Jurnal Health Sains (JHS)
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Standardized Nutritional Care Process in Type 2 Diabetes Mellitus Patients with Stroke: Low Carbohydrate, Fat and Salt Diet
Get PDFDiabetes Melitus merupakan salah satu penyakit tidak menular dengan proporsi tertinggi di Indonesia. Menurut data Riskesdas 2018, preval__ensi diabetes mellitus terus mengalami peningkatan. Pengaturan Peningkatan kadar glukosa dapat menimbulkan risiko kerusakan mikrovaskular (retinopati, nefropati, dan neuropati) serta dapat menimbulkan penyakit kardiovaskular, stroke, pembuluh darah perifer dan penurunan kualitas hidup. Empat pilar utama penatalaksanaan diabetes melitus meliputi edukasi, diet, latihan jasmani/aktivitas fisik dan obat. Penatalaksanaan diet pasien diabetes melitus dilakukan melalui serangkaian proses asuhan gizi dan intervensi menganut prinsip 3J (Jenis, Jumlah, Jadwal). Penatalaksanaan diet diharapkan dapat membantu proses penyembuhan penyakit pasien dan mencegah komplikasi. 3 pasien menderita penyakit Diabetes mellitus dengan komplikasi stroke mengalami masalah gizi asupan makanan peroral kurang dari kebutuhan dan kurang pengetahuan selama rawat inap dengan diagnosis DM type 2 dan stroke. Pemberian diet Rendah Karbohidrat , Rendah lemak serta Rendah garam dalam bentuk bervariasi baik jenis maupun bentuk makanannya sesuai dengan kemampuan dan daya terima pasien dilakukan agar terjadi peningkatan asupan. Kolaborasi dilakukan bersama dokter penanggungjawab untuk setiap tindakan yang dilakukan . Edukasi dilakukan untuk meningkatkan pemahaman keluarga dan pasien dan memberikan motivasi kepada keluarga pasien agar setelah di rawat di rumah sakit dapat mempertahankan kesehatannya. Hasil : Intervensi yang diberikan dapat memperbaiki masalah gizi pada pasien Diabetes mellitus dengan komplikasi stroke dan hipertens
Effectiveness of Apuwood Plants (Pistia Stratiotes) Using the Phytoremediation Method in Reducing Bod Levels in Ciprat Langitan Magetan Batik Waste
Get PDFThe batik industry generally consists of residue, residual dye water, residual wax and batik pelorodan water. The characteristics of batik liquid waste include high levels of Biological Oxygen Demand, Chemical Oxygen Demand, and Total Suspended Solids. Batik industry waste is considered dangerous, because its characteristics can pollute waters such as turbidity in river water. The aim of this research is todetermine the effectiveness of using apu wood plants (Pistia Stratiotes) in reducing the BOD value in Ciprat Langitan Simbatan Magetan batik waste.The method used in this research is experimental, with analysis using Quasi Experimental and using a Pretest-posttest Control Group Design.The results of measuring BOD levels with phytoremediation treatment of apu wood plants on the 3rd day were 114 mg/l, on the 6th day it was 71 mg/l and on the 9th day it was 53 mg/l. The percentage of effectiveness in reducing BOD levels on day 3 was 9.78%, on day 6 it was 45.31% and on the last day it was 58.20%. There was a reduction in BOD levels with phytoremediation using apu wood plants. The effectiveness of the apu wood plant in reducing BOD levels was found with an exposure time of 9 days. Apart from that, a long-standing treatment of more than 9 days can be used to measure the effectiveness of apu wood plants in reducing the BOD levels of batik liquid waste
Comparison of Secretome Dental Pulp Stem Cell And Mebo Ointment on The Amount of Fibroblast and Collagen In Superficial Dermal Burns
Get PDFSecretome Dental Pulp Stem Cells have been proposed as a new alternative for wound burn. The aim of this study is to compare Secretome Dental Pulp Stem Cells and MEBO ointment against several fibroblasts and collagen in the healing process of superficial dermal burns. This study used a post-test only controlled group design by using 15 rats that were given superficial dermal burned wounds. Rats were divided into a negative control group of NaCl 0.9% (K1), a treatment group of MEBO (K2), and a treatment group of DPSCs-secretome (K3). Histopathology was done on the 5th, 14th, and 21st days post-induction wound burn. Network-prepared histopathology by colouring Messon Trichomes. Then, it was observed under a microscope with 200x magnification. Scoring in a way semi-qualitative for assessing fibroblasts and collagen. The total score of fibroblasts in the MEBO group was higher than the DPSCs-secretome group on day 5th. In comparison, the score for increasing the amount of collagen in the DPSCs-secretome group on days 5th and 14th was higher than the MEBO group. DPSCs-secretome has better effectiveness in increasing the amount of collagen but not better in increasing fibroblasts compared to MEBO
Evaluation Of Polypharmacy And Excessive Polypharmacy In Geriatric Inpatients In General Hospital
Get PDFPolypharmacy is the simultaneous use of drugs with 5-9 drugs. Excessive polypharmacy is the simultaneous use of drugs with ≥ 10 drugs. Chronic diseases that are commonly suffered by geriatric patients are prone to causing a person to receive polypharmacy or excessive polypharmacy. This study aims to eval_uate polypharmacy and excessive polypharmacy in inpatient geriatric patients, by knowing the factors that may trigger a person to receive polypharmacy. The research uses a cross-sectional study method, using medical record data for the period January to December 2023. The part studied was in the form of sociodemographics, disease history and treatment of patients, as well as length of stay. From the research conducted, the results were obtained from 295 patient data samples with 141 patients (47.8%) and 154 patients (52.5%) were female. The age of patients consisted of 60-74 years old 192 patients (65.1%), 75-90 years old 100 patients (33.9%), and ≥ 90 years 3 patients (1%). The last education of the highest patient with a high school background was 101 patients (34.2%), the highest marital status was married as many as 245 patients (83.1%). The diagnosis of the third disease has the most patients, namely diabetes mellitus as many as 95 patients (15.5%), anemia as many as 70 patients (11.5%), and hypertension as many as 56 patients (9.2%). The preval_ence of polypharmacy in geriatric patients was 115 patients (39%) and excessive polypharmacy was 180 patients (61%). Broadly speaking, the sociodemographics of patients do not have a relationship with the occurrence of polypharmacy and excessive polypharmacy. The patient's clinical condition has a relationship with the occurrence of polypharmacy and excessive polypharmacy, this is evidenced by a p value of 0.000 (<0.05). The length of hospitalization and diagnosis of the patient's disease is a predictor of polypharmacy and excessive polypharmacy
The Relationship Between Exclusive Breastfeeding And Stunting Incidence In Toddlers Aged 24-60 Months At The Panombean Panei Health Center
Get PDFIndonesia as a developing country has many health problems, one of these problems is stunting. According to WHO, stunting is a condition where a child's z-score is less than -2 SD/standard deviation as measured on the WHO growth curve. Many factors cause toddlers to experience stunting, such as poor nutritional status during the mother's pregnancy, parenting patterns, and exclusive breastfeeding. Exclusive breastfeeding is the initial food for babies because it contains essential nutrients for immunity so that babies do not get infected easily. In North Sumatra, the stunting incidence rate is 21.1%, especially in Simalungun Regency, the stunting incidence rate is 17.4%. Seeing the conditions that occurred, interest arose in conducting research in the Simalungun Regency area, specifically in the Panombean Panei area. This research uses observational analytical methods with a cross sectional study research design. The sampling technique used in this research was total sampling with a total of 50 toddlers who met the criteria. The assessment of exclusive breastfeeding was carried out by completing a questionnaire by mothers of toddlers. The statistical test used is Chi-Square. The research results showed that 29 (58%) toddlers were given breast milk non-exclusively, so there were 21 (42%) stunted toddlers and 8 (16%) normal toddlers. There are 21 (42%) toddlers who receive exclusive breast milk, of which 9 (18%) toddlers are stunted and 12 (24%) toddlers are normal. The results of the analysis show a p-value = 0.035, which means there is a relationship between exclusive breastfeeding and the incidence of stunting. The conclusion of this research is that there is a relationship between exclusive breastfeeding and the incidence of stunting in toddlers aged 24-60 months at the Panombean Panei Health Center
Comparison of Clinical Outcomes After Coronary Artery Bypass Grafting (CABG) With Percutaneous Coronary Intervention (PCI) in Coronary Artery Disease (CAD) Patients With Kidney Disorders: Systematic Review
Get PDFAccording to data from the WHO, heart disease continues to be the top cause of mortality worldwide. The 2018 Riskesdas shows that the prevalence of heart disease, including CAD, based on doctors' diagnoses in Indonesia is 1,5%. Management measures in CAD patients are CABG or PCI. The research design used in this study was a literature review using a systematic review method. A systematic literature review comparing CABG and PCI costs is needed to determine optimal therapeutic options in CAD patients. For articles published during the last ten years, a literature search was done using four databases: PubMed, SagePub, Google Scholar, and Science Direct. Based on the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocol (PRISMA-P) 2020 protocol, a literature review was conducted. Eight texts in all met the inclusion and exclusion criteria for the study. Five literatures stating that CABG is better, two other literatures stating that there is no significant post-rehabilitation difference between CABG and PCI, and one literature stating that PCI has better survival after 5 years in CAD patients with impaired renal function. CABG is considered more effective and is recommended as the primary treatment option in CAD patients with a kidney disorder. Nevertheless, PCI can be utilized as an alternate therapy in CAD patients when kidney function and concomitant illnesses are considered
Legal Aspects of Cooperation Agreement in Health Insurance Between Hospitals and BPJS
Get PDFOne of the social security efforts is health insurance. Health insurance is a guarantee of health care that is used as a transfer of risk of loss. Health insurance is realized by the government in the form of National Health Insurance (JKN) through the Social Security Organizing Agency (BPJS). Efforts to protect BPJS participants are the existence of a cooperation agreement between BPJS and health service providers including hospitals, health centers and other health service facilities. The type of research used is normative law. The data sources used are obtained through secondary data sources, namely indirect data sources. This research is explanatory in nature, namely by explaining how the cooperation between the BPJS Health and the Hospital and how also with the implementation of health insurance for national health insurance participants and efforts from th The results showed that the cooperation agreement between the hospital and BPJS Health in the National Health Insurance (JKN) program is important legal aspects that guarantee the rights and obligations of both parties and ensure the realization of quality health for BPJS Health participants. e BPJS Health in overcoming the financing of the National Health Insurance program
Knowledge, Attitude, And Practice On Cervical Cancer And Hpv Vaccination Among Active Female Clinical Students In Faculty Of Medicine Universitas Pelita Harapan And In Correlation With Obstetric And Gynecology Rotation
Get PDFIn 2018, the global prevalence of Human Papillomavirus (HPV) infections reached approximately 43 million cases, with cervical cancer attributed to 75% of cases in women. The HPV vaccine has shown efficacy in preventing up to 88% of cervical cancer cases. To address the lack of awareness surrounding HPV and cervical cancer prevention, this study aimed to assess the knowledge, attitude, and practice among active female medical students at the Faculty of Medicine, Universitas Pelita Harapan. In March 2023, this cross-sectional study utilized a questionnaire developed and validated by Winarto et al., covering socio-demographic information and questions related to cervical cancer. Out of 168 participants, 75.6% demonstrated good knowledge about cervical cancer, yet the practice of raising awareness and HPV vaccination was notably low. Interestingly, students who underwent obstetric and gynecology rotations exhibited similar low practice scores (87.5%) compared to those who had not. Furthermore, only 40% of students had completed their HPV vaccination. The study suggests a disconnect between knowledge, attitude, and practice among students, with no significant influence observed from obstetric and gynecology rotations
Correlation Between Blood Glucose Levels And Risk Of Non-Hemorrhagic Stroke: Analysis Of A Prospective Cohort Study In An Elderly Population
Get PDFStroke is one of the main cardiovascular diseases that causes death and disability throughout the world. One of the important risk factors for stroke is hyperglycemia or high blood sugar levels. This study aims to analyze the correlation between blood glucose levels and the risk of non-hemorrhagic stroke in the elderly population. This research utilizes a qualitative approach. The data source used is the scientific literature. The data that has been collected is then analyzed through the process of data reduction, data presentation, and conclusion drawing. The research findings show that there was a significant positive correlation between blood glucose levels and the risk of non-hemorrhagic stroke in the elderly population. Elderly people with high blood glucose levels have a higher risk of non-hemorrhagic stroke compared to elderly people with normal blood glucose levels. Good control of blood glucose levels can be an important strategy to reduce the risk of non-hemorrhagic stroke in the elderly.
Differences Between Discovery Learning And Case-Based Learning Using Animated Videos On Critical Thinking Skills In Start Triage Among Undergraduate Nursing Students
Get PDFThe 2004 disaster in Aceh underscores the need to strengthen disaster triage preparedness. Triage would be more accurate when considering human resource factors. Students are educated nurse candidates who will serve the community through their ability to think critically. Innovative learning opens opportunities to sharpen critical thinking in students' preparedness for emergency disaster situations. This study analyzes the differences between discovery learning and case-based learning on critical thinking in START Triage among undergraduate nursing students. This quasi-experimental study used a pre-test and post-test design involving 40 undergraduate nursing students selected through purposive sampling and divided into two groups: control and intervention. Data collection utilized the Critical Thinking Disposition Inventory questionnaire. The results of the Paired T-test revealed differences in critical thinking ability in START Triage before and after receiving discovery learning and case-based learning. Furthermore, the independent T-test results indicated a significant influence of case-based and discovery learning on critical thinking ability in START Triage. Case-based learning utilizing animated videos significantly impacted nursing students' critical thinking ability in START Triage. Using animated videos as a basis for case-based learning provides a foundation for educational institutions to integrate into learning activities and disaster simulation exercises to enhance the quality of Triage services