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MODERN COMBINATIONS DRESSING AND OZONE BAGGING TREATMENT REDUCES THE AMOUNT OF BACTERIA IN GRADE II DIABETICUM Mardiyono Mardiyono; Djamaluddin Ramlan; M. Choiroel Anwar; Rr. Sri Endang Pujiastuti; Umi Margi Rahayu
Journal of Applied Health Management and Technology Vol 1, No 1 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.784 KB) | DOI: 10.31983/jahmt.v1i1.5308

Abstract

Diabetic ulcers are open sores on the skin layer to the dermis caused by hyperglycemia and neuropathy. Infection is a barrier to the wound healing process, the incidence of infection in wounds with modern treatments of hydrocolloid and hydrogel type dressings is still high. Ozone has high antibactericidal and antimicrobial properties, is able to penetrate bacterial capsid walls and is expected to kill bacteria on the wound surface.To find the right way to cure diabetic ulcers using a combination of modern methods of dressing and ozonetherapy bagging.Experimental, non-equivalent control group design pre test, post test, population and infinite sample of 25 respondents. Modern dressing used has antibacterial properties and ozone concentration of 60-100ug / ml for 15 minutes using a limb bag was carried out until the 13th day with five times the measurement of the number of bacterial colonies using themethod swab and colonicounter. Data processing using a computer system with the General Linear Model. There was an average difference in the number of bacterial colonies between groups (505.73 ± 172.069 vs 322.21 ± 132.778, p = 0.0061).A combination of modern dressing and ozonetherapy bagging can reduce the number of bacterial colonies and speed up the healing process of the inflammatory phase II diabetic ulcer so that it can be applied in nursing care for diabetic ulcer patients.
THE DESIGN OF RADIOLOGY VIEWING BOX USING POTENTIOMETER SYSTEM Anak Agung Aris Diartama; Susy Suswaty; Win Priantoro; Sudiyono Sudiyono; Sugiyanto Sugiyanto; Muhammad Choiroel Anwar; Leny Latifah; Aris Santjaka; Faisal Amri; Donny Kristanto Mulyantoro
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: In the process of work to gain the maximum results, a radiologist needs a viewing box tool to read radiographs. Aims: to create a viewing box tool by using a potentiometer system. Methods: This study used applied research method by creating and using the design of viewing ox tool by using a potentiometer system and testing the viewing box tool created by using a Lux meter and 15 respondents consisting of five radiologists and 10 radiographers who should fulfill the questionnaire form. Results: The mean of viewing box illumination reached 220 lux. The results of the questionnaire showed that 100% radiologist gave an A (excellent) and expressed that the viewing box tool created could be used properly and 90% radiographers provided an A (excellent) and expressed that the viewing box tool created could be used properly, while 10% radiographer gave a value ofB (moderate). Conclusion: viewing box tool created could be used properly and obtained optimal results as a tool in reading radiographs. Potentiometer system contained in the viewing box was very helpful in reading radiographs because it allowed to adjust the light intensity according to user needs.
PEMBUDAYAAN GERAKAN MASYARAKAT HIDUP SEHAT (GERMAS) DAN PERCEPATAN VAKSINASI COVID-19 DI JAWA TENGAH M. Choiroel Anwar; Sri Widiyati; Fauzan Ma'ruf; Puteri Inandin Nabiha; Marichatul Jannah; Sunarto Sunarto
Jurnal LINK Vol 18, No 2 (2022): NOVEMBER 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.052 KB) | DOI: 10.31983/link.v18i2.9240

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Pandemi COVID-19 yang menyerang sistem pernafasan pada manusia, yang telah menginfeksi jutaan orang di seluruh dunia, tidak terkecuali Indonesia. Salah satu usaha dari pemerintah dalam menjaga agar tidak terpapar wabah ini adalah dengan melaksanakan vaksinasi, meningkatkan promosi kesehatan dengan memberikan penyuluhan. Kegiatan Pengabdian Masyarkat bekerja sama dengan Dinas Kesehatan Provinsi, Dinas Kesehatan Kabupaten Tegal dan Puskesmas di wilayah kerja Kecamatan Adiwerna dan Suradadi. Rangkaian kegiatan diantaranya pemeriksaan kesehatan yaitu screening kesehatan pra vaksin, pelaksanaan vaksinasi COVID-19 dosis 1 dan 2 maupun booster, serta pemberian materi penyuluhan bagi 400 warga dari 2 Desa Gembongdadi dan Desa Pedeslohor. Dari hasil kegiatan yang didapatkan pengetahuan warga di Desa Gembongdadi dan Desa Pedeslohor meningkat dan cakuipan vaksin COVID-19 juga ikut meningkat.
Laju insiden gagal ASI eksklusif di masyarakat nelayan pada masa pandemi Covid-19 Hari Santoso; Wiwit Estuti; M. Choiroel Anwar; Priyo Sulistiyono; Dewi Rahayu
AcTion: Aceh Nutrition Journal Vol 8, No 1 (2023): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i1.595

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Exclusive breastfeeding in Indonesia reached 37,3%. The Covid-19 pandemic has threatened to reduce exclusive breastfeeding coverage, which will impact the quality of human resources in the future. This study aims to determine the incidence rate of exclusive breastfeeding failure during the Covid-19 pandemic. Cohort study for nine months. In a fishing village, namely Dadap Village, Juntinyuat, Indramayu, West Java 2020. The population is all babies born during the study period, obtained 58 babies. Risk factor data were collected through interviews with questionnaires through home visits. Home visits were conducted six times during the observation period. The analysis was conducted by calculating the incidence rate using the formula for the number of cases of infants failing exclusive breastfeeding divided by the total number of live births during the observation period. The results showed that the incidence rate of exclusive breastfeeding failure in Dadap Village was 96,6 per 100 live births. Complementary feeding was given in formula milk in the first week (84,5%), even 79,3% of it after birth. Mothers and husbands do not know about exclusive breastfeeding (75,9%). The mother took the initiative to provide early complementary feeding with the support of her husband (63,8%). Mothers experience problems in breastfeeding (87,9%), and mothers cannot cope with the problem. In conclusion, the causes of exclusive breastfeeding failure in fishing villages are low income, low maternal education and knowledge, and lack of husband support.
Peran Layanan Instant Messaging Pada Teleradiologi Sebagai Upaya Penegakkan Diagnosis Mohammad Alif Nur Fathoni; M. Choiroel Anwar; Agung Nugroho Setiawan
Jurnal LINK Vol 20, No 1 (2024): MEI 2024
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v20i1.11394

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Teleradiology (teleradiologi), merupakan bagian dari layanan telemedicine, yang digunakan dengan memanfaatkan PACS sehingga dapat digunakan secara jarak jauh. Perkembangan teknologi memungkinkan teleradiologi dapat menggunakan smartphone sebagai media pengirim dan penampil gambar pemeriksaan sehingga memungkinkan adanya interpretasi hasil dari pemeriksaan radiologi secara cepat dan akurat dalam menegakkan diagnosis. Tujuan dari pelaksanaan tinjauan sistematis (systematic literatur review) ini adalah untuk mengetahui pemanfaatan layanan perpesanan pada teleradiologi sebagai upaya penegakkan diagnosis. Metode penelusuran jurnal penelitian ini menggunakan Google Scholar, Springer, PubMed, IEEE Xplore dan Elsevier. Pencarian ini dilakukan dengan menggunakan beberapa kata kunci antara lain teleradiologi, teleradiology, instant messaging, mobilephone, smartphone dengan masa publikasi 2010 hingga 2022. Hasil review dari 16 jurnal didapatkan bahwa penggunaan layanan perpesanan dapat digunakan sebagai media penampil gambar dan penilaian evaluasi dimana tidak terdapat perbedaan yang signifikan secara statistik antara penilaian standar menggunakan workstation berbasis PACS dengan menggunakan smartphone. Simpulan penelitian ini adalah layanan perpesanan dapat menjadi media penilaian dalam upaya menegakkan diagnosis dan membantu dalam menentukan tindakan yang akan dilakukan. Akan tetapi, saat ini belum dapat menggantikan peranan workstation berbasis PACS sebagai media penilaian dan evaluasi hasil pemeriksaan radiologi.
Waktu Pelaksanaan Senam Aerobik terhadap Mean Arterial Pressure (Map) pada Wanita Usia Subur (WUS) dengan Hipertensi Septiani, Ainishfi Laili; Anwar, M. Choiroel; Santjaka, Aris
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9731

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This study aims to analyze the timing of the best aerobic exercise in reducing mean arterial pressure as an alternative in dealing with hypertension in women of childbearing age. The research method used was quasy experimental with pretest posttest with control group design. Results of the study showed that the average decrease in MAP of the pre and post morning gymnastics group was 110.76 and 96.21 (p = 0.000), afternoon exercise 106.95 and 93.78 (p = 0.000), and the education group 108.07 and 102.42 (p = 0.008). And the results over time showed (p = 0.239) in week 2, (p = 0.032) in week 4 and (p = 0.000) in week 6. It was concluded that aerobic exercise in the morning was more effective in reducing MAP compared to aerobic exercise in the afternoon and the control group in women of childbearing age. Keywords: Mean Arterial Pressure, Aerobic Gymnastics, Women of Childbearing Age
EFFECTIVENESS EDGE DETECTION OPERATOR CANNY TO IMPROVE IMAGE QUALITY THORAX CT SCAN IN CASES COVID-19 Prima Selvia Megawati; M. Choiroel Anwar; Fatimah; Sudiyono; Darmini; Saifudin
Journal of Vocational Health Studies Vol. 7 No. 2 (2023): November 2023 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V7.I2.2023.77-82

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Background: Thorax CT scan is one of the medical supports that contributes most importantly to the diagnosis, especially cases of COVID-19. The disadvantage that has a CT scan image is noise. When the noise is high then the Signal Noise Ratio (SNR) value produced is low. Canny operator edge detection technique is one solution to animate noise. Purpose: Analyzing differences in image quality and anatomical information on thorax CT scan images in COVID-19 patients before and after the application of canny operator edge detection techniques. Method: A quasi experimental research on thorax CT Scan images before and after the application of canny operator edge detection which amounted to 10 samples. Image assessment is done by measuring noise, SNR, and anatomical information. Differences in image quality (noise and SNR) are tested with paired T-tests. Anatomical information is tested with the Wilcoxon Signed Rank Test. Result: There are differences in image quality in thorax CT scan images in COVID-19 patients before and after the application of canny operator edge detection techniques, with p-value <0.001. There are differences in the anatomical information of thorax CT scan images in COVID-19 patients before and after the application of canny operator edge detection technique with a p-value of 0.004. Conclusion: Edge detection operator canny techniques are able to lower noise values, improve SNR and improve image anatomy information thorax CT scan in COVID-19 patients.
Red ginger (Zingiber officinale var. rubrum) nanoparticle extracts on reducing the blood pressure for postpartum hypertension Luthfiyah, Ummu; Runjati, Runjati; Anwar, M. Choiroel
MEDISAINS Vol 21, No 1 (2023)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v21i1.15165

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Background: Red ginger contains flavonoids, which can cause vasodilation and decreased cardiac output and pressure. Previous research on red ginger on blood pressure has been carried out and showed significant results. However, it has yet to be studied in nanoparticle extracts, where nanoparticles are the best drug carrier system, so it is necessary to research.Purpose: Making and testing red ginger nanoparticle administration (Zingiber officinale var. rubrum) to reduce blood pressure in hypertensive postpartum mothers.Methods: This is an experimental study with a pre-post control group design. The sample consisted of 40 postpartum hypertensive mothers divided into two groups, namely 20 interventions and 20 controls. The intervention group was given red ginger nanoparticles made using the bottom-up method with a dose of 300 mg and the antihypertensive drug nifedipine, while the control group was given the antihypertensive drug nifedipine alone; both were given for two weeks. Data analysis used the Independent t-test and reapeted ANOVA tests.Results: The systolic blood pressure in the intervention group decreased by 12.95 mmHg on the 7th and 28.4 mmHg on the 14th day (p<0.001) while the control group was 7.05 mmHg on the 7th day and 14.8 mmHg on the 14th day (p<0.001). Diastolic blood pressure in the intervention group decreased by 3.55 mmHg on the 7th day and 11.90 mmHg on the 14th day (p<0.001), while the control group was 2.88 mmHg on the seventh day (p<0.007) and fifth day 35 mmHg on day 14 (p<0.002).Conclusion: Giving red ginger nanoparticles can reduce blood pressure in postpartum hypertension
The effectiveness of red ginger compress to prevent breast engorgement, reduce breast pain and prostaglandin hormone levels in postpartum mothers Sari, Tatsa Putri Kumala; Wijayanti, Krisdiana; Anwar, M. Choiroel
MEDISAINS Vol 20, No 2 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i2.13587

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Background: The active ingredients of ginger, such as gingerol, shogaol, zingerone, and paradol, are compounds that play a significant role in anti-inflammatory and analgesic properties. Previous studies that have been carried out using red ginger showed significant results on the severity of breast engorgement; however, these studies have not measured the decrease in levels of the hormone prostaglandin, which is an indicator of engorgement and pain. Previous studies have also shown the impracticality of the intervention. This study has made red ginger "param" (medicinal powder to rub on the body), but the param formulation needs to be tested.Purpose: Analyze the effectiveness of red ginger compress in preventing breast engorgement and reducing breast pain and prostaglandin hormone levels in postpartum mothers.Methods: This is experimental research with a post-test only with a control group design. Respondents in this study were postpartum mothers. Respondents were randomly allocated into two groups, control groups (n=15) and intervention groups (n=15). The intervention group receives red ginger compresses twice daily for five consecutive days. The variables observed were breast engorgement, breast tenderness, and levels of prostaglandins. Data were analyzed using the independent T-test and Mann-Whitney test.Results: There was an effect of a red ginger compress to prevent breast engorgement (p<0.05) and reduce breast pain (p <0.05); however that is not significant reduce prostaglandin hormone levels (p>0.05).Conclusions: Red ginger compress effectively prevents breast engorgement and reduces breast pain, but not significant in reducing prostaglandin hormone levels.
In vitro study of potential antibacterial pometia pinnata leaf extract in Neisseria gonorrhoeae Widayani, Gandi Ari Savitri; Anwar, Muhammad Choiroel; Sudirman, Sudirman
MEDISAINS Vol 19, No 3 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i3.11907

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Background: Gonorrhea cases experiencing antibiotic resistance are increasing due to inadequate treatment or failure to contribute to an increase in antibiotic resistance cases; WHO suggests adding herbal therapy treatment methods is expected to minimize the occurrence of drug resistance as much as possible. Previous studies that have been carried out using other herbal plants have not shown any potential to inhibit the growth of Neisseria gonorrhoeae bacteria, seen from the amount of extract concentration and the dosage and content of the compounds in the contents monitoring the time.Objective: To analyze the difference in the effect of various concentrations of Matoa Leafs Extract (Pometia Pinnata) compared to 500mg Levofloxacin on the increase in the growth inhibition of Neisseria gonorrhoeae.Methods: This is true-experimental research with a post-test-only control group with a randomized design. The sample in this study was the microorganism Neisseria gonorrhoeae obtained through vaginal swabs in 2 females (FSW) positive for Gonorrhea by gram staining and microscopic examination and culture on Chocolate Agar Plant (CAP) media. The culture was then suspended in CAP media. Matoa Leaf extract concentration of 100%, 80%, 60%, 40%, 20%, positive control with Levofloxacin 500 mg and negative control with distilled water with four replications and monitoring in 24 hours, 48 hours, 72 hours, and 96 hours. Data analysis used Kruskal-Wallis, Mann-Whitney, and cohen's test. Result: Levofloxacin 500mg in inhibiting Neisseria Gonorrhoeae bacteria is very effective, and Matoa Leaf extracts 60% and 40% P=0,026 have a strong enough potential to inhibit the growth of Neisseria gonorrhoeae bacteria with the same potential strength. The cohen's test 1.4 effect the levofloxacin 500mg provides a significant influence inhibiting Neisseria Gonorrhoeae.Conclusion: Matoa Leaf extract 60%, and 40% have solid antibacterial potential, although not as strong as Levofloxacin 500mg.
Co-Authors A.A. Ketut Agung Cahyawan W Adi Septian Agung Nugroho Setiawan Agus Subagiyo Amaliah, Nurul Anak Agung Aris Diartama Ari Suwondo Ari Suwondo Ari Suwondo Ariawan Soejoenoes Ariawan Soejoenoes Arif Widyanto Aris Santjaka Aris Santjaka Bedjo Santoso Bedjo Santoso Kadri Belliya Yulis Rahmadani Budi Triyantoro Budi Utomo Chatarina Umbul Wahyuni Darmini Darmini Darmini Devi Farah Ghina Devi Ratna Yuliani Devi Ratna Yuliani Dewi Rahayu Dewi, Mariza Mustika Dewi, Putri Sitronela Dian Apri Nelyanti Diartama, Anak Agung Aris Dina Adelia Djamaluddin Ramlan, Djamaluddin Djamil, Masrifan Donny Kristanto Mulyantoro Donny Kristanto Mulyantoro Donny Kristanto Mulyantoro Fachry Abda El Rahman Faisal Amri Faisal Amri Faisal Amri Fatimah Fauzan Ma’aruf Fitria, Candra Tyas Nur Frisian Lutfi Intan Risqita Gatot Murti Wibowo Gatot Murti Wibowo, Gatot Murti Ghina, Devi Farah Hamdiah Hamdiah Hani, Umu Hari Rudijanto I.W Hari Rudijanto Indro Wardono Hari Santoso Hermawan Pamot, Hermawan Husnul Yusmianti, Siti Nur Intan Risqita, Frisian Lufti Irma Nadziroh Irwan Irwan Irwan Katili Irwan Katili, Irwan Jannah, Marichatul Jannah, Marichatul Jaya Maulana Krisdiana Wijayanti Kun Aristiati Susiloretni Leny Latifah Leny Latifah Leny Latifah Luthfiyah, Ummu M.Pd S.T. S.Pd. I Gde Wawan Sudatha . Ma'ruf, Fauzan Makruf, Fauzan Mardiyono Mardiyono Mardiyono, Mardiyono Marsum Marsum Mayu Sanlia Samadani Mela Firdaust Melyana Nurul Widyawati Mohamad Ilham Maulana Latif Mohammad Alif Nur Fathoni Muliadi Muliadi Muliadi Nabiha, Puteri Inandin Nela Maghfirotul Ilmi Nilam Safitri Ariani Nisa, Alfiana Ainun Nor Istiqomah Novita, Dhea Nur Fathoni, Mohammad Alif Nur Lu’lu Fitriyani Nyoman Supriyani Oktari, Ida Ayu Pranandya, Brian Ilham Priantoro, Win Priantoro, Win Prima Selvia Megawati Priyo Sulistiyono Pujiastuti, Rr Sri Endang Pujiastuti, Rr. Sri Endang Puteri Inandin Nabiha Putri Intan Pertiwi Rahayu, Umi Margi Rahma Widiantari Reni Nuraeni Rihardini Okvitasari Rintan Rizkiya Mufidah Ristiawati Rr. Sri Endang Pujiastuti Rr.Sri Endang Pujiastuti Runjati Saifudin Sari, Tatsa Putri Kumala Selasih Putri Isnawati Hadi Septiani, Ainishfi Laili septiwiyarsi, septiwiyarsi Slamet Budiyanto Sri Sumarni Sri Widiyati Sri Widiyati, Sri Sudirman Sudirman Sudiyono Sudiyono Sudiyono Sudiyono Sudiyono Sudiyono Sudiyono SUGIYANTO Sugiyanto - Sugiyanto Sugiyanto Sugiyanto Sugiyanto Sunarto Sunarto Sunarto Sunarto Sunaryo Sunaryo Supriyani, Nyoman Susy Suswaty Susy Suswaty Susy Suswaty Sutopo Patria Jati Tauleka, Abdul Rohim Ta’adi Ta’adi Titha Yuda Pratiwi Tjahjono Kuntjoro Tri Cahyono Tri Cahyono Triana Sri Hardjanti Triana Sri Hardjanti, Triana Sri Utomo, Nur Wahyu Putriyantari Widayani, Gandi Ari Savitri Win Priantoro Win Priantoro Wiwit Estuti Yudastuti, Ririh Yuni Sulistiawati Zaeni Budiono, Zaeni