Global Medical Health Communication最新文献

{"title":"The Resistance of Aedes aegypti to Permethrin 0.25% Insecticide, Malathion 0.8%, and Transfluthrin 25% in the Universitas Islam Bandung Tamansari Campus","authors":"R. D. Astuti, I. Ismawati, L. H. Siswanti","doi":"10.29313/GMHC.V7I3.3662","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.3662","url":null,"abstract":"Massive and long term insecticide use causes resistance of mosquitos to insecticides. This research has a goal for assessing the resistance of Aedes aegypti to the insecticides of permethrin 0.25%, malathion 0.8%, and transfluthrin 25% in the Universitas Islam Bandung Tamansari campus. The Aedes aegypti resistance in the Universitas Islam Bandung Tamansari campus Bandung city to insecticides measured with the susceptibility test in September 2015. The susceptibility test to the permethrin 0.25% and malathion 0.8% insecticides implemented by using WHO standard instruments and methods. The susceptibility test to transfluthrin 25% implemented by using commercial insecticide according to the usage suggestion. The total mosquitos that died after the exposure of permethrin 0.25%, transfluthrin 25%, and malathion 0.8% for 60 minutes were 20%, 23%, and 80%. The WHO criteria state that mosquitos were still susceptible to insecticides if the death rate is 98–100%, tolerant if the death rate is 80–97%, and mosquitos are resistant if the death rate is less than 80%. In conclusion, the Aedes aegypti mosquitos in the Universitas Islam Bandung Tamansari campus are already resistant to the insecticides permethrin 0.25% and transfluthrin 25% and tolerant to malathion 0.8%. RESISTENSI AEDES AEGYPTI TERHADAP INSEKTISIDA PERMETHRIN 0,25%, MALATHION 0,8%, DAN TRANSFLUTHRIN 25% DI KAMPUS UNIVERSITAS ISLAM BANDUNG TAMANSARI Penggunaan insektisida secara masif dan jangka panjang menimbulkan resistensi nyamuk terhadap insektisida. Penelitian ini bertujuan menilai resistensi resistensi Aedes aegypti terhadap insektisida permethrin 0,25%, malathion 0,8%, dan transfluthrin 25% di kampus Unversitas Islam Bandung Tamansari. Resistensi Aedes aegypti di kampus Unversitas Islam Bandung Tamansari Kota Bandung terhadap insektisida diukur dengan uji kerentanan pada bulan September 2015. Uji kerentanan terhadap insektisida permethrin 0,25% dan malathion 0,8% dilakukan menggunakan alat dan metode uji standar WHO. Uji kerentanan terhadap transfluthrin 25% dilakukan menggunakan insektisida komersial sesuai dengan anjuran penggunaan. Jumlah nyamuk yang mati dalam jangka waktu 60 menit setelah paparan permethrin 0,25%, transfluthrin 25%, dan malathion 0,8% berturut-turut adalah 20%, 23%, dan 80%. Kriteria WHO menyatakan nyamuk dikategorikan masih rentan terhadap insektisida jika tingkat kematiannya 98–100%, toleran jika kematiannya 80–97%, dan resisten apabila jumlah kematian nyamuk kurang dari 80%. Simpulan, nyamuk Aedes aegypti yang terdapat di kampus Universitas Islam Bandung Tamansari telah resisten terhadap insektisida permethrin 0,25% dan transfluthrin 25%, serta toleran terhadap malathion 0,8%.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"213-217"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45591051","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":"VEGF-A and PD-L1 Immunoexpression Association with Meningioma Histopathology Grade","authors":"Yunnica Yunnica, Afiati Afiati, H. Usman, B. Hernowo","doi":"10.29313/GMHC.V7I3.4202","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.4202","url":null,"abstract":"Histopathology grade of meningioma is one of the most common factors determining the prognosis and affects the risk of recurrence and aggressiveness of the tumor. Biological factors related to histopathological grade are vascular endothelial growth factor A (VEGF-A) and programmed death-ligand 1 (PD-L1). This research aimed to understand the association between VEGF-A and PD-L1 with meningioma histopathology grade. This is in vivo research on 60 paraffin blocks of meningioma cases at Dr. Hasan Sadikin General Hospital Bandung from April to November 2018. Paraffin block samples consist of grade I (30), grade II (15), and grade III (15) meningioma. Immunohistochemical staining of VEGF-A and PD-L1 performed to all samples. Data analyzed using the chi-square test with SPSS version 24.0 for Windows. The result shows a significant association between VEGF-A and PD-L1 immunoexpression with meningioma histopathology grade. PD-L1 is the most potent factor that influenced the histopathology grade of meningioma. The study concluded that the histopathology grade of meningiomas influenced by angiogenesis and immune checkpoints. VEGF-A and PD-L1 immunoexpression in meningioma considered as a factor that influences the aggressiveness of meningioma. HUBUNGAN IMUNOEKSPRESI VEGF-A DAN PD-L1 DENGAN DERAJAT HISTOPATOLOGI MENINGIOMA Derajat histopatologi meningioma merupakan salah satu faktor yang paling umum menentukan prognosis serta memengaruhi risiko rekurensi dan agresivitas tumor. Faktor biologi yang berhubungan dengan derajat histopatologi adalah vascular endothelial growth factor A (VEGF-A) dan programmed death-ligand 1 (PD-L1). Penelitian ini bertujuan mengetahui hubungan imunoekspresi VEGF-A dan PD-L1 dengan derajat histopatologi meningioma. Penelitian in vivo dilakukan pada 60 blok parafin kasus meningioma di Departemen Patologi Anatomi RSUP Dr. Hasan Sadikin Bandung dari April hingga November 2018. Sampel blok parafin terdiri atas meningioma derajat I (30), derajat II (15), dan derajat III (15). Pulasan imunohistokimia VEGF-A dan PD-L1 dilakukan terhadap semua sampel. Data dianalisis menggunakan uji chi-square dengam SPSS versi 24.0 untuk Windows. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara VEGF-A dan PD-L1 dengan derajat histopatologi meningioma. PD-L1 merupakan faktor paling kuat yang memengaruhi derajat histopatologi meningioma. Simpulan penelitian ini adalah derajat histopatologi meningioma dipengaruhi oleh faktor angiogenesis dan immune check point . Imunoekspresi VEGF-A dan PD-L1 pada meningioma dapat dipertimbangkan sebagai faktor yang memengaruhi agresivitas meningioma.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"206-212"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48862466","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":"Relation between Vitamin D Level and Knowledge and Attitude Towards Sunlight Exposure among Asthma Outpatients in Surabaya","authors":"Amelia Lorensia, R. V. Suryadinata, Gebriella Ayuni Amir","doi":"10.29313/gmhc.v7i3.3094","DOIUrl":"https://doi.org/10.29313/gmhc.v7i3.3094","url":null,"abstract":"Asthma has become one of the health problems in the world. Asthma is characterized by chronic inflammation of the respiratory tract which leads to breathlessness, wheezing, and airflow limitation. Inflammatory reaction in asthma is related to inadequate vitamin D level. Vitamin D is a vitamin produced naturally by the body when exposed to sunlight that has immunomodulatory properties can reduce inflammation. Knowledge and positive attitude to sun exposure are necessary to prevent severe asthma attacks. This was a cross-sectional study involving 26 subjects in a private university in east Surabaya during January–June 2017 that was aimed to determine the relation between vitamin D and knowledge and attitude towards sunlight exposure. Data were collected by measuring the vitamin D level in blood serum and through the use of a questionnaire that consisted of two aspects, level of knowledge and attitude to sun exposure. Chi-square test was used to analyze the relationship between vitamin D level, knowledge, and attitude. No relationship was found between blood vitamin D level of asthma respondents and level of knowledge of sun exposure related to vitamin D (p=0.444, p>0.05). The same was also true for the relationship between blood vitamin D level of asthma respondents and attitude to sun exposure related to vitamin D (p=0.768, p>0.05). The closeness of the relationship between knolwedge and attitude was also relatively low (0.093). In conclusion, there is no correlation between vitamin D level, knowledge, and attitude. In addition, there is also no correlation between knowledge and attitude with low relationship between the two variables. HUBUNGAN KADAR VITAMIN D DENGAN PENGETAHUAN DAN SIKAP TENTANG PAPARAN SINAR MATAHARI PADA PASIEN ASMA RAWAT JALAN DI SURABAYA Asma telah menjadi masalah kesehatan di dunia. Asma ditandai oleh peradangan kronis pada saluran pernapasan yang menyebabkan sesak napas, mengi, dan keterbatasan aliran udara. Reaksi peradangan pada asma terkait dengan kadar vitamin D yang tidak memadai. Vitamin D merupakan vitamin yang diproduksi secara alami oleh tubuh ketika terkena sinar matahari yang memiliki sifat imunomodulator dapat mengurangi peradangan. Pengetahuan dan sikap positif terhadap paparan sinar matahari diperlukan untuk mencegah risiko keparahan asma. Penelitian ini menggunakan metode cross-sectional yang melibatkan 26 subjek di sebuah universitas swasta di Surabaya Timur pada Januari–Juni 2017 yang bertujuan menentukan hubungan vitamin D dengan pengetahuan dan sikap terhadap paparan sinar matahari. Data dikumpulkan dengan mengukur kadar vitamin D dalam serum darah dan melalui penggunaan kuesioner yang terdiri atas dua aspek, tingkat pengetahuan dan sikap terhadap paparan sinar matahari. Uji chi-square digunakan untuk menganalisis hubungan antara kadar vitamin D, pengetahuan, dan sikap. Tidak ada hubungan yang ditemukan antara kadar vitamin D darah responden asma dan tingkat pengetahuan paparan sinar matahari yang terkait","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"162-169"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43858767","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":"Impact of Integrated Reproductive Health Module Implementation on Junior High School Student Behavior Changes","authors":"D. Handayani, Ariyati Mandiri, I. Aprillani","doi":"10.29313/GMHC.V7I3.3202","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.3202","url":null,"abstract":"Socio-cultural changes, low understanding of religion, development of information technology, and limitation of appropriate information sources, causes sexual and reproductive behavior problems in adolescents. The solutions are through the application of an integrated reproductive health module as a teaching guide for teachers by using student center learning approach. The objectives of this study are to analyze the implementation effect of an integrated reproductive health module on changes in student behavior. This study using a quasi-experimental pretest-posttest design with control groups, which conducted from March to May 2017. The subject in this research is the students of class VII in 5 (five) Bandung city areas by inclusion and exclusion criteria. A total of 36 students from the five junior secondary schools as the research group received an integrated learning module, while 38 students from different classes in the same school as the control group using the reproductive health module based on the 2013 Curriculum. The data collection used questionnaires to assess behavior based on self-assessment, friends, and parents. The results of this study indicate that the interpersonal communication behavior increased by 5.74%, reproductive health behavior increased by 18.65%, and sexual behavior increased by 9.07%, with a significant difference compared to students who received the 2013 Curriculum (p<0.001). In conclusion, the implementation of the integrated reproductive health module had affected the student behavior change in maintaining reproductive health, sexual, and interpersonal communication. PENGARUH PENERAPAN MODUL PEMBELAJARAN KESEHATAN REPRODUKSI TERINTEGRASI TERHADAP PERUBAHAN PERILAKU SISWA SEKOLAH MENENGAH PERTAMA Perubahan sosial budaya, pemahaman agama yang rendah, perkembangan teknologi informasi, dan keterbatasan sumber informasi yang tepat menyebabkan permasalahan perilaku seksual dan kesehatan reproduksi pada remaja. Salah satu upaya yang dilakukan adalah melalui penerapan modul kesehatan reproduksi terintegrasi sebagai pedoman mengajar bagi guru dengan menggunakan pendekatan student center learning . Tujuan penelitian ini menganalisis pengaruh implementasi modul pembelajaran kesehatan reproduksi terintegrasi terhadap perubahan perilaku siswa. Penelitian ini menggunakan quasi-experimental pretest-posttest design with control groups yang dilakukan dari bulan Maret hingga Mei 2017 . Subjek penelitian adalah siswa kelas VII di 5 (lima) wilayah Kota Bandung dengan kriteria inklusi dan eksklusi. Sebanyak 36 siswa dari lima sekolah menengah pertama sebagai kelompok perlakuan mendapatkan modul kesehatan reproduksi terintegrasi dan 38 siswa dari kelas yang berbeda di sekolah yang sama sebagai kelompok kontrol menggunakan materi kesehatan reproduksi berdasar atas Kurikulum 2013. Pengumpulan data menggunakan kuesioner penilaian perilaku oleh diri sendiri, teman, dan orangtua. Hasil menunjukkan bahwa perilaku komunikasi interpersonal s","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"197-205"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43407868","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":"Effectiveness of Cadres Training in Improving Maternal and Neonatal Health in Soreang Subdistrict","authors":"Merry Wijaya, Fardila Elba, Ariyati Mandiri, Wenny Friska, Balkis Fitriani Faozi, D. Hilmanto","doi":"10.29313/GMHC.V7I3.3986","DOIUrl":"https://doi.org/10.29313/GMHC.V7I3.3986","url":null,"abstract":"The high maternal mortality rate (MMR) and neonatal mortality rate (NMR) are indicators of low health quality in society. Most maternal and neonatal mortality cases prevented through early detection and quick and accurate responses. Other factors that contribute to maternal and neonatal mortality are the quality of health care, the uneven distribution of health workers, and the inadequate health-supporting facilities. The government’s efforts in improving fair health workers distribution and quality of healthcare services by involving integrated health service post ( pos pelayanan terpadu / posyandu ) cadres, as the front-liners of health care programs (especially concerning maternal and neonatal health), should be able to provide better healthcare services to the people. Hence, cadres training is crucial for improving the cadres’ knowledge and skills in healthcare services. This study aims to analyze the effect of cadres training implementation on the development of cadres’ knowledge and skills in giving maternal and neonatal (infant) health counseling. This study used a quasi-experimental pretest-posttest design conducted from July to November 2017. The sample consists of 32 active cadres from 12 villages in Soreang sub-district who satisfy the inclusion criteria. Data is collected through questionnaires to measure knowledge improvement and checklists to measure cadres’ skills development. The findings show that cadres training implementation can improve cadres’ knowledge and skills in maternal and neonatal (infant) health counseling. EFEKTIVITAS PELATIHAN KADER DALAM MENINGKATKAN KESEHATAN IBU DAN BAYI DI KECAMATAN SOREANG Angka kematian ibu (AKI) dan angka kematian bayi (AKB) yang tinggi menjadi indikator status kesehatan masyarakat yang rendah. Sebagian besar kasus kematian ibu dan bayi dapat dicegah melalui deteksi dini dan penanganan yang cepat dan tepat. Faktor lain yang memengaruhi kematian ibu dan bayi adalah kualitas pelayanan kesehatan, distribusi tenaga kesehatan belum merata, dan sarana pendukung pelayanan kesehatan yang belum memadai. Upaya pemerintah dalam meningkatkan pemerataan tenaga kesehatan dan pelayanan kesehatan dengan melibatkan kader pos pelayanan terpadu (posyandu) sebagai ujung tombak program kesehatan, khususnya ibu dan anak, seyogianya mampu memberikan pelayanan kesehatan yang baik kepada masyarakat. Oleh karena itu, pelatihan kader untuk meningkatkan pengetahuan dan keterampilan dalam penanganan kesehatan mutlak diperlukan. Penelitian ini bertujuan menganalisis pengaruh implementasi pelatihan kader terhadap peningkatan pengetahuan dan keterampilan dalam melakukan penyuluhan kesehatan ibu dan anak. Penelitian ini menggunakan desain quasi-experimental pretest-posttest yang dilakukan dari Juli hingga November 2017. Sampel penelitian adalah 32 kader aktif dari 12 desa di Kecamatan Soreang yang memenuhi kriteria inklusi. Pengumpulan data menggunakan kuesioner untuk menilai perubahan pengetahuan dan daftar tilik untuk men","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"7 1","pages":"218-223"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42249167","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":"D-Dimer Level with Cerebral Venous Sinus Thrombosis (CVST) Occurrence Using Digital Subtraction Angiography (DSA)","authors":"A. Putra, Eppy Buchori, Hilman Hilman, L. Amalia","doi":"10.29313/gmhc.v7i3.5341","DOIUrl":"https://doi.org/10.29313/gmhc.v7i3.5341","url":null,"abstract":"Cerebral venous sinus thrombosis (CVST) is a cerebrovascular disease in the form of occlusion due to thrombus in the venous and cerebral sinuses. It rarely occurs and has varied clinical symptoms and radiological features and challenging to diagnose. D-dimer used as a diagnostic marker for cases of venous thromboembolism, with a sensitivity of around 90–92%. However, the specificity is not too high (70–73%) because it can also increase in other conditions. Digital subtraction angiography (DSA) is a gold standard examination to establish the diagnosis of CVST. The purpose of this study was to determine the relationship between the D-dimer level and CVST using DSA at Dr. Hasan Sadikin General Hospital in Bandung. This study used an observational analytic method with a case-control study design using retrospective data from medical records at Dr. Hasan Sadikin General Hospital in January 2017–August 2019. The research subjects divided into two groups, namely the high D-dimer levels and the normal/low D-dimer level. Forty people meet the inclusion criteria, ages averaging from 44.77±14.40 years, and consists of 9 male patients (22%) and 31 women patients (78%). For normal/low D-dimer levels 20 patients (50%) and high D-dimer levels 20 patients (50%). Statistical test results measuring D-dimer and CVST levels found a significant relationship (p<0.05). In conclusion, there is a relationship between D-dimer levels with CVST events that have been done by DSA. The higher the D-dimer level, the higher the suspicion of CVST.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69901353","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":"Evaluation on the Implementation of Rural-Based Program for Undergraduate Medical Student","authors":"N. Arisanti, I. Arya, I. Amelia, K. Mutyara, E. Setiawati","doi":"10.29313/GMHC.V6I2.2986","DOIUrl":"https://doi.org/10.29313/GMHC.V6I2.2986","url":null,"abstract":"Evaluation of a program is needed to determine whether the program could be implemented and generate inputs to improve the program. The objective of this study was to evaluate the implementation of community-based programs for medical clerkship students in rural areas.  This research was a qualitative study using interpretivism paradigm and case study approach. Data collection method was focus group discussions with the head of public h ealth center (puskesmas) and preceptor. Data were analyzed through transcription, coding, categorization, and generating theme. The study was conducted from August 2015 to November 2016 in Sukabumi and Cianjur, West Java. Triangulation method and member check were conducted to elicit valid and reliable data. Two focus group discussions were conducted with 11 informants comprises 5 heads of puskesmas and 6 preceptors. There were 7 themes generated from the discussion. The themes were socialized and disseminate the information ; collaboration and local government involvement ; integration of education and service ; encourage lifelong learning ; encourage the improvement of performance ; skill enhancement ; and sustainability. Implementation of community-based medical education curriculum in rural areas has been implemented. Sustainability of the curriculum is needed to contribute to the improvement of community health status. EVALUASI IMPLEMENTASI PROGRAM  ILMU KESEHATAN MASYARAKAT DI DAERAH PEDESAAN UNTUK PROGRAM PROFESI DOKTER Evaluasi sebuah program dibutuhkan untuk mengetahui apakah program tersebut dapat dilaksanakan dan mendapatkan masukan yang akan digunakan dalam rangka memperbaiki program. Tujuan penelitian ini adalah melakukan evaluasi pelaksanaan program pendidikan kedokteran berbasis daerah pedesaan untuk mahasiswa profesi dokter. Penelitian ini merupakan penelitian kualitatif dengan paradigma interpretivism dan pendekatan studi kasus. Pengumpulan data dilakukan dengan diskusi kelompok terarah kepada kepala puskesmas dan preseptor lapangan. Pengambilan data dilakukan pada bulan Agustus 2015 sampai November 2016 di Sukabumi dan Cianjur, Jawa Barat. Analisis data hasil wawancara dilakukan melalui proses transkripsi, koding, kategorisasi, dan penyusunan tema. Triangulasi dan member check dilakukan untuk mendapatkan data yang valid dan reliabel. Dua diskusi kelompok terarah dilakukan kepada 11 informan yang terdiri atas 5 orang kepala puskesmas dan 6 orang preseptor. Berdasar atas hasil diskusi didapatkan 7 tema dalam evaluasi kurikulum pendidikan, yaitu sosialisasi dan diseminasi informasi; kolaborasi dan keterlibatan pemerintah setempat; integrasi pendidikan dan pelayanan; mendorong pembelajaran sepanjang hayat; mendorong peningkatan kinerja staf; pemahiran keterampilan; serta keberlanjutan. Pelaksanaan kurikulum pendidikan kedokteran berbasis komunitas di daerah pedesaan telah dilakukan dengan baik, hal ini terlihat dari beberapa manfaat yang dikemukakan oleh informan. Agar implementasi kurikulum ini memb","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"6 1","pages":"148-154"},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42563858","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":"Influence of A Clear Vision on Nurse Performance at Al Islam Hospital Bandung","authors":"Caecielia Wagiono, Prathama Gilang","doi":"10.29313/GMHC.V6I2.2703","DOIUrl":"https://doi.org/10.29313/GMHC.V6I2.2703","url":null,"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 BANDUNG Perawat 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 kinerj","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"6 1","pages":"122-129"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44754310","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":"Stepping Up to New and Better Us","authors":"T. Respati, H. Garna","doi":"10.29313/GMHC.V6I2.4003","DOIUrl":"https://doi.org/10.29313/GMHC.V6I2.4003","url":null,"abstract":"This is another milestone for our Journal, Global Medical and Health Communication (GMHC). Starting from this volume in August 2018, GMHC will only publish in English. This move is following our mission to be involved in the global arena. The best approach is by publishing in one of United Nation Language official and working languages, and we choose English.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"6 1","pages":"83"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49407801","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":"Difference Duration of Labor at BC-MK15 Birth Chair with Conventional Bed in Multiparous","authors":"F. Fitriani, J. Mose, Herry Herman","doi":"10.29313/GMHC.V6I2.2847","DOIUrl":"https://doi.org/10.29313/GMHC.V6I2.2847","url":null,"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 MULTIPARA Persalinan 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.","PeriodicalId":31502,"journal":{"name":"Global Medical Health Communication","volume":"6 1","pages":"105-112"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44331060","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}