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    Analysis of Factors Related to Operator Selection of Fixed Orthodontic Treatment in Teenagers at SMAN 2 Bondowoso

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    There is a tendency to use fixed orthodontic appliances, both for straightening teeth and just for styling, causing people not only to do fixed orthodontic treatment to orthodontists but also to general dentist. The purpose of this study was to determine the factors related with the operator selection of fixed orthodontic treatment in teenagers at SMAN 2 Bondowoso. This is an analytical observational study with cross sectional approach. The research subject were 54 students determined by total sampling technique. The research measuring instrument is a questionnaire. Data analysis used univariate and bivariate (chi-square) tests. The results showed that most students (83,3%) chose general dentists and 11.1% students chose orthodontists and the rest chose dental quacks. The results of the chi-square test found that there was a significant association (p<0,05) between the trust factor, the knowledge factor, the parents’ income factor, the accessibility factor, the costs factor, the information factor and the need factor with the selection of fixed orthodontics treatment operatior. It is necessary to Increase knowledge for the community and the availability of information as well as the accesibility of orthodontics so that the correct selection of fixed orthodontic treatment operator in adolescent can be carried out

    Optimasi Jumlah Hidroksipropil Metilselulosa dan Lama Pengadukan dalam Preparasi Hollow Microspheres Captopril

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    Captopril is an antihypertensive class of Angiotensin-Converting Enzyme Inhibitor (ACEI) used as one of the treatment of hypertension. Low bioavailability and short half-life of captopril caused side effects on gastrointestinal tract, thus it can be prepared into hollow microspheres. Hollow microspheres is spherical microparticles with 1-1000 µm hollow nucleus. Many factors influence the preparation of hollow microspheres including the amount of hydroxypropyl methylcellulose (HPMC) polymer and stirring time. In this study we investigated the best composition of the number of HPMC and stirring times which can produce captopril hollow microspheres with entrapment efficiency (EE), buoyancy, and optimum particle size. Hollow microspheres captopril was prepared using a non-aquoeous solvent evaporation method. The result was captopril hollow microspheres with 25 mg HPMC and 2 hours of stirring can produce an entrapment efficiency (EE) 97,796%, buoyancy 86,747% and particle size 205,655 µm. The yield hollow microspheres captopril 91.903% ± 2.547 with spherical shape, uneven surface morphology and hollow core. The results of FT-IR analysis showed that there was no interaction between the drug and the polymer used in the formulation

    Description of Nursing Implementation with Main Nursing Problem on Child Diarrhea of The Regional Hospital in Besuki Residency

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    Diarrhea are one of the diseases that causes the death of children number two in 2016 and has the main causative factors, namely groups of viruses, bacteria and parasites. The purpose of this study was to find out a description of nursing implementation in diarrhea children aged 0-18 years in the area of Besuki residency which is famous for its agro-cultural with high mortality problems in children. This research method was descriptive with a retrospective approach and use a purposive sampling technique. The sample in the study was 199 diarrhea children aged 0-18 years of the regional hospital in the area of Besuki residency. Data collection tools in this study is using checklist sheets. The result of the study showed diarrhea nursing problems that often arise with observational nursing action, namely pulse strength monitoring, number of frequencies, monitoring a number of respiratory. Observation has influence which is high enough to detect changes in life support systems. Vital signs are a statistical measure, especially for clients who are medically unstable, can know the baseline data to determine the stress response of physiology or psychology, concerning factors related to the existing disease and to assess the client's response to the conversion given by health workers. Observation is a basic method of assessment and assessment for clients to find out clinical signs in establishing a diagnosis of disease and for planning appropriate medical therapy

    Hubungan Status Nutrisi terhadap Fungsi Kognitif pada Pasien Hipertensi di Wilayah Kerja Puskesmas Silo, Jember

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    Hypertension is a condition characterized by an increase in blood pressure above 140/90mmHg. It can cause various complications, one of which is impaired cognitive function. Decreased cognitive function is influenced by nutritional status, if the nutrients brought to the brain are reduced, the brain's performance will also decrease. This study aims to determine the relation between nutritional status and cognitive function in hypertensive patients in the area of Silo ​Public Health Center, Jember Regency. This study used observational analytic with a cross-sectional design. With dependent variable is cognitive function and the independent variable is nutritional status. The total of sample are 91 patients. Sampling using non-probability sampling technique by purposive sampling. The instruments used in this study were tread scales, meters, and MMSE questionnaires. Data analysis was done using univariate analysis and bivariate analysis with spearmen correlation. The results of nutritional status checks found that 51 patients (56%) had normal. While the results of cognitive function examination obtained as many as 47 patients (51.6%) had normal cognitive function. The statistical test results with the Spearmen correlation showed that there is a relation between nutritional status and cognitive function in hypertensive patients with value of p= 0.002. There is a relation between nutritional status and cognitive function in hypertensive patients in the working area of ​Puskesmas Silo Jember regency

    Efektivitas Ekstrak Bawang Putih dan Bawang Hitam dalam Menghambat Pertumbuhan Candida albicans

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    Antifungal drugs that already exist have several side effects, so it needs to be developed a new drug from natural ingredients. Garlic and black garlic are known to have organosulfur compounds that can be used as an antifungal. This study aimed to determine the effectiveness of garlic (A. sativum) and black garlic extract in inhibiting the growth of Candida albicans. This study used 3 groups, namely control group, the garlic (A. sativum) extract group and the black garlic extract group by using concentration 100%, 75%, 50%, and 25% with 3 times replication. Extraction using maceration method with 96% ethanol solvent, while the antifungal test using disk diffusion method. antifungal effect is determined by calculating the inhibition zone formed on Sabouraud Dextrosa Agar (SDA) media after incubating for 24 hours. The results of Kruskall-Wallis test showed a significance value (p <0.05) which means there were differences in all groups. In the Mann-Whitney test showed a significance value (p >0.05) which means there are no significant differences between treatment groups. In conclusion, garlic extract is more effective compared to black garlic extract but the difference is not significant

    Gambaran Tindakan Keperawatan pada Masalah Keperawatan Utama Anak dengan Kejang Demam di RS Perkebunan Wilayah Karesidenan Besuki

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    Febrile Seizures are seizures that appear during fever because it is caused by an intracranial process, as there are infections of the respiratory tract, ears, and digestive tract. According to the SIKI guidebook, there are several nursing actions performed and integrated into dealing with hyperthermia that is classified into observational, therapeutic, educational, and collaborative actions. The purpose of this study was to determine the main nursing problems, nursing actions, and nurse innovations in febrile seizures by nurses. Research design uses a quantitative descriptive, retrospective approach, with sampling total sampling techniques. The research sample in this study was 113 children’s medical record data with febrile seizures at the age of 6 months to 5 years. The research instrument uses a checklist sheet based on the manual SIKI by PPNI 2018. The results of this study were 93,8% hyperthermia nursing problems, the actions of the observations were 7 actions, therapeutic 13 actions, education 3 actions, collaboration 5 actions, and no action on innovation in children with febrile seizures. To treat febrile seizures, research is needed on the causes of fever that occur in children with febrile seizures

    Hubungan Ketakutan akan Hipoglikemia dengan Manajemen Diri Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember

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    Hypoglycemia is a complication of diabetes that causes unpleasant symptoms and fear for recurrence. This fear can influence diabetes management and patient metabolic control. The study aimed to analyze the relationship between fear of hypoglycemia and self-management of type 2 DM patients at dr. Soebandi Jember general hospital. The fear of hypoglycemia variable was measured using the Fear of Hypoglycemia Scale questionnaire (FH-15) and the variable of diabetes self-management was measured by the Diabetes Self-Management Questionnaire (DSMQ). The sample was 84 respondents that recruited using consecutive sampling method. Data was analyzed using the Spearman correlation test  with α = 0.05. The results showed that patients did not experience fear of hypoglycemia (78.6%) and self-management of diabetic patients showed a good category (77.4%). There is a significant and positive correlation between the two variables (p-value = 0.012 and r = 0.272) which means that the more fearful the patient the more self-management gets worse, and conversely the less afraid of the patient the better self-management of diabetes. Family involvement is support for patients in controlling their fears, recognizing signs of hypoglycemia and as a reminder in managing proper diabetes. Diet control is an indicator of diabetes management that must be considered for patients to improve their health status by optimizing nutrition to prevent recurrent hypoglycemia

    Gambaran Kejadian Postpartum Blues pada Ibu Remaja di Sukowono, Jember

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    Postpartum blues appear when someone does not successfully adapt to changes in life patterns due to pregnancy, labor and postpartum. Young mothers who are still not ready to be morally responsible often face mental turmoil due to still having an unstable mental attitude and immature emotions. The purpose of this study was to describe the incidence of postpartum blues in adolescent mothers in Sukowono District, Jember Regency. The research design used non-experimental research methods with descriptive research methods. The study was conducted on 34 postpartum teenage mothers using a total sampling technique. Data collection used EPDS questionnaire from January 2019 until February 2019. The results showed that postpartum teenage mothers as many as 10 respondents (29.4%) had the possibility of postpartum blues, 22 respondents (64.7%) occurred postpartum blues, 1 respondent (2.9%) experienced the possibility of postpartum depression, and 1 respondent (2.9%) experienced postpartum depression. The researchers describes that postpartum blues factors are age, parity, planning for pregnancy, level of education, occupation, socio-economic, tribe and type of labor in postpartum adolescent mothers. Important for nurses to optimize their role as educators and counselors to provide education and health information related to factors that influence the incidence of postpartum blues in adolescent mothers

    Hubungan antara Sense of Self (SOS) dengan Perilaku Merokok pada Siswa Laki-laki di SMK Negeri di Kabupaten Jember

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    The prevalence of smoking behavior in adolescents tends to be high and increases from year to year. Generally, adolescents know about the negative effects of smoking behavior, but they do not want to stop. It is related to the low feeling about himself or his sense of self (SOS). The study analyzed the correlation between a sense of self (SOS) and smoking behavior. The study used an observational cross-sectional approach. The population involved were male students in State Vocational Schools in Jember Regency amounted to 2,590, which was then calculated using the proportionate stratified random sampling technique (CI: 95%) and respondents were 209. The research instrument uses a modification of The Sense of Self Scales (α-Cronbach = 0.05; 11 question items) and smoking behavior questionnaire (α-Cronbach = 0.05; 21 question items). Statistical tests using the Spearman Rank Test (CI: 95%; α <0.05). The ethics of this study was given by the Nursing Ethics Commission (KEPK) FKG Jember University with the number: No. 643/UN25.8/KEPK/DL/2019. The results showed 75.59% (active smokers) and 24.41% (not smoking) adolescent sense of self (SOS) towards smoking behavior (Med: 17.00 with a value of min 2 and max 30; CI: 95%). The higher the sense of self (SOS) of adolescents, the teenage boys tend to avoid smoking behavior (p = 0,000; α <0.05; r = -0.665). Factors that can affect adolescent behavior are external and internal. Teenagers need a situation that peers can accept, so peers become an important influential factor. However, the most influential factor on a teenager's decision-making is internal factors, one of which is the sense of self (SOS). As community nurses, we must be able to promote and prevent of smoking behavior through efforts to increase adolescent's sense of self

    Hubungan Efikasi Diri dengan Keterampilan Petani dalam melakukan Pertolongan Pertama Gigitan Ular di Kecamatan Panti Kabupaten Jember

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    First aid is the provision of immediate help in urgent events. Having self-efficacy can encourage the first aid process. Skills are also considered important to increase self-efficacy in dealing with emergency events. The purpose of this study was to analyze the relationship between self-efficacy and farmer skills in performing snakebite first aid in Panti District, Jember Regency. The research design used correlation with a cross sectional approach. The research sample is 100 respondents with cluster sampling technique. Bivariate analysis used is Spearman rank. The instrument of this research is to use GSE (General Self-Efficacy) and SOP observation sheet for first aid research. The results of this study showed that the respondents' self-efficacy values had a median value of 26 (min-max: 15-40) while the median value of respondents' skills was 16 (min-max: 11-35). Bivariate analysis showed that there was no significant relationship between self-efficacy and farmer skills with the Spearman correlation value of 0.235 (p>0.000). The behavior shown by farmers is they lack self-efficacy and lack of mastery of skills in handling snakebite first aid in the work environment. Keywords: self-efficacy, skills, first ai

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