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All Journal Majalah Kedokteran Bandung Jurnal Ilmu Farmasi dan Farmasi Klinik (Journal of Pharmaceutical Science and Clinical Pharmacy) Jurnal Surya Medika Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Soshum Insentif Jurnal Medika Cendikia (e-Journal) Jurnal Ilmiah Farmako Bahari Abdimas Galuh: Jurnal Pengabdian Kepada Masyarakat Jurnal Multidisiplin Madani (MUDIMA) Jurnal Kesehatan Jurnal Pengabdian Masyarakat DEDIKASI Jurnal Sosial dan Sains Eduvest - Journal of Universal Studies Jurnal Medika Farmaka Nursing Case Insight Journal
Zahara Farhan
STIKes Karsa Husada Garut, Jawa Barat, Indonesia
Religion Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Kajian Interaksi Obat Antihipertensi pada Pasien Rawat Jalan di Klinik “X” Kabupaten Garut Risa Susanti; Hesti Renggana; Asman Sadino; Riki Rikardo; Dani Sujana; Zahara Farhan
Jurnal Ilmu Farmasi dan Farmasi Klinik Vol 20, No 1 (2023): Jurnal Ilmu Farmasi & Farmasi Klinik
Publisher : Universitas Wahid Hasyim Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31942/jiffk.v20i1.7515

Abstract

Hipertensi merupakan salah satu penyakit kardiovaskular yang menjadi permasalahan utama. Kasus hipertensi di Indonesia cenderung meningkat. Hipertensi yang tidak ditangani dengan baik dapat menyebabkan komplikasi penyakit lain sehingga pasien berpotensi mendapatkan polifarmasi. Polifarmasi sendiri secara signifikan bisa meningkatkan resiko terjadinya interaksi obat. Tujuan penelitian ini adalah untuk mengetahui kejadian interaksi obat antihipertensi pada peresepan pasien rawat jalan di salah satu klinik kabupaten garut, pada periode Oktober – Desember 2020. Penelitian yang dilakukan menggunakan metode penelitian observasional dengan data yang diambil merupakan data retrospektif berupa resep dan dianalisis secara deskriptif. Kriteria inklusi yaitu resep pasien rawat jalan yang memuat obat antihipertensi dan dalam resep minimal memuat 2 macam obat, sedangkan kriteria eksklusi yakni resep rawat jalan dengan informasi yang tidak lengkap atau tidak terbaca dengan jelas. Sebanyak 3.724 resep didapatkan 478 resep yang sesuai kriteria dan terdapat 175 resep (37%) yang berpotensi terjadi interaksi obat. Hasil penelitian menunjukkan potensi interaksi obat tertinggi berdasarkan mekanisme interaksi farmakokinetik sebanyak 155 kasus (89%). Berdasarkan tingkat keparahan yaitu moderate sebanyak 166 kasus (95%). Obat yang memiliki interaksi terbanyak adalah amlodipin dengan metilprednisolon sebanyak 70 kasus (40%) dengan tingkat keparahan moderate
PATOGENITAS BAKTERI HIDROLITIK YANG DI ISOLASI DARI LIMBAH CAIR BIOMEDIS DI RSUD DR. SLAMET Mamay Mamay; N. Ai Erlinawati; Zahara Farhan; Rina Herlina; Ranti Nurwantika; Elsa Zalfa Agustin
Jurnal Ilmiah Farmako Bahari Vol 14, No 2 (2023): Jurnal Ilmiah Farmako Bahari
Publisher : Faculty of Mathematic and Natural Science, Garut University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52434/jifb.v14i2.2433

Abstract

Bakteri patogen rendah sampai non patogen merupakan kriteria bakteri sebagai agen bioremediasi limbah cair biomedis. Bakteri indigen menghasilkan enzim pendegradasi komponen yang terkandung limbah biomedis cair seperti karbohidrat, protein dan lemak. Bakteri yang memetabolisme zat-zat organik dapat mengurangi berkembang biaknya mikroorganisme patogen. Selain itu, bioremediasi dengan bakteri indigen dengan bakteri patogenitas rendah dapat mengurangi bahaya kontaminasi dan infeksi dari mikroorganisme patogen. Tujuan penelitian ini mengetahui patogenitas bakteri hidrolitik yang diisolasi dari limbah cair biomedis di RSUD dr. Slamet Garut. Penelitian bersifat deskriptif menggunakan sampel limbah cair biomedis dari RSUD dr. Slamet Garut. Pengambilan sampel dilakukan dengan teknik Cluster Random Sampling pada penampungan, inlet dan outlet.  Isolasi bakteri protease dan lipase dengan media skrining susu skim agar dan rhodamin agar. Pengujian  patogenitas bakteri dengan menumbuhkan bakteri pada agar mac conkey, agar darah dan agar coklat. Pada media skrining  terisolasi bakteri penghasil protease sebanyak 89 koloni dan lipase sebanyak 76 koloni. Uji patogenitas menunjukan bakteri penghasil protease dengan patogenitas rendah 21,3%, sedang 27%, tinggi 36%, sangat tinggi 4,5%, ekstra tinggi 11,2%  dan bakteri penghasil lipase dengan patogenitas rendah 20%, sedang 45%, tinggi 30%, sangat tinggi 4% dan ekstra tinggi 1%. Dari penelitian diperoleh bakteri penghasil protease dan lipase dengan sebagian kecil memiliki patogenitas rendah sebagai kandidat agen bioremediasi.
Pembuatan Media Perawatan Ulkus Diabetik Menggunakan Kombinasi Lidah Buaya dan Gula Aren di Kabupaten Garut Farhan, Zahara; Ratnasari, Devi; Sujana, Dani
Abdimas Galuh Vol 6, No 2 (2024): September 2024
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v6i2.14735

Abstract

Salah satu komplikasi neuropati pada pasien diabetes mellitus tipe 2 adalah ulkus diabetik yang disebabkan oleh neuropati perifer. Kondisi tersebut mengakibatkan keterlambatan proses penyembuhan luka yang menimbulkan penyebaran infeksi pada luka. Perawatan ulkus diabetik menggunakan kombinasi lidah buaya dan gula aren merupakan salah satu tindakan perawatan komplementer untuk mencegah komplikasi pada luka. Tujuan kegiatan ini untuk meningkatkan kemampuan soft skill dan hard skill mitra dalam merancang, membuat, dan menggunakan teknologi tepat guna berbasis kearifan lokal dalam bidang kesehatan. Metode pelaksanaan kegiatan melalui penyuluhan, pelatihan, dan pendampingan mitra dalam membuat produk media perawatan ulkus diabetik menggunakan kombinasi lidah buaya dan gula aren untuk digunakan dalam merawat luka ulkus diabetik yang diaplikasikan langsung kepada pasien. Kegiatan dilaksanakan selama 3 hari mulai dari tanggal 04-06 November Tahun 2023 yang diikuti oleh 15 orang kader kesehatan di Desa Tegal Panjang Kecamatan Sucinaraja Kabupaten Garut dengan melibatkan 1 orang pasien yang mengalami ulkus diabetik. Sebelum dilakukan kegiatan, tim pelaksana melakukan pre-test untuk mengukur tingkat pengetahuan pasien dan keluarga menggunakan kuesioner. Setelah itu, tim pelaksana melakukan pemaparan materi yang dilanjutkan dengan demonstrasi pembuatan media perawatan ulkus diabetik menggunakan kombinasi lidah buaya dan gula aren kepada para kader kesehatan dan selanjutnya dilakukan post-test. Hasil kegiatan menunjukkan, sebagian besar (66,7%) kader kesehatan memiliki tingkat pengetahuan kurang, sebagian kecil (20%), dan sebagian kecil lainnya (13,3%) memiliki tingkat pengetahuan baik dan cukup sebelum dilakukan kegiatan. Setelah mengikuti kegiatan, hampir seluruh (86,7%) kader kesehatan memiliki tingkat pengetahuan baik, dan sebagian kecil lainnya (13,3%) memiliki tingkat pengetahuan cukup. Adanya perubahan tingkat kemampuan tersebut dikarenakan tingginya motivasi kader kesehatan untuk ingin tahu dan mampu dalam membuat media perawatan ulkus diabetik menggunakan kombinasi lidah buaya dan gula aren secara mandiri karena kedua bahan tersebut mudah didapatkan dan biayanya terjangkau oleh masyarakat.
Uji Aktivitas Antioksidan Ekstrak N-Heksana, Etil Asetat, Dan Etanol Bonggol Pisang Kepok (Musa paradisiaca L.) Dengan Metode DPPH (1,1-diphenyl-2-picrylhydrazyl) Supriatnini, Ai; Farhan, Zahara; Hasyim, Dadang Muhammad
Jurnal Medika Farmaka Vol 2 No 1 (2024): Jurnal Medika Farmaka
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmedfarm.v2i1.32

Abstract

Free radicals are atoms, groups of atoms, or molecules that have one or more unpaired electrons in the outermost orbital and are highly reactive. Free radicals are more able to attack cells in the body, especially those that are vulnerable, causing various diseases such as premature aging, cancer, liver, and other degenerative diseases. Antioxidants are compounds that can be considered as free radical reactivity. Sources of natural antioxidants are plants which generally contain phenolic compounds. Phenolic or polyphenolic compounds can be in the form of flavonoids. The ability of flavonoids as antioxidants has been widely studied, where flavonoids have the ability to reduce free radicals and also act as anti-free radicals. Kepok banana hump contains flavonoid compounds. The aim of this study was to determine the antioxidant activity of n-hexane, ethyl acetate, and ethanol extracts of kepok banana weeds using the DPPH (1,1-diphenyl-2-picrylhydrazyl) method based on the IC50 value. The principle of this method is the decrease in color intensity or absorbance of the DPPH solution which is proportional to the increase in the concentration of antioxidant compounds. This research was carried out experimentally, collection and processing of plants, experience of plant materials, manufacture of extracts, and testing of antioxidant activity. The kepok banana weevil was extracted by maceration method using various solvents based on the level of polarity, namely n-hexane, ethyl acetate, and ethanol in stages. The extraction results obtained thick extracts of n-hexane, ethyl acetate and ethanol as much as 2.12 g (0.70%), 1.09 g (0.36%), and 4.64 g (1.54%) . The third antioxidant activity test of kepok banana weevil extract using the DPPH method using a UV-Vis spectrophotometer at a wavelength of 519.0 nm with a series of concentrations of 100 g/mL, 150 g/mL, 200 g/mL, 250 g/mL, and 300 g/mL. The results of the antioxidant activity test using the DPPH method showed that the n-hexane, ethyl acetate, and ethanol extracts of kepok banana weeds had IC50 values of 197.5 g/mL and 257.30 g/mL, 142.51 g/mL, respectively. The ethanol extract had moderate antioxidant activity compared to the n-hexane and ethyl acetate extracts.
Nursing Care for Neurological System Disorders on Carotid Infarction Stroke Through the Provision of Mirror Therapy Intervention Widiawati; Farhan, Zahara
Nursing Case Insight Journal Vol. 3 No. 1 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/0cgg7t23

Abstract

Stroke infarction is a condition caused by an interruption in blood supply to the brain due to blockage, leading to loss of motor and sensory functions. This results in limb weakness, which impacts daily activities. Mirror therapy is a rehabilitative intervention involving the neuronal system to improve muscle strength in stroke patients with limb weakness. This study aims to evaluate the application of mirror therapy as a nursing intervention to enhance muscle strength in infarction stroke patients. Using a case study approach, data were collected through anamnesis, observation, physical examination, and medical records. Four nursing problems were identified: physical mobility disorders, verbal communication disorders, self-care deficits, and risk of falling. Mirror therapy was employed as the primary intervention for physical mobility disorders. Despite four days of therapy at a frequency of once per day, no significant improvement in muscle strength was observed in the patient with hemiparesis due to infarction stroke. It is recommended that mirror therapy be implemented over a longer duration and frequency for optimal results in nursing practice
The Influence of Palliative Care Guidance in Physical Aspects in Families on Level of Independence Post-Stroke Patients' Families in Garut Regency Farhan, Zahara; Alfiansyah, Rudi; Ratnasari, Devi; Nagara, Angga Dipa; Suliyawati, Eti
Jurnal Penelitian Pendidikan IPA Vol 9 No 11 (2023): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i11.5660

Abstract

Physical complications due to stroke result in a decrease in the patient's level of independence to meet their daily needs, so it is necessary to carry out rehabilitation measures to increase independence through providing palliative care guidance at home. The aim of this research is to determine effect of palliative care guidance in physical aspect on the level of independence of families of post-stroke patients in Garut Regency. This research method is quasi experimental with one group pre-test and post-test design. The research sample was families who had family members with stroke infarction, 20 respondents in intervention group, sampling technique used purposive sampling. Data collection used standard nursing operational procedures from PPNI and family independence level instruments. Data analysis used Wilcoxon. The results of the research before being given palliative care guidance in the physical aspect, most families (55%) were at level 2 of independence and after providing palliative care guidance most of the families (55%) were at level 3 of independence. There was an influence of palliative care guidance in the physical aspect on level of independence of post-stroke patients' families with p value of 0.00. Providing information and skills through palliative care guidance can increase family understanding and independence in caring for family members who have experienced a stroke, so that palliative services can be used as one of the health center's work programs to improve quality of life for stroke infarction patients.
Using Honey on Debridement Wound Treatment for Post Necrotic Cellulitis Patients: Case Study Riansyah, Alvi; Farhan, Zahara
Nursing Case Insight Journal Vol. 1 No. 01 (2023): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/d6mdm614

Abstract

Cellulitis is a health problem of the skin which occurs due to infection in the sub-cutaneous part of the skin. Cellulitis causes damage to tissue integrity, where this tissue damage requires further action, bacteria exposed to the sub-cutaneous area can cause widespread damage. Therefore, it is necessary to choose the right type of wound care in treating this disease. This case study aims to obtain the effect of applying wound care using honey for the recovery of debrided necrotic cellulitis wounds. The research used is a descriptive case study using nursing care and a literature review. Participants in this study were debrided necrotic cellulitis patients. This case shows that the application of wound care to patients with debridement necrotic cellulitis experienced improved wound recovery, indicated by the presence of adhesion on both sides of the tissue, the wound was pink, there were no signs of infection, there appeared to be a wound on the right leg. with the first wound area 1.5 x 2.3 cm with a depth of 1.5 cm and the second wound with an area of 1.5 x 4.5 cm with a depth of < 1 cm and the third wound 1.5 x 6.5 cm with a depth of 1 cm. -2 cm. Nurses can treat wounds in patients with debridement necrotic ­cellulitis using honey  
Nursing Care for Disorders of the Integumental System: Debridement of Cellulitis e.c. Diabetes Mellitus Type II a/r Dextra of the Femur and Fibula Farhan, Zahara; Permana, Gin Gin Sugih
Nursing Case Insight Journal Vol. 2 No. 1 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/924t1k41

Abstract

Inflammation of the subcutaneous tissue resulting from Streptococcus aureus and Streptococcus pyogenes bacteria is known as cellulitis. This research study aims to provide practical experience in assessment, diagnosis, planning, execution, and evaluation of direct and comprehensive nursing care for clients with integumentary system issues. When writing in a case study format, descriptive writing is used. These cases had difficulties with restricted physical mobility, poor skin tissue integrity, acute pain, and dietary inadequacies. The study's tactics are tailored to the specific health concerns of each participant, taking into account the predetermined goals and objectives. Addressing the root causes of the issues with the integumentary system is the goal of nursing care. Mr. S showed improvement in the nursing care process evaluation, with three nursing problems fully treated and one partially fixed. The findings of this scientific study align with previously developed tactics. This is inextricably linked to the family's provision of support, guidance from clinical instructors and academic supervisors, and the entire nursing care implementation process for Mr. S, who has integumentary system difficulties
Hubungan Karakteristik Perawat dengan Lama Rawat Pasien di Ruang Gawat Darurat Rumah Sakit dr. Slamet Garut Farhan, Zahara; Ratnasari, Devi; Muhammad, Buyung Reza; Suliyawati, Eti; Daniati, Eva
Jurnal Penelitian Pendidikan IPA Vol 11 No 9 (2025): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i9.12544

Abstract

Fast and precise service must be done in handling patients in the emergency room. Services in the emergency room can be hampered if there is a condition of accumulation of patients in the emergency room which is usually caused by an imbalance between the number of patients entering the emergency room with the number of nurses. This study aims to determine the relationship between nurse characteristics and length of stay (LOS) in the emergency department of dr. Slamet Garut Regional General Hospital. This research design uses cross sectional with a sample size of 50 people. The sampling technique uses total sampling. Data collection will use a questionnaire. Data analysis of gender variables (nominal) and length of stay (ordinal) uses the chi-square test, while for variables of age, education level, length of work, (ordinal) and length of stay (ordinal) uses the spearman-rho test. The research location will be carried out in the emergency department of General Hospital dr. Slamet Garut for 2 months from August to September 2025. The results of the study show that no relationship between the educational level of nurses and the length of stay of patients in the emergency room with a p-value of 0.40, no relationship between the gender of nurses and the length of stay of patients with a p-value of 0.94, no relationship between the age of nurses and the length of stay of patients with a p-value of 0.21, and no relationship between the work experience of nurses and the length of stay of patients with a p-value of 0.91. The high workload of nurses can lead to fatigue, loss of concentration, narrowed focus and attention, which impacts the speed and accuracy of nurses in performing emergency procedures on patients, thereby increasing the length of stay of patients in the emergency room. Overall, there was no correlation between the age, gender, educational level, and work experience of nurses and the length of stay of patients in the emergency room at dr. Slamet Garut Hospital.
TRAUMA HEALING, SCREENING PENYAKIT TIDAK MENULAR, PEMBERIAN SEMBAKO DAN AIR BERSIH BAGI KORBAN BENCANA ALAM BANJIR BANDANG DESA CINTA MANIK KECAMATAN KARANG TENGAH KABUPATEN GARUT Engkus Kusnadi; Angga Dipa Nagara; Hasbi Taobah Ramdani; Zahara Farhan; Novie Melliasany
Jurnal Pengabdian Masyarakat DEDIKASI Vol 2 No 02 (2021): Jurnal Pengabdian Masyarakat
Publisher : LP4M STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (765.679 KB) | DOI: 10.33482/ddk.v2i02.18

Abstract

Indonesia is a disaster laboratory with 13 types of disasters in it. The history of disaster events shows that there has been an increase in disasters from time to time. The increasing vulnerability factor and still limited capacity also cause disaster risk to increase in the future. Based on the above background, universities must uphold the Tridharma of Higher Education, so that the Community Service Program is held. This service was carried out in Cintamanik Village, Karang Tengah District, Garut Regency. This service is a collaboration between lecturers and students. In Garut Regency there was a flash flood on November 28, 2021 which resulted in physical and building damage in two villages in Karang Tengah sub-district, namely Cinta and Cinta Manik villages. The implementation method used is, indoor games for children, PTM examination for the elderly, and the provision of clean water. This activity will be held on December 23, 2021 in Cinta Manik Village, Karang Tengah District, Garut Regency. The target for this community service is 20 (twenty) children and 100 (one hundred) elderly residents in Cinta Manik Village. The main purpose of PTM activities is to increase community participation in the prevention and early detection of non-communicable disease risk factors (PTM). From this community service activity, clean water infrastructure is needed, trauma healing for children and examination of non-communicable diseases for the elderly
Co-Authors Aas Astriani Aat Sriati Alfiansyah , Rudi Alfiansyah, Rudi Alvi Riansyah Angga Dipa Nagara Ary Aprian Asman Sadino Astari Nurisani Cyntia Rianasari Dadang Muhammad Hasyim Dani Sujana Devi Ratnasari Devi Ratnasari Elang Mohamad Atoilah Elsa Zalfa Agustin ENGKUS KUSNADI Engkus Kusnadi Eti Suliyawati Eti Suliyawati Eva Daniati Eva Daniati Gingin Sugih Permana Hesti Renggana K. Dewi Budiarti Kusman Ibrahim Mabarti, Azis Gandri Mamay Meti Rizki Utari Muhammad, Buyung Reza N Ai Erlinawati Nagara, Angga Dipa Nazi’ah, Milani Novie Melliasany Nurul Permana, Gin Gin Sugih Ramdani, Hasbi Taobah Ranti Nurwantika Ratnasari , Devi Ratnasari, Devi Riki Rikardo Rilla, Eldessa Vava Rina Herlina Risa Susanti Sulastini Suliyawati , Eti Suliyawati, Eti Supriatnini, Ai Syswianti, Desy Tanti Suryawantie Tantri Puspita Widiawati Wisnu Arya Pratama