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ANALISIS YURIDIS TINDAKAN INVASIF OLEH PERAWAT PADA PRAKTIK KEPERAWATAN MANDIRI 分析来自独立护理实践的护士入侵行为的优先权
Pub Date : 2022-02-28 DOI: 10.31935/delima.v9i1.149
A. Santoso, M. Musta’in, Endrat Kartiko Utomo, Aknes Galih Sumirat
Pasal 1 Permenkes No. 290/Menkes/Per/III/2008 menyebutkan bahwa tindakan invasif adalah suatu tindakan medis yang diakui sebagai kewenangan dari dokter. Fakta di lapangan masih terdapat perawat yang melakukan tindakan invasif tanpa adanya pengawasan dari dokter, padahal kewenangan melaksanakan tindakan medis hanya diperoleh apabila ada pelimpahan wewenang dari dokter. Di sinilah terjadi terjadinya tumpang tindih mengenai tugas dan wewenang perawat yang melakukan tindakan invasif pada praktik keperawatan mandiri. Perumusan masalah dalam penelitian ini adalah mengetahui kewenangan dan perlindungan hukum bagi perawat yang melakukan tindakan invasif pada praktik mandiri. Metode penelitian ini menggunakan pendekatan yuridis normatif-sosiologis dengan pengumpulan data primer dan sekunder. Data primer diperoleh dari kajian kepustakaan dan juga perundang-undangan atau statuta aproach, dan data sekunder diperoleh dengan teknik purposive sampling. Tipe desain dalam penelitian ini adalah Descriptive Design. Data yang diperoleh selanjutnya dianalisis secara kualitatif. Hasil penelitian menunjukan bahwa perawat yang telah memiliki ijazah profesi, SIPP dan juga sertifikat kompetensi memiliki kewenangan melakukan tindakan invasif. Kewenangan yang lahir merupakan keadaan overmacht sehingga menimbulkan kewenangan atributif dari hukum perikatan. Kewenangan tersebut diperbolehkan selama dilakukan sesuai dengan Standar. Perlindungan hukum diberikan kepada perawat secara preventif yakni dengan melakukan pembinaan dan pengawasan oleh dinas kesehatan dan juga organisasi profesi PPNI meskipun belum ada Peraturan Daerah yang mengatur tentang tindakan tersebut.
第290条第290条/Menkes/Per/III/2008款规定,侵入性行为是被认为是医生权威的医疗行为。在这一领域,仍然有护士在没有医生监督的情况下从事侵入性行为,而只有在医生授权的情况下,才有实施医疗行动的权力。这是一个重叠的地方,护士的职责和权威对独立的护理实践采取侵入性行动。这项研究的问题的根源在于了解那些对独立实践进行侵入性侵犯的护士的法律权力和保护。本研究方法采用传统-社会学的法学方法,采用初级和次要的数据收集方法。主要数据来自于文献研究和拟法法或ap蟑螂法,而次要数据则通过采样技术获得。本研究的设计类型是描述设计。后来获得的数据进行了定性分析。研究表明,拥有专业学位、SIPP和能力证书的护士具有侵入性行为的权力。出生的权威是一种overmacht状态,因此提出了联邦法律的统一性权威。只要按标准执行,这项授权是允许的。这是一种预防措施,即由卫生服务机构和PPNI专业组织指导和监督,尽管该行为没有地方法规。
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引用次数: 2
Treatment Pattern of Antidiabetic Drugs Use One Type II Diabetes Mellitus Patients at RSAU dr. M. Salamun RSAU 1例2型糖尿病患者降糖药的治疗模式
Pub Date : 2022-02-28 DOI: 10.31935/delima.v9i1.161
Dhiyah Malihah, Rida Emelia
Diabetes mellitus is a group of metabolic diseases with characteristic of hyperglycemia that occur due to abnormalities of insulin secretion, insulin activity or both, Indonesia now ranks sixth with the highest number of diabetes after the United States, China, India, Brazil and Mexico. Based on data from the IDF Atlas in 2017, the number of diabetes in Indonesia reached 10.3 million, if not handled properly, according to the WHO the incidence of diabetes is predicted to rise to 21.3 million by 2040. This research is non-experiential observational studies were conducted using retrospective research designs to know the description of drugs use pattern and treatment pattern of antidiabetic drug use on Type II Diabetes Mellitus patiens at RSAU dr. M. Salamun in 2021. The samples were 80 medical records of patients with Type II diabetes mellitus taken in total sampling. Data presented in the form of diagram/tables and percentages. The results of this study were able to find out that the classes of oral antidiabetic durgs administered to patients were sulfonylurea 97 drugs (61.78%), biquanide 38 drugs (24.20%), alpha-glucosidase 12 drugs (7.64%), and thiazolidinedione 10 drugs (6.36%). Accuracy assessment based on the patient oral antidiabetic drug delivery are as follows: 44 patients (55%) of appropriate-drugs-doses, 69 patients (89,25%) for appropriate drug indications.   Keywords: Type II Diabetes Mellitus, Treatment Pattern, RSAU dr. M. Salamun.  
糖尿病是由于胰岛素分泌异常、胰岛素活性异常或两者兼而有之而发生的以高血糖为特征的一组代谢性疾病,印度尼西亚目前是继美国、中国、印度、巴西和墨西哥之后的第六大糖尿病患者国家。根据2017年IDF地图集的数据,印度尼西亚的糖尿病人数达到1030万,如果处理不当,据世卫组织称,到2040年,糖尿病发病率预计将上升到2130万。本研究为非经验性观察性研究,采用回顾性研究设计,了解2021年在RSAU dr. M. Salamun对2型糖尿病患者的用药模式和降糖药使用治疗模式的描述。样本为总采样的80例2型糖尿病患者病历。数据以图表/表格和百分比的形式呈现。结果发现,患者口服降糖药物的种类为磺脲类97种(占61.78%)、双胍类38种(占24.20%)、α -葡萄糖苷酶12种(占7.64%)、噻唑烷二酮类10种(占6.36%)。基于患者口服降糖药给药的准确性评估如下:44例(55%)患者使用了合适的药物剂量,69例(89,25%)患者使用了合适的药物适应症。关键词:2型糖尿病,治疗模式,RSAU。
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引用次数: 0
ANALISIS CEMARAN Salmonella Spp. PADA DAGING AYAM BROILER (Gallus gallus domestica) YANG DIJUAL DI PASAR BANGUNTAPAN
Pub Date : 2022-02-26 DOI: 10.31935/delima.v9i1.143
U. Ubaidillah, Susi Ristiani
ABSTRACT   Contamination of pathogenic microbes in animal foods such as chicken is a health problem. One of the pathogenic bacteria that can contaminate chicken meat is Salmonella Spp. This type of bacteria cause of foodborne disease in developing countries. This study aims to determine the analysis of salmonella spp. in broiler chicken meat (gallus gallus domestica) which is sold in supermarket, Banguntapan district, Bantul. This study used a qualitative research type and was tested in the laboratory using the Salmonella tested. Based on the results of the tests that have been carried out, the results obtained from 24 samples of broiler chicken meat sold in traditional and modern markets, it is known that the number of positive samples contaminated with Salmonella Spp. 15 (62.5%) and samples that were negative were contaminated with Salmonella Spp. 9 (37.5%). Based on the results of observations that have been made, there are several factors that can contaminate the presence of Salmonella Spp. namely in poor environmental sanitation, inadequate building sanitation and dirty floors, hygiene for sellers who do not see cleanliness when carrying out sales activities, and poor protection of equipment such as storage that is protected from vectors such as flies, rats and cockroaches.  Keywords: Chicken, Gallus gallus domestica, Bacteria, Pathogens, Salmonella Spp.                        
鸡肉等动物性食品中病原微生物污染是一个健康问题。可以污染鸡肉的致病菌之一是沙门氏菌,这种细菌在发展中国家引起食源性疾病。本研究的目的是确定在班图尔邦贡塔班区超市销售的肉鸡(gallus gallus domestica)中沙门氏菌的分析。本研究采用定性研究类型,并在实验室使用沙门氏菌进行检测。根据对在传统市场和现代市场销售的24份肉鸡肉样品进行的检测结果,已知沙门氏菌15种阳性样品(62.5%)和沙门氏菌9种阴性样品(37.5%)的数量。根据所作的观察结果,有几个因素可以污染沙门氏菌的存在,即环境卫生条件差,建筑物卫生条件不充分和地板脏,卖家在进行销售活动时卫生条件不清洁,以及设备保护不佳,例如保护仓库免受苍蝇、老鼠和蟑螂等病媒的侵害。关键词:鸡,家鸡,细菌,病原体,沙门氏菌
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引用次数: 0
Forecasting Kebutuhan Rak Peyimpanan Rekam Medis Tahun 2025 Di Rumah Sakit Angkatan Udara Dr M. Salamun 需要2025年萨蒙空军医院的医疗记录仓库
Pub Date : 2022-02-26 DOI: 10.31935/delima.v9i1.144
Siti Sarah Rohimah, Leni Herfiyanti
One  of the medical record service tools is a medical record storage rack. This is used to store medical recprd in a safe and confidential place, considering that the medical record them selves are original and protected by  law. With a shelf that fits the storage capacity, this will not occur in the accumulation of medical record documents. Therefore, the research aims to determine the need for medical record storage racks for the next five years at the dr. M Salamun hospital. The type of research carried out using descriptive methods, and data collection methods with observation and documentation, the subjects used in this study were medical record files and the number of patient in a year. From the results obtained by researchers, new patients one day reaced 43 patients. As for the storage area of 102m2 and has 14 available shelves. With a distance between shelves of 80cm, with this, this researcher forecasts the need for shelves for the next years so that documents do not accumulate or scatter. And produced for 2025 forecasting as many as 5 shelves and an additional 62m2 square of the area.
病案存储架是病案服务工具之一。考虑到病历本身是原始的,受法律保护,用于将病历保存在安全保密的地方。有了与存储容量相适应的搁架,就不会出现病历文件堆积的情况。因此,这项研究的目的是确定M萨拉蒙医生医院未来五年对病历存储架的需求。研究类型采用描述性研究方法,资料收集方法采用观察法和文献法,研究对象为病历档案和一年内的患者数量。从研究人员获得的结果来看,一天的新患者达到43名。仓库面积为102m2,有14个可用货架。架子之间的距离为80厘米,据此,该研究人员预测未来几年需要架子,以便文件不会堆积或分散。到2025年,预计将有多达5个货架和62平方米的额外面积。
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引用次数: 0
HUBUNGAN KUNJUNGAN PEMERIKSAAN KEHAMILAN DENGAN KEJADIAN TANDA BAHAYA DI DESA TANJUNG MORAWA A DELI SERDANG
Pub Date : 2022-02-26 DOI: 10.31935/delima.v9i1.142
Surya Anita, D. Bancin, Friska Sitorus
Abstract ANC (Antenatal Care) is a planned program in the form of observation, education, and medical treatment for pregnant women, with  keeping the mother healthy during pregnancy childbirth as well as maintaining a healthy baby  a safe and satisfying process of pregnancy and childbirth monitor possible pregnancy risk, planning optimal management of high-risk pregnancies and reduce perinatal maternal and fetal morbility and mortality (Fitrayeni et al., 2015). The purpose of this study was to determine the Relationship between Pregnancy Examination Visits for Hazard Signs in Tanjung Morawa Village, Deli Serdang Regency. The type of research carried out was observational-analytic. cross-sectional. From the results of the study, there was a correlation between antenatal care visits and the incidence of proven danger signs where the p-value was 0.039. Pregnant women routinely have pregnancy check-ups according to the standards of at least 4 times during pregnancy as an early detection effort For health workers to make home visits to check the mother's pregnancy as well as provide information about danger signs during pregnancy that can occur to the mother and her baby    
产前护理(ANC, Antenatal Care)是对孕妇进行观察、教育和医疗等形式的有计划的项目,目的是在妊娠分娩期间保持母亲的健康,维持婴儿的健康和安全满意的妊娠和分娩过程,监测可能的妊娠风险,规划高危妊娠的最佳管理,降低围产期母婴的产率和死亡率(Fitrayeni etal ., 2015)。本研究的目的是确定在德利塞当县丹戎莫拉瓦村怀孕检查的危险迹象之间的关系。所进行的研究类型为观察分析。横截面。从研究结果来看,产前护理与已证实的危险迹象的发生率之间存在相关性,其p值为0.039。孕妇按照怀孕期间至少4次的标准定期进行妊娠检查,作为一项早期发现工作,供卫生工作者进行家访,检查母亲的妊娠情况,并提供有关怀孕期间母亲和婴儿可能出现的危险迹象的信息
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引用次数: 0
PEMAHAMAN DAN DUKUNGAN SUAMI TERHADAP KEIKUTSERTAAN IBU MENJADI AKSEPTOR KB IUD DI KECAMATAN SECANGGANG LANGKAT 丈夫对母亲参与计划生育的理解和支持,使她能够在朗卡特附近的街道上从事计划生育
Pub Date : 2021-08-30 DOI: 10.31935/delima.v8i2.140
Surya Anita, D. Bancin, Friska Sitorus
The decrease in TFR (Total Fertility Rate) will be closer to the condition of the population growing in balance, a strategy is needed in the implementation of the family planning program. Activities that can be carried out are promoting long-term effective contraceptive methods. This study aims to determine the understanding and support of husbands for the participation of mothers in becoming IUD KB acceptors in Secanggang District, Langkat Regency. The research design used in this study was an analytical survey with cross sectional approach. The sample in this study was 30 respondents who came and wanted to do family planning. The data analysis used was univariate and bivariate analysis. The results of this study indicate that there is a significant relationship between Husband's understanding of the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency, with a  pvalue of 0.000. And there is a significant relationship between the husband's support for the participation of mothers in becoming IUD family planning acceptors in Secanggang District, Langkat Regency  with a p value of 0,000. It is hoped that it can increase respondents' knowledge about contraceptives so that they can support and understand their wives in choosing contraceptives.   Keywords: Understanding, Support, IUD
总生育率的下降将更接近人口均衡增长的状况,这是实施计划生育方案所需要的战略。可以开展的活动是推广长期有效的避孕方法。本研究旨在了解兰kat县Secanggang区的丈夫对母亲参与成为IUD KB接受者的理解和支持。本研究采用的研究设计是采用横断面法的分析性调查。这项研究的样本是30名想来做计划生育的受访者。数据分析采用单因素和双因素分析。本研究结果表明,在兰kat县Secanggang区,丈夫对母亲参与成为IUD计划生育接受者的理解存在显著关系,其值为0.000。在兰凯特县的Secanggang区,丈夫对母亲参与成为宫内节育器计划生育接受者的支持之间存在显著的关系,p值为0000。希望能增加受访者对避孕药具的认识,从而支持和理解妻子选择避孕药具。关键词:理解、支持、宫内节育器
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引用次数: 0
EFEKTIVITAS PENGGUNAAN EKSTRAK ANTOSIANIN TANAMAN BUNGA KEMBANG SEPATU UNTUK MENDETEKSI BORAKS PADA BAKSO 花青素提取物在肉丸上的作用
Pub Date : 2021-08-30 DOI: 10.31935/delima.v8i2.126
R. Purnama
One of the causes of food safety problems in Indonesia is the lack of knowledge, responsibility and supervision by producers, consumers and the authorities. This results in cheating by irresponsible food producers, adding ingredients that can harm the human body. There are several ways to detect or detect the presence of hazardous food additives, one of which is using indicators made from natural ingredients added with several other ingredients that can detect hazardous food additives, one of which is borax. After conducting research on the effectiveness of hibiscus flower anthocyanin extract as an indicator of borax detection in meatballs, it was found that hibiscus flower extract can be used as an indicator for borax detection, seen from the change in the color of hibiscus flower extract which at first is brownish orange (purplish. ) After being absorbed with meatballs containing borax, the hibiscus flower extract changes its color to dark brown red, this is due to the pelagornidin antasianin compounds reacting with borax compounds.
印度尼西亚食品安全问题的原因之一是生产者、消费者和当局缺乏知识、责任和监督。这导致不负责任的食品生产商进行欺骗,添加对人体有害的成分。检测或检测有害食品添加剂存在的方法有几种,其中一种是使用由天然成分制成的指标,其中添加了几种可以检测有害食品添加剂的其他成分,其中一种是硼砂。通过对木槿花花青素提取物作为肉丸中硼砂检测指示剂的有效性进行研究,发现木槿花提取物可以作为硼砂检测指示剂,从木槿花提取物的颜色变化来看,木槿花提取物最初呈棕橙色(略带紫色)。在与含有硼砂的肉丸吸收后,芙蓉花提取物的颜色变为深褐色,这是由于peragornidin抗亚洲花苷化合物与硼砂化合物发生反应。
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引用次数: 2
ISOLASI DAN UJI ANTIOKSIDAN HISPERIDIN DARI KULIT JERUK BALI (Citrus maxima Merr) SEBAGAI PENINGKAT IMUN UNTUK MENCEGAH COVID-19 DENGAN METODE DPPH. 用DPPH方法对葡萄柚皮(Citrus maxima Merr)进行的分离和抗氧化剂氧氧试验,以防止COVID-19的免疫增强。
Pub Date : 2021-08-30 DOI: 10.31935/delima.v8i2.138
Tatiana Siska Wardani, Utomo Kartika Endrat, Mahadewi Putri Kezia, Al Fajri Razid Faizur Muhammad
Kulit buah jeruk selama ini tidak dimanfaatkan  padahal kandungan senyawa kulit jeruk yang sangatlah sangatlah bervariasi salah satu senyawa yang terdapat dalam kulit jeruk jeruk adalah hesperidin yang termasuk golongan flavanoid. Senyawa hisperidin mempunyai potensi yang lebih tinggi dibanding senyawa pada lengkuas, secang, maupun kunyit.  Hal itu dikarenakan senyawa jeruk itu dapat mengikat kuat dengan mudah pada protein target pada virus maupun sel inang sehigga dapat ditarik kesimpulan senyawa di jeruk membuat blokade yang menghambat virus dalam berkembang melakukan replikasi  dan menginfeksi sel inang Penelitian ini bertujuan untuk mengisolasi dan mengidentifikasi hisperidin dari kulit jeruk dan mengetahui nilai IC50 . Ekstraksi dilakukan dengan metode soxletasi kemudian dilakukan identifikasi hisperidin kemudian dilanjutkan uji kemurnian isolat dengan penentuan titik leleh dan dilakukan identifikasi menggunakan spektrofotometri UV dan spektrofotometri infra merahdan FT-IR. Hasil yang diperoleh dari KLT, nilai Rf dari kulit buah jeruk manis jeruk 0,83 sedangkan nilai Rf pembanding hesperidin 0,80. Hasil spektrum UV dan IR menunjukkan bahwa isolat identik dengan hesperidin baku, sedangkan untuk uji antioksidan dilakukan dengan metode DPPH 0,1 mM dan hitung nilai IC50. Analisis statistik digunakan uji T-Test. Hasil uji DPPH ekstrak kulit jeruk bali memiliki aktivitas antioksidan kuat dengan nilai IC50 sebesar 39,77 µg/ml.  
柑橘皮在橙子皮中发现的柑橘皮中有一种极为不同的化合物,这种化合物被认为是属于类黄黄酮的hesperidin。重组剂的效力比姜黄、睫毛膏或姜黄的任何化合物都要高。这是因为橘子化合物可以很容易地强大约束力的目标在病毒和宿主细胞蛋白质sehigga橙上画出了结论化合物可以使封锁阻碍发展中做复制和细胞感染病毒的宿主的这项研究旨在分离和识别hisperidin橘子皮和螺旋藻发现价值。提取方法是通过索xle心法进行的,然后对分离素进行鉴定,然后根据熔点进行纯分离检测,并使用紫外线光谱仪和红外光谱仪进行鉴定。从KLT中获得的结果是,从橙子果皮中获得的射频值为0.83,而由hesperidin提供的射频值为0.80。紫外和红外光谱的结果表明,一种同为天然赫斯佩里丁的合成物,而抗氧化剂测试是用0.1毫米的DPPH和计算IC50值进行的。统计分析使用测试。化验结果DPPH柚子皮提取物有强大的抗氧化能力和价值大小的螺旋藻39.77µg / ml。
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引用次数: 0
PENGARUH PENDIDIKAN KESEHATAN DENGAN BOOKLET TERHADAP PENGETAHUAN IBU HAMIL TENTANG 1000 HARI PERTAMA KEHIDUPAN 健康教育与婴儿手册对孕妇前生1000天知识的影响
Pub Date : 2021-08-30 DOI: 10.31935/delima.v8i2.136
Lilis Susanti
Masalah gizi seringkali muncul karena masyarakat memiliki pengetahuan, kepercayaan, nilai atau norma yang kurang memadai. makan makanan yang bergizi merupakan perilaku yang penting untuk kesehatan dan perkembangan anak. Namun ada beberapa fakor mempengaruhi makan ibu seimbang diantaranya pengetahuan, maka untuk meningkatkan pengetahuan ibu dengan pendidikan kesehatan. Pemilihan pendidikan yang efektif diperlukan untuk mencapai maksimal. Pendidikan kesehatan yang disampaikan dengan booklet dapat meningkatkan. Tujuan penelitian untuk mengetahui pengaruh pendidikan kesehatan dengan booklet terhadap pengetahuan ibu hamil ibu tentang  1000 hari pertama kehidupan. Penelitian ini merupakan penelitian kuantitatif dengan metode quasi experiment. Desain yang digunakan dalam penelitian ini adalah pre-post test with control group design, yang dilakukan pada ibu hamil di PMB Herasdiana Palembang dengan reponden 30 ibu hamil. Hasil uji Wilcoxon menunjukan adanya peningkatan pengetahuan signifikan sebelum dan setelah intervensi pada kelompok intervensi (p=0.0005). sedangkan hasil  uji man whitney juga menunjukan adanya signifiikan antara kelompok intervensi dan klompok kontrol (p=0.001). jadi dapat disimpulkan bahwa pendidikan yang disampaikan dengan media booklet  dapat menpengaruh signifikan meningkakan pengetahuan ibu hamil  tentang  1000 hari pertama kehidupan. Kata kunci : Pendidikan, pengetahuan kesehatan, booklet, ibu hamil , 1000 hari pertama kehidupan  
营养问题经常出现,是因为社会缺乏足够的知识、信仰、价值或规范。吃有营养的食物对孩子的健康和发育至关重要。但是有一些因素会影响母亲的饮食与知识之间的平衡,从而增加她的知识与医疗教育。有效的教育选择是达到最大限度所必需的。提供有书签的卫生教育可能会提高。研究目的是确定健康教育对准妈妈头1000天知识的影响。本研究是一种量化方法实验研究。在这项研究中使用的设计是一个控制小组的试验场,它是在PMB Herasdiana Palembang对孕妇进行的,有30名孕妇reponden。威尔科森的测试显示,在干预群体之前和之后的知识显著增加。然而,man whitney的测试结果也显示了干预小组和控制小组之间的理由。因此,我们可以得出结论,通过booklet媒体进行的教育可以对孕妇在出生后1000天的知识产生重大影响。关键词:教育,健康知识,书店,孕妇,人生的前1000天
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引用次数: 2
IDENTIFIKASI UJI FORMALIN PADA MIE BASAH MENGUNAKAN EKSTRAK UBI JALAR UNGU (Ipomoea batatas L.) DI PASAR TRADISIONAL DESA NIRU MUARA ENIM NIRU 村 MUARA ENIM 传统市场上使用 UNGU TALAR UBI 提取物(Ipomoea batatas L.)的湿米的甲醛测试鉴定
Pub Date : 2021-08-30 DOI: 10.31935/delima.v8i2.125
R. Garmini
The use of chemical additives, especially formaldehyde in food, needs to be watched out for together, both by producers and consumers. The use of formaldehyde in food is not allowed because it can cause poisoning in the human body. The purpose of this study was to describe the use of anthocyanin extract of purple sweet potato (Ipomoea batatas L.) as a natural indicator for formalin detection. The method used is experimental design. The results of this study can be seen that purple sweet potato contains anthocyanins which can be an indicator material for formalin which is acidic, this can be seen from the change in the color of the anthocyanin extract which changes when reacted with formalin, and seen from the purple sweet potato extract it turns reddish blue.
化学添加剂的使用,特别是食品中的甲醛,需要生产者和消费者共同关注。在食物中使用甲醛是不允许的,因为它会对人体造成中毒。本研究的目的是描述紫甘薯(Ipomoea batatas L.)花青素提取物作为福尔马林检测的天然指示剂的应用。所采用的方法是实验设计。本研究结果表明,紫甘薯中含有花青素,花青素可以作为酸性福尔马林的指示物质,这可以从花青素提取物与福尔马林反应时颜色的变化看出,紫甘薯提取物呈红蓝色。
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引用次数: 0
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