Factors Related to Incident Dengue Hemorrhagic Fever (DHF)

At the present, the Dengue Hemorrhagic Fever (DHF) is one of health problem in Indonesia. In last three years, the incident of DHF in Puskesmas Klagenserut has been significant increase of 17% cases. This research purpose is to know some factors related to with incident DHF in working area Puskesmas Klagenserut. In this research, the researcher uses descriptive quantitative research as approach. The method of research is analytical survey while the type of research is case control. In collecting the data, the researcher uses questionnaires. In analyzing the data, the researcher uses Chi-Square test and regresi logistic test. The sampling technique uses a Total Sampling. The population and samples is all sufferers of January – December 2020 period with 21 respondent cases and 21 respondent control. The result of bivariate test shows that there is a significant correlation between independent variable which is attitude (p-value = 0,045), perception (p-value = 0,022), health facilities (p-value = 0,008), and cadre support (p-value = 0,045), while variable that has no significant correlation is knowledge (p-value = 0,053). Multivariate test result got there is no related variable with incident DHF at working area Puskesmas Klagenserut. The conclusion represents that is related to the attitude, perception, health facility, and cadre support with incident of DHF at working area Puskesmas Klagenserut. Suggestions for further researchers are expected to be able to analyze other risk factors such as environmental conditions and the habit of hanging clothes against the incidence of DHF.

Overview of Health Program Innovation “Fun For Mom”

Maternal and child health is an important concern for all nations in the world including Indonesia. “Fun For Mom” is an innovation program at Sako Public Health Center in Palembang for increasing the knowledge of mothers regarding breastfeeding practice, complementary feeding, and maternal health during pregnancy and breastfeeding period. This study describes the Fun for Mom program at Sako Public Health Center in Palembang. This was a qualitative study that involved the analysis of data collected from in-depth interviews, documents review, and observations to describe the Fun for Mom program using the RE-AIM framework at Sako Public Health Center in Palembang. The purposive sampling technique has been applied and twelve interviews were conducted with a Head of Sako Public Health Center, a Program Manager, two Program Implementers, three Cadres, and five Program Participants. RE-AIM framework is a multi-attribute model with five dimensions: reach, effectiveness, adoption, implementation, and maintenance. According to this framework, the findings illustrated that around ten pregnant or breastfeeding mothers participated in each activity session. Exclusive breastfeeding increased after a year of its implementation from 2017 to 2018. Mothers easily understand the information given because of the use of game media in this program. All information is conveyed in simple language and can be applied in daily childcare. Health operational assistance (it is called BOK) is used to fund this program. Other financial supports are needed for the sustainability of the program. The Fun for Mom program is feasible as a community empowerment effort in a health center setting and can be developed further.

The Influence of Work Autonomy, Workload, Work Bornage and Interpersonal Conflict on Nurse Performance in Patient

The problem of work stress is still a trend in various parts of the world. In Europe, the problem of work stress ranks second after musculoskeletal disorders. Sources of work stress which consist of autonomy, workload, work saturation and interpersonal conflicts are a challenge for hospitals in terms of employee performance issues. The purpose of this study was to determine the effect of work autonomy, workload, work saturation and interpersonal conflict on the performance of nurses in the Inpatient Installation of RSUD Bima.The research design used was non-experimental quantitative analytical observational. The research sample was 154 nurses in the inpatient room. The analysis in this study used univariate, bivariate and multivariate analysis with multiple linear regression with 95% confidence level or nilai <0.05.The results showed that the value of work autonomy (0.000), workload (0.013), work boredom (0.014) and interpersonal conflict (0.006) < 0.05 which means that all variables affect the performance of nurses and result of logistic regresion it was found that the most dominant variable was interpersonal conflict with the highest Odds Ratio value of 3.764,which means that interpersonal conflict was the most influential variable on the performance of nurses.Based on the results of the study, it can be concluded that work autonomy, workload, work saturation and interpersonal conflict affect the performance of nurses, and the most influential variable is work saturation with the largest t value of 2.486. It is recommended for the Head of Nursing and Head of Room to evaluate the performance of nurses in the room to the maximum, and make a performance-based supervision program and assessment of service users

Group-Based Restorative Care Model For Improving Social Interaction Among Elderly In Nursing Home

An increasing proportion of the elderly population should be aware, because the main manifestation of the aging process experienced by the elderly can reduce ability to work, and the ability to perform the activity and social interaction with their environment. To overcome this problem, a group-based restorative care model is needed to increase the social interaction among elderly. This study aimed to obtain an overview of the effectiveness of the group-based restorative care model on the social interactions among elderly in nursing homes. The research design used a quasi-experimental with control group design with a sample size of 66 elderly who have been living in nursing home in the DKI Jakarta area. Data analysis used t-test and Mancova test. The results of the study found that there were differences in social interaction before and after the intervention in the intervention group, while in the control group there were no differences; there were differences in social interaction after the intervention between the intervention group and the control group; there was an effect of social support on social interaction. The recommendation is the group-based restorative care model can be used as a model for empowering the elderly in carrying out various activities in various health care settings in the community

Validity and Reliability of Community Satisfaction Measurement Instrument in Health Care Institution

The Community Satisfaction Survey is mandatory based on Ministry of Administrative and Bureaucratic Reform Regulation number 14 in the year of 2017. An alternative measurement tool has been developed by expanding the measurement items. The research objective was to explore the validity and reliability of public satisfaction instruments in health institutions. The design was non-experimental, with a quantitative and cross sectional approach. The research was carried out in two entities, namely primary health care and hospital. Data collection using the IKM-29 questionnaire. Data processing with Rasch modeling and winsteps application. The results showed that the item reliability at PHC and hospital was 0.95 and 0.97 with Cronbach's alpha 0.95. The separation is more than 3 and the raw variance is more than 40%. In the two entities there are several different misfit items. Item 8 related to the perception of waiting time has a high degree of difficulty and is paradoxical. The results of the analysis show that the instrument is valid and reliable enough to be used as an alternative measurement of community satisfaction in PHC and Hospitals.

Preschool Parent's Health Education Improving Family Role Model of Fruit Vegetable Consumption

Prevention of obesity should start early because obesity in children can continue into adulthood. Consumption of vegetables and fruit according to the recommendations is proven to prevent obesity from an early age. The role model of parents is very important in shaping the behavior of eating fruits and vegetables in preschool children. The aim of study to determine the effect of online and face-to-face health education methods on the role models of parents in consuming fruits and vegetables. The study used a quasi-experimental design pre-post-test without a control group. The number of samples was 115 parents of students spread across 5 kindergarten schools. The results showed 49.6% of parents have graduated from high school with an income of 52.7% above the minimum wage. The results of statistical tests showed that there was an effect of online and face-to-face health education methods on the role models of parents in eating vegetables and fruit with their children (17.92 ± 4.61, p = 0.00, 95% CI). Health education using online and face-to-face methods can be an intervention in increasing parental role models of fruit and vegetable consumption.

The Effect Of Koya Reboned Powder Consumption On Protein Levels Of Pregnant Women In Prevention Of Stunting In Babies

Linear growth retardation in childhood has decreased over the past few decades, but has not had a positive effect. In Indonesia, the change in the prevalence of stunting is around 37%. The nutritional status of pregnant women plays an important role in the incidence of stunting, which will be seen at the age of <5 years in 1000 days of their life. Pregnant women with poor nutrition and significant infection can give birth to a baby with stunting. For this reason, nutritional intake is needed, one of the animal foods that are high in protein is rebon shrimp about 62.4 g / 100 grams of dried shrimp. Protein has an important component so it is necessary for the physical development of children. The purpose of this study was to analyze serum protein levels before and after consuming rebon shrimp based PMT powder in the intervention group and control group and to analyze differences in serum protein levels for pregnant women before and after consuming PMT Koya powder made from rebon shrimp between the control and intervention groups. . This type of research is a quantitative study with a quasi-experimental method using the pre post test control group design approach. The number of respondents was 30 people who were divided into 2 groups, namely the intervention group and the control group. The intervention group was given koya powder as much as 100 grams / day for 7 days, assuming the fulfillment of 70 KKal. Data analysis using Data analysis using the Mann-Whitney test, if the data is not normally distributed. If the data are not normally distributed using the free sample t2 test. The conclusion of the analysis results to answer the research hypothesis. The results of the study were significant values P 0.000 <0.05. Conclusion There was a significant difference in serum protein levels of pregnant women before and after consuming PMT Koya powder made from boiled shrimp between the control and intervention groups.

Assessment of Job Risks in the Chemical Laboratory of the Pharmacy Study Program with Job Safety Analysis (JSA) Techniques

Chemistry laboratory organizes practicum, one of them quantitative pharmaceutical chemistry which uses a variety of chemicals and tools where if not careful, not following instructions or procedures even underestimate will cause work accidents and/ or occupational illness. Is observational descriptive research on the job risk assessments in chemical laboratories prodi pharmacy with JSA techniques aimed at finding out the risk of work performed. Population is type practicum work in chemistry laboratory and the sample is quantitative pharmaceutical chemistry practicum. Data collection techniques i.e. the work that has been selected is further determined with the working procedure and the working steps and then determines the findings of errors from each step of the work then further identify the potential hazards of each step of the work. Data analysis techniques is data from each finding of errors determined potential injury / danger / loss and its impact is then calculated risk value (risk matrix) i.e. the value of consequences multiplied by opportunity value where the results are could grouped into risk extreme, high, medium or low that continued with to determine safeguards measures that can be done to control the such danger. The results showed that performs the titration step has high very risk level value compared to another work step other of pharmaceutical chemical practicum quantitative. Titration activities carry an extreme or significant risk of harm when performed incompatible with working measures and unsafe with potential danger (disadvantage) is liquid evaporates (inhaled), disturbances The End Point of the Titration: change in color and determination of concentration, and perform movements manual repetitive continuously namely mixing the liquid or rotating the container (erlenmeyer) contains a chemical liquid by hand continuously. Chemistry laboratory organizes practicum, one of them quantitative pharmaceutical chemistry which uses a variety of chemicals and tools where if not careful, not following instructions or procedures even underestimate will cause work accidents and/ or occupational illness. Is observational descriptive research on the job risk assessments in chemical laboratories prodi pharmacy with JSA techniques aimed at finding out the risk of work performed. Population is type practicum work in chemistry laboratory and the sample is quantitative pharmaceutical chemistry practicum. Data collection techniques i.e. the work that has been selected is further determined with the working procedure and the working steps and then determines the findings of errors from each step of the work then further identify the potential hazards of each step of the work. Data analysis techniques is data from each finding of errors determined potential injury / danger / loss and its impact is then calculated risk value (risk matrix) i.e. the value of consequences multiplied by opportunity value where the results are could grouped into risk extreme, high, medium or low that continued with to determine safeguards measures that can be done to control the such danger. The results showed that performs the titration step has high very risk level value compared to another work step other of pharmaceutical chemical practicum quantitative. Titration activities carry an extreme or significant risk of harm when performed incompatible with working measures and unsafe with potential danger (disadvantage) is liquid evaporates (inhaled), disturbances The End Point of the Titration: change in color and determination of concentration, and perform movements manual repetitive continuously namely mixing the liquid or rotating the container (erlenmeyer) contains a chemical liquid by hand continuously.

Evaluation on The Use of Antibiotics for Pneumonia Patients

Pneumonia is an acute infectious disease that attacks lung tissue (alveoli) which can be caused by viral, bacterial, or fungal infections. Pneumonia is one of the diseases that have the highest death risk in Indonesia. The first line of treatment for pneumonia is antibiotic therapy. Inappropriate use of antibiotics will increase the possibility of antibiotic resistance. Antimicrobial Control Program (PPRA) is a health surveillance to control the use of antibiotics where the indicator of success is seen from the improvement in the quantity and quality of antibiotic use. Antibiotic control that can be performed is evaluating the use of antibiotics quantitatively and evaluating the suitability of antibiotics. The purpose of this study was to determine the quantity of antibiotic use with the DDD/100 patient-days unit and the suitability of the use of antibiotics based on PPAB. This study was observational, the data were taken retrospectively and analyzed descriptively. The research material used medical record data for pneumonia patients from January to June 2020 at RSUD Bangil. There were 91 research samples obtained by purposive sampling that met the inclusion and exclusion criteria. The data were analyzed quantitatively using the DDD/100 patient-days unit and 90% DU, and the suitability of antibiotics was analyzed using five indicators of the right indication, the right route, the right dose, the right interval, and the right time of administration. The results showed the use of antibiotics with a total value of DDD/100 patient-days of 78.13 DDD/100 patient-days with the highest value on moxifloxacin (39.28 DDD/100 patient-days). Antibiotics included in the 90% segment that need to be controlled are parenteral moxifloxacin (50.27%), ceftriaxone (23.34%), azithromycin (6.83%), oral moxifloxacin (4.62%), and levofloxacin (3.85%). The suitability of antibiotics based on PPAB RSUD Bangil 2019 showed the right indication (51.65%), right route (100%), right dose (87.23%), right interval (48.93%), and right time of administration (10.64). %).

Spouse's Coping In Caring For The Elderly With Dementia

Dementia is a condition that is still considered normal in the elderly by the general public. Dementia clients often experience hopeless situations that include feelings of helplessness, frustration with their surroundings, economic dependence on family members, and inability to socialize with other people. Most dementia clients are cared for at home by family members due to financial limitations and supportive health services. This research is qualitative research with a descriptive phenomenology approach. This research was conducted in the period November 2018 - May 2019 in the Bekasi City area and the number of participants obtained by the researchers was 10 people. The theme obtained by the researchers was how the coping mechanism carried out by the carer while caring for the elderly with dementia which was described in 3 themes, including care efforts made to heal a partner, activities taken to avoid boredom, and resources owned by caregivers. In addition, there is a need for socialization for the community about dementia and an increase in understanding for health workers who work within the scope of the health office as well as the development of dementia conditions that occur.