1,720,974 research outputs found

    PERBANDINGAN KUALITAS PELAYANAN INSTALASI FARMASI PASIEN BPJS RAWAT JALAN RUMAH SAKIT PEMERINTAH DAN SWASTA KOTA SEMARANG

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    7 ABSTRACT Currently there are many complaints against service quality of BPJS patients in pharmacy some hospitals. This study aimed to compare the service quality of BPJS outpatient pharmacy installation at government and and public private hospital Semarang in terms of five dimensions of SERVQUAL. This study was an analytic survey research with cross sectional study design. Sample was BPJS outpatient or patient's family who took the drug in one of the government hospital Semarang  (Tugurejo Hospital’s pharmacy) and one of the public private hospital Semarang (Sultan Agung Hospital’s pharmacy). The sampling technique used purposive sampling method, and used questionnaires to collect data. Expectations and performance scores had been analized used gap analysis and  Mann-Whitney test to compare the service quality of BPJS outpatient pharmacy installation at government and and public private hospital Semarang in terms of five dimensions of SERVQUAL The service quality that terms of five dimensions of SERVQUAL in both of two hospital’s pharmacy installation Semarang could not meet the expectations of BPJS outpatient yet. The biggest gap according to BPJS outpatient in Sultan Agung Hospital’s pharmacy and Tugurejo Hospital’s pharmacy Semarang was the dimension of responsiveness with value respectively -0.73 and -0.63. Dimension that has met the expectations of BPJS  outpatients Sultan Agung Hospital’s pharmacy was tangible dimension with value 0.03. There were significant differences between service quality of  BPJS outpatient pharmacy installation at government  and and public private hospital Semarang above tangible (p. 0,000), and reliability dimension (p. 0,000). Key words : Service quality, Tugurejo Hospital’s pharmacy, Sultan Agung Hospital’s pharmacy, BPJS outpatient, SERVQUA

    PERBEDAAN PENGARUH LAMA PENYIMPANAN LARUTAN SUSU BUBUK FULL CREAM DAN LARUTAN SUSU KENTAL MANIS TERHADAP KADAR GLUKOSA

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    ABSTRACTMilk and the products which have expired usually be thrown by people immediately.However, those are still having lactose content even do not like as much as a fresh milk. Lactose content of milk and the expired products can be extracted and then hydrolized to yield glucose and galactose. The glucose content can be determined, so it will give information about ehancing value of expired milk that the glucose content can be developed furthermore to larger scale (industrial scale). This research was aimed to know influence of storage duration toward glucose content of fresh milk, full cream milk powder solution and sweet concentrate milk solution, and comparison of glucose content for each product. Research object was glucose content of fresh milk, full cream milk powder solution and sweet concentrate milk solution which was store for 0, 1, 2, 3, 4 and 5 days with gravimetric methode and determined by Friedman test; comparison of glucose content for each product determined by Anova because its distribution are normal and its variation are homogen, or by Kruskal-Wallis because its distribution are unnormal and its variation are unhomogen using SPSS version 15.0 with level of statistic confidence 99%. The result showed that the storage duration was influenced toward glucose content of fresh milk, full cream milk powder solution and sweet concentrate milk solution significantly and there are significance difference of glucose content for each products with the manipulation on storage duration.Key words : storage duration, glucose, fresh milk, full cream milk powder solution and sweet concentrate milk solutio

    PERBEDAAN HASIL EVALUASI PENGELOLAAN OBAT PUSKESMAS ISO DAN NON ISO KOTA SEMARANG TAHUN 2013

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    ABSTRACTEmptiness and breakage of drugs in health centers often leads to non ISO patient dissatisfaction, which might be due to non optimal medication management. This study was conducted to determine the differences of the evaluation result of drug management between ISO and non ISO health centers in Semarang at 2013.This type of research is analytic survey, with a sample of three of most visits ISO and non-ISO health centers and non-ISO. Retrospective data collection techniques along with free interview directed to drug manager. Materials and research tools were card stock, report morbidity data (LB1), recipes, and the inventory check. Data were evaluated every month used the indicators of the Ministry of Health of Indonesia in 2010 and were analyzed used independent sample t test and Mann Whitney.The result showed that there was difference of the evaluation result of drug management between ISO and non ISO health centers in Semarang at 2013 on indicator of available drugs item complies with DOEN (t <1.66691) and the percentage of generic drugs writing (t <1.66691).Keywords : Drug Management, ISO Health Centers, Non ISO Health Centers, Semarang Cit

    PERBEDAAN EFEKTIVITAS ANTIBIOTIK PADA TERAPI DEMAM TIFOID DI PUSKESMAS BANCAK KABUPATEN SEMARANG TAHUN 2014

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    ABSTRACTThere are differences on the use of antibiotics on typhoid fever’s treatment. However, there was a research concluded that there were no differences between the efficacy of antibiotics on typhoid fever's therapy that shown as fever-free time and treatment duration. The purposes of this study are to determine the various antibiotics that used on typhoid fever’s treatment and to compare the efficacy of that antibiotic at Bancak Public Health Center Semarang regency. This study was an analytically survey research, with retrospective data collection from medical records, used purposive sampling method. The research sample was all adult patients’ typhoid fever hospitalization at Bancak Public Health Center Semarang regency. Data of antibiotic’s efficacy in fever-free time and treatment duration were analyzed with Kruskal-Wallis test. The result showed that the antibiotics used on typhoid fever’s treatment at Bancak Public Health Center Semarang regency were chloramphenicol, amoxicillin, cefotaxime, ceftriaxone, and ampicillin. Ceftriaxone was an antibiotic that provided the shortest fever's free-time and duration of treatment. However, there was no statistically significant difference between efficacy of that antibiotics at Bancak Public Health Center Semarang regency (p>0.05). Key words : Antibiotics efficacy, typhoid fever’s treatment, fever’s free-time, duration of treatment, Bancak Public Health Center

    ANTIBACTERIAL AND ANTIACNE ACTIVITY OF n-HEXANE FRACTION OF ALFALFA HERB (Medicago sativa L.) ETHANOL EXTRACT IN VITRO AND ON RABBIT (Oryctolagus cuniculus)

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    Propionibacterium acnes (P. acnes) can cause inflammation of the polysebaceous glands and lead to acne. Flavonoids in alfalfa herb are thought to have antibacterial and antiinflammatory properties. Flavonoids can be absorbed into n-hexane solvents. This study aims to determine antibacterial activity of n-hexane fraction of alfalfa herb ethanol extract (nHFAH) against P. acnes in vitro, to calculate the total flavonoid levels in the fraction, and to determine antiacne activity of the fraction on rabbit. This study is an experimental study with post-test control group design. Extraction of alfalfa herb was done by maceration method using 70% ethanol and fractionated with n-hexane. Antibacterial activity test was carried out using disk diffusion with 5 series of concentrations (15%, 20%, 25%, 30% dan 35%), positive control (clindamycin 2 µg/disk) and negative control (DMSO 100%). Diameters of the inhibition area were analyzed statistically using a Kruskal Wallis test followed by Mann Withney test with 95% of confidence level. Rabbit back skin was shaved on 5 different areas (3x3 cm2/area). Induced with 0.2 mL of P. acnes suspension (3x109 CFU/mL) intradermal. Acne formed (24 hours) on all areas, then were treated with T1 (clindamycin 2%), T2 (DMSO 100%), T3 (nHFAH 20%), T4 (nHFAH 25%), T5 (nHFAH 30%). Erythema diameter reduction on day 9 was analyzed using one-way anova, continued by post hoc tukey with 95% of confidence level. Total nHFAH flavonoid levels were tested by colorimetric method using UVVis spectrophotometer at λ 429.5 nm. The results showed that nHFAH has antibacterial activity against P. acnes with an average value of diameter of inhibition area for each concentration were 7.30; 7.49; 7.75; 7.92 and 8.24 mm. nHFAH exhibits antiacne activity with the percentage for each concentration were 67.01%; 77.84% and 85.84% respectively. Total nHFAH flavonoid levels were 6.09 mgQE/ gram.Keywords: Alfafa herb, n-Hexane fraction, Propionibacterium acnes

    THE ANTIHYPERPIGMENTATION EFFECT PARE LEAVES (Momordica charantia L.) ETHANOL EXTRACT ON GUINEA PIG (Cavia porcellus) SKIN

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    Hiperpigmentasi pada kulit telah terbukti dapat diatasi dengan ekstrak etanol daun pare (Momordica charantia L.) (EEDP) secara invitro. Penelitian ini bertujuan untuk membuktikan efek antihiperpigmentasi EEDP pada kulit Guinea pig (Cavia porcellus). Peneitian ini merupakan penelitian eksperimental dengan randomized matched post test only control group design. Proses ekstraksi menggunakan metode maserasi dengan cairan penyari etanol 70%. Dua puluh lima ekor Guinea pig dipapar sinar ultraviolet B 2 menit/hari selama 2 minggu, kemudian dibagi ke dalam 5 kelompok. Kelompok negatif diberi dimethyl sulfoxide (DMSO); kelompok positif diberi krim farma yang mengandung hydroquinone 4%, tretinoin 0,05%, and fluocinolone acetonide 0,01%; serta kelompok perlakuan diberi EEDP 200, 400, and 600 ppm. Seluruh perlakuan diberikan sekali sehari selama 2 minggu kemudian dilakukan biopsi jaringan. Uji histopatologi dilakukan menggunakan pewarnaan fontana-masion dan nuclear fast red. Perbedaan jumlah melanin pada seluruh kelompok dianalisa menggunakan uji Kruskal Wallis, diikuti dengan Mann-Whitney dengan taraf kepercayaan 95%. Data menunjukkan bahwa EEDP terbukti mempunyai efek antihiperpigmentasi dan seluruh kelompok EEDP mempunyai efek yang lebih baik dibanding dengan sediaan krim farma.Kata Kunci : Antihiperpigmentasi, Daun Pare, Guinea pig, Melanin

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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