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Global Medical and Health Communication
Published by Universitas Islam Bandung
ISSN : 23019123     EISSN : 24605441     DOI : https://doi.org/10.29313/gmhc
Core Subject : Health, Science,
Dentistry Health Professions Immunology & microbiology Nursing Public Health
Global Medical and Health Communication is a journal that publishes research articles on medical and health published every 4 (four) months (April, August, and December). Articles are original research that needs to be disseminated and written in English. Subjects suitable for publication include but are not limited to the following fields of anesthesiology and intensive care, biochemistry, biomolecular, cardiovascular, child health, dentistry, dermatology and venerology, endocrinology, environmental health, epidemiology, geriatric, hematology, histology, histopathology, immunology, internal medicine, nursing sciences, midwifery, nutrition, nutrition and metabolism, obstetrics and gynecology, occupational health, oncology, ophthalmology, oral biology, orthopedics and traumatology, otorhinolaryngology, pharmacology, pharmacy, preventive medicine, public health, pulmonology, radiology, and reproductive health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 13 Documents
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Search results for , issue "Vol 6, No 2 (2018)" : 13 Documents clear
Difference Duration of Labor at BC-MK15 Birth Chair with Conventional Bed in Multiparous Fitriani Fitriani; Johanes Cornelius Mose; Herry Herman
Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.492 KB) | DOI: 10.29313/gmhc.v6i2.2847

Abstract

Prolonged labor increases the mortality and morbidity of mother and baby. The philosophy of childbirth is a natural process by taking the upright positions. The BC-MK15 birth chairs can facilitate the vertical position of the delivery mother. This study aims to analyze the difference of childbirth duration in the BC-MK15 birth chair with the conventional bed in multiparous. This research was an experimental study of posttest-only control group design. Experimented at Pelayanan Obstetri Neonatal Emergensi Dasar/PONED (Basic Emergency Obstetric and Neonatal Care/BEONC) Puskesmas (Public Health Center) Garuda, Puter, and Ibrahim Aji Bandung from 17 April–26 May 2017. The research samples were 30 multiparous on their first stage active phase of treatment and control group. Sampling method using a random permuted block. Birth measurements using the digital Q & Q stopwatch. The results of the duration during the active phase of first stage BC-MK15 was shorter 250.44 minutes than conventional bed 271.61 minutes (p=0.038). The second stage of the BC-MK15 birth chair was shorter 20.67±2(1.02) minutes than the conventional beds of 26.06±2(1.08) minute (p=0.001). The total duration of the labor of BC-MK15 was 269.42 minutes shorter than conventional bed 299.09 minutes (p=0.011). In conclusion, the duration of childbirth is shorter in the BC-MK15 birth chair than the conventional bed in multiparous. PERBEDAAN LAMA PERSALINAN DI KURSI PERSALINAN BC-MK15 DENGAN TEMPAT TIDUR KONVENSIONAL PADA MULTIPARAPersalinan lama meningkatkan mortalitas dan morbiditas ibu dan bayi. Upaya yang dapat dilakukan sesuai filosofi persalinan adalah proses alamiah dengan memanfatkan posisi tegak. Kursi persalinan BC-MK15 dapat memfasilitasi posisi tegak pada ibu bersalin. Penelitian ini bertujuan menganalisis perbedaan lama persalinan di kursi persalinan BC-MK15 dengan tempat tidur konvensional pada multipara. Penelitian ini merupakan studi eksperimental posttest-only control group design. Sampel penelitian multipara kala I fase aktif di Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) Garuda, Puter, dan Ibrahim Aji Kota Bandung. Penelitian dilakukan pada 17 April−26 Mei 2017 yang memenuhi kriteria inklusi berjumlah 30 sampel tiap-tiap kelompok perlakuan dan kontrol. Pengambilan sampel menggunakan random permuted block. Pengukuran lama persalinan menggunakan stopwatch digital merek Q&Q. Hasil penelitian lama persalinan kala I fase aktif kursi persalinan BC-MK15 lebih singkat 250,44 menit daripada tempat tidur konvensional 271,61 menit (p=0,038). Kala II kursi persalinan BC-MK15 lebih singkat 20,67±2(1,02) menit daripada tempat tidur konvensional 26,06±2(1,08) menit (p=0,001). Total lama persalinan kursi persalinan BC-MK15 lebih singkat 269,42 menit daripada tempat tidur konvensional 299,09 menit (p=0,011). Simpulan, lama persalinan lebih singkat pada kursi persalinan BC-MK15 daripada tempat tidur konvensional pada multipara.
High ESAT-6 Expression in Granuloma Necrosis Type of Tuberculous Lymphadenitis Wida Purbaningsih; Djatnika Setiabudi; Herri S. Sastramihardja; Ida Parwati
Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.992 KB) | DOI: 10.29313/gmhc.v6i2.3987

Abstract

A granuloma is one of host cellular immune response form to intracellular and persistent pathogens, and result in the aggregation of several activated immune cells. Intracellular pathogens manipulate host immune responses to avoid immune reactions. M. tuberculosis is the intracellular and persister pathogen, which can stimulate granuloma formation. The formation this granulomas still have different opinions, whether it is the host's way to isolate M. tuberculosis, or how these pathogens are to escape immune responses. Early secretory antigenic target (ESAT)-6 is a typical secretory protein produced by the locus of the gene region of difference (RD)-1 M. tuberculosis. ESAT-6 plays a role in the immunopathogenesis of tuberculosis. This study aims to compare ESAT-6 antigen expression from M. tuberculosis between granulomas with necrosis and granulomas without necrosis. This study was an analytic observation study with a cross-sectional design. Forty-six lymph node paraffin blocks from tuberculous lymphadenitis patients in Department of Anatomical Pathology, Dr. Hasan Sadikin General Hospital, Bandung in 2017 were made in preparations and stained by hematoxylin eosin to assess the presence of necrosis in granulomas, immunohistochemical using ESAT-6 antibodies, then it was quantified using histoscore. Histoscore for ESAT-6 not normally distributed, so it uses Mann-Whitney test used. The results showed that there were 31 granulomas with necrosis (histoscore mean=27.6%) and 15 granulomas without necrosis (histoscore mean=15.1%), there was a significant difference with p<0.05 (p=0.03). The conclusion of this study there is a high histoscore ESAT-6 expression in granuloma type of necrosis tuberculous lymphadenitis. EKPRESI ESAT-6 TINGGI PADA GRANULOMA LIMFADENITIS TUBERKULOSIS TIPE NEKROSISGranuloma merupakan salah satu bentuk respons imun seluler pejamu terhadap patogen intraseluler. Patogen intraseluler memanipulasi respons imun pejamu untuk menghindari reaksi imun. M. tuberculosis adalah patogen intraseluler dan persister yang dapat menstimulasi pembentukan granuloma. Terbentuknya granuloma masih memberikan pendapat yang berbeda, apakah merupakan cara tubuh untuk mengisolasi M. tuberculosis atau cara patogen ini untuk menghindari respons imun. Early secretory antigenic target (ESAT)-6 adalah protein sekretori khas yang dihasilkan oleh lokus gen region of difference (RD)-1 M. tuberculosis. ESAT-6 berperan dalam imunopatogenesis tuberkulosis. Penelitian ini bertujuan menganalisis perbedaan ekspresi antigen ESAT-6 M. tuberculosis antara granuloma dengan nekrosis dan granuloma tanpa nekrosis. Penelitian ini merupakan penelitian observasi analitik dengan desain cross sectional. Blok parafin kelenjar getah bening didapat dari pasien yang didiagnosis limfadenitis tuberkulosis di Departemen Patologi Anatomi, RSUP Dr. Hasan Sadikin Bandung pada tahun 2017. Blok parafin tersebut dibuat blangko preparat dan diwarnai dengan hematoksilin eosin untuk menilai nekrosis pada granuloma serta imunohistokimia menggunakan antibodi ESAT-6. Kemudian, sediaan preparat imunohistokimia tersebut dikuantifikasi menggunakan metode histoscore sehingga didapatkan data berupa nilai skor dari pewarnaan ESAT-6. Selanjutnya, dilakukan uji beda antara histoscore granuloma dengan nekrosis dan granuloma tanpa nekrosis tersebut dianalisis karena nilai skor ESAT-6 berdistribusi tidak normal sehingga menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan terdapat 31 granuloma dengan nekrosis (histoscore rerata=27,6%) dan 15 granuloma tanpa nekrosis (histoscore rerata=15,1%), serta terdapat perbedaan signifikan dengan p<0,05 (p=0,03). Simpulan, ekspresi ESAT-6 tinggi pada granuloma limfadenitis tuberkulosis dengan nekrosis.
Influence of A Clear Vision on Nurse Performance at Al Islam Hospital Bandung Caecielia Wagiono; Prathama Gilang
Global Medical & Health Communication (GMHC) Vol 6, No 2 (2018)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.984 KB) | DOI: 10.29313/gmhc.v6i2.2703

Abstract

Nurses have to work as a team to be able to perform their job effectively. One of the factors that play roles in building good teamwork is a clear vision. This study aimed to review the influence of a clear vision towards nurse performance at Al Islam Hospital Bandung in 2017. This study was a cross-sectional verification quantitative case study on a population of 212 nurses working at the inpatient unit of Al Islam Hospital Bandung. A sample of 147 nurses participated in the survey after the proportional stratified random sampling was applied based on the inpatient room and the length of the work period. Data collected by distributing questionnaires to nurses and head nurses. The statistical analysis was then performed using simple linear regression analysis. Pearson correlation coefficient formula was used to discover the correlation between two variables, followed by the determination coefficient analysis to explain the strength of the influence the X variable has on the Y variable. Results showed that a clear vision gave 56.6% influence on the quantity of nurse performance, 57.9% influence on the quality of nurse performance, and 76.5% influence on both quantity and quality of nurse performance. In conclusion, a clear vision gives a positive impact towards nurse performance both quantitatively and qualitatively. Hence, clearer vision means better nurse performance.PENGARUH VISI YANG JELAS TERHADAP KINERJA PERAWAT DI RUMAH SAKIT AL ISLAM BANDUNGPerawat harus bekerja sama dalam satu tim agar memiliki kinerja yang tinggi. Salah satu yang berperan untuk membentuk kerja sama tim yang baik adalah visi yang jelas. Penelitian ini bertujuan mengkaji pengaruh visi yang jelas terhadap kinerja perawat di Rumah Sakit Al Islam Bandung pada tahun 2017. Metode penelitian yang digunakan adalah studi kasus dengan jenis penelitian analisis kuantitatif yang menggunakan rancangan cross sectional dan verifikatif. Populasi penelitian ini adalah perawat yang bekerja di Unit Rawat Inap Rumah Sakit Al Islam Bandung sebanyak 212 orang. Sampel diambil menggunakan proportional stratified random sampling berdasar atas ruang rawat inap dan masa kerja perawat, yaitu sebanyak 147 orang. Teknik pengumpulan data dilakukan dengan membagikan kuesioner kepada perawat dan kepala perawat. Data dianalisis dengan analisis regresi linear sederhana. Untuk mengetahui korelasi kedua variabel digunakan rumus koefisien korelasi Pearson, kemudian analisis koefisien determinasi untuk menjelaskan seberapa besar perubahan nilai pada variabel Y dapat diprediksi oleh perubahan variabel X. Hasil analisis data menunjukkan bahwa visi yang jelas memberikan pengaruh sebesar 56,6% terhadap kuantitas kinerja perawat, 57,9% terhadap kualitas kinerja perawat, dan 76,5% terhadap kuantitas dan kualitas kinerja perawat. Simpulan, visi yang jelas memberikan pengaruh positif terhadap kinerja perawat baik secara kuantitas maupun kualitas, semakin tinggi atau kuat visi yang jelas maka semakin meningkat kinerja perawat.

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