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NILAI NEUTROPHIL LYMPHOCYTE RATIO (NLR) PADA PASIEN COVID-19 DI RSUD Dr. H. MOCH. ANSARI SALEH BANJARMASIN Nuril Al Hikmah; Muhammad Ilham Farihi; Yuliana Salman; Risnawati Risnawati
Jurnal Media Analis Kesehatan Vol 13, No 2 (2022): JURNAL MEDIA ANALIS KESEHATAN
Publisher : Poltekkes Kemenkes Pakassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/mak.v13i2.2989

Abstract

Coronavirus Disease 19 (COVID-19) adalah penyakit yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2. Jumlah kasus COVID-19 yang tercatat sebesar 10.273.001 kasus di seluruh dunia pada Desember 2019 sampai Juni 2020, dengan total kematian sebesar 505.295 jiwa. Salah satu parameter pemeriksaan laboratorium  untuk memprediksi kondisi pasien adalah pengukuran Neutrophil Lymphocyte Ratio (NLR) sebagai faktor untuk menentukan prognosis pasien dalam berbagai situasi klinis. Penelitian ini bertujuan untuk mengetahui gambaran NLR pada pasien COVID-19 di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin tahun 2021. Jenis penelitian ini adalah kuantitatif dengan rancangan cross sectional. Variabel penelitian yaitu,  Nilai NLR pasien COVID-19, sub variabel yaitu pasien COVID-19 berdasarkan kelompok usia, jenis kelamin, dan riwayat penyakit. Data diambil pada bulan Januari sampai Desember Tahun 2021.Sampel dalam penelitian ini adalah pasien COVID-19 yang melakukan pemeriksaan NLR di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin sebanyak 280 pasien dengan teknik cluster random sampling. Hasil penelitian ini diperoleh rata-rata nilai NLR 7,31 terbanyak nilai NLR risiko tinggi yaitu 199 pasien (71,07%). Berdasarkan kelompok usia terbanyak pasien dengan risiko tingi sebanyak 102 pasien (36,4%) dengan rata-rata nilai NLR 10,59. Rata-rata nilai NLR berdasarkan jenis kelamin, pasien laki-laki 7,82 dan pasien perempuan 6,89. Berdasarkan riwayat penyakit, pasien yang ada riwayat penyakit sebanyak 173 pasien (61,8%) dengan rata-rata nilai NLR 9,20. Berdasarkan hasil tersebut dapat disimpulkan bahwa nilai NLR yang tinggi pada pasien COVID-19 yang memiliki riwayat penyakit (hipertensi, pneumonia, dan diabetes  melitus) dan pasien dengan umur >50 tahun.
Implementasi Quality Control (QC) Penggunaaan Alat Point Of Care Testing (POCT) sebagai Upaya Jaminan Mutu Hasil Pemeriksaan di Puskesmas Cempaka Kota Banjarmasin Yuliana Salman; Muhammad Ilham Farihi; Yudi Yahya
Jurnal Kesehatan Indonesia Vol 13 No 3 (2023): Juli 2023
Publisher : HB PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33657/jurkessia.v13i3.780

Abstract

Clinical Laboratory is a health laboratory that carries out clinical specimen examination to obtain information about individual health, especially to support diagnose disease, and restore health, therefore quality control (QC) must be applied, especially in utilization of POCT tools. This research approach uses a qualitative approach with data collection methods through interviews, observation and documentation. The object of this research was the Cempaka Public Health Center based on recommendations and permits from the Banjarmasin City Health Office with the research respondents being the Head of the Clinical Laboratory, the Laboratory Quality Assurance Team and the Laboratory Assistant. The variable of this research was the implementation of QC using the POCT tools tool at the pre-analytical, analytical and post-analytic stages. Based on the results of interviews, observations and documentation, data was obtained that the Head of the Puskesmas formed an Internal Audit Team to carry out monitoring and evaluation every 6 months, but the last activity was carried out in 2019. Aspects audited in Monitoring Evaluation Indicators of the clinical is about SOP (Standard Operational Procedure) for the implementation of examinations in the laboratory using the FMEA (Failure, Mode, Effect Analysis) method. The implementation of Quality Control in the pre-analytical, analytical and post-analytic stages is in accordance with the applicable policies and SOPs. Monitoring and Evaluation of Clinical Quality Indicators should be carried out regularly and continuously so that the results of the examination obtained are guaranteed quality and can be used for determining the right diagnosis.
PEMBERDAYAAN KADER DENGAN “GERTING” GERAKAN ANTI STUNTING MELALUI EDUKASI DAN PENGOLAHAN PANGAN ORGANIK SEBAGAI UPAYA PENCEGAHAN STUNTING DI KECAMATAN TATAH MAKMUR Dwi Rizki Febrianti; Yuliana Salman; Abdul Mahmud Yumassik
Jurnal Bakti untuk Negeri Vol 3 No 2 (2023): JBN
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jbn.v3i2.1609

Abstract

Stunting is a condition of malnutrition that is related to past nutritional deficiencies. The cause of stunting is a multi-dimensional factor and is not only caused by a lack of nutritional intake in pregnant women or toddlers. The government at the national level has issued various policies and regulations which are expected to contribute to reducing the prevalence of stunting, including: National Long Term Development Plan on 2005–2025. Based on data in 2021 from the Indonesian Nutrition Status Survey, South Kalimantan was in the 6th highest position with a stunting prevalence of 30%, while for districts/cities in South Kalimantan the 4th highest stunting prevalence is Banjar Regency (40.2%), Tapin (33.5%), Barito Kuala (32.4%), and Balangan (32.3%) which then became priority areas for handling stunting cases in 2022. This activity aims to empower the community in the anti-stunting movement through education and training on local organic food processing to be one solution in preventing and handling stunting in Tatah Makmur District, South Kalimantan. The implementation method by education about stunting, training in local organic food processing (moringa nuggets) and providing packages of ingredients for making moringa nuggets and evaluating activities through pre and post test questionnaires. The results of the service activities showed that from 30 Posyandu cadres in 13 villages on Tatah Makmur District, there was an increase in knowledge about stunting increase 33% and an increase in knowledge about healthy food for toddlers is 20%.  This activity also increases cadre motivation as evidenced by the cadre's enthusiasm for processing moringa nuggets at Posyandu as an additional menu for toddlers. It is hoped that similar activities can be carried out again with the different innovations in order to accelerate the reduction of stunting in South Kalimantan.
Banana Tree Midrip Sap as an Antibacterial Staphylococcus aureus in Preventing Infection on External Wounds Intan Nur Aini; Dzafera Noor Muchlisha; I Wayan Ari Adinata; Nur Halimah; Rifa Nur Afifah Farhat; Yuliana Salman
Jurnal Media Analis Kesehatan Vol 14 No 2 (2023): JURNAL MEDIA ANALIS KESEHATAN
Publisher : Potekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/jmak.v14i2.281

Abstract

Wounds are damage to tissue continuity due to trauma from sharp or blunt objects, changes in temperature, chemistry, electricity, radiation, or animal bites. Wounds that are not handled properly can easily become infected, which can be caused by bacteria, one of which is Staphylococcus aureus. This study aims to determine the effectiveness of banana tree midrib sap as an antibacterial Staphylococcus aureus in preventing infection in external wounds. The research design used was experimental with a Completely Randomized Design (CRD) with a post test only control group design pattern. The research samples consisted of kepok banana tree midrib sap and Staphylococcus aureus bacterial culture using an accidental sampling technique. The antibacterial test method uses the well method by measuring the diameter of the clear zone on the media. The data collected was analyzed statistically using the Kruskal Wallis test and continued with the Post Hoc Kruskal Wallis test with a confidence level of 95%. The results showed that the sap of the banana tree midrib showed an influence on the Staphylococcus aureus bacteria with a value of sig. 0.01 (α<0.05). Banana tree sap (Musa Paradisiaca L) has an effect at concentrations of 15%, 30% and 60% on Staphylococcus aureus bacteria. These results are in accordance with the results of the qualitative phytochemical test of Kepok banana tree midrib sap which contains alkaloids, saponins, flavonoids and tannins which function as antibacterials. The conclusion of this research is that banana tree midrib sap has great potential as an antibacterial for Staphylocoocus aureus in preventing infections in external wounds