Jurnal Health Sains (JHS)
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PENANGKAPAN NON-OSSEOUS TECHNETIUM-99M METHYLENE DIPHOSPHONATE (TC-99M MDP) PADA PEMERIKSAAN SIDIK TULANG
Get PDFNon-osseous uptake on Tc-99m methylene diphosphonate can be caused by the processing of neoplasms, trauma, inflammatory processes, ischemic, and artifacts. Using Tc-99m MDP in bone scintigraphy imaging can show the changes in the metabolism of non-osseous lesions. Bone scintigraphy can show soft tissue lesions due to increased focal area activity. This study aimed to determine the non-osseous uptake of Tc-99m MDP in bone scintigraphy. The methods of this article were an article review of the current literature published in the last ten years until 2022 that discusses the uptake of non-osseous Tc-99m MDP on bone scintigraphy. This study found that proper identification of non-osseous uptake on bone scintigraphy can provide a diagnostic clue to the pathologic process. In conclusion, imaging of Tc-99m MDP uptake on the bone scintigraphy can provide additional information to reduce the risk of misinterpretation of bone scintigraphy results. Penangkapan non-osseous pada pemeriksaan sidik tulang dengan menggunakan radiofarmaka Technetium-99m methylene diphosphonate (Tc-99m MDP) dapat disebabkan karena proses neoplasma, trauma, proses inflamasi, iskemik, dan artefak. Perubahan metabolisme lesi non-osseous dapat diketahui pada pencitraan sidik tulang dengan menggunakan radiofarmaka Tc-99m MDP. Lesi pada jaringan lunak dapat terlihat pada pemeriksaan sidik tulang karena adanya peningkatan aktivitas pada area fokal. Tujuan penulisan telaah pustaka ini adalah untuk mengetahui gambaran penangkapan non-osseous Tc-99m MDP pada pemeriksaan sidik tulang. Metode penelitian ini adalah tinjauan pustaka dari semua literatur mengenai penangkapan non-osseous Tc-99m MDP pada sidik tulang yang dipublikasikan dalam 10 tahun terakhir hingga tahun 2022. Hasil penelitian ini didapatkan bahwa identifikasi yang tepat dari penangkapan Tc-99m MDP pada sidik tulang dapat memberikan petunjuk diagnostik pada proses patologis. Kesimpulan dari telaah pustaka ini adalah pencitraan penangkapan non-osseous Tc-99m MDP pada pemeriksaan sidik tulang dapat memberikan informasi tambahan sehingga dapat mengurangi risiko salah interpretasi dalam membaca hasil pemeriksaan sidik tulang
Hubungan Merokok, Diabetes Melitus Terhadap Kejadian Katarak pada Pasien Berobat di Rumah Sakit Mata
Get PDFCataracts are an eye disorder characterized by clouding of the eye lens which can interfere with vision. Cataracts are the cause of at least 50% of blindness cases worldwide. As life expectancy increases, the number of affected respondents increases. Cataracts can be caused by intrinsic factors and extrinsic factors. This study aims to find out the relationship of smoking and diabetes mellitus with the occurrence of the cataract in patient treatment at the West Nusa Tenggara Provincial Eye Hospital. This study is observationally analytical using cross-sectional design. The sampling technique is porpusive sampling. The research sampel consisted of 110 samples that fit the inclusion and exclusion criteria. The result of this study were obtained smoking are 59 (53,6%) and who were not smoking 51 (46,4%). While respondents with diabetes mellitus 54 (49,1%) and who were not diabetes mellitus 56 (50,9%). There is relationship between smoking with incidence of cataract in patients treatment with p-value 0,038 and with PR 2,236 more at risk of cataract and there is relationship between diabetes mellitus with the incidence of cataract in patients treatment with p-value 0,002 and with PR 3,316more at risk of cataract. There is significant relationship between smoking and diabetes mellitus in patients treatment at the west nusa tenggara provincial eye hospital.Katarak merupakan kelainan mata yang ditandai dengan kekeruhan lensa mata yang dapat menggangu penglihatan. Katarak merupakan penyebab sedikitnya 50% kasus kebutaan di seluruh dunia. Seiring dengan peningkatan usia harapan hidup, jumlah orang yang terkena semakin bertambah. Katarak dapat disebabkan oleh faktor intrinsik dan faktor ekstrinsik. Penelitian ini bertujuan untuk mengetahui hubungan merokok dan diabetes melitus terhadap terjadinya katarak pada pasien yang berobat di Rumah Sakit Mata Provinsi Nusa Tenggara Barat. Penelitian ini merupakan observasional analitik dengan menggunakan desain cross-sectional. Teknik pengambilan sampel yaitu porpusive sampling. Sampel penelitian sebanyak 110 sampel yang sesuai kriteria inklusi dan eksklusi. Data yang diperoleh dianalisis dengan uji korelasi Chi-square. Hasil penelitian ini didapatkan merokok sebanyak 59 (53,6%) dan tidak merokok sebanyak 51 (46,4%). Sedangkan responden dengan DM sebanyak 54 (49,1%) dan tidak DM sebanyak 56 (50,9%). Terdapat hubungan antara merokok dengan katarak pada pasien yang berobat dengan nilai p-value 0,038 dan nilai PR 2,236 lebih berisiko terjadi katarak dan ada hubungan riwayat DM dalam dengan kejadian katarak pada pasien yang berobat dengan nilai p-value 0,002 dan nilai PR 3,316 lebih berisiko terjadi katarak. Terdapat hubungan yang signifikan antara merokok dan diabetes melitus terhadap kejadian katarak di Rumah Sakit Mata Provinsi Nusa Tenggara Barat
Functional Outcome in C2/C3 Fracture Dislocation Managed with Combined Surgical Decompression and Posterior Stabilization
Get PDFSpinal cord injury is one of the main reasons for permanent paralysis and immobility till now. Spine injury is usually fatal because it involves more than one component, such as discoligamentous misconfiguration, vascular and spinal cord damage. Spine dislocation fracture at the level of C2-3 is rare and usually affects one or two vertebras. Good functional outcome in spine injury is uncommon in which death almost always happens suddenly or is caused by secondary trauma. Emergency room with a cervical spine injury. The patient was pushed by his friends from the side during playtime, causing the neck to hit the corner of a table. The dislocation fracture at the level of C2-3 and spinal cord compression directly caused tetraplegia. The condition was handled with a decompression procedure, spine fusion at the level of C1-4, and posterior stabilization with pedicle screws. A day after the operation, minimal movements were seen in both arms and legs, with motoric strength of 2/2/2/2. The score improved to 4/4/4/4 after two weeks of meds and physiotherapy. The patient started to write again in week 3. The dislocation fracture in this patient caused spinal cord compression. A retropulsion fracture fragment can be displaced to the spinal canal and potentially cause further spinal cord damage. Displacement towards the anterior horn leads to motoric dysfunction. Dislocation fracture at the level of C2-3 hinders neurotransmitter impulse, causing total paralysis on all extremities with intact sensory function. The patient had temporary external stabilization around the neck area while waiting for the procedure. The management concept in cases like this includes affected spinal cord decompression and internal fixation using pedicle screws to ensure fracture stabilization
Community Empowerment Together, Know the Spread and Prevention Of Covid 19
Get PDFThe new world is faced with a health problem, namely the new coronavirus disease pandemic (Corona Virus Disease-2019), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This disease was first discovered in December 2019 in the City of Wuhan, Hubei Province, China. This disease can manifest from mild respiratory disorders to severe pneumonia which causes death, this is a global challenge. In March 2020, the World Health Organization (WHO) declared Covid-19 a pandemic, meaning that the disease has spread over a large area, for example several continents, or worldwide. Although intensive research efforts around the world have been carried out, among others related to the prevention, spread and also treatment of Covid-19. Government policies and community participation in efforts to deal with the pandemic are very influential in preventing the spread of the Covid-19 virus. In the context of handling the Covid-19 pandemic, in addition to the government's vaccination program, it also recommends maintaining distance, wearing masks, and washing hands as a preventive measure. The aim of this research is to empower the community to recognize the spread and prevent COVID-19 at the UPT Puskesmas Jenawi, Karanganyar Regency. Place of Implementation at the Karanganyar Jenawi Health Center. Implementation time March 14, 2022 Method: Implementation of activities using a group-based method which is carried out in a comprehensive manner, starting from coordination with policy makers at the Jenawi Health Center, approaches and coordination with the community, educating the community, mentoring, and discussions. The activities of the community service team are carried out in a measurable and monitoring and evaluation process to measure achievement of targets and outcomes, through the role of the community, cadres and puskesmas so that they can improve the health status of the community. The sample is 40 respondents with purposive sampling technique. The results of the implementation of education in the community gain knowledge and insight about Covid 19 so that the community can be empowered to participate in the prevention of Covid 19. The community needs to be vigilant and protective of this global pandemic by knowing its prevention and spread so it is necessary to empower the community and cadres to participate in preventing covid-19 19 through community service by involving competent experts, namely experts in the field of medicine, public health experts, psychologists providing knowledge to the community related to the spread and prevention of the Covid 19 virus.Dunia baru dihadapkan dengan masalah kesehatan yaitu pandemi penyakit coronavirus baru (Corona Virus Disease-2019), yang disebabkan oleh coronavirus sindrom pernafasan akut / Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Penyakit ini pertama kali ditemukan pada Desember 2019 di Kota Wuhan, Provinsi Hubei, China. Penyakit ini dapat bermanifestasi berupa gangguan saluran napas ringan hingga pneumonia berat yang menyebabkan kematian, ini menjadi tantangan global. Pada bulan Maret 2020, Organisasi Kesehatan Dunia (WHO) menetapkan Covid-19 sebagai pandemi, yang berarti penyakit ini telah menyebar di wilayah yang luas, misalnya beberapa benua, atau di seluruh dunia. Meskipun upaya penelitian intensif di seluruh dunia telah dilakukan, antara lain berkaitan dengan pencegahan, penyebaran dan juga pengobatan covid 19. Kebijakan Pemerintah dan pasrtisipasi masyarakat dalam upaya penanggulangan pandemik sangat berpengaruh untuk mencegah meluasnya penyebaran virus covid-19. Dalam rangka penanganan pandemik covid-19, selain program vaksinasi pemerintah juga menganjurkan untuk menjaga jarak, memakai masker, cuci tangan sebagai upaya pencegahan. Tujuan dalam penelitian ini dengan pemberdayaan masyarakat dapat mengenali penyebaran dan mencegah covid 19 di UPT Puskesmas Jenawi Kabupaten Karanganyar. Tempat Pelaksanaan di Puskesmas Jenawi Karanganyar. Waktu pelaksanaan 14 Maret 2022 Metode : Pelaksanaan kegiatan dengan metode berbasis kelompok yang dilakukan secara komprehensif, mulai dari koordinasi dengan pengambil kebijakan di Puskesmas Jenawi, pendekatan dan koordinasi dengan masyarakat, edukasi pada masyarakat, pendampingan, dan diskusi. Kegiatan tim pengabdian masyarakat dilakukan secara terukur dan proses monev untuk mengukur ketercapaian target dan luaran, melalui peran masyarakat, kader dan puskesmas sehingga dapat meningkatkan derajad kesehatan pada masyarakat. Sampel berjumlah 40 responden dengan tehnik sampling purposive sampling. Hasil pelaksanaan edukasi pada masyarakat mendapatkan pengetahuan dan wawasan tentang Covid 19 sehingga masyarakat dapat diberdayakan untuk ikut serta dalam pencegahan Covid 19. Masyarakat perlu waspada dan protektif adanya pandemic global tersebut dengan mengetahui pencegahan dan penyebarannya sehingga perlu pemberdayaan masyarakat dan kader untuk ikut serta mencegah covid-19 melalui pengabdian masyarakat dengan melibatkan ahli yang berkompeten yaitu ahli di bidang kedokteran, ahli publich health, ahli psikologi memberikan keilmuan pada masyarakat berkaitan dengan penyebaran dan pencegahan virus covid 19 tersebu
Navigating the Opportunities and Challenges of Health Information Technology in Modern Medicine
Get PDFThe landscape of modern medicine has been significantly transformed with the advent of Health Information Technology (HIT). This wide-ranging field encompasses diverse technologies, from rudimentary charting mechanisms to advanced decision-support systems and integration with medical devices.1 A deeper understanding of the nuances of HIT provides a vista of opportunities for improving and transforming healthcare, potentially reducing human errors, enhancing clinical outcomes, and facilitating seamless care coordination. One of the uses of health information technology is electronic medical records. Electronic medical records (EMRs) have the potential to improve patient safety, but there are also concerns about safety issues related to their use. Some of the patient safety issues with EMRs include usability issues, such as poor information display and complicated screen sequences and navigation. Additionally, poor EHR interoperability can lead to increased risks of medication errors and other safety issues.2,3 However, EMRs can also improve the ability to diagnose diseases and reduce medical errors, improving patient outcomes.4 The role of EMRs in enhancing patient safety is still debated, and there is ongoing research to identify potential patient safety issues related to their use. The future of HIT, particularly EMRs, holds promising prospects for further revolutionizing healthcare delivery
OVERVIEW OF THE LEVEL OF DEPRESSION, ANXIETY AND POSTOPERATIVE STRESS IN BONE TUMOR PATIENTS AT ORTHOPEDIC HOSPITAL PROF. DR. R. SOEHARSO SURAKARTA
Get PDFBone tumors are abnormal cell growths that occur in bones. Although fairly rare, bone tumors are not an easily cured disease, the type of bone tumor that attacks many those aged 10-20 years is classified as an active and aggressive type of tumor. Because once attacked, the roots can gnaw the bone to require amputation, because if not, it will risk the safety of the patient's life. One treatment of bone tumors is surgery. But in the treatment of surgery, it is not uncommon for psychological problems to arise experienced by patients. Psychological problems that often arise when postoperative bone tumors it is depression, anxiety and stress. The purpose of this study was to determine the picture of the level of depression, anxiety and postoperative stress in bone tumor patients. This study used a Quantitative descriptive research design, the sampling technique used in this study was total sampling. The samples in this study were all preoperative bone tumor patients totaling 39 people. The instrument used is DASS. The results showed that respondents did not experience depression, namely as many as 27 people (69.2%), 7 people (17.9%) experienced mild depression and 5 people (12.8%) experienced moderate depression. Respondents with very severe anxiety, namely as many as 13 people (33.3%), then 12 people (30.8%) did not experience anxiety, then moderate anxiety levels, which were as many as 11 people (28.2%), very severe anxiety as many as 10 people (25.6%)
Beauty Body (Body Composition) among Fat Loss Program Participants A Case Study Longitudinal Primary Study
Get PDFOverweight and obesity can be risk factors for various diseases. The increasing prevalence of overweight and obesity is a public health problem and a challenge that needs to be addressed urgently. The purpose of this study is to periodically monitor body beauty (body composition) in clients running a fat loss program package. This type of research is a case study with a longitudinal design. The subjects in this study were clients who followed the fat loss program of 4 people who followed the program in June 2023 as determined by all subjects who followed the program in June 2023. Test instruments using meters and a Bioelectrical Impedance Analyzer (BIA-Omron) Data analysis using descriptive analysis of changes in body beauty indicators ( body composition ) The results show that: the fat loss program gives a decreased change in fat percentage before and after the program also reduces weight as well as increases muscle percentage thus giving a more proportional beautiful body appearance Based on the results, it can be concluded that the fat loss program descriptively gives good results for the improvement of body composition and fat percentage and weight loss
The Effect Of Compensation, Work Environment, Career Development On Job Satisfaction With Employee Work Motivation As An Intervening Variable In Rs X
Get PDFHospitals are HR-intensive organizations because of the many kinds of professions and the number of workers engaged in them. Human resources in a hospital consist of health workers (including doctors, nurses, pharmacists, analysts, nutritionists, physiotherapists, radiographers, medical recorders) and non-health personnel (finance, administration, personnel, security, and so on). In the hospital management system, a strategy is needed to manage human resources. This study used quantitative descriptive research methods using linear regression tests, Pearson correlation tests, and path analysis. The study used 93 respondents. The results of this study show that there is a significant influence between compensation, work environment, and career development stimultan on job satisfaction through employee work motivation. The results of the linear regression test showed the t value for compensation was 1.050, the work environment was 10.960, career development was 5.205, work motivation was 3.654. The results of the Pearson correlation test to work motivation for compensation variables were 0.283, work environment was 0.724, career development was 0.386. The results of the Pearson correlation test to job satisfaction for compensation variables were 0.312, work environment was 0.734, career development was 0.415, work motivation was 0.791. Hospital management is expected to improve and improve factors related to compensation, work environment, career development in order to increase work motivation so as to increase job satisfaction
Profile of Physical Fitness in Student Football Athletes Through Vo2 Max and FVC Lung Parameters in Sons South Sumatra
No full textFit physical condition is needed in every sport, especially in soccer which is known to be one of the dynamic sports with dominant movements using anaerobic energy, and also aerobic energy to be able to last throughout the game for a long duration. Every player is required to have excellent physical fitness which is certainly supported by maximum aerobic capacity. For an athlete, aerobic capacity is mandatory to be increased as much as possible, especially in adolescence, because at this time it can contribute to an increase in aerobic capacity of up to 30-35% compared to adults and the elderly, The purpose of this study was to determine the profile of the physical fitness level of athlete students through VO2Max parameters and Forced Vital Capacity / FVC lung in football athlete students at Sriwijaya State Sports School (SONS) Sumatra South. This type of research is a descriptive analysis and data collection is carried out by laboratory using a treadmill device with the Bruce method which is the gold standard in cardiopulmonary fitness assessment and a spirometry tool to measure the forced vital capacity of the lungs. The subjects in this study amounted to 33 male students from the sport of football. The results of the data analysis showed that the majority of SONS football athlete students had a fitness level with less category (96.9%) and very less category (3.1%), the predicted value of Forced Lung Vital Capacity with normal category was 66.7% and the remaining 33.3% in the category below normal. The average count (mean) of pulmonary FVC value is = 2.86 liters, with a maximum value of 3.82 liters and a minimum value of 1.46 liters. It can be concluded that the level of physical fitness in SONS soccer players is still low, for that it is necessary to increase the maximum aerobic capacity and lung capacity of athlete students as much as possible through an intense and systematic training program
Characteristics of Bacteriological Pulmonary Tuberculosis Cases for The January – August 2021 Period at Arifin Achmad Hospital, Riau Province
Get PDFBackground: Mycobacterium tuberculosis, which causes TB, is a deadly disease that mostly affects the lungs. Surveys revealed that although there was significant variance, the estimated incidence of bacteriologically proven pulmonary TB per 100 000 people aged 15 or older was high in several countries. With multisectoral action and responsibility to address the larger causes that influence the TB epidemic and the socioeconomic effect of TB, knowing and comprehending the sociodemographic features of tuberculosis can serve as a milestone in the End TB Strategy by 2035. Methods: Descriptive cross-sectional methodology was employed in this study to collect data. 154 samples were collected over the course of eight months in accordance with the inclusion criteria; the findings are displayed as a distribution table. Results: The study's results showed that of 154 samples, patients with positive bacteriological TB were more likely to be men than women, to be in their prime working years, to be HIV-negative and to be medication sensitive. Discussion: Knowing characteristics of patients with pulmonary tuberculosis in important due to prevent higher risk of drug resistant, non-adherence treatment and mortalit