smoking area policy objectives must be supported by optimum policy execution. This study aims to determine the implementation of the Non-Smoking Area Policy at Pramita High School Tangerang City. This study uses qualitative research by conducting in-depth interviews. The principal, students, and counseling teachers are the three primary informants. Teachers and administrative personnel serve as the two supporting informants. The Content Analysis approach was used to analyze the data. Non-Smoking Areas Policy has yet to be implemented optimally at SMA Pramita Tangerang City. The school needs more resources and has yet to constitute a working group to enforce a smoke-free zone and consequences for breaches. There have also been no reporting systems for breaches of this policy, making it impossible to determine the number of violations and the level of compliance of school residents with this policy of no-smoking areas. A school must strengthen the implementation of No Smoking Areas by conducting socialization, developing a dedicated team, providing supporting facilities and infrastructure and imposing strict punishments on violators of the restrictions
Hubungan Rasionalitas Penggunaan Antibiotik Terhadap Outcome Klinik Pasien Pneumonia Komunitas Rawat Inap di RSUD. Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2019
No full textPneumonia is a lung parenchyma disease caused by bacteria, fungi, viruses, and parasites. Irrational use of antibiotics will lead to antibiotic resistance, so the goal of therapy has yet to be achieved. This study evaluates the rationality of using community antibiotics for the clinical outcome of community pneumonia patients in RSUD. Dr. H. Abdul Moeloek.This research is descriptive-analytic with a cross-sectional design and retrospective data retrieval from medical records in 2019. The data analysis was carried out descriptively, and the correlation analysis of the rationale of antibiotic use with clinical outcomes using the Spearman test. The study's results of 144 analyzed showed the characteristics of community pneumonia patients, 78 male, and 66 female patients. The evaluation of the use of antibiotics using the ATC/DDD method showed that Ceftriaxon DDD was 46.80 DDD/100 patient-days, Azithromycin (23.91 DDD/100 patient-days), Levofloxacin (22.70 DDD/100 patient-days). With the Gyssen method, patients used antibiotics correctly (category 0) by 72.91% and incorrectly (categories I – VI) by 27.09%. Statistical analysis showed a significant relationship (p-value=0.003) between the rational use of antibiotics and patient clinical outcomes. Further research is needed regarding the incidence of Drugs Related Problems on the clinical effects of community pneumonia patients.Pneumonia merupakan penyakit pada parenkim paru-paru yang disebabkan oleh bakteri, jamur, virus, dan parasit. Penggunaan antibiotik yang tidak rasional akan menyebabkan resistensi antibiotik sehingga tidak tercapainya tujuan terapi. Penelitian ini bertujuan untuk mengevaluasi penggunaan antibiotik pasien pneumonia komunitas secara kuantitatif dengan metode ATC DDD dan secara kualitatif dengan metode Gyssens. Penelitian ini deskriptif analitik dengan rancangan cross sectional, pengambilan data retrospektif dari rekam medis tahun 2019. Analisis data dilakukan secara deskriptif dan analisis korelasi kerasionalan penggunaan antibiotik dengan outcome klinik menggunakan uji Spearman. Hasil penelitian dari 144 pasien yang dianalisis menunjukkan karakteristik pasien pneumonia komunitas berjenis kelamin laki-laki sebanyak 78 pasien dan perempuan sebanyak 66 pasien. Hasil evaluasi penggunaan antibiotik dengan metode ATC/DDD bahwa Ceftriaxon DDD yaitu 46,80 DDD/100 hari rawat, Azitromicin (23,91 DDD/100 hari rawat), Levofloxacin (22,70 DDD/100 hari rawat); dan dengan metode Gyssen, pasien menggunakan antibiotik dengan tepat (kategori 0) sebesar 72,91% dan tidak tepat (kategori I – VI) sebesar 27,09%. Analisis statistik menunjukkan terdapat hubungan yang signifikan (p= 0,003) antara penggunaan antibiotik yang rasional dengan outcome klinik pasien. Terdapat hubungan antara rasionalitas penggunaan antibiotik terhadap outcome klinik, semakin rasional penggunaan antibiotik maka outcome klinik semakin bai
Household Waste Management Strategy in Upper Middle Housing
Get PDFThe growing volume of waste poses a significant challenge, with implications for environmental contamination, health, and aesthetics. While participatory waste management practices have been adopted in some areas, others resort to dumping on vacant land, leading to potential long-term repercussions. The focus on waste source management, particularly within households, becomes imperative. A descriptive study was conducted in the Sukabumi Sub-district, with the most residences. Targeting households with heads of families as respondents, the research encompassed a sample of 120 housing units selected through systematic random sampling. Instruments developed by the researcher were employed for data collection. Analysis was anchored on a univariate approach and the SWOT (Strengths, Weaknesses, Opportunities, Threats) method. The community's education, knowledge, and occupation profiles were categorized as 'good'. Despite this, a gap in waste governance was identified. Community knowledge about waste management emerged as a strength, while the unrealized potential of converting organic household waste into compost was recognized as an opportunity. To address waste management effectively, it is recommended to prioritize community strengths and harness available opportunities, like independent composting through suitable technology for limited land areas. Emphasizing household waste reduction through the 3R+P model, tailored for upper-middle-class housing, and bolstering community waste management awareness through continuous campaigns is essential
Stabilitas Whole Blood Control Tiga Level Yang Disimpan Pada Suhu 2-8oC Menggunakan Alat Hematology Analyzer
Get PDFQuality assurance is important to ensure that the quality system runs properly and guarantees the results of laboratory tests, one of which is the inspection of control materials. The control material requirement is to have long stability, blood-like characteristics and low price. From these conditions, commercial control materials have a longer stability than fresh blood but are expensive. In practice, commercial control materials are still used even after the expiry date of the materials has passed. This is because the availability of materials is often delayed, the procurement of materials takes a long time and the price is relatively expensive. Therefore, this study aims to determine the stability of commercial whole blood control stored at 2-8oC. This research is an experimental analytic study with a cross sectional research design. The sample in this study was commercial whole blood control with 3 levels, namely normal, low abnormally and abnormally high levels which were stored at 2-8oC and checked every week for 10 weeks. Based on the test results obtained p-value for each parameter at all levels on the parameters of the number of erythrocytes, leukocyte count, hematocrit, hemoglobin and platelet count. Based on the results, it can be concluded that there is no change in the stability of whole blood control with storage for 10 weeks at a temperature of 2-8oC on the parameters of abnormally low and normal leukocyte count levels, abnormally low and abnormally high hematocrit levels, and all levels on the parameters of leukocyte count, hemoglobin and platelet count. Meanwhile, in the normal level of hematocrit parameters and abnormally high leukocyte count, there is a change in stability
VARIASI JUS TOMAT (Solanum Lycopersicum L.) DALAM MENURUNKAN TINGKAT KELELAHAN KERJA BURUH GENDONG DI PASAR INDUK GIWANGAN
Get PDFKelelahan adalah faktor kecelakaan kerja yang disebabkan oleh manusia. Beban yang oleh buruh gendong mencapai 90 kg/sekali angkat. Hal tersebut melebihi bakumutu dalam peraturan Permenakertranskop sebesar 10 kg/sekali angkat bagi wanita dewasa. Penelitian bertujuan untuk mengetahui pengaruh variasi jus tomat (Solanum lycopersicum L.) dalam menurunkan tingkat kelelahan kerja buruh gendong di Pasar Induk Giwangan. Penelitian menggunakan rancangan non equivalent control group design yang membandingkan variabel terikat antara sebelum dan sesudah perlakuan. Pengumpulan data dilakukan dengan cara mengukur tingkat kelelahan kerja. Sampel penelitian 43 orang yang terbagi menjadi variasi jus tomat 400 ml (n=11), jus tomat 500 ml (n=11), jus tomat 600 ml (n=11), dan kelompok kontrol (n=10). Analisis data menggunakan uji normalitas Shapiro-Wilk, pada tingkat kepercayaan 95%. Dilanjut Uji One-Way ANOVA untuk mengetahui perbedaan yang signifikan, dilanjut uji LSD untuk mengetahui variasi yang paling efektif menurunkan kelelahan kerja. Terdapat penurunan presentase tingkat kelelahan kerja setelah dilakukan pemberian variasi jus tomat (Solanum lycopersicum L.) sebanyak 400 ml (13,26%), jus tomat 500 ml (43,13%), dan jus tomat 600 ml (64,88%). Uji One-Way ANOVA menunjukkan perbedaan signifikan variasi jus tomat 400 ml, 500 ml, dan 600 ml (p-value=0,000). Uji LSD menunjukkan jus tomat 600 ml (p-value=0,000) merupakan variasi paling efektif menurunkan kelelahan kerja berdasarkan nilai selisih mean difference paling besar dibanding variasi lain mencapai 401.99 Mili Detik. Jus tomat (Solanum lycopersicum L.) dapat menurunkan kelelahan kerja responden secara signifikan, serta variasi terbaik dalam menurunkan kelelahan kerja yaitu 600 ml
Hubungan antara Kadar Gamma Glutamil Transferase (GGT) dan Trigliserida pada Obesitas Sentral
Get PDFObesitas sentral merupakan kondisi kelebihan berat badan dengan hasil perhitungan IMT ≥25 dan lingkar perut untuk laki-laki ≥90cm dan perempuan ≥80cm. Obesitas sentral memiliki dampak buruk bagi kesehatan dan mengakibatkan perburukan kualitas hidup. Trigliserida digunakan sebagai parameter untuk mengukur lemak dalam tubuh. Gamma Glutamil Transferase (GGT) diketahui sebagai enzim yang berperan dalam kompensasi mekanisme antioksidan melawan stres oksidatif melalui proses degradasi ekstraseluler gluthathione (GSH). Penelitian ini bertujuan untuk mengetahui hubungan antara kadar Gamma Glutamil Transferase (GGT) dan Trigliserida pada obesitas sentral. Metode penelitian ini adalah observasional dengan menggunakan pendekatan Cross Sectional. Subjek penelitian adalah 45 pasien medical check up di Prodia Tangerang yang memenuhi kriteria inklusi dan ekslusi. Pemeriksaan Gamma Glutamil Transferase (GGT) dan Trigliserida dikerjakan di Roche Cobas C311. Analisa data menggunakan uji korelasi Rank Spearman. Setelah dilakukan penelitian terhadap 45 responden pasien MCU dengan obesitas sentral didapatkan nilai signifikansi yaitu sebesar p-value=0,024 dan Correlation Coefficient sebesar 0.337. Hasil penelitian menunjukkan ada hubungan antara kadar Gamma Glutamil Transferase (GGT) dan trigliserida pada obesitas sentral. Kesimpulan terdapat hubungan kadar Gamma Glutamyl Transferase (GGT) dan trigliserida dengan pada pasien dengan obesitas sentral. Disarankan kepada masyarakat untuk melakukan medical check up sebagai usaha mencegah perkembangan tingkat penyakit yang lebih parah di masa depan, menjaga pola makan dan melakukan aktivitas fisik.Central obesity is an overweight condition with BMI ≥ 25 and abdominal circumference for men ≥ 90 cm and women ≥ 80 cm. Central obesity has many adverse effects on health and worsens quality of life. Triglycerides as a parameter to measure fat in the body. Gamma Glutamyl Transferase (GGT) is an enzyme that plays a role in compensating antioxidant mechanisms against oxidative stress through the extracellular degradation process of glutathione (GSH). This research aims to determine the correlation between GGT and Triglycerides in central obesity. Methods This research is observational, using a cross-sectional approach. The research subjects were 45 medical check-up patients at Prodia Tangerang who met the inclusion and exclusion criteria. GGT and Triglyceride examinations were conducted at Roche Cobas C311—data analysis using the Spearman Rank correlation test with a statistic program. After researching 45 respondents of MCU patients with central obesity, it was found that the significance value was p-value=0.024, and the Correlation Coefficient was 0.337. The results showed a relationship between levels of GGT and triglycerides in central obesity. In conclusion, there is a relationship between Gamma Glutamyl Transferase (GGT) and triglyceride levels in patients with central obesity. It is recommended to carry out a medical check-up to prevent the development of more severe disease in the future, maintain a diet, and carry out physical activity
Perbandingan Daya Hambat Ekstrak Metanol Daun dan Akar Tanaman Ona cina (Lantana camara) Terhadap Pertumbuhan Staphylococcus aureus dan Pseudomonas aeruginosa
Get PDFOna cina (Lantana camara) is a plant that has the ability as an anti-bacterial. The bioactive compounds of the ona cina plant as anti-bacterial are flavonols and lantanilic acid. This study aimed to compared the methanol extract of the leaves and roots of the ona cina plant in inhibiting the growth of Staphylococcus aureus and Pseudomonas aeruginosa. This research is a laboratory experimental study using the well diffusion method with 24 treatments. The treatment was repeated 2 times with various concentrations of 0.5%, 5%, 10%, 25%, and 50%, and erythromycin as a positive control and aquades as a negative control. The methanol extract of the leaves and roots of the ona cina plant was obtained from the maceration process with methanol solvent, then the growth inhibition test was carried out on the test bacteria. The parameters observed were the clear zone formed around the well.The diameter of the inhibition zone for the growth of the test bacteria at all concentrations of the leaf methanol extract of the ona cina plant was 0 mm while for the methanol extract of the ona cina plant root, the diameter of the inhibition zone on the growth of Staphylococcus aureus at a concentration of 2.5% was 17 mm and the highest is found at a concentration of 50% of 25 mm. While the lowest inhibition zone of root methanol extract on the growth of Pseudomonas aeruginosa was at a concentration of 2.5% at 22 mm and the highest was at a concentration of 50% at 30 mm. The methanol extract of the leaves of the ona cina plant did not have the ability to inhibit the growth of the test bacteria. However, the methanol extract of the ona cina root has the ability to inhibit the growth of Staphylococcus aureus and Pseudomonas aeruginosa
Efektivitas Ecoenzyme dari Kulit Buah sebagai Disinfektan Lantai yang Ramah Lingkungan
Get PDFLantai merupakan salah satu area yang rentan menjadi tempat berkumpulnya kuman dan bakteri. Bakteri patogen yang sering ditemui di lantai antara lain E.coli, Pseudomonas aeruginosa, Enterobacter cloacae, Salmonella sp, Staphylococcus aureus yang semuanya dapat menyebabkan terjadinya berbagai macam penyakit. Penelitian ini bertujuan untuk mengetahui efektifitas ecoenzyme dari sampah kulit buah sebagai pembersih lantai desinfektan. Penelitian eksperimen ini dirancang dengan variabel jenis ecoenzyme (dari kulit buah asam dan kulit buah manis) serta variabel konsentrasi ecoenzyme (5%, 10%, 15%, 20, 40%, 60%, 80%) dengan pembanding desinfektan pembersih lantai komersil yang mengandung bahan aktif pine oil. Hasil analisis menunjukkan bahwa ecoenzyme efektif menurunkan jumlah angka kuman pada lantai. Hasil uji two way anova menunjukkan adanya perbedaan signifikan antara kedua jenis ecoenzyme dan konsentrasi ecoenzyme dalam menurunkan angka kuman lantai. Ecoenzyme dari kulit buah manis lebih efektif menurunkan jumlah angka kuman lantai daripada ecoenzyme kulih buah asam. Semakin tinggi konsentrasi econzyme yang digunakan sebagai cairan disinfektan, semakin tinggi persentase pengurangan jumlah angka kuman lantai. Pada konsentrasi ecoenzyme 80%, ecoenzyme kulit buah manis mampu menurunkan angka kuman hingga 86,16% dan ecoenzyme kulit buah asam 78,29%. Dibandingkan dengan disinfektan dari pembersih lantai komersial konsentrasi 0,5%, persentase penurunan angka kuman lantai setara dengan ecoenzyme kulit buah asam pada konsentrasi 71,8% dan ecoenzyme kulit buah manis pada konsentrasi 32%
Nurses Monitor Medication with a Schedule for Undrop-Out Program (SRAGAM) for TBC Clients
Get PDFRegulation Minister of Health Republic Indonesia Number 15 of 2022 through 6 pillars of health transformation, one of which is primary service, namely medication adherence education. Ministry of Health Republic Indonesia, (2020) the 2020-2024 RPJMN policy directions and Sustainable Development Goals (SDGs) regarding six diseases, one is Tuberculosis (TBC). TBC prevalence in Southeast Asia (44%), Indonesia (8.5%), Lampung (40.2%), and South Lampung (41%). Indonesia's strategy to reduce the incidence of TBC has six plans: the 2020-2024 national tuberculosis program, optimizing promotion and prevention efforts, providing tuberculosis prevention treatment, and controlling. TBC treatment 6-24 months resulted in drop-out treatment. Nurses play a supervisory role and carry out counseling to increase patient adherence. The Schedule For Undrop-Out Program (SRAGAM) is a media innovation to improve patient medication adherence. SRAGAM makes it easier for patients, PMOs, and health workers to arrange medication-taking schedules. The purpose is to determine the effect of SRAGAM on increasing patient adherence. Research is a quantitative one-group pretest-posttest with a control group preexperimental design. Respondents were patients who were taking drugs. The number of samples was 32 respondents (16 intervention:16 control). The research was from December 2022 to May 2023 in Hajimena Health Center, South Lampung. Data analysis using t-test. The results of the study mean value intervention group (5.6875) and control group (4.1250). The P-value of 0.000 concluded that SRAGAM effectively increased the number of patients taking medication. The results will become educational media in preventing the incidence of dropping medication in patients