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INDONESIA
E-Journal Widya Kesehatan dan Lingkungan
Published by Lembaga Layanan Pendidikan Tinggi Wilayah III
ISSN : -     EISSN : 23387793     DOI : -
Core Subject : Health, Social,
Environmental Science Public Health
Arjuna Subject : -
Articles 5 Documents
 1 
Search results for , issue "Vol. 2 No. 2 (2020)" : 5 Documents clear
MOBILISASI DINI DI ICU Muhari, Andie; Suwarman; Oktaliansah, Ezra; Sitanggang, Ruli H
E-Journal Widya Kesehatan dan Lingkungan Vol. 2 No. 2 (2020)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

Mobilisasi dini dan rehabilitasi pada pasien di perawatan ruang intensif harus dilaksanakan sesegera mungkin. Tindakan mobilisasi pada pasien di ruang perawatan intensif merupakan tindakan dasar keperawatan dan kebutuhan berdasar alasan klinis. Terjadinya gejala sisa jangka panjang termasuk terjadinya ICU-acquired muscle weakness (ICUAW) terjadi hingga 50% dari pasien yang dirawat dan berhubungan dengan kelemahan tubuh pada pasien dengan perawatan yang lama secara fungsi dan kualitas hidup. Risiko terjadinya perubahan kondisi dan atrofi otot sangat cepat pada keadaan tirah baring yang lama. Mobilisasi dini juga dapat mempercepat waktu pulih, mengurangi lama perawatan di ICU, mengurangi perawatan kembali ke ICU dan bahkan meningkatkan waktu survival rate. Mobilisasi dini pada pasien ICU secara konvensional dan mode baru pada perawatan penyakit kritis bertujuan untuk mengurangi efek buruk imobilisasi pada pasien kritis. Rehabilitasi fisik berjalan linier mulai dari aktifitas di tempat tidur, duduk, berdiri, dan berjalan. Penilaian fungsi di ICU berupa keluaran fungsi tubuh, kekuatan otot, massa otot, fungsi mobilitas, dan kualitas hidup. Tindakan fisioterapi penting dikerjakan di ICU untuk mengoptimalkan fungsi kardiopulmonal dan fungsi secara fisik. Fisioterapis harus mengikuti, mengevaluasi, dan memberikan terapi sejak fase akut hingga fase rehabilitasi.
PERUBAHAN JUMLAH MIKROBA SEBELUM DAN SESUDAH CUCI TANGAN MENGGUNAKAN SABUN ANTIBAKTERI PADA MAHASISWA AKADEMI KESEHATAN GIGI DITKESAD TAHUN 2019 Sulistiani, Silvia; Athallah, Tomy
E-Journal Widya Kesehatan dan Lingkungan Vol. 2 No. 2 (2020)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

Hand washing is one step that can be done to prevent the spread of disease. This study aims to determine changes in the number of microbes in the hands before and after washing hands using antibacterial soap in AKG Ditkesad students. The research design used in this study was cross sectional analysis. The method used is descriptive research conducted to describe a phenomenon that occurs in society. Research respondents numbered 50 students. Sampling used quota sampling technique. Respondents were asked to put their index fingers on sheep's blood media for a few seconds both before and after washing hands. Media is incubated and changes in the area of ​​bacteria in the media was observed. There is a significant difference between the area of ​​bacteria on blood agar before and after washing hands with antibacterial soap. It can be concluded that the respondents who washed their hands using antibacterial were 50 people consisting of 25 men and 25 women who were determined by lottery. Male respondents who experienced an increase in bacterial expansion totaled 7 (28%) and 18 (72%) experienced a reduction in bacterial expansion. Female respondents experienced an increase in bacterial expansion by 3 (12%) and 22 (88%) subjects experienced a reduction in bacterial expansion agar media.
TATALAKSANA TETANUS GENERALISATA GRADE III YANG DISERTAI DENGAN COMMUNITY ACQUIRED PNEUMONIA DI RUANG PERAWATAN INTENSIF (LAPORAN KASUS) Nasution, Nur Intan; Sobaryati
E-Journal Widya Kesehatan dan Lingkungan Vol. 2 No. 2 (2020)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

Tetanus is an acute toxemia due to neurotoxins produced by Clostridium tetani characterized by periodic and severe muscle rigidity and spasme, which threatens life and is world health problem. Goals of tetanus management include: (1) neutralization of unbound toxin; (2) eradication of tetanospasmin source; (3) muscle spasm control and treatment of autonomic dysfunction; and (4) general supportive management. The purpose of this paper is to report and describe the successful management of tetanus with complications due to muscle spasm, autonomic dysfunction and respiratory failure in intensive care unit. The method used is case report with retrospective approach and analyzed descriptively. Male, 34 years old, was admitted with complaints of wholebody rigidity 1 day before admission accompanied with trismus, dysphagia, hypertension, tachycardia, risus sardonikus, opistotonus and spasm of all muscles. Patient was diagnosed with tetanus generalisata grade 3 and admitted for 18 days in intensive care unit using mechanical ventilation. Tracheostomy was performed on the sixth day. The patient was fully recovered and discharged after 35 days of hospitalization. It can be concluded that tetanus mortality rate remains high because of its complications and longterm care for critical illness. Immediate diagnosis, identification of complications, complication management, and quality of supportive management are keys in determining outcome.
PRODUKSI DAN CITA RASA SERTA KANDUNGAN POLIFENOL TEH KULIT MELINJO Saragih, Raskita; Tamizi, Ermiziar
E-Journal Widya Kesehatan dan Lingkungan Vol. 2 No. 2 (2020)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

Melinjo peels waste can be processed into herbal tea. A total of 22,963 tons per year of melinjo is processed into emping and that much waste of melinjo peels is also wasted (BPS Banten 2014). Red and green melinjo peels contains polyphenols, antioxidants and amino acid L glutamate acid (Saragih, R and Ermiziar, 2019). The aim of the research was to produce herbal teas from red and green melinjo peels, test their taste and aroma and analyze total polyphenols and antioxidants. Melinjo peels tea is produced by sorting the melinjo peels, washing, cutting and drying using an oven blower. A factorial randomized block design with two factors was used. Drying temperature factor with three levels: 55, 60 and 65oC and drying time with levels 4,5 and 6 hours. indicators tested for taste and aroma, total polyphenols and antioxidants. Melinjo peels herbal tea production process is best at a drying temperature of 65oC for 4 hours. The taste and aroma of red melinjo peels tea is preferred with values ​​of 3.60 and 3.28. Green melinjo peels tea, with a value of 3.52 and 2.88 means like it too. The total content of red melinjo peels tea polyphenols is 18.34 mg / L. and antioxidants 1.54 mg / kg. Green melinjo peels tea total polyphenols 4.87 mg / L and antioxidants 1.63 mg / kg. Red and green melinjo peels herbal tea has the potential as an alternative healty drinks.
SEVERITY SCORING PADA PASIEN KRITIS Yulianto, Susilo; Indriasari
E-Journal Widya Kesehatan dan Lingkungan Vol. 2 No. 2 (2020)
Publisher : E-Journal Widya Kesehatan dan Lingkungan

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Abstract

The scoring system used in the management of critical patients has been introduced and developed since more than 30 years. The system allows assessment of disease severity and provides a prediction of mortality in the hospital. The scoring system consists of outcome prediction scores (APACHE, SAPS, MPM) and organ dysfunction scores (SOFA, MODS). In addition, the scoring system is also divided based on data collection methods, namely: anatomical score, therapeutic weighted score, specific organs, physiological assessment, simple scale (simple), and specific diseases. APACHE, SAPS, MPM, SOFA and MODS are scores that are often used in the ICU, these scores have a certain specificity and level of discrimination, where these scores are still being developed taking into account local conditions and the use of drugs to support the cardiovascular taking into account local conditions and the use of drugs to support the cardiovascular system, . In conclusion, the Severity of Illness score is a tool designed to predict and evaluate, from various perspectives, to predict patient outcomes.Most scoring systems are the result of multivariate regression analysis applied to large databases to identify the most relevant factors in predicting mortality.

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