Jurnal Kesehatan

THE POTENTIAL OF SECANG WOOD DECOCTION AS AN ODOR CONTROL FOR DIABETIC FOOT ULCER

2024-12-27T07:21:58+00:00

Diabetic foot ulcers are a serious complication that can significantly affect the quality of life for individuals with diabetes. One common issue associated with diabetic foot ulcers is the presence of unpleasant odors. This study aims to investigate the potential of secang wood decoction as an effective odor control for diabetic foot ulcers. This research follows an experimental design with pre-test post-test control group. The study sample consists of 32 patients with diabetic foot ulcers, randomly assigned to two groups. The treatment group received wound cleansing with secang wood decoction, while the control group was washed with a 0.9% NaCl solution. The results indicated a significant reduction in odor intensity both treatment and control group. This research concludes that secang wood decoction demonstrated potential effectiveness in controlling odors associated with diabetic foot ulcers. These findings suggest that secang wood decoction holds promise as a natural and accessible method for managing odor in diabetic foot ulcers. Further research is needed to explore its long-term effects and potential side effects. Additionally, studies with larger sample sizes and diverse populations would provide more comprehensive insights into the effectiveness and safety of secang wood decoction as an odor control measure for diabetic foot ulcers.

THE APPLICATION OF LEAN HOSPITAL IN ANALYZING THE WAITING TIME OF INPATIENT PATIENTS AT THE EMERGENCY ROOM OF UNHAS HOSPITAL

2024-12-27T06:16:04+00:00

The purpose of this study was to examine the variables that affect the length of waiting time for inpatients in the UNHAS Hospital Makassar emergency room when using the Lean Hospital strategy.

This study employed a qualitative methodology that included in-depth interviews with 36 patients and emergency room staff in addition to real-time observation. Descriptive interpretation of the data was carried out, along with value stream mapping to illustrate waiting times and fishbone problem analysis

According to the findings, patients at emergency rooms had to wait six hours and six minutes. During patient surveillance, non-value-adding activities predominate, with the main ones being waiting time waste, human talent, flaws, overprocessing, motion, overproducing, and transportation. The resources analysis reveals that more personnel, specifically admissions and registration officials, are required.

ACE2 EXPRESSION OF HYPERTENSIVE RAT LUNGS GIVEN ACE-I, CCB, AND SWITCHING ACEI TO CCB

2025-01-02T01:41:07+00:00

Latar belakang : Hipertensi merupakan komorbid terbanyak pada COVID-19 dan ACE2 sebagai reseptor yang akan berikatan dengan virus SARS-COV-2, juga berperan dalam regulasi tekanan darah. Penggunaan obat antihipertensi seperti ACE-I atau CCB dapat mempengaruhi ekspresi ACE2. Penggunaan ACE-I selama pandemi menuai pro dan kontra yang memunculkan saran penggantian golongan obat antihipertensi seperti CCB. Tujuan : Mengetahui ekspresi ACE2 jaringan paru tikus setelah induksi hipertensi dan dilanjutkan dengan pemberian ACE-I (kaptopril) atau CCB (amlodipine), dan switching ACE-I menjadi CCB. Metode : Post control group design menggunakan 30 sampel tikus Sprague dawley yang dibagi menjadi 5 kelompok yaitu non-hipertensi, hipertensi, hipertensi + ACE-I, hipertensi + CCB, dan hipertensi + ACE-I switching CCB. Induksi hipertensi menggunakan L-NAME selama 6 minggu dan pengukuran tekanan darah menggunakan metode non-invasif. Pemberian obat antihipertensi diberikan selama 1 minggu. Ekspresi ACE2 diukur menggunakan ELISA kit Elabscience®. Hasil : Ekspresi ACE2 pada kelompok non hipertensi vs hipertensi tidak ditemukan perbedaan bermakna. Ekspresi ACE2 pada kelompok hipertensi dengan pengobatan ACE-I vs CCB ditemukan lebih tinggi pada kelompok CCB (p = 0.042). Ekspresi ACE2 pada kelompok hipertensi dengan pengobatan lebih tinggi dibanding kelompok hipertensi tanpa pengobatan (p = 0.001). Diskusi : Ekspresi ACE2 lebih tinggi pada kelompok dengan pengobatan ACE-I dengan cara menghambat efek Angiotensin II, sehingga kadar ACE2 meningkat sebagai mekanisme kompensasi. Sedangkan CCB akan meningkatkan kadar Angiotensin I dan menurunkan rasio Angiotensin (1-7)/ Angiotensin I dan menurunkan rasio ACE2/ACE Kesimpulan : Ekspresi ACE2 meningkat pada jaringan paru hipertensi dengan pengobatan ACE-I, CCB, dan switching ACE-I menjadi CCB.

STATUS KEBERSIHAN RONGGA MULUT DAN KEBUTUHAN PERAWATAN JARINGAN PERIODONTAL PADA LANSIA DI DAERAH PESISIR PUGER, KABUPATEN JEMBER

2025-01-02T01:38:18+00:00

Background: Periodontal disease is a dental and oral health problem that is often experienced by the elderly. Aging affects the ability of the elderly to carry out their daily activities, including cleaning the oral cavity. Increased accumulation of calculus due to poor oral hygiene can lead to the incidence of periodontal disease which affects the quality of life of the elderly. Purpose: to examine the status of oral hygiene and the need for periodontal tissue care in the elderly in the Pesisir Puger and Payangan area, Jember Regency. Methods: Descriptive observational with a cross-sectional approach. Subjects were selected as many as 192 elderly by purposive sampling technique. Data were obtained by taking questionnaires and clinical examinations in the form of OHI-S and CPITN. Results: the majority of elderly in the Pesisir Puger area of Jember district have a poor oral hygiene status of 96.88% and , the condition of the periodontal tissue has a 4-5 mm periodontal pocket of 66.67% and the need for periodontal tissue treatment is in the form of oral hygiene instructions and SRP procedures of 96.88%. Conclusion: Majority of the elderly in Pesisir Puger and Payangan have poor oral hygiene and require periodontal tissue treatment in the form of oral hygiene instructions and scaling and root planing procedures

COMPLEMENTARY THERAPY TO REDUCE CHEST PAIN AND ANXIETY IN CORONARY HEARTH DISEASE

2025-01-02T01:40:00+00:00

Introduction: Coronary heart disease is a health problem that can attack the physical and psychological condition of the patient. Chest pain and anxiety are complaints that are often felt by patients with coronary heart disease. This study aims to review various complementary therapies that can be used to reduce complaints of chest pain and anxiety of coronary heart disease. Methods: a literature review was conducted through four databases (Science direct, Pubmed, ProQuest and Google Scholar) in english languange and limited published in the last five years. The keywords used are complementary, anxiety, chest pain, coronary heart disease, ischemia using boolean AND and OR. This Review analysis using the prisma guideline. Results: The results of the study obtained 15 articles of complementary therapy to reduce complaints of chest pain and anxiety of coronary heart disease patients. Conclusion: Complementary therapies to reduce chest pain complaints in patients with coronary heart disease are left sole massage, foot reflexology, Benson relaxation, and dhikr therapy. Complementary therapies to reduce anxiety in patients with coronary heart disease are using aromatherapy, instrumental music, holly Quran, acupressure, hand reflexology, foot reflexology, Benson relaxation, prayer therapy, and dhikr.

OPPORTUNITIES OF USE OF ACUPUNCTURE LASER THERAPY AS ADJUVANT TO THE FORMATION OF ANTIBODY SINOVAC VACCINE POST-VACCINATION PATIENTS

2025-01-02T01:41:23+00:00

Vaccination is often really needed by the community, especially in pandemic conditions, namely when the formation of antibodies is needed quickly, so that the vaccine's permit is considered an emergency decision. The formation of vaccine antibodies also depends on adjuvants, namely substances added to strengthen the formation of antibodies. The most commonly used adjuvants are aluminum salts, but they are not always optimal. The adjuvant view of vaccines can shift to a holistic meaning that is bioenergetic and homeostatic. For this purpose, the vaccine can be optimized with a 650nm bioenergetic laser administered at acupuncture points, becoming a vaccine adjuvant. The purpose of this study was to provide an overview of the benefits of laser acupuncture as a vaccine adjuvant, namely to increase antibodies and administer vaccines. This research wants to prove the increase in Sinovac vaccine RBD antibody titer, which at the beginning. This research method is a two-group, two-posttest only design (observational) with a control group and purposive sampling in collaboration with Lakespra and laboratory approval, starting in early February 2022 and ending in March 2022. Subjects who met the inclusion and exclusion criteria were given vaccine administration according to their group, and then blood specimens were taken for RBD antibody testing. The data was evaluated to see the increase in antibodies after the first and second vaccines compared to the control group of the prediction was in doubt about the formation of antibodies.