Diabetic ulcers are open sores on the skin layer to the dermis caused by hyperglycemia and neuropathy. Infection is a barrier to the wound healing process, the incidence of infection in wounds with modern treatments of hydrocolloid and hydrogel type dressings is still high. Ozone has high antibactericidal and antimicrobial properties, is able to penetrate bacterial capsid walls and is expected to kill bacteria on the wound surface.To find the right way to cure diabetic ulcers using a combination of modern methods of dressing and ozonetherapy bagging.Experimental, non-equivalent control group design pre test, post test, population and infinite sample of 25 respondents. Modern dressing used has antibacterial properties and ozone concentration of 60-100ug / ml for 15 minutes using a limb bag was carried out until the 13th day with five times the measurement of the number of bacterial colonies using themethod swab and colonicounter. Data processing using a computer system with the General Linear Model. There was an average difference in the number of bacterial colonies between groups (505.73 ± 172.069 vs 322.21 ± 132.778, p = 0.0061).A combination of modern dressing and ozonetherapy bagging can reduce the number of bacterial colonies and speed up the healing process of the inflammatory phase II diabetic ulcer so that it can be applied in nursing care for diabetic ulcer patients.
Tempe sangat akrab di kalangan masyarakat Indonesia. Meningkatnya penjualan tempe sebagai lauk favorit masyarakat Indonesia membuat pengrajin tempe menggunakan berbagai bungkus. Standar tempe yang baik harus memiliki karakteristik yang baik dan tidak mengandung kontaminan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kemasan daun pisang sebagai pembungkus terhadap cemaran bakteri coliform dan salmonella sp pada tempe. Jenis penelitian ini adalah Quasi Eksperiment dengan desain Single Time Series Design. Analisis statistik yang digunakan Kruskal Wallis dan Cochran. Metode penelitian daun sebelum digunakan sebagai pembungkus dan tempe sampai hari-4 diperiksa cemaran bakteri coliform dan salmonella sp. Hasil penelitian menunjukkan bahwa analisis statistik dengan menggunakan Kruskal Wallis diperoleh nilai signifikan (nilai p) 0,224. Nilai sig menunjukkan bahwa sig (nilai p) α 0,05 sehingga tidak ada perbedaan yang signifikan dan hasil analisis statistik dengan menggunakan Chochranch diperoleh nilai signifikan (nilai p) 0, 406 nilai sig menunjukkan bahwa sig (nilai p) α 0,05 sehingga tidak ada perbedaan yang signifikan. Kondisi kuman terlihat di setiap titik stabil, kondisi tidak berubah didukung oleh suhu rata-rata 26oC dan 86% kelembaban dan kondisi awal telah terkontaminasi dari daun pisang. Saran bahwa pemilik menyediakan peralatan pelindung lengkap, pemeriksaan kesehatan rutin, mengikuti pelatihan hygiene sanitasi untuk mendapatkan sertifikat hygiene sanitasi makanan.
AbstrakKemajuan ilmu pengetahuan dan teknologi masa sekarang berpengaruh pada industri yangsangat bergantung pada tenaga manusia dan mesin-mesin yang menimbulkan intensitas suara,semakin lama paparan intensitas suara berpengaruh pada ambang dengar. Tujuan dari penelitian iniadalah untuk memperoleh gambaran intensitas suara mesin produksi dan lama paparan yangdihubungkan dengan ambang dengar pekerja penggiling padi.Metode penelitian yang digunakan adalah penelitian observasi analitik dengan pendekatancrossectional. Variabel yang diteliti adalah intensitas suara mesin produksi, lama paparan danambang dengar. Penelitian dilakukan di 3 unit lokasi penggilingan padi. Populasi dan sampel dalampenelitian ini adalah semua pekerja penggiling padi sebanyak 11 orang.Hasil penelitian menunjukkan bahwa terdapat 3 titik pengukuran intensitas suara yang tidakmemenuhi syarat (85 dBA), yaitu titik A1 sebesar 86,72 dBA , titik A2 sebesar 86,61 dBA dan titikC3 sebesar 85,45 dBA. Pengukuran ambang dengar pekerja penggiling padi yaitu normal sebanyak 5orang, tuli ringan sebanyak 5 orang dan tuli sedang 1 orang. Lama paparan pekerja terbanyak yaitu6-8 jam/hari.Simpulan dari penelitian ini adalah ada hubungan intensitas suara mesin produksi dan lama paparandengan ambang dengar pekerja penggiling padi. Disarankan untuk pihak penggilingan padimenyediakan APT (Alat Pelindung Telinga) untuk pekerja dan diharapkan penelitian lanjutan.
Background: As like hypertension, hypercholesterolemia is a major risk factor for cardiovascular disease and hypertension and its complications are one of the highest causes of death in the world.Aims: This study aims to determine the potential of garlic essence (Allium sativum) mixed with honey in changing blood pressure and lipid profile of blood in the hypertension patients with hypercholesterolemia, and to compare the effectiveness with those who received Simvastatin, the most preferred pharmacological treatment of hyperlipidemia.Methods: This research is a quasy experiment study with a Nonequivalent control group design. There were 22 hypercholesterolemia outpatients purposively selected from local health centers. The respondents were then divided equally to (a) a control group where the patients were provided with generic Simvastatin 10 mg single dose taken once in the afternoon, and (b) an intervention group where the respondents received a non-pharmacological supplement of garlic essence in 2 grams honey. The blood pressure and the blood lipid profile were examined before (Pretest) and at the Day 22 after the treatment (Posttest). The collected data was then analyzed using a T-test to define the significant mean difference between two groups, and a Cohen’s effect was measured to interpret the size of changes.Results: Either the additions of Simvastatin or the provision of garlic essence mixed with honey decreased the blood pressure (systole and diastole) and the cholesterol, triglyceride, and LDL cholesterol, but increased the HDL cholesterol. While significant difference was observed for all parameters at the intervention group, the improvement at the control group for triglyceride was not significant (p value = 0.041). Overall, by the Cohen's effect size effect, we can interpret that the changes was moderate for diastole and systole blood pressure, and also triglyceride and DLD-cholesterol; however the effect size was low for Cholesterol and HDL-cholesterol. Conclusion: The findings show the importance of the garlic essence mixed with honey to be offered as a nutritional supplement for hypertensive patients with hypercholesterolemia. Keywords: Garlic (Allium sativum) essence, Simvastatin, Hypertension, Hypercholesterolemia, Blood pressure, Blood lipid profile.
AbstrakASI memiliki banyak manfaat bagi ibu dan bayi, namun pencapaian cakupan ASI eksklusif masih jauh dari target. Salah satu penyebabnya adalah kurangnya persiapan ibu sejak masa kehamilan dan kurangnya dukungan keluarga. Pelatihan persiapan ASI eksklusif dua kali, sasaran seluruh ibu hamil di desa Karanggintung beserta pendamping. Kegiatan meliputi pre-test, pemaparan materi, demonstrasi, pendampingan praktek, tanya jawab, serta evaluasi kesediaan ibu dan keluarga melaksanakan ASI eksklusif. Kegiatan pendampingan yaitu berkunjung ke rumah ibu peserta pelatihan yang telah bersalin dan mengevaluasi penerapan ASI eksklusif. Hasil pre-test menunjukkan 63% ibu memiliki pengetahuan cukup. Ibu menyatakan bersedia menerapkan ASI eksklusif ketika bayinya lahir dan keluarga bersedia mendukung pada akhir pelatihan. Pada saat pendampingan setelah ibu bersalin, ibu sudah mampu menerapkan ASI eksklusif dan keluarga bersedia untuk mensukseskan ASI eksklusif sampai 6 bulan. Adapun kendala yang dihadapi adalah pelaksanaan tidak sesuai jadwal, sasaran tidak sesuai rencana awal, beberapa ibu hamil hadir tidak bersama pendamping, kendala cuaca, pada akhir sesi belum melaksanakan post-tes dan saat pendampingan mendapati susu formula yang diberikan oleh tenaga kesehatan. Kata kunci: Pelatihan pendampingan ; ASI Eksklusif Abstract [Exclusively Breastfeeding Preparation and Assistance Training]Breastfeeding has many benefits for mothers and babies but in fact, exclusive breastfeeding coverage is still under from the target. One reason is the lack of preparation of mothers since pregnancy and lack of family support. Exclusive breastfeeding training was conducted twice, targeting all pregnant women in Karanggintung village along with a companion. Activities include a pre-test, material presentation, demonstration, practical assistance, questioning, and evaluation of mother and family's willingness to implement exclusive breast feeding. The mentoring activities were conducted by visiting the mother's house of the training participants and evaluating the application of exclusive breast feeding. Pre-test results showed that 63% of mothers had enough knowledge, 32% knowledge was low and only 5% had high knowledge. But at the end of the training, the mother declared willing to apply exclusive breastfeeding when her baby was born and the family was willing to support. At the time of maternity assistance, the mother has been able to apply exclusive breastfeeding and the family is willing to succeed breastfeeding exclusively for 6 months. The obstacles encountered during the community service activity are the implementation is not on the schedule, the target is not according to the initial plan, some pregnant women present not with the companion, weather constraints, at the end of the session has not done post-test and when assistance found formula milk provided by health workers.
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