Jurnal Health Sains (JHS)
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    Evaluation Use of Interactive Modules Cough And Shortness As Learning Media Independent Station Comprehensive

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    Modul Interaktif Batuk Sesak merupakan media yang dikembangkan Untuk memfasilitasi belajar mahasiswa mandiri di STASE secara komprehensif, kerangka dalam meningkatkan jumlah kelulusan peserta UKMPPD Fakultas Universitas Kedokteran Riau. Kajian ini bertujuan untuk mengetahui keberhasilan dari suatu modul interaktif yang dikembangkan dengan mengukur peningkatan pengetahuan pengguna modul dan tingkat penerimaan pengguna (usability). Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain eksperimen one group pretest posttest untuk mengevaluasi peningkatan pengetahuan dan deskriptif kuantitatif Untuk melihat penerimaan pengguna terhadap modul interaktif batuk dan sesak menggunakan 2 buah kuesioner yaitu System Usability Scale (SUS), User Experience Questionnaire (UEQ) . Studi ini diadakan di Fakultas Kedokteran Universitas Riau pada bulan September – November 2022. Hasil penelitian ini menunjukkan adanya peningkatan pengetahuan dimana dengan uji beda antara skor rata-rata pre-test 57,91 dan rata-rata post-test 82,83, Paired Sample T-test menunjukkan perbedaan dengan sig. (2-ekor) dari 0,000 (p <0,05). Skor SUS sebesar 71 menunjukkan bahwa modul interaktif batuk sesak diperoleh rentang penerimaan yang dikembangkan adalah “acceptable” yang berarti dapat diterima. Pada skala nilai diperoleh kategori “C” dan pada penilaian kata sifat diperoleh kategori “baik”. Skor UEQ secara keseluruhan memiliki nilai rata-rata 1,52 dengan interpretasi “baik”. Kualitas pragmatis memiliki nilai rata-rata 1,80 dengan interpretasi “sangat baik”, untuk kualitas hedonik memiliki nilai rata-rata 1,22 dengan interpretasi “baik”

    PERBEDAAN JUMLAH BAKTERI COLIFORM PADA 3 JENIS ES BATU (ES BATU KEMASAN PLASTIK, ES KRISTAL, DAN ES BALOK)

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    The Ice cubes have a very low temperature, this is an assumption that the ice cubes consumed are relatively safe, even though coliformbacteria at that temperature do not necessarily die. Coliformis a  bacterium  that  is  used  as  an  indicator  of  water  contamination.  Research Objectives  comparing  Coliform  bacteria  in  ice  cubes  (plastic  packaging,  ice  crystals,  ice cubes) sold in the Peterongan market. This research is an observational study with descriptive research criteria through a cross sectional approach. All samples of 15 ice cubes consisting of plastic packaged ice cubes, ice crystals, ice blocks sold at the Peterongan Market, Semarang city 6 samples (5, 8, 2, 6, 14, 15) did not meet the requirements  set by the Agency National Standardization  No.  SNI 388:2009 regarding  maximum  limit  of  microbial  and  food contamination is 3/gramMPN index. This is caused by hygiene and sanitation factors such as not providing water for washing hands and washing utensils, poor waste handling, unhygienic serving of ice cubes. In addition, the water factor is the raw material for ice cubes which is not clean and is not cooked first  Samples of ice cubes sold by beverage traders at the Peterongan market, Semarang City were all found to contain Coliform bacteria.Es batu memiliki suhu yang sangat rendah, hal tersebut menjadi anggapan bahwa es batu yang dikonsumsi  menjadi  relatif  aman,  padahal  bakteri coliformpada  suhu  tersebut  belum  tentu mati. Coliformmerupakan bakteri yang digunakan sebagai indikator kontaminasi air.Tujuan Penelitian ini untuk membandingkan bakteri Coliformpada es batu (kemasan plastik, es kristal, es balok) yang dijual di pasar Peterongan. Merupakan penelitian observasional dengan kriteria penelitian deskriptif melalui pendekatan cross sectional. Seluruh sampel sebanyak 15 es batu yang terdiri dari es batu kemasan plastik, es kristal, es balok yang di jual di Pasar Peterongan kota Semarang 6 sampel (5, 8, 2, 6, 14, 15) belum memenuhi persyaratan yang di tetapkan oleh Badan Standaridisasi Nasional No SNI 7388:2009 tentang batas masimum cemaran mikroba dan pangan sebesar 3/gram indek MPN.disebabkan oleh faktor hygien dan sanitasi seperti tidak menyediakan  air  untuk  mencuci  tangan  dan  mencuci  peralatan,  penanganan  sampah  yang buruk,  penyajian  es  batu  tidak  hygienis.  Selain  itu  faktor  air  bahan  baku  es  batu  yang  tidak bersih dan tidak dimasak terlebih  dahulu. Sampel es batu yang dijual pedagang  minuman di pasar Peterongan, Kota Semarang semuanya ditemukan adanya kandungan bakteri Coliform.

    Machine Learning Model For Stunting Prediction

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    This study aims to find the best Supervised Machine Learning (SML) model for stunting prediction. This research was conducted using an experimental approach using 192 infant data with a composition of 183 normal infant data and 9 stunted infant data using a custom dataset.  The conclusion obtained from this study can be concluded that the combination of the Random Forest classification algorithm with Support Vector Machine Weighting and the Genetic Algorithm Feature Selection has the best performance. The parameters with the best performance are: The training and testing data distribution is 90% of the training data and 10% of the testing data. The number of trees in the random forest algorithm is 100, and the Gain Ratio criterion and max_depth is 10. In the Genetic Algorithm, the best parameters are: The Roulette Wheel selection method, the population is 20, the mutation value is 0.03, and the crossover value is 0.9. The validation method uses k-fold cross validation with a value of k = 10. Another conclusion is that there are 44 supporting factors for stunting, which, if we take a ranking of 10 in order of magnitude from largest to smallest, the supporting factors for stunting are 1.Baby's weight at birth. 2.Baby’s Height at Birth. 3.Number of meal per day. 4.Breast Milk. 5.Diarrhe times per 3 month. 6.Child development examination during covid by Health Worker at home. 7.Mother's age at birth. 8.Mother height at birth. 9.Number of sibling. 10.Age when the first food was given. This research has the disadvantage of no test on other datasets. So researchers do not know the reliability of findings is on different dataset

    The Relationship Between Religiosity And Coping Strategies With Family Resilience During The Covid-19 Pandemic In Karang Tengah Village, Sukabumi City

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    The family is the smallest unit of society that plays an important role in realizing the welfare of the population which is the ideal of development. The outbreak of Covid-19 has resulted in various imbalances in the line of life. Indirectly, this has an impact on the resilience of the family as the smallest social unit. If family resilience is disrupted, it can cause less than optimal family functions. In 2020, BPS Sukabumi City recorded an increase in the unemployment rate of 3.81% from 2019. The purpose of this study is to determine the relationship between religiosity and coping strategies with family resilience during the Covid-19 pandemic. This type of research is correlational with a cross sectional approach. A sample of 372 respondents used cluster random sampling. The instrument used is a questionnaire. Data analysis used simple linear regression and multiple linear regression. The results showed a relationship between communication patterns and family resilience (0.000), a relationship between religiosity and family resilience (0.000), a relationship between coping strategies and family resilience (0.000) and a simultaneous relationship between religiosity and coping strategies with family resilience (0.000). The conclusion in this study is that there is a relationship both partial and simultaneous related to religiosity and coping strategies with family resilienc

    What are The Causes of Exclusive Breastfeeding Failure? : A Systematic Review

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    Exclusive breastfeeding has tremendous health benefits for infants, including boosting the immune system, reducing the risk of disease, and supporting optimal growth and development. Although the importance of exclusive breastfeeding is widely recognized, there are still failures in exclusive breastfeeding practices in many countries, including the factors that cause them. This study aims to analyze the factors that lead to exclusive breastfeeding failure. This study used a systematic literature review method. The data collection technique in this study was carried out by searching literature in the Google Scholar and Scopus databases. Data analysis was carried out using qualitative methods. The results showed that the factors inhibiting exclusive breastfeeding were infant mother's knowledge, family support including mother, mother-in-law, and husband, mother's employment status, breast care, breastfeeding coupled with formula and complementary foods, and milk production during breastfeedin

    Case Report Penile Fracture With Corpus Cavernosum Rupture Without Urethral Disruption Due to Sexual Intercourse

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    Objective: We reported a case of penile fracture with unilateral corpus cavernosum rupture that underwent penile exploration and reconstruction measures. Case presentation: We reported a 45-year-old male patient complaining of penile pain, swelling, loss of erectile ability and a "pop" sound after bumping during sexual intercourse. The patient can still urinate. Physical examination found a swollen penis, hematom, eggplant-like deformity, and angulation to the right accompanied by tenderness. Routine blood support examination within normal limits. Based on data obtained from the anamnesis, physical examination, diagnosis of penile fracture was established and the patient was treated with exploration and reconstruction of the penis <24 hours. Discussion: Patients carried out exploratory actions carried out with circumferential and degloving subcoronal incisions, 4 cc blood clots were evacuated and ruptures were seen in the tunica albuginea corpus cavernosum sinistra along 4 cm. Reconstruction is carried out with primary sutures on the torn corpus cavernosum. The patient is carried out treatment for 5 days. At the postoperative 7-day evaluation, the surgical wound was good and urination was good. At the evaluation of 1 month the patient can have a painless erection with an erection hardness score of 4, there is no penile deformity. Conclusion: Penile fracture is a urological emergency that shows a good prognosis if you get surgical intervention immediately (<24 hours) and can reduce the number of complication

    Priapism Case Report on Chronic Myelocytic Leukemia With Winter Procedure Management

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    Objective: We reported a case of priapism fracture in chronic myelocytic leukemia performed winter procedure Case presentation: We reported a 22-year-old male patient with complaints of erect penis continuously for 3 days without being affected by sexual stimulation. The patient feels pain in his penis and can still urinate. The patient denied any previous history of penile trauma, drug use, and similar complaints. Physical examination found an erect penis with EHS 4 and palpable corpus cavernosum stiff and soft. Routine blood support tests show an increase in leukocytes up to 367,000/μL. Examination of peripheral blood images shows an increase in the number of all types of granulocytes from young cells to blast cells with the effect of a chronic leukemia. Intracavernous blood gas analysis showed pH 7.2, pO2 25 mmHg, and pCO2 75 mmHg. Based on data obtained from the anamnesis, physical examination, and supporting examinations, a diagnosis of ischemic or low flow priapism was established. The patient was treated with cavernous blood aspiration using the winter procedure and combined with intracavernous irrigation using the α phenyleprine agonist. Discussion: The patient performed a winter procedure using two 18G needles for cavernous blood aspiration and combined with intracaevernose irrigation using phenylephrine 1 mg diluted saline. Intracavernous blood aspiration gets 40 mL of blood. The action was performed in the operating room for 2 hours with the result of the penis being detumescence with EHS 2. The patient is observed for 2 days and then referred to a hospital with internal medicine specialist facilities, hemato-oncology consultants for further management related to CML. Conclusion: Ischemic type priapism or low flow is a urological emergency that can be managed with winter procedures and shows good outcomes

    The Effect of Compliance With Wearing Appropriate Protective Personal Equipment With Exposure Risk on The Incidence of Occupational Accidents

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    Work accidents are one of the problems that often occur in the workplace. Work accidents can cause material and non-material losses, both for workers, companies, and society. One of the factors that can cause work accidents is workers' non-compliance in using personal protective equipment (PPE). The purpose of this study was to analyze the effect of compliance with the use of PPE in accordance with the risk of exposure to the incidence of work accidents. The research method used in this research is quantitative research. The data collection techniques used in this study were questionnaires and literature studies. The data that has been collected is then analyzed using the help of the SPSS program. The results showed that compliance with the use of PPE in accordance with the risk of exposure had a significant effect on the incidence of work accidents. Workers who are obedient in using PPE have a lower risk of work accidents compared to workers who are not obedient in using PP

    The Effect of Standard Hospital Care on Chemotherapy Induced Nausea and Vomiting (CINV), Chemotherapy Induced Peripheral Neuropathy (CIPN) and Anxiety in Breast Cancer Patients With Chemotherapy in Jember, Indonesia

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    Breast cancer has a large number of new cases and deaths in the world and Indonesia. Chemotherapy is one of the treatments chosen to treat breast cancer patients. Physical side effects can include Chemotherapy-induced Induced Nausea and Vomiting (CINV), Chemotherapy-induced Induced Peripheral Neuropathy (CIPN) and anxiety. Standard hospital care is care in which nursing actions are in accordance with the Standard Operating Procedure (SOP) that the hospital has established for each existing service. The research method used was quasi-experimental (quasi-experiment), which was carried out with an unequal control group design. The pre-test was carried out during chemotherapy when the researcher met the respondent, and the post-test was carried out during the respondent's following chemotherapy schedule. The population in this study were breast cancer patients undergoing chemotherapy at the chemotherapy clinic at RSD, Dr. Soebandi Jember and Rumkit Kindergarten. III Baladhika Husada Jember . The sampling method used was simple random sampling with a minimum sample size of 60 people. The results of the Paired Samples Test can be concluded that standard treatment in hospitals does not affect the level of Chemotherapy Induced Nausea and Vomiting (CINV) but does influence the incidence rate of chemotherapy-induced peripheral neuropathy (CIPN) and the level of anxiety in breast cancer patients with chemotherapy

    Gingivitis Associated With STD On Underage Patient Without Parental Consent

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    A 16-year-old male patient came to a private dental practice presenting chief complaints about frequent gum bleeding when brushing his teeth. The patient came without his parents. Anamnesis and clinical examination result shows that the patient was suspected of having gingivitis associated with sexually transmitted disease. No medical treatment was performed on the patient because the patient was not accompanied by parents while the patient was not legally able to sign informed consent. The patient was educated about sexually transmitted diseases and asked to come back after taking blood and urine tests, with his parents to accompany him during the examination because the patient. The patient then came back with the results of the blood and urine tests, but without his parents. The dentist cannot provide dental treatment because underage patients must be accompanied by their parents in performing a non-emergency medical treatment. Dentists have the right to postpone the non-emergency medical procedures in private practices for these patients. Dentists are obliged to provide education and refer patients to the hospital for further examination and treatment in accordance with government programs and applicable legal provisions in Indonesia

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