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All Journal Medula Jurnal Kesehatan Masyarakat JITEK (Jurnal Ilmiah Teknosains) Hasanuddin Law Review SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan JFL : Jurnal Farmasi Lampung Jurnal Dunia Kesmas Manuju : Malahayati Nursing Journal Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati JURNAL ILMIAH KESEHATAN SANDI HUSADA Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Jurnal Ilmiah Kesehatan JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Abdi Insani Jurnal Peduli Masyarakat JK Unila (Jurnal Kedokteran Universitas Lampung) Jurnal Pengabdian Kepada Masyarakat (JPKM) Tabikpun Jurnal Kesehatan Tambusai Jurnal Pengabdian Dharma Wacana Buguh: Jurnal Pengabdian Kepada Masyarakat Fox Justi : Jurnal Ilmu Hukum Jurnal EduHealth Indonesian Journal of Biological Pharmacy Prosiding Konferensi Nasional PKM-CSR Jurnal Ilmiah Bakti Farmasi Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Jurnal Farmasetis Sains Medisina Indonesian Journal of Pharmacy and Natural Product FASKES : Jurnal Farmasi, Kesehatan, dan Sains Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Majority Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan E-Amal: Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmiah Kesehatan Sandi Husada JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Sanitas: Journal of Health, Medical, and Psychological Studie International Journal of Health Science
Rasmi Zakiah Oktarlina
Program Studi Farmasi, Fakultas Kedokteran, Universitas Lampung
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Pola Penggunaan Antibiotik pada Pasien Demam Tifoid di Fasilitas Pelayanan Kesehatan: Literature Review Desi Astri; Citra Yuliyanda Pardilawati; Femmy Andrifianie; Rasmi Zakiah Oktarlina
Sains Medisina Vol 4 No 4 (2026): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/snsmed.v4i4.1070

Abstract

Demam tifoid masih menjadi masalah kesehatan di negara berkembang, termasuk di Indonesia. Antibiotik merupakan terapi utama, namun penggunaan yang tidak rasional dapat meningkatkan risiko resistensi bakteri. Menganalisis pola penggunaan antibiotik dan rasionalitas terapi pada pasien demam tifoid di fasilitas pelayanan kesehatan. Penelitian ini menggunakan metode literature review terhadap artikel original research yang diperoleh dari Google Scholar dan PubMed. Kriteria inklusi meliputi artikel open access, full-text, terbit pada tahun 2021–2026, dan relevan dengan topik. Sebanyak 10 artikel dianalisis secara mendalam. Pola penggunaan antibiotik didominasi oleh sefalosporin generasi III, terutama ceftriaxone dan cefixime, yang memiliki efektivitas klinis yang tinggi. Namun, rasionalitas penggunaan masih bervariasi, terutama terkait durasi terapi dan pemilihan antibiotik. Selain itu, peningkatan kasus resistensi Salmonella typhi, termasuk multidrug-resistant (MDR) dan extensively drug-resistant (XDR), menjadi tantangan dalam terapi. Dari aspek farmakoekonomi, ceftriaxone lebih cost-effective dibandingkan antibiotik lain, meskipun beberapa di antaranya memiliki efektivitas klinis yang lebih tinggi. Pola penggunaan antibiotik pada demam tifoid cenderung seragam, namun rasionalitasnya belum optimal. Kepatuhan terhadap pedoman terapi dan evaluasi penggunaan antibiotik perlu ditingkatkan secara berkelanjutan untuk mencegah resistensi dan meningkatkan kualitas pelayanan kesehatan.
Case Report: Kehamilan Ektopik Terganggu pada G3P1A1 Wanita 29 Tahun Hasta Hendarto; Rasmi Zakiah Oktarlina; Intan Kusumaningtyas
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1786

Abstract

Ectopic pregnancy is a condition in which the gestational sac is located outside the uterine cavity, representing the most common life-threatening emergency during the first trimester of pregnancy. Implantation in ectopic pregnancy frequently occurs in the fallopian tube. The clinical manifestations are typically characterized by amenorrhea, followed by vaginal bleeding and sudden onset abdominal pain. In this case, a 29-year-old woman, G3P1A1, presented at 6–7 weeks of gestation with severe lower abdominal pain accompanied by vaginal bleeding, along with a risk factor of a previous history of ectopic pregnancy. Data were obtained through anamnesis, general physical examination, obstetric assessment, ultrasonography, and both medical and non-medical management. Physical examination revealed conjunctival pallor, abdominal distension with muscular defense, tenderness in the lower abdomen, and a non-palpable uterine fundus. Pelvic examination demonstrated cervical motion tenderness and bulging in the pouch of Douglas. Ultrasonography findings were highly suggestive of ectopic pregnancy. The diagnosis was established as gravida 3 para 1 abortus 1, 6–7 weeks of gestation, with a complicated ectopic pregnancy. The patient underwent exploratory laparotomy with left salpingectomy due to rupture of the left ampullary segment of the fallopian tube. Methotrexate therapy was not administered, as the patient did not meet the eligibility criteria for medical management, given that tubal rupture had already occurred.
Edukasi pembuatan silase limbah daun tebu dan ekoenzim sebagai insektisida alami bagi petani di Kampung Lentigi, Sabah, Malaysia Roro Rukmi Windi Perdani; Rasmi Zakiah Oktarlina; Suwaib Amiruddin; Putik Titian Cipta Hening; Jihan Siti Muthmainah; Aloysius Krishartadi Damar Bawono; Norbertus Marcell Prayogi; Gasela Zalianti Balqis
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 2 (2026): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i2.38083

Abstract

Abstrak Kegiatan pengabdian masyarakat ini bertujuan untuk memberikan edukasi kepada petani tebu di Kampung Lentigi, Kota Belud, Sabah, Malaysia, mengenai dua inovasi berbasis sumber daya lokal, yaitu pemanfaatan limbah daun tebu menjadi silase dan penggunaan ekoenzim sebagai insektisida alami. Petani di daerah tersebut menghadapi masalah berupa penumpukan limbah daun tebu yang belum dikelola secara optimal, serta serangan hama seperti kutu buluh putih, tikus, dan monyet ekor panjang yang turut menimbulkan risiko zoonosis. Kegiatan dilaksanakan melalui pendekatan deskriptif kualitatif dengan metode sosialisasi dan demonstrasi langsung dalam satu kali kunjungan. Tim memperkenalkan proses pembuatan silase menggunakan daun tebu cacah, molase, dan EM4 sebagai starter fermentasi, serta pembuatan ekoenzim dari fermentasi gula, kulit bawang merah, dan air sebagai alternatif pengendalian hama ramah lingkungan. Evaluasi dilakukan melalui observasi terhadap keterlibatan aktif dan respons peserta selama kegiatan. Hasil kegiatan menunjukkan respons positif dari para petani, silase dinilai berpotensi mengurangi limbah sekaligus menyediakan pakan ternak alternatif, sementara ekoenzim dipandang sebagai solusi pengendalian hama yang murah, mudah dibuat, dan lebih aman dibandingkan pestisida sintetis. Kegiatan ini diharapkan dapat meningkatkan pengetahuan, kesadaran, dan keterampilan petani dalam mengelola sumber daya lokal secara berkelanjutan, serta mendukung ketahanan pangan dan kesejahteraan masyarakat Kampung Lentigi. Kata kunci: ekoenzim; insektisida alami; limbah daun tebu; penyuluhan; silase Abstract This community service activity aimed to educate sugarcane farmers in Kampung Lentigi, Kota Belud, Sabah, Malaysia, on two locally-based innovations: the utilization of sugarcane leaf waste as silage for animal feed, and the application of eco-enzyme as a natural insecticide. Farmers in this area face major challenges including unmanaged accumulation of sugarcane leaf waste and pest attacks from white mealybugs, rats, and long-tailed macaques, the latter of which also poses zoonotic disease risks. The activity was conducted using a qualitative descriptive approach through a single-visit socialization and hands-on demonstration session. The team introduced silage production using chopped sugarcane leaves, molasses, and EM4 as a fermentation starter, as well as eco-enzyme production from fermented sugar, onion peel, and water as an environmentally friendly pest control alternative. Evaluation was carried out through direct observation of participant engagement and responses during the session. Results demonstrated positive reception from the farmers — silage was perceived as a practical solution for waste reduction and alternative feed provision, while eco-enzyme was regarded as an affordable, easy-to-make, and safer alternative to synthetic pesticides. This program is expected to enhance farmers' knowledge, awareness, and skills in managing local resources sustainably, while contributing to food security and community welfare in Kampung Lentigi. Keywords: eco-enzyme, natural insecticide, outreach, silage, sugarcane waste
Perbedaan Antara Tingkat Kepuasan Pasien Layanan Kefarmasian di Puskesmas Induk Natar dan Puskesmas Rajabasa Indah Lani Hartanti; Rasmi Zakiah Oktarlina; Zulpakor Oktoba; Asep Sukohar
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 3 (2025): Juli : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i3.787

Abstract

Background: Pharmaceutical services at primary health centers (puskesmas) play a vital role in supporting the quality of primary healthcare services. However, patient satisfaction with these services varies, influenced by factors such as service quality and demographic characteristics of the patients. In Lampung Province, the Induk Natar and Rajabasa Indah primary health care centers have different regional characteristics, which may influence patients perceptions and satisfaction with pharmaceutical services. Methods: This study employed an analytical observational method with a cross-sectional design. Samples were selected using systematic accidental sampling, with 100 respondents from each primary health care centers. Quantitative data were collected using the Servqual questionnaire and patient sociodemographic characteristics. Data were analyzed using the Mann-Whitney test and the Chi-Square test. Result: The reliability dimension showed the highest satisfaction level in both Induk Natar primary health care centers (90.10%) and Rajabasa Indah primary health care centers (94.05%). Conversely, the tangible dimension had the lowest satisfaction levels, with 88.60% in Induk Natar primary health care centers and 92.08% in Rajabasa Indah primary health care centers. A significant difference in patient satisfaction levels was found between the two health centers. However, no significant correlation was found between patient characteristics (age, gender, education, and occupation) and satisfaction levels (p-value > 0.05). Conclusion: Rajabasa Indah primary health care centers demonstrated a higher level of patient satisfaction compared to Induk Natar primary health care centers. A significant difference in satisfaction levels between the two centers was confirmed by the Mann-Whitney test.
Co-Authors A.P, Afna Nur Adela Putri Agata Afna Nur Afni Palogan Afra Rahmania Santi oktarlina Afriyana, Regi Agung Abadi Kiswandono Agustina, Mezza agustyas tjiptaningrum Aisyah Qinthara Nabila Putri Alfina Indah Nabila Ali Hasymi Romanov Alicia Rahma, Cinta Aloysius Krishartadi Damar Bawono Alvira Balqis Soraya Amanda, Fadyla Ambarwati, Yuli Amelia, Dinda Andi Nafisah Andrifianie, Femmy Annisa Nurul Sa'diah Antika Sintia, Nova Aqil, Faiq Akhmad ari wahyuni Ari Wahyuni Ari Wahyuni Aryanti, Sri Asep Sukohar Asep Sukohar Asnah Tarigan Aspita Laila Asyifa, Nisa Asyraf Vivaldi Wardoyo Atri Sri Ulandari Audry Lintang Hasanuddin Augesti, Gita Aulia Nur Fadilah Aulia Ramdini, Dwi Axcellia Theresa Ayu Tiara FItri Bayu Anggileo Pramesona Berlyantama Afifaldo Chyntia Saputri Citra Yuliyanda Pardilawati Citra Yuliyanda Pardilawati Citra Yuliyanda Pradilawati Damayanti, Ervina Danang hafizfadillah Daulay, Suryani Agustina Deandra Athaayaa Iswari Desi Astri Dewi Nur Fiana Dheti Efrilia Dheti Efrilia - Dika Pratiwi Adifa Disaputera, Alfafa Tsalaatsa Diva Meylia Dwi Anjani, Galuh DWi Aulia Ramdini Dwi Aulia Ramdini Dwi Indria Anggraini Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Dzakiya Alya Musyafa Satriad Ebti Rizki Utami Elisa, Syavira Ety Apriliana Ety Apriliana Evi Kurniawati, Evi Exsa Hadibrata Exsa Hadibrata Falamy, Ryan Fathia Sa'adah Fatimah Azzahra Femmy Andrifianie Femmy Andrifianie Fernandya Sylvia Nurindi Fonna, Maulida Puteri Fragil Khoirul Basyar Fredison, Fredison Gasela Zalianti Balqis Happy, Terza Aflika Hasta Hendarto Helmi Ismunandar Helmi Ismunandar Hendra Tarigan Sibero Hidayat, Rizqi High Boy Karumulborg Hutasoit Humaira, Nayarani Ilyas Prabamukti Inas Salsabila Indri Windarti Indriyani, Reni Intan Kusumaningtyas Intan Kusumaningtyas Intanri Kurniati Isaura Dewi Fauzi J, Zayatri Nurul Jeffrey Surya Jessy Dewi Awali Jezmy, Beby Kelidia Jihan Siti Muthmainah Joni, Agnesia Priskila Josua Tumpal Haloman Junando, Mirza Juspeni Kartika Karima, Nisa Khairun Nisa Khairunnisa Komang Ria Yuliana Santhi Kurniawaty, Evi Kusumaningrum, Desy L.P, Eka Ananda Lani Hartanti Lathifah, Dina Silmi Letifa Rahmadani Letifa Rahmadani Lia Qelina Liana Sidharti, Liana Lina Marlina M. Bintang Al Farrel M. Fitra Wardhana M. Fitra Wardhana M. Ricky Ramadhian M. Rizky Fathurrohim Magdalena Yosefin Saputra Magdalena Yosefin Saputra Mallarangeng, Andi Nafisah Tendri Adjeng Marcelia, Selvi Mayasari, Diana Melia Megawati Mirza Junando Muhammad Aditya, Muhammad Muhammad Aditya, Muhammad Aditya Muhammad Fakih Muhammad Fitra Wardhana Sayoeti Muhammad Iqbal Muhammad Iqbal Muhammad Kaisar Febriantara Muhammad Maulana Muhammad Miraj Mirza, Isroni Muhammad Nazher Mukhlis Imanto Mukhlis Imanto, Mukhlis Mulyono Mulyono Mutiara Nauli Br. Sitinjak Najwa Ulinnuha Nara Safitri Natamiharja, Rudi Nathasya Karren Zeta Nathasya Karren Zeta Naza Tsasbita Hayuning Adila Noldy Masyitha Nora Ramkita Norbertus Marcell Prayogi Novita Carolia Novita Carolia Novita Carolia Novriana, Dina NUR AFRIYANI Nurul Islamy4 Nurul Utami Oktafany Oktafany Oktafany Oktafany, Oktafany Oktoba, Zulpakor P, Cindy Ivana P, Cutra Yuliyanda Pardilawati, Citra Yulianda Pardilawati, Citra Yuliyanda Patricia Cristina Wati Pius Ave Rafael Silalahi Prabamukti, Ilyas Pratama, Andre Arya Puteri, Vadiyani Fricillya Putik Titian Cipta Hening Putri Ria Ariyanti Putri Ulan Sari Putri, Oka Mahila Gustia Putri, Syalika Dianisa Radita Dewi Prasetyani Rahma, Cinta Alicia Rahmania Santi, Afra Rahmasari, Fania Asfi rahmawati, selvi Ramadhana Komala Ramdini, Dwi Aulia Rani Himayani Rani Himayani Ratna Dewi Puspita Sari Ratna, Maya Ganda Ratu, Sarih Reffilia Irfa Rena Roy Reni Indriyani Reni Zuraida Reva Dwi Yanty Rika Lisiswanti Rika Lisiswanti Risal Wintoko Risti Graharti Riyanto, Rahmadani Putri Rodiani, Rodiani Romulya, Ari Irawan Roro Rukmi Windi Perdani Roro Rukmi Windi Perdani Roro Rukmi WP Rossa, Putri Emylia Roviq Umam S Rr Astri Nur Azizah Utama Utama Rudiyanto, Waluyo Safitri, Nara Sahab Sibuea Salsabila Dzakiyyah Zahra Salsabila Nurislami Salsabila Nurislami Salsabila, Lyansaputri Salsabilla, Riefa Ayu Salshabilla, Annisa Sangging, Putu Ristyaning Ayu Saputra, Kurnia Hadi Saputra, Magdalena Yosefin Sari, Tri Anti Permata Septiani, Linda Setiawan, Muhamad Rizky Setiorini, Anggi Shinta Nareswari, Shinta Shinta Nurhaliza Siboro, Erwi Saulina Venezia Silalahi, Pius Ave Rafael Siti Khalimatus Sa'diah Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharmanto Suri, Nurma Susianti Susianti Sutarto . Sutarto Sutarto Sutarto Sutarto Sutyarso Suwaib Amiruddin SYAIFUL BAHRI Syaiful Bahri Syavira Elisa Syazili Mustofa T. Adjeng, Andi Nafisah T.A. Larasati TA Larasati Tiara Aninditha Tias Adhe Setyaningrum Tri Umiana Soleha Tri Umiana Soleha Triyandi, Ramadhan Vania Putri Risyhade Verizka, Talitha Wardani, Dyah Wulan S.R Wardani, Dyah Wulan S.R. Wardani, Farah Dwi Widyaningrum, Diah Ayu Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani yusran Zada Amalia Agatha Sari Zada Amalia Agatha Sari Zahra Wafiyatunisa Zeta, Nathasya Karren Zetira, Zihan Zunando, Mirza