e-Jurnal Poltekkes Tanjungkarang
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Full text linkBackground failure to conceive within a year of frequent, unprotected sexual activity is known as infertility, and a variety of conditions or unexplained causes can cause it. A common non-pharmacological therapy approach, acupuncture is essential to complementary and alternative medicine. Acupuncture may enhance the reproductive system's function and regulate the body's hormones by stimulating specific acupoints. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This study aims to identify conservative acupuncture treatment for infertility causes because there is no clear summary of acupuncture and infertility with different infertility issues in Asia. A comprehensive search was performed across several databases, including PubMed and Google Scholar. The search was limited to studies published between 2019 and 2024 that were written in the English language. Infertility in both men and women can be improved with acupuncture treatment. By stimulating specific acupuncture points, acupuncture may better regulate the body's hormones and enhance the function of the reproductive system. For both men and women, acupuncture therapy can aid with infertility.Bacground
Failure to conceive within a year of frequent, unprotected sexual activity is known as infertility, and it can be caused by a variety of conditions or unexplained causes . A common non-pharmacological therapy approach, acupuncture is a crucial part of complementary and alternative medicine. Acupuncture may be able to boost the reproductive system's performance and regulate the body's hormones by activating particular acupoints
Method
This systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. This study aims to identify conservative acupuncture treatment for infertility causes because there isn't a clear summary of acupuncture and infertility with different infertility issues in Asia. A comprehensive search was performed across several database including Pubmed, Google Scholar, Scopus. The search was limited to studies published between 2019 and 2024 which were written in English.
Result
Infertility in both men and women can be improved with acupuncture treatment. By stimulating specific acupuncture sites, acupuncture may be able to better control the body's hormones and enhance the reproductive system's function.
Conclusion For both men and women, acupuncture therapy can aid with infertility.
 
The The Impact of the Benson Relaxation Technique in Alleviating Perineal Suture Pain Intensity in Postpartum Women
No full textPerineal rupture is a frequent obstetric complication that may occur during vaginal delivery, either spontaneously or with instrumental assistance. This condition often results in significant perineal pain, potentially hindering the physical recovery and psychological well-being of postpartum women. Non-pharmacological methods, such as Benson’s relaxation technique, have shown promise in managing pain effectively without the risks associated with pharmacological treatments. This quasi-experimental study aimed to examine the effectiveness of Benson’s relaxation technique in reducing perineal suture pain in postpartum women. The study involved 32 participants, with 16 women assigned to the experimental group and 16 to the control group. Pain intensity was measured using the Numeric Rating Scale (NRS), and the data were analyzed using the Wilcoxon Signed-Rank Test. Results revealed a statistically significant reduction in pain scores within the experimental group, with an Asymp. Sig. (2-tailed) value of 0.000, indicating a p-value well below the 0.05 threshold. These findings support the use of Benson’s relaxation technique as an effective non-pharmacological intervention for alleviating perineal pain. Integrating this method into postpartum care may enhance maternal comfort and expedite recovery, offering healthcare providers a practical and low-risk approach to pain management in clinical settings
Efektivitas Variasi Konsentrasi Fiksasi NAOH Tanpa Pemanasan Pada Kualitas Preparat Awetan Pediculus humanus capitis
Full text linkPediculus humanus capitis dapat menyebabkan penyakit yang dinamakan Pedikulosis capitis, penyebarannya disebabkan oleh kurangnya higenitas pada rambut yang lembab. Larutan pengganti yang digunakan yaitu NaOH 10%, 15%, 20%, dan 25% karena NaOH merupakan senyawa klinis yang bersifat alkali atau basa kuat, senyawa ini dapat digunakan untuk menghilangkan atau membersihkan zat-zat dan kotoran yang melekat pada serat sisal. Tujuan penelitian ini yaitu untuk mengetahui efektivitas variasi konsentrasi fiksasi NaOH 10%, 15%, 20%, dan 25% tanpa pemanasan pada kualitas preparat awetan Pediculus humanus capitis. Sampel pada penelitian ini berjumlah 24 preparat dengan dilakukan pengulangan sebanyak 4 kali. Metode penelitian yang digunakan yaitu metode kuantitatif dengan desain penelitian eksperimental. Uji statistik yang digunakan pada penelitian ini adalah kruskal wallis, hasil dari uji kruskal wallis output dari SPSS diperoleh nilai p = 0,020 yang berarti nilai p < 0,05, sehingga pada penelitian ini dapat diambil kesimpulan bahwa ada pengaruh perendaman berbagai konsentrasi NaOH terhadap kualitas preparat awetan Pediculus humanus capitis tanpa pemanasan dengan konsentrasi paling efektif yaitu 10%.
 
Pemanfaatan Kulit Buah Manggis (Garcinia mangostana L) Sebagai Pengganti Larutan Kristal Violet Pada Pewarnaan Jamur Candida albicans
No full textLatar belakang: Jamur Candida albicans merupakan mikroorganisme yang diduga sebagai patogen oportunistik. Dalam laboratorium diagnosis, pewarnaan sangat diperlukan untuk identifikasi morfologi dan keberadaan Candida albicans pada spesimen. Pewarnaan Gram yang banyak digunakan untuk membedakan jenis bakteri juga dapat diterapkan untuk observasi morfologi jamur. Salah satu komponen utama pewarnaan Gram adalah larutan kristal violet, yang berfungsi memberikan warna ungu pada mikroorganisme dengan dinding sel tertentu. Namun kristal violet memiliki beberapa keterbatasan, seperti potensi toksisitas dan dampak lingkungan. Oleh karena itu, penelitian untuk mencari alternatif pewarna alami yang ramah lingkungan dan mudah didapat salah satunya yang belum pernah dilaporkan yaitu kulit buah manggis. Kulit buah manggis ( Garcinia mangostana L. ) yang kaya akan senyawa aktif, seperti antosianin, tanin, dan xanton. Tujuan: penelitian ini adalah untuk membandingkan kualitas sediaan jamur Candida albicans menggunakan larutan kristal violet dan ekstrak kulit buah manggis. Metode Penelitian: True-experiment dengan Analisis Univariat atau Descriptive Statistics dan Analisis bivariat, pengelolaan data menggunakan uji Kruskal walis. Hasil: didapatkan nilai p> 0,050 yaitu didapatkan 0,510 , pewarnaan alami ekstrak kulit buah manggis konsentrasi 50% lebih optimal dalam melakukan pemeriksaan mendeteksi jamur Candida albicans Simpulan hasil penelitian yaitu ekstrak kulit buah manggis dapat menjadi alternatif potensial bagi pewarnaan Gram, khususnya dalam mendeteksi Candida albicans
Correlation Between Family Support and Adherence to Insulin Therapy in Patients with Type 2 Diabetes Mellitus
Full text linkDiabetes Mellitus (DM) is a chronic disease caused by the body's inability to use insulin optimally. Insulin therapy is an effective treatment to replace the role of the insulin hormone. Adherence to insulin therapy is crucial for the health of DM patients. This study investigates the correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center, Yogyakarta. This study employed a quantitative cross-sectional design. Fifty-three type II DM patients who underwent control at Gamping II Health Center participated in this study. The family support instrument was measured using the Hensarling Diabetes Family Support Scale (HDFSS) Indonesian version, while adherence to insulin therapy was measured using the Morisky Insulin Adherence Scale-8 (MIAS). Kendall tau test was used for data analysis. The results showed a significant correlation between family support and adherence to insulin therapy among type II DM patients at Gamping II Health Center (p=0.011). Effective family support, in the form of assistance, attention, or information, is crucial in improving adherence to insulin therapy among type II DM patients. Therefore, family involvement is highly recommended to control blood sugar levels among type II DM patients
Analysis of Age Factor and Hemoglobin Profiles in The Incidence of Uterine Leiomyoma
Full text linkUterine leiomyoma is recognized as the most common benign tumor of the female reproductive system and remains a significant cause of gynecological morbidity worldwide. Its development has been closely associated with hormonal exposure, particularly estrogen and progesterone, and with reproductive age. Despite being frequently encountered in clinical practice, the role of other contributing factors, such as hemoglobin status, remains less clear. This study examined the relationships among age, hemoglobin concentration, and the incidence of uterine leiomyoma. An observational-analytic case-control design, using leiomyoma as cases and adenomyosis as controls, was conducted at PKU Muhammadiyah Hospital, Surakarta. A total of 246 participants were included, comprising 93 women with histopathologically confirmed leiomyoma and 153 women with adenomyosis as the control group. Data were obtained from hospital medical records, and statistical analyses were performed using Chi-square tests followed by logistic regression. The results demonstrated that being in the reproductive age group (≤50 years) significantly increased the likelihood of leiomyoma occurrence (OR=3.114, 95%CI: 1.141–8.500, p=0.021). In contrast, hemoglobin profiles did not show a significant association with leiomyoma incidence (OR=0.777, 95%CI: 0.428–1.441, p=0.407). Although anemia was frequently observed in both groups, it appeared more likely to be a clinical manifestation of abnormal uterine bleeding than a direct etiological factor
Analisis Pemantapan Mutu Internal Pada Pemeriksaan Trombosit Dan Leukosit Menggunakan Metode Sigma Metric Di Puskesmas X
Full text linkPemantapan mutu internal (PMI) di laboratorium krusial dilakukan untuk pengawasan dan pencegahan kesalahan hasil pemeriksaan, salah satu PMI dilakukan pada pemeriksaan trombosit dan leukosit menggunakan hematology analyzer untuk pencegahan kesalahan baca. Penelitian ini bertujuan untuk menganalisis hasil kontrol kualitas berapa akurasi, presisi, grafik Levey Jenning dengan aturan Westgard dan Sigma Metrik. Metode pada penelitian ini menggunakan metode deksriptif kuantitatif dengan menggunakan data sekunder pemeriksaan kontrol trombosit dan leukosit pada bulan Juli - Oktober 2024. Data kontrol pemeriksaan trombosit dan leukosit dianalisis berdasarkan aturan Westgard dan Sigma Metrik. Hasil pemantapan mutu internal pada penelitian ini menunjukkan bahwa keduanya memiliki tingkat akurasi yang baik karena berada dalam batas bias ±10%. Nilai presisi memenuhi kriteria karena tidak keluar dari nilai CV >5%. Evaluasi grafik Levey–Jennings berdasarkan aturan Westgard tidak menunjukkan pelanggaran aturan. Nilai Sigma Metrik untuk trombosit berada pada kategori sangat baik (>6), sedangkan nilai sigma metrik untuk leukosit berada pada kisaran >2 yang masih dapat dinilai layak untuk digunakan dalam pemeriksaan sampel
Optimalisasi Peran Kader Kesehatan Untuk Capaian Keberhasilan ASI Eksklusif di Wilayah Desa Binaan Karang Anyar
Full text linkOptimalisasi peran kader kesehatan merupakan kegiatan pemberdayaan masyarakat untuk meningkatkan cakupan pemberian ASI eksklusif. Kegiatan ini melibatkan pemberian pengetahuan kepada kader dan memaksimalkan peran mereka dalam kelompok ibu hamil dan menyusui untuk memberikan konseling dan bantuan, sehingga ibu dapat memberikan ASI secara eksklusif. Permasalahannya adalah pencapaian cakupan pemberian ASI eksklusif di wilayah kerja PKM Karang Anyar pada tahun 2024 adalah 78,6% (548 orang). Pada tahun 2025, target yang ditetapkan adalah 80%. Cakupan pemberian ASI eksklusif di desa Karang Anyar pada tahun 2024 hanya mencapai 75,6%, dan target untuk tahun 2025 adalah 80%. Tujuan kegiatan ini adalah untuk meningkatkan pengetahuan dan sikap, serta memperjelas peran kader dan ibu menyusui dalam upaya mencapai pemberian ASI eksklusif. Periode pelaksanaannya adalah dari Oktober hingga Desember 2025. Hasil kegiatan ini meliputi: pengetahuan kader tentang pemberian ASI eksklusif mencapai 28 ibu (93,3%), dan sikap yang mendukung pemberian ASI eksklusif mencapai 29 ibu (96,7%). Dua puluh enam ibu (86,7%) mengetahui tentang pemberian ASI eksklusif, dan 27 ibu (90%) memiliki sikap yang mendukung pemberian ASI eksklusif. Kesimpulannya adalah bahwa memberikan pelatihan kader, pendidikan/konseling bagi ibu menyusui, dan mengoptimalkan peran kader kesehatan merupakan strategi efektif untuk mencapai target pemberian ASI eksklusif
Stunting and Child Development: Evidence from Pujo Basuki Village, Central Lampung
Full text linkStunting remains a significant public health issue due to its long-term effects on child development, especially in low- and middle-income countries. This study aims to explore the impact of stunting on multiple developmental domains, including gross motor skills, fine motor skills, speech and language, socialization, and overall child development, using the Developmental Pre-Screening Questionnaire (KPSP) as a developmental assessment tool. We hypothesized that children with stunting would exhibit significantly lower developmental scores across all domains compared to non-stunted children, even after controlling for age and number of siblings. A comparative cross-sectional design was employed, and data were analyzed using independent t-tests, Multivariate Analysis of Covariance (MANCOVA), and Analysis of Covariance (ANCOVA). MANCOVA revealed significant effects of both stunting and age on most developmental domains, with stunting having a powerful impact on fine motor skills (F=6.424, p=0.018, η²=0.211), speech and language skills (F=11.924, p=0.002, η²=0.332), and overall KPSP scores (F=46.874, p<0.001, η²=0.661). ANCOVA confirmed the unique effect of stunting after adjusting for age. These findings underscore the critical need for early nutritional interventions, as stunting not only affects physical growth but also hampers essential developmental milestones. Addressing stunting could significantly improve long-term developmental outcomes and reduce health disparities among children in affected populations
Radiologic Technique for Esophagus, Stomach, and Duodenum Examination in Dysphagia Cases: A Case Study at Panembahan Senopati Bantul Hospital
Full text linkDysphagia, or difficulty swallowing, is a common clinical symptom that often reflects structural or functional abnormalities of the upper gastrointestinal (GI) tract. Accurate imaging of the esophagus, stomach, and duodenum (ESD) is essential for identifying the underlying causes. This study aimed to describe radiologic examination techniques for ESD assessment in dysphagia cases at the Radiology Department of Panembahan Senopati Bantul Hospital. A qualitative case study design was applied, involving one radiologist and three radiographers. Data were obtained through direct observation, in-depth interviews, and document analysis, and processed using data reduction, categorization, and open coding, then validated with relevant radiologic literature. Patient preparation included 6–8 hours of fasting, removal of metallic objects, and procedural explanation. Imaging was performed in stages: the stomach was evaluated with AP supine and PA prone projections, the esophagus with AP erect and RPO projections, and the duodenum with an AP full-filling projection. Projection selection was guided by clinical indication, patient comfort, and technical efficiency. For example, AP and RPO projections were sufficient for esophageal evaluation due to its small diameter. The AP supine view was used to assess the corpus ventriculi, while PA prone provided better visualization of the fundus. All examinations were performed under radiologist supervision and adjusted based on patient condition and available equipment. Additional projections were unnecessary if no abnormalities were detected. In conclusion, ESD examination for dysphagia at this hospital follows a systematic yet flexible protocol, ensuring diagnostic accuracy while maintaining patient safety and comfort