Jurnal Health Sains (JHS)
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Karakteristik Pendertia Snakebite Disertai Gangguan Hemodinamik dan Asidosis Respiratorik pada Pasien Anak dan Dewasa
Get PDFSnakebite or snakebite is a defense mechanism for snakes and can become a medical emergency. Snakebites are a significant cause of morbidity and mortality worldwide, especially in South and Southeast Asia, sub-Saharan Africa and Latin America. The snakebite can be life-threatening if it has a neurotoxic, cytotoxic and hemotoxic effect. Complications from snakebite include hemodynamic disturbances and respiratory acidosis. International online databases (PubMed and Google Scholar) were used to search for articles in this systematic review. A total of 24 related research articles indexed by Scopus have been published in the last ten years. This research is a literature systematic review. Research sources were taken in the last 10 years from 2012 to 2022, taken from PubMed and Google Scholar. After exclusion, 24 articles and studies that met the exclusion and inclusion criteria were considered for systematic review. Of all the journals reviewed, there are many that explain snake bite associated with hemodynamic disturbances and respiratory acidosis. Snakebite is proven to provide long-term complications in the form of hemodynamic disturbances around the bite site. Another complication that has been proven to occur in snakeibite victims is cardiac shock, especially impaired cardiac return. Pathophysiology, symptoms, and diagnosis of snakebite in pediatric and adult patients are the same. The majority of journals discuss heart disorders and infections, necrosis of muscles and bones related to venomous snake bites. Hemodynamic disturbances and respiratory acidosis are complications that can occur in snakebite victims. There are similarities in symptoms and management of venomous snake bites in children and adults.Snakebite atau gigitan ular merupakan mekanisme pertahanan dari ular dan dapat menjadi masalah kegawatan medis. Snakebite merupakan penyebab morbiditas dan mortalitas yang signifikan di seluruh dunia, terutama di Asia Selatan dan Tenggara, Afrika sub-Sahara, dan Amerika Latin. Adapun snakebite dapat mengancam jiwa jika memiliki efek racun neurotoksik, sitotoksik dan hemotoksik. Dampak komplikasi dari snakebite antara lain gangguan hemodinamik dan asidosis respiratorik. Database online internasional (PubMed dan Google Scholar) di gunakan untuk mencari artikel dalam tinjauan sistematis ini. Sebanyak 24 artikel penelitian terkait yang terindeks Scopus di terbitkan dalam sepuluh tahun terakhir. Penelitian ini merupakan litetature systematic review. Sumber penelitian diambil dalam 10 tahun terakhir dari tahun 2012 sampai tahun 2022, yang diambil dari PubMed dan Google Scholar. Setelah mengeksklusikan di dapatkan 24 artikel dan studi yang memenuhi kriteria eksklusi dan inklusi di pertimbangkan untuk di jadikan tinjauan sistematis. Dari semua jurnal yang di ulas, terdapat banyak sekali yang menjelaskan snake bite berhubungan dengan gangguan hemodinamik dan asidosis respiratorik. Snakebite terbukti memberikan efek komplikasi jangka panjnag berupa gangguan hemodinamik di sekitar tempat gigitan. Komplikasi lain yang terbukti bisa terjadi pada korban snakeibite adalah cardiac shock khususnya gangguan aliran balik jantung. Patofisiologi, gejala, dan diagnosis snakebite pada pasien anak-anak dan dewasa adalah sama. Mayoritas jurnal membahas mengenai gangguan jantung dan infeksi , nekrosis pada otot dan tulang yang berkaitan gigitan ular beracun. Gangguan hemodinamik dan asidosis respiratorik adalah komplikasi yang bisa terjadi pada korban snakebite. Terdapat kesamaan gejala maupun penatalaksanaan pada gigitan ular beracun pada anak dan orang dewasa
The Effect Of Snakebite On Hemodynamic Disorders Of The Heart In Adults And Pregnant Women
Get PDFA snake bite is a natural defense response from a snake and can be an emergency medical situation. Snakes have a venom consisting of various proteins that can affect the functioning of the human body. The venom structure in snake venom varies between different species of snakes. Knowing the effect of snakebite on hemodynamic disorders of the heart in adults and pregnant women. This study is a Systematic Review that applies the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) method, which is a systematic approach that follows appropriate research steps and protocols. The result of this study is the association of Snakebite with Hemodynamic Disorders of the Heart in Adult Patients and Pregnant Women" showing a major focus on heart disorders, infections, muscle and bone necrosis due to poisonous snake bites in developing countries, especially in children. Snake bites can cause immediate cardiovascular effects such as anaphylactic reactions, electrolyte disturbances, to cardiogenic shock and cardiac arrest in severe cases. Effective treatment for osteomyelitis and cardiogenic shock due to snakebites involves extensive surgical debridement and antibiotic therapy tailored to culture results. The duration of therapy varies based on the type of infection, with longer treatments for chronic infections. Adequate debridement is key to successful treatment, and a variety of surgical methods can be used, including open surgery, arthroscopy, or puncture/aspiration and flushin
Quantitative Study of Antibiotic Use in Urinary Tract Infection Patients at RSU X in East Jakarta 2019
Get PDFUrinary tract infection is a health problem that can increase morbidity and even increase the death rate both in Indonesia and in the world. Urinary tract infection is the second most common infectious disease after upper respiratory tract infection which in its treatment must use antibiotic therapy, so the treatment must be appropriate and rational. The purpose of this study was to determine the use of antibiotics quantitatively using the ATC/DDD and 90% DU methods in patients with urinary tract infections at RSU X in East Jakarta. Methods, This research is a descriptive study using a cross-sectional design. Data collection was carried out retrospectively through the medical records of urinary tract infection patients at RSU X in East Jakarta in 2019, data analysis was carried out using the ATC/DDD method and DU 90%, sample size was 115 urinary tract infection patients who met the inclusion and exclusion criteria. The results showed that the total DDD/100 patient-days in this study was 96.65% with the highest type of antibiotic, namely levofloxacin, 44.07% DDD/100 patient-days. Drugs included in the DU segment 90% were levofloxacin (45.60%), ceftriaxone (21.54%), cefoperazone (11.33%), and amoxicillin clavulanate (9.00%). 
Optimizing The War Of Parents, Teachers And Children In An Effort To Improve Children's Learning During The Covid-19 Pandemic
Get PDFChildren have the right to learn because it is the human right of every child to obtain proper education and teaching in the context of self-development in accordance with their interests and talents. The world of education is currently experiencing a major test due to the COVID-19 pandemic, because it has caused a crisis in the world of education. The COVID-19 pandemic has caused governments of countries around the world to close schools with the aim of inhibiting the transmission of the virus. Closing schools and learning from home through online has created its own challenges and obstacles for every child and teenager. Changes in the education system plus psychological problems experienced by children greatly affect the interest in learning of children and adolescents during the pandemic, where this can cause a child's academic achievement to decline. Distance learning from home expects the role of parents to be a bridge between teachers and children. Parents and teachers are also expected to be able to increase their respective roles and synergize with each other in increasing children's interest in learning during the COVID-19 pandemi
Changes in The Mental Health Condition Among Elderly After Giving Reflexology Massage Intervention
Get PDFIntroduction: The number of elderly people in Indonesia is estimated to rise by about 10 percent and by 2024 it will rise to 20 percent and this group is facing issues such as living below the poverty line, health problems such as mental health (depression and anxiety) Various instruments of mental health are widely used both in hospitals and in the community Objective: The objective of this study was to know the changes in the mental health condition of elders after given reflexology intervention Methods: This is quasi experimental study with pre and post design among elder group ≥ 60 years. The elderly people were interviewed with GDS and GAT-7 before receiving treatment. The following step consisted of alternate massaging the legs using reflexology. After completing the reflexology massage intervention every 2 (two) times a week with a duration of 100-140 minutes, the second GDS and GAT-7 interview was then conducted. The results of the difference in the average scores of GDS and GAT-7 were compared to see the extent of the benefits of reflexology intervention in reducing anxiety and depression in the elderly group. Other variables are age, marriage status, education, research carried out in Puraseda village, Leuwiliang district, Bogor district of West Java. Sampling method uses random sampling techniques that meet the inclusion criteria with a minimum sample size of 10. Analysis is performed in a descriptive and bivariate to see the difference between GS and GAT-7 scores. Results: The overall average GDS score decreased after being given reflexology massage. Our study found that there was an influence of reflexology on the elderly mental health. The average depression score before reflexology was 18.60 with a standard deviation of 3.01. Then, an average depression score after reflexology intervention was 16.20 with a standard deviation of 2.68. In this study, the anxiety score was carried out using the Wilcoxon test, where 7 subjects’ anxiety levels decreased, 3 subjects’ anxiety levels increased, and 5 subjects remained the same
Knowledge, Subjective Norm, Attitude, Perceived Behavior Control, Intentions About Hemoglobin in Pandemic Pregnant Women
Get PDFAnemia will increase the risk of miscarriage, giving birth to babies with low birth weight, born prematurely, the risk of bleeding before and or during delivery which can cause the death of the mother and baby. According to the Indonesian Ministry of Health, in 2021, Banten Province is part of the 6 provinces that contribute 50% of maternal mortality cases. The purpose of this study was to analyze the effect of anemia and nutrition education on hemoglobin levels in anemic pregnant women in primary care during the COVID-19 pandemic. This study uses a quasi-experimental design with the nonequivanlent control group design. A sample of 40 pregnant women with anemia in the second trimester in Primary Services in Tangerang City, Banten Province. Consisting of 20 pregnant women in the experimental group and 20 people in the control group. Anemia and nutrition education is given to pregnant women individually at the first visit for ANC and follow-up education via WA/SMS every week for 4 weeks and during ANC visits primary data is collected using a semi-structured questionnaire for interviews and hemoglobin levels are also checked. at the start of the ANC visit and 4 weeks later. Data were collected after 4 weeks for anemia and nutrition education intervention and data were analyzed using T test, Wilcoxon test, Mann Whitney test. Active collaboration support between medical personnel and pregnant women through online media Whatsapp/SMS reminder. Effect of anemia and nutrition education on hemoglobin levels in anemic pregnant women in primary care during the Covid 19 period
Hubungan Dukungan Petugas Kesehatan Terhadap Perilaku Individu dalam Pemanfaatan Layanan BPJS
Get PDFEconomic development's primary goal is to make the community prosperous. EBSCO, ScienceDirect, and Proquest databases are used for both international and domestic literature searches. In the initial rounds of looking for journal articles, we discovered 25 papers between 20 and 22 using the keywords "health services," "BPJS," and "health professionals." Only roughly 10 of them are thought to be important. Only eight products, two of low quality, and five of medium quality satisfied all requirements. Increased health behavior among BPJS members is a result of the interaction between the structure and function of social agents in administering the health service system. Participants in BPJS Kesehatan in Wonogiri shown notable cooperation with hospitals and Puskesmas.Tujuan utama pembangunan ekonomi adalah untuk menciptakan kesejahteraan bagi masyarakat. Pencarian literatur global dan domestik yang memanfaatkan database EBSCO, ScienceDirect, dan Proquest. Dengan menggunakan kata kunci “pelayanan kesehatan”, “BPJS”, dan “petugas kesehatan”, ditemukan 25 publikasi antara 20 dan 22 pada tahap awal pencarian artikel jurnal. Hanya sekitar 10 di antaranya yang dianggap signifikan. Lima artikel berkualitas sedang, dua artikel berkualitas rendah, dan hanya delapan artikel yang memenuhi semua standar. Hubungan peran dan struktur agen sosial dalam mengimplementasikan sistem pelayanan BPJS Kesehatan berpengaruh terhadap peningkatan perilaku kesehatan peserta BPJS. Peserta BPJS Kesehatan di Wonogiri menunjukkan kerjasama yang signifikan dengan Puskesmas dan rumah sakit
Analysis of Problems in The Framework of Development of Medical Record Control Systems
Get PDFThe number of delays in the cause of inpatient medical records in Indonesia is still high, in the range of 45.45% - 100%. Where the highest delay in return is caused by incompleteness in filling out the medical resume, this can potentially cause losses to the hospital due to delayed claim collection. This study aims to analyze the causes of the problem to develop an inpatient medical record control system model using the waterfall model method, including Requirements, Analysis, and Design at Aqidah Hospital, Tangerang City. This case study uses a qualitative approach with in-depth interviews, FGD (Focus Group Discussion), Observation and Document Review of inpatient medical records for October – December 2021. The results showed that the delay in returning inpatient medical records in 2019 was 185 out of 280 (66.10%). In 2020 as many as 280 out of 410 (68.29%), and in 2021 as many as 228 out of 320 (71.25%). ) thus, the highest percentage of delays in returning inpatient medical records will occur in 2021. While the writing of the primary diagnosis only reached the percentage of 1.25%, and the secondary diagnosis only reached 0.93%. For this reason, the researcher proposes a solution to the problem of delaying the return of medical records at Aqidah Hospital to develop a medical record control system model to improve the medical record management process
Penyuluhan Kesehatan pada Ibu Hamil Tentang Pemberian ASI Eksklusif
Get PDFThe target audience for the Community Partnership Program (PKM) are pregnant women who are in the working area of the Syamtalira Aron Health Center, totaling 30 people. The aim of implementing activities is to improve the quality of human resources through exclusive breastfeeding by increasing knowledge about exclusive breastfeeding, increasing knowledge about breast care during pregnancy and postpartum, increasing skills about breast care during pregnancy and postpartum. The method that will be used to address the problems of the target audience is the Implementation of Community Service which will be carried out by means of health counseling to pregnant women about exclusive breastfeeding and demonstrations of breast care for women during and after childbirth in the working area of the Syamtalira Aron Health Center, North Aceh district. On the first day, before the counseling was carried out, a pre-test was carried out first, and on the second day, a demonstration of breast care was carried out, after which it was continued with a post-test. This activity was carried out from 5 to 6 September 2022, after evaluating an increase in knowledge of 70% and skills of 76.6%, the expected achievement targets were successful. The output that is expected to be achieved from this activity is National publications with ISSN and e-ISSN. Obtain IPR for health education modules and leaflets on exclusive breastfeeding and breast care leaflets during pregnancy and postpartum. Publication has been done through online media. This program is expected to provide benefits to the community, especially the target audience, thereby increasing the quality of human resources.Khalayak sasaran Program Kemitraan Masyarakat (PKM) ini adalah ibu hamil yang berada di wilayah kerja puskesmas Syamtalira Aron berjumlah 30 orang. Tujuan pelaksanaan kegiatan untuk meningkatkan kualitas sumber daya manusia melalui Pemberian ASI Ekslusif dengan cara meningkatkan penegetahuan tentang pemberian ASI Eksklusif, meningkatkan penegtahuan tentang perawatan payudara pada masa hamil dan nifas, meningkatkan ketrampilan tantang perawatan payudara pada masa hamil dan nifas. Metode yang akan digunakan untuk mengatasi permasalahan khalayak sasaran adalah Pelaksanaan Pengabdian masyarakat akan dilakukan dengan cara penyuluhan kesehatan pada ibu hamil tentang pemberian ASI eksklusif dan demontrasi perawatan payudara pada ibu masa dan nifas di wilayah kerja puskesmas Syamtalira Aron kabupaten Aceh Utara. Pada hari pertama sebelum di lakukan penyuluhan di lakukan pre test terlebih dahulu, dan pada hari kedua dilakukan demontrasi perawatan payudara setelah itu di lanjutkan dengan post test. Kegiatan ini dilaksanakan pada tanggal 5 s/d 6 September 2022, setelah dilakukan evaluasi adanya peningkatan pengetahuan sebanyak 70 % dan keterampilan sebanyak 76,6% telah berhasil Target capaian yang diharapkan. Luaran yang diharapkan dapat dicapai dari kegiatan ini adalah publikasi Nasional ber-ISSN dan e-ISSN. Mendapatkan HAKI untuk modul dan Leaflet penyuluhan Kesehatan tentang pemberian ASI Eksklusif dan leaflet perawatan payudara pada masa hamil dan nifas. Publikasi telah dilakukan melalui media online. Program ini diharapkan memberi manfaat kepada masyarakat khususnya khalayak sasaran, sehingga meningkatkan kualitas sumber daya manusia
Potency of Turmeric Extract Solution (Curcuma Longa) as on Alternative Herbal Mouthwash in Gingivitis Marginalis
Get PDFMarginal gingivitis is an inflammation of the gingiva at the margin and is the earliest stage characterized by a reddish inflammation that is not persistent but prominent in areas where bacterial plaque is concentrated. Preventive efforts to rinse mouthwash contain antibacterial, long-term use has side effects, so we need herbal ingredients that have antibacterial properties, one of which is turmeric. This researcher aims to prove the potential of turmeric extract solution (Curcuma longa) as an alternative herbal mouthwash against gingivitis marginalis. This type of research uses a Quasy experiment with a pre and post test design with a control group design. Consisting of the intervention group using turmeric extract mouthwash with a concentration of 2.5%, 5% and the control group without active ingredients, the sample consisted of 27 people gargling for 1 minute for 5 consecutive days. Index gingival examination before and after rinsing. The results of the independent t-test for reducing marginal gingivitis at concentrations of 2.5% and 5% on days 1 and 2 showed a sig value of 0.002, on day 3 the sig value was 0.004, on days 4 and 5 the sig value was 0.000 meaning that there was a significant difference in reduction of marginal gingivitis. The conclusion of this study is that herbal mouthwash is effective as an alternative to herbal mouthwash in reducing marginal gingivitis compared to formulas without active ingredients.Gingivitis marginalis adalah peradangan gingiva bagian margin dan merupakan stadium yang paling awal ditandai adanya peradangan yang berwarna kemerahan yang tidak persisten tetapi menonjol di daerah dimana plak bakteri terkonsentrasi. Upaya preventif berkumur obat kumur mengandung antibakteri, penggunaan jangka panjang memiliki efek samping, sehingga diperlukan bahan herbal yang memiliki antibakteri salah satunya kunyit. Peneliti ini bertujuan untuk membuktikan potensi larutan ekstrak kunyit (Curcuma longa) sebagai alternatif obat kumur herbal terhadap gingivitis marginalis. Jenis penelitian ini menggunakan Quasy eksperiment dengan rancangan pre and post test with control group design. Terdiri kelompok intervensi penggunaan obat kumur ekstrak kunyit konsentrasi 2,5%, 5% dan kelompok kontrol formula tanpa bahan aktif, sampel terdiri dari 27 orang berkumur selama 1 menit selama 5 hari berturut-turut. Pemeriksaan gingival indeks sebelum dan sesudah berkumur. Hasil uji independent t-test terhadap penurunan gingivitis marginalis konsentrasi 2,5% dan 5% pada hari ke 1 dan 2 menunjukkan nilai sig 0,002, hari ke 3 nilai sig 0,004, hari ke 4 dan 5 nilai sig 0,000 artinya terdapat perbedaan yang bermakna terhadap penurunan gingivitis marginalis. Kesimpulan penelitian ini pemberian obat kumur herbal efektif digunakan sebagai alternatif obat kumur herbal dalam menurunkan gingivitis marginalis dibandingkan dengan formula tanpa bahan aktif