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Peningkatan Pengetahuan Terhadap Gangguan Kesehatan Mata, Telinga Hidung Dan Saluran Pernafasan Yang Berhubungan Dengan Kasus Agromedicine Rani Himayani; Helmi Ismunandar; Mukhlis Imanto; Rasmi Zakiah Oktarlina; Ari Wahyuni
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 3 (2020): Peran Perguruan Tinggi dan Dunia Usaha Dalam Pemberdayaan Masyarakat Untuk Menyongsong
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2770.654 KB) | DOI: 10.37695/pkmcsr.v3i0.953

Abstract

Latar Belakang: Indonesia merupakan negara dengan keanekaragaman hayati dan ekosistem pertanian dan perkebunan. Pekerja yang berada di sektor agrikultur seperti petani atau pekerja diperkebunan, ditemukan beberapa penyakit akibat kerja. Namun, rasio penyakit akibat kerja jauh lebih sulit untuk diukur, karena penyakit pribadi yang dimiliki oleh petani sulit diidentifikasi sebagai penyakit yang berhubungan dengan pekerjaannya. Penyakit akibat kerja cenderung sulit untuk ditegakkan karena terkadang saling tumpang tindih dengan penyakit lain di luar pekerjaan yang diderita oleh pekerja. Tujuan: Peningkatan pengetahuan masyarakat tentang gangguan kesehatan mata, telinga hidung dan saluran pernafasan yang berhubungan dengan kasus agromedicine pada komunitas keluarga dan pekerja di PTPN VII Way Berulu Kabupaten Pesawaran Lampung, sehingga penyakit karena pekerjaan dapat di cegah terutama saat usia produktif dan dilakukan deteksi dini untuk membantu skreening awal penyakit dilingkungan kerja di masyarakat terutama di PTPN VII Way Berulu Kabupaten Pesawaran. Metode : Metode penyuluhan masyarakat dan deteksi dini kesehatan mata, telinga hidung dan saluran pernafasan di PTPN VII Way Berulu. Hasil : Kegiatan diikuti oleh total 40 orang pekerja PTPN VII Way Berulu yang dipilih untuk menghadiri penyuluhan. Berdasarkan data hasil pengamatan pre-test, diketahui sekitar 57% peserta tidak paham mengenai pengetahuan kelainan mata merah/tukak kornea, gangguan pernafasan, rhinitis. Setelah dilakukan kegiatan penyuluhan, nilai hasil pengamatan meningkat. Sebagian besar peserta menjadi paham.
Terapi Farmakologis Tinea Korporis pada Anak Fernandya Sylvia Nurindi; Rasmi Zakiah Oktarlina; Roro Rukmi WP
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.215

Abstract

Tinea corporis is a superficial fungal infection that attacks glabrous skin except the palms, soles of the feet and between thighs. Tinea corporis occurs in all age, but the highest incidence is in children and adolescents. The incidence of tinea corporis also depends on various factors, such as geographic conditions, climate, population, lifestyle, migration, culture, education and socioeconomic levels. The clinical features include the reddish spots with squama or central healing on its central accompanied by itching that is especially felt when sweating. The management of tinea corporis is divided to non-pharmacologic and pharmacologic. Pharmacologic therapy used for tinea corporis is a topical antifungal group imidazole, allylamine or benzylamine. The use of systemic antinfungal for tinea corporis only if the lesion is widespread and topical treatment is unsuccessful.
Effect of Vitamins B1, B6, and B12 Supplements on Work Fatigue in Shift Workers at Oil Packing Factory Josua Tumpal Haloman; Rasmi Zakiah Oktarlina; T.A. Larasati
Medula Vol 9 No 4 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i4.239

Abstract

Kelelahan kerja merupakan keluhan yang sering dijumpai pada pekerja, terutama pada pekerja shift. Kondisi fisik dan mental pekerja yang mengalami kelelahan berdampak negatif kepada pekerja itu sendiri dan hasil pekerjannya. Kombinasi multivitamin dengan kandungan vitamin B efektif mengatasi kelelahan fisik dan memperbaiki mood serta kemampuan kognitif. Penelitian ini bertujuan untuk mengetahui pengaruh suplemen multivitamin B1, B6, dan B12 terhadap kelelahan kerja khususnya pada pekerja shift. Penelitian ini merupakan penelitian eksperimental semu dengan sampel sebesar 31 orang pekerja shift di pabrik pengemasan minyak goreng yang sesuai dengan kriteria restriksi. Seluruh subjek diukur kelelahan kerjanya sebelum dan sesudah suplementasi dengan tablet kombinasi vitamin B1, B6 dan B12 selama 7 hari. Kelelahan kerja diukur dengan kuisioner Chalder Fatigue Scale (CFS) dan reaction timer. Data yang diperoleh dianalisis dengan uji statistik untuk melihat perbedaan nilai tengah sebelum dan sesudah suplementasi. Rata- rata skor kuisioner CFS sebelum dan sesudah suplementasi adalah 12,13 dan 8,52. Terdapat penurunan rata- rata skor kuisioner CFS sesudah suplementasi (p=0,001). Rata- rata waktu reaksi sebelum dan sesudah suplementasi adalah 209,45 dan 193,67. Terdapat penurunan rata-rata waktu reaksi sesudah suplementasi (p=0.028). Terdapat pengaruh suplementasi multivitamin B1, B6 dan B12 terhadap kelelahan kerja.
Penatalaksanaan Tuberkulosis Paru Putus Obat Melalui Pendekatan Kedokteran Keluarga Di Wilayah Kerja Puskesmas Sukaraja Chyntia Saputri; Sahab Sibuea; Rasmi Zakiah Oktarlina
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.98

Abstract

A holistic and comprehensive family medicine approach in detecting internal-external factors, prioritizing family-approached and patient centers is hoped to be able to improve the quality of life of patients. In this case, diagnosis and management were carried out with the concept of family medicine. Primary data were obtained through history taking, physical examination and home visits. Secondary data comes from patient medical records. The case of the patient, Mrs. 26 years old, had drug withdrawal TB (ICD X A15.0). The complaint was felt to have reappeared since three months ago, but the patient still had functional degree 2 in carrying out daily activities. Patients have internal risk factors, namely the patient's lack of knowledge of the disease, inappropriate lifestyle, curative treatment behavior and lack of medication adherence. External factors possessed by the patient are a family with low income (ICD10 – Z59.6), poor lighting, poor ventilation in the house, a densely populated home environment, inadequate cleanliness of the home environment and contact with patients with prolonged coughs. Handling and treatment efforts in a holistic and comprehensive manner using a family medicine approach in the form of education on causes, transmission, treatment and prevention of disease.
Risk Factors for Malaria in Pregnant Women Sutarto, Sutarto; Wardani, Dyah Wulan S.R.; Oktarlina, Rasmi Zakiah; Aryanti, Sri; Indriyani, Reni
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 3 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i3.13443

Abstract

Malaria is a major worldwide contagious disease, including Indonesia, and is an important public health issue. Prevalence of malaria among pregnant women and its risk factors in Pesawaran, Lampung Province are currently unknown. This study was a cross-sectional study using rapid survey method. Data was analyzed with chi square and logistic regression. Malaria prevalence was 47.6 per mile, spread over 5 out of 11 sub-districts. One important information was the discovery of pregnant women with malaria in non-endemic districts. The result of bivariate analysis proved a relationship between knowledge and malaria with p-value 0.007 and Odds Ratio (OR) 10. Maternal behavior had p-value of 0.009, OR 9, while usage of mosquito nets had p-value of 0.01, OR 5. The multivariate analysis model formula found was Y (pregnant woman with malaria) = -7.546 + 2.353 (knowledge) + 2.270 (usage of mosquito net) + 2.250 (house condition), and pregnant woman probability of malaria 33.9%. Prevention efforts should be done through strengthening of integrated maternal class groups into malaria programs in all areas. 
Hubungan Tingkat Pengetahuan Wanita Usia Subur (WUS) dan Dukungan Suami dengan Pemeriksaan Inspeksi Visual Asam Asetat (IVA) sebagai Metode Deteksi Lesi Prakanker Serviks di Puskesmas Kalibalangan Kabupaten Lampung Utara Tahun 2019 M. Rizky Fathurrohim; Rasmi Zakiah Oktarlina; Nurul Islamy4
Medula Vol 9 No 2 (2019): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v9i2.260

Abstract

Cervical cancer is the fourth most common cancer in women with an estimated 530,000 new cases, representing 7.9% of all female cancers. Cervical cancer events can be detected by the Visual Inspection Method of Acetic Acid (IVA). The relationship between the level of knowledge of women of childbearing age and husband's support to the visual inspection of acetic acid as an early detection of cervical pre-cancerous lesions. This type of quantitative research with cross sectional design. This research has been carried out at the Kalibalangan Main Health Center. The target of this study is all women of childbearing age who have been married, a sample of 196 people with convenience sampling technique. The object taken is the husband's knowledge and support with data collection by questionnaire. Data analysis used univariate and bivariate (chi square). As many as 151 (77.0%) respondents had never had an IVA examination. Based on the results of the study, most of the respondents with poor knowledge were 121 (61.7%) and there were no husband's support around 144 (73.5%). There is a correlation between knowledge of women of childbearing age and husband's support to the Acetic Acid Visual Inspection Examination as an early detection of cervical pre-cancerous lesions in Induk Health Center, Kalibalangan Village, North Lampung Regency in 2019 (p-value 0,000 and OR 13,707).
Analysis Of Antihypertensive Use In Pregnant Women With Severe Preeclampsia At Inpatient Ward of Dr.H. Abdoel Moeloek Hospital Bandar Lampung Period January-September 2016 Reffilia Irfa; Rasmi Zakiah Oktarlina; Ety Apriliana; Tri Umiana Soleha
Medula Vol 10 No 1 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i1.9

Abstract

Hypertension in pregnancy plays a major role in maternal and perinatal morbidity and mortality. Half to two-thirds of women with hypertension are diagnosed with preeclampsia and even eclampsia. One way to overcome hypertension is by antihypertensive pharmacological therapy. This study aims to analyze the use of antihypertensives in pregnant women with severe preeclampsia in the inpatient installation of RSUD Dr. H. Abdoel Moeloek for the period January-September 2016. Researchers used a cross-sectional approach and secondary data collection through 96 medical records of pregnant women with severe preeclampsia given antihypertensive drugs at RSUD Dr. H. Abdoel Moeloek during the period January-September 2016 based on dose accuracy, the accuracy of indication and accuracy of frequency is in accordance with the 2015 Queensland Health (Hypertensive Disorders of Pregnancy) and BNF (British National Formulary) 61 in 2011, with an exact indication of 83.3 %, the dose accuracy is 100%, and the frequency is 100%.
Human Monoclonal Antibody (HMAb) Solusi Pengganti Antitoksin Difteri Rasmi Zakiah Oktarlina; Adela Putri Agata
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2230

Abstract

Kejadian luar biasa difteri masih menjadi masalah di Indonesia sejak tahun 2011. Kejadian terbesar terjadi pada tahun 2012, sebesar 955 kasus. Hal ini menyebabkan Indonesia menjadi negara kedua dengan prevalensi kasus difteri terbanyak setelah India. Hingga pada akhir tahun 2017, ditemukan 591 kasus difteri di Indonesia. Hal ini berbanding lurus dengan meningkatnya angka kejadian drop out imunisasi yang berhubungan dengan semakin banyaknya kelompok anti vaksin. Terjadinya peningkatan kasus difteri ini menyebabkan diperlukannya pengobatan yang optimal terhadap kasus difteri. Pengobatan difteri saat ini adalah dengan Difteri Antitoksin (DAT) yang dikombinasikan dengan antibiotik yang adekuat. Namun dalam penggunaannya DAT yang berasal dari kuda ini memiliki efek samping berupa risiko alergi, reaksi hipersensitivitas tipe lambat, serum sickness, bahkan syok anafilaktik. Saat ini hanya India dan Brazil memproduksi DAT. Sementara untuk mengimpor DAT harus dengan seizin Centers for Disease Control and Prevention (CDC). Penggunaan DAT dibatasi dan harus dilakukan pemeriksaan sensitivitas terlebih dahulu kepada pasien. Sedangkan penatalaksanaan difteri yang terlambat akan menyebabkan terjadinya peningkatan risiko komplikasi. Human Monoclonal Antibody (HMAb) bisa menjadi pilihan dalam menggantikan DAT yang dipakai selama ini. HMAb mampu menghambat terjadinya ikatan antara toksin difteri dan fragmen B dengan Heparin-binding Epidermal Growth Factor (HB-EGF). HMAb bisa menjadi pilihan yang sangat baik untuk menggantikan penggunan DAT.Kata Kunci : difteri, dat, human monoclonal antibody
Tingkat Pengetahuan Masyarakat Terhadap Obat Analgesik Pada Swamedikasi Untuk Mengatasi Nyeri Akut Asyraf Vivaldi Wardoyo; Rasmi Zakiah Oktarlina
Jurnal Ilmiah Kesehatan Sandi Husada Vol 8 No 2 (2019): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v8i2.138

Abstract

Analgesic drugs or painkillers are one of the drugs that are often used independently by the community without a doctor's prescription, this causes the emergence of several side effects of analgesi drugs. Analgesic drugs commonly used by the public are nonopioid analgesic drugs such as aspirin, mefenamic acid and paracetamol because nonopioid analgesic drugs are not as addictive as opioid analgesic drugs. Analgesic drugs have side effects including hypersensitivity reactions, stomach and intestinal disorders, damage to the kidneys, and can cause liver damage if consumed in excessive doses. Several studies have shown that the level of public knowledge is closely related to the rational use of pain medications or analgesics. The higher the level of knowledge, the better and more appropriate in using analgesic drugs and vice versa, so that the more rational the community uses analgesic drugs, the fewer side effects that can arise. Self-medication or self-medication is a community effort to deal with pain that occurs mainly acutely or suddenly. Self medication can be a source of medication errors due to the limited knowledge of the community about drugs and their use. If self-medication can be carried out correctly by the community, then self-medication can have a large positive impact on both the community itself and the government in terms of national health care
Hubungan Persepsi Pasien terhadap Peresepan Elektronik dengan Kepuasan Pasien di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung Oktarlina, Rasmi Zakiah; Anggraini, Dwi Indria; Carolia, Novita; Zetira, Zihan
Jurnal Kedokteran Universitas Lampung Vol 3, No 1 (2019): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v3i1.2199

Abstract

Rumah Sakit Imanuel Bandar Lampung merupakan rumah sakit yang telah menggunakan sistem peresepan elektronik. Penelitian tentang manfaat dan kelemahan peresepan elektronik sudah banyak dilakukan, namun persepsi pasien tentang peresepan elektronik masih jarang dilakukan. Persepsi pasien perlu diketahui untuk mengetahui kualitas pemberian pelayanan kesehatan yang menggunakan sistem peresepan elektronik. Tujuan pada penelitian ini adalah untuk mengetahui hubungan persepsi pasien terhadap peresepan elektronik dengan kepuasan pasien di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung. Metode penelitian ini adalah cross-sectional dengan rancangan studi deskriptif, melibatkan 190 responden yang dilaksanakan pada bulan Agustus sampai Desember 2018, di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung. Data penelitian didapatkan melalui pengisian kuesioner yang telah diuji validitas dan reliabilitas. Analisis data yang digunakan adalah uji Fisher’s Exact Test. Hasil analisis data pada penelitian ini mendapatkan hasil p-value 0,031. Kesimpulan yang didapatkan bahwa terdapat hubungan antara persepsi pasien terhadap peresepan elektronik dengan kepuasan pasien di Instalasi Farmasi Rumah Sakit Imanuel Bandar Lampung. Kata kunci: instalasi farmasi, kepuasan, persepsi, resep elektronik