Peluang dan Tantangan Interprofessional Education Di Masa Pandemi Covid-19

Health professionals are required to be ready to face challenges in the health sector (triple burden) caused by infectious diseases, degenerative diseases and emerging diseases such as Covid- 19 which is currently a pandemic. Health academics have a role to provide education and training for students with team-based service competencies. The research objective was to identify opportunities and challenges for interprofessional education (IPE) in the practical experiences of health faculty students. Collect data using a questionnaire and analyzed it descriptively. The results of the measurement of knowledge show that 73% of respondents understand IPE, 94.6% of respondents understand about working with other professions through IPE. 97.0% of respondents understand IPE to train the confidence of prospective health workers. 88.0% of respondents understand IPE to provide joint services with different professions. While the measurement results obtained 92.8% of respondents agreed to the application of IPE in learning at the Faculty of Health, choosing to agree that prospective health workers must study and practice directly for 98.8.0% by paying attention to 4 IPE factors (ethics, roles/responsibilities, interpersonal communication and teamwork, and 98.8% of respondents agreed that health services could be provided optimally if they were able to understand and appreciate the competence of each health profession, while the measurement results of IPE skills were obtained 97.0% of respondents agreed that when studying in the laboratory/field must respect different friends, 98.8% of respondents agree that students who try to be good listeners, and 56.3% of respondents who choose not to wait for orders, and 83.8% of respondents who are tasked with carrying out the correct task. It is felt that 46.7% find it difficult to use creativity when carrying out tasks when they have to work with other professions.

ANALISIS KATEGORI TINGKAT AWAL SISTEM MANAJEMAN KESEHATAN DAN KESELAMATAN KERJA (SMK3) PT. KERTA RAJASA RAYA SIDOARJO

PT. X is a multinational company that focuses on the production of plastic bags. Based on company data, shows that the annual work accident rate is still high, in 2018 there were 97 cases of work accidents. Occupational accident cases can be handled through the development of a system that regulates every activity to be safe, namely the Occupational Health and Safety Management System (OHSMS). The purpose of this study was to determine the achievement of the application of K3 in the company by analyzing the initial level criteria for implementing OHSMS based on Government Regulation Number 50 of 2012 concerning OHSMS. This research uses a quantitative approach. Based on the data collection aspect, it is included in observational research. The data analysis was conducted descriptively, to see the percentage of fulfilment of the criteria and elements at the initial level of OHSMS. The results showed that PT. X has just met 19 criteria for the initial level of OHSMS and the fulfilment of the new criteria has reached 29.68%, meaning it is included in the poor category. Based on the research results it can be concluded that PT. X has not met the initial level 64 criteria, currently, the fulfilment category is still in the low category.

PENILAIAN PROBABILITAS HUMAN ERROR DI INDUSTRI TAMBANG BATUBARA

Based on data from the Health and Safety Executive, it can be concluded that as many as 90% of accidents are caused by human error. Coal mining is an industry that has a high risk of work accidents. If the mining process is not following procedures, then lives will be at stake. Human error probability assessment needs to be done because most accidents that occur in coal mining are caused by human error. HRA (Human Reliability Analysis) is part of the risk assessment process which aims to calculate the HEP value. HRA has been used in many studies to assess the risks involved in large, complex, and dangerous systems. The Success Likelihood Index Method (SLIM) is a method of analysis for human reliability. Prevention and control of human error need to be done at every stage of work. SLIM can analyze HEP at each stage of the work. SLIM aims to obtain a HEP value. To get the HEP value, we must first find the SLI (Success Likelihood Index) value. Finding the SLI value comes from a weighting questionnaire and PSF (Performance Shaping Factor) assessment that has been filled in by an expert judgment. After the HEP value is obtained, it can be seen which jobs fall into the safe risk level and which the risk cannot be accepted. Furthermore, risk reduction is carried out by making a task analysis of jobs that have a high hazard risk. Based on the research results, it can be seen the factors that cause a human error, namely unsafe conditions, unsafe actions, personal factors, and job factors. While the task that has the highest HEP value is on task 4, which is equal to 0,006932. The task with the smallest HEP value is task 1, amounting to 0,006478.

Efektivitas bayam dan buah bit terhadap kadar hemoglobin ibu hamil

Pregnancy is a process of growth and development in an intrauterine fetus from conception to be born (1). Pregnant women are a group that is prone to nutritional problems due to an increase in body metabolism resulting in an increase in the need for nutrients. One of the nutrients needed is iron and folic acid found in spinach and beets. This study aims to measure the effectiveness of spinach and beets on hemoglobin levels of pregnant women through a systematic literature review approach. The results of a review of studies related to the effectiveness of spinach on hemoglobin levels of pregnant women with varying amounts and times. This method is effective for increasing hemoglobin levels in pregnant women in addition to offering Fe tablets. Giving beets, both in the form of juice, extract / supplement is also effective in increasing hemoglobin levels for pregnant women. Based on the results of a systematic literature review in total it can be denied that spinach and beets can effectively increase hemoglobin levels for pregnant women with a minimum duration of administration for 7 days in various types of preparations.

VARIASI WAKTU KONTAK ARANG AKTIF UNTUK MENURUNKAN BILANGAN PEROKSIDA PADA MINYAK GORENG BEKAS PAKAI

Vegetable oil in the cooking process usually is used multiple times to fry food. This process exposes the oil to heat and oxidation. The oil itself is lipid. Lipid is a triglyceride, which means three carboxylic acids are bonded to one molecule of glycerol to form of ester. Exposing triglyceride to heat and oxidation causes it to deteriorate and break into smaller molecules such as aldehyde, ketones, and hydrocarbons. This molecule causes rancidity. Rancidity can be measured in terms of the amount of hydroperoxide presents in oil in mEq of O2/Kg. The peroxides present oxidize the iodide to iodine and the iodine is then titrated to a colorimetric endpoint using sodium thiosulfate with starch as an indicator. The amount of iodine produced is directly proportional to the peroxide value. The research has been conducted to reduce the peroxide value of used cooking oil using adsorption. The adsorbent used here is activated charcoal with a concentration of 3% and particle size of 100 Mesh. Contact time with oil is varied, ranged from 30 to 90 minutes. Statistic treatment of t-student test is performed between peroxide value before and after treatment and it is found that the difference is significant. That means active charcoal can decrease peroxide value. One way of ANOVA test among contact times (30, 60, 90 minutes) proves there is no significant difference, leading to the conclusion that activated charcoal at 3% and particle size 100 Mesh can decrease the peroxide value of oil in only 30 minutes of contact time.

ANALISIS FAILURE MODE EFFECT (FMEA) PADA PENGADAAN OBAT DAN PERBEKALAN KESEHATAN PADA ERA JAMINAN KESEHATAN NASIONAL DI PUSKESMAS WONOKROMO SURABAYA

Drug services in Public Healthcare are an important component whose availability influences the success of health efforts. District / City Health Office is a regional government work unit in the health sector, one of the tasks and authorities of which is to provide and manage public medicines for the district/city area. Effective pharmaceutical management in health service facilities is very important for patient welfare so risks must be identified and controlled. One of the efforts made by the City Health Office is to procure drugs using other methods that are legal according to government procurement of goods/services besides e-purchasing, which is called non-e-purchasing of drugs. Risks in the pharmaceutical supply chain are related to product discontinuity, product shortages, poor performance, patient safety, expense errors, and technological errors, all of which can result in system disruption. This study aims to determine the suitability of the plan with the realization of e- purchasing of drugs, identify problems that hamper the implementation of e-purchasing of drugs, determine the impact of obstacles on procurement, cost efficiency of drug procurement and determine the potential savings of drug procurement by e-purchasing for the period 2015 to 2019 by using the FMEA method, the e-purchasing data was collected at the Wonokromo Public Health Center in Surabaya. Study Failure Mode Effect (FMEA) in the procurement of drugs and UHC health supplies in Surabaya Wonokromo Health Center for the period of 2015-2019, it can be concluded that the absorption of capitation funds is more considered using the availability variable compared to the uptake of funds based on the rupiah value because the availability of more guarantees the need for treatment in the sustainable health centre. In this case, the perception of procurement actors in the analysis of UHC procurement process obstacles there are 41 obstacles, the role of E-purchasing is a very helpful system even though the implementation has not been perfect.

Pengaruh Lama Perawatan Terhadap Indeks Platelet Pasien Demam Berdarah Dengue (Dbd) Di Rumah Sakit Islam Jemursari Surabaya

Penyakit Demam Berdarah Dengue (DBD) merupakan salah satu penyakit infeksi tropis terbanyak di Indonesia yang disebabkan oleh virus dengue dan diperantarai oleh gigitan nyamuk Aedes aegypti dan Aedes albopictus. Salah satu gejala klinis dari penyakit dengue adalah menurunnya jumlah trombosit darah. Terdapat beberapa indeks trombosit yang diketahui sebagai indikator aktivasi trombosit, yaitu Mean Platelet Volume (MPV), dan Platelet Distribution Width (PDW). Pasien DBD yang mengalami perawatan di Rumah Sakit hanya memantau jumlah trombosit yang rendah selama proses penyembuhannya. Tujuan dari penelitian ini untuk mengetahui pengaruh lama perawatan terhadap Indeks Platelet MPV dan PDW pasien DBD. Data diperoleh dengan pengambilan data primer di Rumah Sakit Islam Jemursari Surabaya. Penelitian ini merupakan jenis penelitian One Shot Case Study dengan metode deskriptif analitik dan desain Cross sectional pada pasien DBD di Rumah Sakit Islam Jemursari Surabaya. Teknik pengambilan sampel menggunakan teknik accidental sampling. Analisis data MPV dan PDW menggunakan uji non-parametrik Wilcoxon Sign Rank Test.. Uji tersebut digunakan untuk melihat pengaruh lama perawatan pasien pada indeks platelet MPV dan PDW dengan tingkat kemaknaan α=0,05. Hasil uji statistik Wilcoxon Signk Rank Test pada MPV menunjukkan signifikansi sebesar (ρ=0,845), dan hasil uji statistik Wilcoxon Signk Rank Test pada PDW menunjukkan signifikansi sebesar (ρ=0,469). Berdasarkan hasil penelitian, dapat ditarik kesimpulan bahwa tidak terdapat pengaruh lama perawatan terhadap Indeks Platelet MPV dan PDW pada pasien DBD di RSI Jemursari Surabaya.

Relationship of Hand Hygiene with the Contamination of Parasite Student’s Intestine of Madrasah Ibtidaiyah in X Islamic Boarding School Surabaya

Gastrointestinal infection is the highest cause of morbidity and mortality in developing countries with mortality caused by diarrhea as high as 56%. Parasitic infections spread throughout the world and have been shown to be one of the causes of morbidity and disease in areas that are thought to be beneficial for the growth of intestinal parasitic infections. Giardia lamblia is a parasite that has flagellates that attack mammals, including humans, and is considered the most common cause of diarrhea caused by protozoa around the world. Blastocystis hominis is a parasite that is also common in humans, and infects several animals, such as birds, reptiles and anthropods. The purpose of this study was to see the relationship between hand hygiene and parasitic contamination in students at Islamic Boarding School X in Surabaya. This study was an observational study with a cross sectional research design. This research was conducted at one of the Islamic Boarding Schools in Surabaya. The study sample was Madrasah Ibtidaiyah students who received 10 people who participated 7-13 years. The sampling technique in this study was nonprobabilty sampling. The results of the study obtained Rho Spearman value was p = 0.040. The conclusion is that there is a significant relationship between hand hygiene and intestinal contamination in students' feces at the Islamic Boarding School X in Surabaya. Suggestions that can be given are Islamic Boarding Schools which provide guidance and guidance on clean and healthy life to students, teachers and food managers.

HUBUNGAN ANTARA PENERANGAN DI TEMPAT KERJA DAN KARAKTERISTIK PEKERJA DENGAN KELUHAN KELELAHAN MATA PADA PENJAHIT BORDIR DI CV.X BANGIL-PASURUAN

Improper lighting that is not according the standards may result in health problems, one of which is eyestrain, a visual disturbance. Eyestrain is one result of improper lighting that is not according to standards. In addition, the characteristics of workers also play a role in the occurrence of eyestrain. The purpose of this study is to determine the relationship between the lighting in a workplace and the characteristics of workers with complaints of eyestrain in embroidery tailors at CV "X" Bangil, Pasuruan. This study is an observational study with a cross-sectional study design. The research population was all embroidery tailors in CV "X" Bangil, Pasuruan, as many as 122 workers. The research sample was taken using the Simple Random Sampling method, and 55 workers were obtained. The data were collected by measuring the workplace lighting using a luxmeter measuring instrument. The research instrument used were observation sheets and questionnaires. The data analysis was done by using the Fisher's Exact Test. The results of lighting measurements indicate that the intensity of illumination both general and local is still below the Standard Value. The poor quality of lighting is indicated by most workers who experienced glare, shadow disturbances, and improper workplace decorations. The results of the statistical test show that the p value of all variables > α (0.05). There is a significant relationship between the lighting in a workplace and the characteristics of workers with eyestrain. CV "X" needs to schedule a maintenance and cleaning for lights, armatures, wall windows, floors and work desks. In addition, it is necessary to increase the intensity of lighting in the workplace. Keywords: lighting, worker characteristics, eyestrain

HUBUNGAN TINGKAT KEBERSIHAN DIRI DAN FAKTOR PREDISPOSISI PADA ANAK DI PANTI ASUHAN AL-AMAL SURABAYA

ABSTRACT The incidence of infectious diseases due to personal hygiene in orphanages children often occurs. a factor that has an influence is predisposing factors. The purpose of this study is to known the correlation between the level of personal hygiene and predisposing factors in children at Panti Asuhan Al Amal Surabaya. The research type was observation research with cross sectional approach. The research subject’s samples used 67 children from 80 children of total population. Statistical analysis to obtain correlation used chi-square test. The results showed that there is relationship between age (p value = 0.002), knowledge (p value = 0.039), and facility (p value = 0,001) to the level of personal hygiene. there is no relationship bentween gender (p value = 0.084) and attitude (p value = 0.225) to the level of personal hygiene. So it can be concluded that age and knowledge as predisposing factors are dominant to influence person's behavior. Keywords: personal hygiene, knowledge, predisposing factors, children ABSTRAK Kejadian penyakit menular karena kurangnya kebersihan diri pada anak di panti asuhan sering terjadi. Salah satu faktor yang memiliki pengaruh yaitu faktor predisposisi. Tujuan dari penelitian ini adalah mengetahui hubungan antara tingkat kebersihan diri dan faktor predisposisi pada anak di Panti Asuhan Al Amal Surabaya. Jenis penelitian ini adalah penelitian obseravional dengan pendekatan cross sectional. Jumlah sampel yang digunakan sebesar 67 anak dari total populasi 80 anak. Analisa statistik untuk mendapatkan hubungan menggunakan uji chi-square. Hasil menunjukkan bahwa ada hubungan usia (p value = 0,002), pengetahuan ( p value = 0,039), dan fasilitas (p value = 0,001) terhadap tingkat kebersihan diri. Jenis kelamin (p value = 0,084) dan sikap (p value = 0,225) tidak ada hubungan terhadap tingkat kebersihan diri. Sehingga dapat disimpulkan bahwa usia, pengetahuan, dan fasilitas sebagai faktor predisposisi yang dominan dalam mempengaruhi perilaku seseorang. Kata Kunci: kebersihan diri, pengetahuan, faktor predisposisi, anak