JIKSH: Jurnal Ilmiah Kesehatan Sandi Husada
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Efektivitas Madu Murni dan Propolis Terhadap Bakteri Pencemar Susu Penyebab Foodborne Disease pada Produk Susu Kemasan
Get PDFMilk is nutritious food, but it is easily contaminated with bacteria. Bacteria-contaminated milk if it consumed can cause foodborne disease. One of the functions of foodborne is antibiotic, however, the usage of the antibiotic synthesis needs to focus more to prevent the resistance. Pure honey and propolis are the natural substances that are believed to have an antibiotic effect. Purpose: The purpose of this research is to know the effectiveness of pure honey and propolis towards milk pollutant bacteria caused by foodborne disease in packaged milk products. Research Method: This research is using an experimental research method. Data obtained descriptively and qualitatively. The result: Pure honey with 100% concentration has an average diameter of obstacles zone 16.75 mm. Propolis with 100% concentration has an average diameter of obstacles zone 20.25 mm. Conclusion: The effectiveness of propolis towards milk pollutant bacteria caused foodborne disease in packaged milk products which has an average diameter of obstacles zone 20.25 mm, the effectiveness of pure honey towards milk pollutant bacteria caused foodborne disease in packaged milk products which has an average diameter of obstacles zone 16.75 mm.Latar Belakang: Susu merupakan bahan pangan yang bergizi, akan tetapi susu mudah tercemar bakteri. Apabila dikonsumsi, susu yang tercemar bakteri dapat menyebabkan foodborne disease. Salah satu tatalaksana dari foodborne disease adalah antibiotik, akan tetapi penggunaan antibiotik sintetis perlu fokus lebih agar tidak terjadi resistensi. Madu murni dan propolis merupakan zat alami yang dipercaya memiliki efek antibiotik. Tujuan : Oleh karena itu penelitian ini untuk mengetahui efektivitas madu murni dan propolis terhadap bakteri pencemar susu penyebab foodborne disease pada produk susu kemasan. Metode Penelitian: Metode penelitian yang digunakan dalam penelitian ini adalah eksperimen atau percobaan (experimental research). Data yang diperoleh dinyatakan secara deskriptif kualitatif. Hasil: Madu murni dengan konsentrasi 100% memiliki diameter rata-rata zona hambat sebesar 16,75mm. Propolis dengan konsentrasi 100% memiliki diameter rata-rata zona hambat sebesar 20,25mm. Kesimpulan: Efektivitas propolis terhadap bakteri pencemar susu penyebab foodborne disease pada produk susu kemasan dengan rata-rata diameter zona hambat sebesar 20,25mm, efektivitas madu murni terhadap bakteri pencemar susu penyebab foodborne disease pada produk susu kemasan dengan rata-rata diameter zona hambat sebesar 16,75mm
Kadar Ferritin dengan Status Gizi Pasien Thalassemia β Mayor Anak di RSAM Bandar Lampung
Get PDFThalassemia is a disease of hemolytic anemia characterized by abnormalities in globin chain synthesis. Continuous transfusion in patients with thalassemia can cause iron buildup or accumulation of iron so that ferritin levels increase in the body, especially in the liver, heart, and endocrine organs. Problems in the endocrine glands and the condition of anemia can interfere with the growth of children, causing a decrease in appetite and cause a lack of nutrition into the body. The purpose of the research is to know the correlation between ferritin levels with nutritional status in Thalassemia patients β Major children. This research uses an analytic observational method with a cross-sectional approach. The subjects in the study were 60 patients. The instrument used was medical record data. The results of statistical analysis using the Chi-Square test showed a p-value of 0.02 (p-value <0.05) which means that there is a relationship between ferritin levels and nutritional status in Thalassemia patients β Major children in Abdul Moeloek Hospital, Bandar Lampung Year 2019. There is a correlation between ferritin levels with nutritional status in patients with Thalassemia β Major children at Abdul Moeloek Hospital in Bandar Lampung in 2019.Thalasemia adalah penyakit anemia hemolitik yang ditandai dengan adanya kelainan sintesis rantai globin. Transfusi secara terus menerus pada pasien thalassemia bisa menyebabkan terjadi penumpukan atau penimbunan zat besi sehingga kadar ferritin meningkat dalam tubuh terutama pada hati, jantung, dan organ endokrin. Masalah di kelenjar endokrin dan kondisi anemia dapat mengganggu pertumbuhan anak sehingga menyebabkan penurunan nafsu makan dan menyebabkan kurangnya asupan gizi kedalam tubuh. Penelitian ini untuk mengetahui hubungan antara kadar ferritin dengan status gizi pada pasien Thalasemia β Mayor anak. Penelitian ini menggunakan metode observasional analitik dengan pendekatan cross sectional. Subjek dalam penelitian berjumlah 60 pasien. Instrumen yang digunakan adalah Data rekam medis. Hasil analisis statistik menggunakan uji Chi-Square menunjukkan p-value sebesar 0,02 (p-value < 0,05) yang berarti bahwa terdapat hubungan antara kadar ferritin dengan status gizi pada pasien Thalasemia β Mayor anak di Rumah Sakit Abdul Moeloek Bandar Lampung Tahun 2019 . Terdapat hubungan antara kadar ferritin dengan status gizi pada pasien Thalasemia β Mayor anak di Rumah Sakit Abdul Moeloek Bandar Lampung Tahun 201
Kepatuhan Mengikuti Prolanis BPJS dengan Hasil Pemeriksaan HbA1c pada Penderita Diabetes Melitus
Get PDFBackground: Indonesia ranks 7th with the most diabetes mellitus in the world. BPJS Health as the organizer of the social security program applies the Chronic Disease Management Program (Prolanis) accompanied by a special HbA1c examination for diabetics. The results of the HbA1c examination can be influenced by various factors, one of which is in compliance with Prolanis. Research Objectives: To find out the relationship between compliance with BPJS PROLANISTS and HbA1c examination results in patients with diabetes mellitus in health centers. Research Methods: This research is a quantitative analytic study with a cross-sectional design. The sampling technique in the form of total sampling. The sample of this study was Prolanis participants with diabetes mellitus at the Kedaton Health Center. The instrument of this research was the medical record of Prolanis participants and the attendance of Prolanis. Research Results: Chi-square statistical test results with fisher exact alternative test found no relationship with the results of p = 1,000 (p> 0.05). Conclusion: There is no relationship between adherence to following Prolanis with the results of the HbA1c examination.Latar Belakang: Indonesia menempati peringkat 7 dengan diabetes melitus terbanyak di dunia. BPJS Kesehatan selaku penyelenggara program jaminan sosial menerapkan Program Pengelolaan Penyakit kronis (Prolanis) yang disertai dengan pemeriksaan HbA1c khusus penderita diabetes melitus. Hasil pemeriksaan HbA1c dapat dipengaruhi oleh berbagai faktor, salah satunya kepatuhan mengikuti Prolanis. Tujuan Penelitian: Untuk mengetahui Hubungan Antara Kepatuhan Mengikuti PROLANIS BPJS Dengan Hasil Pemeriksaan HbA1c Pada Penderita Diabetes Melitus di Puskesmas. Metode Penelitian: Penelitian ini merupakan penelitian analitik kuantitatif dengan desain cross sectional. Teknik pengambilan sampel berupa total sampling. Sampel penelitian ini adalah peserta Prolanis penderita diabetes melitus di Puskesmas Kedaton. Instrumen penelitian ini berupa rekam medik peserta Prolanis dan absensi kehadiran Prolanis. Hasil Penelitian: Hasil uji statistik chi-square dengan uji alternatif fisher exact didapatkan tidak adanya hubungan dengan hasil p=1,000 (p>0,05). Kesimpulan: Tidak terdapat hubungan antara kepatuhan mengikuti Prolanis dengan hasil pemeriksaan HbA1c
Karakteristik Pasien Ikterus Obstruktif Et Causa Batu Saluran Empedu
Get PDFObstructive jaundice is jaundice caused by bile obstruction. Common bile duct stone are one of the most common causes of obstructive jaundice. The purpose of this study to determine the characteristics of the patients with obstructive jaundice et causa common bile duct stone in RSUD Dr. H. Abdul Moeloek Bandar Lampung in 2017-2018. This study was retrospective descriptive which used secondary data from medical records. Purposive Sampling technique was used to collect the data. The sample of this study were 35 patients . The most common cases attacked 18 patients aged 46-65 years old (51,4%) and 22 female patients (62.9%). The main complaints and physical examinations were mostly on the sclera and jaundice skin as much as 100%. Based on the results of laboratory examination and ultrasound, it showed that 51.4% normal leukocytes, 85.7%. intrahepatic bile duct widening and 57.1% operative measures are performed. he characteristics were mostly in women aged 51-60 years old with the main complaints and physical examination were sclera and jaundice skin, normal leukocytes, intrahepatic bile duct widening, and operative measures are performedIkterus Obstruktif merupakan ikterus yang disebabkan oleh obstruksi empedu. Batu saluran empedu merupakan salah satu penyebab ikterus obstruktif yang paling sering.Tujuan penelitian ini adalah mengetahui karakteristik pasien ikterus obstruktif et causa batu saluran empedu di RSUD Dr.H. Abdul Moeloek Bandar Lampung Tahun 2017-2018. Jenis penelitian ini adalah deskriptif retrospektif menggunakan data sekunder dari rekam medik. Sampel penelitian ini menggunakan teknik Purposive Sampling. Sampel penelitian ini sebanyak 35 pasien. Kasus terbanyak menyerang pada kelompok umur 46-65 tahun sebanyak 18 pasien (51,4%)dan 22 pasien (62,9%) pada perempuan. Keluhan utama dan pemeriksaan fisik terbanyak pada sklera dan kulit ikterik sebanyak 100%. Dari hasil pemeriksaan laboratorium dan usg didapatkan sebanyak 51,4% leukosit normal dan gambaran pelebaran saluran empedu intrahepatik sebanyak 85,7%. Penatalaksanaan dilakukan tindakan operatif sebanyak 57,1%. Karakteristik terbanyak ditemukan pada kelompok umur 46-65 tahun, jenis kelamin perempuan dengan keluhan utama dan pemeriksaan fisik yaitu sklera dan kulit ikterik, leukosit normal, gambaran usg terdapat pelebaran saluran empedu intrahepatik, dan dilakukan tindakan operatif
Perkembangan Adaptasi Sosial Anak Usia Toddler dan Pola Asuh Orang Tua
Get PDFEvery child has two developmental processes namely growth or evolution and setback or involution occurs simultaneously in human life. The purpose of this research is to find a picture of the development of a social adaptation of children aged toddler and parenting parents. The research design used is a descriptive method describing the state or status of the phenomenon. The population in this study were all mothers with children aged 1-3 years. The results show that the pattern of parenting for toddler age children in Barombong Kelurahan, Makassar City, most of the parents who have good parenting but there are still parents who have poor parenting. Conclusions increase knowledge about parenting and social adaptation abilities of children by finding as much information as possible through print media, or electronic media so that the development of toddler age social adaptation through parenting parents can develop properly.Setiap anak memiliki dua proses perkembangan yaitu pertumbuhan atau evolusi dan kemunduran atau involusi terjadi secaraserentak dalam kehidupan manusia. Tujuan penilitian ini adalah untuk mengetahui gambaran tentang perkembangan adaptasi sosial anak usia toodler dan pola asuh orang tua. Desain penelitian yang digunakan adalah metode deskriptif mengambarkan keadaan atau status fenomena. Populasi pada penelitian ini adalah semua ibu yang memiliki anak berusia 1-3 tahun. Hasil bahwa gambaran tentang pola asuh orang tua anak usia toddler di Kelurahan Barombong Kota Makassar sebagian besar orang tua yang memiliki pola asuh baik namun masih ada orang tua yang memiliki pola asuh kurang baik. Kesimpulan meningkatkan pengetahuan tentang pola asuh orang tua dan kemampuan adaptasi social anak dengan cara mencari informasi sebanyak-banyaknya melalui media cetak, ataupun media elektronik agar perkembangan adaptasi social anak usia toddler melalui pola asuh orang tua dapat berkembang dengan baik
Hubungan Antara Kadar Feritin Dengan Kreatinin Serum Pada Anak Thalasemia Mayor
Get PDFBackground : Patients with thalassemia that underwent routine blood transfusion are developing iron overload. In the state of excess iron, ferritin levelS increase. When iron storage capacity has been depleted, free iron will cause tissue damage. One of that damaged organ is the kidney. One parameter used to know the function of kidney is GFR (Glomerular Filtration Rate). A sample way to estimate GFR is serum creatinine. Increased 1-2 mg/dL of creatinine serum showed a decrease in ±50% of GFR. Objective: To determine the correlation between ferritin levels and serum creatinine in Thalassemia Major children at Abdul Moeloek hospital in Lampung Province in 2019. Research Method: This research is analytic descriptive with a cross-sectional approach. The sampling technique used was purposive sampling using secondary data from the results of medical records diagnosed with thalassemia major at Abdul Moeloe Hospital, and analyzed on a univariate basis to determine the frequency and bivariate distribution using the chi-square test. Results: The statistical test results obtained p-value of 0.028, it can be concluded that there is a correlation between ferritin levels with serum creatinine in children with Thalassemia major . The results of the analysis also obtained an OR value of 3.88 (95% CI 1.29-11.59 ) which means that respondents who had ferritin levels were at risk (≥ = 1000) 3.88 times greater had high creatinine levels compared to those who had levels ferritin is not at risk (≤1000). Conclusion: There is a correlation between ferritin levels with serum creatinine in Thalassemia B Major children at Abdul Moeloek Hospital in Lampung Province in 2019.Latar Belakang : Pasien thalasemia yang menjalani transfusi darah rutin dapat mengalami kelebihan besi. Pada keadaan kelebihan besi, feritin meningkat. Apabila kapasitas penyimpanan besi telah habis, besi bebas akan mengakibatkan kerusakan jaringan salah satu organ yang mengalami kerusakan adalah ginjal. Salah satu parameter untuk mengetahui fungsi ginjal adalah LFG ( Laju Filtrasi Glomerulus). Pemeriksaan yang paling sederhana dilakukan adalah kreatinin serum, pada kenaikan kreatinin 1-2 mg/dL dari normal menandakan penuruna LFG ±50%. Tujuan : Untuk mengetahui hubungan antara kadar feritin dengan kreatinin serum pada anak Thalasemia B Mayor di Rumah sakit Abdul Moeloek Provinsi Lampung Tahun 2019 . Metode : Penelitian ini bersifat deskriptif analitik dengan pendekatan cross sectional. Teknik pengambilan sampel yang digunakan yaitu purposive sampling dengan menggunakan data sekunder dari hasil rekam medik yang terdiagnosa thalasemia ï¢ mayor di Rumah Sakit Abdul Moeloek, serta dianalisis berdasarkan univariat untuk mengetahui distribusi frekuensi dan bivariat dengan menggunakan uji chi-square . Hasil : Hasil uji statistik diperoleh nilai p value 0,028 maka dapat disimpulkan bahwa ada hubungan antara kadar feritin dengan kreatinin serum pada anak Thalasemia ï¢ mayor. Hasil analisis diperoleh pula nilai OR 3,88 (95% CI 1,2911,59) yang berarti bahwa responden yang memiliki kadar feritin beresiko (≥=1000) 3,88 kali lebih besar memiliki kadar kreatinin tinggi dibandingkan dengan yang memiliki kadar feritin tidak beresiko (≤1000). Kesimpulan: Ada hubungan antara kadar feritin dengan kreatinin serum pada anak Thalasemia B Mayor di Rumah sakit Abdul Moeloek Provinsi Lampung Tahun 201
Madu Sebagai Dressing Pada Penyembuhan Ulkus Diabetikum
Get PDFBackground: Diabetes mellitus (DM) is a metabolic disorder characterized by an increase in blood sugar level (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both. The most common complications of patients with DM are diabetic ulcers. Diabetic foot ulcer healing is needed to prevent infection and amputation risk. Dressing treatment in diabetic foot ulcer healing can be done by using a traditional treatment such as honey. Objective: To find out more about the efficacy of honey as dressing treatment in diabetic ulcer healing. Methods: Using literature studies from both national and international journals by summarizing the topic of discussion and comparing the results presented in the article. Results: Honey has anti-bacterial, anti-viral, anti-fungal, anti-oxidant and anti-inflammatory properties and acts to maintain moisture balance at the site of the wound and also has a protective barrier to minimize contact of wound and infectious agents. The use of honey as a dressing treatment has proven to be effective and shorten the healing period of diabetic ulcers. Conclusion: The use of honey is effective as a dressing treatment for diabetic foot ulcer healing.Latar Belakang: Diabetes mellitus (DM) merupakan gangguan metabolik berupa meningkatnya kadar gula darah (hiperglikemia) yang diakibatkan oleh gangguan pada produksi insulin, sensitifitas insulin, maupun keduanya. Salah satu komplikasi yang sering terjadi pada pasien dengan DM ialah ulkus diabetikum. Penyembuhan ulkus diabetikum diperlukan dengan tujuan untuk mencegah risiko infeksi dan amputasi. Tatalaksana dressing dalam penyembuhan ulkus diabetikum dapat dilakukan dengan menggunakan pengobatan herbal seperti madu. Tujuan: Mengetahui efektifitas madu sebagai dressing pada penyembuhan ulkus diabetikum. Metode: Menggunakan studi literatur dari jurnal baik nasional maupun internasional dengan cara meringkas topik pembahasan dan membandingkan hasil yang disajikan dalam artikel. Hasil : Madu memiliki sifat anti-bakterial, anti-viral, anti fungal, anti-oksidan, dan anti-inflamasi serta berperan menjaga kelembapan pada lokasi luka, dan menjadi batas protektif untuk meminimalisir kontak antara luka dengan agen infeksius. Penggunaan madu sebagai dressing terbukti efektif dan memperpendek masa penyembuhan ulkus diabetikum. Kesimpulan : Penggunaan madu sebagai dressing efektif dalam penyembuhan ulkus diabetiku
Efektivitas Isometric Handgrip Exercise dalam Menurunkan Tekanan Darah pada Pasien Hipertensi
No full textBackground: Hypertension has a significant impact on public health and has become a major health care burden worldwide. One non-pharmacological therapy that can be given to reduce blood pressure in hypertensive patients is Isometric Handgrip Exercise exercise therapy. This therapy has been shown to reduce blood pressure which is almost the same as intense aerobic exercise. This literature review aims to analyze the effects of the application of Isometric Handgrip Exercise in reducing blood pressure in hypertensive patients. Method: This research explores quantitative evidence published in electronic databases such as Pubmed, and Google Scholar. Using a search strategy, we identified 16 articles that were potentially and relevant to the research objectives, and 4 articles were included in the final analysis. Results: We could see a significant effect on systolic and diastolic blood pressure reduction in the group given the Isometric Handgrip Exercise intervention compared with the control group. Conclusion: Research results from several articles in this review literature show that Isometric Handgrip Exercise exercises are proven to be effective in reducing blood pressure in hypertensive patients.Abstract. Background: Hypertension has a significant impact on public health and has become a major health care burden worldwide. One non-pharmacological therapy that can be given to reduce blood pressure in hypertensive patients is Isometric Handgrip Exercise exercise therapy. This therapy has been shown to reduce blood pressure which is almost the same as intense aerobic exercise. This literature review aims to analyze the effects of the application of Isometric Handgrip Exercise in reducing blood pressure in hypertensive patients. Method: This research explores quantitative evidence published in electronic databases such as Pubmed, and Google Scholar. Using a search strategy, we identified 16 articles that were potentially and relevant to the research objectives, and 4 articles were included in the final analysis. Results: We could see a significant effect on systolic and diastolic blood pressure reduction in the group given the Isometric Handgrip Exercise intervention compared with the control group. Conclusion: Research results from several articles in this review literature show that Isometric Handgrip Exercise exercises are proven to be effective in reducing blood pressure in hypertensive patients
Pengaruh Sanitasi Makanan dan Kontaminasi Bakteri Escherichia coli Terhadap Penyakit Diare
Get PDFBackground: Diarrhea is the consistency of feces that is softening to liquid with the frequency of production of feces three times or more in a day. One of the risk factors of diarrhea is the food sanitation is not good and the contamination of Escherichia coli microorganisms. Objectives: Learn more about the influence of food sanitation and Escherichia coli contamination to diarrhea disease. Methods: Using literary studies from both national and international journals by summarizing the topic of the discussion and comparing the results presented in the article. Results: Food sanitation is closely related to hygiene, where a person with good hygiene must be supported by adequate sanitation. In human bacteria, E. coli that often causes diarrhea is grouped into four, namely Enterotoxigenic E. coli (ETEC), enteroinvasive E. coli (ETEC), Enteropathogenic E. coli (EPEC), and Enterohemorrhagic E. coli (EHEC). Conclusion: food sanitation and contamination of E. coli are very influential in the incidence of diarrhea diseaseLatar Belakang: Diare merupakan pengeluaran feses yang konsistensinya lembek hingga cair dengan frekuensi pengeluaran feses sebanyak tiga kali ataupun lebih dalam satu hari. Salah satu faktor resiko diare adalah sanitasi makanan yang tidak baik dan adanya kontaminasi mikroorganisme Escherichia coli. Tujuan: mengetahui lebih lanjut tentang pengaruh sanitasi makanan dan kontaminasi Escherichia coli terhadap penyakit diare. Metode: Menggunakan studi literatur dari jurnal baik nasional maupun internasional dengan cara meringkas topik pembahasan dan membandingkan hasil yang disajikan didalam artikel. Hasil: Sanitasi makanan berkaitan erat dengan higiene, dimana seseorang yang memiliki higiene yang baik harus didukung dengan sanitasi yang memadai. Pada manusia bakteri E. coli yang sering menyebabkan diare dikelompokkan menjadi empat, yaitu enterotoksigenik E. coli (ETEC), enteroinvasif E. coli (ETEC), enteropatogenik E. coli (EPEC), dan enterohemoragik E. coli (EHEC). Kesimpulan: Sanitasi makanan dan kontaminasi E. coli sangat berpengaruh pada kejadian penyakit diare
Pengaruh Pola Asuh Terhadap Status Gizi Anak
Get PDFThe background of nutritional status is the expression of a state of balance in the form of a certain variable or manifestation of nutriture in the form of certain variables, optimal nutritional status is the balance between intake and need for nutrients. Method; The research used is descriptive-analytic using multiple regression analysis approaches, with a sample size of 30 respondents. Result; There is no significant effect between parenting styles of parents on the nutritional status of elementary school children, the value is 0. 551> 0.05. Conclusion; that there is no effect of parenting style on the nutritional status of elementary school children. In developing information that has a contribution to science, especially in nursing education about the nutritional status of children.Latar Belakang Status gizi adalah ekspresi dari keadaan keseimbangan dalam bentuk variabel tertentu atau perwujudan nutriture dalam bentuk variabel tertentu, status gizi optimal adalah keseimbangan antara asupan dan kebutuhan zat gizi. Metode; penelitian yang digunakan adalah deskriptif analitik menggunakan pendekatan analisis regresi berganda, dengan jumlah sampel 30 responden. Hasil; tidak ada pengaruh yang signifikan antara pola asuh orang tuaterhadap status gizi anak sekolah dasar didapatkan nilai 0. 551>0,05. Kesimpulan; bahwa tidak ada pengaruhnya pola asuh orang tua terhadap status gizi anak sekolah dasar. Dalam pengembangan informasi yang mempunyai kontribusi terhadap ilmu pengetahuan khususnya dalam pendidikan keperawatan tentang status gizi pada anak