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SEHATI: Jurnal Kesehatan
Published by Pelantar Press
ISSN : 27756955     EISSN : 27756963     DOI : https://doi.org/10.52364/sehati
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
SEHATI: Jurnal Kesehatan terbitan Pelantar Press bertujuan untuk memfasilitasi para peneliti khususnya di bidang kesehatan untuk menyebarluaskan hasil penelitiannya. Serta menyebarkan ilmu untuk membangun ilmu baru kepada masyarakat luas. Jurnal ini memuat naskah Ilmu Kesehatan yang meliputi: Kesehatan lingkungan, Keperawatan, Kebidanan, Kesehatan Gigi, Farmasi, Nutrisi, Analis kesehatan, Kesehatan Tenaga Kerja, Kesehatan masyarakat dan IPTEKS.
Arjuna Subject : Umum - Umum
Articles 29 Documents
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Manajemen anestesi pada fraktur multiple os femur dan os tibia: Sebuah laporan kasus Ayu Dinda Fatimah
SEHATI: Jurnal Kesehatan Vol 2, No 1 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i1.13

Abstract

Fracture is a break in the continuity of bone, joint bone, epiphyseal cartilage, which is total or partial. Currently musculoskeletal disease has become a problem that is often found in health care centers around the world. Overall incidence of fractures was 11.3 in 1,000 per year, in males was 11.67 in 1000 per year, whereas in 10.65 in 1,000 women per year. The classic symptom is a history of trauma fracture, pain and swelling in the broken bones, deformity, musculoskeletal dysfunction, breaking the continuity of the bone, and neurovascular disorders. Principles of fracture treatment is to restore the position of the fracture to its original position (reposition) and held that position during the healing of fractures (immobilization). Special in open fractures, must be considered the danger of infection, either general or local infection. Mr. A 30 years old came with complaints of difficulty moving his left leg after a traffic accident 3 months ago and was taken to a sangkal putung but it didn't heal so he was taken to the hospital and got multiple fractures of the tibia and femur. The patient underwent surgery with the ORIF procedure under general anesthesia. Preoperative, intraoperative, and postoperative management needs to be done correctly and completely to support the success of the operation.
Congenital insensitivity to pain with anhidrosis (CIPA): sebuah artikel dan manajemen anestesi Ina Karina Putri G. Sugihen
SEHATI: Jurnal Kesehatan Vol 2, No 1 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i1.14

Abstract

Congenital insensitivity to pain with anhidrosis (CIPA) is hereditary sensory and autonomic neuropathies (HSAN) type IV caused by mutations in NTRK1 gene (neurotrophic tyrosine kinase receptor 1) located in chromosome 1q21-22, encoding the tyrosinase domain receptor high affinity nerve growth factor. It is characterized by anhidrosis, insensitivity to painful stimuli and mental retardation. Given their low prevalence from few reported cases, it is important to know its sign and symptomp to be considered in the differential diagnosis. Therapy for CIPA remains unclear. Complication prevention is the only possible treatment of CIPA. In anesthetic management during surgery, those patients should still administred by analgesics for sedation and anxiolytic effects.
Penatalaksanaan awal pada pasien dengan cedera otak traumatik Rizky Aprilia Wikayanti
SEHATI: Jurnal Kesehatan Vol 2, No 1 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i1.16

Abstract

Traumatic brain injury is a major cause of morbidity and mortality, and the third most common cause of injury that causes death. 69 million people suffer from traumatic brain injuries each year. Initial treatment was carried out on a man aged 21 years, with a weight of 62 kg and a height of 160 cm. The patient came to the emergency unit brought by his family because of a traffic accident with a motor vehicle, when the accident the patient was not under the influence of drugs and was not drunk. The patient's GCS was E2V2M4. The patient was given initial management in the form of an airway evaluation by installing an oropharyngeal airway (OPA) for airway patency, breathing at a respiratory rate of 22 times/minute, and circulation with a blood pressure of 133/78 mmHg and a pulse rate of 102 times/minute, the patient's body temperature was 36. ,50 C. The patient was diagnosed with extensive subarachnoid hemorrhage based on radiological examination with non-contrast CT scan of the head requiring craniotomy for evacuation of bleeding by a neurosurgeon specialist. Initial management of the patient is carried out in the emergency unit by evaluating the primary survey and secondary survey. Evaluation of the patient is carried out while monitoring the patient's hemodynamic state remains stable. Speed and accuracy in providing initial treatment to traumatic brain injury patients play a very important role in preventing the development of primary injury to secondary injury and can provide a better prognosis for patients.
Manajemen anestesi pada ablasio retina: laporan kasus Wina Nazula Makrufa
SEHATI: Jurnal Kesehatan Vol 2, No 1 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i1.12

Abstract

Retinal detachment is a separation between retinal photoreceptor layer and retinal epithelial layer below. Retinal detachment happens in 67% people with myopia. Retinal detachment also happens in people with cataract surgery history and blunt trauma in the eye. Patients with retinal detachment may present with a history of photopsia. The patient also presents with visual field loss, usually starts in the periphery, and then moving to the central. Physical examination can be done with fundoscopy examination that may present with a retinal detachment if the eye was moving. Radiological examination can be done to support the diagnosis. Management of retinal detachment is by vitrectomy to lift up the material that causing traction, subretinal internal liquid drainage, and injection of air or gasses to maintain retinal position. A man aged 53 years old come with visual loss in the right eye. Patient felt that there is a foreign object in his right eye, so the patient rub his right eye to release the foreign object. Patient’s right eye only can see blurred from the side, but in the central he can not see anything. The physical examination presents with a retinal detachment in the right eye. Patient has controlled hypertension. There is no previous allergic or operative history. The patient receives an operative vitrectomy with general anesthesia. The patient receives preoperative, intraoperative, and postoperative to support the surgery..
Laporan kasus: manajemen anestesi pada pasien hipospadia Yosi Ajeng Sabila
SEHATI: Jurnal Kesehatan Vol 2, No 1 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i1.15

Abstract

abnormal development of the urethral fold and the ventral foreskin of the penis that causes abnormal positioning of the urethral opening. Patients diagnosed with hypospadias should be referred for surgical evaluation within the first weeks of life. If parents want circumcisions for their newborns, the presence of any penile abnormality should contraindicate the procedure, given that the foreskin is used in the arthroplasties. Surgical correction is the mainstay treatment of proximal hypospadias. In proximal penile, penoscrotal, and scrotal hypospadias with chordee, the patient commonly undergoes a two-stage repair with initial surgery consisting of urethroplasty and penile straightening with subsequent urethral plate tabularization. A 13 years ago the patient came to the Pediatric Surgery with a complaint that the bladder hole was under the genitals. This has been known by the patient's family since birth, but they do not want to take the patient to see a doctor because they are worried. A right surgery should minimize the discomfort felt by the patient. Therefore, it is necessary to prepare an anesthetic plan and appropriate preoperative, intraoperative and postoperative management to avoid complications that may occur.
Kombinasi pijat oksitosin, breast care dan biological nurturing untuk meningkatkan produksi ASI Silvia Pujiyanti; Susilo Rini; Arlyana Hikmanti
SEHATI: Jurnal Kesehatan Vol 2, No 2 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i2.24

Abstract

The postpartum period is a period that is very prone to complications for the mother and baby which if not handled properly can cause problems and even death of the mother and baby. The maternal mortality rate in Indonesia in 2020 is 4,627 cases. It is estimated that about 50% of maternal deaths occur during the puerperium, one of which is caused by breast infections due to swelling or breast engorgement, mastitis, and abscesses. Therefore, to prevent this, some complementary care can be given to postpartum mothers such as oxytocin massage, breast care, and biological nurturing. The purpose of this study was to describe the effect of oxytocin massage care, breast care and biological nurturing on postpartum mothers. The research method used is a case study. It was reported a case of a 21-year-old postpartum mother P1 A0 Ah1 who gave birth to her baby 4 hours ago complaining that her breast milk had come out but it was still low. The results of the case study showed that oxytocin massage, breast care and the biological nurturing were more effective in treating breast complications and increasing milk production.
Evaluasi pengelolaan limbah bahan berbahaya dan beracun (B3) di Rumah Sakit tipe B Provinsi Riau Devi Meri Yati; Mubarak Mubarak; Rahman Karnila
SEHATI: Jurnal Kesehatan Vol 2, No 2 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i2.26

Abstract

Hazardous and Toxic Substances (B3) are substances, energy, and or other components which due to their nature, concentration, and or quantity, either directly or indirectly, can pollute and or damage the environment, and or endanger the environment, health, and the survival of humans and other living things. Hospitals need to carry out B3 waste management properly so as not to have an impact on the environment. The purpose of this study was to analyze the volume, characteristics, management, strategies, and economic and social impacts of B3 waste at Arifin Achmad Hospital, Riau Province. This research was conducted at Arifin Achmad Hospital, Riau Province in June-July 2020. This research is a mixed methods research. The data used are primary and secondary data. Data analysis was carried out by descriptive and SWOT analysis techniques. Based on the results of the study, it was found that in 2020, the total amount of waste generated from January - August by Arifin Achmad Hospital, Riau Province was 73,747.5 kg. The highest amount of B3 waste in Arifin Achmad Hospital, Riau Province, is medical waste at 53,237.5 kg, followed by sharp object waste at 7,194 kg. B3 waste management consists of three stages, namely sorting, transporting, and treating waste. Improper waste management can cause inconvenience for patients, health workers, and waste transport officers. There have been no social problems caused by the management of B3 waste and until now there has been no economic value from waste management at Arifin Achmad Hospital, Riau Province.
Analisis hubungan faktor resiko skabies di Pondok Pesantren Darel Hikmah Erni Setiawati; Zahtamal Zahtamal; Ridwan Manda Putra
SEHATI: Jurnal Kesehatan Vol 2, No 2 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i2.29

Abstract

There are many cases of behavioral and environmental-based diseases, one of which includes those occurring in Darel Hikmah Islamic boarding school. Scabies is a health problem that needs to be addressed, especially in environments with high population density, such as Islamic boarding schools. The purpose of this study was to analyze the relationship between environmental factors, and behavior and to analyze the factors most at risk of scabies at Darel Hikmah Islamic Boarding School. The research was conducted in June-October 2020 at the Darel Hikmah Islamic Boarding School. Based on the results of research that has been done, it is known that the environmental factors associated with the incidence of scabies are lighting and humidity. Behavioral factors related to the incidence of scabies are the habit of washing hands with soap and the habit of changing clothes. The most risk factor for scabies in Islamic boarding schools is humidity. Scabies is a contagious disease caused by an infestation of the Sarcoptes scabiei mite and very often occurs in environments with poor sanitation and unsanitary and healthy living habits. Islamic boarding schools need to take precautions according to their level, namely primary, secondary and tertiary prevention, and regular medical examinations for students.
Kajian pengelolaan limbah medis pada puskesmas di Kabupaten Bengkalis Maliki Maliki; Yusni Ikhwan Siregar; Zahtamal Zahtamal
SEHATI: Jurnal Kesehatan Vol 2, No 2 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i2.27

Abstract

In the effort to protect and manage the environment, every business and/or activity must have an environmental permit. One of the lowest responsibilities of an entity or business carried out by an individual or group is a Declaration of Ability and Environmental Monitoring, (Law No.32 of 2009) Puskesmas waste is generated from patient care as well as from other supporting activities. In general, waste is grouped into two major groups, namely medical waste and non-medical waste, both solid and liquid. The problem of medical waste in Puskesmas should quickly get serious and focused attention because the production of medical waste is increasing every day and becomes a dangerous threat to health workers, patients, and the surrounding environment. This condition is a serious problem and is considered important from an environmental health aspect. The strategy for the study of medical waste management at Puskesmas is using SWOT analysis, one of the approaches used is a qualitative approach with a SWOT matrix. The matrix shows how medical waste management at Puskesmas is carried out according to the conditions of opportunities and threats faced with the strengths and weaknesses of Puskesmas. So the method used in this research is to identify the strengths, weaknesses, opportunities, and threats that are owned by the Puskesmas
Pengaruh sanitasi lingkungan fisik rumah, sosial budaya dan kontak serumah terhadap kejadian Tuberkulosis Paru di Pulau Bengkalis Kabupaten Bengkalis Melia Setia Rindu; Agrina Agrina; Ridwan Manda Putra
SEHATI: Jurnal Kesehatan Vol 2, No 2 (2022)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v2i2.28

Abstract

The degree of public health is influenced by four factors, namely environment, behavior, health services, and heredity. Data from 2019 WHO Global Tuberculosis Report, Indonesia ranks third with the highest tuberculosis cases in the world. The purpose of this study was to analyze the sanitary conditions of the house environment (temperature, humidity, type of floor, ventilation, lighting), socio-culture (trust), and household contact against the incidence of pulmonary tuberculosis on Bengkalis Island. This research is an analytical study with a case-control design. This research was conducted on Bengkalis Island, namely in two sub-districts (Bengkalis District and Bantan District) and in the working area of Puskesmas Bengkalis, Puskesmas Pematang Duku, Puskesmas Selatbaru and Puskesmas Teluk Pambang. The data used are quantitative data sourced from observations, interviews, and questionnaires. The research sample was 80 people consisting of 40 cases and 40 controls. Data analysis was performed by multiple logistic regression tests. The results of the study concluded that the most dominant variable affecting the incidence of pulmonary tuberculosis was temperature with a p-value of 0.008. Confounding variables for tuberculosis incidence were ventilation, floor type, lighting, and confidence. The multivariate model formed is fit/fit for use. Based on the results of the calculation of the equation, it can be concluded that if a person has temperature risk factors, humidity risk factors, ventilation risk factors, floor type risk factors, lighting risk factors, trust risk factors, and household contact risk factors, then he will have a chance of suffering from pulmonary tuberculosis by 94 percent (with a probability value of 0.94).

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