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Kebijakan Peningkatan Pemberian ASI Eksklusif Helda, Helda
Jurnal Kesehatan Masyarakat Nasional Vol. 3 No. 5 April 2009
Publisher : Faculty of Public Health Universitas Indonesia

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Abstract

Angka Kematian Bayi di Indonesia adalah 35/1000 kelahiran hidup berada di posisi keenam di negara Asean. Salah satu upaya yang efisien untuk menu-runkan angka kematian tersebut adalah pemberian ASI eksklusif yang memperlihatkan tren yang menurun, pada tahun 1997, (40,2%), 2002 (39,5%) dan 2007 (32%). Artikel ini bertujuan mengkaji kebijakan pemerintah memenuhi hak anak terhadap ASI. Metode yang digunakan melakukan telaah berbagai studi ten-tang kebijakan dan perundangan ASI di dunia dan di Indonesia,pada periode 2000-2007. Angka ASI eksklusif di dunia sangat bervariasi dan tidak berbanding lurus dengan kemajuan suatu negara. Jepang dan Inggris adalah contoh negara maju dengan angka ASI eksklusif yang rendah. Susu formula, sosial budaya dan wanita bekerja menjadi alasan pemakaian susu formula yang rendah. Di Indonesia, kasus balita gizi buruk pada tahun 1989, (75/10.000) dan pada tahun 2002 (70,3/ 10.000) memperlihatkan tren penurunan yang rendah. Meskipun manfaat ASI dirasakan oleh semua pihak, tetapi angka pemberian ASI masih tergolong rendah, sementara pemasaran susu formula, sosial budaya, dan wanita bekerja tidak mendukung pemberian ASI. Di Indonesia hanya ada 2 kepu-tusan menteri kesehatan (237/1997 dan 450/2004) yang mengatur pemberian ASI. Kebijakan yang ada belum mampu mengatasi angka pemberian ASI yang rendah. Disarankan untuk meningkatkan status hukum kebijakan yang ada dan mengupayakan peningkatan komitmen.Kata kunci: ASI eksklusif, kebijakan, susu formula.AbstractInfant mortality rate in Indonesia (35/1000 life birth) is one of the poorest (ranked number six) among ASEAN countries. One known efficient measure for re-ducing the infant mortality rate is exclusive breast feeding (EBF) which in fact showing a decreasing trend (40.2% in 1997, 39.5% in 2002 and 32.0% in 2007). The objective of this article is to evaluate government policy regarding the fulfillment of child’s rights to get adequate breastfeeding. The method used is by literature review of studies about breast feeding policy and regulations in the world and in Indonesia, during the period of 2000-2007. The EBF rates in the word are varied and not related to the developmental level of the country. Japan and England are examples of developed countries with low EBF rate. Formula milk, sosio-cultural, and working women are the most reasons of the low rate of EBF. In Indonesia, the cases of malnutrition among children under five years in 1989 (75/10.000) and in 2002 (70, 3/ 10.000 showed a decreasing trend. Although the benefit of the breastfeeding is known by almost all people, but the BF rate is still low. Meanwhile, formula milk marketing, sosio-cultural aspects, and the phenomenon of increasing number of working women do not support EBF. In Indonesia, there are only two ministry regulations (237/1997 and 450/2004) that regulated EBF. The existing policies are not strong enough to solve the problem of low EBF rate. It is suggested to improve the legal aspects including policy and regulations as well as improvement in government commitment to support EBF.Key words: Exclusive breast feeding, policy, formula milk.
Kebutaan pada Pasien Glaukoma Primer di Rumah Sakit Umum Dr. Cipto Mangunkusumo Jakarta Ismandari, Fetty; Helda, Helda
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 4 Februari 2011
Publisher : Faculty of Public Health Universitas Indonesia

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Abstract

Glaukoma adalah penyebab kebutaan permanen nomor dua di Indonesia yang sering tidak disadari oleh penderita. Proporsi pasien baru glaukoma yang datang ke RSUPN Dr Cipto Mangunkusumo (RSCM) dalam kondisi buta cukup tinggi. Tujuan penelitian ini mengetahui berbagai faktor yangberhubungan dengan kebutaan tersebut. Penelitian ini dilakukan terhadap 420 pasien glaukoma primer yang berkunjung di poliklinik penyakit mata RSCM pada Januari 2007-Oktober 2009 dan memenuhi kriteria inklusi dan eksklusi. Metode analisis yang digunakan adalah analisis Cox’s Proportional Hazard Model untuk mendapatkan nilai prevalence ratio (PR). Penelitian ini didapatkan hubungan bermakna antara antara kebutaan akibat glaukoma primer tekanan intraokular (PR = 1,01; 95% CI = 1,01-1,02), jenis glaukoma, pengobatan sebelumnya dan interaksi antara jenis glaukoma dan pengobatan sebelumnya (PR 2,09 95% CI 1,36-3,22 ). Untuk sudut terbuka yang pernah mendapat pengobatan sebelumnya (PR = 1,72; 95% CI = 1,20-2,46) untuk sudut tertutup yang belum mendapat pengobatan; PR= 1,79 untuk sudut tertutup yang pernah mendapat pengobatan; dibandingkan sudut terbuka yang belum mendapat pengobatan) serta pendidikan (PR = 1,49; 95% CI = 1,06-2,08 untuk pendidikan rendah dan PR = 1,37; 95% CI = 0,97-1,92 dibandingkan dengan pendidikan tinggi). Kata kunci: Glaukoma, buta, mataAbstractGlaucoma is the second largest cause of blindness in Indonesia. Blindness caused by glaucoma is irreversible and most of the patients are unaware of the symptoms. The proportion of blindness in new glaucoma patients at Cipto Mangunkusumo General Hospital Jakarta was found high, resulting the need to explore factors related to it. The Study involved 420 samples consisted of new primary glaucoma patients visiting Eye Clinic of this hospital from January 2007 to October 2009, who fulfilled inclusion and exclusion criteria. To calculate the Prevalence Ratio (PR), Cox’s ProportionalHazard Model Analysis was used. As result, variables that is significantly associated with blindness among new patients with primary glaucoma at this hospital were intraocular pressure (PR = 1,01; 95% CI = 1,01-1,02), glaucoma type, treated patients, interaction between glaucoma type and treated patients (PR = 2,09; 95% CI = 1,36-3,22 for POAG-treated patients; PR = 1,72; 95% CI = 1,20-2,46 for PACG-untreated patients; PR = 1,79 for PACG-treated patiens; compared with POAG-untreated patients), and education level (PR = 1,49; 95% CI = 1,06-2,08 for low level education and PR = 1,37; 95% CI = 0,97-1,92 for no answer compared with high level education).Key word: Glaucoma, blindness, eyes
PERPUSTAKAAN TUNANETRA KALIMANTAN BARAT DI PONTIANAK Helda, Helda
Jurnal online Mahasiswa S1 Arsitektur UNTAN Vol 3, No 2 (2015): Jurnal online mahasiswa Arsitektur Universitas Tanjungpura
Publisher : Program Studi Arsitektur Fakultas Teknik Universitas Tanjungpura

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Abstract

Fungsi perpustakaan yang vital bagi perkembangan ilmu pengetahuan global menunjukkan bahwa perancangan arsitektural pada bangunan perpustakaan perlu mempertimbangkan pengguna dari berbagai kalangan masyarakat, termasuk tunanetra. Kebutuhan tunanetra sebagai individu yang memiliki keterbatasan penglihatan dapat diwadahi oleh arsitektur untuk menghilangkan berbagai hambatan dalam penggunaan bangunan. Saat ini, jumlah tunanetra low vision di Kalimantan Barat berada pada urutan terbanyak kedua di Indonesia namun masih tidak diimbangi dengan fasilitas yang memadai, terutama di Kota Pontianak yang berfungsi sebagai pusat pendidikan di provinsi tersebut. Tujuan perancangan perpustakaan tunanetra di Pontianak ini adalah menciptakan bangunan perpustakaan khusus tunanetra yang dapat memfasilitasi kebutuhan mereka di Kalimantan Barat. Hal–hal terkait tunanetra yang berperan penting dalam perancangan bangunan dapat diperoleh dari studi pustaka dan pengamatan perilaku tunanetra secara langsung maupun melalui hasil wawancara. Pemilihan lokasi perancangan dipengaruhi oleh tunanetra sebagai pengguna utama bangunan. Lokasi perancangan terletak di pusat aktifitas dan dekat dengan berbagai fasilitas kota, yaitu Jalan Jenderal Ahmad Yani, Pontianak. Pemilihan lokasi ditentukan berdasarkan kemudahan pencapaian dan kemandirian bagi tunanetra. Fungsi perpustakaan tunanetra sebagai ruang publik dirancang dengan adanya ruang – ruang tempat tunanetra bertemu dan berdiskusi mengenai berbagai pengetahuan. Ruang – ruang yang disediakan ditata secara linear untuk memudahkan mobilitas tunanetra pada saat beraktifitas.   Kata kunci: Perpustakaan, Tunanetra, Arsitektur
Kebutaan pada Pasien Glaukoma Primer di Rumah Sakit Umum Dr. Cipto Mangunkusumo Jakarta Ismandari, Fetty; Helda, Helda
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 4 Februari 2011
Publisher : Faculty of Public Health Universitas Indonesia

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Abstract

Glaukoma adalah penyebab kebutaan permanen nomor dua di Indonesia?yang sering tidak disadari oleh penderita. Proporsi pasien baru glaukoma?yang datang ke RSUPN Dr Cipto Mangunkusumo (RSCM) dalam kondisi?buta cukup tinggi. Tujuan penelitian ini mengetahui berbagai faktor yangberhubungan dengan kebutaan tersebut. Penelitian ini dilakukan terhadap?420 pasien glaukoma primer yang berkunjung di poliklinik penyakit mata?RSCM pada Januari 2007-Oktober 2009 dan memenuhi kriteria inklusi dan?eksklusi. Metode analisis yang digunakan adalah analisis Cox?s?Proportional Hazard Model untuk mendapatkan nilai prevalence ratio (PR).?Penelitian ini didapatkan hubungan bermakna antara antara kebutaan akibat?glaukoma primer tekanan intraokular (PR = 1,01; 95% CI = 1,01-1,02),?jenis glaukoma, pengobatan sebelumnya dan interaksi antara jenis glaukoma?dan pengobatan sebelumnya (PR 2,09 95% CI 1,36-3,22 ). Untuk sudut?terbuka yang pernah mendapat pengobatan sebelumnya (PR = 1,72; 95%?CI = 1,20-2,46) untuk sudut tertutup yang belum mendapat pengobatan; PR= 1,79 untuk sudut tertutup yang pernah mendapat pengobatan; dibandingkan?sudut terbuka yang belum mendapat pengobatan) serta pendidikan?(PR = 1,49; 95% CI = 1,06-2,08 untuk pendidikan rendah dan PR = 1,37;?95% CI = 0,97-1,92 dibandingkan dengan pendidikan tinggi).?Kata kunci: Glaukoma, buta, mataAbstractGlaucoma is the second largest cause of blindness in Indonesia. Blindness?caused by glaucoma is irreversible and most of the patients are unaware of?the symptoms. The proportion of blindness in new glaucoma patients at?Cipto Mangunkusumo General Hospital Jakarta was found high, resulting?the need to explore factors related to it. The Study involved 420 samples?consisted of new primary glaucoma patients visiting Eye Clinic of this hospital?from January 2007 to October 2009, who fulfilled inclusion and exclusion?criteria. To calculate the Prevalence Ratio (PR), Cox?s ProportionalHazard Model Analysis was used. As result, variables that is significantly associated?with blindness among new patients with primary glaucoma at this?hospital were intraocular pressure (PR = 1,01; 95% CI = 1,01-1,02), glaucoma?type, treated patients, interaction between glaucoma type and treated?patients (PR = 2,09; 95% CI = 1,36-3,22 for POAG-treated patients; PR?= 1,72; 95% CI = 1,20-2,46 for PACG-untreated patients; PR = 1,79 for?PACG-treated patiens; compared with POAG-untreated patients), and education?level (PR = 1,49; 95% CI = 1,06-2,08 for low level education and PR?= 1,37; 95% CI = 0,97-1,92 for no answer compared with high level education).Key word: Glaucoma, blindness, eyes
Aplikasi Probio_FMPlus melalui Air Minum pada Ayam Broiler di Politani Kupang Hendalia, Ella; Manin, Fahmida; Asra, Revis; Helda, Helda
Jurnal Ilmiah Ilmu-Ilmu Peternakan Vol 20 No 1 (2017): Mei 2017
Publisher : Fakultas Peternakan Universitas Jambi

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Abstract

The aims of this study was to reveal the effectiveness of the use of Probio_FMplus broiler.  Two hundret of day old chick (DOC) were used in this experiment.  DOCs were randomly treated into five treatments with five replications consiting of eight DOCs. Treatments were the use of Probio_FMplus within drinking water of 0, 10, 15 and 20  ml/liter for treatment P0, P1, P2, P3and P4 respectively.  The design of experiment was Completely Randomized Design with five treatments and five replications. Parametters measured were ration comsumption, weight gain, slaughter weight and feed conversion. The results of this experiment showed that the level of  Probio_FMplus in drinking water did not significantly influence (P>0,05) on ration consumption, weight gain, slaughter weight and feed conversion.  It could be concluded that the use of  10  ml/liter of Probio_FMplus in dringking waterwas the most effective in broiler.    Kata kunci: probiotik, prebiotik, simbiotik, putak
THE EFFECTS OF SECTION CAESAREA TO EARLY BREASTFEEDING INITIATION: A SYSTEMATIC REVIEW Fauziyah, Nur Annisa; Helda, Helda
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: The early breastfeeding initiation is one of the crusial process for successful in exclusive breastfeeding, unfortunately based on UNICEF, globally only 45% of newborns were put to the breast within the first hours of life. The other condition, nowdays caesarean sections have become increasingly common in both developed and developing countries, research showed that mothers who delivered their baby section caesarea have a higher percentage failure of early breastfeeding initiation than mother with vaginal delivery, from that condition his research aims to analyze effects section caesarea to early breastfeeding initiation. Methods: This study used systematic review based on the Prisma (Preferred Reporting Items For Systematic Reviews & Meta-Analyses) Protocol to identify all the published literature using relevant keywords. The initial screening was conducted by human population, the year of publication (5 years) and free full text, then reading the titles, abstracts than assessed for eligibility founded 6 articles, those studies included in this review after selected using inclusion and exclusion criteria. Inclusion are journal from rearch reported in english, has no accompanying disease or health problem as cardiac disease, cancer, herpes, HIV/AIDS, obesity ect. The baby is normal, baby can drink orally. Exclusion: the articles published less than 2013, after sectio caesarea mother and infant require special therapy. Results: The studies showed there were effects of section caesarea to early breastfeeding initiation, the mothers who birth their babies with caesarea most of them failure to initiate early breastfeeding. Conclusions: The way to Improve the rates of early breastfeeding initiation with giving antenatal breastfeeding education to all mothers especially who known to be having a cesarean section and health care professionals must support. All of the hospitals must apply baby friendly hospital initiative to support success of early breastfeeding initiation 
Aktivitas Antioksidan Ekstrak Etanol Kulit Buah Naga Merah Daerah Pelaihari, Kalimantan Selatan Dengan Metode DPPH (2,2-difenil-1-pikrilhidrazil) Niah, Rakhmadhan; Helda, Helda
Jurnal Pharmascience Vol 3, No 2 (2016): Jurnal Pharmascience
Publisher : Program Studi Farmasi FMIPA Universitas Lambung Mangkurat

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Abstract

Stres oksidatif merupakan ketidakseimbangan antara radikal bebas dan antioksidan yang dapat menyebabkan kerusakan oksidatif mulai dari tingkat sel, jaringan, hingga ke organ tubuh. Stres oksidatif dapat diatasi dengan antioksidan alami, seperti kulit buah naga merah yang mengandung antosianin. Penelitian ini bertujuan untuk mengkaji persen aktivitas antioksidan dan IC50 dari ekstrak etanol kulit buah naga merah. Pengukuran aktivitas antioksidan dilakukan menggunakan metode DPPH (2,2-difenil-1-pikrilhidrazil). Analisis data yang dihasilkan berupa persen aktivitas antioksidan dan nilai IC50 dari ekstrak etanol kulit buah naga merah. Berdasarkan hasil penelitian yang dilakukan dapat diambil kesimpulan bahwa ekstrak etanol kulit buah naga merah dengan konsentrasi 0,0625; 0,125; 0,25; 0,5; dan 1 gram/100 mL memberikan persentse aktivitas antioksidan dengan rata-rata masing-masing sebesar 6,468%; 9,738%; 12,286%; 13,141% dan 20,867%. Ekstrak etanol kulit buah naga merah memiliki aktivitas antioksidan dengan nilai IC50 3,14 gram/100 ml. Kata kunci : kulit buah naga, antioksidan, DPPH
Peningkatan Kemampuan Menyelesaikan Soal Cerita Bilangan Bulat Melalui Penerapan Metode Penggunaan Media Benda-Benda Terdekat Pada Pelajaran Matematika Siswa Kelas Vii Pmds Putra Palopo Helda, Helda; Sulistiani, Ino
Al-Khwarizmi: Jurnal Pendidikan Matematika dan Ilmu Pengetahuan Alam Vol 4, No 2 (2016): Al-Khwarizmi: Jurnal Pendidikan Matematika dan Ilmu Pengetahuan Alam
Publisher : Institut Agama Islam Negeri (IAIN) Palopo

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Abstract

Thiss research implemented by 2 cycles and each cycle implemented in 4 times of the meeting included the last test in every time of the cycle. The data in this research taken for use with result study of test and observation. Each datum which collected in this research analyzed with descriptive analysis. The result of this research achieved after the implementation step of proximate things media during 2 cycles: a) the increasing result mathematics study. Thiss case can see from the increasing average score test and average score see 3 aspects of marking that is draft comprehension, reasoning, and communication achieved with completeness the resultant study in a classical. The first cycle obtained average score test students is 64,44. From 100, is the highest score with standard deviation in the amount of 11,819 and at the second cycle obtained average score 83,11 from 100, is the highest score with deviation standard 8,410. Completeness presentation the result at first cycle is 44,44%. That is 16 from 36 students otherwise complete their study, and the second cycle 100% is 36 from 36 students otherwise complete their study. b) In this research happen attitude change in students about mathematics become better each time during teaching and studying process. From result of this research, we are able to summed up that applied to proximate things media at mathematics learning, then the result of VII SMP PMDS Putra Palopo can rise.
Agribisnis Ayam Potong Berbasis Probio Fm Plus Di Politeknik Pertanian Negeri Kupang Helda, Helda; Nalle, Catootjie L; Badewi, Bachtarudin
Jurnal SOLMA Vol 8 No 1 (2019): Jurnal SOLMA
Publisher : Uhamka Press

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Abstract

Broilers are meat type chickens which are having tender meat and can be harvested in aerly stage of age (28 d) so that can recoup quickly.  Broiler agribusines has been conducted since 2005 in polytechnic of Agricuture Kupang, started with very small scale. It has been well known that chicken excreta is one of the contributors in environmental polution due to the emisión of ammonia (NH3). Ammonia arena lokasi kandang verada di lingkungan kampus. Ammonia is the result of nitrogent decomposition in chicken excreta, such as uric acid undigested protein and non protein nitrogent. Thus, the effort to reduce the ammonia polution in by using probiotics. In PPUPIK activity, Probio FMplus, which is a modification product of In Probio-FM in Jambi University, is used for boiler rearing. The main comodity of PPUPIK in Polytechnic of Agriculture is broiler chickens. Type of housing used is floor pens with the capacity 1,000 birds and 7,000 birds in two different location. Additional products from PPUPIK are probiotics (Probio Fmplus), processing products (ie. nuggets), and organic fertilizer which is fermented using Probio FMplus. The positive impacts of PPUPIK activities are the improvement of student competency, supporting tri dharma activities, and as a place for competent test for senior vocational students. 
HUBUNGAN BERAT LAHIR DENGAN KESINTASAN BAYI TERHADAP INFEKSI ALIRAN DARAH (IAD) DI UNIT PERINATOLOGI RUMAH SAKIT UMUM PUSAT NASIONAL DR. CIPTO MANGUNKUSUMO TAHUN 2012 Winarti, Wiwin; Helda, Helda
Jurnal Keperawatan Widya Gantari Indonesia Vol 1 (2014): Jurnal Keperawatan Widya Gantari Indonesia
Publisher : Fakultas Ilmu Kesehatan

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Abstract

Health Care-Associated Infection (HAIs) telah menjadi topik besar dari tahun ketahun. Tujuan dari penelitian ini adalah untuk mengetahui hubungan berat lahir dengan kesintasan bayi terhadap infeksi aliran darah (IAD). Variabel lain yang ikut dianalisis hubungannya dengan kesintasan bayi terhadap IAD adalah, jenis kelamin, usia gestasi, APGAR, kelainan kongenital, usia ibu saat melahirkan, penyakit maternal dan penggunaan alat invasif seperti kateter intravena, ETT dan NC-CPAP. Desain penelitian adalah kohort retrospektif dengan menggunakan metode Kaplan Meier, menggunakan rekam medis pasien perinatologi Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo tahun 2012. Selama periode pengamatan, dari 298 bayi yang memenuhi kriteria inklusi penelitian, diketahui kesintasan terhadap IAD pada non BBLR 72,4% dibandingkan dengan BBLR 69,3%. Insiden IAD  sebesar 8,7 % (5,9/1000) dengan median waktu kesintasan terhadap infeksi adalah 10 hari. Berat lahir memiliki efek protektif terhadap IAD sebesar 0,54 (p > 0,05), sedangkan kateter sentral diketahui memiliki efek resiko yang besar terhadap kejadian IAD (HR= 6,5; 95% CI: 2,4-17,6; p< 0,001).