Hasil untuk "kesehatan"

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DOAJ Open Access 2025
Analisis Instrumen School Burnout Inventory (SBI) Versi Bahasa Indonesia dengan Rasch Model

Fermanda Fransesca Stevani Katuuk, Ananta Yudiarso

Penelitian ini dilakukan dengan tujuan untuk menguji reliabilitas dan validitas dari instrumen School Burnout Inventory pada mahasiswa yang dikembangkan oleh Salmela-Aro dan Näätänen (2005) dengan menggunakan metode Rasch Model. Instrumen ini memiliki 3 aspek, yaitu (1) Emotional Exhaution, (2) Cynism, dan (3) Personal Inadequacy yang memiliki 9 total item. Responden yang digunakan pada penelitian ini adalah 115 orang mahasiswa yang diambil dengnan menggunakan metode snowball sampling. Hasil yang diperoleh dari analisis data, dapat disimpulkan bahwa instrumen SBI memiliki item yang reliabel, karena skor yang diperoleh ≥0.7, dan valid karena 9 item tersebut telah memenuhi 2-3 kriteria yang telah ditentukan, walupun terdapat 3 item yang masih memerlukan perbaikan sebelum digunakan. Oleh karena itu, dapat dinyatakan bahwa instrumen ini dapat digunakan untuk meneliti tingkat burnout pada mahasiswa.

Education (General), Psychology
DOAJ Open Access 2023
Maternal Parity, History of Obesity and History of Maternal GDM Risk a Macrosomia Baby

Listyaning Eko Martanti, Dhita Aulia Octaviani, Rizky Amelia et al.

Gestational diabetes mellitus (GDM) is a carbide tolerance disorder that occurs or is first recognized during pregnancy (usually at 24 weeks gestation). For some patients, this complication returns to normal after delivery. The incidence of macrosomic infants or infants weighing >4000 grams is approximately 5% of all births. Maternal GDM is a significant risk factor in the development of fetal macrosomia. This study aimed to determine the risk factors for macrosomia in newborns. The design of this research is cross-sectional design. The population of this study was macrosomic babies born at Dr. Kariadi Semarang from 2015 until 2021. The formula for estimating the sample size using a hypothesis on the mean of two independent populations obtained a total sample of 60 respondents. The sampling technique is convenience sampling. The type of data used is secondary data. This study was analyzed using the Chi-Square test. The results indicated a relationship between parity and a history of obesity and macrosomia incidence in infants with a p-value < 0.05. In contrast, there was no relationship between maternal age, gestational age, and a history of diabetes in the mother and the incidence of macrosomia in infants with a p-value > 0.05. Therefore, it is essential to educate the mother about the risk factors that can cause complications for both the mother and the fetus, including macrosomia.

Nursing, Medicine (General)
DOAJ Open Access 2023
Implementasi Algoritma Naïve Bayes untuk Analisis Sentimen Masyarakat pada Twitter mengenai Kepopuleran Produk Skincare di Indonesia

Ambar Fisty Setyaningsih, Dian Septiyani, Sisilia Rahma Widiasari

Perawatan kulit, tubuh, ataupun wajah merupakan sesuatu hal yang harus diperhatikan baik pria ataupun wanita. Perawatan dilakukan bukan untuk gaya tetapi juga untuk menjaga Kesehatan. Sekarang ini perawatan bisa didapatkan dengan harga terjangkau tidak harus dengan harga mahal. Banyak produk perawatan yang dapat digunakan sehari-hari dari berbagai brand. Akhir-akhir ini banyak produk yang bermunculan mulai dari produk lama sampai produk baru. Perusahaan terus berinovasi untuk membuat berbagai produk perawatan yang memiliki kulaitas tinggi namun tetap terjangkau harganya. Skincare di Indonesia terus menyediakan berbagai produk yang terus dikembangkan mulai dari body lotion, body scrub, serum wajah, krim wajah, facial wash. Kepopuleran produk selalu menjadi pusat perhatian masyarakat dan menjadi trending topik pada media sosial, salah satunya Twitter. Oleh karena itu pada penelitian ini dilakukan analisis sentimen masyarakat terhadap kepopuleran produk skincare di Indonesia dengan mengimplementasikan algoritma Naïve Bayes, dan pengolahan data dilakukan menggunakan software Orange.

Information technology
DOAJ Open Access 2022
DETERMINANT FACTORS ON PERSONAL HYGIENE IN THE PREVENTION OF COVID19 IN THE COMMUNITY OF BENGKALIS REGENCY, RIAU, IN 2021

Ratih Zahratul Jannah, Ela Laelasari

Introduction: The prevalence of personal hygiene behavior in the Riau community in 2018 remains below 39.9%. Therefore, this study aims to identify the determinants of personal hygiene in preventing Covid19 among the residents of Bengkalis Regency, Riau. Methods: Data was collected online in March 2021 from 214 respondents regarding their age, gender, educational history, personal hygiene, infrastructure, accessibility, information exposure, family support, social support, and level of knowledge. The descriptive quantitative study was used with a cross-sectional design and the Chi-square test. Results and Discussion: The results showed that from 214 respondents, those with good and poor personal hygiene are 139 (65%) and 75 (35%) individuals, respectively. The factors that have a statistical relationship with personal hygiene (p<0.05) are age, gender, infrastructure, accessibility, information exposure, family support, and social support, with p-values of 0.000, 0.005, 0.000, 0.000, 0.000, 0.000, and 0.000, respectively. Meanwhile, variables of knowledge and educational history with p values of 0.664 and 0.810, respectively, were not statistically related. Conclusion: Efforts to promote personal hygiene for the prevention of the pandemic include health worker education on Covid19 information, especially the risk factors and how to correctly use masks.

Environmental technology. Sanitary engineering, Environmental pollution
DOAJ Open Access 2022
Validation of risk perception questionnaire for covid-19: Indonesian version for critical care nurses

Diki Ardiansyah, Diah Tika Anggraeni

<p><strong><em>Background : </em></strong><em>The high need for intensive care in COVID-19 patients often has an impact on large workloads, long-term fatigue, and exposure to infections. Perception plays an important role in the desire to change behavior, including the impact. However, to date, there is no valid and reliable assessment instrument to measure risk perceptions of Covid-19.</em><strong><em> </em></strong><em></em></p><p><strong><em>Objectives: </em></strong><em>This study aims to examine the validity and reliability of the nurse's risk perception questionnaire in the care of Covid-19 patients in the Intensive Care unit according to the situation in Indonesia.</em></p><p><strong><em>Methods:</em></strong> <em>This study was conducted on nurses who treat COVID-19 patients in the ICU. The research design was carried out in a cross-sectional manner. The sampling technique used was total sampling, with a total of 35 respondents. The researcher conducted an analysis through five stages, namely translation and cross-cultural adaptation of the instrument in order to obtain the Indonesian version of the Risk Perception questionnaire. After that, a retrial was carried out on 15 nurses who worked in the COVID-19 room. The statistical test was used to test the validity and reliability using Cronbach's alpha and reliability analysis.</em><em></em></p><p><strong><em>Results:</em></strong><em> The results of the validity test with Cronbach's alpha of 0.379 - 0.766 with a reliability test using analytical reliability of 0.943. The value of the r table is 0.3338. There are 5 items from the risk perception questionnaire that are not valid after the construct validity test. The researcher then issued 5 invalid items. So that there are 42 out of 47 questionnaire items that are relevant to the condition of nurses caring for COVID-19 patients in the ICU in Indonesia.</em><strong><em></em></strong></p><p><strong><em>Conclusions:</em></strong><strong><em> </em></strong><em>This risk perception questionnaire is valid and reliable, so the risk perception questionnaire can be used in Indonesia to evaluate nurses' risk perceptions in treating COVID-19 patients in the ICU. Researchers recommend health care providers evaluate nurses' risk perceptions using this questionnaire.</em><em>   </em></p>

Gynecology and obstetrics
CrossRef Open Access 2021
PEMANFAATAN BPJS KESEHATAN PADA PELAYANAN KESEHATAN

Wahyu Ramadhan Nur Zainal

Pelayanan kesehatan merupakan salah satu hak dasar masyarakat yang penyelenggaraannya wajib diberikan oleh pemerintah sebagaimana diamanatkan dalam Undang-Undang Dasar Negara Republik Indonesia Tahun 1945 Pasal 28 ayat 1: Setiap orang berhak hidup sejahtera lahir dan batin, berhak mendapat hak hidup sehat jasmani dan rohani. tempat tinggal, serta memiliki lingkungan hidup yang baik dan sehat. dan berhak atas pelayanan kesehatan. Pada tanggal 1 Januari 2014, pemerintah Indonesia telah mencanangkan Program Jaminan Kesehatan Nasional yang bertujuan untuk memenuhi jaminan kesehatan universal.

DOAJ Open Access 2021
The The Effect Of Listening To Quran Recitation On Social-Emotional Development In Pre-School Children During Covid-19 Pandemic

firdaus firdaus, Rahmadaniar Aditya Putri, Andini Hardiningrum

Pandemics, which are elements of non-natural disasters, often have a prolonged impact on children, such as traumatic power. The biggest challenge for children with a pandemic is the growing risk that affects the development of cognitive, behavioral and emotional abilities. The purpose of this study was to analyze the effect of murottal Al-Qur'an therapy on social development in preschool children during the pandemic at TPQ Baitul Karim. The research design used Quasy-Experiment with pretest-posttest approach with control group design. The study population was all mothers and preschool children at TPQ Baitul Karim of 54 respondents. A sample size of 48 respondents was taken using the Cluster Sampling technique. The independent variable is Murottal Al-Quran therapy and the dependent variable is social emotional development. The instrument uses a questionnaire sheet. Data were analyzed by Mc.Nemar test and Chi-Square test with a significance ɑ = 0.05. The results showed that before being given murottal Al-Qur'an therapy, most of the treatment groups (66.6%) and control (58.3%) had unattainable social emotional development. The results after being given murottal Al-Qur'an therapy, most of the treatment groups (91.6%) and control (70.8%) had achieved social-emotional development. The results of the Mc.Nemar test analysis found ρ = 0,000, meaning ρ <ɑ then H0 was rejected, which means that there was an effect of Murottal Al-Qur'an therapy on social development. Chi Square test analysis showed that the value of ρ = 0.088, ρ> ɑ, then H0 is accepted, which means there is no difference in social emotional development between the treatment and control groups. Murottal Al-Quran therapy is effective for improving social emotional development. It is hoped that therapy can be applied to preschool children whose social emotional development is not achieved.  

Nursing, Medicine (General)
DOAJ Open Access 2021
Effect of ginger to overcome nausea and vomiting in pregnant women: a narrative review

Ferila Adiesti, Sulasmi -, Shelly Rodliah Rosyad et al.

Background: Nausea, and vomiting (emesis gravidarum) are symptoms that often occur in 60-80% primigravida and 40-60% multigravida. Nausea and vomiting are symptoms experienced by women during early pregnancy, where this condition usually begins 4-8 weeks of pregnancy and can be more severe by the 9th week. The condition of nausea and vomiting will improve at 14 weeks of gestation and above. The discovery of the effectiveness of ginger in reducing nausea and vomiting in pregnancy is a potential health technology assessment that can be recommended in midwifery practice. However, a comprehensive analysis is needed regarding the use of ginger in reducing complaints of nausea and vomiting in pregnancy. Therefore, this analysis was conducted to determine how the effect and safetyness of ginger in reducing nausea and vomiting in pregnancy. Method: The method used was a narrative review method. The articles were searched using 3 databases (PubMed, siencedirect, and Wiley online library). The inclusion criteria of the article were articles published in 2011-2021, in English and discussing the effect of ginger to reduce nausea and vomiting in pregnant women. The article search flow was described using PRISMA Flowchart. Meanwhile, article quality assessment was carried out using MMAT and CASP. Furthermore, data preparation and reporting of results were carried out. Result: Out of the 10 articles that had been extracted,9 article involved pregnant women as participants. while 1 article only discusses the effectiveness of ginger in reducing nausea vomiting,6 articles had been used using randomized controlled trials and 4 articles were systematic reviews. Based on the quality of the articles, 9 articles obtained grade A and 1 article obtained grade B. furthermore, three themes were obtained, namely effectiveness, safety, other therapies, and 5 related sub-themes of effective, ineffective, safety, pharmacological therapy, and non-pharmacological therapy. Conclusion: The findings of this narrative review found that ginger is effective and safe in reducing nausea and vomiting in pregnancy. Â

Medical technology, Gynecology and obstetrics
DOAJ Open Access 2021
Strategi Kebijakan Kenaikan Tarif Cukai Hasil Tembakau Dalam Rangka Menekan Konsumsi Rokok Indonesia

Binti Azizatun Nafi'ah

Abstract Tobacco is an agricultural commodity in the plantation sector which has a high selling value. It is known that the largest customs and excise tax contributor taken by the Directorate General of Customs and Excise (DJBC) comes from Tobacco Products Excise (CHT). Behind the large number of revenue from this excise, the government states that smoking deaths take into account the dimensions of public health. Every year the government issues a policy of excise tariffs on tobacco products and exits the retail sale price (HJE), but this policy does not have a significant impact on the public. This study aims to see and describe the government's strategy in maximizing the policy of increasing the tobacco excise tariff (CHT) in the context of smoking prohibition in Indonesia. The research method used is library research (library research) using a contect analysis approach or content study. The results show that the government's strategy in maximizing the tobacco product excise tariff increase policy in order to sacrifice Indonesian cigarettes is still not optimal. increase in tariffs for the purpose of reducing Indonesia's cigarette consumption Abstrak Tembakau merupakan komoditi tani dalam sektor perkebunan yang memiliki nilai jual cukup tinggi. Diketahui penyumbang Pajak Bea dan Cukai terbesar yang di teken oleh Direktorat Jenderal Bea dan Cukai (DJBC) berasal dari Cukai Hasil Tembakau (CHT). Dibalik besarnya angka penerimaan dari cukai ini, pemerintah berusaha menekan angka konsumsi rokok utamanya dengan mempertimbangkan dimensi kesehatan masyarakat. Pada setiap tahunnya pemerintah mengeluarkan kebijakan kenaikan tarif cukai hasil tembakau dan penyesuaian Harga Jual Eceran (HJE),  namun  kebijakan  ini  tidak  memberikan  dampak  yang  cukup  signifikan  dikalangan masyarakat. Penelitian ini bertujuan untuk mengetahui dan mendeskripsikan strategi pemerintah dalam memaksimalkan kebijakan kenaikan tarif Cukai Hasil Tembakau (CHT) dalam rangka menekan konsumsi rokok di Indonesia. Metode penelitian yang digunakan adalah penelitian kepustakaan (library research) dengan menggunakan pendekatan contect analysis atau kajian isi. Hasil  penelitian  menunjukkan  bahwa  strategi  pemerintah  dalam  memaksimalkan  kebijakan kenaikan tarif Cukai Hasil Tembakau (CHT) dalam rangka menekan konsumsi rokok Indonesia masih belum optimal, hal ini dapat dilihat dari faktor pendukung dan faktor penghambat pemerintah dalam memaksimalkan kebijakan kenaikan tarif Cukai Hasil Tembakau (CHT) dalam rangka menekan konsumsi rokok Indonesia.

Political institutions and public administration (General)
CrossRef Open Access 2020
PENGARUH PENDIDIKAN KESEHATAN MELALUI PEER GROUP TERHADAP PENGETAHUAN DAN SIKAP REMAJA PUTRI TENTANG SADARI

Fauziah Fauziah, Sri Lestari

Masa remaja akan diwarnai dengan perubahan fisik salah satunya adalah payudara   membesar.  Payudara   ini   memiliki   kemungkinan   akan   timbulnya penyakit salah satunya adalah kanker payudara. Namun kurangnya minat remaja dalam  mencari  informasi  mengenai  deteksi  dini  kanker payudara,  menjadikan remaja tidak paham akan penyakit kanker payudara. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan melalui peer group terhadap pengetahuan dan sikap remaja putri tentang SADARI. Jenis penelitian ini menggunakan desain quasi experiment dengan pendekatan pre and post test without control group. Dengan jumlah populasi 1028 remaja putri, sehingga jumlah sampel didapatkan sebanyak 91 responden. Teknik pengambilan sampel yang digunakan dalam penelitian ini menggunakan simple random sampling. Data diperoleh dengan cara wawancara, alat pengumpulan data menggunakan kuesioner dan dianalisis secara statistik menggunakan uji Wilcoxon Signed Rank Test. Hasil pengujian hipotesis menggunakan uji Wilcoxon signed ranktest diperoleh   nilai   probabilitas  (p-value)  sebesar 0,000  (p<   0,05)   sehingga kesimpulan uji adalah terdapat pengaruh pendidikan kesehatan melalui peer group terhadap pengetahuan dan sikap remaja putri tentang SADARI.Kata kunci : Pengetahuan, Sikap, Peer Group, Remaja   ABSTRACT Adolescence will be colored by physical changes, one of which is enlarged breasts. This breast has the possibility of disease, one of which is breast cancer. But the lack of interest in adolescents in seeking information about early detection of breast cancer, makes teenagers do not understand breast cancer.The purpose of this study was to determine the effect of health education through peer groups on the knowledge and attitudes of young women about their awareness. This type of research uses a quasi experiment design with a pre and post test without control group approach. With a population of 1028 young women, so the number of samples was 91 respondents. The sampling technique used in this study used simple random sampling. Data obtained by interview, data collection tools using questionnaires and statistically analyzed using the Wilcoxon Signed Rank Test. The results of hypothesis testing using the Wilcoxon signed ranktest test obtained a probability value (p-value) of 0,000 (p <0.05) so that the conclusion of the test was that there was an effect of health education through peer groups on the knowledge and attitudes of young women.Keywords : Knowledge, Attitude,Peer Group, Adoloscence

1 sitasi en
DOAJ Open Access 2019
PENGARUH TERAPI BINAURAL BEATS TERHADAP PEMENUHAN KEBUTUHAN TIDUR LANSIA DI PANTI LANJUT USIA POTROYUDAN JEPARA

Galia Wardha Alvita, Sholihul Huda

The aging process in the elderly leads to physical decline, one of which is disruption to the fulfillment of sleep needs, resulting in the elderly getting tired easily and decreasing the ability of daily activities. Efforts to overcome the problem of sleep disorders are with binaural beats therapy. This study aims to determine the effect of Binaural Beats therapy on fulfilling elderly sleep needs. The research design used by researchers was the Quasy Experiment with a pre-post test with control group design. This study used a sample of 36 respondents divided into: 16 intervention groups and 16 control groups. The sampling technique used is purposive sampling. Based on the analysis of tests using the Wilcoxon Signed Rank Test in the intervention group showed a p-value of 0,000, while the control group p-value of 0.317 (p-value <0.05) and the Mann Whitney U Test showed the results of p-value of 0.005 (p -value <0.05), so there is the effect of binaural Beats wave therapy on fulfilling elderly sleep needs. This study provides general information relating to the management of improving the fulfillment of elderly sleep needs by using Beats binauran Wave therapy. In addition, the findings from this study are expected to provide advice for local health care providers so that they can carry out binaural beats wave therapy as a self-care management program in improving elderly health. ABSTRAK Proses menua pada lansia menimbulkan penurunan fisik salah satunya berupa gangguan pemenuhan kebutuhan tidur yang mengakibatkan lansia mudah lelah dan penurunan kemampuan aktivitas sehari-hari. Upaya untuk mengatasi masalah gangguan tidur adalah dengan terapi binaural beats.. Penelitian ini bertujuan untuk mengetahui pengaruh terapi Binaural Beats terhadap pemenuhan kebutuhan tidur lansia. Desain penelitian yang digunakan peneliti adalah Quasy Eksperimen dengan rancangan pre-post test with control group. Penelitian ini menggunakan sampel sebanyak 36 responden dibagi menjadi: 16 kelompok intervensi dan 16 kelompok kontrol. Teknik sampling yang digunakan aadalah  Purposive sampling. Berdasarkan uji analysis menggunakan Wilcoxon Signed Rank Test pada kelompok intervensi menunjukkan nilai hasil p-value 0,000, sedangkan kelompok control p-value 0,317 (p-value <0,05) dan uji Mann Whitney U Test menunjukkan hasil nilai p-value 0,005 (p-value <0,05),  sehingga ada pengaruh terapi gelombang binaural Beats terhadap pemenuhan kebutuhan tidur lansia. Penelitian ini memberikan informasi umum yang berkaitan dengan penatalaksanaan peningkatan pemenuhan kebutuhan tidur lansia dengan menggunakan terapi Gelombang binauran Beats. Selain itu, temuan dari penelitian ini diharapkan bisa memberikan saran bagi penyedia layanan kesehatan setempat supaya dapat melaksanakan terapi gelombang binaural beats sebagai program manajemen perawatan diri dalam meningkatkan kesehatan lansia, mengurangi kadar glukosa dalam darah, serta menghambat aliran saluran kalium

Medicine (General)
DOAJ Open Access 2019
ANALISIS MANAJEMEN RISIKO KESELAMATAN DAN KESEHATAN KERJA (K3) PADA PROYEK PEMBANGUNAN GEDUNG DI SEMARANG

Sofiatul Muflihah, Hari Setijo Pudjihardjo

Aktivitas pembangunan proyek konstruksi bangunan gedung pada umumnya merupakan kegiatan yang sangat komplek dan sangat berbahaya. Kondisi seperti ini menunjukan karakter yang keras dan sulit dilaksanakan, sehingga dibutuhkan tenaga yang sangat kuat dari pekerja. Karena pekekerjaan didalam proyek yang sangat komplek, tidak dapat dipungkiri bahwa dalam proses pelaksanaan kegiatan konstruksi menunjukan angka kecelakaan yang terjadi cukup tinggi. Dalam penelitian ini akan dibahas mengenai faktor - faktor yang mempengaruhi keselamatan dan kesehatan kerja ( K3 ), tindakan penerapan keselamatan dan kesehatan kerja ( K3 ) dan risiko keselamatan dan kesehatan kerja ( K3 ) dengan tujuan untuk mengetahui jenis – jenis risiko, faktor – faktor yang mempengaruhi dan pengelolaan manajemen risiko keselamatan dan kesehatan kerja pada proyek pembangunan gedung di semarang. Analisis data yang dilakukan dengan membuat kuisioner dan penyebaran kuisioner kepada 45 responden. Responden itu sendiri terdiri dari direktur, konsultan dan kontraktor. Penelitian ini simpulkan bahwa penerapan manajemen risiko keselamatan dan kesehatan kerja sangatlah berpengaruh dalam pembangunan gedung. Kata kunci : keselamatan dan kesehatan kerja; manajemen risiko; proyek pembangunan gedung.

Technology, Engineering (General). Civil engineering (General)
DOAJ Open Access 2019
PENINGKATAN HASIL BELAJAR LARI CEPAT MELALUI PENDEKATAN BERMAIN PADA SISWA KELAS VII A SMP NEGERI 1 KOTA BANJARBARU

Endang Pratiwi, Amalia Barikah, Helen Purnama Sari

Penelitian ini bertujuan untuk mengetahui apakah pendekatan bermain dengan menggunakan alat  yang sederhana dapat meningkatkan hasil belajar lari cepat. Manfaat penelitian ini adalah untuk memberikan gambaran para pendidik tentang penggunaan pendekatan yang sesuai dalam kegiatan proses belajar mengajar, sehingga dapat meningkatkan kualitas hasil pembelajaran. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian tindakan dan dilaksanakan dua siklus, setiap siklus dimulai dengan perencanaan, tindakan, observasi, dan refleksi. Subjek penelitian ini adalah kelas VII A SMP Negeri 1 Kota Banjarbaru yang berjumlah 34 orang. Data dikumpulkan dari hasil observasi dan hasil tes belajar. Hasil penelitian ini menunjukkan bahwa terjadi peningkatan hasil belajar siswa, terbukti pada siklus satu yang tuntas belajar mencapai 22 siswa atau 64,71% dengan nilai rata-rata 75,26. Pada siklus dua mencapai 29 siswa atau 85,29 % dengan nilai rata-rata 77,04. Selain itu, dengan metode bermain dapat meningkatkan keaktifan siswa pada pembelajaran lari cepat.  Disimpulkan bahwa pendekatan bermain dengan menggunakan alat yang sederhana efektif untuk meningkatkan hasil belajar siswa dalam pembelajaran lari cepat pada siswa kelas VII A SMP Negeri 1 Kota Banjarbaru Kepada rekan-rekan seprofesi untuk dapat menerapkan hasil penelitian ini secara berkesinambungan dan kepada guru Pendidikan Jasmani dan Kesehatan agar dapat menerapkan pendekatan permainan ini sebagai alternative dalam proses pembelajaran sebagai upaya meningkatkan hasil belajar siswa di sekolah.

Sports, Education (General)
DOAJ Open Access 2018
HUBUNGAN PENGETAHUAN DAN DUKUNGAN KELUARGA TENTANG ASI EKSKLUSIF DENGAN PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS SEKARAN KOTA SEMARANG

Dewi Elliana

Data Riset Kesehatan Dasar (Riskesdas) 2013 menunjukan pemberian ASI di Indonesia saat ini masih memprihatinkan. Prosentase bayi yang menyusu eksklusif sampai dengan 6 bulan hanya 30,2%. Di Jawa Tengah cakupan pemberian ASI eksklusif tahun 2012 hanya 25,6%, menurun dibandingkan tahun 2011 yaitu 45,18%. Tujuan untuk mengetahui hubungan pengetahuan dan dukungan keluarga tentang ASI eksklusif dengan pemberian ASI eksklusif di wilayah kerja Puskesmas Sekaran Kecamatan Gunungpati Kota Semarang. Penelitian ini termasuk penelitian bidang kebidanan dalam melaksanakan pelayanan kebidanan pada komunitas dengan pendekatan retrospektif. Populasi dalam penelitian ini adalah ibu yang mempunyai bayi usia 7-11 bulan yang berjumlah 47 responden dan sampel yang diambil berjumalah 47 responden dengan teknik sampling jenuh. Tingkat pengetahuan ibu tentang ASI eksklusif termasuk kategori cukup (51.1%). Dukungan keluarga dalam pemberian ASI eksklusif yang mendukung (29.8%). Pemberian ASI eksklusif sebanyak (8.5%). Hasil analisis bivariat pengetahuan tentang ASI eksklusif sebesar 6,221 sehingga p value sebesar 0.016 (p = 0.016< 0.05) maka ada hubungan yang bermakna antara pengetahuan dengan pemberian ASI eksklusif diwilayah kerja Puskesmas Sekaran Kecamatan Gunungpati Kota Semarang. Sedangkan dukungan keluarga dengan p value sebesar 0.073 (p = 0.073> 0.05) maka tidak ada hubungan yang bermakna antara dukungan keluarga dengan pemberian ASI eksklusif diwilayah kerja Puskesmas Sekaran Kecamatan Gunungpati Kota Semarang. Ada hubungan antara pengetahuan tentang ASI eksklusif dengan Pemberian ASI eksklusif di wilayah kerja Puskesmas Sekaran Kecamatan Gunungpati Kota Semarang, Tidak Ada hubungan antara dukungan keluarga ibu tentang ASI eksklusif dengan Pemberian ASI eksklusif di wilayah kerja Puskesmas Sekaran Kecamatan Gunungpati Kota Semarang.

Medicine, Gynecology and obstetrics
DOAJ Open Access 2017
Gambaran pasien hemoroid di instalasi rawat inap departemen bedah rumah sakit umum pusat dr. Mohammad Hoesin Palembang

Safyudin Safyudin, Lia Damayanti

Hemoroid adalah pelebaran vena-vena pleksus hemoroidalis. Hemoroid dapat diklasifikasikan berdasarkan jenis dan stadium kerasnya hemoroid. Hingga kini, belum ada penelitian tentang gambaran pasien hemoroid di RSMH Palembang. Penelitian ini bertujuan untuk mengetahui gambaran pasien hemoroid di RSMH Palembang. Penelitian ini merupakan penelitian deskriptif observasional terhadap 39 pasien hemoroid di Instalasi Rawat Inap Departemen Bedah RS. Dr. Mohammad Hoesin Palembang periode Januari sampai Desember 2012. Penelitian ini menggunakan data sekunder dari rekam medik di RSMH Palembang.Pasien mengalami hemoroid rata-rata pada usia 45-64  tahun. Proporsi pasien hemoroid perempuan lebih besar daripada laki-laki yakni sebesar 61,5% berbanding 38,5%.Hemoroid interna lebih sering sebesar 82,10%. Jenis tatalaksana operasi yang sering digunakan adalah hemoroidektomi stapler (61,5%) dengan rata-rata lama penyembuhan ? 3 hari.Perempuan lebih sering mengalami hemoroid, hemoroid interna yang paling sering ditemukan, tata laksana operasi hemoroidektomi stapler yang paling sering dilakukan dan  lama pemulihan pascaoperasi memakan waktu ? 3 hari.

DOAJ Open Access 2017
PERBEDAAN HASIL PEMERIKSAAN KADAR GLUKOSA DARAH 2 JAM POST PRANDIAL DENGAN MENGGUNAKAN GLUKOMETER DAN ANALYZER PADA PENDERITA DIABETES MELITUS

Endriana Soejat

PERBEDAAN HASIL PEMERIKSAAN KADAR GLUKOSA DARAH 2 JAM POST PRANDIAL DENGAN MENGGUNAKAN GLUKOMETER DAN ANALYZER PADA PENDERITA DIABETES MELITUS   Dr. Endriana. Sp. PK. Prodi D3 Analis Kesehatan UM Surabaya   ABSTRACT   Examination of blood glucose levels 2 hours post prandial is required to diagnose diabetes mellitus. Currently many clinical laboratories, hospitals and clinics are still modest usually use tool for the examination of blood glucose levels is by glucometer that emit relatively fast results. In contrast to the large hospital and clinical laboratories that have been developed have used the analyzer tool as an advanced tool that can check more parameters clinical examination which will get accurate results. To the authors want to prove whether there are differences in the results of blood glucose levels 2 hours post prandial using glucometer and analyzer. This research is experimental. The population in this study were patients with diabetes mellitus in hospital Throughout Siti Khadijah. The samples used were serum and whole blood from the blood vena. Variabel free is the way 2-hour blood glucose tests using a glucometer and analyzer post prandial and the dependent variable is the blood glucose levels 2 hours post prandial. While the operational definition, examination of blood glucose 2 hours post prandial by using 2 kinds of tools, namely glucometer and analyzer. Methods of data collection of 20 samples taken from patients with DM in Hospital Khodijah Throughout Siti. To know the results used paired t test. The results showed that there were significant differences between the glucometer and glucose analyzer examination 2 hours post prandial based on the results of paired t test with sig value greater than 0.05 and the average levels of the glucometer 207.65 mg / dl and analyzer 193.85 mg / dl. Keyword: glucose, glucometer, analyzer

Medicine, Medicine (General)
DOAJ Open Access 2017
Profile of Immunization Practice by General Practitioners and Pediatricians in Private Setting

Soedjatmiko Soedjatmiko, Hartono Gunardi, Hindra Irawan Satari et al.

Basic immunization coverage in Indonesia in 2013 was still low (59.2%) (IBHS, 2013). Physicians’ attitude and practice were among the determinant factors of a successful immunization program. This survey aimed to describe general practitioner’s (GP) and pediatrician’s attitude towards immunization and its coverage  in private practices. This cross-sectional study was performed by distributing questionnaires consisting of 5 items on opinion and 10 items on immunization practices to 100 respondents in November 2014. Completed questionnaires were obtained from 29 GPs and 65 pediatricians. Most respondents considered that the Expanded Program in Immunization vaccine should be given. First dose of hepatitis B vaccine was mostly given in the first 12 hours after birth (90% GPs and 74% pediatricians). Oral polio vaccine was mostly given shortly before hospital discharge (65% of GPs and 81% pediatricians) while the DTwP-HB-Hib vaccine were given by 27% of GPs and 21% of pediatricians to >75% patients. Pneumococcal, rotavirus, hepatitis A, typhoid, and influenza vaccines were provided by less than 25% GPs and pediatricians, except for the influenza vaccine which was provided by 31% pediatricians. MMR vaccine was given to >75% patients by 16% of GPs and 29% of pediatricians. This pilot survey of immunization practice in private setting might be the first study in Indonesia that this can be considered as a preliminary report of immunization in private setting. Further studies need to be done, especially regarding problems in immunization in private practices.  Key words: Attitude, general practitioners, immunization practice, private setting, pediatricians Gambaran Praktek Imunisasi Dokter Umum dan Dokter Spesialis Anak di Praktek Swasta Riset Kesehatan Dasar 2013 melaporkan bahwa cakupan imunisasi Indonesia masih rendah (59,2%). Sikap dan praktik imunisasi dokter merupakan salah satu faktor penentu keberhasilan. Tujuan penelitian ini mengetahui sikap dokter dan cakupan imunisasi di praktik swasta. Penelitian potong lintang dilakukan dengan menyebarkan kuesioner tentang sikap dan praktik imunisasi kepada responden, yaitu 29 dokter umum (DU) dan 65 dokter spesialis anak (DA) pada bulan November 2014. Mayoritas responden berpendapat bahwa vaksin program pengembangan imunisasi harus diberikan. Vaksin hepatitis B dosis I mayoritas diberikan dalam 12 jam setelah lahir (90% oleh DU dan 74% oleh DA). Vaksin polio oral mayoritas diberikan sebelum pulang perawatan (65% oleh DU dan 81% oleh DA), Vaksin DTwP-HB-Hib diberikan oleh 27% DU dan 21% DA kepada ≥75% pasien. Penggunaan vaksin pneumokokus, rotavirus, hepatitis A, tifoid dan influenza pada >75% pasien adalah kurang dari 25%, kecuali vaksin influenza, yaitu 31% digunakan oleh DA. Pemberian vaksin MMR pada >75% pasien dilakukan oleh 16% DU dan 29% DA.  Penelitian imunisasi pada praktik swasta ini mungkin  merupakan laporan yang pertama dipublikasi di Indonesia. Penelitian lebih lanjut diperlukan untuk mengetahui hambatan imunisasi di praktik swasta. Kata kunci: Cakupan imunisasi, dokter,  imunisasi, praktik, spesialis

DOAJ Open Access 2016
OPTIMALISASI CITRA MSCT TRAKTUS URINARIUS MENGGUNAKAN TRACKING DENGAN VARIASI SLICE THICKNESS DAN WINDOW SETTING

Nanang Sulaksono, Suryono Suryono, Jeffri Ardiyanto

Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. The research was aimed to prove that the use of Tracking with variation in Slice Thickness and window setting was able to produce an optimal image after contrast value analysis was conducted. The method was the experimental research using research planning Pretest-Posttest Control Design. The sampling was chosen consecutively. There were 3 Radiolog and 21 patients on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital. The research was conducted from May to July 2015. Research Results, the intervention validity experiment before and after using Tracking with Paired T-Test statistic experiment showed p value 0,000. There were some significant differences. Through Mann Whitney experiment, it was found that there was different result of p value 0,000 (p&lt;0,05). There were significant differences in each group. It can be Concluded that The significant difference before  and after using Tracking shows that Tracking can be used as an alternative for MSCT uroraphy examination.

Nursing, Nutritional diseases. Deficiency diseases
DOAJ Open Access 2016
Retrospective Study: Diagnosis and Management of Vulvovaginalis Candidiasis

Ditta Harnindya, Indropo Agusni

Background: Vulvovaginalis candidiasis (VVC) is an infection of the vaginal mucosa and or vulva caused by Candida species. As many as 70-75% of women are infected by CVV at least once during their lifetime, which most often occurs in women of childbearing age. Purpose: To evaluate the general overview of new VVC patients at the Sexual Transmitted Infection Division Dermato-Venereology Outpatient Clinic Dr. Soetomo General Hospital Surabaya from the period of 2010-2012. Methods: This is a retrospective study, and evaluating medical records of new CVV patients including basic information, history taking, physical and laboratory examination, management, follow up, and counseling. Result: There were 325 new CVV patients (11.5%) from the total 2.813 patients from the total of new patients at the STI Division Dermato-Venereology Outpatient Dr. Soetomo General Hospital Surabaya, range of age was mostly 25-44 years old  (53.2%) and 257 (79.1%) patients were married. The most main complaint was vaginal discharge accompanied with itchy sensation in 213 (65.5%) patients.  The most vaginal discharge appearance was white like cottage cheese in 245 (75.3%) patients. From the wet mount 220 (67.7%) patients showed either blastospore or pseudohyphae, while from the gram stain 220 (67.7%) patients showed 217 (66.8%) patients showed either blastospore or pseudohyphae. Therapy with ketoconasol is in 239 (73.2%) patients. Conclusion: Appropriate diagnosis, adequate therapy, also risk factors exploration and counseling are very important in the management of VVC. Key words:  Vulvovaginalis candidiasis, fluor albus, itch, pseudohyphae, ketoconazole.

DOAJ Open Access 2016
Diagnosis Sepsis Neonatal

Zulfikri Zulfikri

Sepsis adalah respon sistemik terhadap infeksi yang disebabkan oleh bakteri, virus, jamur, protozoa atau ricketsia. Insiden sepsis pada neonatus rendah yaitu 1-8 perseribu kelahiran hidup, namun angka kematian lebih dari 20-50 % kasus. Tidak ada satupun pemeriksaan tunggal laboratorium yang dapat dipakai untuk diagnosis sepsis neonatal. Skor hematologi Rodwell dan atau pemeriksaan imunologi sIL2R dapat dipakai sebagai alat diagnostik sepsis neonatal.

Medicine, Pediatrics

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