Jurnal Health Sains (JHS)
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    Relationship Of 25(Oh)D Umbilical Levels With Neonatal Hyperbilirubinemia

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    The purpose of this study was to determine the relationship between vitamin D levels in the umbilical cord with the occurrence of hyperbilirubinemia in neonates. This study used an analytical observational design in a cohort prospective. This study compared two groups based on the results of vitamin D measurements. Each group, then followed up to examine the occurrence of hyperbilirubinemia. This research will be conducted from October 2022 to January 2023. Sample selection is done by consecutive sampling technique. RESULTS: Of the 19 or 79.2% of infants with 25-hydroxy-vitamin D deficiency, they had hyperbilirubinemia. While in the group that did not experience deficiency, only 3 or 10.7% experienced hyperbilirubinemia. There was a difference in the incidence of hyperbilirubinemia between infants who had 25-hydroxy-vitamin D deficiency compared to those without 25-hydroxy-vitamin D deficiency, with an RR of 6.71, which was statistically significant (p<0.001). 25-hydroxy- vitamin D deficiency was shown to be a factor associated with hyperbilirubinemia with an adjusted RR of 6.63. In conclusion, there is a strong relationship between 25(OH)D levels in the umbilical cord and neonatal hyperbilirubinemia, where 25(OH)D deficiency is a risk factor for hyperbilirubinemia. Neonates with 25(OH)D deficiency are 6.63 times more likely to develop hyperbilirubinemia than those without 25(OH)D deficienc

    Fetal Growth and Well-Being Monitoring

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    Monitoring fetal well-being and growth is the key component of antenatal care. Fetal monitoring is critical to prevent fetal deaths by detecting and managing IUGR (Intrauterine Growth Restriction), congenital malformation, or genetic abnormalities of the fetus, This research uses qualitative methods with a literature review approach. Literature review is a systematic, explicit and reproducible method for identifying, evaluating and synthesizing research works and thoughts that have been produced by researchers and practitioners,  Cardiotocography monitors fetal well-being by analyzing the fetal heart rate to prevent irreversible brain injury due to fetal hypoxia. CTG interpretation can help improve pregnancy outcomes by diagnosing fetal CTG abnormalities and suggesting the proper management. For example, a hypoxic fetus may exhibit abnormalities such as decreased variability of FHR onset of deceleration and no acceleration in CTG due to decreased fetal movement. In conclusion, there are several methods of monitoring fetal well-being and growth that has clinical or scientific evidence and have been used in clinical practice for years, such as cardiotocography, doppler ultrasound, fetal pulse oximetry, fetal scalp blood sampling, and fetal electrocardiogra

    Study of Policy Implementation on Placement, Protection of Migrant Worker From Against the Transmission of HIV-AIDS

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    Used Edward III's policy theory, this study aims to analyze Communication (X1), Resources (X2), Bureaucracy (X3), and Disposition (X4) affect the performance of public policy implementation in the placement and protection of Indonesian Migrant Workers from NTT impact on the transmission of sexually transmitted infections HIV AIDS in NTT (Y). Conducted in Kupang City by taking PPTKIS Citra Bina Tenaga Kerja (CBTM) as a recruiting, training and sending agent. Respondents were 93 people from 122 populations, who departed in 2016-2017 and returned in 2019-2020. Research sample is purposive and snowball sampling. The results show that implementation performance (Y) has not gone well. Statistical analysis used SPSS 26: 1) X1 has a parameter coefficient (original Sample 0.280) against (Y), where the effect was positive and significant (t = 2.946>t-table 1.662); 2) X2 has a parameter coefficient (original sample -0.153) against (Y), where the effect was positive and significant (t = -1.629<t-table 1.662 ); 3) X3 has a parameter coefficient (original sample 0.052) against (Y), where the effect was positive and significant (t = 1.001 <t-table 1.662); 4) X4 has the lowest parameter coefficient (original sample 0.116) (Y), where the effect was positive and significant (t = 2.267>t-table 1.662). The strongest variable influencing policy implementation is communication

    The Influence of Leadership Style, Communication Style on Nurse Performance With Control System as an Intervening Variable Hospital

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    The performance of nurses is an important aspect in hospitals because it is an indicator of the quality of health services. Nurses as human resources in carrying out health services in hospitals are an important resource and are needed to achieve optimal performance. Improving the performance of nurses will increase the effectiveness and productivity of the hospital. Therefore, to achieve good performance, leadership and communication styles are also needed. The purpose of this study was to determine the leadership style and communication with the control system as an effort to assess the performance of nurses. This research is a cross-sectional research design. Data collection was carried out at the Inpatient Unit of RS X Tangerang in June-July 2020 with a total sample of 77 people as research samples. The results  there was no influence between the leadership style on the nurse's performance; the leadership style on the control system; communication on the nurse's performance; between the leadership style and communication on the nurse's performance with the system control as mediation. However, there was an influence between communication on the control system and the control system on the nurse's performance

    Methycillin-Resistant Staphylococcus Aureus (Mrsa) Pada Ulserasi Septum Nasi

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    Staphylococcus aureus is a gram-positive, which belongs to the Staphylococcus aureus family forming grape-like cluster. Staphylococcus aureus can be found in parts of the human body such as the skin, skin glands, mucous membranes, nose and intestines. Methycillin-resistant Staphylococcus aureus (MRSA) is a Staphylococcus aureus that has mutations in penicillin-binding protein (PBP), namely the mecA gene with decreased affinity for most penicillins. Reported one case of a 59-year-old man with MRSA in nasal septal ulceration. Diagnosis is based on anamnesis, physical examination and laboratory test like complete blood count and antibiotic culture test. The therapy in this case was giving tetracycline 4 x 500mg for 14 days

    Factors Affecting the Settlement of BPJS Against the Approval Verifiers BPJS at Citama Hospital

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    The hospital claim process starts with completing the document file as a condition for submitting a claim by the hospital coding officer. A verifier verifies the claim file at the BPJS Center. Verification is researching and checking the claim's Completeness, validity, and feasibility. After verification, the claim file is sent to the Branch Office / District / City Operational Office of BPJS Kesehatan. The Completeness of the document file is an important part of the claim process. If the Hospital can meet the Completeness of the documents, it is likely that the faster the process of reimbursement of the cost of health services that have been provided. The method used in this study is the mixed method. The mixed method is a research method that combines quantitative methods with qualitative methods to be used together in a research activity so that more comprehensive, valid, reliable, and objective data are obtained. Hypothesis Results from First Hypothesis 1) Hypothesis Zero (Ho) There is no relationship between the Completeness of the inpatient medical records of the surgical care unit with the approval of the BPJS claim at Citama Hospital 2) Alternative Hypothesis (Ha) There is a relationship between the Completeness of the inpatient medical records of the inpatient care unit with the approval of the BPJS claim at Citama Hospital Based on the results of the Simple Regression in the previous section, it can be concluded that Ho was rejected,  Ha received. The Completeness of the inpatient medical records of the inpatient care unit significantly affects the approval of BPJS claims at Citama Hospital

    Differences Month of Stock Chemotherapy Based on Consumption and Morbidity Methods at Mrccc Hospital

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    The value of chemotherapy medicines' month of stock in MRCCC Siloam Hospitals Semanggi is high and is not comply to Head Office's standard of 0.66 months. Thus, an evaluation is needed to determine the differences between calculating Month of stock using consumption method and morbidity method. This is a retrospective, Empiric study using descriptive- comparative method with the purpose of explaining the most effective planning method to supply chemotherapy medicines. The study compares Month of stock of chemotherapy medicines using consumption and morbidity method. The result shows average value of Month of stock using morbidity method is 1.853 months and 2.125 months using consumption method. The morbidity method have lower avergae Month of stock compares to consuption method. Planning with a combination of the two methods obtained a Month of stock value of 1.41 months. Profitable than normal delivery. Efficiency is needed so that the hospital can develop better services in the future

    Faktor – Faktor Yang Berhubungan dengan Stress Kerja pada Guru Sekolah Dasar Negeri Pulogebang 01 Selama Pembelajaran Tatap Muka Terbatas Tahun 2022

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    Guru merupakan sentralisasi bagi proses pendidikan, baik dan buruknya proses belajar mengajar tersebut guru yang mengarahkannya. Kondisi selama pandemi ini bisa menimbulkan stress kerja. Tuntutan dan tanggungjawab besar yang dimiliki oleh guru tersebut menjadikan guru mengalami stress. Penelitian ini bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan stress kerja pada guru SD Negeri Pulogebang 01 selama pertemuan tatap muka terbatas tahun 2022. Jenis penelitian yang digunakan yaitu kuantitatif dengan desain penelitian cross sectional study. Populasi guru yaitu 31 guru. Data analisis menggunakan uji Chi Square dengan hasil menunjukan bahwa ada hubungan antara hubungan interpersonal dengan stres kerja (p-value 0,006), lingkungan kerja dengan stres kerja (p-value 0,015). Serta tidak ada hubungan antara beban kerja dengan stres kerja (p-value 1,000), rutinitas kerja dengan stres kerja (0,228).  Maka dari itu perlu upaya dari kepala sekolah untuk menciptakan hubungan kerja yang harmonis antara guru dan atasan, hal ini perlu dilakukan supaya pekerjaan yang sulit dikerjakan akan mudah jika dilakukan bersama sama sehingga semua guru dapat bekerja dengan nyaman.Guru merupakan sentralisasi bagi proses pendidikan, baik dan buruknya proses belajar mengajar tersebut guru yang mengarahkannya. Kondisi selama pandemi ini bisa menimbulkan stress kerja. Tuntutan dan  tanggungjawab besar yang dimiliki oleh guru tersebut menjadikan guru mengalami stress. Penelitian ini bertujuan untuk mengetahui faktor – faktor yang berhubungan dengan stress kerja pada guru SD Negeri Pulogebang 01 selama pertemuan tatap muka terbatas tahun 2022. Jenis penelitian yang digunakan yaitu kuantitatif dengan desain penelitian cross sectional study. Populasi guru yaitu 31 guru. Data analisis menggunakan uji Chi Square dengan hasil menunjukan bahwa ada hubungan antara hubungan interpersonal dengan stres kerja (p-value 0,006), lingkungan kerja dengan stres kerja (p-value 0,015) . Serta tidak ada hubungan antara beban kerja dengan stres kerja (p-value 1,000), rutinitas kerja dengan stres kerja (0,228).  Maka dari itu perlu upaya dari kepala sekolah untuk menciptakan hubungan kerja yang harmonis antara guru dan atasan, hal ini perlu dilakukan supaya pekerjaan yang sulit dikerjakan akan mudah jika dilakukan bersama sama sehingga semua guru dapat bekerja dengan nyaman

    Hubungan Usia, Jenis Kelamin, Tingkat Pengetahuan, Aktivitas Fisik Dengan Kejadian Acute Mountain Sickness (Ams) Pada Pendaki Gunung

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    Hubungan Usia, Jenis Kelamin, Tingkat Pengetahuan, Aktivitas Fisik Dengan Kejadian Acute Mountain Sickness (Ams) Pada Pendaki Gunung Gentani Mayang Sari1), Dasti Anditiarina2), Dewi Utary3), Ayu Anulus4) [email protected], [email protected], [email protected], [email protected] Fakultas Kedokteran Universitas Islam Al-Azhar ABSTRAK Latar Belakang: Acute Mountain Sickness (AMS) adalah kelainan yang sangat umum muncul di ketinggian (>2500 meter). Pherice, Nepal (ketinggian 4.343 m), 43% pendaki mengalami gejala Acute Mountain Sickness (AMS). Di Indonesia, masih sangat sedikit studi dan penelitian yang membahas AMS di kalangan pendaki gunung. Peningkatan jumlah pendaki terjadi di wilayah Nusa Tenggara Barat yaitu Gunung Rinjani dengan ketinggian 3.726 mdpl. Hal ini seharusnya diimbangi dengan pengetahuan tentang AMS, kesiapan fisik, mental, alat dan tindakan P3K yang maksimal untuk mencegah kejadian Acute Mountain Sickness (AMS). Penelitian ini dilakukan untuk mengetahui hubungan usia, jenis kelamin, tingkat pengetahuan, dan aktivitas fisik dengan kejadian Acute Mountain Sickness (AMS) pada pendaki gunung di Lombok. Penelitian deskriptif dengan desain penelitian cross sectional (potong lintang). Teknik pengambilan sampel menggunakan metode consequtive sampling. Penelitian ini dilakukan di Basecamp Arrow Praya, Lombok Tengah pada tanggal 20-21 Desember 2022. Sampel penelitian sebanyak 96 responden. Data yang diperoleh dianalisis dengan uji korelasi Chi-Square. Hasil analisis dilaporkan bahwa hubungan usia (p-value 0,186), jenis kelamin (p-value 0,916), dan tingkat pengetahuan (p-value 0,476) terhadap AMS secara statistik dilaporkan tidak signifikan. Aktivitas fisik (p-value 0,022) dilaporkan secara statistik berhubungan dengan AMS. Tidak didapatkan adanya hubungan yang signifikan antara usia, jenis kelamin, dan tingkat pengetahuan dengan kejadian Acute Mountain Sickness (AMS) pada pendaki gunung di Lombok, tetapi didapatkan adanya hubungan yang signifikan antara aktivitas fisik dengan kejadian Acute Mountain Sickness (AMS) pada pendaki gunung di Lombok. Kata Kunci: Usia, Jenis Kelamin, Tingkat Pengetahuan, Aktivitas Fisik, Acute Mountain Sickness (AMS)       THE RELATIONSHIP BETWEEN AGE, GENDER, LEVEL OF KNOWLEDGE, AND PHYSICAL ACTIVITY WITH THE INCIDENCE OF ACUTE MOUNTAIN SICKNESS (AMS) AMONG MOUNTAIN CLIMBERS IN LOMBOK, WEST NUSA TENGGARA Gentani Mayang Sari1), Dasti Anditiarina2), Dewi Utary3), Ayu Anulus4) [email protected], [email protected], [email protected], [email protected] Faculty of Medicine Universitas Islam Al-Azhar ABSTRACT Background : Acute Mountain Sickness (AMS) is a disorder that is very common at altitudes (> 2500 meters). Pherice, Nepal (altitude 4,343 m), 43% of climbers experience symptoms of Acute Mountain Sickness (AMS). In Indonesia, there are still very few studies and research that discuss AMS among mountain climbers. An increase in the number of climbers occurred in the West Nusa Tenggara region, namely Mount Rinjani with an altitude of 3,726 meters above sea level. This should be balanced with knowledge about AMS, physical and mental readiness, tools and maximum first aid measures to prevent the occurrence of Acute Mountain Sickness (AMS). This study was conducted to determine the relationship between age, gender, level of knowledge, and physical activity with the incidence of Acute Mountain Sickness (AMS) among mountain climbers in Lombok. Descriptive study with a cross-sectional research design. The sampling technique uses the consecutive sampling method. This research was conducted at Arrow Praya Basecamp, Central Lombok on December 20-21, 2022. The research sample consisted of 96 respondents. The data obtained were analyzed with the Chi-Square correlation test. The results of the analysis reported that the relationship between age (p-value 0.186), gender (p-value 0.916), and level of knowledge (p-value 0.476), to AMS was reported to be statistically insignificant. Physical activity (p-value 0.022) was reported to be statistically associated with AMS. There was no significant relationship between age, sex, and level of knowledge with the incidence of Acute Mountain Sickness (AMS) among mountain climbers in Lombok, but there was found a significant relationship between physical activity and the incidence of Acute Mountain Sickness (AMS) among mountain climbers in Lombok.Acute Mountain Sickness (AMS) adalah kelainan yang sangat umum muncul di ketinggian (>2500 meter). Pherice, Nepal (ketinggian 4.343 m), 43% pendaki mengalami gejala Acute Mountain Sickness (AMS). Di Indonesia, masih sangat sedikit studi dan penelitian yang membahas AMS di kalangan pendaki gunung. Peningkatan jumlah pendaki terjadi di wilayah Nusa Tenggara Barat yaitu Gunung Rinjani dengan ketinggian 3.726 mdpl. Hal ini seharusnya diimbangi dengan pengetahuan tentang AMS, kesiapan fisik, mental, alat dan tindakan P3K yang maksimal untuk mencegah kejadian Acute Mountain Sickness (AMS). Penelitian ini dilakukan untuk mengetahui hubungan usia, jenis kelamin, tingkat pengetahuan, dan aktivitas fisik dengan kejadian Acute Mountain Sickness (AMS) pada pendaki gunung di Lombok. Penelitian deskriptif dengan desain penelitian cross sectional (potong lintang). Teknik pengambilan sampel menggunakan metode consequtive sampling. Penelitian ini dilakukan di Basecamp Arrow Praya, Lombok Tengah pada tanggal 20-21 Desember 2022. Sampel penelitian sebanyak 96 responden. Data yang diperoleh dianalisis dengan uji korelasi Chi-Square. Hasil analisis dilaporkan bahwa hubungan usia (p-value 0,186), jenis kelamin (p-value 0,916), dan tingkat pengetahuan (p-value 0,476) terhadap AMS secara statistik dilaporkan tidak signifikan. Aktivitas fisik (p-value 0,022) dilaporkan secara statistik berhubungan dengan AMS. Tidak didapatkan adanya hubungan yang signifikan antara usia, jenis kelamin, dan tingkat pengetahuan dengan kejadian Acute Mountain Sickness (AMS) pada pendaki gunung di Lombok, tetapi didapatkan adanya hubungan yang signifikan antara aktivitas fisik dengan kejadian Acute Mountain Sickness (AMS) pada pendaki gunung di Lombok

    Pengetahuan, Sikap, Zat Pengawet, Pewarna Berbahaya Terhadap Tindakan Siswa dalam Pemilihan Jajanan di SMP

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    Snacks for school children are very diverse, can be in the form of food and drinks. The habit of parents not providing provisions and giving pocket money to their children has been going on for a long time. Even though the school has a school canteen, many school children eat snacks carelessly and buy food and drink snacks from food vendors selling their wares around the school. Until now, the safety level of snacks for school children is apprehensive. Misuse of hazardous chemicals such as formalin, borax, rhodamine B, and methanil yellow. This study aims to determine the relationship between knowledge and attitudes about harmful preservatives and dyes towards the actions of class VIII students in choosing snacks at Tanjung Morawa Methodist Middle School, 2016. This type of research was observational with a cross-sectional design and a sample technique used in the study with a total a sample of 51 students were selected by means of systematic sampling. Data was collected through interviews using a questionnaire. Data analysis used included univariate analysis and bivariate analysis using the Chi Square test. The results of this study indicate that there is a relationship between knowledge about harmful preservatives and dyes towards the actions of class VIII students in choosing snacks at Tanjung Morawa Methodist Middle School, 2016 with a p value of 0.024 and there is an attitude about harmful preservatives and dyes towards the actions of class VIII students in choosing food. snacks at Tanjung Morawa Methodist Middle School, 2016 with a p value of 0.002.Jajanan anak sekolah sangat beragam jenisnya, dapat berupa makanan dan minuman. Kebiasaan orang tua yang tidak menyediakan bekal dan memberi uang jajan kepada anak-anaknya sudah berlangsung sejak lama. Meskipun di sekolah ada kantin sekolah, banyak anak-anak sekolah yang jajan sembarangan dan membeli makanan dan minuman jajanan dari pedagang pangan jajanan yang menjajakan dagangannya di sekitar sekolahnya. Sampai saat ini tingkat keamanan jajanan anak sekolah memprihatinkan. Penyalahgunaan bahan kimia berbahaya seperti formalin, boraks, rhodamin B, dan methanil yellow. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap tentang zat pengawet dan pewarna berbahaya terhadap tindakan siswa kelas VIII dalam pemilihan makanan jajanan di SMP Methodist Tanjung Morawa, 2016. Jenis penelitian ini adalah observasional dengan desain cross sectional dan teknik sampel yang digunakan dalam penelitian dengan jumlah sampel sebanyak 51 siswa yang dipilih dengan cara systematic sampling. Data dikumpulkan melalui wawancara menggunakan kuesioner. Analisis data yang digunakakan meliputi analisis univariat dan analisis bivariat dengan menggunakan uji Chi Square. Hasil penelitian ini menunjukkan adanya hubungan pengetahuan tentang zat pengawet dan pewarna berbahaya terhadap tindakan siswa kelas VIII dalam pemilihan makanan jajanan di SMP Methodist Tanjung Morawa, 2016 dengan nilai p 0,024 dan adanya sikap tentang zat pengawet dan pewarna berbahaya terhadap tindakan siswa kelas VIII dalam pemilihan makanan jajanan di SMP Methodist Tanjung Morawa, 2016 dengan nilai p 0,002

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