Pengaruh Pemberian Terapi Akupresur terhadap Tekanan Darah Lansia di Puskesmas Kediri I Tabanan

Long as the elderly are getting older, the cardiovascular system will experience changes such as arteries losing their elasticity, leading to an increase in pulse and systolic blood pressure. Acupressure is a development of acupuncture therapy that can lower blood pressure; stimulation at the acupressure point causes the release of endorphin hormones which reduce lactic acid production to provide a relaxed and comfortable condition. This study used a pre-experimental research design with a one-group pre-posttest design with simple random sampling, which involved 34 elderly with hypertension. According to the standard operational procedure (SOP), blood pressure was measured with a sphygmomanometer, and acupressure therapy was the standard operational procedure (SOP). Data analysis was carried out using a paired t-test because the data were normally distributed. The results showed that the mean blood pressure before the intervention was 152.35/97.65 mmHg, while after the intervention, the average blood pressure was 140.74/90.59 mmHg. Analysis with paired sample t-test obtained p-value = 0.001 in systolic and diastolic pressures. There were differences in blood pressure before and after acupressure therapy intervention in the elderly at Kediri I Public Health Center, Tabanan Regency. It is hoped that nurses can independently provide acupressure therapy to older adults with hypertension to lower blood pressure.

Determinasi Kejadian Perilaku Seksual Pranikah dalam Aktivitas Pacaran Remaja di Kalimantan Tengah

Based on the 2017 IDHS survey, most adolescent women (80%) and men (84%) reported dating. The 15-17 years is the age group when adolescents start dating. Teenage dating activities lead to sexual behavior, such as holding hands, hugging, kissing lips, touching sensitive parts, and having sex. This study aims to determine the influence of the background characteristics of adolescents (age, area of residence, level of education) and social patterns (having friends having premarital sex, having the urge because of friends, influencing friends to have premarital sex, considering virginity important) on the incidence of premarital sex in Central Kalimantan 2017. Secondary data were obtained from the 2017 IDHS survey. Data analysis was performed by univariate, bivariate (Spearman rho test), and multivariate (logistic regression test). The results showed that 88% of respondents had sexual behavior orientation, and 12% did not. The correlation analysis explains a significant relationship between premarital sexual behavior and the area of residence. Respondents who live in cities are 3.47 times more likely to commit premarital sexual behavior (α<0,05 = 0,021; OR = 3.47). In addition, there is sufficient evidence to suggest a relationship between premarital sexual behavior and education level, respondents who attend high school and above are 2.71 times more likely to have premarital sexual behavior (α<0,10 = 0,066; OR = 2.71). Meanwhile, other variables from background characteristics and social patterns have no significant relationship/do not influence premarital sexual behavior. So it can be concluded that the background characteristics in the area of residence (Sig Wald <0.0) have a significant partial effect on adolescents' incidence of premarital sexual behavior in Central Kalimantan.

Pengaruh Kombinasi Polimer Polivinil Pirolidon dan Etil Selulosa terhadap Karakteristik dan Uji Penetrasi Formulasi Transdermal Patch Ekstrak Bawang Dayak (Eleutherine palmifolia (L)

The transdermal patch can deliver the active substance with good bioavailability, then made formulations of such preparations from dayak onion extract, which has a compound content of flavonoids, with a combination of polymer PVP K30 and ethyl cellulose to produce transdermal patches with good physical evaluation and penetration. The research aims to carry out the effect and ideal formulation of transdermal patches of dayak onion extract with a combination of polymers PVP K30 and ethyl cellulose based on physical evaluation and penetration—manufacture of transdermal patches using the solvent evaporation method. Physical evaluation includes organoleptic testing, weight uniformity, thickness, folding resistance, and moisture testing. Then evaluate the penetration of the active substance using Franz diffusion cells. Analyze data with One Way ANOVA. The physical evaluation results of weight uniformity, patch thickness, folding resistance, and moisture test of transdermal patches on F1, F2, F3, and F4 meet the requirements. As for the results of penetration tests, F1, F2, F3, and F4 can be penetrated from 120 minutes to 180 minutes with the concentration of active substances that are linearly penetrated. The combination of polymers PVP K30 and ethylcellulose has affected the physical evaluation of transdermal patches of dayak onion extract. Based on the physical evaluation and penetration test in vitro obtained, the most optimal formula results are F3 with comparison PVP K30 and ethyl cellulose (100:300).

Analisis Zat Gizi Mikro dan Tinggi Badan Ibu Balita terhadap Kejadian Stunting di Daerah Gambut dan Aliran Sungai

The issue of hindering can be impacted by the insufficient and incessant quality and amount, both small scale and large scale, particularly from the hatchling to the age of 2 a long time, and wiped out children. The frequency of hindering can too be caused by hereditary variables (heredity) where the hereditary message gotten by children from guardians put away in Deoxyribose Nucleic Corrosive (DNA) will show the physical shape and potential of the child, even though this figure is the as it were a figure that decides the baby's development and advancement. This thinks about points to decide the micronutrient status and only the mother's stature with the hindering rate in peat and waterway bowl regions. This thinks about is an expository plan with a case-control plan between peat zones and waterway streams, with a review approach to hindering chance variables. The number of tests is 100 children beneath five with 50 cases and 50 controls. Factual examination to be carried out incorporates univariable, bivariable examination with Calculated Relapse. The comes about appeared that there was a critical relationship (p<0.05) between micronutrients and hindering in peat ranges and riverbanks. Little children in peat and riverbank zones who encounter micronutrient admissions have 0.24 times and 5.8 times the chance of encountering hindering. There was no critical relationship between maternal stature (TB) and the rate of hindering in both peat and watershed ranges (p>0.05). In any case, moms of little children with TB < 150 cm were cut 1.7 times in peat zones and 0.54 times in watersheds to grant birth to hindering little children. Conclusion. There's a noteworthy relationship between micronutrient status and no noteworthy relationship between maternal stature status and hindering in peat ranges and waterway flows.

Studi Literatur: Obesitas sebagai Faktor Resiko terhadap Kejadian Urolitiasis secara Klinis

The incidence of urolithiasis tends to relapse, causing increased mortality and medical costs. In 2015, there were 22.1 million cases of urolithiasis which caused death in about 16,000 people. Obesity is a risk factor that can increase the incidence of urolithiasis. However, there are differences in the results of studies regarding the relationship between obesity and urolithiasis. This literature review aims to analyze the factors that influence the relationship between obesity and urolithiasis. This literature review study uses a systematic review design. The data source used in this literature review is secondary data in scientific journals that have met the inclusion and exclusion criteria. Based on data synthesis from the fifteen journals studied, twelve journals stated a relationship between obesity and the incidence of urolithiasis. In contrast, the other three stated that there was no relationship between obesity and the incidence of urolithiasis. Obesity is associated with a spectrum of metabolic disorders that lead to increased excretion of urinary lithogenic factors. In addition, obesity can increase urolithiasis in types of calcium oxalate and uric acid stones.

Aplikasi Program Pencegahan DBD terhadap Perilaku Masyarakat dalam Pengawasan dan Pemberantasan Jentik Nyamuk Demam Berdarah Dengue dengan Menerapkan Teori Health Belief Model

Dengue Fever is a disease caused by the dengue virus with acute fever symptoms by entering the human bloodstream through the bite of a mosquito from the genus Aedes. Dengue Hemorrhagic Fever (DHF) has spread widely to all provinces in Indonesia. This disease often appears as an Extraordinary Event (KLB) with relatively high morbidity and mortality. Many dengue incidence rates make the application of the DHF prevention program by applying the theory of the Health Belief Model (HBM) as a prevention effort that can change the behavior of healthy and clean living. This HBM consists of four components: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action. Based on the results of the study, it was conducted from 16 November - 12 December 2020. This research used a Quasi-experimental research design with the One Group Pre Post-test design approach with a sample of Ngrancah Hamlet RT 25 RW 8 Senggreng Village residents using a total sampling technique. The analysis technique of this research is using univariate analysis. The results of this study indicate that the health belief model theory indicators in the DHF prevention program are close to a maximum value, namely Perceived Susceptibility with a mean value of 17.30, perceived severity with a mean value of 15.80, perceived benefits of 15.80, perceived barrier 16.70, and cues. To act with a mean value of 17.30. This study concludes that these results are expected to increase awareness for healthy and clean behavior in preventing DHF.

Perbandingan Jumlah Donasi Darah Sebelum dan Saat Pandemi Covid-19 di UTD PMI Banyumas Tahun 2019 dan 2020

Blood donation is someone who voluntarily gives blood; then, the feasibility is processed and transfused to patients in need. Blood donors come from voluntary blood donors or substitute donors/families or certain communities. The COVID-19 pandemic is the spread of a coronavirus epidemic that has spread to various continents and countries. This research is a quantitative descriptive study with a time approach used as a retrospective. The number of donations before the pandemic was 18,661, the number of donations during the pandemic was 22,882, and media for disseminating information using the Whatsapp application. The increase in the number of blood donations during the COVID-19 pandemic and the efforts made to keep donors from donating blood during the COVID-19 pandemic.

Faktor Kecemasan Tenaga Kesehatan dalam Memberikan Perawatan pada Pasien Covid-19: A Literatur Review

Covid-19 as a global pandemic has overwhelmed the global health care system, and medical personnel experience a large workload due to long service shifts, which impact psychological disorders, one of which is anxiety; the anxiety experienced varies from mild, moderate to severe. To find out and display the causes of anxiety that arise in health workers while dealing with COVID-19 patients through searching literature articles. This research method is a literature review, with article searches starting from 2019-2020, using the ProQuest, PubMed, sciencedirect.com, google scholar, and crossref databases with the keywords health workers anxiety, OR Nurse anxiety, OR covid-19 patients. The identification of articles found as many as 620 articles and included in the selection criteria for 101 articles. 101 articles were included in the inclusion criteria selection, 11 articles were found that met the inclusion criteria. 11 articles were extracted and found several factors including gender, age, education, marital status, availability of APD, fear of infection, presence of comorbidities, having elderly family members, working conditions and environment, direct contact, type of hospital, profession, history of anxiety, patient honesty. The factors that cause anxiety in health workers when treating COVID-19 patients occur from individual internal and external factors. It occurs from individual internal factors including gender, age, education, marital status, fear of being infected, the presence of comorbidities, having a history of anxiety. External factors include the availability of APD, having elderly family members, working conditions and environment, direct contact, type of hospital, profession, patient honesty.

Formulasi dan Evaluasi Floating System Tablet Difenhidramin HCl Menggunakan Kombinasi Matriks HPMC K4M dan Na. CMC

A floating system tablet was made using HPMC K4M and Na matrices. CMC with the active substance diphenhydramine HCl, which absorption in the stomach. The research aims to determine the effect of a combination of HPMC K4M and Na. CMC matrices are optimal in a floating system formulation. This research used an experimental method with a RAL design. Tablets were made by direct compression and were evaluated. The results were then analyzed statistically using One Way ANOVA. The loss results on the drying test, the tapped density test, and the measurement of the angle of repose of all formulations met the requirements. The powder flow rates of all formulations did not meet the requirements. The resulting tablet is white, bitter, round, and smells of medicine. Tablets in all formulations have uniform weight according to requirements. The hardness test results showed that only formulation 3 met the requirements, while all formulations did not meet the requirements in the friability test. In the lag time test, the results obtained in formulation 1 and formulation 2, formulation 3, and formulation 4 are 4 seconds, 4 seconds, 3 seconds, and 1 second. In contrast, the floating time results show that all formulations can float for 24 hours. All evaluation results indicate that the optimal formulation in formulation 3.

Perbandingan Proporsi Antibodi Ireguler pada Pasien Multitransfusi dan Pasien Non Multitransfusi di UTD RSUP Dr. Mohammad Hoesin Palembang

Irregular antibodies or "unexpected antibodies" are antibodies other than antibody A and antibody B that can occur due to pregnancy and blood transfusions. Patients who frequently perform transfusions (multitransfusions) are more at risk of forming irregular antibodies because the frequency of exposure to donor red blood cell antigens is more frequent. Irregular antibodies are clinically significant because they can cause hemolysis (erythrocyte alloantibodies), febrile non-hemolytic transfusion reactions (leukocyte alloantibodies), or refractory platelet transfusions (platelet alloantibodies). This research aims to compare the proportion of irregular antibodies in multitransfusion patients and non-multi transfused patients at UTD Dr. Mohammad Hoesin Palembang. This research is an analytic observational study with a cross-sectional design conducted on 2 groups of subjects, 45 each sample. Antibody identification in each group was carried out. Chi-Square analyzed the proportion of irregular antibodies. An analysis of the types of antibodies found and the accompanying clinical diagnoses were carried out. This study showed a significant difference in the proportion of irregular antibodies between the multitransfusion and non-multitransfusion groups with a p-value of 0.001. The types of irregular antibodies found anti-c, Fya, Lea, M, Kpa, LubkKpb, and the clinical diagnoses that found irregular antibodies were anemia, thalassemia, and AIHA.