Jurnal Online Poltekkes Kemenkes Pontianak
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Kandungan Formalin dan Jumlah Total Bakteri pada Produk Sosis di Pasar Tradisional Moga Kabupaten Pemalang Jawa Tengah
Full text linkOne sort of frozen food that is made from processed meat is sausage. Formalin is one of preservative that is frequently abused, which can found in market-sold sausages. Health issues can arise from consuming foods containing formalin for an extended period of time. The filthy market environment, dust, and touch between customers' and sellers' hands can all lead to microbial contamination of food that sold in traditional markets. There has never been any prior research on the formalin content and bacterial contamination of sausage products sold in Pemalang Central Java's traditional markets. Therefore, the purpose of this study was to figure out the amount of formalin and the quantity of bacteria contaminating sausage products that are sold at Moga traditional market in Pemalang, Central Java. There were 6 samples of sausage were chosen randomly from several suppliers. A formalin test kit was used to qualitatively analyze the formalin, and the TPC method was employed for counting the bacteria. The result showed that formalin was absent from every sausage products. However, the TPC indicated that 4 of 6 sausages were contaminated with bacteria, S01, A02, S03, and S06, with counts of 1,2 × 10⁴ CFU/mL, 8.6 × 10⁴ CFU/mL, 8.7 × 10⁴ CFU/mL, and 3 × 10⁴ CFU/mL, respectively. Fortunately, the overall bacterial count remained below the acceptable level for human consumption
In Vitro Anti-Biofilm Activity of Nutmeg (Myristica fragrans) Leaf Infusion Extract
Full text linkPseudomonas aeruginosa is an opportunistic Gram-negative bacterium commonly associated with severe infections, particularly in immunocompromised individuals. One of its major virulence factors is biofilm formation, which contributes to increased antimicrobial resistance. This study aimed to evaluate the inhibitory activity of nutmeg (Myristica fragrans) leaf infusion extract against P. aeruginosa biofilm formation in vitro. The experiment was conducted using a 96-well microtiter plate assay, and biofilm intensity was quantified at 595 nm following crystal violet staining. The results demonstrated that the nutmeg leaf infusion extract significantly inhibited biofilm formation, with varying levels of effectiveness depending on incubation time. These findings indicate the potential of nutmeg leaf infusion extract as an antibiofilm agent against P. aeruginosa
The Effectiveness of Walking Exercise on Hypertension
No full textHypertension is a major global health concern and a leading risk factor for cardiovascular diseases. Non-pharmacological approaches such as physical activity and lifestyle modification have gained attention as effective strategies to reduce high blood pressure. This literature review examines eight selected international studies that explore the effectiveness of walking-based and lifestyle interventions in managing hypertension. The findings consistently show that programs like brisk walking, culturally adapted walking interventions, and DASH diet combined with walking significantly reduce systolic and diastolic blood pressure. Some studies reported reductions of up to 20 mmHg systolic and 12 mmHg diastolic (p < 0.05). In certain cases, stretching exercises proved more effective than brisk walking for early-stage hypertensive individuals. These interventions also enhanced cardiovascular fitness (VO₂max), walking endurance, and self-efficacy in maintaining healthy habits. Overall, walking and lifestyle changes offer accessible, low-cost, and effective non-pharmacological options for controlling blood pressure. These approaches are recommended as part of a comprehensive hypertension management strategy
Hubungan Game Online Dengan Pola Makan, Aktivitas Fisik Dan Status Gizi Remaja
Full text linkOne of them is popular among school children. Addiction to online gaming, which causes several negative impacts on children such as disturbed children’s diet and also rarely do activities because online gaming is usually done by sitting and even lying down. The purpose of this study wa to analyze the relationship of online game addiction with diet, physical activity and nutritional status of adolescents. The method used in this study uses descriptive correlation research. The design used is with a Cross Sectional approach. The sample in this study were 56 students who met the criteria. Spearman Correlation the results of game addiction variables with energy intake are p<0,05 (p=0,016), online game addiction variables with physical activity (p=0,001), online game adiction variables with nutritional status (p=0,005). The conclusion of this study is that there is a relationship between online game addiction with diet, physical activity an nutritional status in adolescents at MTS Assalafiyah tegal city.
ANALYSIS OF HOSPITAL MANAGEMENT STRATEGIES FOR NATIONAL HEALTH INSURANCE USING THE TOTAL QUALITY MANAGEMENT METHOD
Full text linkThe success of the National Health Insurance (JKN) program is highly dependent on the ability of hospitals to implement adaptive management to changing community needs. This study aims to analyze the management strategy of Graha Bunda Hospital in facing JKN challenges through the implementation of Total Quality Management (TQM). The research uses an explanatory non-experimental quantitative approach with a focus on four main elements of TQM, namely patient focus, teamwork, continuous system improvement, and education and training. Data was collected through the distribution of questionnaires to 150 medical and paramedical staff. The results of the analysis using multiple linear regression showed that three of the four independent variables, namely patient focus (p = 0.002), continuous system improvement (p = 0.014), and education and training (p = 0.008), had a significant influence on hospital management strategies. Meanwhile, the teamwork variable showed statistically insignificant results (p = 0.089). A determination coefficient value (R²) of 0.62 indicates that the four TQM variables together are able to explain 62% of the variation in hospital management. The results of this study confirm that the application of TQM principles contributes positively to improving hospital quality management in the JKN era. Focusing on patients has been proven to be influential in improving the quality of health services, education and training that strengthens the competence of health workers, as well as efforts to improve the system that is sustainable as the foundation for improving services. Hospital management strategies that integrate TQM principles can help improve operational efficiency, strengthen prevention efforts, and provide services that are more responsive to patient needs. The consistent implementation of TQM can be a strategic approach for hospitals in answering the challenges of implementing JKN effectively. The success of the National Health Insurance (JKN) program is highly dependent on the ability of hospitals to implement adaptive management to changing community needs. This study aims to analyze the management strategy of Graha Bunda Hospital in facing JKN challenges through the implementation of Total Quality Management (TQM
PENGARUH GERAKAN DAN DURASI SHOLAT TERHADAP TANDA VITAL PADA IBU HAMIL
Full text linkLatar Belakang: Stres dan gejala terkait lainnya yang menyertai kehamilan dapat dikelola dengan bantuan berupa latihan fisik. Metode lain untuk relaksasi adalah mendekatkan diri dengan berdzikir atau mengingat Allah SWT, dalam ibadah sholat. Tujuan: Menganalisis pengaruh gerakan dan durasi sholat terhadap tanda vital pada ibu hamil. Metode: Desain penelitian quasi eksperiment dengan pendekatan one group pre and post test design, sampel sebanyak 20 ibu hamil. Analisis bivariat paired sample test. Hasil: Analisis univariat dari gerakan sholat yang dilakukan, dalam 10 detik pertama, rata-rata detak jantung naik, sedangkan pada 20 detik rata-rata detak jantung menurun, dan naik kembali pada waktu 30 detik. Dalam 10 detik pertama, rata-rata kadar O2 cenderung konstan, sedangkan pada 20 dan 30 detik rata-rata kadar O2 naik. Dalam 10 detik pertama, rata-rata tekanan darah sistolik naik, sedangkan pada 20 dan 30 detik menurun, meski ada data di gerakan sujud naik pada waktu 30 detik. Analisis bivariat didapatkan nilai P = 0,279 yang bermakna tidak ada pengaruh gerakan dan durasi sholat terhadap tanda vital pada ibu hamil. Kesimpulan: Tidak ada pengaruh gerakan dan durasi sholat terhadap tanda vital pada ibu hamil
PENGARUH PEMBERIAN TERAPI MUSIK KLASIK TERHADAP TINGKAT KECEMASAN IBU HAMIL TRIMESTER III
Full text linkLatar Belakang : Ibu hamil trimester III banyak yang belum pernah menerapkan manajemen terapi musik klasik selama hamil sehingga tidak mengetahui pentingnya mengatasi kecemasan melalui terapi musik klasik oleh karena itu penelitian ini bertujuan untuk mencari penerapan pemecahan masalah kecemasan ibu hamil Trimester III menggunakan terapi musik klasik. Metode: Penelitian ini menggunakan metode pre-experimental design tipe one group pretest-posttest. Penelitian dilakukan di Klinik Tiara Husada. Pemilihan sampel dilakukan menggunakan Teknik purposive sampling, dengan jumlah responden sebanyak 45 orang responden. Responden merupakan Ibu hamil trimester III dengan usia kehamilan 32-36 minggu. Instrumen yang digunakan dalam penelitian ini adalah Instrumen yang digunakan dalam penelitian ini yakni SOP Terapi music dan Hamilton Rating Scale For Anxiety (HARS) untuk mengukur Tingkat nyeri. Uji analisis dilakukan dengan uji Wilcoxon Signed Rank Test. Hasil : Diperoleh nilai Z Hitung sebesar -5,144 dan nilai p-value adalah sebesar 0,000 (p-value < 0,05) Simpulan : Terdapat pengaruh pemberian terapi musik klasik terhadap tingkat kecemasan ibu hamil trimester III di Klinik Tiara Husada. Pemberian terapi music klasik dapat memberikan ketenangan pada ibu hamil, sehingga sangat baik diterapkan dalam praktik sehari – hari
Analisis Korelasi HbA1c dengan Mean Platelet Volume dan Platelet Distribution Width pada Pasien Diabetes Melitus Tipe 2
Full text linkControlling blood glucose levels is the main key in treating and preventing diabetic vascular complications. However, routine monitoring of glycemic status using standard HbA1c markers is still hampered by limited costs and health facilities. The platelet index is considered to have potential as a predictor of vascular complications in DM patients. This study aims to examine the correlation of HbA1c with mean platelet volume (MPV) and platelet distribution width (PDW) in type 2 DM patients. This cross-sectional study used medical record data. The sample consisted of 60 patients with type 2 diabetes who received treatment at Pasar Rebo Regional General Hospital, Jakarta, in 2024. All patients had HbA1c levels above 6.5%. The proportion of patients with high MPV and PDW was 5% and 11.7%, respectively. Based on bivariate analysis with the Spearman test, there was a significant correlation between HbA1c levels and MPV values (p-value < 0.05; r = 0.561) and PDW values (p-value < 0.05; r = 0.433). A strong positive correlation was observed between HbA1c levels and MPV values and a moderate positive correlation between HbA1c levels and PDW values, indicating that an increase in HbA1c levels tends to be accompanied by an increase in MPV and PDW values
Deteksi Gen nuc (nuclease) Bakteri Methicillin Resistant Staphylococcus aureus (MRSA) Pada Sampel Ulkus Diabetikum Metode PCR
Full text linkDiabetic ulcers represent a common chronic complication of diabetes mellitus (DM) and are frequently associated with infections caused by Staphylococcus aureus. Staphylococcus aureus possesses multiple virulence factors, including the nuc (nuclease) gene, which encodes a thermonuclease enzyme capable of degrading DNA and destroying phagocytes within the host. Methicillin-resistant Staphylococcus aureus (MRSA) is a strain of S. aureus exhibiting resistance to methicillin and other beta-lactam antibiotics. This study used conventional PCR Methode to detect the presence of the nuc (nuclease) gene in MRSA isolates obtained from patients with diabetic ulcers. A descriptive quantitative study with a cross-sectional design was conducted on 30 diabetic ulcer samples collected from Rumah Rawat Luka Surabaya between April and May 2025. Phenotypic identification and antibiotic susceptibility testing were performed, followed by molecular detection of the nuc (nuclease) gene using the conventional PCR method, generating an amplicon of 279 bp. The findings revealed that 19 of the 30 diabetic ulcer swab samples were phenotypically identified as Staphylococcus aureus. Antibiotic susceptibility testing indicated that 6 (31.6%) of these isolates were methicillin-resistant (MRSA). Among the 6 MRSA isolates, 3 (50%) tested positive for the nuc (nuclease) gene. This study emphasizes the application of molecular-based diagnostic methods such as PCR for the rapid detection of MRSA in diabetic ulcers, thereby supporting the selection of appropriate antibiotic therapy and improving the success of clinical management
LITERATUR REVIEW TERHADAP PENGGUNAAN VIRTUAL REALITY DALAM REHABILITASI FUNGSI MOTORIK PASIEN STROKE
Full text linkTeknologi realitas virtual (VR) semakin mendapat perhatian sebagai pelengkap dalam rehabilitasi stroke, khususnya dalam meningkatkan fungsi motorik ekstremitas atas. Pelatihan berbasis VR memberikan latihan yang imersif, berulang, dan spesifik tugas yang dapat merangsang plastisitas saraf serta mendorong partisipasi aktif pasien. Intervensi ini terbukti memberikan dampak positif terhadap mobilitas ekstremitas atas, keseimbangan, pola berjalan, dan pemulihan motorik secara menyeluruh. Sifat VR yang interaktif dan menarik juga meningkatkan motivasi serta kepatuhan pasien terhadap terapi, yang merupakan faktor penting dalam keberhasilan rehabilitasi. Selain itu, pelatihan VR dapat disesuaikan dengan kebutuhan individu dan diterapkan baik di fasilitas medis maupun di rumah, sehingga memberikan fleksibilitas dan kesinambungan perawatan. Bukti menunjukkan bahwa integrasi VR merupakan pendekatan menjanjikan yang melengkapi terapi konvensional dengan menawarkan rehabilitasi yang berpusat pada pasien, berbasis teknologi, dan mudah diakses. Dengan kemampuannya dalam meningkatkan hasil fungsional serta keterlibatan pasien, VR menjadi solusi inovatif dalam program pemulihan stroke masa kini.Kata Kunci : Stroke, Latihan, Ekstremitas atas, Rehabilitasi, Virtual Realit