Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Pengaruh Penambahan Limbah Cair Industri Tempe pada Proses Reduksi Sampah Organik Menggunakan Larva Black Soldier Fly (BSF) Tahun 2024
Proses produksi tempe selalu menghasilkan limbah cair yang memiliki kandungan tinggi organik dan melebihi baku mutu. Limbah dibuang secara sembarangan ke sungai sehingga berpotensi menjadi media pertumbuhan bakteri hingga berdampak negatif pada manusia. Tujuan penelitian ini adalah untuk menganalisis pengaruh penambahan limbah cair industri tempe pada proses reduksi sampah organik menggunakan larva BSF. Metode yang digunakan yaitu Quasi Eksperiment dengan desain Nonequivalent Control Group Design. Variabel yang diteliti yaitu Sampel yang digunakan adalah 84.000 gram sampah organik di TPST Karangmangu. Peneliti menggunakan larva BSF berumur 9 hari untuk mereduksi sampah organik selama 9 hari. Masing-masing sampel diberi 2.000 gram sampah organik dan 3,5 gram larva BSF dengan 6 replikasi. Hasil penelitian menunjukkan bahwa reduksi sampah organik kelompok kontrol sebanyak 828 gram (41,4%), penambahan limbah cair 55% sebanyak 1.207,5 gram (60,4%), penambahan limbah cair 65% sebanyak 1.362 gram (68,1%), dan penambahan limbah cair 75% sebanyak 1.464 gram (73,2%). Hasil analisis uji One Way Anova menunjukkan bahwa nilai signifikansi (p-value=0,00) yang artinya bahwa penambahan limbah cair industri tempe mempengaruhi proses reduksi sampah organik menggunakan larva BSF. Saran untuk peneliti selanjutnya dapat menganalisis pengaruh suhu dan kelembapan lingkungan, suhu dan kelembapan media, dan berat larva BSF pada proses reduksi sampah organik menggunakan larva BSF
Non Malefficence pada Pasien Hipertensi: Analisis Konsep
Background: The principle of nonmaleficence (no harm) means not causing physical and psychological harm/injury to the patient. The principle of nonmaleficence means that health workers in providing health services must always have the intention of helping patients overcome their health problems. Nonmaleficence in hypertensive patients depends on how the nurse or health worker provides assistance or nursing care so as not to cause harm/danger to the patient. Objective: the concept analysis aimed to explore Non-Malefficence pada Pasien Hipertensi. Methods: This concept analysis was carried out with the help of literature about non-maleficence obtained through the Google Scholar and Preplexity databases. The keywords used are "non-maleficence concept" and "hypertension sufferers". The years of publication of books and articles start from 1989 to 2021. Results: An estimated 1.13 billion people worldwide suffer from hypertension, the majority (two-thirds) living in low- and middle-income countries. In 2015, 1 in 4 men and 1 in 5 women suffered from hypertension. Less than 1 in 5 people with hypertension have the problem under control. Conclusion: This concept analysis was carried out using the methods and steps proposed by Walker and Avant. Method of identifying attributes, antecedents and consequences of non-maleficence. This gives rise to the operational definition of mal noneficence, namely a person's moral principles in making decisions to provide treatment/action/therapy with appropriate benefits without causing physical or mental harm, harm or danger
Analisis Kinerja Unit Rekam Medis Berdasarkan Standar Kompetensi PMIK di Rumah Sakit Wilayah Sulawesi Selatan
Kompetensi yang dimiliki manajer unit kerja rekam medis berdampak pada pengelolaan unit kerja. Masih terdapat manajer unit kerja rekam medis yang tidak memiliki latar belakang pendidikan rekam medis sehingga secara kompetensi tidak memenuhi standar. Penelitian ini bertujuan untuk mengetahui pengaruh kompetensi pengelola unit kerja RMIK terhadap kinerja unit rekam medis dan informasi kesehatan di rumah sakit. Jenis penelitian adalah deskriptif kuantitatif dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah 113 manajer unit rekam medis di rumah sakit wilayah Sulawesi Selatan dan teknik penarikan sampel yang digunakan adalah convenience sampling. Hasil penelitian menunjukkan bahwa variabel kompetensi memiliki hubungan yang signifikan dengan variabel kinerja unit rekam medis. Kemudian dari hasil uji regresi linear sederhana menunjukkan terdapat pengaruh yang signifikan antara kompetensi pengelola unit kerja terhadap kinerja unit rekam medis di rumah sakit. Pihak manajemen rumah sakit perlu memberikan pelatihan untuk meningkatkan kompetensi manajer unit kerja rekam medis berdasarkan standar nasional akreditasi rumah sakit
Gambaran Kadar Hemoglobin pada Calon pendonor Usia lebih Dari 46 Tahun di UDD PMI Kabupaten Jepara
Blood donation is the process of taking a portion of blood from a healthy person then giving it to the person who needs blood. Hemoglobin level examination is one of the donor selection checks to find out whether someone is successful or not to donate blood. A person can donate blood if the hemoglobin level shows a result of 12.5 g / dL – 17 g / dL. A person's hemoglobin level can be influenced by age, because as we get older many organ functions that do not work optimally so that they experience a decrease in Hb levels. The purpose of this study was to measure hemoglobin levels in prospective donors aged more than 46 years at UDD PMI Jepara Regency. This type of research uses a quantitative approach with a cross-sectional descriptive study research model taken from the SIMDONDAR database. The population in this study is all potential donors at UDD PMI Jepara Regency in December 2023-January 2024. The data obtained were analyzed univariately. Based on the results of the study, it was found that the majority of prospective donors showed normal hemoglobin levels as many as 480 prospective donors (94.86%), and more prospective donors who had blood type O (+) as many as 187 prospective donors (36.96%), most prospective donors were male as many as 342 prospective donors (67.59%), and the majority of prospective donors were declared to have passed the donor selection as many as 480 prospective donors (94.86%). The impact of the research results obtained by UDD PMI Jepara Regency is that officers are aware of the importance of socializing to the community how important it is to maintain hemoglobin levels before donating blood and recruiting donors from various ages of prospective donors in the Jepara Regency area.Donor darah adalah proses mengambil sebagian darah dari orang yang sehat kemudian diberikan kepada orang yang membutuhkan darah. Pemeriksaan kadar Hemoglobin merupakan salah satu pemeriksaan seleksi donor untuk mengetahui bahwa seseorang berhasil atau tidak untuk mendonorkan darahnya. Seseorang boleh mendonorkan darahnya apabila kadar hemoglobin menunjukkan hasil 12,5 g/dL–17 g/dL. Kadar hemoglobin seseorang dapat dipengaruhi oleh usia, karena seiring dengan bertambahnya usia banyaknya organ fungsi yang tidak bekerja dengan maksimal sehingga mengalami penurunan kadar Hb. Tujuan penelitian ini adalah untuk mengukur kadar hemoglobin pada calon pendonor usia lebih dari 46 tahun di UDD PMI Kabupaten Jepara. Jenis penelitian ini menggunakan pendekatan kuantitatif dengan model penelitian studi deskriptif cross-sectional yang diambil dari database SIMDONDAR. Populasi pada penelitian ini yaitu seluruh calon pendonor di UDD PMI Kabupaten Jepara pada bulan Desember tahun 2023-Januari tahun 2024. Data yang telah diperoleh dilakukan analisis secara univariat. Berdasarkan hasil penelitian diperoleh bahwa mayoritas calon pendonor menunjukkan kadar hemoglobin normal sebanyak 480 calon pendonor (94,86%), serta lebih banyak calon pendonor yang memiliki golongan darah O (+) sebanyak 187 calon pendonor (36,96%), sebagian besar calon pendonor ialah berjenis kelamin laki-laki sebanyak 342 calon pendonor (67,59%), dan calon pendonor mayoritas dinyatakan lolos seleksi donor sebanyak 480 calon pendonor (94,86%). Dampak hasil penelitian yang didapatkan oleh UDD PMI Kabupaten Jepara ini adalah petugas sadar akan pentingnya melakukan sosialasi kepada masyarakat betapa pentingnya menjaga kadar hemoglobin sebelum mendonorkan darahnya, dan melakukan rekrutmen donor dari berbagai kalangan usia calon pendonor di wilayah Kabupaten Jepara
PENINGKATAN PENGETAHUAN DAN KETRAMPILAN WARGA DALAM PEMBUATAN JAMU UNTUK PENCEGAHAN COVID 19 DI KELURAHAN DEBONG KULON KOTA TEGAL
Kasus positif Covid-19 menyebar di Indonesia pertama kali pada 2 Maret2020, ketika seorang instruktur dansa dan ibunya terkonfirmasi tertular dariseorang warga negara Jepang. Pada 9 April, pandemi sudah menyebar ke34 provinsi. Upaya pencegahan dan penanggulangan untuk melawanCovid-19 telah banyak dilakukan. Vaksin untuk mencegah infeksi Covid-19sedang dalam tahap pengembangan/uji coba, sehingga berbagai ikhtiartetap harus dijalankan, disertai dengan berdoa dan bertawakal. Sementaraobat dan vaksin belum ditemukan, maka upaya atau tindakan tepat yangdapat dilakukan adalah dengan memperhatikan beberapa upayapencegahan penyebaran dari Covid 19 ini. Pemerintah telahmensosialisasikan protokol pencegahan penyebaran Covid 19 ini secaramasif dengan memanfaatkan semua media dan sukarelawan sertamenggerakkan perangkat birokrasi dari tingkat pusat hingga daerah.Substansi dari beberapa pencegahan intinya adalah agar daya tahantubuh tetap kuat melawan serangan virus. Banyak hal yang dapat dilakukanuntuk menjaga kekebalan tubuh. Mulai dari menjalani pola hidup sehat,mengonsumsi vitamin dan lainnya. Di Indonesia sendiri, sebagian orangmasih percaya dengan beberapa ramuan tradisional atau lebih dikenaldengan jamu. Metode yang digunakan meliputi edukasi dan prakteklangsung pembuatan jamu. Evaluasi diukur dari peningkatan pegetahuandan ketrampilan sebelum dan sesudah pelaksanaan kegiatan pengabdianmasyarakat. Hasil yang dicapai setelah dilakukan kegiatan pengabdianmasyarakat menunjukkan adanya peningkatan pengetahuan dari pesertadan dapat mempraktekan cara pembuatan jam
Penerapan Pengendalian Kuman Penyakit Melalui Upaya Sanitasi Alat Makan Secara Sederhana Bagi Pedagang Kaki Lima
Pedagang kaki lima merupakan potensi peluang usaha yang cukup menjanjikan bagi masyarakat dan terbukti dapat menggerakkan perekonomian masyarakat di tengah kondisi sulitnya mencari lapangan pekerjaan Pedagang kaki lima yang berjualan makanan didapati mencuci alat makan di tempat berjualan tidak ada yang menggunakan 3 bak pembilas. Hal tersebut memberikan kemungkinan alat makan yang digunakan mengandung kuman bakteri karena habis digunakan oleh pembeli secara bergantian dan pencucian tidak saniter. Tujuan dari pengaplikasian ini adalah membandingkan potensi aktifitas antimikroba dari jeruk lemon, jeruk nipis, dan jahe sekaligus memberikan edukasi pada pelaku pedagang kaki lima. Dalam penerapan ini, penulis menggunakan pendekatan Pre-Post True Experimental Design dengan tahapan persiapan alat bahan, pengambilan sampel alat makan pedagang kaki lima, pemeriksaan jumlah kuman. Hasil penerapan ini menunjukkan semakin banyak sari buah jeruk nipis dan larutan jahe yang ditambahkan, semakin banyak jumlah koloni kuman yang mati. Disimpulkan bahwa pemakaian larutan Jahe lebih bagus dibandingkan dengan jeruk nipis terbukti jahe dapat menurunkan jumlah kuman lebih besar.
Effectiveness of Automated External Defibrillator Drones for Handling Out-Of-Hospital Cardiac Arrest (OHCA): Literature Review
Background: Out-of-hospital cardiac arrest is one of the leading causes of death worldwide. Out-of-hospital cardiac arrest or OHCA represents a significant burden of disease globally. The number of out-of-hospital cardiac arrests reaches 360,000 events every year. Treatment for cardiac arrest requires immediate defibrillation to increase the survival rate of OHCA patients. One method that can be used is by sending AEDs using drones. It is hoped that sending and using AEDs via drones can increase the rate of AED application and reduce defibrillation time.Methods: This study is a literature review which aims to determine the effectiveness of AED drones for treating out-of-hospital cardiac arrest (OHCA). This literature review analyzes 10 articles originating from journal databases, namely Google Scholar, Pubmed and Science Direct with the keywords "Drone AED", "EMS". And “Out-Of-Hospital Cardiac Arrest”.Results: The results of the analysis show that AEDs delivered with an Unnamed Aerial Vehicle (UAV) system using drones can reduce the time for administering defibrillation immediately before health workers arrive. Success in treating OHCA and a higher chance of life, AED delivery by drone can also save costs. to send an EMS ambulanceConclusion: Based on the results of the analysis of several articles, it was concluded that AED drones were effective in delivering AEDs in cases of Out-Of Hospital Cardiac Arrest (OHCA) which occurred in remote areas or far from public locations. AEDs delivered using an Unnamed Aerial Vehicle (UAV) system using drones can reduce the time to provide defibrillation immediately before health workers arrive, resulting in success in treating OHCA and a higher chance of life. AED delivery by drone can also save the costs required to send an EMS ambulance. However, there are several obstacles that can be found from several articles, namely that sending AEDs requires a flight permit from the government, the design of drones for AEDs must be appropriate, and in bad weather sending AEDs by drone can be hampered. Therefore, further research needs to be carried out to provide a solution for sending AED drones during extreme weather
DESIGN AND CONSTRUCTION OF ORBITA PROTECTION EQUIPMENT FOR PANORAMIC EXAMINATION
Panoramic dental radiography uses X-rays to produce radiographs of the jaw and facial structures, from the teeth to the TMJ and the entire dental arch. Exposure to X-rays during an examination can be problematic because sensitive areas such as the thyroid gland and eyes adjacent to tooth structure also receive radiation exposure. Patients in panoramic examinations do not use eye radiation protection equipment for the orbit, namely Pb glasses, while the eyes are close to the dental arch which can receive radiation exposure, so eye radiation protection equipment is needed in panoramic examinations for patient safety. The aim of the research is to determine the function test and performance test of the Eye Radiation Protection Device.This type of research is quantitative research with an experimental approach. The research sample was 3 patients with variations of 3 kV: 70, 76, and 86 kV with a setting of 10 mA. The radiation dose to the eye was measured using a phantom and pocket dosimeter before and after using the radiation protection design tool, then looking for the average, difference and percentage and carrying out the Kruskal-Wallis spss test.The results of the three radiographs showed no artifacts, the exposure factor before using the device was 70 kV = 0.08 mSv, 76 kV = 0.17, 86 kV = 0.27 mSv while the radiation dose received after using the device with an exposure factor of 70 kV = 0 mSv, 76 kV = 0.86 kV = 0.003 mSv, while from the Kruskall-walls statistical test pre-test and post test kV 70 shows a significant value of 0.034 0.05, kV 76 does not show a significant value of 0.121 0.05, kV 86 shows a significant value of 0.043 0.05. The design of this eye radiation protection device has succeeded in reducing or reducing the radiation dose around the eyes by up to 100%. Meanwhile, the level of feasibility of the tool has a respondent score of 80%. Suggestions for using a thermoluminescence radiation measuring instrument (TLD) with smaller units, namely µSv
Dental and Oral Hygiene Pocket Guide to Improve Tooth Brushing Skills and Dental Hygiene Status of Children with Disabilities through Parental Assistance
The results of the Riset Kesehatan Dasar (RISKESDAS) in 2018 stated that oral health problems in the Indonesian population increased in 2018. In 2013, the percentage of the Indonesian population who had oral and dental problems was 25.9% and then increased in 2018 to 57.6%. Forced children are quite vulnerable to oral health problems. The poor state of the oral cavity is due to unsupervised brushing, other factors such as brushing techniques, motor skills and assistance that are still ignored. In addition, there is a lack of visualization to understand and master oral hygiene practice techniques. Brushing is a common way to clean teeth from plaque and other dental debris. Plaque that remains in the oral cavity is one of the local irritant factors that cause caries and gingivitis. Therefore, the Dental and Oral Health Pocketbook innovation was made to overcome problems related to the dental health maintenance behavior of children with disabilities through parental assistance. Some of the steps applied in this activity include the preparation, implementation, and evaluation stages. This activity involved 7 children with disabilities, each accompanied by their parents in the implementation process. As a result of this activity, it can be concluded that the Pocket Guide proved to be effective in helping children with disabilities understand and apply proper tooth brushing techniques. In addition to improving skills, the program also succeeded in raising awareness about the importance of maintaining oral health.Keyword : pocket guide; tooth brushing skills; dental hygiene status; children with disabilitie
Impact Of Fragrant Pandan Leaves Ethanol Extract (Fplee) On Alt And Ast Levels In High-Fat Diet-Induced Rat
Energy-dense, low-nutrient, and ultra-processed diets rich in fat can be a risk factor for fatty liver disease. Fragrant pandan is a plant that grows widely in Indonesia and is widely used as a herbal plant. This study aimed to determine the potential of fragrant pandan leaf ethanol extract (FPLEE) to reduce ALT and AST levels. It is a posttest control group design experiment. A total of 24 Rattus norvegicus specimens. All groups were given high-fat food for two weeks, except for NC. In the next two weeks, S was induced by simvastatin and FPLEE; T1, T2, and T3 were induced by 8, 16, and 32 mg/200 g BW/day, respectively. The One-Way ANOVA test results showed α=0.000 for ALT and α=0.029 for AST. Post-hoc LSD showed that NC was significantly different from T1, T2, and T3 (p0.05); therefore, FPLEE was unable to reduce ALT levels. For AST levels, NC was significantly different from C+, T1, and T2 (P0.05). Thus, T3 (32 mg/200 g BW/day of FPLEE) yielded the best results in reducing AST levels (p0.05). Based on these results, FPLEE has side effects on liver function, as seen in increased blood ALT levels, but it can reduce blood AST levels