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AFB smear positive 1+: a dominant factor in Pulmonary TB household transmission Alinea Dwi Elisanti; Diany Yoke Safira; Efri Tri Ardianto
Health Science Journal of Indonesia Vol 11 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v11i1.3129

Abstract

Latar belakang: TBC menjadi masalah kesehatan dunia, termasuk Indonesia karena kasus baru TB paru terus meningkat. Penelitian ini mengkaji faktor dominant yang mempengaruhi penularan kontak serumah pasien TB paru. Metode: Studi observasional dengan desain analitik cross sectional ini menggunakan populasi seluruh penderita dan anggota keluarga pasien TB paru di Puskesmas Kedundung tahun 2015 2016. Sampel sejumlah 52 orang dihitung menggunakan rumus besar sampel infinith dan diambil secara konsekutif. Variabel penelitian meliputi perilaku pencegahan, Gradasi BTA dan penularan kontak serumah. Pengumpulan data menggunakan lembar wawancara, lembar pengumpul data, sputum pot steril. Data dianalisis menggunakan uji Spearman Rank dan uji regresi logistik binary dengan tingkat signifikansi 0,05. Hasil: Perilaku pencegahan (p=0.093), BTA positive 2+ (p=0.377) tidak berpengaruh terhadap penularan kontak serumah pasien TB paru, sedangkan BTA positive 1+ mempengaruhi penularan kontak serumah pasien TB paru (p= 0,007). Nilai Exp (B) BTA positif (1+) menunjukkan 12,144 artinya pasien BTA positif (1+) memiliki risiko 12,144 kali lebih tinggi menularkan ke kontak serumah dibandingkan dengan BTA positif (3+). Sedangkan pasien BTA positif (2+) memiliki risiko 3,328 kali menularkan ke kontak serumah dibandingkan dengan BTA positif (3+). Kesimpulan: Pasien TB paru dengan pemeriksaan BTA positif (1+) menjadi faktor dominan yang mempengaruhi penularan kontak serumah pasien TB paru. Upaya komunikasi dan edukasi personal higiene, tingkat kepatuhan pengobatan pasien TB paru perlu ditingkatkan untuk menekan kejadian baru TB paru. Kata kunci: Gradasi BTA, TB Paru, Perilaku Pencegahan, Penularan Kontak Rumah Tangga Abstract Background: Tuberculosis has become a global health problem, included in Indonesia, new cases of pulmonary TB increase continuously. This study examined the dominant factors that influenced the transmission of household contacts in pulmonary TB patients. Methods: This observational study was a cross-sectional analytic design which used a population of all patients and family members of pulmonary TB patients at the Kedundung Health Center in 2015 until 2016. A sample of 52 people was counted using the infinith sample size formula and taken consecutively. Research variables include prevention behavior, AFB smear gradation, and household contact transmission. Collecting data used interview sheets, data collection sheets, sterile sputum pots. Data was analyzed by chi-square test and binary logistic regression test with a significance level of 0.05. Results: Prevention behavior (p=0.093), AFB smear-positive 2+ (p=0.377) did not affect on household contact transmission in pulmonary TB patients, whereas AFB smear-positive 1+ affected household contacts transmission of pulmonary TB patients (p=0.007). The value of Exp (B), AFB smear-positive (1+) have a risk of 12.144 times transmitting to household contact when compared to AFB smear-positive (3+). Whereas patients with AFB smear-positive (2+) have a risk of 3,328 times transmitting to household contact when compared with AFB smear-positive 3+. Conclusion: Pulmonary TB patients with AFB smear-positive (1+) was the dominant factor affecting household contact transmission. Communication and personal hygiene education efforts, the level of adherence in the treatment of pulmonary TB patients needs to be increased to suppress the new incidence of pulmonary TB. Keywords: AcidFast Bacilli (AFB) gradation, pulmonary TB, Prevention Behavior, Transmission of Household Contacts
Analisis Kluster Kejadian Stunting pada Balita di Provinsi Kalimantan Timur Ros diana Tasman; Arief Wibowo; Rachmah Indawati; Alinea Dwi Elisanti
Jurnal Kesehatan Vol 8 No 3 (2020): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v8i3.183

Abstract

Malnutrition is still a major problem in Indonesia. Stunting (short stature) is a form of malnutrition in which a very short and short stature exceeds a 2 SD deficit below the median length or height of the population. The prevalence of short and very short toddlers nationally according to Riskesdas 2018 reaches 30.8%. The incidence of stunting in East Kalimantan Province in 2017 reached 30.86%, but there is no area categorization based on the prevalence of stunting in each Public Health Service (PHS). It is need to conduct the reseacrh to cluster the incidence of stunting based on other health parameters. The unit analysis of this study was 187 PHS in East Kalimantan Province, the data source was obtained from the Health Profile of the East Kalimantan Province, the data analysis used K-mean cluster with alpha 5%. The determination of the cluster is based on the incidence of stunting, LBW, Exclusive Breastfeeding and Complete Basic Immunization (CBI) in East Kalimantan Province. The results showed that there were 3 PHS clusters in East Kalimantan Province. Cluster 1 consists of 77 PHS with low incidence rates of stunting and LBW of 18.1% and 7.13%, cluster 2 consists of 109 PHS with low rates of stunting and LBW namely 8.04% and 2.7%, while cluster 3 consisted of 1 PHS with incidence of stunting, LBW and CBI above the total average, namely 15.2%, 12.5% and 323.8%. The highest incidence of stunting is at PHS Cluster 1 wich having a low coverage of Exclusive breasfeeding and CBI. It is more influenced by the topography of the Kutai Kartanegara area, where several areas are located on the coast and inland so the health workers get difficulties in accessing the community because they have to be reached by sea, river and lake.
PENDAMPINGAN PRODUKSI SABUN MIKROJEL ANTISEPTIK UNTUK MENUNJANG GERAKAN CTPS PADA MASA PANDEMI DI DESA KEMUNING LOR JEMBER Dahlia Indah Amareta; Alinea Dwi Elisanti; Dhyani Ayu Perwiraningrum
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 6 No. 2 (2022): Jurnal Panrita Abdi - April 2022
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v6i2.13822

Abstract

Kemuning Lor, as the assisted village of Politeknik Negeri Jember, has improved to reduce the spread of the covid-19 virus in the community; the village community has to be able to change their habits to clean and healthy life behavior (CHLB). Considering that the community morbidity rate in Kemuning Lor is relatively high, the first rank is upper respiratory tract infection (RTI). RTI is an indicator of low CHLB, which can trigger new problems in the health sector. Health maintenance practices in the community of Kemuning Lor are still relatively low. Some people still litter, including household waste disposal, namely used cooking oil (Jelantah). Jelantah can pollute the environment but can be a raw material for liquid or solid soap products. In this pandemic, hand washing soap has become very important to support the handwashing with soap (HWS) activities to prevent Covid-19. This community service aims to increase the knowledge and practice of community CHLB in using the jelantah as a primary ingredient in making antiseptic microgel soap. Through training and mentoring activities, the program starts with preparation and implementation and ends with an evaluation. There was an increase in target knowledge in the practice of HWS and target skills in producing soap from used cooking oil. The output of this activity is the video tutorials on making microgel soap and HWS, microgel soap products, CHLB of household-level book, and HWS stickers. ... Desa Kemuning Lor sebagai Desa binaan penelitian dan pengabdian masyarakat Politeknik Negeri Jember, telah berbenah diri untuk berusaha mengurangi penyebaran virus covid-19 di masyarakat, masyarakat desa tentunya harus mampu merubah kebiasaan untuk berperilaku hidup bersih dan sehat (PHBS). Mengingat tingkat kesakitan masyarakat di Desa Kemuning Lor masuk dalam kategori relatif tinggi, peringkat pertama adalah infeksi saluran pernafasan atas (ISPA). ISPA menjadi indikator rendahnya PHBS di suatu wilayah yang tentunya dapat memicu munculnya masalah baru dibidang kesehatan. Praktik pemeliharaan kesehatan di lingkungan masyarakat Desa Kemuning Lor masih relatif rendah. Sebagian masyarakat masih membuang sampah sembarangan, termasuk pembuangan limbah rumah tangga yaitu minyak goreng bekas (jelantah). Minyak jelantah dapat mencemari lingkungan, namun bisa menjadi bahan baku produk sabun cair maupun padat. Dalam suasana pandemi ini, sabun cuci tangan menjadi kebutuhan yang sangat utama sebagai penunjang kegiatan Cuci Tangan Pakai Sabun (CTPS) untuk mencegah covid-19.  Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan praktik PHBS masyarakat dalam pemanfaatan jelantah sebagai bahan dasar pembuatan sabun mikrojel antiseptik. Melalui kegiatan pelatihan dan pendampingan, program dimulai dari tahap persiapan, pelaksanaan dan diakhiri dengan evaluasi. Terjadi peningkatan pengetahuan sasaran dalam praktik CTPS dan keterampilan sasaran dalam memproduksi sabun dari minyak jelantah. Adapun Output dari kegiatan ini berupa video tutorial pembuatan sabun mikrojel, produk sabun mikrojel, buku panduan PHBS tingkat rumah tangga, video CTPS dan stiker langkah CTPS.
Pengembangan Aplikasi Penanggulangan Bencana Ship, Handle & Drive Berbasis Android dan Web Efri Tri Ardianto; Alinea Dwi Elisanti; Bakhtiyar Hadi Prakoso
JATISI (Jurnal Teknik Informatika dan Sistem Informasi) Vol 9 No 3 (2022): JATISI (Jurnal Teknik Informatika dan Sistem Informasi)
Publisher : Lembaga Penelitian dan Pengabdian pada Masyarakat (LPPM) STMIK Global Informatika MDP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35957/jatisi.v9i3.2352

Abstract

The development of information technology in the world is very fast, one of which is Mobile technology. Mobile is a cellular communication tool that provides convenience in conveying information quickly and completely so that it is very important for all sectors, especially in the service of government agencies. Indonesia is a country with a fairly high incidence of disasters. This condition cannot be separated from geographical factors, namely archipelagic and volcanic countries. There were 13 disaster events recorded in 2020. Jember Regency is an area where disasters often occur so that special attention is needed in handling them. There were 286 disaster events in 2019 including floods, landslides and earthquakes. There are many researches on making android applications about disasters, but they still focus on mitigation and have not fully touched the real needs of victims. So it is still necessary to develop the android application (Ship, Handle & Drive). This application adopts and develops an online motorcycle taxi system that is applied in disaster management by supporting the features needed in the current digital era, namely victims of natural disasters, the government and officers so that they are practical in use. the hope is that this application can facilitate disaster management easily, quickly, precisely and accurately. The research method uses the waterfall method with a systematic approach through the stages of Analysis, Design, Coding, and Testing.
Kue Lumpur Substitusi Tepung Kulit Buah Naga Merah sebagai Makanan Selingan Mengandung Antioksidan Marella Adhania Dewanto; Heri Warsito; Alinea Dwi Elisanti
Jurnal Multidisiplin Madani Vol. 2 No. 10 (2022): October 2022
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/mudima.v2i10.1455

Abstract

Free radicals and consumption of unbalanced nutritional needs become the main cause of degenerative diseases. This study aims to examine the manufacture of mud cakes substituted with red dragon fruit peel flour (Hylocereus polyrhizus) as a source of antioxidants. This study using a completely randomized design with 5 treatment formulations of red dragon fruit peel flour: wheat flour is 5%:95%, 10%:90%, 15%:85%, 20%:80%, 25%:75% with 5 repetitions. The antioxidant activity was between 9,8-19,4%. The best treatment was P1 (5% red dragon fruit peel flour: 95% wheat flour) with 9,8% antioxidant activity. The serving size of mud cake is two pieces (weight are 150g), the nutritional value is 301.5kcal of energy, 9.6g of protein, 16.5g of fat, 28.5g of carbohydrates.
Fiber Concentration on Fermentation of Cleome Gynandra L Based on Storage Time and Solvent Change Lily Restusari; Ayu Komala Dewi; Alinea Dwi Elisanti
Biology, Medicine, & Natural Product Chemistry Vol 12, No 1 (2023)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2023.121.363-369

Abstract

Cleome gynandra L (CGL) or Maman plant, is the basic ingredient of Malay food in Riau Province, Indonesia. The young leaves and stems of CGL are processed into fermented food (Joruk Maman). It contains crude fiber and is useful for lowering blood cholesterol levels. However, effective storage of this CGL has not been carried out. This study wants to see the effect of storage time and solvent change on the fiber content of Joruk Maman. An experimental study applied a completely randomized design (CRD) using 5 groups and 2 repetitions. This sample of CGL leaves was taken from one seller in the Rokan Hilir market of Riau Province. The primary outcome was a difference to the number of fibers in Joruk Maman without solvent change (p =0.001) and with solvent change (p = 0.001) based on the day group and there was no difference base on the temperature group. Secondary outcome was the difference in duration time to produce the highest fiber content at room temperature with the solvent change and not. The highest fiber content occurred at 5 days of storage at room temperature without solvent changing. Meanwhile, by changing the solvent, the fiber content would be optimal for 1-day of storage.
Nilai Gizi MP-ASI “Jagung Bose Modifikasi” dan Asupan Gizi Balita Stunting Alinea Dwi Elisanti; Efri Tri Ardianto
Journal of Innovative Food Technology and Agricultural Product Volume 2, No. 1, Juni 2024
Publisher : Universitas PGRI Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31316/jitap.v2i1.6572

Abstract

Stunting merupakan keadaan dimana tinggi badan anak lebih pendek dibanding anak lain seusianya. Stunting disebabkan oleh kurangnya asupan gizi yang diperoleh oleh bayi atau janin selama masa 1000 hari pertama kehidupan. Efek stunting pada balita bisa menyebabkan terhambatnya perkembangan otak, pertumbuhan masa tubuh dan komposisi badan, gangguan metabolism, penurunan kemampuan kognitif, prestasi belajar, kekebalan tubuh, kapasitas kerja, dan terjadinya penyakit tidak menular. Prevalensi balita stunting di Desa Sukamakmur pada bulan Juli 2022 mencapai 37,5 %, sedangkan target RPJMN penurunan stunting tahun 2024 adalah 14%. Penanganan stunting saat ini diarahkan pada pendekatan intervensi gizi spesifik dan sensitive. Pencegahan stunting melalui intervensi gizi spesifik bisa dilakukan melalui pembuatan produk MP-ASI berbasis pangan lokal salah satunya menjadi Jagung Bose Modifikasi. Tujuan penelitian ini adalah menganalisis nilai gizi MP-ASI Jagung Bose Modifikasi sebagai intervensi gizi pada balita stunting dan mengidentifikasi asupan gizi balita stunting. Populasi dalam penelitian ini sejumlah 2.555 kepala keluarga. Sedangkan sesuai kriteria inklusi diambil sampel sejumlah 20 ibu balita dengan teknik purposive sampling. Analisis data dilakukan secara deskriptif univariate menggunakan aplikasi dietducate dan form recall. Hasil dan Kesimpulan bahwa 265 gram MP-ASI Jagung bose modifikasi memiliki kandungan nilai gizi energi: 154,9 kkal, protein: 8,9 gram, lemak: 5,7 gram, karbohidrat: 19 gram, sedangkan rata-rata asupan gizi pada 8 balita stunting dalam kategori defisit ringan pada energi, protein dan lemak, serta asupan kurang pada karbohidrat. Saran penambahan asupan karbohidrat pada balita stunting bisa dilakukan secara berkala untuk menunjang tumbuh kembang balita stunting diiringi dengan penambahan asupan makan yang mengandung energi, protein dan lemak.