Beranda Jurnal Online Politeknik Kesehatan Kemenkes Semarang (POLTEKKES E-Journal)
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Nonmaleficence pada Pasien Neonatal dengan Hiperbilirubinemia yang Menjalani Fototerapi: Analisa Konsep
Get PDFBackground: The clinical ethical issue of nonmaleficence is not causing harm to patients. The principle of nonmaleficence requires that every medical action be weighed against all benefits, risks, and consequences. This principle reminds practitioners that the benefits of medical action should always be weighed against all risks and consequences. Objective: The concept analysis aimed to explore the nonmaleficence in neonatal hyperbilirubinemia patient undergoing phototherapy. Methods: Walker and Avants's method for concept analysis is used in this paper. This paper defines the attributes using the eight-step Walker and Avant’s process of concept analysis method, such as the main objectives of the concept analysis process are to identify the attributes and provide researchers with a precise definition of the concept. Therefore, this analysis can provide a conceptualized definition of hyperbilirubinemia, phototherapy and nonmaleficence. The search method performing a literature searching PUBMED, Science Direct, ProQuest, and Google Scholar databases using the keywords hyperbilirubinemia, phototherapy, and nonmaleficence as key word and title. Published materials conducted from 2000 to 2023 in English or Indonesian. Results: The concept analysis showed that health workers in providing health care efforts must always be with the intention of helping patients overcome their health problems. Nurses’ actions must be in accordance with procedures so that there are no errors or negligence that can harm patient and families so that they can provide maximum benefits and minimal risk. Conclusion: Nurse using ethical concept of nonmaleficence tried to explanation to mothers and family members in non-medical language
Evaluasi Kelengkapan Data Informasi terkait Survei Kelas Rawat Inap Standar (KRIS) untuk Mendukung Keputusan Kesehatan di Dinas Kesehatan Sleman
Get PDFThis research aims to identify the completeness of information data related to the Standard Inpatient Class Survey (KRIS) at the Online Hospital (RS Online) of the Sleman Health Office and analyze its implications for decision-making in the health sector. The research method employed is a qualitative descriptive approach with in-depth data analysis from the RS Online website and related literature. Challenges faced include enhancing awareness and involvement of hospitals in data collection and reporting, as well as adapting to changes in regulations and technology. Therefore, continuous efforts are required to update policies and strategies to address these issues. The study concludes that all hospitals have completed the KRIS survey instruments, but some hospitals still need to complete identity data related to the PIC. Despite progress in data reporting, further attention is needed to enhance awareness and involvement of relevant parties and to adapt to environmental changes
Studi Faktor-Faktor Yang Mempengaruhi Ibu Hamil Trimester II Dalam Pencegahan Stunting
No full textUpaya pencegahan stunting paling baik adalah 1000 HPK (hari pertama kehidupan), dimulai sejak awal kehamilan untuk mencegah terjadinya stunting pada anak dikemudian hari. Stunting dapat terjadi selama masa kehamilan karena kurangnya asupan gizi, pola makan yang tidak adekuat, dan kualitas makanan yang rendah, yang semuanya dapat menghambat pertumbuhan janin. Oleh karena itu, penting untuk memberikan perhatian yang cukup terhadap kesejahteraan ibu hamil agar dapat mencegah terjadinya stunting pada anak yang dikandungnya.Tujuan penelitian untuk mengetahui gambaran faktor-faktor perilaku ibu hamil trimester II dalam mencegah stunting pada balita. Desain penelitian ini adalah deskriptif analitik korelasional. Populasi penelitian adalah ibu hamil trimester II yang berkunjung di klinik swasta di Kecamatan Kota Blora, dengan sampel 49 orang secara purposive sampling. Hasil Penelitian memperlihatkan bahwa hamil pada trimester II sebesar 73,7 % memiliki perilaku yang baik dalam pencegahan stunting. Hasil uji bivariat menunjukan umur 35 tahun (p=0,025), pendidikan perguruan tinggi (p=0,001), ibu bekerja (p=0,001), dan multigravida (p=0,034) berhubungan dengan perilaku baik dalam pencegahan stunting. Simpulan dari penelitian ini adalah perilaku ibu hamil yang baik dalam pencegahan stunting berada pada usia 35 tahun, pada tingkat pendidikan perguruan tinggi, pada ibu yang bekerja dan multigravida. Saran: Direkomendasikan kepada petugas di pelayanan baik negeri maupun swasta untuk meningkatkan penyuluhan perilaku pencegahan stunting pada ibu hamil, terutama melalui posyandu atau kunjungan Ante Natal Care (ANC)
THE ROLE OF DCM4CHEE AS AN OPEN SOURCE PACS IN THE RADIOLOGY DEPARTMENT OF PRIMAYA HOSPITAL SEMARANG
Get PDFThis research explores the potential use of DCM4CHEE as an open-source Picture Archiving and Communication System (PACS) that is highly flexible for development in the current era. Despite being open source, DCM4CHEE has proven to be effective and reliable in healthcare settings, particularly in radiology department. Primaya Hospital Semarang has successfully implemented DCM4CHEE as an integrated archive system directly connected to CT Scan and Conventional X-Ray modalities. Direct observations were conducted over a significant period at the radiology installation of Primaya Hospital Semarang, which utilizes DCM4CHEE. This provided direct insights into how the system is implemented and used in practical situations. Furthermore, in-depth interviews were conducted with radiographers to gain their perspective on the experience of using DCM4CHEE. The research results indicate that the use of DCM4CHEE contributes positively in various aspects, including user-friendly operation, adequate utility, workflow improvement, and cost savings in healthcare services. The implementation of this software not only aids in the efficient management of radiological data but also reduces dependence on traditional filming systems, supporting the transition towards a paperless workflow. In conclusion, DCM4CHEE is reliable and highly beneficial in the context of healthcare services. Its adaptability allows seamless integration with Hospital Information Systems (HIS) and Radiology Information Systems (RIS), enhancing overall interoperability and efficiency. This research provides a foundation for recommending the use of DCM4CHEE as a customizable PACS solution that can positively contribute to improving the quality of radiology services in various healthcare department
THE INFLUENCE OF SMOKING HABITS ON THE DIABETIC ULCER HEALING PROCESS
Get PDFDiabetic ulcers are a complication of impaired bodily function resulting from high blood glucose that occurs for a long time and is not well controlled. There is a close relationship between diabetes and an increased risk of arteriosclerosis and peripheral arterial disease. The risk increases in active smokers. Macrovascular disorders occur mainly in the infragenicular vessels (tibial and peroneal arteries). Quantitative research using cross sectional and observation on 14 grade II diabetic ulcer patients at the Kitamura Clinic Pontianak to see how smoking habits influence the wound healing process. The smoking habit is one of the main risk factors that can slow down or even inhibit the healing process of diabetic ulcer
PELATIHAN DAN PENDAMPINGAN KADER KESEHATAN DALAM PENGELOLAAN PENYAKIT HIPERTENSI DI KELURAHAN BANDUNG KOTA TEGAL
Get PDFOne of the non-communicable diseases that many people suffer from is hypertension. Hypertension is a silent disease, because sufferers do not know that they suffer from this disease before having their blood pressure checked. There is a risk of more serious illnesses such as stroke, heart attack and heart failure if you do not receive immediate treatment. In the current era of the COVID 19 pandemic, hypertension sufferers are a group that is at high risk of experiencing severity and can even cause death. Health cadres and families have a very important role in monitoring the health status of hypertension sufferers, especially in managing hypertension. Hypertension sufferers' problems that occur over a long period of time and continuously can trigger strokes, heart attacks, heart failure and are the main cause of chronic kidney failure. Therefore, hypertension management is needed to prevent damage to target organs in the long term thereby reducing morbidity and mortality. The methods used are education, training and mentoring of health cadres and families as role models and change agents in the community to increase knowledge and abilities through education and management training. hypertension. The result of this community service is an increase in health cadres' knowledge of the management of hypertension
Hubungan Tingkat Asupan Zat Gizi Makro, Indeks Glikemik, Beban Glikemik Dengan Glukosa Darah Sewaktu Pada Pasien Diabetes Melitus Tipe 2
Get PDFLatar Belakang: Diabetes Melitus (DM) merupakan penyakit gangguan metabolik kronis yang di sebabkan oleh beberapa faktor diantaranya asupan zat gizi makro, indeks glikemik dan beban glikemik yang di tandai tingginya kadar glukosa darah sewaktu (GDS) akibat gangguan fungsi insulin. Tujuan: Tujuan dari Penelitian ini adalah untuk mengetahui Hubungan Tingkat Asupan Zat Gizi Makro, Indeks Glikemik Dan Beban Glikemik Dengan Glukosa Darah Sewaktu Pada Pasien Diabetes Melitus Tipe 2Metode: Penelitian ini merupakan kuantitatif dengan desain cross sectional yang dilakukan pada Tanggal 19 Juni- 14 Juli 2024 di RSU Az-Zahra Kalirejo Kabupaten Lampung Tengah. Populasi berjumlah 162 orang dan responden berjumlah 50 orang yang diambil dengan teknik sampling purposive sampling. Data primer diperoleh melalui wawancara menggunakan form recall 2x24 jam. Analisis bivariat menggunakan uji korelasi gamma. Hasil: Hasil penelitian menunjukkan dari 50 orang pasien DM Tipe 2 terdapat 39 (78%) pasien memiliki kadar GDS hiperglikemik, 24 (48%) asupan energi defisit tingkat berat, 25 (50%) asupan karbohidrat defisit tingkat berat, 20 (40%) asupan protein defisit tingkat berat, 21 (42%) asupan lemak defisit tingkat berat, 25 (50%) indeks glikemik rendah, 26 (52%) beban glikemik rendah.Kesimpulan: Ada hubungan yang kuat antara asupan zat gizi makro (energi p= 0,001. karbohidrat p= 0,002. protein p= 0,005, lemak p= 0,004), indeks glikemik (p= 0,001) dan beban glikemik (p=0,001) dengan kadar glukosa darah sewaktu pasien diabetes melitus tipe 2. Diharapkan pasien DM tipe 2 dapat menerapkan prinsip 3J yaitu tepat jenis, jumlah dan jadwal makanan yang dikonsumsi dalam pengendalian glukosa darah sewaktu
Research Trend On Healthcare (Hospital Financial) Failure And Activity-Based Costing Methods: A Bibliometric Analysis
No full textHospital financial failure means bankrupt in economic point-of-view. While from the patient care perspective, it can compromise healthcare delivery and deliver possible harm due to substandard services. Leveraging digitalization and information technology can significantly enhance financial management, improve efficiency, and ultimately support sustainable healthcare services. This bibliometric analysis through Scopus database. Retrieved articles were examined based on annual publication numbers, contributing countries, subject areas, authors, and cited documents. Visual analysis was done using VOSviewer to provided insights into word co-occurrence in clusters and R Studio's Bibliometrix package was employed to identify the most contributing countries and the most cited publications. The analysis on total 429 articles revealed that healthcare and activity-based costing is an emerging trend, with a growing number of publications each year. The United States emerged as the leading country in this research area, though other nations also contributed significantly. Medicine was identified as the most common subject area. VOSviewer analysis identified seven clusters related to the topic. Activity-based costing has evolved to accurately assess product costs in changing business landscapes, particularly in healthcare, where it helps optimize profits. The findings indicate a growing awareness of the importance of financial management in sustaining healthcare services globally. However, the study's reliance on a single database and lack of a comprehensive systematic review limit its scope, potentially excluding relevant research from other sources
Variance Index Score (Vis) Evaluation Of Homemade And Commercial Control Sera On Ast And Alt Assays
Get PDFControl materials are used as indicators of monitoring the performance of laboratory examinations so that the results issued are valid. Method of assessing the implementation of External Quality Assurance (EQAS) used Variance Index Score (VIS). This study aims to determine difference between pooled sera, homemade and commercial lyophilizates on AST and ALT parameters based on VIS. This research used comparative descriptive with quantitative approach in December 2023-May 2024. Homemade lyophilizates performed at UBAYA technobiology laboratory, determination of true value performed at 2 reference laboratories and clinical chemistry laboratory Poltekkes Surabaya, and determination of VIS performed at 10 primary level clinical laboratories in Surabaya Raya which determined by purposive sampling. The statistical analysis results showed no difference between homemade and commercial control materials based on VIS to the true value and all participating laboratories, so it was concluded that homemade control materials could be used as a substitute in implementing EQAS
Formulation And Stability Of Gel Toothpaste With Sungkai Leaf (Peronema Canescens Jack) Extract And Na-Cmc Gelling Agent
Get PDFThe Sungkai leaf (Peronema canescens Jack), which is rich in alkaloids, flavonoids, tannins, and phenolics, has long been used as a natural immune booster, particularly during the pandemic. With increasing concerns over the health risks of fluoride, such as dental fluorosis and systemic toxicity, the demand for natural alternatives in oral care has risen. This study aimed to formulate and evaluate the physical stability of a gel toothpaste containing Sungkai leaf extract by examining the effects of varying concentrations of Na-CMC (Sodium Carboxymethyl Cellulose) as a gelling agent. Using an experimental one-shot case study design, the physical stability of different concentrations of NaCMC (3%, 4%, 5%, and 6%) was assessed. Stability testing was performed on 5 sample formulations per concentration. The tests included organoleptic properties, homogeneity, pH, foam height, and viscosity over four weeks. The results showed that all formulations met the Indonesian National Standard (SNI No.12-3524-1995), with semi-solid consistency, distinctive Sungkai odor, and slightly bitter taste. The average pH ranged from 6.42 to 6.84, the foam heights were stable, and the viscosity increased with higher Na-CMC concentrations, confirming the stability of the formulation. These findings suggest that natural Sungkai leaf-based toothpaste could provide a promising alternative to traditional fluoride-based products, particularly in markets concerned about chemical ingredients in oral care products