Open Journal System Universitas Mohammad Husni Thamrin
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Communication Effectiveness in Public Speaking Training Using the REACH Method for Teenagers
In principle, for society, adolescents are individuals who enter junior high and high school. Vocational high school students are teenagers who need to prepare themselves for the world of work. One important skill in human relations is effective communication skills, which is a bridge so that in the world of work, students' abilities and knowledge can be useful both for themselves and their environment. Public speaking skills are a basic need to support communication skills. Generally, students do not have the ability and courage to speak in public. For this reason, public speaking training is provided to build effective communication skills for adolescents. The activity partners are private vocational schools in the East Jakarta area. Public speaking is a way for humans to convey ideas, opinions, education, or information to an audience. What is conveyed must be understood and comprehended, and the audience must provide a response or feedback as expected. The effectiveness of effective communication in training is measured by the REACH method (Respect, Empathy, Audible, Clarity, Humble). The results obtained by respondents were 83.8% strongly agreed that the training was effective, the implementation of the training. Training materials, instructors, and benefits of the training were strongly agreed at 75.7%. Learning media 78.4%. The REACH method has a strong and significant correlation with communication effectiveness. It requires creating more engaging presentation materials, including dramatization using video, interactive presentations, and less theoretical, with more practical sessions
Deteksi Dini Hipertensi Menggunakan Cold Pressure Test Pada Mahasiswa Fakultas Kedokteran Universitas Gunadarma Tahun 2025
Hypertension is one of the major non-communicable diseases (NCDs) that causes serious damage to blood vessels and vital organs such as the heart, kidneys, and brain. The Indonesian Health Survey reported that the prevalence of hypertension among adolescents aged 15–24 years reached 9.3%. According to the Basic Priority Rating (BPR) from the Depok City Health Office, hypertension ranks as the top NCD priority with a score of 38.69%. Early detection is essential to prevent delays in diagnosis and treatment. One method that can be used for early detection of hypertension in adolescents is the Cold Pressure Test (CPT). This study aimed to determine changes in systolic and diastolic blood pressure using the CPT method. This was an observational study with a cross-sectional design involving 43 medical students as participants. Blood pressure was measured at three stages: before hand immersion in ice water, after 30 seconds, and after 60 seconds. Data were analyzed using the Friedman test to assess differences across the three measurements. The results showed that systolic blood pressure increased from 117.35 mmHg to 132.12 mmHg at 60 seconds, while diastolic blood pressure increased from 79.07 mmHg to 88.74 mmHg. Statistical analysis revealed a p-value of 0.001 (< 0.005) for both systolic and diastolic pressure. The study concluded that there was a significant increase in systolic and diastolic blood pressure after the CPT. This indicates that adolescent blood pressure is reactive to cold stimuli, and CPT may serve as an effective method for early detection of hypertension.
Keywords: Cold Pressure Test, Hypertension, Blood Pressure, Puks
Analisis Hubungan Sikap terhadap Perilaku Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 pada Perawat Pelaksana di Puskesmas Kabupaten Karawang
Latar Belakang : Pedoman sementara yang dikeluarkan oleh World Health Organization (WHO) terkait Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 adalah dengan menekan beberapa hal tindakan, diantaranya menerapkan kewaspadaan standar untuk semua pasien dan petugas kesehatan, memastikan triase awal, dan memakai masker untuk tindakan pencegahan tambahan. Perilaku penggunaan alat pelindung diri yang baik merupakan salah satu unsur dalam kewaspadaan standar Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 diharapkan dapat menurunkan risiko penularan virus melalui darah dan droplet. Adanya risiko penularan yang cukup tinggi inilah yang menjadi dasar diperlukannya ketersediaan Alat Pelindung Diri (APD) bagi tenaga kesehatan yang mencakup handscoon (sarung tangan), masker medis, kaca mata pelindung, dan pakaian pelindung diri. Perawat berperan sebagai pemberi asuhan keperawatan, kolaborator, pendidik, agent of change, dan peneliti di era pandemi. Hal ini dilakukan karena perawat sebagai garda terdepan dunia kesehatan dalam menghadapi pandemi. Tujuan : Hasil laporan penelitian ini bertujuan untuk menghasilkan model perilaku perawat pelaksana Puskesmas dan mengetahui hubungan sikap dan perilaku perawat pelaksana Puskesmas di Kabupaten Karawang dalam Perilaku Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 setelah dikontrol oleh variabel lain. Metode : Penelitian ini termasuk jenis penelitian kuantitatif dengan desain potong lintang, menggunakan teknik pengambilan sampel stratified random sampling dengan jumlah sampel sebanyak 208 perawat pelaksana Puskesmas di Kabupaten Karawang tahun 2022. Hasil : Berdasarkan hasil penelitian diketahui bahwa pada perawat pelaksana puskesmas di kabupaten karawang 62,3% responden berperilaku baik dan 37,7% responden berperilaku buruk. Hasil penelitian menunjukkan bahwa terdapat 3 vaiabel yang memiliki hubungan yang bermakna terhadap Perilaku Pencegahan dan Pengendalian Infeksi (PPI) COVID-19 pada perawat pelaksana Puskesmas di Kabupaten Karawang meliputi sikap, masa kerja dan riwayat keterpaparan COVID-19
The Relationship Between Knowledge about Flood Disasters and Community Preparedness in RW 34, Bojongkulur Village, Bogor Regency
Background: Flooding is the occurrence of a significant increase in river water flow volume from normal conditions due to continuous rain falling in the upstream area or in certain areas. Flooding is a significant increase in river water flow from normal conditions due to continuous rain, where this often causes a great risk due to the lack of public knowledge about preparedness in facing flood disasters. The purpose of this study was to determine the relationship between knowledge about flood disasters and community preparedness in RW 34, Bojongkulur sub-district, Bogor district. Method: This study uses a quantitative design with an observational analytical method through a cross-sectional approach. The sample in this study was 116 people in RW 34, Bojongkulur sub-district. The instrument in this study was a questionnaire sheet with data analysis using the chi-square test. Results: The results of this study indicate that there is a relationship between knowledge about disasters and community preparedness with a p value of 0.029 (p < 0.05). Of the 116 respondents with good knowledge, more had very good preparedness (78.7%) compared to those with very poor preparedness (21.3%). Conclusion: Respondents with good knowledge have good preparedness. There is a significant relationship between the level of knowledge about flood disasters and community preparedness. The higher a person's level of knowledge, the better their preparedness in facing flood disasters
The Effect of Smarca2 Expression on Tumor Mass Expansion, Lymph Node Enlargement, and Histopathological Type of Nasopharyngeal Carcinoma
Nasopharyngeal carcinoma (NPC) is a malignant disease of the nasopharyngeal epithelium. This malignancy is often found in the Rosenmüller fossa. This tumor can spread to various areas and organs of this structure, including the nasal cavity, skull base, parapharyngeal space, and oropharynx. Diet, oncovirus infection, Epstein-Barr virus (EBV), and genetic alterations are some of the causes of NPC development. SMARCA2 is considered a tumor suppressor. To date, very few studies have comprehensively studied the mechanism of SMARCA2 inactivation. Multi-omics analysis was used to study the mechanism of SMARCA2 inactivation in The Cancer Genome Atlas (TCGA) database, and the dCas9-DNMT3a system was used to assess the role of promoter methylation in regulating SMARCA2 transcription. Decreased SMARCA2 expression was significantly associated with SMARCA2 promoter hypermethylation. This study aims to examine the influence of Smarca2 expression on tumor mass expansion, lymph node enlargement, and histopathological type of nasopharyngeal carcinoma. This study used a cross-sectional analytical study design by collecting secondary data from medical records of nasopharyngeal carcinoma patients. The results showed that tumor expansion in NPC patients was generally T3 and T4, with a total of 17 people (68%). Enlarged lymph nodes in the neck most often occurred in N2 and N3, with a total of 21 people (84%). The majority of patients were also in clinical stages III and IV as many as 23 people (92%)
Instrument for Measuring Attitudes Toward Anemia Prevention Efforts in Pregnant Women
Anemia in pregnant women is a global health problem, with a prevalence reaching 48.9% in Indonesia according to the 2021 Basic Health Research (Riskesdas), which significantly impacts both the mother and the fetus. Positive attitudes toward anemia prevention have been shown to increase adherence to iron supplementation, but valid and reliable instruments for measuring attitudes are still limited. This study aims to develop a theory-based and psychometric-based instrument for measuring attitudes toward anemia prevention in pregnant women. The study employed a Research and Development (R&D) approach with 30 pregnant women in the PMB (PMB) area of Bekasi, using a 60-item questionnaire with a 4-point Likert scale. Validity was tested using Pearson Product Moment correlation and reliability using Cronbach's Alpha. The results showed that all 60 items were valid with a correlation coefficient of 0.379–0.818 (r table = 0.361) and very high reliability (α = 0.959). The instrument consists of six dimensions: understanding, seriousness of the problem, threat, preventive behavior, healthy hygiene behavior, and anemia management. Pregnant women's attitudes are a form of internal evaluation that reflects knowledge, feelings, and behavioral tendencies towards various aspects of pregnancy, including anemia prevention efforts. This attitude is formed from personal experiences, information obtained, and the influence of the social environment such as family and health workers. Further research recommendations include validation on larger samples and implementation as a screening tool in maternal health programs to increase the effectiveness of anemia prevention
The Relation of Food Taboo, Diet Patern and Anaemia Among Pregnant Women in Puskesmas Cipayung
Anemia is a global public health problem. The prevalence of anemia in pregnant women in Indonesia reaches 27.7%, while anemia in third-trimester pregnant women at the Cipayung Community Health Center in January–May 2025 was recorded at 14.35%. Several factors influence the incidence of anemia in pregnant women, including sociocultural factors, diet, income, and knowledge. A good diet for pregnant women should include sources of carbohydrates, protein, fat, vitamins, and minerals, tailored to the needs of the pregnancy. This study aims to determine the risk factors for anemia in pregnant women due to the influence of cultural taboos and dietary patterns. This study design uses a quantitative analytical method with a cross-sectional approach. This study was conducted in July 2025, the population was pregnant women who underwent ANC examinations at the Cipayung Community Health Center with a sample of 105 respondents. Data analysis of this study began with univariate data analysis, simple correlation tests, using the Chi-square method and subsequent analysis using multiple logistic regression tests. The results of the multivariate analysis study showed that the cultural variables of food taboos (p.value = 0.003 with OR 5.569), dietary patterns (p.value = 0.043 with OR 2.759) were associated with the incidence of anemia in pregnant women, nutritional adequacy (p = 0.003; OR = 5.113) was associated with the incidence of anemia. Suggestions for education to be carried out in the 20-35 year age group about dietary patterns and cultural food taboos
Nutritional Status and Knowledge of Mothers Regarding the Incidence of Anemia in Pregnant Women (Systematic Review)
Anemia can be defined as a condition in which the body does not have sufficient red blood cells, even though erythrocytes contain hemoglobin, which is responsible for carrying oxygen throughout the body. Anemia in pregnant women is a significant public health problem in Indonesia. Based on the 2018 Basic Health Research (Riskesdas), the prevalence of anemia in pregnant women reached 48.9%, indicating a high health burden due to this condition. This study aims to analyze the relationship between nutritional status and maternal knowledge levels with the incidence of anemia in pregnant women. The research method used a systematic review with a literature search in the PubMed and Google Scholar databases for the period 2019-2024 using keywords related to nutritional status, maternal knowledge, and anemia. Of the total 4,520 publications obtained, 13 relevant articles were systematically selected, based on inclusion and exclusion criteria. The review results showed a significant relationship between nutritional status and the incidence of anemia in pregnant women (p<0.05), where mothers with poor nutritional status were at higher risk of developing anemia. In addition, maternal knowledge levels also showed a significant relationship with the incidence of anemia (p<0.05), where insufficient knowledge increased the risk of anemia. This study concludes that maternal nutritional status and knowledge are two important factors that are interrelated in determining the risk of anemia in pregnant women, so efforts are needed to increase nutrition and health education to reduce the prevalence of anemia in pregnant women in Indonesia
Factors Associated with Mortality at Harapan Kita Hospital (RSAB Harapan Kita) Secondary Data for 2024
Neonatal mortality remains a key public health indicator in Indonesia and represents a serious challenge in achieving the Sustainable Development Goals (SDGs). Although Jakarta has the lowest infant mortality rate compared to other provinces, the number of neonatal deaths at national referral hospitals like Harapan Kita Hospital remains quite high. Based on 2024 data, 220 deaths were recorded out of 1,634 births, with the main causes including low birth weight (LBW), asphyxia, prematurity, and infection. This situation highlights the importance of examining risk factors for both mothers and infants in neonatal mortality, particularly at Harapan Kita Hospital, Jakarta. The research method used a quantitative approach with a retrospective case-control study design. Secondary data were obtained from maternal and infant medical records from January to December 2024. The study sample consisted of 94 respondents, consisting of 47 cases (neonatal deaths) and 47 controls (infants living >28 days or dying after >28 days), selected using a purposive sampling technique. Data analysis used univariate analysis and bivariate analysis with chi-square tests. The study showed that maternal factors associated with neonatal mortality were maternal nutritional status (p=0.021), type of delivery (p=0.014), and parity (p=0.037). Infant factors associated with neonatal mortality included low birth weight (p=0.000), prematurity (p=0.012), birth asphyxia (p=0.000), neonatal infection (p=0.001), and congenital abnormalities (p=0.018). Harapan Kita Jakarta Hospital needs to strengthen the referral system and coordination between hospitals, optimize the quality of antenatal care services, and improve human resource competency through training and workshops specifically for handling high-risk infants
The Influence of the Habit of Maintaining A Clean School Environment on the Character of Grade III Elementary School Students at SDN 11 Jatimulya, Bekasi
This study aims to determine the effect of the habit of maintaining environmental cleanliness on the character of third-grade elementary school students. The background of this research is the importance of instilling cleanliness habits from an early age to shape positive character traits in students. The research employed a quantitative approach with a quasi-experimental design. The sample consisted of 30 third-grade students selected using purposive sampling. The research instruments included questionnaires and observation sheets, which had been tested for validity and reliability. Data analysis was carried out using normality tests, homogeneity tests, and t-tests to examine the hypothesis. In this study, the data collection instruments used were questionnaires and observations. The questionnaire data was obtained using a Likert scale, a scale used to measure attitudes, structured in the form of questions and followed by 31 respondents who indicated the level with alternative answers: Always, Often, Sometimes, Rarely, Never to measure variables x and y. The results showed that there was a significant influence between the habit of maintaining environmental cleanliness and the character formation of students. This was evidenced by the t-count value of 4.25, which was greater than the t-table value of 2.04 at a significance level of 5%. Therefore, the habit of maintaining environmental cleanliness can improve students’ discipline, responsibility, and environmental awareness