ARTERI (E-Journal)
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Hyperthyroidisme pada Kehamilan
Hyperthyroidism is defined by abnormally high levels of thyroid hormones caused by increased synthesis and secretion of thyroid hormones from the thyroid gland. Physiological changes in pregnancy affect the function of the thyroid gland. The sharp increase in human chorionic gonadotropin (hCG) from early pregnancy stimulates the thyroid gland to increase thyroid hormone production. hCG is a glycoprotein synthesized and released from the placenta, and stimulates the TSH receptor due to its structural similarity to TSH. Normal pregnancy produces a number of important physiological and hormonal changes that alter thyroid function. These changes mean that laboratory tests of thyroid function should be interpreted with caution during pregnancy. Thyroid function tests change during pregnancy due to the influence of two main hormones: human chorionic gonadotropin (hCG), the hormone measured in pregnancy tests and estrogen, the main female hormone. The treatment of choice in pregnancy is antithyroid drugs (ATD). These drugs are effective in controlling maternal hyperthyroidism, but they all cross the placenta, thus requiring careful management and control during the second half of pregnancy taking into account the risk of fetal hyperthyroidism or hypothyroidism. An important aspect in early pregnancy is that the main side effect of taking ATD at 6-10 weeks of gestation is birth defects which can develop after exposure to the types of ATD available and may be severe. This review focuses on the management of overt hyperthyroidism in pregnancy, including the etiology and incidence of the disease, how the diagnosis is made, the consequences of untreated or inadequately treated disease, and finally how to treat overt hyperthyroidism in pregnancy. This review discusses the etiology, pathophysiology, and initial evaluation of hyperthyroidism in pregnancy, followed by a discussion of its treatment, management, and complications
Kesehatan Mental Mahasiswa Fakultas Kedokteran Di Masa Pandemi COVID-19
December 2019, COVID-19 was first reported in Wuhan, Hubei Province, China. March 11, 2020, the World Health Organization declared COVID-19 a worldwide pandemic. The COVID-19 pandemic has focused attention on the mental health of the various affected populations, medical students being one of the more vulnerable groups. Therefore, this literature review aims to find out how the mental health of Faculty of Medicine students during the COVID-19 pandemic, so that it can be used as learning material to always maintain mental health stability. The method used in this study is a literature review and literature search which was carried out by collecting several electronic journals such as PubMed, NCBI and Google Scholar. Conducted by reviewing journals related to the mental health of medical faculty students during the COVID-19 pandemic. This study involved 49 library sources from 2018-2020. From 7,143 students, 0.9% of them experienced severe anxiety, 2.7% moderate, and 21.3% experienced mild anxiety. In addition, delay in academic activities is a risk factor for experiencing symptoms of anxiety. 40% of students also experience financial difficulties, in terms of e-learning platforms, this problem is a challenge for medical students because financial and social factors can be an obstacle to the development and implementation of effective online learning programs. Future research is urgently needed to provide a better explanation of the tips needed for students in adapting to the changes that occur in order to lead a mentally healthy life in the midst of the COVID-19 pandemic
Hubungan Usia dan Paritas Terhadap Kejadian Pre Eklampsia di RSD Balung Jember
One of the contributors to maternal and infant mortality is the incidence of preeclampsia that occurs during pregnancy. The cause of preeclampsia is still unknown, but it is suspected that age and parity are one of the triggers for this occurrence. Women of childbearing age who are nulliparous with extreme age under the age of less than 20 years and women with the age of more than 35 years are most commonly found to have preeclampsia. The design in this study is analytic with a cross sectional approach. The population of all mothers giving birth in the delivery room of RSD Balung Jember was 3594 in 2019. The number of samples taken using non-random sampling by purposive sampling was finally obtained by 97 respondents. In this study, the independent variables were maternal age and parity, while the dependent variable was the incidence of preeclampsia. The instrument used is medical records. The data is processed by editing, coding, processing and cleaning processes. Data were analyzed using multiple logistic regression. The results of the chi-square test for the age variable obtained that the Pearson chi-square value was 0.019 and the p value = 0.000 <0.05 from these results Ho was rejected, and the parity variable the Pearson chi-square value was 0.019 and the p value = 0.000 <0.05 from these results Ho is rejected. In conclusion, there is a relationship between age and preeclampsia, and there is a relationship between parity and preeclampsia
Hubungan Antara Komitmen Organisasi Dan Kepuasan Kerja Dengan Organizational Citizenship Behavior (OCB) Pada Perawat di Rumah Sakit Umum Wisma Rini Pringsewu
In the hospital industry, the performance of nurses is very important in the success in the hospital. It is necessary for the workforce to be able to work optimally and the role of Organizational Citizenship Behavior (OCB). OCB is a behavior of an employee that is not formally regulated and can improve the performance of the organization. Some of the factors that affect OCB are organizational commitment and job satisfaction. Therefore, this study aims to find out the relationship of organizational commitment and job satisfaction with OCB. Data collection in this study used OCB scale, organizational commitment, and job satisfaction. Sampling using total sampling, with a sample number of 100 nurses at the public hospital Wisma Rini Pringsewu. Data analysis using multiple linear regression analysis with the help of SPSS 22.0 for windows. The results showed that Deviation From Linearity between OCB and Organizational Commitment of 0.707 and between OCB and Job Satisfaction of 0.602, where the value of each variable is p>0.05s so that it indicates there is a linear relationship, and can be continued with hypothetical tests. It is known that the first hypothesis is that the relationship between organizational commitment and job satisfaction is positively correlated with ocb variables with the significance of p<0.01 and p<0.05 received. The conclusion is that there is a relationship between organizational commitment and job satisfaction with Organizational Citizenship Behavior (OCB
Hubungan Pengetahuan Bumil TM III tentang Tanda Bahaya Kehamilan dengan Pemanfaatan Buku KIA
At this time, many pregnant women don’t understand the importance of KIA Books. KIA books are often assumed to be a control card that must carry. But too much of information contained has an impact KIA books being less applied by pregnant woman. The purpose of this study was to determine the relationship between knowledge of pregnant women TM III with danger signs of pregnancy use of KIA books. This research design uses probability sampling by means of cluster sampling. The data were taken from a questionnaire given by pregnant women TM III. Research subject is pregnant women with TM III, data were analyzed by the spearman rank test. This study involved 62 pregnant women TM III. The result is 19 respondents (30.6%) have good knowledge, in detail 15 respondents (24.4%) use KIA books and 4 respondents (6.5%) didn’t use KIA books. Meanwhile, 21 respondents (33.9%) were knowledgeable enough, in detail 11 respondents (17.7%) used KIA books and 10 respondents (16.1%) didn’t use KIA books. Then, 22 respondents (35.5%) had less knowledge, indicating that 16 respondents (25.8%) used KIA books and 6 respondents (25.8%) didnt use KIA books. Spearman rank test results obtained value 0.764 > = 0.05. In conclusion, there is no relationship between the knowledge of pregnant women TM III about the danger signs of pregnancy with the use of the KIA books. So it is important to understand the KIA books for pregnant women with TM III to detect the danger signs of pregnancy so that they can be handled quickly and appropriately
Pengaruh Pemberian Minuman Cokelat (Theobroma cacao L.) Terhadap Berat Basah Organ Hati Tikus Diabetes Melitus
Cacao (Theobroma cacao L.) is known to have enormous potential advantages because they contain vitamins A1, B1, B2, C, D, and E as well as minerals such as iron, zinc, phosphorus, magnesium, and copper. In addition, chocolate is also known to be rich in active antioxidant ingredients such as phenolic compounds, prociandin, and flavonoids which can reduce the bad effects of antioxidants in the body. giving chocolate to experimental animals and consumption interventions in humans can prevent and overcome the problem of several diseases, one of which is diabetes mellitus. The purpose of this study was to see the effect of giving cocoa powder drink to the wet weight of the liver in rats with diabetes mellitus. The research design used was experimental research using a completely randomized design with a post-test only control group design. The experimental sample used fifteen male white rats (Rattus norvegicus) Sprague Dawley strain. The experimental mice were divided into 5 groups, namely the negative control group (K-), namely normal rats without any treatment, the positive group, namely the diabetes mellitus (K +) group; treatment group 1 (KP1), treatment group 2 (KP2), treatment group 3 (KP3), namely the diabetes mellitus group of rats that were given the treatment of chocolate drink with a concentration of cocoa powder drink doses of 2%, 4% and 6%. Data analysis was performed using the One Way ANOVA test. Results: The results showed that the organ weight in the group K- = 10.46 ± 0.44; K + = 11.49 ± 0.39; KP1 = 9.95 ± 0.60; KP2 = 11.30 ± 0.60; KP3 = 11.09± 0.90. Statistical analysis showed that there was no significant difference for each treatment with a value of p = 0.077. The conclusions in the study regarding the effect of giving chocolate drink on the wet weight of the liver in rats with diabetes mellitus showed that giving cocoa powder with a concentration of 2%, 4% and 6% was not able to significantly affect the wet weight of the liver
Hubungan Tingkat Pendidikan dengan Angka Kejadian Kondiloma Akuminata
Condyloma acuminata or what is often referred to as or genital warts caused by certain types of human papilloma virus (HPV) especially types 6 and 11. The level of education is one of the social factors that play a role in supporting a person to receive knowledge and information about condyloma acuminata disease, where the higher the level of education of a person usually has a greater understanding of health problems and their prevention, as well as the lower the level of one's education causes the more limited knowledge about the dangers of unhealthy behavior, so that they are not motivated to set a healthy lifestyle The purpose of this research is to determine the correlation between education level and the incidence of condyloma acuminata in dermatovenerology polyclinic of regional general hospital DR. H. Abdul Moeloek Lampung Province 2020. type of this research is analytic observational, with a cross-sectional study design, and with secondary data collection of condyloma acuminata and education level. The education level classification is adjusted according to the Law of the Republic of Indonesia Number 20 of 2003 concerning the National Education System. The technical of collecting the sample is total sampling. Data was collected by looking at medical record data and analyzed using the Spearman test. Results Obtained from 102 people according to the sample obtained. In patients with condyloma acuminata, the highest education level was 49.3%. The results of the Sperman statistical test obtain p = 0.009 (p <0.05) with a value of r = 0.256. Conclusion The final results showed that there was a significant relationship between the level of education and condyloma acuminata, the higher the level of education is lower, the higher the incidence of condyloma acuminat
Hubungan Tingkat Pengetahuan dengan Perilaku Pencegahan COVID-19 di Desa Lebak Peniangan Lampung
Relationship COVID-19 knowledge level with COVID-19 prevention behavior in Lebak Peniangan Village, Rebang Tangkas Way Kanan District, Lampung, 2021. Corona Virus (CoV) is an ongoing global talk of all circles in the world from December 2019 to April 2021, which is still a problematic topic. The novel coronavirus (2019-nCoV) is a new type of coronavirus that has never been previously identified in humans. It can cause illnesses ranging from the common cold to serious illnesses such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). COVID-19 can spread from person to person especially when an infected person is in close contact with another person. The knowledge gained can encourage people to take actions such as complying with health protocols recommended by the government and taking basic protection, namely implementing 3M and 3T during the COVID-19 pandemic. This study aimed to analyze the relationship between COVID-19 knowledge level and COVID-19 prevention behavior in Lebak Peniangan Village, Rebang Tangkas Way Kanan District, Lampung. This research was a quantitative study with a crosssectional design. The population was determined based on family cards of 1500 households. The sample was obtained using a random sampling technique of 306 respondents. The researcher collected knowledge and behavior data using a questionnaire and analyzed using the Chi Square test. The result of Chi Square test on the respondent's knowledge and behavior showed p value = 0.000 (p<0.05) which means that there is a significant relationship between the level of knowledge and COVID-19 prevention behavior in Lebak Peniangan Village, Rebang Tangkas Way Kanan District, Lampung, 2021.The results showed that most of the respondents' knowledge about COVID-19 was in a good category with 258 respondents (84.3%). The behavior of respondents in efforts to prevent COVID-19 was mostly in the moderate category with 218 respondents (71.2%). From the research results, it can be concluded that there is a relationship between respondents' COVID-19 knowledge and COVID-19 prevention behavior in the community. The public needs to know more about COVID-19 to improve prevention behavior
Karakteristik Pasien Tonsilitis Pada Anak Usia 5-12 Tahun di RSPBA Bandar Lampung Tahun 2020
Tonsillitis is a disease that is often experienced by a person, especially often occurs in children. Based on a survey from the Indonesian Ministry of Health in 2012, the incidence of tonsillitis in Indonesia reached around 23%. Acute tonsillitis that is not properly treated can cause chronic tonsillitis, therefore it is important to know the characteristics of tonsillitis symptoms in order not to develop into chronic tonsillitis. Tonsillitis is an inflammation of the tonsils caused by infection with the Streptococcus group of bacteria or viruses which can be acute or chronic. Symptoms that often appear in tonsillitis are sore throat, difficulty swallowing and when it reaches chronic it can block the respiratory tract. The purpose of this study was to determine the characteristics of tonsillitis patients in children aged 5-12 years at Rspba Bandar Lampung in 2020. The research method in this study was cross-sectional. It is known that the results of the study of tonsillitis patients in children, the most common symptom of which was pain during swallowing (40.5%), tonsillitis patients in children were often found in T2-T2 sizes (37.8%), tonsillitis patients in children were often experienced. by men (71.1%). tonsillitis patients in children are often experienced by ages 7-8 years (48.6%), the incidence of tonsillitis cases is 8.34%, the prevalence of tonsillitis cases in children aged 5-12 years is 41.1%, in children aged 5 -12 years have a lot of chronic tonsillitis. The characteristics found in tonsillitis patients aged 5-12 years, namely swallowing pain, widening of the T2-T2 tonsil size, mostly experienced by men and often occurs at 7-8 years of age, the incidence is 8.34%, prevalence in children. age 5-12 years as much as 41.1% and many children have chronic tonsillitis
Hubungan Dukungan Keluarga dengan Kelengkapan Imunisasi Dasar Balita di Desa Mumbulsari
Immunization has proven to be one of the most important public health efforts. Immunization programs shown remarkable success funds are a very cost-effective effort in preventing infectious diseases. Immunization is influenced by several factors, including knowledge level, mother’s age, education level, occupation, number of children and family support. This aims to analyze the Relationship of Family Support with the completeness of Basic Immunization Balita in Village Mumbulsari of Sub-districts Mumbulsari - Jember. In 2015, East Java accounted for the largest diphtheria cases (63%) and has not met the target of SPM (Minimum Service Standards). According to the health profile of jember district 2014 Of 49 health centers, there are 4 other health centers that have not reached the target of UCI are Kalisat health center (92%), Pakusari (86%), Bangsalsari (86%) and Mumbulsari (75%). This research design use correctional with Cross Sectional approach.Population 90 mothers who have children under the age of two years.After slovin formula obtained 73 respondents as sample by using simple random sampling technique. The result showed Basic Immunization of complete 53 (73%) and Basic Immunization of incomplete 20(27%), good family support 58(79,5%), less family support 15 (20,5%). Data analysis test using Spearman Rank with p-value 0,000 <α 0,05 which means there is a Family Support Relationship with Basic Immunization Equipment Balita. It is recommended that the next community who have a child under two years give family good support to basic immunization for granting mothers complete