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Tatalaksana Serangan Gout Akut: Sebuah Tinjauan dari Tiga Pedoman
Pub Date : 2023-03-30 DOI: 10.48144/jiks.v16i1.1197
Irwin Priyatna Kusumah, Florence Pribadi, Bella Meylani Lifindra, Helen Octavia Djoenaydy, Kevin Luke
Acute gout flare is one spectrum of gout disease. The flare is characterized by severe acute pain with signs of inflammation at the joint. Currently, there are three primary guidelines in managing gout flares, namely American College of Rheumatology (ACR), European League Against Rheumatism (EULAR), and Indonesian Rheumatology Association (IRA). The objective of this review is to analyze the management of gout flares among these guidelines. We compared three guildelines on managing acute gout flare based on their acute therapy initiation time, first-line treatment, additional treatment, and urate-lowering therapy initiation. Additional literature search was also conducted on PubMed and ScienceDirect to provide additional information to the guideline. All guidelines agreed that management of gout flares should be initiated as early as possible with colchicine or NSAIDs based on patient condition and contraindications. Oral or injected corticosteroid should be considered in patient with renal impairment or contraindications to colchicine or NSAIDs. In conclusion, most recommendations from three guidelines were similar. IRA 2018 are still suitable for managing acute gout flare for Indonesian population
急性痛风耀斑是痛风疾病的一个谱。发作的特点是剧烈的急性疼痛,并伴有关节炎症的迹象。目前,管理痛风发作有三个主要指南,即美国风湿病学会(ACR),欧洲抗风湿病联盟(EULAR)和印度尼西亚风湿病学会(IRA)。本综述的目的是分析这些指南中痛风耀斑的管理。我们根据急性治疗起始时间、一线治疗、附加治疗和降尿酸治疗起始时间,比较了三条治疗急性痛风发作的指南。还在PubMed和ScienceDirect上进行了额外的文献检索,以提供指南的额外信息。所有指南一致认为,痛风发作的治疗应根据患者的病情和禁忌症尽早开始使用秋水仙碱或非甾体抗炎药。对于肾功能受损或秋水仙碱或非甾体抗炎药禁忌症的患者,应考虑口服或注射皮质类固醇。总之,这三个指南的大多数建议是相似的。IRA 2018仍然适用于印度尼西亚人群的急性痛风发作
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引用次数: 0
Penerapan Sistem Pembelajaran Daring Pada Mahasiswa Akademi Keperawatan Pangkalpinang di Massa Pademi Covid 19 在帕德艾米·科维德马萨的一名学生中,在线学习系统的应用
Pub Date : 2023-03-30 DOI: 10.37012/jik.v15i1.1485
Ummi Maktum, Zamziri Zamziri
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引用次数: 0
Formulasi Sediaan Tablet Ekstrak Daun Talas (Colocasia esculenta (L.) Schott.) Dengan Variasi Kadar Polivinil Pirolidon (PVP) Sebagai Bahan Pengikat
Pub Date : 2023-03-30 DOI: 10.48144/jiks.v16i1.1429
St Rahmatullah, Dwi Bagus Pambudi, Yulian Wahyu Permadi, Nur Hikmah
Taro leaves (Colocasia Esculenta (L.) Schott.) contain alkaloids, saponins, tannins, flavonoids and polyphenols. Utilization of taro leaves requires new innovations by developing ways of making tablets, which increase the convenience of use through more comfortable use and more stable storage compared to liquid pharmaceutical preparations or suspensions. The aim of this study was to determine the effect of the comparison of variations of Polyvinylpyrrolidone (PVP) binder on the physical properties of granules and tablets and to obtain the optimum formula. Tablets were made by wet granulation process with 1%, 3% and 5% PVP. Granules were tested for water content, flow time test, angle of repose and tapping. The resulting tablets were then tested for their physical properties. Research result; Weight uniformity with 5% PVP fulfills the physical requirement of 600 g. Size uniformity fulfills the physical requirements with a yield of 2.91 mm. Hardness with 3% PVP meets the physical requirements of 5.95 kg. Fragility meets the physical requirements of 1% PVP, namely 0.4%. The disintegration time with 1% PVP met the physical requirements, namely 7.88 minutes. The results stated  that variations in the concentration of the PVP binder could be formulated into tablets and the tablet binder resistance was measured which met the requirements of the best tablet physical properties. Optimal formulation is achieved in formula III with binder containing 5% PVP.
芋叶(Colocasia Esculenta))含有生物碱、皂苷、单宁、类黄酮和多酚。芋头叶的利用需要通过开发片剂的方法进行创新,与液体药物制剂或悬浮液相比,片剂使用更舒适,储存更稳定,从而增加了使用的便利性。本研究的目的是比较聚乙烯吡咯烷酮(PVP)粘结剂的变化对颗粒和片剂物理性能的影响,并得出最佳配方。采用1%、3%、5% PVP湿造粒法制备片剂。对颗粒进行了含水量、流动时间、休止角和攻丝试验。然后对制成的药片进行物理性能测试。研究结果;5% PVP的重量均匀性满足了600克的物理要求。尺寸均匀性满足物理要求,成品率为2.91 mm。3% PVP的硬度满足5.95 kg的物理要求。脆性满足1% PVP的物理要求,即0.4%。1% PVP的崩解时间为7.88 min,满足物理要求。结果表明,不同浓度的PVP粘结剂可配制成片剂,并测定了其抗粘结剂性能,达到最佳片剂物理性能要求。最佳配方为配方III,粘结剂中PVP含量为5%。
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引用次数: 0
Keterlibatan Dukun Bayi Dalam Pertolongan Persalinan 婴儿萨满参与分娩
Pub Date : 2023-03-30 DOI: 10.48144/jiks.v16i1.1379
Ike Putri Setyatama, Sucy Khilmi, Alfina Damayanti, Nabiilah Nafa Labiibah
One of the Sustainable Development Goals is to reduce the Maternal Mortality Rate in 2030 to 70 deaths per 100,000 live births. In 2022 the number of deliveries in Tegal Regency is 26,679 (96.41%) vaginal deliveries 26,282 (95.6%) assisted by health workers in health care facilities 241 (0.9%) are in non-health care facilities 156 (0 .6%) assisted by non-medical health workers. In 2022, 13 maternal deaths are dominated by 60% postpartum hemorrhage, 20% embolism, 10% edema, and others. The Bumijawa Community Health Center is the largest number of delivery assistance places in Tegal Regency. In 2022 there will be 1,685 vaginal deliveries consisting of 87.7% health workers and 5% non-health workers; even though the target is 97%. The purpose of this study was to determine the involvement of traditional birth attendants in assisting with childbirth. Data collection was carried out by in-depth interviews and data reduction, demonstrated by narration, using the triangulation method, and analyzed by saturated samples. The research informants were 3 mothers who had given birth with a dukun as the main informant, 3 dukun and a midwife as triangulation informants. The results showed that the mother's decision to choose birth attendants was related to experience, knowledge, attitudes, access to services, husband and family support, local culture; This can be seen from the level of public awareness of health which is still low
可持续发展目标之一是到2030年将孕产妇死亡率降至每10万活产70例死亡。2022年,在法律机构分娩的人数为26 679例(96.41%),阴道分娩26 282例(95.6%),由卫生保健机构的卫生工作者协助,241例(0.9%)在非卫生保健机构分娩,156例(0.6%)由非医疗卫生工作者协助。2022年,13例孕产妇死亡以产后出血占60%,栓塞占20%,水肿占10%等为主。布米贾瓦社区保健中心是法政区提供分娩援助最多的地方。2022年将有1 685例阴道分娩,其中87.7%为卫生工作者,5%为非卫生工作者;尽管目标是97%。本研究的目的是确定传统助产士在协助分娩中的参与情况。数据收集采用深度访谈和数据精简,叙事论证,三角剖分法,饱和样本分析。研究对象为3名生育过的母亲,以1名杜坤为主要调查对象,3名杜坤和1名助产士为三角调查对象。结果表明,产妇选择接生员的决定与经验、知识、态度、服务可及性、丈夫和家庭支持、当地文化等因素有关;这可以从公众的健康意识水平仍然很低看出
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引用次数: 0
PENGARUH PEMBERIAN SUPLEMENTASI TABURIA DAN BUBUR KACANG HIJAU TERHADAP BERAT BADAN BALITA DI PUSKESMAS KECAMATAN TEBET TAHUN 2021 2021 年 Tebet 分区幼儿园补充塔布里亚和绿豆粥对幼儿体重的影响
Pub Date : 2023-03-30 DOI: 10.37012/jik.v15i1.807
Fitria Nur Hanifah, Risza Choirunissa, Putri Azzahroh
Abstrak Masalah gizi merupakan salah satu penentu kualitas sumber daya manusia, kekurangan gizi akan menyebabkan kegagalan pertumbuhan fisik dan perkembangan kecerdasan yang akan berakibat pada meningkatnya angka kesakitan dan kematian. Data DKI Jakarta tahun 2020 kota Jakarta Selatan memiliki angka kurang gizi 4,11%, Survey awal yang dilakukan oleh peneliti di Puskesmas Kecamatan Tebet pada bulan Oktober 2021 terdapat 50 balita dengan status gizi di bawah garis merah. Kemenkes menerapkan program pemberian sumplementasi untuk meningkatkan status gizi balita menggunakan taburia. Peneliti memberikan intervensi melalui bubur kacang hijau. Tujuan penelitian ini untuk mengetahui pengaruh pemberian sumplementasi taburia dan bubur kacang hijau terhadap berat badan balita di Puskesmas Kecamatan Tebet.Penelitian menggunakan rancangan kuantitatif dengan rancangan Two Group Pre-Post Test with Control Design dengan pemberian bubur kacang hijau selama 14 hari. Analisis menggunakan Independent Sample T-Test. Dengan hasil penelitian rata-rata berat badan belita sebelum dilakukan penelitian pada kelompok intervensi adalah 7,57 Kg dan Berat badan setelah penelitian menjadi 7,96 Kg. Rata-rata berat badan kelompok kontrol sebelum dilakukan penelitian adalah 8,93 Kg dan sesudah penelitian adalah 8,99 Kg. Hasil uji statistik dengan menggunakan metode Independent Sample T-Test menunjukan p value = 0,032 (< α= 0,05) yang berarti terdapat perbedaan yang signifikan antara kelompok yang diberikan taburia dan kelompok yang diberikan taburia dan kacang hijau. Diharapkan pemberian suplementasi taburia dan bubur kacang hijau dapat diterapkan secara menyeluruh pada pelayanan kesehatan Indonesia.
营养问题是对人力资源质量的一个定义因素,营养不良会导致身体发育和智力发育的失败,导致疼痛和死亡人数的增加。2020年,雅加达南部的DKI数据少了4.11%,2013年10月,一名研究人员在Puskesmas街道Tebet进行的初步调查显示,50名幼儿的营养状况低于红线。国务院实施了分配计划,以增加儿童营养状况。研究人员通过青豆泥进行干预。本研究的目的是确定taburia和扁豆泥对幼儿在Puskesmas地区的体重的影响。该研究采用了一种定量设计,采用了两组预先设计的测试和14天的青豆粥。使用独立样本t测试分析。根据贝尼塔在干预小组之前的平均体重为75磅,研究结果为7.57公斤。研究前控制组的平均体重为8.93公斤,研究后为8.99公斤。使用T-Test独立式样品测试的统计结果显示p值= 0.032 (<α= 0。05)”的意思,有显著的区别taburia和团体的团体给予taburia和青豆。预计白板喂养和青豆粥将全面应用于印尼卫生保健。
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引用次数: 0
Efektifitas Senam Hamil Terhadap Tingkat Kebugaran Pada Primigravida Trimester Kedua 怀孕体操在怀孕前三个月对初级重力健身水平的影响
Pub Date : 2023-03-30 DOI: 10.37012/jik.v15i1.1457
Zamziri Zamziri, Ummi Maktum
Pregnant women with pregnancies, especially in the second trimester, require efforts to maintain and improve their health and extra attention so that their health conditions are maintained. Regular pregnancy exercise can improve fitness, condition the strength of the muscles and joints that play a role in the mechanism of labor, so as to speed up the second stage of labor. This study aims to see the effectiveness of pregnancy exercise on fitness levels in the second trimester primigravidas. The approach to this study uses a type of research that is consecutive sampling. Subjects who came sequentially and met the inclusion and exclusion criteria were included in the study. The research subjects came from the target population, namely: all primigravidas aged 20-27 years with second trimester pregnancies who visited Air Itam Pangkalpinang Health Center and Depati Hamzah Hospital. The results showed that the effectiveness of Pregnancy Exercise and Massage was better than that of the Pregnancy Exercise and Control groups in increasing fitness based on the 6-minute walking test in primigravid pregnant women in the second trimester (405.3636 vs 401.2727 vs 389.7273 meters).
怀孕的孕妇,特别是在妊娠中期的孕妇,需要努力保持和改善她们的健康,并需要额外的关注,以维持她们的健康状况。定期的孕期运动可以提高体质,调理在分娩机制中起作用的肌肉和关节的力量,从而加快第二阶段的产程。本研究旨在观察妊娠期运动对孕中期初孕鼠健康水平的影响。本研究的方法采用了一种连续抽样的研究方法。符合纳入和排除标准的顺序来的受试者被纳入研究。研究对象来自目标人群,即:所有到访过Air Itam Pangkalpinang卫生中心和Depati Hamzah医院的20-27岁孕中期初产妇。结果显示,妊娠运动和按摩组在妊娠中期孕妇6分钟步行试验中增加健身的效果优于妊娠运动和对照组(405.3636 vs 401.2727 vs 389.7273米)。
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引用次数: 0
PERILAKU HIDUP SEHAT DAN OBESITAS TERHADAP HIPERTENSI LANJUT USIA INDONESIA (ANALISIS DATA RISKESDAS TAHUN 2018) 印度尼西亚老年高血压的健康生活行为与肥胖(RISKESDAS数据分析2018年)
Pub Date : 2023-03-30 DOI: 10.37012/jik.v15i1.1144
Sri Sunarti Ningsih, Lilis Heri Mis Cicih, Kusharisupeni Kusharisupeni, S. P. Hastono
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引用次数: 0
EFEKTIVITAS PERAWATAN TALI PUSAT DENGAN METODE TERBUKA DAN METODE KASA STERIL TERHADAP LAMANYA PELEPASAN TALI PUSAT DI BPM FITRI KECAMATAN LANGSA LAMA 在BPM FITRI街道old中,采用开放方法和无菌纱布治疗方法对脐带释放时间的有效性
Pub Date : 2023-03-30 DOI: 10.37012/jik.v15i1.1278
Verawaty Fitrinelda Silaban, Grace Anggreni Bu’ulolo, Elfita Dwi Jayanti Ndruru, Eman Kurniati
Newborn babies are still very susceptible to infection, one of which is infection of the umbilical cord so that in providing umbilical cord care to newborns, good and effective methods must be used. Recently, modern methods of cord care have been developed, such as open techniques and sterile gauze. The purpose of this study was to determine the effectiveness of umbilical cord care with an open method and sterile gauze on the duration of cord release at BPM Fitri, Langsa Lama Regency. This research is a type of Quasi Experimental research. A total sample of 50 babies was divided into 2 groups, namely 25 babies in the experimental group with the open method and 25 babies in the control group who were given sterile gauze. The results of this study indicate that the average release of the umbilical cord in infants who are given open method of cord care is 5 days. Meanwhile, the average release of the umbilical cord in infants who were given umbilical cord care using the sterile gauze method was 7 days. The results of the Mann-Whitney test obtained a p-value of 0.000 (p <0.05) so it was concluded that there were differences in cord care with the open method and the sterile gauze method for the duration of cord release. It is expected that BPM will apply the open method of cord care techniques to accelerate the release of the umbilical cord.
新生儿仍然非常容易受到感染,其中之一是脐带感染,因此在向新生儿提供脐带护理时,必须使用良好有效的方法。最近,开发了现代脐带护理方法,如开放技术和无菌纱布。本研究的目的是确定开放方法和无菌纱布对兰沙喇嘛摄制医院BPM Fitri脐带释放时间的有效性。本研究属于一类准实验研究。将50例患儿分为两组,实验组25例患儿采用开放方式,对照组25例患儿采用无菌纱布。本研究结果表明,婴儿脐带开放护理的平均释放时间为5天。同时,采用无菌纱布法进行脐带护理的婴儿脐带平均释放时间为7天。Mann-Whitney检验的结果p值为0.000 (p <0.05),说明开放法和无菌纱布法在脐带释放时间的护理上存在差异。预计BPM将应用脐带护理技术的开放式方法来加速脐带的释放。
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引用次数: 0
Pengembangan Aplikasi Berbabsis Website Untuk Penilaian OSCE OSCE评估的基于web应用程序的开发
Pub Date : 2023-03-30 DOI: 10.37012/jik.v15i1.1500
Eka Maulana Nurzannah, Yulita Nengsih, Nur Aini
The competency test for midwives uses the Objective Structured Clinical Examination (OSCE) which is a reliable, valid and reliable assessment method because it uses two methods, namely a checklist and a global rating. a However, this OSCE method has weaknesses such as human resources and available facilities and infrastructure. Most of the lecturers have not been trained so that the ability to do the OSCE test is still lacking. The results of the evaluation of the OSCE test activities at STIKes Mitra RIA Husada Jakarta show that some testers feel that the tools used in determining scores such as the Borderline regression method and global performance are still not practical. And the data was collected using excel.Therefore, the researcher wants to develop OSCE competency test assessment tools using an Android-based application so that the exam can be carried out more efficiently and effectively.Specific Objective: To assess the effectiveness of OSCE midwifery tools which will be developed at STIKes Mitra RIA HusadaThis study uses an evaluation method using the User Experience Questionnare (UEQ) instrument. The UEQ questionnaire in the Indonesian version consists of 26 items with a sample of 40 midwifery lecturers who have received OSCE training. From the research that has been analyzed in development, an OSCE application has been produced for website-based midwifery practice test assessment. The results from the UEQ show that the average result is above 1, meaning that it is good enough, including the attractiveness of the application above the average (1.00), the accuracy of the application below average (1.06), application stimulation is good (1.14), and novelty is also stated to be good (1.88). Only in terms of application clarity is below average (0.92), in terms of efficiency it is above average (0.93). Conclusion: OSCE application development is very possible to be used as an instrument to test OSCE. aspects of clarity that are still lacking will be corrected again.
助产士的能力测试使用客观结构化临床检查(OSCE),这是一种可靠,有效和可靠的评估方法,因为它使用两种方法,即检查表和全球评级。a然而,欧安组织的这种方法存在人力资源、可用设施和基础设施等缺点。大多数讲师没有接受过培训,因此仍然缺乏进行欧安组织测试的能力。欧安组织在雅加达STIKes Mitra RIA Husada测试活动的评估结果表明,一些测试人员认为,用于确定分数的工具,如边界回归方法和全球表现仍然不实用。使用excel进行数据收集。因此,研究人员希望使用基于android的应用程序开发欧安组织能力测试评估工具,使考试能够更有效地进行。具体目的:评估将在STIKes Mitra RIA husadas开发的欧安组织助产工具的有效性。本研究使用使用用户体验问卷(UEQ)工具的评估方法。印尼语版的平等就业机会调查表有26个项目,抽样对象是40名接受过欧安组织培训的助产学讲师。根据已在开发中分析的研究,欧安组织已经为基于网站的助产实践测试评估制作了一个应用程序。UEQ的结果显示,平均结果在1以上,意味着它足够好,包括应用的吸引力高于平均水平(1.00),应用的准确性低于平均水平(1.06),应用的刺激性好(1.14),新颖性也很好(1.88)。仅在应用程序清晰度方面低于平均水平(0.92),在效率方面高于平均水平(0.93)。结论:欧安组织应用程序开发很有可能作为测试欧安组织的工具。仍然缺乏的清晰度方面将再次得到纠正。
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引用次数: 0
Clinical Symptoms on Covid-19 Patient According to Pregnancy Status 妊娠状况对新冠肺炎患者临床症状的影响
Pub Date : 2023-03-30 DOI: 10.48144/jiks.v16i1.1400
Anita Rahmawati, Pertiwi Perwiraningtyas
Physiological adaptation in pregnant women may increase the risk of more severe symptoms of Covid-19 than women who are not pregnant but there was not much supporting data. Aim of this study was to compare the severity category between women who are pregnant and not pregnant with positive Covid-19. The study was conducted using a retrospective approach which obtained secondary data from patient medical records after being tested positive for COVID-19 from November 2020 to December 2021. Sample size for the study consisted of 67 women COVID-19 patients who were pregnant and 67 women who were not pregnant. Samples were taken by accidental sampling. Categorization of clinical symptoms of COVID-19 was divided into 5 categories (no symptoms, mild, moderate, severe/severe pneumonia, critical). Data were analysis with the Mann Whitney test. Results showed that there were significant differences in the categories of clinical symptoms between groups of pregnant women and groups of non-pregnant women who were exposed to Covid-19 with a value of p=0.000 (p<0,05). Clinical symptoms in Covid-19 patients who are pregnant more severe than women who are not pregnant. This may be caused by increased levels of coagulation and fibrinolytic factors during pregnancy. It is hoped that the handling of Covid-19 patients, especially pregnant women, will receive more detailed attention to avoid the appearance of more severe clinical symptoms.
与未怀孕妇女相比,孕妇的生理适应可能会增加出现更严重新冠肺炎症状的风险,但没有太多支持数据。这项研究的目的是比较怀孕和未怀孕的Covid-19阳性妇女的严重程度类别。该研究采用回顾性方法进行,从2020年11月至2021年12月被检测为COVID-19阳性的患者病历中获取二次数据。该研究的样本量包括67名怀孕的女性COVID-19患者和67名未怀孕的女性。样本采用随机抽样法。将新冠肺炎临床症状分为5类(无症状、轻度、中度、重度/重度肺炎、危重)。采用Mann Whitney检验对数据进行分析。结果显示,暴露于新冠病毒的孕妇组与非孕妇组的临床症状类别差异有统计学意义,p=0.000 (p< 0.05)。妊娠期新冠肺炎患者的临床症状比未妊娠期患者更严重。这可能是由于怀孕期间凝血和纤溶因子水平升高引起的。希望对新冠肺炎患者特别是孕妇的处理更加细致,避免出现更严重的临床症状。
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引用次数: 0
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Jurnal Ilmiah Kesehatan Keperawatan
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