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RETRACTION: Hubungan Dukungan Sosial Keluarga ...... di Kecamatan Negara: Indonesia
The article is retracted due to double publication
Pengembangan Sensor untuk Mendeteksi Kesegaran Buah Durian (Durio zibethinus Murr.) Kupas Berbasis Indikator Alami Ekstrak Kayu Secang (Caesalpinia sappan L.)
Durian is a famous native fruit from Southeast Asia and usually sold within durian-cut packaging in the supermarket because it is handy and ready to serve. However, its freshness level is unknown. Sensor, made by sappanwood decoct extract, can be used to detect the fruit freshness within the packaging. The aim of this research was to develop a sensor to detect cut durian freshness based on natural indicators from sappanwood extract. Indicator solution of sappanwood decoction consist of sappanwood decoct extract, phosphate buffer pH 7,5 and polyvinyl alcohol (PVA). The color change from sensor was examined by ImageJ software to get mean red. Durian pulp was examined every day to get pH and SSC (Solid Soluable Concentration) value in for 5 days of storage at room temperature. The result of rotten pulp durian was showed by the color-changing of the sensor from red purplish to yellow with mean red 224,215 ± 0,161. Durian pulp freshness in room temperature decreased as the pH decreased from 7,46 to 4,20 and as the SSC decreased from 7,60 to 2,40, followed by the color-changing of the sensor. Furthermore, the level of durian pulp freshness can be detected by freshness sensor based on natural indicators from sappanwood extract at room temperature storage.
 
Ekspresi Caspase-3 sebagai Petanda Apoptosis Makrofag Lesi Kulit Penderita Kusta Tipe Pausibasiler dan Multibasiler
Macrophage and Schwann cells are target cell on leprosy disease, where apoptotic is assumed as one of elimination mechanism of macrophage previously infected by M.leprae. Several study showed various result in apoptotic on leprosy disease. Apoptotic level can be evaluated by observing caspase-3 activity, an executioner caspase on cell death. This study is aimed to observe the relationship of caspase-3 expression with paucibacillary and multibacillary types of leprosy. We used observational analytic and cross sectional study with consecutive sampling method. The subject was leprosy patient which had been diagnosed on dermatovenereology division outpatient clinic Saiful Anwar Hospital, and fullfilled the inclusion-exclusion criteria. Total subject was 19 persons (11 multibacillary and 8 paucibacillary). Sampling was taken with punch biopsy on skin lession, followed by immunohistochemical staining with caspase-3 antibody, and caspase-3 expression was measured by ImmunoRatio method. Comparation test revealed significant difference (p<0.05%) between caspase-3 expression mean on paucibacillary patient (84.46%) compared to multibacillary patient (65.39%). Pearson correlation test revealed caspase-3 expression tend to be higher in paucibacillary patient than multibacillary (coefficient correlation -0.759). In conclusion, there is a significance relationship between caspase-3 expression with leprosy type
Gambaran Perkembangan Motorik Kasar pada Balita Usia 1-3 Tahun dengan Stunting di Wilayah Kerja Puskesmas Sumberjambe, Jember
The condition of stunting toddlers can affect the ability in aspects of gross motor development. Gross motor development of stunting toddlers is also influenced by optimal nutritional status between the balance of intake and nutritional needs. This study aims to determine the description of gross motor development in stunted infants aged 1-3 years (toddler) in Sumberjambe Health Center, Jember Regency. This study used a descriptive design with a cross sectional approach. Respondents within this study were 200 stunted toddlers with purposive sampling method. The data collection was carried out using the Denver II observation sheet. Data analysis was performed by descriptive analysis by describing data in table form. The results of gross motor development found that 144 infants (72,0%) had normal gross motor development, 43 toddlers (21,5%) had suspected, and 13 toddlers (6,5%) had abnormal gross motor development. The role of parents, family, and the environment is expected to be able to be involved and directly control the condition of toddlers by frequently interacting to determine motor skills in achieving gross motoric development that is optimal in stunted toddlers
Pengaruh Hemodialisis terhadap Fungsi Diastolik Ventrikel Kiri pada Pasien Penyakit Ginjal Kronik Stadium V
Stage V chronic kidney disease (CKD) patients need renal replacement therapy. Hemodialysis is main choice for renal replacement therapy and correlates with changes of left ventricular function. Left ventricular diastolic function is one parameter of left ventricular function. The aim of this study was to analyze the effect of hemodialysis towards left ventricular diastolic function in stage V CKD patients at RSD dr. Soebandi Jember. This study included 30 patients (17 female, age 48,20±8,02 years) and underwent echocardiography 30 min before and after a hemodialysis session. Sample characteristics were divided into sex, age, duration of hemodialysis, blood pressure before and after hemodialysis. Diastolic function was measured with E/E’ ratio. Diastolic function criteria of 16 samples (53,5%) were normal (E/E’ ratio <10) after doing a hemodialysis session. Mean ratio E/E’ was significantly reduced (13,09±4,55 vs 11,6±5,04, p<0,05). In conclusion, hemodialysis could increase left ventricular diastolic function in stage V CKD patients at RSD dr. Soebandi Jember
Gambaran Balance Cairan Pada Anak Diare Setelah Diberikan Pemenuhan Kebutuhan Cairan di Rumah Sakit Kaliwates Jember
Diarrhea is a global event in various countries, including in many developing countries. Management of diarrhea is to use fluid rehydration. Other diarrhea management can be used with supplements, using Oral Rehydration Salt (ORS), using medication from the doctor, and drinking lots of water to replace lost fluids. This study aims to determine how to describe the fluid balance in children with diarrhea after being given the fulfillment of fluid needs in the hospital. The research was conducted at Kaliwates Hospital in Jember, with the research time used by researchers was one month. The sample of this study was thirty-two children of diarrhea patients with mild, moderate, severe dehydration. Data collection was carried out for three days while the child is hospitalized. The result of this study was obtained from total sampling. It was obtained that the fluid balance in diarrhea children did not all turn into balance. There was excess fluid, and they still experienced dehydration. From the research data, it was found that most of the experience of extra fluid status. The study concludes that after rehydration, children have an increasing fluid status. Fulfillment of fluids in children with diarrhea aims to reduce the risk of decreased fluid and maintain body fluids when they lose fluid through liquid feces. Fluid balance makes people's body became immune to the disease
Faktor yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan Peduli Remaja (PKPR) oleh Remaja Sekolah di Wilayah Kerja Puskesmas Bondowoso
Abstract
PKPR is a program developed since 2003 at the primary care level aimed as well as for access by teenagers to improve the health status of adolescents since. PKPR implemented since 2007 in 11 health centers in the regency and already strata. Visit data utilization in the 15-19 age PKPR, KIE activities amounted to 14.26%; health care amounted to 76.75%; and counseling by 1.71%; as well as with the achievements of PKPR utilization of 92.72% (33 224 adolescents) who has yet to reach the expected target is equal to 100%.The purpose of this study to analyze the factors that affect the utilization PKPR by school adolescents (15-19 years) in the working area of ​​the regency health centers in 2019. This research is an analytic research with cross sectional design where data collection is done at one time. The research samples 96 adolescent proportioned Tlogosari health center, tamanan and Maesan the regency with the technique multistage sampling, Data were obtained through a questionnaire and documentation study. Data was analyzed using statistical test of chi-square or fisher's exact test and logistic regression in the form forward with a significance level α = 0.05. The results showed that the statistical chi-square test and Fisher's exact test for the predisposing characteristics, namely there is no influence of age (p = 0.554); gender (p = 0.853); level of education (p = 0.348); and knowledge (p = 0.584). Enabling characteristics of no effect, the ownership of health insurance (p = 0.784) and accessibility to health care (p = 1.000); and there are significant variables is the availability of health workers (p = 0.002) and health care (p = 0.000), the competence of health professionals (p = 0.002), and the time/speed of service (p = 0.012). Factors needs (perceived need) no effect (p = 1.000). The test results of multivariate logistic regression with forward stepwise method (likelihood ratio) is the most influential factor on the utilization PKPR is not available health facilities (p = 0.045) and less competent health workers (p = 0.001).
Keywords: PKPR program, utilization PKPR, youth, access
Abstrak
PKPR ialah suatu program yang dikembangkan sejak tahun 2003 di tingkat puskesmas yang ditujukan serta untuk diakses oleh remaja guna meningkatkan status kesehatan remaja sejak. PKPR dilaksanakan sejak tahun 2007 pada 11 puskesmas di Kabupaten Bondowoso dan sudah strata. Data kunjungan pemanfaatan PKPR usia 15-19 tahun pada kegiatan KIE sebesar 14,26%; pelayanan kesehatan sebesar 76,75%; dan konseling sebesar 1,71%; serta dengan capaian pemanfaatan PKPR sebesar 92,72% (33.224 remaja) yang masih belum mencapai target yang diharapkan yaitu sebesar 100%. Tujuan penelitian ini untuk menganalisis faktor yang mempengaruhi pemanfaatan PKPR oleh remaja sekolah (15-19 tahun) di wilayah kerja puskesmas Kabupaten Bondowoso tahun 2019. Penelitian ini merupakan penelitian analitik dengan desain cross sectional dimana pengambilan data dilakukan pada satu waktu. Sampel penelitian 96 remaja yang diproporsikan pada Puskesmas Tlogosari, Tamanan dan Maesan Kabupaten Bondowoso dengan teknik multistage sampling. Data diperoleh melalui angket kuesioner dan studi dokumentasi. Analisis data dilakukan dengan uji statistik chi-square atau fisher’s exact test dan regresi logistik berupa forward dengan tingkat signifikansi α = 0,05. Hasil penelitian menunjukkan bahwa uji statistik chi-square dan fisher’s exact test untuk karakteristik predisposisi tidak terdapat pengaruh yaitu umur (p=0,554); jenis kelamin (p=0,853); tingkat pendidikan (p=0,348); dan pengetahuan (p=0,584). Karakteristik enabling tidak terdapat pengaruh yaitu kepemilikan asuransi kesehatan (p=0,784) dan aksesibilitas menuju pelayanan kesehatan (p=1,000); serta variabel yang terdapat pengaruh ialah ketersediaan tenaga kesehatan (p=0,002) dan fasilitas kesehatan (p=0,000), kompetensi tenaga kesehatan (p=0,002), dan waktu/kecepatan pelayanan (p=0,012). Faktor kebutuhan (perceived need) tidak terdapat pengaruh (p=1,000). Hasil uji multivariat regresi logistik dengan metode forward stepwise (likelihood ratio) faktor yang paling berpengaruh terhadap pemanfaatan PKPR adalah tidak tersedia fasilitas kesehatan (p=0,045) dan tenaga kesehatan kurang kompeten (p=0,001).
Kata Kunci: program PKPR, pemanfaatan PKPR, remaja, akse
Hubungan antara Berat Badan Berlebih dengan Terjadinya Sindrom Syok Dengue pada Anak di RSD dr. Soebandi, Jember
Dengue Shock Syndrome (DSS) is shock syndrome that happened in dengue hemorrhagic fever patients. There are risk factors that cause DSS. One of them is overweight in children. This study aimed to determine the relationship between overweight and the occurence of DSS. This retrospective case control study conducted at the dr. Soebandi Hospital Jember. Sampels were divided into DSS group (case group) and non-DSS group (control group). To analyze the data, Chi-Square test was performed using SPSS version 21. Aa many as 191 patients were included in this study which consisted of 132 patients as the control group and 59 patients as the case group. Chi-square analysis showed the p-value was 0,649. In conclusion, overweight was not significantly associated as a risk factor of DSS in children at the dr. Soebandi hospital
Daya Antibakteri Ekstrak Kulit Apel Varietas Manalagi (Malus sylvestris mil.) terhadap Pertumbuhan Lactobacillus acidophilus
Dental problems such as caries are found in the majority of the population of Indonesia. Dental caries is caused by several factors, host, bacteria, substrate and time. The bacteria in deeper caries is Lactobacillus acidophilus. To overcome this problem using synthetic mouthwash containing chlorhexidine, but have it mutagenic effects in the oral cavity. Another alternative is to use natural ingredients that have antibacterial power and smaller side effects. Apple peels which not used by the people is thrown away. Apple peels contains more polyphenols which have antibacterial effect. The aim of this study is knowing the antibacterial activity of manalagi apple peel extract in inhibiting L. acidophilus’s growth. This study used an experimental post-test only control group design with a well diffusion method using 6 groups of samples per treatment in 4 repetitions. The sample consisted of 4 treatment groups namely manalagi apple peel extract concentration of 100%, 50%, 25%, 12.5%, positive control group (clorhexidine 0.2%), and negative control group (sterile aquades). The results of the study showed that of all treatment groups of apple peel extract in all concentrations can inhibit growth of L. Acidophilus
Hubungan Stres Kerja dengan Kelelahan Kerja Petani Karet di PTPN XII Kebun Renteng, Ajung-Jember
Rubber farmers often face heavy workload problems, cold weather, and unsafe environmental conditions that cause job stress and work fatigue. The purpose of the study was to analyze the relationship between job stress and work fatigue of rubber farmers. The study design used observational analytic research with cross-sectional approach and a simple random sampling technique. There were 78 respondents. Data were collected using the job stress questionnaire and the Fatigue Severity Scale (FSS). Data analysis was performed by Spearman-rank Correlation test with a significance level of 0.05. The results showed that from 78 people there were 73 people (92.6%) experienced severe stress. And as many as 78 respondents (100%) experienced high work fatigue. There was a significant relationship between job stress and work fatigue of rubber farmers in PTPN XII Renteng Gardens, Ajung-Jember (p-value 0,000; r = 0.538). A positive relationship meaning the higher of job stress the higher of work fatigue. Farmers were recommended to do relaxation therapy to prevent work fatigue due to work stress