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Junita M. Pertiwi
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Nursing Public Health

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Factors Related to Sanitation of Passenger Ships at Bitung Ocean Harbour Albert S. T. Teo; Joy A. M. Rattu; Junita M. Pertiwi; Welong S. Surya
e-CliniC Vol. 10 No. 2 (2022): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v10i2.41344

Abstract

Abstract: Ship sanitation is all efforts aimed to environmental factors in ship to break the chain of disease transmission in order to maintain and enhance its health status. The ship's sanitation inspection is intended to issue a sanitation certificate in order to obtain a Sailing Health Permit. This study aimed to analyze the factors related to sanitation of passenger ships that docked at the port of Bitung ocean harbor. This was a quantitative analytical survey study with a cross sectional design. This study was carried out at the Bitung ocean harbor, Bitung, Indonesia from October 2021 to January 2022, on 90 crew members of the Doro Londa Motor Ship anchored at the Port Samudera Bitung. The results showed that there were relationships, as follows: between knowledge of crew members and ship sanitation (p<0.009); between the captain's leadership and ship sanitation (p<0.013); between the role of officers and ship sanitation (p<0.004); and between the crew's knowledge, the leadership of the captain, and the role of the officer with the sanitation of passenger ships anchored at the port of Bitung ocean harbor. The officer's role was the most dominant variable. In conclusion, factors related to ship sanitation are crews’ knowledge, captain leadership, and officers’ role, Keywords: crew knowledge; captain leadership; officer role; ship sanitation Abstrak: Sanitasi kapal adalah segala usaha yang ditujukan terhadap faktor lingkungan di kapal untuk memutuskan mata rantai penularan penyakit guna memelihara dan mempertinggi derajat kesehatan. Pemeriksaan sanitasi kapal dimaksudkan untuk pengeluaran sertifikat sanitasi guna memperoleh Surat Izin Kesehatan Berlayar (SIKB). Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan sanitasi kapal penumpang yang berlabuh di Pelabuhan Samudera Bitung. Jenis penelitian ialah survei analitik kuantitatif dengan desain potong lintang. Penelitian dilaksanakan di Pelabuhan Samudera Bitung, Kota Bitung, Indonesia pada bulan Oktober 202-Januari 2022 terhadap 90 anak buah kapal (ABK) Kapal Motor Doro Londa yang berlabuh di Pelabuhan Samudra Bitung. Hasil penelitian menunjukkan terdapat hubungan antara: pengetahuan ABK dengan sanitasi kapal (p<0,09); antara kepemimpinan nahkoda dengan sanitasi kapal (p<0,013); antara peranan petugas dengan sanitasi kapal (p<0,04); dan antara pengetahuan ABK, kepemimpinan nahkoda dan peranan petugas dengan sanitasi kapal (p<0,05). Peranan petugas merupakan variabel yang paling dominan. Simpulan penelitian ini ialah pengetahuan ABK, kepemimpinan nakhoda, dan peranan petugas merupakan faktor-faktor yang berhubungan dengan sanitasi kapal. Kata kunci: pengetahuan anak buah kapal; kepemimpinan nahkoda; peranan petugas; sanitasi kapal
Analisis Penerapan Sasaran Keselamatan Pasien di Instalasi Gawat Darurat Rumah Sakit X Provinsi Sulawesi Utara Astryd Sendoh; Junita M. Pertiwi; Jeanette I. Ch. Manoppo
Medical Scope Journal Vol. 5 No. 1 (2023): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v5i1.48229

Abstract

Abstract: Patient safety is the cornerstone of health service quality and a top priority in providing health services worldwide. This study was aimed to obtain an overview of the implementation of patient safety goals at the Emergency Department of X Hospital, North Sulawesi Province. This was a qualitative study carried out at the Emergency Department of X Hospital, North Sulawesi Province from November 2022 to January 2023. The research instruments were the researchers themselves (human instruments). The results showed that the understanding of health workers about patient safety goals (SKP 1-3, 5, 6) at the Emergency Department of X Hospital and the availability of facilities and infrastructure supporting its implementation were in accordance with hospital accreditation standards of the Ministry of Health of the Republic of Indonesia 2022 but they were not optimal, therefore, the implementation of patient safety goals was also not optimal. Moreover, the related facilities and infrastructure of SKP 4 were not yet optimal. In conclusion, the patient safety goals at the Emergency Department of X Hospital North Sulawesi Province have been implemented in accordance with the hospital accreditation standards of the Ministry of Health of the Republic of Indonesia 2022 but are not optimal due to the obstacles in health workers’ compliance. The related facilities and infrastructure are not yet optimal since the new hospital has just begun to operate. Keywords: patient safety goals; health workers; Emergency Department   Abstrak: Keselamatan pasien merupakan landasan kualitas pelayanan kesehatan dan prioritas utama dalam memberikan pelayanan kesehatan di seluruh dunia. Penelitian ini bertujuan untuk memberikan gambaran penerapan sasaran keselamatan pasien di Instalasi Gawat Darurat (IGD) RS X Provinsi Sulawesi Utara. Jenis penelitian ialah kualitatif yang dilakukan di IGD RS X Provinsi Sulawesi Utara pada bulan November 2022-Januari 2023. Instrumen penelitian yang digunakan ialah peneliti sendiri (human instrument). Hasil penelitian mendapatkan bahwa pemahaman tenaga kesehatan mengenai Sasaran Keselamatan Pasien (SKP 1–3, 5, 6) di IGD RS X Provinsi Sulawesi serta ketersediaan sarana dan prasarana yang mendukung pelaksanaannya sudah sesuai dengan standar akreditasi Rumah Sakit Kementerian Kesehatan RI tahun 2022 tetapi belum optimal sehingga penerapan SKP belum optimal. Sarana dan prasarana pendukung pelaksanaan SKP 4 di IGD masih dalam pemenuhan sesuai standar yang ditetapkan. Simpulan penelitian ini ialah sasaran keselamatan pasien di IGD RS X Provinsi Sulawesi Utara sudah diterapkan sesuai standar akreditasi rumah sakit Kementerian Kesehatan RI 2022 tetapi belum optimal karena adanya kendala pada kepatuhan petugas. Sarana dan prasarana terkait belum optimal dan masih dalam proses melengkapi karena rumah sakit baru beroperasi. Kata kunci: sasaran keselamatan pasien; petugas kesehatan; Instalasi Gawat Darurat
Pengaruh Penambahan Vitamin D dalam Pengobatan Stroke Iskemik Akut pada Pasien dengan Hipovitaminosis D terhadap Hasil Klinis: Sebuah Meta-Analisis Samuel P. Nababan; Corry N. Mahama; Junita M. Pertiwi
e-CliniC Vol. 14 No. 3 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/fkvq0003

Abstract

Abstract: Hypovitaminosis D has a high prevalence among patients with acute ischemic stroke (AIS) and has been associated with poorer clinical outcomes. This systematic review and meta-analysis aimed to evaluate the effectiveness of adding vitamin D supplementation during AIS treatment in patients with hypovitaminosis D on the modified Rankin Scale (mRS) and the National Institutes of Health Stroke Scale (NIHSS). Literature search was conducted across five databases and only randomized controlled trials (RCTs) were included. Meta-analysis was performed using mean difference (MD) and 95% confidence intervals (CI). Risk of bias was assessed using the Cochrane Risk of Bias Tool 2. Certainty of evidence was evaluated using the GRADE approach for non-null effects. Two RCTs for mRS and three RCTs for NIHSS were included. Three RCTs were judged to have a high risk of bias. Addition of vitamin D reduced mRS scores (MD = -0.86; 95% CI = -1.17 to -0.54; I2 = 0%; moderate certainty) and NIHSS scores (MD = -1.45; 95% CI = -2.01 to -0.90; I2 = 0%; moderate certainty). In conclusion, Addition of vitamin D during acute ischemic stroke treatment in patients with hypovitaminosis D may reduce mRS and NIHSS scores. Keywords: modified Rankin scale; National Institutes of Health Stroke scale; acute ischemic stroke; vitamin D    Abstrak: Hipovitaminosis D mempunyai prevalensi yang tinggi pada pasien stroke iskemik akut (SIA) dan telah dikaitkan dengan luaran klinis yang lebih buruk. Tinjauan sistematis dan meta-analisis ini bertujuan untuk mengevaluasi efektivitas penambahan suplementasi vitamin D selama pengobatan SIA pada pasien dengan hipovitaminosis D terhadap modified Rankin Scale (mRS) dan National Institutes of Health Stroke Scale (NIHSS). Pencarian dilakukan pada lima basis data pada 24 Agustus 2025 dan hanya uji coba acak (RCT) diikutsertakan. Meta-analisis dilakukan dengan mean difference (MD) dan confidence interval (CI) 95%. Penilaian risiko bias dilakukan dengan Cochrane Risk of Bias Tool 2. Keyakinan bukti dievaluasi dengan metode GRADE untuk efek non-nol. Dua RCT untuk mRS dan tiga RCT untuk NIHSS memenuhi kriteria kelayakan. Tiga RCT dinilai mempunyai risiko bias tinggi. Penambahan vitamin D secara signifikan menurunkan skor mRS (MD = -0,86; 95% CI = -1,17 hingga -0,54; I2 = 0%; keyakinan sedang) dan skor NIHSS (MD = -1,45; 95% CI = -2,01 hingga -0,90; I2 = 0%; keyakinan sedang). Simpulan penelitian ini adalah pemberian vitamin D selama pengobatan SIA pada pasien dengan hipovitaminosis D dapat menurunkan skor mRS dan NIHSS. Kata kunci: modified Rankin scale; National Institutes of Health Stroke scale; stroke iskemik akut; vitamin D
Co-Authors Albert S. T. Teo Astryd Sendoh Corry N. Mahama Jeanette I. Ch. Manoppo Joy A. M. Rattu Samuel P. Nababan Welong Seftian Surya