IMPROVEMENT OF SLEEP QUALITY THROUGH PROGRESSIVE RELAXATION IN ELDERLY IN THE SEMPAJA PUSKESMAS AREA

Decreasing physical, psychological and social functions will have an impact on the overall sleep phase of the elderly. An imperfect sleep cycle can cause the elderly not to sleep soundly, often wake up and the total amount of sleep per day will decrease. Nurses can solve these problems with several nursing interventions through progressive relaxation and healthy sleep. The aim of the study was to see the effect of progressive relaxation and healthy sleep on decreasing sleep disturbances in the elderly group. This research uses a quasi experiment design with a pre-post test without control approach. Measurement of sleep quality of the elderly using the Pittsburgh Sleep Quality Index (PSQI) instrument. This analysis uses univariate and bivariate analysis. Bivariate analysis using paired t-test. Analysis of bivariate Wilcoxon correlation data, obtained score correlation coefficient questionnaire about knowledge between (pretest) and after (posttest) given treatment in the form of progressive relaxation of 0,000 with sig numbers or p-value = 0,000> 0.05 or significant.

VARIATION DIFFERENCES OF PHALANX DISTAL FINGER PRINT PATTERN ON KLEPTOMANIA PATIENS AND NON-PATIENTS IN POLICE RESORT JEMBER

Phalanx distal pattern is a curve appeared and formed an unchangeable pattern unless it is caused by a severe trauma. Phalanx distal patterns are classified into 9, namely, Plain Arch, Tentarch, Ulnar loop, and Accidental. In order to find out suspect’s identity, Indonesia Autometic Print Identification System (INAFIS) used 3 stages, which one of them is to determine pattern variation. Phalanx distal fingerprint on human can be utilized as to identify a person, whereas no one has resembled phalanx distal fingerprint even on twins. In this research, the researcher analyzed tendentious pattern variation of phalanx distal pattern on kleptomaniac in police resort office Jember. Generally, phalanx distal fingerprint pattern found on kleptomaniac tendentiously has unique pattern plain arch as the third most apparent pattern beside unlar loop and whorl, meanwhile it was found radial loop on non-patient as the third most apparent beside unlar loop and whorl which generally was phalanx distal fingerprint.

THE RELATIONSHIP OF THE STUDENTS’ PERCEPTION ON THE CAMPUS LEARNING ENVIRONMENT AND THEIR GPA IN SCHOOL OF MEDICINE OF MULAWARMAN UNIVERSITY

The success of the student learning process is characterized by academic achievement. One of the factors that can affect academic achievement is the learning environment. This study aims to determine the relationship of the students’ perception on the campus learning environment and their GPA in school of medicine of Mulawarman University. This research is an observational analytic study with cross sectional method. The research respondents were students of the Medicine Study Program of the School of Medicine in Mulawarman University by using total sample technique. The method of data analysis used descriptive data analysis and the analytic data analysis used chi square test. There were 316 respondents who met the inclusion and exclusion criteria, male respondents were 91 people (28.8%) and female respondents were 225 people (71.2%). As many as 268 students (84.8%) had more positive than negative perception on the campus learning environment, while as many as 232 students (73.4%) got good category for the grade point. The results of the study obtained p=0.000. In conclusion, there is a relationship between student perceptions of the learning environment on campus with an grade point.

A DESCRIPTION OF PERINATAL AS A RISK FACTOR OF CHILDREN’S SENSORINEURAL HEARING DISORDER IN OTOLARYNGOLOGY (ENT) POLYCLINIC OF ABDUL WAHAB HOSPITAL SJAHRANIE IN SAMARINDA

Sensorineural Hearing Disorder in children could give a significant impact on everyday life and would cause loneliness, isolation, and frustration on children. Perinatal risk factors are important to note because they could be detected from newborn and could be an indication for the baby to do the screening. The purpose of hearing screening in newborns is to find hearing loss as early as possible so that habilitation can be done immediately. The purpose of this study was to describe perinatal period as risk factors for Sensorineural Hearing Disorder in children. The subjects of this study were children who has done BERA examinations at the Otolaryngology (ENT) Polyclinic of Abdul Wahab Sjahranie Hospital in Samarinda from January 2017 – June 2019. The design of this study was observational descriptive with cross-sectional method. There were 65 children as sample which consisted of 39 (60%) boys and 26 (40%) girls. BERA examination age that was found in this study has not reached the optimal standard if it is referring to the JCIH standard with the most age group is 3 years old. 37 (56.9%) children suffered from Sensorineural Hearing Disorder. 27 (41.5%) children had perinatal risk factors. The most common risk factors was jaundice which the researchers found on 11 (16.9%) children. 20 (30.8%) children who have perinatal risk factors and Sensorineural Hearing Disorder with the most common risk factor is LBW are as many as 10 (15.4%).

EXTERNAL FACTORS OF JUVENILE DELINQUENCY AMONG STUDENTS IN THE AREA OF TRADITIONAL NIGHT CLUB

Nowadays, world is challenged a condition in which case the number of adolescent are bigger than before, but, this group of age are also facing the health and social problem such juvenile delinquency. External factors became the trigger factor of them, such as peer’s influence and environment. This study aims to estimate the prevalence of juvenile delinquency and clearly identify external factors toward juvenile delinquency among students who live in the area of traditional night club. A cross sectional study was conducted among 369 students aged 11 to 16 years old. A total sampling was drawn from 2 Junior High Schools near Traditional Night Club in Samarinda. Data were collected using a validated questionnaire in Bahasa Indonesia. Variables measured include socio-demographic criteria, peers’ and environmental influence and juvenile delinquency. Data was analyzed trough descriptive statistic and multiple linier regression.Results indicated that the prevalence of juvenile delinquency among student ages 11-16 years was high (69.7%). This study showed that peers influence and environment contribute to juvenile delinquency. Simultaneously, peers and environment also influence juvenile delinquency (p-value<0.0001). The result suggested the existence of school-based program for healthy adolescent as a ways to provide a better information and health community in school.

THE CORRELATION BETWEEN LEPROSY TYPE AND GRADE OF DISABILITY IN LEPROSY PATIENTS IN SAMARINDA

Leprosy or Hansen’s disease is a disease caused by obligate bacteria, Mycobacterium leprae. This disease is a chronic infectious disease with the first affinity in the peripheral nerves. The worst complication of this disease is disability and causes sufferers to be excluded from their social activities. There are several factors that play a role in the occurrence of leprosy defects, one of them is the type of leprosy. This research aims to determine the correlation between the type of leprosy and the grade of disability in leprosy patients in Samarinda. This research was an analytic observational study. Data collection was done by visiting all Community Health Center (Puskesmas) in Samarinda and the medical records of leprosy patients recorded from January 2014-February 2019. The sampling was using a purposive sampling technique. The result showed 106 patients who met the inclusion and exclusion criteria. Data analysis was using the Kolmogrov-Smirnov test which obtained p = 0.764, so it could be concluded that there was no correlation between the type of leprosy and the grade of disability in leprosy patients in Samarinda.

A DESCRIPTION OF RISK FACTORS OF RECCURENT FEBRILE SEIZURE ON PEDIATRIC PATIENTS IN ABDUL WAHAB SJAHRANIE HOSPITAL IN SAMARINDA

Febrile seizures are the most common seizures in children. One-third of the children could develop a recurrent febrile seizure, with 75% of the recurrence occurring in the first year after the initial febrile seizure. The purpose of this study was to describe the risk factors of recurrence of febrile seizures on pediatric patients at Abdul Wahab Sjahranie Hospital in Samarinda. The research design was a descriptive study with cross sectional method. The sample of this study were children with febrile seizures whose age range were from 6 months to 5 years at Abdul Wahab Sjahranie Hospital in Samarinda from January 2017 to December 2018 who did not receive long-term prophylactic treatment for febrile seizures after the initial febrile seizure and did not experience intracranial infections, metabolic and electrolytes disorders, developmental delayed and cerebral palsy. The data were secondary data obtained from subject’s medical records. The study found recurrent febrile seizures occurred on 27 samples. In this study, recurrence of febrile seizures was more common on male patients (74%), the patients’ age majority were £ 12 months when experiencing initial febrile seizures (56%), as for the initial febrile seizures, they mostly experienced simple febrile seizures (59%) and fever with £ 24 hour interval in initial febrile seizures (63%). The collected data were tabulated by frequency and percentage and displayed in tables.

RELATIONSHIP BETWEEN ACTIVE PHYSICAL EXERCISE AND SLEEP QUALITY WITH PHYSICAL FATIQUE IN ELDERLY ON HARAPAN BARU SAMARINDA PUBLIC HEALTH CARE

Physical excercise is any form of activity carried out by an individual, especially the elderly, in an effort to improve physical fitness and physical conditions, with the main objective being to increase strength, cardiorespiration endurance, speed, skills and flexibility. In the elderly, physical training aims to improve the quality of life, so they can get through their old days in a fit. The purpose of this study is to find out how the relationship between active physical activity and sleep quality with physical fatigue that occurs in the elderly in the working area of the Harapan Baru Health Center in Samarinda City. This research is a descriptive qualitative study using a cross sectional study approach. Sampling is done by the method of Total Sampling, where all respondents will be involved for research activities, with a total sample of 125 respondents. Data collection techniques using interview techniques, observation, and research questionnaires. Data processing and analysis using univariate analysis using frequency distribution tables for the description of the study, and multivariate analysis using chi-square analysis. The research activity was carried out for approximately 1 month starting from July 23-August 24, 2019 at the Harapan Baru Health Center in Samarinda. Based on the results of tabulation of data conducted using univariate analysis for physical activity variables showed that the majority of respondents were in the high category with 71 respondents (57%), for the sleep needs of 125 respondents showed the majority in good sleep needs with the number of respondents as many as 68 people (54%), and for the variable physical fatigue the majority of respondents were in the category of Tired with the number of respondents as many as 72 people (58%). For bivariate analysis between physical activity with fatigue where 43 of 71 respondents (34%) did not experience fatigue after doing physical activity, with a P-Value of 0.025 <0.05, so that there was a significant relationship between physical activity. with fatigue, and the OR value = 2,298 shows that the elderly who are active in physical activity will not experience physical fatigue. For the sleep needs variable of 39 people (31%) of respondents with sleep deprivation problems do not experience fatigue, with a P-Value of 0.442> 0.05, so there is no significant relationship between sleep needs and fatigue of an elderly person. With OR value = 0.755 where elderly people who have adequate sleep will not experience physical fatigue.

THE CARACTERIZATION THE CARACTERIZATION OF SIMPLISIA AND EXTRACT OF CLOVE LEAVES (Syzigium aromaticum Merr. Et Perry L) FOR HERBAL MOUTHWASH ACTIVE INGREDIENS

One of the oral and dental diseases that is often experienced by most people is dental caries. Clove leaves (Syzygium Aromaticum Merr. Et Perry L) have compounds that can prevent the activity of the bacterium Streptococcus mutans which is the cause of dental caries. This research is non experimental which focuses on the characterization of clove leaves. Characterization of simplisia and sample extracts include organoleptic observation, microscopy, phytochemical screening using Thin Layer Chromatography (TLC), determination of soluble substances in certain solvents (ethanol and water), total ash content, water soluble ash content, insoluble ash content in acid, then drying shrinkage test. The results of the organoleptic test for simplisia and extract of clove leaf showed that they have a dark brown color, specific aromatic odor, spicy and bitter taste. Clove leaf extract has a brownish black color, aromatic odor and has a bitter and pungent taste. Microscopic test of simplisia of clove leaves showed that there was a mesophyll includes palisade tissue, with calcium oxalate crystal, anomistic type stomata, identification fragments are fragments of the lower epidermis with stomata. The results of the percentage of soluble substances of simplisia and ethanol extract of clove leaf were 50% and 40%, the percentage of soluble substances of simplisia and ethanol extract of clove leaf were 1.73% and 4.33%. The percentage of total ash content of simplisia and ethanol extract of clove leaf 11.4% and 22%, the percentage of water soluble ash content of simplisia and extract was 16.9%, 17.5%. Percentage of insoluble ash content of simplisia acid and extract 9.5% and 10.5%. Shrinkage of simplisia and extracts were 7.6% and 11.46%.

A DESCRIPTION OF THE CHARACTERISTICS OF HEPATIC CIRRHOSIS PATIENT IN ABDUL WAHAB SJAHRANIE REGIONAL PUBLIC HOSPITAL SAMARINDA

Hepatic cirrhosis is a late stage liver disease characterized by the replacement of normal hepatocyte cells with fibrosis tissue. The severity of hepatic cirrhosis can be determined using Child-Pugh criteria which are divided into Grades A, B and C. This study aimed to find out the characteristics of hepatic cirrhosis patients in Abdul Wahab Sjahranie Regional Public Hospital in Samarinda. The design of this study was descriptive observational. Participants in this study consisted of 58 hepatic cirrhosis patients who were hospitalized in Abdul Wahab Sjahranie Regional Public Hospital in Samarinda from June 2017 to June 2018. Variables in this study were age, gender, period of stay, conditions at discharge, and the severity of cirrhosis. The researchers used data from medical records of cirrhosis patients. From 58 participants in this study, they were mostly people in the age of 46-55 years (43.1%) and the majority were male (70.7%).The maximum period of stay in hospital was less than 1 week (58.6%) and the condition when they went back home were mostly with outpatient treatment (79.3%). The severe degree of cirrhosis that was found was Child-Pugh C (63.8%).