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All Journal Insisiva Dental Journal : Majalah Kedokteran Gigi Insisiva Journal of Community Health and Preventive Medicine (JOCHAPM)
Nuzulya Puspasari, Nuzulya
Universitas Brawijaya
Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Effect Of Apple Juice On Whitening Teeth After Immersion In Coffee Solution In Vitro Puspasari, Nuzulya; Effendi, Chair; Nugraeni, Yuli
Insisiva Dental Journal Vol 1, No 2 (2012)
Publisher : Insisiva Dental Journal

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Abstract

The Background of this research because one of the extrinsic cause teeth discoloration is excessive coffee consumption. To cope teeth discoloration whitening teeth done either with chemicals or natural ingredients. Apples (Malus sylvestris Mill) is one of the fruits that contain malic acid, substance that can whitening teeth. The General Objective is to determine the effect of giving apple juice (Malus sylvestris Mill) on a teeth that has been soaked in coffee solution on teeth whitening in vitro. Materials and Methods research is experimental laboratory use elements of the permanent maxillary premolar tooth from extraction indications orthodontic treatment, free of caries and hypoplasia as a sample of 12 pieces, divided into 2 groups. The first group as a control group with 100 ml distilled water immersion. The second group as the treatment group using apple juice immersion with 75% concentration. Samples of tooth element has immersed first in coffee solution during 2 weeks until discoloration then immersed according to the group for 2 weeks (3x@5minutes a day), then measured the color changes of tooth. The Result with Paired T-test showed significant effect on the group before treatment and after treatment (p <0.05). Independen T-test result showed significant difference between the control group immersed in 100 ml distilled water and treatment group, immersed in apple juice 75% concentration. Conclusion of the results showed that apple juice has the ability to whiten the tooth enamel surface that changes color because of immersion in coffee solution so it can return to the original color before discoloration.
Effect Of Apple Juice On Whitening Teeth After Immersion In Coffee Solution In Vitro Puspasari, Nuzulya; Effendi, Chair; Nugraeni, Yuli
Insisiva Dental Journal: Majalah Kedokteran Gigi Insisiva Vol 1, No 2 (2012)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/di.v1i2.526

Abstract

The Background of this research because one of the extrinsic cause teeth discoloration is excessive coffee consumption. To cope teeth discoloration whitening teeth done either with chemicals or natural ingredients. Apples (Malus sylvestris Mill) is one of the fruits that contain malic acid, substance that can whitening teeth. The General Objective is to determine the effect of giving apple juice (Malus sylvestris Mill) on a teeth that has been soaked in coffee solution on teeth whitening in vitro. Materials and Methods research is experimental laboratory use elements of the permanent maxillary premolar tooth from extraction indications orthodontic treatment, free of caries and hypoplasia as a sample of 12 pieces, divided into 2 groups. The first group as a control group with 100 ml distilled water immersion. The second group as the treatment group using apple juice immersion with 75% concentration. Samples of tooth element has immersed first in coffee solution during 2 weeks until discoloration then immersed according to the group for 2 weeks (3x@5minutes a day), then measured the color changes of tooth. The Result with Paired T-test showed significant effect on the group before treatment and after treatment (p 0.05). Independen T-test result showed significant difference between the control group immersed in 100 ml distilled water and treatment group, immersed in apple juice 75% concentration. Conclusion of the results showed that apple juice has the ability to whiten the tooth enamel surface that changes color because of immersion in coffee solution so it can return to the original color before discoloration.
ANALYSIS OF THE CAUSES OF WAITING TIME FOR PATIENT TRANSFER IN THE EMERGENCY ROOM TO INPATIENT AND DISCHARGE HOSPITAL X MALANG CITY Puspasari, Nuzulya; Ahsan; Khulud, Khoiron
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Waiting time for patient services, especially in the Emergency Installation (IGD), which is the main entrance to the hospital, is one of the important aspects that affect the quality of service. The existence of patient complaints or dissatisfaction and the decline in quality and patient safety is one of the reasons for the long waiting time for patients in the emergency room. Based on the 2024 RS X quality indicator report, the waiting time for emergency room patients to be admitted to the hospital or go home ≤ 60 minutes is still 46.1% of the 100% target. The purpose of this study is to find out the cause of the long service process of emergency room patients being admitted to the hospital or going home. This research is qualitative research with a phenomenological approach. Data collection was carried out at Hospital X from September to October 2024 through in-depth interviews with informants and direct observation of the service process of emergency room patients before being admitted to the hospital or going home. The informants of this study are 6 management and staff of Hospital X related to the waiting time for emergency room patient services. The results of the research that were analyzed thematically revealed that there are 6 main root problems that cause the long waiting time for emergency room patients before being admitted to the emergency room or discharged, because there is no effective division of tasks and workflows in the emergency room, a lack of coordination between emergency room and inpatient officers, limited authority of assistant cashiers, an administrative flow of inpatient registration that is still inefficient, a lack of coordination between hospitals and insurance companies, and limited SIMRS features. The results of this study can be the basis for hospital management X in determining solutions to improve the achievement of waiting times for emergency room patients.
Co-Authors Ahsan Chair Effendi, Chair Khulud, Khoiron Yuli Nugraeni, Yuli