Jurnal Health Sains (JHS)
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No full textEast Nusa Tenggara (NTT) is still the third largest contributor to Malaria cases in Indonesia, with a prevalence of 12%, Papua (18.4%) and West Papua (26.1%). Directly border with The Democratic Republic of Timor Leste (RDTL) with Mota'ain as the main crossing point, increases the risk of infectious diseases transmission. Mota’ain is located in coastal areas, swamps, river basins, former fish ponds, and rice fields potentially to be Anopheles sp. habitats. The purpose of this research is to examine the characteristics and spatial distribution of potential breeding habitats for Anopheles sp. in Mota'ain. This is a descriptive analytic study with a cross-sectional design. The Anopheles sp mosquito bionomic area, which included swamps, rice fields, estuaries around the perimeter, and the buffer area of the Mota'ain border, served as the research sample. The spatial regression test was used to analyze the data, and the results revealed three points of Anopheles sp larvae habitats, namely fish ponds, swamps, and river basin. In the buffer area, 24 (80%) of the larvae habitats were found within a 200-meter radius, and 24 (80%) of the larvae habitats were found within a 400-meter radius 6 (20%). There was no habitat found around the perimeter. With a habitat index of 50%, the density of Anopheles sp larvae per catch ranged from 0.04 to 12.03. Anopheles sp larvae discovered included Anopheles Barbirostris, Anopheles Subpictus, and Anopheles Vagus. Swamps have the most habitat (3,004.7 m2), while river basins have the least (3,004.7 m2) (2.93 m2). The Spatial Regression Test revealed that habitat area (p = 0.014), water pH (p = 0.015), and salinity (p = 0.00012) were significant. This means that habitat area, water pH, and salinity all have an effect on Anopheles sp. density, whereas temperature has no effect (p = 0.778). Cleaning aquatic plants and employing larval predators to prevent larval breeding
Penerapan Total Quality Management dan Budaya Keselamatan Pasien untuk Meningkatkan Pencapaian Indikator Keselamatan Pasien Di RSU Gunung Sawo Temanggung
Get PDFLaw No. 44 of 2009 concerning hospitals, hospitals are institutions that provide health services to the community so that hospitals are required to always provide services that prioritize patient safety. Patient safety incidents are still a major problem as an indicator of Quality Improvement and Patient Safety. The purpose of this study was to determine the application of Total Quality Management to achieve patient safety indicators and improve the quality of patient safety with Patient Safety Culture at Gunung Sawo Hospital, Temanggung. The study used a qualitative research approach. The quality improvement at Gunung Sawo General Hospital, Temanggung based on the research findings was carried out gradually getting better from day to day. The operational activities of non-medical personnel at RSU Gunung Sawo Temanggung run in accordance with established guidelines or regulations. Achievements and efforts to maintain improvements in quality and patient safety are carried out by Gunung Sawo Temanggung Hospital based on the results of quality achievements. Success is documented and made into a quality and patient safety reportUndang-Undang No. 44 Tahun 2009 tentang rumah sakit, rumah sakit merupakan institusi penyedia layanan kesehatan kepada masyarakat sehingga rumah sakit dituntut selalu memberikan pelayanan yang mengutamakan keselamatan pasien. Insiden keselamatan pasien masih menjadi masalah utama sebagai salah satu indikator Peningkatan Mutu dan Keselamatan Pasien. Tujuan penelitian ini mengetahui Penerapan Total Quality Management untuk mencapai indikator keselamatan pasien dan meningkatkan mutu keselamatan pasien dengan Budaya Keselamatan Pasien di RSU Gunung Sawo Temanggung. Penelitian menggunakan pendekatan penelitian kualitatif. Peningkatan kualitas di RSU Gunung Sawo Temanggung berdasarkan hasil temuan penelitian dilakukan secara bertahap menjadi semakin lebih baik dari hari ke hari. Kegiatan operasional tenaga non-medis di RSU Gunung Sawo Temanggung berjalan sesuai dengan pedoman-pedoman atau regulasi-regulasi yang telah ditetapkan. Pencapaian dan upaya mempertahankan perbaikan terhadap mutu dan keselamatan pasien dilakukan RSU Gunung Sawo Temanggung berdasar atas hasil capaian mutu. Keberhasilan didokumentasikan dan dijadikan laporan mutu dan keselamatan pasie
Metode Analisis Kualitatif Senyawa Obat Methamphetamine pada Sampel Rambut
Get PDFMethamphetamine (C10H15N) is a class two psychotropic, a stimulant that acts on the central nervous system, causing addiction when consumed. Hair as a part of the body is often used as an option to detect the presence of methamphetamine in the body. The advantage of hair is that the presence of a drug can last weeks to months. This review was done to see how methamphetamine was detected in hair samples. As a result, it is known that the detection of methamphetamine in hair samples can be carried out using the Solid Phase Extraction (SPE) method. The procedure begins with the preparation of Marquish reagent by mixing 37% formaldehyde with glacial acetic acid. The procedure continued with the preparation of hair samples by grinded 30-40 mg of hair and then washed it with ethanol. After that the sample was sonicated with various solvent systems at room temperature for 30 minutes. The last step is column extraction conducted by inserting the filtrate into the column basement membrane, the column was conditioned, then the sonicated analyte was added and carried out with dichloromethane: 4 ml, then eluted and the sample eluent obtained was identified using marquish reagentMetamfetamin (C10H15N) adalah zat psikotropika golongan dua, suatu stimulan yang bekerja pada susunan saraf pusat sehingga menimbulkan kecanduan bila dikonsumsi. Rambut sebagai salah satu bagian tubuh, sering dijadikan sebagai pilihan untuk mendeteksi keberadaan metamfetamin di dalam tubuh. Keuntungannya adalah keberadaan suatu obat dapat bertahan dengan jangka waktu berminggu-minggu hingga berbulan-bulan dalam rambut. Review ini dilakukan untuk melihat bagaimana deteksi metamfetamin pada sampel rambut. Hasilnya, diketahui bahwa deteksi metamfetamin dalam sampel rambut dapat dilakukan dengan metode Ekstraksi Fase Padat atau Solid Phase Extraction (SPE). Prosedur diawali dengan pembuatan pereaksi Marquish dengan mencampur formaldehida 37% dengan asam asetat glasial. Prosedur dilanjutkan dengan preparasi sampel rambut dengan menghaluskan 30-40 mg rambut lalu mencucinya dengan etanol. Setelah itu sampel disonikasi dengan berbagai sistem pelarut pada suhu ruangan selama 30 menit. Pada tahap terakhir, dilakukan ekstraksi kolom dengan memasukkan hasil filtrat ke membrane dasar kolom, kolom dikondisikan, lalu analit hasil sonikasi dimasukkan dan dilakukan pencucian dengan diklorometan:isoproponal sebanyak 4 ml, lalu sampel dielusi dan eluen yang diperoleh diidentifikasi menggunakan reagen marquish
Pengaruh Motivasi Kerja, Lingkungan Kerja Fisik, Employee Engagement Terhadap Kinerja Perawat di Rumah Sakit Taman Harapan Baru
Get PDFEmployee perfomance is an important parameter in health services. Increasing the productivity and perfomance of health workes is very important in an effort to increase the efficiency of health services. Nurse perfomance is strongly influenced by knowledge, skills, work motivation, physical work environment, and employee engagement. The aim of this study to analyze the effect of work motivation, physical work environment, and employee engagement on the perfomance of nurses at Taman Haran Baru Hospital. This study is using cross sectional method with total sample of 54 people. The results of this study have a simultaneous effect between work motivation (p = 0.004), physical work environment (p=0.001), dan employee engagement (p=0.048) on nurse perfomance. Conclussion, Nurses at Taman Harapan Baru Hospital have high work motivation and employee engagement. While the physical work environment is still moderate value. Suggestion to the Taman Harapan Baru Hospital in order to improve the condition of the physical work environment, give appreciation to nurses to create a comfortable environment.Plasma darah digunakan sebagai sampel biologis dalam menentukan kadar senyawa obat dikarenakan konsentrasi dari obat akan berikatan dengan reseptornya dan menentukan besar kecilnya efek farmakologi yang diberikan dari suatu obat. Tujuan penelitian ini adalah untuk mengetahui keakuratan plasma darah manusia sebagai sampel pada beberapa metode validasi dengan berbagai analit yang berbeda. Metode penelitian yang dilakukan adalah dengan melakukan studi literatur pada beberapa jurnal yang kredibel dengan kriteria jurnal 10 tahun terakhir mengenai penentuan kadar senyawa obat dalam darah manusia. Hasil yang didapatkan dari lima analit yang berbeda yaitu glibenklamid kombinasi dengan metformin, formalin, vankomisin, lisinopril dan a-mangostin yang telah dilakukan uji validasi dengan berbagai metode validasi yaitu SPE-MIP dilanjut KCKT, spektorofotometer UV-VIS, KCKT-UV, UPLC dan KLT densitometri dengan menggunakan sampel plasma darah manusia, semuanya memenuhi persyaratan validasi. Sehingga dapat disimpulkan bahwa, plasma darah manusia yang dijadikan sebagai sampel dalam uji validasi dengan berbagai metode dan analit yang berbeda yang telah dilakukan seluruhnya akurat karena seluruh metode uji validasi memenuhi persyaratan
Analisa Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan di Pesisir
Get PDFUtilization of health services is an important determinant of health, which is of particular concern as a public health and development problem in low-income countries. The World Health Organization (WHO) also recommends the use of medical services as a basic and primary health concept for the most vulnerable and disadvantaged. The purpose of this study was to identify factors related to the utilization of coastal health services. Data collection was taken from Google Scholar by using the keywords: factors, related, utilization and service. The research journal was taken in 2016-2020, then reviewed according to the inclusion and exclusion criteria applied by the author. The results of the literature show that there are variables of knowledge, tradition, attitude, accessibility, health workers, income and education with the use of health services for people in coastal areas.Pemanfaatan pelayanan kesehatan merupakan penentu penting dari kesehatan, yang menjadi perhatian khusus sebagai kesehatan masyarakat dan masalah pembangunan di negara yang penghasilan rendah. Organisasi Kesehatan Dunia (WHO) juga merekomendasikan penggunaan layanan medis sebagai konsep kesehatan dasar dan utama bagi mereka yang paling rentan dan kurang beruntung. Tujuan penelitian ini untuk mengidentifikasi faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan dipesisir. Pengumpulan data diambil dari google scholar dengan menggunakan kata kunci: faktor, berhubungan, pemanfaatan dan pelayanan. Jurnal penelitian diambil tahun 2016-2020, kemudian di telaah lagi sesuai kriteria inklusi dan ekslusi yang diterapkan oleh penulis. Hasil literature menunjukkan terdapat variabel pengetahuan, tradisi, sikap, Aksesibilitas, tenaga kesehatan, pendapatan dan pendidikan dengan pemanfaatan pelayanan kesehatan bagi masyarakat di wilayah pesisir
Peran Probiotik terhadap Tingkat Rekurensi Bakterial Vaginosis
Get PDFKnown as the most common cause of vaginal discharge in women of reproductive age, Bacterial Vaginosis (BV) is characterized by shfting of lactobacillus-dominated vagina microbiota to facultative or obligate anaerob bacteria. Inspite of first line treatment showing high efficacy toward BV, BV recurrences still frequently occur . This review would describe the result of current clinical trials regarding probiotic as alternative therapy to reduce the recurrence of BV. Literature search was conducted by using PubMed and Cochrane database with keyword probiotics, lactobacillus, recurrent, and bacterial vaginosis. It results on 9 clinical trials, which match to inclusion criteria and will be evaluated further. Diverse probiotic strains, dosage and duration of probiotics lead to varied outcomes in this review. In several studies, probiotic has potency in reducing the recurrence of BV compared to placebo. However, further large scale studies are still needed to determine the precised duration and dosage of probiotics given.Vaginosis bakterial (BV) merupakan penyebab keputihan tersering pada wanita usia reproduktif. Pada BV, dominasi Lactobacillus pada mikrobiota vagina mengalami pergeseran dan digantikan oleh bakteri anaerob fakultatif ataupun obligat. Walaupun efikasi terapi lini pertama BV masih cukup tinggi, tetapi rekurensi BV masih sering terjadi. Pada kajian literatur ini akan dijabarkan hasil uji klinis probiotik sebagai terapi alternatif untuk menurunkan angka rekurensi BV. Pencarian literatur dilakukan dengan menggunakan database PubMed dan Cochrane dengan kata kunci berupa probiotik, lactobacillus, recurrent, dan bacterial vaginosis. Setelah itu, dilakukan telaah pada 9 studi yang memenuhi kriteria inklusi. Berdasarkan hasil dari tinjauan literatur, penggunaan strain probiotik, dosis, dan durasi probiotik yang berbeda dapat memberi hasil yang bervariatif. Pada beberapa uji klinis, probiotik menunjukkan potensi dalam menurunkan rekurensi BV dibandingkan dengan plasebo. Namun, masih diperlukan penelitian lebih lanjut dengan skala lebih besar untuk menentukan durasi dan dosis yang tepat dalam pemberian probiotik
The Effect of Covid-19 Prevention Education on Public Mothers in Reducing Anxiety Level in The Time Covid-19 Pandemic
Get PDFThe COVID-19 pandemic has caused many restrictions on almost all routine services, both in terms of access and quality, including restrictions on maternal and neonatal health services, such as a reduction in the frequency of antenatal care and postponement of classes for pregnant women and the postpartum period, these conditions can cause problems globally. psychological problems for pregnant women postpartum, which can cause anxiety, if the mother's own anxiety is left untreated it will have an impact on mothers who will experience postpartum blues. Objective: To review COVID-19 prevention education for postpartum mothers in reducing anxiety levels. Methods: The method used is a scoping review using keywords, namely Population Exposure Outcame (Peos), namely population: post partum, education, and anxiety by (following the PRISMA Flow Chart guidelines, Result: By providing education on COVID-19 prevention in reducing levels postpartum mothers anxiety following anxiety skinning using the Hamilton Anxiety Rating Scale (HARS) and COVID-19 prevention education using video, able to stimulate the senses of hearing as well as vision so that mothers can understand them well with changes in knowledge, attitudes and skills of mothers before and after after being given education regarding prevention of COVID-19, Conclusion: factors that influence anxiety in postpartum mothers during the COVID-19 pandemic are stressors, maturity, age, education, environment, by conducting anxiety screening and providing education to postpartum mothers, it is hoped that it can reduce anxiety san as well as increasing knowledge related to postpartum mothers regarding the prevention of COVID-19 during the pandemic so that it does not cause anxiety
The Effect Of Al-Quran Therapy To Sleep Quality In Elderly
Get PDFKualitas tidur yang buruk dikaitkan dengan kualitas hidup yang buruk, morbiditas dan mortalitas yang tinggi. Kualitas tidur yang buruk adalah umum di antara orang tua yang patut mendapat perhatian kita seiring bertambahnya usia populasi kita. Metode farmakologi tradisional dapat mengakibatkan ketergantungan dan gangguan fungsi psikomotorik dan kognitif. Mendengarkan musik, metode non-farmakologis, dapat mengurangi depresi dan meningkatkan kualitas tidur. Penelitian ini bertujuan untuk mengetahui pengaruh mendengarkan suara Al-Quran terhadap kualitas tidur lansia. Penelitian ini menggunakan eksperimen semu dengan desain One Group Pre and Posttest. Teknik purposive sampling digunakan pada 20 lansia di Panti Sosial Tresna Werdha Kasih Sayang Ibu Batusangkar pada bulan Juli-Agustus 2022. Analisis data menggunakan Paired T-test. Hasil penelitian ini menemukan bahwa terdapat perbedaan yang signifikan antara kualitas tidur sebelum dan sesudah diberikan terapi Al-Qur'an (p-value 0,000; =0,05). Kesimpulan dari penelitian ini adalah terapi Al-Qur'an efektif untuk meningkatkan kualitas tidur pada lansia. Terapi ini direkomendasikan untuk lansia karena mudah dan hemat biayaeffective
Pengaruh Psikoedukasi Terhadap Kadar Hormon Kortisol Pada Ibu Tujuan Dengan Depresi Postartum Di Wilayah Kerja Dinas Kesehatan Kota Langsa Tahun 2020
Get PDFMaternity mothers About 50-80% experience baby blues within ten days of giving birth. This is if the mother does not get further treatment then the baby blues can escalate into heavier depression. There is no definitive test yet that can determine a mother suffering from postpartum depression. This is why most postpartum depression sufferers are undiagnosed and do not get treatment early. Treatment that can be given to mothers who are depressed by providing health education, one of which is by providing psychoedukasi to the mother. The purpose of this study was to look at the influence of psychoedukasi on cortisol hormone levels in mothers with postpartum depression in the working area of Langsa City Health Office in 2020. This research uses quasi experimental design with the design of the one group pretest-posttest. Observations were made before and after the treatment of psychoedukasi,, The number of samples in this study as many as 16 mothers postpartum the second day with postpartum depression. The analyses used were the Wilcoxon Test and the Whitney Mann Test. The results showed the influence of decreased levels of the hormone cortisol before and after the administration of psychoedukasi with sig value. 0.00, there is a decrease in postpartum depression by administering psychoeducation with sig value. 0.000 and the effect of decreased cortisol levels on postpartum depression decrease with sig value. 0.00.Ibu bersalin sekitar 50-80% mengalami baby blues dalam sepuluh hari pasca melahirkan. Hal ini jika ibu tidak mendapatkan penanganan lebih lanjut maka baby blues dapat meningkat menjadi depresi yang lebih berat. Belum ada tes definitif yang dapat menentukan seorang ibu menderita depresi pasca persalinan. Hal inilah yang menyebabkan sebagian besar penderita depresi pasca persalinan tidak terdiagnosa dan tidak mendapatkan penanganan secara dini. Penanganan yang dapat diberikan pada ibu yang mengalami depresi dengan memberikan pendidikan kesehatan salah satunya dengan pemberian psikoedukasi pada ibu. Tujuan pada penelitian ini adalah untuk melihat pengaruh psikoedukasi terhadap kadar hormon kortisol pada ibu nifas primipara dengan depresi postpartum di wilayah kerja Dinas Kesehatan Kota Langsa Tahun 2020. Penelitian ini menggunakan metode rancangan quasi experimental dengan desain the one group pretest-posttest. Pengamatan dilakukan sebelum dan setelah dilakukan perlakukan psikoedukasi, Jumlah sampel pada penelitian ini sebanyak 16 ibu postpartum hari kedua dengan postpartum depresi. Analisis yang digunakan adalah Uji Wilcoxon, dan Uji Mann Whitney. Hasil penelitian menunjukan adanya pengaruh penurunan kadar hormon kortisol sebelum dan setelah pemberian psikoedukasi dengan nilai sig. 0.00, ada pengaruh penurunan postpartum depresi dengan pemberian psikoedukasi dengan nilai sig. 0.000 dan pengaruh penurunan kadar kortisol terhadap penurunan postpartum depresi dengan nilai sig. 0.000
Cytomorphological Characteristics Of Ameloblastoma By Fine Needle Aspiration Biopsy Procedure Confirmed With Histopathological Examination
Get PDFBackground: Ameloblastoma is the most common benign epithelial odontogenic tumor with malignant potential and is usually located in the jaw. It constitutes about 1-3% of all tumors and cysts of jaws. This entity has a very high recurrence rate of over 50% even after wide excision. Preoperative diagnosis of ameloblastoma can be made by fine-needle aspiration biopsy (FNAB) which is used as a guide for surgical planning. Case report: We report a case of a tumor in the mandible of a 41-year-old man with a preoperative diagnosis of ameloblastoma from a fine needle aspiration biopsy. Cytological examination of FNAB was confirmed by histopathological preparation of tumor tissue. Conclusion: The fine needle aspiration biopsy cytology is a reliable procedure for the pre-operative diagnosis of ameloblastoma. Pre-operative diagnosis of ameloblastoma can be used for planning therapy and early diagnosis of recurrence cases that can improve patient surviva