ARTERI (E-Journal)
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Hubungan Jumlah Viral Load dengan Kejadian TBC pada Pasien HIV/AIDS yang Mendapatkan Terapi ARV
Full text linkViral Load (VL) is a direct indicator of the total amount of cells produced by the virus in a person infected with HIV. TB becomes a challenge for controlling Acquired Immunodeficiency Syndrome (AIDS) because it is the most opportunistic infection in people living with HIV / AIDS (PLWHA). TB can increase HIV progression and the risk of death for people living with HIV. Immunosuppression can increase the likelihood that dormant TB germs reactivate. The pathogenesis of TB infection in HIV patients is directly related to the decline in the immune system, specifically CD4 T lymphocytes. HIV infection will cause a decrease in CD4 T lymphocytes thereby reducing the immunological response to Mycobacterium tuberculosis. This will result in reactivation from the latent period of TB to an active infection. This study conducted to discover the relationship between the amount of viral load and the tuberculosis case in HIV / AIDS patients that undertake ARV therapy at RSUD Dr. H. Abdul Moeloek Lampung Province in 2019. Observational analytic approach with cross sectional design was used in this present study. The data taken is secondary data from the medical record of HIV / AIDS patients in Dr. H. Abdul Moeloek Lampung Province in 2019. The sampling technique used was a purposive sampling method and it was obtained a total sample of 196 people. The data was analyzed through Chi Square test. There was a significant relationship between the amount of viral load in HIV / AIDS patients and the tuberculosis case (p-value = 0.004). From the analysis above, it was obtained OR value = 2.52 which represents that patients who have a viral load ≥ 10,000 have a risk of 2.52 times to encounter TB. A high amount of Viral Load can cause immunosuppression in the host and increase the virulence of TB microbes
Korelasi Jumlah CD4 Pasien Yang Diberi Isoniazid Dengan Ko-infeksi TB Pada Pasien HIV/AIDS
Full text linkThe interaction between TB and HIV infection is complex. In HIV-infected individuals, this situation will decrease the immune system and increase vulnerability to TB incidence. HIV causes reactivation, reinfection, and progression of latent TB infection to active tuberculosis. It also led to differences in the clinical presentation of TB in HIV patients, complications, and response to anti-TB treatment than in HIV negative patients. The purpose of this study To Know Correlation CD4 counts in patients with HIV / AIDS in hospitals Dr.H. Abdul Moeloek Lampung Province 2018. Research methods: cross-sectional approach, in which several variables tested in this research object data got from the medical record. Analysis of the data used is the Mann-Whitney statistical test. Research The total sample of 160 medical records of patients seen that the Asymp. Sig. (2-tailed) is 0,000. Half of this significance value ½ (0.000) is <0.05. It can be concluded that reject H0 and Ha accepted, which implies a significant difference in CD4 cell counts in patients given isoniazid as TB prevention with patients TB co-infection. With all forces, correlation means that their relationship CD4 cell counts in patients given isoniazid to prevent TB and TB co-infection. There is a significant relationship between CD4 cell count in patients who given isoniazid for the prevention of TB and TB co-infection in HIV / AIDS patients in hospitals Dr.H. Abdul Moeloek Lampung Province 2018
Hubungan Diet Tinggi Lemak dengan Kejadian Akne Vulgaris pada Siswa SMKN Tanjungsari Lampung
No full textAcne vulgaris is a common skin disease that occurs mainly in adolescents about 15-18 years. Acne vulgaris is marked by various skin disorders such as blackheads, papules, pustules, nodules, and scarring. Sebum produced by the palette gland is an essential factor for acne vulgaris. One of the risk factors is food, which is a high-fat diet. This study aims to determine the relationship between a high-fat diet with acne vulgaris to the students in Tanjungsari public vocational high school South Lampung 2020. This study uses an analytic survey with a cross-sectional method. Samples were taken using proportionate stratified random sampling with 90 students in Tanjungsari public vocational high school South Lampung as a research subject. Data collection by survey method is interview and observation using 3x24 hours food recall, direct examination using a loop, and absent list of students in grades 10-12. This study uses univariate analysis and bivariate analysis with the Chi-Square test. This research results from 90 subjects who found that females by 47 subjects (52,2%) and males by 43 subjects (47,8%). Subjects eating a high-fat diet are the most experienced with acne vulgaris by 42 subjects (82,4%) and didn’t experience acne vulgaris by 9 subjects (17,6%). Chi-Square test analysis results obtained p-value = 0,000 (p ≤ 0.05), which means a significant relationship between a high-fat diet with acne vulgaris. There is a meaningful relationship between a high-fat diet with acne vulgaris to students in Tanjungsari public vocational high school South Lampung 2020 (p ≤ 0,05)
Studi Literatur: Peran Caregiver Untuk Peningkatan Perawatan Kesehatan Pada Pasien Demensia
Full text linkThe role of caregivers for dementia patients to improve health care is not yet optimal. Dementia patient care is an experience-based effort for complex dementia patients that can increase the psychological pressure of caregivers. The aim of the study was to determine the effectiveness of the caregiver's role in dementia patients to improve health care. Search strategies for English-language studies that are relevant to the topic are carried out using the ScienceDirect, SagePub, Springer databases limited from 2014 to 2020. The keywords used are "caregiver", "dementia", "health care", "role". Fulltext articles are reviewed to select studies that fit the criteria. The inclusion criteria in this review are health workers, caregivers. A search using the keywords above with the ScienceDirect, SagePub, Springer database that met the inclusion criteria was only 22 articles. Research examined in this article uses a variety of methods, namely systematic literature review by 1 articles, RCT by 4 articles, interview by 1 articles, qualitative study by 5 articles, quasi-experimental study 2 article, participatory research of 1 article, bootstrapping methods of 1 article, scoping review of published literature by 1 articles, quantitative study by 1 articles, cohort study path analysis by 1, a survey to clarify the evaluation by 1, SEM by 1, standardized protocol by 1. Research using random techniques as much as 10 articles, while those using non-random techniques as many as 12 articles. The role of caregivers for dementia patients to improve health care is an effective experience-based effort and is the most appropriate activity for elderly patients with dementia. Enhance the role of the caregiver by changing the caregiver's perception of a more positive view of his role
Uji Sensitivitas Kunyit Kuning dan Kunyit Putih Terhadap Bakteri Pencemar Susu
Full text linkYellow turmeric (Curcuma longa) and white turmeric (Kaempferia rotunda) are one of the medicine plants and seasons that are used by most of the people. Turmeric belongs to the zingiberaceae family as a medicinal plant that is known to contain antibacterial substances. Antibacterial ingredients in turmeric, namely are curcuminoids and essential oils which are believed to be able to kill and inhibit bacteria. The purpose of this study is to know the sensitivity of yellow turmeric and white turmeric to milk contaminating disease using the Kirby Bauer method with a diffusion disk technique. The study design using experimental technique. Yellow turmeric rhizome extract and white turmeric were tested to the milk contaminating disease using diffusion disk technique with 12,5%, 25%, 50%, and 100% concentration. Yellow turmeric rhizome extract with 12,5%, 25%, 50%, and 100% concentration showed results inhibition diameter zone: 0 mm, 11,3 mm, 15,3 mm, and 17 mm. On the other hand, white turmeric gets no result in the inhibition diameter zone for all concentration. This study showed there is a sensitivity of yellow turmeric to bacteria of milk-contamination that causes foodborne disease using the Kirby Bauer method with white turmeric disk diffusion technique. There is no sensitivity to bacteria of milk-contamination that causes foodborne disease using the Kirby Bauer method with disk diffusion techniqu
Perbedaan Lamanya Rawat Inap Pasien Post Appendektomi Pada Appendiksitis Akut dan Appendiksitis Perforasi
Full text linkAppendicitis is one of the causes of mortality rates 0,2 – 0,8% in the world. In Indonesia itself, appendicitis occupies the fourth most patients who undergo hospitalization. The worse this type of appendicitis, the longer the patient should undergo hospitalization in the hospital's surgical treatment room. The duration of the patient post-surgery is varied depending on the type of appendicitis suffered. This study aims to describe the difference in the length of stay in post appendectomy patients between acute appendicitis and perforated appendicitis. The research is a comparative analytical research retrospective with a cross-sectional approach. In this study, the samples were recorded from medical records of appendicitis patients in 2016-2019, totaling 60 respondents of acute appendicitis and 60 respondents of perforation appendicitis. The sampling techniques in this study used a total sampling technique. Analysis of data is using univariate analysis and Independent bivariate tests. It is known that the average length of inpatient hospitalization is acute for 9 days. The shortest hospitalization is for 2 days, and the longest is 23 days. The respondent with an appendicitis perforation with an average length of stay is 34 days, the shortest time hospitalization is 4 days, and the longest is 90 days. The Mann-Whitney U test showed a significant difference (p = 0,000 / p<0,005) of hospitalization length in acute appendicitis and perforation appendicitis of an appendectomy patient
Faktor Risiko Kurang Energi Kronis (KEK) pada Ibu Hamil di Cikembar Kabupaten Sukabumi
Full text linkOne of the nutritional problems in Indonesia is Chronic Energy Deficiency (CED) among pregnant women, which is the cause of the high maternal mortality rate and low birth weight. This study aims to analyze the risk factors of CED in pregnant women with cross-sectional study design. The subject in this research were 70 pregnant women with and without CED (normal) at Cikembar Health Center Sukabumi district. CED group had less nutrition and health knowledge in comparison to the normal group. The level of energy and protein sufficiency in both groups was generally in the deficit category. Most of the CED group food security was in food insecurity while the normal group was in food vulnerable conditions. Based on the results of logistic regression analysis, it shows that there is a significant relationship between maternal knowledge and household food security with the incidence of CED in pregnant women (p <0.05), but between the level of energy and protein adequacy shows an insignificant relationship (p> 0.05). The multiple logistic regression analysis results indicate that the factor affecting the incidence of CED in pregnant women is household food security. Besides, the level of knowledge of nutrition and health, food consumption, and household food security in CED pregnant women is low or deficit compared to the normal pregnant women
Modifikasi Alat Ukur Tinggi Lutut untuk Pasien Bedrest
Full text linkHeight measurement with special conditions such as total bedrest in hospitalized patients, the elderly, and people with disabilities can use knee height measurement devices. A knee height caliper is an anthropometric tool that is rarely used because it is large and made of wood or iron. This tool needs to be modified with the right accuracy level and makes it easy to measure knee height in bed rest patients. This study aims to know practicality's status in using and carrying tools and measuring knee height modification accuracy. The research design used was Research and Development (RnD) with the ADDIE model (Analyze, Design, Development, Implementation, and Evaluation). The first subject is the media expert on the media validation test using a validation assessment questionnaire. The media assessment is carried out at the implementation stage. The second subject is a nutritionist at dr. Soebandi Jember, as many as 11 nutritionists who are a small group. The percentage of the first stage media validation assessment was 74%, classified as good. The second stage was 70% classified as good, the third stage was 82% classified as very good, and the fourth stage was 100% classified as very good. The average result of the four stages of validation is 81.5% and classified as very good. The nutritionist's assessment results for the modification of the knee height device were 78.73%, and the media was classified as suitable for use. The study concludes that the modification of the knee height device is a tool designed using the 2015 Sketch Up software and from the results of the assessment of the knee height modification tool is suitable for use by health workers, especially nutritionists
Millieu Therapy Metode Kreasi Seni Modifikasi Lingkungan Terhadap Tingkat Harga Diri Remaja
Full text linkAdolescence is a transition period between childhood and adulthood. Massive changes from childhood to adulthood are common at ages 13 to 20 years. Previous research discusses the difficulties of social interaction with peers, social relationships with groups, and difficulty communicating with a social new environment. Some students expressed stress with the number of Islamic boarding school rules, controlled and far from parents. At the same time, 32% of people agreed that they were not confident, sad, anxious, afraid of intimidation, and decreased learning enthusiasm. People who looked down on trust would have an external and internal impact. The external consequence is difficulty reaching academic achievement and social relations. The internal consequence is difficulty reaching internal self-concept, unclear, complicated, uncertain self goals, and pessimistic in the future challenge. This study aimed to know the level of self-esteem of students after being given milieu therapy with environmental modification art creation. The study design uses pre-experimental with pre-post test design of one group. The sampling technique was purposive sampling. Samples were taken as many as 24 respondents and divided into 4 groups of 6 people in each group. The intervention was given for 3 weeks. In this study, measuring instruments used a questionnaire using Rosenberg and data analysis using the Wilcoxon test signed a ranking test. The statistical analysis showed the results of p = 0.030 <α. There was a milieu effect of therapeutic methods of environmental modification art creation on students' level of self-esteem living in the dormitory. Milieu therapy can increase awareness and self-confidence between peers with the approval of self-confidence and commitments agreed between friends
Gambaran Motorik Anak Yang Menggunakan Alat Permainan Edukatif Di TK DCC 2019
Full text linkChild development‘s delay in Indonesia based on the Indonesia Ministry of Health was 16% of a total toddler in Indonesia. The various factors affecting the child’s development, such as the stimulation of the educative game instrument (EGI). Increase of the use of EGI in other countries proportional to the child’s development aspect but not in Indonesia. To know the overview of the motor development level of preschool-aged children towards the educative game instrument at Dian Cipta Cendekia (DCC) Global School Kindergarten 2019. A descriptive quantitative study by using an observational approach was performed. The data were collected using a review of the school report, the use of the EGI, and the ability to follow the commands based on Denver II categories. This research was done during November 2019. There were six samples from class b taken using a total sampling method. 1 of 6 children failed by following 1 of 12 activities based on Denver II. One of them couldn’t use the climbing frames properly, and based on the school report, 1 of 6 children stated as not developing yet by knowing the traffic sign. The level of using EGI proportional to the child’s development aspect. The frequency distribution of the use of EGI shown 91,7% good. An overview of motor development level based on school report shown 54,2% normal development and 100% normal by Denver II