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Analisis Faktor Determinan Keluhan Work-Related Musculoskeletal Disorder pada Karyawan Bagian Teknisi dan Operator di Perusahaan Gas Negara Solution Area Lampung Reandy Ilham Andriyono; Fitria Saftarina; Minerva Nadia Putri; Dewi Nur Fiana
MAJORITY Vol 10 No 1 (2021): MAJORITY
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Abstract

Musculoskeletal disorders (MSDs) are biggest complaints felt by employees and have several risk factors are biomechanical factors, individual factors, and psychosocial factors. MSDs can affect the performance of an employee. Determine the determinant factors of the Work-Related Musculoskeletal Disorder (WMSDs) complaints on technician and operator employees at Perusahaan Gas Negara Solution Area Lampung. The research method used a cross sectional with total sampling technique that included inclusion criteria. Respondents were analyzed using Rapid Entering Body Assessment (REBA) scoring and measured their height and weight, and filled questionnaires are Self Biodata, Copenhagen Psychosocial Questionnaire II (CopSoq II), and Nordic Body Map (NBM). The results of univariate analysis on various factors were obtained namely age (100% of adult category employees), length of work (56% of employees working category> 8 hours), length of service (66% of employees entered the category> 3 years and 40% entered the category ≤3 years ), smoking habits (74% of employees have smoking habits), body mass index (62% of employees including fat category), work posture (100% of employees in the low category), psychosocial (52% of employees including good category and 48% bad, WMSDs (70% of employees have complaints and 30% of employees have no complaints). Based on bivariate analysis with Chi square test (p
Penatalaksanaan Skabies Infeksi Sekunder Pada Anak Usia Sekolah Dengan Pendekatan Kedokteran Keluarga Di Puskesmas Natar Aprina Adha Widiastini; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Scabies is a parasitic infection of the skin caused by Sarcoptes scabei var hominis. Synonyms or other names for scabies are scabies, the itch, gudig, budukan, and agogo itching. Many factors support the development of this disease, including low socioeconomic conditions, poor personal hygiene, level of knowledge, age and contact with sufferers both directly and indirectly. This situation facilitates the transmission and infestation of Sarcoptes scabei. This study is a case report. Primary data were obtained through history taking, physical examination and home visits. Assessment is based on a holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. In the results obtained a 7-year-old boy with complaints arise pimples accompanied by itching, especially at night since 11 months ago. Patients have aspects of internal risk in the form of poor personal hygiene, habits of children who sleep in the same room with their parents, bed linen, pillowcases, and curtains are rarely washed, repeated use of clothes before washing and use towels together. The external risk aspects are low income family with a fairly dense home environment, lack of cleanliness of the home environment, and low patient and family knowledge about scabies. Home visits were carried out 3 times to intervene in patients and families. The diagnosis and management of these patients is done holistically, patient centered, family approached and based on several theories and the latest research. In the process of behavior change, An. M has reached the trial stage. The process of behavior change in An. M and family in personal hygiene have been seen after intervention.
Perbedaan Pengetahuan antara Sebelum dan Sesudah Pelatihan Mengenai Pentingnya Antenatal Care pada Kader Posyandu Desa Gunungtiga, Kecamatan Ulubelu, Kabupaten Tanggamus, Lampung Charisatus Sidqotie; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

In 2015, the maternal mortality rate (MMR) in Tanggamus Regency amounted to 16 events consisting of 3 maternal deaths, 4 maternal deaths, 9 postpartum maternal deaths. Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services, one of which is health care for pregnant women (antenatal care/ANC). ANC must meet the minimum frequency of 4 visits. However, the uneven distribution of health workers and the low knowledge of health cadres about the importance of ANC is still low, so the number of ANC visits is still low. This study used the quassy experimental method with the design of one group pretest-posttest design. The sampling technique is total sampling. The research was conducted from April to July 2018, located in Gunungtiga Village, Ulubelu District, Tanggamus Regency, Lampung. The samples that were obtained were 18 Posyandu cadres. The median value of the knowledge pre-test is 30, while the median value of the post-test knowledge is 80. The results of the bivariate analysis p = 0,000. There was a significant difference between the training regarding the importance of antenatal care for the knowledge of Posyandu cadres in Gunungtiga Village.
Peningkatan Pengetahuan pada Kader Posyandu tentang Imunisasi di Kecamatan Ulubelu, Tanggamus, Lampung Alvin Widya Ananda; Fitria Saftarina; Betta Kurniawan; Dian Isti Angraini
MAJORITY Vol 9 No 2 (2020): MAJORITY
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Abstract

The coverage of infant immunization in 2017 in Lampung province in the form of BCG immunization was 99.88%, DPT1 was 100% and measles was 100%. However, there are still districts that do not reach the target of measles immunization (
Tatalaksana Medikamentosa pada Low Back Pain Kronis M. Muhlis Rizki; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Low back pain (LBP) is a leading cause of disability throughout the world. The prevalence of low back pain is reported to be as high as 84%, with 12% of the population being disabled by low back pain. The prevalence in Indonesia is 24,7%, most of them are related with occupation that involves with the strength of spine, resulting in overload and trigger the accelerated degenerative articular. Based on the duration of pain, LBP is divided into acute, subacute, and chronic. Low back pain that persists for more than 12 weeks is defined as chronic LBP. Chronic LBP requires multimodal therapy, but seems to follow the main principle, such as to reduce the pain, to prevent muscle stiffness, and to enhance patients’ quality of life. The most common drugs used to treat pain in chronic LBP are NSAID, gabapentinoid, and muscle relaxant. NSAID, as the first modality to treat chronic LBP, works by inhibiting prostaglandin through the inhibition of both COX 1 and 2 (non-selective) or directly of COX 2 (selective). The use of NSAID is limited in patients with gastrointestinal and cardiovascular symptoms. Gabapentinoid is an anti-convulsant drug which involves in neurotransmitter modulation in afferent neuron presynaptic receptors, but this drug requires titration and it should be taken for considerations. Lastly, muscle relaxant is categorized into two different mechanisms, which directly works in spinal cords and skeletal muscles (antispastic) and in central nervous system conduction (antispasmodic) to prevent muscle spasms, but still considering about the risk of drug abuse. By taking all side effects of all therapy modalities into consideration, NSAID is chosen as first-line therapy to treat chronic LBP.
Perbedaan Pengetahuan Antara Sebelum Dan Sesudah Pelatihan Pengukuran Status Gizi Balita Pada Kader Posyandu Desa Gunungtiga, Kecamatan Ulubelu, Kabupaten Tanggamus, Lampung Rika Rahmawati; Fitria Saftarina
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

In 2016 Tanggamus Regency had 70 cases of infant mortality, under-fives with malnutrition 1,371 cases (3.31%), and 1 case of malnutrition, and the coverage of community participation in under-fives growth monitoring was 75.6% . However , uneven distribution of health workers and low knowledge of health cadres about measuring the nutritional status of children, so the coverage of nutritional status is still low. This study uses the quassy experimental method with the design of one group pretest-posttest design. The sampling technique is total sampling. The research was conducted from April to July 2018, located in Gunungtiga Village, Ulubelu District, Tanggamus Regency, Lampung. The subjects that were obtained were 18 Posyandu cadres. The result of the median value of the knowledge pre-test is 30, while the median value of the post-test knowledge is 80. The results of the bivariate analysis p = 0,000. There were significant differences between before and after training in measuring the nutritional status of children under five to the knowledge of Posyandu cadres in Gunungtiga Village.
Dampak Infeksi SARS-Cov-2 Terhadap Penderita Hipertensi Haekal Alfhad; Fitria Saftarina; Betta Kurniawan
MAJORITY Vol 9 No 1 (2020): MAJORITY
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Abstract

Coronavirus disease 2019 (COVID-19) is the first viral outbreak pneumonia in Wuhan, China, in December 2019, caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2). WHO reported 2.241.359 positive cases of COVID-19 patients worldwide, with a cumulative death toll of 152.551 men by April 19, 2020. As in 18 April 2020, Indonesia itself hit 6.248 positive cases with a total of 535 deaths, according to the Indonesian Health Ministry. SARS-Cov-2 is a coronaviral (β) beta group virus. In order to enter the target cell, SARS-CoV 2 uses the ACE Angiotensin conversion enzyme (ACE) 2. This can reduce the function of ACE2 which changes Angiotensin 2 into Angiotensin (1-7). The disrupted production of Angiotensin (1-7) can cause a vasodilator effect that is not optimal, so the condition of people with hypertension can be worsen. The risk of SARS-Cov-2 infection is higher among those suffering from hypertension with the drug Renin-Angiotensin-Aldosterone System inhibitor, due to the expression of ACE2. Overexpression of ACE2 may make it easier for SARS-CoV-2 to penetrate the body.
Co-Authors -, Intanri Kurniati -, Ramadhana komala Abiyyi Pratama HW Agung, Lovina Ramadhita Airlangga Damara Akhmad Rizki Farhan Aldo Fatejarum Alia, Ega Chessa Aliffia Bingga, Isvi Alvin Widya Ananda Amalia, Usnida Khoiru Amallia, Rizka Dina Amelia, Rizqina Fara Andari, Michelle Safna Anggita Gardeesna Sari Anggraini, Dian Isti Anis Permanasari Anisya Yulida Syani Aprianna, Belinda Aprina Adha Widiastini Arlandi, Charity Binda Arrizky, Muhammad Heickal Ikhlasul Amal Arsistya Ayu Marella Asep Sukohar Athoriq, Muhammad Reivan Putra Atika Damayanti ATIKA RAHMAWATI Azelia Nusa Dewiarti Azka, Laisa Bachtiar, Nabylly Aghna Baresti, Sarah Windia Bayu Anggileo Pramesona Belinda Apriannanti Beauty Betta Kurniawan, Betta Camilia, Anita Camillia, Anita Carolina, Imelda Charisatus Sidqotie Chintya Chintya Redina Habsari Citra Yuliyanda Pardilawati Daniel Surya Wijaya Devi Liani Octiara Dewi Nur Fiana Dian Isti Anggraini Dian Isti Anggraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Diana Mayasari Diana Mayasari Diana, Mayasari Dinda Annisa Fitria Dwi Indria Anggraini Dyah Wulan Sumekar Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Eka Lestari Emir Yusuf Muhammad Endro Prasetyo Wahono Ety Apriliana Ety Apriliana Ety Apriliana Evi Kurniawati Fadhila, Syifa Rahmi Fairuz Khanza Amalia Fairuz Rabbaniyah Fairuz Rabbaniyah Farhah, Putri Dzahabiyyah Fauzi Ahmad Muda Fauziah Dwi Apriani Febriana, Wiwi Febriawan, Rahmat Febrina Dwiyanti Firinfa Soniya Fitri, Hilda Fitriani Antika Dhamayanti Freshilia Agustin Giska Tri Putri Haekal Alfhad Hanifa Yuniasari Hanna Mutiara Hanna Mutiara, Hanna Happy, Terza Aflika Hartoyo Hartoyo Helmi Ismunandar Herlambang, Geri Indra Hilda Fitri Hotman Natama Nainggolan Ibrahim, Syachrony Iffatunnada Khalishah Ihsanti Dwi Rahayu Indri Windarti Indria, Anggraini Dwi Intan Kusumaningtyas Isti Anggraini, Dian Isti Angraini, Dian Iswandi Darwis Jhons Fatriyadi Suwandi Karima, Nisa Karimah, Nisa Kartika, Juspeni Khairani, Dinda Aulia Khairun Nisa Khairunissa Athira Nauli Siregar Kurniawan, Ryanda Masri Laisa Azka Larasati, Ratri Mauluti Liana Sidharti, Liana M. Muhlis Rizki Maristiana Ayu Maryatun Hasan Maya Ganda Ratna Mayasari, Diana Merry Indah Sari Merry Indah Sari Milatul Fauziah Minerva Nadia Putri Mochammadin, Rafly Abdullah MS Mahrinasari Muhammad Gilang Muhammad Maulana Muhammad Ridho Muhammad Yusran Muhammad, Innou Dhanu Muhartono Muhartono Muthia Aya Syahmalya Nabilah, Deana Rifqoh Nadhila Nur Shafitha Nadila Ayuni Putri Nadiya Dewi Kusnadi Nainggolan, Hotman Natama Nanda Tiara Santika Naomi Elfriede Sirait Nisa Karimah Novita Carolia Novita Carolia Noviyanti, Dwi Wulan Nurul Utami Nyimas, Naflah Nadila Oktavia, Rizwiki Ovalia, Nora Wilya Pangestu, Arief Ristia Pramesona, , Bayu Anggileo Pratama, Arraian Berdha Putri Damayanti Putri Giani Purnamasari Putri, Tasya Ellyana Rahmatika, Achisna Ramadhan, Rifqi Ihza Ramadhana Komala Rani Himayani Reandy Ilham Andriyono Reinita Aulia Reni Zuraida Ridho Pambudi Rika Lisiswanti Rika Lisiswanti Rika Rahmawati Risti Graharti Rizky Arif Prasetyo Rizqa Atina Rodiani S, Johns Fatriyadi Salma Alya Ihsan Salsabila, Karina Adra San Maulina Sihaloho Santoso, Trio Sari, Riska Permata Satria Bangsawan Sefin, Ilu Salsabila Selly Stepriyani Septiani, Linda Setiawan, Gigih Setiorini, Anggi Shaffa Aulia Shabrina Shafia, Anindya Silvi Qiro'atul Aini Sinum, Ilham Muhammad SOEDJARWO Soedjarwo, Soedjarwo Sofyan Musyabiq Wijaya Soni Setiya Wardana Soraya Rahmanisa Sormin, Merris Hartati Sri Waluyo Stepriyani, Selly Subardiman, Najla Fadiyah Sudjarwo MA Suharmanto Suharmanto Suharmanto Suryadi Islami Susianti Susianti Susianti, Susianti Susilawati Susilawati Sutarto Sutarto Syaka, Muthiiah Khodista Syazili Mustofa TA Larasati Ta Larasati Tara Aulianova Tarigan Sibero, Hendra Tasya Alifia Hanin Tri Umiana Soleha Tricia, Yulita Tuti Malindasari Utama, WInda Trijayanti Utami, Nabila Rachmadita Viera Rininda Mauli Dinar Winda Puspita Sari Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wulan, Anggraini Janar Yasmin, Deffina Widya Yoga, M Agung Prasetya Adnyana Yogi Maryadi Yulita Tricia Zahara, Noeril Asy Syifa Zenith Puspitawati