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Strategi dan Tantangan dalam Meningkatkan Cakupan Vaksinasi COVID-19 untuk Herd Immunity
Emilia Arina
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Several countries have made so many interventions for tackling COVID-19 pandemic and one of them is the implementation of vaccination programme. The vaccination program is performed to reduce transmission rates, reduce mortality, break the chain and achieve herd immunity. Herd immunity can be achieved if vaccionation coverage is 67%-80%. This study aims to analyze challenges and barriers in Covid-19 vaccination program across the world. The study design used was case study with a systematic review method with PRISMA guideline. The result of this study have found several things which become challenges in the implementation of Covid-19 vaccination, there are hesitation and willingness to be vaccinated, production capacity, vaccination stock and fair allocation for all individuals. Based on this analysis we found some strategy to overcoming this issue, that is targeted vaccination campaign and encourage domestic pharmaceutical industry to be able to produce their own vaccines by collaborating with each other domestic pharmaceutical industry or collaborating with foreign pharmaceutical industries.
PENGARUH LATIHAN FISIK TERHADAP SISTEM KARDIOVASKULAR
Tyaradhia Ranita Eltidar
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Physical activity is any bodily movement that increases energy expenditure. Physical activity in the form of physical exercise can increase the fitness index of the cardiovascular system. Physical exercise can directly affect the cardiovascular system. The effects can be either acute or chronic. The purpose of this paper is to determine the effect of physical activity on the cardiovascular system. The method used is literature research by searching for keywords physical activity, cardiovascular, and blood exercise on Google Scholar and Pubmed. Searching the literature from both national and international journals then summarizes the discussion topics and compares the results presented in the articles. From several studies conducted, the effect of physical activity on the cardiovascular system is prevention of cardiovascular disease, prevention of diastolic dysfunction, left ventricular adaptation, increased stroke volume, increased cavity volume, thickening of the heart wall, decreased heart rate, improved myocardial perfusion, and changes in lipid profile in the form of increase in HDL.
HUBUNGAN TINGKAT PENGETAHUAN TENTANG ANEMIA DENGAN KEJADIAN ANEMIA PADA REMAJA PUTRI
Fajrian Noor Kusnadi
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Anemia merupakan masalah kesehatan global yang patut diperhatikan, terutama di negara berkembang seperti di Indonesia. Diperkirakan sekitar 1/3 populasi dunia menderita anemia. Proporsi anemia pada perempuan lebih tinggi dibandingkan pada remaja laki-laki sehingga remaja putri merupakan salah satu populasi yang rentan terkena masalah anemia. Anemia didefiniskan sebagai berkurangnya konsentrasi hemoglobin dalam eritrosit. Anemia diukur dengan melihat dari kadar haemoglobin seseorang. kadar hemoglobin normal untuk wanita dengan usia diatas 15 tahun yakni >12,0 g/dl (>7,5 mmol). Pengetahuan adalah hasil tahu, terjadi setelah orang melakukan pengindraan terhadap suatu objek tertentu. Pengetahuan merupakan domain yang sangat penting dalam pembentukan tindakan sesorang. Artikel ini merupakan sebuah studi literature yang bertujuan untuk menyajikan ringkasan informasi-informasi dari penelitian-penelitian terdahulu sebagai data sekunder tentang hubungan tingkat pengetahuan tentang anemia dengan kejadian anemia pada remaja putri. Hasil menunjukan bahwa terdapat hubungan tingkat pengetahuan dengan kejadian anemia pada remaja putri. Remaja putri yang memiliki pengetahuan yang baik akan lebih awas dalam mencegah terjadinya anemia dibandingkan remaja putri yang memiliki pengetahuan yang buruk. Selain itu, terdapat beberapa faktor lainnya yang mempengaruhi kejadian anemia yakni menstruasi, serta keinginan remaja putri untuk memiliki perut yang langsing sehingga berefek pada pemenuhan gizi.
HUBUNGAN SANITASI DENGAN KEJADIAN STUNTING PADA BALITA
Alifya Rizkiyana Qonita Fauzan
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Stunting merupakan hasil yang buruk dari rendahnya asupan nutrisi dari 1000 Hari Pertama Kehidupan (HPK). Perilaku hygiene dan sanitasi yang kurang baik dapat menyebabkan anak-anak kehilangan nutrisi untuk tumbuh kembang. Metode yang digunakan oleh penulis adalah studi literature review dari beberapa jurnal nasional maupun internasional. Metode ini digunakan dengan tujuan menyajikan, menambah pengetahuan dan pemahaman mengenai artikel ini dengan meringkas materi penelitian pada fokus topik tertentu. Dari beberapa penelitian yang dilakukan didapatkan hasil bahwa sanitasi memiliki hubungan yang bermakna terhadap kejadian stunting pada balita
HUBUNGAN COVID-19 TERHADAP MASYARAKAT LANJUT USIA
M.Sultan Fadel Ganie
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Corona virus or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a type of virus that is pathognomonic of abnormalities in the respiratory system, although this disease worsens or is exacerbated by the comorbidities of infected patients. Elderly people have a high risk of being exposed to COVID-19 disease due to a very significant decrease in the immune system in the elderly community. The result is associated with susceptibility to respiratory tract infections. Reduced mucosal barrier, mucociliary clearance, immune response and the presence of inflammation of the respiratory tract against pathogenic microorganisms are the causes of the immune system not optimal due to immunosense. Decreased ciliary activity in the lungs leads to reduced mucociliary clearance. In addition, the decline in the immune system can be influenced by comorbid diseases that are closely related to COVID-19. This research is a literature study using secondary data obtained from the results of research by previous researchers. Based on the results of a literature study on the relationship between COVID-19 and the elderly, it was stated that there was a significant relationship between individual exposure to COVID-19 and the elderly. The relationship is comparable, meaning that the higher a person's age, the higher the level of exposure to COVID-19, which is influenced by the person's low immunity.
Hubungan Antara Kopi Dengan Kondisi Ginjal
Aina Salsabila Muslim
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Coffee is a plantation plant that belongs to the genus Coffea with the family Rubaceae. Coffee is used as a drink by the world community. Some of the compounds contained in coffee are one of the bioactives in coffee that have an influence on kidney conditions. The purpose of this paper is to determine the relationship between coffee and kidney conditions. The method used is a literature review by searching for the keywords coffee, kidney, glomerulus, and tubule on Google Scholar and Pubmed. Searching the literature from both national and international journals then summarizes the discussion topics and compares the results presented in the articles. From several studies conducted, the relationship between coffee and kidney condition is to reduce the number of renal glomerular mesangial cells, prevent glomerular hypertrophy, and cause thyroidization of renal tubular epithelial cells.
STRATEGI RUMAH SAKIT RUJUKAN DALAM MENANGANI LONJAKAN KASUS COVID-19: Systematic Review
Ermalina E
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Pendahuluan: Corona Virus Disease-19 (COVID-19) menyebar dengan sangat cepat hingga menjadi penyakit pandemi yang menyebabkan peningkatan angka kematian selama satu tahun terakhir. Di Indonesia yang padat penduduknya, rumah sakit rujukan dituntut dapat mengatasi lonjakan kasus COVID-19. Tidak hanya itu, lonjakan kasus COVID-19 juga mempengaruhi angka penularan pada tenaga kesehatan di rumah sakit rujukan. Tujuan dari penulisan artikel ini adalah untuk secara sistematis mengkaji mengenai strategi rumah sakit rujukan dalam menangani lonjakan kasus COVID-19, sehingga dapat berguna dalam penerapannya untuk meningkatkan efektivitas pelayanan pasien COVID-19 dan pasien lainnya, serta dapat menurunkan angka penularan dan kematian di rumah sakit. Metode: Kajian sistematis ini menggunakan database: PubMed dan Google Scholar. Penyusunan dan evaluasi judul abstrak dilakukan dengan menggunakan Mendeley, begitu juga dengan identifikasi dan menghapus abstrak yang ganda. Hasil: Hasil kajian dari 5 artikel yang terpilih mencakup masalah yang didapatkan rumah sakit rujukan selama lonjakan COVID-19 dan strateginya dalam menangani masalah-masalah tersebut. Masalah yang didapatkan adalah ketidakseimbangan antara kebutuhan dan keterbatasan sarana dan prasarana kesehatan akibat lonjakan, serta ditemukannya angka penularan di rumah sakit rujukan. Dari masalah-masalah tersebut, rumah sakit rujukan melakukan penyusunan strategi berupa pembentukan tim khusus yang menangani lonjakan COVID-19, menetapkan strategi 3T untuk staf rumah sakit rujukan, dan menetapkan strategi teknologi telemedicine. Kesimpulan: Dalam menangani lonjakan COVID-19, rumah sakit rujukan perlu menetapkan strategi untuk memaksimalkan pelayanan kesehatan dan memutus rantai penularan COVID-19.
Hubungan ASI Eksklusif dengan Kejadian Infeksi Saluran Pernapasan Akut pada Balita di Sekitar Pembangkit Listrik Tenaga Uap Batubara Babelan, Bekasi Jawa Barat
Puji Amrih Lestari
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Background. ARI is a major cause of morbidity and mortality from infectious diseases worldwide. Exclusive breastfeeding is one of the factors that can affect the incidence of ARI in toddlers. The purpose of this study was to determine the relationship between exclusive breastfeeding and the incidence of ARI in toddlers around the Babelan Coal Power Plant, Bekasi, West Java. Method. This type of research is analytic research with a cross sectional study design. The measured variables were the characteristics of toddlers, exclusive breastfeeding and the incidence of ARI in toddlers. The research population is children under five years old 0-59 months who live around the PLTU Coal Babelan with a sample of 100 toddlers. Data were analyzed by chi-square test and logistic regression. Results. The variables of gender, age and history of exclusive breastfeeding statistically showed no significant relationship to the incidence of ARI in children under five. The results of multivariate analysis showed that the variable history of exclusive breastfeeding was the most dominant variable of the three final modeling variables with OR = 6.44. Conclusion. A history of exclusive breastfeeding can be a risk factor for the occurrence of ARI in infants because exclusive breastfeeding for the first 6 months is protective for the development of respiratory tract infections in infants and as a reduction in the risk of respiratory tract infections being lower after those aged over 5 years.
ANALISA PRODUK LAYANAN IGD DENTAL DI RSGM YARSI BERDASARKAN STP (SEGMENTING, TARGETING, POSITIONING): ANALISA PRODUK LAYANAN IGD DENTAL DI RSGM YARSI BERDASARKAN STP (SEGMENTING, TARGETING, POSITIONING)
Ni Putu Retno Ariani
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Dental emergency installation (IGD Dental) is a healthcare service that handles serious teeth, jaw and gum problems that need immediate care to prevent permanent damage. This research aims to describe IGD Dental service at Yarsi Dental Hospital (RSGM Yarsi), Central Jakarta, based on segmenting, targeting and positioning. The research used descriptive research method with quantitative approach. The research’s data was gathered through secondary data with inclusion criteria that consisted of complete data on new patients who visited IGD Dental from September to November 2020, resulting in 133 samples. The result showed that in market segmentation, most of new patients who visited IGD Dental were male (71 people or 53.40%) in the productive age group between 18 to 40 years old (118 people or 88.72%) with education levels of undergraduate and post-graduate (82 people or 61.65%). In regards of their jobs, majority of them worked as employees (34 people or 35.09%) and lived in Jakarta (116 people or 87.21%). Their frequent payment methods were cash, credit cash (tunai kredit) and credit cards (111 people or 83.45%). The research’s determined target market was based on market segmentations. Regarding the research’s positioning, Yarsi Dental Hospital highlights 24-hour IGD Dental. The research concluded that Yarsi Dental Hospital had done target segmentation analysis by targeting several segmentations which later could be used for marketing and determining the hospital’s strategy. Keywords: IGD Dental; segmenting; targeting; positioning.
analisis infeksi luka operasi post sectio caesarea di RSIA Selaras
nadia annisa nurani
Jurnal Medika Hutama Vol. 3 No. 01 Oktober (2021): Jurnal Medika Hutama
Publisher : Yayasan Pendidikan Medika Indonesia
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Background: The hospital is responsible for patient safety. The high rate of surgical site infection (SSI) in RSIA Selaras will affect the quality the healthcare services. From January to June 2021, the SSI had been increased in RSIA Selaras. With the intention of that, it needs the research to understand the probability factors of the SSI and the needs to improve the intervention of the infection control team to care the surgical site infection in the hospital. Aims : To acknowledge the risk factors which will affect the SSI in RSIA Selaras Methods : The research method in this study is descriptive using the retrospective approach. Collecting the secondary data from the medical, proceed and proceeding to analyze/ to research with the aim to get quantitative data. The secondary data is the SSI record from January to Mei 2021 in maternity and pediatrics RSIA Selaras. Result : The surgical site infection has been affected by the age factor, which is caused by the organ function particularly the skin changes. As well as the duration of the surgery also affects the SSI, this is caused by the surgical duration of more than 2 hours which will be risked microorganism contamination. Yet the surgical duration of less than 2 hours will not assure the good surgery. According to the criteria of the surgery wounds, its show that the differences characteristic of the surgery wound infections are affected by after surgery care, antibiotic prophylax usage, preoperative intraoperative and postoperative. Conclusion: the surgery site infection could be affected by several factors, particularly the age, surgical duration, and SSI critetria. The role of the infection control teams is necessary actively in the prevention and treatment of the of the SSI