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Gambaran Efikasi Diri Maternal pada Ibu Remaja di Wilayah Kerja Puskesmas Sukowono Jember
Get PDFAdolescent mothers are women with a transition period between childhood and adulthood but must act as parents. Adolescent mothers have limited experience in caring for babies, thus often feeling incompetent and not confident. Maternal self-efficacy is self-confidence in the ability, a mother's competence perceived in caring for her baby, and perceptions of the role of mother. Confidence is a factor that influences the adaptation and achievement of a mother's identity in baby care and the closeness of mother to child. This study aimed to determine the description of maternal self-efficacy of adolescent mothers at the Public Health Centre Sukowono Jember Regency. This research used method analytic descriptive and total sampling methods with 50 adolescent mothers as respondents. Data were analyzed by univariate analysis. These results showed that more than half of the total respondents had low maternal self-efficacy (54%). Low maternal self-efficacy will delay the transition of the mother's role and limit the satisfaction in achieving the mother's role. Therefore, Nurses are important to pay more attention to adolescent mothers in pre-pregnancy services to improve their ability and increase their readiness and skills to carry out their roles as new mothers
Optimasi Hidroksipropil Metilselulosa dan Polivinil Pirolidon dalam Sediaan Mucoadhesive Buccal Film Diltiazem Hidroklorida
Get PDFDiltiazem HCl is a class of benzodiazepine calcium channel blockers used to treat angina pectoris, arrhythmias, and hypertension. Diltiazem HCl improves first-pass metabolism, a short half time of 3-5 hours, and bioavailability of diltiazem for oral administration of about 40%. Mucoadhesive buccal film diltiazem HCl releases the drug to the buccal mucosa, so the first pass metabolism can be avoided because of its absorption through the venous system that flows from the cheek. This study aimed to study HPMC polymers and polyvinyl pyrrolidone (PVP) polymers on swelling index, residence time, mucoadhesive strength of mucoadhesive buccal film diltiazem HCl, FTIR, and drug release. The prepared film was evaluated for swelling index, mucoadhesive strength, and mucoadhesive residence time. The optimal amount for HPMC was 35 mg, and PVP was 15 mg. The combination of polymers with this amount can produce a swelling index was 3,00, mucoadhesive strength was 41,87 gF, and mucoadhesive residence time was 330,66. FTIR test indicated that there was no interaction between active function clusters of Diltiazem HCl and other excipients. The release of the optimum formula in the 360th minute was about 97.847%, following in the zero-order release model and Higuchi
Daya Hambat Ekstrak Minyak Atsiri Kulit Buah Jeruk Siam (Citrus nobilis L.) terhadap Pertumbuhan Candida albicans
Get PDFThe high prevalence of oral candidiasis needs special attention. Candida albicans (C. albicans) play a critical role in the progression of deeper oral candidiasis. An effective and safe strategy to control C. albicans activity was needed. The essential oil from siam orange peel has been shown to have antifungal properties. This study aimed to determine the optimal concentration of the essential oils of siam orange peel to inhibit the growth of C. albicans. This is experimental laboratory research with a posttest-only control group design. The water stream was used to get essential oil extract from siam orange peel and made in several concentrations 25%, 50%, 75%, and 100%. The disk diffusion method was applied to determine the inhibition of essential oil extract of siam orange peel to the C. albicans. Nystatin and DMSO 10% plus tween 80 0,5% were used as positive and negative control groups. The results found that the essential oil extract of siam orange peel concentration of 50% and above showed an inhibitory effect on the growth of C. albicans with the most optimal is 75%. The essential oil extract of Siam Orange Peel would be useful as a therapeutic agent to control oral candidiasis.
 
Efek Induksi Gaya Mekanis Ortodonti Terhadap Perubahan Jumlah Sel Osteoblas Tulang Alveolar Gigi Tikus Pada Daerah Tarikan
Get PDFOrthodontic treatment is one treatment that can improve the dental malocclusion. Bone remodeling involves the coordination of three cell types namely osteocytes, osteoclasts, and osteoblasts. Osteoblast cells is important in the process of bone remodeling, especially in the process of bone aposition in tension side. This study aimed to analyze the changes in number of osteoblasts cell in tension side of Sprague dawley alveolar bone which induced by orthodontic force during one weeks, two weeks, and three weeks. 36 rats were divided into 6 groups, the treatment group with apllied the orthodontic force for 1 weeks (P-1), 2 weeks (P-2), and 3 weeks (P-3) and thr control group without apllied the orthodontics force group for 1 weeks (K-1), 2 weeks (K-2), and 3 weeks (K-3). Wire ligature 0,20 mm was apllied on the right region of maxillary first Molar and Incicivus, then mesially activated with maximally tension gauge of Orthodontic appliance of Ni-Ti closed coil springs. Those samples were sacrified and sliced vertically on the regio right maxillary bone with mesiodistal position, then the preparation of histological section with Hematoxilyn Eosin staining (HE) was made. The number of osteoblast cells were observed in 3 areas of tension side using microscope with 400 magnification. The result showed that the osteoblasts number of 2- and 3-weeks treatment groups were greater significantly than control group. It concluded that the induction of orthodontic appliance mechanic increased the number of osteoblast on tension area. The increasing of osteoblast number is paralel with the duration of the orthodontic appliance mechanic induction
Hubungan Penggunaan Sosial Media dengan Kecerdasan Moral Mahasiswa Tingkat Pertama Fakultas Keperawatan Universitas Jember
Get PDFThe behavior of adolescents who use social media excessively unwisely affects juvenile delinquency, which can reduce adolescent moral intelligence. The study aimed to analyze the relationship between the use of social media and moral intelligence. This study used an observational study with a cross-sectional approach. The population of first-level students of the Faculty of Nursing at the University of Jember was 190, which was then calculated using a purposive sampling technique and 128 respondents. BSMAS and MCI questionnaire used a Likert scale with a reliability value of a = 0.875 found 18 valid items and = 0.985, obtained 40 valid items. The data analysis used was Kendall's Tau b test. The correlation between the use of social media and moral intelligence (p = 0.000; a<0.05), the lower the use of social media in adolescents, indicates that adolescents have high moral intelligence
Gambaran Masalah Keperawatan pada Anak dengan Kejang Demam di Rumah Sakit Perkebunan Wilayah Karesidenan Besuki
Get PDFA febrile convulsion is a neurological health problem in children age six months to 5 years. The increased temperature will cause horrible impacts to children, such as severe hypoxia, increased capillary permeability, brain edema, which can damage the neuron. The main problem of nursing in febrile convulsion is hyperthermia management. This research is retrospective descriptive and sampling technique total sampling on 161 participants. The data were obtained from the medical record in the estate hospital in the area of Besuki residency. The result shows that the most frequent nursing problem from febrile convulsion children is Hyperthermia 93,8%. The febrile convulsion that triggers hyperthermia is caused by an increased metabolism rate of 23,0% and has a nursing problem of 96,9%. Nursing problems that arise due to febrile convulsion consequence most often hyperthermia. Furthermore, other nursing problems that arise in child febrile convulsion are the ineffectiveness of airway clearance and ineffective breathing patterns. Other problems also arise, such as lack of fluid volume, ineffective tissue perfusion, ineffective brain perfusion, risk of falls, and injury
Hubungan Kecerdasan Spiritual dengan Stres Pasien TB Paru di Rumah Sakit Paru Jember
Get PDFTuberculosis is an infectious disease that attacks pulmonary parenchyma caused by Mycobacterium tuberculosis bacteria. Pulmonary Tuberculosis has physical, psychological, and social effects which result in the risk of stress. Tuberculosis patients need an ability to reduce the risk of stress with increasing spiritual intelligence. This research used an observational analytic design with cross-sectional and the sampling technique was consecutive sampling with 84 respondents. The data were taken by used the spiritual intelligence and DASS 42 questionnaire. The statistical test used was the Spearman test. The statistical test results obtained p-value <0,001 and strength (r=-0,806) which means a relationship between spiritual intelligence with stress. Based on the results, there is a relationship between spiritual intelligence with stress in Pulmonary Tuberculosis patients. Spiritual intelligence can activate emotional and intellectual intelligence. Emotional intelligence is the ability to control feelings and regulate mood to avoid stress. Intellectual intelligence is the ability to solve a problem so that spiritual intelligence can affect Pulmonary Tuberculosis patients’ emotions in reducing stress.
 
Hubungan Tingkat Stres dengan Kualitas Tidur pada Ibu Preeklamsi di Wilayah Kerja Puskesmas Tempurejo-Jember
Get PDFPreeclampsia is some of the symptoms that occur in pregnancy, childbirth, and puerperal women, which are characterized by hypertension, edema, and increased proteinuria. Preeclampsia usually occurs when pregnancy enters the age of 20 weeks to 48 hours after the birth process. In that condition, there are undesirable complications during pregnancy that can make mothers more vulnerable to psychological disorders, one of which is stress. Stress experienced during pregnancy can affect the health of the baby and can also improve poor sleep quality. This study aims to analyze the relationship of stress levels with the quality of preeclampsia sleep in the Tempurejo Community Health Center in Jember. This research was conducted on 31 preeclampsia mothers using a correlational research design with a cross-sectional approach and total sampling techniques. Data collection using questionnaires stress and sleep quality. The results showed 19 (61.3)% of respondents experienced mild stress, and 26 (83.9)% experienced poor sleep quality. The results of data analysis using the spearmen statistical test obtained p-value 0.001 and r = 0.894, which means there is a relationship between stress levels and sleep quality or ha is accepted. R-value = 0.396 means that the correlation between stress levels and sleep quality in preeclampsia has a positive correlation with weak correlation strength. Nursing implications for further research can intervene in interventions that can reduce stress levels with the quality of sleep in preeclampsia mothers to reduce the factors of preeclampsia
Faktor yang Mempengaruhi Persepsi Kemudahan dan Kemanfaatan Penggunaan Sistem Informasi Manajemen RSU Kaliwates Jember Tahun 2019
Get PDFKaliwates General Hospital is a privately owned public service body with full accreditation status for five services and was established by the Ministry of Health of the Republic of Indonesia on December 31, 2010, No.Y.M.01.10/III/7957/10. At the beginning of its development, Kaliwates General Hospital managed data and information using still manual systems. In 2012 Kaliwates General Hospital began using computerized management information systems and changed vendors in 2015. This research is an analytical study with an observational approach. In this study, researchers tested hypotheses on the influence of institutional factors, social factors, and individual factors independently and together influenced the perceived ease and prestige of the usefulness of information systems. Institutional factors, social factors, individual factors, and ease of use significantly affect perceived usefulness in the Kaliwates general hospital management information system
Uji Aktivitas Antibakteri Ekstrak Etanol Daun Waru Gunung (Hibiscus macrophyllus) dan Fraksinya terhadap Staphylococcus aureus
Get PDFInfection is one of the main causes of world health problems, especially in developing countries like Indonesia, one of which is an acute respiratory infection caused by bacteria such as Staphylococcus aureus. Therapeutics are used for the treatment of infections today with antibiotics. However, there are many cases of bacterial resistance to antibiotics that need to develop alternatives derived from plants. One of the plants that have antibacterial activity is the leaves of Waru Gunung (Hibiscus macrophyllus). The purpose of this study was to determine whether the ethanolic extract of H. macrophyllus leaves and their fractions have antibacterial activity against S. aureus. The method used in this antibacterial activity test is the disk diffusion method with a test concentration of 5%, 10%, 15%, 20%, and 25%. The results of this study indicate that all test samples have antibacterial activity except in the water fraction. The highest antibacterial activity was obtained in the ethyl acetate fraction which attracted semipolar compounds in the ethanolic extract of H. macrophyllus leaves. The antibacterial activity of the test samples in sequence from high to low includes ethyl acetate fraction, ethanolic extract, n-hexane fraction, and water fraction