Iskandar, Arik
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Bacillus cereus food poisoning at factory, Yogyakarta, Indonesia Iskandar, Arik; Hayati, Nurhayati
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Background: On 9 January 2021, Tegalrejo Public Health Center (PHC) reported a suspected food poisoning after having lunch at a factory in Yogyakarta. Investigations were carried out to confirm the presence of an outbreak and find out the source and mode of transmission. Methods: Unmatched case control study with 1:2 ratio, the case was the person who consumed lunch from catering on 8 January 2021 and experienced symptoms such as diarrhea, nausea and stomachache on 8-9 January 2021. Data was collected through interviews using questionnaire and Google Form. Interviewing food handlers and observation were done for environmental investigation. Odds Ratio value was estimated to determine food with highest risk of getting ill. Food samples were examined by BLK Yogyakarta. Results: Of the 177 people on the list, 167 were successfully interviewed. 53 people were found ill (AR 31.7%; n=167) with diarrhea (98.1%) and stomachache (28.3%) as the main symptoms. Average incubation time was 12 hours, with a period of 4 hour – 19 hour 35 minutes. Through multivariate analysis, it is found that the suspected food is vegetable fritter (OR=2.17; p=.049; CI 95%: 1.003-4.73). Bacillus cereus bacteria was found in the vegetable fritter. Lack of hygiene in the kitchen and improper food handling and storage will facilitate the contamination and spore growth. Investigation results were reported to a few officials in the Public Health Department to avoid polemic within the community. Conclusion: There was a food poisoning outbreak in a factory which was caused by Bacillus cereus in vegetable fritters. Socialization regarding food processing and food safety are important to be conducted to prevent similar incidents.
Clinical characteristics and risk factors for mortality in COVID-19 patients with diabetes: A literature review Iskandar, Arik
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Diabetes is one of the comorbid causes of death for patients with COVID-19. The Indonesian government records diabetes as one of the comorbidities with the highest proportion of causes of death. This study is a literature review study that aims to describe the clinical character and risk factors for death in diabetic patients with COVID-19 disease. Methods: A literature review was conducted by searching for articles from the PubMed and Google Scholar databases. Inclusion criteria were open access, articles in English, and full text published in journals between 2020 to 2021. The keywords used are "coronavirus disease 2019 AND Clinical Characteristics AND Diabetes". Results: the results of the study found 16 articles that matched, namely Covid-19 patients with diabetes. The clinical characteristics of the patients were 57% male. The average age of the patient was 68 years with other comorbid diseases, the highest was hypertension 57%, heart disease 29%, and followed chronic kidney disease 9.8%. The most common signs and symptoms were fever 64%, cough 59%, fatigue 45%, Dyspnea 43%. The highest risk factors, namely age 70 years, comorbid hypertension, and male sex contributed to the death of COVID-19 patients with diabetes. Conclusion: the clinical characters that appear are fever, cough, fatigue, and difficulty breathing. The risk factor for death in COVID-19 patients with diabetes is age 70 years. Hypertension also contributes to mortality. Comprehensive efforts are needed to identify risk factors early and carry out effective treatment in a timely manner to reduce the mortality of COVID-19 patients with diabetes.
THE EFFECT OF BENSON RELAXATION AND LAVENDER AROMATHERAPY COMBINATION ON BLOOD PRESSURE CONTROL IN HYPERTENSION PATIENTS IN THE WORK AREA OF PAMULANG COMMUNITY HEALTH CENTER Hakim, Amelia Nurul; Iskandar, Arik; Suryadi, Suryadi
NURSING ANALYSIS: Journal of Nursing Research Vol 5, No 1 (2025): NURSING ANALYSIS: JOURNAL OF NURSING RESEARCH
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

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                                                         ABSTRACTHypertension is a condition of increased blood pressure that shows systolic pressure ≥ 140 mmHg or and diastolic pressure ≥ 90 mmHg. The prevalence in Banten Province which has hypertension is 8.61% and Tangerang City hypertension is in the first place at 28.74% (Ministry of Health 2021). One of the non-pharmacological therapies to control blood pressure is Benson relaxation and lavender aromatherapy. This study aims to determine the effect of a combination of Benson relaxation and lavender aromatherapy on blood pressure control in hypertensive patients in the Pamulang Health Center Work Area. This study is a true experiment study using a pretest posttest group design approach. Sampling using simple random with 42 respondents. The research instrument used Benson relaxation SOP, lavender aromatherapy SOP, blood pressure measurement SOP, manual model tensiometer and blood pressure measurement result sheet. The analysis used was Non Parametric test with Wilcoxon and Mann Whitney test. There was a decrease in systolic blood pressure before therapy showed an average of 158.57 mmHg to 125.95 mmHg and diastolic blood pressure before intervention showed an average of 90.95 mmHg to 77.62 mmHg. The results of the Wilcoxon test obtained a p-value of 0.000 0.05, meaning that there was a significant difference in blood pressure before and after the intervention. Based on the test results, it can be concluded that there is an effect of combination therapy of Benson relaxation and lavender aromatherapy on blood pressure in hypertensive patients. The combination of Benson relaxation and lavender aromatherapy is effective in controlling blood pressure in hypertensive patients. It is recommended to apply a combination of Benson relaxation and lavender aromatherapy once a day to control blood pressure in hypertensive patients.                                                        ABSTRAKHipertensi merupаkаn kondisi peningkаtаn tekаnаn dаrаh yаng menunjukkаn tekаnаn sistolik ≥ 140 mmHg аtаu dаn tekаnаn diаstolik ≥ 90 mmHg. Prevalensi di Provinsi Banten yang memiliki penyakit hipertensi sebanyak 8,61% dan Kota Tangerang penyakit hipertensi masuk dalam urutan awal sebesar 28,74% (Kemenkes 2021). Sаlаh sаtu terаpi non fаrmаkologi untuk mengendаlikаn tekаnаn dаrаh yаitu relаksаsi benson dаn аromаterаpi lаvender. Penelitiаn ini bertujuаn untuk mengetаhui pengаruh kombinаsi relаksаsi benson dаn аromаterаpi lаvender terhаdаp pengendаliаn tekаnаn dаrаh pаsien hipertensi di Wilayah Kerja Puskesmas Pamulang. Penelitiаn ini merupаkаn penelitiаn true experiment dengаn menggunаkаn pendekаtаn pretest posttest group design. Pengаmbilаn sаmpel menggunаkаn simple rаndom dengan 42 responden. Instrumen penelitiаn menggunаkаn SOP relаksаsi benson, SOP аromаterаpi lаvender, SOP pengukurаn tekаnаn dаrаh, tensimeter model mаnuаl dаn lembаr hаsil pengukurаn tekаnаn dаrаh. Аnаlisis yаng digunаkаn аdаlаh uji Non Pаrаmetrik dengаn uji Wilcoxon dаn Mаnn Whitney. Terdаpаt penurunаn tekanan darah sistolik sebelum diberikan terapi menunjukkan rata-rata 158,57 mmHg menjadi 125,95 mmHg dan tekanan darah diastolik sebelum dilakukan intervensi menunjukkan rata-rata 90,95 mmHg menjadi 77,62 mmHg. Hаsil uji Wilcoxon diperoleh nilai p-value 0,0000,05, artinya ada perbedaan yang signifikan pada tekanan darah sebelum dan sesudah diberikan intervensi. Berdasarkan hasil pengujian dapat disimpulkan ada pengaruh terapi kombinasi relaksasi benson dan aromaterapi lavender terhadap tekanan darah pasien hipertensi. Kombinаsi relаksаsi benson dаn аromаterаpi lаvender efektif dаlаm mengendаlikаn tekаnаn dаrаh pаsien hipertensi. Direkomendаsikаn penerаpаn kombinаsi relаksаsi benson dаn аromаterаpi lаvender 1 kаli sehаri untuk mengendаlikаn tekаnаn dаrаh pаsien hipertensi.Kаtа Kunci : Aromaterapi Lavender, Hipertensi, Relаksаsi Benson, Tekаnаn Dаrаh.
EFEKTIVITAS PENDIDIKAN KESEHATAN ISPA TERHADAP PENINGKATAN PENGETAHUAN LINGKUNGAN MASYARAKAT DI UPT PUSKESMAS JAMPANG TELAGA KAHURIPAN PARUNG BOGOR Iskandar, Arik; Pratiwi, Rita Dwi; Lutvianty, Dinda; Darmayanti, Desy
Edu Dharma Journal :Jurnal penelitian dan pengabdian masyarakat Vol 9, No 2 (2025): Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52031/edj.v9i2.1164

Abstract

                                                   ABSTRACTBackground: Health education is an essential effort to encourage communities to maintain and improve their health status. This effort cannot be separated from environmental conditions, as the environment is where people live, conduct their daily lives, and interact with others. One of the health problems strongly influenced by environmental factors is Acute Respiratory Infection (ARI). ARI is a disease that attacks the upper respiratory system and usually lasts for fourteen days, with a highly contagious nature. This illness can cause mild to severe symptoms, and in some cases may even be fatal, depending on the causative pathogen, environmental conditions, and the host’s immune system. Objective: This study aims to determine whether health education on ARI has an impact on environmental knowledge.Methods: The research applied a quantitative approach using primary data obtained from questionnaires. The Wilcoxon Signed Rank Test was used to identify and test the significance of differences between two groups of test data. Results: The probability value or significance level (0.000) was lower than the alpha value of 0.05 (P α), indicating that health education on ARI significantly influences the level of environmental knowledge.Conclusion: Health education plays a crucial role in improving community knowledge about ARI prevention. A healthy environment can reduce the risk of transmission; thus, through proper education, communities are encouraged to adopt clean and healthy living behaviors as a preventive measure.                                                   ABSTRAK   ABSTRAKLatar Belakang: Pendidikan kesehatan merupakan upaya penting untuk mendorong masyarakat dalam mempertahankan serta meningkatkan derajat kesehatannya. Upaya ini tidak dapat dipisahkan dari kondisi lingkungan, karena lingkungan adalah tempat manusia tinggal, menjalani kehidupan, dan berinteraksi dengan orang lain. Salah satu masalah kesehatan yang sangat dipengaruhi oleh faktor lingkungan adalah Infeksi Saluran Pernapasan Akut (ISPA). ISPA merupakan penyakit yang menyerang sistem pernapasan atas dan biasanya berlangsung selama empat belas hari dengan sifat mudah menular. Penyakit ini dapat menimbulkan gejala ringan hingga berat, bahkan berakibat fatal, tergantung pada patogen penyebabnya, kondisi lingkungan, serta daya tahan tubuh individu sebagai pejamu. Tujuan Penelitian ini untuk menentukan apakah ada atau tidak pengaruh pendidikan kesehatan tentang ISPA terhadap pengetahuan lingkungan orang tua dalam upaya mencegah ISPA. Metode Penelitian ini menggunakan pendekatan kuantitatif dengan menggunakan data primer, yaitu kuesioner. Uji Wilcoxon Signed Rank digunakan untuk mengidentifikasi dan melakukan uji signifikan terhadap perbedaan antara dua kelompok data uji. Hasil: Nilai probilitas atau angka signifikan (0,000) lebih rendah daripada nilai a 0,05 atau (P a) yang berarti bahwa bahwa ada pengaruh pendidikan kesehatan tentang ISPA terhadap tingkat pengetahuan lingkungan orangtua . Kesimpulan: Pendidikan kesehatan berperan penting dalam meningkatkan pengetahuan orang tua tentang pencegahan ISPA. Kondisi lingkungan yang sehat dapat menekan risiko penularan, sehingga melalui edukasi yang tepat masyarakat terdorong menerapkan perilaku hidup bersih dan sehat sebagai langkah preventif. 
HUBUNGAN SEDENTARY LIFESTYLE DENGAN KEPATUHAN MENGKONSUMSI TABLET TAMBAH DARAH PADA REMAJA PUTRI DI SMK BABUNNAJAH PANDEGLANG BANTEN Puteri, Ayu Mandala; Iskandar, Arik; Fahriati, Andriyani Rahmah
NURSING ANALYSIS: Journal of Nursing Research Vol 5, No 2 (2025): NURSING ANALYSIS: JOURNAL OF NURSING RESEARCH
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

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ABSTRACT.Sedentary lifestyle is a lifestyle with the characteristics of low levels of physical activity. Sedentary lifestyle is related to all types of light activities that require the same amount of energy expenditure as resting physical activity, which is 1-1.5 METs. Compliance according to the World Health Organization (WHO) is how well a person behaves in using drugs, following a diet or changing lifestyle according to the treatment regimen. The purpose of this study is to determine the relationship between sedentary lifestyle and adherence to consuming blood supplement tablets in adolescent girls at SMK Babunnajah Pandeglang Banten. Methods This study uses quantitative research with a cross sectional design. Sampling uses the probability sampling technique using proportionate stratified random sampling with a sample of 81 respondents. Data analysis uses the Chi Square test with a degree of significance p 0.05. The results of the study were known that from 81 respondents, more than half of the respondents obtained a high sedentary lifestyle amounting to 54 respondents (66.7%) and compliance with consuming low blood supplement tablets as many as 46 respondents (56.8%). The results of the statistical test were obtained (P Value = 0.002 0.05). The conclusion is that there is a relationship between sedentary lifestyle and adherence to consuming blood supplement tablets in adolescent girls at SMK Babunnajah Pandeglang Banten. The suggestions from the results of this study are expected to be an additional reference for nurses and other health workers about sedentary lifestyle with adherence to consuming blood supplement tablets in adolescent girls.ABSTRAKSedentary lifestyle adalah kebiasaan hidup dengan karakteristik tingkat aktifitas fisik yang rendah. Sedentary lifestyle berkaitan dengan semua jenis aktivitas ringan yang membutuhkan jumlah pengeluaran energi sama dengan aktivitas fisik istirahat yaitu 1-1,5 METs. Kepatuhan menurut World Health Organization (WHO) adalah seberapa baik perilaku seseorang dalam menggunakan obat, mengikuti diet atau mengubah gaya hidup sesuai tata laksana terapi. Tujuan Penelitian ini adalah untuk mengetahui hubungan sedentary lifestyle dengan kepatuhan mengkonsumsi tablet tambah darah pada remaja putri di SMK Babunnajah Pandeglang Banten. Metode Penelitian ini menggunakan penelitian kuantitatif dengan desain cross sectional. Pengambilan sampel menggunakan teknik probability sampling dengan menggunakan proportionate stratified random sampling dengan jumlah sampel sebanyak 81 responden. Analisan data menggunakan uji Chi Square dengan derajat kemaknaan p 0,05. Hasil Penelitian diketahui dari 81 responden lebih dari setengah responden didapatkan sedentary lifestyle tinggi berjumlah 54 responden (66.7%) dan kepatuhan mengkonsumsi tablet tambah darah rendah sebanyak 46 responden (56,8%). Hasil uji statistic diperoleh (P Value = 0,002 0,05). Kesimpulan bahwa terdapat hubungan antara sedentary lifestyle dengan kepatuhan mengkonsumsi tablet tambah darah pada remaja putri di SMK Babunnajah Pandeglang Banten. Saran dari hasil penelitian ini diharapkan dapat menjadi referensi tambahan bagi perawat dan tenaga kesehatan yang lainnya tentang sedentary lifestyle dengan kepatuhan mengkonsumsi tablet tambah darah pada remaja putri.