cover
Contact Name
Agus Chalid
Contact Email
gulid.p@gmail.com
Phone
+6285220013654
Journal Mail Official
gmhc.unisba@gmail.com
Editorial Address
Jalan Hariangbanga No. 2, Tamansari, Bandung 40116
Location
Kota bandung,
Jawa barat
INDONESIA
Global Medical and Health Communication
ISSN : 23019123     EISSN : 24605441     DOI : https://doi.org/10.29313/gmhc
Core Subject : Health, Science,
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.
Articles 422 Documents
Differences in Expulsion on Post-placenta Intrauterine Contraceptive Device between Mother with Vaginal and Cesarean Delivery Atika Zahria Arisanti; Tono Djuwantono; Sri Endah Rahayuningsih
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.221 KB) | DOI: 10.29313/gmhc.v8i1.3688

Abstract

Intrauterine device (IUD) is a long term, highly effective, and reversible contraception method. In Indonesia, the number of IUD acceptors is still lower than other methods. An effort to improve the long term contraception is using post-placental IUD that can be a choice for postpartum mother who has limited access to another contraception service. The purpose of this study was to compare the incidence of expulsion in post-placental IUD insertion between mother with vaginal delivery and cesarean delivery. This study design was a comparative cross-sectional method with a consecutive sampling technique conducted at Dr. Hasan Sadikin General Hospital Bandung and Dr. Kariadi General Hospital Semarang from November 2017 to February 2018. Subjects were postpartum mothers who received post-placental IUD insertion at vaginal delivery and cesarean delivery. Samples were 96 women, consisting of 48 women with IUD insertion in vaginal delivery and 48 women with IUD insertion in cesarean delivery. Data obtained from interviews and transvaginal ultrasonography examination. The result showed there was a difference in expulsions incidence between IUD’s insertion among vaginal delivery compared to cesarean delivery (p=0.041). It concluded that expulsion’s to post-placental IUD insertion is higher in vaginal delivery compared to cesarean delivery. PERBEDAAN KEJADIAN EKSPULSI PADA PEMASANGAN ALAT KONTRASEPSI DALAM RAHIM PASCAPLASENTA ANTARA IBU DENGAN PERSALINAN PER VAGINAM DAN PERSALINAN SECTIO CAESAREAAlat kontrasepsi dalam rahim (AKDR) merupakan kontrasepsi jangka panjang, efektif dan reversibel. Di Indonesia, jumlah akseptor AKDR masih lebih rendah daripada metode lainnya. Salah satu upaya untuk meningkatkan penggunaan kontrasepsi jangka panjang, yaitu dengan AKDR pascaplasenta yang dapat menjadi alternatif bagi ibu pascasalin yang mempunyai akses terbatas untuk mendapatkan pelayanan kontrasepsi. Penelitian ini bertujuan membandingkan kejadian ekspulsi pada pemasangan AKDR pascaplasenta antara ibu dengan persalinan per vaginam dan persalinan sectio caesarea. Desain penelitian ini adalah cross-sectional komparatif dengan teknik pengambilan sampel consecutive yang dilaksanakan di RSUP Dr. Hasan Sadikin Bandung dan RSUP Dr. Kariadi Semarang dari bulan November 2017 hingga Februari 2018. Subjek penelitian adalah ibu pascasalin yang mendapatkan insersi AKDR pascaplasenta pada persalinan per vaginam dan persalinan sesar. Jumlah sampel 96 ibu, terdiri atas 48 ibu yang bersalin per vaginam dan 48 ibu yang bersalin sesar. Data didapatkan melalui wawancara dan pemeriksaan ultrasonografi transvaginal. Hasil penelitian menunjukkan terdapat perbedaan kejadian ekspulsi pada pemasangan AKDR antara ibu dengan persalinan per vaginam dan persalinan sectio caesarea (p=0,041). Simpulan, kejadian ekspulsi pada pemasangan AKDR pascaplasenta lebih tinggi pada ibu dengan persalinan per vaginam dibanding dengan persalinan sectio caesarea.
The Quality of Life on Asthmatic Adolescent and Its Correlation with the Severity and Control of Asthma Lisa Adhia Garina; Muhammad Ridho Grahadinta; Ferry Achmad Firdaus Mansoer; Intan Puspitasari
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1947.919 KB) | DOI: 10.29313/gmhc.v8i1.5871

Abstract

Asthma is considered a global health problem that, if not managed properly, can reduce the sufferers' quality of life. The purpose of the study was to evaluate the quality of life from the perspectives of asthma severity and the asthma control level. A cross-sectional study was conducted from February to June 2018 on asthmatic adolescents aged 12–14 years old in two public junior high schools in Bandung city, Indonesia. The diagnosis, history of asthma,  severity, and asthma control were established based on the National Asthma Guidelines from the Indonesian Pediatric Society, Global Initiative for Asthma (GINA), asthma control test (ACT), and ISAAC questionnaire. Statistical analysis performed using SPSS v.20 with Spearman's rho to determine the significance. The gender distribution of the 98 subjects was almost similar with slightly more girls (51%). The median age was 13±1 years with average ACT, FVC, and PAQLQ(S) total scores of 20±4, 78±16%, and 5.3±1.3, respectively. The domain scores for symptoms, activity limitations, and emotional function were 4.9±1.4, 5.0±1.3, and 5.7±1.1, respectively. There are correlations between the total  PAQLQ(S) score and asthma severity (p<0.001, r=−0.5) and the level of asthma control (p<0.001, r=0.6). In summary, the quality of life has a relationship with asthma severity and the level of asthma control. Asthma management should not only focus on medication but also ways to maintain a good quality of life. KUALITAS HIDUP REMAJA ASMA DAN HUBUNGANNYA DENGAN KEKERAPAN GEJALA DAN DERAJAT KENDALI ASMAAsma masih menjadi masalah kesehatan penting yang jika tidak ditangani baik, asma dapat menurunkan kualitas hidup anak. Tujuan penelitian ini menilai kualitas hidup dan hubungannya dengan kekerapan gejala dan derajat kendali asma. Penelitian cross-sectional ini dilaksanakan dari bulan Februari hingga Juni 2018 pada remaja asma berusia 12–14 tahun di dua SMPN di Kota Bandung, Indonesia. Diagnosis, riwayat asma, kekerapan gejala, dan derajat kendali asma berdasar atas Pedoman Nasional Asma Anak Ikatan Dokter Anak Indonesia, Global Initiative for Asthma (GINA), asthma control test (ACT), dan kuesioner dari ISAAC. Analisis statistik menggunakan SPSS v.20 dengan uji Spearman’s rho untuk menentukan signifikansi. Distribusi gender dari 98 subjek penelitian hampir sama dengan sedikit lebih banyak perempuan (51%). Usia rerata subjek 13±1 tahun dengan skor rerata ACT, FVC, PAQLQ(S) masing-masing 20±4, 78±16%, dan 5,3±1,3. Skor domain gejala, keterbatasan beraktivitas, dan fungsi emosi masing-masing 4,9±1,4; 5,0±1,3; dan 5,7±1,1. Terdapat hubungan skor total PAQLQ(S) dengan kekerapan gejala (p<0,001; r=−0,5) dan dengan derajat kendali asma (p<0,001; r=0,6). Simpulan, kualitas hidup berhubungan dengan kekerapan gejala dan derajat kendali asma. Pengelolaan asma sebaiknya tidak hanya memperhatikan pengobatan, tetapi juga menjaga kualitas hidup yang baik.
Effects of Pseudoephedrine Administration in Early Gestation on Female Mouse Heart Annisa Rahmah Furqaani; Listya Hanum Siswanti; Ajeng Kartika Sari
Global Medical & Health Communication (GMHC) Vol 7, No 3 (2019)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.516 KB) | DOI: 10.29313/gmhc.v7i3.5276

Abstract

The pseudoephedrine in pregnant women associated with an increased risk of hypertension and increased heart rate. These conditions force the heart to work harder and cause changes in heart structure, such as left ventricular hypertrophy due to an increase in the number and size of muscle cells. This study aims to determine pseudoephedrine administration in early pregnancy on mice hearts histological features. This study was pure in vivo with a completely randomized design conducted at Medical Biology Laboratory, Faculty of Medicine, Universitas Islam Bandung, from January to August 2017. Subjects were 18 pregnant adult female mice randomly divided into four groups. One control group and three test groups were given oral pseudoephedrine every day at 0.312 mg/24 hours (P1); 0.624 mg/24 hours (P2); and 1.248 mg/24 hours (P3) for seven days starting from the age of pregnancy on day 1. On the 18th day of gestational age, mice sacrificed, then the heart organ was processed into microscopic preparations and stained by Harris’ hematoxylin-eosin (HE) staining. Microscopic observations made using a microscope equipped with an optilab viewer with raster image 3. The results showed that the P3 group had a thicker left ventricular wall and significantly more heart muscle nuclei per mm3 than the control group (p<0.05). The results show that the administration of high doses of pseudoephedrine in early pregnancy can affect the structure of the heart. PENGARUH PEMBERIAN PSEUDOEFEDRIN PADA MASA AWAL KEBUNTINGAN TERHADAP GAMBARAN HISTOLOGI JANTUNG MENCIT BETINAAktivitas vasokontriksi pseudoefedrin pada ibu hamil diduga kuat berkaitan dengan peningkatan risiko hipertensi dan denyut jantung. Kondisi tersebut memaksa jantung bekerja lebih berat dan dapat menyebabkan perubahan struktur jantung seperti hipertrofi ventrikel kiri akibat peningkatan jumlah dan ukuran sel-sel otot. Tujuan penelitian ini mengetahui pengaruh pemberian pseudoefedrin pada masa awal kebuntingan terhadap gambaran histologi jantung mencit betina. Penelitian ini merupakan eksperimental laboratorium murni in vivo menggunakan rancangan acak lengkap yang dilaksanakan di Laboratorium Biologi Medik, Fakultas Kedokteran, Universitas Islam Bandung dari bulan Januari hingga Agustus 2017. Subjek penelitian adalah 18 mencit betina dewasa bunting yang dibagi secara acak menjadi empat kelompok. Satu kelompok kontrol dan tiga kelompok uji yang diberi pseudoefedrin oral setiap hari dengan dosis 0,312 mg/24 jam (P1); 0,624 mg/24 jam (P2); dan 1,248 mg/24 jam (P3) selama 7 hari dimulai dari umur kebuntingan hari ke-1. Pada hari ke-18 umur kebuntingan, mencit dikorbankan kemudian organ jantung diproses menjadi sediaan mikroskopis dan dilakukan pewarnaan Harris’ hematoxylin-eosin (HE). Pengamatan sediaan mikroskopik dilakukan dengan menggunakan mikroskop yang dilengkapi dengan optilab viewer dengan image raster 3. Hasil penelitian menunjukkan kelompok P3 memiliki dinding ventrikel kiri yang lebih tebal dan jumlah nuklei otot jantung yang lebih banyak per mm3 secara signifikan dibanding dengan kelompok kontrol (p<0,05). Hasil menunjukkan bahwa pemberian pseudoefedrin dosis tinggi pada masa awal kehamilan dapat memengaruhi struktur jantung.
Eel Cookies Supplement and Incidence of Diarrhea in Children Aged 12–24 Months Nur Eva Aristina; Dedi Rachmadi; Dewi Marhaeni Diah Herawati; Hadi Susiarno; Dida Akhmad Gurnida; Deni Kurniadi Sunjaya
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3674.221 KB) | DOI: 10.29313/gmhc.v8i1.3885

Abstract

Diarrhea is one of the main causes of death in infants and toddlers in Indonesia. The Indonesian eel is a source of animal protein that contains high nutrients, including vitamin A and zinc, so it can be used to boost immunity. The objective of this study was to analyze the effect of eel cookies on the incidence of diarrhea in children. This was a double-blind randomized control trial (RCT) post-test study on 44 children aged 12–24 months at Garuda Public Health Center, Bandung city, who were selected using the simple random sampling method. The study was conducted for 2 months from January to February 2017. Data were analyzed using the Wilcoxon test. Results showed that there was an effect of eel cookies in reducing diarrhea incidence in toddlers (p<0.001), with no diarrhea condition seen among the toddlers among 18 children who had a history of diarrhea in the past and among 20 other children with no history of past diarrhea. In conclusion, eel cookies can reduce the incidence of diarrhea in children aged 12–24 months. Hence, it can be used as a functional food to improve child immunity as one of the efforts to prevent infectious diseases, especially diarrhea. SUPLEMENTASI COOKIES IKAN SIDAT TERHADAP KEJADIAN DIARE PADA BALITA USIA 12–24 BULANPenyakit diare merupakan salah satu penyebab kematian utama pada bayi dan balita di Indonesia. Ikan sidat merupakan salah satu sumber protein hewani yang banyak mengandung vitamin A dan seng sehingga dapat meningkatkan kekebalan tubuh. Tujuan penelitian ini adalah menganalisis pengaruh pemberian cookies ikan sidat terhadap kejadian diare pada balita. Desain penelitian dengan randomized controll trial (RCT) posttest group design dengan double blind. Subjek penelitian adalah balita usia 12–24 bulan di Puskesmas Garuda Kota Bandung sebanyak 44 responden. Penelitian dilakukan selama 2 bulan mulai Januari–Februari 2017. Pengambilan sampel dilakukan secara acak sederhana. Analisis data menggunakan Uji Wilcoxon. Hasil penelitian menunjukkan pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita (p<0,001), yaitu tidak ada perubahan kondisi balita dari tidak diare menjadi diare, dan terdapat 18 balita yang pernah memiliki riwayat penyakit diare mengalami perubahan setelah diberikan perlakuan sehingga tidak mengalami diare, sedangkan 20 orang di antara yang tidak memiliki riwayat penyakit diare setelah mendapatkan perlakuan tetap tidak mengalami diare. Simpulan, terdapat pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita usia 12–24 bulan. Oleh karena itu, cookies ikan sidat dapat digunakan sebagai makanan fungsional untuk meningkatkan imunitas anak sebagai upaya pencegahan terhadap penyakit infeksi terutama diare.
The Effect of Health Education with Flashcard Media on Improvement of Knowledge and Reduction of Anxiety Degree in Adolescents Primigravida Dwie Yunita Baska; Tita Husnitawati Madjid; Ponpon S. Idjradinata
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.458 KB) | DOI: 10.29313/gmhc.v8i1.5192

Abstract

The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9.2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately. PENGARUH EDUKASI KESEHATAN DENGAN MEDIA FLASHCARD TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN DERAJAT KECEMASAN PADA PRIMIGRAVIDA REMAJAThe education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9,2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately.
Combination of Gabapentin and Vitamin B12 Compared with Gabapentin Monotherapy on Pain Improvement of Diabetic Neuropathy Patients Mochamad Firdaus Bhuanaputra; Alya Tursina; Yuktiana Kharisma
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.741 KB) | DOI: 10.29313/gmhc.v8i1.3676

Abstract

Diabetic neuropathy is the most common microvascular complication of diabetes mellitus (DM) occurring in 60–70% of the world's DM population, 40% of the DM population in Asia, and 41% of the DM population in Indonesia. The primary treatment of diabetic neuropathy pain in Indonesia is gabapentin and vitamin B12. The study aimed to compare pain improvements in diabetic neuropathy patients. The drug used was a combination of gabapentin and vitamin B12 and gabapentin monotherapy. For the pain degree measurement, we used the visual analogue scale (VAS). This experimental study was a pretest-posttest randomized control trial using a single-blind method at Dr. M. Salamun Air Force Hospital Bandung from March to May 2017. Samples were 44, type two diabetic neuropathy patients. The Mann-Whitney test to compare pain improvement between 2 groups applied. The results indicated there were differences in pain improvement between diabetic neuropathy patients with gabapentin and vitamin B12 combination compare to gabapentin monotherapy (p=0.002). This result showed a synergistic effect of gabapentin as an inhibitor of neurotransmitter and vitamin B12 expenditure as an improvement in peripheral nerve cells. This study concluded that gabapentin and vitamin B12 combination is better in improving pain in diabetic neuropathy patients compared to gabapentin monotherapy. KOMBINASI GABAPENTIN DAN VITAMIN B12 DIBANDING DENGAN MONOTERAPI GABAPENTIN TERHADAP PERBAIKAN NYERI PASIEN NEUROPATI DIABETIKNeuropati diabetik merupakan komplikasi mikrovaskular terbanyak diabetes melitus (DM) yang terjadi pada 60–70% populasi DM di dunia, 40% populasi DM di Asia, dan 41% populasi DM di Indonesia. Pengobatan utama nyeri neuropati diabetik di Indonesia adalah gabapentin dan vitamin B12. Tujuan penelitian ini membandingkan perbaikan rasa nyeri pada pasien neuropati diabetik. Obat yang diberikan adalah kombinasi gabapentin dan vitamin B12 serta monoterapi gabapentin. Pengukuran tingkat nyeri menggunakan visual analogue scale (VAS). Penelitian eksperimental ini adalah pretest-posttest randomized control trial dengan menggunakan metode single-blind yang dilakukan di RSAU Dr. M. Salamun Bandung dari bulan Maret hingga Mei 2017. Sampel berjumlah 44 jenis, dua pasien neuropati diabetik. Sampel berjumlah 44, pasien neuropati diabetik tipe dua. Uji Mann-Whitney dilakukan untuk membandingkan perbaikan nyeri antara 2 kelompok perlakuan. Hasil penelitian menunjukkan terdapat perbedaan perbaikan rasa nyeri pasien neuropati diabetik yang diberi pengobatan kombinasi gabapentin dan vitamin B12 dibanding dengan monoterapi gabapentin (p=0,002). Hasil ini menunjukkan efek sinergis gabapentin sebagai inhibitor neurotransmiter dan vitamin B12 yang berfungsi memperbaiki sel saraf tepi. Simpulan penelitian ini adalah pengobatan kombinasi gabapentin dan vitamin B12 lebih baik dalam memperbaiki rasa nyeri pada pasien neuropati diabetik dibanding dengan gabapentin saja.
Implementation of Importance-Performance Analysis (IPA) for Improving Medical Students’ Quality of Service in Teaching Hospital Siska Nia Irasanti; Ieva Baniasih Akbar; Yani Dewi Suryani
Global Medical & Health Communication (GMHC) Vol 8, No 1 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.865 KB) | DOI: 10.29313/gmhc.v8i1.5863

Abstract

One of the most relevant elements for improving the quality of an organization is the recognition of customer satisfaction and perceived quality of services. During their clerkship, medical students are required to work with different medical specializations in rotation and treat patients under the supervision of the attending physicians. The purpose of the study is to explore the medical students' quality of service using the importance-performance analysis (IPA) diagram that focused on the conformance level (CLi) between the actual service performance score and patient expectation score. This was a cross-sectional study involving 160 patients and patient caregivers at the Department of Pediatric of West Java Provincial Al-Ihsan Regional General Hospital Bandung, who was a purposive sampling method to participate in the study during January 2018. Results showed that the total CLi was less than 100%. The CLi scores for responsiveness, empathy, assurance, and reliability components were 84.57%, 84%, 83.56%, and 83.45%, respectively. It can be concluded that the services provided were good, but have not yet been able to meet the expectation of the patients. Overall, the IPA is useful to identify areas for strategic focus in improving the quality of services provided by medical students to help the hospital managers and faculty of medicine develop education management strategies. PENERAPAN IMPORTANCE-PERFORMANCE ANALYSIS (IPA) UNTUK MENINGKATKAN KUALITAS PELAYANAN MAHASISWA SELAMA KEPANITERAAN DI RUMAH SAKIT PENDIDIKANSalah satu elemen yang paling relevan untuk meningkatkan kualitas organisasi adalah mengetahui kepuasan dan kualitas layanan yang dirasakan oleh konsumen. Selama kepaniteraan, mahasiswa kedokteran diwajibkan untuk berotasi melalui berbagai spesialisasi medis dan merawat pasien di bawah pengawasan dokter. Tujuan penelitian ini mengetahui kualitas pelayanan mahasiwa kedokteran dengan menggunakan diagram importance-performance analysis (IPA) yang berfokus pada tingkat kesesuaian (Tki) antara skor kinerja layanan aktual dan skor harapan pasien. Penelitian ini merupakan penelitian cross-sectional yang melibatkan 160 pasien dan penunggu pasien di Departemen Ilmu Kesehatan Anak di RSUD Al-Ihsan Provinsi Jawa Barat Bandung dengan metode purposive sampling selama bulan Januari 2018. Hasil penelitian menunjukkan bahwa total Tki kurang dari 100%. Skor Tki untuk komponen respons, empati, assurance, dan reliabilitas masing-masing adalah 84,57%, 84%, 83,56%, dan 83,45%. Dapat disimpulkan bahwa faktor layanan yang diberikan baik, tetapi belum memenuhi harapan pasien. Meskipun demikian, IPA berguna untuk mengidentifikasi area untuk fokus strategis dalam meningkatkan kualitas layanan yang diberikan mahasiswa kedokteran untuk membantu manajer rumah sakit dan fakultas kedokteran mengembangkan strategi manajemen pendidikan.
Lavender Flower/Mandarin Orange Peel Essential Oil-Soybean Oil to Repel Culex sp. Susy Tjahjani; Hanan Aulalia; Genevieve Annishaningrat Zailani
Global Medical & Health Communication (GMHC) Vol 8, No 3 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.195 KB) | DOI: 10.29313/gmhc.v8i3.5799

Abstract

Diseases including Japanese encephalitis and filariasis can be transmitted to humans by Culex sp. Many methods could be applied to prevent their bites from reducing their population or preventing them from their bites. N, N-diethyl-meta-toluamide (DEET) has been widely used as an effective synthetic repellent, but DEET needs to be applied carefully, especially for children. Other repellents based on natural origin, i.e., Lavandula angustifolia D.C. (lavender) flower and Citrus reticulate L. (mandarin orange) peel essential oil and their combination with soybean oil, were studied in Parasitology Laboratory, Faculty of Medicine, Universitas Kristen Maranatha, Bandung on July–August 2018, for their repellent duration against female Culex sp. to find out the optimal formula. It is a simple randomized design with four replications and seven treatments, i.e., negative control, DEET, pure essential oil, pure soybean oil, three kinds of combination of essential oil and soybean oil in various ratios. The study was carried out using the arm in the cage method against four human arms, following Fradin and Day. The data were analyzed using ANOVA, continued with Tukey HSD with α=0.05. The result shows that DEET has the longest duration (p=0.000), the combination of each essential oil with soybean oil in 1:2 ratio had longer duration than the pure essential oil (p=0.000), soybean oil (p=0.000), and other combination ratios (p=0.000). It was concluded that a mixture of L. angustifolia D.C. flower/C. reticulata L. peel essential oil with soybean oil in a certain ratio was the ideal preparation to repel Culex sp. CAMPURAN MINYAK ATSIRI BUNGA LAVENDER/KULIT JERUK MANDARIN-MINYAK KEDELAI UNTUK MENOLAK CULEX SP.Beberapa penyakit termasuk Japanese encephalitis dan filariasis dapat ditransmisikan ke manusia melalui gigitan nyamuk Culex sp. Banyak cara dapat dilakukan untuk mencegah gigitan nyamuk ini, baik dengan mengurangi populasinya atau mencegah gigitannya. N, N-diethyl-meta-toluamide (DEET) telah digunakan secara luas sebagai repellent sintetik yang efektif, tetapi pemakaian DEET harus dilakukan dengan hati-hati khususnya pada anak. Repellent lain yang berasal dari alam, yaitu minyak esensial bunga Lavandula angustifolia D.C. (lavender) dan kulit buah Citrus reticulate L., serta campurannya dengan minyak kedelai telah diuji durasi proteksi terhadap Culex sp. betina sehingga diperoleh formula repellent yang optimal. Penelitian dilaksanakan di Laboratorium Parasitologi, Fakultas Kedokteran, Universitas Kristen Maranatha, Bandung pada Juli–Agustus 2018 dan menggunakan desain simple randomized dengan empat replikasi dan tujuh perlakuan, yaitu kontrol negatif, DEET, minyak esensial murni, minyak kedelai murni, dan tiga macam rasio campuran minyak esensial dengan minyak kedelai. Pengujian menggunakan metode lengan dalam kandang menurut Fradin dan Day dengan empat lengan sebagai empat replikasi. Analisis data menggunakan ANOVA, dilanjutkan Tukey HSD dengan α=0,05. Hasil penelitian menunjukkan bahwa DEET memiliki durasi proteksi paling lama (p=0,000), durasi proteksi kombinasi minyak esensial dengan minyak kedelai rasio 1:2 lebih panjang dibanding dengan minyak esensial murni (p=0.000), minyak kedelai (p=0.000), dan rasio kombinasi lainnya (p=0.000). Simpulan, rasio tertentu campuran minyak esensial bunga L. angustifolia D.C./kulit buah C. reticulata L. dengan minyak kedelai merupakan sediaan ideal untuk menolak Culex sp.
The Source of Stress of Students During Pandemic COVID-19: a Qualitative Study Susan Fitriyana; Titik Respati; Dewi Sartika
Global Medical & Health Communication (GMHC) Vol 9, No 1 (2021)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.472 KB) | DOI: 10.29313/gmhc.v9i1.6938

Abstract

The COVID-19 pandemic can lead to students' mental health problems, such as anxiety, depression, and stress. The government's policy for study from home exacerbates mental health problems. This study aimed to determine the source of student stress during the study from home during the COVID-19 pandemic. The study design used qualitative research. The sampling technique uses consecutive sampling. This research involved 36 students from the faculty of psychology and the faculty of medicine in Bandung city who underwent study from home (SFH). Data were collected by interviewing participants in May 2020. This study's results are the dominant thing that participants feel during the study from home is boredom, relaxed, and complicated; the things they missed during learning at home were friends, playing, and chatting; and they feel fear, sadness, and anxiety when heard the news about COVID-19. This study concludes that the source of student stress was being far from friends, limited communication and face-to-face contact with friends and lecturers, and did not get direct attention from friends or lecturers. SUMBER STRES MAHASISWA SELAMA MASA PANDEMIK COVID-19: PENELITIAN KUALITATIFPandemik COVID-19 dapat mengakibatkan masalah kesehatan mental untuk mahasiswa seperti kecemasan, depresi, dan stress. Kebijakan pemerintah untuk melakukan pendidikan jarak jauh (PJJ) telah memperburuk masalah kesehatan mental. Tujuan dari penelitian ini adalah untuk menentukan sumber stres mahasiswa selama menjalani PJJ di masa pandemik COVID-19. Desain penelitian ini adalah penelitian kualitatif. Metode pengambilan sampel adalah consecutive sampling dengan melibatkan 36 mahasiswa dari fakultas psikologi dan fakultas kedokteran di Kota Bandung yang menjalani PJJ. Data diambil dengan melakukan wawancara kepada partisipan pada bulan Mei 2020. Hasil dari penelitian ini adalah perasaan dominan yang dirasakan partisipan selama PJJ adalah bosan, santai dan tidak praktis; hal yang dirindukan selama masa kuliah di rumah adalah teman, bermain dan mengobrol; dan hal yang terlintas ketika mendengar berita tentang COVID-19 adalah takut, sedih dan cemas. Kesimpulan dari penelitian ini adalah sumber stres mahasiswa adalah merasa jauh dengan teman, komunikasi dan kontak tatap muka dengan teman dan dosen yang terbatas serta tidak mendapatkan perhatian langsung dari teman dan dosen.
Factors Affecting Surgical Waiting Time in Cancer Patients at Referral Hospitals of West Java Province Yuli Susanti; Siska Nia Irasanti; Ieva Baniasih Akbar; Wawang S. Sukarya
Global Medical & Health Communication (GMHC) Vol 8, No 2 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.01 KB) | DOI: 10.29313/gmhc.v8i2.6201

Abstract

A challenge for hospitals in facing the high number of patient visits is to provide quality services. One of the vital services in dealing with patients, especially those who will have cancer surgery considering the high rate of mortality cancer, is an improvement in waiting time (WT). Waiting time for elective surgery is one indicator of service quality with a standard of ≤2 days. This research aimed to determine the average WT for surgery, influencing factors, and optimal queuing models. The method used was quantitative and qualitative methods applied to 207 samples with consecutive sampling at West Java Provincial Al-Ihsan Regional General Hospital Bandung from October to December 2016. The analysis used partial least squares (PLS). The results of the study showed that the average WT for surgery was 32 days. Factors that influence WT were inpatient rooms, number of medical personnel, condition of patients, and health insurance. The optimal queue model to reduce surgical waiting time are adding inpatient beds, oncologist doctor, and creating an online system for registration and confirmation of inpatient rooms and operating. FAKTOR YANG MEMENGARUHI WAKTU TUNGGU OPERASI PASIEN KANKER DI RUMAH SAKIT RUJUKAN JAWA BARATTantangan bagi rumah sakit dalam menghadapi jumlah kunjungan pasien yang tinggi adalah mampu memberikan pelayanan berkualitas. Salah satu pelayanan signifikan bagi pasien kanker yang akan menjalani operasi adalah perbaikan waktu tunggu karena mortalitas pasien kanker yang tinggi. Waktu tunggu operasi elektif merupakan salah satu indikator mutu pelayanan dengan standar ≤2 hari. Penelitian bertujuan mengetahui waktu tunggu operasi rerata, faktor yang memengaruhi, dan model antrean yang optimal. Metode yang digunakan adalah kuantitatif dan kualitatif yang diterapkan pada 207 sampel secara consecutive sampling di RSUD Al-Ihsan Provinsi Jawa Barat Bandung dari Oktober hingga Desember 2016. Analisis menggunakan partial least squares (PLS). Hasil penelitian menunjukkan bahwa waktu tunggu operasi rerata adalah 32 hari. Faktor yang berpengaruh terhadap waktu tunggu operasi adalah ruang rawat inap, jumlah tenaga medis, kondisi pasien, dan jaminan kesehatan. Model antrean yang optimal untuk menurunkan waktu tunggu operasi adalah penambahan tempat tidur rawat inap, penambahan dokter spesialis bedah onkologi, serta pembuatan sistem daring untuk pendaftaran dan konfirmasi kesiapan ruang rawat inap dan ruang operasi.