Global Medical & Health Communication (GMHC)最新文献

{"title":"Cogongrass (Imperata cylindrical L.) Roots Ethanol Extract to Improve Hematological Profile in Carbon Tetrachloride-Injection Mice Model","authors":"A. Dahlan, Fitria Hariati Ramdhani, N. Anggraeni, I. Puspitasari, M. Putri, M. Syamsunarno","doi":"10.29313/gmhc.v8i3.6605","DOIUrl":"https://doi.org/10.29313/gmhc.v8i3.6605","url":null,"abstract":"Carbon tetrachloride (CCL4) is widely used in industry, toxic to the environment and humans, and most often used as a model of acute liver damage and liver fibrosis in experimental animals. Liver damage can deteriorate the hematological profile. The roots of cogongrass (Imperata cylindrica L.) have been used as traditional medicine due to its antioxidant activity. This study was conducted at the Faculty of Medicine, Universitas Padjadjaran, from January to March 2019. The study aimed to investigate whether the cogongrass roots ethanol extract (CGRE) can ameliorate the disturbance in the hematological profile in acute CCl4-injected mice. CGRE in dose 150 and 200 mg/kgBW was given orally to mice for four weeks before intraperitoneal injection of CCl4 1 mL/kgBW in olive oil (1:1 v/v). After 48 hours, mice were sacrificed, and the whole blood was drawn for hematological analysis. As a result, mean corpuscular volume (MCV) was reduced in CCl4-induction mice treated with CGRE in dose 150 mg/kgBW (49.25±3.06 vs 43.38±2.13 fl, p<0.05). This condition was followed by the improved hematocrit (Hct) and mean corpuscular hemoglobin concentration (MCHC). Platelet and platelet crit (Pct) levels were tended to decrease in CCl4-induction mice treated with CGRE in dose 150 mg/kgBW. In conclusion, CGRE dose 150 mg/kg BW can improve MCV, Hct, MCHC, platelet, and Pct in CCl4-injection mice. The antioxidant level in CGRE might facilitate it. EKSTRAK ETANOL AKAR ALANG-ALANG (IMPERATA CYLINDRICAL L.) MEMPERBAIKI PROFIL HEMATOLOGI PADA MENCIT YANG DIINJEKSI CARBON TETRACHLORIDECarbon tetrachloride (CCL4) banyak digunakan pada industri, bersifat toksik bagi lingkungan dan manusia, serta sering digunakan pada hewan coba untuk kerusakan liver akut dan fibrosis. Kerusakan liver dapat menyebabkan gangguan profil hematologi. Akar alang-alang (Imperata cylindrica L.) telah digunakan sebagai obat tradisional karena memiliki aktivitas antioksidan. Penelitian ini dilakukan di Fakultas Kedokteran Universitas Padjadjaran pada bulan Januari hingga Maret 2019. Tujuan penelitian ini adalah meneliti apakah ekstrak etanol akar alang-alang dapat memperbaiki gangguan profil hematologi pada mencit yang diinjeksi CCL4 secara akut. Ekstrak etanol akar alang-alang (EEAA) dosis 150 dan 200 mm/kgBB diberikan per oral kepada mencit selama empat minggu sebelum injeksi intraperitoneal CCl4 1 mL/kgBB yang dilarutkan dalam minyak zaitun (1:1 v/v). Setelah 48 jam, mencit dikorbankan dan diambil darahnya untuk pemeriksaan hematologi. Sebagai hasil, mean corpuscular volume (MCV) menurun pada mencit yang diinduksi CCl4 dengan perlakuan EEAA 150 mg/kgBB (49,25±3,06vs 43,38±2,13 fl, p<0,05). Keadaan ini diikuti dengan perbaikan hematokrit (Hct) dan mean corpuscular hemoglobin concentration (MCHC). Kadar platelet dan platelet crit (Pct) cenderung menurun pada mencit yang diinduksi CCl4 dengan perlakuan EEAA 150 mg/kgBB. Sebagai simpulan, EEAA dosis 150 mg/kgBB dapat memperbaiki MCV, Hct, MCHC, platelet, dan","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123833800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge Level towards Cervical Cancer Among Students of Baabul Kamil Vocational High School","authors":"W. Nurdiawan, Chrestella Odillia, Monica Risnadena Priyas, Yosefa Resti Radinda, Nabila Ahmad, Nurhadi Ningsih, Qhonita Anif Febian, A. Rezano","doi":"10.29313/gmhc.v8i3.6275","DOIUrl":"https://doi.org/10.29313/gmhc.v8i3.6275","url":null,"abstract":"Cervical cancer is one of the most common causes of cancer-related death in women worldwide that is mostly preventable and treatable. Knowledge and awareness of cervical cancer screening programs allow the implementation of the prevention of cervical cancer. The community service program is aimed to increase the knowledge of adolescents about cervical cancer and its screening. It was a one-group pretest-posttest quasi-experimental study to measure the level of knowledge of 45 female students of Baabul Kamil Vocational High School, Jatinangor, Sumedang. The study was conducted in May–June 2018. The participants were asked 15 questions, which was an adaptation of previous questionnaires. The program was managed by a mini-lecture that focuses on cervical cancer risk factors and early detection. Furthermore, pretest and posttest were conducted to analyze the level of knowledge on the aforementioned aspects before and after the dissemination descriptively. The participants included in this study were mostly 16 years old (67%). The average recognition of cervical cancer and its early detection was not high. The knowledge of cervical cancer among students of Baabul Kamil Vocational High School was found to be moderate. There is a significant improvement in knowledge level after dissemination. The efficacy of dissemination among female students at Baabul Kamil Vocational High School was apparent in knowledge change. However, good cancer awareness, especially cervical cancer, needs to be established and integrated through effective cancer educational programs in the school curriculum. Key intervention strategies are required to raise cancer awareness in support of taking precautions and early detection measures. TINGKAT PENGETAHUAN SISWI SMK BAABUL KAMIL TENTANG KANKER SERVIKSKanker serviks merupakan salah satu penyebab paling umum kematian terkait kanker pada wanita di seluruh dunia yang sebagian besar dapat dicegah dan diobati. Pengetahuan dan kesadaran tentang program deteksi dini kanker serviks merupakan upaya pencegahan kanker serviks. Program pengabdian pada masyakat ini bertujuan meningkatkan pengetahuan remaja mengenai kanker serviks dan deteksi dininya. Penelitian ini merupakan penelitian one-group pretest-posttest quasi-experimental untuk mengukur tingkat pengetahuan 45 siswi SMK Baabul Kamil, Jatinangor, Sumedang. Penelitian ini dilaksanakan pada bulan Mei–Juni 2018. Responden diberikan 15 pertanyaan yang merupakan adaptasi dari kuesioner sebelumnya. Program ini dilakukan melalui penyuluhan tentang faktor risiko kanker serviks dan deteksi dininya. Selanjutnya, dilakukan pretest dan posttest untuk menganalisis tingkat pengetahuan aspek-aspek tersebut sebelum dan sesudah penyuluhan secara deskriptif. Responden yang terlibat dalam penelitian ini sebagian besar berusia 16 tahun (67%). Identifikasi pengetahuan tentang kanker serviks dan deteksi dininya rata-rata tidak tinggi. Pengetahuan tentang kanker serviks di kalangan siswa SMKBaabul Kamil tergo","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125977897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cogongrass (Imperata cylindrica L.) Ethanol Extract on Sepsis Mice Model Body Weight and Sepsis Score","authors":"M. Putri, N. Anggraeni, Raden Aliya Tresna M. D., Ghaliby Ardhia Ramli, Mia Kusmiati, Y. Andriane, E. Hendryanny, A. Hassan, M. M. Damayanti, N. Sutadipura, M. Syamsunarno","doi":"10.29313/gmhc.v8i3.6604","DOIUrl":"https://doi.org/10.29313/gmhc.v8i3.6604","url":null,"abstract":"Sepsis causes damage for cells, behavioral phenotype regression, and will end in most patients' death. The ethanol extract of cogongrass (Imperata cylindrica L.)  acts as an antioxidant. This study aimed to observe the effect of giving ECGR to body weight (BW) and the sepsis score of the sepsis mice model by lipopolysaccharide (LPS) induction. This study was an in vivo study with a randomized post-test controlled group design at the animal laboratory of Universitas Padjadjaran, 2018. We used 4 (four) groups of male mice (Mus musculus) DDY strains. Group 1 as a control, group 2: LPS 10 μL/kgBW, group 3, and 4: LPS+ECGR (90 mg/kgBW, and a dose of 115 mg/kgBW, respectively). This treatment was performed for two weeks. Every three days, we measured their body weight. After two weeks, group 2, group 3, and 4 were injected with LPS for 8 hours to induce sepsis. Next, we measured body weight and sepsis score using murine sepsis score (MSS). Then statistical analysis was performed using ANOVA and the Kruskal-Wallis test. The results showed no differences in body weight were found in the treatment groups (3 and 4) compared with control, suggesting no effect of ECGR in decreasing mice body weight. The sepsis score was more than 21 in groups treated with LPS (2, 3, and 4), suggesting LPS can induce sepsis. There was a slight decrease in scores in-group 3 and 4 compared with group 2. This study concludes that the treatment of ECGR caused no harm to body weight and slightly decreased sepsis score in the sepsis mice model. EKSTRAK ETANOL ALANG-ALANG (IMPERATA CYLINDRICA L.) TERHADAP BERAT BADAN DAN SKOR SEPSIS MENCIT MODEL SEPSISSepsis menyebabkan kerusakan sel, regresi fenotipe perilaku, dan akan berakhir kematian pada sebagian besar pasien. Ekstrak etanol akar alang-alang (Imperata cylindrica L.) (ECGR) berperan sebagai antioksidan. Penelitian ini bertujuan mengetahui pengaruh pemberian ECGR terhadap berat badan (BB) dan skor sepsis pada mencit model sepsis yang diinduksi lipopolisakarida (LPS). Penelitian ini adalah penelitian in vivo dengan desain randomized post-test controlled group di laboratoium hewan Universitas Padjadjaran tahun 2018. Kami menggunakan 4 (empat) kelompok mencit jantan (Mus musculus) strain DDY. Kelompok 1 sebagai kontrol, kelompok 2 diinduksi LPS 10 μL/kgBB, kelompok 3 dan 4 diinduksi LPS + ECGR (dosis 90 mg/kgBB dan 115 mg/kgBB masing-masing). Perlakuan ini dilakukan selama 2 minggu. Setiap tiga hari dilakukan pengukuran berat badan mencit. Setelah dua minggu, kelompok 2, kelompok 3, dan kelompok 4 diinjeksi LPS selama 8 jam untuk menginduksi sepsis. Selanjutnya, diukur berat badan dan skor sepsis menggunakan murine sepsis score (MSS). Analisis statistik menggunakan ANOVA dan Uji Kruskal-Wallis. Hasil penelitian menunjukkan tidak terdapat perbedaan berat badan pada kelompok perlakuan (3 dan 4) dibanding dengan kelompok kontrol yang menunjukkan ECGR tidak berpengaruh dalam menurunkan berat badan mencit. Skor sepsis lebih dari 21 pada ","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"47 24","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131722312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dengue Cases Prediction in Kupang","authors":"T. Respati, Wanti Wanti, R. Nindrea","doi":"10.29313/gmhc.v8i3.6727","DOIUrl":"https://doi.org/10.29313/gmhc.v8i3.6727","url":null,"abstract":"The pandemic of coronavirus (COVID-19) causes another infectious disease such as dengue is neglected in Indonesia. Since the majority of resources, both human and capital, are focusing more on COVID-19, it is still essential to also manage dengue as it is still becoming a threat to the community. This study aims to predict the number of cases of dengue in Kupang, East Nusa Tenggara, Indonesia. This study area is in Kupang city, East Nusa Tenggara province, Indonesia. Data regarding monthly dengue reported cases by months from January 2010–December 2019 in Kupang city was collected to describe the temporal patterns of dengue cases. The Box-Jenkins approach is used to fit the auto-regressive integrated moving average (ARIMA) models. This model will predict monthly dengue cases for the year 2020 (12 months). Data analyzed using the Minitab program version 18.0. This study shows that seasonality was an essential component for Kupang city, which performed an exploratory analysis of dengue incidence (ln data) for 2010–2019. The linear trend model shows the prediction of dengue cases in 2020 was Yt=36.9−0.131 × t. The forecast tells that dengue will remain high for the whole year. Maintaining a clean environment, reduction of breeding sites, and other protective measurements against dengue transmission are significant to perform. PREDIKSI KASUS DEMAM BERDARAH DENGUE DI KUPANGPandemi virus corona (COVID-19) mengakibatkan penyakit menular lain seperti dengue terbengkalai di Indonesia karena mayoritas sumber daya, baik manusia maupun permodalan, lebih berfokus pada COVID-19, sedangkan penanggulangan demam berdarah dengue (DBD) masih menjadi hal yang penting karena masih menjadi ancaman bagi masyarakat. Penelitian ini bertujuan memprediksi jumlah kasus DBD di Kupang, Nusa Tenggara Timur, Indonesia. Wilayah studi ini berada di Kota Kupang, Provinsi Nusa Tenggara Timur, Indonesia. Data bulanan kasus DBD yang dilaporkan per bulan dari Januari 2010–Desember 2019 di Kota Kupang dikumpulkan untuk menggambarkan pola temporal kasus DBD. Pendekatan Box-Jenkins digunakan untuk menyesuaikan model auto-regressive integrated moving average (ARIMA). Model ini akan memprediksi kasus DBD bulanan untuk tahun 2020 (12 bulan). Data dianalisis menggunakan program Minitab versi 18.0. Studi ini menunjukkan bahwa musim merupakan komponen penting bagi Kota Kupang yang melakukan analisis eksplorasi kejadian DBD (dalam data) untuk tahun 2010–2019. Model tren linier menunjukkan prediksi kasus DBD tahun 2020 adalah Yt=36.9−0.131 × t yang memperkirakan DBD akan tetap tinggi sepanjang tahun. Menjaga kebersihan lingkungan, mengurangi tempat berkembang biak, dan tindakan perlindungan lainnya terhadap penularan DBD penting dilakukan.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124406073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot Study of Lung Function Improvement in Peak Expiratory Flow (PEF) Value Using Fish Oil Containing Omega-3 Therapy in Asthma","authors":"Amelia Lorensia, R. V. Suryadinata, Richa Ratnasari","doi":"10.29313/gmhc.v8i3.5783","DOIUrl":"https://doi.org/10.29313/gmhc.v8i3.5783","url":null,"abstract":"Fish oil contains omega-3 as an anti-inflammatory effect that can inhibit the production of arachidonic acid 5-lipoxygenase (ALOX5), an enzyme that aggravates the inflammation of the lungs that cause asthma. This study aims to determine the effect of omega-3 from fish oil on improving lung function with peak expiratory flow (PEF) value in patients with outpatient asthma in Surabaya. The research design used in this research is pre-post test design and lung function examination by using a peak flow meter. Then follow up every week for four weeks during the use of fish oil, and the results of his research were analyzed by t test. The study was conducted from April 2017 until January 2018 in Surabaya. The sample of the study was 27 adult asthma patients. The results showed that most of the study subjects had an increase in PEF value every week. Besides, there was a significant increase of PEF values gradually at T0 (before intervention) to T4 (intervention for four weeks), indicating an improved effect after the use of fish oil in a four-week study sample. In conclusion, fish oil containing omega-3 is effective in improving lung function in outpatient asthma patients. PILOT STUDI PERBAIKAN FUNGSI PARU MENURUT NILAI PEAK EXPIRATORY FLOW (PEF) MENGGUNAKAN TERAPI MINYAK IKAN MENGANDUNG OMEGA-3 PADA ASMAMinyak ikan mengandung omega-3 sebagai efek antiinflamasi yang dapat menghambat produksi asam arakidonat 5-lipoksigenase (ALOX5) merupakan enzim yang memperburuk peradangan paru yang menyebabkan asma. Penelitian ini bertujuan mengetahui pengaruh omega-3 dari minyak ikan  terhadap perbaikan fungsi paru dengan nilai peak expiratory flow (PEF) pada pasien asma dewasa rawat jalan di Surabaya. Desain penelitian yang digunakan dalam penelitian ini adalah pre-post test dan pemeriksaan fungsi paru menggunakan peak flow meter. Kemudian dilakukan follow up setiap minggu selama empat minggu selama penggunaan minyak ikan dan hasilnya dianalisis dengan uji t. Penelitian dilakukan pada April 2017 hingga Januari 2018 di Surabaya. Sampel penelitian sebanyak 27 pasien asma dewasa. Hasil penelitian menunjukkan bahwa sebagian besar subjek penelitian mengalami peningkatan nilai PEF setiap minggunya. Selain itu, terdapat peningkatan signifikan nilai PEF secara bertahap pada T0 (sebelum intervensi) sampai T4 (intervensi selama empat minggu) yang menunjukkan efek membaik setelah penggunaan minyak ikan pada sampel penelitian selama empat minggu. Simpulan, minyak ikan yang mengandung omega-3 terbukti efektif dalam perbaikan fungsi paru pada pasien asma rawat jalan.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121753868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Soil-Transmitted Helminths Contamination on the Yard's Soil of the Public Elementary Schools in Bandung City","authors":"R. D. Astuti, I. Ismawati, H. S. Rathomi","doi":"10.29313/gmhc.v8i3.6596","DOIUrl":"https://doi.org/10.29313/gmhc.v8i3.6596","url":null,"abstract":"Soil contamination by soil-transmitted helminths (STH) on the schoolyard can act as reservoir STH infection for students. The STH contamination on soil due to contamination of human and animal waste which was disposed of inappropriately. This study aimed to determine the presence of STH eggs in the yard's soil of public elementary schools in Bandung city. This research was an analytic observational study with a cross-sectional approach. This study's samples were 97 surface soil of the public elementary schoolyard in Bandung city, selected randomly. Microscopic identification is made for identifying the STH contamination on soil samples. STH contaminates about 66% yard's soil of public elementary schools in Bandung city. We identified larva nematode, Ascaris eggs, Trichuris eggs, Toxocara eggs, and Capillaria eggs. The most common STH we had found was larvae nematode (53%). There is a correlation between flood and human STH contamination on soil (p=0.015). We concluded that STH contaminates the yard's soil of the public elementary schools in Bandung city. The source of STH contamination is from human and animal waste. Flood has a role in spreading human waste on the soil. KONTAMINASI SOIL-TRANSMITTED HELMINTH PADA TANAH PEKARANGAN SEKOLAH DASAR NEGERI KOTA BANDUNGPencemaran tanah oleh soil-transmitted helminth (STH) di halaman sekolah dapat menjadi reservoir penularan STH bagi siswa. Pencemaran ini dapat terjadi akibat pengelolaan kotoran manusia dan hewan yang tidak tepat. Penelitian ini bertujuan mengetahui keberadaan telur STH di tanah pekarangan sekolah dasar negeri di Kota Bandung. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross-sectional. Sampel penelitian berjumlah 97 tanah permukaan halaman sekolah dasar negeri di Kota Bandung yang dipilih secara acak. Identifikasi mikroskopis dilakukan untuk mengidentifikasi kontaminasi STH pada sampel tanah. Data banjir didapatkan dari wawancara dengan penduduk sekitar. Pencemaran STH terjadi pada 66% sampel. Kami mengidentifikasi larva nematoda, telur Ascaris, telur Trichuris, telur Toxocara, dan telur Capillaria. Jenis STH yang paling banyak ditemukan adalah larva nematoda (53%). Terdapat korelasi antara banjir dan pencemaran STH manusia di tanah (p=0,015). Kami menyimpulkan bahwa tanah pekarangan sekolah dasar negeri di Kota Bandung tercemar STH. Sumber pencemaran STH berasal dari kotoran manusia dan hewan. Banjir berperan dalam menyebarkan kotoran manusia di tanah.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129073491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Importance-Performance Analysis (IPA) for Improving Medical Students’ Quality of Service in Teaching Hospital","authors":"S. N. Irasanti, I. B. Akbar, Y. Suryani","doi":"10.29313/GMHC.V8I1.5863","DOIUrl":"https://doi.org/10.29313/GMHC.V8I1.5863","url":null,"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.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115625392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antioxidant and Anti-tyrosinase Activities of Aloe vera Rind and Gel Extracts","authors":"Sonya Bonifacia Mahadi, Rr Anisa Siwianti Handayani, W. Widowati, Wilsen Wilsen, Yunita Dewani, E. Fachrial, I. Lister","doi":"10.29313/gmhc.v7i3.4453","DOIUrl":"https://doi.org/10.29313/gmhc.v7i3.4453","url":null,"abstract":"Aging is a natural process in human that can be characterized by the appearance of black spot on the skin due to hyperpigmentation. Aging may occur due to an excessive amount of free radicals in the body. Antioxidants possess ability to capture free radicals and inhibit tyrosinase which induces skin aging. Aloe vera has been used in traditional medicine because it contains several bioactive compounds that act as antioxidant and prevent aging process. This study aims to determine phytochemical content, antioxidant activity and tyrosinase inhibition activity of Aloe vera rind (AVRE) and gel (AVGE) extract. This research was carried out at the laboratorium of Aretha Medika Utama-Biomolecular and Biomedical Research Center in Bandung city in September–November 2018. Phytochemical assay was determined using modified Farnsworth method. Antioxidant assay was determined using 2,2-diphenyl-1-picrylhydrazyl (DPPH) scavenging activity and antiaging assay was obtained using tyrosinase inhibition assay. AVRE contains flavonoid, phenol, steroid, and alkaloid. Meanwhile, AVGE contains steroid and alkaloid. IC50 DPPH scavenging activity of AVRE was 113.18 µg/mL followed by AVGE was 291.96 µg/mL. IC50 tyrosinase inhibition activity of AVRE was 65.04 µg/mL followed by AVGE was 111.89 µg/mL. AVRE had more active DPPH scavenging activity and tyrosinase inhibition activity than AVGE. AKTIVITAS ANTIOKSIDAN DAN ANTITIROSINASE KULIT DAN DAGING LIDAH BUAYA (ALOE VERA)Penuaan merupakan proses alamiah pada manusia. Penuaan dapat terjadi akibat kadar radikal bebas yang tinggi di dalam tubuh. Antioksidan memiliki kemampuan memerangkap radikal bebas dan menghambat kerja enzim yang berperan dalam proses penuaan. Lidah buaya (Aloe vera) telah digunakan dalam pengobatan tradisional karena diketahui mengandung senyawa bioaktif yang bermanfaat dalam menangkal radikal bebas dan menghambat penuaan. Penelitian ini bertujuan mengetahui kandungan fitokimia dalam ekstrak etanol kulit lidah buaya (EKLB) dan ekstrak etanol daging lidah buaya (EDLB), mengetahui aktivitas antioksidan, pemerangkapan 2,2-difenil-1-pikrilhidrazil (DPPH), serta aktivitas antitirosinase EKLB dan EDLB. Penelitian ini dilakukan pada September–November 2018 di laboratorium Aretha Medika Utama Biomolecular and Biomedical Research Center (BBRC). Analisis fitokimia dilakukan menggunakan metode Farnsworth yang dimodifikasi. Aktivitas antioksidan dianalisis menggunakan metode pemerangkapan DPPH, sementara uji antipenuaan dilakukan menggunakan metode uji aktivitas antitirosinase. Hasil uji fitokimia menunjukkan EKLB mengandung flavonoid, fenol, steroid, dan alkaloid; sedangkan EDLB mengandung senyawa steroid dan alkaloid. EKLB dan EDLB memiliki aktivitas pemerangkapan DPPH dengan nilai IC50 secara berurutan 113,18 µg/mL dan 291,96 µg/mL. Penghambatan tirosinase EKLB dan EDLB dengan nilai IC50 secara berurutan 65,04 µg/mL dan 111,89 µg/mL. EKLB memiliki aktivitas antioksidan dan penghambatan tirosinase yang lebih baik dib","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129035560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Conditions and Dangers Due to Work for Fishers in Pangandaran Subdistrict, West Java","authors":"Neti Juniarti, Hartiah Haroen, D. Yani","doi":"10.29313/GMHC.V7I3.3313","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.3313","url":null,"abstract":"Work safety and health are essential for fishers in Pangandaran Beach because these fishers were not paying attention to their work health and safety. This attitude would pose a high risk for the fishers due to the weather conditions that can turn wild in a short period and can cause an elevated risk of an accident. This study aimed to identify the health conditions, hazards, and work accidents that were experienced by Pangandaran fishers. The methods used quantitative descriptive. The survey conducted in Pangandaran subdistrict, West Java in November 2017. The samples were recruited purposively, and a total of 17 fishers were willing to participate. The data were analyzed using descriptive univariate analysis. The results showed that 7 of 17 of fishers have a health problem, and most of them have high blood pressure. All participants had experienced accident during their work, dan only 9 of 17 who wear safety equipment. Hazardous work hazard is a green jellyfish sting during fishing. Thus, it is recommended to the public health center, Regency Health Office, and Fisheries Office to establish the fishers’ health post, which is close to the beach. And also provide training about first aid in the event of an accident of jellyfish stung. KONDISI KESEHATAN DAN BAHAYA AKIBAT KERJA PADA NELAYAN DI KECAMATAN PANGANDARAN, JAWA BARAT Keselamatan dan kesehatan kerja sangat penting untuk para nelayan yang bekerja di sekitar pantai Pangandaran karena para nelayan di pantai Pangandaran masih kurang memperhatikan keselamatan dan kesehatan kerja. Hal ini sangat berisiko untuk keselamatan nelayan karena cuaca di pantai dan laut dapat berubah dengan cepat dan mengakibatkan risiko kecelakaan yang sangat tinggi. Penelitian ini bertujuan mengetahui kondisi kesehatan dan bahaya serta kecelakaan kerja yang dialami oleh nelayan di Kecamatan Pangandaran. Metode penelitian menggunakan deskriptif kuantitatif. Penelitian ini dilakukan di Kecamatan Pangandaran, Jawa Barat pada bulan November 2017. Penarikan sampel dilakukan secara purposive dan jumlah sampel sebanyak 17 orang. Data dianalisis menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa 7 dari 17 nelayan memiliki masalah kesehatan dengan jumlah terbanyak menderita hipertensi, semua responden pernah mengalami bahaya dan kecelakaan akibat kerja, serta hanya 9 fari 17 yang menggunakan pelampung. Bahaya kesehatan yang paling besar dikeluhkan oleh nelayan adalah sengatan ubur-ubur hijau. Oleh karena itu, disarankan pada pihak puskesmas, Dinas Kesehatan, serta Dinas Perikanan dan Kelautan setempat untuk membentuk pos usaha kesehatan kerja nelayan di Pangandaran, serta memberikan pelatihan tentang penanganan kecelakaan dan perawatan pasien yang terkena sengatan ubur-ubur hijau.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129638154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Sustainable Development Goals (SDGs) and Disaster Risk Reduction (DRR): a Case Study","authors":"P. Davey","doi":"10.29313/gmhc.v7i3.5497","DOIUrl":"https://doi.org/10.29313/gmhc.v7i3.5497","url":null,"abstract":"Climate change adaptation and mitigation measures a complicated process and community livelihoods are being seriously impacted. The current local community reality is that climate change and associated disasters are becoming more intense, unpredictable, frequent and costly impacting on rural and urban areas. Disaster Risk Reduction is very important. United Nations General Assembly already set the global policy with the hope that the impact of future disaster events on the community is substantially reduced. Solutions to internal refugee crises start at the local level and require that everyone plays a part: every city, every neighbourhood including farming areas, and every individual can contribute. Leaders must create spaces where everyone can live in safety, become self-reliant, and contribute to and participate in their local community, and not allow people to shift into slum areas after disasters strike. The UNISDR suggests community’s use of the recovery, rehabilitation and reconstruction phases after a disaster to increase the resilience of nations and communities; through integrating disaster risk reduction measures into the restoration of physical infrastructure and societal systems, and into the revitalization of livelihoods, economies, and the environment.","PeriodicalId":312900,"journal":{"name":"Global Medical & Health Communication (GMHC)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125127633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}