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Analisis SWOT di Instalasi Gawat Darurat (IGD) Rumah Sakit Fathma Medika Gresik untuk Meningkatkan Kunjungan Tahun 2016 (SWOT Analysis in the Emergency Room (ER) of Fathma Medika Hospital Gresik in Order to Increasing Visits 2016)
Get PDFTrauma Center is one of Fathma Medika Hospital’s featured services to handle the trauma patients in the hospital. Trauma Center is closely related to the ER where ER is a major gateway entry of patients with emergency conditions to prevent the risk of disability and death to respond time for 5 minutes and definitive time <2 hours. In addition, data showed that the number of patient visits in ER of Fathma Medika Hospital in period of January-December 2015 did not achieve the set targets. Therefore, the matter will be examined using SWOT approach to determine a strategy that could be recommended to improve traffic based on the analysis. The purpose of this study is to analyze the strength, weakness, opportunity, and threat in the ER. This type of research is descriptive with the number of respondents as many as 12 people during October 2016. The results showed that the strength of internal components include human resources, facilities, promotion, planning, organizing, implementing, and monitoring and evaluation while the weaknesses are and the amount of service tariff visit. External components into opportunities are the government policy, social, and economic while the threat is competitive. The conclusion of this study is IGD RS Medika Fathma Gresik get a score of internal and external 0.796 and 0.817 are in the first quadrant so that the strategies are rapid and aggressive growth.
Keywords : Planning Strategy, SWOT Analysis, Emergency Room
 
Daya Hambat Ekstrak Buah Delima Merah (Punica granatum Linn) Terhadap Pertumbuhan Porphyromonas gingivalis (The Inhibition of Red Pomegranate Fruit Extract (Punica granatum Linn) on The Growth Porphyromonas gingivalis)
Get PDFBackground : Halitosis is a common complaint among general population. Porphyromonasgingivalis 33277 is the most frequent bacteria that cause halitosis. Pomegranate (Punicagranatum Linn) extract is used to control the number of Porphyromonas gingivalis population.Bioactive compound of pomegranate is polyphenol (Flavonoids and its derivate, tanins,ellagitanins) and Alkaloids. Objective : To Analyze the effectiveness of pomegranate againstInhibition of Porphyromonas gingivalis Materials and Metdhods :The research used discdiffusion method (Kirby-Bauer) with 7 treatment group (n=6). Petridish was filled with Agar andinoculated by Porphyromonas gingivalis. after 5 minutes, set up disk that previously immersed in100%, 50%, 25%, 12,5%, 6,25% pomegranate extract, distilled water (negative control) andClorhexidine 0,2% (positive control) on top. The Petridish were then placed in the desiccator andincubator at 37oC for 24 hours. Zone of Inhibition were measured using digital caliper by threeindependent observer and recorded in millimeter. The result of this study showed that there wereInhibition zone in all treatment group (except negative control). Results and Conclusions :Pomegranate extract had antibacterial activity against Porphyromonas gingivalis at 6,25 minimuminhibitory concentration.Keywords: Antibacterial activity, Punica granatum Linn extract, Porphyromonas gingivalis, Kirby-Bauer disk diffusion method
Sintesis dan Uji Aktivitas Antibakteri Senyawa N-Fenil-4-Bromobenzamida (Synthesis and Antibacterial Activity Assay of N-Phenyl-4-Bromobenzamide)
Get PDFInfectious diseases are contagious disease caused by pathogenic microorganisms and can be spread directly or indirectly from one person to another. The aim of this research was to synthesized N-phenyl-4-bromobenzamide as a new antibacterial agent. Thereaction was carried out by reacting 1,3-diphenylthiourea with 4-bromobenzoyl chloride by nucleophilic substitution. The purification of this compound was confirmed by TLC and the structure was identified by UV, IR, 1H-NMR and 13C-NMR. The newly synthesized compound was screened for its antibacterial activity against gram-positive and gram-negative bacteria, Staphylococcus aureus ATCC 6538 and Pseudomonas aeruginosa ATCC 27853 using well diffusion method. The concentration of the test solution used were 31.25; 62.5; 125; 250; 500; 1,000; 2,000; 4,000; 8,000; and 10,000 μg/ml with levofloxacin as positive control. The synthesized product did not show any antibacterial activity which characterized by the absence of inhibition zone.Keywords: 1,3-diphenylthiourea, N-phenyl-4-bromobenzamide, nucleophilic substitution, antibacterial activity
Hubungan Pernikahan Usia Dini dengan Risiko Tindak Kekerasan oleh Ibu pada Anak Usia Prasekolah di Kelurahan Sumbersari Kecamatan Sumbersari Kabupaten Jember (The Relation between Early Marriage and the Risk of Abusing by Mothers Towards her Preschoolers
Get PDFChild abuse is arbitrarily action which can hurt children physically and psychologically. One of manycauses of domestic violence towards children is early marriage. This research aimed to analysis thethe relation between early marriage and the risk of abusing by mothers towards her preschoolers inSumbersari, Jember. The research design was analytic survey using cross sectional approach. Thenumber of sample was 77 people and taken by using purposive sample technique. The instrumentsto collect the data were validated and its reliability has been tested. The result of the researchshowed that the respondents who did early marriage had a risk of committing domestic violence upto 29.9% and only 20.8% did not have the risk. The result of chi square test showed that there wasa relation between early marriage and the risk of abusing by mothers towards her preschoolers inSumbersari, jember (p value = 0,015; CI= 95%) with OR = 3,528. There were numerous causes ofchild abuse the pressure from within the family and early marriage. The psychology of women whodid an early marriage was not ready yet for it so that they tended to do child abuse. The solution forthis problem was nurses could cooperate with related institution in the field to hold health trainingfor teenagers related to the impact of early marriage and health training for parents related to howto raise their children.Keywords: Child abuse, early marriage, preschooler
Kajian Kesiapan Dokumen Akreditasi Kelompok Kerja Administrasi Manajemen di Upt.Puskesmas Jelbuk Dinas Kesehatan Kabupaten Jember (Study of Preparation on Accreditation Document for Administration Management at Jelbuk Primary Health Center Jember)
Get PDFIn order to perform the functions, the primary health center should be a good governance system. Primary Health Center management system includes management of service performance, service process, and resources used. Communities require safe and quality health services and can answer their needs, therefore quality improvement, risk management and patient safety also need to be applied in the management of primary health center in providing comprehensive health services to the community. It can be done by accreditation assessment The purpose of this study is to describe the readiness of accreditation documents of administrative and management working groups in UPT. Public Health Center Jelbuk Jember. This type of research was qualitative research. The results of the research at Public Health Center Jelbuk from the completeness of the document that was done by using the check list of completeness available 72 documents from 84 documents required 85,7% so that Public Health Center Jelbuk included assesment criteria that is document completeness> 80%. Primary Health Center Should be prepared in the assessment of accreditation will be planning for July 2017Keywords: Primary Health Center, accreditation, preparation, administratiton, management
Pengaruh Terapi Murottal Al-Qur'an terhadap Tekanan Darah Pasien Pre Operasi Katarak dengan Hipertensi di Ruang Tulip Rumah Sakit Daerah dr. Soebandi Jember (The Effect of The Murottal Al-Qur’an Therapy on Blood Pressure of Pre Operative Cataract Patients with Hypertension in Tulip Inpatient Ward of dr. Soebandi Hospital, Jember )
Get PDFCataract is a sight obstruction which causes many cases of blindness in Indonesia. One of the treatment managements of cataract is performed trough sugery. Surgery process may cause anxiety to a patient with sign hypertension. The research aimed to analiyzing the effect of the murottal Al-Qur'an therapy on blood pressure of pre operative cataract patients with hypertension. Independent variable was the murottal Al-Qur'an therapy and dependent variable was blood pressure of pre operative cataract patients with hypertension. The research method was quasi experimental with randomized control group pretest and posttest design. The sampling technique used quota sampling to 30 respondent fulfilled then it used simple random sampling divided into two groups, treatment and control group with 15 respondents for each. Data were analyzed by using Wilcoxon test and Mann Whitney test with 95% of CI. The research results showed that p value of Wilcoxon test in treatment group was 0,000 (systole) and 0,002 (diastole), while control group resulth p value of Wilcoxon test was 0,007 (systole) and 0,317 (diastole). The research results showed that p value of Mann Whitney test in systolic blood pressure category and diastolic blood pressure category was 0,000 for each. Summed up any impact the murottal Al Qur’an to pressure of patient pre cataract surgery by hipertension. Nurses and health workers others could use this POS to reduce patient`s blood pressure with hipertension. Keywords: Murottal Al-Qur'an therapy, Blood pressure, Pre operative, Cataract, Hypertensio
Distribusi Pencabutan Gigi Berdasarkan Karakteristik Sosiodemografi pada Pasien RSGM Universitas Jember Periode Januari-Desember 2014 (Distribution of Tooth Extraction Based on Sociodemographic Characteristic of Dental Hospital of University of Jember Pat
Get PDFBackground: The number of tooth extraction in Dental Hospital of Unversity ofJember increased on 2014. It might be caused by inapropriate dental health program.Information about distribution of tooth extraction by sociodemographic characteristic isneeded to make apropriate dental health program to decrease the number ofextraction in Dental Hospital of University of Jember. Purpose: To find out thedistribution of tooth extraction by sociodemographic characteristic in Dental Hospitalof University of Jember patients on January-December 2014. Methods: A descriptiveresearch used medical records from new Dental Hospital of University of Jemberpatients experienced tooth extraction on January-December 2014 with completemedical record and were ≥17 years old. The data were divided into groups based onsociodemographic characteristic (age, sex, education level). The data of tooth type,number, and reason of tooth extraction were collected from each sociodemographiccharacteristic groups. The results were presented in graphics and tabels. Result andConclusion: Female, elderly, and basic education level had higher number of toothextraction. Periodontal disease was the main reason of tooth extraction in all groups.Posterior teeth, especially mandibular first molar, were more frequently extracted inthe most groups.Keywords: dental health program, sociodemographic, tooth extractio
Pengaruh Faktor Klinik dan Pengobatan terhadap Keberhasilan Terapi Tuberkulosis pada Pasien HIV–TB di Jember (The Influences of Selected Clinical Factors and Treatment on Tuberculosis Therapy Outcome among HIV-TB Patients in Jember)
Get PDFHuman imunodeficiency virus (HIV) is an infectious diseases that become an international problem. Since 1980s, there was an increase in morbidity and mortality due to tuberculosis (TB) infection in high HIV prevalence areas. The success of therapy is very important in the treatment of HIV-TB patients. The purpose of this study was to determine the factors that influence the success therapy in HIV-TB patients. This research was a cross sectional study with retrospective approach and used chi square analysis. The result showed that most patients were male (62.1%) and most were 25-34 years in age (42.3%). Most HIV-TB patients were 41-50 kg in weight (56.9%). They had CD4 level range of 50-199/mm3 and total lymphocyte count (TLC) less than 1,200/mm3 (58.6%). Most HIV-TB received therapy TB category 1 that was 55.2%, and antiretroviral (ARV) combination of TDF+3TC+EFV (91.8%). Based on chi square analysis, body weight, CD4 level, and TLC affected the success therapy (P value 0.022, 0.003, 0.028), whereas age and gender didn't (P value 0.222, 0.905). On the other hand, the variation therapy of TB and HIV didn't affect the success therapy either (P value 0.943, 0.718).Keywords: HIV-TB, antiretroviral, tuberculosis therap
Hubungan antara Otonomi Perempuan dan Persepsi terhadap Pelayanan Konseling KB dengan Unmet Need KB pada Pasangan Usia Subur di Kecamatan Sumberjambe Kabupaten Jember (Association between Women's Autonomy and Perception of Counseling Services FP Spouses o
Get PDFIndonesia is one of the developing countries that still has problem of population growth. The population of Indonesia in 2015 as much 255.5 million with a growth rate of 1.38%. The ideal number of residents of Indonesia is under 1%. One of the government's efforts to reduce the rate of population growth is to control fertility through family planning programs. Demographic and Health Survey of 2012 showed that unmet need for family planning in Indonesia is still high, that is 8.5%. Unmet need for family planning in Jember 2015 amounted to 10.4%, whereas the target RPJMN 2014 of less than 5%. Subdistrict Sumberjambe contributed the highest unmet need for family planning in Jember. This study aims to analysis relationship between women's autonomy and perceptions of family planning counseling services with unmet need for family planning in the District Sumberjambe. This study is an analytic study with cross sectional design. Total samples of 114 respondents selected by proportional random sampling technique. Bivariable analysis using Chi Square test. There is a significant relationship between the autonomy of women (OR = 3.7) and perceptions of family planning counseling services (OR = 21.60) with an unmet need family planning. Multivariate analysis using logistic regression test. It is evident that perceptions of family planning counseling services (OR = 30.678) effect on unmet need for family planning is strengthened by age, education level and employment status. Therefore proactively family planning counseling is needed.
Keywords: Women’s Autonomy, Counseling FP, Unmet Need FP
 
Uji Toksisitas Subkronik Jamu Asam Urat pada Hati Mencit Galur Balb-C (Subchronic Toxicity Study of Jamu Asam Urat in Liver of Balb-C Mice)
Get PDFJamu asam urat is one of the most-consumed herbal medicine product to threat gout arthritis. This study aimed to determine of jamu asam urat effect for long-term consumption on mice's liver. Mice were divided into 4 groups of 10 each group. A control group was administered with aquadest and 3 treatment groups were administered with jamu sample per oral in dose of 1,800 (D1); 3,600 (D2); and 7,200 mg/kg BW (D3) in 28 days. The examination included GPT and GOT serum level measurement and liver histopathology. The result showed that GPT serum level was 34.33 ± 2.48 U/L (D1), 41.20 ± 1.94 U/L (D2), and 46.32 ± 2.84 U/L (D3), while GOT serum was 44.60 ± 2.94 U/L (D1), 55.53 ± 3.22 U/L (D2), and 63.31 ± 2.63 U/L (D3), respectively. Parenchymatous degeneration and necrosis in liver were found in histopathology examination. Increase of GPT, GOT level, and parenchymatous degeneration liver changes at D1 and D2 counted as mild degeneration, meanwhile necrosis change at D3 counted as moderate degeneration but it did'nt greatly affect liver function. Thus jamu asam urat is still save to be consumed. Keywords: subchronic toxicity, jamu asam urat, GPT, GOT, liver histopatholog