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Perbedaan Kelelahan Perawat Ruang Rawat Inap 2 Shift/hari dengan 3 Shift/hari di RS Baladhika Husada dan RSD Kalisat Kabupaten jember (The Differences of Burnout of The Nurses in Inpatient’s Room with 2 Shift/Day and 3 Shift/Day in Baladhika Husada Hospit
Burnout was combination of the physical, psychological, and emotional exhaustion. The differences of job schedules arrangement make each nurses has different duration when giving services. The differences had various effects on their condition of burnout. The goal of this study was analyzed the various burnout of nurses in inpatient room with 2 shift/day and 3 shift/day in Baladhika Husada Hospital and Kalisat Regional Hospital in Jember Regency. The differences of job schedule arrangement causes the duration of nurses’ shift were different. The differences of the duration could leads various burnout happens to nurses. This study was non experimental study with cross sectional study design. Researchers used comparative analysis to compare two groups of independent variables.This study used 60 samples of nurse which used consecutive sampling. The results of Mann Whitney showed p value = 0,683 (p value > α) so, it concluded that there was no differences in burnout of nurses in inpatients’ room with 2 shift/day and 3 shift/day in Baladika Husada hospital and Kalisat regional hospital Jember Regency. It could be influenced by many factors. The factors were workload, competence culture, and motivation. This research recommended the hospital attempted to reduce or minimize burnout by applied good managerial system.
Keywords : burnout, work shift, nurse
Efek Hepatoprotektif Ekstrak Etanol Brokoli (Brassica oleracea L. var. italica) terhadap Kadar Malondialdehid Hepar Tikus Wistar yang Diinduksi DMBA (Hepatoprotective Effect of Ethanolic Extract of Broccoli (Brassica oleracea L. var. italica) on Liver Ma
DMBA (7,12-Dimethylbenz(α)antracene) is a prototype of Polycyclic Aromatic Hydrocarbons (PAHs) which is present in automobile exhaust, cigarette smoke, and wood stoves. DMBA is converted into its reactive metabolites DMBA-DE and cause liver cell membrane lipid peroxidation, which results in an increased of liver malondialdehyde (MDA) levels. Broccoli contains flavonoid that able to prevent lipid peroxidation. The current study was conducted to find out the different hepatoprotective effect of ethanolic extract of broccoli against DMBA-induced hepatotoxicity in wistar rats using liver MDA as a marker. A total of 24 male wistar rats were divided into six groups, consisting of normal control (distilled water), negative control (DMBA), and treatment (ethanolic extract of broccoli in doses of 250, 500, 1000, and 2000 mg/kgBW). Rats were treated for 7 days prior to a single dose of DMBA on the 8th day of treatment. Liver tissue samples were taken on the 12th day for measurement of liver MDA levels. Data were analyzed using One Way ANOVA followed by Post Hoc Test LSD. The present study showed significant differences on liver MDA levels between groups (p<0.001). This study concluded that there were different hepatoprotective effects of ethanolic extract of broccoli treatment on liver MDA levels in wistar rats induced by DMBA.
Keywords: ethanolic extract of broccoli, DMBA, malondialdehyde, hepatoprotective
 
Pengaruh Ekstrak Metanol Daun Kayu Kuning (Arcangelisia flava (L.) Merr.) terhadap Kadar Kolesterol Total dan Trigliserida Tikus Hiperlipidemia (The Influence of Methanol Extract of Yellow Root (Arcangelisia flava (L.) Merr.) Leaves on Total Cholesterol
Hyperlipidemia is heterogeneous disorder that characterized by elevated levels of total cholesterol, low density lipoprotein (LDL), very low density lipoprotein (VLDL), triglyceride, and decreased levels of high density lipoprotein (HDL). The aim of this study was to determine the ability of methanol extract of leaves of Arcangelisia flava to decrease total cholesterol and triglyceride in some variations of dosage. Five groups experimental animal (each consisting of 4 rats) which have been induced by high fat and fructose diet for 45 days, followed by oral treatment of extract at a dose of 250 mg/kg BW, 500 mg/kg BW, 750 mg/kg BW, simvastatin 0.36 mg/200 g BW (control (+)), and CMC Na 1% (control (-)) for 7 days. The blood was taken on day 8, then was measured the total cholesterol and triglyceride. The test results showed that extract could decrease total cholesterol and triglyceride in line with increasing doses. According to ANOVA, there are significant differences between treatment groups (
Pengaruh Ekstrak Metanol Daun Kayu Kuning (Arcangelisia flava (L.) Merr) terhadap Histopatologi Aorta Tikus Wistar Hiperlipidemia (The Influence of Methanol Extract of Yellow Root (Arcangelisia flava (L.) Merr) Leaves on Aortic Histopathology in Hyperli
Atherosclerosis is the leading cause of heart attack and stroke. Hyperlipidemia is one of the triggers of atherosclerosis through oxidative stress and formation of foam cells. Atherogenic index (the ratio of LDL/HDL) is a predictive parameter of coronary heart disease. A.flava is potential as antiaterosklerosis due to the content of berberine and flavonoids. This study was undertaken to determine the ability of methanolic extract of A.flava leaves (EMDAf) in lowering atherogenic index and the number of foam cells. Five groups experimental animals (each consisting of 4 rats) was induced with high fat and fructose diet for 45 days, followed by administration of EMDAf dose of 250 mg/kg BW, 500 mg/kg BW, 750 mg/kg BW, simvastatin 1.8 mg/kg BW (control (+)), and CMC Na 1% (control (-)) for 7 days treatments. Then the rat arcus aorta was taken for histopathological examination with Masson Trichrome staining. ANOVA test results showed that EMDAf could decrease the atherogenic index, but not significantly (p> 0.05). While the Kruskall Wallis test results showed that the increase dose of EMDAf might improve histopathology of the aorta through a reduction in the number of foam cells significantly compared to the negative control (p <0.05). Berberine contents in EMDAf is 0.046% measured by TLC-densitometry. It could be concluded that methanolic extract of A.flava leaves had the ability to decrease in the atherogenic index value and the number of foam cells. Â Keywords: Arcangelisia flava leaves, foam cells, atherogenic index, aorta, histopatholog
Perbedaan Kejadian Gizi Lebih pada Balita Usia 1-2 tahun dengan Riwayat Pemberian Asi Eksklusif dan Bukan Asi Eksklusif di Desa Tanggul Kulon Wilayah Kerja Puskesmas Tanggul Kecamatan Tanggul Kabupaten Jember (The Difference of the Overweight Incidence t
Overweight has not received much attention from caregiver. Overweight was caused by the lack of activity which was indicated by the overdeposit of fat with the value of standard deviation >+2SD. Overweight in toddlerwould caused 1,8 times overweight in adulthood. Exclusive breastfeeding was one of the ways of preventthe overweightincidence. The purpose of this research was to analyze the difference of the toddler who are given exclusive breastfeeding with the ones with nonexclusive breastfeeding regarding the overweightincidence to 1-2 years old toddler. This research used retrospectivedescriptive analysis design. The sampling collection method used in this research is total sampling, with 36 respondents involved. The results of this research reveal that 18 toddler received exclusive breastfeeding,whereas the other 18 received nonexclusive breastfeeding. The results of the statistical test reveal used Fisher Exact Test (α=0,05) and the p value = 1,000 (p value ≥ 0,05), thus the difference of the overweightincidence to 1-2 years old toodler with the exclusive and nonexclusive breastfeeding history at Tanggul Kulon under the coverage area of Tanggul Primary Health Center Tanggul Sub-District Jember Regency did not exist. Nursing of pediatriccan reduced the incidance of overweight by health education to mothers to raised awareness of importance of used exclusive breastfeeding, so the overweight does not occur.
Keywords: Overweight, toddler, Exclusive Breastfeeding and Non- ExclusiveBreastfeedin
Pengalaman Kehamilan Perempuan Primigravida dengan Riwayat Menikah Usia Dini di Desa Baletbaru Kecamatan Sukowono Kabupaten (The Experience of Primigravida Pregnancy with Child Marriage in Baletbaru Village of Sukowono District)
A Woman health which need to be understood and undertaken in line with health care services. One of health problems that a Woman often experiences is child marriage. Child marriage is one of the phenomena of Woman health problem in Jember Regency. This research purposes to obtain the experience of primigravida pregnancy with child marriage in the Baletbaru Village. The research used qualitative method, with descriptive phenomenological study design. The sampling technique used purposive sampling with the number of participants as many as 4 people. The study is identifying 8 themes: the desire, assessment of early marriage, a representation of early marriage, normal complaints, pathological complaints, general feeling, special feeling, and the health care what use for. The research results indicated that unreadiness primigravida in physically and psychologically to face child marriage and pregnancy. This research are expected to be the bases for developing policy of marriage and Woman healthcare service. Keywords : Primigravida, Child marriage, Pregnancy experienc
Pengaruh Induksi Racun Ubur-Ubur (Physalia utriculus) terhadap Fungsi Oksigenasi dari Eritrosit pada Mencit Jantan
Jellyfish is one of the animals that is responsible for poisoning in human. The poisoning jellyfish commonly found is Physalia utriculus. Jellyfish poison is potential to cause hemolysis on blood. The purpose of this study was to determine the influence of jellyfish (Physalia utriculus) poisoning induction toward the oxygenation function of the male mice erythrocytes. The method was true experimental design with post test only control group design. Eight male mice were devided into two groups: control and treatment groups with a dose of jellyfish poison 30 mg/kgBW. The observation was conducted by using a pulse oxymeter. The result showed average level of oxygen saturation in the control group minute 0; 15; 30; 60; 120; 240; 480; 720; 1440 were 55%; 54%; 63,75%; 70%; 65,25%; 67,5%; 65,75%; 72%; 55%, respectively. While in the treatment group were 61,25%; 62,75%; 59,75%; 58,5%; 51,75%; 58%; 57%; 75,75%; 47%, respectively. The statistical bivariate correlation test has a correlation coefficient value (r) 0,383. The significance value is (p) 0,309 (p>0,05). The conclusions of this study was jellyfish (Physalia utriculus) poisoning induction has no significant effect toward the change of oxygenation function of the male mice erythrocytes. Keywords: jellyfish, jellyfish poison (Physalia utriculus), erythrocytes, oxygen saturatio
Pengaruh Pemberian Jus Semangka terhadap Kelelahan Otot dan Delayed Onset Muscle Soreness setelah Latihan Beban (The effect of Watermelon Juice on Muscle Fatigue and Delayed Onset Muscle Soreness after Weight Training)
The main problem that is often faced by athlete is fatigue. It can decrease maximum muscle strength. To overcome this problem, many athletes use ergogenic aids such as watermelon. The purpose of this study was to determine the effect of watermelon juice on reduction of muscle fatigue and delayed onset muscle soreness (DOMS) after weight training. Muscle fatigue was measured by maximum repetition done by the subjects in the last set and DOMS was measured by post-training muscle soreness intensity. By using a randomized crossover design, 20 subjects were recruited then divided into 2 groups, a treatment group and a control group. The subjects were asked to do a training protocol to induce muscle fatigue and DOMS. As much as 500 ml watermelon juice was consumed in 1 of 2 training sessions and a placebo was consumed in the other. The number of repetitions showed a significant increase on treatment group than control group (p<0,05). Passive muscle soreness intensity and active muscle soreness intensity showed a significant decrease on 24 hours and 48 hours post-training after administration of watermelon juice (p=0,000). We conclude that there was an effect of watermelon juice on muscle fatigue and DOMS after weight training. Â Keywords: weight training, muscle fatigue, DOMS, watermelon, citrullin
Analisis Stakeholder dalam Kebijakan Pemenuhan Fasilitas Kesehatan Tingkat Pertama pada Program Jaminan Kesehatan Nasional di Kabupaten Jember (Stakeholder Analysis in Compliance Policy of The First-Level Health Facilities in National Health Insurance at
Decree of President No. 12 in 2013 explained that The Government and Local
Government had a responsibility for availability of health facilities and implementation of
health services in National Health Insurance. The first level-health facilities which had
been collaborated with Social Assurance Agency in Health were 97. Based on ratio, the
number of the first level-health facilities in Jember were less. The shortage was The
government's resposibility based on Decree of President No. 12 in 2013.This research
aims to analize of stakeholder policy in compliance policy of the first level-health facilities
in National Health Insurance at Jember.This research was descriptive research with
mixed methods approach. The result explained that Social Assurance Agency in Health
of Jember needed to get cooperation with 230 doctors and 35 primary health care or
clinics. Social Assurance Agency in Health of Jember had a big power to get cooperation
with the first-level health facilities which be available in Jember during get a cooperation
with doctors and available clinics also invite other investors to build a new clinics. The
first level-health facilities, specially clinics and doctor had a rights to have cooperation or
not with Social Assurance Agency in Health.
Keywords: Policy, Stakeholder, The First-Level of Health Facilities, UH
Kadar Fosfor (P) dalam Cairan Sulkus Gingiva pada Penderita Periodontitis Kronis (Phosphorus Level of Gingival Crevicular Fluid of Chronic Periodontitis)
Background: The prevalence of periodontal disease in Indonesia is 60%. Chronic periodontitis is one of periodontal disease which affects Indonesian. The primary cause of periodontal disease is bacterial plaque. Adhesions and accumulation of bacterial plaque can cause inflammation and destruction of periodontal tissue following by increasing of gingival crevicular fluid flows and releasing of its components, one of the components is phosphorus that excreted from sulcular epithelium. Soluble phosphorus along blood stream is from gingival crevicular fluid which the flow is increased and excreted by sulcular epithelium. Objective: To know phosphorus levels in the gingival sulcus of chronic periodontitis. Methods: The subjects of the study were patients who came to the Dental Hospital University of Jember and occupied as inclusion and exclusion criteria. The subjects who had inclusion criteria were divided into 2 groups based intra-oral examination; gingivitis and chronic periodontitis. Gingival crevicular fluid sampling was taken from tooth with gingivitis or chronic periodontitis using paperpoint. Phosphorus level measurement used UV-Vis Spectrophotometer with a wavelength of 883 nm. The results were analyzed by Mann-Whitney test. Results: There were phosphorus in the gingival crevicular fluid of chronic periodontitis and it higher than gingivitis. Conclusion: There is phosphorus level in the gingival crevicular fluid in patients with chronic periodontitis. Â Keywords: Chronic periodontitis, gingival crevicular fluid, phosphoru