Jurnal Health Sains (JHS)
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Experience of Breastfeeding And Exclusive Breastfeeding For Women With Physical Disabilities: Scoping Review
The study aims to investigate the scientific evidence concerning breastfeeding and exclusive breastfeeding experiences among women with physical disabilities. Exclusive breastfeeding entails providing only breast milk to infants from birth to 6 months old, excluding any other food or drinks except medications and vitamins. However, breastfeeding is not halted after exclusive breastfeeding; it continues until the child is two years old. Utilising the scoping review method, the research employed the Population, Concept, and Context (PCC) framework. Six articles meeting the inclusion criteria were identified from a pool of 1,553 articles from PubMed, ScienceDirect, Wiley, and Research Rabbit databases. These articles shed light on the challenges, experiences, barriers, and support systems related to breastfeeding and childcare encountered by women with physical disabilities. The research on breastfeeding experiences among women with physical disabilities reveals both facilitators and barriers. Facilitators include adaptations, peer support, and necessary equipment, while barriers encompass insufficient support, health considerations, and milk production and latching challenges. These findings underscore the importance of tailored support and access to information for women with physical disabilities who aim to breastfeed effectively. Implementing such support mechanisms can contribute to improving breastfeeding rates among this demographic, thus promoting the health and well-being of both mothers and infants while addressing societal attitudes toward disability issues
Cutler Beard Procedure for Bilateral Upper Eyelid Coloboma in Charge’s Syndrom: Surgical Outcome
Ocular coloboma is one of the anomalies that commonly seen in CHARGE syndrome. This syndrome is an autosomal dominant malformation which includes six major features: coloboma, heart defect, atresia of the choanae, retarded growth and development delay, genital hypoplasia, ear anomalies. Cutler-Beard procedure is one of the major technic when a total or near total upper eyelid is missing. To report the surgical outcome in bilateral upper eyelid coloboma in CHARGE syndrome patient after Cutler Beard’s procedure. A 8 month-old boy presented to the hospital with bilateral upper eyelid coloboma since birth. Other clinical manifestations including bilateral optic nerve coloboma, external ear anomalies, bilateral undecensus testis, growth and developmental delay, and CHARGE facies which were consistent with 2 and 4 major and minor diagnostic criteria. The patient underwent eyelid reconstruction by using Cutler Beard procedure in both of eyes. Cutler Beard procedure may be used as the primary reconstruction method in bilateral upper eyelid coloboma in CHARGE syndrome
Efforts to Increase Public Knowledge About First Aid in Burns in Tanjung Mulieng, Syamtalira Aron District
People's habits in providing first aid for burns still need to be reviewed. Wrong habits can worsen the patient's condition and prolong the wound healing process. Preventing the risk of infection and the occurrence of further complications which can increase the risk of death and disability. The aim of carrying out activities is to increase people's knowledge and skills in helping themselves and their families in cases of burns. The activity method is education, demonstration and simulation of first aid for burns. The target audience for this community service activity is the residents of Tanjong Mulieng Village, Syamtalira Aron District, North Aceh Regency, totaling 29 subjects. Evaluate the success of education using knowledge instruments that are measured before and after the activity is carried out and increase skills using a first aid checklist for burns. The results obtained were a good increase in knowledge of 76%, and participants were able to correctly demonstrate first aid steps for minor burns. Increasing the community's ability to help themselves and their families can be achieved by providing education and demonstrating first aid for burns
Blunt Ocular Trauma Complicated by Hyphema
In this era of industrialization and high-speed traffic, the incidence of trauma is increasing in general. According to research, ocular trauma is also one of the causes of quite high rates of blindness. A male patient, 35 years old, came to the Bhayangkara Denpasar Eye Clinic initially on October 3 2023 with a complaint. The patient complained of pain in the right eye after being hit by a shuttlecock approximately 1 hour before the patient came to the hospital. Complaints are accompanied by red eyes, blurred vision, pain and watering. The patient said he had not received therapy for his complaint. Denied history of complaints of fever, cough, runny nose, shortness of breath. blunt ocular trauma which causes complications of hyphema and secondary glaucoma
The Effect of Heating on Accorbate Acid Levels (Acidum Ascorbicum) Invitamin C Planar Joints That Spread in Jambi's Pharmacy by Iodatometry Method
Ascorbic acid (Acidum ascorbicum) is an active component of vitamin C planar joints that spread in Jambi City. The planar jointsform is more than the tablet. Ascorbic acid can turn into an inactive form because it is easily oxidized and accelerated by heat, this research was done to know the effect of heating ascorbic acid content. This research was used three types of vitamin C samples (2 tablets and 1 solution) were obtained randomly from three different pharmacies. Samples were given a heating treatment of 300 C, 600 C, 800 C and 1000C each at 0, 60, 120 and 180 minutes with 3 repetitions and vitamin C levels were known to use the Iodatometric titration method. The highest vitamin C tablet content was found in preparations heated at 300C with the percentage of sample I = 99.8%, sample II = 96.3% and sample 3 = 90.17%. The lowest vitamin C content was carried out at 1000C with the percentage of sample I = 74.6% and sample II = 74.4% and sample 3 = 70.2%. The statistical test results show the value of sig. smaller than 0.05, it is means that there are differences the result of heating effect from three samples tested
Legal Protection of the Medical Code of Ethics in Resolving Health Disputes Between Doctors and Patients
A doctor is a person who has trained in a way professional For help people in need maintenance health in accordance with Human Rights Embodied man with various way, one of them through practice medicine. The purpose of study This is For give protection law code ethics facing medicine with dispute health moment do action medical. Focus study This is about How protection law solution dispute medical between doctor with patient or family. This research uses a normative juridical method using secondary data which is analyzed descriptively. The research results used for know and get description comprehensive with see related facts with problem so that can prove and discover scientific solution _ show that treating doctor dispute medical with patients in hospitals have right For get protection law. Law no. 29 of 2004 concerning Practice Medicine and Law no. 36 years old 2014 regarding Health Workers no give adequate protection for doctor in solution dispute medical between doctor and patient. This is because investigator police will use procedures or procedures in the Criminal Procedure Code when handle case conjecture malpractice, on the other hand UUPK involves institution profession medical do work they in accordance with standard profession a the doctor did it work they in accordance with standard profession, service, and procedures operational entitled on protection law
The Relationship Between Nurse Burnout and Patient Safety Culture with The Quality of Nursing Care in Type B Hospitals in Central Sulawesi
The hospital provides health services such as inpatient, outpatient, and emergency departments. The quality of nursing care is crucial as patients rely on nurses to address their complaints. This study aims to determine the relationship between nurse burnout and patient safety culture with the quality of nursing care. An analytical observational design with a cross-sectional study approach was conducted in two Type B Hospitals in Central Sulawesi Province with 235 nurse respondents in the inpatient room, using purposive sampling. Data analysis included the Pearson product-moment test and multivariate modeling. Results indicated a significant relationship between nurse burnout and nursing care quality (p-value <0.05), as well as between patient safety culture and nursing care quality. The dominant variable related to the quality of nursing care was patient safety culture (β = 0.723). The study highlights that nurse burnout negatively impacts the quality of nursing care, whereas a strong patient safety culture improves it. Theoretically, this research expands the understanding of the interplay between nurse burnout, patient safety culture, and nursing care quality, emphasizing the need for organizational support and effective communication. Practically, it suggests that hospital administrators should implement strategies to reduce nurse burnout and foster a positive patient safety culture, such as stress management programs and a supportive work environment, to enhance nursing care quality and improve patient outcomes
The Relationship of Waste Sorting and Fly Density Levels in Temporary Shelter Places (TPS) In Madiun City
Fly density can be a parameter for the success of waste management, both from containerization activities to final waste disposal, which must be integrated by sorting, collecting and transporting waste management. Waste that is not sorted can cause problems, one of which is disease caused by vectors. In this research, researchers used quantitative research as an approach. The research method used is an analytical survey while the type of research is cross sectional. The total population is 36 polling stations with a sample size of 20 polling stations using the Chi-Square test. Research shows that the independent variable value of sorting is significant (p-value = 0.014), with the level of fly density in the Madiun City Temporary Shelter (TPS). There is a relationship between waste sorting and the level of fly density in the Madiun City Temporary Shelter (TPS)
The Effect of Topical 0.1% Pomegranate Extract (Punica Granatum) on Trans Epidermal Water Loss (Tewl) and Skin Ph Levels in Patients with a History of Atopic Dermatitis
Repairing the skin barrier with moisturizers is one of the five main pillars of treating atopic dermatitis. Petrolatum is considered the gold standard, but its consistency is too thick and oily making it less comfortable to use. Moisturizers containing pomegranate extract (Punica granatum) can be an alternative choice that is more comfortable to use. The effectiveness of this pomegranate extract can be eval__uated using TEWL and pH examinations which are considered accurate indicators for changes in skin barrier conditions. Effectiveness of topical administration of 0.1% pomegranate extract in reducing TEWL and skin pH in sufferers with a history of AD.Single blind randomized clinical trial with two parallel group pre and post design. 34 sufferers with a history of AD were randomly divided into treatment groups (topical 0.1% pomegranate extract, 17 subjects) and control group (topical 100% petrolatum, 17 subjects). Moisturizer was applied twice daily to the volar area of the forearm for 4 weeks. Both groups showed a significant decrease in TEWL after 4 weeks with a TEWL delta of -5.2±2.31g/m2/hour (p<0.001) in the pomegranate extract group and-7.0±7.95g/m2/hour(p=0.003) in the petrolatum group. There was no significant difference in TEWL reduction between the two study groups.The pomegranate extract group showed a significant decrease in pH after 4 weeks with a pH delta of -0.5±0.10(p<0.001), while the petrolatum group actually showed a slight increase with a pH delta of0.0±0.59 (p=0.6). The pomegranate extract group showed a significantly greater decrease in pH (p<0.001).Topical 0.1% pomegranate extract is as effective as 100% petrolatum in reducing TEWL, but more effective in lowering skin pH
The Effectiveness of The Implementation of Patient Safety Targets (SKP) Regarding Correctly Identifying Patients at Klungkung Area General Hospitals
Patient safety is an important thing in the handling of patients by medical personnel in carrying out treatment, it has a very important element so that the government has established various laws and regulations relating to health in Indonesia, one of which is regarding Patient Safety Targets (SKP) which are divided into points. -points regarding targets that must be carried out by medical personnel in carrying out actions in treating patients. The aim of this study is to find out and analyze the effectiveness of implementing Patient Safety Targets (SKP) regarding the accuracy of patient identification at the Klungkung Regional General Hospital as well as knowing and analyzing related facts -Inhibiting factors in implementing Patient Safety Targets (SKP) regarding accurate patient identification at the Klungkung Regional General Hospital. The research method used in this research is an empirical legal research method with data collection techniques, namely document study techniques and interview techniques. The results of the study show that the effectiveness of implementing Patient Safety Targets (SKP) regarding the accuracy of patient identification at the Klungkung Regional General Hospital has not been achieved optimally. This is due to several inhibiting factors, namely the first is that the room conditions are not conducive, the room situation is sometimes too busy, this causes medical officers to have to serve patients quickly, with the number of patients not being comparable to the number of officers, secondly there is an assumption regarding the accuracy of the patient's identity, what is meant in this case is that medical officers are said to feel that they already know the patient's identity, because they have been treated or met. patient for a certain period of time or repeatedly in the same room so that this assumption arises. The third monitoring factor explained in its implementation is the absence of assessment/supervision of procedures for implementing accurate patient identification, so that officers are often negligent or do not get used to identifying patients correctly