bluuebunny/crossref_metadata_2025 huggingface dataset:
Kepatuhan Penulisan Resep Rawat Jalan Pasien BPJS Subspesialis Terhadap Formularium Nasional (FORNAS) di Rumah Sakit X Depok Periode Januari-Maret 2022
Authors: Risnawati Desi , Milda Rianty Lakoan
Published: September 2024

Tingkat kepatuhan dokter dalam menuliskan resep berdasarkan formularium adalah salah satu indikator mutu pelayanan kefarmasian di rumah sakit. Metode penelitian ini metode kuantitatif, jenis penelitian yang digunakan deskriptif analitik non eksperimental dengan teknik simpel random sampling dan data diambil secara retrospektif, bertujuan untuk mengetahui persentase kepatuhan penulisan resep rawat jalan dokter subspesialis pasien poli BPJS terhadap Formularium Nasional di Rumah Sakit X Depok periode Januari-Maret 2022. Angka kepatuhan dokter subspesialis dalam meresepkan obat sesuai FORNAS periode Januari-Maret 2022 adalah 79,97% dengan rincian pada bulan Januari sebesar 77,26% sesuai dan 22,74% tidak sesuai, bulan Februari 80,79% sesuai dan 19,21% tidak sesuai, bulan Maret 81,87% sesuai dan 18,13% tidak sesuai, angka ini masih belum memenuhi standar yang telah ditetapkan oleh Keputusan Menteri Kesehatan Republik Indonesia Nomor 129/Menkes/SK/II/2008 tentang Pedoman Penyusunan Standar Pelayanan Minimal Rumah Sakit, dimana penulisan resep BPJS seluruhnya harus mengacu kepada Formularium Nasional dengan standar 100%. Jenis obat diluar FORNAS yang banyak dipakai di Rumah Sakit X Depok periode Januari-Maret 2022 adalah jenis insufisiensi ginjal kronis, enzim pencernaan, hipoalbuminemia, probiotik, dan vitamin neurotropik. Dari data tersebut, ketidakpatuhan penulisan resep terhadap FORNAS disebabkan karena belum luasnya variasi jenis obat yang masuk dalam FORNAS, terutama yang bersifat spesialistik.
Analisis Waktu Tunggu Pelayanan Resep Non Racikan Pada Pasien Badan Penyelenggara Jaminan Sosial (BPJS) Di Rumah Sakit Harapan Bunda (RSHB) Kota Batam
Authors: Nur Wafiq Azizah  , Reny Haryani  , Desy Maniarti Gusmali  , Aprilya Sri Rachmayanti  , Nahrul Hasan
Published: September 2024

One of the Minimum Service Standards for hospital pharmacy is waiting time. Waiting time for drug service is the time from the patient submitting the prescription to receiving the drug. This study aims to analyze the accuracy of waiting time for non-recipe prescription services for BPJS patients at RSHB Pharmacy Batam City in accordance with Kepmenkes Number 129 / Menkes / SK / II / 2008 and determine the factors that cause the length of a prescription service process. This study used purposive sampling method for BPJS patients at RSHB Batam City. This research concludes with a sample size of 187 non-recipe prescriptions. The conclusion of this study is that the average prescription service time is 49.11 minutes, which means that the Batam City RSHB Pharmacy has not met the Minimum Hospital Service Standards
Pengaruh Terapi Guide Imagery Terhadap Penurunan Kecemasan Remaja Korban Bullying Di SMPS Shabilla
Authors: Indah Nur Jannah
Published: September 2024

Bullying has a negative impact not only on victims but also on perpetrators, bullying causes psychological problems for adolescents such as anxiety, they can experience mental and social problems, including suicide. The World Health Organization (WHO) (2020) reveals generically that one of the mental disorders that can occur due to bullying is an anxiety disorder whose directed effect is depression, therapy guide imgery is a therapeutic activity for young victims of bullying who experience anxiety so that it gives the effect of feeling comfortable and relaxes the body. Objective: This study aims to determine the effect of guided imagery therapy on reducing anxiety in adolescent victims of bullying at Shabilla Junior High School. Methods: This type of research is a quantitative study with a Quasi Experimental design with a One group Pre-Post Test Design Group Without Control Design approach and data analysis using the Paired t- Test and Total Sampling method, with a sample of 20 adolescents. Results: The results of the study found that the level of anxiety before being given guide imagery therapy found that most of the teenagers who were victims of bullying had mild anxiety levels, namely as many as 14 teenagers (70%). The level of anxiety of adolescent bullying victims after guided imagery therapy was found that most of the adolescent victims of bullying were at a normal level (not anxious) as many as 12 teenagers (60%), The results of the analysis test found that there was an effect of guided imagery therapy on reducing anxiety in adolescent victims of bullying at Shabilla Junior High School, p value = 0.000 (p < 0.05). Suggestion: Suggestion: for SMPS Shabilla schools to form and deploy an Anti Bullying task force, put up Anti Bullying posters, and specifically for BK (counseling) teachers must be able to master imagery therapy guides for adolescent bullying victims who experience anxiety
Analisis Faktor yang Berhubungan dengan Kejadian Rest Placenta di RSUD Patuh Patut Patju Lombok Barat
Authors: Baiq Dika Fatmasari  , Eka Mustika Yanti  , Fuji Indriani Rahayu
Published: September 2024

Retention of retained placenta or commonly known as rest placenta is one of the important problems in obstetrics which causes maternal bleeding during labour. This increases perinatal and maternal morbidity and mortality. There are several causative factors that are suspected of causing retained placenta., namely age, parity, anemia status, history of abortion and history of induction of oxytocin drip. Aim: To find out the factors associated with the incidence of Rest placenta at Patut Patju West Lombok Hospital. Method:This research is a  quantitative analytic research study with the Cohort Retrospective method (retrospective study), namely research conducted by observing the data that has been collected and is a type of research that has the same objectives and indicators as the type of prospective cohort research.. The research method used in data collection techniques namely, secondary data from the patient register data which is the data of all mothers giving vaginal birth at Patut Patuh Patju Hospital in a period of 5 years (January 2018-October 2022), 4,498 samples taken using the systematic random sampling technique with intervals of 12 obtained a total of 367 samples. Results: At the Patut Patuh Patju Hospital in West Lombok district, as many as 367 samples were taken, there were 41 or 11.2% of cases of rest placenta. The number of cases of rest placenta at the age of <20 and > 35 years was 26 people or 31%. The number of cases of rest placenta in multi and grande parity was 27 people or 12%. The number of cases of rest placenta with anemia status was 9 people or 9.3%. The number of cases of rest placenta with a history of abortion was 19 people or 7.1%, and the number of rest placentas with a history of termination of oxy drip was 22 people or 14%. Conclusion: There are several factors that have a significant relation with the incidence of rest placenta, including age, anemia status, and abortion. Meanwhile, the parity factor and history of oxytocin drip did not have a significant relationship with the incidence of rest placenta.
Penerapan Batuk Efektif Dan Fisioterapi Pada Ibu I Dengan Tuberculosis Paru Dalam Meningkatkan Jalan Napas
Authors: Nurul Fadhilah  , Rina Puspita Sari  , M. Hasan Basri  , Alfika Safitri
Published: September 2024

Health problems that often occur at the developmental stage with old age include infectious diseases such as pulmonary TB due to decreased immune system in the elderly. This can be due to the presence of family members who have a history of pulmonary TB disease, lack of understanding regarding prevention of transmission of pulmonary TB disease and in the elderly who are active smokers. The World Health Organization (WHO) states that in 2020 1.5 million people will die from pulmonary TB which makes pulmonary TB the 13th largest cause of death in the world. The large number of TB cases that occur in Indonesia are due to various factors including the home environment, the home environment with insufficient lighting, humidity and poor ventilation of the house which is a breeding ground for tuberculosis bacteria. Method: Case study by providing nursing care to the family of Mr. B especially Mrs. I by doing chest physiotherapy and effective coughing for 5 days. Results and Conclusions: The problem of ineffective airway clearance is resolved with chest physiotherapy and an effective cough which is characterized, the respiratory rate has improved, namely 19x/m, is no longer congested, the secretions are white and slimy, the amount has decreased. Patient can cough effectively, inspection: symmetrical chest movements, palpation: no lumps in the chest, percussion: sonor, auscultation: vesicular. BP : 130/90 mmhg mmHg N : 93x/m.
Korelasi Indeks Massa Tubuh Ibu Hamil Dengan Pre Eklamsia Di RSUD Margono Soekarjo Purwokerto
Authors: Sumarni Sumarni  , Fitria Prabandari
Published: September 2024

Preeclampsia is ranked second as a direct cause of maternal mortality. Preeclampsia has a significant correlation with the height of the body mass index of pregnant women. Body mass index is a simple formula for determining nutritional status, especially with regard to excess and underweight. The purpose of this study was to determine the correlation between the body mass index of pregnant women and pre-eclampsia. The research method used was observational analytic with a cross sectional approach. The population of this study were pregnant women with preeclampsia and pregnant women who were not preeclampsia. The sampling technique was simple random sampling. The sample size was determined using the G*Power application with a sample size of 153. The data analysis used was the Kolmorgorov Smirnov test, with a significance degree of P<0.05. The results showed that most pregnant women had a body mass index in the overweight category of 69.9%, most pregnant women had pre-eclampsia by 51% and there was a relationship between body mass index and pre-eclampsia with a value of p = 0.007. The conclusion: there was a significant correlation between the body mass index of pregnant women and pre-eclampsia.
Kajian Sistematis Efek Empiris, Farmakologis dan Klinis Terapi Kelor (Moringa oleifera Lam.)
Authors: Willie Japaries  , Yelini Fan Hardi  , Frisca Desma Ayu
Published: September 2024

Background: Kelor or drumstick tree (Moringa oleifera Lam.) is a widely known foodstuff and traditional medicine in many Asian countries including Indonesia. Methodology: This article is a systematic review of scientific studies’ results about Kelor extracted from database Sciencegate, PubMed dan CNKI within the last 10 years. Results: Kelor as a traditional medicine has been utilized since thousands of years ago in India and Egypt. In traditional medicine it is used to treat wounds, ulcers, pains, diseases of the liver, heart, cancer, etc. Studies have indicated it contains a complete nutritional substances and can be used to treat malnutrition among women and children. Active substances in Kelor have been proven to possess antioxidant, anti-inflammatory, antibacterial, antiviral, antidiabetic, anti-atherosclerotic effects. Conclusion: Kelor’s leaves and seeds have been proven scientifically to be safe and effective for nutrition supplementation for women and children, and potential as therapy against various diseases suffered by the society nowadays such as diabetes, hyperlipidemia, rheumatoid arthritis, etc.
Asuhan Keperawatan Gerontik Pada Pasien Demensia Dengan Pemberian Intervensi Terapi Senam Otak Untuk Meningkatkan Fungsi Kognitif Di Panti Werdha Kasih Ayah Bunda Tangerang 2023
Authors: Devi Sri Rahayu  , Siti Robeatul Adawiyah  , Rina Puspita Sari  , Siti Rahayu
Published: September 2024

Beckground: Increasing age in the elderly, the elderly will also experience health problems, one of the problems that often arise in the elderly is a decrease i cognitive function can affect a persons level of idependence, impaired cognitivefunction can affecta persons level of independence. Impaired cognitive fuction often has an impect on the social, psychological and physical activities of theelderly. Psychologically, this cognitive disorder can make the elderly experince frustation and depresssion. Purpose: the aim of this author is to provide an overview of the results of nursing care for dementia patients in improving cognitive function with brain exercise therapy. Methodology: casestudy design using nursing care. This case study sample used 1 patient. Planning: researchers are using brain gymnastics to improve cognitive fuction in people with dementia. Results: besed on the implementation results on Mr. I with the application of brain exercis therapy for 5 days obtalned data for measuring the use ofthe MMSE study, namely before brain exercise was performed a score of 16 (severe cognitive impairment), whereas after brain exercise was performed a value of 26 (on cognitive impairment), and it can be concluded that there is an increase cognitive fuction, this shows the influence of brain exercise in improving cognitive function in the elderly.
Asuhan Keperawatan Keluarga Dengan Tahap Perkembangan Keluarga Usia Sekolah Pada Keluarga Bapak A Khususnya Pada Ibu. L Dengan Intervensi Kompres Hangat Pada Nyeri Akut Gastritis Di Wilayah Kerja Puskesmas Periuk Jaya Kota Tangerang
Authors: Siti Solha Elmaliah  , Rina Puspita Sari  , M. Hasan Basri  , Alfika Safitri
Published: September 2024

Background: In 2023 at the Periuk Jaya Health Center, Tangerang City, gastritis ranks fourth out of the ten most common diseases at the Periuk Jaya Health Center. Management of gastritis can be done one way with non-pharmacological therapy, namely warm compresses. Applying a warm compress is an act of stimulating the skin and tissues to reduce pain. Purpose: To find out how the results of the intervention of applying warm compresses to reduce the pain scale in gastritis clients in the Periuk Jaya Health Center area. Method: Giving warm compresses to gastritis clients using a glass bottle filled with warm water with a temperature of 37-40 ℃ for 15-30 minutes. Intervention was given for 3 days of treatment once a day. Every day a pain scale was measured before and after being given a warm compress. Results: It is known that the client's gastritis pain scale before warm compresses has a moderate pain scale (4-6) and after warm compresses a pain scale of 0 (no pain) is obtained. The application of warm compresses carried out for three days had a positive effect on reducing the pain scale of gastritis clients. Conclusion: it can be concluded that this study can provide an overview of the effectiveness of applying warm compresses on reducing the pain scale of gastritis clients.
Hubungan Tingkat Pengetahuan dengan Sikap Masyarakat Kelurahan Tello Baru, Kecamatan Panakukang, Kota Makassar Terhadap Krim Pemutih Wajah
Authors: Cici Nirwanti  , Raimundus Chaliks  , Rusli  , Hidayati
Published: September 2024

Sebagian besar orang di Indonesia memiliki kulit sawo matang. Sementara itu, memiliki kulit putih adalah salah satu cita-cita kecantikan yang semakin merasuk ke dalam masyarakat. Kosmetik adalah alat yang digunakan seseorang untuk tampil cantik. Salah satu jenis kosmetik yang disebut krim pemutih adalah racikan bahan kimia dan/atau komponen lain yang memiliki kemampuan untuk mencerahkan area gelap (hitam) pada kulit. Penggunaan krim pemutih dalam jangka waktu yang lama akan mengakibatkan pigmentasi permanen. Tujuan penelitian ini adalah untuk mengetahui bagaimana pengetahuan, sikap, dan hubungan antara pengetahuan dengan sikap tentang krim pemutih wajah pada warga Kelurahan Tello Baru Kecamatan Panakukang Kota Makassar. Penelitian ini menggunakan metode penelitian kuantitatif deskriptif. Populasi dalam penelitian ini adalah seluruh warga Kelurahan Tello Baru Kecamatan Panakukkang Kota Makassar.
Analisa Image Quality pada Variasi Nilai Sensitivity Encoding MRI Brain Sekuens T1 TSE Axial di instalasi Radiologi RSUP Prof. dr. I.G.N.G.Ngoerah Denpasar
Authors: Nelce Silvia Panggaliau  , I Made Lana Prasetya  , I Made Adhi Mahendrayana
Published: September 2024

Magnetic resonance imaging (MRI) is an advanced medical device in the medical field that combines computer technology, high magnetic fields (0.064-7.0 Tesla), and radio waves to create cross-sectional images of the human body. Magnetic resonance imaging (MRI) examination has advantages over other diagnostic methods, because it does not use ionizing radiation, is non-invasive, produces high resolution in soft tissues, and allows different slice marks in all planes (axial, sagittal, coronal, even oblique), so that the image results are more detailed and clear. Sensitivity Encoding is a parallel imaging technique that uses images generated from a phased array coil. SENSE reconstruction can speed up the filling of the K Space thereby reducing scan time. In MRI brain imaging, a clear contrast between organs and minimal noise is required, so a good CNR (Contrast to Noise) is needed. CNR is derived from SNR. CNR is the difference in value between two SNRs that are close to each other. The type used is quantitative research with an experimental approach. The samples of this study were 10 MRI brain patients who underwent examinations in June-July 2023 at the Radiology Installation of Prof. Dr. I. G. Ngoerah Denpasar Hospital. G. N. G. Ngoerah Denpasar The results of this study show a sig value of 0.000 <0.05, it can be concluded that Ha is accepted and Ho is rejected. This means that there is a significant difference in Contrast to Noise Ratio (CNR) on MRI examination of Brain T1 TSE Axial sequences using variations in Sensitivity Encoding values. Sensitivity Encoding value 2 is able to produce a more optimal CNR compared to the Sensitivity Encoding value, seen from the meank rank value at Sensitivity Encoding value 2 which is 55.2325 while at Sensitivity Encoding 3 is 42.8033. There is a difference in Contrast to Noise Ratio (CNR) on MRI Brain examination of T1 TSE Axial sequences by using variations in Sensitivity Encoding values 2 and 3. The Sensitivity Encoding value that can provide the most optimal Contrast to Noise Ratio (CNR) on MRI Brain examination of T1 TSE Axial sequences is Sensitivity Encoding value 2.
Hubungan Kepatuhan Perawat Kamar Bedah dalam Penerapan SPO Surgical Safety Checklist (SSC) dengan Keselamatan Pasien Operasi di Instalasi Bedah Sentral RSUD Waluyo Jati Kraksaan
Authors: Muh. Audini Mukhlisiddin  , Iin Aini Isnawati  , Grido Handoko Sriyono
Published: September 2024

The Surgical Safety Checklist is a checklist designed to ensure safe and high-quality surgeries for patients. This research aims to determine the Relationship Between Operating Room Nurses' Compliance in Implementing the Surgical Safety Checklist (SSC) and Patient Safety in Surgical Procedures at the Central Surgery Department of the Waluyo Jati District General Hospital in Probolinggo.The research method employed in this study Was Analytical Observational with a Cross-Sectional approach, involving a sample of 25 respondents selected through total sampling technique. The research results revealed that the majority of respondents exhibited a high level of compliance in implementing the Surgical Safety Checklist (SSC) in the compliant category, with 23 respondents (92%). Similarly, the majority of respondents achieved a high level of patient safety in surgical procedures, with 23 respondents (92%) meeting the criteria. The Fisher's Exact Test analysis yielded a significance value of α < 0.05, specifically (0.003), indicating a significant Cornelation between the compliance of Operating Room Nurses in the implementation of the SSC and the safety of surgical patients in the Central Surgery Unit of Waluyo Jati General Hospital, Probolinggo. Each nurse should have personal awareness and responsibility to adhere to the SSC. For respondents who are not compliant, the hospital should consider providing training and supervision by nursing department heads to enhance compliance with the SSC.
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Hubungan Pola Makan, Stres, dan Kualitas Hidup dengan Kejadian Dispepsia Fungsional pada Pasien di IGD RS. Rizani Paiton
Authors: Moh. S. Guntur  , Iin Aini Isnawati  , Dodik Hartono
Published: September 2024

Dyspepsia is a collection of symptoms related to various gastrointestinal disorders, including nausea, vomiting, bloating, upper abdominal pain, feelings of fullness in the upper abdomen, and early satiety. This study aims to determine the Relationship Between Dietary Patterns, Stress, and Quality of Life with the Incidence of Functional Dyspepsia in Patients at the Emergency Department of Rizani Hospital, Paiton.The research utilized an analytical correlational design with a cross-sectional approach, involving a sample of 32 respondents selected through accidental sampling technique.The findings of this study revealed that respondents had a category of poor dietary patterns in 19 cases (59.4%), had a moderate level of stress in 18 cases (56.2%), had a very good quality of life in 18 cases (56.2%), and had a history of dyspepsia in 17 respondents (53.1%).The Chi-Square analysis results indicated a significance value of α<0.05 for dietary patterns (0.000), stress level (0.000), and quality of life (0.004), signifying a Relationship Between Dietary Patterns, Stress, and Quality of Life with the Incidence of Functional Dyspepsia in Patients at the Emergency Department of Rizani Hospital, Paiton. The results of logistic linear regression analysis showed an Exp(B) value of 0.657 for dietary patterns, signifying that among the three factors, dietary patterns were the most dominant factor.Integrating the research findings into patient care procedures and guidelines can enhance patient care by considering dietary patterns, stress management, and quality of life. If you have a history or symptoms of functional dyspepsia, consider seeking medical advice from qualified healthcare professionals. Proper treatment and symptom management can improve your quality of life.and increase the number of samples so that the results of the study are maximized
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Peran Orang Tua Dalam Pencegahan Stunting Melalui Program Sekolah Orang Tua Hebat Di Kelurahan Lakarsantri
Authors: Ellysia Eka Putri Agustina  , Rizkya Dwijayanti
Published: September 2024

Stunting is one of the world's nutritional problems, especially in poor and developing countries. Developmental delays are a problem because they are associated with an increased risk of morbidity and death, disruption of optimal brain development, resulting in motor development and development. The aim of this research is to find out whether the Great Parents School program is successful in providing education on stunting prevention patterns, development and educating parents about parenting patterns for early childhood. Considering that young children are in the prime period of childhood growth and development, improving family parenting skills can be a strategic step in maximizing the growing period to develop the next generation, as well as to find out the role of parents in preventing stunting in Lakarsantri Village. This research uses descriptive qualitative methods. Data collection techniques use interviews and documentation. In preventing stunting, Lakarsantri Subdistrict has made various efforts including posyandu, counseling or outreach by cadres, related Community Health Centers in the Great Parent School program to the community about the importance of the role of the family in supporting children's growth and development, so as to increase community awareness in overcoming the problem of stunting. , providing additional food to fulfill balanced nutrition in the form of eggs, bread, milk, as well as efforts to increase the role of parents in supporting children's growth and development, especially in terms of meeting children's nutritional and health needs and providing stimulation appropriate to the child's age.
Gambaran BMI (Body Mass Index) Pasien Kanker Nasofaring Yang Menjalani Terapi IMRT di Unit Radioterapi RSUP Prof. Dr. I.G.N.G Ngoerah
Authors: Serly Olivia Natalia Dato  , I Made Lana Prasetya  , Retno Laksmi Faraningrum
Published: September 2024

One of the cancers that causes the highest mortality is nasopharyngeal cancer. The number of nasopharyngeal cancer cases in Indonesia reached 19,943 new cases with a mortality rate of 13,399. Radiotherapy is the main treatment modality and part of standard care for cancer patients. The way radiotherapy works is to damage the DNA chain of tumor cells in order to kill tumor cells directly and eliminate the ability to proliferate. Giving radiation to the head and neck region has an influence on weight loss. The purpose of this study was to describe the BMI (Body Mass Index) of nasopharyngeal cancer patients who underwent IMRT therapy at the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. The type of research used is quantitative research with an observational approach using retrospective data. The samples of this study were 25 patients with nasopharyngeal cancer who underwent IMRT therapy from January to December 2021 at the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. The results of this study showed 25 samples of nasopharyngeal cancer patients who underwent IMRT therapy experienced weight loss with an average of 13.01 and BMI with an average of 4.93. Based on the results of the Statistical Test which shows that the p value <0.05 which means there is a decrease in body weight in nasopharyngeal cancer patients undergoing IMRT therapy in the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. Of the 25 samples of nasopharyngeal cancer patients who underwent IMRT therapy, there were changes in BMI (Body Mass Index) before irradiation and after irradiation. This is evident from the normality test value and Paired Twhich shows a p value <0.05, meaning that there is a decrease in body weight in nasopharyngeal cancer patients undergoing IMRT therapy.
Parkinson Disease
Authors: Raudah Novita Putri  , Intan Sahara Zein
Published: September 2024

Parkinson's disease is a disorder of brain function caused by the degeneration process of the basal ganglia in the substantia nigra pars compacta (SNc) cells and is characterized by characteristics such as tremors at rest, muscle and joint stiffness (rigidity), slowness of movement and speech (bradykinesia) and instability. upright position (postural instability). There is no medicine or treatment that can change Parkinson's Disease. The most effective symptomatic treatment is levodopa, which has better effectiveness on quality of life in Parkinson's Disease than other therapies. Motor fluctuations and dyskinesias later in the course of the disease may be improved with additional treatment. There are 10% of patients per year with intractable motor fluctuations who undergo further therapy, including deep brain stimulation surgery. The importance of multidisciplinary care has been proven to better manage non-motor symptoms in Parkinson's Disease.
Pengaruh Terapi Light Message Terhadap Tekanan Darah Penderita Hipertensi Primer di Rumah Sakit Kota Batam
Authors: Sitanggang Rosmian , Mira Agusthia  , Rizki Sari Utami
Published: September 2024

Hypertension is a degenerative disease, blood pressure generally increases slowly with age. Hypertension therapy can be grouped into non-pharmacological and pharmacological therapy. One alternative complementary massage therapy that can be given to hypertension sufferers is light massage. The research method was an experimental method, the sample consisted of 15 respondents who underwent outpatient treatment at BP Batam Hospital with a sampling technique, namely total sampling. Data analysis used the Wilcoxon test. The research results showed that blood pressure before light massage therapy was grade I hypertension, namely 9 respondents (60%). The average blood pressure after light massage therapy was found to be that most respondents were pre-hypertensive, namely 12 respondents (80%). Bivariate analysis showed that there was a significant effect of the average blood pressure value before and after light massage therapy on the blood pressure of primary hypertension sufferers with α<0.05 (p-value= 0.001). It is hoped that the results of this research can be used as basic data for nurses in the nursing and complementary services division at Batam City Hospital to carry out activities to reduce blood pressure in hypertensive patients.
Preparasi dan Karakterisasi Selulosa Mikrokristalin dari Nata De Tuberosum Sebagai Eksipien Tablet
Authors: Ira Adiyati Rum  , Nova Munikasari  , Rahmat Santoso
Published: September 2024

Kentang merupakan tanaman umbi yang kaya akan karbohidrat yang dapat dijadikan bahan pembuatan nata. Kandungan selulosa dalam nata yang diproduksi oleh bakteri Acetobacter xylinum dapat diisolasi menjadi selulosa mikrokristalin. SM banyak digunakan dalam bidang farmasi sebagai eksipien tablet. Isolasi dilakukan denganhidrolisis α selulosa dengan HCl 2,5N. Selulosa mikrokristalin yang didapat dibandingkan dengan avicel PH 102. Tablet dibuat dengan metode kempa langsung. Hasil uji organoleptis serbuk berwarna putih kecoklatan, tidak berbau, tidak berasa. Uji identifikasi biru-violet, uji pati negatif, nilai susut pengeringan 4,80%, pH 6,84, laju alir 11,81 g/dtk, sudut diam : 39,19o, kompresibilitas 14,95%, kelarutan 0,13% dan kadar air 4,98%. Hasil uji FTIR dari nata de tuberosum mirip dengan Avicel PH 102. Hasil uji SEM pada SMNDT menyerupai Avicel PH 102 . Uji XRD menunjukkan puncak-puncak yang mirip dengan avicel PH 102. Hasil evaluasi tablet uji disolusi pada menit ke-45 82,15%, waktu hancur 1m 2s , keseragaman bobot 205 mg, keseragaman ukuran d=0,80 cm dan t=0,31 cm, kekerasan tablet 4,8 kg dan friabilitas 0,42%. Hasil evaluasi karakteristik SMNDT mirip dengan avicel PH 102. Evaluasi tablet memiliki kemiripan dengan tablet Avicel PH 102.
Faktor Yang Memengaruhi Motivasi Kerja Tenaga Kesehatan Di Puskesmas Gunungtua Kecamatan Padang Bolak Kabupaten Padang Lawas Utara
Authors: Bintang Simbolon  , Ismail Efendy  , Indah Anggraini
Published: September 2024

Motivation is the process of willingness to perform a high level of effort to achieve organizational goals conditioned by the ability of the effort to satisfy some individual needs. Although in general motivation refers to the effort made to achieve each goal. The purpose of the study was to analyze the factors that influence the work motivation of health workers at Gunungtua Health Center, Padang Bolak District, North Padang Lawas Regency. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all health workers, especially midwives, namely 59 people, all of whom were sampled. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression.The results of logistic regression research show that there is an influence of attitude p = 0.001, responsibility p = 0.003, career path p = 0.000 and work environment p = 0.001 on the work motivation of health workers at Gunungtua Health Center, Padang Bolak District, North Padang Lawas Regency, while the dominant factor is career path p = 0.000 and 95% CI = 5,389-316,539 with Exp (B) 41,303.The conclusion of this study is that there is an influence of attitude, responsibility, career path and work environment, while education and leadership have no influence on the work motivation of health workers, the most dominant career path influences the work motivation of health workers at Gunungtua Health Center, Padang Bolak District, North Padang Lawas Regency. It is recommended that the Gunungtua Health Center to increase the work motivation of health workers must be able to prepare, place their health workers in the right work position according to their field and must provide work encouragement and career development for health workers by implementing a planning system and participation in the implementation of promotion activities.
Peran Molecularly Imprinted Polymers (Mips) Dalam Aplikasi Farmasi: Tinjauan Literatur
Authors: Jajang Japar Sodik
Published: September 2024

Molecularly Imprinted Polymers (MIPs) telah muncul sebagai teknologi penting dalam bidang farmasi karena kemampuannya yang unik dalam mengenali dan mengikat molekul target dengan spesifisitas tinggi. Teknologi ini menjanjikan kemajuan signifikan dalam pengembangan sistem penghantaran obat yang lebih efisien, pemurnian protein, dan diagnostik, yang semuanya dapat memberikan dampak substansial pada pengelolaan dan terapi penyakit. Tinjauan literatur ini bertujuan untuk menyelidiki perkembangan terbaru dalam teknologi MIP dengan fokus khusus pada aplikasi farmasi, mengevaluasi strategi sintesis, keberhasilan aplikasi terkini, dan mengidentifikasi hambatan yang masih harus diatasi. Dalam konteks penghantaran obat, MIPs menunjukkan kemampuan untuk meningkatkan efikasi terapeutik sambil meminimalkan efek samping dengan mengontrol pelepasan obat di lokasi yang ditargetkan. Studi kasus dalam penghantaran obat menunjukkan MIPs dapat meningkatkan efikasi terapeutik dan mengurangi efek samping dengan mengontrol pelepasan obat di lokasi yang ditargetkan. Dalam pemurnian protein, MIPs berhasil mengisolasi protein spesifik dari campuran kompleks dengan efisiensi tinggi dan biaya lebih rendah dibandingkan metode konvensional. Meskipun banyak kemajuan, tantangan seperti skalabilitas produksi, biokompatibilitas, dan stabilitas masih perlu diatasi. Tinjauan ini merekomendasikan arah penelitian masa depan yang dapat memajukan pemanfaatan MIPs dalam sains farmasi, termasuk pengembangan metode sintesis yang lebih efisien dan pengujian klinis lebih lanjut untuk membuktikan efikasi dan keamanan MIPs.
Penerapan Lean Hospital untuk Menganalisis Waste dalam Meminimasi Waktu Tunggu Rawat Jalan: Literatur Review
Authors: Purba Shofiyyah Salma , Putri Naira Kusuma  , Firda Syafitri Nurani  , Acim Heri Iswanto
Published: September 2024

Salah satu cara untuk meningkatkan kualitas pelayanan rawat jalan adalah dengan memastikan bahwa pasien mendapatkan perawatan yang tepat pada waktunya. Masih terdapat rumah sakit yang menimbulkan waste (pemborosan) pada pelayanan rawat jalan karena belum menerapkan lean hospital. Penelitian ini menggunakan metode literature review atau tinjauan pustaka. Data hasil penelitian didapat melalui database Google Scholar dan PubMed dengan rentang 5 tahun terakhir (2019-2024). Dari hasil penelitian tersebut pemborosan terutama terkait dengan waktu tunggu pasien dan kurangnya informasi kepada pasien. Usaha meminimalkan pemborosan tersebut dilakukan melalui evaluasi menyeluruh dan rekomendasi solusi perbaikan yang spesifik.
Pengaruh Kompres Jahe Merah Terhadap Tingkat Nyeri Haid Pada Remaja di Mts Tanwiriyyah Cianjur
Authors: Rania Zahra Aprianti  , Nur Eni Lestari  , Eka Rokhmiati Wahyu P
Published: September 2024

Teenagers who menstruate generally experience pain in the abdominal area. One of the complementary therapies that can be given is a red ginger compress. The aim of this research was to determine the effect of red ginger compresses on the level of menstrual pain in adolescents. This research uses a quantitative research method, namely a quasi- experimental approach with purposive sample data analysis using marginal homogeneity with a sample of 15 respondents. Results: There is an effect of red ginger compress on the level of menstrual pain in adolescents.
Integrasi Teknologi di Gudang Farmasi: Tantangan dan Peluang untuk Meningkatkan Kualitas dan Keamanan Obat
Authors: Jajang Japar Sodik  , Asep Kamal Sahroni
Published: September 2024

Pharmaceutical warehouses play a crucial role in maintaining the quality and integrity of medicines within the pharmaceutical supply chain. Proper storage and effective management of these facilities are key to ensuring the effectiveness, safety, and availability of medicines. However, managing pharmaceutical warehouses poses several challenges, such as inventory control, maintaining optimal storage conditions, and detecting genotoxic contaminants, which can impact the quality and availability of medicines. Literature search was conducted across several databases, including PubMed, ScienceDirect, and Google Scholar, using keywords such as "Pharmaceutical Warehouse Management", "Pharmaceutical Warehouses", and "Pharmaceutical Warehouse Operations". The literature review findings suggest that technology integration, such as the adoption of blockchain technology, barcode scanning, and RFID technology, holds the potential to enhance operational efficiency and medicine quality in pharmaceutical warehouses. Nevertheless, challenges such as system integration, data security, and the need for staff training also need to be addressed in adopting these technologies. Future research should explore strategies to overcome these challenges and the impact of technology adoption on the overall efficiency and effectiveness of pharmaceutical supply chain management
Case Report: Pemberian Terapi Relaksasi Genggam Jari terhadap Tingkat Nyeri pada Pasien Nyeri Akut Post Apendektomi
Authors: Ratih Widya Retnaningrum  , Dyah Rivani  , Suprianto
Published: September 2024

Pasca pembedahan apendektomi pasien cenderung akan mengalami nyeri akibat luka pembedahan. Teknik non farmakologi terapi relaksasi genggam jari menjadi salah satu manajemen nyeri bagi pasien. Studi kasus ini bertujuan untuk mengetahui efektivitas pemberian relaksasi genggam jari terhadap tingkat nyeri pada pasien nyeri akut setelah apendektomi. Penelitian ini yaitu laporan kasus (case report) dengan intervensi keperawatan terapi relaksasi genggam jari yang dilaksanakan selama 3 hari. Hasil studi kasus ini menunjukan setelah dilakukan intervensi terapi relaksasi genggam jari selama 3 hari terdapat penurunan tingkat nyeri dari skala 7 menjadi skala 2. Relaksasi genggam jari efektif mengurangi nyeri pada pasien post apendektomi.
Penerapan Teknik Relaksasi Nafas Dalam dengan Guided imagery Terhadap Skala Nyeri Pasien Pasca Operasi Sectio caesarea : Case Report
Authors: Citra Pramuningtiyas Sanjaya  , Dewi Puspita  , Catharina Wahyu Retno Wulandari
Published: September 2024

Sectio caesarea (SC) merupakan tindakan operasi yang bertujuan untuk melahirkan bayi dengan cara membuat sayatan pada dinding perut dan rahim seorang ibu. Nyeri pasca operasi Sectio caesarea bisa menjadi salah satu penghalang dalam proses penyembuhan, terutama jika nyerinya sangat berat. Terapi non farmakologis yang efektif untuk mengurangi nyeri adalah relaksasi nafas dalam dan guided imagery. Metode penelitian yang digunakan dalam intervensi adalah studi kasus (case report) dengan menggunakan metode intervensi. Penelitian dilaksanakan di ruang Mawar RSUD Temanggung 6-7 Mei 2024. Partisipan dalam penelitian ini adalah 3 responden. Pengukuran skala nyeri di lakukan sebelum dan sesudah diberikan intervensi relaksasi nafas dalam dan guided imagery. Hasil penelitian di dapatkan hasil Terjadi penurunan tingkat nyeri dari skala berat ke skala sedang pada intervensi hari pertama. Terjadi penurunan tingkat nyeri dari skala sedang ke skala ringan pada intervensi hari kedua. Pemberian intervensi kombinasi terapi relaksasi nafas dalam dengan guided imagery terhadap tingkat nyeri pada pasien post sectio caesarea.
Analisis Kadar Air, Keasaman, dan Gula Reduksi Madu Budidaya secara kimiawi
Authors: Siska Rusmalina  , Kharismatul Khasanah  , Annisatul Farokhah  , Dwiki Abdul Mutholi
Published: September 2024

. Honey is a sticky, sweet liquid produced by bees or other insects from flower nectar. It has a distinct flavor compared to sugar and sweeteners, varying based on the plant source. Government-established quality standards protect consumers, ensure fair trade, and align with current regulations and technologies. This study aims to assess the quality of cultivated pure honey through organoleptic evaluation, water content analysis, acidity testing, and reducing sugar content analysis. Using a descriptive observational method and random sampling, samples from different honey types and brands were selected. Quantitative analysis determined water content using an oven-drying method, acidity using acid-base neutralization, and reducing sugar content using the iodometric method with Luff Schoorl reagent, following SNI 8664-2018 requirements. The study found varying organoleptic characteristics among different brands due to differences in bee species, floral sources, and production locations. Among the 18 samples tested, 10 met the water content standard, 14 met the acidity standard, but none met the reducing sugar content standard, indicating overall non-compliance with all requirements.
Pengaruh Terapi Sholawat Terhadap Heart Rate, Respiration Rate, dan Saturasi Oksigen pada Bayi BBLR Di Ruang NICU : Case Report
Authors: Farida Salwa Azizah  , Falasifah Ani Yuniarti  , Rina Prawati
Published: September 2024

LBW is one of the main factors in increasing infant mortality. LBW is a baby with an absolute birth weight of less than 2,500 grams regardless of age as measured 1 hour after birth. The sound of prayer provides a feeling of calm and relaxation, thus increasing oxygen saturation and reducing the frequency of heart rate and respiration which results in the body's metabolism becoming effective and efficient to support the growth and development of LBW neonates to catch up.  the research used in the intervention is a case report using the method intervention. This research was conducted in the NICU room at Tjitrowardojo Regional Hospital, Purworejo, 2-6 May 2024. Therapy was given once a day with a duration of 30-40 minutes for five consecutive days. After giving therapy, the heart rate, respiration rate and oxygen saturation are again measured on an observation sheet.  Providing prayer therapy intervention within 30 minutes for five days, the results showed a decrease in the average heart rate of respondents from 162.8 x / minute to 160.6 x / minute resulting in a decrease of 2.6 x / minute, there was a decrease The average respiratory rate in respondents was from 64.4x/minute to 62.4x/minute, resulting in a decrease of 2x/minute. Other changes also occurred in the oxygen saturation value from 89% on the first day of measurement and to 97% after intervened for five days of intervention.  Sholawat therapy has a positive influence on the patient's heart rate, respiration rate and oxygen saturation.
Industri Obat Halal di Indonesia Antara Peluang dan Tantangan
Authors: Feffi Azzainatus Syaffira  , Oman Fathurohman SW
Published: September 2024

The halal medicine industry in Indonesia faces significant challenges related to the implementation of the Halal Law (UU Halal). Key challenges include distribution and supply chains, as well as compliance with international standards. The application of the halal label can disrupt the domestic drug distribution system, while almost all imported drug active ingredients do not have halal certification. The Halal Law also has the potential to disrupt the investment climate in Indonesia. To overcome this, Indonesia's general initiative needs to establish halal standards that are efficient and consistent with international standards. The government must comply with halal standards regulated in the Codex Alimentarius as part of Indonesia's commitment to the TBT Committee at the WTO. The absence of implementing regulations such as Presidential Regulations (PP) and Ministry of Religion Regulations (PMA) creates legal uncertainty. The practical challenges of implementing the Halal Law are very complex because halal certification will face industry players, most of whom do not wish to obtain halal certification. Digital technologies such as HalalChain, Halal Trail, and HalalGuide can help in verifying and ensuring halal certification compliance. Blockchain, which is often considered a revolutionary technology, can provide transparency and accountability in the halal certification process. The use of this technology can make it easier to verify the validity of halal certification and help Indonesia become a global leader in halal certification.
Penerapan Slow Deep Breathing Exercise Terhadap Nyeri Selama Pelepasan Water Seal-Drainage (Wsd) Pada Pasien Pneumothorax Di Ruang Flamboyan 7 Rsud Dr. Moewardi Surakarta
Authors: Lisa Aryanti  , Eska Dwi Prajayanti  , Isti Wulandari
Published: September 2024

Background : The lung health problem pneumothorax is a health problem that threatens lung health caused by air entering the chest cavity and specifically the pleural cavity. The problem of removing the WSD tube causes pain due to the output of a foreign object, causes pain due to the output of a foreign object producing unpleasant feelings such as pain. Non-pharmacological techniques are used to reduce pain, namely using slow deep breathing therapy where is a release of endorphin neurotransmitters which have an effect on reducing pain. Purpose: to find out  the results of applying slow deep breathing exercise therapy to reduce pain during WSD release. Method: Case study. Sample of 2 respondents with 1 control respondent and 1 intervention respondent. The research instruments used educational media, leaflers and slow deep breathing exercise intervention learning videos as well as pain measurement instruments using the visual analogue scale (VAS), namely to measure participants pain intensity before (pre) intervention and after (post) slow deep breathing exercise intervention. Results: respondent experienced a decrease in pain intensity from moderate intensity to light intensity, the decrease in pain intensity in the control grup (Tn. A), decreased less than the intervention group (Tn. L) with a difference of two on the pain scales decreasing more Conclusion: there is a difference in pain intensity after slow deep breathing exercise therapy.
Penerapan Rendam Kaki Air Hangat Jahe Terhadap Tekanan Darah Pada Lansia Penderita Hipertensi Di Kelurahan Joyotakan
Authors: Dwi Aria Susanti  , Tri Susilowati  , Muhammad Natsir
Published: September 2024

Background: Hypertension is a major health problem in developed and developing countries, is a non-communicable disease and is one of the complications that causes the number one death in the world. Presentation of hypertension in Central Java In 2021, hypertension cases will be 37.57%. Based on gender, the prevalence of women is greater than men, namely 15,845. Hypertension sufferers in Surakarta with a percentage of 20.5%. One non-pharmacological therapy that can be done for hypertension sufferers is soaking their feet in warm ginger water. Soaking feet in warm ginger water is one of the complementary therapies currently used to reduce hypertension. Objective: To determine the results of applying warm ginger water foot soak therapy to reduce blood pressure in hypertension sufferers in Joyotakan Village. Method: Using a descriptive method with a case study design approach, respondents used 2 hypertensive patients, determining respondents based on inclusion and exclusion criteria was carried out 4 times in 1 week. Soak your feet in warm ginger water and measure your blood pressure using a sphygmomanometer. Results: Giving a warm ginger water foot soak was able to reduce blood pressure in 2 respondents after being given a warm ginger water foot soak 4 times in 1 week in Joyotakan Village. Conclusion: There were changes in 2 respondents after soaking their feet in warm ginger water 4 times in 1 week in Joyotakan Village.