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PERBEDAAN SKALA NYERI PERSALINAN SEBELUM DAN SESUDAH DIBERIKAN TEKNIK COUNTER PRESSURE MENGGUNAKAN MEDIA BOLA TENIS PADA IBU BERSALIN KALA I DI PUSKESMAS PAMULANG DAN PUSKESMAS BAKTI JAYA TAHUN 2018 Dian Puspitasari Effendi; Kartika Sari; Boy Subirosa Sabarguna
Jurnal Kesehatan STIKes IMC Bintaro Vol. 2 No. 3 (2019): Jurnal STIKes IMC Bintaro
Publisher : STIKes IMC Bintaro

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction, pain in the first stage is caused by uterine contractions, cervical opening, vaginal stretch and pelvic floor. One effort to reduce the pain of stage I with nonpharmacology is counter pressure technique using tennis ball media. Methods, using Quasy Experimental Design research with Pre-Experimental Design design with one group pretestposttest design approach. The method used Accidental Sampling, the number of samples in this study as many as 30 respondents. Measurement of pain scale using Numeric Reating Scale (NRS). Data analysis using Marginal Homogeneity Test. Result, before being applied counter pressure technique using tennis ball media got the result of moderate pain as much as 73% and heavy pain as many as 27%, while data after technique of counter pressure using light weight tennis ball become 7% and moderate pain became 93%. Conclusion, the result of research shows that there is influence of counter pressure technique using tennis ball with p value 0,002. Suggestion, perberian counter pressure technique using tennis ball media is very good given to mother of birth in facing labor process especially decrease intensity of pain at first stage of labor.
Management Administration Smartphone Application as a Strategy to Increase Accreditation Score in Primary Healthcare Facilities Agus Sugiharto; Boy Subirosa Sabarguna; Ajeng Pramastuty
Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi) Vol 6 No 1 (2022): Februari 2022
Publisher : Ikatan Ahli Informatika Indonesia (IAII)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (435.122 KB) | DOI: 10.29207/resti.v6i1.3847

Abstract

Health facility accreditation has been in great demand in recent years. Mobile applications can serve as a tool for community healthcare center’s (Puskesmas) to assess the value of their accreditation, especially regarding administration and management. In the context of preparation for accreditation, it can be used as a self-assessment tool for elements of management administration. This case-based article focuses on smartphone application development using the input-process-output-outcome scheme as a framework. We developed a checklist and assessment for the management administration component by reviewing Permenkes No. 46 the Year 2015 concerning Puskesmas accreditation. This is the first available mobile application on the Google Play Store, targeting Puskesmas staff to improve the quality of administration and management services based on accreditation criteria. This smartphone application functions as an independent assessment tool for Puskesmas to complete the accreditation criteria as stated in the regulation of the minister of health. About 20 Puskesmas staff showed a very good response and positive. All stated that they were very helpful and satisfied with this application, so they will continue to use and distribute it to other Puskesmas staff.
Brain tumor segmentation using double density dual tree complex wavelet transform combined with convolutional neural network and genetic algorithm Ridha Sefina Samosir; Edi Abdurachman; Ford Lumban Gaol; Boy Subirosa Sabarguna
IAES International Journal of Artificial Intelligence (IJ-AI) Vol 11, No 4: December 2022
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijai.v11.i4.pp%p

Abstract

Image segmentation is often faced by low contrast, bad boundaries, and inhomogeneity that made it difficult to separate normal and abnormal tissue. Therefore, it takes long periodto read and diagnose brain tumor patients. The aim of this study was to applied hybrid methods to optimize segmentation process of magnetic resonance image of brain. In this study, we divide the brain tumor images with double density dual-tree complex wavelet transform (DDDTCWT), continued by convolutional neural network (CNN), and optimized by genetic algorithm (GA) with 48 combinations yielding excellent results. The F-1 score was 99.42%, with 913 images test data. The training images consist of 1397 normal MRI images and 302 tumor magnetic resonance imaging (MRI) images resized by 32 x32 pixels. The DDDTCWT transforms the input images into more detail than ordinary wavelet transforms, and the CNNs will recognize the pattern of the output images. Additionally, we applied the GA to optimize the weights and biases from the first layer of the CNNs layers. The parameters used for evaluating were dice similarity coefficient (DSC), positive present value (PPV), sensitivity, and accuracy. The result showed that the combination of DDDTCWT, CNN, and GA could be used to brain MRI images and it generated parameters value more that 95%.
Soft Skill Based Learning for Marine Medicine Specialists Boy Subirosa Sabarguna
Nusantara Science and Technology Proceedings 1st International Conference on Health and Medicine
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2023.3515

Abstract

Background. Learning is currently experiencing major changes related to sophisticated technology and human thinking, supported by changes in learning behavior that are fast, instant, and logical. This condition has been carried out by Chat GBT which suggests that lecturers should change, in the same direction, if it is not suspected that they are not needed anymore. Initially, because learning is based on knowledge and thinking only, with the current conditions that require innovation, the mental attitude and behavior that supports it will become an important component after thinking. Thus we must use soft skills which include thinking, mental attitude, and superior behavior. The aim is to design soft skill-based learning in the 3 types of learning that exist in Marine Medicine Specialists, in outline to see the differences and advantages in implementation. Method. A study of 3 types of learning was carried out, and adjusted with suitable soft skills to produce higher quality learning compared to just using chat GBT alone, the advantages and disadvantages will be seen. Results and Discussion. 3 types of learning are adapted to soft skills, with one example each to clarify. Thus, it will be seen the advantages that can be achieved, of course besides that there are weaknesses. Conclusions and Suggestions. Soft skill-based learning can be done with a supportive mental attitude and behavior to achieve superior learning in Marine Medicine Specialist Education. Suggestions, more extensive studies and trials, and wider examples are needed so that the benefits of soft skills can be seen more clearly.
The Need For Marine Medicine Specialists for An Integrated Service Network Towards Advanced Indonesia 2045 BOY SUBIROSA SABARGUNA; HARMIN SARANA; KEES DE ROODE; DJATIWIDODO EDI PRATIKNYA; RISMA
Hang Tuah Medical Journal Vol 22 No 1 (2024): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v22i1.668

Abstract

Need for Marine Medicine Specialist Doctors: I. Hospital-Based Study Program, starting to run in 8 study programs, July 2024. II. Service Needs: 1) Regulations, 2) Development of Remote and Coastal Areas, 3) The existence of a Sea Highway, 4) The existence of marine tourism, 5) Fisheries, 6) Defense, 7) The existence of a New National Capital. III. Service Network: 1) Marine Medicine Service Center in the National Capital, 2) Frontline Areas, 3) Coastal Areas, 4) Hospital Ships. IV. Integrated Systems Network: 1) Defense System, 2) Transportation System, 3) Tourism System, 4) Fisheries System, 5) Telemedicine System, 6) Coastal Area Development, 7) Education, Research, Community Service and Innovation Systems. On August 25, 2023, the Marine Medicine Study Program was approved for a SCOR of 0.001/1,000 population, including efforts to accelerate the achievement of meeting needs. Calculation of Minimum Needs: calculated as 50% of the optimal value, 50% x 319 = 159.5 Rounded to 160, UNRAM and UHT Production Three more years: 3 +5 = 8, then it will only be achieved 20 to 40 years later. Proposed Solutions: 1) PRODI at UNRAM and UHT; There are 2 PRODIs with 3 classes: Regular, Parallel, and Scholarship, projected graduates 9+15 =24; 2) Immediately establish 10 Hospital Based PRODIs, this will meet the increasing needs, so produce 10 PRODIs, projected graduates 10 x 10 = 100; 3) Immediately form a Service Network and System Network, spread throughout Indonesia. 9 types, so there are 9 PRODI. Projection of graduates 9 x 10 = 90. Total projection: 24 + 100 + 90 = 214 per semester. Keywords: need for specialist doctors, study program, student class, graduate projections.
Analisis Tingkat Kecemasan pada pasien Pre-Operasi Tumor Payudara Elektif 1 hari Sebelum Operasi di Rumah Sakit X: Tumor Payudara, Kecemasan, Preoperasi Febriyanti, Hana; Junaefi, Evi; Sabarguna, Boy Subirosa; Susilawati, Ela
Jurnal Kesehatan Holistic Vol. 9 No. 1 (2025): Jurnal Kesehatan Holistic Volume 9/ Nomor 1/ Januari 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan RS Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33377/jkh.v9i1.240

Abstract

Pendahuluan: Sebagian besar populasi di dunia menderita tumor, yang sering menyebabkan kematian. Tumor adalah benjolan atau sel-sel yang tumbuh secara abnormal yang dapat ditemukan di berbagai tempat di seluruh tubuh atau di dalamnya. Pertumbuhan sel-sel yang tidak normal yang menyebabkan benjolan menjadi lebih besar dapat menyebabkan perasaan tidak nyaman, nyeri, sensasi tidak menyenangkan, perubahan fisik dan psikologis. Adanya tumor dapat menyebabkan perubahan fisik, seperti perubahan fungsi organ payudara. karena itu pembedahan diperlukan. Pada beberapa kasus, pembedahan dapat memiliki beberapa risiko dan efek samping. Risiko yang mungkin terjadi termasuk kegagalan anetsesi, kematian di meja operasi, dan kecacatan pasca pembedahan. Efek samping yang mungkin terjadi termasuk nyeri di area operasi, pembengkakan di area operasi, hematoma, seroma, nyeri neuropatik, dan kemungkinan infeksi. Pasien yang akan menjalani pembedahan dapat merasa khawatir, was-was, atau cemas karena hal-hal ini.Tujuan: Mengetahui gambaran kecemasan pada pasien pre-operasi tumor payudara elektif 1 hari sebelum operasi di Rumah sakit X. Metode: Jenis peneltian deskriptif kuanitatif. Pengambilan sampel teknik non-probability Sampling yaitu accidental sampling. Sampel 52 penderita Tumor Payudara yang dirawat di Rumah Sakit X kuesioner yang telah teruji validitas reabilitas menggunakan HARS. Hasil: Hasil Analisis Univariat 52 responden yang akan menjalani operasi tumor payudara 48,1% mengalami cemas sedang, 38,5% cemas ringan dan 13,5% cemas berat. Kesimpulan: Pasien tumor payudara yang akan menjalani operasi seluruhnya mengalami kecemasan dengan mayoritas kecemasan sedang Kata Kunci: Tumor Payudara, Pre-Operasi, Tingkat kecemasan
Penyuluhan Kesehatan Tentang Toksikologi Pesisir  Sekaligus Pengenalan Kegiatan Spesialis Kedokteran Kelautan pada tahun 2024 Boy Subirosa Sabarguna; Titut Harmanik; Achmad Nurdin Himawan; Anis Dwi Anita Rini Dwi Anita Rini; Anita Devi; Arif Rahman Nurdianto
Jurnal Relawan dan Pengabdian Masyarakat REDI Vol. 2 No. 2 (2024): November
Publisher : Yayasan REDI Tiga Monas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69773/47pvq228

Abstract

Kesehatan nelayan di masyarakat daerah pesisir x, kennyataannya masih berperilaku tradisional, walaupun disekitarnya sudah berdiri penelolaan tambak yang maju, maka diadakan Penuluhan Kesehatan yang bertujuan: meningkatkan pengetahuan, membangun kesadaran dan menjalin hubungan untuk kegiatan berikutnya. Peyuluhan dengan topik Toksikologi Pesisir terkait: Binatang laut berbahaya, Barotrauma, Tenggelam, Penyakit Dekompresi. Dilakukan ceramah tanya jawab yang diberengi dengan cetakan power point, dihadiri oleh 14 orang (laki-laki semua) di warung tempat biasa nelayan berkumpul. Diperkenalkan Pendidikan Dokter Spesialis Kedokteran Kelautan diantarnya menaungi Kesehatan Masyarakat Pesisiir yang sekarang berpartisipasi melakukan penyuluhaan kesehatan oleh mahasiswa. Diperlukan waktu 30 menit dengan 4 pembicara dengan respon yang bertanya lebih jauh dan komitmen akan pada proses lanjutan. Penjelasan kedokteran kalutan oleh dosen yang waktu itu turut serta mendampingi. Disimpulkan materi memberikan nelayan mengingat kembali tentang bahaya dan cara menanggulangi, juga setuju untuk dilanjutkan dengan acara berikutnya.
Penerapan Skenario Prosedur untuk Penanganan Zat Beracun di Pesisir Boy Subirosa Sabarguna; Tutik Harmanik; Achmad Nurdin Himawan; Anis Dwi Anita Rini; Anita Devi; Arif Rahman Nurdianto
Jurnal Relawan dan Pengabdian Masyarakat REDI Vol. 2 No. 4 (2025): Mei
Publisher : Yayasan REDI Tiga Monas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69773/nymfpn39

Abstract

Penanganan zat beracun di wilayah pesisir membutuhkan pendekatan sistematis yang didukung oleh metode pembelajaran yang efektif. Penelitian ini mengkaji penerapan Skenario Prosedur sebagai teknologi pembelajaran untuk mendukung praktik klinik di bidang Kedokteran Kelautan. Metode ini mencakup sembilan tahap sistematis yang meliputi perencanaan, simulasi, evaluasi, hingga refleksi. Studi ini juga menerapkan metode Skor Pemeringkatan Prioritas untuk menentukan program promosi kesehatan dan kegiatan pelayanan masyarakat yang paling efektif. Hasil menunjukkan bahwa metode tanya jawab menjadi prioritas dalam promosi kesehatan, sedangkan Pos Bindu Penyelaman dipilih sebagai bentuk layanan kesehatan yang paling strategis. Evaluasi pelaksanaan menunjukkan peningkatan partisipasi dan pemahaman masyarakat terhadap risiko lingkungan pesisir. Oleh karena itu, penerapan Skenario Prosedur direkomendasikan untuk meningkatkan efektivitas pelatihan, kesadaran masyarakat, serta kesiapsiagaan dalam menghadapi risiko zat beracun di lingkungan pesisir.
ANALISIS TINGKAT KECEMASAN PASIEN PRE OPERASI SECTIO CAESAREA ELEKTIF 1 HARI SEBELUM OPERASI DI RUMAH SAKIT Alamsyah, Chairunnisa Minarni; Nofita, Reni; Sabarguna, Boy Subirosa; Damayanti, Siti; Kurniasih, Neneng
Jurnal Penelitian Keperawatan Kontemporer Vol 5 No 3 (2025): Juni 2025
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v5i3.955

Abstract

Latar Belakang: Kecemasan adalah kondisi psikologis atau respons emosional seseorang yang ditandai oleh rasa tegang, khawatir, dan takut, yang muncul akibat persepsi ancaman atau keyakinan bahwa sesuatu yang buruk akan terjadi. Operasi Caesar saat ini menjadi salah satu metode pilihan dalam proses persalinan karena dinilai memberikan keamanan bagi ibu sekaligus melindungi bayi dari risiko yang ditimbulkan oleh proses persalinan yang terlalu lama. Prosedur ini merupakan bentuk intervensi medis yang relatif aman, namun tetap dapat menimbulkan dampak yang kompleks. Pasien yang akan menjalani operasi Caesar sering kali mengalami berbagai tingkat kecemasan, mulai dari yang ringan hingga yang berat. Rasa cemas sebelum tindakan operasi muncul sebagai reaksi terhadap ancaman yang dirasakan pasien, baik terhadap fungsi dan perannya dalam kehidupan, integritas tubuh, maupun terhadap keberlangsungan hidupnya. Stres dan rasa cemas kerap muncul saat pasien menantikan jadwal operasi, disebabkan oleh kekhawatiran terhadap nyeri pascaoperasi serta ketakutan terhadap risiko kematian akibat anestesi. Tujuan: Untuk menganalisis hubungan riwayat operasi dengan kecemasan pasien pre operasi SC elektif 1 hari sebelum operasi di Rumah Saki X. Metode: Penelitian ini menggunakan desain cross sectional. Sampel dalam penelitian ini berjumlah 32 orang. Sampel diambil dengan teknik purposive sampling. Hasil diuji dengan uji statistik cross sectional dengan signifikansi α = <0,05 dengan program SPSS 23. Instrumen penelitian dengan menggunakan kuesioner yang telah teruji validitas dan reabilitas yaitu Hamilton Anxiety Rating Scale (HARS). Hasil: Hasil analisis bivariat didapatkan nilai p = 0,730, maka dapat disimpulkan bahwa tidak terdapat hubungan yang signifikan antara riwayat operasi dengan tingkat kecemasan pasien pre operasi SC elektif di mana nilai lebih besar dari nilai α>0,05. Hasil analisis univariat 32 responden yang akan menjalani operasi SC elektif 93,7% mengalami kecemasan, cemas ringan 34,4%, cemas sedang 37,5% dan cemas berat 21,9%. Kesimpulan: Hampir seluruh pasien yang akan menjalani operasi SC elektif mengalami kecemasan dengan mayoritas cemas sedang, serta tidak ada Hubungan signifikan antara Riwayat operasi dengan Tingkat kecemasan pasien pre operasi SC elektif.
Hubungan Penerimaan Diri dengan Kualitas Hidup Pasien Hipertensi Susilawati, Ela; Cerli, Gita; Sabarguna, Boy Subirosa; Febriyanti, Hana
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 9, No 2 (2025): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v9i2.6073

Abstract

Background: Hypertension remains a major global health problem with a steadily increasing prevalence. More than one billion adults are reported to suffer from hypertension worldwide, while in Indonesia the prevalence reaches 34.1% among individuals aged over 18 years. This condition not only causes physical complications but also has psychological and social consequences. From a psychosocial perspective, hypertensive patients are at risk of experiencing anxiety, emotional distress, and difficulties in accepting their health condition. Low self-acceptance often generates negative emotions that can reduce quality of life. In Banten Province, hypertension prevalence was reported at 29.47%, with South Tangerang City recording the highest number of cases. However, most studies have focused on biomedical aspects, while the psychosocial dimension, particularly the role of self-acceptance in determining quality of life, has been rarely explored. Methods: This study employed a cross-sectional design using purposive sampling involving 100 hypertensive patients at Rawa Buntu Primary Health Center, South Tangerang City. The research instruments included the Acceptance of Illness Scale (AIS) and the Mini-Questionnaire of Quality of Life in Hypertension (MINICHAL). Data analysis was performed using the chi-square test. Results: showed that 95% of respondents reported high self-acceptance and 5% low; meanwhile, 93% had good quality of life and 7% poor. Statistical testing confirmed a significant association between self-acceptance and quality of life (p < 0.001). Conclusion: self-acceptance plays a crucial role in improving quality of life among hypertensive patients. Psychosocial support and health counseling are clinically recommended to help patients adapt to their condition and maintain well-being.