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    Pengaruh Pendidikan Kesehatan dengan Metode Course Review Horay terhadap Pengetahuan dan Sikap Remaja tentang HIV/AIDS di SMK Darus Sholihin Puger Kabupaten Jember (The Effect of Health Education by Course Review Horay Method on Knowledge and Attitudes of

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    HIV/AIDS is a infectious disease due to human immunodeficiency virus that attacks the bodyimmune system. The number of HIV/AIDS cases among teenagers is still high because of theteenagers’ limited knowledge and attitude about HIV/AIDS. One way to improve teenagers’knowledge and attitude related to HIV/AIDS through health education by Course Review Horay(CRH) method. This research aimed to determine the effect of health education by course reviewhoray method on knowledge and attitudes of teenagers toward HIV/AIDS at SMK (Vocational HighSchool) Darus Sholihin Puger. The method used in was quasi experiment with non-equivalent controlgroup approach with a sample size of 36 students. Data analysis used wilcoxon test and mann uwhitney with a 95% confidence level (α = 0.05). Results of data analysis showed that there weredifferences in knowledge and attitudes in the experimental and control groups as evidenced by thevalue of mann u whitney p = 0.000 on knowledge and attitudes p = 0.001 (p <α). It is concluded thatthere is an effect of health education by CRH method on knowledge and attitudes of teenagers aboutHIV/AIDS. Nurses are expected to implement health education by CRH method to increase theknowledge and attitudes of teenagers related to HIV/AIDS.Keywords: Health Education, CRH, Attitude, Knowledge, HIV / AIDS

    Pengaruh Pemberian Gel Doksisiklin terhadap Jumlah Makrofag pada Proses Penyembuhan Dermatitis Paederus akibat Racun Tomcat (Paederus sp.) pada Mencit (The Effect of Doxycycline Gel Application toward the Number of Macrophage in Dermatitis Paederus He

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    Paederus dermatitis is an acute skin irritation caused by skin contact with toxins in the rove beetle (Paederus sp). Pederin poison was previously thought derived from the rove beetle's body. Based on other studies, poison pederin obtain from the symbiotic rove beetles and Pseudomonas aeruginosa which is able to secrete the matrix metalloprotease (MMP). Doxycycline is an antibiotic act as an inhibitor of MMP. This study aimed to verify the effect of Doxycycline gel to the number of macrophages in healing process Paederus dermatitis due to poison of rove beetle (Paederus sp.). The study design was a quasy experimental design using 40 mice (Mus musculus), were divided into 4 groups. Normal control group, negative control group, P1 group was given doxycycline 1%, and P2 group was given doxycycline 5%. Experimental animals were terminated on day 1, 3, 5, 7, and 15. The result of One Way Annova test on the number of macrophages on day 1, 3 and 5 showed a significance of 0.00 (p<0.05). This study showed that there was a significant difference in the effect of doxycycline gel to the number of macrophages in healing process of Paederus dermatitis.   Keywords: dermatitis paederus, doxycycline gel, macrophages &nbsp

    Perbedaan Tingkat Perkembangan Batita dengan Riwayat ASI Eksklusif dan Non Eksklusif di Kelurahan Wirolegi Kecamatan Sumbersari Kabupaten Jember (The Differences Level of Toddlers Development with the Exclusive and Non Exclusive Breastfeeding History in W

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    The low of breastfeeding become a threat to the development of the child. Breast milkachievement level in Jember is 66,7%. The aim of this study was to analyze the differences levelof toddler development with the exclusive and non-exclusive breastfeeding history in the WirolegiVillage Sumbersari District, Jember. This research used an observational analytic design withretrospective method. The subjects were 78 toddlers which divided into two groups of toddlerswith exclusive and non-exclusive breastfeeding history and collected with purposive sampling.Research used DDST instrument. The analysis based on statistical Mann-Whitney showed pvalue = 0.003 (p value < α=0.05). The result showed that 39 respondents (100%) with exclusivebreastfeeding history reached the development goals, because breast milk contains nutrients fordevelopment. The conclusion is there was differences level of toddler development with theexclusive and non-exclusive breastfeeding history in the Wirolegi Village Sumbersari District,Jember. Health workers need to improve mother knowledge about the importance of exclusivebreastfeeding and screening the development, so the development disorders in toddler can bedetected and cure early.Keywords: toddler, development, exclusive and non-exclusivePemberian Air Susu Ibu (ASI) yang rendah dapat menjadi ancaman bagi perkembangan anak.Cakupan ASI eksklusif di Jember sebesar 66,7%. Tujuan dari penelitian ini adalah untukmenganalisis perbedaan tingkat perkembangan batita dengan riwayat ASI eksklusif dan noneksklusif di Kelurahan Wirolegi Kecamatan Sumbersari Kabupaten Jember. Penelitian inimenggunakan desain observasional analitik dengan metode retrospektif. Teknik sampel yangdigunakan adalah purposive sampling dengan jumlah sampel 78 responden yang terbagi menjadidua kelompok yaitu batita dengan riwayat ASI eksklusif dan non eksklusif. Instrumen yangdigunakan adalah lembar observasi DDST. Hasil uji statistik Mann Whitney menunjukkan p value= 0,003 (p value < α=0,05). Berdasarkan hasil menunjukkan bahwa dari 39 responden (100%)dengan riwayat ASI eksklusif perkembangannya tercapai, hal ini dikarenakan ASI mengandungnutrisi yang dibutuhkan untuk perkembangan. Kesimpulannya adalah terdapat perbedaan tingkatperkembangan batita dengan riwayat ASI eksklusif dan non eksklusif di Kelurahan WirolegiKecamatan Sumbersari Kabupaten Jember. Tenaga kesehatan perlu meningkatkanpengetahuan ibu mengenai pentingnya ASI eksklusif dan meningkatkan pelaksanaan skriningperkembangan, sehingga apabila terdapat gangguan perkembangan pada anak dapat terdeteksisedini mungkin.Kata Kunci: batita, perkembangan, eksklusif dan non eksklusi

    Hubungan antara Obesitas dengan Derajat Nyeri pada Penderita Osteoarthritis Lutut di RS Bina Sehat Jember (Relationship between Obesity and Degree of Pain in Knee Osteoarthritis Patients at Bina Sehat Hospital, Jember)

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    Osteoarthritis (OA) is an abnormality of cartilage which is marked by clinical and radiological changes. The location OA is mostly at knee joint. In this study, the relationship between Waist-Hip Ratio (WHR) and Body Mass Index (BMI) with the degree of pain in patients with knee OA was investigated, measured by the Visual Analogue Scale (VAS). The study was conducted at Bina Sehat Hospital, Jember. Fifty two samples were taken by purposive sampling with established criteria. The statistical analysis to measure the relationship between BMI and VAS showed p= 0.000, which means there is a significant correlation between BMI and degree of pain in patients with knee OA. While, the relationship between WHR and VAS in male showed p= 0,095, which means there is no significant relationship between WHR and degree of pain in male patienst with knee OA. Analysis of WHR relationship with VAS in female showed p= 0,002, which means that there is a significant association between WHR and degree of pain in female patients with knee OA. It can be concluded that excess of BMI and WHR can increase the pain in patients with knee OA.   Keywords: Waist Circumference, Body Mass Index (BMI), Knee Osteoarthritis (OA

    Pengaruh Pemberian Ekstrak Etanol Kakao (Theobroma cacao) terhadap Kadar Malondialdehida Tikus Wistar Jantan Model Fraktur Tulang (The Effect of Cocoa Ethanolic Extract (Theobroma cacao) on Malondialdehyde of Male Rattus novergicus Bone

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    Fracture is a serious musculoskeletal trauma. The healing process of fracture is disturbed by the oxidative stress, because of imbalance quantity of Reactive Oxygen Species (ROS) and an antioxidant. An antioxidant such as polyphenol, that can be found in cocoa, is needed to suppress oxidative stress. The study aimed to investigate the effect of cocoa ethanolic extract on decreasing oxidative stress by measuring malonaldialdehyde (MDA) concentration in fracture healing process. Trial test were conducted in eleven rats to determine appropriate plaster technique. The study used thirty rats and divided into five groups; the normal group without fracture, the negative control group and three treatment groups with manually fractured on left tibia under anaesthesia and immobilized by leucodur plaster. Each treatment group was treated with cocoa ethanolic extract in a dose of 125 mg/kgBW, 250 mg/kgBW, or 500 mg/kgBW orally, respectively for 21 days. The result showed that there was a significant effect of cocoa ethanolic extract on serum and bone MDA concentration in which MDA concentration decreased after cocoa ethanolic extract treatment. The study concluded that cocoa ethanolic extract had a positive effect on supression of oxidative stress in fracture healing process.   Keywords: Cocoa ethanolic extract, polyphenol, fracture healing process, MDA, RO

    Analisis Faktor yang Berhubungan dengan Pemanfaatan Jamban Di Kawasan Perkebunan Kopi (Analysis of Factors Associated with the Use of Toilets At Coffee Plantation Region)

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    The study of Indonesia Sanitation Sector Development Program (ISSDP) in 2006, showed that 47% of people still defecate in open areas. Sidomulyo Village is a coffee plantation area with poor environmental sanitation, which is 91.94% of the villagers still defecate in open areas. This study aims to determine the factors associated with the use of toilets, which are predisposing, enabling, and reinforcing factors. This research is an analytical survey with cross sectional approach. Sampling by multistage random sampling, obtained samples of 70 householders. Data collecting is done by using questionnaires and observation sheets. Data were analyzed using chi square test at α=0.05. The results showed that there were significant relationships between income (pvalue= 0,004), knowledge (p-value=0,000), attitude (p-value=0,000), condition of toilets (pvalue= 0,001), and the availability of clean water (p-value=0,000) with the use of toilets. Meanwhile age (p-value=0.590), occupation (p-value=0.109), education (p-value=0.259), the support of health workers, religious leaders, community leaders, and family (pvalue= 0.400) showed that there were no significant relationships with the use of toilets. Keywords: The use of toilets, predisposing, enabling, and reinforcing facto

    Jumlah Makrofag pada Luka Insisi Full Thickness yang diberi Ekstrak Umbi Bidara Upas (Merremia mammosa (Lour)) pada Tikus Wistar Jantan (The Number of Macrophage in Full Thickness Wound Incision after Treatment using Merremia mammosa Extract in Male Wist

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    One important complication in the diabetic patient is diabetic ulcer. Diabetic ulcers in diabetes patient can increase the risk of amputation and expensive treatment costs, so the alternative treatmeant such as Merremia mammosa which has antiinflamatory and antidiabetic is needed. This study aimed to determine the comparison of the number of macrophage in the incisional wound in hyperglycemic male wistar rats between treatment with Merremia mammosa extract and NaCl. The in vivo test was done by creating wound incision on the mice backs and treated with gentamycin ointment 5% in a positive control group, NaCl in a negative control group and Merremia mammosa extract in a dose of 100m), 200mg, 400mg in treatment group. The result obtained by counting the number of macrophage in histopatholgy examination. The result showed the number of macrophage were 0,36 cells/field of view in a negative control group, 0,52 cells/field of view in a positive control group, 0,48 cells/field of view in all Merremia mammosa treatment groups. The data analysis showed no significant difference with p-value of 0,729. In conclusion, there was no significant difference between the used of Merremia mammosa extract and NaCl on full thickness incisional wounds of hyperglycemic male wistar rats.   Keywords: Diabetes Mellitus, Merremia mammosa extract, incisional woun

    Intensi Orang Tua dalam Pengambilan Keputusan untuk Menikahkan Anak Perempuan di Bawah Usia 20 Tahun di Kecamatan Pakem Kabupaten Bondowoso (Parents Intention in Decision Making to Wed Their Under 20 Years Old Daughter in Pakem, Bondowoso Regency)

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    Early marriage is a marriage which is conducted before the age of 20th. Early married girl hasmore risk in reproductive health and mortality. Bondowoso Regency has the highest of earlymarriage rates 52,93% from the marriage total in 2012. Pakem Subdistrict in BondowosoRegency has the highest rate for marriage under 20 years. In 2013, Pakem Subdistrict inBondowoso Regency has the higest rate of early marriage rates 53,18% and in 2014, earlymarriage rates 67,02%%. This study aimed to identify factors of parents intention on under20 years old girls marriage in Pakem, Bondowoso Regency. This study based on the Theoryof Planned Behavior with cross-sectional design. The respondent were parents which have10-19 years old daughter not married yet. Spearman correlation test applied to determineassociations between each variable. Result showed that knowledge significantly associatedwith attitude (p=0,000), subjective norm (p=0,008), and behavioural control (p=0,000).Income rate of parents was not significantly associated with attitude (p=0,106), subjectivenorm (p=0,951), and behavioural control (p=0,564). Education significantly associated withattitude (p=0,000), subjective norm (p=0,007), and behavioural control (p=0,035). Attitude(p=0,001), subjective norm (0,001), and behavior control (0,000) were significantly associatedwith parents intention.Keywords: early marriage, intention, attitude, subjective norm, behavioral contro

    Uji Sensitivitas Amoksisilin dan Eritromisin terhadap Infeksi Sekunder dari Spesimen Pasien Infeksi Saluran Pernafasan Akut (Sensitivity Test of Amoxicillin and Erythromycin againts Secondary Infections from Acute Respiratory Infection Speciments)

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    Acute respiratory infections (ARI) is one of health problems in Indonesia, which are caused by viruses. But on a visit to health facility, physicians prescribe antibiotics as therapy. Irrational prescribing of antibiotics led to bacterial resistance. The use of amoxicillin and erythromycin as the first and second line drugs in patients with ARI causes high resistance to them. This study aimed to determine differences sensitivity of amoxicillin and erythromycin against secondary infection of ARI. This was a descriptive analytical study, using Mann-Whitney different test and determination of Minimum Inhibitory Concentration (MIC) antibiotics using logarithmic regression. The sample was obtained from specimens of patient ARI with secondary infection who visited UPT Pelayanan Kesehatan Universitas Jember. Five of twenty two specimens successfully cultured in Blood Agar Plate (BAP). The cultures showed five bacteria with Gram-positive cocci morphology and two with Gram-negative bacilli morphology. Mann-Whitney test showed significant difference between two drugs (p=0.008), where 85% bacteria were resistant to amoxicillin and 40% were to erythromycin. Logarithmic regression results, obtained amoxicillin’s MIC was 7.48-9.02 mg/L and erythromycin’s was 0.23-4.95 mg/L. It can be concluded, there was a significant difference between two drugs, where bacteria that cause secondary infections are no longer sensitive to amoxicillin.   Keywords: Amoxicillin, Erythromycin, AR

    Faktor-Faktor yang Berhubungan dengan Tingginya Angka Open Defecation (OD) di Kabupaten Jember (Studi di Desa Sumber Kalong Kecamatan Kalisat) Factors Assosiated with High Number of Open Defecation (OD) in District Jember (Studies in Sumber Kalong Village

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    Community-Led Total Sanitation (CLTS) is an approach to hygiene and sanitationbehavior change through community empowerment by triggering method. DistrictJember in 2013, recording 61,54% of households that already have access tolatrines. The Strategic Plan District Jember for family latrines in 2014, that is 86%,target of MDGs in 2014 that is 75%. Sumber Kalong village is the high number OD inDistrict Jember that is 92,04%. The purpose of this study was to determine factorsassociated with high number Open Defecation (OD) in District Jember (study inSumber Kalong village Subdistrict Kalisat). The study is an observational study withcross sectional approach. Total Sample of responden was 35 housewife/heads offamilies with proportional random sampling technique. Data analyzed using Chisquaretest (α=0,05).The results showed associated between knowledge, attitude,latrine ownership, distance from the house to defecation except latrinest, familysupport, community support with high number of OD. However, there was noassosiated age, gender, education, employment, income, type latrine, latrineconditions, supply of clean water and support health workers with high number of OD.Keywords : Community-based total sanitation, Open defecatio

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