TELEMEDICINE AS AN EFFORT TO IMPROVE PUBLIC KNOWLEDGE TO FIGHT COVID-19 PANDEMIC

The role of the community is an essential part to cut down the COVID-19 chain transmission, a current world pandemic. Knowledge determines a person's healthy behavior that can prevent transmission of COVID-19. This research’s goal is to analyze the effect of health promotion via telemedicine on increasing knowledge about COVID-19 prevention in the productive-age population in Indonesia. This study used one group pretest-posttest design and accidental sampling method involving 146 respondents based on the inclusion criteria. The data collection method was carried out by using a questionnaire containing simple and general questions related to COVID-19 that tested subjects before and after telemedicine health promotion. Based on the assessment of the questionnaire through pretest and posttest, there was an increase in the average knowledge after being given health education with telemedicine with p<0.001 (CI 95%). This study shows that telemedicine could significantly increase average knowledge about COVID-19 prevention in the productive-age population in Indonesia.

NATIONAL HEALTH INSURANCE BASED TELEMEDICINE APPLICATION FOR HYPERTENSION MANAGEMENT IN PRIMARY LEVEL OF HEALTH FACILITIES

Hypertension nowadays still becomes one of the severe problems in Indonesia, with a prevalence of 34% in 2018. The complication of hypertension causes the most deaths and disabilities in Indonesia and cost 75% of The Social Security Organizing Agency (BPJS) budget or IDR 15 trillion in 2019. This problem was probably caused by patients' lack of knowledge and limited personnel at the primary health centre (PHC). Telemedicine is a health care provider without any direct contact, which has various methods. Today, telemedicine in Indonesia is growing rapidly along with technology and legal regulation in its implementation, increasing users by 700% in the first year of 2020. Despite the rise of those numbers, telemedicine in PHC is still limited. Recently, the Ministry of Health and various organizations have issued telemedicine regulations at primary level health facilities in collaboration with The Social Security Organizing Agency. This review aims to discuss the current implementation and the potential future of telemedicine-based hypertension management in collaboration with the Social Security Organizing Agency in PHC.

ANALYSIS OF COMPLIANCE OF EAR PROTECTOR USAGE ON THE PREVENTION OF NOISE INDUCE HEARING LOSS AT STERILIZATION INSTALLATION

Noise Induce Hearing Loss (NIHL) is a work disease that is often found in industrial workers. The use of ear protectors that are in accordance with the standard along with the continuity of optimal use can reduce the risk of hearing loss due to noise in the workplace. Adherence to use ear protectors greatly affect the possibility of a person experiencing a more severe hearing loss. The purpose of this study is to prove the existence of relationship of compliance with the use of ear protectors with hearing loss due to noise in the installation of sterilization and laundry. This study used cross sectional methods. Seventeen samples were taken by consecutive sampling for audiometry examination and measurement of compliance with the use of Ear Protective Equipment. Respondents received an average score of 1.86 indicating that compliance with the use of ear protectors was sufficient. Based on the results of the measurement of the auditory threshold in 17 respondents as many as 4 respondents (23%) normal hearing and as many as 13 respondents (77%) experienced NIHL. The results of statistical tests with Pearson correlation show that the Pearson correlation coefficient number of -0.643, which means that the correlation between compliance variables with noise due to noise is 0.643. Based on the criteria above, the relationship between the two variables is significant because the number of significance is P-value / Sig 0.005 <0.05. So, there is a relation between years of work with Noise Induce Hearing Loss, education and Noise Induce Hearing Loss, and compliance with the use of ear protectors with NIHL

PREVALENCE OF DEPRESSION IN FIRST-YEAR MEDICAL STUDENTS AT AIRLANGGA UNIVERSITY, INDONESIA

Depression is a mental disorder with a relatively high prevalence rate in medical students around the world. Medical students are often faced with a variety of pressures ranging from academic to social stress so that the prevalence of depression in medical students tends to be higher than general population. Therefore, this study aimed to find out the prevalence of depression in medical students at Airlangga University. This research was a descriptive cross-sectional study. The sample used was 86 first-year medical students at Airlangga University, Indonesia in the academic year of 2017/2018. The data collection was carried out using Beck Depression Inventory II questionnaires as a measurement instrument. The data was analyzed by descriptive univariate using SPSS 16.0. From 86 samples obtained from first-year students, 37.20% of them experienced mental conditions that were considered abnormal (mean score of 10.14 ± 7.093), starting from mild mood disturbance (23.26%) to the most severe category, severe depression (1.16%). There was no extreme depression category in this study. Furthermore, mean score of male subjects is 8.57 ± 6.120 while mean score of female subjects is 10.64 ± 7.351. This study revealed that the prevalence of depression in first-year medical students at Airlangga University in the second semester of academic year 2017/2018 is quite high, which is more than one third of the total respondents while the prevalence in female subjects is higher than in male subjects.

THE CORRELATION BETWEEN KNOWLEDGE AND PERCEPTION OF YOUTH USERS OF VAPE TOWARDS VAPING BEHAVIOR IN BANGIL DISTRICT

The use of e-cigarettes year by year increases among adolescents. The increase correlates with their lack of knowledge about e-cigarettes and the perception that e-cigarettes are safer than conventional cigarettes. This research aims to analyze the relationship between the level of knowledge and perception of e-cigarettes to vaping behavior in adolescents in Bangil, Pasuruan. This study was analytic observational with a cross-sectional approach conducted from September until October 2019. The subjects in this study were 76 respondents selected by the purposive sampling method. The respondents were recruited from 3 cafes in Bangil by distributing questionnaires to those who met the inclusion criteria. The independent variables are the respondent’s knowledge level and perception about e-cigarettes, while the dependent variable is vaping behavior. The data has been analyzed with Spearman’s rho. From the analysis, there was a correlation between level of knowledge and vaping behavior with p=0.019 (p<0.05) and 0.269 correlation coefficient. Also, a correlation between perception and vaping behavior with p=0.000 (p<0.05) and 0.420 correlation coefficient. There was a correlation between knowledge level and perception of e-cigarettes to vaping behavior among adolescent users.

RELATIONSHIP BETWEEN FOOD CONTACT TIME TO THE EFFECT ON TRANSFER OF MICROBES FROM CERAMIC FLOOR USING THE FIVE-SECOND RULE

Eosin-Methylene Blue (EMB) in order to isolate gram-negative bacteria (Escherichia coli) as the contamination level indicator. Microbes identified with gram staining and observed under a light microscope. The result reported into 5 categories: microbes were founded or not in the petri dishes, determine whether lactose fermentation/acid production can be observed, grade the microbes concentration founded in the petri dishes (grade 1-6), classify the level of contamination (low-high), describing colonies shape in EMB agar and identifying the microbes with gram staining. The results was at the student center’s canteen 3 of 5 samples under 5 seconds are positive and 5 of 7 samples until 300 seconds are positive. The level of contamination was inconsistent with increasing time. Whereas in the diagnostic center’s canteen 12 of 12 samples were all positives, regardless of time. In conclusion, the five-second rule is a significant oversimplification of what actually happens when bacteria transfer from a surface to food. Risk of transfer of contamination is constantly present regardless of time.

THE ROLE OF FAMILY INTERVENTION IN EARLY DETECTION OF CONGENITAL DEAFNESS: A CASE STUDY

Congenital deafness is a hearing loss disorder that occurs at birth and is one of the disorders that can cause complications when it is not treated.1 Children with hearing loss will face difficulties such as poor development outcomes, including poor speech and language skills and face difficulties with cognition and social-emotional interactions. Early intervention has been proven to be one of the most important factors leading to good outcomes for children with congenital hearing loss.2 This case study is intended to highlight the importance of early case detections, early interventions and how family support plays a crucial role in the development of children with hearing loss. With the support of her family, Ms. DRP has gone through several speech and hearing therapies since her surgery and has proven to have an above-average linguistic abilities, showing that early problem detection does not hinder the development and achievement of children with congenital hearing loss.

DESCRIPTION OF RISK LEVELS OF GADGET ADDICTION, BULLYING BEHAVIOR, AND DRUG ABUSE IN ADOLESCENTS

Gadgets can be interpreted as a tool that can easily be connected to the internet. If the use of gadgets can be done wisely, humans will get many benefits from using gadgets. But if the use of gadgets cannot be controlled, it will have a negative impact. One of the negative effects obtained is dependence or addiction to the gadget itself. Apart from the use of gadgets, bullying is also common today. Approximately three million teenagers become drug abusers in Indonesia. The data was collected using primary data in the form of a questionnaire to collect data on gadget addiction, bullying behavior, and drug abuse among junior high school adolescents at MTs Nahdlatul Wathon Licin. This was a descriptive observational study. The population was students in 8th-9th grades at MTs Nahdlatul Wathon Licin. Sampling was done by total sampling. The number of samples obtained was 93 people. Data were analyzed using descriptive statistical methods which are presented in the form of frequency distribution tables. It was found that 8.6% of respondents had a high risk of gadget addiction, 48.4 % of respondents have a high level of bullying behavior, and 2.2% of respondents are addicted to drugs.

OBSERVATION OF THE BENEFITS OF EAR MASSAGE THERAPY SKILLS IN EAST JAVA

The high number of patients who come for ear therapy with massage skills, the P3T Center intends to carry out an observational screening of ear therapy. This screening aims to find out how the diagnostic method and application of ear therapy with massage skills and the benefits of ear therapy to overcome the problem of hearing loss (hearing impairment). This screening design uses an observational method in which the researcher makes observations and interviews with respondents. Data collection techniques were carried out by looking at the results of the examination of respondents' hearing tests and the results of interviews with respondents. Patient therapy results in 18 people (60%) no progress or the same as the original condition. this shows that therapy can be said to be ineffective in curing ear disorders. The results of the audiometry examination of the right and left ear stated that none of the patients was normal. Even though there are patients who claim to be able to hear loud sounds in the questionnaire, it is not supported by audiometry results. So it can be concluded that ear therapy with massage skills has no impact on patients suffering from hearing loss.

RESISTANCE PATTERN OF Escherichia Coli AGAINTS ANTIBIOTICS IN URINARY TRACT INFECTION PATIENTS IN RSUD DR. SOETOMO SURABAYA

Pathogenic bacteria cause Urinary Infection imore or lessi about 85 - 95% are bacteria Escherichia coli. The treatment of Urinary Tract Infection (UTI) requires adequate supportive therapy and antibiotics, but antibiotic resistance is an obstacle in UTI treatment. This study aims to determine the types of antibiotics that are resistant to Escherichia coli in patients with UTI. This is an observational study with a descriptive method to determine the type of antibiotic-resistant to Escherichia coli in patients with UTI in the Laboratory of Clinical Microbiology RSUD Dr. Soetomo. Antibiotics that were resistant to Escherichia coli in UTI patients were cefazolin (80.49%), Amoxicillin Clavulanic Acid (73.17%), Ampicillin (73.17%), Tetracycline (68.29%), while antibiotics that were resistant to Escherichia coli ESBL was Amoxicillin Clavulanic Acid (100%), Ampicillin (100%), Cefazolin (99.7%), Aztreonam (99.7%), Ceftazidime (99.7%). The prevalence of Escherichia coli in UTI patients was 27.5%, while Escherichia coli ESBL was 72.5%. Based on the results of the research that has been obtained, it is better to do research on antibiotic resistance patterns periodically.